In the treatment of chronic diseases, Hahnemann's instructions to write out the symptoms and arrange them according to the rules given, is an absolute necessity to attain accuracy of knowledge of the possible indicated drugs and the selection of the most similar remedy. This procedure ensures also a ready selection of the second prescription, since the record will answer all of the necessary questions and determine the right course to be pursued. The prescriber's attitude after the first prescription, in the treatment of chronic diseases especially, ought to be passive. The first and foremost rule is to wait and watch further developments. The selected homoeopathic remedy simply stimulates the vital forces to reaction, and we must await results.

No further interference is called for when any one of the following conditions presents itself:

1. Short Aggravation Of The Symptoms

This is a curative effect of the remedy. Do not interfere with it unless the aggravation continues and the general state of the patient is worse, in which case an antidote, i. e., a homoeopathic remedy for the latest symptoms is indicated. Usually one dose of such an antidote is all that is required to modify the condition, and then the case can progress without further interruption.

2. General Amelioration Of The Symptoms

It is self evident that such a condition should not be disturbed by further medication, on the principle of letting well enough alone. If the disease gets better from within outward, from above downward from more vital to less vital parts, the improvement is permanent and radical.

So an improved mental state is always a favorable indication of a well chosen remedy.

3. Reappearance Of Old Symptoms

The return of some of the older symptoms, if not too severe, indicates a curative action of the remedy administered, if they appear in the reverse order of their development, i. e., if the latest symptoms disappear first.

4. Appearance Of New Symptoms

If such come on after the administration of a remedy, they may be clinical symptoms of the remedy, and if there is at the same time general improvement, they need not be considered, as they will disappear. If they persist, the homoeopathic antidote will soon rectify the passing increase of the morbid phenomena. Under all these conditions, no further medication is required. So long as improvement is thus progressing, it is folly to change the remedy, and it is not advisable even to repeat the dose.