Qhd 2009 3&4

CENTRE FOR EXCELLENCE IN HOMŒOPATHY

CONTINUING HOMŒOPATHIC MEDICAL EDUCATION SERVICES

QUARTERLY HOMŒOPATHIC DIGEST

VOL. XXVI, 3 & 4, 2009

Lead me from Untruth to Truth Lead me from Darkness to Light Lead me from Death to Immortality

Adyaya I Brahmana 3 Mantra 28

(This service is only for private circulation. Part I of the journal lists the Current literature in Homœopathy drawn from the well-known homœopathic journals published world-over - India, England, Germany, France, Belgium, Brazil, USA, etc., discipline-wise, with brief abstracts/extracts. Readers may refer to the original articles for detailed study. The full names and addresses of the journals covered by this compilation are given at the end. Compilation, translation, publication by Dr.K.S.Srinivasan, 1253, 66th Street, Korattur, Chennai - 600 080, India.)

CONTINUING HOMŒOPATHIC MEDICAL EDUCATION SERVICES

QUARTERLY HOMŒOPATHIC DIGEST

VOL. XXVI, 3 & 4, 2009

Part I Current Literature Listing ______

Part I of the journal lists the current literature in Homœopathy drawn from the well-known homœopathic journals published world-over - India, England, Germany, France, Brazil, USA, etc., - discipline-wise, with brief abstracts/extracts. Readers may refer to the original articles for detailed study. The full names and addresses of the journals covered by this compilation are given at the end of Part I. Part II contains selected essays/articles/extracts, while Part III carries original articles for this journal, Book Reviews, etc. ______Just as children stop regarding commonplace events as magical or miraculous when they grow up

and learn the process of things, so too we must grow I. PHILOSOPHY out of our infancy and play with energies and learn

1. Magic & Miracles about other forces in Godřs world of infinite wonders. PANDEY Alok (NAMAH. 14, 4/2007) Then the scientist and occultist shall speak with one

voice. Then the miracle shall cease to be so or Man needs miracles. It is the occurrence of a perhaps the whole of life and its most seemingly phenomenon which defies the normal process through insignificant events will appear as a wonder and which nature seemingly operates. It really brings out miracle.

into the normal world another play of forces and field one who does not know to handle them it appears 2. Der Chinarindenversuch Ŕ Schlüsselexperiment miraculous and supernatural. Man hardly recognizes für die Homöopathie? (The China bark experiment Ŕ Key experiment miracles of the unknown and unborn he passes by for Homœopathy?) without even noticing them. Miracles require certain LOCHBRUNNER Birgit (ZKH. 52, 1/2008) inner conditions as scientist requires certain outer ones. Greater miracles happen silently; miracles may It is well-known that to HAHNEMANN the idea take several directions. Řdawnedř that substances which produce symptoms If we look behind the magic and try to understand in certain well person will cure similar symptoms in and play of forces, then we discover that even this is an ill person, with his China bark experiment. There effective only to the extent that the body was no doubt in his mind since he repeated the consciousness secretly supports the will to cure and experiment and every time experienced in himself the symptoms certainly produced by the China bark the mind gives assent through the faith in the process. infusion. The above essay examines the relevance of In reality, the body is cured only when it has decided this experiment. to be cured and the means it uses is the one in which it The experiments as carried out by has faith. Most men relish emotions on display and to HAHNEMANN were repeated by some but they did that extent this catharsis itself partially helps. This is not experience the symptoms which HAHNEMANN not caused by any great or astounding power on the had with reference to Intermittent Fever, although part of the medium, but rather due to the very nature certain other symptoms did agree. How much relevant therefore is HAHNEMANNřs China bark experiment both within and without Homœopathy, is of group psychology. If we resist or loose faith and so the question raised. Perhaps further experiments instead of assisting the highest alchemy of grace, we may be carried on. [It may be pointed out that only shut the doors to it and thereby complicate and HAHNEMANN had suffered from Malarial fever prolong our own misery. while he was in Siebenbürgen, and the symptoms which were peculiar to him when he suffered from

Malaria came up when he took the Chinabark observed was probably a result of their own infusion. Most probably a substance will arouse only procedures in Homœopathy, deviating from the those symptoms which the Řproverř is susceptible to. objective e of gentle restoration of health. [This article appears to dub completely the so- It would be revealing if someone who had suffered called ŘHeringřs Lawř; it is not a question whether it from Malaria and had it Řcuredř by Quinine, takes up is a Řlawř or a Řruleř, but the question is whether there similar experiment and see whether those symptoms is a Řdirection of cureř which would indicate that the he had got cured, come up. In my humble opinion remedy is acting as it should; and if the Řdirectionř of such experiment may be more relevant to HERING is wrong then what is the right Řdirectionř? Homœopathy = KSS] Further, is it accepted that the disease is from without to within; if so is it not then right that the cure should be from within without? We have had cases, a small 3. The Harmful Cure observed by HERING and number of course, where the patients who knew KENT in contrast to HAHNEMANNřs Concept nothing of Homœopathic Principles, said of their of Gentle Restoration of Health own, ŘI felt that my pain went from above ADLER, U.C., CESAR, A.T., PADULA, downwardsř, ŘI feel that many of my old, years old, A.E., ADLER, M.S., GRAZZO, E.N., symptoms are returning and going awayř. Personally GALHARSDI, W.M.P., ALVES, A., I feel that if I was not having more cases of this type SOUZA, I.C., Brazil (HL. 20, 1/2007) it only meant that my Homœopathy is still to be

improved, that the Řlawř of or Řdirection of cureř is The ŖLaws of Cureŗ for chronic diseases have there; we have also seen external eruptions in the been HERINGřs most significant work for process of cure. We have also seen that persons do generations of homœopaths. KENT endorsed develop eruptions after a surgery like ŘCataractř HERINGřs laws and their ultimate progression up to surgery; what else is it except the Vital Forceřs skin lesions, and included Ŗsevere aggravations, reaction? By the way what is our Řcureř rate with revival of past symptoms and eliminationsŗ among regard to several chronic diseases where none of the the expected results during homœopathic treatment of Řdirectionsř are observed and with what follow-up chronic diseases. Despite the claims of HERING study? The ŘHeringřs Lawř is the yardstick by which and KENT to be Hahnemannřs followers, the cure we measure the extent to which the cure has come standards established by them seem to be quite about and what still remains. By what other harmful and contrary to Hahnemannřs gentle observations can one declare that one has been restoration of health ideal. cured? May be there are opinions that are not The objective of this study is to find out whether acceptable in the light of our own experience; but to HERING and KENT based their arguments and say that HERING and KENT did more harm in the procedures on Hahnemannřs principles when process of cure, is too general a condemnation. It inferring and observing those harmful cure standards. would be helpful if the learned authors give cases Heringřs propositions regarding the Laws of Cure from their own practice Řlasting curesř without any and Kentřs remarks about severe homœopathic Řdirectionř of the cure process. = KSS] aggravations were analysed in the light of HAHNEMANNřs writings. The Řconclusionsř of this study: 4. The Sub-conscious and the Source Ŕ Systematic 1. HERINGřs Laws of Cure cannot be justified Homœopathy: an Unexpected upon Hahnemannřs premises, since according to Approximation to the Mystery of the Soul HAHNEMANN internal and external symptoms SCHLINGENSIEPEN-BRYSCH Irene should improve together, without a specific order of (HL. 20, 1 - 3/2007) direction. The only point of convergence between The author has given a series of three articles on Hahnemann and Heringřs laws is the observation that Ŗdeeper understandingŗ of homœopathic remedies. the latest symptoms that have been added to a chronic The first part starting from its beginnings, inspired by disease are always the first to yield in an antipsoric Hahnemannřs critical mind and thorough treatment. observations, up to the fascinating developments of 2. Misapplying Hahnemannřs recommendations, systematisation in the last three decades. The second KENT was careless with dosage; admitted as article introduces the levels of Systematic Case pathway to cure severe and long homœopathic Taking: ten levels of expressing our experience in aggravations, return of all past symptoms, disease and healing, as shown in a shortened case of exteriorisation against doses and eliminations, which Sealřs milk, Lac phoca. This process opens new were considered by HAHNEMANN as organismřs horizons not only for seeking the exact simillimum in defences against dose excess or incorrect Homœopathy for every patient, but for a deeper prescriptions. understanding of ourselves and the context in which 3. HERING and KENT did not follow we live. The third article documents an illustrative Hahnemannřs principles and the harmful cure they case: Ŗin the centre of a Supernova, - a black aperture

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 102 and a blinding lightŗ, and a Proving of human blood, referred to by A.H. GRIMMER. Unable to find any Sanguis humanum. It examines the significance of a information about the remedy under that name, a clear informational pattern in disease and health, creative rephrasing of the name finally led him to engraved within us, which is linked to the source of discover Bauhinia forficate, Brazilian Orchid tree, our remedy. which must have been the remedy GRIMMER was referring to. Information about the medical utility of ------botanical Bauhinia forticate in Cancers, Diabetes, and other ailments follows, with a final appraisal that this II. MATERIA MEDICA remedy would be well worth proving.

1. The Bowel Nosodes in Homœopathic Practice 4. Erfahrungen mit der homöopathischen Arznei Dr. MALCOLM Russell (AJHM. 101, 1/2008) Staphysagria Ŕ Teil 3 (Experiences with the homœopathixc remedy Serious homœopathic practitioners have all had Staphisagria – Part 3) to face the fact that sometimes their most carefully THOMAS Christoph (ZKH. 52, 1/2008) chosen prescriptions mysteriously fail to improve their patient. When this happens, it is all too easy for The author has been particularly researching the practitioners to assume that they are simply failing to homœopathic Medicine Staphisagria since 7 Ŕ 8 identify the best remedy for the case. Often this is not years; he has published several articles in the ZKH the case, however, and for the sake of patient and itself. He is of course continuing the work. This practitioner alike, it is vital that homœopaths have a article is a recapitulation of the experience so far. It detailed knowledge concerning acquired intrinsic has been observed by the author that the remedy blocks to cure. One major intrinsic source of illness diagnosis of Staphisagria as taught by his teacher, the (and prescribing failure) is bowel dysbiosis. Patients late Dr. Jost KÜNZLI von Fimmelsberg, does not who have acquired a deranged bacterial flora (either work in several cases and he therefore felt that in their bowel or their airways) will often fail to KÜNZLIřs method may be complemented with a respond fully to standard homœopathic prescribing. specific diagnostic methodology. The author says, This paper is largely concerned with the often Ŗsurprisingly, Staphisagria has proven to be the insidious and diffuse clinical presentation of bowel suitable remedy for the majority of the many dysbiosis. It is hoped that this account will raise unsolved cases of authorřs practice. Consequently, awareness of the problem and help practitioners the majority of chronic cases of the author can be identify which patients require to be Řunblockedř with treated successfully with very few remedies. The a bowel Nosode at an early stage in their treatment question arises as to what extent the clinical process. confirmations of Constantin HERINGřs The Guiding

Symptoms of our Materia Medica correspond to 2. Strophanthes Hispidus genuine healings.ŗ [What does Christoph THOMAS PARSONS Phill (AJHM. 101, 1/2008) mean by Řgenuine healingsř? Does he mean the cure according to the Law of Cure? And over these more Employing numerous references from the than 100 years of the publication of the Guiding homœopathic literature, the author details the Materia Symptoms, have we not had several cases analysed Medica of Strophanthus hispidus. A few central with the help of the GS and ŘKnerr Repertory to the characteristics include: Heart failure, with Weak, GSř? Are they not Řgenuine healingsř? = KSS] Irregular pulse; Edema, Dyspnoea, Palpitations, rapid The author also gives the physical signs for alternation of Contraction and Dilatation of pupils, choice of Staphisagria; also the complications when Loquacity, Nausea and Vomiting; Headache with the right remedy Ŕ Staphisagria Ŕ is not given. surgings to the head; Hypertension (often with flushed 5. Kalium silicicum face). The author includes a description of the benefit SPRINGER Wolfgang und WITWER Heinz he personally received from Strophanthus in the (AHZ. 253, 4/2008) wake of his myocardial infarction; interestingly, the remedy, in addition, to alleviating his heart condition, [This remedy does not seem to have been greatly improved his type 2 Diabetes mellitus and Ŗprovedŗ. Only William BOERICKEřs Materia essentially alleviated his long-standing Myopia. Medica, among the early authors, has it. Evidently the Materia Medica on this remedy is a synthetic one plus clinical observations. = KSS] 3. Bohemian Villages and Cowřs Paws: My Search The remedy picture is given in the Řschemař form, for Bomhenia illustrated by the case of a woman with Chronic MUELLER Manfred (AJHM. 101, 1/2008) Fatigue Syndrome. It shows the aspects of both elements: the strong reference of family of the The author details his literature search for Kalium salts and the precision, care and high information about Bomhenia, a Cancer remedy

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 103 achievement-orientation of Silicea. [It is thus evident you study the Materia Medica through the Repertory. that it is a synthesised drug picture = KSS ]. Single remedy Ŕ in this case Nitric acid Ŕ rubrics are taken up for study. It is interesting, no doubt. [Why 6. Homöopathische Differenzierung der the title Řretrogradeř? ŘRetrogressionř means Wirtsbäume der Mistel Řdegenerationř; it is a backward, a retreat and is not a (Homœopathic differentiation of Viscum album Řpositiveř word. Source Websterřs Unabridged the Mistletoe) Dictionary. = KSS]. The Materia Medica (Chr.Dis.) WILKENS Johannes (AHZ. 253, 4/2008) of Nitric acid says ŖAnxiety as if he is engaged in a disquieting lawsuit or contestŗ. This has been shown Viscum album, Mistletoe, is a remedy which in the Repertory under ŘDelusionř instead of under shows a broad spectrum of effects. The remedy ŘAnxietyř, also the Proving says Ŗas if he is engagedŗ, picture of the Mistletoe is not necessarily dependent which has been wrongly given in the Repertory as on its host tree. The same applies to Viscum album Ŗengrossedŗ in Cancer therapy. Experiences in the recent past show that depending on the host tree, there are 11. A Case of Warts particular drug pictures being of special importance PATIL Snehal (CCR. 15, 2/2008) for Cancer therapy and prophylaxis. For Homœopathy a new field is open: the Mistletoe tree 35 year-old male, a Marketing Officer, had medicine: visco-dendrology. several warts on the external throat, and hands. These Dr. WILKENS gives the indications in respect had been cauterized earlier, but later came up again. of Viscum album from 12 different trees. Probably Antimonium crudum and Thuja made the warts go these indications are on the basis of the practical away within a short period of two months. [Why has experience and not on extensive Provings and the doctor given t.d.s. for 7 days? There is no Symptoms so obtained. emergency or Řlife savingř situation to warrant such repetition. It is seen that the author is young and just 7. The Allium Twins entered into the profession. He/she must resist the COOK Trevor (HH. 30, 11/2008) doubt that one (or sometimes two) dose will not work or giving several doses would render faster cure; This is a brief but very interesting study on Allium HAHNEMANN has called this, playing lotto i.e. cepa and Allium sativum. The Key Notes and lottery where you bet on all the numbers in the hope comparisons are discussed. At the end of this small that you will win from some one of the numbers. essay Dr. COOK says ŖOur deeper understanding of When we are sure of the selection of the remedy, then the awesome natural features of Allium cepa and we must have the confidence to apply it according to Allium sativum and the role of their Sulphur contents the law laid down by the Master and not what is suggest that further study of their constitutional taught by several modern impostors. This is features may also be helpful.ŗ important right from the first day of embarking on actual practice. No intention to criticize the doctor but just speaking on over 5 decades of experience. = 8. Natrum sulphuricum KSS] SHAIKH Tarannum (HH. 30, 12/2008)

Dr. SHAIKH says that the Bio-chemic remedy 12. Recurrent Abortion and Hyperemesis Natrum sulphuricum is of great value in his personal Gravidarum experience. [Unfortunately he has not given any case LOBO Anita (CCR. 15, 2/2008) which would help us to appreciate his article. = KSS] 23 year-old female married three years; 9. Phenomenological Study of Thyroidinum complained of not conceiving although her menses BASU Biswajit (HH. 30, 12/2008) were regular. History of two abortions at third month and one at fourth month. On the basis of the totality of her individual symptoms, was given Natrum Thyroidinum is deep-acting anti-miasmatic muriaticum 200 and she conceived. For her remedy. The author has endeavoured to present the complaints of Hyperaemesis gravidarum Nux vomica phenomenological study of this remedy, from Řcauseř 200. Pregnancy proceded well. [The doctor should and Řeffectř point of view. have waited for the birth of the child and report the case and not hurry = KSS] 10. Retrograde Study of Nitric acid POTDAR Swapna (CCR. 15, 2/2008) 13. A Case of Ankylosing Spondilitis In this interesting article the author studies Nitric MISTRY D.E. (CCR. 15, 2/2008) acid from repertory rubrics, reverse study i.e. instead of studying the repertory through the Materia Medica,

A doctor beyond middle age, with diagnosis of ------Ankylosing Spondylosis. The rheumatologist opined that the disease had gone far and he must have III. THERAPEUTICS immunosuppressive treatment which involved much expense and adverse side effects. After thorough 1. Terrible Tics and a Terrific Temper? case analysis, he was given Rhus toxicodendron M. DOOLEY Timothy R. (HT. 29, 1/2009) The patient went on improving; he was given SOS one powder of Rhus toxicodendron M. After eight 9 year-old Georgia with neurological tics, warm months the remedy was repeated once, and again after blooded and slept only with a sheet even in winter. another six months. This was followed with Disliked all vegetables. Loved candy, cheese. Afraid Medorrhinum 30 one dose and three months later for of dogs. Sulphur 200. Six weeks later, no change. certain symptoms was given Pulsatilla M. He The jerky movement of the shoulder all time during reported well both mentally and physically. waking hours whether playing, eating, studying or relaxing, 14. Identifying with Society Ŕ A case of Kali Now, a violent arching of the back (bending bichromicum backwards). She behaved haughtily with her mother, MANGIALAVORI Massimo speaking down to her as if her mother were an (HL. 20, 1/2007) underling someone deserving of her contempt. Cicuta virusa 30. One month later, no arching back, better. The identification with Society is the main theme Cicuta virusa 200. Two months later, amazing of the Kali family. For each Kali this theme comes change. Happier, calmer and less angry. No tics. forward in a specific area of life and in a specific Even her coughing and eye rolling (neither were way. In a series of thirteen articles, planned for reported) of a 2 years duration were also gone. publication in thirteen issues of Homœopathic Links, thirteen members of the Kali family will be 2. Forgiving and Moving Forward discussed. Homœopathy can free us from past emotional Case: 37 year-old Cosmetics Salesman: looked hurts strikingly elegant; holds one of the main managerial SILVESTRI, Kenneth (HT. 29, 1/2009) jobs in this well-known Italian Cosmetics company. Inwardly he is simple and empty but outwardly he Sally, 48, having fatigue with trembling sensation spends lot of his energy in keeping up appearing in a and the constant need to lie down. Recurrent hard certain way. He suffered from chronic colds, almost styes since 10 years. Problems started after her for twenty years. Sneezing or blowing the nose, husband left her after years of verbal abuse. She felt constantly every couple of minutes, watery flow. humiliated. Couldnřt stop brooding about her ENT diagnosed Sinusitis; also sore throat, tonsils are marriage. She is maintaining the anger towards her big; much catarrh. Throat hurts, the pain sometimes ex-husband. goes to the stomach. Sometimes burning in abdomen. Staphysagria LM1 once every other day. After a Morning on rising donřt fell refreshed. A very month, striking difference in her attitude. Her anger anxious person and always in a hurry. The symptoms was dissipating, had new energy. The accompanying clearly pointed to Kali bichromicum as it came out; physical symptoms such as fatigue and muscle tension one may read it in full in the journal. [To me it continued to abate as Sally made emotional progress. caused much more confusion; I am comfortable Dosage once a week. without the Řthemesř; more sure with facts than with LM 2 once a week for several months. Then surmises; I feel that the řthemeř is a construct of the slight return of original complaints. Remedy was author = KSS] stopped. She is doing well for more than 2 years. This case demonstrates how deeply a homœopathic remedy works. It was only with 15. Dama dama Ŕ fallow deer - Case and Proving of Staphysagria that the benefit of counseling could a New Remedy reach. [An Řindividualř remedy performs miracles SHERR Jeremy and BARKER Anne indeed! = KSS]. (HL. 20, 1/2007) 3. Concerned about risky cough medicines for kids? This case of Multiple Sclerosis demonstrates How to calm a cough Ŕ safely some of the strong themes of Dama dama which A clear, easy-to-follow method for everyone! revolve around caring, nurture, family and the home, GOODMAN-HERRICK, Pearlyn as well as conflict between home and career. The full (HT. 29, 1/2009) Proving of Dama dama including many more mental and physical themes will be published in the future at 18 year-old Doreen with distressing cough. www.provings.com Sudden attacks which compel her to sit. Cough seemed to begin with an itching. Sepia 1M. Within

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 105 the first hour significantly better and till 24 hours. consequences and describes a case treated Another dose and fully recovered. Few months later successfully with Homœopathy. she consulted for PMS. Irritable and cranky for 5 Ann and Daniel underwent treatment for days before her periods and much better when she unexplained infertility for over 3 years. Her periods exercised vigorously. Another dose of Sepia cleared were quite short and irregular. She felt tired. Bloated her PMS. easily after dairy. Since childhood, eruptions on her 10 year-old Nelson with troubles of focusing and elbows that extended to hands, itchy blisters. Since many fears of being alone; of dark. Phosphorus 1M childhood she had to rock herself to sleep. Often improved him greatly. Six months later, cough and dreamt of death of relatives. Hatred of injustice. return of his fears and focusing problem. Another Causticum 30. Two weeks later, feeling better dose. Mental state improved, cough subsided for few overall. No bloating, itching disappeared. Developed days and then increased and ending in whoop. an excruciating pain in abdomen due to a large Pertussis. Cough coming from abdomen. Must sit up, ovarian cyst as a result of IVF attempts, over the next better when her Ŗburps of fartsŗ. Lips turning blue few months, stopped IVF attempts, adopted lifestyle during cough. Sanguinaria 1M. Better 18 hrs and changes and another dose of Causticum 30.cyst relapsed. Another dose. Three doses in two days shrunk to 3 cm. Causticum 200 as rocking had cured him. recently returned. Few months later Ann was 9 year-old James, screamed from a nightmare pregnant and gave birth to a healthy boy. with eyes wide open in sleep and cough started shortly after his waking. Since then intense fear of 7. The Perfect-Mother: She home-schools, cooks dark. Nightmares continued. Started after frightened organic and runs a tight ship from watching a movie. Stramonium 200. Slept well ROTHERBERG Amy (HT. 29, 2/2009) and cough better. No nightmares or fears.

4. Homœopathic Cough Medicines Kitty, mother of 4 and 8 year-old daughters was GUESS George (HT. 29, 1/2009) committed to do everything in her power to feed, care for and educate her children. These lofty ideals left Indications of Bryonia, Nux vomica, Hepar sulph, her exhausted. Obsessive compulsive towards Phosphorus, Causticum, Rumex, Kali carbonicum, cleaning routine and checking things. Since Pulsatilla and Sulphur are given. adolescence severe cystic acne. Shy and insecure temperament, tendency of constipation. Silica 200. Six weeks later clear skin of face. Feeling more 5. Outreach in Ghana: The Senya/Tamale energized and motivated. Comfortable in social Homœopathy Project settings. Over the next 4 years Silica 1M, when she STACK Adjoa Margaret (HT. 29, 1/2009) feels bit low and the obsession vanished. This project is in Ghana since 2006, fueled by the enthusiasm and generosity of many Ghanaians. 8. Trailer Trashed A non-healing gun shot wounds of 20 years, Stomped by an unruly horse, saved by closed with a series of doses of Hypericum which Homœopathy relieved shooting nerve pains. Then Arnica 50M COHEN Karen (HT. 29, 2/2009) addressed the lingering tissue damage, and he was walking without the limp. In 2001, after a trail ride, one of the horses when 35 year-old Abana with severe malarial attack being released cow-kicked the author with his hind with vomiting, Stomach pain better by bending with leg. Six concussive strikes on head and she felt hands on abdomen and Diarrhea. Pains made her disoriented, bleeding from head and index finger. weep. No thirst with heat and better in open air. Drenched with sweat, saw green and yellow dots/stars Pulsatilla 1M. Within 10 minutes stood up, stretched and could not speak. Took Arnica 1M. Instantly and wanted to go home. No more attacks. sweat dried, stars vanished, head cleared. Later at 8 year-old Mookaramah with recurrent Malaria. hospital surgery done on head and 60 stitches on Heat worse before noon and Headache. Weakness. scalp. Left leg was unstable. MRI revealed a thigh Natrum muriaticum 1M. Next day high fever which bone completely filled with blood and a probable torn broke with a profuse sweat and then slept soundly. knee ligament, yet no outward signs. As it was Since then only one mild bout of Malaria. improving Ortho surgeon recommend 3 months of bracing. Numbness of left arm. X-ray revealed stable # of cervical vertebra. Hypericum 200 relieved it. 6. Longing for a baby ….. One dose of high potency Arnica prevented What price Fertility shock, bruising, swelling and other possible ASPINWALL, Mary (HT. 29, 2/2009) ramifications of this serious accident.

The author discusses about the conventional 9. Women choose Homœopathy over painful, treatment of infertility and its associated invasive treatments for interstitial cystitis

SALTZMAN, Susanne (HT. 29, 2/2009) Equisetum hyemale 30 one daily for 3 days. Four weeks later, no change. One dose of 200. Bedwetting 1. Cindy, 31 with interstitial cystitis for about a only twice a month. One dose every month for 6 year. Pain after urination. Frequency months. No bedwetting. increased after sexual intercourse. Low Indications for Belladonna, Causticum, energy, stress in her relationship with Equisetum, Kreosote, Lycopodium, Pulsatilla and boyfriend Ŕ anger turning to rage. Sepia are given. Promiscuous, sexual obsession. Clautrophobia. Tingling in her lips. Platina. A month later sheřd broken up with her 12. HAHNEMANN and Homœopathy: Pioneering boyfriend. More energetic. No change in Work in Psychiatry urinary problems. Medorrhinum 200. Next MERIZALDE Bernardo, A. week the problems worsened and then (AJHM. 101, 1/2008) gradually improved and gone within a month. Two years later Medorrhinum M. The article begins with a literature review of She was in a steady relationship. clinical studies and case reports documenting the 2. Maria: 34 year-old Maria with interstial efficacy of Homœopathy in the treatment of various cystitis since 8 months. Chronic bladder psychiatric disorders. The homœopathic method of irritation, feeling of never completely treatment is described. There is a remarkable emptying when she urinated. History of convergence of the proving symptoms of many recurrent bladder infections in childhood. homœopathic remedies and the symptomatic Her bladder symptoms made sex painful and characteristics of many modern psychiatric clinical this lowered her libido. Strong fear of being syndromes (examples are provided). raped. Stramonium 30. Symptoms worse for few days after and complete exhaustion for a 13. Homœopathic practice in Intensive Care Units: week and very violent dreams. After that she Objective semiology, symptom selection and a improved steadily. 8 months later, a dose of series of sepsis cases 200, due to mild relapse. A year later TEIXEIRA, MZ., LEAL, SM., CESCHIN, another dose due to relapse during her VMFA second pregnancy. (HOM. 97, 4/2008) 3. Stacy, 43 with interstitial cystitis along with vulvo dynia. Since delivery 3 years ago. Homœopathy has been used for more than two Torn between her promiscuity and religious hundred years to treat chronic disease using various upbringing. Fears of death and Cancer. th approaches in a wide range of diseases. However, for Many remedies gave her relief. In 10 visit acute disease and critical illness, application has been she complained of a spasm and a feeling of limited by inadequate training of homœopathic need for protection. Felt jealous when her physicians and the small number of pertinent clinical husband showed any attention towards other studies. In view of the difficulty of practicing women. Pulsatilla 12c daily for few weeks. Homœopathy in Intensive Care Units (ICU), a 3 months later, better on every level. No protocol was developed to facilitate description of cystitis and vulvodynia. Having sex more objective homœopathic symptoms with a ranking of often and no pain. symptoms appropriate for these situations (Protocol 10. Acute urinary tract infections yield to fast-acting for Objective Homœopathic Semiology). Examples of Homœopathy favorable results with individualized homœopathic ULLMAN Judyth Reichenberg, ULLMAN treatments for a series of cases of Systemic Robert (HT. 29, 2/2009) Inflammatory Response Syndrome (sepsis) are described. The indications for Sarsaparilla, Staphysagria and Cantharis are given. 14. Fokale Anfälle und sekundär-generalisierte Anfälle bei Hemiparese und Zerebre-fixiertem 11. Dry nights, Good Mornings! Parenchymdefekt (Focal attacks and secondary- How we beat the bedwetting blues generalized attacks in Hemi-paresis and cerebral- LINDGREN Debbie (HT. 29, 2/2009) fixed parenchymal defect) RICHTER Olaf and HADULLA M.M. Jack 8 year-old with bedwetting and recent (ZKH. 52, 1/2008) growth spurt was helped to some extent by Argentum nitricum. Then he revealed that he bedwets during Focal attacks and secondary generalized seizures dreams of urination. Also he had headaches from 5 occur in an 8 year-old girl with Hemiparesis on the p.m. till bedtime. right side and a parenchymal defect on the left side. After a very difficult course of therapy finally the

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 107 drug combination of Phosphorus with intermediate classical methodology. There was no thorough doses of Tuberculinum proves curative of the attacks. repertorisation, yet singular and peculiar rubrics lead Finally, general considerations are made on to the selection of the remedy. homœopathic treatment of Epilepsy. The authors opine that in the interest of the patient in difficult 19. Die homöopathische Behandlung von Psoriasis cases to let our patient take anti-convulsive therapy als Chance für eine neue Lebens-Qualität with the homœopathic medicine accompanying it. (Homœopathic treatment of Psoriasis for a new life of quality) 15. Cocculus und die Spurensuche in der WILLIG Gabriele (AHZ. 253, 3/2008) Homöopathie (Cocculus and the following of the source in Homœopathic treatment of Type I Psoriasis Homœopathy) mostly takes a long time and needs a lot of patience SCHEIMAN-BURKHARDT Klaus of the patient and prescriber. The holistic approach in (ZKH. 52, 1/2008) the treatment of systemic skin disease is shown by the treatment with the constitutional remedy Lycopodium over a period of five years. Acute prescriptions Two cases of Cocculus which were published in according to the symptoms as they came were given the ZKH. 3/2007 are examined as to how far lesser and the complaints completely relieved. known characteristics can be decisive for the Photographs of the progress of treatment is given. selection of a remedy. In this context, an intensive and comprehensive study of remedies is pointed out 20. Neurodermitis in Kindersalter: Zwei Kasuistiken in relation to the ability of hitting the mark in (Neurodermatitis in Children) prescriptions. The importance of precedent cases is HADULLA Michael M., & PFEIL Timo A. emphasized and a critical sideview is directed at the (AHZ. 253, 3/2008) definition of symptom grades in HERINGřs Guiding Symptoms. Neurodermatitis particularly in children comes

16. Was ist das denn, die ŖSehgal-Methodeŗ? within the domain of Homœopathy. Two cases are (What is the ŖSehgal-Methodŗ?) given. LANG Gerhardus (ZKH. 52, 2/2008) The first is of a child 6 month-old with Neurodermatitis in Face, Trunk, Legs; the child was

scratching badly. The delivery was prolonged and Following theory and some cases the Sehgalřs the birth opening was insufficient a section was done. Method of Case taking is shown as well as The extremities were having cold sweat, the child prescribing the simile by using the predominant, scratched the face more than other parts; otherwise present and persistent mental state. she was cheerful. Sour smell of the sweat on head Calcarea carbonica; subsequently according to 17. Dr. S.R. Phatakřs Methodik Ŕ Ein Einblick symptoms, Tuberculinum D 200; and then Sulphur (Dr.S R Phatakřs Method Ŕ A glance) LM 3. THAKAR Munjal Three month-old male baby with (ZKH. 52, 2/2008) Neurodermatitis of integument; the child appeared as if burnt. The total skin appeared red, the child While the ŖMateria Medica of Homœopathic scratched continuously. Sleepless. The child is Medicineŗ by the Indian homœopath S.R. PHATAK curious, always moving about, good stature, the has a large circulation, and the ŖConcise Repertoryŗ hands and feet very cold. The child has been well has recently been issued in German translation, there nourished. Paediatricians were of no help. is only scarce knowledge about PHATAKřs practice, Arsenicum album LM 3 and then LM 6. There was as he did not leave behind a written method. To close good improvement. As the eruptions were `crusty, the gap, the author studied the writings and the and began on the head, the extremities cold, Silica structure of the works by PHATAK and thus LM 6, one dose. The child became normal. After developed a methodical system, which is compared to about two years the child was again before me for the method of BOGER. whistling respiration. The Pulmonologist had diagnosed it spastic-obstructive bronchitis. The 18. Ausgewählte Fälle aus 50 Jahren mother did not give ay Cortisone or Bronchodilator homöopathischer Praxis in Südindien but came here. The child drank much, happy when (Selected cases out of 50 yearsř homœopathic naked and walked barefoot and became explosive Practice in South India) easily. One dose of Sulphur LM 6 and 12 days later SRINIVASAN, K.S. (ZKH. 52, 2/2008) the mother rang up to say that Ŗall wellŗ. Was the prescription of Arsenicum album and Silica to set The author presented 11 cases covering his over right the external manifestations wrong because the 50 yearsř homœopathic Practice in accordance with disease went in and developed into a Bronchitis and

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 108 wrong direction was set right by Sulphur which was potencies Ŕ all certainly classical. The results are the suitable remedy. quite good. A very interesting article. KSS].

