PAH2011

Aphorisms 204 - 209: The Chronic Miasms

Aphorisms 204 - 209 The Chronic Miasms

Syphilis, Sycosis and Psora

204: If we discount all illnesses generated from an unhealthy lifestyle, and those caused by allopathic treatment, then what is left are the three chronic miasms: internal syphilis, internal sycosis, but especially (in greater proportion) internal psora. Each of these miasms was already in possession of the entire organism prior to the appearance of any of the local symptoms. These primary symptoms serve to prevent the outbreak of the internal disease.

If these local symptoms are repressed or removed externally, the miasms are robbed of their outlet of expression in local symptoms (which allay the general suffering.) When this happens, the miasms must express themselves fully, as an wide variety of chronic diseases. If these three miasms had been treated with internal homeopathic medicines much human suffering would have been avoided, instead of treating the external topical symptoms.

205: The homeopathic physician never uses local means (neither external, dynamically acting one nor mechanical ones) to treat these primary symptoms of chronic miasms. Nor is local means used to treat any of the secondary maladies which have germinated from the miasm's further development. When symptoms of either primary or secondary nature appear, the homeopath cures the underlying miasm. In this way the primary and secondary symptoms in addition to the miasm are cured and vanish of themselves (except in some inveterate cases of sycosis).

Unfortunately most homeopaths treat patients who have already had allopathic for their primary external symptoms. Thus it is much more common to treat secondary symptoms or miasms expressed as chronic diseases.

205a: Therefore I cannot recommend the removal of facial or lip cancer, which is perhaps the fruit of highly developed psora, sometimes combined with syphilis [using Cosmo's arsenical preparation]. It is extremely painful and often fails. More importantly the fundamental malady has not been alleviated, and something worse ensues.

205b: Primary symptoms of psora, syphilis and sycosis are: itch diathesis eruption, the chancre (or inguinal bubo) [syphillis], or figwarts [gonorrhea].

How to Treat Chronic Miasmatic Diseases

206: Beginning the treatment of a chronic malady, careful inquiry is required to determine whether or not the patient has had a venereal infection - either syphilis or gonorrhea.

1) If the only symptoms are those of syphilis or gonorrhea the treatment must be focused on those alone. However such pure cases are rare.
2) Any case of psora combined with a history of venereal infection must include these when considering treatment. Almost every case that initially appears as an old venereal disease is more likely a case complicated with psora. This is because the internal itch diathesis (psora) is by far the most frequent fundamental cause of chronic diseases.
3) Occasionally it will be necessary to combat psora and syphilis which are further complicated with sycosis, in chronically diseased bodies in which sycotic infections had once occurred independently.
4) More frequently the homeopath will find cases in which psora is the only fundamental cause of all remaining chronic sufferings,  but which has been complicated and worsened by allopathic treatment.

207: Once that information has been obtained, careful record must be made of what allopathic treatment the patient has received. Primarily what invasive medicines were used and how often, what mineral baths, and with what results. This will provide information on the patient's original state and to understand to some extent the degeneration since then.

208: Consideration must be made of what elements in a patient's life might increase their malady, or to what extent they could improve or hinder the treatment. The physician must consider the patient's:
1) age
2) lifestyle and diet
3) occupations
4) domestic situation
5) civic relations, etc.

In the same way the patient's mental and emotional state should be considered to determine whether it hinders treatment, and to determine if additional psychological treatment is necessary.

209:  After this information has been obtained, and these considerations made, should the physician seek over the course of several interviews to sketch the disease image of the sufferer. The aim being to trace out the most striking and singular (characteristic) symptoms.

Based on these symptoms, the physician starts treatment by selecting the medicine that has the utmost possible similarity of signs to those of the disease.

Aphorisms 72 - 81: Definitions of Acute and Chronic disease

Aphorisms 72-81

Definitions of Acute and Chronic disease

72: Diseases of humanity are in part acute and in part chronic. Acute diseases progress rapidly from the abnormally mistuned life principle. Chronic diseases are from dynamically mistuned living organisms with small, subtle beginnings which gradually progress until health is removed. The life force cannot oppose chronic diseases on it's own and must allow them to proliferate, which causes the mistunement of the life force to be exacerbated. Chronic diseases arise from dynamic infection by a chronic miasm.

