Comparison Aphorism 4 5 & 6




The 4th, 5th, and 6th editions of Organon represent the event of Homeopathy over a critical fourteen-year period during which Hahnemann perfected his healing art. it is vital to review the historical progression of Homeopathy to understand the methods of the 6th Organon.
Some of the foremost important passages affect administering the first dose and following the case to cure. The 4th Organon (1829) and thus the first Chronic Diseases (1828) established the tactic that the bulk contemporary homeopaths still use.
It was a remarkable moment in homeopathic history as Hahnemann introduced the vital force , chronic miasms, very small doses and thus the 30C potency.
In these works, the Founder suggests the use of 1 unit dose of 1 flavorer size pill, olfaction and thus the first liquid solution of the 30C potency. This method is known as the sole dose, wait and watch philosophy.


Organon of medicine , 5th & 6th Edition

S. Hahnemann

(Dudgeon & Boericke Editions),

Appendix,

4th Organon, Aphorism 242, page 212
The first single unit dose of a homeopathic remedy could also be a test to determine if the remedy, dose and potency are appropriate for the patient. If there is a strikingly progressive improvement from the sole test dose the remedy should not be repeated.
Sometimes the sole dose performs a whole cure. More commonly there'll come a time when the action of the remedy slows down and a relapse of symptoms appears. At now , a second dose of the remedy is indicated.
The repetition of the dry dose is simply allowed when there is a particular relapse of the symptoms. This warning was introduced to prevent the relapse of the symptoms that always accompanies the premature repetition of the dry pellets.
In the 5th Organon of Medicine ( published in 1833) our master Dr S. Hahnemann almost revised his system of administering the 'Centesimal' potency remedies. In aphorisms 286, 287 and 288, he introduces a replacement delivery system, the medicinal solution. Dr Samuel Hahnemann also emphasized the effectiveness of olfaction for similar purposes. With these improved delivery systems comes a replacement case management procedure.
Every new dose of any medicine whatsoever, even of the one last administered, that has hitherto shown itself to be salutary would during this case disturb the work of amelioration."

Organon of medicine , 5th & 6th Edition

S. Hahnemann

(Dudgeon & Boericke Editions)

5th Organon, Aphorism 245.

Whenever there is a dramatic increasing response to the first dose of a homoeopathic remedy it is best to travel away tolerably alone!
In the 1820s our master Dr S. Hahnemann had no special strategy for the cure in these slow or moderately improving cases. For this reason, the Founder began to experiment with the medicinal solution and olfaction and repeating the dose to reduce the time it takes to cure.
"On the other side, the slowly result in amelioration consequent on a very minute dose, whose selection has been accurately homeopathic, when it's met with no hindrance to the duration of its action, sometimes accomplishes all the good the remedy in question is capable from its nature of performing during a given case, in periods of forty, fifty or 100 days.
This is, however, but rarely the case; and besides, it must be a matter of great importance to the physician also on the patient that were it possible, this era should be diminished to one-half, one-quarter, and even still less, so as that how more rapid cure might be obtained. 
Organon of medicine , 5th & 6th Edition

S. Hahnemann

(Dudgeon & Boericke Editions)

5th Organon, Aphorism 246.
A strikingly progressive increasing amelioration is that absolutely the best response to a homeopathic remedy. What can we do with slow moving cases?
In the footnote to this aphorism, one could repeat the dose at suitable intervals in slow moving cases rather than expecting a whole relapse of symptoms. Hahnemann called his new posology the "middle path" because it stands half way between the sole doses wait and watch method and thus the mechanical repetition of the medicines.
In the footnote to aphorism 246 Dr Samuel Hahnemann suggested, a 30c potency should not be repeatedly use than every seven days in robust patients and every nine, twelve to 14 days in those more weak and excitable. For repeatedly use he later developing his new posology system long before he discovered the LM potency.
Aphorism 246 of the 6th Organon
In aphorism 246 of the 6th edition is based on a synthesis of the ideas introduced in aphorisms 245 and 246 of the 5th edition with the addition of 5 new conditions to speeding the cure. It represents the entire 6th Organon method during a nutshell.
In the first article says when one dose of the LM potency produces a strikingly progressive improvement within the patient's symptoms.

"In the treatment, per keenfull progressing and conspicuously increasing improvement could also be a state which, as long because it persists, generally excludes any repetition of the drugs getting used because all the good being produced by the drugs remains hastening towards completion. this is often often not seldom the case in acute diseases."

