Volume I, 1984
© Centre For Excellence In Homeopathy
VOL. I, 1984
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.)
Volume I, 1984
© Centre For Excellence In Homeopathy
(A compilation of some of the more important articles
in the British American and German Homoeopathic
Journals - condensed. Also articles and news of general
medical and scientific interest with particular reference
to Homoeopathy)
(Translation, condensation and compilation by Dr. K. S.
Srinivasan, Madras)
June, 1984.
The pharmaceutical Society has lately been challenged
to sponsor an inquiry into the promotion and sale by
pharmacists of Homoeopathic remedies not only
because of their lack of scientific validity and evidence
of effectiveness, but also because of the large profit
margins association with their marketing.
Its claims should be subjected to the same
rigorous tests as those required of orthodox medicine.
In this issue we publish results of a controlled trail in
which the allopathic drug Fenoprofen was compared
with the Homoeopathic remedy Rhus Tox. and with
placebo in patients with osteo- arthritis. No significant
difference was found between Rhus tox. and Placebo,
but fenoprofen had significant analgesic and anti-
inflammatory effects and was strongly preferred by the
patients despite a higher incidence of side effects. A
welcome aspect of this study is that homoeopathic and
allopathic physicians co-operated in its design and
execution. Such co-operation is essential if criticisms of
patient selection, symptoms definition, and treatment
assessment are to be avoided. It is hoped that the large
number of other marketed homoeopathic and naturo-
pathic remedies will be evaluated in similar rigorous
trials. [Condensed from The Lancet, January 15, 1983]
OF OSTEOARTHRITIS: Micahel Shipley, Hedley Berry,
Dept. of Rheumatology, King's College Hospital, London,
SE5; Gill Broster, Michael Jenkins, Royal London
Homoeopathic Hospital, London WC1; Anne Clover, Ivan
Williams, Kent and Sussex Hospital and Homoeopathic
Hospital Turnbridge Wells, Kent.
In a double-blind, place controlled crossover
study to compare the homoeopathic remedy Rhus tox.
6x with fenoprofen in osteoarthritis of the hip and knee,
fenoprofen was shown to have beneficial analgesic and
anti-inflammatory effects which differed significantly
from those of placebo. The effects of Rhustox. 6x and
placebo did not differ significantly. Patient preference
was for fenoprofen. Similar results were seen in all
patients regardless of whether they had been referred
to and assessed by a homoeopathic physician or a
Pain of many patients of osteoarthritis can be
satisfactorily controlled by anti-inflammatory and
analgesic drugs. However, sometimes pain relief is
incomplete and surgery may be indicated or side-effects
are sufficiently troublesome to preclude use of these
drugs. Many have thus turned to alternative forms of
treatment which has led to considerable increase in
interest in homoeopathic medicine.
Rhus toxicodendron produces many toxic
effects few of which mimic symptoms of patients with
osteoarthritic joints. Homoeopathic physicians
frequently use a preparation of Rhustox. in such
patients. The use of Rhustox. is sufficiently widespread
to justify testing it against a standard anti-inflammatory
analgesic (fenoprofen).
Patients between the ages of 18 and 85 years
were entered into the trial. Any patient who had
previously received either Rhustox. or fenoprofen was
Volume I, 1984
© Centre For Excellence In Homeopathy
also excluded. The mean age was 65 years. 17patients
had OA of one or both knees, 15 had OA of one or both
hips and 4 had involvement of three joints. The study
was a double-blind, double-dummy, placebo-controlled
cross-over comparison of fenoprofen (600mg 3 times a
day), Rhus tox (6x) and placebo.
Analysis of the results was stastically evaluated.
There was no significant difference between the effects
of Rhus tox. and placebo. Fenoprofen produced highly
significant pain relief compared with Rhus tox. and
Placebo. When fenoprofen was compared with either
placebo or Rhus. tox. It was clearly preferred to either.
When Rhus tox. and placebo were compared with each
other, each was equally preferred. Over all, patients
preferred fenoprofen (21 patients) to Rhus tox. (5
patients) and placebo (5 patients).
We have shown that under the conditions of
this study treatment with drops of Rhus tox. (6x) 3
times a day does not differ significantly from placebo in
its effects on the pain of osteoarthritic hips and kness.
Fenoprofen is a useful anti-inflammatory analgesic but
causes a relatively high incidence of minor side-effects.
Compared with both placebo and Rhus tox. its
beneficial effects were highly significant and despite its
side-effects fenoprofen was still preferred by most
patients. Evidence from our study leads us to conclude
that Rhus tox alone had not greater effect than placebo
on pain of osteoarthritic hips and knees. [Condensed
from the Lancet, January 15, 1983]
That Rhus tox. was the decided loser in this
study is not surprising. In fact, any future studies set up
along such lines will invariably result in the
homoeopathic remedy taking second place to the
allopathic drug. This controlled trail was designed to see
which substance had the greater analgesic and anti-
inflammatory effect, in a word, which substance had
the greater palliative effect. Most homoeopaths try not
to palliate their patients. Rhustox is only one of the
scores of homoeopathic medicines capable of curing
various forms of arthritis. Homoeopathic remedies can
never (with the possible exception of Arnica for soft
tissue injury) be prescribed as allopathic drugs are.
Rhustox will never act efficaciously in a majority of
cases of osteoarthritis of the hip and knee. It's like
asking apples to taste like oranges.
As long as studies such as this one continue in
vogue, homoeopathy will always appear to be no more
effective than placebo. Homoeopathic medicines work
when tailored to the individual patient. But the fact
remains: homoeopathic medicine needs to be taken out
of the realm of the anecdotal and given greater
scientific respectability.
[Extract from the Editorial of the Journal of the
American institute of Homoeopathy, Vol.76, No.2, June
When sirs interviewing a chronic patient, the
homoeopath must remember certain basic ideas:
1. A complete clinical history must be done to
obtain information such as family history, past
illnesses, the degree of organic pathology past
surgery, vaccinations and of course, prior (or
current) drug therapy.
2. Laboratory studies, i.e. urine analysis, blood
work, x-rays, etc., may be in order, not for
diagnosis but for prognosis.
3. Keep in mind that often acute symptomatology
will temporarily cause chronic symptoms to
abate or disappear. The latter will reappear
after the acute illness has run its course.
4. Symptoms which are more or less constant and,
not of recent onset, are more important than
occasional symptoms in a chronic case.
Volume I, 1984
© Centre For Excellence In Homeopathy
5. The totally of symptoms which includes all the
modalities and peculiarities must be obtained.
6. Miasms must be kept in mind. The
predominating miasm will determine the
actual symptomatology.
7. The chief complaint is not the most important
symptom. Treat the patient, not disease.
8. Symptoms (sensations) are much more
important than signs (objective changes, i.e.
9. After talking the case, symptoms should be
analyzed and evaluated and arranged in a
10. "Common" symptoms must be separated from
the "strange, rare and peculiar".
11. During follow-up of the case it is important to
beer in mind Hering's Law. Check to see if old
symptoms are reappearing and in what order.
Especially note new symptoms and separate
from old ones.
12. Patient's age and vital force must be evaluated
for potency selection.
13. Never be afraid to "wait and watch". Depending
on what appears, decide whether to repeat or
increase the potency, change the remedy or
14. Repertorization is done primarily on the
peculiar, individualizing symptoms.
15. A complete physical examination is important.
Following quotations are on the differences
between common and peculiar (or characteristic)
"Pathognomonic symptoms are always common."
"Common symptoms have no place in our
repertorisation work."
"Symptoms must be judged as to their value as
characteristic in relation to the patient."
"Symptoms most peculiar to the patient must be
taken first, then those less and less peculiar until the
ones that are common and not peculiar are reached."
"The greater the value of a symptom for diagnosis, the
less its value in the remedy selection.”
"We must discount common symptoms to the disease."
[Condensed from the Journal of the American Institute
of Homoeopathy, vol.76, No.2, 1983]
Robinson, M.D.
A 60 year old woman, A.K., habitually in excellent health
recently was "falling apart". Have had three surgeries
on her right foot in the past two years. Last operation
was bunioneotomy in Jan.1983. The wound failed to
heal, was re- opened and "an infected stitch" removed.
Her central problem was her married daughter, who
was mentally very ill and was in the process of being
committed. Her daughter carried a loaded gun, had
assaulted her husband and was given to wild acts of
violence such as slashing tires and beating holes in walls
with hammer. She was under the care of a psychiatrist
who had adopted a permissive attitude. The daughter
had tried suicide several times. The situation had so
upset A.K. that she had become sleepless. Awoke most
nights at 2 a.m. in a highly anxious state, worrying
restlessly, occasionally drinking water. She would stay
awake till daybreak.
"I feel so powerless," she said referring to her
daughter's dilemma. "It's getting cut of hand. I'm angry
at my daughter’s psychiatrist."
Recently she had begun to misplace keys and important
papers. Earlier "very neat" but now "moderately neat."
