| Centesimal
and LM Potencies
One of the first questions of those new to the LM potency is how
do the centesimal (or "C" potencies) and LM potencies
relate to each other in homeopathic posology? After more than 14
years of comparing their actions I have come to the conclusion that
there is no exact numerical equivalency.
Comparisons cannot be made by mathematically analyzing the amount
of the original substances present after dilution or by the numbers
of succussions cumulatively given. There is a definite qualitative
difference between the two potency systems as well as a quantitative
one. Their similarities and differences become more apparent on
the constitutions, sensitivities, and conditions for which they
are most suitable.
It is by comparing the powers of the two potency systems on similar
constitutions, sensitivities, and diseases that we begin to build
a correlation of their complementary but opposite remedial powers.
John Morgan, a pharmacist/homeopath working at Helios Pharmacy
Tunbrdige Wells, England offers a comparison of the amount of original
substance between the C and LM potency. The LM 0/1 has around the
same amount of original material as a 6c. (5.5c); the LM 0/2 is
equal to 8c; LM 0/3 is equal to 10.5c; and LM 0/4 is equal to 13c.
It is at this point that the potencies pass beyond Avogadro's number.
LM 0/30 has around the same amount of original material as 70c.
Of course, these relationships are changed when 1 pill is dropped
into 4 oz. of water and then 1 teaspoon of the medicinal solution
is stirred into a dilution glass. Avogadro's number is reached more
quickly when the entire process in taken into account.
Those of us who have used the LM potency have seen that the remedies
are much deeper acting than their centesimal counterparts in relationship
to the amount of original substance left. Boenninghausen noted in
his Lesser Writings that the 50 Millesimal remedies (LM's)
act as deeply as the higher potency centesimals. This is because
the 1/50,000 ratio with 100 succussion liberates a unique remedial
potence that is essentially different from the 1/100 ratio with
10 or more succussions.
The depth of penetration of the LM potency is more similar to the
high potency centesimals than the low potencies. This is why one
must learn how to use them correctly and know how to control their
remedial powers.
Constitution and Sensitivity
It is not possible to give a linear mathematical comparison of
the medicinal powers of the centesimal and LM potencies. They possess
remedial powers that are quite different and have proved to be complementary
opposites.
I have obtained copies of the microfiches of Hahnemann's Paris
casebooks from the Robert Bosch Institute in Stuttgart, Germany.
During the years 1840 to 1843 Hahnemann commonly used the 7 tablespoon
medicinal solution for both the C and LM potencies in his cases.
He mostly used between 6c to 200c and a full range of LM potencies
on his patients.
He seemed to use his centesimals for the most acute diseases, crisis,
or as acute intercurrents during the disruptions of chronic treatment.
Hahnemann used his LM potencies mostly for chronic miasms, suppressions
and degenerative states. This pattern is followed throughout his
casebooks until he left for his Heavenly Abode at 88 years old.
The pattern found in Hahnemann's cases led me to study the nature
of the centesimal potencies and LM potencies more closely. In the
5th Organon Hahnemann states that the centesimal potencies
are quick in their onset and tend to aggravation in the beginning
of chronic treatment. In the 6th Organon Hahnemann states
that the LM potencies are gradual and tend to aggravate at the end
of treatment. I have witnessed this many times.
This offers a clue to the differences of the remedial powers of
the centesimal and LM potencies. Acute disease, crisis, and acute-like
exacerbations of chronic pathology all have the same qualities of
quick onset and rapid crisis much like the aggravations of the centesimal
potencies.
The pattern of chronic disease is slow and gradual and it reaches
its crisis toward the latter stages of development much like the
aggravation of the LM potencies. The pace, progression and termination
of the remedial powers and the acute and chronic states are similar.
Is this the reason Hahnemann was testing the centesimal remedies
in acute disease, acute-like exacerbations of the chronic miasms or
crisis? Did he use his LM potencies on the miasmic and constitutional
states because they are more similar to the chronic disease process?
Simillimum Simillimo!
In my 12 year trial in India I tested this hypothesis closely and
found it was relatively true but not an absolute fact. I did studies
with LMs in acute diseases and centesimals in chronic cases just
to get a balanced perspective.
It is quite true that the higher potency centesimals can do marvelous
work in acute disorders and crisis. They also sometimes perform
miracles in functional diseases of a chronic nature. The most difficult
area to use the high and highest potency centesimals is in chronic
diseases with miasms, suppressions, iatrogenic disease and cases
with serious organic pathology.
In these situations it is very hard to manage the case with high
potency centesimals. Hahnemann knew this from his experience of
the 200c to 1M. That is why he began his new experiments. He decided
that raising the potency further was not going to solve this problem.
This is why he experimented with increasing the dilution rate instead.
This is indeed an area where careful control of the LM potency
can perform wonderful cures and increase the quality of life and
years of the elderly and those severely damaged by pathology. Many
of the difficulties of the dry dose of the high potency centesimal
in such cases are completely overcome by the new methods.
Some of the quick acting qualities of the centesimal potencies
are moderated by the medicinal solution, and rendered more controllable,
but their essential nature remains. The centesimals have received
an incredible number of 1 to 100 dilutions and succussions forced
into a small dilution ratio compared to the LM potencies. This gives
them their fiery nature and quickly penetrating remedial qualities.
