Dr.

Navneet Bidani

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Serving Homoeopathy since 1960s

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LECTURESONHOMOEOPATHICPHILOSOPHY
BY

JamesTylerKENT,A.M.,M.D.
LECTURE1:Organon1."Thesick".
Homoeopathyassertsthatthereareprincipleswhichgovernthepracticeofmedicine.
It may be said that, up till the time of Hahnemann, no principles of medicine were
recognized,andevenatthisdayinthewritingsandactionsoftheOldSchoolthereisa
completeacknowledgmentthatnoprinciplesexist.
TheOldSchooldeclaresthatthepracticeofmedicinedependsentirelyuponexperience,
uponwhatcanbefoundoutbygivingmedicinestothesick.
Theirshiftingmethodsandtheories,andrapiddiscoveriesandabandonmentofthesame,
fullyattestthesincerityoftheiracknowledgmentsanddeclarations.
HomoeopathyleavesAllopathyatthispoint,andsointhismannerthegreatdivision
betweenthetwoschoolsisaffected.
ThatthereareprinciplesHomoeopathyaffirms.
TheOldSchooldeniestheexistenceofprinciplesandwithapparentreason,lookingat
thematterfromthestandpointoftheirpracticeandmethods.
Theydealonlywithultimates,theyobserveonlyresultsofdisease,andeitherdenyor
havenoknowledgeoftherealnatureofman,whatheis,wherehecamefrom,whathis
qualityisinsicknessorinhealth.
Theysaynothingaboutthemanexceptinconnectionwithhistissues;theycharacterize
thechangesinthetissuesasthediseaseandallthereisofthedisease,itsbeginningand
itsend.Ineffecttheyproclaimdiseasetobesomethingthatexistswithoutacause.
Theyacceptnothingbutwhatcanbefeltwiththefingersandseenwiththeeyesor
otherwiseobservedthroughthesense,aidedbyimprovedinstruments.
The finger is aided by the microscope to an elongated point, and the microscopic
pathological results ofdisease are noted and considered to be the beginning and the
ending,i.e.,resultswithoutanythingpriortothem.
Thatisasummaryofallopathicteachingastothenatureofsickness.
ButHomoeopathyperceivesthatthereissomethingpriortotheseresults.
Every science teaches, and every investigation of a scientific character proves that
everythingwhichexistsdoessobecauseofsomethingpriortoit.
Onlyinthiswaycanwetracecauseandeffectinaseriesfrombeginningtoendandback
againfromtheendtothebeginning.
Bythismeanswearriveatastateinwhichwedonotassume,butinwhichweknow.
ThefirstparagraphoftheOrganonwillbeunderstoodbyaninexperiencedobserverto
meanonethingandbyatrueandexperiencedhomoeopathtomeananother.
Organon1.
"Thephysician'shighandonlymissionistorestorethesicktohealth,tocureasitis
termed."
Nocontroversywillarisefromasuperficialreadingofthisstatement,anduntil.
Hahnemann'shiddenmeaningoftheword"sick"isfullybroughttoview,thephysician

ofanyschoolwillassent.
Theideathatonepersonwillentertainastothemeaningoftheword"sick"willbe
differentattimesfromthatwhichanotherwillentertain.
Solongasitremainsamatterofopinion,therewillbedifferencesofopiniontherefore,
thehomeopathmustabandonthemereexpressionsofopinion.
Allopathyrestsonindividualopinionandallopathssaythatthescienceofmedicineis
basedontheconsensusofopinion,butthatisanunworthyandunstablefoundationfor
thescienceofcuringthesick.
Itwillneverbepossibletoestablisharationalsystemoftherapeuticsuntilwereason
fromfactsastheyaxeandnotastheysometimesappear.
Factsastheyappearareexpressedintheopinionsofmen,butfactsastheyare,arefacts
and truths from which doctrines are evolved and formulated which will interpret or
unlockthekingdomsofnatureintherealmofsicknessorhealth.
Therefore,bewareoftheopinionofmeninscience.
Hahnemannhasgivenusprincipleswhichwecanstudyandadvanceupon.
Itislawthatgovernstheworldandnotmattersofopinionorhypotheses.
Wemustbeginbyhavingarespectforlaw,forwehavenostartingpointunlesswebase
ourpropositionsonlaw.
So longas werecognize men's statements weareinastateofchange,formenand
hypotheseschange.
Letusacknowledgetheauthority.
Thetruehomoeopath,whenhespeaksofthesick,knowswhoitisthatissick,whereas
theallopathdoesnotknow.
The latter thinks that the house which the man lives in, which is being torn down,
expressesallthereisofsickness;inotherwords,thatthetissuechanges(whichareonly
theresultsofdisease,areallthatthereisofthesickman.
Thehomoeopath observeswonderfulchanges resultingfrompotentizedmedicineand
beingcompelledtoreflectheseesthatcrudedrugscannothealthesickandthatwhat
changestheydoeffectarenotrealbutonlyapparent.
Modernphysiologyhasnovitaldoctrineinitsteaching,andthereforenobasistowork
upon,
The doctrine of the vital force is not admitted by the teachers of physiology and,
therefore,thehomoeopathseesthattruephysiologyisnotyettaught,forwithoutthevital
forcewithoutsimplesubstance,withouttheinternalaswellastheexternal,therecanbe
nocauseandnorelationbetweencauseandeffect.
Nowwhatismeantby"thesick?"
Itisamanthatissickandtoberestoredtohealth,nothisbody,notthetissues.
Youwillfindmanypeoplewhowillsay,"Iamsick."
Theywillenumeratepagesofsymptoms,pagesofsuffering.
Theylooksick.
Buttheytellyou:
"Ihavebeentothemosteminentphysicians.
Ihavehadmychestexamined.
Ihavebeentotheneurologist.

Ihavebeentothecardiacspecialistandhavehadmyheartexamined.
Theeyespecialisthasexaminedmyeyes.
Ihavebeentothegynecologistandhavehadmyuterusexamined",saysthewoman.
Ihavebeenphysicallyexaminedfromheadtofoot,andtheytellmeIamnotsick,Ihave
nodisease."
ManyatimehaveIheardthisstoryaftergettingthreeorfourpagesofsymptoms.
Whatdoesitmean?Itistrueifthatstateprogressestherewillbeevidencesofdisease,
i.e.,evidenceswhichthepathologistmaydiscoverbyhisphysicalexamination.
Butatpresentthepatientisnotsick,saysthelearneddoctor,"Butwhatdoallthese
symptomsmean?Idonotsleepatnight,Ihavepainsandaches.Mybowelsdonot
move."
"Oh,well,youhaveconstipation."
Thatisthefirstthingthathasbeendiagnosed.
Butdoallthesethingsexistwithoutacause?
Itwouldseemfromoneopinionthatthe"constipation"isthediseaseperse,butfrom
anotheropinionitwouldappeartobethecauseofdisease;the"diagnosis"ismadeto
applytooneasmuchastotheother.
ButthisisthecharacterofvagariessocommontoOldSchoolwhims.
Thesesymptomsarebutthelanguageofnature,talkingoutasitwere,andshowingas
clearlyasthedaylighttheinternalnatureofthesickmanorwoman.
Ifthisstateprogressesthelungsbreakdown.
Thedoctorsays,"Oh,nowyouhaveconsumption;"oragreatchangeappearsinthe
liver, andhesays,"Oh,now youhavefatty degeneration oftheliver; "oralbumen
appearsintheurine,andhetellsthepatient..".
NowIamabletonameyourdisease.
YouhavesomeoneoftheformsofBright'sdisease."
Itisnonsensetosaythatpriortothelocalizationofdisease,thepatientisnotsick.
Does it not seem clear that this patient has been sick, and very sick, even from
childhood?
Undertraditionalmethodsitisnecessarythatadiagnosisbemadebeforethetreatment
canbesettled,butinmostcasesthediagnosiscannotbemadeuntiltheresultsofdisease
haverenderedthepatientincurable.
Again,takethenervouschild.
It has wild dreams, twitching, restless sleep, nervous excitement, hysterical
manifestations,butifweexaminealltheorgansofthebodywewillfindnothingthe
matterwiththem.
Thissickness,however,whichispresent,ifallowedtogoonuncured,willintwentyor
thirtyyearsresultintissuechange;theorganswillbecomeaffectedandthenitwillbe
saidthatthebodyisdiseased;buttheindividualhasbeensickfromthebeginning.
Itisaquestionwhetherwewillstartoutandconsidertheresultsofdiseaseorbeginatthe
beginningwiththecauses.
Ifwehavematerialideasofdiseasewewillhavematerialideasofthemeansofcure.
Ifwebelieveanorganissickandaloneconstitutesthedisease,wemustfeelthatifwe
couldremovetheorganwewouldcurethepatient.

Amanhasanecroticconditionofthehand;thenifwebelievethatonlythehandissick
wewouldthinkwehadcuredthepatientbyremovinghishand.
Saythehandiscancerous.
Accordingtothisideaitiscancerousinitselfandfromitself,andseeinghewouldlater
diefromthecancerofhishandwewouldconscientiouslyremovethehandandsocure
thepatient.
Foraneruptionontheskinwewoulduselocalmeanstostimulatethefunctionsofthe
skin and make it heal, and believing the eruption had no cause behind it we would
conscientiouslythinkwehadcuredthepatient.
Butthisisthereductioadabsurdum,fornothingexistswithoutacause.
Theorgansarenottheman.
Themanispriortotheorgans.
Fromfirsttolastistheorderofsicknessaswellastheorderofcure.
Frommantohisorgansandnotfromorganstotheman.
Well,thenwhoisthissickman?
Thetissuescouldnotbecomesickunlesssomethingpriortothemhadbeenderangedand
somakethemsick.
Whatisthereofthismanthatcanbecalledtheinternalman?
Whatistherethatcanberemovedsothatthewholethatisphysicalmaybeleftbehind?
Wesaythatmandiesbutheleaveshisbodybehind.
Wedissectthebodyandfindallofhisorgans.
Everythingthatweknowbythesensesbelongstophysicalman,everythingthatwecan
feelwiththefingersandseewiththeeyesheleavesbehind.
Therealsickmanispriortothesickbodyandwemustconcludethatthesickmanbe
somewhereinthatportionwhichisnotleftbehind.
Thatwhichiscarriedawayisprimaryandthatwhichisleftbehindisultimate.
We say the man feels, sees, tastes, bears, he thinks and he lives but these are only
outwardmanifestationsofthinkingandliving.
Themanwillsandunderstands;thecadaverdoesnotwillanddoesnotunderstand;then
thatwhichtakesitsdepartureisthatwhichknowsandwills.
Itisthatwhichcanbechangedandispriortothebody.
Thecombinationofthesetwo,thewillandtheunderstanding,constituteman;conjoined
theymakelifeandactivitytheymanufacturethebodyandcauseallthingsofthebody.
Withthewillandunderstandingoperatinginorderwehaveahealthyman.
Itisnotourpurposetogobehindthewillandtheunderstanding,togopriortothese.
Itisenoughtosaythattheywerecreated.
Thenmanisthewillandtheunderstanding,andthehousewhichhelivesinishisbody.
We must, to be scientific homoeopaths, recognize that the muscles, the nerves, the
ligamentsandtheotherpartsofman'sframeareapictureandmanifesttotheintelligent
physiciantheinternalman.
Boththedeadandthelivingbodyaretobeconsidered,notfromthebodytothelife,but
fromthelifetothebody.
If youweretodescribethedifferencebetweentwohumanfaces,theircharacter and
everythingyouobserveoftheiraction,youwouldbedescribingscarcelymorethanthe

will.
Thewillisexpressedintheface;itsresultisimplantedonthecountenance.
Haveyoueverstudiedthefaceofanindividualwhohasgrownupamurdererorvillain
ofsomesort?
Istherenodifferencebetweenhisfaceandthatofonewhohasthewilltodogood,to
liveuprightly?
Godownintothelowestpartsofourgreatcityandstudythefacesofthesepeople.
Thesepeoplearenightprowlers;theyaretiplateatnightstudyingvillainy.
Ifweinquireintoitwewillseethattheiraffectionsareofthatkind.
Theyhavethestampupontheirfaces.
Theyhaveevilaffectionsandanevilface.
Thecountenancethenisexpressiveoftheheart.
Allopathicpathologyrecognizesnothingbutman'sbody.
Yetonecaneasilyconfusetheallopathbyaskinghimwhatman'sthoughtis,whatman
is.
Thehomoeopathmustmasterthesethingsbeforehecanperceivethenatureofthecause
ofdiseaseandbeforehecanunderstandwhatcureis.
Itisthesoledutyofthephysiciantohealthesick.
Itisnothissoledutytohealtheresultsofsickness,butthesickness,itself,whentheman
himselfhasbeenrestoredtohealth,therewillberestoredharmonyinthetissuesandin
theactivities.
Thenthesoledutyofthephysicianistoputinordertheinterioroftheeconomyi.e.,the
willandunderstandingconjoined.
Tissuechangesareofthebodyandaretheresultsofdisease.
Theyarenotthedisease.
Hahnemannoncesaid,"Therearenodiseases,butsickpeople,"fromwhichitisclear
that Hahnemann understood that the diseases socalled, e.g., Bright's disease, liver
disease,etc.werebutthegrosserformsofdiseaseresults,viz.,appearancesofdisease.
Thereisfirstdisorderofgovernment,andthisproceedsfromwithinoutwarduntilwe
havepathologicalchangesinthetissues.
Inthepracticeofmedicinetoday,theideaofgovernmentisnotfound,andthetissue
changesonlyaretakenintoaccount.
Hewhoconsidersdiseaseresultstobethediseaseitself,andexpectstodoawaywith
theseasdisease,isinsane.
Itisaninsanityinmedicine,aninsanitythathasgrownoutofthemilderformsofmental
disorderinscience,crazywhims.
Thebacteriaareresultsofdisease.
In the courseoftime wewill beable toshow perfectly that the microscopical little
fellows are not the disease cause, but that they come after, that they are scavengers
accompanyingthedisease,andthattheyareperfectlyharmlessineveryrespect.
Theyaretheoutcomeofthedisease,arepresentwhereverthediseaseis,andbythe
microscopeithasbeendiscoveredthateverypathologicalresulthasitscorresponding
bacteria.
TheOldSchoolconsiderthesethecause,butwewillbeabletoshowthatdiseasecauseis

muchmoresubtlethananythingthatcanbeshownbyamicroscope.
Wewillbeabletoshowyoubyaprocessofreasoning,stepbystep,thefollyofhunting
fordiseasecausebytheimplementsofthesenses.
Inanote,Hahnemannsays:
"Thephysician'smissionisnot,however,toconstructsocalledsystems,byinterweaving
emptyspeculationsandhypothesesconcerningtheinternalessentialnatureofthevital
processes and the mode in which diseases originate in the invisible interior of the
organism,"etc.
Weknowthatinthepresentdaypeopleareperfectlysatisfiediftheycanfindthename
ofthediseasetheyaresupposedtohave,anideacloakedinsomewonderfultechnicality.
AnoldIrishmanwalkedintothecliniconeday,andaftergivinghissymptoms,said:
"Doctor,whatisthematterwithme?"
Thephysiciananswered,"Why,youhaveNuxVomica,"thatbeinghisremedy.
Whereupontheoldmansaid,"Well,IdidthinkIhadsomewonderfuldiseaseorother."
Thatisanoutgrowthoftheoldfashionedfollyofnamingsickness.
Exceptinafewacutediseasesnodiagnosiscanbemade,andnodiagnosisneedbemade
exceptthatthepatientissick.
Themoreonethinksofthenameofadiseasesocalledthemoreoneisbecloudedinthe
searchforaremedy,forthenthemindisonlyupontheresultofthedisease,andnotupon
theimageexpressedinsymptoms.
Apatientoftwentyfiveyearsofage,withgravestinheritances,withtwentypagesof
symptoms,andwithonlysymptomstofurnishanimageofsickness,isperfectlycurable
iftreatedintime.
Afterbeingtreatedtherewillbenopathologicalresults;liewillgoontooldagewithout
anytissuedestruction.
Butthatpatientifnotcuredatthatearlyagewill.takeondiseaseresultsinaccordance
withthecircumstancesofhislifeandhisinheritances.
Ifheisachimneysweephewillbesubjecttothediseasepeculiartochimneysweeps.
Ifsheisahousemaidshewillbesubjecttothediseasepeculiartohousemaidsetc.
Thatpatienthasthesamediseasehehadwhenhewasborn.
Thisarrayofsymptomsrepresentsthesamestatebeforethepathologicalconditionshave
beenformedasafter.
Anditistrue,ifhehasliverdiseaseorbraindiseaseoranyofthemanytissuechanges
thattheycalldisease,youmustgobackandprocuretheseverysymptomsbeforeyoucan
makeaprescription.
Prescribingfortheresultsofdiseasecauseschangesintheresultsofdisease,butnotin
thesicknessexcepttohurryitsprogress.
Wewillseepeculiaritiesrunningthroughfamilies.
Inthebeginningisthisprimarystatewhichispresentedonlybysignsandsymptoms,and
thewholefamilyneedsthesameremedyoracognateofthatremedy;butinonemember
ofthefamilytheconditionrunstocancer,inanothertophthisis,etc.,butallfromthe
samecommonfoundation.
This fundamental condition which underlies the diseases of the human race must be
understood.

Withoutaknowledgeofthisitwillbeimpossibletounderstandtheacutemiasmatic
diseases,whichwillbeconsideredlater.
It is a wellknown fact that some persons are susceptible to one thing and some to
another.
Ifanepidemiccomesuponthelandonlyafewcomedownwithit.
Whyaresomeprotectedandwhydootherstakeit?
ThesethingsmustbesettledbythedoctrinesofHomoeopathy.Idiosyncrasiesmustbe
accountedfor.
Manyphysicianswastetheirtimesearchingafterthethingsthatmaketheirpatientssick.
Thesickmanwillbemadesick undereverycircumstance,whereasthehealthyman
couldliveinalazaretto.
Itisnottheprincipalbusinessofthephysiciantobehuntingintheriversandthecellars
andexaminingthefoodweeatforthecauseofdisease.
Itishisdutytobuntoutthesymptomsofthesicknessuntilaremedyisfoundthatcovers
thedisorder.
Thatremedy,whichwillproduceonhealthymansimilarsymptoms,isthemasterofthe
situation, is the necessary antidote, will overcome the sickness, restore the will and
understandingtoorderandcurethepatient.
Togetattherealnatureofthehumaneconomy,andtoleadupfromthattosickness,
opensoutafieldforinvestigationinamostscientificway.
Sicknesscanbelearnedbythestudyoftheprovingsofdrugsuponthehealthyeconomy.
Hahnemannmadeuseoftheinformationthusobtainedwhenhestatedthatthemindis
thekeytotheman.
Thesymptomsofthemindhavebeenfoundbyallhisfollowerstobethemostimportant
symptomsinaremedyandinasickness.
Manconsistsinwhathethinksandwhathelovesandthereisnothingelseinman.
If these two grand parts of man, the will and understanding, be separated it means
insanity,disorder,death.
Allmedicinesoperateuponthewillandunderstandingfirst(sometimesextensivelyon
both,affectingmaninhisabilitytothinkortowill,andultimatelyuponthetissues,the
functionsandsensations.InthestudyofAurumwefindtheaffectionsaremostdisturbed
bythatdrug.
Man'shighestpossibleloveisforhislife.Aurumsodestroysthisthathedoesnotlove
his life, he will commit suicide. Argentum on the other hand so destroys man's
understandingthatheisnolongerrational;hismemoryisentirelyruined.
SowitheveryproveddrugintheMateriaMedica.
Weseethemaffectingfirstman'smind,andproceedingfromthemindtothephysical
economy,totheoutermost,totheskin,thehair,thenails.
Ifmedicinesarenotthusstudiedyouwillhavenoknowledgeofthemthatyoucancarry
withyou.TheMateriaMedicahasbeenestablisheduponthisbasis.
Sicknessmustthereforebeexaminedbyathoroughscrutinyoftheelementsthatmakeup
morbidchangesthatexistinthelikenessofdrugsymptoms.
Totheextentthatdrugsinprovingsuponhealthymenhavebroughtoutsymptomson
animalultimatesmustwestudysicknesswiththehopeofadjustingremediestosickness

inmanunderthelawofsimilars.
Ultimatesymptoms,functionsymptoms,sensoriumsymptomsandmindsymptomsare
allusefulandnoneshouldbeoverlooked.
Theideaofsicknessinmanmustbeformedfromtheideaofsicknessperceivedinour
MateriaMedica.
Asweperceivethenatureofsicknessinadrugimage,somustweperceivethenatureof
thesicknessinahumanbeingtobehealed.
Therefore our idea of pathology must be adjusted to such a Materia Medica as we
possess,anditmustbediscoveredwhereinthesearesimilarinordertohealthesick.
Thetotalityofthesymptomswrittenoutcarefullyisallthatweknowoftheinternal
natureofsickness.
Thentheproperadministrationofthesimilarremedywillconstitutetheartofhealing.
LECTURE2:Organon2Thehighestidealofacure.
Thesubjectthismorningrelatestocure,towhatthenatureofacureis.
ItisstatedinthesecondparagraphoftheOrganonthat:
"Thehighestidealofacureisrapid,gentleandpermanentrestorationofthe,health,or
removalandannihilationofthediseaseinitswholeextent,intheshortest,mostreliable
andmostharmlessway,oneasilycomprehensibleprinciples."
Ifyouweretoaskaphysician,whohadnotbeentrainedinHomoeopathy,ofwhatacure
consists, his mind would only revolve around the idea of the disappearance of the
pathologicalstate;ifaneruptionontheskinwerethegiveninstance,thedisappearance
oftheeruptionfromtheskinunderhistreatmentwouldbecalledacure;ifhemorrhoids,
theremovalofthesewouldbecalledacure;ifconstipation,theopeningofthebowels
wouldbecalledacure;ifsomeaffectionofthekneejoint,anamputationabovetheknee
wouldbeconsideredacure;orifitwereanacutediseaseandthepatientdidnotdie,it
wouldbeconsideredacureofthedisease.
Andthatisreallytheideaofthepatientasitisderivedfromthephysician.
Thepatientwilloftenwonderatthegreatskillofthephysicianinremovinganeruption
fromtheskin,andwillgobackagainwhenthegravermanifestations,thetissuechanges
threateningdeath,havecomeonasaconsequence,andwillsaytothedoctor:
"Yousowonderfullycuredmeofmyskindisease,whycannotyoucureofmyliver
trouble?"
Butthisveryscientificignorantdoctorhasmadeafailure;hehasdrivenwhatwasupon
thesurfaceandharmlessintotheinnermostprecinctsoftheeconomyandthepatientis
goingtodieasaresultofscientificignorance.
Therearethreedistinctpointsinvolvedinthisparagraphandthesemustbebroughtout.
Restoringhealth,andnottheremovingofsymptoms,isthefirstpoint.
Restoringhealthhasinviewtheestablishmentoforderinasickhumanbeing;removing
symptomshasnotinviewahumanbeing;removingtheconstipation,thehemorrhoids,
thewhiteswellingoftheknee,theskindiseaseoranylocalmanifestationorparticular
signofdisease,oreventheremovalofagroupofsymptomsdoesnothaveinviewthe
restorationtohealthofthewholeeconomyofman.

Iftheremovalofsymptomsisnotfollowedbyarestorationtohealth,itcannotbecalled
acure.
Welearnedinourlaststudythat"thesoledutyofthephysicianistohealthesick,"and
thereforeitisnothisdutymerelytoremovethesymptoms,tochangetheaspectofthe
symptomstheappearanceofthediseaseimage,imaginingthatliehastherebyestablished
order.
Whatasimplemindedcreaturehemustbe!
Whatagrovellerinmuckandmirehemustbe,whenhecanmeditateupondoingsuch
things,evenamoment!
Howdifferenthisactionswouldbeifhebutconsideredthateveryviolentchangewhich
beproducesintheaspectofthediseaseaggravatestheinteriornatureofthedisease,
aggravatesthesicknessofthemanandbringsaboutanincreaseofsufferingwithinhim.
Thepatientshouldbeabletorealizebyhisfeelingsandcontinuetosay,thatheisbeing
restoredtohealth,wheneverasymptomisremoved.
Thereshouldbeacorrespondinginwardimprovementwheneveranoutwardsymptom
hasbeencausedtodisappear,andthiswillbetruewheneverdiseasehasbeendisplaced
byorder.
Theperfectionofacureconsists,then:firstinrestoringhealth,andthisistobedone
promptly,mildlyandpermanently,whichisthesecondpoint.
The cure must be quick or speedy, it must be gentle, and it must be continuous or
permanent.
Whenever an outward symptom has been caused to disappear by violence, as by
catharticstoremoveconstipation,itcannotbecalledmildorpermanent,evenifitis
prompt.
Wheneverviolentdrugsareresortedtothereisnothingmildintheactionorthereaction
thatmustfollow.
AtthetimethissecondparagraphoftheOrganonwaswrittenphysickingwasnotsomild
asatthepresentday;bloodletting,sweating,etc.,wereinvogueatthetimeHahnemann
wrotetheselines.
Medicinehaschangedsomewhatinitsappearance;physiciansarenowusingsugar
coatedpillsandcontrivingtomakemedicinesappeartastelessortasteful;theyareusing
concentratedalkaloids.
Butnoneofthesethingshavebeendonebecauseofthediscoveryofanyprinciple;
bloodlettingandsweatingwerenotabandonedonaccountofprinciple,fortheoldmen
deprecatetheirdisuse,andoftensaytheyhopethetimewillcomewhentheycanagain
gobacktothelancet.
Butthedrugsoftodayaretentimesmorepowerfulthanthoseformerlyused,because
moreconcentrated.
The cocaine, sulphonal and numerous other modern concentrated products of the
manufacturing chemists are extremely dangerous and their real action and reaction
unknown.
The chemical discoveries of petroleum have opened a field of destruction to human
intelligence,totheunderstandingandtothewill,becausetheseproductsareslowlyand
insidiouslyviolent.

Whendrugswereusedthatwereinstantlydangerousandviolenttheactionwasmanifest,
itshoweduponthesurface,andthecommonpeoplesawit.
Butthepatientofthepresentdaygoesthroughmoredangerousdrugging,becauseit
destroysthemind.
Theapparentbenefitsproducedbythesedrugsareneverpermanent.
Theymayinsomecasesseemtobepermanent,butthenitisbecauseupontheeconomy
hasbeenengraftedanewandmostinsidiousdisease,moresubtleandmoretenacious
thanthemanifestationthatwasupontheexternalsanditisbecauseofthistenacitythat
theoriginalsymptomsremainaway.
Thediseaseinitsnature,itsesse,hasnotbeenchanged;itisstillthere,causingthe
internaldestructionoftheman,butitsmanifestationhasbeenchanged,andtherehas
beenaddedtothisnaturaldiseaseadrugdisease,moreseriousthantheformer.
The manner of cure can only be mild if it flows in the stream of natural direction,
establishingorderandtherebyremovingdisease.
The direction of oldfashioned medicine is like pulling a cat up a hill by the tail ;
whereas,thetreatmentthatismild,gentleandpermanent,flowswiththestream,scarcely
producingaripple;itadjuststheinternaldisorderandtheoutermostofmanreturnsto
order.
Everythingbecomesorderlyfromtheinterior.
Thecurativemedicinedoesnotactviolentlyupontheeconomy,butestablishesitsaction
inamildmanner;butwhiletheactionismildandgentle,veryoftenthatwhichfollows,
whichisthereaction,isaturmoil,especiallywhentheworkoftraditionalmedicineis
beingundoneandformerstatesarebeingreestablished.
Thethirdpointis"uponprinciplesthatareatonceplainandintelligible."
This means law, it means fixed principles ; it means a law as certain as that of
gravitation;notguesswork,empiricism,orroundaboutmethods,oracutanddrieduse
ofdrugsaslaiddownbythelastmanufacturer.
Ourprincipleshaveneverchanged,theyhavealwaysbeenthesameandwillremainthe
same.
Tobecomeacquaintedwiththeseprinciplesanddoctrines,withfixedknowledges,with
exactitude or method, to become acquainted with medicines that never change their
properties, and to become acquainted with their action, is the allimportant aim in
homoeopathicstudy.
When one has learned these principles, and continues to practice them, they grow
brighterandstronger.
Theuseofthesefixedprinciplesistheremovalofdisease,therestorationtohealthina
mild,promptandpermanentmanner.
Ifoneweretoaskanallopathicgraduateinthisclasshowhecoulddemonstratethathe
hadcuredsomebody,theanswercouldonlybesuchasIhavementionedalready,viz.,
thepatientdidnotdie,orthatthemanifestationsprescribedforhaddisappeared.
Ifoneweretoasktoaphysiciantrainedinhomoepathicprinciplesthesamequestion,one
wouldfindthattherearemeansofdistinctlydemonstratingwhyheknowshispatientis
better.
Youwouldnaturallyexpect,ifitistheinteriorofmanthatisdisorderedinsickness,and

nothistissuesprimarily,thattheinteriormustfirstbeturnedintoorderandtheexterior
last.
Thefirstofmanishisvoluntaryandthesecondofmanishisunderstanding,thelastof
manishisoutermost;fromhiscentertohiscircumference,tohisorgans,hisskin,hair,
nails,etc.
Thisbeingtrue,thecuremustproceedfromcentertocircumference.
Fromcentertocircumferenceisfromabovedownward,fromwithinoutwards,frommore
importanttolessimportantorgans,fromtheheadtothehandsandfeet.
Every homoeopathic practitioner who understands the art of healing, knows that
symptomswhichgooffinthesedirectionsremainawaypermanently.
Moreoverheknowsthatsymptomswhichdisappearinthereverseorderoftheircoming
areremovedpermanently.
Itisthusheknowsthatthepatientdidnotmerelygetwellinspiteofthetreatment,but
thathewascuredbytheactionoftheremedy.
Ifahomoeopathicphysiciangoestothebedsideofapatientand,uponobservingthe
onsetofthesymptomsandthecourseofthedisease,seesthatthesymptomsdonot
followthisorderafterhisremedy,heknowsthathehashadbutlittletodowiththe
courseofthings.
But if on the contrary, he observes after the administration of his medicine that the
symptomstakeareversecourse,thenheknowsthathismedicinehashadtodowithit,
becauseifthediseasewereallowedtorunitscoursesucharesultwouldnottakeplace.
Theprogressionofchronicdiseasesisfromthesurfacetothecenter.
Allchronicdiseaseshavetheirfirstmanifestationsuponthesurface,andfromthattothe
innermostofman.
Nowintheproportioninwhichtheyarethrownbackuponthesurfaceitistobeseenthat
thepatientisrecovering.
Hereitisthattheturmoilspokenofabovefollowsthetruehomoeopathicremedy,andthe
ignorantdonotdesiretheiroldoutwardsymptomtobebroughtbackevenwhenitis
knownastheonlypossibleformofcure.
Complaints of the heart and chest and head must in recovery be accompanied by
manifestationsuponthesurface,intheextremitiesupontheskin,nailsandhair.
Henceyouwillfindthatthesepartsbecomediseasedwhenpatientsaregettingwell;the
hairfallsoutoreruptionscomeupontheskin.
Incasesofrheumatismoftheheartyoufind,ifthepatientisrecovering,thathisknees
becomerheumatic,andhemaysay:
"Doctor,Icouldwalkalloverthehousewhenyoufirstcametome,butnowIcannot
walk,myjointsaresoswollen."
Ifthedoctordoesnotknowthatthatmeansrecoveryhewillmakeaprescriptionthatwill
drivetherheumatismawayfromthefeetandkneesanditwillgobacktotheheartand
thepatientwilldie;anditneedhardlybestatedthatthetraditionaldoctordoesnotknow
this,asheresortstothisplanashisregularandonlyplanoftreatment,andinthemost
innocentwaykillsthepatient.
Thisisasimpleillustrationofhowitispossiblefortheinteriorsofmantoceasetobe
affectedandtheexteriorstobecomeaffected.

Itmaybeimpossibleforthemantobeentirelycured,itmaybeimpossibleforthisstate
topassoff,butthatisthedirectionofitspassingoffandthereisnoothercourse.
If the patient is incurable, while the means used are mild, he may experience great
sufferingintheevolutionofhisdisease,inthecourseofhispartialrecovery.
Tohimitmaynotappearmild,butthemeansthatwereusedweremild.Inacutediseases
wedonotobservesomuchdistressafterprescribingasweseeinoldincurablecases,in
deepseatedchroniccornplaintsthathaveexistedalongtime.
Thereturnoftheoutwardmanifestationsupontheextremitiesarenoticedinsuchcases
wheretheyhavebeensuppressed.
Toillustrate:therearemanypatientswhohavehadrheumatisminthehandsandfeet,in
thewristsandkneesandelbows,whohavebeenrubbedandstimulatedwithlotionsand
strongliniments,withchloroform,withevaporatinglotions,withcoolingapplications,
until the rheumatism of the extremities has disappeared to a great extent, but every
physician knows that as the disappearance of his rheumatism progresses cardiac
symptomsarelikelytooccur.
Whenthispatientisprescribedfortherheumatismoftheextremitiesmustcomebackor
theheartwillnotberelieved.
Thatistrueofeveryconditionthathasbeenupontheextremitiesanddriveninbylocal
treatment.justassurelyasyouliveandobservetheactionofhomeopathicremediesupon
man,sosurelywillyouseethesesymptomscomeback.
Thepatientwillreturnandsay:
"Doctor,IhavethesamesymptomsthatIhadwhenIwastreatedbyDr.Soandsofor
rheumatism."
Thiscomesoutinpracticenearlyeveryday.
Itrequiresalittleexplanationtothepatient,andifheisintelligentenoughtounderstand
it,hewillwaitfortheremedytoact.
Butthephysicianwhothinksmostofhispocketbookwillsay:
"If I don't give him a liniment to put on that limb he will go off and get another
physician."
Nowletmetellyourighthereisthebeginningofevil.
Youhadbettertrusttotheintelligenceofhumanityandtrustthathewillsayandbe
cured.
Ifyouhavelearnedtoprescribeforthepatienteventhoughhesuffer,ifyouhavelearned
whatisrightanddonotdoit,itisaviolationofconscience.
Thisparagraphappealstoman'sintegrity;itissaidinthelastline"onprinciplesthatare
atonceplainandintelligible",justassoonasyouleaveoutintegrity,andbelievethata
mancandojustasbepleases,youleaveouteverythingthatpertainstoprincipleandyou
leaveoutthefoundationofsuccess.
Butwhentheseprinciples arecarriedout,whenamanhasmadehimselfthoroughly
conversantwiththeMateriaMedicaandthoroughlyintelligentinitsapplicationwhenhe
iscircumspectinhisveryinteriorlifeastothecarryingoutoftheseprinciples,thenhe
willleadhimselfintoausethatismostdelightful,becausebysuchmeanshemaycause
diseasestodisappear,andmaywinthelastingfriendshipandrespectofaclassofpeople
worthworkingfor.

Hehasmorethanthat,hehasaclearconsciencewithallthatbelongstoit;heislivinga
lifeofinnocence.
Whenhelivessuchalifehedoesnotallowhimselftowinkatthenotionsthatarecarried
outinfamilies,as,forexample,howtopreventtheproductionofoffspring,howtoavoid
bearingchildren,howtoseparatemanandwifebyteachingthemthenastylittlemethods
ofavoidingthebringingforthofoffspring.
Themeddlingwiththesevicesandtheadvocatingofthemwillpreventthefatherand
motherfrombeingcuredoftheirchronicdiseases.
Unlesspeopleleadanorderlylifetheywillnotbecuredoftheirchronicdiseases.
Itisyourdutyasphysicianstoinculcatesuchprinciplesamongthemthattheymaylive
anorderlylife.
Thephysicianwhodoesnotknowwhatorderisoughtnottobetrusted.
Itisthedutyofthephysician,then,firsttofindoutwhatisinmanthatisdisorder,and
thentorestorehimtohealth;andthisreturntohealth,whichisaperfectcure,istobe
accomplishedbymeansthataremild,thatareorderly,thatflowgentlylikethelifeforce
itself,turningtheinternalofmanintoorder,withfixedprinciplesashisguide,andbythe
homoeopathicremedy.
LECTURE3:Organon3.Perfection ofwhatiscurableindisease,curativein
medicineandtheapplicationoflasttofirst.
Ifthephysicianclearlyperceiveswhatistobecuredindiseases,thatistosay,inevery
individualcaseofdisease:ifheclearlyperceiveswhatiscurativeinmedicines,thatisto
say,ineachindividualmedicine;andifheknowshowtoadapt,accordingtoclearly
defined principles, what is curative in medicines to what he has discovered to be
undoubtedlymorbidinthepatient,sothatrecoverymustensuetoadaptitaswellin
respecttothesuitabilityofthemedicinemostappropriateaccordingtoitsmodeofaction
tothecasebeforehim,asalsoinrespecttotheexactmodeofpreparationandquantityof
it required, and the proper period for repeating the dose ; if, finally, he knows the
obstacles to recovery in each case and is aware how to remove them so that the
restoration may be permanent : then he understands how to treat judiciously and
rationally,andheisatruepractitionerofthehealingart.
The translator hascorrectly usedheretheword"perceive", whichistoseeinto,not
merelytolookuponwiththeexternaleye,buttoclearlyunderstand,toapprehendwith
themindandunderstanding.
IfHahnemannhadsaid"see"insteadof"perceive,"itmighthavebeentakentomean
seeingwiththeeyeatumortobecutor,byopeningtheabdomen,toseethediseased
kidney,or,byexaminationoftheurine,toseethatthereisalbumenorsugarpresent,by
removingwhichinsomemysteriouswaythepatientwouldbecured.
ItisevidentbythisthatHahnemanndidnotlookuponpathologicalchangeormorbid
anatomyasthatwhichindiseaseconstitutesthecurativeindication.
Thephysicianmustperceiveinthediseasethatwhichistobecured,andthecurative
indication ineach particular caseofdiseaseis thetotality ofthesymptoms,i.e.,the
disease is represented orexpressedbythetotality ofthe symptoms,andthis totality

(whichisthespeechofnature)isnotitselftheesseofthedisease,itonlyrepresentsthe
disorderoftheinternaleconomy.
Thistotality,whichisreallyexternal,amanifestationinthetissueswillarrangeitselfinto
form,topresent,asitwere,tothephysiciantheinternaldisorder.
Thefirstthingtobeconsideredinacaseis,Whatarethecurativeindicationsinthis
case?
Whatsignsandsymptomscallthephysician'sattentionascurativesignsandsymptoms?
Thismeansnoteverymanifestationisacurativeindication.
Theresultsofdiseaseoccurringinthetissues,inchronicdiseases,suchascancerous
changes,tumorsetc.,areofsuchacharacterthattheycannotconstitute/curativesigns;
butthosethingswhicharecurable,whicharecapableofchange,whichcanbematerially
affected by the administration of remedies, the physician must know ; they are the
curativeindications.
Thephysicianoughttohaveawellgroundedideaofgovernmentandlawtowhichthere
areno exceptions ;heoughttoseethecauseofdiseaseactiontobefromcentreto
circumference,fromtheinnermostofthemantohisoutermost.
Iflawandgovernmentarepresent,thenlawdirectseveryacttakingplaceinthehuman
system.
Everygovernmentisfromthecentretothecircumference.
Lookatitpolitically.
Wheneverthesystemofcentralpoliticalgovernmentisnotbowedto,anarchyandlossof
confidenceprevail.
Therearealsocommercialcentres.
WemustrecognizeLondon,Paris,andNewYorkascentresofcommercialgovernment
intheirdifferentspheres.
Eventhespiderentrencheshimselfinhiswebandgovernshisuniversefromthecentre.
Therecannotbetwogovernments;suchwouldleadtoconfusion.
Thereisbutoneunitineverystandard.
In man thecentre ofgovernment is inthe cerebrum andfromit everynerve cell is
governed.
Fromitallactionstakeplaceforgoodorevil,fororderordisorder;fromitdiseasebegins
andfromitbeginsthehealingprocess.
Itisnotfromexternalthingsthatmanbecomessick,notfrombacterianorenvironment,
butfromcausesinhimself.
Ifthehomoeopathdoesnotseethis,hecannothaveatrueperceptionofdisease.
Disorderinthevitaleconomyistheprimarystateofaffairs,andthisdisordermanifests
itselfbysignsandsymptoms.
In perceiving what is to be cured in disease one must proceed from generals to
particulars,studydiseaseinitsmostgeneralfeatures,notasseenupononeparticular
individual,butuponthewholehumanrace.
Wewillendeavourtobringthisideabeforethemindbytakingasanexampleoneofthe
acutemiasms,notforthepurposeofdiagnosis,asthisiseasy,buttoarrangeitfora
therapeuticexamination.
Letustakeanepidemic,say,ofscarletfever,orgrippe,ormeasles,orcholera.

If the epidemic is entirely different from anything that has hitherto appeared in the
neighborhooditisatfirstconfusing.
Fromthefirstfewcasesthephysicianhasaveryvagueideaofthisdisease,forhesees
onlyafragmentofit,andgetsonlyaportionofitssymptoms.
Buttheepidemic spreadsandmanypatients arevisited,andtwentyindividuals have
perhapsbeencloselyobserved.
Nowifthephysicianwillwritedownallthesymptomsthathavebeenpresentineach
caseinaschematicform,arrangingthemindsymptomsofthedifferentpatientsunder
"mind"andtheheadsymptomsunder"head,"andsoon,followingHahnemann'smethod,
theyconsideredcollectivelywillpresentoneimage,asifonemanhadexpressedall
thesymptoms,andinthiswayhewillhavethatparticulardiseaseinschematicform.
Ifheplacesoppositeeachsymptomanumbercorrespondingtothenumberofpatientsin
whichthatsymptomoccurred,hewillfindouttheessentialfeaturesoftheepidemic.
For example, twenty patients hadaching in thebones,andat oncehe sees thatthat
symptomisapartofthisepidemic.
Allthepatientshadcatarrhalaffectionsoftheeye,andameaslyrash,andthesealsomust
berecordedaspathognomonicsymptoms.
Andsobytakingtheentireschemeandstudyingitasawhole,asifonepatienthad
experienced all the symptoms, he is able to perceive how this new disease, this
contagiousdisease,affectsthehumanrace,andeachparticularpatient,andheisableto
predicateofitwhatisgeneralandwhatisparticular.
Everynewpatienthasafewnewsymptoms;hehasputhisownstamponthatdisease.
Thosesymptomsthatrunthroughallarethepathognomonicsymptoms;thosewhichare
rarearethepeculiaritiesofthedifferentpeople.
This totality represents to the human mind, as nearly as possible, the nature of this
sickness,anditisthisnaturethatthetherapeutistmusthaveinmind.
Nowlethimtakethenextstep,whichistofindingeneraltheremediesthatcorrespondto
thisepidemic.
Bytheaidofarepertoryhewillwriteaftereachoneofthesesymptomsalltheremedies
thathaveproducedthatsymptom.
Havinginthiswaygonethroughtheentireschema,hecanthenbegintoeliminatefor
practicalpurposes,andhewillseethatsixorsevenremediesrunthroughthepicture,and,
therefore,arerelatedtotheepidemic,correspondingtoitswholenature.
Thismaybecalledthegroupofepidemicremediesforthatparticularepidemic,andwith
thesehewillmanagetocurenearlyallhiscases.
Thequestionnowarises,whichoneistheremedyforeachindividualcase?
WhenhehasworkedoutthehalfdozenremedieshecangothroughtheMateriaMedica
andgettheirindividualpicturessofixedinhisheadthathecanusethemsuccessfully.
Thusheproceedsfromgeneralstoparticulars,andthereisnootherwaytoproceedin
Homoeopathy.
Heiscalledtoafamilywithhalfadozenpatientsinbedfromthisepidemic,andhefinds
alittledifferenceineachcasesothatoneremedyisindicatedinonepatientandanother
remedyinanotherpatient.
ThereisnosuchthinginHomoeopathyasadministeringoneoftheseremediestoallin

thefamilybecauseofadiagnosticname.
Now,whileoneoftheremediesintheepidemicgroupwillmostlikelybeindicatedin
manycases,yetifnoneoftheseshouldfitthepatient,thephysicianmustreturntohis
originalanamnesistoseewhichoneoftheotherremediesissuitable.
Veryrarelywillapatientdemandaremedynotintheanamnesis.
Everyremedyhasinitselfacertainstateofpeculiaritiesthatidentifiesitasanindividual
remedy,andthepatienthasalsoacertainstateofpeculiaritiesthatidentifieshimasan
individualpatient,andsotheremedyisfittedtothepatient.
Noremedymustbegivenbecauseitisinthelist,forthelisthasonlybeenmadeasa
meansoffacilitatingthestudyofthatepidemic.
Thingscanonlybemadeeasybyanimmenseamountofhardwork,andifyoudothe
drudgeryinthebeginningofanepidemic,theprescribingforyourcaseswillberapid,
andyouwillfindyourremediesabortcasesofsickness,makemalignantcasessimple,so
simplifyscarletfeverthatclassificationwouldbeimpossible,stopthecourseoftyphoids
inaweek,andcureremittentfeversinaday.
Ifthephysiciandoesnotworkthisschemeoutonpaperhemustdoitinthemind,butif
hebecomesverybusyandseesalargenumberofcasesitwillbetoomuchtocarryinthe
mind.
Youwillbeastonishedtofindthatifyouputanepidemiconpaperyouwillforeverbe
abletocarrytheknowledgeofitinmind.
Ihavedonethis,andhavebeensurprisedtofindthatafteradozenreferencestoitIdid
notneeditanymore.
Nowyoumaysay,howisthisinregardtotyphoidfever?
Itisnotanewdisease,itisanoldform.
Theoldpractitionerhasunconsciouslymadeananamnesisofhistyphoidcases,hehas
unconsciouslywrittenitoutinhismindandcarriesitaround.
Itisnotdifficulttoworkoutthegroupoftyphoidremedies,andfromthisgrouphe
works.
Thesameistruewithregardtomeasles,certainremediescorrespondtothenatureof
measles,i.e.,whenstudiedbyitssymptomsandnotbyname.
Ofcourse,everynowandthenwillcomeuparareandsingularcase,whichwillcompel
youtogooutsideoftheusualgroup.
Neverallowyourselftobesocrampedthatyoucannotgooutsideofthemedicinesthat
youhavesettleduponasmedicines,say,formeasles.
AllyournondescriptcasesofcoursewillgetPulsatilla,becauseitissosimilartothe
nature of measles, but it does not do to be too limited or routine, but be sure in
administeringaremedythattheindicationsareclear.
EverybusypractitionerthinksofAilanthus,Apis,BelladonnaandSulphurformalignant
casesofscarletfever,andyethehasoftentogooutsideofthatgroup.
Sothephysicianperceivesinthediseasewhatitisthatconstitutesthecurativeindication.
Thispresentsitselftohismindonlywhenheisclearlyconversantwiththenatureofthe
sickness,as,forinstance,withthenatureofscarletfever,ofmeasles,oftyphoidfever,
thezymosis,thebloodchanges,etc.,sothatwhentheyarriveheisnotsurprised;when
the typhoid state progresses he expects the tympanitic abdomen, the diarrhoea, the

continuedfever,therash,thedeliriumandunconsciousness.
Thesethingsstandoutasthenatureoftyphoid.
When,therefore,hegoestotheMateriaMedicaheatoncecallsupbeforehismindthis
natureoftyphoid,andsoisabletopickouttheremediesthathavesuchanature.
HeseesinPhosphorus,Rhus,Bryonia,Baptisia,Arsenicum,etc.,lowformsoffever,
correspondingtothetyphoidcondition.
Butwhenthepatientjumpsawayoutoftheordinarygroupofremedies,thenitisthathe
hastogooutsideofthebeatentrackandfindanotherremedythatalsocorrespondstothe
natureoftyphoidfever.
BytheseremarksIamendeavoringtoholdupbeforeyouwhatthephysicianregardsas
mecurativeindicationsofdisease.
Firstheseesthediseaseingeneralastoitsnature,andthenwhenanindividualhasthis
diseasethisindividualwillpresentinhisownpeculiaritiesthepeculiarfeaturesofthat
disease.
Thehomoeopathisinthehabitofstudyingtheslightestshadesofdifferencebetween
patients,thelittlethingsthatpointtotheremedy.
Ifwelookedupondiseaseonlyastheoldschoolphysicianseesitwewouldhaveno
means of distinction, but it is because of the little peculiarities manifested by every
individual patient, through his inner life, through everything he thinks, that the
homoeopathisenabledtoindividualize.
"Ifthephysicianclearlyperceiveswhatiscurativeinmedicines,thatistosay,ineach
individualmedicine."
Hereagainheprogressesfromgeneralstoparticulars.
Hecannotbecomeacquaintedclearlywiththeactionofmedicinesindividuallyuntilhe
becomes acquainted with the action of medicines collectively, proceeding from a
collectivestudytoaparticular.
Thisistobedonebystudyingprovings.
Supposeweweretostartoutinthisclassandmakeaprovingofsomeunknowndrug,it
wouldbeexpectedthatyouwouldallbringoutthesamesymptoms,butthesamegeneral
featureswouldrunthroughthisclassofprovers;eachindividualwouldhavehisown
peculiarities.
No.1mightbringoutthesymptomsofthemindmoreclearlythanNo.2;No.2might
bringoutthesymptomsofthebowelsmoreclearlythanNo.1;No.3mightbringout
healsymptomsverystrongly,etc.
Nowifthesewerecollectedtogetherasifonemanhadprovedthemedicine,wewould
thenhaveanimageofthatmedicine.
Ifwehadahundredproverswewouldgothroughthewholenatureofthisremedyand
perceivehowitaffectedthehumanrace,howitactedasaunit.
WhatIhavesaidbeforeaboutstudyingthenatureofdiseasemustbeappliedtothestudy
ofthenatureofaremedy.
A remedy is in condition to be studied as a whole when it is on paper, the mind
symptoms under one head, the symptoms of the scalp under another, and so on
throughouttheentirebodyinaccordancewithHahnemann'sschema.
Wemaygoonaddingtoit,developingit,notingwhichofthesymptomsorgroupsof

symptomsarethemostprominent.
Aremedyisnotfullyproveduntilithaspermeatedandmadesickallregionsofthebody.
Whenithasdonethisitisreadyforstudyandforuse.
Manyofourprovingsareonlyfragmentsandaregiveninthebooksforwhattheyare
worth.
Hahnemannfollowedupinfullalltheremediesthathehandeddowntous;inthesethe
symptomshavebeenbroughtoutupontheentireman.
Eachindividualmedicinemustbestudiedinthatway,astobowitchangesthehuman
race.
To understand the nature of the chronic miasms, psora, syphilis and sycosis, the
homoeopathmustproceedinidenticallythesamewayaswiththeacute.Hahnemannhas
putonpaperanimageofpsora.
For elevenyearshecollected thesymptomsofthosepatients whowereundoubtedly
psoricandarrangedtheminschematicformuntilthenatureofthisgreatmiasmbecame
apparent.
Following upon that be published antipsoric remedies which in their nature have a
similaritytopsora.
Tobeareallysuccessfulphysicianthehomoeopathmustproceedalongthesamelinesin
regardtosyphilisandsycosis.
Now,whenthephysiciansees,asitwere,inanimage,thenatureofdisease,whenheis
acquaintedwitheverydiseasetowhichwearesubject,andwhenheseesthenatureofthe
remediesincommonuse,justasclearlyasheperceivesdisease,thenonlisteningtothe
symptoms of a sick man he knows instantly the remedies that have produced upon
healthymansymptomssimilartothese.
Thisiswhatparagraph3teaches;itlookstowardsmakingthehomoeopathicphysician
sointelligentthatwhenhegoestothebedsideofapatienthecanclearlyperceivethe
natureofdiseaseandthenatureoftheremedy.
Itisamatterofperception;heseeswithhisunderstanding.
Whenaphysicianunderstandsthenatureofdiseaseandofremedies,thenitisthathewill
beskilful.
LECTURE4:Organon4."Fixedprinciples."LawAndGovernmentFrom
Centre.
Wewilltakeuptodaythestudyofthelastpartofthethirdparagraphrelatingtothefixed
principlesbywhichthephysicianmustbeguided.
Intimepast,outsideofthedoctrinalstatementsofHomoeopathy,medicinehasnever
beenamatterofexperience,andmedicinetoday,outsideofHomoeopathy,isa"medicine
ofexperience."
Now,inorderthatthemindmaybeopentoreceivethedoctrines,itisnecessarythatthe
exactandproperpositionofexperienceshouldberealized.
Ifthetrueconceptionoflawanddoctrine,orderandgovernment,prevailedinman's
mindhewouldnotbeforeverhatchingouttheories,astheywouldnotbenecessary,and
moreoverhewouldbewiseenoughtoknowandseeclearlywhatistruthandwhatis

folly.
Experiencehasaplaceinscience,butonlyaconfirmatoryplace.
Itcanonlyconfirmthatwhichhasbeendiscoveredthroughprincipleorlawguidingin
theproperdirection.
Experienceleadstonodiscoveries,butwhenmanisfullyindoctrinatedinprinciplethat
whichheobservesbyexperiencemayconfirmthethingsthatareconsistentwithlaw.
Onewhohasnodoctrines,notruth,nolaw,whodoesnotrelyuponlawforeverything,
imagineshediscoversbyexperience.
Out of his experience he will undertake to invent, and his inventions run in every
conceivable direction ;hence wemayseein this century amedical convention of a
thousandphysicianswhorelyentirelyuponexperience,atwhichonewillariseandrelate
his experience, andanotherwillariseandtell hisexperience, andthetalkers ofthat
conventioncontinuetodebateandnotwotalkersagree.
Whentheyhaveflnishedtheycomparetheirexperiences,andthatwhichtheysettleupon
theycallscience,nomatterhowfartheymaybefromthetruth.
Next year they come back and they have different ideas and have had different
experiences,andtheythenvoteoutwhattheyvotedinbefore.
Thisisthemedicineofexperience.
Theyconfirmnothing,butmakefromexperienceaseriesofinventionsandtheories.
Thisisthewrongdirection.
Thescienceofmedicinemustbebuiltonatruefoundation.
Tobesure,manmustobserve,butthereisadifferencebetweentrueobservationina
scienceunderlawandprincipleandtheexperienceofamanwhohasnolawandno
principle.
Oldfashioned medicine denies principle and law, calls its system the medicine of
experience, andhenceitsdoctrines arekaleidoscopic,changingeveryyearandnever
appearingtwicealike.
Letmeagainimpressthenecessityofknowingsomethingabouttheinternalgovernment
ofmaninordertoknowhowdiseasedevelopsandtravels.
Ifweobserveanygovernment,theGovernmentoftheuniverse,civilgovernment,the
governmentofcommercephysicalgovernment,wefindthatthereisonecentrethatrules
andcontrolsandissupreme.
AmanwithinhimbyendowmentoftheDivineacentreofgovernmentwhichisinthe
greymatterofthecerebrumcentreandinthehighestportionofthegreymatter.
Everythinginman,andeverythingthattakesplaceinman,isprescribedoverprimarily
bythiscentre,fromcentretocircumference,
Ifmanisinjuredfromtheexternal,e.g.,ifhehashisfingertorn,itwillsoonberepaired;
theorderwhichisintheeconomyfromcentretocircumferencewillrepaireverywrong
thatisonthesurfacecausedbyexternalviolence.
Theorderofrepairisthesameinexternalasininternalviolence.injuriesareexternal
violence,butdiseasesareinternaldisorderperformingviolence.
Alltruediseasesoftheeconomyflowfromcentretocircumference.
Allmiasmsaretruediseases.
Inthegovernmentoftheman,thereisatriad,afirst,asecondandthird,whichgives

direction, viz. : the cerebrum, cerebellum and spinal cord, or when taken more
collectivelyorally,thebrain,spinalcordandthenerves.
Consideredmoreinternally,wehavethewillandunderstandingformingaunitmaking
theinteriorman;thevitalforceorviceregentofthesoul,thatis,thelimbsorsoulstuff,
theformativesubstancewhichisimmaterial;andthenthebodywhichismateria.
Thusfromtheinnermost,thewillorvoluntaryprinciple,throughthelimbusorsimple
substancetotheoutermost,theactualormaterialsubstanceofman,whichisinevery
cell,wehavethisorderofdirection.
Everycellinmanhasitsrepresentativeoftheinnermost,themiddleandtheoutermost;
thereisnocellinmanthatdoesnothaveitswillandunderstanding,itssoulstuffor
limbusorsimplesubstance,anditsmaterialsubstance.
Diseasemustflowinaccordancewiththisorder,becausethereisnoinwardflow.
Manisprotectedagainstthingsflowinginfromtheoutwardtowardthecentre.
Alldiseaseflowsfromtheinnermosttotheoutermost,andunlessdrugsubstancesare
preparedinaformtodothistheycanneitherproducenorcuredisease.
Therearemiasmsintheuniverse,acuteandchronic.
Thechronic,whichhavenotendencytowardrecovery,arethree,psora,syphilis and
sycosis;weshallstudytheselater.
Outside of acute and chronic miasms there are only the results of disease to be
considered.
Themiasmsarecontagious;theyflowfromtheinnermosttotheoutermost;andwhile
theyexistinorgansyettheyareimperceptible,fortheycannotexistinmanunlessthey
existinformsubtleenoughtooperateupontheinnermostofman'sphysicalnature.
Thecorrespondenceofthisinnermostcannotbediscoveredbyman'seye,byhisfingers,
orbyanyofhissenses,neithercananydiseasecausebefoundwiththemicroscope.
Diseasecanonlybeperceivedbyitsresults,anditflowsfromwithinout,fromcentreto
circumference,fromtheseatofgovernmenttotheoutermost.
Hencecuremustbefromwithinout.
Inourcivilgovernmentweseethelikenesstothis.
LetanygreatdisturbancecomeuponourgovernmentatWashingtonandseehow,like
lightning,thisisfelttothecircumferenceofthenation.
Howthewholecountrybecomesshakenanddisturbedasifbydiseaseifitisanevil
government.
Ifthegovernmentbegood,weobserveitintheformofimprovement,andeverybodyis
benefitedbyit.
Ifinthegreatcentresofcommerce,London,ParisorNewYork,somegreatcrashor
crisistakesplace,howtheverycircumferencethatdependsuponthesecentresisshaken,
asitwere,bydisease.
EverylittlepoliticalofficedependsuponWashington,andthatordermustbepreserved
mostthoroughly.
Thesheriffandconstable,thejudgeandthecourts,arelittlegovernments dependent
uponthelawthatisformedbythestate.
ThelawofthestatewouldbenothingifthecentreofourgovernmentatWashington
weredethronedbyanothernation.

All the law and principles in Pennsylvania depended upon the permanency and
orderlinessofthegovernmentinWashington,andthereisaseriesfromWashingtonto
HarrisburgandfromHarrisburgtoPhiladelphia.
Therecanbenobrokenlink.
It is now seen what is to be understood by order and directions, and that there are
directions;nothingcanflowinfromtheoutermostoaffecttheinnermost.Disturboneof
the courts in Philadelphia and this does not disturb the country or the constitutional
government.
If the finger is burnt this does not to any great extent disturb the constitutional
governmentoftheman,buttheconstitutionalgovernmentrepairsit.
Itisnotadisease,itdoesnotrackthewholeframe.
Itisonlythatwhichshakesthewholeeconomy,disturbsthegovernment,whichisa
disease.
Somanmayhavehishandcutoffwithoutthesystembeingdisturbed,butletalittle
disease,measlesforexample,flowinfromthecentreandhiswholeeconomyisracked.
Oldfashionedmedicinetalksofexperience,butitisentirelydependentontheeyesand
fingers;appearancesarewonderfullydeceptive.
Ifyouexamineanyacutemiasmyoumayknowwhatitlookslike,buttheesseofit
cannotbediscoveredbyanyofthesenses.
Wehaveseenthateverythingisgovernedfromthecentre.
Nowwhatcomesinthedirectionoflaw,whatcomesfromprinciple,comesfromthe
centre,isflowinginaccordancewithorderandcanbeconfirmedbyexperience.
Toapplyitmorepractically,whatwelearnfromtheuseofthelawofhomoeopathics,
what we observe after learning that law and the doctrines that relate to it all our
subsequentexperience,confirmstheprinciples.
Forexample,everyexperiencewithBryoniamakesBryoniasomuchbrighterinmind.
Withexperienceonegrowsstronger;onedoesnotchangeoralterwitheverymood,but
becomesfirmlyestablished.
Ifeverythingtendstodisturbthemind,thatmeansthatyouareinastateoffollyorthat
youareinsane;itmaybealittleofboth.
A man that relies on experience to guide him never knows ; his mind is constantly
changing,neversettled;ithasnovalidity.
Validityissomethingabsolutelyessentialtoscience.
Itisnecessaryforhomoeopathstolookuponlawasvalidandnotuponman,asthereis
nomanvalid.
InHomoeopathyitistheveryprincipleitselfthatisvalid,andthingsthatarenotin
accordancewithprincipleshouldnotbeadmitted.
Weseefromallthisthenecessityofpotentization.
Allcausesaresorefinedincharacter,sosubtleintheirnature,thattheycanoperatefrom
centretocircumference,operateuponman'sinteriorsandfromtheinteriortothevery
exterior.
Thecoarserthingscannotpermeatetheskin.
Man'sskinisanenvelope,protectinghimagainstcontagionfromcoarsermaterials;but
againsttheimmaterialsubstanceheisprotectedonlywheninperfecthealth.

Inanunguardedmomenthesuffers,andthisisthenatureandqualityofdiseasecause.
Itcanonlyflowintomanfromthecentreandtowardstheoutermostinawaytodisturb
hisgovernment.
The disturbance of government is a disturbance of order, and this is all there is of
sickness,andwehaveonlytofollowthisouttofindthattheveryhousemanlivesin,and
hiscells,arebecomingderanged.
Changesaretheresultofdisorderandendinbreakingdown,degeneration,etc.;puscells
andthevariousformsofdegenerationareonlytheresultofdisorder.
Solongasorderandharmonygoonperfectly,solongthetissuesareinastateofhealth,
the metamorphosis is healthy, the tissue change is normal, the physiological state is
maintained.
Wecanonlycomprehendthenatureofdisease,andtissuechangestheresultofdisease,
bygoingbacktoitsbeginning.
The studyofetiology intheoldschoolisawonderfulfarce,becauseitbegins with
nothing.
Itisanassumptionthattissuechangesarethedisease.
FromthedoctrinesofHomoeopathyitwillbeseenthatmorbidanatomy,nomatterwhere
itoccurs,mustbeconsideredtobetheresultofdisease.
Allcurablediseasesmakethemselvesknowntothephysicianbysignsandsymptoms.
Whenthediseasedoesnotmakeitselfknowninsignsandsymptoms,anditsprogressis
intheinterior,weatonceperceivethat,thatmanisinaveryprecariouscondition.
Conditionsofthebodythatareincurablearesuchveryoftenashavenoexternalsignsor
symptoms.
InthefourthparagraphHahnemannsays:
"Thephysicianislikewiseapreserverofhealthifheknowsthethingsthatderangehealth
andcausediseaseandhowtoremovethemfrompersonsinhealth."
Ifthephysicianbelievesthatcausesareexternal,ifhebelievesthatthematerialchanges
inthebodyarethethingsthatdisturbhealth,arethefundamentalcauseofsickness,he
willundertaketoremovethese,e.g.,hewillcutoffhemorrhoidsorremovethetumor.
ButthesearenotobjectsHahnemannmeans.
Theobjectshemeansareinvisibleandcanonlybeknownbysignsandsymptoms.
Ofcourse,itisquiterightforthephysiciantoremovethosethingsthatareexternaltothe
sickmanandaretroublinghim.
Thesearenotdisease,buttheyareinameasuredisturbinghimandmakinghimsick,
aggravatinghischronicmiasmsothatitwillprogressanddestroy.
These are outward obstacles and not the disease, but in this way man is very often
renderedmoresusceptibletoacutemiasms.
Thethings"whichkeepupdisease"relatemoreparticularlytoexternalthings.
Thereareconditionsinman'slifewhichkeepuporencourageman'sdisorder.
The disorder is from the interior, but many of the disturbances that aggravate the
disordersareexternal.
Thecauseofdisorderisinternal,andisofsuchqualitythatitaffectstheGovernment
fromtheinterior,whilethecoarserthingsaresuchascandisturbmoreespeciallythe
body,suchasimproperlyselectedfood,livingindamphouses,etc.

