“EFFECT OF LM POTENCY IN HOMOEOPATHIC GENERAL

PRACTICE”

By

DR. SUMANTH.B.L

Dissertation Submitted To the

Rajiv Gandhi University of Health Sciences,

Karnataka, Bangalore.

In partial fulfillment

of the requirements for the degree of

DOCTOR OF MEDICINE

In

ORGANON AND HOMOEOPATHIC PHILOSOPHY

Under the guidance of

DR. G.C. HIREMATH M.D (Hom.)

DEPARTMENT OF ORGANON OF MEDICINE AND

HOMOEOPATHIC PHILOSOPHY

DR. B.D.JATTI HOMOEOPATHIC MEDICAL COLLEGE AND

HOSPITAL, AND POST-GRADUATE RESEARCH CENTRE,

DHARWAD.
 RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,

KARNATAKA, BANGALORE.

DECLARATION

I hereby declare that this dissertation entitled “EFFECT OF LM

POTENCY IN HOMOEOPATHIC GENERAL PRACTICE” is a

bonafide and genuine research work carried out by me under the

guidance of DR. G.C. HIREMATH. M.D (Hom), Guide, Professor &

HOD, Department of Organon of Medicine and Homoeopathic

Philosophy of Dr. B.D. Jatti Homoeopathic Medical College and

Hospital and Post-Graduate Research centre, Dharwad.

Date:

Place: Dharwad DR. SUMANTH.B.L

 CERTIFICATE

This is to certify that the dissertation entitled “EFFECT OF

LM POTENCY IN HOMOEOPATHIC GENERAL PRACTICE” is

a bonafide research work done by DR. SUMANTH.B.L., in partial

fulfillment of the requirement for the degree of DOCTOR OF

MEDICINE IN HOMOEOPATHY in ORGANON AND

HOMOEOPATHIC PHILOSOPHY.

Date: DR. G.C. HIREMATH M.D. (Hom)

Prof, H.O.D. & GUIDE

Place: Dharwad Department of Organon and Homoeopathic

Philosophy, Dr. B.D. Jatti

Homoeopathic Medical College,

Hospital and Post-Graduate

Research centre, Dharwad-1

 ENDORSEMENT

This is to certify that the dissertation entitled “EFFECT OF LM

POTENCY IN HOMOEOPATHIC GENERAL PRACTICE” is a

bonafide research work done by DR. SUMANTH.B.L. under the guidance of

DR. G.C. HIREMATH, Prof., HOD Department of Organon and

Homoeopathic Philosophy, Dr. B.D. Jatti Homoeopathic Medical

College and Hospital and Post- Graduate Research centre, Dharwad.

DR. G.C. HIREMATH M.D(HOM) DR. ANAND KULKARNI

M.D(HOM)

Prof. & HOD Dept. of Organon & Principal

Homoeopathic Philosophy Dr. B.D. Jatti Homoeopathic

Medical College, Hospital,

Post-Graduate Research Centre,

Dharwad-580001

Date: Date:

Place: Dharwad Place: Dharwad

 COPYRIGHT

I hereby declare that the Rajiv Gandhi University of Health

Sciences, Karnataka shall have the right to preserve, use and

disseminate this dissertation in print or electronic format for

academic / research purpose.

Date:

Place: Dharwad DR. SUMANTH.B.L

© Rajiv Gandhi University of Health Sciences, Karnataka, Bangalore.

 ACKNOWLEDGEMENT

I thank the Almighty God for his blessings in making this work possible and

whose grace strengthened me throughout my course.

To begin with it gives me immense gratitude and privilege to thank my guide

Dr.G.C.HIREMATH. M.D(Hom), HOD,Department of Organon of Medicine and

Homoeopathic Philosophy, Dr. B. D. Jatti Homoeopathic medical college, Hospital

and Post- Graduate Research Centre, Dharwad for his valuable advice, righteous

guidance, expert supervision and immense encouragement throughout the course of

this study.

I feel happy to express my hearty thanks to Dr.Anand.A.kulkarni. M.D (Hom),

Principal, Dr B. D. Jatti Homoeopathic Medical College, Hospital and Post-Graduate

research centre, Dharwad for his support and encouragement to acquire varied

knowledge in this study.

I would like to thank Dr.M.H.M.Vijaykumar, Dr.R.C.Hiremath, professor and

Dr.Vaishnavi. D.Satish, P.G.Co-ordinator for their support and encouragement in this

study.

I am also very thankful to all my teachers for their support throughout the

course.

My special thanks to my cousin Dr.B.M.sudhindra for always being with me and for

his valuable guidance.

 My special thanks to my dear friends Dr.Amit rolli, Dr. Vishwanath

Kolurmath, Dr. Pramod, Dr. Nagraj havalada, Dr. Seetharam, Dr. Doddamani, for

always being with me.

It is my immense pleasure to express my special thanks to all my colleagues

and friends who had helped me directly or indirectly during my period of study. I

thank them all from the core of my heart and regret for not mentioning individually by

name because their number is quiet large.

I also thank all the patients who co-operated with me during the treatment

course.

It is my privilege to thank the office staff, O.P.D staff and Library staff for

their help and Co-operation.

Last but not the least I thank all the beloved members of my family for their

unconditional love and support.

I thank the almighty for helping me and giving me such wonderful people who

were there always for me, whenever I was in need.

Date:

Place: Dharwad DR. SUMANTH.B.L.

 This work is heartily

Dedicated to

My parents

B.N.lakshmi narayana rao

And

S.B.Annapurna
 LIST OF ABBREVIATIONS USED

(In alphabetical order)

< Aggravation

> Amelioration

C/o Complaints of

DM Diabetes mellitus

F Female

F/H Family History

HTN Hypertension

Lt Left

M Male

mths Months

O.A Osteoarthritis

+ Positive

P/H Past History

Pt. Patient

Rt Right
 ABSTRACT

Dr. Hahnemann wanted to rapid the time of cure with the more gentle way with less

aggravation without harming the patient to achieve that he conducted the experiments

the result of which is the process of potentisation, he introduced the centisimal scale

first, but he was not satisfied with the results with centisimal scale, because of

following reasons firstly the potencies were not acting sufficiently rapid, secondly,

they often tended to produce violent medicinal aggravations, especially among the

more sensitive patients. Third the period of cure took quite long time. Fourth, the

duration and frequency of remedies were difficult to ascertain correctly, so he further

experimented on potentisation the result of that is the LM or Q potency, he told that

“this is the most perfect method”. The term Q means here is quinquagintamillesimal,

Hahnemann observed that the aggravations are more with the centisimal scale potency

as compared to that of LM scale, and he also observed that the cure has became much

more faster with the LM scale compared to centisimal scale, but unfortunately most of

the homoeopathic physicians are not aware of this scale of potency, because of long

delay in the publication of the sixth edition of Organon, by that time most of the

homoeopathic physicians were using centisimal scale potencies and got results from

that, here I am trying to make the study on the efficacy of the LM scale potencies in

our day to day practice and interpreting the results comparing to that the cases treated

with centisimal scale potencies. For the present study the patients who visited to

Dr.B.D. Jatti homoeopathic medical college and Hospital, Dharwad, and Rural

O.P.D’s were selected on the inclusion and exclusion criteria’s.

Totally 60 patients were selected for this study. In which 30 of them were

given the centisimal scale potency, and 30 of them were given the LM scale potency
At the end of the study it was observed that, out of 30 patients those who are given

centisimal scale potencies, nine patients recovered, sixteen improved, and five

patients had not improved but they showed the aggravation of symptoms. The 30

patient those who were given LM scale potencies out of which 15 cases recovered,

10 cases improved and 5 patients discontinued the treatment.

Hence I conclude by this study that the LM potencies are much more rapid

and effective than centisimal scale potencies with less aggravation in treating the

cases in day to day practice.

Key Words: LM scale potencies, Efficacy, general practice

 TABLE OF CONTENTS 

S. No. Particulars Page No.

1. Introduction 1-4

2. Objectives 5-6

3. Review of Literature 7-59

4. Methodology 60-62

5. Results 63-70

6. Discussion 71-73

7. Summary 74-75

8. Conclusion 76-77

9. Bibliography 78-82

10. Annexure – I Case Proforma i-xiii

11. Annexure – II Graphs xiv-xviii

12. Annexure – III Synopsis of Cases xix-xxxiii

13. Annexure – IV Master Chart xxxiv-xli

 LIST OF TABLES

S. No. CONTENTS Page No.

1.  Results of Treatment of cases treated with

64
centesimal scale potency 

2. Results of Treatment of cases treated with

65
LM scale potency 

3. Different cases treated with centisimal scale

66
potency and LM scale potencies

4. Time duration taken for treating acute cases in

67
centisimal scale potency

5. Time duration taken for treating acute cases in

68
LM scale potency

6. Time duration taken for treating chronic cases

69
in centisimal scale potency

7. Time duration taken for treating chronic cases

70
in LM scale potency
 LIST OF FIGURES

Sl. No. Content Page No

1 Standardized vial for LM 24

potency

2 samples of globules used in the 26

preparation of LM dilutions in Brazil at

the end of the 80s (left) and our

standardized globules

3 Magisterial dilution of a LM potency 26

4. Time line for Hahnemann’s development 27

of potency and 50 millesimal scale

5. Diagrammatic representation of LM scale 49

preparation

6. Making LM2 50
 TABLE OF GRAPHS

Sl. Content Page

No. No

1 Differect cases treatd with LM as well as centisimil xv

scale potency

2 Time taken for treating the case group A LM potency compared with xv
group B centisimal scale in duration of action in different cases

3 Aggravation rate compare to with Group A LM scale and Group B xvi

centisimil scale potency

4. Time taken for treating different chronic cases with group A LM scale xvi
compared with group B centisimal scale:

5. Time duration taken for treating different acute diseases with group A xvii
LM scale compared with group B centisimal scale:

6. Cases treated with centisimal scale potency both acute and chronic xvii
case:

7 Cases treated with LM scale potencies both acute and chronic cases: xviii
 1

INTRODUCTION
According to the testimony of all ages, no

occupation is more unanimously declared to be a

conjectural art then medicine.

Dr.Samuel Hahnemann
 2

INTRODUCTION

Medicine is not only a science, it is also an art. It does not of compound pills and

plasters, it deals with the very process of life, which must be understood before they

must be guided – Paracelsus. Sickness in man is like a heritage to him, it has not

struck mankind randomly like a thief but certain types of people at certain points in

their lives have come down with different kind of ailments. To take hold of such a

situation the search for both healing art and medicine is equally old as inheritance of

diseases.

From time immemorial man has laid down his life in coming out with a healing touch.

The Saga and apenance of Charka, Hypocrites and the like had made an epic of

medicine. There is no other better sacrifice made than this where Dr. Hahnemann also

joined them, even though a little later, but only to bring a solace for the suffering sick

with only an aim to eradicate the pain and agony.

Such an attempt in order to bring a medical science as a healing art and faced several

twists and turns, victories and defeats.

The modern physicians base their treatment on a more materialistic concept of

disease. The constitutional trade responsible for appearance or recurrence of the

disease is forgotten and the sufferer remains open or susceptible for further attack.

Patients and their attendants throng the physicians with high expectations for a better

alternative system of medicine with frustration on the most dominating medical

science. It is an understood fact that such suffers seek a ray of hope in the better rating

alternative system of medicine – Homoeopathy. “The art of medicine consists in

amusing the patient while nature cures the disease” said a Physician by name Voltaire.

So does homoeopathy which is based on nature’s law of cure.

 3

Homoeopathy the benevolent science treats man and not the disease. The practice of

this system is that it emphasizes on an unbiased and problems based approach to the

entire range of clinical decision making process. This makes the physician a

practitioner with cognitive ability to perceive the incidence, interpret their

implication, decide on the best possible solution and clarify the out comes.

“The physician’s high and only mission is to restore the sick to health, to Cure, as it

is termed.”- Dr. Hahnemann

In accordance with those words of our master the aim, of each one of us to give a total

relief leading to cure to the sick. The topic considered here,

The efficacy of L.M. potencies in the day to day practice of physician. It has been

estimated that 60% of the cases what we get is acute cases and around 40% is chronic

cases.

In 60 % of the acute cases around 50% of the cases are fevers, and other 50%

comprises of various other disorders like diarrheas, acute exabrations of chronic

diseases like bronchial asthma, allergic rhinitis, etc,

There are many treatment are available for the above said conditions, but each of

them has got their own side effects. The efficacy of treatment consists in removing all

the symptoms of whatever the disease condition with no recurrence and to induce

lifelong immunity.

Homoeopathic approach towards treating the diseases is safer and does not have any

side effects; even in the long term treatment this study is an attempt to understand the

essential nature of acute and chronic diseases and effectiveness of the homoeopathic

treatment with fifty millisimal potency and centesimal potency. The very foundation

of Homeopathic practice considers not just a disease but an individual, as a whole.

 4

The homoeopathic system presented to this world by our master was a boon to the

whole mankind. His final thoughts regarding the use of fifty millesimal scale

presented in his sixth edition of Organon was new to the Homoeopathic profession

and hence controversial for many physicians.

So this study attempts to clarify on those controversial thoughts and the efficacy of

fifty millesimal potency. Out of 60 cases that were taken for this study, thirty cases

acute cases, and thirty cases are chronic cases. In thirty acute cases 15 of them were

given fifty-millesimal potency and 15 cases were given only centesimal potencies. In

thirty chronic cases 15 were given fiftymillesimal potencies and 15 were give only

centesimal potencies. The results were compared using stastical interpretations.

Present study is undertaken in the DBHP’s DR.B.D.Jatti Homoeopathic Medical

College, Hospital P.G. Research centre IPD, OPD’s and rural OPD’s during the

period of December 2009to Nov 2011

 5

OBJECTIVES

Highest ideal of cure is rapid, gentle and

permanent.

Dr. Samuel Hahnemann

 6

Aim and Objectives

To determine the efficacy of indicated homoeopathic medicines in the management of

both acute and chronic disorders.

To compare the efficacy of 50 Millisimal with centesimal potencies in the

management of both acute and chronic cases.

OBJECTIVES

The study aims to study the –

History of L.M.Potencines.

Preparation of L.M.Potencines.

To access the utility of the L.M.Potencines in day to day practice, in various disease

conditions.

Prescribing methods of L.M. potencies

 7

REVIEW OF

LITERATURE
 8

REVIEW OF LITERATURE:
1
“... by means of this method of dynamisation ( the preparations thus

produced, i have found after many laborious experiments, to be the most powerful and

at the same time mildest in action, i.e., as the most perfected) the material part of the

medicine is lessened with each degree of dynamisation 50,000 times, yet incredibly

increased in power...”
2
“The immortal Hahnemann, whose talent really looks sometimes like an

inspiration from above, had, in the last years of his life, arrived at a profound

conviction of the efficacy of high attenuations, and had accordingly for some time

followed, in the preparation of his remedies and in his doses, a method different from

that which he had recommended to the public in his former works; the modifications

then introduced he intended to publish to the world in the last edition of Organon”.
”
This edition has, unfortunately, never appeared, though I know, from several

letters of Hahnemann, to a certainity, that he had completed the work, and that the

MS. Was ready for the printer, when death struck him. The world knows well by

whose means the publication of that most important work has been prevented. But

from the same letters of the great master, with which he honored and rejoiced me

during a period of more than fourteen years, and of which the last was dictated scarce

two months before his death, and signed with already trembling hand, I know pretty

well what he thought of high dynamisations, and that he unreservedly approved of the

notions and proceedings in this matter of myself and of my friends (stapf and gross)”.
3
D little says In the 5th and 6th editions of The Organon of the Healing Art

(1833 and c. 1843), Samuel Hahnemann claimed his new revised techniques could

speed the time of homeopathic cure to more or less, the time it took with the methods
 9

of the 4th Organon (1829.) What could have led the Old Master to make such a

profound statement? What is the difference between the methods of the 4th, 5th, and

6th editions of the Organon, and what innovations did the Founder introduce during

the last 10 years of his life? One of the major changes was the replacement of

the ordinary dry pellet dose with a succussed aqueous solution. Hahnemann used a

full range of potencies from 6c to 200c with his liquid delivery system and introduced

a completely new potency range called the 50 millesimal remedies (LM.) The LM

potencies are made with a 1 to 50,000 dilution ratio and are administered in gradually

ascending potencies marked LM 0/1, 0/2, 0/3, up to 0/30. These new methods greatly

expand the therapeutic range of homeopathy by offering a new, flexible posology

system which is applied to two complementary potency ranges (Cs and LMs.) For

these, and other reasons, I have always found the last 10 years of Hahnemann's life

and works fascinating.

