Post by Admin - Joy Lucas on Mar 21, 2022 14:32:36 GMT
§ 161 Sixth Edition
When I here limit the so-called homoeopathic aggravation, or rather the primary action of the homoeopathic medicine that seems to increase somewhat the symptoms of the original disease, to the first or few hours, this is certainly true with respect to diseases of a more acute character and of recent origin, but where medicines of long action have to combat a malady of, considerable or of very long standing, where no such apparent increase of the original disease ought to appear during treatment and it does not so appear if the accurately chosen medicine was given in proper small, gradually higher doses, each somewhat modified with renewed dynamization (§ 247). Such increase of the original symptoms of a chronic disease can appear only at the end of treatment when the cure is almost or quite finished.
§ 162
Sometimes happens, owing to the moderate number of medicines yet known with respect to their true, pure action , that but a portion of the symptoms of the disease under treatment are to be met with in the list of symptoms of the most appropriate medicine, consequently this imperfect medicinal morbific agent must be employed for lack of a more perfect one.
§ 163
In this case we cannot indeed expect from this medicine a complete, untroubled cure; for during its use some symptoms appear which were not previously observable in the disease, accessory symptoms of the not perfectly appropriate remedy. This does by no means prevent a considerable part of the disease (the symptoms of the disease that resemble those of the medicine) from being eradicated by this medicine, thereby establishing a fair commencement of the cure, but still this does not take place without those accessory symptoms, which are, however, always moderate when the dose of the medicine is sufficiently minute.
§ 164
The small number of homoeopathic symptoms present in the best selected medicine is no obstacle to the cure in cases where these few medicinal symptoms are chiefly of an uncommon kind and such as are peculiarly distinctive (characteristic) of the disease; the cure takes place under such circumstances without any particular disturbance.
§ 165
If, however, among the symptoms of the remedy selected, there be none that accurately resemble the distinctive (characteristic), peculiar, uncommon symptoms of the case of disease, and if the remedy correspond to the disease only in the general, vaguely described, indefinite states (nausea, debility, headache, and so forth), and if there be among the known medicines none more homoeopathically appropriate, in that case the physician cannot promise himself any immediate favorable result from the employment of this unhomoeopathic medicine.
§ 166
Such a case is, however, very rare, owing to the increased number of medicines whose pure effects are now known, and the bad effects resulting from it, when they do occur, are diminished whenever a subsequent medicine, of more accurate resemblance, can be selected.
§ 167
Thus if there occur, during the use of this imperfectly homoeopathic remedy first employed, accessory symptoms of some moment, then, in the case of acute diseases, we do not allow this first dose to exhaust its action, nor leave the patient to the full duration of the action of the remedy, but we investigate afresh the morbid state in its now altered condition, and add the remainder of the original symptoms to those newly developed in tracing a new picture of the disease.
§ 168
We shall then be able much more readily to discover, among the known medicines, an analogue to the morbid state before us, a single dose of which, if it do not entirely destroy the disease, will advance it considerably on the way to be cured. And thus we go on, if even this medicine be not quite sufficient to effect the restoration of health, examining again and again the morbid state that still remains, and selecting a homoeopathic medicine as suitable as possible for it, until our object, namely, putting the patient in the possession of perfect health, is accomplished.
§ 169 fifth Edition
If, on the first examination of a disease and the first selection of a medicine, we should find that the totality of the symptoms of the disease would not be effectually covered by the disease elements of a single medicine – owing to the insufficient number of known medicines, – but that two medicines contend for the preference in point of appropriateness, one of which is more homoeopathically suitable for one part, the other for another part of the symptoms of the disease, it is not advisable, after the employment of the more suitable of the two medicines, to administer the other without fresh examination, for the medicine that seemed to be the next best would not, under the change of circumstances that has in the meantime taken place, be suitable for the rest of the symptoms that then remain; in which case, consequently, a more appropriate homoeopathic remedy must be selected in place of the second medicine for the set of symptoms as they appear on a new inspection.
