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CENTRE FOR EXCELLENCE IN HOMEOPATHY

CONTINUING HOMEOPATHIC MEDICAL EDUCATION SERVICES

QUARTERLY HOMEOPATHIC DIGEST

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.)

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QUARTERLY HOMOEOPATHIC DIGEST

(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 TRIAL OF HOMOEOPATHY:

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]

CONTROLLED TRIAL OF HOMOEOPATHIC TREATMENT

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

rheumatologist.

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

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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

1983]

------

CASE TAKING IN CHRONIC CASES by Dr. Raul Ibarra

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.

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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.

observable).

9. After talking the case, symptoms should be

analyzed and evaluated and arranged in a

hierarchy.

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

antidote.

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)

symptoms:

"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]

-------

THE CASE OF THE WARM-NATURED ARSENICUM by Karl

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

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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]

------

THE HOMOEOPATHIC TREATMENT OF TARDIVE

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

neuroleptics.

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

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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.

CHLORPROMAZINE:Chlorpromazine(CPZ)hasbeen

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

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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

symptoms:

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

similimum.

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.

10 STEPS TO EXAMINE FOR TARDIVE DYSKINESIA

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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

dentures.

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

mouth.

10. Have the patient walk around.

[Condensed from the journal of the American institute

homoepathy Vol. 76 No 2/ June 1983]

NEW TOXICOLOGY: CARCINOGENESIS by Peter Fisher,

MRCP.,M.F.Hom.

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

products.

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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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

groups:

1. Pathological: Drugs which are inherently

carcinogenic, or are close chemical relatives

of known carcinogens (e.g. alkylating

agents).

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.

Table 1: ESTIMATED PERCENTAGE OF CANCER DEATHS

ATTRIBUTED TO DIFFERENT FACTORS

Factor Best

Estimate%

Range of

Estimate

Tobacco 30 25-40

Alcohol 3 2-4

Diet 35 10-70

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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.

Table 2: GUT BACTERIA, THEIR PROPORTIONS AT

DIFFERENT SITES

AND THEIR GLUCURONIDASE ACTIVITY

Organism % of total floara in β-

glucuronidase

Activity

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

Bifodobacterium

spp

69 24 24 1.9

Enterobacteria

spp inc.

Escherichia

Klebsiella

Salmonella*

Shigella*

Proteus*

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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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

suppression.

CONCLUSION:

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.

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------

[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

scabies.

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

THEM INTO ACCOUNT AND PUT THEM INTO PRACTICE

SO AS TO OBTAIN A TRULY HOMOEOPATHIC

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.

THE BASIS FOR RECOGNIZING THE DIFFERENT MIASMS:

Hahnemann states that even in his times syphilis was

recognized as a miasmatic disease, which is the result of

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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.

APPLICATIONS OF MIASMATIC DOCTORIME: If we

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

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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]

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

CAUSTICUM AND THE REMEDIES FOLLOWING IT: by DR.

G.v.Keller

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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hot which remained up to evening when a violent,

burning itching remained, was soon cured by

Causticum."

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

once.

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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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

tremendously."

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

swallowed."

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

mouth."

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

scarf."

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

indicated.

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.

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

[Condensed from the ALLGEMEINE HOMEOPATHISCHE

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.

[From the ALLGEMEINE HOMEOPATHISCHE ZEITUNG,

Vol.228, and No.1/1983- Jan/Feb.1983]

---------

WHAT IS THE SIGNIFICANCE NOW OF HAHNEMANN'S

SYPHILLIS CONCEPT? By Dr. W.Klunker.

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:

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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

inoculation.

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

1816.

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.

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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.

---------

[Condensed from the ALLGEMEINE HOMEOPATHISCHE

ZEITUNG, Vol.228, No.1, Jan. Feb.1983; translated by

Dr. K.S.Srinivasn, Madras]

QUARTERLY HOMOEOPATHIC DIGEST

VOL.I No.2 September 1984

CONTENTS

1. HOMOEOPATHY: A clinical Science by Jesse A Stoff,

M.D.

2. MEDICINE: A discipline between Art and Science

by Dr. Herbert Pietschmann

3. ACUTE MEDICINE

4. COMMUNICATIONS from the JAIH

5. INCONTINENCE OF BOWELS by Dr. H.Lennemann

6. A CASE OF CROHN'S DISEASE by Dr. Hans Leers

7. SKIN SYMPTOMS OF NUX VOMICA by Dr.G.V Keller

8. MULTIPLE SCLEROSIS

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

Homoeopathy)

(Translation, condensation and compilation by

Dr.K.S.Srinivasn, Madras, for private communication

only)

QUARTERLY HOMOEOPATHIC DIGEST

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 -

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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

Dr K.S.SRINIVASN

PLOT NO 1253, 66th Street

Korattur

SEPTEMBER 1984

MADRAS 600 080.

HOMOEOPATHY - A CLINICAL SCIENCE

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

maintained.

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

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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]

MEDICINE - A DISCIPLINE BETWEEN ART AND

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

culture.

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

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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 keep out all new

approaches--even if it does not excuse it.

We must be careful not to go to the opposite

extreme. We cannot do without scientific method, but

science must never be taken as the theoretical or even

ideological reason for condemning or even

anathematizing an alternative method, providing the

alternative method adheres to the criteria of

verifiability, reproducibility and isolatability as far as the

phenomena are concerned.

With regard to medicine recognition must be

given to the fact that there are different methods of

treatment, and that every patient is regarded as an

individual person as well as representing the whole of

mankind, that he shall never be seen just as a means,

but always also as his very own end in himself. Physician

and patient are given the responsibility and freedom to

decide on a particular method in every concrete case.

Putting aside neither the marvelous knowledge medical

science has brought, nor the still much more marvelous

human relationship between the sufferer and the one

who comes to his aid.

[From the BRITISH HOMOEOPATHIC JOURNAL, Vol. 72,

No 3, July 1983; condensed by Dr K. S. Srinivasan,

Madras; for Private communication only]

ACUTE MEDICINE

CASE 1: A 32 years old woman was having her 3rd child,

at home. First 2 children were born in hospital. The

pregnancy was complicated by Crohn's disease. Now

that Crohn's disease was in remission her pregnancy

was healthy and happy. There was much preparation by

way of good nutrition, vitamin supplements, prenatal

care and birth classes. Last examn, one week ago, she

was dilated to 3 cm; cervix 50% effaced and quite

relaxed.

During her 39th week of gestation, amniotic sac broke

at 5.30 a.m. Fluid clear of meconium no odor. No

uterine contractions or any extra vaginal/cervical

pressure. On exam. at 8.30 a.m. all assessments were

same as her last prenatal examn. Fetal Heart rate was

135 beats per minute. She had eaten a good breakfast

and slept well the night before.

I was called a 12 midnight; her contractions had

been 10 mts. apart since 10 p.m. I arrived at 12.45 a.m.

and found very excited in anticipation of the birth, She

had dilated to 4 cm; during the night she became

increasingly restless and began to pace. At 3 a.m. she

approached with BP cuff, stethoscope, getascope,

gloves, and KY jelly and demanded "check me". She was

quite despondent to find her measurements the same

with the exception of a -1 station for the baby's head

with 100% effacement. She told me she had been

crying. "I never cry. It upsets me to cry. My husband

couldn't believe I was crying." She also said "I want this

to be over."

She was tired and was driven to pace heavily. BY 6 a.m.

no change. She had no thirst and was chilly; yet when I

placed my hand on her abdomen she said, "Oh! that

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feels better. Leave your hand there. Put your other

hand on my stomach." She was pale, weepy and

despondent, fretful and fidgety. She had a sore uterus

and so was experiencing more rectal pressure than was

appropriate for the station of the head. Pulsatilla 200.

Following the remedy, she was able to go to

bed for her real rest since the onset of labor. Also began

to sip water. By 7.50 a.m was 9 cm.dilated. At 8.30 a.m.

she was very exhausted and called out "How come my

contractions are not as strong as they were?". On

examn. I found that her dilation had regressed to 7cm. I

suggested a hot shower to help refresh her. Her

response was, "I just don't have the energy to do

anything. I just wish I could sleep".

She was how having nausea with each

contraction as well as flushing. She felt and began to

eat ice chips after each contraction. I felt her uterine

inertia was due to extreme exhaustion. Her uterus

seemed too weak to develop normal contractions.

Caulophyllum 500 at 8.50 a.m.

Within 10 minutes her labor re-established

itself with contractions two minutes apart lasting up to

1 and 1/2 minutes. Seemed less exhausted and able to

stay with the sudden onset of regular, intense

contractions.

By 9.10 a.m. she had reached 8 cm. with

contractions two minutes apart. By 10 a.m. she reached

9 cm dilation for the second time and was resting well

between contractions. At 10.15 a.m. she was

completely dilated and with a strong urge to push (1

hour 25 mts. after the second prescription).

She began to push her baby out in a slow and

gentle manner. When the head emerged the cord was

wrapped around the neck once and also around a

shoulder. I freed the cord and a baby girl. 7 and ½ 1bs.

20 inches long, was born with an Apgar of 8 at one

minute and 10 at five minutes. The labor had lasted 13

hours.

The baby's head had been considerably molded

and the infant was crying the distressing cry of a new-

born after a traumatic birth. Arnica 200, given two

minutes post-partum.

Seconds later, the baby stopped crying and

began to observe calmly. The mother's uterus had good

tone, and 45 mts. later delivered the placenta. There

was a first degree midline laceration for which a fourth

homoeopathic medicine was prescribed. Calendula

tinct.

Three days post partum the lacerations began

to sting and produce pains shooting up her rectum.

Hypericum 200. At eight days post partum mother and

baby were healthy and happy.

Beth Holly

lay prescriber

Nevada City

CALIFORNIA

A 31 year old woman awoke with h.a. in the

forehead. Soon thereafter she broke out in a clammy

sweat on forehead, arms and thighs. Few minutes’ later

diarrhoea began which "gushed out". No flatus,

concomitantly severe abdominal cramps which began

around navel and radiated down to pelvis. The cramps

were so painful that she found herself involuntarily

doubling over and crying out. The diarrhoea occurred

every few minutes. Sweating became so profuse she

changed her nightgown three times in 2 and 1/2 hours.

Soon began to vomit and the intensity of the vomiting

matched the diarrhoea. First undigested food, then

mucus only, finally dry retching. Tongue coated white.

Violent rumbling and commotion in the abdomen.

Prostration. Ars.alb.200 in distilled water every 10

minutes.

An hour later there had been slight or no relief.

She mentioned her fingers and toes looked blue and her

nose was cold. Veratrum alb.200; A few minutes later

she phoned to say that within 15 minutes of the

medicine the symptoms began to subside. She was

completely well within two hours and able to eat food

normally! As her appetite returned, she noticed she was

craving salt!

----- KR

[From the JOURNAL OF THE AMERICAN INSTITUTE OF

HOMOEOPATHY, Vol.76, No 3- September 1983]

Reactions to the case of 'The Warm Natured

Aresenicum' published in JAIH, June 1983 and

condensed in the Quarterly Homoeopathic Digest, June

1983

I would like to comment on 'The Case of the Warm-

natured Arsenicum' published in JAIH, June 1983. I

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agree that the prescription of Ars. was correct, but it

appears to me that this was not a case of a Warm-

natured Ars. but an Ars. case which was not yet chilly.

It was an acute case of Ars. which probably required

another remedy based on other more chronic

symptoms. The sense of powerlessness and fright felt

by the patient as a result of her daughter' illness and

the tactlessness of the psychiatrist was an acute

change. This, plus the sleeplessness after 2 a.m. a highly

anxious restless state, occasionally drinking water, and

the dislike of being alone, form the acute picture of Ars.

The chilliness was absent because it was not yet a

symptom. Had the case progressed further without

treatment, possible she would have become chilly.

Possibly the patient may not have been susceptible to

this acute Arsenicum state if she had received a more

constitutional remedy some months before - Robert M

Schore, M.D.

