Sei sulla pagina 1di 15

QUARTERLY HOMOEOPATHIC DIGEST

VOL : II SEPTEMBER 1985

CONTENTS

1. CALADIUM SEGUINUM – FOUR FORTUITOUS CASES by Karl Robinson , MD

2. CASE REDORTS OF MEDORRHINUM by O . B . Abdul-hadi ,DM,MRCP

3. PULSATILLA AND THE EXAMINATION OF THE PATIENT by G . V . Keller

4. BERBERIS AGAIN by G.V. Keller

5. THE FOURTH CHRONIC DISEAR by Van Wasserhoven

6. HAHNEMANN’S CONCEPTION OF CHRONIC DISEASES


by Dr. D. Demarquo

7. PERISCOPE
felt “space out with difficulty concentrating”. She
CALADIUM SEGUINUM - FOUR received Caladium 10 M and with in 2days felt
FORTUITOUS CASES completely well .

Karl Robinson , MD. Case 2 : Boy , 11 yrs . Ill with fever for 5days .
Occurred daily and reached 103c to 104c around 7 to
In a 6 week period from mid – October to 8 P.M . He had low energy and stayed in bed . Cough
early December 1982 I treated 4 different patients agg . by pressure on the trachea at the sternal notch .
with Caladium seguinum with excellent results . Cough worse inspiration and worse in cool air .
Caladium is a little used remedy and I had never Increased belching for 5 days , worse after eating or
heard any of my teachers or colleagues even speak of drinking . Mostly because of cough , received Rumex
it . Successful prescription of Caladium attests to the ; no effect . As the fever persisted , was given a series
methodology of classical homoeopathy . Using the of remedies (Belladonna , Pulsatilla , Sepia ,
methods – repertory , material medica – we can Gelsemium and Sulphur ) all with no effect .
achieve the results which delight our teachers , draw Typically felt better in the morning , temp . was then
the admiration of our colleagues and the gratitude of lower and tended to climb in the afternoon and
our patients . evening ; following caladium 1M , his appetite began
to improve and he started eating huge meals (he had
lost 9 lbs.). Fever declined and ceased and his energy
Case 1 : Woman 35 yrs . low grade fever the past 3
gradually began to increase . 5 days after the
weeks . 10 days earlier given penicillin for a week ,
caladium 1M he was given caladium 10 M and went
no improvement . Fever tended to rise late afternoon
to complete recovery within 2 days . (The caladium
and evening . Her physical energy was very low and
10 M was not probably necessary , but it did not
worsened as the day progressed . Worst time 9 to 11
interfere in any way.)
p. m . (she was a musician and normally worked
until 2 a . m .)No chills , but sweated on exertion
which was unusal for her . Food desires and Case 3 : Woman , 29 yrs . graduate student under
aversions – unremarkable . Amoebiasis in 1977 – 78 . constitutional treatment for 4 months when she came
Since the onset of the fever , she had been down with viral illness . First 4 days she had “a high
experiencing mild dizziness . Her lower lip tended to fever” day and night , much nasal discharge and great
crack in the center . stool lienteric . When the fever weakness . Thereafter fever came daily at 8 P.M . and
first commenced , she had some urinary irritability “a disappeared by the time she awoke next morning . So
little burning” . It had disappeared . She said it was weak and unable to concentrate that she asked for
hard to wake in the morning but there was no fever two incompletes at the University . She informed me
than . It began around 2 p.m . She was not restless , of her situation a full three weeks after its onset and
but had noticed an increase in irritability . with fever received Caladium 200 , one dose , based on the
she felt heat inside her head , especially her forehead. nature of her fever and the mental symptoms . Four
Hands and feet had been unusually cold since the days later, her recovery had been dramatically swift
fever started . Mentally she said she felt “spacey and and complete .
disconnected and forgetful with trouble
concentrating”. The illness had made her depressed. Above 3 cases were similar : Prolonged fever
she said , because it forced her to sit around as with a . n . or evening exacerbations with a definite
exercise was difficult . She wanted a bit of extra improvement following a night ‘s sleep . In virtually
attention and affection since becoming ill . Felt no other aspects , except for the mental haziness and
markedly better after sleep , including a nap . lowered concentration , did these cases correspond to
the amount of Caladium found in kent’s lectures or
Though Sepia was a possibility , I was Boericke’s M.M. Nonetheless this one keynote
struck forcibly by one salient symptom : The strong symptom , so strong in Caladium enabled the choice
general improvement following sleep and the to be made . In the final case , though the etiology
temporary disappearance of fever following sleep . and many symptoms are completely different , certain
key symptoms are the same .
She was given caladium 1M and reported
feeling much better , though not well , in two days . Case 4 : Woman , 38 yrs . was stung or bitten on
Within 3 to 4 days she reported , “fever is definitely her right elbow by a furry,caterpillar – like creature
gone”. Forth day felt “great” , overdid and relapsed six weeks earlier . Shortly thereafter , whole right
slightly . At one week , though better in general , still arm swelled and she became febrile . Pain extended ,
elbow in both directions to her hand and shoulder . Summary: Caladium should be considered when
Later lt . Shoulder became painful . Corticosteroids there is a long –lasting fever (5 or more days) with a
decreased the swelling and pain somewhat . When late afternoon or evening peak (sometimes the fever
she spoke to me she said that pain was better from will begin at that time) and a strong decline in the
warmth and worse from motion . Felt chilly . Most fever after sleep . Mental symptoms include unclear ,
significant, she had undergone a personality hazy thinking , a kind of “spaciness”, and
metamorphosis . Whereas before the insect sting she indifference to people and pursuits which normally
had been a vigorous , enthuslastic, hardworking are of great interest .
woman, she now described herself as someone “who
has lost all enthusiasm . I’ve quit my job yet CASE REPORTS OF THE USE OF
financially I need to work . I should be worried that I MEDORRRHINUM IN THREE
’m not working but I ‘m not Become indifferent to
everything . including my family.” PATIENTS SUFFERING FROM
EXFOLIATIVE DERMATITIS AND
Immediately after the sting , the fever was ONE PATIENT WITH PORPHYRIA
continuous , lasting all day every day 10 days . Then
it only appeared in the evening around 5 and 6 P. M. O.B. Abdel–hadi, DM , MRCP C.O.Kennedy
Currently , it was occurring 3 to 4 times a week in the FFHOm , and M . D . Jenkins , FF Hom , MRCP
evening . She complained of an inability to think ResearchUnit, The Royal London Homoeopathic
clearly . Also thinking tired her . “I don’t want to be Hospital .
bothered by anything ,” Though memory was intact ,
her family has been describing her as “strange” and Introduction : The erythroderma syndrome is
“almost depressed” “My daughter says sometimes I a serious dermatological complication which may
have trouble holding a conversation”, she said . She occur as a result of a reaction to drugs such as sodium
had a strong desire to be left alone . Thirsty , “I drink aurothiomalate (Myocrisin), or as a generalized
all day”. No preference for hot or cold drinks though spreading of a pre-existing dermatitis such as
she liked lemon juice in water in morning . More psoriasis or atopic dermatitis . It may also occur in
belching and flatus than usual . Though when well association with a lymphoma or leukaemia or as a
her sex desire was high , currently it was nil . She felt manifestation of internal malignancy . A primary
some better after sleeping , but had difficulty getting idiopathic from , pityriasis rubra , is also described .
going in the morning . She was mailed Caladium 200
and told to take a dose a day until she noted a change Whatever its cause , exfoliative dermatitis
and then to call me . After the second dose she rang presents with a generalized erythmatous scaling
to say , “I feel something has started to change. I’am eruption involving the whole skin surface . Itching is
no longer chilly or hot or sweating. My enthusiasm is a variable symptom . Patients with this syndrome
coming back. I ‘m not indifferent at all”. That very may develop a negative nitrogen balance, oedema
day she walked into an attorney’s office “and got and hypoalbuminaemia together with a loss of muscle
hired on the spot .Before that people would at even mass .
interview me”.
Prognosis is variable , In one study ,
Not only was her fever gone , but there approximately 60 % of patients with erythroderma
was no longer any disorientation and her thinking recovered in 8 – 10 months , about 30 % died and the
was normal . “I can think without becoming tired ,” remaining 10 % were left with persistent skin disease
She said , “and I no longer want to be alone . My sex unresponsive to treatment . The prognosis of the
desire has returned . My apptite has improved”. The idiopathic type is the worst , the disease usually
belching however remained . Caladium was , progressing to a fatal termination in two or three
ofcourse , discontinued . years .