21. Homöopathie in der Allgemeinarztpraxizs Ŕ Eine 23. Entstehung von Krebs bei homöopathisch Neurodermatitisbehandlung with Höhen und behandelten Patienten (Cancer developing in Tiefen (Homœopathy in General Practice Ŕ A patients treated homœopathically) Neurodermatitis treated with high and low) KÖDEL Robert (AHZ. 253, 4/2008) TROST Thomas (AHZ. 253, 3/2008)

This article also discusses treatment of a child This is a very interesting article. It presents three with Neurodermatitis. The author says that cases of Cancer; the patients were on homœopathic notwithstanding the criticisms of the main school (the treatment for certain complaints Ŕ two of them on Hegemony Medicine), we, homœopaths must have long self-treatment Ŕ over a long period, and the courage to treat such cases as Neurodermatitis ultimately they suffered Cancer. which are considered incurable. [In so far as India is Case 1: 49-year-old female came with metastasised considered, perhaps it is the only country which has left Mamma Carcinoma. She is a homœopathic separate colleges exclusively for Homœopathy Ŕ and doctor. 20 years ago had been treated with Carbo Ayurveda, Unani and Sidda and therefore the animalis by a homœopath for Bechterewřs disease allopathic medical limits of curability and incurability and some psychic problems like anxiety. She left this of certain diseases do not bother Practitioners of these treatment because it was not helpful and treated - so-called Ŕ Řalternative medicinesř. To the Řwestern herself. In the course of the self-treatment she had medicineř cure of these are Ŗimpossibleŗ while there used the whole spectrum of remedies in the Materia stand the cures for all to see! We, homœopaths do Medica; she reacted very sharply to every not need new drugs and new equipments and we do homœopathic remedy given her and began to prove not loudly trumpet cure of these cases, since these even with a single dose; she would then take another are not Řexceptionsř in the course of our Practice = medicine, and so on. She had documented the entire KSS] treatment and produced a 100 page file. In spite of 2-year-3-month-old boy with generalised Atopic very careful prescribing, - it was difficult to separate Eczema (Neurodermatitis); typical Eczema in the the symptoms because of several medicines she had bends, much moist, confluent, also on the hair on taken, - Q potency, etc. the disease progressed, she head, soles, hands, and in the genital region; itching became bed-ridden, and even Chemotherapy failed. all over. Taking into consideration the past history, The patient did not contact after this stage. the vaccinations and reaction to them, etc., he was Case 2: This is also similar. This 39-year-old lady given Sulphur 30, later for Chicken Pox he was given had access to homœopathic and Schüsslerřs salts and Rhus toxicodendron 30 and the change was from for every trifle she took low potency of one or other Ectoderm to Endoderm and it was a clear suppressive medicine on her own. Her ovarian Carcinoma action. In January 2003 he had for the first time proceeded and she ultimately passed, ŖAsthmatic bronchitisŗ and also in consequence he Case 3: This patient, 63-year-old-female, was under had Eczema in both arms, and was given Placebo. He my treatment for several years. I could help her in was given later Pulsatilla, Calcium carbonicum, several complaints. But ultimately she developed a Carcinosinum. Lastly he was given Calcium Mamma Carcinoma. phosphoricum. Remained well. The author raises following relevant questions:

[ 1. Could a homœopathic remedy suppress so that a 22. Homöopathische Krebsnachsorge am Beispiel Tumour would develop? eines Schilddrüsenkarzinoms 2. Do the patients become untreatable because they (Homœopathic Cancer-after-care in the light of a have low potencies continuously for long? Thyroid Carcinoma) 3. Could a Tumor develop as a result of continuous BÜNDNER Martin (AHZ. 253, 4/2008) taking of homœopathic mixed preparations?

Therapeutic possibilities of homœopathic-after- 4. How soon must one look for a new homœopathic care and its practical procedure are presented in the medicine if one were to avoid the Ŗside effectsŗ of a light of an example; the possible problems are prescribed homœopathic remedy? discussed. 5. Can we prevent Tumor development in a person The article deals with homœopathic after-care of who has been thoroughly treated by Classical a Medullary Carcinoma of the Thyroid gland with Homœopathy? metastases of the Lymph nodes which had been 6. Or with questions now raised, only a causative eliminated by operation (representative of the need has been fulfilled? orthodox therapy). The aim of therapy is to return the sick person to 24. An Overview of Cough Therapeutics his inner balance and restore his health. [The author SATHIYA, KK. (HH. 33, 9&10/2008) has used the well-known polychrests and in Q

In this article we can get a diagnostic as well as one to keep updated with Materia Medica of rare therapeutic idea of Cough. The article is fully remedies. tabulated, indicating the type of cough, the characteristic cough of each remedy, its modalities, etc. Since Řcoughř is so frequent a complaint, it 29. Homœopathy, Children and Family dynamics would be very useful for the busy to be well PACHOVA Dora (HH. 30, 11/2008) acquainted with the individual remedy and it is [ suggested that one makes a ready reckoner of this What is Řfamily dynamicsř, and how is it relevant table. in homœopathic therapeutics, are explained. Three cases from the authorřs own experience are detailed. 25. Homœopathic approach to Irritable Bowel [We agree with the author; it is in our experience too Syndrome that we should take in mind the influences of the MASTER Farokh HJ. (HH. 30, 10/2008) other members of the family do affect the patient to the extent that it maintains the disease or it promotes This subject has been the main one in several it, sometimes helps in cure. That is the reason for our Seminars over the past several years and still we seem Master HAHNEMANN insisting that we listen to not to be fumbling! the patient alone, but to those who are close to him; The author gives interesting hints oif remedies thus the family dynamics is perceived. = KSS] like Viburnum opulus, Gratiola, Elaterium. Raphanus among other well-known Polychrests. 30. Vaccine Reaction SINGH Ajit (HH. 30, 11/2008) 26. Glimpse on Allenřs Key-notes BASU Biswajeet (HH. 3, 10/2008) This is a brief essay on Vaccine injury and its homœopathic treatment.

This is an interesting article. In the early part of the 20th Century there were stalwarts who knew the 31. Pædiatric Prescribing Allen Key Notes upside down, left to right, and their BANERJEA Subrata K. (HH. 30, 11/2008) prescriptions were sharp, they could make very quick comparisons; some of them, like late Dr. Dr. BANERJEA has given hexagonal summaries KOPPIKAR, had inter-leaved their copies and filled of Pædiatric case taking and analysis; He has them with their own valuable additions. Of course explained these through charts. These may be quite there are errors, even in the GS. The learned author useful in day-to-day Practice. has pointed out eight such errors after carefully verifying with such books as CLARKEřs and 32. A Prospective Study of Allergic Rhinits in HAHNEMANNřs; these are practically valuable. Children and its Homœopathic management Homœopaths may make the corrections in their MULLA Nahida M. (HH. 30, 11/2008) copies of Allen. This is a Řclinical studyř of a common complaint 27. Diet and Homœopathic Management of IBS we all meet with in our daily Practice; at the same SHARMA Varsha V. (HH. 30, 10/2008) time it is a nagging complaint. Experiences of individual authors are most welcome. The statistical In this article again we have details of the data given by the author shows very encouraging pathology of IBS, dietary hints and related Materia results. Medica. No personal experience or cured case. 33. Homœopathy and the Child 28. Septicaemia in Newborns and Homœopathic CHAUKKAR Samir (HH. 30, 11/2008) Approach MASTER Faokh J. (HH. 30, 11/2008) The author says that Homœopathy is regularly With his vast experience with newborns Dr. used to treat children throughout in many parts of the MASTER discusses the diagnosis and homœopathic developed world. Discusses briefly remedies treatment of Septicaemia in new-borns. The subtle connected to childhood disorders and the commonly symptoms that should lead one to suspect used remedies for children. The author should have Septicaemia are mentioned. He gives some cases given some cases from his experience. from his personal experience. He mentions some lesser-known remedies, like Lobelia purpurascens, 34. On Constitution, Inheritance and Relationship of Oxyuranus scutallatus and their indications. It is Remedies difficult to come to diagnose these remedies; which KULKARNI, Ajit (HH. 30, 11/2008) repertory or Materia Medica is to be consulted? In any case, the article is quite interesting, and enthuses In Homœopathy it is possible to apply different methods of diagnosis of the remedy. For sharp

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 110 prescribing required data must be available. If there Menses; allergic Asthma in childhood; dreams of is paucity, particularly in Pædiatrics we may use the falling; eats chalk. Ferrum metallicum 30 thrice a relationship of remedies through the inherited day (for several days?) and after two and half months characters and by studying the remedies as living the Thyroid levels were better. The same remedy was human beings with their stages and transitions, a continued for two more months twice a day but the practical tool can be developed to help our otherwise size of the Thyroid Gland was not appreciably less. difficult and unresolved cases. The case was reviewed. Learnt that she sighed frequently; becomes dull during menses; eructations 35. Scope of Homœopathy in ŘAutismř very loud and sour. Cold air causes cough. Hands BASU Biswajit (HH. 30, 11/2008) and feet are cold. Now she was given Lycopus virginicus 6 t.d.s. and after two months the Thyroid The article briefly describes what ŘAutismř is, the became much smaller and it remained at half methodology for diagnosis, management and centimetre and did not become smaller. She was therapeutic approach and then speaks of feeling quite well in every way.

Homœopathy. The author says that he had 14 Autism Case 3: This is the case of a DeQuervainřs cases (8 Ŕ males and 6 Ŕ females) and among them 10 Thyroiditis in a boy; constitutionally Aurum have been improving, and the medicines were metallicum which was continued for a long time and Carcinosin (2 cases), Merc-s. (2 cases), Clc-c. (1 potency increased, but no reduction of the Thyroid. case), Tub. (1 case), Thyroidinum (1 case), Sulph. (1 Case was studied again: more perspiration on the case), Med. (1 case), and Nat-m. (1 case). [It is my forehead; vision became difficult and dull and it personal experience that we can do very well in affected his reading; sore feeling in the Thyroid Autism and restore the children over a period of time; gland; very thirsty and developed palpitation; felt patience is required on both sides Ŕ patient and family weak when he wakes up in the morning. Jaborandi 6 as well as on the part of the homœopath. = KSS] t.d.s. and after two months observed that all his symptoms were becoming better and better. [The 36. Homœopathic Management of Thyroiditis cases are interesting of course. We note that the MASTER Farokh J. (HH. 30, 12/20089) medicine has been repeated in the same potency 6c

mostly and 30c and even the M! Over few months. Dr. MASTER discusses in brief the different HAHNEMANN has clearly warned that repetition of Řtypesř of Thyroiditis. He then presents briefly three the most suitable homœopathic medicine and that cases: frequently, is not adviseable and it harms Ŕ see § 246 Case 1: 35 year-old female with Hyperthyroidism. Organon VI. How then do we justify such repetitions On the basis of her symptoms Calcrea iodata 30 and that for days and months? Readers are requested thrice a day for 15 days was given. In these 15 days, to comment. Also in these cases where a řcureř has her TSH came down from 15 to 12. Calc-i. 30 was taken place, was there an Řorderř of cure? Was there continued twice a day for one month and the TSH Řexteriorizationř of the disease? These questions are level came to normal, but the Thyroid swelling raised not to criticize the Řcuresř; the cures are there, persisted. The potency of the same remedy was of course, but then these admonitions in the Organon, increased up to 1M repeating it thrice a week for one what about that? Moreover there are several cases of month but the swelling did no reduce. But she got Řcuresř with one or two doses only of one medicine running nose which was a chronic complaint in the repeated at long interval. If that were so, why should past, and which was better in the open air, sinusitis; we repeat frequently over long period? Once again I the cold was so bad that it became wheezing. She am raising these only to clear doubts and no also complained that she was getting weaker and this aspersions whatsoever are meant about the work of weakness also became better in open air. Hedera colleagues. = KSS] helix 6 twice a day for 45 days and slowly all her symptoms improved; in 5 months she was cured. Mr. 37. A Case of Hyperthyroidism cured by MASTER says that he finds Hedera helix of great use Homœopathy in persons with a strong tubercular Miasm; also BANERJEA Subrata K. (HH. 30, 12/2008) cough worse in the morning and when on entering a 20 year-old female with complaints of premature warm room; also in cases of obstinate Thyroid graying of hair, tingling sensation in hands, disease which refuses to respond to constitutional sleeplessness, always feeling tired, general medicine it is the best medicine. exhaustion, black patches on face, constipation with Case 2: 26 year-old Muslim girl with a large swelling piles, swelling of Thyroid gland, dry, teasing cough of the neck, a large Goitre; firm and hard; she had constant. Chilly patient +++, very susceptible to confirmed antibodies to Thyroid; diagnosed as cold, but likes open air. Miasmatic analysis of the Hashimotořs Thyroiditis. Has hatred for her father symptoms; Tubercular Miasm predominant. who was a dictator; she was mild, timid, weeps Tuberculinum 30 repeated once after 5 months, and easily; as a child she had recurrent Epistaxis; Tuberculinum 200 one dose 9 nonths later - with Sac perspires on the occiput; irregular and painful

Lac in the intervening period Ŕ ended the case. TSH the child was brought to Homœopathy, the allopathic came to normal. doctor had told the parent that the child had only a

short period left. The parents had spent a large 38. Crohnřs Disease amount of money. When the child became normal SINGH Ajit (HH. 30, 12/2008) under Homœopathy, the parents sought a letter from

Dr. MEHER that the diagnosis of HIV was wrong so Crohnřs disease, Inflammatory Bowel Disease, is that they can sue the doctor for compensation but Dr. explained, as also its diagnosis, management and MEHER refused; it is our case that the child did homœopathic treatment. Brief Materia Medica of the suffer from the diagnosed disease and homœopathic remedies that come up in this disorder is given. treatment cured it. The parents sent a Lawyerřs Notice to the Pathologist who had done the first test 39. Sepia: A strong female Medicine which gave p24 antigen positive and the KELLERSTEINE Joe (HH. 30, 12/2008) Paediatrician. The point that should be noted is that it is 35 year-old lady, mother of 3 children, an unwell possible to reverse the HIV infection through husband and a full-time job; she never quits, and is appropriate homœopathic treatment in a short time. always smiling. She came in 2000 first complaining of pain of Endometriosis, which is severe for 4 years 41. A Case of Insomnia now. Two surgeries so far have been of minor help. BACHLOO Vikas (CCR. 15, 2/2008) The pain was pulling and tearing in the abdomen, also a pain in the groin extending to the thigh, which Case of a man (age not given), unmarried, with seems to get into the bone of the hip. Menses 24-28 Insomnia. His story reveals that much of his days and the first two days the pains are severe. Will complaints were around sex and meditation. lie on bed with legs drawn up. She is a chilly person. Selenium M was prescribed. [The doctor seems to She loves vigorous physical activity. Eczema of the have followed SANKARANřs method of shooting hands is bothersome due to the itch. questions, picking up a word from the answer of the Sepia 200 two pellets as a single dose. First patient and asking him to say something on that, and follow-up: it is difficult to stand for any duration; she so on and on. In fact, I do not understand why the must sit due to the downward pressure in the pelvic questioning stopped where it did, and why it did not area. Emotionally she described herself as feeling continue on and on until the inquirer or the patient, taxed. The symptoms still there point to Sepia and it one of them get tired and fag out! = KSS] was given in 10M. Second follow up and two months: Improving well 42. Controlling Silent Fears Ŕ Treated on the basis of with each menses. Did not return after this. [A nice Miasms and Sensation case, clearly classical = KSS] GANDHI Mahesh (HL. 20, 1/2007)

40. Diagnosis: A Boon or Bane? 42 year-old female with complaints of Ŗeczema MEHER Subhash (CCR. 15, 2/2008) and allergyŗ on thumbs and toes Ŗcracks on feetŗ and Ŗsome conflicts in mind, basically about God and his 27 month-old boy; appeared very sick with high existence. What is the relation between God and grade fever, cough, breathlessness, vomiting with humans? How free is man to do whatever he history of recurrent Pneumonia and weight loss; wants?ŗ. Tabacum was arrived at on the basis of appeared very distressed. The present complaints are Miasm and Sensation and not on reportorial rubrics. three months old; not responding to conventional This remedy gave the expected result. [I do not find treatment. He had been ill since birth and needed in the Materia Medica of Tabacum any of the frequent hospital admissions with poor response to important symptoms the patient complained about = the treatment by paediatrician. Investigations were KSS] already done: raised ESR, negative TT. But p24 antigen test was positive (a screening test for HIV 43. The Mother-Child relation analysis as a Key to infection). Parents tested for similar antigen Ŕ understanding Cases negative. HUTSOL Larissa, and HUTSOL Nicolai The clinical picture, the history of TB in the (HL. 20, 1/2007) family, etc. and during a course of about eight months he recovered very well. A repeat p24 antigen test was The authors describe two cases of homœopathic done in the same laboratory and the results were treatment of children with Bronchial Asthma. They negative. consider that an analysis of the mother-child Details of the treatment are given. The most relationship from the beginning of the pregnancy can important part of the story is that the parents of the determine strategy relationship in rapid success in child were terribly upset when the diagnosis was difficult paediatric cases. The efficacy of the made and they underwent much anguish; just before

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 112 homœopathic management of the consequences of concerned about the new possibility to break the deprivation is also shown. will of persons Ŕ just with a small chemical pill. The observed with scepticism how not only the 44. Einfluss der Neuroleptica auf den psychiatrischen present mood of the patients altered but their Pflege alltag whole structure of personality. (The influence of Neuroleptics on Daily Practice 2. The high expectations in this Řwonder drugř were of Psychiatric Nursing) put in its perspective by the Psychiatrists and the BRAUNSCHWEIG Sabine (Med GG. 26/2007) nurses. This cycle of an enthusiasm and therapeutic optimism, followed by a negative In the history of modern Psychiatry the year 1952 Appraisal, and at last a limited use of the drug, marks a turning point when the first Neuroleptic Ŕ in can be called Řcycle of disappointmentř or ŘSeige Switzerland branded as Largactil Ŕ was introduced in cycleř and is typical for psychotropic or psychiatric treatment. In overviews on History of pharmaceutical drugs in Medicine and Psychiatry. Psychiatry the introduction of psychotropic drugs is an As early as 1912 the German Psychiatrist MAX important issue, but little attention is paid to the SEIGE formulated the idea that the career of a impact of the psychopharmacology on mental health drug is dynamic and has different phases or goes care and nursing in daily life of a ward. As example in a cycle. the Psychiatric Hospital of Basel is analysed from a The analysis of the different historical sources of Nursing perspective as to how the introduction is the psychiatric hospital in Basel confirms the model of reflected in different historical sources such as annual the Seige cycle. [This is not the case with reports, patient records and interviews with former Homœopathy. The ŘSeige Cycleř does not happen in nurses. The public Psychiatry University Hospital Homœopathy, even over two centuries. We must be related to the University of Basel was interested to really proud of Homœopathy, of not being apply new treatment quite quickly Ŕ also for the Řfashionableř. = KSS] purposes of medical research. The first conclusion in the hospital annual report of 1953 was emphasising ------enthusiastically the positive effect. Yet in the annual report of 1958 the Director admitted that all these new IV. REPERTORY drugs were not able to heal the patients, only to improve their well-being. The analysis of patient 1. Das Pocket Repertory von P. Sankaran records shows that Largactil was prescribed to patients (The Pocket Repertory of P.Sankaran) with quite different heterogenous diagnoses. Yet most TEUT Michael (ZKH. 52, 2/2008) of them had a diagnosis of the Group of Schizophrenia. The great variety of diagnosis shows The Pocket Repertory is a Card Repertory. It the big hope psychiatrists put into this new drug. was designed by the Indian homœopath Pichiah [Where is Řscientifictyř in Řhopeř? The Hegemony SANKARAN. The Repertoryřs structure is closely Medicine accuses Homœopathy as unscientific; where related to Bogerřs General Analysis. The rubrics are is Science in this case of large use of Largctil? arranged in alphabetical order. The remedy selection Without a definite scientific evidence of Largactil in a is based on the remedies in BOGERřs Synoptic Key. given diagnosis, is not its application merely a SANKARAN added several remedies. The speculation? Is it not playing with life of a patient? Repertory contains several characteristic symptoms The benefits accrue to the Pharmaceutical and follows a generalising strategy. For manufacturers of this and similar drugs, and that is all repertorisation rubrics are taken in sequence of = KSS]. decreasing importance. The final remedies are 1. An oral History Project with retired nurses who compared with the Materia Medica. The Pocket were interviewed in the 1990s showed their Repertory is available in English language only. different opinions about the new drug. On one hand, they called Largactil unanimously the 2. Usual Repertorization vs Petrucci Children Řwonder drugř that had changed their working life Concepts Repertorization radically. They were relieved that the former PETRUCCI Roberto (HH. 30, 10/2008) shock therapies, which were related to the Dr. Roberto PETRUCCI has authored a new application of physical violence, lost their Repertory ŖChildren Ŕ Homœopathic Materia Medica significance and that the patients were less pained with repertorial Symptomsŗ. In this article he has by strange voices, fears of self-destructive demonstrated the advantages of analysing childrenřs activities. On the other hand, nurses criticised the case with this new Repertory. side-effects of Largactil such as skin allergies and weight gain. But more important they regretted that patientsř loss or change of personalitry. V. PHARMACOLOGY

[Remember the famous Movie ŘOne who flew over the Cuckoořs Nestř? =KSS]. They were

1. A Nuclear Magnetic Resonance Spectroscopy been benefited in 2006. This trend of fast growth of comparison of 3C trituration derived and 4C Homœopathy in India attracts global multinationals. trituration derived remedies In this scenario Government enforces Good BOTHA Izel & ROSS HA Ashley Manufacturing Practice (GMP) for homœopathic (HOM. 97, 4/2008) drug manufacturing. This article discusses about

Background: Trituration of base substances, advantages and disadvantages, its impact on commonly to the 3cH level, is the cornerstone of the Homœopathy in general, consumers and Physicians. homœopathic pharmaceutical process or insoluble ------solutions. BECKER and EHRLER claim that trituration to 4cH gives a new, spiritual dimension to VI. VETERINARY the homœopathic medicine picture. Aim and method: This study sought to establish 1. Healthy as a Horse! whether the claim that C4-derived potencies possess Magnificient horses make great strides in different physicochemical qualities to the behavior and wellness with homœopathic care homœopathic medicines derived from a 3cH COHEN, Karen (HT. 29, 2/2009) trituration is valid. All potencies were produced by hand according to the German Homœopathic Rodanthe, 9 year-old Gelding, advanced level Pharmacopoeia (GHP). Five different samples were training with erratic and unpredictable behavior since analysed using Nuclear Magnetic Resonance (NMR) 18 months, who had Uveitis with prominent dark Spectroscopy. blood vessels. Recovered with conventional Results: The results indicated a significant difference treatment and began to spook at patches of light and between the 12cH samples of potassium dichromate shy at reflected light. Stiffening, whinnying, bolting (Kalium bichromicum) produced from 3cH and 4cH and defiantly ignoring riderřs cues. Difficult to triturations. This was especially prominent in the control when frightened. Stramonium 1M. chemical shift values of all four peaks and the relative improvement began almost immediately. Accepts integration levels of the H2O, OH and CH3 peaks stimuli and could be ridden with less tension. Twice when comparing two sample groups. repeated in 6 months; cured totally. Conclusion: Trituration plays a part in the 2. Jade, an Arabian gelding became barn-sour development of physicochemical properties specific (agoraphobic). Timid, dependent on horses stabled to homœopathic medicines. The higher the level of near him. Agitated, whinnied when taken out of stall. trituration, the more pronounced is the alteration of Dry and lusterless coat. Thick crusty dandruff and the physical structure of the active ingredient. The loved to scratch vigorously on wooden boards, study concludes that 4cH potencies are Psorinum 200. Within a month, coat became lustrous, physicochemically distinct from 3cH-derived more relaxed and trustworthy. In the next 3 years, potencies (as currently employed). two more doses during relapses.

3. Genevieve: A reluctant mother.Genevieve is a 2. Die Firma Heel Belgium (The Firm Heel) paint (a specially colred brown and white quarter DeCOEN Veronique (ZKH. 52, 1/2008) horse mare), intolerant of other horses. Kicks and This article provides a brief outline of the fights to the end with other horses. Delivered a very History, profile, and product palette of Heel Belgium, large foal which caused tearing and bruising of her with emphasis on the single remedies of classical birth canal. She did not let him suckle and attempted Homœopathy. The Company specializes in high to strike. She allowed her to be milked but would not potencies manufactured using the Korsakoff method. let the foal approach. Platina 1M. within 5 mins., Production of Korsakoff potencies and design began to emit low tentative knickers in her foalřs features of Korsakoff potentization machinery are direction and allowed her foal to approach and nuzzle described in detail. her teats subsequently nurshed her foal.

3. What is the impact of GMP on the fast growing 2. A Fair-Haired Beauty system of Medicine Ŕ Homœopathy? ŖWhole Horseŗ Homœopathy works inside and VARMA P.N., VALAVAN R. out MILLET, Polly (HT. 29, 2/2009) (HH. 30, 11/2008)

A 12.5 billion-rupee Indian homœopathic market Iris, 7 year-old horse with a Tumor (epithelioma) is growing around 25-30%. It is faster than the on right lower eyelid. One on right upper eyelid was mainstream Medicine (around 13-15%) and the GDP excised a year ago. She was bossy, starting from growth of India (around 9%). As per reports about 50 noise, sensitive to sun. million people opted for Homœopathy in 2006-07 Few patches of unpigmented skin. Lycopodium and the number would exceed to 100 million by 2010. 30 in the water bucket. Next day Tumor became From the Delhi Governmentřs 28 homœopathic redder and larger and eye began to weep and lasted 2 dispensaries itself over 1.36 million patients have weeks. Remarkably Iris eyelashes started to grow

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 114 back in the excised area. Another dose after 3 weeks The first sources on the homœopathic treatment time. The Tumor started to decrease in size and of domestic animals in Slovenia date from the 1830s. flatten. 3 weeks later a dose of 200 and skin was Several lay homœopaths have been identified who becoming normal and she became more friendlier. treated people as well as domestic animals. The data Seven months later, no growth at all. shows that the following individuals treated animals in Dolenjska in the early 20th Century: Jakob KOŠAK 4. Homœopathy 9-1-1 for Horses (1829-1918), a Land owner, miller and saw miller; A holistic Veterinarianřs guide to Equine Baltazar BARTOL (1829-1911), a priest; and Emergencies Baroness Maria WAMBOLT. Baroness Maria DUPREE Glen (HT. 29, 2/2009) WAMBOLT (1848-1915), who with her husband

Colic: Indications for Aconite, Arsenicum, FRANZ, had moved in 1876 from Germany to Hmeljniko Castle in Dolenjska. Her notebook on her Belladonna, Carbo vegetabilis, Chamomilla, th Colocynthis, Magnesia phosphoric, Nux vomica patients from the beginning of the 20 Century & Silicea are given. provides evidence that she treated people and pigs as Hoof abscess: Arnica for bruised hoof; Hepar a lay homœopath. Hundreds of people, mainly sulphur, Mercurius & Silicea for abscesses. peasants from Dolenjska, turned to her for help for Hoof puncture: Apis, Hypericum, Ledum. Laminitis themselves or for their pigs. Baroness WAMBOLT is a painful inflammation of internal soft tissues treated her patients free of charge and this was of the hoof. Founder is tissue damage that results certainly one of the reasons why the local peasants from laminitis which sometimes causes the bone turned to her instead of the official veterinary service. to separate from the hoof. Ŕ Aconite & Generally the peasants who sought her help for their Belladonna. complaints asked for medicine for their pigs too. The reason why she treated pigs was probably because of

5. A randomized controlled trial of homœopathic the substantial economic importance of pig breeding treatment of weaned piglets in a commercial to the small peasants of Dolenjska before the I World swine herd War. She treated infectious pigs as well as other pig SOTO, FRM., VUADEN ER., COELHO, CdP., diseases. Peasants looked to WAMBOLT when they BENITES, NR., BONAMIN LV., & DE noticed feeding disorders such as not eating, too little, AZEVEDO SS (HOM. 97, 4/2008) eating only some fodder or not gaining weight when eating normally. They asked for medicaments when Aim: To evaluate the zootechnic performance and their pigs had digestive disorders (constipation or occurrence of Diarrhoea in piglets in the week post- diarrhoea, stomach cramps), when they were indolent, weaning comparing supplementation with sucrose were lying down most of the time or could not get up, saline which contained or did not contain added coughed, had a swollen neck, breathing difficulties, homœopathic medicine. changes to body temperature or temperature of some Method: Animals were randomly divided into three body parts, changes to their skin (rashes, patches), groups of 24 piglets each. The control group did not when the pigs did not have their periods, difficulties receive any treatment. Another group received in giving birth, injuries and bleeding. Baroness sucrose saline and the third group received sucrose WAMBOLT used thirteen different homœopathic saline with homœopathic medicine added, in the drugs, most frequently Arsenicum album. Barones period of zero to seven days post-weaning. The WAMBOLT seems to have used Arthur LUTZEřs homœopathic treatment consisted of Echinacea Text Book of Homœopathy, which was of great help angustifolia, Avena sativa, Ignatia amara, Calcarea for all Lay Practitioners; the book went into 15 carbonica, all 6cH. Piglets were weighed daily for editions if not more! weight gain or loss, and observed for diarrhea and feed intake. Results: Animals receiving sucrose saline alone and VII. RESEARCH sucrose saline with Homœopathy had less weight loss than control (p = 0.017, p = 0.0001 respectively). 1. The 2005 meta-analysis of Homœopathy: the There was no statistical difference in relation to importance of post-publication data overall incidence of diarrhea or food consumption. RUTTEN, ALB & STOPLER, CF These data suggest that the supplementation with (HOM. 97, 4/2008) sucrose saline with added homœopathic medicine in the first seven days post-weaning may be an useful There is a discrepancy between the outcome of a option to reduce weight loss in weaned piglets. meta-analysis published in 1997 of 89 trials of 6. Homœopathic Treatment of Domestic Animals in Homœopathy by Linde et al and an analysis of 110 Slovenia trials by Shang et al published in 2005, these reached ŽIDOV Nena (Med GG. 26/2007) opposite conclusions. Important data were not mentioned in Shang et alřs paper, but only provided subsequently.