[From the JAIH, Vol. 76, No 4 December 1983]

I read with interest your notes on Ars. alb. My

homoepathic instruction was in the days when Dr

Boyson was the senior teacher at Millersville. And his

teaching was that a typcial case of Ars. alb. with the

tendecy to be warm was Secale. I would be interested

to know what would have happened if that had been

given, Of course, we won't know. I have followed this

concept on one or two occasions; and while the

symptoms did not fit the repertory for Secale too well

the results were good.

[Evarts G Loomis, M.D. Hemat, California]

[From the JAIH, Vol.76, No 3 September 1983]

INCONTINENCE OF BOWELS

Dr H Lennemann

Case 1: Frank K, 20 years, referred on 12.2.1975.

Anamneses: Since 2 years he passes stool in his pants,

chronic particularly worse during full moon time. He is

not aware of the passage of the stool and his parents

had to therefore tie a napkin. With regard to urination

he has been clean from early.

Parents and a younger brother are healthy. First a

pediatrician was consulted and he was in a children's

hospital twice and ultimately to a Neurologist who

thought it to be of psychic origin. His treatment was not

taken. In December 1974 he was in the City Children's

clinic in Gelsenkirchen for 14 days.

Findings: The discharge report said: Weak sphincter

tone. Bowel full with formed stool, Perianus smeared

with stool. A rectoscopy revealed no organic changes.

Lumbar puncture indicated normal proportions.

Microscopical examinations of the stool indicated no

undigested matter, neurological examination gave

normal findings. The passage of stool was not noticed,

an incontinence.

Diagnosis: The conclusive diagnosis was: Regression, the

more the attention. Recommendations were twice daily

Lecicarbon Supp. Diet with poor quantity of waste and

that he should be compelled to wash his pants.

Therapy: During the first consultation I had

misunderstood the description given by his grandfather

who accompanied him and gave a medicine against

enuresis.

After 14 days, in the second consultation,

there was no change of the complaint; the stool was

passed more times daily involuntarily.

Consequently ordered Aloe socotrina D6,

thrice a day five drops. Progress; after four weeks

reported that no more involuntary passage of stool had

taken place, and stool does not escape.

Because of his attitude, now Calc. carb D6. 14 days

later; Progress well. If medicine not taken regularly, it

escapes again.

Aloe D12, three times a day. Further 14 days later.

Remains well. Three months after commencement of

treatment: Was with his parents at the Northsee.

Remained well. Four weeks later. All well. But must take

regularly. Now three years since commencement of

treatment the parents send me their other child for

treatment.

Case 2: Anamnese: Mr K was 50 years old at the time of

commencement of treatment; was operated for

Seminoma of the size of a goose egg during his 35th

year. The hospital reports with histological report was

seen. During the ailment radio-therapy has been done

and Endoxan given.

The diarrhoea which set in after that was evaluated as

reaction to the radiotherapy. The patient has tolerated

this diarrhoea throughout these 15 years. That was not

simple always, since he was a stucco-worker and had to

beware himself, and a sudden urge for stool drove him

down from the scaffolding. Therefore the stool was

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often passed in the pants. He was ashamed of this and

washed his underclothes himself secretly. As a

precaution he put on wadding.

The urge for stool came 15-20 times a day. He has tried

Carbon and other to get some relief but did not

succeed.

Therapy: on 4.12.75, Aloe D4, thrice a day 5 drops, for

the diarrhoea with incontinence.

Progress: Review after 14 days: From the second day

the stool normal consistency. He took Aloe further till

from Feb. to March this year when he was in a health

resort when he did not have "his medicine". The

resident physician gave him Mexaform. It did not in any

way help the diarrhoeic disposition.

After he returned home took Aloe again, stool 3-4 times

only of normal form, color and consistence.

Conclusion: An Incontinence alvi, after radiological

proctitis after which stool evacuations up to 20 times a

day, was normalized by Aloe D4. During a vacation at a

holi-day resort the diarrhoea relapsed which

disappeared again under Aloe.

[Translated from ALLGEMEINE HOMOPATHISCHE

ZEITUNG, BAND 228, 1983, No 2, March - April, by Dr K

S Srinvasan, Madras, for private communication only]

A CASE OF CROHN'S DISEASE

Dr Hans Leers

On 25.5.81 a 12 years old girl was brought to me by her

parents. The father is a teacher. According to the

mother Internist has diagnosed a "Crohn's disease". The

disease is in existence since 3/4 years. The child 'site'

four times daily, mostly often thrice in the morning at

short intervals. The urge comes suddenly; at times it is

passed in the knickers. Severe abdomen pains before,

particularly in the umbilical area, often to the extent of

making her scream; she lies then on the abdomen. After

stool the pain slackens. The stools are slimy, sticky,

glassy, greasy, at times undigested, mostly bloody,

often only blood. After that the urge continues,

ineffectually, she must sit long. Rumbling in the

abdomen and stinking flatus. The anus itches mostly.

She has always hunger and craving for fruits which did

not aggravate.

Other complaints: Mornings the tongue and mouth are

dry. In winter chapped lips. The nose is often

obstructed. Oftener skin itching without any eruption,

particularly in warmth. While swimming she feels chilly,

freezing, Restless while sitting, Irritable bladder.

V[1-35]Previous history: The Internist has said: "It lasts

20 years and perhaps longer". Rectoscopy revealed,

among others, granulomatous tissues. The liver

evaluation negative. As the disease has been in

existence since long, she must be put in the hospital.

The parents do not want it.

Previous disease: Measles, Chicken-pox, frequent

anginas. Vaccination. No menarche yet. Fell from horse

two years ago but no consequences.

Mentally a very serious and silent nature. She was not

so earlier. In the school she is very ambitious and when

she has to go 'out' often, feels very much distressed.

When she has to take a decision or under pressure for

time or work-load in school the abdomen pain is worse.

She tyrannised often her sister two years younger;

occasionally she becomes furious and throws things.

Signs and symptoms: The abdomen is painful to

pressure, especially around the umbilicus. Tympanie,

more left side. The liver is painful to pressure, but not

enlarged. On the soles of feet can be observed reflexive

pressure points of intestines and liver. Cold feet. Cold

nose tip. Cracked corners of mouth. The tongue is red

and in the middle is a lengthy furrow (intestine;). The

tonsils are both sides from pain to pressure from

outside. Lymphatic glands of the sub-maxillary angle

palpable. General emaciation; weight with clothes 37

kg. The skin is parchment-like, desquamates and with

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brown colored warts. Dandruff. Wetness of palm;

plenty of fine lines in hand. Stool passed during

consultation bright brown, pappy, bloody, slimy, sticky.

As treatment the mother gave Chamomille tea, fools

parsley, Dutch rush (Equisetum hyemnale), etc. Also

oatmeal gruel, warm hip-baths, sauna, reflex-zone

massages of the soles of the feet. I ordered dry brushes,

hot sand baths of the feet, abdomen pickings. None

helped. Also Nux-v., Merc., Phos., Sul., Arg-n., Carb-v.,

did not help.

Salient-- first of all only for the local symptoms -- of the

continuous urging to stool even after evacuation, Card

2946 ( Kent p.634) with the predominant abdominal

pain before stool and "urging sudden", "flatus stinking"

and "umbilical area pain before stool" pointed out as

the only remedy, Aloe, It is of course a colitis remedy.

But it did not help. One must search deeper.

Unconscious passing of stool - and otherwise the small

patient feared something to be lost: she feared to come

badly against the younger sister. She was, against this,

very ambitious (Synthetic Repertory I/23), took

everything very exactly, worked very seriously along

than before, appeared dictatorial. We know that the

Colitis is caused mostly by psychic reasons. A "psychic"

medicine, which at the same time worked upon the

intestine, must complete the treatment. For that if we

take the craving for fruits and the amelioration after

stool, then it comes to Veratrum. From Verat. D12 and

later on 31.7 as D.200 the course was changed first;

since 15.9 formed stool, no blood any more, no

abdomen pain at all and only one evacuation daily.

After that sporadic relapse. 27.12 once again Verat.

28.12 everything well., Weight increase, Mentally well-

balanced. Everything well till date.

[From the KLASSISCHE HOMOEPATHIC UND

ARZNEIPOTENZIERUNG, Band 27/1983, No 3, May/ June

1983; translation by Dr K S Srinivasn, Madras, for

private communication only]

V[1-36]

SKIN SYMPTOMS OF NUX VOMICA

G.V. Keller

The patient D.A. suffered since years about her

deformed finger nails and also about a fungus growth in

the vagina with severe leucorrhoea, itching and

burning. None of the relevant medicine like Kreosote,

Silicea, Graphite or Natrum muriaticum succeeded in

any way. On 24.9.82 she complained further the

following:

Period 5 days too early; Sleeps well in evening, then lies

for long time awake and sleeps again in the early

morning; when must get up later, she feels she should

sleep some more; She snores heavily in the sleep in

evening and also by lying on sides;

Sensation of tenseness in top of head if she had over-

eaten. Feels best when she eats less. I gave her NUX

VOMICA LM VI AND IX from which not only the last

appeared symptoms disappeared but also the

leucorrhoea and the deformity of the fingernails was

improved.

Thus it was demonstrated to me the main points as to

how little the so-called "Major working region" of our

medicine, are relevant. One could get the impression

from the Lectures in the usual condensed Text Books of

Materia Medicas, Kent's not excluded, that Nux vomica

does not work on the skin. If one takes the formulations

of these Text books at their word, one gains, the idea

that 'Nux' suffers from a spoiled stomach, that in

general we should bear in mind the 'over sensitivity' of

this medicine and that the 'businessman' 'reacts' to

draft of air. We have read the so often and experienced

so often in our patients that if these standard symptoms

are not available we are tempted to ignore this

medicine. On the other hand, we have not read

anything of skin symptoms of Nux vomica so that it can

easily come up that in a case as this in which the Nux

vomica sleep symptoms could occasion our

consideration to incorporate it. If we use Repertory

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rubrics for deformed fingernails, itching due to

leucorrhoea, Nux vomica would be eliminated from the

beginning or at least remain in the distant background

and other medicines would be pushed to foreground. In

the setting of actual experience, it is clear, that in

mental disease the physical symptoms and in physical

disease the mental symptoms and in skin diseases the

entire symptoms of the case are to be considered for

selection of the remedy. For the same reason Kent

recommends to proceed from not local symptoms but

from the General, the remaining physical and mental

symptoms for selection of the remedy. He cites for this

a case of hip-joint disease (Coxarthrose). If we were to

limit our choice, he said, only to those medicines which

are well known in hip-joint disease, we cannot find the

right medicine. "The majority case of hip-joint diseases

which I have cured during the last 25 years were with

medicines which are not to be found under the rubric

hip-joint disease".

We have not heard of skin symptoms of Nux vomica

only because it has not been proved on humans with

skin sensitivity and also because the skin symptoms do

not belong to Nux vomica pharmacologically. So in the

provings skin symptoms have not practically been

produced, but almost constantly for example stomach-

intestinal symptoms. Now we are not to give medicines

to the healthy who are intensive to this medicine but to

those who have a special sensitivity to the medicine,

those who are allergic to the medicine, for proving. As a

matter of fact, worthwhile and sharp symptoms have

been obtained only when the proving medicine was

given fortuitously to a prover specifically allergic or

sensitive to the medicine. V[1-39]

To obtain the entire scope of action of a

medicine like Nux Vomica,it is not enough to record the

symptoms which have arisen frequently in the provings

on the healthy. The above only serves to determine the

main areas of action in pharmacological sense. For the

homoeopathic use, all the symptoms including those

observed only once in the proving and also those which

have been observed in the sick, be taken into the

Materia Medica.

If we take notice of only the pharmacological

action we can say that Nux Vomica does not act on the

skin. If we are to use our medicines in Hahnemannian

sense, we must be clear about it, that all abridgements,

like "Nux Vomica suffers from stomach ailments", "Nux

Vomica is cold-sensitive" or "in all Nux Vomica patients

we observe an over-sensitivity of nerves" just as much

as the not-so-verbally stated generalizations, must be

understood, like the comment: "Nux Vomica does not

work in skin diseases".

