LM question 2
Posted: Fri Apr 25, 2003 6:34 pm
At 04:13 PM 4/24/2003 -0500, you wrote:
Hello,
Even case must be individualized by the sensitivity of the patient,
the nature and stage of the disease state, the level of vitality, and the
nature of the remedy. One has to judge sensitivity on a scale of 1 to 1000.
What would not even affect a number 1 sensitivity would cause serious
aggravations in a 1000th. Using the daily dose is reserved for those
patient's that seem the most hyposensitive. Even then it must be slowed
down when there is a sign of amelioration. Those who are hyposensitive
might need the remedy daily or every other day. Those of the moderate
sensitivity might need the remedy every 3, 4, 5, 6, or 7 days. Those of
high sensitivity might only need the dose one a week, once every two weeks,
once a month, etc. There are no mechanical schedules that will suit all
patients at all times in all conditions.
In the preface of the 6th Organon Hahnemann linked the time of cure to
how much vitality the patient possesses. This is because the secondary
curative action must use the pool of vital force in the reaction. A weak
patient can not respond as quickly as the vital patient. Also one-side
diseases and local affections with organic pathology do not respond as
quickly as a functional disorder with little organic pathology. Even those
with one-sided old pathologies often feel more vitality and a better sense
of well being even though the physical symptoms have yet to respond. So one
must take these things into account when judging how long to wait.
What do you mean by drops? Is this drops of the pharmaceutical liquid
or a specially prepared dropper bottle made with 1, or 2 tiny poppy seed
size pills? There is two methods of delivering the dose; the standard
medicinal solution made with 7 or more tablespoons and the dropper bottle
dose.
1. The LM potency is not normally give in drops. This is not the method
of the 6th Organon. The LM remedies are prepared on very small poppy seed
size pills. 1, rare 2 of these small pills is used to make a medicinal
solution in a minimum of 7 tablespoons of water. For this medicinal
solution 1, 2, and increasing more teaspoons are stirred into a dilution
glass filled with 8 to 10 tablespoons of water. The patient is given 1,
increasing 2, or 3 teaspoons as dose from this dilution glass.
2. Hahnemann did introduce a dropper bottle dose in the Paris addition
of the Chronic Diseases in 1837. This method has been applied to the LM
potency also. In this case, 1 or 2 pills are place in the dropper bottle
with 200 to 500 drops of half brandy and water. Then 1 or increasing 2, 3
drops are dropped into a tablespoon of water and the patient is give 1, 2,
or 3 teaspoons. The drop or drops may be also be placed into a dilution
glass of 8 to 10 tablespoons of water and the patient given 1, 2, or 3
teaspoons as needed. Hahnemann used this last method in the case of Duke
Valmy in 1837 (DF-5).
Whose standard directions? This is not the method Hahnemann
introduced. The only real standard posology is found in the Organon. All
the rest are experimental and personal. You increased the size of the dose
so much that it became too large and caused a strong aggravation. There
are two types of aggravations; the similar and dissimilar aggravation.
There is also the reaction to too distant of a partial simillimum.
1. A similar aggravation is an increase of the intensity of the symptoms
that the patient suffered. This is a sign of the correct remedy but the
posology was incorrect. This could mean the size of the dose was too large,
the potency was too high, or the remedy was given when it was not needed.
This means one must correct the case management procedures and adjust the
dose.
2. A dissimilar aggravation is the appear of new symptoms not appertaining
to the disease under treatment. This is the sign of the wrong remedy.
Sometimes, if one waits a bit the new symptoms will cease naturally. Then
give a better remedy. If the symptoms continue one must retake the cases
with the new medicinal and natural symptoms together making a new grand
totality. If the remedy is based on the striking, unusual, and oddly
characteristic symptoms this new remedy will regularize the symptoms and
move the patient toward cure.
3. The third condition is a partial simillimum. Here the remedy removes
some of the symptoms like the correct remedy but also causes new accessory
symptoms in other areas. Partial simillimums tend to change the natural
symptoms pattern as the case progresses. The answer to this is too take a
better case and give better remedies.
So whether one should adjust the dose or change the remedy depends on
the nature of the situation.
It is very, very rare to have to wait for months to see the action of
the LM potency. I have never had to. This reaction would not be considered
what Hahnemann called the *strikingly progressive amelioration* in aphorism
246 of the 6th Organon. In such cases one lets the single dose act without
any repetition until the progressive nature of the improvement slows down.
