v. Considering the innumerable surprising cures wrought through Homœopathy, in both acute and chronic diseases, this method of healing would doubtless find many more disciples in the medical world if its practices were not subject to some difficulties far from trifling. It is not only a time-absorbing, but also a troublesome business, to investigate carefully into all the characteristic features and peculiarities, and to gain perfect information concerning the present state of mind of the patient in every individual case of sickness, whether belonging to an epidemic or to the diseases sufficiently designated by name; and then the choice of a suitable remedy, on the principle of similars, according to its pure action, offers again new difficulties, and we are often entangled in such a mass of difficulties that it is not surprising if the less experienced homœopath, not to speak of the beginner in this method of healing, is not able to extricate himself. Without doubt, on this account, and also on account of the unsuitable selection of the remedy which frequently follows therefrom, is to be seen the reason why the latter does not accomplish the desired result. Every beginner will probably at times have seen, what in the case of experienced and observant homœopaths is recurring more and more rarely, that, even with very careful selection and apparent adaptability of the remedies, success does not always come up to the expectations, and at times no action at all or even an aggravation of the patient’s troubles ensues. In such cases we may safely depend upon it, either that the remedy given has been formerly misused in allopathic doses and on that account its symptoms have become habitual and very manifest, or that, on account of the oversight of one or more symptoms of the disease which would contra-indicate the remedy, its choice was a mistake and therefore without effect. In the former case there will be, as a rule, an increase in the patient’s sufferings, in the latter no noticeable
vi. change will be observed; in the former case there must then be made an attempt to destroy the old drug disease by homœopathically selected antidotes, and in the latter case by a careful examination of the disease image, and by a circumspect selection of the remedy, the previous mistake should be rectified. It would betray a great want of logical sequence and would denote a contradiction in itself if one, from such experiences, were to form conclusions concerning the unreliability of the homœopathic foundation principle (similia similibus). For apart from the fact that almost everyone has ultimately had the opportunity to convince himself of one or the other of the above-named causes, there would still remain to be explained away the much more frequent cases in which such rapid and lasting cures are accomplished that they frequently surpass the expectations even of the physician himself. One would be obliged to set up the contention that there existed in nature no sound therapeutic principle, a contention which probably nobody would like to defend.
Accordingly we would expect that to all physicians, honestly seeking after the truth, every labour, be it ever so trifling, must be welcome, if it serves to advance this (as the honorable Hufelandterms it) “solely direct curative method,” namely, the homœopathic, and assists in the selection of the proper remedy. The compiler of the following tables has not hesitated therefore to consent to the many requests of homœopathic physicians, and even the urgent demand of the worthy founder of this science of cure, to make them known through the press, after having been kindly revised by Hofrath Hahnemann, and after making some changes and improvements on the form in which they had already been communicated in manuscript to the nearest homœopathic friends. Without laying a great value upon the work, which contains no more than a tabulation of that which is already known, it is intended to afford an easier comprehensive survey of some peculiarities of the remedies which have hitherto been proved on healthy persons, and to facilitate the work of those homœopaths who recognize the great importance of such a compilation. We need scarcely be reminded that in several reme-
vii. dies, and especially those only partially and imperfectly proved, many uncertainties exist, and doubtless mistakes have occurred which only by further proving can be discovered and corrected. In the meantime only that could be used which we possessed, for Homœopathy never allows of hypotheses and suppositions, and never borrows from the realm of opinions, but understands the art of securing out of the realm of reality the pure truth.
The similarity which must exist between the natural disease and the pure effects of the homœopathic remedy, in order that the latter may be able to eradicate the former, must be complete in every respect. It is, therefore, not sufficient to have found a remedy which is able to excite similar sufferings to those about which the patient complains, and much less if this similarity be confined merely to general names (such as headache, toothache, bowel complaint, cramps and so forth), as some very ignorant persons indeed are not ashamed to falsely attribute to Homœopathy. If the selected remedy is to prove reliable and successful, its pure effects must be adapted to the entire group of symptoms present, the conception of the totality of the disease symptoms, and, therefore, not only the sensations and pains, but also the aggravation and amelioration of the symptoms according to time and circumstances and the mental condition of the patient must correspond to all these in the remedy with the greatest possible similarity. Only when the totality of the symptoms has been obtained with completeness and exactness and when among the proved remedies one is found which corresponds to the whole in similarity, or at least is in no way contra-indicated, may we be sure of the desired success, provided that the remedy has not been already misused in massive doses, and that now only so much is given, as, according to experience, is sufficient to accomplish the object.