Organon of the Medical Art

S. Hahnemann (O'Reilly 6th Edition)

Aphorism 246.

If one dose of the LM potency produces a progressively increasing amelioration, there remedy should not be repeated. That means it is often actually because the similimum is already toward cure at the fastest possible rate.
A strikingly increasing amelioration is one during which the patient feels better day by day because the symptoms are rapidly reduced and thus the vitality increases. So the repetition of the LM potency under this like condition can aggravations and relapse of the symptoms or just obstacle to cure.
Single dose cures are more common in acute diseases but there are also chronic patients that only need one dose or very infrequent repetitions. For the above reasons, I usually give my patients one test dose of the chosen remedy at the start of the treatment.
On rare occasions, provides a patient a series of three test doses with the instructions to stop the remedy immediately if there's any aggravation or striking amelioration. I only use this triple-split dose on those patients that appear hyposensitive once they can't return for a quick follow up assessment.
"In the other side, the chronic diseases, there are, to form certain , some cases that have slow, continuous improvement supported one dose of an aptly selected homeopathic medicine (taking 40, 50, 60, 100 days to end the cure, relying on the character of the medicine) but this is often often very seldom the case.
Also, it must be a matter of great importance, to the physician also on the patient, to foreshorten this era , if possible, by half, three-quarters, indeed even more, so as that a way more rapid cure might be attained.
The most recent and frequently repeated experiences have taught me that such rapid cures are often favorably administered under the next conditions:"
Organon of the Medical Art

Hahnemann (O'Reilly 6th Edition)

Aphorism 246.
Most of the physicians fail to note that Hahnemann makes a grand differentiation between two fundamental kinds of remedy reactions. In the aphorism 246 the Founder describes the reaction as a "noticeably progressing and conspicuously increasing improvement".
This may be a strikingly progressive increasing amelioration may be a reaction that's enhanced day by day. Under such conditions the repetition of the LM potency is usually "excluded" because the first single dose is already moving the patient toward cure at the fasted possible rate. In the 2nd section of aphorism 246 the Founder Dr Hahnemann uses the words "slow, continuous improvement".
There is an enormous difference between a rapid improvement where the patient feels much better each day and a slow improvement where the patient barely notices any changes! it's only in these slow moving cases that aphorism 246 permits the repetition the LM potency at suitable intervals to hurry the cure.


Part 2: When Necessary !

When repeating the dose to hurry the cure relate only to those cases that demonstrate only a slow amelioration which can take 50, 60 or 100 days to means any significant improvement. This condition all the next statements made about the use of daily and alternate day doses in aphorism 248.
If the patient feels better on one dose or infrequent repetitions more rapid repetitions, there need not to apply.
So need to apply in infrequent doses which is written in  footnote to aphorism 246. Every case must be individualized and thus the repetition adjusted accordingly.
In this footnote the Founder explains variety of the changes he made within the 6th Organon and when the daily dose is applicable.
However, during the last four to five years, all such difficulties are fully lifted through the modifications I even have made since then, resulting in my new, perfected procedure [for fiftly-millesimal potency medicines].
The same well-chosen medicine can now tend daily, even for months when necessary. [italic by DL]
In the treatment of chronic diseases, after the lowest degree of potency has been spent (in one or two weeks) one proceeds within an equivalent because of higher degrees of potency (for within the new [fifty-millesimal] manner of dynamization, use begins with the lowest degrees, as is taught within the subsequent paragraphs)."
Organon of the Medical Art

S. Hahnemann (O'Reilly 6th Edition)

footnote, Aphorism 246.

In the footnote to aphorism 246 Hahnemann suggests that a well chosen remedy (not a poorly chosen one) could even be given daily when necessary in slow improving cases. When repetition of the remedy isn't necessary the LM potency will cause strong aggravations, unproductive accessory symptoms, and hamper the cure.
Unneeded repetition can make a patient more hypersensitive or make them non reactive because of over exposure.
Hahnemann's new posology method spans the sole unit dose in striking responses and thus the repetition of remedies at suitable intervals to hurry the cure in slower moving cases when necessary. during this manner , the posology strategy are often tailored to a superb kind of patients and conditions.


