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AS: When and how did your journey
with homeopathy begin?
RV: My parents were never ones for doctors and drugs, raising me
on fresh and simple foods, mostly from our own garden. I've always
been sensitive to drugs and when I began to get sick in my late
twenties, I started with diet and nutrition, but as I got sicker,
and found that the allopathic system had nothing to offer, I remembered
my parents talking about homeopathy and the fact that their family
doctor in Holland used homeopathy. I had also been exposed to homeopathy
on an acute basis when I visited family members in Holland while
on a trip to Europe in 1970, who tried to help me with headaches
and digestive issues using homeopathic medicines. For some reason,
I became intrigued by this and wanted to know more. A stay in Europe
in 1977-79 exposed me further to the general use of homeopathy there.
On my return to Canada, I came across a small ad in the local newspaper,
seemingly by accident. The ad offered homeopathic treatment. This
was the first I had ever seen any mention of homeopathy in Canada.
I called and said that I wanted to know more about homeopathy and
we agreed to meet. He turned out to be a homeopath from India and
was the brother of the then homeopathic physician to the President
of India. He told me that he had come on a mission to bring homeopathy
to Canada. Much of what he said I no longer remember, but I vividly
recall that on my leaving he reached behind his desk in the very
small apartment he was living in and handed me two books. "Keep
them," he said. "They will get you started." One
was Kent's Lectures on Homeopathic Philosophy, and the
other was Boericke's Materia Medica and Repertory. I still
have both books, well used and dog-eared. I didn't really do much
more with them, but began some acute prescribing for myself and
my family once I discovered that a pharmacy in town had once sold
remedies and the new pharmacist owner had discovered them and had
started selling them. Then I came across an ad for courses on homeopathy
at a local naturopathic college. I signed up and at that point began
my more intensive and serious study and practice of homeopathy.
I had little idea how far signing up for that one course would
take me down the road laid down by Dr. Hahnemann. For me it was
initially an interest, a hobby, a promise of better health, but
it eventually became a vocation and a life's pursuit, one that I
am still very much engaged in.
You could say that I started with homeopathy, but through
it discovered Heilkunst, the more complete system of medicine
bequeathed by Hahnemann, but which had lain dormant and hidden from
view all these years. I stumbled on this by accident, and the real
credit for the rational unveiling of Dr. Hahnemann's complete medical
system, which he named Heilkunst, must go to one of the
true geniuses of our time, Steven Decker, who has created the only
true and faithful translation into English of the Organon der
Heilkunst.
But before we get to that part of the story, I first set to learning
the foundations of what is now often termed "classical homeopathy."
I read almost everything there is to read, ordering books by the
box-load from India (who could resist the cheap prices even if the
paper was also very cheap!). I also came across an early innovation
at the start of the internet and the world-wide web, known as Homeonet.
Instead of feeling isolated and alone, I discovered a world of homeopathy
at my doorstep. Homeonet was a life-line for those like me scattered
around the world, but who hungered and thirsted to talk about homeopathy
and Dr. Hahnemann's legacy with like-minded souls. It was through
Homeonet that I also met my wife and partner, Patty Smith. She was
then co-director of Homeonet with David Warkentin (creator of MacRepertory
and ReferenceWorks). For that I am forever in David's debt both
personally and because of the deep love for and knowledge of materia
medica she gave me. My interest has always been more on the matter
of philosophy and principles. In a way, you could say that I tended
to favor Kent's Lectures to Boericke's Materia Medica
in the initial gift of homeopathy from the Indian homeopath who
started me on my studies, and that, through Patty, I have been able
to find a better balance in my practice.
AS: You find classical homeopathy, discover
a more complete version of it, which becomes your vocation, find
kindred spirits and meet your soulmate. Sounds like a very rewarding
journey. Part of this journey was your evolution to Heilkunst. How
did that come about?
RV: I threw myself wholeheartedly into my studies of homeopathy,
and read everything I could get my hands on. My training in history
and philosophy, as well as science generally, provided the means
for me then to try to understand and assimilate what I was reading.
I also studied more formally and according to the generally received
wisdom of what homeopathy was and meant. Two things initially stood
out from my studies, readings and general experience: one, there
was a big gap between theory and practice - there was a wide range
of practices that came within the general purview, but could not
really be fit into the accepted meaning of homeopathy (the application
of a remedy based on provings according to a similarity between
proving and symptoms of the disease); and two, that the actual success
of homeopathy was poor. Even the "masters" admitted that
success was at best 10-15%. What then could a mere student and apprentice
hope to accomplish?
