Part 5: How to Complete a Cure
A properly adjusted LM remedy should not produce an aggravation at the start of the treatment as is often witnessed after the administration of a centesimal potency, especially when given dry.
Even the C potency in medicinal solution tends toward aggravation more quickly. An aggravation caused by the LM potency should only appear at the end of the treatment when the patient is feeling better and their vitality has returned.
This is a sign that the cure is almost attained and the repetitions of the LM potency should be slowed down or stopped.
"5. If so-called homeopathic aggravations (§161) appear towards the end of treatment of a chronic disease, after almost daily repetition of the fully homeopathically fitting medicine (i.e. so that the remaining disease symptoms seem to be somewhat heightened) then this is an indication that the medicinal disease, which is so similar to the original disease, is now audible almost all by itself.
Therefore, the doses must be reduced still more and repeated at longer intervals, or even entirely suspended for several days in order to see whether or not any more medicine is needed for recovery.
If no more medicine is needed, these apparent symptoms (stemming merely from the overflow of the homeopathic medicine) will soon disappear by themselves, leaving behind unclouded health."
Organon of the Medical Art
S. Hahnemann (O'Reilly 6th Edition)
There is a great difference in an aggravation at the beginning of treatment when the patient is ill and weak and an aggravation at the end of the treatment when the patient is healthy and strong. The aggravation at the start of treatment is much more uncomfortable and dangerous because the patient is still sick.
The LM aggravation comes at the end of treatment when the patient is healthier. This is a sign that the cure is nearing completion. It indicates that that the patient now suffers mostly, if not entirely, from a medicinal disease alone.
As one moves upward through the potencies (0/1 to 0/30) it is often wise to gradually slow down the repetition of the remedy so that the patient is not overmedicated. If the 0/1 was given daily, the 0/2 might be given every other day, and the 0/3 every third day, etc.
In this way, aggravations can be prevented in the beginning, middle and the end. If an aggravation is produced at the end of the treatment it is a sign that the patient may not need any more medicine. How to complete the cure is discussed in more detail in aphorism 280 and 281.
The aggravation at the end of treatment should be light rather than heavy as seen with overmedication during treatment. Most of the time there is only an increase of a few general symptoms or a general malaise as if one is going to get sick.
At this time, the repetition of the remedy is stopped so the vital force can remove the remains of the medicinal disease and retune to heath and full vitality. If this is not done the signs of overmedication will get stronger and stronger.
The remedy should now be stopped to test if there is any more need for medicinal aid. The patient is left without medicine for eight, ten, or fifteen days so that the true situation can be assessed. If the aggravation is only due to remedial excess it will disappear in a matter of a few hours or days.
When there is no relapse of symptoms after the signs of aggravation cease, the patient is truly well. If there is a relapse of the symptoms during the waiting period, the patient still needs more of the same medicine in increasing potencies.
When there is a relapse of symptoms during the waiting period traces of the original disease still remain. This is a sign that the remedy should be continued until there are no signs of the original disease.
At this time, the homoeopath must be careful not to overmedicate the patient by giving overly rapid repetitions.
Next: The 7th Organon