>Hi Luise,
every few days (like Hahnemann did) because letting the patient take the
dose at certain intervals for a month or so can be a very dangerous thing
to do since you must not give another dose if the improvement is
perceptibly good. 
during treatment is a condition which, as long as it lasts, completely
precludes every repetition of the administration of any medicine
whatsoever..."
Yes, but how do you kow how long it lasts?  
Aphorism 248 actually shows you that you determine that with test dose and
follow up and will repeat at suitable intervals - sometimes every 2 days even.
Sheri 
From David Little
    Aphorism 248 continues the theme that started in aphorism 246 where 
Hahnemann taught when the single dose wait and watch method is appropriate 
(in perceptively progressive and strikingly increasing ameliorations) and 
where one should repeat the remedy at suitable intervals (case where a 
single dose can only cause slowly progressive improvement). Aphorism 248 
follows on the discussion of the five conditions for speeding the cure and 
the need to adjust each dose so that patient never receives the exact same 
potency twice in succession.
    "For this purpose, we potentize anew the medicinal solution (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.
     The "purpose" Hahnemann is speaking about how to adjust the potency 
when repeating the remedy to speed the cure of cases that would only slowly 
improve on a single dose or infrequent repetitions. This includes BOTH 
acute and chronic diseases. For this purpose we potentize anew the 
medicinal solution prior to the administration of each dose so that patient 
never receives the exact same potency twice in succession. Then Hahnemann 
offers a method for treating for long lasting protracted diseases where a 
single dose can only produces a slow progressive improvement over 30 to 100 
days at best and even this is rarely the case. it is more common for the 
patient to relapse calling for repeated doses. Aphorism 248 teaches how to 
speed the cure of resistant cases to 1/2, 1/4 or less the time it takes 
with the exclusive single dose wait and watch method.
    In protracted cases, the remedy may be repeated daily or on alternated 
days if necessary as long as there are no aggravations or new symptoms. It 
must also be noted that in sentence 1 of aphorism 246 Hahnemann says every 
strikingly increasing amelioration "during treatment" is a state that 
"precludes" the repetition of the remedy as long as it lasts. This means 
that anytime during a series of split-doses there appears a dramatic 
increasing amelioration the remedy should be stopped as long as this state 
lasts. If one stops the remedy under these three conditions (aggravation, 
new symptoms, dramatic increasing amelioration) over medication can be 
avoided while the cure greatly speeded.
    Hahnemann noted in aphorism 246 that acute diseases are often cured by 
a single dose. When he speaks about giving the acute remedy every 6 hours 
or less it means in resistant acute disorders that can not be cured by a 
single dose. The same conditions apply. There is no need to repeat the dose 
when there is a strikingly increasing amelioration in acute diseases any 
more than in a chronic diseases. All the conditions discussed in the 
aphorism 246 condition all the statement that follow in aphorism 248. If 
one ignores the first sentence of aphorism 246 they leave out 1/2 of 
Hahnemann's case management strategies that deals with strikingly 
increasing ameliorations.
    In the footnote to aphorism 246 Hahnemann says one can give the remedy 
daily "WHEN NECESSARY". This same when necessary applies to the statements 
on the daily dose in aphorism 248!  It is amazing some persons can 
completely ignore or change the meaning of everything Hahnemann says in 
aphorism 246 and its footnote. Then they say Hahnemann only taught that one 
should give everyone the remedy daily or on alternate days in chronic 
diseases and every 6 hours or less in acute diseases no matter what. This 
type selective amnesia takes a few words out of context with the rest of 
the text and ignores hundreds of words that explain Hahnemann's complete 
posology and case management strategy in detail. To say Hahnemann said 
always give the daily dose for months and forget the "when necessary" a 
grand misnomer that puts the patient in danger.
