Sahya Part 13

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HOMOEOPATHIC POSOLOGY (POSOLOGY =STUDY OF LAW OF DOSAGE.)

LAWS APPLIED IN POSOLOGY

Law of dosage.

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LAWS APPLIED IN POSOLOGY

Law of quantity

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LAWS APPLIED IN POSOLOGY

Law of quality

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LAWS APPLIED IN POSOLOGY

Law of Repetition

-Proving -Cure Brought to you by Similiacare.com

DOSE  Quantity of particular

medicine administered to particular individual at a time

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TYPES  Physiological dose.  Pathological

dose.

 Toxic dose.  Lethal dose.  Therapeutic dose.

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MINIMUM DOSE  Least quantity of any substance

required to

affect a change in nature.  Also known as sub physiological dose.

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 § 280-

Minimum dose is defined as the quantity of medicine required to produce a scarcely perceptible homeopathic aggravation.  Stuart close – A dose which is not capable of producing symptoms when used therapeutically . Brought to you by Similiacare.com

EVOLUTION OF CONCEPT OF MINIMUM DOSE BY HAHNEMANN

1779-1799

Large and heroic doses of medicine.  Mercury.  Opium. 1799-1827  In acute and chronic cases.  2nd and 3rd dilution.  Nature of disease => Dose. 1828- Onwards. Theory of chronic decease. Dose- Globule not bigger than poppy seed. 5th edition of organon- 1/200 of a grain. 

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OBSERVATIONS. Medicines exhibited greater strength when given in dilutions than in dry state. b) Greater power when given in divided doses than given at once. c) Increasing power of a medicine by a thorough admixture of vehicle by means of succession. a)

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To evade persecussion of apothecaries who tried legal proceeding against Hahnemann for invading up on their privileges for dispensing medicine. b) To avoid aggravation of disease when given in large doses. a)

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WHY DOSE SHOLD BE MINIMUM Disease producing agent+Drug. 2. To reduce the aggravation. 3. Arnold-schutzminimum dose stimulates medium of inhibits maximum destroys. 1.

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GUIDELINES BY DIFFERENT AUTHORS.  HAHNEMANN.

§279 – The dose of homeopathically selected remedy can never be prepared so small that it shall not be stronger than natural disease.

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 § 280

let them learn from the mathematicians how true is that a substance divided into so many parts still contains its smallest part and the smallest part does not cease to have some substance.

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 § 281

Every patient ever so robust will be effected by small conceivable dose.

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Exception to infinitesimal dose  § 282- when 3 great miasms while they still efflorescence on skin require from very beginning large doses of their specific remedies of higher and higher dynamisation daily.

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STUART CLOSE 3 necessary requirements for the action of infinitesimal dose.  Development of special virtues of medicine by dynamisation .  Increased susceptibility to medicinal impression produced by the decease .  Selection of symptomatically similar remedy. Brought to you by Similiacare.com

H.A. ROBERT 3 fundamental laws • Law of least action and quality . • Law of quantity and dose. • Law of quality. Brought to you by Similiacare.com

Infinitismal dose is one which is so small as not to produce too much aggravation of the symptoms already present and never large enough to produce new symptoms .

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CARROL DUNHAM Favours infinitesimal dose and at the same time states that there are many evidences in chronic disease that many medicines have acted in very large doses.

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RICHARD HUGHS Unquestionable result with 6th ,12th an 30th dilution .No practical knowledge of 200th.

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J.T.KENT  There is difference in the activities of a

given remedy in 30th and 10M up on the same constitution.  Very high potencies seldom require repetition in c/c disease. In severe a/c disease several doses in quick succession .  It is better to begin lower and go higher and higher. Brought to you by Similiacare.com

HOMOEOPATHIC POSOLOGY STUDY OF INFINITESIMAL DOSE

 Study of preparation of infinitesimal dose  Application of infinitesimal dose  Study of repetition of the dose

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STUDY OF PREPARATION OF REMEDIES. Study of preparation of remedies- Pharmcopraxy. Mode of preparation: 3. DECIMAL SCALE 4. CENTESIMAL SCALE 5. MILLESIMAL SCALE

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Decimal scale. Herring introduced decimal scale.  1 part by weight of crude drug +9 part by

weight of S.M- triturating for 1 hour. 1 part of drug succesed with 9 part of alcohol- 1st potency.