4
the LM/Q series is said to be gentle, adaptable and having less aggravations;

indeed it is, and a very useful technique with sensitive patients; yet it is nothing but a

linear increase in potencies, modified by variable adaptations within each potency (

multiple dilution glasses, multiple successions, drop doses, spoon doses, variable

timing, etc,...); but in the end, as you can see in the graph, it is a straight, slow, linear

progression”.
5
“I have renamed the LM/Q progression “the meandering potency”. It is very time

consuming and has again that nagging question: what is LM1 or any other LM in

terms of potency? Admittedly, it is a system on its own, and a formidably effective

one at that, but to be told that “ LM1 is as gentle as a 6C but as deep as a 200C”.

In the sixth edition of the Organon, Hahnemann presents us with what he

himself called the “most perfected method” which promises to overcome the
 10

difficulties still observed by him in the 5th edition of Organon, principally regarding

the “undesirable reactions of the vital force” which appeared during the repetition of

the homoeopathic medicines in centesimal potencies.

According to Hahnemann, the principles of his “most perfected method” are:

1. Perfectly homoeopathic medication, selected with greatest care;

2. Highly potentised medicine ( through the “new dynamisation process”, today

called fifty millesimal);

3. Medication diluted in water and administered:

3.1. In small dose adequate enough for performing a brief cure

3.2. In repeated doses for as long as necessary

3.3. Initiating the treatment with the lower potencies

3.4. Gradually raising the potency every 7 or 14 days

3.5. Slightly altering the dynamisation before each dose, through

successions applied to the medicinal solution phial.

6
As a rule, homeopathic doctrine is based on Samuel Hahnemann’s written

legacy: his Published methodological writings, provings, and principles. In the case of

quinquagintamillesimal (50,000) potencies, usually known as q-potencies in the

German speaking world, and LM in English, a delay of nearly 80 years in the

publication of Hahnemann’s last work not only prevented its contemporary reception

among his followers but allowed another tradition to rise, spread, and prevail until

today. Since, throughout his life Hahnemann referred to and recommended c-

potencies only, it was quite natural for his disciples to follow and extend this

apparently ultimate and authorized path.

Hence, for instance Clemens von Boenninghausen and Carroll Dunham

advocated the 200c, while James Tyler Kent introduced a scale of ultra-high
 11

millesimal potencies: m, xm, lm, cm, dm, mm, etc. Adherents of low potencies like

Richard Hughes opposed this kind of development, but virtually all of them referred

to the same ratio of potentization (1:100), ie c-potencies— apart from some German

homeopathic pharmacists who developed a modified scale of potentization (d- or x-

potencies, 1:10).

This common denominator did not change even when Richard Haehl1 in 1921

and William Boericke2 in 1922 published, in German and English respectively, for

the first time, the sixth edition of Hahnemann’s Organon of Medicine, whose

manuscript had been completed in 1842. It contained Hahnemann’s last legacy: the

description of 50,000 potencies which, in the last 5 years of his life, he had found to

be the ‘strongest and mildest, ie most perfect’ preparations.

Only in the 1950s did the Swiss homeopathic doctors, Rudolf Flury, Adolf

Voegeli, Pierre Schmidt, And Jost Kunzli von Fimmelsberg, start to draw the

attention of their colleagues to the 50,000 potencies which from now on were called

LM- or q-potencies.4 Considering the predominance of the more than a hundred years

old tradition of c-potencies, the echo within the homeopathic community was very

weak. After all, acknowledgement of Hahnemann’s unheard directions would have

meant a significant change to practice with a completely new set of remedies. A

simple way of escaping the dilemma was to question the authenticity of Haehl’s

edition, which was based only on a transcript of Hahnemann’s manuscript.

It would be interesting to know how and when Hahnemann actually

administered q-potencies in his own practice—instead of just having to rely on his

statements in the Organon. The answer to this Question, however, is hidden behind a

host of difficulties including the time, capacity, and energy to read and analyze

thousands of handwritten pages of Hahnemann’s German–French case books of his

 12

last years in Paris. As it turns out, even there q-potencies cannot be easily identified

by one distinguishing mark or label, but have to be traced like a detective by means

of assumptions, reflections, and hypotheses. Up to now, three different approaches

have been suggested: (1) Rima Handley (1990, 1997) supposed that the sign of a

small circle (O) indicates a q-potency;6 (2) Ubiratan Adler (1994) introduced clinical

pharmaceutical criteria (low potencies in a sequence of gradually ascending degrees)

to locate 681 prescriptions of q-potencies in Hahnemann’s case books;7 and (3) Luise

Kunkle (2001) developed a theory according to which fractions like 1/190, 1/191,

1/192, etc would be ciphers for q1, q2, q3, etc.

7
In 1997, Rima Handley published a study about Hahnemann’s practice in

Paris, with interesting historical data about the first patients treated by the illustrious

homoeopath. Handley used the notation o as the criterion to identify a fifty millesimal

prescription in Hahnemann’s manuscripts, kept in the library of the institute for

history of medicine of the Robert Bosch foundation. According to Handley, the o sign

would be an indication from Hahnemann for using a globule instead of a drop in

successive dilutions of the fifty millesimal preparations. Handley claims to have

observed only 12 medicines prescribed in this scale, the first being a case of sulphur

10LM, prescribed in 1840.

8
In india and Bangladesh, the potency prepared by this scale is designated as

0/1,0/2,0/3,0/4 and M/1,M/2,M/3,M/4 etc. In the west it is designated as 1/0,2/0,3/0

etc. Master Hahnemann used to write 0/1,0/2,0/3 etc.

some authors have suggested, LM/1, LM/2, LM/3, etc where L stands for 50

and M for millesimal. The numerator ‘0’ representing symbolically the poppy- sized

globule employed in each dynamisation.

 13

9
lack of popularity: Hahnemann wrote the preface of the 6th edition of

Organon in February 1842. He could not finalize the negotiations with his printers for

the publication and died on 2nd june 1843 without this new edition appearing in print.

After a gap of 77 yrs, Dr.Hael of Germany managed to get hold of the original

manuscript in the early part of 1920 with the financial assistance of Dr. Boericke.

Twice this manuscript of Hahnemann was in danger of being lost, once during the

siege of paris in the Franco—prusian war of 1870—71 and once during the military

over running of Westphalia during World war I of 1914—18. In 1922 Dr. Boericke

published the English translation of this edition. This long delay is one reason for the

unpopularity of this scale. As the last and sixth edition of Organon did not see the

light of the day till 1920, the homoeopathic profession and pharmacists were ignorant

of this method of preparation of potencies.

some of Hahnemann’s colleagues and followers started using these high

potencies, even before Hahnemann had laid down instructions about this new method.

But Hering, Kent, Dunham, and Nash advocated the practice of using high potencies

like 200, 1M, 10M, 50M, CM, MM and claimed better therapeutic results in many

cases that didnot respond satisfactorily with thirtieth and lower potencies. With the

absence of the new directions and the popularity of the high potencies for about ninety

years, sufficient experience was gained with the high potencies. When the 6th edition

of Organon was available for the profession, it found some reluctance amongst the

profession also due its authenticity.

10
The sixth edition of Organon was published by William boericke in

December 1921, about 80 years after discovery of 50 millesimal scale potencies.

During this period homoeopaths were using centesimal scale potencies Drs. Hering,

Kent, EE. Case, C.M. Boger, Adolph Lippe, and other pioneers of homoeopathy
 14

achieved marvellous results from centesimal scales of potencies, hence even now

majority of homoeopaths all over the world are using centesimal scale potencies.

Even after the publication of the 6th edition of the Organon in which Hahnemann has

advocated preparation, use and value of 50 millesimal scale of potencies nobody paid

much importance to this new scale of potencies as the influence of Dr.J.T. Kent was

still holding the top ranking homoeopath of England and USA.

Dr. Pierre Schmidt of Geneva, Dr.Kunzli and Charles pahud of lusanne,

Switzerland, were among the pioneers of homoeopathy who used 50 millesimal

potencies in treating their cases and publishing their results. In India Dr. Ramanlal. P.

Patel was the first to write “my experience with 50 millesimal scale of potency” in a

booklet form in 1960. Dr.S.M.Bhattacharya of Berhampur, P.Shankaran of Bombay

and other pioneers of homoeopathy in India are using this potency but still this scale

of potency is not so popular as it should be.

11
The Q potencies—as they are called now—were mentioned for the first time

by name: divisions infinetesemales (infinitesimal dilutions). The name ‘Q potency’,

which is used today, was introduced by JOST KUNZLI VON FIMMELSBERG

(1915—1992). Rudolf Flury (1903—1977) had preferred the abbreviation LM would

denote the number 950 rather than 50,000. This is why Will Klunker (1923—2002)

and other classical homoeopaths always supported ‘Q’ as the only legitimate

abbreviation for the 50 millesimal potencies (lat.quinquagintamilia).

10
Dr.R.P.Patel is of opinion which he has given in the fifth annual report of

50 millesimal scale of potencies conducted at A.H. Medical college research

department:

1. The 50 millesimal scale of potencies give equally good results when given in

globule form, powder form, or in the form of mixture.

 15

2. The 50 millesimal scale of potencies cannot be compared with centesimal

scale of potencies nor they should be substituted one for other on the basis of

calculation because the scales are altogether different in order and cannot be

interchanged.

3. The medicine should not be stopped in case the patient says he is better but

repeated in the next higher potency of the same remedy at longer intervals and

slowly withdrawn in acute cases.

4. In chronic cases if most of the symptoms are removed and you are repeating

the remedy and by chance the former symptoms reappear or a few remaining

symptoms become worse you have to stop drugging otherwise you shall waste

your remedy and the patient will suffer.

5. Dr.Hahnemann has advised the 50 millesimal scale from 0/1 to 0/30, but he

finds that certain remedies are useful upto 0/50 potency specially Nux vom

and sulphur.

6. Certain remedies like Kali phos, Arg Nit, Dulcamara and China are found to

be tardy in action when given in 50 millesimal scale. They are useful when

given in the centesimal scale.

7. In certain cases he finds that 0/30 potencies do not act though indicated, but

when they are given in 0/1 and 0/3 they have good results.
12
Hahnemann introduced LM potency in the aph-246—248, 270,271 and 278

0f the sixth edition of Organon of medicine. Gradually in the 1940’s—50’s with R.

Flury and Pierre Schmidt, mathias dorsci and later H. Farrington, Charles pahud,

Robert schore, h. Choudary, kunzli, R.P. Patel and others carried out research on this

latest potency method of Hahnemann.

 16

The inspiration for the Lm potency have come from Dr. Constantine herring in

a letter to the editorial he wrote for a journal archive fur die homoopathische heilkunst

to the then editor and long time student of dr. Hahnemann, Earnst stapf.

In the sixth edition of Organon, Hahnemann recommended dissolving single

pellet of appropriate Q- potency in a vial of water, and succussing the vial about 8—

12 between doses, and administering it to the patient every day or every other day. It

can be repeated in 2-6 hrs in acute cases. To avoid large doses he advises that each

dose should be a teaspoonful of liquid.

13
Hahnemann spent the last decade of his life developing 50 millesimal (LM)

potencies specifically to avoid the aggravations aroused by centesimal potencies,

which he felt caused too much suffering for the patient. He developed a technique for

making the remedies deeper and faster acting while at the same time more gentle. The

LM potencies are made by diluting the remedy in a ratio of 1 to 50 000 at each step

instead of 1 in 100, while limiting the successions to 100. The high number of

dilutions raises the power of the remedy very high, while the relatively low number of

successions keeps the aggravations low. The result is that LMs act deeply and

quickly: deep to the mental emotional level and far back in the patient's timeline,

leading to a cure in a fraction of the time of Hahnemann's previous centesimal

method.

LMs are also known as Q potencies, both of which represent the Roman

numerals for the 1 in 50 000 dilution. They are also called 0=1, 0=2 or 1=0, 2=0 etc.

in which the 0 stands for the tiny poppy seed granules on which they are prepared.

The patient takes one poppy seed pellet and places it in a 4 oz. (100 ml

approximately) standard pharmacy bottle, then fills the bottle to the base of the neck

with purified water and adds 15 drops of ethanol.

 17

LM potencies cannot be compared with a 3C or 6C potency, as many practitioners

believe. LM potencies have a much deeper action than the C scale. LMs give us the

best of both worlds: they are as gentle as the low potencies and as powerful as the

highest centesimals.

In his Lesser Writings Von Boenninghausen spoke of the nature of LM potencies.

(Hahnemann wrote his last letter to Von Boenninghausen on this subject two months

before he died.) Von Boenninghausen said about the LM's, `the peculiar preparation

of which is known to me and which requires less trouble and time essentially presents

our high and highest potencies.' He meant the 200C and higher (which were already

available at that time)! Far from being a low potency, the LM1 has actions equivalent

to a higher potency even though it is the lowest end of the LM scale. It is a much

higher potency than 30 C.

I have often seen in practice that a hypersensitive patient would not react

to 30C but would have an initial aggravation to a dose of LM1 (of course we have

many ways of adjusting an LM, tailoring the remedy to the patient, as discussed later

on).
14
The so-called LM, or more correctly Q-potency, comes from the Latin

Quinquagiesmillesima = 50,000. The LM is produced by diluting 3c potency at a ratio

of 1:50,000. Potencies are increased in the usual way with the same ratio.
15
Hahnemann aimed to develop a technique which would restore health rapidly,

gently and permanently by removing and destroying the Disease in the shortest, surest

and least harmful way. By the end of Hahnemann's life, he believed that his new

method of dynamization known as LM potencies had achieved this goal. However,

the current use of this technique has been limited, as a direct result of the delay in

publication of the 6th edition of the Organon until 78 years after Hahnemann's death.
 18

Ironically, this has led to the dominance of centesimal potencies in contemporary

homoeopathic practice whilst leaving to history the later and more advanced

technique of LM potencies. The use of LM potencies provides many Positive benefits,

these include:

± Regulation of homoeopathic aggravations by varying the potency with each dose

± shortening the healing process

± resolving the problem of choosing the correct potency

± The similimum can be found in the shortest amount of time

± The effect of incorrect remedies will be mild

± Standardisation of procedures and results LM potencies are succussed before each

Dose to avoid developing the symptoms of the remedy.

16
Hahnemann used a full range of potencies from 6c to 200c with his liquid

delivery system and introduced a completely new potency range called the 50

millesimal remedies (LM.) The LM potencies are made with a 1 to 50,000 dilution

ratio and are administered in gradually ascending potencies marked LM 0/1, 0/2, 0/3,

up to 0/30. These new methods greatly expand the therapeutic range of homeopathy

by offering a new, flexible posology system which is applied to two complementary

potency ranges (Cs and LMs.) For these, and other reasons, I have always found the

last 10 years of Hahnemann's life and works fascinating.

The Founder introduced the liquid delivery system in aph. 286, 287, and 288

of the 5th edition (1833), well before he went to Paris with Melanie in 1835. He first

discussed the method of olfaction in the introduction to Böenninghausen's repertory

(1832), and the most detailed explanation of olfaction is found in the 5th Organon.

All of Hahnemann's revised methods depend on the correct use of the medicinal

solution. The last time Hahnemann recommended the use of the single unit dry dose
 19

was in aph. 242 of the 4th Organon. If the homeopath is still using the dry pellet dose,

they must abide by the rules of the 4th Organon (1829) and the first edition of The

Chronic Diseases (1828.) I call this the 'single dose wait and watch' method. This is

the most common form of classical homeopathy. In the 5th Organon, the Old

Homeopath proposed a *new posology method which utilizes a single dose when

there is a striking remedy response (§245), and the repetition of the remedy at suitable

intervals to speed the cure in slowly or moderately improving cases (§246.) He called

his **new posology the "middle path" because it represents the balance point between

the exclusive single dose and the systematic repetition of homeopathic remedies.

Hahnemann called the centesimal potencies "medicament au la goutte" (medicines of

the drop) in juxtaposition to the LM potency which he called "medicament au

globule" (medicines of the pellet.)

In the 5th and 6th Organon (1833 and 1843), Samuel Hahnemann claimed

his revised methods could speed the time of homeopathic cure to more or less, the

time it took with the methods of the 4th Organon (1829.) It is for classical

homeopaths who have mastered the 4th Organon methods to take up the challenge

and begin new experiments. Only they have the background and depth of experience

necessary to really test Hahnemann's "new methods" in the field.