     It is very difficult to learn how to use the LM potency properly just 
by reading the 6th Organon. There was supposed to be a living lineage of 
teachers that could clarify the points and add oral teachings that are not 
contained in the 6th edition. Hahnemann was teaching Boenninghausen about 
the LM method when he died. Melaine Hahnemann asked Boenninghausen not to 
speak about the new methods in pubic until after she published the 6th 
Organon. Unfortunately, this task was not accomplished before the Baron and 
Melaine passed away. By the time the 6th edition was published in 1920 all 
those with personal knowledge of the LM potency had died. This makes it 
extremely difficult to put the entire LM method into perspective without 
studying the Paris casebooks, the testimony of those with inside 
information, and the eyewitness accounts of those who witnessed Hahnemann's 
practice between1838 to 1843.
     Hahnemann shared LM cases with Beonninghausen as he hoped the Baron 
would someday pass on his teachings on the new method. These cases showed 
how Hahnemann actually gave the LM potency in the clinic. This information 
was complemented by the eyewitness account of Dr. Croserio, who worked 
closely with Hahnemann in his last years. Dr. Croserio's letter to 
Beonninghausen IHahnemann's Doses of Medicine, Lesser Writing, 
Boenninghausen) shows that the Founder often gave single doses (usually by 
olfaction) followed by at least one week of placebos while he waited and 
watched. The Paris casebooks confirm that Hahnemann used this method quite 
often in the 1840s. This proves that Hahnemann did NOT always give the 
daily and alternate day dose to every patient. He often used single doses 
usually by olfaction but not always.
    Dr. Croserio's letter clearly points out that; "Even in acute diseases 
it was a rare case to see him [Hahnemann] allow the patient to take more 
than one spoonful in 24 hours". Dr.Croserio's eyewitness account proves 
that Hahnemann did not always use the daily or alternate day dose or give 
acute remedies every 6 hours or less. The rapid repetition of the remedy 
was specific for the treatment of resistant acute and chronic disorders. In 
aphorism 246 Hahnemann clearly states that acute diseases often are cured 
by single doses in a striking manner! If one gives the remedy every 6 hours 
in a mechanical fashion i n these cases the outcome would be aggravations, 
accessory symptoms and antagonistic counter actions of the vital force.
    Dr. Croserio also noted that anytime during treatment Hahnemann 
observed strong medicinal actions he would reduce the dose or stop the 
doses and give placebos while he waited and watched. This method has also 
been confirmed by a study of the Paris casebooks. Hahnemann did not speak 
about how much placebo he was using in the 1840s in the 6th Organon. That 
would have alerted the general public to the fact that he was using almost 
as much milk sugar in water as active medicine. The Founder rarely gave the 
daily or alternate days dose for very long without placing the patient on 
placebos for one or more weeks. I have not see one case in the entire Paris 
casebooks where Hahnemann gave the daily or alternated day dose from months 
on end without stopping the medicine and given 1, 2 even 3 weeks of 
placebo.  Hahnemann constantly used this "On again - off again" method 
throughout his treatment. The idea that Hahnemann always gave the daily 
dose or alternate day dose for months is a complete complete myth.
   I have not written this discourse with the idea of proving a point to a 
single party. I have written this post for the benefit of the Homoeopathic 
community at large and for the good of their patients. The first 
Hippocratic maxim is "Do no harm". Homeopathy is a very safe system when 
one follows the basic checks and balances introduced by Samuel Hahnemann. 
The biggest danger inherent in homeopathy is from over medication with 
potentized remedies. This can cause remedy induced symptoms, medical 
diseases, and antagonistic counter actions of the vital force. These 
conditions can become very serious if the over medication is excessive. 
None of this has to happen if one follows all the principles elucidated in 
aphorism 246, 247 and 248 in a careful manner. If one just takes one or two 
words out of context and ignores the rest they take the law in to their own 
hands and are personally responsible for any suffering they cause.
   Simila Minimus
   Sincerely, David Little
----------------------------------------------------------------------
Sheri Nakken, R.N., MA, Hahnemannian Homeopath
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