Her extreme indifference to her family , Case reports : Patient 1 : B . S . Aged 35 . Female:
her job and life in general , plus her desire for lemon This patient presented in OPD in July 1978 with an
juice suggest sepia . But Caladium is ranked higher 18 yr. history of psoriasis . Previous treatments had
in kent’s Repertory under SKIN , stings , insects . included Betnovate , dithranol , and methotrexate . At
And of course , Caladium is better known for the that time she had typical psoriatic lesions on the
particular fever pattern that she evinced . scalp and elbows and psoriac nail involvement . The
local symptoms she described were that the lesions
were very itchy tended to be worse in cold weather , Medorrhinum 200 . This was associated with a
and were markedly improved by sea bathing . Hot marked , steady improvement . She was discharged
sunny weather had on different occasions both two weeks later with the skin in reasonably good
relieved and aggravated the skin condition. The first condition . The only topical skin application used was
homoeopathic prescription was for staphysagria 200 , Ung . emulsificans .
one dose followed by placebo . This was prescribed
on the mental symptoms of a marked intolerance of Patient 3 : D . A . Aged 28 . Female : This patient
injustices and a tendency to throw things when was admitted to the hospital in August 1978. She had
angry . Ung emulsificans was prescribed . There was asthma and eczema since early childhood . She is
an initial slight improvement and placebo therapy known to be sensitive to house dust and cat fur . She
was continued . However , the patient was admitted also suffers from high fever . Seven months before
from out Patient in October 1978 with generalized admission she , of her own accored , stopped her
erythroderma which had started on her return from a topical steroid (Betnovate). Her eczema initially
seaside holiday in Spain .During her holiday the became markedly worse but then improved
psoriasis had totally cleared . There was no obvious considerably whilst taking a seaside holiday in Italy.
factor to precipitate erythroderma .Initial treatment On returning to his country her eczema became
with Apis 200 and Hamamelis ointment had little steadily worse until it involved the whole skin . She
effect . A single dose of Medorrrhinum 30 given on was seen by a homoeopathic physician and given one
the third day of admission also had little or no effect . dose of Sulpher 30 , which coincided with an
aggravation of the situation . On admission to
On the 5 th Day of her admission she was hospital she was given 3 doses of Medorrhinum 10 M
given 3 doses of Medorrhium 10M and began to with dramatic improvement in the appearance of the
improve almost immediately . The Hamamelis skin over the next 3 days . The itching of the skin was
ointment was continued . The Medorrhium 10 M one however not relieved . This symptom was partially
dose was repeated 2 weeks later . relieved by phosphorus 6x tds and Phenergan 25 mg
nocte . Calendula cream was used topically. One
The patient was discharged home and week later the skin was almost normal but still
remained well until 4 months later when her psoriasis somewhat itchy . She was then given 3 doses of
began to break out again . Treatment was therefore House dust 200 and discharged. Her improvement
recommenced . has been maintained for 7 months.

Patient 2 : N . C . Aged 57 . Female : This Patient 4 : G . R . Aged 26 . Female : This patient


