Aphorisms 246-249 A single dose may often bring about striking improvement in acute cases. Doesn't this show a difference in the size of the dose? After using one potency for a week or two, advance should be made to subsequent potency in LM scale. The new posology maxim states that anytime the first dose produces a striking amelioration no more medicine is needed for the time being. Since most infants usually have imparted to them psora through the milk of the nurse, if they do not already possess it through heredity from the mother, they may be at the same time protected antipsorically by means of the milk of the nurse rendered medicinally in this manner. Repeat the same medicine in increasing dynamization as long as the patient continues to improve. The period of action of the power of a potentized medicine taken in by such inhalation and spread over so large a surface (as that of the nostrils and of the lungs) last as long as that of a small massive dose taken through the mouth and the fauces. According to Dr. N Hari Hara Iyer MD,(Hom) it was Dr. Elizebeth Wright who coined the term “ Plussing”; and she has mentioned about it in her book ‘ A Brief Study Course of Homoeopathy’; Chapter ‘Prescribing- Potency selection’. 1 The praise bestowed of late years by some few homoeopathists on the larger doses is owing to this, either that they chose low dynamizations of the medicines to be administered, as I myself used to do twenty years ago, from not knowing any better, or that the medicines selected were not perfectly homoeopathic. In a chronic case, the energy levels (vitality) of the patient should start increasing right from the start of the treatment. 200c in a dry dose did not react. 7. The more similar a remedy, the higher the potency, lesser the dose. Frequently it is useful in treating chronic diseases to take the medicine, or to rub it in in the evening, shortly before going to sleep, because we have then less disturbance to fear from without, than when it is done earlier. In continuation of our endeavor to bring to you the best of literature on homeopathic philosophy, we are presenting Hahnemann's Organon of Medicine, Sixth Edition, with Robin Murphy's Commentary on Easy Homeopathic Practice The book is illustrious in its own extent and is mostly discussing Hahnemann's 6th Edition, the last authority on Organon. Warts may require external application of the suitable medicine along with the internal administration. Anytime there is a "strikingly increasing amelioration" on a dose of a homoeopathic remedy there is no need for the repetition of the remedy. especially in complex disorders and chronic miasms. Pure experiment, careful observation, and accurate experience can alone determine this; and it were absurd to adduce the large doses of unsuitable (allopathic) medicines of the old system, which do not touch the diseased side of the organism homoeopathically, but only attack the parts unaffected by the disease, in opposition to what pure experience pronounces respecting the smallness of the doses required for homoeopathic cures. She never experienced aggravation again. A chronic China malady (coupled at the same time with the development of psora) is produced, which, if it does not gradually kill the patient by damaging the internal important vital organs, especially spleen and liver, will put him, nevertheless suffering for years in a sad state of health. For e.g.., a patient on Sulphur may need Hepar-sulph, Nux-vomica or Mercury in between. If the patient is oversensitive, he can just smell one such globule. I have often seen cases where there is a general improvement but a lesional or pathological complaint lingers on. This is an example of adjusting the dose by using more water in the original solution. And this may be very happily affected, as recent and oft-repeated observations have taught me under the following conditions: firstly, if the medicine selected with the utmost care was perfectly homoeopathic; secondly, if it is highly potentized, dissolved in water and given in proper small dose that experience has taught as the most suitable in definite intervals for the quickest accomplishment of the cure but with the precaution, that the degree of every dose deviate somewhat from the preceding and following in order that the vital principle which is to be altered to a similar medicinal disease be not aroused to untoward reactions and revolt as is always the case1 with unmodified and especially rapidly repeated doses. Shake well till pills dissolve. The only allowable exception for an immediate repetition of the same medicine is when the dose of a well-selected and in every way suitable and beneficial remedy has made some beginning toward an improvement, but its action ceases too quickly, its power is too soon exhausted, and the cure does not proceed any further. There is no specific rule for the selection of potency in homeopathy. The impotency vanished and he has remained cured to this very day. He begins his discourse on posology by clarifying the proper view of the single unit dose and when it is appropriate in treatment. After that, where necessary, I have continued the medicine in the subsequent potencies orderly, with very very satisfactory and sometimes with magical results. The succussions were kept the same. Give the client one test dose and wait and watch for a reasonable amount of time to see how they react to the remedy. 