How do remedies work?

How do remedies work?

james-compton-burnett-1840-1901Im writing this for patients and practitioners to get a grasp of the use of remedies. Actually, its more to outline my observations from nearly 40 years of practice because if I am honest, I have no idea how the remedies work. I do however have observed certain actions collectively, and individually related to certain remedies and these notes and thoughts are what I present here.

Firstly, in order to cure, a drug is required. The definition of a drug is a substance that will effect a change in the living economy. Coffee and tea by definition are drugs. Also, words, music and emotions can effect a change.

Hower, for the sake of this discussion we will remain with the use of remedies that have been prepared according to the directions of Hahnemann, because these drugs have been tested and the symptoms they produce have been recorded.

We will take a patients case according to the directions in aphorism 6:

The unprejudiced observer well aware of the futility of transcendental speculations which can receive no confirmation from experience be his powers of penetration ever so great, takes note of nothing in every individual disease, except the changes in the health of the body and of the mind (morbid phenomena, accidents, symptoms) which can be perceived externally by means of the senses; that is to say, he notices only the deviations from the former healthy state of the now diseased individual, which are felt by the patient himself, remarked by those around him and observed by the physician. All these perceptible signs represent the disease in its whole extent, that is, together they form the true and only conceivable portrait of the disease.

So we build a personalised symptom picture of the DISEASED individual regardless of the common symptoms known to the named disease, because each patient expresses the infection or disease process individually. Once we have this, we are instructed in aphorism 153 to: 

In this search for a homoeopathic specific remedy, that is to say, in this comparison of the collective symptoms of the natural disease with the list of symptoms of known medicines, in order to find among these an artificial morbific agent corresponding by similarity to the disease to be cured, the more striking, singular, uncommon and peculiar (characteristic) signs and symptoms of the case of disease are chiefly and most solely to be kept in view; for it is more particularly these that very similar ones in the list of symptoms of the selected medicine must correspond to, in order to constitute it the most suitable for effecting the cure. The more general and undefined symptoms: loss of appetite, headache, debility, restless sleep, discomfort, and so forth, demand but little attention when of that vague and indefinite character, if they cannot be more accurately described, as symptoms of such a general nature are observed in almost every disease and from almost every drug.

We need to find the remedy that matches the characteristic nature of the disease, that means the general and particular EXPRESSION of this patients display of symptoms whilst affected. This can be found in ‘peculiar’ symptoms, that is ‘pertaining to’, which are marked in the patient and also CHARACTERISTIC of just one or two remedies. Look at the fever symptoms of Belladonna and if the patient exhibits the glassy eyes and nature of the fever, then that will be the remedy.

So what happens after administration of the remedy? It is my observation that we have now given a drug that has stronger and particular symptoms of the disease (albeit artificial from the remedy) so that the overwhelmed immune system can now focus on and deal with. 

Disease is a process. Sometimes as the disease responds via the immune system, the shift of the disease expression also occurs, and another remedy will be indicated, this usually as the whole nature of the disease moves. The remedy is not to be changed unless it has moved away from the primary drug action. 

We sometimes do not know what the cause is, or what is the centre of the process is, and when this happens it is imperative we do not chase symptoms, but rather focus closely on the primary and charateristic symptoms of the disease.

As it is the body that cures, we need to be careful about introducing too many remedies along the way. A process has been started and we need to let the process work at its own required pace and power, and only interject when it appears to falter or change direction into a worsening state…….. that is why Hahnemann insists we let the dose work out and even expire before repeating. Then we are sure.

Some remedies have alternating actions, and sometimes a 2nd dose of the same remedy will correct the first dose. Sometimes it will aggravate the situation. I tend to wait after the first dose unless I know the remedy well and know it will correct an aggravation. 

Every remedy produces PRIMARY symptoms, and these must not be mistaken for changed patient symptoms. Better to check the remedy symptom index and see if the ‘new’ symptom picture is in the remedy………usually it is, so wait!

We are not symptom removers, we are physicians chasing the cure. 

I often get cases where too many remedies have destroyed the picture. At some stage I may give a dose of Sepia 200c and let the economy settle for 2-4 weeks and take the case again.

Do not be in a hurry to keep prescribing. Wait. Ask an experienced homoeopath who can observe externally and see what is required. 

Always allow time for the body to fix itself.