After shorting out the details by Boenninghausen, about how Hahnemann administered his medicines in his last years from Dr. Croserio, an thorough colleague of the Founder. The Lesser Writings, which was written by Boenninghausen, Croserio said that Hahnemann would reduce the dose or stop the repetition of his remedies as soon as he observed definite medicinal reactions.
He also noted that Hahnemann often gave one dose of olfaction with placebo and typically didn't repeat the dose for a minimum of 1 week.
Hahnemann didn't mechanically gave the LM potency daily for weeks, months and years on end! it had been more common for him to use a series of doses followed by, or interspersed with, series of placebos.
In his later years he sometimes gave a LM potency and placebo at the same time but he didn't write the schedules. this means that variety of the prescriptions could be one dose et al. could be the interpolation of placebo with the drugs at various intervals.
Glossary terms
Dynamis - life energy, vital force 
Potentized - It refers to a substance prepared according to homeopathic pharmacy
standards. this means that it's skilled serial dilution and succussion
Remedy - medicine, as in homeopathic remedy
Succussion - the tactic of forcefully striking a homeopathic remedy against a firm surface
Vital force - the energy that maintains life within the individual (see Organon aphorisms 9-12)

Part 3: Speeding the Cure

Simple acute diseases are often removed by one dose of the C or LM potency. This phenomena, however, isn't as common in future chronic diseases. repeatedly , one dose only produces a slow or moderate improvement that make take 50, 60 or 100 days to provide any signification improvement within the state of health.
This is a very difficult situation for the 4th Organon homeopath because they can not intervene to hurry the cure. they have to attend until there is a transparent relapse of the symptoms before a second dry dose are often given.
Hahnemann found this aspect of his homeopathic posology very frustrating and worked for several years to hunt out a more efficient method.
This is a handout well worth testing in clinical trials. This goal can only be attained when all five following conditions are met fully .
Vide the secondary a neighborhood of aphorism 246 in five parts.
"1. Select with all circumspection, the aptly homeopathic medicine."

Organon of the Medical Art

S. Hahnemann (O'Reilly 6th Edition)

Aphorism 246.

The first condition for speeding the cure is that the choice of a true similimum. A preliminary testing phase allows the homoeopath to verify the suitability of the remedy, potency, and thus the dimensions of the dose. A remedy may only be repeated to hurry the cure if the drugs could also be an honest similimum.
If the remedy is wrong it's getting to cause a dissimilar aggravation and new symptoms. If such a medicine is given at rapid intervals for too long it's getting to damage the vital force of the patient.
If the prescription is of questionable value it doesn't pass the first of Hahnemann's conditions.
Such things won't be witnessed by people who mechanically repeat the LM potency because they spoil their cases by over medication.
The witness of many cases needed very infrequent repetitions of the LM potency. Hence one single dose of Ferrum 0/1 removed the symptoms of severe arthritis for many years. When there was a relapse of a few of of the symptoms the sole dose was given again.
The more perfect the similimum, the potency, and thus the adjustments of the medicinal solution, the more chance it's of producing progressively increasing amelioration over a extended period of some time .
When there is a marked, progressive amelioration of the symptoms on the sole test dose, i do not repeat the remedy. I very carefully observe the quantity of days that this increasing amelioration lasts.
This offers the homeopath insights into the duration of the remedy and divulges what an appropriate interval might be for the patient.
If the striking response lasts forever one doesn't need to repeat the remedy at all!
If the markedly progressive improvement lasts for 1, 2, 3, 4, 5, or 6 days, the remedy is simply given every 1, 2, 3, 4, 5, or 6 days respectively. If the increasing amelioration lasts 1, 2, or 3 weeks, the remedy could even be repeated every 1, 2, or 3 weeks.
If the increasing amelioration lasts 1, 2, or 3 months, the remedy could even be repeated every 1, 2, or 3 months.
Organon of the Medical Art

S. Hahnemann (O'Reilly 6th Edition)

Aphorism 246.

In the O'Reilly edition the author put in brackets "[fifty-millesimal]" but it isn't within the first German publication. The Paris casebooks show that from 1840 to 1843 Hahnemann was using both the C and LM potency during an identical manner.


What he wrote in aphorism 246 also applies to the C potencies. Contrary to what some modern commentators believe, Hahnemann frequently used the 200c and had tested the 1M potency. He continued to use the C potency in conjunction with of the LM potency for his last three years.
The second condition for speeding the cure is that the utilization of a highly potentized remedy only in medicinal solution or by olfaction. The change from the static dry dose to the dynamic liquid solution is that the inspiration of Hahnemann's advanced method.
The remedy solution isn't only more flexible than the dry dose but also more powerful.
"3. Administer a properly small dose of this to the patient."

