Dear Colleagues,
I have great respect for André Sanie but I must deal with his comments about Samuel Hahnemann, the LM potency, and the 6th Organon.
I have studied the microfiches of the Paris casebooks very closely and
read everything available on the subject of the LM potency. I have also
used the C and LM potency in medicinal solution for over 20 years and
taught countless others how to do likewise. There are several
misconceptions and historical inaccuracies in his statements about the
Hahnemann and the LM potency. For this reason, it is my duty to place
the truth in the public domain.
Dr. Saine begins his critique by saying
that Hahnemann commonly used the 200th potency by 1840 and that by the
beginning of 1841 he started experimenting with the LM potency. He also
said Hahnemann only had 12 LM remedies with Sulphur prepared only to the
0/20. He stated that Hahnemann only experimented with the LMs for
around 2 years and used them less in 1842 than in 1841 and barely
practiced in 1843. Then he says rather sardonically that Hahnemann
"apparently" though he had enough experience to authoritatively
recommend the LM potencies to his colleagues. Dr. Saine says he has read
almost every LM case and it was truly "very difficult" to be satisfied
with the results.
By 1840 Hahnemann was using
potencies like the 191, 192, 193 to 199th and occasionally gave the
200C. For some reason, he preferred to use potencies in the 190-199C
ranges rather than 200C. Is this because he found that the 200C was not
the smoothest potency? This particular potency has earned a reputation
as the "great aggravator" in some circles. Nevertheless by 1840s
Hahnemann did have a good amount of experience with potencies up to the
200c, and according to Melanie, he also tested the 1M. Hahnemann
continued to these higher potency centesimal remedies even after the
developed the LM potency.
Dr. Saine claims that
Hahnemann only began to use the LM potency in early 1841 and only
administered the remedies for around two years. On this basis he implies
that Hahnemann was rash to recommend the LM potency based on such
limited experience. The idea that Hahnemann only used the LM potency for
two years does not fit the timeline presented in the 6 th Organon or the material found in his Paris casebooks. In the footnote to aphorism 246 of the 6 th Organon (c. 1842-1843) the Founder wrote:
"What I said in the long footnote to this paragraph in the fifth edition of The Organon of the Medical Art was all that my experience allowed me to say at the time. It was written with the purpose of preventing these adverse reactions of the life principle. However, during the last four or five years, all such difficulties have been fully lifted through the modifications I have made since then, resulting in my new, perfected procedure [for fifty-millesimal potency medicines]."Organon of the Medical Art; S . Hahnemann (O'Reilly 6th Edition), footnote, Aphorism 246.
The earliest known
administration of the fifty-millesimal potency was on March 9, 1838
(DF-6 p.145) when Hahnemann prescribed Sulphur 0/1 to a patient named
Eugene. The introduction of the medicinal solution and split-dose in
1837 and the first LM case in early 1838 fit perfectly into Hahnemann's
timeline for introducing his new methods. These two hallmark dates are
exactly four to five years from the time of writing the 6th Organon .
Although Ms. O'Reilly inserted the words [for fifty-millesimal potency
medicine] into the text they are not found in the original German. This
is because Hahnemann is referring to his "new, perfected procedure" that
he applied equally to C and LM potency. This procedure includes the use
of the medicinal solution, succussing the remedy bottle prior to
administration, and the use of the split-dose at suitable intervals to
speed the cure when necessary. This shows that Dr. Saine's statement on
this matter is historically incorrect.
Although the first LM
prescriptions started in 1838, Hahnemann did not extensively test his
new potency in the clinic until the 1840s. The idea that Hahnemann did
not use the LM potency in 1840 is also false. For example, on May 22nd,
1840 Mr. Tarbocher (DF-12) received a single dose olfaction of Sulphur
LM 0/1 followed by 4 placebos. These two cases prove that Hahnemann used
the LM potency long before 1841. Dr. Saine's claim that Hahnemann used
the LM potency less in 1842 than 1841 is also incorrect. Adler's
statistical study of the Paris casebooks shows that the number of LM
prescriptions using three degrees of potency in 1842 was much greater
than in 1841.