Acute Diseases
73:  Acute febrile disease may be caused by exposure to the disease. They may be brought on by lifestyle excess or deprivation, exposure to extreme temperatures, physical trauma or strain. Fundamentally these acute fevers are flare-ups of latent psora which then return to a dormant state.

Sporadic acute diseases attack several people all at the same time. These may occur in different places, but at the same time. Only a few people possess the receptivity to become prone to the disease at the same time.

Epidemic acute disease seize many people with similar complaints from a similar cause. These diseases tend to be contagious, especially in largely populated areas. Each epidemic has an unique fever, and an unique cause such as war, floods or famine.

Some acute epidemic diseases are particular acute miasms that recur in the same manner. They either happen once in a lifetime (such as mumps, measles, smallpox) or they recur often in a similar way (levantine plague, coastal yellow fever, Asiatic cholera, etc.)

73a: The homeopathic physician does not get caught up in labeling diseases. Treating diseases which have been given a traditional name by traditional treatment is a mistake which ignores the individual nature of each set of symptoms.

73b: Since 1801 physicians have mistaken purpura miliaris (roodvonk) fever with scarlet fever. They have different symptoms and different treatment, and now have combined at times to become a new type of fever not treated by aconite or belladonna.

Chronic and Other Protracted Diseases

74: Among chronic diseases, iatrogenic illness (caused by allopathic treatment) is one of the most difficult to cure. Over a prolonged period the life force must alter the organism to uphold life while being weakened by the allopathic treatment. This causes:
1) parts of the body to no longer respond correctly, the ability to arouse or be sensitive is being forcibly dulled or unduly heightened
2) dilating or contracting parts
3) slackening or hardening parts
4) annihilating parts
5) causing organic defects which cripple the body in both the interior and exterior

The life force slowly alters the organism in an effort to protect it from complete destruction, in the face of continued attacks by treatment delivered allopathically.

74a: Broussais; treatment of bloodletting and starvation is one of the most debilitating. Bloodletting especially does nothing other than weaken the patient and remove their ability to recover.

74b: Abnormalities found during autopsy are often caused by the treatment, not the disease.

75: Of all chronic diseases, these cases of the body being altered by continuous allopathic treatment are the saddest and most incurable.

76: Homeopathy was designed to cure natural diseases only. No human medical art can reverse the alterations of the life force caused by long term allopathic treatments.

77: Diseases should not be called chronic when suffered by people who:
1) continually expose themselves to avoidable malignities
2) regularly consume harmful food or drink
3) have immoderate habits of inebriation which undermine health
4) undergo prolonged deprivation of things that are necessary for life
5) live in unhealthy places (especially marshy areas)
6) reside in cellars, damp workplaces or other confined quarters
7) suffer lack of exercise or open air
8) undermine health by excessive mental or physical exertions
9) live in a state of constant vexation or upset

These types of illnesses resolve themselves when the underlying causes are removed, provided no chronic miasm lies in the body. These cannot be called chronic diseases.

78: True, natural, chronic diseases arise from a chronic miasm. Left to themselves these diseases go on increasing. Even with a healthy lifestyle they worsen throughout the span of a lifetime.

78 note: Chronic miasmatic disease often become dormant in one's youth, only to reappear with a vengeance with age and adverse circumstances.

79: Until now only syphilis has been known as a chronic miasmatic disease, which left untreated would persist throughout the patient's life span.

Uncured sycosis (figwart disease) is another chronic miasmatic disease that cannot be cured by the life force alone. Treating the outgrowths neglects the residual wasting aspect of this disease.

80: The chronic miasm of psora is much more serious than syphilis or sycosis. Syphilis comes as an internal wasting disease and sycosis develops cauliflower-like growths and psora documents itself by peculiar skin eruptions. Psora is the true fundamental cause of almost all the other remaining forms of disease. These include mental as well as physical diseases in a truly vast range of symptoms.

80 note: Discover of psora as the source of countless forms of disease

81: Psora is expressed in countless disease forms, as it has evolved through millions of human organisms over the course of generations.

81a: Some causes of psora manifesting as chronic maladies:
1) climate and quality of the location where you live
2) irregular childhood, including neglected, distorted or over-refine development of body or spirit
3) misuse of the body or spirit in your job or primary life relationship
4) diet
5) human passions
6) customs, practices and habits of many kinds

81b: Pathology books have lumped a variety of different disease states under one name.  Often diseases are the same in only one symptom between patients, so why would you treat them all in the same manner? Some epidemics propagate differently each time they appear, and yet they are all marked as the same.

