The repertory is only a tool to indicate a group of possible remedies for a patient. The final selection is always based on a study of the Materia Medica. Careful case-taking is indispensable. Have as complete a picture as you can of the patient's state / illness / condition before you start the repertory program. The repertory program works with the data you provide. Good data gives you good results, but to use a phrase common with computer programmers: garbage in, garbage out! Understand the patient first, know the characteristic features, the sensations, modalities etc. - then begin selecting rubrics.
The first part of the program needs details such as gender, age group etc. which are vital. If you choose "Male", the repertory removes all female related rubrics, such as Menses etc. So please check the right box.
In additon, you can enter:
The diagnosis, even if only provisional.
A drug you are reminded of from your experience while taking the case. So if you feel the patient could need "Puls", select it. The program will then search for similar drugs while taking the main symptoms into consideration.
The Selection of Rubrics
Do not select rubrics during the process of case-taking.
Once you have taken the case and understood the main features, read it carefully twice, fix the image in your mind.
Go through the entire list of rubrics from top to bottom, selecting as you move down - double-click to select (if you're on a tablet you might need to select the rubric & press the >> button).
Do not jump to definite rubrics your patient has - e.g., "thirstless" directly. Go through the list in order, top to bottom, and select.
Avoid the temptation to choose the top 4-5 rubrics you feel apply to the case. Go through entire list.
Select all rubrics that seem applicable to the case, esp. in mentals. Don't worry about taking incorrect rubrics - you will finally check the materia medica before prescribing. If the impression is that the patient feels "betrayed" or "business will fail" - add the rubric applicable - "cheated" or "monetary".
Even if a rubric seems to be a repetition, choose it if applicable. e.g., "critical", "faultfinding", "fastidous". Or "eczema" and "eczema on hands" - take both rubrics, if both are applicable.
However, don't force rubrics - i.e., choosing "hot" or "chilly" because you believe every patient has to be either one of the two. Or choosing a miasm because a patient has to fall into some miasmatic classification.
All rubrics have nearly equal value - whether it is "teeth" or "fastidious" - the definite presence of the symptom/sign is more important that any relative value you may assign "Mental symptoms are more important" etc. They are not - not here.
Go through the list of rubrics you have chosen (in the right side column) and see if you have missed anything important. You can also remove rubrics by double-clicking rubrics on the right-side column (if you're on a tablet you might need to select the rubric & press the << button).
Once you are satisfied, click Next.
Select rubrics for the new list of confirming rubrics, reading each one carefully - you can also ask the patient questions based on this list. You can remove or add rubrics at this stage too. In the second phase you may get (for example) the following rubrics:
nausea from odor of food
disgust from smell of food
cannot bear the smell of food
Don't worry about what will happen if you take all three rubrics. If the rubric applies to the patient, it must be taken. In this case, all three rubrics should be taken if the patient has severe nausea from smell of food. They represent the materia medica entries for three different drugs.
Once done, click Next to get a list of recommended drugs. If you have too many rubrics, choose those that seem best suited to the case, and remove some of the others.
The results show the most likely drugs for the case first. The drug in bold might be your best choice. Those in italics are also similar to important aspects of the case. The drugs in ordinary type should also be studied.
In addition, the program might suggest a few drugs for special consideration - often small remedies which are not well-proved.
The results are purely suggestive, and you need to study the materia medica to select the most suitable remedy. Carefully look at all the drugs, using reverse repertories and materia medicas for peculiar rubrics. Use all available tools - other repertory programs, understanding of the drug source, drug classification studies, miasmatic classifications etc. to find the right remedy. The ultimate purpose is to find a very close match between (a) the patient's general state and specific characteristics and (b) those of the remedy to be prescribed.