Aggravation Treatment
Posted: Fri Oct 22, 2010 5:32 am
from my online class
Lesson 12, Part 2 - Aggravation Treatment
In acute treatment - When you see a similar aggravation in the first
hour (in other words an aggravation of your symptoms during the first
hour) this first dose will cure and no further dose will be needed
(A157-A158). If symptoms are not entirely gone after two hours, you
can repeat the same procedure every two hours after succussing each
successive dose (hitting RSB against your palm) 8
times.
http://drluc.blogspot.com/2007/04/lectu ... cy-of.html
In chronic treatment - If there is a similar aggravation after a
remedy is taken and the remedy is given in water potency, paying
attention to minimum dose and potency, then that aggravation is
likely to be short - 2 or 3 days
http://drluc.blogspot.com/2007/04/lectu ... cy-of.html
" Bad reaction with an aggravation of your existing symptoms: this is
called a similar aggravation: no repetition of the remedy!! You must
wait till this aggravation goes away (usually fast after 1-2 days
without any harm), then you get the benefit from it and only when
then the original symptoms come back should the remedy be repeated,
this time in a smaller dose and/or potency, to be determined by your
homeopath!"
If similar aggravation & remedy dose given in a water potency that
was very much too high or strong for the patient, best to just wait
if possible as the aggravation will be short. If the aggravation is
intolerable, then sometimes we have to give a another remedy or
substance such as coffee or menthol or eucalyptus or camphor (they
are not always effective) to antidote the effect of the remedy
If a dissimilar aggravation & remedy dose given dry or a water
potency that was very much too high or strong for the patient, then
sometimes we have to give a another remedy or substance such as
coffee or menthol or eucalyptus or camphor (they are not always
effective) to antidote the effect of the remedy
***********
http://www.simillimum.com/education/lit ... rticle.php
1. What is similar aggravation?
A similar aggravation is an increase of the symptoms the individual
already suffers. For example, a remedy is given for a chronic
backache and the pains become worse after the dose. This is caused by
too large a dose (too many pills or teaspoons), too high a potency (C
or LM), or the repetition of the remedy when not needed. No further
doses are needed as the primary action of the remedy is too strong
for the vital force to begin its secondary reaction. If the
aggravation is not severe it is best to wait and watch the symptoms
closely as there soon will be a healing secondary action which will
not only bring relief but start the road toward a greater state of
health. If the aggravation is causing great pain and distress the
remedy may have to be canceled
2. What is a dis-similar aggravation?
A dis-similar aggravation is when a remedy produces "new and
troublesome symptoms" not appertaining to the disease being treated.
For example, one is treating the chronic backache and the person gets
a stomach ache after taking the remedy and feels bad all over. If the
headache is no better and these new symptoms persist it is a sign of
the wrong remedy. The key here is "the new and troublesome" aspect. A
new case should be built around the combination of the natural and
new remedial symptoms and a corrective remedy given. If a dis-similar
aggravation is severe it should be antidoted.
3. What are accessory symptoms?
Sometimes a remedy will bring out side-actions which are called
accessory symptoms. These are symptoms of the remedy that are
unhomoeopathic to the person who is taking the remedy. If they are
mild and transient they will not interfere with the cure. If they
increase it is a sign that the remedy is only a partial simillimum
and has done all the work it can do. The case should be retaken.
This often leads to the question; what is the difference between
accessory symptoms and the symptoms of a dis-similar aggravation?
Both involve an increase of new signs rather than an increase of the
symptoms present or the appearance of old ones from the past. The
differential analysis used to assess these two states are as follows.
A. A dis-similar aggravation produces "new and troublesome symptoms"
not directly related to the case while the mental state, general
vitality and health of the person seems to be getting worse. The
person's chief complaints are not improving while new symptoms of a
troubling nature increase. It is time to retake the case and find an
alternative that suits the situation.
B. Accessory symptoms are seen when the person is improving in health
and vitality but new symptoms begin to appear. These symptoms are
side-actions of the chosen remedy that are unhomoeopathic to the
individual's complaint. When these symptoms are trifling and pass off
rapidly they will not interfere with the cure. If the symptoms
increase or become persistent this means the remedy is a partial
simillimum that is beginning to obstruct the cure. This is a sign it
is time to retake the case and give a more perfect remedy. It is only
when such symptoms become severe that an antidote is needed.
Thus in a dis-similar aggravation new symptoms increase and the
vitality is lowered. A partial simillimum produces new symptoms while
the person's health is improving and vitality increasing. If the
partial simillimum is close enough to the center of the derangement
it will move the constitution closer to a greater state of health. If
the partial simillimum is too distant from the central core of the
vital disruption it will continue to produce its own signs until they
dominate the symptomatology. Such a situation can be aborted if the
homoeopath readily understands the nature of the presenting signs and
acts accordingly. All of these essential aspects of case management
are carefully explained in the aphorisms of The Organon.
