CENTRE FOR EXCELLENCE IN HOMEOPATHY

CONTINUING HOMEOPATHIC MEDICAL EDUCATION SERVICES

QUARTERLY HOMEOPATHIC DIGEST

VOL. VI, 1989

Lead me from Untruth to Truth

Lead me from Darkness to Light

Lead me from Death to Immortality

Adyaya I Brahmana 3 Mantra 28

(This service is only for private circulation. Part I of the journal lists the Current literature in

Homeopathy drawn from the well-known homeopathic journals published world-over - India, England,

Germany, France, Belgium, Brazil, USA, etc., discipline-wise, with brief abstracts/extracts. Readers may

refer to the original articles for detailed study. The full names and addresses of the journals covered by

this compilation are given at the end.

Compilation, translation, publication by Dr.K.S.Srinivasan, 1253, 66th Street, Korattur, Chennai - 600

080, India.)

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QHD, VOL. VI, NO.1, MARCH 1989 ............................................................................................................... 3

1.1

TUBERCULINUM - DR. TOMAS P, PASCHERO ........................................................................................... 4

1.2

TUBERCULINUM - CH. BAUDEMPREZ ...................................................................................................... 9

1.3

TUBERCULINUM RESIDUUM - G. DESMICHELLE ........................................................................... 17

1.4

THE TUBERCULINS - H.V. MILLER ........................................................................................................ 18

1.5

INDICATIONS FOR TUBERCULINUM IN PAEDIATRICS - BY HEDWIG IMHAUSER .......................... 26

1.6

BOOK SHELF ........................................................................................................................................... 30

QHD, VOL.VI, NO.2, JUNE 1989 ................................................................................................................... 31

2.1

MENIERES DISEASE TREATED WITH CHENOPODIUM - R.A.F. JACK, MRCGP, FFHOM,

FBMDSH ................................................................................................................................................... 32

2.2

A CASE OF MERCUIRUS SOLUBILIS - ROBERT ROMER ...................................................................... 36

2.3

NEOPLASM AND PLEURAL EFFUSION – A CASE REPORT AMITAV GHOSH MBBS,

FRCP(GLAS), FFHOM, DCH, DTM&H ................................................................................................... 38

2.4

A CASE OF TUBEROUS SCLEROSIS TREATED WITH ARTEMISIA VULGARIS - R.A.F. JACK, MRCGP, FFHOM,

FBMDSH ................................................................................................................................................... 41

2.5

A CASE OF PEMPHIGUS - DR. FRANCISCO X. EIZAYAGA .......................................................................... 45

2.6

“SEES SPIDERS” – A CASE OF TONSILLITIS - BY DR. ARTUR BRAUN ............................................... 48

2.7

BOOK REVIEW ........................................................................................................................................ 53

QHD, VOL.VI, NO.3, SEPTEMBER 1989 ..................................................................................................... 59

3.1

LILIUM AND THE RELATIVE VALUE OF SYMPTOMS - GEORG VON KELLER, M.D. ................. 60

3.2

LILIUM AND THE EMERGENCE OF OUR GUIDING SYMPL'OMS - BY G. VON KELLER .................. 73

3.3

NEWS ........................................................................................................................................................ 81

3.4

BOOK SHELF ........................................................................................................................................... 84

QHD, NO. 4, DECEMBER 1989 ..................................................................................................................... 85

4.1

AILMENTS OF DISAPPOINTED LOVE - GUY KOKELENBERG, MD ...................................................... 86

4.2

SYMPATHY - A DIFFERENTIAL - BY GEORGE VITHOULKAS ........................................................ 94

4.3

ANXIETY ABOUT OTHERS, A DIFFERENTIAL - BY GEORGE VITHOULKAS ............................... 95

4.4

ANXIETY ABOUT HEALTH, A DIFFERENTIAL ................................................................................. 96

4.5

ANXIETY REMEDIES ............................................................................................................................. 98

4.6

PRE-EXAMINATION DIFFICULTIES IN SCHOOL - GEORGE VITHOULKAS ................................. 100

4.7

JUGLANS CINEREA AND JUGLANS REGIA - BY A.WEGENER ......................................................... 102

4.8

CHIMAPHILA UMBELLATA AND CHINA OFFICIANALIS BY H.EPPENICH. ................................... 104

4.9

SOME USEFUL RUBRICS IN MULTIPLE SCLEROSIS ...................................................................... 105

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1 QHD, Vol. VI, No.1, March 1989

Dear Doctor,

This, the first number of Vol. VI, 1989, discusses only the TUBERCULINS. This is

rather an “up to date” on the TUBERCULINS.

The “drug-picture” of the TUBERCULINS are based on clinical findings only, repeatedly

verified. Many of these have to be added to the repertories currently in use.

The TUBERCULINS rank with such remedies as SULPHUR, CALCAREA,

LYCOPODIUM, PHOSPHOROUS and PULSATILLA in children’s sicknesses and no

practitioner can afford to do without a complete and full knowledge of this great remedy.

Verification of the indications given herein may please be communicated.

March 1989.

Yours sincerely,

K.S. SRINIVASAN

1253, 66

Street,

Korattur,

Madras 600 080

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1.1 TUBERCULINUM -

Dr. Tomas P, Paschero

The fundamental characteristic of the tubercular type is the changeability of symptoms.

The patient has no fixed symptoms, only constantly varying ones. As soon as one thing is cured,

another appears. Today the trouble lies in one organ, tomorrow in another. One good day, the

next bad. The well-chosen remedy, corresponding nicely to the patient, far from helping him,

simply changes the symptom picture and he returns with another set of symptoms corresponding

to another remedy. The word change fully expresses the essence of the tubercular state.

This particularity, so characteristic of the tubercular miasm, is as much physical as

psychological. The patient has a desire to travel, to move about, to change his surroundings. It is

as though he were captivated by an uneasy restlessness from which he knows no respite, no

peace.

Another characteristic is irritability. An angry, excitable patient, he is weak, nervous and bad-

tempered, especially in the morning. Nothing satisfies him. It is impossible to please him.

Always ill at ease, he becomes angry at the least little thing.

He makes mountains out of molehills. He has a strong dislike for certain persons which

can become obsessive. He does not control his reactions; he cannot suppress his impulse “to do

something” or even break something in order to release his aggressivity and calm his hypertense

psyche.

This irascibility is a symptom of great value in uncovering the tubercular miasm,

particularly in the case of a child normally mild-mannered and calm, who overnight becomes

transformed into an aggressive little monster, someone who curses, throws things, wants to fight,

is antisocial, and cannot tolerate having his anger in any way stifled. Like Colocynthis, Ignatia,

Natrum muriaticum, and Lycopodium, any restraints on his aggressive nature bring on trembling,

weakness, and general debility.

Tuberculinum is also very fearful, mistrustful, and anxiety ridden. He has a fear of death,

of animals, especially dogs. Fears he will die if left alone – that he might succumb to a suicidal

impulse. It is as if the fears, the sadness; depression had been engrafted onto him. He cries

easily, often without reason. He can often be unable to stop crying over totally insignificant

matters. A non-stop complainer, he is filled with hopeless despair.

His dissatisfaction results in a marked indifference to everything combined with laziness,

apathy, and an uneasy restlessness. On the one hand he has an aversion to both physical and

mental work. To him everything is an effort, even eating and drinking. He has no enthusiasm for

anything. He detests speaking or being spoken to. He doesn’t even want to make the effort of

replying to a question. On the other hand, he is unendingly restless, always wanting to do

something; to travel to changes his job, occupation, his course of study. He changes doctors

constantly. He is full of doubts and cannot make even small decisions. Ambivalence characterize

him. He wants something and then does not want it.

Deep down, Tuberculinum is overwhelmed by a deep depression affecting his mind and

body. To concentrate and do intellectual tasks is painfully difficult. He must read and reread a

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sentence in order to understand it. He has brain fag plus a certain amount of dullness and

confusion which makes things seem bigger than life, out of proportion, or downright weird.

Because his reasoning powers are weak, it is difficult for him to have an appropriate intellectual

attitude toward his perceptions.

To summarize the mentals of Tuberculinum, we can say he is a patient subject to constant

changes, who has a variety of symptoms, and whose mental state is contradictory and

ambivalent. In addition, he is sad, depressed, angry, apprehensive, fearful, anxious, indifferent,

lazy, restless, and confused.

There is a certain Tuberculinum which presents with a schizoid personality: egoistic,

autistic, and introverted with a tendency to biting, destructive criticism. This destructive side of

his temperament is syphilitic. It binds with psora to form the tubercular miasm.

An important general symptom of Tuberculinum is that he is always chilly, always

feeling the cold. This chilliness makes him susceptible to catching colds though it is not easy to

know how or where he catches them. In children, for example, we see frequent bouts of

tonsillitis with swollen tonsils and adenoids and copious post-nasal catarrh. All these symptoms

come with fever and there are frequent relapses coming one after the other. Tuberculinum can

do what no other remedy can for these little ones with a tendency to eczema and a family history

of tuberculosis.

Despite Tuberculinum’s chilliness and lack of vital heat, he exhibits a paradoxical

symptom: a desire for fresh air. He wants the doors and windows open. He can have chills, but

he wants to be in the open air. Although he catches cold and becomes worse, he wants that open

air.

His hypersensitivity to cold is extended to changes of weather. So sensitive is he that he

can predict a coming storm as can Medorrhinum, Phosphorus, and psorinum.

Another trait of fundamental importance in Tuberculinum is fatigue. It is an

overwhelming tiredness that peaks in the morning on rising when he feels faint as if he might fall

down with each step. So weak is he from the knees down that he is often forced to seek support

from any companion he happens to be with.

Tuberculinum presents with great fatigue, both mental and physical depletion, and with

an impaired ability to recover from acute illnesses, especially respiratory complaints, influenzas,

or seasonal colds. In children, for example, one can see wonderful results from a single dose of

Tuberculinum avaire after measles or a debilitating flu.

Finally, this remedy exhibits a marked degree of loss of muscle mass, wasting, and even

cachexia. Despite a huge appetite, despite eating any time, day or night, he tends to lose weight

or to remain at a substandard weight. One can state clearly that a patient with such a voracious

appetite combines with an inability to assimilate food must be an extremely tired, exhausted

individual.

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It is not good practice to prescribe on general impressions, but in the case of

Tuberculinum, like all the nosodes, the symptoms we have described, without unduly

emphasizing any of them, form what Compton Burnett characterized as the inherited tuberculinic

miasm. The particular symptoms of a given case must correspond to the general basic

constitutional framework. Local symptomatology, such as the migraine headache, thereby

acquire special significance.

The headaches of Tuberculinum are extremely intense and constant. Located in the right

forehead or above the right eye, they extend to the neck and spine. The headache produces a

sensation of heat and heaviness in the vertex or of an iron band squeezing the head. Frequent

flushes of heat often accompany this headache. Characteristically, the headache is periodic and

alternates with other complaints. It appears every one, two, or three weeks and in between one

can see respiratory, nervousm or other complaints. It is a known clinical fact that symptoms of

mental derangement can alternate with the symptomatology of pulmonary tuberculosis.

These very advanced tubercular states, which can go into meningitis or into a complete

loss of the mental faculties or into fulminant pulmonary TB, are extremely difficult to recover

from. One of our cases presented as an outbreak of schizophrenia with a total refusal to speak.

She improved with a single dose of Tuberculinum C.M. Her mental condition eased up; she

began to interact with her environment and she regained her speech. But at the same time, it

activated pulmonary tuberculosis which greatly alarmed her family. They were even more upset,

however when told that if we were to antidote the action of the remedy, we might very well bring

back her former mental state. Faced with the dismal memories of her madness, the family opted

to wait. The sick woman was placed in a sanatorium in Cordoba where later she died. The

deeply embedded tubercular taint could not be overcome, and it acted to stop the vital force as it

moved, curatively, from the mind to the organs, following Hering’s Law.

Another particular symptom in Tuberculinum is constipation alternating with diarrhea.

The constipation is as obstinate as in the sudden diarrhea which customarily forces the patient

out of bed, just as we see in Sulphur. Chronic diarrhea is a frequent symptom in pretubercular

patients. From Burnett we learn that intestinal parasites tend to take up residence in patients with

the tubercular miasm.

Rheumatic pains also trouble Tuberculinum. Like Rhus toxicodendron, the pains are

worse with movement. The afflicted person has trouble initiating movement as he has to

override the stiffness of the joints, but once walking or moving, he is better. That is to say, he is

worse at rest as well as from the cold, humidity, change of weather, and storms.

Finally, the classic particular symptom of all tuberculinics: the cough. It is hard, dry,

spasmodic cough producing abundant thick yellow expectoration. The cough by itself, however,

does not provide sufficient distinguishing characteristics if it is not accompanied by the general

symptom picture – loss of weight, fatigue, nervousness, and by the modalities – difficulty

breathing in a warm room, desire for cool open air in spite of a general chilliness, and sometimes

even chills.

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Other particular symptoms could be mentioned, but we insist, none of them are worth

much if not accompanied by the basic mental and general symptomatology which must furnish

to the homeopath a faithful impression of the entire picture.

We consider it useful to relate several typical clinical cases which were benefitted by

Tuberculinum.

A child of three was brought in on account of his nervousness and extreme anxiety.

Crying and shouting almost non-stop nothing satisfies or amuses him. At night he gets up and

cries or starts to sing. Every so often he catches cold. Permanent runny nose. Recurrent styes.

Constantly hungry yet always thin. Intense thirst all the time. Very unpleasant fetid breath in

the mornings. Fear of dogs. Crying and fearful shouting when he sees one.

Boy of six brought in for extreme lack of appetite. He is very thin with multiple

ganglionic infarcts mainly of the carotid chain (sic). Suffers from diarrhea and frequent

indigestion of unknown etiology. Fetid breath. Suffers from insomnia being too anxious to

sleep. Grinds his teeth forcefully during sleep. Is always bad tempered and unsociable. Of a

sullen, difficult disposition. He is annoyed when spoken to.

An 8-year old girl. She has a fever of 37.5C, more or less, every afternoon. She has lost

three kilos in the last four months. During the same time she has turned into an irritable,

agitated, sad and weepy child. She cries during her nightmare-filled sleep and screams with

horror. She cannot be awakened or her anxiety soothed except after quite a long time. For the

last 20 days she has had copious fetid diarrhea with three or four morning bowel movements.

The first stool forces her out of bed. She presents with intense pains in the right side of the

abdomen when running and sometimes even when walking. Lienteric stool and appendicular

pains. Intense thirst. Marked flatulence.

A 16-year old boy. Comes in because he is unable to put on weight. He is very thin,

tired, and exhausted. Unable to study due to poor memory and concentration. Sweats copiously

on hands, face, and trunk. Dizzy in the morning on rising. Great nervous debility. Everything

annoys and vexes him. Any little thing irritates him greatly. Finicky about food. Nothing

pleases him. He lives almost exclusively on café au lait. For the last three or four years he has

had a dry eczema on his forearm and thighs. Periodically he has vague headaches.

A 53-year old male patient. Comes in for the following problems: very painful rectal

fistula with periodic suppuration. Severe headaches accompanied by heat and tightness in the

forehead and nape of the neck. He catches cold quite often. Endless nasal discharge

accompanies. The colds go into bronchitis with copious sputum. He suffers greatly from the

cold, but he cannot live without fresh air. He is a vegetarian more than anything else because of

an overwhelming aversion to meat. Constantly thirsty. Very excitable and at the same time sad

and dejected. Always talking about the unpleasantness of his job. Though aware of his own

intolerant nature, nevertheless he manages to have constant run-ins with everyone. Wants to

change his surroundings and live somewhere else. He is waiting for his coming retirement in

order to fulfill his longstanding wish of moving to another place and travelling.

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The above cases demonstrate different facets of Tuberculinum. Such examples,

demonstrating the essential characteristics of Tuberculinum, could be multiplied many times.

But the important thing is to grasp the morbid temperament of the tuberculinic miasm and to

diffenentiate it from the great polychrests.

[From the JOURNAL OF THE AMERICAN INSTITUTE OF HOMEOPATHY, DECEMBER,

1986 VOLUME 79, NUMBER 4]

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1.2 TUBERCULINUM -

Ch. Baudemprez

I would like to first put forth a study of Tuberculinum – or to be exact, about Tuberculins and

their application in the so-called tuberculinic states.

What is Tuberculinum? Tuberculinum is a nosode. What is a nosode? According to

definition nosodes are curative medicines which are prepared according to the homoeopathic

method of attenuation and dynamisation. Their sources are pathological products from the

diseased organs.

Homoeopathy knows three specific methods of application of nosodes:

1. They are prescribed according to the totality of symptoms on the basis of individualisation after a

pathological diagnosis: this corresponds to the teaching of KENT and his followers.

2. On the other hand one can proceed according to the french school which has in many cases given

notable results when it is administered according to this method of a single dose or repeated doses to

consolidate a cure which has already been initiated and to stabilize as it were an immunity already

acquired considering the diathesis. For example the condition of an asthmatic who has already been

cured by Natrum muriaticum or Pulsatilla can be very impressively strengthened through

Tuberculinum 200 every month.

3. The third possibility is not seldom met with. These are cases where a properly selected remedy was

able to start a curative process but did not succeed fully. Often the anamnesis reveals an earlier

infectious disease whose toxins have in their own way polluted the organism so that a spontaneous

medicinal action is not at all possible; in this case the nosode improves perceptibly the self-healing

state of the organism and reestablishes everything in their order even if there was, between the earlier

infection and the current symptoms, a relatively long time-interval and an apparent state of well-

being.

Foubister, London reports the case of a Menieres disease which resisted traditional

therapy as well as homoeopathic. In the past history there was measles which was complicated

with a middle ear inflammation. After the measles wore off and during past 10 years the patient

felt extremely well until the moment the vertigo appeared. Foubister managed to totally cure this

patient by a single dose of Morbillinum (the nosode obtained from the measles virus) in higher

potency.

Generally the nosodes are used (associated with the 4 classical diathesis in which

naturally Tuberculinum is included) mainly according to the points 1 and 2 mentioned above.

This study is, above all, dedicated to Tuberculinum and the Tuberculins. The range of

Tuberculins is not those nosodes originating from tuberculous sources, like Bacillinum, Aviaire,

Tuberculinum bovinum, Tuberculinum Koch, Tuberculinum residuum Koch but also the serums

and vaccines which are used in their own way in tuberculosis. It is therefore clear that we must

possess a clear knowledge of those conditions which we consider as tuberculous if we were to

allot the different Tuberculins their special rolls.

What is tuberculinic? Tuberculinic is basically a patient who does not suffer from

tuberculosis from a tuberculous infection; the true bacillus which progresses further is absent.

Consequently, the tuberculinic is not a true tuberculous patient. However, because of the latent

infection still lying in him, his constitution is altered; he is also more predisposed to fall sick.

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Landouzy gives those indications which he very aptly and picturesquely describes and signify

those which indicated so much as “ailments lying behind”. Not really sick, the tuberculinic is

seldom well: here before us is a lanky weakling who at 16 years is 1.82 m tall almost constantly

chilly, perpetually tired (the waking up in mornings is an agony for him), without much appetite

although mostly very hungry and the emaciated condition can hardly be improved by either

energy foods, tonics or the usual vitamins administrations. He has to frequently discontinue

taking part in competitions because he feels very weak or headaches paralyses his thinking

ability; an unfortunate young man in his sorrowful youth visiting physician after physician who

tell him that “there was nothing wrong with him, only a weakness conditioned by his generally

poor state”. Actually X-rays reveal evident involvement of the hilus, frequently anaemia is

diagnosed, a leucocytosis and a BSG on the upper limit over normal. In brief, these as sketched

above, are the symptoms of the sick person.

This clinical comprehension agrees with the general understanding that the toxins of

tuberculosis were existing before the bacillus; this corresponds to the currently applicable

Calmette’s view about the ultraviruses (filterable microbes), Calmette describes a complete

series of diseases which take on malignant forms which are seen as the causative results of the

ultraviruses, without however proof of B.K.: effusion of the pleura, the pericardium, the

meninges, the peritoneum, hydrocele, true rheumatic types like erythema nodosum, recurring

joint effusions of knees, typhobacillus Landouzy (Fondroyant progressive tuberculi bacilli

sepsis).

A second group is drawn again according to Calmette – from those chronic diseases in

which tuberculous bacilli are demonstrable. If on one hand the ultraviruses are considered as the

cause for the initial phase as also for the end state, likewise however, the terrain is already in a

susceptible condition for the organism to be penetrated by the BK and cause the disease. Also in

a tuberculous mother a foetus can be infected by the ultraviruses through the placenta.

These facts make us know that the progressive tuberculosis precedes a tuberculinic toxin

condition, which possibly is inherited in that the predispositions of the patient to disease and

typologic stigmata were loaded on to him through the ultravirus from his parents.

(To clarify further what has been said here - above all concerning the hereditary process –

Karl Stauffer is quoted: “Besides infection the disposition plays a not-to-be-under-estimated role,

perhaps the major role: usually the hereditary taints will be ascertained from the anamnesis and

since tuberculosis is seldom established in childhood years whereas often in the growing years

and 20s and later, the question is: if the disease develope latently, have the bacilli already taken

hold before their detection in the Organism? Are they reproductions from father or mother, are

they something that have been infected through the mother’s milk, is the disposition or the

disease itself hereditary? Many authors adopt the last mentioned and in some cases they are

right; majority of the cases are only the disposition, an inheritance of an Organism without

capacity to resist the bacilli and this constitutional anamoly becomes known to us in our practice

as scrofulosis, a condition which on the whole covers the Psora of Hahnemann”.) (Karl Stauffer:

Homootherapie, Johannes Sonntag Verlag, Regensburg, 1924).

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The tuberculinic is recognized by positive symptoms. I will cite these symptoms in the

sequence in which Fortier Bernoville has described in his study:

1. Extreme changeableness and inconstancy of symptoms (Ignatia, Pulsatilla).

2. Disposition to colds and bronchitis particularly in wet cold and from least weather

change.

3. Cyanotic condition of extremities (Pulsatilla, Ignatia),

4. Condition suggesting demineralisation will be indicated by the following symptoms:

emaciation, caries of teeth, leucorrhoea, phosphaturia (Natrum muriaticum, Silicea,

Calcium phosphoricum, Pulsatilla).

5. Chronic intestinal or cutaneous parasites.

6. To the general symptoms: progressive emaciation despite appetite which itself may

become ravenous hunger also.

7. Finally, the mental and emotional symptoms: a remarkable restlessness: compelled to be

moving constantly, accompanied by incessant desire to change position. In most of the

cases could be found, if not necessarily, an acquired or inherited tuberculosis in the past

history.

From clinical experiences it can be deduced that a number of polychrests may be reckoned

under this group of the so-called Tuberculinum remedies, that is, those major constitutional

medicines which in different grades of efficiency exhibit some of the above mentioned

characteristics, and it is not that there must exist an aetiologic connection to tuberculosis. These

remedies, above all are: Natrum muriaticum, Phosphorus, Sulphur iodatum, Drosera, Calcium

phosphoricum, Pulsatilla, Silicia and naturally Tuberculinum Koch and other Tuberculins. The

sickliness of the tuberculotics has been well depicted in the pathogenic description of

Tuberculinum. The pathogenesis of Tuberculinum is the result of the different experiments with

the mixture of Tuberculinum Koch and bovine Tuberculin with the addition of phenol as

preservative agent.

It should be remembered that some of the Belgian homoeopaths have done excellent work in

the early experiments: Dr. Gaillard, De Keghel and Mersch. The results of their works have

been set forth in the Congress of the Cercle Homoeopathique des Flandres in January 1891.

In the pathogenesis described below I have attempted to highlight the essential feature of

the different human and bovine Tuberculins. Tuberculinum is obviously a medicine of deep

action on the individual constitution.

A frequent indication is in cases in which the organism shows inadequate reaction to the

apparently well selected constitutional medicine (a specific reaction which, however, is for a

short duration only, indicates a Tuberculinum case: a Psorinum-case on the other hand does not

at all react).

For example: a patient consults you for asthma. This case speaks out for Sulphur:

indicated symptoms are the high value ‘general’ symptoms: nightly burning feet, irresistible urge

for stool in the mornings, sensation of weakness from hunger at 1100 hrs, characteristic skin

ailments etc….. You prescribe the medicine and declare much improvement; this holds for a

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few weeks but after this lapse of time the disease recurs and you have to disappointedly say that

the case does not anymore accord with Sulphur or you diagnose another disease which indicate

another medicine and so on it goes ……

In such cases Tuberculinum must be first considered, particularly if there was a

tubercular history which the patient himself had suffered or is demonstrably inherited.

This variableness in the reaction to the chosen remedy as also the necessity frequently to

change agrees totally very well with the predominant mental symptoms of our nosode:

nervousness with extraordinary restlessness with regard to quality of character and likewise a

peculiar variability.

Tuberculinum suits typically the enervated patient, sensitive, thin, tall, narrow-chested;

he is assailed by constant exhaustion, lax fibre, above all lax, in young women prolapsed uterus.

In evenings particularly the pulse is accelerated; the patient is nervous; very excitable in the

mornings on waking up, he perspires on least exertion, is moreover averse to every work,

anxious mainly evening to midnight and before a stormy weather.

To these major frailities is added a progressive thinning which is contrary to a generally

good, more often even extreme, appetite; this does not hinder our patient from constant

movement and continuous shifting of position since standing for long enfeebles him just as it

would be if he had exerted himself for a period of time while on the other hand he is unable to

employ himself for long period; a conspicuous sign is his changeable “caprices” likewise – his

occupation, his fashions, his friends, his loves – and such other affinities and his physicians

(Kent).

He is constantly chilly, especially in wet-cold weather and from least temperature

changes; inspite of this he cannot tolerate closed rooms, has the desire for fresh air and to take in

deep breaths.

Tuberculinum wants doors and windows open and short walk in windy weather.

He is generally a lean patient with blanched face, mostly light-skinned, with red and

cracked lips, blue sclera, with numerous blackheads on the wings of the nose. Children have

delayed teething. Downy hair on chest and lumbar region.

The Tuberculinum patient is very intelligent if not precocious as the case generally is

with inherited taints.

At school Tuberculinum is the truly thinker type, with large head and short-sighted,

lymphatic appearance, does not play during the interval when he considers it better to read a

book; mathematics is tough for him and unfortunately he has to suffer from constantly recurring

health problems like colds, headaches, his studies are interrupted so that he is unable to

successfully terminate his studies.

Very angry, our young patient covers it fully and develops a sullen attitude and reacts

curtly to every approach; it is a difficult child which always wants to have it own way (a “no-

child” as the English say). During a fever or during sleepless nights he complains of delusions in

which mostly haphazard and disordered bizarre thoughts follow each other.

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From out of this characteristic disposition and in contrast to his constitutional weakness

he develops a constant need for movement and change. He is the unsettled, always changing and

always invents new excuses to go on journeys; it is the young girl who looks for all the hair-

dressers and tailors of the town without obtaining gratification of her tastes; with the ease with

which he changes his underwears he changes his acquaintances, his friends, his political views

and his physicians.

When he lies ill in bed our patient tyrannises his society constantly with censorious

commands. (chamomilla)

In those cases in which the psychic disturbances are very striking the complaint of not

being in his own house may develop in the patient. This action moves on the border of

delusions. His mental hyper-activity with his constantly changing thoughts lead him ultimately

to a kind of compulsive loquacity.

Tuberculinum is very talkative, thoughts jumping from one to another constantly

(Lachesis.) Uses preferentially bombastic words like “fantastic”, “marvellous”, “terrific” when

speaking of even insignificant things. His talks are flighty and emphatic.

Some years ago I came across a study in the “Revue Rhodanienne” in which the author

attempted to compare our remedy pictures with personality of well known great men of history

and literature.

