PG SCHOLAR ORGANON OF MEDICINE OBSERVATION • One of the first things required for a Homoeopathic physician is that his powers of observation shall be highly developed. • First, that he may observe the patient in the analysis of the symptoms and the selection of the remedy, • Second, remedy has been carefully selected and administered. After the administration of the simillimum some action should result. • According to Hahnemann, the nearer similar the remedy the more reaction we may expect (Organon, 154, 155).
• If the exact simillimum is found we are apt
to get a slight aggravation before relief comes. • On the other hand, if no changes take place, too long patient waiting is useless, for it is evidence that the simillimum has not been found. AGGRAVATION • There are two types of aggravations • There is the aggravation which is an aggravation of the disease condition, in which the patient grows worse. • There may be a very different type of aggravation, in which the symptoms are worse, but the patient is growing better. He will say, "I feel better”. FIRST OBSERVATION • The first observation is often a prolonged aggravation and a final decline of the patient • Too deep an antipsoric administered and it has set in motion the vital energy and developed a destructive process. • In these profound states of incurables the vital reaction toward cure is impossible • In such cases as these profound incurable conditions we should avoid giving a high potency of the remedy; by administering a lower potency . • Advanced cases of tuberculosis, where it is never safe to give a very high attenuation of the exact simillimum. It is probably wiser not to use an antipsoric in these conditions. SECOND OBSERVATION
• Aggravation may be long and severe, yet
the final reaction and amelioration comes. • Sometimes in these states the aggravation may even last for weeks, yet improvement in general is continually taking place and then comes the amelioration and a slow but sure recovery. • In these borderline cases there has already been established some marked organic changes, and where pathological changes have actually taken place the period of aggravation will be longer, but the general improvement in health in the curable cases will be manifest. THIRD OBSERVATION • The aggravation is quick and short and strong, with rapid improvement of the patient. • No structural change of the vital organs. • Superficial nature, such manifestations as furunculosis or abscess formations on the surface. • No changes in the deeper organs, like the kidneys, the heart, or the brain.
• Aggravation that is quick, short, and strong
is to be desired, because we know that improvement will be rapid. FORTH OBSERVATION • No aggravation • There is no organic change; there is no tendency to organic disease. • it belongs to the functional conditions, exhibiting its effects in the nervous manifestations and the relations of the patient to his surroundings and to tissue changes. • We do not observe any pathological changes. • In these cases the single remedy in a moderate potency (say the 200th) will probably complete the work. • Potency and remedy is correct. FIFTH OBSERVATION
• Amelioration comes first and aggravation
coming afterward. • This amelioration comes on to last usually for three or four days; the patient seems to be better but at the end of a week or ten days all the symptoms are worse than when he first came to you. • Either we selected too superficial a remedy, that could act only as a palliative. • The case is incurable and the remedy has been somewhat similar but not completely so. • we must examine the patient and find out whether the symptoms related to the remedy or to the disease. • Sometimes remedy was in error • Not cover the whole case, constitutional state of the patient. • we based our prescription on generals only. • If symptoms often come back changed. • Then we must wait, and this will require patience on the part of the physician and co-operation on the part of the patient. SIXTH OBSERVATION • Too short a period of relief from the symptoms • If the improvement continues for some time and then suddenly comes to a halt,
• Find out if the patient has been doing
something that is against the rules of health or has interfered with the continuation of the curative action of the remedy. • It is because ----- interferes with the action of the remedy. Acute cases • The action of the remedy is much more quickly exhausted in the rapid pace of acute diseases than in the more moderate progress of chronic manifestations, and more frequent repetitions of the remedy may be demanded.
• The most satisfactory amelioration in acute
cases is where amelioration comes gradually and takes an hour or two after the administration of the remedy before it is markedly manifest. Chronic diseases • If amelioration is too short in chronic diseases it means that structural changes are taking place and have destroyed or threatened to destroy the proper functions of the patient. SEVENTH OBSERVATION • Full period of amelioration of the symptoms, yet no special relief of the patient. • Find out where you have structural changes. • where the patient will improve on the remedy for some time and then improvement will cease. • They can improve only to a certain point, and then improvement can go no further. • We meet these conditions where organs like the liver or kidneys are partially involved and can function only in part. • The remedy may keep the patient comfortable, however; and by careful repetitions of the remedy at infrequent intervals the patient may be kept comfortable for a considerable period of time even though you will not be justified in expecting a cure. EIGHTH OBSERVATION
• They prove any remedy you may give them
and get an aggravation from it. • Because of an idiosyncrasy for the remedy or too sensitive reaction of the vital energy. • It may be almost impossible to do anything with them in a curative way, but it may be of inestimable help in proving a remedy. NINTH OBSERVATION
• Old symptoms reappear
• Old symptoms reappearing we know to be a step in the right direction. • Condition is being solved in Homoeopathic manner TENTH OBSERVATION • Appearance of new symptoms • New symptoms in one sided disease. • Number of new symptoms, it is an unfavourable sign. • Group of entirely new symptoms appearing after the administration of a remedy is evidence that we have made a decided step in the wrong direction. • Diseased states are progressive, ever developing deeper and deeper manifestations.