Prof.(Dr.) Sailendra Kumar
Hahnemann clearly states about the application of single medicine at a time, in his organon of medicine
Aph: 273 (6th ed.) (Aph 272 – 5th ed): In no cases under treatment is it necessary and therefore not permissible to administer to a patient more than one single, simple medicinal substance at one time.
Aph. 274 (5th & 6th ed.) As true physician finds in simple medicine, administered singly and uncombined. “It is wrong to attempt to employ complex means when simple means suffice”.
A simple medicinal substance when used in diseases, the totality of whose symptoms is accurately known, renders efficient aid by itself alone, if it be homoeopathically selected. (Aphor. 274)
Aph. 274, Foot Note 1 (5th ed) Some homoeopathists have made experiment , in cases where they deemed one remedy homoeopathically suitable for one portion of the symptoms of a diseases, and a second for another porton, of administering both remedies at the same or almost at the same time; but I earnestly deprecate such a hazardous experiment, which can never be necessary, though it may sometimes sees to be of use.. 272 F.N.)
Reasons for applying only single medicinal substance at a time
• If more than one remedy be used, the physician-cannot know which element was curative and one source of future guidance is therefore obscured.
• Administration of several medicines at a time may contraindicate each other or antidote the action of the other medicine.
• If more than one remedy be used, the possibility of synergistic action cannot be ruled out, but it cannot be argued that the effect will be the sum total of the effects of the separate drugs.
• The disappearance of symptoms following poly-pharmacy will bring a few more confusion regarding the second prescription because of which the symptoms are removed by what medicine will not be clearly known.
• The dynamic vital force is a single substance. So the medicine intended to correct its disturbance and disharmony should be prescribed only singly, one at a time.
• If poly-pharmacy is continued for a prolonged period it may produce iatrogenic disease (or artificial chronic diseases or drug disease).
• The homoeopathic medicines were proved singly and the Materia Medica was built up on the observed effects of drugs given singly, either in planned provings or in accidental proving.