Aphorisms 25–45
Organon of Medicine · Samuel Hahnemann
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§ 25. Now, however, in all careful trials, pure experience,1 the sole and infallible oracle of the healing art, teaches us that actually that medicine which, in its action on the healthy human body, has demonstrated its power of producing the greatest number of symptoms similar to those observable in the case of disease under treatment, does also, in doses of suitable potency and attenuation, rapidly, radically and permanently remove the totality of the symptoms of this morbid state, that is to say (§ 6-16), the whole disease present, and change it into health; and that all medicines cure, without exception, those diseases whose symptoms most nearly resemble their own, and leave none of them uncured.
§ 26. This depends on the following homœopathic law of nature which was sometimes, indeed, vaguely surmised but not hitherto fully recognized, and to which is due every real cure that has ever taken place:
A weaker dynamic affection is permanently extinguished in the living organism by a stronger one, if the latter (whilst differing in kind) is very similar to the former in its manifestations.2
§ 27. The curative power of medicines, therefore, depends on their symptoms, similar to the disease but superior to it in strength (§ 12-26), so that each individual case of disease is most surely, radically, rapidly and permanently annihilated and removed only by a medicine capable of producing (in the human system) in the most similar and complete manner the totality of its symptoms, which at the same time are stronger than the disease.
§ 28. As this natural law of cure manifests itself in every pure experiment and every true observation in the world, the fact is consequently established; it matters little what may be the scientific explanation of how it takes place; and I do not attach much importance to the attempts made to explain it. But the following view seems to commend itself as the most probable one, as it is founded on premises derived from experience.
§ 29. As every disease (not entirely surgical) consists only in a special, morbid, dynamic alteration of our vital energy (of the principle of life) manifested in sensation and motion, so in every homœopathic cure this principle of life dynamically altered by natural disease is seized through the administration of a medicinal potency selected exactly according to symptom-similarity by a somewhat stronger, similar artificial disease-manifestation. By this the feeling of the natural (weaker) dynamic disease-manifestation ceases and disappears. This disease-manifestation no longer exists for the principle of life which is now occupied and governed merely by the stronger, artificial disease-manifestation. This artificial disease-manifestation has soon spent its force and leaves the patient free from disease, cured. The dynamis, thus freed, can now continue to carry life on in health. This most highly probable process rests upon the following propositions.
§ 30. The human body appears to admit of being much more powerfully affected in its health by medicines (partly because we have the regulation of the dose in our own power) than by natural morbid stimuli—for natural diseases are cured and overcome by suitable medicines.3
§ 31. The inimical forces, partly psychical, partly physical, to which our terrestrial existence is exposed, which are termed morbific noxious agents, do not possess the power of morbidly deranging the health of man unconditionally ;4 but we are made ill by them only when our organism is sufficiently disposed and susceptible to the attack of the morbific cause that may be present, and to be altered in its health, deranged and made to undergo abnormal sensations and functions—hence they do not produce disease in every one nor at all times.
§ 32. But it is quite otherwise with the artificial morbific agents which we term medicines. Every real medicine, namely, acts at all times, under all circumstances, on every living human being, and produces in him its peculiar symptoms (distinctly perceptible, if the dose be large enough), so that evidently every living human organism is liable to be affected, and, as it were, inoculated with the medicinal disease at all times, and absolutely (unconditionally), which, as before said, is by no means the case with the natural diseases.
§ 33. In accordance with this fact, it is undeniably shown by all experience5 that the living human organism is much more disposed and has a greater liability to be acted on, and to have its health deranged by medicinal powers, than by morbific noxious agents and infectious miasms, or, in other words, that the morbific noxious agents possess a power of morbidly deranging man’s health that is subordinate and conditional, often very conditional; whilst medicinal agents have an absolute unconditional power, greatly superior to the former.
§ 34. The greater strength of the artificial diseases producible by medicines is, however, not the sole cause of their power to cure natural diseases. In order that they may effect a cure, it is before all things requisite that they should be capable of producing in the human body an artificial disease as similar as possible to the disease to be cured, which, with somewhat increased power, transforms to a very similar morbid state the instinctive life principle, which in itself is incapable of any reflection or act of memory. It not only obscures, but extinguishes and thereby annihilates the derangement caused by the natural disease. This is so true, that no previously existing disease can be cured, even by Nature herself, by the accession of a new dissimilar disease, be it ever so strong, and just as little can it be cured by medical treatment with drugs which are incapable of producing a similar morbid condition in the healthy body.
