Homeo Medicine Potency & repitition guidelines - By Master EK

Homoeopathic medicines are
prepared in dilutions.

Selection of the remedy is the first
half of the doctor’s task. Selecting the required potency and understanding the method to repeat the dose makes the second half. Homoeopathic philosophy is definite and precise about the selection, potency and repetition of the dose in the case of each patient.

If we administer the medicine in a lower or a higher dilution than required, it disturbs the patient with equal discomfort. Always the harm is same. Even a well indicated, well selected remedy proves useless when used in a wrong potency. We have before us, the guidance in the form of the well-established principles of the pioneers like Samuel Hahnemann and J.T.Kent.  
It is wise to pick up these principles
with a tight grip and walk along
the footsteps of these pioneers.

Some of the principles are as follows:
1. When the disease is indicated
by symptoms that are only physical,
then we are expected to use the
medicines in low dilutions, the
highest being 30 C. If you find
patients with indigestion, loose
motions, eruptions and itchings that
are of purely acute nature and if the
patient has not shown any other
symptoms or signals of a chronic
disease, you can safely administer the medicine from mother tincture up to 30 C. Often in such cases, the  
decimal potencies like 3X, 6X and
12X give ideal cures. In all such cases the cure is complete.

2. When the disease manifests
prominently on the vital plane (the
plane of sensations), you can use medium dilutions. All such patients
complain of pains, burnings, heaviness, smartings, pin-pricks,  
headaches (occasional,)fever, bodily
pains, loose motions or constipation. You will find such patients manifesting modalities. It means that they show times and conditions of aggravation and amelioration.Some people have  
sufferings in the night, others during
the day. Some others in the morning, some others in the evening, still others during noon. If such people do not manifest any abnormalities in their behaviour (on the mentaland intellectual planes) and if their complaints are not of a recurring nature then the patient can be cured with dilutionsbetween 30 and
200 centesimal.

3. Epidemics like cholera and
summer diarrhoea as well as seasonal diseases like colic and blood motions should be understood as the results of the susceptibility to the seasonal and environmental changes. All such cases generally require dilutions between 30 and 200 C. In very dangerous situations in cholera, etc., we should follow a different method : 
Medicines like camphor, when used
in such situations should be in the
lowest dilutions like2, 3, 4, 5, 6 C. Report the medicine as  
frequently as required (sometimes 1
dose every 5 minutes.). When the relief begins to establish, we have
to stop repetition orincrease the
interval. At the same time, if the
medicine is still needed we have to
go to higher dilutions up to 30. If it
is cured, leave it there. If there is
recurrence, repeat thedose in 200 C.

4. In very dangerous diseases
that exist on thenervous and mental
planes like tetanus we have to use the indicated remedy in high dilutions, not less than 1,000 C.Often these patients require up to 10,000 or 50, 000 C.Lower dilutions of the same indicated remedy dare not save them. Sometimes, they need repetition in these high dilutions.There were cases  
where the patient required 5 or 6
doses to get a complete recovery.

5. Patients of chronic miasms
like Psora, Syphilis and Sycosis will
have disease manifestation on the
deeper planes of existence. They will
show abnormalities of behaviour in
their mind, intellect and emotions.
They suffer from complaints like insomnia, hemicrania, night-blindness, mistakes in  
reading, writing and speaking. In such patients, you can start the treatment with 200 C. and go up to 1,000 C. Dosage differs in such cases. You have to wait long before a dose completes its action and another dose is required.Many changes occur after each dose. 
Sometimes the patient is better mentally but he is worse in his
physical symptoms. Sometimes he
presents altogether new symptoms
temporarily. It is very important not
to select a new remedy for the new
symptoms. Wait for a few days, the
new symptoms disappear, giving place to another group of symptoms that are altogether temporary.If night- blindness is better by a dose, the patient may get boils or itchings. If the doctor is careful not to select 
another remedy for the boils or itchings, then skin symptoms disappear and health is restored Similarly if an old patient of malarial history is treated presently for weakness and palpitations, then the weakness is better but again he is laidup temporarily with an attack or two of malarial fever.Allow it to pass
on without using the medicine and
he is completely cured.

6. Those who have chronic
miasms advanced enough suffer from mental abnormalities like  
despondency,hopelessness, suspicion, jealousy, malice, fear of the future, fault-finding, bitter criticism, using harsh language and objectionable language. Some people show symptoms likefear, loneliness, fear of thieves, enemies, etc. Such patients require medicines between 1,000 and 10,000 C. dilutions.Then the mental condition is cleared and they show symptoms of the senses. Wait and see, the plane of senses will be cleared and the patient shows physical troubles.Wait and observe without changing the drug or repeating.Then the patient gets cured of everything but the cure takes months and sometimes years. When drugs  
are changed frequently, such
patients go into complications and
can never be cured.

