The Homoeopathic Aggravation

When the chronic disease has not ultimated itself in tissue changes, you may get no aggravation at all, unless, perhaps, it be a very light exacerbation of the symptoms, and that slight exacerbation of the symptoms is of a different character….

A disease that is of no very long standing ordinarily yields without any great degree of suffering to the first dose of this remedy,” which is to say that in acute disease we seldom see anything like striking aggravation unless the acute disease has drawn near death’s door, or is very severe, unless it has lasted many days, and breaking down of blood and tissue is threatened, or has taken place. Then we will see sharp aggravations, great prostration, violent sweating, exhaustion, vomiting and purging following the action of the remedy I have seen most severe reaction which seemed to be necessary to recovery.

Such a state in acute disease where it has gone many days without a remedy and a great threatening is present will be to an acute disease what many years would be to a chronic disease of long standing. Long standing means as a matter of progress, if we say a disease of much progress, or of considerable ultimates, we understand it better. If the disease has ultimated itself in change of tissue, then you see striking aggravations, even aggravations that cannot be recovered from, such as we find in the advanced forms of tissue change, e.g., where the kidneys are destroyed or the liver destroyed, or in phthisis, where the lungs are destroyed.

A disease ought always to be well considered as to whether it is acute or chronic. Where there are no tissue changes, where no ultimates are present, then you may expect the remedy to cure the patient without any serious aggravation, or without any sharp suffering, for there is no necessity of reacting form a serious structural change. Where there is a deep-seated septic condition, where pyaemia must be the result, you will find sometimes vomiting and purging. As a reaction of the vital force of the economy when order is established, this order, which is attended by reaction, as it were, commences a process of house cleaning.

It does it itself, the drug does not do it; if a crude substance is used it is the action of the drug, of course, but the action of the dynamic drug is to turn the economy into order. So it is with chronic disease. When the chronic disease has not ultimated itself in tissue changes, you may get no aggravation at all, unless, perhaps, it be a very light exacerbation of the symptoms, and that slight exacerbation of the symptoms is of a different character.

It is the establishment of the remedy as a new disease upon the economy instead of the reaction which corresponds to a process of house cleaning. Elimination must take place, as we know, probably from the bowels, or stomach, by vomiting, by expectoration, or by the kidneys, in those cases where everything has been suppressed.

It may look like an aggravation when you have had for years a limb paralyzed from a neuritis. Suppose, after you administer a remedy that goes right to the spot, that is in the very highest sense homoeopathic, or truly specific, that paralyzed limb commences to tingle and creep like the crawling interiorly of ants, tingling sometimes from which he cannot sleep for days and nights. This is due to the reaction of the nerves of the part. They are called into new life, into activity.

I have seen this in paralysis. You take, for instance, a child who has lain in a stupor for a long time, from inaction of the brain, the tingling that comes in the scalp, in the fingers and toes is dreadful, the child turns and twists and screeches and cries, and it requires an iron hand on the part of the doctor to hold that mother from doing something to hush that cry, for just so sure as that is done that child will go back into death.

That is a reaction, so that all over the benumbed parts, or where the blood begins to flow into parts where the circulation has been feeble, where the nerves take on sensation again, we have reaction, which is but the result of that turning into order. That part has been benumbed and dead, and when circulation takes place in the part in order to repair its tissue we have reaction, which is attended with distress. If the physician cannot look upon that and bear it, he will have trouble. If he thinks it is an indication for another remedy he will spoil his case.

We must discriminate between that which is reaction and that which calls for a remedy. These things are only seen in Homoeopathy, never in any other practice. Sometimes the physician will be driven to his wit’s end in dealing with these reactions. It is sometimes a dreadful thing to look upon, and the physician may be turned out of doors. Let him meet it as a man; let him be patient with it, because the ignorance of the mother or the friends can be no excuse for his violence of principle, even once.

James Tyler Kent
James Tyler Kent (1849–1916) was an American physician. Prior to his involvement with homeopathy, Kent had practiced conventional medicine in St. Louis, Missouri. He discovered and "converted" to homeopathy as a result of his wife's recovery from a serious ailment using homeopathic methods.
In 1881, Kent accepted a position as professor of anatomy at the Homeopathic College of Missouri, an institution with which he remained affiliated until 1888. In 1890, Kent moved to Pennsylvania to take a position as Dean of Professors at the Post-Graduate Homeopathic Medical School of Philadelphia. In 1897 Kent published his magnum opus, Repertory of the Homœopathic Materia Medica. Kent moved to Chicago in 1903, where he taught at Hahnemann Medical College.