Blog - Shilpa Bhouraskar

Potency and Stages

Having introduced the stages concept in my last blog, this time I have tried to explain potency selection with relation to the stages of disease expression.

Susceptibility and Potency

The key to the correct potency selection lies in exactly assessing the susceptibility of your patient.

What is Susceptibility ?

It is the quality or capability of an individual to receive impressions and the power to react to these impressions.
These impressions can be external and internal factors eg climate changes, infections, chemicals, toxins etc.
It can differ from person to person as well as time to time in the same person

Susceptibility changes in the same person -

Every living being is susceptive to various stimuli at all times.
In a state of normal susceptibility an individual receives impressions and reacts back adequately to balance their normal state of well being and attain a sense of comfort and ease.
In disease an individual receives or perceives external or internal impressions in excess or in deficit and reacts excessively or deficiently which is a state of disease. ie altered susceptibility.
Whereas a cure is restoration of normal susceptibility.
In incurable disease the susceptibility is partially damaged susceptibility, whereas in death it is destroyed completely. There is no reception or reaction.

Susceptibility elicited through a disease -

Low Susceptibility -

Here there is low reception and reaction.
The individual takes in disease causing stimuli which progresses chronically to create localized disease conditions.
Formation of pathological end products and rapid organ damage indicate extremely low susceptibility.
Here the symptoms are not well expressed and only common disease symptoms related to local pathology are evident.
These diseases generally express at Stage 2 and 1.

High Susceptibility -

Here there is high reception and reaction
The reaction is intense with only functional symptoms seen with minimal pathology. So although disease may be expressed at local level, the symptoms are clear, vivid with peculiar modalities and lots of local sensations.
These diseases express clearly at Stage 4 or 3. Even if they progress to Stage 1, the pathology is minimal.

Susceptibility expressed through an individual.

Low susceptibility -

Low reactive and receptive constitutions - Could be found in elderly people or babies born with congenital conditions causing deficient susceptibility.
General lack of reactivity,Slow sluggish reactions to many impressions. Multiple addictions.
Lack of Peculiar Physical and Mental Generals or concomitants.
Minimal dreams and sensations expressions in terms of gestures, creative pursuits etc.

High Susceptibility -

Highly receptive and reactive Constitutions -
This could be found in babies and children or individuals who are hypersensitive.
They are generally sensitive, quick and reactive to many varied stimuli, impulsive, excitement etc.
Physical and mental general symptoms easily described. The delusions and sensations very elaborate and expressed easily in highly susceptible individuals.

Susceptibility expressed in provings( artificial disease)

In a proving the remedy produces an artificial susceptibility. The train of symptoms which follows represents the reaction of the susceptible organism to the specific irritant or stimulus administered.

Low Susceptibility in proving

When remedies proved in low potencies and mother tincture – There are only common symptoms produced which are not sharply differentiated and non individualistic.
Here specific localised action of the remedies can be elicited. The crude doses of certain remedies can be toxic and create pathology and organ damage.

High Susceptibility in proving and clinically

When remedies proved or clinically used in high or higher potencies , the finer more characteristic individualistic features elicited and cured.
Here more generalised action of the remedy is seen in certain susceptible provers eg expressed through peculiar physical and mental generals and concomitants.
Only very high potencies elicit a response in patients who are very aware of their sensations and energy patterns at Stage 4.

Hence Susceptibility and Potency selection are directly related -

Higher the susceptibility elicited, higher the potency and vice versa.
No matter what stage a person is at, it is the susceptibility which determines the potency.

What exactly is high and low potency ?

A high or low potency is related to the individual and the nature of the remedy.
For some individuals with very extremely low susceptibility, a high potency could be 30C.
For others with very high susceptibility, 1M could be low.
It is also dependant on the remedy itself. Eg certain remedies like nosodes and toxic substances such as Arsenic or Lachesis, are potent in very low dilutions whereas certain remedies cannot initiate a reaction in low potencies eg silicea and lycopodium etc.

However for an individual within a moderate susceptibility spectrum in an everyday clinical scenario , I have provided a basic template to choose the potencies at different stages of disease expression.

