Sahya Part 13

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HOMOEOPATHIC POSOLOGY
(POSOLOGY =STUDY OF LAW OF DOSAGE.)
LAWS APPLIED IN POSOLOGY
Law of dosage.
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Law of quantity

Law of quality

Law of Repetition
-Proving
-Cure
DOSE
 Quantity of particularmedicine
administered to particular individual at a
time

TYPES
 Physiological dose.
 Pathological dose.
 Toxic dose.
 Lethal dose.
 Therapeutic dose.

MINIMUM DOSE
 Least quantity of any substance required to
affect a change in nature.
 Also known as sub physiological dose.

 § 280- Minimum dose is defined as the
quantity of medicine required to produce a
scarcely perceptible homeopathic
aggravation.
 Stuart close – A dose which is not capable
of producing symptoms when used
therapeutically .

EVOLUTION OF CONCEPT OF MINIMUM DOSE BY
HAHNEMANN
1779-1799
 Large and heroic doses of medicine.
 Mercury.
 Opium.
1799-1827
 In acute and chronic cases.
 2nd and 3rd dilution.
 Nature of disease => Dose.
1828- Onwards.
Theory of chronic decease.
Dose- Globule not bigger than poppy seed. 5th edition of
organon- 1/200 of a grain.
OBSERVATIONS.
a) Medicines exhibited greater strength when

given in dilutions than in dry state.
b) Greater power when given in divided
doses than given at once.
c) Increasing power of a medicine by a
thorough admixture of vehicle by means
of succession.

a) To evade persecussion of apothecaries
who tried legal proceeding against
Hahnemann for invading up on their
privileges for dispensing medicine.
b) To avoid aggravation of disease when
given in large doses.

WHY DOSE SHOLD BE
MINIMUM
1. Disease producing agent+Drug.
2. To reduce the aggravation.
3. Arnold-schutz- minimum dose
stimulates
medium of inhibits
maximum destroys.

GUIDELINES BY DIFFERENT
AUTHORS.
 HAHNEMANN.
§279 – The dose of homeopathically

selected remedy can never be prepared so
small that it shall not be stronger than
natural disease.

 § 280 - let them learn from the
mathematicians how true is that a substance
divided into so many parts still contains its
smallest part and the smallest part does not
cease to have some substance.

 § 281 - Every patient ever so robust
will be effected by small conceivable dose.

Exception to infinitesimal dose
 § 282- when 3 great miasms while they still
efflorescence on skin require from very
beginning large doses of their specific
remedies of higher and higher dynamisation
daily.

STUART CLOSE
3 necessary requirements for the action of
infinitesimal dose.
 Development of special virtues of medicine
by dynamisation .
 Increased susceptibility to medicinal
impression produced by the decease .
 Selection of symptomatically similar
remedy.

H.A. ROBERT
3 fundamental laws
• Law of least action and
quality .
• Law of quantity and
dose.
• Law of quality.
Infinitismal dose is one which is so
small as not to produce too much
aggravation of the symptoms already
present and never large enough to produce
new symptoms .

CARROL DUNHAM
Favours infinitesimal dose and at the
same time states that there are many
evidences in chronic disease that many
medicines have acted in very large doses.

RICHARD HUGHS
Unquestionable result with
6th ,12th an 30th dilution .No practical
knowledge of 200th.

J.T.KENT
 There is difference in the activities of a
given remedy in 30th and 10M up on the
same constitution.
 Very high potencies seldom require
repetition in c/c disease. In severe a/c
disease several doses in quick succession .
 It is better to begin lower and go higher
and higher.

HOMOEOPATHIC POSOLOGY
STUDY OF INFINITESIMAL DOSE
 Study of preparation of infinitesimal dose

 Application of infinitesimal dose
 Study of repetition of the dose

STUDY OF PREPARATION OF
REMEDIES.
Study of preparation of remedies- Pharmcopraxy.
Mode of preparation:
3. DECIMAL SCALE
4. CENTESIMAL SCALE
5. MILLESIMAL SCALE

Decimal scale.
Herring introduced decimal scale.
 1 part by weight of crude drug +9 part by
weight of S.M- triturating for 1 hour. 1 part
of drug succesed with 9 part of alcohol- 1st
potency.

Centesimal scale
 Introduced by Hahnemann.
 1 part of Crud drug + 99 parts of
S.M.Triturating for 1 hr.
or
1 part of drug successed with 99 parts of
alcohol.