So he found in Ludwig XVI the indifference/apathy and irresclution of Graphites, in

Ludwig XI the restlessness, mistrust and pedantic covetousness of Arsenicum, in Don Juan the

disdainful extravagance of Platinum.

If I were to emulate this I would imagine Tuberculinum as the medicine of the romantic

heroes of the 19

century.

The romantic ethics, as you may recall, entirely concerns itself with persons who are

well-known as enthusiastic and emphatic to unbridled freedom and tempestuous perceptions

conducive to their view of life and to which they were always faithful. You may perhaps think

of the complex dreamings of Lord Byron, the self-denying pathos of a Victor Hugo.

Lastly, both tubercular and the tuberculosis – so queer as it may sound – had high

reputation at the beginning of the previous century: remarks such as “disease of the century”

were made and lapsed into idlation when the destiny of the sentimental heroes were heard.

If Sulphur, Arsenicum and Phosphorous are the “burners” in our Materia Medica then

Tuberculinum could be called as the “romantic”.

In practice we generally come across cases with different kinds of more characteristic

symptoms of the tuberculin medicines on these lines with ambivalence of reactions and

emotional life.

The abrupt interplay of laughter and weeping in Pulsatilla is well known to us. About

Natrium muriaticum Kent says: “Weeping turns into resonant laughter, laughing at inappropriate

occasion, for example in the church during a funeral; complete absence of moral sensitivity; a

young girl from a good family loses her head to a much older married man; a lady of good

reputation falls in love with the coachman (the moral-free, “authentic” love of Stendhal) etc …”

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“In cases of this kind”, says Kent “Natrium muriaticum will turn her mind into order, and

she will look back and wonder why she was so silly”. And Kent’s concluding remark is” “This

remedy belongs to hysterical girls”.

Modalities: Tuberculinum is worse from wet cold: sneezes in open air; a very significant

symptom is the sensation as if the dress on the back is wet and similarly shuddering and icy

coldness of feet.

He is generally worse during change of weather; because of his hypersensitivity he feels

the electric change already before a thunderstorm (Kent)

Worse in a closed room where he thinks he cannot breathe anymore; in the same way he

is worse in standing position (Sulphur, Sepia). He feels better in the open air, by walking in the

wind; his rheumatic pains are better from fast and continued movement (Rhus tox.)

Tuberculinum can be totally without appetite but often there is ravenous hunger which

compels waking up at nights; desire for milk specially cold milk, for sugar and sweets, for fat

ham and bacon, for ice; similarly, for large quantities of cold water (Bryonia). On the other side,

aversion to meat. There is certainly more significant relationship between Tuberculinum and

Sulphur: With regard to the food there is an analogy in the aversion and desire; both are tired

while standing and both are similarly loquacious and boasters.

If the fundamental action of the remedy is spoken about, it should be stated that the

pathological symptoms are peculiar by their sudden appearance and disappearance. So also is it

necessary to bear in mind the possible interaction between the pulmonal and mental symptoms?

We should also remember that it will be useful in transient conditions: in intermittent

fever, if all the symptoms are of note.

Clinically viewed it will be useful in diseases of respiratory passages in which a series of

tuberculous symptoms are indicated: Coryza, hayfever, adenoidal vegetations, bronchitis,

inflammation of the lungs, pleurisy and asthma as also naturally, lung tuberculosis.

Tuberculinum must sneeze frequently particularly in cold air; also when he for example,

uncovers the hands when chill.

Irritating cough worse nights, without however waking him up; barking cough in cold air,

better in warm room; during cough a sweetish or rotten putrid taste.

Though a deep acting medicine of first rank Tuberculinum can relieve truly chronic

forms of cough surprisingly speedily when they are well individualised.

The cough causes perspiration, the characteristic Tuberculinum perspiration: sticky, oily,

bad-smelling, yellow staining; Tuberculinum perspires from least exertion as also from mental

work and at nights; often a preceding attack of cough indicates an increase of temperature. The

cough may cause an irritating pain radiating to rectum; similarly cough may cause pain on top of

the left apex pulmonis.

Nervous system: Tuberculinum is a very effective medicine against chronic and

periodically occurring headaches; it is a throbbing type of headache accompanied by a sensation

as if the cranial bones would burst asunder; pain radiating to the eyeball, especially from turning

the eyes; headaches boring; sensation as if the brain was pressed together by a steel band.

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Headache of students as a result of overstudy which are not – as often otherwise – relieved by

wearing spectacles. Smell of coffee also may cause headache.

Eyes-Ears-Nose: In the nose, particularly in the left nostril, ulcers from repeatedly;

inflammation of eyelids, styes, corneal ulcers (Tyler points Tuberculinum as the specific curative

remedy in corneal ulcer), chronic otorhoea.

Digestive System: Delayed teething, tooth aches, gingivitis, swollen tonsils.

Tuberculinum has either constipated, dry, hard stool or diarrhoea which shoots out with much

force, accompanied by copious perspiration; the diarrhoea drives the patient out of bed (Aloe,

Sulphur).

The tuberculinic with chronic diarrhoea suffers from recurrent adenitis (Calcium

phosphoricum).

In Tuberculinum many heart ailments can also be found; increased excitability of the

heart, tachy-cardia, worse evenings. Tuberculinum is a big remedy in rheumatism with pain

particularly in bones and joints: here the medicine will work particularly only when there is

stiffness of the joints at the commencement of movement and continued movement ameliorates

(Rhus tox.)

Female genitalia: Menses come too early, copious flow, of long duration (Calcium

carbonicum) painful, copious leucorrhoea.

The skin symptoms are very many: eczematous eruptions, herpes, tetters, impetigo, acne;

night sweats mostly.

Tuberculinum has a dry or cracked skin; itching in fresh air; from undressing;

characteristic is that the itching changes place after scratching.

To recapitulate the outstanding features and leading modalities of this very important

medicine:

Tuberculinum is indicated in diseases where despite good action of the indicated

medicine, the disease recurs of becomes chronic. The patient is exhausted and feeble; despite

normal appetite goes on thinning; he is anxious and worried; must constantly move and change

his position; his behavior is contradictory and peevish; He is easily affected by cold; open air

and rapid movement improved his condition; change of weather, wet cold, closed rooms and

standing position aggravate.

He desires cold milk, bacon, ice and sweets. The symptoms appear and disappear

suddenly; remarkable periodicity.

Alternation of pulmonal symptoms and mental symptoms.

To round up some specific indications of the different Tuberculins:

Bacillinum: prepared out of a drop of pus from a tubercular lung abscess. Introduced by

Burnett who used it in C30 with great success in numerous tubercular patients. The action is

gentler than the Tuberculinum Koch and is prescribed mainly in chronic bronchitis with choking

cough and slimy-putrid expectoration.

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Marmorek: when dynamised homoeopathically it also is a gently acting medicine; it is

indicated in tuberculars who react violently, who have poor resistance power, and rapid

emaciation; the patients who conform to this remedy picture are often pale, cheeks with red

flecks and thin lips of bluish-red color. Marmorek is also very useful at the beginning of a

Grippe.

Denys: it contains only the exotoxins (it is a broth culture, a filtrate of tubercle bacilli); its

action also is similarly mild; it is suitable to plethoric, thonic, arthritic types with congestive and

rheumatic manifestations; these patients look outwardly of healthy build, and despite sensitivity

to cold have great need for open air.

Koch: its action is far stronger than the above mentioned Tuberculins and the use of high

potencies requires caution. The prescription is limited to tuberculous cases and is

contraindicated in active states of tuberculosis.

Aviaire: is very useful in lung diseases tending towards malignancy, in children as well

as in grown-ups. It has been well established in acute broncho – pulmonary diseases e.g. in

Grippe with lung complications as also in measles with capillary and bronchopulmonary

complications especially if the apices of the lungs are affected.

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1.3 TUBERCULINUM RESIDUUM -

G. DESMICHELLE

Tuberculinum residuum (Tub. res.) is the lesional, fibrous stage of Tuberculinum. The author

investigates the main indications for this drug, notably periodical diseases showing fibrous

thickening of synovial joints. His personal prescription is as follows:

- Arthritis and ankylosis in rheumatism:

The pain is worse in the morning, after rest, better with movement, but indifferent to the

weather modalities. The major indication is progressive ankylosis and articular

deformities. It is a very effective remedy at the early stages of disease. He compares

Tuberculinum residuum with Rhus tox. (Worse in damp and cold), Calc. fluorica (lumbar

spine), Silica (osteoporosis, muscular waste, great chilliness), Causticum (muscular

stiffness and deformities), Radium bromatum (very close to Tub. res).

- Old tuberculosis with sequelae:

Case where a patient had, in the past, had pneumothorax and had persistent plural

thickening with fibrosis and chest deformity. The patient complained of chest pain and

stiffness, independent of the weather, which respond well to Tuberculinum residuum.

- Dupuytren’s contracture:

Probably the master remedy in Dupuytren’s especially in early stage, without previous

surgery. He compares Tub. res. with Baryta carb., Radium brom., Ant, crudum,

Guaiacum and Graphites.

- Tuberous acne:

Acne with pustules, leaving a thick scar on the skin. Complementary remedies: Kali

brom., Nat. mur.,

Sulph. Iod., Sulphur and Puls

- Sarcoidosis:

Tuberculinum after a relapse.

Homeopathic francaise 1988; 76: 15-19

[From the British Homoeopathic Journal, Volume. 77, Number.4, October 1988.]

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1.4 THE TUBERCULINS -

H.V. Miller

They are not used in active tuberculosis but:

1. As catalysts activating the defense with relevant symptoms, that is, as simile.

2. for favorably influencing the constitution affected by tuberculic-miasm which arise as

a) inherited miasm

b) Self-acquired miasm either through the particular specific disease or as BCG-

Vaccination.

Tuberculins are more often referred to as the fourth miasm. I consider the individual Tuberculins

as having their part in the three well-known miasms. Accordingly the following:

To Psora: Bacillinum BURNETT and Tuberculinum KOCH, Tuberculinum BOVINUM

and SPENGLER’s immune body.

To Sycosis: Tuberculinum DENYS and Tuberculinum Residuum.

To Syphilis: Tuberculinum Avi.

Indications for Tuberculins are:

Leading symptoms:

Constitution:

- Psyche is unsteady with depression (Music moves).

- Begins new things constantly without completing any.

- Very erotic with constant change of life partners (Don Juan) and thereby weak

potency.

- Fear of animals, particularly dogs (Black).

- Constantly changing ailments which suddenly come and go and attack different

organs one after another.

- Much desire for fresh air, open doors and windows.

- Anxieties of children.

- Thin – narrow – chested – lymphatic.

- Pigmentation of cheekbone and temporal regions.

- Perspires from least exertion with night sweats which stain the clothes yellow.

- Eczema over the whole body with violent itching and desquamation.

- Diarrhoea, not only morning 5 hours but also during the day.

- Enuresis and weakness of the bladder during the day.

- Chilliness with rapid rise of temperature (recurrent catarrh, frequent tonsillitis)

- Lymphatism with glandular swellings, particularly throat, fistula, acne, adenoidal

vegetations.

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- Chronic stinking ear discharge, ozaena.

- Much tartar on teeth with feeling of furviness.

- Uric acid diathesis.

Modalities: Aggravations

wet cold

change of weather

before thunderstorm

summer heat

physical exertion

open air

rest

Other symptoms:

All symptoms which can be traced to tuberculosis disease. Special points of attack of the

mycobacterium are:

1. Diseases related to lungs with bronchi and pleura: pneumonia, pleuritis, chronic asthmatic

bronchitis, irritating cough, bronchial asthma, hay asthma.

2. Naso-pharyogeal region: hypertrophy of tonsils with recurrent tonsillitis, sinusitis,

adenoidal changes (polyps), swellings of lymphatic glands in the throat, fistula, chronic

catarrh of the tubes, hay fever, ozaena, chronic stinking ear discharge.

3. Kidney – Bladder: rephritis – pyelonephritis – cistopyelitis, urethritis, irritable bladder,

enuresis diurna et nocturna.

4. Bones and Joints: with all the symptoms of Rhus (wet cold, rest, first movement).

5. Skin: purple red heat rash, acne.

- Diarrhoea drives out of bed (Sulphur) Also the psyche is altered considerably by the

tbc:

- Zest for life with strong sexual needs, also loquacious.

- Without restraint in love and in sport.

- Desire for constant change in everything, in life partner, place of abode, with constant

need to travel, desire for always new medicaments and other doctors. Also, the

complaints change place and kind invariably (Puls. – Kali bi.)

- Keeps on commencing new works without completing any,

- Great desire for open air, would like the doors and windows open always.

- Peculiar fears of children, especially of dogs (specifically for black dogs)

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- The mental changes can be so that it borders on delusion. Phtisis and psychoses overflow

into each other.

- When the disease progresses the symptoms change so that they indicate the

Tuberculins.

- Thinning down with bodily weakness and perspiration from every exertion but

specifically at nights with perspiration which stain the dress yellow. Specific

indication further are:

- Menses early – heavy – protracted.

- Aversion to meat, craving for cold milk.

- Pigmentation of cheek bone and temporal bones.

- Easy chilling from draughts, wet feet, sitting on cold stones.

Tuberculinum KOCH C30-200

Bacilli culture grown in beef broth and then filtered, containing the exo- and

endo-toxins.

Constitution:

- Very chilly.

- Cold-catching

- Thin with good appetite (even at nights) – always tired.

Leading symptoms.

- Desire for variety with objection to least exertion.

- Oversensitivity for smell of food and cooking.

- Extraordinary sensitivity for music (Natm.)

- Air hunger

- Much thirst for small amounts of water (Ars.)

- Palpitation mornings (mornings faster: Ars.)

- Cramp calves and cold feet in bed.

- Perspiration easily. Yellow-staining of night sweats.

- Lids swollen (Apis, Kali-c., Phos.)

- Tendency to diarrhoea, not only at 0500 hrs; But also the whole day (0500hrs. - Sul.)

- Violent alternating symptoms.

- Hypertrophy of tonsils of thin and nervous children.

- Coughing causes pains in arm.

- Eczema over the whole body, much itching – Cold – Water (Graph)

- Erythema nodosum – Lupus

- All kinds of recurring catarrhs of mucous membranes.

- Aversion to meat and sweet things.

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- Desire for cold milk and smoked meat.

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Modalities: Aggravations

Wet cold dry warmth

closed rooms in open

before thunder storm fresh air

least exertion Rest

Menses: 21/protracted/profuse

According to Boericke particularly indicated in acute and chronic parenchymatose

nephritis and in lobar pneumonia.

Bacillinum BURNETT C30-200

Prepared from maceration of a typical tuberculous lung. Leading symptoms according to

Cartier and all others:

- Particularly for chronic lung and bronchial ailments with greenish yellow and thick

expectoration in compound infections. Choking catarrhs (suffocating catarrh).

- For old people with recurring colds (coryza runs into coryza), poor recovery capacity,

pulmonary congestion.

- Tired and disinclined to work, loves all variations (Globe-trotter).

- Constitutionally weak and emaciated persons, anaemic, with stooping shoulders.

- Firm, small and deformed teeth, tartar on neck of tooth.

- Parts exposed to sun become pale.

- Chronic suppurating hardened tonsils with hard and enlarged lymph glands.

- Eczema lids.

- Pityriasis versicolor.

By way of its preparation (preparation from a tuberculous cavity) Bacillinum is

polybacillary and besides contains bacilli of mixed infection.

Modalitis: Aggravations

nights and on

early mornings

motion in open air

before storm rest

cold air

wetness/dampness

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SPENGLER’S immune body C6-30

Serum from rabbits immunised with tubercle bacilli and mixed infections.

Constitution:

- Extreme paleness of face and the mucous membranes (anaemia)

- Stout women of Calc. carb. Type

- Chilly

Leading symptoms

- Increased temperature before menses which passes off with the onset of menses.

Tuberculinum bovinum C 6-12

Obtained from tuberculous glands of slaughtered cattle.

Constitution:

- Thin and weak children or youths.

Leading symptom:

- Obstipation

- Tendency to periodical headaches

Tuberculinum RESIDUUM

Endotoxin of tbc – bacilli vacuum dried tbc-H bacilli are triturated, emulsified and

centrifuged so that after throwing off the upper layers only the endotoxin-containing deposit

remains.(tbc-tubercular bacilli)

Constitution:

- Paleness which has a shade of green (tubercular demineralisation).

- Pale lips, which are not so heavily discolored as in SPENGLER’S immune body.

- Shrivelling of the entire lower lip (Nat-m. only middle).

Leading symptoms:

- Fibrosclerosis with wrinkled facia and aponeurosis (Dupuytren’s contraction).

- Progressive ankyloris with increasing joint deformities. The small as well as the large

joints are affected, specifically the finger joints (never monoarticular!). The

aggravation comes in paroxyzms with free intervals.

- Skin: acne tuberosa and come-dones in back.

- (Stone diathesis of kidney and gall?)

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Modalities: Aggravtions

rest and

commencement of motion

continued motion

(as against the other Tuberculins)

Rhus but not in any way influenced by hot, cold, dry or wet weather. Recommended by

Stauffer in D6 and by Kritzler-Kosch in C 200 – M.

Tuberculinum DENYS C30-200

Filtered tbc-bacilli inoculated into beef-broth, manufactured by Belgian Denys and Sluyto. Most

of the exotoxins are available by this filtration.

Constitution:

- Blooming appearance, often fat and rosy often congested.

- Lips red as in Sulphur, tongue normal and not coated as in Marmorek but increase of

fever up-to 38 – 39 suddenly and without cause (often after least physical exertion)

and all possible disturbances or even acute toxin explosions (Asthma – Hay fever –

Allergy).

- Sudden upsets: Sudden hoarseness, suddenly appearing and quickly again receding

coryza, bronchitis, sudden migraine attacks with fever mostly, gastritis.

Tuberculinum MARMOREK C30-200

Horse serum after inoculation with cultures of fresh tbc-bacilli

Constitution

- Pale – thin and without appetite

- Bright red lips (seldom livid as in RESIDUUM or particularly in SPENGLER) and

red circumscribed spots on checks.

- Oxygenoid – dry (mouth, lips, skin – even in fever no perspiration – stool, hard and

dry without any urge)

- Bones: pains in bones and periosteum, chronic fistula periosteum and suppuration.

- Joints: erratic arthralgia of sudden beginning

- Glands: frequent swellings of glands of throat – axillae – and groin.

- Skin: generalised vividly-red eruptions with excruciating itching. A red granulation

over the entire body (like granite) must always recall MARMOREK.

Leading symptoms:

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All pains come suddenly, are drawing and often tearing often changing place (Puls. –

Kali-b.)

Modalities: Aggravations

prolonged physical

or mental suffering rest

Tuberculinum AVIAIRE C12-30 (C6-9 according to VOISIN)

From cultures of pathogens of bird tbc. For children, and also for grown-ups who are weak and

without appetite and who are also very restless!

Leading symptoms:

Conditions are the acute disease:

- Acute bronchitis – broncho-pneumonia, also in broncho-pneumonal complications of

measles (no action in lobar pneumonia, here TK, T.Denys or B. Burnett more likely), with

irritating laryngeal cough.

- Acute otitis media.

- Asthma bronchial with acute attacks of fever.

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1.5 INDICATIONS FOR TUBERCULINUM IN PAEDIATRICS -

By Hedwig

Imhauser

I wish to put forth the following aspects:

1. Children who conform to the Tuberculinum picture without having been infected by

the mycobacterium.

2. Children who have been infected by the mycobacterium.

3. Children who are not actually infected with the mycobacterium but suffer from a

tuberculous toxic state.

4. Children who suffer from diseases which have no direct connection to tuberculosis but

who can, however, be successfully treated with Tuberculinum without the remedy

picture conforming to Tuberculinum.

In the 1 group: Children who correspond to Tuberculinum is a matter of course but the

remedy picture is seldom found in small children, and in the case of infants almost never.

In the 2 group: Children who have been demonstrably infected with mycobacterium, that

is, a positive to tuberculin test. To this belong:

a) The early cases without organ manifestation. The diagnosis, unfortunately, is difficult

now because of universal BCG vaccination. If, however, the earlier Moro-test proves positive

later then treatment of every case with Tuberculinum – independent of symptoms – is

indicated. It is always surprising to note how within a short time after a single dose of

Tuberculinum Koch D200 a turn begins for good, particularly the mood, sleep and appetite.

b) the Erythema nodosum as a transition to organ tuberculosis. In childhood it is seldom

not of tuberculous origin and generally precedes organ manifestation.

A three year old girl came for consultation. The mother complained that the child was

still wetting. And when something did not please her it was worse. Routine examinations

revealed blue spots on the tibia, actually not much more than what is otherwise usually seen on

children’s legs. The first vague suspicion of an Erythemanodosum was confirmed by accelerated

sedimentation of 40/80 and was later confirmed by positive tuberculin test. After a dose of

Tuberculinum D200 the child remained well during the following weeks. The usual

manifestations accompanying Erythema nodosum like fever, nightly perspiration, and joint pains

were absent. The sedimentation came down to 25/50. The general feeling was good. Increase in

weight satisfactory. The diagnosis was the sole factor which decided for the prescription for

Tuberculinum.

c) the cases of organ tuberculosis. My observations extend only upto those like Hilus-

lung tuberculosis and after-treatment of tubercular meningitis. Also here Tuberculinum is a

remedy not to be underestimated even when besides the nosode tuberculo-statics are applied. A

case report on this:

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3 yr. old girl. Poorly eating since weeks. Otherwise nothing particular. Tubercular test

positive. X-ray showed hilus tuberculosis with perihilar infilatration and interlobar pleuritis.

The lung specialist recommended hospitalisation. Until then, tuberculostatics should be

prescribed. I gave a dose of Tuberculinum D200 and no other medicine. As a result the

emaciated child recovered splendidly. In 14 days the blood sedimentation decreased from 19/45

to 2/6. The x-ray also showed normal. Four months after the proposal for hospitalisation was

made by the lung specialist he found that it was not anymore really necessary. Up to this time

the child received 3 doses of Tuberculinum D200.

The treatment of tuberculous meningitis in its acute state is the domain of allopathy now,

while the treatment of the sequelae is the scope of homoeopathy. Cases of these types are rare.

Here I can only mention about the father of a child.

The 27 yr. old postal clerk had suffered a tuberculous meningitis. He is attending office

since 8 months again. Counter work was difficult for him, almost impossible because of

continuous severe headaches, vertigo and buzzing in ears. After a single dose of Tuberculinum

D200 the headache became worse and unbearable, on the next day. All the ailments subsided

during the course of a week and only light singing in the ears remained. About every two

months the old ailments recurred lightly and everytime it subsided after Tuberculinum D200 in a

few days. Since this treatment patient is completely fit for work.

d) As a last piece of this series the sequelae of BCG vaccination are to be mentioned, if it

is only of an attenuated tubercle bacilli that is discussed here. The tubercle growths generally

recede spontaneously, in other cases they break and form into small ulcers and heal completely

after months. A dose of Tuberculinum D200 leads to a quick resorption.

I would like to report of another case of sequelae of vaccination:

An 8 yr. old girl suffered from a smooth impetigo-like eruption in both axillae which ran

over the adjacent chest region. Remedies like different salves by the family physician were

unsuccessful. The mother now asked me whether the skin eruption could be a consequence of a

tbc. infection which occurred 14 days ago. The family physician did think it possible. Before

the vaccination, however, the child had nothing wrong with its skin.

I said to her that I too had not seen anything like that as a consequence of vaccination but

if the drops would help then it will be so. Two drops of Tuberculinum D200 healed the eruption

within few days without any further treatment.

To group 3: They are children who are not infected by the mycobacterium but suffer from

tuberculous toxic state. To this belongs inherited tuberculous taint.

I have narrated two cases of this nature in my book “Homoeopathy in Paediatrics”, Haug-

Verlag. The mother and to some extent the father had suffered for a year from tuberculosis. As

a peculiar symptom there was anorexia in one case and diarrhoeic stool in the other. Both the

children responded immediately to Tuberculinum D200. The first child began to eat normally

within few hours and the second child, because of previous protracted treatment, had normal

stool from the next day.

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A third case. 4 months old infant. Mother suffered from lung tuberculosis. The child

was not taking the feed since quite some time and has not put on weight. Now acute infection,

cough, coryza.

The grandfather of the child is a pediatrician while the father is an Internist and mother an

Anaesthetist. You will visualize my nervousness when I proposed a homoeopathic treatment to

these “others”. But Tuberculinum fulfilled its obligation: after two days the child began to drink

again, put on weight and develop normally.

To the 4 group: belong some diseases for which – as far as current knowledge goes – no

direct connection can be seen with tuberculosis but which according to experience react well to

Tuberculinum.

e) Otitis media. It is indeed the most frequent disease with fever in early childhood. And

the homoeopathic treatment of the acute otitis does not prevent the disposition to recur. A

follow-up treatment is essential. Tuberculinum marmorek D18 is acute state besides the

indicated homoeopathic medicine and to finish three doses of Tuberculinum aviaire D18 in

interval of 10 days, prevents recurrence in many cases.

b) the chronic eczema of the borders of the eyelids. Not always, but frequently a dose of

Tuberculinum D200 cures these otherwise difficult to cure eczema.

c) the primary chronic polyarthritis, a disease in which allopathy fails and for which there

is no favourable prognosis of cure.

A 3¾ yr. old girl was brought to the clinic. Since an year swellings and increasing

disability of movement of the right hand and left elbow joints and both knee joints. Therapy by

the family physician and Medical College Hospital were unsuccessful.

The child received every six weeks a dose of Tuberculinum D200 and after few weeks

Sulphur D6 (because of its relationship to chronic rheumatism). Soon – even before the Sulphur

– a slow but steady improvement set in. After 8 months except for a small obstruction in the

hand and elbow-joint, otherwise all the joints were freely moveable and painless.

After 1½ yrs. slight recurrence. Again the same treatment with the same success. No

more recurrence. The follow-up extended for over 10 years.

Primary-chronic polyarthritis is rare. Essential for Practice are the not-so-seldom

abortive cases. As illustration the following:

A 3 yr. old boy. The only report of the mother: “He does not walk any more.” The child

was careful with its right knee. It is slightly swollen. The sedimentation is with 24/45

particularly increased. Tuberculin test negative. The child received in the clinic 2 drops of

Tuberculinum D200. After 8 days no more complaints. Swelling of knee subsided,

sedimentation normal.

How to distinguish the indications for Tuberculinum in Paediatrics from Adult practice?

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1. The prescription is more on diagnosis than on symptom-similarity. Tuberculinum

symptoms may be totally wanting or there may be only few symptoms like anorexia, perspiration

or diarrhoeic stools, symptoms which belong to many other remedy pictures. If peculiar

symptoms which are not part of Tuberculinum arise as a result of prescription of Tuberculinum

then these symptoms must be noted in the materia medica as clinical experiences.

2. The previous drainage which is indicated in adults is not necessary in children and also

not in acute lung processes. I never say serious conditions, not even primary aggravations.

3. JULIAN writes: Tuberculinum requires long time to manifest its action” and

SCHILSKY: “Tuberculinum does not work from to-day morning”. The experiences with

children is contrary to this: Tuberculinum works – when indicated - within few days, sometimes

within few hours.

KENT writes: “in certain places it prevails and is taught that anything relating to syphilis

must be treated with Syphilinum; that anything relating to gonorrhoea must be treated with

Medorrhinum, anything psoric must be treated with Psorinum and anything that relates to

tuberculosis must be treated with Tuberculinum. That will go out of use some day; it is mere

isopathy . . . . and is not a better idea of homoeopathy.” KENT cannot, in this, appeal to

HAHNEMANN who of course rejected Isopathy at first but said in his Organon: “until such

improbable statement has been proven by doubtless observations and experiences”. This

confirmation required by HAHNEMANN has been obtained repeatedly in the clinic. But why

this theoretic quarrel between Isopathy and Homoeopathy? In my opinion there is no

fundamental difference but only a difference of grade. Isotherapy is the ideal case of

homoeotherapy.