Waiting for months at best would be called a very *slow improvement*. It is
for these slow improvements that Hahnemann suggested repeating the dose at
suitable intervals to speed the cure. There is no reason to wait for
months! Hahnemann advanced posology methods of the 1840s overcame these
obstacles.
To do this one must observe the 5 condition of aphorism 246, which
include using a true simillimum, the minimal size dose, the medicinal
solutions, succusing the remedy bottle before administration, and repeating
the remedy at the right time. In this manner the time of cure can be sped
to 1/2, 1/4 or less the time it would take with such a slow reaction to the
single dose of the C or LM. This is exactly the situation for which the
split-dose of the medicinal solution was developed. There is no need to
wait for months with the patient not improving or only slowly improving.
That is the method of dry dose Cs and the 4th Organon. Hahnemann advanced
posology method was developed to speed the cure in such prolonged cases.
This late appearance happens on occasions with a single dose of C
potencies. It can take a month or more at times. This may happen sometimes
with the single dose wait and watch method of the 4th Organon with slow
acting remedies like Sil, etc. Hahnemann used this method in the 1820s. By
the 1830s he found a better way to administer the C potencies that did not
demand waiting so long to see what was happening or attain a good
improvement. By the 1840s he was using the low and high potency Cs and the
LM potency in medicinal solution and speeding these types of cures up
tremendously. I used to wait and watch for very long periods at times with
the C potency in the single dry dose. Since I started using the medicinal
solution I have not had to wait so long for good improvement. Hahnemann new
method is definitely much faster than his old methods.
As I said, I have had a cases like this with the old C potency single dry
dose wait and watch method but I no longer find it necessary too wait so
long with the carefully adjusted medicinal solution of the C or LM potency.
The LM potencies usually show their more quickly than this in most cases.
Those that show little response after waiting for a reasonable amount of
time depending on the disease state and vitality of the patient are
candidates for the split-dose and the repetition of the remedy to speed the
cure.
Sincerely, David
---------------
"It is the life-force which cures diseases because a dead man needs no more
medicines."
Samuel Hahnemann
Visit our website on Hahnemannian Homoeopathy and Cyberspace Homoeopathic
Academy at
http://www.simillimum.com
David Little © 2000
Hello,
Even case must be individualized by the sensitivity of the patient,
the nature and stage of the disease state, the level of vitality, and the
nature of the remedy. One has to judge sensitivity on a scale of 1 to 1000.
What would not even affect a number 1 sensitivity would cause serious
aggravations in a 1000th. Using the daily dose is reserved for those
patient's that seem the most hyposensitive. Even then it must be slowed
down when there is a sign of amelioration. Those who are hyposensitive
might need the remedy daily or every other day. Those of the moderate
sensitivity might need the remedy every 3, 4, 5, 6, or 7 days. Those of
high sensitivity might only need the dose one a week, once every two weeks,
once a month, etc. There are no mechanical schedules that will suit all
patients at all times in all conditions.
In the preface of the 6th Organon Hahnemann linked the time of cure to
how much vitality the patient possesses. This is because the secondary
curative action must use the pool of vital force in the reaction. A weak
patient can not respond as quickly as the vital patient. Also one-side
diseases and local affections with organic pathology do not respond as
quickly as a functional disorder with little organic pathology. Even those
with one-sided old pathologies often feel more vitality and a better sense
of well being even though the physical symptoms have yet to respond. So one
must take these things into account when judging how long to wait.
What do you mean by drops? Is this drops of the pharmaceutical liquid
or a specially prepared dropper bottle made with 1, or 2 tiny poppy seed
size pills? There is two methods of delivering the dose; the standard
medicinal solution made with 7 or more tablespoons and the dropper bottle
dose.
1. The LM potency is not normally give in drops. This is not the method
of the 6th Organon. The LM remedies are prepared on very small poppy seed
size pills. 1, rare 2 of these small pills is used to make a medicinal
solution in a minimum of 7 tablespoons of water. For this medicinal
solution 1, 2, and increasing more teaspoons are stirred into a dilution
glass filled with 8 to 10 tablespoons of water. The patient is given 1,
increasing 2, or 3 teaspoons as dose from this dilution glass.