147 Aph. Medicinal solutions (not liquid potencies) work better in comparison to the dry dose because the medicine in liquid form comes in contact with a much greater number of nerves. (b) Identity of Psora and Tuberculosis. In aphorism 248 Hahnemann mentions giving "one or increasing more teaspoons" of the remedy when needed. In the aphorisms 245, 246 and 247 of the 5th Organon Hahnemann introduces what he calls the middle path concerning the methods of administrating homoeopathic remedies. Infants are given 1/4 teaspoon or less depending on age and the average child 1/2 teaspoon, The size of the dose can be gradually increased if more reaction is needed. The patient should avoid undue mental or physical excitement during the course of treatment. This is a great mistake as the repetition of the … About the selection of potency there are some guidelines, but they are not absolute: 1. The succussions were the same. The posology methods of the 5th and 6th Organon are placed on top of the strong foundation of the 4th Organon. But the most important one to mention with particular stress is that the every repetition will be marked by change in the degree potency. Aphorisms 270, 272, 275, 276, 281-286 § 276. - Editor, Homeopathy 4 Everyone (at X°) it is yet more expedient in such cases, instead of giving them in uninterrupted succession, to interpose after every, or every second or third dose, a dose of another medicine, which in this case is next in point of homoeopathic suitableness to sulphur (usually hep. For the same reason the effect of a homoeopathic dose of medicine increases, the greater the quantity of fluid in which it is dissolved when administered to the patient, although the actual amount of medicine it contains remains the same. But the increase of the dose itself is also prejudicial in the same degree as the remedy is more homoeopathic; and a strong dose of such a medicine would do more harm than the dose of all allopathic medicinal substance (which bears no analogy whatever to the disease) of equal strength; for, in that case, the homoeopathic aggravation (5 157-160)—that is to say, the artificial malady, which is very analogous to the natural one excited by the remedy in the most suffering parts of the organism—is carried to a height that is injurious (§ 246, note); whereas, if it had been confined within proper limits, it would have effected a gentle, prompt, and certain cure. There is no specific rule for the selection of potency in homeopathy. Hahnemann though that 10 or more strokes/succussions between each dilution raises the potency too much and he settled at two strokes between each dilution. For instance, while giving Sulphur, Hepar-sulph may be given in between. – 6th Edition of Organon of Medicine (1842) He will then, according as the disease is more or less acute, and more or less dangerous, give the patient every half hour, or every hour, every two, three, four, six hours (after again well shaking the bottle) a whole or a half tablespoonful of the solution, or, in the case of a child, even less. On the contrary, there are homoeopathists who, in their visits to the sick, carry about their persons the medicines in a fluid state, which, they nevertheless affirm, do not in time become increased in energy by the frequent agitation to which they are thus subjected. Thus an artificial disease rather more intense is substituted in the place of the natural one. The strength of a patient under an antipsoric treatment, even if it should be continued ever so long, ought continually to increase from the very commencement of the correct treatment even to the restoration of health and of the normal state. 279). This sixth edition incorporates the latest findings of Dr Hahnemann during his dying years and deemed to be the most perfect of all. The practitioner chooses the best dose of potency by using his previous experience. Give patient this solution as one dose or give half internally and apply half on skin. But through modification of every dose in its dynamiztion degree, as I herewith teach, there exists no offence, even if the doses be repeated more frequently, even if the medicine be ever so highly potentized with ever so many succussions. This is a related subject but does not really deal with changing the amount of the dose. 5 § 250. There is a commonly held belief in modern homoeopathy that the size of the dose makes no difference in the action of a homoeopathic remedy. No. With liquid solutions, the strength of the dose can be moderated to suit individual needs, by changing the amount of dilution and or number of succussions given. The homoeopathic physician allows the patient to hold the open mouth of the phial first in one nostril, and in the act of inspiration draw the air out of it into himself and then if he wished to give a stronger dose, smell in the same manner with the other nostril, more or less strongly, according to the strength it is intended the dose should be, he then corks up the phial and replaces it in his pocket case to prevent any misuse of it, and unless he wishes it he has no occasion for an apothecary’s assistance in his practice. 100 glob- ules are equivalent to 1 grain (i.e. If we give too strong a dose of a medicine which may have been even quite homoeopathically chosen for the morbid state before us, it must, notwithstanding the inherent beneficial character of its nature, prove injurious by its mere magnitude, and by the unnecessary, too strong impression which, by virtue of its homoeopathic similarity of action, it makes upon the vital force which it attacks and, through the vital force, upon those parts of the organism which are the most sensitive, and are already most affected by the natural disease. Broken links if any please report. No. Even our grand teacher of Constitutional Homoeopathy still had something to learn from The Elder Homoeopath. 