§ 169 Sixth Edition
If, on the first examination of a disease and the first selection of a medicine, we should find that the totality of the symptoms of the disease would not be effectually covered by the disease elements of a single medicine – owing to the insufficient number of known medicines, – but that two medicines contend for the preference in point of appropriateness, one of which is more homoeopathically suitable for one part, the other for another part of the symptoms of the disease, it is not advisable, after the employment of the more suitable of the two medicines, to administer the other without fresh examination, and much less to give both together (§ 272, note) for the medicine that seemed to be the next best would not, under the change of circumstances that has in the meantime taken place, be suitable for the rest of the symptoms that then remain; in which case, consequently, a more appropriate homoeopathic remedy must be selected in place of the second medicine for the set of symptoms as they appear on a new inspection.
§ 170
Hence in this as in every case where a change of the morbid state has occurred, the remaining set of symptoms now present must be inquired into, and (without paying any attention to the medicine which at first appeared to be the next in point of suitableness) another homoeopathic medicine, as appropriate as possible to the new state now before us, must be selected. If it should so happen, as is not often the case, that the medicine which at first appeared to be the next best seems still to be well adapted for the morbid state that remains, so much the more will it merit our confidence, and deserve to be employed in preference to another.
§ 171 Fifth Edition
In non-venereal chronic disease, those, therefore, that arise from psora, we often require, in order to effect a cure, to give several antipsoric remedies in succession, every successive one being homoeopathically chosen in consonance with the group of symptoms remaining after the expiry of the action of the previous remedy (which may have been employed in a single dose or in several successive doses).
§ 171 Sixth Edition
In non-venereal chronic disease, those, therefore, that arise from psora, we often require, in order to effect a cure, to give several antipsoric remedies in succession, every successive one being homoeopathically chosen in consonance with the group of symptoms remaining after completion of the action of the previous remedy.
§ 172
A similar difficulty in the way of the cure occurs from the symptoms of the disease being too few – a circumstances that deserves our careful attention, for by its removal almost all the difficulties that can lie in the way of this most perfect of all possible modes of treatment (except that its apparatus of known homoeopathic medicines is still incomplete) are removed.
§ 173
The only diseases that seem to have but few symptoms, and on that account to be less amenable to cure, are those which may be termed one-sided, because they display only one or two principal symptoms which obscure almost all the others. They belong chiefly to the class of chronic diseases.
§ 174
Their principal symptom may be either an internal complaint (e.g. a headache of many years’ duration, a diarrhoea of long standing, an ancient cardialgia, etc.), or it may be an affection more of an external kind. Diseases of the latter character are generally distinguished by the name of local maladies.
§ 175
In one-sided diseases of the first kind it is often to be attributed to the medical observer’s want of discernment that he does not fully discover the symptoms actually present which would enable him to complete the sketch of the portrait of the disease.
§ 176
There are, however, still a few diseases, which, after the most careful initial examination (§§ 84-98), present but one or two severe, violent symptoms, while all the others are but indistinctly perceptible.
§ 177
In order to meet most successfully such a case as this, which is of very rare occurrence, we are in the first place to select, guided by these few symptoms, the medicine which in our judgment is the most homoeopathically indicated.
§ 178
It will, no doubt, sometimes happen that this medicine, selected in strict observance of the homoeopathic law, furnishes the similar artificial disease suited for the annihilation of the malady present; and this is much more likely to happen when these few morbid symptoms are very striking, decided, uncommon and peculiarly distinctive (characteristic).
§ 179
More frequently, however, the medicine first chosen in such a case will be only partially, that is to say, not exactly suitable, as there was no considerable number of symptoms to guide to an accurate selection.
§ 180
In this case the medicine, which has been chosen as well as was possible, but which, for the reason above stated, is only imperfectly homoeopathic, will, in its action upon the disease that is only partially analogous to it – just as in the case mentioned above (§ 162, et seq.) where the limited number of homoeopathic remedies renders the selection imperfect – produce accessory symptoms, and several phenomena from its own array of symptoms are mixed up with the patient’s state of health, which are, however, at the same time, symptoms of the disease itself, although they may have been hitherto never or very rarely perceived; some symptoms which the patient had never previously experienced appear, or others he had only felt indistinctly become more pronounced.
