Practical difficulties of applying Organon of medicine in today’s world

Dr Jesiah Anto Poovendan

In our school life, we study physics, chemistry, and mathematics, but where do we apply all those concepts? However, there are some topics we do apply in life, such as water displacement and inertia. According to the law of displacement, when we place an object into a container of water, the volume of water displaced can be used to determine the mass of the object. These are some examples which can be practically applied.

Likewise, we are now going to see the practical applicability of our ORGANON OF MEDICINE in today’s world.

In the treatment of intermittent fevers, Dr.hahnemann instructs the following,

APHORISM 236 – The most appropriate and efficacious time for administering the medicine in these cases is immediately or very soon after the termination of the paroxysm, as soon as the patient has in some degree recovered from its effects. it has then time to effect all the changes in the organism requisite for the restoration of health, without any great disturbance or violent commotion; whereas the action of a medicine, be it ever so specifically appropriate, if given immediately before the paroxysm, coincides with the natural recurrence of the disease and causes such a reaction in the organism, such a violent contention, that an attack of that nature produces at the very least a great loss of strength, if it do not endanger life. But if the medicine be given immediately after the termination of the fit, that is to say, at the period when the apyretic interval has commenced and a long time before there are any preparations for the next paroxysm, then the vital force of the organism Is in the best possible condition to allow itself to be quietly altered by the remedy, and thus restored to the healthy state.

Let’s consider a case: Mrs. S, a 32-year-old, presented with a fever persisting for the past five days. She visited our hospital’s casualty intermittently due to the fever. Despite being advised to admit her for further observation and treatment, she declined. Her fever was intermittent, and the medications administered did not give improvement. Blood tests revealed elevated C-reactive protein (CRP) levels and thrombocytopenia, prompting a recommendation for admission. Her oral temperature consistently ranged between 103-104°F. All fever panel tests, including those for dengue, typhoid, and malaria, returned negative results. Her symptoms rapidly alternated between sweating, heat, and chills. In such cases, where the oral temperature is around 102-103°F, it is impractical and inhumane to wait for the heat, chill, or sweat stage to conclude before administering medication. It is crucial to provide relief promptly, as both the patient and their family members may become distressed. As healthcare professionals, it is our responsibility to offer some form of medication during this phase to at least palliate the symptoms.

In scenarios involving children with intermittent fever and a history of febrile seizures, if the temperature reaches 103-104°F, steps should be taken immediately to reduce the temperature at once. The risk of seizures is significant, and delaying treatment until the paroxysm subsides is not advisable.

APHORISM 3 – KNOWLEDGE OF DISEASE – If the physician clearly perceives what is to be cured in diseases, that is to say, in every individual case of disease (knowledge of disease, indication), if he clearly perceives what is curative in medicines, that is to say, in each individual medicine (knowledge of medical powers), and if he knows how to adapt, according to clearly defined principles, what is curative in medicines to what he has discovered to be undoubtedly morbid in the patient, so that the recovery must ensue – to adapt it, as well in respect to the suitability of the medicine most appropriate according to its mode of action to the case before him (choice of the remedy, the medicine indicated), as also in respect to the exact mode of preparation and quantity of it required (proper dose), and the proper period for repeating the dose; – if, finally, he knows the obstacles to recovery in each case and is aware how to remove them, so that the restoration may be permanent, then he understands how to treat judiciously and rationally, and he is a true practitioner of the healing art.

In the before mentioned case, the patient had a fever with rapidly progressing thrombocytopenia. As doctors, we must have the knowledge of cases where fever is accompanied by thrombocytopenia. She experienced a two-week-long fever, during which many medications were changed based on clinical indications. A whole-body examination revealed a small ulcer in her right axilla, leading to testing for scrub typhus, which returned positive. To address the declining thrombocyte levels, Carica papaya Q was prescribed concurrently. Based on her mental state, Lac-humanum was prescribed. During apyrexia, she had a desire for sour foods, leading to the prescription of Arsenicum album. She experienced thirst during sweating, and drinking caused shuddering, for which Capsicum was prescribed, but there was no change. She had peculiar symptoms of chills beginning in the abdomen and extending to the toes, leading to the prescription of Caladium. The fever stages began with heat, then sweat, followed by chills, suggesting remedies such as Kali bichromicum, Tabacum, and Caladium. Only after the prescription of Caladium did her fever subside.

