Monthly Archives: October 2020

What is the true understanding of aphorism 153?

“In seeking for the specific homoeopathic remedy, i. e., in this juxtaposition of the phenomena of the natural disease and the list of symptoms of the medicines, in order to discover a morbid potency corresponding in similitude to the evil to be cured, the more striking, particular, unusual and peculiar (characteristic) signs and symptoms of the case should especially and almost solely be kept in view; for there must especially be some symptoms in the list of the medicine sought for corresponding to this if the remedy should be the one most suitable to effect the cure.’

Strange rare and peculiar is a phrase often used in homoeopathic circles, and one in which it appears to give licence for any symptom to be used in the case taking.  However, from the aphorism 153 taken from the 5th edition above, we can see the explanation and understanding of the meaning clearly, or we should if we dismiss the veil of Swedenborgianism from Kent that obscures the true case-taking skills as outlined by Hahnemann.

All disease is a collection of symptoms that define the ‘type’ of disease, and from this collection of symptoms, a disease can be classified and if well known, the pathology and progression and even prognosis can be elicited from knowledge.. and within that disease, we can pick out the defining expression that is peculiar to the reaction of the sick person to its influence. (this is not dismissing those diseases that have never been seen before and affect the host in a very unique way).

Reading carefully, we can see that the symptoms that are to be used, are the ones that define the host’s reaction to whatever the infection is, in a characteristic way AND also are defined in a remedy in a similar manner.

To complicate matters, the defining symptoms, may or may not be known to be within the sphere of the presenting disorder, yet are present.

Let me give an example from a remedy, and from a presenting symptom. It is my experience, that a marked and strange and characteristic symptom can be present and have nothing to do with the complaint, yet will also contain the symptoms taken in the intake.

Take a patient with a respiratory disorder. Lack of oxygen has caused the lips to discolour. Normally will be blue, yet in this patient, the skin is mottled, blue and orange and red, and diffuse over the lips.

Another patient with severe psoriasis, on close examination, has the same mottled skin all over her legs between the eruptions.

Yet another patient with skin allergies has presented patches of the same discolouration across his back.

In taking the case of each, the characteristic symptom is the skin discolouration. using that, regardless of the problem, there are few remedies, if actually only one, that produces that patterning. In the main, you will also find that other symptoms of each individual disorder are present in the remedy.

That remedy is Psorinum.

If a symptom is present to such a marked degree, it can become characteristic of both the disease AND a remedy..

We will talk more at another time regarding characteristic symptoms.

 

 

 

Thoughts on case taking

If you ever want a high paying job other than homoeopathy, Id recommend marine electrician… everyone i contacted is booked out………..

That aside, case taking and why many cases fail.

simply put, it usually is because the wrong remedy is given.

Its not hard to fail. We all do it. In order to overcome a large percentage of failures, we have to examine ‘Why ‘ we fail, and usually, it comes down to a singular reason in the case taking. The bottom line is that we are picking the wrong symptoms, plain and simple.

So what is the key to picking the right symptoms?

During this period of lockdowns and distancing, its a wonderful time to study the Organon in a guided manner……..to REALLY understand what is required to treat a person.

Let me dispel a myth. This singular misunderstanding ruins so many cases that it needs to taught time and time again.

§ 211
This holds good to such an extent, that the state of the disposition of the patient often chiefly determines the selection of the homoeopathic remedy, as being a decidedly characteristic symptom which can least of all remain concealed from the accurately observing physician.

The huge mistake here is not reading the Organon in context. Kent et al use this as the primary state of the patient to prescribe………….and it is incorrect. If you use this as prescribing criteria, you may be prescribing on the personality and not the disease.

Aphorism 210 to 230, is discussing…….

§ 210
Of psoric origin are almost all those diseases that I have above termed one-sided, which appear to be more difficult to cure in consequence of this one-sidedness, all their other morbid symptoms disappearing, as it were, before the single, great, prominent symptom. Of this character are what are termed mental diseases. They do not, however, constitute a class of disease the condition of the disposition and mind is always altered;1 and in all cases of disease we are called on to cure the state of the patient’s disposition is to be particularly noted, along with the totality of the symptoms, if we would trace an accurate picture of the disease, in order to be able therefrom to treat it homoeopathically with success.

