Part 7: Aphorism 246 of the 6th Organon
Aphorism 245 and 246 of the 5th edition are combined and rewritten in the final 6th edition making one very long paragraph.
Hahnemann first says that any noticeably progressing and strikingly increasing improvement during treatment excludes the repetition of the remedy because the cure is already hastening to take place.
This means that any time a single dose, or a series of doses, causes a strikingly progressive improvement any repetition is counter indicated for the time being. This is because the vital force is moving toward the cure at a maximum rate and any more doses will only slow down the cure.
Then the Founder takes up the subject when a single dose only causes a "slow, continuous improvement" that may take over 50, 60, or 100 days to complete the cure. In these cases the split-dose of the medicinal solution may speed the cure to 1/2,1/4, or less the time it takes the single static dry dose.
This goal may be accomplished under five conditions.
- The remedy must be a true homoeopathic simillimum.
- The remedy should be administered in medicinal solution.
- It must be administered in the smallest of doses.
- The medicinal solution should be repeated at suitable intervals.
- Each dose should be succussed prior to administering the dose.
This is the basis of Hahnemann's advanced posology that teaches the practitioner when to wait and watch as well as when to act according to circumstances. This is what Hahnemann called the middle path approach to posology.
Homoeopathy is a system of flexible response in which the methods of adjusting the dose are central to case management.
In the 1840s Hahnemann administered 30c to 6c in their descending order starting from the 30th as he suggested in the Chronic Diseases (1828). At the same time, he was raising his high potency centesimals like the 198c, 199c and 200c and the LM potencies (0/1- 0/30) starting at the lowest degrees (0/1-0/7).
Hahnemann wrote that the ratio of individual sensitivity varies on a scale of 1 to 1000 (aph. 281). Doses that will not affect a number 1 sensitivity will cause prolonged aggravations in the number 1000 sensitivity. For this reason, the Founder used the medicinal solution and the methods of adjusting the potency and size of the dose.
I quickly found that the LM 0/1 was actually too high a potency for oversensitive patients, even if diluted in 2 or 3 dilution glasses. Such remedies could not be repeated in many sensitive constitutions.
In some cases I switched to the 6c -30c range and the patients did much better. When I worked them up to the 30c, I would then switch them to LM 0/1 rather than give them a 200c. I learned that such constitutions do not tolerate the large jump in potency offered by 30c, 200c,.1M, 10M, 50M, etc..
In those cases that were too sensitive to tolerate the LM 0/1, I began with low potency C's and then worked them up to the 30c and finally the LM 0/1.
This works well with heavy organic pathology, hypersensitivity, allergies, old chronic diseases, one-sided states, and weakened vitality. I have done this in many cases and it works very well.
When I began to study the microfiches of the Paris casebooks I noticed immediately that Hahnemann used his lower potencies (30c-6c) on certain case. He did not give everyone high potency Cs and LMs. I also noticed that he lowered the potency scale from 30c to 24c, etc., in the 1840s just like he did in 1828. At the same time, he raised his high potency Cs (198c, 199c, 200c) and LM potencies (0/1-0/30).
The LMs act smoothly for their remedial powers considering their high potency actions. For this reason, the LMs are far more suitable than the 200c and 1M for a good number of patients.
The large gaps between the 30c, 200c, 1M and 10M Centesimal are too large for many constitutions and chronic conditions. This Kentian system only offers 7 potencies while there are 30 different micro tonal LM potencies.
These individuals usually do very well on the LMs when they are given properly. If they take 200c or 1M (esp. the dry dose) it causes unproductive aggravations and accessory symptoms.
These are some of the differences. The LMs are safe and effective when the potency, succussions, and dose are individualized and the patient is not over-medicated.
This microtonal series of 30 graduated LM potencies is much more similar to the development of degenerative chronic diseases and miasms then the radical jumps of the centesimals. For this reason it is naturally suited to slow developing, long lasting chronic diseases and miasms.
It has only been in the last few years that I have the advantage of reading the microfiches of Hahnemann's Paris Casebooks. This allowed me to personally review the records of his cases from the LM period (1840-1843).
By carefully reading the 6th Organon and the Paris casebooks much more information has come to light. I only wish I had access to all this lost information when I was young.
This situation is finally starting to change as homoeopaths experienced in the 4th Organon method take up experiments with the revisions introduced in 5th (1833) and 6th editions (1842).
Today's students are better educated and have more literature then we did back in 1970. Those who are well trained in the classical methods of the 4th Organon and the single dose wait and watch method are in a good position to test the Paris methods of the 1840s. Why?
The method of the Organon is an artistic method that must be individualized to the patient. There are no preconceived schedules that can guide one. The daily dose or alternate day dose may be correct for one person while one dose a week, month or year is sufficient in another.
Any time one gives too many doses one sees the side-effects of over medication. What a homoeopath learns is when to wait and watch as well as when to act to speed the cure. Much of modern posology is still 167 years behind the times but "the times they are a changing".