In this case, only by understanding the possible complications of low thrombocyte levels and eschar formation in scrub typhus could we have diagnosed the disease, as without that knowledge, the patient’s condition could have been fatal.

Another case involves Mr. T, who came with the complaint of jaundice for the past two days. His bilirubin level was rapidly increasing daily. He experienced severe nausea and loss of appetite. As a physician, he must know the disease conditions where bilirubin levels increase rapidly. He was suspected of having a viral hepatitis infection and was tested, resulting in a positive diagnosis for hepatitis A. He should know the complications of jaundice to treat such cases effectively.

APHORISM 1 FOOT NOTE – His mission is not, however, to construct so-called systems, by interweaving empty speculations and hypotheses concerning the internal essential nature of the vital processes and the mode in which diseases originate in the interior of the organism, (whereon so many physicians have hitherto ambitiously wasted their talents and their time); nor is it to attempt to give countless explanations regarding the phenomena in diseases and their proximate cause (which must ever remain concealed), wrapped in unintelligible words and an inflated abstract mode of expression, which should sound very learned in order to astonish the ignorant – whilst sick humanity sighs in vain for aid. Of such learned reveries (to which the name of theoretic medicine is given, and for which special professorships are instituted) we have had quite enough, and it is now high time that all who call themselves physicians should at length cease to deceive suffering mankind with mere talk, and begin now, instead, for once to act, that is, really to help and to cure.

While Hahnemann warns against using complex medical terminology that may confuse patients, it is important to provide clear and necessary information about their diagnosis. This empowers patients to take appropriate actions for their health and helps prevent the spread of infectious diseases, ultimately benefiting both the individual and the community.

According to the footnote, Hahnemann criticizes the practice of naming diseases and unnecessarily frightening patients. However, in certain cases, it is crucial to disclose the diagnosis to the patient for their safety and the safety of others. For example, in the case of Mr. T, it is important to inform him that he has viral hepatitis A. This information is essential not only for his understanding and management of the disease but also to prevent the virus from spreading through contact by feco oral route. By informing Mr. T, he can take necessary precautions by following proper handwashing techniques to protect his family and others from infection, thereby ensuring community safety.

Similarly, in cases like intestinal tuberculosis, it is vital to disclose the diagnosis to the patient. Intestinal tuberculosis can lead to serious complications if not diagnosed and treated promptly.

APHORISM 7 – Now, as in a disease, from which no manifest exciting or maintaining cause (causa occasionalis) has to be removed1, we can perceive nothing but the morbid symptoms, it must (regard being had to the possibility of a miasm, and attention paid to the accessory circumstances, § 5) be the symptoms alone by which the disease demands and points to the remedy suited to relieve it – and, moreover, the totality of these its symptoms, of this outwardly reflected picture of the internal essence of the disease, that is, of the affection of the vital force, must be the principal, or the sole means, whereby the disease can make known what remedy it requires – the only thing that can determine the choice of the most appropriate remedy – and thus, in a word, the totality of the symptoms must be the principal, indeed the only thing the physician has to take note of in every case of disease and to remove by means of his art, in order that it shall be cured and transformed into health.

APHORISM 147- Whichever of these medicines that have been investigated as to their power of altering man’s health we find to contain in the symptoms observed from its use the greatest similarity to the totality of the symptoms of a given natural disease, this medicine will and must be the most suitable, the most certain homoeopathic remedy for the disease; in it is found the specific remedy of this case of disease.

