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Fifty Millisimal Potency

MILLESIMAL

POTENCY

Theory and Practice

Dr. Harimohan Chaoudhury

Contents

Part I

Theory and Practice

1) What is Organon

2) Edition of the Organon

3) Fifth Edition of the Organon is beset with multifarious problems

4) Need for the revision of the whole subject

5) Name and sign of new method

6) Evolution in Homoeopathy

7) Elevation of the Fifth Edition

8) New concept for the new generation

9) Developed system should be hailed

10) Reasons of delay in publication of the sixth edition

11) Introduction of this system in India and Bangladesh

12) Special Features of 50 Millesimal Scale

13) Preparation of 50 Millesimal Scale

14) Mode of administration of 50 Millesimal Scale

15) Unworthy successors

16) Science is meaningless without application

17) It is safe to learn from the Organon

18) Classification of diseases

19) Administration of Medicine is also different in Three Categories

20) In Place of One Dose, Now Many Divided Doses

21) Reason for Application of Medicine in Many Doses Instead of Single Dose

22) Bow Long First Prescription Will Continue

23) Only Potency is to be Changed

24) Proper Time of 2nd Prescription

25) What should be the Potency of the 2nd Prescription

26) From What Potency to Start

27) Applicability of Medicine in Descending Scale in Lieu of Ascending Scale Demands Attention and Experimentation

28) Unscientific Argument about Potency

29) The Latest Method is Safer

30) Limitation of Potencies in the new method If Aggravation is found During Treatment

(a) Similar aggravation:

(b) Dissimilar aggravation:

(d) Aggravation at the End of the Treatment:

(e) Antidote During Aggravation:

(f) Other Causes for Aggravation:

31) Conditions for Application of Medicine

32) Preparation of Medicinal Solution

33) Solution

34) Direction for Application of Medicinal Solution

35) If Aggravation with Such a Dose

36) Exceptions to the Smallest or Minutest Doses

37) External Application

38) What Parts of the Body are More or Less Susceptible to the Influence of the

Medicines

1. Oral Administration

2. Method of Olfaction

39) Mode of Preparation of Medicinal Solution for Olfaction.

40) Doubt about the Cure

41) Application through Rubbing

42) Application of Medicine through Mother's Milk

43) Proper Time for Application of Medicines

44) An Exception to the Administration of Homoeopathic Medicine and Palliative is

Allowed

45) One Single, Simple Medicinal Substance to be Administered at One Time

46) Homoeopathy Does Not Recognise Any Specific, Mixture, Tonic, Ointment, Injection,

etc.

47) Playing as You Like With the Diluted Medicines

48) Hahnemann is the most supreme

49) Selection of Medicine

50) Beware of Administration of Medicine

51) Diet and Regimen

52) How to Avoid Medicinal Aggravation of 50 Millesimal Scale Of Potencies

53) Medicine of this Scale also Aggravates!

54) Unscientific Application of Medicine is Responsible for Aggravation

55) Hahnemann Specified Four Causes of Aggravation

56) The Highest Ideal of Cure can be Achieved with the Help of Medicine of 50

Millesimal Scale of Potencies Only

57) Here is What Dr. J.N. Kanjilal, One of the Most Leading Homoeopaths of

International Reputation, Says

58) While applying medicine, the phrase 'If necessary' used by Hahnemann

(Ref. Footnote to Aph. 246) should be seriously considered.

59) To Avoid Aggravation, Minimisation of the Dose is a Must

60) Solution of Potency Problem

61) Conditions for Rapid and Gentle Cure

62) Cure

PART TWO

TESTIMONY OF THE CLINIC

63) Two Cases from Hahnemann's Note-Book

64) Case I

65) Case II

66) Acute Cases [Case I: Inflammation of the breast (Mastitis)]

67) Case 2: Tonsilitis

What is Organon

Hahnemann's Organon of Medicine is the book on which stands the edifice of the science and art of medicine which explains the fundamentals of 'why and what' of Homoeopathy, which clearly defines a true physician with his duties and responsibilities as a rational healer of the sick and preserver of health, who can free the ailing humanity from diseases and, above all, gives clear hints to create a progressive, happy, prosperous and exploitation-free human race providing it with a bright joyful life in thoroughly excellent health.

Editions of the Organon

The foundation of science is based on observation and experimentation. It proceeds, on the road to perfection through its application. That is why no scientist can claim perfection with his new discoveries right then. It is also a fact in respect of the Organon on which stands the basis of the art and science of developing and application of Medicine, specially of Homoeopathy.

The first edition of the Organon came out in 1810. To make it more perfect subsequent editions (i.e. the second, the third, the fourth and fifth) came to light in 1818, 1824, 1829 and 1833 in succession. All the additions and alterations in each edition were made by Hahnemann on the basis of his experiences

derived from continued observation, experimentation and application.

Fifth Edition of the Organon is Beset with Multifarious Problems

Hahnemann had to face various problems when he started practice with medicines prepared according to centesimal scale of potency as laid down in the Organon, fifth edition. Because the conditions of 'Ideal of Cure' as per aphorism - 2 of the Organon could not be materialised with that potency. Dr. Hahnemann had to ponder over the matter for its betterment.

The main difficulties are:

(i) Gentle and rapid cure is not at all possible by it or it

takes a long time.

(ii) The undesirable medicinal aggravation comes even

after the well selected medicine is administered.

(iii) Even a dose of high potency continues to act for a long

time.

(iv) Repetition of doses is not possible even If there are

remnants "of Symptoms of disease, in consequence of

which the patient suffers for a long time.

(v) The problems of administration of doses and potencies

still create controversy and confusion.

The Need for the Revision of the Whole Subject Arises in Order to Overcome the Above Difficulties

Although many of us are still satisfied with the fifth edition of the Organon even after 146 years of finishing the manuscript of the sixth edition, the great scientist and lover of mankind Dr. Hahnemann was not. He devoted himself to the laborious task of further observation even at the old age of eighty.

He worked hard for 5 years from 1838 to 1842 and completed the arduous task of revision, specially of the preparation and administration of medicine, and on the eve of his death on 2nd July, 1843, he has given us "... new, altered but perfected method," in the sixth edition of the Organon.

The mode of preparation of medicine, its dynamization and application are novel. Hahnemann called it "the perfected method," "the new dynamization method." Herein lies the qualitative superiority of sixth over the fifth edition.

Name and Sign of New Method

Potencies, i.e., Dilutions of this method go by different names and abbreviations, such as—Millesimal scale. 50 Millesimal scale, New potency. Newest potency, etc.

In the Western world it is designated as 1 /0, 2/0, etc., in India and Bangladesh as 0/1. 0/2 and M/l, M/2, etc. Hahnemann used to write it as — —. It would be more scientific and logical if

we write LM/1, LM/2, LM/3, etc., since 'L' stands for 50 and 'M' for Millesimal.

Evolution in Homoeopathy

Evolution or gradual development is the characteristic of nature. It is so with science. Homoeopathy, being a medical science, its development also has been and is being gradual and the credit goes to its founder. Dr. Hahnemann.

The discovery of a new finding negates that of the old. This is the case with the Organon of Medicine. Dr. Hahnemann, therefore, had to replace successively his previous editions of the Organon on the basis of his new findings. In this process his fifth edition of the Organon has been replaced by the new (sixth) edition.

Elevation of the Fifth Edition

But many of our physicians, willingly or unwillingly, or to avoid pecuniary loss; or merely due to prejudice have not yet accepted "the new, altered but perfected method" although Dr. Hahnemann had discarded many of his formulations of the fifth edition including centesimal scale of potencies (Footnote to Aph. 246 and 270). He solved the problems cropped up in Homoeopathic science upto the time of publication of the fifth edition with his newer formulations which were incorporated in the sixth edition of the Organon. He emphasised In this connection that, "... all these difficulties are wholly solved by my

new, altered but perfected method." (Footnote No. 132, Organon, 6th edition).

Indifferent attitude of many physicians towards the sixth edition of the Organon defies all sense.

New Concept for the New Generation

We are to march forward to the truth inspite of the antagonistic attitudes of a section of the followers of the fifth edition towards the sixth. We should never forget that in Ho-moeopathy Dr. Hahnemann is still the sole authority.

Dr. Kent said about him, "Let all men learn from him until they can do as he did, for he was, and still he is, the teacher above all others".

So, as the fourth edition was not in use after introduction of the fifth, the same should have happened with the fifth after the appearance of the sixth edition. Consequently the scale of potency, mode of administration of medicine and mode of observation of patients should have been changed and modified advices of Dr. Hahnemann in this regard incorporated in the sixth edition should have been followed.

Developed System Should be Hailed

When we have an improved system based on reason, whose methods of application have been scientifically ex-perimented and proved to be more effective, we should not stick to the old.

Prejudice and conservatism are reactionary trends and retard evolutionary process. Physicians with rational outlook should welcome the Master's latest innovations and findings which he claims to be nearly perfect and which have been proved and effective through practical applications.

Reasons of Delay in Publication of the Sixth Edition

Previously it has been mentioned that from 1838 to 1842 Hahnemann was engaged in revising and recasting, experiment and counter-experiment of his new findings in the sixth edition in all its aspects and finally completed the manuscript in 1842. In a letter dated 20-2-1842 to Mr. Schaub, in Dusseldorf, his publisher, Hahnemann wrote, "I have now, after eighteen months of work, finished the sixth edition of my Organon, the most nearly perfect of all". We are sorry to state that inspite of his utmost desire, he could not publish it because of the bungling of his German publisher. Next year on July 2nd (1843) the world lost Dr. Hahnemann and the great advancement in Homoeopathy remained unpublished. The manuscript remained in possession of his second wife Madam Malanie. It could not see the light of the day in her life-time because of her unexpected greed for money.

Hahnemann's close friend and relative, Dr. Boenninghausen and many other French, British and American friends and admirers spared no pains for its publication. But all were in vain because of non-availability of the manuscript. At last Dr. Haehl

managed to procure the same and published it in original only in 1920 and Dr. W. Boericke published its English version in 1921.

In 1920-21, though this last edition of the Organon saw the light of the day, its novel aspects, peculiarities and specialities remained in the dark and beyond the knowledge of mankind. Even though one of its translators. Dr. Boericke, published it, yet his world famous medical firm 'Boericke and Tafel' has not, even upto this day, prepared medicines according to this new method. But unfortunately, like many others, that firm has taken the lead in the preparation and selling of Alfalfa Tonic, Brain Tonic, Nerve Tonic and many other pseudo-homoeopathic drugs, in utter negligence and violation of the fundamental principles of Homoeopathy.

At last, in April, 1950 issue of The British Homoeopathic Journal, Dr. Charles Pahud of Lozen, France drew the attention of the world Homoeopathic physicians to the sixth edition of the Organon in his article, 'My Experience About Hahnemann's 50 Millesimal Scale Potency'. Again from 1954 to 1956 Dr. Pierre Schmidt published his valuable essays and other speeches about the new method of the Organon, sixth edition in The British Homoeopathic Journal The Journal of the American Institute of Homeopathy and such other journals. In this way these two learned and world famous Homoeopaths opened the door of the hidden treasure of the last edition of the Organon for which we are very grateful to them.

Introduction of this System in India and Bangladesh

Since 1957 our respected co-researchers. Dr. Debendra Kumar Roy, Dr. Khagendra Nath Bose and Dr. Bejoy Kumar Bose started discussion on this new system in the Bengali Monthly Hahnemann and Hahnemann Publishing Co. (Private) Ltd., prepared some medicines in pursuance of the 50 Millesimal Scale of Potency. So India becomes the pioneer in this respect.

Then since 1958 in Bangladesh (the then East Pakistan) venerable Dr. Chandipada Chakraborty also started experiments with this new method and wrote many articles in many Homoeo Journals. Dr. Chakrabarty is the introducer of this system in Bangladesh. It is because of his labour and zeal that Bangladesh has won the second place in the world in giving the shape to this new method. Lastly, Cosmopolitan Homoeo Laboratory and Stores of Chittagong, started preparation and distribution of medicines of new scale commercially since 1962.

Special Features of 50 Millesimal Scale of Potencies

It has already been mentioned that Homoeopathy was overburdened with problems upto the fifth edition of the Organon, i.e., upto centesimal scale of potencies, imperfection is the problem and perfection (as far as practicable) is the solution. The science and art of Homoeopathy, according to Hahnemann, was incomplete upto the Organon, fifth edition and has become almost complete in the sixth edition. In the preface

of the Organon, 5th edition. Hahnemann stated that Homoeopathy was "so near to perfection." But about the 6th edition he wrote to his publisher that in comparison with the previous ones it was "the most nearly perfect of all." So the 5th edition was near to perfection but not quite perfect, whereas the 6th edition is the most complete of all upto the time of Hahnemann.

I cannot resist my eagerness to bring home to the readers another remark of Hahnemann regarding the rejection of the 5th edition with its centesimal scale. Hahnemann said, "What I said in the fifth edition of the Organon, in a long note to this paragraph in order to prevent these undesirable reactions of the vital energy, was all that the experience I then had justified. But during the last four or five years, however, all these difficulties are wholly solved by my new, altered but perfected method,"

(Hahnemann, S: Organon, sixth ed., footnote to Apho 246.)