§ 35. In order to illustrate this, we shall consider in three different cases, as well what happens in nature when two dissimilar natural diseases meet together in one person, as also the result of the ordinary medical treatment of diseases with unsuitable allopathic drugs, which are incapable of producing an artificial morbid condition similar to the disease to be cured, whereby it will appear that even Nature herself is unable to remove a dissimilar disease already present by one that is unhomœopathic, even though it be stronger, and just as little is the unhomœopathic employment of even the strongest medicines ever capable of curing any disease whatsoever.
§ 36. I. If the two dissimilar diseases meeting together in the human being be of equal strength, or still more if the older one be the stronger, the new disease will be repelled by the old one from the body and not allowed to affect it. A patient suffering from a severe chronic disease will not be infected by a moderate autumnal dysentery or other epidemic disease. The plague of the Levant, according to Larry,6 does not break out where scurvy is prevalent, and persons suffering from eczema are not infected by it. Rachitis, Jenner alleges, prevents vaccination from taking effect. Those suffering from pulmonary consumption are not liable to be attacked by epidemic fevers of a not very violent character, according to Von Hildenbrand.
§ 37. So, also, under ordinary medical treatment, an old chronic disease remains uncured and unaltered if it is treated according to the common allopathic method, that is to say, with medicines that are incapable of producing in healthy individuals a state of health similar to the disease, even though the treatment should last for years and is not of too violent character.7 This is daily witnessed in practice, it is therefore unnecessary to give any illustrative examples.
§ 38. II. Or the new dissimilar disease is the stronger. In this case the disease under which the patient originally labored, being the weaker, will be kept back and suspended by the accession of the stronger one, until the latter shall have run its course or been cured, and then the old one reappears uncured. Two children affected with a kind of epilepsy remained free from epileptic attacks after infection with ringworm (tinea); but as soon as the eruption on the head was gone the epilepsy returned just as before, as Tulpius8 observed. The itch, as Schöpf9 saw, disappeared on the occurrence of the scurvy, but after the cure of the latter it again broke out. So also the pulmonary phthisis remained stationary when the patient was attacked by a violent typhus, but went on again after the latter had run its course.10 If mania occur in a consumptive patient, the phthisis with all its symptoms is removed by the former; but if that go off, the phthisis returns immediately and proves fatal.11 When measles and smallpox are prevalent at the same time, and both attack the same child, the measles that had already broken out is generally checked by the smallpox that came somewhat later; nor does the measles resume its course until after the cure of the smallpox; but it not infrequently happens that the inoculated smallpox is suspended for four days by the supervention of the measles, as observed by Manget,12 after the desquamation of which the smallpox completes its course. Even when the inoculation of the smallpox had taken effect for six days, and the measles then broke out, the inflammation of the inoculation remained stationary and the smallpox did not ensue until the measles had completed its regular course of seven days.13 In an epidemic of measles, that disease attacked many individuals on the fourth or fifth day after the inoculation of smallpox and prevented the development of the smallpox until it had completed its own course, whereupon the smallpox appeared and proceeded regularly to its termination.14 The true, smooth, erysipelatous-looking scarlatina of Sydenham,15 with sore throat, was checked on the fourth day by the eruption of cow-pox, which ran its regular course, and not till it was ended did the scarlatina again establish itself; but on another occasion, as both diseases seem to be of equal strength, the cow-pox was suspended on the eighth day by the supervention of the true, smooth scarlatina of Sydenham, and the red areola of the former disappeared until the scarlatina was gone, whereon the cow-pox immediately resumed its course, and went on to its regular termination.16 The measles suspended the cow-pox; on the eighth day, when the cow-pox had nearly attained its climax, the measles broke out; the cow-pox now remained stationary, and did not resume and complete its course until the desquamation of the measles had taken place, so that on the sixteenth day it presented the appearance it otherwise would have shown on the tenth day, as Kortum observed.17
Even after the measles had broken out the cow-pox inoculation took effect, but did not run its course until the measles had disappeared, as Kortum likewise witnessed.18
I myself saw the mumps (angina parotidea) immediately disappear when the cow-pox inoculation had taken effect and had nearly attained its height; it was not until the complete termination of the cow-pox and the disappearance of its red areola that this febrile tumefaction of the parotid and submaxillary glands, that is caused by a peculiar miasm, reappeared and ran its regular course of seven days.
And thus it is with all dissimilar diseases; the stronger suspends the weaker (when they do not complicate one another, which is seldom the case with acute diseases), but they never cure one another.
