CENTRE FOR EXCELLENCE IN HOMEOPATHY

CONTINUING HOMEOPATHIC MEDICAL EDUCATION SERVICES

QUARTERLY HOMEOPATHIC DIGEST

VOL. V, 1988

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.V, NO.1, MARCH 1988.................................................................................................................. 3

1.1

ON POTENCY CHOICE AND HOMOEOPATHIC POTENTISATION - (BY P.SCHMIDT) ....................... 4

1.2

KNOWLEDGE OF REAL HUMAN NATURE – THE FOUNDATION OF HOMOEOPATHY - BY

T.P.PASCHERO ............................................................................................................................................ 11

1.3

PERSONALITY AND INDIVIDUALITY- P.S.ORTEGA .......................................................................... 14

1.4

MODIFICATION OF THE ‘CHRONIC CONDITION’ BY AN ‘ACUTE’ PRESCRIPTION - JACQUES

IMBERECHTS, MD, MFHOM, SRBH ..................................................................................................... 17

1.5

FEED-BACK: ............................................................................................................................................ 27

1.6

BOOK SHELF ........................................................................................................................................... 27

QHD, VOL.V, NO.2, JUNE 1988 ..................................................................................................................... 29

2.1

EMOTIONS AND EXPRESSIONS - FERNANDO RISQUEZ, MD ........................................................ 30

2.2

CULTURAL AND AESTHETIC MODALITIES: CRAVINGS AND AVERSION – THEIR CLINICAL

VALUE (SOME REFLECTIONS AND CONSIDERATIONS) - D.R.LIVINGSTON, ME, BS, MFHOM .............. 39

2.3

SYNONYMOUS RUBRICS IN KENT'S REPERTORY; INCONSISTENCIES - K.H.GYPSER ............... 43

2.4

CORRECTIONS TO THE REPERTORY - A.WEGENER .......................................................................... 45

2.5

BOOK-SHELF ........................................................................................................................................... 49

2.6

FEED BACK .............................................................................................................................................. 52

2.7

NEWS ........................................................................................................................................................ 54

QHD, VOL. V, NO.4, SEPTEMBER 1988 ..................................................................................................... 55

3.1

FRANCISCEA UNIFLORA- H.P.J.A MASS ............................................................................................. 56

3.2

CALCAREA SULPHURICA- EUGENIO F. CANDEGABE, MD ................................................................... 59

3.3

ACIDUM FORMICIUM- H. LENNEMANN ................................................................................................ 64

3.4

PATHOGENESIS OF NEW DRUGS: FORMIC ACID - DR.D.P.RASTOGI, DR.KRISHNA SINGH,

DR.V.P.SINGH ............................................................................................................................................ 69

3.5

BOOK SHELF ........................................................................................................................................... 76

3.6

FEEDBACK............................................................................................................................................... 79

3.7

NEWS ........................................................................................................................................................ 80

QHD, VOL.V, NO.4 DECEMBER 1988 ......................................................................................................... 81

4.1

CYCLAMEN, PULSATILLA AND SEPIA- DR JACQUELINE BARBANCEY .............................................. 82

4.2

THLASPI BURSA PASTORIS - HENRY N. WILLIAMS, M.D .................................................................... 90

4.3

AN INVOLUNTARY PROVING OF TAXUS BACCATA ...................................................................... 91

4.4

CARBO BETULAE POLARIS IN CASES OF CARCINOMA ................................................................. 92

4.5

MAGNESIUM FLUORATUM D30 (30X) - A PROVING - FRANZ SWOBODA ........................................ 93

4.6

THETESTING AND CLINICAL ADMINISTRTION OF PROPLIS - E. URBAN ................................ 96

4.7

THREE MODERN PROVINGS: ARNICA, BRYONIA AND PULSATILLA ....................................... 101

4.8

BOOK SHELF ......................................................................................................................................... 103

4.9

FEED-BACK ........................................................................................................................................... 105

4.10

NEWS ...................................................................................................................................................... 106

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1 QHD, Vol.V, No.1, March 1988

Dear Doctor,

The DIGEST has entered into the V year. I have been receiving many requests for 'back-

issues'. I would like to reiterate that the DIGEST is only a SERVICE; only the actual number of

copies according to the number of members are made; it is not a journalistic venture; as such

spare copies or extra copies are not made awaiting their sale'.

Come April, all homoeopaths celebrate Hahnemann memorial day - even the mixture

prescribers, patent drug prescribers, etc!

In our own way, we pay our homage to Hahnemann by recalling the right way to practice

homoeopathy. Three ‘current’, masters have been chosen each of whom have their own ‘school'

but not too divergent. Unfortunately two of them - Dr.Pierre Schmidt and Dr. Thomas Pablo

Paschero - are no more - they passed away into eternity recently. Dr.Schmidt represents the

Kentian of Generals to particulars including the pathology; While Paschero taught that the

dynamic diathesis which prevent the psycho-biological maturation and thus accomplish spiritual

liberty, should be treated ignoring the lesion; to treat the internal essence of the disease. While

Sanchez Ortega teaches that neither the mind nor the pathology but the miasmatic condition of

the patient alone needs to be treated.

The fourth is a lengthy case analysis by Dr.J Imberechts, an excellent lesson.

The articles have been rather ‘weighty’'. Dudgeon himself has confessed to the difficulty

in translating German into English; it is more so when much of deep ‘philosophy’ is involved.

This has to be borne in mind while reading these.

The usual columns of FEED-BACK and BOOK-SHELF have been included.

March 1988.

Yours sincerely,

K.S. SRINIVASAN

1253, 66

Street,

Korattur,

Madras 600 080

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1.1 ON POTENCY CHOICE AND HOMOEOPATHIC POTENTISATION -

(by P.Schmidt)

First, a brief review regarding diagnosis which in homoeopathy is twofold:

I. the diagnosis of the disease according to the pathognomonic symptoms, with the help

of general clinical status, through a specialist where necessary, through laboratory findings,

x-rays, to clinch (a) what belongs to the exact disease (b) what are conditioned by dietic and

basic errors of hygiene, how defective are the home, clothing, care of the body, social life,

regulation of life style, nutritional in-take etc.; also what could be set right without aid of

medicament. Further to be considered arc intoxications through alcohol, tobacco, narcotics,

tranquilisers, sleeping drugs, drugs to calm down or excite etc. Such objective disease factors

must be eliminated just as the physician of the old school does.

II. The diagnosis of the sick person to ascertain the non-pathognomonic symptoms,

symptoms which do not belong to the disease in question, the rare, strange, seldom, singular and

which seem bizarre. There are symptoms which are contrary to common sense, make us reflect,

and which are characteristic for a particular patient. Allopathy does not take into consideration

such symptoms and considers the patient only as a hysteric or at the most handles such cases

with suppressive remedies symptomatically which further add to the patient's sickness.

When the remedy to be given is chosen: which potency is to be prescribed?

This question can be settled only from practical experience,

We must know that the Hahnemann-oriented physician employ basically every potency, from

mother tincture to the highest potencies, M, 10M, CM, MM!

Hahnemann has, during his life time, fairly frequently varied the potency scale, just as the

number of succusion strokes to be given in preparation of the potencies. He experimented,

twice, ten times, and more frequently to finally settle for ten strokes. He invented the centesimal

potencies of C1 to C30 which he wrote as: that is C globule and Vi =Sextillionth potency

(=C18).

Regarding the preparation of this small dose Hahnemann has in Organon, paragraph 269,

clarified the basic and essential difference between dilution = attenuation and potentisation. He

wrote:

“It is heard every day that homoeopathic medicine potency is considered as mere

attenuation, while it is the opposite of it, real development of the natural substance and bringing

out the power lying concealed internally through friction and shaking, wherein a non-medicinal

diluents medium used is merely of secondary importance. Diluting alone, for example,

dissolving a grain of salt it becomes mere water; the grain of salt disappears in the attenuation

with plenty of water and will never by that become ‘salt medicine’ like our well prepared

dynamisations raised to astonishingly high strength”.

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And as early as in 1886 the Geneva physician Grenier wrote: “Production of a curative

remedy from a substance is not reducing its powers but to develop the latent powers in it,

potentising it, that is, to strip it of its material condition”.

As I have already said, the potency choice is a question of practical experience. Indeed all

homoeopaths have once begun with low potencies and have only tarried and without much

conviction gone from the mother tincture up to C12. Other went up to C30 which for long

remained as the limit for Hahnemann for long time and which he did not pass over.

