Tag Archives: homeopathy. Hahnemann

Symptoms and all that.

So aphorism 6 is the bedrock of detailing how symptoms expressed by the organism in disease, both mental and physical, are the totality of disease. Wonderful, we have the complete picture of the disease now.

Yet, and in truth… it doesn’t really help except where an application of common sense and thought process is applied to the knowledge.

Here is the rub. Most homoeopaths just throw symptoms into the repertory, lots of them and gives what comes up top.

185309103Not so fast you prescribers, not so fast.

Aphorism 153 details what we do with the picture of the disease.

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.

This is finding the essential nature of the disease from which all other symptoms spring, and thus can be ignored.

We teach this in the course with case examples. Many case examples.

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So what does the IHM offer?

The IHM is a non partisan organisation. There is no allegiance or affinity towards any modern thinking or methodology that contradicts the researched and clinically proven system of medicine as defined by Hahnemann. For the IHM, it seems totally logical to work with a protocol that will lead to a positive conclusion as per utilising the provings, and that can be repeated time and time again even in different illnesses as long as that condition or state exists. This is good medicine.

So we pass on the research via seminars, teaching courses, personal training of practitioners, a clinical training venue, a difficult patient clinic and a pharmacy that makes the medicines correctly.

At our Seville Spain HQ. we are conducting International 5 day intensive training courses for practitioners. These intensives are designed to instill factual knowledge and also give a thorough grounding in Hahnemanns methodology of casetaking and prescribing. We use many many case examples to demonstrate the thinking of Hahnemann. We show what isvasculitis important in Hahnemanns view in the case to differentiate a prescribing symptom from the mass of symptoms collected from the patient. Plus MANY other things direct from Hahnemann.

For a practitioner, the 5 day intensive will make clear a lot of things not learned in schools or practice. It will give the solid Hahnemannian directives for how to give medicines, how to gauge medicinal action and how to manage the patient.

We have developed a facsimili copy of the 1846 Therapeutic Pocket book and updated it in terms of language, correcting the grading and also wrong remedy insertions. We have in Spanish, English, Italian and Hebrew, along with the ORIGINAL German version. We discuss rubric meanings in the course.

We have an ENGLISH speaking 5 day course starting 6th October. Hotel prices are very reasonable in October.

We have only 3 places left for the SPANISH course starting 27th October. Book soon or places will be filled by someone else.

https://instituteforhomoeopathicmedicine.wordpress.com/personal-training-course/

 

Review of IHM Training: Restoring the Art of Simple, Pure Homeopathy

 

Arden Wong    B.HSc., D.C.H., DHom Med(Lic) I.H.M.    Based in Hong Kong.

23rd September, 2016.

P1060316It’s been about a month since I attended the one week training with Dr Gary Weaver and Vera Resnick of IHM in Seville, August 2016.  And I am still feeling exhilarated from this empowering experience.

Revisiting Hahnemann’s philosophy of the pure similia, removing unnecessary theories, demystifying modern mis-interpretations of miasm theories, unlearning the overlay of Kent and others, what I achieve is clarity of mind, confidence in case-taking, logic in clinical reasoning, and, immediately improved clinical results.

During the training, I was given lots of case exercises with pictures and videos.  We analysed the cases based on Hahnemann’s instructions outlined in the Organon, and repertorised with P&W’s edition of Boenninghausen’s Therapeutic Pocketbook (TPB) with the most precise rubrics. We worked the cases step by step.  I also presented some difficult cases from my own clinic. I found out where my weakness had been, and where I could work on.  I witnessed how simple accurate application of Hahnemann’s guidelines and Boenninghausen’s method can solve acute and chronic, minor and severe pathologies with less effort and each step with clear logic.

espacio_parasol_sevillaI have been in full-time clinical practice for over 14 years and learned from various teachers and schools of thoughts.  Yet, it turns out that we are all mostly repeating the same mistakes in spite of all the ‘innovations’ from the masters and gurus.  Some major errors and detours are:

  • Excessive emphasis on mental symptoms and psychological analysis.
  • New materia medica based on clinical symptoms without basis of provings.   ‘Materia medica’ presented as ‘remedy personality portraits’, ‘constitutional pictures’  and ‘themes’ based on creative imaginations and theoretical speculations.
  • Repertories ever expanding not in a non-homeopathic way.  Old and new remedies are added to old rubrics.  New rubrics are created from imaginations (namely ‘practitioner clinical experiences’, ‘meditative provings’).  Unfortunately, few of them are based on high quality provings.

