Konsultan: Mohamed Hatta Abu Bakar, HMD
Dr Samuel HAHNEMANN (1755-1843)
LECTURE 32 : The value of symptoms
§ 153 is the one that teaches more particularly how the process of individualization or discrimination shall be carried out.
It treats of characteristics, it treats of grades.
The homoeopathic physician may think he has his case written out very well, but he does not know whether he has or not until he has mastered the idea of this paragraph.
He may have page after page of symptoms, and not know what the remedy is, and if he takes the record to a master the master will say :
"You have no case !"
"Why, I have plenty of symptoms."
"But you have no case. You have left your case out ; you have left the image of the sickness out, because you have fated to get anything that characterizes it. You have plenty of symptoms, but have not anything characteristic. You have not taken your case properly."
Now, after you have mastered this paragraph you will know whether you have taken your case properly, you will know whether you have something to present to a master, a likeness of something.
The lack of this knowledge is the cause of non-success with the majority homoeopathic physicians.
There are a great many homoeopathic physicians that prescribe and tinker a long time with their cases, and will ask you what a characteristic is, and if it is some one peculiar thing that guides to a remedy.
The idea of a keynote comes to the mind of many.
I do not mean that all or any part of what you have written is useless, but it is necessary to have individualizing characteristics to enable you to classify that which you have, to perceive the value of symptoms, and, if you must settle down to a few remedies, to ascertain which of these is more important than another, or most important of all.
You cannot individualize unless you have that which characterizes.
The things that characterize are things to make you hesitate, to make you meditate.
Suppose that you have been acquainted with a large number of cases of measles, for instance, but along comes one of which you say to yourself,
"That is strange ; I never saw such a thing as that before in a case of whooping cough. It is peculiar."
You hesitate, you meditate, and at once recognize it as something individual, because it is strange and rare and peculiar.
You say, I do not know what remedy has that symptom.
Then you commence to search your repertory, or consult those of more experience, and you find in the repertory, or upon consultation, that such a medicine has that thing as a strong feature, as a high grade symptom, and it is as peculiar in the remedy as in your patient, though you have never seen it before.
You may have seen a hundred cases of measles without seeing that very thing.
That peculiar thing that you see in measles relates to the patient and not to the disease, and as the sole duty of the physician is to heal the sick that peculiar thing will open the whole case to the remedy.
When you find that the remedy has that symptom, along with the other symptoms, you must attach some importance to it, and when there are two or three of these peculiar symptoms they form thecharacteristic features.
What would you think would constitute a common symptom ?
We shall at once see that the common symptoms are those that appear in all cases of measles, that you would expect to find in measles.
It would be strange to have measles without any rash ; that would be peculiar.
We know that the absence of rash is a striking state of affairs and means trouble, and is peculiar.
Either it is not measles, or the absence of the rash is a serious state.
Suppose it is a fever. The patient has intense beat, an ordinary fever, coming in the afternoon and running through the night, with hot hands and feet, high temperature, dry tongue, etc.
What would you say concerning the presence or absence of thirst ?
You would say it is common if he has thirst, because almost anybody who has fever would want water.
Nothing is so natural to put fire out with as water, and the absence of thirst in a fever is strange, is rare and uncommon, peculiar and striking.
You would ask yourself at once, is it not strange that he does not have thirst with such a high temperature ?
You at once strike to the remedies that are thirstless.
You would not think of hunting up a remedy that has thirst.
So the absence of the striking features of disease constitutes a peculiarity that relates to the patient.
Well, then, that which is pathognomonic is common, because it is common in that disease, but an absence of the pathognomonic characterizes that particular disease in that patient, and therefore means the patient, and in proportion as you have that class of symptoms just in that proportion you have things that characterize the patient, and the specific remedy for the patient will be the simillimum.
It is necessary to know sicknesses, not from pathology, not from physical diagnosis, no matter how important these branches are, but by symptoms, the language of nature.
A true homoeopathic prescription cannot be made on pathology, on morbid anatomy ; because provings have never been pushed in that direction.
Pathology gives us the results of disease, and not the language of nature appealing to the intelligent physician.
Symptomatology is the true subject to know.
No man, who is only conversant with morbid anatomy and pathognomonic symptoms, can make homoeopathic prescriptions.
In addition to diagnostic ability he must have a peculiar knowledge ; that is, he must be acquainted with the manner of expression of each and every disease.
He must know just how each disease expresses itself in language and appearance and sensations.
He must know just how every remedy affects mankind in the memory and understanding and will, because there are no other things that the remedy can act upon as to the mind, and he must know how the remedy affects functions, because there are no other ways in which the remedy affects the body of man.
Now, if he knows bow diseases express themselves in signs and symptoms, then he knows what constitutes an individual disease a little different from all others.
It is the peculiar way that the same disease affects different patients that makes the symptoms strange, peculiar and rare.
That which is pathognomonic in the remedy is that which you will study out most, because it is that which is related to the patient.
Such is the state of mind that the homoeopathic physicians must keep themselves in order to begin this study, and when they have begun to think in this way they can then study the symptoms of the disease as to grade.
The symptoms of the remedies must be studied especially with respect to order on grade.
To look upon them as all alike, because they appear to be all on the same level, is to be unable to make .distinctions.
