dear homeolist,

I am trying to collect information on the use of LMs as single dose (dry or in a solution).

the founder did suggest the use of LMs as a single dose in aphorism 272 (but even here he talks about "stirring" hinting at altered doses).

I have read about the use of LM globules as single doses in the book psychiatry and homeopathy by dr fernando risquez and also the book by dr ramanlal patel of kerala.

dr patel mentions giving more than 5,00,000 LM prescriptions and he frequently gives 1 or 2 globules of LM as a single dose (or 2 dose -split).

however, I think dr risquez and dr patel's prescribing was too quick / herculean and marathon !. at least, this is the impression that I have.

does anyone on the list have any experience with using LMs as single dose / know any book or homeopath with experience in this area ?

I do not underestimate the value of divided (and altered doses) in solution, for LMs. surely, this is advantageous as the founder pointed out. I am simply trying to understand the aph 272 in the context of the LMs. this is a part of my posology experiments.

please do write to the list / personally to me, if you have any direct clinical experience with LMs as single dose or know any book/website/homeopath who has experimented with this or just like to comment ......


regards,
dr manish agarwala

dear hans weitbretch,

thank you for your comments on the t.everest entry of the paris case books
(thread - paris case books of homeolist@otherhealth.com)

do you have any experiences with using LMs as a single dose (just as the centesimals are used as a single dose as per the 4th organon wait and watch philosophy)

regards
dr manish agarwala

At 08:32 PM 9/29/2004, you wrote:

>dear homeolist,
>
>I am trying to collect information on the use of LMs as single dose
>(dry or in a solution).

Hello,

I have used single doses of the LM potency in both medical solution and
the oral route as well as by olfaction many times. The first LM dose I give
is a single test dose. I have done this hundreds if not thousands of times.
I always wait and watch for a appropriate number of days and then act
accordingly. In cases with a strikingly progressive improvement I let the
single dose act alone. Where there is only a slow improvement I repeat the
dose at suitable intervals to speed the cure.

This accords with what is written in aphorism 246 of the Organon. In
perhaps 20-30 percent of my successful cases this first dose causes a
progressively increasing amelioration for a period of time. Some of these
cases improve for days, weeks, months and years on such a single dose. A
striking reaction to a single test dose is not all that rare.

>the founder did suggest the use of LMs as a single dose in aphorism 272
>(but even here he talks about "stirring" hinting at altered doses).

Hahnemann mentioned the dry dose in the 6th Organon but he favors the idea
that the second dose should be given in medicinal solution. Even in
aphorism 272 where Hahnemann speaks of 1 pill dry on the tongue he speaks
about how much more effective the medicinal solution is than the dry dose.
I have not seen a single LM prescription where S. H. gave a dry pellet of
the LM. There could be a few??? Every time I look I find a new experiment.

>I have read about the use of LM globules as single doses in the book
>psychiatry and homeopathy by dr fernando risquez and also the book by
>dr ramanlal patel of kerala.
>
>dr patel mentions giving more than 5,00,000 LM prescriptions and he
>frequently gives 1 or 2 globules of LM as a single dose (or 2 dose
>-split).

None of the dry dose methods offer the same flexibility and adaptability
of the medicinal solution for oral, olfactory or dermal applications. As I
said before - using the remedies of the 6th Organon by the methods of the
4th Organon is like having a new sports car and pulling it with a team of
horses.


>however, I think dr risquez and dr patel's prescribing was too quick /
>herculean and marathon !. at least, this is the impression that I have.

Hahnemann offered a baseline approach that comes with a set of checks and
balances that make the LM pharmacy a safe and effective system. These other
methods leave out many of these important factors.

>does anyone on the list have any experience with using LMs as single
>dose / know any book or homeopath with experience in this area ?

I receive letters from homeopaths and students where they have been getting
good reactions from singles doses. This does not mean that in every case a
single dose cured a chronic diseases of many years duration but it acted
progressively for longer periods of time so that infrequent repetition was
all that was necessary.