4. What is a natural healing crisis?
Lastly, the homoeopath must know the difference between the 3 types
of homoeopathic reactions and a natural healing crisis.
A. A homoeopathic aggravation is controlled by the primary action of
a homoeopathic remedy while a natural healing crisis is controlled by
the secondary action of the vital force. Therefore, natural healing
cycles are under the curative power of the vital principle within the
constitution. Such a natural crisis is not overly prolonged nor
dangerous to the health of the individual.
B. A homoeopathic aggravation is the increase of those things present
(similar aggravation) or the production of unrelated new symptoms
(dis-similar aggravation). A true natural healing crisis produces the
return of old symptoms and suppressed disease signs as well as
surrogate eliminations. A natural healing crisis is always quickly
followed by a greater sense of health and an increase in vitality.
This is the basis of Hering's Laws. If the return of old symptoms is
prolonged, or more painful than the original complaint, it is a sign
of a similar homoeopathic aggravation. In this situation the primary
action of the similar remedy forces a severe crisis as the old
symptoms return. This is a sign that the size of the dose is too
large, the potency too high, or the remedy was repeated when it was not needed.
Similibus Curentur
Sincerely, David Little
*********
http://www.hpathy.com/philosophy/little ... g-case.asp
Hahnemann points out in his writings that there are two types of
aggravation, the similar aggravation and the dissimilar aggravation.
A similar aggravation is an increase of the symptoms the individual
is experiencing or the appearance of old diseases. This is a sign of
the correct remedy but too strong of a dose. It is best to wait out
this reaction if it is not dangerous or extremely uncomfortable.
If a second dose is needed it will have to be adjusted in the
downward direction. This means less succussions, more water in the
solution, the use of more dilution glasses, a lower potency, a
smaller amount such as 1/2 a teaspoon, etc. These are all methods of
adjusting the dose.
A dissimilar aggravation is the appearance of new symptoms which the
client has never experienced before or do not relate to the disease
being suffered. They are medicinal symptoms produced by the remedy
that are not homoeopathic to the condition of the individual who took
the remedy. This is a sign of the wrong remedy.
Organon, aphorism 249.
"Every medicine prescribed for a case of disease, which in the
course of its action, produces new and troublesome symptoms not
appertaining to the disease to be cured, is not capable of effecting
a real improvement and can not be considered as homoeopathically
selected [DL]; it must, therefore, if the aggravation be
considerable, be first partially neutralized as soon as possible by
an antidote before giving the next remedy chosen more accurately
according to similarity of action; or if the troublesome symptoms be
not very violent, the next remedy must be given immediately, in order
to take the place of the improperly selected one."
***********
http://www.simillimum.com/education/lit ... icle03.php
" A dissimilar aggravation is the appearance of new symptoms which
the client has never experienced before or do not relate to the
disease being suffered. They are medicinal symptoms produced by the
remedy that are not homoeopathic to the condition of the individual
who took the remedy. This is a sign of the wrong remedy. Vide
Organon, aphorism 249.
"Every medicine prescribed for a case of disease, which in the
course of its action, produces new and troublesome symptoms not
appertaining to the disease to be cured, is not capable of effecting
a real improvement and can not be considered as homoeopathically
selected [DL]; it must, therefore, if the aggravation be
considerable, be first partially neutralized as soon as possible by
an antidote before giving the next remedy chosen more accurately
according to similarity of action; or if the troublesome symptoms be
not very violent, the next remedy must be given immediately, in order
to take the place of the improperly selected one."
Let us look at the following examples to clarify the subject. If a
person has a painful lower back condition which is by continued motion while at the same time they
are very restless, chilly, weeps without knowing why, etc., we may
give them Rhus-t. If the lower back pain becomes a little more
painful it is a similar aggravation. This is a sign that the primary
action of the remedy has replaced the natural disease so we can
expect the secondary reaction of the vital force to remove the pain.
This is a positive aggravation. If, on the other hand, the individual
develops headaches and stomach discomfort, it is a dissimilar,
negative aggravation. This is a sign of the wrong remedy!
If the dissimilar symptoms are not excessive a new more proper remedy
should be chosen by the combination of the new medicinal symptoms and
the natural symptoms. This grand totality will correct the problem by
regularizing the vital force and move the case toward cure. If the
dissimilar aggravation is very strong, it should be antidoted
immediately, and a new remedy given as soon as possible. It is very
important for a homoeopath to understand the two types of aggravation.
Many homoeopaths think that all reactions are good reactions or that
they are a cleanse crisis. Unfortunately, this is not the case. A
correct simillimum, or an incorrect remedy, or a partial simillimum
all elicit a different reaction from the vital force. Only the
Organon gives detailed instructions on how to recognize these
situations and make the necessary adjustments in case management."
