Dr. Tinus Smits † 27-4-2010
Staufen 58 different tumors (exclusion of bowel tumors)
Nelson mehr als 10
Remedia.at 10 und 52
This means that homeopaths all over the world use and discuss quite different remedies if they talk about Carc. It is clear that the one-tumor Carc. is different from a 15 or 48 tumor Carc. I suggest that one-tumor-Carc. should be named after the tumor that is used, e.g. Carcinoma mamma, Carcinoma rectum. Only the remedy made with different tumors should be called Carc., followed by the number of tumors used, e.g. Carc. (15T) 30K.
The mixture of different tumors is important in my opinion because this makes it a universal remedy, applicable in a very wide range. That’s the reason that I made Lac Maternum out of 10 different samples of mother’s milk, the same procedure followed for Vernix caseosa.
For many years I verified all these symptoms with every prescription and it became clear what symptoms to focus on and what symptoms should be eradicated from the picture to have a more reliable and practical picture to prescribe on. It seems to be difficult, once a symptom is entered in the Materia Medica, to get rid of it, even when it turns out to be based on an error. I started to take out symptoms from the picture that were of no value in enhancing
the image of Carc. and to add some others that seemed important to me from the essence. The fears of Carc. are a good example.
FEAR of cancer; fear in a crowd; fear in narrow places; fear in high places; fear of spiders, mice, snakes; fear of failure in examinations; fear of failure; fear of thunderstorms.
I removed fear of dogs, fear of the dark, fear of frogs. That doesn't mean that a Carcinosin patient cannot have fear of the dark or fear of dogs, but once we understand the essence of the remedy and we see this essence in our patient fear of the dark and fear of dogs are not reliable symptoms and do not add any reliability to our prescription. Therefore such symptoms should be taken out of our materia medica to make the real picture more evident. When the essence of a remedy is not clear then we are obliged to collect every symptom that comes out of a proving or out of one or more clinical cases and this makes the picture more confused. When we really understand the essence of a remedy it is possible to build up the whole picture in accordance with this essence.
To discover the essence of Carc. we have to understand the basic problem of the cancer patient and what exactly is a tumor, because Carc. is made from the materialization of the cancer problem. The cancer patient has permitted cells that are 'not him' to grow in his body without activating his defense mechanisms sufficiently to destroy them. The tumor is a foreign entity that does not respect him and finally destroys him, without even respecting structures such as blood vessels, muscles, lymph nodes. It grows by transgressing every structure, every border. We can easily understand what happens when we compare the patient to a country that has borders and an army to defend its integrity as a country. If an enemy soldier crosses the border and establishes himself inside the country and the army is not well-trained enough to capture the enemy, to imprison him or to kill him, the enemy will call his friends and other soldiers will pass the border and settle down. Their base will be stronger and stronger. Without any respect for the original people, they will destroy everything around them which is not to their own advantage and will take all the food that was intended for the indigenous people. They will send soldiers to other places in the country (metastasis) to take over all the power of the country. The only possibility the country has finally is to ask other countries to help it and to attack the enemy with heavy weapons (surgery, radiation and chemotherapy). But such a massive fight greatly weakens the country and the outcome is very uncertain.
On the cellular level the same process takes place. The membrane of the cell is unstable and weak and the cell is ingesting toxins, not able to defend its integrity. These ingested poisons damage his normal functioning, creating anarchy and estranging himself from his own essence. But the whole process had already started long before on the emotional and mental level. What happens the most on the emotional/mental level to a patient having taken Carc.
is that his self confidence grows and that he starts to listen more to his own needs and to defend himself better. He fortifies his borders and gets into a process of more awareness of what is ‘him’ and what is ‘not him’, no longer allowing the poisonous energy from outside to settle within his borders.
He takes more care of himself, being attentive to his own needs and desires. A process of cleaning out at all levels takes place, poisonous relationships are broken off or corrected, a consciousness of being someone that deserves respect and love blooms gradually, and a marked influenza or inflammation with high fever for the first time in twenty years cleans the poison from his body. All this means that the reactivity is increasing.
Influences from outside that are experienced as attacking him or weakening him without giving him the possibilities to defend himself can stimulate the same process: first of all massive vaccination. I once asked a lady during regression therapy to go to her first vaccination and to tell me what this vaccination meant to her and without hesitation she said: ‘It took away an opportunity to defend myself.’ With massive vaccination in early childhood we give the message to the child and his immune system that his own defense mechanism is not reliable and that he has to be protected from outside. This not only weakens his immune system but also gives his personality the feeling that he is not strong and good enough and that he has to rely upon other people rather than upon his own force and vitality.
Also the suppression of fever, a defense mechanism par excellence, the use of antibiotics and corticosteroids can lower the defense mechanisms. If during every infection the parents suppress the reactivity of the child by giving aspirin and penicillin, how can he still believe that he is able to defend himself against his invaders (bacteria, viruses, etc.)? This practice engenders a lack of reactivity and the development of severe illnesses in childhood as pertussis, pneumonia, chronic inflammation (otitis, bronchitis, rhinitis, etc.).
The Carcinosin patient has a tendency to place strength outside himself and to feel weak and vulnerable inside. That's also what happens when he finally gets a tumor and he has to be operated on, radiated and treated with chemotherapy. He is helpless, desperate and completely dependent on his doctor. I always insist with cancer patients that they have to decide for themselves and feel what is good for them and what they want and do not want. You have to give them back their strength and they have to take it back. Dr. Bernie Siegel, an American surgeon, insists in his excellent book Love, Harmony and Cure, that as a patient you have to be assertive, to ensure that when hospitalized you have a room with a view, to ask for your favorite music during the operation, etc. To stand up for yourself and to fulfill your own needs is of primary importance in cure.
Maria Late, who was one of my patients, can help us to understand how difficult it can be for these people to stand up for themselves. She was a young woman, a doctor, with operated breast cancer and metastasis. One day she had to undergo an examination of her bladder. The surgeon decided to do a suprapubic puncture, but she felt strongly that a catheter would be better for her. So she asked the doctor not to do the puncture, but he had to ask the surgeon responsible, who said ‘no’ and decided she should undergo the suprapubic puncture. She finally felt unable to contradict him. Then the contrast fluid was injected by error in her abdomen. She was very ill and recovered only slowly during two months of hospitalization, but died some months later.
The Carcinosin personality has a tendency to let others violate his own space. He doesn't take sufficient space for himself, but his space is invaded by others and he is too weak to throw them out. The Carcinosin personality has to learn to take his destiny in his own hands.
Part of the allopathic damage is unfortunately often the complete annihilation of any hope for cure for the patient. To be sent away without any hope for better, without any support, leaves the patient in despair. But the patient needs hope. In hospitals this hope is often killed completely, because of some curious thinking of the doctor and the use of inexorable statistics. Leave any hope for cure to the patient is often considered by allopathic doctors as giving ‘false hope’. But what is false hope? False hope is saying to your patient that you will surely cure him, that he will not die, etc. But no patient can cure if he, himself, does not decide to survive and for that he needs hope. Hope that he will not necessarily die, that his doctor will sustain him in his effort to find a solution to his life threatening illness and that he is also capable to do so. He has to be respected in his attempt, knowing that his doctor will give the best treatment that is available. Not statics are deciding how many chances he has to cure, but the patient himself. He has to reconnect with his inner force, even if during the operation, radiation and chemotherapy he felt completely delivered to the authority of his doctor. He has to be helped to take up again responsibility for his own life and he has to be guided to do more than only wait and hope that there will not be any relapse. I have a patient that reacted wonderfully on chemotherapy and had almost no side effects and after 7 cures her doctor decided to give her two more cures to see if even more progress was possible. But she didn’t have a good feeling to do so and decided herself not to take more cures and to wait to see if the tumor would shrink without further chemotherapy.