At present time, she was very warm-natured; was
Volume I, 1984
© Centre For Excellence In Homeopathy
overheated in bed and often stuck her feet out. Liked
fresh air on her face. "If my face is cool, I don't feel too
miserable anywhere else." During the past six months
felt somewhat chilly on going to bed, but later would
overheat. Her palms were warm and dry.
Like to drink water with a slice of lemon in, liked hot,
spicy foods, fruit, meat, fat on meat, fish, milk, cheese
and eggs. She dressed with great care, liked clothes.
Disliked being alone; was careful with money but not
obsessive with it.
Case Analysis:
An obvious case of Arsenicum except for her warm-
nature. I had never seen a warm Ars. Psychologically
Sulphur did not fit. Arsenicum 1m was given. Following
day she went "to pieces", crying endlessly. Thereafter
she improved dramatically and was entirely normal
within three days.
Has anyone else seen a warm Arsenicum? If so, how
about a letter to the Editor?
[Condensed from the Journal of the American Institute
of Homoeopathy, Vol.76, No.2, June 1983]
DYSKINESIA by Corey Weinstein, M.D
Introduction: Tardive Dyskinesia is an illness which
affects as many as 250,000 - 500,000 people in the
United States today. It is a result of maintenancy
therapy with various neuroleptics. T.D. is an iatrogenic
disease which has only recently been identified and
studied, despite a significant prevalence since the
widespread to the occurrence of these symptoms after
months to years of treatment, and dyskinesia describes
the defect in voluntary movement.
Drugs which cause psychomotor slowing, emotional
quieting and affective indifference are called
neuroleptics. The term was coined by some of the first
chlorpromazine researchers. Neuroleptics have been
used for 30 years to calm the symptoms of anxiety,
confusion, hallucinations and unacceptable behavior.
Half of our hospital beds are used for people with
primarily mental and emotional symptoms, and
neuroleptics are often taken for years and years by
inpatients and out patients.
T.D. is a drug poisoning which is more dependent on the
length of use than the dosage. It can be expected to
occur in some form in as many as 40% of the people
who was prescribed neuroleptics; in 60% of users
between the ages of 50-70; and in 75% of those over 75
yrs. of age. The symptoms can get worse upon
withdrawal of the neuroleptic and, in fact, are often
masked in those receiving high does. One to two years
at any daily dose can be enough to cause T.D. although
the symptoms spontaneously and slowly regress in
some people upon with drawn 1 of the drugs.
The classical description of T.D. includes involuntary
movement of the lips, jaws and tongue, including
smacking and sucking of the lips, thrusting, rolling and
fly-catching movements of the tongue, lateral jaw
movement and puffing of the cheeks, choreiform
movement of the extremities and or athetoid, circular
motion of the toes occur frequently. Early symptoms
may include fine vermicular movements of the tongue,
circular movements of the big toe, tics of the face, ill-
defined mouth or eye movement, mild chewing
movements, rocking or swaying, and restless limbs.
Sadly, these symptoms may turn out to be more socially
disabling than the symptoms originally treated with
There are problems in the diagnosis of T.D. Mild T.D.
can be confused with mannerisms and other motor
disorders caused by disorders such as Parkinsonism and
akathisia. Also T.D. symptoms undergo extensive
fluctuation from day to day, change in response to
Volume I, 1984
© Centre For Excellence In Homeopathy
various emotional states, are inhibited by voluntary
movement and disappear during sleep.
It was the peculiar motor abnormalities which led me to
think that it would be fruitful to investigate
homoeopathic remedies for T.D. Unlike most
syndromes which have quite general symptoms, T.D,
symptoms are unusual, quite specific and seemed likely
to be amenable to repertorization. Certainly
homoeopathy has been efficaciously in helping people
heal illness created by poisonings from the mercury and
arsenic compounds of the 19th century to today's
prednisone and pain killers.
There is no standard treatment for T.D. except to mask
the symptoms with higher doses of neuroleptics, which
ultimately makes the illness worse; so homoeopathic
treatment could possibly help many T.D sufferers.
studied through homoeopathic provings by Julian in
France (23 members of the Societe Medicale de
Biotherapie, 2/68) and Pal in India (16members of the
Association of Homoeopathic doctors, Bombay, 12/63).
Toxilogical information from the standard literature
rounds out the description of the symptoms caused by
this prototype neuroleptic.
MIND: Thinking slow. Memory poor, concentration
poor. Decreased sensitivity to stimuli. Hallucinations,
especially Visual. Confused dreams. Apathy, must make
a real effort to work. Irritability. Premonition of bad
news. Extreme anguish at 10 a.m. Despair,
hopelessness. Agitation.
MUSCULOSKELETAL SYSTEM: Muscle movement slow,
stiff. Catatonia, total immobility. Muscle cramps and
spasms, esp. mouth, face, eyes and arms. Trembling.
Involuntary writhing, squirming and grimacing, esp.
legs, face, mouth and tongue. Facial paralysis or paresis.
Foot tapping. Cold feet extending to things.
GENERAL: Inner restlessness. Seizures. Hyperpyrexia
with chills. Fainting or rising agg. end of day (postural
hypertension). Lactation, increased milk.
Gynecomastia. Weight gain.
SKIN: Sensitivity to sun with erythema. Violet
discoloration of skin.
EYE: Pigmentation in lens or cornea (retina). Brown dis-
coloration of the conjunctiva.
Mouth: Aphthous stomatitis. Dry. Itching and sensitivity
of gums. Bleeding gums. Tongue dry and cracked.
Uncontrolled salivation and drooling.
THROAT: Dysphagia with feeling of lump in the throat.
CHEST: Oppression. Burning in chest.
HEART: Irregular heart beat. Fast heart rate
GASTROINTESTINAL: Constipation. Hypogastric colic.
Anorexia. Nausea in the morning. Burning pain in the
stomach. Sensation of a stone in the stomach. Icterus,
liver enlarged and sensitive (Hepatitis).
GENITOURINARY: Decreased sex drive. Leucorrhoea like
egg white. Irregular menses.
As the symptoms list verifies, CPZ affects the human
organism profoundly. Not only is the neuro-muscular
system changed, but the mental and emotional states,
hormone balance, heart, liver, digestion, skin and eye
are deeply disordered. Neuroleptics interfere with
neurotransmitters in the central nervous system, which
act strongly on the cerebral cortex. Action on the
pituitary or hypothalamus causes changes in the
hormone prolactin which influences the breast and also
changes growth hormone levels.
HOMOEOPATHIC TREATMENT: I found one published
case of the homoeopathic use of CPZ in the literature.
Garth W.Boericke, M.D. reported the successful use of
potentized CPZ in the Journal of the American Institute
of Homoeopathy, Vol.58##1-2, 1965. The patient was
an 84 year old man in a nursing home suffering from
hallucinations of sight and hearing, and delusions of
Volume I, 1984
© Centre For Excellence In Homeopathy
persecution and poverty. He talked continuously and at
random and was disoriented as to place and time.
Dr.Boericke tried various remedies, including Lachesis,
Sulphur and Hyoscyamus. Due to lack of success, he
finally gave standard doses of CPZ to quiet the patient,
but the standard regimen aggravated the patient.
Dr.Boerioke reasoned that if the patient was aggravated
by CPZ, then it must be his similar remedy. And, in fact,
when given the 5x dilution prepared by Dr.Boericke, the
patient became calm and manageable.
Treating an individual for TD homeopathically may
cause a recurrence of the symptoms that required
suppression initially. It is interesting to note that many
of the remedies which seem well indicated for TD have
mind symptoms that are typical of the illnesses for
which neuroleptics are used. Certainly a full case should
be taken which includes present symptoms and past
history, including a description of the symptoms
requiring neuroleptic suppression. But prescribing
should be based only on the present symptoms. In
preparing the repertorization, I used the following
1. Tongue, protruding spasmodically, darting, oscillating
and trembling
2. Chewing motion
3. Distortion of face, especially mouth and
trembling of the face
4. Motion, involuntary
5. Chorea
6. Lactation and swelling of mammae
7. Sun, exposure to
8. Faintness worse rising
Other symptoms like low sex drive, trembling,
restlessness, concentration difficult, apathy, poor
memory and slow thinking were not used because the
rubrics were too large to help with anything but
verification of the remedies.
Twenty-two remedies had four or more of the
symptoms. A variety of materia medicas were consulted
for investigation of the symptom pictures which most
colsely fit TD. I used Allen, Hering, Clarke, Boericke and
Kent. Based on these findings, I would like to elucidate
the 11 remedies other than CPZ in potency which seem
most likely to help in the treatment of TD.
The first group which includes Lycopodium, Cuprum,
Belladonna, Bryonia, Mercurius and Chamomilla has the
important general hormone symptoms of lactation
and/or breast swelling. The second group lacks this
general but has excellent symptom pictures of TD. The
second group is made up of Opium, Agaricus, Ignatia,
Stramonium and Helleborus.