NOTES
161 - In chronic disease states the homeopathic aggravation can occur now and again and last some time
162 - Years ago there were fewer remedies at our disposal and the simillimum could not be found because of this but the most appropriate, i.e. the next most similar remedy should be given
163 - A full cure will be difficult to reach when this happens
164 - But if the symptoms present are characteristic there is no reason why cure cannot be reached, there is a much better chance
165 - But if symptoms are more vague then the outcome might not be ideal
166 - This is rare though (and even more so now because we have so many more rx to check for symptom similarity)
167 - Otherwise we have to search much harder using accesory symptoms and watch as the disease progresses or changes
168 - And if the disease state is not destroyed altogether it will be curtailed considerably even with a less homeopathic remedy
169 - If more than one remedy appears to suit the case it is not wise to give one and then think about giving the others without taking the case again in full
170 - Only then should the next most suitable homeopathic remedy be given that equals the remaining symptoms - always maintain symptom similarity throughout
171 - Several remedies might have to be given
172 - Some diseases have very few symptoms which renders the cure equally difficult
173 - These are called one sided diseases
174 - But it is still likely that there will be one or two dominant symptoms to guide to the choice of remedy
175 - However it can be the case taker who cannot fully investigate a case properly and so ends up with too few symptoms
176 - But one sided disease states are very rare
177 - And one should still choose the most similar, i.e. the most homeopathic remedy to begin the case
178 - If there are characteristic symptoms in the case and these have been chosen to select the first prescription it is possible that it is the simillimum and cures the case entirely
179 - But again it could be only a partial remedy if too few and vague symptoms represent the case
180 - And again accessory symptoms might occur as part of the cure when the next best choice of remedy is chosen, but they are part of the disease and need to be taken into account at some point so that cure can continue.
When I here limit the so-called homoeopathic aggravation, or rather the primary action of the homoeopathic medicine that seems to increase somewhat the symptoms of the original disease, to the first or few hours, this is certainly true with respect to diseases of a more acute character and of recent origin, but where medicines of long action have to combat a malady of, considerable or of very long standing, where no such apparent increase of the original disease ought to appear during treatment and it does not so appear if the accurately chosen medicine was given in proper small, gradually higher doses, each somewhat modified with renewed dynamization (§ 247). Such increase of the original symptoms of a chronic disease can appear only at the end of treatment when the cure is almost or quite finished.
§ 162
Sometimes happens, owing to the moderate number of medicines yet known with respect to their true, pure action , that but a portion of the symptoms of the disease under treatment are to be met with in the list of symptoms of the most appropriate medicine, consequently this imperfect medicinal morbific agent must be employed for lack of a more perfect one.
§ 163
In this case we cannot indeed expect from this medicine a complete, untroubled cure; for during its use some symptoms appear which were not previously observable in the disease, accessory symptoms of the not perfectly appropriate remedy. This does by no means prevent a considerable part of the disease (the symptoms of the disease that resemble those of the medicine) from being eradicated by this medicine, thereby establishing a fair commencement of the cure, but still this does not take place without those accessory symptoms, which are, however, always moderate when the dose of the medicine is sufficiently minute.
§ 164
The small number of homoeopathic symptoms present in the best selected medicine is no obstacle to the cure in cases where these few medicinal symptoms are chiefly of an uncommon kind and such as are peculiarly distinctive (characteristic) of the disease; the cure takes place under such circumstances without any particular disturbance.
§ 165
If, however, among the symptoms of the remedy selected, there be none that accurately resemble the distinctive (characteristic), peculiar, uncommon symptoms of the case of disease, and if the remedy correspond to the disease only in the general, vaguely described, indefinite states (nausea, debility, headache, and so forth), and if there be among the known medicines none more homoeopathically appropriate, in that case the physician cannot promise himself any immediate favorable result from the employment of this unhomoeopathic medicine.
