166. Sickness not covered by the present materia medica is rare.
167. The first prescription may so alter the case that a second examination and prescription will be necessary before the cure is accomplished.
168. A third and subsequent examination and prescription may be necessary and the most suitable homoeopathic remedy should be repeated till the object of restoring the patient to health is accomplished.
169. If the exact similimum cannot be found, find the closest similimum and proceed. Results will not be ideal, but do the best you can.
170. In which case, when making a re-examination, disregard the prescription considered second best, except it proves to be the best choice by carefully retaking the case, as rarely happens, but should it, it deserves much more confidence.
171. In non-venereal chronic diseases it is often necessary to employ several antipsoric prescriptions in succession or repeated doses, in order to establish reaction and excite a curative crisis.
172. Some cases present serious difficulties on account of scarcity of symptoms.
173. Scarcity of symptoms may be evidence of incurability.
174. Some diseases are manifested in single, prominent, local symptoms such as headache, diarrhoea, cardialgia, angina, etc.
175. Want of symptoms may be want of attention on the part of the physician. 176. However some diseases exhibit their peculiarities but imperfectly.
177. These are rare.
178. If the few symptoms are characteristic and peculiar a good prescription may be made.
179. A sickness presenting no accurate picture in its totality of symptoms can not be accurately matched with a remedy.
180. A sickness only partially presenting the symptomatology of the remedy or the prescription may be developed by the prescription into a complete picture.
181. In such case re-examine and prescribe.
182. Thus developed an accurate prescription may be made.
183. So soon as the action of the first prescription seems complete, aggravation and amelioration a new record and a new prescription must be made.
184. In such case a re-examination and a new prescription must be made as often as the preceding prescription ceases action, till health is restored.
185. Local affections occupy a prominent place among some diseases. In theory these exist without participation of the rest of the body. This assumption is absurd and leads to pernicious treatment.
186. Surgery must be employed to repair and correct the results of mechanical injuries malformations and irreparable pathology. The systemic involvement excited by the local affections of recent origin, due to injury, is to be subdued by the internal administration of the indicated remedy, arn, ruta, ledum, hypericum, etc.
187. But local and external affections, due to an internal morbid state, are not curable by surgical procedure.
188. The local manifestations of disease have been supposed to exist, independent of the internal vital economy. 189. Pathology cannot be both cause and effect. It can be but effect of internal cause, morbid condition of the vital principle. 190. Curative measures must be applied to causes, not to effects.
191. This is unequivocally verified by experience. Active drugs cause changes in general conditions and in the remote parts of the body. The remedy corrects the general symptoms and also the local manifestations of sickness without the aid of external medicine.
192. When prescribing for sickness having prominent local manifestations the general conditions of the sickness must be investigated.
193. The whole sickness can be cured by one well selected prescription, properly repeated in proper dose, provided the sickness has not been disordered or complicated by improper and vicious medication.
194. The indicated remedy need not be applied locally, in acute or chronic sickness, having local manifestations, as in erysipelas, ulcer, chancre, venereal warts, or in measles, scarlet fever, or smallpox. But in case the sickness does not respond to the remedy, examine for symptoms or history of chronic sickness, psora, syphilis or sycosis. The symptoms of chronic sickness will belong to the patient and not to his acquired sickness. This chronic sickness may have to be cured before the acquired sickness can be healed.
195. An antipsoric remedy may be required to complete the cure of acute sickness having unusual and peculiar symptoms.
196. Local use of the similimum might seem justifiable and logical.
197. But the topical application might hasten the eradication of the local manifestation more rapidly than the internal disease so interrupting the progress of a perfect cure.
198. For like reason the topical use of the similimum as the exclusive treatment of gonorrhoea, chancre, chancroid, or sycotic warts or venereal warts will not eradicate the internal malady, but will induce the secondary symptoms of a chronic venereal sickness.
By reason of this suppressive procedure practiced for hundreds of years by physicians is the race becoming afflicted with constitutional diseases that give rise to a legion of manifestations such as insanity, cancer, consumption, delinquency, criminality and dependency. Criminal conduct and unsocial or antisocial behaviour is a direct effect of internal physical disorder, which influences or determines state of mind as regards the emotions or the intellect. Fixed emotions or fixed ideas founded on fixed internal physical disorders, such as are established by the chronic miasms, induce abnormal conduct that characterizes the unmoral.
199. Moreover the destruction of local external manifestations not only complicates the sickness but will obscure the case and render prescribing difficult and cure, in some cases, impossible.
200. The presence of the local manifestation is an index to the progress of the cure during the course of homoeopathic prescribing. A gradual disappearance of the local manifestations of disease will surely accompany the restoration to health.
201. The local symptoms may arrest the internal evil without curing it, as does the eruption of psora, the chancre of syphilis or the condylamata of sycosis. These local manifestations relieve the internal economy, and should be left undisturbed in their place as the cure progresses. They will surely disappear when the cure is completed.
202. Destroying the local manifestation does not drive the disease in, but does compel the internal malady to develop internal symptoms and manifestations. A malady so manifesting itself is incurable till the symptoms and manifestations can again become local. This face is apparent in all acute diseases developing eruptions. Measles cannot recover till the eruption is established. If the eruption of measles is for any reason suppressed it must be re-established before a cure can be accomplished. This fact is true for all sickness acute or chronic, that has a local manifestation as its primary and characteristic lesion. All such sickness gets well from within out and by no other route. This principle holds good also for all diseases which establish discharges for their primary lesion.
203. The habit of removing itching eruptions, destroying chancre, ulcers, exterminating sycotic excrescences and gonorrheal discharges, now common, is pernicious in its results, since as a result humanity is afflicted with innumerable internal chronic maladies, from which no escape is promised except through the restoration of the primary lesion and cure by homoeopathic treatment, or through the homoeopathic cure of all diseases in their beginning. Thus, and by no other means, may the race be relieved from all chronic sickness.
204. Except protracted diseases caused by unwholesome living and pernicious drugging, all chronic sickness that has afflicted the race for countless generations is developed from three chronic miasms, viz Internal psora, internal syphilis, internal sycosis. When the local, primary, characteristic symptom or lesion of any one of these diseases is suppressed or destroyed by local treatment of any sort so ever, the internal disease develops sooner or later in obedience to the laws of nature. This development will be followed by endless misery in the form of innumerable chronic diseases, which has been the scourge of the human race for thousands of years. These afflictions never would have prevailed had physicians endeavored, rationally, to cure each chronic miasm in its beginning, by internal homoeopathic treatment, and well selected remedies, instead of tampering with their local symptoms with topical applications. For this persistent and pernicious malpractice on the part of the medical profession there can be no excuse and no explanation except the fact that the doctors have persistently refused to learn :
1st. What is curable in disease in general and in each individual case in particular.
2nd. What is curative in drugs in general and in each individual drug in particular.
3rd. How to match, with distinct reason, what is curative in drugs to what is curable in disease; I. E.
A. How to match the proper remedy to the sickness.
