Tuberculinum bovinum Anhang
[remedia.at]
Themen: ständiger Wechsel
Leitsymptome:
rasche Abmagerung bei gutem Appetit -
wechselt die Symptome in polarer Entsprechnung oder
widersprüchlich: mal Heißhunger, mal Abneigung gegen Essen - körperliche oder
psychische Symptome lösen sich gegenseitig ab: Durchfall oder Verstopfung -
Kopfschmerz bessert sich, aber Abmagerung wird stärker - Kopfschmerz wird
besser,
aber Husten wird stärker – wandernde
Schmerzen in Gliedern und Gelenken, mal oben, mal unten
Typ/Erscheinung/Kleidung:
schlanke, hagere, überaktive, aber schnell
erschöpfte, kollapsige Menschen, die nicht lange an
einer Stelle stehen können - schlaffe Haltung - geringe Muskulatur - lebhafter
Gesichtsausdruck – bewegliche Mimik, Gestik und Sprache -
Psyche:
zieht oft um - reisefreudig - wechselt oft
Beruf/Arbeit, wechselt oft Partner, Freunde, Interessen, Ärzte - euphorische
Exaltiertheit schlägt um in traurige Gemütsverfassung
mit Lebensüberdruß
und hoffnungsloser Verzweiflung - hält nie lange durch - unternimmt immer etwas
Neues - hektisch - aufgeregt, überspannt (exaltiert) - Ekstase - Abneigung
gegen geistige oder körperliche Arbeit - ohne Ausdauer - dauernder Wunsch nach
Abwechslung, nach Bewegung - traurig - hypochondrisch - nervig - reizbar -
schnell erregt - ängstlich am Morgen, beim Erwachen oder am Abend von der
Dämmerung bis Mitternacht - quälende Gedanken während der Nacht - schlechte
Laune - unzufrieden - benutzt gern heftige Ausdrücke - Angst vor großen Tieren
(Pferde, Kühe), vor schwarzen Hunden - ängstlich - sich abschließende Menschen
- träge Gemütsverfassung und phlegmatische Phasen.
<: durch geistige oder körperliche
Anstrengung (langes Stehen)/bei feuchtem, kaltem Wetter/Wetterwechsel/vor
Gewitter/in geschlossenen Räumen/bei verbrauchter Luft/Schweiß ab 3
h./Unterdrückung von Schweiß verstärkt psychische und leibliche Symptome;
>: durch warmes Wetter/durch trockenes
Wetter/durch Essen/durch Gehen im Wind/durch Bewegung/aber nicht anstrengenden Sport;
Sehr beeindruckt durch Musik, fühlt sich je
nach Ausgangslage der Stimmung erhoben oder rührselig.
Tuberculinum ist drogengefährdet.
It’s a
wonderful remedy when there is a tubercular heredity, and you can discover this
in the eye easily!
Strongly
indicated when the symptoms constantly change and the patient catches cold
easily.
Emaciation.
Loves to
travel, journeys and cruises.
He doesn’t
like standing (Sulphur).
Fear of
dogs: very good symptom. I have often told you, when I am consulted for infants
who take cold frequently and when I find in the eyes of the mother or the
father little indications of tuberculosis, I ask three questions: “What are the
animals that your child likes or doesn’t like ? “What are his palms like? “When
you scold him what does he do?”
Here we
have some good symptoms:
Likes
refined cuisine.
Likes
sweets.
Likes cold
milk.
Likes
meat, delicatessen products, ham, lard, smoked meat, but certain subjects have an
aversion for meat, for wine, and even for all food.
In
contrast to Tarentula < from music.
And an
excellent clinical indication: chronic cystitis (NEBEL).
The pulse
is irregular.
Medorrhinum: I am lucky enough to have an excellent source
of Medorrhinum. A few years ago I was visiting
Seville and there I met a charming homœopathic
physician who gave me a quite special gift. You know that Seville is a very
pleasant town, full of castanets and pretty women. . . . and also blennorrhagia reigns there as queen! And this doctor had a
source taken from a young officer who had had goodness knows how many blennorrhagias! He gave me not one drop of pus but a potentisation which he had prepared himself, a fresh
preparation which gave me excellent results. First of all and before everything
else, it is in no way necessary to have caught blennorrhagia
to benefit from this precious Nosode... fortunately!
Time
passes too slowly.
Can’t
speak without weeping; they fear the dark and imagine that there’s always
someone behind them, and that’s why they keep looking back when they walk!
<
daytime.
It has
this very special sleeping position; the genupectoral
position. Thanks to this symptom I cured a case of epiphora,
that is, constant watering of the eyes. My patient was a little girl of five or
six who had of course been treated without any result by allopathic pediatricians and ophthalmologists who were nevertheless
quite reputed... but of course they were allopaths! I
don’t know if you’ve ever seen a specialist introducing a catheter into the
lachrymal duct of a child; it’s quite dreadful. First of all one has to find
the orifice and in order to do that you have to put a drop of fluoresceine into the eye, and since that burns the child
starts kicking, and the fun is on. One really has to have fairy fingers to
avoid wounding the eye and causing a retractile scar!
Therefore
I immediately gave her Medorrhinum 10M and since then
it was all over... good-bye epiphora! And yet, you know,Medorrhinum isn’t indicated in the Repertory for epiphora. This is one of the wonderful things about
Homoeopathy: the remedy that comes up when you repertorise
the pathological symptoms isn’t always the right one. You sometimes have to
work back to the chronic miasm to remove the
obstacle. It may be rather difficult to see the relationship between a watering
eye and the position in which a patient sleeps.
Cold
breast (r.)
> at
the seaside/lying prone;. Fidgety feet syndrome (at night); trembling arms and
legs.
Sterility
and impotence. This is the great remedy for blennorrhagia
suppressed by irrigation or some drug that has stopped the infectious
discharge.
In women,
intense pruritus of the genitals; very malodorous
periods; excoriating leucorrhoea smelling of fish; ovaritis
(l.); sterility; intense dysmenorrhoea.
Chronic
catarrh which never ends (child); end of nose always cold; constant desire to
be fanned; aphthae.