My impression is that the LM
potency was tested quite extensively in 1841 and 1842 and by 1842
Hahnemann had worked out the system as rendered in the 6th Organon .
He increasing applied his new system in both 1842 and 1843. It is true
Hahnemann only used the LM potency for part 1843 as he passed away on
Sunday, July 2nd, 1843. Nevertheless, Hahnemann was working with many
patients right up until his final illness. During this time he
administered nearly half as many LM prescriptions in at least three
degrees of ascending potencies than he prescribed in all of 1842! He was
intensifying his use of the LM potency in his last thee years not
decreasing it. The facts show that Hahnemann tested the LM potencies
over a five-year period.
To say Hahnemann only had
12 remedies in the LM potency with Sulphur only potentized up to 0/20 is
historically incorrect. In 1920 Haehl recovered Hahnemann's: LM remedy
box. He noted that a large part of the contents of medicine chest were
missing leaving only seventy remedies in the Fifty Millesimal potency.
He opined, however, that Samuel had around one hundred and fifty LM
remedies. Most of the remedies were potentized from the 0/1 to 0/10
degrees but the cardinal anti-miasmatic medicines like Mercury and
Sulphur was potentized up to the 0/30. Where does the idea that
Hahnemann had only 12 remedies which he only used less and less over a
two year period come from? Why is this false information used to demean
the Founder experience in this manner?
It is easy to compare the
Paris cases in which he used the high potency Cs like the 190-200 th
with the cases he used the LM potency. I have read Hahnemann's LM cases,
and just like his C cases, there are some successes and some failures.
What can be said for the LM potency can be said for the C potencies. The
way Dr. Saine portrays the fifty millesimal potency cases makes it
sound like Hahnemann's centesimal cases we somehow much better. This is a
complete untruth. The reason he was experimenting with the LM potency
was he was not satisfied with C potencies. Hahnemann seemed to prefer
the LM potency in chronic diseases in his last two years. Nevertheless,
he continued to use both the C and LM potency in medicinal solution side
by side until his passing in 1843. In truth the new methodology is just
as important as the twin potency factors.
One must remember that
Hahnemann is the Alpha of Homoeopathy - not the Omega. What one sees in
his German and French casebooks is the birth of Homeopathy. Samuel is
the Father but his child is still growing and has yet to attain its full
maturity. Hahnemann's stated one of the difficulties he faced was the
limited number of well-proven remedies. The repertories and materia
medicas at his disposal only contained around 125 remedies. If one is
going to honestly criticize the LM cases they should likewise criticize
the cases using 6C to 200C. It is not a matter Hahnemann's C cases
versus his LM cases. It is a question of how to use both potency systems
to the best advantage in our life and times.
Dr. Saine also accuses
Hahnemann of being dogmatic and says this is because he always though
his latest experiments were the ultimate way. He says that reading
Hahnemann's works in their chronological order shows he always tired to
impress upon the reader his latest method was "absolute perfection, and,
that is it. Period". He claims that when we read any edition of the
Organon, including the 6th we may get stuck in his "dogmatism" and not
go beyond his last word. He behooves us to go beyond this dogmatism and
not repeat the Hahnemann's mistakes and be open to change. He says the
only thing that really matters is the inductive method introduced by the
Founder.
Well I would agree that
Hahnemann's inductive method is central and indispensable but so are the
principles similars cure similars, the minimum dose and the potentized
remedy. These are the checks and balances that make homoeopathy a safe
and effective system. The Founder spoke of the limitation of his system
and kept on working at improving the system. He often pointed out his
mistakes in the various editions of the Organon and The Chronic Diseases .
The record shows that his attitude was to keep experimenting in an
effort to make improvements and overcome obstacles. He never thought
that one technique was "Perfected. Period!" By the time Hahnemann
published his present experience he was already working to make new
improvements. He also included the ideas of others if they were better
than his own. For example, Hahnemann got the idea of using a downward
succussion on a hard but elastic surface from Jenichen. Before this he
only used a downward jerk of the arm.
