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Intercurrent Homeopathic Remedies For Chronic Disease Are The Pathfinders

Intercurrent remedies are those remedies given during the course of homoeopathic medicines for some chronic diseases for the purpose of removing any acute diseases & accelerating the mode of cure or removing any hindrances called miasmatic blocks. In the introduction of “The Theory of Chronic diseases” first edition, 1828 Dr.Hahnemann presented the method of using acute & chronic incurrent remedies. At present there are many reasons prevailing for the use of these intercurrent remedies. We will see a brief description regarding that here.

Basically there are two types of intercurrent remedies.
1. Acute Intercurrents and
2. Chronic intercurrents.
Acute intercurrents are those remedies given during an acute crisis in the management of a chronic case. This acute crisis may be due to any cause (like getting wet, severe trauma, injuries, acute miasms, some epidemics, any exciting factor, etc), but it is different from the clinical picture of the chronic natural disease.

The basic law behind these acute intercurrents lies in the law of dissimilar diseases. Dr.Hahnemann clearly explains us in
• A newly occurring disease is an acute disease (which usually has a strong & violent character as we study by its definition), when it occupies the organism which is suffering from the older chronic disease (which has now become weaker due to the result of the homoeopathic treatment given), then it suspends or postpones the older disease from its manifestations.
• Then at present, a physician is able to get ONLY the picture of this NEW ACUTE DISEASE. (Sometimes both the acute & chronic mix up together and form a complex disease).
• There are some physicians who prescribe the same chronic indicated remedy for this acute illness too. This is a very haphazard prescription, without taking the present similimum. The remedy for the past chronic totality will be now a dissimilar remedy at this situation.
• Dr.Hahnemann himself used many acute intercurrents in the midst of chronic course prescriptions in his life time which he had given in his “Chronic diseases” and “Organon”.

• The best and ideal way to select the acute intercurrents is by Boenninghausen method. i.e. by selecting an acute remedy based on the causal or exciting factor and its active totality symptoms(Location, Sensation, Modality & Extension).
• Thus forming an ACUTE TOTALITY as per the present scenario will give the best acute intercurrents.
• Acute remedies are used during the temporary disruptions of the chronic treatment. As these remedies are selected on the basis of the exciting causes and the active acute symptoms, they do not disrupt the chronic deeper layer associated with a different fundamental cause and constitution.
ADMINISTRATION: As the presenting disease is an acute one, the Vital force needs a remedy in a HIGH POTENCY in a minute dose to subdue an acute flare-up (Dr.Hahnemann).

• After using the acute remedies, the acute disruptions will be re-altered and brought to the state of older altered or disrupted state.
• Then a physician has to retake the case with special emphasis on newly appeared symptoms.
• If the same remedy that was serviceable before the acute disruption is indicated then it may be repeated (but only with the re-case taking).
• If the picture has changed/new symptoms appeared, then it must be reanalyzed by the chronic strategies used before.
• It is best to wait and watch by giving placebo in the mean time to please the patient until the Vital Force has been able to produce all the symptoms you must prescribe on.

There are many different situations which need this acute remedy, they are classified as follows:
1. Acute situations caused by lifestyle or dietary mistakes.
2. Acute situations with any clear exciting factor and strong symptoms.
a. Acute physical trauma.
b. Emotional trauma.
c. Poisons & vaccinations.
3. Acute exacerbations of a chronic miasm (this is the one we usually consider).
4. Epidemic and sporadic diseases occurring during the chronic disease.
5. Acute miasms- recurrent and non-recurrent type.

Chronic intercurrents are those medicines which are usually given as anti-miasmatic remedies in the midst of the chronic treatment for miasmatic blocks, suppressions and obstacles to the cure.

