SECOND PRESCRIPTION

Definition : It is the prescription given after first one that has acted.

Need of 2nd prescription :

1) The 1st prescription has acted well but further no relief.
2) New set of symptoms unrelated to old symptoms appears.
3) Symptoms disappears but no relief is felts.
4) Symptoms disappears irregularly acute following herrings low of cure.
5) When there is miasma acting either singly or in combination.
6) When the disease has progressed from the functional stage to organs of the
body affection.

Types :
1. Complimentary
2. Antidote
3. Repetitions of remedy
4. cognates
5. Change of potency
6. Change of plan of treatment
7. Intercurrent remedy.
8. Change of remedy

1) Complimentary :-
Sometimes the 2nd prescription is necessary to compliment the deformer &
this is always done by change of remedy. It is usually the case in which 1st
 remedy is acute one & it is to be complimented with the constitutional one
for the complication of cure.
Eg. 5 yrs. Old child with headache suffering from cold with flushed
face & throbbing carotids. Belladonna is given & it relieves but it does not
do as constitutional remedy to complete the cure. This is due to psoric
constitution & & at times comes where Belladona no longer relieves then
after doing through case taking it is seen that the constitutional remedy
indicated i.e. Call.carb. Belladona was only temporary & palliative
treatment.
Acute to chronic :-
Aconite – Sulph.
Bryonia – Alumina
Natural complimentary
Antim. Tart – Ipecac.
Apis – Nat. mur.
Acute to acute
Bryonia – Rhs. Tox.
Boryta carb – Dulcamara
2) Antidote :-
The word antidote means
Anti – what is given i.e. an agent that neutralize the poison.
Antidote may be offensive or defensive type.
Defensive type :- generally which is given as a major of counting the effect
of wrong prescription.
Offensive type :- it is given by fresh case taking & selecting the remedy.
Eg. – Sulp. Antidoted by Camphor, Arsenic, Nux. Vomica, Pulsatilla, Sepia,
Silicea. Thuja anidoted by camphor, Chamomilla, Pulsatilla.
 i) It 1st prescription make no improvement in the general well being of
Rt. It is unfavorable & has to be antidoted in offensive manner.
ii) When structural changes advanced to the patient to irreversibility i.e.
to avoid painful aggravation.
iii) Where the symptoms Disappears but no relief.
iv) When new set of distracting symptoms appears.
v) Where symptoms Disappears against hearing low.
3) Repetitions of remedy :-
When the original symptoms returns if patient has not this present symptoms
for some time & if there has been relief by 1st prescription then original
symptoms returns after variable period hawing same general & particular as
formerly. It means that 1st prescription was good one. The 2nd prescription
should be the repetation of former.
When case comes to stand still position & prescription is correct one
symptoms. They change, interchanges & new symptoms. Comes up but
finally this symptoms go back to their original state without in specific
suffering to the patient. At this situation wait for long time if after waiting
no out word symptoms appears or returns then repetation of previous
prescription may help to complete the cure.
4) Cognates :
The medicine which are closely related to each other.
Eg. We have nux. Vomica & sepia, Silicea & hepar Sulph., Bryonia & Rhus.
Remedies are so closely related to each other that usually the symptoms of
one constitutional remedy give clear indications for the administration of
other remedy.
 Eg. – A billions fever in sepia & constitution is likely call for Nux. Vomica
as soon as this fever, the symptoms of sepia comes immediately showing
complimentary relation to Nux. Vomica.
Suppose the sulphur is 1st prescription the congnates that will be follow is
Call.carb. but it does not mean that it is must.
As we know the homoeopathic prescription depends upon
sympomatology. This is the basic which is not to be forgotten in selecting
the similimum.
5) Change of potency :
Low potency remedies are used in & 2nd prescription in incurable cases.
Change of potency is indicated when response to the previous administration
is not considerably satisfactory because of either inadequate relief of early
sensation of good relief are loss. Although the patient has nothing to
influenced to the action of remedy.
Change of potency also called for when the response is no longer
obtainable. In other word the potency required to be changed when it has
exhausted it’s action & is incapable of achieving anything further.
6) Change of plan in treatment :
It is applicable during the antimiasmatic treatment of particular miasma with
corresponding medicine often it is observed that symptoms of other miasma
comes in prominence with disappearances of previous of previous miasma
treated. In such a case the plan of treatment is to be changed & new
medicine is to be prescribed all to present symptoms of patient.
Eg.- suppose the case is of psoric one i.e. all symptoms of case
indicate psora. The treatment has consisted such medicines which are well
known to antipsoric & psoric symptoms have disappeared after 1st
prescription & symptoms of another miasma comes in prominence
 indications either syphilitic or sycotic miasma. In this situation patient who
has taken antipsoric treatment will be give antisyphilitic or antisycotic
treatment. So the plan of treatment is to be changed all to state of patient.

7) Inter current remedy :

In chronic cases use fine that the action of well indicated constitutional
remedy get loosed & the patient makes no further progress under this
circumstances we should make detail history & symptoms analysis from
miasmatic stand pt. Which indicate the type of miasma for block & suitable
antimiasmatic remedy to remove. Such remedies are called as inter current
remedy.
Eg. – Tuberculinum in given in patients as inter current remedy when
they have past history of T.B.
8) Change of the remedy :
After administration of remedy when striking new group of symptoms
appears somewhere in related patient leading to entire change in symptoms
such as symptoms of the patient never hand this new group of symptoms
must be considered under such circumstances changes of the remedy will be
the 2nd prescription provided that patient has not improved but if patient has
improved symptoms have changed physician should continued the same
remedy as long as the patient improves thoroughly. This is only means of
knowing that the remedy done all good for his patient of that average change
is necessary.
 Complimentary

Antidote
Change of
Remedy

Repertirisation
Intermittent Second of body
Remedy Prescription

Cognate

Change of Plan
of treatment

Change of
Potency