CONCLUSION: It is among these 11 remedies that I think
the homoeopath will find the most efficacious
treatment of TD. Certainly the best remedy is the
I have undertaken this study as much to alert the
homoeopathic community to the serious problem of TD
as to prepare the practitioner to treat TD effectively.
Remember that neuroleptic poisoning is related more
to length of use than the quantity of the dose.
Therefore, someone who takes a little Mellaril or
Thorazine daily to get to sleep is at risk for TD. To aid
the practitioner in diagnosing TD here is a 10 step
examination method. I would appreciate it if
practitioners send their clinical experience with TD to
me so that we can collect and publish our work.
Volume I, 1984
© Centre For Excellence In Homeopathy
1. Ask the patient if there is anything in the
mouth and to remove it if there is.
2. Ask about the current condition of teath and
3. Ask if the patient notices any movements of the
mouth, face, hands or feet (and how they might
be a bother).
4. Observe the patient sitting in straight chair with
the hands hanging at the sides (1-2 minutes).
5. Ask the patient to open the mouth and observe
for 30 seconds.
6. Ask the patient to protrude the tongue and
observe for 30 seconds.
7. Ask the patient to tap the thumb with each
finger as rapidly as possible for 10-15 seconds
separately with right and left hand while
observing the face and legs.
8. Flex and extend the patient's arms one at a time
for rigidity.
9. Ask the patient to stand up and extend both
arms in front with palms down and mouth open
for 30 seconds while observing trunk, legs and
10. Have the patient walk around.
[Condensed from the journal of the American institute
homoepathy Vol. 76 No 2/ June 1983]
Proving as a process presents tremendous
logical and practical problems. This has led to the virtual
stagnation of homoeopathic practice, accomplished,
paradoxically, by a proliferation of speculative and
anecdotal approaches which have advanced practical
homoeopathy but little. This theoretical impasse can be
circumvented by studying modern Toxicology and
Patho-physiology. When carefully examined, it is
astonishing how closely the findings of modern
pathophysiology accord with the homoeopathic
perspective. The cancer problem particularly can
benefit from this approach. In this context the chemical
carcinogens are crucial.
The history of the recognition of chemical
carcinogenesis runs from the 16th century descriptions
of the "miner's sickness" by Agricola and Paracelsus,
only later recognized as carcinoma of the bronchus,
through the cancer of the scrotum observed by Pott in
chimney sweeps, to the identification in this century of
carcinogenic coal tar fractions.
The recognition of cancer as a process is due to Galen --
he considered tumors to be due to a silting up process
of the circulation -- a view rendered untenable by
Harvey's discovery of the circulation of the blood; which
discovery also destroyed the rationale of bloodletting,
but did not discourage Hahnemann's contemporaries
from practicing it on a murderous scale--hence,
perhaps, Hahnemann's mistrust of physiology.
After Hahnemann's death the discovery of the cellular
nature of cancer was due to Schwann and Virchow.
There are two principal theories concerning the genesis
of cancer--the immune surveillance and mutagenesis
theories; they are not mutually incompatible and are
attributed to Ehrlich and Boveri respectively.
The main groups of carcinogens are:
1. Polycyclic hydrocarbons, deriving largely from
hydrocarbon combustion--particularly coal
2. Aromatic amines, which occur mostly in the
chemical industry.
3. Nitrosamines and nitrosamides which occur in a
variety of foods and can be produced, in vivo,
from nitrites.
4. V [1-10] Naturally occurring, of which there are
many; the aflatoxins of fungal origin are among
the most significant.
Despite their diverse structures and origins all these
carcinogens share two properties; all undergo
metabolic transformation to release the active
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© Centre For Excellence In Homeopathy
carcinogen and in all cases this active ultimate
carcinogen has a strong chemical affinity for DNA.
Virtually all of the main groups of cytotoxic drugs used
in the orthodox treatment of cancer present some kind
of similarity to different aspects of the cancer process.
Some of these similarities are classified into four
1. Pathological: Drugs which are inherently
carcinogenic, or are close chemical relatives
of known carcinogens (e.g. alkylating
2. Structural: Drugs whose molecular
structures bear close resemblance to those
of key molecules involved in the genesis of
cancer, (e.g. the base analogue antimeta
bolities). Methotrexate is a folate analogue
anti-metabolite and is anomalous.
3. Mechanical: Drugs whose mechanism of
action -- intercalation into the DNS helix -- is
the same as that of known strong
carcinogens (e.g. some of the cytotoxic
antibiotics -- such as doxorubicin).
4. Parapathological: Drugs whose side effects
closely resemble the pare-malignant
syndromes which often accompany
malignant disease (e.g. vincristine).
We also amplified what had been said in the first article
on the common mode of action of carcinogens and
cytotoxic drugs--DNA damage. Serious, overwhelming
damage to DNA results in cell death (the cytotoxic
effect) but more subtle long-term damage introduces
insidious changes into the DNA, leading to mutation or
cancer. The realization that mutation and malignant
changes are equivalent processes had led to the
development of useful short-term tests for carcinogens
based on bacterial mutation--such as the Ames test. The
second article concluded with co-carcinogens,
substances which, while not inherently carcinogenic,
will, if preceded by a carcinogen, greatly increase the
probability and speech of a malignant tumor appearing.
Important substances of this type occur in plants of the
genus Euphorbiaceae, including Euphorbuim and Croton
tig. of the homoeopathic materia medica.
I quoted WHO'S 1964 estimate that 80% of cancer is
due to extrinsic factors. The definition of extrinsic
becomes more difficult, as it has become clear that the
metabolism of potential carcinogens by gut bacteria,
and other factors, are also involved. The most startling
figure in the table is the 35% of fatal malignancies
attributed to diet. It is in this area that the problem of
"semi-extrinsic" carcinogens and gut flora metabolism
arises. In some parts of the world, purely extrinsic
dietary carcinogens are of great importance; the best
example being the aflatoxins in parts of Africa and Asia.
But this kind of simple extrinsic carcinogenesis is
relatively unimportant in the developed countries
(except, of course, for smokers). Far more significant
are the carcinogens which may be produced in the gut
from precursors in the diet or gut secretions.
Another important chemical process which some
bacteria, usually considered to form part of the normal
bowel flora, can perform is deconjugation. Many toxic
compounds, including the highly carcinogenic polycyclic
hydrocarbons are excreted in the bile in the form of a
conjugate with a sulphate or glucuronate group. In this
form they are harmless, but a number of bacteria which
may be found in the bowel flora of apparently healthy
individuals possess the enzyme β-glucuronidase, which
splits glucuronate conjugates, releasing the active
carcinogen into the gut lumen. Some of the bacteria
capable doing this are shown in Table 2. Note that the
non-lactose fermenting organisms are generally the
most active in this respect.
Factor Best
Range of
Tobacco 30 25-40
Alcohol 3 2-4
Diet 35 10-70
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© Centre For Excellence In Homeopathy
Food additives <1 -5(a)-2
Reproductive and
sexual behaviour
7 1-13
Occupation 4 2-8
Pollution 2 1-5
Industrial products 1 1-2
Medicine and
medical procedure
1 0.5-3
Geophycical (b) 3 2-4
Infection 10 1
Unknown ? ?
(a)Allowing for possible protective effects of
antioxidants, etc.
(b)Geophysical factors mean mainly radiation-UV light,
cosmic rays and *,* and* from natural sources. This
table greatly underestimates the INCIDENCE of cancers
due to UV light, which may be as high as 30% of the
total. Because these are mostly the rarely fatal basal cell
carcinomas and this table is in terms of morality.
Organism % of total floara in β-
ileum caecum rectum
Streptococcus spp 1 1 1 2.0
Lactobacillus spp 0 1 1 1.6
Bacteroides spp 22 76 76 6.0
Clostridum spp 0 0 1 11.3
69 24 24 1.9
spp inc.
9 1 1 24.7
* non lactose fermenting organisms
It was, of course, on the nonlactose fermenting bowel
flora that Drs. John and Elizabeth Paterson did their
classical work on the bowel nosodes. These recent finds
vindicate the belief held by the Patersons that the
presence of supposedly non-pathogenic non lactose
fermenting bacteria in the bowel can have serious
effects on health--in this case by predisposing to the
development of malignancies in the bowel and,
perhaps, at distant sites. It is high time that the
Patersons' work was repeated.
We have seen that a variety of chemicals, of diverse
origin and structure, can damage DNA. Following this
damage there is a latent period, which may last ten
years or more before a tumour emerges. What goes on
in this long latent period? And what is the nature of the
transformation from a normal to malignant cell? For
malignant cells do not display any characteristics not
shared by certain normal human cells: many embryonal
tissues metastasize; invasiveness is characteristic of
white blood cells and rapid mitotic rates are found in
bone marrow and gut mucosa. The inference from this
must be that the DNA damage affects mostly the
control of the expression of the DNA code, rather than
the content of the code. There is still much uncertainly
in this area, but it has recently become apparent that
the elaborate structure of DNA is important in the
control of gene expression. It has also been recognized
that there are genes present in the normal genotype
which are capable of causing malignant transformation-
-the so-called oncogenes.