>I do not underestimate the value of divided (and altered doses) in
>solution, for LMs. surely, this is advantageous as the founder pointed
>out. I am simply trying to understand the aph 272 in the context of the
>LMs. this is a part of my posology experiments.
>
>please do write to the list / personally to me, if you have any direct
>clinical experience with LMs as single dose or know any
>book/website/homeopath who has experimented with this or just like to
>comment ......

Please keep me informed! I collect example cases and like to speak to such
parties. There is not much written on this subject. Many are very surprise
to find out that Hahnemann used LMs in single doses, especially by
olfaction. So many have wrongly stated that Hahnemann always gave the daily
dose. This is completely false.

Sincerely, David Little


>my email - vipassana_infonet@yahoo.co.in.
>
>regards,
>dr manish agarwala
>
>
>--
>dr manish agarwala
>------------------------------------------------------------------------
>dr manish agarwala's Profile:
>http://www.otherhealth.com/member.php?userid=7294
>View this thread: using LMs as single dose
>
>

Dear Members
Well put David, thanks for the time spent explaining the matter in great detail.
This leaves me with very little to say.
I use Q-potencies in single doses dry / solution / olfaction/ and also to rub into the skin. Rubbing solutions into the skin has shown marked results in infants, even when having an astmatic attack. I have found by experience, that a single liquid dose of an Q4 acts similar like a single liquid dose of a 200C Helios. For more info see the article on my site: www.boger-boenninghausen.com

__________________
Hans Weitbrecht
Consultant Homeopath

Interesting thread. But Hans W....don't you submit a standardized printed form for administration of the LM/Q potencies to your patients with instructions to contact you after 7 days of dosing plus 5 days off (12 days after the first dose), which wouldn't allow for the "single dose" possibility?

__________________
Sometimes on Earth, you can find something that resembles a little piece of Heaven. And sometimes on Earth, a little piece of Heaven can find you.

Prescribing single doses of LM potencies can be a very effective method of treatment. I have found this especially useful in acute cases (whether dry doses, medicinal solutions, olfaction or rubbing into skin are employed would depend largely on the individual case - or whatever is most practical) and I have treated clients - humans and animals - in this manner for the last ten years, sometimes using one single dose and sometimes repeated single doses.

For example, to a client who is allergic to bee stings I would supply a vial of Apis LM 0/1 or LM 0/2. They would carry the remedy everywhere and use when needed. Or an elderly person who can get wheezy when going to bed some nights, especially here in the tropical mountains where it can get quite cool after a very hot day (Ars. alb.). Or the baby who keeps waking up crying, because she is being plagued by mozzi bites (Ant. crud.).

There are numerous possibilities for the LM's application in this way. They act instantaneously and it is a great way of introducing homeopathy to the general public.

Henny

Hi,

I am curious to know what will you do in very acute conditions like:

An injured person in a car baccident -

or

An acute anxiety attack after a person's life was just saved.

will you give him arnica in LM or high C potency?

Rafy

Dear Colleagues,

The subject of posology and case management is vast. First of all, lets look at what is in the Organon. Hahnemann wrote in aphorism 246 that any strikingly progressive improvement is a sign to let the single dose act without repetition. Then is says in cases where there is only slow improvement over 30, 60 or 100 days we may need to repeat the remedy to speed the cure. This offers two scenarios. Those cases in which there is a strikingly progressive improvement that continues day to day, and those cases in which there is little, slow or no improvement over a longer period of time. It is these slow moving cases that Hahnemann says his "new methods" can speed the time of cure to 1/2, 1/3 or even less the time it takes with the single dry dose. To do this, he says, on must met the following 5 conditions.

