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Homeopathic Posology

Dr. M. A. Usmani


Homeopathy is a tricky therapeutics, enigmatic for the profession, and mystical for the laity or general public. Rival systems consider it a pet hoax played on the gullible patients and their relatives; or, at best, they accept it as an esoteric affair: totally devoid of reason and substance.

A system of medicine that has no discover-able substance (concrete or discrete)in it, and its potions consist of nothing that can have any semblance of being medicine, is definitely a matter of derision for a mind seeped in science and logic. What posology should mean, to such a person, if the dose that is dispensed to a patient consists of none that can ever be called or considered as medicine—that is, posology of a system of dealing with the patients, that does not have anything that can be recognized as medicine or drug.

So, evidently this article is for homeopaths, for whom medicine begins after the Avogadro’s numbers. Homeopathy begins after Avogadro’s numbers. The more the dilutions, after these numbers, the more versatile and rich in effects homeopathy becomes. Hence the dilutions of the magnitudes of decilinieth, i.e. 30th. to 200th. 1M, 10M., 50M, CM, MM, on the centesimal scale. So forsooth, this article is a sort of intra-professional discussion.

From posological angle, there are two approaches in homeopathy: Classical and Non-classical (or liberal). The classical approach does not go essentially to the extent of Hahnemann. Hahnemann was a liberal mind, preoccupied with discoveries and an indefatigable seeker of new shores. He did not constructed an ossified system of posology. He had reached to the 30th. potency. (Hardly ever to 200th.) His all immediate disciples—most prominent among them being Dr. Jhar, Hering, inter alia. Dr. Jhar devotedly used 30th. and no other potency.
The ‘classical’ belongs to the classical progeny of homeopathy. For them use of low potencies, up to 30 is a disgrace. Their penchant is to use high and the highest potencies—to the magnitude of 10M., CM. and MM potencies. They always seek to draw a mental—socio-psychological, and behavioral personalities for prescribing, transgressing all the physical symptoms and ailments. With utter disregard to the obvious and gross pathology and striking physical complaints, their decision for the indicated remedy will be hung on the knob of patient’s mental make-up, for example, is the patient kind or aggressive, anxious or careless, brave or timid, etc. Sometimes this decision may take quite a long time—pending this decision, the patient could cross the barrier of life, without ever have been properly prescribed. Thank God Hahnemann was not ‘classical’. The scores of patients that he used to treat daily were patients, not personalities. People of the ilk as Jhar and Hering were his true disciples. Jhar’s Forty Years Practice is a grand testimonial of successful pathological prescribing, without ever a single mental symptom. Like men mental symptoms are deceiving, and on deception prescription cannot be based. Pathology can be determined and corroborated in the laboratory, personality and character can’t.

  • The most fruitful advantage of low potencies is that you can change without drastic and destructive effects thereby, in case of first wrong choice. You can make amends without much complications.
  • In a sub-acute or nearly a chronic case, you can construct a background with a high potency, followed by a low potency of the same, or another remedy, e.g. Thuja, or Nitric Acid in a high potency, in a urethral complication, (sub-acute, or chronic), followed by low potency of the same, or another remedy, e.g. nitric acid 6, or 30, or cantharis, for urgently painful symptoms.
  • You can activate or create an idiosyncrasy by giving an acute remedy and completing the case with its complementary in high potency. For example, in arthritis prescribing Rhus-tox, on acute ground, for few hours or days, then giving Calcarea Carb., or Calcarea Flour, in high or very high potencies—thus easing the patient for many months to come. Then repeating or giving the next higher dose of the latter, when needed. [cf. My article: Only the Second Dose is the True Similimum].
  • The grosser the pathology, the more near to the material dose of the drug, with more repetitions. And the more ethereal (mental or psychological or emotional—the realm of ‘imponderabilia’) the disease, the higher the potencies, and the least repetitions.
  • Every step towards the higher potency makes the medicine more individualistic and more distinct in its persona (or personification). Two highly developed personalities cannot—can never—be commingled in identification. So, higher the potency, the more serious the job of identification and selection. It is in this situation that Kent warns of laxity or mistake. Any mistake here is an unadulterated disaster!
  • The safest area in such situations is to first determine the MIASM of the patient and give the miasmatic medicines, (Nosodes). The most trusted among them are: Medorrhinum; Syphilinum; Tuberculinum; Bacillinum; Morbillinum; Typhoidinum; Psorinum; Pertussin; Variolinum, etc. You can safely ascend the ladder of potencies, without fear or trepidation of a gross mistake. In this way you can work miracles.
  • For a gross physical disease, don’t shirk repeating medicine, on definite intervals, (mostly in watery solution). And don’t stop repetition immediately after experiencing amelioration. Go on repeating for more 3 to 4 doses. It won’t hinder or spoil the case, but act as booster. For a long standing permanent case, as e. g. rheumatism or arthritis, repetition can go quite for few days. Only one can/should go on diluting the mixture by adding few spoons more of water, with vigorous shakes. One can work miracles with Rhus-tox in watery solution, and complimenting it, after few days, with Calcarea salts in high potencies.
  • Giving low potency, from few doses to few days, before the intended high potency of the same or a complementary medicine, creates a proclivity thereby for that remedy.
  • Giving potencies in a rising crescendo to the preselected higher potency—as for example, 30-200-IM. has worked wonders. [30 can be two doses in a day, followed by 200th. the next day, and IM on the third day.
  • Giving two doses, instead of one—considering the second as booster, is a secure way. Moreover giving two doses, instead of one, in a short interval, one can consider it as one dose, split in two.
  • Going from low potencies to higher potencies you are definitely travel ling from less individualistic to definitely more individualistic state.

Homeopathic posology is more an art than science. Every prescriber’s seeping into his practice gives color to his outlook and wisdom in tackling his cases. Success depends on the sincerity, maturity and faithfulness in practice.

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Comment by Sabby Lewis on November 2, 2018 at 3:25am

You have given a good unbiased view of the matter. Personally I feel that slowly  homoeopaths should  be able to conduct  studies in which different posologies and different methods of administering medicines can be studied systematically . By doing this we may have to rely less on personal opinions of various practitioners 

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