Monoarticular rheumatism: particularly affecting the knee.
Chronic rheumatism. Syndrome of fidgety feet; burning hands and feet, but
sometimes cold extremities; trembling arms and legs.
Ferocious
appetite, even after having eaten; Always very thirsty; desires:
liqueurs/salt/sweets/warm food; vomiting of pregnancy.
Intense
anal pruritus, frequently redness of the anal region
in babies.
Nocturnal
enuresis.
Intense
itching of the skin.
Syphilinum:
All symptoms aggravated at night.
Always
washing their hands.
A feeling
as if the sternum were pulled backwards against the spinal column.
Despair of
recovery (Calc./Ars./Alum). Completely exhausted in
the morning (Nux-v).
Desire for
alcoholic beverages.
Erratic
rheumatism.
Better in
the mountains.
Profuse
salivation at night on sleeping, and like Mercurius
it soils the pillowcase.
When you
study your cases you come up with one principal remedy and several satellites:
look for the miasm which corresponds to these
remedies. If these remedies belong to the three kingdoms, mineral, animal, and
vegetable this means that the case is profoundly deep rooted. If there are only
mineral remedies this means that it will be a long chronic case and will be
difficult to cure. If there are only animal remedies, you can expect
complications and difficulties of every kind: this case will be troublesome
because of the patient’s reactions. And if you have only vegetable remedies it
means that the cure will be easy. Find out also if these remedies are
exclusively sycotic or psoric
or syphilitic. Contrary to what NEBEL believed, tuberculosis is not by any
means psoro-syphilis, it is psoro-sycosis.
In the eyes one can also see syphilitic heredity, even several generations
back.
Night
terrors in infants.
Falling
hair.
Patchy
alopecia.
Recurrent keratitis.
Although
one of the principal indications for Nosodes is an
improvement which stops and goes no further (when the therapeutic progression
is arrested), one may give them right from the beginning, especially when there
is a lack of reaction. As you know these are remedies of an entirely different
kind.
Sulphur is
a very great reactive remedy but it has the great inconvenience of awakening
symptoms just about everywhere and sometimes gives us very disagreeable
aggravations; and that is why
I haven’t
mentioned it in the reactive remedies. Still, it is one of our best reactive
remedies. Of course one will think of giving it after some other remedies which
already have brought some improvement; as a general rule avoid giving it at the
beginning of a case.
When you
have a defective case, think also of going back to earlier symptoms from the
beginning of the illness, old symptoms on which you will be able to prescribe
the remedy which the patient should have had before; that remedy can still help
him.
After
having studied the reactive remedies we should read what HAHNEMANN has to say
in Paragraph 184 of his Organon. “In like manner,
after each new dose of medicine has exhausted its action, when it is no longer
suitable and helpful, the state of the disease that still remains is to be
noted anew with respect to its remaining symptoms, and another homœopathic remedy sought for,
as
suitable as possible for the group of symptoms now observed, and so on until
the recovery is complete”.
Of course,
this means questioning your patient again. If you don’t know which remedy to
give, don’t hesitate to give Saccharum lactis. Do not give a remedy if you have no clear
indication.
You will
never regret having given Sac lac., but you will
always regret having given something which will have upset your case.
I have already
told you how Dr. MATTOLI used to manage his practice at the beginning of the
vacation period. You know that he was a very short man. He used to dress all in
white and in July received his patients not in Florence where he lived, but in
Viareggio, in an enormous and magnificent property. That is where he invited my
wife and me one summer. For ten days he served us chicken every day! The
chicken was exquisite because each time it was differently cooked. One day he
prepared polenta on an enormous marble table; it was very amusing. Well, on one
occasion the chicken wasn’t cooked exactly as he wanted it, and he went to the
kitchen. We heard dreadful screams. He slapped the servant in the kitchen a
couple of times (and even rather more than a couple of times) and then he came
back to us, much calmed down and quite happy; and we were able to eat our
chicken ... in peace!
“When it
is time to go on vacation”, he used to say, “one is overworked, a great many
people keep telephoning, one is harassed and makes wrong prescriptions.”
And so, to
avoid prescribing wrongly, he used to sit out in the country under a wonderful
oak tree, with his secretary at his right hand, and all his case histories.
People used to come on horseback,
on foot,
on bicycles, in motor cars, in carriages... it looked like a camp that had been
set up. There must have been at least 200 people! And so Dr. MATTOLI received
them under his tree one after the other, and each one of them asked for a
remedy for an uncle or an aunt or the cook or the dog or the cat as well - it
was dreadful! I can tell you that he didn’t waste any time and didn’t ask
anybody to do a complete strip-tease to auscultate
them! But everything worked out very well with the heat of summer and the
volubility of the beautiful Italian language! Next to him there was a cupboard
of remedies, and our colleague prescribed for everybody Sac lac...
And he had noticed that with the help of the holidays there were hardly 10% of
the patients who were not much improved when he returned in autumn. Naturally,
serious cases didn’t come to the country to see him! Fortunately!
Paragraph
185: “Among the one-sided diseases an important place is occupied by the
so-called local maladies, by which term is signified those changes and ailments
that appear on the external parts of the body. Till now the idea prevalent in
the schools was that these parts were alone morbidly affected, and that the
rest of the body did not participate in the disease - a theoretical, absurd
doctrine - which has led to the most disastrous medical treatment”.
Paragraph
186: “Those so-called local maladies which have been produced a short time
previously, solely by an external lesion, still appear at first sight to
deserve the name of local diseases. But then the lesion must be very trivial,
and in that case it would be of no great moment. For in the case of injuries
accruing to the body from without, if they be at all severe, the whole living
organism sympathizes; there occur fever, etc.
“The
treatment of such diseases is relegated to surgery; but this is right only in
so far as the affected parts require mechanical aid, whereby the external
obstacles to the cure, which can only be expected to take place by the agency
of the Vital Force, may be removed by mechanical means e.g.:
“By the
reduction of dislocations:
“By
needles and bandages to bring together the lips of wounds;
“By
mechanical pressure to still the flow of blood from open arteries;
“By the
extraction of foreign bodies that have penetrated into the living parts;
“By making
an opening into a cavity of the body in order to remove an irritating substance
or to procure the evacuation of effusions or collections of fluids;
“By
bringing into apposition the broken extremities of a fractured bone and
retaining them in exact contact by an appropriate bandage, etc.
