2nd Prescription Problem Responses (Centesimals)

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Improvement followed by decline

Response In a timescale shorter than expected

New symptoms Especially with higher potencies


Response
a) Remedy only partially similar or
a) A proving
Evaluation b) Something occurred to disrupt it's action or
b) Prescription only covered part of the totality Evaluation
c) Dose wrong or
Confirm that patient took the remedy 13. Amelioration of too short duration d) Case is incurable for some reason
If a1) If new symptoms are part
20. Appearance of new symptoms
Symptoms will go Examine patient carefully
of remedy picture - WAIT
Patient very sensitive if a) re prescribe
Action
If a2) If new symptoms not part of if b) and nothing done to disrupt action then Get allopathic diagnosis
If symptoms persist - re-prescribe remedy picture - WAIT Action likely that structural changes are occurring
Re prescribe
If b) Re-prescribe based on whole totality if c) change dose then review
if d) is truly the situation - look for best palliative remedy

Patient in turmoil Aggravation of several weeks after high potency


Response Response
Some or all symptoms worse Followed by slow improvement on all levels

a) Correct remedy given in too low potency Minimal vitality


Excessive dose leading to a drug disease Beginnings of marked tissue changes/pathology
14. Prolonged aggravation Evaluation
b) Wrong remedy with slow amelioration Patient treated just in time
Evaluation
c) Patient is oversensitive to correct remedy 19. Over-reaction to the remedy Potency was too high - VF nearly overwhelmed
d) Potency too high for the VF [see scenarios 14 & 15]
Be prepared to antidote with better selected remedy
If a) Either antidote or find a better remedy Action If some amelioration in right direction then there will be recovery
If b) Find the right remedy Use low potencies
Action
If c) Re-prescribe on the new totality
If d) See actions for scenarios 14 & 15 2nd Prescription Problem Initial aggravation
Responses (centesimals) Response No increase in vitality
Continued aggravation
Careful questioning reveals no changes after several weeks Response Remedy given too late - VF overwhelmed
Remedy was too deep
First remedy was badly chosen Evaluation 15. Prolonged aggravation Evaluation Potency too high
then decline
Get more information 18. No change in symptoms Cure doubtful or remote
Re-study the case Probable organic pathology
Action
Re-prescribe Check for any improvements at all
If 1st remedy confirmed - WAIT for return of old symptoms Be prepared to antidote with better selected remedy
Action
If some amelioration in right direction then there will be recovery
Use low potencies
Symptoms that were harmless before are now pronounced
Or physical symptoms are better but M/E
Response
symptoms are unchanged or worse
There is pathology in a vital organ
Energy less Response
After repetition of low potency remedy there is intensification of symptoms
Wrong direction of cure
17. Incorrect direction of cure The dose was wrong
Disease growing stronger
Evaluation This is an over-reaction of the VF
The first remedy was only similar to part of the symptom picture 16. Severe aggravation with
organic pathology Evaluation This could compromise the life of the patient if vital organs involved
Or the patient is incurable
Must understand the difference between homoeopathic aggravation and
Urgently find a better remedy aggravation of pathology
Action
STOP the medicine immediately
Action
If the aggravations do not stop very soon re-prescribe with a better selected remedy

- - - - Adapted from Crossroads to Cure by Nicola Henriques

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