An oncogene is a gene present in the normal genotype
which, if it becomes over-active, causes the cell to
undergo malignant transformation.
An alarming picture is emerging: a world full of potent
and ubiquitous carcinogenic influences in the form of
chemicals electromagnetic radiation and viruses--all
inflicting insidious damage on the delicate DNA. Space
forbids full discussion of the mechanisms of
carcinogenesis by radiation; suffice it to say that the
ionizing effects of radiations directly or in-directly
damage DNA and that this leads to malignant change.
The role of viruses in human cancer is, as yet, uncertain,
but in animals where they cause cancers, viruses do so
by inter-fering with the genetic material.
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© Centre For Excellence In Homeopathy
The use of cytotoxic drugs for malignant disease is
bedevil led, in orthodox medicine, by two problems; the
inherent toxicity of these drugs, and the case with
which cancer cells develop resistance to them. These
two factors combine to produce a poor, and
deteriorating, therapeutic index and enforce the use of
combinations of drugs. What are the mechanisms by
which cancer cells come to develop drug resistance?
Resistance may be due to the fact that the drug simply
is not reaching the tumour, or that the cell is in a phase
of its cycle where it is insensitive. But what interests are
the changes which are invoked in the cell in response to
the drug. Among the most important mechanisms of
resistance to cytotoxic drugs are undoubtedly the very
DNA repair systems we have just discussed--many
cytotoxic drugs are potent inducers of these
mechanisms. Another important mechanism is change
in the cell wall, reducing its permeability to the drug.
Such cell wall changes may result in changed antigenic
character of the cell and production of TARAS--Tumour
Associated Rejection Antibodies-- which mobilize the
body's immune rejection responses. Other changes
associated with drug resistance—for instance, the
modification of target enzymes may also result in
heightened antigenicity, leading to recognition as "non
self" and rejection.
These antigenic responses have not been
investigated in great detail and the contribution they
make to orthodox chemotherapy is probably very small-
-for the simple and ironic reason that the very cytotoxic
drugs which might evoke the TARAs have a
simultaneous and more reliable effect in suppressing
the immune system.
Furthermore, current evidence suggests that the role of
the immune system in inhibiting the development of
primary malignant tumours is much less than has often
been supposed hitherto. But it does seem that immune
factors, especially those acting at regional lymph nodes
are important i filtering out potential metastatic cells
from the blood and lymph. It is this recognition which
has led to the abandonment of radical mastectomy. It is
ironic that the very agents which are capable of
increasing the potential of tumour cells to provoke
immune reactions are also suppressors of the immune
system. There is a theoretical possibility, though, that
low doses of some cytotoxic agents could provoke the
production of TARAs without associated immune
I have shown that carcinogenic influences are both
potent and ubiquitous in the real world. These
influences act by damaging DNA, damage which is
constantly being made good by remarkable systems
operating within turns over much more rapidly than is
usually supposed. The DNA repair mechanisms are
subject to very sensitive feedback control. It is already
established that carcinogens in high, but still
substantial, dilution can increase the activity of DNA
repair systems many fold.
To my knowledge, there has been only one
experimental attempt to demonstrate that a carcinogen
in potency can reduce the effects of the same
carcinogen applied subsequently in substantial doses.
This work, by Boiron et. al., failed to demonstrate any
effect attributable to the dynamized carcinogen. The
experiment was well conceived and was certainly on a
large scale (1,000 rats over a 19-month period). Careful
scrutiny reveals, I believe a small but fatal flaw--in the
selection of the carcinogen (which was 2-acetyl
aminofluorent). There were also some encouraging
aspects to this work; the tumour promoter used
(phenobarbitone) did slightly protect those animals
which received it in potency.
I have reviewed and extracted what consider to be the
most relevant facts from a huge amount of data
accumulated by cancer researchers. I am convinced that
the potential exists for a dramatic breakthrough in
cancer therapy.
Volume I, 1984
© Centre For Excellence In Homeopathy
[Condensed from the British Homoeopathic Journal,
Vol.71 Nos.3, July 1982 and 4, 1982 and Vol.72, No.1,
1983; the entire article covers three issues running to
38 pages]
CHRONIC MIASMS: by Dr. P.Sanchez Ortega, Vice-
President for Mexico, LMHI (A paper read to the XXXV
LMHI Congress, Brighton,1982)
We shall try to summarize all that we have been able to
investigate and understand, and all that we have
complemented, in relation to Hahnemann's action of
the chronic diseases, or miasms.
HAHNEMANN'S DOCTRINE: Hahnemann, the genius
and founder of homoeopathy, concluded that it was
only this which could be considered as truly curative, for
this method was founded on the knowledge of essential
relationship between the disease and the remedy. He
then discovered, after innumerable clinical observations
that repeated morbid processes were somehow related
to each other, appearing in the same individual, and he
proved that they were due to a predisposing factor
which demonstrated the true constitutional pathology.
This factor was the result of the suppression of specific
acute diseases. These chronic diseases were:
1. The chancre diseases.
2. The second disease dealt with a morbidity factor
which is the deepening, through suppression or
incorrect treatment, of the gonorrhoea-like
discharge. This suppression was characterized by
the tendency to produce pedunculated or figwart
excrescenes. This, Hahnemann called, Sycosis.
3. Lastly a much more important pathological entity
which apparently was much older than the other
two, and which was the result of the suppression of
an itch disease similar to what we now know as
Hahnemann himself explains that his approach was
basically to investigate the patient's clinical history, to
ascertain if they had suffered from either the itch, the
gonorrhoeic or the chancroid diseases. This was to
determine if they had been treated by suppressive
means. Logically, he only accepted symptoms that were
repeated many times after similar suppressions. Later
Hahnemann confirmed the possible co-existency in the
same patient of two or even three of the miasms which
over lapped each other. He insisted that the physician
needs to recognize and handle them adequately
(Organon paras 204-207) Hahnemann's conclusions are
of the utmost usefulness, and it is ESSENTIAL TO TAKE
TREATMENT (See paras 48 and 49 and 78--82) Why is it
that in view of this magnificent legacy homoeopaths all
over the world, even when trying to follow the master
faithfully, have not been able to determine a correct
technique so as to recognize the miasmatic problems,
nor have they been able to match his miasmatic theory
with a clinical practice that would prove its validity.
After Hahnemann, some of the main authors are
J.H.Allen, who made many observations. Kent foresaw
in his Materia Medica groups of symptoms that
belonged to the different miasms. It is primarily in his
Repertory where he defines minute but very significant
differences in the fundamental attitudes of the human
mind which can be connected to the characteristics
evident in psora, sycosis or syphilis. Next, H.A.Robert's
as well as by Hanohiginio C.Perez. We also recall,
Ghatak from India.
The master left unfinished the description of the
miasms. This is the most important thing to bear in
mind in order to understand the persistent waste, for
over a century, of such a wonderful doctrine. No
significant conceptual error can be found in the
Hahnemannian method. This is true also in relation to
the miasms.
Hahnemann states that even in his times syphilis was
recognized as a miasmatic disease, which is the result of
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© Centre For Excellence In Homeopathy
not curing properly, or of Suppressing, its initial
manifestations. There is no reason to modify the initial
appreciation of the obviously destructive and
degenerative tendencies in syphilis found in each one of
its characteristic lesions.
The second miasm of sycosis, is the constitutional
pathological form or condition that is the result of the
suppression of gonorrhoeic discharges, similar to
syphilis in its transcendency and its relation to
suppression. It is characterized in its manifestations not
only by the production of fig-like warts, but also by
hyperplasia, hypertrophy or expansion. Psora is,
together with the other two miasms, the chronic of the
constitutional disease brought about by the unnatural
suppression of cutaneous conditions.
The birth of cellular pathology confirmed the ever-
present correspondence of the whole with every one of
its parts. Every dysfunction, every lesion had its
beginning, or at least its concomitant, in the cell. That is
deduced from the fact that no organ or part can
withdraw itself from the condition
Of the whole or of the totality. Likewise, cellular
pathology demonstrated that every transcending
disturbance in the cell begins in the nutritional
processes, that is, in the functions of assimilation. These
disturbances can only be of three types: deficiency,
excess or deviation.
In spite of the many discoveries and the never ending
future discoveries and interpretations, the fundamental
notion of an imbalance in the organism, as seen by a
deficiency, an excess or a deviation, still holds true. This
is confirmed by the fact that in the realm of physiology
and psychology these same morbid tendencies can be
recognized. The most surprising thing is that these
disturbances each correspond to Hahnemann's three
miams of chronic diseases.