“But when
in such injuries the whole living organism requires, as it always does, active
dynamic aid to put it in a position to accomplish the work of healing, e.g.
when the violent fever resulting from extensive contusions, lacerated muscles,
tendons and blood vessels requires to be removed by medicine given internally,
or when the external pain of scalded or burnt parts needs to be homœopathically subdued, then the services of the dynamic
physician and his helpful Homœopathy come into
requisition”.
Apropos of the Vital Force, KENT mentions
these illnesses which are not local (as they are wrongly called), but, instead,
localized illnesses: when it is an illness that is not surgical, when you have,
for instance, an eruption or a small tumor somewhere.
Paragraph 187 : “But those affections,
alterations and ailments appearing on the external parts that do not arise from
any external injury or that have only some slight external wound for their
immediate exciting cause, are produced in quite another manner; their source
lies in some internal malady. To consider them as mere local affections, and at
the same time to treat them only, or almost only, as it were surgically, with
topical application or other similar remedies - as the old school have done
from the remotest ages - is as absurd as it is pernicious in its results.”
For instance, traumatisms often quite benign
can be the cause of Osteosarcomas or Carcinomas,
which appear years later.
Paragraph 188: “These affections were
considered to be merely topical, and were therefore called local diseases, as
if they were maladies exclusively limited to those parts wherein the organism
took little or no part, or affections of these particular visible parts of
which the rest of the living organism, so to speak, knew nothing.” [4]
Of course, HAHNEMANN was not very tender ...
but people were even less tender toward him; and I find that he was even modest
in his remarks!
Paragraph 189: “And yet very little reflection
will suffice to convince us that no external malady (not occasioned by some
important injury from without) can arise, persist or even grow worse without
some internal cause, without the cooperation of the whole organism, which must consequently
be in a diseased state. It could not make its appearance at all without the
consent of the whole of the rest of the health, and without the participation
of the rest of the living whole (of the Vital Force that pervades all the other
sensitive and irritable parts of the organism); indeed, it is impossible to
conceive its production without the instrumentality of the whole (deranged)
life; so intimately are all parts of the organism connected together to form an
individual whole in sensations and functions. No eruption on the lips, no
whitlow can occur without previous and simultaneous internal ill-health”.
Except for these traumas, there are therefore
no local illnesses. There are only the localized illnesses of a general state
of health that is deficient.
There are things which we cannot understand.
How can one have, for instance, an eczema of the foot and a wart on the ear and
strabismus all at the same time? We cannot see at all the connection between
these three things and yet they are connected by some biological unity. And
that is why we have to base our decisions on the totality of the symptoms in
choosing a remedy. And even if we don’t know the relationship which unites
these different morbific complaints, it exists
nonetheless; and it is thefundamental unity that is
reached by our constitutional remedy.
It is very important to meditate upon these
paragraphs.
These illnesses are defective; they are
partial illnesses, localized illnesses, which we call apparently local. To
mention a few of these, we have:
Surgical affections which can be treated by Homœopathy: I mean, one should always treat the patient
before an operation. And we see, if we are good prescribers like Dr.WARD, of San Francisco, famous for his excellent work
Unabridged Dictionary of the Sensations ‘As if’, that a certain number of
operations can thus be avoided. Dr. WARD was a Surgeon, a Gynecologist,
who became interested in Homœopathy, and stated at
the end of his life that 40 percent of the patients who came for an operation
no longer needed to have that operation after they had been prepared for the
operation homœopathically! In addition, his
colleagues were jealous of him and couldn’t understand why his operations were
more successful. When one can prepare a patient who must undergo a surgical
operation, there are two things to which I always call people’s attention.
First of all , I take the biological rhythms of FLIESS into account to
determine the most favourable date for the operation. In this way I avoid a
great many postoperative complications.
Recently a patient whom I was treating for his
general health and who lives in Ungerdien came to see
me to ask about having a hernia operation. This was a perfectly straight
forward inguinal hernia. I calculated his biological rhythms and advised him
about a suitable date. Naturally, surgeons have a thousand and one reasons for
not doing what one asks them to do. This patient’s surgeon couldn’t operate on
him on the date he requested and started laughing at him when he spoke about
biological rhythms! He operated outside of the good dates. Of course, the
operation was very successful, but on the seventh day after the operation the
patient felt a pain half way up the inner surface of the thigh as if he were
being poked by a red-hot iron every time he stood up. And the surgeon whom he
had consulted came and said to him: “Listen, here, sir, this is none of my
business. We operated on your hernia and everything went well. Your testicles
are not swollen, and you ought to be grateful because that often happens. The
trouble you have there is neuralgia and you had better see your doctor about
it!” So the patient telephoned to me and asked me what he should do ... and I
was very annoyed. He wanted to come to Geneva, but it was quite impossible for
him to get into a taxi because the pain was so intense! Naturally, when one
doesn’t see the patient one cannot always think of everything. Nevertheless, I
blame myself for not having been more thoughtful because, after all, after a
hernia operation one can easily have reactions of the testicle, and other
reactions, too, which are well known.
Neither rest, nor the anticoagulants
administered had the slightest effect on the distorting pain felt as soon as he
sat down.
We are surprised to discover that it is almost
intolerable not to be able to sit down! You can’t, after all, remain standing
or walking all the time! What a benediction it is to be able to sit down! May
be you have never thought about it ... Well, finally, the worried surgeon told
him to go to see a doctor because it was none of his business! And this went on
for three weeks!
I encouraged the patient to try to come to
Geneva, but this meant six hours in the train with no hope of sitting down...
how happy that was! When he arrived in Geneva,
I
administered a few points of Acupuncture, which relieved him a little. I gave
him first of all Hypericum 10M, and two days after
discovering that this was in fact a neuralgia of the spermatic duct, a funiculalgia, Hamamelis200 (page 702 of the repertory)
every 6 hours for two days. This cured him completely and permanently.
