| When to Use Low Potencies?
Lower potencies, larger amount of water and small doses should
be used in cases with *higher sensitivity* (700-1000), allergies,
chemical sensitivities, weakened vitality, and highly developed
tissue pathology. Care must be taken with elderly people and when
the organs of elimination are overloaded by toxins as there is usually
much hidden pathology.
Low potencies can also be considered when the symptoms are of a
common nature, the illness on the physical plane, and there are
few characteristic signs.
1. With the *centesimal scale* the case should be started with
6c, 12c, 24c, or 30c depending on the individual. These cases do
better on medicinal solutions made with 1 pill in 6 to 8 oz of liquid.
The first test dose should be succussed only 1 to 3 times and the
dose given in a small amount. It is best to stir 1/2 to 1 teaspoon
of the medicinal solution into a dilution glass with 6 to 8 oz.
of water. From this dosage glass give the client 1/2 to 1 teaspoon
of the remedy. To modify the action of a remedy the homoeopath should
use lower potencies, smaller amounts of the remedy, just a few succussions
and more water as a buffering agent.
2. When using the LM potency in a true hypersensitive (700-1000)
the dose must be carefully adjusted to act in a gentle manner. The
case should be started with a 0/1 potency prepared in a medicinal
solution of 6, 8 to 12 oz. of water. The remedy bottle should be
succussed only 1 to 3 times and 1/2 to 1 teaspoon should be stirred
into 6 oz. of water. From the dilution glass 1 teaspoon of medicinal
solution should then be stirred into a second dilution glass of
6 oz. of water.
From this second dilution glass give the client a 1/2 or 1 teaspoon
as a dose. Hahnemann mentions using 2, 3, 4, 5, 6 serial dilution
glasses in the ultra hypersensitive. In this way we can treat over
reactive individuals who would normally be very difficult to cure
with Homoeopathy. Olfaction of the remedy is a good alternative
to oral ingestion in hypersensitive patients.
A. In order to use a LM 0/1 on the same type of person who
requires a lower potency like 30c the homoeopath must modify
the dose accordingly. The LM 0/1 is a much deeper acting potency
than a 30c. I have started many cases on 30c and moved them
to LM 0/1 once they gain strength and stability and appear to
need a higher potency to complete the case. If in doubt always
choose the lowest potency and work up as needed.
When to Use Higher Potencies
High potencies are suitable for those with lower sensitivity
(1-300), slow reacting nervous systems, clients who are non reactive
to stimuli, and have functional disorders rather than advanced pathology.
They are useful when the characteristic symptoms are mostly on the
mental plane and there is good vitality.
Another criteria is that the remedy picture is certain and there
are clearly defined characteristics.
1. When using the centesimal scale one may begin
these cases with relatively higher potencies such as 1M or 10M.
Ultra high potencies (50M, CM, MM) are usually reserved for special
circumstances or following a case through to completion after the
previous potencies are no longer effective.
The solution should be made in an average of 3 1/2 to 4 oz. of
water. The remedy bottle should be succussed between 8 and 12 times.
If you using a very high potency it may be better
to start with a lower amount of succussions such as 3 to 5 in the
beginning and work up if needed.
The client should be given 1 or increasing more teaspoons as needed.
The centesimals may be taken directly from the remedy bottle, but
in cases where there is concern about the possibility of aggravations
a dosage glass should be prepared and the remedy diluted still further.
2. With the LM potencies the client may be started on LM 0/1, LM
0/2, and LM 0/3 depending on the variable factors of the case. Some
that are truly at the low end of the scale may need LM 0/4, LM 0/5
and LM 0/6 as an opening potency. These must be considered as ultra
high potencies.
When using the LM 0/1 or LM 0/2 the remedy bottle may be succussed
between 8 and 12 times to raise the potency. If one is beginning
with LM 0/3, LM 0/4, LM 0/5, LM 0/6 it may be best to start with
fewer succussions and work up as needed.
When using the lower degrees of potency use more succussions, and
when using the higher degrees use less succussions. The amount taken
from the remedy bottle may be 1, or increasingly, 2 or 3 teaspoons
of solution stirred into 4 oz in a dilution glass. The client should
take 1, or increasingly, 2 or 3 teaspoons until a good reaction
is attained.
It is best to start with 1 or 2 teaspoons of the medicinal solution
stirred into a glass and then slowly increase the amount until you
get the reaction you want. The same is true with the amount of dosage
out of the dilution glass.
We usually begin with 1 teaspoon and then increase the amount to
2 or 3 until the proper reaction is elicited. With the lower sensitivities
the homoeopath uses relatively larger amounts, higher potencies,
larger numbers of succussions, and smaller amounts of water.
When to Use Moderate Potencies
Moderate potencies suit patients with an average sensitivity
(400-700). These individuals demonstrate moderation in most areas.
They are neither too weak nor too sensitive, and have functional
diseases or the early stage of tissue pathology. They should have
good vitality and their organs of elimination function well. The
remedy picture should be relatively clear and the characteristics
somewhat marked.
Moderate potencies work well on cases that affect the vital and
mental level.
1. When using the centesimal potencies these cases may be opened
with 200c to 1M depending on the circumstances. The average sensitive
does best on a medicinal solution made in 4 to 6 oz which is given
4 to 8 succussions. From the remedy bottle the client usually begins
with 1, or increasingly more, teaspoons until the healing reaction
is established.
A. The method is basically the same for the centesimal and
LM potencies although the dilution glass was not mentioned in
the 1837 edition of The Chronic Diseases. Hahnemann was later
witnessed using a dilution glass with the centesimal potencies
also. I use the dilution glass in any case when I think it is
better to be safe. This moderates the action of the remedy.
2. When using the LM potencies in the average sensitivity we usually
begin the case with LM 0/1, LM 0/2 or more rarely LM 0/3 depending
on the circumstances. The size of the solutions is usual 4 to 5
oz. and the number of succussions used is 4 to 8. From the bottle
1 or 2 teaspoons are stirred into a dilution glass of 4 to 5 oz.
from which the client takes 1, or increasingly more teaspoons as
a dose.
This gives us a basic idea of the relationship between the sensitivity
and constitutional states and the posology of the centesimal and
LM potencies. Such ideas help guide us in the choice of potency,
dose and repetition.
One may find a mixture of signs in one individual as all the factors
included are relative in nature. Average out the related signs and
see where the predominance of factors point.
One should always err on the conservative side in the choice of
the potency and dose because it can always be increased if needed.
Aggravations waste time, slow down the cure, and are uncomfortable
for the patient. |