From this statement of the Master we can easily under-stand that centesimal scale of potency brings undesirable reactions of the vital energy, but it is wholly solved by the new method. Now the medicine does not assail the patient but "touches all suffering parts curatively."(Hahnemann, S: (bid., footnote 155 to Apho, 270.)

Medicinal aggravations which are the common features of the centesimal scale no longer exist in the new method. "Such increase of the original symptoms of chronic disease can appear only at the end of the treatment when the cure is almost or quite finished."(Hahnemann, S: ibid., Apho. 161.) So, the question Back to Top

of"... furious, even dangerous, violence" (Hahnemann, S: ibid., footnote 155 to Apho 270.) of centesimal scale does not arise in 50 millesimal scale.

In comparison with the medicine of centesimal scale, this new method "produces medicines of highest development of power and mildest action." (Hahnemann, S: ibid, footnote 155 to Apho 270.)

To cure a patient with the medicine of centesimal scale would take longer time. We find, if we discuss the different types of case records of patients by many leading homoeopaths, including Dr. Kent, that they would sometimes have to take 2 to 6 years' time to bring some patient round. So abnormally long period in healing is one of the grave defects of the old method.

But, on the other hand, new dynamization method diminishes this period to "one half, one-quarter and even still less, so that a much more rapid cure might be obtained." (Hahnemann, S: Organon, sixth ed., Apho 246.)

During the action of one dose of medicine of centesimal scale, the second dose could not be repeated inspite of the presence of disease symptoms in the organism. But, "the same carefully selected medicine may now be given daily and for months, if necessary in this way, namely, after the lower degree of potency has been used for one or two weeks in the treatment of chronic diseases, advance is made in the same wav to higher degrees.” (Hahnemann, S: ibid., footnote 132 to Apho 246.) Hahnemann further states,"... every correctly chosen homoeopathic medicine, even those whose action is of long Back to Top

duration, may be repeated daily for months with ever increasing success." (Hahnemann, S: ibid., Apho. 248.)

After application of the medicine of centesimal scale, both the physician and the patient cannot remain apart from the influence of medicine, both of them are arrested in the hands of medicinal force. But in respect of new method both are free. Medicines can be used as and when necessary. In case of 50 Millesimal, antidoting of any remedy is seldom required.

Above all, the problem of potency and dose are greatly debatable up to the 5th edition. But the sixth edition paves the way for solution. "In the treatment of chronic diseases, it is best to begin with the lowest degrees of dynamization and when necessary, advance to higher, ever more powerful but mildly acting degrees." (Hahnemann. S: Organon. sixth ed.. footnote 155 to Apho 270.)

Thus we can see that the conditions of "highest ideal of cure" as laid down in Aphorism 2 of the Organon have been well accomplished in the Organon, sixth edition only. For this reason I should like to say: As Homoeopathy is a revolution in the field of medicine, so is the Organon, 6th Edition in Homoeopathy.

Preparation of 50 Millesimal Scale

The mode of preparation according to the new method has not yet found any place in any Homoeopathic Pharmacopoeia. We think that the actual cause of it is to try to discredit tactfully

the 6th edition of the Organon and also the new and improved method. We have nothing to bother for that, because Hahnemann himself clearly enunciated about the mode of preparation in the Aphorisms 270-271 and their footnotes (No. 150 to 157) of the Organon.

Incidentally, it is also to be noted that there is no conformity between the mode of preparation of centesimal and 50 Millesimal scale of potencies. The new one is absolutely new and different.

The mode of preparation is given below in brief since the details can be had from the Organon (sixth) itself:

We should prepare three successive trituration (i.e. 1st, 2nd and 3rd trituration) from the original substance (or mother substance). The ratio of each will be 1: 100.

Take one grain from 3rd trituration and dissolve it (by necessary shaking) in 500 drops of a solution having 100 drops of alcohol and 400 drops of distilled water. This is the 4th stratum. We call this stage. The Mother Potency of the New Method.' The ratio is 1: 500.

One drop from this 4th stage is to be mixed with 100 drops of alcohol. This is to be succussed 100 times. This is the 1st potency (orM/1, orO/1 or __ orLM/1. etc.) of the new method. Proportion is 1: 50.000.

With one drop of this 1st potency (i.e. LM/1) 500 globules (of which 100 weigh one grain, i.e., No. 10 globules) are to be soaked. Then put one such medicated globule in a one drachm Back to Top

vial and put in it one drop of distilled water for its dissolution. Then put 100 drops of alcohol in the vial and succuss it 100 times. This is the 2nd Potency (i.e. LM/2) of the new method. The ratio of it is 1: 50,000 or more.

In this way the dilution may be raised from LM/3 to LM/ 30 or as needed.

In this new process of potentisation or dynamization (‘succussed dilution' may be the correct term) six steps are to be crossed from original substance (or mother substance) to LM/2.

1st: Original substance—1 drop (1 grain) +100 grains of sugar of milk + 1 hour trituration by grinding, pounding, scrapping etc.

This is 1st trituration = —— 1

2nd: 1st trituration 1gr. + 100 gr. sugar of milk + 1 hour trituration = 2nd trituration

100

= X = ______ ______ _

____________

__1

10,000

100

3rd: 2nd trituration 1 gr. + 100 gr. sugar of milk + 1 hour trituration = 3rd trituration

= X =

_______________

______ 1

_______________ 1 10,00,000

10,000

100

4th: 3rd trituration 1gr. + 500 drops of the solution (100 drops alcohol and 400 drops distilled water).

= X = __

______ 1 500_______________ 1 50,00,00,000 ___

we call it mother power of new potency.

5th: 1 drop of the 4th solution +100 drops of alcohol + 100 succussions = LM/1, the 1st potency

= X =

_______________ 1 50,00,00,00______ _______________________

1 1001 50,00,00,00,000

6th: One No. 10 globule soaked with LM/1 + 1 drop of distilled water + 100 drops of alcohol + 100 succussions = 2nd potency

or LM/2

= X

In this way, LM/3 onwards will have to be prepared and potentized.

In the centesimal scale the proportion of medicine and the vehicle is 1 : 99 in the first potency and in the new method it is 1:50,00,00,00,000 In the first potency (i.e.. in LM/1). The _______________________

1 50,00,00,00,000 _______________ 1 50,000__________________________________

1 2,50,00.00.00,00.00,000

material part of medicinal substance has been more decreased in the new method but grinding, pounding and succussions, etc., have been much more increased. As a result the latent and indwelling essence of material substance develops to its fullest extent and also the qualitative change reaches its highest form. In short, we may confirm that this new method of the Organon, latest edition, goes through much more contradiction in long 3 hours trituration and 100 succussions in each stage and so gains much qualitative change which was not possible in the old centesimal scale of potency. When a matter (e.g., medicinal substance) comes into unity and contradiction with its opposite matter (e.g. vehicle), it creates a new thing, it transforms into a wholly new matter (unity and contradiction of opposites) and it changes qualitatively (qualitative change). These are the fundamental principles of Dialectical Materialism. This qualitative change may further be confirmed if we take into account the 'Law of Reaction' which states. 'To every action there is equal and opposite reaction." In this new method, every time the medicine goes through 100 times of succussions which impart kinetic energy to the molecules of the drug and vehicle resulting in its qualitative change. This is why medicines according to 50 millesimal scale are much more dynamic and in action also much more gentle, curative and rapid than those of the old centesimal scale.

We earnestly hope this discussion will remove all doubts and misapprehensions from the minds of our colleagues. But to our great misfortune, we still stick to the medicines of centesimal scale. We do not care to keep ourselves informed of this scientific and more improved invention of Master Hahnemann. We also do not care to put it into 11 practice though we might be aware of it. Is it not our negligence towards suffering humanity?

Is it only so? Even today many of us unscrupulously use patents, ointments, tonics and other pseudo-homoeopathic drugs manufactured by many so-called Homoeo Laboratories. Still now many of our colleagues have been using mixed medicines, mother tinctures, medicines of decimal scale, etc., in the name of great Homoeopathy. Some of our brothers prescribing 2 to 6 potentized homoeopathic medicines serially within a day. These are what is going in the name of Homoeopathy. It would not be out of place to mention here that Hahnemann called these sorts of Homoeopaths a “mongrel sect” and did not hesitate even to curse them in anger and sorrow. (Hahnemann. S: Organon. Sixth ed, footnote 108 to Apho. 148.)

Crude matter cannot unfold its properties. They remain latent. But the more it is broken and divided, the more it will be brought into contradiction with things of opposite nature, the more it will release its properties and it will be all the more dynamic and active.

Hahnemann has given similar explanation about the potentisation of medicines in his 'perfected method.' "It be-comes uncommonly evident that the material part by means of such dynamization (development of its true, inner medicinal essence) will ultimately dissolve into its individual sprit like (conceptual) essence. In its crude state, therefore, it may be considered to consist really only of this undeveloped conceptual essence." (Hahnemann, S: Organon. sixth ed., footnote 156 to Apho. 270.)

In our humble opinion, those who cannot accept this scientific truth, have no right to be Homoeopathic physicians to play as they like with human life and health. So .with a view to understanding this mode of dynamization of Homoeopathy we must be aware, to some extent, of modern science and dialectical materialism.

Negligence is a crime. Due to that, many a time we do not realize that we are misusing the medicine and by that we are doing great harm to ourselves, to sick humanity and to our noble science. Electricity is a great weapon of human devel-opment, but its misuse can play havoc to the millions of people and to our civilization. Hence, potentized medicines should be used properly, so that we may fulfill our mission and reach our destination easily.

MODE OF ADMINISTRATION OF MEDICINE OF 50 MILLESIMAL SCALE

Hahnemann is the Authority

From the discussion above, we could realize that Hahne-mann, the father of Homoeopathy, had struggled hard, throughout his life, to make it perfect. The 6th edition was in the press in 1843 when he was in throes of death. Dr. Boenninghausen has remarked (in his Lesser Writings) that the 6th edition was not only improved and more complete, but its printing was started in his life-time when he was j living in Paris. But owing to his sudden death, his wife took the materials along with the so far printed manuscript away from the press and the publication of the same was held up.

We understand that no scientific theory or fact becomes complete as and when it comes to light. It requires laborious researches and experiments to establish the theory. Hahne-mann, a life-long fighter and great scientist, had completed it as far as possible by prolonged experiments. Thus he handed over to us an almost perfected scientific theory, so far as Homoeopathy is concerned, in the sixth edition of the Organon, To give an almost complete shape to a science in the span of one's life is a rare phenomenon in human history. But Back to Top

Hahnemann, by virtue of his erudition, is the singular example in the field of knowledge. That is why he could boldly say before his expiry, "I did not live in vain.

Unworthy Successors

It is our bounden duty, as his followers, to keep intact his fundamental principles and to pave the way for the all round advancement of Homoeopathy at par with modern science. That would be acceptable to all concerned also. As ill luck would have it, we failed to do so for more than a century and a half. Even upto this day we could not accept his latest and final scientific contributions in the Organon, 6th edition and realize them in practice still now. We adhere to the principles of the 5th edition and use the medicines of centesimal scale. It would no longer be proper to hesitate in adopting and giving shape to this perfected method. It would relive the suffering mankind easily and rapidly from the cruel clutches of deadly diseases. Let us proceed with an unprejudiced mind right now.

Science is Meaningless Without Application

Theory is meaningless unless it is substantiated by practical application. Though late, we are now in possession of the 6th edition of the Organon with its almost perfected method. We are now acquainted with the medicine prepared according to

‘new dynamization method’. Medicines of this scale are quickest in action than those of centesimals. Medicinal aggravation is nominal and that too is controlable. Those are applicable as and when necessary. This 50 Millesimal scale of potency is the highest advancement in the science and art of Homoeopathy up to this day. So it is most precious contribution of the Master. However, precious it may be, it cannot give better result unless properly utilized. So we must be thoroughly conversant with the proper administration of this new scale of potency. Otherwise we would fail to achieve the expected result in our practice.

It is Safe to Learn from the Organon

Hahnemann has narrated the mode of administration of 50 millesimal potencies in aphorisms 245 to 248 and their footnotes. The learned readers are requested to take lesson from the Organon. They need not depend on what some others say in regard to administration of medicines. Because the English or Bengali books published in the meantime on the new method are full of defects and are not in conformity with the teaching of the Organon. The so-called authors, willingly or unwillingly or out of ignorance, have distorted or recorded wrong findings about their mode of application. Danger of incorrect or imperfect learning in the field of medicine is irreparable as it concerns human life. So to rely on Hahnemann Back to Top

and his Organon is safer in all respects. Till today he is our greatest authority.

We note below the mode of application of medicine of 50 millesimal scale potencies in conformity with the Organon, 6th edition. It is also to be pointed out that along with Hahnemann's directives we have presented our personal experience to our learned colleagues for their information in the light of my practice exclusively with the 50 millesimal potencies for more than 25 years to the full satisfaction of all concerned.