Where Hahnemann was
historically accused of "dogmatism" was in relationship to his feeling
that Homeopathy was inherently superior to allopathy and the two should
not be mixed. When people mixed his new system with the old school he
became upset and demanded loyalty to Homeopathy. He wanted to protect
his new system because he was afraid it would be swallowed up by
orthodox medicine to the point it would be lost as a pure science. In my
opinion, he was quite right to protect his creation. If he did not
defend his new system it would have been destroyed by the
half-homeopaths and allopaths.
To call Hahnemann
"dogmatic" because he felt his final method was his best is unwarranted.
Of course, he felt each work was better than the last one because, in
general, they were! Hahnemann's middle path method found in the 5 th and
6th edition is a more perfected method than what he taught in the 1, 2,
3, and 4th Organon . In the first four editions of the Organon
Hahnemann taught that a remedy must not be repeated until the duration
of its affects had completely ceased and the patient relapsed. In the
5th and 6th edition he found a better method that transcend this
limitation when certain conditions were followed. This new method allows
for a more gentle, rapid and permanent cure than was possible with the
first 4 editions.
In the 5th and 6th Organon
Hahnemann taught that any "noticeably progressive and strikingly
increasing amelioration" is a sign that precludes the repetition of the
medicine as long as it lasts. The reason for this is that the medicine
being use is still hastening toward completion at the fastest rate
possible. The repetition of the remedy under these conditions only slows
down the cure or causes relapses. This reflects what Hahnemann said in
aphorism 245 of the 5th Organon on the single dose. This
aphorism shows one when the wait and watch method is most appropriate.
Nothing has been lost and there is everything to gain from the
experience of the Founder over his last 14 years.
Hahnemann then says, "On
the other hand" there are some cases that have only "slow, continuous
improvement based on one dose of a aptly selected homeopathic medicine
taking 40, 50, 60 100 days to complete the cure, depending on the nature
of the medicine, but his is very seldom the case". In most cases where
there is only slow improvement the patient relapses long before cure is
achieved. Hahnemann goes on to state how important it is to "foreshorten
this period" to 1/2, 3/4 or less the time attaining a much more rapid
cure. This reflects what Hahnemann said in aphorism 246 of the 5th Organon on repeating the remedy to speed the cure.
Hahnemann makes it very
clear that there are two basic types of remedy actions that must be
treated differently. The Founder no longer treated every case the same
like he did from 1810 to 1833.
A. The first condition is a
visibly progressing and strikingly increasing amelioration. In this
instance one is too leave the single dose act without repetition as long
as this state last. This also means that any time during treatment
there is a dramatically increasing amelioration on a series of doses
stop the remedy. This is true for the C and LM potency.
B. The second condition is a
slow continuous improvement that could take up to 100 days to show any
significant improvement. This, however, is seldom the case. Most of the
time a slow improvement ceases at some point and the patient relapses.
In this case one should repeat the dose at suitable intervals to speed
the cure. This is quite common in protracted chronic disease. One may
repeat the dose to speed the cure only if they meet all five conditions
noted at the end of the paragraph.
1. The remedy is perfectly homeopathic (Not a wrong remedy or a partial simillimum.)
2. The remedy is potentized and dissolved in water. (Not the dry dose.)
3. The remedy is given in a small dose (1 pill in a 7-8 tablespoon medicinal solution, given in a split-dose, olfaction, etc.)
4. The remedy is given at suitable intervals based on what experience has shown to be best. (Individualization.)
5. The degree of potency must
be changed before administering each dose (The medicinal solution must
be succussed prior to ingestion.)
There is a great difference
between a visibly progressing and strikingly increasing amelioration
and a slow continuous improvement that takes up to 100 days to show any
significant results. What Hahnemann is offering is a very clear
differential of two completely different types of remedy actions. This
is a much more sophisticated approach then just giving everyone a single
dose and then waiting and watching no matter how slowly the patient is
progressing. With his new posology methods there was no need to watch
for weeks and months with the patient barely improving and wait for a
relapse.
