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