Correlation of Homoeopathic Materia Medica and Repertory

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Correlation of Homoeopathic Materia Medica and Repertory Powered By Docstoc
					Correlation of Homoeopathic
Materia Medica and Repertory
           Dr. Nitila Desai.
  Lecturer, Dept. of Materia Medica
       SKHMC. Shiroda Goa

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       HOMOEOPATHY
         Organon of medicine




Homoeopathic                    Homeopathic
Materia Medica                   Repertory


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  Homeopathic Materia Medica
and Repertory are complementary
 Homoeopathic Materia Medica is the record book of
 Genuine, pure, reliable and authenticated symptoms of
 simple substances ascertained after complete proving on
             relatively healthy human beings
          Toxicology and clinical experience




                 Homoeopathic repertory
     It is an index to Homoeopathic Materia Medica
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Expanding Materia Medica  like a vast ocean
So it was impossible to keep in ones head the
  mass of symptoms
  Time consuming - Confusing
To ease the task  Similimum




     Indexing of symptoms
     Dr. Samuel Hahnemann (1805)
  (Fragmenta de viribus Medicamentorum
  Positivis)
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                 History
• 1805 – Fragmenta de Viribus Medica
  Mentorum Positivis
• 1811- 1821 – Materia Medica Pura
  (concept of repertorisation – preamble)
• 1820-1830 – Chronic Diseases
• 1817-32 – Dr. Samuel Hahnemann, wrote
  a repertory-could not be published
  Further working, done by Dr. Grass &
  Dr. Rukert. Finally Dr. Jahr worked (1835)
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• 1832 – Dr. Boeninghaussen- Repertory Of Anti-
         Psoric
• 1835 -- Jahr’s Repertory
      -- Boeninghaussen’s Repertory
         which are not Anti-Psoric
• 1874 – The Encyclopedia of Pure Materia
          Medica – Dr. T.F. Allen
• 1879 – The Guiding Symptoms of our Materia
         Medica- C. Hering
• 1897 – Kent’s Repertory (Boeninghaussen’s
         Repertories, Lippe’s Repertory, Biegler’s Diary,
         Minton’s Disease of WOMEN, Jahr’s Repertory,
         Allen’s Great Encyclopedia, Work done by Lippe
         & Lee.)
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• 1900 – Dictionary of Practical Materia
         Medica- Clarke
• 1973 – Synthetic Repertory- Dr. Barthel &
                 Klunker
• 1979 – Encyclopedia of Drug Pathogenesy- Dr.
         Hughes & Dake
• 1994 – Homoeopathic Medical Repertory- Dr.
         Robin Murphy
• 1998 – Complete Repertory- Roger Van
          Zandvoort
• 1993 – Synthesis Repertory – Fredrick
         Schroyens

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           PHYSICIAN




                                   CLINICAL
 HOM.
                                  CASE ANALYSIS
MAT. MED


                                    SIMILIMUM



           HOM. REPERTORY

                 A
              BRIDGE
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        Totality of symptoms
• Hahnemann (Org., Par. 7) calls the totality,
  "this image (or picture) reflecting outwardly
  the internal essence of the disease, i.e., of
  the suffering life force."
• It is the numerical aggregate plus the idea
  or plan which unites them in a special
  manner to give them its characteristic


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      Boenninghausen’s concept of
                totality
•   1) Quis - Personality, the individuality.
•   2) Quid - Disease, its nature and peculiarity
•   3) Ubi - Seat of the disease
•   4) Quibus auxilis – Accompanying symptoms
•   5) Cur - Cause of the disease.
•   6) Quomodo – Modification, agg and amel.
•   7) Quando – Time.


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      Boger’s concept of totality
•   Imp. pathological general
•   Imp. constitution
•   Imp. causation and time modality
•   Imp. to concomitants
•   Least imp. to mental symptoms.