1. The remedy must be a good simillimum. There is no way to fulfill condition number one in advance. How do not know if the remedy is good or bad before we give it? Perhaps, the first dose, or the second, third, four, five, sixth or seven dose caused a serious aggravation or new symptoms to appear showing it was the wrong remedy. This can not be told in advance. The first testing phase of giving a remedy must be carried out carefully. Giving the daily dose to everyone automatically is a grand mistake.

2. It should be highly potentized and dissolved in water. To speed the cure one should use dynamic potency in the medicinal solution for oral, nasal and dermal applications. This is a very important requirement in speeding the cure.

3. Use the remedy in small doses. The small divided doses used in the medicinal solution are central to the new posology. Too many dry pills accumulate until they produce prolonged aggravations and antagonistic secondary reactions of the vital force.

4. The remedy should be given at suitable intervals according to "experience". Then one must decided what the suitable intervals are for the individual patient according to the time and circumstances.

5. The remedy should be succussed prior to administration of the remedy so that the patient never receive the exact same potency twice in succession. This makes the remedy act much more gentle on the vital force.


First of all, one must understand the difference between a "strikingly progressive" improvement and a "slow" improvement. The instructions for repeating the dose to speed the cure relate only to those cases are not cured with single or infrequent doses. All of the statements that follow about the daily and alternate day dose relate to slow moving and "protracted cases". The daily dose may be given only, as Hahnemann, "when necessary".

These are the baseline instructions given by Hahnemann in the 1840s. How did Samuel practice this in the clinic? My review of the microfiches of Hahnemann's Paris Casebooks from RBI has revealed a few interesting observations in the areas of posology and case management. The Paris casebooks and eyewitness accounts allows one to put together the following picture.

It appears that Hahnemann liked to give his single doses by olfaction followed by placebo for at least one week. There are some patients that are given most, if not all, their remedies by olfaction accompanied by placebos. These persons are receiving relatively infrequent doses. Some of his liquid doses may also have been single doses. The second method was to give a short series 3 to 7 oral liquid doses and have the patient return in one week. The single dose and short test series were Hahnemann's baseline method at the start of the case. He did such things quite often with both the C and LM potency in medicinal solution.

On this basis the Founder would individualize his case management according to the reaction of the remedy. At the beginning of treatment he gave either a single dose followed by placebo or short series of 3 to 7 divided doses interpolated with or followed by placebo. He rarely repeated a remedy for very long without giving placebo and waiting and watching for some time. Hahnemann used almost as much placebo as medicine in most his cases. Anytime there was a strikingly progressive amelioration, aggravations or a confusion in the symptoms he stopped the remedy, gave placebos and waited and watched.

There is not one case in the Paris journals in which Hahnemann uses the daily dose for weeks, months and years on end. The idea that Hahnemann always gave the daily dose is a complete myth. His method uses the single dose followed by placebo or an "on again - off again" approach in which a series of divided doses and placebo are alternated. Hahnemann's remedy and posology were individualized according to the symptoms, the reaction and the circumstances. His final methods are a perfect balance of waiting and watching and acting and observing as needed. This is the middle path that avoids the extremes of always giving a single dose or using the daily dose on all patients!

There is no one method of giving or repeating a remedy that is suitable for all patients all the time. This is a mechanistic idea in which all individuals are reduced to a panacea-like single formula for the masses. This does not work as well as the method of individualization taught by Hahnemann in the aphorism 246 and elsewhere. The most prudent thing to do is give a single dose or a short series of doses and see the patient in 7 days and then decided what the next step should be. This next step could be using placebo and waiting, giving another single dose, or perhaps, giving short of doses at suitable intervals depending on circumstances. In cases where there is a strikingly progressive response to a single dose or short series of doses the remedy should not be repeated as long as this state lasts.