Moreover, 2 out of 18 Nux Vomica poisoning

cases published in the Cyclopaedia of Hughes showed

an aoatement of a chronic skin eruption due to acute

contamination.

[From the KLASSISCHE HOMOEPATHIE UND

ARZNEIPOTENZIERUNG, Band 27/1983, No.3/ May-June

1983, translated by Dr K S Srinivasan, Madras, for

private communication only]

MULTIPLE SCLEROSIS

H V Muller

The young girl born in 1952 is now 29 years old; her

ailment was first noticed after an attack of measles, in

the form of double images, vertigo and locomotor

disturbances and in the later years turned out to typical

MS. There were typical disseminated symptoms with

optic nerve inflammations, eye muscle and sensory

disturbances. At times there was complete blindness of

the right side. Since about 3 months appeared cramping

muscular twitches of the right had, the right arm and

right half of the face with following numbness and

disability to move the right hand, besides speech

disturbances and headache. Every attack was for 1-2

hours.

Psychopathologically, there was much anxiety

of further development of the disease and the future.

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Particularly the difficulty in finding words motor aphasia

which was required for her job as a Bank assistant. Since

about 4 weeks she was not working anymore and has

handed in her Invalid application. She is married but no

children. This was the picture as she came to me for the

first time on 31.12.81.

I began the treatment with thorough

instructions on diet which I modified according to Evers.

It was completely forbade pork in every form, wheat

flour, sweets and divided the food as 30% full cereals

consisting of bread, musli and cereal dishes, 30%

vegetables and fruits, 20% potatoes and 20% meat.

The homoeopathic treatment was according to

the respective symptoms at the time, like Agaricus,

Zincum, Mezereum and Strychnninum, besides with

nosodes like Morbillinum, Luesinum, Distemperinum

and naturally Rubeola which had removed all the

conditions which appeared after the MS. The use of

Morbillinum and Distemperinum requires explanation

and that because of the interesting subject, may be told

in detail.

In Measles, not all the viruses are eradicated by

the antibodies created, if particular relationships exists,

Virus mutations whose antigens are changed (Antigen-

shift), survive those pressures of the measles antibodies

and do not undergo the elimination. They are capable

of lying submerged in the brain cells. In the Virus

research section of the Max-Planck-Institute in

Martinsried, W.Neubert isolated as the earlier the

researchers in Houston (USA) and Kyoto (Japan)

isolated, an infectious virus like Agent from the brain

and spinal cord fluid of MS patients. Of course he

observed that it was a virus like the Measles Virus and

belonged to the Paramyxo-virus group. The gene of this

6/94 virus are integrated in the heredity substance of

the brain cells. By that alone the multiple sclerosis is not

explained, of course. Nevertheless it should be

considered that the prerequisites for it should be

looked for in Measles, which has occurred 30 or more

years before. Example is the appearance of Herpes

Zoster 30 years after a varicella infection or late

recurrence of the spotted fever after a Rickketsin

infection.

As common antigen components have been

observed in Measles and canine distemper virus

(Distemperinum, Staufen-Pharms Goppingen),

connections between Distemperinum and Virus 6/94

found in MS, so that the homoeopathic application of

this nosode is obvious.

Coming to our patient, I must say that to begin

with homoeopathic treatment with the high potencies

Similia Nosodes (C 30-200) did not have a favorable

action. Continuous, severe occipital headache which

increased by even the least strain e.g. assuming an erect

position from lying position and made rest at night

unbearable. The speech difficulties also increased

considerably. She also had right side double images and

a continuous increase of spastic paresis of right

extremities and the disturbances of equilibrium. Finally

she could have movement of a few steps in her room

only with support.

Those who have experience of homoeopathy

know that it may be wrong to give strong analgesics,

and other chemical preparations or even Cortison as in

a hospital to which place she was urged. It is difficult to

pass positive judgment over such devastating effects of

the first medication. But our homoeopathic thought

compels us to look at these initial aggravations as

favorable and wait, as I did.

After a few weeks everything went off as

quickly as they appeared and from then on improved.

About a half year after the commencement of

the treatment the patient was almost wholly cured and

showed only a small number of complaints.

The hitherto detailed description was necessary

to indicate the total disease picture and the

development up to the date when I searched for the

medicine to eradicate the remaining complaints.

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On 11.6.82 remained:

Muscular spasms below the left eye and the

left upper eyelid; sensation of heat in left leg which rose

from foot to the knee;

Unsteadiness of the right hand and the right

foot. Both did not obey automatically the cerebral

commands but only under visual control. While walking,

she observed nothing, only when the right hand or right

foot should carry our specific commands when there

was great weakness in the right hand and foot-joint. She

was right-handed earlier, now became left-handed by

this.

I found Mezereum, which in the beginning of the

treatment I had given once as the only second grade

medicine, by "Sensation of heat in leg" (Kent 1012) and

as the only third grade medicine "Unsteadiness of the

joints" (Kent 1222) and second grade in "twitching

upper lids" (Kent 269).

I gave Mezereum C 200 and saw after that a

complete cure of the patient which has, till date, 6

months after, held on. Naturally this is a disease which

developed gradually wherefore one cannot give

conclusive judgment. Nevertheless a reinstatement of a

disease of 7 years duration, in 6 months, like this

seriously developed MS is rare. The patient said that

she has never felt as well as now.

[From the KLASSISCHE HOMOPATHIE UND

ARZNEIPOTENZIERUNG, Band 27/1973, No 3/May-

June, 1983; translaetd by Dr K S Srinivasan,

Madras - for private communication only]

AGNUS CASTUS COLDNESS OF MALE GENITAL A CASE

OF PROSTATITIS

- Dr Gerd-witte

H M born in 1940, suffered Prostatitis in 1970 after a

cold bath in a gravel pit. It was on a hot September

evening after heavy physical strain in construction work

soaked in sweat. Treatment by family doctor and then

from a Urologist amongst others with large quantity of

anti-biotics. It did not suit the patient and he changed

and consulted a lady physician who declared that he

suffered from kidney stones. In the following he passed

two kidney stones. After 4 years specialist treatment,

homoeopathic therapy commenced.

The following symptoms: Frequent urination by

day and night. Because of this the patient has to stop

his four times within his one hour journey. Further,

pains in tip of urethra during urination, dribbling,

coldness and stricture of the penis after urination

particularly coldness and stricture of the entire genital

in evening in bed, so that it was necessary to have a hot

water bottle or lay a warm hand so that he could go to

sleep.

Loss of the otherwise active potency. Secretions

from the urethra during straining at stool, sensation of

pressure in anus while sitting, hot flushes in the thighs,

itching and weakness of the legs.

First Sul. which was not helpful in any way. In

January 1979 a single of Agnus M After that clear

improvement. In the following 3 years received single

doses of Agnus in potencies from M to LM and that 7

times Agnus 10M. Improvement started within the first

two weeks of the taking of medicine in that the

frequencny of urinaiton at night and the coldness of the

gential were well controlled. In January 1982 the

constitutional medicine Lycopodium given. After that

the patient had no need to wake at nights and the

pressure in the anus also went away. The other ailments

including the weak potency had already disappeared

early.

For the choice of Agnus the cold sensation and

the potency weakness were decisive.

Summary: A case of Prostatitis of 4 years duration for

which coldness of the gential organ as the pecuilar

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symptom of Agnus castus indicated. Through some

doses of high potency the main ailment was clearly

improved. For the rest Lycopodim as antipsoric was

given.

[From the Z fur KLASSISCHE HOMOPATHIE UND

ARZNEIPOTENZIERUNG, Band 27/1983, No 1, Jan. Feb

1983; translated by Dr K. S. Srinivasn, Madras for

private communication only]

TUMOUR VIROLOGY PAPILLOMA VIRUSES AND

CERVICAL TUMOURS

Lionel Crawford

Head of the Molecular Virology Laboratory

Imperial Cancer Research Fund

London

The epidemiology of cancer is, in general, not what

would be expected for a group of diseases caused by

infectious agents but there are some exceptions.

Tumours of the uterine cervix and elsewhere in the

female genital tract as well as cancer of the penis

appear to involve infection. Cervical cancer is strongly

correlated with sexual promiscuity both of women and

their male partners. Genital warts, which are caused by

papilloma viruses, are sexually transmitted and their

incidence is also correlated with promiscuity. About half

the women with vulvar gential warts examined in one

study also had evidence of abnormalities of the cervix.

The answer to question whether papilloma viruses are

implicated in the causation of cervical Tumours as well

as genital warts seems likely to be yes.

The incidence of genital warts, the incidence of

cervical cancer and the mortality from cervical cancer,

especially among women under 35 years old, have all

increased markedly over the last two decades. There

has been a substantial increase in sexual activity in this

country over the same period, coupled with a decrease

in the age of first sexual experience. The increasing

mortality from cervical cancer is particularly striking.

Certainly most women with cancer of the cervix have

been exposed to papilloma virus. It would be much

more convincing if evidence of persistent viral DNA

could be found in Tumours. Largely as a result of the

efforts of Zur Hausen and his group in Germany, DNAs

from several previously unknown types of Human

papilloma viruses (HPV) have recently been cloned and

characterized. Clearly the situation is complex but it all

adds up to a strong association of HPV with cervical

Tumours, particularly HPV 16 and 18. As with other

tumours, there may be several stages between normal

cervical cells and the fully malignant carcinoma cells,

with different agents involved at different stages. Work

with papilloma viruses in humans and animals suggests

that ultraviolet of ionizing radiation and chemical

carcinogens or promoting agents act in concert with

pailloma viruses to produce malignant that what has

been shown is an association between HPV and cervical

tumours with no proof that they actually cause the

tumours. The expectation would be that, if they did so,

it would be in conjunction with other agents.

[From Nature, Vol.310m 5 July 1984, condensed by Dr K

S Srinivasn, Madras: for private communication only]

QUARTERLY

HOMOEOPATHIC DIGEST

Vol. I No.3 December, 1984.

CONTENTS

1. THREE CASES OF ACONITE by Dr. Lozowski.

2. THE PSYCHOSOMATIC RANGE OF ACTION OF

IGNATIA--OBSERVED OVER A LONG PERIOD by Dr.

Manford Freiherr von UNGERN-STERNBERG.

3. IGNATIA AND THE CONSTITUTIONAL THINKING IN

HOMOEOPATHY by Dr. Georg von KELLER

4. THE INTERESTING CASE: AN IGNATIA--GLOBUS-

SYNDROME by Dr.H.Dindelaker

5. CANCER, CANCER THERAPY AND HAIR, Extract from

the LANCET, Nov,19, 1983

6. PERISCOPE by Dr.G.S.Hehr

(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

Homoeopathy)

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[Translation, condensation and compilation by

Dr.K.S.Srinivasan Madras, for PRIVATE

COMMUNICATION ONLY]

QUARTERLY HOMOEOPATHIC DIGEST

Vol. I No.3 December 1984.

Dear Doctor,

This is the third number of the 'Digest'. We have fixed

the 'subscription' at Rs.10/- per number based on the

actual cost of production, postage and such other

expenses. As already made clear in the First number this

is NOT a business Venture but only a 'Service'. The get-

up and format adopted also appears to be quite

satisfactory. We hope that you will study the material

closely and benefit. Let us work out programmes for

true Hahnemannian research and add to be Materia

Medica, Repertory and Therapeutics. Let Homoeopathy

earn its well deserved role in the day-to-day health care

of the people. HEALTH FOR ALL THROUGH

HOMOEOPATHY BY 2000 A.D.

A few words only about the contents of this number:

Three cases of Aconite; each one with a different

diagnosis but cause of ailment being the same, viz.,

mental 'shock'. That Aconite is not merely an 'acute'

medicine but works with equal efficiency in after-effects

of mental ‘shock’ even after 20 years, is indeed great.

