Sequal To My Blog "Gray Areas In Homeotherapeutics"

SEQUEL TO MY BLOG: ‘GRAY AREAS IN HOMEOTHERAPEUTIC’

I wrote a blog about some practical difficulties often met in homeotherapeutic, and sought a debate on their possible solutions. But, in spite of its total lucidity, my discussion proved to be Greek to most of the readers_ except Dr. Sahani, Dr. Heidi Stevenson, who, after having understood the issues, did not address them.

Dr. Hans Weitbrechet, took the innocuous dissertation of mine as an affront or virtual desecration of the sacred bible: the Organon. This issue, I’m happy, was aptly tackled by the learned Dr. Heidi. She brought home to him that ‘science and knowledge, not person, is an object of veneration.’ Mr. Hans, being a professor, I expected from him a very enlightening discussion, with references from the literature of the masters. Even after my exhortation, in my reply to him, he satisfied himself in adducing few references from the Organon. He should have discussed the concrete examples that my article consisted of. But sorry, Professor!!!!!

The other two able doctors missed the point totally. They made my article as an attempt at theoretical validation of Homeopathy. Dr. Alex Haffron brought Logical Positivism to evaluate my thoughts. Dr. Guellermo Zamoran brought Law of Gravity to discuss my article.

My article didn’t have an iota of theory or theoretical evaluation of homeopathy. Homeopathy has amply proved it legitimacy and it is here to stay, whatever the odds. No one can question the veracity of it.

My blog consisted totally of practical problems and issues, which sometimes confront you in your clinical practice; and give you trepidation and pricks of conscience, and restless moments.

a) First I discussed the appearance of boils & furuncles and the use of Hepar Sulph. & Sil. when the patient was warm blooded. We can think that the use of these cold remedies in low potencies, e.i. 3X to 6 centesimal, do bring the sore to the point of ripening and breaking open, without any reference to constitution. But for countless times I have used Hepar Sulph. in 1M and 10M to abort the furuncle successfully, without regard to the thermal sensitivity of the patient. Can such a high potency be given without considering the constitution of the patient?
b) Second I discussed the repetition of the dose of Tarantula Cub. 200, in a case of a carbuncle.
c) Third I discussed weather to repeat a dose of medicine before the next menstrual cycle, if it has done its job nicely before the previous period?
d) Potency and dose selection in the pediatric field.
e) How can we prescribe for the asymptomatic cases of pathology? Examples I gave of asymptomatic renal and biliary calculi; renal and ovarian cysts.
f) Camouflaged cases: as I adduced a case of permanent dribbling of urine in a small lad, who was in fact a case of renal impairment.
g) Then I discussed habitual abortion from the cause of placental abruption and many other placental problems; and saving them by Heparin and other blood thinning agents, by allopathic gynecologists.
h) Last of all I discussed the arbitrary selection and repetition of doses, even by confirmed masters of the profession.

Now tell me is there any theoretical issue involved in these topics? So my brothers and sisters, let us have a talk on these and suchlike problems that you encounter in your daily clinical practice and how you overcome (or circumvent) them!

Hope I will have candid replies from you!!! Let us leave theory and talk practice! Theory is all settled, but practice is not and perhaps can never be!! Dr. Sarfraz Ahmed’s observation is very apt here: “There is one agreement about the potency and the dose by all homeopaths in the world------that there is no agreement!” Thank you Doctor for such a witty remarks!

Dr. Usmani, Dec. 5, 2009

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Comment by Debby Bruck on December 6, 2009 at 9:04am: Here is LINK to Original Gray Areas blog post for those who want to read initial presentation.

Comment by Ranga Sai on January 12, 2010 at 12:25pm: Dear Dr. Usmani,

Hope my answers clarify your doubts.

a) If boils and furuncles are bothering the patient, you may prescribe remedies to abort them. Now, a remedy would still be servicable to a given symptom if the symptom has its counterpart in the pathogenesis of that specific drug. Thermal are not a major deterrent if you are giving the remedies in lower scale.

More over there are many more remedies for carbuncles and boils, which are equally effective in serving the condition, which you would want to consider.

But, our purpose is to address why these boils are coming in the first place. Any remedy prescribed on the pathological level would remove them but finding the right remedy to address the deeper issue would save you a lot of time and pain to the patient by annihilating them altogether.

b) Hahnemann gives you a good guide line for repetition, as long as the symptom persists and has a similar in the remedy, you may repeat. But before repetition you need to rule if there is any change in the symptoms. I have practically repeated Ars alb 10M at intervals of 10 mins, 4 repetitions , in a case of status asthmaticus, when ars. alb. was the indicated medicine and the patient recovered very beautifully after the 3rd rep. This was later followed by a deeper acting constitutional which removed the process altogether... he hasn't experienced asthma since 6 years. So if you think the patient needs a repetion because the discharge is slower... you may ( you may dynamize every subsequent dose if you are scared of any aggravation ).

c) You may repeat the same medicine before a menstrual cycle, which had serviced before the cycle too, if the potency you are gonna give is higher than the previous one. It would be ideal if you can wait for the coming cycle too and asses the patient.

d)Children often would require a higher potency. The selection is soundly based on the fundamentals of homeopathy and not on any guess work or speculation.

The higher the potency , the safer it becomes. As there is very little of the material quantity and vice versa. The dose is so minute in the higher potency that even if prescribed wrong, it would not lead to any aggravation. But we would not want to prescribe wrong one isn't it Dr.?

As you mentioned children are sensitive, hence they are more susceptible. Greater the susceptibility, higher the potency. That's so simple.

e)If the patient is asymptomatic, that in itself is a symtom ! If looked in the right light.
Ofcourse you may give any medicine on pure pathological basis but there would be some significant landmarks in the past medical history of the patient, which may guide you further.

We don't get fruits unless there is a tree. So ... feel and appreciate the tree. You will then understand more about the seed, the soil and the environs in which this diseased tree is growing.

f) The dribbling of urine is again like above. The principles essentially remain the same.

g) Habitual abortions do have remedies in homeopathy. The authors of past would have lacked instruments to measure or identify the cause in terms of pathology, but they surely had much deeper and significant works in this area. If you give a remedy which would cover this tendency of the women, she would never require a histamine shot.

You may read Uterine Therapeutics by Minton,
Textbook of Gynecology and Hom. therapuetics by A. Cowperthwaite,
Homeopathy in Obstetrics & Pediatrics by H. N Guernsey.
As i have earlier mentioned, selection of potency and repetition has sound principles behind them. Unfortunately this understanding has not been transferred by all the teachers to the students effectively.

The chapters
Posology,
Potentiation and the Infinitesimal Dose
The Drug Potential
by Stuart Close would help you master a lot in these areas of repetition and potency.

Hope this answers your queries.
I am open for clarification if any.

:-) Ranga.

Comment by Dr. M. A. Usmani on January 16, 2010 at 8:53am: hello, Dr. Ranga, thank u for your comments. For my full reply pl. read my latest blog, i.e. Further Discussions.....

Dr. usmani