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| Aphorism 10-20 |
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The material organism, without the vital force, is capable of no sensation, no function,no self-preservation; ** it derives all sensation and performs all the functions of life solely by means of the immaterial being (the vital principle), which animates the material organism in health and in disease.
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EXPLANATION |
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The body is dead, (without life) in the absence of vital force. Hence, there can be no sensation, no function & no self-preservation.Even if a person is comatose, there is no decay although his sensations & functions may be compromised. This is because; there is a life force within the person. The moment the person dies, there is no life force and the same body starts decaying or rotting, within no time.
In the medieval era the practice of medicine was very theoretical and empirical. The physician spent lot of time in sounding learned and there was hardly any logic with respect to curing the disease. Most of the time the explanations were irrelevant, unnecessary and useless for the patients. Different concepts of disease are still floating around. The physician's explanation just makes him sound technologically and theoretically superior but this does not have any utility for patient. All this disgusted Dr.Hahnemann.
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§11
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When a person falls ill, it is only this spiritual, self-acting (automatic) vital force, everywhere present in his organism, that is primarily deranged by the dynamic * influence upon it of a morbific agent inimical to life; it is only the vital principle, deranged to such an abnormal state, that can furnish the organism with its disagreeable sensations, and incline it to the irregular processes which we call disease; for, as a power invisible in itself, and only cognizable by its effects on the organism, its morbid derangement only makes itself known by the manifestation of disease in the sensations and functions of those parts of the organism exposed to the senses of the observer and physician, that is by morbid symptoms, and in no other way can it make itself known. **
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EXPLANATION |
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When a person is diseased, it is the vital force, which is deranged first. This happens due to the influence of a dynamic force, which is inimical to life force. When this happens, the individual experiences abnormal sensations, and at times, structural changes, do occur. This change in sensation & function is known as DISEASE. It is the only way through which the vital force can manifest its derangement.
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HAHNEMANN'S TIME |
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This was written, when the concept of "materia peccans" (material cause of disease) was being propagated throughout Europe. The old school would try to remove something from within, with the help of surgery, by blood letting, venesection etc.Prior to learning about the human anatomy, the concept of evil spirits as the cause of disease was prevalent among the physicians. The physicians then began dissecting human bodies and studying the various changes occurring in a disease. They started believing that these changes in human anatomy were the cause of the disease rather than the end product of the disease. Hence there was prevalence of surgery, Bloodletting, venesection etc. in order to remove the material cause of the disease from within the body.
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MODERN RELEVANCE |
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Even today modern medicine is trying to isolate a living organism like virus or bacteria, as the cause of a disease, or trying to remove tonsils, appendix etc which are end results of the disease. This concept needs to be reviewed.
In the footnote to §11, Hahnemann has given a lengthy explanation, about the concept of dynamic influence. Here he talks about gravitational force, magnetic force & infectivity without actual contact. He also talks about minuteness of homoeopathic medicine, which cannot be determined by any instrument. Despite this minuteness we can see the effect of medicines in 'n' number of cases, functionally as well as structurally deranged.
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§12
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It is the morbidly affected vital energy alone that produces diseases, **so that the morbid phenomena perceptible to our senses express at the same time all the internal change, that is to say, the whole morbid derangement of the internal dynamis; in a word, they reveal the whole disease; also, the disappearance under treatment of all the morbid phenomena and of all the morbid alterations that differ from the healthy vital operations, certainly affects and necessarily implies the restoration of the integrity of the vital force and, therefore, the recovered health of the whole organism.
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EXPLANATION |
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The derangement of vital force produces disease & expresses in the form of signs and symptoms. The disappearance of the same is a definite sign of a restoration of normalcy of the vital force. Hence, the total recovery of the individual occurs
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§13
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Therefore disease (that does not come within the province of manual surgery) considered, as it is by the allopathists, as a thing separate from the living whole, from the organism and its animating vital force, and hidden in the interior, be it of ever so subtle a character, is an absurdity, that could only be imagined by minds of a materialistic stamp, and has for thousands of years given to the prevailing system of medicine all those pernicious impulses that have made it a truly mischievous {non-healing} art.
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EXPLANATION |
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In the light of above aphorism, to consider disease being something within the material body & trying to remove it, is absurd (ludicrous).
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§14
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There is, in the interior of man, nothing morbid that is curable and no visible morbid alteration that is curable which does not make itself known to the accurately observing physician by means of morbid signs and symptoms- an arrangement in perfect conformity with the infinite goodness of the all-wise Preserver of human life.
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EXPLANATION |
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Nature, or God has a natural flow of goodness. This can be best seen, in the event of a person being diseased, where one always will observe a symptom indicating the same. (disease).This NATURE / GOD seems to have done, to help human kind, to preserve himself, by having his natural balancing immune defense mechanisms.
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§15
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The affection of the morbidly deranged, spirit-like dynamis (vital force) that animates our body in the invisible interior, and the totality of the outwardly cognizable symptoms produced by it in the organism and representing the existing malady, constitute a whole; they are one and the same. The organism is indeed the material instrument of the life, but it is not conceivable without the animation imparted to it by the instinctively perceiving and regulating dynamis, just as the vital force is not conceivable without the organism, consequently the two together constitute a unity, although in thought our mind separates this unity into two distinct conceptions for the sake of easy comprehension.
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EXPLANATION |
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In this aphorism, Hahnemann discusses or states that vital force or organism are a single unit where one cannot survive without the other. So if the vital force is deranged organism is deranged and if the organism shows any signs or symptoms it is an indication of derangement of the vital force.We separate this unit into different entities, for the purpose of easier understanding, regarding evolution of health and disease. It is difficult to experience or feel any one of them, without the other.