I knew that there was something valid about homeopathy and kept
searching. In my search, I discovered two unsettling facts: one,
that the teachers of homeopathy didn't like questions, and the standard
answer seemed to be "that's just the way it is;" and two,
that most teachers and practitioners had not bothered to read even
the Organon in its entirety, much less the Chronic
Diseases and the collection of articles and essays packaged
as the Lesser Writings (a misleading title indeed, as I
would discover). My intense reading of these works raised many questions
in my mind that conflicted with what I was being taught. I then
discovered that what was being taught as homeopathy was really the
teachings of Kent, which teachings were based on only the 4th edition
of the Organon. Neither the work of Dr. Hahnemann since
the 4th edition (which includes the Chronic Diseases),
nor the earlier seminal works, such as the various essays leading
up to the 1810 Organon were used.
I also began to study many things within the ambit of homeopathy,
but not strictly homeopathic, such as tissue salts, flower essences,
drainage, homotoxicology, diet, nutrition, biotherapies, to mention
the main ones, and struggled with reconciling these with the formal
tenets of homeopathy as taught, and increasingly referred to as
classical, to distinguish it from the myriad of claims to the title
"homeopathic."
At about this time, in the early 1990s, I came across the works
of Dr. Elmiger in Switzerland, published in French in a book called
La Medicine Retrouvee. My French language skills came in
handy as it was to be some time before this book was translated
into English (as Real Medicine). It was again one of those
serendipitous and defining moments in a person's life. Suddenly,
a light bulb went on. What Dr. Elmiger offered was an approach to
complex, chronic conditions that was causally-based, logical in
sequence and simple in remedy choice. It made sense, and also held
the promise of relating and including rationally the seemingly disparate
aspects of "homeopathy." However, it went against the
received wisdom.
My enthusiasm for what I had found in Dr. Elmiger's work led to
me present these ideas on Homeonet and in various articles
for homeopathic and natural health publications. I wasn't prepared
for the reaction. I expected to be questioned, but also to be welcomed
for offering something valuable and interesting. What I got was
an avoidance of the issues raised, and personal attacks. I was treated
like a heretic, and the tenets of classical homeopathy became more
and more to appear like dogma and not science.
Two important things happened next. First, I was asked to leave
HomeoNet after an extraordinary meeting of the director with three
disgruntled members (this had never been done in the history of
HomeoNet). The co-director, Patty Smith, whom I had gotten to know
as a friend, was told to delete me from the group. Despite this,
we remained friends and eventually formed a spiritual and professional
partnership. At this point, the two of us struggled to present the
new insights we had gained from practicing Dr. Elmiger's system
of sequential treatment of shocks and traumas, as well as the use
of drainage and detoxification measures with remedies. Our ability
to challenge the received wisdom was hampered by the fact that we
could not rationally explain why what we knew intuitively to be
true to be consistent with Dr. Hahnemann's writings and teachings.
The classical approach had effectively monopolized the field of
debate. Our actions were more like guerilla raids and tactics, much
like the early Continental army against the well-entrenched and
armed British troops and government in colonial America.
At this point, the most defining moment for the transformation
of homeopathy to Heilkunst occurred. We received a call from a Steven
Decker in California who wanted us to come out and give a seminar
to students and practitioners. This was in late 1995. Our meeting
with Steven Decker opened a door into an understanding of Hahnemann's
works, based on his close study of the German orginals, that provided
the rational basis to explain both homeopathy in its proper context,
and also to explain all of the previously hidden teachings of Hahnemann,
teachings that explained and corroborated the seemingly disparate
approaches on the fringes of classical teaching and practice.
Steven brought a deep knowledge of the German language of Hahnemann's
time, as well as a broad and profound knowledge of the context within
which Hahnemann was writing, what he called the Dynamic system of
thought, which included Bacon, Goethe, Coleridge, Saumarez, Brown,
John Hunter, as well as more recently, Wilhelm Reich and Rudolf
Steiner. What Steven's scholarship had revealed is that the Organon
had been badly translated. Part of this reason was simply poor translation,
but most of the problem lay in the fact that the translators did
not understand many of the terms that Hahnemann used. For example,
where Hahnemann used the terms "lebenskraft," "lebensenergie,"
"dynamis," and "lebensprincip," the translators
had conflated all of these terms into the one English term "vital
force." To make matters worse, this put Hahnemann in the discredited
camp of 19th century vitalism, a mystical and misguided concept
that had nothing to do with Hahnemann's concept of a living power
within the human organism.
To understand Hahnemann's terms and then to translate them required
the depth of understanding of the evolution of human consciousness
that Steven brought to the task. Steven had been studying such things
since his late 20s, more than 30 years at that point.
Steven's translation provided the basis for the O'Reilly edition
of the Organon, the best at that point, but Steven also
published (in electronic form) his triune translation, which is
even "more perfect;" it allows one to put the German original,
and the word-for-word literal translation into English alongside
of the final English rendition. For once and all, the reader can
see what is being translated and why.