Aphorisms 105 - 111: Provings

Aphorisms 105-111

105: The second item of business for the genuine medical-art practitioner concerns the investigation of the implements appointed for the cure of natural diseases. The investigation of the disease-making power of medicines is necessary in order (where there is something to be cured) to be able to single out one medicine which has a set of symptoms which may create an artificial disease made up of components similar to the totality of symptoms of the natural disease which needs to be cured.

106: The efficacy of individual medicines to arouse disease must be known. The symptoms of the disease and condition-alterations that each medicine is able to engender in healthy people must have been observed prior to being able to find and select the correct homeopathic remedy.

107: It is difficult to perform this investigation in a culture where medicines are only give to sick persons. Even in cases where only one medicine is given, it is impossible to know what the pure actions of that medicine are since the particular condition-alterations expected from the medicine are mingled with the symptoms of the current disease.

108: Therefore there is no other possible way to unerringly experience the peculiar actions of medicines upon the human condition- there is no more simple or natural arrangement better than to administer each single medicine experimentally in moderate amounts to healthy persons in order to learn what effects, symptoms and signs of its impinging action each medicine may bring forth in the condition of the body and soul.  It highlights the disease elements each medicine is able to and tends to arouse. As has been shown, all of a medicine's curative power lies in its power to alter the human condition; this is illuminated from observation of the human condition.

109: I was the first to blaze this trail with a perseverance that could only arise and be maintained by the great truth speeding humanity that the certain cure of human diseases is only possible through the homeopathic use of medicines.

110: In medical literature, there are reports of poisonings where healthy individuals (accidentally, for the purposes of suicide or murder, or other circumstances) ingested large amounts of medicinal substance. I have seen that the actions of the morbid malignities described in these reports agreed with my observations upon testing the same substances on myself and other healthy individuals. The writers of these toxicological reports recorded these previous cases as proof of the disadvantage of these substances, to warn against them. It was also to extol their art, when while using their means against these dangerous situations recovery gradually set in, and partly to exonerate themselves if these people died by proclaiming the dangerous nature of these substances which they call poisons.

None of these observers suspected:
1. that these symptoms, described only as proof of harmful toxicity of these substances, contained sure reference to the power of these drugs to be able to be used curatively with similar ailments in natural diseases.
2. that these disease arousals were indications of their homeopathic curative action, and
3. that the only possible investigation of their medicinal powers rests upon the observation of the altered conditions brought about by these medicines in healthy organisms.

The pure, peculiar powers of medicines for curative purposes are not to be discerned through a) specious a priori sophistry b) the smell, taste or appearance of medicines c) chemical processing of the medicines or d) the use in diseases of one or several medicines in a mixture (prescription). One did not suspect that these histories of medicinal diseases would some day supply the first rudiments of the true, pure materia medica which, from the outset up until now, consisted only in false conjectures and fabrications, and which was as good as non-existent.

111: The agreement of my observations of the pure actions of medicines (in provings) with these older reports (of poisonings) written irrespective of curative purposes, and even the accord of these reports (of poisonings) with others of this kind from different writers, easily persuades us that medicinal substances act in their morbid alteration of the healthy human body according to definite, eternal natural laws and, by virtue of these, are able to engender certain, reliable disease symptoms, each substance engendering particular ones, according to its peculiarity.

Aphorisms 62 - 69: Primary and Secondary action

Aphorisms 62- 66

62: The following experiences, derived from manifold observations, clearly show the ruinous result of palliative antipathic procedures using reverse homeopathic care. No one prior has taken notice, in spite of the evidence being close at hand and crucial to the curative process.

63: Each life-impinging potence, each medicine, alters the tuning of the life force more or less and generates an alteration of a person's condition for a longer or shorter time. This is termed the initial action. The initial action is a result of both the life force and the medicinal energy, the change being attributable more to the impinging potence of the medicine. The life force strives to counteract this impinging action with it's own energy. This reaction belongs to our life-sustaining power as an automatic function, called the after-action or counter-action.

64: As seen from the following examples, during the initial action of the impinging potence upon our healthy body, our own life force reacts receptively.  It appears as if the body were forced to allow the impressions from the medicines internally, as they would occur outside the body, thereby modifying it's condition.

