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§ 131
If, however,
in order to ascertain anything at all, the same medicine must be
given to the same person to test for several successive days in
ever increasing doses, we thereby learn, no doubt, the various morbid
states this medicine is capable of producing in a general manner,
but we do not ascertain their order of succession; and the subsequent
dose often removes, curatively, some one or other of the symptoms
caused by the previous dose, or develops in its stead an opposite
state; such symptoms should be enclosed in brackets, to mark their
ambiguity, until subsequent purer experiments show whether they
are the reaction of the organism and secondary action or an alternating
action of this medicine.
§ 132
But when
the object is, without reference to the sequential order of the
phenomena and the duration of the action of the drug, only to ascertain
the symptoms themselves, especially those of a weak medicinal substance,
in that case the preferable course to pursue is to give it for several
successive days, increasing the dose every day. In this manner the
action of an unknown medicine, even of the mildest nature, will
be revealed, especially if tested on sensitive persons.
§ 133
On experiencing
any particular sensation from the medicine, it is useful, indeed
necessary, in order to determine the exact character of the symptom,
to assume various positions while it lasts, and to observe whether,
by moving the part affected, by walking in the room or the open
air, by standing, sitting or lying the symptom is increased, diminished
or removed, and whether it returns on again assuming the position
in which it was first observed, - whether it is altered by eating
or drinking, or by any other condition, or by speaking, coughing,
sneezing or any other action of the body, and at the same time to
note at what time of the day or night it usually occurs in the most
marked manner, whereby what is peculiar to and characteristic of
each symptom will become apparent.
§ 134
All external
influences, and more especially medicines, possess the property
of producing in the health of the living organism a particular kind
of alteration peculiar to themselves; but all the symptoms peculiar
to a medicine do not appear in one person, nor all at once, nor
in the same experiment, but some occur in one person chiefly at
one time, others again during a second or third trail; in another
person some other symptoms appear, but in such a manner that probably
some of the phenomena are observed in the fourth, eighth or tenth
person which had already appeared in the second, sixth or ninth
person, and so forth; moreover, they may not recur at the same hour.
§ 135
The whole
of the elements of disease a medicine is capable of producing can
only be brought to anything like completeness by numerous observations
on suitable persons of both sexes and of various constitutions.
We can only be assured that a medicine has been thoroughly proved
in regard to the morbid states it can produce - that is to say,
in regard to its pure powers of altering the health of man - when
subsequent experimenters can notice little of a novel character
from its action, and almost always only the same symptoms as had
been already observed by others.
§ 136
Although,
as has been said, a medicine, on being proved on healthy subjects,
cannot develop in one person all the alterations of health it is
capable of causing, but can only do this when given to many different
individuals, varying in their corporeal and mental constitution,
yet the tendency to excite all these symptoms in every human being
exists in it (§ 117), according to an eternal and immutable law
of nature, by virtue of which all its effects, even those that are
but rarely developed in the healthy person, are brought into operation
in the case of every individual if administered to him when he is
in a morbid state presenting similar symptoms; it then, even in
the smallest dose, being homoeopathically selected, silently produces
in the patient an artificial state closely resembling the natural
disease, which rapidly and permanently (homoeopathically) frees
and cures him of his original malady.
§ 137
The more
moderate, within certain limits, the doses of the medicine used
for such experiments are - provided we endeavor to facilitate the
observation by the selection of a person who is a lover of truth,
temperate in all respects, of delicate feelings, and who can direct
the most minute attention to his sensation - so much the more distinctly
are the primary effects developed, and only these, which are most
worth knowing, occur without any admixture of secondary effects
or reactions of the vital force. When, however, excessively large
doses are used there occur at the same time not only a number of
secondary effects among the symptoms, but the primary effects developed,
and only these, which are most worth knowing, occur without any
admixture of secondary effects or reactions of the vital force.
When, however, excessively large doses are used there occur at the
same time not only a number of secondary effects among the symptoms,
but the primary effects also come on in such hurried confusion and
with such impetuosity that nothing can be accurately observed; let
alone the danger attending them, which no one who has any regard
for his fellow-creatures, and who looks on the meanest of mankind
as his brother, will deem an indifferent manner.
§ 138
All the
sufferings, accidents and changes of the health of the experimenter
during the action of a medicine (provided the above condition [§§
124-127] essential to a good and pure experiment are complied with)
are solely derived from this medicine, and must be regarded and
registered as belonging peculiarly to this medicine, as symptoms
of this medicine, even though the experimenter had observed, a considerable
time previously, the spontaneous occurrence of similar phenomena
in himself. The reappearance of these during the trial of the medicine
only shows that this individual is, by virtue of his peculiar constitution,
particularly disposed to have such symptoms excited in him. In this
case they are the effect of the medicine; the symptoms do not arise
spontaneously while the medicine that has been taken is exercising
an influence over the health of the whole system, but are produced
by the medicine.
§ 139
When
the physician does not make the trial of the medicine on himself,
but gives it to another person, the latter must note down distinctly
the sensations, sufferings, accidents and changes of health he experiences
at the time of their occurrence, mentioning the time after the ingestion
of the drug when each symptom arose and, if it lasts long, the period
of its duration. The physician looks over the report in the presence
of the experimenter immediately after the experiment is concluded,
or if the trial lasts several days he does this every day, in order,
while everything is still fresh in his memory, to question him about
the exact nature of every one of these circumstances, and to write
down the more precise details so elicited, or to make such alterations
as the experimenter may suggest.1
1 He who makes known
to the medical world the results of such experiments becomes thereby
responsible for the trustworthiness of the person experimented on
and his statements, and justly so, as the weal of suffering humanity
is here at stake.
§ 140
If the
person cannot write, the physician must be informed by him every
day of what has occurred to him, and how it took place. What is
noted down as authentic information on this point, however, must
be chiefly the voluntary narration of the person who makes the experiment,
nothing conjectural and as little as possible derived from answers
to leading questions should be admitted; everything must be ascertained
with the same caution as I have counselled above (§§ 84-99) for
the investigation of the phenomena and for tracing the picture of
natural diseases.
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