Part 2: When Necessary!
All of the statements about repeating the dose to speed the cure relate only to those cases that demonstrate only a slow amelioration that may take 50, 60 or 100 days to show any significant improvement. These circumstances condition all the following statements made about the use of daily and alternate day doses in aphorism 248.
If the patient is doing very well on a single dose or infrequent repetitions more rapid repetitions do not apply.
There are homoeopaths that mechanically administer the LM potency daily for days, weeks and months on end with every patient. They have not yet understood the fine print in the footnote to aphorism 246. Every case must be individualized and the repetition adjusted accordingly.
In this footnote the Founder explains some of the changes he made in the 6th Organon and when the daily dose is applicable.
"What I said in a long footnote to this paragraph in the fifth edition of The Organon of the Medical Art was all that my experience allowed me to say at the time. It was written with the purpose of preventing these adverse reactions of the life principle.
However, during the last four to five years, all such difficulties have been fully lifted through the modifications I have made since then, resulting in my new, perfected procedure [for fiftly-millesimal potency medicines].
The same well-chosen medicine can now be given daily, even for months when necessary. [italic by DL]
In the treatment of chronic diseases, after the lowest degree of potency has been used up (in one or two weeks) one proceeds in the same way to higher degrees of potency (for in the new [fifty-millesimal] manner of dynamization, use begins with the lowest degrees, as is taught in the following paragraphs)."
Organon of the Medical Art
S. Hahnemann (O'Reilly 6th Edition)
footnote, Aphorism 246.
In the footnote to aphorism 246 Hahnemann suggests that a well chosen remedy (not a poorly chosen one) may be given daily when necessary in slow improving cases. When repetition of the remedy is not necessary the LM potency will cause strong aggravations, unproductive accessory symptoms, and slow down the cure.
Unneeded repetition can make a patient more hypersensitive or make them non reactive due to over exposure.
Hahnemann's new posology method spans the single unit dose in striking responses and the repetition of remedies at suitable intervals to speed the cure in slower moving cases when necessary. In this way, the posology strategy can be tailored to a great variety of patients and conditions.
Boenninghausen sought detailed information about how Hahnemann administered his medicines in his last years from Dr. Croserio, a close colleague of the Founder. In Boenninghausen's Lesser Writings, Croserio said that Hahnemann would reduce the dose or stop the repetition of his remedies as soon as he observed definite medicinal reactions.
He also noted that Hahnemann often gave a single dose of olfaction with placebo and usually did not repeat the dose for at least one week.
In my review of the microfiches of the Hahnemann's Paris casebooks I found that in most cases the Founder often stopped his medicines, gave placebo, and waited and watched for long periods.
Hahnemann did not mechanically gave the LM potency daily for weeks, months and years on end! It was more common for him to use a series of doses followed by, or interspersed with, series of placebos.
In his later years he sometimes gave a LM potency and placebo at the same time but he did not note down the schedules. This means that some of the prescriptions could be a single dose and others could be the interpolation of placebo with the medicine at various intervals.
Hahnemann only recommends the daily dose when it was necessary.
Next: Speeding the Cure