Daily life. Remedy differentiation between Bryonia and Rhus Tox.

We are moving the boat to Wiltshire from London. If another lockdown occurs and we cant work, better to be somewhere nice.

The IHM is moving ahead with the wellness centre purchase. Once the boat is in the Marina, we will concentrate on getting the Eastbourne centre in good condition and operating. We will either use the boat as a clinic near Bath or put it up for sale. Lots of ifs and buts.

3 days ago, we got jammed in a lock with a tree trunk that floated in somehow. a kind local used my chainsaw and cut it ……. from 6pm till 9pm. Earlier in the day in his day job, he had put a nail through his palm and it was numb and beginning of infection.. I cleaned it for him and prescribed a remedy. He was grateful.

We also had interesting encounter on the way down with an older drunk female boater at one lock. She insisted we had stolen her lock windlass, and became violent and abusive and shutting the lock gates so we could not leave. The police were called and they sorted the matter, and surprise suprise, found her windlass on the floor where she had dropped it after falling over…… We called the police after her boyfriend came and threatened me as well……..both easy to handle but its better to let the police sort these matters. They could accuse me of all sorts.

The next day we had a lovely cruise to the final lock before getting on the Thames…… and our propulsion ceased. We had to wait till the next day for an engineer who removed a black bag full of clothing and wire from our prop shaft and then he replaced the holding nut on the accelerator cable which also contributed to the lack of power. In the event we missed the booked time for the lock to the Thames, and the next one is in a few days.

So have been working on the Japanese translation of the TPB, a couple of cases and various other business matters.

Our dog started coughing so took him to the vet where Tracheitis was diagonosed. As he was in severe pain from the infection, he had painkillers and i gave three remedies over 2 weeks……… he is now responding well and is getting better.

The dog also has joint issues on front legs with arthritis in damp weather. Symptoms would suggest Rhus tox unless ALL the modalities are taken into consideration.

To mention one only: we observe this curious action (which is found in very few other medicines, and in these never in such a great degree), viz. The severest symptoms and sufferings are excited when the body or the limb is at rest and kept as much as possible without movement. The opposite of this, namely an increase of the symptoms by the movement is much more rarely observed. The other remarkable peculiarities will be easily found in the following list of symptoms of rhus, which are truthfully recorded.
When we attentively examine the symptoms of bryonia, we shall perceive, on the one hand, a strong resemblance to those of rhus, and on the other, remarkable contrasts. How striking is the aggravation of symptoms, almost identical with those observed from rhus during movement of the body in the case of bryonia, and their amelioration by avoiding all movement exactly the opposite of what rhus does!

Too many times I have seen prescribers give Rhus Tox without the above modality, and then wonder why the prescription failed.

He responded well to BRYONIA and then it moved to BELLADONNA and now is on PULSATILLA.

Older Dog, Blind and Deaf so remedies are given cautiously with all factors considered.

Why Hahnemann?

For most people practising homoeopathy, the influence on their case taking and analysis is Kentian. If like me, back in the 80s,a yearly review of my patients showed less than a 45% cure rate which motivated me to return to the writings of Hahnemann and evaluate where I was going wrong.

What I learned-Kent was not a Hahnemannian.

https://instituteforhomoeopathicmedicine.org/2019/08/13/the-problem-with-jt-kent-and-homoeopathy/

I then spent the next two years ‘unlearning Kent and re-establishing the correct case taking and evaluation techniques as defined by Hahnemann. My clinical cure rate went up to 80% as I applied Hahnemann’s methodology. Persons who attend the 4-day training for inclusion on the IHM Register also have high rates of success with utilising Hahnemann’s methodology and using the Therapeutic Pocket Book in daily practice.

Homoeopathy is a very forgiving therapy. A remedy that produces similar symptoms to the patient, will generally kick a curative response. However, when a patient requires a remedy to tackle the central disease state, aphorism 153 is the answer.

§ 153 Sixth Edition
In this search for a homoeopathic specific remedy, that is to say, in this comparison of the collective symptoms of the natural disease with the list of symptoms of known medicines, in order to find among these an artificial morbific agent corresponding by similarity to the disease to be cured, the more striking, singular, uncommon and peculiar (characteristic) signs and symptoms1 of the case of the disease are chiefly and most solely to be kept in view; for it is more particularly these that very similar ones in the list of symptoms of the selected medicine must correspond to, in order to constitute it the most suitable for effecting the cure. The more general and undefined symptoms: loss of appetite, headache, debility, restless sleep, discomfort, and so forth, demand but little attention when of that vague and indefinite character, if they cannot be more accurately described, as symptoms of such a general nature are observed in almost every disease and from almost every drug.

