45. A second dose of the selected remedy is only indicated when the improvement which the first dose had produced, by causing the morbid symptoms gradually to become less frequent and less intense, ceases to continue after the lapse of fourteen, ten or seven days, when it is evident that the medicine has ceased to act; the condition of the mind is the same as before, and no new or troublesome symptoms have made their appearance. It may be expedient to give this second minute dose in a somewhat lower potency.

46. Sulphur, hepar, and sepia excepted, the other antipsorics, seldom admit of a favorable repetition of the same drug. One antipsoric having fulfilled its object, the modified series of symptoms generally requires another remedy. In cases treated by the old school it may be necessary to interpolate, once in a while, a dose of sulphur or hepar, according to indications.

47. Alternating remedies in rapid succession is a sure sign that the right remedy was not selected, or that the symptoms were only carelessly studied. By such mismanagement remedial agents seem to lose all their power, and mesmeric action may succeed in calming the system. Let the palms of both your hands rest for about a minute upon the vertex, then move them slowly down the body, across the neck, shoulders, arms, hands, knees, legs, feet and toes; this pass may be repeated.

48. The irritability of the patient may also be calmed by directing him to smell a globule moistened with the highest potency of the homoeopathic medicine. By smelling of the medicine, its influence may be communicated to the patient in any degree. By increasing the number of inspirations the power of the medicine steadily increases.

49. Globules, kept in corked vials, protected from heat and sunshine, preserve their medicinal powers for years.

50. Placebos are in order where the patient wishes to take medicine every day.

51. The cure of a chronic disease may be often retarded by bodily or mental accidents, or intercurrent diseases, due to malaria or meteoric influences, may set in, interrupting the antipsoric treatment sometimes for several weeks, and olfaction of the non-antipsoric remedy may suffice for the removal of the intermediate disease.

52. After the intercurrent disease is removed, the symptoms of the original chronic disease may be modified or morbid symptoms may manifest themselves in other parts of the body. The patient must be thoroughly re-examined, so that the appropriate remedy may be chosen.

53. Great epidemic diseases, improperly treated and permitted to complete their course, arouse the latent psoric poison often to a high degree of intensity, manifesting itself in innumerable forms, and antipsoric treatment is the only safeguard.

54. The obstinate character of endemic diseases is due to some psoric complication or the action of the psoric poison modified by the peculiar influence of the locality and the peculiar mode of life of its inhabitants. The marshy exhalations, especially of hot countries, appear, on account of their paralyzing influence over the vital forces, to be one of the most powerful excitants of the psoric poison, which can only be calmed by antipsoric treatment. Recently developed symptoms are the first to yield to the action of the antipsorics, the older symptoms, which have permanently existed, are the last to disappear, hence local symptoms only pass off after the general health has been completely restored, and we must not be contented till the last vestige of psora is removed.

55. A great chronic disease may be cured in the space of one or two years, provided it was not mismanaged to the extent of having become incurable. In young robust persons half this space of time is sufficient. If we consider that the psoric poison has gradually ramified into the inmost recesses of the organism, patient and physician understand why much time must be necessary to master this parasitical enemy that has assailed the most delicate roots of the tree of life.

56. Where antipsoric treatment is properly conducted, the strength of the patient increases from the start and this increase in strength continues during the whole treatment until the organism unfolds anew its regenerate life.

57. The best time for taking an antipsoric is the morning, before breakfast and the patient ought then to wait about an hour before eating or drinking anything.

58. Antipsorics should neither be taken immediately before nor during menstruation. If the menses appear too soon, too abundant, and last too long, she may smell on the fourth day of a globule of a high potency of nux vomica, and several days after the antipsoric may be taken. Nux restores the harmony of the nervous functions and calms that irritability which inhibits the action of the antipsoric.

59. Pregnancy offers a brilliant sphere of action to antipsoric remedies, but only the highest potencies ought to be employed. Nurslings ought to get their medicine through the milk of the mother or wet nurse.

60. The vital force, if left to itself, tries to palliate by producing secretions and evacuations, or diarrhoeas, vomiting, sweats, ulcers, hemorrhages, etc., but they produce only an apparent alleviation of the primitive disease, and in fact increase it on account of the great loss of nutritious pabulum which the patient has suffered.

61. At the beginning of the antipsoric treatment constipation is often the great bugbear of the patient, and an injection of pure tepid water may be allowed, which may be several times repeated, until the antipsoric remedies succeed to regulate the proofs of intestinal evacuation. Sulphur and lycopodium act most favorably under those circumstances. Hot baths interfere with the effects of antipsoric treatment.

62. The smallest possible electrical sparks aid the antipsoric treatment by animating those parts of the body which had been long affected with paralysis or insensibility.

A Catechism On The First Volume Of Hahnemann's Chronic Diseases