So contextually, looking here….

§ 6 Fifth Edition
The unprejudiced observer – well aware of the futility of transcendental speculations which can receive no confirmation from experience – be his powers of penetration ever so great, takes note of nothing in every individual disease, except the changes in the health of the body and of the mind (morbid phenomena, accidents, symptoms) which can be perceived externally by means of the senses; that is to say, he notices only the deviations from the former healthy state of the now diseased individual, which are felt by the patient himself, remarked by those around him and observed by the physician. All these perceptible signs represent the disease in its whole extent, that is, together they form the true and only conceivable portrait of the disease.1

No where does Hahnemann state that anything other than altered symptoms be taken into account….dont base the prescription on personality or desires unless altered and opposite to the norm, and of a marked observable nature….

This one shift in taking a case will raise your prescription success rate higher immediately………..

IHM clinic progress

Im sat here on the IHM clinic boat in the middle of a beautiful place in Watford…….. waiting on a part and someone to fit it. Its a voltage controller. Seems the one that is fitted is the wrong one, and once the solar reduced charging in autumn, it became obvious the engine was not charging the batteries…………..

£334 for the part and whatever it will cost for the services to fit it. It has to be done and hopefully fixes the problem.

Fuel boat will be next Wednesday……. Fuel and wood for the fire…….at least 150 litres of diesel. Should last few months.

Then a slow trek to London and hopefully get there before any lockdown on the canals………..

We will then fit the boat out internally with seats and sofas and desks……. Along with putting cables in for computers for students and practitioners.

We will fit out the office with a bed for when an overseas student comes for IHM training……. IKEA here we come for wardrobes and cupboards, unless some our London based practitioners point us in a cheaper but good direction.

We made the decision to take a 3 month winter mooring in Southall. This will give us chance to work on the boat and fit it out within range of shops for accessories we will need… and also to be in a fixed position for London clients if restrictions permit. We are near a water point and also a garbage disposal point……… I ordered a composting toilet yesterday which will obviate the need for cassette waste disposal. The mooring doesnt have an Elsan point for emptying. The compost waste can go in a dumpster.

Nothing is as easy as you think it is when you go off grid. We are solving the issues one by one.

I talked with my friend and colleague Antonio in Seville Spain yesterday. Seems the members of the Boenninghausen group are now the steering committee for the Andalucia Homoeopathic Association and will concentrate on good training instead of the politics. I’m proud of them.

Covid restrictions will make it difficult to have many patients or student on board initially, however we are setting up a poweful internet system to take the IHM online if we have to.

so we are doing our bit.

 

Little steps and reminders.

A few days ago, a colleague of mine outlined a health issue with a young male family member. It was a difficult situation involving a stroke, various underlying problems that all would appear on the surface to be well suited to homoeopathic treatment. My colleague was lamenting the fact that he had to suffer in silence in not being in a position to treat the patient.

For those of us who have been in practice a while, we have become accustomed to this scenario. As young thrusting homoeopaths, we wanted to treat everyone and everything, and then we learned that many do not want what is offered. Even Family, especially family. We learn about free will and choice and stand back as people get sick and take strong suppressive medication and slowly get worse in the long term.

When we take on a patient, sometimes we see that life style changes are required. This involves telling the patient that they have to adopt new ways of doing things, and even a job change to get better. Not always going to go down well with the patient.

If we are not medically qualified, we always have to make sure that we treat diseases with the knowledge that our actions are going to be scrutinised heavily by the medical profession in the event of a fatality.

Many homoeopaths ‘choose’ to work with the patient seeing an allopath at the same time, and ‘manage’ the allopathic prescriptions given, letting the patient decide what they want to take and don’t want to take. A person consulting a homoeopath usually makes their own decision after reading the effects of prescribed medicine.

My professional life and successes has the phrase ‘spontaneous remission’ litter throughout. Annoying isn’t it..

Oh, my colleagues relative died. In the end we can only do what we can do.