[From ACTA HOMOEOPATHICA, Band XV, (3), 1971, Heft-6; translated from the German;

for private circulation only]

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1.6 BOOK SHELF

HOMOEOPATHIC THERAPEUTICS OF TRAUMATIC DISEASES AND THEIR

SEQUELAE by D. Lakshminarayanan Ph.D., published by Drs. Jaisoorya, Seshachari,

Chiranjeevi Shilpa Endowment Trust, Hyderabad, pp.125, Royal size, Rs.30/-. Copies can be

had from the author Dr. D. Lakshminarayanan, Ph.D., 1-2-217/7, Gaganmahal Road, Hyderabad

– 500 029, A.P., India.

If there is any need to objectively prove the efficacy of homoeopathy that homoeopathic

remedies would bring about tissue repairs rapidly and gently it can be done by treating wounds

and injuries. Anyone who experiences in his/her own body rapid wound healing through

homoeopathic medicine will no more doubt the “mighty power of the tiny pill”.

Most Homoeopathy practitioners have developed themselves into ‘consultants’ treating

chronic ailments only abandoned by the others. Consequently people at large believe that

homoeopathy is “good” only for children (“Tonsils cured without surgery”), or that it will

improve memory and learning power, and that in adults it would be useful more in joint diseases

(rheumatism, arthritis), blood pressures, diabetes, asthma etc.

This wrong impression in the minds of the people (and even in some homoeopaths too!)

can be very easily removed and proved that homoeopathy is equally effective and perhaps better,

in traumatic illnesses.

Many latter diseases are a result of earlier traumas. Had the trauma been treated by

homoeopathy the latter chronic manifestations could have been avoided. We have to; therefore,

understand better our homoeo therapeutics in reference to traumatic ailments.

The book under review is therefore most welcome to a practitioner. To my knowledge

there is no book of homoeotherapeutics in trauma covering almost its entire scope, as the one

under review.

After a brief description and classification of traumatic ailments, the role of

homoeopathy, etc., the book proceeds to deal with the trauma ailments in alphabetical order,

beginning with Abrasions, it goes on to Adhesions, Amnesia, Bed sores, Bites of insects and

animals, Blows, Bruises, Burns and scalds, Cicatrices, Crushing injuries, Electrical shock,

Fracture, Gangrene, Nerve injuries, Sprains and strains, Tetanus etc.

In the second part, injuries are dealt with anatomatically beginning with Head and ending

in Feet. There is a supplement on Homoeopathy in war injuries.

Under every head a brief description of the disease is given.

The author has drawn copiously from Kent, Boger, M.L. Tyler, Grimmer, P. Schmidt and

other titans of homoeopathy.

The book is well produced, in clear print and on good paper and reasonably priced. It is

very warmly recommended as a desk reference by every busy homoeo practitioner. It will be

very useful in homoeopathic hospitals also.

Dr. K.S. SRINIVASAN

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2 QHD, Vol.VI, No.2, June 1989

Dear Doctor,

Many colleagues have appreciated the last Review on the TUBERCULINS. (Vol.VI,

No.1, March 1989). To be of practical use it is necessary that additions are made in the

repertories under use; for example Dr.T.P Paschero has said the TUB. is ‘Mistrustful,’ has ‘Fear

of death,’ ‘Fear would die if left alone,’ ‘Fear of suicide if left alone’ etc. These have to be

added to the repertories including the Synthetic Repertory. Similarly about the ‘location’ of the

TUB. headache on the rt.forehead extending to the neck and spine. Dr.Sarat Chandra Ghosh,

M.D. has reported many cases of Pneumonia cured with a single dose of Tuberculinum 200. (The

HOM. RECORDER, 1923). Dr, Ghosh has summarised: “The grand characteristic symptoms

which call for the administration of Tuberculinum in pneumonia are, in my opinion, oppression

of breathing and mucopurulent, viscid or rust-coloured expectoration. Difficulty in breathing

resulting from bronchial and pulmonary obstruction produced by a superabundant secretion from

the mucous membrane is wonderfully relieved by Tuberculinum. In some cases, a single dose of

Tuberculinum is quite enough to do away with these symptoms. It is also a grand remedy in

influenzial pneumonia, relieves the weakness, mitigates the cough; improves the appetite, stops

the perspiration and braces up the whole organism.”

The current number of our DIGEST carries clinical cases which you may find

instructive.

Once again I request you to communicate FEED BACK. Communication should be,

surely, two ways.

June 1989.

Yours sincerely,

K.S. SRINIVASAN

1253, 66

Street,

Korattur,

Madras 600 080

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2.1 MENIERES DISEASE TREATED WITH CHENOPODIUM -

R.A.F.

JACK, MRCGP, FFHOM, FBMDSH

Abstract

The patient presented was a 54-year-old man who had suffered from frequent disabling

attacks on Menieres for three years, for which no conventional treatment had been effective, and

who had not had a single attack in the last eighteen months, since starting treatment with

homoeopathic Chenopodium. He had been under regular hospital survelliance all this time.

A 54-year-old manufacturing jeweller developed tinnitus and increasing deafness in his

left ear ‘due to the hammering in the factory.’ He was already ‘90% deaf’ in his right ear

following a mastoid operation in 1962, as a consequence of which he had attended the Ear and

Throat Hospital regularly at six month intervals for the last twenty five years. He could not

tolerate using a hearing aid in his left ear, because it only increased his tinnitus, but without an

aid he could not understand conversation: ‘words were just a jumbled noise.’ Two years ago he

was supplied with a hearing aid for his right ear, with which he can now hear conversation,

including telephone conversation, by using a special Telecom amplifier. He now has to attend

the Hospital every two weeks for a ‘quick cleaning’ of his right ear, as ‘the aid makes the ear

sweat, and it is essential to keep a mastoid ear dry.’

Three years ago the tinnitus in the left ear diminished, and the deafness increased. At the

same time he started getting attacks of vertigo and vomiting, which the hospital diagnosed as

Menieres disease. Initially the attacks occurred at about eight week intervals, lasting from 1½-9

hours, but usually between 2-3 hours.

Treatment with Stemetil (prochlorperazine), either orally or by injection, made him feel

much worse. Diuretics were ineffective, as was Serk (beta histidine dihydrochloride), which

made him feel lightheaded. For the last three months he had been taking Stugeron (cinnarizine)

15 tid which ‘helped a little’

However, recently the attacks had been getting more frequent, coming every two weeks

and becoming more severe. He stated that the uncertainty, severity and frequency of the attacks

were beginning to unnerve him and make him feel insecure. He no longer felt safe, or confident,

to drive any distance. At his last visit to his GP he apparently had been told that conventional

medicine had nothing further to offer him: hence his request for homoeopathic treatment.

On 8 October 1985, at his first consultation, he presented as a cheerful, normotensive

man (BP 140/80), his peak expiratory flow was 540 (target for his age and height: 595).He had

never smoked, had always been strictly tea-total, he avoided drinking coffee, and only drank tea

in moderation. He was overweight at 92 kg (14 stone 7 lbs), height 175cm (5’9”). Apart from

his aural pathology, physical examination was otherwise unremarkable. He was free from nasal

catarrh, and only recalled two occasions in the last ten years when he had suffered from catarrh.

His most significant symptoms from a homoeopathic prescribing aspect were:

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Deaf, yet intolerance of loud noise.

‘Loud noise hurts me’ e.g. singing in church.

‘The noise of traffic gets on my nerves, it is unbearable, it sets my deaf (L) ear pulsating

and ringing, and makes me miserable.’

‘Deaf to thunder,’ Dependent on hearing aid.

He observed: ‘It is strange to be deaf and yet sensitive to noise.’

By stroking the skin in front of his left ear he produced numbness of the skin on the left

side of his face, and tinnitus ‘like the sound of a violin string being plucked’.

R Chenopodium 3c tid. Cocculus 6c ½ hourly in attacks of Menieres. Stugeron 15 mg

tid. Stop added salt and sugar. Start high fiber diet (to help to control his obesity).

12.2.86.

No attacks since. Hearing deteriorating in left ear. Weight loss of 3.2 kg (7lbs). Not

needed to try Cocculus.

R Chenopodium 30c bd at 7 day intervals.

Chenopodium 3 bd on intervening days.

11.6.86.

No attacks in the last eight months. Hospital provided a new hearing aid four months

ago. Feeling in a ‘contended state of mind,’ ‘I have regained my confidence in driving and going

out. I am not living in fear of an attack,’ ‘I could drive to Scotland now.’

R Stop Stugeron.

Chenopodium 30 mane at 7 day intervals.

Chenopodium 3 o.m. intervening days.

After two weeks to reduce Chenopodium 30 mane to 14 day interval.

After four weeks try reducing Chenopodium 30 to alternate mornings.

15.10.86

No attacks in the last year. Still very sensitive to noise. Replace Chenopodium with

R china sulph. 3 tid until reaction (i.e., symptoms better or worse).

7.1.87.

Menieres 200% better. No attacks to date.

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Feels old self again.

Stopped China sulph. and reverted to Chenopodium, as tinnitus had returned. No change

in the hypersensitivity to noise since discontinouing China sulph.

R Trial Theridion 30 x 12 alt. mane, (to reduce hypersensitivity to noise).

12.4.87.

Feeling very well. No attacks since first consultation 18 months ago, when started taking

Chenopodium. Theridion 30 had been ineffective in reducing his hypersensitivity to noise,

rather it aggravated it. R Stop all therapy.

Seen at the Tutorial at Selly Oak Hospital. ‘Perfect,’ Not a single attack since his first

consultation 19 month ago.

Discussion

As recently as my early years in medicine, oil of chenopodium was the treatment of

choice for hookworm and roundworm infestation. It was recognized that it did not kill the

worms, but only paralyzed them, so they had to be expelled with a purgative. The drug worked

best when given as a mixture of one volume of oil of chenopodium with two volumes of carbon

tetrachloride. In treating children the oil was usually given on sugar, one drop per year of age bd

or tid for two days, followed by a purge.

However , there were serious problems because:

- The active principle of chenopodium is ascaridole which ‘is deadly to man and worm; the

respective lethal doses lie near one another, and its reported percentage in the oil had

varied from 33% to 98%.’

- The size of drops varied with different droppers, and there was catastrophic confusion

between 45 drops of the International Droper (2.2 mil.) and 45 drops of the and 45

minims (3mil.). Numerous deaths have followed the latter.’

- ‘Even with therapeutic doses minor toxic effects such as dizziness, nausea, tinnitus and

temporary deafness frequently occur.’

Kent, in his Repertory, lists 90 medicines for treating sensitivity to noise (p.79). The

sixteen in large black type are:-

ACON, ASAR, BELL, BOR, CHIN, CHINARS, COFFEA, CONIUM, KALI CARB,

NIT ACID, NUX VOM, OP, SEPIA, SIL, THERID, ZINC.

Surprisingly he does not include Chenopodium anthelminticum. In the section on

‘Hearing’ (p.321-3) it is only listed once, and that is under ‘Hearing impaired – the human

voice.’ Even then it is only in italics, whereas PHOS and SULPHUR are in heavy black type.

Clarke calls Chenopodium ‘wormseed’ and describes its symptoms as ‘Roaring in ears as

of cannons going off; deafness. Progressive deafness to human voice, extreme sensitiveness to

other sounds (cerebral deafness?) – Tinnitus synchronous with heart-beats.’ This precisely

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describes the patient’s symptoms. Clarke lists vertigo as an indication for Chenopodium, but

does not mention Menieres disease.

Boericke calls Chenopodium ‘Jerusalem Oak’ and gives, as indications for its use:-

‘Sudden vertigo, Menieres disease. Torpor of auditory nerve. Comparative deafness to sound,

as of passing vehicles … Aural vertigo ‘This again is an accurate description of his condition.

The deafness of Chenopodium is not to be confused with that of Graphites, which is

unique, being the only medicine listed for hearing that improves in noise! (Kent p. 323. ‘Hearing

impaired – noise amelioration. GRAPHITES (heavy black type.)

Chenopodium has an unusual symptom, ‘intense pain between angles of right shoulder

blade near spine through to heart.’ Chelidonium produces a similar pain – slightly more lateral,

described as a ‘constant pain under the inferior angle of the right scapula.’ Chelidonium also

produces vertigo, and is listed far more frequently in Kent, under that heading than is

Chenopodium. I personally cannot recall ever using Chelidonium for treating vertigo.

Lilienthal defines Menieres disease as ‘vertigo of auditory nerve,’ but only gives details

of China sulph., Cicuta, Conium, Kalmia lat, and Salicylic acid. Presumably Chenopodium had

not been proved in 1879, when he edited his second edition. I have only had success with the

first and last of these as far as I can remember. In treating Menieres disease I find Boericke is

the most helpful repertory, and gives the widest choice of medicines under ‘Vertigo, of

labyrinthic origin (Menieres disease).’ He lists, in italics, (i.e. as the most important medicines)

Chenop., China Sulph., Nat. Sal., Acid Sal, and Theridion (orange spider). Kent does not include

either ‘Menieres’ or ‘aural vertigo’

There is still one medicine that could be indicated, especially if his condition relapsed

and Chenopodium failed to control the attacks. Proteus is the bowel nosode for conditions

associated with cramps and spasms. Menieres and Raynaud’s disease. It should also be

considered in treating intractable cases of angioneurotic oedema and urticaria, both conditions

often being associated with ‘prolonged strain”

References

1. Martindale, The Extra Pharmacopoeia. Vol.1 22

Edition 1941. p. 904-5.

2. Clarke JH: Dictionary of Materia Medica. Vol. 1 1925. p. 470.

3. Boericke WH: Pocket Manual of Homoeopathic Materia Medica. 1927. p. 191.

4. Lilienthal S: Homoeopathic Therapeutics. 1879 p. 491.

[From the British Homeopathic Journal Vol.77 No.3 July 1988.]

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2.2

A CASE OF MERCUIRUS SOLUBILIS -

Robert Romer

I present the following case history mainly for one reason that is, beside myself three

other persons, until university physicians, were critical co-observers. The patient herself a

physician, her husband an ophthalmologist and her father-in-law also an ophthalmologist.

The patient, 26 years, came on Feb.2, 1969 with her husband to consult me: since the

beginning of her only pregnancy, 1½ years ago, she was suffering from a facial exanthema which

at the beginning was only existing around the mouth area, but later on extended over the whole

face up to the corner of the eye where it now was even causing pains in certain movements of the

mimic muscles. She was under specialist’s treatment continuously, lastly from a professor of a

nearby university hospital. The therapy consisted of only different cortisone containing

ointments which at the beginning improved for a time. The almost disappeared once in the

summer of 1968 for a few weeks. Since 5 months, however, the exanthema had flared up again

in the entire face and that much more than ever before.

The homoeopathic anamnesis gives only few clues. Nevertheless, the patient said that

she liked to sleep on the left side, slept restlessly and dreamt very often. She easily feels cold

and always has cold hands and feet. Fat causes indigestion, milk sticks on the tongue.

Constipation. Earlier she has sometimes had painful vesicles and putrid corners. She is very

much concerned about her sick mother. Since the beginning of the exanthema she was no more

enjoying life.

Findings: 160 cm. tall, 51 kg, young woman with blue eyes. Tongue very moist, a little

dirty coated, tooth imprints. Lungs and heart no findings, blood pressure 105/75. Liver not

enlarged, in the area of the gallbladder considerable sensitivity to palpation. Spleen and kidneys

NAD. Face: uneven, all-over dotted-reddish skin eczema, dirty. Face therefore seems to be

older. I have the impression that the patient realized – just as I too did – the contrast between her

poor condition and the remarkably healthy constitution of her husband is therefore suffering.

For remedy choice I considered:

1. papular-pustular eczema (at the beginning)

2. “Likes to lie on the left side” (instinctive relief of the liver-gallbladder-system

from the pressure of the intestines).

3. disgust of life

4. very moist tongue, tooth imprints

5. Earlier putrid corners, apthae.

Remedy diagnosis: Mercurius solubilis. Two doses of the 30 centesimal 5 globules each

for one day. No further medication, no diet restrictions. She was asked to phone me after

4 days to report.

Report on 23.2.1969: After taking the pills she had vehement headache for two

days. Normally she very seldom has headache and then never was it as unbearable as at

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this time. Since today, however, the pains have gone and she has the impression that the

eczema has decreased. I asked to call again in about 10 days.

4.3.1969: The exanthema has become less day by day. Only a few nodules are

remaining in the face. Otherwise she is feeling well, has more appetite and easy stools. I told

her to call again in 4 weeks.

3.4.1969: Since weeks the eczema has now completely disappeared. She is feeling well

but still cannot believe that this chronic nuisance should have gone forever. I am telling her to

call me again only if a new relapse should occur.

Returning from my summer vacations at the beginning of September 1969 I found a

small parcel containing a book and a letter from the collegue (patient) in which she thanked me

for the effective success of the pills. Words for word, she wrote: “Each morning when I look

into the mirror I am thinking of you.”

A few days later I met the couple on the street. There is no longer a pale, care-worn

woman, whom I started treating in February; this is a young, charming lady with a sun-tanned

face, where not even a trace of an eczema is to be seen. The mutual joy is great.

Even after 15 months the eczema did not recur. The patient continues to feel well. Some

homoeopathic physicians may feel that with only one dose of Mercurius – an anti-syphilitic

remedy – the certainly basic Psora could not have been removed. However, the patient does not

feel the necessity of a further treatment. Since then the husband and father-in-law show great

respect in public for homoeopathy.

[From the ACTA HOMOEOPATHICA, Band XIV, Heft 6, 1970; for PRIVATE

COMMUNICATION ONLY.]

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2.3 NEOPLASM AND PLEURAL EFFUSION – A CASE REPORT

AMITAV GHOSH MBBS, FRCP(GLAS), FFHOM, DCH, DTM&H

Abstract:

A 74-year-old man, who was diagnosed to have malignant pleural effusion in February 1984, is

three and half years later leading an active life. This is made possible by treatment with Arnica

montana.

Introduction:

A report of a single clinical case is not statistically significant. But its statistical value is

apparent if other clinicians presented with similar problems get identical results with similar

treatment.

Malignant pleural effusion is a rapidly progressing condition which is not improved by

modern medicine. On the contrary, the patient under discussion has done better with

homoeopathic treatment.

Past History

This 74-year-old hypertensive man had his first attack of myocardial infarction in 1953, at the

age of 41 years. Since then he has had four further attacks. The last myocardial infarction was

six years ago in 1981. He is now prone to recurrent cardiac arrhythmia.

Present illness

This patient complained of difficulty in breathing in February 1984. A diagnosis of left pleural

effusion was made. Blood-stained fluid was aspirated in February 1984, May 1984, January

1985, October 1986 and November 1986.

Bronchoscopy did not reveal a tumour, but malignant cells were seen in bronchial brushing and

in the pleura fluid. Needle biopsy from a lymph node in the left axilla showed malignant

squamous cells, secondary from the carcinoma of the bronchus.

X-rays

An X-ray taken in February 1982 did not show pulmonary pathology. Two years later, in

February 1984, a pleural effusion on the left side was seen. The latest X-ray in June 1987 shows

reduced pleural fluid, pleural thickening, and increased cardiac and mediastinal shadows.

Orthodox treatment

The patient was not offered treatment for the malignancy because of his age and cardio-vascular

disease. He is on Cardarone (amiodarone) for cardiac arrhythmia and Frumil (frusemide and

amiloride) for congestive heart failure.

Homoeopathic treatment (general)

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Lycopodium

This patient is apprehensive by nature. In stressful situations he gets palpitations and

breathlessness. By taking Lycopodium he usually averts attacks of tachycardia, cardiac

arrhythmia and dyspnoea.

Aconitum napellus

When he has attacks of palpitations and dyspnoea and is distressed and anxious Aconitum

napellus administered every few minutes relieves his symptoms in fifteen to thirty minutes.

Crataegus

This enhances the beneficial effect of Cordarone.

Carbo vegetablis

This remedy relieves upper abdominal distension and discomfort.

Homoeopathic treatment (specific)

Arsenicum album

In malignancy and other incurable diseases, Arsenicum improves general health and the quality

of life. Further indications for this remedy in this patient were breathlessness, abdominal

discomfort, anxiety and restlessness.

Thuja occidentalis

It was prescribed because of its effectiveness in growths.

Apis mellifica

Apis mellifica reduces oedema and serious effusions and was therefore given to this patient.

FURTHER OBSERVATIONS AND USE OF ARNICA MONTANA

In July 1984, after minor injuries following a car accident, in August 1984, after an injury to his

right leg and in September 1984, after thrombophlebitis, this patient was prescribed Arnica

montana. It was noticed that while he was treated with Arnica montana for unrelated conditions,

he did not form much fluid in the left pleural cavity and did not need any aspiration from May

1984 to January 1985. He was therefore put on Arnica montana indefinitely.

Present health

This patient, in spite of cardiovascular disease and malignant pleural effusion, is leading a

normal life. He does a part-time job in an office, housework and even gardening, and thus is an

active member of the family and community.

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Discussion

Malignant pleural effusion is a rapidly progressing disease and patients afflicted with this

condition are usually dead within a few months.

A malignant disease is usually considered to be a manifestation of more than one miasm and

therefore is difficult to cure. Carcinosin or other similar nosodes and constitutional remedies are

the mainstay of the treatment of neoplastic conditions. Medorrhinum and Thuja occidentalis are

effective in warts and are used as pathological preserising for malignancy. Arsenicum Album in

this desease seems to slow down the progress of malignancy. Moreover, the patient is less

distressed, is not in agony and is not restless. He feels better.

In serious effusions, Sulphur, Apis mellifica and Bryonia are often used. They are effective

when the effusion is due to an inflammatory condition of the serous membrane.

The patient under discussion and had Arsenicum album Thuja occidentalis and Apis mellifica

and felt a lot better. Yet he continued to have pleural effusion and needed pleural aspiration

within three months of his initial aspiration.

It was an incidental observation that while he was treated for other intercurrent illness

with Arnica montana, he did not need pleural aspiration for eight months. He was therefore

treated with Arnica montana continuously, with the result that he did not need pleural aspiration

again for twenty-one months. His last pleural aspiration was eight months ago in November

1986 and the last chest X-ray shows only minimal effusion.

Why and how did Arnica montana reduce this pleural effusion? Is it constitutional

remedy for this patient or is it a specific pathological remedy for this condition and for all

patients with malignant pleural effusion? The latter is more likely. After an injury there is local

vascular dilation, exudation and haemorrhage and possibly similar changes may be present in

malignant pleural effusions. The effect of this remedy in malignant pleural effusion can be

ascertained by further study in human being and maybe in animals.

In conclusion, it may be said that in this patient, the carcinoma of the bronchus is not

cured but its progress has been slowed down with the result that he is leading an active life.

[From the BRITISH HOMOEOPATHIC JOURNL, Vol. 76, Oct. 1987]

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2.4 A case of tuberous sclerosis treated with Artemisia vulgaris -

R.A.F. JACK, MRCGP, FFHOM, FBMDSH

Abstract:

A two-year-old boy suffering from tuberous sclerosis is described. His salaam spasms had not

been controlled by a combination of sodium valporate and nitrazepam, but decreased and finally

ceased after medication with Artemisia 30, despite nitrazepam having been discontinued during

this treatment.

‘Tuberouos Sclerosis (TS) is a rare but well-organized hereditary neuroectodermal disease, first

clearly described in 1880, and also known as epiloia.

Although dominantly inherited, over 50%

of patients represent new mutations. Pathologically there are malformations or tumours of many

organs, especially of the skin and CNS.

Its characteristic features include:

1. mental retardation, in 60% of cases

2. epilepsy, in 80% of cases

3. skin lesions; most commonly a disfiguring acne-like rash (adenoma sebaceum) in a butterfly

distribution on the face. In infants there may be hypopigmentation of the skin (mountain ash leaf

macules.)

The Tuberous Sclerosis Association of Great Britain represents about 580 families where

one or more members suffer from this disease. Whereas 20 years ago the incidence of TS in the

population was estimated as 1/200,000 people, it is now thought to be as high as 1/20,000. This

is presumed to be because better means of diagnosis (including CAT scanning) are now

available.

The patient was two-year-old boy who developed infantile spasms when five months old.

In these salaam spasms he suddenly apparently spontaneously, would look vacant, his pupils

dilate, and his face go pale. His right arm would twitch a few times, then, flexing at the waist, he

bent double finally falling onto the crown of his head. He would lie there, with eyes wide open,

deviating to the left. His right arm would straighten and repeatedly be elevated from his body

and returned to his side again. There was no incontinence or tongue biting. The attacks lasted

from a half to one minute, and his mother felt that he was conscious throughout, and could

appreciate sound. The parents meticulously recorded the number of the attacks, which averaged

between 5-6 each day and 5-6 each night. On 18

August 1986, at his first consultation, he

presented as a cheerful lad, with few scattered patches of under-pigmentation of the skin. He had

been fully investigated at the Children’s Hospital, and a Hospital for Subnormality, and was

under their surveillance. He was thought to be slightly mentally handicapped. He has right-

sided weakness, especially of his right arm, which tended to hang limply by his side ‘as if

broken’. He was very unsteady on his feet. He was often irritable, and impatient, and was

awake most nights until 4.30 a.m. His parents got more sleep if his mother slept beside him. His

maintenance medication was

Sodium Valporate (Epilim) 15 ml/day.

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Nitrazepam 10mg/day, both in divided doses. His mother was already using Arnica

freely for his many falls.

18.8.86 Rx NUX VOMICA 6 qid.

Continue sodium valporate and nitrazepam.

If no improvement in one week, replace Nux Vomica with Antemisia Vulgaris 3c

qid.

8.9.86 No significant change with Nux Vomica. Slight but significant improvement on

Artemisia 3(‘or is it coincidence?’)

He had a fit during the consultation, which I witnessed.

Rx Artemisia 12 bd until reaction, then stop and wait, If no response change to

Cicuta 3

qid. for a week, and if still no response replace with Oenanthe crocata

qid.

20.10.086 No significant change with either Cicuta or Oenanthe, but some improvement on

Artemisia. ‘ he is not dropping so much to the floor.’ With the hospital’s consent

the parents had started slowly to reduce the nitrazepam, and by now had halved

his original daily dose, to 5mg daily in divided doses. The boy had recently

become very hungry, with a voracious appetite, and was kicking off the

bedclothes at night.

Rx Tuberculinum 10M.

Artemisia 30 every 72 hours.

Continue Na valporate.

5.1.87 ‘He seemed better the day after taking Artemisia 30.’ Nitrazepam was finally

withdrawn by 8.11.86. The parents also tried with-holding Artemisia, but after

three weeks steady deterioration they resumed giving Artemisia 30, and after the

first dose he went four days without a single fit. He was now being given

Artemisia 30 on alternate days, the parent finding this controlled him better than

with doses every third day. The fits were milder and were only two a day on

average.

Rx Continue Na valporate 15 mg daily.

Artemisia 30 PRN.

22.1.87 Parents decided independently to do a trial of withholding Artemisia completely.

16.2.87 No increase in frequency of fits – still only two a day, and one by night, whereas

eight months ago he had ten to twelve every 24 hours.

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Rx Still taking Na valporate.

7.3.87 Demonstrated at Faculty Tutorial at Selly Oak Hospital. ‘In the last few weeks no

drop attacks; most unusual compared with other cases.’

Parents very pleased.

No Artemisia for six weeks.

13.6.87 ‘Very well. Approximately two absences a day, for seconds only. No salaam

attacks or fits for three months. Twice he has had a ‘drop attack’ landing on his

bottom. He walks much more steadily and can even run, and kick a foot-ball

without falling over. He is learning to jump now. His right arm doesn’t hang

limply at his side: he now uses it to play, and reaches out with it to pick things up.

Mentally he is developing better, and attends a day nursery three times a week.