Final words

The potency restrictions appear only for diseases which express at either the very high or very low stages.

For a disease which has expressed at all four stages and if you manage to find a remedy which is indicated at every stage, then the remedy will work in any potency.
Hence if the remedy is exact, any potency is the right potency

I would love to hear you experiences about potency selection.
What criteria do you use in practice to find the right potency?

Discussion:

Please login or register to post your comment. Registration is free.

Regarding selection of potency I generally use 200c potency and 50 Millicimal potency in acute diseases. As there is no hard and fast rule in Homeopathy regarding potency selection though theoretical knowledge should be kept in our mind at the time of prescription. In Acute cases I prescribe 200C potency every 4 hours 3-4 times a day according to the condition of the patient next day 2 doses every 6 hourly and next day only once and patient feels well but in between time if patient inform me some symptoms he or she noticed or feeling of unwell after 24 hours then I will change the plan of my treatment according to that condition and that medicine drastically changed his or her condition almost like a magic of a tiny globules. I have also faced a case of fever after completely remission of her fever 1-2 days later she feels feverish and feeling unwell and temperature shows 99.5 degrees F I asked her to tell me the time of your unwell feelings She told me that around 4-6 P.M. she feels feverish, chillyand burning sensation in the eyes. After carefully observed her she needs fanning inspite of light clothes cover her body and she is thirstless and I prescribe her Pulsatilla 200c as per above method and within 24 hours she completely free from all kinds of ailments including fever.
It is seen in my practice that causation and modalities along with a concomitant symptoms help me to proper selection of medicine but in Chronic Case I also use Millicimal potency. Suppose in a case of Osteoarthritis if I prescribe Thuja 0/6 10 doses my plan of treatment would be first 5 doses he or she would take every alternating day once and next 5 doses he / she would take two days interval and after a span of 20-25 days patient feels better and his / her knee pain also improved which she used to feel worse.

Thanks for sharing your experiences Debasish. What cases and situations would you choose a 50 Millescimal over a centicimal potency?

Yes, I am often unsure in which cases a millesimal potency selection would be a better option.

I use both kinds of potency i.e. Centicimal potency and Millescimal potency at my own clinic. Suppose in acute case like sneezing followed by coryza, body ache, low grade fever 98.5 to 99 degree F, pain in the throat which aggravated after taking cold drinks or exposure to cold and patient tells me that he / she doesn't want to move and taking absolute rest is the only option and more so he / she is thirsty and at last his / her bowel movement is not clear rather constipated so there is no question of prescribing Bryonia Alba 200c 6 doses. First 3 doses he / she will take 4 hours interval next 2 doses 4-6 hours interval and next day he/ she would take only once. After that patient will feel better in the sense he or she expectorates a lot of phlegm and all the symptoms have gone. After 3-4 days later when he / she came to my clinic for his or her condition it is noticed that he or she is still suffering from throat pain which is mild than before, loss of smell, loss of taste and also blockage of nose alternating sides. After asking a few questions he / She divulge that he / she prefers to take mutton, rich food and mild warm food and also having mild burning sensation on his / her sole then I would like to give him / her Sulphur 0/6 8 doses. First dose he / she will take one dose mixed with 1/2 cup of drinking water and after stirring 10 times he / she will take two table spoon full water every 4 hours 3 times consequtive 2 days in a same manner. There after rest of the medicines (prepared in a bottle having marked the doses)he / she will take every alternating day after 10 succussion on his or her palm on each occasion until finished his or her last dose. At the same time I would tell them to inform after 3 days inspite of continuation of medicine.In this way I have observed each and every case can be solved in a safe and quickest way.

Thanks Shilpa for discussing this topic which can cause a lot of apprehension in new practitioners! I agree with your method, and well done for summarizing it logically and succinctly. I use centesimals when there is high susceptibility, acutes disease, or lots of peculiar symptoms, especially in children or psychotic/delusional patients. Mostly I use 50 Millesimals due to so many clients already taking medications, poor lifestyle choices (drug and alcohol use), and so many paediatric clients with allergies, medications, and sensitivities, etc. This will of course depend on the case and chosen remedy as I have also noticed that certain remedies respond better in high centesimal (as you commented about Lyc, Sil, etc). It is also reassuring to the client to be taking a daily dose of homeopathics (LMs) until an obvious change occurs, whether this takes 3 days or 3 months. Personally I find it easier to monitor their progress using LM's, and I can be certain the remedy has not been antidoted (as can happen with one off centesimal doses).

