Dosage of homeopathic medicines has been, is and will always be a subject of discussion and diverse interpretations amongst the physicians and therapists who use it.
Generally and historically, pluralistic homeopathic physicians (those who use more than one remedy at a time to treat a patient with), have used granules impregnated with Hahnemannian or centesimal dilutions, ranging from 4C (centesimal hahnemannian) through to 200C, including: 5C, 7C, 9C, 15C and 30C.
4, 5, 7 and 9 are considered low dilutions, 15 is considered a medium dilution and 30 and 200 high dilutions. However, even this statement can be debateable!
Unicist homeopathic physicians (those who use one remedy at a time to treat the patient with) tend to use granules impregnated with korsakovian or centesimal dilutions.
These dilutions usually start with 30K and 200K (low-medium dilutions), continue with30K and 200K (medium-high dilutions) and end with 50,000K and 100,000K (high dilutions).
Trying to explain why each one is used is more trouble than it’s worth!
Low dilutions can be used to treat specific symptoms of an illness or minor ailments. They are also useful to have in our first aid kit for acute illnesses.
They are generally taken in a dosage of 5 granules, three or four times a day.
If needed, the dosage can range from 5 granules every 15-30 minutes to 5 granules every hour or two, spacing out the doses up until the 3rd or 4th day, depending on the development of the symptoms.
Medium dilutions are not for acute problems – they are used to treat certain symptoms of an illness that is already established.
For example: acidity (Nux vomica), mucus (Sulphur iodatum), inflammation (Bryonia)…Generally, you would take 5 granules one to three times a day.
High dilutions are usually kept for background treatments in individuals who fall into the “sensitive type” or for the patient’s “reactional mode” towards the pathology that affects them.
An example of this could be depression (Sepia, Natrum muriaticum), anxiety (Ignatia, Argentum nitricum…). They are usually taken from once a day to once a week or month.
High dilutions are also used when the symptoms of the illness that we wish to treat are closely linked to the patient’s mental state (fear of death: Aconitum, desire for revenge: Lachesis…).
Also, when the symptom affects a specific part of the body, we will use a remedy that has an affinity with that particular part (heel spur: Hekla lava).
We should not be surprised…
Any doctor you speak to will undoubtedly have their own way of explaining things. In homeopathic dosage, every practitioner has his own particular method, and this should not surprise us in the slightest.
Homeopathy is a type of therapy that is more “energetic” (physical) than chemical.
We are interested in stimulating the body’s capacity to react towards the illness – if there is a reaction, we can assume that the medicine has been well indicated and if there isn’t, the medicine hasn’t been well indicated.
It is a qualitative rather than quantitative therapy. This is why sometimes the potency and dosage are not particularly relevant.
In an emergency, any homeopath, whether unicast, pluralistic, or complex…, would use any available dilution of the remedy that was needed at that moment – without a shadow of doubt!
Gently and gradually
Evidently, if a well indicated remedy doesn’t appear to be working, the physician can resolve the situation by managing the dosage wisely.
In other cases, the intensity of the symptoms may subside, gradually restoring the patient’s good health, without aggravation or upheaval.
In some places there are real conflicts between the homeopathic factions.
Having spent over 20 years in the pharmaceutical profession, I have seen unicist and pluralistic homeopathic physicians learn from each other and use both Hahnemann and Korsakov scales interchangeably depending on the illness and the severity of the symptoms, with utmost common sense, coherence and without the need for absurd sectarianism.
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