Organon of the Medical Art

S. Hahnemann (O'Reilly 6th Edition)

Aphorism 246.

The third condition is that the remedy must tend during a properly small dose. that's why Hahnemann only used 1 or 2 favorer size pills during a minimum of a 7 tablespoons solution.
This aphorism shows that the potency factor and thus the dimensions of the dose are two different aspects of homeopathic posology. There are many who still believe that the small dose refers to the immaterial amount of the primary substance found within the homoeopathic potency. They still following Kent's mistaken concept the size of the dose doesn't matter.
This is a grand mistake that leads to many aggravations and makes it very hard to repeat the remedy to hurry the cure.
The size of the dose includes three factors; the quantity of pills used to make a medicinal solution; the quantity of teaspoons taken from the medicinal solution and placed within the dilution glass; and thus the amount of teaspoonfuls given to the patient because the dose.
In all three aspects of preparing the drugs , the size of the dose should be kept at a minimum. the tiniest dose produces the foremost gentle primary action and an extended enduring secondary curative action.

Organon of the Medical Art

S. Hahnemann (O'Reilly 6th Edition)

Aphorism 246.

This statement is more important than the examples that talk about using the daily and alternate day dose in slow moving cases.
One must use one's clinical experience to hunt out out what are the foremost appropriate intervals between doses for each and every patient. When the first test dose produces little or no improvement then the time has come to see a series of split-doses. I call this a test series.
This judgment is based on the sensitivity of patient, the character and stage of the diseases state, and thus the condition of their vital force and vitality. the foremost common intervals for people who need rapidly repeated doses of the 0/1 potency are the alternate day, every third day, every forth day, etc.
The use of the daily dose is sort of rare. If the patient begins to reinforce on the test series then the remedy could even be continued at these suitable intervals to hurry the cure.
As the patient improves I hamper the intervals between doses to prevent aggravation within the center of treatment. this permits the homoeopath to personalize the remedy schedule to the reaction of the patient avoiding the use of mechanistic prescriptions which can prove negative within the top of the day .
The fifth aspect of the whole dose is that the succussions of the remedy solution just before the ingestion of the drugs . this is often often the fifth condition for speeding the cure.
"5. before each administration of a dose of the solution , alter the degree of potency of the dose. it is vital that the degree of potency of each dose deviate somewhat from the previous and subsequent ones.
This is so as that the life principle , whose tenement is to be altered thereto of the similar medicinal disease, may never feel itself agitated to adverse counter-actions .
Organon of the Medical Art

S. Hahnemann (O'Reilly 6th Edition)

Aphorism 246.
The succussion of the medicinal solution just before administration changes the potency slightly so as that the vital force never receives the precise same potency twice in succession.
It helps to prevent the relapse of symptoms that appears from the repetition of dry dose before signs of a full relapse. The medicinal solution of the C and LM potency may only be repeated to hurry the cure when all five of Hahnemann's conditions are met fully .
This is the key of success.


Part 4: Administering the Remedy

In the second a neighborhood of aphorism 248, Hahnemann offers some samples of the thanks to apply the medicinal solution in slow moving protracted cases.
In acute diseases, give the drugs every six, four, three or two hours. within the foremost urgent cases, give the drugs every hour or even more frequently.
In chronic diseases, every correctly chosen homeopathic medicine, even one whose action is of long duration, could even be repeated daily for months with ever-increasing success [when fifty-millesimal potencies are used]."
Organon of the Medical Art

S. Hahnemann (O'Reilly 6th Edition)

Aphorism 248.