Is there room for us?

I’m sat on the IHM boat in Hemel Hemsted, currently with either battery or inverter issues…. either way is a fistful of money to fix. Things happen.

Watching the events of the last few months, and how the countries are pushing towards vaccines as the answer, and how the populace are either worried to distraction or are against the lockdowns ………. I’m seeing how homoeopathy is being denigrated and indeed being removed by the fact-checkers on google and Facebook and other sites. We seem to be sidelined in favour of ‘proper treatment’.

Well, I worked out a prophylactic remedy a few months ago, and of the 600 plus people  that I and other members of the IMH have given in 4 countries…. not a single case…

Guillermo Zamora and I have treated individuals with COVID sx to a good resolution………but who is listening…………?

The world is changing. Nothing will ever be the same. WE need to accept and be prepared to change how we do things and still be homoeopaths in mind and action. We need to make the room for us.

We at the IHM do not make claims to ‘cure’ COVID or offer alternative vaccines. We treat each case individually as per our Hahnemann protocols and will give the prophylactic to be taken once a week or every two weeks. Some give daily, my experience with taking more than once a week was a massive proving and difficulties until it wore off…So I advocate once a week simply because, in truth, I don’t know how long the protection lasts……. I know that weekly or even 2 weekly seems to hold.

We have to stand firm on the principles and be sure we know what we are prescribing for, the essential symptoms that need treating…… not just the remedy with the most symptoms covered.

The IHM uses the TPB of Boenninghausen simply because it follows the Hahnemannian protocols, and will work in 98% of cases both acute and chronic. We do not discount the use of other well-proved remedies and advocate a thorough knowledge of them before prescribing. The essence of using the TPB is a well-taken case and extracting the symptoms according to aphorism 153.

Every disease has a centre. The disease symptoms are known, and the patient exhibits symptoms ‘peculiar’ to the patient its either intensity or prominence. These all may have other symptoms not noted as pertaining to the disease state.

WE have to find these symptoms out of the collection of altered sensations that the patient feels. We have to remember that many symptoms are the result of the causative condition and therefore NOT prescribing symptoms per se.

Since 2016We have conducted a 4-day intensive seminar for application to become a member of the IHM. The students are all long time homoeopaths who increased their knowledge base by learning the Boenninghausen method and tidying up the loose ends that were muddied by Kent and others.  The original venue was at our clinic in Seville Spain and has now relocated to The London area on our IHM Widebeam vessel.

We will offer a free bedroom aboard the vessel for individual applicants, and will just ask for a contribution toward food. The fee for the 4 days intensive will remain at the same cost as from 2016. It will be Sterling £900.

We will be fitting out boat for teaching in the next weeks, and be ready for the new year……..to get going government permitting. We already (with the help of members Abdul Malik and Imran Khan) are putting together a clinic for when we are ready to start…

The IHM has a 4 day training opportunity, starting in 2021. We dont claim to have all the answers, but we do feel we can teach the Hahnemanninan methodology in case taking.

What we teach:

  • The rationale of homoeopathic medicine and the use of the Therapeutic Pocket Book in everyday casework.
  • The examination of the patient according to defined parameters of eliciting prescribing symptoms without the filter of all the variants of non-Hahnemann practices as taught by teachers today.
  • An in depth look at the Miasm theory in the light of infection and infectious disease models that are the accepted protocols in modern medicine.
  • Patient management utilising Hahnemannian directives for medicine administration and potency choice, frequency of dose, withdrawal of repetition of medicine on well-indicated grounds, observation of medicinal action and when to change the medicine.
  • Use of LM or Q potencies.
  • Chronic and acute prescribing and when to finish prescribing.
  • In depth explanation and use of the Therapeutic Pocket Book. The T.P.B. was devised by Boenninghausen as a synthetic approach approximating Hahnemanns thoughts on case analysis so as to find a close similimum by extracting the correct proving symptoms that match the disease state.
  • How to understand the meaning of rubrics via the patient’s symptoms.
  • Lots of case examples and analysis by Gary Weaver.
  • Help in re-examining some of the students’ intractable cases.