It was Boenninghausen’s opinion that the actions of the LM potency were very similar to the “our present high and highest potencies” . By 1863 Boenninghausen personally used the 200C potency made by Hahnemann’s methods and Jenichen’s 1M, 2M, 4M, 6M, 8M up to 40M. The Baron also had experience with Korsakov’s 1000th and 1500th . This offers a glimpse into the true medical powers of the LM potency. The Baron noticed that the recovery of both cases, one a dangerous acute disorder and the other a complicated chronic disease, was comparatively short and that the first action of the remedies could be clearly distinguished. This shows how the LM potency acts quickly and deeply yet these preparations have a different medicinal quality than the C potencies. Hahnemann’s opening potencies were between the 0/1 and 0/7. These seven degrees have remedial powers that are similar to the moderate to high potency centesimal remedies and must be treated with the greatest respect.
In over 20 years of comparing the LM with the C potency I would say that the LM 0/1 acts deeper and longer than the 30C. If one studies Hahnemann’s cases one comes to the conclusion that Hahnemann thought likewise. All things equal, I would say the LM 0/1, 0/2 and 0/3 act with a similar depth to the 200C or 1M although the durations might not be as long. The LM 0/4, 0/5 and 0/6 act as deeply as much higher potencies. To think the LM remedies are low potencies that can be repeated daily in every case is a big mistake.
This higher power yet slightly shorter duration can be used to one’s advantage in many chronic cases. This is because one can make more frequent adjustment of the dose, potency and repetition so that the remedy can be customized more artistically to the case. If one is continually forced to wait out overly long remedy actions, it is hard to make adjustments when the remedy is causing aggravations or accessory symptoms due to too large a dose or too high a potency. These long durations can also be counterproductive when the wrong remedy is chosen. Being able to adjust the size of the dose, the level of potency and the repetition according to the present time and circumstance has its advantages in complex cases.
The LM potency will cause strong aggravations when misused. I have seen it, my colleagues have seen it, and I have received many letters from patients who were strongly aggravated by receiving the LM potency daily or alternate days in a mechanical fashion. Many times they felt very, very good in the first week or so (strikingly progressive amelioration) and then got worse and worse because the dose was never slowed down or stopped. It is always best to either slow down or stop the remedy when there is a sudden great improvement. These are the clinical facts.
I have found that overmedication either causes the patient to become non responsive to the remedy due to overexposure or it causes aggravations that make them overly sensitive to the remedy. Sometimes this can make it hard to use even the correct remedy later in the case. The cases that are spoiled the most are those who only needed a single dose, infrequent doses or only a short series of doses but were never given a chance to respond correctly. What should be one’s “best case scenarios” turns into one’s “worst case situations”. One must be very careful with the LM potency because overmedication will cause aggravations, accessory symptoms or adverse counter actions of the vital force if abused. Hahnemann had some strong aggravations at times! Like all homoeopathic potencies, the LMs must be treated with the greatest respect!
Hahnemann spoke about raising the LM potency every 7 to 14 days in aphorism 248 but the Paris casebooks show that this was only a baseline example. He would sometimes raise his potencies very fast before the bottle was finished and in other cases he would keep the patient on the same potency interspersed with or followed by placebo for longer periods. Sometimes he would move up to find a better potency and at other times he would move downward because of aggravations. There was no fixed rule. The time of raising the potency was dependant on when the medicine was consumed, how much placebo he was giving, and the symptoms and circumstances.
I know that some give all patients the daily or alternate day dose and only stop if they see aggravations. This only reflects one aspect of Hahnemann’s method. It does not take into account what Hahnemann says in aphorism 246, Dr. Croserio’s eyewitness account or what is found in the Paris casebooks. Sometimes Hahnemann gave a single dose and placebos and other times he gave a series of split-doses at intervals like daily, alternate days, or on the third day, etc. It all depended on the cause, symptoms and circumstances affecting the patient and the action of the remedy. Hahnemann constantly alternated series of medicinal doses with placebos and waiting and watching. He used so many different methods that a simplistic mechanical approach cannot embrace his artistic techniques. As Croserio said,
“It would be impossible for me to give in a letter all the shadings of his treatment. By your constant correspondence with the learned sage you have had abundant opportunity to learn to appreciate his rare powers of observation, and you will therefore easily see that his mode of action was not always the same.”
Hahnemann varied the adjustments of the size of dose, the degree of the potency, and the intervals of repetition based on what the individual needed. He did not have one predetermined method that was supposed to suit all patients. The 6th Organon only contains baseline examples not a fixed mechanical method. He used single doses and infrequent repetition interspersed by placebo as well as frequent repetition daily, every other day, every three days, etc. One cannot oversimplify Hahnemann’s methods because “his mode of action was not always the same.” All of his case management strategies were individualized to suit the symptoms, time and circumstances.
There are too many people that think they can give the LM potency daily for long periods in a mechanical fashion. One patient was told to take the LM potency daily for 6 weeks just to test the remedy! The idea that one can give the daily dose for months is often separated from the words if necessary found in the footnote to aphorism 246. I have not seen one LM case in the Paris Casebooks where Hahnemann thought it was necessary. The Founder used almost as much placebo as medicine!
Hahnemann groomed Baron von Boenninghausen as one of his successors. That is why the Founder shared the methods of the LM potency with him before he passed away. The Baron knew the pharmaceutical methods of making the remedies as well as the case management scenarios necessary to safely apply the new dynamizations. Other than Melanie Hahnemann, Boenninghausen seems to be the only person who was privy to this information. He was well placed to teach the new system and comment on the ramifications of the 6th edition. It seems that this was the Founder’s original intention.
Melanie Hahnemann asked Boenninghausen not to release information about the LM potency until after she published the 6th Organon. Unfortunately, Madam did not complete the task and the Baron passed away before he was allowed to share his experience. Melanie was the only remaining person with knowledge of the LM potency, but unfortunately she never released the 6th Organon or Hahnemann’s casebooks. This was a great loss to the homoeopathic community as the 6th Organon and the LM potency became one of the lost teachings of Samuel Hahnemann.
In our times there has been a great resurgence of interest in Hahnemann’s advanced methods and the 6th Organon is finally receiving the attention it deserves. Although there has been some confusion and agenda-driven abuse of this subject, a group of mature homoeopaths is now spreading the true techniques throughout the world. I am sure Samuel Hahnemann would be pleased to know that his final efforts were not in vain.
I hope this information is useful to the homoeopathic community.
Sincerely, David Little