Thus began a fruitful collaboration that led eventually to our
publication of Homeopathy Re-examined, and then the more
complete and polished treatise on the Organon and the rest
of Hahnemann's works, entitled The Dynamic Legacy.
The purpose of the collaboration is to provide a concise terminology
and scientific basis for the complete system of medicine left us
by Dr. Hahnemann. Homeopathy is only one part of that system, and
the classical understanding of even that part is seriously flawed
as a result of a failure to fully understand Dr. Hahnemann and his
very detailed, rich and precise terminology.
As a result of the general failure of existing homeopaths and homeopathic
schools to incorporate the insights set out in The Dynamic Legacy
into their programs, we founded the Hahnemann College for Heilkunst,
which currently provides a four-year program internationally to
train practitioners in Heilkunst, of which Steven Decker is the
Chancellor.
AS:
You mentioned the importance of Dr. Elmiger's work in showing you
the new path. How is Heilkunst different from the Sequential Therapy
of Elmiger?
RV: Heilkunst includes and expands on the work
and research done by Dr. Elmiger.
AS: Could you give us some concrete examples
of how knowledge of Heilkunst would change the way a “classical”
homeopath approached a case?
RV: There is a treasure trove of insights in Hahnemann's writings
that go beyond homeopathy. Indeed, the classical version of homeopathy
is, based just on a clear reading of Hahnemann's own writings, seriously
flawed.
Let's take a case of a child with autism. The classical homeopath
will take all of the symptoms of the patient and try to
find a remedy to match that symptom picture. There are several problems
here. The patient is treated as if all of the symptoms belong to
one disease. Disease is seen as an abstraction, and no consideration
is given to the multiple tonic diseases in the patient, such as
are engendered from drugs, vaccines, accidents, surgeries, birth
traumas, and all of the chronic miasms. How can we assume that the
symptoms of the patient are related to a given disease? How can
we know that some of these symptoms are not due to poor nutrition
or toxins, or metabolic dysfunctions? Classical homeopathy just
assumes that it somehow owns all of the symptoms. What of the case
of the arthritic patient who drank four cups of coffee a day and
no water and worked as a landscaper? Reducing coffee and drinking
water removed the arthritic condition.
Most often the symptom picture that the classical homeopath puts
together is false and fails. Where the symptoms chosen are acute,
or where the immediate or exciting cause is known, such as in the
case of a bee sting or an acute disease, such as chickenpox or measles,
or food poisoning, the success rate is higher because an obvious
disease can be identified. However, in complex, chronic cases, with
very general symptoms, it is almost impossible to link symptoms
with a real disease picture. In some cases, the remedy given will
have a positive effect, as the symptom-picture used happens to be
correct, but this remedy will seldom affect a major change. Yes,
there are lots of cases out there of brilliant successes. If as
a busy practitioner I see 1000 different patients in a year, then
with a ten per cent success rate, I will have 100 cases to go on
the lecture circuit with. But what about the other 900? No one really
talks about those.
Classical homeopathy essentially teaches using case example. Hahnemann
refused all of his life to teach this way, giving only two at the
very end reluctantly for his followers. As he states in Aphorism
#2, the issue is principles, and to understand how to apply them.
Classical principles tend to be abstract and flawed. Take the simple
example of "the totality of symptoms:" no one really does
take the full totality; the symptoms used are always selected and
mostly by methods intuitive to the prescriber but largely hidden
to the observer. Take also the tenet, "one remedy at a time."
Is this one remedy per disease or per patient? Hahnemann made clear
that the thing treated by the remedy was the disease, that the remedy
annihilates the disease (not "supports the immune system"
as you often hear). What is the time frame? We are told to wait
before giving another dose or remedy until the action of the first
remedy/dose is finished. But which action: the initial action of
the remedy on the generative power of the life force or the healing
reaction of the sustentive power of the life force to restore balance
after the curative action of the remedy? Hahnemann's dictum was
not to give a second dose or remedy within the initial action only.
A second remedy or dose can be given after that, even if the healing
reaction to the first remedy continues. If the link is remedy-disease,
then what if you have several diseases in the patient at one time,
as Hahnemann stated could well happen?
Most of the "classical" remedies for first-aid are not
chosen based on symptoms, but on cause. Thus, after a bee sting,
one does not take the symptoms but gives Apis. Apis
is always going to be the remedy regardless of the case. This is
a constant nature disease that has a constant specific remedy. Now,
in some cases it may happen that the initial disease (bee sting)
triggers a secondary disease in a patient. This disease will need
to be treated using only the symptoms that arise - this is the realm
of homeopathy. Apis for bee stings is not homeopathic,
but homotonic prescribing.
