Homoeopathic Philosophy - by Stuart Close

The Genius of Homeopathy - Lectures and Essays on Homeopathic Philosophy - By Dr Stuart M.
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The Genius of Homeopathy

Lectures and Essays on Homeopathic Philosophy
By Dr Stuart M. CLOSE
Presented by Médi-T
Preface
Chapter I - The Psychological Point of View
Chapter II - General Interpretations
Chapter III - Schools of Philosophy
Chapter IV - The Scope of Homœopathy
Chapter V - The Unity of Medicine
Chapter VI - Life, Health and Disease
Chapter VII - Susceptibility, Reaction and Immunity
Chapter VIII - General Pathology of Homœopathy
Chapter IX - Cure and Recovery
Chapter X - Indispositions and the Second Best Remedy
Chapter XI - Symptomatology
Chapter XII - Examination of the Patient
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The Genius of Homeopathy - Lectures and Essays on Homeopathic Philosophy - By Dr Stuart M. CLOSE
Chapter XIII - Homœopathic Posology
Chapter XIV - Potentiation and the Infinitesimal Dose
Chapter XV - The Drug Potential
Chapter XVI - The Logic of Homœopathy
Chapter XVII - The Development of Hahnemannian Philosophy in the

Sixth Edition of "The Organon"
Copyright © Médi-T ® 2000

Remerciements au Dr Robert Séror et à Mr John Lunstroth
H.I.
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Preface - The Genius of Homeopathy - Lectures and Essays on Homeopathic Philosophy - By Dr Stuart M. CLOSE
Main

Lectures and Essays on Homeopathic Philosophy
Preface
MANY of the articles which make up this book

were originally prepared and delivered as lectures for
the Senior Classes of the New-York Homœopathic
Medical College, during my engagement as Professor
of Homœopathic Philosophy, 1909-1913. Most of
them, after revision, have appeared during the past
four years in the Department of Homœopathic
Philosophy conducted by me in The Homœopathic
Recorder. Revised again, they are now issued in
compliance with many requests from readers of The
Recorder and others, who have expressed their belief
that they are worthy of preservation and that their
publication in book form will serve a useful purpose.
In discussing Hahnemannian principles from, a

Dr Stuart M. CLOSE
modern standpoint I hope to contribute something
toward a renewal of interest in the science and art of therapeutic medication as exemplified in
Homœopathy, of which the medical profession is much in need.
A review of current literature and neighborly relations with many physicians of the
dominant school of medicine reveals not only a more friendly spirit than formerly existed, but
an active interest in what their homœopathic brethren have to offer toward the solution of
therapeutic problems and a duke to co-operate. The era of therapeutic nihilism is passing
away. Thinking men and leaders of the dominant school are ready to participate in a scientific
discussion of the theory and principles of therapeutic medication from a homœopathic
standpoint when approached in a non-sectarian spirit. They are becoming more generally
receptive of the idea of the existence of a general principle or law of therapeutic medication
than ever before and more willing to consider evidence submitted in favor of that proposition.
They rightly hold, however, that the evidence to be submitted should be prepared in such a
manner as to comply with the requirements of scientific research. Leaving that phase of the
subject to the scientific and research workers' and others to whom it may be congenial, and
not forgetting the many in our own school who are interested, it seems permissible to present
once more, as simply and attractively as possible, an exposition of the logical, historical and
philosophical principles upon which Homœopathy is based and attempt to show, at least
suggestively, its relation as a department of general medicine to other sciences. That is the
object of this book. It makes no pretensions to being "scientific." It is conceived and
submitted in a fraternal and philosophic spirit, however far it may fall short of adequate
expression.
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Preface - The Genius of Homeopathy - Lectures and Essays on Homeopathic Philosophy - By Dr Stuart M. CLOSE
Stuart Close.
Brooklyn, N. Y.
New York Homeopathic Medical College and Flower Hospital
Main
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Chapter I - The Psychological Point of View - The Genius of Homeopathy - Lectures and Essays on Homeopathic Philosophy - By Dr Stuart M. CLOSE
Main

Lectures and Essays on Homeopathic
Philosophy
Chapter I
The Psychological Point of View
Great Personalities - All great

forward movements in religion,
science or art originate in the And
of some individual Who appears at
the psychological moment and
announces his mission. His
personality and his teaching
represent the truth for which he
stands.
To a Moses or a Luther, to a
Washington or a Lincoln, to a Plato
or a Bacon, to a Hippocrates or a
Hahnemann, each in his own Hippocrates
sphere and period, the world comes
and must come for instruction, inspiration and leadership.
Always, following the appearance of a great teacher or leader,

opponents, detractors, or corruptors spring up and attempt to stay, or
destroy, or divert to their own glory the progress of the pew
movement. Disciples or would-be disciples have always to be on
guard against false teaching. Their principal safeguard is in
maintaining a sincere and intelligent loyalty to the historic leader
whose personality and teachings represent the original truth, and in
intellectual and personal fellowship with other followers who
maintain the same attitude and relation.
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Lesser lights and lesser leaders there must and always will be, to
whom, each in his own rank and degree, honor and loyalty are due;
but the disciple is never above his master. He only is "The Master",
to whom the first great revelation of truth. was made and by whom it
was first developed and proclaimed; for., such epochal men are
supremely endowed and specially prepared, -usually by many years
of seclusion, intense thought and labor. They are raised up at last to
do, a great work. They stand on the mountain tops of human
experience, from whence they have a field of view and a grasp of
truth never before attainable. Like Moses they have, as it were,
received the "Tables of the Law" direct from the hand of the
Almighty.
Homœopathy, the science and art Of therapeutic medication, as a

twofold existence - as an institution - and in the personnel of its
loyal, individual representatives.
These two constituents are pervaded by a common animating

spirit, which finds expression respectively in its organizations. and
literature and in the life and practice of its followers.
Homœopathy a System.- The fundamental principles of

homœopathy are embodied in a system of doctrines, laws and rules
of practice which were first formulated, named and systematically
set, forth by Hahnemann in his Organon of the' Rational Art of
Healing. By that, homœopathy was given a name, an individuality
and a character which defines and identifies it for all time.
The practical demonstration of homœopathy is committed to its

personal representatives, whose success will be proportionate to their
efficiency. Efficiency in homœopathy implies and, involves native
ability, acquired technical proficiency and logical' consistency in the
application of its principles. The exercise of these qualifications
requires honesty, courage, fidelity to a high ideal and a right point of
view.
Every problem with which homœopathy deals, therefore, must be

approached and every technical process conducted systematically
from a particular and definite mental standpoint. The student or
practitioner of homœopathy must not only know what this point -of
view is, but he must acquire it and act from it in each case. This
might be called the personal side of Homœopathy for in the last

analysis homœopathy, from the psychological standpoint, is

essentially a state of mind existent in the person of its representative.
In this sense personally, or be, sum of all the essential attributes and
qualities of the individual is a condition-precedent to professional
success.
Having defined the qualities and attributes that enter into, the
makeup of the homœopathician the various practical problems and
technical processes of homœopathy can be taken up and discussed
from the point of view already established.
As a prerequisite to a clear understanding of the subject, as well

as to the attainment of efficiency in the practical application of its -
principles, it is assumed that homœopathy is what,. it is claimed to
be a complete system of therapeutic medication.' As a scientific
system it is made up of certain facts, laws, rules. and methods or
processes, each of which is an integral part of the whole.
Nothing conflicting with its established principles can be added to

it, nothing taken away, if it is to stand in its integrity.. Once it is
determined what these essential elements and principles, are,
homœopathy must stand or fall as a whole.
A mutilated homœopathy is a lame and crippled thing, compelled to

sustain itself by crutches, splints and braces. An emasculated
homœopathy is an impotent homœopathy, without the virility
necessary to maintain or reproduce itself. Some shortsighted,
superficial and weak-kneed individuals, actuated by their prejudices,
or through their failure to comprehend the subject as a whole, have
adopted an emasculated homœopathy for themselves and attempted
to support their crippled eunuch as a candidate for general
acceptance. Subjects such as the "life force" the single remedy,
potentization, infinitesimals, the minimum dose, and the totality of
the symptoms as a basis for the prescription, they have characterized
as unessential, "so long as the principle of similia was maintained."
They do not perceive that each of these doctrines is logically drawn
from and inseparably connected with the one fundamental doctrine
which they profess to accept and apply. It is this which has brought
homœopathy, as an institution, down to a point where as very
existence is threatened.
Within its sphere homœopathy is entirely adequate to, meet all its

own problems in its own way, when it is practiced in its. purity and
entirety. But homœopathy will fail if it is forced outside or beyond
its real sphere, or if it is perverted and emasculate? To know me true
sphere and limitations of homœopathy is necessary to practical
success as to know its technic and resources.
Mere formal knowledge of the "law of cure" and the technic of

prescribing does- not make' a homœopathic physician in the true
sense of the Word. Something more than that is needed. Into that
cold and inert body the breath of life must be breathed before it
becomes a living soul. Homœopathy is a spirit as well as a body of
rules and principles and the spirit must be incarnated in every true
believer and follower. That incarnation takes place when the mind of
the neophyte is opened to the philosophical truths which underlie
both the method and the principles, and he becomes imbued with the
desire and the purpose to make them the ruling influence of his life.
Methods of adapting and applying the principles have changed to

some extent as the scope and technic of prescribing have been
developed, but homœopathy is essentially the same to-day that it was
a hundred years ago.. Individual practitioners, nominally followers
of Hahnemann, have drifted away from his teachings and method,
and some have attempted to inject into Or graft upon homœopathy
all sorts of "fads and fancies;" but the mongrel thing thereby created
deceives no one who has derived his knowledge from the fountain
head. Homœopathy as set forth by Hahnemann, while not perfect, is
completely in all essentials as a system. It is supreme within its
legitimate sphere because it is the only method of therapeutic
medication which is based upon a fixed and definite law of nature.
The validity of this law has been disputed by the dominant school
of medicine ever since it was first promulgated by Hahnemann; but it
has never been denied by any one who has complied with all the
conditions necessary for a scientific demonstration, of its verity. To
comply with those conditions in good faith and test the matter is to
be convinced.
It is conceivable and probably true that one reason for the

rejection of the homœopathic principle is that the principle, as
usually stated, has never been fully understood. It is a fact that most,
if not all of the attempts (with an exception to be brought forward
later) to state the principle have been faulty. Analysis and
comparison have not been carried far enough, in most cases, to

clearly identify the principle and its relations, and establish

'homœopathy in the "circle of the sciences" where it belongs.
The dominant school of medicine has not only denied that the so
called "homœopathic law" is a law of nature, but denied that there is
any general law which governs the relation between drugs and
disease and have ceased searching for one. The existing situation has
never been better characterized than by Mons. Marchand de Calvi in
an eloquent and stirring address to the French Academy of Medicine.
"In medicine," he said, "there is not, nor has there been for some
time, either principle, faith or law. We build a Tower of Babel, or
rather we are not so far advanced, for we build nothing; we are in a
vast plain where a multitude of people pass backwards and forwards;
some carry bricks, others pebbles, others grains of sand, but no one
dreams of the cement; the foundations of the edifice are not yet laid,
and as to the general plan of the work, it is not even sketched. In
other words, medical literature swarms with facts, of which the most
part are periodically produced with the most tiresome monotony;
these are called observations and clinical facts; a number of laborers
consider and reconsider particular questions of pathology or
therapeutics that is called original research. The mass of such labors
and facts is enormous; no reader can wade through them-but no one
has any general doctrine. The most general doctrine that exists is the
doctrine of homœopathy! This is strange and lamentable; a disgrace
to medicine – but - such is the fact."
Principles and Organizations - A common mistake, and one of

the greatest that can be made, is that of rendering to organizations
the spiritual submission that belongs in the highest degree to
principles only.
Organizations are formed for the purpose of maintaining and

advancing principles, but it often happens that in the stress of
building and maintaining the organization the principles are pushed
into the background, neglected or forgotten. The man too often
becomes the slave of the machine instead of its master. The
organization becomes a: Frankenstein which destroys its creator.
Worse even than the mere neglect or forgetting, is the willful
corruption and perversion of principles which is often the result of
the mad struggle for organization prestige, power and position.
Moreover, individuals connected with or responsible for the success
of the organization are easily infected with the germ of selfish

personal ambition. They come to regard their official contract with it

as a through ticket on The Limited to the city of their dreams.
Out of these conditions, which it is not necessary to illustrate or

enlarge upon, arise some of the most serious problems -of the world.
Organizations-civil, military, medical, political, social, religious and
educational-may and often do become corrupt, mercenary,
tyrannical; a menace to; liberty and progress; enemies to the
principles they are supposed to represent and agents of compulsion.
The individual truth-seeker must, therefore, keep his eyes open

and walk circumspectly if he would keep in the path of progress,
maintain his mental integrity and preserve liberty of thought, speech
and action.
It has come to pass that individual liberty is calculated only in

percentages now. The increasing pressure of official and institutional
compulsion encircles us. The moral compulsion of the "Drive" is but
a short remove from the physical compulsion of the "Draft."
Metaphorically, the internment camp, the prison, the dead wall and
the firing squad are just beyond.
The world is in a state of war. It is a "War of the Worlds." The

political world, the industrial world, the social world, the religious
world, the medical world--organizations all-are torn by war because
importance has been attached to organizations that belongs only to
principles.
Organizations like men are subject to disease, decay and death.

When they become corrupt they die, for corruption is elementary
death. Institutions, nations, whole civilizations have died,
disappeared and been forgotten until brought to light by the
excavations of archeologists centuries or perhaps millenniums
afterwards. But principles never die.
Principles are essential truth, represented by or corresponding to

facts. The essential characteristic of truth is its steadfast conformity
to law and order. Truth is Life, Mind, Spirit; absolute, infinite and
immortal. Organisms in which truth embodies itself are transitory.
They change, decay and pass away, but life is continuous. Truth, like
the fabled Phoenix, burns itself on the altar and arises from its own
ashes.

Homœopathy, as already pointed out, has a two-fold existence-as

an institution or organization and in the individuals who make up its
following. The spirit and principles of homœopathy have never been
and never can be solely in the keeping of any institution, for
organizations are continually changing and dying.
Individuals unite in small or great societies and work together

harmoniously for a time, but not for long. Disagreements arise, they
dissolve their original relations and form others; but the work goes
on because the Spirit of Truth always draws together those :of like
minds for the attainment of a common object. At critical periods and
in the long run it is always the individual who preserves, passes on
and perpetuates the truth.
Upon individuals, therefore, as living embodiments and

representatives of the truth, rests a great and solemn responsibility.
No man can shift his personal responsibility to an organization. As a
creator and member of organizations he does not cease to be an
individual trustee, nor should be become slavishly subject to the
organization. The creator is greater than the creature. He may work
in or by means of an organization, but he may not work for an
organization, lest he presently find himself in bondage to a creature
which has become corrupt.
It follows that our greatest concern as followers of Hahnemann

and representatives of homeopathy is primarily with individuals -
men and principles rather than with organizations. We will build
men into organizations and keep the organizations clean and useful
as well as long as we can; but let us be sure that we build principles
into men.
Nature puts man first. Truth is not revealed to institutions, but to

men. Let us have done with fictions and deal with realities. An
organization is a machine; an inanimate, soulless thing; a figment of
the imagination; a creature of the law, deriving its existence and
seeming vitality only from the individual men who compose it;
ceasing to be when their relations are dissolved. Man is a real living,
thinking human being, "made in the image and likeness of God," an
individual embodiment and personification of a portion of the
Infinite and Universal Mind, endowed with the ability to exercise
creative power within his appointed sphere and destined for
immortality. Let him exercise it in liberty, using organizations

judiciously but not becoming enslaved by them.
Main

Chapter II - General Interpretations - The Genius of Homeopathy - Lectures and Essays on Homeopathic Philosophy - By Dr Stuart M. CLOSE
Main

Philosophy
Chapter II
General Interpretations
The Philosophy of Homœopathy rests upon the following general

interpretations of the System of Nature which Science universally
recognizes as fundamental.
1. The laws and ways of Nature are

uniform and harmonious.
2. Effects follow causes in unbroken
succession.
3. To every action there is an equal and
opposite reaction.
4. Action and reaction are ceaseless,
equivalent and reciprocal.
5. Motion is, ceaseless and
transformation continuous.
6. Matter is indestructible and infinitely
divisible.
7. Force is persistent and indestructible.
8. The quantity of action necessary to
effect any change in nature is the least
possible.
The following
propositions, slightly modified
from the original, are drawn
from Von Grauvogl's Text
Book of Homœopathy.

(Nuremburg, 1865; London,

New York and Chicago, 1870.
Trans. by George E. Shipman,
M. D.)
The aim of all science is,

to set up in place of the
contingent that which law
makes necessary, and to refer
every particular to its
universal.
These two predicates

connect science with things.
Dr Von Grauvogl
We must hold fast
intellectually to the useful things which the past has produced. We
must gain space in time, but living space. Not by the empiric
accumulation of facts perceived (the facts of perception), but by their
well weighed appreciation, according to the eternal laws of nature, is
their existence secured for all time. Facts which this criterion rejects
are worthless scientifically.
Hence in homœopathy we strive not only to separate the

contingency from the event, i.e., to determine the causal succession
from what has taken place, but also to become master of that
contingency which makes our judgment uncertain. The contingency
of our judgment of the facts, arrived at experimentally by the process
of analysis, must be removed synthetically by connecting the laws of
nature with the facts, so that we may be able to show their
interdependence and act accordingly. In this synthesis, or connecting
of our perceptions, conducted simultaneously with experimentation,
consists the Art of observation.
All conceptions of our inner being, as well as external things, are

based primarily upon the perceptions of our senses (including
consciousness, or the "inner sense"). But the formation of our ideas,
judgments and conclusions must result from determinate, objective
laws, inherent in the things themselves and their constitution, and not
from caprice.
Every event in the circle of natural phenomena has a conditional

necessity, since it can only result from its precedents and depends
upon them. This conditional necessity results from the primary
unconditional necessity of the fundamental laws of nature and their
absolute truth.
Laws of nature are the forms by which the constant course of

natural phenomena from given causes and conditions may be
expressed.
Laws do not cause the existence of events or phenomena. By

virtue of the laws we may explain to ourselves, intellectually, not the
existence, but the connection of phenomena, and so come to
understand their development and conditions.
We understand phenomena, not by any apparent properties of the

phenomena themselves, but by intuitive perception or immediate
consciousness of the fundamental laws. Such laws as the law of
cause and effect, the equivalence and contrariety of action and
reaction, the constancy of matter and force, are intuitively perceived
to be the ultimate reason of which we can have any knowledge.
Laws of nature, in general, are deductions of experience and

observations with regard to the necessary course of events or
phenomena from given elements, the ultimate course of which lies
beyond physical science in the domain of metaphysics.
That which changes the regular course of states and events,

however, results in consequence of causes which may be determined
by physical science to determined by considering the fundamental
laws of nature.
Every change of state or event has a number of causes, known as

primary and secondary causes, or as cause and conditions.
A spark of fire, put into a barrel of powder, is the cause of the

explosion that follows. The chemical composition of the constituents
of the powder and their mode of combination supply the necessary
conditions for explosion to occur.
Every change implies or presupposes something constant, that is,

something with at least two opposite tendencies. Chemistry, e.g.,
rests upon the law of constancy of bodies and forces, the law of

chemical affinity and the law of definite proportions or equivalence.
In accordance with the law of constancy of bodies and forces, all

bodies remain essentially the same under all circumstances. Chlorine
remains chlorine, and hydrogen remains hydrogen always. Only as
they are combined according to the laws of chemical affinity, and
certain definite proportions, do they change their state and become
hydrochloric acid. The cause of the result lies in the art of the
chemist. The conditions lie in the specific affinity of these bodies for
each other and for other bodies. The effect is to change their two
states into one in the form of hydrochloric acid.
The cause of tuberculosis is the tubercle bacillus.
The necessary conditions for (secondary causes of) the action of

the bacillus are the peculiar bodily constitution, predisposition,
susceptibility and environment of the patient. Without these
concomitant conditions or causes, no one would ever have
tuberculosis.
Thus, in order to explain by science or accomplish by art a

complex result, many laws must be considered, but especially the
law of reciprocal action.
All changes in nature are the result of the reciprocal action (action
and reaction) of bodies and forces. But here an important distinction
must be made between animate and inanimate bodies and forces;
between living organisms and machines.
Reciprocal action is mediate and immediate. Within the living

organism, bodies and forces act immediately, the one upon the other,
by virtue of the living fellowship of all its parts. In a machine they
act mediately.
The motion of all parts of a machine depends, at every moment,

upon the force of the external cause alone, the machine remaining
constantly passive to the action of the force.
The machine cannot supply itself with oil, repair the losses it
suffers from rust, friction, etc., nor reproduce itself in whole or in
part. It knows no need and feels no necessity for any of these things.
The living organism, on the contrary, does know and feel its need

and seeks to supply it.
The living organism also receives external substances and their

forces into itself, yet they are not the sole causes of its motions, but
only for the nourishment of the constantly active plus.
Substances taken into the organism from without remain passive

within the organism, while the organism toward them is active. Food
does not pass spontaneously into the blood, nor is the blood changed
spontaneously into bile or urine, but these things occur by virtue of
living, intelligent, reciprocal causes and effects residing and taking
place within the organism, according to determinate specific laws.
Hence a machine is the complete opposite of an organism.
Science derives its knowledge of Life from a consideration of the

facts of observation and experience in connection with the laws
which express the form of their necessity, in accordance with which
they occur. The facts and the laws stand together with the same
objective value.
In considering the succession of two different states of the same

living body, such as health and disease, the law of causation teaches
that no internal effect can arise without an external cause, and that
the effect itself may in turn become a cause of further changes.
The law of vis inertiæ teaches that all internal changes of bodies
in nature are the results of an external cause, for without 'this all
bodies would remain in the same state in which they were placed.
The state of the body must be known before any change in it can be
known. The cause or reason of the state of the body, therefore, are
the conditions under which it can be changed by any external cause.
In Medical science and especially in therapeutics, rigid

discrimination must be made between the two relations of state and
changes according to these two laws (causation and vis inertiæ,);
since the action of the curative agents introduced into the body as
external causes, for the purpose of changing a state of disease into a
state of health, can only be determined by paying due regard to the
conditions of age, sex, constitution, predisposition, etc., as
manifested by symptoms or phenomena.
Regard must always be had for the differences which exist

between that which is constant and unchangeable in the life of the

organism and that which is changeable. The constant and
unchangeable are the laws of its specific form, as shown in cells,
connective tissue, etc. Forms are transmitted by parents. The
changeable are the chemical and physical properties of these
constituents of the organism, which are derived from the external
world, and the functioning of the organism itself. Pathological form
elements must be like the physiological, since the organism can form
nothing within itself against its own unchangeable laws. According
to the law of specification, every change of form or function in
organism is accompanied by a corresponding changed combination
of matter. Hence, when we observe any physical phenomena
undergoing a change in the organism we know that chemico-vital
changes are going on at the same time.
Two things thus constitute disease: -first, the qualities of the

organism, which constitute the conditions for the disease; second,
the external causes of the disease.
Forms of disease also obey a fixed law of constancy. Entire

groups of disease, chronic and acute, and externally the most
various, arise from the same morbid cause and form a unit in their
succession, although one form occurs in childhood, another in youth
and still another in advanced years. Syphilis and tuberculosis are
striking examples.
Instead of seeking the cause and character of a presenting form of

disease only in that which is immediate and mar at hand, we should
seek the more remote causes which have manifested themselves in
the sequence of disorders and diseases which have preceded the
present form. Upon the adoption of this principle depends the power
of prevision and progress, as well as an efficient prophylaxis and
therapeutics.
All functioning of the living organism depends upon a constant

reciprocal action between the different constituents of the body
within itself, and of the organism as a whole with its environment,
the external world and its constituents.
According to the laws of causation and vis inertiæ, every part of

the whole is at the same time active and passive, or in a state of
approximate equilibrium of motion or rest. Disease, strictly

speaking, is neither an action nor a reaction, but only a new or

changed state of the organism caused by the interaction of an
external cause with the internal constituents of the organism,
resulting in a new form of the whole of a reciprocal action in which
cause and effect are ever conjoined.
Physically speaking, forces are properties of substances, or

bodies. They may be divided into changeable and unchangeable
forces. Only those properties which are specific of bodies under all
circumstances, which are necessary and constant, which isolate them
perfectly from all other bodies and give each its individuality, can
properly be called forces. Such, for example, are the specific gravity
of each separate body; the property of a body which determines the
constant equivalents of its combination with hydrogen or oxygen, or
the specific individual qualities of organic forms.
Any change in bodies produced by an external cause takes place

only within their changeable. forces for properties, as in their
volume, density, color, or manner of chemical combination.
The basic or unchangeable forces of matter which are the

properties of its masses, are divided into forces of repulsion or
attraction. Both my operate at a distance or by contact Since every
action in nature is a reciprocal action between bodies, such a basic
force does not belong to the body alone, but belongs to it in the ratio
of its relations to other bodies. Here we find that the like repel and
the unlike attract each other.
Thus, every whole exists under the conditions of the combinations

of is parts; me combination of its parts creates a dependence of the
parts upon each other, and upon the specific form of the whole; and
the whole exists in reciprocal relations with other forms in the
external world.
Hence, in the organic world, there are no simple bodies, but only
the simple, primary substance (the incorporeal life substance itself),
of which, in combination with the chemical elements, all living
organized bodies are formed. Even living cells are not simple, since
physically they are composed of chemical elements, the fundamental
forces of which differ according to their form and composition and
their reciprocal relation with the life force of the organism.

Within the cells, among their constituent chemical elements, exist

the basic forces of attraction and repulsion, action reciprocally with
the inherent life force of the organism, derived from the incorporeal
life substance itself.
*****
Physical science has come to regard all matter as a

"condensation" of the universal, intangible, interatomic ether, which
is thus acknowledged to be a fundamental substance. But physical
science cannot account for life and mind or intelligence without
acknowledging that life and mind are also substantial entities, having
their existence in the being and existence of the one ineffable,
omnipotent, omniscient and omnipresent Supreme Being.
Relations of Science and Art. - Art and science are inseparably

bound together, Every art has its foundation in science, and every
science finds its expression in art.
Consciously or unconsciously the artist or the craftsman at work

is applying principles and laws, formulated and systematized
knowledge of which constitutes science.
Exceptionally an artist, by virtue of inherent capacity and genius,

may not be aware that he is applying scientific principles in his
work. The "Art Instinct," when powerful, may express itself
spontaneously and naturally by force of an internal feeling or native
impulse, grasping principles intuitively and subconsciously and
developing its own methods of technique through individual
experience. But such endowment is rare, and even the greatest
natural genius does not reach his highest development until he has
awakened to the existence of theories, laws and principles and
viewed his work consciously from the scientific stand point.
When an artist reaches that point of development, philosophy

begins to, interest him. His eyes are opened and his vision is clear.
He now wants things explained. Thenceforth, his field is broadened
and his power of expression increases in proportion to his
determinate development in that direction.
The scientist on the contrary never, or very rarely, proceeds by

instinct. His eyes are yen from the beginning. He knows exactly

what he wants to do. He works deliberately by established rules and

methods, based upon principles deduced from ascertained facts.
Reason and logic, rather than feeling and emotion, are his guides
from first to last. Not that the scientist may and does not have his
moments of inspiration and high emotion as his imagination leaps
forward its new fields opened up before him, or some Dew discovery
rewards his studies, investigations and researches; for he certainly
does have such moments and the greater the man, the more
frequently does he experience them. When the artist becomes a
scientist and the scientist becomes an artist they meet on the
mountain tops of human experience and share alike in the joys of
conscious creation.
Homœopathy is both an art and a science. The successful

homœopathician must be both an artist and a scientist. His work
must be both artistic and scientific. Theory and practice must go
hand in hand. Technique must be governed by definite principles.
Performance must be consistent with profession.
Some knowledge of the principles which are common to all

sciences and arts is essential to a correct understanding of the special
art and science with which we are concerned as homœopathicians.
Study of the relation of homœopathy to other arts and sciences has
been neglected and the standards as well as the morale of the
profession have been lowered in consequence.
Homœopathy has been regarded too much as a thing apart; a

wanderer without friends or relations; a sort of medical Topsy:
"Never had no parents-jes' growed." The fact is that homœopathy
was the logical and legitimate offspring of the Inductive Philosophy
and Method of Aristotle and Lord Bacon. It is the highest
development of modern therapeutic science and as such stands
intimately related to the sciences of Logic, Mathematics, Physics,
Chemistry, Biology, Psychology and other sciences. The broader and
more accurate the knowledge of these relations, the higher will be
the respect for and the warmer the enthusiasm in the practice of the
Hahnemannian Art.
Fundamental conceptions of matter and motion; energy and force;

spirit and life; mind and body; health and disease; cure and recovery
and their relations to each other which are embodied in the Organon
of Hahnemann and which I shall endeavor to interpret in the light of
modern science and philosophy, are not only the profoundest

subjects of human thought, but they are an integral part of

homœopathy.
Realization of this fact should arouse interest. It stimulates the

kind of thought and study which develop the scientific spirit. It is the
most powerful factor in the creation of that high morale which is so
essential to the progress and perpetuation of the science of
therapeutic medication The highest loyalty to; principles,
consistency in practice and perfection of methods can be attained in
no other way.
A carpenter who is content to know his steel square only as a tool

by which he can measure or draw a straight line across a board and
tell whether the angles of a frame are true, will never become
anything more than a mere day laborer. But arouse his interest in the
mysterious lines and figures on that wonderful instrument; induct
him into the mathematics of the square; teach him its higher uses and
the possibilities of his development and progress are almost
unlimited.
So the physician who knows only a little rudimentary materia

medica and therapeutics in addition to his medical-college-
knowledge of general medicine, and is content with that knowledge.
will never be anything but a routinist and a medical misfit.
Homœopathy a Science. - Homœopathy, or homœotherapy, is

the department of science in general medicine which has for its
principal objects the observation and study of the action of remedial
agents in health and disease, and the treatment and cure of disease by
medication, according to a fixed law or general principle.
Homœopathy was
founded and developed
into a scientific system by
Samuel Hahnemann
(1755-1843) under the
principles of the Inductive
Method of Science as
developed by Lord
Bacon. Its practice is
governed by the principle
of Symptom-Similarity,

which is the application

in medicine of the
universal principle of
Mutual Action formulated
by Sir Isaac Newton in
his Third Law of Motion:
"Action and reaction are
equal and opposite."
Homœopathy, as a
science, rests
fundamentally upon four
general principles:
Similarity, Contrariety,
Proportionality and
Infinitesimality, reducible Dr Samuel Hahnemann
to the universal principle
of Homœosis, or Universal Assimilation. (Fincke.)
"Science is Knowledge reduced to law and embodied in system."

"Knowledge of a single fact, not known as related to any other, or of
many facts, not known as having any mutual relations or as
comprehended under any general law, does not reach the meaning of
science."
"A science in its development is 1. A collection of exactly

observed facts; 2. A correlation or generalization of these facts,
forming a system; 3. A formulation of these generalizations as laws;
4. It proceeds to some principle or force accounting for these laws;
hence, exact knowledge of proximate causes." (Condensed from the
Standard Dictionary.)
Law, in the broadest sense is the observed order or relation of the

facts It is not required that the cause of the order or relation be
known. As mathematicians and astronomers, accustomed to deal
with the highest order of facts, are content to accept the law of
gravitation without explanation of the cause, so physicians, if there
be a law of cure, may accept it without explanation of its cause. But
the tendency of modern physical science is toward the more
complete generalization, its goal being the discovery of a universal
principle which shall connect all physical phenomena.

Specifically, in the scientific sense, a law is the connecting link

between two series of phenomena, showing their relation to each
other.
"There are two tests of the validity of any law that is claimed to
be a natural law, or law of nature.
1. That it is capable of connecting and explaining two series of

natural phenomena.
2. That it is in harmony with other known laws.
In optics, for example, we have the phenomena or properties of

luminous bodies, and the phenomena of light receiving bodies. These
two series of phenomena are connected and explained by the law of
the diffusion of light.
In physics the phenomena of the sun, as regards density and

volume, are related to the phenomena of the earth by the law of
attraction or gravitation.
In chemistry the
properties of potassium are
related to the properties of
sulphuric acid by the law of a
chemical affinity and definite
proportions, in the formation
of a new compound,
potassium
sulphate." (Abstracted from
Dunham, Science of
Therapeutics.)
So in Homœotherapy, we
have the phenomena of drugs
related to the phenomena of
diseases by the law of mutual
action, under the principles
of similarity, contrariety,
proportionality and Dr Carroll DUNHAM
infinitesimality; reducible
again to the principle of Universal Assimilation of Homœosis.

"Therapeutics is that department of medical science that relates to

the treatment of diseases and the action of remedial agents on the
human organism, both in health and disease." (Standard Dictionary.)
Since it conforms to every requirement of these general,

authoritative definitions of Science, homœopathy has been defined
as The Science of Therapeutics. No other method or system of
medical treatment conforms or even claims to conform to all of these
fundamental requirements.
But while it can easily be shown that the curative action of any
agent whatsoever used in the treatment of disease, mental or
physical, conforms to the fundamental principle of Mutual Action, in
the narrower or more practical sense homœopathy must be defined
as the science of therapeutic medication, since it commonly uses
medicines or drugs alone to effect its purposes.
Homœopathy is not, strictly speaking, "a system of medicine" as

it is often inaccurately called, using the word medicine in its broad
general sense. General medicine is made up of a number of distinct
sciences, including General Therapeutics, which covers all the
therapeutic resources known to man. It makes use of many agencies
besides medication for the alleviation of human ills.
Homœopathy, therefore, is a department of general medicine, like

anatomy, physiology and pathology.
Homœopathy an Experimental Science - Like chemistry or

physics, homœopathy is established under the principles of the
inductive method in science. Considered as a science, it consists of
two series of phenomena, independently observed, collected and
studied, connected by an underlying law or principle of nature. Its
elements are: 1, The phenomena of disease; 2, the phenomena
produced by drugs when administered to healthy persons; and 3, the
general law of mutual action, otherwise known as Newton's Third
Law of Motion and as the Law of Similars, which connects the two
series of phenomena. The phenomena of disease constitute its
pathology, the experimentally derived phenomena of drugs, its
materia medica and the application of its materia medica under the
law its therapeutics.
Experimentally, in the construction of homœopathic materia

medica, medicines were administered singly, in various doses, to

healthy human beings for the purpose of eliciting, observing,
recording and comparing their effects. Comparison shows that the
symptoms thus produced by drugs are similar to the symptoms of
disease. Any symptom or group of symptoms of disease may be
duplicated from the materia medica record of drug symptoms.
Experimentally also it has been proven that under certain

conditions, to be stated hereafter, medicines cure diseases by virtue
of their similarity of symptoms; that is, medicines cure, or remove in
the sick, symptoms similar to those which they have the power of
producing in the healthy. From this fact of experience was deduced
the law of cure and medication, known as the "law of similars,"
which is found on examination to be a statement in other words of
the general Law of Mutual Action,. variously termed the law of
equivalence, the law of action and reaction, the law of balance or
equilibrium, the law of polarity, the law of compensation and
Newton's third law of motion.
Homœopathy an Art. - Homœopathy works in perfect harmony

with all necessary rational, non-medicinal and mechanical,
therapeutic agents. Surgery, obstetrics, hygiene, dietetics, sanitary
science, chemistry (so far as it is applied in the preparation of
medicines and in ejecting and antidoting poisons) and psycho-
therapy all find in homœopathy their congenial and most powerful
ally.
Homœopathy is opposed in its constitution and principles to all

forms of treatment by direct or physiological medication, and to
physio-chemical treatment or treatment based upon chemical
theories.
Homœopathy is opposed to the use; under ordinary conditions, of

drugs in physiological doses for mere palliative purposes, since its
primary object is always the cure or obliteration of disease and
complete restoration of health.
Homœopathy is opposed to the methods of vaccine and serum

therapy, although it is claimed by many that these methods are based
upon the homœopathic principle. It grants that this may be true so far
as the underlying principle is concerned, but opposes the method of
applying the principle as being a violation of sound, natural

principles of medication and productive of serious injury to the

living organism.
It has been proven experimentally and clinically that such

methods are unnecessary, and that the results claimed by their
advocates can be attained more safely, more rapidly and more
thoroughly by the administration of the homœopathically indicated
medicines in sub-physiological doses, through the natural channels
of the body, than by introducing it forcibly by means of the :
hypodermic needle or in any other way.
Homœopathy is opposed to so-called "pathological prescribing"

and to "group treatment" of diseases, by which individual
peculiarities are ignored and patients are grouped or classed
according to their gross, pathological organic lesions and treated
alike. Homœopathy deals with the individual, not the class. It treats
the patient, not a fictitious entity called the disease. Its prescription
or selection of medicines is based solely upon individual similarity
of symptoms, drug symptoms to disease symptoms, determined by
actual comparison in each case.
Homœopathy is opposed to all forms of external, local or topical

drug treatment of the external, secondary symptoms of disease,
except in surgical cases. It directs its curative agents through the
natural channels of the body to the physiological centres of vital
action and reaction, which govern all functional activities in the
living organism in disease as well as in health.
Homœopathy is opposed to polypharmacy. It depends for all its

results upon the dynamical action of single, pure, potentizated
medicines, prepared by a special mathematico-mechanical process
and administered in minimum doses.
In practice, homœopathy bases the selection of the curative

remedy upon the totality of the symptoms of the individual patient,.
including a consideration of the ascertainable causes of the disease.
For the homœopathic prescriber this constitutes the disease.
Speculation as to the inner, essential nature or working of the drug or
the disease does not enter into the process of selecting the remedy.
The prescription is not based upon the pathological diagnosis, or the
name of the disease, but solely upon the likeness of the symptoms of
the patient to the symptoms of some tested drug, determined by

actual comparison.
As the experimental work in constructing the homœopathic

materia medica has been conducted with single medicines, and as
each medicine has its own definite and peculiar kind and sphere of
action, scientific accuracy, as well as the law of similars, requires
that the treatment of patients be conducted in the same manner.
Medicines, are never mixed or compounded in homœopathic practice
but are given singly.
It has been proven experimentally that the sick organism is

peculiarly and even painfully sensitive to the action of the single,
similar medicine, and that curative effects are only obtained by sub-
physiological doses. Physiological doses, instead of removing the
symptoms of the disease, produce by their direct pathogenetic action
the characteristic symptom of the drug. If the drug be not a similar
the condition of the patient is complicated by the addition of
symptoms having no relation to the disease and no cure results. If the
drug be a similar the violent reaction of the organism to the
unnecessarily large dose increases suffering, exhausts the patient and
prolongs his disease, even if the eventually recovers.
These facts led, first, to the progressive reduction of the size of

the dose to the smallest effectual curative quantity, and eventually to
the discovery and formulation of the law of potentiation and the
infinitesimal dose which is one of the corollaries of the law of
similars and a fundamental principle of homœopathy.
The working principles of homœopathy, therefore, may be briefly

stated as follows:
1. The totality of the symptoms of the

patient is the basis of medical treatment.
2. The use of single medicines, the

symptoms and sphere of :action of
which have been predetermined by pure,
controlled experiments upon healthy
persons.
3. The principle of symptom-similarity

as the guide to the choice of the remedy.

4. The minimum dose capable of

producing a dynamic or functional
reaction. Similia Similibus Curentur;
Simplex. Simile. Minimum.
Main

Chapter III - Schools of Philosophy - The Genius of Homeopathy - Lectures and Essays on Homeopathic Philosophy - By Dr Stuart M. CLOSE
Main

Philosophy
Chapter III
Schools of Philosophy
It will be well to take a

glance at the various schools
of philosophy in order to be
able to understand his point
of view and identify the
fundamental ideas and
concepts out of which
Hahnemann developed his
system.
The various schools of

philosophy may be broadly
classified as materialistic,
idealistic and substantialistic.
Materialism - The Dr Samuel Hahnemann

doctrine that the facts of
experience are all to be explained by reference to the reality,
activities and laws of physical or material substance. In psychology
this doctrine denies the reality of the soul as psychical being; in
cosmology, it denies the need. of assuming the being of God as
Absolute Spirit or of any other spiritual ground or first principle;
opposed to spiritualism. Materialistic theories have varied from the
first, but the most widely accepted form regards all species of
sentiment and mental life as products of organism, and the universe
itself as resolvable into terms of physical elements and their

motions." (Standard Dictionary.)
Here we should consider for a moment the meaning of the words

"reality" and "substance." The "dyed in the wool" materialist regards
nothing as real and substantial which has not tangibility. He reduces
everything to the terms of physical matter, which is for him the only
reality. If he uses the words, energy, power, force, motion, principle,
law, mind, life or thought, which represent intangible things, it is to
regard them merely as attributes, conditions or products of matter.
For him the things represented are neither real or substantial. They
exist, as it were, only in the imagination. Because they are not
tangible they are not real. Not being real, according to his way of
looking at things, they I are not substantial and, therefore are not
worthy of consideration. The fact that he is compelled to act as if
they were real makes no difference in his mental attitude. He refuses
to admit their existence as anything but properties of matter.
The unfortunate thing about this philosophy is that it seems to

induce and foster a peculiarly irritating, skeptical, antagonistic and
unscientific frame of mind toward many things which others feel and
know in their inmost consciousness, to be very real indeed ideas
which are the source and substance of their deepest convictions,
highest aspirations and most illuminating conceptions. This attitude
may and often does become offensive in the extreme, largely
because it is so one-sided, and those who bold it refuse so,
obstinately to "call things by their right names." To the broader and
more philosophic mind the intangible, invisible energy, power,
principle, law or intelligence is as real and as substantial as the
material things which it creates and controls and should be so
denominated in all frankness and sincerity.
Idealism. – "That system of reflective thinking which would

interpret and explain the whole universe, things and minds and their
relations, as the realization of a system of ideas. It takes various
forms as determined by the view of what the idea or the ideal is, and
of how we become aware of it." (Vide.)
Substantialism. - "The doctrine that substantial existences or real

beings are the sources or underlying ground of all phenomena,
mental and material; especially the doctrine which denies that the
conception of material substance can be resolved into mere centres
of force." (Vide.)

The fundamental idea of Substantialism is ancient, but the

systematic development and application of it is modern.
"The predominant thought of Substantialism is that all things in

Nature which exist or can form the basis of a concept are really
substantial entities, whether they are the so-called principles or
forces of nature or the atoms of corporeal bodies, even extending to
the life and mental powers of every sentient organism, from the
highest to the lowest." (Hall.)
It holds, for example, that the "wave-theory" of sound is a fallacy

in science. Hall experimentally established the fact that; - "Sound
consists of corpuscular emissions and is therefore a substantial
entity, as much so as air or odor." He argues; - "If sound can be
proved to be a substance there cannot be the shadow of a scientific
objection raised against the substantial or entitative nature of life and
the mental powers." From this point of view, mind is as real in is
existence as is the physical brain, which is regarded as the tangible
manifestation of the form and substance of its invisible counterpart.
"If mind is the result of the motion of the molecules of the brain,
of what does that result consist? If the motion of the molecules is the
all of mind, then the mind is nothing, a nonentity, since motion itself
is a nonentity" (Hal)
From nothing, nothing comes. Every effect proceeds from a

cause. Effects follow causes in unbroken succession.
No substantial effect can be produced upon any subject without

an absolute substance of some kind connecting the cause with the
effect.
Gravity, or that which produces gravitation, is a substance, since

it acts upon physical objects at a distance and causes substantial
physical effects.
Magnetism is a substance, since it passes through imporous

bodies, seizes upon and moves iron.
Sound is a substance, since it is "conveyed through space by air

waves." It must be something substantial or it could not be conveyed.

Light, heat and (or) electricity are (is) substantial. (They may be
identical.) It is absurd to call them "modes of motion" or "vibratory
phenomena." Motion is a non-entity, the mere act of a thing in
changing its position in space. Motion is nothing before an object
begins to move, and nothing after it has ceased to move. Modern
science teaches that light and heat are motions or vibrations of the
ether. Physical science, therefore, tacitly teaches that the ether is
substantial; has measured it; has calculated its inertia coefficient and
its kinetic energy; has pronounced it to be the primary substance of
which matter as well as heat, light and electricity, is composed. If
science is right in this theory then light, heat and electricity are
substantial emanations from their producing bodies or substances; in
other words, they are each composed of ether, varying in its rate of
vibration But physical science (materialism) does not tell us who or
what moves the ether and determines the rate of vibration. That
remains for substantialism, which teaches that Life is a substance,
having the qualities of a real, entitative being. By its agency alone
organized, living, conscious, thinking, willing entities are created,
maintained and reproduced. Hence, Life is intelligent, else it could
not manifest these qualities.
Mind is a substance, since it acts to think or produce thoughts and

things. Mind, therefore, has intelligence. Thought - the action of
mind - may be called "a mode of motion of mind, acting upon the
molecules of the brain." In the last analysis life and mind are one
and identical, since they have identical qualities and attributes, and
Mind (Syn: life, spirit) is the primary cause of motion. Life is energy
and all energy is living energy.
As regards living beings, including man, the substantialistic

hypothesis is: "that within every living creature there exists a vital
and mental organism, the (invisible) counterpart of the physical
structure, the source of all vital and physiological phenomena,
originally contributed by the Creative Will (Mind-Life-Spirit) as
atoms out of His own being, and which must at the dissolution of
organic life return to the vital and mental fountain whence they
emanated, there to mingle by reabsorption into the original source,
or, as in the case of those (human) lives which have received the
spiritual impress of God's image, live forever with the self-conscious
ego inherited through their higher organism." (Hall.)
Hahnemann's Position. -
Hahnemann has heretofore been

assigned to the Idealists. In an

attempt to be more definite he
has been called a "Vitalist,"
referring to the prominence given
in The Organon to the doctrine of
life and vital force.
In advance of the appearance

of Substantialism as a formulated
philosophy and a name, this was
perhaps the best that could be
done in the attempt to classify
Hahnemann philosophically. But
since a definite philosophy has
been formulated there can be no
Dr Samuel Hahnemann
question that he is properly
classified as a Substantialist. His
position and statements in regard to the Deity; to life, mind, vital
force, matter, potentization (or dynamization), infinitesimals, and the
emphasis he lays upon the substantial character of these (to him)
great realities do not fully agree with any other classification.
Hahnemann frankly and reverently recognizes The Supreme Being,
as indeed every scientific man must do who thinks logically straight
through to the end. Otherwise all thought ends in negation.
Hahnemann's constant appeal to experience, to facts of

observation and experiment, and to the necessity in medicine of
avoiding speculation of all kinds, establishes the practical, well-
balanced character of his mind. He refused to speculate about the
essential nature of things. He observed and accepted the facts of
existence as he saw them. To him, spirit and matter, force and
motion, mind and body, health and disease, in all their mutations and
modifications, co-exist as facts of observation, consciousness and
experience. It was for him to use them in a logical and practical
manner He was not a materialist who denied the deific origin and
existence of spiritual substances or agents, and maintained that
spiritual or mental phenomena are the result of some peculiar
organization of matter. Neither was he an idealist in the extreme
sense of one who believed, with Bishop Berkeley (and Mrs. Eddy)
that all which exists is spirit, and that which is called matter, or the
external World, is either a succession of notions impressed on the
mind by Deity, an illusion or "error," or else the mere edict of the
mind itself as taught by Fichte.

The Inductive Philosophy of Lord Bacon - Familiarity with the

works and doctrines of the philosophers is shown in Hahnemann's
writings; but he seems to have been most influenced by the inductive
philosophy of Lord Bacon. He never mentioned nor quoted Bacon in
his writings, but few finer examples of the application of Bacon's
principle to, the study of natural phenomena can be found than that
of Hahnemann in his development of Homœopathy.
Bacon had set himself particularly to the task of a complete

investigation and reformation of physical science; but his plan
embraced the whole realm of philosophy, and his principle was
applicable to mental and moral, no less than physical science. That
principle was Logical Induction, upon which was based the inductive
method of observation and experience. This is the only valid basis of
conclusions and the accepted ground of modern science.
"His (Bacon's) merit as a philosopher lies chiefly in having called

back the human mind from the wrong direction in which it had so
long been seeking knowledge, and setting it on a new path of
investigation," says one writer.
"When Bacon had analyzed the philosophy of the ancients, he

found it speculative. The great highways of life had been deserted.
Nature, spread out to the intelligence of man,... had scarcely been
consulted by the ancient philosophers. They had looked within and
not without. They had sought to rear systems on the uncertain
foundations of human hypothesis and speculation instead of resting
them on the immutable laws of Providence as manifested in the
material world. Bacon broke the bars of this 'mental prison-house: -
bade the mind go free and investigate nature." (Davies, Logic of
Mathematics.)
Bacon's fame rests chiefly on his "Novum Organum," the second

part of his "Instauratio Magna." "The object of this was to furnish
the world a better mode of investigation of truth; that is, a better
logic than the so-called Aristotelian or syllogistic method; a logic of
which the aim should be not to supply arguments for controversy,
but to investigate nature, and by observation and the complete
induction of particulars arrive at truth."
It is significant that Hahnemann in selecting a name for his own

Magnum Opus chose the very word, "Organon," used by Bacon, and

before him by Aristotle, whose philosophical method,

misrepresented and misapplied by the schoolmen of the middle ages,
Bacon restored to its true place with improvements of his own.
State of Medicine in Hahnemann's Time. - The situation

confronting Hahnemann in the medical world was similar in many
respects to that in the world of physical science which confronted
Bacon. Medical theory trod upon the heels of theory as they rapidly
passed across the historical field of vision, each one contradicting the
other, and all alike the product of imagination and speculation. All
were engaged in attempting to find a basis for the treatment of
disease in speculations about the interior states, the invisible, internal
changes in the organs of the body and the unknowable primary
causes of disease.
Ideas which now seem absurd were then matters of the most
serious moment, and in their practical working out often became
tragical. Blood-letting, the outgrowth of one of these false theories,
affords a good example. The celebrated Bouvard, physician to Louis
XIII, ordered his royal patient forty-seven bleedings, two hundred
and fifteen emetics or purgatives, and three hundred and twelve
clysters during the period of one year! During the extremes to which
the so-called "physiological medicine" was carried more than six
million leeches were used, and more than two hundred thousand
pounds of blood was spilled in the hospitals of Paris in one year. The
mortality was appalling.
In Hahnemann's time (1799) the death of our own George

Washington was undoubtedly caused by the repeated bloodletting to
which he was subjected. He was almost completely exsanguinated.
Medicine was in a state of chaos. Hahnemann faced the problem

of creating a new science and art of therapeutics which should be
constructed on the basis of facts of observation and experience,
according to certain principles which he had laid down for his
guidance.
Applying the inductive method which he bad evidently learned

from Bacon and Aristotle, the first thing Hahnemann did was to take
a broad view of We whole field of medicine, shake himself clear of
any lingering remnant of bias or prejudice which may have been in
his mind as a result of his association with the medical men and

ideas of his age, and ask himself a few simple, pointed questions.
"What is the real mission of the physician?" "Of what use is the
medical profession?" "Has it any real excuse to offer for its
existence?" "Surely not," he says, "if it spends its time and effort in
concocting so-called systems out of empty vagaries and hypotheses
concerning the inner obscure nature of the process of life; or the
origin of disease; nor in the innumerable attempts at explaining the
phenomena of diseases or their proximate causes, ever hidden from
their scrutiny, which they clothe in unintelligible words; or as a mass
of abstract phrases intended for the astonishment of the ignorant,
while suffering humanity was sighing for help. We have had more
than enough of such learned absurdities called theoretical medicine,
having its own professorships, and it is high time for those who call
themselves physicians to cease deluding poor humanity by idle
words, and to begin to act, that is, to help and to heal."
"The physician's highest and only calling is to restore health to

the sick, which is called Healing."
"Rational Medicine." - Scientific medicine must conform to at

least three requirements: 1. It must be based on facts. 2. It must be
rational, that is, logical. 3. It must be demonstrably true.
It is not enough for medicine to be simply "rational." When

people believed that epidemics were sent by offended deities it was
"rational" that their children should be offered as propitiatory
sacrifices. If one believes that disease is merely an "error of mortal
mind" it will be "rational" to adopt the methods of Mrs. Eddy. So-
called "rational medicine," since the days of Hippocrates (whose
"four humors," "humoral diseases" and "humoral remedies" still
exist, masquerading under the thinly-disguised term "serum
therapy"), has always been "rational," but too often neither logical,
based on facts, nor demonstrably true.
What a confession of ignorance of the healing art and of blind

worship of false gods is contained in the following paragraphs from
a recent editorial in a prominent medical journal:
"No record in history equals the death roll of the World War and
the accompanying pandemic of influenza. In these two giant
convulsions man was helpless.

"In the struggle against influenza medicine and science could

salvage only a few. If we should experience a recurrence of the
epidemic, either mild or severe, are we prepared to meet it?"
Statistics of the epidemic referred to show a total loss under

"regular" treatment of approximately a million lives in the United
States, with a mortality rate of about thirty per cent!
A hecatomb indeed on the altars of modern "rational medicine,"

the frightfulness of which is brought home to us by the fact that in
fifty thousand cases reported by homœopathic physicians the
mortality was only about one per cent!
Hahnemann's Working Principles. - It will be profitable to

glance at some general principles which Hahnemann laid down for
his guidance in his great work of creating a new science and art of
therapeutics. These are to be found succinctly stated in the preface to
the second edition of the Organon.
He there broadly defines medicine as "a pure science of

experience, like physics and chemistry."
He declares: "Medicine can and must rest on clear facts and

sensible phenomena, for all the subjects it has to, deal with are
clearly cognizable by the senses through experience. Knowledge of
the disease to be treated, knowledge of the effects of the medicine
and how the ascertained effects of the medicines are to be employed
for the removal of disease-all this is taught adequately by experience,
and by experience alone. Its subjects can only be derived from pure
experience and observations, and it dare not take a single step out of
the sphere of pure, well-observed experience and experiments, if it
would avoid becoming a nullity and a farce."
He continues: "Unaided reason can know nothing of itself (a

priori), can evolve out of itself alone no conception of the nature of
things, of cause and effects; its conclusions about the actual must
always be based upon sensible perceptions, facts and experiences if
it would elicit truth. If in its operation it should deviate by a single
step from the guidance of perception it would lose itself in the
illimitable region of phantasy and of arbitrary speculation, the
mother of pernicious illusion and of absolute nullity."

"Such," he says, "has hitherto been the splendid juggling of so-

called theoretical medicine, in which a priori conceptions and
speculative subtleties only showed things which could not be known,
and which were of no use for the cure of disease.
"In the pure sciences of experience," he continues, "in physics,

chemistry and medicine, merely speculative reason can consequently
have no voice; there, when it acts alone, it degenerates into empty
speculation and phantasy and produces only hazardous hypotheses
which are, and by their very nature must be, self-deceptive and false."
Ameke, the historian of homœopathy, has made an illuminating

comment on the last quoted paragraph. He says: "The great
difference between Hahnemann and the later natural historical
school is expressed by himself in one small word of three letters; -
'and'. Hahnemann speaks of 'physics, chemistry and medicine;’ they
said; 'medicine is applied physics and chemistry,' and founded
medicine on these two sciences." Hahnemann founded medicine, not
on physics and chemistry, but on the universal laws of Life and
Motion.
Hahnemann starts, then, with the conception of Life as a real or

substantial entitative power or principle, having laws of its own, and
refers all the phenomena of health and disease to it under two names:
"The Dynamis" and "The Life Force." This is Hahnemann's greatest
discovery, and the absolute bed-rock of his system.
The words "force" and "life force" were used inaccurately in this
connection, however, making it difficult for some to form a clear
conception of what life is in its philosophical relation to
homœopathy The failure to make a distinction between power and
force has always caused confusion. The word "force" generally, as
well as in the Organon, is loosely used to express the idea of any
operating or operative power or energy; of any active agency or
power tending to change the state of matter; and this is the sense in
which Hahnemann often uses the word in the Organon when he
speaks of the "life force" as that which acts and is acted upon in
disease and cure.
Now, as a matter of fact, we do not act upon force nor upon

motion, These terms express abstract ideas or concepts which stand
to the concrete things or reality back -of them in the relation of

effects to causes.
Force and motion are merely phenomena of the power which

produces them. Power is the property of any thing or substance by
virtue of which it is able to produce changes in itself, or in any other
thing or substance.
Motion is the result of the application of force. Force is the

product of power or energy. The power inherent in a body is quite
another thing from the force exerted by it or upon it.
Action (motion) takes place only in or in connection with that

which has the power to react or resist, the thing itself, whether it be a
stone, a machine or a living organism. The thing itself is always
substantial, having a real objective existence, even if it be intangible
or invisible. Strictly speaking, we do not act upon the life force, but
upon life itself, the real, substantial, objective, although intangible,
substance from which the living organism is evolved, of which it is
composed and from which the life force proceeds.
The organism does not evolve out of nothing. "Out of nothing,

nothing comes." The living organism is a development, an evolution
from a microscopic cell, which is itself an organism composed of
living matter and a nucleus, developed from invisible, living
substance which attracts to itself, assimilates and transforms tangible
elements from the material world.
Everything living comes from preceding life in an unbroken

chain, the last conceivable link of which is in the one Infinite and
Eternal Source of Life, the Supreme Being. Metaphysical science
recognizes this conception under the term of "The Cosmic Life."
In thinking upon this subject it is necessary, in order to avoid

confusion, to keep clearly in mind the distinction between the Thing
Itself and its action. There can be no action without something to act;
no phenomena without the being of which the phenomena are an
expression; no force with-out the power which exerts the force; no
thought without a thinker. The words, action, phenomena, force,
thought, stand for abstract ideas, separated from the real, substantial
things or causes which lie back of them, for purposes of thought.
We do not see motion; we see a body change its position in -,

pace, as when one picks up a book from one side of the desk and
places it on the other side. We do not see force; we see the effects of
force upon a body in changing its position in space. We do not see
life; we see only its manifestation in organism. But knowing
intuitively and by experience that there can be no effect without a
cause, no motion without force, and no force without something or
somebody to exercise power, we assume the existence of that power,
person or thing as a primitive fact and name it, although we cannot
see the power, person or thing with the physical eye, even with the
aid of an ultra microscope. We see the primary substance, power,
person or thing with the mental eye and are satisfied.
To refuse to see and acknowledge the substance, principle, power

or person behind the force, and to confine thinking within the limits
of matter, phenomena and force is to kill the highest aspirations of
the soul, stultify the intellect and land the thinker in the -morass of
materialism. A certain class of thinkers, especially in physical
science, plume themselves upon their rigid limitation of thought
within the bounds of physical phenomena. They deny not only the
validity of any attempt to see what lies beyond phenomena, but the
reality and substantial existence of anything lying beyond that
arbitrary boundary. Metaphysics is their pet aversion. Such men
invariably entangle themselves in a maze of contradictions and
absurdities and mislead their followers. They juggle with words,
invert the terms of logical propositions, formulate "circular
syllogisms" and make causes follow effects.
Metaphysical thought and inquiry are quite as legitimate and

valid, and quite as capable Of being conducted logically and
scientifically, as physical research. There is a valid and scientific
metaphysics as well as physics.
George Henry Lewes says: "It is experience-our own or that of

others-on which we rest. We are not at liberty to invent experience,
nor to infer anything contrary to it, only to extend it analogically.
Speculation to be valid must be simply the extension of experience
by the analogies of experiences. * * * It is possible to move securely
in the ground of speculation so long as we carefully pick our way,
and consider each position insecure till what was merely probable
becomes proven."
Hahnemann at first apparently

had the distinction between

power and force pretty clearly in

mind in his use, in the Organon,
of the two terms: "Dynamis," the
life power, the substance, the
thing itself, objectively
considered; and "Life-Force," the
action of the power; but he failed
to maintain the distinction
uniformly in his subsequent use
of the words. All doubt as to
Hahnemann's ultimate position is
removed and the subject is placed
beyond controversy, so far as he
is concerned, however, by the
Dr Samuel Hahnemann final sixth revised edition of the
Organon which is at last
accessible to the profession. In this edition Hahnemann invariably
uses the term, Vital Principle instead of Vital Force, even speaking
in one place of "the vital force of the Vital Principle," thus making it
clear that he held firmly to the Substantialistic view of life-that is,
that Life is a substantial, objective entity; a primary, originating
power or principle, and not a mere condition, or "mode of motion."
From this conception arises the dynamical theory of disease upon

which is based the Hahnemannian pathology, viz.:-that disease is
always primarily a dynamical (or functional) disturbance of the vital
principle. Upon this is reared the entire edifice of therapeutic
medication, governed by the law of similia as a selective principle.
Life then is not primarily a phenomenon. It is the cause of

phenomena. Life is not, strictly speaking, a force; it is a substance, a
power or principle which acts to exert or cause force.. Life is a
substantial, self-existent, self-acting entity, not a nacre abstraction.
Life is not a product; it is the producer, whether it be of matter or
motion. In brief, Life is intelligent, incorporeal vital substance-the
original "simple substance" of the ancients.
Life, in a dynamical sense, is energy-the universal principle and

cause of vital action and reaction, organization, growth, self-
preservation and reproduction, inherent in all living things.
Life, therefore, is included under the general principle of science,

which declares that "all force is persistent and indestructible;" and

this is the scientific statement of the doctrine of Immortality.
Energy must exist before work can be done. Hence, life and mind
logically and necessarily precede organization, and thus must be not
only the cause but the controlling power of organization. Life built
the body and life preserves it, as long as it is needed for the purpose
of "our indwelling rational spirit," as Hahnemann calls it.
All schools of modern philosophy now agree that "life can come
only from previous life." As a scientific doctrine the theory of
"spontaneous generation," after centuries of stubbornly contested
existence, has been abandoned by all except a very few stubborn
persons of the materialistic school who still cling to the ancient
fallacy, unaware that the ground has been cut from under them and
that they have been left, like Mahomet's coffin, suspended in midair.
Step by step, with many long periods of inactivity and sometimes

of retrogression, the search for the origin of life has gone on.
Repeatedly, when brought up against the logical necessity of' taking
the final step and acknowledging the One Infinite and Eternal Source
of Life, the searchers have stubbornly turned back and begun over
again, only to return to the same inescapable point.
Chemist, physicist and biologist alike, each in his own special

path, pursues it to the end, and there finds himself standing with, his
fellows on the brink of the great mystery which can only be solved
by admitting the existence of The Supreme Being.
The chemist, guided by the law of chemical affinity and

molecular attraction, reaches the sphere of Universal Attraction. He
stops and turns away. The biologist, tracing life back through
organism to the cell, and still further back to the formless bit of
protoplasm lying, as it were, on the shore of the infinite ocean of his
life, also halts and turns away rather than spread the sails of his little
bark and sail by faith, if he must, into the haven which is in plain
view if he will but open his eyes and look. The physicist analyses
matter, divides and subdivides it until it disappears in the
hypothetical, inanimate, unintelligent ether of space which he
conceives to be the source both of matter and force, and there be also
halts. Each is unsatisfied and must ever remain so until, like
Hahnemann, he yields to that innermost urge of the soul which
demands of every man that he take the final step and acknowledge

the Infinite Life and Mind of the Universe, the source and substance
of all power, the Father Eternal, to whom he owes spiritual
allegiance.
Main

Chapter IV - The Scope of Homoeopathy - The Genius of Homeopathy - Lectures and Essays on Homeopathic Philosophy - By Dr Stuart M. CLOSE
Main

Philosophy
Chapter IV
The Scope of Homœopathy
Accuracy and efficiency in homœopathic therapeutics is only

possible to those who have a clearly defined idea of the field in
which the principle of Similia is operative.
The scope of homœopathy is a subject which has received took

little consideration by teachers and practitioners alike. Hazy and
confused ideas prevail. As a result we find on the one hand a few
sincere but misguided enthusiasts attempting the impossible and
bringing ridicule upon themselves, and on the other hand, the great
majority, ignorant of the higher possibilities, missing their
opportunities and bringing discredit upon themselves and their art by
resorting to unhomœopathic measures in cases which could readily
be cured by homœopathic remedies. One believes too much, the
other too little. Neither one knows why he succeeds in one case and
fails in another.
Haphazard cures do not justify boasting. The art of pharmaco-

therapeutics in general, and of homœopathy in particular, is not
advanced by such work. What we need is clean-cut, scientific work;
work capable of being rationally explained and verified; results
attained by the intelligent application of a definite principle and a
perfected technic in a sharply delimited field.
The therapeutic principle is known; the technic of prescribing has

been developed; a large number of remedies have been prepared; but
the field of action has not been clearly defined.

