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: