2. KNOLWLEDGE
If physician clearly perceives…
Also in respect to the exact mode of
preparation and quantity of a required
(PROPER DOSE), And the proper period
for repeating the dose…
Then he understands how to treat
judiciously and rationally.
[3rd aphorism]

3. Remedy Response Evaluation
…and whenever he wishes to Follow up analysis
ascertain what has been the • disease activity
effect of the medicine, and • new symptoms
what change has taken
• generals
place in patient’s state, at
this fresh examination of • subjective distress
the patient he only need to Interpretation
strike out of the list of • progress of disease/
symptoms noted down at recovery & direction
the first visit those that • susceptibility/
have become ameliorated, reactivity / sensitivity
to mark what still remain, Action
and add new symptoms
that may have supervened. Expectation
[ aphorism 104] Retrospection

4. Same unchanged dose?
• Impractical
• Will not be excepted without resistance
• Medicinal symptoms will come
• So ever-changing  slightly higher
potency each time potentization  the
sensation of natural disease diminishing.
[ aphorism – 247]

5. My New Altered But Perfected Method
• All these difficulties are wholly solved about prevent
the undesirable result
• Same carefully selected medicine may now be given
daily and for months.
• In this way, if necessary 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.
• On the other hand, towards the end of chronic
disease, homoeopathic aggravation (161)  reduce the
dose, reduce repetition, stop for several days. See if
the convalescence need not further medicinal aid.
[aphorism 248]

6. • Otherwise unchanged prescription may
indeed be made even sicker then he
was, for now only those symptoms of the
given remedy remain active which were
not homoeopathic to original disease.
[aphorism 247]

7. Boenninghausen…
1. The more chronic the affection, the longer must
be the interval between the administration of the
drugs.
2. Where indicated remedies do not seem to act..
1. Psora – Psorinum
2. Want of susceptibility – opium
3. Weak, emaciated pt with small pulse – Carbo. Veg.
4. Nervous excitement – Laurocerasus.
3. Large number of remedies without curing – one
dose of Psorinum before giving the indicated
medicine.
4. He Himself used most frequently, alternating two
remedies every fourth day

8. Kent…
• It needs tedious inspection of all the symptoms
• Don’t hurry to make prescription
• Always restudy your cases
• Do not administer a medicine without knowing
the constitution of the patient, b’coz it’s
hazardous and dangerous thing
• Whenever in doubt, wait.
• Consider the first that has acted & subsequent
to that is the second

9. Do not change remedy Change in remedy
• Case comes to standstill • New symptoms
with previous Rx. • Change in symptoms &
• Previous continuous no previous
improvement though improvements
change in symptoms • Symptoms of the remedy
• Wait for original – antidote
symptoms to come with Complementary acute
gradual increase in the followed by CR
potency • Alternating remedies
[ Kent’s lecture on homeopathic philosophy ]

10. Boger…
• Whenever the general benefit derived from a
single dose lags, the remedy should be repeated
in the net higher potency, instead of looking
upon the new symptoms as indications of some
other drug; for only the most long-established
dyscrasia can, by varying its expression, resist
the whole scale of an indicated remedy.
• Don’t prescribe the new remedy until the new
symptom picture takes a fairly definite or
settled form.
[ Synoptic key – foreword ]

11. Boger…
• In confident prescription – single dose and a long
wait being absolutely essential to success
• Another class is masked by insusceptibility and
slow reaction, these may require a frequent
repetition of the remedy until a decided movement
is inaugurated.
• The second prescription is always of the greatest
importance, too often we are apt to look for a
different remedy, when in fact the new symptom
complex is only a variation of the older image, and
requires a repetition of former remedy in a
different potency.

12. Boger…
• A great danger lurks in the hasty
prescription, it is a great troublemaker &
mixes up our case, hence the watchword is
wait, wait until the full picture appears.
• Pace and nature of disease
[ collected writings]

13. Roberts…
• Intelligent prescription
• I general, first prescription has had a beneficial
reaction, should allowed to complete its work.
It may be repeated at necessary intervals
through a whole range of potencies.
• SAFE RULE: WHEN IN DOUBT, WAIT.
• Never leave the constitutional remedy which is
beneficial until u have extracted all the benefit
remedy can contribute.

14. Roberts…
• Striking features, peculiar features, the
concomitants are first to be removed.
• Complementary use
• Another miasm after one, Rx accordingly
• In chronic conditions, no prescription, either
first or second, can be made without careful
through studies

15. Close…
• Well selected remedy can fail due to wrong
dosage. Dose as well as remedy must be
adjusted to patient’s need.
• There is nothing like physiological dose in
homoeopathy. In better words, h’pathic
remedy never uses for their physiological
effects.

16. Close…
Five considerations…
1. The susceptibility of the patient
2. The seat of disease
3. The nature and intensity of the disease
4. The stage and duration of the disease
5. The previous treatment of the disease

17. Close…
• Repeat the dose only when improvement
ceases.
• Most difficult thing is learn TO WAIT.
[ The Genius of Homoeopathy ]

18. H C Allen…
• We make mistake in this than any other
area. It requires a master in the art.
• I saw Dr. Lippe clear ups serious cases of
illness over and over again in pneumonia,
bronchitis, and so on with single
prescription
[ collected writings ]

19. J H Allen…
• There is no more beautiful thing than to
watch the slow unfolding of a cure in a
chronic case.
[ collected writings ]

20. Rajan Sankaran…
• When the effect of previous dose is
exhausted?
– General state and feeling better (central
disturbance should decreased)
– Repeat until there is an aggravation. Don’t
repeat the potency that cause the
aggravation.
[ The Spirit of Homoeopathy ]

21. Ajit Kulkarni…
• Attempt for standardization
• If you ask me the chief problem of mine in
my clinical practice, I would point to the
second prescription & repetition.
• Kent, Diwan Harish Chand, Vithoulkas, M.
L. Dhawale are 4 stalwarts whose writing
over follow up is worth following.
• Susceptibility criteria + movement, energy
& pathway.

22. Kanjilal…
• Give a single dose and waiting until the action of the
single dose is definitely finished.
• Ars. Alb. 6x gave relief to the pt for six months
• A dose of sulph. 10M repeated to hasten the action of
sulph. 200 given earlier produced a fatal effect.
• Lyco. 200 did not find any effect for three weeks but
then started improving. But by mistake he took a dose of
sulph. 200 and this made him worse and it took more six
months to repair the damage.

23. Kanjilal…
• From the very beginning to the end we
never prescribe more than one or two doses

24. P. Sankaran…

25. • Potentization – increase the effect on man
& animals. steel not attracted by
magnate, same for Hom. Remedy to
lifeless things.
[ footnote – 147] back