In this respect we are like an army which is wasting much good

ammunition trying to search out a hidden enemy of whose exact
location it is ignorant.
A philosophical aeroplane, sent into, the upper regions. of the air,

may be able to locate the enemy exactly and enable us to train our
guns directly upon him.
Homœopathy as a therapeutic method is concerned primarily only

with the morbid vital processes in the living organism, which are
perceptibly represented by the symptoms, irrespective of what
caused them.
In defining the scope of homœopathy it is necessary first to

discriminate between disease per se, as a morbid vital process and
the material results or products in which the morbid process
ultimates. With the latter, homœopathy primarily has nothing to do.
It is concerned only with disease per se, in its primary, functional or
dynamical aspect.
Disease per se, Hahnemann says, is "nothing more than an

alteration in the state of health of a healthy individual," caused by
the dynamic action of external, inimical forces upon the life principle
of the living organism, making itself known only by perceptible
signs and symptoms, the totality of which represents and for all
practical purposes constitutes the disease.
It becomes necessary, therefore, in homœopathic prescribing to

carefully separate the primary, functional symptoms which represent
the morbid process itself, from the secondary symptoms which
represent the pathological end-products of the disease.
The gross, tangible lesions and products in which disease

ultimates are not the primary object of the homœopathic
prescription. We do not prescribed for the tumor which affects the
patient, nor are we guided by the secondary symptoms which arise
from the mere physical presence of the tumor: We prescribe for the
patient-selecting and being guided by the symptoms which represent
the morbid, vital process which preceded, accompanied and -
ultimated in the development of the tumor.
If there is doubt as to which symptoms are primary and which are

secondary the history will decide. In the evolution of disease in the

living organism, functional changes precede organic or structural
changes. "Function creates the organ," is a maxim in biological and
morphological science, from which it follows that function reveals
the condition of the organ.
The order in which the symptoms of a case appear, therefore,

enables us to determine which are primary and which secondary, as
well as to, ascribe reflex symptoms to their source and correctly
localize the disease.
For the homœopathic prescriber the totality of the functional

symptoms of the patient is the disease, in the sense that such
symptoms constitute the only perceptible form of the disease and are
the only rational basis of curative treatment. Symptoms are the
outwardly perceptible signs or phenomena of internal morbid
changes in the state of the previously healthy organism, and are our
only means of knowing what disease is. They represent a change
from a state of order to a state of disorder. When the symptoms are
removed the disease ceases to exist.
These phenomena result from and represent the action upon the
living organism of some external agent or influence inimical to life.
With the morbific agents themselves Homœopathy primarily has no
more to do than it has with the tangible products or ultimates of
disease. It is taken for granted that the physician, acting in another
capacity than that of a prescriber of homœopathic medicine, will
remove the causes of the disease and the obstacles to cure as far as
possible before he addresses himself to the task of selecting and
administering the remedy which is homœopathic to the symptoms of
the case, by which the cure is to be performed.
In thus focusing attention upon the individual and purely

functional side of disease, upon disease per se, the sphere of
homœopathy may be clearly perceived.
From this point of view, the most significant and general feature
to be observed about the phenomena or disease is the fact of motion,
action, change; change of states, forms and positions; change
resulting from the application of morbific force in the living
organism; change from a state of health to a state of disease; and the
reverse; change of symptoms and their groupings; change of order to

disorder change of form of diseased structures; change of function;

change of molecular combination and arrangement; everywhere
motion, change and transformation so long as life lasts. In one word,
we find ourselves in the realm of pure dynamics. This is the true and
only sphere of homœopathy, the sphere of vital dynamics. In fact,
homœopathy might well be defined as the Science of Vital
Dynamics. Its field is the field of disordered vital phenomena and
functional changes in the individual patient, irrespective of the name
of the disease, or of its cause. Its object is the restoration of order
and harmony in vital functioning in the individual patient. Its laws
are the laws of motion operating in the vital realm, which govern all
vital action. Its fundamental principle is the universal principle of
Mutual Action. "Action and Reaction are Equal and Opposite."
"The unprejudiced
observer," says Hahnemann,
"well aware of the futility of
transcendental speculation
which can receive no
confirmation from experience-
be his power of penetration
ever so great - takes note of
nothing in every individual
disease, except the changes in
the health of the body and the
mind (morbid phenomena,
accidents, symptoms) which
can be perceived externally by
means of the senses; that is to
Dr Samuel Hahnemann
say, he notices only the
deviations from a former
healthy state of the diseased individual, which are felt by the patient
himself, remarked by those around him and observed by the
physician. All these perceptible signs represent the disease in its
whole extent, that is, together they form the true and only
conceivable portrait of the disease." (Organon, Par. 6.)
The tangible things which the examining physician finds in the

body are not the disease, but merely its effects. It is as impossible,
and therefore as futile, to try to, find a disease in the hidden interior
of the organism as it would be to try to find a thought by an
exploration of the interior of the brain, the electricity in the interior
of a dynamo or the song in the throat of a bird. Such things are

known only by their phenomena. Metaphysically considered, they

may be said to subsist in the dynamic realm as substantial entities, or
forces, but as such they are perceptible only to the "inner vision,"
through the eyes of the mind. They are "spiritually (that is, mentally)
discerned." The metaphysical conception serves as an aid in the
interpretation of the phenomena.
Practically, however, we do not deal with abstractions. We deal

with facts and phenomena, with symptoms.
"The totality of these, its symptoms, of this outwardly reflected

Nature of the internal essence of disease, that is, of the affection of
the vital force, must be the principal, or the sole means, whereby the
disease can make known (its nature and) what remedy is
required." (Organon, Par. 7.)
The removal of all the perceptible symptoms or phenomena of

disease removes disease itself and restores health. Hahnemann thus
philosophically distinguishes between disease itself and its causes,
occasions, conditions, products and phenomena, and in so doing
shows clearly that the sphere of homœopathy is limited primarily to
the functional changes from which the phenomena of disease arise.
In other words, homœopathy is confined to and operative only in the
sphere of vital dynamics.
Primarily homœopathy has nothing to do with any tangible or

physical cause, effect or product of disease although secondarily it is
related to all of them. Effects of disease in morbid function and
sensation may remain after the causes have been removed. Removal
of the tangible products of disease, if it be too far advanced, may
have to be relegated to surgery. Homœopathy deals directly only
with disease itself, the morbid vital processes manifested by
perceptible symptoms, which may remain and continue after the
causes have been removed and conditions changed.
It stands to reason, as Hahnemann says, that every intelligent

physician, having a knowledge of rational etiology, will first remove
by appropriate means, as far as possible, every exciting and
maintaining cause of disease and obstacle to cure, and endeavor to
establish a correct and orderly course of living for his patient, with
due regard to mental and physical hygiene. Failing to do this, but
little impression can be made by homœopathic remedies, and what

slight impression is made will be of short duration.
Having done this, he addresses himself to the problem of finding

that remedy, the symptoms of which in their nature, origin and order
of development are most similar to the symptoms of the patient, and
to the proper management of it, when found, as to size and frequency
of doses.
While gross pathological tissue changes, organic lesions,

morphological disproportions, neoplasms and the physical effects of
mechanical causes are not primarily within the domain of Similia,
and therefore are not the object of homœopathic treatment, the
morbid processes from which they arise, or to which they lead, are
amenable to homœopathic medication. Homœopathic remedies, by
virtue of their power to control vital functions and increase
resistance, often exercise a favorable influence upon physical
development as well as upon the tangible products of disease or
accident. Thus, the growth of tumors may be retarded or arrested;
absorption and repair promoted, even to a total removal of the
morbid product or growth; secretions and excretions may be
increased or decreased; eruptions, sores and ulcers healed. But all
these happy tangible results are only incidental and Secondary to. the
real cure which takes place solely in the functional or dynamical
sphere quelling disturbance, controlling metabolism, antidoting
poisons, raising resistance and bringing about cure by the dynamical
influence of the symptomatically similar remedy.
Following the exclusion method adopted by Dake, in his

"Therapeutic Methods," and using a modification of his phrasing, the
sphere of Similia may be defined as follows:
1. Homœopathy relates primarily to no

affection of health where the exciting
cause of disease is constantly present
and operative.
2. It relates primarily to no affections of

health which will, of themselves, cease
after the removal of the exciting cause
by physical, chemical or hygienic
measures.


health occasioned by the injury of
destruction of tissues which are
incapable of restoration.

health where the vital reactive power of
the organism to medicines is exhausted,
obstructed or prevented.
5. It relates to no affection of health, the

symptomatic likeness of which may not
be perceptibly produced in the healthy
organism by medical means, nor to
affections in which such symptoms are
not perceptible.
The class not excluded, the one in which homœopathy is

universal and paramount to all other methods, must be made up of
affections of the living organism in which perceptible symptoms
exist, similar to those producible by pathogenic means, in organisms
hazing the integrity of tissue and reactive power necessary to
recovery, the exciting causes of the affections and obstacles to cure
having been removed, or having ceased to be operative.
The sphere of Similia in medicine is thus limited to those morbid

functional conditions and processes which result primarily from the
dynamic action upon the living organism of morbific agents inimical
to life.
The living organism may be acted upon or affected primarily in

three ways: (1) Mechanically. (2) Chemically. (3) Dynamically. The
causes of disease fall naturally under these three heads.
Under the head of mechanical causes of disease come all

traumatic agencies, such as lesions, injuries and destruction of
tissues resulting from physical force; morbid growths, formations
and foreign substances; congenitally defective or absent organs or
parts, prolapsed or displaced organs, etc. These conditions are
related primarily to surgery, physical therapeutics and hygiene.
The destructive action of certain chemical poisons such as the

acids and alkalies is a sufficient illustration of the chemical causes of

disease, although all such agents have also secondary dynamical
effects, which come within the sphere of homœopathy. Diseases
arising from these causes require the use of chemical or
physiological antidotes, combined in some cases with measures for
the physical expulsion of the offending substances, and followed by
homœopathic treatment for the functional derangements which
remain or follow.
Entozoa or organized living animal parasites, when their presence

in the body gives rise to disease, must be expelled by mechanical
measures or by the administration of medicines capable of
weakening or destroying them without endangering the person
suffering from their presence. Dynamical treatment on homœopathic
principles may be required to remove the functional derangements
and restore the patient to health.
The effects of dynamical causes of disease, by which, is meant all

those intangible and medicinal or toxic agents and influences which
primarily disturb the vital functions of mind and body, come
legitimately within the sphere of Similia. These are very numerous,
but they may be roughly classified as (1) mental or psychical,
atmospheric, thermic, electric, telluric and climatic, (2) dietetic,
hygienic, contagious, infectious and specific-the last three including
all disorders arising from the use or abuse of drugs, and from all
bacterial agents or pathogenic microorganisms which produce their
effects through their specific toxins or alkaloids. Homœopathy
successfully treats bacterial or zymotic diseases, such as cholera,
yellow fever, typhus and typhoid fever, malarial fever, diphtheria,
tuberculosis and pneumonia by internal homœopathic medicines,
without resorting to bactericides, germicides or antiseptics. Such
agents have their use only in the field of sanitation, which is
environmental, not personal. We disinfect the typhoid patient's
excretions but not the patient himself.
Again quoting Dake's admirable exposition, but qualifying his

third proposition, and adding a fifth paragraph:
"The domain of Similia may be reached by another route.

Looking at the various drugs and other agencies capable of
influencing health, and advancing, as before, by the method of
exclusion, it may be said:

"1. The homœopathic law relates to no

agents intended to affect the organism
chemically.
"2. It relates to none applied for

mechanical effect simply.
"3. It relates to none required in the

development or support of the organism
when in health.
"4. It relates to none employed directly

to remove or destroy the parasites which
infest or prey upon the human body.
"Looking over the armamentarium of the therapeutist for agents

no excluded, one class is found, namely: those agents which affect
the organism, as to, health in ways not governed by chemistry,
mechanics, or hygiene, but those capable of producing ailments
similar to those found in the sick."
In regard to Dake's third proposition it can and will be shown

that, inasmuch as the development and support of the organism when
in health depends upon the principle of assimilation, as demonstrated
by Fincke, the principle of Similia does relate to these processes; for
assimilation depends upon mutual action, upon action and reaction,
and this is the fundamental principle of homœopathy.
To the foregoing propositions are formulated by Dake one more

should be added.
5. The homœopathic law relates to no

agents or drugs administered for their
direct or so-called physiological effects.
Circumstances arise occasionally which make it necessary,

temporarily, for the homœopathic physician to use drugs in
"physiological" (really, pathogenic) doses for their palliative effect.
Although the ruling principle of his medical life is cure by symptom-
similarity, and that end is always held in view as an ideal, he is not
thereby forbidden the use of palliative measures in cases where they
are appropriate and necessary.

Hahnemann, after showing the futility of antipathic medication as

a curative method, and pointing out the dangers incidental to its use,
admits the utility and necessity of resorting to palliation in certain
emergencies. In a note to Paragraph 67, he says:
"Only in the most urgent cases, where danger to life and

imminent death allow no time for the action of a homœopathic
remedy-not hours, sometimes not even quarter hours and scarcely
minutes-in sudden accidents occurring to previously healthy
individuals--for example, in asphyxia and suspended animation from
lightning, from suffocation, freezing, drowning, etc.-it is admissible
and judicious at all events as a preliminary measure, to stimulate the
irritability and sensibility (the physical life), with a palliative, as for
instance, with gentle electric shocks, with clysters of strong coffee,
with a stimulating odor, gradual application of heat, etc. When this
stimulation is effected, the play of vital organs goes on again in its
former healthy manner, for there is here no disease to be removed,
but merely an obstruction and suppression of the healthy vital force.
To this category belong various antidotes to sudden poisonings;
alkalies for mineral acids, hepar sulphuris for metallic poisons,
coffee and camphor (and ipecacuanha) for poisoning by opium, etc."
The principle of palliation is here recognized and a few

illustrations given of its legitimate application in one class of cases If
it is noted that all these illustrative cases are characterized by shock,
or collapse, it will be seen that the principle has a somewhat wider
application than appears on first consideration of the cases
enumerated by Hahnemann. It may fairly be extended, for example,
to cover certain cases where sudden and unendurable pain occurs
and collapse is threatened by such semi-mechanical conditions as the
presence or passage of renal calculi and gravel, or biliary
concretions. In exceptional cases of these and similar conditions,
anal- my be und temporarily as anæsthesics are used in surgical and
dental operations, and for the same purpose, that is, to prevent or
relieve shock.
When all has been said and the scope of homœopathy has been
defined as clearly as possible, it is evident that there is a border land
between homœopathy and its related sciences around which it is
impossible to draw. sharp lines of demarcation. In this region each
physician must be governed by his own individual judgment and the
circumstances of the case. It follows that there will always be

differences of opinion between individual physicians under such

circumstances. The physician who is imbued with the spirit of
homœopathy endeavors always to keep his mind open and free from
prejudice. While striving always to perfect his knowledge of
homœopathic technic in order that be may meet any emergency and
extend the borders of his art to the farthest limits, he never forgets
that the necessities and the welfare of his patient are first. He will not
allow either pride or prejudice to obscure his sense of his own
limitations, nor those of his art. Circumstances sometimes arise when
the strongest man and ablest prescriber, by reason of the great moral
pressure brought to bear upon him by the peculiarities of his patient,
of the environment, or from lack of time, will be compelled to tide
over a period of unendurable suffering by the use of analgesics, or of
some other measure to meet extraordinary emergencies. He does this
as a charitable concession to the weakness of human nature, his own
perhaps as well as others, without in the least degree lowering his
standards, or bringing discredit upon himself or his art. He does this
knowing, perhaps, that if he had time and the circumstances
permitted, he could do better. But time and circumstances are
sometimes, at least temporarily, beyond his control. It is possible to
violate the spirit by adhering too closely to the letter of the law.
Victory is sometimes gained by appearing to yield, which is quite in
accord with the principle of Similia, a sort of moral homœopathy. A
strategic retreat to another line of defense in war often gives a
stronger base from which to launch a successful attack.
In cases of renal or hepatic colic, for example: If the physician is

firm and calm as well as skillful, and possesses the entire confidence
of the patient and his family and friends, he may be able to alleviate
the agonizing pain and carry such cases through to a happy
termination by the use of homœopathic remedies alone. It has often
been done and, when possible, is the ideal way.
But the physician may have been newly called to the case or
family and not have had time to gain their complete confidence by
the results of his work and teaching. Patients have to be educated in
the principles and methods of homœopathy by discussion, instruction
and demonstration, and this requires time. When they have felt or
witnessed the results of competent homœopathic prescribing they
acquire confidence. Some become enthusiastic advocates and
propagandists of homœopathy, and are always ready to uphold and
cooperate with their physician in demonstrating its methods even in
the gravest emergencies. Others are interested only in quick results,

caring little or nothing about how they are obtained. The latter are
very difficult to hold in such cases and some of them will not
continue with the conscientious homœopathician, no matter what he
does. Between these two classes exists a third, the members of which
can be interested in homœopathy to a degree that will enable the
practitioner to hold them as patients and retain their confidence and
cooperation in homœopathic treatment in all but extreme cases. It is
in such cases that the pressure referred to will be brought to bear
upon him, and he may be compelled to resort temporarily to
palliation to gain time and strengthen his position. Unless he can do
this there is but one honorable course left for him to pursue-resign
the case and withdraw. In pursuing either of those courses the
conscientious practitioner is beyond the criticism of all fair-minded
persons. But he is always open and frequently subjected to the
attacks of prejudice, bigotry and jealousy, and to these the best
defense is silence and a clear conscience.
Main

Chapter V - The Unity of Medicine - The Genius of Homeopathy - Lectures and Essays on Homeopathic Philosophy - By Dr Stuart M. CLOSE
Main

Philosophy
Chapter V
The Unity of Medicine
"As our studies in
medicine penetrate
deeper into the
problems of each
individual branch or
specialty one fact
stands out with ever-
increasing emphasis;
namely, that
medicine is a unit
and incapable of real
division into
specialties. The
superior man in
medicine of the
future will not be the
great laboratory
worker, or the man Dr Samuel Hahnemann
who is known for his
studies in metabolism, or the expert gastro-enterologist or
neurologist or surgeon, or he who stands preeminently above his
confreres in his knowledge of diseases of the heart and arterial
system or of the lungs, but the man who recognizes the fact that the
truths derived from all these sources of study and investigation must
be interpreted as belonging to the patient as a whole-in other words,
the internist who appreciates the unity of medicine. The
distinguished specialist will be one who regards his field of study in

its intimate relationships to the body as a whole."
With these weighty words, Francis Marion Pottenger, A.M., M.

D., LL.D., F.A.C.P., the most distinguished specialist in diseases of
the chest in the United States, opens his great book entitled
"Symptoms of Visceral Disease."
Mistaken ideals, wrong theories, wrong practice, materialism,

commercialism and selfish competition, as well as the great
enlargement of the field of medicine in the advance of science, have
led to overspecialization in the medical profession, the disappearance
of the general practitioner and the springing up of numerous so-
called "non-medical" cults and fads.
The Genius of Homœopathy. - There are "57 different varieties"

of specialists-one for almost every organ of the body, besides those
who deal with many other subjects connected with medicine. In
addition to the old-time allopathic, homœopathic and eclectic
schools (which are still with us) we now have the pharmico-physio-
mechano-electro-hydro-balneo-sero-vaccino and radio-therapeutic
schools, not to mention the osteopaths, the chiropractors, the
Christian Scientists and the mental, psychic and spiritual healers, all
of whom are "practicing medicine" in the broad sense of the term.
There is an old saying: "It takes nine tailors to make a man." Now
we might say: "It takes nine specialists to make a physician," if it
were not that nine would not be enough to make a good, all-around
physician of the old school.
The people realize, in a blind sort of way, that they are getting
from the medical profession a good many things they do not want,
and are not getting some very important things which they need. The
failure of the surgeon and organ specialists to do more than palliate
or remove the tangible products of disease; the rise of the seductive
serum and vaccine therapy, and the reign of the reptile an derived
hypodermic needle; the disappearance of the general practitioner
with the system of medical education which made him, and the
refusal of the profession to accept the beneficent law of therapeutic
medication and its corollaries enunciated by Hahnemann, are the
main reasons for the increase of quackery and humbug in the
practice of medicine and the rise of non-medical cults. There is
rebellion and revolution in the medical world as well as in all the

other worlds.
Are we really any better off by all the elaborate specialization in

medicine? In certain respects, perhaps, yes. In general, no. A
reasonable amount of specialization in medicine, as in other
professions, is necessary and beneficial. Medicine covers a very
broad field. It is too great to be compassed by the activities of any
individual, except in a broad way. The exigencies of the situation
require that it should be divided into certain departments, any one of
which is large enough to fully engage the time, talents and energy of
one man. But no man can successfully do the work of a department
without recognizing the essential unity of medicine and the vital
relation of his chosen department to every other department.
Especially is this true of the internist-the individual who devotes
himself to curative medicine as distinguished from preventive
medicine and surgery; and still more is it true of the pharmaco-
therapeutist who relies mainly for his results, upon the scientific use
of drugs, as in the case of the homœopathician, who is legitimately a
specialist under the same rules as govern any other legitimate
specialist.
The vital, organic relation between all the departments of

medicine must never be overlooked. The science of medicine exists
only in order that the art of medicine may be made effectual in the
prevention, amelioration and cure of disease. The specialties in
medicine are of little value in the treatment of disease unless they are
correlated and directed in their application by the internist -the
general practitioner-who views and treats every case as a whole. All
the surgery, all the organ specializing, all the theorizing, laboratory
research, classifying, naming and explaining of diseases amount to
very little if it does not lead to the cure of the patient.
Now cure relates to the case as a whole, not merely to a part or an

organ. A human being is something more than a miscellaneous
assortment of eyes, ears, nose, throat, lungs, etc.--organs which the
ordinary specialists, if left to themselves, usually treat as if they were
independent of each other. They are only parts of a very intricate
machine the most intricate machine in the world. They are assembled
according to a wonderful plan made by The Designer of The
Universe for the purpose of utilizing the divine power of life. Life,
the motive power, flows through them all and unites them into an
organic whole. Each part depends upon every other part, and all act
together as one, in health or disease. All diseases originate as a

disturbance of the life principle. No organ can become diseased

without a preceding disturbance of the life principle in which all the
other organs participate.
The cure of disease takes place in the same way. The curative
remedy, through the media of the nerves and blood vessels, acts first
upon the life principle everywhere present in the organism, and then
upon the affected parts, in a perfectly natural manner. It is only
necessary that the remedy shall be correctly selected, properly
prepared and administered by the natural channels in appropriate
dosage in order to get its curative effects. No hypodermic needle is
required. One who knows how to do these things never makes the
mistake of treating a part as if it stood alone. Before his mental eye is
always pictured the individual patient-the case as a whole.
It is a characteristic of homœopathy that all of its practical

processes are governed by the principle of individualization. In. As
drug provings; its study of the materia medica compiled from those
provings; its examination of a patient and study of a case; its
selection of the remedy and its conduct of whatever auxiliary
treatment is required, it seeks always to individualize.
Homœopathy recognizes the individuality of each drug and

substance in nature. Its method of testing or "proving" drugs upon
the healthy is designed and wed for the express purpose of bringing
out the symptomatic individuality of each drug so that its full powers
and relations may be established. There are no "succodanæ" in the
homœopathic materia medica. A given drug is symptomatically
indicated in a case or it is not. There are no substitutes for the
conscientious prescriber. Symptomatic comparison between similar
drugs is instituted and carried on until one (the one bearing the
closest symptom-similarity to, the case) stands clearly out as the
indicated remedy.
Homœopathy recognizes the individuality of each patient or case.

The entire examination of a patient is conducted with a view to
discovering not only the general or common features of the case by
which it may be classified diagnostically and pathologically, but the
special and particular symptoms which differentiate the case from
others of the same general class. It recognizes the fact that no two
cases or patients, even with the same disease, are exactly alike, and
maintains that a true science of therapeutics must enable the
practitioner to recognize these differences and find the needed

remedy for each individual. In actual practice the "differences" are

very often the deciding factor in the choice of the remedy. To use a
frequently quoted epigram: "Homœopathy does not treat disease. It
treats patients." In one word, it individualizes. It may be added that
homœopathy is the only method by which the prescriber is able to
thus individualize his medication.
In the auxiliary treatment the same principle is applied as far as

possible. In dietetics, for example, instead of laying down rigid rules
and making up a diet list composed of articles selected solely for
their supposed chemical or physiological relation to the case, the
patient's idiosyncrasies, his likes and dislikes, his aggravations and
ameliorations, as revealed by his symptoms, are considered and
allowed for. Nature as thus revealed in the patient's temperament,
constitution and clinical history is consulted.
This is not to say that theoretical considerations are of no use or

value, but simply that theory is to be checked up and modified by
facts as revealed in the individual. That a patient ought to take or
avoid a certain article of food does not always mean that he can do
so. Frequently he can not do so. Knowledge of homœopathic
principles and methods thus enables the practitioner to make these
individual adjustments and modifications intelligently and overcome
obstacles otherwise insurmountable.
The question of individual susceptibility to medicinal action must

be considered. Susceptibility to medicinal influence varies in
different individuals according to time and circumstances, as well as
to different drugs. In health one may be susceptible to the action of a
medicine at one time and under certain circumstances and not at
other times and under other circumstances. Moreover, one may be
constitutionally susceptible to only a few medicines. In sickness,
susceptibility to the symptomatically similar, potentiated medicine is
greatly increased, but in that case the action is curative, although
new symptoms (proving) may arise if the potency be not suitable or
too many doses be taken.
Age, sex, temperament and constitution; occupation, habits,

climate, season, weather; the nature, type, extent and stage of the
disease-everything, in fact, which modifies the psychological,
physiological, or pathological status of the individual patient
modifies, at the same time, the susceptibility to medicine, increasing
or decreasing it, in health and disease. All these modifying factors

must be observed, considered, weighed, and their influence

estimated in conducting a proving, or treating a case. One will react
only to a high potency, another only to a medium potency, or still
another only to a low potency or tangible doses of the crude drug.
In practice, the whole scale of potencies from the lowest to the

highest, is open to the homœopathic physician. He defines his power
and sphere of influence over health and disease largely by the
number of differing potencies he possesses and the skill with which
he uses them.
Success in homœopathic treatment largely depends, therefore,

upon the ability to correctly measure the individual patient's degree
Of susceptibility to medication and select the most appropriate
potency.
Therapeutic Nihilism.-Although it has spread to all parts of the

civilized world, numbering its practitioners by thousands and its
patients by millions, homœopathy has never found open and general
acceptance in the medical profession. Occasional conversions of
individuals from the ranks of the dominant school have apparently
made little impression on the profession as a whole, but the influence
of Hahnemannian principles is increasingly perceptible as time goes
on. By long, tedious, circuitous routes medical science appears to be
approaching the goal attained over a century ago by Hahnemann.
It is only another illustration of the fact that poets, prophets and

philosophers often perceive great truths and announce them to the
world long before slow-moving scientists succeed in proving them to
their own satisfaction.
Intuition, the highest faculty of the human mind, wings its aerial
way home, while research and investigation laboriously plod their
way along upon the ground.
The main subjects of controversy in the past have been: 1. The

idea of a general principle of curative medication; 2., the doctrine of
potentiation and the minimum dose, 3., proving medicines on the
healthy, and 4., the single remedy.
Refusing to submit these questions to the test of competent,

systematic investigation and experimentation, and baffled in their

own efforts to find a successful way of treating the sick by

medication, leaders of the dominant school have practically
abandoned drugs, and now rely mainly upon surgery and hygienic
methods, supplemented more recently by the use of sera and
vaccines.
In pathology and physiology there has been a gradual breaking

away from the tyranny of authority that has so long held the medical
profession in its grip. But in pharmaco-therapy this nihilistic
tendency has carried them almost to the point of complete negation.
Osler, writing in 1901, said: "He is the best physician who knows
the worthlessness of most medicine."
Barker, his successor at Johns Hopkins, says: "The death blow

came first to polypharmacy Today with many pharmacotherapy as a
whole is almost moribund."
Billings, in his address as president of the American Medical

Association, says: "Drugs, with the exception of quinine in malaria,
and mercury in syphilis, are valueless as cures."
Musser, of Philadelphia, two years later, from the same chair

said: "One sees less and less of the use of drugs."
Cabot, of Harvard, in his notable address before the Boston

Homœopathic Medical Society, said: "I doubt if you gentlemen
realize how large a proportion of our patients are treated without any
drugs at all, and how little faith we have today in the curative power
of drugs."
These extracts indicate the extremity to which some keen

observers, clear thinkers and honest men of the dominant school
have been driven, in the absence of a general principle of therapeutic
medication. In the meantime the rank and file have gone on stolidly
in the same old course of pernicious drugging.
Blinded by professional pride and prejudice, the dominant school

as a whole has bitterly antagonized or ignored the principle
enunciated by Hahnemann a century ago and demonstrated by him -
and his successors continuously ever since.

In no profession, perhaps, has there been so little open-

mindedness, so little of the impersonal, so little of the true scientific
spirit, as in medicine. Few indeed have there been in either school
who could rise above the petty personal and professional jealousies
which have hampered them into the freedom of the higher,
impersonal realm of pure science. The controversial rather than the
scientific spirit has ruled too largely on both sides.
In one respect at least, the leaders of the old school are in perfect
accord with the followers of Hahnemann who have always
maintained that the use of drugs in the treatment of disease, except in
minimum doses and in accordance with the law of similars, is both
useless and injurious.
One of the first and most important truths taught to homœopathic

students is that drugs, in crude form and ordinary so-called
physiological doses, have the power to make even well people sick.
It is demonstrated by the pathogenetic record of every drug in our
materia medica. How much more injurious drugs are to sick persons,
with their lower power of resistance and increased irritability, might
easily be inferred theoretically if the comparative mortality rates did
not continually furnish proof of their deadly influence and make
such inferences superfluous.
There have been signs of a beginning change of base in the ranks

of the dominant school of medicine within the last few years. Among
others, the wide acceptance and practice of serum and vaccine-
therapy and the hospitality of many of its advocates to the suggestion
that the underlying principle of this form of treatment is analogous
to, if indeed it be not in fact the homœopathic principle, tends to
show a more tolerant spirit toward the idea of a general therapeutic
principle governing the curative action of all drugs in all diseases by
medication.
General medicine has made great advances since the days of

Hahnemann; notably in the sciences of biology, physiology,
pathology and bacteriology. Research and discovery in these fields
have revealed facts which not only tend to confirm, but to elucidate
the essential principles of homœopathy. This has not escaped the
notice of certain of the leaders in the dominant school of medicine,
although for obvious reasons they prefer not to enlarge upon it
publicly. Having made and announced an important discovery in
medical science, it is not flattering to one's vanity to be shown that in

all essential points the same discovery was made, announced and put
to use in a better way more than a century ago, by one who Us been
held up to obloquy and scorn by a large part of the profession ever
since.
Modern biological science has confirmed homœopathists anew in

their belief that in homœopathy they have not only the basic law of
therapeutic medication, but also of all tissue reaction. Study of the
reactions of protoplasm to stimuli (chemical, electrical and
mechanical) has led to the formulation of the biological law now
universally accepted, viz: "The same agent which in relatively large
quantities damages or destroys activity, will in relatively small
quantities stimulate it."
This is substantially a statement of the well-known law upon

which homœopathy is based. It establishes a firm foundation for a
practical system of therapeutic medication formulated by the
methods Of pure experimental science. It leads naturally and
logically to systematic experimentation with drugs upon healthy,
living subjects to determine their natural tissue relations and organic
affinities and the kind of reactions their administration arouses.
Reactions in the living subject manifest themselves in perceptible

functional and tissue changes which, in the case of human beings,
may be felt and intelligently observed, described, measured and
recorded. In medical parlance, reactions are expressed by symptoms,
subjectively and objectively. Under this principle and by this method
have our homœopathic provings been conducted, and from these
provings our materia medica is constructed.
Tests, of course, are conducted with doses only sufficient to

arouse characteristic reactions without endangering or destroying
life, since to, do otherwise would defeat the end in view.
Knowing experimentally the damaging or pathogenetic effects of

relatively large doses of a drug upon the healthy living subject;
knowing also that relatively small doses of the same drug exercise a
more moderate and stimulating effect, the next logical step is to
determine the natural relation between drugs and disease.
Systemic reactions to pathogenetic agents of every kind, tangible

or intangible, are observed and studied by the physician in the light

of this principle in the same manner as the reactions of protoplasm to

drugs and other stimuli are studied by the biologist; for the physician
is essentially a biologist, as medicine is fundamentally a biological
science.
Systemic reactions to morbific influences, pathogenic organisms

and drugs alike are all manifested by perceptible phenomena or
symptoms. In fact, the student of the comparative symptomatology
of drugs and diseases needs not to progress very far to realize that it
is impossible to draw any sharp line of demarcation between them.
All diseases are produced by morbific agencies or poisons of some
kind, primarily or secondarily generated, and the symptoms of
disease are precisely similar to the symptoms of drugs. It is not
illogical to deduce that the direct causative agents are similar, if not
identical, and that the differences in effects are due to differences in
the size and quantity of the doses, the morphological peculiarities of
the subjects and different conditions.
Modern medicine in its use of the sera and vaccines, is

demonstrating the identity, or at least the similarity, of disease-
producing and disease-curing agents, and in so doing is
demonstrating the homœopathic principle.
The biological law under discussion brings again to the front, as

of fundamental importance, the old, old subject of The Dose, which
has received so much discussion in the past. Perhaps from this time
on the discussion can be carried on without bigotry, acrimony or
prejudice to a point where the two schools of medicine can arrive at
some amicable understanding based upon the acceptance of a general
principle of therapeutic medication.
Medical Sciolists.-The homœopathic medical profession Would

have been spared a large part of the tiresome and unprofitable
discussions which have wasted time paper and printer's ink in the
past if would-be critics, before entering the literary field, had at least
informed themselves correctly of the derivation and meaning of
certain terms used by those whom they attacked. Misunderstanding
or misusing a word, they attached an arbitrary or imaginary meaning
to it and proceeded to belabor their "man of straw."
In reviewing the controversial literature of homœopathy it is

surprising to find so- large a part of it thus initiated. Much of' it

could never have been written by men who bad even "a speaking
acquaintance" with, sciences other than the one they professed to
represent.
Men who thoroughly understand a subject rarely misunderstand

each other. They, have been over the same course and learned the
same language. They know the groundwork and essentials of their
common art or science, And they also know something of its
relations with other branches of art and science.
All true sciences are interrelated. They touch one another at many
points. Each is dependent upon the others in many respects. They
often "exchange works" as well as words.
Entrance upon the profession of medicine has, until recent years,

been so easy and unrestricted, that a large proportion of its
matriculants had not even the equivalent of a modern grammar
school education. With little or none of the cultural and still less of
the scientific training which goes into the make-up of a well
educated man, they have been permitted to take a course in medicine
and enter upon its practice. Innate ability, a studious disposition and
hard work have enabled some of these men to make up for their pre-
medical shortcomings and earn high honors; but the majority have
been medical misfits, without whom the profession and the public
would have been better off.
So long as such men confined their attention strictly to the

practice of medicine, according to their lights, much could be
forgiven. But when they invaded the literary field and began to write
of matters of which they knew little or nothing, and even to set
themselves up as critics of men who did know, patience ceased to be
a virtue. In pillorizing the culprits, the editors of magazines and
society Transactions who admitted such trash to their pages should
not be overlooked. Verily, they have much to answer for!
A striking example of the misunderstanding and misuse of words

is found in the voluminous and for a long time seemingly endless
discussion centered around the word "spiritual," used by Hahnemann
in paragraph 9 of the Organon, which reads as follows: "In the
healthy condition of man, the spiritual vital force (autocracy), the
dynamis that animates the material body (organism) rules with
unbounded sway, and retains all the parts of both sensations and

functions, so that our indwelling, reason-gifted mind can freely

employ this living, healthy instrument for the higher purposes of our
existence."
Failing to see that Hahnemann had permissibly used the word

"spiritual" as the antithesis of the words "material" or "tangible," the
would-be critics swooped down upon it like a hawk upon a chicken,
fastened their talons in it and proceeded to, make the feathers fly.
Unfamiliar also with the word "dynamis," and ignorant of its
derivation and meaning, they turned their imagination loose and
assumed that Hahnemann was referring to some mystical,
"spiritualistic" sort of a thing which to their half-educated and
crudely materialistic minds had no existence. Much ridicule and
cheap wit, as well as invective, were wasted upon Hahnemann and
homœopathy.
Had they taken pains to refer to any good dictionary they might
have learned that dynamis is a Greek noun meaning power or force;
the power or principle objectively considered applied by Hahnemann
to the life principle.
By the use of that word and its adjectives, dynamic and

dynamical (of or pertaining to forces not in equilibrium; pertaining
to motion as the result of force; opposed to static) Hahnemann
introduces us into the realm of Dynamics, the science which treats of
the motion of bodies and action of forces in producing or changing
their motion. In medicine dynamical commonly refers to functional
as opposed to organic disease. Hahnemann thus opened the way for
bringing homœopathy under mathematical laws, creating the Science
of Homœopathics and giving it its rightful place in the "Circle of the
Sciences."
Main

Chapter VI - Life, Health and Disease - The Genius of Homeopathy - Lectures and Essays on Homeopathic Philosophy - By Dr Stuart M. CLOSE
Main

Philosophy
Chapter VI
Life, Health and Disease
Life is the invisible, substantial, intelligent, individual, co-

ordinating power and cause directing and controlling the forces
involved in the production and activity of any organism possessing
individuality.
Health is that balanced condition of the living organism in which

the integral, harmonious performance of the vital functions tends to
the preservation of the organism and the normal development of the
individual.
Disease is an abnormal vital process, a changed condition of life,

which is inimical to the true development of the individual and tends
to organic dissolution.
Vital phenomena in health and disease are caused by the reaction

of the vital substantial power or principle of the organism to various
external stimuli. So long as a healthy man lives normally in a
favorable environment he moves, feels, thinks, acts and reacts in an
orderly manner. If he violates the laws of life, or becomes the victim
of an unfavorable environment, disorder takes the place of order,
disease destroys ease, he suffers and his body deteriorates
When organic vitality is exhausted, or is withdrawn, his transient

material organism dies, yields to chemical laws and is dissolved into
its elements, while his substantial, spiritual organism continues its
existence in a higher realm.

Agents, material or immaterial, which modify health or cause

disease, act solely by virtue of their own substantial, entitative
existence and the co-existence of the vital substance, which reacts in
the living organism to every impression made from within or
without. The dead body reacts only to physical and chemical agents,
under We action of which it is reduced to its chemical elements and
dissipated as a material organism.
All reactions to stimuli by which the functions and activities; of

the living body are carried on, originate in the primitive life
substance at the point where it becomes materialized as cells and
protoplasmic substance.
Agents from without which affect the living body to produce

changes and modifications of its functions and sensations, act upon
the protoplasm through the medium of the brain and nervous system.
Food, drink, heat, light, air, electricity and drugs, as well as mental
stimuli, all act primarily upon the living substance as materialized in
the cells of the central nervous system, calling forth the reactions
which are represented by functions and sensations.
"Power resides at the center, and from the center of power, force
flows."
The phenomena of life, as manifested in growth, nutrition, repair,

secretion, excretion, self-recognition, self-preservation and
reproduction, all take their direction from an originating center.
From the lowest cell to the highest and most complex organism, this
principle holds true. Cell wall and protoplasmic contents develop
from the central nucleus, and that from the centrosome, which is
regarded as the "center of force" in the cell. All fluids.. tissues and
organs develop from the cell from within outwards, from center to
circumference.
Organic control is from the center. In the completely developed

human organism. vital action is controlled from the central nervous
system. The activities of the cell are controlled from, the centrosome,
which may be called the brain of the cell.
The central nervous system may be compared to a dynamo. As a

dynamo is a machine, driven by steam or some other force, which,
through the agency of electro-magnetic induction from a surrounding

magnetic field, converts into electrical energy in the form. of current

the -mechanical energy expended upon it, so the central nervous
system is a machine driven by chemical force derived from food
which, through the agency of electro-vital induction from a
surrounding vital field, converts into vital energy, in the form of
nerve current or impulses, the chemico-physical energy expended
upon it.
As an electrical transportation system depends for its working

force upon the dynamo located in its central power station, so the
human body depends for the force necessary to carry on its
operations upon the central power station, located in the central
nervous system.
Any disturbance of conditions at the central power station is

immediately manifested externally at some point in the system; and
any injury to or break in the external system is immediately reflected
back to the central station.
In health and disease it is the same, both being essentially merely

conditions of life in the living organism, convertible each into the
other. In each condition the modifying agent or factor acts primarily
upon the internal life principle, which is the living substance of the
organism. This reacts and produces external phenomena through the
medium of the brain and nervous system which, extends to every
part of the body. Food or poison, toxins or antitoxins, therapeutic
agents or pathogenic micro-organisms, all act upon and by virtue of
Be existence of the reacting life principle or living substance of the
organism.
Cure of disease, or the restoration of health, likewise begins at the

center and spreads outwardly, the symptoms disappearing from
within outward, from above downward and in the reverse order of
their appearance.
Resistance to morbific agents is from the center where life reigns.

Vital resistance is the defensive reaction of living substance to
noxious elements and organisms and to disease-producing causes
and agents in general, in obedience to the inherent instinct or law of
self-preservation, which belongs to life in organism.
Metaphorically speaking, disease is resistance. Disease,

manifested by symptoms, expresses the vital reaction and resistance

of the living organism to the inroads of some injurious agent or
influence. It is a battle, a struggle, a costly and painful resistance to
an invader.
Strictly speaking, it is not against disease that we struggle, but

against the causes of disease. The actual causes of disease, in the last
analysis, are from without. They do not exist in the life substance
itself. They are "foreign to the spirit," to man's true nature. They
become operative or effective in the organism conditionally, by
virtue of the existence of the vital principle of susceptibility, reaction
and resistance, and of a living organism in and through which action
and reaction can take place.
Matter and Force.-Physical science declares that matter is

indestructible. Matter is corporeal substance; the form of being or
substance that is characterized by extension, inertia, weight, etc., or,
in general by the properties cognized by the senses. The constitution
and mode of production of matter are traced backward from mass
through molecules, atoms, and electrons to a vibratory or radiant
state of matter supposed to exist in the interatomic ether of space.
Ether is a hypothetical medium filling all space, through which, in

the form of transverse wave-motion, radiant or vibratory energy of
all kinds, including light-waves, is propagated. According to
physical science, all energy exists in the ether, and matter may be
regarded as, in a sense, a condensation, "a specifically modified form
of ether," as Lodge puts it. This is as far as physical science can go.
Of the nature and source of the "Energy," in other words, of what it
is that radiates through the ether in the form of "transverse waves,"
physical science can tell us nothing. In stating this conception
science tacitly admits the substantial character of the ether, or energy
in general, and of specific forms of energy in particular, although its
phraseology is often vague and its terms contradictory. Physical
science does, however, adhere to the general principles of the
indestructibility of matter and the persistence of force. It is thus far
in harmony with the more advanced position taken in the substantial
philosophy. It is much. to have arrived at that point in thinking. But
of incorporeal living substance, or Life and Mind and Intelligence as
the primary source and basis of all energy, current science has as yet
only a faint conception; although more than one physical scientist
has reached the conclusion that, in the last analysis, all force is a
manifestation of Will, and that every physical action is primarily a

psychical action.
Biological science traces matter backward from organism through

cells, nuclei, to the centrosome, an organ found in the protoplasm,
but usually only occurring in close connection with the nucleus.
When active the centrosome is said to be "at the center of a sphere of
attraction and a system of rays," and is regarded as the dynamic
center governing karyokinesis and cell division.
Biological science, therefore, when examined closely is found to

recognize, at least tacitly, the existence of Life as a substantial,
entitative, indestructible power. How or by what else could the vital
force necessary to carry on vital processes be generated? How else
could there be in the cell a "dynamic center?" Dynamic center means
"center of power." Statically, power means capacity of a person or
thing for work, for producing the force by which work is done. There
must be a source from which force is produced or drawn, and that
source must be substantial. Kinetically, power is the cause, force the
medium, and work the effect. Power, therefore, considered either as
an attribute or the thing itself, is actually a substantial, entitative
being.
Since life can come only from life, biological science, in thus
placing the centrosome at the center of "a sphere of attraction,"
places it in a surrounding field of what can only be incorporeal
living substance, from which alone could it attract the wherewithal to
construct the cell and endow it with the functions of organization,
growth and reproduction.
As the active agent and center of attraction the centrosome is a

medium, standing between the field of life on the one side, and the
field of matter on the other side, acting under the law of attraction or
affinity, by means of which vital force is drawn from the
surrounding vital field and converted or transformed into the
physical or chemical force which acts directly upon the matter of
which the cell is composed. The centrosome also, like the central
nervous system, may be compared in this respect to a dynamo, which
acts in a similar manner in the conversion of mechanical energy into
electric energy or current.
Biological science as yet is neither explicit nor comprehensive in

this matter. It places the centrosome "at the center of a field of

attraction," but does not define or enumerate all the contents of that
field. Enumerating only the physical or chemical forces and the
various forms of matter of which the cell is composed, it implies that
these are all the field contains. Biology, the science of life and living
things, thus evades the acknowledgment of Life as a specific power,
principle or substance, and defines it merely as a state of the
organism, a condition; or as arising out of physical and chemical
elements and forces acting so as to result in some, unexplained way
in the evolution of the individual living beings and the development
of the species.
Such a definition fails to explain some of the most important

phenomena of living organisms, such as growth, reproduction, self
repair and constant changes with continued identity (not to speak of
consciousness, feeling and thought), bemuse it leaves out Life, the
most important element of all. It is like the play of Hamlet with
Hamlet left out.
It is at axiom of biological science that life comes only from

preceding life.
The surrounding field of "the sphere of attraction," at the center

of which biology places the centrosome, must therefore contain the
life substance as well as the matter of which the cell is composed
upon which the attraction is exerted.
Attraction is a force exercised mutually upon each-other by two

or, more bodies, particles or substances, tending to make them
approach each other, or to prevent their separating.
As the active agent or center of attraction the centrosome is a

medium, standing between life on the one side and matter on the
other side.
The central nervous system, made up of innumerable cells, with

their nuclei and centrosome, has already been compared to a,
dynamo. So each individual cell with its nucleus and centrosome
may be called a dynamo in miniature. A dynamo is essentially a
converter of one form of energy into, another. Standing at the center
of the field of attraction and acting in all directions under the law of
attraction, the centrosome, through the agency of induction from the
surrounding vital field, converts the chemical energy derived from

nutrient matter into vital energy.
In no other way and from no other source could the centro-some

attract that ruling element by which the living human body and brain
are endowed with their peculiar properties and functions of
organization, growth, self-repair, reproduction, intelligence, reason.
feeling and will.
Electrical science, in its theory of electro-magnetic induction -and

conversion, has thus paved the way for a clearer understanding of the
modus operandi of life principle.
Physics and biology are in harmony with homœopathics, the

science of homœopathy Their basic principles are identical.- The
respective scientific explanations of the origin, constitution and
transformation of matter and the laws governing the same agree
perfectly as far as they go.
The explanation of physics and biology serve equally well for

homœopathy in its physical and biological aspects. Ionization, for
example, the breaking apart of electrolytes into anions and cations by
solution or other process, chemical or mechanical (the theory of
electrolytic dissociation) is an adequate physical explanation of what
occurs in the preparation by trituration, solution and dilution
according to scale of homœopathic high potencies. The much-
derided and discussed "infinitesimals" of homœopathy are found at
last, in the farthest advance of science, to be "common property,"
under the general mathematical "Theory of Infinitesimals."
Physicists and biologists, as well as homœopathists, have been led to
the adoption of the theory of the infinitesimal to explain their
phenomena, and of the infinitesimal quantity to accomplish their
ends.
The amazing achievements of modern physical, chemical and

electrical science have been made possible only by knowledge of the
powers, properties and laws of the infinitesimal.
Mathematics, greatest and most ancient of the sciences, opened

the way with its Infinitesimal Differential and Integral Calculus, and
laid the foundation upon which later coming sciences were built-
homœopathy among them.

The Nature of Disease.-It has been said of homœopathy that it is

"not a theory of disease, but a theory of cure." It is a taking phrase,
but like many other such epigrams it embodies only a half truth, and
half truths are fatal to right thinking. It can easily be proved by
reference to the writings of Hahnemann that a theory of disease lies
at the very foundation of homœopathy. This theory, based upon the
general philosophical conception of the unity, universality and
supremacy of Life and Mind, out of which grew Hahnemann's
physio-dynamical doctrine of the life force, was an anticipation by
more' than eighty years of the biological theory propounded in 1897
by Virchow, the great German pathologist.
Virchow's Cellular Pathology, in which he summed up his long

lifetime of research and study, was until recently the highest medical
authority on the subject. Virchow reached the conclusion that
"pathology is but a branch of biology; that is, that disease is, merely
life under altered conditions." This conclusion was bailed. as "the
most important achievement of the nineteenth century" and to
Virchow, in recognition thereof, almost royal honors were granted.
Eighty-four years before Virchow published his famous, dictum,

namely, in 1813, Hahnemann, in his "Spirit of the Homœopathic
Doctrine" and elsewhere in his writings, used the following
expressions: "To the explanation of human life, as also its, two-fold
conditions, health and disease, the principles by which we explain
other phenomena are quite inapplicable." Again he says: "Now as the
condition of the organism and its health state depends, solely on the
state of life which animates it, in like manner it follows that the
altered state, which we term disease, consists in a condition altered
originally only in its vital sensibilities and functions, irrespective of
all chemical or mechanical principles; in short, it must consist in an
altered dynamical condition, a changed mode of being, whereby a
change in the properties of the material component parts of the body
is afterward affected, which is a necessary consequence of the
morbidly altered condition of the living whole in every individual
case."
"Disease will not cease to be (spiritual) dynamic aberrations of

our spirit-like life, manifested by sensations and actions, that is, they
will not cease to be immaterial modifications of our sensorial
condition (health)."
Thus, in terms almost identical with those of his great compatriot,

Hahnemann stated the present accepted biological conception of

disease, and in so stating it anticipated, by nearly a century, one of
the profoundest conclusions of modern scientific thought.
There are other subjects in which Hahnemann, by marvelous

foresight and intuition, anticipated the conclusions of modern
science. Among them were certain of the discoveries of Koch, and
Pasteur.
In 1893 Koch was sent by the German government on a special

mission to India to study Asiatic cholera. He discovered and was
able to demonstrate the presence, in the intestines of cholera patients,
of a spiral, threadlike bacterium which readily breaks up, into little
curved segments like a comma, each less than 1/10,000, of an inch in
length. These microscopical living organisms multiply with great
rapidity and swarm by the million in the intestines of such patients.
Koch showed that they can be cultivated artificially in dilute gelatine
broth and obtained in spoonfuls. He also showed that cholera could
be produced in animals by administering to them a pure,
concentrated culture of these germs, although it was only done with
great difficulty after many experiments. He therefore held that the
germs were the cause of cholera.
Other investigators, however, for a time failed to duplicate his

results and refused to accept Koch's conclusion. Pettenkofer, of
Munich, who did not believe that the comma bacillus was the
effective cause of cholera, to prove his contention, bravely
swallowed a whole spoonful of the cultivated germs. His assistants
did the same and none suffered any ill effect, This somewhat
spectacular demonstration did not impress others, however, many of
whom realized that it must be necessary for the human intestine to be
in a favorable or susceptible condition, an unhealthy condition, for
the bacillus to thrive and multiply in it.
A little later Metchnikoff of Paris repeated Pettenkofer's

experiment. He swallowed a cultivated mass of the bacilli on three
successive days and bad no injurious result. Others in his laboratory
did the same with the result of only a slight intestinal disturbance.
But of a dozen who thus put the matter to the proof in the Pasteur
Institute, one individual acquired an attack of the Indian cholera
which very nearly caused his death. That put an end to such
experiments and conclusively demonstrated that Koch's comma
bacillus is really capable of producing true cholera, when right

conditions exist.
The announcement of Koch's discovery made a furore in the

medical world. Glowing hopes of cure were based upon it, soon,
alas! to be disappointed. It seemed such a simple proposition in those
days: "Kill the germs and cure the disease!" At last cholera was to be
"stamped out!"
It was very easy to kill the germs-in a test tube; but to kill them in
the living organism of the cholera patient without 'killing the patient
was quite a different proposition, as they very soon learned. In spite
of -all attempts at cure based upon such crude reasoning, cholera
continued its ravages with undiminished mortality. Now hear what
Hahnemann said more than fifty years before all this happened.
When Asiatic cholera invaded Europe in 1831 and began

ravaging the population, it was realized that it was of the utmost
importance to learn its modes of propagation and extension.
Hufeland, the great leader of medical thought in Europe at that
period, believed and taught that cholera was of atmospheric-telluric
origin, from which there could be no protection. Against this awful
error Hahnemann protested in a vigorous essay on "The Made of
Propagation of the Asiatic Cholera," in which he held that it was
"communicable by contagion only, and propagated from one
individual to another." Illustrating and explaining its mode of origin
and propagation lie says: "On board ships, in those confined spaces,
filled with mouldy watery vapors, the cholera miasm finds a
favorable element for its multiplication, and grows into an
enormously increased brood of those excessively minute, invisible,
living creatures, so inimical to human life, of which the contagious
matter of the cholera most probably consists." He refers again and
again to "the invisible cloud" that hovers around those who have
been in contact with the disease, "composed of probably millions of
these miasmatic animated beings, Which, at first developed on the
broad marshy banks of the tepid Ganges, always search out the
human being"
Consider this amazing statement in which Hahnemann again, by

more than half a century, anticipates the conclusions and
demonstrations Of modern science.
Remember, Hahnemann had no microscope. That instrument,

except in its crude form as a magnifying glass, used as a sort of

plaything, did not exist. His conclusion was a deduction of pure
reason from observed facts, which he states at some length in his
essay. Moreover, Hahnemann by an exercise of that same think
faculty which his wise, old father had so carefully trained in his
childhood and youth in the old home in Meissen, also discovered and
announced the true curative remedies for the disease, and that before
he had ever personally seen a case.
It was reserved for Koch, who had a microscope, to demonstrate

ocularly the absolute truth of Hahnemann's idea. Whether Koch had
read the writings of Hahnemann on this subject is open to question.
They were published in book form and were to be found on the
shelves of any great library, accessible to all students, If Koch and
Pasteur had read and were familiar with the teaching of Hahnemann
they were not so frank as Von Behring, who publicly acknowledged
his indebtedness to Hahnemann for the idea -of his diphtheritic
antitoxin and declared that no other word than "Homœopathy" would
adequately explain its modus operandi.
I have dwelt somewhat upon this subject, not only because it

shows Hahnemann's priority and supremacy as an original
investigator and thinker, but because we have in this cholera episode
a complete illustration of the homœopathic teaching in regard to the
nature of disease.
The first proposition is that disease is not a thing but only a

condition of a thing; that disease is only a changed state of health, a
perverted vital action, and not in any sense a material or tangible
entity to be seen, handled, or weighed, although it may be measured.
Those who think that have been following me closely, warm in

their interest in the identification of the comma bacillus as the cause
of cholera, are doubtless puzzling their brains to reconcile that
identification and demonstration with the statement that disease is
not a thing but a condition of a thing." Has it not been demonstrated
that the bacillus is a tangible thing? Those who think thus have
overlooked an important point in my statement, and by so doing
have identified the conditioning and the conditioned, which is a
violation of the rules of logic.
The foundation is a condition for the house, but it is not the -

house nor the cause of the house. Much less is the house identical
with the foundation. The bacillus is the proximate cause of cholera
but it is not cholera, nor the sole cause of cholera. It is only one of
several conditions necessary for the production and propagation of
cholera, all of which must be considered if we are to form just
conclusions about the nature of disease. For instance, there are
sanitary conditions to be considered, with all their numerous
implications; there are social and moral conditions, including
facilities and modes of transportation and inter-communication
between nations, communities and individuals to be considered
There are also atmospheric and telluric conditions. It is to be noted
that it was only after many trials by administration of the bacillus-
cultures that one individual was found who succumbed to the attack.
With him there was a condition of individual susceptibility and that
susceptibility was an essential condition for him, as it is in all such
cases.
Those who did not observe that point were caught napping as
many others have been when dealing with such subjects.
We must discriminate between cause and effect, between power

and product, between that which acts and that which is acted upon.
We must also learn to realize that the power which acts to cause or
produce effects is always invisible. We see the wonders of the realm
of dynamics only with the eyes of the mind. We know the existence
of force only by its manifestations and phenomena. We know
gravity, chemical affinity, electricity, life, mind, health, disease, only
by their phenomena. We must not let the phenomena which we
perceive with our organs of sensation blind us to the existence of the
invisible power which produces them, nor think that the visible is the
all of existence. The tumor, the eruption, the ulcer, the pain, or the
fever which we see or feel, or the germ or bacillus which the
microscope reveals, is not the all of disease. Back of these lies the
substantial, all-pervading life principle of the organism, which
primarily acts and is acted upon.
Functional or dynamic change always precedes tissue changes.

