In the 17 18 and
19 century Empirical physicians accepted the principle of the
immediacy of therapeutic experience and sought ways to structure
it intrinsically- ordering the phenomenon without doing them
violence. It sought its rules & principles outside the living
body, oscillating pack & forth among Chemistry, Physics,
Mathematics & Mechanics- finally settling on Physiology. Though
apparently this is a better selection than basing the medical
science solely on Pathology but the principal defect of ancient
Empiricism was absence of a precise relationship between the
medicine and the morbific process, which attempted to cure.
The Philosophy
of all the scientific advancements and researches was and has
still been that of materialism. Though the subject matter of
medicine is Man ho combines in himself the mental, vital and
physical aspects, modern scientific men have always tried to
understand him from the Chemico-Physical and mechanical points
of view, based on the methodology of physical sciences. Here
Hahnemann appears and the discovery o Homoeopathy cuts across
the general evolutionary trend of modern medical sciences.
The history of
medicine shows that the medical profession has been willing
to adopt even the most outlandish therapeutic theories when
these theories simplified the physician:
Intellectual and
physical work. The doctrines of John Brown (1735-1788), Benjamin
Rush (1745-1813) and F.J. V. Broussais (1772-1838), all
contemporaries of Hahnemann, were taken up readily enough by the
practitioners of the time because they promised to alleviate the
physician’s burden. If Hahnemann had promised the same, if
homoeopathy had been simplified therapeutic doctrine, one can be
sure that it would soon enough have become medical orthodoxy.
In a new and original interpretation of pharmacology Hahnemann
found the key which Empirical thinkers had been seeking for
centuries, one which brought all elements Empirical doctrine in
a new crystallization and gave them a new focus. It was this,
which has enabled the homoeopathic system to outline all its
competitors and in fact to survive and flourish to the present
day.
Following the
Cullen’s translation, Hahnemann, like Hippocrates, was
continua searching for pure testimony to support his
contentions, and he, like Hippocrates WI directed his
observations towards clinical medicine was an ardent and
constant supporter the truth. That we can claim for his
infallibility is not reasonable. That we can claim for hi,
clearer, freethinking is honest and just.
From the years 1790 to 1805, his new system of treatment was
slowly coming birth. We have a first slight intimation of its
arrival in 1790; in 1796, we see the first define form in the
fight against the mixing of drugs in use at the time; in the
following year5 unfolded itself further, and attained its first
complete form in the “Organon” in the year 18
“Organon” is
Hahnemann’s exposition and vindication of his therapeutic
method. In Organon, Hahnemann had given a finished picture of
his doctrines. It has been preceded by a number of essays in
Hufeland’s Journal, which was the leading medical journal of the
time in Germany. Hahnemann designed his principles and methods
in Organon as one that should be a medical logic, an instrument
that the physician should use for the discovery of the best
remedies for diseases.
It is worth noting that being a versatile and voracious reader
that he was Hahnemann consciously or unconsciously was guided
and inspired by some of the great writers and philosophers of
his time. We can find the stamp of some of the great works of
the time in Hahnemann’s work and methodology as it developed and
evolved with passage of time.
Hahnemann was raised on the principles as developed into a
pedagogical system byJ.B. Basedow (1723-1790) which combined the
natural development with that of utility.
Basedow
concern for utility, the real and practical is central to
homoeopathy which sets itself the goal of making all
pharmacological knowledge useful to the practitioner immediately
and without the intervention of theory.
Basedow’s
“appeal to perception”, of course, figures ir Hahnemann’s
exclusive stress on symptoms as the source of medical knowledge.
Like Bacon
(whose work ‘Novum Organum’ inspired Hahnemann to name his
book), Hahnemann sought to recall men from the spinning of the
thought - cobwebs to the patient investigation of facts. On the
line of Bacon, he further set up the practical - which in his
case is the healing of the disease - as the proper aim of
medical philosophy, not seeking in knowledge a terrace, for a
wandering and variable mind to walk up and down with a fair
prospect “but rather accounting it a rich store-house, for the
glory of the Creator, and the relief of man’s estate”. In true
Baconian style, Hahnemann devoted his strength to the exposition
and perfecting of his proposed method of further progress
towards this end, leaving to the future the carrying it into
effect.
Emanuel Kant
was one of the writers and philosopher who was much read and
acclaimed during Hahnemann’s time. Like Kant, Hahnemann set
himself in his field to task of delaminating the boundaries of
possible experience, beyond which the scientist of experience
and the physician have r to seek. What Kant took upon himself to
accomplish for philosophy, Hahnemann would have completed for
medicine - “a medicine within the border of pure experience”.