One symptom with some physicians is as good as another. It is a fact that symptoms, to a great extent, are upon a ,sliding scale.
What is peculiar in one remedy is not in any degree peculiar in another.
While it may be peculiar in a chronic case to have thirst, it is not so in a fever.
That which is true in many respects in a chronic state may be the very opposite in an acute case.
The chronic miasms are the very opposite in their character and order to the acute miasms, and this is a fact that the homoeopathic physician must know.
If you had a striking case of inflammation of the parotid gland, the patient says :
"Do not press upon it, because it is very sore,"
how would you classify that, as common or strange ?
If you think but a moment, you will see that it would be a very strange thing for a highly inflamed gland not to be sue, and that soreness upon pressure is not something to be prescribed for, but something to be known, to be taken into the general view of the case, and the remedy indicated in the case would be suitable if it have inflammation and soreness of the gland ; there is nothing striking in that : quite a group of remedies have produced hardness, soreness and tenderness of the gland ; it may be one of those, or it may be one which has never produced these things, if it have the characterizing features of the patient.
In sicknesses the symptoms that cannot be explained are often very peculiar ; the things that can be accounted for are not so often peculiar ; peculiar things are less known to man.
For instance, a patient can sit only with his feet up on the desk, or with his feet elevated ; he is a great sufferer, and because of this suffering he is compelled to put his feet up.
The symptoms hence will be put down, worse from letting the feet hang down.
"Well, what do you mean by that ? Why, if I let my feet hang down, I find I bring the nates down upon the chair, and there is a sore place there."
Now that is quite a different thing.
You may find if it is an old man that he has a large prostate gland, which is very painful at times and very sore, and when he lets the feet hang down the gland comes in contact with the chair.
So we see that the real summing up of the case is that this enlarged and sore prostate gland is worse from pressure, and all you have learned from that symptom is that the gland is sensitive to touch, which is a common symptom.
There are instances, however, where by letting the feet hang down the patient is ameliorated ; for instance, you take a periostitis and the pain is relieved by letting the limbs hang.
No one can tell why that limb is better when hanging over the bed.
He lies across the bed with the foot hanging over the side, and why it is that he cannot lie upon his back nobody can figure out.
Now that condition is found inConium, and you will not be astonished after you know that Conium has that symptom to find all the symptoms of your patient, say Conium.
All the rest of them perhaps, are common.
Now, when you think along this line of science, it will not take you long to get into the habit of estimating among the symptoms that appear in a record the things that are common, the things that you would expect, and the things that are strange.
Again, we see that there are certain symptoms in the remedies that aregeneral and on the other hand the symptoms that are general must also be taken into account in order to examine any record.
All the things that are predicated of the patient himself are things that are general ; all the things that are predicated of any given organ are things in particular.
So we see how there are things in general, and things common, and things particular ; some times it may be a condition or state, sometimes it may be a symptom.
We have said that what the patient predicates of himself will generally appear to you to be at once something in general.
When the patient says, "I am thirsty," as a matter of fact, although he feels that thirst in the mouth, yet it is his whole economy that craves the water.
The things of which he says,"I feel," are apt to be generals.
The patient says, "I have so much burning," and if you examine him, you find that his head burns, that the skin burns, that there is burning in the anus, burning in the urine, and whatever region is affected burns.
You find the word burning is a general feature that modifies all his sickness.
If it were only in one organ, it would be a particular, but these things that relate to the whole of the man are things in general.
Again, when the patient tells things of his affections, he gives us things that are most general.
When he speaks of his desires and aversions, we have those things that relate so closely to the man himself that the changes in these things will be marked by changes in his very ultimates.
When the man arrives at that state that he has an aversion to life, we see that that is a general symptom and that premeates his economy ; that symptom qualifies all the symptoms and is the very centre of all his states and conditions.
When he has a desire to commit suicide, which is the loss of the love of his life, we see that that is very innermost.
Medicines affect man primarily by disturbing his affections, by disturbing his aversions and desires.
The things that he loved to do are changed, and now he craves strange things.
Or the remedy changes his ability to comprehend, and turns his life into a state of contention and disturbance ; it disturbs his will and may bring upon him troublesome dreams, which are really mental states.
Dreams are so closely allied to the mental state that he may well say,
"I dreamed last night;"
that is a general state.
The things that lie closest to man and big life, and his vital force, are the things that are strictly general, and as they become less intimately related to man they become less and less general, until they become particular.
The menstrual period gives us a state which we may call general.
The woman says,"I menstruate," so and so ; she does not attribute it to her ovaries or to her uterus ; her state is, as a rule, different when she is menstruating.
So the things that are predicated of self, of the ego, the things described as
"I do so and so,"
"Dr., I feel so and so,"
"I have so much thirst,"
"I am so chilly in every change of the weather,"
"I suffocate in a warm room," etc.,
these are all general.
The things that are general are the first in importance.
After these have been gathered, you may go on taking up each organ, and ascertaining what is true of each organ.
Many times you will find that the modalities of each organ conform to the generals.
Sometimes, however, there may be modalities of the organs, which are particular that are opposed to the general.
Hence we find in remedies that appear to have in one subject one thing, and in another subject the very opposite of that thing.
In one it will be a general, and in another it will be a particular.
Lecture 33 >>>>>
CD Naskhah Contoh © HBI Health & Homoeopathy Centre 2004