Why wait for a relapse of
symptoms when the remedy can be repeated where there is only gradual
improvement? This is not the time to wait and watch. This is the time to
act and observe! Waiting for long periods with the patient barely
improving is not necessary with Hahnemann's advanced methods. Why not
repeat the remedy as long is the improvement is continuing and there are
no aggravations or new symptoms? Anytime there is a strikingly
increasing amelioration the repetition is stopped as long as this state
lasts. This middle path method can greatly speed the cure of protracted
cases that take months and years to cure! This is not dogma - This is
the fruit of over 40 years of experience!
The Paris casebooks show
that Hahnemann tended to start his cases by giving a single dose by
olfaction followed by placebos or short series of 3 to 7 doses oral
doses over a period of one week. Then he would check the patient and
make a proper assessment of the remedy, dose, potency and repetition.
Whenever there was a strong remedial action he would give the patient
placebos and have them return in another week. If the patient appeared
to require the repetition of the remedy to speed the cure he would
continue his doses as long as there was no aggravation or new symptoms.
Anytime there was a strikingly increasing amelioration he would stop the
dose as long as this state lasted. Hahnemann constantly alternated
active doses with placebo and periods of waiting and watching throughout
the case. He used this "on again - off again' method to control the
power of both the C and LM potency in medicinal solution. There are no
daily doses for weeks, months and years on end in the Paris casebooks.
Dr. Saine says that if the 6th edition of the Organon
had been published in 1843 the question of potencies would have evolved
differently. He makes it sound good that the 6th edition was lost for
nearly 80 years so that the higher potency Cs could develop. He says it
was fortunate that after Hahnemann died Boenninghausen started to use
the 200th regularly and that later on, especially in America, they
started to experiment with the highest potencies. He says that based on
150 years of experiments by Hahnemann, Boenninghausen, Lippe, Hering,
Dunham, Skinner, Nash, etc., "the higher potencies have been proven and
are here to stay."
Yes, the high potencies are
here to stay but that doesn't mean there is no room for any other
potencies! Boenninghausen was already using the 200C and higher before
Hahnemann died but he also used other potencies as well. When Melanie
Hahnemann was asked about what potencies Samuel used she replied that he
use anything from 3C to 1M depending on what was needed. It is a fact
that some patients do better on the 6C, some on the 12C, some on the
30C, some on the 200C, some on the 1M and some need the LM potencies. It
is best to have as many options as possible.
If you try to give high
potencies to everyone the outcome in some will be dangerous
aggravations, accessory symptoms and antagonistic counter actions of the
vital force. In some cases there is a danger of making the disease
worse and causing premature death. The higher potencies do not suit
every patient and all disease states. At one stage Kent tried to begin
his cases with ultra high potencies but he found that it was counter
productive in the long run. Later he suggested starting at the lower
ranges and moving upward to the higher degrees as the case progressed.
Kent learned this the hard way, and was honest enough to share his
experience so we don't make the same mistakes.
Hahnemann never said "don't
use Cs anymore - Only use the LMs". The high potencies made by Jenichen
and Karsokoff were already in use when he was alive. He supported the
use of high potencies in the 5 th Organon and continued to use
the 190-200th even in his last years. Who is really being dogmatic
here? Who is resisting history as well as the future? Who is saying
there is only one way? Who is it that is not open to change? Who is not
open to expanding our case management strategies? Certainly not
Hahnemann!
The Paris casebooks show
Hahnemann used the C and LM potency side-by-side though out his last
years. Hahnemann's only negative statement in the 6 th Organon
about the C potency is concerns medicines made on machines that gave
overly forceful succussions. This is a warning well worth heeding
because potencies made with overly strong mechanical succussions produce
furious primary actions without long enduring secondary actions. It is
not a matter of one potency against the other potency so there is no
need for a divide and rule mentality. What Hahnemann was offering
homoeopathy is two complementary opposite potency systems that greatly
expand the therapeutic horizons of Homoeopathy!