Itishardlyworthwhiletodwelluponthesethings,becauseanyordinaryphysicianis
sufficientlywellversedinhygienetoremovefromhispatientstheexternalobstacles.
InthefifthparagraphHahnemannsays:
"Usefultothephysicianinassistinghimtocurearetheparticularsofthemostprobable
excitingcauseoftheacutedisease,etc."
Theprobableexcitingcauseistheinflowingofthecauseasaninvisible,immaterial
substance,which,havingfastenedupontheinterior,flowsfromtheverycentretothe
outermostoftheeconomy,creatingadditionaldisorder.
Thesemiasmsallrequireagiventimetooperatebeforetheycanaffecttheexternalman,
andthistimeiscalledtheprodromalstage.
Thisistrueofpsora,syphilisandsycosisandofeveryacutecontagiousdiseaseknownto
Man.
Whiletheinfluxisupontheinnermostofthephysicalmanitisnotapparent,butwhenit
beginstooperateuponhisnervesandtissues,affectinghiminhisoutermost,thenit
becomesapparent.
Eachmiasmproducesuponthehumaneconomyitsowncharacteristics,justasevery
drugproducesuponthehumaneconomyitsowncharacteristics.
Hahnemannsaysthatthesemustberecognized,thatthehomoeopathicphysicianmustbe
familiarenoughwithdiseasecause,withdiseasemanifestationsanddrugmanifestations
tobeabletoremovetheminaccordancewithprinciplesfixedandcertain.
There shouldbenohypothesis noropinion,neithershouldsimpleexperience have a
place.
Ifthephysicianisdealingwithacutecaseshemusttakeintoconsiderationthenatureof
thecaseasamalady,andsoalsowithchroniccases.
Itissupposedthatheisconversantwiththediseasefromhavingobservedthesymptoms
ofagreatmanycases,andisthereforeabletoholdbeforethemindtheimageofthe
disease.
Whenheisthoroughlyconversantwiththeveryimageofthesicknessesthatexistupon
thehumanrace,heisthenpreparedtostudyMateriaMedica.
Alltheimitationsofmiasmsarefoundindrugs.
Thereisnomiasmofthehumanracethatdoesnothaveitsimitationindrugs.
Theanimalkingdomhasinitselftheimageofsickness,andthevegetableandmineral
kingdomsinlikemanner,andifmanwereperfectlyconversantwiththesubstancesof
thesethreekingdomshecouldtreatthewholehumanrace.
By application the physician must fill his mind with images that correspond to the
sicknessesofthehumanrace.
Itisbeingconversantwithsymptomatology,withthesymptomimagesofdisease,that
makesoneaphysician.
Thebooksofthepresenttimearedefective,inthattheyignoresymptomatologyanddo
notfurnishusanimageofthesickness.
Theyareextensivelytreatisesonpathology,uponheredity,withverylittleofthepatient
himself.
Ifwegobacktoearliertimes,whenthephysiciandidnotknowsomuchaboutthe
microscope,whenhedidnotexamineintothecauseofdiseasesominutely,wewillfind

insuchworksas"WatsonsPractice"muchbetterdescriptionsofsickness.
Watsonstandsatthebedsideandrelateswhathispatientslooklike,andhenceitisa
grandoldbookforthehomoeopathicphysician.
Chambers,inhislecturesatSt.Mary'sHospital,London,alsorelateswithaccuracythe
appearanceofthepatient.
Atthepresenttimetheoldschoolphysiciansays:"Iwanttoknownothingaboutyour
symptoms;takethisandgotothefirstdrugstoreandhaveitfilled."
Thisisthestateofthingsatthepresenttime,alookatthetongue,afeelofthepulse,and
"takethis,"handingaprescriptiontobefilledatthenearestpharmacy.
Isthatobservingthesick?
Cansuchamanbetheguardianofthesick,whenitrequirestimetobringouteverylittle
detail of sickness, and a nervous girl is driven off and never permitted to tell her
symptoms?
Suchpatientshavetoldmeafteranhour'sconversationandtakingofsymptoms:"The
otherdoctortoldmeIhadhysteria,thattherewasnothingthematterwithme,thatIwas
justnervous''
Thatiswhatmodempathologyleadsmentothinkandsay.
Everythingisdeniedthatcannotbediscoveredbythesenses;hencethisfalsesciencehas
creptuponusuntilitisatypicalfolly.
Astotheendofsickness,whatsicknesswilldoisofnogreatmatter,becausebythe
symptomswehaveperceivedthenatureoftheillnessandmaysafelytrusttotheremedy.
Ifnoremedybeappliedtochecktheprogressofthediseaseitmaylocalizeintheheart,
lungs or kidneys, but the nature of the sickness exists in that state of disordered
governmentexpressedbysignsandsymptoms.

LECTURE5:Organon5.Discriminationastomaintainingexternalcausesand
surgicalcases.
Wewishtorevertforashorttimetothefourthparagraph,inwhichHahnemannsays:
"Thephysicianislikewiseapreserverofhealthifheknowsthethingsthatderangehealth
andcausedisease,andhowtoremovethemfrompersonsinhealth."
Thehomoeopathicphysicianisafailureifhedoesnotdiscriminate.
Itseemsthatamongtheearliestthingshemustlearnisto"RenderuntoCaesarthethings
thatareCaesar's,"tokeepeverythinginitsplace,tokeepeverythinginorder.
Thislittleparagraphmightseemtorelatetonothingbuthygiene.
Oneofthemostsuperficialthingsinitistosaythatpersonsabouttobemadesickfrom
badhabitsshouldbreakofftheirbadhabits,theyshouldmovefromdamphouses,they
shouldplugtheirsewersorhavetrapsputiniftheyarebeingpoisonedwithsewergas.
Itiseverybody'sdutytodothesethings,butespeciallythephysician's,andwemight
almostletitgowiththesaying.
Topreventcoffeedrinking,vinegardrinking,etc.isasuperficialthing;butinthisway
hemaypreservehealth.
Todiscriminatethen,isamostimportantthing.
Toillustrateitinageneralwaywemightsaythatonewhoissufferingfromconscience

doesnotneedasurgeon.
Youmightsayheneedsapriest.
Onewhoissickinhisvitalforceneedsaphysician.
Hewhohasalaceratedwound,orabrokenbone,ordeformities,hasneedofasurgeon.
Ifhistoothmustcomeouthemusthaveasurgeondentist.
Whatwouldbethoughtofamanwho,onbeingsentforasurgeontosetaninjuredman's
bonesshouldgoforacarpentertomendtheroofoftheman'shouse?
Iftheman'shousealoneneedsmendingthenheneedsacarpenterandnotasurgeon.
Thephysicianmustdiscriminatebetweenthemanandhishouse,andbetweentherepair
ofmanandtherepairofhishouse.
Itisfollytogivemedicineforalaceratedwound,toattempttocloseupadeepwound
withadoseofremedy.
Injuriesfromknives,hooks,etc.,affectthehousethemanlivesinandmustbeattended
tobythesurgeon.
When the gross exterior conditions which are brought on from exterior causes
complicatedwiththeinteriormanthenmedicineisrequired.
Ifthephysicianactsalsoasasurgeonhemustknowwhenheistoperformhisfunctions
asasurgeon,andwhenhemustkeepbackasasurgeon.
Heshouldsewupawound,butshouldnotburnoutanulcerwithNitrateofSilver.
Ifheisnotabletodiscriminate,andoneveryulcerheplastershisexternalapplications,
heisnotapreserverofhealth.
Whensignsandsymptomsarepresentthephysicianisneeded,becausethesecomefrom
theinteriortotheexterior.
Butifhisconditionisbroughtononlyfromexternalcauses,thephysicianmustdelay
actionandletthesurgeondohiswork.
Yetweseearoundusthatphysiciansbombardthehousethemanlivesinandhaveno
ideaoftreatingtheman.
Theyarenomorethancarpenters,theyattempttorepairtheroof,putonboardsand
bandages, and yet by their bandaging the man from head to foot they often do an
improperthing.
Thephysicianmustknowthethingsthatderangehealthandremovethem.ifafangofan
oldtoothcausesheadachedayandnightthatcausemustberemoved.
Toprescribewhenasplinterispressingonanerveandleavethesplinterinwouldbe
foolishnessandcriminalnegligence.
Theaimshouldbetodiscriminateandremoveexternalcausesandturnintoorderinternal
causes.
Amancomesfortreatment,andheislivingondeviledcrabsandlobstersaladandother
trashtoorichforthestomachofadog.
IfwekeepongivingNuxVomicatothatmanwearefoolish.
Ifamanwhohasbeenlivingviciouslystopsithecanbehelped,butsolongasthat
externalcauseisnotremovedthephysicianisnotusingdiscrimination.
Vicioushabitsbadliving,livingindamphousesareexternalsandmustberemoved.
When a man avoids these externals, is cleanly, carefully chooses his food, has a
comfortablehome,andisstillmiserable,hemustbetreatedfromwithin.

Youknowhowwearemalignedandliedabout.
Youhavehearditsaidaboutsomestricthomoeopath,
"Hetriedtosetabrokenlegwiththec.m.potencyofMercury,Whatapoorfool!".
Butstilloutsideofsuchaninstancethisdiscriminationisanimportantmatter.
Youmustrememberitespeciallywhenbusyasattimesitwillbehardtodecide.
This kind of diagnosis is important, because it settles between things external and
internal.
Everyphysiciandoesnotdiscriminatethus,forifhedidtherewouldnotbesomany
poulticesandmurderousexternalapplicationsused.
Amongthosewhodonotdiscriminatearethosewhoapplymedicinesexternallyandgive
theminternally.
Nowwereturntothefifthparagraph,whichread:
Usefultothephysicianinassistinghimtocurearetheparticularsofthemostprobable
excitingcauseoftheacutedisease,asalsothemostsignificantpointsinthewholehistory
ofthechronicdiseasetoenablehimtodiscoveritsfundamentalcause,whichisgenerally
duetoachronicmiasm.
Intheseinvestigationstheascertainablephysicalconstitutionofthepatient(especially
whenthediseaseischronic),hismoralandintellectualcharacter,hisoccupation,modeof
livingandhabits,hissocialanddomesticrelations,hisage,sexualfunctions,etc.,areto
betakenintoconsideration.
Littleisknownoftherealexcitingcauses.
Acuteaffectionsaredividedintotwoclasses(1)thosethataremiasmatic,whicharetrue
diseases,and(2)thosethatmaybecalledmimickingsickness.
Thelivingindamphouses,grief,badclothing,etc.;andthecausesbeinglatterhaveno
definitecause,areproducedbyexternalcausessuchasremovedthepatientrecovers.
Butthefirst,theacutemiasmshaveadistinctcoursetorun.
Theyhaveaprodromalperiod,aperiodofprogressandaperiodofdecline,ifnotso
severeastocausethepatient'sdeathMeasles,scarletfever,whoopingcough,smallpox,
etc.,areexamplesofacutemiasms.
The physician must also be acquainted with the chronic miasms, psora, syphilis and
sycosis,whichwewillstudylater.
Thesehaveliketheacute,aprodromalperiodandaperiodofprogress,butunlikethe
acutetheyhavenoperiodofdecline.
Whenthetimesandcircumstancesarefavourablethechronicmiasmbecomesquiescent,
butadversetimesrouseitintoactivity,andeachtimeitisarousedtheconditionisworse
thanitwasatthepreviousexacerbation.
InthisparagraphHahnemannteachesthatthechronicmiasmsarethefundamentalcause
oftheacutemiasms,whichistosay,iftherewerenochronicmiasmstherewouldbeno
acute.
Itisintheverynature]ofachronicmiasmtopredisposemantoacutediseases,andthe
acutediseasesareasfueladdedtoanunquenchablefire.
Acutediseasesthenexistfromspecificcausescooperatingwithsusceptibility.
Wedonotrecognizemeaslesorscarletfeverexceptinsickpeople.
Theirinfluencemightexistintheatmosphere,butwecannotseeit.

Soapartfromthesubjectsthattakeanddevelopthemwecouldriotknowthattherewere
suchdiseases.
Iftherewerenochildrenontheearthsusceptibletomeasleswewouldhavenomeasles,
andiftherewerenochronicmiasmstherewouldbenosusceptibility.
Wewilltakeupthesubjectofsusceptibilitylater.
Psoraisthecauseofallcontagion.
Ifmanhadnothadpsorahewouldnothavehadtheothertwochronicmiasms,butpsora,
theoldestbecamethebasisoftheothers.
ThephysiciansofthepresentdaydonotcomprehendHahnemann'sdefinitionofpsora,
theythinkitmeantanitchvesicleorsomesortoftetter.
Theyregarditchasonlytheresultoftheactionofabugthatcrawlsintheskinmaking
vesicles,allofwhichisexternal.
This is quite in keeping with man's present form of investigation, because he can
comprehendonlythatwhichhediscoversbyhissenses.
Hahnemann'sideaofpsora,asweshallseewhenwecometostudyitiswhollydifferent
fromthesepervertedviews.
Psoracorrespondstoastateofmaninwhichhehassodisorderedhiseconomytothe
veryuttermostthathehasbecomesusceptibletoeverysurroundinginfluence.
TheotherdayIusedtheillustrationofcivilgovernmandsaidifourcivilgovernmentis
evilinitscentreitwillbeindisorderinitsuttermost.
Soifamanisevilinhisveryinteriors,i.e.,inhiswillandunderstanding,andtheresult
ofthisevilflowsintohislife,heisinastateofdisorder.
Letmanexistforthousandsofyearsthinkingfalsetheoriesandbringingthemintohis
life,willbecomeoneofdisorder,
Later we will be able to show that this disordered condition of the economy is the
underlyingandfundamentalstateofthenatureofpsorawhichultimatesuponthebody,
intissuechanges.
Supposeamanstartsoutandbelievesthatitisrightforhimtoliveuponacertainkindof
foodthatisverydistastefultohim;helivesuponthatdietuntilhethinks(fromhisbelief)
thathereallylovesit,andintimehisveryoutermostbecomesasmorbidasheishimself.
Whenmanisinsaneinhisinterioritisonlyaquestionoftimeandhisbodywilltakeon
theresultsofinsanitybecausetheinteriorofmanformstheexterior.
Iftheinteriorisinsanetheexteriorisdistorted,andisonlysuitabletothekindofinsane
ordisorderedlifethatdwellsinit.
Falseintheinterior,falseintheexterior,sothatthebodybecomes,asitwerefalse.
Thisisspeakingfromanalogy,butyouwillcometoseethatitisactuallytrue.
Eachandeverythingthatappearsbeforetheeyesisbuttherepresentativeofitscause,
andthereisnocauseexceptintheinterior.
Causedoesnotflowfromtheoutermostofmantotheinterior,becausemanisprotected
againstsuchastateofaffairs.
Causesexistinsuchsubtleformthattheycannotbeseenbytheeye.
Thereisnodiseasethattexistsofwhichthecauseisknowntomanbytheeyeorbythe
microscope.
Causesareinfinitelytoofinetobeobservedbyanyinstrumentofprecision.

Theyaresoimmaterialthattheycorrespondtoandoperateupontheinteriornatureof
man,andtheyareultimatedinthebodyintheformoftissuechangesthatarerecognized
bytheeye.
Suchtissuechangesmustbeunderstoodastheresultsofdiseaseonlyorthephysician
willneverperceivewhatdiseasecauseis,whatdiseaseis,whatpotentizationis,orwhat
thenatureoflifeis.
ThisiswhatHahnemannmeantwhenhespeaksofthefundamentalcausesasexistingin
chronicmiasm.
Justassoonasmanlivesadisorderlylifeheissusceptibletooutsideinfluences,andthe
moredisorderlyhelivesthemoresusceptiblehebecomestotheatmospherehelivesin.
Whenmanthinksinadisorderlywayhecarriesouthislifeinadisorderlyway,and
makeshimselfsickbydisorderlyhabitsofthinkingandliving.
This deranged mental state Hahnemann most certainly recognizes, for he tells us
everywhereinhisteachingtopaymostattentiontothementalstate.
Wemustbeginwithsuchsignsasrepresenttothemindthebeginningofsicknessand
this beginning will be found in the mental disorder as represented by signs and
symptoms,andasitflowsonwehavethecoarsermanifestationsofdisease.
Themorethatdiseaseultimatesitselfintheoutwardformthecoarseritisandthelessit
pointsthephysiciantotheremedy.
Themorementalitisthemoresignstherearetodirectthephysiciantotheremedy.
"Intheseinvestigationstheascertainablephysicalconstitutionofthepatient,etc.,are,to
betakenintoconsideration."
Thisisthesecondstatefollowingthefirstonedisordered.
Thisdealswiththeoutermost,itrelatestoexternals.
Youhavetoconsiderboththeinternalandexternalman;thatis,youhavetoconsider
causesthatoperateinthisdisorderedinnermost,andthentheultimateswhichconstitute
theoutwardappearance,particularlywhentheaffectionischronic.
These two things must be considered, the nature or esse .of the disease and its
appearance.
Atthepresentdaydiseasesarenamedinthebooksfromtheirappearanceandnotfrom
anyideaastowhatthenatureoresseofsicknessis,hencethediseasenamesinourbooks
aremisleading,astheydonothavereferencetothesickmanbuttoultimates.
Ifthediseasehasterminatedintheliver,numerousnamesareappliedtotheliver;ifin
thekidneyorheart,theseorganshavenamesappliedtothem,andsuchterminationsare
calleddiseases.
Consumptionisatubercularstateofthelungs,whichisbuttheresultofaninternal
disorderwhichwasoperatingintheinteriorlongbeforethebreakdownoftissue.
Thephysiciansofthesedayswilltellyouthattheygobacktothecause,buttheypresent
nocause;theyonlybringupthesuperficialconditionsthatmaketheconsumptiveman
worse.
Theywillalsotellyouthatabacillusisthecauseoftuberculosis.
Butifthemanhadnotbeensusceptibletothebacillushecouldnothavebeenaffectedby
it.
Asamatteroffact,thetuberculescomefirstandthebacillusissecondary.

Ithasneverbeenfoundpriortothetubercule,butitfollowsthat,andcomesthenasa
scavenger.
Thecauseofthetuberculardepositrestswiththepsora,thechronicmiasm.
Bacilliarenotthecauseofdisease,theynevercomeuntilafterthedisease.
Allopaths arereally takingthe sequencefortheconsequence, thus leading toafalse
theory,thebacteriatheory.
Youmaydestroythebacteriaandyetnotdestroythedisease.
Thesusceptibilityremainsthesame,andonlythosethataresusceptiblewilltakethe
disease.
Bacteriahaveause,forthereisnothinginthewholeworldthatdoesnothaveause,and
thereisnothingsentonearthtodestroyman.
ThebacteriatheorywouldmakeitappearthattheallwiseCreatorhassentthesemicro
organismsheretomakemansick.
We see from this paragraph that Hahnemann did not adopt any such theory as
bacteriology.
Thissubjectwillbetakenupintheselecturesandfullyillustrated,butImightthrowout
afewhintstosetyouthinkinguntilwecometoitagain.
Weknowthatadissectingwoundisveryseriousifthebodydissectedisrecentlydead,
andthiswewouldsupposetobeduetosomebacteriaofwonderfulpowercapableof
establishingsuchadreadfulerysipelatouspoisoningthatwouldgointoman'sbloodand
strikehimdownwithasortofsepticemia.
Intruth,soonafterdeathwehaveaptomainepoisonthedeadbodypoison,whichis
alkaloidalincharacter,butwedonotyetdiscoverthepresenceofbacteria.
Thepoisonisthere,andifamanprickshimselfwhiledissectingthatbodyanddoesnot
takecareofthewoundhemayhaveaseriousillnessanddie.
Butifafterthecadaverhasremainedsometimeandbecomeinfectedwithbacteria,the
dissectorprickshimselfthewoundisnotdangerous.
Themorebacteriathelesspoison.
A typhoid stoolwhenit firstpasses from thebowel has a veryscantyallowance of
bacteria,andyetitisverypoisonous.
Butletitremainuntilitbecomesblackwithbacteriaanditiscomparativelybenign.
Whydoesthepoisonnotincreasewiththebacteria?
Youcanpotentize,asIhavedone,aportionofatuberculousmassalivewithtubercular
bacilli,andafterpotentizingit,afterbeingtrituratedwithsugarofmilkandmashedtoa
pulp,itwillcontinuetomanifestitssymptomsinthemostpotentform.
Youcanprecipitatethepurulenttubercularfluidinalcohol,precipitatetheentireanimal
lifeandpotentizethesupernatantfluiduntilyouhavereachedthethirtiethpotency,and
havingpotentizedorattenuatedituntilnomicrobecanbefound,yet,ifadministeredto
healthyman,itwillestablishthenatureofthediseaseintheeconomy,whichispriorto
phthisis.
Thuswehavethecauseofphthisisnotinthebacteria,butinthevirus,whichthebacteria
aresenttodestroy.
Manliveslongerwiththebacteriathanhewouldwithoutthem.
Ifwecouldsucceedtodayinputtingafluidintotheeconomythatwoulddestroythe

bacteriathatconsumptivewouldsoondie.
Thestudyofdiseaseastofundamentalcauseandapparentcauseisanimportantsubject.
Wecannotstudycauseunlesswehavefirstunderstoodgovernmentassociatedwithlaw.
Hencerecalltoyourmindthatthelawdirectsandexperienceconfirms.
Law is nothing but anorderly state ofgovernment from centre to circum ference, a
governmentinwhichthereisahead.
Youshowmeacompanythathasnocaptainandyoushowmeadisorderlycompany.
Orderexistsfromthehighesttothelowestfromcentretocircumference.
NowIhaveleduptothepointwhereyoumayask,Isitnotdisorderformantosettle
whatistruebythesenses?
Letusashomoeopathsturnourlives,ourthinkingabilitiesandourscientificlifeinto
orderthatwemaybegintoturnthehumanraceintoorder.
Letusadopttheplanofthinkingofthingsfromtheirbeginningandfollowingthemina
seriestotheirconclusions.
Nomanisauthority,butprincipleandlawareauthority.
If this cannot be seen there is no use of proceeding any further with the study of
Homoeopathy.
If man cannot see this he cannot see the necessity of harmony from centre to
circumference,ofgovernmentwhichhasonehead,andhenceitwouldbeuselessforhim
tostudythehumanbodyforthepurposeofapplyingmedicinetoit.
It must be accepted in this form or it will not satisfy man, it will not sustain his
expectation, it will not do what he expects it to do ; it will only accomplish what
Allopathyhasaccomplished,viz.,theestablishmentofconfusionupontheeconomy.
LECTURE6:Organon6.Theunprejudicedobservernotesonlychanceofstateas
shownbysymptoms.
The Unprejudiced observer, well aware of the futility of transcendental speculations
whichcanreceivenoconfirmationfromexperiencebehispowersofpenetrationeverso
great,takesnoteofnothingineveryindividualdisease,exceptthechangesinthehealth
ofthebodyandofthemindwhichcanbeperceivedexternallybymeansofthesenses;
thatistosay,henoticesonlythedeviationsfromtheformerhealthystateofthenow
diseasedindividual,whicharefeltbythepatienthimself,remarkedbythosearoundhim
andobservedbythephysician.
Alltheseperceptiblesignsrepresentthediseaseinitswholeextent,thatis,togetherthey
formthetrueandonlyconceivableportraitofthedisease.
Theteachingofthisparagraphisthatthesymptomsrepresenttotheintelligentphysician
allthereistobeknownofthenatureofasickness,thatthesesymptomsrepresentthe
stateofdisorder,thatsicknessisonlyachangeofstateandthatallthephysicianhasto
doiscorrectthedisorderedstate.
Hahnemann,itseems,wouldsaythatitisgreatfollyforamantolookintotheorgans
themselves for the purpose of establishing a theory to find out whether the stomach
makesthemansick,orwhetherthestomachmakestheliversickandsuchlike.
Wecanonlyendintheoryaslongaswethinkthatway.

Solongaswesetthemindtothinkingaboutaman'sorgansandhowthesethingsare
broughtaboutweareinconfusion,butnotsowhenwemeditateuponthesymptomsof
thesickmanasfullyrepresentingthenatureofthediseaseafterthesehavebeencarefully
writtenout.
Hahnemannstartsoutinthisparagraphbyspeakingof"theunprejudicedobserver".
It would almost seem impossible to find at the present time one who could be thus
described.
Allmenareprejudiced.
Manisfixedinhispolitics,fixedinhisreligion,fixedinhisideasofmedicine,and
becauseofhisprejudicehecannotreason.
Youneedonlytotalktohimamomentonthesesubjectsandhewillbegintotellyou
whathethinks;hewillgivehisopinion,asifthathadanythingtodowithit.
Menofthepresentdaycannotrecognizelaw,andhencetheyareprejudiced;butwhen
menhaveauthorityonwhichtheycanrest,thentheycangetridoftheirprejudices.
Supposewehavealargedictionarythatwesayisanauthorityonthespellingofwords.
Ifaclubofonehundredandfiftymenwhoboughtthatdictionary,andputitintoacloset
andsay,"Thatishowweagreetospell,"thatisarecognitionbythesementhatthebook
isauthority.
Therewouldbehenceforthnoargumentonthequestionofspelling.
Butiftherewerenoauthorityonemanwouldspellonewayandanothermaninanother
way;therewouldbenostandardofspelling.
Suchisthestateofmedicineatthepresentday,thereisnostandardauthority.
Onebookisauthorityinoneschool,andinanotherschooltheyhaveanotherbook,and
sothereisconfusion.
MencannotgetridoftheirprejudicesuntiltheysettleuponandrecognizeauthorityIn
Homoeopathythelawanditsprinciplesmustbeacceptedasauthority.
Whenweknowtheseitiseasytoacceptthemasauthority,butseeingtheyarenotknown
thereisnoauthorityandeverybodyisprejudiced.
Menoftenask,"Doctor,whatareyourtheoriesastoHomoeopathy?Whatareyour
theoriesofmedicine?"Ihavenotheories.
Itisathingthatissettledfromdoctrineandprinciple,andIknownothingoftheory.
Awomancameintomyofficethismorningandsaid,"DoctorIhavealwaysbeentreated
bytheoldschool,butthedoctorswereunabletodecidewhetherthelivermademy
stomachsickorthestomachmadetheliversick."
Thisisonlyconfusion.Noorgancanmakethebodysick;manispriortohisorgans;parts
ofthebodycanberemovedandyetmanwill.exist.
Thereisnosuchthingasoneorganmakinganothersick.
Whenwerealizethatthecourseofthingsisfromcentretocircumferencewemustadmit
thatthestomachwascausedtobeindisorderfromthecentre,andthattheliverwas
causedtobeindisorderfromthecentre,butnotthattheymadeeachothersick.
Onewhohasbeentaughtsuchideascannotridhimselfofthemforalongtime.
Itisamatterofyearstogetoutofthesewhimsandnotionswhichwehaveimbibedfrom
ourinheritance.Wecannotridourselvesofconfusionuntilwelearnwhatconfusionis.
In this paragraphHahnemanndoes notspeakofchangesoftissueorchanges inthe

organs,butchangesofstate.
Mancouldseeandfeddonechanges,butthesetrepresenttotheintelligentphysicianthe
natureofdiseaseordiseasecause,theyonlyindicatethatbecauseofthedisorderwithin
certainresultshavefollowed.Theunprejudicedobservercanseethatpathologydoesnot
representthenatureofthedisease,becausenumeroussocalleddiseasescanpresentthe
same,pathologyandthesamephenomena.
Thetroubleisthatattheresofewunprejudicedobservers.
To get rid of our prejudices is one the first things we must do in the study of
Homoeopathy.
Thereforeletmebegofyou,whilesittinginthisroom,tolayasideallthatyouhave
heretoforeimaginedorpresumed,thewhimsandnotions,and"whatIthoughtaboutit,"
thethingsthatyouhavelearnedfrommenandbooks,andonlyfollowafterlawand
principle,thingsthatcannotdeceive,cannotvary.
Evenlawwilldeceiveifmanisofprejudicedmind,becausethenhemisreadsthelawand
doctrine, and when things are called black they look to him white ; every image is
invertedinhisprejudicedmind,becauseherealizesonlywithhissenses,andseeswith
hiseyesandfeelswithhisfingersonlytheappearanceofthings,justaswesaythatthe
sunrises,judgingfromoureyes,althoughweknowfromourintelligencethatitdoesnot
rise.
Ifwebelieveoursensesonlywewillacceptallthenotionsofmen.
Ifthesenseswereinvariablemenwouldagree,buttheyarevariableandnotwomenwill
agreeineverything,forjustasmen'sobservationsdiffersodifferentnotionsandtheories
willbeestablished.Wemusttrytogetridoftheprejudicesthatwehavebeenbornwith
andeducatedinto,sothatwecanexaminetheprinciplesanddoctrinesofHomoeopathy
andseektoverifythem.
Ifyoucannotputasideyourprejudicestheprincipleswillbefollytoyou.
Theunprejudicedobserveristheonlytruescientist.
"Heperceivesineachindividualaffectionnothingbutchangesofstate."
Thechangesofstatearesuchasareobservedbythepatientwhenhesaysheisforgetful,
thathisminddoesnotoperateasitdid,thatheisofteninastateofconfusion,thatwhen
heattemptstodeliverasentenceapartofitgoesawayfromhim,theideapassesaway,or
thatheisbecomingirritable,whereashewaspleasantthatheisbecomingsad,whereas
he was cheerful before, that there are changes in his affections, in his desires and
aversions.
Thesethingsrelatetostates:nottodiseasedtissues,buttoastateofdisorderorwantof
harmony.Dr.Finckeexpressesitas"adistunement."
Afterthepatienthasrelatedeverythinghecanabouthischangeofstate,thephysician
maybeaidedbyinformationfromoutsiders,fromrelativeswholookuponthepatient
withgoodwill,whowishhimwell.
Ifthehusbandbesickitiswelltogetthewife'stestimony.
Afterthephysicianhaswrittendownalltheinformationinaccordancewiththedirections
of85forthetakingofthecasehethencommencestoobserveasmuchashecan
concerning the disorder, but more particularly those things which the patient would
conceal,orcannotrelate,ordoesnotknow.

Manypatientsdonotknowthattheyareawkward,thattheydopeculiarandstrange
things in the doctor's officethings that they would not do in health, and these are
evidencesofchangeofstate.
Thephysicianalsonoteswhathesees,notesodors,thesoundsoforgans,chestsounds,
intensityoffever,byhishandorbyathermometer,etc.,andwhenhehasgoneoverthis
entireimage,includingeverythingthatcanrepresentthedisease,hehassecuredallthatis
ofrealvaluetohim.
Whatiftherearechangesintissuepresent?Thereisnothinginthenatureofdiseased
tissuetopointtoaremedy;itisonlyaresultofdisease.
Supposethereisanabdominaltumor,oratumorofthemammarygland,thereisnothing
inthefactthatitisatumororintheaspectofthetumorthatwouldleadyoutothenature
ofthechangeofstate.
Thethingsthatyoucansee,i.e.,thechangesinthetissues,areoftheleastimportance,
butwhatyouperceiveinthepatienthimself,howhemovesandacts,hisfunctionsand
sensations,aremanifestationsofwhatisgoingonintheinternaleconomy.
Astateofdisorderrepresentsitsnaturetomanbysignsandsymptoms,andtheseare
thingstobeprescribedupon.
Takeacasewhichasyethasnopathologicalchanges,nomorbidanatomy,onethathas
onlyfunctionalchanges;thecollectionofsignsandsymptomspresentstotheintelligent
physicianthenatureofthestateandheisclearastotheremedy.
Butifthepatientdoesnotreceivethatremedy,whatwillhappen?
Thecasewillgoonforawhile,perhapsfortwoorthreeyears,andwhenhereturnsto
youonexaminationyouwillfindthathehascavitiesinhislungsoranabscessinhis
liver,oralbuminintheurine,etc.
Ifitwerethelast,accordingtotheoldfashionednotionsandtheories,youmustnow
prescribeforBright'sdisease;youwouldnotthinkthatremedywhichyoufiguredout
twoyearsbeforefittedhiscaseperfectlythenandiswhathemusthavenow.
Butheneededthatremedyfromhischildhood,andyouwereabletofigureitoutfrom
thesymptomsofhischangeofstatepureandsimple,withouttissuechanges.
Doyousupposebecausethediseasehasnowprogressedintotissuechange,theorgans
arebreakingdownandthemanisgoingtodie,thatthishaschangedthatprimitivestate?
Themanneedsthesamecourseoftreatmentthathehasneededfromhisbabyhood.
Thesameideaofhisdiseasemustprevailnowthatprevailedbeforehehadthetissue
changes.
Bright'sdiseaseisnotadisease,itissimplytheultimateororganicconditionwhichhas
followedtheprogressoftheoriginalchangeofstate.Underothercircumstances that
changeofstatemighthaveaffectedhisliverorhislungs.
Tissue changes do not indicate the remedy, and so as physicians we must learn to
examinesymptomswhicharepriortomorbidanatomy,togobacktotheverybeginning.
SuchapatientasIhavedescribedmustbelookeduponaswhenhewasinthesimple
changeofstatebeforematterswerecomplicated.
Besidesthis,thereisnomanneroftreatmentforBright'sdiseaseoranyotherorganic
change.
Ourremediesappealtomanbeforehisstatehaschangedintodiseaseultimates,andthese

remediesdonotchangebecausemorbidanatomyhascomeon,theyapplyasmuchafter
tissuechangesasbeforeit.
Ifwedonotknowwhatthebeginningsarewecannotinanintelligentwaytreatthe
endings.
InafootnoteHahnemannsays,
"I know not therefore how it was possible for physicians at the sickbed to allow
themselvestosupposethat,withoutmostcarefullyattendingtothesymptomsandbeing
guidedbytheminthetreatment,theyoughttoseekandcoulddiscoveronlythehidden
andunknowninteriorwhattherewastobecuredinthedisease,etc."
Thelearnedmanintheoldschooltodaywouldsay,
"Oh,Idonotcareanythingaboutyoursymptoms.
Idonotcareifyouareforgetfulorirritable.
IfyoudonotsleepIwillgiveyousomethingtomakeyousleep.ButImustsoundyour
liver,forthatisthecauseofallyourtrouble,andIwillprescribeforthat."
He supposes the liver is the cause of all the trouble, and believes that when that is
correctedhehascuredhispatient.
Whatafalseidea!Hismindisuponmeretheory.Itiscommon,whentheydonotknow
whathaskilledaman,tomakeapostmorteminordertodiscoverthecause,andbythis
theyfindoutcertainpathologicalconditions;buttheaimofthephysicianistodiscover
inhispatientthatjusttheseconditionsarepresent.
Itistrue,ontheotherhandthatthepostmortemaffordsthephysicianthemeansfora
generalstudyof'theresults ofdisease,whichIwouldnot,underanycircumstances,
prevent.
Indeed,therearetimeswhenIwouldstronglyencouragethestudyofmorbidanatomy.
Thephysiciancannotknowtoomuchabouttheendingsofdisease;heshouldbecome
thoroughlyacquaintedwiththetissuesinallconditions;buttostudythesewiththeidea
thatheisgoingtherebytocuresickfolks,orthatthethingshepicksupatsuchtimesare
goingtobeappliedinmakingprescriptions,isagreatfolly.
It is astonishing that physicians should expect to find out by postmortem and
examinationsoforganswhattodoforsickfolks.
Physicaldiagnosisisveryimportantinitsownplace.
Bymeansofphysicaldiagnosisthephysicianmayfindoutthechangesinorgans,how
farthediseasehasprogressed,anddetermineifthepatientisincurable.Itisnecessary
alsoinsupplyinginformationtoBoardsofHealth.
Itmayalsodecidewhetheryoushouldgivecurativeorpalliativetreatments.
ButthestudyofpathologyisaseparateanddistinctthingfromthestudyofMateria
Medica.
Inmanyinstancesfoolishexaminationsaremade.Inthecollegeswomenareexamined
withthespeculumbeforeasymptomisgiven,andifthemucousmembraneisredthe
patientgetsHamamelis,andsooninaroutinewaythroughfiveorsixremedieswhich
coverallthecomplaintsofwomen.
Half a dozen remedies constitute the armamentariurn of many of the eminent
gynecologists.
Suchapracticeasthatdoesnotcure,doesnotevenbenefittemporarily,itissimplyan

outrage.
Butbadthoughitis,perhapsitisnotsogreatanoutrageasisperpetratedwhenthe
physicianimaginesthediseaseislocal,andthatwhenhehascauterizeditthewomanis
well,notrealizingforonemomentthatthesethingscomefromacauseandthatcuring
thatcauseshouldbehisaim.Yetsuchistheteachingoftheoldschool.
Nowwhilethesignsandsymptomsaretheonlythingsthatcantellthephysicianwhat
thepatientneeds,andwhilethosesignsandsymptomsrelatetochangeofstateandnotto
change of tissue, still there are signs that relate to tissue changes, and one who is
acquaintedwithsymptomsmayconsidertheseasindicatingachangeofstate.
Forexample,therearesignsthatindicatethatpusisforming,thereareappearancesthat
willleadtheexperiencedphysiciantoknowthattheresultsofdiseasearecoming;these
arenotvaluablethingsinbuntingfortheremedy,butsimplyindicatecertainconditions.
Thephysicianmustlearntodistinguishthesefromthesymptomsthatportraythestateof
thepatient.
Wearenowpreparedtoseethatifthepatientiscuredfromcausetoeffecthemust
remaincured;thatis,ifthetrueinnerdisorderisturnedintoorderhewillremaincured,
becausethisorder,whichisoftheinnermost,willcausetoflowintoorderthatwhichis
oftheoutermostandfinallythefunctionofthebodytobecomeorderly.
The vital orderwillcausetissueorder,because thevitalorderextends intothevery
outermostofthetissues,andtissuegovernmentandorderisavitalorder;soifthecureis
fromcausetoeffect,orfromwithinout,thepatientwillremaincured.Inincurablecases
theeffectsmayberemovedtemporarilyorpalliated,butthepatienthimselfhasnotbeen
curedastothecause,andowingtothefactthatthepatientcannotbecuredtheold
changeswill.returnandgrowstrongerbecauseitisinthenatureofchroniccasesto
increaseorprogress.
Certain results of disease which remain after the patient is cured a e removed if
necessary,butitisnotwelltoremovethembeforethepatientiscured.
Ifapatienthasadiseaseofthefootbonesafterabadinjuryandthefootcannotbecured,
firstcurethepatient,andthenifthefootissoclumsyanduselessthathewouldrather
haveawoodenoneremovethefoot.
Ifyouhavetodealwithaworthlesshoneycombedkneejoint,firstcurethepatientand
thenifthekneecanneverbeusefulandthelimbiscoldandthemusclesareflabby
considerthequestionofreplacingitwithanartificialone.
Iftheeconomyafterbeingturnedintohealthcannotcurethekneenothingthatcanbe
donetothekneecancureit.
Donotsaythatthepatientissickbecausehehasawhiteswelling,butthatthewhite
swellingistherebecausethepatientissick.
LECTURE7:Organon7.Footnote.Indispositionsandtheremovaloftheircause.

Inafootnoteto7,Hahnemannwrites:
Itisnotnecessarytosaythateveryintelligentphysicianwouldfirstremovethisexciting
ormaintainingcause(causaoccasionalis),whereitexists;theindispositionthereupon
generallyceasesspontaneously.

Youhave,Ibelieve,beenledtoconcludethatthereareapparentdiseases,whicharenot
diseases,butdisturbedstatesthatmaybecalledindispositions.
A psoric individual has his periods of indispositions from external cause, but these
externalcausesdonotinflictpsorauponhim.
Suchapatientmaydisorderhisstomachfromabusingitandthuscreateanindisposition.
Indispositionsfromexternalcausesmimicthemiasms,i.e.,theirgroupofsymptomsisan
imitationofamiasmaticmanifestation,buttheremovaloftheexternalcauseislikelyto
restorethepatienttohealth.
Business failures, depressing tribulations, unrequited affection producing suffering in
younggirls,areapparentcausesofdisease,butinrealitytheyareonlyexcitingcausesof
indispositions.
Theactivecauseiswithinandtheapparentcauseofsicknessiswithout.
Ifmanhadnopsora,nodeepmiasmaticinfluencewithinhiseconomy,hewouldbeable
to throw off all these business cares, he would not become insane from business
depression,andtheyounggirlwouldnotsuffersofromloveaffairs.
Therewouldbeanorderlystate.
Thephysicianthenmustdiscriminatebetweenthecausesthatareapparentorexternal,
the grosser things, from the truer causes of disease, which are from centre to
circumference.
In every instance where Hahnemann speaks of true sickness, he speaks of it as a
miasmaticdisease,buthereheemploysanotherword.
"Then the indisposition usually yields of itself," or if the psoric condition has been
somewhatdisturbed,ordercanberestoredbyafewdosesofthehomoeopathicremedy.
Toillustrate,ifamanhasdisorderedhisstomachitwillrightitselfonhisceasingto
abuseit;but,ifthetroubleseemssomewhatprolonged,adoseofmedicine,likeNux
vomicaorwhateverremedyisindicated,willhelpthestomachtorightitself,andsolong
ashelivesinanorderlywayhewillceasetofeelthisindisposition.
"The physician will remove from the room strong smelling flowers which have a
tendencytocausesyncopeandhystericalsufferings."
Therearesomenervousgirlswhoaresosensitivetoflowersthattheywillfaintfromthe
odor.
Thereareotherindividualswhoaresopsoricintheirnaturethattheycannotliveinthe
ordinaryatmosphere;somemustbesenttothemountains,sometowarmlands,someto
coldlands,
Thisisremovingtheoccasioningcause,theapparentaggravatingcauseofsuffering.A
consumptiveintheadvancedstages,onewhoissteadilyrunningdowninPhiladelphia,
mustbesenttoaclimatewherehecanbemadecomfortable.
Theexternalorapparentcause,thedisturbingcauseinhissickstate,isthusremovedbut
thecauseofhissicknessispriortothis.
Thephysiciandoesnotsendthepatientawayforthepurposeofcuringhim,butforthe
purposeofmakinghimcomfortable.
Hewillextractfromthecorneatheforeignbodythatexcitesinflammationoftheeye,
loosentheovertightbandageonawoundedlimbthatthreatenstocausemortification,lay
bare and put a ligature on the wounded artery that produces fainting, endeavour to

promote the expulsion by vomiting of belladonna berries, etc., that may have been
swallowed.
Now, without the circumstances and surroundings in which Hahnemann stated these
things,ithasbeenassertedinthepublicprintsthatHahnemannadvisedemetics.
AclassofsocalledphysicianshavetakenthisnoteofHahnemann'sforacloakasa
meansofcoveringuptheirscientificrascality,theiruseofexternalapplications.
TheytellusHahnemannsaidso,butweseeitbecomesalie.
Hereisanothernote:
"Inalltimes,theoldschoolphysicians,notknowinghowelsetogiverelief,havesought
tocombatandifpossibletosuppressbymedicines,hereandthereasinglesymptomfrom
amonganumberindiseases."
Thiscourseofsinglingoutagroupofsymptoms,andtreatingthatgroupaloneasthe
diseaseisincorrect,becauseithasnoduerelationtotheentiretyoftheman.
Agroupofsymptomsmayarisethroughtheuterusandvagina,andonewhoisofthis
understandinghasaplanforremovingonlythegroupofsymptomsthatbelongtohis
speciality,wherebyhethinkshehaseradicatedthetrouble.
Hahnemanncondemnsthisdoctrine,andweseeatonceitsgreatfolly.
Inmanyinstancesthereare,atthesametime,manifestationsof"heartdisease,""liver
disease,"etc.,(thatis,speakingintheirterms;thesearenotdiseasesatall,asweknow),
sothateveryspecialistmightbeconsulted,andeachonewoulddirecttheassaultathis
ownparticularregion,andsothepatientgoestheroundsofallthespecialistsandthe
poormandies.
Anoldallopathicphysicianoncemadetheremarkaboutacaseofpneumoniathathewas
treating,thathehadbrokenup'hepneumonia.
"Yes,"saidanotherphysician,"'thepneumoniaiscured,butthepatientisgoingtodie."
Thatisthewaywhenoneofthesegroupsofsymptomsisremoved;constipationmaybe
removedbyphysic;liversymptomsmaysometimesberemovedtemporarilybyabig
doseofcalomel;ulcerscanbesostimulatedthattheywillhealup;butthepatientisnot
cured.
Hahnemannsaysitisstrangethatthephysiciancannotseethattheremovalofthese
symptomsisDotfollowedbycure,thatthepatientisworseoffforit.
Somepatientsarenotsufficientlyilltoseeimmediatelythebadconsequencesofthe
closureofafistulousopeningbutifapatientisthreatened.withphthisis,orisaweakly
patient,theclosureofthatfistulousopeningoftheanuswillthrowhimintoaflameof
excitementandwillcausehisdeathinayearortwo.
Themoreruggedoneswillliveanumberofyearsbeforetheybreakdown,andtheyare
heldupasevidencesofcure.
Such treatment is not based upon principles, and close observation will convince a
thoughtfulmanofitsuselessnessanddanger.
Thefistulousopeningcametherebecauseitwasofuse,andprobablyifithadbeen
permittedtoexistwouldhaveremainedasaventuntilthepatientwascured.
Whenthepatientiscuredthefistulousopeningceasestobeofuse,thenecessityforitto
remainopenhasceased,andithealsupofitself.
TheOrganoncondemnsonprincipletheremovalofexternalmanifestationsofdiseaseby

anyexternalmeanswhatever.
Apsoriccaseisoneinwhichthereisnoexternalortraumaticcause.
Thepatientperhapshasthehabitoflivingasnearlyanorderlylifeasitispossiblefor
anyonetoassumeatthepresentday,goingtheregularroundsofservice,usingcoffeeand
teanotatalloronlyinsmallquantity,carefulindiet,removingallexternalthingswhich
arethecausesofindispositions,andyetthispatientremainssick.
The signs and symptoms that are manifested are the true impress of nature, they
constitutetheoutwardlyreflectedimageoftheinwardnatureofthesickness.
"Nowasinadiseasefromwhichnomanifestexcitingormaintainingcausehastobe
removedwecanperceivenothingbutthemorbidsymptoms,itmustbethesymptoms
alonebywhichthediseasedemandsandpointstotheremedysuitedtorelieveit."
Hahnemann'steachingisthatthereisauseinthissymptomimage,andthateverycurable
diseasepresentsitselftotheintelligentphysicianinthesignsandsymptomsthathecan
perceive.
Inviewingalongarrayofsymptomsanimageispresentedtothemindofaninternal
disorder,andthisisallthattheintelligentphysiciancanrelyuponforthepurposeofcure.
ThisdividesHomoeopathyintotwoparts,thescienceofHomoeopathyandtheartof
Homoeopathy.
Thesciencetreatsoftheknowledgesrelatingtothedoctrinesofcure,theknowledgeof
principleororder,whichyoumaysayisphysiology;theknowledgeofdisorderinthe
human economy, which is pathology (that is, the science of disease, not morbid
anatomy),andtheknowledgeofcure.
ThescienceofHomoeopathyisfirsttobelearnedtoprepareonefortheapplicationof
thatscience,whichistheartofHomoeopathy.
Ifwecastoureyesoverthosewhohavebeentaught,selftaughtorotherwise,weseethat
somecanlearnthescience,becomequitefamousandpassexcellentexaminations,and
areutterlyunabletoapplythescience,or,inotherwords,topracticetheartofhealing,
forallhealingconsistsinmakingapplicationofthescience.
Westudydiseaseasadisorderofthehumaneconomyinthesymptomsofthedisease
itself.
Wealsostudydiseasefromthesymptomsofmedicinesthathavecauseddisorderinthe
economy.Indeed,wecanstudythenatureandqualityofdiseaseasmuchbystudyingthe
MateriaMedicaasbystudyingsymptomsofdisease,andwhenwecannotfillourtimein
studying symptoms from sick folks it is well to use the time in studying the
symptomatologyoftheMateriaMedica.
Trueknowledgeconsistsinbecomingacquaintedwithandunderstandingthenatureand
qualityofaremedy,itsappearance,itsimageanditsrelationtomaninhissickness;then
bystudyingthenatureofsicknessinthehumanfamilytocomparethatsicknesswith
symptomsoftheMateriaMedica.
Bythismeanswebecomeacquaintedwiththelawofcureandallthatitleadsto,and
formulatedoctrinesbywhichthelawmaybeappliedandmadeuseof,byarrangingthe
truthinformtobeperceivedbythehumanmind.
Thisisbutthescienceandwemay,notwithstanding,failtohealthesick.
Youwillobservesome,whoknowthescience,gooutandmakeimproperapplicationof

theremedies,andseemtohavenoabilitytoperceiveinaremedythatwhichissimilarto
adisease.
Ibelieveiftheyhadacandidlovefortheworktheywouldovercomethis,buttheythink
moreoftheirpocketbooks.
Thephysicianwhoisthemostsuccessfulishewhowillfirsthealfortheloveofhealing,
whowillpracticefirstforthepurposeofverifyinghisknowledgeandperforminghisuse
fortheloveofit.
Ihaveneverknownsuchaonetofail.
Thislovestimulateshimtoproceedandnottobediscouragedwithhisfirstfailures,and
leadshimtosuccess,insimplethingsfirstandtheningreaterthings.
Ifhedidnothaveanunusualaffectionforithewouldnotsucceedinit.
Anartistoncewasaskedhowitwasthathemixedhispaintssowonderfully,andhe
replied,
"Withbrains,Sir."
SoonemayhavealltheknowledgeofHomoeopathythatitispossibleforahumanbeing
tohave,andyetbeafailureinapplyingthatartinitsbeautyandloveliness.
If he have no affection for it, it will be seen to be a mere matter of memory and
superficialintelligence,
Ashelearnstoloveit,anddwelluponitastheverylifeofhim,thenheunderstandsitas
artandcanapplyitinthehighestdegree.
Thecontinuousapplicationofitwillleadanyphysicianofordinaryintelligencesofar
intotheperceptionofhisworkthathewillbeabletoperceivebythesymptomsthe
wholestateoftheeconomy,andwhenreadingprovingstoperceivetheverynatureofthe
sicknessexpressedintheprovings.
Thisdegreeofperceptionwillenablehimtoseethe"outwardlyreflectedimage."
Youwillnothavetoobservelong,orbeamongphysicianslong,beforeyouwillfindthat
manyofthemhaveamostexternalmemoryoftheMateriaMedica,thattheyhaveno
ideaofthenatureofmedicines theyuse,noperception ofthequality orimageofa
remedy.
Itdoesnotcomeupbeforetheirmindasanartist'spictureitiscold,itisfaraway.
Anartistworksonapicturesothatheseesitdayandnight,hefiguresitoutfromhis
veryaffections,hefiguresouteverylinethatheisgoingtoputinthenextday,stands
beforeitandheisdelightedinitandlovesit.
Soitiswiththeimageofaremedy.
Thatimagecomesoutbeforethemindsothatitistheoutwardlyreflectedimageofthe
innernature,asifonemanhadprovedit.
Ifthesymptomsdonottakeformthephysiciandoesnotknowhispatientanddoesnot
knowhisremedy.
Thisisnotathingthatcanopenouttothemindinstantly.Youare,asitwere,comingout
ofaworldwheretheeducationconsistsinmemorizingsymptomsormemorizingkey
notesorlearningprescriptions,withreallynothinginthemind,andthememoryisonly
chargedwithamassofinformationthathasnoapplication,andisonlyconfusionleading
mantoworseconfusion.
Thereisnoorderinit.

Hahnemannsays:
"Inaword,thetotalityofthesymptomsmustbetheprincipal,indeedtheonlythingthe
physicianhastotakenoteofineverycaseofdisease,andtoremovebymeansofhisart,
inorderthatitshallbecuredandtransformedintohealth."
That is the turning of internal disorder into order manifested in the way we have
heretoforeexplained,viz.,fromabovedownward,fromwithinoutandinthereverse
orderofthecomingofthesymptoms.
LECTURE8:Organon9.Simplesubstance.
Inthehealthyconditionofman,thespiritualvitalforce,theDynamisthatanimatesthe
material body, rules with unbounded sway, and retains all parts of the organism in
admirable,harmonious,vitaloperation,asregardsbothsensationsandfunctions,sothat
ourindwelling,reasongiftedmindcanfreelyemploythislivinghealthyinstrumentfor
thehigherpurposesofourexistence.
Thisparagraphintroducesthevitalprinciple,
ItwouldhardlyseempossiblethatHahnemann,inthetimehelived,couldsaysomuchin
afewlines.
IntheseventhsectionofthefirsteditionoftheOrganon,Hahnemannwrote:
"There must exist in the medicine a healing principle ; the understanding has a
presentimentofit,"
butaftertheOrganonhadgonethroughanumberofeditionsHahnemannhadsomewhat
changed,andinthiswork,whichisthe1883edition,hedistinctlycallsaunitofactionin
thewholeorganismthevitalforce.
Yougettheideafromsomeofhisexpressionsthattheharmonyitselfisaforce,butIdo
notthinkthatHahnemannintendstoteachthatway.
Wecannotconsiderthevitalprincipleasharmony,norharmonyasprinciple;principleis
somethingthatispriortoharmony.
Harmonyistheresultofprincipleorlaw.
Hahnemanncouldperceivethisimmaterialvitalprinciple.
Itwassomethinghearrivedathimself,fromhisownprocessofthinking.
Therewaspaucityofindividualideasatthattime,i.e.,ideasoutsideoftheaccepted
sciences,butHahnemannthoughtmuch,andbythinkinghearrivedattheideacontained
inthisparagraph,whichonlyappearsinthelastedition,
"In thehealthy condition ofmantheimmaterial vital principle animates thematerial
body."
Ifhehadusedthewords"immaterialvitalsubstance,"itwouldhavebeenevenstronger,
foryouwillseeittobetruethatitisasubstance.
Atthepresentdayadvancedthinkersarespeakingofthefourthstateofmatterwhichis
immaterialsubstance.
Wenowsaythesolids,liquidsandgasesandtheradiantformofmatter.
Substanceinsimpleformisjustaspositivelysubstanceasmatterinconcreteform.
Thequestionthencomesupforconsiderationandstudy:Whatisthevitalforce?
Whatisitscharacter,qualityoresse?Isittruethatmanonlyhasthisvitalforce?Isit

possessedbynoanimal,nomineral?
Foranumberofyearstherehasbeenacontinuousdiscussionofforceasforce,orpower
toconstruct.
Thethoughtthatforcehasnothingpriortoitleadsman'smindintoinsanity.
Ifmancanthinkofenergyassomethingsubstantialhecanbetterthinkofsomething
substantialashavingenergy.
Whenhethinksofsomethingthathasessence,hasactualbeing,hemustthinkofthat
esseassomethingexistingandashavingsomethingwhichhasultimates.
Hemustthinkinaserieswherebycauseentersintoeffectandfurthermoreintoaseriesof
effects.
Ifhedonotdothishedestroystheverynatureandideaofinfluxandcontinuance.
Ifmandoesnotknowwhatiscontinuous,ifhedoesnotrealizethattherearebeginnings,
intermediatesandends,hecannotthink,fortheveryfoundationofthoughtisdestroyed.
Whatdowemeanbyinflux?
Asabroadandsubstantialillustrationletusthinkofachain.
Whatisitthatholdsthelastlinkofachaintoitsinvestmentorfirstattachment?
Atoncewewillsaytheintermediatelink.
Whatisitthatconnectsthatlink?
Itspreviouslink,andsoontothefirstlinkanditsattachment.
Dowenotthusseethatthereisonecontinuousdependencefromthelasttothefirst
hook?
Whereverthatchainisseparateditisasmuchseparatedaspossible,andthereisno
longerinfluxfromonelinktotheother.
Inthesamewayassoonaswecommencetothinkofthingsdisconnectedlywelosethe
powerofcommunicationbetweenthem.
Allthingsmustbeunitedortheseriesisbrokenandinfluxceases.
Again,weseethatmanexistsastohisbody,butasyetwedonotseeallthefiner
purposesofhisbeing.
Tobelievethatmanexistswithoutacause,tobelievethathislifeforcegoesonfora
whileanddoesnotexistfromsomethingpriortoit,tothinkthatthereisnotconstantly
andcontinuouslythatinfluxfromcausewherebyhecontinuestolive,demonstratesthat
themanwhodoessoisanirrationalbeing.
Fromhissensesmanhasneverbeenabletoprovethatanythingcanexistexceptithas
continuallyflowingintoitthatwhichholdsitincontinuance.
Thenwhyshouldhe,whenhegoesintotheimmaterialworld,assumethatenergyisthe
first?
Weshallfindbyacontinuedexaminationofthequestionofsimplesubstancethatwe
havesomereasonforsayingthatenergyisnotenergyperse,butthatitisapowerful
substance,andisendowedfromintelligencethatisofitselfasubstance.
Thematerialisttobeconsistentwithhisprinciplesisobligedtodenythesoul,andto
denyasubstantialGod,becausetheenergywhichhedwellsuponsomuchisnothing,
andhemustassumethatGodisnothing,andthereforethereisnone.
ButtheonewhoisrationalwillbeledtoseethatthereisasupremeGod,thatHeis
substantial,thatHeisasubstance.

Everything proceeds from him and the whole series from the supreme to the most
ultimatematterinthiswayisconnected.justassurelyasthereisaseparation,andnota
continuousinfluxfromfirsttolast,ultimateswillceasetoexist.
Thetrueholdingtogetherofthematerialworldisperformedbythesimplesubstance.
Therearetwoworldsthatcomeapparentlytothemindofman,theworldofthoughtand
theworldofmatter;thatis,theworldofimmaterialsubstanceandtheworldofmaterial
substance.
Theworldofmaterialsubstanceisinorderandharmony.
Everythingthatappearsbeforetheeyehasbeginnings.
The forms are harmonious ; every crystal of a metal crystallizes in accordance with
order;man'sveryanatomyformsharmoniously.
Weseenothinginthematerialworldtoaccountforthis,butweperceivethatallthings
areheldinpositionbecauseofthecontinuousinfluxfromfirsttolast.
Thereisnobreakinthechainandnobreakintheflowofpowerfromfirsttolast.
Nothingcanexistunlessitscausebeinflowingintoitcontinuously.
Weseethatallthingsmadebyman'shanddecayandfalltopiecesintime,butlookatthe
thingsperpetuatedfrominflux,lookattheirorderandharmonyfromtimetoeternity,
workingbythesameplanandinthesameorder.
Therearemanyqualitiespredicatedofsimplesubstance,andoneofthefirstpropositions
wehavetoconsideristhatsimplesubstanceisendowedwithformativeintelligence,i.e.,
it intelligently operates and forms the economy of the whole animal, vegetable and
mineralkingdoms.
Everything with form goes on its natural course and assumes and continues its own
privatestate.
Thelawsofchemistrybyanalysismaybesorevealedtomanthathecandetectall
elementsbecausetheyconductthemselvesuniformly.
Thesimplesubstancegivestoeverythingitsowntypeoflife,givesitdistinction,givesit
identitywherebyitdiffersfromallotherthings.
Thecrystaloftheearthhasitsownassociation,itsownidentity;itisendowedwitha
simplesubstancethatwillestablishitsidentityfromeverythingintheanimalkingdom,
everythinginthemineralkingdom.
Thisisduetotheformativeintelligenceofsimplesubstance,whichiscontinuousfromits
beginningtoitsend.
Ifweexaminethefrostworkuponthewindowweseeitstendencytomanifestformative
intelligence.
Plantsgrowinfixedforms.
Soitiswithmanfromhisbeginningtohisend,thereiscontinuousinfluxintomanfrom
hiscause.
Hencemanandallformsaresubjecttothelawsofinflux.
Ifmanisinthehighestorderandisrational,hewillstokeephimselfincontinuousorder,
thathisthoughtsmaycontinuerational;butheissoplacedinfreedomthathecanalso
destroyhisrationality.
This substanceissubjecttochanges ;inotherwords,itmaybeflowinginorderor
disorder,maybesickornormal;andthechangestoagreatextentmaybeobservedor

evencreatedbymanhimself.
Manmaycauseittoflowindisorder.
Anysimplesubstancemaypervadetheentirematerialsubstancewithoutdisturbingor
replacingit.
Magnetismmayoccupyasubstanceandnotdisplaceanyofitnorcausederangementof
itsparticlesorcrystals.
Cohesionisasimplesubstance;itisnotthepurposeofcohesiontodisturbordisplace
thesubstancethatitoccupies.
Thereforethisfirstsubstance,orprimitivesubstance,existsassuchinalldistinctforms
ofgrowthsofconcreteforms,andthematerial,concrete,individualentityisnotdisturbed
ordisplacedbythesimplesubstance;thesimplesubstanceiscapableofoccupyingthe
materialsubstancewithoutaccidenttothatsubstanceortoitself.
Whenthesimplesubstanceisanactivesubstanceitdominatesandcontrolsthebodyit
occupies.
Itisthecauseofforce.
Thebodydoesnotmove,thinkoractunlessithasitsinteriordegreesofimmaterial
substance,whichactsupontheeconomycontinuouslyinthemostbeautifulmanner,but
as soon as the body is separated from its characterizing simple substance there is a
cessationofinflux.
Theenergyderivedfromthesimplesubstancekeepsallthingsinorder.
Byitarekeptinorderallfunctions,andtheperpetuationoftheformsandproportionsof
everyanimal,plantandmineral.
Alloperationthatispossibleisduetothesimplesubstance,andbyittheveryuniverse
itselfiskeptinorder.
Itnotonlyoperateseverymaterialsubstance,butitisthecauseofcooperationofall
things.
Examinetheuniverseandbeholdthestars,thesunandthemoon;theydonotinterfere
witheachother,theyarekeptincontinuousorder.
Everythingisinharmonyandiskeptsobythesimplesubstance.
Weseecooperationineverydegree,andthiscooperationworkinginperfectharmony;
weseehumanbeingsmovingabout;weseethingsgoingonaboutusontheearth;we
seethetreesoftheforestmakingroomforeachother,existinginperfectharmony;the
verysoundsoftheforesthaveharmony;andallthiscoordinationisbroughtaboutbythe
simplesubstance.
Thereisnothingmorewonderfulthanthecoordinationofman'seconomy,hiswilland
his understanding and his movements, which coordination is carried on by the life
substance.
Withoutthisallmatterisdeadandcannotbeusedforthehigherpurposesofitsexistence.
BytheaidofsimplesubstancetheDivineCreatorisabletouseallcreatedbeingsand
formsfortheirhighestpurpose.
Matterissubjecttoreduction,anditcanbecontinuouslyreduceduntilitisintheformof
simplesubstance,butitisnotsubjecttorestitution.
Nosubstancecanbereturnedtoitsultimateformafterithasbeenreducedtoitsprimitive
form.

Itisnotinthepowerofmantochangefromfirsttolast;thatis,itisnotinhispowerto
ultimatethesimplesubstance.
ThisisretainedfortheSupremePowerHimself,fromwhompowercontinuallyflows
throughalltheprimitivesubstancetotheend;i.e.,toultimates.
Nowdoyoubegintoseethatthethingthatdoesnotstartfromitsbeginningwitha
purposeisnotathing,or,toputitanotherway,whatmakesanythingathingisbecause
of its purposeorultimate whichisuse,andthereisnevercreated athingwithouta
purpose.
Ifitdoesnotexistincontinuousseriesfromfirsttolastitcannotbeofuseorofpurpose;
hencetheendisinthefirst,andtheendisineverysucceedinglinktoitsultimate,the
veryforminwhichtheuseistobeappropriatedandestablished.
Whenyouestablishthefirstlinkinthechainyouhavetheendofthenextlinkinview.
Thesimplesubstancesmayexistassimple,compoundorcomplex,andassuchnever
disturbharmony,butalwayscontinuefromfirsttolast,andinthatwayallpurposesare
conserved.
Throughoutchemistrywecanobservethiscompounding.
We find Iodine uniting with its base ; i.e., two simple substances compound ing in
keeping,withtheirownindividualplan,reliablyandintelligentlyinaccordancewiththe
affinitiesforeachother.
Whensubstancescometogetherinthatwaytheydonotdisturbthesimplesubstanceof
eachother,thereisnothingdestroyed,eachoneretainsitsownidentity,andtheycanbe
reducedagaintotheirsimplesbyreactionandreagents.
Now all of these enter into the human body and every element in the human body
preservesitsidentitythroughoutandwhereverfoundcanbeidentified.
Suchcombination,however,merelyrepresentsacompositestate.
But when these composite substances and simple substances are brought into an
additionalcondition;i.e.,whentheyarepresidedoveranddominatedbysomethingthey
maybesaidtoenterintoaverycomplexform,andinthebodyalifeforcekeepsevery
otherforceinorder.
Dynamicsimplesubstancesoftendominateeachotherinproportiontotheirpurpose,one
havingahigherpurposethananother.
This vital force, which is a simple substance, is again dominated by another simple
substancestillhigher,whichisthesoul.
Ithasbeentheaimofagreatmanyphilosophersbystudytoarriveatsomeconclusion
concerningthesoul.
Theyhaveattemptedtolocateitatsomeparticularpoint,butwecanseefromtheabove
thatitisnotincircumscribedlocation.
Inconsideringsimplesubstancewecannotthinkoftime,placeorspace,becauseweare
notintherealmofmathematicsnortherestrictedmeasurementsoftheworldofspace
andtime,weareintherealmofsimplesubstance.
Itisonlyfinitetothinkofplaceandtime.
Quantitycannotbepredicatedofsimplesubstance,onlyqualityindegreesoffineness.
WewillseetheimportanceofthisinitsspecialrelationtoHomeopathy,byusingan
illustration.

