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Master Class Course Placements.English only Courses For August. August: 1-5th. Full. August: 8-12th. 2 Places Left. August: 15-19th. Tentative bookings. August: 22--26th. Open.
We are pleased to announce that Arden Wong of HongKong has completed the intensive professional entry course for the IHM and exceeded in the requirements. He is now Arden Wong. DHom Med (Lic) I.H.M.
This particular course is available only to current practitioners and is designed to test knowledge of homoeopathy and a demonstrated ability to understand patient pathology as expressed and translate into prescribing symptoms. We presented among many other discussions, 20 Powerpoint and video cases covering both acute and chronic cases, and related all the pertinent points back to the Organon and Chronic Diseases.
Arden has spent the last few years utilising the Therapeutic Pocket Book in his practice and was happy to expand his knowledge to have a fuller understanding of rubrics and see them in action during the cases.
It was a genuine pleasure to work with Arden. He is an accomplished practitioner and we wish him much success in his professional life.
Hering’s Law: Law, Rule or Dogma?
by Dr. André Saine, D.C., N.D., F.C.A.H.
Presented at the Second Annual Session of the Homeopathic Academy of Naturopathic Physicians in Seattle, Washington, April 16-17, 1988.
In homeopathy today, Hering’s law is widely recognized as the second law of cure, the first law of cure being similia similibus curantur, or like cures like. Hering’s law pertains to the direction in which the symptoms of the patient will disappear during a cure under homeopathic treatment.
In his second lecture on homeopathic philosophy given in 1900 to the Post-Graduate School of Homœopathics, Kent said:
Here Kent does not differentiate between acute and chronic disease in the application of the law. It is reasonable to assume, because of the lack of precision, that he meant all diseases, acute and chronic of venereal and non-venereal origin, would disappear in the direction described above.
When first studying homeopathy, I listened to the teachers and read the “classic” modern works, and assumed, like my fellow colleagues, that Hering’s law had been an irrefutable fact recognized by Hering and the many succeeding generations of homeopaths, and that all patients, (All italics used throughout this paper indicate my own emphasis of pertinent points.) acute and chronic, without an exception, would, at all times, be cured in the afore-mentioned direction under careful homeopathic treatment.
Later as a practitioner, I carefully applied myself to put the general homeopathic training I had received to the test. Since then, I have been able to substantiate most but not all of the rules, principles and laws contained in the homeopathic doctrine promulgated by several generations of homeopaths.
So far, however, I have been unable to substantiate Hering’s law. Indeed, very rarely do I see, for instance, in a patient with chronic polyarthritis, the symptoms disappearing from the head first and then to the hands and feet. More often, the pain and other joint symptoms disappear in the reverse order of their appearance, even if it is from below upwards. In other words, if the arthritis manifested itself, as it happens at times, first in the knees and then in the ankles, the ankles would get better before the knees.
Or in a patient affected by a complex of essentially functional complaints such as fatigue, anxiety, irritability, difficult digestion, joint pain and acne, rarely would I see the disappearance of the emotional disturbance first, then the poor digestion followed by the joint pain and lastly the acne. With thesimillimum most symptoms begin to improve simultaneously and disappear in the reverse order of their appearance, and not necessarily from above downwards and from inside outwards. In fact it is not uncommon that in such cases the acne, the last to have appeared, would disappear readily and the emotional state (the oldest symptom) would be the last to completely disappear.
While treating a patient with an acute febrile disease that had progressed in the first stage from chills to fever, then to perspiration and lastly to weakness, I would observe a rapid and gentle recovery butwithout the patient re-experiencing the perspiration, then the fever and lastly the chills. While recovering from acute diseases under homeopathic treatment, the patient does not re-experience the original symptoms one by one in the reverse order of their appearance. Many more troublesome exceptions similar to the above could be cited.
What was wrong with Hering’s law as quoted above from Kent’s Lectures on Homeopathic Philosophy? Had I misunderstood the law?
