Samuel Hahnemann

This is part two of an outline of the Organon of Hahnemann, prepared by Julian Winston for the students of the Wellington College of Homeopathy.

When substantial changes were made between the 5th edition of 1833 and the 6th edition of 1842, the 5th will be in italic type and the 6th will be in plain type. An asterisk ( *) indicates a footnote well worth reading.

Outline - Part Two:

17. Local diseases
18. Introduction to the treatment of chronic disease
19. Mental Diseases
20. Intermittent diseases
21. How to use the remedies
22. The medicines
23. Administering the remedies
24. More on dosages and allied practices

Local diseases
(185 - 203)

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185. Local maladies appear on external parts of the body. That they stand alone is absurd.
186. Problems which are "local" and have been produced from without have great effect on the whole living organism. When mechanical aid is needed, then surgery is required (setting bones, bringing skin together, extracting foreign objects, etc.) but the whole living organism requires dynamic aid to accomplish the work of healing.
187. But "local" manifestations that are not produced by external injury have their source within the body. To see them and treat them as external is as absurd as it is pernicious.
188. It is absurd to think that living organisms know nothing of these external problems.
189. All external maladies (except injuries) come about as a result of an internal diseased state.
190. All treatments, therefore, must be directed against the whole.
191. This is confirmed through experience.
192. All changes, not just the local affliction, must be taken into account when determining the remedy.
193. When the dose is taken, the general morbid state of the body is cured, and with it, the local affliction-- which was an inseparable part of the whole disease.
194. In local diseases it is of no use to apply remedies locally for the topical affliction, even if it is the same remedy that is used internally. If the vital force was not competent to restore full health, then the acute disease was a manifestation of latent psora which has now burst forth.
195. To cure such cases (which are not rare), give the anti-psoric remedy after the acute stage has subsided. This is all that is required in non-venereal cases.
196. It might seem that cure would be hastened by the application of the remedy locally as well as internally.
197. This should not be done. In diseases where there is a local affliction, the application of the remedy to the surface may annihilate the local symptoms before the internal disease, and this may seem to be a cure but isn't.
198. The use of topical applications alone is inadmissible. If you only remove the local symptoms, it is often hard to see the more obscure inner symptoms (which may be slightly characteristic and difficult to see.)
199. If the external symptoms have been removed (by surgery, etc.) the remaining internal symptoms might be too vague to discover the remedy because the external symptoms can no longer be seen.
200. If it hadn't been removed, the remedy of the whole disease would have been found and would have resulted in a perfect cure.
201. The vital force, when expressing a chronic disease keeps the disease on the surface, and therefore not threaten life itself. But since the external manifestation is a part of the general disease, as the disease gets worse the external manifestation gets worse-- so it can still be a substitute.
202. If the external disease is now destroyed, nature will make up the loss by increasing the internal disease. This is incorrectly referred to as being "driven back into the system."
203. Removing the external without treating the internal is a criminal procedure.

Introduction to the treatment of chronic disease
(204 - 209)

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204. If we exclude all chronic diseases that are caused by unhealthy living (Para. 77) and all medicinal diseases (Para. 74), most of the remainder of chronic diseases, WITHOUT EXCEPTION, are caused by the three miasms, sycosis, syphilis, and a greater proportion, psora.
205. The homoeopath will never treat the primary symptoms, but only cures the underlying miasm. Refer to Chronic Diseases.
206. When taking the chronic case, make a careful investigation if the patient ever had venereal disease. Two miasms might be present, but, frequently, psora is the sole fundamental cause of all chronic disease.
207. Find out what kind of allopathic treatment had been had, to understand how the disease has changed.
208. The patients age, mode of living and diet, occupation, domestic position, social relation, etc. must be taken into consideration, as well as the state of the mind and the disposition.
209. Trace the picture of the disease, and get the patient to tell the most striking and peculiar symptoms.

Mental diseases
(210 - 230)