2) Highest ideal of cure. I have had viscious provings by numpty headed practioners. If a remedy produces new symptoms during treatment, it cannot be considered the simillimum. This expanded the range of homoeopathic treatment. This may explain why in some cases a low potency cures after the failure of a high. Thanks a lot. He must avoid during this hour, as indeed throughout the treatment, all disagreeable excitement, nor should he strain his mind immediately after taking the dose, in any way, either by reading or computing, by writing, or by conversations requiring meditation. This appears to be the the first experiment of Hahnemann with the liquid solutions. For this reason, a medicine, even though it may be homoeopathically suited to the case of disease, does harm in every dose that is too large, the more harm the larger the dose, and by the magnitude of the dose and in strong doses’ it does more harm the greater its homoeopathicity and the higher the potency1 selected, and it does much more injury than any equally large dose of a medicine that is unhomoeopathic, and in no respect adapted to the morbid state (allopathic). The more accurate the selection of the medicine, the greater must be the care exercised not to injure the patient by prescribing potencies too low and doses too numerous. This mixture of natural and remedial symptoms confuses the picture and slows down the curative process. He discovered that each pellet contained a certain "quantum" of pure remedial energy at specific potency levels. 500 globules to be soaked in one drop of previous potency. These methods of adjusting the dose are one of the greatest gifts of the 5th Organon and the 1837 edition of The Chronic Diseases. On the occasion of the 266th birthday anniversary of the founder of Homoeopathy Dr. Samuel Hahnemann. This methods demand more artistry on the part of the homoeopath but with more knowledge comes more responsibility. Vide aphorism 242 of the 4th Organon. This also should be given in various potencies, if several doses should be needed from time to time. – Chronic Diseases (1828-1830) Slow down the repetition of the remedies as the client improves. This is the middle path. § 286. This larger dose acted where a smaller dose did not. Even the guidelines given in the 5th and 6th edition of Organon of medicine are very different. But this repetition should be permitted only when the preceding dose has largely exhausted its action (after six, eight or ten days), and the dose should be just as small as the preceding one, and be given in a different potency. Do not take anything for half an hour (at least) after taking the medicine. This is true of pregnant women thus treated; they have given birth to children usually more healthy and stronger, to the astonishment of everybody. The Master Homoeopath introduced several innovations which brought Homoeopathy closer to perfection. The production of these complications is the main reason why repeating remedies before the relapse of symptoms is counter indicated in the classical Homoeopathy of the 4th Organon. —– Page – 159 —– One or more such medicated pellets, and even those of a larger size may be in the smelling-bottle, and by allowing the patient to take longer or stronger whiffs, the dose may be increased a hundred fold as compared with the smallest first mentioned. The diminution of the dose essential for homoeopathic use, will also be promoted by diminishing its volume, so that, if, instead of a drop of a medicinal dilution, we take but quite a small part1 of such a drop for a dose, the object of diminishing the effect still further will be very effectually attained; and that this will be the case may be readily conceived for this reason, because with the smaller volume of the dose but few nerves of the living organism can be touched, whereby the power of the medicine is certainly also communicated to the whole organism, but it is a weaker power. The apparent symptoms (Schein – Symptome) caused by the excess of the homoeopathic medicine will soon disappear and leave undisturbed health in its wake. A similar medicine may need some intercurrents to get the best result. This sixth edition incorporates the latest findings of Dr Hahnemann during his dying years and deemed to be the most perfect of all. A preliminary testing phase allows the homoeopath to confirm the suitability of the remedy, potency, and the size of the dose. All diseases have an extraordinary tendency to undergo a change when operated upon by the influence of homogeneous medicinal agents. THIRD B.H.M.S. It would be better to conclude the work pointwise(regarding hom.posology) of Dr. Hahnemann. After many experiments Hahnemann settled on the 1/50,000 dilution ratio called the LM potency. part of alcohol water mixture. Under these conditions, the smallest doses of the best selected homoeopathic medicine may be repeated with the best, often with incredible results, at intervals of fourteen, twelve, ten, eight, seven days, and, where rapidity is requisite, in chronic diseases resembling cases of acute disease, at still shorter intervals, but in acute diseases at very much shorter periods – every twenty – four, twelve, eight, four hours, in the very acutest every hour, up to as often as every five minutes, – in every case in proportion to the more or less rapid course of the diseases and of the action of the medicine employed, as is more distinctly explained in the last note. Many people think that the LM potencies can be given in some mechanical manner daily or every other day as if they are some low potency. On the other hand, should there appear during almost daily repetition of the well indicated homoeopathic remedy, towards the end of the treatment of a chronic disease, so-called (§ 161) homoeopathic aggravations by which the balance of the morbid symptoms seem to again increase somewhat (the medicinal disease, similar to the original, now alone persistently manifests itself). The bottle is to be succussed just prior to ingestion in order to activate the remedy and slightly raise the potency. (c) Inductive logic. Hahnemann's claim that the new posology could speed the cure to 1/2 or 1/4 the time of the method of the 4th Organon must be put to the test by experienced classical homoeopaths. The minimal amount of water mentioned by Hahnemann is 7 tablespoons which is 3 1/2 oz. This is an example of changing from a dry dose to a liquid dose which shows there is a difference in the way you give the dose and its