Internal changes take place before external signs appear. We do not
see the beginnings of disease. Neither do we see disease itself any
more than we see life, mind, or thought; for disease, in the last
analysis, is primarily only an altered state of life and mind,
manifesting itself in morbid functions and sensations, which may or
may not lead to visible tissue changes.

All action is conditional. No force or agent acts unconditionally.

Our cholera illustration teaches that no pathogenic microorganism
acts unconditionally. No germ or bacillus is the sole or absolute
cause of any disease, but only a proximate or exciting cause under
certain conditions. Other predisposing, contributing, antecedent
causes must exist before the germ becomes operative. Numerous
Klebs-Lœffler bacilli may be found in the throats of perfectly
healthy people who have been in contact with a diphtheria patient.
An examination of the nasal or pharyngeal secretions of any one of
us at this moment would probably reveal the presence of numerous
pathogenic organisms from the inhaled dust of the street. But we are
not thereby endangered beyond the ordinary chances of life, because
nature has her own means of protection against all such outside,
morbific influences. They are harmless to us in our normal condition
because the element of morbid susceptibility to these particular
germs is absent in the great majority of individuals. The vital
resisting power of the healthy individual is superior to the infecting
power of the bacilli or any other form of infecting agent, under
ordinary conditions. It has been well said that "the best protection
against contagion is good health."
It behooves us, therefore, to understand what Hahnemann means

by "the sick" in the first paragraph of the Organon, where he says
that the first and sole duty of the physician is to heal the sick; and
what he means in the third paragraph where he says that the
physician should distinctly understand what is curable in disease.
In paragraph six he tells us, that in each individual case we are to

Observe only what is outwardly discernible through the senses; that
this consists of changes in the sensorial condition of health of body
and soul revealed to our senses by morbid signs or symptoms and
that these morbid signs or symptoms, in their entirely, represent the
disease in its full extent; that they constitute the true and only
conceivable form or picture of the disease.
In paragraph seven he tells us that the disease is the suffering of

the "dynamis" or the life principle of the organism; that the
symptoms by which this suffering is made known constitute not only
the sole guide to the choice of the curative remedy, but are in
themselves all there is to he removed in effecting the cure. They
represent "that which is curable in disease."

In paragraph eight he states the general principle in logic, that

when an effect ceases we may conclude that the cause has ceased to
act. He says that when every perceptible symptom of disease or
suffering of the vital force has been removed, the patient is cured.
Note carefully exactly what he says here. He does not say that
when every tangible or visible result of the disease has been removed
the patient is cured, but that disease is cured when every perceptible
sign of suffering of the dynamis has been removed.
The patient whose disease has produced a tumor may be perfectly

cured by homœopathic remedies and still have his tumor left,
precisely as he may have a scar after the perfect healing of a wound.
The tumor is not the disease, but only the "end product" of the
disease, as it were. The tumor is not the object of curative treatment,
but the disease which preceded and produced the tumor. The tumor,
in the course of successful treatment, may or may not be absorbed
and disappear. It depends upon the state of the patient's metabolism.
If the patient's vitality has not been too much exhausted by long
illness and faulty living or treatment, and if his powers of
metabolism are equal to the task, the tumor, or the effusion, or the
infarctus or whatever it may be, will be absorbed, as frequently
happens in cases treated by skillful prescribers. I have myself seen
this happen many times. But if the contrary is the case the tumor, or
other morbid product, constitutes a merely mechanical condition
which we may turn over to the surgeon for the exhibition of his
manual dexterity and technical skill-after the patient has been cured
of his disease.
There is another class of cases where medicine and surgery must

go hand in hand because of lack of time; where, from seeing the case
too late, mechanical conditions have come to constitute a menace to
life. But even here skillful homœopathic prescribing greatly lessens
the danger of operating and increases the chances of a happy
outcome in the cure of the patient.
The mere removal of the tangible products of disease by

mechanical means as in the case of tumors, or of the external visible
signs of disease by topical applications as in cases of eruptions and
discharges, not only does not cure the disease, but does the patient a

positive injury and renders the case inveterate or more difficult to

cure. Not infrequently it leads to the death of the patient from
metastasis and the complications which result from such treatment.
Disease is only cured by the internally administered similar
medicine, with due regard to the proper auxiliary psychical, hygienic
and mechanical treatment.
Disease, then, is primarily a morbid disturbance or disorderly

action of the vital force, represented by the totality of the symptoms
of the patient. It is a purely dynamical disturbance of the vital
powers and functions, which may or may not ultimate in gross tissue
changes. The tissue changes are no essential part of the disease, but
only the products of the disease, which, as such, are not the object of
treatment by medication.
Cure, from the homœopathic point of view, consists in "the

speedy, gentle and permanent restitution of health, or alleviation and
obliteration of disease, in its entire extent, in the shortest, most
reliable, and safest manner, according to clearly intelligible reasons"
or principles.
To, remove some symptoms of disease and palliate others is not

to remove or obliterate the disease "in its entire extent," nor
permanently restore health. Whether palliation makes for the
patient's well-being or not depends upon the circumstances and how
it is done. We may palliate symptoms and make the patient more
comfortable by the use of well-selected homœopathic remedies, or
by a judicious and conservative surgical operation; and that may be
all it is possible to do in a particular case. Palliation is permissible
and all that is possible sometimes. But there is a right way and
wrong way to palliate. The wrong way of palliation often leads to
metastasis to more important organs. That is always had for the
patient, because it leads to further complications and suffering. The
right kind of palliation is curative as far as it goes, i.e., it is achieved
by the application of the curative principle; but in the nature of the
case, or exigencies of the situation, cure in the complete sense may
be impossible, because be case has passed beyond the curable stage.
We must learn to distinguish between incurable disease and disease
which has reached the incurable stage. There is no such thing as
"incurable disease." All diseases are curable before they have
reached a certain stage; and that does not necessarily mean that we
must "begin to treat a child three hundred years before it is born," as
Dr. Oliver Wendel Holmes humorously but pessimistically said.

"Suppression," or palliation of disease, is the removal of the

external symptoms of disease by external, mechanical, chemical or
topical treatment; or by means of powerful drugs, given internally in
massive doses, which have a direct physiological or toxic effect but
no, true therapeutic or curative action.
The "suppressed" case always "goes bad." As an example of

metastasis frequently observed and verified, take the surgical
obliteration of a rectal fistula resulting from an ischio-rectal abscess
in a tubercular patient, without having previously submitted the
patient to a successful course of curative medical and hygienic
treatment. What happens in such a case? The local, visible rectal
symptoms are removed, the fistula is gone, but what about the
patient? Presently the interior systemic disease which, up to the time
of the operation may be said to have been tentatively expressing
itself in the rectal lesion, to, the temporary relief of the organism and
protection of vital organs, now breaks out in the lungs and hastens
the patient to an untimely grave. A possibly curable case has been
rendered incurable and a patient's life sacrificed because the
physician or surgeon has failed to recognize the true indications in
the case. The abscess and fistula act as if they were the "vent" or
"exhaust" of the disease, affording temporary safety to, vital organs.
Close the exhaust and an explosion follows.
The practical bearing of the foregoing consideration appears

when we come to the treatment of disease; If we regard the external,
tangible manifestations as the all of disease and make them the
object of treatment, we are likely to lose sight of the logical relation
between cause and effect, overlook important etiological factors,
invert the natural order and direction of treatment and end by using
measures which can result only in failure or in mere palliation
instead of cure. Such treatment fails because it is one-sided and
superficial. It is not guided by knowledge of the true nature and
causes of disease and their relation to its external manifestations.
Almost anyone may learn how to drive an automobile; but

without a knowledge of the nature, source and mode of application
of its motive power and means of control he is likely to be left
helpless by the roadside if anything goes wrong with his motor. Life
is the power which runs the human automobile, and he who would
run it successfully and be able to adjust and repair it when things go
wrong must know the nature and laws of that power.

Main

Chapter VII - Susceptibility, Reaction and Immunity - The Genius of Home... - Lectures and Essays on Homeopathic Philosophy - By Dr Stuart M. CLOSE
Main

Philosophy
Chapter VII
Susceptibility, Reaction and Immunity
By susceptibility we mean the general quality or capability of the
living organism of receiving impressions; the power to react to
stimuli. Susceptibility is one of the fundamental attributes of life.
Upon it depends all functioning, all vital processes, physiological
and pathological. Digestion, assimilation, nutrition, repair, secretion,
excretion, metabolism and catabolism, as well as all disease
processes arising from infection or contagion depend upon We
power of the organism to react to specific stimuli.
The cure and alleviation of diseases depend upon the same power
of the organism to react to the impression of the curative remedy.
Men we give a drug to a healthy person for the purpose of making

a homœopathic "proving" or test, the train of symptoms which
follows represents the reaction of the susceptible organism to the
specific irritant or stimulus administered.
When a homœopathically selected medicine is administered to a

sick person, the disappearance of the symptoms and restoration of
the patient to health represents the reaction of the susceptible
organism to the impression of he curative remedy.
The homœopathic aggravation," or slight intensification of the

symptoms which sometimes follows We administration of the
curative remedy, is merely the reaction of the organism, previously
perhaps inactive or acting improperly because of lowered

susceptibility, as it responds to the gently stimulating action of the

medicine. As a piece of machinery in which the bearings have
become dry or rusty from disuse, creaks and groans when it is again
started up into action, so the diseased, congested, sluggish organs of
the body sometimes squeak and groan when they begin to respond to
the action of the curative remedy. All this, and much more is
included in the Hahnemann doctrine of Vitality, under the
Newtonian principle of Mutual Action, ("Action and reaction are
equal and opposite") restated in medical terms by Hahnemann as
"Similia Similibus Curantur," and employed by him as the law of
therapeutic medication.
It is understood that action and reaction in the medical and

physiological sense takes place only in the living organism, and that
it depends upon that fundamental quality and attribute of life which
we call susceptibility.
We shall see that the kind and degree of reaction to medicines

depends upon the degree of susceptibility of the patient, and that the
kind and degree of susceptibility, in any particular case or patient,
depends largely upon how the case is handled by the physician; for it
is in his power to modify susceptibility. Indeed, this power to modify
susceptibility is the basis of the art of the physician.
If the physician knows how to modify susceptibility in such a

way as to satisfy the requirements of the sick organism and bring
about a true cure, then is he a physician indeed; since cure consists
simply in satisfying the morbid susceptibility of the organism and
putting an end to the influx of disease-producing causes. To
accomplish this he must know that susceptibility implies and
includes affinity, attraction, desire, hunger, need; that these all exist
and express themselves normally as states and conditions in every
living being; but that they may become morbid and perverted and so
cause disease, suffering and death. He knows also that susceptibility
implies the existence of the wherewithal to satisfy susceptibility; to
supply need, hunger, desire, affinity, attraction, and he knows how
and where to find the necessary modifying agents.
It is a well-known fact that the living organism is much more

susceptible to homogeneous or similar stimuli than to heterogeneous
or dissimilar stimuli. Throughout the entire vegetable and animal
kingdom we find the law of development and growth to be like
appropriating like. Organism and organs select elements most

similar to their own elements. The same law holds good in excretion,
each organ excreting or throwing off elements analogous to those of
its, own basis structure.
So it is in satisfying the morbid susceptibility which constitutes

disease. As hunger demands food, so disease demands medicine. But
the demand is always consistent with the universal law. It is for the
symptomatically similar medicine, because that is the only thing that
really satisfies the susceptibility.
This morbid susceptibility which constitutes disease may exist

toward several different medicines, the degree of susceptibility to
each depending upon the degree of symptom similarity; but the
highest degree of susceptibility exists toward the most similar - the
simillimum, or equal. Hence, a given patient may be cured of his
disease homœopathically by either of two methods; by giving several
more or less similar medicines in succession, or by giving one
exactly similar medicine--the similimum or equal. It depends upon
whether he is being treated by a bungler or an expert. The bungler
may "zig zag" his patient along through a protracted illness and
finally get him well, where an expert would cure him by the straight
route with a single remedy in half the time.
The sick organism being so much more susceptible to the similar

medicine than the well organism, it follows that the size or quantity
of the dose depends also upon the degree of susceptibility of the
patient. A dose that would produce no perceptible effect upon a well
person may cause a dangerous or distressing aggravation in a sick
person, just as a single ray of light will cause excruciating pain in an
inflamed retina, which in its healthy condition would welcome the
full light of day.
Susceptibility as a state may be increased, diminished or

destroyed. Either of these is a morbid state which must be considered
therapeutically from the standpoint of the individual patient. Morbid
susceptibility may be regarded as a negative or minus condition a
state of lowered resistance. J. J. Garth Wilkinson (Epidemic Man and
His Visitations) says:
"One man catches scarlet fever from another man, but catches it
because he is vis minor to the disease, which to him alone is vis
major. His neighbor does not catch it; his strength passes it by as no

concern of his. It is the first man's foible that is the prime reason of
his taking the complaint. He is a vacuum for its pressure. The cause
why he succumbed was in him long before the infector appeared.
Susceptibility to a disease is. sure in the individual or his race to be
(come) that disease in time. For the air is full of diseases waiting to
be employed.
"Susceptibility in organism, mental or bodily, is equivalent to

state. State involves the attitude of organizations to internal causes
and to external circumstances. It is all the resource of defense or the
way of yielding. The taking on of states is be history of human life.
Pathology is the account of the taking on of diseased states, or of
definite forms of disease, mental or bodily.
"In health we live and act and resist without knowing it. In
disease we live but suffer; and know ourself in conscious or
unconscious exaggeration."
We must also predicate a state of normal susceptibility to

remedial as well as toxic agencies, which it is the duty of the
physician to conserve and utilize. No agent or procedure should be
used as a therapeutic measure which has the power to, diminish,
break down or destroy the normal susceptibility or reactibility of the
organism, because that is one of the most valuable medical assets we
possess. Without it all our efforts to cure are in vain. To use agents
in such a manner or in such a form or quantity as to diminish, impair
or destroy the power of the organism to react to stimuli, is to align
ourselves with the forces of death and disintegration. Conservation
of the power of the organism to react defensively to a toxin, a
contagion, or an infection is as important as it is to conserve the
power to react constructively to food and drink, or curatively to the
homœopathic remedy. It is as normal and necessary for the organism
to react pathogenetically to a poison, in proportion to the size and
power of the dose, as it is to react physiologically to a good dinner.
The problem is one of adjustment to conditions. The point to be

kept in mind is to recognize and conserve normal susceptibility in all
our dealings with the sick and to do nothing to impair it. Every
remedy or expedient proposed for treatment of the sick should be
submitted to this test. Does it respond to the demand of the suffering
organism as expressed by similar symptoms? Does it supply the
organic need? Does it satisfy the susceptibility without injury or
impairment of function? In short, does it cure? Unquestionably

many remedies, methods and processes more or less popular even to-
day, in this ultra-scientific age, do not and cannot conform to this
standard.
Many substances are used medically in such form, in such doses,

by such methods and upon such principles as to be distinctly
depressive or destructive of normal reactivity. They are forced upon
or into the suffering organism empirically without regard to nature's
laws. So far as their effect upon disease is concerned they are in no
wise curative, but only palliative or suppressive and the ultimate
result, if it be not death, is to leave the patient in a worse state than
he was before. Existing disease symptoms are transformed into the
symptoms of an artificial drug disease. The organism is
overwhelmed by a more powerful enemy which invades its territory,
takes violent possession and sets up its own kingdom.
Such victories over disease are a hollow mockery from the

standpoint of a true therapeutics.
We do not have to seek far for illustrative examples:
Professor James Ewing, of Cornell University Medical College,

in a lecture upon Immunity (1909), called the problem of the
endotoxins "The stone wall of Serum Therapy." He said:
"The effort to produce passive immunity against the various

infections by means of sera may fail in spite of the destruction of all
the bacteria present in the body, by reason of the endotoxins thrown
out in the process of bacteriolysis resulting from the serum injections.
"The action of endotoxins of all kinds is similar: there is a

reduction of temperature but an active degeneration of the organs –a
status infectiosus. Thus sterile death is produced where cultures from
the organs and tissues show that the bacteria in question have all
been destroyed; but the animal dies.
"This problem of the endotoxins is at present the stone wall of

Serum Therapy."
Prof. Ewing cited the case of a patient who received injections of

millions of killed gonococci for gonococcic septicæmia; the
temperature came down to normal, but the patient died. He

continues: "An animal whose serum is normally bacteriolytic may,

on immunization, lose this power; the bacteria living in the serum,
but not producing symptoms.
"Thus, a rabbit's serum is normally bacteriolytic to the typhoid

bacillus, but the rabbit is susceptible to infection. If, however, the
rabbit is highly immunized the serum is no longer bactericidal, the
typhoid bacilli living in the serum, but the animal not being
susceptible of infection. The animal dies."
"It seems therefore that the. effort must be made in the future to
enable the tissue and the bacteria to live together in peace rather
than to produce a state where the serum is destructive to the
bacteria."
These are strong and significant words from the highest authority
on pathology in America.
In the cases cited by Prof. Ewing we see the destruction, partial or

complete, of susceptibility-of the normal power of the organism to
react to the stimulus of either the sera or the bacilli.
In the case of total destruction of the susceptibility death

followed. The condition of the patients in whom destruction was
only partial may be better imagined than described. A rabbit or a
man, whose fluids and tissues are in such a depraved or vitiated :
state that typhoid or other virulent organisms live and thrive in them
without producing symptoms, and who will no longer react to a
powerful serum, is not in a state of health to say the least. It is a
condition which reminds us of the scathing words of Jesus; - "Woe
unto you, Scribes and Pharisees, hypocrites! for ye are like whited
sepulchres, which indeed appear beautiful outwardly, but within are
full of dead men's bones and all uncleanness."
The use of antiseptics in the treatment of disease, or surgically (in

the field of operation), is another means of impairing or destroying
normal susceptibility.
Articles have appeared in leading medical journals of the

dominant school (Boston Surgical journal, and the Therapeutic
Gazette), in which it was pointed out that the use of antiseptics in the
treatment of tonsillitis increased the inflammation, prolonged the

disease and retarded convalescence. It was explained that by

diminishing the number of bacteria in the crypts which were
generating toxin, the period required for the formation of the
requisite amount of antibodies was unduly prolonged. They had just
waked up to the fact that the living organism, even if diseased, has
some means of self -protection and that, other things being equal, the
automatic formation of the antitoxins and antibodies in the organism
goes on at about an equal pace with the generation of toxins.
The destructive action of the antiseptics upon the living tissue

cells and phagocytic leucocytes of the host-otherwise the patient -
was also pointed out as contraindicating their use by these discerning
authorities. In destroying these bodies we are destroying the physical
basis of life itself. We slay our best friends. They further showed that
the depression of vitality thus caused resulted later in increase of
fever and cervical adenitis, due to the increased absorption of toxins.
What they failed to see and explain, however, was that the increased
fever and inflammation were in reality the manifestation of that vital
reaction or resistance on the part of the organism, which is the
means by which the real, natural curative antibodies and antitoxins
are produced, and that this should never be interfered with.
Inflammation and fever are not evils per se. They are merely the
signs of normal reaction and resistance to an irritant or poison by
which nature protects herself. They are not enemies to be resisted,
but friends and allies to be co-operated with in the destruction of a
common enemy.
Inflammation and fever mean simply greater vital activity, more

rapid circulation, respiration and oxygenation, more rapid and
thorough elimination of waste or toxic substances, and the
concurrent formation of natural antitoxins and antibodies by means
of which recovery is brought about.
Pain, inflammation and fever are not the real disease nor the real
object of treatment. To view them as such leads logically and
inevitably to mere palliation or suppression of symptoms, than which
there are no greater medical evils. It is based upon a false and
illogical interpretation of the phenomena of disease which mistakes
results for causes.
Stimulants and Depressants.-Prof. James C. Wood, veteran

surgeon and author -of Cleveland, Ohio, in a letter to the writer,

dated February 20, 1922, following the publication of this article in
the Homœopathic Recorder, wrote as follows:
"There is one remedy you have omitted in your discussion of

shock, namely, strychnia or nux vomica. Crile in his experimental
work on shock has shown that it is almost impossible to differentiate
true shock from strychnia poisoning. As a result of his
experimentation surgeons have pretty largely discarded strychnia in
the treatment of shock, Crile proving that they are killing more than
they are curing by full doses of strychnia in dealing with the same.
On the other hand, I am using it in small doses with the, greatest
possible advantage, showing conclusively, I think, its
homœopathicity in shock."
It seems to be pretty well established that alcohol, the typical and

perhaps most commonly used stimulant, adds nothing to the
physiological forces of the body. It takes of what might be called the
"reserve fund" of organic force and uses it up a little faster than
nature would otherwise permit. It acts like the whip to the tired
horse, not like rest, water and food, which nourish, strengthen, repair
and replace worn-out tissues. Its action on the brain and nerves is
well known. Many have seen, on the dissecting table, the
characteristic watery, contracted brain of the chronic alcoholic. We
know the power of alcohol to harden and shrivel and devitalize
organic tissues Its power to paralyze the vaso-motor system is seen
in the flushed face, congested capillaries and ruby nose of the
inebriate. We are aware of its inhibiting effect upon the sensory
nerves, by which it makes its victim insensible to the impressions of
heat, cold and pain, so that, in extreme intoxication, he falls on a red-
hot stove and is burned to death, or staggers into a show bank and
freezes to death without knowing it.
All these things define the nature and measure of power of

alcohol to decrease or destroy normal susceptibility.
Less only in proportion to the amount used is its influence to

lessen susceptibility when used as a stimulant in disease. Here, as in
all other realms, the law holds good: "Action and reaction are equal
and opposite." Stimulation and depression are equal and opposite.
Whip the exhausted horse and he will go on a little ways and then
drop. No amount of whipping will start him up. again. He soon
reaches a point where his susceptibility to, that kind of a stimulant is

exhausted. Overstimulate the weakened or exhausted patient and the

same thing will happen.
This is not to say that there is no place for physiological drug

stimulants in the healing art, but only to point out that the place
which they legitimately fill is an exceedingly small one and rarely
met. Certain rare cases of typhoid fever, diphtheria, and perhaps a
few other similar conditions, may be benefited by very small doses
of pure brandy and tided over a crisis by that means when they might
otherwise die. But the amount of stimulant necessary to accomplish
that end is extremely small. More than the necessary amount will
assuredly hasten death, because the margin of strength is so small the
least waste by overuse may prove fatal.
The proper use of stimulants in the type of cases referred to was

once illustrated by Dr. P. P. Wells. In a critical case of typhoid fever
which he saw in consultation, the patient had suffered :a severe
hemorrhage from the bowels, was very weak, nearly unconscious
and bad a soft compressible pulse. Dr. Wells directed that six drops
of brandy be put into six teaspoonfuls of milk and the whole given in
three doses of two teaspoonfuls each, at intervals of two hours; to be
repeated if reaction did not follow. The effect was surprising.
Reaction quickly followed and the patient made a rapid recovery.
We may smile at the size of the dose until we recall how many
patients in a similar condition have died under tablespoonful doses
of brandy, or hypodermics of strychnia and whiskey. Dr. Wells knew
how to correctly measure a patient's susceptibility and he knew how
to conserve the last, feeble, flickering remnant of vitality in such
cases and make the best of it. He knew better than to waste it by
violent measures, as is so often done in cases of shock when
hypodermics of brandy and strychnine and other powerful stimulants
are used.
The idea held by many that large and powerful doses and
strenuous measures are necessary in such cases is entirely wrong.
The conception of disease and the interpretation of symptoms is
wrong. The resultant treatment is wrong. The imaginary Idea of
violence, of the malignity and rapidity of the disease, is forced to the
front and dwelt upon until it seems rational to believe that the
treatment must also be violent, active, "heroic." This is practicing
homœopathy with a vengeance!

Such an error arises naturally from considering the disease to the

exclusion of the patient. Look at the patient who is suffering from
shock. He is pale, his, features are sunken, his skin and muscles
relaxed, he is covered with a cold, clammy sweat. His respiration is
feeble, his pulse almost or quite extinct, he is perhaps almost or quite
unconscious. Everything indicates that life :and strength are at
lowest ebb. The store of vital energy is almost exhausted. The
margin left to work upon is very narrow. There is but a step between
him and death. The slightest false move, the least violence, is likely
to force him across the line which marks the boundary between life
and death.
If there is any condition which would seem to demand the use of

mild, of the very mildest and most delicate, means, this is one.
Reaction, as an expression of susceptibility in such cases, is like the
love of fair women-something to be wooed delicately; not brutally
and fiercely as among barbarians. The condition of shock, or of
extreme exhaustion, is no occasion for heroic doses or strenuous
measure, but rather for the greatest gentleness and most refined
doses. Let the patient inhale camphor, or vinegar, or ammonia (very
carefully) if only these domestic remedies are at hand; or give him
two or three-drop doses of brandy in a teaspoonful of water; if that is
at hand. Teaspoonful doses of hot black coffee may be useful. But as
soon as possible, give our potentiated Arnica, Arsenicum, Nux
vomica, Veratrum or Carbo veg. Or whatever other remedy may be
indicated by the etiology and symptoms of the case. The results will
be infinitely better than the results of the strenuous method.
"Never," said Dr. Wells, "give brandy or any other stimulant with
a hard and wiry pulse."
Deficient reaction or diminished

susceptibility may exist in a case or
appear during treatment and
constitute a condition requiring
special treatment. This is especially
true in the treatment of chronic
diseases, where improvement
ceases and well selected remedies
do not seem to act. Under such
circumstances it may sometimes be
necessary to give a due of what is

called an "intercurrent remedy."

Bœnninghausen mentions as
appropriate in such cases: Carbo
veg., Lauroc., Mosch., Op., Sulph.
To these may be added the typical
nosodes: Medorr., Psor., Pyrog.,
Tuberc., Syphil.,. and also Thuja.
The choice of any particular one of
these remedies must be governed by
the history and symptoms.
Excessive reaction, or
irritability, is a condition sometimes
Bœnninghausen
met where the patient seems to
suffer an aggravation from every
remedy, without corresponding improvement. There is a state of
general hypersensitiveness.
For such a state, Bœnninghausen recommends Asar., Cham.,

Coff., China, Ign., Nux v., Puls., Teuc. and Valer.
Aggravation after Mercury requires Hep. or Nit. ac.
Therapeutic suggestion is of use in all such cases, to calm, and

soothe terrified or excited patients. But in these, as in all other cases,
the case and remedy must be carefully individualized.
We see, therefore, that the cure or successful treatment of disease

depends not only upon conserving and utilizing the natural
susceptibility of the living organism, but on properly adjusting both
remedy and dose to the needs of the organism so that susceptibility
shall be satisfied, normal reaction induced and equilibrium or health
restored. The "Law of the Least Plus" should never be
forgotten:-"The quantity of action necessary to effect any change in
nature is the least possible."
Immunity which is obtained at the cost of the integrity and purity

of the vital organism and its fluids is too dearly purchased.
Inoculation of crude, pathological products like animal sera and

vaccines confers only a spurious immunity through impairment or
destruction of normal susceptibility. It results in the contamination or

poisoning of the entire organism, sets up a morbid condition instead

of a healthy one and leads to physical degeneration.
The homœopathic remedy, correctly chosen upon indications

afforded by the anamnesis and symptoms of the disease as
manifested in the individual and the community, and administered in
infinitesimal doses, per oram, satisfies the morbid susceptibility,
supplies the need of the organism and confers a true immunity by
promoting health, which is the true object to be gained.
Main

Chapter VIII - General Pathology of Homoeopathy - The Genius of Homeop... Lectures and Essays on Homeopathic Philosophy - By Dr Stuart M. CLOSE
Main

Philosophy
Chapter VIII
General Pathology of Homœopathy
Theory of the Chronic

Diseases.-Human pathology
is the science which treats of
diseased or abnormal
conditions of living human
beings. It is customary to
divide the subject into
general and special
pathology. Special Pathology
is divided into medical
pathology, dealing with
internal morbid conditions,
and surgical pathology,
which deals with external
conditions. General
Pathology bears the same
relation to special pathology
that philosophy bears to the
special sciences. It is the Dr Samuel Hahnemann
synthesis of the analyses
made by special pathology. It deals with principles, theories,
explanations and classifications of facts.
While the findings and conclusions of modern I pathology are

accepted in large part by all schools of medicine, and serve as the
common basis of the therapeutic art, there are enough variations and

differences, particularly in general pathology, arising from

contemplation of the subject from the homœopathic point of view to
justify the creation of a special field or department, called
Homœopathic General Pathology, especially as it is concerned with
Chronic Diseases.
Homœopathy differs with regular medicine in its interpretation

and application of several fundamental principles of science. It is
these differences of interpretation and the practice growing out of
them which give homœopathy its individuality and continue its
existence as a distinct school of medicine.
These differences are primarily philosophical. They have to do

mainly with the interpretation or explanation of facts upon which all
are agreed, and which all accept. These differing interpretations arise
from differing viewpoints. Modern science in general, and medical
science in Particular, regards the facts of the universe from a
materialistic standpoint. It endeavors to reduce all things to the terms
of matter and motion. No valid objection could be raised to this if its
definitions of these terms were broad enough to include all the facts.
But failing in this, and deliberately closing its eyes and refusing to
see certain great, fundamental facts which are not covered by its
definitions and of which, therefore, no explanation can be made,
medical science formulates systems and methods of practice which
are not only inefficient, but often positively harmful.
Homœopathics medical science views the facts of the universe in

general, and medical facts in particular, from a vitalistic-
substantialistic standpoint; that is, from the standpoint of the
substantial philosophy, which regards all things and forces, including
life and mind, as substantial entities, having a real, objective
existence. In homœopathic philosophy life and mind are the
fundamental verities of the universe.
Upon the recognition of this basic fact rests Hahnemann's

doctrine of the "Vital Force" as set forth in the Organon, about which
there has been so much discussion. All doubt as to Hahnemann's
position is removed and the subject is placed beyond controversy so
far as he is concerned by the final sixth revised edition of the
Organon, which is at last accessible to the profession. In this edition
Hahnemann invariably uses the term, Vital Principle instead of Vital
Force, even speaking in one place of "the vital force of the Vital
Principle," thus making it clear that he holds firmly to the

substantialistic view of life-that is, that Life is a substantial objective

entity; a primary, originating power or principle and not a mere
condition or mode of motion. From this conception arises the
dynamical theory of disease upon which is based the Hahnemann
pathology, viz.: that disease is always primarily a morbid dynamical
or functional disturbance of the vital principle; and upon this is
reared the entire edifice of therapeutic medication, governed by the
law of Similia as a selective principle.
As this view leads to a radically different method of practice, the

necessity for a special consideration of general pathology in its
various departments is evident.
In formulating his "Theory of the Chronic Miasms," Hahnemann

did for pathology what he had already done for therapeutics: he
reduced a great mass of unsystematized data to order by making a
classification based upon general principles.
This classification of the phenomena of disease led to the

broadest generalization in pathology and etiology that has ever been
made, and greatly simplified and elucidated the whole subject.
Hahnemann's generalization was based upon his new and far-

reaching discovery: the existence of living, specific, infectious micro-
organisms as the cause of the greater part of all true diseases,
The history of the progress of natural history shows how men first
approached nature; how the facts have been collected, and how these
facts have been converted into science by successively broader and
broader generalizations leading to the discovery of basic laws of
nature.
The work of Hahnemann in

pathology may be compared to that
of Cuvier in zoology, who reduced
the entire animal kingdom to four
fundamental classes, based upon the
general characteristics of their
internal structure: Vertebrates,
Mollusks, Articulates and Radiates.
Until Cuvier's time there was no
great principle of classification.

Facts were accumulated and more or

less systematized, but they were not
arranged according to law.
Hahnemann reduced all the

phenomena of chronic disease
according to their causes to four
fundamental classes, Occupational
or drug diseases, Psora, Syphilis and
Sycosis.
Taking the entire mass of morbid

phenomena, he first eliminated all of Cuvier
the numerous symptoms and so-
called diseases which are merely local, temporary and functional, in
persons otherwise healthy, due to non-specific causes, such as
indiscretions in diet or regimen, mechanical injuries, undue exertions
or indulgences, emotional excesses, etc. Such conditions are not true
diseases, but mere indispositions, which disappear of themselves
under ordinary circumstances when the cause is removed, or yield
easily to corrective hygienic, dietetic, moral or mechanical measures.
They ordinarily require no medicine. In this class of cases are
included many of the so-called occupational diseases, caused by
exposure of healthy persons to noxious influences incidental to
environment or vocation, such as unsanitary dwellings, exposure to
fumes and emanations from chemicals, absorption of minerals, such
as lead or copper, etc.
The treatment of such conditions involves merely We removal of

the cause, and, in some cases, antidoting the poisons, chemically or
dynamically.
This removed a large part of the mass of phenomena from the

category of diseases and cleared the way for further new
classification of the remainder.
The next step consisted in collecting into a class all the

phenomena known to be due to those ancient, widespread and
malignant scourges of mankind, the venereal diseases. Syphilis,
already recognized as the fundamental cause of a large number of
symptoms and as a complicating factor in many diseases, had been
studied quite extensively. A careful review and collection of all the

known phenomena of syphilis was made, greatly enlarging its scope.
Gonorrhœa as a constitutional disease was but little known, but

Hahnemann's keen mind had detected its relation to many evil
consequences following the suppression of the primary discharge by
local treatment. He had also observed the evils arising from the
topical and mechanical treatment of the anomalous venereal
condition variously known as Sycosis, or the "fig wart disease,"
condylomata, ficus marisca, atrices and warts. (London Medical
Dictionary, 1819.)
Certain forms of condylomata were regarded by some authorities

as due to syphilis. Although it was known that the tumors were
sometimes of venereal origin and accompanied by a kind of
gonorrheal discharge from the genital passages or the rectum, they
were not recognized as the manifestations of a distinct disease,
differing in many important respects from syphilis, nor were they
necessarily connected with gonorrhea.
Condylomata were not regarded as having any connection with

the large number of peculiar constitutional symptoms which are
present in many cases. Hahnemann made extensive researches in the
phenomena presenting in such cases and came to the conclusion,
first, that they constituted a definite and distinct infectious,
constitutional venereal disease, clearly distinguishable from syphilis
on the one hand, and the simple, non-specific urethritis on the other;
and second, that it was due to the presence of specific, living micro-
organisms.
To this newly recognized pathological form he applied the

generic name Sycosis, using the Greek term commonly employed in
his day to designate the typical physical manifestation, the "figwart."
His researches in the general subject of syphilis and gonorrhœa
conducted by the inductive method in science, resulted in throwing a
flood of light upon a previously obscure subject, more clearly
defining and greatly broadening not only the sphere of the venereal
diseases, but the scope of all subsequent research. He was thus the
precursor by more than fifty years of Noeggerath, who called
attention anew to the importance of gonorrhœa as a constitutional
disease and demonstrated the gonococcus as its specific proximate
cause.

There still remained the vast number of symptoms constituting

the non-venereal disease, acute and chronic, which afflict man kind.
These for the most part had been or were being classified in the most
arbitrary and whimsical manner,
Classifications and
nomenclature were being
changed constantly according to
the varying opinions and theories
of individuals, none of whom
were guided by any general
principle. The situation was
exactly like that which
confronted Cuvier in natural
history and Linnæus in botany.
Into this wilderness of

conflicting names, theories and
classifications Hahnemann began
to blaze his way, guided by the
Linnæus
compass of logic encased in the
inductive method of Bacon. His
search was now directed to the discovery of the fundamental causes
of the non-venereal diseases. Having found that so large a number of
symptoms and diseases had a venereal origin in syphilis and sycosis,
it occurred to him that it might be possible to find a common,
general or primary cause for all, or at least a great part of the
remaining symptoms of disease, and thus to make a final
generalization. To this end he directed his efforts. Rejecting existing
classifications; searching, collecting, comparing, grouping similar
and naturally related symptoms in the light of history, logic and
experience; tracing the relations between similar diseases and their
antecedents, and tracing recognized proximate causes to their
antecedent causes as far back as possible, he gradually narrowed the
field of general causation until he arrived at one primary cause,
which accounted for an explained the greater part, if not all of the
phenomena with which he was working.
The determination of a primary cause opened the way for a

consistent reclassification of the secondary causes, and the correction
of many errors of grouping and nomenclature of diseases. It
obliterated at one stroke a large number of fictitious diseases which
were in reality named from merely single symptoms.

(Hydrocephalus, fever, diarrhea, hydrophobia, jaundice, diabetes,

anæmia, chlorosis, pyorrhœa, otorrhœa, catarrh, eczema, etc., all of
which belong to the general class of infections.)
As Cuvier's work showed that the animal kingdom was built on

four different structural plans, so, by singular coincidence,
Hahnemann's work showed that diseases were built, as it were, on
four different plans, according as they arose from four different
causes; namely, Occupational or Drug diseases, Syphilis, Sycosis
and Psora.
Relation of Bacteriology to Homœopathy.-This brings us to a

consideration of Hahnemann's epoch-making discovery of specific,
living micro-organisms as the cause of infectious diseases such as
cholera and the venereal diseases, and of the relation of bacteriology
to homœopathy.
The great practical value of Hahnemann's Theory of the Chronic

Diseases has never been fully appreciated because it has never been
fully understood.
Hahnemann was so far ahead of his time that his teaching, in its
higher phases, could not be fully understood until science in its
slower advance had elucidated and corroborated the facts upon
which he based it; and this science has done in a remarkable manner.
For the suggestion of bacteriology as the basis of a rational modern
interpretation of Hahnemann's Theory of the Chronic Diseases we
are indebted to the late Dr. Thomas G. McConkey, of San Francisco.
His paper, "Psora, Sycosis and Syphilis," published in the December,
1908, number of The North American Journal of Homœopathy, laid
the profession under a deep obligation to him. The critical insight,
originality, open-mindedness and evident comprehension of the deep
significance of the facts of the case displayed in that brief but
suggestive paper add poignancy to our regrets that he did not live to
work out a fuller exposition of the subject himself.
It is perhaps less important that Hahnemann should be accorded

the just recognition due him for his remarkable contribution to
medical science, than that the world should be given the benefit of
the practical teaching included in his Theory of the Chronic Diseases.
Modern bacteriological science, by long independent research,

slowly arrived at the goal Hahnemann reached more than half a

century before in regard to the nature and causes of certain forms of
disease. It has accomplished much in the way of prophylaxis,
sanitation and hygiene through the use of that knowledge; but the
profession at large has failed to follow his logical and practical
deductions in regard to the cure of these diseases, or to discover a
means of cure for itself. In this respect modern medicine is no further
advanced that it was in Hahnemann's day. It is obliged to confess
and does confess, when driven to the wall, that it has no reliable cure
for any disease.
Vaccine treatment, for example, the latest, most general and most
widely adopted theory and practice growing out of bacteriology is
now acknowledged by the highest representative authority of regular
medicine to be a failure.
The Journal of the American Medical Association (No. 21, 1916),

presents, as the leading article of that issue, a paper by Dr. Ludwig
Hektoen, on "Vaccine Treatment," and devotes to it a page of
editorial comment.
The editorial opens as follows:
"Looking backward over the development of active immunization

by vaccines during the last fifteen years, we appear to be at the
termination of one epoch in the therapeutics of infectious disease. In
this issue Hektoen traces the stages by which vaccines which were
first employed with attempted scientific control have come into
indiscriminate and unrestrained use, with no guide beyond the
statements which commercial vaccine makers are pleased to, furnish
with their wares. Already most physicians are realizing that the many
claims made for vaccines are not borne out by facts, and that judging
from practical results there is something fundamentally wrong with
the method as at present so widely practiced. As clearly shown by
Hektoen, 'the simple fact is that we have no reliable evidence to
show that vaccines, as used commonly, have the uniformly prompt
and specific curative effects proclaimed by optimistic enthusiasts
and especially by certain vaccine makers, who manifestly have not
been safe guides to the principles of successful and rational
therapeutics'."
It is not fair, and certainly

not ingenuous, as that keen

critic, Dr. E. P. Anshutz then
editor of The Homœopathic
Recorder, pointed out, to put
the blame for this failure upon
the manufacturer, since
"Vaccine therapy was born in
the innermost chamber of
laboratory science."
The editorial concludes as

follows:
"The fact that much time

and effort of the past ten years Dr. E. P. Anshutz
appear now to have been
wasted, so far as positive results go, should make us doubly cautious
in accepting a new and somewhat similar procedure until opportunity
has been afforded for its verification under conditions favorable for
scientific control."
Confronted with demonstrations of cure by homœopathic

medication in such bacterial diseases as cholera, typhoid, typhus and
yellow fever, croup, diphtheria, pneumonia, rheumatism and even
tuberculosis and cancer, the dominant school of medicine has thus
far declined to consider them, denied both the cures and the
principles upon which they are accomplished, and continued to
follow its traditional course. It still pursues the ancient "will o' the
wisp" " specifics for diseases," ever failing and refusing to see that
cure is always individual, in the concrete case or patient, never in
the generalized disease; and that such a thing as a specific cure for a
disease does not and, in the nature of things, cannot exist, since no
two cases, even of the same disease, are ever the same. Realization
of such failures, and bacteriological confirmation of the teaching of
Hahnemann in respect to the nature and cause of certain diseases,
taken together, should at least create a presumption in favor of the
truth of his teaching in regard to the cure of those diseases and lead
to a scientific investigation of his method.
Dr. McConkey, viewing Hahnemann's theory from the standpoint

of bacteriology, pointed out, first, that we have inherited from
preceding generations a false and misleading interpretation of what
Hahnemann really taught in regard to Psora as the cause of chronic

non-venereal diseases.
The primary error consisted in regarding psora merely as a

dyscrasia or diathesis which is directly opposed to what Hahnemann
taught as we now understand it. Instead of regarding psora as a
dyscrasia Hahnemann included several of the dyscrasia among the
morbid conditions and diseases caused by psora.
Such an error could only have arisen in minds already prejudiced

by the current erroneous teaching of the day, and not yet enlightened
by knowledge which was soon to come as a result of original
research in the field of bacteriology. On this ground it is conceivable
how the error arose and spread. New truth, quickly grasped by a few
alert and open minds, penetrates the average mind slowly. Original
investigators themselves, absorbed in their own pursuit, are often
reluctant to consider their work in its relation to the work of
preceding investigators, even if they are philosophically competent
to do so, which, as a rule, they are not.
The exceptional work of an individual forerunner, therefore, may

easily be overlooked for a time; but eventually the truth discovered
by him will be recognized, as it now has been in the case of
Hahnemann.
Hahnemann was the first to perceive and teach the parasitical

nature of infectious or contagious diseases, including syphilis,
gonorrhea, leprosy, tuberculosis, cholera, typhus and typhoid fevers;
and the chronic diseases in general, other than occupational diseases
and those produced by drugs and unhygienic living, the so-called
drug diseases.
Hahnemann held that all chronic diseases are derived from three
primary, infectious, parasitic sources. "All chronic diseases," he
says, "show such a constancy and perseverance * * * as soon as they
have developed and have not been healed by the medical art, that
they evermore increase with the years and during the whole of man's
lifetime; and they cannot be diminished by the strength (resistance)
belonging even to the most robust constitutions. Still less can they be
overcome and extinguished. Thus they never pass away by
themselves, but increase and are aggravated even until death. They
must therefore have for their origin and foundation constant chronic
miasms, whereby their parasitical existence in the human organism

is enabled to continually rise and grow." (Only living beings grow.)
A misunderstanding of the sense in which Hahnemann uses the

word "miasm" has deceived many. It was the word loosely used in
his time to express the morbific emanations from putrescent organic
matter, animal or vegetable, and sometimes the effluvia arising from
the bodies of those affected by certain diseases, some of which were
regarded as infectious and others not.
A misleading distinction was also made between miasma and

contagion and between contagion and infection.
Parr's Medical Dictionary, London, 1819, now a very rare book,

but the highest authority of that time, article, "Miasma," says: "In the
more strict pathological investigation of modern authors they are
distinguished from contagion, which is confined to the effluvia from
the human body, when subject to disease; yet the contagion, when it
does not proceed immediately from the body, but has been for some
time confined in clothes, is sometimes styled miasma. Another kind
of miasma (see contagion) is putrid vegetable matter, and indeed
everything of this kind which appears in the form of air. Miasma,
then, strictly speaking, is an aerial fluid, combined with atmospheric
A and not dangerous unless the air be loaded with it. * * *
"Each infectious disease has its own variety, diffused around the
person which it has attacked, and liable to convey the disease at
different distances, according to the nature of the complaint, or to the
predisposition of the object exposed to it."
Under "Contagion or Infection" the same authority says: "It has

been lately attempted to distinguish these two words, though not
with a happy discrimination. We should approach more nearly to
common language if we employed the adjective ‘infectious' to
disease communicated by contact; for we infect a lancet and we
catch a fever by contagion. * * * Contagion then exists in the
atmosphere, and we know distinctly but one kind, viz.: Marsh-
miasmata, which probably consists of inflammable air."
The yellow fever of America, epidemic catarrhs, plague,

dysentery, scarlatina, Egyptian ophthalmia, jail, hospital and other
fevers, smallpox, measles, ulcerated throat, whooping cough, the
itch, venereal diseases and the yaws, are mentioned as examples of

miasmatic diseases, some of which are regarded as "infectious," and

others not. "Other complaints supposed to be infectious are
apparently so from their being the offspring of contagion (that is,
aerial fluids, combined with atmospheric air) only."
"People are very variously susceptible to infection. The slightest

breath will sometimes induce the disease, while others will daily
breathe the poisonous atmosphere without injury."
"Infection. is indeed more often taken than is supported. * * * It is

generally received with the air in breathing."
This shows the confused state of medical opinion at the time

when Hahnemann was conducting his investigations of the subject,
which were to result in his propounding the most startling,
revolutionary and far-reaching theory in the history of medicine,
namely, the parasitical nature of infectious and chronic diseases.
That Hahnemann, in using the word miasm, had something more

in mind than "an aerial fluid mixed with atmospheric air," is proven
not only by his use of the word "parasitical," but by his several
references to the "living beings" of which his "miasma" were
composed.
In a strong protest (1830), against the current, terribly pernicious

atmospheric-telluric theory of the nature of cholera Hahnemann
stated the infectious, miasmatic-parasitic nature of cholera and
described its rise and growth in the following words: "The most
striking examples of infection and rapid spread of cholera take place
* * * in this way: On board ships in those confined spaces, filled
with mouldy, watery vapors, the cholera miasm finds a favorable
element for its multiplication, and grows into an enormously
increased brood of those excessively minute, invisible, living
creatures, so inimical to human life, of which the contagious matter
of the cholera most probably consists."
"* * * This concentrated aggravated miasm kills several members

of the crew. The others, however, being frequently exposed to the
danger of infection and thus gradually habituated to it, at length
become fortified against it (immunized) and no longer liable to be
infected. These individuals, apparently in good health, go ashore and
are received by the inhabitants without hesitation into their cottages,

and ere they have time to give an account of those who have died of
the pestilence on board the ship, those who have approached nearest
to them are suddenly carried off by the cholera. The cause of this is
undoubtedly the invisible cloud that hovers closely around the sailors
who have remained free from the disease, composed of probably
millions of those miasmatic animated beings, which, at first
developed on the broad, marshy bank of the tepid Ganges, always
searching out in preference the human being to his destruction and
attaching themselves closely to him, when transferred to distant and
even colder regions, become habituated to these also, without any
diminution either of their unhappy fertility or of their fatal
destructiveness :"
"This pestiferous, infectious matter," he calls it, "which is carried

about in the clothes, hair, beard, soiled hands, instruments, etc., of
physicians, nurses and others," seems to spread the infection and
cause epidemics.
Here we have an anticipation by more than fifty years of Koch's

discovery of the comma bacilli of cholera. The names,. bacilli,
bacteria, microbes, micro-organisms, etc., had not been invented in
Hahnemann's time, nor had the-microscope, with which Koch was
able to verify the truth of Hahnemann's idea, been, invented.
Hahnemann had microscope, but he had a keen, analytical mind,
phenomenal intuition, logic and reasoning powers, and vast
erudition. He used the terminology of his day, which he qualified to
suit his purpose and thus made it clear that by the word "miasma,"
amplified by the descriptive terms "Infectious, contagious,
excessively minute, invisible living creatures" as applied to cholera,
he meant precisely what we mean today when we use the terms of
bacteriology to express the same idea².
Hahnemann's elaborate and exhaustive studies of the nature

causes of chronic diseases had previously paved the way for his
theory of the nature of cholera. In these studies he extended and
applied the principle of Anamnesis to the critical study of a large
number of cases of many different diseases.
First analyzing these diseases into their symptomatic elements,.

he proceeded to make a new three-fold classification:
"If we accept those diseases which have been created by a

perverse medical practice, or by deleterious labors in quicksilver,

lead, arsenic, etc. (occupational diseases) which appear in the
common pathology under a hundred proper names as supposedly
separate and well-defined diseases (and also those springing from
syphilis, and the still rarer ones springing from sycosis), all the
remaining natural chronic diseases, whether with names or without
them, find in Psora their real origin, their only source."'
We have thus:
1. Drug and occupational diseases.

2. Infectious venereal diseases.
3. All other natural chronic diseases.
Excluding Classes 1 and 2, he found that all the diseases in Class

3 were related, directly or indirectly, and could be traced to one
primary cause.
After many years of patient historical and clinical investigation he

found that cause to be an ancient, almost universally diffused,
contagious or infectious principle embodied in a living parasitical,
micro-organism, with an incredible capacity for multiplication and
growth. This organism and the disease produced by it he named
Psora (Gr. Psora-itch). He did not invent the name but chose it, first,
because he found that originally, the disease manifested itself mostly
on the skin and external parts; and second, because the cutaneous
manifestations of the diseases which spring from this cause were
accompanied, in their original form,. by intense itching and burning.
In all such diseases the contagion is conveyed by contact.

Research showed that the great fundamental disease thus identified
and named, is the oldest, most universal, most pernicious and most
misapprehended chronic parasitic disease in existence. "For
thousands of years," Hahnemann says, "it has disfigured and tortured
mankind; and, during the last centuries, it has become the cause of
those thousands of incredibly different, acute as well as chronic non-
venereal diseases with which the civilized portion of mankind
becomes more and more infected upon the whole inhabited globe."'
Hahnemann estimated that seven-eighths of the chronic diseases

of his day were due to psora, the remaining eighth being due to
syphilis and sycosis.

The Doctrine of Latency.-Hahnemann taught that psora, like

syphilis and sycosis, may remain latent for long periods, "until'
circumstances awaken the disease slumbering within and thus
develop its germs." This doctrine of latency was strenuously opposed
for a long time, but is now endorsed and taught by the, highest
authorities in regard to syphilis, gonorrhea and tuberculosis.
Behring and other authorities on tuberculosis now hold that the

infection often occurs in' infancy or young life and remains latent
until later life. Hahnemann's doctrine of latency is therefore
confirmed by modern research in regard to tuberculosis, as it has
long been of syphilis, and, for a shorter period, of gonorrhœa.
"The oldest monuments of history," says Hahnemann, "show the

Psora even then in great development. Moses, 3400 years ago
pointed out several varieties. In Leviticus, chapter 13, and chapter
21, verse 20, where he speaks of the bodily defects which must not
be found in a priest who is to offer sacrifice, malignant itch is
designated by the word Garab, which the Alexandrian translators (In
the Septuagint) translated with psora agria, but the Vulgate with
Scabies jugis. The Talmudic interpreter, Johnathan, explained it as
dry itch spread over the body; while the expression, Yalephed, is
used by Moses for lichen, tetter, herpes. (See M. Rosenmueller,
Scholia in Levit., p. 11, edit, sec., p. 124.)
The commentators in the so-called English Bible-work also agree

with this definition, Calmet among others saying: "Leprosy is similar
to an inveterate itch with violent itching." The ancient also mention
the peculiar, characteristic, voluptuous itching which attended itch
then as now, while after the scratching a painful burning follows:
among others Plato, who calls itch glykypikron, while Cicero
remarks the dulcedo of scabies
"At that time (Moses) and later on among the Israelites, the
disease seems to have mostly kept the external parts of the body for
its chief seat. This was also true of the malady as it prevailed -in
uncultivated Greece, later in Arabia, and, lastly, in Europe during the
Middle Ages. * * * The nature of this miasmatic -itching eruption
always remained essentially the same."
It is identical, therefore, with the ancient form of leprosy; with the

"St. Anthony's Fire," or malignant erysipelas which prevailed in

Europe for several centuries and then reassumed the form of leprosy,
through the leprosy which was brought back by the returning
crusaders in the thirteenth century. After that it spread more than
ever. It was gradually modified by greater personal cleanliness, more
suitable clothing and general improvement in hygienic conditions,
until it was reduced to a "common itch," which could be and was
more easily removed from the skin by external treatment.
But Hahnemann points out that the state of mankind was not
improved thereby.
In some respects he says, it grew far worse; for although in

ancient times the skin disease was very troublesome to, its victims,
the rest of the body enjoyed a fair share of general health. Moreover,
the disgusting appearance of the lepers caused them to be more
dreaded and avoided, and their segregation in colonies limited. the
spread of the infection. This element of safety was lost when the
diseases assumed Is milder appearing form, as the itch, without
losing in the slightest degree its infectious contagious character. The
infectious fluid resulting from the scratching, contaminated
everything it touched and spread the disease broadcast.
Metastasis-Many superficial critics have ridiculed the idea. that

the itch, known even before Hahnemann's day to be due to a minute
but visible animal parasite, the acarus scabiei, was the cause of any
other than a local disease of the skin. They did not consider that even
if this were true, it might be the host or carrier of another, smaller,
infectious micro-organism, in the same way as the flea and the
mosquito are carriers of infection. Witty Dean Swift (1667-1745)
could have taught them better:
"So naturalists observe, a flea

Has smaller fleas that on him prey.
And these have smaller still to bite 'em,
And so proceed ad infinitum."
"Psora has thus become the most infectious and most general of
all the chronic miasms," says Hahnemann. The disease, by
metastasis from the skin, caused by external palliative treatment,
attacks internal organs and causes a multitude of chronic diseases the
cause of which is generally unrecognized.

Many have been skeptical of the danger of metastasis of chronic

external or skin diseases and this skepticism has led to dire results. It
would seem that a physician who dreads and fully realizes the danger
of a "repercussion" or metastasis of the eruption of acute measles or
scarlet fever, with its well-known serious and often fatal
consequences in the brain, kidneys or lungs, could not consistently
doubt the possibility of the same kind of results from the metastasis
of a chronic eruption.
Innumerable facts, observed by competent physicians for

centuries past, and confirmed in many cases by modern research,
make such a position untenable. Metastasis of disease is today an
accepted fact in medical science.
Our knowledge of metastasis rests, scientifically, upon our

knowledge of embolism. "Embolism," says the "American Textbook
of Pathology," "rests essentially upon the anatomic and experimental
investigation and teachings of Virchow." "Embolism," says this
authority, "is the impaction in some part of the vascular system of
any undissolved material brought there by the blood -current. The
material transported in this method is an embolus."
Metastasis is the transference of disease from one part to another

not directly connected with it.
Of the several kinds of emboli the "Textbook of Pathology"

mentions: "2. Tumor-cells. Emboli composed of living cells, capable
of farther proliferation, occur in connection with malignant tumors.
In carcinoma and sarcoma isolated tumor cells or cell groups, may
reach the blood current either indirectly through the lymphatics or
directly when the tumor in its growth penetrates the wall and projects
into the lumen of a blood vessel. On lodgment the cells proliferate
and give rise to secondary tumors. 3. Animal and vegetable parasites.
Bacteria of various kinds, as well as protozoa and the embryos of a
few large animal parasites may be transported by the circulation and
act as emboli."
Hahnemann's teaching is thus elucidated and confirmed by

pathology. The infectious, parasitic, primary and typical micro-
organism of Psora, driven from the skin by local treatment, finds a
ready route to deeper tissues, structures and organs through the
capillaries, the lymphatic and glandular systems and the nervous

system. Here it develops its secondary specific form and character

according to its location and the predisposition and environment of
the individual, giving rise to a vast number of secondary symptoms.
"So great a flood of numberless nervous symptoms, painful

ailments, spasms, ulcers, cancers, adventitious formations,
dyscrasias, paralyses, consumptions and cripplings of soul, mind and
body were never seen in ancient times when the Psora mostly
confined itself to its dreadful cutaneous symptoms, leprosy.
"Only during the last few centuries has mankind been flooded -
with these infirmities, owing to the causes first
mentioned" (Hahnemann, Chronic Diseases).
The Identity of Psora and Tuberculosis. – Hahnemann mentions

"consumption, tubercular phthisis, continual or spasmodic asthma,
pleurisy with and without collections of pus in the chest, hæmoptysis
and suffocative bronchitis," among the known tubercular chest and
lung diseases as due to psora. He also mentions hydrocephalus,
cerebral and cerebro-spinal meningitis, ophthalmia, cataract,
tonsilitis, cervical adenitis, otitis, gastric, duodenal and intestinal
ulcers; diabetes and nephritis; rachitis and marasmus of children;
epilepsy, apoplexy and paralysis; bone and joint diseases; fistulæ;
caries and curvature of the spine; encysted tumors; goitre, varices,
aneurisms, erysipelas; sarcoma, osteo-sarcoma, schirrus and
epithelioma and other diseases, some of which are now known and
other of which are thought to be of tubercular origin.
As practically all the diseases known to be due to the

tuberclebacillus are attributed by Hahnemann to Psora, it follows
that the cause is identical, and that the two terms, psora and
tuberculosis are synonymous.
The modern list is growing slowly by additions, from time to

time, of other diseases found to be pathologically or
bacteriologically related to tuberculosis. It is quite possible that a
large part, if not all, of the remainder of Hahnemann's list may
ultimately be included in the modem list.
Osler, speaking representatively and with the highest modern

authority, agrees with Hahnemann, when he says: Tuberculosis is the
most universal scourge of the human race."

Hahnemann chose Leprosy as the typical form of the ancient

protean disease which he named Psora.
Modern bacteriology finds that the bacilli of leprosy resemble the

tubercle bacilli in form, size and staining reactions, and that the leper
reacts to the tuberculin test.
Saboraud said: Leprosy is a tubercular disease closely allied to

tuberculosis."
The same staining characteristics are shown by the bacillus

smegmatis, the grass and dung bacilli of Moeller, the butter bacillus
of Rabinowitsch and the bacilli from the crypts of the tonsils,
described by Marzinowsky.
McConkey, through clinical experience, came to believe and

taught that heart disease, with or without valvular lesions, diabetes,
rheumatism and cancer were tubercular in nature and origin. Allen
(H. C.) taught the same of typhoid fever. The list might be extended
indefinitely.
The writer believes, tentatively, that Acute Anterior

Poliomyelitis, etiologically puzzling in spite of the discovery by
Flexner of its specific micro-organism, is of tubercular nature and
origin.
In considering tuberculosis or psora as a fundamental disease

giving rise to many secondary forms of disease, the specific action of
the tubercle bacillus must be considered as conditional. No specific
organism acts unconditionally. All living germs that propagate and
multiply, must have favorable conditions and a suitable soil in which
to grow.
Other pathogenic micro-organisms besides the tubercle bacillus,

notably the ordinary pyogenic organisms, play their part in the
causation and maintenance of the tubercular process. The pyogenic
organisms may originate in the teeth, mouth, pharynx, tonsils, nose,
ears, or even in the lungs themselves; in the skin, joints, bones, 'or in
short, in almost any organ or tissue of the body where septic
processes or lesions exist. But wherever they originate, they play
their part in modifying and conditioning the activity of the specific
cause of tuberculosis, the bacillus of Koch, and in giving the case its

individual character.
Individualization is the cardinal principle of a true pathology as

well as of a true therapeutics.
In the eager quest for the specific bacterial causes of the various
diseases the principles of logic have not always been applied, and
particularly that principle known as the Law of Causation, which
teaches that every effect has a number of causes, of which the
specific cause is only the proximate or most nearly related in the
preceding series. It also teaches that the specific cause may be
modified in its action on the subject by collateral causes or
conditions affecting both the subject and the antecedent causes, so
that no specific cause can be said to act unconditionally.
Applying this principle to the subject of individual disease we

find that, while specific micro-organisms are a necessary factor as
immediate or proximate causes of the respective diseases attributed
to them, they only act conditionally, and that many modifying
conditions must be considered in assigning them their true relation to
individual, concrete cases of disease. It follows that microorganisms,
as causes of individual disease, have a very different kind of
importance from that which is commonly assigned to them. They are
reduced in rank to an equality with several other related, accessory,
contributing causes. The tubercle bacillus, for example, ranks in the
individual only equally with constitution, heredity, predisposition
and environment. Environment includes, social and economic
position or condition of life as regards means of subsistence, food,
clothing, light, air, housing, neighbors, occupation, mental and
physical conditions and habits of life and thought. To conduct a
campaign against tuberculosis by directing the efforts principally
against the bacilli, while neglecting the numerous other equally
important causative factors, is futile and hopeless.
Different also is the kind of importance to be attached to the

microorganism from a therapeutic standpoint. Bacteriology can
never serve as a basis for a reliable and efficient therapeutics for the
individual. Since the micro-organism is only one of the many causes
of disease, the curative remedy for the concrete, resulting disease in
the individual must correspond to the combined effects of the
various causes. The combined effects are manifested by groups of
phenomena or symptoms which vary, more or less, in the various
individuals, according to their conditions and circumstances. As the

individual cases of every disease vary in their causes and conditions,

and consequently in their symptoms or effects, there can be no
specific, general remedy for a disease.
It is at this point that the necessity appears for a general principle

of therapeutics,. What is needed is not a general remedy for the
disease, so long vainly sought, but a general principle, applicable to
all the varying cases so that the particular remedy needed by each
individual may be found. The homœopathic system of therapeutic
medication is based upon such a principle, and in that system,
combined with rational, moral, hygienic, sanitary and sociological
measures is found the solution of the problem.
The Toxicological Theory of Disease.-Life, as state of existence,

has been defined as "a continuous adjustment of internal to external
relations."
Every living organism is constantly exposed, at every stage of is

existence, to influences from without. The known facts all tend to
show that every manifestation of energy on the part of the organism
is a reaction to some external agent or influence; or, as it might be
put, life, as a state of existence, is the result of constant interaction
between the living substance of the organism and the elements of the
external world; between the individual and his environment; between
the microcosm and the macrocosm.
The specific, exciting or efficient causes of disease are all

actually or relatively external to the organism. When a pathogenic
agent gains entrance to the living organism, resistance is
encountered, a reaction is excited, and the phenomena of that
reaction representatively constitute disease. Disease, therefore, is the
vital reaction of the living organism to the influence of an agent
which is inimical to its welfare. In other words, disease is primarily a
morbid dynamical disturbance of the vital principle or power which
animates the Organism, caused by the influence of some morbific
agent external to the organism and manifesting itself by perceptible,
sensorial, functional and organic symptoms.
It is not sufficient to say, merely, that "disease is a morbid

dynamical disturbance of the vital force." That definition is correct
as far as it goes, but it stops in the middle. To complete it we must
add: "caused by some morbific agent actually or relatively -external

to the Organism;" for every internal effect must have an -external

cause, and vice versa, according to the universal law of cause and
effect. From this point of view all diseases may be -regarded as
intoxications.
All drugs act by virtue of their specific toxic properties.
All bacterial diseases are primarily intoxications or toxæmias.
Pathologists agree that all pathogenic micro-organisms produce

their effects in the living body by means of the specific poisons
which they secrete while living, or generate after death.
Diseases arising from physical injury or mechanical violence are

toxœmias resulting from chemical changes in the injured tissues,
brought about by mechanical interference with the circulation and
innervation through inhibition of normal functioning, which leads to
degenerative changes and the formation of toxins. Localized
circulatory stasis, imperfect oxygenation and the inhibitory influence
of traumatic shock upon the normal functions and secretions explain
the chemico-toxic changes, which occur under such conditions.
Disease arising from chemical agents, aside from the direct

physical injury or destruction of tissue as by corrosive poisons, are
poisonings of the organism.
Disease resulting from mental or physical trauma occur as, a

result of the toxic chemical or physical changes that take place in the
fluids and tissues of the body through the medium of the nervous,
system, which reacts to the morbid impression of a violent or long-
continued mental emotion in the same way that it reacts to any other
dynamical disturbance.
If all diseases are the result of some form, or degree Of poisoning,

then in the last analysis all curative treatment is antidotal treatment,
and cure is accomplished by the use of agents which have the power
to antidote or neutralize the poisons and remove their effects.
Physiologically, therapeutically and chemically neutralization is

essentially an assimilation.
Since all poisons act pathogenetically on the living organism.

primarily by virtue of their specific dynamical qualities (as

distinguished from their physical and chemical qualities), it follows
that the law governing the action of antidotes, if there be such a law,
must be a dynamical law. The law of cure appears to be a form or
phase of the law of assimilation or reciprocal action, which is
dependent upon the law of attraction.
Cure, in the strict sense of the word, can only be accomplished by

the use of agents, which have the power to neutralize the poisons
causing the disease and remove their effects. In other words, all true
antidotes, in the medical sense, are physiological or dynamical
antidotes, which act specifically according to the physiological or
dynamical law of assimilation.
Regular medicine knows no such agents or laws and denies that

they exist. From its point of view physiological antidotes are merely:
"remedies employed to combat the symptoms or after effects, and to
neutralize the effects of poisons after absorption into the system. As
their name implies, they do not act on the poison themselves
chemically, mechanically, or otherwise, and they are not in this
sense true antidotes." (Ref. Handbook of the Medical Sciences.)
Upon this point binges the whole controversy between

homœopathy and allopathy.
Homœopathy is based, essentially, upon the law of antidotes,

which is found by observation, experiment and clinical
demonstration to be the law of mutual action or attraction,
expressing the equality and contrariety of action and reaction, as
manifested in the living organism by similarity or symptoms, and
resulting in physiological and chemical assimilation or neutralization.
Antidotes are commonly divided into three classes, according to

their mode of action: 1. Physiological or dynamical; 2, chemical, and
3, mechanical.
Dynamical antidotes, in their crude state, are themselves poisons

of varying degrees of power; An antidote, in the physiological or
dynamical sense, is a toxic substance which, by virtue of its
dynamical affinity for another toxic substance, has the power to
neutralize that substance and remove its effects. This constitutes
cure, the only true antidoting, the working principle of which is

applicable in the treatment and cure of diseases as well as of

poisonings.
Physiological or dynamical antidoting requires that the antidotal

substance shall be pathogenically similar to the poison, but opposite
in the direction of its action. Action is directly upon the organism
and indirectly upon the poison. Physiological antidoting takes place
between drugs according to the law of the Repulsion of Similars.
"Medicines producing similar symptoms are related to each other

and are mutually antidotal in proportion to the degree Of their
symptom-similarity." (Bœnninghausen.) Hence, the rule, "Let
similars be cured (treated) by similars"-"Similia Similibus Curentur.''
Chemical antidotes act on the poisons themselves rather than

against their effects. Their action depends upon their property of
uniting chemically with poisonous substances and altering their
chemical and physical character. By their use soluble and absorbable
substances are converted into insoluble or partly soluble substances,
which may then be removed from the body by physical or other
means. Their use is restricted to cases in which the poison is known
and capable of being directly acted upon chemically. The remaining
dynamical effects of the poison, if any, must still be antidoted
dynamically.
So-called "mechanical antidotes," while necessary and useful, do

not properly come under the head of antidotes. They are merely
Means of accomplishing physical expulsion of the poisonous
substances from the body, after which dynamical antidotes are
required to remove the pathogenetic effects of so much of the poison
as has been absorbed, exactly as in cases where chemical antidotes
are used.
A true therapeutics, therefore, stands as the connecting link

between pathology and pharmacology. Without an adequate therapy,
pathology and pharmacology have only an academic interest for
students and savants who love to dig curiously into the things of
nature. With an adequate and efficient therapeutics they become
powerful agencies for benefiting humanity. With a false therapeutics
they become a curse to the world through the countless evils of drug
addiction, prolonged, perverted and suppressed disease, ruined lives,
crippled and mutilated bodies and blasted minds. The shores of time

are strewn with pitiful wrecks, victims of false therapeutic systems

and methods, "science falsely so-called."
Science is erected upon a foundation of facts, principles and laws.

Science is related, systematized knowledge.
A system, to be scientific, must be capable of including,

explaining and using all the facts upon which it is based. Its
fundamental law or principle must include and be harmonious with
all its subordinate and related laws and principles. Its technic or
practical methods must be based directly upon and conform to the
principles which it seeks to apply. Ethics, it hardly needs to be said,
requires that its representative shall consistently "practice what he
preaches."
A true science of pathology must include and be able to explain

all the symptoms of disease-the finer, subjective individual
symptoms as well as the general functional, organic and objective
changes that occur in disease.
A true science of therapeutics must correspond and connect at

every point with its correlated science of pathology, and be capable
of adaptation and application to the needs of individual cases of
disease.
The identity of the individual must not be lost in the class. A

scientific therapeutic system must be broad enough to cover the
needs of the individual as well as the class. It will not do to reject
one class of basic phenomena (subjective, for example), and attempt
to formulate a system upon the remainder.
Therapeutics, as a science exemplified in homœopathy, rests upon

two series of phenomena; the phenomena of diseases and the
phenomena of drugs or agents used in the treatment of diseases.
These two series of phenomena are connected by a general law.
Systematized knowledge of the phenomena of diseases constitutes
the science of pathology. Systematized knowledge of the phenomena
of drug constitutes the science of pharmacology. Systematized
knowledge of the laws, principles and methods which connect the
two sciences constitutes the science of therapeutics and the effectual
use of these in treating and curing the sick constitutes, the art of
healing, or applied therapeutics.

In a true science of medicine pathology, therapeutics,

pharmacology and toxicology as well as medical, physiological and
pharmaceutical chemistry are fundamentally one, in having for their
principal object the observation, study and treatment of the effects of
all agents which act either pathogenically or therapeutically upon the
living organism, whether it be in a mechanical, chemical, electrical
or dynamical manner.
One fundamental principle underlies them all-the law of

reciprocal action or equivalence.
The law of chemical affinity and definite proportions; the law of

physiological or dynamical affinity; the law of assimilation; the law
of antidotes or the repulsion of similars (upon which A based the
theory of cure) are all phases of the universal law of mutual action,
which governs every action that occurs in the universe.
Every agent or stimulus, external to the organism, which has the

power to excite a vital reaction in the organism, comes legitimately
under the universal law and may be applied for therapeutic purposes
in accordance therewith when the corollaries of the law am known
Pharmaco-therapeutics finally resolves itself into a process of

physiological or dynamical antidoting, based upon the law of
attraction, affinity or mutual action and governed by the principle of
symptom-similarity.
Predisposing, exciting and contributing causes of disease all come

to this in the end-that by some condition or combination of
conditions they ultimate in the production of a poison the action of
which is the, proximate, efficient or specific cause Of the reaction of
the organism which constitute disease.
Hence, diseases always bear the symptomatic likeness of drugs,

Or poisons. By mechanical dilution and potentiation poisons may be
deprived of their lethal qualities and transformed into healing
remedies normally assimilable by the sick organism. Similarity of
symptoms is, therefore, the natural guide to the curative remedy, as
well as to the true diagnosis of the disease, and comparison of
symptoms is the process by which the conclusion is reached.
*****

Idiosyncrasy and Drug Diseases.-In Paragraph 30, Organon,

Hahnemann says that medicines appear to have a more powerful
influence in affecting the health of the body than the natural morbific
agencies which produce disease,- inasmuch as suitable medicines
overcome and cure disease.
In paragraph 31, he remarks that natural disease-producing

agencies have only a conditional power of action, depending upon
the disposition and degree of susceptibility of the organism They do
not act (perceptibly?) on every one at all times. Of a thousand
persons exposed to smallpox, for example, perhaps not more than
one or two would be infected, and these only if they happened to be
in a susceptible condition at the time of exposure. He implies that the
remainder are entirely immune by virtue of natural resistance.
In paragraph 32, he somewhat unguardedly asserts that it is

otherwise with drugs; that they act unconditionally. Every true
medicine, he says, acts at all times, in all persons, under all
conditions producing distinctly perceptible symptoms "if the dose be
large enough-" He here establishes at last one condition. No man in
his normal condition is entirely or absolutely immune to a dose of
arsenic, or strychnine or quinine, nor to the bacilli of cholera or
tuberculosis. The extent of its action in, either case is conditional.
The violence, extent and duration Of the effects will be proportionate
to the size of the dose and the susceptibility of the individual as
influenced by constitution and environment, but it always acts.
Strictly speaking, every action in the universe is conditional.
One of the problems that frequently confronts the homœopathic

physician is how to deal practically with those peculiar and puzzling
cases which present the phenomena of what A commonly called
idiosyncrasy.
By idiosyncrasy we mean a habit or quality of the organism

peculiar to the individual. It is a peculiarity of the constitution,
inherited or acquired, which makes the individual morbidly
susceptible to some agent or influence which would not so affect
others.
To the average physician idiosyncrasy ordinarily means merely

an over-sensitiveness to some drug. He is called upon, for example,

to treat a case of intermittent fever. After giving what be regards as a

moderate dose of his favorite quinine he sees his patient quickly
become violently delirious; or perhaps develop a violent attack of
vomiting and go into collapse; or have a hemorrhage from the
kidneys, or lungs, or into the retina. All these grave conditions have
been reported of quinine and some cases with fatal results; or what is
nearly as bad, with permanent loss or impairment of function, as
blindness, or deafness.
Again he meets a case which seems to require opium. He

administers the usual dose and sees it produce dangerous congestion
of brain, lungs or intestines. He explains such experiences as being
due to idiosyncrasy, substitutes some other drug and lets it go at that.
Such experiences do not teach him much and he goes on in the same
old way afterward; but there is much to be learned from such cases,
if we view them aright.
Other patients manifest a morbid susceptibility to agents and

influences not classified as medicinal. For example, a person can not
eat some common article of food without suffering. Apples, peaches,
strawberries, fish, shell fish, onions, potatoes, milk, fats or butter,
etc., affect certain people unpleasantly in a moist peculiar fashion.
Then there are the idiosyncrasies of smell. We cannot bear the odor
of violets; another of lavender; another of any flowers when he is
sick.
One of my patients always gets an attack of hay fever and asthma

if he rides behind a horse. The odor and exhalation from a perspiring
horse and noxious to him. A woman hay fever victim has a fit of
violent trembling and aggravation of all her symptoms if she comes
in proximity with a cat. These examples of idiosyncrasy are quite
distinct from hysteria and the general over-sensitiveness found in
neurasthenics and broken-down constitutions, where every little
annoyance seems a burden too great to be borne, and every sense is
painfully acute.
"The fundamental cause of every idiosyncrasy in morphological

unbalance; that is, an organic state in which, through excess and
defect in development there results excess and defect in function,
with a corresponding degree of hyper-excitability or
nonexcitability." (Rice.)

Without pausing to set forth more fully the modern scientific

explanation of these phenomena we may say that idiosyncrasy, from
the standpoint of the homœopathic prescriber, is often the key to a
difficult case. Viewed as modalities, these peculiarities, which are
merely vagaries to the average practitioner, take on a certain degree
of importance as indications for a remedy. Properly interpreted and
classified, they sometimes rank as "generals," expressing and
representing a peculiarity of the patient himself of the case as a
whole. They aid in individualizing the case and differentiate between
two or more similar remedies. Thus, in a certain puzzling case the
symptom, "aggravation from onions," discovered only after the case
had baffled me for several weeks, led to the selection of Thuja,
which cured the case.
Idiosyncrasies are inherited and acquired. They represent a

morbid susceptibility to some particular agent or influence. Of their
causes there is little more to say, except that the drug idiosyncrasies,
both inherited and acquired, appear sometimes to be due to the
previous abuse of the drug, to which a morbid susceptibility now
exists, and that the remainder have their origin in what Hahnemann
called the psoric constitution. Many persons who have been
poisoned by a drug are afterward hypersensitive to that drug-a
condition known as anaphylaxis. A familiar example is the
susceptibility to Rhus or ivy poisoning of those who have once been
poisoned, especially if their initial attack was treated topically, by
external remedies. Such persons are poisoned by the slightest contact
with the plant, or even by passing in its vicinity without contact. In
such cases the disappearance of the original external manifestations
of the disease is followed by the setting up of a constitutional
susceptibility which renders them peculiarly vulnerable, not only to
the particular drug concerned, but to the, diseases to which that drug
corresponds homœopathically. They are illustrations of metastasis,
which is regarded by some as being due to a suppression of the
primary form of the disease by injudicious topical or palliative
treatment. This view is based upon direct observation, and is
sustained by analogy with the well-known serious results of the
accidental Or incidental disappearance or repercussion of external
symptoms in the acute eruptive diseases, such as, measles and scarlet
fever.
Where the initial attack is perfectly cured homœopathically by

internal medicines such results never follow. Investigation shows
that some cases of inherited idiosyncrasy and morbid susceptibility

to drugs are traceable to the abuse of those drugs by parents or

ancestors. This relation has been observed particularly in the case of
two drugs, sulphur and mercury. A case occurred in my practice in
which such a violent and sudden aggravation followed the
administration of a high potency of Mercury that the patient's life
was endangered. He afterward asked if he had been given mercury,
and said that he bad never been able to take mercury in any form. He
had been salivated by mercury, in youth, and his father and mother
before him had been heavy users of the drug. Cases occur in which
even amalgam fillings in teeth cause symptoms of mercurial
poisoning, from absorption of infinitesimal quantities of mercury.
It has been held that the homœopathic correspondence of sulphur

to such a vast number of symptoms and diseases is partly due to the
widespread abuse -of sulphur by preceding generations; in other
words that the commonly found sulphur symptoms which make it
curative in so many conditions, represent a vast proving of sulphur
upon the human race, pursued for several generations, which has
created a general morbid susceptibility to the drug. The same might
be said of many other drugs, but such, an idea, interesting because
novel and practically suggestive, should not be given too much
weight lest it lead us astray into the realm of speculation.
In the closely related subject of "drug diseases," we are on safer

ground. The subject of drug diseases has a particular and perennial
interest for the homœopathician, because his professional life is
devoted largely to, the observation and study of the phenomena
produced or cured in the human organism by drugs.. It comes before
him at every point in his career and he, more clearly than any other,
realizes its importance. The homœopathic materia medica, from
which he derives his knowledge of the remedies used for the cure of
disease, is made up, principally of collections of symptoms derived
from healthy persons who have intentionally taken small doses of
drugs and carefully observed and recorded their effects under the
direction of trained observers.
Every proving is the clinical record of an artificial disease

produced by some drug. Every case of sickness demands its
corresponding drug, which is found by comparing the symptoms of a
patient and the symptoms of drugs. For every disease arising from
natural causes there has been found, or may be produced by some
drug, a similar artificial disease, symptom corresponding with
symptom, often to, the minutest details. This similar corresponding

drug, once found and administered in the proper dose, proves to be

the curative. Upon this easily demonstrable fact is. founded the
homœopathic healing art. From this fact was deduced the healing
principle, which is the scientific basis of homœopathy.
Acceptance of the idea that disease may be cured by drugs is

quite general, but the truth of the related idea that drugs also, cause
disease, and each drug its own specific disease, although partially
recognized, is by no means as clearly recognized as it should be. The
alcoholic, the drug addict and the "dope fiend," have long been
regarded as "victims of a disease," by some regarded as a peculiar
psychical disease and by others in other ways; but only very recently
has it dawned upon a few of the "regular" profession that the
mysterious, indefinite disease from which the addicts suffer is, in
each case, a definite, specific drug disease, caused by and
representing the action of the particular drug to, which he is
addicted; that the opium addict suffers from the opium disease, the
"coke fiend" from the cocaine disease, etc.
Homœopathy should have taught them this long ago. Few seem to
realize that a very large part of the disease met with in ordinary
practice is the result of what may be called involuntary poisoning.
Symptoms are constantly appearing in our clinical records which are
the product of drugs, either self-administered or ignorantly
prescribed by that class of physicians who are forever prescribing for
the results of their own drugging without knowing it. There are
many, even in the homœopathic school, who do not realize this fact
and who fail to see that the problem before them is as often one of
antidoting a drug as of curing a true natural disease. This has a very
practical bearing on the case, for the first step in such cases is to seek
out and stop the use of drugs and antidote them, rather than to
blindly proceed to give more drugs. Nature unaided will often
remove many of the symptoms in such cases if the dosing is stopped
and a little time is given. The remainder becomes the basis of
homœopathic prescribing under accepted homœopathic principles,
and the case as a whole affords an opportunity for the discerning
physician to impart some wholesome instruction in the rules of right
living.
Hering said: "The last taken drug affords the best indication for
the next prescription." The experienced homœopathic physician
therefore, gives particular attention in the examination Of cases to
ascertaining what drugs have been previously used, with a view to

stopping their use and antidoting such as have been most influential
in producing disorder, as revealed by a study of the symptoms.
Over-dosing and too frequent changing of remedies in

homœopathic practice often leads to the confusion of the prescriber
and the damage of the patient.
This was exemplified in a case by me in consultation with a

young physician. The patient was an infant about eighteen months
old who had been under treatment for two weeks. The diagnosis was
indefinite, because the nature of the initial disease was obscure. The
case did not at first seem serious and probably was not; but the child
was now obviously very sick and there had been no signs of
improvement. The young physician exhibited his up-to-date card
record of the case, very neatly kept. It contained the symptoms of the
first examination, quite fully and clearly taken, with temperatures,
pulse and respiration carefully charted. The first prescription was
Belladona 3x, which manifestly as to remedy, if not to dose,
corresponded closely to the symptoms as recorded and was a good
prescription. But the record showed that on his visit the following
day, finding his patient slightly worse, he had changed the
prescription and given two other remedies, also in very low
dilutions, in alternation. From that time on the prescription was
changed almost daily, two remedies in alternation being given each
time and presently, palliatives and adjuvants, cathartics, stimulants,
etc., began to show on the record. In the two weeks of treatment
some twenty different medicines had been given, in strength ranging
from mother tincture to 3x dilution. The result, of course, was
inevitable. Given the sensitive organism of an infant, acted upon by
such a number of medicines but slightly removed by dilution from
the crude state,. each one being capable of exciting more or less
toxic reaction, and. one could surely foretell the result-"confusion
worse confounded." Every drug given had produced some effect, if
not the effect desired. The resulting symptom picture was of the well-
known "composite" character, blurred and indefinite, with little or no
character. Hardly one clear-cut, definite symptom could be found-
much less that group of consistent and co-ordinated symptoms which
is required in making an accurate homœopathic prescription. It was a
clear case of getting lost in a very small patch of woods. If the
doctor, after making his first prescription to Bell. 3x had known how
to rightly interpret the fact that the patient seemed somewhat worse
the next day instead of' better, as he had expected; if he had then
discontinued the remedy without giving anything else except placebo

and awaited the, curative reaction, he would have found his patient
much improved on the following day. Without knowing it he was
then witnessing that "slight aggravation of the symptoms" following
the exhibition of a well-selected remedy of which Hahnemann warns
us. Better still would it have been if he had given the Belladonna in
the thirtieth or two hundredth potency in the first instance, instead of
be 3X. There would then have been no aggravation, the patient
would have been better on the second day, and would probably; have
gone on to rapid recovery. Instead of this, however, the doctor
misinterpreted the facts, thereby doing himself, his patient and
homœopathy injustice. Believing that he had made a wrong
prescription, he changed it. In his beginning confusion be further
departed from sound principles by giving two medicine in
alternation, thus multiplying the sources of error and confusion.
From this point on, like a man lost in the woods, he was simply
"walking, circles around himself "-hopelessly lost as far as his own
efforts were concerned, until somebody came and guided him home.
The toxic effects of drugs prescribed in the ordinary routine of

practice are commonly overlooked. In spite of a popular delusion, to
the contrary, a drug loses none of its power in being prescribed by a
man who writes M. D. after his name. Today, as in the dark ages,
there are physicians who give drugs as if they believed that each of
them at their behest, would find its way through the devious
channels of the body and perform the exact task as signed to it.
Unlike the chemist and the pork packer, they do not see the "by-
products," nor make use of them.
It was said of the pork packers that they had learned to utilize
every part of the pig except his squeal. Then came an enterprising
phonograph firm whose agents invaded the slaughter house and
actually recorded the squeals for reproduction, thus completing the
work of salvage.
It is different with the doctors. If the patient recovers after his

dosing all is well and the doctor is confirmed in his faith. If the
patient gets worse, or new symptoms arise, all is still well, medically
speaking. It is merely a "complication" for which he has a ready
name and a convenient pathological classification. If the patient dies
there is no lack of causes assignable on a pathological basis, and the
requirements of the Health Department are easily met in filling the
blanks in the death certificate. Thus "science" is vindicated and the
doctor felicitates himself on his diagnostic and pathological acumen.

His faith in drugs is not shaken.
Rarely does it occur to the prescriber that the "complication" is

but the symptomatic reflection of the drug or drugs he has previously
given. Sometime he does seem to have faint glimpses of -that
unpleasant truth, as when tetanus, trismus or acute Bright's disease
speedily follow vaccination; or when hemorrhage in lungs, kidneys
or retina quickly supervenes upon the administration of massive
doses of quinine; or when he happens to recognize one of the
"puzzling eruptions" said to be caused by one or more of the twenty-
nine drugs named by Glentworth Butler, in his work, "'The
Diagnostics of Internal Medicine." But such flashes of insight are
rare and accomplish little in stemming the tide of drugs which is
engulfing so many victims. Though such a physician may be as keen
on the scent of the last new bacillus as Buster was on the trail of
Bunny Cottontail, his nose is singularly dull when it comes to
trailing the most common of all causes of disease-the preceding drug.
In the rank and file of medicine the old ideas on pharmacology

still obtain, in spite of vaunted progress. A drug, or combination of
drugs, when administered to a patient, is supposed to have no other
effects than those assigned theoretically to the class to which it
belongs. The "other effects," which are sure to arise, are attributed to
the natural progress of the disease or to some theoretical
"complication."
When we come to, examine these allopathic drug classifications

from the standpoint of that knowledge of drugs which is derived
from actual observation of their effects upon the healthy, as recorded
in homœopathic provings, we find them to be of the crudest
character, based upon the most superficial knowledge of drug action.
The gross toxic effects of the drug, as observed accidentally in men
or animals or as guessed, are set over against equally crude
generalizations of diseases, usually on the antipathic principle where
any principle at all is discoverable.
For although the allopathic school of medicine of the present day

repudiates any law or principle, it is plain that the rule of contraries
still dominates it. One has only to take down any standard allopathic
work on materia medica to find its drugs arranged in some twenty-
five or thirty classes, the names of which either begin with "anti" or
imply the same thing, as pointed out by the late Dr. Conrad
Wesselhœft, of Boston. Thus we find anti-toxins, anti-spasmodics,

anti-periodics, anti-pyretics, anti-acids, antiseptics, anthelmintics,

alteratives, tonics, counter-irritants, etc. Manifestly, the appellation
"allopathy" holds good today, as it did a hundred years ago, when
Hahnemann applied it.
As long as drugs retain their power to make well people sick, and
as long as doctors continue to make such generalizations as these, so
long must both be recognized and dealt with as causative factors in
the production of human ills. And so, as our allopathic neighbours
and our homœopathic brethren with allopathic proclivities remain as
yet in a large majority, there will continue to be plenty of work for
the real followers of Hahnemann to do in dealing with the results of
their medical obtuseness for some time to come. True it is that if the
use of crude drugs could be entirely done away with, the sum of
human ills would be greatly reduced; or, as Dr. Oliver Wendell
Holmes wittily said: "If all the drugs in the world were dumped into
the sea, it would be better for mankind and the worse for the fishes."
In either case probably two-thirds of the existing ornaments of the
medical profession would shine in other spheres with at least equal
radiance.
This phase of the subject is important from a practical standpoint.

Cases will frequently present themselves which are puzzling, and
resist all efforts to cure until they are recognized as "drug cases."
The trouble may be entirely due to drugs, or there may be a
combination in varying proportions of drug and disease symptoms.
It should be a matter of routine in making first examinations, to

ascertain what drugs have been used. In chronic cases this
investigation should extend back through the whole life-time of the
patient. The diseases from which the patient has suffered, and the
drugs used in their treatment should be ascertained if possible. The
patient may not know all, but he will usually know some of the most
common and powerful drugs he has taken, and a search of the
druggists' files may reveal the rest. The key to a difficult case may be
the drug or drugs which have "cured" some acute disease perhaps
early in the patient's medical history. Antidoting the drug clears up
the case.
Frequently, for example, will some chronic disease of the liver,

kidneys, spleen or lungs be traced back to an initial attack of malarial
fever checked by massive doses of quinine or arsenic. The patient
has "never been well since." The seemingly indicated remedies do

not act. A few doses of the appropriate antidote, perhaps Arnica, or

Ipecac, or Pulsatilla, or even of Arsenic or Cinchona-the abused
drugs themselves, in high potency-will clear tip the case and either
cure or render it amenable to other symptomatically indicated drugs.
It is a fact that the high potency of a drug is sometimes the best

antidote for the effects of the crude drug.
It is not unusual in the treatment of such cases for the original

symptoms to be reproduced. I have seen a full-fledged, typical attack
of intermittent fever reproduced in a case which had become
tubercular, within a week after the administration of an antidotal
dose of Arsenic in high potency. The patient made a rapid recovery.
The initial attack of intermittent fever, in the case referred to, was
five years before.
In a case variously diagnosed as "chronic gout," "chronic articular

rheumatism," etc., unsuccessfully treated by many physicians,
including European specialists, I witnessed the reappearance of a
discharge from the urethra fifteen years after the original gonorrheal
discharge had disappeared under the influence of astringent
injections. With the establishment of the discharge the patient's
"rheumatic" symptoms began to rapidly improve and a perfect cure
resulted. This was a case of chronic gonococcic septicemia, or so-
called "gonorrheal rheumatism," in reality, metastasis of the original
disease caused by the use of injections. The key which unlocked the
door and released the imprisoned disease was Thuja, the typical "anti-
sycotic" remedy of Hahnemann.
Drug symptoms and complications often arise in the most

unexpected and surprising ways, and baffle all but the most acute
and experienced examiners. Hair dyes and tonics, complexion
beautifiers, dentifrices, medicated soaps, antiseptics; borax in baby's
mouth to prevent sprue, and carbolic acid in mama's douche to
prevent babies; innumerable ointments and lotions; to say nothing
about the equally numerous patent and proprietary nostrums which
fill the shelves of the corner drug stores and find their -way "down
the red lane" into the human system, all play their part in creating
morbid susceptibility, idiosyncrasy and drug diseases and in making
work for the doctor.
These are some of the things to look for among the possible

causes of a disease. They are things very generally Overlooked by

that type. of physician who either does not know their importance,
will not take the time and pains to find out, or does not care. The
patients of such physicians are fair game for the man who does
know, who will take the time, and who does care; and he will not be
in practice very long before he bags his share of them.
Main

Chapter IX - Cure and Recovery - The Genius of Homeopathy - Lectures and Essays on Homeopathic Philosophy - By Dr Stuart M. CLOSE
Main

Philosophy
Chapter IX
Cure and Recovery
The Recall of the

Medical Profession.-The
advent of homœopathy in the
world opened a new era in
medicine and gave new
meaning to the word "Cure."
In the Organon of Medicine,
Hahnemann, in military
parlance, "sounded the
recall" to all physicians in the
field and laid before them a
new plan of campaign and a
new method of attack upon
the enemy forces of disease.
For the first time in history it
then became possible to treat
diseases under scientific Dr Samuel Hahnemann
principles and perform true
cures by medication.
The New Ideal.-Hahnemann contemplated the entire held of

medicine from the standpoint of an ideal and efficient therapeutics.
In the first paragraph of the Organon he penetrated directly to the
heart of the matter and declared that the "physician's high and only
mission is to restore the sick to health-to cure."

Here Hahnemann took his stand. From this point be viewed his
field. By this standard he measured all physicians, all medical
theories, methods and systems and he desired and demanded the
same measurement for himself and his own method. He asked but
one question, applied but one test, Do they cure the sick? Experience
and observation of the men and methods of his day showed clearly
that they did not cure. In the light of a vast and comprehensive
knowledge and a bitterly disappointing personal experience, be
pronounced the medicine of his day a failure and set about its
reformation.
Cure was not then, as it has since become in the dominant school
of medicine, an obsolete term. Physicians still talked and wrote of
"cures," but vainly sought to find them. "The Art of Healing" or
"The Healing Art" were familiar phrases, but the thing itself, like a
will-o'-the-wisp, eluded them-then as it has ever since.
In the second paragraph of the Organon, Hahnemann gives, for

the first time in medical history, an adequate and satisfying
definition of the ideal expressed in the word "Cure:" "The highest
ideal of a cure is rapid, gentle and permanent restoration of health, or
removal and annihilation of the disease in its whole extent, in the
shortest, most reliable and most harmless way, on easily
comprehensible principles."
Principles, not Precedents. – In those last four words lies the

main point of the whole matter. Cure is dependent, not upon
precedent, opinion or speculation but upon the application of
Principles; principles, moreover, that are "easily comprehensible."
The only principles that are easily comprehensible are principles that
are true. The only principles that are true are principles logically
deduced from facts-all the facts that belong to the field of research
involved. Simplicity-comprehensibility- the highest criterion of
Truth. The greatest truths are always simple.
Medicine in general and therapeutics in particular are

authoritatively classified among the Arts.
From time immemorial the practice of medicine has been called

"The Art of Healing," hence, a cure is a product of art. Let us
consider what is meant by Art.

Art Defined. - Art is practice guided by correct principles in the

use of means for the attainment of a desired end.
An artist is one who is skilled in applying knowledge or ability to

the accomplishment of a concrete purpose.
Psychologically, art is the superior work of reason and

intelligence, actuated by a sense of beauty and the "eternal fitness of
things.
Art transcends nature. It represents the victory of mind over

matter, of man over nature. The Artist can take a hint from nature
and devise some quicker or better way of accomplishing certain
purposes; as when the homœopathic artist takes the crude materials
that nature provides and adapts them directly to therapeutic ends by
potentiation, rendering them harmless, more active, more potent,
more assimilable and hence more efficient.
Art not Imitation of Nature. - Art is not mere servile imitation

of nature, nor of nature's processes, although such base imitations are
constantly being foisted upon the medical profession -and the public
in the name of art or science.
Hahnemann says: "The vital force, capable only of acting in

harmony with the physical arrangement of our organism, and
without reason, insight or reflection, was not given to us that we
should regard it as the best guide in the cure of disease. What man of
sense would undertake to imitate nature in her endeavors of coming
to the rescue... No, the true healing art is that intellectual office
incumbent on the higher human mind and free powers of thought,
discriminating and deciding according to cause.''
To illustrate: Many examples of the working of the homœopathic

principle may be found in nature: The happy but unexpected results
of accidental experiences, such as relief from rubbing a bruise,
applying snow to a frozen ear, or radiant heat to a burned finger; the
instinctive actions of sick or injured animals, as when they eat grass
or leaves to produce vomiting when they are nauseated, or lick the
secretions from their own wounds or sores.
If a homœopathic artist desired to profit by the observation that a

dog had apparently cured himself by licking the pus from his own

sores, or that a human victim of septicæmia had recovered after

accidentally or intentionally ingesting a portion of his own morbid
secretions, he would not think of imitating these procedures.
Desiring to ascertain the value of "autogenous pus" as a possible
remedy, he would first submit, the morbid product to the recognized
scientific- process of modification by mechanical potentiation,
according to the method of Hahnemann and carry it to a point where
there could be no question of the non-existence of toxic or septic
qualities.
Having thus removed the obnoxious qualities of the substance

and raised it from the physical to the dynamical plane, he would next
submit it to the test of proving upon healthy persons; or, if he chose
to approach the problem first from the clinical side he would
administer doses of the potentiated substance to the person from
whom it was taken and observe results, checking them up later by
the results of a proving.
To illustrate: Venomous reptiles and insects inject their poison by

puncturing the skin and obtain quick and positive results. This
suggests but does not justify the use of the hypodermic needle for
therapeutic purposes, than which no more pernicious violation of the
principles of true medical art was ever devised.
The use of the hypodermic needle for therapeutic purposes is

merely a slavish imitation of nature, and of nature in her most
malignant moods. The avowed object of the procedure is to get
"quick" and "positive'' results, but like many other questionable
medical expedients, it is a violation of the principles of the healing
art and an evil to be combated by every homœopathician.
If every hypodermic needle in existence were destroyed it would

still be possible to cure or relieve every curable disease quickly and
safely, by means of the appropriate medicine administered by natural
channels.
Imitation of nature is a paltry substitute for art. Whatever may be

the outcome in the long run and final accounting, nature, temporarily
at least, works irrationally, blindly, painfully and waste fully; as
when she creates a million spawn to secure a dozen fish; or
suppurates an eye away in the effort to remove a, splinter from the
cornea. Undoubtedly law underlies all such efforts, but it is a law

violated, thwarted or hampered in its operations by adverse

conditions. Art thereupon steps in, removes obstacles, quiets
disturbance, improves conditions and accomplishes results with the
least expenditure of force, by means perhaps similar, but always
superior to those used by nature.
Cure is never accomplished by methods which are but a mere

imitation of nature or nature's processes. Recoveries, only, result
from such methods. Frequently great injury is inflicted upon the
patient by the use of such methods, because many of natures
processes cannot be successfully imitated by man. There is always
something which eludes us in our attempt to grasp nature's deeper
secrets.
Distinction Between Cure and Recovery. - The favorable

outcome of medical treatment may be either a cure or a recovery. To
realize the ideal of cure, it is necessary to know the exact meaning of
these terms and to be able to discriminate between them.
Failure to discriminate between cure and recovery engenders

confusion of I thought and leads to pernicious practices. The terms
are not synonymous. Natural recoveries following treatment
consisting of mere palliation of symptoms should not be mistaken
for cure s nor falsely paraded as such. In either case, a false standard
is set up, injustice is done to the ideal of cure and scientific progress
is retarded.
A Cure is Always a Result Art and is Never Brought About by

Nature. - Nature, however, aided or unaided, often brings about a
recovery, under the operation of natural laws. Fortunate indeed is it
for humanity that this is true.
Aside from homœopathy, sanitation and surgery, the only real

progress in handling the problem of disease during the last century
has been in the adoption of hygienic methods of treatment tending
toward natural recovery-the abolition of all drugs and dependence
upon rest, diet regimen and good nursing-known as the expectant
method. The rate of mortality in certain diseases has fallen in
proportion to the degree that meddlesome medication has been
superseded by sound hygienic methods.
Definition of Recovery. - Recovery is the spontaneous return of

the patient to health after the removal, disappearance or cessation of

the exciting causes and occasion of disease, or as a result of
treatment which is not directly and specifically curative in its nature.
Recovery takes place by virtue of the existence of sufficient

integrity of organs and inherent power of reaction in the patient to
overcome the disease-producing agency without the aid of the
homœopathic or healing art. Recovery is favored by the application
of sound principles of mental and physical hygiene, judicious
mechanical or surgical treatment when required, avoidance of drugs
used for their "physiological" (really pathogenic) effects, and by
enlightened sanitation.
The Expectant Treatment Inadequate. - Nature unaided,

however, or with all the aid afforded by the expectant treatment and
by sanitation and surgery, is unable to cope successfully with many
forms of severe disease. Such diseases as cholera, yellow fever,
pneumonia, diphtheria, typhus and typhoid fever, smallpox, and
many other diseases take a heavy toll in mortality, practically
uninfluenced by the expectant treatment, except as compared with
the much greater mortality under ordinary drug treatment. If diseases
are divided into three classes with regard to their rate of mortality,
the highest mortality is found among those treated by ordinary drug
methods, the next lower under the expectant method, and the lowest
under homœopathic treatment.
The Superiority of Homœopathy. - Homœopathy has gained its

greatest triumphs in those diseases which are uninfluenced by even
the expectant treatment. Of these cholera is a notable example. With
a normal mortality of from forty to seventy per cent. under any other
form of treatment, the mortality under homœopathic treatment, but
otherwise under precisely the same general conditions, has been as
low as four per cent. Substantially the same is true of other diseases,
in all of which the mortality is distinctly lower under homœopathic
treatment than under the expectant treatment, which is itself so
superior to ordinary drug treatment that the leaders of thought and
research in the regular school warmly advocate the abandonment of
all drugs except mercury, quinin and morphin in special cases.
It is the duty of every physician to avail himself of all the

resources of hygiene, sanitation and surgery, but it is also his duty to
put prejudice aside and investigate the claims of a method of
medication which can show such markedly superior results as does

homœopathy.
Homœopathy alone, of all therapeutic methods, can legitimately

claim to effect true cures by medication, as distinguished from
recoveries; and this it claims, first, because it is based upon a definite
general principle or law of nature; second, because it is able to
successfully apply that principle to individual cases; and third,
because it does actually restore the sick to health, quickly, safely,
gently and permanently, upon easily comprehensible principles.
Relation of Cure to Disease. - A true definition of cure must be

based upon a right conception of the nature of disease.
The Standard Dictionary defines disease as "any departure from,

failure in, or perversion of normal physiological action in the
material constitution of functional integrity of the living organism"
This definition rightly focuses attention upon the dynamical

aspect of the subject, for disease is essentially and primarily a
morbid dynamical disturbance of the vital powers and functions,
resulting in a loss of functional and organic balance.
Primarily and essentially, cure is the restoration directly, by

medical art, or normal physiological action. Cures do not consist in
the mere removal of the external, secondary, tangible products of
disease, but in restoration of the dynamical balance, so that the
functions of the organism are again performed normally and the
patient is in a state of health.
Disease is manifested perceptibly by signs and symptoms. Cure,

is manifested by the removal of the symptoms. Strictly speaking the
removal of all the symptoms of the case is equivalent to a cure, but if
symptoms disappear and the patient is not restored health and
strength it means either that some of the most important symptoms
of the case have been overlooked, or that the case has passed beyond
the curable stage. All curable cases present perceptible symptoms,
but their discernment often depends upon the acuteness of the
observer.
Cure relates to the case as a whole: A patient may have his

hemorrhoids removed and be relieved of his rectal symptoms; but if
the symptoms of the heart or liver disease which preceded and

caused his hemorrhoids are not removed the patient is not cured; and
so of innumerable other morbid conditions. Cure refers to the
patient, not to some symptoms of his disease, nor to what may be
called "one of his diseases." To say that a patient is cured of his
hemorrhoids, but still has his heart disease is absurd. Cure means
complete restoration to health.
Cure is not affected by the removal surgically nor by any local

means, of the external, secondary, pathological "end-products" of
disease, such as tumors, effusions, collections of pus, useless organs
or dead tissues; for the morbid functioning which produced those
effects often remains unchanged, after such removal.
Cure is effected only by dynamical treatment according to fixed

principles, directed to the primary, functional disorder as revealed by
the complete symptom-picture preceding and accompanying the
formation of the tangible products of the disease.
Cure is not merely the removal of the primary causes of disease,

for even if all the causes of the disease are known and removable,
the effects, having been begun, may continue as secondary causes
after the removal of the primary causes. Spontaneous disappearance
of the disease does not always occur in such cases, and dynamical
treatment is required to restore the patient to health.
The End Products of Disease and Mechanical Treatment. -

The tangible, physical results of disease as thus defined may and
often do disappear spontaneously when the internal dynamic
disturbance is removed' by curative medication, but they are not
primarily the object of homœopathic treatment. It may be necessary
eventually, to remove them mechanically by surgical art. Surgical or
mechanical measures become necessary when the tangible products
of disease are so far advanced or so highly developed that they
become secondary causes of disease and obstacles to cure. In all
cases in which disease has ultimated in organic or tissue changes
which have progressed to a point where surgical interference is
necessary, homœopathic dynamical treatment should precede and
follow operation; bearing in mind always that such changes are the
direct result of preceding and accompanying morbid functional
changes, and that the patient is not cured unless normal functioning
is restored.

The Object of Treatment. - The primary object or purpose of

homœopathic treatment is the restoration of normal functional
balance-health.
The basis of the homœopathic prescription is the totality of the

symptoms which, represent the functional disorder-the abnormal
process of the disease itself, not its ultimates or "end products."
The physician who prescribes for a tumor or any other tangible

product of disease is misdirecting his energies and courting failure.
Physicians are constantly mistaking the product for the process of

disease. The product can only be changed by changing the process.
Destroying the product does not change the process. Correct the
faulty process and the product will take care of itself, so far as
homœopathy is concerned. This defines the sphere of homœopathy
and this is what we mean when we say that the cure of disease is a
dynamical problem.
A Law of Cure Implied. - The accomplishment of even one true

cure by medication implies the existence of a governing principle or
law of cure by medication. The occasional occurrence of accidental
cures very early attracted the attention of medical men, and led them
to seek for such a law. Glimpses of the law were had by individuals
from time to time down the ages, but it eluded the searches or failed
of demonstration until Hahnemann finally grasped it
comprehendingly and made it the basis for the therapeutic method
which he named homœopathy.
Many were deluded by mistaking natural recoveries for cures.

Their attempts to "imitate" invariably failed. Others abandoned the
idea of a general principle of cure by medication and denied its
existence, refusing to accept the demonstration when it was finally
made. That is the attitude of the average member of the dominant
school to-day. He denies the existence of a general principle of
therapeutic medication. "We do not profess a cure," he says; "we
only aid nature to bring about recoveries." In this he is at least
honest, and consistent in his use of terms.
The Requirements of Cure. - The first requirement of a cure by

medication is that it shall be the result of the direct application of a
definite general principle of therapeutic medication. The result may

be accidental or intentional on the part of the prescriber in a given

case, but its relation to the means employed must be capable of
rational explanation and demonstration by reference to the governing
principle.
A general principle is capable of systematic demonstration, not

only once but repeatedly and invariably, under stated conditions.
Given the principle, it is always possible to formulate a method or
technic, by means of which the principle may be successfully applied
to every case within its scope.
The second requirement of a cure by medication is that it must be

individual. A general principle according to which any action takes
place is always capable of being individualized. The ability to meet
the varying requirements of individual cases proves the existence
and truth of the principle involved.
A true system of therapeutics must be able to adapt its basic

principle and its remedy to the needs of each individual case.
There are no cures for "diseases," no remedy for all cases of the
same disease. Cure relates to the individual patient, not to the
disease. No two cases of the same disease are exactly alike.
Differences of manifestation in symptoms and modalities always
exist in individuals. It is these differences which give each case its
individuality, and create the need for an individual remedy.
The Morphological Factor. - Every individual develops

according to a certain morphological tendency or predisposition,
inherent in his constitution. It is from this tendency that he derives
his individuality. This tendency or predisposition may be or become
morbid. If it does, the symptomatic form of that morbidity will also
be individual. It is necessary, therefore, to study each case of disease
from the morphological as well as the semeiological standpoint in
order to be able to determine its individual form and characteristics.
The new morphology includes all the facts and phenomena,

anatomical, physiological and psychological, functional and
organic,. normal or abnormal, which represent the individuality of
the subject. It aims to establish in each concrete case the particular
kind or variety of organization development and functioning which
gives it individuality and differentiates it from other similar cases,

thus providing a reliable basis for the rational interpretation of

symptoms and the selection of the remedy indicated for the patient.
The Examination of the Patient and Construction of the Case.

- Disease is primarily a dynamical disturbance of the vital functions
of the individual organism, manifesting itself by signs:. and
symptoms. Symptoms are the only perceptible evidence of disease
and the only guide to the curative medicine. For the prescriber the
characteristic symptoms of each individual in the totality constitute
the disease and their removal is the object of treatment and the cure.
The third requirement for the performance of an ideal cure,

therefore, is a complete and impartial collection and record of the
facts which constitute the natural and medical history of the
individual.
This should include not only physical and constitutional signs,.

the heredity and family history of the patient; how he was born,
raised and educated; his occupation, habits, social and domestic
relations; but a chronological symptomatic history of all his diseases,
indispositions, idiosyncrasies, accidents and vicissitudes, as. far as
they can be recalled.
In considering the recorded results of each examination, the

homœopathic therapeutist pays particular attention to the unusual,
peculiar, exceptional features or symptoms which give the case its
individuality; for, by these, under the guidance of the principle of
symptom-similarity, he is led to the remedy needed for the cure of
the individual case.
Symptoms, general and particular, "behave themselves in a

particular way," take on peculiar forms, combinations and
modalities, according to the morphological type, environment,
personality and predisposition of the individual.
It is necessary thus to study the individual in order to understand

how a general or particular predisposition to disease becomes
concrete and the object of treatment and cure, as well as to elicit the
symptoms which are to guide in the selection of the remedy.
Manner and Direction of Cure. - Cures take place in a definite,

orderly manner and direction.

Normal vital processes, cellular, organic and systemic, begin at

the centre and proceed outwardly. Figuratively, if not literally, 'life is
a centrifugal force, radiating, externalizing, concentrating and
organizing spirit into matter - "from above, downward." In the same
sense disease is a centripetal force, opposing, obstructing,
penetrating toward the center and tending to disorganization.
The progression of all chronic diseases is from the surface toward

the center; from less important to more important organs "from
below upward."
Curative medicines reinforce the life force, reverse the morbid

process and annihilate the disease. Symptoms, disappear from above
downward, from within outward and in the reverse order of their
appearance.
When a patient with an obscure rheumatic endocarditis, for

example, begins to have signs and symptoms of acute arthritis soon
after faking the homœopathic remedy and is relieved of his chest
sufferings, we know that cure has commenced.
Cure takes place in much less time than natural recovery, without
pain, physiological disturbance or danger from the use of the remedy
employed and without sequelæ. The restoration of health is complete
and lasting.
The Trend of Modern Therapeutics. - Cure, as a medical ideal,

appears to have been abandoned by the dominant school of
medicine. Formerly, every new therapeutic method or measure
'based its claims to acceptance upon alleged cures. If the results of its
use could be made to pass for cures, it was given some sort of
standing in the medical world. If not, or if time revealed the falsity of
the claim, it was relegated to the limbo of exploded theories.
With the progress of science and the general diffusion of.

knowledge, both profession and people have begun to realize their
mistakes. A great majority of the alleged cures are found to be not
cures at all, but, at best, only recoveries. In many cases, the condition
of the patient after his supposed cure is found to be worse than it was
before, for the removal or suppression of some of his. superficial
symptoms, which was all that was accomplished, was followed by
other symptoms indicating the invasion of deeper and more

important organs by metastasis. The young man, for instance, whose

gonorrhea was treated by injections, and who was told by his
physician, after the discharge disappeared, that he was cured and
might marry the girl of his choice, soon found that his previously
healthy young wife began to complain of serious trouble in her
reproductive organs. He found himself watching the gradual fading
of the roses in her cheeks and the brightness in her eyes; her
lassitude, falling strength and falling weight; her mental depression
and irritability; until, finally, consultation with a gynecologist and a
physical examination revealed a gonococcic salpingitis, "a pus tube"
or a degenerated ovary, for which the only recourse is an operation
and removal of the diseased organs.. Result, a mutilated and crippled
reproductive organism and a farewell to all hopes of a family. The
young man learned too late that he was never cured of his gonorrhea,
but that the measures used merely drove the disease to deeper parts,
from whence it was communicated to his innocent wife with such
dire results.
Seventy-five per cent. of the alarmingly large and increasing

number of operations on the female sexual organs are said by high
authorities to be due to chronic gonococcic infection, caused by
suppression (by local treatment) and metastasis of the acute disease
in the husband. It is a sad commentary on the boasted efficiency of
modern therapeutics.
Examples in many forms of disease might be given to illustrate

the results of a false and pernicious therapeutics and ignorance of
what cure really means; but enough has been said to indicate the
importance of a re-examination of the subject.
The abandonment of the ideal of cure by the general profession

and the disappearance of the term from current medical literature
does not mean that cure is impossible. It only means that the wrong
method has been pursued in the effort to attain it.
Many great truths have had their rise, acceptance and period of
sway, followed by a long period of decline and obscurity; but never
has a, great truth been lost. There is always a "Remnant in Israel"
who survive to hold the truth committed to them as a precious
possession and cherish it until a revival comes.
The Hahnemannian ideal of cure by medication, according to the

principle of symptom-similarity, largely lost sight of for a time in the

dazzling accomplishments of modern surgery and laboratory
research, has been passing through such a period of neglect and
obscurity. But already there are signs of a revival of this great truth,
as science, in its wider reaches, is beginning to correlate the results
of its work. The whole trend of modern medical thought is toward
the confirmation and acceptance of fundamental postulates and
principles first enunciated by Hahnemann. Homœopathy is gradually
being rediscovered by modem science.
Main

Chapter X - Indispositions and the Second Best Remedy - The Genius of H...- Lectures and Essays on Homeopathic Philosophy - By Dr Stuart M. CLOSE
Main

Philosophy
Chapter X
Indispositions and the Second Best Remedy
Not every case which

presents itself to the physician
requires medicine. It may only
require the searching out and
correcting of some evil habit,
some error in the mode of
living, such as faulty diet,
unsanitary, surroundings, non-
observance of ordinary hygienic
requirements in regard to
breathing, exercise, sleeping,
etc.
In Par. 4 of the Organon,

Hahnemann says: "He (the Dr Samuel Hahnemann
physician) is likewise a
preserver of health if he knows the things that derange health and
cause disease, and how to remove them from persons in health."
In Par. 5 the physician is enjoined to search out "the most

probable exciting cause of the acute disease, as also the most
significant points in the whole history of the chronic disease to
enable him to discover its fundamental cause, which is generally due
to a chronic miasm."
In making these investigations he directs our attention to "the

physical constitution of the patient, his moral and intellectual

character, his occupation, mode of living and habits, his social and
domestic relations, his age, sexual functions, etc."
But this line of investigation is equally fruitful and necessary in

dealing with the indispositions of which I am particularly speaking.
In the note to Par. 7, Hahnemann says: "As a matter of course

every sensible physician will remove such causes at first, after which
the indisposition will generally cease spontaneously." By way of
illustration he goes on to say: "He will remove from the room strong
smelling flowers, which have a tendency to cause syncope and
hysterical sufferings;" (and I may add that he will order hysterical
and neurotic "lady patients" to abandon the use' of the strong
perfumes and sachet bags with which they render the air of their
rooms unfit to breathe, aggravate their complaints and make
themselves a nuisance to everyone who comes near them); "extract
from the cornea the foreign body that excites inflammation of the
eye; loosen the over-tight bandage on a wounded limb, ligature the
wounded artery, promote the expulsion of poisonous ingesta by
vomiting extract foreign substances from the orifices of the body,
crush or remove vesical calculi, open the imperforate anus of the
new born infant, etc."
In short, Hahnemann has done his best to make it clear that the
use of common sense is not incompatible with homœopathic
practice, his enemies and some of his overzealous followers to the
contrary notwithstanding.
The young homeopathic doctor, fresh from the halls of materia

medica, with his brand new case of medicines, is apt to be like the
small boy with his first jack-knife who wants to carve and whittle
everything within reach-a simile, by the way, quite as applicable to
the young surgeon! Both of them leave a trail which to follow does
not require the sagacity of a Sherlock Holmes.
Consider for a few moments, then, that class of cases which

require for their use only the correction of faulty habits and the
removal of exciting causes. Consider also that it often requires the
exhibition of as much wisdom, skill, good judgment and tact to
perform this function as it does to prescribe medicine; indeed, it
often requires more. It is much easier to deal out medicine and

dismiss the patient, than it is to make a-careful investigation of the

habits and circumstances of a patient who probably does not need
medicine at all, but only wise and kindly advice on how to live.
Great is the power and value of homœopathic medicine, but, like

all other good things, it can be abused. Even high potencies can be
abused and cause mischief, as I saw illustrated very strikingly when I
was sent for in haste to see a patient for whom I had prescribed a few
days before. I relate the case because it not only illustrates the
particular point I am discussing now, but also the subject (if
posology which I shall take up subsequently. The patient was an old
gentleman who was in a state of mild senile dementia, with
enfeebled power of thought, loss of memory, tendency to involuntary
urination and defæcation, rather persistent sleeplessness, and
becoming careless in his personal habits. But lie had been perfectly
tractable arid mild in his demeanor, and had made no trouble for his
family. The symptoms led me to prescribe a remedy, which I gave in
the two hundredth potency, with directions to take two doses daily.
Three days later I was sent for in haste to see him. I found him in a
highly excited state of mind, with flushed face, widely dilated pupils,
staring expression and suspicious of being poisoned. He excitedly
and harshly accused me of giving him "another man's medicine"
which had "filled his bowels up;" he had removed all his clothes,
refused to put them on again, and was going about the house nude
before the women, without shame, and had tried to go out of doors in
that state.
I recognized the symptoms immediately, as I hope you have done.

