4th observation

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4th observation. Administration of the remedy is followed by amelioration and no aggravation whatsoever. There is no organic disease, and no tendency to organic disease. The chronic condition itself to which the remedy is suitable is not of great depth….

Under the fourth observation, you will notice a class of cases wherein you will find very satisfactory cures, where the administration of the remedy is followed by no aggravation whatsoever. There is no organic disease, and no tendency to organic disease. The chronic condition itself to which the remedy is suitable is not of great depth, belongs to the functions of nerves rather than to threatened changes in tissues.

You must realize that there are changes in tissues so marked that the vital force is disturbed in flowing through the economy, and yet so slight that man with all of his instruments of precision cannot observe them. Under such circumstances we may have sharp sufferings, but cures may come about without any aggravation. We know then that if there is no aggravation the potency just exactly fitted the case, but here you have a course of things that you need not always except.

Though there is nothing but a true nervous change in the economy after a potency that is not suitable, either too crude, or too high, for that patient, you will have an aggravated state of the symptoms. In cures without any aggravation we know that the potency is suitable, and the remedy, the curative remedy, provided that the symptoms go off and the patient returns to health in an orderly way. It is the highest order of cure in acute affections, yet the physician sometimes will be more satisfied if in the beginning of his prescribing he notices a slight aggravation of the symptoms. The fourth observation then relates to cases in which we have no aggravation, with recovery of patient.

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James Tyler Kent
James Tyler Kent (1849–1916) was an American physician. Prior to his involvement with homeopathy, Kent had practiced conventional medicine in St. Louis, Missouri. He discovered and "converted" to homeopathy as a result of his wife's recovery from a serious ailment using homeopathic methods.
In 1881, Kent accepted a position as professor of anatomy at the Homeopathic College of Missouri, an institution with which he remained affiliated until 1888. In 1890, Kent moved to Pennsylvania to take a position as Dean of Professors at the Post-Graduate Homeopathic Medical School of Philadelphia. In 1897 Kent published his magnum opus, Repertory of the Homœopathic Materia Medica. Kent moved to Chicago in 1903, where he taught at Hahnemann Medical College.