This table is growing all the time. I am only giving the main points in the investigation, that is all. I have occasionally been struck with the idea that possibly the table might be of use to other physicians, but the former publication wasnt asked for strongly, and I have kept it in manuscript form in my own library.
The Doctor has opened up a vast field, a field upon which we can only make tracks, that is all.
In speaking of the periodicity and the times and remedies, if you look through homoeopathic literature you will find that very many reports along that line are based on insufficient data. Some fellow cures a case of Calcarea carb. in the full of the moon, then he marks it down that Calcarea carb. should be given in the full of the moon, on one or two observations. Homoeopathy is just full of that sort of thing. If we are going to know our remedies, we cant count up two or three verifications and then mark that down as characteristic of the remedy. That is one of the weak points in our materia medica. You make a hundred observations on one symptom and then find out of the hundred observations how many confirmed the particular symptom you are talking about. That is the real basis of prescribing. You have got to have a good solid foundation for this thing.
The further I progress in that sort of work, the more I come to the conclusion that a lot of our work is, to speak mildly, highly inflationary. It has that tinge in it, there is no doubt about it at all.
DR. A. PULFORD: I have been very much interested in the dose and its repetition. I have come to look on disease in an entirely different light from what I formerly did. I would like to give you my own views on this point and you can take them for what they are worth. As to the dose, none of us knows the exact amount nature appropriates and uses from the drug mass given. As to the repetition of the dose, that depends on circumstances. If the shock merely interferes with the direction of the normal current directly involved, as soon as the offending factor is removed, a spontaneous cure will take place without any drug, but if that infinitesimal amount of energy is taken in from the affected part, then its equal amount of energy must be supplied to the affected part. If the proper dose has been given, unless there has been interference, it should not be repeated. I have seen some wonderful results from a single dose.
If nature is unable to extract the proper amount of energy required from the first dose given, the dose should be repeated only so the proper amount may be extracted, then stop. If interference from other sources should cause a relapse, then and only then should the drug dose be repeated. I find that, as far as I have gone, a safe rule to follows.
DR. TURTON: I have been able to follow for five years a case that given Nux vomica,45 M. About three years after that dose was given, my preceptor called me to his office. He asked what on earth I gave to my sister. I said I gave Nux vomica 45M. He said, “Good land, I have given her kegs of Nux vomica.” I said, “Of course, and it is quite evident she got an aggravation every time you repeated it, “which was true.
DR. BRYANT: I wonder if this body will forgive me if I repeat what I said last year. I only do it because I think in constant repetition it is finally fastened upon our minds something about the length of action of these potencies.
Walter James, who really caused me to because converted to homoeopathy. I think, gave me this diagram many years ago, and incidentally told me something that made a great impression upon me. Dr. James and Dr. Lippe worked it out over a period of seventeen years. It is something we can use for everything. It gives us an opportunity to have a definite diagram by which we can be assisted in any potency we use. I knew this paper was going to be read by Dr. Underhill, and I have come 3,000 miles, and if I hear nothing else, I will feel well repaid.
This is the diagram that was given to me a good many years ago (illustrating on the blackboard). [ Dr. Bryant has furnished the editors a copy of the diagram used, and this, with Dr. Bryants comments, appears immediately following the discussion.] Dr. James tried to impress upon me the importance of holding onto that remedy until it had acted itself out, and made this diagram. This upper line represents health, and the lower line represents disease. Here is our patient. In this instance we are going to use the 200 potency. If our remedy is properly selected, one of two things will happen. The patient usually improves and he draws this line, calls it the line of primary amelioration. So he put a P.A. there.