aHAHNEMANN’S ADVANCED METHODS OF MEDICINAL ADMNISTRATIONS
APHORISM 1: “THE physician’s high and only mission is to restore the sick to health, to cure, as it is termed”.
In the very beginning of The Organon of Medicine Hahnemann defines what should be the sole purpose of the homoeopathic physician. Hahnemann not only wrote this aphorism but also he did the same. He dedicated his whole life for suffering humanity and to give them cure.
APHORISM 2: “The highest ideal of cure is rapid, gentle and permanent restoration of health or removal and annihilation of the disease in its whole extent, in the shortest, most reliable, and most harmless way, on easily comprehensible principles.”
Hahnemann continues the organon with the statements of how the cure should be and how it should be achieved, in the Aphorism No.2. Hahnemann strived and succeeded in finding the methods of eliciting a cure during the last 10 years of his life and he postulated those principles and guidelines in the successive editions of organon of medicine after 1828. Here one must bear in mind that the effort had took place after his discovery of the chronic diseases, which owes the credit of the greatest discovery of his life time.
Hahnemann wanted to shorten the time taken for a cure in chronic diseases, as well as the acute natured diseases without any unwanted homoeopathic aggravations or uncomfortable intensifications of the symptoms.
In general, we would have heard that the aggravations are welcome note for a cure! We can see many of the homoeopathic practitioners tries to compromise their patient who has been subjected to aggravations, with the notions such as the intensification of symptom is a good sign for cure so please bear it. But Hahnemann was strongly against the aggravations, he never gave a welcome to such things instead he endeavored to give the patients a cure with ease.
Then how comes these kind of wrong thinking in homoeopathic practice? If you ask this to those followers they may point out Dr. Kent, who was a good practitioner of homoeopathy in a classical style, according to the 4th Edition of Organon – single dry dose method, using various potency range (6c, 30c, 200c, 1M, 10M, 50M, CM, DM & MM) etc.
Here comes a contradiction in the concepts between Hahnemann and Kent – We all know that Kent is one of the strict follower of organon, who have made enormous contributions for Homoeopathy, But how can he neglect a cure without aggravation? Is it true that Kent accept the aggravations in the homoeopathic cure?
In search of the above query, the answer is - NO. Kent did not welcome the aggravations in a homoeopathic cure, which can be known from the writings in his Lesser Writings as follows;
“Too high a potency gives an unnecessary aggravation, and then will not perform the best curative action. The best action is the slight aggravation, as in first few hours in the acute disorders. The ideal is the one that gives no aggravation but amelioration. We do not seek to produce an aggravation that is not the best, not the longest curative effect.” [Chapter: Potency Discussion; Page No: 350 – 351].
So it is clear that the Kent has also recognized the need for a gentle cure with continued amelioration and not an amelioration that follows after an aggravation. But why the followers of Kent had an aggravation? The most probable reason may be the irrespective use of higher range potencies and administering medicine as a dry single dose. Even though Kent have taken the advantage of using higher potency and made his followers to do the same, he made it with a rule as he mentions in his Lesser Writings;
“Keep the mild potency so long as it works. It is not well to jump too many degrees” [Chapter: Potency Discussion; Page No: 350].
The so called followers of Kent have not kept on his advice that have mentioned above. They practiced by starting a chronic case with a high potency such as 1M or 10M with the false belief that aggravations is necessary for a cure.
How comes a difference of opinion in the history? One must remember that Kent is a 4th Edition (1829) follower of organon which was published with many changes from the previous versions, and it was the result of many new observations of Hahnemann after his work on “The Chronic Diseases” (1828).
After that Hahnemann made a successive progression of his theories and philosophy of homoeopathic practice and introduced the advanced techniques in the 5th and 6th editions of organon, on the basis of which he practiced for the last 14 years of his career and made a excellent success in his practice.
But most of the practitioners of this time are followers of the 4th edition method, i.e., dry dose; single dose, haphazard use of potency and repetition of doses and also even the majority of practitioners are using multiple medicines too! Who can never be considering as a homoeopathic physician even though he is a Graduate of Homoeopathy.
And so, it is now a high time to learn the advance techniques of our master Samuel Hahnemann and should make them use in our practice to give a gentle cure. For better understanding of the advanced methods of Hahnemann we must make a historical analysis and the evolution of various concepts as a stages of development from the 4th, 5th and 6th editions of Organon of Medicine.