I have also used LM's in acute illness, which I have found beneficial with clients who have multiple chronic issues and develop acute illness, plus any client that is super sensitive, or in weakened state. I also use decimals with difficult pathological illness, e.g in whooping cough which can be difficult to treat due to the damage of respiratory cells, which has responded to 3x or 6x etc, to assist on a cellular level (ie, clearing mucus in this case), and help move the case forward to respond to more particular remedies.

Thanks for sharing your experiences Petrina.

Shilpa

Hi Shilpa, thanks so much for sharing your wealth of experience!
I went to Frans Vermeulen and Linda Johnston's wonderful seminar on the plant kingdom this weekend and Linda talked about the way she allocates potencies based on the client's depth of denial, and she seemed to be working with her clients using mainly the sensation method combined with strange rare and peculiar symptoms:

•30C: The client will tell you what they are thinking, feeling and experiencing. No denial or attempt to hide the disease state. They are fully conscious of their disease. i.e. “I’m afraid of dogs”
•200C: The disease has become bigger and they have pushed is into their unconscious. “I prefer it if you didn’t talk about dogs...” (they are afraid what their reaction will look like if someone saw it, they keep their reaction socially acceptable and suppress their reaction and it expresses in other ways). The disease will go into the body, dreams etc as its expression is being suppressed.
•1M: “I love dogs, dogs are great, I’ve never ever had a problem with dogs”. Deep denial. They have awful dreams of dogs tearing them apart, physical pathology will link in.
•10M “Never ever ever would I ever have a problem with dogs...I’m going to be a dog trainer”. Very deep denial. Bizarre dreams; i.e. being surrounded by dogs that fly and come in the bedroom window at night.

Hopefully I've relayed that correctly :)
Monique Lund

Thanks Monique for sharing this useful piece of information. Dr Divya's Chhabbra has experimented this by conducting a proving of the remedies Natrum Mur and Calc Carbonica in a 30, 200, 1M and 10M to confirmed this information.
The potency is proportional to the intensity of the fear. But this intensity is not expressed directly in everyday life, hence the degree of denial, compensation and suppression into the subconsious.

Shilpa

Dear Shilpa,

I have heard about these provings as well and had contacted Divya about them. Unfortunately she hasn't had the time yet to publish or send me anything. Do you know more about the outcome of the provings?

Jost

Finally I have had time to listed to potency selections. In my clinic I mostly start with 200c for chronic/constitutional conditions. This seems to be a great potency for children, and seems to match the susceptibility in most cases. That also enables me good options for increasing potency if the medicine is doing well but the action stops at a certain point. I use 30c in actues mostly. LMs I like to use if I want the person to repeat the dose more frequently or if I am concerned about aggravations. I had a young man on Zinc LMs for many years, working through the potency. Twice we went from LM01 - 03 over a period of time, but LM04 caused a terrible aggravation of his Crohn's. So we decided to stay at LM03 until it was not working anymore. This took over a year, and then he was able to go to LM04. The action of medicine was measured by blood results, which he was having for his allopathic treatment. I have a question about higher potencies in general. A 200c has been diluted and succussed 200 times. However, a 1M has a greater dilution, but has only been succussed once. So I just wonder about real potency here, since I think that the substance becomes more potent through succussion. Also, why are there great jumps in remedy potency? 30 to 200 to 1M? Michelle

Thanks for sharing your experiences Michelle. It explains the wait watch and repeat process very well.
As with the difference between a 200c and a 1M, as you are right that the 200 C has been diluted and succussed 200 times, however the 1M has undergone the same process of both dilution and succussion not once but 1000 times so in a way it is 1000C. So that makes it potent than the 200.