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210. All one-sided diseases are psoric. Mental diseases are not a separate class, since in all diseases the mind is altered.
211. The disposition of the patient often determines the selection of the remedy-- because they are often characteristic symptoms which "can least of all remain concealed from the accurately observing physician."
212. The Creator of healing forces also thinks highly of this as all medicines (which he created) affect the mind.
213. We can't cure diseases if we do not observe the disposition and the state of mind.
214. Mental diseases are to be cured the same was as all other diseases.
215. All mental diseases are physical ones, where the physical symptoms are so slight as to make the disease seem to be one-sided.
216. Many physical ailments of an acute character, transform into insanity whereupon the physical symptoms cease.
217. In such cases we must look to the whole phenomenon-- the physical and mental.
218. The symptoms include previous physical symptoms-- which may be learned from friends or relations.
219. Those symptoms will be found to be still present, though obscured.
220. The complete picture of the disease can then be prescribed upon-- usually an anti-psoric remedy.
221. When insanity comes on acutely after a fright, etc., it should not be treated with anti-psorics (although it arises from an inner psoric state bursting forth), but with the other class of proved remedies (Aconite, Belladonna, Stramonium, etc.) until the patient returns to his latent state.
222. But such patients are not cured. They should be "freed completely" by anti-psoric treatment.
223. If this is not done, the patient will have recurring attacks, each brought on by a slighter cause.
224. If it is not certain that the mental disease arose from physical illness rather than from "faults in education, bad practices, corrupt morals, superstition or ignorance", see if it can be improved by "friendly exhortations, consolatory arguments, serious representations, and sensible advice." Real disease will be speedily aggravated by such a course.
225. There are some emotional illnesses that will, if left alone, destroy the physical health.
226. These may be treated, in an early stage, by "displays of confidence, friendly exhortations, sensible advice, and often by well-disguised deception."
227. But the underlying cause is a psoric miasm (which is not fully developed) and must be treated.
228. With mental diseases that come from physical maladies, we must also treat the patient well and "not reproach him for his acts" or use punishment or torture. The only reason coercion is justified is the giving of the remedy-- but it could be given in a drink without the patient's knowledge.
229. The physician and the keeper must always pretend to believe them to be possessed of reason
230. If anti-psorics are used than the case can be cured [confidently assert]

Intermittent diseases
(231 - 244)

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231. Intermittent diseases are those that recur at certain periods and states which alternate at intervals.
232. Alternating diseases are numerous and belong to the class of chronic disease. They are, generally, a manifestation of chronic psora. Read Chronic Diseases.
233. In the typical intermittent disease, the same state returns at fixed periods.
234. The non-febrile intermittent diseases are, mostly, purely psoric and seldom complicated with syphilis, but sometimes they need a small dose of Cinchona to completely extinguish them.
235. In intermittent fevers, when the symptoms alternate, the remedy should produce similar alterations.
236. The best time to give the medicine is soon after the paroxysm.
237. But if the state of no fever is short, give the remedy when perspiration begins to abate.
238. The remedy can be repeated if the symptoms return and have the same picture. If the fever is brought on by marshy districts, then permanent restoration can only be had by getting away from the causative factors.
239. All fevers may be cured with homoeopathic remedies
240. If cure is not possible, it must always be because of the psoric miasm, which must be treated.
241. Epidemics of intermittent fevers are of the nature of chronic diseases. Each epidemic is of a uniform character which will reveal the common totality-- which will lead to the (specific) remedy for all cases.
242. If the person is very weakened, then an anti-psoric remedy would be needed, generally a minute and rarely repeated dose of Sulphur or Hepar sulphuricum in a high potency
243. If a single person is attacked, find the totality and give the remedy. If cure is not complete, give an anti-psoric.
244. Persons who can't be cured by a few doses of cinchona, have psora at the root of the malady, which needs to be treated.

How to use the remedies
(245 - 263)

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245. We will now talk about how to use remedies and the diet and regimen during their use.

Paragraphs 246 - 248 are totally re-written in the 6th edition

246. The best selected remedies should be repeated at suitable intervals.
246. Don't repeat as long as there is amelioration (in acute disease). In chronic disease this may also be the case at times. But this is rare. If the medicine is well selected, highly potentized, dissolved in water, and given properly (that the degree of each dose is changed), a cure will result. [footnote describing the new method.]
247. Smallest doses may be repeated.
247. The remedy must be changed in potency each time it is given.
248. The dose may be repeated until action is exhausted.
248. How to do it. The instructions for changing the potency each time. Aggravation comes at the end. Even a one dram vial of alcohol with one globule that is used for olfaction must be succussed 8-10 times before each dose.

249. If new and troublesome symptoms are produced by the remedy, it is not homoeopathic and should be neutralised and/or the next remedy be given immediately to take the place f the improperly selected one.
250. When you see the wrong remedy is given, find and give the right one!
251. Some medicines have alternating actions. If you give one (Ignatia, Bryonia, Rhus tox) and no improvement follows, give it again.
252. If nothing happens after the most suitable remedy is given, there is an obstacle to cure in their mode of life.
253. In acute diseases the first positive changes are usually mental-- a freedom of mind, higher spirits. The opposite is seen in an aggravation.
254. The observing physician will note these changes while the patient might not.
255. If you go through the case point by point and notice no changes in symptoms, but the patient's disposition is better, the medicine might just need more time to act, there might be an obstacle to cure, or the dose was not small enough.
256. If the patient has new symptoms-- signs that the medicine was not correct-- but says he feels good, we must not believe it.
257. Do not make any remedies "your favourites" because you will neglect many others, perhaps better, remedies.
258. If you avoid some remedies because you have bad results with them (through your own fault), remember that ALL remedies are useable when the similarity to the totality is matched and "no paltry prejudices should interfere with this serious choice."
259. Because the doses are so small, anything which has medicinal action must be removed from the diet and regimen.
260. In chronic diseases this is even more important (followed by a list of things to avoid.)
261. The best thing in chronic diseases is to remove the obstacles to recovery, and encourage recreation, exercise, and good food.
262. In acute diseases, the patient should be allowed to eat what he wants.
263. The desires are to be granted within moderate bounds, the room and temperature should be controlled as the patient wishes.