He sleeps soundly from 8.30 p.m. to 8.30a.m.! We had never believed it possible

for him to sleep undisturbed right through the night. We don’t’ think it is just

normal development with age, because it all happened so quickly.’ His mother

explained that as well as giving him.

Na valporate she gave him courses of Artemisia 30, on alternate days for about a

week, every few weeks when she had a feeling he was about to relapse.

Discussion:

An isolated case history proves nothing: but it can be informative and might stimulate

others to try homoeopathic treatment in attempting to control this very distressing disease, which

so often resists conventional medication. Frequently the dose of anticonvulsants that is

necessary to control the fits profoundly disturbs the patient, to such a degree that the drug has to

be withheld.

Mental handicap is intensified by poor fit control, and by excessive use of

depresant anticonvulsants such as phenobarbitone and primidone.

Poor fit control leads to a

progressive loss of skills.

Spontaneous remissions in infancy do occur but apparently are

unusual.

This case is interesting because three other homoeopathic anticonvulsant medicines were

tired, without any subsequent change in the boy’s condition. They were:-

Nux Vomica 3

qid which contains strychnine

Cicuta Virosa 3

qid (water hemlock)

Oenanthe Crocata 3

qid (water dropwort)

It is not surprising that neither Cicuta nor Oenanthe helped, because both produce, in toxic doses,

trismus, tetanus and convulsions, with a red face, and opisthotonus. This child did not arch the

head and spine backwards, but flexed forward, and went pale during each fit.

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The case demonstrates that homoeopathic medication can be added to conventional. The

child continued taking sodium valporate, though he discontinued taking nitrazepam. In this case

a higher potency (30

) of Artemisia appeared more effective than a low potency (3

Artemisia Vulgaris (wormwood, mugwort) was popular drug known to the Greeks and

Romans and in the later times was much used for treating epilepsy, and spasms of children,

(presumably in material doses). Hering recommends it for irregular or deficient menstruation

associated with epileptic convulsions.

Boericke advises it for childhood epilepsy especially for

girls reaching puberty

and Clarke for ‘epilepsy from menstrual disturbances’

I rarely prescribe Artemisia, but have two adult female patients whose epilepsy is not strictly

controlled by sodium valporate and whose fits increased if their period was overdue. By taking

Artemisia during the premenstrual week it would appear that the frequency of their fits has been

reduced.

References

1. Wilson J: Tuberous Sclerosis. Brochure of the TS Association of Great Britain.

2. Cavanagh PC. Lobacher ME: Childhood Dementia. Medicine International 1983:1:1682.

3. Morley WN: Paedutric Dermatology. Medicine International 1983:1:1289

4. Personal Communication. Secretary TS Association of Great Britain.

5. Hering C. The Guiding Symptoms of our Materia Medica. 1880 Vol.2 p.154

6. Hering C. Ibid. p. 156

7. Boericke WH: Pocket Manual of Homoeopathic Materia Medica. P.86. 1927.

8. Clarke JH: Dictionary of Materia Medica. Vol. 1, p.196. 1925.

[From the BRITISH HOMOEOPATHIC JOURNAL, Oct. 1987, Vol. 76; For PRIVATE

CIRCULATION ONLY]

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2.5 A case of pemphigus - Dr. Francisco X. EIZAYAGA

The history of the illness of Mr. A.C. begins with acute pruritis all over his body,

followed by a very pruriginous vesicobullous eruption of the face, trunk, and limbs and by an

important degradation of his general state of health.

In April 1984 a skin biopsy shows a sub-corneum pemphigus of the SENEAR-USHER

type. A corticoid treatment is undertaken. Rounded necrotic ulcerated lesions now appear.

In July 1984, the patient has a new eruption of very pruriginous vesicles, and bullae on

his hands with abundant, clear, colorless or yellow secretion. Scabs form. The evolution of each

lesion takes from 45 to 90 days.

A new skin biopsy carried out on July 11, 1984 shows myeloid cellular infiltration with

the presence of neutrophilic and eosinophilic polymorphonuclears associated with blast elements

probably of myeloid nature, with superficial cutaneous necrotic eschars by thrombostasis.

A hemogram taken on July 23, 1984 shows a hyperleukocytosis with 77% neutrophils

and 15% lymphocytes.

February 27, 1985 an immunological profile is made with the help of cutaneous tests

(trichophytin, histoplasmin, candidin, PPD – Rebuck test) which are shown to be negative, and

demonstrates a strong immunosuppression.

March 14, 1985 the appearance of the patient is worse. He is covered with bullae and

vesicles with the typical “mouse odor”, a big necrotic blackish ulcers with a gangrenous odor.

The psychic signs are not characteristic outside of a feeling of abandonment and showed

thinking. The prognostic is guarded.

The repertorized symptoms are: - eruptions, pemphigus, pruritis without eruption, pruritis

during sleep, pruritis aggravated by the heat of the bed, eruptions which are burning, bullous,

vesiculous, feverish with a sensation of ardent burning, big gangrenous necrotis ulcers with laced

edges.

Repertorizing shows: Arsenicum (11 symptoms), Rhus tox (10 symptoms), Sulphur (10

symptoms), Lachesis (9symptoms).

The treatment decided upon: Arsenicum Album 6 CH, 5 granules every 3 hours. We note

rapid improvement of the pruritis. The vesicles dry up, the general state of health and the facial

expression improve. The patient’s swelling is reduced and loses 10 kg in one month, lesions heal

from top to The gangrenous ulcers close up, the cutaneous lesions heal from top to bottom. The

swelling of the legs decreases and the patient can now wear shoes. His back, which was covered

with warts, now has only five left. Some pruritis persists on his face. In spite of this

improvement, the patient feels he will never be cured.

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May 20, 1985, he is much better, calmer, and can better stand the itching. The eruption

and the pruritus persist. The right hand and arm are swollen, The “mouse odor” lingers. A fear

of dying and an exertion dyspnea appear even though the patient shows 80% improvement.

The immunological profile of May 28, 1985 stays constant.

On July 18, 1985, we add to the Arsenic 200 CH treatment, an auto-isotherapeutic

consisting of 9 CH blood, to be taken in oral drops, twice a day. This new treatment accentuates

the improvement.

Late August, the patient begins to work again (he is a reporter). He has no more

eruptions on his body. The immunological profile of October 15, 1985 is positive, to the

astonishment of the immunologist.

The patient comes back to see the doctor on November 6, 1986, because, for the last

month, an ulcer has formed on his right forearm. It has a diameter of 5cm, with hard red edges

with black scabs. The inside is granulous, necrotic, has a dead smell and a yellowish secretion.

The treatment is continued with Arsenicum Album 200 CH and the blood auto-isotherapeutic.

Since the generalized pruritus reappears, especially in bed at night, although the patient

says he feels “better than ever”, he is given Lachesis 6 CH, four times a day, as well as the blood

isotherapeutic.

On November 29, 1985 the patient feels well. The ulcer stays superficial and its diameter

decreases by half. The ankles lose some swelling. The patient continues his treatment with

Arsenicum, Lachesis 200 CH or 1000 CH, Sulphur 30, and the blood auto-isotherapeutic whose

attenuation is increased to 200 CH.

Late December 1986, the clinical picture begins to worsen; the legs swell, the necrotic

ulcers with gangrenous odor reappear. The treatment by Lachesis and blood auto-isotherapeutic

is kept up.

January 9, 1987, the patient has a gigantic ulcer in the crease of his right elbow, like a

patch, with uplifted edges, thick, painless. 39

◦

C fever. Dry mouth and thirst for large quantities

of liquids. Painless ulcer, dry skin with desquamation and pruritus, hard and painless

adenopathy. The patient is given Carbo Animalis in 6 CH, then in 30 CH, every four hours. In 3

days the fever has gone down and everything improves, including the necrotic ulcer is small, the

skin is thick.

In March 1987 the leukocyte count shows some neutrophils with toxic granules.

April 1, 1987, a new biopsy is carried out on one ganglion. According to the pathologist,

it is a matter of a rare association, of a high degree of malignancy, of a big anaplastic cell

lymphoma with a myeloid metaplasia. The patient is hospitalized in order to receive

chemotherapy.

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Immediately thereafter a hepatic insufficiency settles in, with icterus. After 4 days of

chemotherapy the patient dies on April 6, 1987.

Commentary by the author: The patient’s pemphigus was almost totally improved when

this disease of the lymphatic system appeared. This disease is serious and rare and could have

been suspected from the start, but was not clear because it was subjacent to the cutaneous

disease.

Unfortunately it was not possible to treat the patient in his last days, and there was no possible

resort to Homeopathy.

Editions’ note: This observation met with the attention of the Editing Committee due to

the fact that it well defines the limits of Homeopathy.

[From the Journal of the OMHI VOLUME 1 No. 1 JANUARY 1988]

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2.6 “SEES SPIDERS” – A CASE OF TONSILLITIS -

By Dr. Artur Braun

(A rare ‘Lac caninum’ symptom)

We hear symptoms from patients which are similar to those observed in the provings of

medicines. The homoeopathic physician must sort out the symptoms and evaluate. All the

symptoms taken together represent the disease. Out of them we take the “essence” according to

the well-known paragraph 153 of the Organon, namely – the “peculiar, rare, unusual and singular

(characteristic) signs and symptoms of the disease case” to decide upon the curative medicine.

Of course the symptoms are not the object of our attach but they only lead us to the curative

remedy, the similie.

The following is an “acute disease” picture. This cleared off first under Mercurius

solubulis hahnemanni. That this was only a temporary relief was realised through a very peculiar

symptom which came up during the convalescence period. On the basis of the syndrome

“tonsillitis with spots on the left tonsil, moderate grade swelling of the lymphnodes of the region,

white coated tongue, pain while swallowing, temperature between 38 and 38.5

◦

”. Mercurius D6

had been prescribed which we often find helpful. In this case it was not, apparently, the

homoeopathic similie.

The pathogenesis of the illness was clearly different from what is usually observed in

Mercurius angina. It was a hormonal disturbance which was responsible, at the bottom, for the

“acute illness”.

The homeopathic physician knows that mostly the “acute diseases” have their origin in a

chronic disease. Chronic diseases do not arise out of acute diseases as generally assumed. After

HAHNEMANN matters have been reversed. According to ORGANON the acute diseases are

only ‘flare-ups’ of a deeper-lying chronic illness which retreats into its “slumbering state if the

acute disease were not too serious and were removed”.

In practice we have often experienced that such a flare-up of the disease from its

slumbering state furnishes characteristic symptoms for the selection of the remedy for the illness

which is at the root. It is therefore worthwhile to pay greatest regard to the “acute diseases” and

perceive what is lying behind it. Often its symptoms lead us deep and far from superficial

treatment syndromes. Not seldom do we obtain by precise examination and interrogation

symptoms of high value which indicate the sick person rather than the disease (Key notes, ‘as-if’

– symptoms).

Case: Mrs. Astrid K, 27 years married since 7 years called on me because of a septic

tonsillar inflammation. The left tonsil was covered with some typical pus spots. The lymph

glands in the region were also swollen. Tongue coated white. As there were no further

symptoms and signs I prescribed Mercurius solubilis hahnemanni D6, Two days later the spots

had vanished off, I gave Hepar sulphuris calcareum. Everything appeared to be taking the course

as expected.

It was not actually so: she came to the clinic on 16.9.68 in a somewhat perplexed state. A

look into the mouth showed that now the right tonsil was covered with some white spots. The

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patient did not complaint of it. The last three nights have been dreadful for her. It all seems

“comical” when it is simply narrated: of course otherwise also it would make her go crazy. She

must also ask herself whether she was still in her senses. Last three nights, every night she woke

up and saw a spider on her bed-sheet crawling towards her. Last night it was of an “enormous”

size (shows with both hands, an apple size). Every time when she switched the light on the

spook had gone away.

Here we have an unusual, peculiar symptom to be handled. With unmistakable clarity the

correct curative remedy was called for on three successive nights. The symptom language can

become so insistent! The peculiar, mental symptom thereby came to the surface which had faded

away from the mind of the patient when lymphatics of the pharynx were suffering from constant

inflammation,

Such rare symptoms come up in the proving only in isolated cases, only in one or a very

small number of provers, perhaps only once in one medicine. By their queerness they strike the

prover and the proving observer. It should not be lost sight of. When a prover has not had in his

whole life the hallucination of a spider, but only during the proving of Lac caninum then the

importance of it is very high.

Now, this symptom, is it a ‘dream’ symptom? No, we were not told clearly: she wakes

up from sleep and then in the darkness of the night she experiences this ‘hallucination’,

everytime after switching on the light the spectre was gone. It is a matter of fantasy, a downright

hallucination. The patient has said that she saw the spider crawl towards her “after she woke

up”.

We find the rubric in Kent’s repertory under “Delusions, sees spiders” (p.32). That is the

exactly suitable one. The patient has recognised that this feeling was an “as if” condition only.

She did not contend that there was a spider in her bedroom. So much so it has to be

differentiated from a hallucination as in the case of schizo-phrenia.

Only one remedy is given in Kent: Lac caninum. I immediately realised that this was the

medicine and Mercurius was only a palliative. The hormonal background, the mental,

everything suited as the best. And Lac Caninum is a well known angina remedy. Lac Caninum

was given, a single dose, D 200. The result was prompt. Right away on the following night she

slept undisturbed. Gynaecological anamnesis over a year completed the Lac caninum picture. I

knew the patient from her 18

year. She came from a divorced couple brought up by a

grandmother. My treatment at the beginning was exclusively according to the findings of the

gynaecologist. Mostly these were meno-metrorrhagias. For me then only the secondary anaemia

had to be treated which is not exactly an outstanding work for a homoeopathic physician. The

gynaecological diagnosis finally was: Para metropathia spastica. All these have clearly been

relieved in the earlier year. Since a year I did not have to refer her to the gynaecologist. The

patient required occasional doses of Lac caninum when the symptom for it arose.

Brief remedy portrait: There are two directions of action:

1. the relationship to the throat and the lymphatic pharynx

2. the relationship to the mammary glands and the sexual glands

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In the hands of the earlier homoeopaths it had the reputation in Diphtheria. It was not

possible in those days to make a bacteriological test. Only when this advice was extended to

post-diptheritic throat and tonsils inflammation.

Inflammation of throat and tonsils with and without coating even oedematous swelling of

tonsils can be handled by Lac caninum when the medicine is indicated. One of the most well-

known indication is the alternation of symptoms (not only tonsils inflammation).

STAUFFER points out Lac caninum as a deep and long-acting nervine remedy and

mentions as leading symptom, much excitability. According to this author it is a remedy for

somewhat excitable hysterical women, at the height of their sexual life. The relationship to

hormonal economy is indicated by “throat pain at the commencement and end of menstruation”,

Magnesium carbonicum helps in throat pain before menstruation, Calcarea in throat pain during

menstruation.

The hormonal content of the remedy is not surprising that it brings out a whole series of

symptoms of female sexual organs: painful breasts before the menses, ovarian neuralgia,

alternating sides daily. Kent names Pulsatilla and Lac caninum as the two best remedies for

drying up the breast milk.

Regarding the lacteal gland in men prolactin must be mentioned. Much research has to

be done on this whole matter. Lesser goes into this interesting connection in his text book.

(From The Zeitschrift fur KLASSISCHE HOMOOPATHE 1972 –; translated from the original

German and slightly a abridged by Dr.K.S.Srinivasan, Madras: for private circulation only.)

FEED BACK

The inclusion of articles on the Tuberculins in the March 89 DIGEST is a timely service

to all homoeopaths as this nosode has been either grossly abused or neglected.

1. The variety T.B.(testinum) introduced by Burnet does not find a place in the list of

tuberculins found in the articles. This nosode is suggested for tubercular symptoms in the

lower half of the body (Boericke, Cartier, etc.)

2. Dr.M.L. Tyler’s drug pictures contain a prize easy on one of the most powerful T.B.

drug-Drosera – which is treated in such a masterly manner that Drosera emerges as one

of the most versatile homoeo drug not merely in pthisis and whooping cough but in a

variety of stubborn conditions from scar tissue to arthritis. This article provides an

insight into the treatment of T.B. manifestations outside the lungs, where our materia

medica and repertories offer little help.

a. Aviaire, the T.B. bacillus from birds is a nosode of rare virtue in cases of dry

teasing cough after flu, measles, or concomitant of asthma where the absence of

moisture of mucus is the cause of great suffering from prolonged period. This is

in contrast to Bacillinum which is useful in human asthma. One need not resort to

the heroic doses of either the French or the German school with their decimal

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potencies or low centesimals. I have used 30C, 200C and 1M (Nelson) potencies

in all my cases. The relief is as fast and enduring as when Bacillinum acts

successfully. Aviare bears repetitions when the first dose acts curatively.

As an agent to immunise children against frequent colds and tonsillitis, Borland had

recalled an old American practice of giving T.B. in 1M, 10M, 50M, CM potencies on successive

days, giving two doses of each potency in a day. I had modified this by starting with 30C and

ending with CM on the 6

day, also using Bacill. or T.B. (Nov) in my cases. The age group

varied from one year old baby to adults up to 45 years. Not one of the large numbers of patients

of any age manifested any sign of aggravation. This experience covers 25 years.

In T.P. Paschero’s case of the lady with mania being allowed to die of pthisis after curing

her mental condition appears to show one blind spot in our therapeutic thinking. My limited

experience in treating acute and advanced pulmonary T.B. with a poor prognosis established that

in Calc. carb from 6C to 10M we have a most important curative drug (not palliative). An

automobile driver of about 45 years with confirmed T.B. with bilateral involvement was asked to

stop smoking beedies and put on Calc. carb – 6C once a day continuously for a few months in

1978. He gained weight was put on stationary job in a shop and later started driving a car again.

A girl of 14 years, an orphan with a diagnosis of T.B. with haemoptysis was treated in the

T.B. hospital for some months and was put in my house in 1978 for domicilary treatment. She

had two subsequent remissions with troublesome cough, requiring hospitalisation for short

periods. She continued to stay in my house as a domestic help after return from hospital each

time, She later got married and is now a mother and quite normal, she used to have profuse

perspiration (dripping) of the palms and extremities were very damp and cold. She received

Calc. carb in 6, 200C & 1M potencies each time she become resistant to the allopathic drugs.

Stannum met and Millefolium are two drugs of a palliative nature which provide

immense relief to pthisical patients for troublesome cough and haemoptysis and help the patients

to regain sufficient vitality to enable Calc. carb or other ploychrest remedies to effect a complete

cure. The need is to repeat Calc. carb over a long period (6c) or at frequent intervals (if higher)

to overcome the rapid destructiveness of the disease.

One last point of great significance is the cinical tip in the paper THE TUBERCULINS

BY H.V.Mul1er that T.B. residuum is likely to be useful in both kidney and gall bladder lithiasis.

This is an area where apart from Burnett and Tyler very little clinical guidelines are available.

Radical surgery and lithotripsy are only scavenging techiniques and have no curative action. But

one would like to know the source from which T.B.Residum can be obtained with absolute

guarantee of purity. Could any reader enlighten his fellows by a feed-back?

A reference has been made to the artistic temperament and romantic nature of some

famous people with T.B. history To make this list more representative, I would like to add two

Immortals with T.B. history R.L. Stevenson (Treasure Island: Dr.Jeky1l and Hyde-Anacardium

archetypes) and Keats the poet. Vivekananda was diabetic, Ramakrishna and Ramana suffered

from cancer. Most successful politicians are diabetic.

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Dr. D.Lakshminarayanan

Hyderabad

(‘Feed back’ continued on next page)

I have received the March number of the QUARTERLY HOMOEOPATHIC DIGEST, which

seems to me especially valuable in giving a concerted Picture of the tuberculins, which brings to

light many additional considerations along with the standard picture.

I also thought your review of THERAPEUTICS OF TRAUMATIC DISEASES … most

to the point. My narrow experience has proven, if nothing else, one thing many times over; the

wonderful efficacy of HYPER in treating wounds, etc. If the public could be convinced to use it

on the bandage instead of anti-biotic ointments, which rarely produce a rapid and clean cure,

they might go from there to a second experiment, und so weiter …

- DANIEL PAPISH

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2.7 BOOK REVIEW

Kent' Comparative Repertory of the Homoeopathic Materia Medica

Authors: Guy Kokelenberg, M.D. and Rene Dockx, MD.

Distributors: Homeoden Book Service, Gent, Belgium, (USA: Christine Kent Agency 818-947-

1253)

Our Materia Medica is the window through which we see our patients. The vast amount

of knowledge contained in the volumes of materia medica offers us the ability to cure, but not

without the Herculean task of learning, comprehending and utilizing that wealth of knowledge.

The former is certainly dependent on how we accomplish the latter. Whereas all the guiding

symptoms we need are available in the materia medicas, without easy access to this information,

it is difficult, if not impossible, to use these books alone to prescribe.

Repertories have been a natural outgrowth of the Materia Medica and were developed to

organize the vast amount of information. They are decidedly the key to the Materia Medica, as

every homoeopath from beginner to master will agree. Today, Kent’s repertory is the

acknowledged standard. A familiarity and clear understanding of the language and meanings

and organization within this repertory are critical for accurate prescribing in homoeopathy.

Despite the central role of the repertory in homoeopathy, there have been virtually no

resources available to instruct the student of homoeopathy in the use, understanding and methods

of the repertory. There are dozens of materia medicas, with more being published all the time,

yet for our most utilized reference we have been left on our own to unlock its wisdom and apply

it in our practices.

Given this situation, I am sure that all homoeopaths will welcome the English publication

of the book Kent’s Comparative Repertory of the Homoeopathic Materia Medica. This book can

be regarded as the “Instruction manual” for Kent’s Repertory of the Homoeopathic Materia

Medica.

The book, originally in Flemish, is the master work of two of Belgium’s finest homoeopaths.

Drs.Kokelenberg and Dockx have each made a life’s work of the study and application of the

repertory. In addition to their homoeopathic practices, they have spent years gathering

knowledge and insights from a wide variety of sources, including Paschero, Barthel, Vithoulkas,

Kunzli and others. This accumulated wisdom has been translated into the language of the

repertory, a step above simply making additions to a materia medica.

The first presentation of this material was in a seminar series to homoeopaths in Belgium.

The format was an intensive and thorough review of the repertory, including rubric definitions,

additions, materia medica with differential diagnoses, and cross references, proceeding page by

page, rubric by rubric. It may seem that a class of this type would be tedious and monotonous.

On the contrary, their repertory class became one of the most popular series in Europe. The

instructors now have numerous requests for a repeat performance! Last year, I had the

opportunity to discuss the seminar with several of its students to find out what made the class so

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special. They all found the information extremely valuable, but even more outstanding was the

entertaining, engaging and fascinating presentation that, in another context, could be difficult to

study. The most frequent comment was that Drs.Kokelenberg and Dockx “brought the repertory

to life.”

The transcripts of the original seminar were compiled and edited to produce the first

edition of the Kent’s Comparative Repertory, approximately 700 pages!! Translation into

French, German, and now English have been ongoing over the past year. To facilitate

distribution of this valuable work as soon as possible, it is being sold as a quarterly subscription

over a three year period. This has the advantage of allowing a thorough study of the information,

including time to enter additions and cross references, before the next installment arrives.

Currently, the first four sections are available in English, constituting the first year of the

subscription. These 200 pages cover the MIND section.

There are four main areas of special interest in the book: 1. Definitions, 2.Cross

References, 3. New Rubrics and additions, 4. Materia Medica and Differential diagnosis.

1. Definitions: Understanding the language of the repertory is the most important aspect

of its use. Exact meanings and usages of the terminology in the repertory are explained. There

are many instances where terms are compared and the subtle differences between them are

pointed out. For example, the difference between “bashful” and “timidity”. Bashful indicates

modest, shy and easily confused, whereas timidity has the aspect of fearfulness, lack of courage.

Occasionally a rubric is defined by simply restating it; however that is the exception and seems

to occur only when the definition is very obvious and really needed no further explanation.

2. Cross References: The book includes many, many cross references which are

extremely helpful. I found this aspect to add a dimension to the repertory that I had not fully

appreciated before. Some of the cross referencing refers to synonyms, such as “abrupt” crossing

to “impulsiveness” and “rashness”. Other occasions, the cross reference points to a similar

rubric in another location, such as “delusions, criticized, that she is,” from page 23, appears in

related forms on page 20: “thinks she is accused” 22: “imagines others will observe her

confusion,” 23: “that he is despised,” 28: “thinks she is insulted,” “imagines she is laughed at”

and 35: “that he is being watched.” The cross referencing helps you become aware of parts of

the repertory that may have escaped your notice. It also helps to point out minor, yet important,

differences between remedies. This can be appreciated through the observance of remedies in

one rubric which are absent from similar rubrics.

3. New Rubrics and Additions: There are a number of additions and all have been clinically

observed or come from reliable sources such as Barthel or Vithoulkas. The new rubrics are

especially helpful, usually being small and therefore highlighting the strange, rare and peculiar.

For example, “carried, over the shoulder, desires to be” is a more specific for Cina that other

remedies which want to be carried. · Other new rubrics such as “Revelry”,' 'Passionate,' and

“Extrovert” generally help to expand the repertory's usefulness.

4. Materia Medica and Differential Diagnosis: Frequently, a rubric will be defined and discussed

by comparing the major remedies in it. It is extremely helpful to see how a specific remedy

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represents the characteristic of that rubric. These discussions include clinical experiences and

examples of patients' behaviour, comments, or reactions. Many of the smaller, less well known,

remedies have been included and this helps to bring them into use. Psorinum, Hura, Nux

moschata, Carcinosinum, Ambra grisea, Robinia, Fagopyrum, Thea and others are given

attention. They are mentioned in connection with the rubrics listing them, which facilitates

remembering the remedy, its characteristics, and where you will find-it when you need it!

The overall book is, without question, the most valuable and useful book I have ever

found on the repertory. The information it contains is reliable, very practical and it covers every

aspect of the repertory. The authors have taken their own actual experience and translated it into

a form that is both useable and applicable to others. The book is easy to read and much of the

humour and entertaining style of presentation that so distinguished their seminar is present in the

book. The translation from Flemish to English is excellent; no effort is needed to understand and

enjoy the text.

Kent's Comparative Repertory of the Homoeopathic Materia Medica is an outstanding

addition to our educational tools and promises to be among the classic books in homoeopathy.

-Linda Johnston M.D.

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THE TONGUE SYMPTOMS IN CLINIC DIAGNOSIS by.Dr.M.Dey, B.A., DHMS,

Sadhana Prakashanalaya,

17, Baikunthanagar, Post Office Road, Mango, Jamshedpur--831 012,

100 pp., Rs.16/-

The tongue does not lie and condition of the tongue is therefore a very valuable sign for choice

of the homoeopathic remedy. The general Repertories contain the ‘tongue’ symptoms and signs.

However, as is we1l known, some repertories contain some rubrics which may not be found in

the others. It would be therefore useful if all the 'tongue’ rubrics from the different repertories are

compiled into one book of reference. The author of the book under review appears to have

attempted to do so. There are chapters on 'General considerations‘ of the tongue, which include

the character of the papillae colour, secretions, coating, etc. followed by diagnostic indications,

miasmatic influence and then a brief 'remedy indications' - remedy-wise tongue symptoms. A

brief repertory follows. There are two appendices — (i) 'diagnostic nomenclature’ explanations

and (ii.) Glossary. At the end there is a short Biblio-graphy of works consulted by the author.

The book carries a ‘foreword’ by Dr.H.L.Chitkara.

We must appreciate the efforts of the author; however, the book itself has many shortcomings

apart from too many printing errors. In the 'Glossary‘ terms like ‘anemia', ‘cirrhosis', 'oedema',

jaundice’, ‘paralysis’, ‘tuberculosis’ etc. have been explained! Surely the book is meant for hom.

medical practitioners and there cannot be one without knowledge of these elementary terms.

