Erste Mitteln

 

Prescribing on the basis of Potency, Repetition and Placebo

 

   1. In case of drugs soluble in alcohol: One drop of mother tincture was diluted with 99 drops of alcohol to prepare 1st centesimal potency which is expressed as 1C. In case of drugs insoluble in alcohol: one grain of the drug is triturated with 99 grains of sugar o milk in morter with pestle.

   2. 10 to 50 successions were advised for potentization in drugs dissolved in alcohol. In case of drugs triturated with sugar of milk, 10 to 20 minutes were taken to rub the drug each way to pulverize it till the powder becomes uniform. This method of pulverization is used in producing each higher potency from 1st centesimal potency.

   3. For next higher potency 1 part of the drug is taken and is mixed with 99 parts of water or alcohol and successed 10 to 50 times to raise to the next centesimal potency.

 

In case of trituration of the drug for the net higher potency one part of the drug is rubbed with 99 part of sugar of milk, for 10 to 20 minutes so that it may become uniform and the next potency is stored separately with the label of next higher potency.

 

After 3rd centesimal potency all kinds of drugs can be raised to next higher potency in alcohol or water in the above mentioned manner as the non soluble drug also become soluble in water or alcohol.

Preparation of 50 millesimal scale of potencies

 

Around 1840 the preparation of potencies were modified again and the 50 millesimal scale of preparing the potencies was evolved about 3 to 4 yrs before the death of Dr. Hahnemann. The advantages of this new scale was provided by Hahnemann in his 6th edition of Organon are:

   1. Less liable to produce aggravations (highly sensitive patients).

   2. Can be repeated everyday in acute as well as chronic diseases raising the potency gradually according to the response of the medicine on the patient.

   3. A milder, quicker and more permanent action than the centesimal scale of potencies.

 

For preparing the 50 millesimal scale of potencies C 3 of the centesimal scale is taken as the mother tincture of the next higher potency. In one drop of this mother tincture add 500 drops of dilutent containing alcohol and water in the proportion of 1:4.

 

The 6th edition of Organon was published by William Boericke in December 192, 80 yrs after the discovery of 50 millesimal scale of potencies. During this period homoeopaths were using centesimal scale of potencies which included all big names in homoeopathy like Herring and Kent who achieved marvelous results. Even now majority of homoeopaths throughout the world are using centesimal scale of potency.

 

Dr. Pierr Schmidt of Geneva, Dr. Kunzli, Charles Phaud of Lusanne and Dr. Raman Lal Patel from India were among the pioneers of homoeopathy who used 50 millesimal scale of potencies and published their results.

Decimal Scale of Potencies

 

This was introduces by Schussler who discovered Biochemic treatment on the basis of tissue remedies. While the organopathic drugs have affinity for the organs of the body, the tissue salts supply Biochemic deficiency which produces diseases. Unlike homoeopathic drugs they were not prove and selected on the basis of the Law of similars but were selected on the basis of experience of Schussler and other pioneers of biochemic system of therapy. Any deficiency in the organic salts must of necessity cause a disturbance in the organism i.e. cause organic matter to become nonfunctional and thrown out through the skin or some orifice or membrane of the body. If these organic or biochemic tissue salts are supplied in optimum doses the balance is restored and the patients recovers from his illness.

 

Dr. Schussler found the decimal scale of potency in which the tissue salts are triturated in the ration of 1/10. They may be given from 1x to 200x on the basis of specific indication of the biochemic deficiency. Generally 3x to 12x triturations are used fro the treatment of acute diseases in biochemistry. Dr. Schussler discovered 12 biochemic tissue remedies which were:

   1. Calc-p.

   2. Calc.f.

   3. Calc-s.

   4. Ferr-p.

   5. Kali-m.

   6. Kali-p.

   7. Kali-s.

   8. Mag-p.

   9. Nat-m.

  10. Nat-p.

  11. Nat-s.

  12. Sil.

 

Selection & Repetition of Potencies

Different authors provide different details regarding selection and repetition of potencies. This is a debatable issue. I will try to put down the rule and the exception about the potencies of remedies from the literature. 3 factors help in determination of potencies. Ultimately it is one's own experience which enables one to select potency, its repetition and use of placebo.