I feel it was a great loss that the 6th Organon
was not published until 1920. One cannot learn how to correctly use the
LM potency from a book. The 6 th edition was meant to be an aid for
teaching the new method by teachers with experience in the technique. To
understand the bigger picture one needs to study the Paris casebooks
and eyewitness accounts of Hahnemann's practice. One needs to study with
those how have used the LM potency for many years. Then one needs to
test Hahnemann's new postulates in the clinic in the proper manner.
Using the medicinal solution and the LM potency wrongly and then saying
they don't work will not do.
Yes, Homoeopathy would have
developed differently if the 6 th edition were published. Yes,
Homoeopathy would have been better because we would have had two potency
systems. Yes, more individual would have understood how to use the
medicinal solution and the split-dose when necessary. Yes, there would
be less confusion because Hering, Boenninghausen and others would have
used the C and LM potency side by side just like Hahnemann. We would
have a living lineage of teachers that understood how to use the C and
LM potency according to Hahnemann's advanced methods. And yes, that
would have been wonderful!
There is no doubt that the
high potency centesimal remedies have done lot of good but they have
also caused some damage. I have received more than one letter, phone
call and email from people who have never been well since they were
given random numbers of pills of a higher C potency. It is not really
the centesimal potency that is the problem. It is the way they are being
administered. If one gives too many pills of too a high potency too
many times the outcome is aggravations, accessory symptoms and
antagonistic counter actions of the vital force. This makes some
patients so hypersensitive that they can no longer take potencies
without dire consequences. These patients become difficult to treat by
any method if one is not careful. So what if these are a minority of
cases. Do they not matter? Should they be "sweep under the rug" and then
forgotten? No, we should learn from our mistakes and try to do better
in the future. Most of these problems can be avoided if one uses the
method of the 5 th and 6 th Organon properly.
As long as people continue to use the high and ultra high C potencies by the methods of the 4th Organon
(which were only used with the 30C and lower) these problems will
remain. Hahnemann first developed the medicinal solution during the
period he was testing the high potency centesimal remedies. When he was
using the dry dose he suggested limiting the potency to 30C. He changed
his mind when he started using the medicinal solution to modify the
power of the potencies above the 30c. That is why he supported the use
of high potencies like the 300th in the 5th Organon .
Unfortunately, too many homoeopaths have not taken the time to review
these historical realities and have not bothered to test the system.
Some still think every reaction is a good reaction but unfortunately
this is not the case. When a patient does not recover from a negative
remedy action they usually blame the problem on some other factor.
Dr. Saine is of the opinion
that we could not achieve similar results if Homoeopathy was limited to
the lower potencies and "In reality the LM are very low potencies."
This idea can only come from a person who has very little if any real
experience with the LM potencies. Anyone with clinical knowledge would
not call the LM potency a 3C in a cup! Although the LM 0/1 has around
the same amount of original substance as the 6C, there is a great
difference between mathematical equivalency and the relative medicinal
powers of the C and LM potency.
The 1/50, 000 dilution ratio
and 100 succussions of the fifty millesimal potency produces a
completely different medicinal quality than the 1/100 dilution ratio and
10 succussions of the centesimal remedy. This larger dilution ratio and
increased succussion factor produces a much deeper penetrating remedy
even at the lower degrees. In many ways, the LM potency has the best
qualities of the high and low potency in one remedy. They are very deep
acting remedies but at the same time they can be repeated at shorter
intervals when necessary to speed the cure.
Some cases do better on the
LM potency and some cases on the C potency. Some cases need both the C
and LM potency at the right times. If one studies the Paris casebooks
one comes to the conclusion that Hahnemann was well aware of this fact.
Experienced homoeopaths are reporting cures of very chronic diseases
with the LM potency where the high C potencies failed. There are also
some cases that are cured by the C potency when the LM potency failed.