WhenyouhaveadministeredSulphur55m.ininfrequentdosesandfinditwillnotwork
anylongeryougivethec.m.potencyandseethecurativeactiontakenupatonce.
Dowenotseebythisthatwehaveenteredanewseriesofdegreesandaredealing
entirelywithquality?
Thesimplesubstancealsohasadaptation.
Atthispointman'sreasoningcomesup,leadingtofalseconclusionsfromappearances,
sothathehasacceptedwhatiscalledtheenvironmenttheory.
Thattheindividualhasanadaptationtohisenvironmentisnotquestioned,butwhatisit
thatadaptsitselftoenvironment?
Thedeadbodycannot.
Whenwereasonfromwithinoutweseethattothesimplesubstanceadaptsitselftoits
surroundings,andtendstoadaptitshousetothesurroundings,andthusthehumanbody
iskeptinastateoforder,inthecoldorintheheat,inthewetanddamp,andunderall
circumstances.
The surroundings themselves produce nothing, are not causes, they are only
circumstances.
Thelifesubstancewithinthebodyistheviceregentofthesoul,andthesoulinturnis
alsoasimplesubstance.
Allthatthereisofthesouloperatesandexistswithineverypartofthehumanbody,and
thusitisthatsimplesubstanceactsasavitalforce.
Thesouladaptsthehumanbodytoallitspurposes,thehigherpurposesofitsbeing.
Thesimplesubstancewhenitexistsinthelivinghumanbodykeepsthatbodyanimated,
keepsitmoving,perfectsitsuses,superintendsallpartsandatthesametimekeepsthe
operationofmindandwillinorder.
Letanydisturbanceoccurinthevitalsubstanceandweseehowsuddenlyincoordination
willcome.
There is harmonious cooperation whenthevitalsubstance is continued inits normal
quality;thatis,inhealthwhatismoreperfectthanthehumanbodyinhealth,andwhat
evidencehaveweofanygreaterwreckthanthehumanbodywhenitisnotinhealth?
Weseealsothatthisvitalsubstancewheninanaturalstate,whenincontactwiththe
human body, is constructive ; it keeps the body continuously constructed and
reconstructed.
Butwhentheoppositeistrue,whenthevitalforcefromanycausewithdrawsfromthe
body,weseethattheforcesthatareinthebodybeingturnedloosearedestructive.
Whentheseforcesarenotdominatedandcontrolledbythevitalforcethebodytendsto
decayatonce.
Soweseethatthevitalforceisconstructiveorformative,andinitsabsencethereisdeath
anddestruction.
If weexamine theverysimplestformoflivingorganism,theplassonbody,wewill
observethatithastheessentialsoflife,haseverythinginitthattheveryhighestorderof
lifehas;ithasthepropertiesandqualitiesofthelifesubstanceofmanandanimals;it
reproducesitself,itmoves,itfeeds,itisendowedwithinflux,and,lastly,itcanbekilled.
Nowwhenyouhavesaidthesethings,youhavepredicatedmuchofthevitalsubstance,
orthehighestandofthelowest.

Itassertsitsidentity;itmovesandfeeds;itpropagatesandcanbekilled.
It does not sustain its identity by chemical analysis, because when it is chemically
analyzeditisnolongerprotoplasm.
Protoplasmisonlyprotoplasmwhenitisliving.
Chemically, all there is to be found of protoplasm is C.O.H.N., and S., but the life
substancecannotbefound.
Youputtogether54partsofC.,21of0.,16ofN.,7ofH.,and2ofS.,andwhatdoyou
supposeyouwillhave?
Simplyacompositesomething,butnotthatcomplexitywhichweidentifyasprotoplasm.
Inanalyzingtheprotoplasm,whathasbecomeofthelifeforce?
Thereisnodifferenceinweightafterdeath;thesimplesubstancecannotbeweighed.
Neitherweight,timenorspacecanbepredicatedofthesimplesubstance;anditisnot
subjecttothephysicallaws,suchasgravitation.
Now, when we consider this substance as an energy, a force, or dynamis, that is,
somethingpossessingpower,thesubjectisintelligible.
Inertelementshaveintheirnaturenotonlytheirownidentifyingsimplesubstance,but
theyhavedegreesofthisidentifyingsimplesubstance.
Thehumanbodyalsohasitsdegreesoflifesubstance,existingindegreessuitableforall
itsuses.
Theinnermostdegreesoflifesubstancesaresuitabletothewillandunderstanding,the
outermost degrees to the very coarsest tissue, and there is one continuous series of
quality,indegreesfromtheinnermosttotheoutermost.
Everycellhaswithinittheinnermostandtheoutermost,becausethereisnothinginthat
whichiscoarsestbuthasthatwhichisfinest,too.
Theoutermostenvelopesaredominatedbythecoarserdegreesofsimplesubstance,and
theinnermostqualitiesaredominatedbytheinnermostdegrees.
Eachportionhasanappropriateform,andfromtheoutermosttotheinnermostithasall.
Otherwisethehumanbodycouldnotbedominatedorruledbythesoul.
Eachtissuehaswithinititsportionofthevitalsubstance,eachhavingitsownpeculiar
kindoffunction.
Inertsubstanceshavetheirowndegrees.
Silicahasitsdegreesofsimplesubstancewithinit,whichcanbebroughtoutbythe
processofpotentization,wherebyitmaybecontinuouslysimplified,renderedfinerand
finer,so.thateachportionwhichremainsmay,bycontinuedpotentization,beadaptedto
thehigherdegreesofthesimplesubstanceofman.
ThethirtiethpotencyofSilicawillbesufficientlysimilarinformtoreachinacurative
way some of the diseases of man, viz., such as are dominating his economy in a
correspondinglysuperficialandcoarseseriesofthebody.
ButitistruethatSilicaceasesafteratimetoactinthethirtiethpotency,andithastobe
furtherpotentizedinorderthatitmaybesimilarinqualitytotheinnerdegree,evenuntil
itreachestheveryinnermostorfinestdegreesofthesimplesubstance.
Everythingintheuniversehasitsauraoratmosphere.
Everystarandplanethasanatmosphere.
Thesun'satmosphereisitslightandheat.

Everyhumanbeinghashisatmosphereoraura;everyanimalhasitsatmosphereoraura.
Thisauraispresentinallentities.
Whatmaybesaidtobetheauraofmusk?
Thatisastrongphysicalaurawhichalmosteveryonecanperceive.
Agrainofmuskhasbeenkeptforexperiment'ssake,inabottleforseventeenyears,
givingoffaperceptibleaurayetwithoutlossofweight.
Asafurtherevidenceofaura,take,forinstance,theanimalswhichpreyupontheirfood
andyouknowthattheycandiscoverbyanextremelyintenseaurastatesthatmancannot
discover.
Thisisnotanordinarynose,butitisreallytheveryinstinctoftheanimal,wherebyhe
perceiveswhatisprey.
Hisinstinctisanalogoustoman'sperception,andbythisinstincthediscovershisprey,
whenmanwouldnotbeabletodiscoverit.
Mancandiscovermuskinabottle,butitisdoubtfulifmancoulddiscoverthefinestaura
byitsodor.
This aura becomes useful and introduces a prominent sphere in the study of
homoeopathics
Theconsciousnessbetweentwosimplesubstancesisreallythatatmospherebywhichone
knowstheother,andbywhichallaffinitiesandrepulsionsbetweensimplesubstancesare
known.
Theyareinharmonyorinantagonism.
Humanbeingsarethusclassifiedbypositivesandnegatives.
Mineralsandtheworldgenerallyareclassifiedbypositivesandnegatives.
Thishasanunderlyingcause.
Substancesareextremelypowerfulwhenmeetingothersubstancesthatareantagonistic
inanywayandalsowhenmeetingsubstancesinadestructiveway.
Theformativeprocessesareoftenbroughtaboutbydestruction;formsaredestroyedin
orderthatnewformsmayexist,andnewformsthereforeareoftencreatedfromsimple
substance.
Therearetworealmsorworlds,therealmorworldofcauseandtherealmorworldof
ultimates.
Inthisoutermostorphysicalworldwecanseeonlywiththeeye,touchwiththefinger,
smellwiththenose,hearwiththeear;suchistherealmofresults.
Theworldofcauseisinvisible,isnotdiscoverablebythefivesenses;itistheworldof
thoughtanddiscoverableonlybytheunderstanding.
Thatwhichweseeaboutusisonlytheworldofends,buttheworldofcauseisinvisible.
Itispossiblethatwemayperceivetheinnermost,anditisimportantalsothatmanmay
knowandlookfromwithinuponallthingsinthephysicalworld,insteadofstartinginthe
physicalworldandattemptingtolookuponthingsintheimmaterialworld.
Hewillthenaccountforlawandperceivetheoperationoflaw.
Homoeopathyexistsaslaw;itscausesareintherealmofcauses.
Ifitdidnotexistintheworldofcausesitcouldnotexistintheworldofultimates.
It is in the realm of cause that we must look for the primaries in the study of
Homoeopathy.

Ofcourseitwillbeseenthatthewholeofthissubjectlookstowardtheestablishmentofa
newsystemofpathology,whichwillbethegroundworkofHomoeopathy.
All disease causes are in simple substance ; there is no disease cause in concrete
substanceconsideredapartfromsimplesubstance.
Wethereforestudysimplesubstance,inorderthatwemayarriveatthenatureofsick
makingsubstances.
Wealsopotentizeourmedicinesinordertoarriveattheirsimplesubstance;thatis,at
thenatureandqualityoftheremedyitself.
The remedy to be homoeopathic must be similar in quality and similar in action to
diseasecause.
LECTURE9:Organon10and11.Disorderfirstinvitalforce.
Organon10
Thematerialorganism,withoutthevitalforce,iscapableofnosensation,nofunction,no
selfpreservation;itderivesallsensationandperformsallthefunctionsoflifesolelyby
meansoftheimmaterialbeing(thevitalforce)whichanimatesthematerialorganismin
healthandindisease.
Organon11
When a person falls ill it is only this spiritual, selfacting (automatic) vital force,
everywherepresentinhisorganism,thatisprimarilyderangedbythedynamicinfluence
uponitofamorbificagentinimicaltolife;itisonlythevitalforce,derangedtosuchan
abnormalstate,thatcanfurnishtheorganismwithitsdisagreeablesensationsandincline
ittotheirregularprocesseswhichwecalldisease;for,asapowerinvisibleinitself,and
onlycognizablebytheeffectsontheorganism,itsmorbidderangementonlymakesitself
knownbythemanifestationofdiseaseinthesensationsandfunctionsofthosepartsof
theorganismexposedtothesensesoftheobserverandphysician;thatis,bymorbid
symptoms,andinnootherwaycanitmakeitselfknown.
ItisclearthatHahnemannwishestoteachthatitisadisorderoftheactivitiesofthe
internal man,alackofharmony orlackofbalance, whichgives forththesigns and
symptomsbywhichwerecognizedisease.
These sensations constitute the language of disorder ; i.e., the means by which we
recognizedisorderanddisease.
Thisimmaterialvitalprinciple,thissimplesubstance,everywherepervadestheorganism,
andindiseasethisdisordereverywherepervadestheorganism,itpervadeseverycelland
everyportionofthehumaneconomy.
Wewillseeincourseoftimethatthechangeinformofacellistheresultfirstof
disorder,thatthederangementoftheimmaterialvitalprincipleistheverybeginningof
thedisorder,andthatwiththisbeginningtherearechangesinsensationbywhichman
mayknowthisbeginning,whichoccurslongbeforethereisanyvisiblechangeinthe
materialsubstanceofthebody.
Thepatienthimselfcanfeelbyhissensationsthechanges,andthisisinimicaltolife,and
deathimmediatelyfollows,forlifeinitsfullestsenseisfreedom.
As soonas theinternal economy is deprivedinanymannerofits freedom,deathis

threatening;wherefreedomislostdeathissuretofollow.
Soitiswhenthereistheinflowingofasimplesubstancethathastheformoressenceofa
disease.Itisinitsessenceanevilthatisflowingintotheeconomy,butitisasimple
substance.
Everythingissubstantialorreal,andhasinitselfoperatingandperpetuatingpower.
Thefactthatitcanoperateandperpetuateistheevidenceofpower,andifithaspowerit
resultsinsomething.
Everycauseofdiseasethenhasform.
Ifitwerenotintheformofsinglesubstanceitcouldnotaffecttheformsofsimple
substanceinthenaturalstateoftheeconomy.
Moreover, it has its association, from the finest forms of physical substance to the
crudest,frombeginningtoend,fromtheinnertotheouter.
Suchchanges andactivities asresultintheverycrudestformsarebuttheresultsof
diseasethroughaseriesofdegrees,coarserandcoarsertotheoutermostman.
Everythingthatcanbeseen,thatcanbeobservedwiththeaidofthefinestinstrument,is
buttheresult.
Nothingintheworldofimmaterialsubstancecanbeseenwithanyfacultythatiscapable
ofseeingthingsintheworldofmaterialsubstance.
The employment of instruments of precision will enable us to see the finest disease
results,whicharetheoutcomeorresultsofthingsimmaterial,thebacteriaforinstance,
theveryfinestformofanimalorvegetablelife;butthecauseofdiseaseisamillion
timesmoresubtlethantheseandcannotbeseenbythehumaneye.
Thefinestvisibleobjectsarebutresultsofthingsstillfiner,sothatthecauserestswithin.
ThemorbificagentsthatHahnemannreferstoaresimplytheextremelyfineformsof
simplesubstance,ortobringthemdowntohumanthoughtwemightcallthemviruses;
butvirusesareoftengrossbecausetheycansometimesbeobservedbythevisionofman,
and therefore we must remember that within the virus is its innermost and that this
innermostisinitselfcapableofgivingformtotheoutermost,whichisthevisiblevirus
aggregatedandconcentrated.
Thecoarserformswouldbecomparativelyharmlesswereitnotfortheirinteriors.
Diseaseproductsarecomparativelyharmlesswereitnotforthefactthattheycontainan
innermostanditistheinnermostitselfthatiscausative.
The bacteria are the result of conditions within, they are, as it were, evolved by a
spontaneousgenerationliterally,thatiswhatitis.
Everyvirusiscapableofassumingformsandshapesinultimates.
Thecausesofultimatesarenotfromwithoutbuttheimmaterialinvisiblecenter.
Thosethingsthatappeartoman'seyeareevolved,justasmanhimselfisformedfroma
centerwhichhasthepowerofevolving,anendowmentfromtheCreator,operatingunder
fixedgenerallaws.
Itisonlywhenthevitalprincipleisdisturbedbycauseofadiseasecharacter(thatisthe
innermost of a virus in the form of a simple substance), that it gives forth any
consciousnessofitself.
If there were no disturbing influence in the interiors of man he never would have
symptoms.

Asyousitthereinyourseatsinaperfectstateofquietudeortranquilityyouarenot
consciousofyoureyes,ofyourlimbs,ofyourhair.
Youhavetostopandthinkwhetheryoufeelornot.
When all the functions are carried on in a perfectly orderly way you have no
consciousnessofyourbody,whichmeansthatyouareinfreedom.
Whennotinfreedomtheindividualsays:"Ifeel."
Itisthisdisturbanceofaninvisiblecharacterwhichcomesfromcause,andappearsby
changesintheactivitiesofthebody,changesinsensations,changesinfunctions.
ItisinaccordancewithallwiseProvidencethatthesesensationsshouldappeartothe
physicianwhoshallbeintelligentenoughtoreadthemandknowwhattheymean.
Theyareawarning,theyareforus,forpurpose.
Nofeelingamancanhaveiswithoutpurpose,asthereisnothingintheuniversewithout
itsuse.
Hencethesemorbidsensationsrevealtothephysicianthatthereisdisorder.
Toestablishfreedomshouldbetheaimofthephysician,andifaphysician'sworkdoes
notresultinplacinghispatientinfreedomhecannothealthesick,forhealingthesickis
placingthepatientinfreedom,givinghimabsolutephysicalfreedom.
IfthephysiciancausesthepainstoceasebyadoseofMorphine,canwecallthatfreedom
?
Isthepatientnotmadestupidbeyondtherecognitionofthenatureofhisfeelings?
Thelargedosesoftheoldschoolproduceanythingbutfreedom.
Wemustlookelsewheretofindthatkindofhealingwhichturnsdisorderintoorderand
makesmanfree.
Byremovingthesignsandsymptoms inanorderlyway,byconvertingdisorderinto
ordersothatthesymptomsnolongerhaveacause(foraswehavealreadyseenwhenthe
economyisturnedintoorderitceasestogiveforthsymptoms),weplaceourpatientsin
freedom,bothphysicalandmental.
"Onlythevitalprinciplethusdisturbedcangivetotheorganismitsabnormalsensations
andinclineittotheirregularactionswecalldisease."
This is totally different from calling the results of disease the disease, e.g., calling
Bright'sdisease,cancer,orpalsy,diseases.
Mostoftheconditionsofthehumaneconomythatarecalleddiseasesinthebooksarenot
diseases,buttheresultsofdisease.
Tocallagroupofsymptomsadiseaseofonepart,andanothergroupofsymptomsa
diseaseofanotherpartisagreatheresyandleadstoerrorsinprescribingthatcannever
becorrected.Organicchangeistheresultofdisease.
Morbiddisturbancescanbeperceivedsolelybymeansoftheexpressionofdiseaseinthe
sensationsandactions!
Wewouldhavenomeansofperceivingthemorbiddisturbanceoftheinvisibleprinciple
exceptbymorbidsensations,andifthesewerenotpresentwewouldhavenomeansof
puttingthepatientinfreedom.
Therearepatientssosickthattheycannotbeputinfreedom,thoseforwhomthereareno
meansofcure,andinthese,whiletheinternaIstructuralchangesaregoingonslowly,the
morbidsymptomsarenotpresent.

Suchpatientscontinuallychangedoctorsandchangeclimates,recognizing,asitwere,
thatnooneiscapableofrelievingthem.
Withanincurablechangeinavitalorgan,allormostofthesymptomsthatexistedgo
away;thesymptomsofthediseasesaresuppressed,asitwere,bythetremendousstrain
uponthesystem.
Thisisparticularlytrueofthemalignantformsofdiseaseresults.
Thesymptomsthatexistedyearsagohavedisappearedandthepatientsays:
"Oh,theydidnotamounttoanything;Ihadhadthemallmylife."
But those are the symptoms that would manifest to the physician the nature of the
remedy,fortheygivetohimtherealimageofthesickness.
Somedoctorssay:
"Oh,wewillhavearemedyforcancersomeday,"
havinginmindonlythesymptomsofcancer;thatis,thesymptomsthatrepresentthe
resultsofdiseaseandnotthesymptomsthatrepresentthediseaseitself.
Thereisavastdifferencebetweenthesetwo.
Thesephysicianswouldnottalksoiftheyonlyknewandwouldonlythinkinthisproper
andwholesomefashion,thattocurethepatientwouldbetocurethecancer,andinorder
tocurethepatientitisnecessarytogobackinhishistoryandgetthosesymptomsthat
representthepatientinastateofdiseaseandnotthetissuesinastateofdiseaseresults.
Inthelatterstate,theoriginalsymptomsofthediseasehaveoftendisappeared;theyare,
asitwere,swallowedup.
Soitiswhentheinnermostdisease.hasactedandthewholebodyisfullofdisease
results,suchasdropsicalconditions,orpussacs,orhipjointabscesses.
Thepainsmakethepatientunabletothinkofhissymptoms.
Thenthesephysicianscomealongandprescribefortheresultantstatesandendinfailure.
TheygiveSilicaforhipjointdiseaseandBufoforepilepsy,andsoon,givingmedicines
forgroupsofsymptoms.
ThatisnotHomoeopathy.
Suchmenthengooffandsay:
"Oh,Ihavetriedeverything,"
buttheyhavetriednothingbutmodernpractice.
ItisatravestyuponHomoeopathy.
Theexpertphysiciancanlistentosignsandsymptomsbeforemorbidchangeshavetaken
place,andifnomedicineshaveeverbeenadministered,ifnodrugginghasbeenresorted
to,nomorphine,andnootherviolentandviciousdrugs,theimagestandsoutbeforehim
inrelief;itisperfect,becauseithasnotbeenmeddledwithit.
Itspeakswithclearness,andthephysicianwhoisintelligentcanlearntoreadit.
Butthephysicianwhoisnotcapableofseeingthatthisisdifferentfromthegroupof
pathologicalsymptomsthatrepresentthesocalledfixeddiseases,ifhecannotmakea
distinctionbetweenthesymptomsthatrepresentthediseaseperseandthesymptomsthat
representtheresultofdisease,hewillneverpracticeHomoeopathysuccessfully.
Ifhecannotunderstandithehadbetterworkatituntilhedoesunderstandit;hemust
continuetolabouruntilhecandiscriminatebetweentheorganicsymptomsassociated
withtheresultsofdiseaseandthepuresignsgivenforthbynature.

EveryfewdaysIrunacrossahomoeopathicphysicianwhoasks:
"Whatremedyareyouusinginsuchandsuchcase?"
Suchathinghasnoplaceinmymind,andIlookupononewhospeaksinthatwayasa
manuntrainedinhomoeopathics.
Itrulyhavelostmypatientoversuchthings,fortheoldgrayheads,whohavepracticed
foryearsandpretendedtopracticeHomoeopathy,donothesitatetosaythat"thebest
remedyforepilepsy"issoandso,
Whatnonsense!Thatisnotadjustingtheremedytothestateofthepatientthatexisted
beforehehadthesestructuralchangesandfixedgroupsofsymptoms,forifyouadjusta
remedytothepathologicalconditionyouarenotadjustingittothepatient,tohisvery
beginningsdowntothepresenttime.
Heneednothavepathologicalresults,allheneedstohaveissymptoms.
Thepatientcancurehisownmorbidanatomy.
Ifyouwilltakeawaythefirststateofdisorderhiseconomywillbesafe.
Iftheresultsofdiseasecannotberemovedthepatienthimselfwillreturntohealthand
themorbidanatomywillundergosuchchangesthatitwillnotaffecthisstateofhealth.
Thefibrinousadhesionsneednotnecessarilygoawayastateofquiescencecomesand
remainsyearafteryearsolongasheremainswell.
Tothinkofremediesforcancerisconfusion,buttothinkofremediesforthepatientwho
appearstohavecancerisorderly,andyouwillbeastonishedtoknowwhatwonderful
changes will take place in these conditions when remedies that correspond to the
conditionsbeforethecancerbeganareadministered.
Canceristheresultofdisorder,whichdisordermustbeturnedinorderandmustbe
healed.
Wedwelluponthis,formanyparagraphsbringoutthisdistinctionbetweensymptoms
andresultsofdisease.
Thetruemorbidsensationsofahealthyorganismarewhatwemustfirstconsider.
Itisfirstassumedthattheorganismisinastateofhealthandcapableofperformingits
functions,andthenthemorbidsensationsofthishealthyorganismarethesymptomsthat
cometothephysicianasaforerunnerofdeathinparts,andfinallydeathofthewhole.
The patient tells the physician his sensations, ofthenumbness ofhis fingers, ofthe
prickinginhisskin,ofthepaininhisstomach,etc.,allthesensationsofanypartof
whichheisreminded.
Thehealthymanisnotremindedofhisparts.
Hepasseshisstoolwithoutpaininthepart.
Ifhehavepainorbleedingheisremindedofthispart.
Ifhepasseshisurinewithoutsensationwesayitisnormalandheisinfreedom,butif
burningandsmartingandtenesmusfollowheisremindedofit,andthesesensations
constitutesymptoms.
Ifthepatientiswaxyandpallid,haspapulesandpustules,orswollenandvaricoseveins
withredface,redeyes,etc.,thesethephysiciancanseeandnotedown.
Againtherearethingsthatthephysiciancannotseeandthatthepatientcannottell,that
themother,sister,husbandorwifeshouldrelatetothephysicianathisoffice.
Thesesymptomsconstitutewhatthereisknowableofdiesickness,thatwhichappearsto

themindofthephysicianuponwhichhemakesuphisverdict.
Whenthestrongsymptomsareallgatheredtogetherthephysicianinstudyingthecase
mustseparateoutthosethingsthatwereobservedyearsagofromthosethingsthatare
observedtoday,notinghowtheyhavechangedandwhychanged.
Sometimestheyhavebeenchangedbydrugssothatthewholenatureoftheeconomyis
givingoutadifferentgroupofsymptoms.
Thephysicianmustlearnthechangesallalongtheline,frombeginningtoend;what
symptomsrepresentedthissickmantenyearsago,andwhatsymptomsrepresenthim
now.
Perhaps now lie has morbid anatomy, pathological conditions inhis lungs,liver and
kidneys.
Thephysicianwhohasbeenfortwentyyearsobservingpreviousandpresentconditions
inthismanner,byhearingthesymptomscanpracticallylocatethemorbidanatomy;he
cantellwhereitwillappear,knowswhenpusisinorgansandwhere,andhecanfortell
prettywellwhatissoontogoonintheeconomy.
Iwouldrathertrusttoacarefulstudyofthesymptomsthanmostphysician'swritten
diagnosisofphthisis,ororganicdiseasesoftheliveroroftheheart.
Thesymptomsdonotlie,theydonotexistfromopinionsofmenwhohavethumpedand
poundedoverthehumanbodytofindoutwhatisgoingoninside,whichisinmany
instancesconfusingeventothebestdiagnosticians.
Aconsiderableobservationamongstmedicalmenwillleadonetodiscoverthatthedollar
isthechiefendofthepracticeofmedicinewhenpracticedintheoldway;thereis
nothingelseinit,nothingtoadmireorcherish.
Tobecomeconversantwithsymptoms,tojudgeofthesphereandprogressofdiseaseby
thestudyofsymptomatology,istherequirementnecessaryforthehomoeopath.
Ofcourse,bystanderswillsaytothepatient:"Thatdoctorcannotknowmuch;hedid
notgiveyouaphysicalexamination."
Aftertheexaminationofthesymptomshasbeenmadethereisnoreasonwhyyoushould
not make a physical examination of the patient ; but do not let this deprive you of
becomingthoroughlyeducatedinstudyingsymptoms,becausetherealstudyofsickness
isthemeditationofhissymptoms,andtobecomewiseinsymptomsistobecomeanable
prescriber.
Studyphysicaldiagnosistoyourheart'scontent,butweighcarefullywhatyoudiscover
andcompareitwiththesymptomsinordertoascertainwhatthedifferentsymptoms
mean.
Youcannotstudythesymptomsofmanwithoutbecomingextremelywellacquainted
withthenervoussystem.
Theanatomyofthenervesandofthebrainshouldbethoroughlyknown.
Notalwaysthatyoumaynamethenerve,butthatyoumayknowwhereitisandwhatits
functionsare,andthisstudyshouldbecontinuedthroughoutallyourlife.
Thephysicianshouldbeconversantwithanatomyandphysiology,butbystudyingthe
symptomatologyheacquiresaknowledgeofphysiologywhichitisimpossibletoobtain
inanyotherway;heacquiresaknowledgeofthefunctionsandoperationsofarteries,
nervesandmusclesbecausetheycallattentiontothemselveswhenindisturbance,andhe

seesthereforehowthesymptomsmanifestthemselves.
Bystudyingthesymptomintherecordedpathogenesisonemaylearnmuchabouttrue
pathology.
Morbidanatomyfurnishesnobasisforprescribing,buttruepathologyisoftenofthe
greatestbenefit,helpingtheimageofthesicknesstoshapeitselfbeforethemind.

LECTURE10:Organon13.Materialisminmedicine
Severalparagraphsnowtobereadarescarcelymorethanarecapitulationofsubjects
spokenof.
IngoingoverpreviousparagraphsIhaveintroducedthesepointsinadvance,becauseit
wasnaturaltodosoinconnectionwiththesubjectinhand.
Iwillthereforeglanceoverthemuntilwereachsomethingnew.
InthethirteenthparagraphHahnemannsays:
"Therefore disease (that does not come within the province of manual surgery),
considered,asitisbytheallopathists,asathingseparatefromthelivingwhole,fromthe
organismanditsanimatingvitalforce,andbiddenintheinterior,beitofeversosubtlea
character,isanabsurditythatcouldonlybeimaginedbymindsofamaterialisticstamp,
and has for thousands of years given to the prevailing system of medicine all those
perniciousimpulsesthathavemadeitatrulymischievous(nonhealing)art."
ThematerialnotionreferredtowasthatexistinginthetimeofHahnemann.
Materialismisstillgrowing.
Itseemsimpossibleforthemajorityofmenofthepresentdaytoperceive.
Perception,thatis,seeingwiththeunderstanding,seemstobeentirelylost.
Thematerialistrefusestobelieveanythingthatdoesnotconformstothelawsoftimeand
space.
Itmustbemeasured,itmustbeweighed,itmustoccupyspace,orhehasnoideaofit,
andwilldistinctlyaffirmthatwithoutthisitisnothingandhasnoexistence.
Everythingbeyondthisistothematerialmindpoeticaldreamy,mysterious.
Sotheylookinvaininthematerialworldforcause.
Youwillneverfindamaterialentityasinanywaycausinganything.Ithasnocausative
power,nocreativeinfluence,nopropellinginfluence.
Causesorsimplesubstancesare,inthenaturalstate,inmotion,andcausemotioninthe
bodies that they occupy ; the natural state for simple substance is that of power, of
mobility,ofactivity.
Thenaturalstateofmatterisrest,quietude,silence;ithasnopowertomoveunlessacted
upon.
Likethedeadman,whosetissuesareatrest,ithasnoactionofitsown.
Butthesimplesubstancedominatesmatterandanimatesit.
Thetwoworlds,theworldofmotion,ofpower,andtheworldofinertia,existinone.
Thereisaworldoflifeandaworldofdeadmatter.
Therealmofthoughtandtherealmofmatteraretherealmofcauseandtherealmof
result.
Causesareinvisible,resultsarevisible.

Weseetheactionsofmaterialsubstance,butthethinkingmanhasonlytoreflecttosee
thattheseactionsthatarevisibleinmaterialformarebutresultofthecausethatexistin
the formofsimple substance which is invisible tothe natural eye butvisible tothe
spiritualeyeorunderstanding.
Thematerialistcannotgraspthisidea,hecannotthinkinthisway.
We have the grandest confirmation of these things in the wonderful action of our
potenciesinthevaryingdegreesinwhichtheyoperateuponman,fromthelowesttothe
highest.
You will discover in course of time that in a large number of chronic diseases our
antipsoricswillcausechangesintheeconomy,curativeorotherwise,infromfiveto
sevendifferentpotencies.
Inthisyouhavethedemonstrationofdegreeofsimplesubstance,andtheirrelationto
differentplanesintheinterioroftheeconomy.
Organon14.Thereis,intheinteriorofman,nothingmorbidthatiscurable,andno
invisible morbid alteration that is curable, which does not make itself known to the
accurately observing physician by means of morbid signs and symptoms an
arrangementinperfectconformitywiththeinfinitegoodnessoftheallwisePreserverof
humanlife.
Thiswehavealreadyspokenof.
Everycurablediseaseismadeknowntothephysicianbysignsandsymptoms.
Incurablediseaseshavefewsignsandsymptoms,andbytheirabsence,thediseaseis
oftenthusknowntobeincurable.
Bywatchingthepatientgraduallydeclinewithoutanysymptomsbutthosewhicharethe
commonexpressionsofpathologicalconditions,weseethatthecaseisincurableandis
goingdowntodeath.
Allcurablemaladies,therefore,havesignsandsymptomsinordertomakethemselves
known;theirpurposeistoshadowforththedisorderlyconditionofthevitalforceor
interiorofman,sothatthephysicianmayreaditandunderstanditsnature.
Thisimagingforthwhenthehumanraceisinastateofignorance,ormaterialism,islike
seedssownuponstonyground;thereisnomantounderstandthem,toapprehendtheir
meaning.
Theimagesofsicknessarecontinuallybeingformed,andonlywaitforamanintelligent
enoughtoobservethem,tounderstandtheirmeaningtotranslatethem,anditispossible
formen,bythedoctrinesofHomoeopathy,tobecomewiseandintelligentenoughtobe
conversantwiththesesigns.
InthisparagraphwealsoseeHahnemann'srecognitionofDivineProvidence.
ItwastheveryrecognitionofProvidencethatenabledHahnemanntobecomeaman,and
beingdirectedbyDivineProvidenceenabledhimtofinallyperceivethelaw.
When hislittle oneswerebeinghurledtodeath bystrongdrugsthefirstthoughtof
Hahnemann was that Providence had not made these little ones to be destroyed by
medicine;itseemedtohiminconsistentthattheyshouldbemadetotakethismiserable
stuff.
In all yourexperiences, if youlive tobevery old,youwill findaverypoorlot of
homoeopathsamongthosewhodonotrecognizeDivineOrder.

Youwillfindamongthemfalsescience,experimentation,butneveranygovernmentof
principle,nothoughtofpurpose,orderoruse.
Hahnemannwasnotinthestrictestsensethediscovererofthelaw,forHippocratessaid
thatdiseasemightbecausedeitherbyoppositesorsimilars,butHahnemanndiscovered
thisbypureexperimentationandthefollowingoutofstrictorder.
Afterreadingituphefoundcorroborationoftheprincipleshehaddiscovered,andhe
followedalongtheline,growingwiserandstronger,untilheformulatedthecodewhich
issosimpleandyetsocomplete.
VeryfewareabletoreadtheOrganonatfirstandseeanythinginitbutwords,andyet
theoldestpractitionerofpureHomoeopathyfindsnothinginittochangeandtheolderhe
growsandbecomes moreactive inworkthemoreliedependsuponitandthemore
consistentitbecomes.
AlthoughIhavebeenteachingtheOrganonformanyyears,Inevergooveritwithout
discoveringsomenewthoughtinharmonywiththegeneralteaching.
The continued studyoftheOrganonbringsadeeperanddeeperunderstanding ofit,
becauseitistrue.
Inthe15thparagraphanotherthoughtcomestipwhichstillfurthershowstheunitof
governmentwhichwehavedweltuponsomuchinpastlectures.
Everythingthatflowsfromacentermustbeconsideredinconnectionwiththatcenter.
Maninhishealthystateisbuttheresultofthenormalactivitiesofaunit,andhemustbe
consideredasaunitInotherwords,hishealthyvitalforceistheresultofactionfroma
Center.
Ontheotherhand,whenmanbecomesdiseasedinhisdisorderedordiseasedstateheis
stillaunitandhastobeconsideredcollectively.
Itisnottobeconsideredthathisphysiologicalactionproduceshismorbidactions,but
thathismorbidactionssocompletelydominatehimthatheisonemorbidstate.
Thisisagainillustratedwhenheisdominatedbytheactionofadrug(whenadrug
insteadofadiseasepossesseshim),thenweseeamorbidstate,butitisstillaunitof
action.
There arethreedifferent subjects formingaunionofstudy,thestudyofman inhis
naturalstate,thestudyofmaninhissickstatefromnaturaldisorder,andthestudyof
maninhissickstatefromartificialdisorder.
Eachremedymustbestudiedasaunitfirstandthenthoseunitsmaybecompared.
To intermingle comparative Materia Medica without a full knowledge of units is a
mistake.
ThisIhavefoundoutbyexperienceinmyearlierteaching.
IhavetaughtmuchcomparativeMateriaMedica,thinkingthatawisecoursetopursue,
buthavesinceabandonedthatplanandnowstudyeachremedyasaunit,justasIadvise
thestudyofeachdiseaseasaunit.
Whenoneremedyisfullymastered,oronediseaseisfullymastered,thenyouareready
tocompare.
Firstofallthinkofmeaslesasmeasles,andwhoopingcoughaswhoopingcough,and,
whenyoucometothechronicdiseases,ascertainallthethingsthathavebeenobservedin
syphilis,andallthesymptomsthathavebeenobservedinsycosis,andallthosethathave

beenobservedinpsora.
YouarethenpreparedtoenterthestudyoftheMateriaMedicaandseetherelationshipof
someremediestotheacutemiasmsandtherelationshipofotherremediestothechronic
miasms.
Youwillseeparticularlytheimageofmeaslesinsomeremedies,theimageofwhooping
coughinothers,andtheimageofpsora,syphilisandsycosisinothers.
Thenyouarereadytoproceedwithwhatmaybecalledindividualization,becausethese
arethemostgeneral,andfromthesewegointoparticularsandthenintocomparison
Thisistheclassicalwaytoproceed,andwhenitisfollowedthephysicianbecomeswise
andintelligentandcanapplytheMateriaMedicawithwonderfulprecision.
SuchwasHahnemann'smethod.

LECTURE11:Organon16(1)Healthystate.(2)Howmadesick.(3)Howcured
onlyderangedandcuredindynamicsplanes.
Organon16.Ourvitalforce,asaspiritlikedynamis,cannotbeattackedandinfected
byinjuriousinfluencesonthehealthyorganismcausedbytheexternalinimicalforces
thatdisturbtheharmoniousplayoflifeotherwisethaninaspiritlike(dynamic)way,and
inlikemannerallsuchmorbidderangements(diseases)cannotberemovedfromitbythe
physicianinanyotherwaythanbythespiritlike(dynamic,virtual),alternativepowers
oftheserviceablemedicinesactinguponourspiritlikevitalforce,whichpreservesthem
through the medium of the sentient faculty of the nerves everywhere present in the
organism,sothatitisonlybytheirdynamicactionofthevitalforcethatremediesare
able to reestablish and do actually reestablish health and vital harmony after the
changes in the health of the patient cognizable by our senses (the totality of the
symptoms) have revealed the disease to the carefully observing and investigating
physicianasfullyaswasrequisiteinordertoenablehimtocureit.
The16thparagraphfurnishesthesubjectthatwewilltalkaboutthismorning
Ittreatsofthreestates:(1)ofthestateofhealth,orthenormalactivitiesofthebody,(2)
ofhowthatstateismadesickorturnedintodisorder,and(3)ofhowthatdisorderedstate
canbeturnedintohealth.
Ifwecouldfindamaninastateofperfecthealth,wemightsubjecthimtoshock,to
injuries,totheactionsofthecruderthingsaroundus,andhewouldpassthroughthemor
theywouldpassawaywithoutleavinguponhimanysuchthingasadisorder.
Hemightbeundertheinfluenceofthatshockashorttime,butwhenreactioncame,ifit
cameatall,itwouldleavehimfreefrommiasm,hewouldnothavetherefromeitheran
acuteorchronicdisease.
Itisonlybytheactionofimmaterialsubstances,simplesubstancesactinguponaplane
similartotheplaneofhissusceptibility,thathecanbecomeinfectedwithasickness;
thatis,theresultantactionofasubstancecapableofoperatingfromhisinnermosttohis
outermost,andestablishingevidencewhichwecallsymptoms.
If the outermost alone is acted upon the vital force of the man is only temporarily
disturbed,butthereisnotestablishedadefinitedisorder(notevenalimitedone)thatcan
runacoursewithabeginning,aperiodofprogressanddecline,suchasthemiasmsdo.

Whateverdepressesthetissuesofman,orhisbodilyfunctions,onlyactstemporarily,and
isnotcapableofestablishingatruedisease.
Take,forinstance,thecruderdrugsthatweseeusedasaphysic.
You may give the patient the coarser and cruder forms of drugs as purgatives and
emetics,andhewillgothroughtheshockandreturntohisoriginalstate.
It is onlyafter the most violent and long continued use of liquids that there can be
implanteduponhimadrugdisease,andeventhatislargelysuperficialincomparisontoa
naturaldiseasedcondition.
TheconstantuseofBromideofPotassiumwillproduceeffectsintime,butthatdrugdoes
notgotothedepths,itoperatesuponthetissues,producingacoarserformofdisease,but
notmiasmaticincharacter.
Takealsothecoarserpoisonsasanexample.
Manyofthemcanbetakenintothestomachincrudeformwithverylittlemanifestation
uponthevitalforce,indeedthemoreactiveandvirulentandcondensedthepoisonthe
smallerthecollectivesymptomsimage.
Thesmallpoxcrustcanbeswallowedanditwillbedigestedandverylittletroublecome
fromit,buttheinhalationoftheatmospherethatcontainstheauraofsmallpoxupona
planecorrespondingtothesusceptibilityoftheindividualwillbringhimdownwiththe
diseasehavingadefiniteprodrome,aperiodofprogressandaperiodofdecline,showing
thattheveryfoundationoftheman'snaturehasbeenstruck.
Suchanoperationisupontheinternalsofmanuponhisinvisible,immaterialsubstance,
anditoperatesfromwithinout,producingultimatesinhistissues,establishingresults
upontheskin.
Hahnemann in this paragraph affirms that nothing, except in the form of a simple
substance,cansoimplantitselfupontheeconomyastorunitscourseasadiseaseeither
acuteorchronic.
Nodiseasecanimplantitselfupontheeconomythroughitsultimateforms;onlyinits
invisibleformscanitsoact.
Alldiseasesknowntomanareintheformofsimplesubstance,aninvisiblesomething
thatcannotbedetectedbythechemistorthemicroscopist,andwillneverbedetectedin
thenaturalworld.
Disease cause is known, and known only, from its effects ; it is not capable of
investigationbythenaturalsensesandcanonlybeinvestigatedastoitsresults.
Everythingthatcanbeseen,feltorobserved,ordetectedwiththemicroscope,isbutan
ultimate,aresult.
Itisonlybytheunderstanding,byreasoningfromfirsttolastandthenbackagain,that
wecanperceivethatdiseasecausesareinvisible.
Thebodycanbeaffected,thetissuescanbeaffected,andultimatescanbeaffectedby
ultimates,therecanbefrictionbetweenultimates;thingsinthisworldcancollidewith
other things in this world and they may destroy each other ; ultimates may destroy
ultimates;butsuchathingasdiseaseoccurringinultimatesexceptthroughdynamic
changesisimpossible.
Norcananyagencywhichisanultimateactuponthehumaneconomycuratively,turning
intovitalordertheinnermostoflife.

Vitaldisordercannotbeturnedintoorderexceptbysomethingsimilarinqualitytothe
vitalforce.
Itisnotsimilitudeinquantitythatwewant,inweightsandmeasures,butitissimilarity
inquality,inpower,inplane,thatmustbesoughtfor.
Medicines,therefore,cannotaffectthehighandinteriorplanesofthephysicaleconomy
unlesstheyareraisedtotheplaneofsimilarityinquality.
The individual who needs Sulphur in the very highest degrees may take Sulphur
sufficienttomovehisbowels,mayrubitupontheskin,maywearitinhisstockings,can
takeSulphurbaths,allwithouteffectuponhisdisease.
Inthatformthedrugisnotincorrespondencewithhissickness,itdoesnotaffecthimin
thesameplaneinwhichheissick,andsoitcannotaffectthecauseandflowfromthence
tothecircumference.
Sowithallthecoarserdrugs,theydonotcure.
Wesometimesseetheoutermosteffectsofdisease,diseaselocatedintheouterplanes,
temporarilyremovedbythelowerpotenciesandcrudedrugs,butitisonlyastothe
exteriorsandultimatesthatthecureiseffected,andasitdoesnotreachtheinnermost
degreesitisnotpermanent.
In acute diseases also crude drugs sometimes accomplish their purpose, because the
outermost which they affect is only on the surface and the innermost has, in acute
disease,thetendencytogoawayofitself;ifhislifecansimplybespareduntilthe
diseasehasrunitscoursethepatientwillrecover.
Butthechronicmiasmsareonlyreachedastotheirultimatesymptoms,andtheseare
caused to subside only temporarily or are suppressed by the action of the crude or
ultimateformsofmedicine.
Ilookbackuponthetimewhenmyownmindwasinacloudastothissubject,andifI
refertoithereitmaybeofusetoyou.
IrememberwhenIfirstreadfromHahnemannthatpotentizedmedicineswouldcurethe
sickthatitseemedtomeamystery.
Ihadnoknowledgeuponwhichtofoundbeliefinsuchthings.
Ibegantopracticewiththelowerpotenciesandwithcrudedrugs,inattemptingtocarry
outthelaw,butwiththesemeansIwasabletocureonlysuperficialcomplaints.
Myworkwasfarfromsatisfactory,yetitwassomewhatbetterthantheoldthings,itwas
milderthanphysickingandpurgingandemesis.
OfcourseIresteduponmyopinionsandbeliefformyknowledge;everyonedoesthat.
LaterIresolvedtotestthe30thpotencytoseeiftherewasnotyetmedicineinit,andI
prepared with my own hands the 30th potency of Podophyllurn with water on the
centesimalscale,afterthefashionofHahnemann,havingbeentoldthatwaterwasas
goodasalcoholanditwasonlytheattenuationthatwasrequired.
ThiswasduringanepidemicofdiarrhoeathatlookedlikePodophyllum,butIhadnotthe
couragetogivethe30thandstillcontinuedtousemystrongermedicines.
Onedayachildwasbroughtintomyofficeinthemother'sarms.
Shebroughtitinhastily,anditdidnotseemasifitcouldlivelong.
Itwasaninfant,andwhileitlayinherarmsathinyellowishfecalstoolranovermy
carpet.

TheodorstruckmeaslikethatIhadbeenreadingaboutastheodorofthePodophyllum
stool;itwashorriblyoffensive,stinking,andthestoolwassocopiousthatthemother
madetheremarkthatshedidnotknowwhereitallcamefrom.
Isaidtomyself,thisisacaseuponwhichtotestHahnemann's30thpotency.
SoIfixedupsomeofthePodophyllum30andputitonthechild'stongue,andsentthe
motherhome,fearingthatthechildwouldsoondie,asitwasveryill,facepinchedand
drawn,cadavericandhadadreadfulodoraboutit.
NextmorningwhenmakingmyroundsIhadtopassthehouse.
Iexpectedtoseecrepeonthedoor.
Ididnotdaretocall,thoughIwasverymuchworriedaboutit,soIdrovepast;butthere
wasnocrepeonthedoor.
Idrovehomeagainthatway,althoughitwasquiteadistanceoutoftheway,andstill
therewasnocrepeonthedoor;butstandinginthedoorwaywasthegrandmother,who
said:
"Doctor,thebabyisallrightthismorning."
ThenIbegantofeelbetter,thinkingIhadnotkilledit.
Perhapssomeofyouhavebeeninthesamestateofmind.
Thatlittlechilddidnotneedanymoremedicine.
AfterthatIhadquiteanumberofPodophyllumcases,andthe30thdidtheworktomy
astonishment.
ItwasdifferentfromanythingIhadeverseen;thecureswerealmostinstantaneous,it
seemedasiftherewouldbenomorestoolafterthefirstdoseofmedicine.
Ididnotalwaysgivethesingledose.
I used that 30th all the season, and then made up my mind that if the 30th of
Podophyllumwasgoodother30thswouldalsobe,andIoughttohaveasmanyofthem
aspossible.
Imadeagoodmany30thsbyhand,andfinallysucceededinmakinguponehundredand
twentysixremedies,someoftheminthe200thpotency,andtheseIused.
ThenIprocuredasetof200thsandhigherandpracticedwiththem.
IfollowedoninthiswayandinafewyearsIdiscoveredthatbygivinghigherandhigher
potenciestheremediesseemedtooperatemoreandmoreinteriorly.
Ifoundthatachroniccasethatwouldberelievedbymoderatelyhighpotencieswould
onlyimproveforamatterofweeks,butontheadministrationofmuchhigherpotencies
theworkwouldbetakenup,andinthatwaythesamepatientcouldbecarriedonfrom
onepotencytoanother.
If I give you the conversation of one patient with me from time to time you may
understandbetterwhatImean.
Isawthispatientforthefirsttimesomefifteenyearsago,whenhewasstoopshouldered
andhadafairlyphthisicalaspect.
Hehadacatarrhalstateofthechest,anditlookedasthoughitmightendinphthisis.
OnhissymptomshereceivedSulphurabout6m.
He was violently aggravated bythis doseof medicine, all his symptoms were made
worse,andhecamebacktotheofficesayingthatthemedicinehadmadehimsick.
Ihadattainedknowledgeoftheaggravationfromasimilarremedy,soIgavehimsugar.

Attheendofanotherweekhecamebackandtoldmehewasbetter,muchbetter,thathe
didnotwantmetogivehimanymoreofthatfirstmedicine,buthewantedmoreofthe
last,asithadmadehimsomuchbetter.
SoIkepthimonthemedicinewhichpleasedhimforaperiodofprobablysixorseven
weeks.
Onetimehereturnedandtoldmehedidnotwantthatlastmedicine,buthewantedthat
medicinethathelpedhimso.
BythatIknewenoughtogivehimanotherdoseofSulphur.
Withinthenextdayortwoheraninandsaid:
"Youyoungrascal,yougavemethatmedicinethatmademesickinthefirstplace,"
sohegotsugaragainandwentonthistimeforfiveorsixweeks,orperhapslonger.
Thenhecamebackagainsaying:
"Now,Idonotthinkyouunderstandme,forIamhavingmyoldsymptomsback.
Iwishyouwouldstudymycaseagain."
SoIwentalloverhiscaseandhegotanotherdoseofSulphur6m.
Hereportedthistime:
"Well,Idonotfeelanybetter;Iamjustaboutthesame."
Hewasnotstirredupthistime,yousee.
Iwaitedalittlelongerandsawnorelieffromthelastdose.
HereareallthesymptomscallingforSulphur,shallIgivehimcrudeSulphur?
Icannotgivearemedythatisnotindicated.
Theexperienceoftheoldermensays"gohigher."
IgavehimSulphur55m.,andinafewdayshecamebackuponme,saying,"Yourascal,
yougavemethatfirstmedicineagain.
Idon'twantthatstuff."
FinallyIgothimcooleddown,gavehimsomesugarandassuredhimthathewouldbe
betterinafewdays,andhewentonforsixorsevenweekswithgreatimprovement
AfterawhileIexplainedtohimthatwhentheremedydidnotactIhadtogivehim
somethingtostirhimup.
OfcourseIdidnotsayanythingtohimaboutsugar.
Whenyouhavelearnedwhatyourmedicineswilldoitisagoodthingtosaytothe
patient:
"Donotbealarmedorastonishedwhensuchandsuchthingshappen."
Otherwisetheywillgetalarmedandgooffandperhapsgetanotherdoctor.
The55m.ofSulphurrelievedthatpatientinacoupleofdoses,farapart,andthenceased
torelievehimanymore.
Nexthereceivedthec.m.whichworkedjustastheotherpotencieshaddone,andfinally
hegottothem.m.whichactedjustlikethec.m.,andfromthatpotencyhewentonbeing
restoredtohealth.
Whenyouseethesethingsyouhaveaconfirmationinthemofthedoctrinesofthelaw.
Experiencedoesnotleadtothesethings,butprincipleswhichthereafterareconfirmedby
experience.
Whenapatienthasbeencarriedupthroughaseriesofpotencieshewilloftenremain
unaffected bythatremedyinalowerrealm ofpotency orinthecrude,unlesshe is

overwhelminglydosedbyit,andthenhewillbepoisoned.
Thethirdpropositioninthisparagraphisthatmedicineswillnotactcuratively,orina
waytoturnthebodyintoorderandturnoffdisease,unlesspotentizedtocorrespondto
thedegreesinwhichthemanissick.
Suchasaresickinamiddleplanearesickfromthatplanetotheoutermost.
Suchasaresickintheinteriorplanesaresickthroughouttotheoutermost.
Whenthedisorderisintheverydepthofhisphysicalnaturethenitisintheformof
chronicdisease;i.e.,allthereisofhimissick,andofsuchthereisnotendencyto
recoverybutacontinuedprogress.
Stichistheorderofpsora,syphilisandsycosis.
Thenutritiveplaneisentirelyintheoutermost,thatis,inthetissues.
Assimilationgoesoninthetissues.
Itissimplyintherealmoftissuesandultimatesthatcrudedrugsoperate;theycanonly
disturb ultimates, and the inharmonious condition is the inharmony of ultimates, the
outermostplane.
Ofcourse,iftheoutermostofthephysicalisdisturbedthewholeeconomysuffers,and
thebodyceasestofurnishagoodinstrumenttobeoperateduponbythepowerswithin;
butatruedisease,withperiodsofprodrome,progressanddeclineorcontinuance,cannot
beimplantedupontheeconomyexceptitbebyadynamiccause.
Andhencenecessarilymancannotbecuredexceptbydrugsattenuateduntiltheyhave
becomesimilartothenatureorqualityofdiseasecause.
Diseasecauseandthediseasecuringdrugmustbesimilarinnature;unlikecauseswould
notproducelikeeffects.
Wecanarriveatsimilarcausesbystudyingtheeffectsthataresimilar.
Whenweexamineintoacaseandfindacertaingroupofsymptomsandintheeffects
producedbyacertaindrugweseelikesymptoms,wehavearighttopresumethatthe
qualityornatureinbothissimilar.
Thecausesmustbesimilariftheeffectsaresimilarinnatureandquality.
Whenthephysiciangoestothebedsideheaskshimself:
DoIknowaremedythathasproduced,uponahealthyman,symptomslikethese?
He must pass judgment upon the symptoms, he mustbe an artist in application and
capableofdiscerningthefinershadesofdifferenceandsimilitude.
LECTURE12:Theremovalofthetotalityofsymptomsmeanstheremovalofthe
cause.
Organon17.Now,asinthecureeffectedbytheremovalofthewholeoftheperceptible
signsandsymptomsofthediseasetheinternalalterationofthevitalforcetowhichthe
diseaseisdueconsequentlythewholeofthediseaseisatthesametimeremoved,it
followsthatthephysicianhasonlytoremovethewholeofthesymptomsinorder,atthe
same time, toabrogate and annihilate theinternal change, that is tosay,themorbid
derangement ofthevitalforceconsequentlythetotality ofthedisease,thedisease
itself.
Butwhenthediseaseisannihilatedthehealthisrestored,andthisisthehighest,thesole

aimofthephysicianwhoknowsthetrueobjectofhismission,whichconsistsnotin
learnedsoundingpratingbutingivingaidtothesick.
Theideaofthisparagraphisthattheremovalofthetotalityofthesymptomsisactually
theremovalofthecause.
Itmaynotbeknownthatcausesarecontinuedintoeffects(i.e.,thatcausescontinuein
ultimates), but it is true that all ultimates to a great extent contain the cause of the
beginnings.
Andsincecausecontinuesintoultimatesandthingsinultimatesshadowforthcause,the
removalofallthesymptomswillleadanyrationalmantoassumethatthecausehasbeen
removed.
Thiswillleadyoutoseethatifalargenumberofsymptomsmanifestthemselvesthrough
adiseasedovary,andthatovaryisremoved,thecauseofthesymptomshasnotbeen
removedandwillmanifestthroughsomeotherpartofthebody,perhapstheotherovary
orsomeorganthatisweak.
Itisaseriousmattertoremoveanyorganthroughwhichdiseaseismanifested.
Whentherearetwoormoreofthesepathologicalconditionsestablisheduponthebody
andoneisremovedtheotherimmediatelybecomesworse.
Forinstance,ifthereisastructuralchangeinthekneejointandthesurgeonremovesthe
knee,whilethereisacorrespondingstructuralchangeinthekidneysorliverwhichhe
cannotremove,thelatterimmediatelybecomesworseandbreaksdownassoonasthe
kneejointisremoved.
Inthesamewaywefindinatuberculousconditionofthelungsthatitmayremainina
veryquietstatesolongasafistulainanokeepsondischargingbuttheallopathcomes
alongandclosesthatventandimmediatelythereisacroppingoutofthediseaseby
infiltrationofthelungsandthepatientcomestoanearlydeath.
Theresultsofdiseasesarenecessaryinmanyinstances.
Sometimestheseresultsaretuberculousconditions,whicharetheultimateoutcomeor
effectsfromcause,andcontainattimestheseedsofbeginningsofasimilarkind.
Theyarenotthemselvesbeginnings,yettheycontaincauses.
Unlesscausesareremovedfrombeginningtoendthediseasecanreproduceitself.
ThisincludesthefirstpropositionofHahnemannastothecureofdisease,whichmeans
permanentremovalofthetotalityofthesymptoms,thusremovingthecauseandturning
disorderintoorder,andasaconsequencetheresultsofdiseaseareremoved.
Thetotalitycannotberemovedwithoutremovingthecause.
"Butwhenthediseaseisannihilatedthehealthisrestored;andthisisthehighest,thesole
aimofthephysicianwhoknowsthetrueobjectofhismission,whichconsistsnotin
learnedsoundingpratingbutingivingaidtothesick."
Hahnemanngivesthiswarningnoteagainstdiscoursingdogmaticallyupontheflimsy
theoriesofman.
ItwasthecustominHahnemann'stimeformentocloaktheirignoranceintechnicalities;
thatis,tousetechnicalitiesforthepurposeofappearingwise.
Itisdoneatthepresentday,Ihaveheardphysicianstalktosimplemindedpeoplein
technicalities.
Wisepeopleseldomusetechnicalities.

Thereisnothinginthisworldtobecloudtheunderstandingastodealintechnicalities,
theyarecrampedandoftenmeaningless.
ThedoctrinesofHomoeopathyshouldnotbecloudedintechnicalities,butshouldbe
consideredandtalkedoutinthesimplestformsofspeech.
WhentalkingoftheOrganonanditsdoctrines,talkgoodEnglish,ifyouareEnglish,and
usesimpleformsofspeech.
Onetechnicalwordwillsometimesmeanawholesentence,andcanbeconstitutedto
meanagoodmanydifferentthings.
Technicalitiesareasortofscapegoattocarryoffthesinsofourignorance.
The"totalityofthesymptoms"meansagooddeal.
Itisawonderfullybroadthing.
Itmaybeconsideredtobeallthatisessentialofthedisease.
Itisallthatisvisibleandrepresentsthediseaseinthenaturalworldtotheeye,thetouch
andexternalunderstandingofman.
It is all that enables the physician to individualize between diseases and between
remedies;theentirerepresentationofadiseaseisthetotalityofthesymptoms,andthe
entirerepresentationofadrugisthetotalityofthesymptoms.
Itdoesnotmeanthelittleindependentsymptoms,butitmeansthatwhichwillbringto
themindaclearideaofthenatureofthesickness.
Manyofthelittle.symptomsthatoccurcanbeleftoutofthetotalwithoutmarring,but
theessence,thecharacteristics,theimagemustbethere,asthatisofimportancetothe
physician,beingtohimthesoleindicationinthechoiceoftheremedy.
Itistruethattheoldprescribermaybeabletoperceivethetotalityifhecanseeonlya
smallportionofit.
Prescribing in that way, however, is very often a mistake, for when that which was
wantingisbroughtoutthephysicianseesthathehasprescribedonlyforthesideview,as
itwere.
Youbecomewellacquaintedwitholdfriendsandknowthembyevenapartialviewor
bythegait,orvoice,butitisnotsowithstrangers.
Strangershavetobestudied,criticizedandexamined.
Itrequiresalongtimetoknowthestranger'smethods,tofindouthowheperformshis
business,whetherheischeerfulornottoknowthecharacter,toknowtheman.
Soitiswiththetotalityofthesymptoms,fortoagreatextenteverysicknessisanew
sickness.
Ifthepatienthasnothingtoconcealhewilldelineatehissymptomscheerfully,butifhe
hassomethingtoconcealitbecomesahardmattertoobtainthetotalityofhissymptoms.
Butthistotalitymustbeobtained,forthereisnoothermeansofascertainingthenatureof
theremedythatheisinneedof,asitisexpressedintheeighteenthparagraph:
Fromthisindubitabletruth,that,besidesthetotalityofthesymptoms,nothingcanbyany
means be discovered in diseases wherewith they could express their need of aid, it
followsundeniablythatthesumofallthesymptomsineachindividualcaseofdisease
mustbethesoleindication,thesoleguidetodirectusinthechoiceofaremedy.
Butitisnotenoughtoconsiderthetotalityasagrandwhole;besidesconsideringallthe
symptomscollectivelyeachindividualsymptommustbeconsidered.

Everysymptommustbeexaminedtoseewhatrelationitsustainstoandwhatpositionit
fills in that totality in order that we may know its value, whether it is a common
symptom,orwhetherapeculiarlycharacteristicsymptom.
Thisweshallconsiderlaterinthecourse..
Organon19.Now,asdiseasesarenothingmorethanalterationsinthestateofhealthof
thehealthyindividualwhichexpressthemselvesbymorbidsigns,andthecureisonly
possible by a change to the healthy condition of the state of health of the diseased
individual,itisveryevidentthatmedicinescouldnevercurediseasesiftheydidnot
possessthepowerofalteringman'sstateofhealth,whichdependsonsensationsand
functions indeed that their curative power must be owing solely to this power they
possessofalteringman'sstateofhealth.
Thestatementisthatmedicinesmustbecapableofeffectingchangesintheeconomyor
theycannotrestoreorderintheeconomy.
Ifthemedicineistoohightoeffectadisturbanceinanirregularlygovernedeconomyit
willbetoohightoeffectacureinthateconomy.
The potency must be consistent with the degree of susceptibility that calls for the
medicine.
Thissusceptibilityincludes,awiderangeofpotency,sothatfromthe30thtothecm.
thereisseldomamissinactualexperience.
Itisseldomthatthepotencyistoohigh,butthatitishigherthanisnecessaryisoften
true.
Nodrugcanactcurativelyexceptbyitsabilitytoeffectchanges,anditisknownthat
drugsdoeffectchangesbytheirprovings;butintheprovingsthedrughasbeenincreased
inquantityorreducedinqualityinaccordancewiththejudgmentoftheprover.
Manytimesthecoarsersubstanceseffectfewchangesandsometimesnone,whereasthe
highersubstancesmakesick;thisisinaccordancewiththestateofsusceptibility.
Someproversaresusceptibletothehigherwhoarenotatallsusceptibletothelower.
Therearepatientswhoarenotintheleastsusceptibletoasingledropoftinctureof
CoffeabutwhoareextremelysusceptibletothehigherpotenciesofCoffea.
Suchpatients,however,areoftenmadesickbylargequantitiesofcoffee.
Lycopodiuminitscrudeformhasuponmostpeoplenoeffect,butinthehigherpotencies
iscapable,iffollowedupcontinuously,ofaffectingalmosteveryone.
Theeffectthatmedicineshaveuponthesickinrestoringordercanbestbeobservedby
inducingtheeffectsuponhealthyindividuals,whichwecallproving.
Youmighteasilysuppose,bythewaythemodernfirmsbringtheirmedicinesbeforeus,
thattheyhavebyagreateffortoftheirwill,andbygreatmeditation,thoughtoutwhat
thesedrugswilldotothehumanfamily.
ForthepurposeofascertainingthestateofmedicineatthepresenttimeIveryoftenlisten
patientlytoadrummerfromsomeoftheNewYorkhouses.
Hewillspeakhispiece,tellwhatthiswonderfulcombinationwilldo,howmanydiseases
itwillcure,andthenIaskhimhowhefindsthisout.
"Oh,thedoctorssayso.Herearethetestimonials.""Buthowdotheyfinditou?""Oh,
theyusethem."
Butthedrugshavenotbeenproved,andtheiruseisnotinaccordancewithwhatthe

homoeopathknowsthedrugswillproduceorcure.
If you go into a friendly drug store and talk with the druggist you will find these
medicineswhichhavebeenconcoctedintheprescriptionsofallthefashionabledoctors
intheneighbourhood.
Insixmonthsfromthattimeifyougotothatsamestoreyouwillnotfindoneofthose
drugsinuse,butanewsetfollowingthevisitofthetravellingmanwhohascomearound
torepresenttheirwonderfulproperties.
DonotthinkthatIreferentirelytotheoldschool,becausealargepercentageofthese
prescriptions is from professed homoeopaths, and that is as much Homoeopathy as
anythingtheydo.
Themajorityofhomoeopathsdothesethings,attemptingtoestablishahomoeopathic
practiceuponanallopathicfoundation.
Theytrytobecomefashionableandchangetheirprescriptionsastheladieschangetheir
bonnetswiththeseason.
InOrganon20Hahnemannsays:
Thisspiritlikepowertoalterman'sstateofhealth(andhencetocurediseases)whichlies
hiddenintheinnernatureofmedicinescanneverbediscoveredbyusbyamereeffortof
reason;itisonlybyexperienceofthephenomenaitdisplayswhenactinginthestateof
healthofmanthatwecanbecomeclearlycognizantofit.
ThereisonlyonewayoffindingoutwhatAconitewilldototheeconomy,andthatisto
give it to many men and note the symptoms that these men experience as the
manifestationsofAconite.
Itisfirstnecessarytoknowthatdrugscanmakemansick,andnexttoknowwhatthat
stateofsicknessis.
Everymedicinethatahomoeopathusesshouldhavebeenthoroughlyprovenuponthe
healthysothatitssymptomimageshallhavebeenthoroughlybroughtout.
Itisaburningshameuponthehomoeopathicprofessionthatsolargeanumberofdrugs
existinthehomoeopathicpharmacies,andthatthesedrugsarerecommendedforsuch
andsuchdiseaseswithoutanyinvestigationastotheirproperties,otherthanperhapsthat
Dr.SoandSo,ontherecommendationofsomeoldwoman,hasusedthisorthatdrugfor
dropsy.
SuchathingispositivelycondemnedineverylineoftheOrganonandbyeverydoctrine.
Thereisnoprincipleinit,itisunscientific,andunworthyofthevocationofadoctor.
Everydrugmustbethoroughlyprovenuponthehealthy.
InourstudyoftheMateriaMedicaIdonotencumberyouwithpartiallyproveddrugs.
Wecanstudytheseafterwehavestudiedthosethathavebeenwellproved.
The"GuidingSymptoms"containmanymedicinesonlypartiallyproven,anditisoftena
matterofaccidentwhencuresaremadewiththem.
Buttheoldremediesthathavebeenbandeddownfromthemasters,andthathavehad
yearsoftrial,cometousasfriendswhichwecanlearnofandbecomeacquaintedwith.
Youcannotbecomeacquaintedwithunproveddrugs.
Whenbookstellyouthatdrugisgoodforthisorthatpaynoattentiontothem,butwhen
booktellsyouthatadrughasproducedsuchandsuchsymptomsstudythese;thatisa
pieceofvaluableinformation.

