Proper dosing strategies, as per Hahnemann, is something that most of us are in the dark about. How people are dosing is generally something they’re making up as they go along or something they’re picking up at case conferences. I am trying to do something about that!I often get clients from other homeopaths, who had the right remedy, but just couldn’t keep the case moving because of bizarre dosing strategies that have no reflection in classical homeopathy.
Words in brackets [ ] represent my summary of The Organon’s exasperating run-on sentences! Though this doesn’t speak to every question or cover every contingency in a case, as a profession we should at least know this much:
§ 246 Sixth Edition
Every perceptibly progressive and strikingly increasing amelioration during treatment is a condition which, as long as it lasts, completely precludes every repetition of the administration of any medicine whatsoever, because all the good the medicine taken continues to effect is now hastening towards its completion.
[Every striking improvement precludes further dosing. If a patient has made noticeable improvement after a dose of a remedy, stop giving it! The remedy continues to work on its own. Needless to say, if the case stalls or relapses, give another dose.]
This is not infrequently the case in acute diseases
[especially if you’re dealing with acute diseases]
but in more chronic diseases, on the other hand, a single dose of an appropriately selected homoeopathic remedy will at times complete even with but slowly progressive improvement and give the help which such a remedy in such a case can accomplish naturally within 40, 50, 60, 100 days.
[In a chronic case, however, a single dose may cure in up to three months’ time.]
This is, however, but rarely the case; and besides, it must be a matter of great importance to the physician as well as to the patient that were it possible, this period should be diminished to one-half, one-quarter, and even still less, so that a much more rapid cure might be obtained.
[While a single dose, a 200C, for example, may cure a patient with chronic disease in one to three months, this is entirely too long for a person to have to wait to be cured. A patient is entitled to expect a cure in much less time.]
And this may be very happily affected, as recent and oft-repeated observations have taught me under the following conditions
[Here’s how I’ve learned to do that]:
firstly, if the medicine selected with the utmost care was perfectly homoeopathic; secondly, if it is highly potentized, dissolved in water and given in proper small dose that experience has taught as the most suitable in definite intervals for the quickest accomplishment of the cure but with the precaution, that the degree of every dose deviate somewhat from the preceding and following in order that the vital principle which is to be altered to a similar medicinal disease be not aroused to untoward reactions and revolt as is always the case1 with unmodified and especially rapidly repeated doses.
[Put your correctly-chosen, potentized remedy in a bottle of water, succuss the bottle before each dose, “succuss” means pound the bottle into your opposite palm; see this video which shows you how to do it. It’s called “How To Make A Remedy Solution Bottle”:
There is just one warning I have about the video: the person is not using disposable cups and spoons. This is a mistake, so, don’t you do it! Anyway… Give the dose–a sip or teaspoon–at intervals but not so frequently that you cause an aggravation, and make sure the dose itself isn’t so large in size that it causes an aggravation. Base your repetitions on what the previous dose achieved. If there was a perceptible improvement, no repetition is necessary. If there was an aggravation, an improvement may follow so, wait until you see where the case is going before dosing again. When improvement stops, dose again. Always succuss your bottle roughly 5 times before each dose.]
What I said in the fifth edition of the organon, in a long note to this paragraph in order to prevent these undesirable reactions of the vital energy, was all the experience I then had justified. But during the last four or five years, however, all these difficulties are wholly solved by my new altered but perfected method. The same carefully selected medicine may now be given daily and for months, if necessary in this way, namely, after the lower degree of potency has been used for one or two weeks in the treatment of chronic disease, advance is made in the same way to higher degrees, (beginning according to the new dynamization method, taught herewith with the use of the lowest degrees).
[We can avoid aggravations by starting with the lowest potencies, given daily if need be, and raising the potency by degrees after one or two weeks time.] How do you raise your potency? By “plussing” the bottle: pour 90% of your bottle down the drain. Refill half way with spring or distilled water, not tap water, succuss 40 times, and you will then have the next higher potency. For example, your 30C will be a 31C. Go back to succussing 5 times before each dose as before–and don’t add more pellets!!!
§ 247 Sixth Edition
It is impractical to repeat the same unchanged dose of a remedy once, not to mention its frequent repetition (and at short intervals in order not to delay the cure).
[Don’t give repeated dry doses! (That means, don’t dose with pellets over and over again.)]
The vital principle does not accept such unchanged doses without resistance, that is, without other symptoms of the medicine to manifest themselves than those similar to the disease to be cured
[Your immune system doesn’t accept unchanged, unaltered doses. It’s the reason why your 2.5 mg. of Valium eventually stops working; your body just ignores it, or may even be aggravated by it. Giving the exact same dose of a remedy or medicine over and over again can cause provings or aggravations, you have to raise the potency before each dose by succussing the bottle, and by doing so, repeated doses will not become irritants as time goes on.]
, because the former dose has already accomplished the expected change in the vital principle and a second dynamically wholly similar, unchanged dose of the same medicine no longer finds, therefore, the same conditions of the vital force. The patient may indeed be made sick in another way by receiving other such unchanged doses, even sicker than he was, for now only those symptoms of the given remedy remain active which were not homoeopathic to the original disease, hence no step towards cure can follow, only a true aggravation of the condition of the patient. But if the succeeding dose is changed slightly every time, namely potentized somewhat higher (§§ 269-270) then the vital principle may be altered without difficulty by the same medicine (the sensation of natural disease diminishing)
[put the remedy in water and succuss the bottle before each dose and you’ll be less likely to cause an aggravation and more likely to keep the case moving forward.]
and thus the cure brought nearer.1
1 We ought not even with the best chosen homoeopathic medicine, for instance one pellet of the same potency that was beneficial at first, to let the patient have a second or third dose, taken dry.
[Don’t repeat dry doses if the first dose was successful! (I did this on a few occasions and completely cancelled the remedy out; and by that I mean, I antidoted a remedy that was actually working.)]
In the same way, if the medicine was dissolved in water and the first dose proved beneficial, a second or third and even smaller dose from the bottle standing undisturbed, even in intervals of a few days, would prove no longer beneficial, even though the original preparation had been potentized with ten succussions or as I suggested later with but two succussions in order to obviate this disadvantage and this according to above reasons.
[Even if the remedy is in a water bottle or cup, don’t give a second or third dose in an unstirred, unsuccussed, or unshaken manner. You will cause just the same reaction as if you had repeated dry pellets over and over again as stated above.]
But through modification of every dose in its dynamization degree, as I herewith teach, there exists no offence, even if the doses be repeated more frequently, even if the medicine be ever so highly potentized with ever so many succussions. It almost seems as if the best selected homoeopathic remedy could best extract the morbid disorder from the vital force and in chronic disease to extinguish the same only if applied in several different forms.
§ 248 Sixth Edition
For this purpose, we potentize anew the medicinal solution1 (with perhaps 8, 10, 12 succussions) from which we give the patient one or (increasingly) several teaspoonful doses, in long lasting diseases daily or every second day, in acute diseases every two to six hours and in very urgent cases every hour or oftener.