Even laymen know these terms. ‘Anaemia’ is explained as ‘Lack of blood’(!) instead of as ‘a

disorder due to a deficiency in the number of red blood cells or their haemoglobin content or

both’. In certain rubrics the ‘gradation’ of remedies are totally different from what are found in

the ‘Kent’; some remedies found with ‘high’ grade ‘Kent’ is missing in this work viz.,

Condylomata: Aur-mur, Sub-rubrics have not been placed properly indented in some cases.

Some of these shortcomings may be made up by the author for the next edition. Still personally I

would keep the book on the table and correct, annotate and improve it for own use. There are

three photographs of the ‘tongue’ which are not clear and therefore do not serve the purpose

intended. – K.S.S.

NEWS

Dr. B.N.Chakraborty as the Chairman informs that The International Homoeopathic

Medical congress will be held at Netaji Indoor Stadium, Calcutta from Nov.2 to Nov.7, 1989,

commemorating the 150

year of the advent of Homoeopathy in India. The Prime Minister is

expected to inaugurate the congress. The Chief Minister of W.Bengal is Chairman of the

Reception Committee and Union Minister for Health & Family Welfare will be the Patron-in-

chief. The Union Minister of State for Revenue, Sri Ajit Panya will be the chairman of the

Advisory committee. The central discussions will be homoeopathic philosophy, Nosodes and

Sarcodes, Snake Venoms, Viral Encephalitis, AIDS computerised data processing and

homoeopathy, Drug addictions; also informal discussions. A meeting between representative

homoeopaths from the world over has also been arranged.

Delegate fees (if paid by 30 July 1989): Rs. 400/-

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Accompanying persons: Rs. 250/-

Payable by means of Demand draft before 30/07/89 in favour of ‘INTERNATIONAL

HOMOEOPTHIC MEDICAL CONGRESS, CALCUTTA 1989”. Official banker: CANARA

BANK. For further information:

The Organising Secretary,

International Homoeopathic Medical Congress,

Congress Secretariat, 203/1, BIDHAN SARANI,

CALCUTTA – 700 006.

------------

Communication has been received from Dr.M.L. Agarwal, (Secretary – Administration), that the

congress of The Asian Homoeopathic Medical League, organised by Malaysian chapter of

AHML, is being held at Kula Lumpur, Malaysia from 4

to 6

Nov. 1989. The subjects for

discussion: Homoeopathic therapeutics; Data processing computers and Homoeopathy; Recent

Scientific Research in Homoeopathy; Modern Approach to Hom. Practice; Diseases of Women;

Rare remedies; Hom. and Child; Skin diseases; Case taking; Hom. Practice.

Scientific papers on the above subjects may be sent before 15/08/09 to:

The Scientific Secretary,

C/o Faculty of Homoeopathy Malaysia,

No. 32A, Jain Raja Alang, Kg, Baru,

503000 Kuala Lumpur (Malaysia)

Fees: Delegates 100 $ (U.S.) if paid before 20/10/89

150 $ (U.S.) for payments after 20/10/89

or spot registrations.

Accompanying persons 100 $ (U.S.)

The fees include board and lodging.

Please write to Dr. M.L.Agarwal,

Secretary (Administration), AHML,

37, south Anarkali Extension,

Delhi – 110 051.

-----------

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National College of Naturopathic Medicine, 11231 S.E. Market, Portland, Oregon, 97216 USA;

(503)255 – 4860 offers a 4-year doctoral program for Certification in Homoeopathic

Therapeutics CHT), which documents that the practitioner has attained a professional level of

competence in homoeopathic practice, though it has not definite legal or licensing implications.

Eligibility:

- Students pursuing the N.D. degree

- Health care providers who are legally licensed to diagnose and treat disease (N.D., D.C.,

M.D., D.O., D.D.S.)

- Providers who must practice under the supervision of a licensed physician (R.N., P.A.)

- Students in programs leading to the above degrees.

The specific requirements of the certificate include among others, satisfactory completion of

National College courses I – VII or their equivalent; presentation of a research paper;

presentation of cases and passing tests. The FHE to cover the costs of the program over and

above the tution will be 150 $. For more information, contact Academic Dean’s office.

-----------

Dr. Rajan’s Seminar II:- Dr. Rajan Sankaran, who conducted a very instructive Seminar in

August 1988 in Bombay, and who recently returned from a lecture tour to London, Holland, and

Switzerland (on special invitation for the third successive year) – with spontaneous invitations

from various countries (Europe and Australia) for similar Seminars – will speak at a three days

Seminar (17

, 18

and 19

Sept.1989) at Birla Krida Kendra, Chowpatty, Bombay, 7. The

TOPICS to be covered with Video demonstrations are: Evolution of Homoeopathic thought, its

importance in practice; the key to understanding the Mind of Remedies and Patients: How to

interpret “Delusions” and use them in practice: and Demonstration of Cases on Video with

remedy pictures.

Eligibility: Medical Doctors and Interns only.

Fees: Rs. 500/- include lunch and tea (Rs.400/- for interns).

For Enrolment send remittance (with name and address) in favour of “Dr.Rajan’s Seminar” by

Bank Draft/ Cheque on Bombay A/c. / M.O. TO: Mr. S.M.Gunavante, Moraya Villa, 12

Road,

Khar, Bombay 400 052. Ask for full Brochure.

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3 QHD, Vol.VI, No.3, September 1989

Dear Doctor,

This issue is taken up by Lilium tigrinum and there are two large articles only; both by

Dr. George von KELLER.

The author discusses very important practical aspects with case reports. I am sure that these will

give a better understanding the construction of our Materia Medica and the evaluation of

symptoms.

I have made repeated requests in the past, for FEEDBACK from the members. It is only

by mutual communication that we learn more. Once again I request members to communicate

their experiences of the many points that have come in the pages of the QHD. Questions are also

welcome.

September 1989.

Yours sincerely,

K.S. SRINIVASAN

1253, 66

Street,

Korattur,

Madras 600 080

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3.1

LILIUM AND THE RELATIVE VALUE OF SYMPTOMS -

GEORG VON

KELLER, M.D.

SUMMARY

Tape recordings are presented of a case where Lilium tigrinum provided the cure, and to

begin with an attempt is made to solve the case with the aid of the repertory only, without

consulting the materia medica. Lachesis emerges as the result, and not Lilium. The reason is

shown to be that the short rubrics needed for repertorization are by their very nature incomplete,

so that the right remedy is often excluded.

Next, some highly characteristic Lilium symptoms are quoted from the provings, and

these are then brought out more clearly with the aid of further tape recordings. A surprisingly

close correspondence emerges of its own accord between some highly differentiated Lilium

symptoms and certain symptoms presented by the patient – demonstrating the application of the

“keynote system”. It is established that this system is not, in fact in opposition to repertorization

based on the totality of symptoms. Quotes from the literature show that Kent himself certainly

also used keynotes to find the remedy, and was against purely mechanical repertorization.

The conclusion to be drawn is that the value of a symptom in our search for the right

remedy does not depend on whether it is a mental, general or local symptoms, but that the really

valuable symptoms are only those which are characteristic as defined in the paragraph 153 of the

Organon, i.e. “More accurately described.”

The remedy we decided on for today is Lilium. Later on, I am going to play you a

number of tape recordings which demonstrate some of the symptoms, a method I have now

followed for a year, since my lecture on Lac caninum. I also like in each case to take up some

particular problem, some aspect of homoeopathic philosophy, as our English-speaking

colleagues would say, and discuss this in conjunction with the presentation of the patient and the

remedy. One such aspect were Kent’s “general symptoms”, another the historical distinction

between “specifications” AND “Hahnemannians”, and with Calcium carbonicum, finally, the so-

called constitutional characteristics. I shall continue with this today and consider the relative

values of different symptoms.

I shall also discuss the difference, or supposed difference, between Guernsey’s keynotes

and the totality of symptoms. All these things are of course closely connected. If one speaks of

the “value” of a symptom, an association will immediately arise between Kent’s general

symptoms and the mental symptoms which he was known to rate much more highly. At the same

time repertorization will come to mind, everybody being familiar with the three classes of

symptoms in Kent’s Repertory and four in Boenninghausen’s. You will say that these are two

quite different systems; on the surface, the categories printed in the repertories have nothing to

do with the fact that Kent ranks the mental symptoms highest in what is another system, and then

the general symptoms highest in what is another system, and then the general symptoms,

modalities with overall aggravation, improvement, aversions or desires. These are followed by

bodily functions, and the list ends with the local symptoms. i.e. symptoms relating not to the

whole person, but to one particular part of the body only.

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In my paper on Lac caninum, I said that in my opinion this ranking order of Kent’s

applies more to the remedies overall, and not to finding the remedy for an individual patient.

Kent himself once described the way he worked a repertory as follows: “Looking over all the

symptoms gathered, and selecting those that are rare, peculiar and strange, to search for the

remedies that include these and cover also the entire patient.”

This comment was made in the

discussion following a paper read by Dr Elmer Schwartz, in Chicago, stating that a repertory can

only be properly used once one has acquired a thorough knowledge of the characteristic

symptoms of homoeopathic remedies. In a lecture given in Philadephia, Kent said “Little

particulars come out sometimes in mental symptoms that lead you to think of a remedy, not to

give the remedy because of the keynote, but to sit down and meditate upon it for a few minutes,

to ascertain whether or not it fits the whole case, whether the remedy that is calling attention to

itself has all the rest of the symptoms.”

Kent’s followers have given us very detailed directions as to how to proceed when

repertorizing. They insist that mental symptoms rank higher than general modalities, and these

in turn above local symptoms. They has told us that for this reason we must start with the

mentals when repertorizing, then take the general symptoms, and only after that the local

symptoms.

They refer to paragraph 7 in the Organon, where Hahnemann considers that the

prescription should be based on the totality, the sum, of all the symptoms of a patient. For this

reason, they endeavour to determine every single symptom, writing them down, before they start

to repertorize, so that the emphasis is on quantity. To achieve this, to get symptoms for all the

bodily functions and part of the body, they even ask the patient to fill in a questionnaire before

the consultation, so that even if he should not have a complaint relating to sleep, he is made to

put down accurate details as to the nature of his sleep.

The opposite may be said about another method of finding the remedy. Guernsey

introduced the term “keynotes”, meaning individual, characteristic symptoms which immediately

suggest a particular remedy. Hearing this, one might easily misunderstand the situation and

think that adherents of his method note only the one symptom, ignoring all others, and do not, as

Hahnemann appears to say in paragraph 7, base their choice of a remedy on the totality of

symptoms. McClatchey

for instance thought that the keynote prescribers faced with a patient

showing a fan-like motion or the nostrils would automatically prescribe Lycopodium. He

overlooked the fact that only an absolute beginner would know so little about Lycopodium that

his or her knowledge would be limited to this one symptom. A practitioner who has some

experience would immediately form the association “Lycopodium when seeing a fan-like motion

of the alae nasi, but this would also call to mind a greater or smaller number of other

Lycopodium characteristics, and the practitioner would compare them of an instant, almost

subconsciously, with the other symptoms presented by the patient.

The difference between “totality of symptoms” and the keynote method is therefore only

an apparent one, yet it keeps coming up in discussion, and the followers of Kent have frequently

expressed the opinion that the method of repertorization which I have outlined above was

superior to the keynote method. Let us make an experiment, therefore. I shall give you a

complete case recorded on tape, the first consultation, as it took place in my consulting rooms.

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Afterwards we will try and establish the hierarchy of symptoms, to repertorize them according to

Kent, and see if this will lead us to a remedy we feel confident about. Do listen to the whole

consultation first:

Mrs. C., 10 March 1977: “Billary colics since Saturday. I have had these colics for a long time,

about 16 years now. Nothing has been found ever.

“There is a peculiar tension in the shoulder.”

“Usually it happens in a situation where I feel I’ve got to do an awful lot, or I’d like to do

an awful lot. I am quite aware, actually, that I should just get on with things quitely , but

somehow I cannot. I get into a kind of rush, a feeling of being under pressure.

"And then at night, it gets ever so big here, and begins to hurt in this awful way. It feels

big then, if one presses on it one can feel there is something like a lump there, but it is only a

feeling, it is not visible.

"The sensation is as if something draws in tight and won't go apart; my back is like a

board then, the whole middle region of it, and it is very difficult to loosen up. Mostly on the

right, it is as if I had a belt pulling the wrong way around here.

“When I use the hot woolen cloths I always put them right round my middle, not just over

the gallbladder. Hot things are really good.

"The colic I really get only in that kind of situation. Looking at it objectively, there isn‘t

any more work, it is just something I create.

“For instance, in the summer it does not happen at all. In the spring, then I sometimes get

the feeling: now the whole flat needs to be done up, and, well, one thing and another . . .

"In bouts, periodically.

"Two years ago I had them for a whole year, practically every night, but that was when

my marriage was breaking up, and I was altogether mixed up, I think I also used it somehow as a

defence. That was an exceptional situation.

"When I have a dragging, urging feeling, it is rather from the pelvic area upwards, with a

bit of irritation to make one cough, and one would want to take a deep breath, so not to be sick,

such a strange cough, it tickles a bit in the stomach region.

“I do not like a tight collar. And a belt or bra not at all. I like to feel at home in my

clothes, I don‘t like to be squeezed in tight.

“So long as I kept moving and do not over-exert, I never get colic, but only when I lie

down. When I go to bed, it gets really bad. I always have the feeling that if I could just go on

working quietly, by myself, it wouldn’t get all that bad. As soon as I lie down, then it gets really

terrible.

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“When I indulge in memories of Munich, and cook pig’s trotters with sauerkraut, that

really is no good at all.”

Let us now establish the hierarchy of symptoms. In his introduction to the German

edition of Kent’s Repertory, Kunzli gives exact instructions on how to set about this. He says.

“To use the Repertory to good effect, we must first of all list the totality of the patient’s

symptoms.” This we have just done. Kunzli then continues, “This first and most difficult step*

is followed by the second, which is to assess each symptom for its value, its significance.” First

consideration is given to rare, never previously heard-of and paradoxical symptoms, as defined

in paragraph 153.

One such symptom is clearly present in this case. I refer to the “sensation of something

pushing upwards from the pelvis, with irritation to make one cough, and having to take a deep

breath so as not to be sick”. You can be sure there is no hope of finding a rubric for this in the

Repertory, and must therefore start at the second level, with the mental symptoms.

The typical sensation felt by the patient of “being rushed, having a lot of work to do,

though she is aware that

*Hahnemann did not say, in his paragraph 104, “once the totality of symptoms has been got

together, the hardest part of the work is done,” but rather, “When an accurate record has been

made of the totality of symptoms that define and characterize the case really well, in other words,

when one has an accurate picture of the disease, the hardest part of work has been done”. She

really ought to be working away quietly by herself” is most closely matched by the rubrics:

“hurry” and “impatience”. One of these should have the remedy we are looking for. The term

“industrious” or the rubric “busy” do not, in my view, accurately define the state the patient is in.

Let us start with “hurry” and “impatience”, then. The second mental symptom, pain from the

time here marriage was breaking up, is covered by the rubrics “symptom from worry” and

“symptoms due to emotional upset”. Unfortunately there is no small rubric that exactly fits the

patient.

Following Kunzli’s programme, we now come to the general modalities “worse in

sprint”, periodicity”, and “better from loosening clothes”. I do not want to tire you by going

through the whole process. In the end we have the following remedies: Calcium carbonicum,

Lachesis, Lycopodium, Nux vomica, Pulsatilla, and Sepia. If we look to see which of these has

most of the local symptoms presented by the patient, Lachesis comes out quite clearly.

If we consider once more the symptoms which led to the choice of Lachesis, we note that

it is always the short rubrics which decide the issue. A considerable number of remedies were

eliminated by using the rubric “worse in spring”, for example, leaving us with only ten out of

something like fifty remedies. Aggravation in spring certainly is one of the symptoms in this

case, but is it really characteristic of the patient? Five of those ten remedies were eliminated by

the short rubric ”better from loosening clothes”, another symptom clearly described by the

patient. But she did not emphasize the relief she felt as much as one would expect in Lachesis

case, and in short I am beginning to have my doubts if other symptoms are not of greater

significance in this case than those two general modalities.

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By determining which remedies do not have a particular characteristics, and then

excluding those remedies, we are really making a negative choice. Let me put it even more

clearly: instead of ‘not’, we should say “the remedies which have not yet shown that

characteristic”. After all, we cannot say with certainty that aggravation in spring may not occur

with other remedies as well in future, remedies not yet included in the rubric.

The least thing we should do, having excluded everything but Lachesis, is to put it to the

test, by comparing the symptoms that are particularly characteristic of the patient with the

corresponding Lachesis symptoms. The symptoms for which Lachesis has been included in the

“hurry” and “impatience” rubrics read as follows” “has to do everything in a rush, he bolts his

food down and cannot remain seated after that.” “Need to be occupied, without the slightest

staying power.” “Feels the need to do productive work at night; although getting very tired in

the course of the day, will sit and write all night without being the least bit sleepy and with the

greatest of ease and increased command of the knowledge at his disposal; new ideas are

continually surging up.” “A kind of ecstasies, like that experienced following a sublime

experience, like that of supreme job; he always wants to say and do a great deal, and everything

is also much more at his command.”

This should be enough to show that Lachesis certainly is

not immediately convincing when one compares the patient’s symptoms with those recorded for

the remedies.

But let us return to the subject of this lecture which, after all, is Lilium and not Lachesis.

I promised to present at least some of the Lilium symptoms to you in such a way that you may

recognize them again in your patients. Starting from the top again, we shall take a mental

symptom. First of all there is of incurable disease. Note how this differs from other, similar type

of fear that very specific fear. The Lilium patient has that fear, but oddly enough will talk about

it quite freely; he can easily be brought to see that his fear is only imaginary, and you can easily

convince him by telling him that there is nothing there organically. However, his fear will soon

return. He is somehow detached, able to see his fear from outside. The proving reads as follows:

"Apprehension of suffering from some terrible disease, already seated."

A medical practitioner

taking part in a proving of Lilium who knew very well that he was free from heart disease

reported: " . . . So constant were they (cardiac symptoms) that I became alarmed fearing I might

have misjudged the case, and, instead of medicinal symptoms,

I was really suffering from organic disease of the heart.”

The mother of a young girl I was treating came to me saying that she did not know what to do.

The girl was constantly going on at her that she was sure that she was ill indeed and was

probably suffering from an incurable disease. It was possible to get the idea out of her head by

talking to her sensibly, but the fear would return, just as if one had said nothing at all

. Let us

listen to two other patients.

Mr. S., 29 December 1975: "Yes, I do worry sometimes about having serious illness.

Recently this has been quiet marked, the fear that I may have cancer, cancer of the stomach or

oesphagus. Cancer of the oesphagus is something I have been constantly concerned with last

year. My stomach has been investigated a number of times, for example, and there was no

appreciable disease. A year ago a gastroscopy was done, and the doctor only found a mild

gastritis . I know, for instance, that I felt disappointed for weeks afterwards because he had not

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examined the oesophagus as well, thinking that if he had done so I would no longer have to

worry about it. "

Mrs . S., 7 September 1976: "I do get upset at times. My sister died of cancer a year ago

and so I always thought I might be .having cancer as well. I imagined that. It has been shown not

to be true, and the doctor immediately convinced me that it is not cancer, and I do feel

reassured at the time, but always when I don t feel so well again, I keep thinking that I have

something like that."

Another very peculiar symptom is this: "Thinks of dying without feeling great concern

about it; merely wants to know what effect this ",.ill have on others.” One prover put it as

follows: “. . . wild feeling in the head as though I should go crazy and no one would take care of

me; thoughts of suicide; how much opium would put me to sleep forever, and who would find

my body, and who would care.”

Another prover: " • • • felt that she should die, and did not care

if she did; wondered who would take care of her body.”

Again, as with the symptoms given earlier, you note an almost playful interest in their

own death, considering their own fate from above, and not feeling really involved. Here is

another recording, from one of my patients.

Mrs. B., 12 December 1974: I really get such depressions; I can't handle myself at all any

more. , I get ideas in my head, you know, when I imagine that there will be no one there to bury

me when I die; I get all those strange ideas. I worry about whether my relatives will know how to

manage things with my funeral, who will be taking care of my body.”

Another symptom that sometimes brings Lilium to mind during consultations is a very

characteristic powerful sexual desire coming up at intervals, with Periods when exaggerated

feelings of guilt are experienced on account of it.

The proving report reads as follows: "The sexual desire, dormant hitherto, was so

strongly aroused that the prover said: 'I am afraid of myself, I seem possessed of a demon.'

. . . excitement continued almost three weeks, increasing in intensity, until an orgasm beyond the

control of the prover would suddenly terminate it • • • for about ten days following this

excitement, there was a profound mental depression; •.• • although convinced that the sexual

desire resulted from drug action and beyond her control, an apprehension of moral obliquity

weighed greviously upon her; with the sudden passing off of this condition would as suddenly

recur the excitement, and this alternation continued for more than four months after the proving.”

Again we can see, though perhaps not as clearly as with the earlier symptoms, how the

patient looks at herself objectively, being above her own emotions as she observes them.

Something else also emerges that is common to these symptoms: their periodicity. The

apprehension of having a serious illness recurs at intervals, patient can be convinced that this is

not the case, and this will allay the anxiety for a time, but after a while it returns to the fore.

Sexual desire and a feeling of guilt here show a similar periodic alternation.

The best known Lilium symptom is one I must not fail to mention: "bearing down

sensation as if through a funnel, as if the whole of the pelvic contents would come out through

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the vagina, with pressure on the bladder and rectum.” This is clearly a local symptom, at the

periphery, whilst the symptoms relating to the mind and spirit concern the very core of the

human being. Kent is quite right of course when he says that diseases that have changed a person

right to the core of his being are more important than more external conditions. For the purely

practical purposes of choosing the remedy, however, the criterion for the greater or lesser value

of a symptom belongs to another sphere.

The bearing-down sensation is described as follows in the proving: “ Great bearing-down

in the uterine region, and a feeling when on the feet as if the whole pelvic contents would issue

through the vagina, if not prevented by pressure upward with the hand, at the vulva, or by sitting

down. "

"Dragging-down sensation of the whole abdominal contents, extending to the organs

of the chest, feeling greatly the need of support.”

“In the pelvis, a feeling 1ike a dragging out,

as if the whole contents were pushing down into a funnel, the outlet of which coincided with the

vagina.”

S. Raue adds the following: "With Lilium one has the actual pressure of an enlarged

uterus on the bladder. This pressure also produces the almost constant urge to defaecate.”

These quotations from the literature have prepared the way. Now listen to three of my patients.

Mr L. 11 June 1975: "Up there in the upper abdomen, on both sides, I get those drawing

pains, and I also get such a funny feeling down there, in the penis, like something pushing out

there, a pressure from the belly down into the penis.

Miss L., 8 April 1976: "I go hot and cold, it is a kind of sinking sensation, as if

everything were coming out, as if it all goes out from one, as if it were going out from the chest

downwards , everything you have inside, going down.

Mrs. F., 13 September 1976: If I have been having dreadful trouble for some days now,

with my stomach, with my bladder and in my bowels, always a pushing-down sensation, and

always the desire to spend a penny, and move the bowels too.

I'd now like to ask you to recall the case we were repertorizing to begin with. The patient

had the feeling of being in a rush in conjunction with the biliary colic, and this induced her to do

an awful lot, against her better judgement, so that she was no longer able to "work away quietly,

by herself”.

Compare this with the following symptoms of Lilium: “feels hurried and yet incapable, as if she

had a great deal to do and cannot do it!' " . • • • a constant hurried feeling, as of imperative duties,

and utter inability to perform them" “ ••• acts without thought; keeps walking fast as though by

instinct; feels hurried, but don't know why.”

From a case report: “Inner unrest and hurried

feeling, get relief through activity, but does not achieve much.”

It is striking how often "rush” and "rushed” are; mentioned with these symptoms. If Kent

had made this one of his rubrics, things would have been easy for us. Lilium would have

appeared in bold print under this heading, and that might have induced us to abandon the

standard system for once, remembering that Lilium and Lilium only, has a sensation very simi1ar

to that described by the patient. English does not have a word corresponding to Hetze. [“rush”

comes very close to it , or "harried" , translator], it is lost in the large rubric entiled “hurry”.

Do please consider the problems the compiler of a repertory comes up against. Complex

feelings and sensations and chains of sensations have to be presented by a single key word, and

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this can only be done to a limited extent. Expressions such as "restlessness" or "desire to keep

busy" on their own cannot in any way give an accurate reflection of the sensation in question,

and one often has to take a number of expressions used by provers or patients to adumbrate such

a sensation to some extent . Added to this are the shifts in meaning one gets with repeated

translation from and into English. In short, you may now be able to appreciate why I am of the

opinion that repertorizing on its own, without proper knowledge of the materia medica , is not

enough for finding the right remedy in many cases.

You see, the value of this type of symptom, of a very characteristic sensation like

“FEELS AS IF IN A RUSH, WITH URGENT DUTIES WHICH SHE HOWEVER IS UNABLE

TO PERFOM” is so great not because it is a mental symptom. “Restlessness”, too, is a mental

symptom. The difference is that the one is described in such accurate detail t hat it becomes the

keynote for one particular patient and one particular remedy. The other symptom, restlessness, is

a generalized collective term for a great many different sensations. If one did not Know the

materia medica and were also unable to look it up in the books, and wanted to find the remedy in

the present case just with the aid of repertory, then the rubric, "hurry" of "restlessness" would

need to be subdivided in such a way that one could find the exact words used to describe the

symptoms for every single remedy. Such repertories do exist: Jahr, Ruckert and others have

compiled them. But they are very old and contain only provings conducted prior to 1840, and no

clinical symptoms. For more recently introduced remedies such as Lilium, one still has to fall

back on the detailed materia medica.

Another symptom presented by the patient, the one I would put in first place when

repertorizing, for being rare, uncommon and peculiar, may also be found with Lilium. This is

the "Pressing upwards from the pelvis, with urge to cough, so that one has to take deep breaths,

to stop oneself being sick. If one finds something to match this in a remedy, it really can no

longer be called a local symptom of minor value. As Kunzli himself says, in his introduction to

Kent 's Repertory, "If local symptoms are striking , peculiar and inexplicable, their value is

enhanced.” I should like to go further than that. If a symptom is as striking as this, in both

manner and degree, so that one begins to wonder how the patient managed to find the words to

describe it, if it is such that it is impossible to describe the sensation in a word, or with a simple

phrase, and one has to resort to paraphrase and to images to convey it, then the symptom is not

only more valuable than another local symptom, but indeed has a hundred or a thousand times

the value of an inaccurately described menta1 symptom. It is not a question a. arithmetic.

Homoeopathy is not a numerical calculation, it is not mere addition, but an art, as Stuart Close

once put it. He said the following:

"In paragraph 153 of the Organon, Hahnemann says that in comparing the collective

symptoms of the natural disease with drug symptoms for the purpose of finding the specific

curative remedy, "the more striking, singular, uncommon and peculiar (characteristic) signs and

symptoms of the case are chiefly and almost solely to be kept in view • • • The more general

(common) and undefined symptoms: loss of appetite, headache, debility etc., demand but little

attention when of that vague and indefinite character, if they cannot be more accurately

described* • • •" . This seems a sufficiently clear description of what .Hahnemann meant by

"characteristic" symptoms; and yet the term has been the subject of much discussion • • •

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Confusion arose and still exists through the inability on the part of many to reconcile the

teaching of this paragraph with the apparently conflicting doctrine of The Totality of the

Symptoms as the only basis of a true homoeopathic prescription . . . The fundamental mistake

here has been in the failure to distinguish between the numerical totality and the related or

logical totality. "

Stuart Close continued that Guernsey introduced a new term for the concept of the

"characteristic symptom" or originally used by Hahnemann in his paragraph 153, calling it a

Keynote, and that a keynote in music was defined as “the fundamental note or tone of which the

whole piece is accommodated". "It does not mean that the Keynote of the case alone is to be met

by the Keynote of the remedy alone and that the other features of the case or remedy are to be

ignored. The Keynote is simple the predominating symptom or feature which directs attention to

the totality."