I really think that if one takes into account
the rhythms of FLIESS one can avoid a lot of trouble. For instance in blood
transfusions, I am thinking of a colleague from Zurich, a great specialist of
transfusions, who one day had to give his wife a blood transfusion: well,
although he was nearly always successful, this time his wife had an embolism
.... and died! He had operated on her on a day when her three rhythms changed
simultaneously.
CARLETON, an American, has published a book
which I recommend to you, called Homœopathy and
Surgery. He was a pure homœopath and an excellent
surgeon, and in this book he gives excellent advise on the homœopathic
treatment of many surgical cases.
In sprains, after manipulation, when this is
necessary, Homœopathy offers a whole palette of very
precious remedies which considerably shorten the convalescence and ease the
pains. Distensions of the muscles or the tendons of the hand or foot, with or
without injury of the periosteum and the bones, can
be relieved and often cured in record time after putting them back in position
by rubbing with oil of Rhus or tincture of Arnica and
bandaging tightly; after this, one should administer a so-called trauma remedy.
In the Repertory on page 1371 you will find
remedies for all kinds of distensions of the ligaments, sprains, luxations... etc... in the rubric “Lifting, straining of
muscles and tendons.” and you can very easily combine this rubric with “Pain,
as if sprained” you can add the following remedies:
Arn. Bell-p. Led. Mill. Ruta, Agn-c. Am-c. Asaf. Carb-an.
Under “sprained” you can add “chronic”, when
the complaint becomes chronic: there is a remarkable remedy indicated by HERING
which I have often verified, and that is Stront-carb.
The 10M potency works beautifully!
On page 983 you have “Dislocation”:
spontaneous, of the hip: of the kneecap; of the ankle.
If there is weakness of the ligaments look at
page 1232 “Weakness, ankle, while walking”. And you can add to that rubric
Calc-p. For children who are late in learning to walk”: Carb-an.
+ Tuberculinum Kind
On page 364 you will find spontaneous
dislocation of the jawbone (“Dislocation of jaws easy”), and add to that rubric
Caust, andPetr.
On page 1019 under “Injuries, hand, sprain”
you can add Bell-p.
Where we have fractures of course we have to
assure the mechanical replacement of fractured bones. But after this, homœopathic remedies considerably aid osteogenesis
and shorten the time of knitting. Usually I give all my patients with fracturesSymphytum 30 liquid, six drops three times a day
for a month, if there are no other personal symptoms. You will find fractures
on page 1402 under “Slow repair of broken bones”. On page 1008 you can add the
rubric “Fractures” Just before “Freezing”, with the following remedies: Calc.,
calc-p., calen., ruta, sil., symph., and under the
following rubric: “Consolidation retarded”: ferr.,
On page 1402 “Slow repair” add Calen., ferr., iod., mang-ac., mez., Ruta., Symph.
and thyr. (CLARKE)
If we have retarded ossification in children
think of Calc., calc-f., Calc-p., and sil.
Come back to
page 1008 and add under “Fractures”: (HERING)
“of cranium”: calen
“infected, with suppuration”: arn.
“open”: calen.
“of tibia”: anthr.
On page 1368 you will find the rubric
“Injuries”, which includes blows, falls, ecchymoses
... etc. Add Acet-ac. Acon.
Ang. Bufo Calen. Camph. Crot-t. Glon. Ham.
Mag-c. Mill. Phys. Stront-c. Verb.
and on the following page under the rubric “with extravasations” add Led.
For insomnia after fractures or after surgery
think of stict.
For contusions of the nerves, on page 1369,
add bell-p.,
For contusions of soft parts add ham., and symph.
In contusions of the tendons add calen.
BOERICKE indicates for contusions: acet-ac., arn., bell-p., con., echi., euphr., ham., hyper.,
led., rhus-t., ruta, sul-ac., symph., and verb.
And for the chronic results of traumatisms: arn., carb-v., cic., con., glon., ham., hyper.,
led., nat-s., stront-carb.
On the last page of the Repertory, page 1422,
you have the whole question of ‘wounds’;. under this rubric you can add
‘lacerated’: Arn. Calen. Carb-ac. Ham. Hyper. Led. Staph. Sul-ac.
Symph. (BOERICKE).
Under the general rubric “wounds’’ add calen., carb-ac., helianathus, (CLARKE).
Under “bites” add: Lob-pur.,
and Seneg.
“snakes”: thuj.;
“bleeding freely”: am-c., dor.,
ham., lat-m., nit-ac., ph-ac., sanguisuga.
“crushed”: carb-ac.,
ruta;
“cuts”: calen, ham.,
hyper,;
“decubitus, see
sore”: all-c., tub,;
“gangrene, tendency”: calen.,
sal-ac., sul-ac.,
(BOERICKE);
“painful” all-c.;
“penetrating”: phaseolus;
“painful injections” : crot-h.,
led,;
“to remove thorns, splinters, fishbones”: lob., sil.;
“proud flesh”: sil.;
“if the injured part feels cold to the patient
and to objective touch”: led.
Under “Burns”, page 1346, add acet-ac,. acon., arn., calc-p., calen., camph., gaultheria., grin., ham., hep., jab., kali-bi., kreos., ter., urt-u.;
“burns from X-rays”: calc-f., x-ray;
“burns fail to heal, or ill effects”: carb-ac., caust.
On page 1304 you will find something which may
often help you, “cicatrices”. For keloids you will
combine the two rubrics “elevated” and “hard”. In the rubric “hard” you should
put graph., into the third degree and add fl-ac. CLARKE recommends an ointment
with Staphysagria in the mother tincture.
For keloid scars
there is whole series of remedies to be added. I found them during my searches
in the works of the great ALLEN, BOERICKE, CLARKE, JAHR, LILIENTHAL, STAUFFER,
and DOUGLAS: Ars. Bell-p. Calc. Carb-v.
Caust. Crot-h. Fl-ac. Graph.
Hyper. Iod. Junc. Lach. Merc. Nit-ac. Nux v. Ophiotoxicon (JAHR), Phos. Phyt. Psor. Rhus-t.