Let’s see another interesting case..
Patient presented with a one-week history of fever, headache, body pains, and localized abdominal pain. Important clinical findings included severe sweating, episodes of watery, offensive semisolid stools, and a high oral temperature. Physical examination revealed localized tenderness in the right iliac region. These symptoms and the patient’s history of exposure to her aunt with pulmonary tuberculosis were pivotal in considering and eventually diagnosing intestinal TB. The prescription of Homoeopathic medicine petroleum 30c, based on the symptomatology and with reference to the old literatures on tabes mesenterica, led to a significant improvement.

Initial totality formation was only based on her symptoms and medicines such as china, nux vomica, bryonia came up in repertorisation but only after diagnosing the case as tuberculosis of the intestine, our totality and rubric selection changed – abdomen – pain eating after in tabes mesentrica – petr, abdomen bloated- pains with, worse after eating or drinking from accumulation of gas, lying down and from menses(tabes mesentrica) – petr. Generals – tired feeling – tabes mesentrica in – petroleum .

Our total totality changed after the diagnosis – tabes mesentrica – after prescription of petroleum 30, her fever entirely ceased.

(The details of this case is published in www.hpathy.com, e journal)

Link to the journal – https://hpathy.com/clinical-cases/solving-the-puzzle-how-we-diagnosed-and-treated-intestinal-tb-with-homeopathy/

APHORISM 273 – In no case under treatment is it necessary and therefore not permissible to administer to a patient more than one single, simple medicinal substance at one time. It is inconceivable how the slightest doubt could exist as to whether it was more consistent with nature and more rational to prescribe a single, simple1 medicine at one time in a disease or a mixture of several differently acting drugs. It is absolutely not allowed in homoeopathy, the one true, simple and natural art of healing, to give the patient at one time two different medicinal substance.

Dr.Hahnemann has said not to give 2 medicines at one time. However it’s is impossible to cure a case with a single simple remedy totally. Nowadays we need series of medicines to cure a single disease. As said in the above case,  The fever was subsided with petroleum 30c but the extreme tiredness was cured only with calcarea hypophos 3x.

Materia medica of Calcarea hypophosphorica – Scrofulosis, chlorosis and phthisis. Anemias after acute diseases and chronic wasting diseases. Abdomen -At every attempt to eat, colicky pain in abdomen. Sunken and flabby. Colic, soreness and burning around navel. There was emaciation, loss of appetite, and he was as pale as a corpse. The appetite returned at once in great force.

Generalities. -Limbs perfectly powerless; unable to rise from chair or move either arms or legs in the least; generally unable to speak except in a low monotone. -Total loss of all desire to move or make any muscular exertion, with inability to do so.

APHORISM 285 – In this way, the cure of very old disease may be furthered by the physician applying externally, rubbing it in the back, arms, extremities, the same medicine he gives internally and which showed itself curatively. In doing so, he must avoid parts subject to pain or spasm or skin eruption.

Hahnemann suggested that the same medicine taken by mouth could also be rubbed on the body to help with healing, but you should avoid areas with pain, spasms, or skin problems. Now, imagine telling this to a patient today! If it’s someone who has trusted us for a long time, they might go along with it. But a new patient might think we’re a bit strange! It’s tricky to use old methods without confusing people who aren’t used to them.

APHORISM 238 – Not infrequently, the suitable medicine has with a single dose destroyed several attacks and brought about the return of health, but in the majority of cases, another dose must be administered after such attack. Better still, however, when the character of the symptoms has not changed, doses of the same medicine given according to the newer discovery of repetition of doses (see note to § 270), may be given without difficulty in dynamizing each successive dose with 10-12 succussions of the vial containing the medicinal substance. Nevertheless, there are at times cases, though seldom, where the intermittent fever returns after several days’ well being. This return of the same fever after a healthy interval is only possible when the noxious principle that first caused the fever, is still acting upon the convalescent, as is the case in marshy regions. Here a permanent restoration can often take place only by getting away from this causative factor, as is possible by seeking a mountainous retreat, if the cause was a marshy fever.