Probably most of you will be able to name the remedy. It was
Hyosciamus, of course.
On making inquiries I found that instead of taking the remedy

twice a day as directed, owing to a misunderstanding, he had been
taking it every two hours. Of course he was making 1 proving-of the
two hundredth potency! A single dose of Belladonna, two hundredth,
removed the whole trouble in a few hours, and he resumed his
ordinary placid course of life.
An experience of that kind has a strong tendency to remove any

scepticism one may have as to the power of high potencies. It also
conveys an impressive warning against too frequent repetition of
doses. Moreover, it upsets the theory that high potencies do not act
upon the aged. Incidentally it shows the possibility, sometimes

denied, of making provings with highly potentiated medicines and

substantiates the claims of those who hold that no remedy can be
considered as well proved until it has been proved in the potencies as
well as in crude form.
It is well known that the most valuable, e part of a drug action,

the finer shadings of symptomatology, are almost never brought out
under the use of the tinctures and low potencies. These appear
usually under the action of a medium or high potency, or toward the
close of a proving of a low potency, long after the first effects of the
drug have passed away; so that it has come to be a maxim among
experienced provers that the last appearing Symptoms in a proving
are the most valuable and characteristic. In the same way, the last
appearing symptoms in a disease, especially chronic disease, are of
the highest rank in selecting the remedy-a practical point it is well to
remember. We should never neglect to inquire of a patient whether
any new symptoms have appeared since the last visit or prescription
and value any such highly.
Returning to the subject of indisposition: Having discovered such

a case and determined that it does not require medication, the
question arises, how is such a case to be managed? At first sight it
would seem to be a very simple matter; merely to tell the patient
bluntly that he does not need medicine, but only to mend his life and
correct his habits according to the advice and instruction which you
have given or will give. This view of the matter does not take into
consideration the peculiarities of human nature as formed by ages
and generations of habit and custom. Only occasionally do we meet
a patient to whom we can give ideal advice and treatment. In spite of
the rapid growth of the no-drug idea as promulgated by the various
modern cults, the average patient who goes to the doctor, expects to
get medicine. If he is so far advanced in his ideas as to believe in the
no-drug theory he will probably not go to the doctor at all, but will
seek out the osteopath or the Christian science healer. The patient
who believes in drugs and goes to a doctor for treatment will be very
likely to listen incredulously to your well-meant advice and will
depart to tell his friends in anything but a respectful manner, that he
thought you were a doctor, but he found that you were only a half-
baked Christian scientist after all, or something to that effect. To
direct his attention to his errors of living and order him to correct
them is to apparently put the burden of cure upon him, and that is not
what he wants at all. He expects us to bear that burden. That is what
he comes to us for. Besides that, he often resents the assertion that

his trouble is due to his own ignorance or willfulness. There is a

large class of people today-selfish, pleasure-seeking, luxury-loving,
dissipating creatures, male and female-who demand of the physician
relief from the pains and penalties of their hygienic sins, but are not
willing to do their necessary part toward bringing this about. They
want to "eat their cake and have it too."
We cannot afford to antagonize this class, either for their sakes or

our own. We owe them a duty as well as ourselves, and few of us
can afford to pick our patients. We must take them as they come and
adjust ourselves to their individual needs and peculiarities. These in
general are some of the cases which require tact in management.
"You can catch more flies with molasses than with vinegar." We can
gradually lead some of these people into better ways of life and
thought and cure them of both their sickness and their sins, if we are
patient and wise and tactful; while at the same time we are
increasing the extent and influence of our practice. The physician
who aims to be something more than a mere dispenser of palliatives,
pills, and piffle, will never lack opportunities to magnify his
profession and become a power for righteousness in his community,
as well as 'a healer -of its diseases. It is in dealing with such cases-
the indispositions and habit disorders-that the "second best remedy in
the materia medica" so often comes into use. Of course you all know
what the second best remedy is. No? I am surprised that your
education. has been so neglected! But I am glad it is to be my
privilege to teach you something you do not know. There are so few
things that the average young doctor does not know!
In order to fully appreciate the value of the second best remedy,

we must first clearly understand what is the best remedy in the
materia medica. There cannot be any doubt in your minds as to that,
I am sure. It is the indicated remedy. You also know that having once
been found, the best remedy must be given time to act, and that its
action must not be interfered with by other drugs or influences until
it has accomplished all of which it is capable. You also know, or, if
you do not, you will learn (if you keep your eyes open and your wits
about you) that too many doses of the best remedy may spoil the
case.
One of the distinguishing characteristics of a great painter is that

he knows when to stop. Many a painting which would have been
great, if the artist had known when to stop, has been weakened and
spoiled by over-finishing. In his anxiety to perfect a few insignificant

details he robs his work of, its vitality-kills it. It is the same in
treating a case. The problem is to give just enough medicine and not
too much. Too many doses may spoil the case. I have referred to the
class of people who expect and demand medicine, and are not
satisfied unless they get it, until they have been taught better.
Now just here comes in the second best remedy without which no
good homœopathist could long practice medicine. Its technical name
is saccharum lactis officinalis; abbreviated sac. lac. or s. I.; just plain
sugar of milk! The young homœopath's best friend, the old doctor's
reliance and a "very present help in time of trouble!"
The doctrine of placebo, from the Latin placere, to please-, future,

placebo "I shall please," is as old as medicine itself. Its
psychological value is commensurate with the frailties and
peculiarities of human nature. The traditional "breadpill" of our
medical ancestors has given place, in the march of scientific
progress, to the more elegant powder of virginal white, pure sugar of
milk; or to the seductive little vial of sugar pills or tablets, artistically
labeled and bestowed with impressive directions as to the exact
number of pills for a dose and the precise hours of taking, with
confident assurances of the happy effects to be expected, if
directions are faithfully followed!
Marvelous are the results witnessed from the resort to this remedy
in cases where it is indicated. I have seen it bring sleep to the
"insomniac," when even morphine had failed. I ha e heard patients
declare that it was the most effective cathartic the had ever taken and
beg for a generous supply for future use which supply I have usually
refused on the ground that it was too powerful a remedy to be
entrusted to the hands of the unskilled. It is indeed too powerful and
too useful a remedy to be held 'lightly, or to be lightly used. The
knowledge of its use is too dangerous to be disseminated among the
laity. It should be as jealously guarded as a "trade-secret" worth
millions. Never admit its use to any but the initiated, if you value
your influence and reputation, but never fail to use it when your
judgment dictates it.
Let us glance at a few of the practical uses of the placebo. You

are called to a new case. You see the patient and make your
examination. You decide that it is a case for medication. You have
written down your symptom-findings and glanced over the record.
The case is difficult and you are not able to decide offhand what

remedy is indicated. You must have time and opportunity to study it

up. The patient and friends want something done at once. Rapidly
you run over the case in your mind. This patient is seriously ill. To
make a mistake in the first prescription might be fatal, or it might
prejudice the case by confusing it so that a quick and satisfactory
cure would be impossible. Your reputation in the new family will
depend upon your success. You must retain the confidence of the
patient but you must have time and make no mistake.
This is where your knowledge of the second best remedy comes

into use. Calmly and confidently you prepare and administer a
generous "s. l." powder, leave explicit directions for the use of as
many subsequent doses as you deem judicious, make an appointment
to see the patient again in an hour or two, or three, and then hie you
to the seclusion of your library, where you proceed to apply your
knowledge of how to study the case and find the remedy according
to the principles of the Organon.
When you have worked out your case and found the remedy, you
return. Then you enter the patient's presence as master of the
situation-unless the Master of Destiny has ordained otherwise.
Does anybody consider that lost time? It is a pity that more time
is not lost in that way! Thousands of cases might have been saved
and many a professional reputation, by following such a course,
instead of yielding to the silly panic-impulse to "do something
quick," which almost invariably results in doing the wrong thing.
Patients do not usually die in a minute. There is always plenty of

time to do the right thing, always, at the right time. If you know what
the right thing is without reflection and study, do it at once. Give
your remedy at once if you are sure of it, but not otherwise. If you
are not sure, give sac. lac.
If the case is really pressing and demands immediate medication,

retire to another room with your repertory then and there.
The very greatest of our

prescribers-men like
Bœnninghausen, Hering, Lippe,
Wells, Biegler, of those who are
gone, and almost all our expert

prescribers of today, do not fail

to carry their repertory with
them to all cases, nor hesitate to
use it in the presence of the
patient if necessary. Instead of
arousing distrust on the part of
the patients, as you might think,
it awakens confidence. To see -a
physician making a thorough
examination, studying, "taking
pains," showing a real interest in
the case and a determination to
do his best at the "psychological
moment" (which is always the
present moment with the man
who is suffering), is calculated
Adolf Lippe
to inspire confidence at all times-
except with fools, whom no
physician wants for patients and who ought to be permitted to get off
the earth as soon as possible for the benefit of posterity anyway.
Another use for the second best remedy is as a supplement to the

indicated remedy. Experience shows that Hahnemann was right
when he advised that the remedy should be stopped as soon as signs
of improvement appear, and the curative reaction be allowed to go
on without further repetition of doses as long as it will. This, of
course, refers to the cases where repeated doses are given from the
beginning. When improvement begins and you desire to cease
medication, you will simply substitute sac. lac. for the remedy and
watch your case.
The same course is pursued when treatment is begun with the

single dose, by which method many of the most brilliant cures are
made.
We may give enough sac. lac. powders to last during the interval
between visits, or a vial of blank tablets or pellets; but be sure to
moisten the tablets and pellets with alcohol, or put some
unmedicated pellets in the sac. lac. powders. Patients have a way of
investigating powders sometimes and counting the pellets. If they
find no pellets they may become suspicious.
The medicine case should always contain a vial of blank pellets

properly labeled for such use. One friend of mine always carries a
duplicate case of vials containing blank pellets, but labeled as
medicines to disarm suspicion.
These are some of the ways to use the second best remedy. If you
follow the right course you will find more and more use teaching and
thinking on therapeutic subjects. The use of placebo is simply one
form, and a very powerful form of therapeutic suggestion; or, to use
the still more recent term, psycho-therapy. In the habitual, systematic
and judicious use of the harmless little powder of sac. lac. the
homœopathist antedated all the modern cults of drugless healing, and
even they have devised no more powerful nor efficient measure.
We are not under the necessity of sending our patients away, as

Dr. Win. Gilman Thompson, of Cornell University Medical College,
had to do. He was holding a medical clinic before the senior class,
To this clinic came a woman whose case was diagnosed as
neurasthenia. Among the multitude of complaints she poured forth,
she laid most stress upon constipation; but declared that she could
and would not take any more cathartics.
Dr. Thompson pondered over the problem a few moments and

then turned to the class and said: "Gentlemen, there is but one thing
to do for this patient. We will send her to Boston. There, they will
give her a subconscious pill, and she will get an Immanuel
Movement!"
Many who are not susceptible to the "subconscious pill" will

respond to the somewhat more tangible but none the less efficient
sac. lac. powder, even among those who live in Boston!
Objection has been made to this mode of dealing with cases, by

certain individuals with very delicate consciences, on the ground that
it was not strictly honest! To practice even such a mild deception
upon patients would violate their fine sense of honor! Besides, it
tended to engender in patients a habit of dependence upon sac. lac.,
and to demoralize the physician who followed the practice!
Recall the words of Him who said: "Woe unto you, Scribes and
Pharisees, hypocrites! for ye pay tithes of mint and anise and
cummin, and have omitted the weightier matters of the law,
judgment, mercy and faith; these ought ye to have done, and not to

leave the other undone. Ye blind guides which strain at gnat and
swallow a camel!"
He who said that, anointed the eyes of a blind man with "clay
mixed with spittle," bade him go and wash in the pool of Siloam, and
he recovered his sight-healed by faith; awakened by the therapeutic
suggestion of a clay placebo and an order to take a bath!
Any harmless measure which tends to arouse the curative reaction

of the organism through the awakening of faith and confident
expectation, is not only right but legitimate and sometimes
indispensable.
But what shall we say of the men who have been so pained at the
thought of using the placebo, when we find them violating every
fundamental law and principle of the art whose name they profess
before the world, by using powerful drugs in such a manner in their
treatment of the sick, in both public and private practice, as to do
irreparable injury?
Or what shall we say of men prominently before the public as

official representatives of homœopathy in college and hospital, who
herd patients in a Metropolitan Hospital ward, arbitrarily denominate
them a "class," without regard to their individual symptoms, and
give them all, indiscriminately, hypodermic injections of "a
preparation of digitalis" for their hearts?
This is indeed neglecting "the weightier matters of the law." It is

the irony of fate that makes it possible to say such a thing of men
who conduct a great hospital which was specifically founded and
financed for the purpose of dispensing the blessings of homœopathy
to the poor of the great city.
And what about the young men who have come from far and
wide to the colleges connected with such hospitals, and pay their
money in good faith for such instruction in the methods and
principles of homœopathy, who are called upon to witness such
perversions of all true therapeutic principles, to say nothing of
homœopathy? Should they not be considered?
President Cleveland immortalized himself by declaring that

"Public Office Is a Public Trust."

President Roosevelt endeared himself to the people, and will go

down in history as the great exponent of "The Square Deal."
These two great leaders, each in his own way, have thus voiced
the principles of common honesty in the conduct of public and
private affairs. The people have listened and responded. The world is
waking up, for, as President Lincoln said: "You can fool some of the
people all of the time; you can fool all of the people some of the
time, but you cannot fool all the people all of the time."
When homœopathic colleges teach homœopathy in every

appropriate chair; when homœopathic hospitals and homœopathic
clinics are conducted on homœopathic principles; and when
homœopathic physicians make at least a sincere attempt to prescribe
homœopathic remedies for their patients; then, and not before, will
the/principles of common honesty find their application in the
homœopathic medical profession.
It is a breach of trust to do otherwise. The moral obligation is

upon every man who is affiliated with a homœopathic institution,
and upon every physician who professes the name of homœopathy,
to be true to homœopathic principles.'
It is not many years since the late Judge Barrett, of the Supreme
Court, in a decision which he handed down in a certain case,
declared that the legal obligation rested upon every professedly
homœopathic physician to practice according to homœopathic
principles; and that he was liable at law if he did not do so. The
people who give their money to found and sustain homœopathic
institutions have some right in this matter which should be respected.
We have now a "pure food law" which requires that all goods
shall be "true to label.", The time may come, and perhaps is not far
distant, when we shall have a "pure practice law," which will require
that a man who represents himself as a graduate of a homœopathic
school and a practitioner of homœopathy, shall be required to
practice in accordance with the principles of that school or suffer the
penalty of his misrepresentation-in other words, that he shall be "true
to label." He will not be able in that day, as he is now, to advertise,
"57 varieties!" There is but one variety of homœopathy, and that is
the homœopathy of Hahnemann, the principles of which are plainly
laid down in the Organon. All other varieties are fraudulent,

concocted of impure materials and injurious to health, like the

inferior canned goods of the manufacturers, which they try to
preserve with antiseptics. If some of the fraudulent homœopaths
were compelled, like the food manufacturers, to state on their labels
the names and percentages of the foreign ingredients in their wares,
it might be better for the people, but they would have to enlarge
either their labels or their packages in order to make room for the list.
With all this there is no need to be pessimistic. The leaders of the

homœopathic profession are awake to the true state of affairs. They
are demanding of their colleges and teachers that homœopathic
principles shall be taught, and the colleges are responding as rapidly
as they can, hampered as they are by the presence of some men in
their faculties who are antagonistic to everything homœopathic.
They recognize that the future of homœopathy depends upon the
young men who are coming up; upon the classes now within college
halls; that the long neglected principles and methods of homœopathy
must be restored to their true place in the college curriculum and
taught by men who love the art of healing and are imbued with the
spirit of homœopathy and the love of it! We may know the
principles-the science of homœopathy-but unless we love the art,
and practice it, we will fail in the highest department of our calling.
Never was there such need as there is today for pure homœopathy,
nor such opportunities for young men of enthusiasm and earnest
purpose, who are thoroughly trained in homœopathic methods. The
colleges need them as teachers. The hospitals need them as internes
and visitors, and in other official positions. The people need them as
practical healers. Prepared for that work, "The world is our oyster."
Main

Chapter XI - Symptomatology - The Genius of Homeopathy - Lectures and Essays on Homeopathic Philosophy - By Dr Stuart M. CLOSE
Main

Philosophy
Chapter XI
Symptomatology
The Homœopathic
Materia Medica. - The
Materia Medica of Hahnemann
is an enduring monument to
the genius of its author,
original in its conception and
design and unique in its form
and contents. Its foundation is
on the bedrock of natural law.
It is constructed of the cut
stones of accurately observed
facts, laid up in the cement of
irrefragible logic. Over its
portals are graven the words,
Similia Similibus Curantur; Dr Samuel Hahnemann
Simplex Simile Minimum.
Hahnemann, on apprehending a new general principle in

therapeutics, was confronted with the problem of creating an entirely
new materia medica by means of which the principle might be
applied in practice. If diseases were to be treated according to the
principle of symptom - similarity it was necessary to know what
symptoms drugs would produce in healthy persons, since these
would be the only symptoms which could possibly resemble the
symptoms of sick persons. There was no materia medica in existence
which contained the facts or phenomena of the action of drugs upon

the healthy. The existent materia medicas contained only the

incidental observations, theories and opinions of drug action of men
who gave drugs to the sick or treated cases of poisoning upon purely
empirical and speculative assumptions; and these were given, not
singly, but in such combination and mixtures as to render impossible
any intelligent conception of what the action of a single drug might
be.
Undismayed by the magnitude of the task, Hahnemann set about

creating a materia medica which should embody the facts of drug
action upon the healthy. He instituted "provings" of drugs upon
himself, members of his family, friends, students and fellow
practitioners, keeping all under the most rigid scrutiny and control,
and carefully recording every fact and the conditions under which it
was elicited, This work was continued for many years, parts of it
being published from time to time, until the mass of material had
reached enormous proportions.
Adopting the plan of arranging the drug symptoms thus derived

according to the anatomical parts and regions of the body in which
they occurred, as the most rational and simple method of
classification for the purpose of comparison with disease symptoms,
Hahnemann constructed and published, first, the Materia Medica
Pura, and later, The Chronic Diseases, the greater part of which is
composed of provings of drugs. Covering nearly three thousand
royal octavo Pages, they constitute one of the most stupendous
works of original experimentation and research ever attempted and
carried out by one man. To this original work of Hahnemann many
and large additions have been made by later workers.
The vast collection of symptoms of which the materia medica of

Homœopathy is composed is incomprehensible without an
understanding of the principles upon which it is based. In a good
working homœopathic library there are about two hundred volumes,
by many authors, upon the subject of materia medica, including
special collections and classifications, repertories, charts and indexes
of symptoms. Confronted by such a m ass of material it is no wonder
that the student is at first confused and discouraged. But when the
basic principle has been explained to him and he has learned the
meaning of symptoms, their method of classification and
interpretation, and when he has seen the means of ready reference
provided, his bewilderment gives way to admiration.

The task of mastering the materia medica, vast and even

impossible as it seems, is comparatively simple. The compass that
points the way through the seeming wilderness of symptoms is the
principle of Similia-the remedial law of homœopathy.
When the drug symptoms recorded in the homœopathic materia

medica are seen to be exact counterparts of the symptoms of disease,
and it is explained that medicines cure disease by virtue of this
similarity of symptoms, the reason for the existence of the materia
medica in its characteristic form is evident. The arrangement of
symptoms according to an anatomical scheme is for the purpose of
comparison-symptoms of drugs with the symptoms of disease. Given
the basic principle and its corollaries, the rest is merely a matter of
mastering the logical classification and interpretation of symptoms
and the use of the manuals, indexes and repertories provided.
Symptomatology. - The first requisite to a correct understanding

of the subject of symptomatology is to know the full meaning of the
word "symptom" and all that it involves.
Knowledge of the true nature and constitution of a symptom is

necessary in proving or testing medicines; in the examination of a
patient; in the study of the materia medica and in the selection and
management of the indicated remedy. It is a standard by which to
judge the reliability of a proving, a clinical case, an examination
record, or the professions of a newcoming confrere.
Ignorance of the nature and constitution of symptoms on the part

of provers, directors of provings and physicians has resulted in the
production of certain provings and books on materia medica which
are practically worthless, and the publication of reports of cases
which have served no better purpose than to float their authors'
names on the sea of printer's ink. Such productions, consisting
largely of commonplace generalities, indefinite pathological names
and pseudo-scientific instrumental and laboratory findings, reveal
the ignorance of their authors of all that goes into the making of
reliable cures and provings conducted under classic homœopathic
principles. The result is useless to the prescriber because it does not
contain the elements upon which a homœopathic prescription can be
based.
It is not intended to belittle or ridicule laboratory and instrumental

findings. Such observations are useful and necessary for certain

scientific, particularly diagnostic and pathological purposes; but they
are only a part, and a very small part of homœopathic provings, or of
clinical symptom-records designed for the use of the prescriber.
They cannot take the place of the more important things which have
been left out. What those things are will appear as the definition of
symptoms proceeds.
Symptoms Defined. - In general, a symptom is any evidence of

disease, or change from a state of health. In materia medica no
relevant fact is too insignificant to be overlooked. There is a place
and use for every fact, for science has learned that "Nature never
trifles." A symptom which appears trifling to the careless or
superficial examiner may become, in the hands of the expert, the key
which unlocks a difficult problem in therapeutics.
Hahnemann defines symptoms broadly as, "any manifestation of

a deviation from a former state of health, perceptible by the patient,
the individuals around him, or the physician." We have here the
basis of the common division of symptoms into two general classes -
Subjective and Objective.
Hahnemann further defines symptoms as "evidences of the

operation of the influences which disturb the harmonious play of the
functions, the vital principle as a spiritual - dynamis." (Substantial,
entitative source of vital power and activity.)
Subjective Symptoms. - Subjective Symptoms are symptoms

which are discoverable by the patient alone, such as pain and other
morbid sensations of body or mind, presenting no external
indications. With Hahnemann's announcement of the doctrine of the
Totality of the Symptoms as the basis of the homœopathic
prescription, it became possible for the first time in the history of
medicine to utilize all the phenomena- of disease. Prior to
Hahnemann's time two of the most frequently occurring and
important groups of symptoms were practically ignored-the mental
symptoms and the subjective symptoms. The "regular" practitioner
of medicine even today is interested very little in subjective
symptoms. They play but a very small part in governing the practical
treatment of his case. To him they are merely inarticulate cries of
suffering, serving only to suggest the direction in which
investigations are to be made by physical and laboratory methods for
discovering the supposed tangible cause of the disease, and the

location and character of its lesions.
Under the new system of therapeutics devised by Hahnemann

subjective symptoms naturally took their proper place in the study of
the case. As expressions of the interior states of the organism, and
particularly of the psychic and mental states, they take the highest
rank. Nothing can supersede them. They constitute the only direct
avenue of approach to that inner sphere which must otherwise
remain closed to our investigation, except as it is indirectly revealed
in certain automatic or involuntary objective symptoms from which
more or less accurate deductions can sometimes be made. They
enable the physician to view disease from the standpoint of the
patient. How great an advantage they afford to the prescriber can be
appreciated only when we are deprived of them, as in the case of
infants and animals, and find how much more difficult is our task
under such circumstances.
Before Hahnemann's genius opened up the new way pain was

merely pain. To discriminate between various kinds of pain; to
analyze and classify pains, and not only pains, but all other
subjective sensations and feelings, and to relate them as phenomena
of disease to remedies, as Hahnemann did, had never been thought of
before. It is ridiculed and scoffed at today by those who do not see
that there is something radically wrong with a system of medicine
that practically ignores the great bulk of the symptoms of almost
every case and tantalizes the patient by learned explanations of their
cause; by assurances that they are of no consequence; or, if his
clamor becomes too loud, clubs him into silence with an opiate.
Objective Symptoms. - Hahnemann defines objective symptoms

as, "the expression of disease in the sensations and functions of that
side of the organism exposed to the senses of the physician and
bystanders." In this peculiar definition there is an allusion to his
definition of disease as a dynamical disturbance of the vital force and
of Medicine as, "a pure science of experience, which can and must
rest on clear facts and sensible phenomena clearly cognizable by the
senses." There is also a reminder that there is more in an objective
symptom than is perceptible to the eye alone. The subjective
"sensations and functions" of the visibly affected organ or part are to
be considered as well as the purely objective signs. Hahnemann here
implies that functional and sensational disturbances precede organic
changes; and this is consistent with his basic premise that all disease
is primarily a dynamical disturbance of the life principle. He never

loses sight of this fundamental conception of the nature of disease.
Totality of the Symptoms. - "Totality of the Symptoms" is an

expression peculiar to homœopathy which requires special attention.
It is highly important to understand exactly what it means and
involves, because the totality of the symptoms is the true and only
basis for every homœopathic prescription.
Hahnemann (Org., Par. 6) says: - "The ensemble or totality of

these available signs or symptoms, represents in its full extent the
disease itself; that is, they constitute the true and only form of which
the mind is capable of conceiving." The expression has a two-fold
meaning. It represents the disease and it also represents the remedy,
as language represents thought.
1. The Totality of the Symptoms means, first, the totality of each

individual symptom.
A single symptom is more than a single fact; it is a fact, with its

history, its origin, its location, its progress or direction, and its
conditions.
Every complete symptom has three essential elements:-Location,

Sensation and Modality.
By location is meant the part, organ, tissue or function of body or

mind in which the symptom appears.
By sensation is meant the impression, or consciousness of an

impression upon the central system through the medium of the
sensory or afferent nerves, or through one of the organs of senses; a
feeling, or state of consciousness produced by an external stimulus,
or by some change in the internal state of the body. A sensation may
also be a purely mental or physical reaction, such as fright, fear,
anger, grief or jealousy.
By modality we refer to the circumstances and conditions that

affect or modify a symptom, of which the conditions of aggravation
and amelioration are the most important. Dr. William Boericke well
said:
"The modalities of a drug are the pathognomonic symptoms of

the Materia Medica."
By "aggravation" is meant an increase or intensification of

already existing symptoms by some appreciable circumstance or
condition.
"Aggravation" is also used in homœopathic parlance to describe

those conditions in which, under the action of a deeply acting
homœopathic medicine (or from other causes), latent disease
becomes active and expresses itself in the return of the old symptoms
or the appearance of new symptoms. In such cases it represents the
reaction of the organism to the stimulus of a well selected medicine,
and is generally curative in its nature.
"Amelioration" is technically used to express the modification of

relief, or diminution of intensity in any of the symptoms, or in the
state of the patient as a whole, by medication, or by the influence of
any agency, circumstance or condition.
2. The Totality of the Symptoms means all the symptoms of the

case which are capable of being logically combined into a
harmonious and consistent whole, having form, coherency and
individuality. Technically, the totality is more (and may be less) than
the mere numerical totality of the symptoms. It includes the
"concomitance" or form in which symptoms are grouped.
Hahnemann (Org., Par. 7) calls the totality, "this image (or

picture) reflecting outwardly the internal essence of the disease, i.e.,
of the suffering life force."
The word used is significant and suggestive. A picture is a work

of art, which appeals to our esthetic sense as well as to our intellect.
Its elements are form, color, light, shade, tone, harmony, and
perspective. As a composition it expresses an idea, it may be of
sentiment or fact; but it does this by the harmonious combination of
its elements into a whole--a totality. In a well balanced picture each
element is given its full value and its right relation to all the other
elements.
So it is in the symptom picture which is technically called the

Totality. The totality must express an idea. When studying a case
from the diagnostic standpoint, for example, certain symptoms are

selected as having a known pathological relation to each other, and

upon these is based the diagnosis. The classification of symptoms
thus made represents the diagnostic idea. Just so the "totality of the
symptoms," considered as the basis of a homœopathic prescription,
represents the therapeutic idea. These two groups may be and often
are different. The elements which go to make up the therapeutic
totality must be as definitely and logically related and consistent as
are the elements which go to make up the diagnostic totality.
The "totality" is not, therefore, a mere haphazard, fortuitous

jumble of symptoms thrown together without rhyme or reason, any
more than a similar haphazard collection of pathogenetic symptoms
in a proving constitutes Materia Medica.
The Totality means the sum of the aggregate of the symptoms:

Not merely the numerical aggregate-the entire number of the
symptoms as particulars or single symptoms-but their sum total, their
organic whole as an individuality. As a machine set up complete and
in perfect working order is more than a numerical aggregate of its
single dissociated parts, so the Totality is more than the mere
aggregate of its constituent symptoms. It is the numerical aggregate
plus the idea or plan which unites them in a special manner to give
them its characteristic form. As the parts of a machine cannot be
thrown together in any haphazard manner, but each part must be
fitted to each other part in a certain definite relation according to the
preconceived plan or design, "assembled," as the mechanics say-so
the symptoms of a case must be "assembled" in such a manner that
they constitute an identity, an individuality, which may be seen and
recognized as we recognize the personality of a friend.
The same idea underlies the phrase, "Genius of the Remedy."

Genius, in this sense, being the dominant influence, or the essential
principle of the remedy which gives it its individuality.
The idea of the Totality as an abstract form, or figure, has been

applied to the materia, medica as a whole. The materia medica as a
whole is the sum total of the symptoms of all proved medicines-a
grand, all inclusive figure which may be imagined or personified in
the form of a human being or "super-man," this conception being
based upon the anatomical, physiological and psychological plan or
framework of the materia medica.

The idea is applicable in exactly the same way in pathology.

Disease in general, considered as a whole, is composed of the totality
of all the symptoms which represent it to our senses. The
pathological totality, also, can be personified or pictured by the
imagination in the form of a human being.
Starting with this conception some of our ingenious writers have

amused themselves and added to the gaiety of the profession by
personifying medicines, microbes and maladies and casting them in
all sorts of roles-a dramatic whimsy which has its value as an
educational expedient for a certain type of mind.
The materia medica from this point of view becomes a portrait

gallery of diseases, a sort of medical "Rogues Gallery" by means of
which we may identify the thieves who steal away our health and
comfort and bring them to justice. In homœopathic practice, to carry
out the simile, we merely "set a thief to catch a thief."
As a constructive principle, therefore, the idea of the Totality

enters into the formation not only of the materia, medica as a whole,
but of every remedy and every symptom.
Each disease, each individual case of disease and each symptom

of disease has its totality or individual form.
If the "day books" or records of a good proving are examined it

will be seen that the symptoms of each prover are set down
chronologically in the -order of their occurrence; that each symptom
is as complete as possible in its elements of locality, sensation and
modality; that the symptoms are stated mostly in the vernacular, the
plain simple language of the layman, who describes phenomena as
they appear to him, simply, graphically, or by analogy or homely
comparison. The record of these facts with the remarks and
observations of the director of the proving constitutes a "proving," in
which exists the elements from which the Materia Medica is
constructed.
The Day Books of the provers are not the Materia Medica. Not
until this mass of material has been analyzed, sifted, classified
according to its anatomical, physiological and pathological relations
and had its general and particular characteristics logically deduced,
does it become materia. medica for practical use. Many things in a

proving must be interpreted in the light of anatomy, physiology,

pathology, or psychology before they are available for therapeutic
use, just as the statements of a patient in regard to his sufferings
must be interpreted in making a diagnosis or in making a
prescription.
The true Totality, therefore, is a Work of Art, formed by the mind

of the artist from the crude materials at his command, which are
derived from a proving or from a clinical examination of the patient.
It is important that these points should be understood, because,

otherwise, there is liability to err in several directions.
1. Error may arise in placing too much

emphasis upon a single symptom or
perhaps actually prescribing on a single
symptom as many thoughtlessly do.
2. Error may arise in attempting to fit a

remedy to a mass of indefinite,
unrelated or fragmentary symptoms by a
mechanical comparison of symptom
with symptom, by which the prescriber
becomes a mere superficial ''symptom
coverer."
3. Failing in both these ways the

prescriber may fall to the level of the so-
called "pathological prescribers," who
empirically base their treatment upon a
theoretical pathological diagnosis and
end in prescribing unnecessary and
injurious sedatives, stimulants,
combination tablets, and other crude
mixtures of common practice.
The physician who knows what a

symptom is from the homœopathic
standpoint and how to elicit it; who
knows what the totality of the symptoms
means and how to construct it, and who
has the intelligence, the patience and the

honesty to study his case until he finds it

will not be guilty of such practice.
Characteristics and Keynotes. - In paragraph 153 of The

Organon, Hahnemann says that in comparing the collective
symptoms of the natural disease with drug symptoms for the purpose
of finding the specific curative remedy, "the more striking, singular,
uncommon and peculiar (characteristic) signs and symptoms of the
case are chiefly and almost solely to be kept in view; for it is more
particularly these that very similar ones in the list of symptoms of
the selected medicine must correspond to, in order to constitute it the
most suitable for effecting the cure. The more general (common) and
undefined symptoms; loss of appetite, headache, debility, etc.,
demand but little attention when of that vague and indefinite
character, if they cannot be more accurately described, as symptoms
of such a general nature are observed in almost every disease and
drug."
This seems a sufficiently clear description of what Hahnemann

meant by "characteristic" symptoms; and yet the term has been the
subject of much discussion and many have differed as to what
constitutes a "characteristic."
Confusion arose and still exists through the inability on the part
of many to reconcile the teaching of this paragraph with the
apparently conflicting doctrine of The Totality of the Symptoms as
the only basis of a true homœopathic prescription. These have taken
refuge either in the mechanical "symptom covering" already referred
to, as fulfilling their conception of the "totality;" or in what is knows
as "keynote prescribing," which, as they practice it, means
prescribing on some single symptom which they (perhaps
whimsically) regard as the "keynote" of the case.
The fundamental mistake here has been in the failure to

distinguish between the numerical totality and the related or logical
totality, as already explained.
Both of these misapprehensions should be recognized and

corrected.
The real "keynote system,"

as taught and practiced by the

late Dr. Henry N. Guernsey

(but perverted by many) does
not conflict with the doctrine of
the totality of the symptoms,
nor does it fall short of
complying with Hahnemann's
injunction to pay most attention
to the peculiar and
characteristic symptoms of the
case. It is, in fact, strictly
Hahnemannian. The truth is
that Dr. Guernsey simply
invented a new name for the old
Hahnemannian idea.
Dr Henry N. Guernsey
A synopsis of Dr.
Guernsey's keynote method will
be of value in this connection.
The term "keynote" is merely suggestive as used in this

connection. The reference being to the analogy between materia
medica and music. This analogy is shown in the use of other musical
terms in medicine, as when the patient speaks of being "out of tune,"
or the physician speaks of the "'tone" of the organism. Disease is
correctly defined as a loss of harmony in function and sensation.
The keynote in music is defined as "the fundamental note or tone

of which the whole piece is accommodated." In pathology the term
"pathognomonic symptom" expresses what might be called the
keynote of the disease, or that which differentiates it from other
diseases of a similar character.
In comparing the symptoms of medicines we find that each

medicine presents peculiar differences from all other medicine.
These differences by which one remedy is distinguished from
another, are the "keynotes" of the remedy, according to Dr. Guernsey.
It does not mean that the keynote of the case alone is to be met by
the keynote of the remedy alone and that the other features of the
case or remedy are to be ignored, The keynote is simply the
predominating symptom or feature which directs attention to the
totality. Its function is merely suggestive. A prescription is not based

upon a keynote, considered as one symptom, no matter how

"peculiar" it may seem. Its utility lies in this: that when the
prescriber has become familiar with these "keynotes" or
"characteristics" of remedies he will be able more quickly to find the
remedy in a given case because the field of selection has been
narrowed. When he recognizes such a keynote in the symptoms of a
case it suggests or recalls to mind a medicine, or medicines, having a
similar keynote. Reference to the repertory and materia medica will
verify and complete the comparison. There is usually something
peculiar in the case, some prominent feature or striking combination
of symptoms that directs the attention to a certain drug, and this is
what Dr. Guernsey called a keynote.
The misunderstanding and abuse of this method has caused it to

fall somewhat into discredit. But considering Guernsey's "keynotes"
and Hahnemann's "characteristics" as synonymous terms, which they
are, and making legitimate use of Guernsey's method, it has value.
A characteristic or keynote symptom is a generalization drawn

from the particular symptoms by logical deduction. Evidently the
characteristic or peculiar symptoms of a case cannot be determined
until a complete examination has elicited all the symptoms of the
case (the numerical totality) for purposes of comparison. This having
been done there are various ways of selecting the characteristic.
Dr. Adolph Lippe

illustrated his method in
this way: "In many cases,"
he says, "the characteristic
symptoms will consist in
the result obtained by
deducting all the
symptoms generally
pertaining to the disease
with which the patient
suffers, from those elicited
by a thorough examination
of the case." In other
words the characteristic
symptoms are the
symptoms peculiar to the
Dr Adolph Lippe
individual patient, rather
than the symptoms

common to the disease.
He illustrated this by a case, as follows: "The patient was attacked

by cholera. All the characteristic symptoms of cholera were present;
but in this individual case there was (1) an unusual noise in the
intestines, as if a fluid were being emptied out of a bottle. (2) The
discharge came away with a gush. Of what pathological value these
symptoms were we know not. Still they formed part of the totality
which we must cover. Deducting from the (numerical) totality of the
symptoms those common to the disease, we were in possession of
the characteristic symptoms of the patient.
"We found that those two symptoms are also characteristic of

Jatropha Curcas, and that this remedy, at the same time, has caused
symptoms corresponding with the general pathological condition."
Jatropha promptly cured the case.
The selection of a curative remedy in this case, therefore, was

governed by two symptoms of no known pathological value, and of
seemingly trifling character. Yet these two symptoms were what
gave the case its individuality, and unerringly pointed out the
curative remedy.
This case is a beautiful example of the kind of work for which Dr.
Lippe was famous. It illustrates the necessity of being familiar with
the natural history, symptomatology and diagnosis of disease. Dr.
Lippe could not have decided that these two symptoms were peculiar
and characteristic if he had been unfamiliar with the symptoms of
cholera. Neither could he have selected these two symptoms as
peculiar if he had not had the rest of the symptoms before him for
comparison. The mistake of arbitrarily picking out some "freak"
symptom, and giving a remedy which has a corresponding symptom,
should be avoided. Dr. Guernsey did not teach prescribing on a
single symptom.
In the preface to the first edition of his great work on Obstetrics

Dr. Guernsey presents the subject of "keynote prescribing" in
another way. He says: "The plan of treatment may seem to some
rather novel, and perhaps on its first view, objectionable, inasmuch
as it may seem like prescribing for single symptoms, whereas such is
not the fact. It is only meant to state some strong characteristic
symptom, which will often be found the governing symptom, and on

referring to the Symptomen Codex or Materia Medica all the others

will be there if this one is.
"There must be a head to everything; so in symptomatology; if

the most interior or peculiar symptom, or keynote, is discernible, it
will (usually) be found that all the other symptoms of the case will
be also found under that remedy which produces this peculiar one, if
the remedy be well proven. It will be necessary, in order to prescribe,
efficiently, to discover in every case that which characterizes one
remedy above another in every combination of symptoms that exist.
There is certainly that in every, case of illness which pre-eminently
characterizes that case, or causes it to differ from every other. So in
the remedy to be selected, there is and must be a peculiar
combination of symptoms, a characteristic or keynote. Strike, that
and all the others are easily touched, attuned or sounded. There is
only one keynote to any piece of music, however complicated, and
that note governs all the others in the various parts, no matter how
many variations, trills, accompaniments, etc."
If it is understood that the "keynote" to a case may and often does

exist in, or consist of, a "peculiar combination," as Dr. Guernsey puts
it, and that it is not merely some peculiar, single, possibly
incomplete symptom which the tyro is always mistakenly looking
for, the subject is cleared of part of its obscurity. Dr. Guernsey might
have summed up the whole matter in one word-Generalization,
which ha a been discussed at length in the chapters on the logic of
homœopathy.
Dr. Lippe, discussing characteristic symptoms, wrote as follows:

"When medicines are submitted- to provings upon the healthy they
develop a variety of symptoms in a variety of provers. Each prover
has his own peculiar, characteristic individuality affected by the
medicine in a peculiar, manner; other differently constituted
individuals experience different, yet similar, peculiar symptoms from
the same medicine. There is a similarity and a difference evident
upon close comparison. In like manner diseases and all other
external influences affect different individualities differently, yet
similarly. The physiological school and its followers accept in
disease only what is general (common) to all those affected by it; in
medicinal provings in the same manner they accept only that which
has been experienced alike by many. In both cases they simply (sic)
generalize. The homœopathic school reverses this order. Accepting
all the symptoms experienced by the differently constituted provers,

they consider as peculiarly characteristic the individual symptoms of

the patient; those not generally experienced by others suffering from
a similar form of disease."
This is individualizing with a vengeance! In aspersing the process

of what he calls generalizing Dr. Lippe traduces the very instrument
he is apparently unconsciously using, but misusing the word. One is
the traditional pathological-diagnostic method based upon an
arbitrary and artificial classification of only the common or gross
phenomena of disease; the other is the homœopathic natural or
inductive method of modern science,. based upon all the phenomena
of the case, but paying particular attention to the uncommon and
peculiar features, never forgetting that we always have an individual
patient to treat and cure.
Dr. P. P. Wells says: "Characteristic symptoms are those which

individualize both the disease and the drug. That which distinguishes
the individual case of disease to be treated from other members of its
class is to find its resemblance among those effects of the drug
which distinguish it from other drugs. This is what we mean when
we say that with these the law of cure has chiefly to do. When we
say 'like cures like' this is the 'like' we mean."
Characteristics may sometimes be symptoms observed only as a

result of the closest scrutiny, like the apparently trifling clues in a
mysterious murder case which the ordinary detective overlooks or I
ignores, but which a Sherlock Holmes pounces upon and utilizes
with amazing logical acumen to clear up what is otherwise
impossible of solution. Their value depends upon who is using them.
An Agassiz or a Leidy, placed in possession of a fragment of bone,
or the scale of a fish, found in the remains of some pre-glacial
geologic period, will reconstruct for us not only the animal or fish
from which it came, but unfold a whole chapter of natural history,
picture the scene and repeople a forgotten period of earth's history
before our delighted eyes.
Dr. Charles G. Raue

pointed out that scarcely
one of the "keynotes" or
characteristic symptoms
belongs exclusively to a
single remedy, and
cautioned us not to

diagnose a remedy on one

symptom only, be it ever
so characteristic. "While
in some cases," he says,
"it may point exactly to
the remedy, it cannot do
so in every case as it is
not rational to suppose
that the whole sphere of
action of a remedy, which
is often extensive and
complex, should find its
unerring expression and
indication in one
symptom. But such
Dr Charles G. Raue characteristics are of great
aid in the selection of the
remedy, as they define the circle of remedies out of which we must
select."
Dr. Hering, in his quaint fashion, years before the "keynote

system" was ever heard of, said: "Every stool must have at least
three legs, if it is to stand alone." He advised selecting at least three
characteristic symptoms as the basis of prescribing.
A milking stool will stand upon one leg-if you sit on it and thus
provide your own two legs as the other necessary props; but even
then, as every farmer's boy knows by bitter experience, a vicious
kick, or a "corkscrew swat" from the old cow's tail may upset the
youthful milker and his pail of milk and bring him to grief.
So it is wise to always give the symptomatic milk-stool as broad a

base and as many legs as possible. The youthful prescriber will get
many a vicious kick from refractory cases. He may be knocked
sprawling and lose his pail of milk a few times, but he will be able to
avoid this when he has learned the peculiarities of his patient as well
as I learned the peculiarities of my bovine kicker when I was a boy.
The Totality is an ideal not always to be realized. As a matter of

fact, in practical experience, it is often impossible to complete every
symptom, or even a large part of the symptoms. Patients have not
observed, or cannot state all these points. They will give fragments;
the location of a sensation which they cannot describe, or a sensation

which they cannot locate; or they wilt give a sensation, properly

located, but without being able, through ignorance, stupidity, failure
to observe or forgetfulness, to state the conditions of time and
circumstances under which it appeared. Sometimes no amount of
questioning will succeed in bringing out the missing elements of
some of the symptoms.
What is to be done under such circumstances? Make a guess at

the remedy? Give two or three remedies, in alternation? Give a
combination tablet? Or "dope" the patient with quinine or morphine?
Rather than do any of these things, follow the advice of my old
preceptor, Dr. P. P. Wells. Sometimes, when I approached him with
a difficult case, he would assume a quizzical expression and ask,
"Don't you know what to do?" On being answered in the negative he
would say, "if you don't know what to do, do nothing - until you do
know;" emphasizing the injunction with a characteristic downward
stroke of his right forefinger. Then he would go over the case and
show what should be done and how to do it.
It was he who taught me

Bœnninghausen's method of
dealing with such cases. And I
thought the more of it because
he had known Bœnninghausen
and had received instruction
and treatment from the Grand
Old Man personally, while
traveling in Europe.
Bœnninghausen's
Therapeutic Pocketbook -
Bœnninghausen's famous
Therapeutic Pocketbook was
devised primarily to deal with
just, such cases. The. materia Boenninghausen
medica contains a great
number of incomplete symptoms. Until Bœnninghausen's time this
constituted one of the greatest obstacles to successful homœopathic
prescribing. Bœnninghausen first conceived the idea of completing
these symptoms partly by analogy, and partly by clinical observation
of curative effects. He discovered that many if not all of the
modalities of a case were general in their relation, and were not
necessarily confined to the particular symptoms with which they had

first been observed. The "aggravation in a warm room" of Pulsatilla,

for example, might first have been observed as applying to a
headache. Bœnninghausen assumed that this modality applied to all
the symptoms - to the patient himself, in other words; and that the
modality, once discovered in relation to any particular symptom of
Pulsatilla, might be used to complete all other symptoms of
Pulsatilla which, up to that time, had been incomplete in respect to
their modalities. Experience proved this to be true.
Out of this grew the idea that all other combinations of symptoms
might be thus made. By classifying the characteristic features of
medicines-in certain general relations to each other, in such a way
that one part could be used to complete another, the prescriber might
always be able to construct a related totality, even with apparently
fragmentary symptoms.
Starting with the basic idea that every symptom. is composed of

the three elements of locality, sensation and modality, and that
fragmentary symptoms may be completed by analogy or by
supplementary clinical observation of the curative effects of similar
remedies, Bœnninghausen, in his Therapeutic Pocketbook,
distributes the elements of all symptoms, pathogenetic and clinical,
according to this analysis, into seven distinct parts or sections which,
taken together, form a grand totality.
(1) Moral and Intellectual Faculties;

(2) Locality or Seat of the Symptoms;
(3) Morbid Conditions and Sensations;
(4) Sleep and Dreams;
(5) Circulation and Fever;
(6) Modalities, Etiology, etc.;
(7) Concordances.
Each of these sections is subdivided into rubrics containing the

names of remedies arranged alphabetically under the symptoms to
which they correspond.
Of this arrangement he says: "Although each part ought to be

considered as a complete whole, it never yields, however, more than
a part of a symptom, which receives its complement from one or
many of the other parts. In odontalgia, for example, the seat of the
pain is found in the second, the nature of the pain in the third, the

exacerbation or diminution of pain, according to time, place, or

circumstance in the sixth; and that which is necessary as an
accessory to complete the description of the malady, and warrant the
choice of medicines, must be sought in the different chapters."
By this method, as Dr.

Wm. Boericke observes: "a
remedy is selected for a case
that is found to possess in its
symptomatology marked
action (1) in a certain location,
(2) to correspond with the
sensation, and (3) to possess
the modality; without
necessarily having in the
proving the very symptom
resulting from the
combination. It is to be
inferred that a full proving
would have it, however. For
instance, a patient with a Dr Wm Boericke
tearing pain in the left hip,
relieved by motion, greatly worse in the afternoon, would receive
Lycopodium, not because Lycopodium has so far produced in the
healthy such a symptom, but because from the study of its symptoms
as recorded in the materia medica, we do find that it effects the left
hip prominently (locality); that its pain in various parts of the body
are 'tearing' (sensation); and that its general symptoms are relieved
by motion and aggravated in the afternoon (modality)."
The experience of nearly a century has verified the truth of

Bœnninghausen's idea and enabled us, in the use of his masterpiece,
The Therapeutic Pocketbook, to overcome to a great extent the
imperfections and limitations of our materia medica.
In constructing a materia medica from the materials of the

provings, all the symptoms of the different provers of the same drug
are collected under the name of the drug. The second step is to
distribute the symptoms thus collected tinder the names of the
various parts, organs and functions of the body affected by the drug.
This localizes the phenomena of each drug and gives the materia
medica its anatomical and physiological structure.

When all the symptoms have been collected and arranged in this
form under the name of the medicine, it represents a sick man,
whose likeness may be met almost any day in the actual world. The
drug symptoms are in fact disease symptoms, artificially induced. In
other words they are symptoms of a drug disease. The significant
thing is that drug diseases or poisonings accidentally or intentionally
produced, are similar to natural diseases-so similar that it is
sometimes difficult to distinguish them. A person poisoned to a
certain degree by arsenic, or camphor, or veratrum album, for
example, presents an appearance so similar to one suffering from
cholera, that any one but an expert might be deceived. If this is so
strikingly true of the gross and violent phenomena produced by
poisonings, it is equally true of the milder, finer and less obvious
symptoms which result from proving drugs in small or moderate
doses.
Language of the Materia Medica. - The symptoms of the

homœopathic materia medica, experienced by the provers, are
expressed in plain and common terms. The language of everyday life
is used, not the technical language of the medical profession. For this
reason, the homœopathic materia medica is enduring. It is not
subject to the influence of the transitory theories of general medicine
with its constantly changing terminology and bewildering array of
newly invented names. So long as common language endures, the
homœopathic materia medica will be intelligible and useful to every
person who can read and write.
It is enduring also because it is a record of the facts of actual,

voluntary experience, in a sphere and under conditions open and
common to all men. In other words, the "experiments" of
homœopathy are made by men, upon men, for men under the natural
conditions - which belong to the everyday life of all men. They are
not necessarily conducted in elaborately equipped technical
laboratories, nor by using and abusing poor, dumb animals, "whose
only language is a cry," who are often forced to give up their lives,
under unspeakable torture, to bolster up the theory, or satisfy the
curiosity of some cold-blooded man of science. While knowledge
gained by vivisection may be valuable to the surgeon, it is
unnecessary for the physician. The homœopathic way of determining
the effects of drugs by giving small doses of single, pure medicines
to intelligent healthy human beings, who can observe and describe
their feelings, is the only way to obtain reliable knowledge of
medicines for use in healing the sick. It is safe to say that nothing of

any real therapeutic value has ever been learned by experiment upon
animals-that could not have been learned better more -simply and
more humanely by harmless experiments upon human beings; while
the knowledge gained in such experiments on human beings is
equally valuable for use in the treatment of sick animals.
Main

Chapter XII - Examination of the Patient - The Genius of Homeopathy - Lectures and Essays on Homeopathic Philosophy - By Dr Stuart M. CLOSE
Main

Philosophy
Chapter XII
Examination of the Patient
We take up, in a general

manner, the subject of the
examination of the patient for
the special purpose of making a
homœopathic prescription.
At first thought it would

seem as if this subject should
have been presented before the
general subject of
symptomatology, treated in the
preceding article, inasmuch as
the purpose of any examination
of the patient is to discover
signs and symptoms. It is
evident, however, that we Dr Samuel Hahnemann
cannot intelligently and
logically take up the study of methods of examining patients for a
homœopathic prescription until we have learned what symptoms are,
from the homœopathic standpoint, and decided upon some adequate
form of classification. We shall be more successful in our search for
anything if we know what we are looking for.
The story is told of John Burroughs, the late venerable dean of

American naturalists, that on one occasion he was visiting the home
of an admirer, who lived in the suburbs of one of our large cities. His

hostess, professing her great love of birds, bewailed their

disappearance from her neighbourhood. She had not seen a bird for
such a long, long time. The wicked boys and the marauding cats had
driven them all away! "Uncle John" looked sympathetic, but said
nothing. Shortly afterward he put on his hat, tucked his note book
and opera glasses in his pocket and went out for an hour's walk. On
his return he invited his hostess to sit down beside him, produced his
note book and showed her a list of nearly twenty different species of
birds which he bad observed during his hour's walk, within a half
mile of her home! The difference between Mr. Burroughs and his
hostess was simply that he not only knew what to look for, but where
and how to look for it; and so he easily found what was hidden from
her eyes.
So it is in examining a patient. The student who knows the nature,

constitution, forms and varieties of symptoms necessary for the
homœopathic prescription will find many things in a case which
another, specially trained perhaps only in a pathology and general
diagnosis, will entirely overlook; because pathology and diagnosis
do not seek for nor take into consideration the phenomena which are
most significant from the standpoint of the homœopathic prescriber.
The "modalities" or "characteristic conditions," for example, which
we have seen to be of the highest importance in selecting the
homœopathic remedy, mean little or nothing to the pathologist or
general diagnostician. The same might be said of mental and
subjective symptoms. Thus we have to separate and classify the
various kinds of symptoms revealed by a complete general
examination, and vary our methods of examination according to the
particular end in view.
The technic of an examination for the purpose of diagnosticating

the disease is quite different from that of the examination for making
the homœopathic prescription.
The diagnosis of disease by modern methods is based largely

upon physical signs, tests and reactions, involving the use of many
instruments of precision, in which the patient takes no active part,
and of which he has no knowledge. The selection of the
homœopathic remedy, on the other hand, is based very largely and
sometimes almost entirely upon the phenomena, or deductions drawn
from the phenomena, of subjective, conscious experience, perceived
only by the patient and stated by him to the examiner. Nearly all of
the objective phenomena possessing value from We standpoint of

homœopathic therapeutics are of such a character that they require

the exercise of only the physical senses and ordinary powers of
observation by the patient, his friends, or the physician himself. This
distinction should be kept clearly in mind. Examinations for the
purpose of pathological study and for diagnosis are necessary and
important in their several fields; but from the standpoint of
homœopathic pharmaco-therapeutics, their importance is relative,
not absolute. Aside from the physical and organic localization of
disease, they furnish comparatively little that is of value to the
homœopathic prescriber in his special work of selecting the
symptomatically similar medicine.
Let not the pathologist, therefore, criticize the methods or

findings of the prescriber, nor the diagnostician assume that his
findings are sufficient for the materia-medica; but let each regard
these matters in the spirit and from the standpoint of the physician.
For the physician, as an ideal, is greater than any medical specialist.
The specialties in medicine only exist in order that, by combining
them, the ideal of the perfect physician may not die and disappear
from among men. However doubtful we may be of the necessity or
the real value of the results, it is true that in the vast extension of so-
called medical science it has become impossible for any one man to
grasp and master it all. Therefore medicine has been divided into so
many specialties that we might paraphrase the old proverb, "it takes
nine tailors to make a man" into a new medical proverb: "It takes
nine specialists to make a physician."
The general practitioner, if one dare to follow that ancient and

honorable calling, must act in several capacities-as hygienist,
sanitarian, pathologist, psychiatrist, diagnostician, therapeutist, and
perhaps even surgeon and obstetrician; but in each of these
departments he may be compelled to fill up the measure of his own
technical shortcomings by recourse to the specialists. He is the wise
physician who recognizes his own personal and technical limitations
and judiciously uses the services of others who are specially
qualified in some particular branch. And he is the wise specialist
who recognizes his limitations-who realizes that, after all, no matter
how expert he may be in his branch he is only, as it were, a part of a
physician in the broad sense of the word. Modesty pays good
dividends in the long run.
In this spirit we may all co-operate for the best interests of our
profession and our patients, and agree with Hahnemann in the

postulate of the first paragraph of the "Organon: "The highest and

only mission of the physician is to heal the sick." Every medical
specialty is subordinate to that ideal. The work of the homœopathic
prescriber, dealing specifically (as it does) with the application of
medicines to disease according to a definite principle for the purpose
of curing such conditions as are amenable to medicines, must ever
remain one of the most important of the functions fulfilled by the
physician. Although the related branches of medicine-hygiene,
prophylaxis, sanitation, surgery, physical therapeutics, etc., have
made great strides, the time is yet far distant when Pharmaco-
therapeutics will become unnecessary.
It follows that the pharmaco-therapeutist must be a specialist in

the sense of becoming an expert in his department and this, let it be
said, is the crying need of the profession.
With diagnostic and pathological examinations and symptoms, as

such, this article has nothing to do, except to show their general
relation to homœopathic prescribing. The purpose of this article is to
teach the principles of "case-taking" and how to, determine, from the
record of an examination of a case, what symptoms are most useful
as indications for the curative medicine under the homœopathic
principle. Some points on the method of conducting an examination
in such a manner as to discover and develop these symptoms for use
in prescribing will now be presented.
In the present state of the science of pharmaco-therapeutics and

with our materia medica in its present form, the most important thing
to be remembered in examining a patient for a homœopathic
prescription is that, with very few exceptions, the most valuable
indications for the remedy are to be found:
1. In those subjective morbid sensations and phenomena which

come within the sphere of the patient's own experience and are
perceptible to him alone.
2. In those objective, signs of disease which are perceptible to the

unaided or natural senses of ourselves, the patient or others.
For the first we must, of course, depend entirely upon the

statements: of the patient himself. The findings of the thermometer
the stethoscope, the microscope, and the various other diagnostic

instruments give us very little, as yet, that is directly available for the
selection of the remedy. Their principal value is in determining the
diagnosis and pathology of the case as bearing upon the prognosis
and general auxiliary treatment. They also point out or more
accurately define the anatomical basis of the prescription and aid us
in correctly localizing symptoms.
It follows, therefore, in our special examination, that we should at

once endeavor to put ourselves upon such a footing and in such
personal relation to the patient as will best favor a full, frank
revelation by him of all the circumstances and conditions that have
led up to his illness; and an equally full, simple and frank statement
of his sufferings as they seem to him. The problem is here largely
psychological. It is well in some cases to briefly explain to a new
patient the special purpose of a homœopathic examination and to
point out how it differs from the ordinary examination, especially by
including mental and subjective symptoms and certain conditions
that are usually ignored.
We must first gain the patient's confidence and relieve him, as far
as possible, from the sense of restraint and embarrassment. This is
favored in a general way by a calm, dignified, but at the same time
quiet and sympathetic manner on the part of the examiner; a
demeanor confident, but not pompous; simple and direct, but not
aggressive; cheerful, but not flippant; serious, but not grave or
funereal. We should try to put the patient at his ease by adapting
ourselves to his personality and mood.
We should not confuse the patient by a too penetrating gaze at

some objective feature which may attract our attention. We may
learn to observe objective phenomena accurately without seeming to
do so. If a patient sees us gazing fixedly at some part of his anatomy,
he is likely to, become anxious and forget other matters which are of
more importance to us as prescribers.
The same is true of the use of instruments and the performance of

the various acts of a physical examination. A nervous patient will
often be seriously disconcerted by so simple a procedure as listening
to his heart action with a stethoscope-sometimes even by taking his
pulse. It is best, therefore, with nervous patients, to postpone such
examinations until near the close of the examination, or until he has
lost his nervousness.

