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Aphorism 10-20
§10
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.
Foot Note:
** It is dead, and now only subject to the power of the external physical world; it decays, and is again resolved into its chemical constituents.
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.

§11

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. **

Foot Note: Top
** What is dynamic influence - dynamic power? Our earth, by virtue of a hidden invisible energy carries the moon around her in twenty-eight days and several hours, and the moon alternately, in definite fixed hours (deducting certain differences which occur with the full and the new moon) raise our northern seas to flood tide and again correspondingly lowers them to ebb. Apparently this takes place not through material agencies, not through mechanical contrivances, as are used for products of human labor; and so we see numerous other events about us as results of the action of one substance on another substance without being able to recognize a sensible connection between cause and effect. Only the cultured, practiced in comparison and deduction, can form for himself a kind of supra sensual idea sufficient to keep all that is material or mechanical in his thoughts from such concepts. He calls such effects dynamic, virtual, that is, such as result from absolute, specific, pure energy and action of the one substance upon the other substance.

For instance, the dynamic effect of the sick-making influences upon healthy man, as well as the dynamic energy of the medicines upon the principle of life in the restoration of health is nothing else than infection and so not in any way material, not in any way mechanical. Just as the energy of a magnet attracting a piece of iron or steel is not material, not mechanical. One sees that the piece of iron is attracted by one pole of the magnet, but how it is done is not seen. This invisible energy of the magnet does not require mechanical (material) auxiliary means, hook or lever, to attract the iron. The magnet draws to itself and this acts upon the piece of iron or upon a steel needle by means of a purely immaterial, invisible, conceptual inherent energy, that is, dynamically, and communicates to the steel needle the magnetic energy equally invisibly (dynamically). The steel needle becomes itself magnetic, even at a distance when the magnet does not touch it, and magnetises other steel needles with the same magnetic property (dynamically) with which it had been endowed previously by the magnetic rod, just as a child with small-pox or measles communicates to a near, untouched healthy child in an invisible manner (dynamically) the small-pox or measles, that is, infects it at a distance without anything material from the infective child going or capable of going to the one to be infected. A purely specific, conceptual influence communicated to the near child small-pox or measles in the same way as the magnet communicated to the near needle the magnetic property.

In a similar way, the effect of medicines upon living man is to be judged. Substances, which are used as medicines, are medicines only in so far as they possess each its own specific energy to alter the well being of man through dynamic, conceptual influence, by means of the living sensory fibre, upon the conceptual, controlling principle of life. The medicinal property of those material substances, which we call medicines proper, relates only to their energy to call out alterations in the well-being of animal life. Only upon this conceptual principle of life, depends their medicinal health-altering, conceptual (dynamic) influence. Just as the nearness of a magnetic pole can communicate only magnetic energy to the steel (namely, by a kind of infection) but cannot communicate other properties (for instance, more hardness or ductility, etc.) And thus every special medicinal substance alters through a kind of infection, that well being of man in a peculiar manner exclusively its own and not in a manner peculiar to another medicine, as certainly as the nearness of the child ill with small-pox will communicate to a healthy child only small-pox and not measles. These medicines act upon our well being wholly without communication of material parts of the medicinal substances, thus dynamically, as if through infection. Far more healing energy is expressed in a case in point by the smallest dose of the best dynamized medicines, in which there can be, according to calculation, only so little of material substance that its minuteness cannot be thought and conceived by the best arithmetical mind, than by large doses of the same medicine in substance. That smallest dose can therefore contain almost entirely only the pure, freely-developed, conceptual medicinal energy, and bring about only dynamically such great effects as can never be reached by the crude medicinal substance itself taken in large doses.

It is not in the corporeal atoms of these highly dynamized medicines, nor their physical or mathematical surfaces (with which the higher energies of the dynamized medicines are being interpreted but vainly as still sufficiently material) that the medicinal energy is found. More likely, there lies invisible in the moistened globule or in its solution, an unveiled, liberated, specific, medicinal force contained in the medicinal substance which acts dynamically by contact with the living animal fibre upon the whole organism (without communicating to it anything material however highly attenuated) and acts more strongly the more free and more immaterial the energy has become through the dynamization.

Is it then so utterly impossible for our age celebrated for its wealth in clear thinkers to think of dynamic energy as something non-corporeal, since we see daily phenomena, which cannot be explained in any other manner? If one looks upon something nauseous and becomes inclined to vomit, did a material emetic come into his stomach, which compels him to this anti- peristaltic movement? Was it not solely the dynamic effect of the nauseating aspect upon his imagination? And if one raises his arm, does it occur through a material visible instrument? a lever? Is it not solely the conceptual dynamic energy of his will which raises it?

EXPLANATION
Top
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.
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.
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.
§12

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.

Foot Note: Top
** How the vital force causes the organism to display morbid phenomena, that is, how it produces disease, it would be of no practical utility to the physician to know, and will forever remain concealed from him; only what it is necessary for him to know of the disease and what is fully sufficient for enabling him to cure it, has the Lord of life revealed to his senses.
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
§13

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.

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).
§14

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.

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.
§15

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.

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.
§16

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.

Foot Note: Top
** Most severe disease may be produced by sufficient disturbance of the vital force through the imagination and also cured by the same means.
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.

Foot Note: Top
In footnote 9, Hahnemann states that severe diseases can be produced by disturbances of vital force through our own imagination. They can be regarding our own vulnerability, our positions in society, our expectations from self and others e.g.-I am stagnating, I am unsuccessful, I am being insulted, etc.

For example-The fright, which an Australian aborgini can feel when a bone is pointed at him & then hidden, can lead to severe illness which can be occasionally fatal.

This can be restored back to health by digging out a similar bone and patient feels relieved.

§17

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.

Foot Note: Top
** A warning dream, a superstitious fancy, or a solemn prediction that death would occur at a certain day or at a certain hour, has not infrequently produced all the signs of commencing and increasing disease, of approaching death and death itself at the hour announced, which could not happen without the simultaneous production of the inward change (corresponding to the state observed externally); and hence in such cases all the morbid signs indicative of approaching death have frequently been dissipated by an identical cause, by some cunning deception or persuasion to a belief in the contrary, and health suddenly restored, which could not have happened without the removal, by means of this moral remedy, of the internal and external morbid change that threatened death. is only thus that God, the Preserver of mankind, could reveal His wisdom and goodness in reference to the cure of the diseases to which man is liable here below, by showing to the physician what he had to remove in diseases in order to annihilate them and thus re-establish health. But what would we think of His wisdom and goodness if He had shrouded in mysterious obscurity that which was to be cured in diseases (as is asserted by the dominant school of medicine, which affects to possess a supernatural insight into the inner nature of things), and shut it up in the hidden interior, and thus rendered it impossible for man to know the malady accurately, consequently impossible for him to cure it?

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.
§18

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.

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)
EXAMPLE
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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.
§19

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.

§20

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.

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.
HAHNEMANN'S TIME
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.
MODERN RELEVANCE
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.