17
I last addressed the public concerning our healing art, I have had among

other things also the opportunity to gain experience as to the best possible mode of

administering the doses of the medicines to the patients, and i herewith communicate

what i have found best in this respect. Experience has shown me, as it has no doubt

also shown to most of my followers, that it is most useful in diseases of any

magnitude (not excepting even the most acute, and still more so in the half- acute, in

the tedious and most tedious) to give to the patient the powerful homoeopathic pellet
 20

or pellets only in solution, and this solution in divided doses. In chronic diseases I

have found it best to give a dose (eg: a spoonful) of a solution of the suitable

medicine at least every two days, more usually every day.

Now in preparing the solutions from this and in bringing the medicines thus

potentised one million fold, into fluid form, ( so that their dynamisation may be still

further continued), we are aided by the property of all medicinal substances, that

when brought to the potency 1, they are soluble in water and alcohol; this property is

still unknown chemistry. When standing exposed to the air in the dark, is only feebly

luminous and has but a slight odour. It is put into a well stoppered vial and marked

phosphorus 1/100 the other two triturations 1/10000 and 1/mill are prepared like those

from other dry medicinal substances.

18
As a rule, homeopathic doctrine is based on Samuel Hahnemann’s written

legacy: his published methodological writings, provings, and principles. In the case of

quinquagintamillesimal (50,000) potencies, usually known as q-potencies in the

German speaking world, and LM in English, a delay of nearly 80 years in the

publication of Hahnemann’s last work not only prevented its contemporary reception

among his followers but allowed another tradition to rise, spread, and prevail until

today.

Richard Haehl1 in 1921 and William Boericke2 in 1922 published, in German

and English respectively, for the first time, the sixth edition of Hahnemann’s Organon

of Medicine, whose manuscript had been Completed in 1842. It contained

Hahnemann’s last legacy: the description of 50,000 potencies which, in the last 5

years of his life, he had found to be the strongest and mildest, ie most perfect’

preparations.
 21

Only in the 1950s did the Swiss homeopathic doctors, Rudolf Flury, Adolf

Voegeli, Pierre Schmidt, And Jost Kunzli von Fimmelsberg, start to draw the

attention of their colleagues to the 50,000 potencies which from now on were called

LM- or q-potencies.

Three different approaches have been suggested: (1) Rima Handley (1990, 1997)

supposed that the sign of a small circle (J) indicates a q-potency. (2) Ubiratan Adler

(1994) introduced clinical pharmaceutical criteria (low potencies in a sequence of

gradually ascending degrees) to locate 681 Prescriptions of q-potencies in

Hahnemann’s case books and (3) Luise Kunkle (2001) developed a Theory according

to which fractions like 1/190, 1/191, 1/192, etc would be ciphers for q1, q2, q3, etc.

Prompted by a criticism by Kunkle of Adler’s criteria according to which Hahnemann

would have tried out not more than 27 prescriptions of q-potencies before completing

his Organon manuscript in February 1842, Adler revised his initial criteria to include

the J sign (as proposed by Handley), too.

19
Hahnemann expounds:

a) New ideas on medicamental dispersion, associating dilution or simple

dispersion of the substance, with dynamisation or potentization of latent

medicinal properties by friction, tritutation or succession. Homoeopathic

remedies are not inert substances whose matter is divided in the extreme. They

are products which have been rendered essentially efficient by reinforcing

their latent and highly disintegrated properties through a mechanical treatment

which confers upon them new, active and efficient properties (aph 269). 

b) Duration of the medicamental efficacy of homoeopathic remedies. In his last

edition, Hahnemann asserts that these remedies may be kept for many years,

provided they are shelters from light and heat. 

 22

c) Scales of concordances: as you all know, Hahnemann in the 5th edition,

anticipating Mr Berne of paris, had already attempted to shake a medicament

for half an hour, believing thus to have multiplied by 30 the strength of the

first centisimal dilution. When, however, he realized that he had been

mistaken, he cancelled his former statement and replaced it by explanatory

notes in aph 270, where he describes the preparation of 50 millesimal, uniting

the notions of quantity and quality. 

A major variation to the administration of medicines and to the succession

process was described in the preface to the 1837 publication of Part 3 of

Hahnemann’s Chronic Diseases. Instead of the single administration of a

single dry pilule, Hahnemann now advocated the use of liquid preparations

which could be “split” into multiple doses which could therefore be taken

more often. Prior to the administration of each dose, the solution “must every

time be briskly shaken five or six times”.

This was further developed in his 6th edition of The Organon. In this, his final

version, Hahnemann introduced a new manufacturing method, for what is now

known as the fifty millesimal potency this method increased the number of

succussions at each attenuation from the two suggested in the previous edition

of The Organon, to one hundred. At the same time, it increased later dilution

ratios to 1:50,000, thus making the mix both more dilute and more often

attenuated.

Administration of the fifty millesimal (LM) potency has similar ties to the

“split dose” method of the previous edition whereby the patient further

successes the medicine prior to each dose.

 23

27
The manufacture of fifty-millesimal remedies, described by Hahnemann

as his most perfected method, is somewhat different. The substance is first

triturated to the level of 1 part in a million, that is, the 3rd centesimal potency.

One grain (0.06 gram) of this trituration is then mixed with 500 drops of 20%

alcohol: water solution. This is the “mother tincture”. One drop from this stage

is then mixed with one hundred drops of alcohol and succussed one hundred

times to form the 1st degree of potency and labelled LM1. With the fifty

millesimal method, the patient successes the bottle prior to each dose.

A comparison of concentrations at the 30th dilution clearly shows the

difference between preparations. The centesimal preparation is shown as twice

the decimal dilution whilst the fifty millesimal solution is approximately 2.5

times greater than the centesimal equivalent. Given that each preparation is

subjected to one hundred successions at each dilution stage, it is also clear that

the fifty millesimal preparations have the greatest dilution factor for the same

amount of successions, although the fifty millesimal preparation is succussed a

further 2-8 times at each point of dosage. A brief comparison of the

concentrations at selected dilution stages for the decimal, centesimal and fifty

millesimal potencies is illustrated.

In Hahnemann’s own words. “The higher their [the homoeopathic

preparations] dynamisation is carried, the more penetrating and rapid does

their operation become”.

3
He was interested to find the opportunity to prepare such homeopathic

medications, which could have a profound and at the same time gentle effect

on the patient organism. After making a lot of attempts in 1840, he created a

 24

new dilution system called LM-potency. He considered this system to be the

most perfect method for quick, gentle and final recovery.

LM-potencies have some peculiar features. Notwithstanding the amount of a

dissolvent there are always molecules of a dissolved substance present in the solution

and the dissolving level cannot reach CH12 potency. The molecules present in the

solution are carriers of electromagnetic (information) waves with parameters

characteristic for them. As a matter of fact LM-potencies correspond to low (decimal

and initial centesimal) homeopathic dilutions and have a graduated succession

beginning with LM1, LM2, LM3 and up to LM30. These dilutions differ in the

quantity of dissolved substance molecules per one unit of a dissolvent; it leads to the

decrease of electromagnetic wave voltage and, therefore, reduces the information

potency of a medication.

In LM-potencies there is a small amount of dissolved substance molecules,

which have little Information power and, therefore, a gentle effect on the organism. It

gives a slow, without homeopathic exacerbation, recovering.

Standardized vial for LM dilutions:

 25

23
Clinical use of LM dilutions is simple. A course of treatment begins by the lowest

dilutions, taken by the patient once daily or in alternate days in chronic cases, or

several times a day in acute conditions. Each dose is systematically preceded by

succession of the vial – for this reason, medicines are dispensed in solution. In chronic

cases, a same dilution is kept as long as it elicits an improvement in the totality of

symptoms of the patient provided no new significant symptom appears.

Dilutions must be periodically increased, one degree at a time, as abrupt changes

favour the appearance of homeopathic aggravation (§ 276 [1]), here understood as a

sign of excessive dose and that, thus, must be treated by increasing the interval

between doses and/or increasing the dilution.

In order to make transportation and use of medicines simpler, also the vial was

standardized to volume 30 ml, containing 20 ml of 30% hydro-alcoholic solution of 1

globule of the prescribed LM dilution. Figure 2 illustrates the practical advantage of

the standardized vial.

Repeated and agitated LM potencies is the main therapeutic innovation in the 6th

edition of the Organon, however there are further clinical principles that characterize

Hahnemann’s homeopathy and that must be taken into account when standardizing a

therapeutic method, such as: selection of the guiding symptoms of the patient

(characteristic symptoms); choice of medicine grounded on the most reliable sources,

namely, pure Materia Medica sources.

 26

samples of globules used in the preparation of LM dilutions in Brazil at the end

of the 80s (left) and our standardized globules

Magisterial dilution of a LM potency

27
 28

25
Features Of LM Potency article by - Dr. Srikanta Choudhury:

Disadvantage of C' scale

• This Lower potencies are not adequate to stimulate a healing reaction.

• This potency takes long time in curing disease.

So, rapid cure is not possible with this potency.

• Higher potency brings undesirable medicinal aggravation.

• Single dose of high potency continues to act for a period of several weeks to

months.

So, the physician has waited to have positive outcome.

If the result is negative, then he is to prescribe new medicine. In the meantime

patient may suffer severely and may loss faith in homoeopathy.

• Will not be possible to repeat the dose, even if there exist the remnants of

symptoms of disease.

• Controversy and confusion in the administration of dose and potency.

Terminology

• In the footnote no. 132 of the aphorism 246 Master Hahnemann denotes the new

method “new dynamization method”, “new, altered but perfected

method”.

• In Aphorism 161 he termed as “renewed dynamisation”.

• Dr. Pierre Schmidt of Geneva termed this new scale as “50 Millesimal”.

• Dr. S. Rawson described it as “succussed dilution” (Hahnemannian Gleanings,

volume XLIII, 1976).

• In eastern region, some of homoeopaths indicate it as ‘new method ' and

western countries as ‘LM method '.

Significance of the term ‘50 Millesimal' or ‘LM'

 29

No 10 globules are required for saturation of medicine in LM potency. 100

globules are equivalent to 1 grain (i.e. 65 mg). 500 globules to be soaked in

one drop of previous potency. One such medicated globule is required for next

degree of dynamisation in LM scale.

Hence 1/500 th of a drop instead of one full drop is used in LM potency. The

material part of the medicine is reduced by (1/500 x 1/100 = 1/50,000) 50,000

times for each degree of dynamisation and at the same time the curative power

of the medicine increases tremendously.

Therefore, the terminology used for denoting this potency 50 Millesimal or LM

potency is justified.

Sign and symbol

• Hahnemann used to write it as 0/1, 0/2, 0/3 etc.

• In western countries the homoeopaths used to write 1/0, 2/0, 3/0 etc.

• At present new style of writing is LM/1, LM/2, LM/3 etc. which is more

scientific.

• In this subcontinent the homoeopaths write as 0/1, 0/2, 0/3 or M/1, M/2, M/3 etc.

This new method of dynamization is denoted by prefixing ‘0', which

representing symbolically the poppy size globules to be used or by capital

letters ‘LM', where ‘L' stand for '50' and ‘M' for ‘Millesimal'.
24
In footnote f to aphorism 270 of the 6th Organon (O'Reilly edition) Hahnemann

suggests the following:

"In earlier instructions, I specified that a whole drop of a liquid in a given potency be

added to 100 drops of wine spirit for higher potentization. But meticulous

experiments have convinced me that this proportion of the dilution medium to the

medicine being dynamized (100:1) is much too narrowly limited to develop the
 30

powers of the medicinal substance properly and to a high degree, by means of a large

number of succussions, unless one uses great force. Whereas if a single globule (100

of which weigh a grain) is used instead of a whole drop of liquid, and this is

dynamised with 100 drops of wine spirit, then the ratio of the medicine becomes

50,000:1, indeed higher than that, because 500 of such globules cannot completely

absorb 1 drop. In this much higher ratio of the dilution medium of the medicine, many

successions of the vial filled to two thirds with wine spirit can bring about a far

greater development of power.

With a ratio of the dilution medium to the medicine as low as 100:1 very many

impacts by means of a powerful machine, as it were, are forced in. as a result,

medicines arise that, especially in the higher degrees of dynamisation, almost

instantaneously but with stormy--- indeed dangerous—intensity, impinge on patients

(especially delicate ones) without bringing about an enduring, gentle counter action of

life principle.

On the other hand, my new method endangers a medicine of the highest

development of power and the gentlest action which, if well chosen, curatively

touches all sick points.

26
The Founder realized that continuing to increase the number of dilutions and

succussions of the centesimal potency did not fill the desired therapeutic lacuna in his

new healing art. He came to see that the 1 to 100 dilution ratio is limited by its smaller

dilution factor so he began to experiment with new larger dilution ratios rather than

raising the C potency to higher and higher degrees. He also noticed that when strong

succussions were used in such a small dilution medium as the centesimal 1 to 100

ratio it makes aggressive medicines prone to quick aggravation and unproductive

secondary curative effects in the long run.

 31

42
"With a ratio of the dilution medium to the medicine as low as 100:1, very many

impacts by means of a powerful machine, as it were, are forced in. As a result,

medicines arise that, especially in the higher degree of dynamization, almost

instantaneously but with stormy - indeed dangerous - intensity, impinge on patients

(especially the delicate ones) without bringing about an enduring, gentle counter-

action of the life-principle."

Once again we see the importance of the balance of the primary action of the

remedy and curative response of the vital force. When too many dilutions and strong

succussions have been forced into the higher centesimal potencies it makes medicines

that are prone to aggressive primary actions and strong aggravations that do not

produce an "enduring gentle counter action of the life principle". Such furious or

prolonged aggravations are to be avoided at all cost as they disrupt the natural

symptom pattern, waste vitality, and complicate the cure. The LM potency, on the

other hand, is given in the smallest liquid dose so it produces a mild primary effect

and a long enduring gentle counter action of the vital principle.

During the period of the 5th Organon (1833) Hahnemann used the unmodified

liquid dose made up each time from 1 or 2 poppy seed size pellets. In aphorism 29 of

the 5th Organon Hahnemann described how the centesimal method works. He wrote

that the similar homoeopathic remedy "pushed into the place of the weaker natural

disease" against which the instinctive vital force was "compelled to direct an

increased amount of energy". The idea of pushing into place and compelling the vital

force to increase its energy against the remedy is based on the phenomena of the

homoeopathic aggravation. The methods of the 4th and 5th Organon are based on a

crisis-like aggravation in contrast to the gentle medicinal solution and the non-

invasive LM method.
 32

28
Hahnemann one of the master pharmacists of his era, came up with a simple and

ingenous solution for increasing the dilution, thus making the remedies ever safer

(especially considering that some were made from poisons) while holding back on the

successions, thus keeping the energy at a gentler level. Instead of successing 10 times

for each1 1n 100 dilution, the LM’s are only successes 100 times for each 1 in 50,000

dilution.

Administered in water (a development of 5th edition as we have seen), the LM’s

became a truly revolutionary tool—within a healing system which was revolutionary

in itself—for healing at a deep level while controlling aggravations. Putting the

remedies in water accomplished several things at once:

1. It enhanced the effectiveness of delivery, since the teaspoon of water could

touch many more nerve endings than a tiny pellet.

2. It allowed a single dose to be spit into many administrations; a single pellet of

potency would be spreadout into entire bottle.

3. Successing the bottle allowed minute upward adjustments of the potency (

finer tuning than the 10 successions between centesimal potencies) in keeping

with Hahnemann’s 6th edition dictum never to give the same potency twice.

4. It thus allowed for highly refined adjustments to respond to aggravations and

to the individual temperament.

29
A summery for Hahnemann’s directions for the use of LM potencies.

1. The remedy must be homoeopathic §246

2. The remedy must be highly potentised i.e. prepared by the LM method §246

3. The remedy must be given in small doses i.e. dissolved in water before

administration to

the patient §246

 33

4. The remedy must be repeated at suitable intervals §246

5. The potency must be altered before each dose i.e. raised by succussion §246 The

solution

is to be succussed 8, 10, 12 times before taking one. or (increasing progressively)

more coffee

or tea-spoons daily or every other day (for chronic cases), 2, 3, 4, or 6 hours for

acutes.

