When the patient does not seem to be quite so bad as the one I have just described, you get him a little earlier in his history before the trouble has gone quite so far, and then if you administer this same very high potency in the same way you will make a second observation. Though the aggravation is long and severe, yet you have a final reaction, or amelioration. The aggravation lasts for many weeks, perhaps, and then his feeble economy seems to react, and there is a slow but sure improvement.
It shows that the disease has not progressed quite so far; the changes have not become quite so marked. At the end of three months he is prepared for another dose of medicine, and you see a repetition of the same thing, and you may know then that that man was on the border land and had he gone further, cure would have been impossible. It is always well in doubtful cases to go to the lower potencies, and in this way go cautiously prepared to antidote the medicine if it takes the wrong course.
Then the second observation is, the long aggravation, but final and slow improvement. If, at the end of a few weeks, he is a little better and his symptoms are a little better than when he took the dose, there is some hope that finally the symptoms may have an outward manifestation whereby he will attain final recovery, but for many years you may go along with prolonged aggravations. You will find in such a patient there was the beginning of some very marked tissue change in some organ. We may know by observing the action of a remedy what state the tissues are in, as well as know something about the prognosis for the patient.