This section is from the book "A Compend Of The Principles Of Homoeopathy", by William Boericke. Also available from Amazon: A Compend of the Principles of Homoeopathy as Taught by Hahnemann.
50. Diseases presenting only a few symptoms may be called partial (one-sided) diseases; their chief symptoms indicating either an internal affection, or headache, or diarrhoea, or only a local one. A mere careful examination often reveals more occult symptoms, and if this fails, we must make the best use of these few prominent symptoms as guides in the selection of the medicine. As for such a partial disease, the selected remedy may also be only partially adapted, it may excite accessory symptoms and symptoms of the disease will be developed which the patient had not previously perceived at all or only imperfectly, thus facilitating the task of selecting a more accurate homoeopathic remedy.
51. After the completion of the effect of each dose of medicine, the case should be re-examined, in order to ascertain what symptoms remain and the corresponding remedy selected, and so on till health is restored.
52. Local diseases are those affections which are of recent origin and caused by external injury. Affections of external parts, requiring mechanical skill, belong to surgery alone, but often the entire organism is affected to such an extent by injuries, as to require dynamic treatment in order that it may be placed in the proper condition for the performance of the curative operation.
53. Affections of external parts, not caused by external injuries, proceed from an internal morbid state and all curative measures must be taken with reference to the state of the whole system, in order to effect the obliteration and cure of the general disease by internal remedies.
54. In examining such a case, the record of the exact state of the local disease is added to the summary of all symptoms, and other peculiarities to be observed in the general condition of the patient, in order to get at the totality of symptoms and to select the corresponding remedy which removes the local as well as the general symptoms. Notwithstanding the well-regulated habits of the patient a remnant of the disease may still be left in the affected part, or in the system at large, which the vital force is unable to restore to its normal state; in that case the acute local disease frequently proves to be the product of psora, which has lain dormant in the system, where it is now about to become developed into an actual chronic disease. Antipsoric treatment will be necessary to remove this remainder and to relieve the habitual symptoms peculiar to the patient previous to the acute attack. (See Chronic Diseases).
55. It is not advisable to combine the local application of a medicine simultaneously with its internal use, for the disappearance of the local symptom renders it nearly impossible to determine whether the total disease has also been exterminated by the internal remedy. Relying on the internal remedy alone, the removal of the local disease proves the achievement of a radical cure, and of complete recovery from the general disease.
56. When the system is affected with some chronic disease which threatens to destroy vital organs or life itself and which does not yield to the spontaneous efforts of the vital force, the latter endeavors to substitute a local disease on some external part of the body, whither the internal disease is transferred by derivation, in order to lessen the internal morbid process. But still the internal disease may increase constantly and their nature will be compelled to enlarge and aggravate the local symptoms in order to make it a sufficient substitute for, and to subdue the internal disease.
57. Most chronic diseases originate from three chronic miasma; internal syphilis, internal sycosis, and particularly from internal psora. Each of these must have pervaded the whole organism and penetrated all its parts before the primary representative local symptom makes its appearance for the prevention of the internal disease. The suppression of the local symptom may be followed by innumerable chronic diseases; the true physician cures the great fundamental miasm together with which its primary as well as its secondary symptoms disappear together.
58. Before beginning the treatment of a chronic disease we must find out whether the patient ever had been infected by syphilis or by sycotic gonorrhoea, although it is rare to meet with uncomplicated cases of these affections, as we usually find them often complicated with psora, the most frequent and fundamental cause of chronic diseases. It will be necessary to inquire into all former treatment and what mineral waters have been employed and with what result, in order to understand the deviations which the treatment had produced in the original disease, to correct this artificial deterioration and to determine the course now to be pursued.
59. A full anamnesis of the case ought now to be recorded, also the state of mind and temperament of the patient, as it may be useful to direct or modify this mental condition by psychical means. Guided by the most conspicuous and characteristic symptoms the physician will be enabled to select the first anti-psoric, anti-syphilitic or anti-sycotic remedy for the beginning of the cure.
60. The state of the patient's mind and temperament is often of most decisive importance in the selection of the remedy, as each medicinal substance affects also the mind in a different manner. Mental diseases must only be treated like all other affections and they are curable only by remedies similar to the disease.
61. Most mental alienations are in reality bodily diseases, only these mental and emotional symptoms develop in some cases more or less rapidly, assume a state of most conspicuous onesidedness, and are finally transferred like a local disease, into the invisibly fine organs of the mind, where they seem to obscure the bodily symptoms; in short, the disorder of the coarser bodily organs are transferred, as it were, to the almost spiritual organs of the mind, where the dissecting knife will search in vain for their cause.