Cure with a homoeopathic remedy should follow this process:
1. Remedy is selected on the basis of similarity to the most important and peculiar parts of the case.
2. Remedy is given in the potency most appropriate to the situation, the vitality of the patient, the extent of pathology (tissue changes), and the sensitivity of the patient.
3. Remedy is given according to the law of the minimum dose - just enough to instigate the change. Our medicines produce a kind of 'cascade' effect, work like catalysts. They start a process of change, and you only want to make sure it starts and continues to the end. Doing more than this (overdosing) actually creates more problems than the patient may have started with, including making them incurable (potentially).
4. Watch and wait after the initial dose (or doses) are given. Allow for the initial homoeopathic aggravation which MUST occur if you are going to see any cure happen, and especially if you want the improvement to be stable and last. Aggravation is actually the symptoms produced by the remedy (what we call the 'artificial disease'), which if selected properly, will resemble your own symptoms to a large degree, although perhaps not perfectly. Aggravation can be quite minor, but should be seen in some way.
Also watch for a 'healing crisis' to occur. This is the Tertiary reaction to the remedy's Primary and Secondary actions - where the vital force has been 'realigned' in a more healthy way, and begins to do its job of correcting the various dysfunctions in the system. When this happens, various conditions and sets of symptoms found in specific bodily locations will suddenly flare up, as the vital force attempts to cure them. This isn't a direct result of the medicine, but is a result of the vital force suddenly 'remembering' how to achieve good health.
A healing crisis is usually what we call a 'return of old symptoms', since it is something that has been left behind and uncured, but becomes the target of a more active healthy vital force trying to fix it. This could happen anytime after the remedy - it might be weeks or even months later.
5. Once the aggravation is over, examine the case to see if and how things have changed. Look at these changes in terms of Direction of Cure (things move from inside out, from top to bottom, from more important to less important, from new to old symptoms). Look at these changes in terms of the hierarchy of symptoms, to see how close the remedy is working to the vital energy itself the centre) rather than at the periphery of the case (the outer layers).
Energy->Sensation->Delusion->Emotion->General->Local->Pathological. These are the levels with a living thing, from most important to least important.
Hierarchy is really important for understanding what kind of medicine you have actually ended up prescribing. It is common for people to believe that a remedy working on the Emotional level is deep acting, when in fact this is only the 4th level. Not shallow, but not deep. The further down you shift things, the more likely you will get stable, long-lasting cure that does not require constant dosing or management.
A healing crisis may need to be left alone, or it may need further help to be resolved. Sometimes this means a completely different remedy. A healing crisis allowed to go on without intervention may resolve itself, showing a renewed strength within the vital force. A healing crisis however may also show a weakness it still cannot overcome, requiring Homoeopathic intervention. The vital force will ask for help by displaying new symptoms, or a new shade of the old symptoms, and if ignored it will simply go back to the old state of ill health unchanged.
6. If the remedy has been seen to have been beneficial, you examine signs in the case for ongoing improvement, relapse, or a lack of movement.
Relapse is usually a call for repeat of the remedy, and then a change in potency if it continues. It may also call for a change of remedy should these measures fail. Relapse can happen because of something the patient does or is doing (using other medicines, exposing themselves to a harmful situation, suppressing symptoms thrown up by the initial medicine etc). Why it happens will often determine how you react to it.
Lack of further improvement (case is 'stuck') always calls for full reassessment. Check the hierarchy, check direction of cure, check behaviour of the patient. Often