R HUGHES-THE PRINICIPLES &

PRACTICE OF HOMOEOPATHY
1 Dr.Ramya Sreekumar
3rd MD(ORG)

homoeobook.com
CHAPTERS
○ SIMILIA SIMILIBUS

○ SELECTION OF THE SIMILAR REMEDY

SIMILIA SIMILIBUS

○ SIMILIA
SIMILIBUS

○ KNOWLEDG ○ KNOWLEDG
E OF E OF
DISEASE MEDICINE
ACTION OF DRUGS
1. mechanically-Act by bulk and weight
a)little use in medicine
b)no application of similia
2. chemical –mineral kingdom
no use in homoeopathy
SPHERE OF HOMOEOPATHY- DYNAMIC
DRUG ENERGY
It is the reaction which drug-
stimuli excite in living matter.
But even here we must
recognise a limitation. Vital
action which is exclusively
topical does not necessarily, or
even ordinarily, conform to the
laws of similars.
○ The action of arnica in
easing the pain and
promoting the resolution of
contusions is a dynamic
one; but no such condition
can be induced by applying
arnica to healthy part.
Calendula is a vulnerary by
no chemical or mechanical
properties it possesses; it
cannot act otherwise than
vitality; yet it has no power
of causing wounds on the
unbroken skin.
○ it is dynamically acting
drugs influencing living
matter which is neither
parasitic nor
adventitious, and doing
this constitutionally and
not merely topically,
which can become
homoeophatic remedies.
From their list we reach
these, ordinarily, by the
rule "let likes be treated
by likes
 MODES OF APPLICATION
Having ascertained that a given allopathy
○
substance has the power of exciting
any bodily function, you give it in
disease of other parts when you
think such excitation desirable.
Hahnemanns objection to allopathy 1.Its
uncertainity

2.Its
injurious
nature
 MODES OF APPLICATION
apply your knowledge in dealing antipathy
○
with opposite conditions of such
functions themselves
 ADVANTAGE OF ANTIPATHY
○ No one would hesitate to employ it in cases Favours

of acute poisoning, to antidote for example

morphia by atropia; and no one refuses 1.Certainity

chloroform to the parturient woman because

it is on this principle that
2.Rapidly palliative
it allays her labour-pangs

3.Direct to affected
part
 HUGHES VIEW IN ANTIPATHY
It is law of
○ I must hold that the man who denies palliation; and
his patients such relief is sacrificing such palliation
is often, in
them to his prejudices, is preferring temporary
system to humanity, and is disorders, all
that need be
unworthy of the name of physician. I done, while in
thus entirely go in holding contraria incurable
disease it
contrariis to be, equally with similia sometimes all
similibus, a law of therapeutics. that can be
done.
HAHNEMANNS ARGUMENTS AGAINST ANTIPATHY
But it is only for
palliation not for cure

Not useful for complex,

persistent, or recurrent
maladies

It is here rarely
practicable, from the
few really opposite
states which exist
between natural disease
and drug-action:

it is inadequate, from
being seldom able to
deal with more than a
single symptom at a
time;

the inevitable reaction

which follows from its
being put in operation
leads to a return of the
evil, often in greater
force.
 MODES OF APPLICATION
○ drug in morbid states thereof similar homoeopa
instead of opposite to its thy
physiological effects.
○ diuretic in polyuria,
SUPERIORITY OF HOMOEOPATHY
acts directly on the
affected parts,

it is of
inexhaustible
fertility.

is complete

permanent
THE ANTIPATHIC AND THE HOMOEOPATHIC MODES OF APPLYING THE PATHOGENETIC
EFFECTS OF DRUGS TO THE TREATMENT OF DISEASE HAVE THIS ADVANTAGE IN COMMON
OVER THE ALLOEOPATHIC, THAT THEY ACT DIRECTLY ON THE AFFECTED PARTS, AND

AVOID DISTURBING THOSE THAT ARE HEALTHY .