Questions: What was the outcome of Shang et alřs Methods: Erythrocyte lipid peroxidation(LP), predefined hypotheses? Were the homœopathic and erythrocyte antioxidants viz., glutathione (GSH), conventional trials comparable? Was subgroup glutathione reductase (GR), superoxide dismutase selection justified? The possible role of ineffective (SOD), catalase (CT) and plasma antioxidants viz., treatments. Was the conclusion about effect justified? ceruloplasmin, glutathione-S-transferase (GST), Were essential data missing in the original article? vitamin C, total antioxidant activity (AOA) were Methods: Analysis of post-publication data. Re- determined in eighty one patients with OA and fifty extraction and analysis of 21 higher quality trials three normals. Forty seven patients, who were treated selected by Shang et al with sensitivity analysis for with homœopathic remedies were considered for the the influence of single indications. Analysis of follow-up studies. comparability. Sensitivity analysis of influence of Location: Father Muller Homœopathic Hospital, subjective choices, like quality of single indications Mangalore, South Karnataka, India. and of cut-off values for Řlarger samplesř. Results: Erythrocyte LP (0 hour, p < 0.001; 2 hours, Results: The quality of trials of Homœopathy was p < 0.01; and susceptibility to LP, p.< 0.05) and SOD better than of conventional trials. Regarding smaller (P < 0.05) were significantly higher, whereas plasma trials, Homœopathy accounted for 14 out of 83 and vitamin C (p < 0.01) and AOA (p < 0.001) were conventional medicine 2 out of 78 good quality trials significantly lower in OA patients when compared to with n< 100. There was selective inclusion of controls. In follow-up patients the erythrocyte LP (0 unpublished trials only for Homœopathy. Quality was hour, p < 0.01; 2 hours, p < 0.01; and susceptibility to assessed differently from previous analyses. LP, p < 0.01) and SOD (p < 0.01) were significantly Selecting subgroups on sample size and quality lower when compared to their pretreatment values. caused incomplete matching of Homœopathy and Plasma vitamin C attained a normal range. The AOA conventional trials. Cut-off values for larger trials activity after treatment was not significantly different differed between Homœopathy and conventional from that observed before treatment. medicine without plausible reason. Sensitivity Conclusion: Oxidative stress increased in OA as analyses for the influence of heterogeneity and the indicated by increased LP, SOD, decreased vitamin C cut-off value for Řlarger higher quality studiesř were and AOA. On homœopathic treatment the LP has missing. Homœopathy is not effective for muscle decreased in the erythrocytes which shows and soreness after long distance running, OR = 1.30 (95% reduced oxidative stress. This is further evidenced by Cl 0.96-1.76). The subset of Homœopathy trials on returning of plasma vitamin C and erythrocyte SOD which the conclusion was based was hesterogenous, to the normal levels, but oxidant stress has not been comprising 8 trials on 8 different indications, and was completely overcome as plasma AOA remained low not matched on indication with those of conventional after treatment. medicine. Essential data were missing in the original paper. 3. Effects of a homœopathic complex in Nile tilapia Conclusion: Re-analysis of Shangřs post-publication (Oreochromis nilotiicus L.) on performance, data did not support the conclusion that Homœopathy sexual proportion and histolojy is a placebo effect. The conclusion that Homœopathy VALENTIM-ZABOTT, M., VARGAS, L., is and that conventional is not a placebo effect was RIBEIRO, RPR., PIAU, R., Jr., TORRES, MBA., not based on comparative analysis and not justified RÖNNAU, M., & SOUZA, JC. because of heterogeneity and lack of sensitivity (HOM. 97, 4/2008) analysis. If we confine our selves to the predefined hypotheses ant the part of the analysis that is indeed This study aimed to evaluate the effects of the comparative, the conclusion should be that quality of homœopathic complex Homœopatila RS (REAL homœopathic trials is better than of conventional Homœopathy, Brazil), in the performance, sexual trials, for all trials (p = 0.03) as well as for smaller proportion and gills and liver histology of the Nile trials (p=0.003). tilapia fish (Oreochromis niloticus L.). 4,800 post- larvae were treated for 45 days, in 12 tanks (500 L), in 2. Lipid peroxidation, Erythrocyte antioxidants and a closed environment, with density of 400 larvae per Plasma antioxidants in Osteoarthritis before and tank. Three treatments were given: alcohol 30%, after homœopathic treatment negative control ©; hormonal, positive control, 17 α- PINTO, S., RAO, AV., & RAO, A. methyltestosterone (H); homœopathic, Homœopatila (HOM. 97, 4/2008) RS, in ethanol (HH), with four replications. Mean Objective: This study attempts to evaluate the status values for length, weight, liver somatic index, of oxidative stress in osteoarthritis (OA), by condition factor, survival rate, average values of measuring some parameters of oxidant stress and histological alterations and sexual proportion were antioxidant defenses in blood, before and after determined. Analysis revealed significant differences Homœopathy treatment, and to asses the role, if any, (p < 0.05) in growth, survival rate, liver somatic index of homœopathic treatment in modulating free radical and average values of hepatic histological alterations toxicity in OA. between treatments. It was concluded that the

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 116 addition of Homœopatila RS to the diet of Nile 6. Retrospective Likelihood Ratio Study in First tilapias, during the phase of gonadal differentiation, Line Medicine did not induce any alteration in the sexual proportion. Van WASSENHAVEN Michael Homœopathically treated fish were significantly (HH. 33, 10/2008) smaller, but had significantly greater survival than the other two groups, there was no significant difference This is a very interesting research article. 25 in final total biomass. The homœopathically treated years of Kentian Practice have been encoded in fish [where is ŘHomœopathy in this? = KSS] had a Computer. Kentist approach consists of searching the lower liver/somatic index with less hepatic lipid modalities of each symptom defined by or observed inclusions than the other groups. by the patient. Priority is given to symptoms Ŗailments from . . . .ŗ, the mental symptoms 4. How can we change beliefs? A Bayesian including the dreams and the Řgeneralř symptoms. perspective The Repertory is then consulted. The four grades in RUTTEN, ALB (HOM. 97, 4/2008) the Repertory are borne in mind. Before prescribing the Materia Medica of the probable remedies are How can Randomised Controlled trials (RCTs) consulted for confirmation. change our belief? The fact that they do update prior Results evaluation Method are as follows: beliefs to different posterior beliefs is explained by 5 = very spectacular changes in the total picture, Bayesian philosophy. symptoms are disappearing and the general state Crucial points in Bayesian analysis include of health has completely improved. setting the first prior expectation right and sequential 4 = spectacular disappearance of symptoms with updating of the prior in the light of new evidence. improved general state of health. Bayesian analysis depends highly on the evidence 3 = disappearance of symptoms, start of a general included. improvement. RCT evidence can only falsify the placebo 2 = good effect during the treatment but we are not hypothesis, it cannot indicate which mechanism of convinced that it will improve the patient action could be responsible for an intrinsic effect and completely, other therapies are needed. therefore cannot overturn existing beliefs. Bayesian 1 = some effect during the treatment but it could be reasoning could structure further discussion, but due to other factors (like placebo) subjectivity is an inherent element of this process. In 0 = no effect the case of Homœopathy the first prior is not a -1 = deterioration or aggravation during and/or after common prior shared by all parties to the debate, but a the treatment. paradigm, this prevents common updating of beliefs. Only by keeping an open mind towards other There is enough patient data to verify the paradigms and all possible hypotheses can a low symptoms of hundred remedies. Complete results are Bayesian prior be elevated to the point of accepting a published by B. Jain Publishers in a book entitled new paradigm, this is more relevant than Bayesian Clinical verification first line Medicine Ŕ calculations. Verification of Homœopathic symptoms. The article explains the data analysis. Example of 5. Datensammlung in der homöopathischen Praxis Likelihood ratio (LR) of the remedy Staphysagria is Eine systematische prospektive given. An explanatory table is provided. Falldokumentation (Data collection in This work is proof that verifications of Homœopathic Practice - A systematic homœopathic symptoms are possible and it is prospective case documentation) important. HUBER Heinz (AHZ. 253, 3/2008)

A multi-centre, prospective, practice-based, long- time observational study was conducted in 16 VIII. HISTORY specialised homœopathic primary care centres in Germany and Austria. 1322 patients were enrolled, 1. THE HAHNEMANN STAMP * of which 16.9% suffered from acute and 80.7% from [T.C. CHERIAN, The Homœopathic Digest ] chronic diseases. Patientsř and treatment data were CAMPBELL, Anthony C.H. documented by using a simple questionnaire and (BHJ. LXVIII, 3/1979) entered via the Internet into a database. In the We are proud and happy to announce that the majority of patients the homœopathic treatment Hahnemann stamp appearing on the cover of the resulted in a significant improvement of their health issue, was reproduced from an original portrait sketch status. The practical experiences from this project done by our own Margaret Geiger, Associate Editor regarding time and cost of systematic case on the editorial staff of the Homœopathic Digest. documentations are discussed.

* Reprinted from The Homœopathic DigestŕSpring 1979

It was through a unique chain of events that we chinchona plant is in, showing that the original card were led to discover that Margaret Geiger was indeed was used, not the reprint on the cover of ŖThe the artist who designed the portrait from which the Layman Speaksŗ from which it was removed. Indian stamp was reproduced. Many years ago I wrote an article on In October, 1978, the Indian Government HAHNEMANN at the time of painting the original released a stamp bearing the Ŗheadŗ of Dr. portraits, entitled ŖAn Artistřs Notes While painting HAHNEMANN, the revered founder of Hahnemannŗ, about 1953. I resubmitted it 2 years ago Homœopathy, in conjunction with the International and Mr. Dykeman printed it, somewhat abbreviated, Homœopathic Congress, which was being held in in the April 1976 issue, with the same black and white India at that time. [The International Homœopathic scratchboard head of Hahnemann on the cover, also Congress was held in October 1977, not 1978. I have reproduced in small at the head of my article. In the with me this stamp and the special cover with the same issue is a photograph of the Hahnemann cancellation dated 6.10.1977]. During the meetings no sculpture which was unveiled in Washington D.C. mention was made of the artist who did the original in1900. Mr. DYKEMAN however removed the drawing, except that Dr. Diwan Harish CHAND, chinchona blossom from behind the face. The Chairman of the Congress, noted that Dr. William signature is scarcely legible, being very heavily inked GUTMAN, a homœopathic physician in the United by the printer. I am proud of the drawing as I consider States, had presented the drawing to the committee of it my best work, and also pleased with the article. We the Congress, authorizing that committee to submit it chose what we felt to be the most attractive pose of to the Indian Government for reproduction as a stamp. this great innovator and humanitarian. While I am Dr. T.C. CHERIAN, publisher and editor of the honored that the government of India has used my Digest, who attended the Congress, witnessed the work to celebrate so noble a man, I would like to ceremony. On his return to the United States, at a receive credit and remuneration for this public use of homœopathic meeting, he displayed the stamp to its my picture. I am a topical stamp collector and love members. Margaret GEIGER was astonished to find beautiful stamps; I have always longed to design a the likeness on the stamp was an identical copy of the stamp, and have now done so without my knowledge sketch she had designed twenty years ago. Dr. or approval! I will appreciate anything you can do to CHERIAN was in turn surprised and embarrassed at rectify this situation, of which I am sure the this revelation, feeling that Miss GEIGER might have government of India is unaware. I hope you can assumed that Dr. CHERIAN, himself, submitted the accomplish this without legal proceedings as I have HAHNEMANN portrait to the Indian Government, respect and affection for India and its people. without first consulting her. Miss GEIGER wrote a (signed) personal letter to Dr. CHERIAN, giving the history Margaret GEIGER and occasion of her original design, as follows: Dear Dr. CHERIAN: On behalf of Homœopathy, we appeal to all local Enclosed find some of the cards designed over 20 and international homœopathic journals, societies and years ago when we lived in West Islip. In 1953 I organizations to make a special announcement painted a profile head of Hahnemann in full color in revealing Margaret GEIGER as the original artist of oils. Dr. GUTMAN has a duplicate portrait also in the Hahnemann portrait from which the stamp was oils, given him many years ago. From this same reproduced by the Indian government. profile study, a composite of the paintings, etchings, Dr. Diwan Harish CHAND, who had been etc. I drew a pen and ink scratchboard portrait for unaware of the situation now promises to use every these cards, using chiefly the gentle face of sincere effort and co-operation to reveal the truth and Woltrecksřs Sculpture. We hoped to spread the clear up the confusion surrounding the matter. knowledge of Homœopathy through these cards as we did with the herbal paintings we worked on as a 2. Homöopathie in Indien: Ein Absteiger im family project for so many decades. The clay coated indischen Gesundheitssystem? art-board, called scratchboard, is a specialized technic (Homœopathy in India: a last one in the Indian not every artist knows, which gives a clean, sharp, Health system?) engraved effect, not unlike woodcut. At the time we DINGES Martin (ZKH. 52, 2/2008) sent many of these cards to all friends, including Drs. GUTMAN, HUBBARD and WHITMONT, all of Homœopaths all over the world love India, since whom had treated us, as well as Dr. GRIMMER and Homœopathy is loved in India. India is also Dr. UNDERHILL, and others with whom we were in considered as a dreamland for European correspondence. Probably this was during 1957 and homœopaths. In fact while Homœopathy saw a 1958 as we moved here in 1959. You see the downward trend in countries like Germany, USA and signature I used at the time (also a proof of age later I even in U.K., in India it has improved and its signed separately), MARUTH, which combines our representation has increased, particularly in first names. This signature on Hahnemannřs shoulder institutionally trained medical graduates. [This is is carefully blotted out on the stamp. But the unique for India, in so far as Homœopathy is

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 118 concerned. = KSS]. Dr. DINGES briefly discusses the studies made by German homœopaths of ------Homœopathy in India for purposes of dissertations and then goes on to study the Indian scenario since IX. EDUCATION the last 30 years. Homœopathy is covered by a Law made by the Government of India, there is a Central 1. Hahnemannian Mentoring Ŕ Reflections on Case Council of Homœopathy, there is a Council for Supervision Research in Homœopathy, there are more than 180 CLASON Jackie (HL. 20, 1/2007) Homœopathic Medical Colleges, [the seats are now going abegging, since last few years, may be because The subject is self-explanatory from the title. there are too many colleges, particularly in the private This is interesting and very relevant especially when medical education Industry? = KSS]. Homœopathy new homœopathic graduates come out of the Colleges is also popular with the people, more in some States and are in great need of directions and examples; they and less in some. In spite of this Homœopathy is need guidance and proper mentoring; this is relegated to the last place as between Ayurveda, something which the senior homœopaths should Siddha, Unani and the Government funding, job concern themselves with. opportunities, etc., also are least. [In reality Homœopthy is ignored when it comes to Government 2. Education in Homœopathy Ŕ Part 2 allocation of money for Medicines other than the A Prescription based on the level of Delusions Hegemony Medicine, Allopathy= KSS]. An VERVARCKE Anne (HL. 20, 1/2007) interesting study. Those at the helm including the senior homœopaths must read it so that they can help This article is the second of a two-part article on remedy the position. Education in Homœopathy, where levels of education as well as levels of case taking have been discussed. The first part was published in the Links, 2/2006. 3. The Ŗglobalisationŗ of the hospital ward: a case This second part deals with case where the remedy is study of the London Homœopathic Hospital prescribed on an understanding of the case on the 1849 Ŕ 1867. level of Delusion. Von REISWITZ Stefan (Med GG. 26/2007) ------The history of Homœopathy in Great Britain is connectedly undoubtedly with that of the history of X. GENERAL the Royal London Homœopathic Hospital, (LHH), and its Founder, Dr. Fresderic Hervey Foster QUIN. 1. Characteristics of visitors to homœopaths in a Without QUIN Homœopathy would not have been total adult population study in Norway (Hunt 2) introduced into Great Britain and achieve the success STEINSBEKK, A., NILSEN, TVL., & RISE, especially during the period 1834 Ŕ 1870, it did. MB. (HOM. 97, 4/2008) QUINřs connections with the Ŗhigh societyŗ helped this much and Homœopathy had a firm footing. Objectives: To study the characteristics of people From the beginning QUIN took the pains to organise visiting homœopaths in a total adult population in a union of English homœopathic doctors; he thought Norway. that an Association like that of the orthodox Methods: Data from a total population cross Physicians had, would be the one thing that would sectional health survey conducted in 1995-1997 in help Homœopathy. QUIN played an important role Central Norway (HUNT 2) with 65,495 participants. with regard to the Hospital, and symbolically he was Variables included in the analysis were age, marital the medical authority. QUIN had a thorough status, education, being a social welfare recipient, knowledge of the state of Medicine in Europe. The lifestyle (daily smoker), Hospital Anxiety and rules were strict: only medical (allopathic) graduates Depression Scale (HADS-T), global health and members of the British Homœopathic Society perception, self-reported health complaints and a and have undergone both prescribed courses in variety of diseases. Significance level p<0.01. Medicine and Surgery were to be taken in the LHH. Results: 40,027 persons over 20 years answered the A study of the details of the number of patients question on visits to a homœopath. 4.3% had treated and the types of diseases treated indicate that consulted a homœopath during the last 12 months. the Hospital under QUINřs directions became from a The likelihood of a person consulting a homœopath small specialised Polyclinic to a large homœopathic was most strongly associated with being female hospital in which during the first two decades more (adjusted odds ratio 2.3, 95% confidence interval than 66,000 cases of all complaints that could be 2.1.2.6) and having a lower perceived global health imagined, were treated. Thus QUINřs LHH was, as (increasing from 1.5, 1.2-1.8 for good global health to intended a Ŗgeneralŗ hospital providing its medical 2.9, 1.9-4.3 for poor global health). There was a Officers with a vast range of cases to be treated weaker but significant association between increased homœopathically. likelihood of visiting a homœopath and being 30-39

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 119 years (1.3, 1.1-1.4), having a HADS-T score between properties of these specific layers to address the needs 10-14 (1.3, 1.1-1.6) and 15-19 (1.6, 1.3-2.0), having a of a patient in the successive periods of his or her health complaint the last year (1.5, 1.2-1.7), hay fever lifetime. The levels of the remedy correspond with (1.7, 1.5-2.0), consulted for a psychiatric complaint the development of the human person. Focussing on 91.5, 1.6). Being a smoker was significantly the female part of humanity, triturated homœopathic associated with decreased likelihood of consulting a remedies follow, in the way they interact with female homœopath (0.7, 0.6-0.7). there was also a trend for patients, a pattern similar to the development of increased likelihood of visits to homœopaths (p,0.1) women from girl to mature woman. So the story of a for those 60 years and over, social welfare recipients, remedy (e.g. Sepia, Lac humanum feminine, Lac having a chronic complaint and HADS-T score of 20 human masculine, Lac lupinum, Lac felinum) and the or higher, and decreased likelihood for wido(er)s. way it heals follows the line of development observed Conclusions and proposals: Being female and in a specific person. In a female lifetime we see first having a lower perceived global health were the the awareness of propagation, the responsibilities of variables most strongly associated with visits to a being partner and mother. In a general sense, women homœopath. More studies on visits to homœopaths experience an inequality in social position as from other populations (countries, children and compared with man, but, in the third part of oneřs life, adolescent) are needed. they can achieve the realisation of the archetypal feminine force and orientation on the female 2. Mapping Homœopathic Space: A Review of the strengths. Thus the young girl, mostly oriented on Resources Ŕ Part I & II male virtues, constitutes one pole in the spectrum. MARRS Iain (HL. 20, 1 & 2/2007) This orientation is and represented by the C1 to C3 triturations (the physical level) of a remedy. A In the first part of this article seven types of woman in her forties and older represents the other themes used by contemporary homœopaths are pole: with orientation on the male strengths and the summarised (Organs and Systems; Abstract terms; spiritual level (C4 and C5 trituration). This Every day Phrases or Terms; Diseases and Miasms; development is illustrated in this article with an Families; Polychrest-like or Substance-like; exemplary remedy, Sepia, offering at different phases Topology). In the Second part there is a review of in a female life, different effects in the healing ways to map homœopathic remedy-space. A process. [I am unable to make head and tail of this. I distinction between the use of profiling approach and hope other readers would feel enlightened = KSS] a Venn diagram approach is suggested. [What are these? = KSS]. With such tools it is possible to 4. The Homœopathic Hospital that never was: understand how the Periodic table [13] or the Mappa attempts in the Swedish Riksdag (1853 Ŕ 1863) Mundi [2] can each act as paradigms in the to establish a Homœopathic hospital and the contemporary homœopathic use of themes. Central issue of Theory Versus Empiricism in Medicine approaches mentioned include the System of Boxes EKLÖF Motzi (Med GG. 26/2007) developed by Vega ROZENBERG, and the themes and groupings developed by Louis KLEIN and by Between 1853 and 1863 attempts were made four Massimo MANGIALAVORI. The importance of times to introduce Řmotionř in the Swedish Parliament understanding the thinking implicit in different to obtain financial sanction for the establishment of a models is supported by extracts from writers in homœopathic hospital or a small ambulant facility in Philosophy, Science and Literary criticism. The Stockholm. The initiator was Graf Adolf Eugene von Řnetworkř is suggested as a way to reconcile the ROSEN (1797 Ŕ 1886), well-known driving force thematic mappings offered by ROZENBERG, behind the construction of the rail-road work in the MANGIALAVORI and KLEIN. [I did not know Country. The motion got the support of Nobility and whether I should put this article under ŘPhilosophyř or Clergy; Members of the Parliament reported of their ŘEducationř; it is so confusing to me, and as a regular personal positive experiences with homœopathic Practitioner I have not found any help from any of the treatment, and Priests who treated the folks three authors of the Ŗthematic mappingsŗ (!); so homœopathically. The recommendations were decided to put it under ŘGeneralř = KSS] ignored, just as several such suggestions from the medical personnel. 3. Triturated Remedies and Female Development: The arguments for the necessity of a hospital Sepia and the C4 trituration included the necessity of free treatment as well as the TIMMERMAN Alize (HL. 20, 1/2007) possibility of empirical experiments, for the studies of Triturated remedies offer a different way of practical value in Homœopathy. The reduced State working with Homœopathy, using the resonance of contribution because of the less number of remedies the remedy and the initiated empathy of the therapist could be also be a reason. However, Homœopathy to approach the healing process of a patient at a could prove its efficacy without State support; there deeper level. As in the trituration process a remedy were only small number of doctors who were reveals itself layer after layer, one can use the supporters of Homœopathy. The State did not

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 120 support any homœopathic hospital in Sweden? 1/2008): ŖGerhardus LANG a grand thinker who has Because Homœopathy was contrary to the central long years of practice has published a very interesting ideologies and principles of the leading medical book, which is a collection of his seminars and school. [Yes; HAHNEMANN himself has said that several articles over the years. LANG was a student in fact Homœopathy is exactly the opposite of of late Dr. Otto EICHELBERGER and is well versed Allopathy, just as Night is to Day. = KSS]. The issue with his thinking and Anthroposophy. LANG of Homœopathy was not only a concern of practical discusses at length on themes of health, illness, and health care but was also a political issue of healing, on the relationship to our patients, the nature considerably wider range. of the organism, also several remedies and finally the One hudred years later the opponents of Sehgal Method which LANG has been applying since Homœopathy succeeded in associating this treatment years. This is followed by case reports wherein the form with faith-based suggestive treatment. Medicine Sehgal Method is followed through. That the manufacturers were charged with selling mere sugar remedy works not through the physical body but pills and called fraudsters. The thought of a through the soul is the central idea of LANG and is homœopathic hospital had become totally alien in the book titled. For LANG the Dynamis of Swedish social life although homœopathic treatment HAHNEMANN is nothing other than the Soul...... survived among the general population. [This is the A readable book from the pen of an enthusiastic position for the past two centuries; none of the homœopath, . . .ŗ vociferous persons who cried Řfoulř have so far ventured to personally try Homœopathy in the manner 3. JÜTTE R: Die Fünfzigtausender-Potenzen in peculiar to it. And no one who has personally so der Homöopathie; von den Anfängen bis zur experimented and experienced did ever after cry Řfoulř Gegenwart, (The Fifty-thousand Potencies in but became a true follower of Homœopathy. The Homœopathy; from the beginning to date), Gütersloh; opponents are actually afraid of experimenting. = Arcana; 2007. 96 Seiten, geb.; €29,90 KSS] (zzgl.Versandkosten; direct bei Arcana zu beziehen). (German). Review by Klaus HOLZAPFEL (ZKH. 52, ------2/2008): ŖThis booklet is by way of celebrating the 50 year jubilee of the Firm Arcana, medicine XI. BOOKS manufacturer Dr. Sewerin in Güterslo. This book fills a long-felt gap on the subject. It deals with the 1. BENDAU, C. Hautkrankheiten history and application of the 50 thousand Potency, homöopathisch behandelt (Skin diseases thoroughly...... For the Practitioner experienced homœopathically treated), Kirchzarten: Sunrise: with the Millesimal Potency, it gives useful 2007, 137 S., geb. (German): review Thomas information . . . as also for the historicer.Ŗ

GENNEPER (ZKH. 52,1/2008): Ŗwe recall two committed homœopaths with regard to this book: 4. PERKO S: Die homöopathische Behandlung Gabriele BENDAU from whose manuscript the book der Grippe. (The homœopathic treatment of Grippe); is born, and an active Andreas MUTSCHLER, who is Kandern; Narayana; 2007. € 45. (German) review by also at the same a book trader who rediscovered the Karin JUCHEMS-HOCHBAN (ZKH, 52, 2/2008): Ŗ. manuscript and published; it is unfortunate both these . . . . Sandra PERKO has dealt with thoroughly with personalities are no more. . . . . The bookřs value is the theme Grippe. The book is divided in three parts. more since it has been gone through by Dr. Gerhard The first part is the Řlegacy of Grippeř, the role of the KÖHLER who had extensive experience in treating infection in history, its epidemic, causes, diagnosis, skin diseases. Dr. KÖHLER knew the typical skin cure (-search for), the nature of the virus and their symptoms very well. For BENDAU the main peculiarities. The effects of Homöopathy in the symptoms were not the small local symptoms but 1918/19 epidemic have been recorded in several rather something important which indicated, which journals. In the second part a Repertory of Grippe according to KÖHLER is Ŗthe perceptible external and its accompanying are given...... as also the reflection of the internal alterationsŗ...... The important remedies in those conditions. 60 remedies verification or falsification of a remedy selected are given alphabetically in about 200 pages. They according to the generals which according to are given with their key symptoms, peculiarities and BENDAU and KÖHLER has greater weightage over modalities and comments from leading homœopaths selection on the basis of the skin symptoms, is not like BOERICKE, CLARKE, LILIENTHAL, and easy always. The pictures given in the book would many more...... A book well worth help in this to a good extent ...... The book is recommendation.ŗ positively recommended. . .ŗ 4. RATHMER D: Fallanalyse in der Homöopathie 2. LANG, G., Homöopathie, Heilung über die nach Sehgal (Case analysis in Homœopathy Seele (Homœopathy, Healing of the Soul): according to Sehgal), Worpswede: Eva Lang. 318 S., Worpswede: Eva Lang; 2006; kart. 720 S. € 56, brosch. (German) review by Gerhardus LANG (ZKH. (German): Review Thomas GENNEPER (ZKH. 52, 52, 2/2008): ŘAn auto-didactic study and work book

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 121 has now come which contains 36 Cases from Practice four circulating strains of the bacteria to prevent which leads to the remedy according to the Sehgal- Leptospirosis outbreaks. The mass administration method; the individual case analysis is also explained. of a homœopathic Nosode to 2.4 million people The boo is mainly targeted at the beginner who wants who got 4.8 million doses is the largest known trial to learn the method. Thos who are already of Homœopathy for disease prevention. The experienced in this method will find much that would epidemiology surveillance after the interventions take them deeper...... The book can be showed a dramatic decrease of morbidity two weeks recommended to every one who wants to learn the after and a reduction to zero of mortality of Sehgal-method. . . .ŗ hospitalized patients. The number of confirmed leptospirosis cases remains at low levels and below the expected levels according with the trends and rain XII. OBITUARY regimens.ŗ The researchers noted that their experiences could be extended to other diseases and 1. Michael QUINN, founder, president and Chief other countries adding, ŖThe Finlay Institute is Pharmacist of Hahnemann Laboratories, Inc of San offering our facilities and specialists to spread this Ra fael, CA, on Jan. 28, 2009, as a result of a stroke. alternative to all regions needing emergent alternatives for epidemic control and prevention.ŗ 2. Dr. Luc CHALT IN, founder, of Newton (Reported at ŖNosodes 2008: International Meeting on Laboratories, conyers, Georgia passed away on 28 Homeoprophylaxis, Homœopathic Immunization, and Dec. 2008. Nosodes Against Epidemics,ŗ December 10-12, 2008, Havana, Cuba. (HT. 29, 1/2009).

3. Madeline BASTIDE (18.3.1935 Ŕ 10.6.2007) III. As part of its 188th Anniversary Founders Day YASGUR Jay (AJHM. 101, 1/2008) Celebration on February 19, the University of the Madeline BASTIDE, the doyen of research into Sciences in Philadelphia will bestow an honorary the infinitesimal passed away at the age of 72. doctorate of science degree on John A (Jack)

BORNEMANN, 111, Rph, a 1952 alumnus, for his ------Ŗentrepreneurial spirit and leadership in the

homœopathic medicine industry and continued XIII. NEWS & NOTES dedication to innovation and excellence.ŗ (HT. 29, 1/2009). I. Many Paths Support the Whole. An inclusive Legislative model for Homœopathy. ALLEN, IV. A handful of determined Homœopaths from Karan … & Co. (HT. 29, 1/2009) the U.S. and Europe are helping people in Africa The current laws in most states in the USA are who are in need. (HT. 29, 1/2009) not supportive of Homœopathy practitioners. KENYA: Abha Light Foundation, founded by Didi Although exceptions exist, the vast majority of states Ananda Ruchira, assisted by volunteer Shawn vale tend to be restrictive or ambiguous about the practice and others. of Homœopathy. This is keeping the homœopathic GHANA: Senya/Tamale Homœopathy project, profession from flourishing and is reducing consumer founded by Adjoa Margaret stack access to quality professional homœopathic care. TANZANIA: Homœopathy AIDS Project, founded The group proposes a comprehensive model of 5 by Jeremy SHERR. different but compatible paths towards the legal BOTSWANA: Maun Homœopathy Project, founded practice of Homœopathy in the USA. by Hilary FAIRCLOUGH. 1. Health care Freedom legislation 2. Homœopathic Medical Assistant V. Homœopathy cares: Shawn VALE (HT. 29, Registration/Licensure 1/2009). 3. Homœopathic practitioner Licensure Shawn VALE narrates her experiences in treating 4. Doctor of Homœopathy Licensure Kenyařs poorest in mobile clinics. 5. Sub-specilization Homœopathy Licensure Seizures of over 30 years which crippled a In Arizona for an example of this type of Co- woman, cured with a dose of Stramonium 200, a existence. It currently has three different forms of severe Malaria case recovering with few doses of Homœopathy friendly legislation in peace (paths 1, 2 Belladonna 1M, a case of right sided Arthritis with and 5 in the chart above) and homœopaths are inflammation of Liver subsiding with Chelidonium working to establish two more forms (paths 3 & 4). 30. [Bravo! ONLY HOMOEOPATHY CAN TREAT THE POOR, THE REALLY NEEDY SO II. Researchers at Cuba’s Finlay Institute, a INEXPENSIVELY= KSS] center that develops, investigates and produces vaccines in partnership with the ministry of health, recently reported their successful use of a homœopathic remedy Leptospirosis 200, made from

VI. A journal from Africa. News from the reductions in bruising/swelling. In the facelift study, Homœopathy AIDS Project in Tanzania. SHERR those who did not use SinEcch™ had a 50% longer Jeremy. (HT. 29, 1/2009). recovery time, 41% more bruising 7 days after Jeremy SHERR in partnership with an surgery, and an average of 9 square inches more established Homœopathy clinic in Tanzania is setting bruising. up an AIDS Project. He is interested in identifying According to MICHAEL: ŖOur advertisements in the Ŗgenus epidemicusŗ for aids. They are in early the premier plastic surgery medical journal, Plastic stages of creating a protocol. They are helping to and Reconstructive Surgery, resulted in the open The Tanzanian School of Homœopathy. American Society of Plastic surgeons putting the question of Arnica on the agenda for their expert

VII. In March 2009, New Mexico passed HB 664, panel, the ŘDevice and Technology Assessment ŖThe unlicensed Health Care Practice Act,ŗ which Committee.ř After investigating the subject, the protects the rights of unlicensed complementary, committee proclaimed that Arnica is completely alternative and traditional practitioners. This state safe.ŗ It also evaluated ten different Arnica research studies published worldwide and found that only two joins the ranks of Minnesota, California, Rhode ™ Island, Louisiana, Oklahama and Idaho in having studies-those using SinEcch - showed a statistically enacted similar Laws. (HT. 29, 2/2009). significant reduction in bruising and swelling. MICHAEL estimated that more than 1000 plastic ™ VIII. Nancy GAHLES, president of NCH surgeons now routinely prescribe SinEcch and that attended and spoke at the summit on Integrative itřs been safely used to help hundreds of thousands of Medicine and the Health of the Public sponsored by plastic surgery patients. ŖIf it were up to nurses, weřd the Institute of Medicine in Washington D.C. As a have it in about 90% of surgeonsř offices,ŗ result she has been invited to meet with principals on MICHAEL noted. Capital Hill to discuss the implementation of Now that other homœopathic companies are also Homœopathy into the health care reform bill. (HT. marketing Arnica to plastic surgeons, Michael 29, 2/2009). guessed that perhaps 10-20% of U.S. plastic surgeons prescribe Arnica in some formulation for their IX. Bringing Arnica into the Mainstream. (HT. 29, patients. As the demand for plastic surgery grows, the 2/2009). percentage of patients receiving Arnica will surely About 10 years ago, Michael QUINN quietly increase as well. Michaelřs daughter Allison is the companyřs moved forward with a brilliant plan to bring Arnica to ™ the masses. His target: plastic surgeons. national sales director for SinEcch . ŖIt has been a Why? Bruising and swelling after plastic surgery difficult time,ŗ she remarked recently, Ŗbut we have is extensive and highly visible, but plastic surgeons all been strengthened by continuing Hahnemann Labs have no conventional medicines to offer patients for and working hard to carry on my fatherřs vision and reducing these tramatic after-effects. To Michael, this legacy.ŗ lack of competition from conventional medicine was [It is unfortunate that Michael J.QUINN (1952-2009) the perfect opportunity for showcasing the benefits of The Pharmacist who has done this unique work, Homœopathy. If he could convince plastic surgeons passed away due to a massive stroke on 28 Jan. 2009. to prescribe Arnica and if they and their patients saw Glowing tributes have been paid by several persons impressive results, they would spread the word to who had occasion to know him. We too feel very sad. other types of surgeons, doctors, and patients HAHNEMANN up there would have surely throughout the world. welcomed him with open arms = KSS]. ™ So MICHAEL created SinEcch to look just like a conventional medication-yet he made sure the words X. B.C. GUHA: THE DOYEN OF INDIAN Ŗhomœopathic medicineŗ appeared in 15 locations on BIOCHEMISTS AND PIONEER OF VITAMIN C the package. The product consists of a set of twelve RESEARCH I.B. CHATTERJEE. capsules, containing either 1M or 12c homœopathic (S & C. 75, 1-2/2009)