It was Kent in particular who admirably deduced or
intuitively recognized the classification of the
fundamental pathological symptoms. We find these
symptoms expressed in his Repertory, which is an
absolutely essential reference work. The psoric lack, the
sycotic excess or the syphilitic deviation.
A slow, sluggish or depressed mind will be
psoric. A hyperactive, hurried psyche with a changing
unstable nature will make evident the "hypertrophy of
the ego" (Paschero) in the sycotic individual. The
degenerative deprivation that clouds the spirit with its
tendency towards destruction and death will constitute
the syphilitic position.
To summarize we may state psora will be all that which
means inhibition, sense of inferiority, coldness,
functional deficiency, lack of productivity, or of holding
back. Sycosis will be manifested by expansion,
precipitancy, hypersensitivity, hyperactivity,
hypertension, hypertrophy, pride, exaggerated fears,
irascibility (manifest anger), hyperthermia, neoplasms,
hurried. Syphilitic will include degradation, indifference,
loathing life, a perversion of biological functions,
abnormal secretions, rage (blinding anger), convulsions,
spasms, deformities, haemorrhages, putrefaction, and
destructive tendencies in the tissues (consumption) as
well as in the mind.
The following examples are taken from Kent's Repertory
and Allen's Materia Medica, where a correspondence
with our miasmatic classification can be found.
Sadness is of a psoric nature because of its inhibitory
quality. Grief is the sycotic manifestation of sadness
because of its expansive quality. Prostration of mind
exhibits the destructive syphilitic quality of sadness.
A slow pulse can be classified a psoric, a rapid pulse as
sycotic and an irregular one as syphilitic.
comprehend the depth and extent of Hahnemann's
classification of diseases we have enormous possibilities
in understanding humanity as a whole as seen in each
one of our patients. The features, the physical
Volume I, 1984
© Centre For Excellence In Homeopathy
constitution, the attitudes and all the artistic,
intellectual and spiritual expression will show the
influence of the miasms. Only the concept of a
spiritually and physically perfect human being could
lead us to imagine the existence of someone free from
miasmatic tendencies.
We will consider the clinical possibilities of this doctrine
when dealing with our patients. Firstly, we make a list of
all the symptoms or abnormalities we find in the
patient. Then we separate these symptoms into the
corresponding miasms, e.g. those that manifest a lack,
deficiency, hypofunction, etc, as Psora. In another list
we write down the symptoms that have an opposite
quality i.e. the exteriorization, the instability, escape,
hyperplasia and hyper function as sycosis. The third list
would include all that is destructive and degrading, with
tendency towards involution and degeneration. We
then select from these lists the predominating,
extraordinary, singular or curious symptoms as
recommended by the master in paragraphs 153 and 209
of his Organon.
The predominating symptoms dominate the whole
picture, affect the sensibility and have to greatest
influence on the final state of the patient. The
extraordinary symptoms are not habitual, but only
belong to a final stage. The singular symptoms are in
relation to a very peculiar manner of the patient's
reaction. The peculiar symptoms manifest reactions
belonging to the individual patient. This group of
symptoms is what Hahnemann considers essential to
obtain to characteristics of a case. They constitute the
minimum syndrome of maximum value. They are the
most certain total symptoms which represent the
existential moment to be dealt with in the patients. This
may include as few as three or four symptoms.
On the basis of this group of symptoms we
arrive at the true similimum. This marks the beginning
of the correct evolution of Hering's Law. The last layer
of the corresponding prevailing miasmatic condition, as
expressed by the series of symptoms, is the first to
disappear. The symptoms and manifestations of the
miasm underlying in the next layer will become
apparent, if we allow time. The miasm, which reaches
the surface level and forms symptoms, is eliminated
thanks to the gradual liberation of the vital force.
It is easy to deduce that the miasmatic doctrine thus
established and understood, has many applications that
help to a comprehension and explanation of events that
occur in human life, from the simplest to the most
complicated. We insist that this is true, not only about
the changes which occur in the state of disease, but also
throughout all our expressions.
[Condensed from the British Homoeopathic Journal,
Vol.72, No.1 January 1983]
Two cases of Dr. Goullon from the year 1865; who
practiced in Weimar. He reported progressively about
cures of serious burns and Erysipelas which in those
days was known as Red Leaf.
The first case is of a lady of 30yrs.; frequent, severe,
mostly-of many hours duration, purely nervous,
migraine. The Erysipelas developed from the nose
outwardly and progressed with increasing burning
pains, forming pustules, over the fore-head, over the
entire hairy scalp down up to the neck. Fever increased
up to the fourth day particularly the pains were almost
unbearable and obstructed the entire sleep. Belladonna
then Rhus did not bring the least alleviation; the
situation was dangerous. The great similarity of the
appearance with the burning in the second grade, the
type of the pain and the disposition to coma vigil
pointed for the first time, Causticum. The result was
almost immediate, soon sleep came and quick recovery.
"Another case of eczema of face: every morning after
getting up the entire face began to redden and become
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© Centre For Excellence In Homeopathy
hot which remained up to evening when a violent,
burning itching remained, was soon cured by
In those days acute, life-threatening diseases were
treated; The main reason for my citing these two cases
is to point out how much more one had to treat severe
and life-threatening diseases. If a child ailed from
measles, the first concern was to keep the child alive. So
is it in Goullon's cases, the maintenance of life the most
urgent work of the Physician. The fact that the patent
suffered from severe migraine has been mentioned only
by the way. The migraine is "purely nervous".
If such a case comes to us now, the patient will be
under treatment for migraine for a fairly long period.
The Erysipelas may only be a passing episode whose exit
could be hindered every time by anti-biotic. In any case,
after the fading away of the acute manifestation, we
will not now-a-days speak of 'cure', because for us the
chronic state is very problematic. But those days one
spoke of cure when the danger to life was overcome. A
medicine either worked or did not work. One could
unmistakable differentiate whether one had hit upon
the right medicine or not.
The treatment of chronic diseases usually required
employment of more medicines successively: Now-a-
days these differentiations are not any simpler. We
need, to cure a case, a full series of medicines following
each other. Hahnemann said in para 171 of Organon: In
the chronic diseases, to effect a cure, we require often
more successively employable anti-psoric medicines so
that every successive one being homoeopathically
chosen in consonance with the group of symptoms
remaining after completion of the action of the previous
medicine." And in para 182 "Thus the imperfect
selection of the medicament, which was in this case
almost inevitable owing to the too limited number of
the symptoms present, serves to complete the display
of the symptoms of the disease; in this way it facilitates
the discovery of a second, more accurately suitable,
homoeopathic medicine."
This paragraph refers to cases with paucity of
symptoms. Our cases are often with symptoms-paucity
in this manner, not only because they are chronic cases
with relatively little graded, less violent diseases, but
also because our patients come to us at the beginning
itself with a complete diagnosis and are not familiar
with a thorough and exact subjective description. Our
cures then become zigzag cures as Lippe pointed out
Earlier the difference between the correct end incorrect
medicines was clear essential for the treatment of life-
threatening acute diseases. Either the patient died or he
was cured. A mistake made in the choice of medicine
could work fatally. The fear of wrong choice of medicine
has been with us long and now again we can hear
opinions about how serious harm can be rendered by
wrong choice of medicine.
Depending as to how similar it is, if they do not
represent the Simillimum they will become into a
disordered confusing collection of disease picture." The
aim of cure "will not thereby be achieved but only an
unsuitable medicine will be proved unintentionally
upon a patient, because that would make the case into
a muddle and the choice of correct curative medicine
made impossible."
Hahnemann was not of this opinion. An unsuited
medicine of course occasioned a kind of proving upon
the patient, but it did not make the choice of proper
medicine impossible, on the contrary, a less suitable
medicine rouses in the patient new symptoms and
thereby brings the cure of the entire case, closer. In
paragraph 181: "Let it not be objected that the
accessory phenomena and new symptoms of this
disease that now appear should be laid to the account
of the medicament just employed. They owe their origin
to it certainly, when there were not, caused by an
important error in regimen, a violent emotion, a
tumultuous revolution in the organism, such as the
occurrence or cessation of the menses, conception,
child birth and so forth. But they are always only
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symptoms of such nature as this disease is itself capable
of producing in this organism, and which were
summoned forth and induced to make their appearance
by the medicine given, owing to its power to cause
similar symptoms."
The complementary medicine, the medicines which
follow each other well are often similar to each other:
Kent spoke of this in 1885. He said, that it will become
essential in such symptom-poor cases to draw out
through doses of Carbo veg., Sul., Calc. carb., Psor., Lyc.
or Sep. develop the disease aright. That is the idea for
the recommendation, "when the indicated remedy
fails", to give Sul. or Psor. Also the idea of the
complimentary remedy, the remedy which has been
observed as following each other well.
