50 Millesimal, The Hidden Treasure of Hahnemann’s 6th Edition of Organon

Dr.Ravi has participated as a speaker in the World Homeopathic Day celebration Organised by Liga Medicorum Homeopathic Internationalis Indian Chapter and Central Council of Research in Homeopathy Govt of India. Dr.Ravi has given his talk over one untouched topic of ” 50 Millesimal – The hidden treasure of last Organon “. He has shared his experience of how Hahnemann has developed this potency, what are the advantages of using this potency etc. This potency is the only potency Hahnemann advocated must be used by homeopaths and ironically hardly 1 % of the homeopaths worldwide use this potency. Dr.ravi is using this potency exclusively at his practice.
Ravi Clinic A Centre of Classical Homeopathy
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1. 50 Millesimal, The Hidden Treasure of
Hahnemann’s 6th Edition of Organon
Dr.Ravi’sMultispecialityHomoeopathic Clinic
VaibhavComplex, MarutiPuram, Opp. LekhrajKhajana,
FaizabadRoad, Lucknow, U.P.
Mo-09935898134
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2. 246 (a) -(*) 1 In the former editions of the OrganonI have advised that a
single dose of a well-selected homoeopathic medicine should always be
allowed first fully to expend its action before a new medicine is given or the
same one repeated
What I said in thefifth editionof the organon, , in order to prevent these
undesirable reactions of the vital energy, was all the experience I then had
justified.
But during the last four or five years,
however, all these difficulties are wholly solved by my new altered but
perfected method.
Why
a
new
scale
?

3. LM
Decimel, Centicimal.

4. Hahnemann mentioned his new
potencies by name: divisions
infinitésemales (infinitesimal
dilutions). He called these
preparations medicamens au globule,
to distinguish them from the old
centesimal potencies, called
medicamens a la goutte (medicines of
the drop).

5. In LM-L stands for 50 in roman numerals
and M for 1000.
It is designated and represented in
different ways.
They are 1/0, 2/0, 3/0 etc; LM/1, LM/2, LM/3
etc; m/1, m/2, m/3 etc; Q/1, Q/2, Q/3 etc. But
the usual method followed in India is 0/1,
0/2, 0/3 etc.
Here, the zero is prefixed. The numerator
‘0’ represents symbolically the poppy seed
sized globule.

6. Dr. Pierre Schmidt of Geneva termed this new scale
as “50 Millesimal”.
Rudolf Flury (1903-1977) gave the abbreviation ‘LM’
–‘L’ for Roman ’50’ and ‘M’ for Roman ‘1000’.
However, this denotation is technically incorrect, as
the Roman numeral LM would denote the number
950 rather than 50,000.
The name ‘Q-potency’ is derived from the Latin word
‘quinquagintamilia’, which literally means 50,000 and
was introduced by Jost Kunzli (1915-1992). So ‘Q’ is
the correct abbreviation for the 50 Millesimal
potencies.
However, in spite of being the incorrect abbreviation,
‘LM’ is still in popular use.

7. The new method of
dynamisationproposed in the
sixth edition of Organonis
called as Millesimalscale, 50
millesimalscale, LM potency, Q
potency etc.
Q is the abbreviation of
‘Quinquagesimillesimal’ derived
from latinword
quinquagesimus–50th and
millesimusmeans thousand.

8. The LM potency is first made from the 3c
trituration(1:100x100x100). Next 1 grain
of this triturationis placed into 500 drops
to make the LM/0 solution (1 to 501
ratio). Then 1 drop is taken from the
LM/0 solution and added to 100 drops of
dilute and succussed100 times.

9. This makes the LM 0/1 potency, the first
degree of the LM pharmacy
(100x100x100x500x100x500 = LM 0/1).
The C's of the 5th Organon(1833) were
made with 10 succussionsby hand
although many modern potencies are
made with 10 to 40 or more succussions
by machine.

10. When speaking of the amount of original
medicinal substances in the LM 0/1 it is
similar to the amount found in the 6c
potency although its remedial powers are
greatly expanded due to the larger
dilution medium.

11. .

12. One pellet of the LM 0/1 is further diluted
in a minimum of 3 & 1/2 oz to make the
medicinal solution. After succussions1, 2
or 3 teaspoons are taken from the
medicinal solution and further diluted in a
dilution glass of water.