As a result, unprejudiced observation in case taking is biased to mental sphere with reduced details in morbid phenomena on the physical level.   Inaccurate materia medica knowledge dominates our mind from subjective experiences and writings of gurus and teachers, rather than precise provings records.  Unreliable modern repertories are glutted with unproven information.   It’s emperor’s new cloth:  homeopathic remedies today are no longer prescribed on the principle of similia.  

Fortunately, I have found out that by restoring pure homeopathy: matching patient symptoms to proving symptoms, with the aid of provings-based repertory and pure materia medica, clinical results is warranted.  Cure is certain.  The physician’s mission is accomplished.

laptop2P.S.  Why I chose to study with Dr. Gary Weaver?   He is the translator of the Boenninghausen’s Therapeutic Pocketbook (Polony & Weaver Edition 2014). He studied the source materials from Hahnemann and Boenninghausen and verified every rubric and remedy in the repertory.  TPB is by far the most reliably repertory based primarily on provings and the proven method of Boenninghausen’s and approved by Hahnemann.   TPB(P&W 2014 edition) is thetpbpw most faithful and accurate rendering of Boenninghausen’s TPB (1846) in modern understandable English.  (I have compared a few other translations.)  Learning from Dr. Weaver helps me clarify and understand the meaning of many rubrics in the original context.   That’s priceless knowledge!  

P.P.S.  I got a bonus from the course.  Vera Resnick’s session on studying Hahnemann’s provings.  Honestly, few people today care to read them. Studying the Hahnemann’s pure materia medica is a daunting task.  Vera has developed a systematic approach to ‘dissect’ the provings. Her historical knowledge of the provers also make understanding the provings more relevant and lively.   Her presentation has debunked so many common misnomers of big polychrests.   That’s eye-opening!

 

English only 5 day intensive course. Oct 6th-10th. 2016.

Following on this year from teaching practitioners (English language excluding Spanish) from Hong Kong, Austria, Poland and the UK, we have another 5 days mapped out. Starting Thursday the 6th right through till Monday 10th October.

You will be taught in the IHM North Seville clinic for 4 days, and on the Monday will tour a homoeopathic pharmacy and be instructed on the making and usage of the 50 millesimal potency range.                                                                                                     

We will keep you supplied with beverages and snacks and light food so your energy keeps up.

laptop2We will walk you through the teachings of the Organon and Chronic Diseases and show from original sources the foundation of homoeopathy, the therapy. We will build for you Hahnemanns model of casetaking, dispel the myths and show the reality of his methodology. We will present many cases for you at various stages of difficulty to work on and see how the Boenninghausen method of repertorisation works best. We will demonstrate how to understand miasms and how to use them in acute and Chronic diseases.  We will increase your confidence in the therapy by giving you the Hahnemannian guidelines for practice.

There has never been any other way to practice the therapy. What we have today from Kent on is a deviation from the clinically observed practice methodology of Hahnemann. By returning to the proper way, your patients benefit and the practice gains validity again as opposed to modern interpretive practices today which bear the name but not the proper application of the therapeutics. Once more the Materia Medica becomes the bedrock of successful prescribing based on observed symptoms and not speculative thinking.

Contact us at education@instituteforhomoeopathicmedicine.com

 

 

 

The IHM and what it stands for.

In 1810, Hahnemann presented his groundbreaking new medicine and therapy via the book the Organon of the Medical Art.  He presented his method in carefully structured detail. He compiled a database of medical substance proving’s which were listed in the Fragmenta, the Materia Medica Pura and Chronic Diseases.  Hahnemann taught his methods to many students and colleagues, but only put his trust in a small number of practitioners, of whom Clemens Maria Franz (Friedrich) Freiherr (Baron) von Bönninghausen was perhaps the most prominent.

Bönninghausen’s  projects of reportorial works culminating in Therapeutic Pocket Book, was approved by Hahnemann as being an accurate representation of the proving’s database and clinical experience. (The T.P.B. actually is an amazing synthetic approach of how Hahnemann’s mind worked in case analysis.)

Although Hahnemann revised the Organon six times before his death, and constantly examined possible changes to methodology, he never made changes to the central prescribing principle of like cures like, without which homeopathy (the therapy) cannot exist as a separate modality.  If the principle of “like cures like”, with its required database of provings, is abandoned, as has been the case with modern approaches and methods, the certainty offered by prescribing to principle is lost, the path obliterated.

hahnem14

At the IHM we look no further than Hahnemann’s circle of trust.  We work with Hahnemann’s structure of method and database, Organon and proving’s.  We explore the writings of those whom Hahnemann commended, and study and apply the work of Boenninghausen in great depth.