History of the Organon of Medicine:
The organon of Medicine which is said to be The Bible of Homoeopathy has taken its present form through six different revisions in its evolution from 1810 to 1843. It had been subjected to many corrections, additions, deletions by Samuel Hahnemann time to time and completed the last and final version of organon just before his death.
Hahnemann discovered the Law of similar in the year 1790, and he believed that this principle may be applied to certain chronic diseases. Then a constructive homoeopathic principle was formulated by Hahnemann in 1796 and was published in his Essay on a New Principle. Later in his Medicine of Experience – The precursor of Organon of Medicine which was published in 1805, Hahnemann extended the first principle of homoeopathy as it can be applied to all the chronic diseases.
Both the two writings of Hahnemann formed the ground base for the first and succeeding editions of organon of medicine. The first edition of Organon appeared in 1810, and then the second edition in 1819 with considerable changes and later the third edition came in 1824. The third edition of organon was a different from the previous versions. During the period between 1816 and 1828, Hahnemann was in search of the fundamental cause and working out the concepts of Miasms, which was published in 1828 as The Chronic Diseases. So, the fourth edition that came in 1829 had some major changes with some notes of his new works, including theory of Miasms.
It was in January 1829, in Koethen, Germany, the fourth edition of Organon was printed. It has the basic frame work of all the principles of homoeopathy, still now many of us are practicing according to the rules laid down in the fourth Edition, unfortunately thinking it as the classical. But truly speaking the development and successes for Homoeopathy and Hahnemann was tremendous after the stage of fourth edition. We must remember that Hahnemann had extended his research far beyond the 4th edition of Organon in his later two editions. It is true that the next 14 years of Hahnemann’s life was the most precious since the advanced methods in Homoeopathy have been evolved in that period.
The fifth edition of organon was published in 1833, which had made a tremendous turn over in the homoeopathic history with many inclusions and corrections and with a basic refined method of potency, dose and medicinal administration. Then a part of Chronic Diseases was published in the year 1839.
Hahnemann completed the sixth edition of the Organon in 1842, before his death. But it did not see the light of the world until 1921. And this time interval the Kentian school of thoughts dominated the Homoeopathic history and which made a vast implications of the older methods (4th edition).
After Hahnemann‘s death in 1843, the manuscript of 6th edition of organon was held unpublished by his wife Melanie Hahnemann until her death. After this the manuscript was handed over to the Boenninghausen family until 1920. Due to the financial crisis of Boenninghausen family in the World War I, they decided to sell the manuscript to Dr. William Boericke who was waiting for the manuscript for about 20 years. Dr. Richard Haehl captured the manuscript before handing over to Boericke, kept it for several months and prepared the manuscript for publication in German. So the German Edition of 6th edition was published in 1921. Then the English translation of 6th edition of Organon was published in the year 1922.
The original sixth edition of Organon consist of a copy of 5th edition, bound with a sheet of paper between each page of text, upon which Hahnemann made the hand written changes in 5th edition. This interfoliated volume consist of a synopsis which served as a table of contents, a preface, an introduction and 291 numbered paragraphs of text. At present the Manuscript is kept in University of California at San Francisco as rare book collections.
So there was a large time interval between the completion and outcome of the Hahnemann’s sixth edition of Organon which gave a dominant role to Kent who was a classical 4th edition follower, But Hahnemann himself mentioned this as a Barbaric Methods. Then why should we stick to this old method which never worries about the aggravations, miasmatic blocks etc.,
In order to make a better understanding of the Hahnemann’s advanced methods we must make a simultaneous study of chronic diseases and the successive editions of Organon of Medicine thoroughly.
Major Changes in the 4th, 5th & 6th Editions of Organon:
Changes in 4th Edition:
1. Introduction of Concept of Psora
2. The standard high potency is 30 C
3. Introduction of Single unit dry dose with few poppy seed size pills.
4. Repetition is not allowed till the improvement exists.
5. Remedy can be repeated only when there is a definite relapse of symptoms
Changes in 5th Edition:
1. The potency limit of 30 C was removed.
2. Administering the medicine through watery solutions was introduced.
3. Repetition of doses was allowed even when the improvement exists.
Changes in 6th Edition:
1. Introduction of LM potency
2. The idea that the patient must not experience a similar aggravation.
Here we can see a pattern of changes in every edition under certain concepts alone i.e., Hahnemann had not made any changes in his laws but he was constantly making a research in the Administration of medicines, Potency and Repetition of doses. So we can make an analytical study by categorizing those changes.