 

I. According to homoeopathy there are three kinds of diseases.

1. Acute Curable Diseases

                                   a) mild needs low and medium potencies in single or repeated doses according to short acting or long acting property of the remedy.

b) Severe form of sickness needs high potency single or plus doses. In acute cases when the condition is changed and the new situation arises once should consider the change of remedy as well as change of remedy, whether to resolve to low or high potency. In cases where tissue pathology exsists low potencies are indicated; mental and functional symptoms high potency alone.

2. Chronic Curable Diseases

                        Dr. Peterson:

a) Acute phase: medium or high potency according to mildness or severity of the disease as in acute cases.

b) In chronic cases where pathological changes have taken place establishing eruptions, discharges and indurations without generals or the individualizing symptoms (pointers) need low

potency in frequent doses. But if the individualizing symptoms are present we must begin with 30 potency and follow the octave system of Dr. Kent.

3. Incurable or Fatal Diseases

                        In these cases potency problem does not arise. Exact Simillimum is forbidden. palliative or biochemic remedies in low potencies are regarded to safe guard against severe aggravations and death.

 

II. The second most important factor in the potency problem is generally susceptibility or response of the sick person. 3 kinds of susceptibilities are found in sick persons.

1. Hyper susceptible (Allergic) people need high and highest potencies. Those who take homoeopathic remedies are found to acquire this state.

            2. Hypo susceptible persons need low potencies in frequent doses. Persons who are in the habit of taking crude drugs, stimulants and narcotics require low potencies.

            3. Peculiarly susceptible sick people are rare. They respond to a certain potency alone.

 

III. Nature of selected remedy. Some remedies act best when given in high potencies (Polycrests/nosodes). Most of the homoeopathic remedies act in medium and low potencies. Many remedies act best in mother tincture in drop doses. Some medicines act best in triturations (Ars./Iod./Thyrodinum/Uran-n.).

It is also found in literature that action of the same remedy may vary in different potency. (higher potencies of Hepar may abort suppuration/lower potencies promote it)

 

IV. Three planes:

1)     Organopathic: symptoms and signs of diseased organs predominate which corresponds to the remedies. Drug acts best in Ø in drop doses (Orni. Ø in duodenal ulcer/Cean. in Ø enlargement of spleen)

2)     Biochemic: symptoms and signs of the tissue organs and blood predominate. The symptoms belonging to the lesion of the disease are considered for finding out the Simillimum. When the biochemic

symptoms guide us to select a remedy we can use both low medium or high potency according to the acuteness of disease.

3)     Dynamic: symptoms and signs of the sick person predominate. These symptoms belong to the Generals (Kent) or to Totality of Symptoms (Boenninghausen). Now we can go for high and highest

potencies. In such cases the homoeopathicity of the remedy is greatest and hence it is ideal condition for a high potency in a single dose.

 

V. Repetition & Placebo

The cardinal principles of homoeopathy as laid down by Dr. Hahnemann are:

   1. Prescribe only the proved remedies

   2. Prescribe the Simillimum

   3. Prescribe the single dose so long as its beneficial effects continue

   4. Prescribe the remedy more frequently and rapidly advancing acute disease and less frequently in slowly advancing acute diseases.

   5. In chronic diseases give repeated doses of Q or LM potencies every day for a week and then change to the next higher potency for another week and so on till the complete recovery takes place or homoeopathy aggravation occurs,

Stop repeating the Q or LM potency once the aggravation occurs but placebo may be given (Note: you can use the same method with centesimal scale potencies too - Dr. Sahni BS).

   6. Dr. Kent advices to repeat C potencies in chronic cases on the basis of octave series of potencies consisting of 30,200,1M, 50M, CM, DM & MM. And to repeat each of these potencies only 2x before the next high potency is given. This method was called by Dr. Kent as "Series & Degrees" potencies which enable the vital dynamis full power to eradicate the sickness of the individual.

   7. Dr. Burnett and other pioneers of homoeopathy find the similar remedy to the illness of the sick individual; highest the potency may be prescribed without repetition and will take its own time to cure the patient if there are no complications or obstruction to cure.

   8. Dr. Tyler is of the opinion that single dose may be only one dose or two doses repeated at short interval or even three doses repeated at short interval coz our aim of single dose to stimulate the vital dynamis to produce antibodies for complete immunization as the homoeopathic remedy acts like and antigen or allergen.

 

 

Baby:

Sulph. nach R.Roy

            Calc.

 

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Darmnosoden

Cars. Nach Raju Subramanian

 

 

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