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Understanding clinical aspects of lm scale of potencies
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Transcript of Understanding clinical aspects of lm scale of potencies
UNDERSTANDING CLINICAL ASPECTS OF FIFTY MILLESIMAL
SCALE OF POTENCIES IN HOMOEOPATHIC PRACTISE
PRESENTATION BY: DR. BIPIN JETHANI
Assistant Professor/ Reader,Department of Organon of Medicine
Nehru Homoeopathic Medical College & Hospital,
New Delhi.
E-mail: [email protected]
FIFTY MILLESIMAL SCALE OF POTENCIES:
HAHNEMANN’S FINAL REFORMATION IN POSOLOGY
‘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. …..
Footnote to §246 of sixth edition
‘…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).Footnote to §246 of sixth edition
EVOLUTION OF FIFTY MILLESIMAL SCALE OF POTENCIES
WITH ANY PROBLEM THESE QUESTION NEED TO BE ANSWERED
TRANSFORMATION FROM CENTISIMALS
TO FIFTY MILLESIMALS
In light of his experience, Hahnemann suggested two modifications in the mode of administration of centesimal scale of potencies :
• ADMINISTRATION of similimum IN LIQUID FORM
• CHANGING DEGREE OF DYNAMISATION WITH EACH DOSE ADMINISTERED TO THE PATIENT
need to administer medicine in liquid form
‘Such a globule, placed dry upon the tongue, is one of the smallest doses for a moderate recent case of illness. Here but few nerves are touched by the medicine. A similar globule, crushed with some sugar of milk and dissolved in a good deal of water and stirred well before every administration will produce a far more powerful medicine for the use of several days. Every dose, no matter how minute, touches, on the contrary, many nerves.’
§ 272 (Sixth Edition)
need to change degree of dynamisation with each dose
‘It is impractical to repeat the same unchanged dose of a remedy once, not to mention its frequent repetition (and at short intervals in order not to delay the cure). The vital principle does not accept such unchanged doses without resistance, that is, without other symptoms of the medicine to manifest themselves than those similar to the disease to be cured, because the former dose has already accomplished the expected change in the vital principle and a second dynamically wholly similar, unchanged dose of the same medicine no longer finds, therefore, the same conditions of the vital force………...
§ 247 (Sixth Edition)
§ 247 (Sixth Edition) of organon of medicine
……….The patient may indeed be made sick in another way by receiving other such unchanged doses, even sicker than he was, for now only those symptoms of the given remedy remain active which were not homœopathic to the original disease, hence no step towards cure can follow, only a true aggravation of the condition of the patient. But if the succeeding dose is changed slightly every time, namely potentized somewhat higher (§§ 269-270) then the vital principle may be altered without difficulty by the same medicine (the sensation of natural disease diminishing) and thus the cure brought nearer.
Change affected in centisemal scale of
potencies
Hahnemann consequently incorporated these two principles of posology (administration of similimum in liquid form and changing degree of dynamisation with each dose) in the centesimal scale of potencies.
ADMINISTRATION IN LIQUID FORM
“Experience has shown me that it is most useful in disease of any magnitude to give to the patients the powerful homoeopathic pellet or pellets only in solution and this solution in divided doses……….
Preface to the 3rd volume of ‘The Chronic Diseases - Their Peculiar Nature and Their Homoeopathic Cure’
Preface to the 3rd volume of ‘The Chronic Diseases - Their Peculiar Nature and Their
Homoeopathic Cure’
………In this way, we give the medicine, dissolved in seven to twenty tablespoonfuls of water in acute and very acute diseases every six, four or two hours; where the danger is urgent, even every hour or every half-hour, a tablespoonful at a time; with weak persons or children, only a small part of a tablespoonful may be given as a dose. In chronic diseases I have found it best to give a dose of a solution of the suitable medicine at least every two days, more usually every day”.
CHANGING DEGREE OF DYNAMISATION WITH EACH DOSE
‘Our vital principle cannot well bear that the same unchanged dose of medicine be given even twice in succession, much less more frequently to a patient…….. But in taking one and the same medicine repeatedly; if the dose is in every case varied and modified only a little in its degree of dynamisation, then the vital force of the patient will calmly, and as it were, willingly receive the same medicine even at brief intervals very many times in succession with the best results….
Preface to the 3rd volume of ‘The Chronic Diseases - Their Peculiar Nature and Their Homoeopathic Cure
Preface to the 3rd volume of ‘The Chronic Diseases - Their Peculiar Nature and Their
Homoeopathic Cure’
…….This slight change in the degree of dynamisation is effected; if the bottle which contains the solution of one or more pellets is merely well shaken five or six times, every time before taking it”.
HAHNEMANN OBSERVED FURIOUS AGGRAVATION IN SENSITIVE PATIENTS.