It is hard in this small space to go into too much detail, but
anyone interested can read more in the articles
I have written for your e-zine, or better yet, can go to the
website www.heilkunst.com
and read the numerous articles there. The best would be to order
the book, The Dynamic Legacy, and read it in full detail,
all meticulously documented in Hahnemann's writings and those of
others. Julian Winston wrote of our initial book, Homeopathy Re-examined,
that it was the first serious review of Hahnemann's genius since
Kent and deserved careful study. To date we have not had a single
person show us where our logic and understanding of Hahnemann's
legacy has been in error. We have had a lot of criticism and personal
attacks, but no refutation of what we have put out publicly.
The conclusion I have come to is that "classical homeopathy"
is more like a belief system to be defended, than a science open
to critical discussion. The series of articles for your e-zine were
written to try once again to establish, through rational debate,
a principled basis for considering Hahnemann's legacy. The logic
of the examination compels one to the conclusion that the "classical"
view of Hahnemann in his entirety, not just the homeopathic part
of his writings, is seriously limited and flawed even within those
limitations. To use Hahnemann's own characterization, any approach
to medicine not based on "clearly realizable principles"
is only another form of allopathy.
AS: Yes, amazing cures in case conferences
create the illusion that we’re almost perfect, far from the
truth. I guess that helps maintain orthodox views. You’ve
written about Heilkunst in this journal and discussed the two aspects
of the of living principle: the “sustentive”, which
maintains homeostasis and the “generative” which does
the curing of disease. You have also written about constant (tonic)
and variable (pathic ) diseases. What other ideas does Heilkunst
encompass?
RV: Heilkunst, in its essence, provides a solid foundation
in natural law and principle for the rational ordering of therapeutics
on a basis that is empirical (but not empiricist, because it is
grounded further in natural law principles). Without this foundation,
any approach to medicine is without principle (allopathic) and will
have the potential to cause great harm as a result, either directly
(such as with drugs) or indirectly (by not properly removing disease).
Heilkunst provides a means to incorporate in a truly integrated
manner the myriad of therapies and substances designed to help the
organism heal, largely found in the natural health field and so-called
alternative and complementary medicine.
The radical nature of Heilkunst lies in the very explicit recognition,
for the first time in the history of medicine, of the polar nature
of the Living Principle (Lebensprincip) or Dynamis, that
is the generative and sustentive side; the dynamic or energetic
nature of disease (as opposed to the prevailing material or mystical
views); and the use of medicines on the basis of their dynamic or
energetic (not simply biochemical) effect.
Dr. Hahnemann, unlike any medical practitioner before him or since,
made a fundamental distinction between disease, which is a dynamic
impingement of the generative side of the Living Principle or Dynamis,
and imbalance, a disturbance of the sustentive power (what traditionally
was termed the vis medicatrix naturae or inner healer). He also
provided a clear distinction between the initial action (Erstwirkung)
of the disease agent, which involves an almost imperceptible impingement
of the generative power (Erzeugungskraft) of the Living
Principle, and the counteraction (Gegenwirkung, Nachwirkung)
of the sustentive side (Erhaltungskraft), which produces
the various symptoms we associate with disease, but which is really
the effort of the Living Principle or Dynamis to rid the human organism
of disease.
The cure of disease involves the use of a medicinal agent (artificial
disease) according to the law of similar resonance and there are
various levels of similitude identified by Hahnemann (homeo, homo,
iso) according to the nature of the disease agent.
Heilkunst also includes the use of the law of opposites, which
involves the healing function of the sustentive power in such realms
as diet, nutrition, lifestyle, energy work and psychotherapy, drainage
and detoxification, all of which are contained in one form or another
in the above noted works.
From this we find a clear distinction between the act of curing
(destruction of the disease itself), which is what the therapeutic
agent accomplishes through its power to affect the generative power
wherein is lodged the disease, according to the natural law of resonance
(similar or opposite), and healing, which is what is accomplished
by the sustentive power reacting to this artificial disease agent
(medicine), and which can be supported where there are imbalances
in energy flow, nutrients, blockages, etc.
While one aspect of Heilkunst, the medical application of the natural
curative law of similars (similia similibus), is widely known, it
is only known regarding one particular application, namely based
on the overt symptom picture (totality of characteristic symptoms)
of the patient, that is pathic prescribing, to which Hahnemann gave
the name, homeopathy from the Greek words homoios (similar) and
pathos (suffering).
At the same time, other important aspects of Hahnemann's complete
medical system, involving the application of the second natural
law, the law of opposites (contraria contrarius) are even less known,
if understood. This encompasses the entire realm of regimenal measures
designed to bring the human organism back into homeostasis, through
working with the sustentive side of the Dynamis, the natural healing
power.