The patient should be encouraged to tell his story freely and

relieve his mind. We want the history and symptoms of the case
from the patient's standpoint first. If the physical examination is
made afterward, when the patient is composed, there will be less
danger of confusing or prejudicing his mind.
The first part of the examination should be conducted in an easy,

semi-conversational manner. The best results, from the homœopathic
standpoint, are obtained by making him forget that he is under
examination. One can be painstaking and systematic without being
overformal. The mere thought of undergoing a formal examination is
disconcerting to the ordinary patient. He dreads it as he dreads going
to a dentist. "He wants to feel, and it is best for him to feel, that he is
relating his troubles to a sympathetic friend who has the resources at
hand to help him. It is a good rule to keep the patient talking, but say
little yourself during an examination; to let him tell his story in his
own way, without interruption, except to bring him back to the
subject if he digresses. We may start him in his narrative by asking
when and how his trouble began, and we may instruct him to be as
definite as possible in relating his history and in locating and
describing his sensations as they seem to him. We should not laugh
at him nor pedantically correct his errors.
We should not ask "leading questions," nor "put words in his

mouth," but let him express his feelings and observations in his own
way. Afterward, we analyze, complete, correct and interpret his
statements in accordance with the principles of homœopathic
symptomatology as set forth in a former article.
Notes of the patient's statements should be made while he is

talking, but quietly, without ostentation.
It is well to leave a space between the symptoms as they are

written so that, when the patient has finished his voluntary statement,
one can glance quickly back over the page, see what has been left
out and write it in. Questions are then put in such a manner as to
complete each symptom as to location, sensation and modality and
fill in the record.
As a matter of convenience in writing and keeping records it is

well to divide the page into there vertical columns-the first for date
and remedy, the second for the symptoms and the third for the

modalities or conditions. This makes a page that the eye quickly

takes in at a glance.
We should not hurry a patient in his narrative. We may quietly

keep him to the point and prevent rambling and inconsequential
statements, but that is best done, as a rule, by maintaining an attitude
of businesslike absorption in the medical features of the case.
It is well to keep in mind always, during the examination of a

case, some working classification of symptoms-as General,
Particular and Common. In examining a case we are gathering data,
facts, particulars, from which we are later to determine the
characteristic features of the case by the logical process of
generalizing. If we are to generalize correctly we must have all the
facts and be sure of them.
One thing at a time and all things in order, with an eye to the
outcome. First, the analysis-facts from the patient's statements, then
the nurse's, relative's or friend's statements, and then our own
observations. Then comes the synthesis-the review and study of the
symptoms and construction of the case, classifying symptoms as we
generalize. Comparison of the symptoms of the patient with the
symptoms of the materia medica in repertory work follows, and
finally the selection of the indicated remedy by the exclusion process.
It is well to practice on the simple cases first, in order to become

familiar with the technic. The hard cases will come soon enough and
try -our skill and patience to the uttermost.
The suggested classification of symptoms into general, particular

and common symptoms in applicable to difficult as well as simple
cases; to chronic as well as acute disease. The general plan can be
modified and adapted in various ways, but the principles underlying
it are always the same.
The form of the examination and the direction it takes should

conform to the classification of symptoms adopted, and one may
well have blanks printed to use as a guide and reminder.
Hahnemann devotes twenty-two paragraphs in the "Organon" to

the subject of the examination of the patient-Paragraphs 83 to 105.

In the footnotes to these paragraphs be gives many suggestions

and special directions for conducting an examination. They teach
among other things, how properly to frame our questions - a very
important matter. It is not expected that one will ask every patient all
the questions which Hahnemann gives in these important footnotes,
but that we shall select and apply such as bear upon the particular
case in hand. They are for general guidance is the art of questioning.
There is a point in Paragraph 83 that deserves special attention for

a few moments.
Hahnemann says: "This individualizing examination of a case of

disease... demands of the physician nothing but freedom from
prejudice and sound senses, attention in observing and fidelity in
tracing the picture of the disease."
"Without prejudice!" Said quickly it sounds simple, easy, almost

trite. It is a "bitter dose" to swallow, nevertheless, when we stop to
explore the depths of our own minds. In this respect it is like the old -
fashioned bowl of "boneset tea" I had to swallow semi-annually in
the spring and fall when I was a country boy in Wisconsin. Hot and
well-sweetened it was to be sure; but bitter! Bitter was no name for
it! I can still hear mother say: "Now shut your eyes, son and swallow
it quick; then you won't taste it-much!" Sounds easy but-try it.
Who of us is without prejudice? The prejudice of a materialistic

mind; of pathological theories which seem too often to be
antagonistic to homœopathic principles; of doubt as to the use of the
single remedy or of use of any medicine at all; the prejudice of "a
constitutional aversion to work!" Many of us are "born tired." We
don't like to work!" Laziness, selfishness and an "easy conscience"
are responsible for more homœopathic sins and shortcomings than
anything else, for good homœopathic prescribing means work!
These are our worst enemies, and the worst enemies of

homœopathy. Against these, if we are to succeed in our work, there
must be a constant warfare within ourselves, until they are conquered
by the establishment of correct methods and practice and a genuine
interest in the work is evolved. No man who is in the grip of settled
doubt or prejudice can do good work. The commercial salesman of
today, for example, is not regarded as competent, nor in the proper
frame of mind to gain success until he is able to "sell himself," as the

experts put it. That means that he must acquire and hold a thorough
belief in and conviction of the usefulness, indispensability and value
of the goods be has to sell. For him it means study, effort, personal
self-discipline, until he develops a genuine enthusiasm for his goods,
his house and his work. It means Confidence-in himself and is his
goods.
Nowhere will prejudice show more clearly than in the

homœopathic examination of a patient. If one approaches a case
prejudiced in favor of some pathological theory his examination will
insensibly, but inevitably, be limited by that theory. He will not get
all the facts of the case, nor properly interpret Me he does get; and
without all the facts he cannot study or treat the case correctly.
Prejudice and doubt may be overcome by reflection, study, self-

discipline and auto-suggestion; by cultivating the scientific spirit; by
returning often to a consideration of and reflection upon the broad
general principles underlying our art with the purpose of reforming
methods, strengthening morale and correcting faulty mental attitude,
or point of view; all looking toward the development of a more
practical, more accurate and more comprehensive technic.
Belief's and convictions may be strengthened and energy

stimulated by reflecting upon the fact that our therapeutic method is
efficient and successful because it is based upon immutable law. We
may mentally recall and restate the law and its corollaries and review
the fads upon which it is base" or, better yet, write a little essay on
the subject; recall to mind or seek out illustrations, and examples of
its truth and adequacy; study the cases and cures reported in our
literature by the masters; think of duty, loyalty to principle and
consistency of practice; think of success, gained by right methods
and without compromise. To think success goes a long way toward
realizing success.
Our work as physicians involves the performance of a number of

related functions, all of which are subordinate to the main function
of healing the sick.
As specialists in therapeutic medication we examine for the

symptoms upon which the choice of the remedy depends; but as
physicians we also examine for the symptoms upon which the
diagnosis and prognosis depends. Our aim is to make a complete

examination, including all necessary pathological investigations.

Having all the facts in hand we determine what features of the case
are medical, what are surgical, what are psychological, what are
hygienic, what are sanitary, etc. We keep all these departments
distinct in our minds as bearing upon the case as a whole, realizing
that each has its particular relations to and bearings upon all the
others; and especially do we seek to realize this of the department of
homœopathic therapeutics, which for us is the most important Of all,
because we know it is useless to attempt to base the homœopathic
prescription upon anything except the symptoms which belong to its
legitimate sphere. The generalizations of the diagnostician or the
pathologist, be they ever so correct, cannot serve as the basis for the
homœopathic prescription.
The purpose of the homœopathic examination is to bring out the

symptoms of the, patient in such a way as to permit of their
comparison with the symptoms of the materia medica for the purpose
of selecting the similar or homœopathic remedy. Every disease has
its symptomatic likeness in the materia medica. The homœopathic
materia medica is like a "rogues gallery" in which are hung up the
portraits of all the pathological rogues in the world. When you catch
a rogue compare his features with the portraits. Then make him "take
his medicine!"
Like all rogue-catchers, when on duty our senses must all be on

the alert, our minds clear. our logical faculties acute, our sympathies
and prejudices held in abeyance. When all the facts are before us we
may sympathize, correct, reassure and encourage as far as seems
judicious and wise.
Artifice must sometimes be resorted to in the examination of a

case, in order to get at the facts. Many obstacles have to be
overcome. Among them is modesty, often on the part of the patient,
sometimes (rarely, nowadays!) on the part of the physician if he is
young and inexperienced. I often recall with amusement my feelings
as I witnessed for the first time an examination of a cue of phthisis
pulmonalis by my old preceptor, Dr. Wells. The part of the
examination which excited my risibilities was that which referred to
the character of the sputum. He inquired particularly as to its color,
odor, form and taste! It was the first time I had ever heard such
questions and the first time that it had ever been brought home to me
that such facts could have any bearing upon the selection of the
remedy. I believed that I was not over modest, but such refinement

of analysis rather disgusted me After the patient had been prescribed

for and dismissed, I frankly stated my difficulty to the old master. He
laughed a little sympathetically at my ignorance and rallied me on
my squeamishness. Then he soberly pointed out that the patient's
reply that the sputum "tasted sweetish" had enabled him to
differentiate between two very similar remedies and make an
accurate choice. He made that the text for some sadly needed
instruction in the necessity for close analysis of all the elements of
the case-instruction which no one ever gave me during my college
course.
Here, as an important part of the homœopathic examination,

attention should again be directed to the use and importance of
logical analysis in the symptomatic examination of the patient. The
clinician analyzes symptoms for the same reason and by the same
method that the pathologist analyzes a pathological specimen.
Many of the statements of the patient will be mere generalities.

These are of no value to the prescriber until they have been analyzed
into, their elements. As stated, they are merely common symptoms
without individuality. The patient will tell you, for example, that he
has a headache. That, and all other similar generalities, must be
analyzed so that the elements of locality, sensation and modality are
brought out by properly framed questions. The patient may state that
he has a discharge of some kind. After locating that anatomically, it
should be analyzed into, its elements of color, odor, consistency and
quality (as bland, excoriating, causing itching, etc.). Similarly with a
diarrhœa, So far as the character of the discharges are concerned; but
here the act of discharge itself should be analyzed into its elements,
and its character and concomitants in time and space fixed, by
creating the divisions of "before stool," "during stool" and "after
stool," In other words, the patient is asked to describe how he feels
and what happens before, during and after the act of defecation. So
in intermittent fever, for another example; the disease form is
analyzed into its elements; 1. Type and periodicity (quotidian,
tertian, quartan, weekly, monthly, semi-monthly, annual or semi-
annual); and further as to time of day when the paroxysm appears; 2.
Stages (prodrome, chill, heat, perspiration); 3. Apyrexia. In each of
these divisions the phenomena are located as they appear, defining
each particular symptom as accurately as possible. Thus to discover
and bring out the facts of a case and give them form and
individuality as a whole, is the art of the accomplished homœopathic
examiner. It is an illustration of what a former article means in

speaking of the "totality" as consisting of "related fact, having form,

coherency and individuality," and characterizing its formation as
"artistic."
Although the facts must be gathered from the patient, their form,
relations and value depend almost altogether upon the examiner. The
patient, unaided, will usually give only rough, disconnected
statements, crude generalities, single concrete facts and a few details-
a mere formless mass. The trained examiner patiently and skillfully
analyzes and completes the statements, brings out details, connects
the whole and constructs the case logically and scientifically, giving
it a typical form, according to a preconceived idea. That is art and
true art is always scientific.
As models of analysis in special diseases, and for daily practical

use, procure and study Allen on Intermittent Fever; Bell on Diarrhœa
and Kimball on Gonorrhea. In general analysis and synthesis of the
entire field of materia medica, Bœnninghausen's "Therapeutic Pocket
Book" and Kent's Repertory are classics, indispensable to every
homœopathist.
Bœnninghausen's "Therapeutic Pocket Book" and his book on

fever (unfortunately out of print) are the original and unsuperseded
models upon which all other reliable works of this class are based.
Bœnninghausen, following and working with Hahnemann, is the

fountain head for the analysis and classification of symptoms from
which we all draw. His name, next to that of Hahnemann, is the most
illustrious in the galaxy of homœopathic heroes. Methods of practice
based upon and patterned after the work of such masters cannot fail
to bring success to every practitioner who uses them and advance the
cause of Homœopathy.
*****
Clinical Histories. - Getting a good clinical history is one of the

most important parts of case taking. By the same token it is also the
one most generally neglected or badly done.
In order to deal intelligently with the present we must know

something of the past. We must know not only the facts of the
present perhaps acute illness, but also what led up to it. Otherwise

we will often be baffled in our attempts to cure and find our patients
making slow and imperfect recoveries from seemingly simple acute
diseases, or settling down into states of more or less confirmed
invalidism.
This is because all genuine acute diseases are in reality acute

outbreaks or exacerbations of previously latent, deep-seated,
underlying, chronic diseases or inherited tendencies and
predispositions to disease, which exist in practically all persons, - a
special subject which is dealt with elsewhere.
In examinations then, as a rule and at the appropriate time, we

first get as complete a list as possible of the patient's previous
diseases, from childhood down to the present, in as nearly
chronological order as possible, with the ages at which the attacks
appeared and inquire as to their nature, symptoms, duration, severity
and sequelæ.
We should inquire carefully not only as to acute eruptive,.

infectious, inflammatory or febrile diseases, including the so called
"children's diseases," but about the more chronic and obscure
ailments, including skin diseases; organ and glandular diseases
(tonsilitis, adenitis, etc.); nervous diseases (epilepsy, "convulsions,"
chorea, paralytic conditions, etc.); catarrhs and "discharges" from
any of the mucous outlets; bone or joint diseases and rachitis; and
disorders of the sexual sphere, especially syphilis and gonorrhœa.
In women and girls we should inquire about the menses, age at

which established and regularity of the periods, note all deviations
from the normal and ascertain the time and influence of marriage,
childbirth, etc.
We should not forget to inquire if and when the patient has been
vaccinated and learn what course the implanted disease took. At the
same time we should inquire if any other inoculations with serums or
vaccines have been performed. Many troubles may be traced back to
vaccinations and inoculations, intentional or accidental.
The kind of treatment the patient has had for the diseases
experienced and the principal drugs used should be learned, if
possible. It may be necessary to antidote some of them.

The occupation and habits of the patient; diet, exercise, sleep, use
of tea, coffee, tobacco, stimulants, narcotics, etc., should. be noted.
It is important to ascertain whether the patient has met with any

accidents or mechanical injuries, or has suffered any mental shock or
trial, such as grief, fright, anxiety or worry, business losses or
reverses,' unhappy domestic experiences, disappointment in love,
etc., and fix the dates and sequence. Such experiences have a
powerful influence in causing or predisposing to disease besides
being valuable to the prescriber as guiding symptoms.
Next it is important to ascertain the family history, that is, a brief

history of the diseases causes of death, predispositions and
tendencies to disease and individual peculiarities not only of the
patient's brothers and sisters, but of his father, mother, uncles and
aunts and his grandparents, if possible.
All this is General History and should make up a part of the

office record of every case. In some cases it will be necessary to go
minutely and thoroughly into the history and phenomena of
particular phases of preceding diseases in order to get the facts
necessary for an intelligent homœopathic prescription.
Such an examination should be made not only for its great

practical and scientific value, but for its psychological influence
upon patients. Patients will be much more likely to remain
permanently With the physician and his hold upon them will be
much stronger if he has thorough and comprehensive histories of
their cases in his files and impresses that fact upon them. It gives
them confidence in his professional ability and skill.
Patients like to feel that their physician, "knows all about them;"
that be is not interested in them and their families, personally and
professionally, but that he takes pains to learn and keep in touch with
all their individual peculiarities There is no surer way to build up a
permanent, lucrative and substantial practice than by doing this
work. It goes without saying that the fee for such a first examination
must be commensurate with the time and skill employed and that it
will be paid without grumbling, for every intelligent patient will see
that he is getting good service and good value for his money.
Printed blanks, systematically covering the points outlined,

modified according to individual judgment and need will greatly

facilitate the process of good history and case taking. They should be
of standard letter size, with blank sheets of the same size for
expansion of individual cases and kept together, with all
correspondence relating to each case, in folders, in one of the
modern, indexed, vertical-filing cabinets, for constant reference.
Individual records are filed alphabetically under the name of each
patient. It is not well to try to keep case records on little three by four
or four by five cards as some do. There should be ample space to do
the subject justice. Standard letter size sheets, 8 x 10, give plenty of
space, match ordinary correspondence and fit the standard vertical
cabinets.
The examiner should be constantly on the alert and observing

while making an oral examination. The patient may be unconscious
or delirious; Or an infant, unable to talk; or insane. He may be
malingering or trying to deceive as to the real nature or cause of his
disease. Knowledge of the natural history and phenomena of disease
will aid in forming a true picture of the disease.
As a prescriber the homœopathician is always seeking that in the

case which is peculiar, uncommon, characteristic, individual. That
may be noticed in some casual expression of the patient as he talks,
revealing his mood or state of mind, or the origin of his trouble; it
may be found in the color, form or expression of his countenance; or
in his attitude, gait, or physical demeanor.
If the patient is confined to bed, the examiner will observe his

position in bed, his manner of moving or turning, his respiration, the
state of his skin, color or odor of perspiration, odor of exhalations,
from mouth or body, physical appearance of excretions, relation of
the patient's sensations to atmosphere and temperature is shown in
amount of covering, ventilation of room, ice bags, hot water bottle,
etc., - all these, and many other little points, noticeable by the alert
examiner, perhaps without asking a question, will be valuable guides
in the choice of the remedy. They should be recorded as such.
The mental state, conscious and subconscious, is revealed by the

general behavior, the conversation, the expression of the
countenance, the desires and aversions and the manner of sleeping,
as well as by the voluntary verbal expressions. Mental symptoms are
of the highest importance. Expertness in observing and analyzing
these features of disease should be cultivated because right

conclusions and effective treatment often depend more upon the

physician's own observations and directions, than upon anything that
others or even the patient are able to tell him. In the matter of mood
or temper of the mind, for instance, he will be able to judge from the
patient's manner of relating or expressing his sufferings and his
behavior toward his attendants, whether he is sad or cheerful; calm
or anxious, confident or afraid, indifferent, morose, censorious,
malicious, irritable, suspicious, or jealous.
As to the intellect, he can observe for himself whether the patient

is dull, stupid, unconscious, excited, delirious, distracted, confused
etc. All the foregoing points are covered by the rubrics in any good
repertory and they must be covered by the remedy selected.
All these and their allied conditions are most valuable and
characteristic as therapeutic indications. They should be observed
and noted carefully. Every case should be approached with this
thought and the mind kept active and alert while talking with the
patient and his friends.
Such work as this has its pleasures, aside, from its scientific
relations. "The greatest study of man is man." Most of us like to
"study human nature" and rather pride ourselves on our sagacity in
"sizing up" the people we meet by a study of their physiognomy,
manner, etc. The homœopathic prescriber will find it to his
advantage to cultivate the art of psychological analysis, and may
well take pride in it when he is able to do as part of his medical work
systematically also.
It is taken for granted that the physical examination of a :patient

will be made thoroughly and systematically also and the findings
added to the record. As that subject does not come within the scope
of this work, no, further attention will be accorded to it.
If he has succeeded in impressing upon his readers the necessity

and advantages of always making thorough and systematic
examinations and keeping full, written records of cases the author
will feel that his purpose has been accomplished. Nothing conduces
more strongly to professional honor and reputation and to success in
practice. An honestly earned reputation for making careful
examinations, for "taking an interest in the case," for always being
thorough and painstaking, is one of the most valuable assets a

physician can have, and one which may be legitimately capitalized to

his financial benefit.
Main

Chapter XIII - Homoeopathic Posology - The Genius of Homeopathy - Lectures and Essays on Homeopathic Philosophy - By Dr Stuart M. CLOSE
Main

Philosophy
Chapter XIII
Homœopathic Posology
By posology (from the Greek, posos, how much) we mean the

science or doctrine of dosage.
Small doses and homœopathy are commonly regarded as

synonymous terms. If they who have such an idea of it are favorably
inclined toward homœopathy, it is as likely to be because they have
heard that the medicines are "pleasant to take" as for any other
reason. While such an impression, taken with what, it involves, is not
altogether undesirable, it is to be regretted that a broader basis of
judgment has not been furnished by those whose duty it is to instruct
the public in the principles of homœopathy. Had this been done such
a juvenile conception would not exist, and homœopathy would be
more widely appreciated.
It is not to be denied that the subject of the dose in homœopathy

is a very important one. The three essential elements of the system
are the principle, the remedy and the dose; -and the three are of
equal importance. Posology, and the related subject of Potentiation
were the subjects of so much misunderstanding, discussion and
controversy in the early - days of homœopathy that the profession,
after being divided into two opposing camps grew tired of the
subject. It came to be regarded as a kind of "Gordian Knot," to be cut
by each individual as best he could with the instrument at his
disposal. Hahnemann himself at one time, almost in despair of ever
being able to bring his followers to an agreement on the subject, cut
the knot by proposing to treat all cases with the thirtieth potency.

Following this suggestion others tacitly adopted a dosage confined to

one, or a very limited range of potencies. The materialistically
minded restricted themselves to the crude tinctures and triturations,
or the very low dilutions, ranging from 1x to 6x. Others ranged from
the third to the thirtieth potencies, while another small class of
metaphysical tendency used only the very high potencies, ranging.
from the two hundredth to the millionth, each according to his
personal predilection.
Such a state of affairs is unfortunate. Assuming that there is a

difference in the action of the various doses of medicines, and that a
series of potencies or preparations of the different medicines has
been available for use; it follows that the entire series should be open
to every practitioner, and that each man should be competent, willing
and ready to use any potency or preparation of the remedy indicated
in a given case, without prejudice. If he confines himself to one or
two potencies, be they low, medium, or high, he is limiting his own
usefulness and depriving his patient of valuable means of relief and
cure.
Under homœopathic principles any potency may be required in

any case. It is as unreasonable to expect to cure all cases with any
two or three potencies as it is to expect to cure all cases with any two
or three remedies. In either case, those who follow such a course are
governed more by the love of ease and their prejudices than they are
by their desire for efficiency.
The selection of the dose is as much an integral part of the

process of making a homœopathic prescription as the selection of the
remedy, and often quite as important. A well selected remedy may
fail utterly, or even do injury, because of wrong dosage. Dose as well
as remedy must be adjusted to the patient's need.
The homœopathic doctrine of dosage, like the law of cure, was

based upon the discovery of the opposite action of large and small
doses of medicine. It is another application it medicine of, the Law of
Mutual Action - the third Newtonian law of motion - "Action and
Reaction are Equal and Opposite." Every one at all acquainted with
the action of drugs knows, for example, that Ipecac in large doses
causes nausea and vomiting and in small doses, under certain
conditions, will cure the same; that Opium in large doses will cause a
deep sleep or narcosis, arid in small doses, under certain, conditions,
will cure the same.

Closely allied to this is the so-called primary and secondary

action of drugs, in, which we see many drugs, in the first or primary
stage of their action producing one group of symptoms, and in the
second stage a directly opposite set of phenomena; as when the deep
sleep of the primary action of Opium is followed by a much longer
lasting wakefulness; or where the diarrhea induced by a cathartic is
followed by a longer lasting constipation. This applies, of course,
only to drugs given in tangible form and considerable quantities, in
what are called "physiological doses."
Although the physiological antagonism between large and small

doses is an illustration of the homœopathic law of posology, the use
of drugs in "physiological doses" has nothing to do with their
homœopathic use, because homœopathic remedies are never used in
"physiological doses." This statement is true, even in those cases
where the low reacting power of the patient some-, times requires
material doses of the homœopathic remedy. It would be more
accurate to say that homœopathic medicines are never used for their
"physiological effect."
It is necessary to a clear understanding of the subject that a

distinction be made between three terms, physiological, therapeutic,
and pathogenetic, used by the two schools of medicine to express the
nature of the action of the drugs. There is a demoralizing tendency
even in the homœopathic school to use these terms without
discrimination.
The word "physiological" as currently used in medicine in

relation to drug action and dosage is misleading and inaccurate, The
Word has a reassuring sound, pleasantly suggestive of something
normal and healthy. Its use tends to obscure, or keep in the
background, the fact that the kind of drug action so designated is
essentially a toxic action and therefore really painful and injurious.
The "physiological action" of a drug is not its therapeutic or

curative action. It is exactly the opposite of a curative action., and is
never employed in homœopathic practice for therapeutic purposes.
The use of the word "physiological" in connection with drug action
and drug dosage tends to mislead the unwary and justify the use of
measures which would otherwise be regarded as illegitimate. In one
word, is it a euphemism. Inasmuch as the action of the

'.'physiological" dose and the purpose for which it is given is

avowedly to produce drug symptoms, in, a direct and positive
manner, that fact should be clearly expressed in the name,' in order
that there may be no misunderstanding.
The homœopathic school has recognized the wisdom and justice

of taking this position, and has complied with the requirements of
scientific accuracy in nomenclature by the adoption and use of the
word "pathogenetic" (Gr., pathos, suffering, and genesis origin,
"producing suffering") as properly describing the character of such
drug action. The "suffering" of the organism produced by the drug is
expressed in symptoms, which are the language of disease. In
homœopathic parlance, therefore, these are termed "pathogenetic
symptoms," a term which is preferable because it is accurate and
truthful.
Therapeutic means curative, healing, alleviating. A pathogenetic

action is never curative. The action of a drug may be pathogenetic
(toxic), or therapeutic (curative), depending upon the size and
strength of the dose, the susceptibility of the patient and the principle
upon which it is given.
In the homœopathic treatment of disease a drug is never given for

its pathogenetic action. Pathogenetic doses may be given, however,
for experimental purposes to a healthy person, in making what are
called provings. In treating disease homeopathically the object is not
to produce symptoms but to "remove them. By means of the similar
remedy in the minimum dose it is possible to do this in a direct
manner without producing symptoms. It is not necessary to resort to
the indirect, antipathic or allopathic method of producing drug
symptoms in one part to remove a disease of the same, or any other
part, and therefore it is not necessary to use "physiological" or
pathogenetic doses. The homœopathic cure is obtained without
suffering, without the production of any drug symptoms, in a
positive and direct manner, by the action of sub-physiological or sub-
pathogenetic doses; in other words, by the minimum dose, which is a
dose so small that it is not capable of producing symptoms when
used therapeutically. Homœopathy requires that the therapeutic dose
must be capable only of producing a slight temporary aggravation or
intensification of already existing symptoms, never of producing new
symptoms. Only the similar remedy, in the. smallest possible dose, is
capable of bringing about this highly desirable result. By this means
the patient's strength and vitality are conserved, his suffering quickly

reduced to the lowest possible degree and a true cure brought about,
if the case has not passed beyond the curative stage. It is not to be
understood that infinitesimal doses are not capable of producing
symptoms in healthy susceptible persons; for that is not true.
Infinitesimal doses will produce symptoms in certain highly
sensitive persons, and many of our most valuable provings have been
made with more or less highly potentiated medicines. Indeed, no
remedy can be regarded as having been thoroughly proven until it
has been proven in the potencies as well as in crude form.
In ordinary usage a physiological dose means a dose of a drug,

empirically selected, of sufficient quantity and strength to produce a
definite, predetermined effect or group of symptoms. Practically it
amounts to the maximum dose consistent with safety. A
physiological dose of Atropine or Belladonna, for example, is one
sufficient to produce dilatation of the pupils, dryness of the mucous
membranes and flushing or turgescence of the skin. The action of the
drug is carried to this point irrespective of any accessory symptoms
that may be produced, or as to whether it is curative or otherwise. No
other kind of action is looked for or expected and, as a rule, it is not
recognized if it occurs. The intent is to produce a direct definite drug
effect. That other effects not desired nor needed are produced
incidentally, does not matter. They are left to take care of
themselves, and it is not considered that they complicate or prejudice
the case if they occur.
In attempting to predetermine arbitrarily the size and strength of

the physiological dose, allowance is made only for difference in the
age of the patients, who are roughly divided into two classes, infants
and adults. If a patient is unable to take the established or usual
doses without serious results, it is considered to be a case. of
idiosyncrasy or hypersensitiveness and some other drug is
substituted.
Unlike the homœopathic physician, the allopathic practitioner is

not trained to observe the finer, more delicate action of drugs upon
the living organism and he does not, therefore, recognize the
symptoms expressing such actions when they occur. From this point
of view such symptoms, so long as they are not serious, are of no
importance and have no use.
In considering the reasons why the dose of the medicine chosen

homeopathically is necessarily smaller than the physiological dose of

antipathic or allopathic prescription, we meet first the fact of organic

resistance.
Every living organism is endowed with an inherent, automatic

power of reaction to stimuli. By means of this power the organism
offers resistance to everything which tends to injure or destroy its
integrity or disturb its normal functioning. Resistance is manifested
by suffering pain, fever, inflammation, changed secretions and
excretions, etc.
This power is displayed when drugs are administered because

drugs are inimical to health, in proportion to their power and the size
of the dose. In order for a dissimilar drug to produce its so-called
physiological effect, therefore, the dose must be large enough to
overcome first, this bodily resistance; and second, to produce its
characteristic symptoms.
When the similar or homœopathic drug is administered in disease,

little or no resistance is encountered because the sphere of its action
has already been invaded and its resistance overcome by the
similarly acting disease producing agent. The affected organs or
tissues are open to attacks from without. Susceptibility to the similar
drug is therefore greatly increased.
The homœopathic drug acts upon the identical tracts involved in

the disease process, in a manner similar to the action of the disease
producing cause itself. In order that the suffering of the affected
organs may pot be increased and the patient injured, a much smaller
dose must be given.
The homeopathic dose, therefore, is always a sub-physiological or

sub-pathogenetic dose; that is, a dose so small as not to produce
pathogenetic symptoms; for we desire, not to produce more
symptoms, but only to remove and obliterate symptoms already
existing. It must also be given in a dose so small, as not to produce a
severe aggravation of the already existing symptoms.
Another reason for the small dose lies in the fact that disease
renders the affected parts abnormally sensitive, as we see in an
inflamed eye, which is painfully sensitive to a degree of light to
which it reacts, normally in health..

A third reason is that the homeopathic drug is always given

singly, so that its action is complete and unmodified by other drugs.
Homœopathists do not say, vaguely, that medicines in

infinitesimal doses cure disease unconditionally. The proposition is
that medicines act curatively in infinitesimal quantities, when given
in cases to which they are homeopathic And they still further qualify
this statement by laying down three, necessary requirements for such
action:
1. The development of special virtues in

medicine by a peculiar process of
preparation, or potentiation.
2. The increased susceptibility to

medicinal impression produced by
disease.
3. The selection of the symptomatically

similar remedy.
They affirm and stand ready to demonstrate that an infinitesimal

dose of medicine has power and that it acts as a force; but in order
that the force should be medicinal, or curative, a condition of
application is necessary; namely, that it be applied in accordance
with the homœopathic law.
Force, to be effective, must be supplied not only in proper

amount, but in the proper direction and at the proper time.
The proper amount of a drug to be administered in a given case

can never be settled by a priori reasoning, but only by experience;
and thus it has been settled. Those who hesitate to try the
infinitesimal doses of homœopathy on the ground of improbability,
should be reminded that an infinitesimal quantity is a quantity. It
cannot be thought of as nothing. Hear Hahnemann's reply to those
who railed at the infinitesimal dose as "Nothing," and "Absurd."
"How so? The smallest possible portion of a substance, is it not

an integral part of the whole? Were it to be divided and redivided
even to the limits of infinity, would there not still remain something,-
something substantial, - a part of the whole, let it be ever so minute?

What man in his senses would deny it?
And if this be in reality an integral part of the divided substance,

which no man in his senses can doubt, why should this minute
portion, as it is certainly something, be inactive, while the whole
acted with so much violence?"
Hahnemann's final views and practice in regard to the dose were

arrived at gradually, through long years of careful experiment and
observation; at first, even for some time after the promulgation of the
law of similars and the method of practice based upon it, he used
medicines in material doses and in the usual form. His discovery of
the principle of potentiation came about gradually as he
experimented in the reduction of his doses, in order, to, arrive at a
point where severe aggravations would not occur. Gradually, by
experience, he learned that the latent powers of drugs were released
or developed by trituration, dilution and succussion. Thus he arrived
at his final conclusion that the proper dose is always the least
possible dose which will effect a cure.
Having now a general view of the principles underlying the

question of the dose, and a general standard by which to test results,
it is desirable to try to formulate some rules, based upon experience,
to govern us in the selection of the proper dose for a particular case.
The question seems

more complex now than
it was in Hahnemann's
day, but really it is not
so. The same principle
applies now as then. For
the greater part of his
life Hahnemann had
only what we now call
the lower potencies;
namely from the first to
the thirtieth; although in
his later years he was Dr Gustav W. Gross
enabled to procure and
use some of the higher potencies. Bœnninghausen wrote that
Hahnemann had repeatedly stated to him that he generally used the
sixtieth dilution, and that he often used much higher ones with great
satisfaction. Bœnninghausen also states that Hahnemann, in

correspondence with him, was much interested in the experiments of

Bœnninghausen and Gross with the high potencies and heartily
Approved of the same. It was repeatedly stated that Hahnemann
would deal with this subject in the forthcoming sixth edition of the
Organon, a work which unfortunately never saw the light until 1922.
Since Hahnemann's day the potency makers have been busy and
we now have potencies ranging up to the millionth centesimal, and
ever higher. Men with the confidence, courage and zeal to
experiment with these altitudinous preparations and publish their
results have not been lacking. Physicians of unquestioned honesty,
ability and experience have testified that, they obtained curative
results from the use even of the very highest potencies. It is not just
for us to question this testimony until we have put the matter to the
test. In the light of experience and of recent revelations in other
departments of science of the power of the infinitesimal, there is
nothing inherently improbable about it, and it is unquestionably to
our advantage to have as large an armamentarium as possible.
The great bulk of the work

of the profession, however, is
done with the lower and
medium potencies and these, if
accurately prescribed and
wisely managed, will give
satisfactory results in the great
majority of cases. The third,
sixth, twelfth and thirtieth
potencies with a set of the two
hundredths to "top off with"
gives a general working range.
When the young practitioner
can afford to add to these a set
of BOERICKE & TAFEL's Dr Thomas Skinner
hand made five hundredths and
one thousandths, he will be well equipped indeed. The rest is
"velvet;" but if anybody should offer him a set of Fincke's, Swan's or
Skinner's fifty thousandths and one hundred thousandths, he should
not let his modesty nor his prejudices prevent him from accepting
and trying them. Hundreds of practitioners, including the writer,
have used them with great satisfaction.
Choosing the Potency. - Now is there any teaching which will

help us to choose the best potency for a given case? There is little
teaching but many opinions. Practitioners who publicly boast of their
liberality on this subject, will too often be found, on more intimate
acquaintance, to practice an obstinate exclusivism in the use of some
particular potency, generally a very low or a very high one; and to
harshly criticize those who differ with them. This is unfortunate,
because such practitioners undoubtedly deprive themselves and their
patients of many agents of cure which are easily within their reach.
The series of potencies has been compared to the gamut in music,

"A skillful artist may indeed construct a harmony with the various
vibrations of the same chord; but what a more beautiful and perfect
harmony might he construct by a proper combination of all the
sounds that can be elicited from his instrument." (Guernsey.)
In general it may be stated that any curable diseases may be cured

by any potency, when the indicated remedy is administered; but that
the cure may be much accelerated by selecting the potency or dose
appropriate to the individual case
Five considerations influence us in the choice of the dose:
1. The susceptibility of the patient.

2. The seat of the disease.
3. The nature and intensity of the
disease.
4. The stage and duration of the disease.
5. The previous treatment of the disease.
Susceptibility of the Patient. - This is generally and rightly

regarded as the most important guide in the selection of the dose. It
is important to have some means of gauging, at least approximately,
the susceptibility of a patient.
Susceptibility to medicinal action is only a part or phase of the

general susceptibility of the organism to all stimuli. By analogy, as
well as by experience, we are led to a consideration of the main
factors -which modify and express susceptibility in general.
Susceptibility varies in different individuals according to age,

temperament, constitution, habits, character of diseases and
environment.

The susceptibility of an individual to a remedy at, different times

also varies. Idiosyncrasy may exist as a modifying factor.
Homeopathicity must always be considered.
The more similar the remedy, the more clearly and positively the
symptoms of the patient take on the peculiar and characteristic form
of the remedy, the greater the susceptibility to that remedy, and the
higher the-potency required.
The "Indefatigable Jahr" has

very lucidly and beautifully
illustrated this point. He remarks
an essential difference between
the action of the low and high
potencies, which consists, not in
their strength or weakness, but in
the development of, the
peculiarities of the remedy, as we
rise in the scale of potencies.
This is based on the well known
fact that provings of the tincture
and lowest potencies of a drug, -
as a rule, produce only the more
common. and general symptoms
of the drug, not very sharply Dr Jahr
differentiated from other drugs of
its class. It is in the provings of the medium and higher potencies
that the special and peculiar character of the drug is revealed by its
finer and most characteristic symptoms. Jahr illustrates this by a
geometrical figure, consisting of a number of concentric circles, with
radii drawn to represent remedies in different stages of potentiation.
In the first to the third potency, as shown in the innermost circle

where the radii he close together, similar or related remedies like
Arn, Rhus, Bry and Sulph have a great many symptoms in common;
but the higher they progress in the scale of potentiation the more the
radii recede from each other, so that each appears more and more
distinctly in its peculiar and characteristic features.
All narcotics, like Bell, Stram or Opium, for example, in crude

and massive doses act in a manner equally stupefying, causing death
by apoplexy or paralysis; all drastics produce vomiting and purging,

etc. It is only in small or potentiated doses that their most

characteristic differences of action become apparent.
"By continual diluting and succussing," says Jahr, "remedies get

neither stronger nor weaker, but their individual peculiarities become
more and more developed;" in other words, their sphere of action is
enlarged, as represented by the concentric circles.
The practical bearing of this on the selection of the potency or

dose, according to Jahr, is as follows: - In a given case, where the
symptoms are not clearly developed and there is an absence or
scarcity of characteristic features; or where two or three remedies
seem about equally indicated, susceptibility and reaction may be
regarded as low. We give, therefore, the remedy which seems most
similar, in a low (third to twelfth) potency. But, when most
symptoms of a case clearly indicate one remedy, whose
characteristic symptoms correspond closely to the characteristic
symptoms of the case, we give the high potencies - thirtieth, two
hundredth, thousandth, or higher, according to the prescriber's
degree of confidence and the contents of his medicine case.
We may slightly modify Jahr's advice by suggesting; the clearer,

and more Positively the finer, more peculiar and more characteristic
symptoms of the remedy appear in a case, the higher the degree of
susceptibility and the higher the potency.
This rule covers more points of the requirements to be stated later

than appears at first glance. The class of cases (to be described later)
which require low potencies for their cure, do not as a rule present
the finest and most characteristic shadings of symptoms which
characterize the cases requiring high potencies, so that we may pretty
safely judge the degree of susceptibility of the patient by the
character and completeness of the symptoms.
Allowance should be made, however, for the varying ability of

examiners. One man, keen of perception, accurate, painstaking,
conscientious and well trained, will see many things in a case which
another not so endowed will fail to see.
Susceptibility is Modified by Age. - Generally speaking,

susceptibility is greatest in children and young, vigorous persons,
and diminishes with age. Children are particularly sensitive during

development, and the most sensitive organs are those which are
being developed. Therefore the medicines which have a peculiar
affinity for those organs should be given in the medium or higher
potencies.
Susceptibility is Modified by Constitution and Temperament.

- The higher potencies are best adapted to sensitive persons of the
nervous, sanguine or choleric temperament; to intelligent,
intellectual persons, quick to act and react; to zealous and impulsive
persons.
Lower potencies and larger and more frequent doses correspond

better to torpid and phlegmatic individuals, dull of comprehension
and slow to act; to coarse fibered, sluggish individuals of gross
habits; to those who possess great muscular power but who require a
powerful stimulus to excite them. Such persons can take with
seeming impunity large amounts of stimulants like whiskey, and
show little effect from it. When ill they often require low potencies,
or even sometimes, material doses.
Susceptibility is Modified by Habit and Environment. - It is

increased by intellectual occupation, by excitement of the
imagination and emotions, by sedentary occupations, by long sleep,
by an effeminate life. Such persons require high potencies.
Susceptibility is Modified by Pathological Conditions. In

certain terminal conditions the power of the organism to react, even
to the indicated homœopathic remedy, may become so low that only
material doses can arouse it. A common example of this is seen in
certain terminal conditions of valvular heart disease, where Digitalis
is the indicated remedy, but no effect is produced by any potency.
The patient will respond, however, to tangible doses of the pure
tincture or, a fresh infusion of Digitalis and sometimes make a good
recovery from a condition that seems hopeless. Although such doses,
judged only by their amount, might be regarded as "physiological" or
pathogenetic doses, the nature of the reaction in such cases is clearly
not pathogenetic but dynamic and curative, as many have witnessed.
The form of the reaction complies perfectly with the requirements of
cure as to order and direction of the disappearance of the symptoms
and nature of the result.
Quantity alone does not constitute a pathogenetic dose. Quality,

proportionality and the susceptibility of the patient are also factors.

What would be a large, injurious or perhaps dangerous dose f or- a
highly susceptible patient, would have no effect whatever upon one
whose power to react was very low by reason of the existence of
gross pathological lesions, or of long existent, exhausting chronic
disease and much previous treatment. It is solely a question of
approximating the quality and quantity of the dose to the grade or
plane of the disease, according to the law of similars. If the grade of
the disease is low, and the power of reaction low, the remedy must
be given low. Thus we find, in such cases, that the symptoms of the
patient are usually of a low order; common, pathological symptoms;
organ symptoms; gross terminal symptoms; symptoms that
correspond to the effects of crude drugs in massive toxic doses. The
finer shadings of symptoms belonging to acute conditions, in
vigorous sensitive patients, do not appear. Potentiated medicines will
not act. The case has passed beyond that stage, and the finer
symptoms with it. Yet the symptoms remain and the almost hopeless
conditions they rep resent, are still within the scope of the
homœopathic law; and they sometimes yield to its power, when the
related law of posology is rightly understood and applied.
So-called "pathological symptoms," when they exist alone, are as

significant and characteristic in their way and may be as clearly
indicative of a remedy, homeopathically, as the earlier, finer grades
of symptoms. Whether they are as useful to the homœopathic
prescriber or not depends upon the existence of similar symptoms in
the Materia Medica. We can only prescribe for symptoms which
have a counterpart in the Materia Medica. From the records of
poisonings, over-dosing, and some extreme provings, as well as from
clinical -experience, we have knowledge of some drugs whose
symptoms thus derived, correspond very closely to the class of
pathological symptoms under discussion. In the list of such drugs we
may find one which fits our case. If that is not possible a study of the
early symptoms from the history of the case, if they can be elicited,
may lead directly or by analogy, to the remedy needed. When a case
has reached a stage where none but gross pathological or organ
symptoms are present, it is usually incurable; but it is not necessarily
beyond help by medicines homœopathically selected, even if no
results follow the use of the ordinary small doses or potentiated
medicines.
In terminal conditions, therefore, when the patient does not react

to well selected remedies, nor to intercurrent reaction remedies

given in potentiated form and small doses, resort to the crude drug
and increase the dose to the point of reaction.
When reasonably sure of the remedy give the tincture, or a low

trituration, first in moderate, then in increasing doses until the
dosage is found to which the patient will react,, even if it be the
"maximum dose" as set down in the books. The "maximum dose"
may be the "minimum dose" necessary to bring about reaction
sometimes. It takes more power to. drive an automobile up a bill
than it does on the level; and if the hill is very steep the driver may
have to go backward on the road a ways and take "a running start,"
in order to gain momentum enough to carry him up. When he gets to
the top of. the hill he can shut off power and coast" down the other
side. That is what the homœopathic prescriber has to do sometimes,
in the kind of cases under discussion.
This does not in the least degree invalidate nor violate the
principle of the minimum dose in such cases, The principle of similia
as applied in the selection of both remedy and dose is eternally and
universally true. It is as true in terminal conditions in chronic
diseases marked by gross pathological lesions and symptoms as it is
in any other kind of cases. The homœopathic physician fails and falls
short of his duty if, at such a crisis, he throws tip his hands and lets
his patient die or pass into other hands; or if he weakly yields,
abandons the principle of similia and resorts to the routine measures
of allopathic practice, based upon theoretical assumptions.
Occasionally an allopathic physician is called in who gives so-called
physiological doses of some common drug and restores the patient.
He merely does what the homœopathic physician should have the
discernment and common sense to namely give the drug that is really
homeopathic to the case, but give it in the stronger doses required at
that stage of the case to excite the curative reaction. He does what
the homœopathic physician is perhaps too timid, too ignorant or too
prejudiced to do. Result: the allopath gets the honor, the family and
the emolument; the homœopath "gets the laugh;" and homœopathy
"gets a black eye." The occasional successes of allopathic physicians
in such cases are nearly always accomplished with drugs which are
essentially, although crudely, homœopathic. The homœopath who
habitually uses high potencies is apt to forget or overlook the fact
that a terminal case may reach a point where the symptoms call for
material doses because the susceptibility is so low that it will react to
no other, but will react to them.

Such a case occurred in the practice of the writer. It was a case of

valvular heart disease of many years' standing, which had reached
the stage of fibrillation. In a previous crisis it had responded to
potentiated medicines. In this instance, however, potentiated
medicines, selected with the greatest care, had no effect. An effort
was made to arouse the dormant reactivity with intercurrent
remedies, also in high potency. Laurocerasus, Carbo vegetabilis,
Tuberculinum and Medorrhinum were given, as recommended by
homœopathic authorities. All efforts failed and the case rapidly
progressed toward dissolution. Tachycardia, arrhythmia, œdema,
ascites, hydrothorax, passive congestion of the brain and liver,
delirium, suppression of urine and coma foretold the rapid approach
of the end. For a period of over three weeks the symptoms had
positively and unmistakably demanded Digitalis; but doses ranging
from forty thousandth down to drop doses of the tincture produced
no favorable change.
At this point, by advice of an eminent allopathic specialist who

was called in at the request of the family, full doses of a special
preparation of Digitalis and a salt-free, liquid-diet were given.
Within thirty-six hours the patient was passing over one hundred
ounces of urine, in twenty-four hours, brain, lungs and liver rapidly
cleared up and the case which had appeared absolutely hopeless
progressed steadily to a good recovery.
The action of the Digitalis was clearly curative. No pathogenetic

symptoms of any kind appeared, for the copious urine was distinctly
a curative symptom. Only six doses of the drug were given, at
intervals of twelve hours, and it was discontinued as soon as its full
therapeutic action was established.
About one month later, it was necessary to repeat the medication

in smaller doses a few times for a slight return of some of the
symptoms, due to over exertion.
This patient was not cured in the sense that his structurally
damaged heart valves were restored, for that is an impossibility. Put
the action of the indicated drug was curative in its nature, as far as it
was possible to go, his life was saved and prolonged, and he was
restored to a measure of comfort and usefulness, when otherwise he
would have died.

Digitalis in material doses was homœopathic to his condition,

symptomatically and pathologically and no other drug could take its
place at that stage of the disease. No other medicine of any kind was
given.
In contrast to this case, and in further illustration of the necessity

for being prepared to use the entire scale of potencies, the following
case from the practice of the writer is presented.
The, patient was a girl eighteen years of age, in the late stages of
incurable heart disease. She had been under allopathic treatment for
over a year, steadily growing worse. When first seen by the writer
she was confined to a chair unable to lie down or remain in bed.
General œdema, ascites and hydrothorax existed. Urine was almost
entirely suppressed, only about four ounces being passed in twenty-
four hours. Tachycardia and dyspnœa were most distressing and
death seemed imminent. The history and anamnesis of her case
revealed unmistakable Calcarea symptoms. She was give n a single
dose of Calcarea carb., C.M. Fincke. The reaction and response to
the remedy was surprising. Within forty-eight hours urine began to
be secreted copiously. For several days she passed from one hundred
and twenty to one hundred and fifty ounces per day. Dropsy rapidly
disappeared and she was soon able to lie down and sleep
comfortably. In about four weeks she was able to go out f or a ride in
a carriage, and not long after was out walking. She lived thirteen
months in comparative comfort and happiness and then died quite
suddenly of heart failure, after a slight over exertion.
These two cases represent the extremes of therapeutic resources

open to the homeopathic practitioner.
Susceptibility is Modified by Habit and Environment. [Site

note: this is the second section with this title.] People who are
accustomed to long and severe labor out-of-doors, who sleep little
and whose food is coarse, are less susceptible.
Persons exposed to the continual influence of drugs, such as

tobacco workers and dealers; distillers and brewers and all connected
with the liquor and tobacco trade, druggists, perfumers, chemical
workers, etc. often possess little susceptibility to medicines and
usually require low potencies in the illnesses, except where their
illness is directly caused by some particular drug influence, when a

high potency of the same or a similar drug may prove to be the best
antidote.
Idiots, imbeciles and the deaf and dumb have a low degree of
susceptibility, as a rule.
"There is no rule without its exceptions" and this is especially

true in this matter of the homœopathic doses. Contrary to what one
would expect, persons who have taken many crude drugs of
allopathic, homœopathic or "bargain-counter" prescription often
require high potencies for their cure. Their susceptibility to crude
drugs and low potencies has been exhausted and even massive doses
seem to have no effect; as where cathartics or anodynes have been
used until there is no reaction to them. Such cases will often respond
at once to high potencies of the indicated remedy; in fact they often
require the high potency as an antidote. The high potency is effective
because it acts on virgin soil, invades new territory, as it were.
When the old "Chronics" begin to come in to see the New

Doctor--"old rounders" upon whom the contents of the drug shops
and the medicine cases of his tincture and low potency competitors
have been exhausted in vain-- "an' he be wise" he will get out his
little high potency case and prescribe from that. The results will
surprise them, if it does not surprise him. It should not surprise, him
because he has been told before hand.
The seat, character, and intensity of the disease has some bearing
upon the question of the dose. Certain malignant and rapidly fatal
diseases, like cholera, may require material doses or low potencies of
the indicated drug. Hahnemann's famous prescription of Camphor in
drop doses of the strong tincture, given every five or ten minutes,
with which so many thousands of lives have been saved, is an
illustration. Later, after reaction has been established and other
remedies, corresponding to the symptoms of later stages of the
disease come into view, the higher potencies are required.
Generally speaking, diseases characterized by diminished vital

action require the lower potencies; while diseases characterized by
increased vital action respond better to high potencies; but this
again is modified by the temperament and constitution of the patient.
Uncomplicated, typical syphilis, in its primary stage, the chancre still
being existent, may be cured speedily by Mercury in medium or high

potencies, if the patient is of the nervous or sanguine temperament,

and especially if he has not already received treatment. If he is of the
sluggish type, however, Mercury in the second or third trituration
will probably be required. If the patient presents himself later,
having already received the conventional large doses of mercury and
potash until the characteristic dynamic and pathogenetic symptoms
of those drugs have been produced, low potencies will be of no avail.
Either susceptibility has been exhausted, or a drug idiosyncrasy has
been developed. The drugs must be antidoted and the further
treatment carried on by higher potencies. These remarks apply not
only to mercury and syphilis but to practically all other diseases and
drugs, It is not to be inferred that mercury is the only remedy for
syphilis; for in syphilis, as in all other diseases, we must
individualize both case and remedy, if we expect to cure our patients.
What has been said of the use of higher potencies in cholera, after
reaction has been established by camphor tincture, is applicable in
many other diseases of malignant character and rapid progress. In the
beginning, when torpor or collapse indicate the dangerously low
vitality and deficient reaction, a few doses of a low potency may be
required until reaction comes about, after which the potency should
be changed to--a higher one if it is necessary to repeat the remedy.
The question is entirely one of susceptibility. The higher the
susceptibility, the higher the potency. We must learn how to judge
the degree of susceptibility if we would-be successful as
homœopathic prescribers; and this applies not only to the normal
susceptibility of the patient as evidenced by his constitution,
temperament, etc., but to the varying degrees of his susceptibility as
modified by the character and stages of his disease and by previous
treatment. At one stage he may need a low potency, as already
pointed out, and at another a high potency. The man who confines
himself to the use of a single potency, or two or three potencies, be
they low or high, is not availing himself of all the measures of his art
and will frequently fail to cure.
Attempts have been made to lay down rules governing the dose
based upon a pathological classification of diseases; as, for example,
that the lower preparations should be used in chronic disease with
tendency to disorganization of tissues and in acute diseases; or that
the high potencies should be used in purely functional and nervous
affections; but these classifications are not reliable. They only serve
to confuse the mind of the student and distract his attention from the
main point, which is to determine the degree of susceptibility of the

particular patient at a given time.
Thus the whole matter of the dose, like the selection of the
remedy, resolves itself into a problem of individualization, which, as
a principle, governs all the practical operations of homœopathy.
Looking at this subject broadly and having the highest degree of
success in view, it is seen that it is as necessary to individualize the
dose as it is the remedy, and that the whole scale of potencies must
be open to the prescriber.
Occasionally a case will be met which is not at all susceptible to

the indicated remedy. In such cases the temporary insensibility to
medicine may be traced to the previous abuse of medicine, or to an
exciting regimen. If time and the exigencies of the case permit, it is
sometimes best to cease all medication for a few days and carefully
regulate the diet and regimen. Then medication may be resumed,
using, according to the temperament and constitution of the patient,
either a low or a medium potency.
Hahnemann has recommended in such cases, the administration

of Opium, in one of the lowest potencies, every eight or twelve hours
until some signs of reaction are perceptible. By this means, he says,
the susceptibility is increased and new symptoms of the disease are
brought to light. Carbo veg., Laurocerasus, Sulphur and Thuja are
other remedies suited to such conditions. They sometimes serve to
arouse the organism to reaction so that indicated remedies will act.
Remedies used in this way are known as "Intercurrents." The

nosodes, Psorinum, Syphilinum, Medorrhinum, Tuberculinum, are
also to be remembered in this condition, in cases where the latent
diseases represented by these medicines are present, as shown by the
existent symptoms or by the history and previous symptoms of the
case. A single dose of the appropriate nosode in a moderately high
potency, will sometimes clear up a case by bringing symptoms into
view which will make, it possible to select the remedy required to
carry on the case successfully. Such use of remedies must be based
upon a careful examination and study of the history of tile case and
not merely upon empirical assumptions. Here, as elsewhere,
individualization and the law of similia must guide.
Repetition of Doses. - It remains to speak of one more important

matter connected with the general subject of Homœopathic Posology-

the repetition of the dose. The management of the remedy in regard

to potency and dosage is almost as important as the selection of the
remedy itself. The selection of the remedy can hardly be said to be
finished until the potency and dosage have been decided upon. These
three factors, remedy, potency and dosage, are necessarily involved
in the operation of prescribing. Not one of them is a matter of
indifference and not one of them can be disregarded.
The first question which confronts us is whether to give one dose

or repeated doses. The second question is, if we give one dose when
shall we repeat it? Third, if we give repeated doses, how often shall
we repeat the doses and when shall we stop dosing?
Many expert prescribers begin the treatment of practically all

cases by giving a single dose of the indicated remedy and awaiting
reaction. This is an almost ideal method - for expert prescribers. Of
course we all expect to become expert prescribers and will therefore
accept that as our ideal!
Hahnemann's usual teaching, the outcome of his long, and rich

experience, was to give a single dose and await its full action. The
wisdom of this teaching has been amply confirmed since his day by
many of his followers. The duration of action of a remedy which acts
(and no other counts) varies, of course, with the nature and rate of
progress of the disease. In a disease of such violence and rapid
tendency toward death as cholera, for example, the action of the
indicated remedy might be exhausted in five or ten minutes and
another dose be required at the end of that time. In a slowly
progressing chronic disease, like tuberculosis, the action of a dose of
a curative remedy might continue for two or three months. Between
these two extremes are all degrees of variation.
The only rule which can be laid down with safety is to repeat the
dose only when improvement ceases. To allow a dose, or a remedy,
to act as long as the improvement produced by it is sustained, is
good practice; but to attempt to fix arbitrary limits to the action of
medicine, as some have done, is contrary to, experience.
Young practitioners and many old ones too, for that matter, give
too many doses, repeat too frequently, change remedies too often.
They give no time for reaction. They get doubtful, or hurried, or
careless and presently they get "rattled" if the case is serious. Then it

is "all up with them," until or unless they come to their senses and
correct their mistakes. Sometimes such mistakes cannot be corrected
and a patient pays the penalty with his life. It pays to be careful and
"go slow" in the beginning; then there will not be so many mistakes
to correct. We should examine our case carefully and systematically,
select our first remedy and potency with care, give our first dose, if
the single dose is decided upon and then watch results. If the remedy
and dose are right there will be results. We need have no doubt on
that score. The indicated remedy and potency, even in a single dose
cannot be given without some result and the result must be good.
Generally speaking, it may be taken for granted that if there is no
perceptible result after a reasonable time, depending upon the nature
of the case, either the remedy or the potency was wrong.
One of the most difficult things is to learn to wait. Three things

are necessary: wisdom, courage and patience. "Strong doses" and
frequent repetition will not avail if the remedy is not right.
In Par. 245 Hahnemann gives this general rule: "Perceptible and

continued progress of improvement in an acute or chronic disease, is
a condition which, as long as it lasts, invariably counterindicates the
repetition of any medicine whatever, because the beneficial effect
which the medicine continues to exert is rapidly approaching its
perfection. Under these circumstances every new dose of medicine
would disturb the process of recovery."
In the long note to Par. 246, however, which should be carefully

studied, Hahnemann qualifies this statement and indicates the
circumstances under which it is advisable to repeat the doses of the
same remedy, using the action of Sulphur in chronic diseases as an
illustration.
In Pars. 247-8, Hahnemann says: "These periods" (marked by the

repetition of doses) "are always to be determined by the more or less
acute course of the disease and by the nature of the remedy
employed. The dose of the same medicine is to be repeated several
times, if necessary, but only until recovery ensues, or until the
remedy ceases to produce improvement; at that period the remainder
of the disease, having suffered a change in its group of symptoms,
requires another homœopathic medicine." Study also Pars. 249-252.
The single dose of the indicated remedy, repeated whenever

improvement ceases, as long as new or changed symptoms do not

indicate a change of remedy, is adapted to all cases, but especially to
chronic cases and to such acute cases as can be seen frequently and
watched closely. The nature and progress of the disease will
determine under this rule, how often the dose is to be repeated. Cases
may present themselves, however, which cannot be watched as
closely as we would like. We may not be able to visit the patient
frequently, nor remain with him long enough to observe the full
period of remedial action. In such cases it is permissible and indeed
necessary, to order a repetition of doses at stated intervals of one,
two, or three hours, until improvement is felt or seen, or perhaps
until our next visit. In such cases it is well to direct that the medicine
be stopped as soon as the patient is better, giving some simple
instruction to the nurse as to what constitutes a reliable sign of
improvement, according to the nature of the case.
If a patient is so gravely ill as to require doses at intervals of less

than one hour it is the physician's duty to remain with the patient and
judge of his condition and progress for himself, unless he is
absolutely sure of the remedy, or is in telephonic communication
with the case.
Effect of the Remedy. - The next point to be considered under

the general subject of Homeopathic Posology is: The Effect of the
Remedy.
After we have selected what we believe to be the indicated

remedy and administered it in proper potency and dosage, it is our
duty to observe the patient carefully in order that we may correctly
note and intelligently interpret the changes that occur; for upon these
changes in the patient's condition, as revealed by the symptoms,
depend our subsequent action in the further treatment of the case.
The first thing to be determined is whether the remedy has acted

at all or not. If it has not acted, we have next to determine whether
the failure to act is due to an error in the selection of the remedy, or
to the selection of the wrong potency of the remedy. If in carefully
reviewing our symptom-record, we find the remedy rightly chosen,
we change the potency to a higher or lower potency, as
circumstances may require, after a reconsideration of the patient's
degree of susceptibility.

In deciding the question whether the remedy has acted or not, we

must be careful not to be misled by the opinions or prejudices of the
patient or his attendants. Some patients, having all their interest and
attention centered upon some particular symptom which they regard
as all-important, will assert that there has been no change'; that they
are no better, or even worse than they were before they took the
remedy. These statements should be received with great caution and
we should proceed to go over the symptom record item by item with
care. We need not antagonize the patient by gruffly asserting that he
must be mistaken, but may express our regret or sympathy and then
quietly question him as, to each particular symptom. We will
frequently find that the patient has really improved in many
important respects, although his pet symptom (often constipation) is
as yet unchanged.
The action of a remedy is shown by changes in the symptoms of

the patie. Upon the character of those changes depends our further
course of action. A remedy shows its action, 1. by producing new
symptoms; 2. by the disappearance of symptoms; 3. by the increase
or aggravation of symptoms; 4. by the amelioration of symptoms; 5.
by a change in the order and direction of symptoms.
1. An improperly chosen remedy may change the condition of an

oversensitive patient by producing new symptoms not related to the
disease and detrimental to his welfare. These are pathogenetic
symptoms. Their appearance indicates that the remedy is not curing
the patient, but merely making a proving. Discontinuance and an
antidote is demanded.
2. A correctly, chosen remedy given in too low or sometimes too

high a potency, or in too many doses, may cause an aggravation of
the existing symptoms so severe as to endanger the life of the
patient; especially if the patient be a child or a sensitive person and if
a vital organ, like the brain or lungs be affected. Belladonna in the
third or sixth potency, given in too frequent doses in a case of
meningitis, for example, may cause death from overaction; whereas
the thirtieth or two hundredth potency given in a single dose, or in
doses repeated only until some change of symptoms is noticed, will
speedily cure. Phosphorus 3rd or 6th in pneumonia under similar
circumstances may rapidly cause death. The low potencies of deeply
acting medicines are dangerous in such cases in proportion to their
similarity to the symptoms.