What then is contained in a C 30 which by the method of using of individual glass vials

in which drops of the remedy in question Are put and 99 drops of 90 percent alcohol is added

and 10 strokes given repeatedly has acquired? And what are the high and highest potencies, the

So-called Korsakoff potencies? The later are prepared up to thousandth potency by the one glass

method from the manually prepared C 30, with 10 strokes by machine for every potency. Beyond

the thousandth potency the fluxion method is used.

Everything regarding preparation of a homoeopathic medicine can be found in detail in

the Organon. I recommend to you paragraph 123 as also paragraphs 264 to 272. With remarkable

precision and conscientiousness Hahnemann has described there how the homoeopathic

medicines must be prepared. Please study that thoroughly and attentively again.

Contrary to the general opinion Kent and his pupils were not in any way exclusive high

potentists but they required all potencies from the mother tincture to the highest potencies. But

their extensive experience and particularly their results made them give superior values to the

high potencies because of their innumerable advantages.

Please bear in mind that the basis of the homoeopathic prescription is not the dose but it

is the similie principle. This principle is of such a wonderful value that in fact there is no

limitation to the diminution of the concentration of the homoeopathic remedy if the actual

symptoms of the patient harmonizes with the symptoms produced in. the provings to the healthy.

Indeed the low potentists repeat the same objections as the allopaths do against the

homoeopaths: how is it supposed to work when in the everyday diet and drinking water so much

substances in weak doses are consumed?

I answer: It is not a question of academic dispute but it is a matter of practical experience.

What should one say about a case a follow? A splendid german shepherd-dog has been under the

medical treatment of an eminent french veterinary physician for more than two months. The

entire range of the most modern anti-infections arsenals, Sulfonmide, the most effective

antibiotics, for a Sepsis with suppurative Metritis and Peritonitis have been used. On pressing the

Gesauge of the poor animal pus aquirted out up to a litre in a day and that since weeks. This

rotten pus stank disgustingly like rotten cheese. The dog was well looked after, cleaned every

two hours and lied only in its owner's room. The mouth was completely dry, the weak animal

could not move at all, refused food and was lying in a miserable state in the bed room. After 30

days of intensive treatment the veterinarian advised to give it an injection to put the animal to

end since he had used the maximal doses of sulfonamides etc., and felt that all that could be done

had been done but failed and it was cruel to allow the animal to suffer further.

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The owner of this dog who was my patient visited me one day for her monthly

consultation and was in tears that she had to put an end to the life of the dog by agreeing to the

injection.

I asked her: “but then why don't you allow it to be treated homoeopathically?' “But

doctor, this is not the time for you to be witty. It is alright for me, since I have faith in it. But

what would you do with your tiny pills to an animal which as the veterinarian says, is suffering

from a Septicopyaemia”?

“Now madam, give the dog the medicine I will give you now and we will see later”. I

gave first Staphylococcinum 10M thrice a day. After two days Pyrogenium 10M. Two days

later, because of the pus which was stinking like rotten cheese, Hepar 10M. Lastly after two

more days because of the abundance of pus I gave Medorrhinum 10M. Now, from the very first

dose the quantity of pus came down by 80%, the stink began to fade away slowly and after 8 day

the dog was cured; it ran about, ate and slept just as when it was healthy.

In this course all the potencies were prescribed in the ten thousandth! One can make fun

of ten thousandth potencies and laugh. But how could a fatally ill condition like a serious

Septicemia be got over and become normal and health restored? The materialistic homoeopaths

will be easily confused in this. Behind this is nothing other than the grand law of similars

discovered by Hahnemann. In paragraph 160 he says:

“As the homoeopathic medicine can never be made so small as to not be able to

overcome its analogus, non-longstanding, yet unspoiled natural disease, could even thoroughly

eradicate and cure, it can understood as to why a dose which is not very smallest possible

suitable homoeopathic medicine aroused always during the first hours after taking it, a

perceptible homoeopathic aggravation".

And in paragraph 249a:

"Since according to all experiences, almost no dose of a highly potentised specifically

suitable homoeopathic medicine can be prepared which would be so small as not to bring about

clear improvement in the disease for which it is suitable, so will it be injudicious and harmful to

treat, if one were to repeat of increase the dose in the mistaken belief its small aggravation or

non-improvement, was because of its negligible quantity (it’s far too small dose) and it cannot

therefore be of use".

And In paragraph 279:

"These pure experiences point that … the dose of the homoeopathically chosen highly

potentised curative medicine for commencing treatment of a serious disease (particularly

chronic) can never as a rule be prepared so small as not be stronger than the natural disease, that

it cannot, at least overcome a portion, eradicate at least a part of the sensations of the vital

principle and thus cause commencement of the cure.”

Ladies and Gentlemen, read these again and again and meditate on these observations of

Hahnemann, which have been so strikingly corroborated here.

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It is six months since that the dog became cured of a sepsis, a sepi which materialistic

allopathy with its "heroic" medicines could not treat, but on the contrary the condition became

worsen day by day and the veterinarian had given up all hopes.

How could it be argued against the allopathy, the veterinarian and the low potentists.

I doubt much whether the C/3 or C/6 would have succeeded in a situation as this. Such a

healing reveals four unquestionable facts:

1. Homoeopathy brings about cures when allopathy despite its modern toxic arsenals is

powerless.

2. Homoeopathy, on the basis of the law of similars discovered by Hahnemann is able to

make microbes and viruses, harmless.

3. The homoeopathic medicine in infinitesimal doses works qualitatively and not through

its quantity.

4. Also that in an extremely serious, evidently fatal disease. the cure can be effected

totally-cito, tuto et jucuande' as Hahnemann has impressed in the note to the first paragraph of

his Organon.

I had a similar case of septicaemia from perforation of appendix and generalised

peritonitis in a 10 year old child who had become parched and was lying in the Geneva Medical

College hospital awaiting his end after surgery. Neither the child nor the parents nor the

Professor knew who had cured him. Only a single, really a single dose of Arnica 10M and then

Pyrogenium 10M; I repeat 10M.

To exclude every influence of direct or indirect suggestion, I have purposely chosen the

Case of an animal, so that the skeptics are convinced.

I will point out to you that high potencies are of invaluable worth, that these small doses

do not ever lose their therapeutic powers if they are protected from odors and had been prepared

with due care. I own high potencies from Hahnemann's time, Jenichan's for example. I have

further such from the previous century as from Fincke, Swan, Allen, Kent which are still

effective and dependable.

Innumerable physicians like Nash, Kent, Carleton Erastuse Case, Gladwin, Sherwood,

Cunningham, Fincke, Majumdar, Gibson Miller, Mrs. Tyler, Sir Johnweir and others have

published cure by high potencies.

Hahnemann, the founder of homoeopathic principles has begun naturally from the mother

tinctures, substantial medicines, materially and chemically analysable. Later he began to make

the concentrations lesser by attenuation or trituration and observed that despite progressive

division these substances remained more effective.

During his long life, ultimately he was 88 years old – Hahnemann was, in the opinion of

his speech, an exception, a revolutionary and in opposition to all practice and traditions. He went

up to C/30 wherein he used 30 separate 10 gram glass vials with 100 drops of alcohol in each. In

the first vial he put one drop of the plant tincture or 5 grains of a chemical substance or the 3rd

centesimal potency of an insoluble substance which with every passage was further attenuated in

ratio of 1 to 100.

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At the 1ast stages of his life differences of opinion arose amongst his pupils. Some

thought that under no circumstances should one go above the C/30. Others among them his best

pupil Hering and Gross and others experimented with potencies up to 1000, 1500, 2000 and

higher, saw with happy astonishment further successes. To avoid misunderstandings and

hostilities from his pupils Hahnemann remained in the range of C/30 although he had appreciated

the efficacy of such high potencies.

Nevertheless, as researcher and experimenter he had recognized two interesting facts:

1. Some medicines possess, in specific potencies, an optimum efficiency in each case,

whereof in pure Materia Medica Hahnemann indicated the third, sixth, twelfth and 30th as the

most efficacious.

2. At the same time he observed that in general, the second, fourth and seventh potencies.

so to say, have a "shallow", decreased, reduced, curtailed efficacy – in short: a not excessively

strong action is displayed, and that positive intervals between the individual potencies must be

given. For this reason his family medicine chest contained only the following potencies : 1 - 3 - 6

- 9 - 12 - 24 and 30.

