follow well

When to Administer Complementary and “Follows Well” Remedies in Homoeopathy

In homoeopathic materia medica, understanding the timing for administering remedies based on their relationships is essential for successful treatment. Here are the key guidelines:

Key Definitions

1. Complementary: Supplies what another drug lacks; completes the cure that the previous remedy began but couldn’t effect
2. Follows Well (Compatible): Drugs that work well together, following each other in treatment without conflict [1,2]

When to Administer Complementary Remedies

Primary Timing Conditions

1. When the First Remedy Has Done All It Can Do

> *”A complementary remedy completes the cure of the previous remedy when it has done all the good it can do.”* [2]

2. When Remaining Symptoms Indicate the Complementary Remedy

Choosing the complementary remedy depends on what symptoms remain from the first remedy. [1,2]

3. For Chronic Disease Management

In chronic diseases, it is often necessary to complement the remedy because chronic conditions typically require sequential treatment. [3]

4. During Miasmatic Treatment

When treating underlying miasms (chronic disease tendencies), complementary remedies help address deeper layers. [2,3]

Common Complementary Relationships
Example
1. Aconite: Arnica, Coffea, Sulphur
2. Arsenicum album: Allium sat., Carbo veg., Phosphorus
3. Belladonna: Calcarea carbonica
4. Calcarea carbonica: Belladonna, Lycopodium
5. Natrum muriaticum: Apis, Sepia
6. Nux vomica: Sulphur
5. Phosphorus: Arsenicum, Cepa
6. Pulsatilla : Lycopodium, Acidum sulphuricum
Based on C. Hering’s Remedy Relationships [1]

Important Chronic Treatment Triads
Examples

1. Calc → Lyc → Sulph: Calcarea carbonica → Lycopodium → Sulphur
2. Ign → Nat-m → Sep: Ignatia → Natrum muriaticum → Sepia
3. Puls → Sil → Fl-ac: Pulsatilla → Silicea → Fluoricum acidum
4. Acon → Spong → Hep: Aconite → Spongia → Hepar sulphuris [2]

When to Administer “Follows Well” Remedies

Primary Timing Conditions

1. When Multiple Aspects of the Case Require Different Remedies

“Follows well” remedies work together smoothly even though they address different aspects of the condition. [2]

2. When the Case Requires Layered Treatment
Sequential remedies that complement each other without conflict allow for effective layered treatment. [1]

3. After the Primary Remedy Completes Its Action
Similar to complementary remedies, but broader compatibility for sequential use. [2]

4. For Planned Sequential Treatment
Following established remedy relationships in materia medica for complex cases. [1,2]

Common “Follows Well” Relationships

Examples
1. Aconite: Arnica, Arsenicum, Belladonna, Bryonia, Calc, Coffea, Hepar, Ipec, Lyc, Merc, Nux v., Phosphorus, Pulsatilla, Rhus, Sepia, Sulphur
2. Calcarea carb: Arsenicum, Belladonna, Chamomilla, Cinchona, Lyc, Merc, Nux v., Phosphorus, Pulsatilla, Rhus, Sepia, Silicea, Sulphur
3. Lycopodium: Belladonna, Bryonia, Calc, Carbo veg., Graphites, Lachesis, Merc, Nux v., Phosphorus, Pulsatilla, Rhus, Sepia, Sulphur
4. Sulphur: Arsenicum, Belladonna, Bryonia, Calc, Lyc, Merc, Phosphorus, Pulsatilla, Rhus, Sepia, Silicea [1]

General Timing Guidelines
Acute Conditions
– Both complementary and “follows well” remedies can be administered more frequently
– Observation period: 24-72 hours
– Transition to next remedy can happen faster [2]

Chronic Conditions

– Allow more time for remedy to act
– Observation period: 4-6 weeks for constitutional remedies
– Complementary remedies are particularly important [2,3]

Key Assessment Points Before Administration

1. Is the current remedy still acting?
2. What symptoms remain that need addressing?
3. Does the selected remedy match those remaining symptoms?
4. Is there any inimical relationship? [1,2]

Summary: When to Use Each?

1. First remedy completed but couldn’t finish the cure: Complementary
2. Remaining symptoms match a specific complementary: Complementary
3. Multiple different aspects need addressing :Follows Well
4. Layered treatment approach needed: Follows Well
5. Chronic disease requiring miasm treatment: Complementary

References

1. Hering C. Remedy relationships. Hpathy.com [Internet]. 2010 Sep 16 [cited 2024]. Available from: https://hpathy.com/materia-medica/remedy-relationship/

2. Homeopathy Plus. Introduction to remedy relationships. Homeopathy Plus [Internet]. [cited 2024]. Available from: https://homeopathyplus.com/remedy-relationships/

3. Homoeopathic Journal. A review of concept of drug relationship in homoeopathy. 2019 [cited 2024]. Available from: https://www.homoeopathicjournal.com/articles/213/4-3-8-395.pdf