© Centre For Excellence In Homeopathy
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
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
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