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In thus focusing attention upon the individual
and purely functional side of the disease, upon disease per se,
the sphere of homoeopathy may be clearly perceived.
From this point of view, the most significant
and general feature to be observed about the phenomena or disease
is the fact of motion, action,change; change of states, forms and
positions; change resulting from the application of morbific force
in the living organism; changes from a state of health to a state
of disease; and the reverse; change of symptoms and their groupings;
change of order to disorder; change of form of disease structures,
change of function; change of molecular combination and arrangement;
everywhere motion, change and transformation so long as life lasts.
In one word, we find ourselves in the realm of pure dynamics.This
is the true and only sphere of homoeopathy, the sphere of vital
dynamics.In fact, the homoeopathy might well be defined as the Science
of Vital Dynamics. Its field is the field of disordered vital phenomena
and functional changes in the individual patient, irrespective of
the name of the disease, or its cause. Its object is the restoration
of order and harmony in vital functioning in the individual patient.
Its laws are the laws of motion operating in the vital realm, which
govern all vital action. Its fundamental principle is the universal
principle of Mutual Action.Action and Reaction are equal and
opposite.
The unprejudiced observer, says
Hahnemann, well aware of the futility of transcendental speculation
which can receive no confirmation from experience--- be his power
of penetration ever so great--- takes note of nothing in every individual
disease, except the changes in the health of the body and the mind
(morbid phenomena, accidents, symptoms) which can be perceived externally
by means of the senses; that is to say, he notices only the deviations
from a former healthy state of the diseased individual, which are
felt by the patient himself, remarked by those around him and observed
by the physician. All these perceptible signs represent the disease
in its whole extent, that is, together they form the true and only
conceivable portrait of the disease ( Organon, Par.6)
The tangible things which the examining physician
finds in the body are not the disease, but merely its effects. It
is impossible, and therefore as futile, to try to find a disease
in the hidden interior of the organism as it would be to try to
find a thought by an exploration of the interior of the brain, the
electricity in the interior of a dynamo, or the song in the throat
of a bird. Such things are known only by their phenomena. Metaphysically
considered, they may be said to subsist in the dynamic realm as
substantial entities, or forces, but as such they are perceptible
only to the inner vision , through the eyes of the
mind. They are spiritually (that is mentally) discerned.
The metaphysical conception serves an aid in the interpretation
of the phenomena.
Practically, however, we do not deal with abstractions.
We deal with facts and phenomena, with symptoms.
The totality of these, its symptoms,
of this outwardly reflected picture of the internal essence of disease,
that is, of the affection of the vital force, must be the principal,
or the sole means, whereby the disease can make known (its nature
and) what remedy is required.(Organon,Par. 7)
The removal of all the perceptible symptoms
or phenomena of disease removes disease itself and restores health.
Hahnemann thus philosophically distinguishes between disease itself
and its causes, occasions, conditions, products and phenomena, and
in so doing shows clearly that the sphere of homoeopathy is limited
primarily to the functional changes from which the phenomena of
disease arises. In other words, homoeopathy is confined to and operative
only in the sphere of vital dynamics.
Primarily homoeopathy has nothing to do with
any tangible or physical cause, effect or product of disease, although
secondarily it is related to all of them. Effects of disease in
morbid function and sensation may remain after the causes have been
removed. Removal of the tangible products of the disease, if it
be too far advanced, may have to be relegated to surgery. Homoeopathy
deals directly only with disease itself, the morbid vital process
manifested by perceptible symptoms, which may remain and continue
after the causes have been removed and conditions changed.
It stands to reason, as Hahnemann says, that
every intelligent physician, having a knowledge of rational etiology,
will first remove by appropriate means, as far as possible, every
existing and maintaining cause of disease and obstacle to cure,
and endeavor to establish a correct and orderly course of living
for his patient, with due regard to mental and physical hygiene.
Failing to do this, but little impression can be made by homopathic
remedies and what slight impression is made will be of short duration.
Having done this, he addresses himself to the
problem of finding that remedy, the symptoms of which in their nature,
origin and order of development are most similar to the symptoms
of the patient, and to the proper management of it, when found,
as to size and frequency of doses.
