Says it all
Aphorisms Below
http://homeoint.org/books/hahorgan/organ240.htm#P246E5
§ 246 Fifth Edition
On the other hand, the slowly progressive amelioration consequent on a very
minute dose, whose selection has been accurately homoeopathic, when it has
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 in a given case, in periods of forty, fifty or a hundred days.
This is, however, but rarely the case; and besides, it must be a matter of
great importance to the physician as well as to the patient that were it
possible, this period should be diminished to one-half, one-quarter, and
even still less, so that a much more rapid cure might be obtained. And this
may be very happily affected, as recent and oft-repeated observations have
shown, under three conditions: firstly, if the medicine selected with the
utmost care was perfectly homoeopathic; secondly, if it was given in the
minutest dose, so as to produce the least possible excitation of the vital
force, and yet sufficient to effect the necessary change in it; and
thirdly, if this minutest yet powerful dose of the best selected medicine
be repeated at suitable intervals,1 which experience shall have pronounced
to be the best adapted for accelerating the cure to the utmost extent, yet
without the vital force, which it is sought to influence to the production
of a similar medicinal disease, being able to feel itself excited and
roused to adverse reactions.
1 In the former editions of the Organon I have advised that a single dose
of a well-selected homoeopathic medicine should always be allowed first
fully to expend its action before a new medicine is given or the same one
repeated - a doctrine which was the result of the positive experience that
neither by a larger dose of the remedy, which may have been well chosen (as
has been again recently proposed, but which would be very like a retrograde
movement), nor, what amounts to the same thing, by several doses of it
given in quick succession, can the greatest possible good be effected in
the treatment of diseases, more especially of chronic ones; and the reason
of this is, that by such a procedure the vital force dose not quietly adapt
itself to the transition from the natural disease to the similar medicinal
disease, but is usually so violently excited and disturbed by a larger
dose, or by smaller doses of even a homoeopathically chosen remedy given
rapidly one after the other, that in most cases its reaction will be
anything but salutary and will do more harm than good. As long as no more
efficacious mode of proceeding than that then taught by me was discovered,
the safe philanthropic maxim of sin non juvat, modo ne noceat, rendered it
imperative for the homoeopathic practitioner, for whom the weal of his
fellow-creatures was the highest object, to allow, as a general rule in
diseases, but a single dose at a time, and that the very smallest, of the
carefully selected remedy to act upon the patient and, moreover, to exhaust
its action. The very smallest, I repeat, for it holds good and will
continue to hold good as a homoeopathic therapeutic maxim not to be refuted
by any experience in the world, that the best doses of the properly
selected remedy is always the very smallest on in one of the high potencies
(X), as well for chronic as for acute as for acute diseases - a truth that
is the inestimable property of pure homoeopathy and which as long as
allopathy and the new mongrel sect, whose treatment is a mixture of
allopathic and homoeopathic processes is not much better continues to gnaw
like a cancer at the life of sick human beings, and to ruin them by large
and ever larger doses of drugs, will keep pure homoeopathy separated from
these spurious arts as by an impassable gulf.
On the other hand, however, practice shows us that though a single one of
these small doses may suffice to accomplish almost all that it was possible
for this medicine to do under the circumstances, in some, and especially in
slight cases of disease, particularly in those of young children and very
delicate and excitable adults, yet that in many, indeed in most cases, not
only of very chronic diseases that have already made great progress and
have frequently been aggravated by a previous employment of inappropriate
medicines, but also of serious acute diseases, one such smallest dose of
medicine in our highly potentized dynamization is evidently insufficient to
effect all the curative action that might be expected from that medicine,
for it may unquestionably be requisite to administer several of them, in
order that the vital force may be pathogenetically altered by them to such
a degree and its salutary reaction stimulated to such a height, as to
enable it to completely extinguish, by its reaction, the whole of that
portion of the original disease that it lay in the power of the
well-selected homoeopathic remedy to eradicate; the best chosen medicine in
such a small dose, given but once, might certainly be of some service, but
would not be nearly sufficient.
But the careful homoeopathic physician would not venture soon to repeat the
same dose of the same remedy again, as from such a practice he has
frequently experienced no advantage, but most frequently, on close
observation, decided disadvantage. He generally witnessed aggravation, from
even the smallest dose of the most suitable remedy, which he has given one
day, when he repeated the next day and the next.
Now, in cases where he was convinced of the correctness of his choice of
the homoeopathic medicine, in order to obtain more benefit for the patient
than he was able to get hitherto from prescribing a single small dose, the
idea often naturally struck him to increase the dose, since, for the reason
given above, one single dose only should be given; an, for instance, in
place of giving a single very minute globule moistened with the medicine in
the highest dynamization, to administer six, seven or eight of them at
once, and even a half or a whole drop. But the result was almost always
less favourable than it should have been; it was often actually
unfavourable, often even very bad - an injury that, in a patient so
treated, is difficult to repair.
The difficulty in this case is not solved by giving, instead, lower
dynamizations of the remedy in a large dose.