patient had an 18 year history of rheumatoid had a history of eczema and asthma since infancy .
arthritis . For the last 3 yrs . she had been having These had in recent years been controlled with
sodium aurothiomalate (Myocrisin ) injections 10 mg Betnovate and a Ventolin inhaler respectively . She
. monthly which had controlled her arthritis . She was had however stopped using the topical steroids for
admitted with a two- week history of rapidly several months during which time her eczema had
progressive exfoliative dermatitis which started on become considerably worse . She had been on a large
the trunk and spread to involve the whole body number of homoeopathic remedies (from a lay
including the scalp . She had not had any previous practitioner) , but to no avail . There were also
skin , renal or haematological evidence of gold considerable psychosexual and depressive elements
toxicity . A skin biopsy showed a non-specfic picture under lying the illness . She had made at least two
of a dermatitis with hyperkeratosis and subepithelial suicide attempts . Both her father and her brother had
infiltration , mainly mononuclear but with a few committed suicide . Her mother and maternal
eosinophils . Haemoglobin , full blood count , ESR , grandmother had eczema and asthma . In addition she
urea and electrolytes , liver function tests and skin had amenorrhoea for 6 years,associated with marked
swabs were all normal . she was initially treated with breast enlargement.
Sulphur 6 qds for 1 week and then Aurum 30 qds for
4 days without benefit . She was extremely anxious , On admission the skin lesion involves
irritable ,worse from heat and gave a history of a the face , neck and upper chest and upper arms .She
general feeling of well being while at the seaside . On also had a stye on the right upper eye lid .
this basis she was given Medorrhinum 30 tds for 1 investigation revealed that she suffers from porphyria
week , with some improvement of the skin on the of the coproporphyria type . She was also found to
trunk but the face was still severely involved . One have an abnormally raised plasma prolactin level .
month after admission she was given a single dose of Plasma testosterone levels were normal . She was
treated with Medorrhinum 10 M (3doses) with rapid therefore depends as to how one observes , hears,
initial improvement of her skin condition . This was perceives or recognizes the similarity . To perceive a
repeated two weeks later when she did not appear to similarity there must be two images which can be
be improving any further and there was again a compared with each other , the disease picture or
further improvement in the skin condition . Shortly rather the sensations of the patients before us and the
after this she had a normal period , the first for 6 image of the remedy which we have in our mind .
years . Another repetition of the Medorrhinum 10 M Both the pictures are placed beside each other and
had no effect and treatment was changed to Sepia 12 compared , the similarity ‘strikes us’, that is , it
bd , with sustained improvement . comes towards us . Not that we decide for ourselves
about the similarity but the similarity is before us , so
When seen one month later she was well, to say .
her skin was clear and was on no treatment.
PULSATILLA : SLEEP SYMPTOMS : I would
Discussion : Medorrhinum is usually used in the like to demonstrate first the difference in sleep
higher potencies . In these cases there was no between Nux vomica and Pulsatilla for which I must
evidence of any aggravation of the skin with the high use the tape-recording of a lady patient of mine .
potencies used . The main indication : a general Recall H . C . Allen’s reference to sleep symptom of
symptom of feeling much better by the seaside or Pulsatilla in his key Notes : “wide awake in the
local skin condition improved at seaside . Other evening , does not want to go to bed ; the first sleep is
features for Medorrhinum present in these four restless , sound asleep when it is time to get up ;
cases : Particularly intolerance of heat bed : marked awakes languid , un refreshed”. We establish the
desire for sweet in patients 1 and 4 and salt craving in main differences between the two medicines by the
patient 3. Two , 3 and 4 had associated asthma and clear differential indication that whereas Pulsatilla
eczema . cannot go to sleep in the evening Nux vomica cannot
keep awake in the evening . We must be able to
classify our cases by this difference.

PULSATILLA AND THE Now we will see what our patient says
about her sleep and consider which one out of the
EXAMINATION OF THE PATIENT
two remedies is to be prescribed . Allow me to unroll
the case from behind because I will demonstrate
G . V . Keller
something very definite . The patient had spoken
earlier of other symptoms which suggested both the
To compare the sickness of the individual
remedies Nux vomoica and Pulsatilla . I now
person with the particular medicine , to enable to
attempted to draw conclusion by putting questions
make a homoeopathic remedy diagnosis , we must
about the sleep symptoms and temperature symptoms
allow the patient to talk , we must listen patiently and
.
our questions should only be so as to bring about a
through and full case record . Therefore spontaneous
- Do you sleep well at nights ?
state ments of the patient which deviate from topic
are welcome .
No , not that . I sleep up to 12 and then it is
restless…… It
In homoeopathic examination of the
will then be , I awake at 1 , then doze a little , then it
patient we await patiently for a detailed , unusual ,
is 2 , then 3 and then it is awfully restless, after 12 .
away-from-the normal account of the subjective
Before 12 I have slept often if I had gone to bed by
sensations . We need exactly those symptoms which
9 , up to 12 . Then it begins mostly after 12 that I am
deviate from the normal , the changing subjective ,
restless and I am awake.
which frequently are hinted at by the patient in
passing and which we cannot gauge . We do not want
-Could you then go to sleep in the mornings again ,
to classify but only want to recognize the similarity .
when you must have got up ?
The son is similar to the father not
There have been some days , that I have again caught
because both have noses 5 cm . long or both have
sleep ;.
particularly same number of eyelashes . The
similarity cannot be measured , but one must allow
the live representatives live it , so as to perceive it . It
We have said earlier , that Pulsatilla patient also belongs to it . She said that she goes to
cannot sleep in the evenings , while Nux vomica bed at 9 , awakes after 3 or 4 hours and then sleeps
cannot keep awake in the evening . If it is seen that restlessly . If we take the other patients for this
the patient been revealed differently , then would purpose we come to the following with regard to the
Nux vomica be chosen . She can go to sleep at 9 sleep course for Pulsatilla :
P . M. Yes . Therefore I asked another questions to
help decide choice of the remedy . Very tired in the evening , so that he went
to sleep in the chair . when he then goes to the bed ,
- Do you become chill easily , or do you feel warm he has difficulties in going to sleep . He then sleeps
easily ? for about 4 hours , awakes around 3 o’clock and then
can again sleep only poorly , the sleep then is restless
No , but then I rather quickly become cold but with . Then in the mornings he is tired .
my job as post-woman , I cannot say specifically that
I am chilly ……….but quickly . In the evening I fall asleep in the chair
because of weariness and then when I go to bed , I
- If there is a draft ? have difficulty in falling asleep .

But I get easily chilled. I could go to sleep , then again I wake


up , 3 o’clock . Early morning I was tired . Most of
- If there is a draft in the room ? the days I could sleep only for 4 hours .

I do not want it . But otherwise I can tolerate When I have slept for 4 hours , I awake
warmth ; before I was a post-women , I was always with back-ache , I then get up and move around .
in the field in Agriculture exposed to the heat , it has Only 4 hours actual sleep . I sleep restlessly , I roll
never mattered to me . about in the bed . After three hours I awake again .

Here Nux vomica appears to be the choice Always I wake up around 2 or 2 . 30 .