Sabin. Sil. Sulph. Sul-ac. Thios. Tub. Vipera.
I gave you some examples of so-called
localised affections, and now we shall see how to find the remedy in defective
illnesses. You have a patient who comes to consult you complaining of only one
symptom, or of very vague problems; what are you going to do in such a case,
and how are you going to find a remedy which can help him?
First of all, before looking for a remedy one
should always start by eliminating any habits or extraneous circumstances which
might be the cause of the patient’s disorder, as HAHNEMANN said at the
beginning of his Organon.
Here are some guidelines which we must bear in
mind for every illness:
(1) One must correct the diet. CARTON was
right to insist on this point, for it can bring considerable improvement to
patients. It is dreadful to see the diet which some people follow. This reminds
me of a certain patient who always keeps a magnificent box of chocolates just
inside of his front door: he offers some to anybody who comes to see him and this
gives him an opportunity to have some also. One of my women patients, whom I
sent to see one day for an influenza, had one kilo of candy next to her bed,
and from it she would serve herself generously during the night whenever she
woke up. She was surprised that she was overweight and that she always had
liver trouble!
(2) One has to pay attention to the way
patients live, their hygiene and their exercise. Advise them to do fifteen
minutes of exercise every morning: generally they never do it! A good idea is
to have them take lessons in physical exercise from some teacher whom they have
to pay. There are stationary cycling and rowing apparatuses which people buy to
use at home, and never use for more than one month after buying them at
considerable expense! Tell them to take lessons in riding, or tennis, or
gymnastics. Then there are also those patients who never take holidays, and for
whom the only thing that counts is their work. If you can’t get them to take
holidays like everybody else, tell them to go on a cruise, or propose some
hydro-mineral cure which is as harmless as possible, and which will oblige them
to some sort of regular schedule and rest for at least a month. Then of course
there are fasts, which can be prescribed for those who can stand them.
(3) Examine the spine, and if necessary send
the patient to a chiropractor for any necessary adjustments. This is very
useful sometimes, and one shouldn’t neglect it.
(4) Don’t forget the dentist. There are
people who never go to the dentist. Look at your patients’ teeth, carefully
sound them, apply heat or cold with a moist wad of gauze. You may find people
with unbelievable things in their mouths. I will never forget a certain society
lady who had twenty seven of her thirty-two teeth absolutely bathed in pus! And
she didn’t feel a thing. She had to have all her teeth out, and now she’s quite
well.
(5) Examine the ears. You would be surprised
to know how many people go around with plugs of wax as hard as wood in their ears,
and how grateful they are when you clean out the ears!
(6) Habits. Some people have dreadful habits:
some people wear the same clothes for at least twenty years - what a shame! --
for instance, a dirty old jacket, all worn-out, or a venerable raincoat.
Disgusting! Get them to buy new clothes, and something in their manner changes
immediately. In the apartment get them to change the position of the furniture
or to swap rooms, or to change pictures on the walls, and their whole condition
might change! Especially when there has been some mourning in the family, get
them to change the position of the furniture: in this way the ‘perpetual
presence’ (and sometimes the very trying presence) of the dear departed is
dissipated.
Only after all these steps you can start
asking yourself what remedy you are going to prescribe. And this is difficult
when there are almost no symptoms. When we have what we call a deficient
illness you have to have some imagination to see what can be done.
(1) The first thing to look for is the
etiological symptoms: “ailments from ...”: anger (p.2), anticipation (p.4),
contradiction (pp.2/512), egotism (p.39), emotional excitement (p.40), fright
(p.49), grief (p.51), homesickness (p.51), wounded honor
(p.52),indignation (p.55), disappointed love (p.63), reproaches (p.71),
rudeness (p.75), scorn (p.78), thinking of complaints (p.87), vexation (p.21),
mental work (p.95)
(2) You can also find very good information in
the hereditary symptoms: those that come from the mother to a boy, from the
father to a girl. Take into account also the particular symptoms manifested by
the mother during her pregnancy, and during her labor.
(3) All suppressions must be noted. Cutaneous affections, discharges; leucorrhea,
gonorrhea, sweat, coryza,
etc. For the result of polypharmaceutic practices;
even before you think of any other remedy you can always give them Nux vomica.
(4) Vaccinations which either didn’t take, or
did take. If there was a reaction and it was too strong, this is a good point
to start from in prescribing remedies of Vaccinosis,
p.1410. If the vaccination didn’t take, it means that the individual was either
too weak to react, or that the vaccination was no good.
(5) Childhood diseases. What interests us
particularly are affections of childhood which left after-effects: the child
didn’t recover quickly, the cure was not clear-cut. Some of them cough for a
year or two after whooping cough, and others have endless eye trouble after the
measles. We know that scarlatina and mumps can leave
consequences and continue to act on the general condition in a dreadful way.
The same applies to chicken pox and diphtheria. In these cases think of giving
a Nosode which corresponds to the illness, either in
the 30th, 200th, or, better, in the 10M potency.
(6) There are rubrics which are absolutely
objective: the rubric “Old people” - consult it if your patient is more than
60; the rubric “infants” which is not in the present Repertory but was in the
first edition, and which I have advised you to add to the present edition; the
rubrics for nursing mothers and pregnant women.
(7) Observe the periodicity.
(8) Observe any obesity, thinness, or varicose
veins.
You can find these manifestations in the Repertory
and they can help you a great deal.
We can’t find very much under general symptoms
in defective illnesses. The patient will complain of weakness, general
tiredness, without being precise. If the symptoms are there, think especially
of seeking out and noting chilliness or warm-bloodedness, and any reactions to
extremes of temperature.
As for mental symptoms, here again you won’t
find much, unless this illness is defective only because the doctor is! We are
in the habit of asking a great many questions, but, in addition, there are a
multitude of little things which we forget because we can’t keep everything in
our minds—especially if we are defective doctors! Which are the mental symptoms
we haven’t thought about? We can have a patient who has no fears or anxieties
at present, but who may have had some in his youth. Quite often we forget
these; for example, fear of solitude, of darkness, of robbers, of storms, of
water, of animals. Remember that the individual is, after all, a biological
unity.