Dr. Bernie Siegel gives us a clear vision on false hope. "The concept of false hope is one of the most ridiculous things I know of. Why should we try to authorize hope according to the statistics? Hope is a variable that can change the statistics. If only 99% die of a condition, then let’s stress the fact that that person has a chance of to live. If you tell a group of those people that they are the 10% who will survive, you may find that 30% or 40% or 50% get better."
Take one’s own destiny in one’s hands and discuss the treatment as someone who is completely responsible for his own health and life is very important and enhances the possibilities to cure. The patient has to be strong to face remarks from her doctors and other people who don’t believe in any possibility to cure.
Restoration of reactivity, from the tumoral stage back to the infectious stage
Reactivity can be defined as the capability of a person to maintain his mental, emotional and physical integrity by an efficient system of protection against perturbing influences from outside. Mental level: the person has to be equipped with reinforcing ideas about himself, his life, and about the surrounding world, i.e. that his life is meaningful, that he came on earth with a purpose, that what he is doing is good for himself, for others and for the world, namely a positive look.
Emotional level: he needs joy, feeling of love toward himself and other people, to nature, to the earth and the universe. He needs the capability to express his emotions, even those that are commonly labeled as negative: anger, grief, irritability, for example.
Physical level: he needs a good immune system, capable of cleansing his body of indisposing bacteria, viruses, toxins, etc. Surely the best reaction of our organism to activate our immune system when our equilibrium is in danger is fever. Therefore it is hard to accept that anyone who really understands this mechanism still considers that fever is an enemy to be suppressed. For most people and doctors this is common practice nowadays. Children often have sudden high fever for only 1 or 2 days, and this is in fact a sign of good reactivity. But when again and again such reactions are suppressed by antipyretics and antibiotics or in more serious illnesses with corticosteroids then slowly but surely the reactivity is broken down and there is a slide from infectious disease to tumoral disease. The infectious stage is a more reactive state (with fever) than the tumoral stage (without fever). In the tumoral stage the organism is weaker than the tumor, whereas in the infectious state our energy is mostly strong enough to overcome an infection or can be fairly easily activated by a well-chosen homeopathic remedy.
In the infectious stage the energy of the person organizes everything to overcome the disease: high fever which enhances the metabolism of the body enormously, an increase of white blood cells, acceleration of blood circulation, vascular dilatation in the affected area or all over the body, loss of appetite to give our digestive system the possibility to concentrate on the elimination of toxins, diarrhea, sweating, a running nose and eruptions, all elimination mechanisms. These kinds of elimination processes occur frequently after the administration of a homeopathic remedy. But also an infection can be a sign of a curing process.
It is no coincidence that children go through a certain number of eruptive diseases (Rubella/German measles/Scarlatina/fifth or sixth disease) and they have easily a running nose or infections with high fever. Everybody who is aware of these facts knows that vaccinations, antipyretics, antibiotics and other suppressive drugs that are so largely used in routine modern medicine practice have also their reverse. It pushes the human being already at a very premature age in the direction of the tumoral stage. This fact was already described by Hahnemann 200 years ago. Therefore it is not surprising that we have to face cancer and all kind of internal diseases as one of the most wide spread diseases on this earth and that the number of cancer patients increases still every year.
The tumoral stage is a low reactivity stage. There is no acute phase, no fever, no eruption, no accelerated or enhanced evacuation of toxins. There is no acute outbreak followed by a restoration of balance as in the infectious stage. There is a chronic unbalance sometimes even without any visible or noticeable physical expression. Cancer can grow without any perceptible sign that something is wrong. Sure, for the holistic doctor there are already a lot of symptoms not only on the mental and emotional plane but also on the physical plane, which he can interpret as a precancerous stage. He is able to help his patient to return from this insidious tumoral stage to the infectious stage and can prevent that his patient slips down to chronic internal diseases as heart diseases, cancer, etc. In But such preventive treatments are still more exception than daily practice. The majority of patients are suddenly confronted with cancer and often wondering that this happened to them, because they were almost never ill, had no influenza, no fever, no major health problems for decades and believed to be in excellent health. It is as if cancer manifested suddenly in the body, but we know that tumors grow slowly for years, even decades before they attain sufficient volume and invasive power to become a major health problem.
In ageing there is a spontaneous shift from infectious to tumoral diseases enhanced by vaccination and other suppressive treatments as . So reactivity is an important quality not only of our physical but also of our mental and emotional body. If a person has a tendency to let be suppressed himself by others, then the immune system does the same thing on the physical level. In the USA they found out that the immune system of optimistic people was about 60% stronger than that of pessimists. Therefore it is of great importance that cancer patients believe in their cure, that they feel stronger than their tumor(s) and that they ‘go for it’. It is a bad sign that cancer patients are so often robbed of any hope of cure. One of my cancer patients had this experience several times. I saw her for the first time five years ago, completely desperate after two breast amputations in one year followed by metastasis in the spine, lungs and liver. The first physical signs of cure were the calcification of the metastases in the spine about six months after the beginning of the ‘alternative’ treatment. Seeing this she expressed her joy and the radiologist said: ‘Oh Madam, you surely don’t believe that you can still be cured?’ Now all her tumors are almost completely gone and she is in an excellent state, convinced that it is only a matter of time before she is cured completely. But her surgeon said at her last visit, perturbed by her enthusiasm and that of her husband: ‘Madam, are you well aware that you have an incurable disease?’ These kind of experiences taught me to make an appointment as soon as possible after hospital check-ups, because a depressive state weakens the immune system and has to be repaired as soon as possible.
The father takes an important place in this remedy, or rather the father principle. The father is the symbol of self confidence, of strength, of social position and realization of the possibilities of the child. The basis for the Carcinosin problems lies therefore in childhood. The father has to confirm the child in his capabilities and encourage him when things seem to go in the wrong direction. If he is criticizes the child and never gives any praise when he has done well, or when he is simply not there to stimulate and approve him, or if he is too demanding, the child will feel incapable of fulfilling his father’s expectations and feels too weak to do anything. By being given too much responsibility, or being punished too severely when he has done something wrong, or by being given the impression that whatever he does it's never good enough, his self confidence is slowly but surely undermined. Then he will try hard to please his father, mother, teacher, etc. by being very industrious, being fastidious in his work, being the best in his schoolwork and being a nice, good boy or girl to have the approval or praise of his father. He will be afraid to make mistakes and will be anxious before examinations. He will avoid every criticism by being on time, doing what others ask him to do and accepting whatever people inflict on him to avoid quarrels and to please the other person. So he hasn't learned to defend himself and to watch over his boundaries. Already as a child he is teased by his school mates, who feel his weak defenses. All this doesn't mean that the father is the only person that is responsible for the weak defense mechanisms and the fear of failure of the child. Every authority can contribute to this situation, the mother, a priest, a nun, an older sibling or a teacher, saying for example in the class that he is a stupid and that he will never learn anything. The fundamental lack of self confidence is a universal problem and everybody in some way has to work this out. Many people have completely compensated for it by working hard and performing on a high level, this earning the praise and esteem of everybody. Often the baby is already born with this fundamental lack of self confidence and in his early life this problem is only activated, so that the father is not always to blame for it.