, when the picture is depicted so clearly in black and
white . She chills easily , worse in draft and she can From 3 to 5o’clock I stroll about in my
tolerate warmth . So I gave her Nux vomica but room .
without success , perhaps as you would have already
foreseen . Because ,it does make a difference whether Now some more relevant proving
a person could not keep awake in his chair or as the symptoms . “He was not able to ward off the sleep in
patient said : “I sleep well between 9 – 12 , then my the evening , without however , being weary .” “He
sleep is restless”. There is no definite similarity here cannot sleep long in bed the evenings , and wakes up
between Nux vomica and the patient . at usual time , without being able to go to sleep
again”. “After lying down in the evening , he slept
It is of course not simply so , that for an hour without dreams , but then he woke up and
Pulsatilla always slept badly in the evenings and that remained awake till early morning and then he must
Nux vomica always slept good in the evenings . Our always change his position”. “She jumped out of bed
remedies cannot be laid down so . It is also not so , frequently , because she felt better so”. “In the
that a specific medicine either has a definite symptom morning , the longer he lies in bed , so much more
or does not have . It does not matter if Pulsatilla exhausted he becomes , and so much longer he wants
does not have sleepiness in the evening . It is more a to lie down”.
question how the accessory details of such a
symptom is related , how the patient and prover have Earlier while the patient’s replies to the
expressed , by which closer particulars of the questions helped select two possible remedies now
symptom can it become distinguishable between one you to allow the patient’s words help to decide .
and another . How is the sleepiness by evening of Before the questions , I had imagined a particular
Pulsatilla and how is it of Nux vomica . The picture and what I wanted to hear in that connection
question : has Pulsatilla sleepiness in the evening or Whereas now you have heard the “4 hours” and
not ? there fore goes astray often . “restless sleep” and are therefore clear about the
similarity with the live symptom . Naturally it is the
I will now bring it further clearer by a deciding one : As much alive a symptom before us
recording of other patients . The above cites lady is , as much often we have heard it from the patient,
described by the patient , or as it forms part of a Ha , not exactly heat , but a sort of pressure , so , so.
patient so much easy it is for us to arrive at the
similarity . So it strikes us that our patient first - A Pressure ?
referred to , slept well between 9 – 12 , 4 hours
duration , and that her sleep was thereafter restless . I A pressure ……… I don’t know ……. I cannot
did not know before this symptom of Pulsatilla and describe it exactly .
could not therefore immediately recognize how close
the similarity is . - and it goes up ward ?

PULSATILLA :A STOMACH – HEART And once I felt it in my head , ,you know , as if the
SYMPTOM : It was in the same way with the pressure came with speed and it is ………
Pulsatilla symptom, which this patient had , I did not
know it either , when it came to me for the first time . - like a below you have said .
It is the stomach – heart symptom , which can be
summarized so : A sensation of rapid palpitation or Ha , not exactly like a blow , but simply like a
irregular flutterings in the stomach region . associated tension . I cannot describe so exactly how the speed
with a pressure or pull , which was experienced more is , so ….. so like a jerk , yes a jerk !
while lying on the left side .
- A jerk , more in the head purely …….
The proving symptoms are : “A tension in the
stomach and heart region extending up in to the It comes from there , as if from below up , as if to the
breasts”. “Jerks from stomach upwards to the throat”. heart it came , simply from below I feel it so .
“The pulsation of the veins was felt in the
epigastrium”. “When he lied on the left side , he - Can you lie on the left side ?
complained of very rapid palpitation”. Now let us
allow our first patient to speak again . No …….. No ……..

- So palpitation , - Why ?
Yes , irregularly ,you know , I observe it when I fell Because , it becomes then restless , then it palpitates
the pulse , that is as if it is suspended and then again always , it is always , it is always there below , you
it starts . know , more , you know , my heart must actually beat
more above , no ?
-Yes , and do you also have internal restlessness ?
- And it is aggravated when you lie on the left ?
Yes , such a true restlessness , it comes as if it came
up from down and then it goes up to the head . Not always , but I simply cannot endure at all on the
left and I simply don’t feel well by that .
- Trembling also ? What is it which trembles or
vibrates ? Have you observed that the patient
replied to the question as to why she could not lie on
Yes , I do not know at all , it is all in there , so ,so, the left side , with a reply question , she said, that
there , simply in this area . something was not alright , my heart must beat
naturally much above ? I will come to it once again
- In the stomach ? later . Now a second lady patient .

There ,over all and then from down up . So ,one can What else is it , I don’t know , Yes , sometimes
say that the heart palpitates more there below . during the nights I have it so in heart , how could I
say it ?
- And what ascends from below ?
- What do you have there , in your heart ?
It is like a ……….is it is like as if it is a wave , or so,
so ……….. I cannot exactly ……. Palpitation ,too bad and I cannot remain on the left
side . I must then get up and walk about or ……
- Heat ?
- It becomes then better ? Now comes another patient who has this
aggravation only of heart-stomach sensation . Only
It becomes better slowly . I always think that I may aggravation , means , that the general condition is
have spasms of the stomach , but basically seen there ameliorated while solitary physical ailment which
is nothing wrong with the stomach . was there earlier or has been experienced once before
, is now felt more strongly. By the Pulsatilla LM
- You have to move about ? Get up and move about? potency dilution this was rectified easily .
Because of the palpitation ?
Yes I have such curious aggravation . . .
Yes , then it oppresses so . And doctor , I have Yes , I don’t know whether it is related to Pulsatilla, I
experienced it already , it pulls up , up to the cheek consider it simply as grotesque , but , since I took it ,
bones , that I think , my God , it cannot be so . and practically a day thereafter , I have such a tension
in the midriff region , what sometimes seems to be
- Yes , what sort of sensation in the heart ? pulsation and yes , I have only the feeling that it is
pulsating – it does not pulsate . Such a
A pressure , a severe pressure , as if I have cramps in fluttering . . . . .Yes , this fluttering I have by going to
the stomach , but I know that is not from the sleep and otherwise it is a tension , a pressure from in
stomach . , and , but . . . .and to describe it : it is . . . . not a
feeling that there is something inside , but as though
- And therefore you cannot lie on the left side ? Do it is just below the skin .
you get palpitation because of that ?
- Fluttering . . . . and a tension ?
Yes , palpitation .
Yes , the pain is like a tension , and otherwise it is a
- Does it then beat faster ? fluttering .