Only about the inimical medicines I am of the view of
Nash mentioned in his 'Leaders'. In the 45 Causticum
cases I have recorded in the tape-recorder in the past
seven years, I have given in two cases Causticum and
Phosphorous immediately following each other without
any intervening medicine, with an interval of some
months. In one case both the medicines worked well, in
the other Phosphorous given after Causticum remained
inactive and the patient appeared to have actually
developed a two week long large number of striking
new symptoms quickly passing over. That was all. I have
given again and again Calcium carb. or Sulphur once
Sepia also, before I had given Causticum and that both
have worked well, in each case. That agrees with the
theory of complimentary remedies, that the same
medicines which in the Provings exhibit similarity, often
follow each other well and complement action. The
complete list of the complimentary remedies is found in
Boenninghaussen's concordances, Calc.carb. and
Sulphur and also Sep. and Sil. Have been cited there as
remedies which often compliment Causticum since they
have similarity with Causticum.
CAUSTICUM: Pressure in Ear: When we study a
medicine like Causticum we will study the symptoms
with peculiar sensations, noteworthy modalities or
unusual connections. One thinks some-times that such
symptoms could come up only once in hundred years,
but when one has understood it, one would be
surprised by those symptoms from patients often.
There is this Symptom No.261 by Hahnemann: "as if
contraction in left ear and in the whole side of the head
in the evening, after lying down, ameliorated by hard
pressure." Now my case No.45:
No.45: Mrs. S.A."In a moment the irritating cough
troubles me most and I can't simply retain water. Once
it went clear down. Then I took a sip of water and it is
better. What now disturbs me is; I have there, inside,
always, as if cramping pain and when
I press it becomes better. A pain below the right ear,
below and behind the right ear, as if something
constricting and when I press upon it, it passes off
again. I have again once gone out without my cap,
which I cannot afford to do. It was again cold today and
I am glad that I have my woolen cap. It does me good. I
need warmth at the back of my head. Tonight it was a
bad time at 3 a.m. The pain comes alone, lying agg."
I would be lying, if I say, that this ear symptom was
known to me earlier. I must find out whether it was
already mentioned in similar form. The Repertories help
us in this localisation.
Theoretic objections against the prescription on single
symptom: When we search for spasmodic, constricting
ear aches and ear aches which become better by
pressure and which are worse lying, we find Causticum
pointed. When we then look into the patho-genesis of
Causticum, we find this Symptom NO.261 which could
convince us by this symptom which is strikingly similar
with the patient's symptom. Several Homoeopaths Kent
amongst them, have declared against prescription on
singe symptom, on theoretical grounds. On two grounds
I cannot follow this rejection:
First, there are cases in practice in which such single
symptom alone is available, which can be evaluated and
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© Centre For Excellence In Homeopathy
with which some constitutional attributes of the patient
may not be confused with rare general symptoms. If for
example the above cited lady patient answers to
appropriate questions, that she sometimes has heat
sensations or she keeps her feet uncovered in bed, or
that at some time has had a skin eruption, could one,
When one did not know that Causticum also has
brought out these symptoms, then think of studying
Sulphur? With Sulphur we find corresponding ear
symptoms also the amelioration by pressure but you
see clearly, that the similarity is show in different grades
to much disadvantage of Sulphur, particularly when we
consider how much better Sulphur was proved. Had I
given Sulphur in this case, nothing further would have
taken place except that the patient would have brought
out Causticum symptoms clearly in the next
consultation and it is not a fatal case. We find the
escape of urine while coughing,the head and the time 3
o clock night. More, we do not actually require to
decide choice between Causticum and Sulphur. We are
not prescribing blindly and automatically when we give
a medicine from a single symptom.
Causticum: Sensation of emptiness in the forehead,
sensation of shortening, stitches in the right abdomen:
For the next Symptom No.97 of Causticum: headache as
if something was forcing itself between the forehead
and frontal part of the brain or as if the part behind the
frontal bone was hollow."
No.9: Mrs. U.M. On 10-12-1975: The headache becomes
worse in the mid-day; it presses down upon the eyes.
The brain is pulled down so that there is a hollowness
above, as if there is a vacuum between the skull and
brain. Actually more in the forehead."
No.15: Mrs.S.U. On 23-3-1975: A pressure in the brain
as when there is nothing there, like an air balloon, an
empty sensation."
Now follows two provings symptoms which appeared
together in a patient of mine: Hahnemann's No.1028.
"Tendency of left arm becoming numb at night during
sleep, because of which he woke up" and NO.1052:
"pain in the left elbow bend by stretching the arm, also
as if a tendon was too short."
No.37: Mrs. B.R.on 4.1.1980: "Sensation as if the
muscles in the elbow bend is too short. I cannot stretch
the arm well. Nights in bed it pains maddeningly, it
becomes them absolutely stiff, I have the feeling that
the arm is heavy and numb and dead; pains
Here also it was the right ear, which was ailing while the
prover experienced the pains in the left. So was it with
the ear symptoms. The sensation of contraction is
present in other places both in proving and also in my
patient, in the calf, in the back, in the nape of neck and
in the chest muscles. Another symptoms, which appears
common by the two modalities and the exact
agreement with the proving symptoms, but rightly
indicative is, as follows:
No.3: Mis S.C.on 5-12-1974: "always in the evening, in
lying, stitches in the upper right half abdomen."
Hahnemann's symptom No, 623 says: "stitches in the
right side of the abdomen in the evening" and No.631
"Dull, lancinating pain in the right side of the abdomen
when lying down." These symptoms are easy to find in
the Kent's Repertory, for the lancinating abdominal
pain while lying down, we find only Causticum.
The Causticum cough: It would take too much time to
describe the Causticum cough in its entire ramifications;
I therefore turn myself to the noteworthy symptom
No.435: "Mucous comes into the throat which she
cannot eject by hawking, but has to swallow down".
That has been given in H.C.Allen;s Keynotes, as: "Cough
with inability to expectorate, the sputum must be
No.5: "Mrs. R.K.on 5-4-1975: "If I drink water it loosens.
The mucous should possibly be drawn out by hand,
otherwise I have to swallow it."
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No.11: Mrs.L.E.on 30-12-1975: "By coughing every
undergarment becomes wet. Much mucous. It is
difficult to be removed, it does not come off. I am not
able to cough out the mucous. I must draw it in then I
must bring it up."
No.24: Miss L.C. on 2-2-1978: "More often it stays
tough, does not come exactly up, when I least attempt
to bring it up. When the mucous is further up, it stops. I
cannot bring it up so that I could spit it out."
The dryness: Further as generic to Causticum is the
amelioration by dampness. Causticum is, doubtless, a
dry medicine; general condition is ameliorated by rainy
weather. A sip of cold water relieves not only the
dryness of the mouth and throat but also generally. In
the proving is found epileptiform convulsions,
ameliorated every time by a sip of cold water. In the
first case of ear aches it was so.
No.38: Mrs. W.A. on 4-3-1980: "Often the throat pains
as though I had a dry mouth. I think that I must drink
something then. The dryness is more in the roof of the
The sensitivity to cold: In the proving we find only
general sensitivity to cold which has been emphasized
by Hahnemann in the foreword. Mezger writes: Very
sensitive to cold, this affected him much. I have
observed in my cases that this sensitivity to cold is often
found particularly in head and in the nape and the
patient likes to put on a scarf or cap.
NO.2: Mr. H.A. on 28-10-1974: "Headache when I have
been exposed to cold air, or after cold rain, behind in
the neck, better by something warm around the neck."
Mrs. L.E.on 11-4-1975:"Headache from neck, my ears
also then ache, I must then put on a fur-cap."
No.26: Miss F.G. on 4-9-1978: "Suddenly hoarseness
and dry throat. If I have the collar open and the cold air
from outside blows, it is as if inflamed."
No.45: Mrs. S.A. on 4-3-1981: "I have ventured to go
without scarf, whether the ear thereby will not become
worse? Today it is cold, I am glad to have my woollen
We cure often in a zig-zag way: Here one perceives the
similarity between Silicea and Calcium Carbonicum. It is
clear that the medicines so similar to each other often
follow each other well. I have already stated that
repeatedly I have given Causticum before or after
Calcarea carbonicum or Sulphur with successful results.
That was the second reason as to why I have cited the
story of Goullon's cure; I wanted to point out how often
the Causticum cases are similar to the Sulph. Cases. We
cannot distinguish always with certainty these
concordances or complimentary medicines. In a case in
which Causticum has worked well Sulphur or Calcarea
carb. might have in its place brought about a quicker
success. We cannot be certain that the inverse order of
remedies would have worked better. We can give the
medicines only one after the other and observe that
both the medicines do their work.
Also the medicines are always simillimum only at a
specific point of time; we only every time say that in this
patient now, today, the maximum similarity to his
ailments appeared to be with Causticum. It is that in
some months a different medicine may become
To this theme is suited another passage from the
discussion on Kent's lecture "The second prescription"
in 1886.Wesselhoeft said" I recall that I spoke to Hering,
for the first time during practice, about a case of mental
illness which I had cured with Apis and I told him: 'This
cure may not have been possible without your Apis.'