The Carcinosin patient has a very low self esteem and fundamental lack of self confidence combined with weak defenses. Therefore he is very sensitive to everything that can undermine his self confidence, and is not able to stand up for himself. One way to survive is adaptation and avoidance of criticism as much as possible. He is very fastidious in his work, but not especially when he hasn’t to perform, e.g at home he can be rather untidy. He adapts to the demands of others trying to regain their approval.
There is also a tendency to escape this demanding, critical and unfriendly world by entering a world of fantasy, dreams and harmony by reading for hours, being in nature, playing with animals, being transported by music and dancing, thus giving expression to the emotions that have been suppressed as part of his survival strategy. Often he weeps with the music. Also traveling is a way of escaping the harsh world he lives in. The outer world is threatening and he has a strong need to escape this threatening world. So horrible things affect him profoundly, because he has weak boundaries. In situations that he cannot flee from he becomes anxious as in narrow and high places and in a crowd. But reading, music ans dancing can also harmonize his energy and help him to get rid of perturbing energies.
Because of his weak self confidence and his fear of failure this person can also try to nourish his confidence by seeking approbation by being brilliant.
He feels ill-at-ease with people that are as good as him. This can make him arrogant with a tendency to talk just a little bit too much about his achievements. He is critical about the achievements of others and is very sensitive to criticism. He needs to be admired. This can push hem to very great heights, working continuously to stay on top and having no other interests in life. We feel the big ego problem that he is manifesting, but what manifest itself as a big ego outside, is in fact a weak ego inside. In a more passive person feeling less talented the projection on to a master can be very helpful.
He knows that he is less brilliant, but he likes being in the shadow of the master trying to do as he does and approach his excellence, even while knowing that he will never attain that.
It is true that all this compensation can in some way calm the weak ego, but it's like taking sweets when you need love and affection: you never feel completely satisfied. Here Carc. can be very helpful, because it can resolve the ego problem from inside. After treatment for one or two years with this remedy people are really more confident in themselves and their ego is satisfied and can sleep peacefully like a cat on the sofa.
There is still another way to escape from this weak feeling, namely by refusing to do whatever is required and say ‘No, I cannot do this’ without even trying. These kind of children are very uncertain, shy and every negative experience confirms their incapacity. They are very easily offended, sensitive to reprimand, very obstinate, incapable of admitting their errors, sometimes refusing to obey their parents. They are very afraid to have to perform and avoid every disappointment. This makes them very unhappy and easily angered and aggressive at home, but weak and yielding at school, so they are teased a lot.
Another way to resolve his problem of feeling weak and worthless is to prove that he is capable by controlling everything. So he becomes very persevering, extremely well organized, plans everything, leaves nothing to chance. This attitude is known as the Cuprum metallicum picture that exists in so many Carcinosin patients. Cancer patients very frequently have high copper concentrations in their blood and the copper concentration of tumors is higher than that of normal tissues. I have already said in my publication about the mental picture of Cuprum metallicum that Cuprum is the closest remedy to Carc. We often see in the same patient both the Carc. and the Cuprum picture. That's why I now use frequently a combination of both, called Carc. cum Cuprum from Dolisos in Holland, that was potentized from C5 to 30K and upwards. This gives really marvelous results. I will publish this later, but will stay now with the Carc. picture.
If we have understood well what Carc. is all about, it is interesting to see how patients express this. I noted carefully what they told me and give here some examples.
* I am not allowed to fail, to make mistakes; everything has to be beyond reproach
* I didn't get praise, rather my father used to tell me I was not capable of doing this or that; I let myself be suppressed easily; there is still a lot of
suppressed anger in me
* I feel less worthy than other people, I am the black sheep; my father criticized my appearance
* I cannot say no, I accept everything otherwise I feel guilty; I always avoid conflicts
* I easily agree with everything and everybody, I cannot stand up for myself
* I cannot remember that I ever had fever
After the treatment:
* I feel that I am someone; I don’t feel less valued than other people any more; I am more confident
* I can take time for myself without feeling guilty; I can help others’ problems without taking them on my shoulders; I feel more clearly what is mine
and what is theirs
* I can more easily say no and defend my own space; I don’t feel guilty any more when I take time and care for myself
* I allow myself to be angry when anybody shows me a lack of respect
* I express now what I think and what I feel; I do my best and then it is okay, it doesn’t have to be perfect
* I now do what I want to do myself
* I keep at a distance from my father, I also have my own life
* I set boundaries for my children and satisfy my own needs
Physical complaints are most of the time not our best guides to finding the correct remedy, but can be sometimes especially in acute illnesses of great value and confirm the remedy or help us to think about a special remedy. In my opinion every physical problem can be helped by Carc. if the mental and emotional symptoms indicate it. Nevertheless some physical signs are often seen in this remedy: the blue sclera, the moles, caf-au-lait spots, the blinking of the eyes, the nails too short from biting, the warts on palms and soles, molluscum contagiosum, acne, cysts, fibromas, all kind of tumors, sinusitis, coryza, swollen and painful breasts before the menses, painful menses. Certainly it is possible to add other symptoms. I selected only the symptoms that seem to me of some importance.
Carcinosin is a remedy that, in my experience, is one of the great polychrests of the homeopathic Materia Medica. It is frequently used by European and Latin American homeopaths, but much less so by American practitioners.
Frankly, I do not understand why this is the case. Cancer is more widespread here than elsewhere, and common sense would suggest that the miasmatic nosode of this disease would be frequently indicated.
Indeed it is, and I assume that its under-application is due to lack of familiarity with the remedy and perhaps also to a prejudice that goes along with such unfamiliarity. I hope that this article will help practitioners to feel a little
better equipped and more inspired to search for this remedy. It will never work out in the repertorization; one does have to look for it. But it will resolve a good number of those cases that seem to make only fair progress under a "perfectly indicated" remedy. I deliberately chose to have this manuscript in essentially completed form before consulting other published works on the subject, so that, for better or worse, it is my personal experience that is reflected here. It was, however, instructive for me to read the proceedings of the Hechtel conference on Carcinosin, as well as Jonathan Shore's valuable presentation to the 1989 IFH Professional Case Conference. I saw observations that I had recorded verified in the experience of others. I also saw one or more authors take agnostic positions on indications that are leading indicators in my experience. Of course, I also saw indications with which I had been unfamiliar.
This article does not purport to be the final source on Carcinosin. Much material that is either my own experience or part of the general body of knowledge on the remedy is not represented here. I do hope eventually, however, to publish a definitive work on this nosode. Therefore, I actively solicit responses and cured cases, for I do not feel I have plumbed the depths of this remedy.