13. From this dilution glass 1, 2, 3 teaspoons
are given to the patient as a dose. The final
liquid dose has been diluted through two
more stages than the dry dose. The final
amount of original substance given to the
patient is more diluted than the dry pill
since it has been dissolved in the medicinal
solution and stirred into a dilution glass.

14. The high potency Cs are diluted
more times then the LM potency
although they receive less
succussions at each dilution level
of potency.
Differences between the C and LM
Potencies

15. For this reason, some persons think
the LMs are low potency remedies.
The LM potency, however, has a
much larger dilution ratio that greatly
transforms the medicinal qualities of
the LM remedies
Differences between the C and LM
Potencies

16. When too many dilutionsand strong succussions
have been forced into the higher centesimal
potencies it makes medicines that are prone to
aggressive primary actionsand strong
aggravationsthat do not produce an "enduring
gentle counter action of the life principle".
L M Potency the need of Hour
LM
Decimel

17. Hahnemann wrote in the 5th Organon
(1833) that the C potency tends to
produces aggravations within one to two
weeks after the administration of a C
potency in chronic diseases.
Hahnemann changed his opinion about the
need for aggravation when he discovered
the LM potency and the split-dose of the
medicinal solution in the 1840s.

20. Dr. Richard Haehlin his works
says “In centesimal scale of
potencies Dr. Hahnemann always
expressed in Roman figures.
The new preparation from
globules he described with Arabic
figures surmounted by a circle 0/1,
0/2, 0/3 etc. Potencies obtained by
the new ways were described by
Dr. Hahnemann as
‘Medicaments au globule’
(medicine in globules) as distinct
from medicament ‘a la goutte’
(medicine in drops).

21. Dr. RimaHandley’s note (She
referred fifty four volumes of case
books of Hahnemann which are
preserved in Institute for the
History of Medicine in Stuttgart.)
shows that Dr Hahnemann was
writing in his case records, with
reference to the case of, Towards
the end of 1840 one patient M.
Rousselotreceived Sulphurin LM
potency (./10/o) for his vertigo.
‘He was the first person to receive
LM potency’

22. The most important aspect of the revised
methods of the 1840's is the medicinal
solution and the methods of adjusting the
dose. Many people think that Hahnemann
used the dry dose for his centesimal
potencies and the medicinal solution
exclusively for the LM potency. This is
incorrect. The Founder used the C and LM
potency side by side in the clinic in
medicinal solution from 1840-1843.

23. 50 millesimaldesignated.
It is designated as 50 millesimalbecause
the drug strength is reduced to 50,000 part
to every successive potency. The process
of potentisationstarts in the globule form
and ends in globule form.

24. Dr. Hahnemann completed the manuscript of sixth
edition of Organonby 1841 but was unable to publish
in his life time.
But later, due to various reasons, the manuscript was
made available in 1920.
Dr. Richard Haehlpublished the German edition in the
same year and the English translation made by Dr
Boerickewas come to light in the year 1921. By this
time, Homoeopathic practice was well established by
the wait and watch policy based on the 4th edition of
Organon.

25. Single Remedy Prescribers
are few

26. Manufacturers were Few
Cause of low popularity

27. Another strong criticism was that
pharmaceutical companies and physicians
started comparing this scale of potency with
centesimal scale of potency. They made a
false conception on the mind of physicians
through an erroneous mathematical
calculation. The allegation reads like this
“Hahnemannansthirtieth potency of globule
method of dynamisationof drugs (0/30)
corresponds to seventy third potency of drop
method on centesimal scale (73c)”.

28. Dr. J.T.Kentwas an authority on
Homoeopathic practice and he
established the practice and 12
prognostic observations on the
basis of centesimal potencies
ranging from low to high.
He died in 1916 before the
publication of 6th edition and
was totally unaware of new
scale of potency.

29. Another cause of low popularity according to Dr.
Choudharyis none of the pharmacopoeia has
included the preparation of 50 millesimal.
This reduced its authenticityas well as
availabilityfor use.
Even though Boericketranslated the 6th edition,
the pharmaceutical company, Boerickeand Tafel
never prepared medicine according to new scale.