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Centesimal scale  Introduced by

Hahnemann.

 1 part of Crud drug + 99 parts of

S.M.Triturating for 1 hr. or 1 part of drug successed with 99 parts of alcohol.

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Millesimal scale.  Introduced in the 6th edition of organon.

§ 270  In western world denoted as 1/0,2/0  India Bangladesh 0/1,0/2 or m/1,m/2

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 Hahnemann

-

0, 0 or LM, LM 1 2

1

2

L-stands for 50 M-Millesimal. Orgonon recommended up to LM/30 only.

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KORSAKOVIAN METHOD Single phial system.  Succession  Communication via infection

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MIXED HAHNEMANNIAN & KORSAKOVIAN Begin with Hahenemannian mode of preparation up to 6 c or 30 c. Then use single phial method.

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JENICHEN’S POTENCIES. As much vehicle as required to prepare 30th dilution is taken. One drop of M.T is put in to it, 10 succession1st dilution. Sufficient succession is given continuously until the desired potency is reached. Brought to you by Similiacare.com

FINCKE’S METHOD. 100 drops of drug substance in a glass jug and a stream of distilled water is allowed flow through the same. For every drop of water entering and coming out- one potency.

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SKINNER’S METHOD Skinner developed a method of potentisation which was some what similar to fincke’s method.

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Q- Potency. Used to designate 50 millesimal potency.

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APPLICATION OF INFINITESIMAL DOSE. a)

Selection of potency and dose

b)

Route of administration of remedy

c)

Notion of quantity

d)

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SELECTION OF POTENCY AND DOSE

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SUSCEPTIBILITY

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FACTORS MODIFYING SUCCEPTIBILITY Age: Greatest -Young vigorous person Children Diminishes with age. Children particularly sensitive during development. Brought to you by Similiacare.com

Constitution & temparament. High potencies

Nervous Sanguine Aco,Hyos,N.M Choleric N.V, Staph, Lyco Intelligent Quick to act & react Aurum, Tarent C.C- Zealous Impulsive Brought to you by Similiacare.com

Lower potencies Torpid Phlegmatic Coarse fibred Sluggish Idiots imbecile, deaf and Dump. Brought to you by Similiacare.com

Habit and environment. Susceptibility is increased by intelluctual occupation. High potency. Greater Muscular power and Sedantary habit. Low potency. Occupation Exposure to tobaco, chemicals, perfumes, brewers, druggist, distillary. Low Potency. Brought to you by Similiacare.com

Pathological conditions. Functional Structural

Terminal condition

Reversible Irreversible. - Material doses

Long exhausting chronic disease - Low potency Brought to you by Similiacare.com

Seat of Disease. If vital organs are structurally destructed, - low potency. eg; Chonic valvular heart diesease. Skin,CNS,Metabolic. - High potency.

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Character of disease. Rapidly fatal

-

Low succeptibility. material doses/low potency. Collapse/deficient vital reaction. low potency Increased vital reaction High potency Disease of low grade Low Potency. Brought to you by Similiacare.com

Previous abuse of medicine.  Sensitivity of PT

-

lowlow potency

 Stop medicine for few days.  Carefully regulate diet and regimen.  Hahnemann recommended administration of

opium, carboveg, Sulph, Thuja, Nuxvom. Brought to you by Similiacare.com

Correspondence. Total.

Mind Body Miasm

Partial. Minimal / Organ specific. Brought to you by Similiacare.com

Sensitivity.  Pain  Mental symptoms

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Miasm.  Psora  Sycotic  Syphilitic  Tubercular Brought to you by Similiacare.com

Nature of drug selected. Superficially acting drug Deep acting drug Nosodes Antimiasmatic drug Brought to you by Similiacare.com

Route of Administration.  Pharmaconomy  §284-6th edition  Tongue, mouth stomach  Olfaction  Inhalation  Inunction  Moderate doses to nursing mother Brought to you by Similiacare.com

Ext. Aplication not advisable.  §197  Premature disappearance of local symptom.