The medicines
(264 - 271)

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264. The physician should have pure medicines to use.
265. The physician should see that the patient takes the right medicine (6th ed. prepared by the physician himself.)
266. Animal and vegetable remedies are most perfect in their raw state.
267. Instructions for making extracts.
268. With materials that are not supplied fresh, you must be convinced that they are genuine.
269. Description of potentization [conceptual]
270. Description of making centesimal potencies (6th ed: LM potencies)
271. Description of trituration (6th ed: the physician should do it himself)

Administering the remedies
(272 - 279)

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272. In no case is it needed to give more than one remedy at a time (6th ed: one globule is OK, but dissolved in water and stirred well will touch many more nerves.)
273. How can one not understand that one remedy at a time is the only way (6th ed: It is absolutely not allowed in homoeopathy to give the patient at one time two different remedies.)
274. Single remedies are proven and have totalities. If you give two you can't evaluate the results.
275. You must control the size of the dose as well.
276. Even if the remedy is homoeopathic it can do harm in too large a dose and more harm the higher the potency. "Too large doses too frequently repeated bring trouble."
277. If the dose is sufficiently small it will have salutary and gentle remedial effect.
278. How small must it be? Theories and speculation are not the answer. Careful observation and accurate experience alone determines this.
279. Experience shows that a selected and highly potentized dose of the homoeopathic remedy can never be too small to overpower a natural disease.

More on dosages and allied practices (mesmerism, baths, etc.)
(280 - end)

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PARAGRAPHS 280 -294 HAVE BEEN TOTALLY RE-WRITTEN FOR THE 6th EDITION.

280. Materialistic people don't understand this.

280: The dose should be gradually ascending as long as there is general improvement, followed by a mild return of old complaints. This indicates an approaching cure.
281: Everyone, especially in a diseased state, is capable of being influenced by the simillimum. Mere theoretical scepticism is ridiculous.
281. To be convinced, just give the patient placebo and watch him get better at this point
282. The dose can produce aggravation in the parts already affected. The artificial diseases substitutes for the natural disease.
282: If the dose is too large, the first dose produces an aggravation, especially in chronic diseases.
283. The true healing artist prescribes his well selected remedy only in a minute dose. If it is the wrong medicine, the smallness of the dose will prevent injury.
283: The true healing artist prescribes his well selected remedy only in a minute dose to avoid the homoeopathic aggravation. If it is the wrong medicine, the smallness of the dose will prevent injury.
284: The action of the dose does not diminish with quantity. Eight drops are not four times as strong as two drops.
284: The nose and respiratory organs are receptive to the action of the medicines. The whole skin is also adapted to the action of medicinal solutions, especially when used with an internal remedy.
285: The diminution of the dose is essential, as is the diminishing of the volume, i.e., a single globule.
285: In very old diseases, the remedy may be rubbed on the back, arms, and extremities, while being given internally.
286: The greater the quantity of fluid the dose is dissolved in, the better, since it comes into contact with more surface area.
286: The dynamic forces of mineral magnets, electricity, and galvanism act upon the life principle. We don't know enough about them to use them homoeopathically. The positive, pure actions upon the body have not been tested.
287: By diluting it further the effect is changed. Each person must judge for himself how to diminish the dose to make them suitable for sensitive patients.
287: The powers of the magnet for healing purposes is outlined in the Materia Medica Pura.
288. The actions of the medicines in liquid form are certainly spirit-like in power. (footnote describing the effectiveness of olfaction)
288: Mesmerism and animal magnetism are also priceless gifts.
289: Every part of the body that possess the sense of touch is capable of receiving the medicines.
289: Discussion of positive and negative mesmerism.
290: The interior of the nose, rectum, and genitals are also sensitive to the medicinal agents.
290: Advantages of massage in the cases of a chronic invalid.
291: Even organs which have lost their sense (i.e., sense of smell) will be susceptible to the remedy.
291: Discussion of hydrotherapy.
292: Even the external parts of the body would be susceptible, especially if the remedy is in liquid form.
293: A reference to Mesmer and the powers of "animal magnetism" and the curative effects of hypnosis.
294: Continued discussion of "positive" and "negative" mesmerism, in light of the vital force.

© Julian Winston 2001