On the other hand Hahnemann says, in §7 of the Organon, “as the only means by which a

disease may be perceived are the signs of that disease, the entirety, the totality of these signs, this

picture which is the outward reflection of the inner nature of the disease

∗

, must be the only thing

to determine the choice of the most appropriate remedy." Hahnemann's choice of the word

"picture" was not furtuitious. A picture is a work of art that appeals to our aesthetic sense as

much as to the intellect. It has elements of form, colour, light, perspective and harmony, and as a

composition expresses an idea, by harmoniously combining the elements in a whole, a totality.

So much of the difference between the numerical and the artistic totality of symptoms, as seen by

Stuart Close.

Let us return now to the peculiar symptom in the case we are repertorizing. “When I have

a dragging, urging , feeling in the lower abdomen it is upwards then, so that one has to take deep

breaths so as not to be sick.” Now let me read to you two Lilium symptoms given in Allen's

Encyclopaedia: “Desire to take a long breath, with frequent sighing which seemed to come from

the lower part of the bowels.” " • • • when walking, a sensation as if everything were pressing

down in the pelvis, so that she inhales forcibly, in order to, draw up the thorax and relieve the

pelvis of weight.”

Again my own patients:

Mr. H., 2 August 1978: "I sometimes feel so full, you know, one has to take a deep

breath.

Mrs. L., 18 December 1974: “The latest thing is that I feel nausea with it, that comes

from here, from the pelvis, it rises like this."

Do you see now, why such a match cannot be found in the repertory? The very

descriptive symptom "constricted as if a belt is drawn tight" can also be matched by a proving

symptom of U - "Constrictive feeling, in the right and left hypochondriac regions, as though a

band were passed around the body.”

I do not wish to bore you by going into every little detail as to which of the patient’s

symptoms matched which of the symptoms in the drug picture, nor with considerations as to

∗

My italics. G.V.K.

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whether the numerical totality of the case is also matched by the remedy. We have noted the

extent to which the symptoms of the remedy correspond to the two most characteristic signs of

the disease . In other words, a striking similarity exists, both as to choice of words and meaning

conveyed, between the patient’s description of the two sensations she has most accurately

defined, and the sensations described by the provers. When we have two or three “more

accurately described drug symptoms, we can be much more certain of our choice than if we get a

purely numerical match of 50 or 100 “not more accurately described" symptom.

It is not the numerical totality which matters, and there is yet another, quite different

reason why not. The case presented another, quite characteristic symptom, at the point where the

patient said: “So long as I keep moving, I never get a colic, but only when I lie down. If I did not

lie down it would not get so bad. As soon as lie down, then it gets terrible.” The proving only

has features that show a distant similarity to this. “Soon As I lie down, then it gets really

terrible." The proving only has features that Show a distant similarity to this. But even before I

started to record my patients on tape, I had similar instances. One patient had “pain in the left

side of the abdomen, better when up, worse in bed", another "feeling like a stone in the stomach,

worse when lying down.”

What I mean is the following. Even if we have not yet heard of a second case where

“aggravation in spring” occurred with Lilium, I do consider it highly probable that at least one

other such case will come up during the next hundred years. Our drug pictures, and therefore our

repertories, are far from complete in their present state, and further data still need to be added.

This being the case we cannot expect numerical repertorization to give us complete rubrics. We

can never be certain, when using a repertory, that the remedies excluded by the use of a short

rubric do not in fact include the remedy we are looking for. In other words, we cannot be sure, if

a rubric does not contain a particular remedy, that this remedy should not after all be considered.

There are no negative symptoms in homoeopathy, the way we are able to exclude typhoid when

making a pathological diagnosis if certain symptoms are not present.

A symptom does not have greater value than another by virtue of being a mental or a

general symptom. Nor does its value increase if it occurs more frequently in a proving, as some

have maintained. What makes it more valuable is a more accurate description, and closer

correspondence to a known symptom of the remedy. It becomes all the more valuable the more

closely it is described the more it is developed, gone into. Some mental symptoms are very

general and common, they are collective terms such as "hurry" or “impatience". Other symptoms

are so far developed that a few words suffice to express a whole range of sensations and

modalities that may be different, yet are part of an organic whole. You will recall something I

mentioned in connection with the fear of illness and the thoughts of death - an almost playful

interest, looking at one's own emotions from a point above. This is a second, higher level of

symptoms, but one that is no mere theoretical reflection on the part of the physician, but voiced

by the patient - you will hear it, if you know what to listen for.

Local symptoms may show the same degree of development. What a multitude of

different sensations and modalities lies in just the bearing-down sensation of Lilium, the funnel,

starting from above, the need for upward pressure with the hand, the pressure felt on bladder and

rectum. Seemingly unimportant things said by the patient, yet they may strike a chord, bring the

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remedy to mind. The range of access points, of affinities, of starting points make s a symptom

valuable; it is through this that it will soon get known and come to be successful.

Now let us hear what the patient whose case we have been repertorizing had to say after

she had been given Lilium. Note also how improvement progresses from within to without.

17 March 1977: “Well, how am I - I don't know exactly, I don 't feel particularly well, I

have such - Wel1, I really feel more ill than I ever did, a bit on the low side , but then I don’t

really dislike feeling a bit on the low side. And, I don't know, but I think some of t he tension has

gone. A bit limp, not indifferent, but rather as if my muscles don't want to move as fast as I want,

or as I am used to their having to move. At night I get some very peculiar cramps at the back of

my thighs, I did have one more biliary colic in the meantime but it was a relatively mild one. The

next day I felt really extremely tired, much more tired than before, and I could not go against it

properly. And feeling tired was so incredibly good for me. I must say, if I feel a bit limp now,

that somehow feels really good to me.

31 March 1977: “I feel good, I have the feeling something is hanging on a bit at the back

of the neck. Around the middle I feel really very good. For a while I was a bit scared, when those

hard corsets went away, that I might somehow lose poise, lose control, or something like that,

but somehow it is quite alright. I don't know, my gallbladder and my stomach are so…. it all

feels really good, absolutely right, I don't actually think about it any more."

Now, with hindsight, one becomes aware of the pressure the patient has been under, and

how good it must have felt to her that the pressure which had been on her all the time had now

been relieved. "Feeling tired was so incredibly good for me”, she said, and this provides an

excellent description of the tension that beset her before. We also get an excellent illustration of

the real nature of a "homoeopathic aggravation" - the general condition and mood of the patient

improves first, and at the same time peripheral symptoms, or symptoms which the patient has

had on former occasions, are aggravated or recur. Improvement, progressive improvement,

moves from within to without, "within" meaning symptoms relating to mind and spirit, and the

will right at the centre, the innermost core. Further out come the emotions, the intellect, the

general modalities, then the functional sphere, followed by local symptoms and on the very

outside the skin. Conversely disease, falling ill, progresses from without to “within”. If illhealth

has not yet penetrated deeply, if it is still superficial, the important organs are not yet affected.

Once i t has reached the core of the human being, then essential organs have become involved.

From this point of view it may indeed be said that the mentals are most important, and

local symptoms less so. For an improvement in mind and spirit is of much greater significance in

attaining a cure than changes in local symptoms only . If the patient presents not only local, but

also general and mental symptoms , the remedy we have found is much more likely to effect a

real cure, a cure that move outwards from within.

Kent was quite right, therefore, when in his lectures he referred to the mentals as being of

particular value, followed by the generals. Hahnemann, too , made it very clear in his paragraphs

210 - 213, that note must be taken of a state of disposition and mind that have been altered by the

disease, for in this area it is possible to make much finer distinction, in many different ways,

than with local or even skin symptoms.

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But - different standards apply when it comes to finding the remedy in the individual

case. Do not think I stand alone in holding this view. Let me conclude by reading to you an

anecdote from the life of Kent, when he was a university professor. Frank Kraft read a paper in

1892

in which he told of the time when he attended Kent’s lectures and was trained by him.

"It was my good fortune, at the beginning of my medical career, to have sat at the feet of

a master of homoeopathic therapeutics • • • I refer, gratefully, to James T.Kent, MD, then of St

Louis, now of Philadelphia. Here, at this eventful and formative period of my medical life(• • • ),

I attempted to learn the use of the repertory in order to "dig out" intricate cases, chronic cases,

long-running and deepseated cases – cases such as had gone the circuit of all the other first-class

doctors , but without success. Pursuant to Dr. Kent’s system of teaching, he set us actual copy to

follow - gave us letters received in his mail, detailing the symptoms of cases submitted for his

prescription, and while supervising, made us do the actual work in order to impress the practical

value of the given rule. Of all these students, as I now remember, I alone continued stupid and

uninstructable, and to my confusion be it said, I am still at the foot of that repertory class, if not

upon the dunce-block.

“The very last repertorial problem set me, my room- mate, Dr. C.O.Boyce - an expert in

repertory work - and I took to our room, and gave it the closest and most minute attention – out -

lining and filling in every detail, in order, if possible, to convert my stupid scepticism into belief.

Every rule was followed to the letter, so far as we both knew; the symptoms were translated from

the chaotic narrative of the letter, arranged in sections and numbered. The quantitative value of

the symptoms and remedies carefully noted. We spent one Saturday evening and almost the

whole of one Sunday on the case, and when we cast up the answers, found that Calcarea carb.

Had disappeared thirty-six times, and the remaining remedies of the materia medica tailing along

in less and less numerical values until we reached Thuja or some other closing letter at the

bottom of t he alphabet - not now recalled - which showed up with a value of 2 or 3. Now, if

there is anything in the mathematical value of symptoms, .if there is any value to be attached to

the frequence of appearance in a case of any one remedy, and that, I believe is the allegation and

the reason for numbering the symptoms and remedies, the Calcarea carb., heading the list in such

great numerical value, with no immediate numerical competitors in our study as stated, ought to

have been the similinum to be given without an instant's hesitation. But it was not! When we

presented our lesson sheet to the professor on the following Monday evening and pointed to the

answer as Calcarea carb... he ran his eye over the tabulation, then read the letter, laughed and

said the remedy was Thuja! Being appealed to for his reason, he took from his bookcase Hering's

Condensed, turned up Thuja, and slowed us that the peculiar urethral discharge mentioned in the

letter was a leading characteristic of Thuja which underlay the whole case . 'Well then', I

expostulated, 'where is the need of all this labour and these pages of figures, if we, after

following every rule to its uttermost detail, fail so utterly, while you without five minutes' study,

pick out the remedy on one or two keynote symptoms?" His answer was: 'You must study your

materia medica, find the 'red string' of the remedies and apply it to your cases. Then you will use

the repertory intelligently.”

REFERENCES

1. Kent JT. Discussion following a paper by Schwartz E. on Selection of the Indicated

Remedy by use of the Repertory,

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2. The Homoepathician 1912; 2: 117 - 8.

3. Kent JT. Typhoid fever , Journal of Homoeopathics, 1899; 3: 138 - 9 .

4. Guernsey HN. Discussion at a meeting of the Philadelphia Homoeopathic Medical Society

The Hahnemannian Monthly 1867; 198 - 9.

5. McClatchey The development of homoeopathy , The Hahnemannian Monthly 1867; 3:

177-182.

6. Hering C. Wirkungen des Schlangengiftes, Leipzig: Eduard Kummer, 1837: Symptoms

No. 3062, 3064, 3071 and 3073.

7. Allen T.F. Encyclopaedia of Pure Materia Medica, Vol.5. New York: Boericke and Tafel,

1877. Pp. 560 – 582. Symptom No. 9.

8. Ibid., No. 422.

9. v.Keller G. Lilium Monographie, Heidelberg, Karl F. Haug. 1973.

10. Allen T.F. Encyclopaedia (ref. 6, above), No.16.

11. Ibid., No.540

12. Ibid., No. 351

13. Ibid., No.318

14. Ibid., No.231

15. Ibid., No.246

16. Raue S., Lilium tigrimum sei Gebarmutterfibroiden. Allg. Hom. Ztg. 1899; 138: 40

17. Allen T.F., Encyclopaedia (ref. 6, above), Nos. 24, 351 and 45.

18. Anonymous. Aufgabe Nr. 16 (Problem No. 16). Zschr. Klass Hom. 1967; 11; 66.

19. Close S., Characteristics and keynotes. Hom. Recorder 1920; 35: 5 – 12 – 3.

20. Allen T.F. Encyclopaedia (ref. 6, above). Nos. 357 and 245.

21. Ibid., No.44.

22. Kraft, F.The use of repertories – a criticism.The Hahnemannian Monthly 1892; 27: 336-7

[From The British Homoeopathic Journal, Vol.70. No.1. January 1981]

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3.2

LILIUM AND THE EMERGENCE OF OUR GUIDING SYMPl'OMS -

G. von Keller

INTRODUCTION:

Today I will play two tapes recorded by me during my consulting hours. They are not

cases which would immediately recall the remedy in the mind of everyone but I will show that

sometimes only small, inconspicuous leads, yes, often only one hint or catchword is needed to

recall the medicine to mind.

At the sametime I would like to further call your attention to a historical fact which may

not be wellknown to all, that is, the manner in which the proving symptoms have crystallised as

guiding symptoms in the course of time.

GUIDING SYMPTOMS ARE NOT THE SYMPTOMS APPEARING FREQUENTLY:

The symptoms which appear frequently in the provings cannot be taken as guiding

symptoms. It may appear superficially that important symptoms are those which appear more

times in the provers but the actuality is otherwise.

Such symptoms observed frequently which appear regularly in every prover are of course

reliable, that is, they are attributable doubtlessly to the action of the medicine but all the same,

they are ordinary and common, they do not represent anything individual. We can certainly

establish the action of the medicine in pharmacological sense from these symptoms observed in

the many patients – the toxicological symptoms well-known in pharmacology are mostly so we

cannot, however, construct our homoeopathic medicine from them.

Then, the remedy choice in homoeopathic sense is not founded upon the symptoms which

appear in many patients but they are founded exactly upon the rare symptoms which occur only

in the one patient sitting before us. Such unique, strange symptoms are also naturally rarely

observed in the proving, mostly they appear only in one prover -- a symptom not common but

somewhat exceptional and will therefore become a guiding symptom because it appears rarely.

THE GUIDING SYMPTOMS HAVE BEEN CONSTRUCTED IN THE COURSE OF TIME:

Sometimes a leading symptom has not been described in its entirety by one prover alone.

A symptom like this one of Argentum nitricum: "Headache with the sensation as if the head is

enlarged, caused by dancing and ameliorated by tying up the head with a towel" was not

observed in association with one prover, but one prover experienced only the enlarged sensation,

another headache after dancing and a third the relief by tying up tightly. All that belong together

and the complex symptom characteristic for that medicine, has been set forth in the course of

time, after knowing well the proving symptoms by using the medicine at the bedside.

It is frequently even so, that in the proving only location and sensation were noted while

modalities and accompanying symptom and the individuality which actually make the symptom

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as something peculiar and become guiding symptom became better known when the remedy was

tried in practice.

Only in rare cases have our guiding symptoms been furnished in a completely made

manner. Mostly they are got from provings combined with practical applications over a period of

time. Only from practical use it would be known as to which peculiarities in the provings are

correlated and which peculiarities crystallize as essence of the proving symptoms and can

therefore be added.

WE WILL NEVER HAVE A COMPLETE SYMPTOMS COLLECTION:

Both sources, proving and practical application proceed further on and an end will never

be achieved. We will continue to reprove our medicines and continue to publish successful case

reports, know more and more peculiarities and correlations and in this way develop the

wellknown guiding symptoms and also construct new guiding symptoms.

That is again the reason that we do not have a completed collection of symptoms for our

medicines. Of course we have Allen’s Encyclopaedia; we find in it only the pure proving

symptoms. We also have Hering’s Guiding symptoms wherein we find only a small essence of

the proving symptoms drawn from some of the brief case reports. Hering expired in 1880;

everything acquired after that in the clinical cases are lying scattered all over in the literature,

difficult to be assembled; they have never been assembled at one place. And when I attempted to

do so for my monographs for a small number of these medicines it is only a preliminary work.

As you will be seeing, always more material come up from our daily work, that is, we learn

individually-and when we publish our cases, as a Body - the symptoms better and we constantly

elevate more symptoms which were lying shut out, to the level of a guiding symptom.

Hering (3) has once written very tellingly about this process, how the older physicians

were eager about every new proving and how with great pleasure these new source materials

were assimilated straightaway: "as often the symptoms manifested in provings so much probable

were their genuineness. The next step was to give the medicine to the sick person. The cures

were the verification of the symptoms. And lastly, after repeated cures we obtain the guiding

Symptoms, the characteristic symptoms, the ripe fruit hanging on the tree. With what anxiety

indeed did the first builders of our Materia Medica awaited for the printing of the provings so

that they can compare their own symptoms with those of others and deriving enjoyment from the

verification of their own symptoms".

THE HAHNEMANNIAN PROVING SYMPTOMS ARE EDITED SYMPTOMS :

Hahnemann (2) was the first, who worked out the guiding symptoms from the raw material. A

striking example is found in the Foreword to Pulsatilla. In the text under Pulsatilla we find only

two symptoms Which explain the crystallised essence of the ripe guiding symptoms worked out

by Hahnemann: (Pure Materia Medica, No.1129) "from an unpleasant news he falls into deep

sadness and despair" and (No.1134) "he is very silent" - what has been given in the Foreword

was built up as a guiding symptom by Hahnemann out of extensive clinical experience:

"Therefore the medicinal use of Pulsatilla will be all the more helpful when in affections for

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which this plant is suitable in respect to the corporeal symptoms there is at the same time in the

patient a timid, lachrymose disposition with a tendency to inward grief and silent peevishness, or

at all events a mild and yielding disposition, especially when the patient in his normal state of

health was good-tempered and mild. It is therefore especially adapted for slow, phlegmatic

temperaments: on the other hand it is but little suitable for persons who form their resolutions

with rapidity and are quick in their movements even though they may appear to be good

tempered".

When we look at the Hahnemann publications in the "Pure Materia Medica" and very

particularly in the "Chronic Diseases" we observe that here already the individual symptoms

have been processed. Every single "proving symptom" is indeed the result of a processing of the

entire series of symptoms in the provings protocol. We can see it when we compare these

Hahnemann provings with the later ones like for example the one on Dioscorea by Cushing (1)

who published merely the full unprocessed provings.

WE TAKE UP THE EXERCISE OF PROCESSINGS THE GUIDING SYMPTOMS OF

LILIUM :

It is similarly so with our remedy Lilium. Here we have a number of provings and

clinical cases at our disposal which we take up to process. The guiding symptoms for this

medicine have not been well processed as in the case of well known medicines. Up to now we

know much lesser guiding symptoms of Lilium than of other remedies; therefore it becomes

sometimes difficult for us to recognise Lilium cases. But it should not remain so and we can

augment the number of guiding symptoms in the course of time.

We also have the task to elevate more symptoms to the rank of leaders by adding the

crystallized essense of individual symptoms from the proving symptoms and unite more of the

crystallized essences into a complex. It is also found that in the provings protocol we come

across surprising symptoms which have been written so graphically and which contain so many

peculiarities that one wondered as to why these have not become well known.

THE DOWNWARDS PRESSURE IN LILIUM :

One female prover has noted down on 20th day after taking Lilium, as follows: "A

sensation in the pelvis as if everything would come out through the vagina. The drag downwards

in the region of the pelvis is felt upto the stomach". Three days later the same prover had the

following sensation. “In pelvis feeling of dragging out as if the whole content is pressed into a

funnel whose lower end coincided with the vagina."

By comparing my Lilium cases with the Sepia case (4) I have often observed that here an

essential difference, a possible differentiating between the two remedies came, to light on

occasions. With Lilium the movement is from above downwards that the whole contents in the

abdomen is grasped and all that is concentrated below through a thin central duct. The patient

explains it with a motion; wide above, small below or use the catchword "funnel". For Sepia the

characteristic is approximately the opposite: When a female patient explains to us that she has a

downward movement in the pelvic region or when a downward movement and at the same time a

pressure from within to without is also expressed then we think of Sepia. Now please listen

to my first case.

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CASE 1 :

Mrs.S.E., on 15.6.1979. "I probably have a low blood pressure, I am so tired, constantly,

right from mornings when I get up, irrespective whether I have slept well or less, simply so much

beaten down, I must force myself, it is not so every day, it depends on the weather probably, if it

is hot and sultry, so damp. It may be lovely weather but then it does not at all attract me. At times

I have something as if stitching in heart on the left side it is, it is not, however, regular. More in

day time, less in bed. Backaches there (in the lower dorsal vertebrao) I always have. That is, I go

to gymnasium regularly and it helps me much. Recently this was interrupted due to holidays but

I have it while lying. I then wake up cheerfully in mornings. But when I go to gymnasium

regularly, it helps me, also I do not have it then so badly, or it goes off completely from work".

In this case we have heard two representative symptoms, once the tiredness and the

beaten sensation in the mornings, from waking up and then the back pain in the morning in bed,

better from waking up. Both are symptoms which occur frequently, they are not much

differentiated, not provided with many details. When we search for the corresponding rubrics, we

find lot of medicines which have two well known symptom mentioned above. If we were not to

get further symptoms from these female patients then we must choose one remedy which has

both these symptoms in the highest grade in repertory which indicate that these remedies,

statistically viewed, have been used in the past with repeated successes because of these two

symptoms being present prominently, so that we eliminate the less frequently successful

remedies or eliminate the remedies with negligible value in the gradation. The remaining major

ones are Lachesis, Nux vomica, Petroleum and Pulsatilla. Sepia also appears in this list if not in

so high grade. But we should include Sepia in our consideration, because of the reference to

gymnastic, the fact that the patient apparently enjoyed gymnastics and vigorous physical work

and found her ailments better from these, makes us think of this remedy from the other side.

Let us hear our case further:

Further case 1

In the mornings, or no - in the night also I have suddenly such very severe abdomen

pains, actually on both sides. And then I feel it as if distended. Yes, it presses towards below, it

presses in here (moving hand like a funnel) yes, like a funnel! And then also I feel as if distended

and after I am able to pass wind few times it becomes better. The pressure is lesser while passing

stool than on the bladder. If it is retained again it is very painful. But when it is passed and when

as I have already said, go to the toilet it passes of completely".

The patient said that downward pressing abdomen pains come from both sides, she made

the funnel-type gesture with her hands while describing her complaint and the catchword

"funnel" was also mentioned. "Funnel" is a catchword which when we have understood well,

must strike us a Lilium.

THE OTHER SYMPTOMS OF THE CASE :

Now further: the prover (female) from whom we have earlier obtained the funnel type

downward pressure expressed during the proving, as follows: "Downwards pressing and burning

in the genitals, accompanied by pressure upon the bladder". In Hering's Guiding Symptoms you

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will find the following cured report: "Downwards pressing pains, abdomen as if distended". A

male prover reported: "an accumulation of gas which cause abdominal pains, ameliorated by

discharge of very stinking flatus". We see that the further peculiarities about the abdominal

complaints of the patient namely the pressure on the bladder, the sensation of distension which is

ameliorated by discharge of flatus all described by our patient agree with the proving symptoms

word for word.

The entire complex of this abdominal complaints as also a mass of symptoms of our patient are

similar to the appropriate Lilium proving symptoms so that we do not any more have any doubt

about the appropriateness of this remedy.

Now it does not matter whether any other medicine has, in the past, cured the first two

symptoms, namely the tiredness and back pains. These symptoms were not so very characteristic,

they were just usual, because the tiredness in the morning in bed and the backaches are found

often in many medicines and in many cases. It may be only interesting whether Lilium has

produced these symptoms, independent of the statistical frequency of appearance in the

repertories. When we refer in the repertories we find nothing of the kind, but, that is not unusual

because our repertories have not been made complete: Kent and Boenninghausen have mainly

picked out only the very definite symptoms. If we would like to carry on with the investigation

of the sources, as we have done here, if we wanted to say with certainty whether a definite

symptom had been explained once irrespective of whether it has been confirmed by reproving or

through cures we have to look into the Materia Medica, and so the complete symptoms

collections in the entire literature.

And here (5) we find as a matter of fact, for Lilium :

"Trembling and weak while awaking in the morning" and "gnawing backache in lumbar region,

worse in bed”. I shall explain with 3 cases of mine out of the total ten cases processed in the

monograph: "Backache before getting up", "back and left middle of abdomen painful better

being up, worse in bed" and backache worse in mornings in bed, better from getting up". If we

take note that over 30% of these cases have suffered this symptom we can reckon that this

symptom has been confirmed.

Perhaps I should also explain that later after I had given the monograph for printing I had in

another case the location of this pain as "the lower dorsal ventebrae" If more such cases come up

then the symptom "pains in lower dorsal vertebrae, worse in mornings in bed, better by rising

up" can be registered as newly drawn guiding symptom of Lilium, just as the already well known

"funnel shape downward pressure, the accompanying sensation of distension, the amelioration

from passing flatus and the pressure upon the bladder could be added if these accompanying

symptoms are frequently observed in the future.

SOME LILIUM MENTAL SYMPTOM:

To bring you a further example as to how our pure symptoms are worked out as guiding

symptoms and how they could be developed further in the course of time, provided with further

individualities or looked at from different angles, I will show by two more cases. You have heard

in the first case what is often a catchword or a condensation of a complex guiding symptom

which immediately on hearing would recall to mind the remedy. In the first case the hand gesture

of the patient of funnel shape caused immediately the idea of "Lilium" and the almost

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instantaneous recognition of the guiding symptoms which we have heard like the patient

mentioning about the distension sensation, the amelioration from discharge of flatus, the

expression "abdominal pains from both sides" and the pressure on bladder. The four other facets

of the same guiding symptom.

In the second case you will hear such an abridged version, this time a mental state, of

Lilium. First I will detail the provings symptom which express similar sensation: "Feeling of

being agitated, as if she was compelled to work", "Feeling as if she would go crazy if she did not

hold herself in control" and "anxiety that she has a fearful disease internally which has already

established itself". They all appear to be entirely different sensations, which do not permit any

logical connection. You will hear identically that the patient connects all the three, that is, the

urge for being occupied, the sensation if becoming crazy and the fear of suffering from a disease,

and summarises in one sentence. This single sentence holds, despite its brevity a very exact

correspondance with two well-known and one less-known Lilium symptoms that one recalls to

mind Lilium as soon as one hears.

Case 2: Mrs.W.F. on 7.12.1989: "My legs are so trembling, the thighs, exactly. I can work, I

must say, I have cut wood, it causes aches in the muscles, of course, but doctor, if I do not do any

work, I will go crazy! Then I think: you have the cancer then! My bowels are so tense. I think

constantly, there was ball there, as we say, something there. Yes it presses downward, but I do

not have any complaints at all in passing stools and so. I have the sensation, that it simply is so

tense. I have once experienced and in the summer when there is occupation then I do not think of

it at all!

You have, of course, heard this sentence: "when I am not at all occupied, I will go crazy

and then I think I 'you have the cancer!" - This sentence has drawn your attention, since you

knew that the three Lilium symptoms are contained. But when one does not know about Lilium

symptoms, when it is least known that there is a medicine which has a pathological urge for

occupation and pathological fear of having a serious internal disease, as a leading symptom, one

can easily miss this statement. One may then be advised to repertorise from the beginning; so

that a remedy may be found for the following symptoms which has more often, statistically more

often, cured or have produced in the proving: (1) and (2) urge to be occupied or "feels compelled

to be occupied" (3) fears of becoming crazy (4) fear that he has some disease (5) feeling as if a

lump in rectum. One would then obtain Lachesis, Natrium muriaticum, Platina and Sepia for

choice and one would probably choose Sepia as the more frequently used remedy in this

condition. These remedies in which Lilium is not contained is obtained when the second

symptom, the urge for occupation, is used in the small rubric in Kent, "Exertion am."