Classification of Diseases

In the aphorism 248, diseases have been classified Into three categories:

(i) Very urgent or dangerous cases,

(ii) Acute cases.

(iii) Chronic cases.

The cases of the first category advance to ultimate end. their vitality faces extinction every moment.

They are attacked by these kinds of diseases when their vitality is very weak. Cholera, Pox, Titanus, etc., fall into this category. Generally half-acute and fixed miasms are responsible for these diseases. The patient may succumb to death within a Back to Top

few hours. So with the onset of the diseases, the physician should try his level best to treat with the well selected medicine and make speedy arrangement for proper management. Death is inevitable if the patient is not recovered immediately.

The patients of the second category proceed to deteriora-tion slowly and gradually, day by day, hour by hour. Acute miasms are responsible for these diseases, but exciting (and sometimes maintaining) causes create these conditions. The vital energy diminishes slowly. Diarrohoea, Dysentery, Malaria, Typhoid and such other similar diseases come under this category. Proper treatment In proper time Is necessary. Death may come if cure is not ensured within a reasonable period of time.

The patients of the third category travel the road to death very slowly, day after day, month after month. Asthma, Rheumatism, Skin diseases. Ulcer, Cancer, Hypertension, etc., fall into this category. Cure is not possible without proper antimiasmatic treatment. These diseases are acquired or Inherited from chronic miasms. As these diseases develop very slowly, cure also comes slowly. Much time is necessary for cure than is required In the case of acute diseases.

Administration of Medicine is Also Different in Three Categories

In aphorism 248 it has been said that:

(i) In very urgent cases (i.e., cases of the first

category) well selected medicine is to be

administered every hour or oftener (i.e., In these

cases we may apply medicine every 5, 10, 20 or

30 minutes as necessary. - Author).

(ii) In general acute cases medicine is to be applied

after every two to six hours,

(iii) In long lasting diseases, i.e., in chronic diseases

daily or every second day.

These are the general laws of application of medicines of 50 millesimal scale.

Hahnemann says, "On the other hand, should there appear during almost dally repetition of the well indicated homoeopathic remedy, towards the end of the treatment of a chronic disease, so-called (Aphrorism 161) homoeopathic aggravations by which the balance of the morbid symptoms seem to again somewhat increase (the medicinal disease, similar to the original, now alone persistently manifests itself). The doses in that case must then be reduced still further and repeated in longer intervals and possibly stopped several days. In order to see if the Back to Top

convalescence need no further medicinal aid. The apparent symptoms (Schein-Symptoms) caused by the excess of the homoeopathic medicine will soon disappear and leave undisturbed health in its wake." (Hahnemann. S: Organon. sixth ed. Apho. 248.)

There will be almost no medicinal aggravation in chronic cases if doses are applied In proper smallest size. At the end of the treatment when it appears that there Is still no need of further medicine, aggravation comes. If aggravation comes at the start of the treatment, we are to realize that the doses of medicine have been too large or selection of the remedy is wrong. In this way we are to follow up of the case after application of every dose of selected medicine.

In Place of One Dose, Now Many Divided Doses

The well selected medicine of this new method, may now, be given daily and for months in gradually higher potencies and changed doses. (Hahnemann, S: Organon. sixth ed, footnote 132 to Apho. 246, Apho. 161, 248. 280, 281.) In chronic diseases, every correctly chosen homoeopathic medicine, even those whose action is of long duration, may be repeated daily for months with ever increasing success. (Hahnemann, S: ibid., Apho. 248.)

In the centesimal scale, medicines cannot be applied repeatedly inspite of the presence of disease symptoms. But in the new method medicines are to be used again and again. And

the vitality is able to extinguish or assail the diseases quickly by being assisted by the frequent doses of medicines. This is why cure comes quicker than expected in one-fourth or lesser period of time than it does In the former method. As if both the doctors and the patients were imprisoned under the influence of the medicine of centesimal scale after Its administration because both of us could do nothing till the expiry of stipulated/expected period of action of medicines was over. Under the new method, both of us are free.

Reason for Application of Medicine in Many Doses Instead of Single Dose

One small (No. 10) globule soaked with medicine. If placed on the tongue, touches only a few nerves. But a similar globule, crushed with some sugar of milk and dissolved in a good deal of water and stirred well before every application, will produce a far more powerful medicine for use of several days. Every dose, no matter how minute, touches many nerves, on the contrary.(Hahnemann, S: ibid., Apho. 272.)

Bow Long First Prescription Will Continue

The dose of medicine (of the 1st prescription) that acts without producing new troublesome symptoms is to be con-tinued while gradually ascending, so long as the patient with Back to Top

general improvement, begins to feel in the mild degree the return of one or several old original complaints. (Hahnemann. S: Organon. sixth ed. Apho. 248. 280.)

Only Potency is to be Changed

But in this case only the potency of medicine is to be changed from low to high i.e., from LM/1 to LM/2, LM/2 to LM/3 and so on. There is no leap or jump in this method. (Hahnemann. S: ibid., footnote to Apho. 246. Apho. 248 and 280.) In any case treatment is to be started from ‘The lowest degrees of dynamization,’ i.e., with any potency from LM/ 1 to LM/6.

Diseases, especially chronic, do not aggravate suddenly, but gradually and slowly. It is the nature of chronic diseases. So the potency of the medicine should not be suddenly Increased. It is to be increased gradually by degrees. And the cure also comes gradually and slowly. It is the nature of real cure, so to-say, homoeopathic cure. Previously medicines would have been applied with long gaps, i.e., from 30 to 200, 200 to 1000 and so on. So there was no similarity of the disease state with that of the medicinal state. It was and is illogical and unscientific. But the mode of administration of medicine, according to new method, is quite compatible with the progress of the disease stage. So it is more scientific.

Proper Time of 2nd Prescription

"For if this happens, If the balance of the disease appears In a group of altered symptoms then another, one more homoeopathically related medicine must be chosen in place of the last and administered in the same repeated doses, mindful, however, of modifying the solution of every dose "with thorough vigorous succussions, thus changing its degree of potency and increasing it somewhat".(Hahnemann, S: ibid., Apho. 248)

So, we should continue the 1st prescription "so long as the patient experiences continued improvement without en-countering one or another complaint that he never had before in his life."

What Should be the Potency of the 2nd Prescription

It is really a problem to us. This is to be solved scientifi-cally. The Organon is not definitely clear in this respect. Suppose all the symptoms of Sulphur (of 1st prescription) disappeared after a patient took Sulphur from LM/1 to LM/ 3 successively. The totality of Medorrhinum or Calcarea appeared. Now the question arises which potency of either of these remedies is to be applied. Shall we start afresh from LM/1 or LM/2 or LM/3 or LM/4. Yes, the newly selected medicine also is to be started from 'the lowest degrees of dynamization'. The Back to Top

reason is that the patient absorbed upto LM/3 of Sulphur but not so of either Medorrhinum. or Calcarea. So it is reasonable and scientific to begin afresh from the lowest degrees of potency, i.e., with any potency from LM/1 to LM/6 in case of any new medicine. This is the safest t way also.

From What Potency to Start

Treatment of any patient, both acute and chronic, is to be started from the lowest degrees of dynamization and advance is made in the same way to higher degrees, as and when necessary, in gradually ever more powerful but mildly acting degrees. (Hahnemann. S: Organon. sixth ed. footnote to Apho. 246 and 270.)

Hahnemann has cleared our misapprehension or mis-conceptions about potencies with his latest method in the Organon, 6th edition.

But to our utter regret, we observe that with 50 millesimal scale of potencies also, we differ with one another. We see that some of us start from LM/9, some from not below LM/12, some others apply LM/30 again and again. Organon does not approve it. It is not scientific also. In good many cases it is most harmful to patients. The misunderstanding about selection of potency will be cleared if we remember one thing in this respect. To cure

the patient in a most harmless way is one of the conditions of the ideal of cure.

We have not yet been able to discover any instrument to ascertain which potency is acceptable or disagreeable to the vitality of the morbid body. So it is safe, reasonable and scientific to start from the lowest degrees mentioned in the Organon.

Applicability of Medicine in Descending Scale in Lieu of Ascending Scale Demands Attention and Experimentation

Reconsideration in respect of applicability of Homoeopathic medicine in ascending scale is felt necessary in the light of the great Hahnemann's observations made in his Chronic Disease (pp.84 and 157) in supercession of his directives made in the Organon (vide aphorisms— 161,201, 247,280-281 etc.). For a long time I have observed that some patients of weak vitality, hypersensitivity and destructive diathesis continue their experience of weakness, loss of weight, discomfort, etc., or medicinal aggravation (drug disease) even after their recovery from natural diseases by LM scale. It is also a fact that after application of the similimum, disease state becomes weaker, the patient feels improvement both mentally and physically. Usually, at this weaker state of disease, stronger and higher scale of medicine is applied. Naturally, dissimilarity between disease and

medicinal state arises as a matter of consequence. This is not at all desirable in Homoeopathy, being a science of similarity. So. application of medicine in descending scale is more logical and scientific.

I started my experimentation on this subject since 1986 and have been getting very satisfactory results almost without injurious medicinal aggravation or side-effects. The result of my experimentations have been published in different Homoeopathic journals and books. I have also put it in several scientific seminars in India and Bangladesh. In consequence, some learned Homoeopaths in both countries are also applying medicines in descending scales with their utter satisfaction.

Now, from what scales of potency to start with? This is to be assessed on the basis of the vitality and susceptibility of the patient. The present condition (subjective and objective! symptoms), reports of laboratory tests, physical examination, etc., of the patient help us in determination of the same. I According to the present state of the patient treatment may be started with LM/5, or LM/8, or even with LM/10, as the case may be and gradually descends to lower scales. But where the vitality is too low/weak, the patient is extremely hypersensitive, only LM/1 is to be repeatedly applied. When the patient will regain his vitality to some extent after taking 2-3 courses of

LM/1, then it can be raised to LM/3 or LM/ 4 and after that again gradually to lower scales.

Administration of medicines in descending scales demands correct assessment, as far as practicable of the vitality of the patient. Otherwise there will be undesirable aggravation creating dangerous injury to the patient. We should be cautious.

In fine, it may be mentioned that the aforesaid observations were not incorporated by Dr. Hahnemann in his Organon, probably due to his senility and heavy burden of other more important assignments.

Unscientific Argument about Potency

Some followers of the new method argue that this process would delay the cure; it takes a long lime and is disgusting to the patient. Is not a delayed cure more desirable and acceptable to the patient and the physician than to put the life of the patient in danger and throw him into the deep, dark dungeon of death!

So it is safe to start our treatment with one of the lowest potencies from LM/1 to LM/6 as per sensitivity of the patient to bring about gentle cure without compelling the patient to face trouble. In case of second and third prescription also the same

procedure should have to be followed. It has also been well supported in the Case Records of Hahnemann. Wrong application is most harmful.

Our medicines cure or eliminate these similar symptoms or diseases which they can produce in healthy organism according to the Homoeopathic principle, i.e., 'Similia Similibus Curentur'. In regard to poteney also the same principle is active. So the destructive power of the medicine lies inherently in its curative power. As its judicious and proper administration wonderfully saves the life of a patient, its injudicious and improper application destroys the life of the patient. Dr. Kent rightly said, "It heals as well as it kills."

It is surprising that there are Homoeopaths who believe that Homoeopathic medicines do not cause any harm to the patient if administrated wrongly and/or excessively. The very kernel of Homoeopathic science is that drugs produce symptoms (of disease) and cure like symptoms of a disease. So the notion that drugs creating disease symptoms do no harm, is a naive thinking— a layman's thinking. It denies the basic principle of Homoeopathic science. In reality the medicine, though beneficial, does harm if it is misused. In comparison with other branches of medical science, medicines, being crude and less potentized, the probability of reaction by the potentized Homoeopathic remedies is much greater. Crude medicines act Back to Top

mainly on the physiological plane, but the potentized medicines act both on the physical (objective) and psychological (subjective) plane of the organism. So reaction is also the same.

The Latest Method is Safer

In this method we can produce 'medicines of highest development of power and mildest action, which, however, if well chosen, touches all suffering parts curatively. (Hahnemann, S: Organon, sixth ed., footnote to Apho. 270.) So, period of action (and reaction) of these medicines is much less and limited than that of the old one. Hahnemann observed that the period of action of only 30 potency of centesimal scale continues from 40 to 100 days or more. As such he said (as regards the centesimal scale of medicine) that these potencies "... act almost immediately, but with furious, even dangerous, violence, especially in weakly patients without having, a lasting mild reaction on the vital principle" (Italic is ours—Author). That is why Hahnemann, the great lover of ailing mankind, had been compelled to reject it.

In this connection, my humble question to all Ho-moeopaths, especially to those who still do not follow the 6th edition: Is the furious remedy applicable to ailing human beings for their cure? Can a medicine having destructive character be used as a safer weapon for the gentle cure?

The Limitation of Potencies in the New Method

The Organon has recommended potencies from LM/1 to LM/30 only. (Hahnemann, S: ibid. Apho. 270.)