Arnica, in a programmed dosage regimen taken before B.C. GUHA is considered to be the father of and after surgery. modern biochemistry in India. It will, however, be MICHAEL formed a subsidiary, Alpine ™ wrong to judge the personality of this unusual Pharmaceuticals, to represent SinEcch , and he began biochemist through biochemistry alone. Till the last attending professional reconstructive surgery day of his life Guha fought for the development of conferences to reach out to plastic surgeons teachings and research in science and technology (www.alpinepharm.com). His company also helped throughout the country. It is unfortunate that fifty design and fund two high-quality research studies on years have passed by since Guha suggested there liposuction and facelift surgery. The latter appeared medial measures, but apparently very little has been in Archives of Facial Plastic Surgery, an AMA done. A shabby condition still persists in most publication (vol. 8, Jan./Feb. 2006). Both studies teaching institutions in our country. The universities, were statistically significant and showed dramatic

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 123 colleges and particularly the schools are still, by and SUKUL of the Dept. of Zoology and Dept. of Botany, large, ill-equipped and ill-staffed for science teaching. Visva Bharati University, Santiniketanŕ731235, In the name of progress, we have increased the West Bengal, India. (In Science & Culture, Vol.75, number of schools and colleges and university 7-8/2009) [SUKUL et al. have already published departments with increased intake of number of articles in different journals, of their observations students. The progress is mostly quantitative and not Cina 30, Cina 200 and Cina 1000 reduced root-knot qualitative. We recruit young faculties and overload disease in plants. Botanists and Agriculture them with classes, without giving them adequate seed scientists should take note of these very useful money and time to start research. Teaching and observations and apply it in the field. It will save lot research enrich each other. In early twentieth century, of money now spent on insecticides. = KSS] a galaxy of illustrious Indian Scientists evolved from Calcutta University and it was one of the top ten XIII. Report to the USA on the 62nd Congress of universities in the world. Slowly and gradually it has the LMHI, Puebla, Mexico, 7 Ŕ 11 August 2007: fallen to a very low position. The point of flow of (AJHM, Vol. 101, No. 1, 2008) Report by Richard excellence, unfortunately, appears to have been dried HILTNER, MD, USA: Some Extracts: Miriam E. up. Quality has been the worst victim. It is high time GARCIA de VALLEROTO (Argentina) related that that a holistic approach should be made by the in spite of the tremendous success and influence of university authorities and find ways and means for Homœopathy in Argentina, there still is a lack of revival of the past glory. official recognition of Homœopathy by the Health Ministry of Argentina. [This is not unusual in many XI. Transforming the AIH. Workshop on cultural parts of the World. It is unfortunate that the Transformation Tools. MERIZALDE Bernardo Homœopathy community is still under the delusion (AJHM. 101, 1/2008) that it can obtain its acceptance by the hegemony AIH Board of Directorsř meeting held on Medicine; it would do well for Homœopathy to let it October 6, 7, 2007, Penn Valley, Pennysylvania be so, and proceed to keep on progressing in its considered the obvious decrease in passion in the service to the needy people and rest at that = KSS]. Organisation, explored various methodologies to With regard to Austria the University of Vienna remedy it and arrived at the Cultural Transformation teaches a course on Homœopathy and has an Tools (CTT), as developed by Richard BARRETT organization named Students Initiative for which shows that organizations and companies that Homœopathy which offers a remarkable 465 hour survive and thrive are those that take care of their training programme for students. The University of internal culture and express and practice core values Graz and Innsbruck also have voluntary lectures. that support such culture, especially as it interacts Veterinary Homœopathy is an official specialty and with community and society at large. has its own association, OGVH. Fourteen hospitals The core business is advancing healthcare have homœopathic out-patient departments and through homœotherapeutics. consultants. The Austrian Minister of Health Dr. The values of excellence, commitment, shared Marian KALLAT, invited a number of medical vision, mission focus, making a difference were professionals, including homœopathic physicians, for identified. The values caution, cost reduction, a ŘHealth Dialogueř in November 2006. This was an cynicism, image and short term focus were found to initial attempt to place Homœopathy on an equal be limiting the growth of improvement of the level with conventional medicine and help meet the organization. costs of homœopathic treatment and medicines. Members are requested to review the new AIH Carlos RIVEROS-GOMEZ (Columbia): there website and to suggest how it can be improved upon. are about 3,000 physicians in Columbia who have at least two years training in a LIGA-accredited XII. Potentized Cina reduces Root-knot Nematode homœopathic school. The Health Ministry has infestation and alters Leaf Protein Profile of officially recognized homœopathic medicine. Cowpea: Xavier GODOY (Ecuador): The Ecuadorian Cina 30 c, prepared the Extract of Artemisia Homœopathic Medical Society (SOMHE) wqas nilagrica, was diluted with distilled water 1:500 and acknowledged by the Health Ministry in 1983 and applied once only by light brushing on a part of a leaf Homœopathy was officially recognized as a specialty of Cowpea. The treatment reduced root-knot disease by the Eucadorian Medical Federation in 1998. of the plants and enhanced their growth. Leaf Ecuador is one of the few countries where the proteins of the plants, separated by FPLC, varied in Government has actually given money to provide a number and amount in the uninoculated, inoculated house as the Headquarters for the SOMHE. The last untreated and inoculated Cina-treated groups of Ecuadorian Constitutional Assembly accepted plants. Cina 30 c is thought to induce expression and Homœopathy. repression of necessary proteins involved in reducing Saima TISLER (Estonia): The Social Ministry Nematode infestation. (Nirmal SUKUL, Raj has given permission for licensure to the K.SINGH, Soma SUKUL (Chunari), and Anirban homœopathic physicians.

Karin BANDELIN (Germany): The Government psychological, mental and spiritual levels Ŕ was is permitting reimbursement for homœopathic presented by Edgar GODOY (Ecuador). The treatment...... In general however, Homœopathy importance of observation and perception, both continues to be well-respected and accepted by most logically and intuitively, was discussed by Antonio S. people, professionals and the Government. CABALLERO (Mexico). Expanding on these ideas Renzo GALASSI (Italy): The Health Ministry Edwiges S. CABALLERO (Mexico) spoke on still does not officially recognize Homœopathy in ŖDeontological Aspectsŗ or Ŗthe idea of duty or moral spite of the fact that in all these countries there is obligation or Ethics.ŗ HANEMANN felt very much general respect for and use of Homœopathy by strongly that a human being is a spiritual entity and a number of physicians. Some Italian universities are therefore connected to the Universe (either seen or offering preliminary courses in Homœopathy. unseen) and obligated to live by natural, universal Marina AFANASIEVA (Latvia): the number of laws. The notion of a moral, ethical sense is patients seeking homœopathic treatment is increasing imperative to understanding disease, Miasms and , being about double of what it was last year. The Homœopathy in its depth. Latvian Homœopathic Association (LHA) is The theme of this Congress was ŖReturning to particularly busy obtaining partners and sponsors for Hahnemannŗ. Jose MANTUK (Mexico) spoke on the the 2011 LIGA Congress in Riga. need of looking back to the original wisdom of Antonio P.SANCHEZ CABALLERO (Mexico): HAHNEMANN and trying not to lose the essence of optimistic report on Homœopathy in Mexico. The his knowledge. Homeopatia de Mexico College is working with the Alfonzo Carvajal LOZANO (Mexico) Dederal Government to certify all homœopaths in expounded on a Psychiatrist named Victor Emil Mexico. FRANKL (born in Austria, 1905) who developed a Xavier Cabre PLAYA (Spain): There seems to psychological therapy called ŖLogotherapyŗ or be some conflicts going on between the medical ŖWord therapyŗ. ŖWordŗ in this context comes from doctors and alternative medical practitioners. the Greek ŖLogosŗ which has a spiritual or Clemens DIETRICH (Switzerland): The Swiss metaphysical aspect as the cause and cure of the Association of Homœopathic Physicains remains patient; in other words dealing with ethics or morals. strong at 363 members. There are many other Armida REBUFFI (Italy) explained the homœopathic organizations working in general for homœopathic approach to three severely ill patients Homœopathy. with chronic renal disease and one with Portal Ivaniv OLEKSANDER (Ukraine): Official Hypertension secondary to a Portal vein Cavernoma recognition of Homœopathy by the Ukrainian and, lastly, one with chronic Eczema. These cases Government has not been realized in spite of the fact were either cured or palliated. that there are 16 homœopathic medical associations Renzo GALASSI (Italy) gave a colourful slide and 70% of the urban population uses homœopathic presentation on a 60 year-old-man who ran all the medicine in the country. way from Italy to China, using only homœopathic Richard HILTNER (USA): The 65th Congress of medicines as needed. This person was analysed the LIGA will be in Redondo Beach on May 18-22, miasmatically. His general Miasm was Sycosis, 2010, celebrating the 200th anniversary of the which could well acount for his ambition and Organon. stamina. He was given individual medicines at Dr. Jacques IMBERECHTS (Belgium) various times, including Phosphorus, Lycopodium, emphasized the importance of saving and Lachesis, and Pulsatilla. disseminating the results of the existing Provings. He Gloria Andre FEIGHELSTEIN (Brazil) and asked all to recall the five steps recommended by Norma Villazon de MATUK (Mexico) reviewing Constantine HERING whether Provings could be some of the basic constitutional and miasmatic translated into actual fact. They are: (1) Possibility, aspects as applicable to homœopathic Dentistry. The (2) Probability, (3) Confirmation, (4) Corroboration, Ŗconstitutional typeŗ is a word especially associated and (5) Clinical verification. with NEBEL, VANNIER, and EIZAYAGA Gloria FEIGHELSTEI (Brazil): She epitomized (Genotypical Type). The constitution is the least what one person can accomplish with talent, changeable part of the human and is strongly related enthusiasm and tremendous energy. Perhaps no other to the heredity and miasmatic background. The country has developed Dentistry as well as Brazil, classical pictures of the main Calcareas Ŕ Calcarea primarily becase of her efforts. carbonica, Calcaea phosphoric and Calcarea There was a Pre-Congress Programme on 5th fluorica were detailed. Geraldo RIBEIRO/Lucia August entitled ŖA Course on an Integrated WIERZCHON (Brazil) presented an extremely Hshnermannian Clinicŗ which dealt with some of the detailed study of the controversial subject of Fluorine basic thoughts on what human being is and the causes or Fluoride salts used in water, etc. to prevent dental of Illness. The concept of Miasms was elaborated caries. They studied patients with Ŗfluorosisŗ upon by Ulrich FISCHER (German). The awareness (characterized by white lines running vertical on the of a human being in a larger sense, - the physical, enamel). Ana Maria Pascual RAMIREZ Mexico)

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 125 listed the most common medicines used in Anahit HAROUTYUNYAN, Rumania, homœopathic Dentistry: Arnica, Belladonna, presented a paper dealing with twenty patients with Calendula, Chamomilla. Cheiranthus, Hepar skin diseases, especially those causing Alopecia. sulphuris calcareum, Hypericum, Mercurius These patients did well with one dose of a solubilise, Millefolium, Phosphorus, Plantago, homœopathic medicine. The remedies most often Silicea, and Symphytum. prescribed were Lycopodium, Graphites, Ignatia and Maria Jose Carvas PEDRO, Brazil conducted a Sepia. double-blind research study with patients having Temporo-mandibular Joint Syndrome (TMJ) and XIV. Report on the Celebrating Links Ŕ The general orofacial pain. The results were as expected Homœopathic Conference, Heidelberg, 19-21 positive. October 2007. Report by Christian Lucae. (ZKH. 52, Lucia WIERZCHON, Brazil, delivered a 1/2008): In celebration of the 20 years of its circumspect lecture about dealing with cancerous existence, the Homœopathic Links, held a Congress lesions in the mouth. She said that Homœopathy can (in English). It was for three days. There were more be used with other therapies, including Surgery, than 1000 participants influenced by the new radiation, chemotherapy to lessen oedema, pain and Řcurrentř. Every day a main theme and main speaker strengthen the immune system. The main was chosen: Friday was Mineral kingdom (Jan homœopathic medicines used were Conium, Bryonia, SCHOLTEN), Saturday, Plant kingdom (Rajan Staphysagria, Thuja, Aveloz and Lycopodium. SANKARAN) and on Sunday it was Animal Maria Jose Carvas PEDRO presented another kingdom (Massimo MANGIALAVORI). Jan very fascinating paper on ŖEagleřs Syndromeŗ. This SCHOLTEN spoke on the ŖConcept of 18 Stadiumsŗ; is defined as the prolongation or calcification of the he presented cases from the group Lanthanides, stylohyoid process often associated (and Holmium muriaticum, Praseodymium bromatum and misdiagnosed as TMJ Syndrome) with Samarium sulfuricum. Important Lanthanide-theme: temporomandibular joint pain. The symptoms Autonomy (by that includes a strong reference to include: throat pain worse from deglutition and often auto-immune-diseases), refusal of help (the patient radiating to the ear on the side of the dysfunction; wants to do everything by him/herself and have decreased salivation; nausea; feeling of a foreign control) and freedom (Ŗfreeŗ as important key-word body in throat; and occasional vertigo. She has in the Anamnesis). The remedy selection in the treated 56 patients with good results. The main above cases were difficultto be foretold, the clinical homœopathic remedy was Hekla lava. According to diagnosis were formulated loosely and the course too Maria PEDRO ŖEagleřs Syndromeŗ occurs in adult short. So it was with the remedy Holmium women with pain being the most prominent symptom. muriaticum in a small child with nephrotic syndrome The diagnosis is primarily made by radiography and in which the Cortisone doses could be reduced. This clinically. The results of conventional medical and many other cases had short follow-ups. The treatment are not that good and frequently wrought French Paediatrician Patricia LeROUX presented with complications. more cases on the Ŗacidsŗ. A 4-month-old infant with Andre de LEON, Mexico, spoke about the flatulence and sleep disturbances treated successfully importance of developing a specific repertory to with Butyric acid,a 3-year-old girl with Hepatitis B facilitate the finding of miasmatic pictures. since her birth. Was treated with Muriatic acid; other Bernardo Jose Neira HERNANDEZ, Mexico, remedies were Gallic acid for a sleep disturbance and gave fascinating and stimulating talk on ŖPulse and Chromic acid in acute Tonsillitis. All prescriptions its Miasmatic Seriatimŗ. He emphasized that were by KeyNotes and on singular rubrics. Other HAHNEMANN wished all homœopaths to have keen speakers on Friday were Alize TIMMERMAN senses and observe without prejudice all of the (Improvement of the body consciousness as the patient. The pulse has been mentioned frequently in action of the coal group), Jayesh SHAH (The term Provings and out Materia Medica and should be Řvital sensation), Andreas Bjørndal (Finding the the examined closely. Simillimum over the Quantum Physics of the Renzo GALASSI, Italy, presented his new book Periodic System) and George LOUKAS (Spiral ŖSintomi Mentali Del Repertorio Omeopaticoŗ classification of the Periodic System: a new model for (Mental Symptoms of the Homœopathic Repertory). the understanding of the Essence of Elements). This work was mainly influenced by Dr. GALASSIřs Jewremy SHERR demonstrated in his 90 minutes main teacher, Processo ORTEGA, and his famous lecture ŖCodes and Puzzlesŗ from selected snippets of book ŖThe Translation and Definition of the Mental symptoms of Krypton Ŕ mainly with dream symptoms Symptoms of the Synthetic Repertory of Ŕ his thorough knowledge of analogies, mysticism, BARTHELŗ). However, Dr.GALASSI added a and number plays which were quite wonderful and number of cases associated with each of the mental triggered interest which did not appear to help us to symptoms besides the relationship between these conclude the prescription of Krypton in our practice. symptoms and the Miasms. The main lecture on Saturday was of Rajan SANKARAN. The first 30 minutes were a

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 126 demonstration of his outstanding show talents: his homœopaths of the 20th Century. (Tribute by Dr. system of different levels (Level 5 is ŖVital Erika ANZENBACHER, in the ZKH. 52, 2/2008). Sensationŗ); a case of a typical Indian and interesting story explained graphically in which the different XVI. Werner BUCHMANN (1913 Ŕ 2007) Ŕ human reactions were there. The remaining time Nachgedanken (Memorium Ŕ Werner filled by several video cases, all the cases were Buchmann): Dr. Werner BUCHMANN left this prescribed on the basis of Ŗvital sensationsŗ which earth on 18 September 2007; as adeep spiritual were there. Unlike SCHOLTEN, SANKARAN person, he wrote in his Biography ŖLife becomes so quickly received greater and loud applause. easyŗ. He was born on 3 June 1913. Served in the Frans VERMEULEN explains his lattest work Military and imprisonment after which he began in on ŖKingdom of Bacteria and Fungiŗ: In his dry 1945 his medical practice, with Neurology and speech style he gave enormous details. Psychiatry as speciality. He came into contact with Homœopathy in 1953 and was Ŗmixerŗ; in 1969 he In the afternoon lectures were attended a Course wherein he learnt to look at a SCHLINGENSIEPEN-BRYSCH Nandita SHAH, person as a total, and not just a diagnosis. He then Uta SANTOS KÖNIG and Resie MOONEN, Will studied with Mathias DORCSI, Artur BRAUN, TAYLOR. Martin STÜBLER, etc. His homœopathic philosophy At the end of talks, one went out in no way wiser was influenced by the teachings of Sanchez but still in the same darkness. ORTEGA, and Willibald GAWLIK. He supported the reforms in young homœopaths. (Dr. Jutta XV. Nachruf für Horst Barthel (Tribute for Horst HÜBNER in AHZ. 253, 4/2008). Barthel): Horst BARTHEL, born 13 April 1922, passed gently on the 13 April 2008 a week before his ------LIST OF JOURNALS 87th birthday. Dr. BARTHEL was vigorously Full addresses of the Journals covered by this Quarterly Homœopathic engaged in practising, teaching classical Digest are given below: Homœopathy, throughout his life. In 1948 he saw a ------1. AHZ: Allgemeine Homöopathische Zeitung, Karl F. Haug Verlag, person suffer a bad traffic road accident. His wife, in Hüthig GmbH, im Weiher 10, 69121, HEIDELBERG, GERMANY. despair, contacted Dr. MÜSSLER, a homœopath and 2. AJHM: American Journal of Homœopathic Medicine, formerly she gave her badly injured husband Arnica and like a Journal of the American Institute of Homœopathy (JAIH). 801 N. Fairfax Street, Suite 306 Alexandria, VA 22314. wonder the man got up and recovered rapidly. From 3. CCR: Homœopathic Clinical Case Recorder, Dr. Subhash Meher, then on BARTHEL studied Homœopathy untiringly Near Hotel Chanakya, Anandrishiji Marg, Burudgaon Road, and practised it. He studied the sources and the old AHMEDNAGAR - 414001. literature and kept off from the so-called Řscientificř 4. THE HINDU: Newspaper, Chennai Ŕ 600 002. school. He went on for years collecting material from 5. HH: Homœopathic Heritage, B. Jain Publishers Overseas, 1920, Street No.10, Chuna Mandi, Paharganj, Post Box 5775, New Delhi - the old literature. He worked in association with Jost 110 055.

KÜNZLI and Pierre SCHMIDT who gave his Kent 6. HL: Homœopathic Links, Homœopathic Research & Charities, hand-corrected copy of Repertory and in 1973, F/s, Saraswati Colony, Linking Road, Santacruz (W), Mumbai 400054. BARTHEL brought the Synthetic Repertory, so that all homœopaths get the benefit of KENTřs additions, 7. HOM: Formerly British Homœopathic Journal (BHJ), Homœopathy, Faculty of Homœopathy, 29 Park Street West, Luton, Bedfordshire, corrections and Pierre SCHMIDTřs works. For more LU13BE, UK. than 20 years he sacrificed himself so that a work that 8. HT: Homœopathy Today, National Center for Homœopathy, 801, rd will stand in good for the 3 millennium was got North Fairfax Street, Suite 306, ALEXANDRIA, VA. 22314, USA. ready. While BARTHEL did the Vol. I (Mind) and 9. NAMAH: New Approches to Medicine and Health, Sri Aurobindo Society, PONDICHERRY Ŕ 605 001. Vol. II (Generals), Dr. Will KLUNKER took up the work with Vol. III covering the Sleep, Dreams and 10. S & C: Science and Culture, Indian Science News Association, 92, Acharya Prafulla Chandra Road, KOLKATA Ŕ 700 009. Sexual, thus completing the work. This three volume work was a tri-lingual edition Ŕ English, French, 11. IJHDR: International Journal of High Dilution Resarch, Sibiu, Romania. Via Internet. German and thus is a great use in understanding the source expressions. However later editions have not 12. ZKH: Zeitschrift für Klassische Homöopathie, Karl F. Haug Verlag, been tri-lingual. For the first time BARTHELřs Hüthig GmbH, Im Weiher 10, D-69121 HEIDELBERG, GERMANY.

Repertory gave the source for every remedy and one 13. MedGG: Medizin, Gesellschaft und Geschichte, Institut für can thus verify those sources so as to understand Geschichte der Medizin Robert Bosch Stiftung, Straussweg 17, 70184 STUTTGART, GERMANY. rightly. All over the world Classical Honœopathy ------practice increased with the arrival of BARTHELřs Repertory. Dr. BARTHEL is one of the great

PART II

(This Section contains abstracts/extracts from selected articles; even the entire article in some case)

------

1. The Signature of The Christmas Rose Hahnemannřs habilitation paper: ŖDe (Helleborus niger) Helleborismo Veterumŗ which was published in 1812, KÖNIG Karl (HG. XXXI, 7/1964) only deals with the Christmas rose indirectly. Helleborus niger, though several times proved GENERAL CHARACTERISTICS homœopathically, is used only rarely. Emil For many decades now, and perhaps even longer, SCHLEGEL tries to regain a new understanding for Helleborus niger, the Christmas rose, has been a plant the black hellebore, and sums up his thoughts as almost forgotten by medicine. It is mentioned only follows: ŖHow then can we get a picture of the rarely, and the following statement by Hugo protective strength of Helleborus as a remedy? No SCHULZ, made almost 40 years ago, is still valid: doubt it has a kind of diminished toxic effect. The ŖThe use of hellebore preparations in therapy is today remedy directs its attacks or stimuli at all regions of of no significance. Attempts to use helleborin instead the body, and thus evokes the response of the of digitalis were soon given up again. The same organism. It organizes, so to speak, in later age the applies to the use of tincture of hellebore as an home guards of self-defence, and its energies aperient, an emmenagogue, and also to relieve the correspond more to the faint disorders of the ageing symptoms accompanying hydrops. The homœopathic organism than to the stormy attacks of the affections school uses a tincture of the black hellebore in cases and inflammations typical of the time of youth. A of hydrops due to kidney disorders, in Meningitis, slowing down, a wearing out of the functions is Meningitis cerebrospinalis, and compensatory characteristic of Helleborus …ŗ disorders. One gets the impression, however, that Such observations, however, remain far too even in this school Helleborus is not used very general, and do not come closer to the essential being extensively.ŗ of the plant; they hardly reach the sphere from where A cursory look at the literature produces only it can again become an active remedy. Here lies the meagre results. We find indications that the root of reason why we have almost forgotten the Christmas the Christmas rose contains a glycoside which shows rose as a medicinal plant. We no longer know when effects similar to those of Digitalis. In a survey of and how to use it, for we have lost its signature. We ŖThe Ranunculaceæ in Homœopathyŗ, DEWENTER have lost the key, and cannot open the door which mentions Helleborus, and describes its relation to leads to the Ŗstrength and actionŗ of the hellebore. renal pathology. Most of his work is based on We should therefore again set out and search for this statements by Voisin. In Stiegeleřs Homöopathische key. Arzneimittelehre, the Christmas rose is not even

mentioned. It looks as though it really is almost THE SPECIAL FEATURES OF HELLEBORUS forgotten. NIGER This is all the more remarkable as it was The special characteristic of the Christmas rose is extraordinarily lauded and appreciated by seen in its peculiar mode of life. It is not a herb which PARACELSUS and HAHNEMANN, too, has often takes part in the annual rhythm of dying and concerned himself with this plant. PARACELSUS becoming; on the contrary, it tries to create a rhythm says: ŖIts root can drive away four diseases: Epilepsy, of its own which is expressed by the fact that it Podagra, Stroke, and Dropsy. In the case of a Stroke, blooms in winter. From Christmas to Easter is the it discharges the Materia peccans and brings back life time when it unfolds its flowers. into the paralysed limb. In Epilepsy, young persons That, however, is not the only sign of its peculiar should take a quarter ounce boiled in milk, older existence. In other ways, too, it does not submit to the people the same in wine. They should drink of this rhythm of the year as fully as most other plants do. It three times daily. With Podagra, the patient should be usually takes from five to seven years before it purged every day for three days before the attack; the flowers at all; then, however, it shows its hidden same as with Stroke. After that, the root seeks out the strength and opens and the beautiful white flower cause of the disease…. The hellebore clears away the bells, delicately painted with a variety of subtle water…. The balsam of the hellebore is not only a colours. Like sleigh-bells, they herald the winter and laxativum, but also a conservativum.ŗ Of the leaves try, despite frost and snow, to outlast it. After of the hellebore he says: ŖThis remedy helped to fertilization, which usually occurs by self-pollination, prolong life and radiant health, and was taken the flowers do not wither away, but turn green and regularly after the 60th year. The humores-doctors thus reveal their true nature; they were not really have caused the herb to be disdained, for they do not petals, but sepals that which corresponds to the petals need the natural mysteries … ŖParacelsus continues are the nectarines at the bottom of the corolla. for many pages to talk of the Ŗstrength and actionŗ of The flower develops from short, thick, fleshy the Christmas rose. Matthiolus, too, and other herbals stems which bear the high leaves, and arise out of a of the late Middle Ages discuss this plant in detail. circle of green ground-leaves. The latter stem from a vigorous black (niger!) rhizome which in fact is a

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 128 subterranean stem and anchors itself to the soil with westwards to the Tessin, and north-eastwards to the many root fibres. Tyrol), over the Apennine, Serbia, and the Carpathian The development and completion of the leaves in mountains.ŗ On the map published by Madaus, which a single plant takes many years; they gradually also shows the French Alps, the capricious character increase in size and at the same time divide more and of this lebensraum is clearly indicated. more into separate fingers. Only when this process of The Christmas rose, therefore, is a plant which in development is completed do the flowers open. many of its properties reveals a definite tendency to Inside each flower are not only the nectarines full of be individualistic, and thus emphatically points to its honey, but also a profusion of almost a hundred special character. This becomes even more striking if stamens which are arranged around a central group of we enquire into its place in the order of plants, and 7 to 10 pistils. A delicate scent rises from this floral consider its closer relatives. being. Anyone able to watch a large number of THE FAMILY OF RANUNCULACEÆ Christmas roses through the years cannot fail to The Christmas rose belongs to the Ranunculaceæ. observe the strange individuality of each plant. One It is therefore a member of a clearly defined plant of the great authorities on the Christmas rose, Mr. family which FRANCÉ characterizes in such a way HUBLOW, of Constance, has shown me the that he exclaims: ŖRanunculi, what a familiar image! photographs of many of his Christmas roses, to Who does not know them, the anemonies, buttercups, demonstrate their peculiar difference in colour, form, larkspurs, the handsome monkshood species, and growth. It is almost as if every one of the 70 Christmas roses, the luxuriant peony! They all belong varieties grown by him clearly emphasized its here and exhibit the extraordinary variety of forms Ŗpersonalityŗ. This goes as far as the place of the existing in this group.ŗ And Pelikan gives in his book flower, the serration of the leaf, the colour of the a particularly vivid description of the type, He says: stem. In this way the Christmas rose not only shows a Ŗ…. The Ranunculaceæ are thus above all plants of kind of individualistic tendency towards the rhythm of spring, of the temeperate region, of bright, damp, the year, but also tries to be a Ŗselfŗ among the open landscapes, of meadows, commons, the edge of members of its own species. the forest, and alpine pastures. Some venture into the Its colour, too, is rather individual, compared water, others climb high up into the world of light in with other plants. The whiteness of the flower is like the mountains, as long as there is no lack of moisture; a wax tablet on which appear the delicate shades of they take up their abode on brooks, around springs, on the bright red of dawn which may change into a deep pastures watered by melting glaciers. They avoid the rose colour. These hues look as if they were painted greater heat of a region, or the hot time of the year, on from outside, and not created out of the plant. The and withdraw into the woods, the forest glades, stems of the leaves and flowers, too, may show shades perhaps even climb upwards there like lianas; they do of red and thus contrast with dark green of the old not grow into trees.ŗ leaves. This gives us a first but comprehensive picture of Is not it as though this flower has disengaged the Ranunculaceæ. Indeed, they do not grow into itself from all the rhythms of the earth and the order trees! Because they try to evade any hardening and of living of the plant world? Has not it to some extent induration. For that reason the transition from leaf to withdrawn from the sphere of life, and thus acquired flower is a gradual one; leaf can be flower, and flower the same colour which is due only to man? The leaf; just as in the Christmas rose the petals are tendency to give away that which is a general habit nectarines and the sepals are flowers and turn green and to be instead something individual and special is later on. ŖThere can be no better characteristic than to at work in this plant. describe the Ranunculaceæ as a leafy type,ŗ says Perhaps this is why the ancients regarded it as a GROHMANN. ŖThe Ranunculaceæ are the artists of remedy which prolongs life, and the philosophers leaf-metamorphosis; the leaf permeates the flower…ŗ drank an infusion of Helleborus before they The Ranunculaceæ thus become the true commenced the work of intensive meditation; they preachers of Goetheřs concept of metamorphosis, tried to withdraw their head from the general ocean of providing they are observed properly. And it is not thought, so that they could develop their individual only that they do not grow into trees; the formation of faculties of thinking. their fruit and roots, too, is never as outspoken and This habitat to Helleborus is as individual as its apparent as in other plant families. They exhaust their properties; it is Ŗa typical indicator for limestone in vitality so fully in the region of leaves and flowers South and West Europeŗ, says Madaus. Its that there is not enough strength left for the uppermost distribution, however, may be called almost bizarre. and the lowest regions: that of the fruit, and that of the For not everywhere where there is limestone can it be root. ŖRanunculaceæ are outstanding in their beauty found. It grows mainly on stony slopes and in in the sphere of their flowers. Among them we find mountain forests. ŖIts general distribution extends many ornamental plants, like for instance the peony, over the northern and southern chalk ranges of the Christmas rose, columbine, larkspur, monkshood, eastern Alps (eastwards to Lower Austria and Croatia, anemones, Adonis, and others. The fruits, on the

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 129 other hand, play no role whatsoever … By far the HELLEBORUS NIGER AND ACONITUM most Ranunculaceæ exhaust themselves, so to speak, NAPELLUS in their beautiful flowers, so that there is nothing left If one tries to survey the whole variety of forms for the formation of fruits.ŗ of the Ranunculaceæ through the course of the year, it That middle region of the plant, therefore, which is a trend of growth and development like a great is engaged mainly in the development of leaf and panorama which unfolds more and more distinctly. flower, is particularly emphasized in the This path begins with the Christmas rose and reaches Ranunculaceæ; it is a family characteristic belonging its highest point with the monkshood. to the whole group. Even the forms of these two plants reveal their In addition there is another, very special polarity. The comparatively small, compact, leathery characteristic which the careful observer cannot miss hard leaves and wax-like flowers of the pale and which PELIKAN also pays special attention to. Christmas rose stand opposite to the tall, upright He tries to show Ŗhow, according to the forces of the monkshood, glorying in the abundance of its blue seasons of the year, the type develops into the various flowers. It can grow to a height of 4 ft. to 5 ft. Its root Ranunculaceæ species, and thus reveals itself in many is a dark, big tuber and from it rises a strong, upright different plants. The dance begins with Eranthis stem which at the top unfolds in a thick cluster of hiemalis, the winter aconite, the crocus among the flowers. Tall, upright and strong, this Ranunculacæe. ..ŗ Then follow the marsh marigold appears at the peak of the summer, in the high (Caltha palustris), and the globe flower (Trollius of Europe. europaeus) which together with a great number of The flowers of the monkshood are no longer anemones come with the arrival of spring. Among radially symmetrical like those of the spring them is also the wind flower (Pulsatilla), with all its Ranunculaceæ (anemones, Aquilegia, Paeonia, etc.), varieties. but the isobilateral. They have given up radiant form A little later come the ranunculi, scattered in many of the flower and submitted to a higher form of different places and regions. On rocks and mountain organization. This form of symmetry already reminds pastures, at mountain brooks and on highlying one of the forms of the animals. The higher meadows; they can be found right down into Asia. invertebrates as well as all vertebrates have the In the late spring and early summer the bilateral symmetry as their fundamental columbines (Aquilegia) appear, accompanied or morphological concept. followed by the peony (Paeonia officinals), and when Figuratively speaking, the flowers of the summer comes, the meadow rue (Thalictrum) appears, monkshood reach, as it were, into the sphere of and the tall larkspur (Delphinium) in many forms and animal life and the very strong toxicity of the plant colours. At the time when the unfolding powers of probably is connected with this fact. From the root summer reach their height, the monkshood (Aconitum right up into the flowers it contains the aconitine napellus) arrives in its blue strength and dignity. alkaloids. High up in the mountains, in the fullest As summer draws to a close, the flowers of the glory of summer, lives the monkshood, emphasizing clematis appear. This is a family spread very widely its own strength almost too forcefully. over the earth, the only one among the Ranunculaceæ Compared with this majestic plant, the Christmas which allows its branches to grow slightly lignified: rose looks poor and pale. Yet in its wintery hide-out it this is where autumn comes. becomes the image of cosmic forces; the beautiful hue This short and somewhat cursory summary gives of its colours reveals it. a picture of the distribution of the Ranunculaceæ Thus Helleborus and Aconitum stand opposite through the seasons. And now at last the Christmas each other. The one has advanced too far into the time rose, too, finds its place. It is the first one, which has of winter and has therefore remained small and rushed ahead of its brothers and sisters of the family earthbound. The other has ventured too high up, has of Ranunculaceæ in the course of the cycle of the boldly reached the summery heights, and could only year. Its later varieties, which flower in February and maintain its individuality by being permeated with March, already link up with the winter Aconite and toxic substances. Both plants are pioneers of the pheasantřs eye (Adonis vernalis); and the liverwort family of the Ranunculaceæ. (Anemone hepatica), too, appears, and many other The polarity shown here is particularly evident in spring anemones. the homœopathic modalities. The same contrasts Everywhere where the snow melts and spring sets appear which on the one hand can be seen and in the Ranunculaceæ begin to flower: Here is the deciphered in the outer form of the two plants, and on place of the Christmas rose within this plant family. It the other hand experienced and established in the drug has ventured one step too far and run ahead even of provings. early spring, and therefore fallen into the arms of Kent describes the two remedies in his usual winter. It has remained faithful to the snow. It became dramatic way. Of Helleborus he says: ŖIn all the the leader of its plant family in the course of the complaints of Helleborus stupefaction occurs in seasonal cycle of the year. greater or less degree. Sometimes it is a complete stupor, sometimes a partial stupor, but it is always

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 130 stupefaction and sluggishness . . . There is a peculiar Christmas rose. That, however, is not an easy kind of imbecility or stupefaction of the body and undertaking, for there are many weeds which try to mind. The extreme state is unconsciousness. overgrow the real properties of the remedy. Complete unconsciousness in connection with ALLEN, after listing a number of rather cerebral congestion, or meningitis, or inflammation of confusing single symptoms, concludes as follows: ŖA the brain, with stupefaction. Even early in the disease low type of fever, with great apathy, offensive breath, Hellebore lacks the wildness and acute delirium found feeble pulse, opium-like stupor, coldness and cold in Stramonium and Belladonna. It is passive - . . The sweat.ŗ This again shows clearly the picture already Hellebore case will linger for weeks and sometimes described by Kent. months in this state of stupefaction, gradually NASH is very outspoken in his description. He emaciating. He lies upon the back with the limbs says of Helleborus: ŖWe know its usefulness in the drawn up; he looks pale and sickly. When questioned advanced stage of severe diseases of the brain, such as he answers slowly … The muscles will not act; they meningitis, or any other where exudation is imminent will not obey the will. It is a sort of paralytic state … or already present.ŗ He then gives a more detailed The patient appears semi-idiotic.ŗ account of the clinical picture which is similar to the How different sounds the same authorřs one given by ALLEN, and points to a most important description of Aconitum! ŖAconite is a short-acting Symptom: the severe decrease of the diuresis. ŖUrine remedy. It is a violent poison. Like a great storm, it scanty or retained altogether, sometimes coffee- comes and sweeps over and passes away…Strong, ground-like sediment.ŗ And he adds: ŖThese robust people, rugged children, hearty infants become symptoms indicate a hopeless state and the patient sick . . . caught out with thin clothing, or remaining will soon die in a coma or with convulsions unless the out in the cold, dry air of mid-winter, they come down right remedy is found.ŗ Finally, the author also even before night with violent symptoms . . . The indicates that Helleborus is Ŗan excellent remedy for patient seems to be threatened with a sudden and dropsy after Scarlet feverŗ. violent death, but recovery is quick . . . It has the lung These two descriptions give us a first picture of and brain complaints of mid-winter, and the bowel the line of action. Too much liquor is produced in the inflammations and stomach disorders of mid-summer central nervous system, whilst the kidney almost . . . The patient feels the violence of his sickness, for completely ceases to yield urine. The fluid organism he is under a great state of nervous irritation, nervous floods the head, and withdraws from the kidneys. excitement. Fear is depicted upon his countenance, In CLARKEřS Dictionary, Helleborus is and the heartřs action is so overwhelming the first discussed fully, and there, too, we find the lines of thing he thinks of is that he must die . . . When we see action just mentioned. He also quotes HAHNEMANN this intense fear, this awful anxiety, great restlessness, who said: ŖI conclude from various observations that the violence and the suddenness of these attacks, we one of the first effects of Black Hellebore is a kind of have a case, perhaps, that is dying from the poison of stupor, a dullness of the sensorium commune, a Aconite, or one who needs Aconite.ŗ condition where, with sight unimpaired, nothing is Here we have indeed two polar processes seen very fully, and the patient does not pay any opposed to each other: the stupefaction, sluggishness, attention to anything.ŗ CLARKE indicates meningitic and slowness of the Helleborus-patient, and the conditions; he, too, mentions hydrocephalus and the suddenness, restlessness, and fear, even agony of scanty flow of urine. death of the Aconitum-patient. Mirrored in these two Finally STAUFFER begins his description with modalities one can see the earth-bound, slowly the following words: ŖBrain and kidney remedy: developing, pale Christmas rose, and the upright impending collapse of the brain or heart. Vitality monkshood as it appears when the force of summer is ebbing away fast, with cold sweat on the forehead. at its highest. Observation of the gestalt, and the way Muscular cramps, followed by weakness and general in which the plant appears in its environment is paralysis.ŗ almost enough to decipher and explain the symptoms. Here we meet already mixed together the These are not such simple associations as Ŗcold symptoms of acute as well as chronic poisoning. As airŗ and Ŗhot summerŗ (Aconitum), but the inner in most drug pictures, they are disturbingly thrown individuality of the plant which reveals itself in its together and this obscures the actual picture of the form, but also in its provings. The signature cannot be drug action. deciphered by playful comparisons, but by Muscular cramps and general paralysis, like experiencing the inner gestalt and outer gestures of a many other symptoms, occur with the acute poisoning plant. with helleborin or helleborein. The chronic poisoning obtained with the drug THE DRUG PICTURE proving, however, clearly indicates the dislocation of the fluid organism from the lower to the upper parts of Now that we have come to see the contrast the body, as we described it above. If this occurs too between Aconitum and Helleborus, let us try to study strongly, exudative rneningo-encephalitic conditions the Homœopathic Materia Medica to discover the arise which blur the sensorium induce stupor, and general and the special directions in the action of the

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 131 inhibit the initiative. In this state the symptoms occur We remember that PARACELSUS connected the which Stauffer describes: curative strength of the Christmas rose with four types ŖOccipital headache, with sensation of numbness, - of diseases: Epilepsy, Podagra, Stroke, and Dropsy. heavy as wood. And speaking of Dropsy, he writes the sentence we Head is burrowed into the pillow and thrown to have just quoted. He even adds a peculiar annotation: and fro. ŖIt is as if Moses had struck the liver with a rod and Eyes turned upwards, pupils wide, without nothing but water would run from it all the time reaction. (perhaps it cannot be in any other way than that God, Chewing with wrinkled forehead, cold sweat on like Moses, strikes with a rod).řŗ forehead. No water flows from the liver: but where in the Automatic movements of limbs, continuous organism does a liquid as clear as water flow all the movement of one arm or leg, whilst the other time? Could it not be that PARACELSUS meant the limbs lie as if paralysed.ŗ everlasting fountain of liquor production? That There is, however, another aspect in the continuous process of production everywhere where displacement of the fluid organism, for there may also the choroid plexus projects into the ventricles of the arise a hydrops with Pleural exudation, Ascites, and brain? Isnřt this the place where the remedial power Anasarca. STAUFFER mentions in connection with of the Christmas rose acts? The site at which in a this an Acute Nephritis, accompanied by Uræmia, and never-ending stream the thousands of droplets, that he also points to Eclampsia. Ŗwaterŗ, flow which revive the decaying forces of the This description opens up a first insight into the central nervous system? Ŗstrength and actionŗ of the Christmas rose. Will it be The Christmas rose has its abode in deep winterřs possible to understand anew the signature which has time. When the world of nature has died down and the revealed itself to us? forces of life have withdrawn into the depth of the earth; when the globe has inhaled deeply and almost THE SIGNATURE turned into a crystal, then the time of the Christmas The active substances contained in Helleborus rose has come. Like with a magic wand it strikes at niger are above all two glycosides: Helleborus and the wintry rock of the earth and draws from it that Helleborein. Simonis reports: ŖThe poisoning in man trace of vital water on which it can maintain itself. appears in a variety of symptoms: Salivation, Nausea, The verdant forces of life are at work only in its repeated Vomiting, difficulties in Swallowing, Gastric leaves; these grow throughout the year, and take part and Abdominal pains, Diarrhœa, also with blood, Pain in the whole life of the earth. But in winter the miracle in the calves, Pallor of the skin, Vertigo, Tinnitus. happens that suddenly flowers appear, through snow Photophobia, Darkness before the eyes, Blindness. and cold, contrary to the rhythms of life. Here the Later delirium, Sobbing, cramps, Weak and process reveals itself which otherwise occurs only infrequent pulse. Dyspncea, Somnolence, and Death inside the ventricles of the brain: that out of the with convulsions.ŗ flowing blood, quietly, working drop by drop, a liquid Here we have the combined picture of symptoms arises which is as clear as water. The liquor is like the due to partly acute and partly subacute poisoning. flower of the blood. The same process which inside Outstanding is again the clouding of the sensorium. the head gives rise to the production of liquor also From the data available it appears that helleborin is creates outside the flower of the Christmas rose less toxic than helleborein. .... The former acts more during winter time. The stream of vitality which runs strongly on the sensorium, the latter on the gastro- through all the Ranunculaceæ here is transformed into intestinal tract. But, however, attack the whole of the the purest flower; in a similar way the blood stream muscular system, including the heart. These are not turns into the liquor cerebrospinalis. In both places a confirmed findings, but the probable lines of action. similimum arises, in two different forms which It does show that the acute poisoning, too, acts on harmoniously ring together. the fluid organism and profoundly disturbs its Like the Christmas rose, the liquor may balance. The results are the signs and symptoms of sometimes be delicately tinged with red; if a vomiting and diarrhea, the weakness of the muscular hæmorrhage occurs in the central nervous system its system, and finally the complete collapse of the clearness is clouded. circulation. At this point, we should remember the important In the case of chronic poisoning it is a more investigations made by v. MONAKOW which were specific disturbance which affects those parts of the all too soon forgotten. He was able to prove that in fluid organism which are connected with the severe mental disorders, especially in Schizophrenia, production of the liquor and urine. PARACELSUS, in pathological, mostly sclerotic changes are found in the the essay of Helleborus, says the following : ŖIt is plexus chorioideus. This indication might provide an well-known that a fountain springs in man from which explanation for the repeated mention in the literature water flows to such measure that those who have of cases of mental disorder cured by Helleborus niger. never seen it will not be able to believe it.ŗ Is it Thus the indications for the use of Helleborus possible still to get the meaning of such a statement? mentioned by Paracelsus begin to regain some

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 132 meaning. For Epilepsy, Stroke, and Dropsy are is associated with heat and fire and burning, and closely connected with the ormation of liquor. Gout, comes out of a mixture or association of many however isstill a complete riddle to our understanding geological formations, so this Polychrest has proved useful in many internal disorders and their external and therefore Paracelsusřstatement remains - obscure. manifestations, so familiar to all of us. With these results we achieved to sketch a It seems almost superfluous to speak of a remedy preliminary picture of the life and action of the so well known to this distinguished audience of such Christmas rose. We recognized it as the pioneer wide experience, yet it is one of our best and dearest among the Ranunculaceæ who penetrated into the friends that we like to speak the most, and this region of the deepset winter. This makes it a polar medicine has been a friend indeed in our work here in opposite to its relative, the monkshood, which has Africa. White, brown, black, all, have felt its chosen summer as its lebensraum. beneficial effects. Considering the typical Sulphur All the Ranunculaceæ which are medicinal plants case, it is not easy to comprehend its prevalent use act on the water metabolism. They permeate the fluid among the members of such a clean, educated, refined organism because they in themselves have a strong people as the Europeans. Whether altitude, decreased relation to the fluid element. Where the snow melts, oxygen pressure with a decreased elimination of the brooks flow, and on the damp edges of woods, by waste matter, climatic conditions, or other influences and near to the swamps is their habitat. are at work to produce this state, I cannot say. But just as the liquor separates from the whole If there ever was a need for a specific, granting that water metabolism of the body, and achieves a special there is such a thing, it is right here among these black place, so does the Christmas rose separate itself from people who are not accustomed to detailing their its brothers and sisters and become a hermit of the symptoms as we homœopaths desire. We know how winter time. Both, liquor and Helleborus, produce the we have to dig and delve at times to extract from a same living gesture; they separate from the rest and white patient symptoms sufficient for a good drug stand apart. picture. Imagine, if you can, how trying it must be to Perhaps it will be possible, from the renewed secure sufficient leading symptoms from an African. understanding of this strange flower, that it will be He knows relatively little about his body, its thought of more often in medicine and again used physiology and pathology, he does not understand for more frequently. what we are seeking, and much of the time he is not ŕThe British Homœopathic Journal, Oct., ř59 able to make perfectly clear to us just what sensations

or feelings he experiences in his body or mind. There ------are very few Europeans who can fully comprehend the true and finer meanings in the native languages. 2. Sulphur, A BLESSING TO EAST AFRICA To a native with a headache, it is his head alone that E. DAVIS, M.D. concerns him. Often he would look at us (The Homœopathic Recorder, September, 15, contemptuously or refuse to answer our questions 1929) concerning other parts of the body, and as to ŖI have found the homœopathic remedy for the Ŗgeneralsŗ for which we seek; it is his head only that Agikuyuŗ, I joyfully announced to one of our lady bothers him and for that alone does he seek relief. If missionaries who had done considerable medical not watchful, we will have the patient answering as he work. ŖWhat is it, Sulphur?ŗ she promptly responded, thinks we want him to and not giving true answers showing that she too had sensed the value of this concerning his symptoms or absence of them. Polychrest, for the Africans. In hospital patients, if not too acutely ill, I have A few months ago my wife, who is a trained tried giving Placebo for three days, for a native when nurse, and I were called to a maternity case at the sick does not like to be without his medicine for even railway station, three miles from our mission station. twenty-four hours. Then his symptoms are taken each During the usual period of waiting I read the article on day in order to secure some that are reliable. One day Sulphur in Dr. KENTřs LECTURES ON a pain is in one place, the next he has another HOMŒOPATHIC MATERIA MEDICA and it complaint, or he remembers a symptom he has not greatly impressed me as being one of the chief told me before. On one visit his pain is sticking, on remedies for the black people among whom we are the next it may be described as burning or cutting. working. Our hospital is located among the Agikuyu, After several questionings, if the patient will tell a large Bantu tribe, but the Akamba, the Masai, the practically the same story or his symptoms are about Ja-Luo, and other tribes also come to us. the same on two or three occasions, then we feel that Since reading Dr. KENTřs article, the value of we have a surer basis for the study of his remedy. Sulphur has become more and more apparent to me in As would naturally be expected with such a my medical work in this land. When one considers its Polychrest, Sulphur is useful in a large variety of origin, is it any wonder that it is so useful in many of ailments of the African people. Practically every the human ills! As Sulphur, in its natural source, native, especia1ly of the tribes that eat meat to excess, comes from the inside outward, from below upward, and many a European, has one or more intestinal

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 133 parasites and many of the symptoms produced by known during his four and a half months in the them are those of Sulphur. Tapeworm, roundworm, hospital. It came on at 11.30 a.m. and the only hookworm, amebae of different varieties, and others symptoms I could secure were these: he cried out, fell are more or less common, varying in different parts of backward, much saliva flowed from his mouth, and he the country. So far, I have found more confidence in was weak afterward. I promptly gave Sulphur 500, a the use of Sulphur than in the use of the other powder at night for three nights, as an antidote. remedies I have tried. A month later I gave Sulphur 200 and on the Practically every Pneumonia case that comes second day after he had another attack. This one came under my care will have Sulphur at some time during on at 2 p.m. and gave these symptoms: he felt heat all the course of treatment, usually at the last stage. On over and perspired before the attack. Again he cried account of the increasing prevalence of Tuberculosis out when falling. He urinated during this spell. among these people, I am inclined to think that much Afterward he had trembling of the limbs and felt of the Pneumonia is tubercular in origin or warm. association. We all know the usefulness of Sulphur in These experiences gave me some idea of the Tuberculosis and I find it to be the chief remedy, for value of Sulphur in that dread disease, Epilepsy. My the glandular as well as the pulmonary form, in experiences in gynaecological work, and we have a tubercular peritonitis and in the bone lesions, great deal of that to do, have led me to consider Phosphorus having disappointed me many times. Sulphur and Sepia the former leading, the chief Diarrhoea and dysentery are common complaints in remedies in the common complaints that line. It is this land; in the high altitudes it may be due to or uncommon to find many leading, distinctive aggravated by the chilling of the insufficiently symptoms in this or any other class of cases, and our protected abdomen when the cold air of the evening experience combined with a few symptoms that we comes on after the heat of the day. We personally are have found common among these people in the living at an altitude of 7,500 feet and the nights are remedies generally used had to be our main help in always cool, if not cold, even though there may be selecting the homoeopathy remedy. tropical heat at midday. For these troubles Mercurius Sulphur has been my main remedy in removing vivus and more lately Sulphur have been found to be warts. Miss. C., one of our young lady missionaries, the most useful. When Mercurius seems indicated and had small, rounded warts on her left palm and right does not give relief, then my inclination is to think of ring finger, sore to the touch. She was planning to be Sulphur. married, so would be pleased to be rid of these In tapeworm, scabies, and eczema, in the usual blemishes. I searched for all of her symptoms and absence of guiding symptoms for another remedy, studied up the remedy on the basis of such: tendency Sulphur is practically always given, often in the 12x at to take cold, aversion to company, aggravation from first, changing to the higher potencies later. So many consolation, irritability, weeping tendency, sensitive, of our patients are not seen again or at least for so obstinate, fond of travel, desire for open air, craving long a time that it is not easy to write at length on sweets, meat, and cold drinks, aversion to fats, worse wonderful recoveries produced by the aid of this before menses, urticaria from sweets. remedy, but we have seen sufficient to encourage us Out of my study came Sulphur and later out came and to give us great faith in its usefulness. the warts, Ŗrolled outŗ, as she described it. In three I have been impressed by the action of Sulphur in weeks they stopped growing, in two months they were cases of Epilepsy. A native boy was brought in badly smaller, and later they separated entirely, much to the burned, so severely that his hands and feet were surprise of the interested young man who had deformed. This was the result of falling into a fire in ridiculed the use of anything but external applications. his hut during one of his epileptic spells. His burns Likewise others have seen their warts disappear healed and he left, only to be brought back again with when Sulphur was used on the totality of symptoms, more burns. After these healed he worked at the and I hope to remove others, for this has proved to be hospital carrying wood for the patients, and he began the best remedy in my hands. to have seizures again. I secured what few symptoms Sulphur has proven of such signal benefit in there were and after careful study gave Sulphur 30x. asthmatic conditions that I practically always think of As a result of treating him with this remedy for some it when such a patient comes. Similarly would I speak time, all attacks stopped and I have heard of no more of Urethritis, though Mercurius vivus vies with ulphur trouble in the past five years during which he has been here, also some eye troubles such as temporary working steadily for another missionary. dimness of vision that is rather a common complaint Recently we had another burn case in the among the natives, and chronic liver disorders. hospital, the result of falling into the fire during an The potencies that seem to give the best results of epileptic attack. Different remedies were used for those in my possession are the 30x and 200, though I various symptoms that arose and late in his stay I was have used a number ofř different potencies. To the led to give Sulphur for the fist time. On the tenth day black people I give the remedy in frequently repeated after beginning Sulphur 30x, though Placebo was doses for a short period, as they, in my experience, given for the last two days, he had an attack, the first seldom react quickly, then I gradually reduce it to

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 134 thrice, twice, and once a day, having them take it with were learned; first, the fundamental nature of the truth hot water, to favor quick absorption, and also to get taught by HAHNEMANN regarding suppression, and, more water into the system, for a sick native drinks no second, the wonderful power of potentized Sulphur to water, or at the most only hot and little of that. restore health under such conditions. This of course Experience has taught me not to expect very applies more particularly to psoric cases. Where there quick results among these black people and to some has been a gonorrheal suppression, the remedy which extent in all people in this land. If there is scarcely in my experience most certainly brings back the any change even in a weekřs time and the symptoms original discharge is Rhus tox., an occasional case still seem to indicate SULPHUR, I will continue to requiring the help of Sulphur. The final clean up of give it, remembering how prevalent are infestation such cases most frequently calls for Medorrhinum and with intestinal parasites, tuberculosis, and other Sepia. For syphilitic suppression Hepar sulph., Nitric dyscrasiae. acid and Lachesis are prominent remedies. The symptoms that most commonly cause me to LIPPE used to say that many old syphilitics have think of Sulphur are the following: abdominal pain, been so completely drenched with mercurials and burning or sticking, especially in the epigastrium and iodides that nothing short of a few months at Hot above the navel, usually worse after eating; easy Springs, Ark., would sufficiently clear the field for satiety; poor appetite; nausea after eating; abdominal our remedies to have a chance to work. distention after eating; rumbling in the abdomen; Unfortunately, this is seldom possible. aggravation from farinaceous food; constipation; While on the subject of suppression, let me call morning diarrhoea, often with tenesmus; increased attention to one of its commonest and most frequent frequency of urination; perspiring more easily or at forms, having to do with the feet, such as the painting night in bed, and especially in the palms of hands; of bunions with Iodine, the removal of corns with increase of saliva; thirst for cold water; cough worse plasters and salves and the suppression of foetid foot at night, in bed, on turning, after eating; hot feet; sweat. The classic remedy for all such cases is burning pains anywhere; pulsations and flushes of Silicea, though at times Sulphur is required too. heat; pain in the back, usually burning and common in It was stated that last year at Pittsburgh that, the interscapular region; aggravation from heat, or no owing to habits of increasing cleanliness on the part reaction to either heat or cold, or only a slight of most of the population, there would likely be less aggravation from cold, the first being most common; and less call for Sulphur as an everyday remedy; but restless at night; sleepless after midnight; aggravation forty yearsř experience in my own section of country after midnight, or morning and evening; aggravation makes me doubt any such probability. Not so very from lying on the back or from standing; complaints long ago the lumber camps were notorious breeding worse on the left side quite noticeably; itching, worse places of Scabies, with the usual handy means of at night and from heat, or the result of insect bites; suppression, and more recently large numbers of tongue white, yellow at the base, possibly slight young men were infected during the Great War in imprint of the teeth, particularly with clean, red France. Therefore it is necessary to be constantly on margin all around. the look-out for past suppressions as the leading cause On account of the difficulty in securing adequate of many present day complaints. symptoms and getting a good drug picture, my aim Probably no patient is so easily identified by his has been to find a remedy that can generally be used appearance and objective symptoms as the Sulphur in the complaints that come to our attention and with a man. He is likely to be dirty and smelly; not the reasonable expectation of its helping. How thankful decent occupational smell of the woodworker, iron we are that in our great remedies, Sulphur, Arsenicum, worker or leather worker, but the disgusting smell of Mercurius, Natrum, Pulsatilla, Silicea, and others we dirty clothing too long unwashed. Significantly, the have, not true specifics, but medicines that will relieve Sulphur patient is not only dirty as to person and many of the ailments of the Africans. clothing, but he is perfectly content to remain so. He is too lazy and too indifferent to bathe, and will wear Kijabe, Kenya Colony, British East Africa. the same dirty old clothes as long as they hold

------together; to make matters worse, if remonstrated with, he will justify his course by sustained and clever 3. Ye Good Old Sulphur arguments, hence he used to be called the Ŗragged D. C. McLAREN, M.D. philosopherŗ by the old authors. Imagine, if you can, [The Homœopathic Recorder, September, 1929] a neat, tidy, fashionable dressed Arsenicum lady married to one of these dirty, untidy Sulphur Shortly after graduation, now well nigh fifty fellowsŕthey will have an increasingly unhappy time years ago, one of my first cases was an infant for a few years until forced to separate. apparently dying of acute congestion of the lungs The Sulphur patient can be further identified as caused by the suppression of an eruption. A speedy follows: red-edged eyelids, bright red lips, and dark and satisfactory cure was wrought by the use of rings under the eyes. In parenthesis let me add that Sulphur, and from this case two important lessons red lips of the Meatus Urinarius in cases of

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 135 suspected gonorrheal infection strongly indicate condition of eruptions reappearing in Winter; it is Sulphur. Round-shoulderedness is a marked often required for eruptions where Sulphur fails, or indication: a slouchiness of carriage either too weak aggravates. Old recurrent cases of ivy poisoning or too lazy to hold himself erect; when seated in your require both Sulphur and Psorinum to make a office he sits leaning forward with elbows on knees. permanent cure. An elderly woman with a chronic stoop remaining The Sulphur patient is generally hungry; eats always in that posture was cured in a few months by a heartily and is hungry again; often eats between single administration of Sulphur. Sulphur patients are meals. Subject to cravings; often too fond of meat, of usually hungry; also hungry between meals, with that sweets, tea, tobacco or whiskey. Great desire for empty feeling at 11 a.m. and 5 p.m.; must have a meat; eats it two or three times a day; also many who snack or go on getting weaker until meal time; hence are light meat eaters, but who must have that small we have as a marked symptom of the remedy, portion of meat once a day, or else they get faint and aggravation when hungry, or when the stomach is weak, lose snap and energy. The Sulphur patient feels empty, with corresponding increase of snap and the benefit of the meat he eats. Many of them eat far energy after eating. too much, especially pork, and bring on boils, The distress from ulceration is apt to be felt sometimes even carbuncles, and even various skin mostly when the stomach is empty and VICE eruptions. The craving for sweets is equally marked; VERSA; Without doubt Sulphur is our best remedy besides gratifying the palate, these people get a for ulceration of the stomach. Psorinum also has certain amount of energy and stimulation from the aggravation when hungry, but with this marked sugar they consume. These unfortunates who difference, instead of getting faint and weak, the man seemingly have to get drunk once in a while manifest gets cross and ugly, scolds because dinner isnřt ready. strongly two marked indications for Sulphur, the Some people regularly get that exhausted feeling in periodicity and the craving. Such cases are difficult to the spring, and a dose of Sulphur pulls them together cure for psychological reasons, but they always and prevents breakdown. require Sulphur. Consider what it is that causes these An unusual form of weakness calls for Sulphur; cravings: it is nothing else but the presence of Psora in he or she cannot stand, will walk a block rather than the system, repeatedly burnt in by crude Sulphur stand a minute waiting for a car; the lady canřt stand generations, and now intensified and made more long enough for the dressmakerřs fitting, and of virulent by six or seven generations of vaccinations. course, canřt stand in church. Such people may have Probably the free use of the crude substance both average health otherwise, but a little careful externally and internally for hundreds of years may questioning will reveal other symptoms calling for have caused one of its most marked characteristics, Sulphur. viz., burning. Hot vertex, hot feet, hot flushes, Even when tired and exhausted he is refreshed burning anywhere and everywhere, external and and feels better in the open airŕair hunger is just as internal; when external, often associated with itching; important an indication as ordinary food hunger. The which when relieved by scratching turns to burning. patient often manifests this by ineffectual efforts to Burning skin eruptions often call for very close breathe deeply, also by long sighing inspirations. differentiation between this remedy and its analogue. Truly he needs oxygen badly, but he needs Sulphur Arsenicum, which is equally strong on the burning. worse, for that along will enable the system to The hot feet of Sulphur require notice, often appropriate the oxygen from the air which he is trying affording valuable confirmation when choosing a so earnestly to breathe. Recurrence of symptoms and remedy. The feet are apt to be cold all day, and get conditions at more or less regular intervals is very too warm in bed and he wakens with his feet out, or significant of Sulphur, sometimes once a week, or they simply get warm enough to make him move his fortnightly or monthly, or Spring and Fall. This, of feet to a cool place in the sheets. While many course, spells chronicity, but along the line of acute remedies have hot feet, one in particular views with disorders the same thing is observable and becomes a Sulphur, viz., Medorrhinum. This patient not only Ŗtendency to relapseŗ, and gives rise to many gets the feet out but puts them against the wall to cool troublesome experiences. Sulphur helps such cases them. There are easy differential features between the when given, not on that modality alone, but along two remedies. The Medorrhinum case needs with other indications. As well as fresh air he needs treatment all Winter and is better in Summer; Sulphur cool conditions; he canřt stand heat; a little extra heat the reverse. The Medorrhinum has strong tendency to weakens the patient, he gets exhausted and sometimes lie flat on his face; if he does not actually sleep that faints. He is much stronger and better in the cool way, he often lies first in that position for a rest before Autumn weather. In general, Sulphur is worse Spring going to sleep. In parenthesis, it is very useful for and Summer and better in Fall and Winter. While the those abdominal pains which are relieved by lying on first warm days of spring frequently call for Bryonia, the face. The Sulphur patient lies on his back, or goes look out for Sulphur too. Especially in eruptive to sleep on his side and wakens on his back, often disorders: the rash breaks out every Spring and gets with nightmare; Sulphur is one of our best remedies worse during the Summer. Psorinum has the opposite for nightmare. For Rheumatism of the feet,