TheoldschoolMateriaMedicaismadeupoftheresultsofmedicineuponsickness,an
unscientificguide,afluctuatingscale.

LECTURE13:Thelawofsimilars.[ReadOrganon2125.]
IntheseparagraphsHahnemannsummarizeswhathehassaidbeforeandpointsoutthe
necessaryconclusions.
Indoingsoheprovesthattheonlymethodofapplyingmedicinesprofitablyindiseaseis
thehomoeopathicmethod.
We daily see that the antipathic and heteropathic methods have no tendency of
permanencyintheirresults.
Bythesemeansthereareeffectedchangesintheeconomyandchangesinthesymptoms
butnopermanentcure,thetendencybeingsimplytotheestablishmentofanotherdisease,
oftenworsethanthefirst,andwithouteradicatingthefirst.
Inthisconnectionwemightspeakofthegivingofmorphineandpurgatives.
Thefriendsofthepatientpleadwithyoutostopthepainorgivesomethingtomovethe
bowelsforthereliefofthepatient.
Youknowquitewellthattherelieffrommorphineisverytransient,butwhenyouare
occupyingthegroundofprinciplethereisthestrongestreasonwhyadoseofmorphine
shouldneverbeadministered.
Aftergivingmorphinechangesareobservedwhicharereallydetrimentaltothepatient.
Thesymptomsarechanged,andthisisalwaysunfortunate.
Thesameobjectionappliestothegivingofchloroforminlabor.
Nowomanatthepresentdayiswellenoughtogothroughlaborwithoutsomesymptoms
callingforaremedy,
Hence,ifyougivechloroforminlabor,youputyourpatientinastateinwhichsheis
unabletoexpressthesymptomsofherowncondition.
If,atthecloseoflabor,shewasabouttogiveforthsymptomsthatwouldindicatetothe
intelligent physician what remedy she needed (perhaps to overcome a lifetime of
suffering) you would be deprived of knowing what the remedy was by this act of
foolishness.
Organon26.Thisdependsonthefollowinghomoeopathiclawofnaturewhichwas
sometimes,indeed,vaguelysurmisedbutnothithertofullyrecognized,andtowhatisdue
everyrealcurethathasevertakenplace:
Aweakerdynamicaffectionispermanentlyextinguishedinthelivingorganismbya
strongerone,ifthelatter(whilstdifferinginkind)isverysimilartotheformerinits
manifestation.
In this paragraph Hahnemann distinctly declares that the phenomena of cure depend
entirelyuponfixedlaw,thelawofsimilars,orthelawthatgovernsHomoeopathy.
After Hahnemann had made a number of provings he gathered together from the
literatureagreatnumberofreportedcuresforthepurposeofobservingwhetherthecures
hadbeenmadeaccidentallyorfrompurposeandwhethertheywereinaccordancewith
thelawofsimilarsorwiththeprincipleofdissimilars.
Ineveryinstancehewasabletoseethatthecureshadbeenmadeinaccordancewiththe

lawofsimilars,viz.,thatthedrugwhichcuredineachcasewascapableofproducing
symptomssimilartothosewhichitcured.
Thisistrueinallplanes,underallcircumstances,andallotherapparentcuresarenot
curesbutsuppressions.
"Adynamicdiseaseinthelivingeconomyofmanisextinguishedinapermanentmanner
byanotherthatismorepowerfulwhenthelatter(withoutbeingofthesamespecies)
bearsastrongresemblancetoitinitsmodeofmanifestingitself."
ThatsentenceseemedtobeaboutthebestwayofexpressingthelawinHahnemann's
time.
Thewords"morepowerful,"ormoreintense,wouldaffordanaturalwayofexpressingit,
butwhenonehaslivedinHomeopathy,andhasbeenabletoperceiveitsinnerworkings,
theword"powerful'expressesadifferentthought.
Ifwefollowalongthelineofpotentizationwelosetheideaofpowerthatismanifestto
anuninitiatedmind.
Weentertheworldofthoughtandthereinlearnofadifferentkindofpowerorintensity.
Whenwethinknaturallyofpowerorintensitythemindisatoncecarriedtotheideaof
intensityasinanelectricalprobleminwhichweincreasetheintensitybyincreasingthe
numberofbatteries.
Ontheotherhand,Hahnemann'sexpressionleadstotheideaofintensity,havingqualities
moreinternal,higher,prior;i.e.,inthesenseoffromfirsttolast,themoreinternalitis
themoreintense,themoreitapproachesthefirstsubstance,sothatintensityastocause
meanshigherormoreinternal,higherinthesenseofsubtlenessorfineness.
Thewordpowerfulthen,youwillpleasenote,containsaninteriorthought,andthatisthe
onlywaytobringthemindtorealizewhatismeant.
Powerfulisactuallyfromwithinandhencewepotentize,goinghigherandhigher,in
orderthatwemayreachintensity,anditisinthissensethattheremedybecomesmore
powerfulbypotentization.
Asamatteroffact,whenspeakinguponthematerialplane,theremedygrowsweakerby
potentizationbecausethematerialisactuallyreduced.
Itwouldseemstrangetoamaterialist,toanoldschooldoctorforinstance,whohasnot
thought of anything but me giving of great pills, to say that Aconite becomes more
powerfulbybeingattenuated.
Tohimitwouldjustbesayingthatitbecomesmorepowerfultheweakeritbecomesand
yetitisreallyso,thoughhecannotseeit.
"Adynamicdiseaseisextinguishedbyanotherthatismorepowerfulwhenthelatteris
similartoit."
Thefirstpropositionisthatitmustbesimilarandthenitmustbeintenseenough.
Themorethereisintheinterior,themoretheretoexpectintheexterior.
Soitiswiththelightofthesun.
Itisgranderthanallotherlights,becausethereismoreinitsinterior;itispurer,itis
moredynamicalanditwillturnasideanddestroyallotherlight.
Thislawofsimilarsisseenprominentlyinthenaturalworld.
Weseeitfrommantoman.
Itiseasilyillustratedamongtheinsane.

Itisthesecretofmindcure,andtherearemanyinstancesofmindcurethatarebasedon
thelawofsimilars.
Oneexampleofthisisseenintheyounggirlwhohaslosthermotherorloverandisillas
a consequence, is depressed with grief, is constantly sobbing, and has become
melancholy.
Shesitsinacorner,hearsnobody,thinksnoonecanpityherbecausenoonehashadjust
suchgrief.
Letusapplyallopathictreatmenttoher.
"Come,thereisnothingthematterwithyou;whydon'tyoubraceyourselfup;whydon't
youtrytoarouseyourself?"
Butthisonlythrowsherintoadeeperstateofmelancholy.
Scoldingandharshtreatmentdonogood.
Butintroducethehomoeopathictreatment,employanurseifyouwillwhoisagood
actressandwhohasgonethroughthesameidenticalgrief,andlethermakeabigfussin
theothercomer.
Prettysoonthepatientwillsay,
"YouseemtohavethesamegriefthatIhave."
"Yes,Ihavelostalover."
"Well,youcansympathizewithme,"
andthetwofalltobellowingandweepitouttogether.
Thereisabondofsympathy.
Sometimesacurablecaseofinsanitycanbereachedinthisway,andthuswehavea
mindcure.
Hahnemannmadeuseofthisplanincuringinsanity.
When a patient would exert her will, but is unable on account of the physical
encumbrances,thenthehomoeopathicremedywillrestoreorder.
Organon27.Thecurativepowerofmedicines,therefore,dependsontheirsymptoms,
similartothediseasebutsuperiortoitinstrength,sothateachindividualcaseofdisease
ismostsurely,radically,rapidlyandpermanentlyannihilatedandremovedonlybya
medicinecapableofproducing(inthehumansystem)inthemostsimilarandcomplete
mannerthetotalityofitssymptoms,whichatthesametimearestrongerthanthedisease.
Thenitisnotsufficientmerelytogivethedrugitselfregardlessofitsform.
Itisnotsufficienttogivethecrudedrug,buttheplaneuponwhichitistobegivenisa
questionofstudy.
Theattenuationalsomustbesimilartothediseasecause.
Inaprovingthecrudedrugmaybringforthamassofsymptomsinoneprover,butwhen
apersonissickthosesymptomswillnotbetouchedbythecrudedrugbecausethepatient
doesnotsustainthesimilarrelationorsusceptibilitythattheonedidwhoprovedit.
InOrganon,paragraph29,Hahnemannhasgivenanexplanationofthelawofcure.
Hehimselfpreludesitbysayingthathedoesnotattachmuchimportancetoit.
Youarenotinanywayboundtoconsiderit,anditisusuallyomittedinthiscourse.

LECTURE14Susceptibility.
Organon 30 : The human body appears to admit of being much more powerfully
affectedinitshealthbymedicines(partlybecausewehavetheregulationofthedosein
our own power) than by natural morbid stimuli, for natural diseases are cured and
overcomebysuitablemedicines.
Organon 31 : The inimical forces, partly psychical, partly physical, to which our
terrestrialexistenceisexposed,whicharetermedmorbificnoxiousagents,donotpossess
thepowerofmorbidlyderangingthehealthofmanunconditionally;butwearemadeill
bythemonlywhenourorganismissufficientlydisposedandsusceptibletotheattackof
themorbificcausethatmaybepresentandtobealteredinitshealth,derangedandmade
to undergoabnormal sensations andfunctions, hence theydonot producedisease in
everyone,noratalltimes.
Organon32:Butitisquiteotherwisewiththeartificialmorbificagentswhichweterm
medicines.
Everyrealmedicine,namely,actsatalltimes,underallcircumstances,oneveryliving
humanbeing,andproducesinhimitspeculiarsymptoms(distinctlyperceptibleifthe
dosebelargeenough)sothatevidentlyeveryhumanorganismisliabletobeaffected,
and, as it were, inoculated with the medical disease, at all times and absolutely
(unconditionally),which,asbeforesaid,isbynomeansthecasewiththenaturaldisease.
Incidentally these paragraphs have a bearing upon degree or intensity (which is
potentization),upontherepetitionofthedose,anduponsusceptibility,thingswhichmust
beknownbythehomoeopathicphysicianinorderthathemaybeagoodprescriber.
He have studied potentization sufficiently to see that disease causes exist among
attenuatedthings,theinfinitesimalorimmaterialsubstances,andthusthephysicianmust
seethatthecurativeremedymustbeonthesameplane.
Hemustknowwhyitisthatheshouldgivebutonedose,andtherationalebywhich
susceptibilityissatisfied.
Incontagion(andconsequentlyincure)thereispracticallybutonedoseadministered,or
atleastthatwhichissufficienttocauseasuspensionofinflux.
Whencauseceasestoflowinaparticulardirectionitisbecauseresistanceisofferedfor
causesflowonlyinthedirectionofleastresistanceandsowhenresistanceappearsinflux
ceasethecausenolongerflowsin.
Nowinthebeginningofdisease,i.e.,inthestageofcontagion,thereisthislimitto
influx,forifmancontinuedtoreceivethecauseofdisease(iftherewerenolimitstoits
influx)hewouldreceiveenoughtokillhim,foritwouldrunacontinuouscourseuntil
death.
Butwhensusceptibilityissatisfied,thereisacessationofcause,andwhencauseceases
toflowintoultimates,notonlydotheultimatesceasebutcauseitselfhasalreadyceased.
Hahnemannstatesthatwehavemorepoweroverhumanbeingswithdrugsthandisease
cause,formanisonlysusceptibletonaturaldiseasesuponacertainplane.
Diseasecauses,existingastheydoasimmaterialsubstances,flowintomaninspiteof
him;hecanneithercontrolnorresistthem,andtheymakehimsick.
Butcertainchangesoccurandmanceasestobesusceptible,andthereisnolongeran

inflowing of cause into his economy ; a suspension has taken place, because
susceptibilityhasceased.
Susceptibilityceaseswhenchangesoccurintheeconomythatbaroutanymoreinflux.
Butcureandcontagionareverysimilar,andtheprinciplesapplyingtooneapplytothe
other.
Thereisthisdifference:incurewehavetheadvantageofchangeofpotency,andthis
enablesustosuitthevaryingsusceptibilitiesofsickman.
Becauseofthesevaryingdegreesofsusceptibilitysomeareprotectedfromdiseasecause
andsomearemadesick;theonewhoismadesickissusceptibletothediseasecausein
accordance with the plane heis in andthe degree ofattenuation that happens to be
presentatthetimeofcontagion.
Thedegreeofthediseasecausefitshissusceptibilityatthemomentheismadesick.
Butitisnotsowithmedicines.
Manhasallthedegreesofpotentization,andbythesehecanmakechangesandthereby
fitthemedicinetothevaryingsusceptibilityofmaninvaryingqualitiesordegrees.
HenceHahnemannwrites:
"Medicines(particularlyasitdependsonustovarydosesaccordingtoourwill)appearto
havegreaterpowerinaffectingthestateofhealththanthenaturalmorbificirritation,for
naturaldiseasesarecuredandsubduedbyappropriatemedicines."
Now,herewemightaskthequestion,whendoesamedicinethathasbeenadministered
ceasetobehomoeopathic?
Thesameprincipleastosusceptibilitymustapply,becauseofthesimilaritybetweencure
andcontagion.
Letmeillustrateitinthisway.
Supposewehaveacaseofdiphtheria,andafterduestudyLachesisappearstobethe
mostsimilarofallmedicinesandadoseisgiven.
Now,whendoesLachesisceasetobehomoeopathic?
Whenthesymptomsthatindicateditchange,thenitisnolongerindicated.
Ifitisgivenatallafterthischange,itoperatesuponadifferentplanefromwhatitdidin
itshomoeopathicity,andifitactsatallitdoesnotactcurativelybutdepressingly.
Anymorethanjustenoughtosupplythesusceptibilityisasurplusandisdangerous.
InachronicdiseaseadministerSulphurwhenitisclearlyindicated,andthesymptoms
disappearandthepatientfeelsbetter.
Thentheremedyceasestobehomoeopathic,andifitisadministeredlongerwhatever
actionithas,isneitherhomoeopathicnordesirable.
Butmanarguesifalittlewilldogood,morewilldomoregood.
Enoughtoeffectachangeisallthatcanbehomoeopathic;whencertainchangesare
effectedthenthephysicianmustwait.
Enough medicine must be given to establish order, and that is done almost
instantaneously;atmostitisbutamatterofafewhours,andaslongasordercontinues
afterithasoncebegun,solong"handsoff."
Thatisjustthewaycontagiontakesplace.
Indiphtheriathediseasebegins,susceptibilityceases,achangetakesplacethatprotects
themanfromanyfurtherdiseasecauseflowingintothebody,andthediseasedevelops

andmanifestsitselfbyitssymptoms.
Therepetitionofdoseisadvisedbymanywiseheads,butifweunderstandthisdoctrine
itwillbecleartousthatsuchrepetitionofdoseisperfectlyuseless.
Itistrue,thatinvigorous,robustsubjectswhohavelightninglikereactionthedosemay
berepeatedandchangesoccurforthebetteriftheremedyisnotquitehomoeopathicto
thecase.
Butsomeareinjuredinthiswaybecausetheyaredelicatesubjects,whosereactionis
slow;thereactionisactuallypreventedbytherepetitionofthedose;i.e.,theorderwe
havetriedtoestablishisactuallyprevented.
Hahnemannteachesthatthehumaneconomyismoreundercontrolofmanthanunderthe
control of disease, for the economy can be affected only by such disease as it is
susceptibleto,butman,whetherforthepurposeofprovingorforthepurposeofcuring,
cansovarythedosethathecanalwaysgetresults,andtheverysusceptibleonesare
terriblydamagedbytherepetitionofthedose.
In the thirtyfirst paragraph Hahnemann says that disease causes are limited in their
abilitytoeffectchangesinhealth,tocertainconditionsandstates;i.e.,tosusceptibility.
ThisisallHahnemannsaysofthisdoctrineofcessationofcauseaftercertainevolutions
havetakenplace.
Weseethatwhenanaturaldiseaseistakenitrunsitsperiod,andtendstodecline,andthe
patientwillnotbesusceptibleuntilanotherchangeofstatehasarrived.
Itisnottruethatmanwillgooutofonestateofsusceptibilitytoadisease,andinafew
daysgointoanotherstateofsusceptibilitytothatsamedisease.
Theremustbeachange,acycle,whichmeansacertainlengthoftime.
Nowifwetalkaboutcureinsteadofcontagion,itwouldseemthatacertaindoseof
medicineadministeredhadlastedacertaintime.
Thatiscommonlytheappearance.
Themedicineappearstoactallthattime,andyoushouldbeclearinyourmindthatthis
isonlyanappearance.
Itreallymeansthatacertainlengthoftimeelapsesbeforeanotherdoseisnecessary,viz.,
untilanotherstateofsusceptibilityhasarrived.
Soagainwesay,wheneveramedicineceasestobehomoeopathic itisofnouseto
administerthatmedicineanylonger,asitwillactonthepatientonlyuponanartificial
susceptibility.
By this we mean that certain sensitive patients always have a susceptibility to high
potencies.
Wehavethustwothingstodealwith,theacutestate,createdbythediseaseitself,andthe
chronicstate,whichisthenaturalstateofthepatientbornundermiasm.
Now,whenintheacutestatethepatienthassatisfiedthesusceptibilitytocontagion,there
isaperiodinwhichthediseasecausecannolongeroperateuponhim;heisimmune
againstanyfurtherinfluxofdiseasecause.
Butwhenaremedyceasestobehomoeopathic,thepatienthasnotthisimmunityagainst
moreofitspowerbecauseofthepossibilityofvarianceinthehandsofthephysician;the
potencybeinggiventothepatientoutsideofhisowndegreeofsusceptibility,hemaybe
damaged.

Organon33.Inaccordancewiththisfactitisundeniablyshownbyallexperiencethat
thelivinghumanorganismismuchmoredisposedandhasagreaterliabilitytobeacted
onandtohaveitshealthderangedbymedicinalpowers,thanbymorbificnoxiousagents
andinfectiousmiasms;orinotherwords,thatthemorbificnoxiousagentspossessa
powerofmorbidityderangingman'shealththatissubordinateandconditional,oftenvery
conditional ; whilst medicinal agents have an absolute unconditional power, greatly
superiortotheformer.
Whenwelookovertheimproperuseofallsortsofmedicines,wecanbutconcludethat
thehumanrace,becauseofdrugtaking,hasbeengreatlydisorderedintheeconomy.
YouhaveheardHahnemannspeakofthemanagementofchronicdiseases;hedistinctly
statesthatthegreatestdifficultiesarethosethathavebeenbroughtaboutintheeconomy
bycontinuousdrugtaking.
Itisnotthatthedrugsthemselvesarelaidupintheeconomy,butthatlifelongdisorderis
created.
Thinkofthepooroldindividualswhowereinthehabitoftakingsulphurandmolasses,
thinkofthosewhowereperpetuallytappingtheirliverswithbluemass,thinkofthe
westernsuffererswhohavefilledthemselveseveryyearwithquininepancaketokeep
offthechill.
Thesepeoplearesodisorderedthatittakesyearsofcarefulprescribingtoturntheminto
astateoforder.
InOrganon34Hahnemannrepeatstwopropositionstowhichwehavealreadyalluded.
Thefirstpropositionisthatinordertocurethemedicinesmustbeabletoproduceinthe
humanbodyanartificialdiseasesimilartothatwhichistobecured;thishasbeenfully
illustratedandexplained.
The second proposition is that the artificial disease must be of a greater degree of
intensity.
Thematterofintensityhasalreadybeenexplainedassomethinghigher,moreinternal,
somethingsuperiororprior.
Intensity ofpoweris proportionate tothe degreeofapproximation towards primitive
substance.
Thereisnothoughtofintensityinanyotherdirection.
Thecauseofdiseaseandofcureexistswithintheprimitivesubstanceandnotinultimate
materialform,althoughtheimmaterialcauseofdiseasecontinuesindiseaseultimates.
The bacteriologists have crawled into confusion because they do not know in their
sciencethatcausescontinueintoeffects.
Thebacteriamaycontaincausebecausecausesarecontinuedintoultimates ;butthe
primitivecauseisnotinthebacteria;thebacteriathemselveshaveacause.

LECTURE15:Protectionfromsickness.Organon35etseq.
Fromtheseparagraphsweseethatthereareseveralkindsofprotectionfromsickness.
Whenaviolentepidemicisrangingweallknowthat,althoughthenumberofvictimsis
large,theyarefewcomparedtothosewhogothroughtheepidemicunscathed,andthe
questionalwaysarises,whyisit?

Wesuppose,andprobablyrightlyso,thatalargenumberoftheimmunehaveescaped
becausetheywereusuallystrongandvigorous,orinastateofverygoodorder.
Butwefindamongthosewhohaveescapedtheepidemicanumberofpersonswhoare
anythingbutstrong,reallyinvalids,oneinconsumption,anotherinthelaststagesof
Bright'sdisease,anotherwithdiabetes.
Wecallthemalltogetherandfindthatnoneofthemhavehaddysenteryorsmallpox,or
whateverdiseasewasepidemic.
Theyhavenotbeensusceptibletoepidemicinfluences.
Howareyougoingtoexplainthis?
Thereasonisthattheyhavesicknessthatitisimpossiblefortheepidemictosuppress.
The epidemic is allopathic, or dissimilar to their diseases, and cannot suppress their
diseasebecauseofitsvirulency.
Nowiftheyhavesomemildformofchronicdisease,asevereattackofdysenterywill
causethatdiseasetodisappeartemporarily,andthenew(epidemic)diseasewilltakehold
andrunitscourse,andwhenitsubsidestheoldsymptomswillcomebackagainandgo
onasiftheyhadnotbeenmeddledwith.
Thisisanillustrationofdissimilars,andshowsthatdissimilarsareunabletocure:they
canonlysuppress.
Ifthechronicdiseaseisstrongerthantheepidemicdisease,i.e.,ifithasanorganichold
uponthebody,itcannotbesuppressed.
Thisisessentiallytherelationoftheacutedissimilardiseasetothechronicdiseaseof
severity.
Therelationbetweenchronicdissimilardiseasesissomewhatdifferent.
Forexample,apatientisintheearlierstagesofBright'sdisease,andthesymptomsare
clearenoughtomakeadiagnosis.
He takes syphilis, and at once the kidney disease is held in abeyance, the albumin
disappearsfromtheurineandhiswaxinessislost.
Butafterayear'scarefulprescribingthesyphiliticstatedisappears,andverysoonthe
albuminappearsagainintheurine,thedropsyreturnsandhediesofanordinaryattackof
Bright'sdisease.
Thentherearecaseswheretwochronicdiseasesseemattimestoalternatewitheach
other;oneseemstobesubduedforatimeandtheotherprevails.
Underproperhomoeopathictreatmentonewillbereducedinitsactivityandtheother
chronicdiseasewillshowitself.
Thisyouwillfindtobethecasewhenyouhavetotreatsyphilisandpsoratogether.
Thepsoricpatient,whohasbeensufferingfromaskineruptionoroneofthevarious
formsofpsora,takessyphilis.
Allthepsoricmanifestations,thenightlyitchingofthesaltrheumwilldisappear,andthe
syphiliticeruptionwillcomeonandtaketheirplace.
Youwilltreatthesyphiliticmanifestationsforawhileandyouwillbeabletosubdue
them,andinproportionasthediseaseissubduedthepsoricmanifestationswillcomeup
againandwillboldinabeyancethatportionofthesyphiliticstatewhichisstilluncured.
You will then be compelled to drop the antisyphilitic and take up the antipsoric
treatment, and again the homoeopathic remedies will restore apparent order in the

economy.
Butafterthishasbeendone,youwillbesurprisedtoseesyphiliticstatereturninthe
conditioncorrespondingtoitslastmanifestations.
Youmustthendroptheantipsorictreatmentandresumetheantisyphilitic.
Thustheyalternate;whenyouweakenone,thestrongercomesup.
Theuncomplicatedsyphiliticeruptiondoesnotitch;butthepsoriceruptionasaruleis
anitchingeruption,andthiswillbeseeninthealternationofthetwodiseases.
Ifthepatientisgivenpropertreatmenthisconditionwillbesimplified,butifgivenold
schooltreatmentitwillbecomeverycomplicated.
Thetwomiasmswilluniteandformacomplexity,whichisamostviciousstateofaffairs
;thenthesyphiliticeruptions,whiletheyhavealltheappearanceofsyphilis,willitchas
iftheywerepsoriceruptions.
Mercuryinlargedosesiscapableofbringingaboutsucharesult.
Proper homoeopathic treatment causes a separation, while inappropriate treatment
produces complication, and you will never see one improve where homoeopathic
remedieshavecausedthetyingupofthecombination.
Again,takeachronicmalarialdiathesis,whichhasexistedsolongthatithascomplicated
itselfwithpsora,wewillseeafterthequininehasbeenantidotedthatthechillsandfever
willcomebackintheiroriginalform.
HereyouseeanevidenceoftheseparationwhichHomoeopathyalwaystendstobring
about.
Themalarialstateisnowbroughtintoobservationforthepurposeofcure.
Itcannotbecuredwhencomplicated,fortheremedycannotbeclearthatwillbesimilar
enoughtowipethemout.
Thefirstprescriptionantidotesthedrugandliberatesthepatientfromthedrugdisease,
andthenyouseethemostacuteorlastappearingnaturaldiseasewhichcomesbackfirst.
Thisisinaccordancewithfixedlaw,thelastmiasmorthelastsymptomsthathavebeen
madetodisappearwillbethefirsttoreturnandgoawaytoappearnomore.
InOrganon36anotherthoughtcomesup:
"Thus nonhomoeopathic treatment, which is not violent, leaves the chronic disease
unaltered.
Tosuppress,thereisrequiredastateofviolencetobebroughtaboutuponthebody;one
must do violence to the economy by enormous dosing, tremendous physic, much
sweating,bloodletting,etc.,suchaswasdoneinoldentimes.
Suchtreatmenttendstosubdueorsuppressdiseaseforthetimebeing;butwhenthe
violencehassubsidedandtheroughtreatmentisremovedthenthesymptomscomeback,
butinamoredisturbedstatethanbefore.
Themoreviolentthedrugdiseasethatcanbeestablisheduponthebodythegreaterthe
changesinthechronicdisease.
Violenttreatmentaltersthenatureofthechronicdiseases.
Anewandmoreintensediseasesuspendsapriordissimilaroneexistinginthebody;
similarly,justsolongastheeffectofquininecontinues,solongwillitsuppressandbold
inabeyancethediseasetowhichitisdissimilar.
Quinineiscapableofengraftingupontheeconomyitsowndiseaseformwhichwilllast

for years and may not stop until it has been antidoted by a medicine similar to its
symptoms.
Butifitisantidoted,thatmalarialdiseasewhichitsuppressedwillappearinitsoriginal
formandthepatientwillsay:
"ThesearejustthesymptomsIhadinthefirstplacewhenIwascuredbythelateDr.So
andso;hecuredmewithPeruvianbark."
Thatstoryissocommonthatanyhomoeopathicphysicianwhohasbeendoingsound
prescribingforyearshaslotsofrecordsofjustsuchcases.
Themalariawassubduedonlybecausethequininewascapableofproducingamore
violentdiseasethanmalaria.
Arsenicum is capable of doing the same thing; it can engraft upon the economy a
dangerousdiseasethatwillresultinveryseriousconditionsbecausetheArsenicumwill
complicateitselfwithpsora.
Insomecaseswehaveacomplexityofhorriblethings,likeonebuiltuponanother,and
whenthisisso,intreatingthemthelastgroupwhichwasremovedwillappearfirst,
whichshowsthattheremedyhasdoneitswork,andwethengoontothenext,andsoon,
thedifferentgroupssometimesappearedoneafteranotherindistantform.
Theymustdisappearinthereverseorderoftheircoming,asifputoninlayers,onepiled
uponanother.
Fromallthisweseehowitispossiblefortwodifferentdiseasestooccupy,asitwere,
two different corners ofthesameeconomy,onemanifesting itself whiletheother is
subdued.
Wealsoseehowtheymayexistinastateofcomplexity.Inthefirstinstancetheydonot
combine,intheothertheydoandbecomecomplex.
Wealsoseetheproprietyanduseofobservingwhattreatmenthasbeenadministeredto
thepatient.
Itisnotalwayspossibletodothis,anditisimpossibletoknowwhethereachoneofthese
drugshasestablisheditsowndisease.
Noteverydrugthatisadministerediscapableofestablishingadisease.
Itisalwaysprudent,whensymptomsareonlypartiallydeveloped,andwhenmedrug
whichcausedthe.suppressionofsymptomsisknown,toincludetheantidotalrelationto
thedrugwiththerestofthesymptoms;thatistosay,selectadrugwhichhasawell
known antidotal relation to the drug that caused the suppression of the symptoms,
providingitisalsothemostsimilarofalldrugstothefewsymptomsthatarepresent.
Inthatwaywemakeasmuchofsimilitudeasispossible.
Thesimilarremedyismostlikelyofallotherstoantidotethatdrug.
Donotbeledasidetoadministerrightawaythedrugthatcausedthetrouble.
TheprincipleofSimiliaisfirst.
Organon43.Totallydifferent,however,istheresultwhentwosimilardiseasesmeet
togetherintheorganism;thatistosay,whentothediseasealreadypresentastronger
similaroneisadded.
Insuchcasesweseehowacurecanbeeffectedbytheoperationsofnature,andwegeta
lessonastohowmanoughttocure.
Thenarearealconjunctiontakesplace,aunion,asitwere,amarriage,whichresultsin

thedisappearanceofoldthingsandnewthingscomeandexistinastateoforder.
LECTURE16:Oversensitivepatients.Organon44etseq.
Drugpoisoningsuchaswereferredtoinlastlectureisnotalwaysduetotheprescribing
ofcrudedrugs.
Ifyouworklongamongsensitivepatientsyouwillcomeacrossthosewhohavebeen
actuallypoisonedbytheinappropriateadministrationofpotentizedmedicines.
Theseareoversensitivepatientswhohavereceivedrepeateddosesofmedicineafterthe
medicineanddosethatwashomoeopathictotheirconditionwasadministered.
Ifadrugthatisreallyhomoeopathictothecaseiscontinued,afterenoughhasbeengiven
tocure,amiasmisestablishedinsomecasesbythatdrug,andthismiasmimitatesoneof
thechronicdiseasesoroneoftheacutemiasmsinaccordancewithitsability.
I have apatientwhohasbeensufferingforsevenoreightyearsfromtheeffects of
Lachesis.
IhavepatientswhoaresufferingfromSulphurandotherdeepactingmedicineswhich
havebeenrepeatedtoooftenwhentrulyindicated,orrepeatedinsensitivepatientswhen
nottrulyindicated.
Thesymptomsofthedrugcropoutperiodicallyyearsafterithasbeenabused,andthe
periodicalattacksareperfectlytypicalofthedrug.
The mineral substances which are perfectly harmless on the crude plane may be
poisonousonthedynamicplane,whenthepatientisoversensitive.
Therearepersonswhocandrinkaglassofmilkwithimpunityandbenourishedbyit,but
upon whom a drop of milk, potentized to a high degree and repeated beyond its
homoeopathicity,willestablishamiasmthatwilllastforyears.
AproverofLaccaninumhadareturnofitssymptomsperiodically.
Shewasanoversensitiveandprovedthemedicineindiscriminately,andhassufferedever
since from its poisonous effects, whereas if it had been given prudently, the disease
wouldhaveestablisheditselfuponthebodylikeanyotheracutemiasm,wouldhaverun
itscourseanddisappeared.
Itisunwisetomakeprovingsuponoversensitivesubjectsinthatway.
ItestedaveryhighpotencyofLachesisonanoversensitivepatient,givingbutasingle
dose, andthatpatientranthecoursetheLachesis diseaseinabouttwomonths;the
symptomsdisappearedandneverreturned.
WhiletheLachesiswasinprogressthepatient'schronicsymptomsweresuppressed,but
afteritranitscourseanddisappearedherchronicsymptomscameback.
Thisisinaccordancewiththedoctrines.
Shewasoversensitive,andwhilethedissimilarLachesisdiseasewasinfullblasther
chronicdiseasewassuppressed.
Theseareinstanceswhensuchapatientistrulyhomoeopathictoaremedy,andifthat
remedyberepeatedafterenough(Imeanintheinternalsense)hasbeengiventocureit
ceasesitshomoeopathicrelationandactingthroughthegeneralsusceptibilitycreatesa
miasmupon,thisextremelysensitivepatient.
Whenapatientishypersensitiveyoumustavoidtheuseofthec.m.andotherveryhigh

potencies,whichwillmakeyourpatientsick,anduseinsteadthe30thand200ths.
Incaseswheretheremedyisindicatedsuchpotencieswillworkquitequickly.
Organon. 49. We should have been able to meet with many more real natural
homoeopathiccuresofthiskind,if,ontheonehand,theattentionofobservershadbeen
moredirectedtothemand,ontheotherhand,ifnaturehadnotbeensodeficientin
helpfulhomoeopathicdiseases.
Hahnemann,inOrganon,46,givesexamplesofthesenaturalcures.
Weoccasionallymeetwiththesecuresnow.
WefindpatientsthatarethreatenedwithphthisisgototheSouth,becauseithasbeen
provedthatsuchcasescangointoavitiatedclimateandstayforanumberofyears,and
actuallyreceivebenefitfromthisdiseaseproducingneighborhood,andgoawaywell.
Othersgointoaclimatemorewholesomeandtheyarenotcured.
Themiasmscancureallsimilardiseases.andthecuringsubstancesareinattenuated
form.
Theevilsthatarisefromtheseswampsaresimilartotheevilsoftheeconomyofthe
patient,andthatsimilitudeisantidotal,iscurative,andcauseschangebackintoorderin
accordancewiththeeternallawthatgovernstheactionofsimilars.
TherewasatimeintheearlydaysofHomoeopathywhen,takingintoviewthegreat
array ofdiseaseforms tobecontendedwithandthe veryfew medicines thenathis
command,thehomoeopathwasworriedtofindremediessimilartoallofhiscases.
Thatcannotbetruenow.
Ifthehomoeopathwillworkinasystematicway,hewillbeabletocommandenoughof
theMateriaMedicatomeetallthediseasesthathecomesincontactwith,thesymptoms
ofwhicharesufficientlyobserved.
EverymanshouldputhimselftothetaskofstudyingtheMateriaMedica;hehasnotime
tolose,notimetofoolaway.
Thephysiciancanreallyhavenoexcuseatthepresentdaytoleaveourprovedmedicines,
themedicinesthatarerecordedinourbooks;hecanhavenoreasonableexcusefor
steppingasideintowaysthataredark,treacherousandrecommendedonlybytradition.
Somephysiciansholdthatitisliberaltodoanythingforapatient.
Thisisapitfall,arock,thatwilldestroyanyphysicianthatwillnotavoidit.
Weknowthattherearedoctors,whoclaimtobehomoeopaths,whoattempttojustify,
uponsomegroundorother,theadministrationofremediesmerelytopalliateandrelieve
suffering.
With suchmentheremustbealack ofsturdiness inlistening tothesufferings of a
patient.
Itseemstomethatnoonewhoishonest,andwhohasknowledgeofthestupiditythat
comesaftertheadministrationofamedicinethatwillcausethesymptomstodisappear,
willactuallytiehishandsagainstthefindingofaremedythatwillbesuitabletocure.
Assurelyasthevoiceofthesymptomsishushed,sosurelydoesthephysicianputoutof
hiswaytheopportunityforselectingahomoeopathicremedy.
Whentheindextotheremedyisspoiledtheabilityofthephysiciantobenefithispatient
isdestroyed.
Ifyougivequinine,goonwithit;ifyougiveanopiate,goonwithit;donotgoback

intoHomoeopathy.
Thismanwhodoesthesethingsisahomoeopathicfailure.
Some men are incapable of grasping the homoeopathic doctrines, and fall into
mongrelism,whichisacrossbetweenHomoeopathyandAllopathy.
Iwouldpreferanallopathtoonewhoprofessestobeahomoeopath,butdoesnotknow
enoughHomoeopathytopracticeit.
Why should youput crude medicines uponthe diphtheritic membrane in addition to
givingyourremedy?
Ifthecrudedrugsdoanythingtheywillspoiltheappearanceofthethroat,andyouwill
notbeabletoknowwhatyourremedyhasdone.
Iftheseadjuvantstotheremedydoanythingatalltheywilleffectsuchchanges,aswill
damagethecase;iftheydonoteffectchanges,whyusethem?
Therecanbenoreasonforadministeringsomethingthatdoesnoteffectchanges.
Thisquestioncameuponetime,andcreatedcontroversyinanassociationmeeting.
OnedoctorrecommendedtheuseofPeroxideofHydrogeninpuscavities;hesaiditdid
noharm,itdidnodamage.
Thequestionis,doesitdoanythingatall?
Ifitdoes,thechangesiteffectsinjurethecase.
Layitdown,asarule,thatyouwillusenothingthatcaneffectchangesinacasein
additiontoyourremedy.
After you prescribe a remedy youwant to know when youcome back whether that
remedyhasdoneanything.
Forthisreasonyoumustrestyourcaseuponthatwhichyoubelievetobethenearest
homoeopathicremedy.
Allchangesmustbewatched,becausebyobservingchangesweknowwhatnexttodo.
Ifsomethinghasbeengivenbythepatient'sfriendsandchangeshaveoccurredinthe
casefromsuchmeddlingthedoctorisinconfusion.
IfabsolutelynochangeshaveoccurredafterItsremedythenheisinintelligenceand
knowswhatnexttodo.
Doctors sometimes give opium to suppress pain, but it is more frequently given to
suppressthecryofpeoplethatstandaroundlisteningtothepatient.
Thefriendsstandtherewringingtheirhandsandsaying:
"Doctor,cannotyoudosomething?"
andthepoordoctorloseshisheadandgivesadoseofopium.
Whatdoeshedothatfor?
Inordertoquietthecryofthepeople.
Heknowsheisdamaginghispatient,heknowshehasputoutofhishandstheabilityto
curethatpatienthomeopathically.
Whatifthepatientdoessuffer?
Canthatbeanexcuseforthedoctordestroyinghispowertohealthatpatienthereafter?
Thedoctorjustifieshimselfbysaying,
"IfIhadnotdonethisthepeoplewouldhavecriticizedme."
Whatbusinessisitofthepeople?
Ifadoctorhasnotthegrittowithstandthecriesofthefamily,thecriticisms ofthe

friends,thethreateningofhispocketbookandofhisbreadandbutter,hewillnotpractice
Homoeopathyverylong.
Anhonestmandoesnotfearthesethings.
Thereisbutonethingforhimtoconsider,whatistherightthinghemustdo.
Theharangueofthecrazyoldwomenwhostandaroundwaggingtheirtattlingtongues,
whathasthattodowiththelifeofthepatientorthedutyofthepatientorthedutyofthe
physician?
Willtheyshouldertheresponsibilityofthepatient'sdeath,ifhedie?
Isaynowthatthedeathofapatientisnothingincomparisonwithviolationofthelawon
thepartofthedoctor.
Inbothinstancesthedoctorgetstheworstofit.
Thedoctorwhoviolatesthelawalsoviolateshisconscience,andhisdeathisworsethan
thedeathofthepatient.
Generallythephysicianwhohasknowledgeenoughandgritenoughtowaitwillsee,
beforethepatientdies,thehomoeopathicremedythatwillcontrolthecase.
Thewholecommunityissometimesturnedintoexcitementbecauseadoctorwillnotdo
thisorthat..
Supposethewholeatmosphereisbluewitheffectsoftheirwrath,whathasthattodo
withit?
Thephysicianwhowillstickbythepatientandletthepeoplehowlisonethatwillbe
trustedthroughanyandeveryordeal.
Butthedoctorthatwillflinchandtrembleateverythreateningisonethatwillviolatehis
conscience,isonethatcanbebought,canbehiredtodoanything,andwillabandonhis
colorintimeofemergency.
Itisbardworkforahomoeopathicphysiciantosettleoffalonebyhimselfwherehehas
nobodythatwillstandbyhiminhistribulations.
Theattitudeofthepublicmustneverfurnishthephysicianwithindicationsastowhathe
shalldo.
Lethimstudythepatientandthesymptomsofthepatient.
Thatwhichisrightisprotectedandsupported,andthatwhichiswrongdegrades.
Letamanlosehisselfrespectafewtimesandhebecomesacowardandasneak,andis
readytodoalmostanythingthatisviciousandcowardly.
Thephysicianwhohasdonerightlybyhispatientcanlookthefriendssquarelyinthe
facewhenthepatienthasdied.
Ifhehasadministeredmorphinetothepatientandturnedasideallthesymptomsupon
whichhecouldfindtheremedy,itdoesnotseemtomethathecanlookthefriends
squarelyintheface.
Ofcourse,ifyouactaccordingtoprincipleinthiswayyousufferforit.
Youwillbecallednames.
Inthe63rdand64thparagraphsHahnemanntreatsoftheprimaryandsecondaryactions
ofmedicines.
Thereisnonecessityfordwellinguponthissubject.
Theprimaryandsecondaryactionsofadrugaresimplytheoneactionofthatdrug.
Somehomoeopathshaveattemptedtoindividualizebetweentheprimaryandsecondary

action.
Itdoesnotmatterwhatthepatientissufferingfrom,fromsymptomswhichappearedin
theprimaryactionorfromsymptomswhichappearedinthesecondaryaction,thatdrug
willcurejustthesame.
Thesymptomsthatarisearethesymptomsthatarisefromtheremedy,andtheyoften
seemtoopposeeachother.
Intheearlierstageswehavesometimessleeplessness;inthelaststages,sleepiness,and
onestateissometimesmoreprominentthantheother.
ForinstanceinOpium,someprovershadsleeplessnessfirstandsleepinessafterwards,
fromthesmallerdosesofOpium.
ItisknownthatOpiumhasbothsleeplessnessandsleepiness,andiftheothersymptoms
agreeitdoesnotmatterwhichoneofthetwoispresent.
If Opium is indicated by the general state of the patient it will cure either of these
conditions,andyouneednotstoptoseeifitproducesonestateinoneplaceandthe
oppositeinanother.
Insomeproversopiumproducesdiarrhoeainthebeginning,inothersconstipation.
IfIshouldtaketodayacrudedoseofOpium,insixhoursIwouldhaveadiarrhoeathat
wouldlastforseveraldaysandthenbeconstipatedforsixweeks.
Toknowthatdrugshavetwoactionsissimplyknowingthenatureofdrugsingeneral.
Youwillfindanotherexampleinalcohol;watchtwodrunkardsandyouwillseethe
doubleactionillustrated.
Thereareconstitutionalstatesinpatientsbyvirtueofwhichtheyarealwaysaffectedina
certainway,andthesestatesareoftenleftafterprovings,orarefoundinthosewhohave
beenpoisonedbyadrug.
Allthesepatientswillhavealternatingsymptomswhichwillconfusethephysicianbefore
heknowstheirconstitutionalstate.
Itisanimportantthingtoknowtheconstitutionalstateofapatientbeforeprescribing.
You will always be able to do better for your patients when you know all of their
tendencies.
Of course,inacute diseasessymptoms sometimes standoutsosharplythatanacute
remedycanbeadministeredwithoutreferencetoanyconstitutionalstate.
Acutecognatescanbeestablishedinalmostanypatient.
Forinstance,theCalcareapatientwillneedanacutecognateofCalcareawhenheissick
withacutesymptoms.
Theacutesymptomsfitintoandareestablishedandformedbytheconstitutionalstateof
thepatient.

LECTURE17:Thescienceandtheart.
Up to this time we have been studying principles that relate to the knowledge of
Homoeopathy.
AtthispointHahnemannarrivesatthreeimportantconclusionsastowhatwehavebeen
studyinginapplicationtopractice.
Therearethreestepstobesurveyed:

1st."Bywhatmeansisthephysiciantoarriveatthenecessaryinformationrelativetoa
disease,inordertobeabletoundertakethecure?"
Ofcoursethatrelatestothediseaseingeneral,andthepatientinparticular.
Ingoingoverthe3rdparagraph,wegatheredtogetherthemeansofstudyinganepidemic
andeachmaninparticular.
Weshallnowproceedtostudydiseaseingeneralandthepatientinparticular,fromnow
ontotheendofthiscourse.
Alltherestofthestudyisofsuchacharacter.
Thereareagreatmanyquestionsthatariseinthisproblemthatmustbestudiedindetail,
thestudyofthenatureofacutemiasmsandthestudyofthenatureofchronicmiasms;
thestudyofsuchchangesasshowtherearetwodistinctclassesofsickness.
Eachoneistobestudiedinitsmostgeneralway,andeachpersonasaparticularentity.
2d."Howishetodiscoverthemorbificpowersofmedicines ;thatistosay,ofthe
instrumentsdestinedtocurenaturaldisease?"
ThisconstitutesastudyoftheMateriaMedicaandaknowledgeofhowitisbuilt,which
isbyprovings,byrecordedfacts.
3d."Whatisthebestmodeofapplyingthesemorbificpowers(medicines)inthecureof
diseases?"
Thisinvolvesthestudyofallmethodsandsettlinguponthatwhichisbest.
Toproceedinthestudyoftheseinarational,scientificandcarefulmanneristheobject
ofthefuturestudyofthisbook.
Itleads,fromnowon,fromthescienceofHomoeopathytotheartofhealing.
Weseethatwehavenowgoneovertheprincipalpartofthatwhichismerelyscience,the
scienceofHomoeopathy.
Wehavenoneoftheenormousclassifications inthestudyofHomoeopathythatare
resorted to in traditional medicine; they should not appear in the study of applied
Homoeopathy.
Thestudyoftheclassificationofdiseaseasisdoneintraditionalmedicineisuseful,
becausewecomeincontactwiththeworld.
As the Boards of Health require us to state what particular disease, according to
classification,apatientdiedfrom,classifiedinaccordancewitholdschoolnosology,we
have,therefore,togointothestudyofdiagnosis.
InHomoeopathy,diagnosiscutsverylittlefigureinthetreatment;butalltheultimatesin
thecasemustbebroughtforwardanddescribedbyname.
Wewanttheuseofadjectives,wewanttheuseoflargelanguage,wewantdescriptive
power,inorderthatthenatureofthesickness,whichisallthatmancanknowaboutthe
disease,maybebroughtoutonpaper,andtherebycausedtoappearatanytimethereafter
tothemindofthephysician.
Ifthephysicianweresimplytomakeastudyofthedisease,andafterstudyingitwereto
giveitanameandletthatnameconstitutetherecord,nofutureprescriptioncouldbe
made.
Andthephysician,thereafter,inreferringtothisrecord,wouldknownothingaboutits
nature.
The name conveysnoideaofthenatureofthesickness,onlyits placeinageneral

classification.
Aknowledgeofthenatureofindividualsicknessisnecessaryforaprescription,andthis
dependsupontheascertainmentofthedetails.
Theveryfirstofthisstudyistoproveandrealizethattherearetwoclassesofdiseases,
acuteandchronic.
Thegeneralclassificationofalldiseasesismadeinthisway;theacutearethrowninto
onegroupandstudiedasacutediseases,andsowiththechronic.
An acute miasm is one that comes upon the economy, passes through its regular
prodromalperiod,longerorshorter,hasitsperiodofprogressandperiodofdecline,and
inwhichthereisatendencytorecovery.
Achronicmiasmisonethathasitsperiodofprodrome,periodofprogressandnoperiod
ofdecline;itiscontinuous,neverending,exceptwiththedeathofthepatient.
Theacutediseasesneedmuchlessstudythanthechronic.
Theyareallsuchasarecontagiousorinfectious,suchashaveamiasmaticcharacterand
arecapableofrunningadefinitecourse.
Whenmandisordershisstomachandhasanattackofvomiting,andfromwhichhehas
noaftertrouble,hehassufferedmerelyfromanindisposition.
Suchconditionsfromexternalcausesarenotmiasms.
Thingsthatgothroughthemouthintothestomachandtherebyproducesicknessact
eitherasrousersupofsomeoldtroubleorasmechanicalcausesofdisturbance.
Thepuredisease,ontheotherhand,whetheracquiredorinherited,arethosethatflow
fromtheinnermosttotheoutermostwhilemakingmansick.
Thesecausesthatmakemansickareinfluxofsimplesubstanceandtheyrunafixed
distinctcourse.
Each one has its own time of prodrome, its own period of progress, whereby the
traditionalschoolofmedicinehasfixedwhatitcallspathognomonicsymptoms.
Itiswelltoknowthesesymptoms,notforthepurposeofnamingmerely,butforthe
purposeofassociation.
Thestudyofdiseaseshouldriotbeforthepurposeofnaming;ifitisso,thenamedoes
harm.
Whenyouthinkofachildsufferingfrommeasles,theideaofmeaslesmaygooutof
mind,butthecharacterofthesicknessofthatparticularchildmustremaininthemind.
Atfirstyouwillnotbeabletoseewhatismeantbythat,especiallyifyouhavebeenin
thehabitofstudyingcasesforthepurposeofdiagnosis.
Idonotsaythistothrowacloudupondiagnosis,buttoshowthatthestudyofdiagnosis
isnotforthepurposeofmakingaprescription.
Themoreyoudwellupondiagnosticsymptoms,themoreyouwillbecloudtheideas
enteringthemindthatleadtowardaprescription.
Youmightgointotheroomandworkanhourindividualizingacase,decidingwhetherit
weremeaslesorscarletfever(therearesomeconfusingcasesinthebeginning.)
Well,youmightsay,itismeasles,andmustnowhavePulsatilla,orscarletfeverand
musthaveBelladonna.
Youwillreallyseethatsuchastateofaffairsismisleadingtothemind.
Ifyouareinanepidemic,where,itisnecessaryinordertosavetheneighbourhood,to

know,forinstance,whetheracertaincaseisofcholeraornot,thenitbecomesnecessary
todothetwothings.
The family and the surrounding families are entitled to the safety that a correct
knowledgewouldgiveandthatprotection,isolationorquarantinewouldafford.
Therearetwokindsofstudy,onewithabearingtowardtheclassificationthatthedisease
belongsto,andonewithreferencetotheremedythatthepatientneeds;butIpreferto
settlethepatientfirstastotheremedyheneeds,andthishasverylittletodowith,the
classification,exceptinageneralway.
Afteraremedyhasbeendecideduponthatclearlycoversthesymptomsandthepatient
receiveshisdoseofmedicine,thenextpointis,whatstepisnecessarytotakeinorderto
protectthepeopleifthisisacontagiousdisease.
Diagnosisissomethingthataphysician cannotaffordtobefoolishabout,hecannot
affordtobeablunderer,hecannotaffordtogoaroundcallingscarletfevermeasles,and
measlesscarletfever.
Hemustknowenoughaboutthegeneralnatureofdiseasesthataftertheprescriptionhas
beenmadeandthepatientsettledastothat,andthemotherwantstoknowwhatisthe
matterwiththechild,totellher,for,inthatinstance,shehasaperfectrighttoknow;that
is,acasewherethefamilymustbeprotected,whereoutsidersmustbeprotected;the
physicianmustdecidewhetheritisproperforthechildtogotoschool,orwhetheritis
notproper.
Therearesomeconditionsofchronicdiseaseswhichcloselyresembleacutediseases;for
instance,thesemimickingacuteattacksthatcomeonregularlyasperiodicalheadaches.
Oneattack,singledout,mighthavetheappearanceofanacutemiasm,yetthetendency
toprogressandnottorecoveryshowsthatitbelongstothechronicclass.
Thosedisordersthatcomefromdebaucheryanddrinkingandovereating,fromimmediate
circumstancesthatareperiodical,arethingsthatarisefromthelatentpsoriccondition;
theyaremomentarysickness,andifitwerenotforthefactthatmansuffersfromchronic
miasmshewouldnothavethese;theseattackswouldnotformasickness,wouldnot
haveanappearanceofacutesickness.
Itisduetochronicmiasmsthatmanhastheselittlerecurringattacks.
These do not come with a prodromal period, a progressive period and a period of
decline;theymayhaveanattackanddecline,butnotaprodrome.
Theacutemiasmslikethechronichavetheprodromalperiod.
Organon72says:
"Relativetothefirstpoint,itwillbenecessaryforustoenterhereintosomegeneral
considerations.Thediseasesofmanresolvethemselvesintotwoclasses,"etc.
Rememberthattheacutediseasesalwaystendtorecovery;thechronicdiseaseshaveno
tendency whatever to recovery, but a continuous progressive tendency ; they are far
deepermiasms.
Therearethreeofthesechronicmiasmsthatbelongtothehumanfamilypsora,syphilis
andsycosisandthesewewilltakeupandstudy.
Theworstcasesarethosewhereinthethreechronicmiasms,orsomepartsofthethree,
havebeencomplicatedbydrugs.
Whentheeffectofdrugshasbeenremovedthenwemaybegintostudythepuremiasms

themselves,butthemiasmsarecomplicatedatthepresentdayinmostmen,forwhenever
wecomeincontactwithchronicsicknesswecomeincontactalsowithchronicdrugging
anditseffectuponthevitalforce.
Iamoftheopinion,perhapsIamwrong,thatwhenbloodlettingwasinvogue,when
violentcatharticswerethrownin,whenemeticsandsweatingwereprescribed,asinthe
oldentimes,whenalltheseviolentthingswereresortedto,thehumanracewasnottorn
topiecesasrapidlyasatthepresentday.
TheenormousdosesofJalapandCalomelrushedthroughtheintestinesandcleanedout
thepatient,andhefeltbetterafterwards,andprobablydidnotcarrytohisgravethe
internalresultsofthatcleaningout.
Hedidnotcarrytheinternalresultsoftheemeticsandsudorifics,butatthepresentday
smalldosesofconcentrateddrugsareadministered,whichhaveaninsidiouseffectupon
theeconomyanddeveloptheirchronicsymptomsveryslowly.
Fromthecontinuedtakingofoldschoolproducts,thealkaloids,etc.,wehavethemost
dreadfulstatethathaseveroccurredinthehistoryofmedicinecomingon.
Theaimistogetsmalldoses,togetaninsidiouseffect.
The milder preparations, like Sulphonal, require months to develop their chronic
tendencies,andaremostviciousandtroublesomedrugs.
Theseslowandsubtlepreparationsarenowbeingmanufactured,andthoughseemingto
produce a mild primary effect have secondary effects or aftereffects which are very
severe.
Hahnemannsaid,inhistime,themosttroublesomechronicdiseaseswerethosethathad
beencomplicatedwithdrugs.
Ifthatweretruethenitistentimessonow.
Thelittleheadachecompounds,thecatarrhcures,etc.,aremilderastothefirsteffects,
butmoreviolentastothelasteffects.
Theyarepreparedtoimitatethepalatableformofhomoeopathicremedies.

LECTURE18:ChronicdiseasesPsora
Hadpsoraneverbeenestablishedasamiasmuponthehumanrace,theothertwochronic
diseaseswouldhavebeenimpossible,andsusceptibilitytoacutediseaseswouldhave
beenimpossible.
Allthediseasesofmanarebuiltuponpsora;henceitisthefoundationofsickness;all
othersicknesscameafterwards.
Psoraistheunderlyingcause,andistheprimitiveorprimarydisorderofthehumanrace.
Itisadisorderedstateoftheinternaleconomyofthehumanrace.
This state express itself in the forms of the varying chronic diseases, or chronic
manifestations.
Ifthehumanracehadremainedinastateofperfectorder,psoracouldnothaveexisted.
Thesusceptibilitytopsoraopensoutaquestionaltogethertoobroadtostudyamongthe
sciencesinamedicalCollege.
Itisaltogethertooextensive,foritgoestotheveryprimitivewrongofthehumanrace,
theveryfirstsicknessofthehumanrace,thatisthespiritualsickness,fromwhichfirst

statetheraceprogressedintowhatmaybecalledthetruesusceptibilitytopsora,whichin
turnlaidthefoundationforotherdiseases.
Ifweregardpsoraassynonymouswithitch,wefailtounderstand,andfailtoexpress
thereby,anythingliketheoriginalintentionofHahnemann.
Theitchiscommonlysupposedtobealimitedthing,somethingsuperficial,causedbya
littletinybitofamitethatissupposedtohavelife,andwhenthelittleitchmiteis
destroyedthecauseofitchissaidtohavebeenremoved.
Whatafolly!
Fromasmallbeginningwithwonderfulprogress,psoraspreadsoutintoitsunderlying
statesandmanifestsitselfinthelargeportionofthechronicdiseasesuponthehuman
race.
It embraces epilepsy,insanity,themalignant diseases,tumors,ulcers,catarrhs,and a
greatproportionoftheeruptions.
Itprogressesfromsimplestatestotheveryhighestdegreeofcomplexity,notalways
aloneandbyitself,butoftenbythevillainousaidofdruggingduringgenerationafter
generation for the physician has endeavored with all his power to drive it from the
surface,andhastherebycausedittorootitselfdeeper,tobecomemoredenseanduntil
thehumanraceisalmostthreatenedwithextinction.
Lookatthenumberofthepopulationuponthefaceoftheearth,andnoticehowfew
arriveattheageofmaturity.
It is appalling tothink ofthenumberofinfants thatdie,andtheselargely fromthe
outgrowths,oroutcomingofpsora.
Weseelittleonesbornwhohavenotsufficientvitalitytolive.
Thecongenitaldebility,andmarasmus,andvaryingdiseasesofachroniccharacterthat
carryoffthelittleoneshavefortheirunderlyingcausethechronicmiasms.
Theprincipalunderlyingcauseispsora,nextsyphilisandnextsycosis.
ItrequiredtwelveyearsforHahnemanntodiscoverandgathertogethertheevidence
uponwhichhecametohisconclusions.
Whenapatientcametohimwhomanifestedchronicdiseaseinanywayhetookpainsto
writedowncarefullyindetailallthesymptoms,frombeginningtoend,withthehistory
ofthefatherandmother,untilhehadcollectedagreatnumberofappearancesofdisease,
notknowingyetwhattheoutcomewouldbe;butafterthiscarefulwritingoutofthe
symptoms of hundreds of patients, little and great, and comparing them and then
gathering them together in one grand group, there appeared in the totality of this
collectionapictureofpsorainallofitsforms.
Uptothistimetheworldhadbeenlookinguponeachoneofthesevaryingformsas
distinctinitself,e.g.,allthestrikingfeaturesofepilepsywouldbegatheredtogether,and
epilepsywasthencalledadisease;butepilepsyisonlyoneoftheresultsofdisease,and
neverappearstwicealike.
Everypersonwhohasepilepsydiffersfromeveryotherepilepticonearth.
Butepilepsy,insanity,diabetes,cancer,Bright'sdisease,andeveryothercaseofsocalled
diseasehaveallhadabeginningandonebeginning.
Theyarenotdistinct,butoperateineachpersoninaccordancewiththatindividual.
Hahnemann says that before he began that collection of symptoms he was struck

somewhatwithwonderthatNuxVomicaandIgnatiaandsuchshortactingmedicines
wereabletocureonlyasinglemanifestationofdisease,agroupofsymptoms,orthey
would relieve foratime andthen thesymptoms wouldcomeback,although hehad
followedupthetreatmenttothebestofhisknowledge.
Attheendofacase,hecoulddiscoverthattherehadbeenacontinuousprogressinspite
ofthefactthathehadrelievedhispatientofsufferingagoodmanytimes.
Soitis,whileacuteactingremediesareused,andyouwillusethemifyoudonotknow
thepsoricdoctrine.
The short acting medicines are the ones that contain the counterparts of the acute,
manifestationsofpsora,andhencewhentheseacutemanifestationsappearingroupsof
symptomsyouwillnaturallyselectacuteremedies,andyouwillpalliatethemfromtime
totime,butattheendofyearsyouwilllookuponeveryindividualcase,andwillnotice
thatthecasehasbeensteadilyprogressing.
You will find that you have not shuck at the root of the trouble, that there is an
underlying something present andprevailing and that thedisease is steadily growing
worse.
Hahnemannsawthisanditwasamysterytohimbecausehehadacquiredaperfect
masteryovertheacutediseaseswiththeacuteremedies.
Suchapsoricshadbeenatthistimeverywellproved,Belladonna, Aconite,Bryonia,
Arnica,China,NuxVomica,etc.,etc.,andthesehadbeenfoundtobeperfectlysuitable
fortheacutemanifestationsofpsoraandfortheacutemiasms.
Hahnemannhadnotyetlearnedthattheacutemiasmswereutterlyandstrictlyacute
miasms,andcouldnot,therefore,compareacutemiasmswithchronicmiasms,orvice
versa.
Hehadnotseenthemyetasmiasms.
Onewillnotunderstandtheacutemiasmsclearlyuntilabletocomparethemwithchronic
miasms.
Theysideuponewithanother,andmakeitwonderfullymanifest.
Theacutemiasmscomeoneitherwithsufficientviolencetocausedeathtopatients,or
withlessviolence,whereinthereisaperiodofprogressandatendencytorecover.
Theycannotbeprolongedinthepatient,andmustsubside.
Theacutemiasmsarenotgovernedinaccordancewithfixedtimeinordertobeacute
miasms,becausetheyhavetimesoftheirown.
Neitheristhereatimeafterthelapseofwhichthechronicmiasmissaidtobechronic.
According to the old school, diseases have been divided into acute, subacute and
chronic.
Ifanysicknessranlongerthansixweeks,itwouldbeplacedamongthesubacute;ifit
ranonindefinitely,itwascalledchronic.
Butachronicmiasmischronicfromitsbeginning,andairacutemiasmisacutefromits
beginning.
Itisfromitsnature,fromitscapabilities,fromwhatitwilldotothehumanrace,thatwe
mustnamethemiasm.
SoHahnemanntellsusfranklythathewasastonishedtofindattheendofacertain
lengthoftimenoprogresshadbeenmadewithhisremediesinchronicdiseases.