Giving the daily dose to everyone for days, weeks or months before testing the remedy leaves too much to chance and delay to say nothing of complications. The first rule of healing is, "Do no harm". It is one's responsibility to test the remedy before repeating it too many times. To start slow in the beginning and test the remedy means to reach the goal of cure quickly in the end. To start off to fast with too many doses means delaying, and sometimes, even spoiling the cure. This is because we have not properly tested the remedy in the beginning to find out how often the patient really needs the remedy. Once in a lifetime? Once a month? Once a week? Every other day? Once a day? Once a ???????

How do we know if the patient would respond to a single dose olfaction in strikingly progressive manner if we give them the daily dose for one week to one month? At this time, we do not know if our remedy causes a good or bad reaction? How do we know how the patient will react *before* we give the remedy? Maybe the remedy will make them feel better, maybe it will cause an aggravation, maybe it will make them sicker! How do we know if the remedy meets the first condition of aphorism 246. We are not fortune tellers.

The only way to know who will have a striking response, who will have a slow response, and who will have no response is to test the remedy first with a single dose or a short series of divided doses. This tells one whether to let the single dose or short series act and wait and watch or to repeat the remedy at suitable intervals to speed the cure. There are no magic formula like "do this then do that" that is good for all patients! Some patients need single doses at very infrequent periods. Others might need a dose once a week, or a series of 2 or 3 doses over a week. Some might need the remedy on every day or alternate days until they begin to improve. There are as many possibilities and there are people in this world.

I would never give a patient a homeopathic remedy for 7 days straight at the start of treatment unless I had a very special reason for do so! That would spoil my single dose cures and infrequent repetitions! These are one's most dramatic cures. If you repeat the remedy for a week on such people at the beginning of treatment may cause aggravations, accessory symptoms and antagonistic counter actions of the vital force. This interferes with testing a series of 3 doses over a 3 to 7 day period and other often used intervals. To give the daily dose mechanically to most patient is not in harmony with the golden Homoeopathic principle of INDIVIDUALIZATION. Hahnemann's case management methods are open, individualized, responsive and flexible according to the circumstances - not generalized, fixed, mechanistic and predetermined.

Similia Minimus
Sincerely, David Little

"It is the life-force which cures diseases because a dead man needs no more
medicines."
Samuel Hahnemann

Visit our website on Hahnemannian Homoeopathy and Cyberspace Homoeopathic Academy at
http://www.simillimum.com

Hi Rafy, sorry for the delay, I have been away for a couple of days.
Thank you for your question. This is what makes us think about what we are doing. Instinctively I'd use a high C potency, especially when the guiding symptoms are mental. I have always thought of the lower LM potencies (0/1, 0/2) as being somewhat low potencies.

Also, I do not consider myself as having a lot of experience with LMs (have been using them for 12 years now), I have just found them very handy. Several times I have noticed that they seem to act particularly fast when employed by olfaction (experience gained, prescribing for myself as well as others).

I have been following the discussions about LMs with the greatest of interest. There still seem to be few homeopaths using them extensively.......?

Warmest regards,
Henny

dear david,hans,henny et al,

thank you for your posts to the thread "using LMs as a single dose".

when I started this thread - I was looking for the experiences of LM usage as a single dose (one single dose either dry or in water, in the 4th organon way).

my query still remains unanswered. I renew my request to the homeolist members to share their experiences, if any, with LMs as a single dose - in the 4th organon fashion.

some of you have written about the use of LM1,2,3 as a single dose.
have any of you tried the higher LMs (say LM20 or LM30 or still higher) as a single dose ?.

dr ramanlal patel and dr fernando risquez have written about their use of LMs as a single dose and they have used high / very high LMs.
(however, I have found their approach extremist -imho).

please do share your experiences with us.

as I write this, I do not mean to underestimate the value of giving LMs in divided and altered doses, strictly as per the 6th organon.
there are the low C's and the high C's, there are different ways in which they are used. there are LMs and they can be used by olfaction, dermal application and by divided doses in solution as per the 6th organon. the use of LMs as a single dose - just widens the posology horizon.

please do share your experience.

regards,
dr manish agarwala