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.
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?