After Hahnemann's death different researcher have made further experiments and have

gone to fantastic heights. Thus I posses a thirteen millionth potency of Psorinum of Kent.

There was a time when Fincke, Allen, Swan and others were successful by employing

highest potencies.

At a particular time there were high potentists, as they were called, who after the choice

of the medicine according to symptom picture gave it in the highest available potency

immediately at the beginning of the treatment.

Dr.A.Nebel practiced for quite long here who prescribed, for example, a CM or DM right at the

first go, frequently with the best results, since the medicine chosen had been accurately specific.

Kent, a systematically experimenting mind endeavored to find by innumerable

experiments a rule or at least a scale method. After many trials over many years he set his scale

which I call the Kent scale. As Kent's pupils have since then corroborated. adherence to the

following spacing gave the best results: 30, 200 1M, 10M, 50M, CM, DM, MM.

Kent held, on the basis of his experience, the C/30 as an excellent preparation to begin

the treatment of case since it brought no, or hardly any, initial aggravation and with the 200th

potency he considered them as low potencies with which, as already stated, treatment can he best

commenced. He kept them particularly for the acute cases or chronic cases with objective and

progressive organ changes. Otherwise he recommended in chronic cases the 1000 potency from

which with appropriate time intervals which he could define after many years of experience, to

go up to higher potencies.

After many years Kent could define the average duration of action of his high potencies.

We have to respect these before repeating the dose. These are:

For 200:

3 to 4 weeks

at least 4 weeks

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10M:

5 weeks

50M:

50 days

100M:

3Months

500M:

6 Months

1000M:

1 year

Naturally these figures are to be considered as approximation, but all pupils of Kent have

found these to be of superiorly practical value. Not in every case will it be suitable to repeat

doses before expiry of this interval but only in combination with the other golden rule, that no

repetition before progressive amelioration ends.

The question of repetition of the dose, pharmacopollaxy as I would call it, was again

modified by Hahnemann at the end of his life in that he recommended continuous repetition of

the dose daily despite favourable reaction. This method also I and many others have practised for

long time-in the hope that it will render better and particularly speedier cures in chronic diseases.

But soon because of the difficulties encountered by the patients regarding the taking too much or

insufficiently, they attenuate it poorly and at will, repeat in irregular intervals, etc. – this method

which is remarkable is possible only in exceptional special cases which as I can vouch for, in

natural practice is rarely seen. This reservation is so much more valid as through the Kent

method also thoroughly remarkable successes can be obtained. Had Hahnemann known Kent

who represented Hahnemann's continuance, he would have, without doubt, agreed with Kent's

view, because it conforms absolutely to the essential principle of his teaching, “watch and wait",

the careful observer's.

Today the knowledge that low potencies work better in acute, high in chronic cases, is

more or less accepted by most of the homoeopaths. It all depends upon what one understands by

low and high potencies.

The advantages of low potencies, including the C30 and 200 according to Kent is that it

can be repeated without risk of severe aggravation. Why? Because a whooping cough, a

diarrhoea with frequent evacuation, tooth-aches, acute pains in general, the acute states so to say

exhaust, consumes, weakens the remedy so that in all cases where there is no reaction or where

recurrence occur such repetition is justified; for example is repeated vomiting repetition of the

remedy once every two hours. It should be given after every vomiting. It can then be seen that

the attacks become rarer until it passes off completely.

In chronic cases, the intervals suggested by Kent, which has been verified, is to be

followed.

The relapse of earlier symptoms, amelioration coming to stand-still, status quo or the

disease progressing further, are all indications for repetition of the dose.

Indeed it can be said that a master homoeopath is capable of results which the beginner is

not able to. For example in some acute cases in which symptoms are painfully aggravated, like

Sciatica, Otitis, Gastroenteritis, acute joint rheumatism, a 10M produces a result which impresses

by its rapid cure. It is like what Willam Tell who with a single arrow directly pierced the apple

on the need of his son. I recommend to you to first try C/30 and later go to the C/200. Now and

again you can venture with 10M if the indications for the medicine was clear and precise.

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In coryza and minor colds Aconitum napellus 200 has at least 90% success. In certain

chronic obstipations immediate and sustained success from a single dose of Nux vomica 10/M or

Bryonia 10/M is perceived.

I have cured the owner of a big restaurant who had been suffering for 14 years with a

chronic obstipation and who had been thoroughly stuffed with innumerable laxatives. There

was nothing more which he had not tried. He had, however, further symptoms of Nux vomica, in

his character, in his desires and aversions. A single dose of Nux vomica 10/M has definitely

cured him. Since then he has daily stool, “soft and gentle" as Moliere says, and he can have

stools regularly with satisfaction.

A lady complained of headaches which localised in the occipital protuberance

accompanied by obstipation and eye pains which compelled her every 3-4 months to lie in a

dark room since she could bear least light, and could not at all bear the sun. Every jolt, ever

walking aggravated. She also couldn't bend forward without the pain radiating to the neck. A

single dose of Bryonia alba 10/M at the close of an episode has put an end once for all her

migrains which had been troubling her since 5 years for which she had taken a good quantity of

various medicaments.

These Cases are not rare which you do not experience almost every day. When it

happens: what happiness to the patients in the first place and also to the physician when he sees

such conspicuous undeniable efficacy of the small doses which prove the value of the similie

rule, the true basis of homoeopathy.

Those who merely disparage .and shake their heads have no idea about it and cannot gain

the experience and observation. Of course. naturally the indications for the remedy prescribed

must be exactly specific and symptomatology as defined by Hahnemann, Kent, and their pupils,

and not based otherwise on someone or the other. Because if the foundation is not based upon

these propositions only failures will occur. If therefore homoeopathy and high potencies are

condemned it is not these but the prescriber himself who is at fault. Why is it that while others

obtain successes it should be otherwise with him?

Study the materia medica thoroughly and diligently study the Organon again and again

and the philosophy of Kent. One of these days you will be compensated richly for that. Because

homoeopathy makes great demand of course out it compensates with high rewards. It is certain:

Homoeopathy, practiced by earnest. Persevering physicians with measure in their work, procures

full satisfaction of material, intellectual and spiritual respects.

[From the KLASSISCHE HOMOOPATHIE., Band 29/1 985; translated by Dr.K.S.Srinivasan

Madras, For PRIVATE CIRCULATION ONLY]

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1.2 KNOWLEDGE OF REAL HUMAN NATURE – THE FOUNDATION

OF HOMOEOPATHY - By T.P.Paschero

Based on a thorough understanding of human nature homoeopathy is a clinical science

essentially different from the purely physiological, organ-related or mechanically welded

medicine. Many homoeopaths who have not accepted the dynamic concept of a disease processes

have not been able to appreciate this. The physician must understand that he must treat the

patient in his complete unity of his body, soul and mind and not the organic or local disease; that

his real duty and basic obligation is to cure those which are as 'subject' in every sick patient and

not those which are as ‘object', - taking into consideration his diathesis, his miasmas or those

which, strictly speaking, signify these ideas, namely the inner dynamic disposition which brings

about the pathology and psychopathologic destiny of the patient. Only then has he truly

understood what homoeopathy is and what his duty with regard to the science and art in

medicine is.

The duty of the physician is to cure. To know Hahnemann properly, what is curable in

every patient, it is necessary to have a clear idea of the nature and meaning of disease.

The clinical experience reveals: a patient is not cured who has no will to be cured, the

desire to be cured, to find out his self, to be in harmony with himself; who does not require

further development of his capabilities, his energy potentials, intelligence and sentimentality

or capacity to love - in conformity with the requirements for the unfolding of his state of

consciousness. This Will to-be impresses the body and soul in a unique sense, in a unique

direction; towards self-realization in accord with the All, with the Universal Spirit.

Health is the unconfined expression of the vital energy through the body in a harmonious

interaction with the natural and human environment which process represents the

psychobiological adaptation, ultimately the inspired opening of own nature which experienced

wrongly as isolated and autonomous oneness, in the true richness of life.

Disease is every kind of alteration, blockage or hindrance of the free and harmonious flow of life

energy which strikes the body and the mind. This damages its unconfined relationship with the

external world, with the external life which arises from the very same impulse as the inner life.