We have given three different articles on IGNATIA

AMARA: Each of the articles, especially the first two –

by Dr. von UNGERN - STERNBERG and Dr. von KELLER -

are truly instructive. That suppressed grief,

disappointments etc., are one of the major causes for

Cancer - the psychosomatic aspect has been established

by actual case reports. Also discussed is the fact that

symptoms other than 'mental' also indicate the

'constitutional' remedy. An extract from the LANCET

indicating the luxuriant, downy growth of hair

(particularly in unusual parts) as also a pointer of

probable pre-cancerous state (again, our antisycotic

remedies which produced symptom of 'hair on unusual

parts', 'downy hairs' etc. are relevant). Link this with the

'tumour virology' in our previous number (NO.2).

We are happy to introduce a new feature: it is

titled 'PERISCOPE' - bringing to light literature which are

otherwise out of our sight, relating to Homoepathy,

published in different Scientific Journals the world over.

Dr. G.S.Hehr, Sriganganager, is endeavoring to collect

and furnish this column. It is our fervent hope that this

will help researches. To our knowledge this information

is not available in any of the Homoeopathic Journals in

the world. Let us make the best use of this additional

information.

With fraternal Greetings and BEST WISHES FOR A HAPPY

NEW YEAR

Yours sincerely,

K.S.Srinivasan, PlotNo.1253, 66th Street, Korattur,

Madras 600 080.

31st December 1984

THREE CASES OF ACONITE: by Dr.Lozowski, Warsaw,

Poland.

1. Case: 24-7-1979 called with 6 year old daughter G.E.,

who was suffering from a daily, nightly, stubborn

repetitive cough paroxysms which started regularly at

about 22 hours.

Cough tickling, dry and barking and remains for about

half an hour to 2 hours and occasionally brought about

vomiting. Exhausted after such a paroxysm and went to

sleep again but, however, awoke again once or twice

same night with similar severe cough paroxysm.

G.E. is ruddy cheeked, intelligent and physically well

developed.

The child was treated by different doctors

(pediatricians, laryngologists, neurologists, and

internist) who, because of the good healthy condition of

the child were not able to find any reason for the cough

paroxysms. Pathological changes were not found in the

lungs or in the pharynx and larynx. Prescriptions of anti-

cough and sedatives were unsuccessful, antibiotics

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specially Rondamycin did not control the cough for

more than 2 - 3 weeks

The mother said that G.E. suffered from Enuresis

nocturna up to her fourth year and because of that was

admitted in hospital. The child was very mild and was

afraid of darkness. Also had much fear of the hospital

and would not like remain there under any

circumstances. Nevertheless the parents left the child in

the hospital. The exact words of the mother: "A

wonder. From the first night spent in the hospital, the

involuntary urination stopped and did not return again.

"A week later was discharges by the hospital "healthy".

But the child had caught "cold" in the hospital and from

the time of discharge this cough came, which slowly

became obstinate and annoying and finally only at

nights. Since 6 months the cough is so exhausting as

reported at the beginning.

This is a psychopathically disposed child with enuresis

nocturna in the background. The child experienced a

shock because against its will and much fear it had to be

in a hospital alone; this state of shock caused that the

child from the beginning of its hospitalization remained

dry. The child began to cough in the hospital, but not at

all due to catching cold but because she had to endure a

shock whose consequence was the cough. The child was

and remained inclined to be psychopathic; there was

change only of the symptoms: in the place of the

involuntary urination irresistible cough which appeared

only in the night.

A single dose of 3 globules of Aconite D30 before going

to sleep was given

On 22-8-1979: after the first dose taken at 20 hours,

there has been no cough till date; that is, the medicine

was worked within two hours of its administration.

20-9-1979: On 15-9 the child suddenly developed a

temperature up to 40 c, vomiting and incoherent

talking, but up to 19-9 without cough. On 19-9-1979 at

14 hours came paroxysm of cough with vomiting as

severe as before.

On 14-9 the child received Aconite D30 but despite that

there was temperature up to 40

ο

c and relapse of cough.

Prescribed D200. Up to now, 28-12-1981, the child

remains well.

2 Case: on 12-11-1975: Mrs. F.J.; 61 years old; severe

migraine attacks since 22 years; awful, bursting

headaches, weekly once or twice, some weeks seldom;

exceptionally the interval between two attacks was up

to 4 weeks. The pains appear punctually at 3 0' clock

nights and continue for nearly 7 hours. No remedy

helped. Patient felt confused and dazed, but the pains

remained without any relief,

I asked what the patient was doing at 3 O' clock at

night, 22 years ago. On this question her face

underwent a change, the wept and the tears ran down

her cheeks; face and eyes spoke of a serious misfortune

and grief. With trembling lips she spoke softly and

whispering, "My only dearest daughter died then."

"3 weeks before the death of my child, I was told of the

diagnosis suddenly and unexpectedly as to actually was

to bring about the death of my child. It was an

inoperable brain tumour." The entire family and circle

of friends were afraid on hearing this news particularly

the mother, naturally.

The daughter died at 3 O' clock at night in the arms of

the mother and at that time came this severe,

unbearable headache.

Undoubtedly this was so much a severe shock to the

patient, that after 22 years after that tragedy she

reacted so vividly on recalling it. Aconite D30, three

globules at the commencement of the headaches.

On 17-3-1976: headaches appear now very rarely, that

is 1- 2 times per 3 months by incomparably weaker so

that only one analgesic tablet was required to relieve.

Did not wake up anymore at 3 O' clock at nights.

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Aconite D200 3 globules. Up to now (28-2-1980), past 5

years since the taking of this medicine, no reappearance

of the headache which was once so severe.

3 Case On 21-10-1979: M.C. boy aged 4 years.

The child is nervous continuously in motion and hurried,

bright and cheerful, of good constitution, bright-blonde,

with bright eyes. In May 1979 he injured himself with a

broken piece of bottle (deep wound on the hand) which

a surgeon wanted to be operated. The child

experienced severe pains he feared even to look at the

hand, and also the hospital and operation room.

During the anesthesia the child passed unusually

copious quantity of urine. From this moment, the child

passed urine involuntarily every night a number of

times, copiously, even after he was taken from bed

thrice every night for urination. Allopathic specialist

treatment for 5 months remained unsuccessful.

The above mentioned condition is the result of the

shock experienced by the child and the anxiety

sensations therewith. Prescribed Aconite D30.

22-1-1980 there was an exceptional amelioration of

enuresis nocturine. Approximately half the nights were

without the involuntary urination. Consequent upon the

amelioration which proved the correctness of remedy

prescribed, now gave the D200. The involuntary

urination stopped soon after the first dose.

Our orthodox school colleagues would surely wonder

that these cases had been cured with one medicine in

high potency.

[Translated from the German and condensed form the

ZEITSCHRIFT FUR KLASSISCHE HOMOOPATHE UN-D

ARZNEIPOTEN- ZIERUNG, Vol. 26 No 1, Jan Feb. 1982;

by Dr. K. S. Srinivasn, Madras for personal

communication only]

The Psychosomatic action of Ignatia by Manfred

Freiherr von Ungern-Sternberg

A lady of about 60 years, spare, friendly, very courteous

and careful, approached me in 1959, after she had once

been helped by my treatment for an abdominal ailment,

and said: "Every evening if I do not go to bed by 10 o'

clock, my relations must carry me." That was her saying

about a collapse which came regularly at 23 hours

which she suffered every evening.

In my Materia Medica under Evening agg. Ignatia was

found besides others which on the totality of the

symptoms appeared to be the best suited. I gave her

the D200, three globules, with satisfactory success.

A look in the Kent's Repertory informs us that I was

quite lucky then with the choice of the remedy. In

palpitation of heart evening. (p.874) Ignatia is not

mentioned, and in the two large rubrics Evening

(p.1342) and Night (p.1342) Ignatia is mentioned only in

2nd grade. But at that time 1959, I had no "Kent". Later

I heard that the patient had an incident with her

divorced husband whom she frequently saw and whom

she had lost to her best friend, and became ill which she

did not get over the year. There years later I cured with

Ignatia D10 a lady with paroxysmal Tachycardia in

evening and urina spastic as she had not got over

emotionally an incident of rape in 1945. The case was

reported in the Liga Congress in Bad Godesberg in detail

and Dr.Vogt had observed the cure sustained after 10

years. To me the evening appearance at about 23 hours

was the reason to enquire further the Ignatia grief and

as the disease picture was not sufficient for prescribing

the chronic medicine which in this case was

Phosphorus.

The Iganatia emotional disturbance, that is the

emotional impairment which can be influenced by

Ignatia, may be mentioned as mental depression with

monosyllabic taciturnity described as after grief, care,

bereavement, chagrin or disappointment. The patient

brooded and wanted to be alone. Consolation

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aggravates. The drug is well-known for the disposition

of paradoxical picture, reactions in emotional instability.

Well-known is the globus-hysterious sensation, which

easily leads to blocades. It means, that the Ignatia

patient weeps easily. In my experience it happens only

when forcibly asked about his grief. How often is this

sorrow disclaimed first and only then tears come forth.

And often this grief is not at all conscious as for example

particularly about children. A man, in mid forties

treated for heart ailments, Tachycardia, and

restlessness with stomach ailments. At the second

consultation he relieved his grief about his son who has

had a breakdown. He grieved over it and wept as he

told the story. Ignatia C6 helped him.

A young exceptionally beautiful lady, unmarried, 32

years old, who besides her own responsibilities in her

job, cared for her mother suffering from cancer the

whole year, and given Iscador injections till she gently

passed away, suffered 6 - 8 weeks later, with

tachycardia and dyscardia with urina spastica. This time

of occurrence was between 3- 4 o' clock morning. She

complained of heart interruption, fright, anxiety that

she may suddenly be faced with death of her father. No

appetite. She had fear that suddenly she may have to

live alone. When I consoled her that she may perhaps

get acquainted with a man who may be suitable to her,

she wept. That she would not at all! Ignatia C200

As she often got worked up with anger and also

dysmenorrheal backache and stuck a pillow to her back

to relieve it I prescribed immediately a chronic

medicine, Natrum mur C200, to follows. She came four

weeks later once again and was given placebo.

A 60 years old woman with hear double and

nervous gastric disorders was able to bear the

bereavement of a seriously ill friend, after a dose of

Ignatia C200 and also became free from ailments.

A 19 year old girl student suffered from nervous

heart ailment with continuous tachycardia of 100 - 140,

for two years, consequent upon sudden heart failure of

her mother, who was cured with Ignatia C200.

Of course every case of grief is not influenced

by Ignatia:

A case of 24 year old lady who suffered from a

lengthy anamnesis, infected and variable mucous

membranes, tonsillitis, adenexitis, kidney stones,

gastritis and much excitement with evening

aggravations with disposition to collapse and grief due

to separation from her husband who was employed in

military, was wrongly interpreted. Ignatia helped in the

beginning indeed, but four weeks later again collapse.

Because of the concomitant ovarian insufficiency,

bending double, belching and bitter taste, I gave

Pulsatilla and Verat. alb. then a long Viscum prophylaxis

because of loss of weight. Only by continued injections

could good overall condition be maintained. A thorough

collection of the general symptoms pointed to Siilica

which in the 200 potency worked very well and quickly

and was repeated 6 weeks and 12 weeks later. No

further medication was necessary.

The biographic anamnesis reveals the

connection with the growth psychology crisis and with

the life history stains. Conflict during the child-hood,

disturbances and illnesses during the growth stages,

wrong developments in professional and personal

careers are clinically relevant in these days as causative

factors of disease, when the emotional variability, the

individual characteristics of the life history and the

extreme situations of life do not find place as essential

considerations for therapy. The concept of the masked

depression will be seen in the foreground and the large

consumption of psycho-drugs proves really the great

incomprehensibility rather than the understanding for

the alternation from psychic to clinically physical

symptoms. For the normal medical school aversion,

restlessness and anxiety are merely accompanying

symptoms of numerous diseases - but for us, they

furnish clue to homeopathic medicine. Anxiety and fear

- for what? Let us look in the Kent's Repertory. Here we

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find rubrics, which are worth interrogation. The

vegetative mis-directions have many possibilities of

expression which are amenable to Ignatia because of

griefs and sorrows. The Ignatia state can manifest itself

naturally on other oragn systems also other than the

heart. For choice of the remedy the symptoms of the

drug are the considerations. GAGLIARDI narrates a

model case of cure of a tuberculous cavity of the size of

a fist, with Ignatia D 30 and followed by 3 doses of

Natrum mur D30.

A 15 year old girl, who consulted because of hip

dislocation indicated need of Ignatia. During the journey

in the car to the clinic she vomited due to the

excitement. She complained of restless sleep, and a

further exploration revealed troubles because the other

children excluded her from their circle.

A ten year old outstanding boy who suffered from

difficulties in going to sleep, wrongly handled, began to

become excited, wept easily in the school, had fits of

rage, over aesthetic feelings with vicarious gratification

by watching T.V. continuously and who threatened to

commit suicide - he needed Ignatia. "He was jealous of

his younger brother, a very talented child." Ignatia C6

worked well, but C200 brought about an uninterrupted

improvement and new orientation. The chronic

medicine, namely Phosphorous, could then follow.

A lively 2 year old did not sleep despite

specialist medication. He woke up regularly at 23 hours

and cried. He had been in hospital for 6 weeks - and

since then suffered from the sleep disturbance. The

crying was better only in the presence of the parents,

who characterized the small child as self-willed,

meticulous, jealous. To me the six weeks separation

from the parents was the indication for Ignatia, which in

C6 I gave and followed by Calc. Phos LM6 as

constitutional medicine for sweating head and wet

pillow. Three weeks after the medicine again crying

relapsed for which Ignatia C9 repeated.

The 9 year old Martin was relieved of his

abdominal pain with Ignatia C6, gaining a new

relationship with his teacher.

Jorg, born in 1952, Phosphorous type, suffered

from dyspepsia, nervous disorders with sensation of

globus which was ameliorated by swallowing solid food,

strong aversion against smoke which accompanied the

inability to eat when least excited. Ignatia C200 helped

him and soon thereafter his problem was over, he was

allowed to leave his school and enter Academy so that

he could dedicate to his study of Violin playing. The

young 'Barometerman' with disposition to paroxymal

Tachycaldia who could not lie on the left side and who

felt unpleasant during thunderstorm, could be cured of

the nervousness and the nerves strengthened.

A 58 years old lay teacher of languages complained of a

Dumping-Syndrome. Feeling of lump and Depression

(caused as a result of an existence-crisis, since the son

had married and would not go to the School) went away

through Ignatia C6, and after overcoming the acute

phase the chronic medicine followed, which because of

the general symptoms such as, disposition to blue

spots, agg. by change of weather and thunderstorm,

feeling of weakness of heart with compulsion to sit and

rest and desire to lie raised up, inability to lie on left

side was Phosphorous (C200). The negative stance

against her daughter-in-law necessitated later Ignatia

which again did well.

Ignatia worked as a life-saver in the mentally retarded

Martion. T., because of his Debility all the more

sensitive, and who belied the often declared point: that

Ignatia patients are always far from being pleasant: one

can consider him as a quiet person. This little fellow

came to me for the first time, about 7 years ago for

spasms of his Pharynx choking while eating and some

other vegetative symptoms. The cause: after the death

of his mother, his laughter was suppressed because his

sister who was married and was of a somewhat

despotic turn of mind took care of him touchingly.

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Ignatia D6 caused him to vomit after his meals

whatever was in mouth. The subsequent C6 helped. He

came some years later to the hospital, for a Pneumonia,

and there came again the nervous swallowing and

stomach spasms and he could not simply eat anything.

After 4 weeks in the Clinic and 3 weeks following

Psychiatric treatment he became this as a skeleton and

the family called me in. Since the KZ-Films

I have not seen such a total inanition. After Ignatia C6

he was able to take food the same day. To the general

exhaustion is associated a heart muscle weakness, for

which I was obliged to give Adonis Q + Chinin. ars. C2

and injections of Levico com. (WALA), by which he

quickly recovered and after 14 days was in a position to

come to the clinic by himself. After some upset he came

3 years later once again for vomiting and pharyngeal

spasms, for which again Ignatia C6 helped, and after

which I immediately followed with C200. Uptil now he

has not called again so that the chronic remedy (Natrum

mur.) has not been taken. The roborenden methods

were perhaps not necessary and could have been

achieved by high-potency therapy, but my experience at

that time was so.

The essential influence of occurrences of childhood

upon character development and the preparedness of

neurotic disturbances have been discussed since

Siegmund FREUD. If we take the sociological aspect

besides: what is surprising is when we observe the so-

called duel symptoms between two different family

members. I can cite some examples, in which Ignatia

reaction between mother and daughter occurred every

time.

A 29 year old beautiful young woman complained

weeping over her inability to work, weakness, nausea

from stresses to the extent of vomiting and pressure in

stomach since the holiday vacation the family took 4

months ago, She is better when alone, weeps much,

was very cheerful previously, she has the lump

sensation.

The depressions were caused by the worry over the

behavior of the scientifically ambitious husband, who

after the promotion did not any more strive for the

Professorship not with bad intention but he is not

considered as a good family man. Since months her

sleep is continuously disturbed. The 8 year old son

clamours anxiously at nights for the mother, is jealous

of the sick little sister. As a result of these continuous

restlessness she has rotating vertigo and nausea with

evening vomiting. Among others she complained of

vertigo by travel and mist before the eyes. She dreamed

much and slept better if she did not read anything.

She recovered quickly from Ignatia C6 and Cocculus C6

in daily alternation and next time she brought her 5

year old Beate with, a golden child with long tale of

woe, which made one think much. In the first year of

life, she was for 7 months ill, out of that 6 months in

hospital. Because of the so-called constitutional

hyperthermia she was treated with antibiotics. In the

fourth year she had measles. Then in June a summer-

grippe, on account of which she was in the hospital till

December while she reacted continuously from

acetonaemic vomiting. Now she was again in the

hospital for 2 months with acetonaemic vomiting and

pneumonia. Two days earlier she vomited again. She

has anxiety, if the mother goes away and she vomits

form anger. I thought about the comment from Karl and

a case of mine which I cured 10 years ago with Ignatia in

Bochum. Here I followed the Ignatia C6 with a case of

Sulphur D30 and a symbiotic control and a prompt

reaction came, namely 10 days later Angina in the

hypertrophic tonsils and Otitis thrice in two months

with later relapse twice at long intervals. The chicken-

pox which came in the last winter absolved without a

doctor and the acetonaemic vominting did not recur

again.

The mother on the other hand needed again Cocculus

and Sepia as well besides Ignatia because she suffered

from continuous stress caused by the repeated ailments

of the child, and sleepless night. As her own mother

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suddenly got metaetasis of a breast cancer operated an

year ago, she came with indications of decompensatory

hypertension (RR 165/110) and total exhaustion -- but

repeated Ignatia took care and Iscador injections

supported.

Now Beate reacted again afresh with abdomen pains

and increased desire for motherly attention -- and again

Ignatia soothed, and this time I gave a single dose in

C200 to the Calcarea child.

Another familial Ignatia-symptomduel ran as follows:

The 9 years old Doris, had been put in the children's

hospital for every infection, since years, because every

time she reacted with acetonaemic vomiting, lastly 14

days before I saw her first. She had anginas, often there

was Enuresis nocturna with chronic Pyelitis. Ignatia C6

brought a good recovery of the weakened girl within 3

weeks.

From Phosphorous 10 days later came out the focus of

disease: right pelvis of the kidney. She had fever once

39 degree and much anxiety, and she had to be again

brought to Clinic. And as I arrived she demonstrated the

vomiting from my comforting words again. But after

some drops of Camphora D3, which I always have in my

pocket, it was ensured that she had no need to go to

the Hospital. She recovered very well, the vomiting did

not come again, due to some domestic crisis she had to

be given Ignatia C200 once more and now received her

chronic remedy Phosphorous C30, in infrequent doses,

to cure the Pyelonephritis.

The 44 years old mother had a masked depression with

disposition to decompensatory hypertension and heart

rhythm disturbances due to latent Diabetes. Her

curative medicine was Ignatia and later Phosphorous.

The reason: Because of a strong catholic upbringing she

had sexual conflict with the thinking that by sexual

participation she would be committing a grave offence.

The so repelled husband sought a girl friend. Although

hardly even once a kiss had been exchanged, she

became ill because of that, so that the husband

despaired into a severe Natrum mur-depression. The

result was the 7 years family drama briefly stated here.

By the way is observed that the brother of the girl,

order by two years, was cured of his vegetative ailments

by Phosphorous alone. Less dramatic turned out the

symptoms-duel between the 11 year old Manuela and

their 40 years old mother:

The girl suffering from infection, who wept easily

received Ignatia in repeated doses and recovered fully.

The mother herself came thereafter for treatment for

her depression which was not relieved by sedatives. She

complained that the children were legasthenic and

husband was a teacher loaded with correction job and

therefore engaged till late evenings -- she sat always

alone. Ignatia C6 helped to bring a positive life

adjustment and because of nausea during journeys and

a fungus infection of the vagina Cocculus C6 was given

to follow new patients continuously. The family is happy

and sent me new patients continuously.

Ignatia comes into consideration as an Angina tonsillaris

medicine. The indications are: the paradox symptoms

are present as for example, empty swallowing pains

more than swallowing food, therefore the well-known

Globus feeling salivation and eventually irritative cough

which gets aggravated the more one coughs.

Such as Angina-patient was the young

Hubertus, son of a German diplomat, who had not

reached the goal in his studies in Washington and now

in a delicate age of 20 years, was put in secondary

school by a family friend living in Detmold. During

weekends before opening of the school the suffered

from a rather prolonged Angina with relative

temperature, it was the Ignatia-state which made him

ill, just as Hahnemann pictured: Distress following

terror, vexation, the displeasure of which brings about

grief, or shame. He could however, go to his new school

on Monday. (After Ignatia)

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Let us consider once the roll of the tonsils in the focus

warning. For many chronic heart ailments, joint

rheumatism and kidney problems Angina is the portal of

entry. In 1935 Victor Von WEIZACKER demonstrated

that Angina is a consequence of a conflict situation - it is

emphasized that this conflict does not in all cases

correspond to Ignatia-stae -- and it is in the daily

medical experience that an Angina may be found in

almost at all times in consequence of inability to come

to terms with the outer world. Frequently it happens

that it deals with manifestations out of the

(subconscious) instinctive living which these flared up

metabolic processes arouse.

Let us look at the results of the so-called physical

problem: DUNBAR described the imbalanced Psyche of

the rheumatic as a yearning for the childhood as a need

for moulding oneself and force of form:

He has often smooth, carefree face, with a childish,

often angelic expression. Aggressive tendencies are too

far for him. He expresses timidity, conciliatory and low

self-confidence, strives to please.

For the heart such an acute disease represents a serious

strain, be it an Angina, Diphtheria, a Scarlet- fever-

rheumatism or some other infectious disease.

Every time The whole man is called upon and fights

according to the Organ. Is it a wonder that the classical

homoeopathy has since all times dedicated particular

consideration and attention to the general and mental

symptoms for the choice of the remedy?

Of course, we remain with the unsurmounted conflict

which stands out as of considerable relevance for the

starting point situation of the chronic heart disease.

How are the patients with the organic inflammatory or

not inflammatory heart disease? They frequently

complain only of some exhaustion and incapacities,

their troubles often concealed with absolute

Arrhythmia, Oedemas and dyspnoea and overstrain

their heart. Women with serious heart ailment do

household work and do not realize how ill they are.

They bear the burden calmly and resignedly. In the

functional heart diseases it is different. These highly

nervous men suffer severely from their heart troubles

and anxiety, from its rhythm disturbances and

dyscardia. How is it with the conflict? In an

(unpublished) address to the annual meeting of the

National union NRW in DZVHA in Duisburg 1965 the

psychosomatic situation of patients with different heart

diseases, in whom heart troubles had been experienced

as premonitory disease symptoms were depicted by

me. In some cases the patients were treated for a whole

year for paroxysmal Tachycardia, Stenocardia,

Dysoardia, Infarcts and their succession stages. From

these repeatedly thoroughly examined cases it was

observed that the so-called functional heart troubles or

earlier Infarcts as the case may be, as precursor of later

Carcinomata diseases. The organotropically treated

homoeopathic therapy could certainly do well every

time but the pre-cancerous situation was not

recognized at the right time and was not removed by

the remedy employed.

