LM prescribers - question regarding dosing

[McPhee Family]

Hello,
I am hoping someone who does LM prescribing can help me with a dosing question. When someone nears the end of their treatment with LMs, it seems they develop the aggravation at the end because the remedy creates the symptoms while the person's vital force does not. Correct?
The question is... I have a patient who has done extremely well on what appears to be his simillimum up to LM6 and is now starting to aggravate a little with each dose. So I've tried to reduce the dose, go down in potency, spread out the dose (prn), stop the remedy altogether...nothing seems to work. The symptoms are still covered by the remedy and some days he feels great. *All* of his symptoms have been ameliorated up to this point. But then a symptom here or there will creep in.
I had him stop the remedy for two weeks and at first he felt good but then all of his symptoms slowly started creeping back in. Then I had him go down in potency and the dose had no effect. This began when he was at LM6 so after trying to reduce the dose, add a dilution glass, stop the remedy, go down in potency, I went up to LM7 and the first 2 doses completely ameliorated. Then symptoms began again and a redose completely aggravated. It's getting frustrating for him (and me)!
I'm not sure how to proceed. I had another person that did something similar and we ended up starting over again at LM1 and that seemed to work for him and he quickly has gone back up to LM3 again. Should I do the same for this person? Is this a "typical" response? These are my first few cases with LMs that seem to be coming to an end.
Thanks for any help.
Truly,
Erica

[Rosemary C. Hyde, Ph.D.]

Erica,
Your scenario here makes me think of Hahnemann writing about the need for a nosode to help complete a cure. Could your patient now need a nosode?
Also, are all his prior symptoms coming back, or only some of them? If only some, then re-analyze the case using the present prominent symptoms and start at the lowest indicated LM potency with the remedy now indicated. Sometimes a simillimum cures a certain layer of symptoms. In that case, the remaining symptoms generally announce which remedy needs to follow.
It does seem as if the symptoms are telling you that the patient is done with this remedy, but that something still needs to be cured.
I hope one of these strategies might help.
Rosemary

[Fran Sheffield]

Hi Erica,

I think Rosemary has covered it very well. As an addition I would just
double check for obstacles to cure or maintaining causes.

Kind regards,

Fran Sheffield
Homeopathy Plus! (Information - Education - Treatment)
http://www.homeopathyplus.com.au
Do No Harm Initiative (Homeopathic Immunisation)
http://www.d-n-h.org
Rosemary C. Hyde, Ph.D. wrote:

[Sheri Nakken]

Right, Erica, about the agg at the end of the cure.

I agree totally with Rosemary and Fran.

Sheri

At 03:54 AM 8/9/2008, you wrote:

[Soroush Ebrahimi]

The fact that once the remedy is stopped the sx return means to me that the course is not completed yet.
I have a suspicion that the remedy is a close one, but not the similimum.
I would recommend that you retake the case fully. And check how many of the original sx have been removed and how many remain.
Best wishes
Soroush

________________________________

From: minutus@yahoogroups.com [mailto:minutus@yahoogroups.com] On Behalf Of Sheri Nakken
Sent: 09 August 2008 09:28
To: minutus@yahoogroups.com
Subject: Re: [Minutus] LM prescribers - question regarding dosing
Right, Erica, about the agg at the end of the cure.

I agree totally with Rosemary and Fran.

Sheri

At 03:54 AM 8/9/2008, you wrote:
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[Shannon Nelson]

I too wondered whether the remedy might be close, but not quite
simillimum. Especially because:

"... I had him stop the remedy for two weeks and at first he felt good
but then all of his symptoms slowly started creeping back in."

That *sounds* like she's suggesting that he seems to be going back to
where he started? Here my inexperience with LMs kicks in, but wouldn't
you expect that by the time he's up to LM6 there ought to have been
some *curative* action, such that, tho he might relapse partially, you
would not expect a full relapse, and not of "all symptoms"? But--this
might not be what Erica meant... However,

"... I went up to LM7 and the first 2 doses completely ameliorated.
Then symptoms began again and a redose completely aggravated."
Only *two* doses of the new potency ameliorated, before aggravation
began again--doesn't that suggest that the remedy is playing itself
out? (Or does that sometimes happen, and the next LM potency moves
forward again?)