We do not do this slavishly.  In order to validate the method, the works and writings of others claiming to be homoeopaths are examined for similarities and differences in approach to the therapy. Sadly, the decline in homoeopathic integrity began with one of its most able practitioners who was politically naïve.

On the political level Carroll Dunham was a peace maker. It was said of him that he had no enemies. His liberal and generous mind made it easier for him to accept compromise. Unfortunately compromise on the search for the truth leads to error. In 1870 he made a notable presentation before the American Institute of Homœopathy (AIH) called ‘Freedom of Medical Opinion and Action: a Vital Necessity and a Great Responsibility’. He believed, contrary to his predecessors, that liberty of opinion and practice should prevail within the AIH. He said that he was sure that “perfect liberty will sooner bring knowledge of the truth and that purity of practice which we all desire.” His speech provided license to the pseudo-homeopaths to practice as they wanted and be still identified as homeopaths. Subsequent to his address knowledge of homeopathy was removed in 1874 as a requirement for membership in the AIH. Dunham died in 1877 and did not witness the disastrous effect his noble but naïve vision eventually had on the course of homeopathy in the U.S.A. as most of our institutions disappeared after its members had adopted practices at variance with the teachings of Hahnemann.

(Our Noble and Beloved Carroll Dunham by Dr. André Saine, D.C., N.D., F.C.A.H.)

We work with great care and certainty because we value our integrity as homoeopathic practitioners, and we owe it to our patients to treat based on a tried and true principle, to avoid speculation, theorizing, and invented systems whether based on sensation, the periodic table, kabala, shamanism, kingdoms, families and the like.

Hahnemann’s homoeopathy is the modality which achieved tremendous successes in the cholera epidemic of the early 1830s, leading to its acceptance in medical faculties in Europe at the time as a discipline for study.  The original works are filled with discussions and cases demonstrating the efficiency of the method across the spectrum of diseases afflicting mankind.

Today homoeopathy is either being outlawed or relegated to treatment of the most minor problems.  Its vast ability as a medical modality is being lost. Poor training, poor understanding of the medical science behind its development and a search for novelty in case analysis all have contributed to its demise as a valid therapy and is thought of as an intuitive healing method rather than the effective treatment it really is.

The IHM puts all its efforts into teaching from original materials, working with practitioners to achieve greater certainty and effectiveness in prescribing through a full understanding of the central principle of homoeopathy and the best ways to apply it in homoeopathic practice.

We do not wish to add more novel ideas to the world of homoeopathy.  We do see it as part boenninghausen goodof our professional duty, to keep the standards high and teach the real methodology to all who desire to practice proper medicine in the prescribed manner. We lay no claim to being ‘better’ prescribers. We do however concede that our results based on the instructions of Hahnemann give better resolution to medical problems than other interpretive methods of prescribing. There is a great latitude in applying the therapy, however deviating from its central core or adding a false overlay of psychological analysis and emphasizing or interpreting physical symptoms as delusional states is not the answer.

Video

Case taking

Wow!

Due to the kindness of supporters of Hahnemannian homoeopathy,  We are able to lower the price of the new 8 month modular course considerably.

Please look at the new fee structure here.  https://instituteforhomoeopathicmedicine.wordpress.com/advanced-practitioner-training/

First intake will start in October 2015. Reserve your place now.

Contact on education@instituteforhomoeopathicmedicine.com

Hahnemann’s early Provings of Medicines.

Hahnemann was the first who made the proving of medicines a system.

As early as 1790 we see Hahnemann experimenting with drugs upon himself.

In 1796 he writes in Hufeland’s journal [II, St. 3, p. 465. Lesser Writings, 309 et. seq.] that the search for specific remedies [In this place we may observe that the word specific has a different meaning in homoeopathy to what it has among allopathic therapeutists. The latter understand by specific remedies such as are employed for a certain disease ; thus for them quinine is a specific for ague, mercury for syphilis, &c. The physician who seeks for one medicine for a form of disease, falls into routine practice. Homoeopathists understand by specific remedies such as are capable of influencing under certain conditions, certain organs and tissues, these and none other.] was the most desirable and praiseworthy undertaking, but he laments the utter want of any principle for discovering them ; hitherto experience only has been the doubtful guide.