This infantile autism which the human soul holds captive from development of the inner

capability hinders the development of full and true freedom from the directions .from the

concealed subconscious urges, and a aggressions and guilty conscience. These lie as negative

powers in the individual and as a result allows the disease as expressions of these suppressions

and blockings hindering free-play and field of action of the vital energy.

If we have anxiety of life, if we live in a state of alarm, in a state of perpetual tension,

embitterment over the past, envy, hatred, frustration, defensive or competitive states With sense

of guilt, phobias, fixed ideas, fears, anxiety, restlessness and in a state of perpetual internal

protective wall- then arises from itself blocking in the vital energy through the body and then

disease. The individual does not then live harmoniously with the external world conforming to

the law of cure and growth (from within outwards), but is locked up in self. The diagnosis of the

sick person as a totality in his innermost person - the intrinsic duty of the homoeopath - demands

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of him to give the highest order of precedence of decisive clinical value to the mental symptoms:

the mental symptoms in the sense of internal resistance, concealed in the Unconscious like

suppressed feelings and moral Commandments which hinders the free deployment of the vital

energy for realising the true fulfillment of life.

The answers to the questions with regard to the physical and mental disease must result in

the restoration of free flow of life in our mental, emotional and physical levels, opening out to

the Universal or Absolute Spirit.

Man must be conscious of this "unity of the Vital Energy" which pervades in him as well

as in the universe. Thereby he dwells in his own reality, the identity of his true self as man and

therefore as expression of the Supreme Being, the Absolute of the universe. It leads to a creative

and fulfilled life in this genuine “condition humans". This understanding of the nature of self

which man achieves indicates the comprehension of the true fulfillment of the life or the

Absolute which lives in his centre and makes up the innermost self of his existence. This

comprehension is realized, however, only in his profound solidarity with other men and the

whole world and only there is found the expression appropriate to him.

The mental symptoms of purely emotional kind – and not the intellectual - are the unique

which disclose the core of the internal disturbance. The man unfolds his personal maturing

process, that is, his conduct or the mental attitude, the emotional factors of his total life, the

historic mould of his child-like conflicts , his life within his family and the social surroundings,

his disappointments in love-life and consequently in his self-estimation – in one word, all the

emotions which are indispensible clinical symptoms for the fundamental comprehension of the

disease which the physician must treat.

The Psora or the main miasm with the internal restlessness, the constriction, the anxieties

and phobias are the essential negative factors, those which hinder the free flow of the vital

energy – and therefore exposes the pot potential of energy, intelligence and sentimentality, it

constricts the growth of the level of consciousness and there with the identity of his true self. As

defense of the psoric anxiety are the syphilitic and sycotic life or way of life which the

homoeopath with much skill must uncover, by the biopathographic anamnesis. For that he must

always keep in view these aspects of level of consciousness with which the patient executes the

processes of growth and maturity and self-realization.

If the patient under treatment does not change his life situation, if he does not develop or

does not bloom and develop as a fully responsible person, then he is not on the path to cure. This

is only when he lays aside his child-like behaviour patterns which make him egoistic, dependant,

passive and needing protection. Also if he shows an aggressive craving for power, for

dominance over all others and that in a militant attitude for defence and aggression, or if he does

not overcome his anxieties, phobias, hatred and guilty feelings, he is not on the road to cure. He

who does not conquer his conditioned approaches which hold him captive in his autism and who

does not open up in some grade the richness of his life, such a man is not on the road to cure

even if the symptoms for which he seeks the help of the physician were to disappear. That is

only a suppression of the symptoms and not cure of the patient. On the other hand the fact is that

if his life attitude opens and his level of consciousness is raised and his intelligence and

sentimentality potentials in the sense of' expansion to the centre and charity for fellow-beings is

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realised and in the sense of creative attitude and service to the fellow-beings and the joy of others

is experienced as if his own; when he indicates in larger or smaller measure that he has been

freed from blocking of his negative mental symptoms so as to live his true life with a positive

attitude and outlet to the external world: ten, only then, is he on the road to cure even if the

physical symptoms were not removed, yes even if the preceding symptoms were to recur.

Because in this opening out to the fellow-men is fulfilled the “law of cure”, whereby he again

experiences the only possible health, in that it unites his vital energy with the true richness of life

and identifies himself in it and with it.

The homoeopath leads the patient to the realization of this richness of life. With the use

of Simillimum he heightens the Will to cure which activates the sprit-like energy in the deep

interior, energy which is inherent in all humans, so unrefined or intellectual, to their capabilities.

Only so can he trigger the cure which as stated above endures in stable equilibrium. It is

sufficient to pursue from now without break the maturing of the process of developing, a

conscious and responsible life.

The homoeopathic medicament performs its work in those vital planes which depicts the

real and exact relationship between the different strata of the total. Being and makes up the core

or the focal point of the Will for cure. Psora that fundamental disease becomes the godfather of

the evolution of man. Its nature of working is bringing out the anxiety of the life from mind to

the organs, from centre to periphery from above downward or let the suppressed symptoms to

come out. The homoeopathic medicament effects that the Psora fulfills the highest purpose of

true and the singularly genuine cure: the development from out of the autism and egoism of man

for integration with fellow-creatures from out of the encapsulated individualism to the

blossoming into fulfillment of life, with a true fellow-feeling where man will find his just and

true identity as human, namely in his mental deployment.

[From the ZEITSCHRIFT FUR KLASSISCHE HOMOOPATHIE, band, Mar/Apr.19: For

PRIVATE CIRCULATION ONLY]

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1.3

PERSONALITY AND INDIVIDUALITY-

P.S.Ortega

Time and again we take recourse to the knowledge and fundamentals of other disciplines

in order to integrate them with our science. We do this not just because we want to widen their

horizons but more because of their great scope.

We wish to define the personality, somewhat rashly perhaps for our purpose, as a type of

disguise with which the substantial human nature covers itself in order to meet appropriately and

adequately the diverse pressures of its environment in which the self-image develops in different

stages of life. In this we are inspired by Carl Jung who defines the Person as a mask with which

man represents his kind.

As against this, Individuality personifies the profound Ego, the tomistic spirit, the

substantial or innermost core of Being, simply Being. In other words we can also say that

Individuality is the unadulterated unpretentiousness of the THING ON ITS OWN Which

constitutes man.

We now wish to avoid any further metaphysical dialectics and point out to ourselves the

one indisputable fact that we can all experience with our patients. When we examine a case

patiently and carefully we can, in most cases, recognise in the same subject, two often very

conflicting tendencies: the one that corresponds to what he actually is and the other that

corresponds to what he wants to be, the Person and the mask with which the subject has

disguised himself for his self-image in the world. It is a series of elements he learnt to use one

after another in order to present himself to his fellowmen - somewhat similar to an actor who

either himself chooses a role or was assigned, perhaps even against his will, a role in a comedy

or other play.

The perfunctory physician will be content to recognise or to try to recognise the so

masked patient as he generally presents himself before the physician. It will perhaps then be

enough for the physician to assess the damages wrought by this mask or costume which impede

or even totally wreck the self-image of the patient at various stages of his life.

The bolder physician will even be able to observe the possible conformity of this mask

with the patient who wears it, or what is more common, to find the disagreement between the

mark or disguise with the deep desires and urges of the innermost ego that characterises the man

as a Being. He can perceive the innermost of the person sitting before him, which in most cases

does not agree with the symptoms which are an expression of his disturbed self-realisation; in

other words: the mask or disguise is not in tune with the real manner of expression of the

innermost of the patient we have before us, the mask being subjected by the limitations which

impose on him the characteristics of his role or display of his self-representation and which he

has himself either somewhat erroneously chosen or had been thrust upon him by the

circumstances which from his birth until now have surrounded him. In other words: either the

environment is unsuitable for him or – the opposite - he is unable - in the current stage of his life

to react adequately to his environment, from which finally also springs up the illness, which

represents the motive of his actual complaints.

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The physician has now the possibility of assessing the damages caused by the mask or

Personality that has caused the illness, of which the patient has now become conscious. But he

can or must recognise the innermost illness of the Ego or the mild, severe or even complete

incongruence of his Personality with his Individuality. We explain this to our students with the

following example: It is as though we dress up a fat old man as Romeo or we place the cloak of

Francis of Assisi on an ungodly and lecherous drunkard. In every respect that would be

inappropriate. But it would be even more inappropriate if the actors were to refuse to play those

roles which seem just cut out for them - that is, in our case, for example, if the fat old man were

to refuse to play the role of Sancho Panza or the lecherous drunkard that of Pear Griem.