The Carcinosin remedy picture is difficult to summarize in a single all-encompassing keyword. There is no cowardice, as in Lyc., or fear of the universe, as in Ars. It is also difficult to make any categorical assertion about the remedy, for the opposite of anything said about it might just as well be true. Perhaps more than any other in our homeopathic armamentarium, Carcinosin is a remedy of polar opposites. I have very often had a disbelieving mother walk out in a state of more than a little doubt because I gave her mild-mannered, introverted child the same remedy that I gave to her obstinate, hyperactive brat who bounces off the walls. Yet this very amorphousness and this bipolar character suggest the image of Carcinosin.
It is commonly stated that the epidemic of cancer that now plagues the industrialized world is directly related to the suppression of tuberculosis. It would be difficult to prove this thesis beyond doubt, but a number of observations point strongly in this direction. First of all, one of the factors that alerts one to a possible need for the cancer nosode is tuberculosis in the family history. Carcinosin shares some noteworthy symptoms with Tuberculinum, for instance, the hair on the spine, blue sclerae, genupectoral sleep position, and the desire for travel. I have also observed the perspiration on the head during sleep with sufficient frequency to add it to the repertory.
I have had the opportunity to treat the parents of many children who have benefited from this nosode and have found more often than not the remedy has not been indicated in these people. What one typically observes is a very suggestive history on one side - usually the mother's - and a somewhat less tainted past on the other side. Often neither parent needs the nosode, even though it may be indicated in one or more of their children. It is as if the number of suggestive illnesses in the family tree needs to rise to a certain "critical mass" before the cancer miasm explodes into being. Thus a child will be a Carcinosin type, while the parents take other remedies. Significantly as well, I have rarely seen a case where parents need Carcinosin and the children do not. Taken together, these facts do not augur well for the future of humankind. We are, as it were, witnessing the unleashing of a new horseman of the apocalypse upon the world in this generation. We have seen this reflected in the steep increase in the occurrence of cancer over this same period, but the fact that the nosode is appearing, ex nihilo, as it were, in this generation, suggests that we have perhaps glimpsed the tip of this monstrous miasmatic iceberg. Carcinosin is destined to be the nosode of the age in much the same way that Tuberculinum-bovine was the star of Kent's day. There are shadows of Medorrhinum in this nosode, also. We see the hyperactivity in children, increased sexual desire, amelioration by the ocean, genupectoral sleep position, desire for salt, sweets and fats, and insomnia.
The other chief components of the Carcinosin picture come from the Natrum muriaticum and Sepia family. We see the fastidiousness and a desire for salt indicative of Natrum muriaticum, < consolation (although the opposite is as often present), sensitivity to sea air, desire for chocolate, and aversion to fats and milk of both remedies. We see the love of dancing of Sepia, as well as its childhood hyperactivity. Like both remedies, it is very easily offended. Cancer has been called the great masquerader, and so it is with its nosode. One often sees a symptom picture which is a perfect example of, say, Tuberculinum-bovinum, like case B.J.S. at the end of this article, but which has one or two symptoms that don't quite fit. As I have indicated, these "sore thumb" symptoms, and the family history, often lead to the use of Carcinosin.
Sometimes one sees a case which seems to have, for example, a Phosphorus symptom group. Then a Sepia aspect and finally a Natrum-muriaticum set of symptoms. Knowing this remedy, one sees its aspect as the unifying thread running through the case. Such an instance is patient C.D., whose case is quoted later on. Whitmont calls cancer, "The penalty for the unlived life," and Wilhelm Reich referred to it as the end result of the "Carcinomatous Shrinking Biopathy." Natrum-muriaticum and Sepia reflect these tendencies perhaps more than any other remedies, and it is significant that they should be so closely related to this nosode. The tubercular and gonorrheal tendencies provide the groundwork or, perhaps more accurately, the miasmatic sod upon which the poisonous seeds may germinate into the cancer miasm. It is for this reason that Carcinosin has all these remedies hinted at in its picture. Unless one has a clear feeling for the essential process occurring in Carcinosin, one will tend to be confused, because the remedy appears as one type then another, and then yet another. Consider the disease itself, for a moment. Cancer may manifest in any organ, and, as a result, show itself by a wide variety of symptoms. Yet what is common to all cancers is unrestrained, chaotic growth, wherein the limitless generative energy that animates the life of the body and its cells is freed from the normal controls and results in the chaotic growth and spread of a malignant and consuming tumor throughout the affected system. Here we begin to see the process that underlies the remedy.
Rudolf Steiner once characterized cancer as having two phases, that of fever, heat, or inflammation, and that of tumor formation. This heat, this intensity, this fire kept barely within check, suggests something of the essence of Carcinosin. Carcinosin is the name we give to the pathological picture that arises when the life force itself, present in an individual with great intensity, is thwarted and turns upon its host organism, consuming it in its mad search for outflow and resolution. The Carcinosin child, therefore, has frequent and often very high fevers, is often hyperactive, and has a difficult time going to sleep and staying asleep. He has "exceedingly strong food cravings which often alternate with aversions," so that frequently one hears, "I used to LOVE eggs, but now I hate them." In the Carcinosin family history, and in the personal history of the patient, this intensity is also present as addiction to alcohol, or to drugs, cigarettes, and particularly to caffeine, and great sensitivity to foods. It likewise manifests as great passion and sexual intensity, beginning often at a young age, love of dancing and music, desire for travel, and exhilaration in a thunderstorm. I have also observed very early eruption of both deciduous and permanent teeth in a number of cases. It would, of course, be very difficult to add this to the repertory, as, by its very nature, it is not a symptom that can be cured. But I have seen it on a few occasions. This chaotic energy also sometimes manifests as alternation of symptoms from one side of the body to the other. I have seen this in a sore throat, but it is not a symptom that I can otherwise vouch for from experience, although others make much of it.
How then do we distinguish the Carcinosin energy and intensity from that of Medorrhinum or Tuberculinum? In cancer, no poison or foreign principle causes the cells to begin their destructive and unrestrained growth. What is occurring is simply a stepped up, if chaotic, version of the growth process of normal tissue. In the gonorrheal and tubercular miasms on the other hand, there is the introduction of a foreign principle which intensifies, but also perverts, the energy. Cruelty and hardness are everywhere manifest in these remedies, the result, if you will, of this perverse external principle. Thus, the Tuberculinum or Medorrhinum child is often cruel, or mean, though sensitivity to reprimand and to others is not foreign to some Medorrhinum children. A full-blown or typical adult belonging to either of these types is not someone with whom you would easily leave your children and pets for a weekend. There is a darkness about the energy of both these types that is completely absent in Carcinosin. About the only categorical assertion one can make about this type is that it will never manifest malicious cruelty. Two very important facts to bear in mind about the Carcinosin picture is that the remedy is listed under "sympathetic" and "anxiety for others" in second type in the Synthetic Repertory. Concern and regard for others is fundamental to these cases, and, as we will see, is the source of
some of its pathology. Thus, even the obstinate kid whose mother says has a terrible temper and hits his brothers and sisters walks into the office looking so sweet and pleasant you can hardly believe that she is speaking of the one who sits in front of you. One is immediately drawn to the Carcinosin child, and likewise to the adult, before onset of deep pathology. There is something attractive and magnetic about their energy. It is light and warmth without the dark shadow of the other two nosodes.