There also remains a profound misunderstanding of Hahnemann's disease
nosology, which has produced confusion regarding the action of medicines
in homeopathy, as well as the basis for their selection.
All this has led to the term homeopathy being used to refer to
Hahnemann's system of medicine, when it properly only applies to
one aspect of the application of medicines according to the law
of similar resonance.
Disease is also of two fundamental types: disease that has a largely
fixed, constant nature (essence or Wesen), and disease that is of
a more variable nature or essence. The latter Hahnemann termed "pathic"
as the curative medicine can only be determined through the symptoms
(suffering or "pathos") produced by the disease in the
patient. The former are referred to as "tonic" diseases
and the curative remedy is determined by the particular jurisdiction
the disease falls into and the principle governing that jurisdiction.
Heilkunst also involves several tonic disease jurisdictions: homotoxic
(toxins), homogenic (physical and emotional traumas), pathogenic,
iatrogenic and ideogenic (spiritual diseases engendered by false
belief, which he termed our "highest disease").
Hahnemann identified two specific principles, a thermal disturbance
pattern (often seen overtly in specific fevers), which is characteristic
of pathic disease, and an altered state of mind, which is characteristic
of tonic (fixed diseases) disease. This polarity between the tonic
and unific state of mind, and the pluritic and pathic thermal imprint
provides a further duality between the "highest disease"
realm (ideogenic) and the deepest disease realm, which we term the
"chthonic" realm (fromt the Greek word for "earth").
Hahnemann stated that a person could have more than one disease
at a time, each of which might be contributing to the symptom picture
of the patient. Hahnemann set out clearly right from the beginning
of his new system of medicine that the practitioner should first
seek to treat the constant nature diseases, as these can more readily
be identified in most cases (by cause, e.g., Arnica for
contusion disease) and since they are fixed in nature, they are
always treated with the same medicine, thus simplifying treatment.
The homeopathic approach to the remaining pathic diseases could
then more easily be used.
A fundamental principle of Heilkunst is that there can only be
one remedy for a given disease state. However, because it was possible
for there to be more than one disease at a time in the human organism,
this opened the possibility of the prescribing of more than one
remedy at a time to the patient. Out of this understanding, and
from his knowledge of the dual nature of disease, Hahnemann, through
his own work with intercurrent and alternating remedies and the
experiments of a close pupil, Dr. Karl Aegidi, used and worked with
dual remedy prescribing. Initially (1833–36) he gave two medicines
in the same solution (simultaneity of ingestion), but due to political
pressures and misunderstandings swtiched to the use of two medicines
within the action of the other (simultaneity of action).*
In the light of difficulties treating more complex cases, Hahnemann
undertook further research and developed his theory of chronic miasms,
which are fixed nature diseases of the pathogenic type (originally
infectious, but also inherited) which give rise to all the (secondary)
chronic diseases, which are pathic in nature. Hahnemann identified
three chronic miasms: syphilis, sycosis, and psora, and there is
evidence that he also discerned a fourth that is now termed tuberculosis.
Subsequent research has revealed four "bridging" miasms:
Malaria (between Psora and Tuberculosis); Ringworm (between Tuberculosis
and Sycosis); Cancer (between Sycosis and Syphilis) and Lyme (after
Syphilis). Dr. Elmiger of Lausanne, Switzerland uncovered a specific
sequence to these miasms, which confirms and extends what Hahnemann
himself wrote and taught, and which he termed the Law of Succession
of Forces. This allows for a more effective and systematic treatment
of various disease conditions that have an inherited component,
even when that component is latent or not readily recognizable in
the symptoms of the patient.
Hahnemann also gave indications as to when the practitioner could
tell that the disease had been cured by the similar medicine and
healing was underway (the complete process termed "heilen"
or remediation). Constantine Hering, often called the Father of
Homeopathy in the US, further developed these guidelines, which
are often referred to as "Hering's Law or Principles."
This was later amended by James Tyler Kent who noticed that when
disease was suppressed or several groups of symptoms (diseases)
developed in a patient over time, that the remedial process proceeded
in the reverse order of the emergence. This provides the basis for
the sequential treatment of traumatic disease states, from most
recent back through time to conception, followed by the sequential
treatment of the chronic miasms. The pathic diseases, existing in
layers, are dealt with as they arise at various stages along the
way.
AS: You have said that Heilkunst
allows one to treat different diseases simultaneously. Do you actually
administer more than one remedy simultaneously? If yes, how is it
different from using complexes?
RV: A series of remedies can be related rationally
to several diseases in a given situation or occurrent, and then
they act as an "informed remedy" as Dr. Aegidi stated
and Hahnemann apparently agreed, as he endorsed the whole principle
of more than one remedy at a time. If they are not related at all,
but you just have a bunch that might be and throw them together
in the hope one might be similar, that is a "complex."
