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Aphorism 39

Aphorism 39

Empirical treatment of allopathic physician

 Having shown effect of stronger dissimilar disease on previously existing weaker disease, Dr. Hahnemann says that although authorities of old school had seen these for many centuries that even nature cannot cure diseases by accession of another stronger dissimilar disease to the one already present in the body but they continue their therapeutics on its basis without paying heed either to nature or to their own experience and result of their treatment. 
 
Dr. Hahnemann then gives a generalized statement regarding what happens in allopathic treatment, that in an empirical way physician creates an artificial disease stronger and dissimilar to the original one, which as long as kept up, merely suspends original disease only to return when artificial dissimilar disease cannot be kept up due to diminished strength of the patient, which no longer admit continuation of allopathic assaults. These can be seen in following instances - 

1. Itch exanthema disappears soon from skin after administering violent purgatives in frequent doses, but when patient can no longer stand allopathic assaults to bowels and cannot take any dose of purgatives further, then on stopping employment of purgatives either the cutaneous eruption breaks out as befree or the internal Psora manifests itself from latent state as some had symptom in patient along with undiminished original disease resulting strength of person to come to boot. 

2 Outcome of keeping up artificial slceration on the skin and issues on the exterior of the body for eradicating chronic diseases also ends up hopelessly as discharges from ulcers and due to issues causes debility in patient when these are removed, original disease reappears uncured 

3. Pechlin and others testifies that epilepsy was suppressed for many years by means of issues which variably recurred in an aggravated form when they were allowed to heal.
 Dr. Hahnemann again repeats what he had already said that in ordinary allopathic treatment however strong the power of medicine may be. If it is dissimilar to existing disease it could never cure it rather suspends it so long as the medicines ads strongly. As the strength of medicine is reduced or it is stopped the original disease recurs uncured along with addition of some new symptom

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Explanation of Aphorism 92 Conjoint malady.  In case of chronic diseases patient can be left with some unmedicated substance for some time, so that his actual symptoms appear enabling physician to form true portrait of the disease. But in acute diseases due to its severity and fear of eminent death, he cannot adopt the very process he adopts in chronic diseases rather he takes into account conjoint malady formed by features of original disease and medicinal action to form portrait of disease i.e. he only sees the present condition and prescribes for its totality.  If patient is given inappropriate drugs then condition becomes more serious and dangerous than the original disease, thereby requiring prompt relief; which end can be reached by taking into account conjoined malady, saving the patient to fall sacrifice to the injurious effect of drugs he has taken.