The life force then appears to rally in one of two ways:
1. Where it exists, the life force brings forth the exact opposite condition state (counter-action, after-action) to the impinging action (initial action) which it has absorbed internally. The level of counter-action matches the degree of the initial reaction, proportionate to the life force's own energy.
2. If no state exists in nature exactly opposite to the initial reaction, the life force appears to strive to assert it's superiority by extinguishing the reaction produced within itself by the medicine, thereby reinstating it's normal state (after-action, counter-action).

65: Examples of initial-actions upon the life force which are followed by opposing counter-actions are familiar to all:
1. A hand bathed in hot water is initially much warmer than the unbathed hand (initial action), but once it is removed and dried it becomes cold after some time, and then much colder than the other hand (after-action).
2. A person heated by vigorous exercise (initial action) then becomes chilly and shivers (after-action).
3. Drinking a lot of wine heats the body (initial action) and later every breeze is too cold (after-action).
4. An arm immersed in very cold water for a long time is at first paler and colder than the other one (initial action), but after being removed and dried it becomes not only warmer but hot, red and inflamed (after-action).
5. Excessive liveliness from drinking coffee (initial reaction) is replaced by sluggishness and sleepiness (counter-action, after-action) unless more coffee is had (palliative for a short time).
6. Opium induced stupor (initial action) is followed the next day by insomnia (counter-action).
7. Opium induced constipation (initial action) is followed by diarrhea (after-action).
8. After the purging produced by bowel-stimulating medicines (initial action) constipation of several days' duration results (after-action).

After each initial action of a potence that in large dosage strongly modifies the condition of a healthy body, our life force always and everywhere brings to pass, in the after-action, the exact opposite (if there is such a state).

66: In the healthy body, with the action of very small homeopathic dose of life force altering potencies, a conspicuous opposite after-action will not be perceived. This is understandable. Potences in small doses bring forth an initial action that is perceptible with due attention, but the living organism produces a matching small counter-action as is required to return to the normal state.

Aphorisms 264 - 271 : Preparations of medicines

Aphorisms 264- 271

264: The true medical-art practitioner must have the most genuine, full-strength medicines on had in order to guarantee their effectiveness; their authenticity must be known first-hand to the physician.

265: It is the ethical duty of the physician to ensure that each patient takes the right medicine every time. The physician should physically hand over the correctly selected medicine,  and the medicine should be made by the physician.

266: Substances of the animal and vegetable kingdoms are the most medicinal in their raw state.

267: The most complete and certain way to guarantee the powers of indigenous plants, and plants that can be obtained fresh, is as follows:
1) Press out the juice and mix it immediately with an equal amount of wine spirit [alcohol] strong enough for a sponge to burn in it. 2) Let this mixture stand for 24 hours in a sealed glass bottle 3) Decant the clear liquid from the fibrous and albuminous matter that has settled and store the liquid for medicinal use. 4) Keep the liquid in a well sealed bottle to prevent evaporation. 5) Store it away from sunlight.
 The alcohol stops the fermentation of the plant juice and prevents subsequent fermentation. The whole medicinal power of the plant juice is preserved forever (whole and unspoiled) in well stoppered and sealed bottles, stored away from sunlight.

268: Medicines may be made from properly prepared powders from dry plants.  The physician should not ever accept on faith alone that the powdered form of the exotic plants, barks, seeds and roots cannot be obtained in their fresh state. First hand knowledge of the material in it's fresh state prior to being made a powder is required prior to using them for medicinal purposes.

269: The homeopathic medical art develops the internal, spirit-like medicinal powers of crude substances in a revolutionary way. It does so via a unique process whereby these substances become immeasurably more effective and helpful. This applies even to substances which have no medicinal power in their crude state.
This process alters the properties of the original substance through a mechanical action on the smallest particles therein by trituration and succussion while these particles are separated from one another by means of an intervening, indifferent substance that is either dry or liquid. This procedure develops the latent dynamic powers of the substance which were previously unknown. The dynamic powers of these substances primarily have an influence on the life principle, on the condition of animal life. This process is called 'dynamization' or 'potentization' (development of medicinal power). It's products are called dynamizations or potencies of different degrees.

