B. How properly to administer the proper dose.
C. How properly to repeat the dose.
4th. And how to recognize and remove causes of sickness from the presence of the healthy.
205. Homoeopaths must deal with many chronic cases having their primary symptoms suppressed. Methods of treating such cases are detailed in book on chronic sickness.
206. Internal sickness is sometimes due to the suppression of the primary lesion of two or three of the chronic miasms. 207. The internal chronic sickness may also be complicated and disordered with previous allopathic medication. It must be ascertained, if possible, what medicines have been used and what effects were produced. These drug effects must be antidoted if possible.
208 to 230. Mental symptoms and treatment of mental diseases.
208. The patient’s age, mode of living, diet, occupation, domestic circumstances, must be ascertained, mind and temperament observed.
209. After a most thorough investigation, and guided by the most conspicuous and peculiar symptoms, a remedy in accordance with the strict similitude of symptoms should then be selected, anti- psoric, anti-syphilitic, anti-sycotic, as the case demands by its totality.
210. The so-called diseases of the mind are the partial exhibition of chronic sickness, the physical symptoms of which are obscured by the manifestations of the abnormal mental states.
211. The state of the patient’s mind and temperament, least of all, should escape the physician’s acute observation.
212. The state of mind and disposition is the principal feature of each disease. Each potent medicinal substance can alter, perceptibly, the mental condition and mood in its own peculiar manner.
213. Hence treatment of disease would not be in accordance with nature if mind and temperament were ignored when collecting the totality of symptoms for any particular case.
214. Mental diseases are curable only by a remedy having a pathogenesis which is very similar to the totality of symptoms of the sickness, including both mental and physical symptoms.
215. Mental diseases are in reality bodily sickness made manifest in mental symptoms.
216. The mental phase of the disease will sometimes assume so large a proportion of the sickness as to obscure or diminish the physical symptoms to such a degree that their presence or character can be discovered only by means of the utmost vigilance and care and the use of every means of physical diagnosis available on the part of the physician.
217. The remedy chosen should meet with the greater similitude the mental and physical symptoms.
218. This investigation must be made before the disease degenerates into a one-sided mental disorder.
219. Every physical symptom of such degenerated cases, may be secured from attendants, friends or relatives and added to the present indistinct remnants.
220. These symptoms must be added to the records to complete the totality.
221. Insanity excited by fright, vexation, alcoholism, although resting on a substratum of psora, can be treated as an acute disease with bell., acon., stra., hyosch., nux., merc., etc., and the psora returned to its latent state and appear to be cured.
222. Although a patient is relieved of an acute mental disorder by means of non anti-psoric medicine, he should not be considered entirely cured.
223. Anti-psoric treatment should proceed, in order to avoid subsequent and more serious attack, which will arise from slighter causes and grow more difficultly curable. 224. Mental diseases induced by bad habits or depressing experiences can be managed by admonition, sympathy or argument.
If the malady is of a constitutional character it will be made worse by such procedure.
225. If the malady is the result of grief, mortification, vexation, insult, fear or fright it may profoundly affect the physical health. 226. These, if treated early, may be cured by psychical methods, gentle kind admonition, appeal to reason, skilful deception, or carefully regulated habits.
227. But these also are founded on latent psoric miasm and need anti-psoric treatment.
228. Diseases of the mind and temperament can be cured only by the homoeopathic remedy supplemented with proper physical hygiene and physical regimen strictly enforced by physician and attendant.
229. The patient should be treated as if regarded rational, not reproached or vituperated.
230. Minute doses of the homoeopathic remedy will accomplish more than such allopathic medicine persistently administered. One of the triumphs of homoeopathy is its successful treatment of chronic mental diseases.
231. Intermittent, periodical, recurrent diseases require special attention. 232. Alternating diseases are frequently observed. These are products of developed psora complicated with syphilis or sycosis. Treatment must proceed alternately anti-psoric and antisyphilitic or antisycotic.
233. Typical intermittent diseases recurring with intervals of health are psoric.
234. Non febril recurrent diseases are psoric but need, occasionally, peruvian bark.
235. Sporadic or epidemic intermittents are non psoric, and may be cured by the remedy covering the most striking stage of the seizure, i.e. : the cold or hot or sweating stage with its concomitants.
236. The remedy is most efficacious if administered a short time after attack.
237. If the feverless interval is brief the remedy can be administered after the perspiration diminishes.
238. One dose is sometimes sufficient to cure. Repeat if paroxysm returns, and symptoms are of the same totality, if not make a new prescription or the patient should leave the marshy region.
239. Almost every drug produces its own type of fever, many intermittent.
240. If the remedy does not cure and the marsh miasm is avoided, psora is the fault and must be prescribed for as directed.
241. A series of acute attacks of acute sickness of many patients in a community not subject to intermittent epidemic may appear as epidemic intermittent. If the individual cases do not develop a clear cut picture, by compiling a composite of many totalities and selecting the common peculiar and striking symptoms a remedy may be found that will match the composite picture and master the sickness. This remedy will usually relieve all cases not complicated with psora.
242. These cases of recurring acute sickness, if uncured abused by allopathic medication, will assume a chronic character having the type of the intermittent epidemic recurring at intervals and will become incurable by an acute remedy but frequently will yield to small doses of sulphur repeated at long intervals. 243. Previous to this development, due to repeated acute attacks, the psora had been latent, after psora had manifested itself an anti-psoric remedy alone will afford relief.
244. Recovery resulting from charge of climate is only apparent, the chronic miasm assumes a latent state, anti-psoric remedy is necessary to a cure. 245. IMPROVEMENT CONTRAINDICATES REPETITION OF THE REMEDY.
246. The curative effect of the remedy may continue ten, twenty, thirty, forty, or even one hundred days. Good results may be obtained by following these three conditions, viz :
1st. Select the appropriate homoeopathic remedy similimum.
2nd. Use smallest dose capable of getting action minimum.
3rd. Repeat single remedy at proper intervals simplex.
This practice gets the best results.
247. Dose may be repeated in 14, 12, 10, 7 days in chronic cases but in acute cases repetition will be at much shorter intervals, 24, 12, 3, 4 hours and in very acute cases 1 or 2 hours or every five minutes varying with the nature of the case and the remedy. In the sixth and last edition of the Organon Hahnemann revised his earlier teachings with regard to the repetition of the dose. Prompted by the information acquired by prolonged observation he advises the repetition of the well selected remedy in gradually increasing potencies. This revised paragraph and the appended foot notes in the sixth edition deserve careful study.
The advice to increase the potency of the succeeding doses is also again emphasized in the succeeding paragraph No. 248.
248. The same remedy is to be repeated till recovery ensues or until improvement ceases. At that period if the disease has suffered a change in its symptom complex another remedy will be required.
249. A remedy producing aggravations unlike the symptoms of the sickness is unhomoeopathic and must be discontinued at once, the case re-examined and a new prescription made.
250. A mistake in prescribing must be repaired with antidotal remedies and the case retaken with greater care. (It is consoling to learn that Hahnemann recognized the possibility of being mistaken in the selection of the remedy.) 251. Some medicines, such as ignatia, bryonia, rhus tox, belladonna, etc., etc., possess the power of producing alternating effects (distinct primary and secondary effects). These even if carefully selected need to be repeated, every few hours with an equally fine dose.
252. If a carefully selected remedy fails to produce progressive improvement examine the living habits of the patient.