As with you next question, I am not really sure why we have these jumps in centesimal potencies. However that is one of the reason why some homeopaths use the LM in sensitive patients e.g. in a case when the 30C is too low but 200C is too high. With LM's you can go linear and avoid such aggravations.

Shilpa

This is a really good question, why are there these jumps in potencies? We have always just been taught that that's how it's done but don't know any basis for it. When looking into potencies a bit more, I just found one little paragraph about this Kentian scale in his own lesser writings. He states:
"After thirty years of active practice as a homoeopath, I find that I require all deep-acting remedies in the 30th, 200th, 1000th, 10m, 50m and 100m, and often need the dm and mm. I am able to discover a vast difference in the action of these various potencies. I once used potencies that ranged nearer to each other, but repeatedly found that the degrees must be far enough apart to represent an octave, or failure followed. I observed that after the good action of a 200th, after waiting until it was no longer active, although I gave the 300, 500 and 800, the 1m acted much more strongly; and the 300 or 500 generally failed. After much experience I settled upon the degrees that I have mentioned." (source: http://homeoint.org/books3/kentwrit/writ43.htm)

It's somewhat of a different topic, but it would be great to have a firmer ground for the validity of this scale.

Thanks Shilpa. I can't believe that all these years I have misunderstood the potency scale! I honestly thought it was x: 1in 10; c: 1in 100; M: 1in 1000.

Re the second question, the Fibonaci series has a different approach to the jumps in centessimal scale.

Cheers,

Shilpa, although I found this interesting, perhaps your point may be clearer if you could give examples for each of the stages that you mention.

Also, I wish to pose a question: as homoeopathic medicine is a dynamic medicine, is it not possible that the susceptibility and/or sensitivity of the practitioner can also influence the action of the remedy on the patient? (Or am I being too esoteric???)

Thanks Camilla,
You can find more information about the stages in my ebook The Quest for Simillimum found on this page. There is also some more information in the blog Homoeopathic Case Management.
As for the second part of your question, it is interesting but to be frank I really don't know the answer at this point in my experience.
Have you found this in your practice?

I started thinking about this when as a student I noticed that when talking about cases, different lecturers seemed to consistently give similar potencies to their patients, some seemed to give primarily 30C potencies, others 200C, some the M potencies etc. A great example of this is the LM potencies, which as you mention, are often given when the patient displays high susceptibility, often along with high sensitivity (particularly in skin conditions), however I have come across homoeopaths who avoid LMs because in their experience, these patients tend to aggravate on LMs, but do much better on lower potencies such as 30C. This seemed to contradict the basics of potency selection, which I understand to be more along the lines that you have presented here. This led me to look at the individual homoeopaths and wonder if it was possible that it was their own susceptibility that was influencing the prescription and subsequent results for their patients. Whilst I am a relatively "green" practitioner, I have noticed that I have a tendency to favour higher potencies in prescribing, generally going no lower than a 200C, and when I have prescribed 30C, either my patients have had extreme aggravations or the remedy has not sustained its action, even with an increase in repetition. Conversely, I have had much more success prescribing the 200C potency, especially when prescribing acutely. My reason for giving this potency being that I feel that in an acute episode, both the mental and the physical pathologies are heightened, so to prescribe any lower does not make any sense to me. On a personal level, anything below 200C does not tend to have a long lasting impact, which again makes me wonder whether my own susceptibility is coming into play, or whether we just attract the patients that are going to respond best to our individual application of the "art" as opposed to the "science" behind what we do ie that certain "something" that distinguishes one homoeopath from another...

Thanks for sharing your wonderful insight Camilla.
And yes you are right. Every practitioner is also at a particular state himself. They tend to be attracted to an approach at that stage. And also attract patients within that stage as they create a niche. So eventually the potency they use is within a specific range as well.

To know the stage you are at, you simply look at your bookshelf and find which author or what approaches dominate your bookshelf. What are your favorite ones? That should be the approach and stage you are most inclined towards....and so will your patients eventually....

Hi Shilpa,

Thank you for tips on potencies.

I was given to understand that someone with severe skin conditions, like psoriasis might aggravate profusely on high potencies.