The acute illnesses represent only the disharmony of the Personality or the fictitious self-

image of the person, who feels that his disguise has been broken - a disguise that he had built up

with effort, not only to present himself to his environment in a very appropriate or less adequate

manner, but also to protect himself against all the environmental factors that surround him. For

the same reason the mask serves in need - or when he thinks it is needed - to attack.

For these reasons he feels himself also helpless and his first wish, his first request to the

physician is to set right for him his mask … At the same time there appears from behind his

profound Ego, his true being his existential Being, in order to show the lasting, or perhaps only

temporary, incongruence with his mask.

With wise foresight therefore the founder of Homoeopathy demands a search for the

Miasms or for what originally required of every man the putting on of a mask or Personality,

which deviates from his innermost aspiration.

We admit that so far man has been presented only as a spiritual or dynamic entity. He can

of course be handled and touched and he is subject to physical and chemical changes. These fall

entirely in the realm of Soma as he visibly shows himself. Hence we should slightly change, in

this sense, the ideas in our statements and say that from life itself, which is quite clearly

recognisable but not understandable by the materialistically oriented scientific beliefs the organic

or the Soma originates with its constitutional pathology or “creative defects" imprinted by the

three miasms of Hahnemann - Psora, Sycosis and Syphilis.

Miasm ought not to be understood from this as a dynamism external to the individual but

really as an implicit deformation of the first form of expression of man's Being generally. As

materialists we would say: the genes already carry the defect in themselves. If we return to

dialectios, we can say that, if already the nature of man himself or the innermost core of our

being because of its purity and simplicity does not itself allow a deformation, the existential

Being on the other hand points to the conformity of the former to the biosphere of Teilhard de

Chardin but the "inadequacy” of the environment must necessarily have a part in it. Somewhat

like an architect who, even if he is so brilliant, has at his disposal only material of inferior quality

for the realisation of his design.

Finally we wish to say to all those who have followed our thoughts so far that the acute

illness has to be understood as the readjustment of man to his role which was assigned to him in

the comedy of our existence or to which he was forced by the environmental factors of his social

surrounding.

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The healing of chronic or miasmatic illness, on the other hand, means for the individual

the unique possibility to be able to express himself genuinely and in harmony with his innermost

aspiration which is a basic condition for his full self-realisation, that is, to be what he has to be.

CONCLUSIONS:

1. The homoeopathic physician, because of his knowledge and the elements of his

method, is able to recognise, understand and deal with the Personality of man; over and above it,

however, he ought to try to recognise the Individual behind this mask.

2; If a lasting healing of the individual is yet possible, it is achieved by getting rid of his

miasmatic condition, as far as it is possible, in order to lead in this way to his full and genuine

self-realisation.

3. Only through the recognition of the constitutional and miasmatic pathology can the

good physician achieve a true and lasting cure which not only serves the individual suffering

patient but the entire humanity and in harmony with the Whole.

(Translated from "Zeitchrift fur KLASSISLHE HOMOOPATHE and Arzneipotenzierung, Band

30, Heft 2/86, for private circulation only).

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1.4

MODIFICATION OF THE ‘CHRONIC CONDITION’ BY AN ‘ACUTE’

PRESCRIPTION

- JACQUES IMBERECHTS, MD, MFHOM, SRBH

Introduction: I would like to refer the audience to previous communications that I have given in

other assemblies of the homoeopathic community, especially to the considerations presented to

the Homoeopathic Europea First Congress in Lyon France in May 1987. There, I broadly

reviewed all the strategies that are now in use and fashionable in the homoeopathic market place.

Firstly I would like to draw the attention of colleagues to the multiplicity of the

possibilities of the homoeopathic therapeutic system in order to keep in our mind that the

unique quality of this therapeutic system is its flexibility, its capacity to tailor for each patient a

therapeutic procedure that fits his individual and personal needs and his unique reactivity.

On the other hand, I would like to stress the ideal homoeopathic prescription, the one that

restores the patient's full self-defence capacity. This means that we would try to prescribe on a

set of symptoms corresponding to the minimal syndrome of maximal value in order to give a

remedy so basic to this patient's constitution and functioning that the patient will never be sick

again, except under extraordinary circumstances.

We know quite well that we seldom reach that ideal, but that is no reason not to aim for

it. Because when you reach it, it is marvel1ously rewarding.

Palliating acute illness: The purpose of this paper is to show a case where several attempts were

made to get to the root of the patient's problem, while in emergencies, we were humbly just

palliating the acute illness.

It shows that our efforts did not succeed until, after an apparently poorly indicated

remedy, an acute condition occurred that brought us a limited symptom picture which suggested

an unexpected remedy that eventually solved the case.

Enough time has now elapsed for the prescriber to assess that the basic vulnerability has

been reached and that the 'chronic disease' has been cured,

The case: (This gentleman, in charge of an important job in a financial company, leads quite a

sedentary life. He has recently been promoted in the company and says that it did not modify his

personal life. He is 48 years old, small, with a pale complexion and early baldness.

Family history: Mother had gallstones and died from leukaemia. Father died from acute

pulmonary oedema due to cardiac failure.

Personal history: No surgery and 'never been sick’

Childhood diseases were trivial and the usual childhood vaccinations did not provoke any

noticeable reaction. At 12 years he had scarlatina followed by bronchial complications.

One year before our first consultation, he developed an eczema of the lower limbs that he cured

by himself by altering his diet.

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He also presented recently rheumatic pain in the lumbar spine that he cured by wearing

woolly underwear.

FIRST CONSULTATION: The previous year had been a turmoil.

His wife has had surgery. He found his father dead on the toilet one year ago. That event

turned him upside down. A kind of prostration followed and he took Ignatia 200 that helped him

greatly. But he feels very nervous since.

One day, in the city, he could not figure out where he was, and this lasted some time.

In the company, there was a higher position vacant. This job could have been the logical

end and success of his Career. This also made him more nervous. But the job went to somebody

else giving him a sense of mortification.

A few months earlier, driving in a snow storm, he had a fit of panic, started to cry and

had to stop the car and let his wife drive. ‘He had the feeling that the mountains were going to

fall on him.' And he felt flaccidity in the legs as if they were paralyzed and made him unable to

drive.

It all started two months earlier, when the patient accepted another higher and very

difficult senior position in his company, but not the one he felt he deserved or expected. This

episodes of panic recurred after he accepted new responsibility in the company. Since then, he

feels nervous and unable to react correctly.

He has a tendency to keep everything inside and to feel lost in front of an obstacle, with

fits of panic and the feeling that he does not understand what he says any more.

His wife reports that he is more aggressive at home. He seems alright during the week-

ends, apart from a little disappointment when the children and grandchildren do not come to visit

him.

Three months ago, a medical check-up was performed with a normal report on his cardio-

vascular condition, a blood test showing a slightly elevated cholesterol level, and increased

bodyweight.

Previous treatments: The patient says that be never took any kind of medicine beside what he

calls 'minor homoeopathic remedies' for trivial ailments such as the common cold and digestive

upsets. Actually, he occasionally medicates himself with Nux vomica for digestive

indispositions and Gelsemium when he gets stage fright. This gives him some temporary

amelioration.

TABLE 1. First consultation. All the symptoms

S1 15 MIND - AILMENTS FROM; - disappointment (7)

S1 16 MIND - AILMENTS FROM; excitement, emotional

S1 17 MIND - AILIMENTS FROM; - fright

S1 18 MIND - AILIMENTS FROM; - honor, wounded

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S1 18 MIND - AILIMENTS FROM; - indignation

S1 19 MIND - AILMENTS FROM; - mortification

S1 66 MIND - ANXIETY - conscience, as if guilty of a crime

S1 75 MIND - ANXIETY - future, about

S1 92 MIND - ANXIETY - time is set, if a

S1 151 MIND - CONFIDENCE, want of self

S1 153 MIND – COFUSION of mind

S1 171 MIND - CONSCIENTIOUS about trifles

S1 367 MIND - DELUSIONS, imaginations, hallucinations, illusions –

walls – falling (7)

S1 415 MIND - DULINESS, sluggishness, difficulty of thinking and

comprehending, torpor- mortification, after

S1 486 MIND - FEAR, apprehension, dread - fall upon him, high walls and

building

S1 552 MIND - GRIEF - silent, undemonstrative

S1 553 MIND - GRIEF - silent, undemonstrative - indignation, with (2)

S1 604 MIND - INDIGNATION

S1 723 MIND - MISTAKES; - localities, in

S1 767 MIND - OCCUPATION, diversion a.m.