In the young adult case - "young" really referring to an early stage of pathology - this energy is often tangibly sexual: Carcinosin takes a back seat to few remedies as regards the intensity of its libido. A recent female patient, when asked about how often she and her lover engaged in sexual intimacy replied: "Once a week, but that's down from the first year we were married, when we made love three times a day." One sometimes finds a history of promiscuity, but just
as often a few long-term relationships, characterized as well by this same intensity. The Carcinosin patient's relationship to sexuality is emotional rather than genital, more refined and less coarse, and less emotionally complicated than that of Medorrhinum or Lachesis, for example. The sexual urge is simply the adult manifestation of the energetic intensity with which the patient has lived since childhood. Eventually, therefore, the individual realizes that casual sex is not what he or she really wants. Thus the promiscuity tends to develop into a long-term commitment, or becomes complicated by coffee, drugs, and chocolate to ease the pain of disappointment. Therefore, although one feels the sexual intensity of the Carcinosin patient sitting across the table, it is not the kind of energy that puts one on guard. Although the intensity is evident, one does not feel that the patient is going to make a proposition. As evidence that the high sexual drive is usually non-pathological, it rarely declines after a prescription.
A 3rd fundamental aspect = fastidiousness. The Synthetic Repertory gives Carcinosin as a black type remedy, and this is my experience. It is much more basic to the being than, for example, the fastidiousness of the Nat-m. patient,
which it resembles; it is usually for order, rather than for dirt. Though the latter is seen, the Natrum-muriaticum relationship to punctuality is only rarely present. Even though outwardly the Carcinosin patient is not necessarily more persnickety than Nat-m., it is the part in his life that this tendency plays that we must examine. It seems to me that it is the result of a rigidity, a need to control that stems from the patient's knowledge that he or she is sitting upon a wildfire which is potentially all- consuming if not strictly contained. It is the same sensation that generates a fearful reaction when sickness arises, or that is the root of the fear of cancer. Patient K.A., whose case is quoted here, always felt that she would die young. Deep down, the patient knows that there is a pathological time-bomb ticking inside. The fastidiousness is an attempt to control it. Put another way, the fastidiousness is a valiant effort to keep mortality at bay. Somehow the Carcinosin subject feels that if she can keep her environment perfect, or her figure perfect, then she just might live forever. Case K.A. illustrates something fundamental about the remedy in this regard. She always has exercised religiously, owns a health food store, and has been addicted to all the products that she sold. She looks several years younger than her age, but has always planned to have a face lift at age forty-five. She is terrified of aging. She takes meticulous care of her body, at least its appearance, and her environment. When she was raped a couple of years ago, she did not tell her son (she is a single mother) because she did not want him to be concerned. Another patient presented with herpes as her chief complaint. She had other symptoms, like constipation and sleeplessness, but the herpes, which in her case appeared in rather mild form, threw her for a loop. "I feel diseased. Why is this happening to me. I wasn't born to do a trip like this." She felt unclean, and became extremely agitated when even the tiniest lesion would appear. She was the kind of person who "loves things to be nailed down." Mortality is the real issue here, and the anxiety upon the appearance of the herpetic lesions is just a proxy for the dread upon the appearance of the specter of death. It is fundamentally true that all fear is, when fully inspected, only fear of death. Yet all remedies do not have fear of death, and some remedies fear certain things while others have other terrors. Arsenicum is one of the remedies whose very fabric is woven upon a fear of death. Carcinosin is likewise. I would not add it to the repertory for this symptom, and indeed, I have never seen it frankly manifested in a Carcinosin patient. Yet the same mortal news that, in an Arsenicum patient leads to stark fear and insecurity, is manifested in Carcinosin as WORRY and ANTICIPATION. Essentially, the Carcinosin patient fervently hopes that, with planning, and organization, and by staying on top of things that, just maybe, she will not die.
The difference between Arsenicum's fastidiousness and Carcinosin's neurosis is best illustrated as follows:
Two girls are leaving on a cross-country trip; anxious mothers stand on either side of the car, bidding tearful farewells to their "little girls." The Ars. says, "Honey, drive carefully! I've heard awful things about how they drive in Ohio. Make sure you fasten your seatbelt, and don't sit on any toilet seats, and make sure you don't talk to strangers. Oh! your hair needs some work, the part is crooked. Make sure to call me every night. Yes, it's fine to call at 1 h., I can never sleep then anyway."
The Carcinosin mother whispers softy to her daughter, "Sweetie, take care of yourself, and make sure you always wear clean underpants. What if you had an accident, and they brought you to the hospital with dirty underwear on?"
A little bit of a caricature, but not much! I have seen it suggested in print that perhaps the Carcinosin fastidiousness is not primary, that it stems from a desire to please. This is most definitely not so in my experience, and this point
would distinguish Carcinosin from Staphisagria, which is not fastidious. Nevertheless, the desire to please is there, and because this remedy is so sensitive to reprimand and sympathetic, the Carcinosin patient is often quite adept at conforming his or her life to the expectations of those around. Case K.A. expresses this perfectly. In the second follow-up, quoted below, she says, "My masks are gone, I don't have to perform any more. I always figured things out and performed, so that I would not have to deal with the fear."
This issue of fastidiousness leads into the matter of control, a core issue in the pathogenesis of Carcinosin.
Foubister: a history of fright and prolonged unhappiness as features in the history that suggest Carcinosin. These are in fact often present: the Carcinosin pathology arises when the boundless centripetal life energy and great sensitivity
to and concern for others are constricted, confined, and traumatized by the cold and brutal facts of life. Thus one often hears a life story of extensive sexual abuse and horrors that tests one's credulity. This is the essential process occurring in the pathogenesis of Carcinosin, and if one grasps it, one will find the remedy where it is hidden to others. Yet it is true that Carcinosin is as hard to pin down as the color of a chameleon. This is because, depending on
which of its component characteristics is present to the greatest degree, the remedy may mimic Nat-m., or Med., or Staph., or Phos., or Sep., or Tub., or Calc., or yet some other (Pulsatilla too). Thus a woman with high sexual energy, very social, sympathetic, and clairvoyant may resemble a Phosphorus and share its food desires. One may be at the point of giving it until she mentions how much she likes to drink tea, and no, she never drinks cold water. Or a fastidious, pathologically responsible woman who loves chocolate and salt, but does not care for sex, and is not very receptive to consolation, may be about to receive Nat-m. until it is realized that she loves to sit in her car in the
sun with the window rolled up, and likes soft, gooey fat on meat. Control by rigid, almost sadistic parents or spouses is a form of unhappiness often found in these cases. Case K.A., discussed later, is such an example. She describes herself as having been raised by a "Nazi mother" who tolerated nothing short of perfection. Her first husband was an evangelical Christian (he also womanized extensively on the side, and was heavily into pornography) who was
even more suffocating. He could not stand to hear people breathe or chew, so that she had to feed the children before he came home. He would never touch a woman, so their "sex life" consisted of her fellating him while he smoked cigarettes sitting in a chair. Nevertheless, one should not feel that Carcinosin is contraindicated if there is no history of brutalization. Life's ordinary traumas are often sufficient suffering. Even in the face of such extraordinary suffering, however, the Carcinosin patient seems not to resist. In this is a resemblance to Staphisagria. Even as a child, the Carcinosin patient is extremely sensitive to reprimands. It is hard to distinguish between the two. The distinction, it seems to me, is that Staphisagria resists confrontation because the organism is simply too sensitive to tolerate the anger of others and does everything to avoid situations where that might arise. The Staphisagria child will not show the ebullient energy of the Carcinosin child, and the outbursts to which he or she is sometimes prone. Carcinosin, by contrast, remains with the alcoholic husbands out of something resembling, but not entirely identical to, a sense of responsibility.