The important factor that made Hahnemann to make a continuous change in the method of medicinal administration is to avoid the unwanted similar aggravations and he wanted his cure to be rapid, gentle and permanent.
Hahnemann made 30C as the higher Potency range at the time of fourth edition because he faced many problems of aggravations, even though there was a cure. He was not satisfied with this Single Dry dose “Wait and Watch” method The scientific mind of Hahnemann could not digest this since he was striving for a gentle and speedy cure. So he made a constant study in the potency and came to the idea that the higher potencies will cause an aggravation since the given remedy is much stronger that it represses the secondary curative response from the vital force and make the vital force to get weakened which will elicit a delay in cure. And also there is a chance of appearance of accessory symptoms when the given potency is high or with an untimely repetition of a Dry dose.
Since there was a delay in the cure, there is need to move for the next potency range or to repeat the medicine again, if a prescription was made with a high potency at the beginning then there will be a aggravation and because of this aggravation we could not repeat the medicine again. So Hahnemann advices the 30C potency as the higher ranges in 4th edition but he realized the need for moving to further ranges of potency.
Here we should note the differences in between the potency range.
So there was a vast difference between the potencies which will be an aggravating factor, so he decided to alter the potency in a minimal and effective method. This was the one reason for which Hahnemann introduced the watery solutions. He realizes that giving a medicine by mixing it with alcoholated water will minimizes the aggravation. The minimal alteration of the potency can be achieved by stirring the solution or by Succussing it by several times. His advices this split dose method in the Chronic Diseases and also in the 5th edition of organon for mainly acute diseases and for few chronic disorders. In chronic disease he mentions only the stirring for increasing the potency but in the 5th edition of organon he mentions succussions. The 5th edition watery solution administration allows the Homoeopath for repeating a remedy as there is a gradual improvement.
Major Advantages in 5th edition methodology:
1. The remedy solutions are gentler in nature, but at the same time, deeper acting because their dynamic power is more increased in the fluid medium. The lower potencies from 6C to 200C act deeper in solution than in dry form, yet with minimal draw backs and limitations. The same for the high potencies, which can be repeated if the dose is properly adjusted.
2. The remedies can be repeated when necessary at the suitable intervals, even as the patient is improving, instead of Waiting and watching as in the 4th edition, single dry dose method. As long as the patient is improving and there are no aggravations or changes in the symptoms, the remedy can be continued. The only exception is that of a striking amelioration.
3. The dynamisation in these medicinal solutions can be closely individualized to match the patient’s sensitivity through various methods of adjusting the dose.
Even then the aggravations are minimized through the methods of 5th edition Hahnemann wanted to remove the similar aggravation experiencing by the patients totally including the acute disorder. He started working for that which gave birth to the invention of LM potency in the 6th edition.
The dilution ratio of the LM potency is 1:50,000 at each step instead of 1:100 and with 100 succussions. The higher numbers of dilutions makes the power of the remedy very high, while the relatively low number of succussions keeps the aggravation low. Thus the LM make the remedy to act very deeply, to the emotional level, thus far back in the patients time line.
Warning: This is not a ever aggravating potency.
Advantages of LM potency:
1. No sudden leaps or bounds when using this methods.
2. No similar aggravations.
3. Can be used to strongly suppressed cases and strong pathology cases.
4. Easy adjustment of doses and repetition.
5. Speed up the cure.
It is important for us to realize that the advancement of the homoeopathy have been already made by Hahnemann through his advanced methods of medicinal administration given in the 6th edition of organon, which satisfies his words of Aphorisms 1 & 2. The man who dedicated his whole life completely for the suffering humanity and who took over the task single handedly and completed his Higher Purposes of the Existence.
Don’t try to be smarter than Hahnemann – no matter what experiment you think of, he tried it – Luc De Schepper
Imitate me; but imitate me well – Samuel Hahnemann
1. Achieving and Maintaining the Simillimum – Luc De Schepper
2. Hahnemannian Text book of Classical Homoeopathy for the Professional – Luc De Schepper
3. Organon of Medicine – Samuel Hahnemann [6th Edition – Translated by William Boericke]
4. Organon of the Medical Art – Samuel Hahnemann [6th Edition – Translated by Steven Becker]
5. Lesser writings – James Tyler Kent