For, these reasons, Tischner call Hahnemann the “Kant of
Medicine”. Hahnemann no doubt was influenced by the critical
philosophy of Kant (and perhaps of Lambert too). Hahnemann in a
letter to Mr. Von Villers, dated 3Oth,Januaryl8ll, praised Kant.
He wrote “I admire Kant very much, particularly because he draws
the line of philosophy, and of all human knowledge, where
experience ends”.
At the end of
the seventeenth and at the beginning of the eighteenth century,
Ernst George Stahl’s view prevailed in the medical world. In
place of natural healing power he set a domination of the soul
(anima) over the body. Every natural and every morbid symptom of
the body was stated be originated from the soul. Stahl is also
emphatic in asserting that the efforts of the anima do not
always adequately correspond to the purposes of life and to if
maintenance of the body. Therefore, the professional skill of
the physician is necessary. Aphorism 10 and 15 of the “Organon”
Hahnemann uses phrases, which might be Stahl’ own and expresses
his, conception.
Organon of
Medicine has run through Six editions indicating the
continuous effort towards self-improvement and perfection, which
Hahnemann always sought. In these editions though the
fundamentals remains unchanged but the subsequent refinement in
the application of the Law of Similars is very much evident.
In the growth of a
complex thing as a new system of medicine, it was inevitable the
there should be considerable alterations and improvements
effected in the course of fort eight years. The time occupied by
Hahnemann in the elaboration of his novel doctrine an practice.
The idea of the homoeopathic rule of practice occurred to him
while translating Cullen’s Materia Medica in 1790. The “Essay on
New Principle... .“, in which he put forward the homoeopathic
therapeutic rule, as yet understood by him to be of only partial
application i.e. to some chronic diseases, was published in
1796. In 1806, ten years after this, “Medicine of Experience” he
enunciated the rule with no such limitations to its
applicability.
Hahnemann first
called his work “Organon der Rationellen Heilkunde” or
“Organon of the Rational Art of Healing” but from the Second
Edition onwards the title was changed’ “Organon der Heilkunst”
or Organon of the Healing Art. The ‘Rational being here and in
other places dropped. This elimination of the term “rational’
has been supposed by those who criticize him to “imply that his
followers were required to accept his doctrine as though they
were the revelations of a new Gospel, to be received as such,
and not to be subject to rational criticism”. But Hughes is of
opinion that the reason of this change lies in the fact that He
was seeking, not consistency of a theory, but the success of a
practical to him’ It mattered little whether a thing commanded
itself or not to the speculative reason his only concern was
that it should be true.
Christian
Gellert’s (1715-1769) poem on the title page of the First
Edition replaced in the subsequent editions by the words “Aude
Sapere” which denote the profound conviction and motive
inspiration of Hahnemann’s mind. It was the similar thought that
he expressed in “Medicine of Experience” - “As the wise and
beneficent Creator has permit those innumerable states of the
human body differing from health, which we term disease He must
at the same time have revealed to us a distinct mode whereby we
may obtain knowledge of diseases that shall suffice to enable us
to employ the remedies capable subduing them; He must have shown
to us an equally distinct mode whereby we may discover in
medicine those properties that render them suitable for the use
of diseases He did not mean to leave his children helpless, or
to require of them what was beyond their power. This art, so
indispensable to suffering humanity, can not therefore remain
concealed in the unfathomable depths of obscure speculation, or
be diffused through the boundless void of conjecture; it must be
accessible, readily accessible to us within the sphere of
external and internal perceptive faculties”.
Hahnemann believed
in the illimitable possibilities of medicine. Hahnemann wrote
Preface for each editions of his work. The Preface to the Second
Edition deserves special notice. It is a full statement in brief
giving the author’s view on the existing state of medicine.
Nowhere does Bacon speak more clearly through Hahnemann than in
his emphatic statements here regarding the relation of reason to
experience in the study of the subject.
In 1807,
the “Indications of the Homoeopathic employment of medicines in
Ordinary Practice” was published. This essay appeared in
Hufeland’s Journal and it formed three years later the basis of
the “Introduction” to the “Organon” and was prefaced also to the
Second and Third Editions but the beginning and end of the essay
are different from the corresponding portions of the
Introduction and the collection of examples in the middle of it,
as well as the reference to doctors and writers is greatly
extended in the “Organon”.