Medorrhinum has pain mostly in the ball of the foot, It remains to notice some of the relationships. but Sulphur mostly in the heels. Medorrhinum has a Aconite is definitely related, meeting many acute cough on falling asleep, but Sulphur jerks a limb or conditions to which Sulphur corresponds on the whole body on falling asleep. The Sulphur patient chronic side. Nux vomica is closely allied to Sulphur generally sleeps well and has pleasant dreams but at and is nearly always followed well by it; the the same time it is one of best remedies for insomnia, exception being those cases that call for Lycopodium, or disturbed sleep of any kind, often turning the trick and even these may be better by a dose of Sulphur, if when everything else fails. When asleep the side lain not to complete the cure, at least to confirm it. on goes to sleep or gets numb, or he may be troubled Sulphur is followed well by Calcarea, or it might be with cramps in the legs. better to put it thus: Calcarea acts best when the way GUERNSEY, in his monumental work on has been prepared for it by Sulphur. This relationship Obstetrics, says the new-born baby should be given a to Calcarea also brings it into close touch with dose of Sulphur as soon as possible to combat the Belladonna; they act quite favorably one after the Psora and give the infant a good start in life. This other. may not always be possible, but soon enough the OTTAWA, CANADA. youngster will show its need of Sulphur; in spite of the utmost cleanliness the anus and surrounding parts DISCUSSION are apt to become chafed, red, raw and sore; the urine and faeces are acrid and excoriating; Sulphur cures CHAIRMAN STEVENS: These two papers are now promptly. The baby is never so happy as when his open for discussion, and I wish to say that we will be feet and bare; he keeps kicking until he gets the socks very glad to have any of our visiting friend take part off; quite frequently dislikes being bathed, and in the discussion. Dr. ELWOOD DAVIS of Kihabe, dislikes water to drink unless it is sweetened; gets Kenya Colony, British East Africa, took great vigorously and noisily hungry half an hour before pleasure in writing his article on Sulph, and I think it nursing time. An undernourished infant who cries all gives some ideas on the use of this remedy. the time from hunger, chews his little fists, kicks the clothes off and objects to being washed, certainly PRESIDENT WILSON: Dr. ELWOOD DAVIS was a needs Sulphur badly. graduate of Hahnemann Medical College of Warts are frequently cured by Sulphur when Philadelphia. I knew him as a boy. I knew his father other symptoms call for the remedy. I remember a as a minister of the presbysteriam church in case where both forearms and hands were thickly Boundbrook, which is just on the river from my home covered with warts; they all disappeared in a few town. So it is a pleasure to read Dr. DAVISř paper. weeks after giving Sulphur. Local congestions such SECRETARY ROBERTS: Dr. DAVIS is also a as recurrent attacks of conjunctivitis usually yield graduate of our Foundation School. promptly to Sulphur. Boils which come singly or in groups, but which keep on coming, need this remedy; DR. HUTCHINSON: This magnificent paper of Dr. it hastens suppuration and puts an end to the McLARENřs refreshes us so that we forget the recurrence. discomforts of the heat. I think a study of Sulphur by Almost the first thing the student learns about such a homœopath as Dr. McLAREN is always Sulphur is the early morning Diarrhoea; this occurs helpful and full of suggestions. Just one item I will any time between midnight and morning and often speak of and that is the inadvisability of giving two or three times. Painful urging drives him out of Sulphur in Cancer cases. I have been treating for six bed, with relief after stool; after going a few times, the years a very interesting Cancer case that has not been anus gets sore, even raw and excoriated, with more or at all inconvenienced by the Cancer so far as a general less exhaustion. health goes, although operation has been repeatedly There is a class of cases which must never have advised by local physicians. The patient lives 2,000 Sulphur, and the more definitely indicated, the more miles away; I had photographs which were very certain it is to do harm. Consumption cases may be reassuring as to a cancerous, healthy patient, a lady of easily hurried to a fatal termination by Sulphur, 84 years. She has done wonderfully well on Quinine, though I remember one case of recent severe very infrequently prescribed. haemoptysis in a hitherto strong and healthy man, to As to the Sulphur, at one time I thought she whom I ventured to give Sulphur with the very needed it. That was a year or two ago. I canřt recall happiest results. It is never safe to give Sulphur to just the circumstances which led me to prescribe it. I Cancer cases. They may be going along quietly, the did give it, however, I sent a medium potency of 1M, Cancer almost inactive but a dose of Sulphur will probably, and it was immediately followed by cause it to flare up violently and fatally. Patients in a discomforts. I remember some weakness and weakened state after cerebral apoplexy are also better prostration. A relative who was looking after the without this remedy; it sometimes precipitates another patient and reporting to me said that she had put her stroke, this time fatal. grandmother to bed several days on account of the heat, and prostration probably caused by it, but it was

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 137 obviously a bad effect of the Sulphur, from which in a in Cancer cases. I have seen on two occasions rather few weeks she recovered. sluggish, dormant Breast Cancers where Sulphur was That point brought out by Dr. McLAREN was clearly indicated, and I have given it to my sorrow. very interesting to me because I knew very little of its They flared up and became rapidly fatal. I also gave relation to Cancer, and at once this incident came to Calcarea fluorica to my sad regret in a scirrhous type my mind. of Breast Cancer, where there were definitely Calcarea fluorica symptoms. But in a case of spindle Dr. WOODBURY: Madam Chairman, I have felt for cell Sarcoma of the breast, where Carbo veg. was a long time that there was one approach to the subject very strongly indicated, enucleation of the mass of Cancer that was very important and I donřt know of followed the giving of the remedy and at the time of any better place to mention it than here in connection operation the entire tumor was removed, with perhaps with this suggestion about Sulphur. I have a feeling only a small area about an inch long holding fast. that if we would tabulate very carefully the There was no axillary involvement, and the patient symptomatology of all the cases which have made a perfect recovery (Applause) developed Cancer under our treatment, in time we would be able to get some idea as to the pre-cancer Dr.GREEN: Madam Chairman, I would like to say diathesis. That, of course, has been gone into to quite one word about Dr. ELWOOD DAVIS, who came to an extent by men like BURNETT, CLARKE and our Foundation School for one of its sessions. Dr. COOPER in England, and we have heard a good deal DAVIS is a very earnest homœopath, but much about it in connection with the various efforts that handicapped in two ways. First, in the matter of have been made toward Cancer cures, Cancer tonics, adequate supplies at his African station, and, anti-toxins, but the fact remains that patients who are secondly, in having to treat, as he has told you, so full of Psora and various complex miasms do develop many peculiar and baffling conditions. I wonder if Cancer under our homœopathic remedies. By the I.H.A. members would like to send a letter to Dr. checking up the symptoms noted in our Cancer DAVIS thanking him for his paper, and giving him patients, unsuccessfully treated by our homœopathic the good wishes of the Association, with the hope that remedies, it would help us to quite an extent to get the the next time he gets a furlough he will come back picture in our minds. Then we would be better able to and study with us some more. (Applause) find out the pre-cancerous symptoms and we might possibly prevent the development of the growth if SECRETARY ROBERTS: I was very much prescribing can do it. We would observe, too, the interested in Dr. DAVISř article, as well as in Dr. remedies and classes of remedies which have McLARENřs. There was one thing I noted, the use of benefited Cancer. Sulphur so constantly among the negroes of Africa. I About four years ago I spent a year studying the think it is a fact that probably 95% of the cases of the problem of Cancer and I made some observations then negro race come under three remedies Ŕ Bryonia, that I still maintain are true; that Cancer is a Sulphur, and Sepia. Those are the three great constitutional disease and that no homœopathic remedies that are usually indicated in negro people in remedy has ever cured or can cure it, but I do believe this country, and I am glad to get his notation that is that the remedy has cured and does modify the so over there in Africa. manifestations of Cancer appearing in individuals I was impressed with the difference between Dr. who have or do develop Cancer. I do not mean by McLAREN and Dr. DAVIS on the indication for that that we can cure Cancer, because it is very Sulphur in tubercular patients, or rather the danger of unwise to make any such statements, but I think that it and I think that Dr. DAVIS probably will learn that some study of the kind can be undertaken by this Sulphur will not fit in tubercular cases any more than Association. It may be very valuable. in cancerous cases. I have tabulated in my one yearřs study all the case records I could find in our homœopathic Dr. ALLEN: Sulphur made for me one of my worst literature. There is need of going into this matter still enemies and best friends. When I first located, 30 more deeply. If we could do it, we would know better years ago, in northwestern Ohio, there was an old the relation of Sulphur and all the other suggested school man with a statewide reputation as a surgeon. remedies to Cancer. There was little opportunity to do Homœopathy. His set statement was that a homœopath would drop a Dr. BOGER: Madam Chairman, I wish to add that drop of medicine in Lake Superior and go down to when Sulph, seems to have exhausted itself, which Niagara Falls and fill his bottle. I made up my mind happens once in a while, Sulph.iod. follows that I would go to see him. He very graciously wonderfully well. received me and introduced me to his library. He said, ŖI have more homœopathic books than you Dr. UNDERHILL: I think these two papers on have,ŗ and he had. He said, ŖYou are foolish to carry Sulphur are exceptionally fine. I want to verify the 32 remedies around with you when you only need statement Dr. McLAREN made in regard to Sulphur one, and that is Sulphur. It records every symptom

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 138 known in the ailment of human natureŗ. I said, ŖWhat time and use it for reference in a large majority of do you use Sulphur forŗ? ŖAutoinfectionŗ. I have cases, in addition to other medical books. Hospital been studying it ever since. It is very interesting. cases are studied far more carefully. European cases are usually carefully repertorized, particularly the first Dr. UNDERHILL: If I may speak once more, I think time. the more unevolved a race is, probably the fewer So, if I seem to give Sulphur too generally, it is remedies are indicated. Our civilization is so the result of considerable experience. Of course I complex, that really it is very difficult to work out all make mistakes. I fully realize that I have too little the remedies that would be indicated. I have often time to give to studying which is of first importance in noticed that on the average the more ignorant classes homœopathic Materia Medica. are easier to prescribe for than the more intelligent I will here try to answer some of the questions ones. In the first place, the educated man or woman that may arise in the minds of some. In giving a will come in and give you an interpretation of his or medicine frequently, I give a bottle of the medicine, her symptoms rather than the clear, pure symptom corresponding to a glass of water with 10-20 drops of itself. HAHNEMANN says, I think in his Chronic the remedy. The instructions are to take a teaspoonful Diseases, ŖWoe unto the young physician whose every hour during the day, with some hot water. Or practice is almost wholly among the well-to-do. Such take a tablet every hour similarly. Knowing that it is a man is almost fore-doomed to failure.ŗ seldom taken regularly every hour, I give these instructions in order to get some medicine into the Dr. FARRINGTON: We have had some very patient quickly, never giving much at a time, and then interesting and scholarly papers. I know we all noticing the effect the next time I see the patient. appreciate the fact that we can never learn all there is Do I ever get aggravations from the frequent use to be learned about polychrests and even old Sulphur of Sulphur? Possibly I do, itching of the skin with that we use almost every day. I was very much some papular eruption, but this is so prevalent among interested in Dr.DAVISř paper. It was well written. the natives, and they have so many fleas and lice and When I saw the title in the program, I rather expected bedbugs in their houses and on their clothing that one that he would give us just a few indications that we is in doubt of the aggravation. already knew, but it appears that he is building up for As yet I have not seen the long lasting effects of a himself a new chapter in clinical medicine. Some of high potency in this country. One capable observer, a the things that he relates in his paper we do not know missionary, said she noticed the beneficial effects of and probably would not have an opportunity to find Sulphur for nine or ten days, then it ceased. out. He is in a different climate; he has a different I feel the need of emphasizing the difficulty of people to deal with. securing reliable symptoms on which to base a I think it is true, as Dr. UNDERHILL says, that prescription. The changing of the description of the the simpler, uncomplicated races have simpler and symptoms and character of the pain MAY be due to less complicated diseases. I can confirm that. I spent changeableness in the disease, but much experience two years as intern in Kentřs dispensary in causes me to doubt it. The difficulty of the Africans Philadelphia a number of years ago. We had a great in describing their symptoms minutely and their many of the negro race in our clinics and out-patient inability to understand the reasons for such details are work. The other two interns happened to be from the big obstacles. south and the negroes, so I was the one who had the I now feel that the best thing I can do is to know most to do with them. I had unusual and remarkable Sulphur well and also all of its complementary experiences. In the case of a young girl of sixteen remedies, as they will often be needed. I have found who had a terrible cough and expectorated huge Arsenicum album needed much in our work, quantities of yellow pus, I gave Sulphur 50M, and it frequently followed by Sulphur. nearly killed her. Her temperature went up to 103. It seemed that she was going to cough her lungs out. ------The sputum became bloody and I was exceedingly alarmed, but waiting overnight was just the thing that was needed, because the symptoms subsided and that one dose of Sulphur cured her. She evidently had Tuberculosis. 4. Distinctive phases of Kali carb. J.W. WAFFENSMITH, M.D. Dr. DAVIS: there may be a tendency to draw the [The Homœopathic Recorder, November 1929] conclusion from this paper that I am giving Sulphur It is not my intention to enter upon a general for nearly every ailment, on the basis of when in study of that valuable remedy, which has been done doubt or in the absence of symptoms, Ŗgive Sulphurŗ. by others. I shall present certain mental phases in I graduated in 1906 and arrived in Africa on the detail. 11th of January, 1911. I have realized the possibility One of the persistent characteristics is confusion, of getting into such a rut. During dispensary hours I found in the tuberculo-sycotic miasmatic state. It may have my Repertory on my desk by my hand all the be of use in the advanced cases which present no

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 139 marked pathology, but a decided functional Homœopathy unravel the problem. In our study, we derangement of cerebral and spinal centers. find the enlarging capacity of remedies in a The patient stands panicky in the midst of developmental sense to include progression in natural ordinary duty, sees work piled up, yet cannot disease, namely evolvement of the Miasms. This accomplish. destroys the fictitious concept that our Materia Misplaces articles; when looking for and unable Medica is limited in its scope to function in a definite to find them becomes confused and exasperated with period to be superseded by other means in the fear of losing mind. evolvement of diseased states due to the complication Industry under these circumstances in increased arising out of our civilization. with inability to do. NEW HAVEN, CONN. Forgetful; forgets in an instant; makes errors in spelling and figures; has four or five things under way DISCUSSION at the same time, leaving each partly done. Hurry; in talking, eating, and occupation. Dr. GRIMMER: Mr. Chairman, I donřt think a paper Jealousy and hatred; malicious; aversion to like this should go by without some commendation. husband and child, yet clings tenaciously to them. There is not much to discuss. We homœopaths Has all the symptoms of hyperactivity and recognize the things the doctor has so clearly stated. anaemia of cerebral cells in alternation. Attacks of He brought out an unusually fine picture of Kali carb. excitement are of short duration and prostration In fact, many of our standard books do not show the prolonged. nice mental states of Kali carb. that he has brought In these cases we find the sycotic taint out. It is beautiful and it is true that if we study more predominating, and a favorable indication is the these mental and psychic phases we will meet the new appearance of finger warts. In one case there were conditions that are coming upon society and recurrent crops on neck and chest. civilization much better than we have in the past. Clings to life; to money; to clothes; in fact (Applause) everything; there is fear of poverty, of the future, of death. The hoarding instinct in general is strong and Dr. HUTCHINSON: Madam Chairman, this paper of exemplifies the psoric element. Dr. WAFFENSMITH is so very interesting that it Under Kali carb there is a difficulty to explain to leads us to a personal study of his statements which make oneself clear, with a bluntness of speech. Is awaken the query, how are they all evolved? He has misleading in statements, ambiguous, with intense given several references that we can look up and desire to be understood. study from the books, but I take it that a great deal of Timidity; cannot defend his rights; remains silent this paper comes from personal experience. I would if wrongly accused. like to know, as a matter of great interest, when the Cold; aversion to bathing; careless about remedy has been essentially selected, if he has found everything. many of these symptoms of finer grade entering into Face has a ghastly appearance; pale, yellow, and the picture. If he had not selected the remedy would sickly. these have been discovered? He has added greatly to Brain fag; cannot concentrate, with dull headache our knowledge of the remedy. I would like to know deep in the brain. in a few words just how this symptomatology has Awkwardness drops things; falls over furniture. been evolved. Dreams of departed loved ones, each time before a relative or friend took sick or had a misfortune. Dr. BOGER: Mr. Chairman, I was very much This symptom was always a warning and happened interested in the thought that Homœopathy continues repeatedly under Kali carb. It corresponds to a phase to fit the different phases of disease. There is no of Medorrhinum, and is complementary in the greater evidence of the correctness of Homœopathy tuberculo-sycotic state. The symptoms referred to is than the fact that, approached from different angles, found under Medorrhinum in H.C. ALLENřs Materia from each mental angle we always get the same result. Medica of the Nosodes, Ŗis always anticipating, feels This is one of the fundamental truths of Homœopathy most matters sensitively before they occur and and one which the allopaths have not been able to generally correctlyŗ. The typical sycotic is not overcome. Their ideas in treatment change in a few troubled with dreams. It finds its expression in the days, few hours, few months, few years. tubercular type. Homœopathy has appealed so universally that every Here is a clear cut illustration of a general type of mind can reason toward the focus from its symptom of a Miasm, the tubercular, acting as a own angle. That is the thought the doctorřs paper vehicle for expression of an accretion, the sycotic. It brought out in my mind. I think this is a very further indicated that when the diseased grouping conclusive argument and one which is very hard to shapes itself in an orderly relationship of expression, combat. (Applause) and we do not by injudicious handling of the case add drug or other wrong impressions, we can with

CHAIRMAN STEVENS: Any further discussion? material reward or gain. He does not do so out of a Dr. WAFFENSMITH, will you close the discussion? sincere belief that what he is going over to is something better. His sole motive is financial and Dr. WAFFENSMITH: In answer to the question of other material gain and not the grandeur of a principle Dr. HUTCHINSON, I would say that primarily I that has won him over to its side. But take the received the basis for this paper from the 100 years or example of many of us allopaths, and their numbers more of experience of homœopathic masters, the are increasing day by day. We have openly embraced study of their work, and the benefit that I have Homœopathy with a full consciousness of the received from their training by attending institutions consequences of our action. Many of us have thrown in which they have taught, and so forth. up our allopathic profession at the height of our Secondarily, it has been by carefully observing, careers. Our incomes were good; we were personally, the effect of the use of Kali carb. in a considered quite efficient in our own line, and we large number of cases during my past experience, and had still further prospects of advancement in wealth particularly noticing the finer phases of the mental and position if only we stuck on to our ropes. Many symptoms, because that was really the intent of this of our professional brethren thought we were mad to paper. throw up our profession and to take to something I think the remedy has been thoroughly covered which was "Quackery"; especially when you for many years by the masters, by many men who are consider that many of us, like the great Mahendra more competent than I am to speak upon it, and this is Lal SIRCAR and HAHNEMANN himself had to face nothing but a feeble addition to the literature that we financial collapse, starvation, humiliation, have on the mental phases particularly. (Applause). misunderstanding, derision, even the loss of former friends, leave alone income. And if we have ------patiently borne all these disasters and proclaimed at considerable risks our burning faith, then I want to 5. Presidential Address know how any honest, reasonable man can call such N.M. JAISOORYA of us as renegades. It should occur to them that The All C.P. & Berar Homœopathic Medical when men are willing to undergo sacrifices and Board (Regd.) at Sharda Talkies Hall, Raipur, loss, something very strong, something very C.P. on the 4th April, 1947. worthwhile sacrificing for, must have inspired many [THE HOMŒOPATHIC HERALD, of us to take the steps we have taken, as many had N. C. BOSE, July 1947. Vol. VIII. No. 4] taken before. As a former allopath, I can openly declare that a Sisters and brothers of the profession, Ladies and homœopath, if he is a sincere worker, a true devotee Gentleman, of the ethics laid down by HAHNEMANN, can never I am deeply conscious of the honour you have hope to earn those large sums that even the average done me in asking me to preside at a Homœopathic allopath earns with ease. Homœopathy, if it is to be Conference of such high standing as this. The properly practised, must be genuinely and sincerely honour lies in the fact that a man like myself practised. It needs a great deal of industry, devotion, happens to be, by training, profession and by right, much searching of the heart, much devotion to an a fully qualified member of the Allopathic School of ideal, and a great sense of responsibility for Medicine. human life. In terms of payment, the work of a And yet, if I have been granted the honour to be genuine Homœopath can never be adequately present among a body of homœopathic practitioners, compensated. Those who wish to come into the fold it surely must have a meaning. And it is this: In of Homœopathy must be prepared for service, self- the eyes of many of my allopathic brethren, those sacrifice, privation; and they must turn their back on who go over to, or advocate any system of the quest for wealth, ease, comfort and the medicine other than allopathy, are considered acquisition of name and fame by the easy road. renegades and traitors to scientific medicine. They Homœopathy has no changing fashions and fads to assume that there is only one medical science and that offer. There is no room for the expensive specialist is allopathic medicine. They forget that there are and the high class society doctor that ponders to many aspects to scientific medicine and that their whims and moods of his wealthy patients. At any view alone need not be the sole and only correct rate not in Homœopathy. In Homœopathy there is aspect. To become narrow and dogmatic in one's room only for the devoted and sincere worker who scientific approach to phenomena leads to at the same time understands the philosophy of dogmatism, and that leads to prejudice and ignorance life. Yet, if knowing all these things some of us and intolerance. it ceases to be scientific. If to allopaths have chosen to take the hard and thorny refuse to be dogmatic and doctrinaire is equivalent to road of Homœopathy, then logically, must there not becoming renegades, then very likely we are be something of undeniably convincing and majestic renegades. But, in reality, a renegade is a man who a quality in Homœopathy that has drawn us allopaths sells his convictions and his principles for some to it?.

It is quite possible that we have mistaken in our matter how useful it may be to the individual. I have choice. It very often happens that our emotions lead therefore not come to you, today, as a new convert, us astray, that we get lost in the maze of intellectual filled with the passionate reverence, awe and illusions which is Maya. But ten and twenty years unbounded enthusiasm of a newly found faith, but as should constitute enough time for scientists to realise a scientist to discuss with you something of the their mistakes. Allopathy claims to teach us, who have stupendous problems that our country is facing, not studied it, the scientific attitude towards all scientific only in matters of National Health but in every problems. We shall not be real scientists if we do not aspect of its national welfare. For twelve years I openly admit our mistakes. So would Homœopathy be have been trying to study the almost hopeless and unscientific if it did not study and realise its own terrifying problems of the health of our unfortunate limitations and deficiencies. Had we allopaths, who country which has been brought to the verge of ruin, have accepted Homœopathy, any clear and scientific altered into a barren desert and a festering cess-pool reason to conclude that we had made a mistake in of a humanity uprooted by one hundred and fifty coming to Homœopathy, we would have returned to years of British rule over us. Today a New India is our original calling, allopathy, long ago; for, the way rising out of the desolate ruins of the India that once back is always open to us. As a scientist, to the best was, India which was humiliated, enslaved, robbed of of my conscience, I am here to declare, that after ten all its finer values. Let us be clear about one thing. I years of sincere and critical study of Homœopathy, I am by profession a physician. But more than that, I have no reason, whatsoever, to abandon it today or in happen to be also a competent economist; and I tell the future. And the fact that we have not done so, and you that a new India is in the throes of a new birth, in very likely shall not do in the future, must indicate pain, blood and tears in the suicidal fraticidal wars of that Homœopathy must have some value superior to its misguided children. It is our own stupidity that we the one we gave up. No allopath who comes to are waging wars against each other and drenching our investigate Homœopathy with an open mind ever goes precious land with our blood. It may be that we shall back to Allopathy. So tremendous is its hold on us. return to sanity after a senseless orgy of mutual Constantine HERING, the ablest assistant to the carnage, destruction and desolation of all finer great German allopath HUFELAND, was sent by values that was the tradition and common heritage of HUFELAND to investigate into the claims of the children of this soil. But the destiny of our country Homœopathy; and he never came back. Neither did does not depend upon our individual whims and the prize scholar, JOUSSET, sent by the great French fancies but on deep factors shaping world history. We clinician CHARCOT. Neither did I, nor will anyone. I can at most retard by our stupid actions its came because I was charged by my father to study achievement. And this New India rising before our ways and means to evolve the simplest scheme for eyes is burdened with hundreds of problems old and medical aid to the villages. I found that Allopathy new; and it will need great courage, faith and a new could never solve the problems I was facing. And the clear vision to face and solve those problems. The more I thought over it the more hopeless I became human mind occupies itself with problems in various and the more I came to the inescapable conclusion ways, but the quientessence of wisdom lies in that for the poverty-stricken villages of our country simplifying our philosophies and in solving intricate we shall have to employ any other system of problems in the simplest ways. It needs the greatest medicine, it may be Homœopathy, it may be wisdom to be simple and to take a commonsense view Ayurveda, Unani, Siddha, anything but Allopathy; of great problems. That is what we shall have to think and I shall have to investigate into their strengths of. For us as physicians, charged with the and defects. As far as Homœopathy is concerned, I maintenance of National Health of an impoverished can only say what Sir John WEIR, physician to the country like ours, the task becomes almost hopeless if King of England, said: "We have all been sceptics, we fail to take a broad view of the various factors that but facts have been too strong for us. Over and affect life and the living. Life does not function in a over again doctors have been commissioned to vacuum. It is related to and is affected by its look into it, in order to expose it, only to become its environment. Its reaction to and relation to its most enthusiastic exponents and adherents". environment becomes the reality. The reality in our But I believe that I shall be wasting your time if I country is the terrifying problem of its stark and talked to you about the strong points of Homœopathy. naked poverty. It, therefore, becomes all the more On the contrary as a scientist I believe it is my duty essential to assess with great exactitude the material to point out to you its limitations and its possibilities that exist, so that we can reasonably hope weaknesses which it is our duty to study and rectify; for in the visible future in our country. That means a because our art, our profession must have one and comprehensive knowledge of economics and only one purpose behind it and that is service of the economic possibilities. We must know as to what is country and its people. If we fail in that, if our art is possible and what is not, what is feasible and what is unsuitable for that single purpose, if our science is too not, what is essential today and what is not, for a costly, if we ourselves are inefficient and incapable, limited sum of money that our country can bring then Homœopathy is of no use to our country, no together. Factors governing economic changes in a

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 142 country are not so easy to influence or alter as factors here, nor based on the possibilities that can be guaged governing political changes. It is also advisable to with reasonable exactitude and which can be remember that political changes come far in developed if we had the will and had known how to, advance of economic changes and that while as I shall prove to you very soon. What it is political revolutions can be easily brought about, an therefore? A programme, a promise of the future that economic revolution takes it own time and obeys can only be fulfilled if premises be granted that do not quite a different set of laws from political upheavals. exist today. I have not met a single allopath, be Failure to recognise this fundamental point has been the Health Minister in the Provincial Govts or the responsible for the wasting of much time, energy learned Surgeon General, who could stand upto my and national finances in the shape of "Post-War economic arguments. What is the greatest weakness, Plans" in India and elsewhere, and elsewhere, except apart from several other glaring weaknesses in the in Russia. All Russian Plans, the great 1st, 2nd and Bhore Committee Recommendations? It lies in the 3rd "Five Years Plans" have been based on fact that these excellent plans can only then go into fundamentally very sound principles. They never operation when a very large sum of money is placed looked centuries ahead or made schemes for forty at its disposal. It is not less than 1000 Crores as initial years to come. No economist in his senses can capital and recurring expenditure. And that money, I foretell what the shape of things would come to be ten as an economist can tell you without fear of years hence. In this uneasy, unhappy world of today, challenge from any quarter, and judging from the full of strife and unrest, it becomes almost trend of events as our country is suffering and must impossible. And yet The Bhore Committee Report has necessarily pass through, will not be available for put up a plan which would take forty years to a long time to come. The Bhore Plan is like a complete. The fundamental principles upon which the beautiful motor car, a beautiful piece of machinery, Russians have based all their plans, as realists, are on but which cannot move because of the dearth of a realistic and thorough analysis of things as they petrol. And that means that, however fine and really exist which is taken as the starting point. We impressive the Bhore Recommendations may be, can and must make plans on the basis of facts as they however desirable and as a piece of scientific thinking exist and of things already achieved. Only then do we certainly an achievement, they will not and cannot make few mistakes. work because of one single and at present

BASIS OF A PLAN insuperable hindrance, which is a terrible and It is therefore essential to differentiate between tangible reality, namely, the lack of the necessary what constitutes a plan and what a programme. A plan finances. It may be argued that money should be made is built on what is available, ready at hand, capable of available and you will tell me that Pandit Jawahar Lal being exploited, consolidated and enlarged. A Nehru has said at the The Health Minister's programme is a promise of the future and a hope Conference at Delhi on Oct. 10, 1946 that "If funds capable of being fulfilled only when certain could be available for big wars, there was no reason preconditions are granted or facilitated. It remains why they should not be provided for to fight against only a promise until it is fulfiled. Having worked as a ill-health and which was like the enemy from within member of the National Planning Committee of our and weakened the nation. No doubt it was a gigantic country I had good deal of trouble in making my task but it was one of those urgent questions which colleagues there appreciate the fundamental point, had got to be attended to if we were to avoid and therefore I must stress that point again. If our situations like the after math of the Bengal famine." I plans are to be built on the realities of today and of the say with all due deference to Pandit Jawahar Lal facilities available, then the greatest single reality in Nehru that, while I agree with him in his desire, I India is its financial stringency. As a competent cannot agree with his optimism that the finances economist I fear no challenge of this statement from can be so readily found. We have neither the trained any Finance Minister. The second greatest reality is army nor the munition nor the money, but we have, the discrepancy between the health needs of the what the Bhore Committee could not appreciate, and people and the inadequate medical services they which the allopath would hate to admit, a band of receive, which, as the Health Commissioner with the guerilla fighters who have often snatched a victory Govt of India plainly admits "so far has not touched when the regular armies were routed. In order to know even the fringe of the problem". how to use them one must see how others have done The third greatest reality is the paucity of it. It was the Boer, ill-armed, that inflicted defeat allopathically trained men as mentioned in the upon defeat on a highly military British army. It was Bhore Committee Report. Therefore, I must tell you the Russian Guerilla and Partisan armies, ill-trained, something about the Bhore Committee that helped the regular Russian armies to defeat the Recommendations. What is the Bhore Committee world's most fearful military machine, the German Report? Is it a plan or a programme? Can it be a plan Army. And while British arms were suffering one at all? The answer is No! Why? Because it is not defeat after the other in this last world war, it was the based on the realities of today nor does it seek to common man of Britain who held on undaunted and make use of the facilities at our disposal now and never admitted defeat. If we should accede to the

Bhore Plan it assumes that no battle should be by their investigations that India has today fought against an enemy already in our midst unless 47,500 allopathic or so-called "Scientifically we have a large and well-trained army of death and trained" doctors and India needs or will require bacilli fighters which will take forty years to prepare, 2,36,650 such scientifically trained men; that India provided we can find the money. This is typical of the has at present 7000 nurses and will need 7,40,000, antiquated British way of thinking, and it is a fact that that is, more than 100 times the number of today; till recently the British never knew the technique of that we have 5000 midwives today and need, guerilla or of mobilising a people, until it was taught 112,500, that is, more than 600 times the present to them by a British Communist. That is the figure; that we have 750 dentists and need 92,500 difference between the narrow British way of thinking dentists; and that we have only 65 qualified and the broad realistic way of mobilising a people at pharmacists while we need 84,000. I quite agree with which Soviet Russia is an expert. If we should apply all these figures. But tell me how are a people whose this analogy to the Bhore Committee Report, we see per capita income is Rs. 62-3-3 per annum as immediately its glaring weakness, it narrow thinking, compared with Rs. 1049-6-5 of Great Britain and Rs. its attempt to preserve the rights and privileges of 1371-7-3 of the United States, to meet the a small body of allopaths who are so small in expenditure the Bhore Committee wants? On the numbers, but whose privileges are so great that it is average the Provincial Govts spend on medical aid almost like the struggle between the Zamindar trying and health one and a half anna in Bihar to 5 annas to keep his rights and the peasant demanding his nine pies per head per annum in Bombay, and if we own rights. The proportion of the Zamindar, who has were to keep on the same level as Great Britain too much, to the peasant, who has too little, is beyond and U.S.A. we should have to spend at least Rs. 3- all decency. Let us be clear about one thing beyond all 3-0 per head per annum and that is absolutely shadow of doubt. The Bhore Plan is unworkable impossible. There is a lot of wishful thinking even under existing circumstances. These circumstances among our capitalistic economists. For instance, the will not change for a long time to come. On the Tata-Birla Plan, known as THE BOMBAY PLAN, contrary, there is every possibility and probability of has built up its arguments on fundamentally wrong their becoming worse. I am speaking of the financial assumptions. According to the agrarian economists, aspect. Let us be clear about this one cardinal fact. Ramaswamy and Wadia, our agricultural production Still more, let the Health Ministers and Surgeon cannot be raised more than 50 p.c. and the Tata-Birla Generals be clear about this fact. We stand today just Plan puts it at 130 p.c. where we were yesterday, before all these What the Bhore Committee forgets is that impressive but inapplicable "Post War Plans" began. equally important, if not more important, nation What then? It means that we still need a plan that can building programmes, many in number, will demand work under existing circumstances. With regard to equally large sums, if not larger sums, and where is Public Health we are as static as we were before. I the money to come from if not from the people say it is a great pity, because the Bhore Plan is a themselves? In short, the Bhore Committee has very thorough and painstaking analysis of present proposed what actually amounts, in structure, to the health conditions in our country, a very thoughtful Socialised Medical System of Soviet Russia with one and exhaustive study of things as they are and as they great difference, that socialised medicine was ought to be. But what a pity that these men who made possible in Russia because every thing else was the report did not know what is possible and what is socialised from top to bottom in very aspect of life. not possible economically in our country. I do not NEWSHOLME and KINGSBURY in their know how many of you here have made a study of the classical report have recommended the Medical Bhore Committee Report. I know that hardly a System of Soviet Russia as the model to copy, and handful of allopaths and even smaller number of in a recent lecture the famous Bombay surgeon, R.N. officials of the Medical Departments have waded COOPER has warmly praised it. But one cannot have through it. And the reason is that it is very only one department of life and state activity voluminous and comprehensive, going into 4 large socialised, as medicine, in a country where laws are volumes, and it is not everybody's business to afford made by landlord and the capitalist and the so much time to see its strength and weaknesses. blackmarketeer, the war profiteer, the zamindar;

SALIENT POINTS FROM THE BHORE and the upper classes control the political and economic power. COMMITTEE REPORT In a very short analysis let me tell you the facts FUNDAMENTAL WEAKNESSES IN THE that the Report has determined. It wants 1000 Crores BHORE COMMITTEE RECOMMENDATIONS for it to be put into action. It cannot get it. It wants 40 I beg leave of you to further analyse the Bhore years to complete its work. No social economist or Plan because it is the plan that the Govt has accepted political economist is prepared to tell you what the in good faith, though none too wisely. But as long as shape of things will be in the next forty years. A forty we ourselves cannot produce and offer a better plan years plan can be proffered only by men totally we have no right to blame the Government. And we ignorant of historical phenomena. They have shown cannot offer a better plan unless we can assess the

