| Imagine the needle of a pendulum, out of balance;
and it’s stuck. How much energy does it need to shift it? A quick
tap, a good shove, or does it need teasing by repeated movement?
When we talk about potency we are judging the energy that is needed
to move the Vital Force from a position of being stuck in disease.
And it can be difficult to untangle the different variables: strength,
medium (dry, liquid, LM), frequency and volume (dose).
For the purposes of this article, I want you to imagine that everything
except strength (potency proper?) is given. Moreover, I’m reasonably
new to this game, so I want your help. I’ve started to use some
guidelines for judging strength, and I want you to tell me what’s
right and what’s wrong about them. But note this: your challenge
is that, however these ideas are amended, they’ve got to stay manageable
enough for me to be able to remember them (and I’m over 50).
Working guidelines
This is my working rule of thumb
Potency increases with:
the vitality of the symptoms, and
the degree of fit (symptom similarity) between the remedy
and disease totality;
and decreases with:
the sensitivity of the patient to the disease, and
the degree of pathological destruction already in place.
Neat, isn’t it? Except “the sensitivity of the patient” is a cheat,
really, because I mean three things by it:
the sensitivity of the patient before drug suppression (e.g.
the asthma they first took to the GP)
the risk posed by aggravation, and
the weakness of the patient’s constitution.
These are linked of course. I’d be interested to know your reflections
on lumping them together. (On the left hand side of the equation,
you could distinguish the vitality of the patient and of the disease.)
I hope the rest are self-explanatory.
The decision-making process
In making decisions, I find it useful to mark each element out
of 10. This isn’t about sums. There isn’t a direct correspondence
between different figures and specific potencies; the elements are
not equally weighted (pathological destruction of any value influences
the decision). But I find that assigning a numerical value brings
the elements of the equation into focus. Which elements are absent,
or insignificant; which elements are in balance; which figures are
high…?
Remember that you mark “negatives” high on the right hand side;
great sensitivity and destruction are 10. Here are some patient’s
marks, and the conclusions I drew from them:
DG was roughly 8,7:8,0 (high vitality of symptoms, reasonably good
remedy match, high sensitivity, no destruction). I focussed here
on the balance between the vitality and the sensitivity. This suggested
a 200c, where the remedy was sufficiently well indicated. A 200c
was prescribed and was successful (which was just as well, as this
patient aggravated on sac lac).
IK is an 81 year old with 46% heart function, but a strong underlying
constitution. She came up as 7,7:6,9. Here, the figure 9 at the
end – and so, caution - is dominant. Prescriptions started at 6x,
and have progressed to 9x. She recovered from pneumonia in a third
of the time expected by the GP, continues to live an independent
life, and is active in her garden.
OP was 8,10:8,2. Here the judgement is between the dominance of
the remedy similarity, and the risk represented by the presence
of destructive pathology. Two options present themselves, depending
on where the emphasis lies: prescribe 1m, or test the water with
30c and be prepared to move up quickly if all is well. As this was
the case that lead me to develop the theory, I did neither, started
with a 200c, and got an aggravation without an amelioration.
LR is 9,9:6,0. This is confidence inducing – we can start reasonably
high and go higher if necessary. The patient seemed to gobble up
the remedy, and a starter 200c was soon replaced by a 1m. I may
even have considered a 10m later, except I’m possibly a bit new
and scared for that yet. After the second 1m, it wasn’t necessary.
I could give more examples, but I trust you’ve got the general
idea. The guideline doesn’t ritualise the potency choice, or ignore
the need for individualisation, but it helps bring the balancing
decisions needed into focus. It’s over to you now, to see if that
focus can be sharper still, or more clearly expressed.
Testing the potency
One of the advantages of liquid potencies, is that it is easier
to test out potency and dosage decisions. It is my standard practice
to seek feedback from the patient after three days. This allows
a cautious approach to be liberated, or undue optimism to be checked.
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About the Author
Registered with the UK Society of Homeopaths in September 2006,
George trained at the North West College of Homoeopathy, where he
still runs the bookshop. He lives in Rossendale and practices in
the Lancashire hill and mill towns and Manchester, with an interest
in severe pathology. Contact him on 01706 220965 (+44 1706 220965)
or george@garlick46.fsnet.co.uk
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