But if the patient is at level 3, how would you address the symptoms of skin or even great sensitivity?
Regards

That's a really good question Hannah.

Practically what we often see is that a patient with severe skin condition is most likely to be at lower stages anyway. The pathology and the inner state go hand in hand and hence you would select a lower potency anyway.

And during the followups as the skin clears the patients actually go up the stages and hence the potency needed is higher to complete the case.

But yes there is a possibility that the patient is at a higher stage and has a severe skin condition. In this case the susceptibility is good as well so they can take a high potency without a prolonged aggravation.

Having said that if the remedy is indicated at all stages then any potency should do the job. But the advantage of a high potency is quicker and efficient resolution.

In this case I would generally go with LM's

Shilpa

Thank you very much, Shilpa.

This makes sense. I generally go with LMs or 6cs for all skin cases. Sometimes they aggravate even on these potencies!

Thank you for sharing your findings about potencies and stages. I understand the underlying idea.

Because of a recent case I have a question: The patient I saw was telling me almost exclusively about her physical complaints and wouldn't "go" to another stage. As I understand the Monera kingdom (bacteria and viruses), they experience their disturbance as a polarity of sick and healthy and will mainly talk about their diseases on a physical level as well.

So the question is, how do you tell the two aspects apart or more in relation to this thread, how do you determine the potency in a case like this, where stage 4 experience is the physical experience?

Thanks Josh for sharing such valuable experiences and great to be connected with you through the blog.
I do not have a lot of experience prescribing the monera remedies through the kingdom analysis however from experience with prescribing nosodes at different stages and potencies there are some specific things I have noticed through clinical experience -

1) With Nosodes( and hence possibly monera group) the potency scale starts a bit higher up. i.e. Stage 1 starts with 30C and so on rather than 6C for obvious reasons. e.g. Most stage 1 homoeopaths like Burnett used zoic remedies based on Not well since syndrome in 30C whereas most other remedies were in very low potencies and dilutions.

2) If a patient is stuck exclusively at local complaint levels as you mention then I would consider that as Stage 1. e.g. Having seen a lot of tuberculinum patients at different stages, they will talk about not being well since tuberculosis and everything is focussed around the disease and fibrosis in the lungs and breathing problems or damaged lungs etc and having to breath deeply etc. However the same patient at Stage 4 would speak of restriction and suffocation or damaged as a more deeper experience and really desperateto break through that state.
The magnitude and the depth expands in a way like an enlarging sphere as you go up the stages and hence the potency.

However that is just my experience with nosodes. I am still collecting experiences about the monera kingdom in time would be happy to share some more insights.

Greetings from Hyderabad, India. I think the article on " Series and Degrees " by J.T.Kent is relevant now and it needs a deeper study. My teacher Late Dr.G.L.N.Sastry a great follower of J.T.Kent used to quote this article and used practice the preaching of JT Kent on Potency selection.His unique method of giving 200 C first followed by 30 C to fine tune the susceptibility used to give excellent results.Please write your comments and experiences on Kent's article.

Thanks Srinivasulu. I haven't read this article by Kent. Will definitely have a look and let you know.

Hi Shilpa,

Best discussion of susceptibility I've ever seen, thanks!

Re: skin symptoms and potency:

In my practice, cases where skin symptoms are the chief complaint (usually eczema or acne) have been challenging. Typically, the skin sxs aggravate so I'm thinking I started too high with potency. Some authors (e.g. De Schepper) advocate using 6C when there are skin sxs. This would suggest a Stage 1 case (which you confirm in your response to Hannah here on March 18, 2013) and low susceptibility.

However, in my experience these cases can be taken to at least level 3--they are not one-sided cases. So, if you treat at Stage 1 with a low potency in a 'fuller' case, isn't that suppressive?

Also, I would consider skin symptoms as the furthest exteriorization by the Vital Force, the most benign type of sxs in the hierarchy. Doesn't this suggest higher susceptibility?

Yes you are right Judith.
If it is a fuller case at Stage 3, then it is higher susceptibility. And you want to be able to use the full potential of this case information and work at Stage 3 instead of a specific skin remedy.