“Nothing then remains for us but to test the medicines on our own bodies.

The necessity of this has been perceived in all ages, but a false way was generally followed, inasmuch as they were only employed empirically and capriciously in diseases.” In this way, he continues, no certain results could be gathered, more especially as medicines were given mixed together.

” The true physician whose sole aim is to perfect his art can make use of no other information concerning medicines , than :

” First, what is the pure action of each by itself on the healthy human body.

” Secondly, what do observations of their action in various simple or complicated maladies teach us ?”

In order to ascertain the actions of drugs on the healthy body, he recommends proving on ourselves and the study of records of poisoning.

” A complete collection of this kind of information with estimation of the degree of reliance to be placed on their reporters would be, if I am not very much mistaken, the foundation stone of a materia medica, the sacred book of its revelation…. “

He zealously occupied himself and others who devoted themselves to it with the proving of medicines, the collection of cases of poisoning and the formation from the results thus arrived at of a materia medica which should be free from all assumptions and founded only on experiment.

His great endeavour was to found a physiological materia medica.

His first essay of this kind was called, Fragments de viribus medicamentorum positivis, Lipsiae , 1805, wherein he arranged systematically the results of his provings and of his studies.

He himself says of it in the preface :

Nemo me melius novit, quam manca sint et tenua.”

Nevertheless a merely superficial glance at this collection will show with what devoted diligence and earnestness of conviction he worked at it.

The book consists of two parts, of which the first contains 269, the second with the repertory of the first, 470 pages.

The drugs in this work whose effects he partly proved on himself and partly gleaned from the toxicological observations of others, are the following in their order :

Aconitum napellus, tinctura acris (Hahnemann‘s causticum),
Arnica,
Belladonna,
Camphor,
Lytta vesicatoria (cantharides),
Capsicum annuum,
Chamomilla,
China,
Cocculus,
Cuprum vitriolatum,
Digitalis,
Hyoscyamus,
Ignatia,
Ipecacuanha,
Ledum palustre,
Helleborus niger,
Mezereum,
Nux vomica,
Opium,
Pulsatilla,
Rheum,
Stramonium,
Valeriana,
Veratrum album.

In the same year, 1805, he says in his Medicine of Experience : [Lesser Writings, p. 514.]

those substances which we term medicines are unnatural irritants, only calculated to disturb the health of our body, our life and the functions of our organs, and to excite disagreeable sensations, in one word to render the healthy — sick.

There is no medicine whatever which does not possess this tendency, and no substance is medicinal which does not possess it.”

Therefore he required the most exact proving of drugs on the human body in order to ascertain their powers.

Ameke, Wilhelm. History of Homœopathy, Its Origin; Its Conflicts. 1885

Agravación por Frío en el TPB

Autor: Dr. José Guillermo Zamora de la Paz, Médico Cirujano UAG, Dhom. Med. (Lic.) por el Institute for Homoeopathic Medicine.

Tal y como la segunda parte del título del Therapeutic Pocket Book nos indica “A Guide to the Materia Medica”, el repertorio es un guía de materia medica. Se trata de un trabajo, una síntesis, para memorizar los síntomas de la materia médica, representados para cada una de las rúbricas en el contexto de una patogenesia que debe haber sido estudiada y reestudiada previamente a fin de que el practicante pueda saber qué es lo que busca y en qué síntoma debe buscarlo. Aún ante la falta de un conocimiento profundo, ésta herramienta puede servir para el aprendizaje de esta MM, e incluso para hacer un análisis, aunque desde mi punto de vista con una menor eficacia.

Por favor haga clic sobre la imagen para amplificar

Agravación por frío Continue reading

The Constitution from the standpoint of Hahnemann

Translated from the Spanish.