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    Kent’s concept of totality
• GENERALS – MENTAL, PHYSICAL

• PARTICULARS-pqrs, mod, unqualified

• COMMON




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                Repertory
Starts with broad choice of a group of
  remedies




Gradually narrows down  small group of
 remedies
    Final Similimum  Materia Medica
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 Comparison and differentiation
    Materia Medica                       Repertory
1. Vast - difficult to            1. Ease the task of
   memorize for the                  similimum, final
   beginners                         remedy from Materia
                                     medica


2. Sometimes striking             2. Referring to
   symptoms can’t be                 repertory you get the
   remembered                        remedy

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 Materia Medica                        Repertory
3. Remedies having           3. Get many remedies
  similar key-note           E.g. Burning – Phos,
  symptoms - few can           Ars, Sulph
  be remembered

4. Acute case- sector        4. Helpful in such cases
  symptoms, e.g.               – Regional
  Diarrheal complaints
                                 Repertories

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Materia Medica                   Repertory

5. Various books – written       5. All the information can be
   by our stalwarts                 found in one place
6. Intensity of symptoms is      6. Grading
   known- Grading
7. Concomitants are              7. Complete symptom is
   scattered                        found out easily – BBCR

8. Guidance- Relationship of     8. Relationship of remedies
   remedies-potency, doses          in tabular form
   & repetition



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 Materia Medica                         Repertory

9.Guidance in case            9. Knowledge of rubrics-
  taking                        formulate Questions
                                for case taking. E.g..
                                Thirstless, desire to
                                drink

10. Get direct symptom        10. Selection of right
                                rubric among the
                                similar rubrics

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  Materia Medica                            Repertory
11. Interpretation of             11. Symptoms or rubrics are
  symptoms is not needed            interpreted- mistakes
12. Get knowledge of              12. Direct pathological or
  pathogenesis of medicine          clinical rubrics can be
                                    found. Eg. Diabetes,
                                    Tumors, Abscess
13. New additions to M.M.-        13. Hence can’t keep pace
  Clinical Experience               with latest M.M.


14.Nosodes are                    14. Nosodes not
  represented properly              represented properly


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REPERTORY IS AN ADVANTAGE TO
 THE STUDY OF MATERIA MEDICA
• Study of DRUG
• Comparative study between the 2 drugs &
  Group study
• Limitation of particular source book
• Confirmation of the symptoms
• Grading in Repertory – Intensity of symptoms in
  M.M.
• Constant use of Repertory – Physician efficient
• Computer – Speedy work

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             Study of DRUG

•   Choose any drug for study
•   Refer to a section of repertory
•   Note down the rubrics under the drug
•   Compare & study of rubrics from repertory
    & M.M.


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          Comparative study

• Convert symptoms from any one source
  book, one section to rubrics of repertory



              Repertorise

• Compare drugs having similar symptoms

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LYCOPODIUM MIND-Correlation of
rubrics from Kent’s Repertory with
  The Guiding Symptoms Of Our
          Materia Medica



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Conversion of symptoms to rubrics
• Unconsciousness            • UNCONCIOUSNESS
• Vanishing of thoughts      • THOUGHTS
                               VANISHING OF
• weak memory old            • MEMORY
  people very forgetful        ,WEAKNESS OF
• Uses wrong words for       • MISTAKES,WRONG
  correct ideas                WORDS USING
• makes mistakes in          • MISTAKES WRITING
  writing                      IN

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                              • MISTAKES SPELLING IN
• spells wrong

• mixes up letters and
                              • MISTAKE WRITING IN
  syllables or omits            OMITTING THE WORDS
  parts of the words

• Makes mistakes in
                              • MISTAKES,SPEAKING IN
  speaking-Cannot get
  right words



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• Thoughts confused,        • CONFUSION OF MIND
  unable to find them,
  difficult to find fitting
  words
• Slow of comprehension • DULLNESS ,
                                 SLUGGISHNESS,
                                 DIFFICULTY OF
                                 THINKING AND
                                 COMPREHENSION
• Dullness to imbecility       • IMBECILITY
• Fancies and delirium         • FANCIES , VIVID

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• Desires to be carried           • CARRIED DESIRE TO
                                    BE
• Taciturnity
                                  • TALK INDISPOSITION
                                    TO
• desires to be alone
                                  • COMPANY AVERSION
                                    TO
• Dread of men                    • FEAR, MEN OF
• Irritability                    • ANGER,IRRASCIBILITY
• Weeps all day                   • WEEPING TEARFUL
                                    MOOD
• Sensitive even cried            • WEEPING , THANKED
  when thanked                      WHEN




