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Repetition of medicine

i want to know about the repetition of medicine. for polycystic ovaries amenorrheoa and acne on face. i advised to one of my patients,
Nat Mur 200 once daily for one week
Apis 200 daily for one week
Phosphorus 1M once dose.
i asked her to tell the response in one week. my patient got immediately good response. all acne disappeared, she had menses in 10 days, and other symptoms were also gone.
she didnt contacted me and continued the medicine for 2 months. as a result the symptoms started appearing again.
plz give comments and suggestion for this situation. also discuss the effect of such longterm repetition.
in my practice i use to repeat the medicine untill i start getting response. as soon as i get response, i stop medicine and dont repeat until the affect continues. what other factors are important in relation to repitition.
 
  ayesha1968 on 2014-10-17
This is just a forum. Assume posts are not from medical professionals.
What is your practice- are you a homeopath?
 
simone717 9 years ago
You probably should not be using such high potencies so frequently if you are not trained in how to use them - or using them at all. This is very dangerous practice. You are breaking several of our most basic rules in homoeopathy. Who knows what has happened now - proving symptoms, suppression, the end of a mere palliative effect.

Firstly, and most importantly, the patient could only be ONE of those remedies not all three.

Secondly, by repeating the remedy (remedies) over and over like this you have not allowed the proper secondary reaction to appear, and to be able to respond to that. If the remedy (whichever one was actually helpful) was genuinely curative there would have be a number of reactions you would be looking for to determine the Direction of Cure - probably the most important principle we have for long term management of a case. With such high potencies, you should be giving one dose and then waiting an adequate amount of time before doing another assessment - weeks usually in chronic cases. 1M itself is often not repeated for months, sometimes even years.

Lastly, there is no way to know which remedy acted. How do you proceed now, without knowing that? How do you apply complementary medicines? How do you know which medicine needs to have the potency adjusted?

Such a situation is now confused for the practitioner and moving forward will be very difficult.
[message edited by Evocationer on Fri, 17 Oct 2014 23:02:23 BST]
 
Evocationer 9 years ago
The three basic rules of homoeopathy, around which the whole system is built, are:

1. Law of Similars - a remedy is given on the basis of the symptoms of the whole disease, not just part of it. The whole disease affects the whole person, and the remedy should cover all important PECULIAR aspects of the disease wherever it shows itself.

2. Law of the Single remedy - one remedy given and allowed to have its full effect before either another dose is given or another remedy is prescribed. The amount of time will vary based on the patient, the situation, the pathology, the potency. If another remedy is prescribed after a successful prescription, the whole state must have changed to warrant this.

3. Law of the Minimum Dose - the smallest amount of medicine is given to effect a change, and each amount is allowed its full duration of action before being repeated. In many cases, this means a SINGLE dose however it does not require this, and individuals will have varying needs based on their sensitivity, situation, pathology and potency being used.
 
Evocationer 9 years ago
Yes simone717 I m a homeopath.
Thanks u so much Evocationer for or detailed response.
Regarding law of similar most of the time a single remedy doesn't cover all the symptoms. I usually select the remedy which covers most of the primary symptoms, then a combination remedy which covers most of the remaining symptoms. I m successfully using this method, and I never faced any problem.
In beginning I used to prescribe low potencies, but over the period I HV learned the. use of high potencies and I m getting much much better results.
The problem I face sometimes is:
The patient does not follow instructions. When they get improvement, they start self treatment. I always give complete instructions and always try to educate the patient.
Yes in combination remedies it is difficult to find which remedy responded. But over the period of time we get some. Expertese regarding remedy and the symptoms it cures.
 
ayesha1968 9 years ago
If they will not follow your instructions, let them ruin their case, but make sure you point out to them it is their own impatience that is the cause. Most of my patients learn very quickly if they act in haste they will destroy the good results. Any patient who will not follow instructions as a repeated behaviour, I discharge from my care and suggest they find someone else to manage their case. There are too many people willing to work with you and follow instructions for me to be wasting time on those who don't. That may seem harsh but there simply are not enough of us to go around to have to deal with that, when there is so much need in the community. People make their own choices, good or bad, and they need to deal with the consequences.

'Regarding law of similar most of the time a single remedy doesn't cover all the symptoms.'

A medicine need only cover the important peculiar symptoms to cure. It does not need to cover everything. There is no requirement in homoeopathy for that.

One has to establish a proper totality - the core state. This is the only thing that needs to be matched to a remedy. The other symptoms will either fall away on their own, or they will point to a more appropriate remedy.

Treating those symptoms on their own with another remedy is likely to result in palliation or suppression, if it does anything at all. If you have chosen a remedy that suits the actual core problem (the deepest level of the vital disturbance) then the second remedy will be without purpose and have no effect.

'I usually select the remedy which covers most of the primary symptoms, then a combination remedy which covers most of the remaining symptoms. I m successfully using this method, and I never faced any problem.'

Yes I hear people say that. I have never seen this in practice. I have seen many problems resulting from this method of treatment over the years, so I cannot say why you have not observed the same problem. Many of my own cases are actually patients who have been to see poly-prescribers and have reported significant problems as a result, usually suppression.

I have always used single remedies, and the majority of my cases are cured. I may not use one remedy only for a patient for the whole of their treatment, but I only use one at a time and I find this provides me with the clearest path to cure. Multiple remedies causes confusion - which remedy worked, which remedy aggravated, which remedy caused a proving? Single remedy prescribing removes all those problems. It means you need to be more precise your prescriptions however, and this has spurred me on to learn how to best find the totality so that this one remedy can do the best work alone.

I treat at the deepest level possible, and find that this method, while slower, provides the longest-lasting relief, and requires the least amount of micro-management of the case.
[message edited by Evocationer on Tue, 21 Oct 2014 03:05:39 BST]
 
Evocationer 9 years ago
I have actually been involved in discussions like this many times over the years, on different forums, in different classrooms. What I have found is that in such a debate, there is a particular problem. The definition of cure is not the same for each practitioner. One practitioner may say the disappearance of the main complaint is cure, another may say all physical symptoms is cure, and a third may say that the whole person must be better. This means people can argue quite vehemently their point without deceit or dishonour, since the baseline for judging the result is not consistent.
 
Evocationer 9 years ago
Dr Evocationer
It is right that patient should follow instructions or otherwise face the consequences. But as a doctor we should treat both good and bad patients. To bad patients we have to be a bit harsh and they also learn from experience.
Regarding Law of similar and using single remedy, I appreciate your detailed response. I agree with you that we should select single remedy depending on the core symptoms.
You have shared your experience in this regard. I too use single remedies in many of my cases. although i strongly agree using single remedy should be the priority bt Still using combination remedies is giving me excellent results.
Yes you have pointed to the very important aspect that is meaning of cure. In true sense the cure means overall cure of the patient which is long lasting. When the patient is cured, he or she must be completely fit.
But you are very right to say that definition of cure varies from person to person.
[message edited by ayesha1968 on Tue, 21 Oct 2014 04:23:42 BST]
 
ayesha1968 9 years ago

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