Vitality of human body is limited. So Hahnemann has put a limit to the medicine upto 30 for treatment of sick human beings.

It should be noted here that in case of centesimal potency also Hahnemann did not approve beyond 30, even though in his time potency upto 1600 was prepared by Jenichen. There was evidence that he himself experimented with 1000 and 1600 potencies, but afterwards he rejected the potencies higher than 30. (Letter to Dr. Schreter in 1829 by Hahnemann.)

In the new method also he has set a limit upto 30. Its support is found in many of his different essays:

(i) There must be some end to a thing, it cannot go on

to infinity.

In 1833 he speaks more favourably of the higher attenuations.

(ii) Such as both, 150th and 300th dilutions (Organon,

5th Ed., Footnotes to Aph. 287) ascribing to them

more rapid and penetrating, but likewise a shorter

action,

(iii)Homoeopathic physicians may be able to assure

themselves of uniform results in their practice.

(Hahnemann. S.: The Lesser Writings, pi. 263 'Remarks on the extreme

attenuation of Homoeopathic Medicine'.)

If Aggravation is found During Treatment

If there is any aggravation during the course of treatment we are to decide whether the aggravation is:

(a) Similar.

(b) Dissimilar.

(a) Similar aggravation: It may be termed as similar if the aggravation corresponds to the totality of symptoms found at the first prescription. Skin disease aggravated in the patient's suffering from it. Asthma in Asthma patient, fever in patient suffering from it. In those cases it must be definitely taken for granted that the doses were altogether too large. Aggravations due to these sorts of large doses appear from the first dose. It will be so in every subsequent dose. (Hahnemann S: Organon, sixth ed., Apho. 248.)

Aggravation due to large doses will disappear gradually if the medicine is stopped for a day or two or three at best. The doses in that case must then be reduced still further. (Hahnemann, S: ibid. Apho. 248.)

(b) Dissimilar aggravation: Aggravation due to appear-ance of new symptoms which were not found in the patient Previously may be termed as dissimilar aggravation. If it happens we are to realise that:

(i) There is no need for the medicine of first prescription.

(ii) The first prescription v/as wrong.

(iii) If such be the case history of the patient is to be

recorded afresh.

(iv) On the basis of the totality of symptoms for the second

time medicine is to be selected.

(v) If there is violent and unbearable aggravation first of all

an antidote is to be applied followed by the well!

selected medicines.

(vi) If the aggravation is tolerable, a newly selected

medicine is to be administered without delay.

(Hahnemann, S: Organon. sixth ed., Apho. 248-249.)

(c) Acute disease: If during the treatment of chronic disease any acute disease (such as—measles, chicken pox, small pox, cholera, etc., especially during epidemic period) breaks out, the medicine of chronic disease should be stopped and new well selected medicine for the acute stage is to be applied. After recovery from the acute ailment treatment is again to be started for the chronic disease with the well selected medicine on the

basis of the present totality j of symptoms or with the medicine of first prescription if symptoms agree, as the case may be.

The phenomenon of aggravation should have to be discussed very carefully because we have to face odd cir-cumstances very often. Due to these aggravations some times patients abandon us and go in for other school of medicine for treatment. It is a disgrace to Homoeopathy. This happens more at time of treatment of chronic diseases than of acute ones. That is why it is dangerous to treat chronic patients with the medicines of centesimal scale. This undesirable reaction of the disease condition does not come with the medicine of 50 millesimal scale. If there is any such reaction, which very rarely, we are to realise that this is either for:

(a) Large doses.

(b) Wrong selection of medicine.

This mistake is forthwith to be corrected by replacing the big dose with the smallest one and the wrongly selected medicine with the right and proper one.

First prescription should be continued so long as the patient experiences continued improvement without en-countering one or another complaint that he never had before in Back to Top

his life. In these cases the potency of medicine is to be changed to higher gradually. (Hahnemann, S: Organon. sixth ed., Apho. 161,248and281.)

If new symptoms appear, "if the balance of the disease appears in a group of altered symptoms then another, one more homoeopathically related medicine must be chosen in a place of the last and administered in the same repeated doses." (Hahnemann, S: ibid. Apho. 248.)

(d) Aggravation at the End of the Treatment: "But where medicines of long action have to combat a malady of considerable or of very long standing, where no such apparent increase of original disease ought to appear during treatment and it does not so appear if the accurately chosen remedy was given in proper small, gradually higher doses, each somewhat modified with renewed dynamization (Aphorism 247). Such increase of the original symptoms of a chronic disease can appear only at the end of treatment when the cure is almost or quite finished." (Hahnemann, S: ibid. Apho. 161.) " The doses in that case must then be reduced still further and repeated in longer intervals and possibly stopped several days, in order to see if the convalescence need no further medicinal aid." (Hahnemann; S: ibid. Apho. 248.)

(e) Antidote During Aggravation: "It must, therefore, cither, if the aggravation be considerable, be first partially Back to Top

neutralized as soon as possible by an antidote before giving the next remedy chosen more accurately according to similarity of action; or. if the troublesome symptoms be not very violent, the next remedy must be given immediately, in order to take the place of the improperly selected one." (Hahnemann, S: Organon, sixth ed., Apho. 249.)

In this connection we should bear in mind that. "The well informed and conscientiously careful physician will never be in a position to require an antidote in his practice if he will begin. as he should, to give the selected medicine in the smallest possible dose. A like minute dose of a better chosen remedy will re-establish order throughout." (Hahnemann, S: ibid. footnote to Apho. 249.)

We hope the reasons of aggravation and steps to its prevention during the period of treatment are now clear to the learned readers. For avoiding this harmful and injurious situation we must be more careful and conscientious. Per-severance, hard labour and love for the oppressed and the sick are the only prerequisites to be a rational and dynamic physician.

(f) Other Causes for Aggravation: Environment, atmos-phere, ecological hazards, irregularities, indiscriminate taking of food and drink, etc., are the other reasons for aggravation. If these are the causes, the way of life shall have to be changed,

as far as practicable, to help cure. Food, drink and other ways of life shall have to be well-regulated as far as possible, so that all the obstacles to recovery may be removed.

Conditions for Application of Medicine

In aphorism 246 Hahnemann has given the following conditions for application of medicine to the patients:

(i) That the medicine selected with utmost care should be

perfectly homoeopathic.

(ii) It should be highly potentized according to the

Organon, 6th edition.

(iii) It should be dissolved into water.

(iv) Every dose should be the smallest as far as possible.

(v) Every subsequent dose (mixed with water) must be

higher/lower than the previous dose.

(vi) It should be administered after each definite period of

time.

If these conditions are fulfilled, a much more rapid cure must be obtained. These are the latest scientific contributions of the Master in the Organon, 6th edition.

Preparation of Medicinal Solution

Excepting 'a moderate recent case of illness'(Hahnemann, S: Organon, sixth ed., Apho. 273.) the medicine of 50 millesimal scale cannot

be administered in a dry condition. Undivided dose of a dilution is not to be applied because it will touch a very few nerves. That is to be divided into many doses. A medicinal globule crushed with some sugar of milk and dissolved in a good deal of water (Aphorism 247) and stirred well before every application will produce a far more powerful medicine for the use of several days. Every dose, no matter how minute, touches, on the contrary, many nerves. (Hahnemann. S: ibid. Apho. 272.) It is not to be applied in drops, nor even in big globules. Poppy-seed like small globules, i.e., No. 10 globules are necessary in this scale of dilutions. No. 10 globules are to be soaked with medicine, then put in a piece of blotting paper (present day blotting papers contain many types of chemicals. So it is not advisable to dry up globules on it — Author) to get it dried there on and then put it in the vial. From this vial one or (though rarely) several No. 10 globules are to be dissolved in water and divided into 7 doses.

Solution

Take a 4 oz. new vial with cork and cleanse it properly. Oil or used up cork and vial should not be used. Fill up 3/4th parts of the vial with purified or distilled water. Put therein 15 to 20 drops of alcohol for preservation. Put 7 equal marks on it. Now put therein only one No. 10 globule of 1st potency (LM/1) or 2nd or 3rd potency (i.e. LM/2 or LM/3) of your selected medicine,

crushing it with sugar of milk. Now this medicinal solution is ready for use.

Direction for Application of Medicinal Solution

The aforesaid medicinal solution of 7 doses of the lowest degrees of dynamization is to be well succussed 8, 10 or 12 I times as necessary, before use. Then take one dose in a clean glass and put again 4 oz of pure drinking water in it and stir it well with a tea-spoon. Then take one dose (one or several tea-spoonfuls) out of it. This is the first dose. Throw away the rest. All subsequent doses are to be taken in this way.

If Aggravation with Such a Dose

If the patient is "unusually excited and sensitive, a tea-spoonful (a dose) of this solution may be put in a second glass of water, thoroughly stirred and tea-spoonful doses or more be given. There are patients of so great sensitiveness that a third or fourth glass, similarly prepared, may be necessary. Each such prepared glass must be made fresh daily." (Hahnemann, S: Organon. sixth ed., Apho. 248 and its footnote.)

After completion of the said first course of medicine (of the LM/1 or LM/2 or LM/3 dilution), the next higher potency will have to be prepared in the same manner. The vial and cork

must be new every time. In this way medicinal solutions for other potencies (LM/4, to LM/5, etc.) should be prepared.

The well selected medicine for the second prescription should also be started from the lowest degrees (i.e., one of the potencies from LM/1 to LM/3) and the medicinal solutions should be prepared as above.

In the Organon, it is advised to succuss the medicinal solution for 8, 10 or 12 times. So we advise 8 succussions in case of a very sensitive patient, 10 for a less sensitive one and 12 times for the least excited and sensitive patients. We also advise to put a dose of the solution after necessary succussions in a glass containing 4 oz of pure water and ask the patient to take one or two spoonfuls each time after stirring well.

As regards aggravation, one thing we must take into account. The weaker or more sensitive the vitality of the patient, the more will be the aggravation. The patients with normal vitality do not feel aggravation many a time by the large doses of medicine. That is why some of our friends in the profession like to say that the centesimal scale of medicines do not always aggravate. It is not a fact. I hope it is now clear to us. I do not have the courage to say that Hahnemann was wrong in his statements. He has clearly stated that the medicine of

centesimal scale brings aggravation, especially in weak patients. (Hahnemann, S: Organon. sixth ed., footnote to Apho. 270.)

It has been discussed that a dose of medicine from the solution taken after (8/10/12) succussions will have to be mixed with 4 oz of distilled or pure water. From the medicinal solution a dose of one or two teaspoonfuls to be taken and the rest is to be thrown away. If still there occurs any aggravation, a second, third or fourth glass, similarly prepared. may be necessary.

It has also been discussed that the solution is to be prepared with one of the potencies from LM/1 to LM/3 and continued gradually from it to LM/2, LM/3, LM/4 and so on to higher potencies after the use of 7 doses in each potency.

Over and above, a dose from the solution is to be admini-stered in the following manner:

(a) Every hour or oftener in very urgent cases.

(b) Every two to six hours in acute diseases.

If the patient cannot tolerate these prescribed doses and if the aggravation appears at the end of treatment, then doses are to be applied at longer intervals. Otherwise we shall be deprived of expected results from this new method.

Exceptions to the Smallest or Minutest Doses

So long we have discussed about administration of smallest doses which is one of the basic principles of Homoeopathy. But there are exceptions also. Hahnemann says, "The rule to commence the Homoeopathic treatment of chronic diseases with the smallest possible doses and only gradually to augment them is subject to a notable exception in the treatment of the three great miasms while they still efflorescence on the skin, i.e.:

(a) Recently erupted itch.

(b) The untouched chancre (on the sexual organs,

labia, mouth or lips, and so forth).

These not only tolerate but indeed require, from the very beginning, large doses of their specific remedies of over higher and higher degrees of dynamization daily (possibly also several times daily)." (Hahnemann, S: Organon. sixth ed., footnote Apho. 282.) Here also we should see if the patient continues improvement, if the patient can tolerate the large doses. If not we are to adjust the doses as necessary or to apply them after longer interval.

External Application

Out of above three kinds of diseases, only in cases of figwarts Hahnemann says, "But the figwarts if they have existed for some time without treatment, have need for their perfect

cure, the external application of their specific medicines as well as their internal use at the same time." (Hahnemann. S: ibid. footnote Apho. 282.)

In this case further considerations may be necessary. I have seen in many cases of figwarts that without external application they have been cured. Over and above, this statement of Hahnemann is not consistent with his other statements.

However, we should not think of Q or 1x for external application. The diluted medicine (prepared according to new method) for internal application will have to be administered externally also, where it is necessary. It is unscientific and unreasonable to take internally LM/1 or LM/2 (of the new method) and to apply Q or 1x externally.

In cases of ulcer, bloodshed, puncture of veins or arteries, etc., due to accident or burns, the potentized medicines prescribed for Internal application will have to be applied externally. (We should be cautious about Arnica, as it is said that if Arnica is applied externally in open wounds, it may cause sepsis). Back to Top

What Parts of the Body are More or Less Susceptible to the Influence of the Medicines

There are four methods of administration of medicine to the patients:

(1) To apply by mouth.

