|
§ 271 Fifth Edition
All other substances adapted for medicinal use - except sulphur,
which has of late years been only employed in the form of a highly
diluted (X) tincture - as pure or oxidized and sulphuretted metals
and other minerals, petroleum, phosphorus, as also parts and juices
of plants that can only be obtained in the dry state, animal substances,
neutral salts, etc., all these are first to be potentized by trituration
for three hours, up to the millionfold pulverulent attenuation,
and of this one grain is to be dissolved, and brought to the thirtieth
development of power through twenty-seven attenuating phials, in
the same manner as the vegetable juices.1
1 As is still more circumstantially described in the
prefaces to Arsenic and Pulsatilla in the Materia Medica Pura.
§ 271 Sixth Edition
If the physician prepares his homoeopathic medicines himself, as
he should reasonably do in order to save men from sickness,1
he may use the fresh plant itself, as but little of the crude article
is required, if he does not need the expressed juice perhaps for
purposes of healing. He takes a few grains in a mortar and with
100 grains sugar of milk three distinct times brings them to the
one-millionth trituration (§ 270) before further potentizing of
a small portion of this by means of shaking is undertaken, a procedure
to be observed also with the rest of crude drugs of either dry or
oily nature.
1 Until the State, in the future, after having attained
insight into the indispensability of perfectly prepared homoeopathic
medicines, will have them manufactured by a competent impartial
person, in order to give them free of charge to homoeopathic physicians
trained in homoeopathic hospitals, who have been examined theoretically
and practically, and thus legally qualified. The physician may then
become convinced of these divine tools for purposes of healing,
but also to give them free of charge to his patients - rich and
poor.
§ 272 Fifth Edition
In no case is it requisite to administer more than one single,
simple medicinal substance at one time.1
1 Some homoeopathists have made the experiment, in cases
where they deemed one remedy homoeopathically suitable for one portion
of the symptoms of a case of disease, and a second for another portion,
of administering both remedies at the same time; but I earnestly
deprecate such a hazardous experiment, which can never be necessary,
though it may sometimes seem to be of use.
§ 272 Sixth Edition
Such a globule,1 placed dry upon the tongue, is one
of the smallest doses for a moderate recent case of illness. Here
but few nerves are touched by the medicine. A similar globule, crushed
with some sugar of milk and dissolved in a good deal of water (§
247) and stirred well before every administration 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.
1 These globules (§ 270) retain their medicinal virtue
for many years, if protected against sunlight and heat.
§ 273 Fifth Edition
It is not conceivable how the slightest dubiety could exist as
to whether it was more consistent with nature and more rational
to prescribe a single well-known medicine at one time in a disease,
or a mixture of several differently acting drugs.
§ 273 Sixth Edition
In no case under treatment is it necessary and therefore not permissible
to administer to a patient more than one single, simple medicinal
substance at one time. It is inconceivable how the slightest doubt
could exist as to whether it was more consistent with nature and
more rational to prescribe a single, simple1 medicine
at one time in a disease or a mixture of several differently acting
drugs. 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 substance.
1 Two substances, opposite to each other, united into
neutral Natrum and middle salts by chemical affinity in unchangeable
proportions, as well as sulphurated metals found in the earth and
those produced by technical art in constant combining proportions
of sulphur and alkaline salts and earths, for instance (natrum sulph.
and calcarea sulph.) as well as those ethers produced by distillation
of alcohol and acids may together with phosphorus be considered
as simple medicinal substances by the homoeopathic physician and
used for patients. On the other hand, those extracts obtained by
means of acids of the so-called alkaloids of plants, are exposed
to great variety in their preparation (for instance, chinin, strychnine,
morphine), and can, therefore, not be accepted by the homoeopathic
physician as simple medicines, always the same, especially as he
possesses, in the plants themselves, in their natural state (Peruvian
bark, nux vomica, opium) every quality necessary for healing. Moreover,
the alkaloids are not the only constituents of the plants.