Millesimal scale.
 Introduced in the 6th edition of organon.
§ 270
 In western world denoted as
1/0,2/0
 India Bangladesh 0/1,0/2 or m/1,m/2

 Hahnemann -
0, 0 or LM, LM
1 2 1 2
L-stands for 50
M-Millesimal.
Orgonon recommended up to LM/30 only.

KORSAKOVIAN METHOD
Single phial system.
 Succession
 Communication via infection

MIXED HAHNEMANNIAN &
KORSAKOVIAN
Begin with Hahenemannian
mode of preparation up to 6 c or 30 c. Then
use single phial method.

JENICHEN’S POTENCIES.
As much vehicle as required to prepare 30th
dilution is taken.
One drop of M.T is put in to it, 10 succession-

1st dilution.
Sufficient succession is given continuously

until the desired potency is reached.

FINCKE’S METHOD.
100 drops of drug substance in a
glass jug and a stream of distilled water is
allowed flow through the same. For every
drop of water entering and coming out- one
potency.

SKINNER’S METHOD
Skinner developed a method of
potentisation which was some what similar
to fincke’s method.

Q- Potency.
Used to designate 50 millesimal

potency.

APPLICATION OF
INFINITESIMAL DOSE.
a) Selection of potency and dose

b) Route of administration of remedy
c) Notion of quantity
d) Notion of quality

SELECTION OF
POTENCY AND DOSE

SUSCEPTIBILITY

FACTORS MODIFYING
SUCCEPTIBILITY
Age:
Greatest -Young vigorous person
Children
Diminishes with age.
Children particularly sensitive during

development.

Constitution & temparament.
High potencies Nervous
Sanguine
Aco,Hyos,N.M - Choleric
N.V, Staph, Lyco Intelligent
Quick to act & react
Aurum, Tarent C.C- Zealous
Impulsive

Lower potencies
Torpid
Phlegmatic
Coarse fibred
Sluggish
Idiots imbecile, deaf and Dump.

Habit and environment.
Susceptibility is increased by intelluctual
occupation. - High potency.
Greater Muscular power and Sedantary habit.

- Low potency.
Occupation Exposure to tobaco, chemicals,

perfumes, brewers, druggist, distillary.
- Low Potency.

Pathological conditions.
Functional
Structural Reversible
Irreversible.
Terminal condition - Material doses
Long exhausting chronic disease

- Low potency
Seat of Disease.
If vital organs are structurally destructed,
- low potency.
eg; Chonic valvular heart diesease.
Skin,CNS,Metabolic.
- High potency.

Character of disease.
Rapidly fatal - Low succeptibility.
- material doses/low
potency.
Collapse/deficient vital reaction.
- low potency
Increased vital reaction
- High potency
Disease of low grade
- Low Potency.
Previous abuse of medicine.
 Sensitivity of PT - lowlow potency
 Stop medicine for few days.
 Carefully regulate diet and regimen.
 Hahnemann recommended administration of
opium, carboveg, Sulph, Thuja, Nuxvom.

Correspondence.
Total. Mind
Body
Miasm
Partial.
Minimal / Organ specific.

Sensitivity.
 Pain
 Mental symptoms

Miasm.
 Psora
 Sycotic
 Syphilitic
 Tubercular

Nature of drug selected.
Superficially acting drug
Deep acting drug
Nosodes
Antimiasmatic drug

Route of Administration.
 Pharmaconomy
 §284-6th edition
 Tongue, mouth stomach
 Olfaction
 Inhalation
 Inunction
 Moderate doses to nursing mother

Ext. Aplication not advisable.
 §197
 Premature disappearance of local symptom.

Notion of Quantity.
 § 276
 Every dose that is too large
 Large dose to case with Greater

homoeopathicity
 Large dose of a high potency.

 § 285
 Sugar globule of the size of poppy

seeds.
 A drop of medicine sufficient to

medicate 300 such globule.

Notion of Quality.
§ 272.
 Globule mixed with S.M and dissolved in
water, stirred every time before
administration.
 Quality increases, the greater quantity of
fluid in which it is dissolved.
 Quality is increased when the succeeding
doses are changed slightly every time.

Repetition.
Pharmacopollaxy.
§ 247
At an interval of 14,12,10,8,7 days - Chronic.
Every 24, 12, 8, 4 hours - in acute.
Every hours; Every 5 minutes -very acute.