According to Webster’s dictionary, a law is defined as a sequence of events that occurs with unvaryinguniformity whereas a rule permits exceptions, and a dogma rests on opinion. Was this lack of confirmation of the said law due to “suppressive” homeopathic treatment as suggested by a number of theoretical and perhaps dogmatic homeopaths? If so, why have these so called “purists” not stood up and proven that all their cured cases followed the said law? To my knowledge this proof has not been forthcoming.
Was I the only practitioner in this position?
I questioned teachers and colleagues, some with many years of experience. Few could answer my questions and none has been able to substantiate from their own experience without the shadow of a doubt that Hering’s law was a true law of nature. It seems that most were in the same situation as me, even the supposed authorities would discuss the matter but in private with the author. It seems that we all had classic cases of cure from above downwards, from within outwards, from more to less important organs and in the reverse order of appearance of symptoms. But these absolutely “perfect” cases were only occasional. The majority of cured cases did not fulfill all the four citedcriteria.
So I decided to go back to the sources.
On one hand, neither Kent, in his Lectures on Homœopathic Philosophy of 1900, nor Stuart Close, in The Genius of Homœopathy of 1924, nor Herbert Roberts, in The Principles and Art of Cure by Homœopathy of 1936 while discussing the above law, refer to it as Hering’s law. (1-3) None of these three authors makes any reference to Hering in their lectures on the law of direction of cure. On the other hand, Garth Boericke, in A Compendium of the Principles of Homœopathy of 1929, refers to it as Hering’s rule but not as a law. (4) Confusing, isn’t it? Did Hering ever formulate a law on the direction of cure? If he did, why was his name not clearly associated with the law and was it as a law or a rule? Why was the literature so ambiguous?
At this point, I realized that the sources had to be explored further. The answers would all have to be within the literature of the nineteenth century. After a thorough examination of this literature I have so far been unable to find any of Hering’s famous contemporaries and close colleagues discussing or making any reference to a law of direction of cure. Writings of Boenninghausen, Jahr, Joslin, P.P. Wells, Lippe, H.N.Guernsey, Dunham, E.A. Farrington, H.C. Allen, Nash, etc, were all silent.
When Hering died in 1880, colleagues all over the world assembled to pay tribute to the great homeopath. His many accomplishments were recalled. Strangely, none made any mention of a law of direction of cure promulgated by Hering. (5) Arthur Eastman, a student who was close to Hering during the last three years of the venerable homeopath, published in 1917 Life and Reminiscences of Dr. Constantine Hering also without mentioning a law pertaining to direction of cure. (6) Calvin Knerr, Hering’s son-in-law, published in 1940, 60 years after Hering’s death, the Life of Hering, a compilation of biographical notes. (7) Again no mention is made of the famous law. Not only confusing, but also puzzling.
Obviously, the sources had to be further explored. Here are the fruits of this exploration.
|THE HISTORY RELATED TO THE FORMULATION OF HERING’S LAW
Week of August 1-5th 2016. Teaching in English.
So as the second to last day gets underway in the 5 day intensive, I already see changes in the thinking of the student practitioners as they see the realities of practice methods according to Hahnemanns directions, and how their certainty in the prescription grows when comparing to the Materia Medica.
As we go through cases, I see the changes in collecting the symptoms as expressed by the patient rather than chasing some nefarious mental personality trait…
Good to see. Plenty of snacks and beverages to keep them going. We push students hard in their training so they learn to reach out and work through problems from the resources we provide them with so they are never stuck for an answer. Those resources are the Organon, Chronic Diseases and Materia Medicas.
Yesterday, I.H.M, staff member Vera Resnick connected through to us as presented for 1.5 hours, an insightful look at how to study a remedy with examples and direction. It was much appreciated and helpful.
Next week is a more advanced course with practitioners of long standing, again conducted in English. Anyone wanting to join us, it starts on Tuesday 9th of August… let us know, jump on a plane to Seville Spain and we will be ready for you…
A prescribing symptom is a symptom that characterizes the disease state as exhibited by the patient in his or her own peculiar way. That is: Peculiar to the patient , individual and therefore peculiar (either singularly or in combination with other symptoms) to but a few remedies.