§ 274
As the true physician finds in simple medicines, administered singly
and uncombined, all that he can possibly desire (artificial disease-force
which are able by homoeopathic power completely to overpower, extinguish,
and permanently cure natural diseases), he will, mindful of the
wise maxim that “it is wrong to attempt to employ complex means
when simple means suffice,” never think of giving as a remedy any
but a single, simple medicinal substance; for these reasons also,
because even though the simple medicines were thoroughly proved
with respect to their pure peculiar effects on the unimpaired healthy
state of man, it is yet impossible to foresee how two and more medicinal
substances might, when compounded, hinder and alter each other’s
actions on the human body; and because, on the other hand, a simple
medicinal substance when used in diseases, the totality of whose
symptoms is accurately known, renders efficient aid by itself alone,
if it be homoeopathically selected; and supposing the worst case
to happen, that it was not chosen in strict conformity to similarity
of symptoms, and therefore does no good, it is yet so far useful
that it promoted our knowledge of therapeutic agents, because, by
the new symptoms excited by it in such a case, those symptoms which
this medicinal substance had already shown in experiments on the
healthy human body are confirmed, an advantage that is lost by the
employment of all compound remedies.1
1 When the rational physician has chosen the perfectly
homoeopathic medicine for the well-considered case of disease and
administered it internally, he will leave to irrational allopathic
routine the practice of giving drinks or fomentations of different
plants, of injecting medicated glysters and of rubbing in this or
the other ointment.
§ 275
The suitableness of a medicine for any given case of disease does
not depend on its accurate homoeopathic selection alone, but likewise
on the proper size, or rather smallness, of the dose. If we give
too strong a dose of a medicine which may have been even quite homoeopathically
chosen for the morbid state before us, it must, notwithstanding
the inherent beneficial character of its nature, prove injurious
by its mere magnitude, and by the unnecessary, too strong impression
which, by virtue of its homoeopathic similarity of action, it makes
upon the vital force which it attacks and, through the vital force,
upon those parts of the organism which are the most sensitive, and
are already most affected by the natural disease.
§ 276 Fifth Edition
For this reason, a medicine, even though it may be homoeopathically
suited to the case of disease, does harm in every dose that is too
large, the more harm the larger the dose, and by the magnitude of
the dose it does more harm the greater its homoeopathicity and the
higher the potency1 selected, and it does much more injury
than any equally large dose of a medicine that is unhomoeopathic,
and in no respect adapted (allopathic) to the morbid state; for
in the former case the so-called homoeopathic aggravation (§§157-160)
- that is to say, the very analogous medicinal disease produced
by the vital force stirred up by the excessively large dose of medicine,
in the parts of the organism that are most suffering and most irritated
by the original disease - which medicinal disease, had it been of
appropriate intensity, would have gently effected a cure - rises
to an injurious height;2 the patient, to be sure, no
longer suffers from the original disease, for that has been homoeopathically
eradicated, but he suffers all the more from the excessive medicinal
disease and from useless exhaustion of his strength.
1 The praise bestowed of late years by some few homoeopathists
on the larger doses is owing to this, either that they chose low
dynamizations of the medicines to be administered, as I myself used
to do twenty years ago, from not knowing any better, or that the
medicines selected were not perfectly homoeopathic.
2 See note to §246
§ 276 Sixth Edition
For this reason, a medicine, even though it may be homoeopathically
suited to the case of disease, does harm in every dose that is too
large, the more harm the larger the dose, and by the magnitude of
the dose and in strong doses’ it does more harm the greater its
homoeopathicity and the higher the potency1 selected,
and it does much more injury than any equally large dose of a medicine
that is unhomoeopathic, and in no respect adapted to the morbid
state (allopathic).