So why not use both in accordance with Hahnemann's advanced methods? In
this way nothing is lost and there is everything to be gained.
Boenninghausen was in close
contact with Hahnemann about the development of the LM potency.
Hahnemann sent him two fifty millesimal case examples in 1843. It was
the Baron's greatest desire to see the 6th Organon published and he let it be known in public that he had tested the new dynamizations. Boenninghausen wrote:
"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."The Lesser Writings; C. M. F. Boenninghausen, Aluminium Metallicum, footnote, page 74.
In this quote Boenninghausen
clearly confirms that the praise he lauded on new dynamizations was
based on his "own experience". Unfortunately, Melanie became upset with
him for announcing that the 6th Organon with its new potency would soon to be released. She told him not to speak about the subject in public until after the 6th Organon
was published. Regrettably, the text did no see the light of day in his
lifetime. Nevertheless, The Baron spoke of his experiences with the LM
potency in his last article written shortly before he left for his
Heavenly Abode.
"Of the other remedies used in these two cures (Sulphur, Mercurius, Nitric Acid), new dynamizations were used, which will be described in the next edition of the Organon , the peculiar preparation of which is known to me and which requires less time and trouble, but essentially presents our present high and highest potencies but having given my word of honor, I am not as yet at liberty to publish the same."The Lesser Writings; C. M. F. Boenninghausen , Boenninghausen's Last Work, Atropa Belladonna L, page 316.
In this quote Boenninghausen
lets it be know that he was privy to how the LM potency was made and
had tested them in comparison to the centesimal potencies. It was the
Baron's opinion that the action of the LM potencies was equal to the
"high and highest potencies" used at the time. This was written in 1863
when the C potency was already reaching staggering heights in Europe and
America. The Baron was well aware that one could not mathematically
equate potencies with different in remedial powers by linear
mathematics. The LM 0/1 acts like a much higher potency than the 30C.
The only way that one can test the comparative powers of the C and LM
potency is to test them on patients.
Hahnemann's lower potencies
where the 30C to 6C. His higher potencies were anywhere from the 50C to
the 200C and the LM 0/1 to 0/30. Melanie stated he had also used the 1M.
The Founder tended to lower the degree of his low potencies from 30C to
24C to 18C to 12C to 6C and raised the high potencies from 191C to 192C
to193C, etc. He also tended to raise the LM potency in degrees like
0/1, 0/2, 0/3, etc. He continued to use the low and high potency
centesimal remedies as well as the LM potency throughout his last years
in practice.
Some have found that the LM
potency is "too powerful" and causes more aggravations than the single
dry dose. This is true if one tries to give them daily or on alternated
days for weeks and months to everyone in a mechanical fashion. They are
far too powerful to be used like a 6C. In some cases the LM potency is
too deep of an acting potency for the patient and they do better on 6C
to 30C. Many of these patients can be worked up from the lower potencies
Cs to the LM 0/1 over time. This seems to work better than jumping from
the 30C to 200C in many cases. Why get trapped in categories like low
and high potency prescribers? Why get stuck in categories like a C or LM
prescriber? Why not use both potencies as needed? Why get fall into a
for or against mentality? Isn't it best to do what is best for the
patient based on their sensitivity and the nature their disease state?
Dr. Saine says he has
always stayed away from the LM potencies because "does not need to use
them". Where is the experimental spirit of the Founder in this
statement? Isn't this a person who said we should remain open to
changes? Is it rational to criticize all the methods Hahnemann
introduced in the 1830s and 1840s before even trying them? Samuel was
never satisfied so he was always open to new experiments. There is much
more at stake here than just the LM potency. There is an entirely new
way to approach case management strategies and posology factors on offer
in the 5 th and 6 th Organon . Why hold on rigidly to the dry dose and exclusive wait and watch method of the 4 th Organon ?
Like Hahnemann, I am constantly experimenting with remedy selection,
delivery systems, dose, potency and repetition. There is always room for
doing better!