REPERTORISATION :

If we repertorise in this way and we must do so when-ever no similarity to a specific

remedy known well to us strikes us, we are then forced out of necessity to place all symptoms

besides each other with the same value. We search only whether in this way we recall a medicine

which could satisfy in all aspects if we examine it thoroughly, that for example not only the

amelioration by movement or from exertion is there but also the sensation is as close as possible

to what the patient meant with the expression "when I am not at all occupied, then I become

crazy". Only to that end is this primary repertorisation to be used; to bring to our attention a

couple of remedies which we can study with reference to our case. The remedy which we finally

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decide to choose is, often, not the one with highest marks statistically and more often it is not

even found even once in all the rubrics selected.

Our remedy Lilium has not been so well recognised since long like our earlier remedies and

therefore its symptoms have not been so frequently covered and verified. As a consequence it

has not been included in all the repertorial rubrics to which it properly belongs. Our work is not

merely to elaborate the leading symptoms but also that we should parallelly extend our repertory.

A small example in this regard we see from this case. The Boger's repertory presents a further

development of the Boenninghausen's repertory, it has been extended further after Kent and

Lilium has been represented in it fully. If in this example instead limiting ourselves to the small

rubric in Kent “Exertion am". We select the larger rubric in Boger “Physical exertion, am”.

Lilium immediately catches our attention although we do not find the remedy in "trembling of

legs".

Now please compare what this patient said with what another patient has described about

this urge for occupation.

Case 3: Mrs.C.R. an 10.3.1977 : "very often the situation is that I have the feeling that I must

work terribly much or I would like to work terribly much and then I actually know that now I

must do everything patiently but that somewhat does not happen. Then I get a sort of agitation

and terror. The colic generally comes only in such a situation. Actually objectively there is not

more work than otherwise but it is rather what I do. For example, summer does not at all suit me.

In spring r get more often the sensation of: I must now renovate the entire house and I do not

know this and that •••• so periodically and in bouts.”After this patient received Lilium and during

the process of cure she said as follows:

"The next day I was extremely tired, much more weak than otherwise, I could not so

rightly defend myself against it and that tiredness did me unexpectedly good overall that I now

feel a bit weak and feel somehow it is pleasant".

You can now judge better why our second patient has said: "When I am not occupied I

feel that I would go crazy". Also she experienced this almost psychotically strange agitation, this

sickly agitation, which in the other patient appeared in bouts and coupled with the sensation of

being powerless.

That is this case the other frequently observed guiding symptom of Lilium, the fear of disease, is

coupled with the agitation, is very particularly interesting. In no other case of Lilium is it so

clearly impressive as here, that the fear of disease can be formed with agitation at the same time,

that both the symptoms can be put together as a leading symptom complex. So we have again

learned from the case a new facet of Lilium condition and thus we have thereby got a further

possibility of recognising easily the future Lilium patients and perhaps the blind repertorisation

described above may be done away with. Perhaps we may now directly consult the Materia

Medica and compare the other mental peculiarities of Lilium with our patient's.

The fear of disease in Lilium shows itself frequently that the patients extraordinary

understanding that they would like to be reassured that they do not have the disease feared to be

having, they calm down after that …. only to forget everything after the lapse of some time and

again begin with the fear of disease and readiness to be assured of the contrary. This periodicity

is deep in the medicine overall. The sexual excitement for example, another guiding symptom,

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which with the above cited, condition becomes a complex picture, alternates frequently with

periods of deep remorse and bad conscience because of that. In our case the periodical

appearance of the symptom are not perceptible, but perhaps you heard of the willingness to be

understanding. Another case would perhaps recall the periodicity - the other facets of a complex

guiding symptom are thus constantly appearing before the observer. As frequently we have learnt

of these facets in the course of time so much easily can we see the symptoms in our patient.

THE MATURING PROCESS OF THE GUIDING SYMPTOM :

The mental symptoms of Lilium have so frequently been obtained in provers and

confirmed by cure reports and recorded that we now come to the end of the development

and form of the mature guiding symptoms. The two symptoms in the second case is different, the

"ball" and the sensation of tenseness in bowel which is much less felt in summer and the

trembling of the legs or thighs. For the later we find proving symptoms: "much trembling from

pelvis down the thighs downward" and "felt light trembling and weakness especially in the legs",

but this, what the patient said does not give us anything further.

With the other symptom however one sees clearly through this case how the unfurling

process of the maturing of the proving symptom as guiding symptom takes. Till now only the

authenticity of the probability of the symptom by their appearance in two different provers has

been confirmed: "sensation as if a hard object was pressing backwardly and downwardly against

the rectum and anus" from prover No.5 and "sensation as if pressure from something against

front wall of the rectum at the anus and about 2-3 inches above it" from prover No.7. Now a

clinical confirmation is secured through the above case, and the symptom through addition of

further peculiarities further unfurled and it becomes plastic and graphic: we learn that the patient

has the sensation of tenseness together with the feeling of a foreign object or "ball" and we find a

modality, the amelioration in summer when one has more work to do. Recall that the third

patient also has spoken about amelioration in summer.

That is what Hering meant when he said of the ripe fruit hanging in the branch. In this

way the guiding symptoms mature and develop. In this way every successfully treated case is

much significant for us. Not merely that the patient is thankful to us, but that we experience

thereby gratification that we can contribute something to the Materia Medica and also we

ourselves improve our knowledge. Every case of ours adds something to our knowledge, to the

knowledge of the individual and when we publish our cases, to the common knowledge of all of

us. That is the fascination of homoeopathy that it is not a finished, closed system but that

everyone of us, the youngest and, the oldest, can contribute to its development.

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3.3 NEWS

Central Council for Research in Homoeopathy, New Delhi.

Extract from News, No.15, 1989:

CLINICAL RESEARCH IN EPIDEMICS

The treatment-cum-research studies were undertaken in the wake of outbreak of

epidemics of Cholera, Gastroenteritis, Conjunctivitis and Viral ever in Nand Nagri and Sunder

Nagri, resettlement colonies in East Delhi in the months of July-September, 1988. A total of

4,202 cases (including 1,088 general cases and 781 cases of simple diarrhoea) were studied.

Cholera

Prophylaxis-Camphor Q (Mother tincture) soaked in Globules. 4 doses for 3 consecutive days, 2

doses on first day and l dose OD for 2 days.

Total No. Lost to

Follow up

No symptoms Developed

Signs/Symptoms

184 80 100 4

Gastroenteritis

Prophylaxis-Arsenic album 200, 3 doses-One dose OD for three consecutive days.

Total No. Lost to

Follow up

No symptoms Developed

Signs/Symptoms

1046 489 547 10

Conjuctivitis

Prophyl-axis

cases

Total No of cases

followed up

No sign

Symptoms

developed

Sign

Symptoms

developed

Not Reported

Belladonna

200

333 264 253 11 69

Sac Lac 200

(Control)

138 129 94 35 9

Treated cases Total No of cases

followed up

Relieved Not Relieved Not Reported

Belladonna

200

264 175 164 11 89

Rhus tox 50 41 40 1 09

Argentum

nitricum

12 11 10 1 01

Euphrasia

Eye drops

20 13 13 - 07

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Sac Lac 24 24 13 11 -

Viral Fever

Treated with indicated drugs

Treated cases No. of cases

followed up

Relieved Not Relieved

297 213 194 84

Extract from CCRH News, No. 16, 1989:

Clinical Research in Epidemics:

Kala Azar: Sporadic cases were reported from Hooghly and Burdwan districts of W. Bengal and

the CCRH undertook a study in Jan.1989. 154 cases were registered for study out of which 141

were aldehyde. positive and in the remaining cases bone morrow revealed LD bodies. These

Cases were prescribed homoeopathic remedies. The most indicated remedies: Andrographis

paniculata, Ceanothus, China, Chin. ars., gels. and Nux-v. Results were encouraging.

Meningitis : A clinical research study was conducted in epidemic meningitis in Jeypore, Orissa

in April 1989. 4571 persons were given Bell. 200 (2 doses to be taken on the first day and one

dose each day next two days) as preventive. Total 19 villages were covered where death had

occurred. Follow up was done thrice at an interval of 10 days. Only 133 developed some signs

and symptoms of measles, malaria and other common ailments which were treated with the

indicated homoeopathic remedies.

In the wake of breakout of epidemic memingitis in Vizianagaram Dt. (A.P.) a research

study was undertaken. 5184 persons from 21 tribal pockets were distributed Bell. 200 (3. doses

one daily for 3 days) as preventive. Follow up done twice in a month and none of the cases

reported any signs/symptoms of memingitis.

[In the Jeypore study Bell.200 was given four doses and in the Vizianagaram Bell.200,

three doses. We will be interested to know what the ‘standard' dose is K.S.S.]

Clinical verification programme :

The Clinical Verification Studies in progress at different Institutes/Units of the Council

have revealed that Cassia Sophera and Achyranthes aspera have a definite action in Osteo-

arthritis and, Gastroenteritis and Septicaemia respectively.

Cassia sophera

Symptoms No. of patients prescribed No. of patients relieved

Pain agg. Changing position 104 74

amel. lying down 59 43

Pain lower limbs 156 103

agg. Rest 153 100

amel. Motions 156 103

Pain joints-tearing 99 67

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agg.rest 93 61

amel.movement 99 67

These symptoms have been confirmed, thus confirming the symptoms in the proving

published by CCRH.

Achyranthes aspera

Symptoms No. of patients prescribed No. of patients relieved

Nausea and vomiting after

eating or drinking

11 10

Diarrhoea 78 52

Watery 67 42

Yellow 59 38

Offensive 59 38

with mucus 23 16

with thirst 15 9

Boils-painful 190 128

Pustular eruption with itching

and burning

67 55

Sepsis after insect bites 17 14

Chronic ulcers with

suppuration

15 12

The above mentioned symptoms have been confirmed, thus confirming the data already

compiled on these drugs and the available symptomatology.

The studies are being continued and more information on these and other drugs will

follow from time to time.

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3.4 BOOK SHELF

I would like to introduce to the members of the 'QUARTERLY HOMOEOPATHIC

DIGEST' a new homoeopathic Journal titled "HOMOEOPATHY - THE MODERN MEDICINE

which has begun publication from this year, 1989. This too is a quarterly journal. The

Homoeopathic Medical Association of India and the Drs. Jaisoorya, Seshachari Ch. Shilpa

Endownment Trust Hyderabad are the co-sponsors.

This journal is to fill in a long-felt need for an Indian homoeopathic journal of high

scientific standards to publish original articles from current practitioners/scientists. The sole aim

is to raise the standard of homoeopathy practice in India particularly. We have already received

very good response.

The annual subscription is Rs.40/- only. Personally speaking, I am the Associate Editor of

this new journal and would earnestly request every homoeopath to become a subscriber.

Subscriptions may be sent to :

Chairman, Board of Trustees, Drs. Jaisoorya , Seshachari,

Chi. Shilpa Endownment Trust, 3-6-369/A/1, Street No.1,

Himayatnagar, HYDERABAD 500 029.

MEETINGS/CONFERENCES/SEMINARS, etc.

I. International Federation of Homoeopathic Physicians, 52, Vivekananda Road, Calcutta

- 700 006 are holding The World Homoeopathic Congress on Cancer at Calcutta, on 19th, 20th,

21st January 1990.

Large number of delegates from all over the world will be participating in the Congress.

Scientific session, Delegates session, Subjects Committee meeting, Cultural evening etc., are the

programme for the 3 days. The rates are: delegate fees Rs.400/-; accompanying person Rs .240/-;

local participant Rs.190/-; student Rs.125/- last date 31st October 1989. Rs.80/- extra after 31st

October '89 to 30

November '89. Demand draft, Money order or Cash in favour of International

Federation of Homoeopathic Physicians. Dr. Sanjoy Banerjee the Organising Secretary informs

that already 130 foreign delegates have registered for participating. Further information

regarding registration etc. can be obtained from International Federation Homoeopathic

Physicians, 52, Vivekananda Road, Calcutta - 700 006. Phone : 321 665.

11. XXVI West Bengal State Homoeopathic Practitioners Conference under the auspices

of the Homoeopathic Medical Assn. of India, West Bengal State Branch has been proposed to be

held at Calcutta from 29th December to 31st December 1989 (Rabindra Sarobar Stadium near

Ballygunge Lake). The charges are: Reception Committee Member Rs.150/-; Delegate

Rs.80/-; participants Rs .75/-; Physicians Directory Rs.30/- (for each 3 lines only). The

remittance to be sent to Dr.S.I.Husain, Conference Secretary, The Homoeo Clinic, 108/6,

S.N.Banerjee Road, Calcutta 700 006. For further information contact the Conference Secretary

at the address given above.

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4 QHD, No. 4, December 1989

Dear Doctor,

The Quarterly Homoeopathic DIGEST has completed six years and will be entering in

the seventh in 1990. Looking back over the Past six years I am happy that a lot of material of

practical value have been brought to light. Many corrections to the Kent Repertory have

been given. If all these have helped even a small number of members, my effort may not have

gone in vein. I would once again request to furnish 'feed-back' as otherwise our communication

is only one-way and become cold .

The current number contains discussions and differential diagnoses of some of the mental

rubrics and am sure it would give greater insight.

The year l990 marks the 200th year since HAHNEMAN first began his investigation by

experimenting with China. Let us try to attain greater efficiency in homoeopathy which alone is

proper thanks-giving to the genius HAHNEMANN.

For the Past three years the “subscription" to the Quarterly Homoeopathic DIGEST has

been maintained at 50/- in spite of rising costs every year. A stage has now come when it is not

possible to continue without enhancing the "subscription”. Accordingly for 1990 the

“subscription" would be Rs. 60/- only A few members have already remitted the subscription at

Rs. 50/-; they may remit at their earliest convenience the difference of Rs.10/- All

“subscriptions" must reach me by 28 Feb. 1990 so that I can assess the actual number of copies

required to be printed .

March 1989.

Yours sincerely,

K.S. SRINIVASAN

1253, 66

Street,

Korattur,

Madras 600 080

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4.1 AILMENTS OF DISAPPOINTED LOVE - Guy Kokelenberg, MD

(An attempt to differentiate some of the main drugs in this rubric in the repertories of J.T.Kent

and Barthel)

Ignatia: Very changeable people, quick to react and quick to change. They are unpredictable in

their moods; one moment they are nice, the next moment they could kill you in anger;

In general they try to control themselves and especially their reactions, because they do

not want to appear silly, well brought up as they are!

This differentiates them from Lachesis which is much more demonstrative. In order to

avoid a scene they try to remain calm and serene. Once they are alone they weep and are unable

to stop. In this they are very much like Natrum muriaticum, but they are more changeable

whereas Natrum muriaticum dwells on unpleasant facts. Another difference from Natrum

muriaticum is that they are unable to master their reactions for a long time; after a while they will

burst out in hysterical attacks of anger, weeping, cramps, lump sensations, illogica1 symptoms

and thinking.

If one tried to console her in those moments it would get even worse, because this would

make her realize her incapacity to control her passions. Ignatia thus has silent grief, like

Phosphoric acid, but not for long, and not out of complete indifference but out of pride. During a

crisis they are irresolute, they reproach themselves, but at the same time are easily offended if

reproached; they feel alone, but consolation makes this worse. It is totally illogical.

They have a feeling of a lump or oppression and therefore swallow and sigh a lot. They

cannot eat any more because there is a lump in the throat, but solid food goes down more easily

than liquids!

They have palpitations from unrequited affections. They think they will go mad, are

afraid to go to sleep; they fear suffocation, fear a stomach ulcer. Many symptoms are reminiscent

of Natrum muriaticum. They are in fact very much alike, but Natrum muriaticum is not so

changeable, the grief is never totally gone, they are more stable, more cool, less emotional not so

quick to react but wiser; the cause of the grief is usually more dramatic than in Ignatia, they

suffer less apparently.

Natrum muriaticum is ore revengeful. In Ignatia one can find a sort of idealism in everything

they do and undertake (work, study, arts, education, society), and the same thing holds true

for their love affairs. That is why they can be sick and almost mad from disappointed love.

Lachesis: Lachesis is NOT a woman’s remedy! The psoric Lachesis feels weak and helpless

without the presence and support of others. Fears abandonment, lacks self-confidence, feels

forsaken. He or she wants to be understood, has need of contact; love is a question of life and

death.

The typical Lachesis reaction consists in showing that need to communicate very clearly

in her sycotic symptoms.

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Loquacity, especially when she/he is suffering from repressed sex.

Wants to make a good impression and is therefore helpful, social, communicative,

sympathetic.

Very busy, undertakes many things but perseveres in none of them, ambitious, animated,

but always in a chaotic way, without structure, going from one subject to another, impractical,

hurried, rush of ideas, over-enthusiastic, excited, vivid and lively imagination (fancies), that due

to psoric fears may lead to jealousy and suspicion without cause.

It is when the sycosis can no longer be restrained that real problems occur. The fear of

being alone and left to oneself has led to sycotic over-activity, a side effect of this is an

overactive imagination coloured by jealousy. This jealousy will lead to conflict whether or not it

is reasonable; the imagination will take the lead over reason.

When such a condition has arisen in Lachesis, the way to syphilitic reaction is wide open;

she will isolate herself totally by it, and it will kill her due to her psoric theme.

The basis is paranoia; she thinks people are whispering. about her, people want to lock

her up in an asylum, they want to poison her, to hurt her.

One of the first and most important patterns followed by Lachesis is haughtiness,

arrogance, contempt, misanthropy like Platina. But it can easily go as far as cruelty, like

Anacardium; destructiveness, like Stramonium; revenge and hatred, like Natrum muriaticum,

Nitric acid and Anacardium; or deceitfulness, like Mercurius.

Their love has degenerated into lasciviousness, obscenity, nymphomania, amativeness,

like Platina, Lycopodium, Lilium tigrinum and Origanum, superficial and perverse.

Even life functions like eating and drinking become syphilitic; they refuse to eat, and

they drink too much. (alcoholism).

The mind is affected by the idea that she is another person, is under a powerful influence

('that is the reason why I am different now and then’).

The most difficult time for Lachesis is after sleep or in the morning, and there are two

reasons for this:

During sleep, instinct takes over and the mind loses control.

In the morning they are confronted with the cold reality. Eventually this reaction leads to

depression, because a Lachesis cannot persist in isolating herself from her surroundings and their

love and affection.

She suffers from religous melancholia; despair of religious, salvation, delusion she is

doomed, will go to hell.

She fears all kinds of diseases, but especially heart disease.

She fears to go mad.

She becomes apathetic, slow, lazy, indisposed to talk, feels helpless, forsaken,

Phosphoric acid is apathetic, too, but he does not suffer from loneliness; in fact he looks for it.

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Finally she is tired of living, wants to die, is discontented with everything, has suicidal

thoughts, despairs of recovery – and dies!

Staphisagria: They are easily aroused in their emotions, like a young Causticum, and this makes

them equally vulnerable. So they easily fall in love, they are romantic, and easily hurt by

remarks.

What makes them rather special is the fact that they avoid situations that may upset

others, out of consideration for their feelings; they will not fight back, but not from cowardice

like Lycopodium who refuses to take responsibility.

Thus they are used to hide their feelings and to swallow their pride, not to protect

themselves, like Natrum muriaticum and Ignatia, but out of consideration for others.

This way of reacting makes them submissive, yielding, powerless, not assertive, almost

like a Pulsatilla, except that a Pulsatilla will weep in order to obtain kindness from others.

Staphisagria will try to conceal his grief, anger or wounded self-esteem, because he does not

want to bother others with his problems.

It is exactly due to this lack of reaction that a Staphisagria gets his physical problems like

palpitations, trembling, hypertension, diarrhoea, pain in the stomach, sleeplessness, etc.

They suffer a lot from injustice, mortification, indignation, rudeness, reprimands, scorn;

as situations that require a response they confront him with his weakness and make him tremble

and vomit because the response is blocked.

Once in a while there is a reaction and then he goes really wild; he then has an inclination

to throw things at people.

One possible outlet that usually stays open is sex. A Staphisagria is usually a person with

definite sexual drive; the desire is intense. This is one of the reasons why they masturbate a lot.

Another reason is the difficulty in making contact with a possible partner; they are too soft and

submissive to conquer the partner they want.

To summarize: The psora of Staphisagria consists in their weakness, their vulnerability.

Also in the fact of suppressing their feelings out of sensitivity and consideration, which is a

weakness, too.

They usually start to have physical problems because of the syphilitic blockage of

suppressing their emotions.

The only possible outlet is sycotic and consists in sexuality or in throwing things.

They will suffer from disappointed love for different reasons - their pride is wounded,

their romantic vision has gone, their sexuality is suppressed.

They will react to it in a submissive way, not with hatred or revenge like Natrum

muriaticum or Causticum, not expressively like Pulsatilla or Phosphorus, but suffering in silence

like Ignatia, though from consideration rather than introversion. After some time there may be

indurations found in different places, but the keynote in the eyelids are styes.

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Causticum: When they are inexperienced and young they are extremely sensitive to their

surroundings; this is vulnerability like Staphisagria and a young Sepia:

Full of cares about others, sympathetic, mild, sentimental, mental symptoms during

thunderstorms, homesickness, children weep at the least worry.

Everything makes a big impression on them, and when they feel something it is a great

deal; it goes deep into their system: Ailments from excessive joy, from emotional excitement;

weakness from grief, disappointed love, amorous disposition, from death of children and friends;

easily offended, angry over trifles.

At first they are communicative, like Phosphorus: Desire to talk to someone, expressive, easily

excited, makes friends easily, affectionate.

But after a few experiences of life they have to protect themselves in order to survive, and so

they become inhibited and in other words psoric:

Suspicion, fear of strangers, takes everything in bad part, anxiously cautious, censorious,

secretive, timid, aversion to certain (unknown) persons.

They get the feeling that something bad is going to happen to them, or think they are haunted by

unpleasant subjects - not clairvoyance, like Phosphorus, but rather mental insecurity about the

future, like Calcarea, Bryonia, Lycopodium.

Should there be a major disappointment or loss, and should it lead to loss of equilibrium, a

Causticum may react in either of two patterns:

1. in a sycotic way, by acting it out and becoming. revolutionary - dictatorial, defiant,

disobedient, fanatic, harsh, abusive, anarchist, inclined to contradict, indifferent to dictates of

conscience, demanding his rights. The same pattern is followed in his sex life - adultery,

libertinism, amative, lascivious, obscene, desires anal intercourse: eventually totally out of

control: drugs, alcoholism, gluttony, crime, etc.

2. in a syphilitic way, which one sees more often because sycotics do not complain of their

situation, whereas those around them do! This reaction leads to paralysis of the mind as well as

the emotions - forgets purchases, unobservant, absent-minded, constantly feels that he has

forgotten something, unable to concentrate; neglectful, frigid, impotent, failure to reach orgasm,

no taste in clothes, indifferent to the music she used to love.

Natrum muriaticum: Introverted people who need and love privacy, in fact they resent intruders

such as unexpected visitors. They are loners, like Sepia.

They are reserved and serious will only joke about someone out of revenge; they rarely laugh,

and when they do so it is in a spasmodic way or hysterically (immoderately, over serious

matters). They are not sociable, their hobbies are knitting, sewing, reading books, watching

television, solving puzzles (and they therefore get sore eyes, like Ruta)

Because of her reserved behaviour and cool mind, others will ask her advice and she can

be very helpful because she does not get involved but listens to them and helps (which

is why she is in the rubric Sympathetic).

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Their main fears are of being ridiculed, laughed at or rejected. When someone hurts her feelings

it goes deep into her system. To avoid this she is cautious, serious, reserved, more or less

isolated, rational, never impulsive, never flirts - except out of hatred and after drinking too much.

That is the reason why she dreams of losing her teeth, appears ridiculous without them and is

defenceless. It is also why she cannot urinate in public toilets when others are present (the sound

of urinating might be funny).

It happens that they had a mother or father who was rather cool in his or her affections

and even ridiculed her in front of others in order to get her to work harder or to harden her for

life. All their grown-up life they will be looking for their dream prince. He will make up the lack

of affection they suffered. It will be a perfect relationship, preferably with an older and wiser

man who has a lot of experience of life. When they have found a suitable partner they will be

perfect housewives but much afraid of losing him and therefore jealous. That is why they dream

of robbers (who steal their love). The poor boy will never be able to satisfy her demands and she

will be disappointed and frustrated.

Love can easily turn to hatred after a quarrel or an occasional adventure. In fact they can

become so easily offended that they take everything in bad part.

After a severe disappointment or after deep mortification they become depressed; but

they will suffer silently inside. They do not want to talk about it because they easily get the

impression that you are pitying them. That is why they are worse when consoled. They do not

want to be looked at because it makes them cry. When they see themselves in a mirror they feel

they look wretched. Inside they continually dwell on what happened, they persistently think

about it.

It torments them but they cannot drop it.

They may have the same physical symptoms as Ignatia, but also more typical ones such

as herpes labialis, eczema, constipation, torticollis, hayfever.

Sepia: On the one hand there is the young-hearted, inexperienced Sepia, e.g. the Sepia child.

They are loners and easily hurt like Natrum muriaticum, but they do not want to be alone, they

want somebody near them, though without deep contact, in a way, like a Lycopodium, but for

different reasons: Lycopodium hates responsibility out of a lack of self-confidence that he tries to

hide: Sepia feels safer when there is no personal contact.

They are really talented in dancing, ballet, music, like Carcinosin.

Usually they are very busy, cannot rest when things are not in their proper place, like Nux

vomica.

They have a fear of ghosts and can be very nervous and excited, like Phosphorus, but

they are not sympathetic, they are not worse when alone and do not seek company the way

Phosphorus does.

This can change into the second kind of Sepia due to one of the following causes;

- Hormonal imbalance due to pregnancy, abortion, suppressed lactation, possibly use of

the contraceptive pill.

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- Use of conventional drugs such as tranquillizers: Kent even quotes the overuse of

homoeopathic drugs.

- Modern mass-psychotherapy, where detachment, loss of ego, giving up sexuality,

introspection are taught to unbalanced and immature people. It then does not lead to

freedom and heightened awareness but to dullness and apathy. This is very dangerous

for Sepia because she already has such a tendency in her.

- Bad emotional experiences, financial loss, noisy children, too much pressure for sex by her

partner. This other Sepia has an aversion for the ones she loves most, she could beat her

children, like Nux vomica, likes her husband most when he is away, is averse to sex and can

no longer achieve orgasm; very sarcastic in her remarks; they become introverted and

taciturn like Natrum muriaticum, not antisocial like Mercurius and Causticum; not

indifferent like Phosphoric acid; no hysterical variability and outbursts of passion

like Ignatia.

Insecure about their health, when riding, about money.

Do things that are opposed to their intentions.

No longer have positive feelings like joy, love, pleasure, beauty, compassion, arts,

orgasm. Their positive emotions are as dead as those of Phosphoric acid, but their negative

emotions are not yet dead. They can be afraid, they can hate, destroy, be angry, sad, suicidal.

Like Natrum muriaticum they do not like consolation.

Their mind becomes dull, dreamy, absent, unable to concentrate; they think for a long

time before they answer; they sit and close their eyes like Argentum mitricum; they are averse to

business because mentally unable.

The body shows stasis - prolapse of pelvic organs, varices, oedema, flabby muscles,

atony.

She feels better from violent exertion, dancing, music, thunderstorms, evenings, seashore,

occupation.

Differential diagnosis: Some drugs in the rubric ‘Dissappointed love' that might be confused with

'the above are Kalium carbonicum: These are people who project their emotional I life in the

region of the stomach or the solar plexus:

Fear arising from stomach, apprehension in stomach, anxiety and aggravation from

hunger, excited when hungry, anxiety after breakfast, morose after eating. They are extremely

sensitive to touch and noise: Fear and frightened from touch and trifles, sensitive to noise and

voices starting easily and from noise or touch, ticklishness (Barthel). They are also very sensitive

to being 'touched' inside: Weeps after admonition, when remonstrated with, at sad thoughts,

when talking about her illness; ailments from disappointed love, from bad news.