Kent.
Series in degrees
 30,200,1M,10M,50M,CM
 Very high potencies seldom require

repetition in chronic cases.

Boreland.
In acute disease
 Low potency - Diminish the severity
diminish the mortality
cannot cut short the
duration.
 High potency - Can cut short or abort
the disease.

Potency
Low - Below 30th
Medium - 30-200
High - 1 M and above.

Voison.
 Low potencies - organotropic
 Medium potencies - Influence the
function.
 High potencies - Penetrate the
psyche.

GENERAL OBSERVATIONS
 Law of similars is the primary law of cure
 Correct remedy will act curatively in any

potency
 A correct potency will act more gently.

 Diseases with specific pathology – 12x-200
 Cases with known malignancy –initially

potencies below 200
 Suspected malignancy – first prescription

below 1M

 Abundance of clear mental symptoms-high
potency
 Acute cases- strong defense mechanism-200

and above
 Exception-in old chronically weakened-

preferably 200

Nature of the remedy
Kali carb-in gout

Sulph.,sil,tub,phos – in TB
Psor.- in asthma
High potencies of Lach,Aur,Medo,Ars.

Practical hints
 Lach.-usually 30 – 200
 Lyco-abd.complaints-30th
 gout,DM,-higher(10M-CM)
 higher potencies act best in single dose
 rarely repeated after improvement bigins

 Petro,Graph- < from 200
 Ars.alb – lower in gastric,intestinal,kidney

 higher in neuralgia,
 CNS,skin,mental
 Beri beri vul.- Q – renal colic
 200-in heel pain,rheumatic pain
 Blatta- low potencies during attack
 higher- after spasm for the
remaining cough.stop with improvement

 Carc.-200 once a week
 Streptococcin -200 once in 15 days
 Fer.phos- may cause sleeplessness in lower
potencies
 FP,CF,NS,-most effective in 12x


DOSE
 Infants – 1/4 to ½ drop
 ¼ grain
 1-2 globule
 ½ -1 pilule
2-12yrs – ½ -1 drop
1 grain
2-3 globule
1-2 pilule

 Above 12 yrs.- ½- 1 drop
 1 grain
 4-5 globules
 2-3 pilules
 J.H.CLARK – 1drop of Q(unless otherwise
 mentioned)
 W.I.Pierce- well selected remedy fails to act
 jump to a higher potency
 drop suddenly to lower and back
 to original


 GARTH BORICKE-
 poly chrests-wider range of action
in high potency
 Low potencies tend to limit the therapeutic
sphere of a drug
 RAWAT-
 Indiscriminate use of only one potency-
failures
REPETITION
 Impresibility of the patient
 Nature of disease
 Potency selected

 Perceptible & continuous improvement-
contra indicates repetition
 Repeat when the beneficial effects ceases
 Change remedy when improvement ceases

and symptoms have altered.

Remedy reaction
 No change
 Remedy wrong
 Potency wrong
 Slow acting remedy
 Patient sluggish in reaction

 steady improvement with no <
 Correct remedy
 No organic change

 Short & strong < followed by slow&sure
recovery
Corect remedy
Vigerous reaction
No structural change

 Long & severe < followed by slow &sure
recovery
 Correct remedy
 Organic changes
 Vital reaction low
 Curable

 Improvement limited
 Correct remedy
 Vital organs affected much
 After major surgeries
 Careful repetition at infrequent intervals

 Long < followed by a slow decline
 Incurable
 Advanced case organic distruction

 > first followed by <
 Remedy not deep acting

 Case incurable


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a) Medicines exhibited greater strength when

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§279 – The dose of homeopathically

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 Study of preparation of infinitesimal dose

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One drop of M.T is put in to it, 10 succession-

Sufficient succession is given continuously

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Used to designate 50 millesimal

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a) Selection of potency and dose

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Diminishes with age.

Children particularly sensitive during

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Idiots imbecile, deaf and Dump.

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Greater Muscular power and Sedantary habit.

Occupation Exposure to tobaco, chemicals,

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Terminal condition - Material doses

Long exhausting chronic disease

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 Stop medicine for few days.

 Carefully regulate diet and regimen.

 Hahnemann recommended administration of

opium, carboveg, Sulph, Thuja, Nuxvom.

Minimal / Organ specific.

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Superficially acting drug

Deep acting drug