(2) To apply (through nose or mouth) by olfaction.

(3) To massage on the body along with oral

application with a view to expediting rapid and

lasting cure. External application has been

recommended only in the case of figwarts.

(4) To apply through the breast milk of the mother or

of the nurse in case of babies. (Hahnemann. S: Organon,

sixth ed., Apho. 248. 284. 285 with footnotes.)

1. Oral Administration

We have already discussed as how to prepare medicinal solution for oral administration, how to administer the same and the interval between the doses for oral use according to category of patients.

2. Method of Olfaction

This Is a mode of administration of medicines by smelling.

It is not only a fact that our medicines are to be administered orally, the well selected medicine may be applied by olfaction

also. The patients who are unusually excited and sensitive may be treated by medicines administered by olfaction to avoid undesirable reaction or medicinal aggravation.

Mode of Preparation of Medicinal Solution for Olfaction.

Put one No. 10 globule of selected medicine in a new vial of 1 oz. Again put therein a drop of distilled water. The globule will be dissolved in a minute. Then fill 3/4th part of the vial with alcohol. The vial is to be succussed well 8/ 10/12 times as are necessary before smelling. On opening, the vial it is to be put near the one nostril of the patient for only a second or so. Then close it again with the cork. The processes of succussions will have to be repeated and smell for about a second before every subsequent application. Olfaction may be done with mouth if the nose is for any reason closed. (40. Hahnemann, S: Organon. sixth ed.. Apho. 248.)

The Organon says that medicine is to be applied by olfaction every two. three or four days for chronic patients. Nothing has been mentioned regarding the interval of olfaction in acute patients. I have been able to cure cases by only one olfaction of LM/1. In acute cases olfaction may be done as repeatedly as is required in oral application.

Though it has been mentioned to apply each dose after every second, third fourth day In chronic cases, we have been compelled to take recourse to smelling In some cases on 7th, 10th day and even on 30th day (towards the close of the treatment). Aggravation, even violent aggravation in some cases has been noticed if the period of intervals is shortened.

Our experience as regards application by olfaction is that medicines act very quickly and the patients come round more safely and rapidly. The probability of aggravation becomes much less. There is no trouble in application. It is also less costly. Above all, those oversensitive patients who are unable to tolerate the minutest dose of medicines orally can tolerate in good many cases the action of olfaction and do not face any trouble due to medicinal aggravation.

Should We Have Any Doubt about the Cure by Olfactory Method

We should not have any doubt about the action and cure! from this method. We humbly request those who entertain any doubt about it to make use of this process and see how wonderfully it acts upon the patient. A little thinking will make us realise that it is not immaterial at all. In our day to day life we see that some of us fall ill in some ways or tend to vomit if we go to a place full of obnoxious odours. We become sick in a Back to Top

place where foul smell prevails. We feel comfort and elation in a beautiful and charming environment saturated with the smell of enchanting flowers.

As we feel uneasiness and discomfort (or vice versa) at the sight or smell of bad or obnoxious things, similarly we feel easiness and comfort at the sight and smell of good and attractive things. As we may fall sick by only sight or smell, so also we may come round by only sight or smell. Our dynamic medicines act through nerves. So it is all the same whether you put the medicines at the nerve ends of the tongue or of the nose (olfaction).

3. Application Through Rubbing

Chronic diseases are cured rapidly If the medicinal solution is rubbed or massaged in the healthy skin during the course of taking medicine internally. The solution should not be rubbed in the diseased or unhealthy parts of the body. Many physicians have observed that such a kind of massage speeds up the cure. (Hahnemann. S: Organon, sixth ed, Apho. 284. 285 with footnotes.)

We have already discussed the method of external application.

4. Application of Medicine through Mother's Milk or Milk of Wet Nurse

"The power of medicine acting upon the infant through the milk of the mother or wet nurse is wonderfully helpful. Every disease in a child yields to the rightly chosen homoeopathic medicines given in moderate doses to the nursing mother and so administered, is more easily and certainly utilised by these new World Citizens than is possible in later years." (Hahnemann. S: ibid. to Apho. 284 to footnote 242 with footnotes.)

Proper Time for Application of Medicines

Time, space and dimension are always to be considered in all branches of science. So, it is important in Homoeopathy also.

The well selected medicine, if not applied in proper time, might cause unnecessary aggravation. The life of the weak and precarious patient may be at stake. So medicines (except in urgent cases) should not be administered at any time without proper consideration. (Hahnemann. S: ibid. Apho. 236.)

Regarding application of medicine in cases of fevers, Hahnemann says, "The most appropriate and efficacious time for administration of the medicine in these cases is immediately or very soon after the termination of the paroxysm, as soon as the patient has in some degrees recovered from its effects, it has

then time to effect all the changes in the organisms requisite for the restoration of health, without any great disturbance or violent commotion; whereas the action of a medicine, be it over so specifically appropriate, if given immediately before the paroxysm, coincides with the natural recurrence of the disease and causes such a reaction in the organism, such a violent contention, that an attack of that nature produces at the very least a great loss of strength, if it does not endanger life.” (Hahnemann, S: Organon, sixth ed, Apho. 236.)

A little thinking will make it clear to us that there is a definite period of aggravation of the disease in acute or chronic cases and that is not the suitable time for the application of medicines. The troubles of syphilitic patient, for example, aggravate at night. So night should be avoided as far as possible for employment of medicine to the persons suffering from syphilis.

Similarly, there is also a period for medicinal aggravation (which is also the period of aggravation of the patients of these medicines) and that is not the proper time to apply medicines. Arsenic Album aggravates from 12 P.M. to 2 A.M. and 12 AM. to 2 P.M., Nat Mur. aggravates at 10 AM. .almost all the medicines of Kali-group aggravate from 3 A.M. to 5 A.M., Lycopodium from 4 P.M. to 8 P.M. (in some cases from 4 AM. to 8 AM.) and Sulphur between 10 AM. and 11A.M. Many other medicines have

also definite periods of time for such aggravation. Such time of aggravation does not favour administration of medicine.

In this way other two points (i.e., space and dimension) are also to be considered in health and in disease.

An Exception to the Administration of Homoeopathic Medicine and Palliative is Allowed

"Only in the most urgent cases, where danger to life and Imminent death allow no time for the action of homoeopathic remedy—not hours, sometimes not even quarter hours, and scarcely minutes— in sudden accidents occurring to previously healthy individuals - for example, in asphyxia and suspended animation from lightning, suffocation, freezing, drowning etc.—it is admissible and judicious at all events as a preliminary measure, to stimulate the irritability and sensibility (the physical life) with a palliative, as for instance, with gentle electrical shocks, with clysters of strong coffee, with a stimulating odour, gradual application of heat etc." (Hahnemann, S: Organon, sixth ed, footnote to Apho. 67.)

One Single, Simple Medicinal Substance to be Admini-stered at One Time

"In no case under treatment it is necessary and. therefore, not permissible to administer to a patient more than one single,

simple, medicinal substance at one time ... it is absolutely not allowed in Homoeopathy, the one true, simple and natural art of healing, to give the patient at one time two different medicinal substances." (Hahnemann. S: ibid. Apho. 273 (and also from Apho, 272 to 274 with their footnotes in the Org. 5th ed.). )

Homoeopathy Does Not Recognise Any Specific, Mixture, Tonic, Ointment, Injection, etc.

It is not only that these pseudo-homoeopaths are pre-scribing specifics, tonics, ointments, etc., they are also recommending mixtures of medicine (Chamo + Cina + China or. Bell. + Nux. + Ars. together, etc.) in the name of Homoeopathy. The greedy so-called researchers and now the so-called homoeopaths also say, "the mixture acts well". Our humble request to our friends is that this mixture (of homoeopathic medicines) acts as Allopathic, Aurvedic, Unani medicines act. Not only medicine but every matter has got its action and reaction. The homoeopathic medicines are not for action, not even for palliation or suppression of diseases at all. It is only to be judged whether the patient comes round according to homoeopathic principle, i.e., Law of Direction of Cure.

Quinine (if not on similia basis) relieves malaria, our well selected medicine also does so. In this case we are to consider - which palliates or suppresses and which radically cures malaria.

The same principle also applies to patents, tonics, ointments, mixtures, etc. These may act, these may palliate, these may suppress but these cannot cure any disease radically. These pseudo-homoeopathic drugs manufactured and marketed following in the footsteps of Allopathy, are concocted with the purpose of destroying the principles of Homoeopathy and making money by malpractice. These are not and cannot be homoeopathic at all. We know for certain that a medicine which has not been diluted, has not been proved on healthy human beings and has not been applied on the principle of ‘Similia’ cannot be a Homoeopathic Medicine.

Playing as You Like With the Diluted Medicines

Even in this age of advancement (?) of Homoeopathy, we see that two or three or more different kinds of medicines are being applied in different potencies.

Even today many prescribe Nux Vom. at night and Sulphur in the morning. Though we are sure, to administer the remedy of the same potency in more than one dose is against principle, still some one prescribes Ars. lod. 2x, 1 drachm, 3 doses a day for 15 days, 8 doses of 30th potency, 4 doses of 200th potency with sugar of milk (i.e., in dry doses). Some of the renowned physicians are seen to prescribe Cuprum 6, 2 drachms, 4 doses a day and Passiflora Q, 1 drachm, 10 drops at night, even today.

There is no limit to the number of experts of this nature growing like mushrooms day by day in our society. They do not hesitates to apply 1M after every seventh day, CM. after a fort-night, D.M. or M.M. after every month. They have not the least conception as regards homoeopathic medicine and its scale of potency.

These are all about the expert followers of now rejected centesimal scale that we hear or know. But, what we hear regarding the followers of 50 millesimal scale is not also at all satisfactory. It is learnt that some are making use of these medicines according to their whims. Some of our friends are prescribing 4 to 6 doses of LM/30 (i.e. 0/30) in sugar of milk and are claiming to have cured thousands of patients applying medicines of the new method in sugar of milk. Again some other are applying LM/6, LM/12, LM/18, LM/ 24, LM/30 successively. Some are again administering LM/2, LM/4, LM/6 and so on while others are making solution in 1/2 or 1 oz. vial. It is no exaggeration to mention that this kind of preparation of medicinal solution or administration of 50 millesimal potencies is not recognised by Homoeopathic guide book, our Master's Masterpiece— Organon 6th edition. These are not scientific also. In consequence of this we cause harm to our beloved patients or put obstacle to their recovery in some cases, if not in all. Regarding these sorts to users Dr. J.N. Kanjilal states. "... none

of these advantages are available to these modifiers of Hahnemannian method, who claim to use the 50 millesimal potencies in their own improvised way, viz., single dose in powder form in the same way as the older method with the other scale of potencies."

Hahnemann is the most Supreme

There is no scope of administration of medicine of 50 millesimal scale of potencies in a jumping or galloping manner. According to the Master, we are to administer these potencies orderly, continually, starting from "the lowest degrees of dynamisation" as stated before. Any sort of misapplication creates confusion among the Homoeopaths and their patients. At times, it causes immediate loss or harm to the patient. So the experience of Hahnemann should be valued and his directions in the Organon must be followed exactly. The conclusive decision of Hahnemann still guides us like the pole star and points to our deliverance. The transformation of material part into its qualitative change and its moderate, limited application to the sick are the wonderful contributions of Hahnemann. The laws of modem science could not prove false the decision of Hahnemann in the least. Hahnemann was well ahead of the scientific inventions of his time by about 200 years. Science and history will perhaps assert that he will be installed on the bright altar as forerunner for many more years. He could

in all probabilities have discovered the theories of atoms and molecules two hundred years ago if he had made research in applied science instead of keeping himself engaged in research in the theories of potentisation and their administration for the cure of the suffering mankind. Of course, we must remember that no scientific discovery is or can be final.

Selection of Medicine

We have so far discussed the preparation and admini-stration of medicines. But none can be a true physician if he is only acquainted with these theories. Selection of most appropriate, most similimum medicine is one of the principles of Homoeopathy. We cannot ensure ideal of cure for patients if we fail to select the most appropriate medicine on the basis of totality of symptoms and other important factors.

We must have sound knowledge about human organism, i.e., anatomy, physiology, biochemistry, etc., on the one hand and on the other hand about the Organon, Chronic Diseases and [Materia Medica (i.e., Knowledge of disease, medicine, selection of medicine and their proper application and obstacles to recovery which I term as socio-economic-environmental factors)]. Back to Top

We must record complete history of each patient with his characteristic symptoms according to the direction of Aphorism 83 to 104 with their footnotes together with our Personal experimental experience. In case of acute diseases a brief history may suffice. Only recording the long history of the patient for long 3 to 6 hours will not do, we must be careful in taking note of "the most striking, singular, uncommon and peculiar signs and symptoms of case of disease." (Hahnemann, S: Organon, sixth ed., Apho. 153.) The record will be so prepared as will dictate to the wise physician. "Apply this medicine to your patients." This is what we need. For this arduous task the physician has to undergo much labour, he has to be a persevering man of dedication.