‘But with so small a diluting medium as 100 to 1 of the medicine, if many succussions by means of a powerful machine are forced into it, medicines are then developed which, especially in the higher degrees of dynamization, act almost immediately, but with furious, even dangerous violence, especially in weakly patients, without having a lasting, mild reaction of the vital principle.’
Footnote to § 270 (sixth edition)
SOLUTION TO THE PROBLEM:INCREASING THE RATION OF
DILUTION
‘With this disproportionate higher ratio between medicine and diluting medium many successive strokes of the vial filled two-thirds with alcohol can produce a much greater development of power…..…The method described by me, on the contrary, produces medicines of highest development of power and mildest action, which, however, if well chosen, touches all suffering parts curatively.’
Birth of fifty millesimal scale of potencies
• Increased diluent ratio.
• Administration in liquid form.
• Changing degree of dynamisation with each dose.
MODE OF ADMINISTRATIONMade in 40, 30, 20, 15 or 8 tablespoons of
water with the addition of some alcohol or a piece of charcoal in order to preserve it. If charcoal is used, it is suspended by means of a thread in the vial and is taken out when the vial is succussed. The solution of the medicinal globule (and it is rarely necessary to use more than one globule) of a thoroughly potentized medicine in a large quantity of water can be obviated by making a solution in only 7-8 tablespoons of water and after thorough succussion of the vial take from it one tablespoon and put it in a glass of water (containing about 7 to 8 spoonfuls), this stirred thoroughly and then given a dose to the patient…….
§ 248 FOOTNOTE – 6TH EDITION OF ORGANON OF MEDICINE
MODIFICATION OF DOSE IN LM POTENCIES
…………If he is unusually excited and sensitive, a teaspoon of this solution may be put in a second glass of water, thoroughly stirred and teaspoonful doses or more be given. There are patients of so great sensitiveness that a third or fourth glass, similarly prepared, may be necessary. Each such prepared glass must be made fresh daily. the globule of the high potency is best crushed in a few grains of sugar of milk which the patient can put in the vial and be dissolved in the requisite quantity of water.
§ 248 FOOTNOTE – 6TH EDITION OF ORGANON OF
MEDICINE
HAHNEMANN REVEALED HIS NEW DISCOVERY TO BARON VON
BOENNINGHAUSEN.
Hahnemann shared the methods of the LM potency with him
before he passed away. Thus other than Melanie Hahnemann,
Boenninghausen seems to be the only person who was privy
to this information.
HAHNEMANN’S CORRESPONDENCE
WITH BOENNINGHAUSEN
Hahnemann sent Baron von Boenninghausen two LM case histories in 1843, shortly before he left for his Heavenly Abode. The Baron shared these cases with his colleagues in the Stapf's Archives, Volume 1 number 1 published in 1844, page 69.
BOENNINGHAUSEN’S SILENCE ON 6TH EDITION OF ORGANON
After Samuel's death Melanie Hahnemann told the Baron von Boenninghausen that the 6th Organon would soon be published. When he announced this event to his colleagues, Melanie asked him to remain quiet on the subject until after she published the work. Out of respect for Hahnemann's widow the Baron did not disclose all the information in his possession.
"In the new edition of the Organon which will probably appear yet in the course of this year, improved and completed by Hahnemann himself, a new simplified procedure for the potentizing of medicines will be taught, which has considerable advantages over the former and yields a preparation as to the efficacy of which I can, from my own experience, give full praise. I know this procedure but according to my pledged word of honor, am not as yet permitted to communicate it to anyone."
The Lesser Writings; C. M. F. Boenninghausen, Aluminium Metallicum, footnote, page 74.
BOENNINGHAUSEN’S KNOWLEDGE OF LM SCALE OF POTENCIES
ADVANTAGES OF LM POTENCIES
LM potencies give freedom from the bondage of medicinal aggravation on account of their mild action and enable the physician to achieve gentle cure. It is for this reason that these potencies are of greatest utility for highly sensitive individuals and are excellent in palliating incurable diseases (where there is extensive pathological damage) with least danger of aggravation.
HIPPOCRATIC NOTION OF ‘PRIMUM NON NOCERE’
ADVANTAGES OF LM POTENCIES
• The administration of medicine (in Fifty Millesimal scale) in frequently repeated modified doses hastens the process of cure and paves the way for rapid return to state of health.
• However; in case of centesimal scale; the physician and the patient remain arrested in the hands of medicine for a long time and this unneccessarily prolongs the suffering of sick individuals
• The selection of potency is much less ambiguous since LM’s are always started with the lowest degree of dynamisation (ie LM/1).
• The more frequent repitition of the dose in LM potencies minimizes the danger of accidental antidoting of the remedy.
• Moreover; in case the remedy action needs to be antidoted (due to incorrectly chosen medicine); this can be achieved much more easily since the involved doses are much smaller. (Aph. 283).
• In case of administration of LM potency; the patients are taught to observe their own symptoms and adjust their own dosage. Consequently; active involvement of patient is possible which allows for better patient management and compliance.