The original Post in Spanish: https://pandwespanol.wordpress.com/2015/06/30/la-constitucion-desde-la-optica-de-hahnemann/

 

In the aphorism 5 , Hahnemann tells us that should be taken into consideration everything that can be ascertained from the physical constitution of the patient (especially when the disease is chronic), his moral and intellectual, occupation, lifestyle and habits, relationships social and domestic, age, sexual functioning, etc . “ (§ 5, Org VI)

While in the aphorism 6 tells us:

“The void of prejudices and well aware of the futility of transcendental speculations which can not be confirmed by experience, observer to each individual case of disease noted only -By exercised its power to the maximum penetration – the changes in health your body and mind(morbid phenomena, accidents, symptoms) which can be perceived externally by means of the senses; ie only he warns deviations based on the previous state of health leading to the now diseased individual,which are felt by the patient, confirmed by those who live with him and observed by the physician. All these perceptible signs represent the disease in its entirety or whether, taken together, constitute the real picture and the only conceivable disease. “

Then we have two polarizations of thought that lead to the ends when both paragraphs are not interpreted as a whole and according to other minor writings.For one allopathic school that is responsible for treating the disease and secondly the spiritualist school sobrepsicologizada James Kent (and derived via Sankaran and Vithoukas), in which the object of treatment is the person, as Hippocrates said through its maxim ” no diseases but sick . ” However, homeopathic school, from the Hahnemannian methodology is neither one side nor the other, but rather in an intermediate point of balance. The latter is responsible for dealing with the disease in the person, according to the ingenious modification of the maximum Hippocratic made ​​by Lain Entralgo saying ” no diseases but sick

Thus, from a genuine homeopathic approach, the physician may have 20 cases with the same diagnosis of disease, but symptomatically manifested differently by each of those 20 people. Therefore, Hahnemann advises us to consider all the factors mentioned in aphorism 5, to determine what has changed in the patient, based on his previous health status and thus be able to individualize each case when it has been manifested disease (§ 6).

In relation to these two aphorisms in the Organon, Boenninghausen shown their understanding and consistency with Dr. Hahnemann when his younger written “A Contribution to Concerning the Characteristic Value of Symptoms Judgment“indicates that knowing the personality and body constitution patient are necessary, but only for them to be considered as a benchmark to detecteverything that differs from that for the disease and that deserves special attention .

In the same aphorism 5, Hahnemann tells us that it is helpful in curing doctor “everything that relates to the exciting cause of the acute disease … and also the most important points in the history of chronic disease, that put you in a position to discover the root cause , which is generally due to a chronic miasma “and may well correlate with the last sentence of aphorism 72 that says”disease, called chronic, are caused by a chronic miasma .

So far, we assume that you have a clear conception of what is a miasma to Hahnemann . Now, should differentiate the cause exciting or exciter causecritical .

The exciting causes , in the aphorism 73 tells us that these can be ” excesses in food or deficiency, severe physical impressions, chills, hot flashes, dissipation, effort, etc., or physical irritations, mental emotions, and the like “.

On the other hand it says that the miasma (psora) is ” the most common underlying cause of chronic diseases “(§ 206 Org VI), which in turn indicates that root cause, Hahnemann refers to the miasma and the exciting causes are those that trigger the development of symptoms of acute illness or chronic disease is dormant. This should leave no doubt that in chronic diseases, the person must first have been infected with the root cause for an exciting cause can then “wake up” symptoms; therefore, the physical constitution, character, preferences and physical features of the patient are not the root cause of chronic disease, nor are symptoms themselves, nor predispose to acquire in the first instance.

Hahnemann advises us to take into account other factors that may be perpetuating exposure to possible miasma or both are hindering aggravating or canceling our prescription likewise advise other general measures.

  • 208 Org. SAW

“They must take into consideration the patient’s age, your lifestyle and your diet, your occupation, your home environment, social relationships and so on, to determine if these things have contributed to increasing their disease, or to what extent have helped or hindered treatment. Similarly should take care of their mood and mind, to know if they have any obstacles to treatment, or need to be addressed, stimulated or modified. “

Susceptibility

Of no less importance is necessary to take into account the susceptibility in the patient according to Hahnemann in the case of acute diseases (epidemic) ” only have a few people at a time§73 , whereas in chronic disease thesusceptibilityto be affected by the miasma of itch is in almost all humans, whatever the circumstances , which does not happen with the other two … No other chronic miasma miasma infects as many people as surely and easily as pruritus … is the most contagious. “ (Par 71, 72 EC)

Of the Constitution:

During his speech, in chronic diseases, Hahnemann quoted in paragraph 46 the work of Ludwig Christian Juncker, who made ​​a series of observations concerning symptoms after the suppression of itching that patients with certain constitutions tended to deploy, or rather, symptoms that were dependent on the physical constitution and different temperaments. For example, the suppression of pruritus was followed in ” obese people by stifling coughs and mucous consumption

This should not be confused, because the context of the quote clearly refers to a time that has already made ​​the process of contagion by the miasmainfecting with subsequent reaction of the miasmatic disease acquired , in this case the Psora and for Hahnemann was a way to find that certain symptoms that he had observed belonged to the Psora disease .