For a homoeopath, it is vital that they understand the meaning of the aphorism above. It is the cornerstone of finding the KEY symptoms for prescribing and matching with a correct remedy.

Kent, ignoring Hahnemann, emphasised the mental symptoms as the key. Nowhere does Hahnemann express the thought that the mind is the primary consideration, EXCEPT in mental diseases. Aph 210-220. He did say an altered disposition is always considered………..but it would have to be in line with aphorism 153 to be useful.

We teach how to isolate the prescribing symptoms to find the expression disease as per all the instruction and clues given by Hahnemann and Boenninghausen.

Once a practitioner is on the right track, everyone benefits.

 

The progress for the IHM as of March 2021

We are providing an online course in Spanish through the Mexican I.H.M. facility.

https://instituteforhomoeopathicmedicine.org/2021/03/06/our-online-course-in-mexico/

In the UK, we are concentrating on practitioner training in-house, to ensure total absorption of the material presented and to be sure the individual has a firm grasp on the process of case taking and what to concentrate on for rubric and remedy selection.

We aim to provide a centre for practitioners who wish to learn Hahnemannian homoeopathy via one and two-day seminars, mentoring programs, live patient assessments, study nights and guest speakers. To facilitate this, we are in the process of purchasing a commercial guest house in Eastbourne for in-stay patients and clinic. We concentrate in the main on using the Therapeutic Pocketbook as an accurate repertory that emulates the methodology of Hahnemann.

Our breakfast room on its own will seat 10 comfortable for seminars, and with the addition of the adjoining lounge, 16 persons.

We will solely be focused on homoeopathy and the appropriate remedies and not include flower remedies or the use of.

https://instituteforhomoeopathicmedicine.org/2021/01/13/are-the-bach-flower-remedies-valid-homoeopathic-treatments/

We will of course consider mechanical adjustment if required via osteopathy or chiropractic as an adjunct to the curative treatment if a joint needs realigning.

For those wishing to take the four-day course to become a member of the IHM Register, the intensive teaching will also as a bonus include 3 free nights and breakfast at the hotel. Subject to availability, extra nights can be booked for a reduced fee.

We hope to be taking possession and working on the courses from June.

 

 

 

We done did it.

The IHM has had the offer for purchase accepted. Now we have lawyers and agents acting on our behalf.

Our online Course in Mexico

Dr Guillermo Zamora is rolling out the IHM course for Spanish Speaking persons from Mexico. The course is for people from Mexico, Argentina Colombia and others.

https://institutodemedicinahomoeopaticaamericalatina.wordpress.com/cursos-de-capacitacion-en-medicina-homeopatica/

Talk to him if you are considering learning the therapy or if you wish to improve clinical ability as a practitioner.

Integrity in the face of adversity.

It would seem if we are to board an aircraft in the near future, we will require proof of vaccine. At present, I don’t see a way to avoid this and I myself being an avid visitor of other countries in my teaching career, am sad to see NO CHOICE in the matter.

I also am encountering difficulty in obtaining a sample of the Pfizer vaccine to make a remedy from, so if anyone has a vial, let me know and I will provide a mailing address.

It is vital in these difficult times to be the best practitioner we can.  To this end, we have decided to emphasise the need to remain steadfast in our use of homoeopathy according to the rules and tenets of Hahnemann’s directions. Two centuries and millions of words written regard the cures and effects of homoeopathy upon sick people and animals provide a clear picture of the efficacy of the therapeutics.

The IHM also stands firm in its resolve to not mix therapies that give medicines not based on the law of cure, or that lack provings, or are not made in accord with Hahnemann’s methodology.

For members of the IHM register who teach or practice such therapies, we have decided to remove the individuals from the Register and no longer promote their practice. We cannot condone the integration of pseudo homoeopathic practices or allow false therapies to be taught as being OK alongside homoeopathy.  Until an individual returns to the singular and proven practice of homoeopathy for curative aims, (a practitioner can utilise proven therapies outside of homoeopathy, osteopathy, chiropractic, nutrition, massage etc) but not therapies like Tissue salts, Flower remedies and other non proved or tested practices, that have no part in the discipline of homoeopathy, we cannot endorse that practitioner to the public.