30. Then the other difficulties such as poor
patient complianceand Lack of
adequate knowledge ,about the
principles of LM scale ,worked as a real
hindrance to the propagation of this scale.

31. Misconception among homeopaths
about the 6th Edition of Organonof
Medicine
see the perfect Quote by
Boenninghausenfor the mind of those
skeptics who deny genuine Hahnemann
touch in the 50 millesimalscale of potency.

32. “In the new editionof the Organon, which will probably
appear yet in the course of this year, improved and
completed by Dr. Hahnemann himself, a new simplified
procedure for the potentisingof medicines will be
taught, which has considerable advantage over the
former and yield a preparation as to the efficiency of
which I can, from my own experience, give full praise. I
know this procedure, but according; to my pledged word
of honor, am not, as yet, permitted to communicate it to
any one”.
**With reference to the article ‘Aluminium
metallicum’ published in Allg.hom ZeitVol
54,

33. Dr. Charles Pahudof Lozen, France, through
his article “My experience about
Hahnemann’s fifty millesimalscale of
potency’, published in the ‘British
Homoeopathic Journal’ 1950 April issue drew
the attention of Homoeopathic fraternity to
the new method.

34. Another significant name to mention is Dr. Pierre
Schmidt. He translated Organonto French. His
famous lectures given in the faculty of Homoeopathy
at Royal London Homoeopathic Hospital in 1954
awakened the idea of LM potency among audience.
Apart from this, his article on LM scale published
from 1954 to 1956 in British Homoeopathic Journal
and Journal of American Institute of Homoeopathy
ignited the idea of perfect cure through LM potency
to Homoeopaths all over the world.

35. In India, Drs. DebendraKumar
Roy, KhagendraNathBose and
BejoyKumar Bose introduced
this scale of potency around
1957.
First Pharmacy to prepare LM
Scale potency was Hahnemann
publishing Co. Ltd. Calcutta
(HAPCO).

36. In the earlier edition, the dosage, potency,
repetition was a great cause of concern and
controversial point.
Due to these fallacies, the cure was much
prolonged, so also the patient sufferings.
The sensitive patientsand patients who
harbor a deep seated pathologically
degenerated state suffer from furious
aggravations even from well selected
medicine.

37. The repetition rule was vague and was not
able to ascertain the exact time of repetition
of medicine. The preparation of medicine,
number of succession to prepare new
potency, single phial method or multiple
phial method, the gap between each
potency and a lot more raised a number of
skepticism on the mind of Dr. Hahnemann
himself.
Differences between the 6th and earlier editions of
Organon with special emphasis on LM scale.

38. All these lacunae are rectified in the new
preparation where the power of medicine is
increasedbut capable of acting in a milder way,
thereby preparing the vital principle of patient
to face the Homoeopathic aggravations only at
the end of treatment.
The difficulties in aforesaid editions of Organon
with reference to preparation, dosage, repetition,
potency selection, administration, the gap
between the potencies, unnecessary reactions of
Life principle are solved to extend of a pinnacle of
perfect cure.
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39. So due to these special
features of LM scale, it has real
advantage over centesimal
scale.

40. 1-Useful in both disease.acute and
chronic
2-Noviolent reaction is produced by
Life force againstor following the action
of medicine.
3-Action is immediate. Time span for
cure is reduced to minimum.
A permanent gentle restoration is the
result.
LM Removes the Myths
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41. 4-Medicine can be repeated ‘if necessary’.
5-The gap between the two consecutive
potencies is very meager. So the change of
potency creates no problem to the patient.
6-Convenient to use in hyper sensitive
persons.
7-Useful in conditions produced after
suppression or repeated palliation.

42. 8-No worry of over dosing.
9-As the action is quick, a wrong selection of
medicine can be quickly identified.
10-No antidote is required if the medicine is
wronglyadministered.
Nothing will antidote the effect of medicine as
the plane of dynamisation is very high.
11-Can be safely administered with medicines
of other therapeutic system in unavoidable
circumstances.

43. 12-0/1 to 0/30 is a limited range. So easy to
choose.
13-Toxic medicines can be used safely and
can be repeated frequently.
14-Can be used for palliative cases also.
15-Same medicine can be used both as a
curative and palliative remedy.

