Part 4: Curative Action
Homoeopathic cures take place because of the unusually small dose of a high potency of a similar remedy (aph. 68 with reference to 64, point 2). To this subtle medicinal disease the life force needs to use no more secondary effect than necessary to remove the new similar artificial disease and return the organism to complete recovery. There is no state in nature that is exactly the opposite of a simillimum in the correct potency and a minimum dose.
Due to the extraordinary high potency and small amount of the remedy the primary action gently overtunes the natural disease without any aggravation (primary action- 63).
After this the life principle seeks to assert its superiority by removing the remedy mistuning from without by returning to full health and vitality within (counter action - curative action - 64B).
"If there is no state in nature exactly opposite to the initial action, the life force appears to strive to assert its superiority by extinguishing the alteration produced in itself from without (by the medicine), in place of which it reinstates its norm (after-action, curative-action)."
This healing process ideally takes place with no aggravations, no crisis, and no overly noticeable reactions other than the rapid restoration of health and vitality (148). That is the goal of the Similia Minimus of the 6th Organon.
High potency centesimals made on machines with many dilutions with strong succussions produce aggravations at the start of treatment that limit the curative secondary effect of the vital force.
In the LM method the gentle primary effect of the remedy replaces the natural disease without aggravation at the start of treatment and produces a long enduring gentle curative effect in the life force that removes the remedy disease from without and returns to full and health vitality within.
With the LM potency there is no need for a crisis-like aggravation to cure natural diseases. The proper LM simillimum in the minimal dose produces rapid transformations to the state of health and the restoration of vitality without any noticeable excessive reactions.
The 6th Organon demonstrate the foolishness of those who say the vital force removes no mistuning and plays no active role in healing. Like the mechanists of the old school they think of cure only in terms of a medicinal power rather then a combination of the remedy action and the curative effect of the Lebenskraft, the Vigor Vita.
Hahnemann spoke of the essential role of life force, in the Preface to the Introduction of the 6th Organon in 1842.
"Homoeopathy is aware that a cure can only succeed through the COUNTER-ACTION OF THE LIFE FORCE AGAINST THE CORRECTLY CHOSEN MEDICINE. The stronger the life force that still prevails in the patient, the more certain and faster the cure that takes place".
Samuel Hahnemann, confirmed Paris, 184-." [capitals DL]
The correct dose of the LM potency in medicinal solution produces a non-aggressive primary action, no aggravations, and a long enduring gentle curative effect by the life principle.
Even during the curative response the remedy may still be repeated at suitable intervals when it is necessary to speed the cure. The curative reaction of the vital force is not disrupted by the repetition of the minimal size dose of the medicinal solution of the remedy as is witnessed by the repetition of the dry dose.
The cycle of healing with the LM remedy is - small liquid dose - no aggravation - enduring gentle secondary effect - removal of the remedial disease - cessation of remedy duration - the complete return of health and full vitality.
This demonstrates the important role that Hahnemann gave to the Lebenskraft in the 6th Organon. The goal of the LM strategy is a smooth, continuous, graduated ascent to health and vitality through 30 microtonal potencies without aggravations.
Actions of the Centesimal Remedies
Hahnemann wrote in the 5th Organon (1833) that the C potency tends to produces aggravations within one to two weeks after the administration of a C potency in chronic diseases.
In 1833 the Founder still thought that he had to compel the vital force to increase its energy through crisis-like aggravation to produce a enduring curative effect over time. This phenomenon is so common with the dry C pellets that many homoeopaths still think they must aggravate to compel the vital force to cure.
Hahnemann changed his opinion about the need for aggravation when he discovered the LM potency and the split-dose of the medicinal solution in the 1840s.
The remedial powers of the centesimal scale reaches its peak very quickly, promotes crisis, and then brings on a longer duration of secondary action. The Kentian high potency system has become the modern potency standard with great jumps of potency levels between 30c - 200c - 1M - 10M - 50M - CM, etc.
This trend was established by Hahnemann as he quite commonly used the 30c, 200c and experimented with the 1M. These large jumps in potency cause a quick vertical arc of the potency scale in the upward direction.
Even in medicinal solution the 200c and 1M tend to aggravate toward the beginning of the treatment rather than the end. This is due to the 100 to 1 dilution ratio and strong succussions.
The nature of the centesimal potencies is quick in their onset as they reach aggravation at the beginning of the treatment when the pathology is at its maximum and the vitality the weakest.
This tendency is still witnessed (although in a modified form) in the Cs in medicinal solutions. The power of the C potency is most similar to rapid onset, quick crisis, and the aggressive power of the Cs is similar to accidents, trauma, crisis, strong acute diseases, virulent acute miasms, crisis or acerbations of the chronic states and miasms, the functional states of the chronic diseases, and chronic states that start with strong crisis and then progress over a longer duration.
The large increases in potency degrees of the centesimal potencies enhance the aggressive nature of the 1/100 dilution ratio and the centesimal potency system. The medicinal solution moderates the aggressive tendencies of the Cs but they still tend to aggravate more quickly, more forcefully, and for longer duration than the correctly given LM potencies.
Actions of the LM Potencies
Chronic diseases often have an insidious onset, slowly increasing pathology, and reach crisis after a longer period of years. The LM potency is subtle in its onset, uses a series of slowly increasing potencies, and they reach aggravation at the end of the treatment.
The LM potency scale is homoeopathic to many chronic diseases and miasms. In the 6th Organon (1843) Hahnemann wrote that the LM scale produces aggravations at the end of the treatment when the patient is completely well if the dose is controlled.
By the publication of the 6th Organon Hahnemann no longer believed it was necessary to compel the vital force to cure through aggravations. There are no aggravations with the LM potency if the remedy is slowed down as the patient improves and stopped at the correct time.
This effect is enhanced with the C's in medicinal solution but their nature still tends toward a quicker aggravation due to their 1 to 100 dilution ratio.
Partial simillimums tend to change the natural symptom patterns too quickly calling for a new more perfect remedy. For this reason, the first prescription is a very important moment in every case.
If the remedy is a true simillimum the patient can be exposed to longer series of LM potencies 0/1, 0/2, 0/3 to 0/30 until cure is completed over a longer period of time. The LM potencies are a gradually increasing microtonal scale of 30 potency degrees that are very similar to the slowly increasing symptoms of degenerative disease and miasms. This is why they are so well suited to chronic degenerative diseases and miasms.
The LMs tend to aggravate at the end of treatment when the pathology is healed and vitality restored. This is a sign that the remedy is no longer needed. If the remedy is slowed down as the patient improves, there will be no aggravation at the end of treatment.
The C potencies have a rapid onset and reach aggravation at the beginning of treatment when the patient is the most ill and the weakest. This is not the best situation. This is another reason why the LMs are suitable for many inherited and acquired chronic diseases and miasms.
The properly adjusted LM also works well on serious trauma, virulent acute disorders, and crisis. Here the higher opening potencies (0/3-0/6) are sometimes of use although most cases resolve on LM 0/1 -3.
We have discussed some of the difference between the remedial powers of the C and LM potency that makes them complementary opposites. Once the homoeopaths understand the inner nature of the Cs and LMs they will understand how to use them at the correct times.
The Paris casebooks show that Hahnemann often used his centesimal potencies for crisis and acute diseases and switched to the LM potencies for constitutional treatment and miasms. This is not an absolute rule but a tendency one sees throughout the cases of his last three years (1840-1843).