AS: You’ve made so many important points,
I think we should emphasize them. As you say, people come to a homeopath
with symptoms that may represent past miasms, multiple traumas,
toxins, lifestyle issues etc. All these symptoms are conflated resulting
in incorrect and ineffective prescriptions. Let me know if I have
this right. The changes you're suggesting include :
a. Understanding that a patient may have
multiple diseases, each one requiring a different remedy.
b. Creating a timeline and giving remedies
in the appropriate sequence.
c. Not waiting months to give each remedy,
but giving each one after its initial action has registered, which
may be just minutes, hours or days.
d. Identifying problems related to the sustentive
aspect, like poor nutrition, and addressing them appropriately (rather
than prescribing a remedy).
e. Treating fixed (tonic) diseases first,
since they are easiest to identify, and may also need to be cleared,
before pathic remedies , based on symptoms , will work.
RV: Your summary is fairly accurate. People come not only with
a host of symptoms produced by a host of disease causes, but also
may come with diseases that are latent, and are not yet or currently
producing symptoms. Another problem posed for homeopathy is that
a person may have diseases, but have no overt symptoms. Absence
of symptoms and absence of disease are not necessarily the same
thing.
Another aspect of Dr. Hahnemann's nosology that is not understood
is that there are different indicators of disease. The most commonly
used are the alterations in feelings, functions and sensations of
the patient, that the patient reports, plus signs that the practitioner
notes. However, there are also changes in behavior, circumstances
and occurrents, which reflect the state of mind of a disease (the
disease essence as reflected outwardly in the ambient of the patient).
In addition, Hahnemann identified various unific elements of disease,
such as the State (of mind), the Feeling, the Impression, the Sensation,
that reflect the often hidden aspects of the tonic diseases. In
contrast, the pathic diseases have plurific elements (feelings,
functions, sensations). The detection of the unific elements is,
according to Hahnemann, the easiest to identify for the "accurately
observing physician," but requires special organs of cognition
for super-sensible knowing. To fully understand this we would also
have to go into the deeper epistemological foundations of Heilkunst.
The basic rule that Hahnemann laid down early on in his career
was that the practitioner should first treat the constant nature
(tonic) diseases where possible, as these are the diseases that
are primary, and also the ones that give rise to the pathic diseases
(which are really secondary diseases). In most cases, where the
primary disease has been removed, most of the secondary diseases
also seem to be destroyed. Thus, while some secondary (pathic) diseases
may still remain after the destruction of the primary disease(s),
there are relatively few, and they can now more easily be identified
out of the remaining symptoms (which are much fewer in number and
which also show up now in a more acute way). We find then that it
is generally sufficient to have recourse to the 50-100 basic and
most common remedies to treat the remaining pathic diseases. One
seldom has to do complicated repertorisations to find unusual or
uncommon medicines.
What Heilkunst involves is a complex view of disease with different
layers and jurisdictions that requires a "top-down" diagnosis
and a "bottoms-up" therapeutics, as it were. This gives
then a comprehensive map of the terrain of disease and also what
treatments are needed to remove the diseases identified and in what
sequence.
AS: Heilkunst seems to require a highly
evolved individual to make it work. Is there some aspect of Heilkunst
training that facilitates personal growth?
RV: Hahnemann talked of the "unprejudiced physician"
and of participating the patient. Randall Neustaedter several years
ago talked of the "hidden case" and the works of Kent,
Sankaran, Shah and others (such as Scholten), involve a kind of
"essence" prescribing that seeks to know aspects of disease
that are supersensible in nature and beyond the general sense-based
data (alterations in feelings, functions and sensations reported
by the patient, as well as signs noted by the practitioner). It
would take a full exposition of the epistemological basis provided
by Hahnemann, and others who are part of the dynamic stream of thought,
to set out what is involved in this super-sensible knowing.
However, the short version is essentially this: man currently is
a prisoner of his own awareness and separation from nature. What
the waking consciousness perceives is the outer manifestation of
nature (the natura naturata of Bacon); it is separated
from and has difficulty connecting with the inner content of sense-objects
(the natura naturans of Bacon).
The Kantian orthodoxy, reflected in the material nature of natural
science, rejects any valid scientific (i.e., rational) knowledge
that is not derived from sense-experience and sense-data. However,
Heilkunst is based on a philosophical foundation that comes in large
part from Bacon, Goethe, Coleridge and certain contributors to the
German idealist philosophy (such as Brentano, Husserl, Heidegger,
Wittgenstein, and Godamer). The epistemological basis for Heilkunst
is the validity of certain organs of supersensible knowing (noetic
organs that Hahnemann called "geistes und gemütsorgane)
to access both reality coming from sense-experience and reality
that is contained within the human mind above nature (concepts and
ideas, in the original Platonic sense).