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• Her answers are quick,        • ANSWERS HASTILY

• Impervious,                   • HAUGHTY
• Speaks with air of            • DICTATORIAL
  command
• strikes her attendants        • ANGER VIOLENT
  and grows angry
• Scolds much and               • QUARRELSOME
  violently at imaginary
  persons
                                • WEEPING
• Laughs and cries                ALTERNATES WITH
  alternately                     LAUGHTER

• Excessive merry laughs        • LAUGH, TRIFLES
  at simplest things
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• Melancholic and low spirit • DESPAIR
                              • SADNESS
• Melancholy
• Apprehensiveness            • ANXIETY, FEAR
• Easily frightened and startles
  up, feels frightened at every
  thing                       • FRIGHTENED EASILY
• Anxious thoughts as if about
  to die for which she prepares ANXIETY,DEATH
                              •
  farewell messages

• Indiffernt                   • INDIFFERENCE,
                                 APATHY

• Insensibility to external          • INDIFFERENCE ,
  impressions-                         EXTERNAL THINGS TO
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• Want of self confidence            • CONFIDENCE , WANT
                                       OF SELF
•   morose before menses             • MOROSE, MENSES
                                       BEFORE
• Discontented                       • DISCONTENTED
• Distrustful, suspicious            • SUSPICIOUS
• Fault finding                      • CENSORIOUS
                                       CRITICAL–

• Haughty
                                     • HAUGHTY
• reproachful
                                     • REPROACHES OTHERS
• Greedy , avaricious
                                     • AVARICE


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                          • AILMENTS FROM
• a/f fright,
                            FRIGHT
• Anger, mortification or • MORTIFICATION,
  vexation with             AILMENTS FROM &
  reserved displeasure      AILMENTS AFTER
                                ANGER VEXATION
•   Malicious               •   MALICIOUS
•   Discontented            •   DISCONTENTED
•   Anthropophobia          •   FEAR OF PEOPLE
•   Fear of phantoms        •   FEAR, GHOSTS OF
•   Amativeness             •   LASCIVIOUSNESS

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                                 • IMPATIENCE
• Impatience
                                 • CONTRADICTION
• Cannot endure slightest
                                   INTOLERANCE OF
  opposition
                                 • TIMIDITY
• Timidity
                                 • FEAR , DEATH OF
• Fear of death
                                 • STARTLING, NOISE
• Easily frightened, even by
                                   FROM
  ringing of bell
• Fear of phantom in the
  evening                        • FEAR ,GHOST EVENING


• Excessively merry              • CHEERFUL


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•   Total rubrics-51            •   Puls-31
•   Lyco-50                     •   Ign-34
•   Sulp-38                     •   Sepia-31
•   Nux v-39                    •   Calc c-29
•   Nat mur-34
•   Lach-36
•   Ars-31




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                 conclusion
•   Study of drug
•   Comparative study of two similar drugs
•   Limitation of particular source book
•   Learning of repertorial rubrics-meanings




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Study of drugs from same group
• 2 drugs from the same group