§ 166
Such a case is, however, very rare, owing to the increased number of medicines whose pure effects are now known, and the bad effects resulting from it, when they do occur, are diminished whenever a subsequent medicine, of more accurate resemblance, can be selected.
§ 167
Thus if there occur, during the use of this imperfectly homoeopathic remedy first employed, accessory symptoms of some moment, then, in the case of acute diseases, we do not allow this first dose to exhaust its action, nor leave the patient to the full duration of the action of the remedy, but we investigate afresh the morbid state in its now altered condition, and add the remainder of the original symptoms to those newly developed in tracing a new picture of the disease.
§ 168
We shall then be able much more readily to discover, among the known medicines, an analogue to the morbid state before us, a single dose of which, if it do not entirely destroy the disease, will advance it considerably on the way to be cured. And thus we go on, if even this medicine be not quite sufficient to effect the restoration of health, examining again and again the morbid state that still remains, and selecting a homoeopathic medicine as suitable as possible for it, until our object, namely, putting the patient in the possession of perfect health, is accomplished.
§ 169 fifth Edition
If, on the first examination of a disease and the first selection of a medicine, we should find that the totality of the symptoms of the disease would not be effectually covered by the disease elements of a single medicine – owing to the insufficient number of known medicines, – but that two medicines contend for the preference in point of appropriateness, one of which is more homoeopathically suitable for one part, the other for another part of the symptoms of the disease, it is not advisable, after the employment of the more suitable of the two medicines, to administer the other without fresh examination, for the medicine that seemed to be the next best would not, under the change of circumstances that has in the meantime taken place, be suitable for the rest of the symptoms that then remain; in which case, consequently, a more appropriate homoeopathic remedy must be selected in place of the second medicine for the set of symptoms as they appear on a new inspection.
§ 169 Sixth Edition
If, on the first examination of a disease and the first selection of a medicine, we should find that the totality of the symptoms of the disease would not be effectually covered by the disease elements of a single medicine – owing to the insufficient number of known medicines, – but that two medicines contend for the preference in point of appropriateness, one of which is more homoeopathically suitable for one part, the other for another part of the symptoms of the disease, it is not advisable, after the employment of the more suitable of the two medicines, to administer the other without fresh examination, and much less to give both together (§ 272, note) for the medicine that seemed to be the next best would not, under the change of circumstances that has in the meantime taken place, be suitable for the rest of the symptoms that then remain; in which case, consequently, a more appropriate homoeopathic remedy must be selected in place of the second medicine for the set of symptoms as they appear on a new inspection.
§ 170
Hence in this as in every case where a change of the morbid state has occurred, the remaining set of symptoms now present must be inquired into, and (without paying any attention to the medicine which at first appeared to be the next in point of suitableness) another homoeopathic medicine, as appropriate as possible to the new state now before us, must be selected. If it should so happen, as is not often the case, that the medicine which at first appeared to be the next best seems still to be well adapted for the morbid state that remains, so much the more will it merit our confidence, and deserve to be employed in preference to another.
§ 171 Fifth Edition
In non-venereal chronic disease, those, therefore, that arise from psora, we often require, in order to effect a cure, to give several antipsoric remedies in succession, every successive one being homoeopathically chosen in consonance with the group of symptoms remaining after the expiry of the action of the previous remedy (which may have been employed in a single dose or in several successive doses).
§ 171 Sixth Edition
In non-venereal chronic disease, those, therefore, that arise from psora, we often require, in order to effect a cure, to give several antipsoric remedies in succession, every successive one being homoeopathically chosen in consonance with the group of symptoms remaining after completion of the action of the previous remedy.
§ 172
A similar difficulty in the way of the cure occurs from the symptoms of the disease being too few – a circumstances that deserves our careful attention, for by its removal almost all the difficulties that can lie in the way of this most perfect of all possible modes of treatment (except that its apparatus of known homoeopathic medicines is still incomplete) are removed.