Often we forget to find out whether our
patients were somnambulists during their youth.
Now, concerning ideas of suicide, this is a
touchy subject. One should try first of all to bring up the subject indirectly:
“In certain difficult moments of life there are people who ....”, and from the
corner of your eye you can look at your patient to see if he reacts. And if
they come to talk to you about wanting to commit suicide, they are reassured
just from this little remark. Don’t forget also that the flattening of the
pupil at twelve o’clock is an indication of this.
You can see so many things. For instance, if
the patient starts when the telephone rings, or when a door suddenly slams.
Always find out about weeping: involuntary
weeping, uncontrollable weeping, weeping during sleep, etc. And ask them also
whether they feel better or worse from it.
Then there is the question of vertigo, which
can give us very precise indications when we know how to ask the right questions.
For instance, if our patient has vertigo while walking we should find out in
which direction he feels pulled: forward, backwards, sideways (and if so, to
which side). Always ask whether the vertigo disappears when he closes his eyes.
Then there are vertigos which rotate, or vertigos which give the feeling of
being pressed under, or of swaying, vertigos with headaches, or with dimness of
vision, vertigos from heights, vertigos looking upwards, lifting the head,
vertigos looking at objects which move, for instance, cars in the street.
Now, as for the head, you know that Dr.TYLER had a particular predilection for headaches. She
said that this was her favourite rubric in all the Repertory. It is true that
this is the chapter which is most carefully elaborated in its modalities and
pains. As a rule patients have great difficulty telling you the kind of pain
they feel. But don’t let us forget to ask how the pains appear: do they appear
and disappear quickly or gradually? You will find this information on page 141,
“increasing gradually”; page 149, “sudden pains”; page 151, “waves of pain”.
Ask them also about spots before the eyes,
which are a frequent and precious indication of Iris versicolor
in headaches.
There are also headaches with constipation
(p.138) or with colds (p.138). The feeling that the head is empty or full can
sometimes help one. Ask them also about the extension of the pains.
One forgets sometimes perspiration of the
head, its locality and modality. Sometimes they perspire all over the body and
not on the head.
Some people have sensitivity of the scalp from
brushing or combing the hair; others can’t stand the warmth of a hat (p.121, carb-an., iod., led., lyc.,), or on the contrary, can’t go without one (p.233,
“uncovering”)
On page 229 you will find the rubric
“Sensitiveness of brain”, you should add: “even to hat”, bry.,
carb-v., chin., crot-t.,
hep., merc., mez., nit-ac.,
sil, staph., sulph. Some
people cannot stand pressure, for instance, the weight of a hat, and this corresponds
to mez. and nit-ac. according to GENTRY . Under this
rubric “Sensitiveness from brushing the hair” you may add Viburnum.
There are patients who have constant
headaches, they never stop: and there are two rubrics: “chronic” headaches,
(am-c., ars., caust., con.,
sil., sulph., ter., tub.)
and constant continued” headaches, on pages 137 ad 138 respectively. For this
kind of headache there is a Nosode which you may
think of and which may help you very much: Meningococcinum.
On page 139 you have headaches after haircuts (bell., glon.,
led., puls., sabad., sep.),
and on page 151 “pain from washing head”. There are also dreadful headaches,
badly described, which are often rheumatic headaches (p.146). Then there are
wandering headaches or headaches in spots. (p.148)
People never have enough time to examine the
eyes thoroughly. But they reveal useful symptoms which the patient will not
always tell you.
Eyes which are glued, closed in the mornings.
Accumulation of eye gum in the corners of the
eyes.
Cracks and fissures. Look for them on the
face. You may find them in the outer canthi of the
eyes, of the mouth, of the nose. Sometimes they are uricemic.
Make your patients sweat, make them take exercise, change their diet, and quite
often these little crevices will disappear. There are little cracks on the
corners of the nostrils (p. 329, “Cracks”), and at the insertion of the ear
(p.288, “Eruptions behind the ears”).
The pupils: see their degree of dilation or
contraction; anisochorea. Unequal pupils often
indicate vago-sympathetic disturbance.
Blepharo-spasms. In
the Repertory there are three terms which are rather alike. Usually these
patients are too tense. They need holidays and rest. In the Repertory look
under “Quivering” on page 264, “Twitching”, and “Winking”. A remedy which has
often brought me success and which you can add under “Quivering of lids” is Aranea scinencia. PATERSON’s Dys-co. often succeeds
also.
Convergent or divergent strabismus.
Chalazions: look to
see if they are on the upper or lower lid. The location can help you.
Swelling of the eyes: upper lid or lower lid,
or beneath lower lid. Sometimes there is a little swelling of the inner corner
above the upper lid, and this can be a sign of hernia. It is also often a typical
symptom of Kali carb. (p.355, “Bloated, between lids
and eye brows”).
Cold tears, burning or salty tears.
Hemeralopia.
Disturbances of refraction; you know for
instance that a typical remedy for astigmatism is Tuberculinum.
Marginal blepharitis
is often well taken care of by Bacillinum 30 once a
week.
Falling eyelashes and eyebrows.
Look at the conjunctiva, whether they are red,
pale, or yellowish. Sometimes they will indicate little attacks of jaundice: in
that case look also at the palms and the palate to see if they are yellowish.
Some patients constantly rub their eyes
(p.265), and this must not be confused with those who wipe their eyes (p.270).
Nystagmus: find out
whether it is horizontal or rotary.
The ears: Sometimes when you look at your
patients’ ears you see that there is cotton-wool in them and you ask why. “Well
it’s because I can’t stand cold air!”
The
remedies for this little symptom: Acon. Clem. Hep. Lac-c.
Merc. Sil. Thuj.
Some people don’t know that they had bad
hearing in one ear. Similarly some people don’t know that they see poorly in
one eye; it is up to you to verify these matters.
Always ask your patients if they can perceive the
direction from which sounds come: you know that Carb-an.
is the great remedy for those who don’t know where the sound is coming from.
Others don’t hear anything at all when many
people are speaking at once: there are even people who hear better in a noise!