To crown it all, relations of self-interest between the patient and the physician is not at all desirable but a closer, brotherly relation is to be established. Without this comradely relation between the patient and the physician we shall fail to collect all necessary symptoms from the innermost core of the mind and organism of the patient. Without this totality of characteristic symptoms of the patient we shall not be able to ensure perfect road to recovery to our patient with the application of well selected medicine. Our 'only mission is to restore the sick to health' will not be fulfilled if we cannot do it perfectly. Our duty to select proper medicine—rests on proper

case-taking. On the basis of the proper case record the selection of correct medicine would be easier. So this is most important.

Hahnemann said, "... that the most suitable homoeopathic remedy for each morbid condition does not spontaneously fly into their mouth like roasted pigeons, without any trouble on their own part." The task of selection of appropriate medicine is "laborious, sometimes very laborious." (Hahnemann. S: ibid., footnote to Apho. 148.) But in reality, what do we notice in most of the cases? We write down only the name and age of the patient with the name of medicine in the register of patients and the compounders in the meantime are hastily giving him good-bye with medicines before the patient could finish narrating his portrait of sufferings. The so-called experienced physician is writing prescription for 100, 200,300 patients daily. The names are being recorded in the register and forthwith medicines come into their hands within three minutes. The scene is the same as is noticed into the outdoor department of Govt, hospitals.

That is the exact scene of disposal of a red mixture by the compounders. The same thing is also done if any chronic patient comes to the chamber of any of these experienced hands out of either compulsion or charm or mistake. No history of the symptoms of acute patients or chronic ones is recorded. Back to Top

A rational physician takes at least 2 to 3 hours time to record the history of a chronic patient. It may be that he has to devote even more time for the complicated chronic patients. But so-called renowned doctors of Rs. 32, 64, 128. Rupees consultation charges record the history of the patient no doubt, but the history does not exceed even a page and they spare not more than 20 to 30 minutes. He is too busy with a great number of patients. How can he manage his family with the additional expenditure he is to incur for his cars, buildings, travel, etc., if he cannot examine at least 50 chronic patients daily?

Of course, there are very very few physicians in India and Bangladesh (also elsewhere in any other country of the world) who abide by th2 direction of Hahnemann and do not entertain more than two or three new chronic patients a day. Really these few rational physicians who are faithful to the principle of Similia, have still kept the torch of Homoeopathy illuminating. The students and other learners must bear in mind that a physician cannot do justice to the patient and so to the selection of proper remedy if he prefers to attend many patients, feels delighted in finding them waiting in a queue or in seeing a crowd of patients in the chamber or is attentive only to earn a lot of money. A true Homoeopathic physician does not allow more than two to three new chronic patients dairy. It Is no Homoeopathy if diluted medicine is administered from homoeopathic medicine chest. So we must labour hard to Back to Top

ensure the ideal of cure with well selected medicine for every patient and thus to earn, real fitness for the most salutary service like that of the preserver of health.

Beware of Administration of Medicine

From the above discussion we come to the conclusion that medicine is to be applied:

(a) Every hour or oftener in very urgent cases.

(b) Every two to six hours in acute cases.

diseases.

It has been observed that in many cases of acute diseases (according to their stratum and depth) one full course medicinal solution of 7 doses (of LM/1 or LM/2) is not generally required. In some cases only 1 to 3 doses of the solution is sufficient to control the acute condition. Then 1 or 2 doses of complementary medicine (according to totality of symptoms) will restore the patient to health.

In these cases if the patient takes the full course of the medicinal solution without necessity he will become the prey of medicinal disease or medicinal aggravation and his vitality will be weaker. So we should be careful as regards over-dose of any medicine in any patient. Let us have an example:

Suppose, you have prescribed Ars. Alb.—LM/1, 7doses, to be taken every 2 to 6 hourly, as is required, for one of your patients suffering from malaria. The temperature of the patient is coming down after the first dose and the fever did not appear at the due time next day also after his taking 3 to 4 doses. Then one dose a day. There was no appearance of fever on the third day. The patient is well only with the 5 doses of medicinal solution of LM/1—Ars. Alb. So, no question of prescribing the patient with Ars. Alb.—LM/2, 2nd course. He is to be advised not to take the remaining 2 doses of the 1st course. After this, if necessary and if symptoms agree one or several doses of complementary medicine of Ars. Alb., especially Thuja, may be administered. That will restore the patient to perfect health. This advice is to be followed in all acute cases.

Now let us discuss the matter with chronic diseases. In these cases we know that medicine is to be applied daily or every second day. But in some cases it is observed that the patient cannot endure the daily doses even from the 3rd or 4th glass. Then the smallest dose is to be continued every second day. But from the second course it is seen that it also reacts, the patient cannot tolerate this also. Your selection of medicine is right. What will you do? In that case medicine is to be applied in much longer gaps within the tolerance limit of the patient. That is why the phrase "If necessary" has been mentioned in the Organon. We do not care to take into account this phrase, "If

necessary". And so we observe and face aggravation in the patient even by the well selected medicine of 50 millesimal scale of potency from the very beginning of administration. You can successfully ensure the ideal of cure safely without any disturbance and according to your expectation with the new method, especially in case of weak and oversensitive patients by applying subsequent doses after such intervals of time as the action of every dose continues. If we can apply and continue medicine in this way, the patient need not be afraid of any troublesome symptoms due to medicinal aggravation. Of course, the application of medicine will continue every day or every second day as needed if the patient can endure it, if he feels better gradually and if no medicinal aggravation is noticed. Otherwise cure will be delayed for nothing.

It will not be out of place to mention here that some of my old oversensitive and weak patient left me as I did not take such precaution and some have been victims of medicinal aggravation. We must be careful in administering every dose of Homoeopathic medicine, the dynamic one, though properly selected. Then we shall be successful in having the expected results.

Diet and Regimen

Proper attention should be given to diet and regimen of both acute and chronic patients. Diet uncongenial to the action

of medicine and the mode of life detrimental to cure should be avoided. (Hahnemann. S: Organon, sixth ed., Apho. 259 to 263 with their footnotes.) In short; cure is not at all possible by any kind of treatment if socio-economic environmental condition of patients are hostile. Favourable conditions always help the ideal of cure.

HOW TO AVOID MEDICINAL AGGRAVATION OF 50 MILLESIMAL SCALE OF POTENCIES (Translated by Prof. Nirmalendu Chakraborty. Agartala. with necessary assistance from Dr. Anit Kumar Hazra, M.A.. D.M.S. and Dr. Boijayantl Chose. B.A., D.M.S. Calcutta.)

Medicine of this Scale also Aggravates!

Some of our colleagues complain about aggravation by 50 Millesimal Potencies also. Some other colleagues also have complained about this in their speeches and articles. A reputed practitioner, a writer of many books on Homoeopathy, has mentioned in one of his books that there was aggravation by new potency. When the same medicine of centesimal potency was applied, there was no aggravation at all and the patient was said to be cured. This is a serious complaint against 50 millesimal potency. Had this been so, what was the necessity on the part of Hahnemann to revise and re-write the fifth edition of the Organon and bring out the sixth edition. Hahnemann could very well remain satisfied with the fifth edition itself.

Unscientific Application of Medicine is Responsible for Aggravation

Hahnemann says,"... no such apparent increase of the original disease ought to appear during treatment and it given in proper small, gradually higher doses modified with renewed dynamization" (ref. Apho. 161, Org. 6th Ed.). If we hold that there is aggravation, we are to assume that Hahnemann's findings were wrong. Now the question is, who is in the wrong—we or Hahnemann? Why we alone, even Dr. Kent also sometimes thought that Hahnemann might have been wrong In his findings. But, in the long run Dr. Kent himself proved that his contentions were wrong and Hahnemann was right. Here it is not at all my intention to contend that Hahnemann was never wrong, that he might have committed no mistake at all.

We must have to find out who is in the wrong—Hahnemann or we ourselves? The only clue to the solution of this problem lies in our thorough experimentation. Improper application of medicine must lead to wrong conclusion. There are physicians who assert that the new potency causes aggravation in chronic diseases. But we must see whether their application of medicine is right and proper. In most cases, even in my own, two things are evident:

(1) The potency is higher than necessary.

(2) The dose is large, i.e., medicine was not applied as per the directives of the Organon, so the onus of the mistake lies neither with Hahnemann, nor with the Organon, nor with the new method. We make tall claims to be the followers of Hahnemann, but in practice we do not follow specific directives laid down by Hahnemann himself. So Hahnemann has advised his so-called licentious followers of the 'Mongrel sect' to give up Homoeopathy. There are physicians who at the very start of their treatment, administer medicine in LM/3, LM/6 or LM/12 potencies. There are also some practitioners who start it with the highest potency in this scale, i e., LM/30. Moreover, they apply the medicinal solution directly without diluting it in water as per specifications. Now it is quite clear that improper application is totally responsible for this sort of aggravation.

Hahnemann Specified Four Causes of Aggravation

In chronic diseases:

(i) Largeness of the dose (ref. Apho. 282, Org. 6th Ed.)

(ii) Over-susceptibility or over-sensitivity of the patient

(Ref. Apho. 281 and Foot-note to Apho. 248, Org. 6th

Ed.).

(iii) Over dosage of medicine to a patient at the end of

treatment when the cure is almost or quite finished

(ref. Apho. 161. Org. 6th Ed.).

In acute diseases:

(iv) There may be slight homoeopathic aggravation during

the first hours (ref. Apho. 158, Org. 6th Ed.).

The new potency may or may not cause aggravation in the four above mentioned cases of both acute and chronic nature. But, if we take the trouble of making in-depth observation of the patient, we can easily avoid such aggravation. Firstly, we can control the first cause of aggravation by administering a minute dose of medicine from the second or third glass of water instead of the first glass from the second dose of the medicinal solution.

Secondly, in cases of over-sensitive patients there is not the least possibility of aggravation. If it is observed that the first minutest dose also causes aggravation, then from the second dose medicine should be administered from the third or fourth glass or by olfaction. In those cases one or two doses of medicine should be applied every 7th, 10th, 15th day as the patient can stand it instead of applying it everyday or every alternative day. In this way we can easily control the second cause of aggravation.

Thirdly, there should not be any case of aggravation due to the third cause if we apply one or two doses of medicine only at Back to Top

a longer interval at the end of treatment when the patient is cured or almost cured.

Fourthly, the problem of slight homoeopathic aggravation during the first few hours, due to the fourth cause, can be easily solved in acute cases also if the minutest possible dose of medicine is administered at the very outset.

The new method has thus opened to us new vistas of liberty in matters of controlling aggravation in a scientific way. This is beyond imagination in case of medicines of centesimal scale of potency of the Organon, fifth edition. We as well as our beloved patients were so long imprisoned in the dungeon of the medicine of the old scale of potency. Now we are totally free from the bondage of medicinal aggravation.

The Highest Ideal of Cure can be achieved With the Help of Medicine of 50 Millesimal Scale of Potencies Only

The medicine of centesimal scale aggravates the diseases, specially in. cases of over-sensitive and weaker patients. At times, aggravation is of such serious nature that it goes beyond the tolerance of the patient. Moreover, it requires long period of times to effect the cure. For these very reasons, the highest ideal of cure can rarely be materialised with the medicine of centesimal scale of potencies. That is why Hahnemann had to

give up the medicine of centesimal scale of potencies of the Organon, fifth edition and evolve the medicine of 50 millesimal scale of potencies in the sixth edition. He asserted that the imperfection of Homoeopathy has achieved near perfection and all the problems related to it have been thoroughly solved. He brought about this revolutionary transformation in Homoeopathy on the basis of his life-long experimentation. We learn from The Life and Works of Hahnemann by Dr. R. Haehl and Life and Letters of Hahnemann by Dr. Bradford and from a letter to Dr. Boenninghausen written by Dr. Crossario, the closest and most intimate follower and student of Hahnemann and from many other historical proofs like this that towards the end of his life Hahnemann treated his patients most successfully with the medicines of 50 millesimal scale of potency.

The followers of the new method in different parts of the world are extremely happy with the curative effect of the medicine of this scale. In our sub-continent also the users of this method are appreciating for it. Some of our colleagues are of the opinion that, had they not had this scale of medicine, they could not have combated the so-called ultra modem allopathic drugs. As a result they would have had no other alternative but to give up their practice. Back to Top

Here is What Dr. J.N. Kanjilal, One of the Most Leading Homoeopaths of International Reputation, Says:

In a letter written to the author (ref. No. 333/A/eq/75, dated 22-7-75), he says:

1. "Medicine of centesimal and decimal scale of potencies will cause aggravation at the first part of treatment and then it will be followed by amelioration but medicines of 50 millesimal scale of potency will cause amelioration first and. then it will be followed by aggravation only towards the end of the treatment (ref. Apho. 248. Org., 6th Ed.).

2. As soon as there is the slightest aggravation after application of one dose of medicine or doses with succussions of the medicinal solution (ref.: Chronic Diseases, Hahnemann, 1838) of centesimal scale any repetition of medicine shall have to be stopped then and there. So long as there Is observed the slightest indication of action of the medicine applied, application of medicines is to be totally stopped (ref. my article "Second Prescription". H.G., Feb., 1971).