§ 173
The only diseases that seem to have but few symptoms, and on that account to be less amenable to cure, are those which may be termed one-sided, because they display only one or two principal symptoms which obscure almost all the others. They belong chiefly to the class of chronic diseases.
§ 174
Their principal symptom may be either an internal complaint (e.g. a headache of many years’ duration, a diarrhoea of long standing, an ancient cardialgia, etc.), or it may be an affection more of an external kind. Diseases of the latter character are generally distinguished by the name of local maladies.
§ 175
In one-sided diseases of the first kind it is often to be attributed to the medical observer’s want of discernment that he does not fully discover the symptoms actually present which would enable him to complete the sketch of the portrait of the disease.
§ 176
There are, however, still a few diseases, which, after the most careful initial examination (§§ 84-98), present but one or two severe, violent symptoms, while all the others are but indistinctly perceptible.
§ 177
In order to meet most successfully such a case as this, which is of very rare occurrence, we are in the first place to select, guided by these few symptoms, the medicine which in our judgment is the most homoeopathically indicated.
§ 178
It will, no doubt, sometimes happen that this medicine, selected in strict observance of the homoeopathic law, furnishes the similar artificial disease suited for the annihilation of the malady present; and this is much more likely to happen when these few morbid symptoms are very striking, decided, uncommon and peculiarly distinctive (characteristic).
§ 179
More frequently, however, the medicine first chosen in such a case will be only partially, that is to say, not exactly suitable, as there was no considerable number of symptoms to guide to an accurate selection.
§ 180
In this case the medicine, which has been chosen as well as was possible, but which, for the reason above stated, is only imperfectly homoeopathic, will, in its action upon the disease that is only partially analogous to it – just as in the case mentioned above (§ 162, et seq.) where the limited number of homoeopathic remedies renders the selection imperfect – produce accessory symptoms, and several phenomena from its own array of symptoms are mixed up with the patient’s state of health, which are, however, at the same time, symptoms of the disease itself, although they may have been hitherto never or very rarely perceived; some symptoms which the patient had never previously experienced appear, or others he had only felt indistinctly become more pronounced.
NOTES
161 - In chronic disease states the homeopathic aggravation can occur now and again and last some time
162 - Years ago there were fewer remedies at our disposal and the simillimum could not be found because of this but the most appropriate, i.e. the next most similar remedy should be given
163 - A full cure will be difficult to reach when this happens
164 - But if the symptoms present are characteristic there is no reason why cure cannot be reached, there is a much better chance
165 - But if symptoms are more vague then the outcome might not be ideal
166 - This is rare though (and even more so now because we have so many more rx to check for symptom similarity)
167 - Otherwise we have to search much harder using accesory symptoms and watch as the disease progresses or changes
168 - And if the disease state is not destroyed altogether it will be curtailed considerably even with a less homeopathic remedy
169 - If more than one remedy appears to suit the case it is not wise to give one and then think about giving the others without taking the case again in full
170 - Only then should the next most suitable homeopathic remedy be given that equals the remaining symptoms - always maintain symptom similarity throughout
171 - Several remedies might have to be given
172 - Some diseases have very few symptoms which renders the cure equally difficult
173 - These are called one sided diseases
174 - But it is still likely that there will be one or two dominant symptoms to guide to the choice of remedy
175 - However it can be the case taker who cannot fully investigate a case properly and so ends up with too few symptoms
176 - But one sided disease states are very rare
177 - And one should still choose the most similar, i.e. the most homeopathic remedy to begin the case
178 - If there are characteristic symptoms in the case and these have been chosen to select the first prescription it is possible that it is the simillimum and cures the case entirely
179 - But again it could be only a partial remedy if too few and vague symptoms represent the case
180 - And again accessory symptoms might occur as part of the cure when the next best choice of remedy is chosen, but they are part of the disease and need to be taken into account at some point so that cure can continue.