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Unfortunately, however, there are many diseases where the cause is well
known but, in spite of this knowledge, they cannot be effectively combated
directly in the sense that we combat Cretinism with Thyroid or relapsing
fever with Salvarsan or Malaria with Quinine. Some very common
diseases come under this class as: Pneumonia, Tuberculosis, Influenza,
and Typhoid Fever. In these diseases, the etiology helps Therapeutics but
little.
There are then many, indeed the majority of diseases, which can only be
treated on a symptomatic basis, much as we deplore the fact. Now the
point is that the only method which can properly capitalize this purely
symptomatic approach and make this method curative rather than merely
palliative is Homoeopathy.
The symptoms of the patient having been noted, these are then referred to
the record of direct provings which is made up of four sources of
symptoms, the relative value of which should be understood in order to
apply them for curative purposes.
<Toxicology>
The provings with comparatively small doses avoid these violent, crude,
and extreme effects, and instead of producing them, rather indicate them
by mild disturbances. We thus obtain the finer and more characteristic
action, and thus a much more utilizable picture of drug effects. Fortunately,
the bulk of the Homoeopathic Materia Medica is made up from this source.
The symptoms obtained from toxicological observations and from provings
are also called pathogenetic symptoms and the full record, in the order of
their development, is called the drug's pathogenesis. The "Cyclopaedia of
Drug Pathogenesy" gives these in their fullest and most accurate form.
These are known as clinical symptoms and will be fully discussed in a later
paragraph.
<Animal Experimentation>
This last source has of recent years attracted much attention and it is
especially suggestive for illustrating the disease-producing power of drugs.
Most of our important drugs have been so tasted and the lesion and tissue
proclivity noted. It has two great advantages-personal equation is
eliminated, and the drug may be "pushed" without regard to the severity of
the symptoms. On the other hand, subjective symptoms, sensations,
modalities, and mental changes of course are absent from these provings.
The further objection that animals do not react like men to drugs and that
the same drug may affect both quite differently is true enough as a general
statement, but all men who do this research are familiar with this drawback
and select species whose systems in good general health react as does
man for their specific experiment. The grouping of all these sources
together constitute the Symptomatology of a drug. This is usually arranged
in an anatomical order called "The Hahnemannian Schema" for ready
reference.
Basic or absolute symptoms are those that appear in every proving (also in
most diseases) and are of a general nature and usually diagnostically
important.
1. Modalities;
2. Mental symptoms;
3. Qualified basic or absolute symptoms;
4. "Strange, rare, or particular symptoms" as mentioned by Hahnemann.
This is because every drug is a medicinal force and can expend its
disease-producing properties in a way peculiar to itself. There is no rule for
this. It is a matter of pure experiment and Homoeopathic provings are
especially prolific in bringing out such characteristic symptoms. We learn
to look for such symptoms in one of the three divisions of the drug's
Pathogenesis, thus:
It appears, no matter by what avenue the drug is introduced into the body.
A drug may come into direct contact with the blood, and thereby with every
part of the organism, and yet only certain tissues or organs will be affected
by it-that is, only these tissues or organs will react against the foreign
element.
In a general way, we see that Belladonna affects principally the brain as its
arena for action, and this organ, therefore, has a preferred relationship to
Belladonna.
So, in the same way, Aconite affects the heart, Ergot the uterus, Bryonia
the serous membranes, Podophyllum the duodenum, Rhus the skin,
Tellurium the tympanum, Glonoin the vaso-motor centre in the brain.
While each drug has a preferred locality, based on its elective affinity, still
it must not be forgotten that the whole organism-the whole man, mentally
and physically-is affected.
This is so, because the various functions and organs are not independent
instruments but wonderfully bound together by nerves and blood vessels,
and parts most remote are in direct communication with each other.
Diseases are produced and continued along this network of lines when
once they have found a foothold, and drugs act in a similar manner along
these tracks.
Such study gives a reality and practical utility to the Materia Medica.
While the special seat of action is the first marked fact about the
pathogenetic properties of drugs, the special kind of action is the second
fact.
Frequently, the character of these pains indicates the seat of the action
and thus points to the elective affinity of the drug, as burning pains in
general indicate the mucous membranes; dull, boring, gnawing pains, the
bones; sticking, cutting pains, serous membranes, etc.
<Modalities.>
The first class is by far the more important and a few general modalities
should always be present in the outline of symptoms.
We obtain general modalities by asking, "Are you," instead of "Is you."
Thus we ask, "Are you sensitive to cold weather?" "Have you a craving for
sweets?" "Are you weak?" etc.
Now it is quite possible for a man to be generally better from heat yet a
headache is much worse from heat.