‘Introduction’
forms a considerable proportion of the whole book. It has
altered very much between its earliest and the latest
appearance. In the first three editions, ‘Introduction’ consists
of a series of unintentional Homoeopathic cures taken from
medical literature, with few explanatory, preparatory and
concluding remarks. In the Second and Third editions, Hahnemann
introduced into the body of the work a long section of
destructive criticism on existing theories and modes of
treatment. This finds a more appropriate place’ in the
Introduction under the title “Survey of the Allopathy of the
hitherto - prevailing School of Medicine”. From Fifth Edition
onwards, the instances of Homoeopathic cure disappeared
altogether, being merely referred to in a note. The Introduction
became a continuous essay, its subject being the author
contemporaries and predecessors.
On going through
Hahnemann’s literary works especially those related to medicine
in general and Homoeopathy in particular, it can be deduced that
simplicity of Hahnemann’s conception lies in its entire freedom
from hypothesis and completeness within itself. All other
medical systems had been based upon certain doctrine of life and
disease but Hahnemann’s method was utterly independent of them.
His whole argument might be conducted as it is in the first
three editions of his work, without any discussion of
Physiological and Pathological questions. But at the same time,
his art, indeed like all others, has its associated sciences.
Physiology and Pathology are to it what Chemistry is to
Agriculture and Astronomy to Navigation. So far they bring real
knowledge, the more versed the physicians is in them better for
himself and for those in whose aid he works.
The content of
the Organon may be arranged under four divisions though they
do not occur in the order in which they are given here. But if
one goes through the whole of Organon then, he finds that the
subject consists of -
1. Discoveries -
experimental propositions or the result of actual experiment.
2. Directions or Instructions.
3. Theoretical and Philosophical illustrations.
4. Defenses and accusations.
1. DISCOVERIES
& PROPOSITIONS
In “Organon” experience is not referred for the purpose of
lauding any individual remedy, far more, it has relation to an
entire method of cure. Every doctrine is evolved on the basis of
experience to make this science complete. Homoeopathy is a
science - a science that treats of the effect of a diversity of
substances upon the human frame.
Many discoveries and propositions like Classification of
diseases, Drug proving treatment and cure of chronic diseases,
one sided diseases, Mental diseases, Intermittent diseases, Drug
dynamizations etc. are mentioned in Organon, which are the
result of experiments and observations. It is worth noting that
the fact that most of these discoveries and propositions have
modified which speaks for itself. Alterations and modifications
hay been incorporated wherever the necessity was felt or where
never observations an inferences demanded.
The Doctrine
that dilutions or potencies are capable of curing diseases
according to the law, “Similia Similibus Curantur”, is a
proposition which belongs to biology, and then finds its
confirmation, it likewise or only be investigated by experiment,
and cannot be estimated without it.
2. DIRECTIONS
OR INSTRUCTIONS
Under this heading can be enumerated directions for examination
of the sick, for the preparation of medicines for trying then on
the healthy subject, for the selection of the remedies,
dietetics and directions for the psychical treatment.
3.
ILLUSTRATIONS
Hahnemann has appended certain theories to the laws of nature
discovered by him by which these laws are illustrated and
brought into unison with other laws already acknowledged, or
with other theories received as true. Hahnemann has supported
his Lay and Doctrines with many illustrations drawn from nature
and from various journals and books. He quotes extensively, from
ancient as well as his contemporary medical mythological and
other authors in support of his views. He proceeds further to
elaborate the system in details and the principles of treatment
as well as the remedies to cure the natural diseases. It is one
of the best and most logical approaches to make one’s statement
more comprehensive and acceptable.
4. DEFENSES &
ACCUSATIONS
The storm of anger and opposition that broke over Hahnemann
and Homoeopathy was the very worst atmosphere for the calm and
dispassionate enquiry, which he eagerly desired. In such
situations Hahnemann has defended himself and Homoeopathy at
various places in Organon and has also criticized and accused
the wrongful methods used at that time for treatment. Out, the
entire polemical part may be stricken out, without in the slight
degree changing the principal matters or without having any
influence either to ratify invalidate the doctrine itself.
In first four
editions, Hahnemann had in several places spoken rather
slightingly of the vital force and its influences on the
production and cure of disease, but the expressions are greatly
modified in the fifth edition. In last two editions “Vital
Force’— “Vital Principle” occupies quite a different and a much
more important position in regard to disease, its causes and
cure. The doctrine of drug-dynamization of medicines by
processes peculiar to homoeopathy, which had only been hinted at
in previous editions, is in the fifth edition distinctly stated.
The directions for repetitions of doses are also different from
those in previous editions.
Medicines were to be administered o healthy individuals &
a record should be maintained of the symptoms, which they
produced. A given substance was then to be cured to treat the
patient whose symptoms were identical with the symptom-pattern
developed in the proving of this substance. This interpretation
of the traditional Empirical principle of “cure through similars”
was called by Hahnemann the “Law of similars” and was
thenceforth the basis of Homoeopathic practice.