They have a strange kind of antagonism inside themselves about showing their emotions

to others:

Desire for company, yet treats them outrageously; desire for company but consolation

aggravates and indiffernet in society; fears to be alone but fears crowds and fears people; desires

to be carried but is averse to being touched and very ticklish; she has delusions that she is calling

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someone (for help); she has changeable opinions and alternating moods: anger at absent persons,

weeping without cause or without knowing why (that is what they tell you!)

They do show their emotions in their subsoncious, when they dream, and that is why their

sleep is unrefreshing: they do not fall asleep easily and generally have an aggravation at 2 or 3

a.m. That is also the reason for many aggravations in the morning:

On waking anger, irritability, sadness, dullness, starting, anxiety, rage.

It is curious that the target organs of Kalium carbonicum are excretory: lungs (asthma,

bronchitis, pneumonia) and kidneys (oedema).

Antimonium crudum: They are extremely sentimental people who are affected by moonlight;

after emotional hurts they turn sulky; absolutely intolerant of contradiction; aversion to being

touched; cannot bear to be looked at; irritable at trifles; indisposed to talk about it. They are

inclined to grow fat (they eat their misery).

Cactus: Sadness and melancholy lead to constrictive heart symptoms and sometimes

exophthalmic goitre.

Rana bufo: Feebleminded persons with sexual derangements make us think of Bufo, especially if

there is a history of convulsions. They have a tendency to bite objects. Prone to become

alcoholics. Do not like strangers.

Helleborus: This is the situation after severe mental shock; they seem to be unconscious,

although they answer questions correctly. It is mental insensibility, stupo: A lot of automatic

motions like grinding of teeth, chewing, picking at bedclothes, picking lips, rubbing nose, rolling

the head, boring the head into the pillow. They sigh involuntarily, and lower jaw drops.

Hyoscyamus: Here we are confronted with progressive insanity, first showing itself in suspicion

and jealousy totally without meaning and directed not at one person but progressively at all the

world. The early dementia can lead to paranoiae schizophrenia when more and more

hallucinations occur and the grip on reality is totally lost. The jealousy can be violent and lead to

crime. When dementia is established exhibitionism may occur.

Nux moschata: They have fainting fits after emotions, like Ignatia, and their moods are even

more changeable than Ignatia (laughing alternates with weeping). But they are easily

differentiated by their typical confusion; they lose their way in familiar streets; they feel as if in a

dream; they have the delusion of being double. Their memory has grown very weak. They suffer

from an overpowering sleepiness. They get constipated with soft stools, like Alumina.

They suffer from flatulent dyspepsia like Argentum mitricum. They have a grasping sensation in

the heart, like Lilium tigrinum and Cactus.

Coffea: Much more indicated in symptoms resulting from sudden pleasurable impressions like

joy, falling in love, surprises, beauty. Their physical senses are acute – vision,

hearing, feeling

pain, touch, taste, smell. They are agitated and very nervous people, hypertensive to the least

suffering. Quick, excitable, irritable, They have a flow of ideas,

it even makes them sleepless. Excessive hunger. Increased diuresis.

[From British Homoeopathic Journal, vol. 76, No. 3, July 1987 For Private Circulation Only]

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4.2 SYMPATHY - A DIFFERENTIAL -

By GEORGE VITHOULKAS

It is important to discriminate between remedies on the basis of the quality of a symptom.

Let us examine the different qualities of sympathy and their corresponding remedies.

The Aconite sympathy will consist of an emotional eruption or explosion; e.g., "Oh, my

God! What shall we do!” The anxiety about others is very intense.

The Sulphur patient will not show such anxiety. He will worry in special situations; such

when his child is late coming home. He will be unable to sleep. He will walk up and down,

imagining that the child has had an accident or some other mishap. When his son or daughter

drives into the driveway, all of his concern evaporates and he goes back to sleep.

The Phosphorus patient will have a completely, different kind of anxiety. He shows great

affection and concern; he is very interested in the other person and very attentive. The

Phosphorus patient does not show the imaginative worry that Sulphur shows; rather, when he

actually encounters a situation in which another is suffering, he becomes sympathetic.

The Arsenicum person is also anxious about others. In this case it is an inner anxiety. The objects

of his anxiety are those who are close to him (the father or mother or brother etc.). These people

provide him with a sense of security; thus, he feels threatened when they are not well. It is a self-

motivated anxiety for others; he wants them to be well so that they can help him

[From RESONANCE Vol. 9 No.6 November - December 1987]

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4.3

ANXIETY ABOUT OTHERS, A DIFFERENTIAL -

by GEORGE

VITHOULKAS

Arsenicum is listed in the rubric "anxiety for others," but actually, as one would expect,

this anxiety is caused by the fear of losing someone close to him, someone upon whom he is

dependent. Consequently, he will show little concern over someone who is a stranger to him.

Other remedies are prominent for anxiety about others. One of them, Phosphorus, is so

sympathetic and suggestible that he can lose all sense of himself in his concern over someone

else, whether a close friend or a stranger. If an Arsenicum person were to meet someone new to

the area, he would welcome the company but would make conversation merely for the sake of

the company; if the person were to mention some personal difficulty, such as an inability to find

a hotel, the Arsenicum individual would courteously express consolation and perhaps make a

few suggestions, but this attitude would basically be, "Well, you have your problems but what

about the problems I have? The Phosphorous patient, on the other hand, would become excited

and say, "You haven't a hotel? Oh, my goodness, We must do something about that! Here, we'll

go right now to the directory and try calling a few."

Sulphur also has anxiety about others, In this instance, it is an active imagination which

leads to the anxiety. A Sulphur father, for example, might lose sleep worrying about his daughter

coming home two hours late from a date. It is not the Arsenicum anxiety over losing his

daughter, nor is it the Phosphorus sympathetic anxiety. The Sulphur individual will lie awake

inventing endless possibilities about what might have happened. He will allow his imagination to

exaggerate the significance of the situation beyond all realistic dimensions.

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4.4 ANXIETY ABOUT HEALTH, A DIFFERENTIAL

[The following is an excerpt from lectures by George Vithoulkas. This installment of the

Vithoulkas series begins with a look at Arsenicum album in a patient who is suffering from

severe anxiety. Keep in mind that these comparisons reflect the way a remedy picture appears in

a particular circumstance; they do not imply that every patient who needs or could benefit from a

certain remedy must have any or all of the symptoms presented here.]

The anxiety which becomes prominent at this stage of pathology focuses predominantly

upon the patient's concern for his health. He becomes absorbed by this concern and can talk

about it endlessly, completely engrossed about even the smallest aspect of his health. He

develops an intense fear of death which can at times induce episodic panic. These "anxiety

attacks" occur most frequently between 12 and 2 AM when the patient feels that he may have

difficulty reaching a doctor. In the repertory Arsenicum album appears in the rubric "fear of

death when vomiting". This symptom is but a reflection of a far more encompassing tendency -

every symptom, no matter how insignificant, can provoke panic.

In the midst of his panic, the patient will be quite likely to rush to the emergency room of

a hospital. He arrives restless and trembling with fear. He restlessly turns his head to and fro; he

writhes and constantly moves his limbs and shivers as from cold; his breath quivers. All of an

anguished fear. (Compare Psorinum, Kali arsenicosum,) Eventually these panic episodes can

occur without even the smallest provocative symptom. In the emergency room, of course, such a

patient is treated with sedatives; his real relief, however, is provided by his contact with a

physician.

The Arsenicum patient constantly seeks the attention of a physician, and being a hypochoadriac,

he seeks the opinion of many doctors. He becomes dependent on the physician, telephoning

frequently, demanding reassurance and advice for even the most insignificant symptoms. The

homeopath is bound to feel the weight with which the

Arsenicum patient clings to him. No patients in our materia medica are as clinging and

demanding of relief from their anxiety as are Arsenicum and Nitric acid.

Arsenicum's fear is not so much the fear of the consequence of a degenerating condition

of health, but the fear of the ultimate state of insecurity - death. For this reason the Arsenicum

patient will exaggerate many symptoms, blowing them out of all proportion. Even in the face of

such apparently common-place complaints such as headaches, lumbago, etc., the thought readily

enters his mind, “I have cancer!” Again, his fear will bring him promptly to a physician. Even if

all the tests are negative, he will not be consoled; his anguished fear and restlessness will

continue to lead him to more and more doctors. He fears cancer because it is the disease most

readily identified as fatal 1n today' society. It is not really the possibility of cancer, but the

prospect of death that causes him such anguish. The fear is not that he will contract cancer in the

future; instead, he fears that he has cancer at that moment (compare Agaricus). In point fact,

malignancy is an actual element of Arsenicum, and analogously, Arsenicum's fear is malignant,

similar to a cancer, eating at the mind of the patient.

A recognition of the peculiar characteristics of the Arsenicum anxiety about health is

imperative as there are other remedies which also display anxiety about health of at least equal if

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not greater intensity. The Repertory lists these thoroughly and in relative strengths, but it is

unable to describe the particular distinguishing qualities which are so important in separating one

remedy from another. If one only knows the fact that a particular remedy has “anxiety about

health” without knowing how to differentiate it from the others, one will find great difficulty in

selecting the precise remedy that fits the patient. This cannot be done by a simple process of

repertorization; it requires a minutely detailed knowledge of materia medica.

Other remedies possessing a strong anxiety about health are Phosphorus, Kali

arsenicosum, Nitric acid, Lycopodium, Calcarea carbonica, kali carbonicum, and others.

Calcarea carbonica has a strong anxiety about health which is primarily focused on the

possibility of insanity, cancer, and/or of contracting an infectious disease. Calcarea carbonica

fears the condition or disease itself as opposed to the possibility of death; he can accept death

with relative equanimity but is more likely to despair over having an incurable disease and of

being unable to recover.

Kali carbonicum has anxiety that he will get a disease in the future, whereas Arsenicum

fears he has cancer now; Kali arsenicosum has a particular anxiety about heart disease; he does

not fear death as much as Arsenicum. The Kali arsenicosum patient will say “If I must die it is

o.k. …” If one begins to talk about his heart, however, he will begin to express anxiety.

Phosphorus feels anxiety about his health, but primarily when the subject is raised to him.

Many Phosphorus fears revolve around health – his own or his relatives; the anxieties are not as

obsessive. The Phosphorus patient is suggestible. He hears of someone who has died from a

bleeding ulcer. He does not withhold his anxiety; he will engage the nearest person and

animatedly go to the doctor who reassures him that he does not have an ulcer. The anxiety then

disappears as quickly as it came; he leaves the doctor’s office very relieved, saying to himself,

"How silly I am” With the next and slightest provacation, however, the anxiety will return. By

contrast, Arsenicum, Kali arsenicum, and Nitric acid are not so easily pacified. Their anxieties

are inconsolable.

The Nitric acid patient, unlike Phosphorus, always has anxiety about his health an anxiety

about any possible ailment, not only cancer, infectious disease, insanity, or heart disease. He may

read in a magazine about someone with multiple sclerosis, and he says to himself, "Oh, that

explains it! That must be what I have." Then, instead of expressing his anxiety, he carries it

around inside. Eventually, he may very secretively make an appointment with a doctor, but the

doctor's assurances fall on deaf ears. He is convinced of what he has and cannot be consoled.

Later, he may read another article, and the process begins again. The Nitric acid anxiety about

health is not so much the fear of death that we see in Arsenicum; it is more a fear of all the

consequences of a long-term degeneration, with the expense, dependency on others, immobility,

etc.

Lycopodium has a marked anxiety about health. The Lycopodium anxiety can be about

any type of illness, like Nitric acid, but it is an anxiety that springs from a basic cowardice. It is

not a fear of death, but a fear of the pain and torture of illness. He has a fear that he will not be

able to cope with a serious illness, that he will fall apart and reveal a lack of courage to others.

[From RESONANCE, vol.9. No.3, 1987]

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4.5

ANXIETY REMEDIES

A DIFFERENTIAL DIAGNOSIS

Notes from a seminar in Berne, Germany with George Vithoulkas,

From HomoeoNet

In an acute crisis it is very difficult to differentiate between the anxiety remedies. It is

important to find the "color" of the remedy in order to differentiate. The first questions should be

to ascertain how strong and how frequent the attacks are.

ACONITE

There may have been a causative factor (e.g. a frightening experience, earthquake etc,)

The panic attacks are very impressive, with the feeling of imminent death. There is a great fear

of closed places and crowds, c1astrophobia and panic attacks (like Argenticum nitricum). An

aconite patient will not be found anywhere near demonstrations.

The attacks are not frequent but come suddenly and strongly with an overwhelming

panic, palpitation and flushes of heat. Like a storm that comes from inside with the feeling that

he is about to die. The anxiety is like an earthquake erupting from inside, there may even be a

delusion that the ceiling is moving up and down as in an earthquake. Not surprisingly, this is a

main remedy for fear of earthquakes. The fright on the face is terrible to see - agonizing.

The anxiety. attacks are worse at twilight. In the west we try to control all our emotions

so we may not see the full blown attack of aconite, but there is a sense of tremendous turmoil

inside.

ARSENICUM ALBUM

With the patients you feel uncomfortable, all their doubts come through. There may be

the expression of the feeling, "you haven't cured me, you don't understand my case". She won't

accuse you outright but her opinion is reserved. There is a constant state of anxiety; she is never

left in peace; the anxiety is always present to a greater or lesser degree. The fear of death is very

strong but this is an abstract idea. The instinct is to

have someone around who can save her. This is not expressed with the same intensity as aconite,

but there is a constant idea that there must be someone around in case the worst should happen.

She will always stay near the person she feels that she trusts, (e.g. she goes everywhere with her

husband, drives him to the office, stays around to help him there, etc.).

The heart of the problem is great insecurity. This is t he reason for the fastidiousness, to

create a feeling of security. Everything is ordered so that there can be no worries. Somewhere

you will see the order and the cleanliness in the patient's life (e.g. in the way she dresses). The

anxiety about others is really an anxiety for herself, "what will happen to me if my husband is

ill?..."

Arsenicum patients are difficult to reassure despite all tests proving normal. The anxiety

brings about a dryness that cannot be relieved, therefore there is a great need to take frequent,

small sips of water, (compared to Lycopodium who may also need a glass of water at hand but

will take a sip less frequently).

PHOSPHORUS

These are nice people to see during their anxiety attacks! The attack is not so intense but

it is accompanied by a fear of death, or an incurable disease. The anxiety subsides rapidly with

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talking; she~ convinced about your skill and gives you her trust. She stays loyal and does not go

off to other practitioners. She talks about her friends who aren't well and about what you can do

to help, etc. (Arsenicum patients will only talk about themselves.)

NATRUM MURIATICUM

There is a tremendous underlying anxiety about health, (e.g . that he will have a stroke or

be left invalid). This anxiety is not openly expressed, but he becomes persistent (e.g. always

wanting his blood pressure checked, "are you sure it's normal? It used to be ….”) He will not

voice his anxiety for fear of ridicule. He becomes hypochondriacal, always telephoning the

doctor, but never reassured.

NITRIC ACID

There is a constant anxiety which is parallel only to Agaricus. The anxiety is associated

with a fear that some terrible disease is developing. He won’t voice his fear outright but will ask

for tests every 3 months, and he will frequently change doctors to compare opinions. He finds

lots of little things to complain about, and no matter what you say, he still believes it's cancer.

These are the nagging and complaining patients that eventually get on your nerves.

At first this may not be easy to perceive and you may be misled. First he wants to check

you out, but he is not pacified by your diagnosis. He needs the reassurance of a doctor but in the

end he is not reassured.

He may be a nihilist, believing in nothing, that life is not worth living and that he should

kill himself; but underneath is fear of death, therefore he makes preparations but he does not do

it. (He usually wants to shoot himself)

AGARICUS

This remedy has the highest level of anxiety about health. It has anxiety attacks which are

similar to those of nitric acid, but she breaks down and cries. There is a fear of cancer. This fear

focused on a small area which she presses and examines so much that it becomes inflamed,

convincing her that it is cancer. She wants you to examine it to be sure.

This is a contemporary medicine that may be evolving from our society of drug-taking.

KALI ARSENICUM

This anxiety revolves around the heart. The patient may present with a slight functional

problem (e.g. an arrhythmia). There is often a sense of loss, "I am finished. I'm dying." This is

similar to Arsenicum but more malignant. It can look like Arsenicum but with more frequent and

intense panics. He doesn't need someone around like Arsenicum. Instead he prefers to be alone .

In a deep crisis he may telephone someone just to hear a voice and to know he is still alive. He

won't tell you outright about his anxiety.

[From RESONANCE Vol .10 No .4 July - August 1988]

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4.6 PRE-EXAMINATION DIFFICULTIES IN SCHOOL -

George

VITHOULKAS

(A Differential)

There is one specific arena of life which is especially prone to evoke the Anacardium

picture - school, especially relating to the time of examinations. A student who has perhaps

suffered the indignity of having been criticiaed by his teacher will be determined to prove

himself by excelling at his examinations. In the midst of his studying he will be overcome by a

sudden profound 1oss of confidence. He will then feel unable to sit for the examination. His

mind has become a blank; he is unable to remember what he has studied. There are other

remedies that can similarly correspond to pre-examination difficulties which, by way of contrast

will briefly describe. Again that which distinguished Anac. is the urge to be first - to prove

oneself - in the face o£ perceived criticism; e.g., "My teachers do not acknowledge my abilities."

Gelsimium will present an entirely different picture. Those requiring Gels. will experience

intense fear at the thought of appearing for an examination; a feeling of paralysis and trembling

often accompanies this anticipatory fear. Unlike Anac. they encounter no difficulty while

studying: they have the stamina to study, and they do not suffer a similar memory loss. With

Gels. the focal point of their difficulty is imagining being before the examinar, especially for an

oral examination: that image paralyses them with fear. They will say, "No, I cannot do it. It is

better that I do not go. I give up." Gels. will want to give up: they are softer, far less determined

than Anac. The fear in Gels is an expression of cowardliness.

The case of a man, a student of economics in France, illustrates the Gelsemium dilemma.

He was the son of a very rich man. When initially seen he was almost at the point of quitting

school. He was quite lazy and was unable to pass his examinations because he couldn't muster

the initiative to study. He spent his time living a care-free life, driving expensive cars,

entertaining girlfriends, etc. He wanted to succeed in school, wanted to study, but he was just too

lazy. One dose of Sulphur affected him greatly. He was subsequently able to begin studying, and

he passed one examination after another - - until he arrived at the final stage of his school

program. The school was quite difficult, very demanding. The professor of his final course had

already failed him three times. He became afraid of' this teacher. He phoned his parents, telling

them, "I have studied the subject completely. I know it very well, but I am not going to take the

examination. I cannot." The parents phoned me asking what they could do. I recommended that

he take a dose of Gels. 1M the day before the examination. He did so and successfully passed the

examination.

Picric acid will also be frequently indicated for pre-examination difficulties. The

causation in Pic. ac. is over-exertion of the mind. These are people who have studied very

diligently for a long time and who, as a consequence, have overexerted themselves. They do not

experience the conflict of Anac. nor the cowardliness of Gels.; rather they predominantly suffer

from a tiredness of the mind. They may say, "I am so tired. I feel as if I have been thinking of

ages." The feeling of mental fatigue is unrelenting and will induce them to want to quit and to

forego the exam. In this state even fifteen minutes of studying will be exhausting .

[From RESONANCE Vol.9 No.2 March – April 1987]

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CORRECTIONS TO THE REPERTORY by KENT

(In the "QUARTERLY HOMOEOPATHIC DIGEST", Vol.V, No.2, June 1988, certain

corrections to the Repertory were given. Here are some more: K.S.S.)

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4.7 JUGLANS CINEREA AND JUGLANS REGIA -

by A.Wegener

Juglans cinerea (instead of Juglans regia)

EYE, Styes: Jug-r. p.266

Juglans regia: Source verification: negative

Juglans cinerea: "inflammation, with pustules on lids and around eyes." (GS p.308)

Juglans regia (instead of Juglans cinerea).

HEAD, heat, with coldness extremities; jug-c. p.122

Juglans cinerea: source verification: negative

Juglans regia: "Hot head with cold extremities, after 9 P.M."

(EN p.203, No.194)

STOMACH, eructations: Jug-c. p.489

Juglans cinerea: Source verification: negative

Juglans regia: “Eructations" (EN p .199, No.52)

EXTREMITIES, eruption, elbows, pustules: jug-c. p.990

eruption, elbow, pustules, yellow: jug-c. p~990

Juglans cinerea: Source verification: negative

Juglans regia: “… after still another month there appeared two red spots on the right elbow-joint,

which itched violently, and upon which there developed a small yellow pustule … " (EN, p.203,

No.181)

LEPIDIUM and LEPTANDRA

Lepidium (instead of Leptandra)

MIND, anxiety on waking: lept., p .8/SR I, p.98

fear on waking: lept., p.47/SR I, p .542

Leptandra: Source verification: negative

Lepidium: "Sad dreams with great fear on waking: the sadness and fear continue for a quarter of

an hour

(EN p.556, No.258)

MIND, thoughts of disease: lept., p.87 1/4 SR I, p.1002

Leptandra: Source verification: negative

Lepidium: "Deep melancholy: with thoughts of sickness."

(EN, p.550, 0.6)

HEAD. pain evening: lept., p.134

Leptandra: Source verification: negative

Lepidium: "Violent headache in ,the morning lasting till 2 P.M.: violent headache in the

evening, with sense of compression in the forehead, from temple to temple: the violent headache

continues and is felt all day, beginning regularly at about 10 A.M. and ceasing at night."

(EN, P.530, No.15)

HEAD, pain, pressing, forehead: lept., p.192

Leptandra: Source verification: negative

Lepidium: "Tightness in the forehead, as if compressed, at 11 0' clock, lasting A quarter

of an hour. ( EN" p.550 , No. 25)

SLEEP, dreams, sad: lept., p.1243

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Leptandra: Source verification: negative

. Lepidium: "Sad dreams, with great fear on waking; the sadness and fear continue for a

quarter of an hour.” ( p.556, o.2?8)

COMOCLADIA and CONIUM

Comocladia (instead of Conium)

EXTREMI IES, lameness, knee, right: con., p.1032

Conium: Source verification: negative . . .

Comocladia: "Lame pain in right knee at 3 p.m." (Allen, Handbook of Materia Medica, ~.410)

“Lameness in right knee' (GS, p.406)

Conium (instead of Comocladia)

CHEST, palpitation, heart, visible: com., p.877

Comocladia: Source verification: negative

Conium: "Frequent visible palpitation of heart"

(CK, p.199, No.593)

EXTREMITIES: heaviness, tired limbs, before menses: com., p.1014.

Comocladia: Source verification: negative

Conium: "Before the onset of the menses, tiredness in all her limbs, with weepy disposition,

restlessness and anxious concern about every triviality." (CK, p.196, No.509)

GENERALITIES, pain, pinching, internally: com., · p.1382*

Comocladia: Source verification: negative

Conium: "pinching abdominal ache not exactly before nor just after the stool (CK, p.191,

No.376)

"pinching deep in the lower abdomen after meal, with good appetite" (CK, p. 191, No.377)

"severe pinching in abdomen as if diarrhoea would occur." (CK, p.191, No.378)

"before discharge of leucorrhoea, pinching in abdomen." (CK, p. 196, No.519)

[*This error occurs also in the Boenninghausen's Therapeutic Pocket Book by T.F.Allen.]

[From KH. 4, 5 & 6/1988]

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4.8 CHIMAPHILA UMBELLATA and CHINA OFFICIANALIS by

H.Eppenich.

Chimphila umbellata (instead .of China).

EXTREMITIES, swelling, upper limbs, 'uncovering amel.;

chin: p.1197.

China: Source verification: negative

Chimaphila umbellata: “Swelling .in arm feels better when uncovered.” (GS, p.58)

Fever, exanthematic fevers, scarlatina: chin.: p.1286

China: Source verification: negative

Ohimaphila umbellata: "Scarlet fever". (GS, p.60).

[From KH.2/1989]

Some more corrections pointed out by Dr.FWPH . Sohn, in KH, 1/1988.

LOBELIA and LOLIUM: Lobelia to be corrected as Lolium

NOISES, cymbals and drums, sounds of: lobelia: p. 296

Lobelia: Source verification: Allen, Index to Encyclopaedia p.330: "Ears, cymbals, sound

of drums and: lob.” but Encyclopaedis, Vol. V under Lolium:” Noise in the ears, like a constant

sound of drums and cymbals", p.623, and not under Lobelia, p. 612.

Also see Clarke Dictionary, Vol.II, p.318, Lolium.

DRAWN outward, the left hand, while p laying the piano: Merc., . p.984. Merc.: Source

verification: Allen, Encyclopaedia, index p.543, . "Hand, drawing outward, while playing piano.

Merl.” Encyclopaedia, Vol. VI, under Merl.”: While playing piano, the left hand is suddenly

drawn outward", p.204, not under Merc., p.222. Therefore merc. is to be corrected as merl.

The error pointed in KH 31/1987 (DIGEST, Vol.V, No.2 June 1988, page 15) " Erysipelatous

inflammation and swelling of the left leg and foot after violent dancing, with tearing tension and

burning in it and increased burning pain when touched" (Allen, Encycolpaedia, Vol.II page

206): bor. (not: bov.)”, is observed in page 716 of the index to Allen's Encyclopaedia also) and in

the Kent Repertory p.1019, "INFLAMMATION, foot, erysipelatous, after dancing: berb.” which

is obtained from Allen's Encyclopaedia Inded, page 479, but - in Vol.II, p age 174 this is not

found. In the Kunzli's Repertorium Generale, it has been correctly given as bor. but berb. has not

been omitted.

An error in the Knerr' s Repertory: p.246: Illusion, shrill sound: singing like a bell ringing out of

tune, Petrol." This is not found to be so in the Hering' s Guiding

Symptoms, Vol.VIII, p.278, under Petrol, but indeed under Petroselinium (p.295 of Vol.VIII

GS). Also compare Clarke Dictionary, Vol. III page 752 and James Ward’s “As if” p.1417. So,

to be corrected as “Petros”

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4.9 SOME USEFUL RUBRICS IN MULTIPLE SCLEROSIS

[From Dr. Francisco Eizayaga’s Seminar in London 23-24 Jan. 1998]

(Nos. refer to pages in Kent Rep.)

299 EARS noises roaring 266 STRABISMUS

298 Ears noises ringing 277 DIPLOPIA

294 Ears noises buzzing 1077 PAIN lower calf when waling

102 VERTIVO reeling 953 AWKWARDNESS of hands, drops

things

1223 WALKING infirm 953 ATAXIA

282 LOSS OF VISION during vertigo 1017 INCOORDINATION

284 VISION of spots 283 VISION scotoma

244 INFLAMATION of optic nerve 244 INFLAMATION retina

235 ATROPHY of optic nerve 1210 EXTREMITIES trembling

(=fasciculation)

246 NYSTAGMUS movement rolling 1176 PARALYSIS hemiplegia

247 NYSTAGMUS movement up and

down

1390 PARALYSIS one-sided

1399 SHOCKS electriclike 1179 PARALYSIS lower limbs

985 EXTREMITIES electrical current

sensation

82 SPEECH slow

SPEECH difficult

909 PAIN lumbo-sacral 650 BLADDER retention of urine

937 PAIN stitching cervical region 659 URINATION involuntary

1140 PAIN stitching anus 661 URINATION unconscious

1035 EXTREMITIES anumbness 693 COITION enjoyment absent (male)

715 COITION enjoyment absent

(female)

.Br. Hom. J1. Vol. 77, Apr. 1988] [For private circulation only]