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How to select the similimum?

Hahnemann had an answer to, "How to select to the similimum?"

 

Hahnemann handed over the task to his legal adviser Von Boenninghausen who was helping him and contributing his experiences to the homeopathic literature, especially on the subject of Evaluation of symptoms for the selection of the  similimum.

 

Boenninghausen  classified the characteristic symptoms of the drugs on the following basis:

  1. Characteristic symptoms belonging to the personality of the patient
  2. Characteristic complaints of the patient
  3. Characteristic symptoms belonging to the location of the disease
  4. Characteristic symptoms belonging to the cause of the disease
  5. Characteristic symptoms belonging to the modality of  time
  6. Characteristic symptoms belonging to the modality of circumstances
  7. Characteristic symptoms belonging to concomitants.

 

The selection of the drug depended upon the totality of characteristic symptoms of the above variety found in the patient according to Boenninghausen. He prepared his repertory on the basis of characteristic symptoms which was revised and improved by Boger and Roberts and published in the present form. It is universally acknowledged as a master piece of homoeopathy.

 

Meanwhile a new school was founded by the sponsors of keynote characteristic symptoms, Drs H.C. Allen, E.B. Nash, H.N. Guernsey, Pulford and others. They attached special importance to these peculiar, queer, rare and striking symptoms which Hahnemann recommended in paragraph 153 of his organon. Material medicas prepared by these stalwarts of homeopathy have shown the special value of these symptoms in cases treated on the basis of these keynote characteristic symptoms.

Reference(Systematic Materia Medica of homeopathic remedies.K.N.Mathur)

B.Jain Publishers.(Reprint edition,2003)

 

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Dear Sir

Where did Boenninghausen classify the characteristic symptoms of the drugs on the following basis?

>> 1.characteristic symptoms belonging to the personality of the patient?

Sorry Sir ~ I forgot to add this reference. (Systematic Materia Medica of Homoeopathic remedies by K.N.Mathur )

Dear Sir

Being an expert on Boenninghausen and having almost all his publications in original, I can tell you, that Boenninghausen does not use: >> characteristic symptoms belonging to the personality of the patient for the selection of the remedy.

you may want to correct that in your original post.

Boenninghausen followed exactly the guidelines laid down by hahnemann in the organon.

regard,

Hans Weitbrecht

thank you sir for your guidelines
Noteworthy points...

DIFFERENT METHODS TO REACH THE SIMILIMUM

 

There are several methods to make a homoeopathic prescription. Some of them are –

 

1) Totalistic

All the symptoms of the patient are taken into consideration. But greater stress is given upon the individualistic symptoms. The symptoms are evaluated and arranged to get a portrait simulating Materia Medica. If matching occurs the very medicine is selected as similimum. Sometime, the physician has to take the help of repertory and calculate mathematically the most matching medicines and finally the similimum is confirmed by the study of Materia Medica.

 

2) Particulars to Generals

This is the innovation of Boenninghausen. Here, all the particular symptoms are considered as general symptoms and they are to be arranged as a ‘Complete symptoms’ through the doctrine of analogy.

 

3) Generals to particulars

After proper homoeopathic case taking the characteristic symptoms of the case are to be evaluated in the Kentian way, i.e. – Mentals ;

- Physical generals ;

- Characteristic particulars ;

- Common symptoms.

 

4) Miasmatic

Some authorities demand that in the background of every case there is some miasm, and so if anti miasmatic medicines are applied, they will be cured.

 

5) Constitutional

Here, the physician depends mainly upon the general make up of the patient along with his susceptibility, diathesis and temperament. Drs. Grauvegl, Clarke, Burnett used this method often.

 

6) Keynote

Here, the prescriber picks up one or few more striking, singular, uncommon, peculiar, characteristic symptoms and base their prescriptions upon them only. Drs. Lippe, Guernsey, Allen, Nash used to prescribe in this way.

 

 

 

7) Organopathic

Here, the pathogenesity of the medicine on a particular part or organ of the body are considered to make the basis of prescription. Drs. Burnett, Hughes, O.Lesser, etc. used to prescribe in this way.

 

 

 

8) Etiological

After a thorough case taking, the actual cause is searched for and the prescription is mainly based on those causative factors.

 

9) Seasonal

Different medicines become well indicated in the diseases appearing in different seasons.

 

Rainy season…………….Rhus Tox., Dulc., Nat.Sulph.

Winter…………………...Acon., Bryonia, Gels.

Summer………………….Ant.Crud., Glon., Nat.Mur.

 

These medicines do promptly act but especially if the case be an acute one.

 

10) Chronological-Sequential

During drug proving the serial appearance of the symptoms in the provers are judged and in any case if such sequence be observed, the prescriptions by its similarity produce marvelous results.

 

11) Tautopathic

A process of treatment with nosodes, not depending upon the symptoms but depending upon the material cause of the disease.

 

12) Various other non-conventional methods

a. Poly prescriptions

b. Mixtures

c. Group medicines

d. Specifics, Tonics, Injections, etc.

 

Dear Dr. Dutta

your chapters concerning Boenninghausen's work don't do the master justice. Boenninghausen did not classify symptoms as particular or general at all -- this is a classification introduced by kent. This classification reflects kents swedenborgian thinking.

Depending which repertory of Boenninghausen you refer to, the plan of each of them is somewhat different, depending on its intended use and also reflecting on his experience at the time.

Unfortunately, nowadays homoeopaths often relay on third or fourth hand information, partially because it is freely available, or their own teachers did not review their lectures critically. At least in the case of Boenninghausen we are in the fortunate position to have his Lesser Writings available from B. Jain. Articles included in this book give a well rounded picture of Boenninghausens approach and case work.

I can recommend this book to every serious student. (and to administrators and advisers too)

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