On the other hand, medicines of 50 millesimal scale of potency are to be gradually continued with due succussions and at necessary interval so long as there is aggravation towards the end of the treatment. Medicine is to be administered at longer interval or stopped totally, till the aggravation is over.

3. The sole object of the new method is:

(a) To hasten the process of cure by frequent

repetition of medicine.

(b) To avoid medicinal aggravation, or to bring it

under of control of the physician. As aggravation

appears only at the end of the treatment, the

physician can easily control it by administering

medicine at longer interval or by totally stopping

it...."

The above comments of our illustrious teacher Dr. Kanjilal is of so tremendous significance that it demands our attention and commands thorough appreciation.

While applying medicine, the phrase 'If necessary' used by Hahnemann (Ref. Foot-note to Aph. 246) should be seriously considered.

To hasten the cure of a chronic disease, Hahnemann advised us to administer medicine every day or every alternates day I/necessary. But we, the users of the medicine of the new method do not get the desired result or gentle cure from this scale of medicine only because of the fact that we do not attach due importance to the implication of the phrase. "If necessary". At the initial stage (1961 to 1966) of using the medicines of this method we committed innumerable blunders like this. We made our patients suffer. But as a result of regulated and accurate

application of medicine in minutest possible dose, and by totally stopping the medicine when not necessary or by applying it at longer interval at a gradually higher scale, we find that the cases of aggravation have been reduced almost to insignificance. Even then, under the new method also, the ratio of aggravation is not so insignificant in cases of chronic itches and psoriasis. In cases of most over-sensitive patients, even the minutest dose administered daily or every alternate day, causes aggravation. If one or two minute doses are applied at Intervals of 7, 10, 15, or 20 days aggravation can be avoided to a large extent. It has been observed that only one olfaction has acted for 30 days. We should never forget that in most cases psoric patients are subject to over-sensitivity and over-excitement. While treating a chronic disease, we should always remember, "Such increase of the original symptoms of a chronic disease can appear only at the end of treatment when the cure is almost or quite finished" and at no other times will the aggravation occur. Keeping this in mind, we can very accurately decide the time, the minuteness of a dose and interval for repetition of medicine. The medicine of the new method has been so much qualitatively developed and dynamised that the action of every minute dose (by oral administration or by olfaction) can easily be perceived externally by means of the senses by the patient as well as by the physician. If there is no aggravation of symptoms and the patient also improves mentally and physically, then only administration of medicine can be continued daily or every

alternate day. Any deviation from any one of the above conditions will, of course, necessitate the administration of medicine in a different manner. Use of medicine daily or every alternate day will no longer do. Now, medicine should be administered at longer intervals as the case may be, keeping in view the gentle ideal of cure. In case of medicinal aggravation due to largeness of the dose, the physician should observe the susceptibility of the patient by administering a more minute dose (ref. Footnote to Apho. 248. Org. 6th Ed.). If it is not properly understood and applied accurately by merely repeating the medicine at a longer interval, the physicians will uselessly delay the process of cure.

In this context, we should never forget that medicine should be applied as and only when necessary in order to fulfil our mission of the highest ideal of rapid and gentle cure. Only by doing so, we can preserve the sanctity, serenity and speciality of the new method as well as of the Organon, sixth edition.

To Avoid Aggravation, Minimisation of the Dose is a Must

For the last 22 years out of 28 years of my medical career I have been acquainted with this method. During the first 4 years of the 22 years of my acquaintance with the medicine of this scale of potency, I had to make only limited use of the medicine

because of its scarcity. Notwithstanding it, for the last 18 years, I have been treating my patients exclusively with the medicine of this scale. My observation regarding minimisation of the ratio of aggravation caused by the medicines of this scale of potency during my research and experiments for the last 22 years are as follow:

(i) In any case, acute or chronic, we generally start the treatment with one of the potencies from LM/1 to LM/6 as per susceptibility of the patient. Then we continue from the next higher potency of the applied medicine gradually [Le. LM/2, LM/3, LM/4, LM/5, LM/6, LM/7 and so on). We select one of the lowest possible potencies (i.e. LM/1 or LM/ 2 or LM/3, etc.) of a judiciously selected medicine in case of the second prescription also.

(ii) In the first phase of the treatment we observe that chronic patients with almost normal vitality can tolerate, without much aggravation, the potencies from LM/1 to LM/ 4, once dairy or every alternate day (after 8, 10 or 12 succussions, according to the sensitivity of the patient, one dose of the medicinal solution is to be mixed with 4 oz of distilled-/ drinking water in a glass, stirred well and then one or two teaspoonfuls are to be taken and the rest thrown away). Potencies from LM/5 to LM/8 are generally tolerable if one dose is taken at the interval of 2-3 days from first or second glass, as the patient can stand it.

Medicine from even the third or fourth glass may be necessary in cases of oversensitive patients. But potencies from LM/9 to LM/10 should generally be applied only 2 doses a week to sensitive patients, and two subsequent doses at the interval of 15,20,30 days or by olfaction at the interval of 3, 6 or 10 days to oversensitive once. Next potencies are also to be applied to sensitive patients very cautiously so that they can stand them. This will lead him towards ideal of cure without medicinal aggravation.

(iii) The physician should be cautious from the very beginning of the treatment of chronic patients with weak vitality, structural changes and oversensitivity. In these cases, it is safe to start the treatment with LM/1 and that too should be applied from the 2nd, 3rd, or 4th glass as the patient can stand it.

(iv) Every chronic patient should be advised to stop medicine for the time being, if there is aggravation inspite of taking the medicinal solution from the 3rd or 4th glass or even by smelling. After the aggravation is over, medicine is to be continued in more minute doses and at longer intervals.

Neither potency, nor even a single dose should be used unnecessarily. For this reason, we should be more cautious about the phrase "If necessary". If the medicine is bearable and

if physical and mental improvement is there, it is to be continued at required interval of time.

We can easily avoid medicinal aggravation following this new method, if the gap between two doses be measured depending upon susceptibility and sensitivity of the patient and intensity of the disease condition.

Even if there be any medicinal aggravation due to wrong application or big or repeated doses, it generally lasts for 2 to 5 days. This new method is less harmful than the centesimal method even if the selection of medicine is wrong, or applied in large or repeated doses. So there is no fear of "Furious, even dangerous, violent" reaction. This method "produces medicines of highest development of power and mildest action" (ref. Footnote to Aph. 270).

Some briefcase records, which will help us to ascertain the curative power of medicine of this new scale of potency, are given below:

(i) Medorrhinum was selected on the basis of totality of symptoms for a rheumatic patient. Starting from LM/1, there was no aggravation upto LM/2. During the course of LM/3 when aggravation was reported, the medicine was stopped and 7 days placebos were given. Within this period the aggravation was reduced and the patient improved in all respects. After this,

from LM/4. limited doses were applied and gradually the patient came round.

(ii) For a diabetic patient having gangrene in the leg, aged 50 years Ars. Alb. was selected and LM/1 to LM/6 were applied, one dose daily, afterwards one dose every alternate day from the first glass, with gradual improvement in all respects, followed by severe aggravation with LM/7. The patient was kept for 15 days without any medicine. Then from LM/8 medicine was continued in more minute dose from third glass and at longer interval and she was finally cured.

(iii) A girl, aged 8 years, having chronic fever with otorrhoea, was given Thuja LM/1 to LM/3 with marked improvement. Temperature reduced from 105° F to 100° F. But Thuja LM/4 again resulted in the rise of temperature upto 103° F. Stoppage of taking medicine for seven days relieved the patient from both the sufferings. After this LM/5 to LM/10 were given twice a week (one dose at the interval of three days from the 2nd glass) and the patient was cured.

(iv) A tubercular asthma patient, aged 50, years suffering for long 18 years was prescribed Bacillinum LM/1 two doses, once in the morning consecutively for two days, from first glass. The patient was well for two months. No further medicine was required. After this two doses from LM/1 were given with 25

jerks. No medicine was required for the next 90 days. Then the patient reported slight respiratory trouble. Again two doses from LM/1 after 50 Jerks were given from first glass. But mild aggravation was noticed for next three days and the patient became normal afterwards. So it is clear to us that If it was applied from the second glass or through smell, this sort of mild aggravation also could be avoided.

(v) A 10 years old eczematous girl, probably of hereditary origin, was prescribed Bacillinum LM/1 in two consecutive doses, from first glass. It kept her well for 120 days. Then again LM/1, two doses after 25 jerks was applied. No further medicine was needed. Eczema disappeared, the patient improved mentally and physically.

My younger brother, Dr. Chandra Shekhar Das observed that Bacillinum LM/1-2 doses, applied on two consecutive mornings acted for a long period of 45 days. For want of space many such cases could not be cited here. Inspite of that, I think, every physician will get a clear idea from the few cases cited above, regarding the application of medicine of this scale of potency.

Solution of Potency Problem

The Organon, sixth edition, not only solves the problem of controlling medicinal aggravation and paves the way to

materialise the highest ideal of rapid and gentle cure, but many controversial questions like potency of medicine, from what potency to start treatment, etc., have also been given a scientific solution.

Hahnemann advised, "to begin with the lowest degrees of dynamization" (ref. Footnote to Aph.246 and 270) in any patient. He did not apply centesimal potencies of those medicines which he had prepared according to the new method. In the last phase of his life, Hahnemann used to treat almost all patients following the new method. Before his death medicine chests of Hahnemann were found to be full of 703 phials of medicines of centesimal scale of different potencies (6, 9, 12, 18, 24 and 30 etc.) whereas there were 1716 phials of medicines of 50 millesimal scale, mostly from LM/ltoLM/10.

We generally start the treatment of any patient with one of the potencies from LM/1 to LM/3 as the case may be. but mostly with LM/1. We have not yet been reported by any patient that LM/1 did not act. Thousands of physicians of India and Bangladesh who are using medicines of this new method did not yet report any failure with LM/1 or LM/2.

Apart from our experience, following the experience and mode of application of medicine by Hahnemann, we see that most of the medicines of this scale serve the purpose within

LM/10 potencies. Well selected medicine of first prescription generally changes the totality of symptoms of the patient within LM/5 to LM/6 or LM/9 to LM/10 succussed dilutions when second prescription is needed. Selected medicine of second prescription is also to be applied generally from any of the potencies from LM/1 to LM/3 and then to be continued from the next higher potency gradually, practically, what we have seen from our experience is that any physician can treat uninterruptedly with the short-acting medicine from LM/1 to LM/6 and long-acting medicine from LM/1 to LM/10. So, the problem of potency from which the treatment should be started is solved by Hahnemann. This has been thoroughly experimented by myself and by my other friends In the profession for more than 20 years.

But it is a matter of great regret that some physicians are engaged in useless debate regarding the degree or scale of medicine knowingly or unknowingly; they even try to misguide others. So homoeopaths desirous of curing sick human beings, rapidly and gentry, following the sixth edition, should be cautious in this regard. Otherwise we will not only be deprived from the benefits of the revolutionary contribution of the Master, but diseased persons will also be deprived by us.

Some physicians start treatment with LM/3, LM/6, LM/ 9 or LM/12; some others start with LM/30, in dry condition with sugar of milk and the same dilution is repeated time and again.

Some respectable physicians advise us to start from LM/6 or LM/12 and to continue the treatment with LM/9, LM/12, LM/15 and so on, in a galloping way.

But these sorts of application go against the directions of Hahnemann in the Organon. These are not scientific also. Moreover, these are not supported by many renowned phy-sicians who have been persistently following this new method in practice.

In Homoeopathy, even today, Hahnemann is our greatest teacher and guide. We are ashamed to admit that, specially in matters of potency, we could not even reach upto him. So to follow Hahnemann in regard to application of dynamised homoeopathic medicine is safer for us and for our beloved ailing patients. If we engage ourselves in arguing and creating confusion among homoeopaths regarding potency of medicine that has been judiciously solved earlier by the Master, further advancement of Homoeopathy will be in jeopardy.

Even though limitation of potency has been extended upto LM/30, if majority of patients proceed towards ideal of cure within LM/10, there is no reason to apply higher potency unnecessarily. On the other hand, in some other cases, we maybe in need of potencies much higher than LM/ 30.

Conditions for Rapid and Gentle Cure

Our struggle for creating a healthy, happy and prosperous new world will be at least partly crowned with success, if the following conditions, as my humble experience dictates me, are properly and meticulously observed:

(1) Selection of medicine must be homoeopathic as far as

practicable.

(ii) Treatment must start from the lowest degrees of

potentisation (i.e. .with any one of the potencies from

LM/1 to LM/3) and advance to gradually higher, as

necessary, in any patient, either chronic or acute.

(iii) Each dose of medicine must be changed to a higher

dilution by succussions than the previous one.

(iv) All obstacles to recovery must be removed as far as

practicable, i.e., socio-economic environmental

conditions must be favourable for restoration and

preservation of health.

(v) Medicine of this new method must be applied in water.

Please take one 4 oz new phial with cork. Three-fourth

part of it is to be filled in with pure drinking / distilled

water.