Dr. Saine second reason for rejecting the LM potency is the method "is too complicated" keeping in mind that aphorism 2 of the Organon speaks of "easy comprehensible principles". The methods of the 5th Organon (1833), the 1837 Chronic Diseases , and the 6th Organon (c. 1843) are the extension of the principles enshrined in the all the previous editions of the Organon . The principle of Hahnemann's advanced methods is the individualization of the remedy, the size of the dose, the degree of potency and the repetition of medicine to suit the patient. That is certainly an easy enough model to understand if one has an open mind. Those who still think the size of the dose does and the nature of the delivery system do not matter can see no reason for making any changes in their methods. They follow the incorrect theories that originated with James Kent not the teachings of Samuel Hahnemann.
Dr. Saine second reason for rejecting the LM potency is the method "is too complicated" keeping in mind that aphorism 2 of the Organon speaks of "easy comprehensible principles". The methods of the 5th Organon (1833), the 1837 Chronic Diseases , and the 6th Organon (c. 1843) are the extension of the principles enshrined in the all the previous editions of the Organon . The principle of Hahnemann's advanced methods is the individualization of the remedy, the size of the dose, the degree of potency and the repetition of medicine to suit the patient. That is certainly an easy enough model to understand if one has an open mind. Those who still think the size of the dose does and the nature of the delivery system do not matter can see no reason for making any changes in their methods. They follow the incorrect theories that originated with James Kent not the teachings of Samuel Hahnemann.
The truth is that nature of
the delivery system and the size of the dose are important factors
related to posology. Hahnemann introduced the use of 1 or 2 pills in
medicinal solution so that he could reduce the frequency of aggravation,
accessory symptoms and antagonistic counter actions of the vital force.
He introduced the split-dose so that the remedy could be repeated to
speed the cure in those cases that only show slow improve on the single
dose. He applied this new system to both the C and LM potency. He stated
that this method could reduce the time of cure in resistance cases to
1/2; or 1/4 or less the time it takes with the single dry dose method.
Isn't this a claim worth
testing seriously in the clinic over a sufficient period of time? Isn't
reducing the time of cure in challenging cases worth a little more
effort on the part of the practitioner? Aren't better results worth
taking the time to learn a more advanced method? Why let ideas like "I
don't need" or "its too complicated" get in one's way when it is the
patient that really matters. I challenge everyone to test the methods of
the medical solution and adjusting the size of the dose of the C and LM
potency in clinic before they make up their minds. That is the only
fair way.
There is nothing too
complicated about taking a pill and putting it into a bottle to make a
medicinal solution. There is nothing too complicated about succussing
the bottle. There is nothing too complicated about giving the dose in
spoonfuls. There is nothing too complicated about customizing the
repetition to suit the cause, symptoms, circumstances and remedy action.
What about the first aphorism of the Organon , which says our
sole duty is too heal the patient? It doesn't say out duty is to do what
is easiest for us. It doesn't to be complacent while the patient is
barely improving. It doesn't say we should accept unneeded aggravations.
It says we should do what is best for the patient!
Dr. Saine's third reason
for rejecting the LM potency is that Pierre Schmidt and P. Sankaran
tried them but continued with their previous methods. At the same time,
there were many like Dr. H. Choudhury that had great success with the LM
potency for over 30 years! Many of these individuals were in West
Bengal, India and Bangladesh. This was at a time when almost no one in
the West was using these potencies. Over the last 40 years a tremendous
amount of clinical experience has been gathered in India. I have used
the LM potency for over 20 years and many of my colleagues now have
years of experience. It is no longer a case of the opinion a just a few
persons. The LM potencies have been tested all over the world and they
have proved their value in the clinic. It is no longer a question of
what someone might have or might not have done in the 1950s.
Hahnemann tested the 200C
and 1M but he was not completely satisfied with them in all cases. These
are probably the most used high potencies today. It is a clinical fact
that an excessive number of dry pills can cause serious aggravations and
complications in some cases. At the same time, the dry pills cannot be
repeated safely before the duration of the previous dose ceases and the
patient relapses. This is true whether the patient was improving in a
striking manner or only slowly responding over a period of months. There
is nothing one can do to change this situation with the methods of the 4
th Organon.