S1 783 MIND - QUARRELSOME

S1 801 MIND - RECOGNIZE anyone, does not (2) - streets, does not

recognize well known

S1 808 MIND - REPROACHES – himself

S1 809 MIND - RESERVED

S1 862 MIND - SADNESS, despondency, dejection, mental depression

gloom, melanchloy - quiet

S1 973 MIND - THINKING - complaints, - of egg.

S1 1037 MIND - WEEPING, tearful mood

S1 1052 MIND - WEEPING, tearful mood - mortification, after

S2 214 GENERAL - FOOD and DRINKS - cabbage - agg.

S2 246 GENERAL - FOOD and DRINKS - onions - agg.

S2 261 GENERAL - FOOD and DRINKS - sweets - de

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S2 700 GENERAL - WEATHER - mind - ailments

S2 702 GENERAL - WEATHER - windy and stormy weather - ailments

K 499 STOMACH - HEARTBURN

K 517 STOMACH- PAIN - burning - extending - throat

K 621 RECTUM - INACTIVITY of rectum

SYSTEMATIC REVISION

Digestive System: The appetite is good with a marked desire for sweets. No aversions. He gets

trouble when eating onions and cabbage. Bowel motion is poor. He does not feel the need to go

to the toilet. Thirst is normal.

Since many years, sporadic heartburn when nervous. He takes coffee four times a day. He

does not smoke but drinks one beer a day and one liter of wine at the week-end.

Sleep: Sleep is good and quiet, on the right side. He does not dream but snores when lying on his

back. However if some problem is in his mind the day before, he wakes up at 3 a.m. brooding on

it. If there is an important event the next day his sleep is disturbed by the longing for a good

sleep in order to be fit £or the event.

Generals and mentals: Air and seashore do not modify, but wind makes him nervous.

Feels insecure because he is a beginner in his new job and lacks experience and skill on

the new matters he has to handle. Feels guilty about it and reproaches himself for not being able

to cope with the new responsibilities.

He cannot stand being given orders.

. He considers himself an organized and methodical person without being fastidious.

He is better when manually active.

Feels like weeping when thinking about the episodes of panic. He tries to keep his grief

silent in order to keep control and act efficiently.

Appointments are very important in his behaviour. They make him very preoccupied

days in advance.

He is afraid to meet circumstances that would repeat the panicky disposition.

The whole situation is mortifying.

TOTALITY OF SYMPTOMS

We could try to consider the totality of the symptoms and see different drug pictures in this

patient.

One could be Nux vomica.

This remedy is covering 25 of the 36 symptoms that we may consider in this case (Table 1)

But actually several remedies are very close, as we can see in the following list: (Table 2)

TABLE 2

Remedies

Symptoms Grade

NUX VOMICA 25 46

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PULSATILLA 23 48

LYCOPODIUM 21 45

NAT-MUR 21 43

ARS-ALB 20 34

LACHESIS 20 33

IGNATIA 19 39

STAPIYSAGRIA 18 44

SEPIA 18 31

CALCERA 18 30

Only:

the dullness of the mind after mortification

the silent grief

the reproaches to himself

the weeping after mortification

the aggr . from cabbage

the heartburn going up to the throat are not in the repertory for Nux vomica.

But the poly-medication with 'minor remedies', including Nux vomica, for any little

indisposition, along with the consumption of coffee and alcohol could suggest that this

remedy has been proved by the patient.

From the great number of remedies appearing in the repertorization, we could consider

that no clear cut result was to be drawn from that approach.

MORTIFICATION SYNDROME:

Another approach could consider the aetiological factor and the atmosphere of his situation by

analysing the Mortification syndrome (Table3)

TABLE 3. The mortification syndrome

S1 19 MIND - AILMENTS FROM; - mortification

S1 15 MIND - AILMENTS FROM; disappointment

S1 18 MIND - AILMENTS FROM; honor, wounded

S1 415 MIND- DULINESS, sluggishness, difficulty of thinking and

comprehending, torpor - mortification, after

S1 604 MIND - INDIGNATION

S1 18 MIND - AILMENTS F OM – indignation

S1 1052 MIND - WEEPING, tearful mood - mortification, after

This gave Staphysagria as the main remedy with, again Nux vomica as the second choice,

followed by Colocynthis and Ignatia.

The approach that has been chosen was to set on the fright and the emotional aspect of

this history, with some remarkable symptoms of the acute phase:

..The feeling that the mountains were going to fall on him.

..The feeling that he does not know where he is in as well known street.

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That is the reason why Argentum nitricum was given in the 10M (Table 4)

One month later: Worries, depression, apprehensions are all gone since the remedy has been

taken.

One month later: A letter from his wife says that apprehensions came back and that he took

another Argentum nitricum 200.

One month later: He comes for a consultation saying that he is tired by heavy work he did in his

house, but mentally fit since the dose of Argentum nitricum 200 that he took. Sleep is good and

refreshing.

Six months later: He is tense again since a week ago, following provocative interventions by the

trade unions. Also his dog just died with much suffering. Both events made him indignant. He

weeps without reason, at work or during the night. He forgets what he has just done, searches for

the watch he had just taken to the jeweller two days ago. He is so disturbed that he fears a car

accident when driving. The heartburn relapsed.

He was given Staphysagria 10M (Table 3)

One month later: Heartburn was gone. He was better mentally and slept well. But he felt weak,

with difficulty in concentration, and indifference to things he usually liked. He could not tolerate

cold weather, had icy cold feet and chills.

He received Sepia 200.

Three months later: Strikes were menacing the company and he was responsible for negotiations

with the unions.

Feet and hands were icy cold along with flushes of heat of the face, without sweat nor

alteration of the colour of his face.

He always felt as if in a hurry and the heartburn relapsed when he was nervous.

Still very fussy over trifles, he was sleeping badly again when nervous, he felt pain in the

calves, and with painful contractions at the neck as if he had played football.

Without having altered his eating habits, he lost 3 Kg from anxiety.

He was given Ignatia 50M.

He felt fine for four months. Simply taking sac.lac. regularly.

TABLE 4 justification of Argentum nitricum

S1 16 MIND - AILMENTS FROM; - excitement, emotional

S1 17 MIND - AILMENTS FORM; - fright

S1 19 MIND - AILMENTS FROM; - mortification

S1 75 MIND - ANXIETY - future, about

S1 92 MIND - ANXIETY - time is set, if a

S1 151 MIND - CONFIDENCE, want of self

S1 153 MIND - CONFUSION of mind

S1 367 MIND - DELUSIONS, imaginations, hallucinations, illusions -

walls - falling

S1 486 MIND - FEAR, apprehension, dread-fall upon him, high walls

and building

S1 723 MIND - MISTAKES - localities, in

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S1 783 MIND - QUARRELSOME

S1 809 MIND - RESERVED

S1 973 MIND - THINKING, - complaints, - of egg

S1 1037 MIND - WEEPING. tearful mood.

S2 261 GENERAL - FOOD and DRINKS - sweets, desire

K2 499 STOMACH - HEARTBURN

K 6621 RECTUM - INACTIVITY of rectum

Four months later: He reports that he feels great.

He was even off sac.lac. for over a month .

The only remaining symptoms were peripheral:

-Extremities felt icy cold and some numbness appeared when flexing the legs.

-There was some trembling from taking coffee.

-Alcohol (mostly Scotch Whisky) was giving some trouble:

pain and redness of the left ear with trembling in the body.

The trembling from alcohol and the icy cold extremities suggested Lachesis but nothing was

given, since the patient felt well in spite of losing two more kilos (weight was 75 kg now.).

Few weeks later: A colleague of ours, who acts as locum, saw him for a sore throat worse on the

left side, ameliorated by warm drinks.

He gave Lachesis 6, without knowing the consideration above. That one dose kept him

well for six months. And one might have thought that the fundamental remedy had been found.

Six months later: The throat hurt sporadically. The ear was painful after alimentary excesses and

alcohol, with tender liver and migraines that were better after stool. He took Nux vomica for

those ailments.

Sleep was good, Blood pressure usually low, was normal and stable.

Weight was stable also: 75kg.