We can transpolar these observations concerning symptoms depending on the constitution, to which for example now we understand in conventional medicine as a predisposing factor (from the cause exciter ) of diabetes in a patient who has become obese or overweight, considering the the possible pathogenesis of autoimmune process implicitly associated with the disease and, according to various sources, is produced by viruses, chemical factor, among others, that in the case of chronic disease model would be the root cause . The hereditary in this model Hahnemannian not have a definition confined to what we understand today as such , nor is it implicit in the origin of chronic disease according to design theory by the author himself. (See: According to Hahnemann What is a miasma? )

Given this, then your doctor may order a proper diet, exercise routine, stress management, as well as educating the patient about the full care of your body and warning signs.

Chronic diseases:

95. ” The awakening of internal psora , which so far has been dormant, latent and, so to speak, contained by a good body composition and favorable external circumstances , and its forthcoming violent eruption under the guise of aches and More serious diseases, are foretold by increased symptoms that are given below and by many other signs and disturbances. These are varied, conforming to the different body constitutions , the hereditary disposition ( congenital ), errors in education and habits, the way of life and diet, to the various activities, which occupies the mind, morality and so on. “

96 .- “It is then when the internal disease of itching begins to develop secondary overt disease , the symptoms listed below ‘mentioned, who have observed and removed entirely from the medical records of cases that I I have tried it successfully and, with no doubt, originated in a contagion of itching and were not complicated with syphilis or with psychosis. “

  • 81 Organon VI

“The fact that this extremely ancient infecting agent has gradually gone through many millions of human bodies in some hundreds of generations, reaching an incredible development, makes it conceivable in a way as you can now display such innumerable morbid forms in the human family, particularly when we consider that number of circumstances 131 contributes to the production of this variety of chronic diseases (secondary symptoms of psora), plus the indescribable diversity of men about their congenital physique ; so that should not be surprising if such a variety of harmful influences at work internally or externally, and sometimes continually on such a variety of blended agencies psoric miasma, produce an endless variety of defects, injuries, disorders and suffering which so far had been treated in the works old pathology February 1 low number of special names, as diseases of an independent character right. “

1 Some of these causes exert modifying influence on the transformation of psora in chronic disease , sometimes clearly depend on the climate and the unique physical character of the place that is inhabited, sometimes the variety of physical and mental education Youth, which may have been neglected, delayed or carried excesses or abuse in business, or living conditions, on the issue of diet and regimen, passions, behavior, habits and customs of various kinds “

In this regard, we must emphasize once again that the constitution ( physical ) and other factors to investigate in aphorism 5 are ” useful to the doctor to help curebut not to select the remedy for the simple reason that OR a person’s height, color of skin or eyes, the shape of his head or his eyes, his fingerprints, his personality preferences or wrongly understood as constitution, can be considered as symptoms of disease and neither can be altered or produced by a remedy in a person.

With the investigation of all these personal aspects of the patient if the doctor finds some cause exciting or occasional ( ocasionalis ) that trigger or maintain the disease, then you can proceed to intervene or make other recommendationsNP  to remove, without forgetting that the miasma as the cause critical can also be intangible nature, and that the goal of treatment is to eliminate, as far as possible, the susceptibility to infection miasma and thus resolve the chronicityof the disease-reaction can be confirmed by then cured.

NP.-aphorism Footnote 7

Needless to say that every intelligent physician separates the existing occasional cause, with usually cease spontaneously indisposition. So, away from the room very fragrant flowers , which tend to cause syncope and hysterical sufferings; extracted from the cornea the foreign body that causes inflammation of the eye, loosened the bandages too tight in an injured limb, threatening gangrene, to apply best; discovers and binds the wound bleeding artery to determine syncope, tries, by vomiting, the expulsion of belladonna berries , etc. etc, that had ingested; extracted foreign bodies that may have been introduced into the holes of the body (nose, throat, ears, urethra, rectum, vagina); grinds bladder stones ;imperforate anus opens newborn , etc.

In synergy with the aphorisms 5 and 6, the teacher is clear in stating that there are no diseases exciting to remove identifiable cause ” can not perceive anything but the symptoms , must … be only them the means by which the disease calls and it indicates the appropriate remedy to relieve … “( § 7 ) “… antipsoric or not, but to save the greater symptomatic similarity …” (§209)