Hahnemann says that in such cases where fever arises from the marshy area living, the permanent cure can only take place when the patient changes the location from the marshy area to any other area. Applying this to today’s world, let’s say a patient has worked hard, saved lots of money by spending less and finally bought his own new home near ayapakkam or some area where there is a natural water body nearby, and after that he starts to get ailments from living in damp areas – such as allergic asthma or hay fever etc. he comes to us for treatment and can we instruct him to just change the location and unless and until he does that, I cannot cure you. Does this even sound practical? I had a similar case, where one of my patient, moved to a new residence in ayapakkam near a water body and he started to get asthmatic attacks. What Hahnemann said is right, I was not able to cure him completely, he was managed with medications such as natrum sulph.

APHORISM 73- As regards acute diseases, they are either of such a kind as attack human beings individually, the exciting cause being injurious influences to which they were particularly exposed. Excesses in food, or an insufficient supply of it, severe physical impression, chills, over heatings, dissipation, strains, etc., or physical irritations, mental emotions, and the like, are exciting causes of such acute febrile affections; in reality, however, they are generally only a transient explosion of latent psora, which spontaneously returns to its dormant state if the acute diseases were not of too violent a character and were soon quelled. Or they are of such a kind as attack several persons at the same time, here and there (sporadically), by means of meteoric or telluric influences and injurious agents, the susceptibility for being morbidly affected by which is possessed by only a few persons at one time. Allied to these are those diseases in which many persons are attacked with very similar sufferings from the same cause (epidemically); these diseases generally become infectious (contagious) when they prevail among thickly congregated masses of human beings. Then arise fevers, in each instance of a peculiar nature, and, because the cases of disease have an identical origin, they set up in all those they affect an identical morbid process, which when left to itself terminates in a moderate period of time in death or recovery. The calamities of war, inundations and famine are not infrequently their exciting causes and producers – sometimes they are peculiar acute miasms which recur in the same manner (hence known by some traditional name), which either attack persons but once in a lifetime, as the smallpox, measles, whooping-cough, the ancient, smooth, bright red scarlet fever of Sydenham, the mumps, etc., or such as recur frequently in pretty much the same manner, the plague of the Levant, the yellow fever of the sea-coast, the Asiatic cholera, etc.

• Excess in food (overeating)
• Insufficient food (fasting)
• Severe physical impressions
• Chills/ over heatings
• Exhaustion
• Strains
• Physical irritations
• Mental emotions and the like are the exciting causes

In today’s world, the impacts of global warming and rapid climate changes are increasingly concerning. We experience sudden heatwaves and unexpected rains, which can be challenging to avoid. Modern life is filled with social gatherings, fasting, and feasting, and many people spend long hours in air-conditioned environments. In this era, we are living amidst these challenges, and it is often impossible to completely prevent them. Therefore, it is essential to find ways to manage these stressors through balanced living, relaxation, and maintaining a healthy lifestyle to prevent the transient explosions of latent conditions he described.

As a doctor, I wanted to take a break from all the stress, so I planned a fun night out with my family to watch the movie Rayyan. After all, I went to relax myself. We hopped in the car, excited for a relaxing evening. But when we got to the mall, we found out our car was leaking petrol! The mall security guard rushed over with a fire extinguisher and sand. After all, I went to relax myself!

After sorting out the car by calling my office boy to send it for service, we headed to the cinema. But there was another surprise: Rayyan was rated 18+, and my daughters couldn’t go in. After all, I went to relax myself. We quickly got them tickets for another movie, Boat.

I sat down to watch Rayyan, but as a dad, I couldn’t relax knowing my daughters were in a different theater. After all, I went to relax myself! Despite my plans for a relaxing night, stress seemed to follow me everywhere. After all, I went to relax myself. TOUGH TO RELAX IN THIS WORLD.

APHORISM 259 – Considering the minuteness of the doses necessary and proper in homoeopathic treatment, we can easily understand that during the treatment everything must be removed from the diet and regimen which can have any medicinal action, in order that the small dose may not be overwhelmed and extinguished or disturbed by any foreign medicinal irritant.

FN – The softest tones of a distant flute that in the still midnight hours would inspire a tender heart with exalted feelings and dissolve it in religious ecstasy, are inaudible and powerless amid discordant cries and the noise of day.

APHORISM – 260 – Hence the careful investigation into such obstacles to cure is so much the more necessary in the case of patients affected by chronic diseases, as their diseases are usually aggravated by such noxious influences and other disease-causing errors in the diet and regimen, which often pass unnoticed.

FN –  Coffee; fine Chinese and other herb teas; beer prepared with medicinal vegetable substances unsuitable for the patient’s state; so-called fine liquors made with medicinal spices; all kinds of punch; spiced chocolate; odorous waters and perfumes of many kinds; strong-scented flowers in the apartment; tooth powders and essences and perfumed sachets compounded of drugs; highly spiced dishes and sauces; spiced cakes and ices; crude medicinal vegetables for soups; dishes of herbs, roots and stalks of plants possessing medicinal qualities; asparagus with long green tips, hops, and all vegetables possessing medicinal properties, celery, onions; old cheese, and meats that are in a state of decomposition, or that passes medicinal properties (as the flesh and fat of pork, ducks and geese, or veal that is too young and sour viands), ought just as certainly to be kept from patients as they should avoid all excesses in food, and in the use of sugar and salt, as also spirituous drinks, undiluted with water, heated rooms, woollen clothing next the skin, a sedentary life in close apartments, or the frequent indulgence in mere passive exercise (such as riding, driving or swinging), prolonged suckling, taking a long siesta in a recumbent posture in bed, sitting up long at night, uncleanliness, unnatural debauchery, enervation by reading obscene books, reading while lying down, Onanism or imperfect or suppressed intercourse in order to prevent conception, subjects of anger, grief or vexation, a passion for play, over-exertion of the mind or body, especially after meals, dwelling in marshy districts, damp rooms, penurious living, etc. All these things must be as far as possible avoided or removed, in order that the cure may not be obstructed or rendered impossible. Some of my disciples seem needlessly to increase the difficulties of the patient’s dietary by forbidding the use of many more, tolerably indifferent things, which is not to be commended.

These are the diet and regimen errors said by Dr.Hahnemann. these may interfere with medicinal action. Almost a large number of patients, come to homoeopathy because, there is no dietary restriction for the medications, as in siddha, ayurveda etc. but our master has given an exhaustive list of things that the patient must avoid while taking medications as it may interfere with the curative process.

Foods and Beverages to Avoid:

• Coffee
• Fine Chinese and other herb teas
• Beer prepared with medicinal vegetable substances
• Fine liquors made with medicinal spices
• All kinds of punch
• Spiced chocolate
• Odorous waters and perfumes
• Strong-scented flowers in the apartment
• Tooth powders and essences
• Perfumed sachets compounded of drugs
• Highly spiced dishes and sauces
• Spiced cakes and ices
• Crude medicinal vegetables for soups
• Dishes of herbs, roots, and stalks with medicinal qualities
• Asparagus with long green tips
• Hops and all vegetables with medicinal properties
• Celery and onions (almost all south indian foods contain onion)
• Old cheese
• Meats in a state of decomposition
• Meats with medicinal properties (e.g., flesh and fat of pork, ducks, geese, or young veal)
• Sour viands
• Excessive sugar and salt
• Spirituous drinks undiluted with water

In general anything that contains medicinal values must be avoided as said by Hahnemann. If so, right from the tooth powders/ paste we are using, our bath bars, body wash, our south indian rasam everything contains herbs. If so, we south Indians cannot be benefited from Homoeopathy.