Hands and feet were cold and numb during sleep.

Everything was dramatically better during the holidays.

Only one thing has happened: The patient reported a tendency to faintness in a warm room when

there was something that made him nervous.

One day, he was eating a simple meal in a warm place and his neighbour was telling

about his misfortunes.

He suddenly felt perspiration the forehead, a sensation of heat in the body; he became very pale

and suddenly fell unconscious for a short while. The physician called in emergency noted

hypotension.

He was again given Lachesis 6.

One year and a half later: Everything was about perfect.

He only took Kali bichromicum and Nux vomica once. He did not take anything else at

all for more than one year.

Eating too much, or exciting events did not affect him anymore.

A short sleep proved good and refreshing.

No numbness occurred.

Blood pressure was stable at 140/ 90

He gained weight (2kg) and was now 77kg..

Once in a while, ear and eye were painful after alcohol.

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He was a little afraid to stay without remedies but felt free now to be able to cope without

it. He received Lachesis 0/6 (LM) not to take now but only if he seriously felt that his self-

defence capacity was really going down.

One month later: Death of his father-in-1aw.

Pain appeared in the whole body, mainly on the left side. He felt pain in the heart region.

He would wake at 5 a.m. with an empty feeling in the head.

He took the dose of Lachesis that he had at home. No effect.

He received several doses of sac.lac. later on. No effect.

It took two weeks for the main ailments to slow down.

Three months later: He told more about the death of his father-in-law; his left chest pain

radiating to the left arm, and his fear of dying in his father-in-laws bed Where he was sleeping.

Serious troubles resumed with the unions and the board of directors did not support him.

He had some anticipatory worries about a higher job that he might apply for.

Brooding again on his cares and worries, he felt the apprehension and panic come back

with sweat on the forehead, hot head, cold extremities. He would wake early at night and his

sleep was unrefreshing.

Lachesis 0/6 dramatically alleviated the ailments, but the amelioration did not last.

Now he felt as if his head would burst when a time was set for an appointment or any

other settlement data.

Then he feels like a child with panic and afraid to do things that he should not do.

He received one dose of Argentum nitricum 0/6.

Some days later: Some amelioration

He slept better but still with unrest as three years ago. His panics became an obsession.

The perspiration of the head was profuse and he was exhausted at the end of the day..

Discussing with his wife comforts him. He took one dose of Calcarea ostrearum.

He felt more calm now.

Two days later: His vision was blurred, the extremities icy cold.

His new Job was a tragedy. He did not know what to do. 'Doctor, it is unbearable: I feel

as if my will is contradictory or as if I have many different wills.'

On this last information; he received; Anacardium orientale 30.

Since then everything has been alright.

The patient has no aggressivity at home any more, nor in any circumstances.

His sleep is regular. Calm, and refreshing.

He is in perfect control of himself, at work as well as in the family.

No recurrence for seven years.

How did this Anacardium orientale come to attention so late, and to give such a good and long

lasting improvement in the end?

Several studies have been done on this case, with different psychologists, in order to gain

better understanding. But none gave us the clue.

The divided will, the two wills, the contradictory wills, were not verbalized unti1 the last

consultation. They only appeared In the acute phase, after several previous interviews and

prescriptions.

Most of the comments agree on bipolarity between two different stages of consciousness.

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On the one hand, an oversensitiveness and aggressivity in the family, his natural milieu

where he is allowed to express it without any danger. And on the other hand society, where he

may not project that behaviour, and gets faintness when silencing his emotions and feelings at

work.

This is a schizoid element that could have suggested Anacardium orientale.

Some knowledge that the patient has about homoeopathic palliation and the self-

medication that he has made with it, may have blurred the symptomatic picture. The patient only

came to the physician when he could not cope any more with his palliative remedies.

Also, the patient was assuming that the investigation of all the system was pointless since

he could face, with his homoeopathic knowledge, what was not pertaining to his neurotic crisis.

One could have thought of a divided structure when the somatization became unilateral

(one ear, one foot, one eye, one side.)

We did investigate the symptoms of Anacardium orientale that were already present in

the very first consultation but did not see how we could prescribe it right away (Table 5).

Another hypothesis, provisionally the last one, is that Calcarrea ostrearum did act as an

unmasker, making his divided will verbalized, allowing the prescription of Anacardium

orientale.

This recalls the teaching that an unverbalized symptom should not be taken into account

until the sequence of the prescriptions makes the patient aware enough to verbalize it.

In conclusion, no strategy is perfect, and we should know all of them and be able to join

our rigorously recorded clinical experiences in order to find out criteria that could save time for

the patients and for us.

TABLE 5. First consultation Anac-orientals already present

S1 16 – 1234 1 1 MIND – AILMENTS FROM; - excitement, emotional

S1 17 – 1234 1 2 MIND - AILMENTS FROM; - fright

S1 19 – 1234 1 3 MIND - AILMENTS FROM; - mortification

S1 66 – 1234 1 4 MIND – ANXIETY – conscience, as if guilty of a crime.

S1 151 – 1234 1 5 MIND - CONFIDENCE, want of self

S1 153 – 1234 1 6 MIND – CONFUSION of mind

S1 783 – 1234 1 7 MIND – QUARRELSOME

S1 808 – 1234 1 8 MIND – REPROACHES himself

S2 700 – 1234 1 9 MIND – GENERAL – WEATHER – wind – ailments

K 499 –1234 1 10 STOMACH – HEARTBURN

K 517 –1234 1 11 STOMACH – PAIN – burning – extending – throat

K 621 –1234 1 12 RECTUM - INACTIVITY of rectum

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[From the BRITISH HOMOEOPATHIC JOURNAL, volume 76, Number 4, October 1987; for

Private Circulation only]

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1.5 FEED-BACK:

"I thought the proving of Scorpion especially valuable. I was moved to duplicate the Glonoin

experiment, using the 30x I have, and experienced a short term surface warmth of the forearms at

an hour, and at an hour twenty a feeling somewhat between "energized" and "clarified” of a quite

moderate degree. So right in line with the proving. Wouldn't it be a great plus for homoeopathy if

more provings would be organized, and especially so if they could adhere to the stringent criteria

laid out by Vithoulkas in THE SCIENCE OF HOMOEOPATHY” -- Mr. Daniel Papish, Eugene,

Oregon, U.S.A.

"In Feed- back (Decbr.1987 Qrly.Digest) Dr.Lakshminarayanan has given very useful tips both

for treatment and prophylaxis of Measles. This, together with the original article in No.2/1987

deserve to be carefully memorised, as measles is a very common children's ailment in India –

Mr. S M. Gunavante, Bombay.

--------------------------------------------------------

NEWS: The Secretary (Administration), ASIAN HOMOEOPATHIC MEDICAL LEAGUE,

New Delhi writes to say that the "first Asian Congress of AHML scheduled to be held at

Kathmandu from 10 to 12 April 1988 has been postponed under the instructions of the Social

Services, National Coordination Council of Nepal.

It has been proposed now to hold the Congress in the month of September 1988. Dates and

details will be conveyed sometime in the next month."

------------------------------------

1.6 BOOK SHELF

SYMPTOMENSAMMLUNGEN HOMOOPATHISCHER ARZNEIMITTEL,

HEFT 14: KALIUM CARBONICUM by Dr. Georg von KELLER,

Karl F. Haug Verlag, Heidelberg, 1987, 523 pages,

DM 78/- (in German)

Materia Medica and Repertory are the two main instruments for every homoeopath. Are

the materia medica texts and the repertories currently in use complete and up-to date? Do they

contain the proving symptoms in the exact words of the prover/s which would enable the

physician to compare and individualize? Moreover, the results of re-provings, clinical symptoms

etc. obtained over the years, after the older texts (now in use) were published have not been

collected and compiled And up-dated materia medica and repertory have not been brought out.

The clinical experience of the past few decades have not been added to the materia medica and

they are lying scattered in various journals. Only an updated materia medica will help compile a

concurrent repertory. This will be possible only with the active cooperation of all homoeopaths

through their case reports.

Towards this end Dr. G.von Keller began over 15 years ago to collect and compile

monograph of individual homoeopathic remedies. So far thirteen monographs: KREOSOTE,

MENYANTHES, LILIUM, CIMICIFUGA, and SABINA. GUAIACUM, STAPHISAGRIA,

COCCULUS, DIOSCOREA, BERBERIS, CONIUM, PSORINUM, IGNATIA have been

published. KALIUM CARBONICUM is the fourteenth and largest so far in the series.