44. 16-Patient’s co-operation is more and he himself
can adjust the dose if a Homoeopathic
aggravation is produced.
17-In primary stages of three chronic miasmatic
states, Hahnemann advised frequent
repetition.(F.N aph282)
18-Deep acting medicines can be repeated if
necessary.

45. 1-Patients’ complianceis poor.
2-Administration and repeated succession in
between dose is a real obstacle of trust.
3-Illiterate patients must be educated properly.
4-If the patients do not properly co-operate,
administration and change in degree of potency
before every administration is difficult.
Illiterate patients cannot properly judge
Homoeopathic aggravation. So they will
continue medicine even after required dose.

46. 5-Limited potency is available.
6-All medicines in this scale are not available.
7-No clear mentioning on the amount of water
to be dissolved with medicine.
8-Second prescription restricted only to the
new remedy.
9-No mentioning of complementary remedy,
multi miasmatic case treatment.

47.  Making a Medicinal Solution
In the 6th OrganonHahnemann mentions making
an aqueous solution of the LM potency in 40, 30,
20, 15, or 8 tablespoons of water. The amount of
solution mostcommonly used by
Hahnemannwas 7 to8 tablespoons of water
(around 31/2 to 4 oz. of fluid) including a sufficient
amount of pure alcohol or brandy as a preservative.

48. Vide the second section of aphorism 246.
"This [the single dose cure] is not infrequently the case in acute diseases,
but in more chronic disease, on the other hand, a single dose of an
appropriately selected homoeopathic remedy will at times complete even
with slowly progressive improvementand give the help which a remedy in
such a case can accomplish naturally within 40, 50, 60, 100 day[DL].
This is, however, but rarely the case; and besides, it must be a matter of
great importance to the physician as well as to the patient that were it
possible, this period should be diminished to one-half, one-quarter, and even
still less[DL], so that a much more rapid cure might be obtained".

49. Many individuals fail to note that
Hahnemann makes a grand
differentiation between two
fundamental types of remedy
reactions.

50. In the second section of aphorism 246 the
Founder uses the words "slowly progressive
improvement".
There is a vast difference between a rapid
improvement where the patient feels much
better every day and a slow improvement
where the patient barely notices any changes!
It is only in these slow moving cases that
aphorism 246 permits the repetition of the
LM potency at suitable intervals to speed
the cure.

51. In the footnote to aphorism 246 Hahnemann
suggests that a well chosen remedy (not a poorly
chosen one) may be given daily if necessaryin
slow improving cases. When repetition of the
remedy is not necessary the LM potency will
cause strong aggravations, unproductive
accessory symptoms, and slow down the cure.

52. He also noted that
Hahnemann often
gave a single dose
of olfactionwith
placebo and
usually did not
repeat the dose for
at least one week.

53. This goal may be accomplished under five condition
1-The remedy must be a true homoeopathic simillimum.
2-The remedy should be administered in medicinal solution.
3-It must be administered in the smallest of doses.
4-The medicinal solution should be repeated at suitable
intervals.
5-Each dose should be succussed prior to administering the
dose.

54. Dr. Pierre Schmidt is making a
meticulously careful observation
on the
pharmacopallxy(repetition)
pharmacopraxy(Preparation),
Homoeopathic aggravations etc.
on an innovative essay published
in the British Homoeopathic
Journal in 1954, in the title
‘Innovations and Last Advice of
Hahnemann’. It was later
published as a book ‘The hidden
treasures of the last Organon’.

55. In the preparation medicinal solution, he says a single
poppy seed sized globule is crushed in a little sugar
of milk which is to be dissolved in 100 grams of clean
slightly alcoholisedwater and is to be vigorously
shaken 10 times before each administration. He also
favors low potency to high dynamisationwhen a
change of potency is required in a case.

56. Dr. R.P.Patelis
considered as first
among the authorities
in 50 millesimalscale
of potencies.. Dr.
Patel has shown the
audacity to spill out
the results of these
experiments in “My
Experiments with 50
millesialscale of
potencies”,

57. in spite of having some difference of
opinions with the trustworthy followers.
The main among them are about dry
potency, jumping potency, rule of
repetition, starting of medicine with 0/3,
preparation beyond 0/30, opinion on
plussingmethod etc.