Thank you to explain us the method of your own work. For me it is very difficult to choise the potency and the frequency of administration. So I work for the moment with the low potencys till 30CH

Hi Dr.shilpa, firat of all , I appreciate ur efforts in preparing such a succinct template on potency selection.
I use preferably LM potencies in both acute and chronic cases. LM 1 and 2 in advanced cases with pathology.

As a student, this lesson was very halpful for me, Thank you

For asthma according to symptom totality Arsenic is the correct remedy. only low potency 6 th potency will work. 30 /or 200 potency will never do good. so as per your statement if the correct remedy is there any potency will work is not correct.

For myself I have tested and found only 6th potency is working for asthma and not 30th potency.

Thanks Gopalan. I am glad you asked this question.
If you are considering Arsenic as a remedy for Asthma based on Symptom totality, then probably you are using an approach at Stage 1( i.e. a homeopathic remedy based on diagnosis of Asthma)
In this specific scenario you are right. Here only a 6C may work. 30 and 200 may not work.

But when I said the correct remedy will work in any potency, I meant that the remedy is indicated for the patient at all Stages i.e. from Stage 1 to Stage 4. Eg If Arsenic was indicated in a patient at all stages, even higher potencies will work because Arsenic no longer just matches the common diagnostic symptoms. It covers the more peculiar individual symptoms.
If you do a bit of research you will find plenty of homeopathic clinical cases at Stage 3 and 4 where single doses of Arsenic 200, 1M, 10M etc have worked for asthmatic symptoms perfectly well.

Hope that helps

Dear Shilpa,

While the contents of Potency selection are good and useful, I had a problem understanding because of the use of the word "susceptibility". The normal English meaning of the word "susceptible" is "likely to be influenced or harmed by a particular thing". As in, for example: "Patients with liver disease may be susceptible to infection".

I do not know whether the use of "susceptibility" in the above blog (of 04 November 2011) on Potency and Stages is special to homeopathy. For example, the blog reads: "Formation of pathological end products and rapid organ damage indicate extremely low susceptibility.". I would read that as "high susceptibility" or use the words "low resistance".

The same use of "susceptibility" further on in the blog continues.

I hope you do not mind an utter novice like me pointing this out.

Best regards.

Sudhir Vombatkere

Hi Sudhir,
Thanks for asking. It is a great question. I have been asked this question before and replied in another blog so I repeat that plus answer your specific issue. -

To start with your definition is right and it is the same in Homeopathy.
If we look at the English definition for susceptibility – It is the state or fact of being likely or liable to be influenced or harmed by a particular thing. - vulnerability, sensitivity, openness, receptiveness, responsiveness.

So low susceptibility is lesser sensitivity/ responsiveness to external and internal stimuli, while higher susceptibility is higher responsiveness to external and internal stimuli.

We need appropriate susceptibility to react to disease. This is a healthy response.

If it is too high than required or If it is too low than required both can pose a problem.
Eg In certain acutes diseases, a patient can respond excessively and cause a violent acute reaction which itself can be damaging. This is excessive susceptibility.

In others like you mentioned a liver disease or any progressive chronic disease can lower our reactivity. So even our body cannot react to a harmful thing like a bacteria or viral infection. This is low susceptibility.

And in low susceptibility the disease ends up going deeper and deeper and causing progressive pathology. We are likely to be harmed more and mor.e as we cannot react back.
A complete lack of reaction is death

Hope that helps.

Many thanks!
Sudhir

Shilpa,
Thank you for making potencies more clear for a 2nd year student. You make homeopathy seem so easy!
I am so glad I found your Blog.
Jane B

Thanks Jane
I am so glad this helped you...

Shilpa

Thanks for this very concise explanation. I have also found that the "correct" remedy will work in any potency. I have also found that one can treat skin problems with a high potency and not get aggravations. When I have seen aggravations it has been because the potency was too low. The skin cases were both at stage 3. For example, a lady with eczema who was obsessed with house cleaning, did very well on Arsenicum 1m.Obviously I should have selected a higher potency for the Sulphur who reacted badly to 6c. This happened after taking only one dose. I live on a volcanic island which may explain the various eruptions I encounter!

