Aggravations with the HFA method

[Ellen Madono]

I sent an inquiry about how much aggravation to expect from a remedy selected with the HFA method. I got this reply back from Louise Barton so I am sharing it with you.
The following question is one that I would not like to answer. It depends on so many variables. Basically, I am asking, how much aggravation can be expected at most in the beginning of the remedy?
I have a patient who is slowly rotating through remedies. He is from my pre-HFA days. I have a question about aggravations. He is starting China 30c yesterday for the first time. On the first day he got dizziness. He has Meniers and the dizziness comes at the height of his attacks. This fall he has not had the vertigo that he experienced before homeopathy. None of my other HFA cases have had serious aggravations and this is not so serious at the level of carrying on life, but it is the worst of his Menier's symptoms. I told him to stop for a day. I am looking for some sort of ameliorations. He is depressed and anxious about people. Also extremely sensitive to voices and loud noises. So I can expect some amelioration in these areas. One day is a very short time so probably it is probably unrealistic to expect him to ameliorate so soon. I am worried because I have been so unsuccessful so far. He as been through Silica, Bart-c, calc-c and now China. You felt his case repped higher than Calc-c and Grant analyzed his face as green. I thought it was blue so I gave him Bart-c with no results. My question is how much aggravation should I tolerate? Everyday with Bart-c and Calc-c were fine and he is not hyper-sensitive.

Yes this is a full on question. In regard to this case if he doesn't get any better in 3 days stop the remedy. Yes some sensitive people have aggravations and remedies within the miasm are still different and have to be similar to the person so the wrong remedy/right miasm with a sensitive person can still mean an aggravation. Sometimes the right remedy/right miasm will mean one too but not for long and there should be good signs happening too. The body acts as a whole - when a remedy is right most parts will head in the right direction together - some a little slower of course but generally all moving together. If one major area is stagnant or getting worse this isn't what we want. Be prepared to rep again and change.
Here is a question/answer that was posted on Leading Voices lately. It might help with your question.
I noticed in a lot of your cases you give the remedy every day, even in 30C and up. Alot of authors say you can ruin a cure by repeating a remedy too often of cause alot of aggravations. I was wondering what your findings were and how you decided to begin dosing in this way?
Your question is often asked. When a remedy matches both the miasm and the totality of symptoms it can be given in a low (30C or under) daily dose which acts to both remove symptoms and as an energy tonic for the patient. This is similar to Hahnemanns LM dosage where he saw that a lower daily dose can be more beneficial than a single higher dose. By miasm I mean the HFA version of a miasm which means the remedy has the same inner energy force as the patient - as seen in their facial structure.

Where a patient has been very sick I have continued this dosage for many months with maintained improvement. Patients with functional rather than structural pathology often only need a remedy for 1-3 months and will retain their improvement afterwards even without the remedy. This is of course dependent on how they are impacted by external stress. A new or continued stress will often leave a patient depleted and showing symptoms again which is an indication the remedy (or another similar one) needs to be recommenced.

If a remedy doesn't suit a patient (aggravation lasting more than a few days) I look for a remedy from the same miasm which matches the totality but allows a gentle improvement. I have many cases with no aggravation at all - a short aggravation is fine but anything longer or continued indicates to me there is a better remedy. Where a remedy has worked effectively for a long period of time but no longer continues to help the patient I look for another remedy. I don't see this has hurt the case in any way (how can months of better health be a negative?) but if it no longer continues to act it is time for a change.

When this same routine is applied with a remedy which is in a miasm different to the patient, aggravations occur. The key is to make sure the miasm of the patient (as seen by their facial structure) matches the miasm of the remedy (clinically verified).

I commenced this dosage pattern through experimentation. I have developed every area of the HFA method through looking at Hahnemann's thought processes and his own experiments. I also tested Kent, Boenninghausen, Allen and Roberts' theories. I like to test everything myself to determine which works best for my patients. I have been using this dosage schedule for a number of years now and am very happy with the outcomes.
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Ellen Madono, Ph.D.
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