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The term keynote is merely suggestive as used in this
connection, the reference being to the analogy between
materia medica and music. This analogy is shown in the
use of other musical terms in medicine, as when the
patient speaks of being out of tune, or the physician
speaks of the tone of the organism. Disease is correctly
defined as a loss of harmony in function and sensation.
The keynote in music is defined as the fundamental note
or tone of which the whole piece is accommodated. In
pathology the term pathognomonic symptom expresses what
might be called the keynote of the disease, or that
which differentiates it from other diseases of a similar
character.
Much has been said of keynote prescribing; many at the
present time use a repertory simply as a means of
seeking a key to unlock the case through the peculiar
and unusual symptom. This has certain value, if we are
so fortunate as to find the simillimum by some
outstandingly peculiar symptom; but most often this is
not enough, and it has little more value than selecting
at random any one remedy from a group known to have a
certain symptom in the provings. We must not fail to
recognize the value of the totality of the symptoms; and
this must take into consideration the chief complaints,
those of which the patient most often complains, plus
the peculiar characteristics of the patient. If both
these elements are present, we may be sure we are on the
right track.
The real keynote system as taught and practiced by the
late Dr. Henry N. Guernsey (but perverted by many) does
not conflict with the doctrine of the totality of
symptoms, nor does it fall short of complying with
Hahnemann's injunction to pay most attention to the
peculiar and characteristic symptoms of the case. It is,
in fact, strictly Hahnemannian. The truth is that Dr.
Guernsey simply invented a new name for the old
Hahnemannian idea.
1. Roberts, Herbert A., M.D., The Principles and Art of
Cure by Homeopathy.
3. Close, Stuart, M.D., The Genius of Homeopathy
courtesy:Douglas Hoff
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