The IHM continues to pursue the purchase of a hotel/guest house and are in negotiations.

We want to offer training in the use of the Therapeutic Pocket Book so a practitioner can utilise the exact process in case taking and evaluation as defined by Hahnemann for the benefit of patients. Seminars and short residencies will be offered to facilitate this.

More details later.

Sars Cov2 pneumonia treated with Homeopathy

Sars Cov2 pneumonia treated with Homeopathy (Case 2)

All the cases of Dr. Guillermo Zamora presented here come from his daily clinical practice. However, even with the patient’s consent for its publication, some details have been modified to preserve their anonymity.

Professionals at the Institute for Homoeopathic Medicine have already been treating enough COVID-19 cases during this dangerous and very unfortunate pandemic to establish experience. We have also been working from a preventive point of view with very good results.

The homeopathic remedy selected in the case was based on individual symptoms, which means that it works in that case but not in all those who suffer from that disease. The IHM recommendation is that the doctor (and the homeopath who practices genuine homeopathy ) be consulted  and that the measures declared by the health authorities be followed.

A homeopathic prescription that is done without modalities might seem somewhat imprecise, however once the concomitant symptoms are successfully combined they can give a clear homoeopathic diagnosis, as seen in the following case:

On January 26, 2021, I was contacted by a retired high command of the Mexican Army. It was his son CS. 53-year-old male, temporary employee who had tested positive for Sars Cov2 antigen. With apparent limitations of the intellect that prevent him from expressing himself adequately due to epilepsy from birth for which he takes Epamin 1-0-2, an indirect interrogation is carried out with the father. It refers to a cough with white expectorations and constant chills day and night. He reports that the day before, he fainted in the morning, losing consciousness only momentarily. For this reason, he was taken to a physician who tried to give an injection with dexamethasone but the patient did not allow it (even becoming somewhat aggressive), which is why he was only prescribed an antibiotic for 8 days. He is seen unusually serious and with little appetite; he asks for something to eat and when it is brought to him he does not eat it. No other information could be collected. Rubrics taken:

Using Boenninghausen’s P&W Therapeutic Pocket Book 1846 in Spanish

Click to amplify

Hahnemann-Chronic Diseases-The Remedies-Lycopodium

335. Pale, plaintive complexion.

336. Paler face, pulled.

337. Change of countenance, and sunken eyes.

519. Lack of appetite (after 3 days).

520. He does not crave his food, he has no appetite.

523. She cannot eat, she is always full and without appetite, and when she eats anything, she feels disgusted, even vomiting.

957. Expectoration of whitish mucus. [Gll.]

959. Thick, whitish yellow expectoration with violent cough.

1428. Sudden failure of strength, like fainting; she has to hold onto something; at the same time, blurred vision for half an hour.

1571. Chill (after 14 days).

1575. Continuous chill with sensitive coldness throughout the body, worse towards evening.

1597. Chills every day.

Rx.-Lycopodium Clavatum 30c Solution.

On January 27, considerable improvement is reported in the morning, the patient has eaten well and has a better face, but in the afternoon he returns to the state he was in. The father is asked to get a pulse oximeter. Oxygen saturation results in 83. The unsuccessful search for oxygen begins. The peak of the pandemic in the region has reached its maximums. There are no oxygen tanks or concentrators available. There are no beds available in hospitals. People emigrating to other states looking for a place to intern. The situation is critical. However, contact is made with the municipal government where there are some reserves of the essential element and the patient is registered in line for a later call once patients with lower records and in more critical condition are first treated at the discretion of a doctor assigned by the government in turn. Homeopathic treatment continues.

January 28- Simple chest CT is ordered:

In the lung window, parahilar bronchiectasis is observed, an area of ​​greater right parahilar density, poorly defined with reticular images in relation to interstitial pneumonia or atypical pneumonitis. Bilateral intracisural pleurisy.

We can also take a look at   Cyrus Maxwell Boger’s Boenninghausen´s Repertory in the chapter Chest-Inner Chest-Phenomena-Pneumonia. It is not recommended but only out of curiosity. One can observe remedies that were useful to the great masters in pneumonia:

Rx.-Lyc 30c Solution

01/29/2021

Fortunately, the oxygen saturation has started to rise: 85. The patient eats well and has a better face.