• Take rubrics covered by both the drugs
  from one repertory

• compare


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         Comparative study
• Anxiety: 1:Cina 2:Cham
• Anxiety: Night: 1:Cina 2:Cham 2
• Capriciousness: 3:Cina 3:Cham 2
• Carried, desires to be: 2:Cina 3:Cham
•  Complaining (see lamenting): 2:Cina
  2:Cham
• Confusion of mind (see concentration):
  1:Cina 1:Cham
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• Confusion of mind (see concentration):
  Morning: Rising: On: 1:Cina 1:Cham
• Delirium: 2:Cina 2:Cham
• Delirium: Sleep: During: 1:Cina 1:Cham
• Delusions, imaginations, hallucinations,
  illusion: Animals, of: 1:Cina 1:Cham
• Delusions, imaginations, hallucinations,
  illusion: Fancy illusions, of: 2:Cina 1:Cham
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• Discontented, displeased, dissatisfied etc.:
  2:Cina 2:Cham
• Exertion: Agg from mental: 1:Cina 1:Cham
• Gestures, makes: Hands: Grasping or reaching
  : At something: 1:Cina 2:Cham
• Gestures, makes: Picks at bedclothes: 2:Cina
  1:Cham
• Indifference, apathy etc.: 1:Cina 2:Cham
• Irresolution: 1:Cina 1:Cham
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• Irritability (see anger): Children, in: 3:Cina
  3:Cham
• Irritability (see anger): 2:Cina 3:Cham
• Irritability (see anger): Dentition, during: 1:Cina
  1:Cham
• Irritability (see anger): Menses: During: 1:Cina
  2:Cham
• Lamenting, bemoaning, wailing etc. (compare
  weeping): 2:Cina 2:Cham
• Lamenting, bemoaning, wailing etc. (compare
  weeping): Asleep, while: 2:Cina 2:Cham

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• Looked at, cannot bear to be: 2:Cina
  2:Cham
• Moaning, groaning (see lamenting): 2:Cina
  2:Cham
• Obstinate: 2:Cina 3:Cham
• Offended, easily (see sensitive): 2:Cina
  1:Cham
• Rage, fury (see insanity, mania, delirium):
  1:Cina 1:Cham
• Religious affections (see anxiety, despair,
  fear: 1:Cina 2:Cham
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• Remorse: 1:Cina 1:Cham
• Restlessness, nervousness: 2:Cina 2:Cham
• Restlessness, nervousness: Night: 1:Cina
  2:Cham
• Restlessness, nervousness: Bed: Wants to go
  from one bed to another: 1:Cina 1:Cham
• Restlessness, nervousness: Bed: Tossing about
  in: 2:Cina 2:Cham
• Restlessness, nervousness: Children: Relieved
  by being carried about: 1:Cina 2:Cham

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• Restlessness, nervousness: Heat: During
  the: 1:Cina 2:Cham
• Rocking amel: 1:Cina 1:Cham
• Sadness, mental depression: 1:Cina
  3:Cham
• Sensitive, oversensitive (see offended):
  1:Cina 2:Cham
• Serious (see sad): 2:Cina 1:Cham
• Shrieking: 2:Cina 2:Cham
• Shrieking: Children, in: 2:Cina 2:Cham
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• Shrieking: Sleep, during: 2:Cina 2:Cham
• Shrieking: Waking, on: 2:Cina 2:Cham
• Speech: Wandering: 1:Cina 1:Cham
• Striking: Children, in: 3:Cina 3:Cham
• Stupefaction: 1:Cina 1:Cham
• Talk: Indisposed to, desire to be silent, taciturn:
  1:Cina 1:Cham
• Throws things: Away: 2:Cina 1:Cham
• Touched, aversion to being: 2:Cina 3:Cham

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• Unconsciousness: 2:Cina 2:Cham
• Weeping, tearful mood, etc.: 2:Cina 2:Cham
• Weeping, tearful mood, etc.: Night: 2:Cina
  1:Cham
• Weeping, tearful mood, etc.: Carried: Is quiet
  only when carried: 1:Cina 3:Cham
• Weeping, tearful mood, etc.: Coughing: During:
  2:Cina 1:Cham
• Weeping, tearful mood, etc.: Sleep: In: 1:Cina
  3:Cham
• Weeping, tearful mood, etc.: Stool: During:
  1:Cina 2:Cham

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    Confirmation of symptoms in
           source books
• Repertorisation of symptoms of a case
• Confirmation of the same symptoms in
  source books