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For each and every symptom the source and original text with symptom number, page

number etc. have been given. This list alone covers 54 pages in very small, close prints. The text

then follows: Mind and disposition; Sleep, sleep position, dreams; Vertigo; Weakness,

Convulsion; Skin, eruption, swellings, facial color, expression etc.; Temperature; Headaches;

Backaches; Pains of extremities; Chest pains; Abdominal pains; Eyes; Ears; Nose; Teeth;

Pharynx; Lips; Tongue; taste; Mouth; Throat; Cough, expectoration, etc.; Respiration; Heart;

Appetite; Nausea; Eructations; Flatulence; Stool: Anus; Urinary organs; Genitalia Sexuality;

Menses, pregnancy -- each part with location; modalities and concomitants ; Generalities,

alphabetical index of unusual sensations, choice of characteristic symptoms, complete the book.

Dr. von Keller has drawn attention to Hering's statement: "alphabetical order is of no

good except as Hahnemann has used it, to arrange in one volume the effects of the medicines …

a register so arranged …. helps little since more often the words, the terms, because of the

ambiguity of language, are not at all the essential issues … related words must be together …”

Attempt has been made in these monographs to bring about such an order. For example

under "lacking drive, listless, despondent” are given the symptoms "does not know what he

should do. Irresolute" and this condition is explained (with source) "Irresoluteness.20. unpleasant

mood; he is capricious and often does not himself know what he wants,32; unpleasant mood; he

demands with impetuousness, not satisfied with anything, becomes besides himself and becomes

furiously angry if everything does not go as he wished and often does not himself know what he

would really like to have.33. Cannot express anything, knows not how he should begin it, to say

something or do what he would like to.3302. Aversion to husband and child but would not like to

be separated from them. 4109".

The numbers at end of the symptom indicate the source.

Every symptom/nomenclature has been analytically studied with reference to the

proving/clinical symptom thus providing cross references and synonyms.

To the best of our knowledge no work of this type has been done so far by any one and

we must be thankful to Dr. von Keller.

The monographs are of great value and must be made available in English for world-wide

homoeopaths.

Dr. K.S. SRINIVASAN, MADRAS.

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2 QHD, Vol.V, No.2, June 1988

Dear Doctor,

The theme is REPERTORY.

We have two excellent articles: (i) understanding the rubrics in the light of cultura1 and

aesthetic background of the patient, (ii) semantic study of the words Vexation, Mortification and

Indignation and the psychiatric implications of these terms in the official nosology. Here too the

cultural approach to Vexation, Mortification and Indignation are explored. Particular attention is

drawn to paragraph 98 of the ORGANON.

There are printing errors in the Repertories. KENT being the most extensively used, it has

been examined and some printing errors brought to light. It is suggested that these errors may be

corrected in the copies used by the profession. It is also suggested that the publishers of KENT

REPERTORY carry out all the corrections so far found out, in the next edition. Mere reprints

without any improvements even after pointing out is actually misleading. I have also found that

some of the errors (Bov./Bar., Ambr./Am-br., Sarr./Sars.) have been corrected in the new

KUNZLI/KENT, but not all the errors pointed in the article in this number of our DIGEST. Same

with the SR too. Corrections is a continuous process and every member of the profession must

contribute.

BOOK-SHELF: Dr.Schmeer’s book reviewed also gives some addition to the Rep.

besides giving an insight into the rubrics relating to different Neurosis. FEED-BACK and NEWS

etc. complete this number.

30 June 1988.

Yours sincerely,

K.S. SRINIVASAN

1253, 66

Street,

Korattur,

Madras 600 080

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2.1

EMOTIONS AND EXPRESSIONS -

FERNANDO RISQUEZ, MD

Abstract

The author presents a semantic study of the words Vexation, Mortification and Indignation and

the psychiatric implications of these terms in the official nosology. The psychological

significance of emotions is analyzed and the current psychosomatic significance of the concept

considered. The clinical difficulties of emotional investigation are touched on, and the historical

differences in the cultural approach to vexation, mortification and indignation between the

nineteenth and twentieth centuries are explored, as are peculiarities of northern and southern

style. Finally the expression of those emotions is considered and the thwarted manner of

Staphisagria patients that accounts for so much in the shaping of the clinical picture.

The most important task of clinical medicine is the interpretation of clinical observations

made on the patient. The expressions of the disease form the conceptual base of diagnostics.

Since Francis Bacon (1561-1626) published his Instauratio Magna: Novum Organon

Scientiarium in England in 1620.

Western thought aspires to an ideal observation with the

following characteristics:

Reference to concrete facts

Measurement

Reproducibility

Two hundred years later, Auguste Comte (1798-1857) created positivism and furthered

the scientific tendency even more, i.e. the belief that the data gained from observation of natural

facts allow conclusions to be drawn leading to laws and theories that rule and explain them.

We now know that science is not made up of facts but recreates them, observers being

part of what is observed.

Clinical homoeopathy bases itself on the :principle of similarity and

consequently on the search for unquectionable and conclusive profiles. On the one hand one

must observe signs and symptoms produced in experiments where the medicine is given to

healthy human subjects; their reactions define a wall identified syndrome. On the other hand one

must observe signs and symptoms (facts) that indicate an identifiable syndrome in the patient so

that the appropriate medicine may be found.

This process leads from correct appreciation of

what the experimenters express to the correct interpretation of what is expressed by the patient.

The way, here, really is that of oral communication. From Bacon to the present time scientific

effort has been applied to the exact use of language, thus giving the illusion of a scientific

language that has its best form of expression in the language of mathematics, where numbers

summarize the quality of measurements in the repetition of facts. In other words; the scientific

formulation of experiments must be objective.

To summarize, the clinician is trained to decipher correctly both the physical signs given

to his sense during direct observation of the patient and the symptoms given by the patient with

reference to his complaint and in his special language. All this is part of the analysis of the

expression of the patient’s sufferings. The key to this training can be found in the study of the

doctor-patient relationship.

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Since the advent of rationalism, with Rene Descartes (1596-1650), the scientific world

and, of course, medical thought tend to separate reality (what is real) from man’s experience of

the world (what is subjective), giving more importance to physical signs (real) than to mental

symptoms (subjective). In his Treatise on the World, which he finished writing in 1663 but did

not publish because of Galileo's sentence, Descartes gives us nevertheless a very interesting

paradigm: 'Words have nothing in common with the things they name and, notwithstanding this,

we do not generally distinguish between the one and the other’.

For the clinician, however, there is only one way of knowing his patient's symptoms, and

that is through what the patient himself expresses, the symptoms he complains of, the gestures he

makes, and above all the words he uses.

To change the patient's words (verbatim) into scientific words (medical language) calls

for serious interpretation (the doctor's theory), and that, precisely, is diagnosis.

Many symptoms are easily dealt with, but difficulties arise with sentiments, affects,

passions and emotional reactions. In a word, it is a difficult task to deal with emotions. The

concept of emotion leads us, of course, to think of mental symptoms as an important part of

human suffering, an aspect that is of concern to the clinician in general and also the bridge

between psychiatry, medicine and surgery.

The problem of emotions, even reduced to being the

first step on the very complicated staircase of sensitivity to affection, inevitably leads us to the

psychosomatic medicine of the twentieth century.

Semantically, emotion is truly a neurochemical complex that leads animals to express

their sensitivity, their motility and their glandular secretions; in a word, to react in the face of

what is another’s and what is one's own.

Even within the strictest rules of a rationalistic and

mechanistic approach we can observe the way in which emotions act

on both mind and body. To summarize, let us devise a psychological reductionist schema of

affect, beginning with what appears to be most simple: the basic four emotions, love, gaiety,

pain, fear, and discontent or anger.

Sensory perception

Emotion

Temperament, humour or character

Affection

Passion

Affect

Add to these in intellect, will, memory, intuition and imagination, and we will be able to

draw a diagram of the basis of ethics, morals, and the adaptation of human beings to society, or,

better , to culture.

Only in this way can we come to understand a little of the concepts of indignation,

mortification and vexation. In conventional twentieth century practice the three concepts are

much diluted, in the extreme case to 'stress' in the General Theory of Adaptation set forth by

Hans Selye,

or included in the magnificent clinical histories of Viktor von Weizsaecker and