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One of the prime tenets of homeopathy is the importance of spiritual factors: 'From within outward, from above downward.' In accordance with this principle the mental symptoms are of the greatest import. This does not mean that some peculiarity of the mind which is not prominent should outrank a flagrant general symptom. If the mental symptoms do not speak for themselves unmistakably the true homeopath should realize that in this individual, as in many of our remedies, the trouble is centered in a more outward and physical plane, at least at the moment. On the other hand many very marked aberrations do not at first strike the mind of a physician who is being consulted for a definite pain in some locality, and they may be of such a nature that the patient himself is unconscious of them. Every expert practitioner of our art must be a good deal of a psychologist. He must read the character of the patient and scent out the failings and warped attitudes which may be at the root of many bona fide bodily ailments.

Granted that the patient presents symptoms 10 the sphere of the mind and that the doctor values these high, how is he to use them in repertorizing ,his case? Let us take. up first the problem of the usefulness of these features in acute conditions .• We are all awake to the importance of the intense fear of the Aconite pa,tient, of the irritability and fault-finding of the accountant who needs Nux, of the irascibility of the Charnomilla baby, of the pitiful gentleness and craving for sympathy of those who need Pulsatilla even though their normal state is critical and dry-eyed. What is more difficult to perceive, is the guidance given us by what we are accustomed to think of as the chronic mental symptoms of the drug, in acute conditions calling for it. Who has not seen, or rather heard, the loquacity of a Lachesis angina? or been startled by the abruptness of an unhappy girl needing Natrum mur after an unfortunate love affair? For the best success in prescribing acute mentals should never be disregarded, often they will be the deciding factor between two remedies both of whose modalities fit reasonably well.

In chronic cases the realm of psychological traits is far richer and more suggestive. The physician knows the temperaments of his remedies and in dear cases can fit them with beautiful precision to the patients before him on mentals alone, but the majority of mankind are more complicated than this. From some remark that they let fall, from some comment of the family, from some ill-concealed uneasiness or characteristic reaction to a skilful question, from something which crops out during the physical examination, the discriminating homeopath can select his remedy or groups of remedies for study almost with certainty but many states of mind require interpretation. Is the patient before you, silent and uncommunicative, because he is a brooding introvert, or because he is timid, or has he a laugh up his sleeve? Such a decision may make the difference between studying Natrum mur., PuIs., or Lach, or is this same individual reserved because of some hidden mortification which may call for Staphisagria, or through a haughty pride of the' Platinum variety, or is he one of the 'stiff-necked' people needing a limbering dose of Lycopodium? If, on the other hand, your patient be excessively communicative, is it the loquacity of Lachesis or Calca,rea Phos., is it the lack of mental modesty of Phosphorus, is it the hypochondriasis of Ignatia, or the egoistical philosophical garrulity of Sulphur?

If the mental symptom which you see does not appear in the repertory even under any of i.ts synonyms, what then? You must be very sure that your choice of so important a rubric is a just one. Often your patients will not confide in you, do what you will, yet you may know that their lack of reaction or other symptoms are due to psychic causes These you must feel out and sense and often give the remedy for, without making the patients aware either that they have them or that you know it. Do not forget the unspoken influence of sex difficulties: your Conium, your Origanum, your Lycopodium, your Apis. In handling any case where the patient has a marked character defect be it jealousy, vengeance, temper, obstinacy or what not, use that as a symptom and your chronic remedy will often change the life of the whole family. Above all, remember the grading of the mentab: first, those having to do with the love of life; next, such as affect the creative instinct and love of other human beings; thirdly, those which pertain to traits ... of character, to desires and aversions; and fourthly, those concerning emotions which are thwarted or suppressed.
 
Do not let the patients mislead you.Have infinite patience, tact and intuition, and con over again and again the section on Mind in Kent's Repertory, and then your patients, homeopathy and yourself will be rewarded.

Homeopathy that, in an untreated case which requires an acute prescription, the most recent symptoms are the guide to ,the remedy that you should start with. When you have taken a chronic case from birth on, you should be able to see what remedy this human being needed as an infant, as a child, at puberty, in young adulthood, in maturity and age. At some time in the complete cure of a personality you may, as it were, work back to the basic remedy needed or element lacking many years before, but if you give this substance prematurely you will put your timing off. Only the nosodes can be given with profit, either first or insercurrently, as timing regulators. To borrow a botanical analogy, the nosodes are like the genus and the remedy the species.

The most perilous moment in any homeopathic cure is that of the second prescription. If you cut in zeal or panic before your first dose has run its course to the full, you will mix up your case. On the other hand., if you wait too long, you will lose valuable time and may alienate your patient. The expert homeopath should be able to 'smell' when a repetition, change of potency or another remedy is indicated and should have the character not to be stampeded or mislead by the disease, the patient, the family, the consultant, the nurse or the family retainers!

Remember your cardinal principles:
Never repeat a remedy when the patient himself is improving.
Never change a remedy when the symptoms are following Hering's law of cure in the reverse order of the symptoms.
 Never change your remedy when a discharge or eruption follows the administration.

But there is more to timing than just repetition or change. One can almost include potency selection under timing. The patient's vitality is rhythm. and his pathology or suppressions are obstacles.·- A homeopathic cure is something of a steeplechase; dock your remedies and your potencies and may the best timing win.