In collecting the information required to make a homoeopathic prescription, we take note of nothing except the exhibition of changes that the known pathological disease makes in the patient. The symptoms exhibited will be a deeply individual reaction to the infection. This does not mean that the infection or ‘disease’ will always be reflected in strange or unusual symptoms, but it does mean the infection will perhaps make a person react to the infection with an affinity toward a location or a heavily one sided expression of the disorder.
For example the way a fever manifests itself. First it may be heat, then followed by chills… then later it may be chills followed by perspiration. In the midst of a prolonged fever there may be acute thirstlessness or an aching in the bones.. these are the characteristics of HOW the body reacts and expresses the disease state.
Many times I watch students trying to elicit mental symptoms during a case of disease instead of OBSERVING the patient and recording the physical symptoms in all facets of expression.
So a prescribing symptom, is an expression of how the disease has modified the state of health and detailed by Boenninghausen constitute the totality of characteristic symptoms:
QUIS : The make up of the patient
QUID : Peculiar sensations
UBI : Location of the disease
CUR : Cause of the disease
QUOMODO:Modalities of circumstances
QUANTO :Modality of time
QUIBUS AUXILLUS:Concomittant of symptoms
It is the qualitative totality or the characteristic symptoms to be the only one which constitute the totality of symptoms in real sense.
A prescribing symptom is based on the above collection of data and is representative of the disease as expressed by the patient, and is an altered state of health as a reaction to the infection or trauma or circumstance.
Starting the English course throughout August from Monday 1st in our Sevilla north Clinic.
Picked up a couple of family members at the Station and went around to the house. I think when the family came in and I was there, the ‘patient’ knew something was amiss. We sat and talked and I explained the situation carefully and as thoroughly as I could. I laid out the options for treatment and I gave my recommendations and actions to take. We arranged to meet in my clinic in the morning to discuss the choice made.
Ive done this lots of times, talk to people I mean, telling them that their life expectancy is suspect or at worse, shortened within a recognised time frame. It was a little different this visit, looking at the face of a 30 year old adult that I recall as baby and then a toddler and then through the years. It always is a wrenching feeling to be the giver of bad news, and yet with this child/woman there was none of the quiet deep desperation I usually am swamped by, just an overwhelming feeling of love and care and gratitude for having her in my life no matter how long or short. This kid aint being let go so easily.
I see in the eyes, that acceptance was already setting in. The patient had not felt on top form for a while.
I was asked one question, “Are you sure?” the only question needed to move to the next step.
Never one to feel sorry for herself, always a practical person, and closest to me in temperament, the thoughts turned to the children and partner and what needed to be done for them. I left the family to discuss things.
Reflecting on life, there are many things that we do as teenagers that are downright stupid. Some have repercussions later in life, and I rather suspect that this is a contributory factor in this case.
Well- I hear no fat women singing and thus the fight is on. Im pretty good at my job~ now I have to become very amazing.
What is a prescribing symptom?
According to Hahnemann:
§ 153 Sixth Edition
In this search for a homoeopathic specific remedy, that is to say, in this comparison of the collective symptoms of the natural disease with the list of symptoms of known medicines, in order to find among these an artificial morbific agent corresponding by similarity to the disease to be cured, the more striking, singular, uncommon and peculiar (characteristic) signs and symptoms of the case of disease are chiefly and most solely to be kept in view; for it is more particularly these that very similar ones in the list of symptoms of the selected medicine must correspond to, in order to constitute it the most suitable for effecting the cure. The more general and undefined symptoms: loss of appetite, headache, debility, restless sleep, discomfort, and so forth, demand but little attention when of that vague and indefinite character, if they cannot be more accurately described, as symptoms of such a general nature are observed in almost every disease and from almost every drug.
So while we follow and compile symptoms to form a true picture of the disease, the prescribing symptoms are the characteristic symptoms of the expression of the disease AND characteristic of a remedy.
A lot of practitioners do not understand that we cannot just throw all the symptoms into the computer and come up with an accurate remedy prescription, Neither can we elevate mental emotional states above essential physical symptoms. We have to separate the person from the disease, and in the disease picture, we have to isolate characteristic expressions of the individual reaction to the disease and not involve personality or preference or weaknesses or lifestyle as outlined in aphorism 5.