Those who are already acquainted with Homœopathy and have seen its wonderful effects in diseases of the most diverse kind need, in order to appreciate the preceding, only think of the
viii peculiarites of the Küchenschelle (Anemone pulsatilla) and the Brechnuss (Strychnos nux vomica), the knowledge of which we must attribute to the immortal founder of the art. Out of the numerous symptoms of these two excellently proved polycrests a great number of disease images may be formed, corresponding as strongly to the one as to the other. Even that which we know as especially characteristic of both is nowhere so sharply demarcated as to prevent many symptoms from manifesting quite a similarity or even contradicting each other. If then without reference to the predominating peculiarities of each remedy a selection is made, it may not infrequently happen that the improper remedy is chosen, because according to a few fragmentary symptoms it seems to correspond more nearly to the present case of sickness. The mistake lies, not in the principle of the homœopathic method nor even in the manner of selection itself, but in beginning with an insufficient conception of the totality of the symptoms of the disease and the totality of the symptoms of the remedy. The Küchenschelle (Pulsatilla) has not a few symptoms in the morning, in the open air, and while moving, just as the Krähenaugen (Nux vom.) has several in the evening, in the room and during the rest of the body
. If we then confine ourselves, unintentionally, only to these symptoms, we will find that we have selected an unsuitable remedy and cannot, therefore, see the hoped-for success. It is consequently of the utmost importance to become thoroughly acquainted with the characteristics and peculiarities of every remedy, and especially of the antipsorics. All of these possess the power to eradicate the sad conseqences of one and the same miasmatic evil foundation, and have, therefore, for the most part the same sphere of action, and there is between them a very great similarity in their effects. Notwithstanding each of them has its own peculiarities, just as the other medicines have, and never can one be used instead of another with the same favorable results. In the most surprising manner was this shown during the present year in the frequent intermittent fevers, which were for the greatest part apparently of a psoric nature, and could, therefore, in most cases be permanently and safely cured only by antipsoric remedies  Nearly
ix all the antipsorics known up to the present time were then used, according to the similarity of their symptoms, without the possibility of giving a preference to one over the other, and, when a proper selection was made, especially based upon the symptoms occurring during the apyrexia, their great curative power demonstrated itself not only by the rapid disappearance of the fever and other symptoms of the disease, but also by the fact that every patient was cured, and of all those homœopathically cured not a single one suffered a relapse, a condition which most generally prevailed after the allopathic use of Peruvian bark.
Of course to obtain a complete characteristic picture of the remedies, with the elimination of every uncertainty and half truth among the pure effects of the same, when it is often so very difficult to distinguish the primary effects from the after effects, can only be the result of united efforts and mutual communications, and, without a separate homœopathic hospital under the protection of the state, in which nothing but true facts may be gleaned and confirmed, the science can only progress slowly. But until the time that the young science, which is even now rendering such great results, will see its most fervent wishes fulfilled, its disciples must not sit idle, but everyone is under obligation to contribute according to his abilities to its upbuilding, so that suffering humanity may become a partaker so much the sooner of the blessings of those discoveries which have already proven curative in manifold ways, and which promise immensely more.
