– Dosage and potency according to the organon (D. Little)
dosage The middle path - Dosage and potency according to the organon
Another important aspect of the 5th edition of the Organon is Hahnemann’s review of dosage and repetition. In the 4th edition he outlined the single unit dose and the philosophy of the “wait and watch” method. In Aphorisms 245, 246 and 247 of the 5th edition of the Organon, Hahnemann introduces what he calls the “middle path” concerning the methods of administering homeopathic remedies. He begins his discourse on posology by clarifying the proper view of the single unit dose and when it is appropriate in treatment. He begins his new review in Aphorism 245.
 “Every perceptibly progressive and strikingly increasing amelioration in a transient (acute) or persistent (chronic) disease, is a condition which, as long as it lasts, completely precludes every repetition of the administration of any medicine whatsoever, because all the good the medicine taken continues to effect is now hastening toward its completion. Every new dose of any medicine whatsoever, even of the one last administered, that has hitherto shown itself to be salutary, would in this case disturb the work of amelioration.”
 Anytime there is a “strikingly increasing amelioration” on a dose of a homeopathic remedy there is no need for the repetition of the remedy. If the remedy is repeated when it is not needed it will only slow the cure or disrupt the case. Unfortunately, many chronic patients only slowly improve over a period of weeks to months on a single dose of the appropriate remedy and potency. What can we do to speed the cure? Hahnemann sheds light on this subject in Aphorism 246. Vide Organon.
 “On the other hand, the slowly progressive amelioration consequent on a very minute dose, whose selection has been accurately homeopathic, when it meets with no hindrance to the duration of its action, sometimes accomplishes all the good the remedy in question is capable of performing by its nature in a given case, in a period of forty, fifty or a hundred days.
 This is however, rarely the case, and besides, it must be a matter of great importance to the physician as well as the patient that were it possible, this period be diminished to one-half, one quarter, and even still less, which many often repeated observations have shown under three conditions.
 Firstly, the correct homeopathic remedy must be chosen by the totality of the symptoms. Secondly, the remedy is to be given in the minimal dose so as not to overexcite the vital force [refer aphorisms on the medicinal solutions]. Thirdly, the remedy may be repeated at suitable intervals to speed the cure, if necessary, without producing aggravations.”
 The new posology maxim states that anytime the first dose produces a striking amelioration no more medicine is needed for the time being. If, on the other hand, the first dose only produces a slow amelioration, the remedy may be repeated at suitable intervals to speed the cure.
 This new methodology can only be carried out if the remedy is prepared in a medicinal solution and given in a “split-dose”. If the homeopath is still using the dry pellet dose then they must follow the rules as given in the 4th edition of the Organon. This means the homeopath can only repeat a remedy when there is a definite relapse of the symptoms even if the person is only slowly improving.
 With the medicinal solution, however, the remedy may be repeated at suitable intervals as long as the patient is improving without any aggravations. This is how the cure can be reduced to 1/2, 1/4 or less the time it takes with the ordinary dry dose method. These are some of the directions contained in the 5th edition of the Organon on the advanced methods of using the centesimal potencies.
 It is often said that Hahnemann’s introduction of the medicinal solution was only for the LM potencies and that he used his centesimal potencies dry. This is not the case. For at least the last years of his life Hahnemann used both his centesimal and LM potencies exclusively in the medicinal solution with the addition of a dilution glass. In 1843, just prior to the Master’s death, Hahnemann sent Boenninghausen two cases in which he used the C and LM potencies in exactly the same fashion. This proves two important points; first that the new methods of using the aqueous solutions is for all homeopathic remedies. Hahnemann considered the two potency systems to be complementary and used them both to increase the range of the homeopathic pharmacy. Now he had 6c to 1M centesimal and 0/1 to 0/30 LM potencies at his disposal. 
Dr.Devendra Kumar MD(Homeo)
International Homeopathic Consultant at Ushahomeopathy
I am a Homeopathic Physician. I am practicing Homeopathy since 20 years. I treat all kinds of Chronic and Acute complaints with Homeopathic Medicines. Even Emergency conditions can be treated with Homeopathy if case is properly managed. know more about me and my research on my blog https://www.homeoresearch.com/about-me/
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