Thus, increasing the strength of the single doses of the homoeopathic
medicine with the view of effecting the degree of pathogenic excitation of
the vital force necessary to produce satisfactory salutary reaction, fails
altogether, as experience teaches, to accomplish the desired object. This
vital force is thereby too violent and too suddenly assailed and excited to
allow it time to exercise a gradual equable, salutary reaction, to adapt
itself to the modification effected in it; hence it strives to repel, as if
it were an enemy, the medicine attacking it in excessive force, by means of
vomiting, diarrhoea, fever, perspiration, and so forth, and thus in a great
measure it diverts and renders nugatory the aim of the incautious physician
- little or no good towards curing the disease will be thereby
accomplished; on the contrary, the patient will be thereby perceptibly
weakened and, for a long time, the administration of even the smallest dose
of the same remedy must not be thought of if we would not wish it to injure
the patient.
But it happens, moreover, that a number of the smallest doses given for the
same object in quick succession accumulate in the organism into a kind of
excessively large dose, with (a few cases excepted) similar bad results; in
this case the vital force, not being able to recover itself betwixt every
dose, though it be but small, becomes oppressed and overwhelmed, and thus
being incapable of reacting in a salutary manner, it is necessitated
passively to allow involuntary the continuance of the over-strong medicinal
disease that has thus been forced upon it, just in the same manner as we
may every day observe from the allopathic abuse of large cumulative doses
of one and the same medicine, to the lasting injury of the patient.
Now, therefore, in order, whilst avoiding the erroneous method I have here
pointed out, to attain the desired object more certainly than hitherto, and
to administer the medicine selected in such a manner that it must exercise
all its efficacy without injury to the patient, that it may effect all the
good it is capable of performing in a given case of disease, I have lately
adopted a particular method.
I perceived that, in order to discover this true middle path, we must be
guided as well by the nature of the different medicinal substances, as also
by the corporeal constitution of the patient and the magnitude of the
disease, so that - to give an example from the use of sulphur in chronic
(psoric) diseases - the smallest dose of it (tinct, sulph. X°) can seldom
be repeated with advantage, seen in the most robust patients and in fully
developed psora, oftener than every seven days, a period of time which must
be proportionally lengthened when we have to treat weaker and more
excitable patients of this kind; in such cases we would do well to give
such a dose only every nine, twelve, or fourteen days, and continue to
repeat the medicine until it ceases to be of service. We thus find (to
abide by the instance of sulphur) that in sporic diseases seldom fewer than
four, often however, six, eight and even ten doses (tinct. sulph. X°) are
required to be successively administered at these intervals for the
complete annihilation of the whole portion of the chronic disease that is
eradicated by sulphur - provided always there had been no previous
allopathic abuse of sulphur in the case. Thus even a (primary) scabious
eruption of recent origin, though it may have spread all over the body, may
be perfectly cured, in persons who are not too weakly, by a dose of tinct
sulph. X° given every seven days, in the course of from ten to twelve weeks
(accordingly with ten or twelve such globules), so that it will seldom be
necessary to aid the cure with a few doses of carb. veg. X° (also given at
the rate of one dose per week) without the slightest external treatment
besides frequent changes of linen and good regimen.
When for other serious chronic diseases also we may consider it requisite,
as far as we can calculate, to give eight, nine or ten doses of tinct.
sulph. (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. sulph.) and to
allow this likewise to act for eight, nine, twelve or fourteen days before
again commencing a course of three doses of sulphur.
But it not infrequently happens that the vital force refuses to permit
several doses of sulphur, even though they may be essential for the cure of
the chronic malady and are given at the intervals mentioned above, to act
quietly on itself; this refusal it reveals by some, though moderate,
sulphur symptoms, which it allows to appear in the patient during the
treatment. In such cases it is sometimes advisable to administer a small
dose of nux vom. X°, allowing it to act for eight or ten days, in order to
dispose the system again to allow succeeding doses of the sulphur to act
quietly and effectually upon it. In those cases for which it is adapted,
puls. X° is preferable.
But the vital force shows the greatest resistance to the salutary action
upon itself of the strongly indicated sulphur, and even exhibits manifest
aggravation of the chronic disease, though the sulphur be given in the very
smallest dose, though only a globule of the size of a mustard seed
moistened with tinct. sulph X° be smelt, if the sulphur have formerly (it
may be years since) been improperly given allopathically in large doses.
This is one lamentable circumstance that renders the best medical treatment
of chronic disease almost impossible among the many that the ordinary
bungling treatment of chronic diseases by the old school would leave us
nothing to do but to deplore, were there not some mode of getting over the
difficulty.
In such cases we have only to let the patient smell a single time strongly
at a globule the size of a mustard seed moistened with mercur metall. X,
and allow this olfaction to act for about nine days, in order to make the
vital force again disposed to permit the sulphur (at least the olfaction of
tinct. sulph. X°) to exercise a beneficial influence on itself - a
discovery for which we are indepted to Dr. Griesselich, of Carlsruhe.
§ 246 Sixth Edition
Every perceptibly progressive and strikingly increasing amelioration during
treatment is a condition which, as long as it lasts, completely precludes
every repetition of the administration of any medicine whatsoever, because
all the good the medicine taken continues to effect is now hastening
towards its completion. This is not infrequently the cause 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.