Hahnemann found the methods
of the 1820s too restrictive and slow in a great many chronic diseases.
He also did not think it was necessary to aggravate patients with high
potencies to cure them. This is why Hahnemann reduced the size of the
dose as he increased the level of his potencies. This is why he
introduced the medicinal solution and split-dose in 1837. This is why he
began to experiment with the LM potency in 1838. That is why he wrote
the 6th Organon in the 1840s. That is why he used his advanced
methods with the low and high potency centesimal remedies as well as the
LM potency.
When I first started speaking about the differences of the 4th, 5th and 6th Organon
very few had any idea of what I was taking about. In those days one
could not even buy the LM potency in the USA and many other countries.
At that time those with experience in using the C and LM potency in
medicinal solution in the West was limited to a few. Today, there are
many who have 5, 10, 15 and 20 years of experience. Many of these
practitioners used the high and highest C potencies for many years and
now they have found a place in their practice for the LM potency. Before
someone criticizes Hahnemann's advanced methods and the LM potency they
should at least test them first. To do otherwise is disingenuous.
Dr. Andre Saine is a
respected teacher and practitioner. Nevertheless, I have been forced by
circumstances to defend the Hahnemann's credibility in relationship to
the LM potency and the 6th Organon . In the process of his
critique Dr. Saine has passed on several historical inaccuracies that he
used to dramatize his opinions. I must say that I am surprised and
saddened by this misuse of the facts. To repudiate the LM potency on the
basis that Hahnemann only used them for two years, made less LM
prescriptions in 1842 than 1841, only had 12 LM remedies, and only made
Sulphur to the 0/20 is a false argument. I have provided documentation
and sources that show that each of these statements is historically
incorrect. One is welcome to their personal opinions but there is no
reason to use incorrect information to criticize Hahnemann and the 6th Organon.
To say we must go beyond
Hahnemann's final teachings because he was a dogmatist is an
oversimplification Founder's character, life and works. This statement
seems to be connected to the theme that if the 6th Organon and
Hahnemann's Paris cases were published it would have thwarted the
development of the centesimal remedies. This idea, however, has little
relationship to historical realities. The two example cases Hahnemann
sent Boenninghausen in 1843 show the Founder using both the C and LM
potency in medicinal solution on the same patients. There is absolutely
no suggestion that the C potencies should be abandoned in this material.
To the contrary, the Paris casebooks show that the C and LM potency can
be used side by side in a great variety of potencies.
What is written in the 6th Organon
is the outcome of nearly 50 years of the Founder's experience and the
final capstone of his legacy. In this work Hahnemann did his best to
remove all the remaining obstacles in his homoeopathic system and pave
the way for a safer, more rapid and permanent cure. It was his hope that
his new middle path philosophy on repetition and the advanced posology
techniques for the C and LM potency would reduce aggravations and speed
the cure in slow responding cases. Now the mantle has been passed to a
new generations and it is up to us to investigate the Founder's
hypothesis in the clinic. After more than 160 years of neglect Samuel
Hahnemann's lost teachings are finally being given the attention they
deserve.
Similia Minimus
Sincerely, David Little
Sincerely, David Little
PS. I was just informed that
Dr. Farokh Masters told a seminar in the Netherlands that Hahnemann
only used the LM potency on 6 patients thus insinuating that the LM
method was not tested properly! This is another practitioner I admire
and respect but they don't seem to value the work of Hahnemann nor those
following in his footsteps. Adler's study of the Paris casebooks shows
that Hahnemann used the LM potency in three degrees like 0/1, 0/2 and
0/3 on 681 patients! This number does not include all of the other types
prescriptions using the LM potency. This is only the number of cases in
that demonstrate a series of three lower degree potencies as discussed
in the 6 th Organon . Where do these people get these ideas? An even more pertinent question is - Why do they say such things?
Source: Simillimum.com
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