The more accurate the selection of the medicine, the greater must
be the care exercised not to injure the patient by prescribing
potencies too low and doses too numerous. Medication should be
stopped on the first appearance of such aggravations. An antidote
should be administered if they do not speedily diminish. The careless
prescriber rarely recognizes such aggravations. When he notices the
symptoms he usually attributes them to the natural course of the
disease or calls it a "complication."
3. A slight aggravation or intensification of the symptoms,

appearing quickly after giving the remedy and soon passing away is
a good sign. It calls for a suspension of medication until the after-
following improvement ceases or the symptoms change again. It is
the first and best evidence of the curative action of a well chosen
remedy.
4. A prolonged aggravation without amelioration and with

progressive decline of the patient is sometimes seen in chronic, deep
seated disease as a result of the over-action of a deeply acting anti-
psoric or anti-syphilitic medicine, given in too high a potency in the
beginning of treatment. If the potency is too high its action may be
too deep and far-reaching, and the reaction too great for the
weakened vital power to carry on. Such remedies as Sulphur,
Calcarea, Mercury, Arsenic and Phosphorus, given in the 50 M. or C.
M., potencies, have sometimes hastened tubercular or tertiary
syphilitic cases into the grave. In beginning treatment of suspicious
or possibly incurable cases it is better to use medium potencies, like
the 30th or 200th and go higher gradually, if necessary, as treatment
progresses and the patient improves.
Very high potencies of the closely similar remedy are merciless

searchers-out of hidden things. They will sometimes bring to light a
veritable avalanche of symptoms which overwhelms the weakened
patient. The disease has gone too far for such radical probing. If the
disease has not gone so far, a long and severe aggravation may
fortunately be followed by slow improvement. That patient was on
the "borderland," with the beginning of serious destructive change in
some vital organ.
In these homeopathic reactions and aggravations we distinguish

between changes occurring in vital organs and changes in
superficial tissues and non-vital organs. When old skin eruptions

reappear, old ulcers break out again, old fistulæ re-open, old
discharges flow again, swollen tubercular glands become inflamed,
break down and suppurate away; old joint pains return; the patient's
heart, lung, kidney, liver, spleen or brain symptoms in the meantime
improving; then we know that both remedy and dose were right and
a true cure is in progress. But if we find superficial symptoms
disappearing and vital organs showing signs of advancing disease,
we know we have failed.
The direction of cure is from within outward, from above

downward and in the reverse order of the appearance of the
symptoms. By this test we may always know whether we are curing
or only palliating a disease. The last appearing symptoms of a
disease should be the first to disappear under the action of a curative
remedy, In sub-acute and chronic diseases it is not unusual for
preceding groups of symptoms to successively reappear as the later
symptoms subside and cure progresses. This orderly change of
symptoms should never be interfered with by repetition of doses nor
change of remedy, so long as it continues. When improvement
ceases or old symptoms reappear and remain without change it is
time to repeat the dose.
5. The change following the administration of a remedy may be a

quick, short amelioration followed by a relapse to the original or a
worse condition. This may be because the remedy was only partly
similar, or insufficient as to dosage; but where this occurrence is
observed several times in succession and lasting improvement does
not follow carefully selected remedies, it means that the case is
incurable. There is not vitality enough to sustain a curative reaction,
and dissolution is, imminent.
6. In functional diseases, or in the beginning of acute organic

diseases, accompanied perhaps by severe pain, the administration of
the appropriate dose of the indicated remedy may be followed by
rapid disappearance of symptoms without any aggravation. This is a
cure of the most satisfactory kind, pleasing alike to physician and
patient. Remedy and potency were both exactly right.
The Law of Dosage. - Summing up the matter, it appears that the

law of dosage is contained in the law of similars, or the law of
equivalents, both of which expressions are merely paraphrases of the
law of Mutual Action, otherwise known as Newton's third law of
motion.

The law might be stated thus: The curative dose, like the remedy,
must be similar in quantity and quality to the dose of the morbific
agent which caused the disease.
Von Grauvogl says: - "The sole and simple question can only be
what quantity of a substance is necessary, in order to induce that
chemical or physical counter-motion in any diseased part of the
organism, which is equal in intensity, and opposite in direction, to
that (motion) which is induced by the morbific cause, in order to
cheek this latter forthwith, or at least to delay it, and then, by
repetition, to remove it?" Stated in this form, the question conforms
to the fundamental principle of homœopathy, Similia Similibus
Curantur, which is a statement, in equivalent terms, of the third law
of motion, "action and reaction are equal and opposite." Grauvogl
goes on to state that "the task is only to discover the equivalent of
motion between the amount of motion excited by the morbid matter,
and the amount of motion which we have to oppose it by some
drug." "For the solution of this problem," he says, "we have the
natural law, according to which the quality contains the measure of
the motion and the counter-motion; and hence, for the purpose of
therapeutics, the right dose must and can be nothing else than that
amount of the indicated quality (or remedy) which is equal to the
amount of the force of the cause of the disease, and qualitatively
runs counter to its course and motions." We possess thus, in the very
dose, or quantity of the morbid cause, the measure for the quantity of
the dose of the drug to be used." (And vice versa.)
At first sight, it might be objected that this leaves us as much in

the dark as before, inasmuch as it does not indicate how we are to
measure the amount of force of the morbid cause. But a little
consideration will show that it does help us, because it suggests that
a measure may be found. Perhaps a measure has been found. Let us
see if this be not so.
Grauvogl is careful to warn us that we must not be misled into

considering the quality of the external morbid cause as the measure
of the dose, because the qualities of an external morbid agent, acting
within the organism cannot be judged by quantities. A quantity or
dose of a morbid substance so small as to be invisible, or
imperceptible in any way except by its effects, might set up an action
of such violent character in quality as to lead us to think the quantity
must have been great. Under such 'circumstances the tendency and

temptation is to give a remedy in doses the size and power of which

correspond to our imagined dose of the morbid cause. In fact this is
what is being done all the time, to the great injury of the human race.
What violent and destructive actions are set up by the introduction
into a wound of an infinitesimal quantity of septic matter from an
imperfectly sterilized instrument! or by a single microscopic morbid
cell or germ; or more remarkable still, by the influence of sudden
violent emotion, purely mental and intangible as to quantity!
How then are we to measure these quantities?
The law of similars or equivalent actions reveals the answer, and

mechanical potentiation according to scale gives the unit of
measurement. The result is obtained by simply reversing our rule of
similars. The real and efficient quantity of the morbid cause
necessary to produce the disease cannot be greater than the quantity
of the medicine necessary to cure it!
This conception, as a logical conclusion, enables us to put the

matter upon an experimental basis and draw further conclusions as to
the size of the dose. In this way we may test our low potencies,
medium potencies, and high potencies, intelligently and logically.
Chemistry has given the clue to the mode of procedure in such

cases, in its mode of determining the unit of measurement.
Chemistry has established, with all the precision of a natural law,
what quantity of acid, for example, is necessary to neutralize and
saturate a given quantity of alkali.
The principle has thus been established in the abstract, but in a

given case where the principle has to be, practically applied, the
chemist, like the homœopathic prescriber, must individualize,
because he has often to deal with an unknown and indeterminate
quantity.
Grauvogl illustrates it in this way: "No chemist," he says, "who

wishes to ascertain how much potash a certain spring contains,
would proceed as if he might assume a given quantity of potash
empirically or traditionally, and forthwith add the quantity of acid
corresponding thereto, necessary for saturation, to the given quantity
of the mineral water; for, to say nothing about such a process as
disregarding all the laws of the art of experiment, he must consider

that, in dry seasons, all mineral waters are relatively richer in solid
constituents than in wet seasons.
"He must, hence, begin with the smallest quantity of acid, highly
diluted and add it, drop by drop, and count every drop till the
experiment is concluded."
Precisely after the same rules of the art of experiment might we

proceed to find the dose in any particular case of disease. It may be
said, however, that in subsequent examinations, the results of the
first experiment might give a general point of departure from which
an approximate determination of the necessary amount in similar
cases, could be had. Thus we might approximately determine, from a
successful experiment with a certain potency of a remedy in a certain
type of individual afflicted with a certain type of disease, the general
value of that potency in its relation to similar conditions.
Actual experiments of this kind often upset preconceived notions,

but the scientific man is always ready to bow to the logic of
experience.
I was taught, for example, that "low potencies acted best in acute
diseases." I accepted that generalization and acted upon it for some
time before I discovered that it was altogether too broad, if not
entirely false. It was not long before I witnessed a cure of an acute
disease by a two hundredth potency so rapid and brilliant that I was
encouraged to put it to the test myself. I succeeded in a number of
cases and then I failed in a certain case. When I reflected upon the
exception and sought for a reason why the high potency had acted in
ten similar cases and failed in one, I found it in the grosser type of
the individual and his lower degree of susceptibility, as well as in the
lower grade of his disease process. He required a grosser, more
material, lower form of a remedy to cure him.
I was taught also that infants and aged persons, being of low
vitality and feeble reactive powers, required low potencies for their
cure. Again I found that the generalization was altogether too broad;
for I have cured the most desperate cases of croup, diphtheria,
cholera infantum, etc., with a few doses of a high potency after they
have been given up to die by those who had been prescribing
tinctures and low potencies without avail; and I have seen as brilliant
curative effects of high potencies in the aged as in the young, when

both the remedy and the potency were indicated. Again we must
individualize. Low potencies will not cure all acute diseases, all
infants, nor all aged persons. Nor will high potencies cure all forms
of disease in all persons. All potencies are required for the cure of
disease, and any potency may be required in any given case.
Main

Chapter XIV - Potentiation and the Infinitesimal Dose - The Genius of Ho... - Lectures and Essays on Homeopathic Philosophy - By Dr Stuart M. CLOSE
Main

Philosophy
Chapter XIV
Potentiation and the Infinitesimal Dose
Homœopathic potentiation is a mathematico-mechanical process
for the reduction, according to scale, of crude, inert or poisonous
medical substances to a state of physical solubility, physiological
assimilability and therapeutic activity and harmlessness, for use as
homœopathic healing remedies.
The primary object of potentiation is to reduce all substances -

designed for therapeutic use to "a state of approximately perfect
solution or complete ionization, which is fully accomplished only by
infinite dilution." (Arrhenius.) The greater the dilution, the higher the
degree of ionization until, at infinite dilution, ionization is complete
and therapeutic activity conditionally greatest.
For the reduction of minerals and inorganic substances and

certain other substances, it employs mechanical trituration of one
part of the substance with nine, or ninety-nine part of pure -
crystalline sugar of milk, according as the decimal or centesimal
scale of dilution is used. This process is continued long enough and
in such a manner as to reduce them to an approximately impalpable
powder, soluble in water. These, and all other soluble substances it
reduces to liquids, or tinctures, which it still further reduces by
dilution with water or alcohol in the same proportions -of drug to
vehicle (one to, nine, or one to ninety-nine) to, any degree
determined upon, recording, numbering each step of the process in
order that the degree of dilution and potentiation of each preparation
may be known.

The resulting products of these operations we known as

"potencies" or "dilutions," bearing the name of the medicine and the
number of the dilution.
Originally all homœopathic remedies were prepared by hand,

using the ancient and time honored mortar and pestle and the
ordinary glass vial. Hand made potencies are still regarded by some
as most reliable; but the products of time saving triturating and
diluting machines, which have been invented and improved from
time to time, are used by the majority of homœopathic pharmacists
or potency makers.
By this process the most virulent and deadly poisons, even the
serpent venoms, are not only rendered harmless but are transformed
into beneficent healing remedies. Substances which are medicinally
inert in their crude natural state, such as the minerals, charcoal, or
lycopodium, are thus rendered active and effective for healing the
sick. Other drugs, more or less active in their natural state, have their
medicinal qualities enhanced and their sphere of action broadened by
being submitted to the process.
Arithmetical enumeration of the particles or proportions into

which potentiation is supposed to divide a given quantity of the drug
is insufficient and misleading. The facts go to show that the result of
the process is not only a division of the matter into particles, but a
series of differentiations and progressions by which successive
reproduction or propagations of the medical properties of the drug
take place. The powers and qualities of the drug are progressively
transferred to the diluting medium. Recognizing this fact, Garth
Wilkinson proposed to call them "transmissions."
Fincke explained the action

and efficiency of infinitesimal
doses by applying the "law of the
least quantity," discovered by
Maupertuis, the great French
mathematician and accepted in
science as a fundamental
principle of the universe. That
principle is stated as follows: "the
quantity of action necessary to
effect any change in nature is the

least possible."
"According to this general

principle," says Dr. Fincke, "the
decisive moment is always a
minimum, an infinitesimal." And
to our therapeutics it will be
perceived that the least possible is
always the highest potency
sufficient to bring about reaction
and effect the cure, provided
always that the selection of the
remedy is homœopathically
correct. "The Law of the Least
Action (Maxima Minimis) appears
Dr Bernhardt Fincke
to be an essential and necessary
complement of the Law of
Similars (Similia Similibus and coordinate with it."
"According to this principle the curative properties and action of

the homœopathic remedy are governed by its preparation and
application; in other words, the quality of the action of a
homœopathic remedy is determined by its quantity. Consequently,
the law of the least action must be acknowledged as the posological
principle of homœopathy."
Potentiation and the minimum dose is a subject upon which it is

exceedingly easy to form hasty and incorrect notions-no, subject in
homœopathy more so. It is one of those subjects upon which the
average medical mind seems to have a peculiar natural bent for
forming opinions without due knowledge and examination in one
word, prejudice. It may be said, however, that when the philosophy
of homœopathy is understood, and its method of selecting the
curative remedy has been mastered, decision as to the matter of the
dose may be left safely to individual judgment, based upon
observation and experience. The whole range of potencies is and
should be open to every man. The beginner need be no more afraid
of a thirtieth potency than of a third when he has decided upon the
similar remedy; for be may be sure of this - neither will cure if not
indicated. No one can make up his shortcomings as an accurate
prescriber by increasing the size or frequency of his doses.
The idea of potentiation, or dynamization, as it is sometimes

called, did not, like Minerva, spring "full armed and grown from her
father's brain;" nor was the idea, like Minerva, "immediately
admitted to the assembly of the gods." It was a gradual growth, a
development. In some other respects, however, the idea was like
Minerva. "The power of Minerva," we are told, "was great in
heaven; she could hurl the thunders of Jupiter, prolong the life of
men, bestow the gift of prophecy and was the only one of all the
divinities whose authority and consequence were equal to those of
Jupiter."
The greatest and keenest minds in homœopathy, the minds which

have possessed insight in the highest degree, have always recognized
the vital, importance and fundamental relation of the doctrine of
potentiation to homœopathy It is at the same time the most vital and
most vulnerable part, the very heart of homœopathy
To quote only one of many authors, Prof. Samuel A. Jones of

Ann Arbor: As long ago as 1872, when editor of the American
Homœopathic Observer, he wrote these prophetic words, which have
since been literally fulfilled. "Let us guard our homœopathic heritage
most jealously. The provings on the healthy, the simillimum as the
remedy, the single remedy, the reduced dose, may be and will be
filled from us one by one and christened with new names to bide the
theft. What will become of homœopathy? It will live, despite them,
in Hahnemann's posology. The very infinitesimals which many are
so ready to throw away are all that will save us."
This is only the recognition that in its highest aspects, the doctrine
and the fact of potentiation is one of those "mysteries of the faith"
which have ever been the strength and at the same time the
weakness, of every great church or school of thought; the strength
because in their highest and broadest reaches they exercise the
highest powers of the human mind; the weakest because they are the
most liable to misunderstanding and perversion.
We may always rely upon our enemies to discover and attack the
most vital and weakest part of our defenses, The proof of this
statement lies in the fact that the doctrine of potentiation and the
infinitesimal dose has always been the central point of attack -upon
homœopathy by its enemies.
Homœopathy was not created by the discovery of the law of

similars. Many before Hahnemann, from Hippocrates down, had

glimpses of the law, and some had tried to make use of it
therapeutically; but all had failed because of their inability to
properly graduate and adapt the dose. The principle of similia was of
no practical use until the related principle of potentiation and the
minimum dose was discovered; and that was not until Hahnemann,
anticipating by a hundred years the modern conceptions of matter
and force, hit upon the mathematico-mechanical expedient of
preparing the drug by dilution according to scale in a definite
proportion of drug to inert vehicle. Homœopathy became practicable
at the moment that discovery was made and not before. But for that
Hahnemann would have progressed no further than Hippocrates.
The tremendous scope and importance of his invention did not

dawn upon Hahnemann at once. For a number of years in his original
medical practice be had used drugs in the usual form and in ordinary
doses. But as soon as he began applying medicine in such doses
under the newly developed homœopathic principle, he found that
aggravation and injury followed their use. Naturally this led him to
reduce the size of the doses.
"Naturally," we say, although no one up to that time had ever

thought of so simple and apparently obvious an expedient to
overcome the obstacles to successful homœopathic practice. Finding
that he obtained better results he continued to reduce the dose.
Hahnemann's idea at first was simply to reduce the "strength" or

material mass of his drug, but his passion for accuracy led him to
adopt a scale, that he might always be sure of the degree of reduction
and establish a standard of comparison. Under certain conditions he
found, perhaps to his surprise, that instead of weakening the drug he
was actually increasing its curative power. In reducing the density of
the mass he perceived that he was setting free powers previously
latent, and that these powers were the greatest and most efficient for
their therapeutic purposes, when the remedy so prepared was applied
under the principle of symptom similarity.
Struck by the idea of the development of latent powers through

what he had at first considered merely as dilution, he ceased calling
the process "dilution," and named it "potentization" or
"potentiation," which it truly is - a process of rendering potent, or
powerful, that which was previously impotent.

Familiar to all is the trend of modern scientific thought away

from the crudely materialistic notions of the early physical scientists,
toward a higher conception of the constitution of matter.
Describing his conception of the nature and constitution of

matter, Sir Isaac Newton quaintly said: "It seems probable to me that
God in the beginning formed matter in solid, massy, hard,
impenetrable, movable particles, of such sizes and figures, and with
such other properties and in such proportion to space as most to
conduce to the end for which he formed them; even so very hard as
never to wear or break in pieces; no ordinary power being able to
divide what God Himself made one in the first creation."
To Newton, light consisted of a perfect hail of these minute

material atoms thrown off from the light producing body. In the
exercise of his scientific imagination he saw these little particles of
matter flying off in every direction at incredible speed.
Later came the conception of the luminiferous ether. Physicists

think now of a ray of light as the pulsation or vibration of an
intangible substance which acts like a solid, but which let's ordinary
matter pass through it without interference.
The marvels of electricity as developed in such inventions as the

dynamo, the electric motor, the electric light, the telegraph and
telephone, and later the X-Ray and the wireless telegraph and radio,
have done much to incline men toward the acceptance of a more
spiritual interpretation of the universe. He who accepts without
question the operations of this invisible, intangible force, the real
nature of which no man knows, to say nothing of the phenomena of
radio-activity, gravitation and chemical affinity, should not stumble
over the homœopathic high potencies which he may make and
demonstrate for himself any day.
Carl Snyder, in "New Conceptions in Science," points out how

many advances in science and the arts have been made possible by
the discovery of a new mechanical appliance. That homœopathy was
thus made possible has not heretofore been recognized.
Snyder says:-"The phrase, 'mechanical appliance' is used broadly,

as including all that may contribute to exact measurement and to the
extension of our primitive, senses in any direction. In this sense the

calculus, or the reactions of the chemists test-tube must be reckoned

as mechanical no less than the thermometer, the microscope or the
balance, It also includes such aids to calculation as the use of the
zero (or more, strictly speaking, a decimal system of counting);
algebra, the, inventions of fluxions, logarithms and the slide rule."
"We have all heard the story of how Archimedes detected the
alloy in King Hiero's crown; how a certain weight of gold had been
given by the King to an artificer to make over into a crown; how the
King, suspecting a cheat, asked his friend Archimedes if he could tell
whether base metal had been out in with the gold; how Archimedes,
sorely puzzled, stepped one day into his bath, observed how the
water ran over, forgot everything and ran home naked through the
streets of Syracuse shouting, Eureka!
"Archimedes' discovery was simply this; that a body in water

displaces a quantity of water of equal weight, and not according to its
bulk, as one might believe at first thought. With it he established the
idea of specific gravity.
By this he not only exposed the tricky goldsmith, but was led to
all sorts of investigations, and finally to the discovery of the Lever."
In a similar way Hahnemann, groping about in his study of the

action of homœopathic drugs on the healthy human organism,
perplexed by the aggravations resulting from ordinary doses, seeking
to find a dose so small that it would not endanger life and desiring to
accurately measure his degree of dilution so that he might repeat or
retrace his steps, invented or adopted the centesimaI scale of
mensuration. Immediately he found ready to his hand the means of
solving the problem in which so many others before him had failed.
He had devised a process, simple in the extreme, by which, with

nothing but a mortar and pestle, a series of small glass vials and a
small quantity of sugar of milk, or of pure water or alcohol, he could
not only modify toxic substances so that they were rendered
harmless without destroying their curative powers, but develop and
measure the inherent, latent medicinal energy of inert substances to
any extent desired.
Substances which were entirely inert (physiologically or

pathogenetically) in their natural state, such as the minerals, charcoal

and lycopodium were by the newly invented process of trituration,

solution and subsequent liquid potentiation, developed into
medicines of remarkable power.
Homœopathy, as a practical art, thus became possible and

Hahnemann passed on, leaving Hippocrates, Galen and all the other
competitors in the race far behind.
And this was all brought about by the invention of a simple

mathematical scale of measurements. It is so simple that only very
few, even yet, begin to grasp its tremendous significance. 'One of the
greatest physicists who ever lived, after reflection upon it, said that
the Hahnemann theory of potentiation would ultimately lead to an
entirely new conception of the constitution of matter. And so it has.
Newton's "hard, massy, material atom" and even the atom of later
physicists, is no more as an ultimate conception. It has given place to
the immaterial electrical corpuscle, or electron, infinitely smaller and
more active than the atom.
Historically, homœopathic potentiation is a development of very

old and very common pharmaceutical processes. The mortar and
pestle are as old as medicine. Minerals and inorganic substance are
commonly prepared for therapeutic use by methods not only closely
analogous, in its first stage, to the homœopathic method, but having
their origin in the same fundamental necessity; namely, the necessity
for rendering such substances soluble, capable of being taken up by
the absorbents and appropriated by the sentient nerves of the living
organism. Metals like mercury, lead and iron are entirely inert
medicinally until they have been submitted to some process, physical
or chemical, by which their mass is broken up and rendered soluble,
and their latent medicinal energy thereby set free. It matters not by
what name we call such a process, it is essentially a potentiation; and
homœopathic potentiation is nothing more or less than a physical
process by which the dynamic energy, latent in crude substances, is
liberated, developed and modified for use as medicines.
Hahnemann, recognizing that the therapeutic action of a drug is

the direct opposite of its physiological or toxic action, saw the
possibility and necessity of extending this process, by perfectly
simple, reliable and accurate means, so that it shall not only release
the latent energy, but render it available for the higher purposes of
healing by depriving it of its destructive or toxic action, while at the
same time developing its purely therapeutic qualities and broadening

its field of action.
It is perhaps not quite fair to, imply that the dominant school has
not recognized such a possibility. That it has done so is evidenced by
its, attempts to prepare certain morbid products, mostly of animal
origin, for use as therapeutic agents by submitting them to a
biological process which may be regarded as somewhat analogous to
homœopathic potentiation. I refer to the processes by which the
various serums and vaccines are prepared. The old time vaccination
in which the patient was inoculated directly with the so-called
"humanized" vaccine virus, represents its first attempt in this
direction. So many evils arose from the practice that it was soon
discontinued, and the more modern method devised. By this method
an animal, usually a calf, was inoculated with pus from a fully
developed human smallpox pustule. After the ensuing disease thus
set up in the animal had developed, serum or pus from one of the
resulting pustules was again inoculated into another healthy animal
to undergo the same or similar organic modifications. This process
having been repeated a varying number of times, through a series of
animals, the final product was used to inoculate human beings. With
many technical modifications and extensions this is essentially the
process used to-day in the preparation of the sera and vaccines.
The basic idea is to so modify a primarily virulent animal virus,

toxin, or other pathological product, that it may be used safely for
therapeutic or prophylactic purposes. In that respect it may be
regarded as a crude analogue or imitation of homœopathic
mechanical potentiation.
Considered as a technical process such a method is highly

objectionable because it involves so many uncertainties. The living
organism is an infinitely complex thing, when we consider the
almost innumerable mechanical, chemical and vital processes going
On within its constantly changing fluids and solids. Many of these
processes are very imperfectly understood. There are no means of
accurately registering and measuring all these activities; no means of
determining exactly what these changes am; nor how My are
modified by the introduction of the foreign morbid substance used.
In comparing this method with the Hahnemann process it is only

necessary to point out:

1. The Hahnemannian process is purely

physical, objective and mechanical.
2. It does not involve any uncertain,

unseen, unreliable nor unmeasurable
factor. Its elements are simply the
substance or drug to be potentiated, a
vehicle consisting of sugar of milk,
alcohol, or water, in certain quantities
and definite proportions; manipulation
under conditions which are entirely
under control and so Ample that a child
could comply with them.
3. The resulting product is stable, or

may easily be made so; in fact it is
almost indestructible; and the
experience of a century, in its we under
homœopathic methods and principles
has proved it to be efficient and reliable
in the treatment of all forms of disease
amenable to medication.
4. The process is practically illimitable.

Potentiation of medicine by this method
may be carried to any extent desired or
required.
To argue about a question which can be settled promptly by the

actual test of experience is a waste of time and energy, for nothing is
gained by it and we must come to the test of experience in the end.
To rehearse the theories, speculations, mathematical computations,
illustrations from analogy and comparisons with similar processes
used in the allied arts and sciences, put forth by authors and
disputants in discussing the pros and cons of the potentiation theory
since it was first propounded by Hahnemann, might be interesting to
some, but probably no one who has allowed himself to become
prejudiced against homœopathic high potencies would be convinced
by all the arguments thus stated.
But when a sincere investigator sees an expert examine and

prescribe for a case under the methods and principles taught in the

Organon and witnesses the therapeutic effects of the various

potencies, he has seen a demonstration which he can repeat for
himself until he is convinced that Hahnemann was right when he
said; (par. 279) "Experience proves that the dose of a
homœopathically selected remedy cannot be reduced so far as to be
inferior is strength to the natural disease and to lose its power of
extinguishing and curing at least a portion of the same, provided that
the dose, immediately after having been taken, is capable of causing
a slight intensification of symptoms of the similar natural disease."
The results of the use of potentiated medicines have led careful

students of the principles and conscientious practitioners of the
methods of homœopathy, to gradually rise in the scale of potencies
until many have come to use most frequently the higher potencies.
This is because they are found to act more gently, more deeply, more
rapidly and more thoroughly than the crude drug or the low
dilutions, in the great majority of cases; and because it is impossible
to cure certain forms of disease without them.
We have already seen how the idea of potentiation was made

practical by the invention of what was essentially a new mechanical
appliance, the centesimal scale of mensuration, just as the
mechanical performance of the mathematical processes of addition,
subtraction, multiplication and division was made possible by the
invention of the slide rule.
Unfortunately, when this discovery was first announced, attention

was immediately focused upon the subject of quantity, rather than
upon quality, proportionality and the laws of relation, under which
homœopathic medicines act. Objectors at once began to make
arithmetical calculations of the quantity of the original drug to be
found in the various potencies and to be staggered by the size of the
denominators of the vulgar fractions which were, supposed to
express that quantity. To arithmetically express the fraction of the
original drop of the "mother tincture" contained in one drop of the
thirtieth centesimal potency requires a numerator of one, over a
denominator of one, with sixty ciphers added!
That such an infinitesimal quantity of medicine could have any

effect was for some, unthinkable. Thus, merely because of a seeming
improbability, based upon a priori reasoning, without experiment,
Opposition to the new doctrine arose.

It never occurs to such minds to study the laws of relation, nor to

ascertain experimentally whether such a potency really does act
when brought into proper relations with the living organism. They
refuse to submit it to the actual test of experience. To a scientific
mind such an objection is not worthy of consideration. The objection
of "improbability" in matters of fact is always childish. On such
grounds every notable invention of the last century would be
rejected. What more improbable than the assertion that a man, sitting
in his office, could audibly converse with his friend three thousand
miles away across the continent? But there stands the telephone on
his desk ready for the demonstration.
The efficiency of homœopathic potencies is not to be determined

by calculation, but by actual trial upon the living organism. If one
desires to be convinced that there is power in the thirtieth potency of
Arsenic, let him put ten drops of it in a half pint of water and begin
taking tablespoonful doses of it every three hours. Convincing proof
of its power will be experienced inside of three days.
To the mind of the mathematician, the astronomer, or the modern

physicist, accustomed to think in the terms of the infinitesimal, such
quantities present no difficulties, but to the unscientific mind, with
its crude conception of the constitution of matter, they are
unthinkable and incredible. It did not occur to the objectors to view
the subject from the standpoint of the laws of relation under which
such powers and quantities act, nor would their prejudices permit
them to submit the matter to the simple test of practical experiment
by which it could have been settled at once. Homœopathy, therefore,
almost from the beginning, found its progress opposed by a prejudice
based merely upon a seeming improbability.
The discovery of spectrum analysis, which revealed the presence

of the drug as far as the twelfth centesimal potency, lent to the
infinitely small quantities a significance not yet fully recognized in
its bearing upon homœopathy; but even this, while it confirmed the
fact of the presence of the drug, could not explain the relation of
imponderable substances to the living organism.
The fact, as pointed out by Ozanam, is that Hahnemann, by his

discovery of potentiation, raised homœopathy; to a level with, other
natural sciences, since he created for it a method which is analogous
to the infinitesimal calculus of mathematics, upon which is based the

atomic theory of chemistry. It illustrates and harmonizes with the

"theory of the interatomic ether of space;" the "theory of the radiant
state of matter," the theory of the electric potential of present day
physics, and with the chemico-cellular theory of physiology and
pathological anatomy. It agrees with modern bacteriology in its
explanation of the action of pathogenic micro-organisms as being
due to the infinitesimal quantities of their secreted poisons. It is, in
harmony with the latest conclusions of modern psychology.
Von Grauvogl has shown that "the absorption of inorganic

substances by the living organism regulates itself chiefly according
to the organic need, hence such substances are taken into the
organism only in very small quantities and is soluble form. Iron
offers a good illustration. The physiological school found by
experience that the natural Chalybeate springs were most efficacious
in chlorotic-anæmic conditions, and yet the very strongest of these
contains less than a grain of iron in sixteen ounces of water." In these
later days, dependence is largely placed in so-called "organic iron"
preparations derived from certain plants which contain very much
less iron, and that existent in a highly vitalized or colloidal state.
A blood cell among its other necessary constituents, contains a

part or proportion of chloride of calcium which requires for its
arithmetical expression a decimal of twenty-two places,
corresponding to the eleventh centesimal potency. We are reminded
by this of the remark of the celebrated physiologist, Valentin, who.
said; "The extreme minuteness and the immense quantity of the
ultimate elements, everywhere engage our attention. The smallest
image observable by the eye originates in millions of atmospheric
vibrations. A grain of salt hardly large enough to taste, contains
billions of groups of atoms, which no mortal eye can ever grasp.
Nature works everywhere with an infinite multitude of infinitely
small magnitudes, which become appreciable to on comparatively
dull senses in their ultimate masses only."
Baron Liebig, the celebrated chemist, denied and attempted to

controvert homœopathic principles, especially the doctrine of
potentiation, saying that it was absurd to suppose that decreasing
quantity would increase efficiency. But when he found that common
salt does not become suitable as a function remedy until attenuated
in fifty times its own weight of water, he in fact potentiated it as
Hahnemann did. Liebig contradicted himself many times on this
subject in his writings. In his Chemical Letters, be says: "the

heaviest manuring with the earthy phosphates and coarse powder

can hardly be compared, in its effect, with a far smaller quantity on a
minutely divided state, for, from this latter, we have the effect that a
particle of manure is to be found in all parts of each small bit of soil.
A single root-fibre requires infinitely little from the ground which it
touches, but it is necessary, for its function and its existence, that this
minimum should he present at the very spot."
Even the soil itself can only receive and yield its chemical
constituents in the form of a solution. As Liebig says, "If rain water,
which contains ammonia, potash, phosphoric acid, silicic acid, in a
state of solution, is brought into contact with the soil, then these
substances leave the solution almost at once; the soil appropriates
them from the water. If the soil did not possess this property, then
these three chief nutritive substances could not be kept in the earth."
Thus, Liebig, the great opponent of homœopathy, gives

involuntary testimony to the truth of the doctrine which specially
excited his ire. Similar testimony abounds in all departments of :
science down to the present day.
The Relation of Inorganic Substances to the Living Organism.

- Chemistry and physiology teach that many inorganic :substances
enter into the composition and structure of the living organism, and
that the ordinary and normal source of these substances, as
proximate principles, is the food and drink, and the air and light
which we take to supply the processes of growth, nutrition and
repair. These processes depend upon the vital functions of
respiration, absorption, circulation, digestion, assimilation, secretion
and excretion.
The inorganic elements or substances, with the exception of air,

water and light, are not appropriated directly from the inorganic
realm, but indirectly or immediately through the vegetable kingdom;
or, once further removed, through the animal kingdom. The animal
organism cannot assimilate inorganic substances in their natural
state. They must first be modified; raised to a higher plane of
existence, as it were; rendered more similar or assimilable to the
substance of the animal organism, before they can be appropriated.
In other words they must be potentiated, dynamized or vitalized-that
is, raised to the plane of life by passing through the intermediate
vegetable kingdom. Homœopathic potentiation is an artificial
method of accomplishing this and for therapeutic purposes.

The living organism, vegetable or animal, can only assimilate that

which is similar to itself, that is, similar to the elements of its own
structure. The entire process of growth and assimilation, as it
progresses from lower to higher forms, is simply like appropriating
like; whether it be the blade of grass appropriating the molecule of
silica, the ox appropriating the blade of grass, or man appropriating
the flesh of ox in the form of juicy beefsteak. Even the blade of grass
can only assimilate the silica in the form of silicic acid, which is
practically silica dissolved in rain water! These processes represent
natural physiological or organic potentiation. Air and light being
imponderable, and water being fluid, or semiponderable, represent
an intermediate scale of natural potencies. We can hardly call them
high potencies, because there are so many other potencies in nature's
realm of finer forces that are so much higher. They are high enough,
or far enough removed from the grosser forms of inorganic
substances, however, to be assimilable by the living organism and
are rendered so by a sort of natural potentiation. We may get some
idea of the relative importance of these degrees of potentiation to the
living organism by recalling that a man may live forty days without
food; he may live five to ten days without water, but he cannot live
ten minutes without air.
Between each of the four realms of nature, mineral, vegetable,

animal and spiritual, there is a chasm to be bridged; so that the
representative organism of each realm consists of what might be
called the machinery necessary for transforming the material of the
next lower realm into the likeness of its own substance.
In all these transmissions, transformations and progressions the

operation of the principle of similia is discernible. We also see the
operation of the law of potentiation, for each step or degree of
advance from a lower to a higher form or state of existence is, in
reality, a potentiation-a development of the inherent powers and
qualities of the elements. Under the transforming power of life in the
blade of grass the inert molecule of silica is raised from the inorganic
to the organic realm and itself becomes living matter. The forces
which were latent in the inorganic become active and radiant in the
organic. Gravitation, cohesion and chemical affinity, which held the
silica in their grasp, yield to the chemistry of life. And so, when the
succulent blade of grass is eaten, digested and assimilated by the
sheep or the ox, or when the nourishing grain, or vegetable or fruit is
assimilated by man; the process of transformation from the lower to

the higher is always essentially a potentiation, ruled by similar and

mediated by the infinitesimal. Thus, what we call "dead" or
inanimate matter, by potentiation becomes living matter; for every
particle of inorganic substance assimilated by the living organism is
no longer dead but alive, and subject to the laws of life.
In a similar way, substances which in their natural state are

unassimilable by the living organism, Eke the minerals, or
substances which are toxic or destructive, are by homœopathic
mechanical potentiation, rendered in the one case soluble,
homogeneous and assimilable, and in the other case, not only
harmless, but actually beneficent for the purpose of healing, when
prescribed homœopathically. They become to the diseased organism,
what food is to the healthy organism; that is, reconstructive, in that
they supply an organic need, restore order and harmony to
disordered functions and permit a resumption of normal functioning.
The Scientific Foundation of Potentiation. - The researches of

modern physical science have confirmed in a remarkable manner the
century old teaching of Hahnemann in regard to, the divisibility of
matter and the power of the infinitesimal in medicine.
When Hahnemann first announced cures of disease by extremely

small doses of medicine, his statements were received with
incredulity and ridicule. Such a course of procedure was contrary to
prevailing custom and belief. It did not avail to point out that the
cures so effected were made by single remedies, instead of mixtures
in common use; that the remedy for each case was selected under the
guidance of a new principle in medicine; and that the remedies were
prepared by a new process, by which their curative powers were
conditionally greatly increased. Hahnemann's appeal to the medical
profession to test the new method and publish results to the world
was met by active opposition. He was forbidden to practice and was
driven from his home by relentless persecution. The opposition
begun at that time has never ceased, and the doctrine and practice
have bad to make their way against obstacles that would have been
insurmountable to any but men who were firmly convinced that they
were standing for a great and precious truth.
The use of the infinitesimal dose in homœopathy was the

outcome of experience, but as a doctrine, it has its foundation in the
truth embodied in the modern scientific theories of the conservation
and energy and the indestructibility of matter.

In the doctrine of the conservation of energy physical science

teaches that the sum total of the energy of the universe neither
diminishes nor increases, though it may assume different forms
successively. Physics, in the law of the conservation of matter,
teaches that matter, as such, is indestructible and that the total
quantity of it in the universe remains the same, regardless of the
innumerable transformations and permutations constantly taking
place in its component elements.
Mathematically, no limits can be assigned to the divisibility of

matter. It is impossible to reach a division so fine as to be incapable
of further sub-division. The smallest conceivable part will always
contain some of the original substance and consequently some of its
powers and qualities. It cannot possibly become nothing.
Practical experience with homœopathic high potencies in the

treatment of the sick confirms these fundamental postulates of
science. The highest potencies ever made by the Hahnemannian
process of dilution, or by any modification of that process, have
'been shown to be capable of bringing about a curative reaction in
the sick, when the remedy was homœopathic to the case.
Hahnemann taught, over a century ago, that "the effect of a

homœopathic dose is augmented by increasing the quantity of liquid
in which the medicine is dissolved preparatory to, its
administration." Recent scientific study of solutions, in working out
in the laboratory the theory of dissociation of molecules, has verified
the observation, and confirmed and amplified the theory of
Hahnemann.
According to the later theory of the dissociation of molecules a

chemical when dissolved is dissociated into parts smaller than the
atoms of which it was composed. These particles are called ions. It
has been proved that the more dilute the solution, the greater the
number of ions and the fewer the atoms. Complete ionization and
absolute dissociation are possible only in infinite dilution.
The following statement was made for the author by Mr. J. D.

Burby, Chemist of the Electrical Testing Laboratories of New York.
"The theory of electrolytic dissociation or, simply, the ionization

theory, was proposed in its completed form by Arrhenius to explain

irregularities in the osmotic behavior of certain substances, notably
inorganic acids, bases and salts. The theory is briefly that:
"All substances belonging to the class

which in water solution conduct
electricity are, upon being dissolved in a
dissociating solvent, dissociated into
ions." Such substances are called
electrolytes. It is to be particularly noted
that the passage of an electric current
through such a solution is not the cause
of the dissociation, but rather, that
dissociation takes place when the
substance goes into solution, and it is
because the solution contains the ions
that it will conduct electricity.
Regarding the quantitative side of the theory, it need only be said

that the degree of dissociation or ionization is a function of the
dilution. The greater the dilution is the greater the degree, of
ionization, until at infinite dilution ionization is complete.
Further, the reactivity of electrolytes in dilute solution is

measured by the degree to which they are ionized. Each substance
has the property of dissociating to a definite extent when, the
solution has a certain concentration. Thus if equi-molecular solutions
of hydrochloric, nitric, sulphuric and hydrofluoric acids are
compared as regards the speed of reaction with a second substance, it
will be found that the order in which they stand in this respect will
be a measure of the degree to which they are ionized.
It would seem from this that the velocity of all reactions, between
electrolytes is greater, the greater the dilution and this is so with
certain restrictions. Theoretically, the relative reactivity is greatest at
infinite dilution because then the degree of ionization is greatest.
Practically, however, there is a limit to this, because, after a certain
degree of dilution has been reached, the actual reactivity becomes
too small to be of moment.
It should be further noted that the ionization theory applies'

particularly to inorganic acids, bases and Salts, and that most organic

compounds are very little dissociated, as we understand dissociation.

Also, other solvents than water act as dissociating solvents, and
among others may be mentioned liquid ammonia, liquid sulphur
dioxide, and certain organic solvents."
In chemistry a molecule is defined as the smallest part of a.

compound substance that can exist separately and SEA retain its
composition and properties; the smallest combination of atoms that
will form a chemical compound.
In physics, the structural unity (molecule) is distinguished from

the atom, and applied to particles of gases in the kinetic theory,
independently of their relation to the chemical molecules.
Lord Kelvin illustrates the size of a molecule as follows:
"Imagine a rain drop or a globe of glass

as large as a pea, to be magnified up to
the size of the earth, each constituent
molecule being magnified in the same
proportion. The magnified structure
would be coarser grained than a heap of
small shot, but probably 'less coarse
grained than a heap of cricket balls."
The smallest material thing in the world, the last in the series of
little things known to modern science, is the electron, or electric
corpuscle. It is supposed that the chemical atoms are composed of a
collection of electrons having orbital motions in a sphere of positive
electrification. The electron is conceived to be billions of times
smaller than the atom. A French scientist compares the electrons in
the atom to gnats in the dome of a cathedral.
It was formerly supposed that the atom was the smallest

component part of matter. For a long time the atom had only a
theoretical existence, its existence being assumed in order to account
for the chemical combinations which take place between different
elements in certain proportions. Even the ultra-microscope, which
enables us to see and count particles of gold in ruby glass averaging
six millionths of a millimeter in diameter, failed to reveal the atom.
It remained for Rutherford, studying radium with his electroscope to
identify and count individual atoms. Zeeman of Amsterdam,

studying light through the spectroscope, split the spectral line of a

flame, by holding the flame between the poles of a powerful electro-
magnet, proving that light is an electric phenomenon, and showing a
close relation between the activities of atoms and the origin of light
itself.
Langley of the Smithsonian Institution invented the bolometer,

which measures variations of temperature of one hundred millionth
of a degree. This represents a change of temperature about equal to
that produced by a candle five miles distant.
Light, traveling through space at the rate of 186,000 miles per

second, has been found to exert a distinct push or pressure. Hence,
radiation, the force opposed to gravitation, must be considered in
studying the movements of matter in a state of infinitesimal
subdivision. This pressure force is measured by the radiometer,
invented by two American physicists, Professors Nichols and Hull. It
is used in connection with the bolometer, in measuring the rays from
radioactive substances.
Pfund, of Johns Hopkins University, in 1913 perfected a still

more sensitive instrument said to be capable of measuring a degree
of heat equivalent to that given off by a candle sixty miles away.
Finally, ether, the all pervading, space filling entity, is regarded as

something which is neither matter nor energy, but which serves as
the medium through which both matter and energy are transmitted.
Science regards the ether as an intangible or immaterial substance,
which acts like a solid, but which allows ordinary matter to pass
through it without resistance or disturbance. When it is caused to
vibrate at a certain speed or rate it becomes visible as light. Light is
defined as "an electro-magnetic disturbance of the ether." Ordinary
light is defined as "the result of electric oscillation (or vibration) in
the molecules or atoms of hot bodies, or sometimes of bodies not hot-
as in the phenomena of phosphorescence:'
Sir Oliver Lodge says, "the waves of light are not anything
mechanical or material, but are something electrical and magnetic
they are, in fact, electrical disturbances periodic in space and time,
and traveling with a known and tremendous speed through the ether
of space. Their very existence depends upon the ether, their speed of
propagation is its best known quantitative property."

Speaking of the ether, Lodge says:-"the ether has not yet been
brought under the domain of simple mechanics-it has not yet been
reduced to motion and force, and that probably because the force
aspect of it has been so singularly elusive that it is a question
whether we ought to think of it as material at all." * * *
"Undoubtedly, the ether belongs to the material or physical universe,
but it is not ordinary matter. I should prefer to say it is not 'matter' at
all. It may be the substance or substratum, or material of which
matter is composed but it would be confusing and inconvenient not
to be able to discriminate between matter on the one hand and ether
ort the other." He further says,-"we do not yet know what electricity
is, or what the ether is. We have as yet no dynamical explanation of
either of them; but the past century has taught us what seems to their
student in overwhelming quantity of facts about them, And when the
present century, or the century after, lets us deeper into their secrets,
and into the secrets of some other phenomena now in course of being
rationally investigated I feel as if it would be no merely material
prospect that will be opening on our view, but some glimpse into a
region of the universe which science has never entered yet, but
which has been sought from far, and perhaps blindly apprehended,
by painter and poet, by philosopher and saint." (Lodge-The Ether or
Space.)
As a summary of present knowledge, Sir Oliver defines the ether

of space as "a continuous, incompressible, stationary, fundamental
substance or perfect fluid with what is equivalent to an inertia-
coefficient of 1012 grammes per c.c.; that matter is composed of
modified and electrified specks, or minute structures of ether, which
are amenable to mechanical as well as to, electrical force and add to
the optical or electric density of the medium; and that elastic-rigidity
and all potential energy are due to excessively fine grained ethereal
circulation, with an intrinsic kinetic energy of the order 1033 ergs per
cubic centimeter."
A. Wilford Hall, Ph.D., LL.D., Founder of the Substantial

Philosophy, in The Problem of Human Life, had proved logically as
early as 1875, that all the fundamental forces of the universe,
including life, electricity and the ether of space are substantial
entities, incorporeal, intangible and invisible, but capable of being
perceived, measured and weighed.
Modern science has practically accepted this conclusion, for

today we have Sir Oliver Lodge, the greatest living correlator and
interpreter of the facts of science, defining the ether of space, as the
most tenuous and refined substance known to science, and
submitting mathematical computations of its physical properties.
Having anticipated the theory and conclusions of the chemist and

physicist by clinical experience with high potencies in the treatment
of the sick, the followers of Hahnemann are in a position to
maintain, with authority, that the curative power of a drug is not lost
when it is diluted to such a degree that a dose represents an amount
of actual drug substance so small as to be practically an unassignable
quantity - in other words, an infinitesimal quantity.
But the doctrine of Potentiation and the Infinitesimal Dose has

another important application in medicine.
Fincke (On High Potencies) says: "Disease originates in the

specific action of noxious matter which is either produced within the
organism, or brought in from without, and it is always carried on by
a process of assimilation."
"Assimilation, everywhere, is accompanied by potentiation; by

rendering the infinitesimal particles of matter susceptible and active,
according to their inherent affinities."
"As homœopathic remedies are obtained by potentiation, that is

by comminuting and refining drug matter, by means of a vehicle
easily assimilable; so nutritious matter appears to stand (act) as the
vehicle in the natural potentiation of those noxious materials which
the organism itself prepares as remedies for its own self
preservation" (antitoxins, antibodies, etc.)
"As the whole organism draws upon digestion, as the source of its
nutrition, so every part and particle of the organism draws upon the
various materials successively worked out by the different processes
of animal chemistry for its own proper nutriment, and assimilates
them for its own particular use and subsistence. Thus, the lacteals
draw upon the chyle prepared by digestion; the lymphatics upon the
transudation of the capillaries, the blood upon the fluids of either of
these; and the nerves upon the blood."
"Those parts of the organism which do not satisfy their wants are

requirements by this intra-organic nutrition alone, assimilate from

the outer world whatever is necessary, not only for their own
existence, but also for their co-operation with others and for the self-
preservation of the organism. Thus the blood assimilates oxygen
from the air; the eye, light; the ear, sound; the nose, olfactory matter;
the tongue, gustatory matter; the brain and nerves, phosphorus, etc.;
the mind (thought or) the operations of other minds by means of the
senses, and so on; the organism continually assimilating from the
Planet and the Universe as long as it lasts. Consequently the whole
organism is the product of assimilation of matter, and its action is
the result of potentiation of matter. And so is disease. And so is
health. And so is all life."
"The hypothetical ether is, possibly, infinitesimal comminuted

matter, forming, as it were, the reservoir of the high potencies
required for the Universal Assimilation or Homœosis, which is
continually going on and mediating all life in the world."
These words were written

prior to 1865-more than fifty
years ago. Does it not increase
our respect and reverence for our
Dr. Fincke as a philosopher to
find Sir Oliver Lodge, the
foremost philosopher and
scientist of Great Britain,
substantially endorsing his views
in his work, "The Ether of
Space," published in 1909?
Lodge says:-"The question is

often asked, is ether material? Dr Bernhardt Fincke
This is largely a question of
words and convenience. Undoubtedly, the ether belongs to the
material or physical universe, but it is not ordinary matter. I should
prefer to say it is not "matter" at all. It may be the substance or
substratum of material of which matter is composed, but it would be
confusing and inconvenient not to be able to discriminate between
matter on the one hand and ether on the other. If you tie a knot on a
bit of string, the knot is composed of string, but the string is not
composed of knots. If you have a smoke or vortex ring in the air, the
vortex ring is made of air, but the atmosphere is not a vortex ring.

"The essential distinction between matter and ether is that matter

moves, in the sense that it has the property of locomotion and can
effect impact and bombardment; while ether is strained and has the
property of exerting stress and recoil. All potential energy exists in
the other. It may vibrate and it may rotate, but as regards locomotion
it is stationary-the most stationary body we know; absolutely
stationary, so to speak; our standard of rest. All that we ourselves
can effect, in the material universe, is to alter the motion and
configuration of masses of matter. * * *
"But now comes the question. How is it possible for matter to be

composed of ether? How is it possible for a solid to be made out of a
fluid? A solid possesses the properties of rigidity, impenetrability,
elasticity, and such like; how can these be imitated by a perfect fluid
such as the ether must be?"
The answer is, They can be imitated by a fluid in motion; a

statement which we make with confidence as the result of a great
part of Lord Kelvin's work.
"It may be illustrated by a few experiments."
"A wheel of spokes, transparent or permeable when stationary,

becomes opaque when revolving, so that a bill thrown against it does
not go through but rebounds. The motion only affects permeability to
matter; transparency to light is unaffected."
"A flexible chain, set spinning, can stand up on end while the
motion continues."
"A jet of water at sufficient speed can be struck with a hammer

and resists being cut with a sword." * * *
"If ether can be set spinning, therefore, we have some hope of

making it imitate the properties of matter, or even of constructing
matter by its aid. But how are we to spin the ether? Matter alone
seems to have no grip on it." * * *
"But you can vibrate it electrically; and every source of radiation

does that. An electrical charge, in sufficiently rapid vibration, is the
only source of ether waves that we know; and if an electric charge is
suddenly stopped, it generates the pulses known as X-Rays, as the

result of the collision. Not speed, but sudden change of speed is the
necessary condition for generating waves in the ether by electricity."
***
"The universe we are living in is an extraordinary one, and our

investigation of it has only begun. We know that matter has a
psychical significance, since it can constitute brain, which links,
together the physical and psychical worlds. If any one thinks that the
ether, with all its massiveness and energy, has probably no psychical
significance, I find myself unable to agree with him."
"The earliest conception of ether regarded it as simply a medium

for conveying radiation. Faraday's experiments and investigations
led him to, believe that it had other perhaps more important uses and
properties. He conjectured that the same medium which is concerned
in the propagation of light might also be the agent in electromagnetic
phenomena, and this conjecture was amply strengthened by
subsequent investigations."
Lodge now says: -"One more function is now being discovered;

the ether is being found to constitute matter."
Prof. Sir J. J. Thomson says:-"The whole mass of any body is just

the mass of ether surrounding the body which is carried along by the
Faraday tubes associated with the atoms of the body. In fact, all
mass is mass of the ether; all momentum, momentum of the ether and
all kinetic energy, kinetic energy of the ether. This view, it should be
said, requires the density of the ether to be immensely greater than
that of any known substance."
Thus we see that the difference between Dr. Fincke's conception

of the constitution of the ether and that of Faraday and the later
scientists in mainly verbal. There is no appreciable difference
between the ether as "matter in a state of infinitesimal fineness of
division," and the ether as the "substance of which matter is
composed." Comprehension of either idea depends upon the ability
to understand the meaning of the word infinitesimal as used in the
mathematical sense. "Infinitely small," denotes a quantity conceived
as continually diminishing so. as to become less than any other
quantity having an assigned value. There is no limit assigned nor
conceivable. It is finite thought carried to the utmost limit "and then
some."

