Any 6th edition prescribers here?

[Sheri Nakken]

Its not just about LM's - 6th edition. In my revision I mentioned 5th
edition which continue into 6th
6C, 12C, 30C in water, succussions based on sensitivity, test dose, follow
closely in upcoming days. Decide where to go from there.
Instead of 4th edition - one dry potency, wait 3-4 weeks to evaluate. Do
you repeat? Do you find new remedy? Much more difficulty in knowing what
to do. Worse aggravations. And then people repeating the same potency
again.............instead of always increasing the potency by using water
solutions and succussions before each new dose.

That is what I'm talking about

Sheri

At 09:58 PM 4/24/2005 -0500, Robert & Shannon Nelson wrote:
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Sheri Nakken, R.N., MA, Classical Homeopath
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[Shannon Nelson]

Well, I have found dry doses far less confusing than LMs, and have had
fewer problems with them, tho I've used them vastly more often. I
suppose that's mostly because I had good supervision when I was
learning to use high Cs, and have had limited supervision in learning
to use LMs. In using low Cs I follow the same "wait and watch"
procedure, but on a much shorter time-scale.

When I use low potencies, they're repeated as needed (never "on a
schedule" unless there is no option, e.g. with an unobserving patient
it may be the best I can do!). Altho I've played with doing that in
water, because those doses are typically anywhere from one to 10 days
apart, I worry about contamination, and again, have not seen any
trouble from repeating dry doses--possibly because I *do* wait to
repeat until the prior dose has begun to fade.

How long I wait to evaluate, of course, also depends on the nature of
the case, as well as the potency--for the cases I am working with, I
expect to see a low potency act within the first day (and I am *not*
sure that this would always be the case), so will reevaluate the next
day. But with a high potency in a similar case, I'll wait as you said,
at least several weeks (and more for some cases), because there are
more factors that need evaluating.

Again, I've almost never seen significant aggravations using dry doses.
The exceptions have been:
- person with severe asthma, potency was probably too high. The
asthma was aggravated for two weeks, tho he felt great at the same
time, used 12c to moderate (which did NOT antidote the high potency
dose!), and did fabulously afterwards.
- sensitive toddler who took an entire "single dose vial" of about a
hundred doses. Had a doozy aggravation for two weeks (but did well
afterwards).
- once on myself, repeating a 200c after only 3 weeks; very nasty
aggravation.
- there *may* have been some in my early years as a patient, but I
don't remember the details enough to know.
- once after several months of "scheduled" repetitions.

Other than that, all of the aggravations I've seen have been from LMs,
twice with myself and twice with others.

So personally, I have found LMs trickier to get a feel for than dry
doses, and have had more problems from them. Shorter tho, which is
certainly good... Probably that's mainly because I had better guidance
as I was getting started prescribing high potencies, and was trying to
learn from several folks with conflicting views (some of which were
mistaken) as I got started with LMs.

There's another thing I've found difficult about LMs, and it seems sort
of funny. One person has done *really* well with her remedy, but when
she's doing well she stops taking it, and then when things start to go
wrong, she doesn't think to start the remedy again--until I mention it,
and she goes Oh yeah! and starts again, and things to well again. This
is just a matter that I need to stay in touch with her about it, until
she's made the connection more firmly in her mind. But with single
doses I haven't seen that problem so much because of the longer action
of the dose.

Again, I think that each method has its advantages and disadvantages.
Why limit yourself?
As to Hahnemann's insistence on it being the "best" and "perfected"
method... Well, I imagine I'm not the only one who's experienced the
feeling of "This is the answer to *everything*!", which eventually
becomes modified to "This is a fabulous tool, that could help with so
many problems!" Personally I've gone thru that with nutrition, then
meditation, then homeopathy, and by now I am much less quick to decide
that *anything* is the "answer to everything"--even LMs!

Best,
Shannon

[David Little]