§248

6. Potency must start with the lower degrees (LM 1-6?) and proceed to the higher

levels §246 footnote

7. Even long acting remedies can be repeated §248

8. Dosing is continued while there is steady improvement and the patient does not

experience a symptom he has not had before. §248

9. If a new set of different symptoms are seen, then another more appropriate remedy

must be looked for. §248

10. If an aggravation occurs i.e. an intensification of the original symptoms, at the end

of treatment, then the doses must be reduced in quantity and repeated at longer

intervals, or stopped altogether to see if the symptoms will continue to disappear by

themselves. In which case either no more medicine will be needed or continuation of

the remedy if, after a certain period, symptoms continue. §248

11. No dose of a highly potentised remedy can be too small that it cannot be stronger

than the natural disease, that it cannot at least partially overcome it and that it cannot

start the process of cure. §279

 34

12. If one is sure that the remedy is correct! and there is no improvement then it is

likely that a maintaining cause in the patient's way of life or environment is

influencing his progress.

This must be removed to bring about a permanent cure. §252

13. Aggravations or ameliorations of the psychic conditions and general demeanour of

the Patients are a good indication as to the progress of the remedy. §253

14. If the patient develops some significant new symptoms or symptoms of the

remedy then this is an unfavourable response. §256

15. Do not make favourites of certain remedies as the smaller lesser used remedies

which might be more helpful will be overlooked. §257

16. It is not necessary to give a patient more than one remedy at a time. §273

17. If the remedy is homoeopathically accurate then it becomes increasingly

beneficial as its dose approaches the ideal degree of smallness for gentle action. §277

18. It is only by experiment, experience and observation of the sensitivity of each

patient that can determine the optimum size of dose to give. §278

19. Dosing continues, increasing it progressively, until the patient, while feeling

generally better, begins to manifest one or more of the old, original symptoms. §280

20. Return of old symptoms is a good sign and the medicine is stopped as this is an

indication that no more is needed as the symptoms are of the remedy. To verify this

the remedy is stopped for a week or two. If the symptoms are of the remedy they will

disappear in a few days and no more medicine may be needed. If traces of the

original complaint remain then dosing should be continued from where it was left off.

§281
 35

21. A homoeopathic aggravation i.e. an intensification of the original complaint, at the

beginning of treatment,is a sure sign that the dose (i.e. the quantity of the dissolved

granule) are too large and must be reduced. §282

22. If the smallest doses are given the even if the remedy is inappropriate the harm

done is insignificant and the appropriate remedy quickly puts the case in order. §283

23. Very chronic problems can be speeded up by applying the same solution as that

taken by mouth, externally to the back, thighs and lower legs.

22
It becomes clear that the results of the treatment with the help of medicinal

solutions, which have centesimal potencies not always satisfied S. Hahnemann. It

especially concerned the patients with chronic miasmatic diseases. In some cases low

potencies were unable to stimulate a curative reaction, whereas high potencies

aggravated the patient state. He was interested to find the opportunity to prepare such

homeopathic medications, which could have a profound and at the same time gentle

effect on the patient organism. (4) After making a lot of attempts in 1840, he created a

new dilution system called LM-potency. He considered this system to be the most

perfect method for quick, gentle and final recovery (7).

LM-potencies have some peculiar features. Notwithstanding the amount of a

dissolvent there are always molecules of a dissolved substance present in the solution

and the dissolving level cannot reach CH12 potency. The molecules present in the

solution are carriers of electromagnetic (information) waves with parameters

characteristic for them.

As a matter of fact LM-potencies correspond to low (decimal and initial

centesimal) Homeopathic dilutions and have a graduated succession beginning with

LM1, LM2, LM3 and up to LM30. These dilutions differ in the quantity of dissolved
 36

substance molecules per one unit of a dissolvent; it leads to the decrease of

electromagnetic wave voltage and, therefore, reduces the information potency of a

medication.

Information power and, therefore, a gentle effect on the organism. It gives a slow,

without homeopathic exacerbation, recovering.

Preparation of 50 millesimal scale

8
one milliliter (0.1 ml) of the first fifty millesimal attenuation (1LM) represents

4.0*10-9g of dry crude medicinal substance. One milliliter (1.0 ml) of the second fifty

millesimal attenuation (2LM) represents 8.0*10-4g of dry crude medicinal substance.

method of manufacture:

1. For solid substances, proceed according to the centisimal scale to the 3C

trituration. Initially, for liquid substances, impregnate the lactose in a

proportion of 1 to 100 beginning with the liquid substance. The second and

third triturations are carried out in the same way as when starting with solid

products. 

2. Take 0.062g of the 3c trituration, add 500 drops of a mixture composed of 1

part 95%v/v alcohol and 4 parts distilled water. 

3. Add 1 drop from the result of step 2 to 2.0 ml. of 95%v/v alcohol succus. The

result is 1LM. 

4. Pour 1 drop of 1LM on 0.575g. #10 pellets (500 #10 pellets). Take 1 pellet and

add to 2.0 ml. of 95% v/v alcohol. Succus. The result is 2LM. 

5. Pour 1 drop of the 2LM on 0.575g. >#10 pellets (500#10 pellets). Take 1

pellet and add 2.0ml. of 95% v/v alcohol. Succus. The result is 3LM. 

6. Repeat the step 5 until the 30LM is obtained. 

 37

27
In this scale the first potency should contain 1/50,000 the part of original drug,

the second potency will contain 1/50,000 the part of first potency and so on. Potency

in this scale is denoted by 0/1,0/2,0/3,0/4,0/5 etc.

As in this scale the proportion of medicine to alcohol will be 1/50,000

(1/5000*100), so this scale of potency is called as fifty millesimal scale.

Triturate the crude drug substance in the usual manner with the milk sugar in the

proportion of 100 mg. of dry drug substance or 0.01 ml. of liquid drug substance with

10 gm. Of milk sugar. Triturate the first potency thus prepared again in the usual

manner, taking 100 mg of the first potency with 10 gm of milk sugar; next triturate

the second potency thus obtained with the same proportion and manner to prepare the

subsequent third potency.

To prepare a solution of the third potency by mixing 100 mg of the third potency

with 50 ml of a mixture of purified and dispensing alcohol. This mixture is prepared

by adding one part of dispensing alcohol to four parts of purified water. To make the

solution properly, firstly dissolving 100 mg of the third potency, in 40 ml of purified

water and then add 10 ml of dispensing alcohol; call it the mother solution.

Pour one part of this mother solution to 100 parts of dispensing alcohol, and

give100 strong successions. This makes the first fifty millesimal potency, denoted as

0/1.

For the preparations of each subsequent potency, take few globules of nearly

uniform size, 100 globules of which will weigh 65 mg., then pour a drop of the

preceeding potency upon these globules and dry them, take one globule and dissolve

it in a drop of purified water in a new clean phial, add 100 drops of dispensing alcohol

to it and give 100 strong successions. The needed potency is now ready.
 38

19
The preparation of remedies (aph 264—272). Here Hahnemann expounds his

absolutely new theory for preparation of the 50 millesimals as well as the technique of

their application. I had, in fact, already read years ago in the BJH, an article on the

“plus method”. I had even applied it… and it had been a dead failure. Since then none

of our papers have ever mentioned it. It showed, however, how important it was to

have the Organon translated, as no one had ever applied the method in the proper

way. Even today, I occasionally read in homoeopathic journals about cures affected

by 50 millesimals in globules. This is positive proof that the prescribers of such doses

have not understood the new method at all, as the remedy ought to be administered in

liquid form only (271).

29
we should prepare three successive tribulations (i.e., 1st, 2nd and 3rd trituration) from

the original substance (or mother substance). The ratio of each will be 1:100.

Take one grain from 3rd trituration and dissolve it (by necessary shaking) in 500 drops

of a solution having 100 drops of alcohol and 400 drops of distilled water. This is the

4th stratum. We call this stage, ‘the mother potency of the new method’. The ratio is

1:500. One drop from this 4th stage is to be mixed with 100 drops of alcohol. This is

to be successes 100 times. This is the first potency (or M/1, or 0/1, or LM/1, etc) of

the new method. Proportion is 1:50,000.

With one drop of this first potency (ie., LM/1) 500 globules (of which 100 weigh

one grain, ie., No-10 globules) are to be soaked. Then put one such medicated in a one

drachm vial and put 100 drops of alcohol in the vial and success it 100 times. This is

the second potency (ie., LM/2) of the new method. The ratio is 1/50,000 or more. In

this way the dilution may be raised from LM/3 to LM/30 or as needed.
33
In this new process of potentisation or dynamisation six steps are to be crossed

from original substance to LM/2.

 39

1st: original substance—1 drop (1 grain)+ 100 grains of sugar of milk+1 hour

trituration by grinding, pounding,scraping etc.

This is first trituration= 1/100

2nd: 1st trituration 1gr+100gr. Sugar of milk+1 hour trituration= 2nd trituration

= 1/100 *1/100 =1/10,000

3rd: 2nd trituration 1gr +100gr. Sugar of milk + 1hour trituration= 3rd trituration

= 1/10,000 * 1/100 = 1/10, 00,000

4th: 3rd trituration 1gr. +500 drops of the solution (100 drops alcohol and 400 drops

distilled water).

= 1/10,00,000 * 1/500 = 1/50,00,00,000

We call it mother power of new potency.

5th: 1 drop of the 4th solution + 100 drops of alcohol + 100 succussions = LM/1, the 1st

potency

= 1/50,00,00,000 *1/100 = 1/50,00,00,00,000

6th: one No-10 globule soaked with LM/1+ 1 drop of distilled water+100 drops of

alcohol+100 successions= 2nd potency or LM/2

= 1/50,00,00,00,000 * 1/50,000 = 1/ 2,50,00,00,00,00,00,000

In this way, LM/3 onwards will have to be prepared and potentised.

20
In aph 270—in order to best obtain this development of power, a small part of the

substance to be dynamized, say one grain, is triturated for three hours with three times

one hundred grains of sugar of milk according to the method described below, upto

one millionth part in powder form. For reasons given below one grain of powder is

dissolved in 500 drops of a mixture of one part of alcohol and 4 parts of distilled

water, ( this is the LM/0) of which one drop is put in a vial. To this are added 100

drops of pure alcohol and given hundred strong successions with the hand against a
 40

hard but elastic body. This is the medicine in the first degree of dynamisation (LM/1)

with which small sugar globules may be moistened and quickly spread on bloating

paper to dry and kept in a well corked vial with the sign of (LM/1) degree of potency.

Only one globule of this is taken for further dynamisation, put in a second new vial (

with a drop of water in order to dissolve it) and then with 100 drops of good alcohol

and dynamized in the same way with 100 powerful successions.

With this alcoholic medicinal fluid globules are again moistened, spread upon

blotting paper and dried quickly, put into a well stoppered vial and protected from

heat and sunlight and given the sign (II) (LM2) of the second potency. And in this

way the process is continued until the twenty ninth (LM/29) is reached. Then with

100 drops of alcohol by means of 100 successions, an alcoholic medicinal fluid is

formed with which the thirtieth dynamisation degree (LM/30) is given to properly

moistened and dried sugar globules.

By means of this manipulation of crude drugs are produced preparations which

only in this way reach the full capacity to forcibly influence the suffering parts of the

sick organism. In this way, by means of a similar artificial morbid affection, the

influence of the natural disease on the life principle present within is neutralized. By

means of this mechanical procedure, provided it is carried out regularly according to

the above teaching, a change is effected in the given drug, which in its crude shows

itself only as material, as times as unmedicinal material but by means of such higher

and higher dynamisation, it is changed and subtilized as last into spirit like medicinal

power, which, indeed, in itself does not fall within our senses but for which the

medicinally prepared globule, dry, but more so when dissolved in water, become the

carrier, and in this condition, manifests the healing power of this invisible force in the

sick body.
 41

30
finally some homoeopaths are using potencies based on serial dilutions of

1/50,000 at each level. These are called 50 millesimal potencies, but common

parlance refers to them simply as millesimals. This unusual dilution factor was

suggested by Hahnemann late in his life, based on preliminary experimentations with

different degrees of dilution and succession. For eg, a 1m potency is a dilution of

1/50,000 and a 3m potency represents a dilution of 1/125,000,000,000,000 (1/50,000

* 1/50,000 * 1/50,000).
10
In the year 1840, the preparation of potencies was modified again and the 50

millesimal scale of preparing the potencies was evolved about 3-4 years before the

death of Hahnemann.

For preparing 50 millesimal scale potencies 3c of the centesimal scale is taken as the

mother tincture for next higher potency. In one drop of this mother tincture add 500

drops of dilutent containing alcohol and water in the proportion of 1:4 are added.

Hence the strength of the mother tincture is 1/500,000,000 ie., 50 millesimal potency.

In preparing further potencies poppy sized globules saturated and dried are used to

prepare higher potencies. Dissolve one globule of first millesimal potency in 100

minims of 90% alcohol and give 100 successions. Add one minim of this solution to

500 globules of sugar of milk and dry them off on a blotting paper. These globules

form the second 50 millesimal potency written as 0/2. Thus each time a globule is

taken for the preparation of the next higher potency. The preparation thus made were

called medicament la globule.

32
Material part of new dynamisation medicines:

1. The material part of the medicine is lessened with each degree of

dynamisation 50,000 times and yet incredibly increased in power, so that the

further dynamisation of 125 and 18 ciphers reaches only the 3rd degree of
 42

dynamisation (3rd potency = 125,000000000000000000). The 30th , thus

progressively prepared, would give a fraction almost impossible to be

expressed in numbers.

2. Trituration 1st degree contains: medicinal substance.

3. New dynamisation mother solution contains:

1/106 *1/500 = 1/106 *1/5* 102 = 1/5* 108

4. 1st degree contains: 1/5*108 *1/100 = 1/5* 108 *1/102 = 1/5* 1010

5. All subsequent potencies are expressible in terms of: 1/50,000= 1/5*10,000 =

1/5* 104

6. 3rd degree contains: 1/5*1010 *[1/5*104]2 = 1/5*1010 *1/52*108 = 1/53*1018

= 1/125* 1018 = 125 and 18 ciphers.

7.30th degree contains: 1/10*1010 *[1/5*104]29

1/5*1010 * 1/529*10116 = 1/530*10126

28
3c—triturate 1 part of 2c in 99 parts of lactose.

LM1---- take 1 grain (0.062 grams) of 3c and add 500 drops of mixture composed of

1 part of alcohol and 4 parts of distilled water (ie., 100 drops of alcohol and 400 drops

of water). Take one drop and put it in 2ml of alcohol, success 100 times. Now you

have LM1 stock bottle. Pour 1 drop from LM1 stock bottle onto 500 poppy seed

pellets (#10 pellets). These are our LM1 pellets, which you will use to make your

patient’s remedy bottle.

 43

LM2--- take one pellet of LM1 and dissolve in one drop of water. Add 99 drops of

alcohol.succuss 100 times. Now you have LM2 stock bottle. Pour 1 drop from your

LM2 stock bottle onto 500 #10 pellets. These are your LM2 pellets.

LM3--- take 1 pellet of LM2 and dissolve in one drop of water. Add 99 drops of

alcohol. Success 100 times. Now you have the LM3 stock bottle. Pour 1 drop from

your LM3 stock bottle onto 500 #10 pellets. These are your LM3 pellets.

The tedious part is of this process is making LM1. Practitioners usually purchase an

LM1 kit and make the LM2, LM3 etc. By hand as patients need them. Making the

higher LM’s only takes a few minutes to make enough to last for years. If your 500

pellets run out you just use a drop from the appropriate LM stock bottle to impregnate

another 500 pellets.

29
The final development to create a more highly dynamised remedy was the change

of the dilution factor from 1:100 to 1:50,000. The 3c trituration powder (details of the

preparation of this are in §270) is the starting point for the preparation of the LM scale

because all remedies are soluble in water at this point; so any remedy can be utilised

even the insoluble materials such as Carbo Veg, Aurum etc. A grain in weight

(0.06gm) of this powder is dissolved in 500 drops (30ml) of 20% alcohol making a

1:500 dilution of the 0.06gm of 3c, and one drop of this solution is then further diluted

in 99 drops of 95% alcohol, filling two thirds of a glass vial, giving a (1 in 500 x 100

= 50,000) solution of the 3c powder. This tube is then succussed 100 times against a

firm but elastic object (the famous leather bound bible) to create the LM 1 medicating

liquid.
1
Hahnemann's comments on this new method are found in the 6th Edition §270" ....

