2. If there is structural change. This occurs if there is organic damage, such as an arthritic problem, then the response is going to be slow with a slow, but gradual improvement .
3. The
correct potency. Where there is organic damage, such as arthritic conditions, the best results are likely to be achieved by low potencies. These can be repeated frequently and can be taken regularly for months. When improvements are seen then the remedy should be stopped, only to be taken again if the symptom reappears.
4. The strength of the vital force. If the vital force of the patient is weak then the general state of the individual is assessed. In this case a low potency is recommended due to a too high potency can result in a long aggravation of the symptom.
5. The similium of the wrong remedy. If the wrong remedy is chosen there will be no response.
There will be no aggravation or improvement.
6. Underlying miasms. If the well indicated remedy either only produces a short relief, or little response, then an underlying miasm may be producing a blockage of Vis Medicatrix Nature.