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§16
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Our vital force, as a spirit-like dynamis, cannot be attacked and affected by injurious influences on the healthy organism caused by the external inimical forces that disturb the harmonious play of life, otherwise than in a spirit-like (dynamic) way, and in like manner, all such morbid derangements (diseases) cannot be removed from it by the physician in any other way than by the spirit-like (dynamic **virtual) alternative powers of the serviceable medicines acting upon our spirit-like vital force, which perceives them through the medium of the sentient faculty of the nerves everywhere present in the organism, so that it is only by their dynamic action on the vital force that remedies are able to re-establish and do actually re-establish health and vital harmony, after the changes in the health of the patient cognizable by our senses (the totality of the symptoms) have revealed the disease to the carefully observing and investigating physician as fully as was requisite in order to enable him to cure it.
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EXPLANATION |
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Our vital force can be affected in a dynamic way only. Similarly, such diseases (caused by dynamic derangement of vital force) can only be removed by the dynamic power of medicines. The dynamic power of medicines, due to their capability to alter man's state of health, in the same way have the power to influence and cure and bring back the balance.The changes in the health of the person are recognized by the patient and the physician with the help of their senses. The physician has to be a careful observer and investigator in order to form a totality of symptoms (HYPERLINK TO “LINK”). The remedy thus prescribed, acts upon the SENTIENT faculty of nerves, and brings back the original state of health.
Link
Totality of Symptoms
Homeopathy having a holistic approach towards a patient, takes into consideration many more criteria than the chief complaint of the patient. We treat the person as a unit without just focusing on the illness. The need of a homeopath is to separate one individual from the other suffering from a similar disease. Hence two people suffering from typhoid might require two completely different remedies for the same disease (except may be in the case of epidemics). tion to patient's suffering we also take into consideration diet, regimen, social and domestic relationships, moral and intellectual character. The total symptoms, which we get, determine the reason from the person's suffering and the suffering itself. To prescribe, one needs to analyze and evaluate the data and form the portrait of disease (prescriptive totality). There is a lot of confusion regarding use of different words like numeric totality, prescriptive totality, perceptive totality, actual totality, and repertorial totality and portrait of disease. It is not the number of symptoms which determine a good prescription but the quality of symptoms which determines the similimum.
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§17
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Now, as in the cure effected by the removal of the whole of the perceptible signs and symptoms of the disease the internal alteration of the vital principle to which the disease is due- consequently the whole of the disease - is at the same time removed, {**10} it follows that the physician has only to remove the whole of the symptoms in order, at the same time, to abrogate and annihilate the internal change, that is to say, the morbid derangement of the vital force-consequently the totality of the disease, the disease itself. **But when the disease is annihilated, health is restored, and this is the highest, the sole aim of the physician who knows the true object of his mission, which consists not in learned-sounding prating, but in giving aid to the sick.
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EXPLANATION |
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The physician has to remove, the complete totality of symptoms in order to achieve the true object of his mission to cure a person. By this he corrects the internal changes, which have taken place.In the footnote, Hahnemann praises God, for his wisdom & goodness, which enables a physician to know what he has to remove in disease.
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§18
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From this indubitable truth, that besides the totality of the symptoms, with consideration of the accompanying modalities §5 nothing can by any means be discovered in diseases wherewith they could express their need of aid, it follows undeniably that the sum of all the symptoms and conditions in each individual case of disease must be the sole indication. The sole guide to direct us in the choice of a remedy.
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EXPLANATION |
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The sole guide or indication for selection of the remedy is the totality of symptoms.Here he has used the sum of all symptoms and conditions. This does not mean the numerical totality, but those symptoms taken after consideration of modalities of life as given in §5 (The ascertainable physical constitution of the patient, his moral and intellectual character, his occupation, mode of living and habits, his social and domestic relations, his age, sexual function etc)
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Shreya cries when hungry is a common symptom if Shreya is 3 months old, but becomes characteristic symptom if she cries at 28 yrs old.
So the conditions and symptoms to be taken into consideration should be characteristic.
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§19
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Now, as diseases are nothing more than alterations in the state of health of the healthy individual which express themselves by morbid signs, and the cure is also only possible by a change to the healthy condition of the state of health of the diseased individual, it is very evident that medicines could never cure diseases if they did not possess the power of altering man's state of health which depends on sensations and functions; indeed, that their curative power must be owing solely to this power they possess of altering man's state of health.
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§20
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This spirit-like power to alter man's state of health which lies hidden in the inner nature of medicines can in itself never be discovered by us by a mere effort of reason; it is only by experience of the phenomena it displays when acting on the state of health of man that we can become clearly cognizant of it.
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EXPLANATION (§ 19, § 20) |
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The medicines, can cure, disease only due to their ability to alter man's state of health. This is similar to the diseases, which are nothing but an alteration in the state of health of an individual.
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HAHNEMANN'S TIME |
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In Hahnemann's days, the prescription of medicine was empirical, based on hearsay or, based on whims and fancies; or theorization.
Hahnemann was one of the first ones to prove a drug on healthy human beings and based the system of homoeopathy on firm grounds of scientificity.
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MODERN RELEVANCE |
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Today, the drug is prescribed on the basis of
| 1. | Doctrine of signature. |
| 2. | Derivation from relationships of remedies without proof in actual proving is a step away from the scientific concept of Hahnemann. |
| 3. | Lot of speculative Homeopathy is being advocated and scientific way of proving is left far behind. |
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