Tag Archives: proving

When you can’t find a proving (or can’t find it in English)…

Why view remedies through the P&W repertory?

I have written on the importance of source material, especially of provings, in working to principle. As Hahnemann specified in Aphorism 3, in order to do homoeopathy we need to know what’s wrong with the patient, what the remedies can do and how to match a remedy to a complaint – with the proviso regarding appropriate potency and dosing.

How do we know what remedies can do? Through provings, first and foremost – the symptoms can a substance cause in a healthy person.

Hahnemann’s lesser writings include an essential article published in 1796, among his writings leading up to the Organon published in 1810. It is entitled “Essay on a New Principle for Ascertaining the Curative Powers of Drugs.” In this article, Hahnemann tackles existing methods one by one, and demonstrates their problematic nature. One after the other, with reasoned arguments and logical discussion, he knocks over chemistry as partial, nixes mixing unknown drugs with newly drawn blood, and more. He counsels against the doctrine of signatures, botanical affinity and families, stating categorically that the hints of the natural system “can only help to confirm and serve as a commentary to facts already known… or in the case of untried plants they may give rise to hypothetical conjectures which are, however, far from approaching even to probability.” He discusses experiments on the sick and how many discoveries were made by chance – and then laments “how humiliating for proud humanity did his very preservation depend on chance alone…”

Through step-by-step argument, Hahnemann comes to the conclusion that “nothing then remains but to test the medicines we wish to investigate on the human body itself,” which he states has so far been done “empirically and capriciously in diseases.” A standard human response to medicines, “some natural normal standard,” he states “can only be derived from the effects that a given medicinal substance has, by itself in this and that dose developed in the healthy human body.”

The body of provings which is easiest for us to access nowadays is in the Materia Medica Pura and Chronic Diseases. All the symptoms were carefully sifted through by Hahnemann, so if we see Hahnemann as a reliable source of information, that reliability extends to the provings he collated – and to his decisions to include some symptoms not taken from provings, rather from clinical work. We have less knowledge regarding the provings of other remedies noted in Boenninghausen’s Therapeutic Pocket Book, although here again, if we see Boenninghausen as a reliable source, information about these remedies will be important in our work. There is information in Hughes Cyclopaedia, and many other materia medica refer to provings, but all too often provings information is intermixed with symptoms derived from therapeutic clinical work and poisonings, or separate as in Hughes, but not organized.

But we have another source of information for those remedies whose provings were not collated or overseen by Hahnemann – the Therapeutic Pocketbook itself. Boenninghausen examined and brought together all the remedies in use in his time. Some were proven by Hahnemann but not published by him. Some were proven by Hartlaub and Trinks and others. Furthermore, Boenninghausen was kind enough to give us a grading system, indicating where a symptom derives from a proving of a remedy with grades 1 and 2, and strengthening the relevance of that symptom for that remedy from his clinical work with grades 3 and 4.

This means that if we take a remedy through the Reversed Materia Medica in the P&W software, we can actually gain a picture of the proving through grades 1 and 2, together with reliable clinical expansion on that remedy through grades 3 and 4. This in itself is information from early and primary sources, with Boenninghausen and Hahnemann’s stamp of approval. Furthermore, thanks to P&W, this information is available in English, Spanish, and Hebrew in addition to the original German. And there are other languages on the way. This means that those who have difficulty accessing the Materia Medica Pura in their own languages and use the P&W reversed to shed more light on these primary sources.

How can we begin to analyze this mass of information? The TPB was developed to help repertorize, guide the practitioner towards remedies to read up on more intensively. But the computerized version has given us the ability to access the material in different ways, including using the Reversed Materia Medica as a “back door” into gaining reliable knowledge of remedies where the provings are not accessible.

For example, on a very basic level, we can see a remedy’s position in any rubric. We can see if it’s there because it’s in the proving, graded 1 or 2, or because Boenninghausen emphasized its clinical use with grades 3 and 4. A remedy may appear in a symptom with very few other remedies, giving it additional importance in that symptom regardless of its grade. A remedy may appear in a large rubric, with over a hundred remedies, and there we may want to see if it’s in a higher grade than other remedies, if that symptom is very strongly connected to the remedy we’re examining. The relationship between remedy grade and rubric size may have relevance in the case we’re working on. All this while keeping in mind that the appearance of a remedy in proving is the basis for prescribing, and Boenninghausen’s clinical use of that remedy is an added bonus.

For those interested in working to principle, which means using provings-based materia medica, the reversed MM offers a treasure trove of information about provings which are harder to access, which is definitely worth while exploring.

Viewed through proving: IGNATIA’s alternating symptoms

Alternating Ignatia

OK, you prescribed Ignatia.  You’re absolutely sure of the remedy.  You’ve looked at it, repped it, slept on it, thought about it, checked materia medica, checked your patient notes, and you know.  You just do.