In paragraph 248 our master says in protracted diseases (those that improve very slowly on one dose) the patient "may" receive the remedy daily. He doesn't say that the LM potency must be repeated daily in every case.
Some read this sentence without acknowledging that the primary an area of aphorism 246 says whenever there's strikingly progressive amelioration on one dose, or anytime during the treatment, the remedy shouldn't be repeated.
If one ignores of these conditioning factors, and only follows the above suggestions, they are going to over medicate many of their patients.
In the statements concerning the frequent repetitions in aphorism 248 relate only to those patients who are slowly improve on one dose or infrequent repetitions. In any case, the remedy must be stopped as soon as there's any aggravation, new symptoms, or a marked increasing amelioration.
I have not found one case within the Paris casebooks where Hahnemann gave a daily dose for months on end no end the remedy and interspersing placebos with equally long periods of observation.
Changes of Symptoms and thus the Second Prescription
One of the foremost satisfying experiences for a homeopath is when one remedy completes the cure of a chronic patient.
When a remedy could even be a far off partial similimum it'll remove a couple of of symptoms on the other hand produce new medicinal signs in other areas changing the natural symptom pattern. many that are inexperienced during this area think that these changes are new diseases or deeper layers coming to the surface.
If one isn't careful one should give more partial similimums until the natural symptom pattern is completely disrupted. One must be very careful when new symptoms appear to provide a way better remedy that's a more perfect similimum.
I can always tell how well I understand a case by what percentage remedies I even have given over a period of 1 or 2 years. If I even got to offer quite 1, 2, or 3 remedies for the chronic symptoms something is typically wrong with my approach.
There are exceptions to the present rule, but generally an honest remedy should act over long periods of a while in higher and better potencies without major changes of symptoms.
Every homoeopath must learn to acknowledge when it's time for a change of prescription. When the patient experiences new ailments and thus the remainder of the symptoms combat an altered pattern, the time has come to retake the case and provides a way better remedy.
The new medicine should be administered in only such repeated doses. Again, each dose of the answer should be modified with the right vigorous succussions so on somewhat alter and heighten its degree of potency."
Organon of the Medical Art

S. Hahnemann (O'Reilly 6th Edition)

Aphorism 248.
A definite change in symptoms could also be a symbol to retake the case and provides a replacement remedy. The new prescription should be started within the lowest degrees (LM 0/1-0/7) and thus the potency is raised during a serial fashion to the upper degrees.
It doesn't matter if the previous remedy reached an ultra high potency a touch just like the 0/20.
In the aphorism 171 our master write a note, that a replacement remedy is usually chosen by the remaining symptoms after the previous remedy has accomplished all it can.
"In chronic diseases that aren't venereal (therefore those most typically arising from psora) one often must employ several antipsoric remedies in succession to cause a cure, each to be homeopathically selected in accordance with the results of an examination of the group of symptoms that remain after the pervious means has completed its action."

Organon of the Medical Art

S. Hahnemann (O'Reilly 6th Edition)

Aphorism 171.

Sometimes certain symptoms remain or old symptoms appear that aren't compatible to this remedy. this is often often often a special situation than the looks of latest symptoms caused by new factors affecting the case or the utilization of partial similimums.
As long a remedy causes the old symptoms to scale back in number and decline in strength, one can rest assured that the case is progressing within the right direction.
Sometimes one remedy isn't sufficient to cure a protracted disorder , especially those supported layers and sophisticated miasms. Under these circumstances one must determine the right time to vary the remedy.
James Kent wrote:
When the demonstration is obvious that this remedy has done all it's capable of doing - and this demonstration can't be made until much higher potencies than usually made are tried - then the time is present for subsequent prescription.
To change to subsequent remedy becomes a ponderous problem, and what shall it be?"
Kent's Lesser Writings

J. T. Kent, The Second Prescription

page 418-419.

What should we do when there's a change of symptoms not suffering from a previous remedy? At now , the homoeopath should ask themselves subsequent questions.
What is the rationale for the change in symptoms?


Are they produced by a replacement exciting or fundamental causes?

Is the patient doing anything different which may be causing these new symptoms?


How can we all know the difference?

There are three major reasons for a change in symptoms, i.e., a man-made change caused by an inappropriate medicine, the looks of latest exciting and fundamental causes, and thus the arousal of deeper dissimilar layers of illness during the tactic of cure.
A wrong remedy or a partial similimum may artificially change the character of the symptom pattern. At now , the symptoms produced by the remedy and thus the remaining natural symptoms must be combined and a way better medicine prescribed. this might regularize the life force and move the case toward cure.
If the patient receives two, three or four inappropriate remedies during a row the natural symptom pattern could even be seriously altered.
For this reason, the only care must be applied to every and each prescription.
Sometimes, the patient comes in-tuned with new causes which may change the symptom pattern. Maybe the patient becomes infected with a chronic miasm (psora, sycosis, etc.) that they previously didn't suffer. There could even be a replacement befallen quite a physical or mental trauma that changes the character of the symptoms.
The nature of the new phenomena must be investigated, the case retaken, and a replacement remedy chosen.