270: The best method to produce this development of power requires a small quantity of the substance to be dynamized (about one grain). It is raised to the one-millionth powder-attenuation by means of a three-hour trituration process. Three one-hour triturations are done, each using 100 grains of milk sugar as explained in the footnote below.
The medicine is then further potentized by means of dilution and succussion.
Preparation of medicine to the first degree of potency [LM1] : 1) Dissolve 1 grain of triturated powder (to the one-millionth attenuation) in 500 drops of a mixture containing 1 part brandywine (90% grain alcohol) and 4 parts distilled water. 2) Place a single drop of mixture in a vial. 3) Add 100 drops of good wine spirit (95% grain alcohol) to the vial 4) Give the sealed vial 100 strong succussions with the hand against a hard but elastic body (such as a leather bound book).  This is the first degree of dynamization. 5) Thoroughly moisten fine sugar globules with this liquid 6) Rapidly spread the sugar globules on blotting paper to dry 7) Store the globules in a tightly sealed vial labeled with the sign of the first degree of potency. 8) Protect the bottle from heat and daylight.
Preparation of medicine to the second degree of potency [LM2]: 1) Take 1 globule of first degree medicine, put it in a new vial with a drop of water to dissolve it. 2) Repeat steps 3-8 above, label bottle with the sign for the second degree of potency.
Preparation of medicine to the thirtieth degree of potency [LM30]: Continue the listed procedure until the dissolved globule of the 29th degree of potency has formed a spiritized medicinal fluild with 100 drops of wine spirit, by means of 100 succussions, whereby globules that are moistened with this and dried are labeled XXX, the 30th degree of dynamization.
Only when crude medicinal substances are processed in this way does on obtain preparations that have attained their full capability to touch the suffering parts in the sick organism. In this way the natural disease that is present in the suffering parts is removed from the life principle. By way of proper processing, a substance which in unmedicinal in it's crude state, becomes transformed by these higher and higher dynamizations to become a spirit-like medicinal power. This medicinal power in itself no longer lies within our senses. The medicated globule becomes the carrier of this invisible power, and carries this power dry but is even more potent dissolved in water.

271: Ideally a physician prepares all homeopathic medicines, and may use a fresh plant as source material. A preparation may be made in this way: 1) Mix a couple of grains of the plant in a mortar with one third of 100 grains of milk sugar. 2) Bring the mixture to the one millionth trituration in three distinct steps.
The substance can then be further potentized by means of succussion. This procedure is also to be observed with the remaining medicinal substances of either a dry or oily nature.

Aphorisms 82-99: Case taking

Aphorisms 82-99

82:  The discovery of psora, the root of chronic diseases, in addition to finding more specific homeopathic remedies have brought the medical art closer to the nature of the majority of diseases to be cured. However,  it remains the duty of the physician to carefully apprehend the investigable symptoms and peculiarities of disease, in order to contribute to the findings for each chronic disease to be cured. No genuine cure of the psoric, or any other disease can take place without the strict individualized treatment of each case of disease.

During investigation, distinctions should be made between rapidly occurring acute diseases and those that are chronic. Acute cases present symptoms which are more immediately discernible, so that less times is needed to get an impression of the disease image. As most acute disease presents itself spontaneously, there is much less that needs to be asked. Gradually advanced chronic diseases which have existed several years or more require much more attention in order to obtain a full impression of the disease.

83: Individualizing examination of a disease case requires the physician to approach each case as unique. It demands nothing more of the physician than freedom from bias, healthy senses, attention while observing and fidelity in recording the image of the disease.

84: The patient complains of their symptoms, as the patient's relatives contribute what they have observed. The physician uses sight, hearing, and observation to determine what is altered or unusual about the patient. The physician writes everything down verbatim, without changing style or content. The physician keeps silent, allowing all of them to speak freely unless they stray off to side topics. It is important to request at the onset of the interview that they speak slowly, in order to capture everything in writing.

85: Each new symptom or circumstance should generate a new line item, so that they will all appear separately. The physician may add to their notes, filling in clarifications after the interview.

86:  Allow the speaker to finish expressing themselves, after which the physician may begin a closer determination of the case. The physician may read the reported symptoms and inquire about particulars or request more data. Questions may include: pertaining to time of occurrence, types of pain, specification of where the pain occurred on the body, duration or cessation of pain, continuous or periodical symptoms, when was it worse: time, position, describing the circumstances of the initial onset.

87: It is crucial to gather more data about the case without ever asking a leading question, putting words in the patient's mouth, or asking a yes/no question. This would only lead to misinformation, or mis-remembering of the actual circumstances out of convenience or to please the interviewer thereby generating a false impression of the disease and misguiding the treatment process.