Meticulous experiments have convinced me that this ratio (1:100) between the
 44

quantity of diluent and that of the medicine being dynamized is far too low to develop

the medicinal substance properly and to a high degree with a large number of

succussions unless force is used. .....Whereas in this much higher ratio (1:50,000),

between diluent and medicinal substance, a large number of succussions of the vial

filled two-thirds with wine spirit can bring about a far greater development of

power."
27
The LM 1 liquid is then poured onto some poppy-seed granules of which a hundred

weigh 1 grain (0.06gm). Although this size is larger than those granules advocated in

Chronic Diseases (200 to a grain) they are still so small that one drop of the alcoholic

LM 1 liquid

Can completely wet at least 500 of them. Thus just one granule absorbs at least a

500th of a drop. When this granule is dissolved in a drop of water, and 99 drops of

alcohol are added to it, the next LM 2 solution contains a 1/500th x 100 = 1/50,000th

of the previous LM 1 liquid. The LM 2 liquid is then succussed 100 times also. The

process is continued in this way simply using the granule as the intermediary to

transfer a 500th of a drop instead of the direct addition of a whole drop as is the case

with the centessimal 1:100 ratio. Hahnemann's practical simplicity is masterful as the

small granules not only provide a tiny, manageable dose, for using with patients, but

also the smallest practical unit to effect such large dilution ratio. One could

theoretically dilute with one drop to 50,000 drops (100 drops of 95% alcohol =

3.6mls) but the bottle to be succussed 100 times would then contain 1.75 litres of

alcohol. Not an economic or practical size for the average human being to work with!

Although the nature of the 1:50,000 potency created is different from that created by a

1;100 ratio (... my new method produces medicines of the highest power and the

mildest action ...§270) it is interesting to note the theoretical relationship with the
 45

centessimal scale. Each step of 1:50,000 is a rise of approximately 2.5C so that

considering we started with a 3C a LM1 is just over 5C, LM 6 = 17C, LM 12 = 31C,

LM 30 = 73C (all approximate figures) So the granules are wetted with the solution

and left to dry after which they are bottled and labelled with the appropriate

nomenclature e.g. LM 1, LM 2 or LM 0/1, LM 0/2 etc. The zero signifying the

granule, the form in which the final medicine is stored.

Now we have this highly dynamized remedy our criteria for how to use them are

different from those of the centesimal scale. Obviously the indicated similar remedy is

still chosen on the same principles as before but choice of potency, up to now our

main variable factor for controlling the response to the remedy, is not such as issue

when using the LM's.

Hahnemann's recommendation is to always start with the lowest degrees (§246)

Although not specifically mentioned, this suggests always starting with LM 1, but is

often interpreted, by experienced users of LM's, as between LM 1 and LM 6. The

choice is based on the Health/vitality level, degree of pathology, suppression,

sensitivity etc. and provides a variable on which we can individualize.

With the dissolving in liquid, and subsequent shaking of the bottle before each dose,

the potency is gradually raised, expanded, and intensified to continually stimulate the

vital force at regular intervals. The next potency level is given when the bottle of the

previous potency is finished. No leaps in potency are recommended (§246) and if one

starts with LM1, for example, then LM 2 follows and so on. Unless we dissolve a

granule directly in 1.75 litres of water we will never actually reach the next LM level

but simply continue towards the potency level determined by the dilution factor.

After we have chosen the appropriate remedy to give in LM form, the first choice,

after the potency, is how much of the granule is the patient to take i.e. the dose, how
 46

often it is to be repeated and for how many days they to be on that particular potency

are. These are the areas where the difficulties of the LM's lie and, as Hahnemann tells

us in §278, theorizing is not enough to tell us what the ideal degree of smallness of the

dose is to effect a gentle cure, and that "Only pure experiment, the meticulous

observation of the sensitivity of each patient, and sound experience can determine this

in each individual case".

Control of the dosage is very similar to the centessimal 'plussing' technique but using

the LM granule, instead of a 30c, dissolved in liquid. The directions for making up the

solutions for patient use are defined quite clearly in the 6th edition §248 footnote. He

states that one rarely needs more than one granule although two or three can

obviously be used if a stronger solution is required. The granule is dissolved in forty,

thirty, twenty, fifteen or eight tablespoons of water with the addition of a little alcohol

to preserve it; 10% is a good guide for solutions designed to last up to two months.

The patient takes directly from the 'stock' bottle" one or, increasing progressively,

more coffee or teaspoons of this as follows: in chronic diseases, daily or every other

day; in acute diseases every six, four, three or two hours...."

Eight, ten, or twelve succussions are given to the bottle before each dose. Again we

have here a variable which we can use to regulate individual needs if required, twelve

shakes giving a slightly sharper daily rise in potency than eight. Also note the

wording 'one or increasing progressively more teaspoons' which, if appropriate to the

case, can speed up cure by giving increased stimulus from the larger dose as well as

taking the patient through the higher potencies more rapidly.

To help us decide how much liquid to make up let us look at the appropriate dosages

for each of Hahnemann's suggestions.

 47

A tablespoon is considered a 20ml measure, a teaspoon 5ml, and a coffee-spoonful

2.5ml,

so a granule dissolved in :- 40 tablespoons = 800ml = 1/800th granule/ml so a 5ml

dose contains a 1/160th of a granule. (160 days supply)

30 tablespoons = 600ml = 1/120th of a granule per 5ml dose (120 days supply)

20 tablespoons = 400ml = 1/80th of a granule per 5ml dose (80 days supply)

15 tablespoons = 300ml = 1/60th of a granule per 5ml dose (60 days supply)

8 tablespoons = 160ml = 1/32th of a granule per 5ml dose (32 days supply)

A coffee spoonful will represent a dosage twice as small as the above i.e. 40

tablespoons =

1/320th of a granule per 2.5ml dose.

31
Preparation of 1st potency (0/1): one drop of above mentioned mother tincture is put

in a suitable vial of neutral glass and 100 drops of pure alcohol are added so that the

vial is filled 2/3rd full. This is to be successed 100 times by hand against a hard but

elastic body. This is the first degree of dynamisation of first potency (M/1 or 0/1 or

LM/1 potency). The drug strength will be:

1/5*108 *1/100 = 1/5*1/1010 =1/5*10x

=1/5*5C [1/1010 =10x;10x = 5c]

Conversion in form of globules --- the small poppy sized globules (100 weighing 1

grain) are moistened with it and spread quickly on a piece of blotting paper to dry it.

Then they are kept in a well corked glass phial protected from heat and sunlight with

mark 0/1 on it. It is found that 500 standard globules of poppy seed sized can hardly

absorb one drop of alcohol for their saturation.

Preparation of 2nd potency (0/2): only one globule of the first potency is put in a

second new glass phial and one drop of purified water is added to dissolve it. To it
 48

100 drops of pure alcohol (95%) is added and dynamised with 100 powerful

successions as before.

Conversion in form of globules—with this alcoholic fluid globules are again

moistened, spread upon blotting paper and dried quickly. These are put into well

stoppered phial and protected from heat and sunlight giving the sign (0/2) of the 2nd

potency.

Preparation of next higher potencies—the above mentioned process is repeated with

one globule of previous potency to increase it to next potency. Th process is

continued up to thirtieth potency and each potency contains 1/50,000 part of previous

potency.
 49

42
Diagramatic representation of LM scale preparation:
34
Robin Murphy: the LMs are classically described as 1 to 50,000 dilution, which is

not really true. Basically all LMs are made from 3c potencies. You take one drop or

one pellet of 3c and you put that in 500 drops. And in those 500 drops, you have 400

drops of water and 100 drops of alcohol. You succus that and that becomes your LM0

or LM mother tincture. From that you take one drop and put it in 100 drops (this is

where people make the mistake when they start fooling around with the LMs--- they
 50

think its 1 to 500 each time. Its only 1 to 500 from 3c to LM0. That’s the only time

you do that. Then its 1 to 100). Then you success it and that becomes LM1.You take 1

drop of that, put it in another 100 drops and success it and the becomes LM2.
 51

35
How to make an LM potency from 3C trituration:

1. 1 grain of 3C potency diluted in 500 drops ( 100 drops alcohol and 400 drops

water) = LM/0

2. 1 drop of LM/0 +100 drops of alcohol +100 successions = LM/1 potency 1

drop of LM/1 is put on 500 granules of milk sugar (#10 pellets)

3. 1 granule of LM/1 is dissolved in one drop of water +100 drops of alcohol

+100 successions = LM/2 potency 1 drop of LM/2 is put on 500 granules of

milk sugar (#10 pellets)

4. 1 granule of LM/2 dissolved in one drop of water +100 drops of alcohol +100

successions = LM/3 potency (continue this process upto the LM/30 potency)

16
pharmaceutical standardising: at the end of the 80,s decade, the approximately

ten homoeopathic pharmacies in the city of sao Paulo had available irregular yellowy

inert microglobules and medications in the 50 millesimal scale, of Mexican origin.

The medications had been distributed in the 7 and 31 LM potencies and the

pharmacies dispenced the 8 and 32 LM potencies. Thus it went on for some time,

until the following potencies were prepared, namely, the 9,10,11,e a 33,34,35 and so

forth. Doctors to begin with prescribed the 8 LM and after the 32 LM. As time

elapsed they began prescribing 8 to 9, to 10LM etc, and when there were no more

potencies ready available, they went on to the 32, to 33 to 34LM. To more readily

meet this demand, some pharmaceuticals started changing the intermediates that they

had dynamized. New inert microglobules of argentine origin appeared in the market,

however, their weight was above that standardized by Hahnemann and of irregular

shape. That was the LM medications existent situation in our inventory when a group

of doctors, coordinated by Dr. Ubiratan Adler, contacted our pharmacy asking if they

were in a position to prepare medications, considering that they had already studied
 52

the 6th edition in detail and continued having aggravation of illness problems with

their patients. We then became conscientious of the importance of the standardized

globule for the dynamics of the fifty millesimal and of the quality control of the

ground raw materials. We then began to recreate our inventory, from the mineral

origin antiserum relying on the help of chemical engineer Antonio Sacco Neto. We

soon realised that other stages of the preparation also required to be standardised; the

grinding had to be performed with strength, however not so intense as to not allow for

the scraping to be effected in form 3 to 4 minutes; the manual successions would have

to be performed with strong, ample and rhythmic movements.

The standardising of the globules demanded a lot of work. We learned that minor

humidity, temperature, granulation of the sugar, and other variations, alter the size,

weight and aspect of globules. We managed that a cellulose derivative used as an

aggregative by the producer be removed, in order that the globules would come to

only contain saccharine and starch, as documented by Hahnemann.

As we did not have fresh vegetables to be ground available, we opted on purchasing

them from Nelson an English pharmacy, influenced by the citation found in pathel.

We received various medications in the LM1 potency and we went ahead with the

dynamisation of these pills, work done by the pharmacist ilza Marcia Anelli.

Some years later we became acquainted with german researcher, peter barthel, who at

that time performaed grinding of fresh materials, from their natural habitat. We

accompanied barthel on his trips to brazil looking for plants to be ground and were

able to observe the quality in the preparation of freshly collected material, which led

us to opt for this method of grinding product from fresh plants.

 53

METHODS OF PRESCRIBING:
3
Dr Hahnemann: explained in aph 272 about the way of administering the scale

he says, “Such a globule placed dry upon the tongue, is one of the smallest doses for a

moderate recent case of illness. Here but few nerves are touched by medicine. a

similar globule, crushed with some sugar of milk and dissolved in a good deal of

water and stir well before every administration will produce a far more powerful

medicine for the use of several days. Every dose no matter how minute touches on the

contrary, many nerves”.

1. DRY: how many globules? One

Where must the globules be placed? On the tongue.

In this way one of the smallest dose is prescribed.

In which kind of disease this dry method used? In recent moderate diseases.

What other qualities does dry administering have? The medicine will touch few

nerves

Hahnemann gives a relavant importance to the nervous system in the process of health

and disease.

2. IN WATER: the second way of prescribing the medicine is in water. This way of

prescribing includes three steps:

2.1 one globule is taken and triturated with sugar of milk: one or two of these small

globules are placed on a paper with 2 or 18 centigrams of sugar of milk. These

globules are then crushed with a spatula or with the thumb.

2.2 then the mixture is dissolved in water.

37
prescribing the medicine in acute diseases: aph- 248… in acute diseases every

two to six hours and in very urgent cases every hour or oftener… only those who have

not thoroughly read this aphorism may be alarmed with this instruction in acute
 54

diseases. In case of heart attack, anaphylactic shock, intoxications for instance, the

medicine mus be given every 30 minutes, 5 minutes or with the necessary frequency;

without forgetting to modify the dynamisation degree every time.

prescribing the medicine in chronic disease: aph- 248… we give the patientone or (

increasingly) several teaspoon doses, in long lasting diseases daily or every second

day…

In the paragraph 248 there is a detailed procedure of administering a medicine

in LM potency for chronic diseases, let us analyse it by parts.

1. Give to the patient, one or increasingly several teaspoonful doses: note that it

is stated one or increasingly several teaspoonfuls, ( prescribed in some time).

The dose is of 5cc which a teaspoonful contains.

2. Daily or every second day: it may be given daily, at night, one hour after the

last meal, and then staying awake for one hour according to Hahnemann’s

instructions. Or the medicine might be given on every second day, twice a

week, once a week, as required.

3. May be repeated daily for months with ever increasing success: again the

instruction to prescribe the medicine even for months, if the individual case

thus requires it. Note: with ever increasing success. This instruction preceeds a

statement by Hahnemann... every correctly chosen homoeopathic medicine,

even those whose action is of long duration, may be repeated daily for months

with ever increasing success...

It might be thought that only short acting medicines can be repeated daily,

precisely due to their short action, but I think that the given explanation does not

need any additional commentary.

 55

Advantages and superiority of new dynamisation over centisimal

scale:
32
1.With the disproportionate higher ratio between medicine and diluting medium,

(1:50,000) many successive strokes of the vial filled two thirds with alcohol can

produce a much greater development of power. But with so small a diluting medium

as 100 to 1 of the medicine, if any successions by means of a powerful machine are

forced into it, medicines are then developed which especially in the higher degrees of

dynamisation, act almost immediately, but with furious, even dangerous, violence,

especially in weakly patients, without having lasting, mild reaction of the vital

principle. ---FN 155 to sec 270.

2. The new method described by me (new dynamisation) on the contrary,

produces medicines of highest development of power and mildest action, which,

however, if well chosen, touches all suffering parts curatively--- FN.155 to

sec.270.

3.In acute fevers, the small doses of the lowest dynamistion degrees of these thus

perfected medicinal preparations, even of medicines of long continued action (for

instance Belladonna) may be repeated in short intervals. In treatment of chronic

diseases, it is best to begin with lowest degrees of dynamisation and when

necessary advance to higher, ever more powerful but mildly acting degrees--- FN

155 to sec 270.

4.In a very rare cases, not withstanding almost full recovery of health and with

good vital strength, an old annoying local trouble continuing undisturbed, it is

wholly permitted and even indispensably necessary, to administer in inceasing

doses the homoeopathic remedy that has proved itself efficacious but potentised to
 56

a very high degree by means of many successions by hand. Such a local disease

will often disappear in a wonderful way- Asterisk (*) note to FN 155 to sec 270.

5.It is the most perfected method of potentisation what I (Hahnemann) have found

after many laborious experiments and counter experiments, to be the most

powerful and at the same time mildest in action.—FN 156 to sec 270.

6.Material part of medicine is lessened with each degree of dynamisation 50,000

times and yet incredibly increased in power.—FN 156 to sec 270

7.By this process of dynamisation, true inner medicinal essence is developed. ---

FN 156 to sec 270.

8.The material part by means of this dynamisation dissolves into its individual

spirit like (conceptual) essence. In its crude state therefore, it may be considered

to consist really only of this undeveloped conceptual essence. ---FN 156 to sec

270.

9. By means of this potentisation, the crude drugs reach the full capacity to

forcibly influence the suffering parts of the sick organism.—aph 270.

10. By means of such higher and higher dynamisation, crude medicine is changed

and subtilised at last into spirit like medicinal power, which indeed in itself

does not fall within our senses but for which the medicinally prepared globule,

dry, but more so when dissolved in water, becomes the carrier, and in this

condition, manifests the healing power of this invisible force in the sick body.-

-- aph 270.

11.During the last four or five years, however, all these difficulties are wholly

solved by my new altered but perfected method. The same carefully selected

medicine may now be given daily and for months, if necessary in this way,

namely, after the lower degree of potency has been used for one or two weeks
 57

in the treatment of chronic diseases, advance is made in the same way to

higher degrees, (beginning according to the new dynamisation method,

thought herewith with the use of the lowest degrees).---FN 132 to sec 246.