Lifestyle Practices to Avoid:

• Heated rooms ( global warming, rapidly changing climates)
• Woollen clothing next to the skin
• Sedentary life in close apartments( almost everyone living in cities are living in close apartments)
• Passive exercise (e.g., riding, driving, swinging)
• Prolonged suckling
• Long siesta in bed
• Staying up late at night ( think about the various kinds of shifts, one works in  night shift (US shift, UK shift etc)
• Uncleanliness
• Unnatural debauchery
• Reading obscene books
• Reading while lying down
• Onanism or imperfect/suppressed intercourse ( very common nowadays to prevent pregnancy)
• Anger, grief, or vexation
• Passion for play
• Over-exertion of mind or body, especially after meals ( this is unavailable in this generation, only half an hour lunch break, and again one has to sit for work to gain for his daily living)
• Living in marshy districts
• Damp rooms ( those living near river banks or dams)
• Penurious living ( poor living or hesitating to spend money)

These guidelines are aimed at avoiding obstacles to recovery and ensuring a healthier lifestyle.

APHORISM 225 – PSYCHO SOMATIC DISEASES.
There are, however, as has just been stated, certainly a few emotional diseases which have not merely been developed into that form out of corporeal diseases, but which, in an inverse manner, the body being but slightly indisposed, originate and are kept up by emotional causes, such as continued anxiety, worry, vexation, wrongs and the frequent occurrence of great fear and fright. This kind of emotional diseases in time destroys the corporeal health, often to a great degree.

APHORISM 226 – TREATMENT OF PSYCHO SOMATIC DISEASES.
It is only such emotional diseases as these, which were first engendered and subsequently kept up by the mind itself, that, while they are yet recent and before they have made very great inroads on the corporeal state, may, by means of psychical remedies, such as a display of confidence, friendly exhortations, sensible advice, and often by a well-disguised deception, be rapidly changed into a healthy state of the mind (and with appropriate diet and regimen, seemingly into a healthy state of the body also.)

In today’s fast-paced world, almost everyone experiences psychosomatic issues due to stress from work, lifestyle, and financial pressures. These stressors create a vicious cycle, making it challenging to avoid mental and physical strain. As healthcare providers, we often encounter patients with psychosomatic conditions, and counseling each one requires significant time and effort. This can be overwhelming and affect our own well-being, as we also need to balance our professional responsibilities with personal needs. Spending extensive time with each patient for counseling can be impractical, as we must also earn a living and manage our own lives.

APHORISM 36/37/38 – WHEN 2 SIMILAR / DISSIMILAR DISEASE OF SAME OR STRONGER INTENSITY MEET.

If the two dissimilar diseases meeting together in the human being be of equal strength, or still more if the older one be the stronger, the new disease will be repelled by the old one from the body and not allowed to affect it. A patient suffering from a severe chronic disease will not be infected by a moderate autumnal dysentery or other epidemic disease. The plague of the Levant, according to Larry,1 does not break out where scurvy is prevalent, and persons suffering from eczema are not infected by it. Rachitis, Jenner alleges, prevents vaccination from taking effect. Those suffering from pulmonary consumption are not liable to be attacked by epidemic fevers of a not very violent character, according to Von Hildenbrand.

So, also under ordinary medical treatment, an old chronic disease remains uncured and unaltered if it is treated according to the common allopathic method, that is to say, with medicines that are incapable of producing in healthy individuals a state of health similar to the disease, even though the treatment should last for years and is not of too violent character.1 This is daily witnessed in practice, it is therefore unnecessary to give any illustrative examples.

1 But if treated with violent allopathic remedies, other diseases will be formed in its place which are more difficult and dangerous to life.

According to this aphorism, if a person has been suffering from a severe chronic disease, he will not be infected by any epidemic disease. If so, during COVID -19 epidemic time, I have treated lot of cases, where I have seen, the patient is a known case of type 2 diabetes mellitus  Hypertension, along with coronavirus infection positive, dengue positive, typhoid positive, malaria positive in a single human!!! How is that even possible when Hahnemann said so?.

And the foot note says when they are treated with violent allopathic remedies, other diseases will be formed in its place, which are difficult and dangerous to life . Almost 99.9% of the cases, we treat today are such cases. So almost all cases which we are treating are difficult and dangerous to life. IATROGENIC DISEASES.