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 144 strength and weaknesses of other plans and also have present practised in India. And I am prepared to the courage to see the weaknesses in any plans we make this statement openly anywhere and before any offer, not only their strength. One way or another we body of allopaths. It only proves one thing, which have to face the problem when the Bhore plan has left Bhore Committee deliberately ignored, not out of us in the lurch. And the fundamental weaknesses in forgetfulness but out of purposed policy. And that is, the plan are these: namely, that it has totally ignored, that a great deal of general medical activity in what even our National Planning Committee the field of therapeutics can be safely taken away recognised long ago and which it very rightly from allopathy which is badly organised and ill- summarised in the following words; "Our resources equipped and a total failure in the villages, and are extremely meagre. This fact imposes the necessity new forces can be harnessed which have been of building up an organisation in the cheapest manner deliberately ignored and suppressed. Even the possible. Yet the organisation must be all-embracing President of the All-India Medical Conference, and one must make at least a beginning in taking care CAPT. P.B.MUKHERJEE, in his splendid of the health of the country." It further observes, "The Presidential Address, Dec. 1946, had to express appalling ignorance of the masses and their religious surprise at the lame excuse that the Bhore Committee and social prejudices make the introduction of offered. We should remember that out of the 47500 scientific medicine peculiarly difficult. This allopathic doctors available in India, as many as circumstance makes it imperative that any 35000 practice in the large and smaller towns so that organisation built up to be effective must call for the not more than 12500 of these scientific gentlemen maximum cooperation of the people themselves, and are available to the 6.75,000 villages of India. If we must be made to appear as a result of their own study the Bhore Committee report we will notice effort, rather than have an appearance of an the number of contradictions this august committee imposition from above. lands itself in when dealing with the question of the The Bhore Committee has further ignored or is indigenous system of medicine in India. On the one not aware of the findings of the League of Nations hand they confess that they did not have the time to Medical Committee as has been emphasised by go into the matter and to assess it properly. In the DOROLLE (C.H. 1253, No: 1,1937), namely, the same breath they claim that the allopathic system is guiding principle should be in the first place to treat the only one through which the health of the country only those cases with the western system of medicine can be maintained. In one breath they say that the that need it. The larger percentage of those others do indigenous systems are "unscientific" and at the not need the complicated and specialised modern same time confess that these systems have a very system; and since their condition is not serious, large hold on the overwhelming masses of the they should be allowed to have recourse to the people, not only over the illiterate but also over the traditional pharmacopoeias and systems of treatments intelligentia. They also admit that the treatment is where they are available. Further, the Bhopal cheap and that the empirical knowledge that has been statistics of COL. ABDUR REHMAN show that only accumulated over the centuries, has resulted in a fund 23 p.c. of those needing treatment really require of experience of the properties and medicinal use of allopathic medical aid, and only 10 p.c. of these 23 minerals, herbs and plants which is of value." In p.c. require hospitalization, i.e. 3 p.c. of the total. other words the Bhore Committee, which claims Thus 97 p.c. of those needing treatment can be treated to be "scientific" has taken a very unscientific ambulantly or at least in simplified institutions. DR. attitude when the class and economic interests of the JIVRAJ MEHTA, in his presidential address at the allopaths come into danger under competition from First Conference of the Physicians of India other bodies. Especially if we will remember, and the Association, December 1944, has made a very Bhore Committee surely could not have been significant observation, namely, that 87 p.c. of all ignorant of it, that whether we like it or not, medical activity is general medicine and the whether our Health Ministers like it or not, and remaining 13 p.c. belong to the specialised subjects whether the members of the Bhore Committee like it such as surgery, etc., and only 13 p.c. need specialised or not, not more that 23 p.c. of India's sick care. If this is conceded, then I beg leave to state that, population will go to allopaths for treatment; and the as things stand today in India, and taking the remaining 77 p.c. will fall back on the indigenous present standard of medical practice in allopathy, the and other treatments such as Homœopathy. The 87 p.c. of general medical activity that Dr. Jivraj Bhore Committee has absolutely no excuse for having MEHTA spoke of can be managed any day just as neglected this aspect. The terms of reference were efficiently, if not more efficiently, by properly trained extremely wide, namely, "to make a broad survey homœopaths and ayurvedis. I am an allopath and of the present position in regard to conditions and in therapy as good and uptodate as any allopath is in health organisations in British India and to make India, and yet I am here to declare that recommendations for future development." They homœopathic therapeutics, certain ayurvedic could have had every help in making their methods and approach to the problems of chronic investigations into the role of the indigenous and other diseases, are far superior to anything in allopathy as at systems in India if they wanted to. They went so far

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 145 as to invite experts from foreign countries (U.S.A., DR. J. B. GRANT in his Health of India, namely, we Great Britain, Soviet Russia and Australia) to come to shall have to make any step taken in India yield, for a India and tell them how things are done at their given sum spent here, seven times that results which places. But they found no time to invite experts in is expected of that sum elsewhere in richer countries. Ayurveda, Homœopathy, Unani, Siddha and other That is, we must make one Rupee spent here, yield systems to come and give them an insight into the in return what rich countries would expect for the extent to which these systems have a hold over the expenditure of seven rupees. Can this be done? The people of this country. That the Bhore Committee answer is YES!, IF, and it is a very big ŘIf.ř:-. has built a plan on the ridiculous assumption that 1. If we can know what can be done in that way. there are only 47500 physicians in India, is both 2. If we know the best method to do it that way. unscientific and untrue. It is estimated that in the 3. If we can find or produce people who know how Madras Presidency alone there are over 40,000 to do it that way. physicians practising the indigenous systems. 4. And, finally, if we could know what sort of design Calculated on the average we might easily find that in and structure of service the people want, would India we may have over 2 to two and a half lakhs, appreciate and derive benefit from to the maximum practicing systems of medicines other than allopathy, extent. and these the Bhore Committee has conveniently In short the entire design and structure of ignored. It may be true that these practitioners are whatever steps we may take shall have to be inefficient, unscientific; and that the systems they scrutinized and tested solely by a ruthless analysis practice are not modern. But the fact remains that of the economic situation in our country and the as long as the allopaths themselves cannot offer possibilities of its future development. But still something superior and cheaper than what we have more important is the fact that all measures must be now, and at a cost that the country can afford, there judged by their failure or success as applied to mass, is no hope of Allopathy ever totally displacing these and this also applies to Homœopathy; and all future systems, no matter however much the legislation may plans of national welfare and reconstruction must be forged in favour of Allopathy. Even SIGERIST in be planned with one side view, the paying capacity his History of Medicine in India has admitted that it of the villager and its suitability to his needs. will take a long time for the better trained men to GRANT has put it very admirably as follows: replace the untrained indigenous physician. But till "Adequate plans for public health services can be then "it would be worthwhile to study whether these undertaken only with a knowledge of the realities of practitioners could not be used during the period of the economic situation. The results of any social transition as auxillary parsonelle." There is at least service administration depends upon the money some commonsense in this view. The health problem available and the way it is spent. Much ineffective of India is the problem of the health of the village and administration results from violating these principles. the villager. Any system that can tackle that cheaply, The solution lies in the development of a plan efficiently and with minimum trained personelle is the whereby the facilities purchased elsewhere in other one that we shall choose. If homœopathy can do it I countries at a cost of seven shillings per capita can be shall recommend it. If Ayurveda can do it, I shall obtained with local economic resources. It can be prefer that, so also Unani. The sole criterion is and done, and has been done elsewhere in other countries must be that we should get, under existing of relatively low economic standards. Limited sums circumstances, for a given sum, the maximum do not make adequate and good service impossible, results with the minimum of expenditure and provided the people want the services and are organisation. prepared to contribute work in lieu of money and provided there are people with the knowledge to plan WHAT INDIA NEEDS TODAY? such a service.". In considering all these problems I would beg you not to consider yourselves as homœopaths, THE PRESENT SITUATION. Allopaths, Ayurvedis and Hakims, but solely and in At present there is only one thing open to us. Let the first instance as physicians all facing the almost us remember that we have only an Interim hopeless and stupendous problems of India's health. Government. Everything in India is in a period of In what way can each system be employed, in what rapid transition. There is no crime in having also an way can each system help, in what way can all the interim Health Plan devised to meet the exigencies of systems be coordinated and harnessed immediately the situation. The Bhore plan and all such beautiful and now, under existing circumstances, with the plans I should postpone till such time as adequate facilities available, that is the question; that is finances are available. In the meanwhile the people's certainly the factual basis for a plan and not the health or ill health cannot be adjourned at will as dreamy picture of the Bhore Recommendations, And cases in the law courts. They must be given the no plan, at any rate no health plan, has any hope of simplest and readiest form of medical service suited to success in India if it does not base itself on four their needs, and this I have explained in great detail in fundamental principles so admirably formulated by my memorandum to the National Planning

Committee. It has been my father's contention that allopathy is more a liability than an asset, difficult to it is better for our people to die of semi-medical aid capitalise. The allopath in India started as a than of no medical aid at all. What we envisage is a compounder. It is Govt. encouragement that made simple rural medical service scheme and in it there is them what they are now. If good men are encouraged room for all systems of medicine that have anything to take to the study of these sciences there is no tangible to offer. I told you about the guerilla reason why we should not produce men as efficient as battalions that played havoc with the enemy when the any in allopathy. As an allopath I can say, give me a trained regular armies had failed. I consider any man, ward in a hospital with the same facilities that you no matter who, be he a Vaid, Hakim, Homœopath or give your allopathic physicians and I shall show you of any other system, if he can be useful in our far better results in the healing of the sick with present time of emergency, should be taken up and Homœopathy than any allopathic physician can with utilised to his utmost capacity We have not got allopathy. As homœopaths we have to serve with superfluous men today who cannot be used. I know it missionary zeal. We can never know too much of our because I spend 8 months touring in the villages each science and nothing can be too good where human life year and I am authorised to speak about the is concerned. Actually I have no right to speak to difficulties and the needs of rural medical aid better you about the defects and shortcomings of than all surgeon generals and medical officials who Homœopathy since I am an allopath. The trouble in sit most of the time at their desks, And from India is that we are likely to become enthusiastic experience I can tell you that the average allopath, as sectarians and dogmatists. That man is a scientist who compared to the Homœopath and the Ayurvedi, is a recognises the limitation of his science. Let us be failure under the simpler environments and scientists and not only blind followers of conditions of the village. He is lost out there, and is Hahnemannian teachings. The greatness of reduced to the level of a mere symptomatologist. Homœopathy lies in its simple law of cure, Similia In this capacity he is far more at a disadvantage than Similibus Curantur. And yet in this great the homœopath or the vaid. I saw it in Bihar and many simplicity lies the greatest danger because it is not other provinces. We should know how to exploit and always applicable though apparently indicated. The gauge the capacity of each man and put him in the more I study it the more I am convinced that proper place. The intelligencies of a Government lies Homœopathy and Ayurveda have very much in in being able to use each man to his fullest capacity, common. They are the only two sciences that have in giving each man the type of work he can carry out. studied constitutions and the nature of chronic Can this be done? Yes, provided we have a simple diseases. I would urge you to cooperate with the elastic plan built on the realities of today and provided Ayurveda because someday India may find that a we have the men who know how to select the men we synthesis of Ayurveda and Homœopathy would be the have at our disposal. It may be asked, will not the only means to meet the problems of mass medical aid state of health deteriorate. My answer is NO! Things in India. It does not mean that allopathy is to be cannot become any worse than they are today. On the discarded. On the contrary I consider the allopath as a contrary there is every prospect of an improvement specialist whose aid will be needed in specific cases because you give a purposefulness to men who are such as surgery, preventive medicine, gynaecology, stagnating, because they are not saddled with radiology etc. But that is about 13 p.c. of all medical responsibility and have been denied human dignity. I activity. There is much I would like to tell you, but told you that our plans must be interim. When the that which I would like to discuss is, or should time and circumstances come for better plans, by all be, more the concern of Governments, i.e. if they means scrap the out-dated ones. That is but logical wish to listen to it and learn something new. and fair. So also the so-called "unscientific" FINALLY: Before I close, let me thank you all for Homœopaths, Ayurvedis and Unanis will die out having listened so patiently to what I have had the when you can prove to the people the superiority honour to place before you, and for the honour you of scientific medicine, in general therapy of which I as have done an allopath like myself in allowing him a competent allopath am less and less convinced the to address you. And I feel that I cannot do better than more I study Homœopathy and Ayurveda. close with the words of the great economist WADIA WHAT IS WRONG WITH HOMŒOPATHY who said:. AND AYURVEDA IN INDIA? "No policy of unthinking imitation nor any It is but right that you should expect me to tell tinkering with details will avail. The lines along you something about the shortcomings of our which a solution of our problems lies may not lead us profession here in Homœopathy and Ayurveda and straight to our goal. The process of human evolution Unani. The defect is due to the fact that there is no is a process of trial and experiment through which we Government aid or control. Should the Government grope our way over the stepping stones of our failure demand a high standard and facilitate it with adequate and errors. But it is better to venture stones of our financial help we shall get a better and higher quality failures and errors. But it is better to venture forth on of practitioners than we have at present. Today, to the strength of a larger faith than grovel in the dust pursue the study of and system of medicine other than along trodden paths wind and wind in a planless

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 147 world." And this applies so much to the India of any peculiar reactions. There were thrills and today seeking a new way out of our of her ancient anxieties in this new field of endeavour. The remedy miseries. was given in the 2x every two hours during the waking hours and was continued for three weeks; then ------the 30x was given every two hours for four weeks. Symptoms began to develop about the tenth day and, 6. A Complete Proving of Butyric Acid with strange to say, the characteristic symptoms which I Confirmation will offer were developed in at least four of the five William B. GRIGGS, M.D. powers. Butyric acid affects principally the gastro- [HEAL THYSELF (The Homœopathic World), enteric tract. Few mental symptoms developed and February, 1952, Vol. LXXXVII, No. 1, 034, pp. few tissue changes were observed. The gastric 34 Ŕ 38.] symptoms began in the mouth with a profuse (Reprinted from the Homœopathic Recorder) salivation. There was loss of appetite, or the appetite was not as large as usual. Two provers had an In presenting a proving of a drug done according aversion to food and said, ŖI do not care to eat.ŗ They to the method of HAHNEMANN, I feel rather complained of severe cramps in the pit of the apologetic because of the fact that when I scan the stomach. These were dullŕthey came and wentŕand recent homœopathic literature I realize that I am alone there was a feeling as though the stomach was in this particular type of work, but this has been my overloaded. Crampy pains in the stomach were real hobby for over forty years, and the only excuse I followed by palpitation of the heartŕthis was worse have for doing it is the fact that I have gathered after eating. There was a sense of soreness and valuable information not in the orthodox Materia fullness over the region of the liver; a general sense of Medica. My proven remedies are the tools I use to fullness in the upper part of abdomen with severe help restore the sick to health. palpitation and painful breathing. There were a great Furthermore, when brought face to face with the many eructations with bitter taste; at times they had a fact that in our Materia Medica I can find no positive sour or rancid taste, and at times were tasteless. Many curative remedies in the treatment of Cancer, pains were developed in the abdomen below the Tuberculosis, Diabetic coma, acute Leukaemia, etc., I umbilicus, apparently in the transverse colon. These feel as though I must start to seek for new remedies pains came suddenly, lasted for a while (5 to 10 which may help in these types of cases, for I believe minutes) and often left just as suddenly. A there is an antidote for every morbific poison, and the tremendous amount of gas developed in the abdomen wise architect of the universe. I believe, has so and large quantities of gas were passed through the ordained it. rectum which gave temporary relief. Often the stools Therefore, in my meager and humble way I have were preceded by much gas, and frequently the prover worked, mostly alone, but in a logical manner to find thought he was going to have a stool and only great the curative effects of some basic substance not in the volumes of gas were passed, Cramps in the abdomen orthodox Materia Medica. I may say also that I have awakened them at night. These cramps would cause met with many adverse criticisms where they were the prover to draw his limbs up and were immediately least to be expected, but the law of similia similibus relieved by passing gas. There were frequent and curantur is a fact, and I know Hahnemannřs theory tense crampy pains in the bowels with desire for stool, rests immovably on the eternal laws of nature. I am a but only gas passed. This was observed in all five disciple who follows him. provers. One prover developed sharp cutting pains There are three acids of fermentation in the through the abdomen-they were intermittent and universe: acetic, lactic, and butyric. Acetic and Lactic would come and go during the day. Pains below the acid have been partially proven in the old Materia umbilicus, colicky in nature, were constant in three Medica, but Butyric acid was not proven until I provers. introduced it in the Hering Laboratory of Medical By way of differentiation I might digress to say, Research, located in the Hahnemann Medical College in comparing Acetic, Lactic, and Butyric acid, that of Philadelphia in 1915, when I was director of the Butyric acid is the most gaseous of the three acids of said laboratory. My assistant at that time took care of fermentation. It lacks the burning, gnawing, and the male students, but did not come in contact at all ulcerative pains in the stomach of Acetic acid. It lacks with the female provers whom I had taken care of. the constant nausea and the hot, acrid fluid eructations Later on I took two male provers and three from the stomach to the throat of Lactic acid. female provers, who were nurses at St. Lukeřs and The provers developed soreness and colicky Childrenřs Medical Centre, Philadelphia. They were pains over the region of the ileocaecal valve. This was given a very thorough physical examination, accompanied by tenderness on pressure. This proved including the heart, lungs, blood, urine, weight, etc., to be a valuable symptom as will be detailed later on. and all were found to be in excellent health. The Stools varied in colour from very dark brown, formed, provers kept their daybooks very accurately. Sac. lac. and offensive, to light yellow. The dark stools were was given to all the provers for six days to observe expelled with an enormous amount of gas, sometimes

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 148 offensive. There was always a great deal of straining from the gums and would lie on the teeth. The mouth and urging to stool. had to be rinsed frequently. This has been a most The daily examination of the urine did not show valuable symptom and had been confirmed in a very any pathology except a great quantity of amorphous serious disease. urates, and deveIoped somewhat of an odour as if the I will now give you some confirmed clinical provers had eaten asparagus. The female provers experience with Butyric acid by myself and developed a sudden urging to void and it had to be associates. attended to immediately. No male sex symptoms were It has truly helped those infants who had an developed. inability to digest the fat of normal quantities in their The female provers were in normal health at the formula and developed the symptoms of fat time of the proving and developed a scanty, watery dyspepsia. I have cured fat dyspepsia in young infants and mucous Leucorrhoea which, when wiped from the who had some allergy to fat and regurgitated sour, labia, seemed to contain many small bubbles, and it rancid milk curds, and had a great deal of gas in the has the odour of stale brewerřs yeast. This cleared up bowels. after the drug was stopped. At the time of I also cured a case of brittle, dirty-looking finger menstruation the provers developed a sore mouth with nails with Butyric acid after the failure of Antimony an offensive, thick but scanty, fluid discharge from crud., Graphites and Thuya. the gums. Their feet began to swell. Butyric acid cured, permanently, a case of foul All five provers developed foot sweat which was foot sweat which was very profuse. It was prescribed so copious that they had to change their stockings after the failure of Silica, Graphites, Psorinum and daily. Two provers developed a very offensive sweat Thuya. I prescribed the Butyric acid when I of their feet. The feet felt cold. These symptoms also discovered the patient had profuse sweating hands and stopped when the remedy was discontinued. The the foot sweat was cold. provers developed a severe backache at the I had cured cases of flatulent dyspepsia with lumbosacral junction. This was described as a excessive accumulation of gas in both the stomach constant, dull pain which went down into the hips and and intestines after the failure of Arg. nit., Asafoet., was worse while standing. Carbo veg., Lycopodium, Magnesium mur., In the fourth week dull aching pains developed in Momordica. the arms. At the end of the fourth week they all This simple basic acid has a very broad field of developed very wet and perspiring hands, and after action in the gastro-intestinal tract which I have one week of the profuse sweating hands they could verified over and over again. not manicure their nails as they would break and split. Another case of segmented enteritis, or ileitis, The provers developed a very tired aching in the with a ruptured ulcer that was operated on in the lower extremities, particularly down the calves of Womenřs Homœopathic Hospital of Philadelphia, and their legs. The consensus of opinion was that this had all the modern post-operative treatments and feeling was as though they had been sick for a long some Homœopathy was finally completely benefited time and the limbs were weak and tired. This while under the care of Dr. Robert H. Farley by symptom has been found highly curative. Butyric acid which I suggested he might try in this The sleep symptoms were paradoxical. For the case as it was a very serious one and at the time hope first week the provers slept better than usual. Then was well-nigh abandoned. they developed restless sleep and I believe the restless The only dramatic cure that I have been able to sleep, after close questioning, was due to crampy gas observe with Butyric acid, and I believe I am the first pains in the abdomen which were always relieved by to use it in this dreadfuI disease, was in typhoid fever. the expulsion of gas. To me this has been a real find. It was a case of Very few mental symptoms developed in my advanced abdominal type of typhoid fever where provers, but I observed they had a tendency to worry Rhus tox. and Baptisia had been prescribed. The and to become apprehensive. The dreams were patient had been ill for approximately three weeks and irrelevant, but in the female provers they seemed to be the case was going bad. The mouth and intestinal very real and made a deep impression on them. They symptoms appeared to me to look like Butyric acid, developed also a sense of worry about trifles and which I prescribed with the result that in 48 hours the became somewhat impulsive. mouth symptoms had almost disappeared. The Palpitation of the heart was observed in every patientřs temperature was absolutely normal in nine prover. It came on particularly after eating a full meal days, and the patient made a perfect and uninterrupted and was a by a sense of heaviness and fullness in the recovery. The second case was a very serious one liver region. with marked sordes on the teeth, the mouth was foul, Along about the fifth week two of the provers abdomen distended with much gas, extreme who had developed profuse salivation discontinued tenderness over the ileocaecal region, and the the remedy and the salivation suddenly stopped. Then attending physician feared haemorrhage might be the gums became sore and the breath became coming on. Butyric acid here, within 72 hours, somewhat foetid. A little thick, black blood oozed relieved the abdominal tenderness, relieved the gas

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 149 symptoms, and in less than a week cleared up the Coffea cures insomnia, that Opium is a stimulant, symptoms pertaining to the buccal cavity. The Ipecacuanha stops uncontrollable vomiting, and patientřs temperature came to normal, and recovery Mercurius cures gingivitis. was uneventful. It is like inversed medicine, it can be so These are facts and show the possibilities of this confusing that it can give one a headache. If you are neglected basic fatty acid. I have prescribed this suffering from insomnia you might sayŕI will just remedy in the 30x and l,000th potency almost run to a chemist shop and buy some homœopathic exclusively. When indicated it has been a prompt coffeeŕbut I am afraid it is not just as easy as that. acting remedy. The provers have been thanked years ago for Guiding Symptoms their grace of perseverance and personal sacrifice. Let us now go back to our patient and her Only those of us who have conducted a systematic insomnia; a most useful illustration for understanding proving can appreciate the amount of labour the mysterious law, which expects to cure an illness demanded in such work. I hope it will prove to be of with a substance which is able to produce the same some particular value to the profession and new symptoms. symptoms added through experience. What the patient said, had induced me to Please accept my humble effort in developing prescribe Coffea. She had said:ŕ another working tool in the Materia Medica. The ŖIn the evening I am very tired, I cannot sleep. I profession is asked to put it to the test in suitable wish I could sleep in order to rest, but I cannot stop cases and report the results. Only in this way can we the flow of ideas and countless thoughts coming into make our Materia Medica a practical and useful my mind and I cannot stop making plans and projects. working instrument. I am physically so very tired, but mentally excited. The main point is that I cannot stop this flow of ------ideasŗ. Well, do you suffer from this kind of Insomnia? 7. Homœopathy: The Law Of Similars1 By Dr. Has your Insomnia got these characteristics, this Alberto LODISPOTO, D.F.Hom. (London) mental state? Only in this case will Coffea give you A radio broadcast from Rome, Dec. 3, 1954, immediate benefit. translated by the author. But why, you will ask, only in this case is Coffea [THE LAYMAN SPEAKS, A Homœopathic the magic cure. The answer is in the cup of coffee. Digest, Vol. VIII, 4/1955] Have you ever too much coffee? And, did you remember that night? You were dead tired but you Yesterday I visited a patient who has been could not sleep; hundreds of thoughts and ideas you suffering from Insomnia for several years and as she could not control; it was like a nightmare. That night was taking so much time in describing irrelevant you had a coffee intoxication, you have experienced it points concerning her illness I interrupted her and said yourself. ŖI think some doses of Coffea will make you sleep.ŗ A remedy is prescribed whose symptoms, which ŖCoffea doctor, what is that?ŗ have been noted from an experimental intoxication on ŖIt is from the coffee plant.ŗ a healthy man, are similar to those observed in a ŖBut doctor. I am suffering from Insomnia and patient. coffee is a stimulant.ŗ You could askŕdoes not the patient get worse It took me a long time to convince her that Coffea through taking a drug which is able to produce its own would do her good but I was just applying what symptoms? HIPPOCRATES and HAHNEMANN had established No, because in Homœopathy medicines are used many, many years ago; similia, similibus curentur ŕ in infinitesimal and imponderable doses. let likes be treated by likes ŕ the law that established Substances are diluted, by a suitable method and that a substance which produces a complex of morbid apparatus, a fantastic number of times. Often our symptoms in the healthy man is also able to cure patients read on the label of their medicine bottle: them. 30th centesimal ŕ this means that the medicine has This law does not seem so mysterious as been diluted in hundredths, 30 successive times. Its paradoxical. Some humorists could say: value can be expressed by a fraction having one as A dog has bitten you, well, never mind; another numerator and one followed by 60 noughts as bite or some of that dogřs hair on the wound: like denominator. cures like. Of course, this could hardly be called A substance diluted at the 200th centesimal can humour, but to people who are not familiar with be compared to a gramme molecule in a volume equal Homœopathy it sounds just as ridiculous to hear that to a milliard times the volume of the sun. The 10,000th dilution is equal to a fraction having as 1 denominator, one followed by 20,000 noughtsŕ From Homœopathy, The Rational Art of Medicine, dilutions do not stop here, they go further still, to the London, Vol. 5, No.2, February, 1955.

50,000thŕ 100,000th. They are frightening, fantastic hundred years, they were the forerunners of the numbers but they do cure. modern vaccines and serums; some of them are: Tuberculinum, Cancerinum, Scarlatinum, Reaction Follows Remedy Typhoidinum. How many times after prescribing one of these What a great many things I have to explain very dilute homœopathic remedies I get telephone during my daily practice! calls like this one: Some time ago I examined a patient suffering ŖDoctor, I have got a temperature, what shall I from a form of Eczema. I wrote a prescription, and do?ŗ How difficult it is to explain to the patient that this was his reaction: he should not do anything, that its occurrence is an ŖI say, doctor, are you going to treat this damn understood, wanted, beneficial reaction, and that only Eczema with only powder to take by mouth? Are you through this apparent setback in his case will he reach not even going to give me some cream to apply a complete recovery. locally?ŗ Here is an illustration which everybody will From his point of view he was right. understand: ŖYour Eczema,ŗ I explained, Ŗis not something I once visited a frail little girl; she was very pale, coming from outside but that which you have built up had swollen glands, and loss of appetite. After a internally. It is not a disease that struck you but a month of treatment there was no improvement. I saw complaint that your organism has, through the years, her again; another month of treatment with no result. prepared and provoked. Now what can you fight There must have been something which against, if it is something that your organism is daily prevented the action of the remedies I was building up? prescribing. ŖYour Eczema is nothing but a signal, a symptom Reconsidering the case from the very beginning I that everything is not well. You are in-toxicated, self- could find nothing new; but the mother, recollecting poisoned. The Eczema is a way by which your body is the history of the childřs illness, remembered what being de-toxicated, a safety valve that providentially she called a slight attack of measles. has been opened. ŖWhy do you call it slight?ŗ I asked. ŖJust think what a calamity it would be if we ŖYou see,ŗ she said, it lasted such a short time. were to close it. All toxins that you are now getting High temperature, cough, rash. I gave her febrifuges rid of would remain circulating, so we do not suppress (fever depressants) antibiotics and in a few hours but help to expel them. Every disease has got its own everything had magically disappeared.ŗ natural cycle; so not violent suppression, but a ŖHow long ago did it happen?ŗ complete exhaustion of this cycle is the most rapid ŖAlmost two years ago.ŗ and harmless way.ŗ ŖAnd how long has the child been run down?ŗ ŖSince the attack of measles she has never Prescribing for the Individual completely recovered.ŗ How do we prescribe homœopathically? I then prescribed a dose of Morbillinum, in other I had a call during an epidemic of Influenza. words a preparation obtained from the desquamation There were four patients, each of them in bed, of a patient suffering from measles. with high temperatures. (All struck down on the same A few hours after the child had taken the day.) medicine, the mother rang me up panic-stricken. To the first one I prescribed Belladonna; to the ŖDoctor, my little girl has got a terribly high second one Sulphur; to the third Gelsemium, and to temperature. What shall I do?ŗ the fourth Lycopodium. ŖThe four of us have the same ŖNothing,ŗ I said, Ŗlet her keep it.ŗ complaint,ŗ one of them remarked. ŖWhy then give a As a reaction from the medicine I had prescribed, different remedy to each of us?ŗ the child again went through a real attack of Measles. ŖBecause,ŗ I explained, Ŗyou all have similar but Of course, I did not dream to interfere and thus not identical symptoms.ŗ interrupt the development of this artificial attack, with ŖAll four of you have temperatures. But they are other drugs. not the same sort of temperatures. The four of you Since then two years have gone by, and after that have got Influenza, but you are four different beneficial high temperature the child has completely patients.ŗ recovered and flourished without the aid of tonics, The homœopathic medicine is not based on the injections, vitamins etc. diagnosis of an illness but on the individual symptomatology of a patient. Every patientŕso to Nosodes speakŕhas got a personal disease. In Homœopathy there are countless substances There is no Rheumatism but rheumatics. Some that, like the Morbillinum I just mentioned, are used find relief in walking, others in keeping still. One to reactivate a suppressed illness; to stimulate the from cold applications, another from hot ones. Some organism during the period of an illness. They are feel better at the seaside, others in the mountains. called Nosodes, and have been used for more than a

Types, and characteristics cross each other; unexceptionably. Sinking at the epigastrium from 11 hundreds of pictures present themselves. For every a.m. till 6 p.m. when in Germany, more rarely since one of us there is a specific individual remedy. It has her return home. Her hands are cold and dry; got to be carefully chosen by a long, thorough chilblains on hands; feet normal. Severe anaemia. examination. March 28th, 1887. Taking the dropsy ŕ the Through these few examples I hope I have restlessness evenings, relief in bed, the general introduced you to the apparent paradox of the debility and the chilblains ŕ it seemed to me that similimum and to the magic nature of the infinitesimal Arsenicum was better indicated than any other dose. If Homœopathy may seem magic and remedy. Doubtless the sinking at the epigastrium from paradoxical at first, approached simply and with 11 a.m. until 6 p.m. with anaemia was strongly familiarity, it is very logical and simple. For these indicative of Sulphur but I had greater faith in very reasons it is recognized and appreciated. Arsenicum in all forms of dropsy than in Sulphur. I [ gave my patient on this date Ars. 200 (F.C.) 18 doses, ------one to be taken night and morning. July 7. The cough is entirely gone and the 8. A Chronic Case Cured1 heaviness of her limbs Ŗas if weighted.ŗ Since the hot Thomas SKINNER, M.D. weather set in she has had terrible oppression and [THE LAYMAN SPEAKS, A Homœopathic weakness at the heart with back-ache, worse at bed- Digest, Vol. XVI, 1/1963] time and in bed. It keeps her awake until 3 or 4 a.m. and she is unable to lie down. Must leave the window The following case was so puzzling, yet so of her bedroom open at night and herself lightly simple, I have thought it would be interesting to my covered. Great debility. In consequence of the intense professional brethren if I narrated it from my journal heat of the weather, which was of stifling character of the case, with all its faults, difficulties, failures and even to those in health, I felt certain that medicine successes. could not play the part of cool, fresh air. Miss C.A., aged 24, with golden auburn hair, Consequently I advised her removal as soon as dark hazel eyes, and a lovely fair complexion, five convenient to a cooler atmosphere. Moffat in feet in height, and very handsome, consulted me along Dumfrieshire, was selected. No medicine was to be with her mother on the 28th March, 1887. The family taken, and I was to be written to if in any way worse. had just returned from Germany, whither they had August 22nd. She wrote in great spirits to tell me that gone in order to finish her education. Education or no the cooler air of Moffat had made her Ŗquite wellŗ and education, the climate and cuisine of Germany nearly she continued to until the fall of the year. finished both the mother and daughter. I shall keep to October 21st. Restlessness all over the body, the state of the daughter at present, who was residing generally worse about 8 p.m. Weakness and at times at the seashore on our south coast. While all the pain at her heart. Late going to sleep. Merc. sol. 1m. family were tanned by the sun and sea breeze, my A dose every night at 7 p.m. while the restlessness patient remained pale and haggard ŕ complaining of continues. nothing, only feeling terribly weak. She had lost much November 3rd. Restlessness gone. flesh and fat, and was low-spirited, but in no way November 15th. Her sleep is still very fearful about herself; on the contrary, she pooh- unsatisfactory; late in getting to sleep. Her brothers poohed her state, and she would have it that there was and sisters are Lycopodium subjects. Lycopodium 1m. nothing but weakness the matter with her. a dose each night at bed time until a decided The following is her Ŗphotoŗ: Puffy swelling of improvement sets in as regards Ŗlate in going sleep.ŗ her face from below the eyes, always worse on first November 23rd. Sleep returning with general getting out of bed in the morning, disappearing as the improvement all round. No medicine. day advances, but never wholly away; face pale, wan, December 15th. Continued improvement in sleep, sallow and sickly. Both extremities from the hips but in spite of that there is an increase in lassitude or downwards are painfully distended, and the patient weakness, in the evenings of every third day. Heart thinks that the swelling begins at the hips. Fidgets in jumps upwards now and again, worse evenings. legs and arms; from the knees down and the whole of (Query: Was this a new symptom or an aggravation both arms. They commence about 9 p.m. as the sitting from the previous Lycopodium? as it clearly indicates room gets heated, only relieved by moving about or Lyc.) I gave her Lycopodium 10m. (F.C.) getting into a cooler atmosphere or apartment. She is From this date I seemed to be at sea without a free from fidgets in bed. Her feet and ankles are very rudder with my patient. Nothing would go right. The oedematous, pitting deeply on pressure with finger. dropsy got worse than ever and most alarming and M.P. every three weeks, and scanty, as a rule, disfiguring. Kind friends and relatives called on her otherwise normal, the last M.P. just over. Sleeps mother and tried to dissuade her and the patient against those trifling globules. ŖThe girl is dying by

1 inches and yet you trust to weak sugar and water. You From The Homœopathic World, Rustington, Sussex, surprise me, and a Christian mother!ŗ England, VoL 100, No. 1154, October, 1962.