I've wondered how a "close but not quite" would play out with LMs (I do
know how to recognize it with Cs), and that's what this brings to my
mind.

Shannon

[Carol Orr]

i thought...i studied this several years ago when i was on an LM...that if
there is an aggravation on a well chosen remedy that you start diluting
more..put the teaspoon in another cup..and more cups until there is no
aggravation. Or did you already try that?

[Rosemary C. Hyde, Ph.D.]

About LMs --
Generally, in my experience, the signs of "not quite simillimum" and needing higher potency are pretty much the same with LMs and centesimals. The major differences are
a) that the remedy action is more gradual and therefore less obvious to some clients with LMs than with Centesimals, and
b) that an aggravation may occur when the simillimum has finished working. I have had clients who just started forgetting to take the remedy for longer and longer periods, using LMs, no aggravation has occurred, and they were fine and no longer needed any remedy. I've had a few who weren't tuned in to what they were feeling, and continued taking the remedy consistently on a mechanical schedule, where the aggravation has alerted them that it was time to stop. (When I can see that they are probably nearing this point, I tell them to be alert for any aggravations as a signal to stop the remedy and let me know.)
The scenario Erica was describing, was most likely an indication of a partial simillimum (or a simillimum for one layer) which has done what it could and needed to do -- and cure hasn't happened.
If all the symptoms are coming back in the same profile as at the beginning, the remedy was palliating or suppressing, rather than curing, and a different remedy is needed. If some symptoms have returned and not others, and the picture is somewhat different, then it's also time for a different remedy. When a remedy in higher potency aggravates, or holds for shorter and shorter times, it's time to figure out what comes next, and to stop the present remedy.
If the initial remedy had seemed to be working well, this is always a disappointment to both the homeopath and the client. Most people's vital forces communicate exquisitely well in their language of symptoms, and it's our job to pay attention and act accordingly. Generally, we can figure out, with any potency scale, whether a remedy is palliative or curative because of the deep energetic and emotional changes that accompany the process of cure. If symptoms are better, but there hasn't been this energetic shift, either the remedy or the potency is not the simillimum.
Rosemary

[Luise Kunkle]

Hi Erica,

In order to say anything about it one IMO would have to know what the
symptoms were like before treatment started.
waht I mean: were they steady, always there in roughly the same
strength or were they come and go then also?

Regards

Luise
--
One thought to all who, free of doubt,
So definitely know what's true:
2 and 2 is 22 -
and 2 times 2 is 2:-)
==========> ICQ yinyang 96391801 <==========

[jill1313]

Speaking of LM, why does my LM1 potency from Hahnemann tell me this a
stock solution, and come with directions that I must dilute it:
succuse the bottle ten times, put 6 drops of stock solution into 4
ounces of distilled water (glass), stir it vigorously, take a half
teaspoon, then discard.

Why do you stir vigorously? Doesn't a remedy penetrate water instantly?

My knowledge of wet remedies (making wet from dry) is that you make a
wet remedy when frequently dosing so as not to get an aggravation, but
that you can re-use that wet remedy bottle for many days, just succus
it again (and if you want to keep it for a long time put some alcohol
in and then it stores more permanently). Also, I was told when making
a wet remedy from dry I could use a 2 ounce bottle.

Why would a 4 ounce glass bottle be necessary. Also if you discard the
solution should you re-use the bottle? (I was also told that a
remedy's vibration stays in the bottle, so you shouldn't re-use a
dosing bottle of any kind).

Anyway, is this typical with LM potencies, that they don't want you to
take it directly? I've never seen directions like this before. Also,
my LM potency is apparently mostly water and a little alcohol but I
guess that is typical with liquid remedies to preserve them. However,
how does one know the alcohol doesn't denature the remedy? I guess
experience shows that it doesn't.