Improvement followed by decline Response New symptoms a) A proving b) Prescription only covered part of the totality Confirm that

patient took the remedy Symptoms will go Patient very sensitive If symptoms persist - re-prescribe If a1) If new symptoms are part of remedy picture - WAIT Action If a2) If new symptoms not part of remedy picture - WAIT If b) Re-prescribe based on whole totality Action Response Evaluation In a timescale shorter than expected Especially with higher potencies a) Remedy only partially similar or Evaluation b) Something occurred to disrupt it's action or c) Dose wrong or d) Case is incurable for some reason Examine patient carefully if a) re prescribe if b) and nothing done to disrupt action then likely that structural changes are occurring if c) change dose then review if d) is truly the situation - look for best palliative remedy Aggravation of several weeks after high potency Followed by slow improvement on all levels Minimal vitality Get allopathic diagnosis Re prescribe

20. Appearance of new symptoms

13. Amelioration of too short duration

Patient in turmoil Some or all symptoms worse a) Correct remedy given in too low potency Excessive dose leading to a drug disease b) Wrong remedy c) Patient is oversensitive to correct remedy d) Potency too high for the VF [see scenarios 14 & 15] If a) Either antidote or find a better remedy If b) Find the right remedy If c) Re-prescribe on the new totality If d) See actions for scenarios 14 & 15

Response

Response

Evaluation

14. Prolonged aggravation with slow amelioration 19. Over-reaction to the remedy

Evaluation

Beginnings of marked tissue changes/pathology Patient treated just in time Potency was too high - VF nearly overwhelmed Be prepared to antidote with better selected remedy

Action Action

If some amelioration in right direction then there will be recovery Use low potencies

2nd Prescription Problem Responses (centesimals)
Response Evaluation

Initial aggravation Response No increase in vitality Continued aggravation

Careful questioning reveals no changes after several weeks First remedy was badly chosen Get more information Re-study the case Re-prescribe If 1st remedy confirmed - WAIT for return of old symptoms

Remedy given too late - VF overwhelmed Remedy was too deep

18. No change in symptoms
Action

15. Prolonged aggravation then decline

Evaluation

Potency too high Cure doubtful or remote Probable organic pathology Check for any improvements at all

Action

Be prepared to antidote with better selected remedy If some amelioration in right direction then there will be recovery Use low potencies

Symptoms that were harmless before are now pronounced Or physical symptoms are better but M/E symptoms are unchanged or worse Energy less Wrong direction of cure Disease growing stronger The first remedy was only similar to part of the symptom picture Or the patient is incurable Urgently find a better remedy Action Action Evaluation Response Response There is pathology in a vital organ After repetition of low potency remedy there is intensification of symptoms The dose was wrong

17. Incorrect direction of cure 16. Severe aggravation with organic pathology
Evaluation

This is an over-reaction of the VF This could compromise the life of the patient if vital organs involved Must understand the difference between homoeopathic aggravation and aggravation of pathology STOP the medicine immediately If the aggravations do not stop very soon re-prescribe with a better selected remedy

- - - - Adapted from Crossroads to Cure by Nicola Henriques

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