§ 39. Now the adherents of the ordinary school of medicine saw all this for so many centuries; they saw that Nature herself cannot cure any disease by the accession of another, be it ever so strong, if the new disease be dissimilar to that already present in the body. What shall we think of them, that they nevertheless went on treating chronic diseases with allopathic remedies, namely, with medicines and prescriptions capable of producing God knows what morbid state—almost invariably, however, one dissimilar to the disease to be cured? And even though physicians did not hitherto observe nature attentively, the miserable results of their treatment should have taught them that they were pursuing an inappropriate, a false path. Did they not perceive when they employed, as was their custom, an aggressive allopathic treatment in a chronic disease, that thereby they only created an artificial disease dissimilar to the original one, which, as long as it was kept up, merely held in abeyance, merely suppressed, merely suspended the original disease, which latter, however, always returned, and must return, as soon as the diminished strength of the patient no longer admitted of a continuance of the allopathic attacks on the life? Thus the itch exanthema certainly disappears very soon from the skin under the employment of violent purgatives, frequently repeated; but when the patient can no longer stand the factitious (dissimilar) disease of the bowels, and can take no more purgatives, then either the cutaneous eruption breaks out as before, or the internal psora displays itself in some bad symptom, and the patient, in addition to his undiminished original disease, has to endure the misery of a painful ruined digestion and impaired strength to boot. So, also, when the ordinary physicians keep up artificial ulcerations of the skin and issues on the exterior of the body, with the view of thereby eradicating a chronic disease, they can never attain their object by so doing, they can never cure them by that means, as such artificial cutaneous ulcers are quite alien and allopathic to the internal affection; but inasmuch as the irritation produced by several tissues is at least sometimes a stronger (dissimilar) disease than the indwelling malady, the latter is thereby sometimes silenced and suspended for a week or two. But it is only suspended, and that for a very short time, whilst the patient’s powers are gradually worn out. Epilepsy, suppressed for many years by means of issues, invariably recurred, and in an aggravated form, when they were allowed to heal up, as Pechlin19 and others testify. But purgatives for itch, and issues for epilepsy, cannot be more heterogeneous, more dissimilar deranging agents—cannot be more allopathic, more exhausting modes of treatment—than are the customary prescriptions, composed of unknown ingredients, used in ordinary practice for the other nameless, innumerable forms of disease. These likewise do nothing but debilitate, and only suppress or suspend the malady for a short time without being able to cure it, and when used for a long time always add a new morbid state to the old disease.
§ 40. III. Or the new disease, after having long acted on the organism, at length joins the old one that is dissimilar to it, and forms with it a complex disease, so that each of them occupies a particular locality in the organism, namely, the organs peculiarly adapted for it, and, as it were, only the place specially belonging to it, whilst it leaves the rest to the other disease that is dissimilar to it. Thus a syphilitic patient may become psoric, and vice versa. As two diseases dissimilar to each other, they cannot remove, cannot cure one another. At first the venereal symptoms are kept in abeyance and suspended when the psoric eruption begins to appear; in course of time, however (as the syphilis is at least as strong as the psora), the two join together,20 that is, each involves those parts of the organism only which are most adapted for it, and the patient is thereby rendered more diseased and more difficult to cure.
When two dissimilar acute infectious diseases meet, as, for example, smallpox and measles, the one usually suspends the other, as has been before observed; yet there have also been severe epidemics of this kind, where, in rare cases, two dissimilar acute diseases occurred simultaneously in one and the same body, and for a short time combined, as it were, with each other. During an epidemic, in which smallpox and measles were prevalent at the same time, among three hundred cases (in which these diseases avoided or suspended one another, and the measles attacked patients twenty days after the smallpox broke out, the smallpox, however, from seventeen to eighteen days after the appearance of the measles, so that the first disease had previously completed its regular course) there was yet one single case in which P. Russell21 met with both these dissimilar diseases in one person at the same time. Rainey22 witnessed the simultaneous occurrence of smallpox and measles in two girls. J. Maurice,23 in his whole practice, only observed two such cases. Similar cases are to be found in Ettmüller’s24 works, and in the writings of a few others.
Zencker25 saw cow-pox run its regular course along with measles and along with purpura.
The cow-pox went on its course undisturbed during a mercurial treatment for syphilis, as Jenner saw.