The philosopher, the physicist and chemist, each in his own way,
analyzes, divides and subdivides matter until he can go no farther,
and then finds himself confronted by a mystery, incapable of
solution by physical means. Shall he stop there an hush the question
that will arise in his mind when be has penetrated thus far?
Something within him rebels at the arbitrary limitation of thought.
Aspiration, intuition, reason, analogy, the logical faculty, all urge
him forward. Up to this point his investigation has revealed what can
only be regarded logically as secondary causes. The primary cause
eludes him. The physician and pathologist also has his mystery. The
microbe, the bacillus, the bacterium, all forms of microorganisms
and all other proximate causes of disease carried back even to the
formless bit of protoplasm or living matter, must themselves be
accounted for. That which lies beyond cannot be seen by the
microscope. At this point, it is necessary to substitute the telescope
of intuitional reasoning for the microscope of physical demonstration.
Main

Chapter XV - The Drug Potential - The Genius of Homeopathy - Lectures and Essays on Homeopathic Philosophy - By Dr Stuart M. CLOSE
Main

Philosophy
Chapter XV
The Drug Potential
The homœopathic theory

of drug potentiation may be
considered as an extension
into medicine of what is
known in physical science as
the "Theory of the Potential,"
a function of fundamental
importance in the Theory of
Attractions, under which the
greater part of the modern
progress, in invention has
been made.
To give Hahnemann his

just dues as an original
investigator in science,
however, and to place his
dynamical theory in its right
Dr Samuel Hahnemann
relation to modern scientific
thought, it should be
remembered that he promulgated his theory of potentiation long
before the Theory of the Potential was announced. It was pointed out
even during Hahnemann's lifetime that his experiments and the
theory based upon them opened the way for an entirely new
consideration of the subject of dynamics, and led to new conceptions
of the constitution of matter. It would be permissible, therefore, from

the chronological standpoint, to reverse the opening statement of this

article and say that the modern scientific Theory of the Potential is
an extension into physics of Hahnemann's pharmaco-dynamical
Theory of Potentiation.
For the clearest and most concise definition of the Theory of the
Potential I quote the Standard Dictionary:
"Potential exists by virtue of position, as opposed to motion; said

especially of energy."
1. Potential is a condition at a point in space, due to attraction or

repulsion near it, in virtue of which something at that point, as a
mass or electric charge, would possess potential energy or the power
of doing work; in the case of electricity, measured by the work done
in bringing a unit of positive electricity thither from an infinite
distance against an electrical repulsive force.
2. In any system of attracting bodies, a mathematical quantity

having at each point of space, a value equal to energy acquired by a
unit mass in 'falling an infinite distance to that point.
Potential, regarded as something distributed throughout space,

determines, by the difference of As values at neighboring points the
intensity and direction of the force acting through the region. Its
variation from one point to another thus constitutes or at least
measures force, the law being that a material body always tends to
move in the direction of increasing potential and a positive electrical
charge in that of decreasing potential. The function in the former
case is called gravitation potential, and in the latter electrical
potential, which is taken from the opposite algebraic sign.
Electrical potential, which determines the flow of electricity, has

been compared to temperature, which similarly governs the flow of
heat. The potential due to the earth's attraction in like manner
determines level, which governs the flow of water."
To this we may now perhaps add that the drug potential, due to
the attraction of the living organism, determines, in a similar manner,
the direction and kind of action of the drug prescribed or taken.
Have we no here suggested in this contribution from an allied

science, a possible means of measuring the power and action of

infinitesimal doses of medicine in the living organism? In
physiological experimentation we have to deal with the living
organism, energized by a power which exerts a force akin to, if not
identical with, electricity-but one which, in its physical
manifestations, is demonstrably governed by the laws of motion.
That force should be measurable by the methods and standards used
in physical science.
Here is a suggestion for our research workers. Let them lay aside
for a time their unfruitful studies of serums, vaccines and micro-
organisms, and devote their attention to the subject of vital energy as
manifested in living organisms. Let them learn bow to measure the
actions and reactions of that fundamental, entitative power and
principle called Life in the same way that the electrical scientist
measures the force with which he deals in his department.
The idea of a drug potential, analogous to the electrical and

gravitation potential, has never been advanced before as far as I
know; but it appears to be one capable of being worked on
mathematically by some one who is competent. It is merely
presented here as a suggestion which may lead to the discovery of a
new means of measuring the dynamic energy and mode of action of
potentiated homœopathic medicines.
Something determines the intensity and direction of the force of a

drug acting within its sphere in the living organism; and its variation
from one point to another, or from one condition or state to another,
might be made to mathematically measure its force, if such a
measurement were desirable for any purpose.
Does a crude drug in massive dose act under the same law as a
material body and tend to move in the direction of increasing
potential? And does an infinitesimal dose obey the law which makes
a positive electrical charge tend to move in the opposite direction
toward a decreasing potential, and thus effect cure of disease? We
know that the direction of action of the massive dose is opposite to
the action of the infinitesimal dose, as we know that the direction of
the organic forces of health is opposite to that of disease.
We know that a peculiar affinity or attraction exists between a

sick organism and the drug which is capable of producing symptoms

in a healthy organism similar to those of the sickness.
The theory of the symptomatically similar medicine as a curative

is, therefore, also "a phase of the theory of attractions," of which the
theory of the potential is another phase.
A dose of medicine placed on the tongue, in contact with the

sentient nerves of the organism, from which it is distributed
throughout the entire nervous system, is a "something at the point in
space at which there exists a condition of attraction or repulsion
caused by its presence there." The dose, according to its size and
quality, may be a "mass," or it may be an "ion," an infinitesimal
dynamic quantity, comparable to "an electric charge."
The action of a drug upon the living substance is analagous to the

action of electricity and has often been compared to it. There are
some no even believe that life and electricity are identical.
When Hahnemann adopted the plan of proving drugs on the

healthy and thus brought drug action within the category of
observable phenomena, be opened up a new field in physical science
and made possible the formation of a dynamical theory, by which
their action may not only be physically explained, but measured,
modified and controlled.
In the scientific sense, then, we say that Hahnemann, through

drug-proving and potentiation, was enabled to formulate a dynamical
theory, and raise materia medica to the level of a science. In other
words, he might be said to have discovered the drug potential, and
brought materia medica and therapeutics into alignment with the
other sciences which are based upon the theory of the potential.
The Hahnemannian theory and process of potentiation makes it

possible to modify and govern, as well as to measure, the action of
drugs submitted to proving, or prescribed under the principle of
similia, to any extent required. As the development of the modern
sciences of electricity, hydrostatics, and engineering has been due
largely to the application of the theory of the potential, so has the
development of homœopathy been due to the application of a similar
theory in medicine.
The theory of the drug potential appears to be a logical corollary

of the dynamical theory of life, the law of similars and the law of
potentiation. Taken together they make up the great triad of
fundamental principles in the Hahnemannian philosophy. If we view
life from the standpoint of dynamics, considering health as orderly,
balanced and harmonious action and disease as unbalanced or
disorderly action of the life principle, then we must also consider the
agents which change or modify the action of the life principle from
the same standpoint. Any agent or substance which modifies the
action of the life principle medicinally must do so by virtue of its
inherent dynamic energy; and that action must be governed
fundamentally by the same dynamical laws which govern the
operation of the life principle physiologically and pathologically.
These laws are related to all the vital functions, and to all the
agents which act upon and modify them. The organs of nutrition,
growth and repair; digestion, absorption and excretion; innervation
and enervation; respiration, circulation, sleep; intellect, emotion,
memory., reason, judgment and will all react to appropriate stimuli
under the law of attraction and mutual action, stated by Sir Isaac
Newton in the formula, "action and reaction are equal and opposite."
These same laws, in the last analysis, govern all the agents and
substances which act upon the living organism. They are related to
the germination, growth and reproduction, and the development of
the inherent properties of all the plants and forms of vegetable life
from which we derive our drugs; to the functional and organic
development and existence of all the insects, reptiles, and other
forms of animal life which furnish their secretions for our medicinal
use; and to the origin, formation and constitution of all the minerals
and inorganic substances which make up a part of our materia
medica. The embodied dynamic energy of each and all of these
becomes available and useful through Hahnemann's discovery of the
drug potential and his invention of the mechanical process of
homœopathic potentiation.
The form or manner in which the dynamic energy of any

particular substance manifests itself depends upon its physical
condition, and upon the condition of the organism in which it acts.
The knowledge that drugs act upon the living organism, and that
the organism reacts to drugs; and the further knowledge that the
organism reacts in a different manner to each drug, led to the
recognition of the specific character of drug action and to the

doctrine of elective affinities; that each drug had a specific or

peculiar relation to or affinity for the living organism, differing from
the action of every other drug.
Prior to Hahnemann's time, with only a very few exceptions, this

idea was limited in its application to diseased conditions alone.
Drugs were used to modify diseased conditions upon fanciful or
theoretical grounds, without any knowledge of their action upon the
healthy organism. Empiricism reigned in medicine. Deluded an
hampered by the idea that disease was an entity, the futile search for
specifics for diseases began, and has continued to this day,
regardless of the obvious fact that no two persons affected with the
same disease are affected in exactly the same manner, and that,
therefore, there can be- no such thing as a specific for a disease.
Disease is not an entity but a process--a constantly changing
condition or state. The doctrine of specifics applies to disease as well
as to drugs, but it is limited to the individual. It does not apply to the
class. The direct, producing causes of disease are entities, but the
cause can only become active under certain conditions, and the
action of any disease-producing substance is always modified by the
peculiar character and conditions of the individual and his
environment. This modification must always be taken into
consideration in practice. The practical problem is to find the remedy
for the individual and correctly measure its power and action.
Hahnemann attacked the problem from a new standpoint when he

began to investigate the action of drugs upon the healthy human
organism. By his tests or "provings" he showed that the healthy
organism has an attraction for drugs and that it will react to their
influence, under proper conditions, in the production of objective
and subjective phenomena, or symptoms. By observing these
phenomena the peculiar or specific properties and character of drugs
may be definitely determined and measured. Drug action is thus
proven to be dynamical and brought within the scope of the general
law of attraction.
Knowledge of the existence of this attraction or affinity of the

living organism for drugs and of the phenomena which they produce,
taken with the conditions under which they are produced, opens the
way for the formulation of a dynamical theory of how they act. The
power which they exert, or the power which the organism exerts in
reacting to them may be both measured and controlled. Considered
from the standpoint of dynamics we have here quantities with which

to-deal, the same as in any other department of physics. Power of a

specific kind is generated, applied and expended for a specific
purpose--drug or medicinal power for proving or cure. The drug
possesses potential energy, or the power of doing work of a certain
kind in the living organism, under certain conditions. The quantities
dealt with are assignable quantities and may be measured
mathematically or otherwise.
Hahnemann's first great discovery was that the quality of the drug
action is governed by the quantity of the drug used.
In order to control drug action, therefore, it was necessary to find

and adopt a scale of mensuration for drugs which should be both
quantitative and qualitative The centesimal scale of dilution adopted
by Hahnemann practically fulfills the requirements for quantitative
measurement of drug action and satisfies the pure therapeutist even
as a qualitative yardstick; but for the scientist it leaves something to
be desired in accuracy for qualitative measurement.
It remains true, however, that Hahnemann's conception of the

dynamic nature of drug and disease action brought their phenomena
within the scope of the universal laws of motion and. made possible
the development of an efficient system of therapeutic medication.
Main

Chapter XVI - The Logic of Homoeopathy - The Genius of Homeopathy - Lectures and Essays on Homeopathic Philosophy - By Dr Stuart M. CLOSE
Main

Philosophy
Chapter XVI
The Logic of Homœopathy
The logical principles which
underlie homœopathic
prescribing are commonly
overlooked. Apparently there
are almost as many methods of
prescribing as there are
prescribers. The remarkable
cures performed by such men
as Bœnninghausen, Lippe,
Dunham and Wells are
commonly regarded as having
been due to some mysterious
power possessed by them as
individuals. That similar results
are attainable by anyone who
will master the method is
difficult for many to believe;
yet a clear and comprehensive Dr Carroll Dunham
statement of the principles
involved and an identification of the source from which they are
drawn will be sought in vain in homœopathic literature.
As a rule, only personal opinions and fragmentary statements by

individuals of how they did or thought they did their prescribing will
be found, and these are scattered through a voluminous literature,
much of which is out of print and difficult of access. They indicate,
however, that there is a basic method somewhere, if only it can be

found and identified.
Reviewing these collected bits of personal teaching and

experience creates an impression that their authors were either
unaware, perhaps through forgetfulness, of the nature of the
principles they were using; or that they took it for granted that the
student already possessed the requisite knowledge. They did not
seem to realize the educational value and importance to the student
of being able to identify and consciously use an unnamed science
which is fundamentally related to medicine, and especially to
homœopathy; for they certainly did not name it, nor definitely refer
to it. This is not so strange or unusual as it may seem.
Monsieur Jourdain, an amusing character in one of Moliere's

plays, expressed great surprise on learning that he had been talking
prose for more than forty years.
"Ninety-nine people out of a hundred," says Jevons, "might be

'equally surprised on learning that they had long been converting
propositions, syllogizing, falling into paralogisms, framing
hypotheses and making classifications with genera and species. If
asked whether they were logicians they would probably answer, No!
They would be partly right; for I believe that a large number even of
educated persons, have no clear idea of what logic is. Yet, in a
certain way, everyone must have been a logician since he began to
speak. * * * All people are logicians in some manner or degree; but
unfortunately many persons are bad ones, and suffer harm in
consequence." Hence the necessity of books and essays on logic.
It is equally true that ninety-nine homœopathic physicians out of

a hundred might be surprised on learning that they had been using
logic, good or bad, in every prescription they ever made.
They might be still more surprised on learning that homœopathy

itself is founded and constructed upon logical principles; and that all
its processes may, and if they are to be correctly and efficiently
performed must, be conducted under the principles and by the
methods of good logic.
It was very stupid of me, of course, but I had been practicing

homœopathy a good many years and making, I thought, some pretty
good prescriptions, before it dawned upon me in any definite way

that logic as a science had any technical connection with

homœopathic prescribing. It was a "purple moment" for me when I
made that discovery. It explained all my good prescriptions and
accounted for all my bad ones which, of course, outnumbered the
good ones ten to one. It opened up possibilities of improving my
methods and bringing the percentage of cures a little more in my
favor. If the making of a good prescription, good examination, or a
good diagnosis depended upon a correct application of the principles
of logic, I saw that it behooved me to get down my old textbooks on
logic, long before relegated to an upper shelf in my library, along
with certain other old school books which some of us like to
preserve for sentimental reasons, and refresh my memory by a
review of the subject in the light of experience.
It also occurred to me to examine into the mental processes of

acknowledged masters of the art of homœopathic prescribing from
that point of view and try to make out how they did it.
It is surprising how such a middle-age review of one's youthful

studies will sometimes dispel delusions long fondly held.
How many, for example, recall and realize the practical bearing
of the fact that the science of logic exists in two parts-the logic of
form and the logic of reality or truth; or, technically, Pure or Formal
Logic and Inductive Logic.
An outline of a few of the principal operations of formal logic is

about all most of 'us can recall in any definite way. Our ordinary
mental processes are governed largely by what was hammered into
us in youth. If we try to analyze our mental processes we are likely
to think in the terms of formal logic, because formal logic is what is
usually taught, and formal logic is what sticks.
Now formal logic, with all its fascinating processes, takes no

account of the matter of our reasonings - of the thinks reasoned
about. Formal logic deals solely with the form, or skeleton of the
reasoning itself. It does not concerti itself in the least with the truth
or falsity of a statement as a matter of fact or science. Its purpose is
to provide the general' or symbolic forms which reasoning must
assume in order to insure that the end of a proposition may be
consistent with its beginning. Its object is merely consistency, and
"consistency's a jewel" of sometimes doubtful value. Emerson wittily

said: "A foolish consistency is the hobgoblin of little minds." So

there may be a foolish consistency as well as a false logic. A rogue
may be as good a logician as an honest man-perhaps a better; a
quack may be as logical as the most ethical practitioner; and an
allopath, who gives his massive doses of combined drugs upon
empirical grounds, may be as consistent, from the standpoint of
formal logic, as the homœopath who gives only minimum doses of
the single, similar remedy.
Each of these can and does take his stand against the world, on
the ground that he is logical and consistent. His conclusions are
consistent with his premises; and there you have the psychology of
it, with the secret of the arrogance of the average medical man:
"He was in Logic a great critic,

Profoundly skilled in analytic;
He could distinguish and divide
A hair "twixt the south and southwest
side."
He does not know, nor wish to know what some of us may have
learned and forgotten-that Inductive Logic, the Logic of Bacon, Mill
and Hahnemann, has a higher function than the Logic of Aristotle,
which exists and is used largely for the purpose of mere
argumentation.
Inductive Logic does concern itself with facts, with reality. Its
primary purpose is the discovery and use of Truth.
The first requirement of Inductive Logic is that the premises must

be true, the result of true and valid observation of facts, based, if
need be, upon pure experimentation.
Before we proceed to make deductions, classifications and

generalizations and spin theories, we must be sure that we have
reliable facts. The induction must be complete, without break, from
premise to conclusion. We may not reason from a hypothesis, nor
jump to a conclusion, as medical sophists do. We must follow the
course laid down, and "keep in the middle of the road." The road into
the great unknown is dark and full of pitfalls for the unwary, but the
electric lamp of inductive logic lights the -way safely from the
known into the unknown.

This is The Logic of Homœopathy. This is what we mean when

we say that homœopathy is based upon the inductive philosophy.
Not only are the conclusions of homœopathy consistent with its
premises, but its premises are founded upon Truth; for homœopathy
as a method is drawn logically, according to the strictest rules of
inductive generalization, from data which have been derived from
direct observation of facts and pure experimentation. Every one of its
processes, from the conduct of the proving to the making of a
curative prescription, is governed by the principles of inductive as
well as deductive logic.
The purpose of this part of the work is not to instruct the reader in
the elements of logic, but simply to define and discuss some of the
more general relations of logic to the various processes of applied
homœopathy and to point out the great advantage that accrues to the
physician who consciously and definitely uses the methods of
inductive logic in his daily work.
If the reader's early education in formal logic has been deficient,

it will be an easy matter for him to gain the requisite knowledge
from any standard work on the subject.
The Inductive Method in Science is the application of the

principles of inductive logic to scientific research. This method was
originated by Lord Bacon, and set forth in his Novum Organum. It
was further developed by John Stuart Will in his great System of
Logic. It has been the inspiration, the basis and the instrument of
every modern science.
Inductive Logic Defined. - "The Inductive Method in Logic is

the scientific method that proceeds by induction. It requires (1) exact
observation; (2) correct interpretation of the observed facts with a
view to understanding -them in relation to each other and to their
causes; (3) rational explanation of the facts by referring them to
their real cause or law; and (4) scientific construction; putting the
facts in such co-ordination that the system reached shall agree with
the reality."
"The search for the cause of anything may proceed according to

any one of four methods: (1) the method of agreement, in which a
condition uniformly present is assumed to be probably a cause; (2)
the method of difference, in which the happening of an event when a

condition is present, and its failure when a condition is absent, lead

to the assumption of that condition as a cause; (3) the method of
concomitant variations, in which the simultaneous variation in
similar degree of condition and event establishes a casual relation;
and (4) the method of residues or of residual variations, where after
subtracting from a phenomenon the part due to causes already
established the remainder is held to be due to some other
unascertained cause or to the known remaining causes." (F. & W.
Standard Dictionary.)
Before Lord Bacon's time, logic was used principally as an

instrument for argument and disputation. Little or no attention was
given to facts. Direct and systematic investigation of nature was
unknown or ignored. Opinions, speculations and theories were used
as the material for constructing more opinions and theories. The
search for truth ended nowhere.
Lord Bacon called upon men to cease speculating and go direct to

nature in their search for truth. He demolished innumerable false
systems and restored logic to its true place as the guide to truth.
"There are and can exist," says Bacon, "but two ways of
investigating and discovering truth. The one hurries on rapidly from
the senses and particulars to the most general axioms; and from them
as principles and their supposed indisputable truth derives and
discovers the intermediate axioms. This is the way now in use. The
other constructs its axioms from the senses and particulars, by
ascending continually and gradually, till it finally arrives at the most
general axioms, which is the true but unattempted way." (Nov. Org.
Axiom, 19.)
As induction is the antonym of deduction it has been supposed

that the two processes are in some way antagonistic. This is an error.
They are simply opposite ways of arriving at the same conclusions;
two modes of using the same general process, namely: inference, or
inferring.
All reasoning is inference, and in the last analysis all reasoning is

deductive. By inductive reasoning we ascertain what is true of many
different, things. Our senses tell us what happens around us and by
proper reasoning we may discover the laws of nature, in
consequence of which they happen.

In deductive reasoning we do the opposite and infer what will

happen in consequence of the laws.
Reasoning a priori and a posteriori, are not different modes of

reasoning but arguments differing in the character of one of the
premises. It is merely a difference of viewpoint. In one we reason
from antecedents, in the other from consequents.:
True says :-"Logic is the, science of inference; it teaches how one

judgment may be inferred from other judgments. To reason is to
infer, hence it is usually called the science of reasoning."
"It assumes that every mind, conceives intuitively some ideas or

judgments which are at once primary and certain; otherwise we
could have no foundation for, inference; and to infer one idea or
judgment, from others would give no certainty."
"These ideas are called first truths. They are given by the senses,
the consciousness and the reason, and they are innumerable. I exist.
There is an external world. This body is solid, extended, round, red,
warm or cold, are first truths."
"At first these ideas are particular, but afterward the mind unites
those which are similar, or which agree in some respect, into,
classes. This is called generalization. To express this we no longer
say this or that body, but body; not coat, shirt, trousers, etc., but
clothes."
To test their qualifications in this respect, I once gave a senior

class of medical students a list of garments and asked them to
generalize it: Only one man, in a class of about, thirty, was able, off-
hand, to reply correctly --- "clothes!"
To show that all reasoning is, in the last analysis, deductive, True
uses the following illustrations: "I infer that heat in such a degree as
will cause, the mercury in the thermometer to rise to the point
marked two: hundred and twelve degrees Fahrenheit will always
cause water to boil; in other words, it is proved by induction to be a
law of nature that two hundred and twelve degrees Fahrenheit will
cause water to boil.
"Now the conclusion is not drawn from any number of instances

of the boiling of water, but with a few instances combined with the
principle that like causes will produce like effects; for if this
principle were not true, then forty thousand instances of water
boiling would not prove that another case would happen. But now I
know like causes will produce like effects, and I know by
observation that two hundred and twelve degrees Fahrenheit did
once or twice cause water to boil. Admit the premises and the
conclusion is unavoidable; and to do this is simply to affirm
something of a class, then to refer the individual to that class, and
then to affirm the same thing of the individual." "Now the first
premise is the general principle, which is intuitively true. The only
question is about the second premise; namely: whether two hundred
and twelve degrees was the cause of the boiling in the instances
observed."
"The proposition that all reasoning is deductive may be -proved

by a similar argument using another intuitive principle; - no event
happens without a cause.
"Every case of induction proper proceeds upon the same grounds

and in the same way. It is, therefore, evident that induction is no
exception to the rule that inference is always from generals to
particulars, and not from particulars to generals.
"Reasoning by analogy proceeds in the same way; the difference

is only in the character of the first premise, which is, that similar
causes are likely to produce similar effects, or that things that agree
in certain attributes or relations are likely to agree in certain other
attributes or relations."
It is evident that, in order to reason, the mind must have some

general ideas and judgments that are conceived intuitively, and not
formed by mere addition or generalization; for nothing is gained by
making a class of individuals or particulars, and then drawing one or
more out again.
Some of the, earliest are: Every body is in space. No event

happens without a cause. Like material causes produce like effects.
"It is the province of psychology to explain, under what

circumstances these primary ideas are given by the senses, the
consciousness and the reason; but logic assumes their existence as

the indispensable basis of inference, and its appropriate office is to

explain in what way we infer one judgment from another.
"The process of reasoning, when completed, is found to be simply

this: Something is predicated, that is, affirmed or denied of a class;
an individual is affirmed to belong to this class, and then, of course
the same thing can be affirmed or denied of that individual."
When, the student perceives that the foundation of homœopathy

is solid concrete, composed of the broken rock of hard facts, united
by the cement of a great natural principle, he has grasped one
important phase of the subject. But when he raises his eyes to the
superstructure and sees that it is joined to the foundation, and held
together in all its parts by a framework of logic, he has gained
possession of the key that not only admits him to the edifice, but
unlocks the door of every room in it.
Jevons truly says: - "It is true that we cannot use our eyes or ears
without getting some kind of knowledge, and the brute animals can
do the same. But what gives power is the deeper knowledge called
Science. People may see, and hear, and feel all their lives without
really learning the nature of, the things they see. But reason is the
mind's eye and enables us to see why things are, and when, and how
events may be made to happen or not to happen. The logician
endeavors to learn exactly what this reason is which makes the
power of men. We all must reason well or ill, but logic is the science
of reasoning and enables us to distinguish between the good
reasoning that leads to the truth, and to bad reasoning which every
day betrays people into error and misfortune."
Hence the value and need to the physician of the study of

inductive logic as a distinct science.
Analysis of the Organon of Hahnemann, as well as of the history

of homœopathy and the life of its founder, shows clearly that
homœopathy is a product of inductive logic applied to the subject of
medicine. It is, in fact, the first as well as one of the most brilliant
examples of the application of the inductive method to the solution
of one of the greatest problems of humanity; namely, the treatment
and cure of disease.
Its basic principle, the law

of similars, dimly perceived

and tentatively stated in
various forms or referred to as,
a possible therapeutic law by
Hippocrates, Nicander,
Xenocrates, of the Greek
schools; Varro, Quintus
Serenus, Celsus and Galen of
the Roman schools; Basil
Valentine, a Benedictine
Monk of Erfurt, 1410;
Paracelsus, in the sixteenth
century and others, was
conceived by Hahnemann to
be the general law of medical
action. Paracelsus
With this conception as a starting point Hahnemann began to

investigate. He reasoned that if there was any truth in the proposition
that "diseases are cured by medicines that have the power to excite a
similar affection," the only way to determine it scientifically would
be to give a medicine to a healthy person and observe the effects,
since a healthy person would be the only kind of a person in whom
an affection similar to disease could be excited.
This would give a scientific basis, and indeed the only possible
basis, for a comparison between the symptoms of drugs and the
symptoms of disease.
Accordingly, as every
homœopathist knows, he
began to experiment With
"good cinchona bark" upon
himself, that drug having been
suggested to him while he was
translating Cullen's work on
materia medica, where it was
highly recommended as a cure
for intermittent fever. Finding
his theory strikingly
confirmed by repeated
experiments, he began to
search medical literature for

records of poisonings and

accidental cures. Collecting
these as a basis for further
experiment and corroboration,
he enlisted the aid of a few
students and physicians and
continued his experiments
upon the healthy, carefully
recording all the phenomena
elicited and verifying them in
the sick as he had opportunity.
After several years of this

work he had a collection of
Dr William Cullen reliable drug phenomena so
large and comprehensive that
he felt he could complete the induction and independently and
authoritatively formulate the general principle which he had so long
been working to establish.
This is Hahnemann's chief contribution to science. He was the

first to make a comprehensive induction of medical facts, deduce
therefrom the general law of therapeutic medication and establish
healing by medication upon a sound basis.
Thus we see that although Hahnemann's primary conception was

one of those rare flashes of insight or intuition vouchsafed only to
transcendent genius, it was subsequently developed by logical
reasoning and confirmed by a series of elaborate experiments
extending over a period of many years, before it was published to the
world.
When the relation of these facts to the practice of homœopathy is

perceived it is evident that in logic the homœopathic physician has,
or may have, the means not only of conducting his daily work with
ease and facility, but of solving his most difficult and important,
problems; for the logical process by which homœopathy was worked
out and built up is applicable in every concrete case a homœopathic
physician is called upon to treat. 'The principles are the same with
each case. The examination of a patient or a prover; the analysis of
the mass of symptoms derived from such an examination; the
classification of, symptoms for any purpose; the selection of the
remedy and the diagnosis of the disease are all properly conducted

under the rules and by the method its of applied logic.
As applied in the examination of a patient, the principles of

inductive logic lead the examiner first to gather all the facts of a case
and to complete each symptom by careful inquiry into its origin, its
exciting or occasioning cause or causes; its history and duration; its
relations to other symptoms; and its modalities or modifying
circumstances and conditions.
Logic then, by the processes of analysis, synthesis, comparison

and generalization makes it possible to determine the relative value,
and importance, from the prescriber's standpoint, of every symptom.
It thus furnishes the means of discovering "characteristic symptoms,"
which are of such importance in the study of the case.
"Characteristic Symptoms." - Characteristic symptoms are

general symptoms, or generalizations, inferred or deduced from
particular symptoms by the logical process of generalizing.
By generalizing we learn what is true of many different things;

that in which they agree or have in common.
Considering the symptoms of Pulsatilla, for example, we find that

they agree in all being worse in a warm room or better in the open
air. "Aggravation in a warm room" therefore is a "keynote," a
"characteristic," or a "general" of Pulsatilla. These terms are used to
describe or epitomize those peculiar features which characterize the
patient as an individual; facts that are true of the case as a whole; or
of a number of the particular symptoms of the case, considered as a
group. In other words "characteristics" are the individualizing factors
of a case or remedy. They are the points which enable us to
differentiate between similar cases and remedies. After deducing the
general features of a given case or remedy and logically grouping
them, thus determining its individuality, we are in a position to
compare it with other similar, related remedies or cases for
classification, selection of the curative remedy, or any other purpose.
Pathological Unity of Symptoms. - The inductive method brings

into view the pathological unity of the symptoms of which diseases
consist, enabling us to identify and name the various forms they take.
Speaking generally, the

internal, invisible, abnormal

state of the organism which
we call disease, is made
manifest externally by
perceptible symptoms. If it
were necessary only to
consider each symptom
separately, without regard to
the individuality of the
general abnormal condition
which they represent, we
might place the symptoms
of disease in numerical
order, like words in a
dictionary,, and select the
similar medicine by a mere
Dr Charles J. Hempel
mechanical comparison of
symptom with symptom.
But in this Case we should be working only with particulars, none of
which, taken singly, discloses the individuality of either the disease
or the remedy. (Hempel.)
Every disease is the result of the action upon the living organism
of some definite, specific, individual agent or influence from without
and the phenomena of its action as a whole take on individualizing
general characteristics. By these we identify, name and classify
diseases as well as medicines. The names, pneumonia, diphtheria,
measles, smallpox, typhoid fever, and many others, represent
pathological forms which are, in their characteristic general features,
constant in all ages and countries. They owe their existence to causes
which are constant, although particular symptoms and the conditions
of their manifestations may vary in individual cases and at different
periods. We must not lose sight of this essential fact: - that
pathological symptoms in definite diseases derive their meaning and
relative value from their connection with a definite, general
pathological condition or state, exactly as pathogenetic symptoms
derive their meaning and value from an individual definite drug, the
action of which upon the vital substance they manifest and express.
In order to recognize these pathogenetic and pathological forms,

therefore, we resort to the processes of inductive logic; namely,
observation and collection of particular facts or phenomena, from the
consideration of which we arrive at a conception of the nature and

individual character of the groups by the process of generalization.
Totality of the Symptoms. - Logic facilitates the comprehension

of the related, totality or picture of the symptoms of the case as a
whole. From all the parts, logic constructs the whole. It reveals the
case; in other words, by generalizing it assigns each detail to its
proper place and gives concrete form to the case so that it may be
grasped by the mind in its entirety.
The true "totality" is more than the mere numerical totality or

whole number of the symptoms. It may even exclude some of the
particular symptoms if they cannot, at the time, be logically related
to the case. Such symptoms are called "accidental symptoms," and
are not allowed to influence the choice of the remedy. The "totality"
is that concrete form which the symptoms take when they are
logically related to each other and stand forth as an individuality,
recognizable by anyone who is familiar with the symptomatic forms
and lineaments of drugs and diseases.
The basis of homœopathic prescription is the totality of the

symptoms of the patient, as viewed and interpreted from the
standpoint of the prescriber. A successful prescription cannot be
made from the standpoint of the diagnostician, the surgeon nor the
pathologist, as such, because of the differing interpretation and
classification of symptoms. A prescription can only be made upon
those symptoms which have their counterpart or similar in the
materia medica.
A surgical or a diagnostic symptom may perhaps be elaborated or

interpreted into the terms of materia medica, but unless this can be
done it is of no value to the prescriber. It is entirely a matter of
interpretation and classification. Given all the ascertainable facts in a
case (the numerical totality) the representative of each department in
medicine selects, defines and interprets those facts which are of use
to him in accordance with the demands of his own department;
whether there be several individuals acting or only one individual
acting in several capacities.
Individualization. - The practical work of the 'prescriber in

constructing the totality or "case" and selecting the remedy is
governed throughout by the logical principle of individualization. It
applies equally in the three departments of his work

1. The examination of the patient. This must be conducted in such

a manner as to bring out all the facts of the case. Each symptom, as
far as possible must be rendered complete in the three elements of
locality, sensation, and modality, or conditions of existence.
2. The examination of the symptom-record of the patient, or the

"study of the case." This must be made in such a manner as to
determine what symptoms represent that which is curable by
medication, under the law of similars; in other words, to determine,
in each particular' case, what symptoms have a counterpart in the
materia medica.
3. The examination of the materia medica, by means of indexes,

repertories, etc., for the purpose of discovering that remedy which, in
its symptomatology, is most similar to the symptoms of the
individual patient, at a particular time.
To individualize is to confer particular characteristics upon,

distinguish. To select or mark as individual; note the peculiar
properties of; particularize; characterize.
"Individualization" has been the burden of the message of every

great teacher since Hahnemann. But too often they have failed or
omitted to state the principles upon which the process of
individualization is based. They have reported cases illustrating their
own personal method of selecting the curative remedy, by which
they have attained marvelous results; but they have not shown us
fully the inner workings of their minds. They have formulated
certain rules, but few or none of these rules are of general
application. We are like the man from Missouri; we "want to be
shown." We want to know the "why" as well as the "how."' We want
principles as well as rules.
It was not because they were unwilling, nor that they did not try
to reveal the secret of their great skill and power as prescribers. To
some of their personal students, with whom they were in peculiar
sympathy, they at least partly succeeded in imparting their secret. It
is probable, however, that most of these fortunate students received
more by unconscious absorption or by intuition than they did by
direct verbal instruction. It is doubtful if they themselves, always
recognized and identified the mental process by which they did their
work. If they did, they neglected to name it.

Simple, even trivial as it seems, the omission to name a thing or a

process, once it is known and used, leads to almost endless trouble
and confusion. In its outworking it is sometimes tragical. "A name,"
quaintly says Hobbes, "is a word taken at pleasure to serve for a
small mark which may raise in our mind a thought like to some thou
t we had before, and which being pronounced to others, may be to
them a sign of what thought the speaker had before in his mind."
Names then are contrivances for economizing language: But this is
not their sole function. It is by their means that we are enabled to
assert general propositions; to affirm or deny any predicate of an
indefinite number of things at once. (Mill.)
Had our teachers of materia medica and therapeutics told us,

simply, that they were using the logical faculty, in their work, the
faculty by which we reason upon facts and propositions; and that the
principles which governed them were the principles of Applied
Logic, we should have been directed at once to the science which,
above all others, tends to elucidate the problems that meet us at
every step in our medical career and saved us much groping in dark
places.
In order to perform successfully the various processes that make

up the work of the homœopathic prescriber, he must use. his reason
in a scientific manner, that is logically; for logic is the Science of
Reasoning.
These seem like truisms until we watch the work of the ordinary
prescriber and find that instead of doing this, he is merely using his
memory of a few facts and a few inadequate or erroneous rules
which he has picked up. This is empiricism, not science. In an art
which has to do with the saving of human life, it is a crime.
Science is the application of principles to art and life. Principles

are deduced from facts by the exercise of reason. Reasoning is
conducted according to fixed laws, which it is our business to learn
and apply. To learn how to reason scientifically, upon the facts of his
department is as essential for the homœopathic physician as it is for
any other scientific man.
Great medical artists, men

like Hahnemann,
Bœnninghausen, Hering,

Lippe, Dunham, Wells,

Guernsey, Fincke, had logical
minds, and used the methods
and processes of applied logic,
perhaps without realizing that
they were doing so. They were
great by natural endowment as
well as by attainment, The
special value of their work for
us in this connection lies, not in
the great number of
characteristics and particular
indications for treatment which
they discovered and published;
nor in their valuable manuals
and. repertories; but in the fact Dr C. Hering
that they possessed and used
certain general principles, by the application, of which, when they
are made known, we, as well as they, may individualize each case
and remedy and discover its characteristics for ourselves.
The Art of Generalizing. - Analysis, comparison, classification,

and generalization are the logical processes, by means of which the
homœopathic artist accomplishes his purpose, which is the
individualization of his case and the selection of the similar remedy
therefor.
Of these processes, generalization, being the synthesis or

summing up of the results of the preceding work, is perhaps the most
important. Certainly it is the one which is least understood and most
neglected in ordinary practice; and yet without it, it is impossible to
do good work.
The greater includes the less. Generals are more important than
particulars in constructing a case and as a basis for prescriber
prescribing The generals, which include and are derived from the
particulars, constitute the only reliable basis of a curative
prescription. Generalizing, therefore, is one of the most important
functions performed by the homœopathic prescriber in selecting the
curative medicine.
Mills in his Treatise on Logic, says: "A general truth is but an

aggregate of particular truths; a comprehensive expression by which

an indefinite number of individual facts are affirmed or denied at

once." A generalization is the process of obtaining a general
conception, rule or law, from a consideration of particular facts or
phenomena. A generalization is not possible until the mind, has
grasped and assimilated all the particulars which enter into its
formation. Then they take oil form and individuality and are seen as
a whole. The mind recognizes and perhaps names the identity, or
describes its characteristics in comprehensive phrase. Details enter
into minor generalizations, and minor generalizations into major,
until one all-inclusive concept or principle is seen and stated. Such is
Similia Similibus Curantur, one of the most far-reaching
generalizations ever made by the mind of man. Its scope no man has
ever yet compassed. We have a fair, comprehension of its
application in healing the sick by the use of medicine, but of its
application in the realm of ethics, for example, to which it obviously
stands related, we have only begun to have an inkling.
The value of a generalization depends primarily upon the data

from which it is drawn. We have seen that these must be accurate
and complete. The mistake, a constantly being made of at-' tempting
to generalize from insufficient, incorrect or hastily gathered data.
This is as true of the homœopathic doctor who rushes into the sick
room, asks a few hurried questions, looks at the nurse's chart and
makes a "snap-shot prescription" as it is of the pathologist who
jumps to the conclusion that microbes are the ultimate cause of
disease because he has failed to see with his microscope what lies in
the surrounding field.
General Symptoms. - The patient sometimes correctly

generalizes parts of his own case. This he may do quite
unconsciously, as when he refers certain symptoms or conditions of
symptoms to his inner consciousness by saying, "I feel" thus and so;
"I am worse in rainy weather;" "I am sad, or depressed, or easily
angered" as the case may be.
Nearly all mental symptoms are generals because mental states

can only be expressed in general terms.
Psychologically an emotion or a passion such as anger, grief or

jealousy, is a complex state of consciousness in which one or more
forms of excited sensibility are expanded, made sensuous and
strengthened by admixture o various peripheral or organic sensations
that are aroused by some primary feeling. The process by which we

become aware of the resulting concrete emotion and give it a name,

is essentially a generalization, subconsciously performed. For this
reason mental symptoms, when they appear in the record of a case,
are always of the highest rank as material for the final generalization
and, completion of the totality upon which the prescription is based.
The most intimate and interior things; the things that lie nearest to
the heart of man; the things that touch and express the centers of life,
are among the generals.
Statements or observations that reflect a man's state of mind, his

moods, his passions, his fears, his desires and aversions, are all
generals because they express the man himself and not merely some
part or organ. "The mind is the man."
Symptoms 'that express the' subconscious or involuntary actions

of the mind, such as the manner of sleeping, peculiar or unusual
positions assumed during sleep or disease, character of dreams or
delirium, are generals.
"Modalities, or conditions of
aggravation and amelioration
applying to the case as a whole, or
the patient himself, are generals of
high rank." (Kent.)
Particular symptoms, or those

which express the suffering of
some part, organ, or function of
the body have a two-fold use.
They are the data from which the
general symptoms are drawn; and
they are sometimes the
differentiating factors between two
or more remedies arrived at by
exclusion in the comparison of
Dr James T. Kent general symptoms.
"Particulars that are included in generals may be left out. Nothing

in particulars can contradict or contra-indicate strongly marked
generals, though they may appear to do so. 'Aggravation from heat'
will exclude Arsenic from any case." (Kent.) (Except a certain form

of headache, which is relieved by cold applications.)
Negative General Symptoms. - Absence of certain striking or

customary features of a disease may be a general symptom of a case.
Fever without thirst, coldness with aversion to being covered,

hunger without appetite, exanthematous diseases without appearance
of the eruption, are examples of these negative generals. Every one
of the illustrative symptoms given has been determined by the
logical process of generalization.
The materia medica is full of such generalizations. There, the

work has already been completed and recorded. It is in the clinical
cases, at the bedside, or in the office, that the physician must do his
own generalizing. Hence the necessity for familiarizing himself with
logic and the inductive method in Science.
Grading and Grouping. - Upon correct generalizing depends all

successful work as a homœopathic prescriber. Mere mechanical
comparison of one particular symptom with another is but little
better than "pathological prescribing." The simillimum will but
rarely be found by either method. As well might a general expect to
Win a battle by trying to direct each individual soldier in his army
against each individual soldier in the enemies' army. He must grade
and group his men into companies, his companies into regiments, his
regiments into brigades and the whole into a great army, and direct
its movements as a whole. The individual soldier is the unit of
strength, but the units must be massed and graded and drilled
according to scientific principles until they act as one man. This
gives what the French significantly call "esprit de corps." The army
of individuals then comes to have an individuality as an army, one
spirit and purpose permeating the whole. In like manner must the
symptoms. of a proving, or of a case of sickness, be graded and
grouped and studied, until the individuality of the remedy or the case
appears distinct and clear before the mind.
The study of materia medica and the study of disease are

conducted in a similar manner, for they are counterparts. The materia
medica is a fac simile of the sickness of humanity in all its phases
and features.
Memorizing Symptoms. - The attempt to obtain a practical grasp

or working knowledge of the materia medica, or even of a single

remedy by merely memorizing details or single symptoms will
always fail. The provings must be so studied as to impress upon the
mind and memory an image, or concept of the individuality of the
drug as a whole, so that it may be recognized as we recognize any
other individual or person. The memorizing of single symptoms,
peculiar in themselves, has its place and value, but it is secondary in
the larger scheme under discussion.
When a miscellaneous collection of data is submitted to the

logically trained mind for comprehension, it immediately begins to
compare phenomena according to some comprehensive plan, in
order that it may discover general characteristics, if possible, which
may again be grouped in such a manner as to develop form and
individuality in the whole. This is generalizing and is the method
employed in the construction of materia medica from the provings.
In this way "keynotes" or "characteristic symptoms" are discovered.
A "keynote" may be defined as a concise statement of a single
characteristic feature of a drug deduced by a critical consideration of
its symptoms as recorded in a proving. In other words it is a minor
generalization based upon a study of particulars. It is not usually a
single symptom as stated or observed by a prover in describing his
sensations, for that which is characteristic in any large way of a drug
is rarely shown in a single symptom. Thus the statement that the
Pulsatilla case is "in a close or warm' room" is a generalization
drawn from the observation of particular symptoms in numerous
cases, both in provings and clinically. The same is true of nearly
every condition of aggravation and amelioration contained in
Bœnninghausen's Repertory, the greatest masterpiece of analysis
comparison and generalization in our literature. Experience has
shown that most of these "conditions" or modalities of
Bœnninghausen are general in their relations. The attempt to limit
the application of the modality to the particular symptoms with
which they were first observed has not led to success in prescribing.
Bœnninghausen did his work well, and he followed strictly the
inductive method. Of these modalities he wrote: "All of these
indications are so trustworthy, and have been verified by such
manifold experiences, that hardly any others can equal them in rank -
to say nothing of surpassing them. But the most valuable fact
respecting them is this: That this characteristic is not confined to one
or another symptom, but like a red thread it runs through all the
morbid symptoms of a given remedy, which are associated with any
kind of pain whatever, or even with a sensation of discomfort, and

hence it is available for both internal and external symptoms of the

most varied character." In other words, they are general,
characteristics deduced by a critical study of particulars and verified
in practice.
Dramatizing the Materia Medica. - "Personification" of

remedies by artistic character delineation is an interesting form of
materia medica study for those who have a highly developed
imagination.
This attempts to bring before the mind's eye, the imagination, a

picture of the drug in human form, as an individual, whose features
we may recognize as we do those of a friend whom we meet on the
street. The artist draws the symptom portrait of a man, or a woman,
as the case may be. He introduces us to a personality. Taking the
material furnished by the prover and following anatomical and
physiological lines, he delineates a human figure, first in bold and
sweeping outlines, then in finer and more characteristic touches
which give individuality. Even. the mental traits and peculiarities are
there. True, a sick man is portrayed, but none the less does he
possess the traits of humanity. We do not love our friends the less
when they are sick. They may even possess additional elements of
interest for us because they are sick. And so these ghostly forms
which the materia medica wizard conjures up out of the "vasty deep"
are friends of ours and allies; inhabitants of a "spirit-world" from
whence they are ever ready to appear at our behest. Our knowledge
of the law of cure and of potentiation gives us control over such
spirits, and we may say, with the disciples of old, "even the devils
are subject to us," - for substances like Crotalus or Lachesis, deadly
serpent poisons, which, in their crude state, possess properties
simply devilish in their terrible malignity, by dilution and
potentiation become beneficent healing remedies full of blessing to
suffering mankind.
Generalizing for Repertory Work. - In using repertories,

notably "Bœnninghausen," which all Hahnemannian prescribers use,
we constantly generalize. We bring together and correlate the partial,
disconnected statements of the patient into complete and rounded
wholes which may, perhaps, be characterized by a single word
corresponding to a rubric in the repertory. Take, for example, the
word "maliciousness," classified by Bœnninghausen under the
general heading "mind." At first thought that would seem to be a
particular symptom; - but a little reflection will show it to be a

generalization, drawn from a number of observations. Rarely will a

patient state, or even admit on being directly questioned, that he is
maliciously disposed. If it is a fact it will be deduced by the
discerning physician from a number of facts, learned directly by the
inductive process. The same is true of a great number of mental
states. We become aware of them in the course of our careful
observation and study of the case, by piecing together detached bits
of evidence.
Generalizing the mental states is the most difficult of all and

requires the exercise of the highest powers of the physician. In
difficult cases of nervous and mental disease the physician must be a
trained psychologist and a logician, as well as a most alert and
accurate observer.
Reviewing and summarizing the ground thus far covered we find

that the inductive method in science is cumulative and evolutionary.
It eliminates every element of speculation and deals only with
established facts. It takes nothing for granted when data are
concerned. It ignores no fact, no matter how trifling it may seem. It
confines its operations strictly within the. limits of the subject
directly in hand. Its deductions are always direct, never indirect. It
never makes an inference or deduction from a process of reasoning,
or from theoretical grounds, but always from carefully observed
facts. A generalization made according to the principles of Inductive
Logic stands in direct and logical relation with the data from which it
is drawn and includes them in their essential features. It is arrived at
through a series of steps or degrees, in which each conclusion rests
firmly upon the preceding steps.
The principles which govern the art of generalization may be

summarized as follows:
1. The mind must be freed from the bias of pre-conceived

opinions and theories.
2., The subject must be clearly defined, or restricted within

definite limits.
3. The phenomena must be determined by actual observation or

experimentation, with a single end in view; viz., the truth.

4. All the phenomena must be gathered, if possible. No fact must

be omitted, however trifling it may seem.
5. No phenomena are to be admitted to the induction of a study

but those elicited by its own process in its own province.
6. The facts must be clearly expressed and recorded with

exactness and precision.
7. The phenomena must be expressed and recorded in terms of

simple fact, free from speculation about their causes.
8. The facts having been ascertained and clearly stated, they are
to be arranged in their natural relation to each other and to the
subject of. the inquiry by comparison and generalization
9. Generalization proceeds by bringing together similar and

related phenomena into groups, considering these in their relation to
each other and to other groups, deducing their general characteristics
and stating them in simple, comprehensive, form.
10. Particulars appropriately grouped lead to minor

generalizations, which in turn lead to greater generalizations, but
always as required by Lord Bacon's formula, "ascending continually
and by degrees." "The most rigorous conditions of gradual and
successive generalizations must be adopted."
11. Nothing should be deduced from the facts of observation

except what they inevitably include.
12. At every stage of the investigation the analysis of the

phenomena must be carried to its utmost limits before the process of
synthesis is begun.
The Law of Causation. - The science of logic has an important

relation to medicine in the matter of assigning the causes of disease,
upon which, as far as possible, treatment is based. If treatment is to
be governed to any extent by the idea of removing or counteracting
the effects of the cause of the disease, it follows that success will
depend upon correct conclusions as to what constitutes the cause or
causes.

Many, if not most, of the mistakes and failures in medical

treatment are due to the failure to comprehend and correctly apply
the principle of logic known as the Law of Causation.
Everyone is quite ready to agree that "every effect must have a

cause." But investigation shows that very few seem to know, or, if
they know, make use of their knowledge of the fact, that every effect
has a number of causes, all of which must be taken into
consideration if correct conclusions are to be formed.
Mill (System of Logic) says:
"The theory of Induction is based upon the notion of Cause. The

truth that every fact which has a beginning has a cause is co-
extensive with human experience. The recognition of this truth and
its formation into a law, from which other laws are derived, is a
generalization from the observed facts of nature, upon which all true
science, is based."
"The phenomena of nature exist in two distinct relations to one

another; that of simultaneity, and that of succession. Every
phenomenon is related, in a uniform manner to some phenomena
which coexist with it, and to some that have preceded and win follow
it."
"Of all truths relating to phenomena the most valuable are those
which relate to the order of their succession. On a knowledge of
these is founded every reasonable anticipation of future facts, and
whatever power- we possess of influencing those facts to our
advantage., From the same knowledge do we derive our power to
make the most effective use of past and present facts."
"When we speak of the cause of any phenomena, we do not mean

a cause which is not itself a phenomenon. It is not necessary (in
practice) to invade the realm of metaphysics and seek for the
ultimate cause of anything. Of the essences and inherent constitution
of things we can know nothing. 'The only notion of a cause which
the theory of induction requires is such a notion as can be gained by
experience in the correct observation and interpretation of facts. But
much depends upon how we observe facts. The trustworthiness of
facts often depends upon the accuracy and freedom from prejudice
of the observer. Inasmuch as we do not reason from facts, but from

our conception of the facts, it follows that the reliability of our

conclusions depends not only upon correct observation and correct
reasoning, but upon the truthfulness of our conceptions of facts."
(Jevons says: "Science is in the mind and not in things."')
"The Law of Causation, which is the main pillar of inductive

science, is but the recognition of the familiar truth that between the
phenomena which exist at any instant and the, phenomena which
exist at the succeeding instant, there is an invariable order of
succession. To certain facts, certain facts always do, and, as we
believe, will continue to succeed. The invariable antecedent is
termed the cause; the invariable consequent, the effect."
"The universality of the law of causation consists in this, that

every consequent is connected in this manner with some particular
antecedent, or set of antecedents. Let the fact be what it may, if it has
begun to exist, it was preceded by some fact or facts, with which it is
invariably connected. For every event there exists some combination
of objects or events, some given concurrence of circumstances,
positive or negative, the occurrence of which is always followed by
that phenomenon. We may not have found out what the concurrence
of circumstances may be; but we never doubt that there is such a
one, and that it never occurs without having the phenomenon in
question as its effect on consequence."
"It is seldom, if ever, between a consequent and a single

antecedent that this invariable sequence subsists. It is usually
between the consequent and the sum of several antecedents; the
concurrence of all of them being requisite to produce, that is, to be
certain of being followed by, the consequent."
"In such cases it is very common to single out one only of the
antecedents under the domination of Cause, calling the others merely
Conditions: Thus, if a person eats of a particular dish, and dies in
consequence, that is, would not have died if he had not eaten of it,
people would be apt to say that eating of that dish was the cause of
his death. There need not, however, be any invariable connection
between eating of the dish and death; but there certainly is, among
the circumstances which took place, some combination or other on
which death is invariably consequent; as, for instance, the act of
eating of the dish, combined with a particular bodily constitution, a

particular state of present health, and perhaps even a certain state of

the atmosphere; the whole of which circumstances perhaps
constituted in this particular case the conditions of the phenomenon,
or in other words, the set of antecedents which determined it, and but
for which it would not have happened."
"The real cause is the whole of these

antecedents, and we have no right,
philosophically speaking, to give the
name of the cause to one of them,
exclusively of the others."
The most common, and in its outworkings the most pernicious

medical error, is to assume that a disease or a morbid condition had a
single cause, and to direct all efforts and agencies against that.
This error is responsible for such tragical failures as have resulted

from the attempts to treat or eradicate cholera, tuberculosis and
diphtheria on the assumption, at least virtually, that bacilli were the
sole cause of these diseases.
The mortality in the last great cholera epidemic under antibacillar

treatment was the greatest in history. Human tuberculosis under the
same regime continues its ravages unabated, while millions of
dollars worth of cattle have been uselessly destroyed in the attempt
to stamp out bovine tuberculosis.
In 1915, after about fifteen years of experience, the Department

of Health of New York City, in its official Weekly Bulletin,
December 18, 1915, announced the total failure of diphtheria-
antitoxin and all other measures of treatment based, upon the bacilli
hypothesis to reduce or control the prevalence of diphtheria.
Reporting a conference held at the Department of Health, it said:
"Thus it was generally agreed that the prevalence of diphtheria

was as great, or even greater now as it was years ago, although, of
course, (Sic) the mortality from that disease has been very greatly
reduced. In other words, although the administrative efforts of the
health authorities - that is, the provision of facilities for early
diagnosis and the introduction in the number of the Antitoxin
treatment has produced a striking reduction in the number of deaths,

they have been wholly without influence on the number of cases

occurring."
The oriental expedient of trying to "save face" by emphasizing

reduced mortality is as shallow as the former claims of ability to
reduce and control the prevalency of the disease; for it can easily be
shown that the reduced mortality is due more to other causes, some
of them purely natural, than measures based upon the bacillar
hypothesis.
The ridiculous "Swat the Fly" campaigns, enthusiastically

conducted in various parts of the country in recent times, afford
another example of the prevailing ignorance of the law of causation.
Of what use is it to "swat the fly" while no attention is given to the
uncovered garbage pails, the reeking manure heaps and privy-vaults
and the numerous other filth centers which are' his breeding places?
Ignorance or misapprehension of the Law of Causation is the

strongest and most serious indictment that has been brought against
the advocates of bacteriology as a foundation for therapeutics.
Brilliant and successful as have been the attainments of
bacteriologists in creating a new science of sanitary engineering,
they have failed, and must continue to fail, to establish bacteriology
as the basis of a true therapeutics. The fatal tendency in this
department of medical research to focus attention and effort upon
one cause to the exclusion of all others inevitably leads into error
and failure.
In cholera, for example, admitting the existence and presence of

the bacilli as one causative factor, We still have to reckon with
sanitary, atmospheric and telluric conditions; with economic and
social conditions and habits of life; with means and modes of
transportation and intercommunication between individuals and
communities; with individual physical, mental and emotional states,
etc., all of which are essential factors, in some combination, in
determining and modifying the susceptibility of individuals to the
bacilli; for without some combination of these factors the bacilli are
impotent and, the disease would never occur, Each of these factors is
a cause at least equal in rank with the bacilli, and any successful,
method of treatment must be able to meet all the conditions arising
from any existing combination of the causes.

This may seem like an impossible requirement, but experience

proves that homœopathy, with a mortality record in cholera as low as
four per cent and less, against a record as high as seventy per cent
under other forms of treatment, is able to meet it. The secret of this,
success is that homœopathy does not direct its efforts primarily or
solely to the destruction of the proximate physical cause of the
disease (the micro-organism), but against the disease itself; that is,
the morbid vital process as manifested by the symptoms, using
symptomatically similar medicines capable of causing a counter
action of the organism similar in nature to that of the pathogenic
agent, neutralizing its effects and thus restoring systemic balance, or
health.
"From nothing, from a mere negation, no consequence can

proceed. All effects are connected, by the law of causation, with
some set of positive conditions; negative ones, it is true, being almost
always required in addition. In other words, every fact or
phenomenon which has a beginning, invariably arises when some
certain combination of positive facts exists, provided certain other
positive facts do not exist." (Mill.)
Thus diphtheria, may be prevalent in a community, and the

specific micro-organisms (Klebs-Lœffler bacilli) of that disease be
present in the throats of many healthy individuals; but if those
individuals have a high or sufficient resistance to the action of the
bacilli, and are not therefore susceptible to infection, they destroy the
bacilli and escape the disease. The necessary combination of positive
facts and conditions does not exist for them.
The power of the bacilli or other infectious agents is always

relative and conditional, never absolute, as many are led to believe.
The bacilli, therefore are not the sole cause of the disease, but only
one possible factor in a group or combination of causes or
conditions, all of which must exist and act together before the
disease can follow.
Main

Chapter XVII - The Development of Hahnemannian Philosophy in the Sixth... Lectures and Essays on Homeopathic Philosophy - By Dr Stuart M. CLOSE
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Philosophy
Chapter XVII
The Development of Hahnemannian
Philosophy in the Sixth Edition of "The
Organon"
When it was announced that

the long-awaited Sixth Edition of
Hahnemann's "Organon" was at
last available and about to be
published, there was great
curiosity on the part of his
present-day followers to see
what changes, additions or
developments were embodied in
it.
What subjects had most

interested and occupied the mind
of the Old Master during the last Dr Samuel Hahnemann
years of his long life? What
subjects did he regard as the most important and as most needing
further elucidation? Had he changed his mind in regard to any of the
fundamental principles of his philosophy? Had he formed any new
theories? Had he changed his method of applying the principles
which he had laid down in former editions?
Speculation on these questions was rife. There were some, like

the writer, who believed that few changes would be found in the

practical rules and methods which had stood the test of more than a
century of experience and proved their permanent value in the cure
of innumerable cases of disease. They expected that the changes
would consist of a further development and elucidation of those
theories and concepts which constituted the latest former additions to
his system-abstruse subjects which did not appear or were only
lightly touched upon in the early editions; subjects., for example, like
those of vitality, dynamism and potentiation, which were the last to
be developed and introduced into the "Organon."
This conjecture turned out to be correct, and it is well for the

medical world that it did. Never was there greater need than now that
the medical profession should be reminded, as by a voice from the
celestial world, that there is something more vital and more
important for them and for suffering humanity than matter and
materialism; than germs and germicides; than serums and vaccines;
than mechanics and mechanisms; than pathological processes and
products.
That "Something" is a fuller knowledge and realization of the

spiritual nature of life or mind in organism; of life or mind as a
spiritual, entitative power or principle manifesting itself in and
through the physical organisms of which it is the architect and
builder as well as the tenant.
Whatever tends to throw light upon the connection between mind

and body; whatever enlarges or clarifies our conceptions of what
Life is and how it builds its house, or performs its functions;
whatever enlarges our knowledge of the relations between the
various organs and systems of organs of the physical body; whatever
tends to show how the living organism acts and reacts under the
influence of external or internal agencies - mental, psychical or
physical; that is important, and important in the highest degree,
because the medical profession as a whole has largely neglected or
ignored these phases of the subject and has regarded man merely as a
mechanism actuated solely by physical forces-and treated him
accordingly. From this misconception arise the most glaring errors,
the most flagrant abuses and the most tragical results in the medical
and surgical treatment of today.
Hahnemann, in his later life, with marvelous insight and striking

prescience, fixed his attention principally upon the spiritual and
dynamical aspects of the subject of medicine. Hence we find that the

changes, additions and developments in the Sixth Edition of "The

Organon" deal principally with these subjects. These remained
longest in his mind. To them he gave his deepest and most mature
thought. Evidently he regarded the results of his thought as
sufficiently important to justify a new, and, as he termed it "most
likely the last" edition of his immortal masterpiece, "THE
ORGANON."
Dynamism, The Vital Force, Potentiation and the Infinitesimal

Dose: Around these three subjects have centered the hottest
controversies and most mordant criticisms in the history of :
homœopathy; and these are the newly treated subjects in the Sixth
Edition of "The Organon." For more than a century the battle
between the "dynamists" and the "materialists" has been fought-the
"dynamists" always in the minority, but unconquerable. Their heads
are "bloody but unbowed." The "long, thin line" is unbroken. Their
trenches are deep and well protected. Their supplier of ammunition
are constantly being replenished and their weapons improved by the
latest findings and conclusions of modern science, the whole trend of
which is toward the confirmation of the dynamical conclusions
arrived at by Hahnemann.
The invention of the telegraph, telephone, electric dynamo X ray

machine, phonograph, telegraphone, "radio," the discovery of
radium, etc.; the advances made in the study and utilization of
electronic and ionic machines, and of colloids and solutions in
general-The New Dynamism-these have all been brought about in
physical science through the application of the identical dynamical
principles which Hahnemann was among the first to recognize in
their general application, and the first to apply in modern medicine
and therapeutics.
To Hahnemann belongs the honor of having been the first

physician to connect biology and psychology with physics in a
practical system of medicinal therapeutics, and to give an impulse to
studies in biodynamics which has gained momentum continuously
ever since.
When Hahnemann, after formulating his principal concepts of

Life or Mind in its relation to the physical organism, began to
experiment with the action of drugs upon healthy human subjects.
Observing the subjective as well as the objective phenomena, he
opened up a new field of research and laid the foundation for a true

science and art of medicine and psychology. Prom that time forward,
and for the first time, man could be studied and treated scientifically
as an individual, in all his personal and peculiar actions and reactions.
The philosophy of Hahnemann is based upon and includes not

only the physiological and pathological actions and reactions of man
as a physical organism, but of man as spiritual and psychical being;
for it includes and utilizes the mental, the subjective and the
functional phenomena as they are developed under the influence of
hygeopoietic and pathogenetic agencies. In this respect homœopathy
differs radically from and is infinitely superior to all other systems of
therapeutics; and this is solely because it recognizes Life or Mind as
an entity; as the primary, spiritual power or principle which creates
and sustains the physical organism and is the primary cause of all its
actions and reactions. Its working principle is the universal Law of
Reciprocal Action, otherwise known as the law of balance,
compensation, rhythm, polarity, vibration, or action and reaction, all
of which signify a principle operative alike in the physical, mental
and spiritual realms. In its out-working it is essentially the Law of
Love, for it is always beneficient, always creative, always
harmonizing. Hence, the consistent practitioner of homœopathy
never uses, and has no need to use, any irritating, weakening,
depressing, infecting, intoxicating or injurious agent of any kind in
the treatment of the sick, nor to violate the integrity of the body by
forcibly introducing medicinal agents by other than the natural
orifices and channels.
Homœopathy achieves its ends and accomplishes its purposes by

the use of single, simple, pure drugs; refined and deprived of their
injurious properties and enhanced in curative power by the
pharmacodynamical processes of mechanical comminution,
trituration, solution and dilution according to, scale; in minimum or
infinitesimal doses, administered by the mouth; the-remedy having
been selected by comparison of the symptoms of the sick with the
symptoms of drugs produced by tests in healthy human subjects;
under the principle of symptom-similarity, as enunciated in the
maxims, "Similia, Similibus Curantur.-Simplex, Simile, Minimum."
This is homœopathy in a nutshell. It is a shell which some find

hard to crack, but when cracked it is found to be packed full of sweet
and wholesome meat, with no worms in it.

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The Genius of Homeopathy - Lectures and Essays on Homeopathic Philosophy - By Dr Stuart M.

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The Genius of Homeopathy

Chapter I - The Psychological Point of View

Chapter II - General Interpretations

Chapter III - Schools of Philosophy

Chapter IV - The Scope of Homœopathy

Chapter V - The Unity of Medicine

Chapter VI - Life, Health and Disease

Chapter VII - Susceptibility, Reaction and Immunity

Chapter VIII - General Pathology of Homœopathy

Chapter IX - Cure and Recovery

Chapter X - Indispositions and the Second Best Remedy

Chapter XII - Examination of the Patient

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Chapter XIII - Homœopathic Posology

Chapter XIV - Potentiation and the Infinitesimal Dose

Chapter XV - The Drug Potential

Chapter XVI - The Logic of Homœopathy

Chapter XVII - The Development of Hahnemannian Philosophy in the

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The Genius of Homeopathy

MANY of the articles which make up this book

In discussing Hahnemannian principles from, a

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New York Homeopathic Medical College and Flower Hospital

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The Genius of Homeopathy

Great Personalities - All great

Always, following the appearance of a great teacher or leader,

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Homœopathy, the science and art Of therapeutic medication, as a

These two constituents are pervaded by a common animating

Homœopathy a System.- The fundamental principles of

The practical demonstration of homœopathy is committed to its

Every problem with which homœopathy deals, therefore, must be

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analysis homœopathy, from the psychological standpoint, is

As a prerequisite to a clear understanding of the subject, as well

Nothing conflicting with its established principles can be added to

A mutilated homœopathy is a lame and crippled thing, compelled to

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Mere formal knowledge of the "law of cure" and the technic of

Methods of adapting and applying the principles have changed to

It is conceivable and probably true that one reason for the

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clearly identify the principle and its relations, and establish

Principles and Organizations - A common mistake, and one of

Organizations are formed for the purpose of maintaining and

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personal ambition. They come to regard their official contract with it

Out of these conditions, which it is not necessary to illustrate or

The individual truth-seeker must, therefore, keep his eyes open

It has come to pass that individual liberty is calculated only in

The world is in a state of war. It is a "War of the Worlds." The

Organizations like men are subject to disease, decay and death.

Principles are essential truth, represented by or corresponding to