While gross pathological tissue changes, organic
lesions, morphological disproportion, neoplasm and the physical
effects of mechanical causes are not primarily within the domain
of Similia, and therefore are not the object of homoeopathic treatment,
the morbid processes from which they arise, or to which they lead,
are amenable to homoeopathic medication. Homoeopathic remedies,
by virtue of their power to control vital functions and increase
resistance, often exercise a favorable influence upon physical development
as well as upon the tangible products of disease or accident. Thus,
the growth of tumors may be retarded or arrested; absorption and
repair promoted, even to a removal of the morbid product or growth;
secretions and excretions may be increased or decreased; eruptions,
sores and ulcers healed. But all these happy tangible results are
only incidental and secondary to the real cure which takes place
solely in the functional or dynamical sphere, quelling disturbance,
controlling metabolism, antidoting poisons, raising resistance and
bringing about cure by the dynamical influence of the symptomatically
similar remedy.
Following the exclusion method adopted by Dake,
in his Therapeutic Methods, and using a modification
of his phrasing, the sphere of Similia may be defined as follows:
1. Homoeopathy relates primarily to no affection
of health where the existing cause of disease is constantly present
and operative.
2. It relates primarily to no affections of
health which will of themselves, cease after the removal of the
existing cause by physical, clinical or hygienic measures.
3. It relates primarily to no affections of
health occasioned by the injury or destruction of tissues, which
are incapable of restoration.
4. It relates primarily to no affections of
health where the vital reactive power of the organism to medicines
is exhausted obstructed or prevented.
5. It relates to no affection of health, the
symptomatic likeness of which may not be perceptibly produced in
the healthy organism by medical means, nor to affections in which
such symptoms are not perceptible.
The class not excluded, the one in which the
homoeopathy is universal and paramount to all other methods, must
be made up of affections of the living organism in which perceptible
symptoms exist, similar to those producible by pathogenic means,
in organisms having the integrity of tissue and reactive power nessary
to recovery, the existing causes of the affections and obstacles
to cure having been removed, or having ceased to be operative.
The sphere of Similia in medicine is thus limited
to those morbid functional conditions and processes, which result
primarily from the dynamic action upon the living organism of morbific
agents inimical to life.
The living organism may be acted upon or affected
primarily in three ways: (1) Mechanically (2) Chemically (3) Dynamically.
The causes of disease fall naturally under these three heads.
Under the head of mechanical causes of disease
come all traumatic agencies, such as lesions, injuries and destruction
of tissues resulting from physical force; morbid growths, formations
and foreign substances; congenitally defective or absent organs
or parts, prolapsed or displaced organs, etc. These conditions are
related primarily to surgery, physical therapeutics and hygiene.
The destructive action of certain chemical poisons
such as the acids and alkalies is a sufficient illustration of the
chemical causes of disease, although all such agents have also secondary
dynamical effects, which come within the sphere of homoeopathy.
Diseases arising from these causes require the use of chemical or
physiological antidotes, combined in some cases with measures for
the physical expulsion of the offending substances, and followed
by homoeopathic treatment for the functional derangements which
remain or follow.
Entozoa or organized living animal parasites,
when their presence in the body gives rise to disease, must be expelled
by mechanical measures or by administration of medicines capable
of weakening or destroying them without endangering the person suffering
from their presence. Dynamical treatment on homoeopathic principles
may be required to remove the functional derangements and restore
the patient to health.
The effects of dynamical causes of disease,
by which is meant all those intangible and medical or toxic agents
and influences which primarily disturb the vital functions of mind
and body, come legitimately within the sphere of Similia. These
are very numerous, but they may be roughly classified as (1) mental
or psychical, atmospheric, thermic, electric,telluric and climatic,
(2) dietetic, hygienic, contagious, infectious and specific---the
last three including all disorders arising from the use or abuse
of drugs, and from all bacterial agents or pathogenic microorganisms
which produce their effects through their specific toxins or alkaloids.Homoeopathy
successfully treats bacterial or zymotic diseases, such as cholera,
yellow fever, typhus and typhoid fever, malarial fever, diptheria,
tuberculosis and pneumonia, by internal homoeopathic medicines,
without restoring to bactericides, germicides or antiseptics. Such
agents have their use only in the field of sanitation, which is
environmental, not personal. We disinfect the typhoid patients
excretions but not the patient himself.
Again quoting Dukes admirable exposition,
but qualifying his third proposition, and adding a fifth paragraph:
1) The homoeopathic law relates to no agents
intended to affect the organism chemically.
2) It relates to none applied for mechanical
effect simply.
3) It relates to none required in the development
or support of the organism when in health.
4) It relates to none employed directly to remove
or destroy the parasites, which infest or prey upon the human body.
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