If we read the aphorism above, Hahnemann clearly states that general and undefined symptoms are not to be considered.
To test the understanding of students, I would give a case with 10 symptoms and ask them to grade them in terms of importance to the case. Sometimes it would take an hour and with some students it could take days. There is more to grading symptoms than I am mentioning here but all the instructions are in the Organon… and we teach it in our courses.
A few months ago, I was going through the TPB and wondering if it was possible to have a list of 3 or 4 essentials symptoms that only a few remedies had and know them as the characteristic prescribing symptoms of both a disease and a remedy. Vladimir came up with model to check this out and we soon decided that it was a non starter. Too many possibilities and too many nonsensical triads.
However, we pursued the idea and recently Vladimir put together a variant on the concept and Ive been working with it for the past week. Today I sent him an email with defined rules for the software and we will trial that when it is prepared.
However. I have gone through a lot of my old cases on the mark 1 version, and I have been surprised how characteristic remedies that cured the patient were found in two or three rubrics. It made me look at my rubric choices and re repertorize with only PRESCRIBING SYMPTOMS.
In a few cases where I had failed, I got remedy suggestions that I never considered. When I read the remedies, I was surprised how they fitted in all the key points.
I have taken 6 cases using the module this week, Based on the criteria Vlad and I implemented, at first the cases were not working out too well. In the end, I repertorized the cases with ONLY absolutes and within 3 rubrics, I had my remedy defined. Afterwards, I checked through all the ancillary symptoms, and found it was easy to get sidetracked as these were generally undefined and vague.
So what do I think of the module we are testing? Its a mathematical formula that is infallible in terms of finding connections based on what is possible to match and what is not. However, it can never choose the right rubric/s to input. Using the module has made me be brave and ONLY choose essential symptoms and disregard others. There are cautions in using it, and we are changing things to fine tune but………….. it works. We just need to be sure that we do not disregard something important. Its a work in progress, but the potential is enormous.
Of the 6 new cases I took using the module, 3 were acute. The remedies were found in less than 1 minute and ALL have worked. In one of the chronic cases, I saw immediately where I had misled myself and rectified the medicine immediately. I have no follow up results yet.
Exciting things ahead….
Mr H. met with a motor vehicle accident while returning home from his office. Somebody took him to the nearby hospital, and they after dressing the wound suggested him to consult an orthopedic surgeon in the city. While he was waiting outside the surgeon’s cabin, he called me and asked for any scope in Homeopathy. I asked him to let the surgeon examine first to rule out any fracture. After a few hours he called me again and said that the surgeon has ruled out fracture, but there is a huge collection of blood inside the joint that must be removed with a syringe, hence hospital admission needed. I said if there is huge collection of blood, and then let the surgeon do his job first, and then later I can give medicines (It is also risky to take motor vehicle accident cases). But he was not ready for joint aspiration, so took a discharge from the hospital against medical advice.
After one hour, they knocked my door. I told the bystander that what he did was not the right way. Even the bystanders told me the same, but they had no other option as he was strongly forcing to leave the hospital. When I examined the knee joined, it was swollen and stiff, and patella tap test was positive showing the presence of blood in the knee joint capsule. He had severe pain along with extravasation of blood. Still, he was not bothered about the nature of injury, and said goodbye to the surgeon. Considering the available indications, I gave him Arnica 1M in water, to be taken every 30 minutes interval, along with one bottle of Placebo pills. I was not fully confident in this case as the absorption of blood from the joint capsule is not easy. Next day morning he informed me much improvement of swelling, pain and stiffness of joint. So, I asked him to stop the drops and use only the pills.
Today he visited my clinic and found the patella tap test negative. Unfortunately, there was no MRI taken before and after the treatment. Even there is no option to get an evaluation from the orthopedic surgeon as he was discharged against medical advice (Still I asked him to get at least the hospital bill). Such cases become more valid when we have documented evidences. Anyway, I am happy to see homeopathic medicines avoiding a surgical procedure. The real credit goes to that patient who trusted Homeopathy than the Homeopath who treated him .This case also gives me confidence to accept such cases.
Dr Muhammed Rafeeque