Lippe was present and contradicted: 'Of course, it may
have been possible, in all likelihood through a zig-zag
cure with pulsatilla, Graphites and Sulphur and obtained
same result.'
And it cannot at all be anything else. We bear in mind,
that the early homoeopaths had to get on with such a
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small number of remedies, for the cure of their patients
and at the same time today only a very small fraction of
the medicines have been well and broadly proven and
so well known that we can well recognize the medicine
needed by this patient. No, it must be so that we should
be able to achieve success with a patient in different
and more ways: if only one medicine is efficacious in a
patient we could successfully treat only a very negligible
fraction of our patients.
ZEITUNG, 1/1983-Jan/Feb.1983; translation and
condensation by Dr. K.S.Srinivasan,
Madras from the original German: for private
communication only]
CASE REPORT: Erysipelas: by Dr.E.Mathieson, Hamburg.
Mr.W.C., 34yrs., came on Friday afternoon to the clinic.
Has high fever and from yesterday has Erysipelas of
about three times the size of palm, on the right leg. As it
was bluish-red, he received, Lachesis 12x, 3x1 tablets.
He is a teacher and I wrote out a sick Certificate and
asked him to come to the clinic again on Monday. As it
was the first time that this patient had acquaintance
with homoeopathy I was anxious when he did not turn
up on Monday. On Tuesday he rang me up that he had
oppression of the chest. The leg was already well in a
day, so that he was back in school on Monday. He had,
however, taken the tablets further also since they had
helped him so well. He came to the clinic on Tuesday.
The Erysipelas has been healed completely and the
oppression was conditioned only by the taking of
Lachesis for a too long period. After stopping of the
Lachesis all the remaining complaints vanished.
Vol.228, and No.1/1983- Jan/Feb.1983]
The theme raises two questions:
1. What was Hahnemann's concept of Syphilis?
2. What is the significance of this concept in
homoeopathy today?
1. Hahnemann’s concept of Syphilis: To Hahnemann and
Physicians of his days, Syphilis encountered in daily
practice was different from now. It is not therefore
surprising that Hahnemann's scientific interest was
directed in thoroughly practical manner, to this ailment.
This practical interest is clear from Hahnemann's
"Instruction for Surgeons respecting Venereal diseases,
together with a new Mercurial preparation", published
in 1789. This treatise of Hahnemann presents his new
soluble Mercury preparation (Hydra-gyrum oxydulatum
nigrum), which we employ now as Mercurius Solubilis
Hahnemanni, homoeopathically, and which
Hahnemann, employed with great success in treatment
of Syphilis before discovery of Homoeo-pathy. This
essay of 292 pages gives in addition a detailed picture of
Hahnemann's clinical knowledge about the disease and
a reflection of the medical knowledge of those times
which considered gonorrhea and syphilis as
nosologically united. In his essay Hahnemann gives
accurate descriptions of blenorrhagic syphilitic local
symptoms as also the secondary and tertiary stages
with the appropriate therapeutic instructions.
In the year 1816 Hahnemann published an essay with
the title "On the venereal disease and its ordinary
improper treatment". In it Hahnemann controverter the
entire dominant medicine, the "venereal disease which
from its beginning onwards has been bungled and the
local expulsion of the chancre is seen as the main
business of the cure of the venereal disease, the
requirement of mercury internally being of minor
importance". It is essential to highlight the underlying
concepts of syphilis of Hahnemann. These are:
Volume I, 1984
© Centre For Excellence In Homeopathy
1. Hahnemann places Syphilis in analogy with the
acute miasmatic eruptive disease, from which the
chronic is left out.
2. After infection, through contact, the eruption, that
is, the chancre "does not come to the force until the
whole organism is infected completely".
3. The chancre indicates the completion of the
infection and development of the miasmatic disease
and hence the subsequent eradication of the
chancre is futile.
4. In as much as the chancre emerges only "to silence
the internal venereal disease and as its substitute,
its eradication is not only therapeutically futile but
at the same time dangerous also, since with the
eradication of the vicarious local symptoms the
syphilis does not any more break out fully.
5. In the year 1816, the Blennorrhagia and its
connected symptoms were not anymore connected
with Syphilis.
6. Hahnemann indicated the contagion in Syphilis as
"poison" or "miasma".
7. The miasma is caught and transmitted to the whole
organism only by contact and from the moment of
8. The syphilis, "as venereal disease, remains always
the same with respect both to their origin and
nature". In the words of the Organon it is also a
firmly fixed venereal disease.
So much about Hahnemann's conception of syphilis in
Later Hahnemann recalls that the question of
homoeopathic cure of non-venereal varieties of
"chronic diseases" occupied him for 12 long years from
1816. The results of these is his work "The Chronic
Diseases, their peculiar nature and their homoeopathic
Cure" which appeared in 1828. The second Edition
appeared in 1835. Accordingly curable are:
1. The acute diseases, contagious and fever;
2. The chronic venereal diseases.
Incurable remain the non-venereal diseases. How one
cured these homoeopathically? According to this
Syphilis is not part of actually difficult "chronic
diseases". Nevertheless Hahnemann recapitulates in
besides the figwarts, syphilis also. He does this not only
to be systematic but also because syphilis was for him,
as paradigm, miasmatic chronic disease, in agreement
with his experiences with non-venereal chronic
diseases. The non-venereal chronic diseases likewise
were figured out as miasmatic disease Psora. In the last
sixth Edition of Organon of Art of Healing (1842) syphilis
is spoken of in ten paragraphs (para 29 foot-note, 40,
41, 79, 197, 201, 294, 206, 207 foot-note and 282
footnote). From above references emerges the fact that
between the periods 1842(vi-Edition), 1835 (chronic
Diseases) and 'on the venereal diseases . . . (1816),
basically nothing has been changed.
2. What is the significance of Hahnemann's conception
of Syphilis for Homoeopathy now?
The syphilis concept of Hahnemann, as shown already,
is not different from exact syphilis. As disease concept it
is purely medical concept including the aetiology,
manifestation, progress and therapy. As a medical
concept it fits in the course of medical history.
Hahnemann's not-closer-definable 'Miasma', was
identified as 'spirochaetae pallia' by Hoffman and
Schudinn in 1905. Thus the interpretation of
Hahnemann as a physician, of transmission of an Agent
by contact only which spreads from its commencement
was corroborated. The indefinable miasm can also be
said, historically, as the 'preliminary' to the concept of
syphilis in homoeopathy today. The role of the primary
affection requires to be corrected. On the other side
Hahnemann's appeal against the therapeutic removal of
the chancre is fully justified there. Cure of Syphilis in
Hahnemann's method is total eradication of local
symptoms along with the internal miasmatic (also the
spirochete infection) with homoeopathic specific
remedies Merc. sol. or Vivus C30 as the case may be.
Volume I, 1984
© Centre For Excellence In Homeopathy
Today the Penicillin treatment does the same. But are
they same?
In any case it is certain that the different
current interpretations about a homoeopathic cure of
the so-called syphilis miasm cannot be identified with
Hahnemann's concept of cure of syphilis, whether and
how far these theoretic and practical interpretations
bases genuine phenomenon or whether based upon
speculation which cannot be proved, Homoeopathy
must now make it subject of critical exercises, where
the current miasm theory and such must become
questions to be considered.
ZEITUNG, Vol.228, No.1, Jan. Feb.1983; translated by
Dr. K.S.Srinivasn, Madras]
VOL.I No.2 September 1984
1. HOMOEOPATHY: A clinical Science by Jesse A Stoff,
2. MEDICINE: A discipline between Art and Science
by Dr. Herbert Pietschmann
6. A CASE OF CROHN'S DISEASE by Dr. Hans Leers
9. AGNUS CASTUS: by Dr. Gerd-witte
10. TUMOUR VIROLOGY by Dr. Lionel Crawford
(A compilation of some of the more important articles
from the British American and German Homoeopathic
Journals-condensed. Also articles of general medical
and scientific interest with particular reference to
(Translation, condensation and compilation by
Dr.K.S.Srinivasn, Madras, for private communication
Vol I No2 Sep 1984
Dear Doctor
Judging from the letters received so for the 'Digest' has
been well received. It is evident that many felt the need
for this kind of a Literature in Homoeopathy. I am glad
that I have been able to fill in this gap to some extent.
To meet many requests for the ''Digest' I am reprinting
this issue in a more elegant and handy format. As
clearly stated in the first issue, this is not a commercial
venture. Subscription rates will be in accordance with
the actual cost of the production. The more important
point is that genuinely interested persons who will
study the material closely, discuss it and use it should
join as subscribers. You can inform me of the name and
address of those who may be interested so. I also
request for 'feed-back'. That way we can make real
contribution to the Materia Medica, Repertory and
through to Therapeutics.