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Notion of Quantity.  § 276 

Every dose that is too large



Large dose to case with Greater homoeopathicity



Large dose of a high potency. Brought to you by Similiacare.com



§ 285



Sugar globule of the size of poppy seeds.



A drop of medicine sufficient to medicate 300 such globule. Brought to you by Similiacare.com

Notion of Quality. § 272.  Globule mixed with S.M and dissolved in water, stirred every time before administration.  Quality increases, the greater quantity of fluid in which it is dissolved.  Quality is increased when the succeeding doses are changed slightly every time. Brought to you by Similiacare.com

Repetition. Pharmacopollaxy. § 247 At an interval of 14,12,10,8,7 days - Chronic. Every 24, 12, 8, 4 hours

- in acute.

Every hours; Every 5 minutes

-very acute.

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Kent. Series in degrees  30,200,1M,10M,50M,CM  Very high potencies seldom require

repetition in chronic cases.

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Boreland. In acute disease  Low potency -

 High potency

-

Diminish the severity diminish the mortality cannot cut short the duration. Can cut short or abort the disease. Brought to you by Similiacare.com

Potency Low

-

Below 30th

Medium

-

High

1 M and above.

-

30-200

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Voison.  Low potencies

 Medium potencies  High potencies

-

organotropic Influence the function. Penetrate the psyche.

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GENERAL OBSERVATIONS  Law of similars is the primary law of cure  Correct remedy will act curatively in any

potency  A correct potency will act more gently.

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 Diseases with specific pathology – 12x-200  Cases with known malignancy –initially

potencies below 200  Suspected malignancy – first prescription

below 1M

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 Abundance of clear mental symptoms-high

potency  Acute cases- strong defense mechanism-200

and above  Exception-in old chronically weakened-

preferably 200

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Nature of the remedy Kali carb-in gout Sulph.,sil,tub,phos – in TB Psor.- in asthma High potencies of Lach,Aur,Medo,Ars.

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Practical hints  Lach.-usually 30 – 200  Lyco-abd.complaints-30th   

gout,DM,-higher(10M-CM) higher potencies act best in single dose rarely repeated after improvement bigins

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 Petro,Graph- < from 200  Ars.alb – lower in gastric,intestinal,kidney

higher in neuralgia,  CNS,skin,mental  Beri beri vul.- Q – renal colic  200-in heel pain,rheumatic pain  Blatta- low potencies during attack  higher- after spasm for the remaining cough.stop with improvement 

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 Carc.-200 once a week  Streptococcin -200 once in 15 days  Fer.phos- may cause sleeplessness in lower

potencies  FP,CF,NS,-most effective in 12x 

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DOSE  Infants – 1/4 to ½ drop

¼ grain  1-2 globule  ½ -1 pilule 2-12yrs – ½ -1 drop 1 grain 2-3 globule 1-2 pilule 

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 Above 12 yrs.- ½- 1 drop

1 grain  4-5 globules  2-3 pilules  J.H.CLARK – 1drop of Q(unless otherwise  mentioned)  W.I.Pierce- well selected remedy fails to act  jump to a higher potency  drop suddenly to lower and back  to original 



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 GARTH BORICKE-

poly chrests-wider range of action in high potency  Low potencies tend to limit the therapeutic sphere of a drug 

 RAWAT Indiscriminate use of only one potency-

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REPETITION  Impresibility of the patient  Nature of disease  Potency selected

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 Perceptible & continuous improvement-

contra indicates repetition  Repeat when the beneficial effects ceases  Change remedy when improvement ceases

and symptoms have altered.

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Remedy reaction No change  Remedy wrong  Potency wrong  Slow acting remedy  Patient sluggish in reaction 

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

steady improvement with no <

 Correct remedy  No organic change

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 Short & strong < followed by slow&sure

recovery Corect remedy Vigerous reaction No structural change

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 Long & severe < followed by slow &sure

recovery  Correct remedy  Organic changes  Vital reaction low  Curable Brought to you by Similiacare.com

 Improvement limited  Correct remedy  Vital organs affected much  After major surgeries  Careful repetition at infrequent intervals

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 Long < followed by a slow decline

 Incurable  Advanced case organic distruction

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 > first followed by <  Remedy not deep acting  Case incurable

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