Some of these patients could -- difficult to

prove retrospectively considered -- have been Igantia

patients, as for example the former highly placed Chief

of the German Red Cross in Leipzig, whom after the war

times the post of 'Sanitatshausvertreter' made it

difficult to adjust. Not until few weeks before his death

was found carcinoma of the stomach.

Or the tragically disposed woman with zest for life, who

during the duration of the third Reich, was not allowed

to marry her lover, a half-Jew: one year after the heart

infarct she got a breast carcinoma, 15 years after the

war. These two are examples of similar.

I recall my experiences in 1965 of the treatment of

heart troubles often with an injection of Viscum

prophylaxis, because Viscum album is a medicine for

fighting three modern problems: Cancer, chronic joint

rheumatism and heart circulatory diseases and certainly

I chose Iscador, Iscucin, or n.s.p and Viscum album

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potencies as case may be whether to stimulate the

metabolism or whether I wanted to check the

functional heart troubles. Depending on the case I

carried through a line of so-called pre-cancerous tests

like the Carcinoma test, the serum-copper and iron-

values, the electrophores and so on, to control the

course and to obtain the guiding criteria. The successes

were really gratifying. It may be the work of a separate

monograph to out-line this problem.

Like the brilliant illumination by a lightning I recall an

experience of mine, the course of treatment of a breast

amputated 45 years old carcinoma patient who had

been treated much clinically for metastasis.

She was a lively, elegant, sociable lady, pampered as a

child already, and married to a 12 years older much

successful legal representative who however felt least

pleasure at home associated with much social-work and

with the greatest pleasure kept himself busy with his 3

cars in the country. While the wife hungry for life

waited with sadness at the well-laid coffee table. Often

she discussed it with me, lamented over her life

situation, her unsatisfied eros. To replace the trauma,

the physical disfigurement of the removal of the breast

was involved. I gave her Ignatia c30 repeatedly. After

the first time she said spontaneously at the next

consultation: "The globule which you recently gave in

the evening, it has worked wonderfully. I am quiet,

composed. You have made a new person of me!" She

emerged through Ignatia, indeeed, out of ther conflict,

but she herself said: "Now it is too late!" and the

dissemination of the metastasis could not anymore be

checked. She does not live any more now.

Another woman patient, 70 years old, with breast

carcinoma which she has supposed to be "all over and

forgotten" her tremble while narrating it: adultery of

the husband and separation. She felt very well after

Ignatia and now received in infrequent does Natrum

mur- C30 in addition to her daily Iscador which she

injected herself.

A third breast cancer patient, 49 years, married to a

man with brain injury, through whose now and then

quarrelsome unpredictability which darkened the

harmony at home, has an Ignatia-grief in a Natrum mur.

Constitution and coexistent Ignatia Symptom duel with

her 18 year old daughter. It was, I think, Gerhad

SUCHANTKE, who wrote in twenties for first time in the

Journal "NATURA" and 1951 in "Contributions for the

expansion of the Medicine", about the value and

worthlessness of the cancer psyche. In between,

numerous authors have corroborated and enlarged

these observations. C.B.BAHNSON reported in 1968 in a

conference of the New York Academy of Sciences on

the introverted neurotic wrong behavior of his tumour

patients, who as a consequence of a lack of capacity to

wipe off experiences had a negative life adjustment.

Thoroughly observed patients had a bad, unsatisfying

and mechanical relationship to their parents. The

vegetative, the Endocrines, the metabolism and

immunological processes were influenced clearly by the

psyche. To speak graphically: the unsurmounted, the

untransformed problems are carried around and finally

physicalised.

A breast cancer operated patient, who was well

compensated could not get over the disappointment,

that her daughter who was living in West Germany did

not make the journey to Leipzig for which she had

prepared and actually moved thrice, and again

postponed. She failed quickly and within few weeks

died due to a general metastasis and heat failure.

L.L.LE SHAN proved statistically, that the loss of life's

essential relationships -- a basic disposition of painful

insulation, despair and hopelessness leads to out-break

of carcinomatous diseases.

In the Moscow Cancer Congress 1962 these frequent

year long conditions occurring first of all in the psychic

and later in the organic-functional region, which later

become localised pre- cancerous and invasive growing

tumours were pointed out. Goin CONDRAU quotes in

his book "Psychosomatic treatment of Women" over 40

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authors to show the above mentioned mental attitude,

wherein ROKITTANSKT and HUFELAND and VIRCHOW

also become noteworthy. Also B. BRUCK admitted of

similar view in 1970.

Of course, let us one read Samuel HAHNEMANN'S

Chronic disease" -- how modern it appears to us, what

we find there! External influences, strains and

privations do not cause outbreak of Psora which lies

concealed and lurking in the background to break forth

into significant chronic diseases or aggravate a chronic

disease as the case may be any more than living certain

months with complete physical comforts in an unhappy

marriage with a gnawing conscience. The route of a

possible psoric disease is determined from the primary

physical constitution, a way of life adopted, mental

tendency developed by education or a locus minoris

resistentiae. To one observing him superficially, he

appears healthy throughout the year, until adverse life

circumstances gives the shock which the friends, the

physician or even the patient himself could comprehend

how his once good health could go to ruins so quickly.

HAHNEMANN quotes many examples, how emotional

upsets particularly early upsets, brings the latent psora

and causes weaknesses and many more, so that the sick

person cannot recover by his own power -- and I add:

often not with medical help also. He writes: "If the

patient does not have that much Philosophy, religion

and mastery over self to bar his fate with patience and

calmness, even masterly medical management cannot

have success with a chronic patient subjected to such

continuous assaults of sorrow and vexation."

Especially the breast cancer, associated with the higher

social level people, appears to me, as observed by

BALTRUSCH and AUSTARHEIM. It belongs to the

malignant carcinomas. Relapses and metastasis 23 years

after the initial appearance are described. The

Mastodynia as result of a vegetative dysregulation was

discussed first briefly in Praxiskurier 7 and 16/1972.

Therefore, we require the medicine for emotional

disturbances so as to break the wrong mental outlook.

So I treated a 40 years old woman, with Ignatia C6,

who complained of a globus sensation, agitational

tachycardia, throat pains with am. by swallowing of

solids. Since 5 years she has been having a marriage

crisis. Her husband was an Insurance company

representative and was always on the move. The

medicine did her good for a long time. Then she again

came with new Ignatia-symptoms, agitated, since she

had been sent for Mammography by the Gynecologist.

After Ignatia C30 she was in top condition for 2 years,

and then came again with renewed apprehension about

her breast. Because of nightly anxiety in heart, a small,

mobile, hazel-nut size, tender tumour I gave, besides 20

ml. Phytolacca C2, tingle dose of Ignatia D200. One year

later I met her in the street ~ cheerful.

The breast pains of a 30 years old Lycopodium woman,

who was treated for kidney stone after Nephropexie

and chronic pyelitis and with interval doses of Berberis

C30 and Cheliuonium C30, had been encouragingly

improved. Her husband, who had studied partly out of

her earnings as teacher, obtained divorce, after passing

his examination. Ignatia D200 helped the sadness over

the unreciprocated tastes and the mastodynia

disappeared.

Let us not forget: There is a whole lot of medicines for

Grief. In "Kent" (p.50) there are 32 and it does not take

into consideration all the rubrics. Lachesis for example

suffers very much from grief. I remember two Lachesis

women patients with operated breast cancer, who

indeed had mental predicament, but not a Ignatia

emotional disturbance. Lachesis does not incline

towards Ignatia.

The chronic medicines, which followed my Ignatia

doses, were besides Natrum mur. and Phosphorous,

Calcarea, Silicea, Pulsatilla, Lycopodium, Sepia, all these

were arrived at by repertorisation and could therefore

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be given in single doses in high potencies. When we

know why we prescribe a medicine, we can give it in

higher potency—certainly not from pure clinical

indications.

Have you observed the action of a high potency Natrum

mur. in a case of Goitre? If we clearly read Georg

Groddeck, the first FREUD's Hypotese, its full meaning

on the domain of organic diseases, that goitre is not

anything other than a fantasied pregnancy (GRODDECK

himself suffered from a Struma as a young man, which

recovered spontaneously, as, the problem became clear

to him)-- then we lend our ear once to the indication

"deprivation of love, silent grief*' in Natrum mur.,

which we have till now perhaps taken uncritically.

The psychosomatic is modern knowledge, but

Homoeopathy has the medicinal alternative possibility.

If the emotional disturbance medicine is clearly

indicated, it should go ahead of the chronic medicine --

eventually again expounded later and it arises there

from, that from the choice of the chronic medicine

which relieves successively according to the

classification of the case, the general and characteristic,

particularly taking into consideration the mental

symptoms, if one wants to cure and not merely palliate

with organotropic medicines. Then, the diseases are, as

HAHNEMANN has written in the introduction to his

dynamic derangement of our spirit-like existence in

Sensations and functions, that is to say immaterial

discords of our state of health. The means of a

complementary therapy, like Literature, discussions,

instructions, respiratory exercises, therapeutic arts, and

others increases moral power of the sick person and

understanding ability in his destiny. Treatment of the

sick, control of his Psora, does not mean that the Similie

is not therapy to be replaced.

IGNATIA AND THE CONSTITUTION THINKING IN

HOMOOEOPATHY

by Dr.G.V.Keller.

Oemisch is stated to have written that "as much more

one masters the Materia Medica, and trained in

Constitutional thoughts and practice, so much less will

the Repertory be required." That is not really so, I shall

show through some Ignatia cases.

THE MENTAL CONSTITUTION OF THE IGNATIA

PATIENTS:

The Ignatia constitution, particularly the mental

constitution, is well known, as Hahnemann has written

in his Foreword to his Pure Materia Medica, that the

medicine is suitable to persons predisposed to certain

states of constitution and that it is a major medicines to

persons who react to mental injury. "Typical of Ignatias

is that the mental state is very much extraordinarily

affected, pronounced sadness and a tendency to grieve

silently. Further characteristic is a striking alternation of

the mood between the maximum extremes."

Superficially, one recognizes Ignatia patients by their

extraordinary mental involvement and of course on one

side suppressed grief and on the other side alternating

mental states.

But strangely in the practice it appears to be different.

If some of the other Ignatia symptoms of the patient are

available to the physician, he may not then consider

these mental symptoms. Hahnemann has not said that

in all Ignatia cases one finds a quick alteration of gaiety

with weepiness, but that, "Ignatia is suitable to such

persons." Further "Ignatia serves as a main remedy in

cases of vexation in person's who keep the vexation to

themselves."

We should make use of the symptoms only so. We

should not at all ask for these mental symptoms in a

case in which we think of Ignatia for

other reasons. Of course, often in these other cases

without expressly asking for it, at least implied wood

instability or a "being vexed" in a broad sense,

something like by bereavement, can be located. We can

take it thankfully as a corroboration or assurance of our

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choice of the remedy, but we may not demand for the

manifestation of these mental "constitution", they are

by no means prerequisites for prescribing Ignatia.

SYMPTOMS APPEAR ONLY IN CONSTITUTIONS WHICH

ARE SO DISPOSED TO:

In my practice in a large number of these patients no

mental symptoms came up if we were to consider as

symptoms only those which the patient gives out

spontaneously or those which can be observed in the

patient without having put questions in such a manner

as to obtain a reply in one way or another. Also the

observation of Mezger that it is 'typical' of Ignatia that

the mental state is affected very much must be

understood correctly. If we have a case in which the

mind is affected extraordinarily much, we think of

Ignatia. It is not always so that in all Ignatia cases the

mental state is altered apparently. There are many

other symptoms of Ignatia( purely physical, which are

so well recorded that any single one, if it occurs in our

patients make us think of Ignatia. Sometimes, this

single symptom is sufficient to decide selection of the

remedy, that is to say, if it is described in full and also if

in its fullness it agrees with an equally full-with proving

symptom. Also not all Ignatia symptoms come up for

observation in particular patients but always small

portion. Sometimes only a single one. For these reasons

we cannot demand that a particular symptom must

come up in all cases. Just as in a single patient only this

or that symptom of Ignatia comes up so it is in a prover.

