Part 3: Speeding the Cure

Simple acute diseases are often removed by a single dose of the C or LM potency. This phenomena, however, is not as common in long term chronic diseases. Many times, a single dose only produces a slow or moderate improvement that make take 50, 60 or 100 days to produce any signification improvement in the state of health.

This is a very difficult situation for the 4th Organon homoeopath because they cannot intervene to speed the cure. They must wait until there is a clear relapse of the symptoms before a second dry dose can be given.

Hahnemann found this aspect of his homoeopathic posology very frustrating and worked for several years to find a more efficient method.

Once Hahnemann found the methods of adjusting the dose of the medicinal solution he claimed he could speed the cure of slow moving cases by one half, one third, or less than the time it takes with his old method.

This is a statement well worth testing in clinical trials. This goal can only be attained when all five following conditions are met in full.

Vide the secondary part of aphorism 246 in five parts.

"1. Select with all circumspection, the aptly homeopathic medicine."

Organon of the Medical Art
S. Hahnemann (O'Reilly 6th Edition)
Aphorism 246.

The first condition for speeding the cure is the selection of a true simillimum. A preliminary testing phase allows the homoeopath to confirm the suitability of the remedy, potency, and the size of the dose. A remedy may only be repeated to speed the cure if the medicine is a good simillimum.

If the remedy is incorrect it may cause a dissimilar aggravation and new symptoms. If such a medicine is given at rapid intervals for too long it may damage the vital force of the patient.

If the prescription is of questionable value it does not pass the first of Hahnemann's conditions. So the first point for speeding the cure is that the remedy must be perfectly homoeopathic.

I and my colleagues have witnessed several single dose LM cures of acute and chronic diseases. Such things will not be witnessed by those who mechanically repeat the LM potency because they spoil their cases by over medication.

We have also witnessed many cases that only needed very infrequent repetitions of the LM potency. For example, one single dose of Ferrum 0/1 removed the symptoms of severe arthritis for five years. When there was a relapse of a few of the symptoms the single dose was given again.

The more perfect the simillimum, the potency, and the adjustments of the medicinal solution, the more chance it has of producing progressively increasing amelioration over a longer period of time.

When there is a marked, progressive amelioration of the symptoms on the single test dose, I do not repeat the remedy. I very carefully observe the number of days that this increasing amelioration lasts.

This offers the homoeopath insights into the duration of the remedy and reveals what a suitable interval might be for the patient.

If the striking response lasts forever one does not need to repeat the remedy at all!

If the markedly progressive improvement lasts for 1, 2, 3, 4, 5, or 6 days, the remedy is only given every 1, 2, 3, 4, 5, or 6 days respectively. If the increasing amelioration lasts 1, 2, or 3 weeks, the remedy may be repeated every 1, 2, or 3 weeks.

If the increasing amelioration lasts 1, 2, or 3 months, the remedy may be repeated every 1, 2, or 3 months. If it lasts 1, 2, or 3 years, give the remedy every 1, 2, or 3 years, etc.

"2. Use a highly potentized [fifty-millesimal] dose, dissolved in water."

Organon of the Medical Art
S. Hahnemann (O'Reilly 6th Edition)
Aphorism 246.

In the O'Reilly edition the author put in brackets "[fifty-millesimal]" but it is not in the original German publication. The Paris casebooks show that from 1840 to 1843 Hahnemann was using both the C and LM potency in a similar manner.

What he wrote in aphorism 246 also applies to the C potencies. Contrary to what some modern commentators believe, Hahnemann frequently used the 200c and had tested the 1M potency. He continued to use the C potency along side of the LM potency for his last three years.

The second condition for speeding the cure is the use of a highly potentized remedy only in medicinal solution or by olfaction. The change from the static dry dose to the dynamic liquid solution is the foundation of Hahnemann's advanced method.

The remedy solution is not only more flexible than the dry dose but also more powerful.

"3. Administer a properly small dose of this to the patient."

Organon of the Medical Art
S. Hahnemann (O'Reilly 6th Edition)
Aphorism 246.

The third condition is that the remedy must be given in a properly small dose. That is why Hahnemann only used 1 or 2 poppy seed size pills in a minimum of a 7 tablespoons solution.

This aphorism shows that the potency factor and the size of the dose are two different aspects of homoeopathic posology. There are many who still believe that the small dose refers to the immaterial amount of the original substance found in the homoeopathic potency. They still following Kent's mistaken idea that the size of the dose does not matter.

This is a grand mistake that leads to many aggravations and makes it very hard to repeat the remedy to speed the cure.

The size of the dose includes three factors; the number of pills used to make a medicinal solution; the number of teaspoons taken from the medicinal solution and placed in the dilution glass; and the number of teaspoonfuls given to the patient as the dose.

In all three aspects of preparing the medicine, the size of the dose should be kept at a minimum. The smallest dose produces the most gentle primary action and a long enduring secondary curative action.

"4. Give a dose of the solution at intervals that experience has shown to be the most distinctly appropriate for the best possible acceleration of the treatment."

Organon of the Medical Art
S. Hahnemann (O'Reilly 6th Edition)
Aphorism 246.

The fourth aspect of speeding the cure is the repetition of the remedy at suitable intervals according to one's experience. This statement is more important than the examples that speak of using the daily and alternate day dose in slow moving cases.

One must use one's clinical experience to find out what are the most appropriate intervals between doses for each and every patient. When the first test dose produces little or no improvement then the time has come to test a series of split-doses. I call this a test series.

This judgment is based on the sensitivity of patient, the nature and stage of the diseases state, and the condition of their vital force and vitality. The most common intervals for those who need rapidly repeated doses of the 0/1 potency are the alternate day, every third day, every forth day, etc.

The use of the daily dose is rather rare. If the patient begins to improve on the test series then the remedy may be continued at these suitable intervals to speed the cure.

As the patient improves I slow down the intervals between doses to prevent aggravation in the middle of treatment. This allows the homoeopath to personalize the remedy schedule to the reaction of the patient avoiding the use of mechanistic prescriptions that may prove negative in the long run.

The fifth aspect of the complete dose is the succussions of the remedy solution just prior to the ingestion of the medicine. This is the fifth condition for speeding the cure.

"5. Prior to each administration of a dose of the solution, alter the degree of potency of the dose. It is very important that the degree of potency of each dose deviate somewhat from the previous and subsequent ones.

This is so that the life principle, whose tunement is to be altered to that of the similar medicinal disease, may never feel itself agitated to adverse counter-actions and enraged, as happens when repeated, unmodified doses are given, especially when such doses are rapidly repeated one after another."

Organon of the Medical Art
S. Hahnemann (O'Reilly 6th Edition)
Aphorism 246.

The succussion of the medicinal solution just prior to administration changes the potency slightly so that the vital force never receives the exact same potency twice in succession.

This helps prevents the relapse of symptoms that appears from the repetition of an unadjusted dry dose before signs of a full relapse. The medicinal solution of the C and LM potency may only be repeated to speed the cure when all five of Hahnemann's conditions are met in full.

This is the secret of success.

Next: Administering the Remedy