12.Though modification of every dose in its dynamisation degree there exists no

offense, even of the doses be repeated more frequently, even if the medicine be

ever so highly potentised with ever so many successions. It almost seems as if the

best- selected homoeopathic remedy could be extract the morbid disorder from the

vital force and in chronic diseases to extinguish the same only if applied in several

different forms.—FN 133 to sec 247.

39
The 50 millesimal scale of potencies differ from the centesimal scale in the

following ways:

1. The mother tincture in the centesimal scale is a drop of the drug or one grain

in weight according to liquid or solid form of drug taken for potentisation.

Whereas the mother tincture in the 50 millesimal scale of potencies in the

solution of 1 grain of 3c of the medicine in 500 drops of dilutent containing

alcohol and water in the proportion of 1:4. Hence the strength of the mother

tincture is 1/500,00,00,00 ie, millesimal potency.

2. In preparing further potencies in the centesimal scale a drop of previous

potency mixed with 99 drops of pure alcohol to keep the ratio 100:1. Hence it

is called the drop method of preparing potencies, whereas in preparing 50

millesimal scale of potencies poppy seed sized globules saturated and dried

are used to prepare further potencies. Hence it is called globule method of

preparing the 50 millesimal scale potencies, “as one globule represents 1/500th

of a drop of the centesimal dilution, we arrive at 500*100= 50,000.”

 58

3. In preparing the centesimal scale potencies only 10 strong strokes or

successions are given. Whereas in preparing 50 millesimal potencies 100

strong strokes or successions are given.

4. Many glass methods ie, for each potency a fresh bottle and fresh stopper is

taken and succession is carried out in 50 millesimal scale while in centisimal

scale after 30 or 200 potency usually single glass method is followed.

40
In earlier instructions, I specified that a whole drop of a liquid in a given

potency be added to 100 drops of wine

Importance of 50 milesimals:
41
Hahnemann had no other alternative but to revise his Organon, fifth edition mainly

for the following reasons:

1. To hasten the process of cure. Gentle and rapid ‘ideal of cure’ is not possible

by medicine of centisimal scale or it takes a long time in many cases.

2. To avoid medicinal aggravation. The undesirable medicinal aggravation

comes even after the well selected medicine is applied especially in weak

patients, regarding which Hahnemann stated, “.....furious, even dangerous,

violence.”

3. Even single dose of high potency continues to act for a long time.

4. Repetition of doses is not possible even if there are remanant of symptoms of

disease in consequence of which the patient suffers for a long time.

5. The problems of application of doses and potencies still create chaos and

confusion throughout the homoeopathic world.

6. If the selection of medicine is wrong, then after application of high potency of

centesimal scale the disease condition becomes more worse.

 59

7. So, “the highest ideal of cure” according to aphorism 2 of the Organon could

not be properly materialized with centesimal potency.

33
important hints regarding the appropriate appliance of Q- potencies:

let me finally point to a couple of hints concerning the choice of potency and dosage.

Given the precise indications supplied by Hahnemann himself, I shall limit myself to

extensive quotations. The first issue is the one of the choice of potency. We should

start treatment with the lowest possible degrees of Q—potencies, for instance Q1, Q1

or Q3 ( annotation 132 to aph 246). Moreover, as regards the question of dosage and

repetition, he asks (…) how small must be the dose of each individual medicine,

homeopathically selected for a case of disease, to effect the best cure? Hahnemann

claims that this is not the work of theoretical speculation. Rather, pure experiment,

careful observation of the sensitiveness of each patient, and accurate experience can

alone determine this in each individual case (aph 278). More specifically we potentize

a new the medicinal solution (with perhaps 8, 10,12 successions) from which we give

the patient one or several teaspoonful doses, in long lasting diseases daily or every

second day, in acute diseases every two to six hours and in very urgent cases every

hour of oftener. Thus in chronic diseases, every correctly chosen homoeopathic

medicine may be repeated daily for months with ever increasing success. If the

solution is used up it is necessary to add to the next solution of the same medicine if

still indicated one or several pellets of a higher potency with which we continue so

long as the patient experiences continued improvement without encountering one or

another complaint that he never had before in his life.

For if this happens, if the balance of the disease appears in a group of altered

symptoms then another, one more homeopathically related medicine must be chosen

in place of the last and administered in the same repeated doses (aph 248).
 60

METHODOLOGY

“The purest and highest method of applying the

great treatment to humanity – the law of

similaris”

Dr. E.A. Farrington

 61

METHODOLOGY:

Study consists of 60 different cases who attended DR.B.D.Jatti homoeopathic medical

college and hospital and its rural OPD cases selected on the basis of inclusion and

exclusion criteria. In this 30 cases are treated with centisimal scale potency is

considered and 30 cases treated with LM scale potency is considered.

INCLUSION CRITERIA:

Patients of age group ranging from 20 to 45 yrs of all socio economic status will be

considered. Patients will be selected on the basis of inclusion criteria, history and

clinical findings. Detailed case history as per Proforma will be taken.

EXCLUSION CRITERIA:

1. Cases with complication and pathological changes.

2. Old age people and pediatric cases.

Result of treatment:

The result of treatment was interpreted of those cases, whose follow up was

obtained till the end of the study.

The following criteria’s were fixed to know the results of treatment, depending

upon the type of response from different subjects.

i. Recovered:

Feeling of mental and physical well being and no recurrence of the complaints for a

period of 6 months.

ii. Improved:
 62

Feeling of mental and physical well being along with disappearance of the

complaints and occasional recurrence of symptoms within 6 months.

iii. Not improved:

No response or just improved but not reduction in the frequency of attacks of

complaints, after treating within period of time

 63

RESULTS
 64

Table No‐1 

Results of Treatment of cases treated with centesimal scale potency 

       

S. No.  Results  No. of Cases  Percentage 

1.  Recovered  11  36.67% 

2.  Improved  10  33.33% 

           3.  Not improved  09  30% 

In this study out of 30 cases treated with centisimal scale potency 11 (36.67%) of

cases recovered, 10 cases (33.33%) were improved and 09 cases (30%) cases not

improved
 65

Table No‐2 

Results of Treatment of cases treated with LM scale potency: 

       

S. No.  Results  No. of Cases  Percentage 

1.  Recovered  11  36.67% 

2.  Improved  11  36.67% 

           3.  Not improved  08  26.66% 

In this study out of 30 cases treated with LM scale potency 11 cases were recovered (

36.67%), 11 cases (36.67%) were improved and 08 cases (26.66%) cases were not

improved
 66

Table 3

Different cases treated with centisimal scale potency and LM scale potencies:

Sl. No Cases Percentage

1. Headache 23%

2. Skin complaints 20%

3. arthritis 10%

Haemorrhoids 07%

5. Respiratory complaints 10%

6. Gastritis 10%

7. Fever 20%
 67

Table 4

Time duration taken for treating acute cases in centisimal scale potency:

Sl.no Cases No of days

1 Fever 5

2 Coryza 3.5

3 Headache 2

4. Acute gastritis 4

5. Haemorrhoids 12
 68

Table 5

Time duration taken for treating acute cases in LM scale potency:

Sl.no Cases No of days

1 Fever 3

2 Coryza 2

3 Headache 1.5

4. Acute gastritis 2

5 Haemorrhoids 8
 69

Table 6

Time duration taken for treating chronic cases in centisimal scale potency:

Sl.no Cases No of days

1 Arthritis 160

2 Chronic gastritis 80

3 Psoriasis 200

4 Hemorrhoids 60

5 Bronchitis 75
 70

Table 7

Time duration taken for treating chronic cases in LM scale potency:

Sl.no Cases No of days

1 Arthritis 120

2 Chronic gastritis 60

3 Psoriasis 160

4 Hemorrhoids 45

5 Bronchitis 60

.
 71

DISCUSSION
 72

Discussion:

This study was aimed at managing the cases belonging to both acute and chronic with

L.M.potencies, and the approach followed in the treatment and selection of the

potency was on accordance to homoeopathic principles. The Study was tried to

rationalize the efficacy of the L.M. Potencies as compared to C.M. potencies.

It has helped to analyze that the L.M. potencies were more suitable to bring about the

recovery at the earliest. The approach usually is to begin with decimal, centesimal and

later on to step in to L.M potencies.

The finding from this study substantiates and agrees that the L.M. potencies were

more effective in bringing about the recovery within a shortest span of duration as

compared to the C.M. potencies (200, 1m).

Selection of cases:

The cases selected for the study work were both acute and chronic cases, that

frequented in OPD and hence to common cases are coryza, skin complaints,

osteoarthritis, fever, headache and gastritis ( both acute and chronic) were taken into

consideration.

Out of cases treated with centisimal scale potency 60% of cases showed the initial

aggravation of the symptoms and the case treated with LM scale potency 40% of

cases showed the initial aggravation of symptoms.

And the time duration taken for treating the cases in LM scale potency is more lesser

compared to that of centisimal scale potency.

Result of treatment:
 73

The results of treatment observed at the end of study under the guidelines of

criteria (vide methodology) adopted for it are given below.

This study shows cases treated with centesimal scale potency nine subjects

had recovered (30.00%), sixteen subjects had improved (53.33%) and five subjects

had not improved or dropped out.

Out of case treated with LM scale potency 15 subjects were recovered

(50%), nine subjects were improved( 37.03%) and six cases not improved or

dropped out.

From above all results and discussions it is clear that, the LM potency is

more effective and safer than compared to the centisimal scale potency medicines.

So i conclude that the LM potency is more efficacious than compared to that of

centisimal scale potency as said by our stalwarts.

 74

SUMMARY
 75

Summary:

Study was taken up for the study of efficacy of LM potency medicine in

homoeopathic general practice.

Here we are treated about 30 cases with centisimal scale potency and 30 cases treated

with LM scale potency, out of 30 cases treated with centisimal scale potency 60%

cases shows marked aggravation in the symptoms and it took quite a long time for

treating the cases.

But in cases treated with LM potency only 40% cases shows slight aggravation of

symptoms initially and the time duration taken in treating the cases was markedly

reduced in intensity.

By this study we came to know that the medicines given in LM scale

potency will help in treating the cases more rapidly and gently compared to that of

centisimal scale as said by Dr. Samuel Hahnemann in his aphorism no 2.

Thus by this study we came to know that the LM scale potency is more efficacious

than compared to that of centesimal scale.

Thus we came to know that LM scale help us to bring the rapid cure to the patient as

told in aph 2.
 76

CONCLUSION
 77

CONCLUSION:

In this study different cases treated with centisimal scale as well as LM scale is

considered, in which it showed me that the aggravation rate is more in centisimal

scale potency compared to that of LM scale potency, and the time duration taken for

treating the cases is much more reduced in LM scale compared to that of centisimal

scale potency.

In this study I took different cases like osteoarthritis, skin complaints, fever, allergic

rhinitis, headache, gastritis were considered.

In cases treated with centisimal scale potency 30% of the cases were recovered,

53.33% cases improved and 16.67% cases are not improved.

In cases treated with LM scale potency 50% cases were recovered, 37.03% cases were

improved and 12.97% cases were not improved.

Thus after the detail study I came to a conclusion that the LM scale potency is more

efficacious compared to centisimal scale potency in treating the cases.

As told by Dr. Hahnemann (6th edition of Organon) LM scale is the most perfected

method in treating the cases to avoid unwanted Homoeopathic aggravation.

 78

BIBLIOGRAPHY
 79

Bibilography:

1. Dr. Samuel Hahnemann: Organon of medicine 6th edition, translated with

preface by Dr. William Boericke MD, Indian books and periodicals publisher,

New Delhi.

2. Bradford Lindsley Thomas : The lesser writings of C.M.F. von

Boenninghausen, B Jain Publishers, New Delhi, Reprint edition 2003 pp 169

3. A review of Rima Handley's in search of the later Hahnemann Published by

beaconsfield publishers, ltd, beaconsfield, bucks, uk By David little an article

published in American homoeopath 1999 taken from www.similimum.com.

4. Rozencwiajg Joe: The potency published by Emryss publishers

5. LM or Q potencies: retrospection of its use during 15 yrs in Brazil, taken from

homoeopathic links 2005, 2(18): 87-91.

6. Q/LM potencies: Historical reasons for the long delay in their recognition

Homeopathy (2006) 95.

7. Hahnemann’s experiments and counter experiments with 50 millesimal

potencies a further review of his casebooks from journal homoeopathy 2006.

8. Banerjee.D.D: Augmented textbook of Homoeopathic pharmacy, second

edition, B Jain publishers, New Delhi, reprint edition 2006 pp-304,327

9. Goel Sumit: ‘Fifty millesimal scale’ LM potency taken from www.

Homoeopathyinstitute.in.

10. Dr. K.N.Mathur: Principles of prescribing collected from clinical experiences

of pioneers of homoeopathy, B Jain publishers, New Delhi, reprint edition—

2008
 80

11. The LM potencies in homoeopathy from their beginning to the present day by

Robert jutte,

12. Dr. Farukh.j. Master and Dr. Natasha Fernandes: understanding posology in

classical homoeopathy published and printed by Remedium Kft.

13. LM potencies: one of the hidden treasures of the sixth edition of Organon,

article taken from British homoeopathic journal 1999 vol 88.

14. Homoeopathy pocket by Almut Brandl

15. LM potencies 12 years experience, article taken from British homoeopathic

journal Oct 1998, vol 87.

16. American Homoeopath 1998, article named Dosage and potency according to

Organon (D.Little).

17. Dr.Samuel Hahnemann: The chronic diseases, translated from the 2nd

enlarged German edition of 1835 by Prof. Louis H. Taffel, with annotations by

Richard Hughes MD, B Jain publishers, New Delhi, reprint edition 2005.

18. www.sciencedirect.com

19. Schmidt. P: The Hidden treasures of the last Organon, B Jain publishers, New

Delhi reprint edition 2006.

20. M.P.Arya: A study of Hahnemann’s Organon of medicine, based on English

translation of the 6th edition by Dr.william Boericke, M.D., B Jain Publishers,

New Delhi first edition 2008.

21. Don G. Baker: A research model for the scientific investigation of

homoeopathy

PhD thesis, Southern Cross University, Lismore, New south Wales, e-

publications Southern Cross university.

 81

22. THE SIGNIFICANCE AND COMPLEXITY OF POTENTIATION IN

HOMEOPATHY Professor, doctor for medical sciences Komissarenko A.A.,

Doctor for medical sciences Salycheva L.V. Doctor for veterinary

Novossadjuk T.V. Saint Petersburg, Russia

23. From pharmaceutical standardizing to clinical research: 20 years of

experience with fifty-millesimal potencies taken from Int J High Dilution Res

2009; 8(29).

24. time line for Hahnemann’s development of potency and 50 millesimal scale

prepared from keran Johnson from www.homoeopathycollege.com.

25. Features Of LM Potency article by - Dr. Srikanta Choudhury

26. Comparison of C and LM potency 5th and 6th Organon by David Little taken

form website www.similimum.com as per 2008.

27. Thombre.P.B: Gems of Organon with psychology, B Jain Publishers, New

Delhi, revised second edition 2008 pp276-277.

28. Luc DE Schipper: Hahnemannian textbook of classical homoeopathy for the

professional, B Jain publishers, New Delhi.

29. John Morgan: article on Dose, dilution and the LM Potency.

30. H. Choudhary: 50 millesimal scale in theory and practice, B jain publishers,

New Delhi

31. George Vithoulkas: The science of homoeopathy with forward by William A.

Tiller, B jain publishers, New Delhi Indian edition 1998.

32. encyclopedia of Hahnemann’s Organon of medicine with a comparative and

critical study of fifth and sixth edition by Dr. Prabhat Kumar Bhattacheryay

MD (Hom), B jain publishers, new Delhi.

 82

33. Mandal and Mandal: textbook of homoeopathic pharmacy, reprinted 2002,

new central book agency pvt.ltd.

34. Robin Murphy: case analysis and prescribing techniques, B Jain publishers,

New Delhi, edition--- 2007

35. Homoeopathic pharmacy terminology from www.homeopathyplanet.com

36. Little David: Awen Homoeopathy introduction to homoeopathy

37. Vllalva flores Fernando: LM scale 50 millesimal potencies, B Jain publishers,

New Delhi reprint edition 2007, pp—17-19

38. Dr. Rajeev saxena: ABC of fifty millesimal potency, first edition may 2007;

Indian books and periodicals publishers, New Delhi.

39. Dr.Ramanlal.P.Patel: my experiments with 50 millesimal scale potencies, fifth

edition, Hahnemann homoeopathic pharmacy, Hahnemann house, college

road, kottayam, Kerala.