Every prover can bring out only those symptom to

which he is disposed to, which has been slumbering in

him, as hering put it in 1861:

"In his original report on China proving Hahnemann said

clearly: "All those symptoms which I experienced in

intermittent fever, made their appearance".

Hahnemann had been in Siebenbürgen and contracted

there the intermittent fever probably repeatedly, and

all characteristic symptoms which he experienced, now

made their appearance, "it would be nonsense to wish:

Peruvian bark should bring about intermittent fever in

every mortal in the earth. The bark can do so in such

persons only who are already so placed; only where it is

slumbering, it is possible to arouse, may be the residue

of earlier as the commencement of a now. In

Hahnemann the same paroxysm revived itself, when he

took the Peruvian bark again, every time. "I stopped it

and I was well".

Even as in the prover only the symptoms pre-existing

can be aroused so also only those symptoms in the

individual patients can make their appearance as

disease results to which he i3 predisposed and which

are contained in his constitution and are slumbering.

Even as the prover with same constitution can prove

different medicines, the patient with the same

constitution can suffer from different diseases which

require different curative medicines. It is not

constitution which indicates the medicines but the

disease. It is simply not possible that in an individual

patient or in an individual prover all the symptoms

which a medicine can call forth appear. This is one of

the reasons as to why in homoeopathy there is no

indispensable or obligatory symptoms in every

individual patient; naturally such symptoms are only in

ideal total picture of the medicine.

THE HEADACHE AS FROM A NAIL: The Ignatia headache,

for example, is well-known. The headaches are as if a

nail was begin driven through the side of the head,

which are better by lying on that side. It has been stated

so in Kent's Materia Medica and in the Keynotes of

H.C.Allen. In the proving, the symptoms No. 297 is

given, only as: "One sided headache, as if a nail is

pressed into the brain". The modality of amelioration

from pressure or by lying on the painful side of clinical

origin. Hering's Guiding Symptoms provides this

symptom with double bars as indication that it has been

repeatedly verified. I to have a number of such cases:

Mr. St. On 14-10-1980: I always have a headache,

since recently. It is mostly one sided, at a small spot it

comes suddenly which I have never had before. Mostly

it is drawing into the ear; it is then just like something

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pulling and if I put something on it is better. If I lie on it

also it is better. Mr.Br. On 29-9-1980: In the last few

days I have been having such a headache up there.

Throughout the day it was better, evenings and nights it

goes here into the left eye and in the left side of the

back of neck as if ants were running there. But only left

half. But up there this pain, I do not know exactly how

to put it, as if a nail has been driven or something like it.

Throughout the day I have tied a scarf around it, yea, it

is then slightly better.

Mrs. Ho. on 11-2-1975: Migraine I have had since I was

small. On the right side, it goes into the right ear, and

stays there in the neck. The pain goes through the eye.

Often it is sharp, stitching pain. I have had occasions

when I wanted to deaden the migraine pain by striking

it with the hand. Then I have by chance pressed my

face with cold water and also pressed the painful part

and for once I observed; it did good! At times the pain

is boring. The headache is better by lying on that side.

That an Ignatia patient wants to nit his forehead, to

ameliorate the pain, I have observed in another case:

Mr. Am. On 11-2-1975: Booing in the root of the nose,

also going up to the eyes and occipital protuberance.

Sometimes I knock upon the forehead, it ameliorates.

Knocking and pressing well.

There is something else that accompanies this

headache, as from a nail which becomes better from

pressure. One can hear it in actually all the cases — that

the pain is one-sided, that it does not stay in one spot,

but it draws towards other places, to the ear, the

occiput or to the eye on the affected side. a proving

symptom (No.24) points out something similar:

Stupefaction of the head which changes into a pressing

pain in the vertex, this then draws up to the forehead

and to the left eye. Vision with his "essgntial" symptom

has indeed indicated the headache as from nail, only as

"frequently appearing" and not as "essential" but

nevertheless it is the only form of headache he cites for

Ignatia. H.C.Allen, in his small but admirable book for

quick reference, keynotes, mentions the sane

headache. One might take it that the Ignatia headache

in the concept of "Constitution" the headache as from a

nail better by pressure is a part of the Ignatia

constitution. Now another case:

THE TENSION HEADACHE:

Nothing about a pain in a small location, better by lying

on the pain-ful side, and let us consult a Repertory even

if we think that we think and act 'constitutional'. For

headache better by lying and bending we find 5

remedies in the Boger-Boenninghaussen, Ignatia the

only remedy in higher grade. If we compare our case

with the head symptoms, not only the well-known

symptoms but all those which appeared in the proving,

we come upon the following Ignatia symptom No.19:

"Heaviness of the head, as of filled with too much blood

with acute pain in the occiput which becomes better by

lying on the back, agg. by sitting erect but most

relieved by bending the head forward very low".

Mr. Th. on 11-12-1979: I have severe pressure on my

head. Then the pressure came on the head as if one has

been running; only that it did not pulsate. In the

forehead I have sensation as if it goes to the back of the

head. The pressure goes from inside out, a sensation as

if there was plenty of blood in the head. A tension when

lying and better by bending forward while sitting." Here

is the rare occasion of a complex symptom of modalities

and sensation exactly the same up to wordings,

between the patient and the prover, although both,

occurrences are 150 years apart. That was in

December 1979 in November 1980 came another such a

case:

Mrs.: CI. On 17-11-1980: headache over the entire

head, more on the right. A tense, a fairly tight

sensation, as though everything drawing together, and

always drawing through. If I lie low, sometimes it

becomes better. Better when I lie on the back, when I

turn to the side it sometimes returns again. Lying on

back ameliorates".

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AMELIORATION FROM LYING ON THE BACK: Just as the

prover, this patient has amelioration from lying on the

back. That is again something which runs through the

entire medicine, a general modality. In the Ignatia

patients we find of course frequently some, who feel

better generally by lying on the back. Completely

different ailments are ameliorated by lying on the back,

the amelioration by lying on the back or no

amelioration by lying on the side is general

characteristic of Ignatia.

Some examples:

Mr.Ko. on 17-2-1979: In the sacrum continuous tension,

better if I lie down, lying is perceptibly agreeable,

possibly on the back or on the abdomen. Lying on side

does not give any relief".

Mrs. St. on 14-3-1979: I cannot lie on the side because

of my spine, and then I get headache and pain in neck".

Mrs. MO. on 6-11-1979: Elke nearly finished me almost

and of course she had pains in abdomen to such a

degree, that I thought she had an appendix. Gurgling in

the abdomen and continuous belching. She must lie

quietly, she lies absolutely flat on her back and

somewhat bending forward when she goes to the

lavatory. She lies quietly and says: "Mummy, I am

terribly restless, please sit by me!"

Before we discuss till restlessness of Ignatia, I shall cite

some further instances from proving for the

amelioration from lying on the sack, namely No.599:

"Here and there in the periosteum in the middle of the

shafts of bones, a transient pressure as With a hard

body, like contused pain by day, especially by lying on

one or the other side and passes of by lying on the

back." No.600.: "Nights on one or the other side, on

which one is lying pain as if bruised, in the joints of the

neck, back and shoulders which goes off only when.

lying on the back".

THE RESTLESSNESS: the restlessness of Ignatia is

actually more a part of its main attributes: the quick

alternation between extremes. Not only the opposing

moods alternate with each other quickly, but

Hahnemann spoke of the altogether alternate actions,

of symptoms which are exactly opposite, which quickly

follow each other, Appetite and loss of appetite,

painfulness and painlessness of hemorrhoids while

walking, diminution and increase of sexual urges,

amelioration and aggravation by lying on the back, by

bending, by lying on the painful side and many others

alternate often and quickly.

Mr. Th. on 11-12-1979: An incredible restlessness. I

could not sit still anywhere, and bought something to

eat, ate it, went out again for some fresh air, again

came in, sat down, stood up again, wanted to lie down

for a bit of sleep, within next two minutes stood up;

really such an incredible restlessness".

Well-known is the temperature symptom: Chill with

thirst, only during the chill, better by external warmth,

heat without thirst, worse by covering". And here and in

the following temperature symptoms of the patient

with clavus headaches, we observe the incredibly quick

alternating states opposed to each other.

Mrs. Ho. on 11.2.1975: And also I cannot bear heat, it is

now one thing and next another. I open the window,

then I get too chilly, it alternates and then I run a warm

bath".

CONSTITUTION OR TOTALITY OF SYMPTOMS: So we can

see that want la often indicated superficially as 'Ignatia

constitution' or 'Ignatia type' corresponds more to

'totality of the symptoms'. Behind many single

symptoms are some common factors, changeableness,

injured feelings, disposition to get cramps; but this is

not as a rule apparent in the consultation. One cannot

also classify the patients thereby, as sometimes possible

theoretically, as with the usual constitutions or

constitution types. Again and again one has to depend

upon the individual symptoms complex to diagnose the

remedy, and later one realizes that in fact the totality of

the symptoms fit Ignatia. Hahnemann has elaborated

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these differences in his Foreword: 'Ignatia is not for

persons or diseases in whom anger, eagerness.

Violence. holds sway but where a rapid alternation of

hilarity and weepiness or the other emotional states".

Hahnemann said so. But that is not general rule

applicable for the choice of the remedy in every case,

but only in particular cases.

THE GLOBUS: To conclude, I will now narrate three

individual symptoms in which Ignatia can be frequently

recognized. To begin with, the well-known lump. Lump

sensation. And in many medicines but a lump which

one only feels very least ¦when not swallowing. From

Hahnemann the symptom no.163: "Choking sensation

in the middle of oesophagus as if a large morsel or a

plug was sticking there, felt more while not swallowing

than while swallowing". It can be observed from the

following cases of mine that the lump sensation is never

unilateral. From the first patient we have already heard

about the tension headache: Mrs.Cl. on 17.11.1980:

"Before I get the period I actually always have the

throat pain for a cay. The throat pain is always a little

lesser while swallowing".

Mr. Me. on 3.12.1980: "A bit of a feeling of lump in the

throat, in the pit of the throat. I do not notice it while

swallowing and when I swallow, for example now,

independent of swallowing — hole a moment --- it goes

for e moment and then returns again.'

THE RESPIRATORY PROBLEM: Secondly, there is a

definite kind of respiratory problem with Ignatia.

Mrs. Wa. On 13.2.1979: Breathing difficulty, I suffered

much to get air into my lungs, last weekend; I have a

lump in my throat when I am in a hurry. I hard to

breathe, it doesn't get through well, I cannot breathe

properly".

Mrs.M. on 9.10.1979: A drawing sensation in the chess,

and then I struggle always with the breathing, and when

I want to take air in, it does not get in rightly (To the

question about the pain ) I must take in a really deep'

breath When I yawn then I get sufficient air in, it is then

again ok.".

That is the well-known sighing of Ignatia or the

following proving Symptom No.478: "Slow inspiration,

quick expiration- As is often with Ignatia, the opposite

symptom also come in the proving Mo. 658: "short

inspiration and slow expiration curing the sleep". These

opposite symptoms appearing in one and the same drug

is observed particularly in Ignatia. Hahnemann has said

in his Foreword: "On account of the alternating actions

that follow each other quickly, which it excites, it is

suitable for acute ailments particularly, and for more of

these, as may be seen from the symptoms

corresponding in similarity to symptoms of disease,

frequently met with in daily life. It is therefore rightly

regarded as a medicine created for great usefulness

(Polychrest)".The occurrence of the opposite symptoms

would suggest that these pairs of symptoms would be

very valuable in treating patients. Hesse wrote in 1834

in connection with the proving of Berberis "Now very

difficult it is, even with carefully proved remedies to

come to definite conclusions with some symptoms.