Thesymptomsappearedwiththeirownregularity, muchstrongerthanbefore,which
showedtheywereprogressing.
Hahnemannentersnotonlyadifficultstudy,butwithallsortsofdifficulties,andafter
studyingfortwelveyearshedevelopedthefactthatinallthecasesobservedtherewasan
underlyingchronicdisease,achronicmiasm,whichhadatendencytoprogressandto
endonlywiththelifeofthepatient.
Thenhebenthimselftotheprovingsofmedicinesinordertodiscoverfromthema
likenesstothechronicmiasms.
Hadhenevercometothisconclusion,hewouldnothavenoticedsuchthings.
Whenhehadbroughtallthesymptomsbeforethemindinonegrandcollectiveview,he
begantoobserveandreflectastowhatwasthefirst,andwhatwasthesecond,andlater
appearancesinthelineofprogressinthisdeepseatedchronicmiasm.
Thusitwasthatheobservedamongstthosewhoweredyingwithphthisisthatintheir
youngerdaystheyhadavesiculardiseasebetweenthefingersanduponthebody,which
hadbeensuppressedbytheointmentsinvogueatthattime.
Thenthequestionnaturallyarose,whathadthissuppressiontodowiththatwhichcame
afterwards?
As to how Hahnemann figured out the answer to that question you can read in his
Chronic Diseases, but he does not tell it all ; although he gives many pages of
experiencesandobservations.
YouwillmoreclearlyunderstandandbebetterpreparedtotakeupHahnemann'slineof
thinking,ifyouenterintotheuseofappropriatemedicinesandapplyprincipletothe
progressofdiseasethatis,youwillseeademonstrationofhisteachinginthecurative
treatment of a very large number of cases of sickness by applying principles : that
diseasesgetwellinthereverseorderoftheircoming,thatthelatestsymptomswillbethe
firsttogoaway,andthattheoldersymptomswillcomeandgoinreverseorderinwhich
theyappeared;oldsymptoms,intheformoferuptions,comeback,oldchills,which
havebeensuppressed,comeback,andmanyotherchronicmanifestations comeback
againinasortofsuccessiveorder.
Ifweobservethesethingswemustcometotheconclusionthatwhenwehavedriven
theseoldestanddeepesttroublesbacktotheiroriginalmanifestations,whichwasperhaps
a vesicular eruption,andifweseenothingmoresimple thanthis eruption, wemust
concludethatthesuppressionofsuchaneruptionwasthebeginningoftrouble.
Ifyoupracticeaccurately,youwillobservethesethings;ifyouarenotasuccessin
practice,youwillnotobservethesethings.
Manypatientsaresobadlyoffthatthisisneverobserved,andthenwehavetheonward
progress;thatis,wehavethepatientdeclining,insteadofthediseasedeclining.
Ifthatpatientisonlybetterastosymptoms,andhisoldsymptomsdonotcomeback,we
knowthatheisonlybeingpalliated,thatthediseaseprocessesareonlybeingrestrained,
butthatitisnotacaseofcure.
Thereisonethingthatyoushouldknowanditissometimesbesttosayittothepatient,
andthatisthattheyshouldnottaketoomuchcourage,becauseapatientthattakestoo
muchcouragemaytaketoomuchdiscouragementwhenreversescome.
Sowhenawomanwalksintoyourofficeandsaysbeautifulthingsbywayofgratitude

forwhatyouhavedoneforher,becauseyouhavemitigatedthedeepseatedtrouble,
perhaps chronic sick headache, or epilepsy, but she cannot tell you of an eruption
returningoryouhaveobservednobackwardprogressofthatdisease,noreverseorderof
thesymptoms,itisoftenwelltosaytothatpatient,thatnotwithstandingthefactthatshe
appearstobemuchimprovedthetroubleisnotoverforallthat.
Ontheotherhand,itissometimeswisetosay:
"Ifaneruptionshouldcomeout,donotonyourlifemeddlewithit,"
becausetheywillprobablyusewhattheysayrelieveditinthefirstplace,someSulphur
ointment,orsomeothermiserablestuff.
Thephysicianshouldbearinmindtocautionthepatientagainstremovinganyofthe
symptomsinthecase.
Whenthepatientcomesandreportssuchwonderfultalesofprogress,takedownyour
recordandlookitover.
Ifyouhaveintherecordfailedtogettheearlierhistoryofthecase,endeavorthen,if
possible,tofindoutsomethingabouttheprevioussymptoms,theearliersymptoms,and
thenitissometimeswellwithanintelligentpersontosay:
"Donotbesurprised,donotbealarmed,ifsuchandsuchsymptomsreturn,"
cautioningthepatienttoreporttothephysicianandapplynothing.
Now,itisfromthesecircumstancesthatweobservefinally,wherethepatientissowell
instructednottodoanything,totakenodrugs,tokeepthelifeaspureaspossible,to
keepthephysicalforcesuntrammeledbyviolence,itisundersuchcircumstancesthatwe
shallobservethecomingbackofsymptomsthathavelongbeensuppressed.
Longafterthetreatmenthasceased,apatientwillcomebackandsay:
"Thisoldtroublehascomebackonme;canyoudoanythingforit?"
Youhavenowtolookovertherecord,andyouseethatsureenoughthisislikewhat
cameoutinthebeginningofthistrouble;thatpsoraexistedinitssimplestformofa
vesiculareruptionuponthechild,andthatitwassuppressed.
Thesearethesimplestcasesofpsora,becausethesecanbecountedcollectivelyinone
person;butthecomplicatedformsofpsoraarethosethatareinherited.
Amongstthesimpleformsofpsora,aftertheeruptionsdisappear,catarrhaltroublescome
on,withtheirvaryingmanifestations.
Youprescribeforallthesesymptoms,andpresentlytheeruptionsofchildhoodcome
back,especiallyinayoungerperson.
Ifitisinamorecomplicatedstate,wedonotgetthepatientbacktotheoriginalformof
psora,becausetheparenthadthesimpleformofpsora,andthechildgetsacomplexform
fromthosewhichwerepresentwhenthepatientcametoyou.
Youwillseldomseethevesicularformorsimpleformbroughtbackexceptinthosewho
havehadthesimpleform,butformsapproximatingthesimplewillreturnifthevital
energyoftheeconomyisbeingturnedintoorder.
Sincethis,then,isthenaturalformofeconomy,weseewearegraduallytravellingback
towardsthebeginningofpsoraoritsearlierforms.
Ifyouaretreatingaviciousformofscalyeruptions,dryhardhomeyscales,youwill,
underaccurateprescribing,noticethesescalyformationsdisappear,butafterthevital
forcehasbecomestrongenoughyouneednotbesurprisedtoseevesiculareruptions

develop,fortheoriginalsocalleddiseasehadchangedfromitsvicioussquamosformto
themildervesicularform.
Differentnameshavebeengiventotheskindiseases,butweseethatnamesareofvery
littlevalue.
Thedifferenteruptionschangeintovaryingformsbuttheyareallfromonecause,and
willcomebackintheirsuccessivestagesundertruehomoeopathictreatment,
ThisisseenquiteoftenenoughtodemonstratewhatIamtalkingabout,andfromthis
alone we can ascertain that psora begins with the simple isolated vesicular form of
eruption.
Attimesyouwillbetreatingthemoreadvancedandcomplicatedformsofpsora,where
thereareorganicchanges;afterthepatientgetsthehomoeopathicremedyforawhilehe
comestoastandstill,seemstobedoingnothing,butinthecourseoftimeviciousugly
eruptionscomeoutuponthebody.
Thisisagoodsigninsofarasthediseasemanifestsitselfupontheskin,orincatarrhal
discharges, the internal organs are safe, but when these outward manifestations are
stoppedtheinternalpartssuffer.
Ifthisbetrue,whatconclusionmustwecometoastothegoodorinjurydonetopatients
wheneverycatarrhaldischargeisstoppedandeveryeruptionupontheskinisdriven
awaybyoutwardapplications?
Whatarewetoconcludewhenweseethattheideaofthemedicalworldoftodayisto
stopeverythingthatappearsuponthesurface?
Whenweknowthetruthinregardtopsora,weseewhatawonderfuldamageitistothe
patienttohavetheseoutwardsignsstoppedinthisway,whatatremendousshockitisto
theeconomy,andhowitisthatpsoraispushedonandmadeworse,mademorecomplex
fromyeartoyear,fromgenerationtogeneration,untilitisthefundamentaldiseaseofthe
humaneconomyandthebasisofallthetroubleinman.
Atthepresentday,asyouarenowpreparedtohear,wecanreallylearnmoreaboutpsora
bywatchingitinitsbackwardprogressthanbywatchingitinitsonwardprogressinany
particularcase.
Itisthecauseofthechronicmanifestationsofdiseasethatarenotsyphiliticorsycotic.
Weareabletogrouptogetherinthemindallthoseviciousconstitutionalstates(not
syphiliticorsycotic)thatarecalledorganicdisease,astheresultsofpsora.
ThenthefiveformsofBright'sdiseasearenotdiseases,buttheresultofpsoraoperating
upontheeconomyandattackingthekidney.
Thecommonchronicdiseasesoftheliverarenotdiseases,butthelocalizationofpsorain
the liver ; the lung diseases and heart diseases and brain diseases are not diseases,
becausetheyhaveonesingleorigin,andfromthisoriginwefollowtheirprogressand
thusstudythemfromtheirbeginningstotheirends,fromcausetoultimates.
Onlyinthiswaywillwehaveaclearknowledgeoftheirinternalcauseandbeginnings.

LECTURE19:Chronicdiseasespsora(continued)
In the work on "Chronic Diseases" Hahnemann refers to psora as the oldest most
universalandmostperniciouschronicmiasmaticdisease,yetithasbeenmisappropriated

morethananyother.
"Psoraistheoldestmiasmaticchronicdiseaseknown.Theoldesthistoryoftheoldest
nationdoesnotreachitsorigin.Psoraisjustastediousassyphilisandsycosis,andis,
moreover,hydraheaded.Unlessitisthoroughlycured,itlastsuntilthelastbreathofthe
longestlife.Noteventhemostrobustconstitution,byitsownunaidedefforts,isableto
annihilateandextinguishpsora."
Thethreechronicmiasms,psora,syphilisandsycosis,areallcontagious.
Ineachinstancethereissomethingpriortothemanifestationswhichwecalldisease.
Wespeakofthesignsandsymptomsofadisease,wespeakoftheoutcroppingsofthe
symptomswhenwespeakofsyphilis,butrememberthereisastatepriortosyphilisor
syphiliswouldnotexist.
Itcouldnotcomeuponmanexceptforaconditionsuitabletoitsdevelopment.
Inlikemannerpsoracouldnotexistexceptforaconditioninmankindsuitableforits
development.
Psorabeingthefirstandtheothertwocominglater,itisproperforustoinquireintothat
stateofthehumanracethatwouldbesuitableforthedevelopmentofpsora.
Theremusthavebeenastateofthehumanracesuitabletothedevelopmentofpsora;it
couldnothavecomeuponaperfectlyhealthyrace,anditwouldnotexistinaperfectly
healthyrace.
There must have been some sickness prior to this state, which we recognize as the
chronic miasm psora ; some state of disorder, some state that it would be perfectly
rationalandproperformantoundertaketosolveastoitscause,astoitshistory,andas
toitsverynature.
Somewillsay,butifweundertaketodothiswewillhavetoacceptthewordofGodas
historical,asrelatingtothebeginning,becausethereisnoothergoingsofarback.
ThereisnoharminreasoningfromthatandIhopeyouwillsoacceptit,notonlyas
history,butasdivinerevelation,notthatIwishtoquotefromorrefertoit,becauseI
neverdosoinmyteaching.
Ifwelookuponsyphiliswewillseethatman'sownactleadshimtotheplacewherehe
comesincontactwithsyphilis;itistheresultofaction.
Syphilisisthatdiseasewhichcorrespondstotheeffectofimpurecoition,ofgoingwhere
syphilisis,ofcomingincontactwiththosewhohaveit.
Itisanaction;itisnotsowithpsora.
Man does not seek it, he does not go where it is, he does not associate with those
necessarilythathaveit.
Hemaybeexposed;butsyphilisistheresultofhisownaction,whichisanimpure
fornicationoradulterationwhichheknowsbetterthantoseek,andknowsenoughfrom
hisintelligencetoavoid.
Syphilis,then,isaresultofaction,althoughafteronceultimateditmaybeperpetuatedby
accident.
Thereisalwaysastateandconditionofmanthatprecedeshisaction,andifsyphilis
corresponds toman's action, and thereisastatepriortoitadiseasedconditionthat
precedes,thatstatemustcorrespondtothatwhichprecedesaction,whichisthinkingand
willing.

Thinkingandwillingestablishesastateinmanthatidentifiestheconditionheisin.
Aslongasmancontinuedtothinkthatwhichwastrueandheldthatwhichwasgoodto
theneighbor,thatwhichwasuprightnessandjustice,solongmanremaineduponthe
earthfreefromthesusceptibilitytodisease,becausethatwasthestateinwhichhewas
created.
Solongasheremainedinthatstateandpreservedhisintegrityhewasnotsusceptibleto
diseaseandhegaveforthnoaurathatcouldcausecontagion;butwhenmanbeganto
willthethingsthatweretheoutcomeofhisfalsethinkingthenheenteredastatewhich
wastheperfectcorrespondenceofhisinterior.
Asarethewillandunderstanding,sowillbetheexternalofman.
Asthelifeofmanorasthewillofman,soisthebodyofman,andasthetwomakeone
inthisworld,thereisevolvedfromhimanaurawhichisviciousinproportiontohis
departurefromvirtueandjusticeintoevils.
AndlongbeforethetimeofNoah'sflood,whichwasaninundationthatdestroyedthe
evilonesthatwereupontheearthatthattime,therewasamanifestation,calledleprosy,
whichwasbuttheresultofthedreadfulprofanitythattookplaceinthisperiod.
Agreatmanypeoplesufferedthenfromtheviolentauraofleprosy,whereasthenatural
disorderofthehumanracetodayisamilder formofpsorauponadifferentraceof
people.
Ifwehadthesameraceupontheearthtodaywewouldhaveleprosyamongthem,aswe
nowhavethemilderformofpsora.
Theancientsreferredtoleprosyasaninternalitch.
Hencethisstate,thestateofthehumanmindandthestateofthehumanbody,isastate
of susceptibility to disease from willing evils, from thinking that which is false and
makinglifeonecontinuousheredityoffalsethings,andsothisformofdisease,psora,is
butanoutwardmanifestationofthatwhichispriorinman.
Itwasnotduetoactionsofthebody,aswefindsyphilisandsycosistobe,butduetoan
influxfromastate,whichprogressedandestablisheditselfupontheearth,untilwecan
seeitasbuttheoutwardmanifestationsofman'sverynature.
Thehumanracetodaywalkingthefaceoftheearthisbutlittle.betterthanamoralleper.
Suchisthestateofthehumanmindatthepresentday.
Toputitanotherway,everyoneispsoric.
Weknowwhatleprosymeans,andtosaythatthewholeworldisinastateofpsoraisno
broaderornarrowerthantosaythatleprosyprevailstodayuponthefaceoftheearth,but
itprevailsinamilderform,intheformofpsora.
Anewcontagioncomeswitheverychild.
AsPsorapilesupgenerationaftergeneration,centuryaftercenturythesusceptibilitytoit
increases.
Thisistrueofeverymiasmandtrueofalldrugs.
We find in the drugged world that those who have been mercurized become more
susceptibletoMercuryandaremoreeasilypoisonedbyit.
ThosepoisonedwithRhusaresosensitivetoitthattheycannotgowithinawhiffofit;
those that have been poisoned in their earliest beginning with psora become more
sensitivetoit,sothatinchildhoodtheslightestwhiffofitfromtheirschoolfriendswill

bringonacropofvesiclesbetweenthefingersattendedwiththeacarus.
Ofcourse,somepersonswillsaythattheacarusispriortotheeruption,buttheydon't
knowthatahealthypersonwillnotbeaffectedbytheacarus.
Themiasmissimplyevolvedoutofastateandtheacarusisinturnitsultimate.
Itisthestatethatisprior,theitchbugisnotprior.
The human race becomes increasingly sensitive generation after generation to this
internalstate,andthisinternalstateistheunderlyingcausewhichpredisposesmanto
syphilis.
Ifhehadnotpsorahecouldnottakesyphilis;therewouldbenogroundinhiseconomy
uponwhichitwouldthriveanddevelop.
Thewillandtheunderstandingarepriortoman'saction.
Thisisfundamental.Themandoesnotdountilhewills;hewillswhathecarriesout.
Ifmandidwhathedidnotwill,hewouldbeonlyanautomaton.
Hewillstogotoahouseofprostitution,orseeksfaraprostitutewithwhomtocopulate
andfromherhetakesthesyphiliticmiasm.
Thisactionofhiswillandthisdiseasecorrespondstotheman.
Thereisastateinwhichhethinksitonly,inwhichhewills,butinwhichhehasnotyet
arrivedatthestateinwhichhecanact.
Firsttherewasthethinkingoffalsesandwillingofevils,thinkingsuchfalsesasledto
depravedlivingandlongforwhatwasnotone'sown,untilfinallyactionprevailed.
The miasms which succeeded psora were butthe outwardrepresentations ofactions,
whichhavegrownoutofthinkingandwilling.
Psoraistheoldestoutwardexpressionofthediseasesofthehumanracerepresentingthis
vitalbeginning,andnextexiststhatstatethatcorrespondstoaction.
Thinking,willingandactingarethethreethingsthatmakeupthescienceofthelifeof
thehumanrace.
Manthinks,hewillsandheacts.
Now,thataurawhichisgivenoutfromthehumanraceatanyperiodofitshistoryisthat
whichcorrespondstothestateofthehumanrace.
Thechildreninherititfromtheirparentsandcarryitonandcontinueit.
Astheinternalissoistheexternal,andtheexternalcannotbeexceptastheresultofthe
internal.
Theinternalstateofmanispriortothatwhichsurroundshim;therefore,environmentis
notcause;itisonly,asitwere,asoundingboard;itonlyreactsuponandreflectsthe
internal.
Onewhohastheprior,whichisinternal, may havethatwhichcanfollow uponthe
external;itflows,asitwerefromtheinternalandeffectsitsformsupontheskin,upon
theorgans,uponthebodyofman.
Suchisinfluxandtheinflowingisalwaysinthedirectionoftheleastornoresistance;so
thatitisinthedirectionofman'saffections,man'sloves.
Thingsflowinthedirectionhewantsthemtoflow.
Diseasescorrespondtoman'saffections,andthediseasesthatareuponthehumanrace
todayarebuttheoutwardexpressionofman'sinteriors,anditistrueifthediseasesare
suchtheyrepresenttheinternalforcesofman.

Manhateshisneighbour,heiswillingtoviolateeverycommandment;suchisthestate
ofmantoday.
Thisstateisrepresentedinman'sdiseases.
Alldiseasesupontheearth,acuteandchronic,arerepresentationsofman'sinternals.
Otherwisehecouldnotbesusceptible,orcouldnotdevelopthatwhichiswithinhim.
Theimageofhisowninteriorselfcomesoutindisease.
Thisstatehascontinuedtoprogress,andithasaccumulatedandbecomecomplex.
Theoriginalsimplepsorahasaddedtoitsyphilisandsycosis,andtheseprogressand
havenoweffectedastate,theyhavecontinuedtoeffectastateinmankind,wherebythe
raceissosusceptibletoacuteaffectionsthatmanyofourcitizenshaveeverylittlething
thatcomesalong,andeverylittleepidemicofinfluenzabringsthemdownwithanacute
attack.
Thiscouldnotbebutforthecomplicationsthatamanhascausedhimselftogetinto,or
hastakenuponhimself.
Thiswasnotdoneinonegeneration,buthasbeenaccumulatinguponthefaceofthe
earthsolongaswehaveahistoryofman.
Otherwisemanwouldnotbesick,forheshouldbeaperfectanimalinhisanimalnature.
Lookattheperfectionofallthingsputupontheearth;seetheplants,howperfectthey
are;butmanbyhisthinkingevilsandwillingfalseshasentereduponastatewhereinhe
haslosthisfreedom,hisinternalorder,andisundergoingchangeswhichtheanimal
kingdominitsperiod,andthevegetablekingdominitsperiod,didnottakeon.
Themiasmsthatareatthepresentdayuponthehumanracearecomplicatedathousand
foldbyallopathictreatment.
Everyexternalmanifestationofthemiasmhasinitselfatendencytostraightenmankind,
butthehumanraceisbeingviolentlydamagedanddiseasesarebeingcomplicatedforthe
reasonthattheseoutwardexpressionsareforcedtodisappearbytheapplicationofsome
violentorstimulatingdrug.
Atthepresentdaynobodywillacknowledgethathehadtheitchinhischildhood,untilit
isseenbysomeintelligentmotherthatitiswisetotellthedoctoreverything.
The itch is looked upon as a disgraceful affair ; so is everything that has a similar
correspondence;becausetheitchinitselfhasacorrespondencewithadultery,onlyoneis
adulteryastointernalsandtheothertoexternals,onesucceedstheother.
Soitiswithallmiasms.
And now we have the great miasms before us to treat, as physicians, in all their
complications.
Forinstance,ifatruesycoticgonorrhoeaappearstoussecondhanditappearsinits
suppressedform,whichisathousandtimesworsethantheoriginalform.
Alltheoutwardmanifestationshavebeenmadetodisappear.
Soitiswiththeexternalformsofpsora,thevesicularandsquamoseruptions,andallthe
outgrowthsandoutcroppingsofpsora.
Everyconceivablethinghasbeenresortedtotodestroyitsmanifestations,andthedisease
hasgrownandgrownuntilnobodycantellwhatitsoutcomewillbe.
Howlongcanthisthinggoonbeforethehumanracewillbesweptfromtheearthwith
theresultsofthesuppressionofpsora?

Fromthesuppressionofpsorawehavecancerousaffections,organicdiseasesoftheheart
andlungs,phthisis,andgeneraldestructionofthebody.
Howlongcanitgoon?
IfHomoeopathydoesnotspread,ifitdoesnotestablishitsdoctrinesupontheearthso
thatsickfolkscanbeheadedunderitsprinciples,thisthreateningstateandconditionwill
increase.
Allopathicphysiciansaremultiplyingrapidly,andtheyarealldoingthesamething,even
moresonowthanatthetimeofHahnemann.
ItdoesseemasifHomoeopathyhadbecomeanecessity,butthekindofHomoeopathy
thatispreachedinthemajorityofourschoolswillnotchecktheprogressofpsora.
Themajorityofthecollegeteacherssneeratthedoctrineofpsora;theysneeratthe
miasmsandcontinueintheireffortstoestablishHomoeopathyuponan,allopathicbasis.
Homoeopathyastaughtinthecollegesatthepresentdayissimplyanattempttoestablish
Homoeopathyuponanallopathicbasis,usingallopathicnames,callingchronicaffections
bydifferentnames,andtreatingdiseasesoforgansbyname.
Nostudyismadeofpsora,butallopathicbooksaretheirtextbooks.
Syphilisisnottreatedfromcausetoeffect,butsimplyinthewayofdrivingitbackor
holdingitinabeyance,withoutanyefforttopermanentlycureit.
ThepatientisfilledwithMercury,theIodidesandotherstrongdrugs,drugsthatarewell
knowntosubdueittemporarilybyanallopathiceffect.
Psorahasprogresseduntilithasbecomethemostcontagiousofdiseases,becausethe
morecomplicateditbecomesthemoresusceptibleareourchildrentoitsbeginnings,and
its contagion adds to the old disease; and while it goes on the children become
increasinglysensitivetotheothermiasms.
The human race at the present day is intensely susceptible to psora, to syphilis and
sycosis.
"Psora," says Hahnemann, "became, therefore, the common mother of man's chronic
diseases.
Itcanbesaidthatatleastseveneighthsofthechronicmaladiesexistingatthepresent
dayareduetopsora."
True,ifpsoracouldbebroughtbackinaseriestoitssimplestatetheexternalofthebody
wouldbecomewonderfullyhadtolookupon,buttheinternalwouldbeinamuchbetter
state.
The vesicular eruptions that come are sometimes dreadful to look upon, horrible in
proportiontothevanityofthepatient,butthesemustbeallowedtoevolvethemselves
andthenwonderfulgoodcomestotheeconomy.
Hereditary states roll out in these manifestations, internal evils flow into external
manifestationsandHomoeopathycontinuestodrivethemoutwardandoutward,thereby
leavingtheeconomyinastateofcomparativefreedom.
Verycommonlyitchwillnotyieldtothehomoeopathictreatmentimmediately,because
the action of the remedy is routing the heredity within, causing it to flow out more
exteriorlyintomanifestationswithout.
Onewhodoesnotknowthis,ofcourse,losesheartwhenhisremediesdonotatonce
wipeouttheeruption,

A sickly childmaycomeoutwitheruptions,andifthechildis treated properlythe

sicknesswillflowoutintotheeruptionandthatchildwillbecuredfromwithinout;and
finallyaftermuchtribulationtheoutwardtroublewillpassaway,carryingwithitthe
internaltrouble.
Sothatwhenitissaidthattheappropriateremedydidnotimmediatelywipeofftheskin
andmakeitsmooth,and,thereforeZincointmentorSulphurointmentwasresortedto,
weseethatitisaviolationoflaw,andawonderfuldamagetothepatient.
ThenHahnemanngivesalonglistofcaseswithauthorities,quotationsandreferences
whichyoushouldcertainlylookover.
Healsogivesthesymptomsthathecollectedwhileobservingandinvestigating.
It was the wonderful similarity between those symptoms when grouped together,
representinganimageofpsora,andthosesymptomsrepresentinganimageofSulphur,
whichledHahnemanntotheuseofSulphurinpsoricconditions.
Inpsorawehavetheimagesofmanyremedies;allofthedeepactingremedieshavemore
orlesssomethingofthenatureofpsora.

LECTURE20Chronicdiseasessyphilis
Therearesomegeneralsthatrelatetothisdiseaseunderhomoeopathictreatment.
Itcanbefoundfrombookswhattoexpectinthisdisease;forinstance,thedifferent
syphiliticeruptionsinalltheirvariedmanifestationsastotimeandcolor.
Inregardtotheprodromalperiod,itiswelltorememberthatitisusuallyfromtwelveto
fifteendays,butitissometimesaslateas50or60days.
Someacutemiasmorabadcold,oradrugdisturbingtheeconomy,maypreventthe
externalmanifestationsandprolongtheprodromalperiod,butitisusuallyfrom1215
days,ifinnowaydisturbedorinterrupted.
Nowtheprodromalperiodincreaseswiththecontagionofthevariousstages.
Thisisanobservationthatyouwillbeabletoverifyinhomoeopathicpractice,butone
thatthebookswillnotgive.
Thebooksspeakoftheprimarycontagionastheonlycontagioninconnectionwiththe
syphiliticmiasm,butletmetellyousomething.
Supposeweassumethatthesyphiliticmiasmisadiseasethatwouldrunforadefinite
time,andsupposethatanindividualhasgonethroughwiththeprimarymanifestationand
istoldbyhisphysicianthathecansafelymarry;ifhemarry,hiswifebecomesaninvalid
; but she does not go through the primary manifestations, the initial lesion and the
roseola, but she has the syphiloderma and the symptoms which belong to the later
stage.ofthedisease.
Thisdiseaseistransferredfromhusbandtowife,anditistakenupinthestageinwhichit
thenexistsandfromthencegoesoninaprogressiveway.
Thewomancatchesitfromthemaninthestageinwhichhehasitatthetimeoftheir
marriage;shetakesthatwhichhehas;ifhehasitintheadvancedstageshetakesitin
thatstage;shetakesfromhimthestagehehastooffer.
Thisisequallytrueofpsoraandsycosis.
Suchthingsneveroccurintheacutemiasm,butthethreechronicmiasmshavecontagion

intheforminwhichtheyexistatthetime.
Thestateistransferred,sothatoneintheadvancedstagesofpsorawilltransfertohis
goodwifethepsorawhichhehas,andshetakesitupandprogresseswithitandaddsitto
herown,anditprogressesinaccordancewithherpeculiarities.
Butthelawofprotectionbydissimilarsoftencomesinhereandsavesthewife'ssystem
fromreceivinganewinfectionofeithersyphilis,psoraorsycosis.
Thedisordersalreadypresentinhereconomymaybesowhollydissimilarthatthey
protectherfromcontagion.
Thusitisthatawomanmayhavecoitionwithamanthathassycosisintheformofgleet,
andyetnothaveitindicateduponher;thusshemayhaveprotectionagainstformsof
chancre,
Shemayremainincontactwithhimaswife,andevenhaveachildbyhim,andthatchild
beblackwithsyphilis,whileshehadnosymptomsofsyphilis.
Thereasonofthatisthatthechildisfromtheseedofthefatherandthemotheronly
furnishesthegroundwork.
Thereareplentyofphysiologicalfactsthatdemonstratethesethings.
Ihaveseenseveralcaseswherethechildwasbornblackwithsyphilis,andhavelooked
for the mother to come down with syphilitic symptoms, but no trace of it could be
observed.
Wheninfectiontakesplaceintheprimarystagethereisnowayofdisguisingit,butifit
occurs in the secondary or tertiary stage there is really no way of detecting it
immediately,becauseitgoesoninsidiously.
Ifthehusbandhastheprimarysoretheprimarysorewillmanifestitselfinthewife,butif
hegivesthediseasetohiswifeinthetertiarystage,witheverymanifestationsuppressed
orpassedby,thenyouwillnotbeabletoknowwhethershehastakenthediseaseornot.
WehavealreadyseeninstudyingtheOrganonthatwhenthediseasesaredissimilarto
eachotheronerepelstheother;sothatifthewomanhassomethinginhereconomyin
theformofachronicdisease,perhapsaphtisicalcondition,shewillbeprotected.
Theorganicresultsaresuchthatthebodyisoverwhelmedwithdiediseasethatitalready
has,andhencesheisprotected.
Dissimilarsrepeleachother,andsimilarsattractandcureeachother.
Yetifthedissimilarpsoricmanifestationisofamildertype,andcanbesubstitutedbythe
contagion,thenthesyphiliticconditioncomesin.
Toknowtheactionofdiseasesuponeachotherisessential,becauseweseetheprinciple
ofcureinhowonediseaseaffectsanother.
We learn much concerning the syphilitic miasm under the action of homoeopathic
remedies.
Attheendoftheprodromalperiodwemayexpectthechancre;attheendofaboutsix
weeks,moreorless,wemayexpecttheexternalmanifestations,theroseolaandother
eruptions;soonsucceedingthese,atthetimeoftheirdisappearance,orinconnection
withthem,wehavethemucouspatchesinthethroat,ulcersinthethroat,andfinallythe
fallingofthehair.
Theserapidlysucceedeachother,oftenbeingassociated.
These are the commonest outward manifestations of the earlier period of secondary

syphilis;itisimportanttorememberthis.
Inweaklysubjectsthesecomeonveryfeeble;inrobust,vigorousconstitutionsthese
manifestationscomeonvigorously.
Nowitmattersnotwhetherthefeebleconstitutionfailstothrowtheseout,orwhether
becauseofdrugstheconstitutionhasbeenmadefeebleandtherebythemanifestationsare
withdrawnwhentheyhavebeenthrownout.
The state is the same, whether they are suppressed or withheld because of feeble
constitution,i.e.,thediseaseisoperatingupontheinternal,havingatendencytoaffect
theorgansthatareoftheinteriorman,thebrain,theliver,thekidneys,thespleen,the
heartandlungs,thetissuesandthebones.
Assyphiliscommencestooccupytheinteriortissuesofmantheperiosteum,thebone
andthebrainaretissuesthataresoughtoutastheprincipalsites.
Ifyouwillcontrastthatwithpsorayouwillseethatthelattermorecommonlyattacksthe
bloodvesselsandtheliverandcausesdepositsbeneaththeskin,formingsuppurationand
boils.
Thesyphiliticboilisnotatrueboil,itisamultipletubercularmassmostviciousin
character.
Ifweobservethesyphiliticmiasminitsbackwardprogresswewilltraceitbackinits
stages,supposingtheyhadbeensuppressed.
Intheearlierstatethehomoeopathictreatmentstrikesattherootoftheevil,andwilltake
hold of that which would become latent, and will so turn things into order that the
chancrethatispainfulwillbecomepainless,willcontinueonasamildandharmless
sore.
Thebubowillbehastenedtosuppurationwhenitwouldnototherwisesuppurate.
Themucouspatcheswillbechecked,thesorethroatwillbegreatlyrelieved,sothatthe
patientismademorecomfortableinallofhismanifestations.Inthisearlierstatewedo
notseethebackwardprogressintheformofulcers;etc.,butweseethatthetendencyof
thehomoeopathicremedyis,asitwere,toquietmanifestationsorsubduethem,untilthe
remedy has taken a deep and permanent hold of the economy, then they gradually
subside.
Somuchfortheactionofhomoeopathicremediesuponearliermanifestations.
Butnowifweproceedtoexaminetheverylatestmanifestationswewillseeanopposite
state.
Ifyoutakeholdofacasethatisverylate,sayanoldcasethathasbeenfiveortenyears
goingtherounds,gettingallsortsofvicioustreatment,andthepatienthasthoseawful
biparietal head pains, he is becoming weaker in mind, he is getting the tertiary
manifestations in general, tendency to gummatous formations and deepseated
ulcerations,andisthreateningtobreakdowninhealth.
Youwillfindconstitutionalremediescanonlyrestorehimandcurehimbybringingout
externalmanifestationsuponhisbodysomewhere.
Notthattheprimarysorewillcomebackrightaway;hemayneverhaveitatall;buthe
willbegintohaveulceratedsorethroat,whichmayprogressandeatallthesofttissuesin
view,includingthesoftpalate.Ifthisulcerationappearsthebonesthathavebeenso
painfulandthreatenedtobecomenecrosedwillceasetobeaffected;theperiostitiswill

subside.
Iritisislikelytobeatroublesomesymptomandmaycomewiththesecondarysymptoms,
orlongyearsafterwardswithtertiarysymptoms.
Theproperremedywillimmediatelyrelievethislastappearingsymptom,butthepatient
willsay:
"Doctor,Iwishyouwouldlookinmythroat;Ihavenothadthistroubleforalongtime."
Youseeuponexamininghisthroatamucousmembranethathasbeensacrificedbythe
applicationofNitricacidandothercaustics,indurated,hard,gristlyliketissuesthatare
infiltratedwithgummatousdeposits.
Now,heisinapickle,forjustassureashelivesthatmanwillhavetoundergomuch
troubleifyousavehimfrominsanity.
Ifyousavehimatall,sothatheisworthliving,thesesuppressedmanifestationsmust,
comeback,andtheywillcomebackunderappropriatetreatment.

LECTURE21:Chronicdiseasessycosis
Itisnotgenerallyknownthattherearetwokindsofgonorrhoea,onethatisessentially
chronic,havingnodispositiontorecovery,butcontinuingonindefinitelyandinvolving
thewholeconstitutioninvaryingformsofsymptoms,andonethatisacute,havinga
tendencytorecoverafterafewweeksormonths.
Theyarebothcontagious.
Therearealsosimpleinflammationsoftheurethraattendedwithdischargeswhichare
not contagious, and thus we have simple inflammations of the urethra and specific
inflammationsoftheurethra,andofthespecificwehavethetwokindsIhavementioned,
thechronicandacute.
Thebookswilltreatofthemasonedisease,treattheminaclass,andinatreatiseon
gonorrheawewillhaveadescriptiononlyofthatwhichrelatestothebeginning,viz.;the
discharge.
Themajorityofthecasesofgonorrhoeaareacute,i.e.,thereisaperiodofprodrome,a
period of progress and a period of decline, being thus in accordance with the acute
miasms.
Theacutemayreallyandtrulybecalledagonorrhoea,becauseaboutallthereisofitis
thisdischarge.
Ifthesuppressivetreatmentberesortedtointheacute,thesystemissufficientlyvigorous
inmostcasestothrowofftheafteraffects.
Thesuppressioncannotbringontheconstitutionalsymptomscalledsycosis.
Itcannotbefollowedbyfigwarts,norconstitutionalstates,suchasanaemia.
Butwhileconstitutionalsymptomscannotfollowthesuppressionoftheacutemiasm,
theywillfollowsuppressionofthechronicmiasm,andbecomeveryserious.
Mostofthecasesoftruesycosisthatarebroughtbeforethephysicianatthepresenttime
arethosethathavebeensuppressed,andtheyareadozentimesmoregrievousthanwhen
intheprimarystage.
Inboththeacuteandchronic,theprodromalperiodisaboutthesame,fromeightto
twelvedays,andthereisnoessentialdifferencebetweenthedischargeoftheacuteand

chronic.
Itisamucopurulentdischarge,andmayhavealltheappearancesthatanyacutedischarge
oftheurethramighttakeon.
Anysimpleremedyconformstothenatureofthedischargeitselfwillsoonturntheacute
miasmintoastateofhealth,butitrequiresantisycoticremedies(remediesthatconform
tothenatureofsycosis)toturntheconstitutionalsycoticgonorrheaintohealth.
Intheveryearlieststageofthedischargeitisnotnecessarytomakeadistinction;but
afterthediseaseprogressesforweeks,itbecomesnecessarytomakeadistinction,andto
followtheremedythatconformedtothemoreacutesymptomswiththeremedythat
wouldbesuitableinasycoticconstitutionfullydeveloped.
Remediesarepickedoutforsycosisinthesamewaythattheremediesarepickedoutin
anymiasmaticdisease,viz.,bymakingananamnesis.
An anamnesis ofall the sycotic cases which we have had enables us to look at the
constitutionalstateofsycosisjustinthesamewayasHahnemann,byananamnesisof
psora,ascertaineditsnatureandworkedouttheremediesthataresimilarinnatureand
actiontopsora.
Allmedicinesthatarecapableofproducingtheimageofsycosismaybecalledanti
sycotics,butwecanputitinthiswayalsoandsayallthoseremediesareantisycotic
whichwhengiventoasycoticcaseinitsadvancedstateareabletoturnthedisease
backward,toreproducetheearlierformsandbringbackthedischarge.
Thatisthepracticalwayofdemonstratingthatamedicineisanantisycotic.
Whenitconformstotheimageofthemiasm,itwillturnthediseaseonitsbackward
course.
Thoseremediesthatconformonlytoaparticularpartofthecasearenotdeepenoughnor
similarenoughtoestablishareturntoearliersymptoms,andhencetheyarenottrulyanti
sycotic.
Itishardlynecessarytogooveradescriptionoftheacuteformofgonorrhoea,butletus
turnourattentionsolelytosycosis,recognizingitasachronicmiasm,oradiseasewhose
firststageisadischargefromtheurethra.
ThesecasesIhavesaidarerareinproportiontothelargenumberofcasesofacute
gonorrhea,butthediseaseseemstobeontheincrease.
Everybusyphysicianwillseeagoodmanycasesinwomenandchildren.
Casesofgonorrhoeathathavebeensuppressedbyinjections inthehandsoftheold
schoolareconsideredended,andsoonafterthedischargehasstoppedthesycoticpatient
maybetoldbyhisphysicianthatheisafitsubjecttomarryashehasbeencured.
Butitisnottrue,andheshoulddelaymarriage.
Itisnotrightforhimtomarryuntilthedischargehasbeenbroughtbackagain,andhe
hasbeencured,notbyinjections,becausetheyonlysuppress,butbytheindicatedanti
sycotic.
Onlythenmayhemarryahealthywife,andshewillcontinuehealthyandbringforth
healthychildren.
Youwillneverknowuntilyougetinpracticehowcommonitisforawifetobreak
down,inayearoreighteenmonthsaftermarriage,withuterinetrouble,withovarian
disease,withabdominaltroubles,withallsortsofcomplaintspeculiartothewoman;and

youwillthenbesurprisedongoingintothehistoryofherhusband(ifyouarepermitted
todoso)todiscoverthatinhisearlierlifehehadtwoorthreeattacksofgonorrheathat
weretreatedwithNitrateofSilverorbyoneoftheseprescriptionsthatarecarriedaround
inthevestpocketsofviciousyoungmen,byinjectionsthatareknowntostopthese
discharges.
Youwillnotthenbesurprisedifyoulearnthatthemanhimselfhasneverhadareally
genuinestateofhealthsincethatgonorrhoealdischargedisappeared.
Youwilllookuponwhatfollowedthatsuppressionintheman.
Youwillobservewhatfollowedthecontagioninthewomanandtoobservetheseclosely
constitutesaninterestingstudy.
Sometimes it is so very severe in form, and the trouble comes so soon after the
suppression,thattherecanbenodoubteveninthemindofthemanhimself,thatthe
troubleheisnowsufferingfromrelatestothesuppressionofthatdischarge.
Sometimestheyarelatentanddevelopverygradually,andthebloodbecomesaffected,
thegraduallyincreasinganaemiacomes,thepatientbeingpallidandwaxy.
Whatwassaidinrelationtosyphilisaboutcontagioninthestageinwhichtheindividual
hasthediseaseistrueinthisdisease,asalsoinpsora.
Hereisacommoninstance.
Asycoticpatienthasbeen"cured"asfarasthedischargeisconcerned,andnowmarries
forheistoldthatnoharmcancomehereafterbutshortlyafterwardshiswife,comes
downwithillness,whereasshehadalwaysbeenahealthywomanbefore.
In the old school there is no recognition of a gonorrhoeal condition ; nor could the
homoeopathicphysicianbesureofthis,exceptforhiscarefulprescribing.
Youtakeamanwhohasgonefromtentofifteenyearswiththissycotictrouble.
Heiswaxy,subjecttovariouskindsoffigwarts,hislipsarepaleandItsearsalmost
transparent;heisgoingintoadecline;hehasvariouskindsofmanifestations,andthese
manifestationsappearinnumerousparticularsthatwecallsymptoms.
Thephysiciansitsdownandmakesacarefulstudyofthecase,andifhisperceptionofit
issimilartosomelongacting,deepactingmedicine,andheadministersthismedicineto
thepatient,thepatientbeginstoimprove.
Thetreatmentiskeptup,andinthecourseofweeksormonthsthepatientcomesintothe
officeandsays:
"Doctor,ifIhadexposedmyselfIshouldthinkIhadanattackofgonorrhea."
Now,knowingthediseasesgetwellinthereverseorderofcoming,youcertainlycannot
besurprisedtohearthisstory.
Ontheotherhand,however,thetroublemayhavemanifesteditselfinothermucous
membranesofthebody,andthussavedthemanfromhiswaxiness;heisnotsopallid
whentheconditionbecomesbusyinanotherregion.
Thesecatarrhalmanifestationsmaybecatarrhalconditionsoftheeyes,butarecommonly
catarrhsofthenose.
Itisnotanuncommonthingforanasalcatarrhtobesycoticandtohaveexistedonly
sincethegonorrhoeawassuppressed.
Thecatarrhislocatedinthenoseandposteriornareswiththick,copiousdischarge,and
inspiteoflocaltreatmentithasbeenimpossibletosuppressit.

Whentheconstitutionisvigorousenoughitwillkeepupthedischargeinspiteofthe
different specific remedies that have been administered, but in constitutions that are
feeblediseasesareeasilydriventothecentre,leavingtheoutermostpartsofman.
Soitisoftenthecasethatamanwithathick,yellowishgreendischargefromthenose,
afteradoseofCalcarea,whichisanantisycotic,oneofthedeepestincharacter,hashis
olddischargebroughtback,andhesays:
"Doctor,Iamnotabletoaccountforthis,forIhavebeennowherebutwithmywife."
Itistimetositdownandtellthatmanthatinhisearlierlifehehadagonorrhoea,andthat
itsnaturewassycotic;forifithadnotbeenofaspecificcharacter,itcouldnothave
transferred itself to the man's economy, affecting in that way his nose ; that it has
disappearedfromitsnewsiteundertheactionofatrulyhomoeopathicprescription,and
theoriginaldischargehasbeenbroughtback,thetroublethathehadinthefirstplace.
Thismustbeexplainedtohim,andyoucannowtellhimthatheisinapositiontoregain
hishealth,tobecomewell,togetridofhiscatarrh;butthatifhemeddleswiththat
dischargefromthepenishewillneverrecover.justthiskindofacasehasbeenseenso
oftenthatthereitisnolongeradoubtaboutit.
Itisinthenatureofgonorrhoeatogotothesurfaceintheearlierstage,andsowhenthe
catarrhcomesoninvigorousconstitutionssoonafterthesuppressionofthedischarge
fromtheurethraitmaylocateitselfinthenose,butifthecatarrhdoesnotcomeonsoon
the constitution is too weak for the catarrh to represent the disease, and it will be
representedondeepertissues.
Bright's diseasemaycome,breakingdownofthelungs,breakingdownoftheliver,
rheumaticaffectionoftheworstform,finallykillingthepatient.
Itisonlyintheearlierstagesthatitbecomescatarrhal.
Themanthinksheiscuredandhehasescapedtheoutwardmanifestationsbecausehis
constitutionisnotveryvigorous,butthediseasegoesonintoanadvancedstateuntilit
attacksthebloodandhebecomesanaemic.
Now,ifinthisconditionhemarry,hiswifedoesnotgetthecatarrhalstate,becausethe
contagioniscontractedinthebladdertrouble,butshegetstheanaemicstate.
Youmaycallitasecondarystateifyoulike,butitisreallythemoreinteriorformofthe
disease.
Fromthisanaemicstateitspreadsintoallfunctionsofthebody.
Thewomandoesnotgetthecatarrhalstate,becausethecontagioniscontractedinthe
womanatthestagewhichthehusbandhasreached.
Ifhehaspassedthecatarrhalstage,whatshegetsisbeyondthecatarrhalstate.
Shegetsfibrinouscondition,inflammationoftheuterusandthesofttissues,orlowgrade
changesinthekidneys.
Shemaygoonandhaveanyofthepeculiarconstitutionaldiseasesthatthewomanof
todayissubjectto.
Itisratherstrangethatitaffectsthesofttissuesandnotthebones.
Syphilisaffectsthesofttissuesandthebone,
Psoraaffectsthewholeeconomy,nothingescapes;itcausesageneralbreakdown.
Sometimesinthemanitdoesnottakethecatarrhalform,butproducesinflammationof
thetestes,oritmayaffecttherectum.

Again,ifyougotothebedsideofamanwhohasusedstronginjectionsforthepurpose
ofsuppressingagonorrhoealdischarge,andyoufindhiminbedwrithingandturning,
tossingandtwistingwiththepains,andtheonlyreliefforhimistokeepincontinual
motion;thepainsaretremendous,theyarerendingandtearingfrombeadtofoot;ifhe
cangetuphewillwalkthefloornightandday,
Thereisseldommuchswellingwiththisrheumatism;itseemstobealongthesheathof
thenervesandisrelievedbymotion.
Thesuperficialphysicianwillsay,hereisapatientrelievedbymotion,hereisacasefor
Rhus.
YougiveRhus,andthenfinditdoesnotdoasinglethingfortheman;butremember,
whenyouhavestudiedsycosisinitsinnermostnature,Rhusisnotanantisycoticremedy
andwillnothelpthispatientinhisrestlessness;itwillnothelphisawfuldistressand
anxiety.
Thisstatewillgoon,andwhenithasattackedhimsoviolentlyhistendonswillbeginto
contract,theywillshorten,themusclesofthecalveswillbecomesore,themusclesofthe
thighswillbecomesosorethattheycannotbetouchedorhandled;sometimesthereis
infiltrationofthemusclesandhardness,andthissorenessextendstothebottomofthe
feetsothatitisimpossibleforthepatienttowalk.
Heiscompelledtositorlieorcrawlaroundonhishandsandknees,soviolentaresome
cases.
Thesecaseswillgoonforyears.
Ihaveknownexternalapplicationsoftheallopathicphysiciantobeappliedtothesesore
feetandlimbsforweeksandmonthsandevenyears,andyettheygivenorelief;buta
correctprescriptionmadebyahomoeopath,carefullytakinginaccountandcoveringthe
whole nature of sycosis, will take the soreness out of the feet and bring back the
gonorrhoealdischarge.
Thereturnoftheoldsymptomsmeansrecovery.
Whenthedischargecomesbackthereliefofthesehorriblesymptomscomes,anddonot
consideranypatientcureduntilthedischargeisbroughtback.
Withreferencetothewoman,inwhomyouknowthatthecontagionhastakenplacein
the stage in which it existed in the husband, supposing she has inflammation of a
fibrinouscharacterandgoesintotheveryworstformsofanemia,withallthesallowness
andwaxinessandpatchyconditionoftheskinandthewitheringandtheorganictroubles,
ifahomoeopathicprescriptionbemadethatistrulyantisycoticyouneednotexpectthat
agonorrhealdischargewillappearinhercase;itisnotnecessary,shecangetwell
withoutit.
Ifshehadnodischargeshecangetwellwithoutitsreturn.
Thereverseorderofthesymptomsinhercasemeansonlythereverseorderofthoseshe
hashad.
Shemaynothavehadtheprimary,butallthatthatpatienthashadshemustgoback
through,stagebystageandsymptombysymptom.
Thewomanisthemostgrievoussufferer;sheisaninnocentperson,andwhenthereare
anaemicconditionsandagoingdownsteadilyinthewifethathascomeonafewyears
aftermarriageyoushouldalwaysbesuspiciousofthisdisease,atleastdonotallowitto

passunlessyouhavemadeasuitableinvestigationofthematter.
Sendforthehusband,talktohimquietly,tellhimyouwanttoknowwhetherhehasgone
throughanyofthespecificdiseasesinhisyoungerdaysthatitshallbeconsideredin
confidence.
Whenyouarethefamilyphysicianthatmustbedone.
Withfearandtremblinghewilllikelytellyouthewholestory;hehasgoneintohis
marriagewithadegreeofinnocence,becausehewasadvisedbyhisphysicianthatwhat
hehashadwillnotaffecthiswife.
Whenyouhavediscoveredthisstateinthefamily,watchtheirchildren;theywillbefew,
forsycosisverycommonlymakesawomansterile,orifshehasafewchildrenyouwill
findinthemastrongtendencytomarasmusinthefirstyear,orinthefirstorsecond
summerastrongtendencytoconsumption,oryouwillfindawithering,oldappearance
oftheface.
Anyoneofthesethreemiasmsmaypredisposethischildtothesethings,butwhenthe
childiswaxyandanaemic,isaccustomedtohavelientericstools,hasnodigestion,when
every hotspellbringsoncomplaints thatlooklikecholerainfantum,anditdoesnot
grow,doesnotthrive,youhavearighttosuspectitisasycoticcase,forsycosisisthe
mostfrequentcause.
Thisdisease,yousee,doesnotmanifestitselfbymanyeruptions,exceptthoseofawarty
character;itdoesnotmanifestitselfbyeruptionslikesyphilisandpsora,butoperatesby
bringingaboutarheumaticstateandananaemicconditionoftheblood.
ttakesholdofthebloodfirstandconformstothesubjectswhoareadvancedindeep
seatedtroubles,subjecttoepithelioma.
TheyareespeciallysubjecttoBright'sdiseaseandtoacutephthisis.
Iftheyhavepneumonia,itislikelytoendinabreakdownofsomesortinthelungs.
Iftheyhaveanyacutediseaseofaprolongedcharacter,liketyphoid,therecoveryis
alwaysslow.
Manifestlyitisagoodthingtoknowthehistoryofapatient,allthepeculiaritiesofthe
lifeofapatient.
Itisimportanttoknowwhetherthatpatientissyphiliticorsycotic.
Youknowthateverybodyispsoric,butthosethathavelivedaproperlifehaveescaped
thetwocontagiousdiseaseswhichmanacquiresinthefirstplacebyhisownseeking.
Whenapatienthasgonetotheendoftyphoidorsomelingeringdisease,youknowthat
heispsoric;butifyoualsoknowthatheissyphilitic,orthatheissycotic,youcan
conducthisconvalescenceintoaspeedyrecovery,andifhedeniesthesethingsyoumay
bepuzzled.
Thesycoticpatientmaygointoastateofdonothinganddeclineattheendofatyphoid
fever;convalescencewillnotbeestablished,hewillliewithanaversiontofood;he
doesnotreact,hedoesnotrepair,thereisnotissuemaking,noassimilation;thereisno
vitality,heliesinasortofsemiquiescentstate;thereisnoconvalescinginthematter.
Ifyouknowheisasycoticpatient,hemusthaveanantisycoticremedy,andthenhewill
begintorally.
Ifasyphiliticpatient,hemusthaveanantisyphiliticremedy.
Ifneitherofthesemiasmsarepresent,aremedylookingtowardshispsoricstatewill

causehimtorally.
Thenatureofthesecasesmustbekeptinview,youmustrememberthatthesechronic
miasms are present in the economy andafter anacute illness very often have to be
fought.
If this isnotknown,manypatients willgraduallysinkanddieforapparentwantof
vitalitytoconvalesce.
Ofcourse,theantisycotictreatmentfortheinfantwillbringback,asyouwillreadily
see,onlythatstagewhichtheinfantbeganwith.
Itwillnotbringoutadischargeintheinfant.
The infant has only the interior nature of the disease, and has not the primary and
outermostformsofit.
You will also remember another thing, that these infants when they grow up are
increasinglysensitivetosycosis;thattheyarealreadypreparedforasycoticgonorrhea
wheneverthefirstexposurecomes.
Thesusceptibilityislaidbyhisinheritance,justasthesusceptibilitytopsoraislaidby
ourparentsandthesusceptibilitytosyphilisislaidbyourparents.
Mancanonlyhaveoneattackinhisnaturallifetimeofoneofthethreechronicmiasms;
amancannottakesyphilis twice,hecannottakesycosistwice,hecannottakepsora
twice.
Thisisnotknown;amanwhenaskedhowmanytimeshehashadgonorrheawillsay:
"Abouthalfadozentimes;"
butonlyoneofthesewassycotic.
Thesycoticconstitutioncannotbetakenasecondtime.
Oneattackgivesimmunitytothatpersonforeverafter.
Theoffspringbecomesincreasinglysusceptibletoallthemiasmsthemoretheybecome
developedinthehumanrace.
Themoretheybecomecomplicatedwitheachotherthemorethehumanracebecomes
susceptibletoacuteandepidemicdiseases.
Now,youhaveageneralsurveyofthechronicmiasms.
LECTURE22:Diseaseanddrugstudyingeneral
Partofyourstudyshouldbetobringbeforethemind,asfullyaspossible,thediseases
thatthehumanraceissubjectto.
ThiscannotbedonetoanygreatextentfromOldSchoolbooks,astheydonottreatof
psora,syphilisandsycosisinsuchawayastobringtheimageofthediseasebeforethe
mind,andonlyinalimitedwaytheacutemiasmsaresobroughtbeforethemind.
The diagnostic or pathognomonic symptoms are brought out for the purpose of
distinguishingonediseasefromtheother,butnotwiththeideaofbringingtheimageof
thediseasebeforethemindthatitmaylooklikesomeremedyrecordedintheMateria
Medica,becausethatisnottheallopathicphysician'swayofprescribing.
ItisimportanttogooverthegreatbulkofthepsoricsymptomsthatHahnemannhas
giventoobtainasperfectanimageaspossibleofmediseasepsora.
IfwetaketheChronicDiseasesandgooverthem,writingoutoppositeeverysymptom

thatHahnemannhasmentionedaspsoricalltheremediesthathavebeenfoundfrom
provingstocorrespondtothesediseasesymptoms,weshallhavebeforethemindalistof
theantipsoricremedies.
ItisagoodexerciseandagoodwayofpreparingforthestudyofMateriaMedica.
Trytomasterthis:
Diseasesmustnotbelookeduponfromafewsymptomsthatthepatientmaypossessbut
fromallthesymptomsthatthewholehumanracebringsout.
Itisjustasimpropertolookuponpsorafromafewsymptomsasitistolookupona
remedy from a few symptoms, just as you see the image of a remedy from all the
symptoms, including the peculiar symptoms, so psora must be considered from its
characteristics,thefeaturesthatconstitutepsora.
Remediesareadjustedastoappearance;theappearancesoftheremedyexpressedin
symptomsmustbeadjustedtotheappearancesofthediseaseexpressedinsymptoms.
When you have finished psora, take up sycosis, and spend much time in gathering
togetherallthesymptomsthatsycoticpatientshavefelt,alltheirsufferingandallthe
ultimates.
Groupthemasone,andlookuponthemasonemiasm.ThengototheMateriaMedica
againandmakeananamnesis.
Take each symptom and place opposite it all the remedies that have produced that
symptom.
Youcanreadilyseethattheremediesthatrunthroughmoststronglywillbeantisycotic
remedies,i.e.,theremediesthathavetheessentialsofthediseaseorthenatureofsycosis
inthem.
Inthesamewaymakeananamnesisofsyphilis.
Bythesemeansyouwillbringbeforeyourmindthethreechronicdiseasesofthehuman
race,andwhenthisisaccomplishedinageneralwayyouwillbepreparedtoenterupon
theirtreatment.
Butrememberthatthesymptoms,whenitcomestoprescribingforachronicpatient,
constitutethewholebasisoftheprescription;wehavenoother.
We may theorize as much as we have a mind to, but when it comes to the actual
application,thesymptomsmustguidetotheremedy.
Thereare,however,agoodmanydifferentwaysoflookingatthesymptoms.
Itisaveryeasythingtobecomeconfusedoverthesymptomsandfallintoerrorbytaking
symptomsthatareunimportant.
YourstudyintheMateriaMedicawillillustratehowyoumuststudydisease,astheplan
ofstudyingtheMateriaMedicaforthepurposeofbringingtheimageofaremedybefore
themindistheplanwemustadoptinstudyingadisease.
Thephysicianwhocanonlyholdinhismemorythesymptomsofadiseaseoraremedy
willneversucceedasahomoeopath.
Hehasnottaughthimselftothink,hehasonlyamassofparticulars,andnothingtotieto.
Thereisnoorder.
Itislikeamob.
HereIwanttoreadyouanoteofHahnemann's.
"Shouldit,however,hethoughtsometimesnecessarytohavenamesfordiseases,inorder

torenderourselvesintelligibleinafewwordstotheordinaryclasseswhenspeakingofa
patient,letnonebemadeuseofbutsuchasarecollective.
Weoughttosay,forinstance,thatapatienthasaspeciesofchorea,aspeciesofdropsy,a
speciesofnervousfever,aspeciesofague",etc.
Itwillleadthemindintoheresyifonegetsintothecustomofspeakingfromappearances
andnamingdiseasesaccordingtotheoldway.
Thehomoeopathicphysicianmustavoidthinkingthatway.
Onewhohasbeeninthehabitofthinkingthatwaymustmakeagreatefforttokeepthe
mindfromrunninginthatgroove.
Ofcourse,itwouldbefollytotalktoanoldschoolphysicianortoapatientinanyother
wordsandwecantalktothemso,forthesakeofconversingbutwemustknowwhenwe
speakinsuchawaythatitisonlyanappearance.
Thisnowbringsustoparagraph83,whichtakesupthestudyandexaminationofthe
patientandthequalificationsnecessaryforcomprehendingtheimageofadisease.
Youhaveprobablybythistimecometotheconclusionthatanoldschoolprescriber,and
perhapsthemajorityofsuchascallthemselveshomoeopathsatthepresenttime,are
perfectly incompetent to examine a patient, and therefore incompetent to examine
Homoeopathy,totestit,soastosaywhetherthereisanythinginitornot.
Theyhaveeveryelementoffailureandnoelementofsuccess.
ItisimpossibletotestHomoeopathywithoutlearninghowtogetthediseaseimageso
beforetheeyethatthehomoeopathicremedycanbeselected.
Whatanaturalthingitwouldbeforanallopathicphysiciantosay:
"IamgoingtotestHomoeopathy.Thispatienthasacaseofvomiting,andIwillgive
Ipecacuanhabecauseitproducesvomiting."
SohegivesIpeca.,andthepatientkeepsonvomiting.
HehastestedHomoeopathyanditisnogood!
Thatisthewaytestsareusuallymade.
IhavehadphysicianstellmethattheyhavetestedHomoeopathyanditfailed;butI
knowthatitwasnotHomoeopathythatfailedbutthephysicianwhofailed.
Wheneverfailurecomesitisafailureofthephysicianandnotofthelaw.
Thisisaboutthekindofatestthatismadetodayinthisenlighteneddayandageofthe
world.
Theyhaveneithertheknowledgenorthestateofmindtomakeatest.
Theydonotknowwhattoobserve,orhowtoselectaremedy.
Ifweshouldlookupalltheremediesthathavevomitingwewouldfindaprettygoodlist,
buttomakeuseofthatlistthemindmustbepreparedtoseewhichoneinitissimilarto
thisindividualpatient.
"Theexaminationofaparticularcaseofdisease,withtheintentofpresentingitinits
formalstateandindividuality,onlydemandsonthepartofthephysiciananunprejudiced
mind,soundunderstanding,attentionandfidelityinobservingandtracingtheimageof
the disease, I will content myself in the present instance with merely explaining the
generalprinciplesofthecoursethatistobepursued,leavingittothephysiciantoselect
thosewhichareapplicabletoeachparticularcase."
Thefirststatementisthatthephysicianmustbeofunprejudicedmind.

Whereareyougoingtofindsuchaperson?
Ifthatisessential,thereisalmostnobodythatcanexamineacaseforthepurposeof
findingaremedyforthatcase.
Anunprejudicedmind!
Atthepresentdaythereisalmostnosuchthingasanunprejudicedmind.
GooutamongthedoctorswhoprofesstopracticeHomeopathyandyouwillfindtheyare
fullofprejudice.
Theywillatoncecommencetotellyouwhattheybelieve;onebelievesonethingand
anotheranotherthing;theyallhavevaryingkindsofbelief.
Thisdoesnotcomefromaquestionoffact,butitcomesfromwhateachmanhaslaid
downasfact.
Whateachmanwantstobeso,inhisview,isso.
Thatestablishesinhismindastateofprejudice,andasnotwoagreetherearemany
differentopinions,themajorityofwhichmustbefalse.
Gointoanythingthatyouhaveamindto,andyouwillfindmanfullofprejudice.
Thisstateofprejudiceexistsintheexaminationofapatient.
Thephysiciangoestothepatientprejudicedastohisowntheories.
Hehashisownideasastowhatconstitutesthecorrectmethodofexamination,andsohe
doesnotexaminethepatientforthepurposeofbringingoutthetruth,thewholetruthand
nothingbutthetruth.
Hisprejudicesleadhimtosnapthepatientupassoonashebeginstotellhisstory.
Hewillthumphimallover,fromheadtofoot,andthentellhimwhatisthematterwith
him.
Aprescriptionthathasnoearthlyrelationtotheconstitutionalstateofthepatientfollows,
butnoexaminationhasreallybeenmade.
Itmightreadilyandtruthfullybesaidthatthetruemanhasnoprejudices.
Itiscertainthatthetruemanisonefreestfromprejudices,onewhocanlisten,whocan
examine,evidenceandwho,canmeditate.
Whatwouldwethinkofajudgewhowouldgointoacasewithstrongprejudice?
Thelawprovidesthatajudgecannotsitinjudgmentoverhisbrotheroroverhiswife,or
overbigotherrelatives.
Inahomoeopathicphysiciananunprejudicedmindcanonlybeattainedbylearningall
thetruthandallthedoctrinesofHomoeopathy.
Ifaphysiciangoesinwithprejudiceforacertain,potencyoracertaindisease,ora
prejudiceagainstcertainprinciples,heisnotinarationalstate,heisnotinfreedomwith
thepatientandhegoesintotheexaminationinignorance,andifhecannotfreehimself
fromprejudicehecannotprescribe.
If a manhasarrivedatadegreeofsoundunderstandingconcerning thedoctrines of
Homoeopathy,concerningthedoctrinesofpotentization,concerningthedoctrinesthat
relatetochronicandacutediseases,concerningtheMateriaMedica,hegoesintoitwith
fullfreedom,withanintentiontoexaminethecaseinallitslengthandbreadth,andto
listenpatiently.
Helistenstothefriendsofthepatientandheobserveswithoutprejudice,withwisdom
andwithjudgment.

