Hi
can someone tell me whether it is advisable or not to move from 30c to LM's in a case?
I didn't have the LM to hand, but had to prescribe on the spot and gave 30c. This is an ultrasensitive patient and hard to handle, and I want to move to LM's but wonder if I have to go up slowly.

Hi
The potency u prescribe is dependent on the condition of the patient. It is not necessary that you should move slowly. As u say the patient is “ultrasensitive patient and hard to handle” you can give the required potency directly. My be the potency u prescribed may not even work.

There shouldn't be much of a problem switching over to LM dosing. You can start by using an LM 1, have your client take a single dose and wait from a few days to a week. This will allow you to see if there's any sensitivity reaction to the LM, and if not, you can slowly increase the frequency of your dosing regimen up to daily from there. If they do have a reaction after switching and taking the single dose, you could decrease the number of drops (or succussions) with subsequent doses.

David is absolutely right. Furthermore, if your patient is ultrasensitive you really don't want to go any higher than 30C in the centesimals. Hahnemann didn't like to use the higher potencies because of the violent aggravations they caused in sensitive patients. That's why he developed the LM's, which are a completely different scale than the C's. Also, you may want to prepare an extra mild dose for this person until you can assess their level of sensitivity to the rem.

According to Luc De Schepper, LM/1 is a higher potency than a 30C, so going to LM/1 may be a logical next step. Do you know how to prepare an LM? You'll need a 4-oz. non-dropper bottle. Fill 2/3 of the way with water, drop one LM pellet in, succuss anywhere from 2-10 times (before each use)-- the lower end of the scale being for hypersensitive patients-- and then pour a tsp. from the bottle into a 4oz. cup of water, stir, and sip a tsp. from the cup.

If patient aggravates, go to a second 4 oz. cup of water: pour a tsp. from the first cup into a second cup, stir, and sip. You can keep going to extra cups until the patient stops aggravating; or you can lower the number of succussions, or go to every other day, etc.

Snoopy

Ma, some highly experienced homoeopaths in India actually recommend using a 30C in an ultrasensitive case first, before attempting the LM scale. You're probably familiar with the olfaction method if this dose proves too strong.

Thanks for all your replies.
Snoopy - yes I am familiar with LM preparation but do it differently. 10ml dropper bottle with 12% solution and 2 drops into glass of water (+ succussion etc). I agree LM1 is higher potency than 30C but was anxious because I believed one had to go 30 - 200 - 1M 10M and THEN LM so this thread has been most helpful.
Chrisg - thanks for that Indian experience - I wasn't aware of it. However I understood that olfaction wasn't necessarily for sensitives, maybe I'm wrong. i know I get almighty headaches when I inadvertantly smell my remedies on prescribing. Also were you suggesting "olfacting" LM's?

I read that a pellet of LM 1 has about the same amount of original material as a 6C. This relationship is changed by dropping into 4 oz of water and then the succussion/stirring, however.

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From 30c to Lm1 orLm2=no problem.
You can also give c-potencies like Lm's over 7-14 days.
You can also go:30c-24c-18c-12c as Hahnemann did in his last years of using C-Potencies.

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Yeah I noticed some practitioners here administering the LM scale from dropper bottles. It seems a quite common practice. But my understanding is that if more water is used as in 4oz or 8oz bottles, the chance of aggravations lessens. Even in his day Hahnemann was seen to dilute the dose from a 4oz bottle in up to 5 successive cups of water for his hypersensitive patients, and even then in the worst cases he would have the patient inhale the remedy from this 5th cup!
I think today because we have a much broader repertoire of remedies to choose from than Hahnemann did, that we don't need to see this level of aggravation from accessory symptoms occuring.
Maybe a patient with multiple chemical sensitivities would need this level of dilution. The whole point though is not to be put off by the administration process when the results can be so spectacular for the patient.