It is as distinct in my mind as if it were yesterday, because it has never left me. Then comes your period of aggravation, and there he puts an AG. If you are using the 200 potency, this period of primary amelioration will last approximately two days. The period of aggravation will last three days, and the secondary amelioration which he places here and puts an S.A for it, will last from one to two days. Now, you have gotten all out of that potency that you are going to get, but as he explained this, he also told me something else. He said there is another group of patients who do not go through that cycle, and that class of patients have their aggravation first, and that is the patient that calls you the following day, or the day after that, and explains to you that he cannot take that medicine because it is making him worse, and he is coming back to the office, because he knows you have something that is going to help him.
If you fail to bear that in mind, you are going to interfere with the action of that remedy, so that the patient goes down. You have got to make up your mind as to whether it is a disease that is really progressing, or whether the patient has that type of reaction. Then he simply misses out on his short period of primarily amelioration, and he goes on this way. So he only has a period of aggravation and a period of amelioration. You got the patient up that far. These lengths of action vary according to the potency used until you get up to the millionth.
I have a few potencies of five hundred million, and when you stop to think that I spent nearly ten years of my life in a regular school of medicine and was taught at once that the proper dose of calomel was 40 grains you realize how deep was my conversion.( I administered it once to a negro on consultation with a fellow allopathic physician, when he told me that this negro child would die unless I gave that child 40 grains of calomel in one dose. He was a great deal older and I didnt say it, but I thought to myself, “I think he will die under the 40 grains.”
At any rate, I had a pleasant surprise. The patient didnt die, and what happened was exactly what he told me would happen, that that calomel would go through that patient with such rapidity that it would not only relieve an engorged liver, but would sweep that tract with the enormous amount of influx of secretion from the gastro-intestinal tract all the way through, and that the patient would recover quickly. The patient did recover, but the after effects for years were still there.).
I have nothing further to add to this except to suggest that you use this with your patients, particularly those patients who are inclined to be skeptical of homoeopathic prescribing and skeptical of the length of action. I have taken that very patient who has come into my office and explained to me that she could not take that medicine because it immediately made her worse and because I feared that she would not hold during that aggravation and had her sit down close by me and I have taken my pen and drawn that little diagram, and before I got half way through she said, “Now I understand; I am perfectly satisfied, and I will stick to it”.
DR. GRIMMER: Really, this paper should serve as a text to any of us. He has very tersely and epigrammatically brought the essentials of homoeopathic philosophy to us, especially in the rhythm of health and of disease and the cycles that we all know exist and the tremendous length of time that remedies will act curatively if permitted.
There is just one little point in summing up the action of remedies, one little point that confuses us at times that we lose sight of in this day of drug slugging, in this day where the patient frequently takes crude remedies without the consent or knowledge of the homoeopathic prescriber, such as aspirin and cathartics, the contact of camphorated substances in the form of balms, and things of that kind. We all know that deleterious effects camphor has an our homoeopathic potencies and our patient come in contact with that very much more frequently than we realize, and that will sometimes cut the action of deep potencies; if it doesnt entirely eradicate their action it will at least dampen it, and the progress of recovery is often interfered with.
That may necessitate a more frequent repetition of remedies than would ordinarily be the case under this beautiful picture that Dr. Underhill has brought to us. It is true that these observations have been confirmed by a great many of our best men. It is purely Hahnemannian in essence. It embodies everything that is in the philosophy, and I think with just remembering this other thing about the effects of camphorated and mentholated preparations, if we study the Doctors paper very carefully and take it to heart, we will be able to do much better prescribing than we have done before.