The LM potency depends on its high dilution ratio to produce its
deep acting remedial powers rather than the number of times diluted
as in the Cs. They are also not as immaterial a dose as the high
potency centesimals. A 12c crosses Avogadro's number while the LM
0/1, LM 0/2, and LM 0/3 still have material substance.
This combination of the qualities of the high dilution rate and
serial potencies provides the best qualities of a low and high potency.
A 30c is much more immaterial then the LM 0/1 but its remedial actions
have much less medicinal power. This is why the LM 0/1 acts more
like a high potency yet it is still less immaterial.
The LM potency is the balance point between the vital and the organic
planes. This is why it is useful in advanced chronic diseases and
miasms.
After many years of observation I have come to the conclusion that
the centesimal potency suits some individuals while the LMs suit
another. Sometimes one can only tell by hind sight after testing
both potency systems on the same patient.
Nevertheless, it does seem clear that the C potency suits traumas,
acute diseases, acute miasms, acute-like exacerbations of chronic
diseases, chronic diseases that are still in a functional rather
than pathological state, and chronic diseases that start with a
serious crisis and rapidly progress toward pathology.
The LM potency seems to suit the long term affects of traumas,
acute diseases and acute miasms that have already produced organic
pathology, crisis that slowly develops, disease with well developed
organic pathology, and chronic diseases that develop insidiously
over a period of years.
The fact that the C and LM potency are complementary opposites
greatly expands the therapeutic horizons of the homeopathic pharmacy.
For this reason, it is our belief that homeopaths should take advantage
of both potency systems.
The Sensitivity Scale
One area where the homeopath can clearly compare the actions of
the centesimal and LM potencies is on individuals of similar constitutional
situations. Not all constitutions react in the same manner to the
same potency. Hahnemann adjusted the potency of his doses in relationship
to the constitutional susceptibilities of his patients. From these
observations he was able to observe a quantitative difference in
the sensitivity of a hyposensitive and a hypersensitive.
Vide aphorism 281 of the Organon.
"If a cure is to follow, the first
small doses must likewise be again gradually raised higher, but
less and more slowly in patients where considerable irritability
is evident than in those of less susceptibility, where the advance
to higher dosage may be more rapid. There are patients whose impressionability
compared to the unsusceptible ones is like the ratio of 1000 to
1 [DL]."
The sensitivity scale of 1 to 1000 demonstrates the vast variations
that are found in the constitutions of individuals. A dose and potency
which would not affect a hyposensitive could cause a terrible aggravation
in a hypersensitive. The phenomenon of homeopathic aggravation is
related to three factors, i.e., an excessively large dose, too high
of a potency and administration of a remedy when it is not needed.
The methods of adjusting the dose were developed to give the homeopath
the ability to individualize the posology with the same care as
when personalizing the selection of the remedy by the symptoms.
Judging Sensitivity
All individuals do not have the same sensitivity even if their
vitality is relatively equal. If we studied the constitution and
temperament of the individuals carefully we can observe certain
signs and symptoms that give indications as to their relative sensitivity.
1. The hyper-sensitive patient (700-1000). The major signs of hypersensitivity
include the following symptoms:
A. Highly nervous individuals, quick moving
persons, rapid mood swings and quick alternations of symptoms,
active senses, quick, strong reactions to environmental influences
such as noise, lights, crowds, etc., the need to eat a careful
diet, multiple allergies or chemical sensitivities, prone to side-effects
from taking herbs and vitamins, etc. They often have trouble sleeping.
These constitutions are usually in a state of hyperfunction and
hypertension and need to be calmed down.
B. Sensitivity is often increased in those
with advanced tissue pathology, weakened vitality, oversensitive
vital force, and a history of prolonged drug use or drug reactions.
Care must always be taken in the elderly.
2. The hypo-sensitive patient (1-300). The major signs of hypo-sensitivity
include the following symptoms:
A. These constitutions manifest the opposite
states of a hypersensitive. Such person have slow movements, duller
senses and intellect, the ability to eat almost any foods, herbs,
vitamins, etc., reduced reaction to environmental stimuli (unmoved
by noise, lights, smells, crowds, etc.). They rarely have allergies.
These constitutions are in a state of hypofunction and need stimulation
to get moving.
B. Sensitivity is sometimes decreased
in those who have taken too many drugs, especially tranquilizers
and sedatives. They often lack energy and may be in a weakened
condition and lack reactive capabilities. If they have weak vitality
the homeopath should be conservative with the dose and potency.
3. The moderately sensitive patient (400-700) represents your average
constitutional sensitivity. The major signs are as follows:
A. Those of average sensitivity usually
have good vitality and are moderate in their reactions to environmental
stimuli. They are usually able to eat a broad diet and can take
vitamins, minerals and herbs in reasonable doses. Few if any have
allergies or chemical sensitivities. Their organs and tissues
are neither hyperactive nor hypoactive. They demonstrate signs
of moderation in all things. They are fairly stable individuals
who are not prone to rapid changes in symptoms.
Once the homeopath becomes a good judge of the constitution they
can read the sensitivity to some degree. Of course, you never really
know for sure until you give the first dose! This is why it is always
best to give one test dose and assess the reaction of the vital
force for a reasonable time. |