The third reason for a change within the symptom pattern is that the looks of old dissimilar disease layers because the reversal of symptoms takes place under a curative treatment. These deeper layers may represent old unresolved disorders, suppressions, and thus the activation of latent states.
If the new symptoms are found within the pharmacology under an equivalent remedy, there's no got to change the prescription.
When these symptoms aren't almost a bit like the remedy under employment, the case must be retaken and a replacement similimum administered. so on grasp this process one must have some understanding of how layers and sophisticated disorders develop.


Part 5: the because of Complete a Cure

when the patient is feeling better and their vitality has returned.
This is a logo that the cure is nearly attained and thus the repetitions of the LM potency should be trapped or stopped.
So as that the remaining disease symptoms seem to be somewhat heightened) then this is often often often a logo that the medicinal disease, which is so almost a bit like the primary disease, is now audible most by itself.
Therefore, the doses must be reduced still more and repeated at longer intervals, or maybe entirely suspended for several days so on ascertain whether or not any longer medicine is required for recovery.
If no more medicine is required , these apparent symptoms (stemming merely from the overflow of the homeopathic medicine) will soon disappear by themselves, leaving unclouded health."
Organon of the Medical Art

S. Hahnemann (O'Reilly 6th Edition)
Aphorism 248.

There is a superb difference in an aggravation at the beginning of treatment when the patient is ill and weak and an aggravation at the highest of the treatment when the patient is healthy and powerful . The aggravation at the start of treatment is way more uncomfortable and dangerous because the patient remains sick.
The LM aggravation comes at the highest of treatment when the patient is healthier. this is often often a logo that the cure is nearing completion.
As one moves upward through the potencies (0/1 to 0/30) it's often knowing gradually hamper the repetition of the remedy so as that the patient isn't overmedicated. If the 0/1 was given daily, the 0/2 might be given every other day, and thus the 0/3 every third day, etc.
In this way, aggravations are often prevented within the start , middle and thus the top . If an aggravation is produced at the highest of the treatment it is a symbol that the patient won't need any more medicine. the thanks to complete the cure is discussed in additional detail in aphorism 280 and 281.
The aggravation at the highest of treatment should be light rather than heavy as seen with over medication during treatment. Most of the time there's only an increase of a few of general symptoms or a general malaise as if one goes to urge sick.
At now , the repetition of the remedy is stopped therefore the vital force can remove the remains of the medicinal disease and re tune to heath and full vitality. If this is often often not done the signs of over medication will get stronger and stronger.
The remedy should now be stopped to see if there's any more need for medicinal aid. The patient is left without medicine for eight, ten, or fifteen days so as that truth situation are often assessed. If the aggravation is simply because of remedial excess it'll disappear during a matter of a few of hours or days.


When there is no relapse of symptoms after the signs of aggravation cease, the patient is really well.
When there is a relapse of symptoms during the waiting period traces of the primary disease still remain. this is often often a logo that the remedy should be continued until there aren't any signs of the primary disease.
At now , the homoeopath must lookout to not overmedicate the patient by giving overly rapid repetitions.

Part 6: The 7th Organon
Our master Dr Samuel Hahnemann only used the LM potency for 3 years.
I am not qualified to write down down the 7th Organon but over the last 18 years I even have gathered an outsized volume of clinical experience. it'd appear from my studies, and other people of my colleagues, that today's patients are more sensitive than Hahnemann's patients in Germany within the 1840s. For this reason, I even have made certain adjustments to the way during which I practice and teach the use of the LM potency.

First of all i'd wish to mention that I, and my colleagues, haven't found it necessary to supply the daily dose fairly often , especially with well chosen remedies.

Even the alternate day dose isn't all that common, especially over a extended period of some time . the foremost common rapid repetitions are people that are given every 3 or 4 days.

The more sensitive the patient is that the less often they go to wish a dose of the remedy.

As Hahnemann said, it's most significant to use your own experience to figure out what's best for each and every patient.

Therefore, I even have suggested that the potential range of succussions should be between 1 and 12 relying on the sensitivity of the patient. a up to date hypersensitive patient can only tolerate between 1 to 3 succussions, and a moderately sensitive patient may only need 4 to 7.

We have found that succussions should not be overly hard or they'll "shake up the vital force". i wont to be once asked by an experienced homoeopath new the LM method why he was seeing a weird pattern of accessory symptoms during a number of his cases.


it has been our experience that 1 tablespoon is simply overlarge a dose from the remedy bottle for the very sensitive and moderately sensitive modern patient.