88: If the patient does not volunteer information regarding several parts or functions of the body or about emotional states, the physician should then ask what is still to be recalled. The physician should ask with general expressions only, so that the patient is obliged to divulge specific information.

89: It is important to wait until the patient has finished freely giving their account, after being invited to do so. Only afterwards is it allowable, and indeed necessary, for the physician to ask more precise and specific questions. Of all accounts taken, most weight should be attributed to the patient's version (except in the case of feigned illness.)

90: After writing down the patient's statements, the physician then notes personal observations of the patient. The physician may then ask the patient to compare how they (the statements of illness) were expressed when the patient was healthy.

91: The circumstances and condition of a patient when they were taking medication do not give a pure image of the disease. However symptoms and ailments which presented themselves prior to the use of medicine, or which reappear after ceasing to take medicine give the fundamental concept or original gestalt of the disease. The physician must record these in particular.

92: If the disease is progressing rapidly, and does not allow for delay, and if the physician cannot ascertain what symptoms were present prior to medication, then the disease state altered by medicines must suffice.  This will provide a current image of the disease which represents the original disease united with the medicinal disease. The original disease plus the medicinal disease generally makes the disease more extensive and dangerous, and often requires urgent and expedient aid. The physician will them be able to conquer this disease with a fitting homeopathic remedy so that the patient will not die of the damaging medicine he has taken.

93: If the disease has been caused by a singular event, either recently or in the past, the patient ( or their relations, questioned privately) will readily declare it, either upon their own accord or as a result of questioning.

94: During the inquiry of the state of chronic disease, it is important to scrutinize the particular lifestyle and habits of the patient in order to determine that which may irritate or maintain disease, and whose removal may further recovery.

95: In the cases of chronic disease, the investigation of the above in addition to all remaining signs of disease must be conducted carefully. The smallest details may prove to be important. This is because:
1) In chronic diseases, the details are the most peculiar and least resemble the signs of acute diseases. These cannot be taken too exactly if the cure is to be achieved. 2) Chronically ill patients become so accustomed to their long sufferings that they pay little or no attention to the smaller, often very characteristic symptoms which are so helpful in singling out a remedy. They view them almost as part of their natural state, nearly mistaking them for health - a state so long in the past they have difficulty remembering it. It does not occur to them to believe could have a connection with their primary malady.

96: Patients vary widely in the state of their emotional mind. Some patients greatly exaggerate their complaints in order to garner help and attention from the physician. These patients are, above all, the so-called hypochondriacs and those other very feeling and insufferable persons.

97: Patients of the opposite extreme hold back complaints, characterize them in generic or vague terms, or declare them to be insignificant. (The do so partly from langour, partly from false modesty, and partly from a kind of genteel mentality or bashfulness.)

98: Upon hearing a patient's testimony, one has to ascribe belief in the statements principally to the patient himself. (These are often altered and falsified in the statements of relations and attendants.) However, it is just as certain that obtaining a true complete image of the disease requires particular circumspection, scrupulousness, knowledge of human nature, cautious inquiry and patience- all to a high degree.

99: On the whole, inquiry into acute or recently arisen diseases is easier for the physician. Recall of the relevant events and symptoms remain fresh, making it easier to relate and lessening the necessity to investigate as symptoms are all volunteered spontaneously.

Aphorisms 5-18: Causes of Disease

Causes of Disease
5. A physician will best be able to cure if the fundamental cause of disease is discovered. Discovering the details of the onset of the acute condition, in addition to significant environmental factors will help determine the fundamental cause. There are specific areas which provide such information:
1) the body constitution- how it appears, is especially relevant in protracted cases
2) mental and emotional character- the intelligence and emotional aspects
3) occupation
4) lifestyle and habits
5) domestic and civic relationships- relationships within the home and outside in the community
6) age
7) sexual function, etc.

6. The disease is represented by all of the symptoms displayed. Each observer has their own bias. The disease may be represented by combining the perceptions of the patient in regards to how he feels, the observations of those around the patient and those of the physician.

7. It is necessary to observe the entire environment of the patient, and to not focus only on the internal symptoms as there is often an environmental catalyst. Determining the cause of the symptoms may require removing potential environmental causes. In cases where no outside cause can be determined, the patient's internal symptoms are the primary source of data. The totality of the patient's symptoms represent the disease and give cues to providing the most suitable cure.