The following three tables contain a comparative survey of the action of all remedies, up to this time, proved with a certain degree
x of perfection on healthy persons, according to the time of day, the position and circumstances and according to the conditions of mind excited by them. In all three the order of their rank is denoted by the first five letters of the alphabet, so that the letter a designates the most decided, predominating and manifest action, having nothing contradicting it; the letter cindicates that the remedy has an equal action with reversed time or circumstances, and the letter ethe last or most subordinate place. The letters b and ddenote the intermediate state, so that b approaches to the highest rank and dto the lowest. When no letter is given, it signifies that nothing has been found in the pure effects pertaining to that modality. This arrangement of the different degrees of value appeared to the author the most serviceable and comprehensive, and the number of the same entirely sufficient to denote the degrees properly.
The compilation of the first table, which contains the aggravation or amelioration of the suflerings according to the time of day, gave us the most trouble, because the divisions of the day are not capable of being sharply defined and because there is a want of expressions in the general usage of language to define the various terms and limits. Especially is this the case in regard to the morning and the evening, whose limits are not uncommonly extended unreasonably, and then frequently a part of the night as well as fore- and afternoon is included in them. Without doubt, therefore, this table will consequently have to undergo the greatest number of improvements and corrections.
The second table, which contains the action of the medicines in exciting (and aggravating) or ameliorating (and removing) their symptoms according to circumstances, could in the most of instances easily he arranged according to sure and clearly defined data. It was found soon after its compilation, that here, as well as in the first table, not every symptom without distinction could he taken into consideration, but that a selection had to be made among them, with the omission of that part of them which would have given incorrect results. The main rule for this selection was deduced from what the honorable founder of Homceopathy teaches in that connection in the prefaces to Kriihenaugen (Nux vomica), Ki2chensclzelle (Pulsatitla), Zaunrebe (Byronia), and Wurzelsumach (Rh us), compared with the symptoms of the remedies which con-
xi firm. For this reason only the symptoms of the head, eyes, teeth, respiration and chest, limbs, and the general sufferings, night sufferings and fevers, were taken into account in the first two tables, and the other regions were only considered when, either on account of the small number or on account of a want of clearness, doubts remained. It is still necessary to note that under the word “Touch,” the heading of the second column of Table II., are also included scratching, rubbing, pressing, etc , and that the modality “Agg.” expressesboth the excitement [initiation] of a symptom and an aggravation, and by “Amel.” a ceasing as well as amelioration of the sufferings is meant. The rest of these two tables needs no further explanation.
In the third table, which contains a comprehensive view of the various states of mind produced by the remedies, the first five letters of the alphabet have the same meaning as in the two preceding tables. In the rubrics the author has endeavored to observe the most suitable psychological order so as to facilitate comparison thereby as much as possible.
In giving the names of the medicines in alphabetical order the systematic tabulation of Dr. Rückert, which probably no homœopath is without, is followed, excepting that the acids are always classified immediately according to their bases, both to denote their close relationship in therapeutic respects and because the finding of the former seemed thereby to be facilitated.
In view of the use of these tables, it is scarcely necessary to remark that they are in nowise intended to introduce a generalizing method into homœopathic treatment. According to the almost unanimous contention of the most distinguished medical authors and practitioners much mischief has been wrought in allopathy just in this way, and consequently Homœopathy would have cause enough to avoid it even if its entire system did not already consist in the strongest individualization. Therefore, if we wish to proceed conscientiously these tables should only be consulted after the case of sickness has been carefully examined, and has been compared with the competing remedies, and then as it were to solve some still remaining difficulties, or as a test for the correctness of the choice made. The tables can in nowise
xii give the most suitable remedy, but they will assist in the choice of the same and prevent the likelihood of an unsuitable remedy being selected.
A diligent study of the pure effects of the remedies must ever remain the principal thing, but, as the beginner especially needs a “guiding string,” we hope he will not seek it altogether in vain in these tables. One may especially find in them, the author hopes, an aid in becoming more familiar with those medicines which vie with each other for preference in given cases, and especially the antipsorics, and to group them according to the similarity of their effects. …
Finally, with the same intense desire after perfection that is everywhere so plainly seen in all disciples of the homœopathic healing art, it is as much to be expected as to be hoped for that the present effort may be closely examined in its details, be purified of unavoidable mistakes and errors, and thereby acquire the reliability which the subject itself deserves.