Therefore, we propose that the instruction within the aphorism take precedent over the instance within the footnote. We recommend 1 teaspoon because the typical start line for several patients, which this amount is increased to 2, 3, or even more teaspoons, if and when needed.

Some advice is given by our master in part 3 of aphorism 248, changing of the potency every 7-8 to 14-15 days. The Paris casebooks show that this suggestion wasn't a rigid rule because he often gave long periods of placebo and raised his potencies much more slowly.

It has been our experience that such rapid changes in potency aren't necessary or even beneficial in many cases. people who are very sensitive don't fancy such rapid changes of potency without aggravations, and in some cases, relapses.

We have found that a specific percentage of individuals do better if they're left on the same potency for a extended period of some time . This, however, isn't easy to tell beforehand .

Sometimes a change to a far better potency doesn't suit the patient and one possesses to return to the previous potency to correct the case. It seems that certain patients need to stay a selected potency for a extended period than Hahnemann suggested. another time , trial and error is that the best teacher.
Hering said in his preface to the American edition of the Chronic Diseases (1845) that it is vital for all folks to travel further within the practice of Homeopathy than Hahnemann and proper the errors of the past while remaining faithful our principles. during this spirit I even have done my best to share my a couple of years of experience with the LM potency.


For this reason, I even have made certain modifications to some suggestions given by the Founder while staying faithful the philosophy he introduced. I even have repeated some statements several times during this discourse because I feel that certain essential ideas must be repeated from sort of various vantage points.

he most vital maxims of homeopathic posology and case management are individualization and thus the words "if and when necessary". For the sake of easy reference ready to |i'll"> i will be able to be able to offer a fast review of my posology methods.

1. I begin my cases with one test dose (C or LM) of a well chosen remedy, potency, and dose adjustments. Under rare circumstances provides a brief series of three test doses at the foremost suitable intervals (daily, alternate day, every three days, every four days, etc.).

I only do this with relatively hyposensitive patients with stable vitality that live too distant on behalf of me to observe the case more closely within the start . In India most of the people do not have a phone.

2. When there is a strikingly progressive amelioration from one test dose, or a quick series of test doses, the remedy isn't repeated. this is often actually because there is no need to speed the cure. My colleagues which I even have witnessed many cases cured by one dose and infrequent repetitions.

A. Once the strikingly progressive amelioration slows down the remedy could even be repeated at similar intervals to continue the rapid cure.

3. When there's little or no amelioration or only a slow improvement in response to the sole test dose, or short series of test doses, the remedy is repeated at more rapid intervals.
These suitable intervals are (as Hahnemann said) what "experience has shown to be the foremost suitably appropriate for the only possible acceleration of the cure".

A. I judge the suitable intervals in accordance with the sensitivity of the patient, the character and stage of the disease state, the age of the patient, and thus the state of their vitality.
Those that seem slightly less hyposensitive may receive the remedy on alternate days. people that are slightly more sensitive may receive the remedy every three or four days, etc.
At now the patient is given a series of three to seven doses to determine if the sensitivity and disease condition has been judged correctly.
I tell the patient to stop the remedy immediately if there's any aggravation, new symptoms, or strikingly progressive amelioration.

B. If the chosen interval produces a satisfactory improvement the remedy is sustained at this rhythm to hurry the cure.
When the patient experiences an enormous improvement these intervals are slowed because the patient not needs the utmost amount medicinal stimulation.
In this way aggravations within the center of treatment are often avoided.

C. When the patient reaches the aim where they not show any symptoms, and thus the vitality has completely returned, the drugs is stopped to see the cure.
If there is no relapse of symptoms after waiting and expecting a cheap amount of some time they're cured. If variety of the symptoms return the remedy is again repeated at slightly longer intervals to end the cure.

D. If there's an aggravation toward the highest of treatment the drugs is stopped and a period of waiting and watching is begun.
If the symptoms pass off quickly, and thus the patient doesn't relapse, the cure is complete. When there is a return of symptoms the remedy is again administered but at slightly longer intervals so on stop any reoccurrence of the aggravation and complete the cure.
After completing this procedure the methods described in point 3C or point 3D are repeated if necessary.

There are more adjustments of the medicinal solution and potency which can be needed during the tactic of cure but this offers the essential methodology in relationship to the sole dose, infrequent repetitions and repeating the dose at more rapid intervals to hurry the cure.

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