58. On the preparation of
medicinal solution also he
differs. He says usually one
or two No. 10 pills of
indicated medicine are
dissolved in 30 ml of water.

59. This is in contrast to cherished notions 100
grams of Pierre Schmidt and 120ml of
HarimohanChowdharyand at least 8 table
spoon of Hahnemann. The quantity to be
taken at a time according to Dr. R.P. Patel
also varies from 10 drops to ½ ounce at a
time, to the standard one tea spoonful dose
of Hahnemann.

60. As only up to 0/30 are available, Dr.
Patel himself prepared up to 0/50. In the
preparation of the same he was using
the multiple phial system of
Hahnemann. NuxVomica, Sulphur,
Sepia etc were prepared up to 0/50.

61. Certain potencies are suitable to certain patients. The
change of potency produced no favorable responses in
certain patients. Likewise certain drugs produced
favorable responses in fixed potencies like Blattain 0/1,
Aconite in 0/1, Luffain 0/3 Bacillinumand Sepia in 0/30
etc. In chronic pathological cases it is better always to
begin with 0/3 and it produces a favorable responses. In
stubborn cases millesimalscale of potency as especially
in Bronchial asthma, Diabetes etc. are more effective.
When 50 millesimalis given after centesimal it produces
severe aggravations.

62. Dr. R P Patel strongly supports the
jumping method of administration of
medicine. That is the medicine is given
in the order 0/3 to 0/6 then to 0/12 etc
instead of a true successive potency.
Jumping produced not much harm to the
patients. He noticed that in most of the
cases the homoeopathic aggravation
are revealed as ‘itching’.

63. Observations of Dr. HarimohanChoudhary.
Dr. Choudharyis a well
known Homoeopath
with realistic outlook. He
has immense
experience of clinical
practice with 50
millesimalscale of
potency for more than
30 years. He narrates
the well established
dictums through his
famous book “50
millesimalpotency in
theory and practice.”

64. During succession of 100 times in every
potency it imparts a kinetic energy to the
molecules of drug and vehicle resulting in
qualitative change. That is the reason
why medicines become more dynamic
and also gentle in their action in LM
scale.
Observations of Dr. HarimohanChoudhary.

65. In the LM scale of potency, medicine has
to be started from low to high in
ascending order. That is if medicine
started with LM1 it has to be followed by
LM2, LM3 etc. It is better in any case to
start from LM1.
This rule is applicable in the administration new remedy after the previous remedy has produced the
desired effect and a new group of symptoms emerged demanding a new remedy. It is contradictory
to the opinion of Dr. R.P. Patel that he had tried 0/3 then 0/6 then 0/12 of suitable medicine with
success.
Observations of Dr. HarimohanChoudhary.

66. He considers the medicinal solution
once prepared in water with ¾ of the
4oz bottle should be used for 7 days or
14 days. The former is for daily
repetition and the latter for alternate
day’s repetition. Then the patient must
raise his potency to the next higher
one.
Observations of Dr. HarimohanChoudhary.

67. His logic behind the descending scale
can be heard from his own words. “It is a
fact that after application of similimum,
disease state become weaker, the
patient feels improvement both mentally
and physically. Usually at the weaker
state of disease, stronger and higher
scale of medicine is applied
Observations of Dr. HarimohanChoudhary.

68. So the application of medicine in
descending scale is more logical and
scientific”. For that he advice medicines
should be started from LM5, LM8 or LM3
and descend.
Dr. Choudharyshares his view with Dr.
Pierre Schmidt that medicine must be
applied only in water.
Observations of Dr. HarimohanChoudhary.

69. in skin diseases and especially diseases
which have a suppressed history it is very
useful and cures completely without
producing severe aggravations.
Observations of Dr. S.P.Dey
Dr. S.P.Day has an opinion that in the primary stages
of miasmatic disease where rapid repetition is
absolutely necessary, 50 millesimal is the ideal choice
of potency.

70. LM SCALE IS FIRST AND ONLY CHOICE
OF POTENCY IN EVERY CASE
Observations of DR.RAVI SINGH
THEY ACT BEYOND DOUBT IN ALL CASES
PROVIDED SELECTION OF MEDICINE IS RIGHT

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