Yes . Fast and severe , So ……. So ……. - As if there is something alive ?

- Or do you have the sensation , as if it has stopped Yes , Yes , and indeed approximately double so fast
beating ? like a heart-beat , no ?

No , simply accelerated so – right – vigorously . This patient whom we have earlier once
heard with regard to sleep symptoms describes the
You have now heard all the components pressure differently from the first patient . And here
including the irregularity of the palpitation . From the the sensation of from below up , is absent . The
patient whom we have already heard on the sleep symptom has also not been completely described .in
symptoms , the sensation of pressure is missing : the same way , it cannot also be definitely laid down ,
it depends upon patient to patient and even in the
Now I have rather heart irregularities , same patient subjected to continuous changes. And of
palpitations . Mainly on lying on the left side . Also course , you see or hear the Similarity , which binds
heart pains , In the evenings , when I rest , it all these patients and provers . while you have not
frequently fails , almost every fourth beat fails . I any pre-conceived criterion but only confront the
experience it from below up . The stoppage of the disease picture or sensations picture with what you
heart I feel there in the abdomen on the left side . have in memory about the other patients .

From the following the “from below up” is missing: Also the art , how the physician
interrogates the patient and above all , how he reacts
Troublesome oppressions in stomach . I to the answer , is important …. I have previously
have the sensation that the heart is plainly beating in drawn your attention , as my first patient did not
the stomach and fear grips me naturally . Then answer my questions but gave an account of the
sometimes I have slight disturbances of heart rhythms sensation which did not have anything to do with the
, which makes one think for a moment , that it won’t question. So something often noteworthy comes to us
work anymore . , such spontaneous utterances are more important
than what will be answered pointedly to the
question . we welcome such spontaneous statements .
To me , a reply to the point , is often totally in two identical Governing bodies against his will
unimportant . I may not know anything at all, what I and against his better understanding .
ask , but the questions serve mainly to keep the
patient narrating voluntarily and also to prompt him Hear this patient and keep in mind what
to state further symptoms . I do not await the pointed you have heard above about Pulsatilla , so that you
answers to the questions but rather observe the can oppose the two impressions against each other
reaction of the patient and also whether he cannot be and compared them . I think , it will not be difficult
induced to go off the track and narrate spontaneously for you to perceive the similarity if you pay attention
symptoms which will be interesting to me . What the closely .
patient answers specifically to the question is mostly
common and obvious . - How are you ?

PULSATILLA : THE MENTAL STATE : To Awful , awful , awful . I am breaking down .


conclude the discussion , I will now say that earlier I
have lead this last said lady patient and her answers - Nervous breakdown . . . . .
directed me to give Pulsatilla . It is on the mental and
temperamental symptoms . Yes , of course ,Yes . Again I am going to pieces , I
observe it , I know it , since I was once under
In his Foreword to Pulsatilla Hahnemann neurologic treatment and – I have taken too much
has given hints about the mental state of the Pulsatilla load .
patient whom we come across frequently and who
need this remedy . Among other things , he said that - With what ? what is your job ?
Pulsatilla will be helpful if in appropriate diseases , a
mild , yielding ,good-natured and shy temperament is Earlier , I was a freelance , lived largely from
found to be conjointly existing . When consequently translations . I have 700 pages now before me , which
we go through the proving symptoms ,we wonder all must be completed by March end , which is not
that the words ‘mild” , “yielding” “good- possible to be accomplished . And it is serious , I
temperament” and “Shy” do not come up . But listen know it I have this work-load since long . I have been
to the proving symptoms , which holds true to our chosen in the Governing body and now have also to
last tape-record case; “Worry over her house-hold join the Governing body of my translators’
matters”. “Restless mental state as if not thought of association from the beginning of April, it is all
her duties sufficiently properly” “He will now want dreadful . I do not work at one thing at a time . I have
to do this, now that , and when some work is given to my translations lying on the writing table and I work
him , he will not do it”. Can we not see in these half-an-hour and then it occurs to me : my God , I
symptoms a similarity to lack of achievement of must do that , and that . My wife has observed it
success , just as the “yielding” and “mild” ? The since two weeks and said , that I am madly
Pulsatilla patient can poorly oppose external aggressive . That is true , I am exceedingly harsh !
influences , he even becomes diverted from his
emotions so much , can put up opposition so poorly - when you are spoken to , or when you . . . . .
that he yields . The will to hold on is too weak , the
patient displays very poor strength to the harshness of No when I get excited over something , and it may be
the external world and to contradict . So you see that something wholly trivial , may be petty , and I go
the mental state which has been pictured in the over . Only as a funny example : a drain in the
Foreword as the normal state to an extent , finds its kitchen was to be repaird , and the Plumber has fixed
agreement with the proving symptoms which now it wrongly . If only I had a bit of control I would have
portrays the disease state . called him this morning , but my wife made a scene
yesterday ! I was so upset , I began to scream ,
The prover exaggerates trifling matters or because I do not any more see through , also
begins to do this or that work , without completing practically I leave big things but take up with trifles .
anything , submits meekly against his own emotion ,
pliable , yielding and mild . Likewise in the following - Yes Then I will give you Pulsatilla for a few days.
portrayal the patient is too yielding and too mild . Hope it helps you ! If it does not help come next
perhaps also too shy and good-natured against the week beginning once again . Yes , 5days off !
external world when he allowed himself to be chosen commencement of next week !
- What , 5 days off again , are you going away ? No, what are new the receptivity , and use that gift on
no , no (begins to cry and to laugh ) I am . . . . I must patients .
write everyday 20 pages , the mountain will become
larger ! Since you say if it does not help ! Excuse
me , that I react so fervently , but – I – cannot afford
it ! . It must help! BERBERIS AGAIN
- And you cannot remain so ? G . V . Keller