Lesson 12, Part 2 - Aggravation Treatment
In acute treatment - When you see a similar aggravation in the first
hour (in other words an aggravation of your symptoms during the first
hour) this first dose will cure and no further dose will be needed
(A157-A158). If symptoms are not entirely gone after two hours, you
can repeat the same procedure every two hours after succussing each
successive dose (hitting RSB against your palm) 8
times.
http://drluc.blogspot.com/2007/04/lectu ... cy-of.html
In chronic treatment - If there is a similar aggravation after a
remedy is taken and the remedy is given in water potency, paying
attention to minimum dose and potency, then that aggravation is
likely to be short - 2 or 3 days
http://drluc.blogspot.com/2007/04/lectu ... cy-of.html
" Bad reaction with an aggravation of your existing symptoms: this is
called a similar aggravation: no repetition of the remedy!! You must
wait till this aggravation goes away (usually fast after 1-2 days
without any harm), then you get the benefit from it and only when
then the original symptoms come back should the remedy be repeated,
this time in a smaller dose and/or potency, to be determined by your
homeopath!"
If similar aggravation & remedy dose given in a water potency that
was very much too high or strong for the patient, best to just wait
if possible as the aggravation will be short. If the aggravation is
intolerable, then sometimes we have to give a another remedy or
substance such as coffee or menthol or eucalyptus or camphor (they
are not always effective) to antidote the effect of the remedy
If a dissimilar aggravation & remedy dose given dry or a water
potency that was very much too high or strong for the patient, then
sometimes we have to give a another remedy or substance such as
coffee or menthol or eucalyptus or camphor (they are not always
effective) to antidote the effect of the remedy
***********
http://www.simillimum.com/education/lit ... rticle.php
1. What is similar aggravation?
A similar aggravation is an increase of the symptoms the individual
already suffers. For example, a remedy is given for a chronic
backache and the pains become worse after the dose. This is caused by
too large a dose (too many pills or teaspoons), too high a potency (C
or LM), or the repetition of the remedy when not needed. No further
doses are needed as the primary action of the remedy is too strong
for the vital force to begin its secondary reaction. If the
aggravation is not severe it is best to wait and watch the symptoms
closely as there soon will be a healing secondary action which will
not only bring relief but start the road toward a greater state of
health. If the aggravation is causing great pain and distress the
remedy may have to be canceled
2. What is a dis-similar aggravation?
A dis-similar aggravation is when a remedy produces "new and
troublesome symptoms" not appertaining to the disease being treated.
For example, one is treating the chronic backache and the person gets
a stomach ache after taking the remedy and feels bad all over. If the
headache is no better and these new symptoms persist it is a sign of
the wrong remedy. The key here is "the new and troublesome" aspect. A
new case should be built around the combination of the natural and
new remedial symptoms and a corrective remedy given. If a dis-similar
aggravation is severe it should be antidoted.
3. What are accessory symptoms?
Sometimes a remedy will bring out side-actions which are called
accessory symptoms. These are symptoms of the remedy that are
unhomoeopathic to the person who is taking the remedy. If they are
mild and transient they will not interfere with the cure. If they
increase it is a sign that the remedy is only a partial simillimum
and has done all the work it can do. The case should be retaken.
This often leads to the question; what is the difference between
accessory symptoms and the symptoms of a dis-similar aggravation?
Both involve an increase of new signs rather than an increase of the
symptoms present or the appearance of old ones from the past. The
differential analysis used to assess these two states are as follows.
A. A dis-similar aggravation produces "new and troublesome symptoms"
not directly related to the case while the mental state, general
vitality and health of the person seems to be getting worse. The
person's chief complaints are not improving while new symptoms of a
troubling nature increase. It is time to retake the case and find an
alternative that suits the situation.
B. Accessory symptoms are seen when the person is improving in health
and vitality but new symptoms begin to appear. These symptoms are
side-actions of the chosen remedy that are unhomoeopathic to the
individual's complaint. When these symptoms are trifling and pass off
rapidly they will not interfere with the cure. If the symptoms
increase or become persistent this means the remedy is a partial
simillimum that is beginning to obstruct the cure. This is a sign it
is time to retake the case and give a more perfect remedy. It is only
when such symptoms become severe that an antidote is needed.
Thus in a dis-similar aggravation new symptoms increase and the
vitality is lowered. A partial simillimum produces new symptoms while
the person's health is improving and vitality increasing. If the
partial simillimum is close enough to the center of the derangement
it will move the constitution closer to a greater state of health. If
the partial simillimum is too distant from the central core of the
vital disruption it will continue to produce its own signs until they
dominate the symptomatology. Such a situation can be aborted if the
homoeopath readily understands the nature of the presenting signs and
acts accordingly. All of these essential aspects of case management
are carefully explained in the aphorisms of The Organon.