2. Hahnemann did introduce a dropper bottle dose in the Paris addition
of the Chronic Diseases in 1837. This method has been applied to the LM
potency also. In this case, 1 or 2 pills are place in the dropper bottle
with 200 to 500 drops of half brandy and water. Then 1 or increasing 2, 3
drops are dropped into a tablespoon of water and the patient is give 1, 2,
or 3 teaspoons. The drop or drops may be also be placed into a dilution
glass of 8 to 10 tablespoons of water and the patient given 1, 2, or 3
teaspoons as needed. Hahnemann used this last method in the case of Duke
Valmy in 1837 (DF-5).
Whose standard directions? This is not the method Hahnemann
introduced. The only real standard posology is found in the Organon. All
the rest are experimental and personal. You increased the size of the dose
so much that it became too large and caused a strong aggravation. There
are two types of aggravations; the similar and dissimilar aggravation.
There is also the reaction to too distant of a partial simillimum.
1. A similar aggravation is an increase of the intensity of the symptoms
that the patient suffered. This is a sign of the correct remedy but the
posology was incorrect. This could mean the size of the dose was too large,
the potency was too high, or the remedy was given when it was not needed.
This means one must correct the case management procedures and adjust the
dose.
2. A dissimilar aggravation is the appear of new symptoms not appertaining
to the disease under treatment. This is the sign of the wrong remedy.
Sometimes, if one waits a bit the new symptoms will cease naturally. Then
give a better remedy. If the symptoms continue one must retake the cases
with the new medicinal and natural symptoms together making a new grand
totality. If the remedy is based on the striking, unusual, and oddly
characteristic symptoms this new remedy will regularize the symptoms and
move the patient toward cure.
3. The third condition is a partial simillimum. Here the remedy removes
some of the symptoms like the correct remedy but also causes new accessory
symptoms in other areas. Partial simillimums tend to change the natural
symptoms pattern as the case progresses. The answer to this is too take a
better case and give better remedies.
So whether one should adjust the dose or change the remedy depends on
the nature of the situation.
It is very, very rare to have to wait for months to see the action of
the LM potency. I have never had to. This reaction would not be considered
what Hahnemann called the *strikingly progressive amelioration* in aphorism
246 of the 6th Organon. In such cases one lets the single dose act without
any repetition until the progressive nature of the improvement slows down.
Waiting for months at best would be called a very *slow improvement*. It is
for these slow improvements that Hahnemann suggested repeating the dose at
suitable intervals to speed the cure. There is no reason to wait for
months! Hahnemann advanced posology methods of the 1840s overcame these
obstacles.
To do this one must observe the 5 condition of aphorism 246, which
include using a true simillimum, the minimal size dose, the medicinal
solutions, succusing the remedy bottle before administration, and repeating
the remedy at the right time. In this manner the time of cure can be sped
to 1/2, 1/4 or less the time it would take with such a slow reaction to the
single dose of the C or LM. This is exactly the situation for which the
split-dose of the medicinal solution was developed. There is no need to
wait for months with the patient not improving or only slowly improving.
That is the method of dry dose Cs and the 4th Organon. Hahnemann advanced
posology method was developed to speed the cure in such prolonged cases.
This late appearance happens on occasions with a single dose of C
potencies. It can take a month or more at times. This may happen sometimes
with the single dose wait and watch method of the 4th Organon with slow
acting remedies like Sil, etc. Hahnemann used this method in the 1820s. By
the 1830s he found a better way to administer the C potencies that did not
demand waiting so long to see what was happening or attain a good
improvement. By the 1840s he was using the low and high potency Cs and the
LM potency in medicinal solution and speeding these types of cures up
tremendously. I used to wait and watch for very long periods at times with
the C potency in the single dry dose. Since I started using the medicinal
solution I have not had to wait so long for good improvement. Hahnemann new
method is definitely much faster than his old methods.
As I said, I have had a cases like this with the old C potency single dry
dose wait and watch method but I no longer find it necessary too wait so
long with the carefully adjusted medicinal solution of the C or LM potency.
The LM potencies usually show their more quickly than this in most cases.
Those that show little response after waiting for a reasonable amount of
time depending on the disease state and vitality of the patient are
candidates for the split-dose and the repetition of the remedy to speed the
cure.
Sincerely, David
---------------
"It is the life-force which cures diseases because a dead man needs no more
medicines."
Samuel Hahnemann
Visit our website on Hahnemannian Homoeopathy and Cyberspace Homoeopathic
Academy at
http://www.simillimum.com
David Little © 2000