It is rather that if she can somehow keep it together on the home front, it will help stave off the fear of mortality and disorder lurking beyond. We need to return to the Carcinosin patient's anxiety about others and its sympathetic quality.
A certain kind of Carcinosin patient will present herself very like Phos., will sit on the edge of the chair, and lean toward you, and be very much affected by other people. At times the distinction can be very hard to make, because this remedy shows all the sensitivity of Phos., feeling the emotions of others, and also being prone to visions and psychic phenomena. If a distinction can be made it is that this patient is more "solid" or and less amorphous than the Phos. patient. One clinician at the Hechtel conference expressed it quite well: "Phos.," he said, "is like a chameleon, and has no skin, that is no boundaries." But it is not always an easy distinction to make. More usually, however, there is anxiety about others, and a desire to help, without the loss of boundary between self and other. In such cases, guilt is often part of the complex, again deriving from the patient's feeling somehow responsible and obliged to take care of, and protect all around, from mortality. One patient expressed it quite poignantly: "My middle name is guilt," she said. This is perhaps as good a place as any to amplify my quick reference to the fact that almost anything said about Carcinosin, though sometimes false, will at other times be true. I have just contrasted the energetic, outgoing, intense, Carcinosin child with the more sensitive and retiring Staphisagria. It is true that this is the more common manifestation of Carcinosin in children. It is also true that the complete opposite is sometimes seen. Carcinosin children can be quiet, shy, depressed, and pathologically sensitive in much the same way as Staphisagria subjects of the same age. Even in this type, however, there will usually be the identifying keynotes: the food cravings, the constipation, the sleeplessness, and the high fevers suggestive of intense energy lurking beneath the tranquil surface. I think of such children as cases where the pathological development has been accelerated so that the implosion or introversion of energy that occurs only later with the more common type is the case from an early age.
Generally speaking, however, the depressed, collapsed stage is seen only later, though not necessarily in a very old person. In taking the history, it will be observed that the patient was once outgoing, energetic, sexually vital. Sometimes, especially in cases of sexual abuse, this is not the case; there will be indifference to sex. I don't believe that I have ever seen true aversion to sex in a Carcinosin patient. Even such women are not truly frigid, and their lack of sexual response is situational; they will sometimes speak of a brief interlude between bad marriages, or a particular relationship, where their sexuality flowered. The typical childhood history is also present. Now she is exceedingly depressed, to the point of attempting suicide. The guilt has become a profound sense of failure. In these individuals, the history of pain and abuse is often marked. Sometimes it is astonishing. There will often be alcoholic parents and a history of sexual abuse. Another patient, a child of dysfunctional alcoholic parents, and a woman who herself struggled with addiction to alcohol and cigarettes, confessed to great feelings of worthlessness, and had suffered bouts of depression in the past. She hit the nail on the head when she said: "As a child I never was taught how to take care of myself."
How to Look for Carcinosin
In spite of what you have read here, you will need to make a deliberate effort to discover the Carcinosin cases in your practice, at least initially. I can now recognize them as easily as Natrum-muriaticum or Sulphur or Ignatia, or any of the other polychrests, but that was not always the case. The primary difficulty is that the case will never repertorize out to Carcinosin if you use Kent's Repertory. I myself always use the Synthetic Repertory first, and Jost Kunzli von Fimmelberg's Repertorium Generale for the particulars. The Synthetic Repertory contains the distillation of Pierre Schmidt's vast wisdom, and he evidently used Carcinosin quite a bit, because there are a number of Carcinosin additions in that Repertory with a "7" superscript identifying him as their source. Nevertheless, even these do not provide a complete enough representation of the remedy to have it come out in a repertorization. Rather, you have to know its hiding places and how to recognize its tracks. The first thing that will make you think of this remedy is a case that seems like a perfect Natrum-muriaticum, except that the patient tells you how she loves to sit in the sun or how much she loves the juicy fat on pork chops, or you discover that she loves consolation. The same could be said of Pulsatilla, Sepia, Phosphorus, Lycopodium, Medorrhinum, Calcarea, and a number of other remedies, but I find that the majority of Carcinosin cases are either slightly kinky Natrum-muriaticum or Sepia cases or Medorrhinum with a twist: a little too gentle and without the edge, and maybe with an aversion to salt instead of a desire, and no amelioration at night. Natrum-muriaticum bears the same special relationship to the cancer miasm that Mercury does to syphilis, or Thuja to gonorrhea. At least this is my observation. When you suspect that something is cooking, pay careful attention to the family history. Look for cancer, diabetes, alcoholism, drug addiction, insanity. You will occasionally find tuberculosis in the history. Foubister says that pernicious anemia is also suggestive, but I have never found this in any patient's history. I think it tends to be the kind of thing that one's descendants don't know about; it is not as patently obvious as cancer or a heart attack. I have in recent times begun to suspect that severe asthma and hay fever in the ancestry is indicative, but I am not certain enough of this to assert it. I throw it out so that others may consider that possibility and report it to our fellows. Foubister says that the maternal history is more important This is true in my experience,
but this should not suggest that the paternal history is insignificant. It is not necessary to have all 4 grandparents die of cancer or diabetes. When that is the case, then I have to be quite convinced that some other remedy is indicated before I will give it. You will, however, find Carcinosin cases when half the ancestors have a suggestive history.
Sometimes there are fewer tainted forebears but all five of the patient's siblings are alcoholics. It is not a cut-and-dried matter. Nevertheless, you will rarely use Carcinosin when there is no suggestive history at all. But you sometimes will. I wrote in the first draft of this manuscript that I had done so only once. On looking over some cases, I realized that I had been mistaken: I have used the remedy a few times - not often, but more than once - on its indications alone. This is not surprising. Who only uses Medorrhinum when there is a clear gonorrheal history? Next, examine the patient's own history. Constipation and insomnia from childhood are strongly suggestive, as are high or frequent fevers as a child. A patient of mine had, as a child, the highest temperature ever recorded at Providence Hospital, in excess of 108 degrees Fahrenheit. Another child would run about and play outside with a 106 degree fever. These fevers often accompany earaches or tonsillitis. Hay fever as a child is also a strong indication. Foubister gives a history of pneumonia and whooping cough as suggestive. I have seen these, but less frequently. Even rarer, in my practice, are individuals who have had childhood diseases more than once. Foubister does give this indication. He also writes that Carcinosin is suggested when there is unusually severe reaction to vaccination. I mention these for the sake of completeness, but cannot confirm them from my own experience. Carcinosin children characteristically have very high energy as children. The sleeplessness and fevers are just manifestations of this.
