מאחר שרוב הומאופתים היום עובדים בעיקר על פי שיטות המהדורה הרביעית של ה”אורגנון” במינון יבש (dry dosing) , חלטתי להביא קטעים מתוך מאמר מצוין של דוד ליטל על דרך עבודתו של הנמן לקראת סוף חייו. בדיון שלו, דוד ליטל מציג תכתובת בין בונינגהאוזן והנמן, עדות ראייה של ד”ר קרוזריו בנושא מרפאתו של האנמן בפריז, ודיון בשיטות של הנמן כפי שהם מופיעים מתוך סיכומי מקרה שלו מפריז (The Paris Casebooks).
Hahnemann’s Final Methods
Shortly before Samuel Hahnemann passed away he shared the method of administering the LM potency with Baron von Boenninghausen. 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. Apart from Samuel and Melanie Hahnemann it appears that only Baron von Boenninghausen had tested the LM potency in the clinic. In 1857 the Baron 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. 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.
In this quote Boenninghausen clearly states that the praise he lauded on the new dynamizations was based on his “own experience”. He would not have used these words unless he had tested the LM potency personally. The Aluminium cases quoted in this article are dated 1856 to 1857, which shows this statement must have been made at least 14 years after Hahnemann’s passing. Unfortunately, the 6th edition remained unpublished until Richard Haehl’s edition appeared in German in 1920 and the Boericke edition in English in 1921. By that time, all those with first hand information on how Hahnemann actually used the LM potency has passed away.
There is quite a bit of confusion about Hahnemann’s Paris methods in general and the LM potency in particular. The most controversial area arises over the subject of the daily and alternate day dose. This is because it is very difficult to learn how to use the LM potency properly just from reading the text of the 6th Organon without a lineage of teachers going back to Hahnemann. The only way to understand the bigger picture is to study the final edition along with the Paris Casebooks and remaining eyewitness accounts. First of all we will review exactly what the 6th Organon actually says about posology and case management.
Aphorism 246 gives the most precise details on how to administer the LM potency. The statements made in this paragraph must be put in context with the information presented in aphorism 248 about the daily and alternate day dose. Here Hahnemann clearly says, “Every noticeably progressive and conspicuously increasing improvement is a state which, as long as it persists, generally excludes any repetition of the medicine.” This is because the remedy is “hastening toward completion” at the quickest possible speed and any repetition may slow down the cure or cause a relapse of symptoms. This reflects what Hahnemann said in aphorism 245 of the 5th Organon on the single dose.
Then Hahnemann says, “On the other hand” some patients experience only a “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 this is very seldom the case.” It is much more common for the slow remedy action to cease and the patient to relapse. Then the Founder goes on to state how important it is to “foreshorten this period” to 1/2, 1/4 or less so that a more rapid cure is attained. 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 major types of remedy actions that must be treated differently.
A. The first condition is a visibly progressing and strikingly increasing amelioration. In this instance Hahnemann says to leave the single dose to act without repetition as long as this state lasts. This statement also applies to any time during treatment that there is a dramatically increasing amelioration on a series of doses. I would like to report that my colleagues and I have witnessed several cures of chronic diseases with single and infrequent doses of the LM potency.
B. The second remedy action is a slow continuous improvement that could take up to 100 or more days to cure. Some cases show little or no response to a single dose although the remedy is correct. This is because the sensitivity of the patient and the nature of disease state require more medicinal stimulation. In this case one should repeat the dose at suitable intervals to speed the cure. This is quite common in protracted chronic disease and complex miasms. One may repeat the dose to speed the cure only if they follow all five conditions noted at the end of the paragraph.
1. The remedy is perfectly homoeopathic (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, etc.)
4. The remedy should be given at suitable intervals based on what experience has shown to be the correct timing. (Individualization.)
5. The degree of dynamization must be changed on each dose (The medicinal solution must be succussed prior to ingestion to slightly raise the potency.)
There is a great difference between a visibly progressing and strikingly increasing amelioration and a slow continuous improvement that may take up to 100 days to show any significant improvement. In most cases of slow improvement the patient tends to relapse rather than progress to cure. What Hahnemann is offering is a very clear differential analysis of two different types of remedy actions. When the patient is already hastening toward cure on single or infrequent doses the cure does not need to be sped! If the remedy is repeated under these conditions it will either slow down the action of the previous dose, aggravate the patient, or cause a relapse of symptoms. In the footnote to aphorism 246 it says the LM may be given daily “when necessary”. It does not say to give the LM potency to everybody no matter what!
All the statements about the daily and alternate day dose that follow in aphorism 248 are about how to speed the cure in slowly improving cases. These are the cases where one needs to foreshorten this period to 1/2, 1/4 or less the time so that a more rapid cure is attained. In aphorism 248 Hahnemann says that the remedy may be repeated daily or on alternate days in “protracted diseases”, which means long drawn out and prolonged illnesses. If the patient is experiencing a strikingly increasing amelioration on a single dose or a short series of doses, the repetition of the remedy is counter indicated as long as this state lasts. These aphorisms teach when it is best to wait and watch and when it is best to act and observe. This is the best of both worlds!