This is, however, but rarely the case; and besides, it must be a matter of
great importance to the physician as well as to the patient that were it
possible, this period should be diminished to one-half, one-quarter, and
even still less, so that a much more rapid cure might be obtained. 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.
1 What I said in the fifth edition of the organon, in a long note to this
paragraph in order to prevent these undesirable reactions of the vital
energy, was all the experience I then had justified. But during the last
four or five years, however, all these difficulties are wholly solved by my
new altered but perfected method. The same carefully selected medicine may
now be given daily and for months, if necessary in this way, namely, after
the lower degree of potency has been used for one or two weeks in the
treatment of chronic disease, advance is made in the same way to higher
degrees, (beginning according to the new dynamization method, taught
herewith with the use of the lowest degrees).
§ 247 Fifth Edition
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 ever
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.
§ 247 Sixth Edition
It is impractical to repeat the same unchanged dose of a remedy once, not
to mention its frequent repetition (and at short intervals in order not to
delay the cure). The vital principle does not accept such unchanged doses
without resistance, that is, without other symptoms of the medicine to
manifest themselves than those similar to the disease to be cured, because
the former dose has already accomplished the expected change in the vital
principle and a second dynamically wholly similar, unchanged dose of the
same medicine no longer finds, therefore, the same conditions of the vital
force. The patient may indeed be made sick in another way by receiving
other such unchanged doses, even sicker than he was, for now only those
symptoms of the given remedy remain active which were not homoeopathic to
the original disease, hence no step towards cure can follow, only a true
aggravation of the condition of the patient. But if the succeeding dose is
changed slightly every time, namely potentized somewhat higher (§§ 269-270)
then the vital principle may be altered without difficulty by the same
medicine (the sensation of natural disease diminishing) and thus the cure
brought nearer.1
1 We ought not even with the best chosen homoeopathic medicine, for
instance one pellet of the same potency that was beneficial at first, to
let the patient have a second or third dose, taken dry. In the same way, if
the medicine was dissolved in water and the first dose proved beneficial, a
second or third and even smaller dose from the bottle standing undisturbed,
even in intervals of a few days, would prove no longer beneficial, even
though the original preparation had been potentized with ten succussions or
as I suggested later with but two succussions in order to obviate this
disadvantage and this according to above reasons. 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. It
almost seems as if the best selected homoeopathic remedy could best extract
the morbid disorder from the vital force and in chronic disease to
extinguish the same only if applied in several different forms.
§ 248 Fifth Edition
The dose of the same medicine may be repeated several times according to
circumstances, but only so long as until either recovery ensues, or the
same remedy ceases to do good and the rest of the disease, presenting a
different group of symptoms, demands a different homoeopathic remedy.
§ 248 Sixth Edition
For this purpose, we potentize anew the medicinal solution1 (with perhaps
8, 10, 12 succussions) from which we give the patient one or (increasingly)
several teaspoonful doses, in long lasting diseases daily or every second
day, in acute diseases every two to six hours and in very urgent cases
every hour or oftener. Thus in chronic diseases, every correctly chosen
homoeopathic medicine, even those whose action is of long duration, may be
repeated daily for months with ever increasing success. 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. For if this
happens, if the balance of the disease appears in a group of altered
symptoms then another, one more homoeopathically related medicine must be
chosen in place of the last and administered in the same repeated doses,
mindful, however, of modifying the solution of every dose with thorough
vigorous succussions, thus changing its degree of potency and increasing it
somewhat. 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 doses in that case must then be
reduced still further and repeated in longer intervals and possibly stopped
several days, in order to see if the convalescence need no further
medicinal aid. The apparent symptoms (Schein - Symptome) caused by the
excess of the homoeopathic medicine will soon disappear and leave
undisturbed health in its wake. If only a small vial say a dram of dilute
alcohol is used in the treatment, in which is contained and dissolved
through succussion one globule of the medicine which is to be used by
olfaction every two, three or four days, this also must be thoroughly
succussed eight to ten times before each olfaction.
1 Made in 40, 30, 20, 15 or 8 tablespoons of water with the addition of
some alcohol or a piece of charcoal in order to preserve it. If charcoal is
used, it is suspended by means of a thread in the vial and is taken out
when the vial is succussed. The solution of the medicinal globule (and it
is rarely necessary to use more than one globule) of a thoroughly
potentized medicine in a large quantity of water can be obviated by making
a solution in only 7-8 tablespoons of water and after thorough succussion
of the vial take from it one tablespoon and put it in a glass of water
(containing about 7 to 8 spoonfuls), this stirred thoroughly and then given
a dose to the patient. If he is unusually excited and sensitive, a teaspoon
of this solution may be put in a second glass of water, thoroughly stirred
and teaspoonful doses or more be given. There are patients of so great
sensitiveness that a third or fourth glass, similarly prepared, may be
necessary. Each such prepared glass must be made fresh daily. the globule
of the high potency is best crushed in a few grains of sugar of milk which
the patient can put in the vial and be dissolved in the requisite quantity
of water.
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