KNOLWLEDGEIf physician clearly perceives… Also in respect to the exact mode of preparation and quantity of a required (PROPER DOSE), And the proper period for repeating the dose…Then he understands how to treat judiciously and rationally. [3rd aphorism]
Remedy Response Evaluation…and whenever he wishes to Follow up analysis ascertain what has been the • disease activity effect of the medicine, and • new symptoms what change has taken • generals place in patient’s state, at this fresh examination of • subjective distress the patient he only need to Interpretation strike out of the list of • progress of disease/ symptoms noted down at recovery & direction the first visit those that • susceptibility/ have become ameliorated, reactivity / sensitivity to mark what still remain, Action and add new symptoms that may have supervened. Expectation [ aphorism 104] Retrospection
Same unchanged dose?• Impractical• Will not be excepted without resistance• Medicinal symptoms will come• So ever-changing slightly higher potency each time potentization the sensation of natural disease diminishing. [ aphorism – 247]
My New Altered But Perfected Method• All these difficulties are wholly solved about prevent the undesirable result• Same carefully selected medicine may now be given daily and for months.• In this way, if necessary after the lower degree of potency has been used for one or two weeks in the treatment of chronic disease, advance is made in the same way to higher degrees.• On the other hand, towards the end of chronic disease, homoeopathic aggravation (161) reduce the dose, reduce repetition, stop for several days. See if the convalescence need not further medicinal aid. [aphorism 248]
• Otherwise unchanged prescription may indeed be made even sicker then he was, for now only those symptoms of the given remedy remain active which were not homoeopathic to original disease. [aphorism 247]
Boenninghausen…1. The more chronic the affection, the longer must be the interval between the administration of the drugs.2. Where indicated remedies do not seem to act.. 1. Psora – Psorinum 2. Want of susceptibility – opium 3. Weak, emaciated pt with small pulse – Carbo. Veg. 4. Nervous excitement – Laurocerasus.3. Large number of remedies without curing – one dose of Psorinum before giving the indicated medicine.4. He Himself used most frequently, alternating two remedies every fourth day
Kent…• It needs tedious inspection of all the symptoms• Don’t hurry to make prescription• Always restudy your cases• Do not administer a medicine without knowing the constitution of the patient, b’coz it’s hazardous and dangerous thing• Whenever in doubt, wait.• Consider the first that has acted & subsequent to that is the second
Do not change remedy Change in remedy• Case comes to standstill • New symptoms with previous Rx. • Change in symptoms &• Previous continuous no previous improvement though improvements change in symptoms • Symptoms of the remedy• Wait for original – antidote symptoms to come with Complementary acute gradual increase in the followed by CR potency • Alternating remedies [ Kent’s lecture on homeopathic philosophy ]
Boger…• Whenever the general benefit derived from a single dose lags, the remedy should be repeated in the net higher potency, instead of looking upon the new symptoms as indications of some other drug; for only the most long-established dyscrasia can, by varying its expression, resist the whole scale of an indicated remedy.• Don’t prescribe the new remedy until the new symptom picture takes a fairly definite or settled form. [ Synoptic key – foreword ]
Boger…• In confident prescription – single dose and a long wait being absolutely essential to success• Another class is masked by insusceptibility and slow reaction, these may require a frequent repetition of the remedy until a decided movement is inaugurated.• The second prescription is always of the greatest importance, too often we are apt to look for a different remedy, when in fact the new symptom complex is only a variation of the older image, and requires a repetition of former remedy in a different potency.
Boger…• A great danger lurks in the hasty prescription, it is a great troublemaker & mixes up our case, hence the watchword is wait, wait until the full picture appears.• Pace and nature of disease [ collected writings]
Roberts…• Intelligent prescription• I general, first prescription has had a beneficial reaction, should allowed to complete its work. It may be repeated at necessary intervals through a whole range of potencies.• SAFE RULE: WHEN IN DOUBT, WAIT.• Never leave the constitutional remedy which is beneficial until u have extracted all the benefit remedy can contribute.
Roberts…• Striking features, peculiar features, the concomitants are first to be removed.• Complementary use• Another miasm after one, Rx accordingly• In chronic conditions, no prescription, either first or second, can be made without careful through studies
Close…• Well selected remedy can fail due to wrong dosage. Dose as well as remedy must be adjusted to patient’s need.• There is nothing like physiological dose in homoeopathy. In better words, h’pathic remedy never uses for their physiological effects.
Close…Five considerations…1. The susceptibility of the patient2. The seat of disease3. The nature and intensity of the disease4. The stage and duration of the disease5. The previous treatment of the disease
Close…• Repeat the dose only when improvement ceases.• Most difficult thing is learn TO WAIT. [ The Genius of Homoeopathy ]
H C Allen…• We make mistake in this than any other area. It requires a master in the art.• I saw Dr. Lippe clear ups serious cases of illness over and over again in pneumonia, bronchitis, and so on with single prescription [ collected writings ]
J H Allen…• There is no more beautiful thing than to watch the slow unfolding of a cure in a chronic case. [ collected writings ]
Rajan Sankaran…• When the effect of previous dose is exhausted? – General state and feeling better (central disturbance should decreased) – Repeat until there is an aggravation. Don’t repeat the potency that cause the aggravation. [ The Spirit of Homoeopathy ]
Ajit Kulkarni…• Attempt for standardization• If you ask me the chief problem of mine in my clinical practice, I would point to the second prescription & repetition.• Kent, Diwan Harish Chand, Vithoulkas, M. L. Dhawale are 4 stalwarts whose writing over follow up is worth following.• Susceptibility criteria + movement, energy & pathway.
Kanjilal…• Give a single dose and waiting until the action of the single dose is definitely finished.• Ars. Alb. 6x gave relief to the pt for six months• A dose of sulph. 10M repeated to hasten the action of sulph. 200 given earlier produced a fatal effect.• Lyco. 200 did not find any effect for three weeks but then started improving. But by mistake he took a dose of sulph. 200 and this made him worse and it took more six months to repair the damage.
Kanjilal…• From the very beginning to the end we never prescribe more than one or two doses