Yes . That is my problem . I remain seated on my Meteria Medica :


bottom , and I do some thing else , but my table is
full of papers . The patient (woman) who mentioned
earlier of “bubbling” (1) said something further
Can you perhaps point out what would which I have met with earlier often , in BERBERIS
have occurred without knowledge of the Pulsatilla patients : “I like to have high collars , I like to have a
mental state ? Is not one tempted to exclude because collar , if I have something warm here around the
the patient is aggressive , reacts extra – ordinarily throat”. And BLACKIE who published in 1978 (2) a
harshly and his wife creates scene ? we may have study of BERBERIS had this experience , she wrote
fixed standards like : Pulsatilla is mild Nux voimica about BERBERIS patients”. “One came across often
is aggressive. To some extent we would have picked a cold sensation in the upper half of the shoulders ,
up from our books an account of the aggressiveness also in the neck”. A proving symptom for this need of
of Nux vomica . We would not have , if we had not warmth in the neck is not known , also about the cold
earlier grasped the entire mental state of Pulsatilla , knees , which DESCHERE mentioned in 1890 (3) as
heard of the Similarity as we have now noted by characteristics symptom for BERBERIS , of course ,
hearing to the tape-recording. Only when two after extensive clinical experiences particularly in
pictures are available can we compare with each cases of “general muscular rheumatism”, whereas he
other , and choose the similar remedy . was often disappointed with the symptom for “kidney
pains from urate stones”. Cold knee had not been
So you see , the success in examination spoken of in the proving , but on the contrary of cold
of the patient , with the aim of finding out a sensations in small spots in the things . In the
homoeopathic remedy depends upon two things , literature are found two case reports of TALCOTT-
namely : 1897 (4) in which two patients complained besides
their main troubles , of cold knees . One had “eczema
1. On our knowledge of the medicine , and intertrigo and alternate rheumatic pains”, the other
had “Backache and pains in the ureter downwards”.
2. On our capacity to listen to , that is so give One of my BERBERIS patient reported in winter
up our acquired ideas about examination of 1974 -75 of cold knees in the following manner : “If I
the patient according to the allopathic watch T.V for an hour , my feet become icy cold .
methods . The knees also are icy cold and despite having a
warm water bag I cannot go to sleep then . I always
For homoeopathic examination of the have cold feet and cold knee. I have such a cold knee
patients our thoughts must be in an entirely different that I cannot at all go to sleep at night . I may keep a
direction . We hold on to what we have learnt about boiling hot water-bag on my feet and they may not be
the medicines in the course of our life , during the warm”.
course of our examination of the patient so that it
may agree with it , can react , understandingly References :
discuss , when we hear from the patient something
similar . One must , for that be absorbent , receptive . 1. V .Keller , G . : Berberis . Zeitschrift fur
this process of observing the similarity some klassische Homoeopathic 25 (1981) , H . 4
colleagues call as intuition . But it is only a sort of (See QRLY . HOM .DIGEST VOL . II
intuition , which is based on hard work . Because one NO .2 / 1985 )
must on one side work with his memory efficiency
every day , to keep it alive and active and on the 2. Blackie , M . G . : Harnmittel . Zertschrift
other must continuously develop capability to absorb fur klassische Homoeopathic 23 (1979) 137
.
3. Deschere , M . : The North Am . J1 . of allopathic palliation but through the medicine in the
Homoeopathy 38 (1890) 263 forefront ,like Histamin 9 CH in Asthma or with the
lesser known remedies in the Materia Medica which
4. Talcott , W . S . : The North Am . J1 . of suit the symptom picture . Mostly in such diseases
Homoeopathy 46 (1897) 266and there may be more or less severe tissue destruction
Transactions of the Homoeopathic Medical and organ insufficiencies , wherefore homoeopathy is
Society of the State of New York (1898) not to be renounced if suitable therapy is available in
115 . recognizing the fourth miasm as the exciting factor .
Then we have best out look not only for finding out
the simillimum for cure or palliation but actually see
it work . In the context of such a necessary branch the
THE FOURTH CHRONIC DISEASE author visualizes a great possibility for development
of Homoeopathy .
Van Wasserhoven
HAHNEMANN’S CONCEPTION OF
(La quatrieme maldie chronique , L’ Homeopathica CHRONIC DISEASES
Francaise 68 (1980) 575 – 588)
Dr . D . Demarque
HAHNEMANN did not hold that his
comments on the Chronic diseases are final . In (Les Annales Homoeopathiques Francaises (1980)
recent years ORTEGA has given a new interpretation H . 5 , 5 – 24 .)
of the three miasms and directions for their
treatment . But neither HAHNEMANN nor ORTEGA This widely dealt study puts forth an
have depicted the fourth miasm although it certainly analysis of Hahnemann’s conception of the Miasms,
responsible for most of the failure of homoeopathic particularly Psora with on one side by the
treatment . VAN WASSERHOVEN called it as establishment by suitable experiments in the light of
Intoxication and meant the consequences of years the current Medicine , and on the other by the works
long allopathic or homoeopathic suppression and of the Latin American School on the Psora and
medicament posioning . What during Miasms theory .
HAHNEMANN’s time was not possible because of
the compactness of physician is today the rule rather HAHNEMANN has as against the
and many patients come to homoeopathic antique and his contempory theories about the
practicioner now in this state . chronic diseases , anticipating Pasteur , placed in the
foreground causative agent and not the terrain . As
VANWASSERHOVEN adheres to the understanding in his time was , HAHNEMANN
HAHNEMANN’S view of the fundamental role of considered under miasms are infection by exhalations
choice of medicine and gives his suggestions for , whereby Sycosis and Syphilis were , in his view
treatment of the fourth miasm only for the case where venereal infections . Under Psora he understood a
the well-chosen remedy failed , “are blocked”. skin contact with the Psora miasm and affections of
Therefore the individualization of the blocade is to be the skin and mucous membranes and alternating with
considered . About the practicability of the treatment internal diseases . The problem of Chronic diseases
have been proposed : first Hygiene and Diet engaged the consideration of HAHNEMANN
(Movement , avoidance of nervous excitement and because the medicines chosen for the many recurring
Spices as also nutritional adjuvants). Then in specific chronic diseases worked only superficially . His
cases anti-doting is possible by ascending potencies observations led him to postulate that an external