○ But then, of the two, the
homoeopathic use
commends itself to us by
its greater gentleness.
○ The antipathic drug has
to oppose the morbid
process that is going on.
It must do this by force,
by inducing its own
equally morbid condition
in the suffering organ,
without pledge that this
shall subside when that
is neutralised. It must
therefore be given in full
doses;
HOMOEOPATHIC REMEDIES ARE INOFFENSIVE

in spite of its
pleasantness
and
harmlessness,
and of the
theoretic
promise of the
remedies it
employs,
homoeopathy
had failed to
hold its own in
actual
practice, we
should have to
keep silence
about it, and
at the best
wait for a
brighter day.
 The conclusion arrived at is that
homoeopathic remedies are, from their
nature, from their negative advantages, and
from the comparative results obtained with
them, the best that can be employed, and
such as should always be resorted to when
practicable. I could enlarge more fully, did
time allow, on the argument from their
nature. I could show that they are
constitutional substitutives, acting by
elective affinities instead of topical
application, and so of much more
penetrating influence and grasp of disease
as a whole.
CHAPTERS


CHAPTER-6 SELECTION OF THE SIMILAR

REMEDY

CHAPTER-7 SELECTION OF THE SIMILAR

REMEDY(concluded)
CHAPTER 1-CONTENTS


1. Exciting cause
2. Fundamental cause
3. Ideal homoeopathy
4. Different types of similarity-generic
specific
EXCITING CAUSE


○ Useful to the physician in ○ Hahnemann says in 5th apho

assisting him to cure, are the
particulars of the most probable
exciting cause of an acute disease,
as also the most significant points
in the whole history of a chronic
disease, to enable him to discover
its fundamental cause, which
generally depends on a chronic
miasm. In these investigations,
the apparent physical constitution
of the patient (especially when the
disease is chronic), his moral and
intellectual character, his
occupation, mode of living and
habits, his social and domestic
relations, his age, sexual
functions, etc., are to be taken into
consideration."
 The causes of disease, predisposing
and exciting, are to be taken into
account, not merely that they may be Dr.Drysdale says
removed where possible, but as guides any similarity to the
to the selection of the remedy. effects of definite
exciting causes
discoverable in the
symptoms of a drug
indicates that the
latter has acted as a
predisposing cause,
making the system
more susceptible to
the morbitic agency in
question.
 FUNDAMENTAL CAUSE
The object of seeking the "fundamental Funda
cause“
mental
cause of
1. It is that medicines suitable, not
only to the existing symptom group,
chronic
but to the "miasm," may be taken disease
into account in the selection of the is
remedy. chronic
miasm

1. It guides us to a class of remedies of

which otherwise we might not have
thought. It is so no less so,
Hahnemann teaches, in
homoeopathic practice
○ By this Hahnemann ○ This is obviously
considered it a positive bringing pathology to the
gain when morbid states, aid of symptomatology,
hitherto regarded as and supplies another
individuals, could be instance of its
referred to a common usefulness.
type and treated by
remedies chosen from a
definite group, instead of
being made the subject of
an indiscriminate search
through the Materia
Medica.
HAHNEMAN IN MEDICINE OF EXPERIENCE
SAYS

○ a few diseases that ○ Examples

always arise from one i. Hydrophobia,
and the same cause“ ii. the venereal disease,
○ These few diseases, at iii. the plague of the
all events those first Levant,
mentioned (the
miasmatic), we may iv. yellow-fever,
therefore term specific, v. smallpox,
and bestow upon them vi. cowpox,
distinctive vii. the measles
appellations.
If a remedy have been discovered for one
of these, it will always be able to cure it,
for such a disease always remains
essentially identical, both in its
manifestations (the representatives of its
internal nature) and its cause."
○ the use of belladonna in scarlatina,
○ of aconite
○ coffea in "purpura miliaris,"
○ spongia and hepar sulphuris in croup,
○ drosera in whooping-cough,
○ thuja in condylomata, and
○ mercurius corrosivus in autumnal dysentery.
It is true that for the multitudinous and
diverse forms of disorder which come
before the physician, arising from
common causes (atmospheric and such
like), and having no permanent character,
selection by totality of symptoms alone
and treatment as individual maladies
formed the best mode of proceeding. But it
is also evident that he was no mere
individualiser; that to him there were
morbid species, and specific medicines;
and that he counted it real gain to reclaim
forms of disease from the desert of
symptomatology, to trace them to a
common origin and connect them with
certain remedies. Modern pathology must
often differ from him as to details: it has
at times (as in the "psoric" diseases) to
separate where he has blended, at times
(as with syphilis and sycosis) to identify
where he had distinguished. But the
difference is not one of principle.
 ideal homoeopathy