Hemustgointothecasewithoutforminganyjudgmentwhateveruntilallthewitnesses
havetoldtheirtaleandalltheevidenceisbeforehim.
Thenhecommencestostudythewholecase.
Thatisdoingitwithoutprejudiceandforthisasoundunderstandingisnecessary,witha
clearknowledgeofallthingsrelatingtothesubjectandtoallofhisduties.
Ifanallopathicphysicianwastocomeinandlistentothelongexaminationofacasebya
homoeopathhewouldwanttoknowwhatitwasallabout.
Hedoesnotseeanythinginit,becausehehasnotaknowledgeoftruemateriamedica.
Thehomoeopath'spurposeistotransferaman'ssicknesstopaperandsofindtheimage
ofthesicknessintheMateriaMedica.
Theallopathicphysiciancouldnotdothat;hecouldnotputtheimageofthesicknesson
canvassothathecouldfitthepicturetotheMateriaMedica,forhewouldnotknowone
ofourmedicineswithwhichtocompareit.
The unprejudiced mind then comes from sound understanding, and a sound
understandingcomesfromeducation.
The education wearenow talking aboutis aneducation inHomoeopathy, becoming
acquaintedwithallthedoctrinesstepbystep.
After being taught how to give attention and what to give attention to fidelity is
necessary.
Thisfaithfulnesswouldneverbeshownbyonewhohadnotremovedallhisprejudices
byopeninghismindtotheprinciplesanddoctrines.
Hereweworktogether;weallworkafterthesamefashion.
Takeeveryoneofthestudentsthatgoesthroughhereforayear,andyouwillfindthathe
hasthewaysoftheschoolandcarriesthestampoftheschool.
JustasthestampofHarvardorthestampofYaleisuponeverystudentthatcomesfrom
eitheroftheseinstitutionssothestampofthePostGraduateSchoolisuponeverystudent
thatgoesthroughitscurriculumwithfaithfulnessandearnestness.
Whatwearenowabouttoconsideristheplanforthefaithfulandcarefulexaminationof
acase.
Itisourpurposetocurethecase,anditisnecessaryforthispurposetobringthepatient's
symptomsintheverybestpossiblewaybeforethemind.
Thisisalongandtediousstudy,andtherearemanydifficultiesintheway.
Diseasemustbebroughtoutinsymptoms,withtheendofitsbecomingalikenessof
someremedyoftheMateriaMedica.
All the diseases known to man have their likeness in the Materia Medica, and the
physicianmustbecomesoconversantwiththisartthathemayperceivethislikeness.
Youwillfindatfirstitisnotaneasymatterandthat,tobecomeexpert,requiresthe
continualapplicationofpatience.
Allthesensesmustbeonthealertinordertoperceivethatwhichissimilar,andmost
similar.
Nowwecometothedirectionstothephysicianfordiscoveringandtracingouttheimage
ofthedisease.

LECTURE23:Theexaminationofthepatient

Organon84.Thepatientdetailshissufferings;thepersonswhoareabouthimrelate
whathehascomplainedof,howhehasbehavedhimself,andallthattheyhaveremarked
inhim.
Thephysiciansees,hearsandobserveswithhisothersenseswhateverthereischangedor
extraordinaryinthepatient.
Hewritesallthisdownintheverywordswhichthelatterandthepersonsaroundhim
makeuseof.
Hepermitsthemtocontinuespeakingtotheendwithoutinterruption,exceptwherethey
wander intouselessdigressions,takingcare toexhortthem atthecommencement to
speakslowlythathemaybeenabledtofollowthemintakingdownwhateverhedeems
necessary.
Oneofthemostimportantthingsinsecuringtheimageofasicknessistopreservein
simplicitywhatthepatienttellsusinhisownwayunlesshedigressesfromtheimportant
thingsandtalksaboutthingsthatarefoolishandnottothepoint;butaslongashe
confineshisinformationtohisownsufferings,lethimtellitinhisownwaywithout
interruption andintherecordusehisownlanguage,onlycorrectinghisgrammatical
errorsforthepurposeofprocuringtherecordasperfectaspossible.
Ifyouusesynonymsbesurethattheyaresynonymsandcannotbeperverted.
Ofcourse,whenthewomanspeaksofhermenstrualperiodas"monthlies"orasher
"show" the more suitable medical term is "menses" which is a synonym for those
expressions,andismoreexpressivethanherownwayofcallingit"ashow".
Soingeneraltermsyoucansubstitutetermsofexpressionsolongasyoudonotchange
theidea.
Ofcourse,thechangingof"legs"into"limbs"ifyoufeellikemakingsuchachangeis
notachangeofthought,butbesureinmakingachangeitisnotachangeofthought.
Itisoneofthemostimportantthingsinformingtherecordofapatienttobeabletoread
itatasubsequentexamination,withoutbeingdisturbedbytherepeatedstatementsofthe
patient.
Ifyouwritearecordinconsecutivesentences,youwillbesoconfusedwhenhuntingout
thesymptomsofthepatientthatyouwillbeunabletoformanimageofthatsicknessin
themind.
Itistrulyimpossiblewhenthemindisfullwiththeeffortathuntingoutsomethingto
listenwithproperandconcentratedattention.Youshoulddivideyourpageinsucha
mannerthatwhenthepatientistalkingtoyouaboutthisthingandthatthingandthe
otherthing,ofhersymptoms,youcanwithoneglanceoftheeyelookdownoverthe
pageoftherecordandseeeverythingthereisinthatpage.
Ifyourrecordisnotsoarranged,itisdefective.
Now,arecordcanbesoarrangedbydividingthepageintothreecolumns,thefirstof
which contains the dates and prescriptions, the second the emphatic symptoms or
headingsandthethirdthingspredicatedofthesymptoms,thus:
Date
Symptom.

Thingspredicatedofthesymptom
Remedy
<(aggravation)

>(amelioration)
Afterthepatienthasdetailedhissufferingsinhisownwayandyouhavegonethrough
themanddiscoveredallthethingsthatyoucanpredicateofhissymptomsthenyoucan
proceedtomake,enquiryofsomeonewhohasbeenwiththispatient.
Inastudylikethiswithmostofourprivatepatientstherehasbeenanurse,sometimes
onlyasisteroramotherorawife,whohasbeenobservingallthesickindividualhas
complainedof.
"Thepersonswhoare,abouthimrelatewhathehascomplainedof,howhehasbehaved
himself,andallthattheyhaveremarkedinhim."
Now,thisshouldbelistenedtowithgreatcare.
Itismoreimportantinthisinstancetodecidewhethertheobserverisoveranxious,ifa
wifewhethersheisnotfrightenedconcerningherhusbandandsointerminglesmanyof
hernotionsandfears,whichyoumustacceptwithdiscretion.
Getthenurse,ifpossible,torepeattheexactwordsofthepatient.
If such a thing can be done in acute sufferings it is worth more than the words or
expressionsofthenurse,thewifeforinstance,becausethemoreinterestedandanxious
thepersonisthelesslikelyshewillbetopresentatruthfulimage,notthatshewantsto
deceive,butsheisdreadfullywroughtupandthemoreshethinksofwhathehassaidthe
greaterhissufferingsappeartoher,andsheexaggeratesthem,Itisimportanttohavethe
statementfromonewhoisdisinterested.
Two or three of the observers who are intelligent having been consulted and their
statementsrecorded,thephysicianthennoteshisownobservations.
Heshoulddescribetheurineifthereisanythingpeculiaraboutthat,butiftheurineand
stoolarenormalheneednotcareaboutthedescriptionofthese.
Ithasbeenthestudyforhundredsofyearstofindthebestwaytoquestionwitnessesin
court,andasaresulttheyhavesettleduponcertainrulesforobtainingevidence.
Homoeopathyalsohasrulesforexaminingthecasethatmustbefollowedwithexactitude
throughprivatepractice.
Amongpupilswhohavebeentaughthere,Iknowsomewhohavemerelymemorizedand
somehavenotevenmemorizedbuthavefallenaway.
Thesestudentsareviolatingeverythingtheyhavebeentaught;theyhavegonetolow
potencies,makinggreaterandgreaterfailures,totheshameofthetutorandthescience
theyprofesstofollow.
Iexpectsomeinthesoundofmyvoicewillbedoingthisfiveyearsfromnow;thisisa
warning,stopbeforeyougotoofar,oryouwillnotfeelthefaultisyourown.
Youwillthinkyouwerehypnotizedandledintofalseways.
Ifyouneglectmakingacarefulexaminationthepatientwillbethefirstsufferer,butin
theendyouyourselfwillsufferfromit,andHomoeopathyalso.
The questions themselves that Hahnemann gives are not important, but they are
suggestiveandwillleadyouinacertaindirection.
Questionthepatient,thenthefriends,andobserveforyourself;ifyoudonotobtain
enoughtoprescribeon,gobacktoparticulars.
Aftermuchexperienceyouwillbecomeexpertinquestioningpatientssoastobringout
thetruth.

StoreupMateriaMedicasoastoroeitanditwillflowoutasyourlanguageflows.
Youmustputyourselfonalevelwiththeformofspeechyourpatientsuse.
Besureyouhavenotputanywordsintoyourpatient'smouthorbiasedhisexpression.
Youwanttoknowalltheparticularsbutwithoutaskingaboutitdirectly.
Ifyouaskadirectquestion,youmustnotputthesymptomintherecord,forninetynine
timesoutofahundredthepatientwillanswerby"Yesor'No".
Ifthepatient'sansweris"YesorNo,"yourquestionwasbadlyformed.
Ifaquestionbringsnoanswerletitalone,forhedoesnotknoworhasnotnoticed.
Questionsgivingachoiceofanswersaredefective.
Ascertaintheprecisepartofthebodythepainwasinandthecharacterofthepain,etc.
Ininvestigatingacasetherearemanythingstolearn,thelengthoftheattack,appearance
ofthedischargeifitisacaseofvomiting,itscharacter,thetimeofday,etc.,etc.
Everystudentshouldgooverthesequestionsframingcollateralquestions,andpracticing
casetaking.
Leavethepatientinfreedomalways.
Donotputanywordsintohismouth.
Neverallowyourselftohurryapatient;getintoafixedhabitofexamination,thenitwill
staywithyou.
Itisonlywhenyousustainthesharpestkindofworkthatyoucankeepyourreputation
andfulfilyourhighestuse.
Sayaslittleasyoucan,butkeepthepatienttalkingandkeephimtalkingclosetotheline.
Ifhewillonlytalk,youcanfindoutsymptomsingeneralandparticular.
Ifhegoesoff,bringhimbacktothelinequietlyandwithoutdisturbinghim.
Thereisnotmuchtroubleinprivatepractice.
Thereyouwilldoabetteraverageofwork.
Allsleepsymptomsareimportant,theyaresocloselyrelatedtothemind,thetransfer
fromsleeptowaking,fromcerebrumtocerebellum,isimportant.
Oldpathologistswereunabletoaccountfordifficultbreathingduringsleep.
Thecerebrumrulesrespirationduringsleep.
Toknowthefunctionsofthewhitematterandgraymatterisimportant.
Arationalknowledgeofanatomyisimportant.
Nohomoeopatheverdiscouragedthetruestudyofanatomyandphysiology.
Itisimportantnotonlytoknowthesuperficialbutthereal,profoundcharacter,toenable
youtorecognizeonesymptomimagefromanother.
Studythisparagraphcarefullyandmeditateuponit.
Ifyoudonotformhabitsnow,youwillnotformpracticehereafter.
Youhavenoregularcourseandwillgetintohabitsyoucannotbreakup.

LECTURE24:Theexaminationofthepatient(continued)
Theexaminationmustbecontinuedwithduerespecttothenatureofthesicknessand
withduerespecttothenatureoftheMateriaMedica.
Somesymptomshavereferencetopathologyanddiagnosis,whileothershavereference
onlytotheMateriaMedica,andsymptomsmustbeconstantlyweighedinthemindin

ordertoestablishtheirgradewhethercommonorpeculiar.
Ifallarefoundtobecommonsymptoms,theMateriaMedicaisleftout.
EithertheexaminationhasnotbeenmadewithrespecttotheMateriaMedica,orthe
symptomsarenotthereatall.
Itmakesnodifferenceasfarascureisconcerned;itmattersnotwhethertheyarenot
presentinthecaseorwhetherthedoctorhasnotfoundthem,thekeytotheprescriptionis
notpresent.
But if theimageisroundandfullandcomplete, therearesymptoms withregardto
pathology,diagnosis,prognosisandMateriaMedica.
It will be proper later to talk of incurable diseases, pathognomic symptoms, obscure
cases,MateriaMedicasymptoms,etc.
Whenthephysiciancomestolookovertherecordafteranexaminationtogettheimage
toclassifyandarrangeit,hewillfindwhatispeculiar,andthosesymptomsthataremost
general,andthosethatarebutcommon.
Thesethreegradesappearineverycompletecase,andineverycompleteprovingofa
remedy.
Homoeopathicstudyandobservationwillenableonetopickoutthesegradesataglance.
Everycasehascommonsymptoms,butpeculiarsymptomsmaybeabsentandyoumust
notexpecttocurewhenpeculiarsymptomsareabsent.
Homoeopathyisapplicableineverycurablecase,butthegreatthingistoknowhowto
applyit.
Thephysicianmustsitinjudgmentuponthesymptomsanddeterminewhethertheyare
peculiarorcommon.
Ifthepatient'sdiscourseisincoherent,thequestionarisesisheintoxicatedordelirious,or
istherebreakingdownofthebrainandinsanity?
Theflashoftheeyeisimportant;itwilltellthingsthatcannotbetoldbythenurse.
Itisimportantforthephysiciantoknowthevalueofexpressions.
Whenthepatientstareswithglassyeye,isheinjuredaboutthehead,ishesufferingfrom
shock,intoxicationortyphoidfever,orsomediseaseinwhichthemindisstunned?
Thephysicianimmediatelyproceedstoask:
"Howlonghasthepatientbeeninbed?"
Ifthecharacterisabovereproach,hewillnotsuspectintoxication;ifthepatienthasbeen
sickformanydayswithfever,tonguecoated,abdomensensitive,etc.,heisfullyentered
uponthecourseoftyphoidfever.
The physicianmustknowimmediately uponentering theroomwhatthestate ofthe
patientresembles:apoplexy,coma,opiumpoisoning,etc.
Aphysicianissupposedtosethismindtoworkinstantly,toascertaintheconditionofthe
patientandwhatrelationthesymptomsmaintaintotheMateriaMedica.
Ifanopiumpoisoningtheremustbeselectedanantidote;ifapoplexy,acarefultakingof
the symptoms in relation tothe cerebral clot to preventinflammation andsymptoms
relativetothatstate,andrelativetotheremedy.
Thepatientmaybeintoxicatedandhaveapoplexyatthesametime.
Thereisnosymptominthesickroomwithoutitsvalue,especiallyinacuteandserious
cases.

Childrenaresometimesfoundinasoundsleepandcannotbearoused;themothersays
thechildhaswormsandgivesCina,forCinahasallthesesymptomsofstupor,difficulty
inarousing,fallingbacktosleep.
But the child fails, going into coma, the nose flaps, the chest heaves, the brow is
wrinkled, there is rattling in the chest, showing the child is going into cerebral
congestion.
Thephysiciannowmustexamineoneverysideofthecasetofindthenature,toknow
whattoexpect.
Hewhoneglectsthisisnotatruehomoeopathicphysician;ameresuperficialapplication
ofHomoeopathyisnotsufficient.
Afterallthesymptomsarewrittenout,thephysicianmuststudythecharacterofthe
fever,whetheritisintermittent,continuedorhascomeoninonesuddenattack;hemust
knowsufficientofthesymptomstojudgeofallthese.
Youwilllearnsomuchaboutthepurportandtheaspectofeverymotionofthehuman
beingthatyouwillplacelessandlessrelianceondiagnosticsymptomsasdiagnostic
symptoms,andlearnmorethevalueofsymptomsassymptoms.
You will be astonished to find how expert you will become about diagnosis and
prognosisbystudyingthesymptoms.
Youcanlearnsomethingfromeverycaseyouhaveaccessto.
Isitawaxyface?
Anavalancheofcasescomeintomind;butbyaprocessofrapidexclusion,yousayitis
notcholera,nothemorrhage,etc.,andlatterlyyoucometothecauseofthisaspect.
YoucantellwhenitistimeforcardiaccompensationtobebrokeninBright'sdisease;a
peculiartremulouswavethatbelongstothemusclesofthefaceandneck,atremulous
jerkofthetongue,puttingitouthalfway;thepale,cold,semitransparentskinwithcold
sweat.
Itisimportanttoknowinstantlywhatthecauseis,forthetreatmentwillbedifferent,but
rememberthatitisnothingthatyouneedtonamethatmakesitimportant.
Allthesesymptomshaverespecttoremedyandtodiagnosticconditions.
Sofarasthereisamorbidanatomywhichcanaccountforsymptoms,somuchlessare
thosesymptomsworth,asindicatingaremedy;ifyouhadnootherthansuchsymptoms,
youcouldfindnoremedy.
Among the many things that interfere with the examination of the patient the most
importantisthetakingofmedicines,orhavingdonesomething,nomatterwhatitis,that
hasbeencapableofchangingthesymptoms.
Verycommonly,thepatientwillpresenthimselfinthedoctor'soffice,andaftergivinga
longarrayofsymptomswillrelateadoseofQuinine,andhethinksheisnobetter,and
nowheappliestoyouforrelief.
In acute diseases this is very bad and may interfere with finding the homoeopathic
remedy.
Veryoftenthegeneralstatecollectivelybothdruganddiseasesymptoms,inaveryacute
conditionmustbeprescribedfor,butinchronicdiseasetheplanisdifferent.
The symptoms that arise after the taking of a dose of powerful medicine are not
indicativeofaremedy,theyareconfusing,theypresentnotrueimageofthediseaseand

hence thephysician hasnothing todobutwait,oratmostadminister awellknown

antidotetothedrugtaken.
Sometimeshemustwaitaconsiderabletimeuntilthesymptomsrevealthemselvesand
expressthenatureofthesickness.
Itisjustasbadwherethephysicianhimselfisabunglerasitiswherethepatienthas
takenthedrugs.
The confusionarisingfrombadprescribing is justthe sameas that producedbythe
patient'sdrugging.
Therearephysiciansgoingaboutwhowillmixuptheircasesandcontinuetoprescribe
fortheirowndrugsymptoms,andwho,neverhaveanyideaofwaitingforthetrueimage
ofthediseasetodevelopitself.
Druggingisonlyamatterofchangingsymptomsandmaskingthecase.
Anythingthatwilleffectachangeinthesymptoms,thetakingofdrugs,ordrinkingtoo
muchwineordrinkingtoddyorgreatexposure,willmaskthecase,andthismaskmust
wearawaybeforetheintelligentphysiciancanmakeacure.
Thewholeaimofthephysicianistosecurethelanguageofnature.
Ifithasbeenmaskedbymedicines,itcannotbesecured.
Anymeddlingwillsoallecttheaspectofthecasethatthephysiciancannotprescribe,and
thephysicianwhodoesthismeddlingmustinevitablybedrivenintobadmethodsorinto
allopathy.
Ihavelookedovertheworkofbadprescribersandhavewonderedwhatonearththey
couldseeinHomoeopathytoattractthem;theydonotcurefolks.
Theyhavenocurestopresent.
Thepatientscannotwellbesatisfiedbythesethings.
It is true that once in a while a strong, vigorous, robust patient, when he gets a
homoeopathicremedy,willgoongettingwellthroughamessofsymptomchangingand
drugging,sothatinspiteofthismeddlesomepracticehewillrecover.
Thephysicianinthatcase,knowsnotwhatremedytoattributetoit,forhehasgivena
greatmany.
Butonlythemostvigorousconstitutionwillstandsuchhomoeopathicvillainy,goonand
getwellinspiteoftheirindulgenceinwine,ineating,etc.;itiswonderfulwhattheir
ownpowerswilldointhrowingoffdisease.
Inordinarycases,however,weseenosuchthings;confusionisbroughtaboutatonceif
thephysicianadministeranothermedicineinplaceofadministeringplacebo.
Attimesapatientwillpresenthimself,andyouorbeabletogetatrueimageofthe
sicknessbyascertainingallthethingsthatoccurreduptoagivendate.
"Uponthatdate,"hesays,"Itooksomemedicine,andmostofmysymptomssubsided."
Theyleadtoanotherimagefromwhichyoucangathernothing;ascatteringhastaken
place.
Thesymptomsmaycoverpageuponpage,andyetwhatremedydoyousee?
Noneatall;itlooksasifanumberofprovingsofdrugshadbeenmixedupalltogether,
interminglingsymptomshereandtherewithoutanydistinctness.
Noindividualizationispossible.
Nowuptothatdatethesymptomsyougatheredmaybejustallthatisnecessary.

Uptothatdatethesymptomspresenttheimageofaremedywhich,ifadministered,may
yetact,thoughsometimesitwillfailatfirstbecauseoftheconfusion,butafterwaitinga
littleitwillact.
AftertheadministrationofaremedyprescribeduponsymptomsinthepastIhaveknown
theremedymanytimestogoonacting.
AgainIhaveknownthatremedytofailentirely.
Insuchacase,waitawhileandthenorderwillbegintocomeandthatremedywhichwas
indicatedprevioustothedruggingwillact.
Supposeaphysiciancomestoyouandsays,
"UptoacertaindateIwasabletoholdthispatient'ssymptomsinorderwithThuja;but
thenthesymptomsseemedtochangeandIgavesuchandsuchmedicines,andhave
neverseensuchgoodresultsinprescribingasIdiduptothatperiod.
YoumustgivehimThujaagain,andinthiswaytakeupthethreadwhereitwaslost.
Examinetheimageofthecasewheretheorderwaslost;becausethatiswheretheimage
mustbefound.
"On the contrary, the symptoms and the inconveniences which exhibited themselves
previoustotheuseofthemedicines,orseveraldaysaftertheirdiscontinuance,givethe
truefundamentalnotionoftheoriginalformofthemalady."
Thisistheidea,gettheoriginalformofthemalady.
Todothis,attimeswehavetotracethroughamassofdifficultiesandconditionstoget
backtotheoriginalformofthetrouble,butyoumustgettherebecauseyouwillseethat
inthebeginningthismalady,inaccordancewithalllawsofDivineProvidence,must
haveconformedtosomeremedythathadbeencreatedforitscure.
Thesymptomsatthattimestoodoutindicatingthismedicine,butsincethentherehas
beennothingbutconfusion,nothingthatcanbetiedto,nothingthatcanbeexamined;it
appearstohavenorelationtoanything.
Very often we can take up the thread and get back to the remedy that was clearly
indicated,eventwentyyearsbefore.
Ifthatremedywasindicatedthen,andwasnotgiven,thecurethatwaspossiblebythat
remedyorasimilaroneistheonlythingtobeconsidered;thatistheonlyremedyinthe
case.
Sincethattimethepatienthasbeenincontinuedturmoilfromtheactionofdrugs.
Becauseitwastwentyyearsagothereisnoreasonthatyoushouldnotthinkofthatdrug.
Thepatient'sdiseasehasnotbeencured,ithasonlybeenchangedandmodified;butitis
thesamepatient,andthesamesicknessandrequiresthesamemedicine.
Ifthediseasehasbeencomplicatedbydrugs,however,youcannotalwaysgettheaction
ofthatmedicinewhichthepatientneedsforthediseaseperse,butafterthedrugshave
beenantidotedyouwillhavetogivethatverymedicinethatyoufiguredoutandhewill
becured.
itisnecessaryalsotoobservethechangesallalongthelineofprogresstoknowthe
diseaseatitsbeginnings,itsearliermanifestations,itssymptomsandasendings.
Youfind,say,mostviolentneuralgicpainsalongthecourseofnervesinanadultpatient,
andfortheseyouadministerremediesuntilyouaretiredandgetonlytemporaryrelief;
butyoudiscoverthatinhischildhoodhehadaneczema,andyouwillfinditlookslike

Mezereum,andseeitsviolentneuralgiasaresimilartothoseofyourpatient.
TheadministrationofMezereumcuresthisneuralgiaandbringsbacktheeruptionthathe
hadinhisbabyhood,andhegoesontorecovery.
Without getting that view of the old scald head, you would not have thought of
Mezereum.
Or,insteadofMezereum,Sepiamayhavehadthelikenessofthatscaldhead,andhemay
nowhavethemoststrikingandcharacteristicsymptomsofSepia;forbeholdthelittle
thingsthathavebeenputintosuchaturmoilbyabaddruggingaretinderSepia,andyou
putyourpatientonSepia,andtheselastappearingsymptomsgofirstandtheeruption
comesbackupontheheadandbehindtheears,andSepiahascuredhim.
Whenthesethingsareseenoneafteranotherineverydaypracticethephysicianmust
begintowonderifthereisnotsometruthinitall.
Andassureasyoulive,ifyoupracticefaithfully,carefullystudyingyourcasesatgreat
length,gatheringineverythingthatwasinthebeginning,yourcureswillbesostriking
thatthemultitudewillcometoyoutobehealed.
Youcannotplacetoomuchimportanceuponthemaskingofapatient'ssymptomsby
medicines,byimproperrepetitionsandbydosingcarelessly.
Organon94."Oninquiryinto,astateofchronicdiseaseitisrequiredtoweighthe
particular circumstances in which the patient may be placed in regard to ordinary
occupation,modeoflifeanddomesticsituation,"etc.
Almosteverythinginlifeiscircumstantial.
Alloftheactivitiesoflifearecircumstantial,i.e.,therearenoactivities thatarenot
governedbycircumstance.
Thereisnobusinessthatisnotgovernedbycircumstance.
Thecircumstancesofaman'slifegovernhisactionsandreactions,symptomsandthe
developmentofsymptoms.
Thebodyisassociatedwithcircumstances,everyfunctionisrelatedtocircumstance,and
wemaysayallthenaturalfunctionsoflifeareconnectedwithcircumstances.
Without these we would have nothing to prescribe upon, we would have nothing to
ascertain images by, we would have nothing to form the symptoms, hence the
circumstancesoflifeandhabitmustbestudiedwithaviewtogoingintotheslightest
particulars.
Toillustratethatmoreparticularly,andtobringitdowntoapracticalbasis,wemaysay
thattheexaminationofeverywomanrelatestohereating,herstool,hermenstruation,
herbathing,herdress,becausethesearethethingsnaturaltoher.
Thesearethecircumstancesinwhichhersymptomsmaycomeormaynotcome.
Untilthewomaniseducatedtoitshedoesnotunderstand.
"Whatdoyoumean,Doctor?"shesays.
ThenImaysay,
"Youhavegivenmethesesymptoms;yousayyouhaveheadache,stomachache,etc.
Nowwillyouproceedtorelatetomeunderwhatcircumstancesthisheadacheappears,
howitisaffectedbyyourchangesindress,bythechangesinweather,howitisaffected
before,duringorafteryourmonthlyindispositionandsoon."
Now,thesearethenaturalcircumstances.

Inadditiontotheseanothergroupofcircumstancescomesup,agroupofcircumstances
somewhatdifferent,inrelationtoordinaryoccupation.
Everypersonwillhavecircumstancesmoreparticularthanthoseingeneral.
Occupationwillmakechangesinthecircumstancesofyoungwomen.
ShemaybestandinguponthefloorofWanamaker'sstoreallday,andthishasproduceda
conditionofprolapsus;orshemayleadasedentarylifeatherworkasseamstress,orshe
maybeatsomeotheroccupation,thecircumstanceofwhichwilldevelopherpsoric
manifestations.
Modesoflifemeanagreatmanydifferentthings.
They come in as supernumeraries over and above the natural conditions and
circumstancesoflife.
Thenaturalfunctionsandcircumstancesoflifehavetobeconsideredinrelationtothe
modeoflife.
Themodeoflifecomesinastheexcitingcauseofdisease,wherebypsorawhichisinthe
economyisdevelopedinacertainpeculiardirection.
Thedomesticisoftenthecauseoftroubleinthewoman;theremaybemarriagetoaman
whoisintemperatewithhersexually;shemayhaveadomesticsituationthatcannotbe
cured,anditmustbeexaminedastoitspermanencyandtheprospectofremovingit.
Thingsthatcannotberemovedwilldeveloppsora,inapeculiardirection.
"Allthesecircumstancesoughttobeexaminedtodiscoverifthereisanythingthatcould
givebirthtoandkeepupthedisease,sothatbyitsremovalthecuremaybefacilitated."
LECTURE25:Theexaminationofthepatient(continued)
Organon92.Thepatientsgenerallycallattentiontothecommonestthings,whileitis
thestrangeandpeculiarthingsthatguidetoaremedy.
Thesymptomsmostcoveredupfromtheobservationofthephysicianareoftenthethings
guidingtotheremedy,butfinallytheyleakoutinsomeway.
Thesymptomisofsuchacharacterthatthepatientsaysofit,
"IhavealwayshaditandIdidnotsupposethathadanythingtodowithmydisease."
Whenasked,
"Whydidyounottellmethatbefore?"shesays,
"Ididnotsupposethatamountedtoanything,itissotrivial."
Thephysicianoftenhazardsaremedy.
Hefeelshemustmakeaprescription,buthasnoreasonablegroundsforthinkinghehas
foundtheremedybecausethepatient'sstoryhasbeensoconfusing,andthesymptoms
thathehasobtainedaresocommonandordinary,suchasallremediespossess.
With such a foundation he cannot have any assurance that he has the remedy, and,
althoughhemayhavehazardedseveralremedies inthecase,thepatientcomesback
uncured,monthaftermonth,andyearafteryear.
Thesesymptomsthatarewithheldandseemtobesoobscure,andsodifficulttoobtain,
aretheveryonesthatthepatientthinksdonotamounttoanything.
Whatseemstohimtobethelittlesymptomsarevery,oftencharacteristicofthedisease,
andnecessaryforthechoiceoftheremedy.

Letmeillustrateit.
Apatientcomesalongwithapallidface,arathersicklycountenance,tiredandweary,
subjecttoheadaches,disordersofthebladderanddisturbancesofdigestion;andinspite
ofallyourquestioning,youfailtogetanythingthatispeculiar.
You setthepatient tothinkingandtowritingdownsymptoms,andshecomes back
monthaftermonthandgiveherSulphur,Lycopodiumandagoodmanymedicines.
Youcansometimesfindoutwhethersheisachillyorhotbloodedpatient,andthusyou
cangetalittlecloseramongthecommonremedies;butthepatientsaysoneday,
"Doctor,itseemsstrangethaturinesmellssoqueer,itsmellslikethatofahorse."
NowatonceyouknowthatisNitricacid.
"Howlonghaveyouhadthis?"
"Oh,Ihavealwayshadit,Ididnotthinkitamountedtoanything."
If you examine the common things belonging to Nitric acid, you will find that it
possessesallthefeaturesofthecase.
Thisishowaguidingsymptomcanbeused.
Nitricacidhasakeynote:
"urinesmellingstronglikethatofahorse,"
butifyoushouldgiveituponthataloneandthegeneralsymptomswerenotthere,you
wouldprobablyremovetheparticularsymptomsonly,andtheywouldcomebackaftera
while.
Useakeynotetoexamine,theremedytoseeifithasalltheothersymptomsthatthe
patienthas.
WhatIhavedescribedtoyouisahypotheticalcase.
Inabusydayyouwillhaveseveralofthesecasesthatyouhavebeenworkingatfor
months,andthepatientshavespentalotofmoneytonoaccount.
YoumightjustaswellhavegivenSac.lac.untilyoufoundtherightremedy.
Youcanhardlysay,whydidInotseetheremedybefore,becauseitwasnotpossibleto
seeit.
Youcanonlygooveracaseandsay,whydidInotaskheriftherewasanyodortothe
urine,andifso,whatitwaslike.
IhavehadthisverysymptomcomeoutwhenIhaveaskedadozentimesaboutthesmell
oftheurine,andtheydidnotknow,andyetwouldsayafterwardstheirurinesmelledlike
ahorse'surine,andtheyknewitall'thetime.
"Ontheotherhand,thepatientsaresoaccustomedtotheirlongsufferingsthattheypay
littleornoattentiontothelessersymptomswhichareoftencharacteristicofthedisease
anddecisiveinregardtothechoiceofaremedy."
Of course the trouble that we have to contend with in ascertaining symptoms from
patientscouldbedrawnouttogreatlength.
Youmightsupposethatitwouldbetheeducatedclassthatwouldtelltheirsymptoms
best,butyouwillfindtheignorantclassoftendobetter,theyaresimpler;theydonot
disguisethesymptoms;theycomeoutandtellthelittledetailsinabetterway,inaway
thatconformstothelanguageofourremedies.
Ourremedieshavebeenrecordedinsimplelanguagetoagreatextent,andthissimple
languageisoftenbetterobservedbythesimpleminded,uncultivatedpeoplethanamong

thearistocrats.
Peoplewhohaveplentyofmeansandmucheducationaremoreexcitable,theyhave
more,fearandtheyhavetriedagreatmanydoctors.
Anyphysicianwhohasareputationisconsultedforachronicdisease;andthepatient
whohasplentyofmoneygoesaroundamongstthedoctors,andwhenhecomestotellhis
symptomshetellstheminthetechnicalitiesofhisnumerousphysicians,sothatwhenhe
hasfinishedhisstorynothinghasbeengained.
Only gradually can the physician lead him back into a language simple enough to
describethesufferings.
Theywhohavebeensicklongwiththeirchronicailments,andhavebecomesomewhat
hypochondriacwillgothroughwiththislistoftheirdiseases.
Theyhavepaidlotsofmoney,andhavelotsofnames,andtheyareloadedwithdrugs.
Thephysicianmustdealverycarefullywiththeseslipperypeople,becauseiftheyare
irritatedtheywillrunoff.
Organon96.Thereisanotherkindofpatientspokenofhere,thosethat"depicttheir
sufferingsinlivelycolors,andmakeuseofexaggeratedtermstoinducethephysicianto
relievethempromptly.
ThisisespeciallycharacteristicofthenativeIrishasaclass.
Youwillfindthattheywillexaggeratetheirsymptoms,reallyandsincerelybelievingthat
thedoctorwillgivethemstrongermedicine iftheyareverysickandwillpaymore
attentiontothem;andiftheydonotexaggerateviolently,probablyhewillturnthemoff
withasimpleremedy.
Thenwehavetheexaggerationofsymptomsbysensitivepeople.
Itisaninsanehabit,suchasbelongtohysteria.
Thephysicianwillbehelplessinthehandsoftheseexaggerators,becauseHomoeopathy
consistsinsecuringthewholetruthandnothingbutthetruth;itisjustasdetrimentalto
gettoomuchastogettoolittle.
Anycoloringthatisexpressed,whetherbythepatientorbythephysician,willresultin
failure.
Itistruethatthistendencytoexaggerationmustbeconsideredasasymptom..
Whenyouhavefoundapatienttoexaggerateafewsymptomsintoalargenumber,you
cansimplymentioninyournote"tendencytoexaggeratesymptoms,"whichiscovered
bysomeofourremedies.
Suchastateismisleading,foryoudonotknowwhatsymptomsthepatienthasandwhat
thepatienthasnot.
Youmayrestassuredthatnopatientwithoutsymptomswouldconsultaphysician;the
patientwouldnotbelikelytomanufacturetheentiresickness;thefactthatshehasa
desiretopresentherselftothephysicianandhasadesiretoexaggeratehersymptomsand
sufferingsisinitselfadisease,becausenowellpersonwoulddothat.
Hence this mustbeconsidered;perhapsitisthefirstandonlyelement thatcanbe
consideredofthatwhichsuchpatientsgiveout.
Thisexaggerationmustbemeasuredwithdiscretionandwisdom.
"Eventhemostimpatienthypochrondriacneverinventssufferingsandsymptomsthatare
voidoffoundation,andthetruthofthisiseasilyascertainedbycomparingthecomplaints

he utters at different intervals while the physician gives him nothing at least that is
medicinal."
Hahnemann'splanwouldbetogivenomedicineandtocomparethesymptomsthatthe
patientgivesfromtimetotime.
Thepatientcannotmemorizethesevarioussymptomsthathehasgatheredfromother
sources,butbywatchingandcomparingfromtimetotime,lettingtheexaminationbefar
enoughapartforhimtoforget,thephysiciancanacceptthosethingsthatherepent.
The young physician will be misguided by these cases until he has had sufficient
experiencewithdiseasetoknowsomethingaboutthenatureofsymptomsthatoughtto
appear.
Anotherobstaclewehaveintheexaminationofthecaseislaziness;thepatientistoo
lazytowritedownthesymptomswhentheyappear,andtooindolentandforgetfulto
remembertheminthepresenceofthephysician.
Thesymptomsdonotcomeupinhismindwhenheisinthepresenceofthedoctor,and
heistooindolenttowritethesesymptomsdownwhenhefeelsthemathome.
Whenapatientdoesnotrelatesymptomswellheshouldbeinstructedtowritedownhis
symptomswhentheyoccur,andifhewillnotdothathisphysicianshouldinsistuponit,
orrefusetoprescribeforhim.
Itisoftenquiteanimportantthingtogetthepatienttowritedownthesymptomsin
memorandumformastheyoccur.
Nottowriteatnightwhathasoccurredduringtheday,buttoruninstantlyandputthe
symptomdowninsimplelanguage,describingthesensation,andlocation,andthetime
ofdayofitscomingandgoing,andthemodalities.
Indolencethenandforgetfulnessbecomeobstaclestothegatheringofthesymptoms.
Now,inthepresentday,therehascreptuponthefaceoftheearthsuchastateoffalse
modestyandsuchalackofinnocenceuponthewholehumanracethatthisfalsemodesty
andshamewillpreventpatientsfromtellingthetruth.
Patientswilldenyhavinghadgonorrhoea,orhavingbeenexposedtocircumstancesthat
weresimilar.
Ifthewholehumanracehadlivedininnocenceuptothepresentdayourwomenwould
come to the physician with frankness and talk in perfect freedom concerning the
menstrualflow,concerningeventhesexualfunctions,concerningthingsofthewilland
oftheintelligence.
Butasamatteroffactitisnotso,itiswithdifficultythatthephysicianscandrawout
thesesymptomsthroughmistakenmodesty.
Whenapatientconsultsaphysician,thequestionofmodestyshouldbelaidaside.
Youwillfindthatthemostinnocentinmindarethosethatarethemosteasytolayit
aside,whenitisnotaquestionofmodesty,butoftellingthewholetruthandnothingbut
thetruth.
Ifitbeawife,everythingthatisinrelationtoherselfandhusbandthatisabnormal
shouldbetold,andthenthephysicianwouldhavelittletoaskbeyondlisteningtothe
truth.
Ilookbackoveranumberofpeople,especiallyamongwomen,whoseemedtobeso
muchembarrasseduponfirstcomingintomypresenceandhavingtotalkabouttheir

symptomsthattheyforgeteverything,anditwasonlybyconsideratewaitingthatthey
becamefreeandfrankandopenwithme.
Sometimesitisadifficultmatterforthephysiciantoputapatientatease;itisathing
thatmustbestudiedandconsideredinordertobeabletosaysomethingtoputabashful
patientatease;thisisquiteanaccomplishmentwithadoctor.
Thephysicianmustbepossessedofanuncommonshareofcircurnspectionandtact,a
knowledgeofthehumanheart,prudenceandpatience,tobeenabledtoformtohimselfa
trueandcompleteimageofthediseaseinallitsdetails.
Hemustlivethelifeoftheneighbor,andbeknownasamanofhonor,asamanwhomay
bebelievedandrespected,asacandidman.
Hahnemannsayscarelessness,lazinessandlevitywillpreventthephysicianfromgoing
intosuchastateofHomoeopathyaswillenablehimtograsptheMateriaMedicaortobe
conversantwithhisscience.
If he has such a reputation he will not command the respect of the people of the
neighborhood,andthiswillpreventhimfromgettingtheimageofthesicknessupon
paper.
Hahnemannhadawonderfulknowledgeofthehumanheart,andthisisanimportant
thing;aknowledgeofthehumanheart,aknowledgeofthethingsthatareinman.
Itwouldseemthatthereareagoodmanymeninthecommunitywithouttheslightest
knowledgeofthehumanheart.
Theyhavenevergivenanyinspectiontotheirowninteriors,theirheartorimpulses,but
havegoneonwildly.
Toknowthehumanheartwellislargelytoexamineintooneselfandascertainwhatone's
own impulses are, what one is compelled to do under varying circumstances, what
impulsesonehastocontrolinoneselfinordertobecomeaman.
Ifamanhascarriedouthisheart'sdesireswithoutanyselfcontrolheisamanunworthy
ofrespect.
Ifhehasontheotherhandcontrolledthoseimpulses,hehasbecomeamanworthyof
respect.
Intimethephysicianwhodoesthiswillbecomesowellacquaintedwiththehumanheart
thathehassympathyandknowswhatconstitutesthelanguageoftheaffections.

LECTURE26:Theexaminationofthepatient(continued)
Itisimportanttoavoidgettingconfusedbytwodiseaseimagesthatmayexistinthebody
atthesametime.
Achronicpatient,forinstance,maybesufferingfromanacutediseaseandthephysician
onbeingcalledmaythinkthatitisnecessarytotakethetotalityofthesymptoms;butif
heshoulddothatinanacutedisease,mixingbothchronicandacutesymptomstogether,
hewillbecomeconfusedandwillnotfindtherightremedy.
Thetwothingsmustbeseparated.
Thegroupofsymptomsthatconstitutestheimageandappearanceoftheacutemiasm
mustnowbeprescribedfor.
Thechronicsymptomswillnot,ofcourse,bepresentwhentheacutemiasmisrunning,

because the latter suppresses or suspends the chronic symptoms, but the diligent
physician,notknowingthisisso,mightwronglygathertogetherallthesymptomsthat
thepatienthashadinalifetime.
Again,ontheotherhand,ingatheringtogetherthechronicsymptomsforaprescriptionit
issufficienttomentionmerelythatthepatienthashadtyphoidormeaslesorotheracute
miasms.
Suchdiseasesarenotapartofthechronicmiasm.
Thesymptomsoftheacuteattackwereseparateandbythemselves.
Youmustrealizethattheefforttoprescribefortwodistinctmiasmswillresultinerror.
Ifyoupracticeinthewesternpartofthiscountryyouwilloftengetconfusedcases,a
sampleofwhichwouldbeaboutasfollows:
Apatienthasbeensufferingfromintermittentfever,andhasbeentreatedwithmedicines,
Quinine, Arsenic and low potencies of this and that drug, until the case has been
complicated.
Youlearnthatthesymptomsnowaredifferentfromwhattheywereinthebeginning,that
therehasbeenatransformationscene.
You prescribe forthem, as they are now,regarding it as a species ofmalaria ;you
prescribeforthemwithaviewtoantidoting allthedrugsthathehashad,andyour
remedybringsaboutasurprise;itopensoutthecaseinawonderfulmanner.
Thepatientuptothistimewasunabletogiveyouanythingdescriptiveoftheoriginal
stateofhismalaria,buthecomesbackinthecourseofaweekortwoandsays:
"Doctor,IamnowasIwasinthebeginning."
"Well,whatareyoursymptomsnow?"
Andyouwillfindoutthatoneeveninghehasa5o'clockchillwithitsaccompanying
symptomsthatlasthimagoodportionofthenight,andthenhehasawellday,andthen
nextforenoonhehasan11o'clockchillandthenawellday.
Ifyouexamineeachoneofthesestates,youwillfindthatthetwochills beginina
differentplace,andthebeatofeachbeginsinadifferentplace,andthesymptomsofthe
twoattacksaretotallydifferent.
Suchathingwillseemunlikelytoonewhohasneverseenit,butonewhohaslivedinthe
westandpracticedaccuratelywillseesuchthings,unknowntothosewhohavepracticed
whatiscalledQuinineHomoeopathy.
Acorrectprescriptionwilldisentanglethesetwomalarialmiasmsandshowthattwoexist
inthebodyatthesametime,eachhavingconditionsquitedifferentfromtheother.
Thesetwocancoexistandhavetheirowntimesandexpressionswithoutinterferingwith
eachothertoanygreatextent.
Thebigdosesofquininewillcomplicatethemandcauseageneralcloudingofthings,so
helterskelteranddisorderlythatnobodycantellanythingaboutit.
Ifinsuchacaseyouweretoattempttoprescribearemedythathadboththesegroups
youwouldfailtocure.
Selecttheworstone,andlettheotheronealone,entirelyignoringit.
Itisabadpolicytogiveoneremedyforoneandanotherfortheother.
Single out the worst one and cover it carefully with a remedy, and you will find it
disappearandtheotheronecomeson,justasifthepatienthadnotaremedyatall.

Nowdonotbeintoogreatahurryaboutremovingthesecondone.
Youwillfindthatafteronehasbeenremovedthepatientwillimprove,andtheonethat
hasremainedwillbecomemoreand.moreapparentfromdaytoday;thenprescribefor
it.
Thisillustratesthedoctrineofnotprescribingforanacuteandchronictroubletogether.
Neverprescribeforanytwoconditions,unlesstheybecomplicated.
Onlychronicdiseasescanbecomplicatedwitheachother.
Theacuteisnevercomplicatedwiththechronic;theacutesuppressesthechronicand
theyneverbecomecomplex.
Ofcourse,theallopathswilltellyouaboutthesequelaeofmeaslesscarletfever,etc.,but
they know nothing about it, and their pathology teaches them nothing which is true
concerningit.
Thatwhichcomesoutafterallselflimitingdiseaseshaveruntheircourseisnotdueto
thediseaseitself;thesequelaeofmeaslesarenotduetomeasles,thesequelaeofscarlet
feverarenotduetoscarletfever,buttoapriorstateofthepatient.
Apsoricdisordermaycomeafterscarletfeverormeasles,andmustbetreatedaspsora.
Thesesequelae,regardlessofthediseasewhichstirsthemup,arepsoricandcropoutat
theweakesttime,whichistheconvalescentperiod.
Thebettertheacutediseaseistreated,thelesslikelytherearetobeanysequelae.
Ifmeaslesandscarletfeverare,treatedproperlywehaveverylittletroubleafterwards.
Sequelaeshouldalwaysbechargeduptoagreatextenttothephysician.
Ofcourse,youwillfindnowandthensomeconstitutionsextremelypsoric;almostina
condition of advanced decay, and for malignant scarlet fever in such a patient it is
difficulttofindaproperremedy,andthentheverybestphysicianintheworldmaymake
amistake;yetwithgoodtreatmentinordinarycasesyoushouldnotexpectsequelae,
suchassoreeyes,runningears,etc.
Itisofthegreatestimportanceinsuchcasestobeabletoseparateanddistinguishone
thingfromanother,sothatyoumayknowwhatyouareprescribingfor.
Youcannotprescribeanantipsoricinordertopreventsequelaefollowingscarletfever
whilethescarletfeverprevails.
Prescribefirstfortheacuteattack,andthesymptomsthatbelongtoit.
Itiswell,however,forthephysiciantoknowallthesymptomsthatthepatienthasofa
chroniccharacter,thathemayknowwhattoexpect,thathemaylookatthecloseofthe
acuteattackforthecomingoutoftheoldmanifestationsofpsora,althoughoftenan
entirelynewgroupofsymptomswillappear.
Whenatthecloseofscarletfevertroublescomeabouttheearsordropsicalconditions
comeon;thesearenotapartofthescarletfeveritself,butofthestateoftheeconomy.
Thedropsicalcondition,oracuteBright'sdisease,mustbeassociatedwiththepsoricstate
andthesymptomsthenwillleadyoutoaconstitutionalremedy.
IfyouhaveinviewsimplytheBright'sdisease,youwillmakeamistake.
Youwillfallintoprescribingforultimatesifyouhavebutthenameofthetroublein
mind,forinstancegivingApis,whichthebookssay,isawonderfulremedyforBright's
disease,followingscarletfever.
Itisagreatmistakeforanyonetofitremediesforcomplaintsorstates.

Itisafatalerrorforthephysiciantogoonthebedsideofapatientwiththefeelinginhis
mindthathehashadcasessimilarto,thisone,andthinkingthus:
"InthelastcaseIhadIgavesoandso,thereforeIwillgiveittothisone."
Thephysicianmustgetsuchthingsentirelyoutofhismind.
Itisacommonfeatureamongoculistswhoprofesstobehomoeopathstosay:
"Icuredsuchandsuchacasewithsuchandsucharemedy.Iwillnowgivethispatient
thesameremedy."
Ihavemanytimesmetphysiciansinconsultationwhosaid:
"Ihaveanotherpatient,Mr.ZorMr.X,whohadasimilarstateofaffairs,justsucha
diseaseasthis,andIgavehimsoandso,butitdoesnotworkinthiscase."
Organon100."Withregardtoasearchafterthetotalityofthesymptomsinepidemic
andsporadiccases,itiswhollyindifferentwhetheranythingsimilareverexistedbefore
intheworldornot,underanynamewhatever."
Keepthatinyourmind,underscoreithalfadozentimeswithredink,paintitonthewall,
putanindexfingertoit.
Oneofthemostimportantthingsistokeepoutofthemind,inanexaminationofthe
case,someothercasethathasappearedtobesimilar.
Ifthisisnotdonethemindwillbeprejudicedinspiteofyourbestendeavors.
IhavetofightthatwitheveryfreshcaseIcometo.
IhavetolabourtokeepmyselffromthinkingaboutthingsIhavecuredlikethatbefore,
becauseitwouldprejudicemymind.
The purpose of all this is that you will go away and examine the patient with an
unprejudicedmind,thatyouwillconsideronlythecasebeforeyou,thatyouwillhave
nothinginmindthatwilldistractyourattention,thatyoumaynotthinkofthingsthat
precededitandfindoutfromamongthemaremedywhileexaminingthepatientIfyou
arebiasedinyourjudgmentandexaminethepatienttowardsacertainremedy,inmany
instancesthiswillprovetobefatal.
Havenoremedyinminduntilyouhaveeverythingthatyoucangetonpaper.
Haveitallwrittendowncarefullyandthenifuponexaminingitinrelationtoremedies,
youareunabletodistinguishbetweenthreeorfour,youcangobackandreexaminethe
patientwithreferencetothosethreeorfourremedies.
That istheonlypossibletimeyoutrytofitaremedy,orimageofaremedy,while
examiningapatient.
Getallthesymptomsfirstandthencommenceyouranalysisinrelationtoremedies.
Theanalysisofasicknessisforthepurposeofgatheringtogetherthataboutitwhichis
peculiar,forthepeculiarthingrelatetoremedies.
Sicknesses have in them that which is peculiar, strange and rare, and the things in
sicknessthatmaybewonderedatarethethingstobecomparedwiththoseintheremedy
thatarepeculiar.
Nowinordertoseethatwhichiswonderfulandstrangeitisnecessaryforyoutohave
muchknowledgeofdiseaseandmuchknowledgeofMateriaMedica;notsomuchan
extensive knowledge of morbid anatomy, but a knowledge of the symptoms or the
languagethatdiseaseexpressesitself.
"Infact,weoughttoregarddiepureimageofeachprevailingdiseaseasathingthatis

newandunknown,andstudythesamefromitsfoundation,ifwewouldreallyexercise
theartofhealing."
Agreatdealdependsuponaphysician'sabilitytoperceivewhatconstitutesthemiasm.
Ifheisdullofperceptionhewillinterminglesymptomsthatdonotbelongtogether.
Hahnemannseemstohavehadthemostwonderfulperception,heseemedtoseeata
glance.
HahnemannwasskilfulinthisrespectbecausehewasahardstudentofMateriaMedica
andbecauseheprovedhisMateriaMedicadaily.
Hehadexaminedtheremediescarefully,hesawthem,hefeltthem,herealizedthem.
"Weoughtnevertosubstitutehypothesisintheroomofobservation,neverregardany
caseasalreadyknown."
Nowweseewhyitisthatitdoesnotmakeanydifferencewithaphysicianwhetherhe
hasseensuchdiseasesbeforeornot.
Thehomoeopathicphysicianisacquaintedwiththesignsandsymptomsoftheman,and
adifferentdiseaseisonlyachangeinthecombinationofthem,onlyachangeintheir
manner,formandrepresentation.
Thereisorder,perfectorder,ineverysicknessthatpresentsitself,anditrestswiththe
physiciantofindthatorder.
Thehomoeopathicphysicianneedneverbetakenunawares.
LECTURE27:Recordkeeping
Youshouldendeavortohaveagoodknowledgeofboththeacuteandchronicmiasms.
Firstofalltheimageofpsorashouldbestudiedfromallthesymptomsthatwecan
gather, andespeciallyfromthesymptomsthatHahnemannhasgiven,intheChronic
Diseases.
Nextwehavetomakeoutasimilaranamnesis ofsyphilis,whichcanbedonefrom
books, from clinics, from observation, and all other possible sources, and then an
anamnesishastobemadeofsycosis.
These are things most general, andwill bring before the mind, inone, two orthree
images,agrandpictureofallthechronicdiseasesofthehumanrace.
Takepsorafirstforthatistheveryfoundationofhumansickness.
Itwouldappearthatthehumanraceisoneenormousleper.
Now,addtothatthestateofsyphilisandwehaveabadmattermadeworse;thenaddto
thatthestateofsycosisandwewillseetheextentofhumansickness.
Wethenhavetoadvanceandcarefullystudyeachoftheacutemiasmsfromthebooks,
fromobservation,andfromeverysourceofinformation,carefullyarrangingitonpaper
sothatitcanappearbeforethemindasanimage.
Smallpoxhasfewfeaturesanditcanbemadetoappearasanimagebeforethemind,and
sowithalltheacutemiasms,infectiousdiseases,cholera,yellowfever,etc.,thediseases
thathaveheretobeforeappearedinepidemicorendemicform.
Thesehavealltoappearbeforethemindasimages.
Itmaybesaidofthemthattheyarealltruediseasesseenbytheexaminationofthe
totalityofthesymptoms.

Nophysiciancanknowtoomuchabouttheimageofagivensickness,studiedfromthe
symptomatology,andthisisthebestinformationthatcanbeobtained.
Nowadayspatientsarenotpermittedtotelltheirstoryinthelanguageofnature.
Thephysiciansays,
"Idonotwanttohearthat."
Talkonthepartofthepatientinterfereswithhisprescriptionwriting.
Thereisnowritingdownofthecase.
Nowtake,forinstance,oneoftheclinicshere.Howwouldyourememberfromdayto
day,andfromweektoweek,whathadbeengiventoeachpatient?
Thereisnoimportanceattachedtothatintheoldschool.
Itissimplytheirobjecttogivethepatientabigdoseofmedicine.
Itmaynothaveoccurredtoyouthatthereareseveralreasonsofimportanceforkeeping
records,andofconstantlyreferringtothem;eventheregularcliniciansheremaynot
haveseenthefullimportanceofit.
ButsupposeapatientthatIhavebeenconsideringforthreeyearsispartiallycured,and
shehasdoneremarkablywell,hasbeenrestoredfromaninvalidtoagoodwifeand
mother,butisnotyetcured.
Nowforsomereasonshegoesintothehandsofanotherhomoeopath.
WhatcanhedowithoutascertainingwhatIhavedoneforher?
Itisimportantforthepatientwhenlivinginthesametowntobefaithfulandtruetothe
physicianwhohasdoneherthemostgood.
Aconscientiousphysicianwillnotfeelliketakinganotherdoctor'spracticeinthatway.
IamnotsoconceitedthatIshouldfeelliketakinguptheworkofanotherdoctorwhois
abletodogoodwork.
Menwhothinkmoreofgettingmoneythananythingelsewilljumpinandprescribefor
yourpatients.
"Thephysicianoughteveraftertohavethisimagebeforetheeyestoserveasabasisto
thetreatment,especiallywherethediseaseischronic."
Withoutrecords,youareatseawithoutcompassorrudder.
Witharecord,Hahnemannsays,
"Hecanthenstudyitinallitsparts,anddrawfromitthecbaracteristicmarks,"
thatis,youhavethenatureofthediseasecontinuouslyinmind.
Whentheimageofthediseasehaspassedfromminditsverynatureisgone.
Hereapointcomesinyoumustknowabout.
Afteryourfirstprescriptionhasbeenmade,youmayhaveanaggravation.
Itiswelltoknowthedateofthis,andabouthowlongitlasted,andtokeepwatchofit.
Ifnochangehasoccurredthesameimagemaycontinuetoappearbeforethemind,butif
changeshaveoccurredandarecontinuouslyappearinginthesymptomsyouwillreadily
seethatnomedicinecanbeadministered.
Thesymptomsthatcomeandgocouldnotguideanybodyastowhattodo.
Nowacommotionhastakenplace,youcannotprescribewhilethiscommotionisgoing
on,thesymptomsarechangingplace,theyarecomingandgoing,forperhapsonetothree
weeksafterthatprescription.
Youhavetowatchandwait.

Noticewhenthesymptomsbegintorollintoorder;thenanotherdoseofmedicineis
needed.
Thesethingstakeplaceonlyaftertheadministrationofaremedythatwasprettyhigh,
high enough to take hold, and the case falls into order only when the patient needs
anotherdose.
Supposeapatienthasbeensickthreetofouryearswithatrainofsymptoms,andonthe
waytovisityoufromalongdistance;thepatientistakenworse,andahomoeopathic
physicianiscalledin.
Thepatientgetsadoseofmedicineandimproveswonderfully,nowwhatareyougoing
todo?
Youdonotknowwhatitwasandyouwritetothephysician,buthehasforgottenwhatit
was.
Whataconfusingstatethatis,isitnot?
Well,thatisjustthestateyouwouldbeinwithoutyourrecords.
Thereis,Ihavebeenledtofeel,toogreatcarelessnessoftenamongourbestmenin
transferringcasesfromonetowntoanother,fromonephysiciantoanother.
AhabitthathasexistedbetweenanotherHahnemannianandmyselfhasbeenpleasingto
usboth.
Whenoneofhispatientshasbeentransferredfromhiscaretomycarehehastoldme
whatremedythepatientwason,andIinthesamewaywhensendingpatientstohim
havementionedtheremedythepatientwason.
Itisthedutyofthephysiciantofurnishsuchinformationwhenapatientleavesthecityto
gounderthecareofanotherphysician.
Itisthedutyofthephysiciantotransfersuchapatienttogoodhands,ifthereareany
goodhandstotransferhimto.
This subject is preliminary to theobservation ofOrganon105,whichleads tothe
secondstepofpracticalHomoeopathy.

LECTURE28:Thestudyofprovings
ItmaybewellforyoutoreviewthoroughlythefirstportionofthestudyoftheOrganon,
containing the doctrines in general that may be hereafter found to be useful in the
applicationofHomoeopathy,includingtheoldestestablishedrulesandprinciples.
ThefirststepmaybecalledtheoreticalHomoeopathy,ortheprinciplesofHomoeopathy
afterwhichwetakeupthehomoeopathicmethodofstudyingsickness.
Inthiswaywehavefoundthatthestudyofsicknessinourschoolisentirelydifferent
fromthestudyofsicknessundertheoldschool.
Butuptothistimethedoctrineshavenotexhibitedtheirpurpose;weonlygettheir
purposewhenwecometothethirdstep,whichdealswiththeuseofMateriaMedica.
Wehaveseenthatwemuststudysicknessbygatheringthesymptomsofsickpatients,
relying upon the symptoms as the language of nature, and that the totality of the
symptomsconstitutesthenatureandqualityandallthereisthatistobeknownofthe
disease.
Thesubjectwewillnowtakeupandconsideris,howtoacquireaknowledgeofthe

instrumentsthatweshallmakeuseofincombatinghumansickness.
Weknowverywellthatintheoldschoolthereisnoplanlaiddownforacquiringa
knowledgeofmedicinesexceptbyexperimentingwiththemuponthesick.
ThisHahnemanncondemnsasdangerous,becauseitsubjectshumansuffererstohardship
andbecauseofitsuncertainty.
Though this system has existed formany hundreds ofyears, ithas never revealed a
principleormethodthatonecantakeboldoftohelpincuringthesicknessofthehuman
family.
Hisexperimentsindrugprovingweremadebeforehestudieddiseases.
In other words, Hahnemann built the Materia Medica and then took up the plan of
examiningthepatienttoseewhatremedythesicknesslookedlike.
Whereasnow,afterHomoeopathyhasbeenestablished,andtheMateriaMedicahasbeen
established,theexaminationofthepatientprecedes,inaparticularcase,theexamination
oftheMateriaMedica.
Butforthepurposeofstudytheygohandinhand.
BeforeHahnemanncouldexaminetheMateriaMedicayoumaysayhehadtomakeone,
for there was none to examine, there were no provings as yet ; we now have the
instrumentsbeforeustoexamine,wehavetheprovedremedies.
WhenthefallacyofoldschoolmedicinefullyenteredHahnemann'smind;whenhe
becamedisgustedwithitsmethodatthetimehischildrenweresick;whenheplaced
himselfinthestreamofProvidenceandaffirmedhistrustthattheLordhadnotmade
theselittleonestosuffer,andthentobemadeworsefromviolentmedicines;thenhis
mindwasinanattitudefordiscovery.
Itwasadiscountenancingofanddisgustforthethingsthatwereuseless,andthisbrought
himtothestateofacknowledgmentofnotknowingandthateverythingofman'sown
opinionmustbethrownaway.
ItbroughthimtoastateofhumilityandtheacknowledgementofDivineProvidence.
Thestateofhumilityopensman'smind.
Youwillfindsolongasmanisinapositiontotrusthimselfhemakeshimselfagod;he
makeshimselftheinfallible;helookstohimselfanddoesnotseebeyondhimself;his
mindisthenclosed.
Whenamanfindsoutthatinhimselfheisafailure,thatisthebeginningofknowledgein
anycircumstance;theveryoppositeofthisclosesthemindandturnsmanawayfrom
knowledge.
Ihavebeenteachinglongenoughtoobserve,andIwilltellyousomethingsIhave
observed.
IhaveobservedquiteanumberofyoungpeopleturnawayfromHomoeopathyafteronce
confessingit,andprofessingtopracticeit,andafterseemingableinacertaindegreeto
practiceit.
Ioftenwonderedwhyitwasthataftertheyhadmadepublicprofessionofittheyturned
awayfromit,andIfoundineveryinstancethatitwasduetolackofhumility.
Thegreatmistakecomesfromturningone'sattentionintoselfandrelyinguponself,with
an attention that closes the mind and deprives one of knowledge and prevents clear
perception.

MantakeshimselfoutofthestreamofProvidencewhenhebecomesdissatisfiedwith
himselfandthinks
"nowthatIhavedonesomanythingsIhavenothingmoretostudy."
Thisisawrongattitude;foranythinglikeselfconceitwillblindaman'seyes,willmake
himunabletousethemeansofcureandwillpreventhisbecomingacquaintedwiththe
MateriaMedica.
Thehomoeopathicphysician,asmuchastheclergyman,oughttokeephimselfinastate
ofpurity,astateofhumility,astateofinnocence.
Sosureashedoesnotdothathewillfallbythewayside.
Thereisnothingthatdestroysamansofastinthescientificworldasconceit.
Weseeinoldfashionedsciencemenwhoarepuffedupandcorpulentwithconceit.
Thescientificmenwhoareinthegreatestdegreeofsimplicityarethemostwiseandthe
mostworthy,andyouneednottellmethatthosewhoareinnocentandsimplehavenot
hadatremendousstruggleinordertokeepselfundercontrolandtoreachthisstateof
simplicity.
Extensiveknowledgemakesamansimple,makeshimgentle.
Extensiveknowledgemakesamanrealizehowlittleheknows,andwhatasmallconcern
heis.
Alittleknowledgemakesafoolofman,andmakeshimthinkheknowsitall,andthe
moreheforgetsofwhathehasknownthebiggermanhefeelsheis.
Thesmallerhefeelsheisthemoreheknows,youmayrestassured.
Inordertodothis,hemuststudyandkeephimselfinastateofgravityandinastateof
innocence.
Inthescientificworldwehaveallthosehorriblejealousiesandfeelingsofhatredtothose
whoknowmorethanwedo.
Amanwhocannotcontrolthatandkeepthatdownisnotfittoenterthescienceof
Homoeopathy.
Hemustbeinnocentofthesethings;hemustputthatasideandbewillingtolearnofall
sources,providingthetruthflowsfromthesesources.
Inthisframeofmind,andthisframeofmindonly,canthephysicianproceedtoexamine
theMateriaMedica.
WehavealreadysaidthatHahnemannhadnoMateriaMedicatostartwith.
Hecouldnotgotobooks,andread,andmeditate,andfindremediesintheimageof
humansickness.
Hehadnosuchremediestostudy,andhenceitwasnecessarytobuilduptheMateria
Medica.
We can imagine that Hahnemann must have been almost in a state of despair, and
inclinedtosaythereisnoknowledgeupontheearth.
HefeltinhisownmindthatweshouldneverknowanythingabouttheMateriaMedicaso
longasweperceiveditseffectsonlyinhumansickness,butthatatrueandpureMateria
Medicamustbeformedbyobservingtheactionofmedicinesuponthehealthyhuman
race.
Hahnemanndidnotcommencetofeedthesemedicinestoothers;hetookthePeruvian
Barkhimself,andfeltitseffectsuponhimself.