15 to 20 drops of rectified spirit are to be added to it for its preservation. Then one No. 10 globule of the selected medicine of lowest degrees of dynamization is to be put in it. Mark the phial In 7 doses. This Is the first course of medicinal solution ready for application. Now, according to the susceptibility of the patient, after 8, 10. 12 jerks, one dose should be taken in a well cleaned glass of pure water (containing about 4 oz). Then after stirring it well, one spoonful dose or more should be given and the rest thrown away- Each dose from the medicinal solution of each potency Is be applied in the same manner.

(vi) If there is any aggravation by taking the medicine in

the aforesaid way, we are to understand that the

patient Is sensitive, or the dose is larger than needed.

Then "a tea-spoonful of this solution may be put in a

second glass of water, thoroughly stirred and a

teaspoonful dose or more should be given. There are

patients of so great sensitiveness that a third or fourth

glass, similarly prepared, may be necessary" (ref.

Footnote to Aph. 248). If the patient cannot tolerate

the medicine dally or every alternate day, gap

between the two doses may be more extended. If still

there Is any aggravation, medicine should be applied

through smell. Medicine should be applied after such

hours, days and weeks as the patient can stand it and

continuous improvement follows. If we can apply

medicine according to the above directives of the

Master, there will be no aggravation of the chronic

cases, such aggravation "of the original symptoms of a

chronic disease can appear only at the end of

treatment when the cures is almost or quite finished''

(ref. Aph. 161).

(vii) When we observe that there follows no further

improvement by the medicine of the first prescription

so that necessity of that medicine comes to an end,

we should record the case afresh and medicine as per

second prescription should be applied. Administration

of that medicine must also be started from the lowest

degrees of dynamisation.

(viii) a) In very urgent cases medicines Is to be "applied

every hour or oftener," Le., at the Interval of 5,

10, 15, 20,30 minutes as necessary.

b) In acute diseases medicine is to be applied "every

two to six hours" as necessary.

In both the above cases medicinal solution is to be prepared in the previous manner. 8, 10, 12 succussions must be given before use of every dose according to susceptibility of the patient.

If we can administer medicine of the new method according to the directives of Hahnemann, we can easily avoid medicinal aggravation. Thus it becomes easier and safer for us, as well as for our ailing patients, to materialise the rapid and gentle ideal of cure by the medicine of the new scale than by that of old centesimal scale of potencies.

Cure

Any patient, acute or chronic, will come round gently and rapidly, if treatment is accomplished In conformity with the conditions stated above. The history of Homoeopathy of the last two hundred years is on its forward carrying on the bright and glorious banner of its achievements.

PART TWO

TESTIMONY OF THE CLINIC

TWO CASES FROM HAHNEMANN'S NOTE-BOOK

(Communicated by letter, dated 24th April, 1843, to Dr. Von Boenninghausen, and published in the Neues Archiv, Vol. I. 1844.)

CASE I

Julie M., a country girl; fourteen years old; not yet menstruated.

Twelfth September. 1842 - A month previously she had slept in the sun. Four days after this sleeping in the sun, the frightful idea took possession of her that she saw a wolf, and six days thereafter she felt as if she had received a great blow on the head. She now spoke irrationally, became as if mad; wept much; had sometimes difficulty in breathing; spat white mucus; could not tell any of her sensations.

She got Belladonna (Dr. B. tells us that whenever the dilution is not indicated, it is understood that the 60th dilution was administered.) - weakened dynamization, in seven tablespoonfuls of water; of this, after it was shaken, a table-spoonful in a glass of water, and after stirring this, one teaspoonful to be taken in the morning.

Sixteenth September - Somewhat quieter; she can blow her nose, which she was unable to do during her madness; she Back to Top

still talks as much nonsense, but does not make so many grimaces while talking. She wept much last night. Good motion. Tolerable sleep. She is still very restless, but was more so before the Belladonna. The white of the eye full of red vessels.

She seems to have a pain in the nape of the neck.

From the glass in which one tablespoonful was stirred, one teaspoonful is to be taken and stirred in a second glassful of water, and of this from two to four teaspoonfuls (increasing the dose daily by one teaspoonful) are to be taken In the morning.

Twentieth - Much better; speaks more rationally; works a little, recognises and names me; and wished to kiss a lady present. She now begins to show her amorous propensities; is easily put in a passion and takes things in bad part; sleeps well; weeps very often; becomes angry about a trifle; eats more than usual; when she comes to her senses she likes to play, but only just as a little child would.

Belladonna: A globule of a higher potency: seven table-spoonfuls shaken in two glasses, 6 teaspoonfuls from the second glass early in the morning. (The meaning of these directions, which is not very obvious, seems to be that the globule shall be dissolved in seven tablespoonfuls of water, and of this a tablespoonful is to be stirred in a second tumbler of water, and from this second glass a teaspoonful is to be given for six successive mornings.)

Twenty Eighth - On the 22nd. 23rd and 24th very much excited day and night; great lasciviousness in her action and words; she pulls up her clothes and seeks to touch the genitals of others; she readily gets into a rage and beats every one.

Hyoscyamus X°: Seven tablespoonfuls, & c, one table spoonful in one tumblerful of water; in the morning a teaspoonful.

Fifth October - For five days she would eat nothing; complains of bellyache; for the last few days less malicious and less lascivious; stools rather lose; itching all over the body, especially on her genitals; sleep good.

Sacch. Lactis: For seven days, in seven tablespoonfuls, & c.

Tenth - On the 7th, fit of excessive anger; she sought to strike every one. The next day, the 8th, attack of fright and fear, almost like the commencement of her illness (fear of an imaginary wolf); fear lest she should be burnt. Since then she has become quiet, and talks rationally and nothing indecent for the last two days.

Sachh. Lactis, & c.

Fourteenth - Quite good and sensible.

Eighteenth—The same, but severe headache; inclination to sleep by day; not so cheerful.

New Sulphur (new dynamization of the smallest material portion) one globule in three tumblers; in the morning one teaspoonful.

Twenty Second - Very well, very little headache.

Sulphur, the next dynamization in two tumblers.

She went on with the Sulphur occasionally until November, at which time she was and still remains a healthy, rational, amiable girl.

CASE II

O—t, an actor, 33 years old, married. 14th January, 1843. For several years he had been frequently subject to sore throat, as also now for a month past. The previous sore throat had lasted six weeks. On swallowing his saliva, a pricking sensation; feeling of contraction and excoriation.

When he has not the sore throat he suffers from a pressure in anus, with violent excoriative pains, the anus is then inflamed, swollen and constricted ; it is only with great effort that he can then pass his faeces, when the swollen haemorrhoidal vessels protude.

On the Fifteenth January, he took, in the morning before breakfast a teaspoonful of a solution of one globule of Belladonna X° then the lowest dynamization, dissolved in seven tablespoonfuls of water, of which a tablespoonful was well stirred up in a tumblerful of water.

Fifteenth - In the evening aggravation of the sore throat.

Sixteenth - Sore throat gone, but the affection of the anus returned as above described; and open fissure with excoriative pain, inflammation, swelling, throbbing pain and constriction:- also in the evening a painful motion.

He confessed having had a chancre eight years previously, which had been, as usual, destroyed by caustic, after which all the above affections had appeared.

Eighteenth - Merc. viv. one globule of the lowest new dynamization I, (which contains a vastly smaller amount of

matter than the usual kind), prepared in the same manner, and to be taken in the same way as the Belladonna (the bottle being shaken each time), one spoonful in a tumblerful of water well stirred.

Twentieth - Almost no sore throat. Anus better, but he still feels the reexcoriating pain after a motion; he has, however, no more throbbing, no more swelling of the anus, and no inflammation; anus less contracted.

One globule of Merc. viv. (2/0), the second dynamization of the same kind; prepared in the same way, and taken in the morning.

Twenty Fifth—Throat almost quite well; but in the anus raw pain and severe shootings; great pain in the anus, after a motion; still some contraction of it and heat.

Thirtieth - In the afternoon, the last dose (one teaspoonful). On the 28th the anus was better, sore throat returned; pretty severe excoriation pain in the throat.

One globule in milk-sugar for seven days; prepared and taken in the same manner.

Seventh February - Severe ulcerative pain in the throat. Bellyache, but good stools; several in succession, with great thirst. In the anus all is right.

Sulphur 2/0 in seven tablespoonfuls, as above.

Thirteenth - Had ulcerative pain in the throat, especially on swallowing his saliva, of which he has now a large quantity, especially copious on the 11th and 12th. Severe contraction of the anus, especially since yesterday.

He now smelt here Merc, and got to take as before Merc-v.2/0 one globule in seven tablespoonfuls of water, and half a spoonful of brandy.

Twentieth - Throat better since 18th; he has suffered much with the anus; the motion causes pain when it is passing: less thirst.

Milk - sugar in seven tablespoonfuls.

Third March - No more sore throat. On going to stool a bloodless haemorrhoidal knot comes down (formerly this was accompanied with burning and raw pain), now with merely itching on the spot.

To smell acid, nitri and then to have milk-sugar in seve.

Almost no more pain after a motion; yesterday some blood along with the motion (an old symptom). Throat well; only a little sensitive when drinking cold water.

Olfaction of acid, nitri (Olfaction is performed by opening small bottle containing an ounce of alcohol or brandy where one globule is dissolved, and smelt for an instant or two).

He remained permanently cured. (The following account of an illness with which Hahnemann was attacked, which he gives in a letter to the same correspondent, dated 28ApriL 1833, will be read with interest "Although I kept myself very calm, yet the annoyance I received from... may have contributed to bring upon me the suffocative cartarrh that for seven days before and 14 days after the 10th of April (Hahnemann's birthday), threatened to choke me, with Instantaneous attacks of Intolerable itching in the glottis, that would have caused spasmodic cough, had it not deprived me of breath altogether, irritation of the fauces with the finger, so as to cause sickness, was the only thing that restored the breathing, and that but slowly; there were besides other severe symptoms—very great shortness of breath (without constriction of the chest), total loss of appetite for food and drink, disgust at tobacco, bruised feeling and weariness of all the limbs, constant drowsiness, inability to do the least work, presentiment of death, &c. The whole neighbourhood proved their great affection for me by sending so frequently to inquire how I was, that I felt quite ashamed. It is only within these four days that I felt myself out of danger; I obtained relief by two olfactions, of coff. cr. X° first, and then of calc.: ambra too was of use. And so the Great Protector of all that is true and good will grant me as much more life upon this earth as seemeth good to his wisdom.] —The Lesser Writings of Samuel Hahnemann, Collected and translated by R.E. Dudgeon. M.D., p. 773 to 776.)

ACUTE CASES

CASE 1: INFLAMMATION OF THE BREAST (MASTITIS)

15th March, 63 Mrs. Mahamuda Khutan, wife of Mr. Abedin of Takpara. Cox's Bazar, Chittagong, age thirty five. It has been

known from her husband that the right breast is as hard as stone. Sensitive to touch, great burning pain day; and night. Pale appearance, no abatement either by heat or cold. No sleep due to pain. The six months old baby cannot suck the breast. Body feverish, temperament gentle. Now-a-days a bit fretful. No irregularity of stool or urine. Fair, short, gouty constitution. Thirst regular, tongue red.

Suffered from chicken pox and tonsillitis. Vaccination twice or thrice in her life-time.

15th March, 1963. Treatment – Phyto LM/1, only one number 10 pellet mixed with three ounces of filtered water in a four oz. vial, marked eight doses with ten drops of alcohol. Five doses to-day every two hours. Succussion 8 times for each dose. Then one dose is to be mixed with four ounces of water which is to be stirred and a dose of two teaspoonfuls to be taken. To report on the third day.

18th March, 1963. The husband reported, 'Your medicine has worked miracles. On the first day the patient felt better after use of 5 doses. Yet the remaining three doses have been administered on the next day. I did not inform you yesterday as I thought no more medicine would be required. She is better."

Remarks: A deep-acting medicine like Phytolacca was used at short intervals and the patient came round within ten to twelve hours without any medicinal aggravation

CASE 2: TONSILITIS

Ahmed, aged eighteen. Cox's Bazar. Thin, dark complexion. Left tonsil swollen, severe pain in swallowing. Aggravation in cold bath and cold air.

'Temporary relief with mild heat and by gurgling with tapid water. Pain runs upto ear."

"I could not eat anything hard for the last three days," the patient said.

Other Symptoms: Ulcers in the mouth for the last one year. Saliva in great quantity, pillow becomes wet with it at night. Bad smell in the mouth. Blood comes out from the teeth now and then at the time of cleaning. It is painful to lie on the right side. Stool hard and constipation a bit. Urine normal. Much sweating with bad smell.

Treatment - MERCURIUS SOL.: LM/1: A solution of eight doses in a vial of four oz. Before use succussion for eight times and a dose of medicine to be again mixed in a glass, full of four

oz. of water. Two spoonfuls to be taken after stirring the solution. The rest is to be thrown away, two doses daily for the first day followed by one dose from the next day. After ten days the father of the patient came and told me that the tonsil was no more.

Courtesy – B. Jain Publishers (P) Ltd.

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