Hahnemann's ideal homoeopathy was

thus to obtain a group of medicines for
each morbid species, to be chosen from in
each case according to its peculiar
features.
SIMILARITY BETWEEN DISEASE AND DRUG
ACTION

○ Generic similarity

○ Specific similarity

○ Individual similarity
GENERIC SIMILARITY
○ To make his case a simile of
drug-action at all, a person
must be ill; on the other
side, if he be ill, his remedy
must be one capable of
causing illness in the
healthy, and the more
seriously ill he is the more
potent should be the poison
with which he is treated.
These are broad
generalities, but they are
the basis of homoeopathy,
and the surer one from
such breadth.
○ Then we go a little farther,
and say that the class of
affections from one of
which the patient is
suffering must be such as
the drug is capable of
producing. If his illness is
febrile, his remedy must be
pyreto-genetic; if the one be
an inflammation, the other
must be an irritant.
SPECIFIC SIMILARITY
○ Specific similarity implies the existence of species.
These, in natural history, mean forms capable of
reproducing their kind.
REQUIREMENTS FOR SPECIFIC SIMILARITY
○ Seat of action ○ Concomitants

○ Kind of action
○ Chronological
○ Modification of disease sequence

○ Character of pain
SEAT OF ACTION

○ The first requisite for
specific similarity is that
the drug shall have the
same scal of action as the
disease.
○ if the phenomena
correspond, so also must
the noumena.
○ there are cases where
symptoms fail us as a
guide, and where the
"organopathy" of
Paracelsus, Rademacher
and Sharp comes in
welcome aid. Identity of
seat is half the battle;
only half, it is true, but
to have conquered so far
is fair promise of entire
victory, and the promise
is often fulfilled.
 Seat
of
action

Identity of seat is half the

battle; only half, it is true,
but to have conquered so
far is fair promise of entire
victory, and the promise is
often fulfilled.
TISSUE REMEDIES
KIND OF ACTION
○ the pathological
process shall be the
same fever,
inflammation,
ulceration,
MODIFICATION OF DISEASE


○ modification of disease ○ rheumatism arising from

which its originating dry cold is one thing,
cause impresses upon it. from damp cold another;
○ a neuralgia induced by
injury to a nerve is
different from one
brought on by malaria or
by gout.
○ Jaundice from mental
emotion is not the same
disorder as that arising
from heat or from a too
stimulating diet.
CHARACTER OF THE PAINS

○ another useful point of

comparison between
disease and drug-
action is the character
of the pains and other
sensations present.
CONCOMITANCE

○ the coincidence of two

or more marked
symptoms in the
pathogenesis of a drug
and in the phenomena
of a disease.
CHRONOLOGICAL ORDER
○ It is a small matter ○ Now, with the detailed
that symptoms should provings in our hands,
be present, compared we can ascertain order
with their being as well as occurrence,
present in a certain and thus enhance
connexion and many-fold our
sequence; and this it is probability of arriving
as impossible to at genuine results.
discover in the schema
of Hering as in that of
Hahnemann.
 SUMMARY

a success may be scored by securing homoeopathicity

in this matter between disease and drug-action. Seat
of action, then, in organ or tissue; kind of action, in
diathesis or other quality, in causative modification, in
character of sensations, and in concomitance and
sequence of symptoms, these are the main elements of
specific similarity. The more you can secure of them
the better your prospect of reaching the "pathological
simile,"
THANK YOU….
SELECTION OF THE SIMILAR
REMEDY(contd)
INDIVIDUAL SIMILARITY
○ Side of body

○ Time of day

○ Conditions of < &

>

○ Mental and
emotional

○ temperama
nts

○ constit
ution