Too large doses of an accurately chosen homoeopathic medicine,
and especially when frequently repeated, bring about much trouble
as a rule. They put the patient not seldom in danger of life or
make this disease almost incurable. They do indeed extinguish the
natural disease so far as the sensation of the life principle is
concerned and the patient no longer suffers from the original disease
from the moment the too strong dose of the homoeopathic medicine
acted upon him but he is in consequence more ill with the similar
but more violent medicinal disease which is most difficult to destroy.2
1 The praise bestowed of late years by some homoeopathists
on the larger doses is owing to this, either that they chose low
dynamizations of the medicine to be administered (as I myself used
to do twenty years ago, from nor knowing any better), or that the
medicines selected were not homoeopathic and imperfectly prepared
by their manufacturers.
2 Thus, the continuous use of aggressive allopathic
large doses of mercurials against syphilis develops almost incurable
maladies, when yet one or several doses of a mild but active mercurial
preparation would certainly have radically cured in a few days the
whole venereal disease, together with the chancre, provided it had
not been destroyed by external measures (as is always done by allopathy).
In the same way, the allopath gives Peruvian bark and quinine in
intermittent fever daily in very large doses, where they are correctly
indicated and where one very small dose of a highly potentized China
would unfailingly help (in marsh intermittents and even in persons
who were not affected by any evident psoric disease). A chronic
China malady (coupled at the same time with the development of psora)
is produced, which, if it dose not gradually kill the patient by
damaging the internal important vital organs, especially spleen
and liver, will put him, nevertheless suffering for years in a sad
state of health. A homoeopathic antidote for such a misfortune produced
by abuse of large doses of homoeopathic remedies is hardly conceivable.
§ 277
For the same reason, and because a medicine, provided the dose
of it was sufficiently small, is all the more salutary and almost
marvellously efficacious the more accurately homoeopathic its selection
has been, a medicine whose selection has been accurately homoeopathic
must be all the more salutary the more its dose is reduced to the
degree of minuteness appropriate for a gentle remedial effect.
§ 278 Fifth Edition
Here the question arises, what is this most suitable degree of
minuteness for sure and gentle remedial effect; how small, in other
words, must be the dose of each individual medicine, homoeopathically
selected for a case of disease, to effect the best cure? To solve
this problem, and to determine for every particular medicine, what
dose of it will suffice for homoeopathic therapeutic purposes and
yet be so minute that the gentlest and most rapid cure may be thereby
obtained - to solve this problem is, as may easily be conceived,
not the work off theoretical speculation; not by fine-spun reasoning,
not by specious sophistry can we expect to obtain the solution of
this problem. Pure experiment, careful observation, and accurate
experience can alone determine this; and it were absurd to adduce
the large doses of unsuitable (allopathic) medicines of the old
system, which do not touch the diseased side of the organism homoeopathically,
but only attack the parts unaffected by the disease, in opposition
to what pure experience pronounces respecting the smallness of the
doses required for homoeopathic cures.
§ 278 Sixth Edition
Here the question arises, what is this most suitable degree of
minuteness for sure and gentle remedial effect; how small, in other
words, must be the dose of each individual medicine, homoeopathically
selected for a case of disease, to effect the best cure? To solve
this problem, and to determine for every particular medicine, what
dose of it will suffice for homoeopathic therapeutic purposes and
yet be so minute that the gentlest and most rapid cure may be thereby
obtained - to solve this problem is, as may easily be conceived,
not the work off theoretical speculation; not by fine-spun reasoning,
not by specious sophistry can we expect to obtain the solution of
this problem. It is just as impossible as to tabulate in advance
all imaginable cases. Pure experiment, careful observation of the
sensitiveness of each patient, and accurate experience can alone
determine this; and it were absurd to adduce the large doses of
unsuitable (allopathic) medicines of the old system, which do not
touch the diseased side of the organism homoeopathically, but only
attack the parts unaffected by the disease, in opposition to what
pure experience pronounces respecting the smallness of the doses
required for homoeopathic cures.