4. What is a natural healing crisis?
Lastly, the homoeopath must know the difference between the 3 types
of homoeopathic reactions and a natural healing crisis.
A. A homoeopathic aggravation is controlled by the primary action of
a homoeopathic remedy while a natural healing crisis is controlled by
the secondary action of the vital force. Therefore, natural healing
cycles are under the curative power of the vital principle within the
constitution. Such a natural crisis is not overly prolonged nor
dangerous to the health of the individual.
B. A homoeopathic aggravation is the increase of those things present
(similar aggravation) or the production of unrelated new symptoms
(dis-similar aggravation). A true natural healing crisis produces the
return of old symptoms and suppressed disease signs as well as
surrogate eliminations. A natural healing crisis is always quickly
followed by a greater sense of health and an increase in vitality.
This is the basis of Hering's Laws. If the return of old symptoms is
prolonged, or more painful than the original complaint, it is a sign
of a similar homoeopathic aggravation. In this situation the primary
action of the similar remedy forces a severe crisis as the old
symptoms return. This is a sign that the size of the dose is too
large, the potency too high, or the remedy was repeated when it was not needed.
Similibus Curentur
Sincerely, David Little
*********
http://www.hpathy.com/philosophy/little ... g-case.asp
Hahnemann points out in his writings that there are two types of
aggravation, the similar aggravation and the dissimilar aggravation.
A similar aggravation is an increase of the symptoms the individual
is experiencing or the appearance of old diseases. This is a sign of
the correct remedy but too strong of a dose. It is best to wait out
this reaction if it is not dangerous or extremely uncomfortable.
If a second dose is needed it will have to be adjusted in the
downward direction. This means less succussions, more water in the
solution, the use of more dilution glasses, a lower potency, a
smaller amount such as 1/2 a teaspoon, etc. These are all methods of
adjusting the dose.
A dissimilar aggravation is the appearance of new symptoms which the
client has never experienced before or do not relate to the disease
being suffered. They are medicinal symptoms produced by the remedy
that are not homoeopathic to the condition of the individual who took
the remedy. This is a sign of the wrong remedy.
Organon, aphorism 249.
"Every medicine prescribed for a case of disease, which in the
course of its action, produces new and troublesome symptoms not
appertaining to the disease to be cured, is not capable of effecting
a real improvement and can not be considered as homoeopathically
selected [DL]; it must, therefore, if the aggravation be
considerable, be first partially neutralized as soon as possible by
an antidote before giving the next remedy chosen more accurately
according to similarity of action; or if the troublesome symptoms be
not very violent, the next remedy must be given immediately, in order
to take the place of the improperly selected one."
***********
http://www.simillimum.com/education/lit ... icle03.php
" A dissimilar aggravation is the appearance of new symptoms which
the client has never experienced before or do not relate to the
disease being suffered. They are medicinal symptoms produced by the
remedy that are not homoeopathic to the condition of the individual
who took the remedy. This is a sign of the wrong remedy. Vide
Organon, aphorism 249.
"Every medicine prescribed for a case of disease, which in the
course of its action, produces new and troublesome symptoms not
appertaining to the disease to be cured, is not capable of effecting
a real improvement and can not be considered as homoeopathically
selected [DL]; it must, therefore, if the aggravation be
considerable, be first partially neutralized as soon as possible by
an antidote before giving the next remedy chosen more accurately
according to similarity of action; or if the troublesome symptoms be
not very violent, the next remedy must be given immediately, in order
to take the place of the improperly selected one."
Let us look at the following examples to clarify the subject. If a
person has a painful lower back condition which is by continued motion while at the same time they
are very restless, chilly, weeps without knowing why, etc., we may
give them Rhus-t. If the lower back pain becomes a little more
painful it is a similar aggravation. This is a sign that the primary
action of the remedy has replaced the natural disease so we can
expect the secondary reaction of the vital force to remove the pain.
This is a positive aggravation. If, on the other hand, the individual
develops headaches and stomach discomfort, it is a dissimilar,
negative aggravation. This is a sign of the wrong remedy!
If the dissimilar symptoms are not excessive a new more proper remedy
should be chosen by the combination of the new medicinal symptoms and
the natural symptoms. This grand totality will correct the problem by
regularizing the vital force and move the case toward cure. If the
dissimilar aggravation is very strong, it should be antidoted
immediately, and a new remedy given as soon as possible. It is very
important for a homoeopath to understand the two types of aggravation.
Many homoeopaths think that all reactions are good reactions or that
they are a cleanse crisis. Unfortunately, this is not the case. A
correct simillimum, or an incorrect remedy, or a partial simillimum
all elicit a different reaction from the vital force. Only the
Organon gives detailed instructions on how to recognize these
situations and make the necessary adjustments in case management."