Aphorism 245 and 246 of the 5th edition were combined in the 6th edition to make clear the following principle.
§ 246 Sixth Edition
Every perceptibly progressive and strikingly increasing amelioration during treatment is a condition which, as long as it lasts, completely precludes every repetition of the administration of any medicine whatsoever, because all the good the medicine taken continues to effect is now hastening towards its completion. This is not infrequently the cause in acute diseases, but in more chronic diseases, on the other hand, a single dose of an appropriately selected homoeopathic remedy will at times complete even with but slowly progressive improvement and give the help which such a remedy in such a case can accomplish naturally within 40, 50, 60, 100 days. This is, however, but rarely the case; and besides, it must be a matter of great importance to the physician as well as to the patient that were it possible, this period should be diminished to one-half, one-quarter, and even still less, so that a much more rapid cure might be obtained. And this may be very happily affected, as recent and oft-repeated observations have taught me under the following conditions: firstly, if the medicine selected with the utmost care was perfectly homoeopathic; secondly, if it is highly potentized, dissolved in water and given in proper small dose that experience has taught as the most suitable in definite intervals for the quickest accomplishment of the cure but with the precaution, that the degree of every dose deviate somewhat from the preceding and following in order that the vital principle which is to be altered to a similar medicinal disease be not aroused to untoward reactions and revolt as is always the case1 with unmodified and especially rapidly repeated doses.
1 What I said in the fifth edition of the Organon, in a long note to this paragraph in order to prevent these undesirable reactions of the vital energy, was all the experience I then had justified. But during the last four or five years, however, all these difficulties are wholly solved by my new altered but perfected method. The same carefully selected medicine may now be given daily and for months, if necessary in this way, namely, after the lower degree of potency has been used for one or two weeks in the treatment of chronic disease, advance is made in the same way to higher degrees, (beginning according to the new dynamization method, taught herewith with the use of the lowest degrees).
Hahnemann first says that any noticeably progressing and strikingly increasing improvement during treatment excludes the repetition of the remedy because the cure is already hastening to take place.
This means that any time a single dose, or a series of doses, causes a strikingly progressive improvement any repetition is counter indicated for the time being. This is because the vital force is moving toward the cure at a maximum rate and any more doses will only slow down the cure.
Then the Founder takes up the subject when a single dose only causes a “slow, continuous improvement” that may take over 50, 60, or 100 days to complete the cure. In these cases the split-dose of the medicinal solution may speed the cure to 1/2,1/4, or less the time it takes the single static dry dose.
This goal may be accomplished under five conditions.
- The remedy must be a true homoeopathic simillimum.
- The remedy should be administered in medicinal solution.
- It must be administered in the smallest of doses.
- The medicinal solution should be repeated at suitable intervals.
- Each dose should be succussed prior to administering the dose.
This is the basis of Hahnemann’s advanced posology that teaches the practitioner when to wait and watch as well as when to act according to circumstances. This is what Hahnemann called the middle path approach to posology.
Homoeopathy is a system of flexible response in which the methods of adjusting the dose are central to case management.
The LMs act smoothly for their remedial powers considering their potency actions. For this reason, the LMs are far more suitable than the 200c and 1M for a good number of patients.
The large gaps between the 30c, 200c, 1M and 10M Centesimal are too large for many constitutions and chronic conditions. This Kentian system only offers 7 potencies while there are 30 different micro tonal LM potencies.
These individuals usually do very well on the LMs when they are given properly. If they take 200c or 1M (esp. the dry dose) it causes unproductive aggravations and accessory symptoms.
These are some of the differences. The LMs are safe and effective when the potency, succussions, and dose are individualized and the patient is not over-medicated.
By carefully reading the 6th Organon and the Paris casebooks much more information has come to light.
This situation is finally starting to change as homoeopaths experienced in the 4th Organon method take up experiments with the revisions introduced in 5th (1833) and 6th editions (1842).
The method of the Organon is an artistic method that must be individualized to the patient. There are no preconceived schedules that can guide one. The daily dose or alternate day dose may be correct for one person while one dose a week, month or year is sufficient in another.
Any time one gives too many doses one sees the side-effects of over medication. What a homoeopath learns is when to wait and watch as well as when to act to speed the cure.
Comments by David Little…