What are the services of the dynamic physician for the true surgical diseases?

In classical homeopathy “true surgical diseases” (fractures, abscesses needing incision, deep lacerations, tumors, foreign bodies, etc.) lie outside the curative province of pure dynamic treatment. The homeopathic—or “dynamic”—physician’s role is entirely supportive and palliative, working alongside the surgeon to strengthen the vital force, alleviate suffering and speed natural repair:

1. Discrimination & Referral
• Recognize purely mechanical lesions that demand surgical or mechanical intervention (Organon §§13, 29).
• Refer promptly for the appropriate operative procedure rather than attempting primary cure by remedies alone.

2. Pre‐ and Post‐Operative Palliative Care
• Pre‐op: Aconitum napellus for fear, restlessness, shock; Arnica montana to minimize surgical trauma and bleeding tendencies.
• Post‐op:
– Arnica montana: reduce hidden bruising, pain on movement, shock to the vital force.
– Calendula officinalis: antiseptic action—promote clean granulation and prevent septic complications.
– Hypericum perforatum: nerve‐rich wounds, lancinating pains, puncture injuries.
– Bellis perennis: deep‐seated contusions, periarticular injuries (e.g., hip, gluteal abscesses).
– Ledum palustre: puncture wounds, animal bites, to prevent tetanic or septic spread.
– Hepar sulphuris calcareum: when wounds become indolent, over-suppurating or painfully sensitive to touch.
– Silicea terra: drives out retained foreign matter, hastens expulsion of slough, supports closure of chronic sinuses.

3. Managing Inflammation, Pain & Edema
• Bryonia alba: stitching pains worse on motion, dryness of membranes.
• Rhus toxicodendron: swelling, stiffness relieved by continued motion or warm applications.
• Apis mellifica: stinging, burning edema, hypersensitivity to touch.

4. Controlling Hemorrhage & Infection
• Hamamelis virginica: venous bleeding, varicosities, oozing wounds.
• Arnica + Hamamelis combination: blunt trauma with capillary rupture.
• Carbo vegetabilis: putrid discharges, coldness of surface, prurient infections.

5. Supporting Nutrition & General Vitality
• Encourage high-protein diet, vitamins A/C, zinc and adequate hydration to fuel collagen synthesis and immune response.
• Address post-surgical debility with gentle tonics—China officinalis (after blood loss), Phosphorus (post-anesthetic weakness), Calcarea phosphorica (bone healing).

6. Monitoring & Adjusting Therapy
• Reassess wound progress weekly: note granulation quality, degree of inflammation, discharge character.
• Change or add remedies if healing stalls—e.g., switch from Hepar sulph. to Silicea when pus diminishes but cavity persists.

By confining homeopathy to its dynamic sphere—never replacing the surgeon’s scalpel—the physician aids the vis medicatrix naturae in restoring integrity, reducing scarring, preventing septic sequelae and hastening full recovery.