Basically the origin of Nosodes was under the idea of anti-miasmatic remedies. Long before Pasteur invented the Vaccine, our authors had written enormously about the effect of morbific, noxious matters occurred as a result of a disease. (Ex. The itch matter- Psorinum ) and advised that it could be used as a king remedy to remove that miasm based on the symptom similarity.
• The greek word noso is a prefix which indicates a disease and morbid root.
• If the picture of the disease is very unclear, stopped or collapsed, then one should consider a nosode to make free the vital force, so that in secondary action it will bring upon some symptoms upon which you can prescribe a drug.
• It is not that a nosode is required in all cases; a clearly indicated similimum will suffice the work of all the other remedies provided there are no obstacles to cure.
• But a nosode when given, it greatly improves the patient to the condition of eliciting the disease symptoms markedly. In other way it could be told as, it will remove the miasmatic block and makes the symptoms of that miasm more pronounced.
• A nosode can act totally curative, if it is selected on the basis of totality of symptoms and not merely as only to relieve the block. Here it will serve for a double purpose.
• The idea of Isopathy does also lies behind the chronic intermediates.
• But the nosodes are not isopathic but homoeopathic because it is proven and prescribed on the basis of the totality of the symptoms.

• A Chronic intercurrent has to be administered to a patient only if and when necessary.
• “If necessary” in the sense a nosode is not necessary if the characteristic totality of the patient represents clearly to a well-proven remedy. After a careful constitutional prescription, a nosode may be given if necessary when symptoms are in a stand-still state.
• “When necessary” means we can use it as prophylaxis, in acute states, and in chronic diseases. It has many variant conditions which follows;
- When well-chosen remedies do not act or when symptoms continually change.
- When progress under the constitutional layer remedy ceases due to miasmatic block.
- The “Never well since” condition.
- The lack of symptoms.
- When pictures of several constitutional remedies are seen, but no one remedy completely fits the picture.
- Prophylactic epidemic prescribing.
- When the nosode is isopathically related to the micro-organism.
- Pathological indications.
- Finally, when the nosode is the indicated remedy- it is the constitutional remedy.

• ADMINISTRATION: If the case progresses slowly but surely repeat the nosode at suitable intervals as long as improvement continues (This is to be done in medicinal solutions of centesimal or LM potencies).
• The nosode’s role is to re-organize the symptom pattern in such a manner that a complete expression of symptoms (through liberation of the VF from its miasmatic poison) is possible.
• Once this occurs, retake the case and find the constitutional similimum.
• Thus a NOSODE as a chronic intercurrent acts as a special key to open the door of difficulty during progress of a case.
Thus the usage of intercurrent remedies in the field of homoeopathy is an inevitable one for a good classical practitioner. It shows that a Single dimensional constitutional prescribing alone will not suffice for the complete cure of a case to the end.

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Comment by Hans Weitbrecht on September 4, 2009 at 5:01pm
Dear Dr Nagarajan
I read your article with interest and hahnemann's and Boenninghausen's work in mind.
Acute remedies during ongoing treatment:
If the situation occures, that the patient expresses acute symptoms during the course of treatment, those symptoms are looked into carefully. They may well be within the scope of the ongoing remedy and therefore all what it needs is repetition in a higher potency (lm's and C's). If the present state lies outside the scope of the former remedy, then a new remedy must be determined.
chronic cases:
neither Hahnemann nor Boenninghausen advised to give nosodes on the basis of a miasm being prevalent. Nosodes were used according symptom similitude.
In the earlier years (without LM's) they faced the situation, that a chronic remedy which was still indicated was repeated and did not do anything anymore. Then a close allied remedy was given in a single dose c30 or 200 , left act for a short period of time and then the original remedy re-applied with the best of results. we can follow this method studying Boenninghausen's cases.
But with the advent of LM's at the end of hahnemann's live he overcame this problem and the intercurrents were not needed any longer.
Comment by Dr Muhammed Rafeeque on September 1, 2009 at 6:17am
really informative
Comment by Dr. Meakin Mittu M.D.(Hom.) on August 29, 2009 at 3:16am
good and great description

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