How to judge the response to the first intake of your remedy? (and the consequent doses)

[VR VR]

I work for the most part with solutions and not with the dry dose. Having said that - one of the worst aggravations I've seen came from one dose of Causticum 6C in water. That means - 1 tiny grain of Causticum 6C in 20ml water+brandy, succussed, one drop in one cup of water, 1/2 tsp dose. Taken once only. The aggravation went on for almost a month - coffee made it slightly gentler, but did not antidote. The patient absolutely refused to take any other homeopathic remedy. As far as I could tell, after the aggravation an amelioration set in, including drop in blood sugar and drop in blood pressure which were high - but the patient left homeopathy, I doubt if she will ever come back!
She had a lot of deep, chronic, ongoing pathology. There was no way of knowing that she was sensitive - that wasn't the impression I got during the intake. But since then, I prefer to start those with deep pathology with an olfactory dose, and have found that some continue and do well on olfaction alone.
So it really is very individual, and although I think it is possible to work in a way that there are much less aggravations from medicinal solutions (watery doses) than from dry, it's certainly not, if you'll forgive the pun, watertight.
Regards,
Vera

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[Donna Earnest]

Hi Vera
Just out of curiosity, after the aggravation was reported did you try to add more water or less shakes and then redose, or perhaps add an additional dilution glass? I have found that when there is an aggravation, that is you simply add another dilution glass or lessen the shakes, this tends to take off the aggravation.
Donna
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[VR VR]

Hi Donna,
I have done that - both of the methods you describe - and in the rare instance of aggravation (for me, less than when I was giving dry dose) it helps. Or just give a dose in lower potency. The problem in this case was that the patient was so freaked out by the extent of the aggravation (and so was I...!) that she absolutely refused to take anything else homeopathic and I wasn't sure enough about the remedy or the situation to give another dose in different format.
Regards,
Vera

Donna Earnest wrote:
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[Medmidas Gmail]

Hi,
A V. V. small %, are oversensitive, they are good provers,
proving all symptoms listed in MM
Healthy Regards,
MM
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[Vera Resnick]

Thanks for your comments. I wouldn't say that 20ml is the same as taking dry - even if just because I have patients who have taken dry and 20ml and can attest to the difference. In addition, repetitions through 20ml succussed don't cause aggravations as a rule, although it's individual. Having said that, David Little does state that Hahnemann liked the 4oz solutions best, and that they were least likely to cause aggravation. I have compliance problems with many patients where the larger bottles are concerned, so I try to compensate for that by using olfactory doses and double and even triple dilution glasses where necessary. Any ideas on compliance?
Vera
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Vera Resnick RCHom
Classical Homeopath
Alternative Medicine
054-4640736