of the medicines suitable for removal of the toxins for material agent a chronic infection capable of kindling
example , of an antibiotic or a vaccine serum , can be was responsible for the chronic diseases just as in the
established. Particular attention must be paid to the case of the acute diseases . Only that , in the case of
blocade or destruction of the hormonal balance by the chronic miasmatic affection it persisted life-long .
year long use of the Pill or other hormonal doses . The extreme frequency of the Itch in the beginning of
Here the biological fixing of hormones are necessary the 19th century and its extraordinary contagious
and offending hormone operated upon . Finally , after nature , further the observation of the ‘suppressed
the removal of the intoxication medicament crisis if itch’ convinced HAHNEMANN of its causal role in
the simillimum is not found out , may be first the development of most ( 7 / 8 ) chronic diseases .
palliated not by the same continuance of the For this infection , contact with one suffering from
the ‘itch disease’ is obligatory . The development is deteriorated into bare Nominalism . KENT offered
executed as follows : Infection – diffusion of the the best example for that : the Miasms are inter –
“Internal Psora” eruption (“external Psora”) – courses between the moral rules and consequences of
suppression of the eruption – manifestation of the the original sin as the first true disease of the
‘Internal Psora’ into countless forms , corresponding mankind .Since years the pupils of KENT ,
to the individual constitution and the life situations . PASCHERO and ORTEGA representing the
Although HAHNEMANN conceded the possibility of Organisation “Free University of Samuel
infection at birth , he spoke nothing actually of Hahnemann”, in Naples . have spread world wide an
inheritance . Again the conception of infection did esoteric psychosomatic theory about the origin and
not only remain established , but HAHNEMANN therapy of chronic diseases . This was defended in
thought of Psorinum which is a dynamisation of the Europe by IMBERECHTS and found favour
psoric miasm and he spoke of review of particularly in Italy and India . As these doctrine was
HAHNEMANN’s description of the pathology of on a belief plane and could not be verified , a
Psora . HAHNEMANN claimed as curable with his scientific rebuttal was unsuccessful . Although
48 anti-psoric medicines , by choosing by exact nothing of the initial Psora theory of HAHNEMANN
individual aspects , the manifold manifestations of remained they are considered as its pure expression.
Psora which could not be covered by the orthodox The observations of HAHNEMANN have been
Nosology . replaced by empty concepts . Even though
somatopsychic and psychosomatic alternating
Antipsorics are medicines whose connections are well known , a full reduction of
symptoms fluctuations between skin and internal every aetiology into a mental (psychic) is not
organs , and psyche are characteristics . According justifiable . According to the Mexican school Psora
the history of the patient with all the recurring subsists in a psychic- physical Insufficiency , which
ailments individualizing the patient must included , leads to nutritive disturbances ; the sycotic on its part
besides the persisting conditions and all the skin is an excess of psychic reactions and excessive
manifestations and parasites HAHNEMANN does egocentric and extends upto papillomatous
not give every characteristics mental symptoms of proliferations and to Cancer . The Syphilis shows
Psora in its latent stage , but on the other hand he destructive tendencies, cruelty , impulse , to murder ,
brought into prominence the uniform mental suicidal impulses as also destructive organic
irregularities . The manifestation are caused by changes . In these conceptions the miasms do not
external reasons . HAHNEMANN reckoned as Psora anymore have any connections with the Treponema ,
the lack of reaction to the well-selected similie the Gonococcus or a skin eruption .PASCHERO’s
indicated by the acute state . The short acting system is a remarkable amalgamation of KENT’s
remedies in the treatment of chronic diseases must be with the psychoanalysis . The true meaning of life is
followed by antipsorics suitable to the individual Love . From blocked love springs existential anxiety .
patient on the basis of the anamnesis and Syphilis is the denial of action and the flight from
constitutional peculiarities . The change of remedies danger which because of inability to fight ends in
should be in conformity with change of symptoms . suicide . In avcosis hypertrophy as compensations of
Sulphur is indeed the main remedy for Psora the feelings of abandonm ent of self approval and self
especially in the course of exanthema , but does not –preservation . DEMARQUE emphasizes with irony
suffice for cure where no eruption is encountered . (It the fundamental difference between the obvious
is not clear to me as to how DEMARQUE thought presentation of HAHNEMANN and the baseless
that HAHNEMANN has in view a sequence for all speculations of the Miasms theory .
the 48 remedies and draws the conclusion there from
that HAHNEMANN has in his practice anticipated In consideration of the
the French pluralism). immunobiological, genetic and bio-chemical
knowledge about the terrain which are possible today
The presentation of the development of , the authenticity of the conclusion that the Psora is a
Psora theory by MURE and GRIESSELICH , are also uniof -factoral cause most of the chronic diseases
thouroughly handled . The latter wanted , after the would be disputed . In place of this theory, the study
collapse of the Itch theorv , the connect ion of of the general reaction of the patient from
Homoeopathy to the (orthodox School’s) causal immunobiological viewpoint should be replaced . If
research . As against it DEMARQUE perceives the old terms are to be retained then their exact
another . a disastrous development of the Psora clinical extent must be specified . So , Psora could be
theory which lost all the connection with every understood as for example , periodic , relapsing ,
pathologic factor conceived by HANEMANN and alternating and lack of reaction to the remedy chosen
on the basis of the indicated state . The action range 7. Women with premonitions have more
of the antipsorics should likewise be analysed so that children . Journal of the Society for
the biological and immunological equivalents of their psychical research 52 , 796 .
characteristic course are sought for in the further
research of Universities .Thereby an effective 8. Smoke gets into your gut ! British Med .
contribution for understanding the clinical – Journal , 1984 , Vol .289 , 660 .
therapeutic facts so excellently written by
HAHNEMANN in the . “Chronic diseases” in 1828 9. Are people who use alternative medicines
would be attained . ‘weird’ ? The Choice , Vol .10 , No . 2 ,
1984 .
PERISCOPE
10. Could Sony have the answer to stressful
[ A number of papers on and about Homoeopathy jogging ? Medical selfcare , 1984 .