40. Dankert Bernd: Experiences with Hahnemanns Q—potencies, historical

aspects, special application.

41. Dr. Harimohan Choudhury: indications of miasms, second edition, B Jain

publishers New Delhi, reprint edition 2006.

42. Wenda Brewster O’Reilly: Organon of the medical art by Dr Samuel

Hahnemann B Jain Publishers New Delhi, 1st Indian edition pp 240-241

43. Dimitriadis George: Homoeopathic posology evalution of Hahnemann’s new

altered but perfect method, lecture given at Hahnemann institute Sydney, for

the graduate diploma of homoeopathic medicine, july 1993

 i

ANNEXURES-I

“Homoeopathy is this healing art,which had

hitherto been sought for in vain,its

fundamental principles teach,its performance

prove “

Dr.Samuel

Hahnemann
 ii

DBHPS’S

DR. B. D. JATTI HOMOEOPATHIC MEDICAL COLLEGE, HOSPITAL &

POST-GRADUATE RESEARCH CENTRE, DHARWAD.

CASE PROFORMA

(BY DR. SUMANTH.B.L UNDER THE GUIDANCE OF

DR. G. C. HIREMATH)

Name of the Patient:

Age: Sex: Religion:

Marital status: Occupation:

Address: Phone no:

Date of consultation :

Diagnosis: Miasmatic Diagnosis:

 iii

Remedy:

Constitutional remedy:

Results: Recovered / Improved / Not improved

Signature of Guide :
 iv

I. CHIEF COMPLAINTS:

II. HISTORY OF CHIEF COMPLAINTS:

III. PAST HISTORY:

Whether suffered from similar complaints before:

Disease Whether Medicine & Remarks

Approximate Duration
Suffered Completely Treatment
Age
from Recovered Taken

*Any extra remarks or information

IV. FAMILY HISTORY

 v

V. PERSONAL HISTORY:

Disposition Changed disposition

Diet:

Appetite:

Bowels:

Thirst:

Micturition:

Desires:

Aversions:

Sleep:

Dreams:

Perspiration:
 vi

Habits:

Relation with heat and cold:

Menstrual history:

Gynaec and obstetric history:

Mental disposition:

V. LIFE SPACE INVESTIGATION:

 vii

VI. GENERAL PHYSICAL EXAMINATION:

VII. VITAL DATA

Respiratory Rate: Temperature:

Pulse Rate: Blood Pressure:

Weight: Height:

VIII. SYSTEMATIC EXAMINATION

1. PER ABDOMEN;
 viii

2. CENTRAL NERVOUS SYSTEM:

3. CARDIOVASCULAR SYSTEM:

4. RESPIRATORY SYSTEM:
 ix

IX) LOCAL EXAMINATION:

X) INVESTIGATIONS:
 x

Differential diagnosis:

Clinical diagnosis:

Analysis of symptoms:

Evaluation of symptoms:
 xi

Selection of symptoms for Repertorisation:

Repertorial analysis:

Repertorial Result:

Miasmatic diagnosis:
 xii

Remedial analysis:

Potency selection:

Management:
 xiii

TREATMENT

Date Follow up Remedy

 xiv

ANNEXURES-II
 xv

Different cases treated with LM millesimal 
scale as well as centisimal scale
haemorrhoids, 7%
respiratory 
complaints, 10%

headache, 
23%

skin complaints, 
20% gastritis, 10%

fever, 20%
arthritis, 10%

Time taken for treating the case group A LM potency compared with group B

centisimal scale in duration of action in different cases

 xvi

5 30‐1M
0/1
4
0/1‐0/2
3 0/1‐‐0/4
0/3
2

0
potency

Time taken for treating different chronic cases with group A LM scale compared

with group B centisimal scale:

 xvii

Time duration taken for treating different acute diseases with group A LM scale

compared with group B centisimal scale:

Cases treated with centisimal scale potency both acute and chronic case:
 xviii

Cases treated with LM scale potencies both acute and chronic cases:
xix
 xx

ANNEXURES-III

Synopsis of cases treated with centisimal scale potency:

1. Mr. Shashikant angadi aged about 41 yrs came with a c/o pain and swelling in the

knee since last 2-3 yrs associated with backache the complaints < cold weather,

raising from sitting position > rest x-ray shows presence of osteo arthritic changes.

Miasm: psora sycotic

Result: not improved, showed severe aggravation of symptoms for 4 days

l2 Smt.V.lakshmi devi aged about 35 yrs came with a c/o pain in the knee since last 2

yrs started gradually priking type of pain < cold weather, early morning > rest,

warmth no significant P/H and F/H x-ray shows presence of osteoarthritic changes

and was given silicea 200 as the remedy

Miasm: psora sycotic

Result: improved, showed aggravation of symptoms for 3 days

 xxi

3. Mr.Liaquat agadimani aged about 42 yrs came with a c/o pain in the knee joints

since last 2-3 weeks associated with swelling in the knee < raising from sitting

position > rest P/H of chikungunia and was given Eupatorium 200 as the remedy.

Miasm: psora

Result: recovered

4.Mr Ishwar yellappa Byahatti aged about 29 yrs came with a c/o bleeding per rectum

since last 15 days associated with intense itchong of whole body and was given aloes

30 as the remedy

Miasm: psora sycotic

Result: not improved, stopped treatment due to severe aggravation in symptoms

5. Smt. Basavva Hondappanavar aged about 40 yrs came with a c/o burning sensation

in the region of rectum since last 2-3 months associated with minimal bleeding per

rectum the complaints < stools, patient is a k/c/o HTN on regular medication.

Miasm: psora sycotic

Result: improved, with aggravation of symptoms for 1 week

6.smt jyothi aged about 28 yrs came with a c/o headache since last 2 yrs no significant

P/H and F/H and was given pulsatilla 200 as the remedy

Miasm: psora

Result: not improved, she showed severe aggravation in headache

7. Smt. Preethi paschapur aged about 28 yrs came with a c/o headache since last 5 yrs

started gradually, complaints first started near the eyes and gradually radiates to

whole head < warm weather > vomiting and was given sanguinaria can 30 as the

remedy

Miasm: psorasycotic

Result: improved
 xxii

8. Mrs.louis aged about 36 yrs came with a c/o headache associated with cold since

last 3 days the complaints < evening, associated with yellowish discharge from the

nose and was given pulsatilla 30 as the remedy.

Miasm: psora

Result: recovered

9. Mr. Praveen kumar, 35 yrs came with a c/o headache since last 1 year headache

which is one sided headache headache associated with nausea the complaints <

exposure to sun, anxiety > rest, no significant P/H and F/H and was given the remedy

usnea Barbata 30 as the remedy

Miasm: psora

Result: not improved, showing severe aggravation in symptoms made to stop

treatment

10. Smt. meenakshi, 25 yrs came with a c/o headache since last 3 days associated with

nausea headache < exposure to sun > rest and was given Natrum mur 200 as the

remedy

Miasm: psora

Result: recovered

11. Mr. Lepakshi, 37 yrs came with a c/o headache since last 2 yrs started gradually

headache which is esp on right side, headache comes and goes on and off, headache

associated with nausea, the complaints < cold weather, anxiety > rest no significant

P/H and F/H and was given usnea barbata 200 as the remedy

Miasm: psora sycotic

Result: improved
 xxiii

12. Mr.Sunil Bettedur aged about 43 yrs came with a c/o accumulation of gas since

last 1 month associated with unsatisfactory stools and was given nux vomica 200 as

the remedy

Miasm: psora

Result: recovered

13. Mr. Dharampal.R.S. aged about 45 yrs came with a c/o pain in the right inguinal

regionsince last 2-3 days associated with rumbling sound in the lower abdomen,

having P/H of haemorrhoids no significant F/H and given lycopodium 200 as the

remedy

Misam: psorasycotic

Result: improved, with initial aggravation in symptoms

14. mr. Mahantesh aged about 25 yrs came with a c/o burning sensation in the chest

since last 1 week , associated with sour eructation, the complaints < cold weather,

spicy food, no significant P/H and F/H and was given Nux vomica 30 as the remedy

Miasm: psora

Result: recovered, with initial aggravation

15. Mr. Dhruv.p.shirur aged about 24 yrs came with a cold since last 4-5 months,

discharge which is thick and creamish in nature the complaints < cold weather >

warmth, complaints associated with grinding of teeth when sleeping and was given

belladonna 200 as the remedy

Miasm: psora sycotic

Result: not improved showed the aggravation in the symptom

16. Mrs.vijayalakshmi Patil aged about 32 yrs came with a c/o cold and coryza since

last 8 days associated with nasal block <cold weather.dust, no significant P/H and F/H

and was given ars alb 30 as the remedy

 xxiv

Miasm: psora

Result: patient initially showed aggravation of symptom for 1 day and recovered

17. Mr. Goutham.B.G. aged about 29 yrs came with a c/o running nose associated

with sneezing since 7 days < morning, cold weather, dust and was given ars alb 30 as

the remedy

Miasm: psora

Result: recovered, with slight aggravation

18. Mr. Basavaraj.C.Goni aged about 40 yrs came with a presence of eruption on the

skin since last 2 yrs associated with intense itching the complaints < night no

significant P/H and F/H and was given Graphitis 30 as the remedy.

Miasm: psorasycosyphilitic

Result: not improved, due to aggravations in symptoms stopped treatment

19. Mrs.Sabeena aged about 45 yrs came with a c/o warts in the region of neck and

axilla since last 1 year associated with craks in the little finger of both the legs and

was given phosphorus 200 as the remedy.

Miasm: psorasycotic

Result: not improved, showed aggravation in symptoms

20. smt. Rukmani Bai aged about 38 yrs came with a c/o burning sensation in eyes

palms and sloes since last 5 months patient is a k/c/o HTN on regular treatment no

significant P/H and F/H and was given sulphur 200 as the remedy

Miasm: psora

Result: improved, showing aggravation of symptoms initially for 10 days

21.Mr.Sejal.D aged about 25 yrs came with a c/o eruption on the dorsum of the hand

since last 2-3 months started gradually associated with intense itching F/H mother is a

k/c/o eczema and was given Sulphur 200 as the remedy

 xxv

Miasm: psora sycotic

Result: not improved, showed severe aggravation in symptoms

22. Mrs.Komal Meharwade aged about 20 yrs came with a c/o pimples over the face

since last 7-8 months associated with mild itching < summer, > washing the face and

was given kali Brom 30 as the remedy.

Miasm: psora sycotic

Result: improved, initially showed aggravation in itching

23. Mr. Basavaraj.N.Kajgar aged about 28 yrs came with a c/o eruption on the skin

since last 2 yrs started gradually, eruption which is blackish in nature, eruption which

is associated with intense itching, itching so severe scratches till it bleeds, the

complaint < cold weather, > warmth, he also tells that feeling of tiredness when

sleeping at night and was given sulphur 200 as the remedy

Miasm: psora sycotic

Result: recovered

24. smt. Gayathri aged about 35 yrs came with a c/o fever since last 3 days, fever

associated with generalised weakness, fever < cold weather, night > rest and was

given belladonna 200 as the remedy

Miasm: psora

Result: recovered within 4 days shows initial aggravation of symptoms

25. miss.shwetha Dodwad aged about 26 yrs came with a c/o pain in the legs since

last 5 day after a h/o fall associated with fever the complaints < movement, cold > rest

and was given Arnica 200 as the remedy

Miasm: psora

Result: recovered
 xxvi

26. Mr. Basavaraju aged about 22 yrs came with a c/o fever since 1 day associated

with generalised weakness, fever associated with bodyache, and was given

Belladonna 200 as the remedy

Miasm: psora

Result: recovered

27. Mahadevi mokashi aged about 40 yrs came with a c/o weakness, general debility

associated with fever since last 4 days, patient having a P/H of epilepsy, no significant

F/H and was given cicuta vir 200 as the remedy

Miasm: psora

Result: not improved

28. mr. Tippeswany aged about 27 yrs came with a c/o fever since last 2 days

associated with bodyache the complaints < night time fever associated with increased

thirst and was given belladonna 30 as the remedy

Miasm: psora

Result: improved

29. Miss. Latha, 20 yrs came with a c/o fever since last 4 days started gradually fever

which is on and off associated with throat irritation, she also complains of difficulty in

swallowing, associated with bodyache, complaints < cold weather, night time >

warmth, rest. Inv: shows Inv: Hb—8.3 gm%, TC—7,300 cells/cumm, DC—62%,

30%, 03%, 05%, ESR—38 mm/hr, MP—negative, WIDAL TEST: S. Typhi O—1:80,

H—1:160, paratyphi AH--- negative, BH—negative and was given Baptisia 200 as

the remedy

Miasm: psora sycotic

Result: improved
 xxvii

30. Mr. Raghavendra, 21 yrs came with a h/o fever since last 3 days, associated with

cough with dryness of mouth, he also complains of generalised weakness, the

complaints < cold weather, night and was given Belladonna 30 as the remedy

Miasm: psora

Result: improved, with aggravation for 1 day.

Synopsis of cases treated with LM scale potency:

1.Mr.Bipin.K aged about 20 yrs came with a c/o pain in the legs since last 1 year

started esp after the fall 1 year back, the complaints < walking, descending, early

morning, he again has a injury 2 days back in the same position and was given bellis

per 0/1 as the remedy

Miasm: psorasycotic

Result: improved, by showing slight aggravation initially

2. Smt.sadhana.R.P. aged about 44 yrs came with a c/o pain in the knees since last 2

yrs started gradually, pain started in the right knee and then started in the left knee, <
 xxviii

during menses, motion, cold weather > streaching the legs, and was given Pulsatilla

0/2 as the remedy.

Miasm: psorasycotic

Result: not improved

3. smt. Anjana kulkarni aged about 46 yrs came with a c/o pain in the region of ankle

since last 1 month the complaints < cold weather, walking, she also complaints of

cold associated with heaviness of head and was given belladonna 0/1 as the remedy

Miasm: psora sycotic

Result: recovered

4. Mr. Basavaraj patil aged about 24 yrs came with a c/o blood mixed stools while

passing, burning sensation after passing stools, and was given Aesculus 0/2 as the

remedy

Miasm: psora sycotic

Result: improved, with slight aggravation for 1 day

5. Mr. Mehaboob sab aged about 45 yrs came with a c/o hard stools since last 2-3

months, stools which is hard must try hard to pass stools, he tells that he has a

sensation of some thing coming out of rectum, no significant P/H and F/H and was

given Nux vomica 0/2 as the remedy

Miasm: psora sycotic

Result: improved with slight aggravation

6. Mr. Parashuram aged about 40 yrs came with a c/o headache since last 2 months

associated with craked tongue no significant P/H and F/H and was given remedy

belladonna 0/1

Miasm: psorasycotic

Result: recovered, showed slight aggravation initially for 1 day

 xxix

7. Mrs. Nirmala aged about 40 yrs came with a c/o headache since last 10 yrs

associated with vomiting headache bursting type the complaints < anxiety, mental

tension, cold weather > rest, cold weather, she also complaints of recurrent ear

infection, shown to ENT surgeon diagnosed as presence of hole in the right eardrum,

all the complaints < cold weather, > warmth no significant P/H and F/H and was

given calc carb 0/3 as the remedy

Miasm: psorasycotic

Result: imporved, with slight aggravation

8. Mr. Nagabhushan aged about 41 yrs came with a c/o headache since last 3 days

head ache started gradually he feels heaviness of head associated with generalised

weakness, no significant P/H and F/H and was given belladonna 0/2as the remedy

Miasm: psora

Result: recovered, but showed slight aggravation in symptoms

9. Mr. Shiva Kumar aged about 30 yrs tailor came with a complaints of head ache

since last 15 yrs patient feels that here is a heaviness of head, he feels that something

blackish thing blocking the head, the complaints < cold weather, taking cold things >

warmth, warm weather, and was given belladonna 0/2 as the remedy

Miasm: psorasycotic

Result: recovered

10. Miss. Sadhana, 20 yrs came with a c/o headache since last 1 month started

gradually associated with nausea and vomiting, the headache esp more on left side,

the complaints < exposure to sun, anxiety, > rest, no significant P/H and F/H and was

given Natrum mur 0/2 as the remedy

Miasm: psora

Result: recovered
 xxx

11. Mr. Prathap, 20 yrs came with a c/o headache since last 5 yrs started gradually

headache which is associated with nausea and vomiting, headache esp in the left side

and then spreads to whole head, headache which is < exposure to sun, warmth, > rest