02/04/2021

Through a punctual and daily log reported by the father at 8:00 a.m. and 4:00 p.m., it is observed that saturation has gradually increased by 1-2 units per day. Today 93-94. It is worth mentioning that the interval of repetition of the doses of the homeopathic remedy was carried out with admirable discipline and without putting any obstacles to the therapy.

Painful constipation is reported. Diet is recommended.

02/12/2021

Oxygen saturation 96-97. Clinic, Laboratories and Cabinet indicating remission of the pathology.

High.

This case demonstrates four significant points:

1. Not always a case shows pathognomonic symptoms of the pathology in question. Here there were never, bouts of suffocation or suffocation, fever, chest pain, loss of taste or smell, etc. and yet the patient had pneumonia. Probably the underlying pathology or the anticonvulsant treatment suppressed some of these symptoms. Either way common sense and medical knowledge must be on the alert.

2. The effective application of Boenninghausen’s Therapeutic Pocket Book requires a complete understanding of the meaning of the rubrics and their applicability in each clinical situation.

3. Even in the absence of modalities, the precise combination of the symptoms of the current illness with the concomitant symptoms that present independently, together can provide a sufficient differential for homoeopathic diagnosis after consultation of Materia Medica Pura.

4. The use of advanced technologies such as tomography provides us with greater planimetric precision of the lesions, in this case of the thorax, which gives us an advantage in defining the location that is more akin to some remedies than others.

Still, it’s always good to keep in mind trying to define each of the symptoms as much as possible.

https://institutodemedicinahomoeopaticaamericalatina.wordpress.com/2021/02/15/neumonia-por-sars-cov2-tratada-con-homeopatia-caso-2/

Further thoughts on choices……..

While COVID has everyone in the UK locked down, We at the I.H.M. are taking a tentative look forward to the future. When and how are the 2 questions.

Im in conversation with my colleagues with regard to these questions, simply because I have no idea as to whether Homoeopathy as a profession still exists in the UK or whether indeed there are enough practitioners who want to improve their skills in applying Hahnemanns successful methodology in their casework.

We will outline our plans again. We are looking at purchasing a small 8 bedroom guest house hotel on the seafront of a south-west town for use as a clinic/teaching centre and in stay patient treatment facility. We have decided to not go the medical licencing route and just run it as a guest stay:

a/. with daily homoeopathic evaluation by our staff.

b/. We would like to have student homoeopaths observe and be involved in the discussions for treatment for the patients.

c/. seminars.

e/. teaching first aid to small groups.

f/. A four day in depth training for inclusion of the homoeopath on the I.H. M. Register.

We will be able to offer low cost room rentals to students during seminars and FREE for overseas students taking the IHM training for the Register.

We understand that the IHM centre will be outside of London, yet only 60/90 minutes by train or 60 minutes by car. We aimed for sunshine, fresh sea air and a cheaper locale.

I can operate the premises as a guest house, and have my clinic in it, so as to offset the ongoing bills, but much prefer to have as a teaching and patient care centre if possible.

We hope to have guest speakers from other countries to give seminars.

 

Choices

The I.H.M. has the opportunity to purchase a small 8-10 bed hotel on the south coast of England to make a wellness centre for teaching and inpatient care in the bedrooms.

As with all things homoeopathy, there is a mild uncertainty as to the future, especially when considering a three-quarter of a million-pound property purchase.

I will explain the concept first. We will offer a one or two-week stay for patients who would like a thorough evaluation and treatment via homoeopathy with daily observation and case management.

We will offer a balanced diet to be taken during the stay. Where possible, we will encourage walks along the seafront and complete relaxation from the daily routine of the patient’s life. We can arrange for the spouse to stay as well.

We are hoping for multiple homoeopaths to share in the case taking and then via discussion arrive at a course of treatment for the patient.

We will have a clinic on the premises staffed by professional homoeopaths and medical homoeopaths where possible to cover all eventualities. We will have osteopathic treatment available for misaligned joint issues if required.

We will have space available for student training in case taking and repertory understanding. There will be an opportunity to assist in live case taking and case management under supervision.  Seminars will be a regular occurrence. We aim to be all-inclusive in terms of Hahnemannian homoeopathy.

Just looking for the incentive to get out the cheque book and commit to the future.