Thanks for sharing your experiences Mary

Thank you very much for referring me to this article: it was an interesting reading. In fact I have book-marked your this blog and am reading the articles one by one: there is always something to learn.What you say here is exactly what Burnett said in FIFTY REASONS FOR BEING A HOMEOPATH(page 30):"the dose depends upon the degree of similitude;the greater the similitude the higher the dilution and less frequent the administration;the smaller the degree of similitude the lower the dose and the more frequent the repetitions of the dose."
In this connection there is an interesting article by C.Dunham in his book HOMEOPATHY THE SCIENCE OF THERAPEUTICS(B. Jain Publishers(P)Ltd.)page 227:The use of high potencies in the treatment of the sick.It may be worth reading it if you have not already read it.A ten year experiment at Leopoldtstadt Hospital Vienna showed that for pneumonia(possibly 2nd stage cases):"the action of the thirtieth dilution,....,is more certain and more rapid than that of the fifteenth or the sixth dilution and that the fiteenth is preferable to the sixth dilution."

Thanks Shilpa for your informative blog and all other homeopaths input and information.yes I find lms can aggravate more than c potency and are hard to work with using 1 2 3 or more glass dillutions. I find c and m potency easier to use and can be dilluted like LMs as per 6th edition of organon.your interpretation of stages ans states is like Sankaran which i relate to .ie spirit of homeopathy.thank you and all others for this information.

i use centissimal potencies along with mother tinctures( when needed). in my opinion, sometimes the alteration in the individuals susceptibility might be due material disease, and if the material cause is removed, the patient get soothed temporarily until the action of potency come to certain level in the curative process.so that the crude drug do not disturb the potency but soothes the organic disease. i do not strictly follow the stage and potency approach.but iam getting good results. for example , i've seen a case with suicidal disposition to a severe degree. she is very anxious about her skin disease psoriasis on palms .she said that she read an article about psoriasis on palms and mentioned there that it was incurable.she is very anxious and fears that her son wouldnt get married due his family history of such a horrible disease .she took promise from her husband that never say to anyone that she had that disease.next day she called me for appointment. i understood her fear and gave hope by telling her, telling her dont worry . bring a bond paper and ill sign you that you'll be definitely cured . she repeated again and again " is there any cure for this disease?" for many times.i gave her hope to the highest possible. beacuse i have such hope in my mother tinctures that will give immediate soothing which build the confidence in the patient. but the higher potency only is the one which removes her suicidal tendency later. in mean time mother tinctures will play some soothing role by giving material result which only can bring confidence in most of the patients coming from allopathic school. ignore if anything wrong in it and kindly comment your opinion about using crude along with potencies.

Your's is an intereting journey in acuiring Homeo subject,even at your start you were discouraged

ΠΟΛΛΟΥΣ ΘΕΡΑΠΕΥΤΙΚΟΥΣ ΧΑΙΡΕΤΙΣΜΟΥΣ ΑΠΟ ΤΗΝ ΟΜΟΡΦΗ ΕΛΛΑΔΑ.
ΩΡΑΙΟ ΜΠΛΟΚ ΚΑΙ ΩΡΑΙΟ ΘΕΜΑ...... ΠΟΛΛΑ ΜΠΡΑΒΟ ΣΤΗΝ Shilpa Bhouraskar

VINIT MAKKAR
dear mam i use 30c most of time satege 1 or 2 tds a day acute
if medicine not work then for 200 bd in stage 3 or 4 start with 200 c after geting good action one does 1m with pill complete disease not again if1 m disease come again after some time go for 50m with pill then relif come dosese come dowm 200 or 30

Hello mam,
Thanks a lot for information I would prescribe in similar line as I use to follow Jan scholten and he starts with 1m I too use to give on similar lines but in some cases or would get severe aggravation so some time I prefer to go for moderate bpotency or go for LM POtency

Yes you are right about to choose the potency of homeopathic medicins. But I want to say it should start with low potency except nosodes. Ultimately I think aggrevarious should be minimum and tolerable too.
Dr.arvind kumar singh