Heallowedittomanifestitssymptoms,andwhenhehadthusprovedPeruvianBark
(whichwecallChina)itmightbethensaidthatthefirstremedyknowntomanwas
discovered,andthatthefirstdrugeffectwasknownandthatChinawasborn!
HahnemannsearchedtheliteratureofthedaytofindoutwhatothereffectsofChinahad
beendiscoveredaccidentally,andacceptedsuchaswereinharmonywithwhathehad
discovered.
WehavealreadyreferredtothefactthatHahnemannwasable,afterprovingChina,to
seethatinitsactionitcloselyresembledtheintermittentfeversthathadexistedthrough
alltime;thattherewasthemostabundantrelationofsimilitudebetweenChinaand
intermittentfever.
Dowewonderthen,thatHahnemannsaidtohimself,canitbepossiblethatthelawof
cureisthelawofsimilars?
Canitbepossiblethatsimilarsarecuredbydrugsthatproducesymptomslikeuntothe
sickness?
Everydrugheprovedthereafterestablishedthelawmoreandmore,madeitappearmore
certain,andeverydrugthatheprovedaddedonemoreremedytotheinstrumentthatwe
calltheMateriaMedica,untilitcametobewhatwenowrecognizeasHahnemann's
MateriaMedicaPuraandtheMateriaMedicaoftheChronicDiseases.
Thisworkwassimplyenormousandverythorough,butmanyadditionshavebeenmade
toitsincethetimeofitspublication,andtheseformtheinstrumentswehavetoexamine.
Thebestwaytostudyaremedyistomakeaprovingofit.
Supposewewereabouttodothat;supposethisclasswereenteringuponaproving.
Each memberoftheclasswoulddevote,say,aweek,inexamining carefullyallthe
symptomsthatheorsheisthevictimof,orbelieveshimselforherselftobethevictimof,
atthepresenttime,andformanymonthsback.
Eachstudentthenproceedstowritedowncarefullyallthesesymptomsandplacesthem
bythemselves.
Thisgroupofsymptomsisrecognizedasthediseasedstateofthatindividual.
Amasterproverisdecidedupon,whowillpreparefortheprovingasubstanceunknown
totheclassandtoalltheprovers,knownonlytohimself.
He willbeginwiththefirstorearliest formofthedrug,itmaybethetincture, and
potentizeittothe30thpotency,puttingaportionofthatpotencyintoaseparatevialfor
eachmemberoftheclass.
Theproversdonotknowwhattheyaretaking,andtheyarerequestednottomakeknown
toeachothertheirsymptoms.
Whentheirownoriginalsymptomsappearintheprovingtheeffectoftheremedyupon
anyoneofthesechronicsymptomsissimplynoted,whethercuredorexaggerated,or
whetherornotinterferedwith;butwhenthesymptomoccursinitsownnaturalway,
withoutbeingincreasedordiminished,itmaybelookeduponasoneofthenaturalthings
ofthatparticularprover,andhenceallthenaturalthingsoftheproverareeliminated.
Generallyifaremedytakesamarkedholdofaproverallthechronicsymptomswill
subside,butwhenaprovingonlytakesapartialholditmayonlycreateafewsymptoms.
Thesefewsymptoms,whenaddedtothesymptomsthattheotherprovershavefelt,will
gotomakeupthechroniceffectoftheremedy,whichmaybesaidtobetheeffectofthe

remedyuponthehumanrace.
Nowastothemethod.
After themasterproverdeals outthesevials,eachprovertakes asingledoseofthe
medicineandwaitstoseeifthesingledosetakeseffect.
Ifheissensitivetothatmedicineasingledosewillproducesymptoms,andthenthose
symptomsmustnotbeinterferedwith;theyshouldbeallowedtogotheirownway.
IntheprovingofanacuteremedylikeAconite;theinstructor,whoknowssomething
abouttheeffectofthemedicine,maybeabletosaytotheclass:
"Ifyouaregoingtogeteffectsfromthisremedyyouwillgetthoseeffectsinthenext
threetofourdays."
ItwillnotbenecessarytowaitlongerthanthatforAconite,NuxVomica,orIgnatia,but
longerforSulphurorsomeoftheantipsorics.
IfwewereattemptingtoprovearemedylikeSilicateofAlumina,themasterprover
wouldadvisetheclassnottointerferewiththemedicineforatleastthirtydays,because
itsprodromemaybethirtydays.
Itishighlyimportanttowaituntilthepossibleprodromeofagivenremedyissurely
passed.
Ifitisashortactingremedy,theactionwillcomespeedily.
Wemustbearinmindtheprodrome,theperiodofprogressandtheperiodofdecline
whenstudyingtheMateriaMedicaaswellaswhenstudyingmiasms.
Themasterproverwillusuallybeabletoindicatetotheclasswhethertheyshouldwaita
shorttimeoralongtimebeforetakinganotherdose,andfromthistheclasswillonly
knowwhetherthedrugtobeprovedisacuteorchronic.
Ifthefirstdoseofmedicineproducesnoeffect,andenoughtimeasbeenallowedtobe
sure that the prover is not sensitive to it, the next best thing to do is to create a
sensitivenesstoit.
Ifweexamineintotheeffectsofpoisons,wefindthosewhohaveoncebeenpoisonedby
Rhusareadozentimesmoresensitivethanbefore.
ThosewhohavebeenpoisonedbyArsenicareextremelysensitivetoArsenicafterthey
allowthefirsteffectstopassoff.
Iftheycontinue,however,tokeeponwiththefirsteffectstheybecomelesssensitiveto
it,sothattheyrequirelarger'andlargerdosestotakeeffect.
This is arulewith all poisonous substances that are capable ofaffecting thehuman
systemmarkedly.
Now,whenthetimehaspassedbywhichtheproverknowsheisnotsensitivetothat
remedy,thathehasnotreceivedanactionfromthedose(andperhapsintheclassofforty
youwillnotgetmorethanoneortwothatwillmakeaprovingfromthe30thpotency),to
maketheprovingandtointensifytheeffect,dissolvethemedicineinwaterandhavehim
takeeverytwohoursfor24to48hours,unlesssymptomsarise,sooner.
Bythismeanstheprodromalperiodisshortened.
Themedicineseemstobeintensifiedbytherepetition,andthepatientisbroughtunder
theinfluence,dynamically,ofthatremedy.
Assoonasthesymptomsbegintoshow,itistimetoceasetakingtheremedy.
Nodangercomesfromgivingtheremedyinthisway;dangercomesfromtakingitfora

fewdaysandthenstoppingit,andthentakingitagain.
Forinstance,sayyouareprovingArsenicum;youfindthatyouarenotallsensitivetoit,
andafterwaitingthirtydaysyoustartoutagainandtakeitinwater,forthreetofour
days,andthesymptomsarise:nowwait.
Solongasyoudiscontinueit,itwillnotdoanydamage.
Now, the symptoms begin to arise ; wait, and let the imageproducing effect of
Arsenicumwearoff;letitcomeandspreadandgoawayofitself;donotinterferewithit
;ifyou,dointerferewithit,theinterferenceshouldbeonlybyatrueantidote;you
shouldneverinterferewithitbyarepetitionofdose.
Thatisoneofthemostdangerousthings.
IftheArsenicsymptomsarecomingandshowingclearly,andattheendofaweekorten
daysyousay:
"Letusbrightenthisupalittle,anddothisthingmorethoroughly,"
andtoaccomplishthisyoutakeagreatdealmore,youwillengraftuponyourconstitution
inthatwaytheArsenicumdiathesis,fromwhichyouwillneverbecured.
Youarebreakingrightintothecyclesofthatremedyanditisadangerousthingtodo.
Attimesthathasbeendoneandtheprovershavecarriedtheeffectsoftheirprovingto
theendoftheirdays.
IfyouleavethisArsenicalstatealoneitwillpassoffentirely,andtheproverisveryoften
leftmuchbetterforit.
Aprovingproperlyconductedwillimprovethehealthofanybody;itwillhelptoturn
thingsintoorder.
ItwasHahnemann'sadvicetoyoungmentomakeprovings.
Another portion of the class will not get symptoms, no matter how they abuse the
remedy,andifitbeArsenicumtheywillhavetotakeacrudedoseofittogetanyeffect,
andthenthesymptomsgivenforthareonlythetoxiceffects,fromwhichlittlecanbe
gained.
Thetoxicologicalresultsofpoisonsareprovingsofthegrossestcharacter:theydonot
givethefinerdetails.
Forinstance,yougiveOpiuminsuchlargedosesthatitimmediatelypoisons;yousee
nothingbutthegrosser,overwhelmingsymptoms;theirregular,stertorousbreathing,the
unconsciousness,thecontractedpupilandthemottledfaceandtheirregularheart.
Thedetailsarenotthere,youonlyhaveaviewofthemostcommonthings.
Thereprovingofremediesisofgreatvalue.
TheViennaSocietydidnotfullyendorseHahnemann'sprovings.
Thissocietythoughtitimpossiblethatsuchwonderfulthingscouldbebroughtoutupon
thesensationsofpeople.
Thesocietydidnotendorsethe30thpotencythatwasrecommendedbyHahnemannfor
proving.
Sothissocietygathereditselftogetherandresolvedtoproveremedies,andtotestthe
30thpotency,anditsohappenedthatthesocietywashonest.
Natrummur.,Thujaandotherremedieswereproved,andWwashonestenoughtosay
thatalthoughhisconvictionsweredecidedlyagainsttheprovingshehadtoadmitthatthe
symptomsgatheredfromthe30thpotencywereverystrong.

TheViennaSocietydemonstratedbythesereprovingsthatthepolychrestsofHahnemann
hadbeenfullyproved.
Theirprovingsofthe30thofNatrummur.wasawonderfulrevelationofthem;butW,
inspiteofthisresult,heldontohisprejudices.
Heacknowledgedthathewaswrong;buthecontinuedtousepotencieslowerthanthe
15th.
Hecouldnotgethismindelevatedtothe30th;hisprejudicewastoostrong.
Dunhamsaysofsomeofthese,thatinspiteofthefactthattheyhadseenbetterresults
fromthe30thandhigherpotencieseven,theyweresoprejudicedtheycouldnotbring
themselvestoastateofyielding.
AsDunhamhumorouslyexpressedit,
"theyareossifiedintheircerebralconvolutionsaswellasintheirbonystructure."
Thatistosay,theirmindswereinelastic,theycouldnotexpand.
Wetalkfromappearancewhenwesaytheeyesareclosed;itisthemindthatisclosed,
theunderstandingthatisclosed.
ReadOrganon107112.
Whenthepatientisunderthepoisonousinfluenceofadrugitdoesnotseemtoflowin
thedirectionofhislifeaction,butwhenreactioncomesthenthelingeringeffectsofthe
drugseemstoflow,asitwere,inthestreamofthevitalaction.
Thenthesymptomsthatariseareofthebestorder,andhenceitisnecessaryinprovinga
drugtotakesuchaportionofthedrugonlyaswilldisturbandnotsuspend,asitwillflow
in the stream of the vital order, in the order of the economy, establishing slightly
pervertedaction,andcausingsymptoms,withoutsuspendingaction,aswewould,for
example,withalargedoseofOpium.
Whenastateofsuspensionexistsinthedynamiceconomy,thenwehaveabecloudingof
alltheactivitiesoftheeconomy;sogiving;alargedoseofmedicinetopalliatepains
andsufferingsisdangerous.
Wehaveasuspensionofthevitalorderwhenwegiveamedicinethatdoesnotflowin
the stream of the vital influx, Homoeopathy looks towards the administration of
medicinesthataregivenforthepurposeofeithercreatingorder,andthenalwaysinthe
higherpotencies,orforthepurposeofdisturbing,andtheninthelowerpotencies.
Weshouldneverresorttocrudedrugsforprovings,unlessforamomentaryortemporary
experiment.
Itshouldnotbefollowedup,andnogreatweightshouldbeputupontheprovingsthat
aremadefromthecrudemedicines.
Theyonlyatbestgiveafragmentaryidea.
Unlesstheprovingthathasbeenmadewithstrongdosesbecomesenlargedwiththe
symptomsfromsmalldosestheinformationremainsfragmentaryanduseless.
IfwehadonlythepoisonouseffectsofOpium,wewouldbeableonlytouseitinthose
conditionsthatsimulatethepoisonouseffectsofOpium,likeapoplexy.
Therearesomeprescriberswhoteachthatfortheprimaryeffectonepotencymustbe
usedandforthesecondaryeffectanothermustbeused.
Nosuchdistinctionneedbemade.
Ihavemanytimesbeenatthebedsideofapoplecticpatientswhendeathwouldhave

followedhadnotthehomoeopathicremedybeenadministered.
Ihavebeenatthebedsideofsomewhenthepulsewasflickering,whentheeyewas
glazed,whenthecountenancewasbesotted,stertorousbreathingcomingon,frothingat
themouth,andinafewminutesaftertheadministrationofOpiumc.m.Ihaveseenthe
patientgointoasoundsleep,remainquietandrest,wakeuptoconsciousness,andgoon
torecovery.
Aluminahasasimilarstateofstuporresemblingapoplexy,andhenceitisthatAlumina
andOpiumareantidotestoeachother.
Irememberacaseofapoplexyoncethatpuzzledmanyphysiciansforsomedays,andI
waspuzzled,too.
Thepatientwasinaprofoundstupor.
OpiumwasadministeredbythephysicianinchargebeforeIarrived,anditstoppedthe
stertorousbreathing,butthepatientremainedunconscious.
Finallyitwasobservedthatonesidewasmoving,whilsttheothersidehadnotmovedfor
manydays,andthatontheparalyzedsidetherewasfever,whileonthewellsidethere
wasnofever.
Thatwasobservedaftercarefulexaminationformanydays.
Iaskedthedoctorifhedidnotconsiderthatthenaturalstateofaparalyzedsidewouldbe
coldness;hethoughtsotoo.
Thewholeparalyzedsideofthispatienthadafeverishfeelingtothehand,theotherside
wasnormal.
Thatseemedtobetheonlystrangethinginthecase;nospeech,noefforttodoanything,
noactionofthebowels;adonothingcase.
UponacarefulstudyoftheMateriaMedica,IcametotheconclusionthatAluminawas
suitedtothecase,andintwelvehoursaftertakingadoseofAluminainahighpotency
thatfeversubsidedontheparalyzedsideandthepatientreturnedtoconsciousness.

LECTURE29:Idiosyncrasies
Organon17.
ThestudyoftheidiosyncrasiesiscloselyrelatedtoHomoeopathy.
Theusualexplanationofthetermisanoversensitivenesstoonethingorafewthings.
Itdoesnotapplytothegeneralsusceptibilityinfeebleconstitutionswherepatientsare
susceptibletoallthings,oversusceptibleandoverimpressedbysimpleannoyances.
In the old school idiosyncrasies relate to certain patients who are known in every
practitioner'spracticeasoversensitive.
OneoversensitivecannottakeOpiumforhispains,becauseofthecongestionitproduces,
becauseofdangeroussymptoms;heisoversensitivetoitandhascomplicationfroma
verysmalldoseevenandthephysicianiscompellednottoadministerit.
AnotherpatientcannottolerateQuinineinchillsandfever;theprimaryactionofQuinine
makeshimalarminglysick;whereanotherindividualmaytake15grains.
One who has an idiosyncrasy to Quinine cannot take onequarter of a grain without
havinganoveractionofthatdrugastateofquininism.
The homoeopath recognizes a wide range in susceptibility, including things that the

allopathisnotacquaintedwith.
Theremaybeachronicidiosyncrasyfromachronicmiasmandanacuteidiosyncrasy
fromanacutemiasm.
Therearecertainindividualsineverycommunitythatcannotrideinthecountrybecause
oftheirsusceptibilitytobayfever;otherscannotbearthesmellofflowersintheroom
becauseofbecomingsick;somewillgetsickfromthesmellofroses.
Ihaveknownanumberofpatientswhobecamesickinthisway.
Itiscommonenough,andthesicknessisknownbythenameofrosecoldorrosefever.
Ihaveapatientwhocannothavedrylavenderflowersinthehousewithoutcomingdown
withcoryza.
Sheisdisturbedbytwoorthreethingsinthisway,andwillgolookingabouttosee
whichoneofthosethingsisinthehouse.
Ihadanotherpatientwhocouldnothavepeachesintheroomwithoutbecomingsick;
oneofthesymptomsthathehadwasdiarrhoea.
Thisoversensibilityisveryimportantanditexplainsinameasurethesusceptibilitytothe
remedythatwillcure.
Ifanidiosyncrasytotheremedyisnotpresent,thepatientwillnotbesusceptibleenough
tobecured.
Thestateinwhichhebecomessensitiveenoughtoadrugtocurehimisveryanalogous
totheseidiosyncrasiesabovementioned.
Thinkwhatsusceptibilitymanmusthavetotheremedythatcureshim,whenitcuresin
theveryhighattenuationsthatweuse.
Thereareacquiredidiosyncrasiesandidiosyncrasiesthatarebornwithapatient.
Thosethatarecongenitalandthosethatcomefrompoisonsaremostdifficult.
InRhustox.,poisoningthosethathaveoncebeenaffectedbyhandlingitaresosensitive
toitthatiftheygowithinaquarterofamileofthevine,thoughtheycannotdetectitwith
thenose,yetinafewdaystheywillcomedownwithacaseofRhuspoisoning.
AveryhighpotencyofRhuswillsometimesremovethatsusceptibilityandadoseof
Rhusc.m.orm.m.willoftenchecktheacutepoisoningfromRhus:butifyoufindthat
thepatienthasbeenbornwithasensitivitytoRhus,whileRhusmaypalliateafewtimes
itwillfinallyceasetohelphim.
Whenoneisbornwiththissensitivityitisverytenaciousandwillsometimespersist,in
spiteofourbestendeavors,totheendoflife.
Iferadicatedatall,itrequiresanantipsorictogettothebottomofit.
Hayfeverisbroughtoninthefallandissupposedtobecausedbythepatient'sover
sensitivenesstoirritantsthatdevelopaboutthattime;sometimesitisattributedtothe
haythatiscuringinthefieldsatthattime,sometimestothedifferentweedsthatgrowup
then.
Suchpatientshaveoftenbeenabletoferretoutthethingthattheyaresusceptibleto.
Butpsoraisatthebottomofallthesetroubles.
Patientsgettingupfromtyphoidfeverhaveoftenidiosyncrasies,andthechronicmiasms
areresponsibleforthese,justaspsoraispriortothesoreeyesfromscarletfever.
Sequelaearemiasmatic,theyaresimplytheoutcroppingsofchronicmiasms.
Therearepersonswhoaresensitive,notmerelytooneorafewthings,buttoallthings;

oversensitivetothehighpotencies,oversensitiveintaste,oversensitivetolight,anda
greatmanyotherthings.
Thisisaconstitutionalstate;thepatientisbornwithit.
Therearepersonsinwhomyouwillseethesensitivenessonlywhenyougoawayfrom
theplaneofnutritionintotheplaneofdynamics.
Youwillseeforinstancepatientswho,willsitatthetableandcravecommonsalt;want
lotsofsaltupontheirfood,andneverseemabletogetjustexactlywhattheyneed.
Theyeatplentyofcommonsaltandremainsick,growingthinnerallthetime.
Thisisonthenutritiveplane;thecrudecommonsaltistakenwiththefood.
Nowyouadministerthec.m.tosuchapatient,anditmakesthatpatientsick,producinga
violentaggravation.
Thisiswhereafoodsustainsacurativerelationuponahigherplane.
Westepoutofthenutritiveplaneintotheplaneofdynamics,theplaneofdiseasecause
andcure.
TakeCalcareaasaninstance.
Weseetheallopathandcrudemedicinemangivetocertainbabies,thatareslowin
formingboneandteethandhaveopenfontanelles,limewaterinmilk,andthemorelime
waterhegivesthemthelessbonetheymake.
Hereisabonesaltinanition,anonassimilationoflime.
AdoseofCalcareaveryhighwillenablethatchildtotakeallthelimethatitneedsfrom
thefoodthatiteats.
Theremedygivenonthedynamicplanecausesadigestionandassimilationofthelime
naturallypresentinthefood.
Youmayfeedlimeincrudeform,andnobenefitevercome;thechildgoesonwithering
andemaciating.
In such nonassimilating patients the symptoms ofCalcarea orNatrummur., appear,
callingtheattentionoftheintelligentphysiciantothefactthatthechildneedsCalcareaor
Natrummur.
Weknowverywellthatwedonotbuildbonewiththec.m.potencyoflime,itsimply
correctsinternaldisorderandcausestheoutwardformsofthebodytoflowintoorder.
Theturningintoorderoftheinternalestablishesthenutritiveprinciplefromtheinternal
totheexternal.
So that we can see the wider ranges that idiosyncrasy or susceptibility has in
Homoeopathy.
Herewemightundertaketocoinaword,viz.:homoeopathicity;whatdoesitmean?
Homoeopathicityistherelationbetweenthehomoeopathicremedyandthepatientwho
hasbeencured.
Whenthehomeopathicremedyhasactedproperly,whenithascuredthepatient,ithas
demonstratedthatitwashomoeopathicallyrelatedtothecase;sothattherelation,when
it was sustained, may be called the homoeopathicity, and it is demonstrated by
administeringtheremedy.
Itistruethatwecanhavewhatwouldbecalledanormalhomoeopathicity,anormal
state,andthatstateexaggerated.
Thatstateexaggeratediswherethepatientisoversensitivetothecurativeremedy,andit

notonlyestablishesacurativerelation,butbeforecuringproducesanexaggerationofthe
symptomsofthepatient.
Aremedydemonstratesitssimilitudetoacasebycuring.
Homoeopathicphysiciansusethewordsimillimum.
Thesimillimummightbecalledthatremedythathascuredthepatient,butinadvanceof
curingthatcaseitisonlywhatappearstobethemostsimilar;amedicinecannotbe
calledthesimillimumuntilithascured.
Itisworthyofconsiderationtodiscoverthedifferencebetweenapoisontakenuponthe
nutritiveplane,thatis,incrudesubstance,andapoisontakenuponthedynamicplane.
Apoisonuponthenutritiveplaneisusuallynotverydeep,ismoresuperficial,itrelates
moretoexternalthings,tothebodyandtissues,whilethepoisontakenuponthedynamic
planemaylastalifetime.
Themiasmsareofsuchacharacter.
Poison taken upon the nutritive plane may bring about a lifelong effect upon an
individual,owingtosusceptibility.
ThesmalldosesofArsenicumwillestablishanArsenicumpoisoningthatwilllasta
lifetime,butthisisnowheresodeepaswillberepresentedbythehigherpotenciesof
Arsenicum.
Topoisonapatientwiththehigherpotenciesthereisgenerallyrequiredsomethingof
susceptibility, while to poison patients upon the nutritive plane susceptibility is not
required;anypatientcanbebroughtundertheinfluenceofapoisongivenuponthe
nutritiveplane.
Hereisanotherdifference.Substancesthatareinertandsubstancesthatwecanuseas
foodonthenutritiveplanemaybecomepoisonousuponthedynamicplanetothosethat
aresusceptible.
Sothatthereisnosubstancethatmaynotbeapoisoninthehigherandhighestpotencies.
Thisgivesusadistinctionbetweencrudeanddynamicpoisonsthatyouwilldowellto
thinkabout.
Nowfromallthisweareledtoseethatiftherewerenostateofsusceptibility,nosuch
conditionasidiosyncrasy,therecouldbenoHomoeopathy.
Iftherewerenosusceptibility,therewouldbenosicknessandnoneedofHomoeopathy.
Susceptibilityunderliesallcontagionandallcure.
Sothatcauseandcure,thecauseofsicknessandthecureofsickness,knockatthesame
door.
Theyflowinthesamewaybecauseoftheimmaterialorsimplesubstance.
Alldiseaseisinprimitivesubstance,orfirstsubstance;allcureofdiseasemustalsobein
simplesubstance.
Inoldentimesweusedtothinkthatallsubstancescapableofextinguishingthevital
force,orwhichovercomethevitalforce,werepoisons;thatinitselfisacrudeideaofa
poison.
Any substance capable ofimpressingitself upontheeconomyofmansufficiently to
causedeath,ortocreateadisorderintheeconomy,maybecalledapoison.
Thatdefinitionwillapplytobothdynamicandcrudepoisons.
Poisonpresentstwoproblems:anexternalproblemandaninternalproblem.

Theexternaldealswiththequestionofquantity,theinternalwiththequestionofquality.
Adynamiscannotbeconsideredfromthestandpointofweightsandmeasures,butfrom
quality.
Crude substances are considered from the standpoint of quantity, from weights and
measures.
This is only a beginning to set you thinking. This subject leads into the study of
protectionaswell.
Therearetwoformsofprotectionfromsickness.Manisprotectedfromsicknessintwo
ways,byHomoeopathyandbyuse.
The physician and the nurse who go into the district of yellow fever or typhoid or
diphtheriaorsmallpox,whokeepbusy,whohave,inthehighestsenseoftheword,the
trueloveoftheuse,whohavegoneintotheworkasmediumsofmercy,willbelargely
protectedjustsimplyfromtheirloveofthework,fromtheirdelightinit.
Theyhavenofear.Fearisanoverwhelmingcauseofsickness;thosewhofallpreyto
feararelikelytobecomesick,butthosewho,facediseasewithnofeararelikelyto
remainwell;theydosometimesfallsick,itistrue,butIbelieveitisbecausetheybegin
tohavefearinthework.
Theotherandgreaterprophylacticisthehomoeopathicremedy.
Afterworkinginanepidemicforafewweeks,youwillfindperhapsthathalfadozen
remediesaredailyindicatedandoneoftheseinalargenumberofcasesthananyother.
Thisoneremedyseemstobethebestsuitedtothegeneralnatureofthesickness.
Nowyouwillfindthatforprophylaxisthereisrequiredalessdegreeofsimilitudethanis
necessaryforcuring.
A remedy will not have to be so similar to prevent disease as to cure it, and these
remediesindailyusewillenableyoutopreventalargenumberofpeoplefrombecoming
sick.
WemustlooktoHomoeopathyforourprotectionaswellasforourcure.

LECTURE30:Individualization
Organon118,etc.
Comparison,individualization,anddifferenceinthenatureofthingsmostsimilar,are
pointsthatmustbecarefullyconsidered.
The substitution of one remedy for another cannot be thought of, or entertained in
Homoeopathy.
Thehomoeopathicphysicianmustindividualize,hemustdiscriminate.
Hemustindividualizethingswidelydissimilarinoneway,yetsimilarinotherways.
Takeforinstancethetworemedies,SecaleandArsenicum;theyarebothchilly,butthe
patientwantsallthecoversoffandwantsthecoldairinSecale,andhewantsallthings
hotinArsenicum.
Thetworemediesthusseparateatonce;theyarewhollydissimilarastothegeneral
state,whilstwhollysimilarastoparticulars.
A mere bookworm symptom hunter would see no difference between Secale and
Arsenicum.

Yougotothebedsideofacaseofperitonitis,andyouwillfindtheabdomendistended,
thepatientrestless;youwillfindhimoftenvomitingbloodandpassingbloodfromthe
anus;youwillfindhorribleburningwiththedistendedabdomen,unquenchablethirst,
dry,redtongue,lightninglikepulse.
Well,ArsenicumandSecalehaveallthesethingsequally;theybothhavethesethingsin
highdegree;butwhenSecaleisindicatedhewantsallthecoversoff,wantstobecold,
wantscoldapplications,wantsthewindowsopen;cannottoleratetheheat,andthewarm
roommakeshimworse.
IfArsenicumisindicatedinsuchacase,hewantstobewrappedupwarmly,eveninthe
monthofjuly,wantshotfoodandhotdrinks.
The whole Materia Medica is full of these things and is based upon this kind of
individualization.
WithoutthegeneralsofacasenomancanpracticeHomceopathy,forwithouttheseno
mancanindividualizeandseedistinctions.
Aftergatheringalltheparticulars,onestronggeneralrulesoutoneremedyandrulesin
another.
Physiciansbythequestionstheyaskoftenshowthattheyhavenotbeenabletograspthis
ideaofindividualization.
Theypickouttwosymptoms,oronesymptomcommontotworemedies,andsay,
"Now,bothoftheseremedieshavethissamesymptom,howareyougoingtotellthem
apart?"
Well,ifyouareacquaintedwiththeMateriaMedica,withtheartofindividualization,
youwillatonceeasilyseehowtogetthegenerals;thegeneralsofonearesoandso,and
thegeneralsoftheotheraresoandso,andthiswillenableyoutodistinguishoneofthese
remedies as best adapted to the constitution, when the two remedies have the one
symptominanyequaldegree.
Now,thisrulesouttheideaofsubstitution.Ifonedoesnotwork,theysay,tryalldown
thelistalphabetically,untilyouhitit.
Whyaremedythathasneverbeenknowntoproducethatsymptommaycurethecase,
becauseitismoresimilartothegeneralsofthatcasethananyother.
ThisistheartofapplyingtheMateriaMedica.Manytimesapatientbringsoutthat
whichissostrangeandrarethatithasneverbeenfoundinanyremedy.
You havetoexamine thewhole caseandseewhichremedyofallremedies ismost
similartothepatienthimself.Frombeginningtoend,thehomoeopathmuststudythe
patient.
Ifhebecomeconversantwithsymptomsapartfromthepatient,hewillnotbesuccessful.
Par.118reads:"Eachmedicineproducesparticulareffectsinthebodyofman,andno
othermedicinalsubstancecancreateanythatarepreciselysimilar."
Thatisthebeginningofadoctrineshowingthattherecanbenosubstitution.
Therearecasesthataresomixedthatman,nomatterhowmuchhestudies,cannotsee
thedistinctions;but,rememberonething,thereisoneremedythatisneededinthecase,
whetheritisknownornot;itisneededinthecase,andithasnosubstitute,forthat
remedy differsfromallothermedicines,justasthisindividualdiffersfromallother
individuals.

Itmaybethatwecannotseethatitisneeded,itmaynotappeartobeindicated,butitis
neededallthesame,thoughtheintimationmaynothavecometotheeyeorearofthe
physician.
Thatshowsthenecessityofwaitingandwatching.InHomoeopathymedicinescannever
replaceeachother,noronebeasgoodasanother.
Aswehastenalongwiththissubject,wefindinPar.122,Hahnemannsays:
"Incircumstancesofthisnatureonwhichdependthecertitudeofthemedicalart,andthe
welfareoffuturegenerations,itisnecessarytoemployonlymedicinesthatarewell
known."
Purity is important, medicines as they are proved should be kept unmodified and
preservedandpossessedoftheirfullenergy.
Now,itisimportantthatyoushallusethesamesubstances,asnearlyaspossible,aswere
proved.
Among thepotencies that weareusinghereashighpotencies, madebyFincke and
others,wehaveinalargenumberofinstancestheveryidenticalsubstancesthatwere
provedbytheprovers.
Itisimportantnottochange.Aplantbearingthesamenameastheoneproved,but
growninadifferentclimateandonadifferentsoil,shouldnotbeused.
Procuretheonethatwasprovedoriginally.Finckerecognizedthiswhenheprocuredthe
substancesthatHeringproved.
WehavethesameLachesisthatHeringproved.IhaveasampleoftheoriginalLachesis
thatIampreservinginalittlevialmarkedwithHering'sownname.
Themedicineshouldbewellknown;itshistoryshouldbewellknown,withallthesteps
anddetails.
Thequestionofpotentizationshouldbetakenintoaccount,thedifferenthandstheyhave
beenthrough;allthelittleparticularsofourhighpotenciesshouldbewellknown.
YoushouldnotbecarelessinthisandnotgatherpotenciesfromTom,DickandHarry.
Whenable,gotoheadquartersandgetyourpotencies.
HahnemannwritesinPar.144:
"AMateriaMedicaofthisnatureshallbefreefromallconjecture,fictionorgratuitous
assertionitshallcontainnothingbutthepurelanguageofnature,theresultsofacareful
andfaithfulresearch."
Wehaveformed,builtandestablishedtheMateriaMedicabyprovingsuponthehealthy,
andobservationsthatarepureandhonestlymade.
Par.145:"Weoughtcertainlytobeacquaintedwiththepureactionofavastnumberof
medicinesuponthehealthybody,tobeabletofindhomoeopathicremediesagainsteach
oftheinnumerableformsofdiseasethatbesiegemankind;thatistosay,tofindout
artificialmorbificpowersthatresemblethem."
At the presenttimeitwillrarelybefoundthatafullydevelopeddiseasehasnotits
simillimum,itsremedyandcure,inourMateriaMedica.
Itisonlythosemixedcasesthatarenotdevelopedthatpuzzleus.

LECTURE31:Characteristics

Organon146:"Thethirdpointinthedutyofthephysicianistoemploythosemedicines
whosepureeffectshavebeenproveduponahealthypersoninthemannerbestsuitedto
thecureofnaturaldiseaseshomoeopathically."
Wewilltakethisupinournexttalk.
ThisthirdpointinthedutyofthephysicianreferredtoinPar.146reallytakesupthe
balanceoftheOrganon.
Par. 147 : "Of all these medicines that one whose symptoms bear the greatest
resemblance to the totality ofthose which characterize anyparticular natural disease
ought to be the most appropriate and certain homoeopathic remedy that can be
employed;itisthespecificremedyinthiscaseofdisease."
Itisnotanuncommonthinginthisadvanceddayofsciencetoreadofspecificremedies.
Theoldschooldistinctlyaffirmsthatthereareonlythreeorfourspecies,butalmost
every offshootwhostarts atsomethingforhimselfhastoagreatextent theideaof
specificsinhim.
One of the first things the quack physician seems inclined to do is to commence
advertisingspecificsforheadache,fordiarrhoea,forthisorthat.
ThisisaltogetheropposedtoHomoeopathy.
TherearenospecificsinHomoeopathyexceptatthebesideofapatientwhentheremedy
hasbeenwroughtoutwithgreatendeavourandcare.
Thenitmaybesaidthatthatmedicinewhichisfoundtobesimilartothesymptoms
whichcharacterizethisdiseaseisspecific.
Now,pleasenotethatthereisanemphaticsenseinthatword"characterizes."
Itisnoordinaryexpression.
WehavereadintheearlierportionsoftheOrganonthatthediseasemakesitselfknown
tothephysicianbysignsandsymptoms,andthatthetotalityofthesymptomsisthesole
representation of the disease, to the physician but that totality has to be studied to
ascertainwhatthereisamongallthesymptoms,thatcharacterizesthedisease,ormarks
thesymptomsaspeculiar.
NowHahnemanncommencestoanalyzethetotalityofthesymptomsforthepurposeof
givingitcharacter.
Ithasbeensaidintheselecturesthatitisnecessarytodothat,thattheinformationthat
leads up to characterizing is really the information that makes the homoeopathic
physicianwise,bywhichhehastheabilitytointelligentlyunderstandthatwhichhehas
totreat.
Thatmedicinewhichisbestadaptedisthemostsimilar,butyoucannotdemonstrate
beforehandthatitisthespecifichomoeopathicremedy;foryoumaybedeceivedinyour
ideaofthenatureofthecase.
Butwhenthatremedyhasacted,thenitmaybeseenthatthatremedywashomoeopathic,
orspecific,orthatitwasnothomoeopathic.
Youhavenoideaastowhatremedywillbehomoeopathictothecaseuntilyouhave
examinedallthesymptoms,andthenproceedtofindoutthatwhichcharacterizes.
Putthatwordcharacterizesinlargetype,inredletters.
Youcannotdwellsufficientlylonguponthat,becauseitgrowsgreaterandgranderwith
everystudyofthecase,thatideaofthecharacteristic.

Whatisthereinthiscasewhichmakesitanindividual,whatisthereinitthatmakesit
unlikeanythateverexisted?
Inthecaseoftheremedyascertainthatwhichcharacterizesit.
Whenthesetwooccurbeforetheperception,beforeman'smind,sothathecanthink
upon them,andherealizes thattheremedyisthemostsimilarofallintheMateria
Medica, then he is assured that that remedy will cure, and it only requires to be
administeredtoprovethatitisthespecific.
Thehomoeopathicityisthussustained,thesimilitudehasbeenhomeoutbythemedicine
havingcured.
Wecannothavethedemonstrationthattheremedyishomoeopathicuntilitcuresthesick
man;wemayonlypresumethatitishomoeopathic,orsayitappearstousthatitis
homoeopathic,becausethatwhichischaracteristicofthediseaseismostsimilarofall
otherthingstothatwhichischaracteristicofthatremedy,orviceversa.
Wemayreasonablyassumethatthatremedyisthespecific,butthehomoeopathicitycan
onlybedemonstratedbycure.
Soitdoesnotmakearemedyhomoeopathicsimplytobecarriedinmycase.
Homoeopathicremediesarenothomoeopathicsimplybecausetheyhavebeenusedbya
homoeopath.
Remediesarenothomoeopathicbecausepotentizedandattenuatedorpreparedafterthe
fashionofourschool.
Whatconstitutesaremedyhomoeopathic?
Theansweris:Ithasdemonstrateditscurativerelationtothepatient,afterhavingbeen
prescribed inaccordance withhis symptoms,therecoverytakingplaceintheproper
direction, from above downward, from within out, and in the reverse order of the
symptoms.
That constitutes a remedy homoeopathic, and that constitutes the prescription
homoeopathic.
Itisthenaspecificremedy,andinnoothersensecanaremedyhecalledaspecific.
Hahnemanngiveshistheoryofcureinparagraph148,butyouarenotcompelledtoadopt
it.
Hahnemannhimselfsaysitisonlyatheory,andheoffersitassimplythebestinview,
butnotasbindinguponyoutoaccept.
ButPar.149issomethingthatmustbeaccepted,thatis,itmustbeknown,andthen
acceptedbecauseitistrue.
Itisageneralstatementoftheresultsofthehomoeopathicremedyinthecureofdisease.
The rejection of this paragraph must effect a separation amongst those who do not
believe,andthosewhodobelieve.
"When a proper application of the homoeopathic remedy has been made, the acute
diseasewhichistobecured,howevermalignantandpainfulitmaybe,subsidesinafew
hours,ifrecent,andinafewdays,ifitissomewhatolder,"etc.
From this I am placed under the plain necessity of acknowledging that if under my
treatmentsuchdiseasesdonotsubside,Ihavenotfoundtherightremedy.
Thatwillforcethehonesthomoeopathicphysiciantoseektheproperremedy.
Letnottheblamebeplaceduponthefailureofthesystemandoflawandorder,butletit

beplacedupontheonewhopracticesit.
Justsosureasyoufindthehomoeopathicremedyinacaseofscarletfever,justsosure
you will seethat fever falland that child improve; while the rashwill remain out,
nothingofthemalignancyofthecasewillremain,inanordinarycaseofscarletfever;
wefindthatinafewdaysthechildissomuchbetterhewantstogotoschool.
Butthenwetreatthechildandnotthefever.
Justsosureasthephysicianhasinmindtherashofscarletfeverorofmeaslesasthe
mainelementofthedisease,hewillmakeafailure,andthepatientwillnotrecoverso,
speedily;butasamatteroffact,thehomoeopathicphysicianprescribesforthepatienton
thatwhichcharacterizes thesickness,eventhoughitbewhatiscalledaselflimiting
disease.
150.Thistreatsofoneofthedifficultieswehavetocontendwith.
"Ifapatientcomplainsofslightlyaccessorysymptomswhichhavejustappeared,the
physician ought not to take this state of things for a perfect malady that seriously
demandsmedicinalaid,"etc.,etc.
Itisrightforyou,whenyourpatientsareunderconstitutionaltreatment,toprescribefora
cold,butonlywhenitisnotanordinaryone.
If the cold is likely to cause serious trouble, then you must prescribe for it ; slight
indisposition,however,shouldnotreceiveremedies.
Youwillhavepatientsthatwillcometoyouateverychangeofthewind,ateveryattack
ofsnufflesthebabyhas,ateverylittleheadacheoreverylittlepain.
Ifyouthenproceedtochangeyourremedyorprescribeforeachoneoftheselittlespells
ofindisposition,youwill,inthecourseofalittlewhile,havesuchastateofdisorderin
theindividualthatyouwillwonderwhatisthematterwiththispatient.
Youhadbettergivehernomedicineatall,andifsheiswiseandstrongandcanfeel
confidence you can sayto her that shedoes not need medicine forthis attack ; but
occasionallygiveheradoseofconstitutionalmedicinewhentheselittleattacksarenot
on.
Whileyouareyoungandcannotholdthesepatientswithanirongrasp,whentheycome
toyou,youhadbettergivethemplacebo,andlettheindispositionpassoffofitself.
Watchit,however,anditmayattheclosedevelopsomeconstitutionalmanifestations
andthrowlightuponthepatientthatyouhavebeentreating.
Ontheotherhand,itisaneasymatterto,prescribeforsevereacutediseasestheyare
decisive,theystronglymanifestmewsymptomstheyaresharpcutintheirexpressions,
thesymptomsareprominent,andyouwillnotbeconfusedasyouwillbeintheslight
indispositions.
Theslightindispositionsarenondescript;youdonotknowwhattodoforthem.
Invainyouseektofindthatwhichcharacterizesthem,andhenceitisdoubtfulaboutany
remedythatisadministeredbeingofanyvalue.
Youwillbeastonishedafterprescribinganumberofyears,andyourpatientshavegained
confidenceinyou,thatwhentheycomeinwiththeselittletrivialailmentstheywon't
havethemafterafewpowdersofsugar.
Theywillsay:
"Doctor,mytroublewentoffsplendidly."

Thisiswhatismeantbylettingthelittlethingsalone.
Severediseasesexhibitastrongdegreeofsymptoms,andhenceyouhavesomethingto
do.
Par.151."Butifthefewsymptomsofwhichthepatientcomplainsareveryviolent,the
physicianwhoattentivelyobserveshimwillgenerallydiscovermanyotherswhichare
lessdevelopedandwhichfurnishaperfectpictureofthemalady."

LECTURE32:Thevalueofsymptoms
Nature

of

Symptoms:

General

Common

Particular
Grades

of

symptoms

General

First

Grade

Second

Grade

Third

Grade

Common

First

Grade

Second

Grade

Third

Grade

Particular

First

Grade

Second

Grade
ThirdGrade
153istheonethatteachesmoreparticularlyhowtheprocessofindividualizationor
discriminationshallbecarriedout.
Ittreatsofcharacteristics,ittreatsofgrades.
Thehomoeopathicphysicianmaythinkhehashiscasewrittenoutverywell,buthedoes
notknowwhetherhehasornotuntilhehasmasteredtheideaofthisparagraph.
Hemayhavepageafterpageofsymptoms,andnotknowwhattheremedyis,andifhe
takestherecordtoamasterthemasterwillsay:
"Youhavenocase!"
"Why,Ihaveplentyofsymptoms."
"Butyouhavenocase.Youhaveleftyourcaseout;youhavelefttheimageofthe
sickness out, because you have fated to get anything that characterizes it. You have
plentyofsymptoms,buthavenotanythingcharacteristic.Youhavenottakenyourcase
properly."
Now,afteryouhavemasteredthisparagraphyouwillknowwhetheryouhavetakenyour
case properly,youwill know whether youhave something topresentto amaster, a
likenessofsomething.
Thelackofthisknowledgeisthecauseofnonsuccesswiththemajorityhomoeopathic
physicians.

Thereareagreatmanyhomoeopathicphysiciansthatprescribeandtinkeralongtime
withtheircases,andwillaskyouwhatacharacteristicis,andifitissomeonepeculiar
thingthatguidestoaremedy.
Theideaofakeynotecomestothemindofmany.
Idonotmeanthatalloranypartofwhatyouhavewrittenisuseless,butitisnecessary
tohaveindividualizingcharacteristicstoenableyoutoclassifythatwhichyouhave,to
perceive thevalueofsymptoms,and,ifyoumustsettledowntoafewremedies,to
ascertainwhichoftheseismoreimportantthananother,ormostimportantofall.
Youcannotindividualizeunlessyouhavethatwhichcharacterizes.
Thethingsthatcharacterizearethingstomakeyouhesitate,tomakeyoumeditate.
Supposethatyouhavebeenacquaintedwithalargenumberofcasesofmeasles,for
instance,butalongcomesoneofwhichyousaytoyourself,
"Thatisstrange;Ineversawsuchathingasthatbeforeinacaseofwhoopingcough.It
ispeculiar."
Youhesitate,youmeditate,andatoncerecognizeitassomethingindividual,becauseitis
strangeandrareandpeculiar.
Yousay,Idonotknowwhatremedyhasthatsymptom.
Thenyoucommencetosearchyourrepertory,orconsultthoseofmoreexperience,and
youfindintherepertory,oruponconsultation,thatsuchamedicinehasthatthingasa
strongfeature,asahighgradesymptom,anditisaspeculiarintheremedyasinyour
patient,thoughyouhaveneverseenitbefore.
Youmayhaveseenahundredcasesofmeasleswithoutseeingthatverything.
Thatpeculiarthingthatyouseeinmeaslesrelatestothepatientandnottothedisease,
andasthesoledutyofthephysicianistohealthesickthatpeculiarthingwillopenthe
wholecasetotheremedy.
Whenyoufindthattheremedyhasthatsymptom,alongwiththeothersymptoms,you
mustattachsomeimportancetoit,andwhentherearetwoorthreeofthesepeculiar
symptomstheyformthecharacteristicfeatures.
Whatwouldyouthinkwouldconstituteacommonsymptom?
Weshallatonceseethatthecommonsymptomsarethosethatappearinallcasesof
measles,thatyouwouldexpecttofindinmeasles.
Itwouldbestrangetohavemeasleswithoutanyrash;thatwouldbepeculiar.
Weknowthattheabsenceofrashisastrikingstateofaffairsandmeanstrouble,andis
peculiar.
Eitheritisnotmeasles,ortheabsenceoftherashisaseriousstate.
Supposeitisafever.Thepatient has intense beat, anordinaryfever,coming inthe
afternoonandrunningthroughthenight,withhothandsandfeet,hightemperature,dry
tongue,etc.
Whatwouldyousayconcerningthepresenceorabsenceofthirst?
Youwouldsayitiscommonifhehasthirst,becausealmostanybodywhohasfever
wouldwantwater.
Nothingissonaturaltoputfireoutwithaswater,andtheabsenceofthirstinafeveris
strange,israreanduncommon,peculiarandstriking.
Youwouldaskyourselfatonce,isitnotstrangethathedoesnothavethirstwithsucha

hightemperature?
Youatoncestriketotheremediesthatarethirstless.
Youwouldnotthinkofhuntinguparemedythathasthirst.
Sotheabsenceofthestrikingfeaturesofdiseaseconstitutesapeculiaritythatrelatesto
thepatient.
Well, then, that which is pathognomonic is common, because it is common in that
disease,butanabsenceofthepathognomoniccharacterizesthatparticulardiseaseinthat
patient, andtherefore means thepatient, andinproportionas youhavethat classof
symptomsjustinthatproportionyouhavethingsthatcharacterizethepatient,andthe
specificremedyforthepatientwillbethesimillimum.
Itisnecessarytoknowsicknesses,notfrompathology,notfromphysicaldiagnosis,no
matterhowimportantthesebranchesare,butbysymptoms,thelanguageofnature.
Atruehomoeopathicprescriptioncannotbemadeonpathology,onmorbidanatomy;
becauseprovingshaveneverbeenpushedinthatdirection.
Pathologygivesustheresultsofdisease,andnotthelanguageofnatureappealingtothe
intelligentphysician.
Symptomatologyisthetruesubjecttoknow.
Noman,whoisonlyconversantwithmorbidanatomyandpathognomonicsymptoms,
canmakehomoeopathicprescriptions.
Inadditiontodiagnosticabilityhemusthaveapeculiarknowledge;thatis,hemustbe
acquaintedwiththemannerofexpressionofeachandeverydisease.
Hemustknowjusthoweachdiseaseexpressesitselfinlanguageandappearanceand
sensations.
Hemustknowjusthoweveryremedyaffectsmankindinthememoryandunderstanding
andwill,becausetherearenootherthingsthattheremedycanactuponastothemind,
andhemustknowhowtheremedyaffectsfunctions,becausetherearenootherwaysin
whichtheremedyaffectsthebodyofman.
Now, ifheknows bow diseases express themselves in signs andsymptoms, thenhe
knowswhatconstitutesanindividualdiseasealittledifferentfromallothers.
It is the peculiar way that the same disease affects different patients that makes the
symptomsstrange,peculiarandrare.
That which is pathognomonic in the remedy is that which you will study out most,
becauseitisthatwhichisrelatedtothepatient.
Suchisthestateofmindthatthehomoeopathicphysiciansmustkeepthemselvesinorder
tobeginthisstudy,andwhentheyhavebeguntothinkinthiswaytheycanthenstudythe
symptomsofthediseaseastograde.
Thesymptomsoftheremediesmustbestudiedespeciallywithrespecttoorderongrade.
Tolookuponthemasallalike,becausetheyappeartobeallonthesamelevel,istobe
unabletomake.distinctions.
Onesymptomwithsomephysiciansisasgoodasanother.Itisafactthatsymptoms,toa
greatextent,areupona,slidingscale.
Whatispeculiarinoneremedyisnotinanydegreepeculiarinanother.
Whileitmaybepeculiarinachroniccasetohavethirst,itisnotsoinafever.
Thatwhichistrueinmanyrespectsinachronicstatemaybetheveryoppositeinan

acutecase.
The chronic miasms are the very opposite in their character and order to the acute
miasms,andthisisafactthatthehomoeopathicphysicianmustknow.
Ifyouhadastrikingcaseofinflammationoftheparotidgland,thepatientsays:
"Donotpressuponit,becauseitisverysore,"
howwouldyouclassifythat,ascommonorstrange?
Ifyouthinkbutamoment,youwillseethatitwouldbeaverystrangethingforahighly
inflamedglandnottobesue,andthatsorenessuponpressureisnotsomethingtobe
prescribedfor,butsomethingtobeknown,tobetakenintothegeneralviewofthecase,
and the remedy indicated in the case would be suitable if it have inflammation and
sorenessofthegland;thereisnothingstrikinginthat:quiteagroupofremedieshave
producedhardness,sorenessandtendernessofthegland;itmaybeoneofthose,orit
maybeonewhichhasneverproducedthesethings,ifithavethecharacterizingfeatures
ofthepatient.
Insicknessesthesymptomsthatcannotbeexplainedareoftenverypeculiar;thethings
thatcanbeaccountedforarenotsooftenpeculiar;peculiarthingsarelessknownto
man.
Forinstance,apatientcansitonlywithhisfeetuponthedesk,orwithhisfeetelevated;
heisagreatsufferer,andbecauseofthissufferingheiscompelledtoputhisfeetup.
Thesymptomshencewillbeputdown,worsefromlettingthefeethangdown.
"Well,whatdoyoumeanbythat?Why,ifIletmyfeethangdown,IfindIbringthe
natesdownuponthechair,andthereisasoreplacethere."
Nowthatisquiteadifferentthing.
Youmayfindifitisanoldmanthathehasalargeprostategland,whichisverypainful
attimesandverysore,andwhenheletsthefeethangdowntheglandcomesincontact
withthechair.
Soweseethattherealsummingupofthecaseisthatthisenlargedandsoreprostate
glandisworsefrompressure,andallyouhavelearnedfromthatsymptomisthatthe
glandissensitivetotouch,whichisacommonsymptom.
There are instances, however, where by letting the feet hang down the patient is
ameliorated;forinstance,youtakeaperiostitisandthepainisrelievedbylettingthe
limbshang.
Noonecantellwhythatlimbisbetterwhenhangingoverthebed.
Heliesacrossthebedwiththefoothangingovertheside,andwhyitisthathecannotlie
uponhisbacknobodycanfigureout.
NowthatconditionisfoundinConium,andyouwillnotbeastonishedafteryouknow
thatConiumhasthatsymptomtofindallthesymptomsofyourpatient,sayConium.
Alltherestofthemperhaps,arecommon.
Now,whenyouthinkalongthislineofscience,itwillnottakeyoulongtogetintothe
habit of estimating among the symptoms that appear in a record the things that are
common,thethingsthatyouwouldexpect,andthethingsthatarestrange.
Again,weseethattherearecertainsymptomsintheremediesthataregeneralandonthe
otherhandthesymptomsthataregeneralmustalsobetakenintoaccountinorderto
examineanyrecord.

Allthethingsthatarepredicatedofthepatienthimselfarethingsthataregeneral;allthe
thingsthatarepredicatedofanygivenorganarethingsinparticular.
Soweseehowtherearethingsingeneral,andthingscommon,andthingsparticular;
sometimesitmaybeaconditionorstate,sometimesitmaybeasymptom.
Wehavesaidthatwhatthepatientpredicatesofhimselfwillgenerallyappeartoyouto
beatoncesomethingingeneral.
Whenthepatientsays,"Iamthirsty,"asamatteroffact,althoughhefeelsthatthirstin
themouth,yetitishiswholeeconomythatcravesthewater.
Thethingsofwhichhesays,"Ifeel,"areapttobegenerals.
Thepatientsays,"Ihavesomuchburning,"andifyouexaminehim,youfindthathis
headburns,thattheskinburns,thatthereisburningintheanus,burningintheurine,and
whateverregionisaffectedburns.
Youfindthewordburningisageneralfeaturethatmodifiesallhissickness.
Ifitwereonlyinoneorgan,itwouldbeaparticular,butthesethingsthatrelatetothe
wholeofthemanarethingsingeneral.
Again,whenthepatienttellsthingsofhisaffections,hegivesusthingsthataremost
general.
Whenhespeaksofhisdesiresandaversions,wehavethosethingsthatrelatesoclosely
tothemanhimselfthatthechangesinthesethingswillbemarkedbychangesinhisvery
ultimates.
Whenthemanarrivesatthatstatethathehasanaversiontolife,weseethatthatisa
general symptom and that premeates his economy ; that symptom qualifies all the
symptomsandistheverycentreofallhisstatesandconditions.
Whenhehasadesiretocommitsuicide,whichisthelossoftheloveofhislife,wesee
thatthatisveryinnermost.
Medicinesaffectmanprimarilybydisturbinghisaffections,bydisturbinghisaversions
anddesires.
Thethingsthathelovedtodoarechanged,andnowhecravesstrangethings.
Or the remedy changes his ability to comprehend, and turns his life into a state of
contentionanddisturbance;itdisturbshiswillandmaybringuponhimtroublesome
dreams,whicharereallymentalstates.
Dreamsaresocloselyalliedtothementalstatethathemaywellsay,
"Idreamedlastnight;"
thatisageneralstate.
Thethingsthatlieclosesttomanandbiglife,andhisvitalforce,arethethingsthatare
strictlygeneral,andastheybecomelessintimatelyrelatedtomantheybecomelessand
lessgeneral,untiltheybecomeparticular.
Themenstrualperiodgivesusastatewhichwemaycallgeneral.
Thewomansays,"Imenstruate,"soandso;shedoesnotattributeittoherovariesorto
heruterus;herstateis,asarule,differentwhensheismenstruating.
Sothethingsthatarepredicatedofself,oftheego,thethingsdescribedas
"Idosoandso,"
"Dr.,Ifeelsoandso,"
"Ihavesomuchthirst,"

"Iamsochillyineverychangeoftheweather,"
"Isuffocateinawarmroom,"etc.,
theseareallgeneral.
Thethingsthataregeneralarethefirstinimportance.
Afterthesehavebeengathered,youmaygoontakingupeachorgan,andascertaining
whatistrueofeachorgan.
Manytimesyouwillfindthatthemodalitiesofeachorganconformtothegenerals.
Sometimes,however,theremaybemodalitiesoftheorgans,whichareparticularthatare
opposedtothegeneral.
Hencewefindinremediesthatappeartohaveinonesubjectonething,andinanother
subjecttheveryoppositeofthatthing.
Inoneitwillbeageneral,andinanotheritwillbeaparticular.

LECTURE33:Thevalueofsymptoms.(continued)
It is veryimportant that youshouldunderstandwhatismeant general,common and
particularsymptomsandsoIwillrepeatsomewhat.
Thegeneralsaresometimesmadeupofparticulars.
Ifyouexamineanypartalone,youareonlyexaminingtheparticulars.
Ifyouexaminetheliversymptomsalone,youareexaminingparticulars.
Ifyouareexaminingtheeyesymptoms,orthesymptomsofanyotherregionconsidered
apartfromthewholeman,youareexaminingparticularsymptoms.
Butafteryouhavegatheredtheparticularsofeveryregionofthebody,andyouseethere
arecertainsymptomsrunningthroughtheparticulars,thosesymptomsthatrunthrough
theparticularshavebecomegenerals,aswellasparticulars.
Thingsthatapplytoalltheorgansmaybepredicatedofthepersonhimself.
Thingsthatmodifyallpartsoftheorganismarethosethatrelatetothegeneralstate.
Anythingthattheindividualpredicatesofhimselfisalsogeneral.
Therearethingsthatanindividualmightsayofhimselfthatmightrelatetoonlyone
organ, butofcoursethatbecomes aparticular;butmostofthethingsthattheman
predicatesofhimselfaregeneral.
Considerforinstance,thesymptomsofsleep.
Youmightatfirstthinkthattheyrelatedtothebrain,butthebraindoesnotsleepany
morethanthewholeman.
"Iwaswakefullastnight."
heispredicatingsomethingofhimselfandhenceitisgeneral.or,hesays,
"Idreamed."
Wellitistruethatthewholemanreallydreamed.
Youmightsaythatthemindmerelydreamed,butthemindisthemanandtherefore,we
seehowimportantsleepanddreamsbecomeintheanamnesisofacase.
Scarcelymoreimportantiswhatthewomansaysofhermenstruation;menstruationso
closelyrelatestothewholewomanthatitbecomesmostimportant.
Thespecialsensesalsoaresocloselyrelatedtothewholemanthatthesmellsthatare
gratefulandthesmellsthataredisagreeablebecomegeneral.


LECTURE34:Thehomoeopathicaggravation
Organon154(Lastclause).
"Adiseasethatisofnoverylongstandingordinarilyyieldswithoutanygreatdegreeof
sufferingtothefirstdoseofthisremedy,"
whichistosaythatinacutediseaseweseldomseeanythinglikestrikingaggravation
unlesstheacutediseasehasdrawnneardeath'sdoor,orisverysevere,unlessithaslasted
manydays,andbreakingdownofbloodandtissueisthreatened,orhastakenplace.
Then we will see sharp aggravations, great prostration, violent sweating, exhaustion,
vomitingandpurgingfollowingtheactionoftheremedy.
Ihaveseenmostseverereactionwhichseemedtobenecessarytorecovery.
Suchastateinacutediseasewhereithasgonemanydayswithoutaremedyandagreat
threateningispresentwillbetoanacutediseasewhatmanyyearswouldbetoachronic
diseaseoflongstanding.
Longstandingmeansasamatterofprogress;ifwesayadiseaseofmuchprogress,orof
considerableultimates,weunderstanditbetter.
Ifthediseasehasultimateditselfinchangeoftissue,thenyouseestrikingaggravations,
evenaggravationsthatcannotberecoveredfrom,suchaswefindintheadvancedforms
of tissue change,e.g., where thekidneys aredestroyed ortheliver destroyed, or.in
phthisis,wherethelungsaredestroyed.
Adiseaseoughtalwaystobewellconsideredastowhetheritisacuteorchronic.
Wheretherearenotissuechanges,wherenoultimatesarepresent,thenyoumayexpect
theremedytocurethepatientwithoutanyseriousaggravation,orwithoutanysharp
suffering,forthereisnonecessityofreactingfromaseriousstructuralchange.
Wherethereisadeepseatedsepticcondition,wherepyaemiamustbetheresult,youwill
findsometimesvomitingandpurging.
Asareactionofthevitalforceoftheeconomywhenorderisestablished,thisorder,
whichisattendedbyreaction,asitwere,commencesaprocessofhousecleaning.
Itdoesititself,thedrugdoesnotdoit;ifacrudesubstanceisuseditistheactionofthe
drug,ofcourse,buttheactionofthedynamicdrugistoturntheeconomyintoorder.
Soitiswithchronicdisease.
When thechronicdiseasehasnotultimateditselfintissuechanges,youmaygetno
aggravationatall,unless,perhaps,itbeaverylightexacerbationofthesymptoms,and
thatslightexacerbationofthesymptomsisofadifferentcharacter.
Itistheestablishmentoftheremedyasanewdiseaseupontheeconomyinsteadofthe
reactionwhichcorrespondstoaprocessofhousecleaning.
Eliminationmusttakeplace,asweknow,probablyfromthebowels,orstomach,by
vomiting,
byexpectoration,orbythekidneys,inthosecaseswhereeverythinghasbeensuppressed.
Itmaylooklikeanaggravationwhenyouhavehadforyearsalimbparalyzedfroma
neuritis.
Suppose,afteryouadministeraremedythatgoesrighttothespot,thatisinthevery
highestsensehomoeopathic,ortrulyspecific,thatparalyzedlimbcommencestotingle

andcreeplikethecrawlinginteriorlyofants,tinglingsometimesfromwhichhecannot
sleepfordaysandnights.
Thisisduetothereactionofthenervesofthepart.
Theyarecalledintonewlife,intoactivity.
Ihaveseenthisinparalysis.
Youtake,forinstance,achildwhohaslaininastuporforalongtime,frominactionof
thebrain,thetinglingthatcomesinthescalp,inthefingersandtoesisdreadful,thechild
turnsandtwistsandscreechesandcries,anditrequiresanironhandonthepartofthe
doctortoholdthatmotherfromdoingsomethingtohushthatcry,forjustsosureasthat
isdonethatchildwillgobackintodeath.
Thatisareaction,sothatalloverthebenumbedparts,orwherethebloodbeginstoflow
intopartswherethecirculationhasbeenfeeble,wherethenervestakeonsensationagain,
wehavereaction,whichisbuttheresultofthatturningintoorder.
Thatparthasbeenbenumbedanddead,andwhencirculationtakesplaceinthepartin
ordertorepairitstissuewehavereaction,whichisattendedwithdistress.
Ifthephysiciancannotlookuponthatandbearit,hewillhavetrouble.
Ifhethinksitisanindicationforanotherremedyhewillspoilhiscase.
Wemustdiscriminatebetweenthatwhichisreactionandthatwhichcallsforaremedy.
ThesethingsareonlyseeninHomoeopathy,neverinanyotherpractice.
Sometimesthephysicianwillbedriventohiswits'endindealingwiththesereactions.
Itissometimeadreadfulthingtolookupon,andthephysicianmaybeturnedoutof
doors.
Lethimmeetitasaman;lethimbepatientwithit,becausetheignoranceofthe*mother
orthefriendscanbenoexcuseforhisviolationofprinciple,evenonce.
Adiseaseofverylongstandingsometimesfailstoyieldwithoutthisaggravationand
disturbanceandturmoilintheeconomy,andthedeeperitisthemoretissuechangeyou
havetocontendwith,andthemorewonderfulanddistressingandpainfulisthisreaction.
When apatient comes backaftereverydoseofmedicine withviolent reaction, with
violentaggravationofthedisease,withviolentaggravationofthesymptoms,youknow
thenthatthereissomedeepseatedtrouble.
Thereisadifferencebetweentheultimatesofdiseaseandabsoluteweaknessofthevital
force.
Thereissuchastateasweaknessoftheeconomy,andthereissuchastateasactivityof
the economy, with much tissue change. In feeble patients you may expect feeble
reactions, ornone at all after yourremedy, but inthe feeble cases they are ofsuch
characterthatyouhavefewsymptoms,andyoucanveryseldomfindaremedytruly
specific.
Forexample,sayyougetapatientthatisdestinedtogointoconsumption,amerely
suspiciouscase.
Youadministertherightremedyandaviolentreactioncomes,aforeshadowingofwhat
hewillgothroughyearsfromnowifheisnotcuredbytheremedy.
Ashockingconditionwillcomeuponhim;hemaybefrightenedandcomebackandtell
youthatthatwasanawfuldoseofmedicine,poison,etc.
Thatistheremedydisease,thosearethesymptomsoftheremedyforeshadowingthe

futureofthatcase,becauseifthatremedywasnotsimilarenoughtohimitcouldnotdo
suchthings,anditisbecauseofthesimilitudeofhisstate;andhemayonlyhavethose
symptomsinshadow.
Buttheremedycannotgivehimsymptomsthathehasnot.
Itcannotgivehimsymptomsthatarenotrelatedtohimexceptinthosecasesthatare
calledoversensitives.
Oversensitives, you know, are suchas are capable ofproving everything that comes
along.
Youmustknowwhetherthepatientisoversensitiveandprovingthedrug,orwhetherhe
hasavigorousconstitutionandisgettinganaggravation.
The remedy willbeexaggerated inoversensitives andsometimes inthoseofweakly
constitution,especiallythosewithaverynarrowrecedingchin,thosewhohavesunken
eyes,thosewhohavesenilitymarkedintheeyes.
Thenextparagraphcontinuesthisonetoacertainextent.
OrganonPar.155.
"Isaywithoutanydegreeofsuffering,becausewhenaperfecthomoeopathicremedyacts
upon the body, it is nothing more than symptoms analogous to those of the disease
laboringtosurmountandannihilatetheselatterbyusurpingtheirplace."
Thisisonlyspeakingfromexperience.
WheneverHahnemannmakessucharemarkhedoesnotplaceanygreatvalueuponit,
becauseitisamatterofopinion.
Youwillfindasageneralthinginacutediseases,thatifaslightaggravationofthe
symptomscomesinafewminutes,youwillhardlyeverthinkofgivinganotherdose.
Theremedyissosimilarandsearchessothoroughlythatitishardlyevernecessaryto
repeatit.
Nowtherearecircumstanceswhenitisnecessarytorepeat,butthisissodifficultto
teach,andsodifficulttolaydownrulesfor,thattheonlysafeplanistobegincases
withoutrepetition,togiveasingledoseandwait,andwatchitseffects.
Iverycommonlygiveinvigorous,typhoidfeverpatientsmedicineinwater,becauseitis
acontinuedfever;butIwatchandwait,givingitseveraldays,andtheslighestsignof
theactionoftheremedycausesmetostop.italways.Inevervaryfromthat.Inafever
wherethepatientisfeeble,togainanimmediatereactionthatshouldneverbedone.
Inaremittentfeverthereactionmaycomeinaveryfewhours,andtheonedoseshould
betherule,whileinatyphoidthereactionwillseldomcomeinafewhours.
Itisamatterofafewdays,andhencetherepetitionisadmissible.
Intyphoidsthataresomewhatdelicateneverdosuchathing.
Themorevigorthereisinaconstitutionthemoretheremedycancooperatewiththat
vigortobringaboutasafeandquickaction.
Themorefeeblethepatientthemorecautiousyoushouldbeaboutusingthesmallest
doseyoucangive.
Inmanychronicdiseasesitispossibletobringaboutareactioninthefirstnight,hence
thedangerofrepeatingtheremedy.
Ifthedeliriumsubsides,oramoisturecomesupontheskin,andheslumbersplacidly,the
medicineshouldneverbegivenbeyondsuchastate.