The Therapeutic
Law of Nature as stated in Aphorism 26 (in the 5 and 6
edition) can be traced back to 1796, when in his ‘Essay on a New
Principle “ Hahmnemann stated-“We should imitate the nature
which sometimes cures a chronic disease by super adding another
and, employ in the (especially chronic) disease we wish to cure,
that medicine which is able to produce another very similar
artificial disease and the former will. be cured.”
This also shows
how the idea of Modus Operandi of Homoeopathic cure developed in
his later works. In the same ‘Essay...” we can see the birth of
this conception of Primary and Secondary Actions of Medicine. He
says- “Most medicine has more than one action - the first a
direct action which gradually changes into the second (which I
called the indirect secondary action). The latter in generally a
state exactly the opposite of the former. It may be almost
considered an axiom that the symptom of the secondary action are
the exact opposite of those of the direct action.”
Hahnemann’s object
in attenuating medicines was not the same in the early and
middle part of his life as it was in his declining years. In the
later year, he had in view, the transference of the properties
of medicine from the medicinal substance to the alcohol, or the
sugar of milk, the separation of the quantities of matter from
the substance in which they inhered, or, to use his own words,
“The spiritualization of the dynamic properties”, the unveiling
and vivifying of the medicinal spirit, the increase and
exaltation of the strength of the medicine, in order that might
cause in the healthy and cure the sick, when undynamised
medicines would fail for want of power.
Hahnemann’s
conception of doses and diminution of quantities, as seen in
Organon was expressed for the first time in ‘What are Poisons?
What are Medicines?’- An essay, published in 1806. Here he
observes that poisons differ from medicines only in quantity. A
substance such as table salt, innocuous and even healthy in
small amounts, can become poisonous if consumed in larger
quantities. And a substance such as arsenic is toxic even in
small doses, loses its toxicity and reveals. medicinal qualities
if taken in an infinitesimal dose. The strongest poisons, in
Hahnemann’s view, make the best remedies precisely for their
inherent ability to exert an effect on the Organism.
From the earliest
days and throughout the whole of his medical career, Hahnemann
paid the great attention to the question of using cold water in
cases of illness. This fact needs more emphasis, since the water
healing process has fallen into strong disfavor, when Hahnemann
appeared and had only a few supporters amongst the physicians of
that time.From the “Directions for curing old sores “ in 1784,
it can be seen what extensive use he made of the different
methods of applying water. In his later life and to the end of
his medical career he esteemed very highly the effect of water.
In the Sixth edition of the “Organon” he describes it as a
valuable “homoeopathic auxiliary remedy’ in the treatment of the
sick and convalescent.
Hahnemann never
ceased to observe and to test and the later editions of the
Organon. It contain a good deal of additional matter embodying
his later experience but nothing that conflicts with the
essential principles laid down in first editions. Especially he
came to develop views concerning the origin of chronic diseases
and the best method of treating them homeopathically which
modify some of the paragraphs here set forth and added a good
deal of fresh material.
“Organon” exhibits a passionate desire for exact and clear
statements. Indeed Hahnemann’s desire for clarity leads him into
repetition. But throughout it is clear in thought, arduously
painstaking and full of conviction yet moderate and
argumentative. No unprejudiced person can rise from its perusal
without a respect for Hahnemann and to what is true of Organon
in this respect.
Although, in
Organon, the fundamental principles appear to have been laid out
with an exhortative epistemological rigor in 294 aphorisms (in 5
edition), homoeopaths themselves always an independent lot -
have come to this door from as many different directions as
there are homoeopaths. This is intrinsic to the art of medicine.
Every homoeopath brings varieties and irregularities of
real-life and actual clinical situations in individual
capacities that would be impossible to impose or teach them in a
general way. Every homoeopath, every day thus adds many more
aphorisms to the pageless book of homoeopathy of course not in
the sense of amended theory but of added experience.
In his ‘Essay
on a new Principle for Ascertaining the Curative Powers of
Drugs. .‘, he had merely shown the external framework, or the
corner stone of his convictions. In his Fragmenta de viribus
....‘, he had collated a number of experimental provings of
medicines. In his ‘Medicine of Experience’ and in the smaller
and larger other treatises he had carried his investigations
further. But in the ‘ Organon’, his methodically constructed
work on ‘rational healing’ or on the ‘healing art’ in general;
he brought all this to completion.
The Organon may in
time be widely recognized as one of the most important books in
the entire history of medicine because it introduces in the long
story of man’s struggle against disease, a successful system of
medicinal therapy that contrasts radically with everything
previously taught and practiced. |