The nose: The nose also can be very sensitive
to the intake of air. There are people who are always picking their nose, and
it is often a symptom of worms. Also it may be the sign of a frustrated libido.
As for colds (which doctors fear, because they
don’t know what to give!), Homœopathy often succeeds
admirably. One could say that eighty percent of the patients who have a cold
are immediately improved with Aconite 200. We are more interested in
obstructions than in discharges, and, in that connection, there are some
questions which one would do well to ask properly: On what side? Day or night?
In a cold or in a warm atmosphere?
Sometimes it is obstructed and it runs at the
same time.
There is a special rubric for obstructed nose
in children, and it has excellent remedies: Am-c. ars.
asc-t. and for nursing babies: Aur-met.
kali-bi. lyc. nux-v. samb. (see NOSE, obstruction p 341)
Dry noses are generally hard to cure.
As for epistaxis,
CLARKE highly recommends Ferrum picricum:
he says this remedy succeeds better than all the others. Vipera
also often succeeds very well for nose bleeds, especially if the blood is dark.
There is also a rubric for epistaxis in infants, and
the remedy which succeeds most often is Ferrum phos. (Abrot., bell., chin-s.,
croc., ferr., ferr-p., ferr-pic., ham., merc., phos., ter.). Think also of epistaxis
at night, washing the face, and all the other possible modalities for which
there are specific remedies.
Ask your patient about his sense of smell. Then
again sneezing is very important in finding the remedy, and don’t forget the
modalities. You remember the morning sneezes which is a very good symptom of
Ammonium carbonicum.
Face: We already spoke of chapped skin,
cracked skin, excoriations. Cracks in the upper lip will make you think
especially of Kali carb. and Natrum
mur. If there are cracks in the corner of the mouth
there are a whole series of remedies: this is the famous angular cheilitis, or commissural exulceration,
which is often a sign of a lack of vitamin B2.
The tongue can also have fissures, especially
on the sides, and in the middle, and on the tip.
Always look at the complexion, the colour of
the face; and look also at the expression. In the Repertory there is a rubric
which gives very detailed attention to the expressions of the face: surprised,
anxious, worried, aged, tired, sickly expression, etc. Sometimes these signs
will help you to find the remedy. Look also at the wrinkles and the frowns.
They may be important.
The perspiration of the face may be hot or
cold, or may appear only on one side, or on the upper or lower lip etc. Some
people only perspire on the nose (and of course the classic remedy is Tuberculinum bov.)
Mouth: Sometimes the aphthae
in the mouth are very troublesome: sometimes also the fault lies with the
dentist with his little wads of cotton powdered with Borax. Look at the
location of these aphthae: they may be on the gums,
on the tongue, or on the lips. You might try a little mouth-wash with lemon
juice: it hurts at first, but sometimes it feels much better afterwards. My
professor of ophthalmodiagnosis had another method:
he used to use a little wad of gauze saturated with an infusion of Chamomilla, with which he scraped the aphthae
until they bled... and that was that. On page 397 you will find aphthae of the mouth, and in the general rubric you might
add: Sempervivum tectorum
(Houseleek). Add also, cinch-b., ill., ip,., while phos., sars., and semp..., should be in italics.
Lower down, under “in children”. add bapt., asim., kali-br., plant., viol-t. Add “in infancy”: bry.,
and “in influenza”: ant-t.
Think of Kali mur
when the aphthae progress towards ulceration.
And for aphthae of
the lips: cadm, cinch-b., cub., ip.,
jug-r., kali-c., mur-ac., hep., merc-c.
For aphthae of the
palate add: Sempervivum, sul-ac,
and underline phos.
Look at the tongue, whether it is dry or wet,
whether it oscillates or trembles.
Among the different smells of the breath there
is one so disagreeable that we call it ‘sickening’: it makes you sick if you
have to be subjected to it! In such cases, before thinking of a remedy, you
might advise the patient to buy a tongue rake, and to use a mouth-wash of
calendula lotion after it.
Some patients sleep with the mouth open
(p.409).
On page 417 you have the rubric ‘Salivation”.
In the main rubric delete calad., and add: aur., calc-ars., eucal., hipp., merc., nit-s-d., phys., squil.,
ter., ust., verat-v., vinc., xanth.
Under “salivation” add the following rubrics
and remedies:
“night”: culex, merc-c.
“acrid”: lact., merc.,
“angina, in”: bar-m.
“aphthae, with”:
hell., merc., merc-c., nat-m.
“apoplexia, in”: anac., nux-v.
“asthma, in “: carb
v.
“cardialgia, in”: puls.
“children”: camph.
“chill and fever, with”: stram.
“coryza , with”:
calc-p., cupr-ac,
“dentition, in”: hell, merc.,
nat-m., sil.
“dribbling”: stram.
Under “dryness, with sense of”: add kali-m.,
“esquinancia”: anthr.
“fetid breath, with”: kali-br.
“fever, during”: sulph.
Under “headache, during”: add cinnb.
“measles, in”: nat-m.
Under “mercury, from”: add hydr.
“mumps, in”: nat-m.
“nausea, with”: Ip.,
camph,., carb-s., chin., lach., sulph., verat.,
Under “pregnancy, during”: add Ip., goss.
“prosopalgia, in”: mez., plat.
“scarlatina, in”:
Arum-t., caps., Lach., merc.,
sulph.,
“malignant”: Am-c.
Under sleep, during”: add a note to “(see
night)”, and add cinch-b., dios., ip.,
and put kali-c into italics.
“sleep, preventing”: ign.
“speaking, constant while”: graph., lach.
“spit, with constant desire to “: cocc-c., cadm-s., graph., grat., lac-c., lyss., puls.
“swallow, constantly obliged to”: ip., seneg.
“toothache, with”: Cham., daph.,
kali-m., nat-m., and add a note to “(See Teeth, pain,
saliva, with involuntary flow of, p.438)”.
“tonsillitis cough, in”: Bar-c.
“whooping cough, in”: bry.,
iris-v., spong.
Then there is “Speech, stammering”, page 419,
and “speech, lisping”, page 419.
