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| Aphorism 7 |
| §7 |
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Now, as in a disease, from which no manifest exciting or maintaining cause (causa occasionalis) has to be removed*, we can perceive nothing but the morbid symptoms, it must (regard being had to the possibility of a miasm, and attention paid to the accessory circumstances, § 5) be the symptoms alone by which the disease demands and points to the remedy suited to relieve it-and, moreover, the totality of these its symptoms, of this outwardly reflected picture of the internal essence of the disease, that is, of the affection of the vital force, must be the principal, or the sole means, whereby the disease can make known what remedy it requires-the only thing that can determine the choice of the most appropriate remedy-and thus, in a word, the totality** of the symptoms must be the principal, indeed the only thing the physician has to take note of in every case of disease and to remove by means of his art, in order that the disease shall be cured and transformed into health.
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EXPLANATION |
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HAHNEMANN'S TIME
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In this aphorism Hahnemann reiterates the importance of symptoms that is the sole indication of the disease within and therefore the conditions on which the medicine should be based. He says it is futile to search for something within the person that needs to be removed mechanically except in certain cases where the cause is from without and needs mechanical aid for its removal.
| E.g. |
| (1) | Foreign body in the eye, which gives result to pains, the pain subsides only after removal of the foreign body. |
| (2) | A piece of glass in the foot will cease to pain only after it's mechanical removal. |
These above are also examples of CAUSA OCCASSIONALIS, which form a part of MAINTAINING CAUSE.
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TOTALITY OF SYMPTOMS |
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Hahnemann says that any deraignment in the internal of the human being is usually due to the affection of the VITAL FORCE, and this disturbance is seen externally as an outward expression of the disease state of the person. These external expressions when considered together to form a disease picture are known as the Totality of Symptoms. This Totality Of Symptom is what a physician should find (In the epic Mahabharata Arjun spotted the eye of the parrot in maze of leaves on the tree before shooting it with an arrow). The removal of this Totality Of Symptom is sure to restore the sick back to his original state of health.
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MODERN RELEVANCE |
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When a patient complains of symptoms, which are not understood by the physician nor confirmed by laboratory investigations, the patient is many a times labeled as a hypochondriac or hysterical sometimes also a malinger.Many times patient comes to the doctor and tells about his varied symptoms but the physician when not able to comprehend them tells to the patient that he is normal and not to worry, but the patient is genuine and he suffers because of the doctors lack of understanding.In the above conditions Homoeopathy reigns supreme over all other system of medicine as a homoeopath takes into consideration all the symptoms experienced by the patient irrespective of whether they can be confirmed by pathological investigations and even if they do not fit into the routine diagnostic (Here by diagnosis we mean the nosological cases) nomenclature. The homoeopathic medicine offers relief to all the symptoms felt by the patient.
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An old man complained of swelling at the right side of the face located at the angle of jaw, which had progressively become large. He said the swelling had appeared after an abscess on his right forearm had been drained. The patient had severe pain at the sight and all his complaints were worse at night. He was thoroughly investigated for to rule out various causes reasons for the swelling, but all the reports came normal even an onco-surgeon labeled him to be normal and non of the doctors were able to give him relief. No one paid heed to the fact that the swelling had started to appear after the abscess of his forearm was drained. At last he consulted a homoeopath. After taking his totality of symptoms including the above symptoms the patient was prescribed the homoeopathic remedy Merc-i-r. At last the patient found relief for his condition that was termed as normal by many other physicians and as they could not correlate his symptoms, these doctors were unsuccessful in treating him.
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