Thus, the ability to access the supersensible aspects of disease
(particularly things such as the State of Mind, the Feeling, the
Impression, etc. - the unific elements), and also to deal with the
highest diseases (false beliefs), requires that the mind of the
practitioner be activated as far as these noetic organs are concerned.
Treatment of the various tonic diseases, including false beliefs,
allows for the activation of such organs. An important component
of activation is also the exposure to true ideas and concepts (that
is, grounded in reality), as opposed to abstractions and speculations
("schematisms" as Hahnemann termed them). This is the
reason that it is very important to be clear on terminology and
to also ensure that any teachings are on a rational basis. The problem
with the current orthodoxy in homeopathy is that the teachings are
demonstrably shown to be tenets (that is what, in particular, the
third volume of The Dynamic Legacy sets out clearly), not
objective reality, and there is a general tendency, as a result,
to either a form of mysticism (the "vital force," and
the "single remedy" for example), or to a form of materialism
that simply treats of things empirically and mechanically (such
as repertorisation). Neither tendency is in any way grounded in
the reality of Hahnemann or in a general sense epistemologically
sound.
That no one to date has engaged substantively the detailed research
that we have presented, or has even shown that any part of that
is false or flawed, indicates that current homeopathy operates with
a belief system, not a scientific method.
The study of Heilkunst in its deeper and broader context provides,
in addition to the more comprehensive treatment based on the insights
into Hahnemann's complete medical system, the basis for developing
the knowledge of natura naturans (the inner reality of
nature) needed to access the higher and deeper diseases of which
Hahnemann wrote. It is a matter of training the mind so that the
"idols of the mind" (Bacon) that block proper cognition
and ideation are removed, and then this "unpredjudiced mind"
can access the deeper knowing (what Hahneman termed "kennen")
required to diagnose the apparently hidden diseases. But Hahnemann
made clear that once the mind was properly trained, these hidden
diseases would be the easiest to diagnose for the "true physician,"
the Heilkünstler.
All students of the Hahnemann College for Heilkunst must undergo
several years of treatment to help them develop their noetic organs
and much of their training is also designed to activate and develop
their higher cognitive capacities.
AS: So one needs developed noetic organs,
a sort of parallel to Sankaran’s seventh level, to get past
the narrative. Patients forget, remember wrong or lie and homeopaths
often get lost in the story. Speaking of stories, why do you think
it’s been so difficult to explain your ideas to the homeopathic
community? What’s it been like for you, marching to a different
drummer?
RV: Well, I wouldn't say that it has been difficult to explain
the ideas. That part is actually quite simple if one only considers
the evidence. However, the problem lies in the capacity to comprehend
the evidence. It has nothing to do with being smarter or more intelligent,
but with the capacity that Hahnemann noted of being able to remain
"unprejudiced," of being able to take an impression so
that the nature of truth (its polar and scalar logic), which cannot
be grasped by the intellect (the "Sinn") alone, can be
apperceived.
The core of Hahnemann's genius is not in the law of similars, or
in the provings - both of these had been discovered much earlier
- or even in the technical attenuation of dose, but rather in the
discovery of the polar nature of the living power, the Dynamis.
This polarity has been ignored and denied consistently since his
writings, not because it was understood and rejected, but rather
because it has not been understood at all. The ability to grasp
a dynamic functional identity, which distinguishes without dividing
(unlike the intellect), such as the dual nature of the life force,
and other polarities that abound in Hahnemann's system of medicine,
Heilkunst - the dual nature of the disease and remedial processes,
the dual aspect of disease itself (tonic and pathic disease) - requires
first that the organs of higher cognition are operative.
The Western consciousness is largely dominated by the intellect
and by the material world. It accepts a split between objective
and subjective, between the world of science and the world of religion
or belief. As a result, it is dominated by the unspoken, but false
duality between spirit and matter. One accepts, generally unconsciously,
the Kantian paradigm that there is an unbridgeable abyss between
the world of sense-data (natura naturata) and that of thoughts themselves,
or that of personal belief and experience. Thus, one is either a
materialist at heart or a mystic. Both deal with abstractions, but
the mystical element is predominant in classical homeopathy - in
abstractions such as the vital force, the single remedy and wholism,
whereas the material (empiricist) element you find in so-called
complex homeopathy. The modern consciousness has difficulty accepting
the reality of the functional dynamic of nature, where we have a
sustentive power and a generative power, where we have a distinction
between tonic and pathic disease, between cure and healing, between
regimen and medicine, between the law of similars and the law of
opposites, where we have a sophisticated analysis of disease and
imbalances rather than the abstraction of "treating the patient."