7. If the disease has taken a deeper root down intothe emotional plane of existence, then we notice dilutions, illusions and hallucinations. The imaginative faculty works behind  
the required limits and there will be
a condition bordering on insanity.
Patients see thieves chasing them,
police searching for them, debtors enquiring about them,devils pestering them etc. Sometimes he  
sees animals instrange shapes.
Sometimes he gets thoughts of
murder,suicide, violence or crime.
There are people who dash the head
to the wall or ground when they are angry. Some people run to jump into a lake while others feel like throwing stones upon others. There are patients who dislike their people at home, their friends and their colleagues.There are husbands  
and parents who resort to violence
against the wife and children.
Sometimes they beat and injure
when they are irritated. When disease exists in this plane then it is  
necessary to use the required remedy in 10M, 50 M and C M dilutions. Often it requires a very long interval between two doses. In some cases the patient requires only one dose for a total recovery. You will notice the disease being cured from centre to circumference invarious stages. For example, the patient is better on the mental plane but feels discomfort like headache or pains,fever, chills, etc. They disappear in course of time,  
giving rise to symptoms like hairfall,
bad nails, eruptions and boils.They
too pass away in course of time,
leaving the patient completely
healthy, when no other medicine is
required.

8. If the doctor is hasty in using
frequent doses ofmedicine, then the
patient may show the symptoms of the medicine along with the symptoms he was having. Then the 
constitution gets complicated and the situation misleads the doctor and the patient. For example, we find patients who require Tuberculinum or Opium in 50 M or CM dilutions.As children they pilfer money, they bluff and misrepresent things. They start at home in time for the school, but they wander on the streets. Sometimes they take a sudden journey without informing the parents. They disappear for sometime causing disturbance  
among the grown-ups. We find a lady and a male run away to a different  
place, enjoy physical pleasures for a
few days or months and then separate. Also there are people who
change profession,studies,
residences and towns as often as they can. When a dose of Opium or  
Tuberculinum is given to them in high 
dilution, we have to wait for quite a
long time 6 monthsor 1 year before
we find results.

9. In cases of fall and injury
we find bruised conditions that
demand drugs like Arnica. When the
physical suffering is too acute, it is
proper to use frequent doses in low
potencies like 6 C. The patient gets quick relief.According to the intensity of suffering you can administer even 4 or 5 doses in the day. Some people, instead, use Arnica 200 and find no result. Then they use Arnica I M only to get disappointed. This may lead to a gradual disbelief of Homoeopathic system itself. This is all due to the use of the wrong potency, even of the right drug. 

10. In cases like snake-bite, scorpion-stings and food poisoning the situation needs very quick action.  
When we use medicines like Echnecia, we are expected to start 
the treatment with mother tincture.
Take a half teaspoonful of the mother tincture, mix it with about three ounces of distilled water. Let the patient drink at the rate of a 
teaspoonful every five minutes. At the same time, you have to apply the mother tincture to the place of the  
sting or bite. Repeat the process
until the patient is quite normal.When he reaches a safe condition use the same medicine in 30 C dilution, one dose, and leave him.

11. Then you have cases like
dog bite, rat bite andcat bite.
Sometimes we come across cases of human bite.As soon as possible  
administer Belladonna 6 C, 2 doses
in 2 hours. Wait for 24 hours and
give Belladonna 30 C,2 doses in 2
days. Wait for a week and give
Belladonna200 C, 1 dose. Wait for
2 or 3 weeks and then give him
Thuja 6 C one dose, one week
interval and Thuja 30 C,one dose.
As soon as possible after the bite, it
is better to rub Echnecia, mother
tincture, on the spot where the bite
took place. You can rub it with cotton. Also remember that Arnica is not only unnecessary but also dangerous when use in bites and stings. 

12. Fall, injury, bite, sting and
food poisoning are not diseases.
They are emergency situations
caused byexternal causes and hence the course of treatment is a bit 
different from normal Homoeopathy.
The treatment of real diseases should be different from the treatment of indipositions due to external causes. Among real diseases also the treatment of acute diseases is different from the treatment of chronic diseases. In acute diseases, where there is aspeedy precipitation of crisis, you have to start with lower dilutions frequently repeated. Even in acute diseases if you find collapsing conditions like anguish, restlessness, coldsweats and palpitations, you have to use the indicated remedy directly in 200 C, 1 M or 10 M potency. A single dose often saves the patient. In chronic diseases, the treatment is long-standing and requires a limited number of doses at longer intervals. Often such cases require dilutions from 200 C and above. A single dose goes on clearing the disease for a long  
time when the patient shows
progressive relief. Wait until the
relief stops and the sufferings recur.
Then only you can repeat the dose.
If you use a dilution less than the
required one, even of the indicated
remedy,you cannot cure. You will notice quick relief and speedy
recurrence of all the symptoms in
such a case. In somecases, a dose
administered in a dilution lower
than therequired induces aggravation and the patient suffers. In all such  
cases, you have to administer the
same medicine in a higher dilution
than the pervious one. Then the
patient gets good relief and quick
improvement.
In all such cases it is better to
follow the procedure given by J.T.
Kent. It is as follows : In all chronic
diseases,it is better to start the
treatment with low potencies and go
higher according to the need. To
start with 30 C, is good for all
chronic diseases. If the potency is less than the required one, then you
will find partial relief. Sometimes there is total relief for a short time and a more violent recurrence. Then  
administer the same medicine in 200C.Like this you can exhaust each potency until the patient shows  
complete relief. When you find
complete relief you have no business to use another dose. The case is  
cured and hence you can stop
treatment.

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