8.  When all of the symptoms of the disease are no longer present, it may be assumed that health has been restored and the disease is no longer present.

9. A healthy person has a healthy life force, which vitalizes and harmonizes both mental and physical functions.

10. A person requires the vitality of the life force to exist. Without it there a person would be unable to sustain life.

11. A life force which is out of balance, or under a negative influence results in corresponding ill health indicated by negative mental or physical symptoms.

12. A diseased life force brings for disease symptoms. Removal of the disease symptoms indicates a life force which has been returned to an healthy state.

13. Disease is therefore not what modern medicine has described it as. Disease cannot be limited to only the direct symptoms, without considering the entire state of the patient. To not consider all of the symptoms of the patient in coordination with their environment is to surely miss the root cause of the disease.

14. Every disease presents itself with symptoms. These symptoms may be discerned by the physician with enough attention.

15. The life force and the state of health of the person correspond. A life force out of balance presents symptoms of disease, and removes them when balance is returned. There is a symbiotic relationship between the state of the life force and the patient's health.

16. An impaired life force presents symptoms of disease. By treating the life force you will reinvigorate and repair the life force, which in turn removes the symptoms of disease as health is restored.

17. The highest goal of the physician is to restore health. By curing the patient, all symptoms of the disease are removed. A true cure restores health and vitality as disease symptoms are removed.

18. The totality of the disease symptoms presented should provide the indicator of where to find the correct cure. This is the only and best source of choosing a remedy.

Aphorisms 1-4

1) The physician's highest and only calling is to make the sick healthy, to cure, as it is called.

The primary purpose and focus of the physician shall be to make the sick healthy. The focus shall not be in studying the disease, or the symptoms, or to catalog knowledge so much as it is to apply what is known to aid the ill person. Personal gain nor reputation of the physician is of primary importance.

2)The highest ideal of the cure is the rapid, gentle and permanent restoration of health; that is, the lifting and annihilation of the disease in its entire extent in the shortest, most reliable, and least disadvantageous way, according to clearly realizable [in-seeable] principles.

The ideal cure is one which restores health permanently, by means which have the least negative impact on the client.  The goal is to provide rapid and gentle relief using sound data and principles to find the quickest and most reliable cure.

3) To be a genuine practitioner of the medical art, a physician must:
    1. clearly realize what is to be cured in diseases, that is, in each single case of disease (discernment of the disease, indicator),
    2. clearly realize what is curative in medicines, that is, in each particular medicine (knowledge of medicinal powers),
   3. be aware of how to adapt what is curative in medicines to what he has discerned to be undoubtedly diseased in the patient, according to clear principles.
   In this way, recovery must result.

To be a genuine practitioner of the art of medicine, a true physician must clearly see that which needs to be cured in each case of disease. They must understand the qualities and curative properties of each particular medicine. They must also be able to combine their understanding of the disease of the patient with their knowledge of medicines according to clear principles. In this way, recovery must result.

   Adapting what is curative in medicines to what is diseased in patients requires that the physician be able to:
1. adapt the most appropriate medicine, according to its mode of action, to the case before him (selection of the remedy, that which is indicated),
2. prepare the medicine exactly as required,
3. give the medicine in the exact amount required (the right dose),
4. properly time the repetition of doses.
   Finally, the physician must know the obstacles to recovery in each case, and be aware of how to clear them away so that the restoration of health may be permanent.
  [If the physician has this insight, discernment, knowledge and awareness] then he understands how to act expediently and thoroughly and he is a genuine practitioner of the medical art.

Correlating that which is curative in medicines to what is diseased in patients requires that the physician must be able to select the most appropriate remedy  for the case at hand. The physician must be able to prepare the medicine exactly as required and give the correct dose. They must also time the repetition of doses correctly.

It is crucial that the physician understands which obstacles may prevent recovery in each case, and to be aware of how to overcome them in order to permanently restore health to the patient. This insight, discernment, knowledge and awareness brings understanding of how to act expediently and thoroughly and is an indicator of a genuine practitioner of the art.

4) He is likewise a sustainer of health if he knows the things that disturb health, that engender and maintain disease, and is aware of how to remove them from healthy people.

A physician is also an advocate of sustaining health. The knowledge of that which threatens good health, or which perpetuate or exacerbate disease should be combined with the knowledge of how to remove them from healthy people.