§ 41. Much more frequent than the natural diseases associating with and complicating one another in the same body are the morbid complications which the inappropriate medical treatment (the allopathic method) is apt to produce by the long-continued employment of unsuitable drugs. To the natural disease, which it is proposed to cure, there are then added, by the constant repetition of the unsuitable medicinal agent, the new, often very tedious, morbid conditions corresponding to the nature of this agent; these gradually coalesce with and complicate the chronic malady which is dissimilar to them (which they were unable to cure by similarity of action, that is, homœopathically), adding to the old disease a new, dissimilar, artificial malady of a chronic nature, and thus give the patient a double in place of a single disease, that is to say, render him much worse and more difficult to cure, often quite incurable. Many of the cases for which advice is asked in medical journals, as also the records of other cases in medical writings, attest the truth of this. Of a similar character are the frequent cases in which the venereal chancrous disease, complicated especially with psora or with the dyscrasia of condylomatous gonorrhœa, is not cured by long-continued or frequently repeated treatment with large doses of unsuitable mercurial preparations, but assumes its place in the organism beside the chronic mercurial affection26 that has been in the meantime gradually developed, and thus along with it often forms a hideous monster of complicated disease (under the general name of masked venereal disease), which then, when not quite incurable, can only be transformed into health with the greatest difficulty.
§ 42. Nature herself permits, as has been stated, in some cases, the simultaneous occurrence of two (indeed, of three) natural diseases in one and the same body. This complication, however, it must be remarked, happens only in the case of two dissimilar diseases, which according to the eternal laws of nature do not remove, do not annihilate and cannot cure one another, but, as it seems, both (or all three) remain, as it were, separate in the organism, and each takes possession of the parts and systems peculiarly appropriate to it, which, on account of the want of resemblance of these maladies to each other, can very well happen without disparagement to the unity of life.
§ 43. Totally different, however, is the result when two similar diseases meet together in the organism, that is to say, when to the disease already present a stronger similar one is added. In such cases we see how a cure can be effected by the operations of nature, and we get a lesson as to how man ought to cure.
§ 44. Two similar diseases can neither (as is asserted of dissimilar diseases in I) repel one another, nor (as has been shown of dissimilar diseases in II) suspend one another, so that the old one shall return after the new one has run its course; and just as little can two similar diseases (as has been demonstrated in III respecting dissimilar affections) exist beside each other in the same organism, or together form a double complex disease.
§ 45. No! two diseases, differing, it is true, in kind,27 but very similar in their phenomena and effects and in the sufferings and symptoms they severally produce, invariably annihilate one another whenever they meet together in the organism; the stronger disease, namely, annihilates the weaker, and that for this simple reason, because the stronger morbific power when it invades the system, by reason of its similarity of action involves precisely the same parts of the organism that were previously affected by the weaker morbid irritation, which, consequently, can no longer act on these parts, but is extinguished;28 or (in other words), the new similar but stronger morbific potency controls the feelings of the patient and hence the life principle on account of its peculiarity, can no longer feel the weaker similar which becomes extinguished—exists no longer—for it was never anything material, but a dynamic—spirit-like—(conceptual) affection. The life principle henceforth is affected only and this but temporarily by the new, similar but stronger morbific potency.
Anmerkungen
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I do not mean that sort of experience of which the ordinary practitioners of the old school boast, after they have for years worked away with a lot of complex prescriptions on a number of diseases which they never carefully investigated, but which, faithful to the tenets of their school, they considered as already described in works of systematic pathology, and dreamed that they could detect in them some imaginary morbific matter, or ascribed to them some other hypothetical internal abnormality. They always saw something in them, but knew not what it was they saw, and they got results, from the complex forces acting on an unknown object, that no human being but only a God could have unravelled—results from which nothing can be learned, no experience gained. Fifty years’ experience of this sort is like fifty years of looking into a kaleidoscope filled with unknown colored objects, and perpetually turning round; thousands of ever-changing figures and no accounting for them! ↩
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Thus are cured both physical affections and moral maladies. How is it that in the early dawn the brilliant Jupiter vanishes from the gaze of the beholder? By a stronger very similar power acting on his optic nerve, the brightness of approaching day!—In situations replete with fœtid odors, wherewith is it usual to soothe effectually the offended olfactory nerves? With snuff, that affects the sense of smell in a similar but stronger manner! No music, no sugared cake, which act on the nerves of other senses, can cure this olfactory disgust. How does the soldier cunningly stifle the piteous cries of him who runs the gauntlet from the ears of the compassionate bystanders? By the shrill notes of the fife commingled with the roll of the noisy drum! And the distant roar of the enemy’s cannon that inspires his army with fear? By the loud boom of the big drum! For neither the one nor the other would the distribution of a brilliant piece of uniform nor a reprimand to the regiment suffice.—In like manner, mourning and sorrow will be effaced from the mind by the account of another and still greater cause for sorrow happening to another, even though it be a mere fiction. The injurious consequences of too great joy will be removed by drinking coffee, which produces an excessively joyous state of mind. Nations like the Germans, who have for centuries been gradually sinking deeper and deeper in soulless apathy and degrading serfdom, must first be trodden still deeper in the dust by the Western Conqueror, until their situation became intolerable; their mean opinion of themselves was thereby overstrained and removed; they again became alive to their dignity as men, and then, for the first time, they raised their heads as Germans. ↩