amount. Even a right remedy, given in too high a dose will harm the patient. Some use the LM potency but they do not understand how to apply the appropriate case management strategies contained in the 6th Organon and Paris casebooks in the clinic. If you prepare a solution of Nux vom (or any other medicine) in 100 ml, its strength will be half the strength of a dilution prepared in 10 ml. —– Page – 157 —– I have often seen a drop of the tincture of Nux vomica at the decillionth degree of dilution, produce exactly half the effect of another at the quintillionth degree, when I administered both one and the other to the same individual, and under the same circumstances. The medicine should be repeated in such manner till it stops working. The Hidden treasure of the last organon – P. Schmidt. The first condition for speeding the cure is the selection of a true simillimum. It underwent as many as six editions. This is not infrequently the case in acute diseases, but in more chronic diseases, on the other hand, a single dose of an appropriately selected homoeopathic remedy will at times complete even with but slowly progressive improvement and give the help which such a remedy in such a case can accomplish naturally within 40, 50, 60, 100 days. If I did not adjust the size of the dose in these cases the correct remedy might have been called into question. In such a case no further benefit can be had through medicine, but there may be in use a calming mesmeric stroke made from the crown of the head (on which both the extended hands should rest for about a minute) slowly down over the body, passing over the throat, shoulders, arms, hands, knees and legs down over the feet and toes. If the client is improving after the administration of the first dose of a remedy all repetitions of the dose are completely counter indicated. Each such prepared glass must be made fresh daily. Every medicine prescribed for a case of disease which, in the course of its action, produces new and troublesome symptoms not appertaining to the disease to be cured, is not capable of effecting real improvement,1 and cannot be considered as homoeopathically selected; it must, therefore, either, if the aggravation be considerable, be first partially neutralized as soon as possible by an antidote before giving the next remedy chosen more accurately according to similarity of action; or if the troublesome symptoms be not very violent, the next remedy must be given immediately, in order to take the place of the improperly selected one.2. V. Write short notes on: (a) Logical totality of symptoms. If you are very sure of your remedy selection but the patient does not react to your first dose, repeat the same medicine in the same dose again and you will most likely see a positive reaction, esp. The Organon of Medicine was written by Samuel Hahnemann in 1810. Hahnemann observed that premature repetition of the homoeopathic pellets often caused a relapse of the disorder as well as accessory symptoms of the remedy. Medorrhinum vol. This is one area where our two great teachers disagree. Every dose, no matter how minute, touches, on the contrary, many nerves. A dose of medicine may also have been suddenly counteracted and annihilated by a grave error in the regimen of the patient, when perhaps a dose of the former serviceable medicine might again be given with the modification mentioned above. This made the remedy act more gently on her constitution and made it repeatable without aggravation. His new potencies use a serial dilution system which begins with the LM 0/1 potency and progresses through 0/2, 0/3, 0/4, 0/5, 0/6, onward to 0/30. In chronic cases, the medicine may be repeated every other day or even daily in medicinal solution in ascending potency. - Asociate Professor, Organon & Homeopathic Philosophy, SKH Medical College, Jaipur A globule of which ten, twenty or one hundred weigh one grain, impregnated with the thirtieth potentized dilution, and then dried, retains for this purpose all its power undiminished for at least eighteen or twenty years (my experience extends this length of time), even though the phial be opened a thousand times during that period, if it be but protected from heat and the sun’s light. If some symptoms continue to linger, raise the potency. The best time to take an antipsoric medicine is in the morning in fasting state. The "wait and watch method" is the basis on which the careful repetition of remedies to speed the cure is placed. Hahnemann taught that potentization releases dynamic forces similar to electromagnetism which carry the inner medicinal energies of a substance. X° (also given at the rate of one dose per week) without the slightest external treatment besides frequent changes of linen and good regimen. 100 ml (7-8 tablespoons) water. When there is a striking response to the first dose there is nothing else to do for the moment. Introduction . 8. A remedy may only be repeated to speed … The professional's choice for homeopathic reading, with books on materia medica, case taking, repertorization, remedy selection, case management, provings and more. No. Posology – Dr Anindita Das (* It is inconceivable how allopathic physicians could think of curing chronic diseases through a continuance of exhausting and debilitating treatments, without being restrained by their lack of success from repeating continually their perverse treatment. destroys the weaker (the natural one). 1 Homeopathy Journal – It’s Free! Such conditions are universal in their proportions. If the solution is used up (in seven to fifteen days) it is necessary to add to the next solution of the same medicine if still indicated one or (though rarely) several pellets of a higher potency with which we continue so long as the patient experiences continued improvement without encountering one or another complaint that he never had before in his life.
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