§ 279 Fifth Edition
This pure experience shows UNIVERSALLY, that if the disease do
not manifestly depend on a considerable deterioration of an important
viscus (even though it belong to the chronic and complicated diseases),
and if during the treatment all other alien medicinal influences
are kept away from the patients, the dose of the homoeopathically
selected remedy can never be prepared so small that it shall not
be stronger than the natural disease, and shall not be able to overpower,
extinguish and cure it, at least in part as long as it is capable
of causing some, though but a slight preponderance of its own symptoms
over those of the disease resembling it (slight homoeopathic aggravation,
(§§ 157-160) immediately after its ingestion.
§ 279 Sixth Edition
This pure experience shows UNIVERSALLY, that if the disease do
not manifestly depend on a considerable deterioration of an important
viscus (even though it belong to the chronic and complicated diseases),
and if during the treatment all other alien medicinal influences
are kept away from the patients, the dose of the homoeopathically
selected and highly potentized remedy for the beginning of treatment
of an important, especially chronic disease can never be prepared
so small that it shall not be stronger than the natural disease
and shall not be able to overpower it, at least in part and extinguish
it from the sensation of the principle of life and thus make a beginning
of a cure.
§ 280 Fifth Edition
This incontrovertible axiom of experience is the standard of measurement
by which the doses of all homoeopathic medicines, without exception,
are to be reduced to such an extent that after their ingestion,
they shall excite a scarcely observable homoeopathic aggravation,
let the diminution of the dose go ever so far, and appear ever so
incredible to the materialistic ideas of ordinary physicians;1
their idle declamations must before the verdict of unerring experience.
1 Let them learn from the mathematicians how true it
is that a substance divided into ever so many parts must still contain
in its smallest conceivable parts always some of this substance,
and that the smallest conceivable part does not cease to be some
of this substance and cannot possibly become nothing; - let them,
if they are capable of being taught, hear from natural philosophers
that there are enormously, powerful things (forces) which are perfectly
destitute of weight, as, for example, caloric, light, etc., consequently
infinitely lighter than the medicine contained in the smallest doses
used in homoeopathy; - let them, if they can, weigh the irritating
words that bring on a bilious fever, or the mournful intelligence
respecting her only son that kills the mother; let them touch, for
a quarter of an hour, a magnet capable of lifting a hundred pounds
weight, and learn from the pain it excites that even imponderable
agencies can produce the most violent medicinal effects upon man;
- and let the weak ones among them allow the pit of the stomach
to be slightly touched by the thumb’s point of a strong-willed mesmeriser
for a few minutes, and the disagreeable sensations they then suffer
will make them repent of attempting to set limits to the boundless
activity of nature; the weak-minded creatures!
If the allopathist who is trying the homoeopathic system imagine
he cannot bring himself to give such small and profoundly attenuated
doses, let him only ask himself what risk he runs by so doing? If
the scepticism which holds what is ponderable only to be real, and
all that is imponderable to be nothing, be right, nothing worse
could result from a dose that appears to him to be nothing, than
that no effect would ensue - and consequently this would be always
much more innocuous than what must result from his too large doses
of allopathic medicine. Why will he consider his inexperience, coupled
with prejudice, more reliable than an experience of many years corroboration
by facts? And, moreover, the homoeopathic medicine becomes potentized
at every division and diminution by trituration or succussion! -
a development of the inherent powers of medicinal substances which
was never dreamed of before my time, and which is of so powerful
a character that of late I have been compelled by convincing experience
to reduce the ten succussions formerly directed to be given after
each attenuation, to two.
§ 280 Sixth Edition
The dose of the medicine that continues serviceable without producing
new troublesome symptoms is to be continued while gradually ascending,
so long as the patient with general improvement, begins to feel
in a mild degree the return of one or several old original complaints.
This indicates an approaching cure through a gradual ascending of
the moderate doses modified each time by succussion (§ 247). It
indicates that the vital principal no longer needs to be affected
by the similar medicinal disease in order to lose the sensation
of the natural disease (§ 148). It indicates that the life principle
now free from the natural disease begins to suffer only something
of the medicinal disease hitherto known as homoeopathic aggravation.
|