They will reveal themselves often in contradictory

fashion in one and the same part. Everyone who has

engaged himself with provings has felt the same often

enough.....The observation of E.G.Helbig ('The Nutmeg'

Leipzig, 1833, 8th preface, p.l4): "A drug symptom is

rightly useful only if the opposite symptoms also appear

in one and the same part, seems to have been drawn

from Nature". Well-known is the fact that high potency

provings brought out symptoms often which were

opposite of low potency provings, in short, it cannot be

said that a proving establishes clearly and one-sidedly

the constitution (whichever way this may be defined).

The following proving symptom No.479 is relevant:

"must often breathe deeply, and deep breathing

Diminished the pressure on the chest".

THE GLITTERING SCOTOMA: The third individual

symptom is a typical glittering scotoma, as graphically

described in proving Mo.105: "A circle of brilliant white,

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glittering zig-zag beyond the visual point when looking

at anything hereby the letters on which the sight is

directed become invisible, but those at the side are

more distinct." My patient put it like this:

Mrs.We. on 3,5.1976: I see a zig-zag in my eye. bright,

like a neon-light, like a quarter moon an arc in zig-zag.

en I have been up long and work hard then it comes

again after the lunch".

Even the aggravation after lunch is found in the/proving

105: "A zig-zag like and serpentine, white, glittering

sideways of the visual point, soon after the lunch."

Now, in this patient during the consultation the Ignatia

proving symptom of glittering before bhe eyes was not

known to me. I had to search it in the Repertory.

Unfortunately Kent has not included it; he has given

only Bryonia for scotoma after lunch, Thuja during lunch

ana Lycopodium in the afternoon mid-day nap, but

none of the remedies dor zig-zag figures. Boger-

minghaussen is thorough wherein one can find the

medicines for one-sided zig-zag figures on the one hand

and on the other under sufferings from visual disorders

particularly in moon Amongst Conium, Ignatia,

Lycopodlum and Sepia, only found in italics in both the

rubrics not be decisive for the prescription, but one

should quickly study these remedies in the

Encyclopaedia during the consultation hours, to see

whether the symptom description by the patient

matches strikingly to the words in the provings of one of

these 4 medicines. In this case such a brief reference to

the Encyclopedia brought me tie reward.

CONSTITUTION ANT THEINDIVIDUAL SYMPTOM: But

here all one's knowledge of Materia Medica and all

'constitutional thinking acting constitutional' are of no

use—one must look for the individual symptom. If you

permit me to formulate the 'constitution' somewhat

different from the usual I would certainly say, that there

is an Ignatia constitution that is a constitution capable

of producing Ignatia symptoms only when it is so

aroused by disease or in the course of drug proving. The

characteristic signs are not always apparent they are

also not unequivocal and one-sided as the common

physical constitutions and temperaments like hot and

cold, dark or light, fat or lean, active or indolent. Rather

this constitution reveals themselves only when a person

falls sick.

Of course, it is sometimes possible to indentify a

"Calcium carbonicum type" or "Pulsatilla type woman"

and so on more by their external physical

characteristics, but in majority of cases there are

differentiating individual symptoms which gives us

the first Idea of differentiating the remedy and which

we cannot all remember at all times, to come up when

required. Therefore we do need a Repertoty an index

to our Materia Medica, however well versed we may be

in the classical homoeopathy, which may be described

as constitutional. Perhaps we will use this index all the

more frequently the more we gain experience in the

methods of use of the Repertory.

The Interesting Case: An Ignatia-globus-syndrome by

Dr.H.Dinkelaker: The 23 year old young man was very

jumpy, nervous, had a continuous Tic was somewhat

heavy, vasolabile, very much attached to his mother,

but industrious and conscientious. He has passed the

examination for electrician and was well-known to me

since his younger days.

His father suffered from a hypothyroid after a

Strumectomy despite a continuous hormone

supplement. He tried to get over his condition by

excessive smoking, due to which had a heart infarct,

and died relatively young. The family had a severe

shock.

The young man suffered from a "Cardiomyopathy", with

temporary heart block and extra systoles, so that he

was unfit for military assignment. In December 1975 he

consulted me for a continuous severe pressure in throat

with some complaints of swallowing. He thought

understandably of a similar complaint, just as his father

had and that his struma was responsible. There was, of

course, a struma, but which was not large and did not

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cause any obstruction of respiration. The fauces was

somewhat red. There was overloaded with work and

felt jaded and suffered vertigo whole turning and lifting

his head. X-ray of the cervical did not give any

worthwhile findings; the investigation by ECG gave only

the known rhythm disturbances. Laboratory

investigations including blood sugar and fat did not

show any-thing conspicuous. An intra-cranial process

did not indicate anything.

On 15-12-1975 the patient received Calc. iod D4, 2xx 1

tablets, Phytolacca D4 and Cocculus D6 each 3x5 drops.

Review on 8-1-1976: the swallowing was better, the

vertigo, the strmma and the pressure on throat were

not in any way altered. Now, I give phosphorus D12, 3 x

5 drops on.

Review on 19-1 the condition remained unchanged. The

pressure sensation in throat, vision disturbances and

vertigo by turning the head were again complained.

Because of a cervical syndrome I gave now Cimicifuga

D6, 3x5 drops. On 25-1 the throat area diminished by 1

cm. but on 12-2-1976, from further investigation I

learned that the patient was not happy with his job, his

position did not in any way suit his capabilities; he felt

himself neglected. Based on this prescribed Ignatia D6,

3 x 5 drops. By 15-3 the pressure feeling in the throat

vanished. The vertigo also was better, but in certain

position of the head, still existed. For the vertigo I gave

Conium D6, 3x5 drops.

On 29-4-1976 the vertigo was cured and on 28-5 the

throat region diminished by 1 cm. more. For Ignatia the

mental gave the clue. In addition, this remedy has also

action on the oesophagus as proved in the above case.

The globus hystericus is characteristic for Ignatia. The

futility of the other remedies used and the success with

Ignatia proves it. During the succeeding years he

showed some nervous behavior. But the lump condition

did not return.

PERISCOPE

[A number of articles on and about homoeopathy

appear in various medical and scientific journals the

world over. Most of these papers remain unknown to

homoeopaths. Br. G.S.Hehr is endeavoring to collect

these papers and give full details in this column. To

begin with we propose to enumerate the papers only.

As our resources allow we will give excerpts of the

papers and finally we will try to give full papers.

Any queries about this column may be addressed to

Dr.Hehr directly (Dr.G.S.Hehr, 120/22 Purani Abddi, Sri

Ganga Nagar 335 001. with a copy to the editor.

Davies AE. The Scientific Basis of and practice of

Acupuncture & Homoeopathy Trans Med. Soc. Lond. 92

- 93; 86 - 94 1975 - 77

Gebhardt KH. Grund prinzipien homoopathischer

Behandlung und

Grenzen zur Phytotherapie. Pharm Unssrer Zeit 1980

Jan 9; (1); 20-5

Dorcsi M. Homoopathie eine alternative Medizin Wien

Med. Wochenschr. 1979 Oct. 30; 129 (20): 556 - 8

Homoeopathic Medicine Lancet 2 (8081): 166-7 July

1978

Why Patients choose homoeopathy? Avina R et al

West J Med. 128 (4): 366 - 9 April 78

Prokop O Homoopathie and/ Akupunktur - Stsch. Med.

Wochenschr 103 (34): 1323 - 24 25 Aug 78

Thallium intoxication caused by a homoeopathic

preparation; Stevens W.J.Toxiccl Eur res. 1978; 1(5):

317:20

Medical Pluralism & Homoeopathy, a Geographic

Perspective; Phardwaj S.M.Soc. Sci. Med. (Med.

Antropol) 1980 Nov. 14B (4) 209 - 16

Gebhardt K H. Med Welt 1981 Feb. 13;32(7); 58-9.

Homoopathie nicht

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Homoeopathy in American History - Blake JB. Trans.

Stud Coll Physicians Phil 1981 Jun; 3 (2)-83-92

Uber die Stabilitat homoopathischer Dilutionen in Glass

– und Kunststoffbeh-altern: Roder E. et al - Pharmazie

1981 Sep; 36(9) 615 - 9

Brauchen wir "Alternative Medizin?" Oepen I. For tschr.

Med 1981 nov 12; 99(42) 1759 - 63

Guerrier Y. et al

Ann Otolaryngol chir Cericofac 94(1-2): 61 -3 Jan - Feb

77 Desensibilisation specifique par dilution

horneopathique les rhintes allergiques

Fricke U

Homoopathie: Placebo-oder sinnvolle Therapie Med.

Monatschr 31(4): 169 - 74 AP 77

Menaglia MP. Med. Secoli 13(3): 559 - 87 Sep - Dec 76

Un nuovo modo di vedere in medicina. la teoria

omoeopathics

CANCER. CANCER THERAPY. AND HAIR

To the psyche, hair is profoundly important, and the

abnormalities that arise in malignant disease cause

much distress. One such is hypertrichosis lanugosa

acquisita-long, fine, lanugo-type white-yellow downy

hairs that appear suddenly and grow rapidly, often in

association with an internal tumour. In the rare

generalized form, a dense growth of silky hair begins on

the face, nose, and eyelids and spreads to cover the rest

of the body (excluding palms, soles, and penis),

imparting an animal-like appearance. Existing terminal

hair may not be replaced, making a contrast in color and

texture. A less obvious growth may be much more

frequent. Fretzin termed this "malignant down", and

indeed in all but three recorded cases malignant disease

has been found, although the lanuginous growth may

predate the diagnosis of neoplasia by up to 2 years. It

cannot, however, be regarded as an early sign, since

lymph glands are commonly affected when the

abnormality of hair growth is first seen. The commonest

associated malignancies are bronchial, colonic, rectal,

and breast, but also recorded are gall-bladder,

pancreas, urinary bladder, uterus, ovary, lymphoma,

and lymphatic leukaemia.

Other cutaneous markers of internal malignancy have

been seen in association with hypertrichosis lanuginosa

acquisita, including acanthosis nigricans, acquired

ichthyosis, finger clubbing, and punctate palmoplantar

keratoses. Glossitis, disturbance of taste, and diarrhoea

are frequent accompaniments and may be part of the

syndrome. The hypertrichosis seldom regresses

completely after surgical treatment and radiotherapy

for the neoplasm, perhaps because the disease is

usually too advanced for cure.

Several workers have suggested that the hypertrichosis

is a manufestation of an endocrinopathy, the malignant

tumour being the source of inappropriate or ectopic

hormone. Production of a trophic substance normally

present in fetal life could also be responsible.

Endocrinological investigations have been

unproductive, but on two occasions raised

carcinoembryonic antigen has been detected.

(Carcinoembryonic antigen is present in the digestive

organs from the second to the sixth month of fetal life

and lanugo hair develops from the third to the seventh

months.) Although the prospects for treatment are

generally poor, any patient presenting with

hypertrichosis lanuginosa acquisita should be

thoroughly investigated for malignant disease.

Diffuse hair loss with increased telogen (resting phase)

shedding in malignant disease may be related to iron

deficiency or hypoproteinaemia. Alopecia due to

telogen shedding is occasionally an early sign of

Hodgkin's disease, but hair loss may also be due to

infiltration of lymphomatous cells and hair follicle

destruction, A more frequent cause of hair loss is

treatment with cytotoxic agents, to which hair is

particularly sensitive because of the rapid replication of

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hair bulb cells. A dose-related effect, it characteristically

arises a few days after cytotoxic drug therapy.

Also well known are aberrations in colour and texture-

lighter, darker, or curlier-when the hair regrows. There

may be associated changes in skin texture and

pigmentation. The prospects of hair regrowth diminish

with higher doses of radiotherapy and with advancing

age. Physicians should never underestimate the

importance of hair.

[Extract from THE LANCET, November 19, 1983]