BE A MINIMUM PRESCRIBER

Scientific Explanations of the golden rules

Rule 1 : Physicians should know “when to prescribe and when not to.

Rule 2 : least prescriber is the best Homoeopath i.e No-Prescribing’ or ‘Minimum-Prescribing’- both in Acute
as well as Chronic diseases!

Example:-
Case: A patient having acute infective diarrhoea came to me complaining,

Pt : Doctor, today is the third day of severe watery diarrhoea. I have been suffering since two days. I have passed more than 25-30 stools all liquid, almost transparent or sometimes yellowish. As soon as I would eat, I had an intense urge to run to the toilet. If there was a fraction of a second delay, I was unable to control my stools.

Dr : “Why didn’t you come to me
yesterday or 2 days back?”
Pt : “I had no strength to move about nor did I have any control over my stools to wait in your clinic for 2 hours”.

Dr : “Then how did you come today?”

Pt : “I just couldn’t eat, drink since I
had no desire to. Hence, I felt weak and drowsy since 2 days. Since
yesterday, the number of stools have gone down, I could get the desire to eat and today, since morning, I have passed only three loose motions. I have the energy to walk after a good night ‘s sleep and so I came to you.”

Dr : “do you really feel like eating today or
you have forced yourself to eat?” “

Pt : No-no I had a real desire to take my
breakfast today almost after 3 days!”

In the above case the diarrhoea which occurred was no doubt due to some
infection or some toxins which were consumed with food.

The body or the system of the human being is so made up that it tolerates no nonsense or no
toxins or nothing which can cause harm to the person.

Hence, it has its own defensive mechanism which instantly starts throwing out the toxins in the gut by inducing hyper-peristalsis which appears to us as diarrhoea. In fact, diarrhoea at least in this case, was a defensive mechanism of the body to cure itself. The Cure was already taking place and after the eviction of the toxins from the system the patient was already feeling better e.g. less of
tiredness, less weakness, good sleep, less stools. He was gaining in strength and his appetite was already back.
Overall, the general parameters of health in a human being e.g. desire to move, to work, stamina to work, desire to eat (not forcefully) and sleep are more important than the loose motions. If these parameters are better then, it goes without saying that the loose stools HAVE TO STOP! Stop is a wrong word used here. What should happen is, stools have to become normal and this normalisation should occur at the most in the next 24 hours. Thus, what the patient required was placebo with a sure short prediction- “Go, your stools will be normal by tomorrow morning”! Such predictions are possible, if you understand the physiology of man well.

The Internal Physician residing inside the body has to be respected.
When HE is Curing, a Homoeopath (or even an Allopath) has no right to interfere for HE knows what is best for him

Case example

A child coming to us for treatment of fever since 4 days. The child was dull, drowsy, coughing badly at night with thirst for little
quantity often. This child when treated with Homoeopathy or Allopathy before coming to you has to be assessed not in terms of what medicine to prescribe, but in terms of whether he requires a remedy, as on today. First of all, find out whether the range of fever has come down in the last 3 days or not. Find out whether the child is less cranky today. Find out whether the child has asked for something to eat today or not?

If yes, then the child is definitely on the
improving path.

If the child is playful today vis-à-vis yesterday, and asked for something to eat by itself is a clearcut indication (even if the fever persists) that this child is ‘curing’ itself (the allopathic physicians may call it a self limiting viral
infection). It is not only WRONG to treat this child with indicated (or non- indicated) remedy but grossly ’criminal’! Any prescription or stimulation of the
child’s immunity is bound to bring about exacerbation or aggravation of the
fever or diarrhoea and the child’s recovery will be prolonged.

Respect the Internal Curative Immune Mechanism of Man.
When not to prescribe and yet Cure is a hidden art of Homoeopathic practice.

BE A SINGLE REMEDY, SINGLE DOSE PRESCRIBER.

If a Homoeopath wants to see miracles happening;

if he wants to see typhoid
fever vanish in just 24 hours;

if he wants to see pneumonia’s clear up
(radiologically too) within 48-72 hours;

if he wants to see 100-135 pus cells in
urine disappear within 48 hours; or

for that matter wants to surprise his
allopathic counterpart, it is only possible with a single dose of a SIMILIMUM and the similimum is always a SINGLE REMEDY.

Doctors who prescribe mixtures, patents and combinations of say Ferrum phos 3x, Kali Mur 3x, Nat. Mur 3x for fevers or Aloes 30, Podo 30, Crot. Tig 30 for diarrhoeas etc, etc are entirely not at fault for Abandoning the very
principles of Similia Similibus Curantur or the Seven Cardinal Principles of Homoeopathy.

There has been up-to-date NO REAL EFFORT on the part of Homoeopathic Scientists to justify these principles scientifically (i.e. as
much as or as far as science has advanced). Secondly, Homoeopaths practising rightly have never expressed their views on HOW TO STICK TO THE CARDINAL PRINCIPLES and yet get results. Thirdly, EGO of other3 a.m. friendly neighbour Homoeopath is so big that he refuses to accept anything which another Homoeopath proposes and sticks to his own guns.

Fourthly, the knowledge of the right prescribing image or drug picture not being
available, failures abound.

Example:-

a) Patient coming with chills at 3 a.m.; followed by fever at 4 a.m.; intense thirst for ice cold water during chill; headache after fever and chill has subsided; the patient lies dull no sleep though; wants fan despite chilliness; no bone pains or bodyache; does not complain much.