Dr. Hahnemann stated that the highest disease was ignorance, which
creates a vacuum in knowing that the intellect fills with beliefs.
The belief is not the problem, as science uses these as part of
a method (postulates); it is when the belief is defended despite
evidence to the contrary, and one is not willing to entertain that
the belief is false. The human mind does not like uncertainty and
feels threatened when something new comes along. The tendency is
to defend what one believes rather than to entertain something that
threatens one's security. Quantum physics was resisted strongly
by classical physics, and one observer noted that quantum physics
would only advance in academia "one obituary at a time."
We would certainly welcome a serious discussion and debate on the
evidence. If what we say is wrong, then let others show us where
it is wrong. We have put forward our case in great detail, citing
extensively from Hahnemann's works. We have yet to see anything
that has refuted this. It requires a mind that seeks the truth over
orthodoxy, that welcomes a truth even if challenges existing beliefs
about what homeopathy is and what Hahnemann wrote. Most people prefer
the security of belief to the uncertainty and disturbance of objective
inquiry.
AS: Would you like to present an actual case
that illustrates Heilkunst philosophy, methods and advantages?
RV: Presenting cases is a mug's game, as everyone can always play
the Monday morning quarterback, and second guess. We need to simply
tackle head on the hidden assumption of classical homeopathy that
all of the symptoms of the patient belong to the homeopath, and
if the response is that they don't, then we need to ask how the
homeopath is able to determine which symptoms belong to him and
which don't. Next, we need to ask homeopaths if they accept all
or only part of Hahnemann's writings, and if all, why they don't
accept the principle he laid down of treating first for the tonic
diseases, and only when this is not suffficient, to use homeopathy
to determine any pathic diseases that might be there. If only part,
then which parts and why.
Let's take a few examples from my experience. A woman suffers from
depression, high blood pressure, anxiety, stomach problems, aches
and pains and is on 14 different medications. She has had various
dental procedures, vaccinations and emotional traumas in her life.
Can we sort out which of the symptoms are being caused by what?
If the drugs are causing symptoms, the only solution for anyone
wanting to proceed with a homeopathic prescription is to have the
person get off her medications, which she can't do, so that case
is unable to be treated. A practitioner of Heilkunst, what Hahnemann
termed a Heilkünstler, would disregard the symptoms in this
case, and do the following:
1. Assess if any of the drugs are causing disease symptoms (iatrogenic
diseases) by reference to the PDR, and other sources of drug "side
effects." If yes, then an isode of each of the drugs involved
can be given to remove past disease and on-going disease engendering
effects, involving both cure and prevention.
2. Seek to find the most recent or most significant disease cause.
In this case, other than the drugs themselves, it was the sudden
death seven years previously of this woman's husband. This threw
her into a depression, for which she had been prescribed drugs,
which then caused side-effects, for which she was given another
drug, and so on.
3. Treat for the shock of the sudden loss with the remedy for unresolved
grief. This is chosen on the basis of principle and clinical evidence,
not symptoms. Within several weeks, the woman improves so much that
she starts to get increased disease effects from her drugs, and
she needs to work with her doctor to remove these. However, the
drugs have left drug diseases. These are specific disease states
that can easily be identified by the name of the drug and then removed
by using the isode for each in high potency.
Let's take the case of a man who has very general symptoms of arthritis,
with no distinguishing characteristics, no real other health issues
and the condition commenced while he was working as a landscaper.
The patient also drinks no water and several cups of coffee each
day. Dehydration can produce arthritic symptoms. Reduction in coffee
intake and an intake of several glasses of water a day removes the
arthritic condition.
Or, what about the case of the child who was put into an autistic
state by an MMR vaccination. Treating for any symptoms that might
be there would still not remove the MMR-induced disease - only the
isode would do that. And not to mention the many cases where there
are underlying chronic miasms. These cannot be treated except by
the nosode, but the symptom picture is not always there as many
times these diseases are latent.
If homeopaths use any other methods other than the taking of symptoms
to determine the remedy or remedies needed in a case, they are not
using homeopathy. And if they are using other methods, such as diet,
nutrition, flower essences, tissue salts, supplements, counseling,
they are also not using homeopathy. Then on what basis are they
prescribing? What are the principles? How do they ensure consistency
and also complementarity with homeopathy? Heilkunst sets up a structure
of principles to be applied to any complex, chronic case to determine
jurisdiction for any approach and to ensure that the right remedy
is given for the right problem in the right order and at the right
time. Otherwise we have simply empricism.
AS: Thank you for sharing with us today.
You’ve opened up a treasure chest of ideas. I hope that everyone
reading this will do so with an unprejudiced mind, which is the
only way we ever learn.
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