and was given Natrum mur 0/3 as the remedy

Miasm: psora

Result: not improved

12. Smt. sandya, 24 yrs came with a c/o headache since last 2 yrs started gradually

headache starts from the eyebrow and spreads to whole head, she feels heaviness of

head, patient tells that headache associated with nausea, the complaints < waking up,

cold weather > warmth, rest and was given belladonna 0/3 as the remedy

Miasm: psora

Result: improved with slight aggravation

13. Smt. shivadevi, 26 yrs came with a c/o headache since last 2 yrs started gradually

headache esp left sided, she tells that presence of bursting type of pain, headache

associated with nausea and vomiting, the complaints < exposure to sun, 12-2 PM >

rest, no significant p/H and F/H and was given Natrum mur 0/1 as the remedy

Miasm: psora sycotic

Result: not improved

14. Mr Sheriff aged about 40 yrs came with a c/o pain in the abdomen associated with

sour eructation since last 1 month. no significant P/H and F/H and was given the

remedy lycopodium 0/1 as the remedy

Miasm: psorasycotic

Result: not improved

15. Mr. C.T. Krishnamurthy aged about 42 yrs came with a c/o difficulty in passing

stools since last 20 yrs associated with sensation of abdomen full of gas and not
 xxxi

passing flatus no significant P/H and F/H and was given the remedy Nux vomica 0/1

as the remedy

Miasm: psorasycotic

Result: improving

16. bhavani bettadur aged about 25 yrs came with a c/o pain in the abdomen since 1

day started esp after taking mangoes associated with vomiting for 2 episodes , and

was given nux vomica 0/2 as the remedy

Miasm: psora

Result: recovered

17. mr. Brijesh aged about20 yrs came with a c/o watery discharge from the nose

associated with burning in the eye since last 20 days and was given Allium cepa 0/1

as the remedy

Miasm: psora

Result: recovered with slight aggravation initially

18. anirudh Bhat 45 yrs came with a c/o pain in the throat since last 15 days due to

overusage of voice and was given rhus tox 0/2

Miasm: psora sycotic

Result: improved

19. miss Vaishnavi bedre aged about 20 came with a c/o cough with difficulty in

respiration since last 2 yrs no significant P/H and F/H and was given drosera 0/1 as

the remedy

Miasm: psora

Result: improved but showed aggravation initially

 xxxii

20. Denzita aged about 28 yrs came with a c/o pimples on the face since last 1 year

associated with hairfall with presence of intense itching and was given silicea 0/1 as

the remedy

Result: not improved

21. Prasanna kalpui aged about 31 yrs came with a c/o pimples on the face since last 4

yrs pimples first started on face and then extend to back the complaint < summer

season, no significant P/H and F/H and was given kali brom 0/2 as the remedy

Miasm: psorasycotic

Result: improved with slight aggravation for 1 day

22. Smt. renuka aged about 42 yrs came with a c/o itching on the skin since last 2-3

yrs started gradually, intense itching associated with burning scratches till it bleeds,

the complaints which is < cold weather, dust > warmth, she also complains of pain in

the abdomen esp lower abdomen since last 18 yrs after she as undergone abortion,

since then pain in the abdomen persists, the complaints < cold weather > warmth, no

significant P/H and F/H and was given pulsatilla 0/2 as the remedy

Miasm: psora

Result: not improved

23. Smt. shubhamangala, 33 yrs, came with a c/o itching since last 7 yrs started

gradually itching associated with scratching till it bleeds, itching with swelling of the

part, blackish discolouration of the skin, the complaints which is < cold weather, >

warmth, no significant p/H and F/H inv: shows Hb—11.8 gm%, TC—9000

cells/cumm, p—68%,L—24%, e—08%,00%,00%,esr—18 mm/hr, AEC--- 600

cells/cu mm, and was given sulphur 0/3 as the remedy

Miasm: psora sycotic

Result: recovered
 xxxiii

24.smt.kamala salvadi aged about 28 yrs came with a c/o hairfall associated with

pimples on the face since last 5 yrs no significant P/H and F/H and was given Natrum

mur 0/3 as the remedy

Miasm: psorasycotic

Result: improved, with slight aggravation

25. Girijamma.T. aged about 40 yrs came with a c/o loss of hairs in patches and corns

in the foot since last 3 yrs started gradually, pain while walking, no significant P/H

and F/H and was given antim crud 0/3 as the remedy

Miasm: psora sycotic

Result: improved

26. Mr.srikanth.B. kudur aged about 22 yrs came with a c/o fever since 2 days

associated with generalised weakness, fever associated with bodyache, and was given

Belladonna 0/3 as the remedy

Miasm: psora

Result: recovered

27. smt. satyavathi aged about 42 yrs came with a c/o fever since last 2 days

associated with bodyache the complaints < night time, increased thirst and was given

Bryonia 0/1 as the remedy

Miasm: psora

Result: recovered

28. Miss. Sushma aged about 20 yrs came with a c/o fever since last 1 week, fever

associated with generalised weakness, fever which is intermittent in nature the

complaints < night > and was given Belladonna 0/2 as the remedy

Miasm: psora

Result: not improved

 xxxiv

29. Miss. Swathi aged about 18 yrs came with a c/o fever since yesterday associated

with rashes on the skin since one day associated with itching and burning and was

given Pulsatilla 0/2 as the remedy

Miasm: psora

Result: not improved

30. Mr. Swamy, 25 yrs came with a c/o fever since last 20 days associated with

generalised weakness, fever which is intermittent in nature the complaints < night

time, cold weather, fever associated with chills inv shows: Hb—14.4 gm%, TC---

4500 cells/cumm,p—55%,l—41%, E—04%, M—00, B—00%, ESR--- 22 mm/hr,

MP—negative, widal—O----1: 160, H--- 1:80, paratyphi--- negative and was given

Baptisia 0/2 as the remedy

Miasm: psora sycotic

Result: recovered with slight aggravation for 1 day

 xxxv

Master chart of cases

treated with
centesimal scale
Sl. Name of Past Family Miasmatic Indicated Intercurrent
Age Sex Presenting complaints Clinical Diagnosis Result
No. the Patient History History Diagnosis Medicine Remedy
10.
1. Smt.Meena
Mr.shashik 25
41 F
M Headache since 3 days
Pain and swelling in the ---
--- ---
--- Tension headache
Osteoarthritis Psora
Psorasycotic Natrum
Rhus mur
tox 200 Recovered
Not improved
kshi
ant angadi knee since last 2 yrs 200 showing severe
aggravation of
11. Mr.Lepaks 37 M Headache since 2 yrs --- --- Migraine Psorasycotic Usnea Barbata --- symptoms
Improved
2. v.lakshmi
hi 35 F Pain in the knees since --- --- osteoarthritis Psorasycotic Silicea 200
200 ---- Improved
devi last 2 yrs showing
12. Mr. sunil 43 M Accumulation of gas --- --- Acute gastritis Psora Nux vomica -- aggravation
Recovered for
bettedur since last 1 month 200 3 days
3. Mr.Liaquat 42 M Pain in the knee since
associated with Chikun -- Arthritis Psorasycotic Eupatorium Recovered
agadimani last 2-3 weeks stools
unsatisfactory gunia perf 200
13. Mr. 45 M Pain in the right --- --- Chronic gastritis Psorasycotic Lycopodium --- Improved with
4. Mr. ishwar
Dharampal 29 M Bleeding
inguinal per rectum region --- --- Haemorrhoids Psorasycotic Aloes
200 soc 200 --- Not
initial improved
yellappa
.R.S. since last 15 days with
associated with
aggravation in
byahatti rumbling sound aggravation
symptoms
5.
14. Mr.
Mr.Mahant 40
25 M
M Burning sensnation
Burning sensation inin --
--- --
--- Haemorrhoids
Gastritis Psorasycotic
Psora Nux
Nux vomica
vomica ---
--- Improved with
Recovered with
basavva
esh the region
the chest of1 week
since rectum 30
30 slight
slight
hondappan since last 2-3 months aggravation
aggravation
15. avar
Mr. 24 M Cold since last 4-5 --- --- Bronchitis Psorasycotic Belladonna --- Not improved
6. Smt.jyothi
Dhruv.P. 28 F Headache
months since 2 yrs --- --- Headache Psora Pulsatilla 200
200 --- Not improved
showed initial
shirur with
aggravation
aggravation
7.
16. Smt.preethi
Mrs. 28
32 F
F Headache since last
Cold and coryza since5 ---
--- --- --- Tension headache
Coryza Psora
Psora Sanguinaria
Ars alb 30 ---
--- Improved with
Recovered
paschapur
Vijayalaks yrs
last 8 days can 30 initial
hmi patil aggravation in
8. Mrs. Louis 36 F Headache associated ---- ---- Sinus headache Psora Pulsatilla 30 --- Recovered
symptoms
17. Mr. 29 M with cold
Running since last
nose3 --- --- Coryza Psora Ars alb 30 --- Recovered wth
goutham.B. days
associated with slight
9. Mr.praveen
G 35 M Headache
sneezing since
since 1 last
year 7 --- --- Migraine Psorasycotic Usnea barbata Not improved
aggravation
kumar days 30 showed severe
18. Mr. 40 M Eruption on the skin --- --- Psoriasis Psorasycosyp Graphitis 30 --- aggravation
Not improved
Basavaraj since last 2 yrs hilitic made to stop
due to
.C.Goni associated with intense treatment
aggravation
itching stopped
treatment
19. Miss. 45 F Warts in the region of --- --- Warts Psorasycotic Phosphorus ---- Not improved
Sabeena neck and axilla 200 with initial
aggravation

xxxv
20. Smt. 38 F Burning sensation in --- --- Urticaria Psorasycotic Sulphur 200 Improved with
Rukmani eyes palms and soles slight
bai since last 5 months aggravation

Not improved
Eruption on the dorsum
with severe
21 Mr. sejal.D 24 M of hand since last 5 ---- --- Eczema Psorasycotic Sulphur 200 ----
aggravation of
months
symptoms
Miss. Improved with
Pimples over face since
22 Komal 20 F ---- --- Acne Psorasycotic Kali brom 30 --- slight
last 7-8 months
meharwade aggravation
Mr.
Eruption on skin since2
23 Basavaraj. 28 M ---- --- Eczema Psorasycotic Sulphur 200 ---- Recovered
yrs
N.Kajgar
Recovered with
Smt.Gayat Belladonna
24 35 F Fever since last 3 days --- --- Viral fever Psora ---- slight
hri 200
aggravation
Miss Pain in the legs
25 shwetha 26 F associated with fever ---- ---- Injury Psora Arnica 200 ---- Recovered
Dodwad after injury
Mr.Basava Belladonna
26 22 M Fever since 1 day --- ---- Viral fever Psora ---- Recovered
raju 200
Weakness general
Mahadevi Epileps
27 40 F debility associated with ---- Viral fever Psora Cicuta vir 200 ---- Not improved
mokashi y
fever since last 4 days
Mr.Tippes
28 27 M Fever since 2 days --- --- Viral fever Psora Belladonna 30 Improved
wamy

29 Miss.latha 20 F Fever since 25 days --- --- Typhoid fever Psorasycotic Baptisia 200 Improved

Improved with
Mr.Raghav
30. 21 M Fever since 3 days --- --- Viral fever Psora Belladonna 30 slight
endra
aggravation

xxxvi
 xxxviii 
 

Master chart of cases

treated with LM scale
potency
 xxxix

Sl. Name of Past Family Miasmatic Indicated Intercurrent

Age Sex Presenting complaints Clinical Diagnosis Result
No. the Patient History History Diagnosis Medicine Remedy
10.
1. Mrs.Sadha
Mr.Bipin.K 20
20 F
M Headache
Pain in thesince last 1
legs since --- --- ---
--- Migraine
Injury Psora
Psorasycotic Natrum
Bellis permur
0/1 Recovered
Improved
na month
last associated
1 year started with
after 0/2
nausea andfallvomiting
2. Smt. 44 F Pain in the knees since --- --- Arthritis Psorasycotic Pulsatilla 0/2 ---- Not
Sadhana.R. last 2 yrs improved
P
3.
11. Smt.
Mrs. 45
20 F
M Pain in thesince
Headache regionlastof5 --
--- --
--- Arthritis
Migraine Psorasycotic
Psorasycotic Belladonna 0/1
Natru mur 0/3 --- Recovered
Not
Anjana
Prathap ankle
yrs since last 1with
associated month improved
kulkarni nausea and vomiting
4.
12. Mr.
Miss.Sand 24
24 M
F Blood mixed
Headache sincestool
last 2 ---
--- ---
--- Haemorrhoids
Migraine Psorasycotic
Psorasycotic Aesculus 0/2
Belladonna0/3 ---
-- Improved
Improved
Basavaraj
hya associated yrs
with burning with
with slight
slight
patil sensation in rectum aggravation
aggravation
13. Smt. 26 F Headache since last 2 --- --- Migraine Psorasycotic Natrum mur --- forNot
1 day
5. Mr.mehabo
Shivadevi 45 M Hard stools
yrssince 2-3 -- -- Haemorrhoids Psorasycotic Nux 0/1
vomica --- Improved
improved
ob sab months 0/2 with slight
14. Mr. sheriff 40 M Pain in abdomen --- --- Gastritis Psora Lycopodium --- aggravation
Not
6. Mr. 40 M Headachewith
associated sincesour
2 --- --- Headache Psora Belladonna
0/1 0/1 --- Recovered
improved
Parashura months
eructation with slight
15. m
Mr.C.T.kri 42 M Difficulty in passing --- --- Chronic gastritis Psorasycotic Nux --- aggravation
Improved
shnamurth stools associated with vomica0/1 initially
7. Mrs.Nirma
y 40 F Headache
abdomensincefull oflast
gas10 CSOM --- Migraine Psorasycotic Calc carb 0/3 --- Improved
16. la
Miss. 25 F yrsabdomen
Pain in the --- --- Acute gastritis Psora Nux --- with slight
Recovered
Bhavani since last 1 day vomica0/2 aggravation
8. Mr.
bettadur 41 M Headache since last 3 ---- ---- Tension headache Psora Belladonna0/2 --- Recovered
17. Nagabhush
Mr. Brijesh 20 M days
Watery discharge from --- --- Coryza Psora Allium --- showing
Recovered
an the nose associated cepa0/1 slight
with slight
with burning in eye aggravation
18. Anirudh 45 M Pain in the throat since --- --- Laryngitis Psorasycotic Rhus tox 0/2 --- Improved
9. Mr.shiva
Bhat 30 M Headache since
last 15 dayslast 15 --- --- Sinusitis Psorasycotic Belladonna0/2 Recovered
kumar yrs
19. Miss. 20 F Cough with difficulty --- --- Bronchitis Psorasycotic Drosera0/1 ---- Improved
Vaishnavi in expectoration since with slight
last 2 yrs aggravation
20. Mrs.Denzit 28 F Pimples on the face --- --- Acne Psorasycotic Silicea 0/1 --- Not
a since last 1 year improved

xxxix
 xl

Improved
Prasanna Pimples on face since with slight
21 31 M ---- --- Acne Psorasycotic Kali brom 0/2 ----
kalpui last 4 yrs aggravation
initially
Smt.Renuk Eruption on skin since not
22 42 F ---- --- Dermatitis Psorasycotic Pulsatilla0/2 ---
a last 2 yrs improved
Itching in the whole
Smt.shubh
23 33 F body associated with ---- --- Urticaria Psorasycotic Sulphur0/3 ---- Recovered
amangala
scratching
Smt. Hairfall associated with Improved
Natrum mur
24 Kamala 28 F pimples on face since --- --- Acne Psorasycotic ---- with slight
0/3
salvadi last 5 yrs aggravation
Mrs.
Loss of hairs associated
25 Girijamma. 40 F ---- ---- Alopecia and corns Psorasycotic Antim crud 0/3 ---- Improved
with corns in the legs
T.
Mr.
26 srikanth 22 M Fever since last 2 days --- ---- Viral fever Psora Belladonna 0/3 ---- Recovered
kudur
Smt.Satyav
27 42 F Fever since last 2 days --- ---- Viral fever Psora Bryonia0/1 ---- Recovered
athi

Miss.Sush Not
28 20 F Fever since last 1 week --- --- Viral fever Psora Belladonna0/2
ma improved

Miss. Not
29 20 F Fever since 1 day --- --- Viral fever Psora Pulsatilla0/2
Swathi improved
Recovered
with slight
30. Mr.Swamy 25 M Fever since last 20 days --- --- Typhoid fever Psorasycotic Baptisia0/2
aggravation
for 1 day

xl