appear in medical journals all over the world . We are
attempting to give a list of such papers that have B . Some Abstracts :
appeared . in the non-homoeopathic Journals . We are
also including matters of general medical interest 11. Aluminum toxicity : It is caused by
relevant to homoeopathy . The compilation and cooking in aluminum –pans. This comes
abstract drawn are by Dr . G . S . HEHR , MBBS , about because the foods cooked in
DPM , FIPS , 120 / 22 , Purani Abadi , Sri aluminum pans become potentized.
Ganganager , PIN . 335001 . Further enquiries on People can suffer homoeopathic proving
these may be addressed to Dr . G . S . HEHR under and can become very ill . Stop using
intimation to the editor , Dr . K . S . Srinivasan , 1253 aluminum and take Lycopodium in
, 66th Street , Korattur , Madras 600080 .] potency (American Homoeopathy , Vol .
1 , No . 5 , December 1984 )
A . Bibilography :
12. Bio –energetic regulatory medicine : a
1. Ziegler , E . : On the problem of conceptual crisis for conventional
supportive homoeopathic treatment of the medicine ? BERM combines acupuncture
ear-nose-throat diseases. and homoeopathy . Electrical impedance
H.N.O.Wegweiser fur Fachaerztliche between two acupuncture points is noted
Praxis , Berlin . ll . 351-2 , Dec .1963 and then the selected remedy is inserted
(German) in series in the electrical circuit .
Subsequent changes in impedance
2. Hodges , P . C . : Homoeopathy and S . readings have diagnostic and therapeutic
Hahnemann . Post Graduate Medicine , significance . The test measures the
Minneapolis . 35 : 666-8 June , 1964 . activity or the functions of the living body
, Whereas all conventional tools including
3. Haller Jr . J . S . : Aconite : A case study in CT scan (computerized axial tomograph)
conflict and the meaning of scientific and NMR (Nuclear Magnetic resonance)
meaning . Bulletin New York Academy of visualize the structure only (perhaps the
Medicine , Nov . 1960 (9) 888-904 only exception may be PET or positron
(Source for 1 , 2 , and 3 Index Medicus emission tomography – Compiler) . By
Volume 5 , 1964 ) the time a disease reaches a stage at
which it can be diagnosed by these
gadgets it is already very nearly incurable
4. A link between diet and cancer of the
ovary ? International Journal of Cancer . The present state of affairs in the
medicine is comparable to that of science
Vol . 23 , 5 , 559-562 , 1984.
before the advent of modern physics ,
which now points to a unified as opposed
5. Could breast feeding protect against
to a fragmented world-view . Even in the
diabetes ? Lancer , Nov . 20 , 1984 .
physical world the very act of observation
(Werner Heisenberg’s uncertainty /
6. How the West keeps the Third World
indeterminancy principle, Einstein –
hungry ? Quarterly Review of the Soil
Rosen –Podolosky equation – Compiler ).
Association , Septr .1984.
Living systems appear to display certain nalysis’ of the observing system ; (III)
physical features at macroscopical level , The observed ,or real, world is a highly
which normally are only found in the transformed artefect on which we impose
non-living world at a quantum level . our philosophical biases ; and (IV) After
Alternative medicine has a view of the shaking and filtering it our self-estimate
living body which is very much similar to will be no less ago-syntonic than Sartrian
the view of the universe as portrayed by absurdity .
modern physicians . It takes psycho-
kinetic elements into consideration , i.e. it In the world of Physicists there are no
heeds both consciousness and the soma . ‘things ‘ ; Einstein-Rosen-Podolsky
Dr .Julian Kenvon MD , Ch B . effect, means , Perhaps , particles are not
(Compiler’s note : It is by recourse to separate objects , free-will is an
such facts that homoeopathy will be illusion ,time divides at each of our
explained and not by interpolation of choices . All our concepts of ourselves
untenable hypotheses and by use of ill- are facing extinction and demolishing of
defined or undefined concepts , viz ., scientific dogmas is wounding indeed .
“Vital-force / principle” or by saying that Nature is odder than we can think ( JBS
potentization liberates nuclear energy . a Haldane ). Medical thinkers are not
statement that totally ignores Einstein’s bringing these news to their fields leave
famous equation . E=mc squire , aside incorporating them into their
according to which energy liberated thinking . Medicine always acquires the
would particular substance as homoeo colour of its time , and to do so it needs
potencies are ). (Source for 4 to 12 . to keep a constant finger on science at
The Alternative Medicine Digest , Feb .85 large . (Source: The
) Scientific and Medical Network ,Sept .
1985) (Compiler’s Note : We need
13. Quantum Physics and the Philosophy of some scientific philosophy of this sort
Medicine : Philosophy is how humans and not the pseudo-philosophy of a
see themselves and the philosophy of kent , who was ostensibly of
medicine means most commonly Hahnemannian thinking , but did much
physicians estimate of themselves and to subvert his teachings)
their professional activity . For centuries
religion has influenced it .Ever since the [ Xerox copies of Nos . 4 to 10 can be
time science became an oracle , medicine made available an receipt of crossed IPO
has been suspended between , @ Rs.5 / - for each item , drawn in
‘reductionism’ and ‘humanistic favour of Dr .G . S . HEHR , Sri
psychology’. But the science’s very Ganganager -335001 . For 12 & 13
demand for and insistence on intellectual charges are Rs.10 / - each . This money
integrity has remorselessly demolished is requested so as to cover the cost of
Democritean mechanistic model because Xeroxing and postage ; for details on 1
it did not fit the experimental data . At to 3 please send self-addressed and
this point math became difficult and stamped envelope ; No .11 is complete ]
models unvisualizable . Consequently
biology, medicine and psychology lost C . News : Dr. Alain Jolivet . of France has
contact with physics . Both biology with developed a new technique for transferring
its incorporation of ‘time-arrow’ and pharmaco-dynamic agents optically . A nearly
‘historical evolutionary model ; and parallel beam of ordinary light is sent through the
neurology with its attempts to explain transparent cavity of an operating continuous flow
mind , have Newtonian models that are dynamizor After passing through the cavity the beam
outdated . For the physicist ,space-time is focused by an optical arrangement onto a volume
exist en bloc . Its most plausible of carrier material , water or pilules , which exposure
mathematical models are non- the insert substance carrier acquires the pharmaco-
Democritean . Certain conclusions are dynamic properties of the dynamised medicinal
thrust upon us ( I ) The observer and the substance . Now it acts in the same way as the
observed interact ; (II) The progress in original substance . (For details please write to : Dr .
physics now depends upon ‘parasitic-
Alain Jolivet , 86 Avenue Saint Barthelemy, 06100 N
I C E , France Telephone No 93984107

Potrebbero piacerti anche