When the case is
analysed and repertorised :
a) Chill at 3 a.m.- Symptom Rubrics which can be considered
1) Chill (chapter); Night; midnight after; 3 hrs on waking- only Ferr
2) Chill, night, midnight after- Ars, Calad, Hep, Op, Thuj, Coff, Dros,
Mag-s, Mang, Merc, Mez, Petr, Sil, Sulph
3) Chill (chapter); Time, 3 hrs- Aloe, Amm-mur, Canth, Cedron, Cimic,
Cina, Eup-perf., Ferr, Lyss, Nat. Mur. Rhus. t. Sil, Thuja.. 4) Same rubric: 3 a. m- Ars (complete repertory)3-5a.m. Kali. Carb
(complete repertory)
5) Fever (chapter); succession of stage Chill followed by heat- 98 drugs.

Such rubrics when considered confuse the homoeopath completely. Besides, the questions asked by the physicians, confuses and frustrates the patient.

The smaller rubric of Chill followed by perspiration with thirst or without thirst
and heat following chill and perspiration whether it is before the heat or after the heat or chill etc, are totally confusing with different repertories giving different versions and indicating different remedies. Thus, the Homoeopath is taken on a wild goose chase. He lands up with two, three or at times six
remedies(?) being indicated commonly in chills, heat, thirst and administers the mixture every 2 hourly or 1 hourly as the emergency demands.

The fever comes down gradually from 103 F to 102 F to 100F on the 3rd day and may
disappear on the 4th day. The homoeopath is pleased and happy that he has kept the patient away from anti-typhoid drugs or anti-malarial drugs or at least away from an allopath. He does not realize that the fever has subsided
because it had to subside. The viral or the bacterial infection had to run its
course and the immunity was geared up again to gain equilibrium.

I have in the beginning of my career practised in all these and other ways
frantically trying to get results. I even admit of being so non-confident with so
many drugs and so many repetitions that many cases were referred to the
allopathic physicians saying that serious diseases have no treatment in
homoeopathy.

“You take a course of antibiotics, control the acute infection, then, I will strengthen your immunity”. These words are not just mine. I’m sure most of us who have a conscience will agree that they have done this innumerable times in their practice.

BUT and this is a real BUT when I
started understanding the importance of treating Man in Disease and not
Disease in Man the whole world changed.

To treat disease i.e. fever I had to
give so many medicines, repeatedly, to literally hammer down the fever or
diarrhoea etc.

To treat the MAN, I had to just stimulate the man with a single dose of similimum! I had to just perk-up the immunity, to just encourage the man “come on-fight the disease.
You’ll remember, when we are seemingly doing this in modern medicine.

Yes, it’s when we vaccinate, Vaccination is Homoeopathic in principle. We stimulate the immunity with an antigen which is either the bacteria in subclinical form or an immunogen which simulates the bacteria which is
injected inside the body. This stimulus procures a reaction in the body which
subsequently develop antibodies to the antigen or bacteria and thus defend
our body. It ‘cures’ and protects by ‘Reaction’. (and not action).

Our Homoeopathic medicines also cure similarly by REACTION and not by
ACTION.

Now, a million dollar question is when allopaths can use Homoeopathic Principle Similia Similibus Curantur. (i.e.: inject tubercular bacilli for protection against Tuberculosis and Tetanus toxoid to cure tetanus) and for all this require only one dose per month or then at the most three
doses (spread over six months or five years) to make the person healthy.

Why? Oh Why? Should a Homoeopath whose science is based on this principle require repeated Stimuli and Repeated doses? Do the allopaths require three or four types of bacteria to be attenuated and injected together to give immunity to a patient from Tuberculosis?

Then, why do Homoeopaths
require two or three or more remedies to be administered to boost the
patient’s immune system?

If Allopathic vaccinations can work (selectively though) with a single dose and single bacterial stimulus, the Homoeopath
with his holistic approach has to cure following Law of SIMPLEX and Law
of MINIMUM DOSE. Thus, by this method of single dose single drug practice, one manages to adhere to two of the most important cardinal principles of Homoeopathy.
By not using mother tinctures and sticking to dynamised single doses, the
third LAW of DRUG DYNAMISATION IS ALSO ADHERED TO. Coming back to case A, the importance should never be given to chill, the
time of chill, the type of chill, the succession stages, the headache, the time of perspiration. This chill and shivering is a symptom of disease or rather a general mechanism of heat production. It has manifested itself only when the patient is diseased.
Chill or shivering occurs as a temperature increasing mechanism when primary motor centre for shivering situated in the dorsomedial portion of posterier Hypothalamus is excited by cold signals from skin and spinal cord.
This results from feedback oscillation of muscle spindle stretch reflex.

Shivering causes body heat production to kill the bacteria or virus or parasite.

This is a part of immune or defensive mechanism of the body and no doubt
may be exhibited differently in different constitutions. But with the
profuseness of material available in the repertory all of which may not be
reliable, one is bound to be confused. And above all, it is a disease symptom, a reaction to a disease.

Then,

if we don`t consider fever, chill,
what should we consider for prescribing?
We are interested in treating the MAN in disease. The MAN or CONSTITUTION or the changed IMAGE is what is required by us, to
understand and prescribe the SIMILIMUM. No doubt, every symptom whether it is a pain, or a chill, or the type of fever is going to be the
representative of the ill person, but some are more representative of the person than others! These vital representatives of the VITAL FORCE are on the Activity-Thermal-Thirst axis in acute illnesses, to which we add other important symptoms to get the similimum.

Ref : ToA by Dr P . Vijayekar