At 07:14 PM 4/25/2005, you wrote:
Hello,

The medicinal solution and the split-dose are not exclusively for the
LM potency. Hahnemann introduced this method in 1837 for the C potencies
and the cases from this period show him using a remedy bottle and a
dilution glass. He continues to use this method for both the C and LM
potency throughout the mid 1830s to 1843 when he pass away.
If one waits for the duration of the previous dose to cease there is
little problems with repeating the dry dose. This was the method taught in
the first 4 editions of the Organon. In the aphorism 246 of the 5th edition
and its footnote Hahnemann revised the system and suggest that the remedy
could be repeated at suitable intervals before the duration of the previous
dose ceased. Fir this purpose he began to use olfaction and the aqueous
solution has his delivery system and introduced the split-dose at suitable
intervals to speed the cure.
IMO, the single test dose is very important whether on is using the low
or high Cs or the LM potency. How long one needs to wait before making a
assessment depends on patient and their disease as well as the time and
circumstances.
I can speak for you but I receive quite a few reports from patient and
practitioners that have been aggravated by the dry doses.That you are doing
well shows that your are careful and wait and watch properly. The
aggravations I see are often from giving potencies like the 200th and above
to those with organic pathology or that are hypersensitive. Some of these
aggravations ran for months and in a few case the person was never well
since. Some of this, however seems to stem from practitioners not
understanding the four major remedy reactions and not knowing the
difference between a similar aggravation, a dissimilar aggravations,
accessory symptoms and a natural healing crisis.
The LM potency certainly will cause aggravations when not used properly.
First of all, in aphorism 246 of the 6th Organon that anytime there is a
*noticeably progressive and strikingly increasing amelioration* the remedy
should NOT be repeated as long as this state lasts. The he says in those
cases that only show a *slow progressive* improvement that might take up to
100 days to show significant improvement the remedy may be repeated at
suitable intervals to speed the cure. So all of the statements about
repeating the LM potency every day or every other day in aphorism 248 are
ONLY for slow moving cases that do not respond to a single dose or
infrequent repetition. This is true with both the C and LM potency in
medicinal solution and split-dose. If one pays attentions to these details
aggravations usually are not produced. If on does not, repeating the LM
potency mechanically every day or other day will cases a good number of
problems.
A good amount of the information about the LM potency is of very poor
quality and has little to do with how Hahnemann used them. Almost every day
I hear the strangest things in the name of the 6th Organon! Hahnemann most
artistic method is usually change into the most mechanistic practice
possible where people think they can repeat the LMs like some allopathic
drug or something. The act as if no individualization is needed. Somehow,
they seem to ignore any problems or blame them on something else. There are
persons who say the LM potency "can't aggravated". That is down right
irresponsible!
What most people don't understand it that at the start of treatment
Hahnemann gave single doses (usually by olfaction) or short series of doses
of the LM potency and had the patient come back in 7 days. If there was
strong remedial actions in any direction he would usually give a week or so
of placebos. He constantly interpolated periods of placebos with the remedy
so as to prevent over medication and allow the medicine to act. He never
gave the daily or alternate day dose for very long without giving placebos
and waiting and watching. In many cases he gave much more infrequent doses.
The idea that Hahnemann gave the daily dose for weeks and months on end is
a complete myth. He used almost as much placebo as medicine.

What do mean when you say "with the single dose" the duration is longer?
Are you speaking of a single dry dose of C potency like the 200th? When we
speak of the duration of a remedy the major factor is the sensitivity of
the patient. Nevertheless, all things equal, a single dose of the LM 0/1
last much longer than a single dose of the 30C. I and my colleagues have
seen more than a few single dose CURES with the LM potency when they are
used properly.
Hahnemann mentioned the use of the dry dose the 6th Organon. He just
recommends that if the remedy is going to be repeated to speed the cure
that the subsequent doses be given in medicinal solution. Also, when
speaking of the most perfected method he was referring to the idea that
where a single dose causes a strikingly increasing amelioration *wait and
watch* and where there is only a slow improvement *observe and act* by
repeating the remedy at suitable intervals to speed the cure. This is what
he called the middle path.

This middle way is a better method than only using the single dose wait
and watch method in very case no matter whether the patient is improving
quickly, at a moderate rate or only very slowly. It is this new philosophy
that speeds the cure to 1/2 or 1/4 the time it would take in those cases
that show only slow improvement. If they are improving dramatically on the
single dose there is no need to repeat the dose for the time being. If they
are not then one must follow the 5 conditions of aphorism 246 to speed the
cure. This method is used for both the C and LM potency. This is what the
Paris casebooks show Hahnemann doing. He used the C and LM potency side by
side right up until he retired to his heavenly abode in 1843.

Personally, I believe that we should use any technique that seems
usable from any edition of the Organon. The 6th Organon does not preclude
what was written before it just expands on and adds new conditions and
methods for specific conditions. There is no need to wait and watch for 30,
60 to 100 days with the patient hardly improving if one can repeat the dose
at suitable intervals and cut this period in half or more. That is the main
point of both the 5th and 6th Organon philosophy. This new case management
procedure is applied equally to the C and LM potency.

If Hahnemann thought the LM potency was the only way why did he
continue to use the C potencies? It is obvious to those who have used both
potencies for a number of years that some patient do better on the C
potency and some on the LM potency. Like Shannon says; why limited oneself
in these matters? The dry dose, olfaction, and medicinal solution all work.
The 1-3rd, 4th, 5th and 6th Organon all work on their own levels. The
important things is knowing when one must transcend the 1 - 4th Organon
methods because they do not suit the time and circumstances. I would
personally rather be in the hands of an experienced 4th Organon dry dose
prescriber who knows how to wait and watch than to be at the mercy of a new
age person cum homeopath using the LM potencies in a mechanical fashion
daily or every other day as if they can do no harm!

Sincerely, David Little
---------------
"It is the life-force which cures diseases because a dead man needs no more
medicines."

Samuel Hahnemann

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