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The short duration of the action of the artificial morbific forces, which we term medicines, makes it possible that, although they are stronger than the natural diseases, they can yet be much more easily overcome by the vital force than can the weaker natural diseases, which, solely in consequence of the longer, generally lifelong, duration of their action (psora, syphilis, sycosis), can never be vanquished and extinguished by it alone, until the physician affects the vital force in a stronger manner by an agent that produces a disease very similar, but stronger, to wit a homœopathic medicine. The cures of diseases of many years’ duration (§ 46), by the occurrence of smallpox and measles (both of which run a course of only a few weeks), are processes of a similar character. ↩
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When I call disease a derangement of man’s state of health, I am far from wishing thereby to give a hyperphysical explanation of the internal nature of diseases generally, or of any case of disease in particular. It is only intended by this expression to intimate, what it can be proved diseases are not and cannot be, that they are not mechanical or chemical alterations of the material substance of the body, and not dependent on a material morbific substance, but that they are merely spirit-like (conceptual) dynamic derangements of the life. ↩
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A striking fact in corroboration of this is, that whilst previously to the year 1801, when the smooth scarlatina of Sydenham still occasionally prevailed epidemically among children, it attacked without exception all children who had escaped it in a former epidemic; in a similar epidemic which I witnessed in Königslutter, on the contrary, all the children who took in time a very small dose of belladonna remained unaffected by this highly infectious infantile disease. If medicines can protect from a disease that is raging around, they must possess a vastly superior power of affecting our vital force. ↩
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“Mémoires et Observations,” in the Description de l’Egypte, tom. i. ↩
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But if treated with violent allopathic remedies, other diseases will be formed in its place which are more difficult and dangerous to life. ↩
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Obs., lib. i, obs. 8. ↩
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In Hufeland’s Journal, xv, 2. ↩
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Chevalier, in Hufeland’s Neuesten Annalen der französichen Heilkunde, ii, p. 192. ↩
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Mania phthisi superveniens eam cum omnibus suis phænomenis auffert, verum mox redit phthisis et occidit, abeunte mania. Reil Memorab., fasc. iii, v, p. 171. ↩
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In the Edinb. Med. Comment., pt. i, 1. ↩
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John Hunter, On the Venereal Disease, p. 5. ↩
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Rainey, in the Edinb. Med. Comment., iii, p. 480. ↩
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Very accurately described by Withering and Plenciz, but differing greatly from the purpura (or Roodvonk), which is often erroneously denominated scarlet fever. It is only of late years that the two, which were originally very different diseases, have come to resemble each other in their symptoms. ↩
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Jenner, in Medicinische Annalen, August, 1800, p. 747. ↩
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In Hufeland’s Journal der praktischen Arzneikunde, xx, 3, p. 50. ↩
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Loc. cit. ↩
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Obs. phys. med., lib. ii, obs. 30. ↩
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From careful experiments and cures of complex diseases of this kind, I am now firmly convinced that no real amalgamation of the two takes place, but that in such cases the one exists in the organism besides the other only, each in the part that are adapted for it, and their cure will be completely effected by a judicious alternation of the best mercurial preparation, with the remedies specific for the psora, each given in the most suitable dose and form. ↩
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Vide Transactions of a Society for the Improvement of Med. and Chir. Knowledge, ii. ↩
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In Edinb. Med. Comment., iii, p. 480. ↩
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In Med. and Phys. Journ., 1805. ↩
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Opera, ii, p. i., cap. 10. ↩
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In Hufeland’s Journal, xvii. ↩
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For mercury, besides the morbid symptoms which by virtue of similarity can cure the venereal disease homœopathically, has among its effects many others unlike those of syphilis, for instance, swelling and ulceration of bones, which, if it be employed in large doses, cause new maladies and commit great ravages in the body, especially when complicated with psora, as is so frequently the case. ↩
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Vide, supra, § 26, note. ↩
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Just as the image of a lamp’s flame is rapidly overpowered and effaced from our retina by the stronger sunbeam impinging on the eye. ↩
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