LM management

[Arlene Kellman, DO]

Hi all,

Since we're on the topic of LMs again lately, I'd like to broach the
subject of ongoing management using LM potencies.

When I was attending a homeopathic college in the past, we were taught a
"routine" method of using LMs, giving a dose 1-2X/day and increasing the
level (e.g., LM1 to LM2) on approximately a monthly basis. (I can hear
you groaning, David and Dave and Soroush!) Due to input from this group,
I have been using LMs more often and am still trying to find a
systematic way to approach frequency and potency changes. My current
method is to give one dose, then wait a few days to assess for a
response. Then if no apparent response (positive or negative), I tell
the patient to take one dose daily and schedule a follow-up appointment
in a few weeks. I also tell the patient that if any adverse or
unexplained symptoms arise, to stop the remedy and call me.

Several patients have done well with the above method, but I am at a
loss as to where to go next. If a person has improved but is not
completely symptom-free, is it then time to go to the next potency
level, or stop altogether and wait, or decrease dosing frequency? I
should add that most of the patients for whom I prescribe LMs are taking
multiple allopathic medications which cannot be stopped, so part of my
justification for the repeated doses is due to theoretical antidoting
from the pharmaceuticals.

I will eagerly await your feedback.

Thank you,
Arlene

[Finrodltd@hg24.btclick.com]

Hi Arlene

Your questions are fair and there is no room for any groaning!!

Your observations about the general teaching on the use of LMs is correct.
HOWEVER, the principle that needs to be observed, as was mentioned by David
earlier, is 'If Necessary' !

So the dose of LM should be repeated ONLY if necessary.

I think after a period of 'hand-holding' the patient learns how to apply
this principle! and also watching out for any symptoms developing or going
away.

If any patient of mine is taking an allopathic drug (for asthma, high BP
etc) then I find that one needs to give the remedy more often, almost daily.

When the bottle is finished, you have two choices:
1- go to the next potency.
2- refill the bottle with water and carry on with the same potency but much
high dilution.

I have used 2 when the patient has been doing well and the bottle has almost
ran out, but I cannot see any justification in changing the potency.

Good healing
Soroush

[Sue Muller]

There is an excellent article by Schulz somewhere about how to use them
according to his experience. Mind you, I've tried them but still don't know
what the advantage is but I know one disadvantage is if the remedy is wrong
you end up giving multiple doses of it and I, for one, have had some
unpleasant reactions from wrong remedies (LM and otherwise).

sue

[Sheila Parks]

dear arlene, luc deschepper also taught, as the message below talks about,
plussing the lm almost empty bottle - i.e., adding water when there is about
only 1 teaspoon left, for a variety of reasons. i had a patient once who
plussed her bottle twice and told me about it later. i had told her to do it
only once. she had very good results from the second plussing also. sheila
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[Chris_Gillen]

Hi Arlene,

Depending on the disease state (acute or chronic), and the individual's
constitution, this is how I go about it. (Assuming it's chronic) I give
one dose, or one series of three doses and wait a few days, if there is an
improvement that lasts for 1, 2 or 3 or more days then I repeat doses
correspondingly every 1, 2 or 3 or more days.
If this schedule is beneficial I continue in this way monitering
fortnightly.
If it is not sufficient I modify the succussions, size of dose etc.
If the treatment is progressing I will then slowly reduce the level of
repetition to see if the benefits still remain and adjust accordingly.
If symptoms return after the initial improvement and the remedy picture is
the same following adjustments, I move up to the next potency level and
follow the same instructions:- wait and see reaction to new potency, adjust
etc.
If I can see no immediate improvement after the test dose, and I'm sure of
my remedy choice, I give another series of test doses in 3 days, there is
always a response by this stage, good or bad. If I still can't understand
what's happening I ask for help.

Chris

[Arlene Kellman, DO]

Soroush,

Thanks for your suggestions!

I hadn't thought of refilling an empty bottle and continuing on with the
same LM potency. You said you do this when you cannot justify changing
the potency. So now my question is, what *would* be the justification
for raising the potency of an LM (versus refilling an empty bottle and
continuing to succuss the old potency)? I have read cases where the LMs
have been raised as often as every two weeks!

Best regards,
Arlene
ut
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[Non-text portions of this message have been removed]

[Arlene Kellman, DO]

Sue,

Any ideas on how to locate the article by Schulz that you recommended?

Thanks,
Arlene

[Feras Hakkak]

Hi All,
Some months ago I prescribed Nat-m LM1 for one of my friends. It worked in a wonderful way and made a striking amelioration for five days. I waited for some weeks and then thought with myself "OK. It was excellent and he was absolutely well for five days. So, I ask him to use it again every five days." After ten days, he called me and said that those extra doses had spoilt the excellent effect of the first dose and his symptoms had relapsed.
As a conclusion, I think repeating the remedies must be done with much care. Any ideas?
Sincerely, Feras Hakkak
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[Non-text portions of this message have been removed]

[Soroush Ebrahimi]

Thank you Feras for this excellent example and lesson!

The key words are 'IF Necessary'.

To use a can analogy, his engine was running and you turned the starter key
once more. All you get is the sound of crunching of the gears!

We have to wait for the golden rule and only prescribe when the symptoms
demand it.

Rgds
Soroush

[Arlene Kellman, DO]

Thank you, David, Chris, and Sheila, for your suggestions. I guess I was
presumptive in expecting groans. I'm glad we can discuss different
approaches to treatment in a nonjudgmental way. I appreciate your help!

Yes, D.O. does stand for Doctor of Osteopathy.

Sincerely,
Arlene