Therearetimesindiphtheriawhentherepetitionoftheremedywillkill,andthereare
timeswhenrepetitionwillsavelife.
Ihopesomedaytobeabletodiscovertheprinciples.
Organon158.
"Thistriflinghomoeopathicaggravationofthemaladyduringthefirstfewhours,the
happyomenwhichannouncesthattheacutediseasewillsoonbecured,andthatitwill,
forthemostpart,yieldtoafirstdose."
Thatanaturaldiseasecandestroyanotherbyexceedingitinpowerandintensity,but
aboveallthingsbyitssimilarity,isthewholetruthandnothingbutthetruth.
Sothatwhenthisslightaggravationoccursyouwillseldom,ifever,havetogiveanother
doseinanacutedisease.
Whenthisaggravationdoesnotcome,whenthereisnottheslighestaggravationofthe
symptoms,andthepatientappearstobegraduallybetteraftertheremedy,thenitisthat
theremedyshowsthatishasnotacteduponthesamedepth;andthatreliefmayceasein
thecaseofanacutedisease,andwhenthatreliefceasesthereactionhasceasedandthen
anotherdoseofmedicineiscorrectpractice.
Reliefthatbeginswithoutanyaggravationofthesymptoms,doesnotlastsolonginan
acutediseaseaswhenanaggravationhastakenplace.
Aslightactionoftheremedyoverandabovethediseaseisagoodsign.
Again, you will find if your remedy was not perfectly similar you will not get an
aggravationexceptinoversensitivepatients,andthenitisamedicinalaggravation.
When you find that you get no aggravation of the symptoms in a good vigorous
constitution,noneatall,veryoftenyourremedyhasbeenonlypartiallysimilarandit
mayrequiretwoorthreeofsuchpartiallysimilarremediestofinishthecase.
Ifyouwillobservetheworkofordinaryphysicians,youwillnoticetheygivetwoor
threeremediestogettheirpatientsthroughwhereamastergivesbutone.
Organon159.
"Thesmallerthedoseofthehomoeopathicremedy,theslightertheapparentaggravation
ofthedisease,anditisproportionatelyofshorterduration."
ThiswaswrittenatthetimeofHahnemann'sexperiencewithwhatmightbecalledsmall
doses,rangingfromthelowerpotenciestothe30thandseldommuchhigher.
Hehadhadampleexperiencewiththe30th,andoccasionallywiththe60th,butnotwith
thetremendousturmoilthatcomesfromtheveryhighestattenuations.
Itreadsinthecorrecttranslationofit(thisisincorrecthere):
"Thesmallerthedoseisofthehomoeopathicmedicine,thelessandtheshorteristhe
aggravationinthefirsthours."
Itmightbeconsideredtomeananapparentaggravation,oranapparentaggravationof
thedisease.
NowHahnemannobserves,asyouwillfindamongstseveralofhiswritings,thatthe
diseaseitselfisactuallyintensifiedandmadeworsebytheremedy,iftheremedybe
preciselysimilar, butifwepassawayfromthecrudityofthemedicines,rangingup
towardsthe30thpotency,wegetamilderaction,andithasadeepercurativeaction,and
the smaller the dose of the homoeopathic medicine the less and the shorter is the
aggravation.

The idea is that there is an aggravation in the first hours ; that is a matter that the
paragraphitselfadmits,anditisthisaggravationthatHahnemannistalkingabout.
ItissometimestruethatafterthethirdorfourthpotenciesofBelladonnainaviolent
congestionofthebrain,theaggravationisviolent,andifthemedicineisnotdiscontinued
thechildwilldie.
The disease itself appears to be aggravated, the child seems to be so susceptible to
Belladonnathatitappearsasitweretobeaddedtothedisease,butwiththe30thpotency,
asHahnemannobserves,thisaggravationisslightandofshortduration.
Now,inthiswegetanoutsideaggravation.
Itisthedrugdiseaseoftheremedyaddedtothenaturaldisease,anaggravatedstateof
thediseasecausedbythedrug.
Itistruesometimes,inspiteofthisaggravation,thatthepatientsayssomehoworother
hefeelsbetter.
This aggravation is unnecessarily prolonged by giving too low potencies ; it is also
prolongedbyarepetitionofthedose.
Irecentlyobservedastatethatoccurredfromrepetition.
Isentaveryrobustyoungwoman,twentyyearsold,adoseofBryonia,tobetakendry
onthetongue.
However,shedissolveditinwater,andwastakingitattheendofthesecondday,whenI
wassentfor,atwhichtimesheseemedtobegoingintopneumonia.
Shehadadry,harshcough.
"Whatisthematterwithmydaughter,doctor,isshegoingtodie?"
ShewasprovingBryonia.
IstoppedtheBryonia,andnextmorningshewaswell.
Thishasbeenseenagreatmanytimeswhenthemedicinewassimilar.
Ifthemedicineisnotverysimilar,onlypartiallysimilarityetmaybesimilarenoughto
cure,butyouwillnotseetheresultsthatIamnowspeakingof;butwhenyoumake
accurateprescriptions,andaredoingyourbestwork,youwillseethesethingsinthevery
bestconstitutions.
Ofcourse,theexplanationisthatthepatientisassensitivetothemedicinethatwillcure
herastothediseasethatshehas.
Diseasedstates,then,aremadeworsebyunnecessaryrepetition andbythedosenot
beingsmallenough,thatis,bythedosebeingverycrude.
Thethird,fourthandsixtharedangerouspotencies,ifyouareagoodprescriber.
Ifyouareapoorprescriber,youwilldemonstratebutlittleofanything.
Youwillnaturallygotothehigherandhigherpotenciesforthepurposeofdeparting
fromwhatseemstobeapoisonousdose.
Thisactiondiffersfromtheaggravationofac.m.potency,duringthelatterthepatient
feelsdecidedlybetter.
It is short, it is decisive, and only the characteristic symptoms of the disease are
aggravated.
The disease itself is not aggravated ; the disease itself is not added to, and is not
intensified,butthesymptomsofthediseasestandoutsharplyandthepatientsays,
"Iamgettingbetter."

Thesymptomssometimesarealittlealarming,butintermingledwiththisisarayoflight
thatconvincesthepatientfromhisinnermostfeelingsthatheisgettingbetter.
"Ifeelmuchbetterthismorning,"
saysthepatient,thoughthesymptomsmayhavebeensharpenedup.
Organon160.
WeareaccusednowadaysofhavingdepartedfromHahnemann.
Hahnemannwroteofthe30thpotencyinoneofthestagesofhislife,assufficientlyhigh
andsufficientlylow.
Wecaneasilyseethatitwasintheearlierperiodofhisinvestigationsthathemadethe
remarkthatpotentizingmustendsomewhere.
WeareaccusedofdepartingfromHahnemann,becausewegivedifferentdosesfrom
whatHahnemanngave.
NowIwanttoshowyouthatthisisnotso.
Readparagraph279:
"Ithasbeenfullyprovedbypureexperimentsthatwhenadiseasedoesnotevidently
depend upontheimpaired stateofanimportant organthedoseofthehomoeopathic
remedycanneverbesufficientlysmallsoastobeinferiortothepowerofthenatural
diseasewhichitcan,atleast,partiallyextinguishandcure,provideditbecapableof
producingonlyasmallincreaseofsymptomimmediatelyafteritisadministered."
Now,ifwegotothe200thpotencyandfindthatthatwillaggravate,ifwegotothe50m.
andfindthatthatwillaggravate,ifwegotothecm.,themm.,etc.,andfindthattheywill
aggravate,thattheystillhavethepowertointensifythesymptoms,theremedyhasjust
thesamecurativepowerinit.
Ifwehavethepotencysohighthatitisnotcapableofproducinganaggravationofthe
symptoms,wemaythenbesurethatthereisnomedicinalpowerleft.
Weareuptothe13mm.andtheendisnotyet.
Nowwehavenevermadetheclaimthateverypotencywillsuiteverybody.
Thepotencymustcorrespondtothestateofthepatient.
Ifweeverfindapersonwhowillbeaggravatedinhissymptomsinthemostpositiveand
definitefashion,thatpotencywillbeverified.
WehavenotdepartedfromHahnemann,buthaveactedinaccordancewithhisdoctrines.
Organon280.
"Thisincontrovertibleaxiom,foundeduponexperience,willserveasarulebywhichthe
dosesofallhomoeopathicmedicines,withoutexception,aretobeattenuatedtosucha
degree,thatafterbeingintroducedintothebodytheyshallmerelyproduceanalmost
insensibleaggravationofthedisease.
It is of little importance whether the attenuation goes so far as to appear almost
impossibletoordinaryphysicianswhosemindsfeedonnootherideasbutwhataregross
andmaterial.
All these arguments and vain assertions will be of little avail when opposed to the
doctrinesofunerringexperience."
Now,cantherebeanydoubtofwhatHahnemannmeantwhenhespeaksofthesmallest
dose?
Cantherebeanydoubtbutthathemeansattenuation,andattenuationupandupuntilwe

reachthatpointintheattenuationthatwedonotobserveaslightaggravationofthe
symptoms?
Inthenotetoparagraph249,hesays,
"Allexperienceteachesusthatscarcelyanyhomoeopathicmedicinecanbepreparedin
toominuteadosetoproduceperceptiblebenefitinadiseasetowhichitisadapted.
Hence,itwouldbeanimproperandaninjuriouspracticewhenthemedicineproducesno
goodeffectoraninconsiderableaggravationofthesymptoms,afterthemanneroftheold
schooltorepeatorincreasethedoseundertheideathatitcannotproveserviceableon
accountofitsminuteness."
Sothesenseshavenorelationwhatevertotheminutenessofthedose.
Themedicalmanisinclinedtomeasuredosesfromthestandardofapoisonousdose.
Hewillmeasureoffalittlelessthanthatwhichwouldpoison,andcallthatadose.
Itmustbeseen,itmustyetbevisible.
ThisisnotthetestthatHahnemannoffers.
Heoffersthetestofthedoseasonecapableofproducingaslightaggravationofthe
symptoms.
Weseehedoesnotlimitattenuation,buthepracticallyteachesitisunlimited,andthe
endhasneverbeenfound.
Thereisagenerallyprevailingideaallover,notamongstrictHahnemannians,butamong
modernhomoeopathsingeneral,thatthedoseofmedicinelaiddownbyHahnemannis
toosmalltocure.
Itisafatalerror.
Anincreaseofthedosecannotmakeitmorehomoeopathic.
Thesimilarityoftheremedyisfirst,andthedoseissecond.
ButthatthedoseofmedicinelaiddownbyHahnemannistoosmalltocureisafatal
error.
Wemustseebytheexperienceintheclinics,andbyconsideringthewonderfulthings
thatwehavegoneoverinthedoctrines,thatwehavereallyverylittletodowiththedose,
thatthereisawonderfullatitudeindosage,andthatwecannotlaydownanyfixedruleas
tothebestpotencytouse.
Itoughttobedistinctlyfelt,fromallwehavegoneover,thatthe30thpotencyislow
enoughtobeginbusinesswithinanyacuteorchronicdisease,butwherethelimitisno
mortalcansee.
Wewanttofollowuptheseries,sothatwemaygottheveryinternalstatesthatexistin
degreesinthemedicine.
The different potencies are distinct from each other, some are very far apart, yet
invariablyconnected.
Itisamistakeforanyhomoeopathtostartoutwiththeideathatthedoseofmedicinelaid
downbyHahnemannistoosmalltocure.
Itshowsthathismindisofmaterialmould,thatitisinelasticandcannotyieldtothe
higherobservations,andnotcapableofobservingandfollowinghigherandhigherastrue
experiencewouldlead.
Unlessmanhastruthinhismindhisexperiencesarefalse.
Truthinthemindisfirstandthenexperiencesaregood.

Ifhismindisinastateoftruth,experiencesaretrue.
Youcannottrusttheexperiencesofmenwhodonotknowwhatistrue,neithercanthey
beledintotruthbythesefallaciousexperiences.

LECTURE35:Prognosisafterobservingtheactionoftheremedy
Afteraprescriptionhasbeenmadethephysiciancommencestomakeobservations.
Thewholefutureofthepatientmaydependupontheconclusions thatthephysician
arrives at from these observations, for his action depends very much upon his
observations,anduponhisactiondependsthegoodofthepatient.
Ifheisnotconversantwiththeimportofwhathesees,hewillundertaketodowrong
things,hewillmakewrongprescriptions,hewillchangehismedicinesanddothingsto
thedetrimentofthepatient.
Thereisabsolutelybutoneway,andnothingcantaketheplaceofintelligence.
Ifyoutalkwithagreatmanyphysiciansconcerningtheobservationsyouhavemadeafter
givingtheremedyyouwillfindthatthemajorityofthemhaveonlywhimsornotionson
thissubjectandseenothingaftertheprescriptionismade.
TheseobservationsIamgoingtogiveyouhavegrownoutofmuchwatchfulness,long
waitingandwatching.
If the homoeopathic physician is not an accurate observer, his observations will be
indefinite;andifhisobservationsareindefinite,hisprescribingisindefinite.
It is taken for granted after a prescription has been made, and it is an accurate
prescription,thatithasacted,.
Now,ifamedicineisactingitcommencesimmediatelytoaffectchangesinthepatient,
andthesechangesareshownbysignsandsymptoms.
Theinnernatureofthediseaseappearstothephysicianthroughthesymptoms,anditis
likewatchingthehandsupontheclock.
Thiswatchingandwaitingandobservinghastobedonebythephysicianinorderthathe
mayjudgebythechangeswhattodo,andwhatnottodo.
Itistruethatthehomoeopathisnotlongindoubtinmanyinstanceswhatnottodo.
Thereisalwaysanindexthattellshimwhatnottodo.
Ifheisasharpandvigilantobserver,hewillseetheindexforeverycase.
Ofcourse,ifaprescriptionisnotrelatedtothecase,ifitisaprescriptionthateffectsno
changes,itdoesnottakelongto.seewhattodo;muchpatientwaitingforafoolish
prescription is but loss of time, and that should be taken into account among the
observations.
Theobservationstakenafteraspecificremedyhasbeengivensufficientlyrelatedtothe
casetocausechangesinthesymptomsarethoseofvalue.
Thechanges arebeginning,whataretheylike,whatdotheymean,towhatdothey
amount?
Thephysicianmustknowwhenhelistenstothereportsofthepatientwhatisgoingon.
Theremedyisknowntoactbythechangingofthesymptoms.
The disappearance of symptoms, the increase of symptoms, the amelioration of
symptoms, the order of the symptoms, are all changes from the remedy, and these

changesaretobestudied.
Amongthecommonestthingsthatremediesdoistoaggravateorameliorate.
Theaggravationisoftwokinds;wemayhaveanaggravationwhichisanaggravationof
thedisease,inwhichthepatientisgrowingworse,orwemayhaveanaggravationofthe
symptoms,inwhichthepatientisgrowingbetter.
Anaggravationofthediseasemeansthatthepatientisgrowingweaker,thesymptoms
aregrowingstronger;butthehomoeopathicaggravation,whichistheaggravationofthe
symptoms of the patient while the patient is growing better, is something, that the
physicianobservesafteratruehomoeopathicprescription.
The truehomoeopathic aggravation, Isay,iswhenthe symptoms areworse,butthe
patientsays,"Ifeelbetter."
Wemustnowgointotheparticularsconcerningthesestates,astothetimeandplace,as
tohowtheaggravationoccurs,astohowtheameliorationoccurs,astoduration,etc.
Theaggravationsandameliorations,thedirectionsofsymptomsandmanyotherthings
havetocomeup,andbeobservedandjudgmenthastobepasseduponthem.
Firstofall,thepatientshouldbetheaimofthephysician,hiswholeideashouldbe
centreduponthepatienttodeterminewhetherheisimprovingordeclining.
Wehavetojudgebythesymptomstoknowthatthisistakingplace.
Veryoftenthepatientwillsay,"Iamgrowingweaker,"andyetyoumayknowthatwhat
hesaysisnottrue;socertainlycanyourelyuponthesymptomsandtheirstory,whichis
morefaithfulthanthepatient'sopinion.
Manytimesthepatientwillsay,"Doctor,Iamsomuchworse";andyetyouexamine
intohissymptomsandyoufindthatheisreallydoingverywell.
Justthemomentthathefindsoutthatyouareencouraged,hefeelsbetterandrousesup
andwantstoeat.
By the symptoms, also, you can tell when the patient is really weaker, and if the
symptomsaretakinganinwardratherthananoutwardcourseyouwillknow,evenifhe
isencouraged,thatthereisnoencouragementforhim.
Wehaveinthesymptomsthatwhichwecanrelyupon.Intheoldschoolwehavenothing
buttheinformationofthepatient.
Thisisoflittleaccountaftermakingahomoeopathicprescription.
Thesymptomsthemselvesmustbecorroborated.
Thepatient'sopinionmustbecorroboratedbythesymptoms.
Thesymptomsdocorroboratewhatthepatientssayinmanyinstances,butthesymptoms
arethephysician'smostsatisfactoryevidence.
Another general remark needs to be made, namely, that we should know by the
symptoms if the changes occurring are sufficiently interior. if the changes that are
occurringareexterior,thephysicianmustbeacquaintedwiththemeaningofthem,so
thathewillknowbythatwhetherthediseaseisbeinghealedfromtheinnermostor
whetherthesymptomshavemerelychangedaccordingtotheirsuperficialnature.
Incurable diseases will very often be palliated by mild medicines that act only
superficially,actuponthesensorium,actuponthesenses,andthoughthehiddenand
deepseatedtroublegoesonandprogresses,andissometimesmadeworse,yetthepatient
ismadecomfortable.

Sothatbythesymptomswecanknowwhetherthechangesthatareoccurringareof
sufficientdepth,sothatthepatientmayrecover.
Thedirectionthatthesymptomsaretakingissufficienttotellthat,especiallyinchronic
disease.
Apatientwalksintotheclinic,somewhatstoopshouldered,withahackingcoughthathe
hashadforagoodmanyyears.
Youjudgebyhislooksthathehasbeensickagoodwhile;hisfaceissickly,heislean
andanxious,heiscareworn,heissufferingfrompovertyandpoorclothingandscanty
food.
Now, you examine all of his symptoms, and they clearly indicate that he needs an
antipsoric,forthesymptomsarecoveredbyanantipsoric,andfromthehistoryofthe
caseyouknowhehasneededitagoodwhile.
Uponprolongedexamination,theantipsoricyouhaveinmindisstrengthened.
Younowexaminehischest,anddiscoverhehasnottheexpansionthatheoughttohave,
and you detect the presence of tuberculosis, and by feeble pulse and many other
corroboratingsymptomsyouascertainthatthepatienthasbeensteadilydeclining.
Yougivethemedicineandhecomesbackinafewdayswithquiteasharpaggravationof
thesymptoms;hehasanincreasedcough,hehasanightsweatandheismorefeeble.
Now,thehomoeopathicphysicianlikestohearthat;helikestohearofanexacerbation
ofthesymptoms;butthispatientcomesbackinaweek,andtheaggravationisstill
present, and is somewhat on the increase, the patient is coughing worse, and the
expectorationismoretroublesomethanever,hisnightsweatshavebeengoingon;he
comesbackattheendofthesecondweekandheisstillworse,andallthesymptoms
havebeenworsesincehetookthatmedicine.
Hewascomparativelycomfortablebeforehetookthatmedicine,butattheendofthe
fourthweekheissteadilygrowingworse.
Therehasbeennoameliorationfollowingthisaggravation,andheisevidentlydeclining;
henowcannotcometotheofficeforheissoweak.
This,then,willbethefirstobservationaprolongedaggravationandfinaldeclineofthe
patient.
Whathavewedone?
Ithasbeenamistake,theantipsoricwastoodeep,ithasestablisheddestruction.
Inthisstatethevitalreactionwasimpossible,hewasanincurablecase.,
Thequestionimmediatelycomesup,whatareyoutodo?
Areyounotgoingtogivethehomoeopathicremedyinsuchcases?
Thepatientsteadilydeclines.
Ifyouareindoubtaboutsuchactionoftheremediesandmakingthepatientworse,you
willprobablyhaveanundertaker'scertificatetosignbeforelong.
In incurable and doubtful cases give no higher than the 30th or 200th potency, and
observewhethertheaggravationisgoingtobetoodeeportooprolonged.
Therearemanysignsinthechestinsuchcasestomakeaphysiciandoubtwhetherhe
willgiveadeepremedywhenorganicdiseaseispresent.
Ofcoursethisdoesnotapplywhenthingsareonlythreatening,whenyouhavefearof
theircoming,butwhenyouaresureoftheirbeingpresent.

Intheinstancegiventheprobability isthattheremedyhasbeentoolate,andithas
attemptedtoarousehiseconomy,butturnedtodestructionhiswholeorganism.
Thenbegin,insuchcases,withamoderatelylowpotency,andthe30thislowenoughfor
anybodyoranything.
WhenthepatientdoesnotseemtobequitesobadastheoneIhavejustdescribed,you
gethimalittleearlierinhishistorybeforethetroublehasgonequitesofar,andthenif
youadministerthissameveryhighpotencyinthesamewayyouwillmakeasecond
observation.
Thoughtheaggravationislongandsevere,yetyouhaveafinalreaction,oramelioration.
Theaggravationlastsformanyweeks,perhaps,andthenhisfeebleeconomyseemsto
react,andthereisaslowbutsureimprovement.
Itshowsthatthediseasehasnotprogressedquitesofar;thechangeshavenotbecome
quitesomarked.
Attheendofthreemonthsheispreparedforanotherdoseofmedicine,andyouseea
repetitionofthesamething,andyoumayknowthenthatthatmanwasontheborderland
andhadhegonefurther,curewouldhavebeenimpossible.
It is alwayswellindoubtfulcases togotothelowerpotencies, andinthiswaygo
cautiouslypreparedtoantidotethemedicineifittakesthewrongcourse.
Thenthesecondobservationis,thelongaggravation,butfinalandslowimprovement.
Ifattheendofafewweeks,heisalittlebetterandhissymptomsarealittlebetterthan
when he took the dose, there is some hope that finally the symptoms may have an
outwardmanifestationwherebyhewillattainfinalrecovery,butformanyyearsyoumay
goalongwithprolongedaggravations.
Youwillfindinsuchapatient therewasthebeginningofsomeverymarkedtissue
changeinsomeorgan.
Wemayknowbyobservingtheactionofaremedywhatstatethetissuesarein,aswell
asknowsomethingabouttheprognosisforthepatient.
The third observation after administering the homoeopathic remedy is, where the
aggravationisquick,shortandstrongwithrapidimprovementofthepatient.
Wheneveryoufindanaggravationcomesquickly,isshort,andhasbeenmoreorless
vigorous,thenyouwillfindimprovementofthepatientwillbelong.
Improvementwillbemarked,thereactionoftheeconomyisvigorous,andthereisno
tendencytoanystructuralchangeinthevitalorgans.
Anystructuralchangethatmaybepresentwillbefoundonthesurface,inorgansthatare
notvital;abscesseswillformandoftenglandsthatcanbedonewithoutwillsuppuratein
regionsthatarenotimportanttothelifeofthepatient.
Suchorganicchangesaresurfacechanges,andarenotlikethechangesthattakeplacein
theliver,inthekidneys,intheheartandinthebrain.
Makeadifferenceinyourmindbetweenorganicchangesthattakeplaceintheorgans
thatarevital,thatcarryontheworkoftheeconomy,andorganicchangesthattakeplace
instructuresofthebodythatarenotessentialtolife.
Anaggravationquick,shortandstrongisonethatistobewishedforandisfollowedby
quickimprovement.
Suchistheslightaggravationofthesymptomsthatoccursinthefirsthoursafterthe

remedyinanacutesickness,orduringthefirstfewdaysinachroniccase.
Underthefourthobservation,youwillnoticeaclassofcaseswhereinyouwillfindvery
satisfactorycures,wheretheadministrationoftheremedyisfollowedbynoaggravation
whatevertendencytoorganicdisease.
Thereisnoorganicdiseaseandnotendencytoorganicdisease
Thechronicconditionitselftowhichtheremedyissuitableisnotofgreatdepth,belongs
tothefunctionsofnervesratherthantothreatenedchangesintissues.
You must realize that there are changes in tissues so marked that the vital force is
disturbedinflowingthroughtheeconomy,andyetsoslightthatmanwithallofhis
instrumentsofprecisioncannotobservethem.
Under suchcircumstances wemayhavesharpsufferings,butcures maycomeabout
withoutanyaggravation.
Weknowthenthatifthereisnoaggravationthepotencyjustexactlyfittedthecase,but
hereyouhaveacourseofthingsthatyouneednotalwaysexpect.
Thoughthereisnothingbutatruenervouschangeintheeconomyafterapotencythatis
notsuitable,eithertoocrude,ortoohigh,forthatpatient,youwillhaveanaggravated
stateofthesymptoms.
Incureswithoutanyaggravationweknowthatthepotencyissuitable,andtheremedy,
thecurativeremedy,providedthatthesymptomsgooffandthepatientreturnstohealth
inanorderlyway.
Itisthehighestorderofcureinacuteaffections,yetthephysiciansometimeswillbe
moresatisfiedifinthebeginningofhisprescribinghenoticesaslightaggravationofthe
symptoms.
The fourth observation then relates to cases in which we have no aggravation, with
recoveryofpatient.
Theameliorationcomesfirstandtheaggravationcomesafterobservation.
Attimesyouwillseesicklypatients,fullyassickastheoneImentionedinthefirstor
secondinstance,walkintoyourofficeandafterlongstudyyouadministeraremedy.
Thepatientcomesbackinafewdaystellingyouhowmuchbetterhewasimmediately
aftertakingthemedicine,andnowhehasthreeorfourdaysofwhatappearstobea
decidedimprovement,apromptactionoftheremedy.
Thepatientsaysheisbetter,andthesymptomsseemtobebetter;butwait,andatthe
endofaweekorfourorfivedaysallthesymptomsareworsethanwhenhefirstcameto
you.
Itisnotaveryuncommonthinginseverecases,incasesofagoodmanysymptoms,to
have an amelioration of the remedy come at once ; but whatever you may say, the
conditionisunfavourable.
Eithertheremedywasonlyasuperficialremedy,andcouldonlyactasapalliative,orthe
patientwasincurableandtheremedywassomewhatsuitable.
Oneofthesetwoconclusionsmustbearrivedat,andthiscanonlybedonebyare
examination of the patient and by finding out whether the symptoms relate to that
remedy.
Sometimesyouwilldiscoverthattheremedywasanerror;afurtherstudyofthecase
showsthattheremedywasonlysimilartothemostgrievoussymptoms,thatitdidnot

coverthewholecase,thatitdidnotaffecttheconstitutionalstateofthepatient,andthen
youwillseethatthepatientisanincurableoneandtheselectionwasanunfavourable
one.
Itisthebestthingforthepatientifthesymptomscomebackexactlyastheywere,but
veryoftentheycomebackchanged,andthenyoumustwaitthroughgrievoussuffering
forthepicture;andthepatientwillwaitbetterifthedoctorconfessesonthespotthatthe
selectionwasnotwhatitoughttobe,andhehopestodobetternexttime.
Itisastrangethinghowthepatientswillhaveanincreaseofconfidenceifthedoctorwill
tellthetruth.
Theacknowledgementofone'sownignorancebegetsconfidenceinanintelligentpatient.
Thehigherandhighestpotencieswillactincurablecasesalongtime.
WhenIsayact,Ionlyspeakfromappearance;Ishouldsaytheyappeartoactalong
time,fortheremedyactsatonceandestablishesaconditionoforderuponthepatient,
afterwhichthereisnouseingivingmedicine.
Thisorderwillcontinueaconsiderablelengthoftime,sometimesseveralmonths.
Thepatientwillgetalongjustaswellwithoutanymedicine,andgetalongbetterwithout
thatmedicinethathelpedhimthanwithit.
In curablecases,whoseprospects aregood,theywillgoalongforalongtime, and
becomeverymuchrelievedoftheirsymptoms.
Now,ifthepatientcomesbackattheendofthefirst,secondandthirdweekandsayshe
hasdonewell,thathehasbeenimprovingallthetimefromthecm.ofSulphur,butatthe
endofthefourthweekhecomesbackandsays,
"Ihavebeenrunningdown,"thephysicianmustthenpassjudgment.
Hasthispatientdonesomethingtospoiltheactionofthismedicine?
Hashebeenonadrink?
Hashehandledchemicals?
HashebeeninthefumesofAmmonia?
No,hehasdonenoneofthesethings.
Thisconditionisreallyanunfavourableone.
Tohaveamedicineactbutafewweeks,whereasitoughttoactformonthsthereafter,
willmakeyoususpiciousofthatpatient.
Ifnothinghastakenplacetointerferewiththismedicineinhiseconomyyoumaybe
suspiciousofthiscase.
Thissixthobservationistooshortreliefofsymptoms.
Thereliefaftertheconstitutionalremedydoesnotlastaslongenough,doesnotlastas
longasitoughttobe.
Ifyouexaminethethirdobservationyoufindthatthereyouhavethequickaggravation
followedbylongamelioration;butinthis,thesixth,youhavetheamelioration,butof
tooshortduration.
Ininstanceswhereyouhaveanaggravationimmediatelyafter,andthenaquickrebound,
youwillneversee,absolutelyneversee,tooshortanactionofthatremedy;or,inother
words,tooshortanameliorationoftheremedy.
Ifthereisaquickrebound,thatameliorationshouldlast;ifitdoesnotlast,itisbecause
ofsomeconditionthatinterfereswiththeactionoftheremedy;itmaybeunconsciouson

thepartofthepatient,oritmaybeintentional.
Aquickreboundmeanseverythingintheremedy,meansthatitiswellchosen,thatthe
vitaleconomyisinagoodstate,andifeverythinggoeswell,recoverywilltakeplace.
Inacutecaseswemayseethistooshortameliorationofthesymptoms;forinstance,a
doseofmedicinegiveninamostviolentinflammationofthebrainmayremoveallthe
symptoms for an hour, and the remedy have to be repeated, and at the end of that
repetitionwefindonlyanameliorationofthirtyminutes.
Youmaymakeupyourmind,then,thatthatpatientisinadesperatecondition,itistoo
shortanamelioration.
TheactionofBelladonnainsomeveryacuteredfacedconditionsisinstantaneous.
InfiveminutesIhavenoticedtheameliorationcome,butthebestkindofanamelioration
isthatwhichcomesgraduallyattheendofanhourortwohours,asitislikelytoremain.
If it is too short an amelioration in acute cases, it is because such high grade
inflammatoryactionispresentthatorgansarethreatenedbytherapidprocessesgoingon.
Itistooshortameliorationinchronicdiseases,itmeansthattherearestructuralchanges
andorgansaredestroyedorbeingdestroyedorinaveryprecariouscondition.
Thesechangescannotalwaysbediagnosedinlife,buttheyarepresent,andanacute
observer,whohasbeenworkingearnestlyforyears,willoftenbeabletodiagnosethe
meaning of symptoms without any physical examination whatever, so that be can
prophesyastothepatient.
Suchexperiencesofanintelligentphysicianinafamilywillcausethemtolookuponhim
aswiserthananyoneelse,forheknowsallabouttheirconstitutions.
Thisheacquiresbystudyingtheirsymptoms,theactionofremediesuponthem,andtheir
symptomsafterthemedicineshavebeengiven.
Thisenableshimtoknowthereactionofagivenpatient,whethersloworquick,andhow
remediesaffecteachmemberofthatfamily.
Thisbelongstothephysician,andheshouldbeintelligentenoughtoknowsomething
aboutthemwhenhehasbeentreatingthemalittlewhile.
Theoldphysicianisinpossessionofthisknowledge,whilethestudentandthenew
physicianhaveitalltolearn.
Onceinawhileyouwillseeafulltimeameliorationofthesymptoms,yetnospecial
reliefofthepatient,whichistheseventhobservation.
Therearecertainpatientsthatonlygainaboutsomuch,therearelatentconditions,or
latentexistingorganicconditions,insuchpatientsthatpreventimprovementbeyonda
certainstage.
Apatientwithonekidneycanonlyimprovetoacertaindegree;patientswithfibrinous
structural change in certain places, tubercles that have become encysted and lungs
capableofdoingonlylimitedwork,willhavesymptoms,andthesesymptomswillbe
amelioratedfromtimetotimewithremedies,butthepatientisonlycurabletoacertain
extent;hecannotgobeyondandriseabovesuchastate.
Rememberthisafterseveralmedicineshavebeenadministered,andtheameliorationof
thecasehasexistedoftenthefulllengthoftimeoftheremedies,butthepatienthasnot
risenabovehisownpitchinthislengthoftime.
Theremediesactfavourably,butthepatientisnotcured,andnevercanbecured.

Thepatientispalliatedinthisinstance,anditisasuitablepalliationforhomoeopathic
remedies.
Observationeight.
Some patients prove every remedy they get ; patients inclined to be hysterical,
overwrought,oversensitivetoallthings.
Thepatientissaidtohaveanidiosyncrasytoeverything,andtheseoversensitivepatients
areoftenincurable.
Youadministeradoseofahighpotency,andtheywillgoonandprovethatmedicine,
and while under the influence of that medicine they are not under the influence of
anythingelse.
Ittakespossessionofthem,andactsasadiseasedoes;theremedyhasitsprodromal
period,itsperiodofprogressanditsperiodofdecline.
Suchpatientsareprovers,theywillprovethehighestpotencies.
Whenyoufindapatientthatproveseverythingyougiveinthehigherpotenciesgoback
tothe30thand200thpotencies.
Suchpatientsaremostannoying.
Youwilloftencuretheiracutediseasesbygivingthemthe30thand200th,andyouwill
relievetheirchronicdiseasesbygivingthemthe30th,200thand500thpotencies.
Manyofthemarebornwiththissensitivityandtheywilldiewithit;theyarenotcapable
ofrisingabovethisoverirritableandoverwroughtstate.
Suchoversensitivepatientsareveryusefultothehomoeopathicphysician.
Aftertheygetoutofoneprovingtheyarequitereadytorepeatitorgointoanother.
Theninthobservationistheactionofthemedicineuponprovers.
Healthyproversarealwaysbenefitedbyprovings,iftheyaxeproperlyconducted.
Itiswelltoobservecarefullytheconstitutionalstatesofanindividualabouttobecomea
prover,andtowritethesedownandsubtractthemfromtheproving.
Thesesymptomswillnotverycommonlyappearduringtheproving;iftheydo,notethe
changeinthem.
Thetenthobservationrelatestonewsymptomsappearingaftertheremedy.
Ifagreatnumberofnewsymptomsappearaftertheadministrationofaremedy,the
prescriptionwillgenerallyproveanunfavorableone.
Nowandthenthecomingofanewsymptomwillsimplybeanoldsymptomcomingup
thatthepatienthasnotobserved,andthinksitanewone.
Thegreaterthearrayofnewsymptomscomingoutaftertheadministrationofaremedy,
themoredoubtthereisthrownupontheprescription.
Theprobabilityis,afterthesenewsymptomshavepassedaway,thepatientwillsettle
downtotheoriginalstateandnoimprovementtakeplace.
Itdidnotsustainatruehomoeopathicrelation.
Theeleventhobservationiswhenoldsymptomsareobservedtoreappear.
Inproportionasoldsymptomsthathavelongbeenawayreturnjustinthatproportionthe
diseaseiscurable.
Theyhaveonlydisappearedbecauseneweroneshavecomeup.
Itisquiteacommonthingforoldsymptomstoappearaftertheaggravationhascome,
andhenceweseethesymptomsdisappearinginthereverseorderoftheircoming.

Thosesymptomsthatarepresentsubside,andoldsymptomskeepcomingup.
Thephysicianmustknowhimselfthatthepatientisontheroadtorecovery,anditiswell
to say to the patient that this is encouraging ; that diseases get well from above
downwards,etc.
Oldsymptomsoftencomebackandgooffwithoutanychangeofmedicine.
Itindicatesthatthemedicinemustbeletalone.
Iftheoldsymptomscomebacktostaythenarepetitionofthedoseisoftennecessary.
Thetwelfthobservation.
Wewillnoticesometimesthatsymptomstakethewrongdirection.
Forinstance,ifyouprescribeforarheumatismifthekneesorfeetorforarheumatismof
the
hands,andrelieftakesplaceatonceintherheumatismoftheextremities,butthepatient
is taken downwithviolent internal distressthatsettles intheregion oftheheart,or
centresinthespine,youseeatonceatransferencehastakenplacefromcircumferenceto
centre,andtheremedymustbeantidotedatonce,otherwisestructuralchangewilltake
placeinthatnewsite.
Whendiseasesgofromcentretocircumference,goingoutfromthecentresoflife,out
fromtheheart,lungs,brainandspine,outfromtheinteriors,upontheextremities,itis
well.
Soitisthatwefindmostgoutypatientsgetalongbestwhentheirfingersandtoesarein
theworstcondition.
Toprescribeforthis,andseetheheartsymptomsgrowworseisamostuncomfortable
stateofaffairs,foritisattendedwithagradualdownwardtendency.
Eruptionsupontheskinandaffectionsintheextremitiesaregoodsigns.
I remember one time I was discharged from a violent old woman. with quite a
considerableamountofBillingsgate,whotoldmethatwhenshecalledmeinshecould
walkabout,andnowherankleswereswelledupwithrheumatismsothatshecouldnot
move.
Thatpatientgotanotherdoctor,butsoondied.
Thereisagreatdangerinselectingaremedyonexternalsymptomsalone,i.e.,selectinga
remedythatcorrespondsonlytotheskinandignoringallthesymptomsthatthepatient
mayhave,ignoringthewholeeconomyandgeneralstateofthepatient;becauseitistrue
thatthatremedythatisrelatedtotheskinalonemaydriveinthatskindiseaseandcause
ittodisappearwhilethepatienthimselfisnotcured.
Suchapatientwillremainsickuntilthateruptioncomesbackagain,orlocatesinanother
place.

LECTURE36:Thesecondprescription
Thesecondprescriptionmaybearepetitionofthefirst,oritmaybeanantidoteora
complement;butnoneofthesethingscanbeconsideredunlesstherecordhasbeenagain
fullystudied,unlessthefirstexamination,andallthethingsthathavesincearisen,have
beencarefullyrestudiedthattheymaybebroughtagaintothemindofthephysician.
Thisisoneofthedifficultiestocontendwithwhenpatientschangedoctors,andoneof

thereasonswhypatientsdonotdowellaftersuchachange.
Thestricthomoeopathicphysicianknowstheimportanceofthisandwilltrytoascertain
thefirstprescription.
Iftheformerphysicianisstrictlyahomoeopathicphysician,heismostcompetentofall
otherstomakethesecondprescription.
Itisoftenahardshipforapatienttofallintothehandsofaseconddoctor,nomatterhow
muchMateriaMedicahemayknow.
Themedicinethathaspartlycuredthecasecanoftenfinishit,andthatmedicineshould
notbechangeduntiltherearegoodreasonsforchangingit.
Itisaverycommonthingforpatientstocometomefromthehandsofgoodprescribers.
Itellthemtostaywiththeirowndoctor.Idonotwantthem.
Suchchangingisoftenadetrimenttothepatient,unlesshebringsafullrecord,andthis
isespeciallytrueinrelationtoacasethathasbeenpartiallycured,wheretheremedyhas
actedproperly.
If the patient has no reasonable excuse to leave the doctor, it is really a matter of
detrimenttothepatientforaphysiciantotakeanother'spatientsatsuchamoment.
Itisnotsomuchaquestionofethics,itisnotsomuchaquestionoftherelationofone
doctor to another because friends can stand all that, but it is only after a tedious
inspectionofallthesymptomsthatanintelligentphysicianiscapableofmakingasecond
prescription.
Asageneralthing,ifthefirstprescriptionhasbeenbeneficialitoughtnottobeleftuntil
ithasdoneallthatitcando.
Howisthesecondphysiciantoknowthat?
Thenthedutyofthephysicianisfirsttothepatient,andtopersuadethepatienttoreturn
tohisfirstdoctor.
Theruleis,afterthefirstcorrectionandhomoeopathicprescription,thestrikingfeatures
forwhichthatremedywasadministeredhavebeenremoved,achangehascome,andthe
guidingsymptomsofthecasehavebeentakenout,andonlythecommonandtrivial
symptomsremain.
It is true if the physician wouldwait longenough he wouldsee the return of those
symptoms,butusuallywhenapatientwalksintoadoctor'sofficethedoctorisinahurry
tomakeaprescriptionanddoesnotwaituntilthepropertime.
Heatonceprescribesonthesymptomsthatareleft,andthisisoneofthedangerstobe
avoided,ahurriedsecondprescription.
Thepatientsaretobepitiedthatfallintothehandsofsuchhomoeopaths.
Manypatientsarewonderfullybenefitedbythefirstprescription;theyhavesaidtome:
"Dr.SoandSobenefitedmewonderfullyforawhile,andthenhedidnotseemtobe
abletodomeanygood."
Thefactwasthatthefirstprescriptionwasacorrectone,havingbeenproperlychosen,
andafterthatfirstprescriptionthedoctoradministeredhismedicinesohastilyandso
indiscriminatelythatnothingmorewasaccomplishedinthecase.
Thetroublewasthathedidnotwaitlongenough.
Itmakesnodifferencewhetherthephysicianissoextremelyconscientiousthathedoes
notwanttogiveSac.lac.,orwhetherheissoignorantthathedoesnotknowhowtogive

it,theresultisthesame.
Theearlyrepetitionofthemedicineandthecontinuedgivingofthesamemedicine,will
preventanythinglikeanopportunityforthemakingofasecondprescription.
Ifthedoctoradministersawellchosenremedy,andrepeatsittoosoon,henevergives
thesymptomsachancetocomebackandcallforasecondprescription;buttheybecome
intermingled with drug symptoms, so that the rational second prescription cannot be
made.
Thesecondprescriptionpresupposesthatthefirstonehasbeenacorrectone,thatithas
acted,andthatithasbeenletalone.
Ifthefirstprescriptionhasnotactedcuratively,orhasnotbeenpermittedtoactthefull
time,itisimpossibletogetasecondobservation.
Thesecondobservationismadewhenthecasecomestoastandstill,forafterthefirst
prescriptionhasbeenmadechangesoccur;thereisacomingandgoingofsymptoms,
andwhilethesechangesareoccurringnorationalobservationcanbemadeofthecase;if
asecondprescriptionbemadeduringthistime,itwillbelikelytospoilthewholecase.
Ifthepatientisnotgivenaperfectrest,ifmedicinesarenotkeptoutofthecase,wewill
havenoopportunitytomakearationalsecondprescription.
Butiftheseprecautionsareobserved,thenwecanreallymakeanobservationuponthe
returnoftheoriginalsymptoms,whichisthefirstthingtobeconsidered.
Perhapstheyarenotsomarked,butthatisalwaysthefirstthingtobelookedfor,the
returnoftheoriginalsymptoms.
Whiletheconfusionisgoingonaftertheadministrationoftheremedy,whileinternal
order isbeingestablishedintheeconomy,wedonothavethereturnoftheoriginal
symptoms.
Thismaybeamatterofdays,orweeks,ormonths,butifthereturnofsymptomsisnot
observedwhatistheretobedone?
Withoutsymptomswhatcanthehomoeopathicphysiciando?
Nomatterwhatstatethepatientisin,whatcanthephysiciandowithoutsymptoms?
Thereisnoearthlyguidetotheremedyexceptbysignsandsymptoms.
Sothatitisthedutyofthephysiciantowaitforthereturnoftheoriginalsymptoms.
If the symptoms return somewhat as they were, differing slightly in their intensity,
increasedordecreased,itisgood.
Ifthepatienthasnothadthesepresentsymptomsforsometime,iftherehasbeenarelief
caused by the first prescription, and then the symptoms return somewhat as in the
original,thisisoneofthereasonsforbelieving.thatthefirstprescriptionwasagoodone.
If,afteranintervaloftwoormoremonths,theoriginalsymptomsreturn,weneedvery
littleinformationbeyondthistoknowthatthefirstprescriptionwasagoodone.
Insuchacasewhenthesymptomsreturn,whenthepatienthasthesamegeneralsand
particularsasformerly,itmeansthatthefirstprescriptionwasagoodone,thatthecaseis
curable,andthatthesecondprescriptionmustbearepetitionoftheformer.
Another reason for making a second prescription is the appearance of a lot of new
symptomstakingtheplaceoftheoldsymptoms;theoldsymptomsdonotreturn,but
newsymptomscomeintheirplace.
Thepatientsays:

"Well,doctor,youhavecuredmeofthosesymptomsIhad,butnowIhavethese."
Thedoctor,afterexaminingcarefullythesenewsymptoms,immediatelylooksupthe
pathogenesis,anditispossiblethathewillfindthesesymptomsinthedrugthathehas
administeredandthenitlookslikeaproving.
Heasksthepatientifheeverhadthesesymptomsbefore.
"Nevertomyrecollection,doctor."
Crossexaminehimcarefullytoseeifheisnotmistaken,untilitseemsthattheyare
reallynewsymptoms.
Ifso,theremedyhasnotactedproperly.
Itwasnothomoeopathictothecase;andyetitwasanunfortunateprescription,because
ithascausedthediseasetoprogressinanotherdirection,developinganothergroupof
symptoms.
Thiscomingupofnewsymptomsmeansthattheymustbeantidoted,ifitisposssible.
Thenewsymptomscombiningwiththeoldonesmustbeagainstudiedandthesecond
remedymustcorrespondmoreparticularlytothenewthantotheold.
Itmaycausethenewsymptomstodisappearandpossiblyhaveaneffectupontheold
ones.
Anysubsequentprescriptiontakesintoaccountallthethingsthathaveprecededit,allthe
conditionsthathavearisen,and,thethird,fourth,fifthorsixthprescriptionshavethe
samedifficultiestosurmountthataretobesurmountedinthesecond.
If the first prescription was an unfortunate one, then all the others are made with
difficultyandfear.
Itisrarelythecasethatanewprescriptionbecomesnecessarywhenthecasemerely
comestoastandstill.
The first prescription has been made and the symptoms commence to change in an
orderlyway;theychangeandinterchangeandnewsymptomscomeup,butfinallythe
symptomsgobacktotheiroriginalstate,notmarkedenoughtobeofanyimportance,
without anyspecial suffering tothepatient, andthe patient has arrived at astate of
standstill.
Thepatientsays:
"Ihavenosymptoms,yetIamnotimproving;Iseemedtohavecometoastandstill
position."
Hesaysthisastohimself,notastothesymptoms.Hehascometoastandstill.
Itisthedutyofthephysicianthentowait,andwaitalongtime,butifaftermanymonths
nooutwardsymptomshaveappeared,noexternaltendencyofthedisease,itistruethat
anotherdoseofthesamemedicinewillnotdoharmandthesameremedyistheonlyone
thatcanbeconsidered.
Anewonecannotbeentertained,becausethereisnoguidetoit;butanotherdoseofthe
samemedicinecancausethepatienttobejoggedalongthewayoffeelingbetter,but
thereshouldneverbeanyhasteaboutit.
Waitalongtimewhenpatientscometoastandstill;butwhen,asinthefirstinstance,the
return of the original symptoms is observed, then you have some guide to the
administrationofthemedicine.
Thesecondprescription,then,technicallyspeaking,istheprescriptionaftertheonethat

hasacted.
Youmayadministeradozenremedieswithouthavinganyeffectupontheeconomy,and
yetnoprescriptionhasbeenadministeredthathasbeenspecific.
Youmayfoolawaymuchtimeinadministeringremediesthatarenotrelatedtothecase.
Theresultisthesame.
Considerthefirstprescriptiontheonethathasacted,thatonehaseffectedchanges,and
subsequenttothatthenextprescriptionisthesecond.
Thenextthingwehavetoconsideristhechangeoftheremedyinasecondprescription.
Underwhatcircumstancesmustwechangetheremedy?
OneinstanceIhavementioned,whenstrikingnewsymptomsappear,andthereisan
entirechangeofbaseinthesymptoms,sothattheheadache,perhaps,whichhaslasteda
longtime,disappears.
After the administration of the medicine, when a new group of symptoms appears
somewhereinthebodyrelativetothepatient,suchasthepatienthasneverhad,thisnew
group of symptoms means that a new remedy must be considered, and under such
circumstancesthechangeoftheremedywillbethesecondprescription,andthesecond
prescriptioninthiscasecallsforachangeofremedy.
Wewillsupposeanotherinstancewheretheremedymustbechanged.
Apatienthasbeenforyearsundertreatmentforaconstitutionalchronicdisorder,and
youhavegonethroughthepotenciesrangingfromthelowesttothehighest,andthey
haveactedcuratively.
Youhaveadministeredthedifferentpotencies,repeatingthesamepotencyuntilitwould
notactanylonger,andthengoinghigher,untilyouhavegonethroughthewholerangeof
potencies.
Youcanrepeatthatremedymanytimesonapaucityofsymptoms,whenyoucannotgive
another remedy, simply because it has demonstrated itself to be the patient's
constitutionalremedy.
Thisremedyshouldnotbechangedsolongasthecurativeactioncanbemaintained.
Evenifthesymptomshavebeenchangeddonotchangetheremedy,providedthepatient
hascontinuouslyimproved.
Ifthepatientsayshehasimprovedcontinuously,andthoughitwouldbeimpossiblefor
you, at this date, from the present symptoms, to select that remedy, hold on to that
remedy,solongasyoucansecureimprovementandgoodfromit,thoughthesymptoms
havechanged.
Manyphysicianssay:
"Ifthesymptomschange,Ichangetheremedy."
Thatisoneofthemostdetrimentalthingsthatcanbedone.
Change the remedy if the symptoms have changed, providing the patient has not
improved;butifthepatienthasimproved,thoughthesymptomshavechanged,continue
thatremedysolongasthepatientimproves.
Veryoftenthepatientsaregivingforthsymptomslongforgotten.
Thepatienthasnotheardthem,orhasnotfeltthembecausehehasbecomeaccustomed
tothem,likethetickingorthestrikingoftheclockonthewall.
Many of the symptoms that appear, and the slightest changes that occur, are old

symptomscomingback.
Thepatientisnotalwaysabletosaythattheyareoldsymptomsreturning,butfinallythe
daughterorsomebodyinthehousewilldelightyoubysayingthathermotherhadthese
thingsyearsagoandshehasforgottenthem.
Thisislikelytobethecasewheneverapatientisproving.
Solongascurativeactioncanbeobtained,andeventhoughthesymptomshavechanged,
providedthepatientisimproving,handsoff.
Wheneverindoubt,wait.Itisaruleafteryouhavegonethroughaseriesofpotencies,
nevertoleavethatremedyuntiloneormoredoseofahigherpotencyhasbeengivenand
tested.
Butwhenthisdoseofahigherpotencyhasbeengivenandtested,withouteffect,thatis
theonlymeansyouhaveofknowingthatthisremedyhasdoneallthegooditcanforthis
patientandthatachangeisnecessary.
There is another instance to be spoken of and that is when the second prescription
becomesacomplementaryone.
A second prescription is sometimes necessary to complement the former and this is
alwaysachangeofremedy.
Suppose a little four or five year old child, a largeheaded, bright, blueeyed boy, is
subjecttotakingcold,andeverycoldsettlesintheheadwithflushedfaceandthrobbing
carotids,etc.,yousaygivehimBelladonnaandBelladonnarelieves,butitdoesnotactas
aconstitutionalremedy.
Hecontinuestohavetheseheadaches,whichareduetoapsoricconstitution,andthe
timecomeswhenBelladonnawillnotrelievethem;butuponathoroughstudyofthe
case,youfindthatwhenhissymptomsarenotacute,whenhedoesnothavethiscoldand
fever,hedoesnothavetheheadacheandyouseeanentirelydifferentremedyindicated.
Youstudyovertheflabbymuscles,andyoufindhisglandsareenlarged;thathetakes
coldwitheverychangeintheweather,likeenoughhecraveseggs,andyoudecidethat
thecasecallsforCalcarea.
ThefactthatBelladonnawassocloselyrelatedtohimandonlyactedasapalliative
furtheremphasizesit.
Itisalossoftimetotreatmorethanthefirstorsecondacuteparoxysm.
DonotgiveCalcareaduringtheparoxysm,butafterthewireedgehasbeenrubbedoffby
Belladdonna,givehimthatconstitutionalremedythatiscomplementarytoBelladonna,
whichisCalcarea.
Manyremediesassociateafterthisfashion.
Thenthereareseriesofremedies,as,forinstance,Sulphur,CalcareaandLycopodium.
Amedicinealwaysleadstooneofitsowncognates,andwefindthatthecognatesare
closelyrelatedtoeachother,likeSepiaandNuxVomica.
AbiliousfeverinaSepiaconstitutionislikelytocallforNux,andassoonasthatbilious
fever or remittent fever has subsided the symptoms of Sepia come out immediately,
showingthecomplementaryrelationofNuxandSepia.
IfthepatienthasbeenundertheinfluenceofSepiasometime,andcomesdownwith
someacuteinflammatoryattack,heisverylikelytoruntowardsNuxoranotherofits
cognates.

ThewholeMateriaMedicaaboundswiththesecomplementaryandcognaterelationships.
Thesecondprescriptionalsotakesintoconsiderationthechangeofplanoftreatment.
Theplanoftreatmentconsistsinassumingthatthecaseisapsoricone,ifloomingup
beforetheeyes,allthesymptomsinthecaseanditshistoryindicatepsora.
ThetreatmenthasprobablyconsistedofSulphur,Graphitesandsuchmedicinesasare
wellknowntobeantipsorics.
Thesymptomshaveruntotheseremedies;but,behold,afteryouhavemadethepatient
wonderfullywell,andyouhaveeffectedmarkedchangesinhissystem,sothatthepsoric
symptomshavedisappeared,hecomesintoyourofficewithanulceratedsorethroat,with
dreadfulheadpainsandwiththeconstitutionalstateandappearancethatwillleadyouto
say,
"Mydearsir,didyoueverhavesyphilis?"
"Yes,twentyorthirtyyearsago,anditwascuredwithMercury."
Now,thepsoricconditionhasbeensubduedandthisoldsyphiliticconditionhascome
up.
This,thenindicatesasecondprescription.
Youhavetoadjustyourremediestoanentirelynewstateofthings.
Soitisalsowithregardtosycosis;thesestatesmayalternatewitheachother.
Whenoneisuppermost,theotherisquiet,soyouhavetochangeyourplanoftreatment
accordingtothestateofthepatient.
Noprescriptioncanbemadeforanypatientexceptafteracarefulandprolongedstudyof
thecase,toknowwhatitpromisesinthesymptoms,andeverythingthathasexisted
previously.
Thatistheimportantthing.
Alwaysrestudyyourcases.
Donotadministeramedicinewithoutknowingtheconstitutionofthepatient,becauseit
isahazardousanddangerousthingtodo.

LECTURE37:Difficultandincurablecasespalliation
WhileHomoeopathyitselfisaperfectscience,itstruthisonlypartiallyknown.
ThetruthitselfrelatestotheDivine,theknowledgerelatestoman.
Itwillrequirealongtimebeforephysiciansbecomegenuinemastersinthistruth.
InSwitzerlandthechildrenhavebeenraisedforcenturiestotheknowledgethatitis
necessarytomakewatchesperfectly,theyhavebeenraised,asitwere,inthewatch
factories.
Now, whenHomoeopathy is hundreds ofyears old,andlittle onesgrowupintothe
knowledgeofitandobserveandpractiseit,oursuccessorswillacquireknowledgethat
wedonotpossessnow.
Thingswillgrowbrighterasmindsarebroughttogetherandmenthinkharmoniously.
Themorewekeeptogetherthebetter,andthemorewethinkasonethebetter.
Itisapitythatdifferencesshouldariseamonguswhenwehavesoperfectatruthtobind
ustogether.
Itisveryrarelythecasethatamongtheprovingsofourremediesnotoneistobefound

whichcorrespondstothecharacteristicfeaturesofacase.
ItwasrarelysoinHahnemann'sday,anditiscertainlyveryrarelythecasewithour
voluminousMateriaMedica.
Beginners,ofcourse,areobligedtorelyverylargelyupontherepertories.
Thisonethingyoucandependupon,theimageofthepatient'sillnessbecomesmore
simplewhenyouhavedoneyourbesttoprescribeoneremedyafteranother.
Inthesedifficultcases,whenyouhavezigzaggedthepatientforanumberofyears,you
willfindhissymptomsbecomemoredefiniteandstrikingandmoreclearlyunderstood.
SometimeswhenIhaveworkedpatientlyuponapatientforalongtime,andIhavegiven
severalremedies,andthepatienthaspartiallyimproved,shehasbecomedisappointed
andrunofftosomebodyelse,butwouldcomebackagainandsayIhaddonemorefor
herthananyoneelseandshewouldtryagain.
Ihavefoundinsuchinstancesthattimehasdonemuch,andthatIhadlittletroublethen
tograspthecaseandmakerapidprogress.
Inadditiontothat,shecomesbackwithapatientstateofmind,whichismorehelpfulto
thephysicianthantoher.
Theconfidenceofthepatienthelpsthephysiciantofindtherightremedy.
Hismindworksmuchbetterwhenhefeelsheistrusted;theconfidenceofthepatient
sharpenshisintelligence.
Closelyanalogoustothesecasesarewhatmaybecalledalternatingcomplaintsandone
sidedcomplaints,thosethatshowbutoneside.
Itisnotuncommonforapatient'smaladytohavetwosidesonesidebeingmanifested
whentheothersideisnot.
Eyesymptomsmaybepresentwhenthestomachsymptomsareabsent.
You may find that Euphrasia is more sharply related to the eye symptoms than the
antipsoricthatfitsthewholecase,andthatPulsatillafitsthestomachsymptomsmuch
better than the antipsoric that fits the whole case, but remember that there is one
antipsoricthatismoresimilartothewholepatientthanthesespecialremedies,becauseit
isbetterfittedtothegenerals.
The oftener youprescribefordifferent groups ofsymptoms theworseitis foryour
patient,becauseittendstorivettheconstitutionalstateuponthepatientandtomakehim
incurable.
Donotprescribeuntilyouhavefoundtheremedythatissimilartothewholecase,even
althoughitisclearinyourmindthatoneremedymaybemoresimilartooneparticular
groupofsymptomsandanotherremedytoanothergroup.
Veryoftenaremedythatwillgototheverycentreandrestoreordertotheeconomywill
causequiteaturmoil.
Thesealternatingandonesidedcomplaintsaresometimesdreadfultomanage,andwhen
everythingisthrowntothesurfaceortheextremities,e.g.,whengoutyandrheumatic
symptomshaveanoutwardtendency,thepatientwillrunoffandleaveyou.
Incurablecomplaintsandyoumeetmanywilltroubleanyphysician.
Theallopathhasthemeansofputtingthepatientsundertheinfluenceofstrongdrugsand
makingthemimaginethatsomethingisbeingdonetotheirbenefit,whereasinjuryis
beingdonewhenevertheyarepatchedtipbystrongdrugs.

Itisunaccountable,therefore,thatsomeofourhomoeopathicpractitionersmakeuseof
palliativesthataresodetrimentaltothepatient.
ThephysicianwhoappliesthesingleremedyinpotentizedformundertheLawofCure
anylengthoftimewilleasilybeconvincedthatthereisnootherwayofpalliationthat
holdsoutanypermanenthopeforthepatient.
Opiumwillsometimesrelievepain,stopdiarrhoea,andmitigatecough,butwoetothe
patient.
Itsoannuls reactionthatthereisnopossibledevelopmentofthesymptoms thatare
necessarytoindicatewhathomoeopathicremedythepatientneeds,andwhilethepainis
stoppedthepatientisnotcured.
WhathasbeensaidofOpiumisastrueofalldrugsgiventorelievepain.
Whenanopiatemustbegiven,letitbeclearlyunderstoodthatacureofthispatientis
abandoned.
Whatthoughtfulphysicianwillabandonthehopeofacureduringpainfulsicknessesso
longaslifeendures.
Inconsumptionandcancerandwastingsicknesstheremedythatismostsimilartothe
painfulgroupsofsymptomswillevergivethemostreliefanditisaforlornhopethat
temptsitsabandonment.
Pr

James

Tyler

KENT

(18491916)
AuthorofrepertoryoftheHomeopathicMateriaMedica,andLecturesonHomeopathic
Materia

Medica,

etc.
Dean of the post graduate school of Homeopathy in Philadelphia for nine years.
ProfessorofMateriaMedicaatHahnemannMedicalCollegeandHospitalinChicagofor
sixyears,andoftheHERINGmedicalCollegeinChicagoforsomeyearsafter.
"These lectures were delivered in the PostGraduate School Of Homoeopathics and
publishedintheJournalofHomoeopathics,and,newinsomewhatrevisedformaregiven
totheprofessionwiththehopethattheywillproveusefultosomeingivingaclearer
apprehensionofthedoctrinesofHomeopathy.
Theyarenotintended,inanysense,totaketheplaceoftheOrganon,butshouldberead
withthatwork,intheformofacommentary,theobjectineachlecturebeingtodwell
upontheparticulardoctrinesufficientlytoperceiveandemphasizethemaster'sthought.
NotalloftheparagraphsintheOrganon,havebeenconsidered,asmanyofthemare
sufficientlydeartothereaderandtheirteachingisquiteobvious.
Homoeopathyisnowextensivelydisseminatedovertheworld,but,strangetosay,by
noneareitsdoctrinessodistortedasbymanyofitspretendeddevotees.
Homoeopathicstreatsofboththescienceandtheartofhealingbythelawofsimilars,
andiftheartistoremainandprogressamongmenthesciencemustbebetterunderstood
thanatpresent.
Toapplytheartwithoutthescienceismerelyapretension,andsuchpracticeshouldbe
relegatedtothedomainofempiricism.
Tosafelypracticetheartofcuringsickpeople,thehomoeopathicphysicianmustknow
thescience.
Itisnotexpectedthatthiscourseoflecturescoversthewholefieldofhomoeopathic

philosophy,butitisintendedtoserveasanintroductiontofurtherstudy,andasatext
book forstudents,thatthey mayhaveasoundstartingandbecome interested inthe
objectsofthiswork."
Doctor

James

Tyler

Kent
Evanston,Illinois,July1.,1900

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