In this issue are included:
Two articles from the British Homoeopathic
Journal on the principles/philosophy of Homoeopathy.
Case Reports from the Journal of the American Institute
of Homoeopathy, illustrative of the excellent work 'lay-
practitioners' in Obstetrics. Also comments on the case
of 'Warm natured Arsenicum' given in the last Issue.
From the German Sources: Two Case Reports of
Incontinence of Bowels treated with Aloe. A case of
Crohn's disease in which Aloe failed and Veratrum
succeeded. Case Report of skin disease cured by Nux
Vomica - a really instructive one. Case Report of cure of
Multiple Sclerosis - one of the most difficult diseases -
Volume I, 1984
© Centre For Excellence In Homeopathy
and uses of Nosodes. A case of Prostati tis cured with
Agnus castus.
Kent Reportory in German is generally in three volumes
and in the original articles according to the pages in the
respective volumes have been whereas I have, in the
translation, given the page numbers according the
editions available here, to make reference easy. The
condensation has been minimal.
Lastly an article on Turnover Virology from the Journal
NATURE. In the light of the fact that the Wart viruses/
papilloma viruses are probable tumour promoters our
'anti-sycotics' have to be studied in great depth.
Hahnemann's concept of Chronic Diseases is of
PRACTICAL use and is not a mere theory.
With Treatment Greetings,
Yours sincerely
PLOT NO 1253, 66th Street
MADRAS 600 080.
Jesse A Stoff M.D.
In these misguided days of testing a specific
homoeopathic remedy against a specific allopathic drug,
it is important to take a step back and look at the
question in its entirety. To gain an insight into
homoeopathy it is necessary to begin with a holistic
image of the being of man and that we suspend our
dogma of western biological science.
The reductionistic approach taken by western medicine
leads to a superficial description of the chemo-
mechanical workings of cells, organs and body,
Operations under purely chemo-mechanical assumptions
has proven self-limiting because its own standard of
research methods show that living physiological systems
are not in chemical equilibrium but are maintained,
while alive, in a steady state non-equilibrium
metabolism. Western science fails to describe the
mechanism whereby these living systems are
The biological organism is the comprehensive entity
whose purpose (essence) exerts an influence on the
operation of all or its various organs. The whole is
indeed greater than the sum of its parts.
The biotic sciences must, in other words, assess the state
of the organism against a concept of the healthful
operation of all of its functions, the body's operational
principles. From the holistic perspective the major
operational principle of lie may be characterized as that
creative energy which orders the entropic patterns of
matters in accordance with its own rhythmic processes.
Every organ serves some function in the maintenance of
the healthy operation of all activities in the organism.
Every cell and every molecule has been permeated with
the unified aims of the whole biological being. Working
with man in a holistic way, we endeavor to understand
the unfolding, circulation and balance of this creative
energy within the microcosm that is each of us. An
imbalance in the creative functional level (Hahnemann's
'vital force') of man causes a skewing of the noral inter
relationships and results in a state of disease. Illness
once recognized and accounted for correctly, leads on to
appropriate therapeutic measures.
Holistic physicians have realized that symptoms
are merely the body's best attempt at demonstrating and
correcting a supersensible imbalance. Unless the
imbalance is worked with on the plane from which it
originates, and not just suppressed on the physical level
with drugs (drugs may be life saying but are rarely
curative), a deeper, more severe illness will result.
The homoeopathic remedy thus being a rarefied
therapeuticum, correctly applied, relates to the creative
functional level of man and therefore has the potential to
root out the cause and right the imbalance. This then
raises the question of how to correctly apply the
medicament. Hahnemann proclaimed "Similia similibus
curentur". Through his comprehensive philosophy of
Steiner we can now begin to explain more accurately
how potentized medicines act on the metaphysical
energy system of man.
As homoeopathy is a clinical science, each
problem that a patient presents with must be looked at in
the context of the individual affected. Homoeopathy is
more than any remedy, it is an approach. Any well
Volume I, 1984
© Centre For Excellence In Homeopathy
designed research project must test within the sphere of
that which is being tested. In the context of
Homoeopathy, that means following patients over a
period of time while they are appropriately treated and
managed by the homoeopathic physician. The length of
time necessary for follow-up would depend upon the
type of illness and the remedies involved, as some are
said to take longer than others to begin to work. Who
can say that a patient's good responses to a second
remedy given was not because of the first remedy,
although possibly showing 'little' physical evidence of a
response, actually prepared the patient for the
improvement (one must obviously take into account the
length of time a remedy is said to work for, once it is no
longer given). Such problems as 'proper clinical trials'
are not new to homoeopathy; those who do not study
the past are doomed to repeat its failure.
It is a highly questionable scientific practice to
dismiss a body of significant empirical evidence (such as
homoeopathy) simply because the underlying
philosophy, which rationally interprets such results,
assumes premises foreign to those currently accepted.
[Condensed from the BRITISH HOMOEOPATHIC
JOURNAL, Vol. 72, No 3 July 1983; for private
communication only]
SCIENCE - Dr Herbert Pietschmann, Professor of
Physics at Vienna University
INTRODUTION: Today, there is again, considerable
discussion as to how far medicine should make use of
scientific methods and as to what should be regarded as
"scientific" method. We are all agreed that medicine is
one of the fields where specifically human aspects also
have to be taken into account. We need to consider in
detail how the concept of "science" has arisen, how it
has evolved, and the advantages and disadvantages it has
brought with regard to our way of thinking, actions and
SCIENCE: Man finds himself facing two classes of
questions: "Questions as to meaning of life, of existence"
and "Questions as to the locus of existence"-- Nature and
Spirit. "Locus of existence" relate to the natural world
around us and also locus of our own self i.e. human
body. "Meaning of existence" call for individual, highly
personal answers.
Science is the attempt to describe nature, in a generally
valid way, so that the description has the same
validity for every individual. It is an attempt doomed to
failure from the fact that every civilization has
developed its own "images of the world", its own
specific description of nature.
The reason for this failure is that spirit and matter, of
meaning and locus of existence cannot be separated. The
individual does not exist within nature merely as an
animal, but, having conscious awareness, also as a
unique, irreplaceable subject, different from all others.
Every human being thus has his own image of the world.
A definition of nature of universal validity is therefore
an absolute impossibility.
Science as we know it in the western world
from the time of Galileo is a radically new approach
in which the two opposites, "individual" and "general",
are combined in synthesis. Galileo established a new
criterion for truth: Truth was only what (in principle)
everyone could test for himself and see to be true. The
means used for this was the experiment. The completely
new element brought in by Galileo had to do not so
much with method as such, but rather with truth and
authority. Galileo's method is useful ONLY for
establishing a general concept of nature. Laws of nature
can never give an answer to questions as to the
meaning of existence.
Galileo's approach was so radical that at first it
was impossible to bring it to realization. Very soon
natural science, initiated to get rid of false authority,
itself became such an authority, presuming to decide on
the basis of theoretical considerations what could be
accepted as fact in nature.
To sum up, let me stress once more that science
is always wrongly used if it is not based on experiment,
but decisions as to the factuality of phenomena are
attempted on the basis of theoretical considerations.
Anything that gives repeatable results open to
examination that do not depend on the individual
experimenter with extraneous factors eliminated to
give a sufficiently clear picture counts as scientific data,
irrespective of whether there is a theory to account for
it. Fitting the data into a construct of theories is
presumption and not a criterion in the sciences.
ART: Artistic activity will always be the activity of a
particular individual. Science tries to analyze the
relationship of man to the things round him, whereas
art always aims for the direct relationship from person
to person. Scientific methods and scientific finds can be
Volume I, 1984
© Centre For Excellence In Homeopathy
studied and learned, whilst artistic skills have to be
acquired by practice.
To sum up this point, let me repeat that for the present
purpose I should like to consider art as an activity
concerned with individual, personal qualities that
focuses on the individual in the uniqueness.
MEDICINE: In his book entitled Vom Sinne des
Erkrankens (On the meaning of falling ill) Friedrich
Weinreb has written: "Science can explain man, analyze,
measure and treat him, yet at the same time man
withdraws from science into a causal sphere where
nothing can be measured and determined, where he
cannot be treated, but perhaps be loved and given
trust, where aspiration and devotion are all that counts.
Man is both these things, not just the one or the other."
These words make it very clear that medicine cannot do
without either of those two domains and that a
physician who wishes to take his patient seriously as a
human being has to achieve a synthesis in his actions of
what at first sight seem incompatible claims.
The greater the number of different methods of
healing that compete with one another, the sooner will
it be possible for medicine as a science to create a space
for freedom, for and within itself, and the greater will
also be the freedom the patient has in choosing the
physician or the method of treatment he wants.
Why is it then so difficult to apply such a
concept in practice? This is due to certain
defensiveness, an attitude that is all too human. I think
this helps us to understand why established medicine
has built walls around itself to k