Then there are the symptoms associated with the remedy itself. Carcinosin, as we have discussed, is pre-eminent among fastidious remedies. It loves to dance and travel, and is affected one way or another by the ocean. Carcinosin is said to be exhilarated by thunderstorms. To be honest, however, as a western Oregonian, I cannot vouch for relationship to thunderstorms. Where I live, asking people about how they react to thunderstorms is usually only slightly more fruitful than asking Eskimos if they are afraid of elephants. Carcinosin is strongly moved by music. They tend to like classical music, though others will like rock. I have observed an aversion to jazz in several patients. There seems to be real aversion to this kind of music. My theory, and it is entirely the kind of idle speculation condemned by our illustrious founder, is that the syncopation offends their sense of order and propriety. In small children, you will find head-sweats during sleep. This is a very important rubric in treating children. Kunzli gives it a black dot in his Repertory, a sign that it is a symptom this is often a dispositive symptom in his experience. He gives the following remedies for head-sweats during sleep: Bry., Calc., Calc.-p, Cham. Cic., Lyc., Merc., Podo., Sanic., Sep., Sil. To this list I add from my own experience: Tub., and Carcinosin. Often this single symptom, in conjunction with the genupectoral sleep position, also present in Carcinosin, gives the case away. This symptom is of little significance in infants, as it is common in the first year or so of life. The Synthetic Repertory gives the following remedies in this rubric: Calc.-p, Carcinosin, Con, Euphorbium, Lyc., Med., Phos., Sep., Tub. I have found these indications to have the force of generals of high rank: they are proxies for something very deep in the life of the child. Thus, in a small child, these symptoms must be present in the pathogenesis of the simillimum. For example, then, if there are both genupectoral sleep and head-sweats, the field is immediately narrowed to five remedies of all the entire Materia Medica. Anyone who has treated children, and wondered how to choose a remedy based on no symptoms at all will appreciate the value of these indications. It should be mentioned that Carcinosin also often sleeps spread-eagled, arms and legs outstretched. This is not at all uncommon in small children, but I mention it so that its presence does not dissuade one from using Carcinosin. One often finds the blue sclerae otherwise associated with Tuberculinum, and the cafe-au-lait appearance. The moles often mentioned as indicative of Carcinosin are of a very specific type. They are round, dark-brown macules. Carcinosin, like Medorrhinum, is suggested by a hairy spine and neck, and by unusual amounts of arm or leg hair, especially in children and women. Many writers have reported Carcinosin as being worse with warmth. I have seen this, but I have seen the opposite perhaps more often. When there is a history of prolonged suffering, think of Carcinosin. This does not mean a broken heart or a disappointing date. K.A.'s case, quoted in this article in its entirety, gives a picture of what I mean by prolonged suffering. Foubister gives severe fright as another precipitating cause. I have no reason to doubt him, but cannot attest to it from my own experience. Unusually restrictive and suppressive parents or spouses point to this remedy also. When the history is parental, we may surmise that it is likely to have been causative. When, on the other hand, it is seen in a series of spouses, it is, rather, a pathological symptom. In other words, only a Carcinosin, or perhaps a Staphisagria, would, as an adult, put up with the abuse K.A. endured from her husband. George Vithoulkas gives as a keynote, "burning pain in the ascending colon." I have seen it only once. I suspect it is like the Thuja keynote of "nose runs at stool," dispositive but rare, at least in my experience. One individual reading this article is likely to recognize this latter symptom, since I was guided to Thuja in his case; but I have not seen it again. The food cravings are very important guiding symptoms to this remedy. Foubister says that an aversion or desire for any of the following foods is suggestive of Carcinosin: meat fat, sweets, salt, fruit, milk, and eggs. My own experience confirms this. What I will add to this is that a particular characteristic of the Carcinosin type is an alternation, often over periods of years, between aversion and desire for one or more of these items. The remedy tends to have a lot of aversions and desires, and that needs to be present for one to really consider this remedy on the basis of its cravings.
Thus a desire for meat fat and salt and a neutral feeling about the other items would lead one away from Carcinosin. There is often also a sensitivity or allergic reaction to some of these items.
I have saved what I consider to be the most important food desire for the last: chocolate. Schmidt give it as second type. I believe he understates the case: I feel that it should certainly be black type. Nevertheless, you will occasionally see an aggravation from chocolate, and I think I may even have seen an aversion to it on occasion. The remedy type also desires onions and garlic. It has a strong relationship to coffee, but then again, this is the addictive remedy nonpareil, so that should be expected. I have observed, however, that it is also particularly sensitive to coffee. In one of the cases quoted in this article, the patient, after marked improvement, took some coffee to stay awake on a transcontinental trip. She noticed her uterine symptoms returning before she had finished half the cup. Fortunately, she had the presence of mind to throw the rest away, and suffered no lasting harm. When this manuscript was essentially complete, I scanned CARCINOSIN, the record of a symposium on Carcinosin in Hechtel, Belgium. Several of the practitioners mentioned desire for soup as being of cardinal importance in Carcinosin, second only to desire for chocolate as food craving. I did not know this, but the writers all gave ample evidence of a clear understanding of the remedy. This should therefore be taken as authoritative, and I also will take pains to inquire about soup in suspected Carcinosin cases. The following case sketch is of a "pseudo-Staphisagria" woman. The prescription would easily have been missed had I not known what to look for.
Her chief complaint was exhausting (3) menstrual cramps (2). She also had cramps at ovulation. The patient, M.E., is intimidated by anger (2), and NEVER expressed anger toward her husbands. She was introduced to abuse early. She recounts that at age 2 or 3, she lost all her hair. The diagnosis was "stress"; she now feels that she lost her hair because she would not cry out, of fear of her father, an alcoholic, who later left her mother, and died of metastasized stomach cancer. Her stepfather would ejaculate in her mouth, then beat her and threaten her with more serious harm if she ever told anyone. Later, at 11, it was an uncle fondling her, and a couple of years after that, a cousin forcing vaginal intercourse on her. She proceeded to become involved in successive abusive marriages. Both were to black men.
Why did I make a note of this? Prejudice aside, it is a matter of my observation that in the U.S., whereas the decision to enter into an inter-racial relationship signifies nothing of interest to a homeopath, the decision on the part of
a white woman to choose only black men as her sexual partners is noteworthy. Often it suggests the existence of a Staphisagria-like, or in this case, Carcinosin-like tendency. Before any readers who do not know the author of this piece
cry "Racism!", such individuals should know that the author himself is a black man - one, moreover, who is married to a white woman, who, incidentally, is neither a Staphisagria nor a Carcinosin.
The first husband was an unregenerate adulterer, nineteen years older than she. He would even bring women back to the house and copulate with them while his wife cried in the next room. Her second husband was an alcoholic who beat her, and with whom she had sexual intercourse two or three times a day on weekends, but only out of duty, as she had little interest herself.
Why did I not give her Staphisagria? This might have been the logical choice. She had all the food cravings of Nat-m., however: chocolate (2) [at the menses (2)], salt (1), garlic (1); she also loved the ocean (2)
and was fastidious about time (1) and claustrophobic (1). Perhaps she was a Nat-m., but she was not < sunshine/consolation (2). That ruled Nat-m. out. I observed that she disliked jazz (2), desired onions (2),
and was < coffee (2). There was also a suggestive history: Her father was an alcoholic who died of cancer; his parent's history was unavailable, the mother had no remarkable history, but the maternal grandmother
had DM, and asthma, and died of a CVA. The MGF was a severe alcoholic and died of cerebral hemorrhage in his 40's. With all pieces of the puzzle in place, Carcinosin was a much better fit than either Natrum-muriaticum or Staphisagria.