Ask about the sense of taste: the loss of
taste or different perversions of taste.
Teeth: You have to examine the teeth of your
patients: any caries, the color of the teeth, and any
deformation; then you have the untidy tooth of Topinard,
which of course is none other than the wisdom tooth! From my personal
experience, one should always extract a wisdom tooth if it causes trouble or
grows wrongly.
Throat: Always look at the condition of the
uvula: it hangs like a little sack of water; perhaps there are aphthae on it, or small whitish deposits. One should
examine the tonsils also.
Neck: Notice whether your women patients wear
a scarf; some of them can’t stand having anything round the neck.
Then there is the whole question of goitres: I
confess that I have never managed to make a goitre disappear. Sometimes my
patients have said that they felt much better, but on measuring the neck I
noticed that there was no change - it was purely subjective. But after having
treated patients with a goitre for a certain time for their general condition,
you may find that they tolerate an operation on the goitre very well, without
any after-effects.
Food desires and aversions: From page 480 on
you will find all the aversions to food, and you may add the following:
Under “cheese” put olnd.
into italics and add: arg-n., nit-ac., staph.
and add
the following subrubrics:
“Roquefort”: hep.
“strong”: hep., nit-ac.
“Swiss(Gruyere)”: merc.,
sulph.
“chicken”: bacillinum
(ALLEN).
Under “fruit” add: ars.,
Chin., Puls., carc., and
add the following sub-rubric:
“green”: mag-c.
Under “milk” add: carc.,
Staph.
Under “onions” add: thuj.
Under “salt food” add carc.
“strawberries”: chin., sulph.
Under “sweets” add nux-v.,
puls.
Under “Desires”, from page 483 on, make the
following additions:
Under “alcoholic drinks” add the following subrubric:
“habit , to remove”: stry-n.
3x
Under “beer, evening”: add med., and put zinc.
into italics.
Under “beer” add another sub-rubric: “thirst,
without”: calad.
Under “chocolate” add: carc.,
sep.
“fat food, which aggravates”: ars., hep., Nit-ac., nux-v., sulph., tub., carc.
Under “fat ham” add carc.
Under “indigestible things” add: nit-ac., nux-v.
Under “lemons” add bell., nabal.
Under “meat” add the following sub-rubric:
“children, in”: mag-c.
Under “milk” add carc.
Under “onions, raw” add thuja
Under “salt things” add carc.
Under
“sweets” put merc. into italics, and add under “sugar”
the following sub-rubrics: “only digests if he eats large amounts of sugar”: nux-v., Staph.
Under “tea” add puls.
Under “tobacco” add: med., nicotine, plant.,
and add the following sub-rubrics:
“to remove
desire for”: calad., calc., Caust.,
ign., lach., nux-v., petr.,
plan., Staph., sulph. (GALLAVARDIN)
“tomatoes, raw”: ferr.
Desires
sweet and sour foods at the same time: bry., calc., carb-v., kali-c., med., sabad.,
sec., sep., Sulph.,
Desires sour
and salty food: arg-n., calc., calc-s., Carb-v., con., Cor-r., med., merc-i-f., Nat-m., Phos., plb., sulph., thuj.,
Verat.
Desires
sweets and salt: Arg-n., Calc., carb-v.,
med., plb.,
Desires
sweets, which aggravate: am-c., Arg-n., calc., nat-c., Sulph.
Stomach: Eructations
can help us a great deal: so can yawning and sneezing. Some eructations
ameliorate, others aggravate. Ask your patient about the taste of these eructations. You will find from page 489 onwards. There are
noisy eructations, others that are controlled.
Ask your patient about hiccoughs, and if he
has hiccoughs modalities can be very important. If you make a medical
certificate, never mention the word “hiccough”, but speak instead of “phrenoglottic myoclonias”, which
makes a very good impression and forces people to look in the dictionary: You
will find hiccoughs on page 501, and under the general rubric add: ambr., amyl-n., ars-h., calad., cupr-s., hydr., hydr-ac., med., lyss., sin-n., staph., stront., tarax., and make the following additions:
Under
“night” add the following sub-rubric:
“urination, with involuntary”: hyos
“apoplexy, in”: Ol-caj.
“asthma, begins attack of”: cupr.
“back, with pain in”: teucr.
“carried, when, in cholera infantum”:
kreos.
“children, in”: bor., ign., ip.,
“nursing, while”: hyos.
after”: teucr.
“restlessness at night, with”: stram.
“cholera, in”: aeth.,
arg-n., cic., cupr., mag-p., ph-ac., verat.
“concussion of brain, in”: hyos.
Under “convulsions, with” put cupr., into italics and add stram.
Under “cough, after”: add ang.
“diarrhoea, with”: cinnam.,
verat.
Under “dinner, before”: put mur-ac. into italics.
Under “dinner, after” put phos.,
into italics.
Under “drinking, after” put puls. into italics.
Under “eating, after” add: fil-m.,
ham., and put par. into italics.
“emotions, after”: ign.
Under “eructations,
after” add: ars-h., ox-ac.
Under “fever during” add the following
sub-rubric:
“yellow, in”: ars-h.
“fruits, after cold”: ars.,
puls.
“gastralgia, with”: sil.
“gastric affections, in”: kali-bi.
“hepatic colic, in”: chin.
“hepatitis, in”: bell
“intestinal intussusception,
in”: plb.
“migraine, in”: aeth.
“meningitis, in”: arn.
Under “painful” add mag-p.,
and add the following sub-rubric:
“causes crying”: bell.
“peritonitis, in”: hyos.,
lyc.
“salivation, with profuse”: lob-i.
“sitting up straight”: kreos.
Under smoking, while”: add calen.,
scut., and put ign. and sang. into italics.
“spine, in affections of”: stram.
“stomach, in cancer of”: carb-an.
Under “supper, after” add coca.
“surgery, after”: hyos.
Under “typhoid, in”: add mag-p.
` Under”
vomiting, while” add: bry., jab., jatr.,
Verat., and add the following sub-rubrics:
“before”: cupr.
“terminates in”: jab.
“winter, in “: nit-ac.