You gave the remedy and it did nothing.  Or it aggravated but didn’t seem to do anything interesting, worthwhile or exciting for homoeopathy.  But you were absolutely certain! Continue reading

Viewed through proving: the alternating Pulsatilla

alternatingMost of us are very familiar with Pulsatilla as a remedy with wandering symptoms, when the patient says that the pains keep moving from place to place. But Pulsatilla is also a remedy with alternating symptoms. Even though it did not appear as one of the specific examples presented in Aphorism 251 of the Organon, the proving of Pulsatilla in the Materia Medica Pura is full of examples presenting the alternating nature of the remedy. Continue reading

Viewed through proving: Camphor – a brief overview

One last post before leaving Camphor.

This proving of 345 symptoms does not go far enough in understanding the extent of Camphor’s potential use. Hahnemann stated in his introduction that (bold is mine):

“In its curative action camphor is just as puzzling and wonderful, for it removes the violent effects of very many, extremely different, vegetable medicines (and even those of the animal drug cantharides and of many mineral and metallic drugs), and hence it must have a sort of general pathological action, which, however, we are unable to indicate by any general expression; nor can we even attempt to do so for fear of straying into the domain of shadows, where knowledge and observation cease, whilst imagination deceives us into accepting dreams as truth; where we, in short, abandoned by the guiding of plain experience, grope about in the dark, and with every desire to penetrate into the inner essence of things, about which little minds so presumptuously dogmatize, we gain nothing by such hyperphysical speculations but noxious error and self-deception.” Continue reading

Viewed through Proving: Iodium thoughts

viewed through proving defaultThe symptoms found in the proving of Iodium overlap with many other remedies. Apart from the possibility of using thyroid issues as a pointer to this remedy, something that should be done with caution to ensure the presenting symptoms are within the prescribing picture, the mental picture from the proving is worth considering. Continue reading

Viewed through Proving: Iodine – the Purple of Remedies

purple togaVIEWED THROUGH PROVING: IODINE – THE PURPLE OF REMEDIES

Lately I have been working on an Iodine case which has led me to delve deeper into a remedy I have not prescribed frequently in the past. In fact, my most recent prescription of Iodine prior to this case was for a wiry bike-rider in his fifties, with a very fast metabolism and a very short fuse (or in polite BritSpeak, a tendency to fisticuffs). The remedy was helpful but the case in no way prepared me for my current Iodine patient, who is very different. I plan to report more details of this case at a later time. My initial hesitation in prescribing a remedy that has so far proved to be clearly and dramatically curative in this case was the result of the bike-riding prejudice – let this be a warning to you! Do not hold “images” or “essences” in your mind when reviewing remedies – they will hinder the prescribing process. Continue reading

A Practitoner’s Thoughts

I have recently been reading material about the sensation method, with what seems to me to be back-tracking disguised as inclusiveness, with a new insistence on the value and importance of repertory and materia medica. All this termed, in political correctness, synergy.

For some odd reason, political correctness now seems to lead the homoeopathic field – and I have no idea how it got there. Hahnemann started off with something fairly straightforward – give substances to healthy people, write down the effects, use those symptoms to find the substance with similar symptoms to those of the disease. Really just hitchhiking on an investigated quirk of nature, “like cures like”, something that has proven itself in observation and experimentation. Continue reading

Viewed through proving: Ignatia’s alternating symptoms

I have been somewhat busy… but am reposting this as this kind of information bears constant revisiting…

OK, you prescribed Ignatia.  You’re absolutely sure of the remedy.  You’ve looked at it, repped it, slept on it, thought about it, checked materia medica, checked your patient notes, and you know.  You just do.

You gave the remedy and it did nothing.  Or it aggravated but didn’t seem to do anything interesting, worthwhile or exciting for homoeopathy.  But you were absolutely certain!

Time to look at Hahnemann’s Organon aphorism 251, and (if you can stomach what looks like an 11 line sentence with nary a full stop but lots of commas) the introduction to the proving.  Time to examine Ignatia’s membership in the club of remedies with alternating actions. Continue reading

Viewed through Proving: Digitalis, not just heart disease…

not just a pretty/dangerous flower

not just a pretty/dangerous flower

13 suicidal men?
Becher ; Dr. Franz ; Dr. Gross ; Hornburg ; Jahr. ; Dr. Langhammer ; J. Lehmann ; Meyer ; Piepers ; Dr. Rueckert ; Medical Counselor – Dr. Stapf ; Teuthorn ; Dr. Trinks. Continue reading

Hahnemann on China – then as now

Hahnemann 1Hahnemann’s words from the introduction to China in the Materia Medica Pura are truly timeless and need no further comment:

“As long ago as the year 1790 …I made the first pure trial with cinchona bark upon myself, in reference to its power of exciting intermittent fever. Continue reading