And another thing is, how can one assess whether the disease is stronger or weaker? Still a question to me.

APHORISM 91 – The symptoms and feelings of the patient during a previous course of medicine do not furnish the pure picture of the disease; but on the other hand, those symptoms and ailments which he suffered from before the use of the medicines, or after they had been discontinued for several days, give the true fundamental idea of the original form of the disease, and these especially the physician must take note of. When the disease is of a chronic character, and the patient has been taking medicine up to the time he is seen, the physician may with advantage leave him some days quite without medicine, or in the meantime administer something of an unmedicinal nature and defer to a subsequent period the more precise scrutiny of the morbid symptoms, in order to be able to grasp in their purity the permanent uncontaminated symptoms of the old affection and to form a faithful picture of the disease.

According to this aphorism, if a patient had been taking medicine for any chronic disease, we may not get the true picture, so we must stop the medications for a while and give unmedicinal substances (placebo) and leave him for sometime, until he develops symptoms, which is the true picture of the disease. Nowadays patients are having type 2 diabetes mellitus, under insulin and oral hypoglycemic agents, medications for chronic Hypertension, medications for hypothyroidism, etc. – in such conditions, suddenly stopping all those are not at all advisable and the sudden occurrence of Symptoms on stopping these medicines, will make the patient loose confidence in us!

Let us see a case, Mr.S of age 65, had an episode of severe breathlessness with chest tightness, he was rushed to a nearby clinic where the blood pressure was 220/150 mmHg. The doctor immediately referred him to a nearby hospital. He was immediately taken to CCU, ECG and Echocardiogram revealed cardiac failure, EF was only 30%, inspite of IV medications, his blood pressure was so high. He was advised immediate angiography but his s. creatinine was 5mg/dl. So it was not done. He was discharged with almost 4 tablets for hypertension along with blood thinner(aspirin). He was fine after discharge. But after 1 month, he developed low heart rate without any symptoms. His heart rate even went to 30bpm at rest. So for this reason, he was admitted in our hospital. We got opinion from one of my friend allopathy doctor, about the medications which are causing the bradycardia. After analysing all the medication list, she concluded that tab.Ivabrad was the cause for the bradycardia. But she also warned that, the stoppage of this medicine could cause the heart rate to increase, which may end up fatal for the patient, as he might go for a cardiac arrest anytime.  So we gradually tapered the dosage of the medication under supervision with 24 hour patient monitor and it was finally stopped. He was side by side started with our medications based on the constitution and the patient is fine till now. His s.creatinine levels are also reduced.

CONCLUSION
The cases discussed, highlight some of the challenges in applying the principles of the Organon of Medicine in today’s world. Many diseases we treat now are artificial diseases, often caused by modern lifestyle factors, making it difficult to follow Hahnemann’s guidelines strictly.

However, the aphorisms related to diet and lifestyle remain important. They focus on preventing diseases and maintaining a healthy lifestyle. If we follow Hahnemann’s dietary and lifestyle advice, we can significantly reduce the risk of many modern diseases, but in this modern fast paced world, it’s very difficult.

Today, nutritional diseases are very common, and many people are unaware that these diseases are often caused by nutritional deficiencies. Therefore, it is essential to have a good understanding of these deficiencies and their symptoms. Proper lifestyle and dietary changes, as suggested by Hahnemann, can help prevent these diseases.

In summary, while the pure application of the Organon of Medicine may not be fully possible in today’s complex medical world, its principles on prevention, diet, and lifestyle are still very valuable. Emphasizing nutritional knowledge and healthy living can help address many modern health issues effectively. It is important for healthcare professionals to educate patients about the importance of a balanced diet and healthy lifestyle to prevent nutritional deficiencies and associated diseases.

Lecture delivered at APROCH foundation, Korattur
DR.JESIAH ANTO POOVENDAN, MD(HOM)
Email : dr.amirtha.rashmi@gmail.com