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Thank you


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• Name -Xyz
• Age-39
• Sex-Male
• Date of casetaking:25/3/08
• Complaints in patients own words:
• Patient c/o nasal congestion since ten days,
  difficulty in breathing with obstruction of nose.
  Obstruction is more at night. A/F eating grapes,
  bananas and curds, complaints come on by
  change in climate. Nasal discharge which is
  aggravated in evening. Stringy, short threads,
  sticky thick, dark yellow. Occasionally sneezing.
  No cough, no h/o fever. Thirst increased.
• Pt c/o recurrent cold since many years.
  Complaints are more in winter, draft of air lying
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• down,>open air. There is dullness with the
  complaints.
• Pt c/o fullness in the abdomen which is more
  after eating lunch and dinner, lasting for one
  hour. Discomfort in abdomen >hard pressure
  since 3-4 months. Eructations present. Stool is
  semisolid and sticky.
• Hypertension since 4 months. Since 10 years
  swelling in ankle joint medial aspect, more after
  walking on uneven road. Stiffness in ankle on
  getting up in the morning. Cannot bear weight of
  the body
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•   P/H: Tonsillectomy at the age of fourteen years.
•   Jaundice in childhood. H/o incomplete urination
•   F/H: Mo –Diabetes mellitus, Hysterectomy
•   Patient is moderately built, hair-greying
•   App-good
•   Thirst-1 ½ litres per day.1 glass at a time.
•   Aggravation: Sour food <cold
•   Elimination: stool semisolid satisfactory.
•   Perspiration chest staining yellow.
•   Urine-3-4 times/day, pale yellow
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• Covers only nose
• Bathing: warm water throughout
• Fan: summer
• Ambithermal
• Life space: Patient stays with wife, daughter and mother.
  Patient is a teacher in higher secondary school.
• Childhood: I was very stubborn. My decision was final. I
  didn’t listen to anyone. If anyone didn’t listen to me i.e. if
  not play with me I would say that he will hit them. I was
  more interested in scientific side. I used to open bicycle
  and refit them.

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• wanted to know what is there inside and how it works. I
  had very few friends.

•  Friend circle: My decision was final. If they don’t listen to
  me I would leave them.
• Adulthood: I wanted to do diploma in mechanical
  engineering but could not do because of financial
  condition. I did MSc; Bed.I had no interest in studies. I do
  not like to sit in one place. I started working as a teacher
  because I had to work only for eight hours, rest of the
  time I could give for family. I don’t like to spend money
  on useless things, like going here and there.Pt says that
  I get angry very easily. Even if my daughter forgets her
  sharpener, I scold her. I don’t like irresponsible
  behaviour. I like the things to be done well in advance .I
  completes my portion as early as possible. I don’t care
  about anyone, if someone is wrong I give them directly.

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• I hate people who only preach and don’t
  practice. i.e. Higher secondary principal does
  not take any lecture; if I don’t take a lecture due
  to college work he scolds me. I back answer
  him. I want to be independent I don’t want any
  boss. I want to take voluntary retirement and
  start my independent business. I do not like to
  ask anyone for anything. Why should I beg?
  Asking is begging.
• Sleep: Due to nose block
• Dreams: N.S

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• Physical examination:
• P: 74beats/min
• R.R:18breaths/min
• B.P.:130/90 mm of Hg.
• Nose: Right sided DNS
• Tongue coated white in centre with Central
  fissure.
• Throat-no congestion
• Sinuses-tenderness in maxillary sinus


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•   Systemic examination
•   RS-NAD
•   CVS-NAD
•   GIT-NAD
•   GUT-NAD
•   CNS-NAD
•   Diagnosis-Sinusitis
              DNS
              Hypertension
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                 Obstinate
                 Dictatorial
• Childhood: I was very stubborn. My
  decision was final. I didn’t listen to anyone.
  If anyone didn’t listen to me i.e. if not play
  with me I would say that he will hit them
  Friend circle: My decision was final. If they
  don’t listen to me I would leave them.



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        Censorious &Critical
• hate people who only preach and don’t
  practice.i.e. Higher secondary principal
  does not take any lecture; if I don’t take a
  lecture due to college work he scolds me. I
  back answer him




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                 inquisitive
• I was more interested in scientific side. I
  used to open bicycle and refit them.
  wanted to know what is there inside and
  how it works. I had very few friends.
            Anger easily,irritable
• I get angry very easily. Even if my
  daughter forgets her sharpener,


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• Aggravation: Sour food <cold Perspiration
  chest staining yellow in winter, draft of air




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