Limbs: Coldness, air, draft of (hands and feet)
Eruption, joints, bends of
-------- hands, eczema
-------- finger, bloody
-------- toe, bloody
Heaviness, upper limbs, sudden
-------- limb, lower, morning
-------- foot, morning
Hip Joint disease
Inflamed joints of hand/foot
> effort, physical, marked
> sleep, short
caused by ovarian cysts
-------- > warmth
-------- muscles, in the
-------- -------- deep inside the bigger
-------- > walking around
-------- upper limbs at night
-------- in shoulder
-------- > motion
-------- In arms (elbow)
-------- > motion
-------- < bending
-------- > stretching
-------- In lower limbs
-------- > effort, physical, marked
-------- >/< motion
-------- > warmth
-------- > of bed
-------- -------- > exertion
-------- -------- > sleep, short
-------- -------- > motion, gentle
-------- -------- < motion, quick
-------- -------- Rheumatic
-------- -------- > warmth
-------- -------- deep inside the bigger muscles
-------- -------- > walking around
-------- -------- upper extremities
-------- -------- shoulder
-------- -------- > motion/warmth
-------- -------- Legs
-------- -------- > in thighs physical effort marked
-------- -------- > sleep, short
-------- -------- bruising, thigh, right
-------- -------- stitching
-------- -------- in r. shoulder
Perspiration, joints, bends of
-------- -------- profuse
-------- -------- sour
Restless from pain
-------- -------- foot, morning
-------- -------- Trembling, upper limbs, muscles
-------- -------- thigh, muscles
Twisting, (upper?) arm
Uncover, inclination to
-------- likes to go barefoot
Warts, upper limbs
-------- feet, sole
-------- > effort, physical, marked
-------- > sleep, short
-------- > effort, physical, marked
-------- > körperliche Anstrengung
-------- > sleep, short
-------- amorous, (sex with many people, indifferent at the same time)
-------- blood, having bad
-------- changing, in the dream everything is, confused, thinks it
-------- cleaning everything
-------- death, of
-------- halls, big
-------- ill, getting
-------- invention (against thirst – Cola with Bitter Lemon,
-------- Play - quartet-poker with detailed rules
-------- looking for someone
-------- murder, of
-------- rousing the patient
-------- work, of
-------- the whole night, treats patients
Falling asleep, dawn, during
-------- thoughts, many foggy
-------- reading daytime, while
-------- on abdomen
-------- hands above head
-------- on back
-------- hands above head
-------- hands clutched together firmly and painfully across chest
-------- krampfhaft, schmerzhaft festhaltend über der Brust
-------- on the head
-------- genupectoral = Knie-Brust-Lage
-------- with face forced into pillow, on the
-------- can only sleep on l. side
-------- on r. side
Sleepy in morning
-------- In evening
-------- after going to bed
-------- After midnight, after, 4 h.
-------- until dawn
-------- old people
-------- rocked, must be
-------- with weeping
-------- headache, from
-------- menses, before
-------- in nurslings
-------- first going to sleep
thoughts, activity of mind, from - She is thinking and thinking and it hard for her to go to sleep.
Someone does something to her and she is laying there at night thinking and thinking about what the person did and what she should have said and how it should have been done and of course this is …?
-------- twitching of limps, from
-------- waking, after
Waking between 2 – 4 h.
-------- morning, early in the
-------- dreams, from exciting
-------- shocks through the body while
-------- twitching, from
Relapsing in children
-------- Sleep, during
-------- nightmares, from
Discoloration, blue spots
-------- r. side
-------- sensitive to touch
-------- crust, black
-------- anticipation of chlorine in a swimming bath starts
-------- -------- bloody
-------- -------- offensive
-------- petechia (Carc.Adeno.Stom.)
Itching – Jucken
-------- > bathing, washing
-------- scratch, bleeds, must until it
-------- < undressing
-------- < warmth of bed
GENERALITIES – ALLGEMEINES
Forenoon, < 10 h.
> Afternoon (13 – 18 h./14 - 16 h./17 - 18 h.)
Evening < 18 u. 19 h.
18 h. – 21 h.
Night (scirr) – nachts
> Air, open
desires brisk outdoors
Cancer after fright
Change, symptoms, constant
Children, affections in
-------- biting nails
-------- delicate, punny, sickly
-------- Finger in the mouth, puts
> dry air
heat and cold
place, entering – Ort, Betreten eines
tendency to take a cold
ENT-problems = HNO-Probleme
Constriction, sensation of external
Contradictory and alternating states
-------- (at night)
-------- (on waking)
-------- ailments before
-------- (hot and sweaty)
-------- (stiffness and heaviness)
-------- (consciousnes, loss of)
-------- (injury of head, from)
-------- (after menopause)
-------- From whooping cough
> Exertion, exercising
Food and Drinks: <: Butter/Schokolade/(smell of) eggs/Lemon/Meat/milk (allergy)/raw onions/oyster (allergy)/Salt/seafood (allergy)/sour food;
Good health before paroxysms
orfices of the body, from all
Heat, flashes of, climacteric
-------- hysterectomy, after
-------- with perspiration
History, family FA
-------- -------- breast cancer
-------- -------- Chickenpox
-------- Diabetes mellitus
-------- Strep throat
-------- Typhoid fever
-------- Ulcers of Stomach
-------- allergic reaction
-------- -------- food
-------- -------- penicillin
-------- -------- asthma
-------- childish illness after puberty
-------- -------- measles
-------- -------- cluster headache from age of 10
-------- -------- herpes zoster
-------- -------- inflammations, frequent
-------- malfunction of
-------- -------- pituitary gland
-------- -------- thyreoid gland
-------- -------- mononucleosis
-------- -------- otitis
-------- -------- pneumonia
-------- -------- -------- at two month
-------- -------- -------- at three month
-------- -------- -------- recurrent
-------- -------- -------- sick all her childhood
-------- -------- -------- swelling of lymph glands
-------- -------- -------- whooping cough
-------- chronic, Liver - Hepatitis
-------- Tonsills chron.
Irritability, lack of
Masturbation, onanism, from
Medicaments, oversensitive to
überempfindlich gegen Medikamente
“You have to be very careful with me; I react very strongly to the remedies. I am very sensitive.”
< before menses
> beginning on menses
Mononucleosis infectiosa, ailments after
< new moon
Old age, premature, old people
Pain, appearing, suddenly
-------- burning (internally)
-------- cancerous affections
-------- tearing (internally)
-------- seven days, every
Pseudocyesis = eingebildete Schwangerschaft
Reaction, lack of
Recovery, slowly, after acute disease
Sexual desire, suppressed
Shuddering, on waking
-------- right, then left
-------- left then right
Sleep, short, after amel.
------------averse bright sunlight
Trembling, on waking
-------- waking, on
-------- < Undressing, after
-------- Vaccination, after
Varicose veins (scir)Burnett
< Vaults, cellars
-------- energy, generally low
-------- fever, after
My body does not work as it should
-------- Morning (8 h.)
-------- Afternoon 15 h. onwards
-------- 16 h. until bed
-------- > evening
-------- chronic fatique syndrome
-------- in hot weather
-------- < cold
-------- > cold, but cold weather bothers her
-------- < damp
-------- foggy, cool, desires
-------- aversed to hot
-------- < storm, approach of a
-------- Desires it
-------- warm, desire
-------- < warm, wet
-------- Aversed to wet
-------- < windy and stormy
Whooping cough, after
Wounds, slow to heal