As the late Dr. H. N. GUERNSEY once told me, Dr. S. does not pretend to work miracles, or do that ŖDoctor, it is not the ill ones that are difficult to which is impossible.ŗ manage, it is the well ones!” Hydropathy is a vast improvement on Allopathy, In a sort of desperation I gave Arsenicum 20m. but has much to answer for. and 50m. (F.C.) but they only made matters worse. April 12th. Reports general improvement; M.P. On January 16th, 1888, I made the following photo, of expected in three days; paroxysmal cough mornings. the dear girl at her motherřs house in bed. No change, Ars. 200 every second night at bed time. or if anything worse. The swelling is extending to her May 12th. M.P. scanty, every three weeks, the body and is accompanied by burning, stinging pains last every two weeks. Fainty spells commencing in all over her feet, worse in the evenings when her feet chest. Dry, tickling cough only by day. Sulphur cm. become warm. She feels as if her skin were scratched (F.C.) one dose at once dry on the tongue. across the front or bend of her ankles, and she dislikes May 20th. The Sulphur cm. has agreed and she the fire. One more ray of hope Ŗa sail in sight feels better in every respect. Last Saturday night, but appears.ŗ Apis 1m. (F.C.) in water every four hours not since, she felt a heaviness as of lead in her heart. till again seen, or worse. (As she has never had such a sensation before or January 19th, 1888. The burning, stinging pains since, I have no doubt that this symptom will be found in feet are gone, and the swelling is less in her lower more or less characteristic of Sulphur, as it was limbs, but there is more swelling in face and body, induced by the cm. and gave her great alarm.) I have which latter she knows by her dresses not meeting. italicized Ŗin her heartŗ because she persisted that the There is still a general restlessness of body. feeling was so. Her cough is better, but it comes back Nota Bene: I may as well here state that her at irregular intervals. The dropsy is gone and she feels bowels have all along been perfectly natural and her less fainty. The usual placebo. urine is normal in quantity and colour. Specific June 3rd. The weakness remains the same. Hot, gravity from 1,015 to 1,020 and although it has warm or close weather induces pain as of pricking, frequently been tested for albumen, not a trace of it and heaviness, with a feeling as if the dropsical has ever been found by heat and Nitric acid. The swelling would return. Cough worse by laughing or heart, though now and again functionally deranged, entering a warm room from the open air. Bryonia cm. has never been found to manifest any organic change. (F.C.) a dose each night until the cough is entirely And so far as I know the liver has never been in fault. gone. So that, here we have a case of acute or sub-acute After this providential visit from my patientřs dropsy, in no way directly connected with any fixed married sister, I called at my patientřs house and saw lesion of the kidneys, the heart, or the liver, and her in bed (after Ŗa tubbingŗ I presume). I made purely depending upon anaemia of a strictly psoric enquiry, and found that all through her illness she had character in a hydrogenoid habit, as we shall see more Ŗa tubbingŗ once or twice a day, except at her particularly in what follows. monthly periods, which she, poor innocent, thought it January 23rd, 1888. I received a visit from a was the proper thing to do, and the more so, as all her married sister at my consulting rooms in town. She young female acquaintances did the same. I told her it wished to have a talk to me about her sisterřs case, as was all very well for those in sound health, but it was she felt certain that she did not tell me all. She not for those who required the aid of the physician informed me that she was Ŗa regular hydropathic unless he ordered it. It goes without saying that I water spaniel, and whenever you call upon her, or stopped all meddling with water, except on uncovered whenever she knows you are going to call, she always parts until further orders, much to the chagrin and has an extra tubbing. She seems to think that disappointment of my patient, and I made the last, the cleanliness is next to godliness.ŗ So said her sister. following photo: Here is the key to the whole case ŕ Anaemia, The Apis 1m. removed the burning, stinging aggravated from meddling with water. pains, but it did not seem to influence the ascites, and In my ŖNotice to Patientsŗ a printed copy of general anasarca of face and body. Leucophlegmatic which I give to every patient, it is clearly stated as a subject, irritable and headstrong, always worse after condition of patientship that ŖBaths of all kinds, a bath, particularly a warm one, which is her delight. Turkish and Russian, medicated or not, must be Cold feet, worse evenings. Fidgets of arms and legs entirely under Dr. Skinnerřs control ŕ even as on and off. Anaemia. Hydrogenoid. On the head of regards sitz and ordinary sponge baths used for the this Ŗphotoŗ even granting that we have not much to purpose of cleanliness ŕ as also all practices learned recommend the selection so far as ascites and at Hydropathic Establishments: because water, cold anasarca are concerned, except our Ŗguiding and damp, as a rule, are inimical to the most and the symptomsŗ on worst forms of Chronic Disease.ŗ January 23rd, 1888, I put her on Calcarea 200 At the close of said ŖNotice to Patientsŗ the (F.C.) thrice daily and on the 2nd February she following speaks for itself: ŖIf patients cannot or will reported the swelling and dropsy nearly gone. General not adopt the above simple but necessary rules whilst restlessness about 8 p.m. beginning at the feet and under treatment, they had better not begin, because ascending, continues until bedtime, relieved by

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 153 uncovering, accompanied by a grasping sensation at The concept of internalizing and externalizing the heart. Calcarea cm. (F.C.) one dose at once and behavior syndromes arises from the pediatric one at bedtime. No placebo. To let it work. psychological assessment literature. Through cluster February 20th, 1889. Has never once Ŗlooked analysis of questionnaire data and clinical over her shoulder.ŗ My patient is now the healthiest of descriptions, specific syndromes within these two the healthy, and the gayest of the gay. She has gone to categories have been depicted. These behavior balls, concerts and theatres for the seasons of 1888 syndromes are useful when analyzing a case from a and 1889, to the agreeable surprise of those friends homœopathic perspective. They enable an ordered who pooh-poohed Homceopathy. case taking and case analysis process, especially if we Comment. In all disease adhere to the totality of correlate these behavior patterns with homœopathic the symptoms, prescribe for the patient and never for remedies. Tables 1 and 2 list the syndromes within the the disease, and never forget that hydropathy may be a Child Behavior Profile (see Achenbach, TM curse as well as a blessing. Assessment and Taxonomy of Child and Adolescent ------Psychopathology, Newbury Park, CA: Sage, 1985). Table 3 places some typical homœopathic remedies 9. The Withdrawn Child within this syndrome perspective. NEUSTAEDTER, Lac Randall Silica is naturally shy, slow to warm up to new (RESONANCE 16, 4/1994) situations, and a natural observer. The Silica child is usually intelligent with advanced development and a The homœopathic literature often focuses on the quick mind. The child can sum up a situation quickly difficult and contrary child. These are the children and give perceptive comments about people. But, who are labeled with allopathic terms such as conduct there is a stubborn tendency to hang back, watch, and disorders, attention deficit-hyperactivity disorder, and delay their own participation in a new environment. borderline personality. These children draw attention This can give people the impression that the child is to themselves in the family and at school, slow, but the Silica child is actually quite sharp and monopolizing the time and concern of all the adults sensitive to the surroundings. Because of this around them. They receive more homœopathic rem- tendency to be inconspicuous, the child can be edies (Hyos., Stram., Anac, Tub., Med., Verat., etc.) misunderstood by parents. Their perceptivity and and have more office visits than their quieter peers natural intellect may even go unnoticed by parents and siblings. The children who internalize their who are less bright than the child or distracted by their emotional reactions often go unnoticed. Their own lives. depression, grief, and fear are lost in the shuffle and These children are usually capable and talented, noise of the busy family and classroom. They are though their withdrawing tendencies slow them down often brought in by the attentive mother who notices both socially and within the family. It takes a sensitive that something is not right. parent to understand the Silica child, bring out the Children require recognition and acceptance. A child is born with a particular temperament and child's strengths, and to give her/him the room needed personality. Parents need to recognize the nature of to express clearly. each individual child, adjust their own expectations, Injuries may cause symptom expression in these and provide opportunities for learning that consider Silica children. Emotional trauma may cause them to the child's unique qualities, talents, and emotional become more withdrawn. The Silica child may even makeup. The homœopath is in an excellent position to have difficulty talking to adults or other children. help parents understand the child's individuality and They retreat to their creative activities, and though encourage them to create an environment that will everyone agrees that they are sweet and cooperative, foster growth and strength of personality. When this they develop an aloofness that can be impenetrable to does not occur, when children are injured, abused, all but the most inquisitive; patient adults around ignored, or misunderstood, they may choose them. withdrawal as a mode of defense. This recognition of Baryta carbonica, by contrast, is much more the child includes respect for the child's true nature afraid. The world is more threatening to these children and purpose. Whether or not parents are aware of and they are in hiding. The Baryta carbonica child will these, they can respect the wisdom and integrity of the hide behind the mother's skirt in a new environment or child's system. Attacks on the system's integrity will even when making transitions to familiar places. result in injury and withdrawal. It is then that When family friends arrive at the house, the child will remedies such as Silica, Baryta carbonica, Arsenicum hide behind the couch. At school the child may sit on album, Staphysagria, Natrum muriaticum, Ignatia, the edge of the playground throughout the entire and Thuja may be needed. These remedies can be recess or a preschooler may sit curled up in a cubby differentiated by their behavioral manifestations in space and require the teacher's entreaties and coaxing children and by the events that have initiated the to enlist participation in the class. These children do symptoms. not feel safe in the world. They are sometimes just not

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 154 bright enough to figure it out. It all seems new and An unusual case was an 18-month-old who unfamiliar to them and they seem unsophisticated, shrieked from frustration whenever he played with awkward, unprepared, afraid, and bewildered. This is toys. He seemed totally disoriented in the world I in sharp contrast with the sophistication of Silica, played quizzically with his toys as if he did not Natrum muriaticum, and even Phosphorus. understand the very fact of objects existing in space. Arsenicum has fears of a different kind. These He would repeatedly run his fingers along ledges, seem fabricated and unwarranted. They are more feeling the edge and staring with fascination. He obsessive fears. The Arsenicum child must have would knock over a toy, carefully set it upright, then parents present for reassurance. He/she cannot fall tip it over again, repeating the procedure to asleep at night without the parents lying in the bed or understand the process. His level of frustration was sitting in the room. This child worries and calculates; especially worrisome to his mother because he did not is exacting and eccentric. Like the adult Arsenicum seem able to accomplish any small task he set for who is mortally afraid, Arsenicum children have a fear himself without an emotional outburst. It seemed that of annihilation and disappearance. This creates the he did not understand how to function in this insatiable need for reassurance. They are afraid of dimension and did not become familiar with the world death, afraid of dangers in the world, afraid that their as other children did. He seemed traumatized by the protection will disappear. It is as if their shields of fact of being here. After receiving Ignatia he became confidence and security in the world have never been settled, calm, and less frustrated. Repeated doses were adequately formed. prescribed when the behavior arose again at various developmental stages with equally good success. Staphysagria children, on the other hand, have Interestingly, his baby brother began to show some of been injured in this world. They are withdrawn the same symptoms and he benefited from Ignatia as because they have been violated and repressed. They well. Both boys had a similar demeanor; As if they harbour resentment because they have not been heard. came from the same realm. The dynamic in children When adults force these children into a mold, the needing Thuja has recently been described in a result is withdrawal and confused, repressed anger. fascinating article by Catherine Coulter ("The psychic On the surface the child attempts to be coopera-tive, dimension of Thuja," Journal of the American but at a deeper level resentments about the injury are Institute of Homœopathy, 1993; 86; 197). The harbored. The child is stifled, but acquiesces. article represents a significant event in the classical Natrum muriaticum children have closed in on homœopathic literature because it is unusual in themselves. They are observers, but these children several respects. It raises very important issues about calculate to determine their responses. The desire for children relevant to their homœopathic treatment, order does not arise out of fear, as with Arsenicum, but, it also initiates a realm of thinking about remedies but reflects the need for control. They feel and cases that is new and timely. Readers who do not emotionally injured and they seek to protect subscribe to the JAIH will find this article in Ms. themselves by closing down. This is expressed in the Coulter's forthcoming book, Portrait of a need for order, the interest in clothing styles, social Homœopath. [A copy of that issue of the JAIH may cliques, and the perfectionist tendencies in school. On be purchased from the AIH, telephone: 303-370- the other hand, they cannot control their emotional 9164.—ed.] This portrait of Thuja supplements those responses, and fits of temper in the form of door presented by others (see Bill Gray's article, "Thujaŕ slamming and brooding sessions punctuate the quiet, The great masquer-ader," Journal of the American seething, cooperative but tight disposition. One has Institute of Homœopathy, 1991; 84; 11) and adds the sense that the child keeps a lid on things and gets new information. In it Coulter describes the typical rattled only when the pot begins to boil. To the casual psychological portrait of the Thuja essence including observer and for teachers, these children are perfect its guilt, alienation, rigidity, and inadequacy. She does models of behavior. Parents, however, are continually this in her usual lucid and entertaining literary style challenged by the rebelliousness and the distrust of with many interspersed and illustrative cases. The adults' motives. Children who need Ignatia are more important point, however, that she makes throughout active. They display the active emotional response to the article characterizing Thuja, is the disorientation the injury. They are visibly upset much of the time. that may occur when individuals have become open to This may occur because of feeling so acutely the psychic information or other dimensions of reality. effects of emotional trauma. Small children may She summarizes this point with the following exhibit screaming, and older children seem constantly introduction: upset. A strategy for coping has not been developed "Either because he has been so profoundly and the result is emotional disorder and reactivity. injured in this lifetime or, as sometimes happens, This may occur in children who are abused or from exaggeration of or an imagined victimization, traumatized an event such as a death in the family or some part of Thuja's spirit has withdrawn from this a move. The emotional injury that stimulates an world and, even if unconsciously, sought refuge in Ignatia reaction may take many forms. some other sphere of reality where it hopes to feel

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 155 more at ease. In other words, even while functioning vaccination combined with the neurological adequately or in fact well on this planet both symptoms associated with the pertussis vaccine make physically and socially, a certain psychic break, a for interesting speculation upon Coulter's main thesis. certain non-integration between his spirit and mortal She correlates the themes of Thuja in children with frame, has already taken place. No longer his old self those of Autism and states of disorientation from but not yet understanding his new self ('as if divided physical reality. The themes of Thuja in children are in two parts and cannot tell which he is': Kent), he is similar to those in adults, that is, they seem tuned out, undergoing the growing pains of transition from disengaged, oppositional, psychically sensitive, and existence entirely in this world to an awareness of learning disabled. She associates the psychic abilities other dimensions." of autistic children with the disorienting effects of COULTER then goes on to explain the mental vaccination. The screaming episodes following the and emotional symptoms of Thuja from this pertussis vaccine, the withdrawal from the body in perspective. The mental confusion and lack of clarity SIDS cases, and the neurological damage, retardation, relate to the distress that the traveler experiences as he and regression of vaccine injury all suggest Thuja is caught between two worlds in "alien territory." issues. In light of the thesis about Autism's Thuja suffers from "spiritual bewilderment and relationship to the pertussis vaccine, as so eloquently psychic disorientation." She views the subjective presented by HARRIS COULTER (Vaccination, experiences of Thuja, strange as they may seem to an Social Violence, and Criminality, North Atlantic outsider or the patient him/herself, as valid encounters Books, 1991), the themes of Autism, Withdrawal behaviors, Psychic disequilibrium, and Thuja are with other planes of existence. She suggests that many practical and timely when so many new vaccines are experiences listed as Thuja delusions can be being injected into children. understood more accurately as breakthrough Vaccines carry the potential to invoke encounters with other realms: tremendous damage in the body. These are not so "In the present day and age our understanding of much vaccine reactions as vaccine devastation. A Thuja-like 'delusions' is undergoing a significant child whose system is attacked by vaccines may be metamorphosis, and these sensations are beginning to thrown into a severe state of disorder. Any child be viewed rather as a confused understanding of injected with a vaccine recoils in shock, but those paranormal phenomena in subjects ultra receptive to who are particularly sensitive or vulnerable undergo a other orders of reality.... In other words, that which more significant state of neurological, systemic, and contributes to Thuja's mental-emotional confusion is psychic catastrophe. The withdrawal that occurs can having no conventional paradigm or frame of be drastic and permanent. reference through which to process and make This type of reaction is not even seen by meaning of his paranormal experiences. And this lack allopathic physicians. It is as if they were blinded to of satisfying tools for grappling with the psychic the change that occurs in a child after receiving a dimension, consorting with utter psychic vulnerability vaccine. Parents, however, see only too clearly. The and consequent inability to sift and sort out amongst difference that they observe in the child is horrifying the entities both malignant and benign that randomly to them. This is what has caused parents to protest bombard him... leaves him with no skill to mandatory vaccines and to fight them in the Courts. discriminate in the spirit world." It is tragic that children are subjected to this COULTER goes on to elucidate imaginatively assault on their bodies. It is shameful that the mentality of the various epochs of western homœopaths have not publicly expressed their dismay civilization since the Middle Ages, characterizing the and alarm at the damage done to children in the name last four decades as a Thuja era. Individuals in this era are beset by a range of stressful events and cultural of preventive medicine. In fact the homœopathic transitions which render them especially susceptible community has chosen to back off from the vaccine to the disorientation she describes. The modern issue. The COULTERS' accusations about vaccines evolution of spirituality and the discarding of are too speculative, the political implications of restrictive conventions have led to a precarious state confronting the vaccine campaign industry are too in which individuals are left a little dazed and touchy, the position of Homœopathy in the country's confused, especially when these forces impinge on new health care plan is too precarious. Or perhaps their own egos and delicately constructed homœopaths are lulled into complacency by the explanations of reality. This is the point that denials and reassurances of allopathic vaccine COULTER makes so eloquently in her forty-page researchers and view the protests against these drugs treatise on Thuja. as a little hysterical. Children face a particularly difficult set of Thuja Whatever the reasons, homœopaths have chosen circumstances. COULTER raises the issue of to withdraw from the vaccine issue. Are we merely to vaccinations and their disorienting effects on the view vaccines as an unavoidable stress of childhood system. Thuja's reputation for treating the sequelae of and continue to treat the chronic symptoms that result

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 156 from their use with constitutional prescriptions for the Homœopathy because of symptoms being out of recurrent ear infections, Asthma, and neurological control. dysfunctions? Or will we come to the defense of our Most of the symptoms that confront a child patients by informing ourselves and parents homœopath in children's cases center around immune about the issues, just as we would any other form of system function. These present to us as recurrent injury or abuse? respiratory and ear infections or allergic reactions Sexual abuse of children finally has been (chronic congestion, Asthma, and Eczema). Various recognized as an emotional stress with debilitating combinations of these frequently occur in any consequences. The homœopathic community has individual child. The specific diagnosis is often brought its own resources to bear on the syndromes irrelevant to the homœopathic case. and remedies associated with the types of withdrawal My experience has shown me that it is important resulting from sexual abuse. Can we find the courage to keep a perspective in the case about the correct to do the same with vaccine injury and its own approach to any symptom. The highest point in this syndromes of devastation and disease? perspective is the constitutional remedy. Other issues in the case, the acute remedies, the management of

symptoms, and the diagnostic pursuit of specific TABLE 1: Internalizing Syndromes allergens or symptom triggers are all secondary. Syndrome Example Behaviors The child's safety is of primary importance. That goes without saying. There is no place in Homœopathy clingy, nightmares, timid, fears Schizoid/Anxious for the purist approach of avoiding allopathic drugs school, anxieties entirely. A child with Asthma, for example, may be lonely, feels unloved, guilty, Depressed much too reliant on bronchodilators and steroids. sulks, feels worthless However, their place in the management of Asthma confused, won't talk, self- Uncommunicative cannot be ignored. In any case, my experience has conscious, secretive been that if we give the correct constitutional, then the obsessions, stares blankly, Obsessive-compulsive need for drugs decreases and parents will withdraw hoarding, strange ideas them with a little encouragement and a sensible headaches, dizziness, stomach approach. Somatic complaints aches, overtired The constitutional prescription is usually the poor peer relations, teased, homœopath's goal for a child whose parents come to Social withdrawal unliked, withdrawn Homœopathy frustrated with allopathic care. In my TABLE 2 : Externalizing Syndromes own practice though, a different situation occurs not Syndrome Example Behaviors infrequently. I will see a child for an acute problem, restless, impulsive, acts too Hyperactive then another, and a third. Eventually it becomes clear young, insatiable cruel, fights, lies, screams, that the child needs a constitutional remedy, but it has Aggressive swears, loud, threatens not been prescribed. This time spent chasing acute destroys things, disobeys, Delinquent steals, vandalism, truant symptoms could probably be avoided, and the child's health improved, by giving the constitutional at an TABLE 3 : Homœopathic Remedies Correlated with Syndromes earlier point. This would be the ideal preventive approach, but Internalizing Externalizing several limiting factors might interfere with this. At Calcarea Silica Tuberculinum carbonica this time of reduced insurance coverage and the Baryta Causticum Medorrhinum expansion of HMO programs, parents may find it carbonica Sulphur financially difficult to bring each of their children for Arsenicum Anacardium Staphysagria a constitutional evaluation. The other limitation is the Natrum Kali carbonicum Stramonium knowledge level of the prescriber. Using acute muriaticum Calcarea remedies for children's illnesses is rewarding and Thuja Hyoscyamus phosphorica relatively easy to learn. Many practitioners have Easy/Shy Difficult integrated acute prescribing into their treatment of children. Chiropractors, Acupuncturists, Naturopaths, 10. Constitutional Prescribing for Children and holistically oriented MDs have all found that NEUSTAEDTER Randall OMD, LAC homœopathic acute prescribing often eliminates the (RESONANCE, SEPTEMBER-OCTOBER, need for antibiotics in the children they see. This has 1994) encouraged tremendous growth in Homœopathy. Acute remedies really work in children's In this issue I would like to share some of my illnesses, and parents are deeply impressed by this. At experience working with children and to focus on a some 1evel they know the negative consequences of few areas that I have found are central in children's using antibiotics. Many parents are reluctant to resort cases. These all involve constitutional prescribing to antibiotics, but they feel compelled because the and apply to the child who has been brought for pediatrician has prescribed them and they feel

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 157 powerless to make any other choice. In turn the experiences. The homœopath must work with a pediatrician prescribes them for lack of anything else limited amount of information derived indirectly. to do and because of pressure to do something. Most beginning and intermediate level Because of these anxieties about diseases, practitioners feel more comfortable with acute repeated antibiotics have become one of the major prescribing. Unfortunately, the deeper issues in the causes of disease in our children. Their damaging case, the underlying susceptibilities, require deeper effect on the immune system is directly responsible acting remedies. Acute prescribing will, therefore, for the dramatic rise in chronic ear problems and occupy relatively inordinate amounts of time, and allergies. This iatrogenic illness in children is a more acute illnesses will occur if constitutional significant factor for understanding their cases. The prescribing is not utilized more. My advice is that global effects of drugs on a child's system must be these practitioners should venture into constitutional examined. prescribing. This can be done using the available This is obvious in the case of vaccines. There should, at this point, be no doubt in our minds that the modern pediatric Materia Medica literature. This vaccines routinely given to children, beginning now includes the works of HERSCU, VITHOULKAS, at birth, have contributed directly to a host of ZAREN, and COULTER. "modern" childhood epidemics, including attention Tackling the constitutional issues in children's problems, ear infections, and asthma. All of these cases is not as daunting as it seems. These children conditions have increased dramatically since the and their parents will literally tell you their remedies. advent of mass vaccine campaigns. Even though the parents are usually most concerned The denial of the relationship between these about recurrent physical symptoms, the emotional problems and vaccines among allopaths is merely and behavioral dynamics guide us to the remedy. consistent with their disregard for the underlying Understand the child's emotional issues and the rest balance of the human organism. Allopathy, after all, of the case falls into place. focuses on the short-term and the most limited view This is best accomplished by first perceiving the possible in its attempt to isolate occurrences. It is family dynamics. The homœopath must be attuned to inevitable that the long-term negative effects of the interactions between parent and child. The child's treatment will be ignored. Parents need education response to the parent's telling of the case will reveal a great deal. This observation of the child's behavior about these issues. When children receive will often lead to the remedy. homœopathic care, further vaccine usage should be The parents' affect in handling the child is the discontinued, or at least delayed, until the immune first step in this observation. Take the parent's case by system integrity is restored enough to handle more of observing his or her actions. Understand what the this stress. For those children who do not receive the parents are conveying to the child through language supportive care that curative healing systems, such as and tone. Understand the anxieties and frustrations Homœopathy, are able to provide, the escalating about the child's illnesses and the care received overuse of antibiotics and vaccines will continue to previously. Feel the parents' messages to the child undermine our population's health. about behavior. Children learn how to act in the Homœopathy has the ability to correct the world from their parents. immune system damage wrought by iatrogenic causes It is not uncommon for children to need the same in the form of drugs and vaccines. To accomplish this remedy as one of the parents. Conversely, the child in an individual child, limit or stop the drugs, may need a remedy that responds in specific ways to prescribe the constitutional remedy, and treat acute certain expectations or parental styles, like the episodes cautiously and judiciously. The acute resentment of authority in Causticum and Carcinosin symptoms can be managed with homœopathic children. remedies, herbal medicines, or allopathic drugs if Observe the parents. Are they controlling with a needed. The goal in these situations is to do as little disciplinary or dictatorial style? What are the parents' as possible to stress the body, and to support the expectations for the child's behavior? Are they immune system through foods or herbs while the realistic or inappropriate? How do they react to a constitutional remedy is acting. child's wandering around the room or restlessness? Is The problem has been that learning to prescribe there a sense of rigidity in the parents' messages? Is constitutionally for children may seem there a power struggle? Does the parent attempt to overwhelming. The literature and courses available in dominate the conversation and answer for the child? pediatrics are limited. Case taking itself seems com- Or does the parent have fears and insecurities that the plex because of the many factors involved: the parent child feels compelled to soothe? If we can discern the interview, developmental issues, the questions about parents' emotional content, then we are in a position appropriate behaviors in children, and emotional to observe the child's response. reactions to schools, siblings, and traumatic We should assume that any child over two years old is listening intently to the interview. The child's

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 158 actions and reactions will be obvious during the to this process. See if the parent's inclination is to parent's description of problems. There are two things rescue the child or to accuse him. Then watch the to observe about the child. The first is the child's child's dependence or rejection of the parent emerge. underlying personality or temperament. Impressions This turns the interview into a vital process which of issues like shyness, intensity, persistence, or constantly provides images of the child's remedy. negativity can be confirmed by questioning the parent Homœopathic prescribing requires constant about the child's temperament as an infant and integration of the case information. This occurs at toddler. This, combined with observation of the several levels that weave together simultaneously child's manner during the interview and direct during the interview. The impressions and sense of questions about the child's usual tone of behavior in the child's temperament will often point to a group of these realms, will give a sense of the inherent and remedies, the shy or withdrawing remedies discussed inborn nature of the temperament. This tends to in a previous column (Silica, Baryta carbonica, persist over time. The child's fundamental style or Thuja), the more active energetic remedies (Sulphur, way of being in the world usually remains true to Phosphorus, Natrum muriaticum), or the difficult type even though problematic aspects can change behavior remedies (Tuberculinum, Medorrhinum, with various approaches. For example, aggressive Hyoscyamus, etc.). behaviors that generate negative reactions from These lists could be greatly expanded of course, others can be modified by teaching the child more and remedy pictures can present in a number of effective social skills. different ways at different ages. Natrum muriaticum Of course, impressions about temperament can for example may be talkative or sullen depending on be deceiving. A child who appears withdrawn and the child's mood and her assessment of the quiet sitting in the exam room chair may be a little homœopath. The point is that the child's temperament hellion at home. The history is important to itself will lead in a certain Materia Medica direction. distinguish these ongoing personality traits from Then the striking symptoms of the parent-child reactive symptoms. Even an infant will reveal these interaction will help to reveal the central thread of temperament characteristics and these can be elicited emotional themes. The parent's description will from the parents through a structured interview about finally provide examples of behavior that can serve as them. important rubrics. A symptom like waking with The second realm to observe is the child's screams in the night, for example, may indicate a emotional reactions to the parent. These are often short list of remedy possibilities. expressed physically in the child's posture or through Once these emotional issues are emerging in the glances at the parent. For example, the sharp look of case, then confirmatory general characteristics such disgust or chagrin or defiance that a child shoots at as unusual food cravings, sleep positions, sweating, the parent across the room can be translated into or effects of weather may strongly suggest one Materia Medica rubrics and can lead to the correct remedy under consideration. The ideal situation remedy. A thousand clues lie hidden in the occurs when a cloud of symptoms and interaction that occurs in the exam room. emotional/behavioral themes all suddenly crystallize The homœopath would do well to adopt the around a key characteristic that unlocks the mystery child's position, identify with the child's feelings and of the case. The search for confirmatory findings will reactions, then know from the inside what it feels like then create more certainty in the remedy. Some to be that person. Feel the vulnerability, the fear of physical symptoms may be helpful clues, but often discovery, the embarrassment, or the humiliation of they are the least useful aspects of the constitutional the child. Understand the source of the child's anger case. and resentment. Identify with the loathing of In summary, my recommendations are to keep authority or the fear of abandonment that this child's the constitutional remedy as a constant goal in stance and reactions express. Get yourself inside this children's cases. Avoid chasing acute illnesses and physical symptoms with specific, limited remedies. child's skin. Support the system by avoiding drugs as much as If this is difficult, then feel the shell and the possible and encouraging dietary changes if needed. armor that prevent intrusion. If the child will not Observe the parent's emotional tone with the child engage, then figure out why. Persist until you are and the parent-child emotional interaction. Study the satisfied that you have the truth. Do not be put off by child's temperament and bring the behavioral the child's reluctance or fear. Watch it and feel it. As symptoms into focus within the context of the you see it arise, ask about it. Get examples and underlying temperament picture. Look for key specifics. emotional and characteristic general symptoms that Integrate this observation and study of the child point directly to remedies. with the data collection, so that your hunches, Then apply a comparative Materia Medica intuitions, and empathic discoveries are confirmed or approach to the remedy possibilities. Give the denied. Observe how both the parent and child react constitutional remedy and then maintain caution

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 159 around too much extraneous prescribing. Observe Ŗsuccussionŗ. Although less employed, the fittest term how well a child under the action of the right is Ŗpotentiationŗ, as itřs believed that the procedure constitutional can resolve acute flare-ups of enhances the homœopathic action of the substance symptoms with minimal intervention. Approach (1). constitutional prescribing for children with a sense of Rather than terms, itřs more important to adventure and watch the amazing responses and accurately characterize Hahnemannřs new procedure rewards of this fascinating homœopathic realm. especially as it represents the first procedure in history that involves a dramatic reduction of the amount of ------medicinal matter in the making of an active solution.

Moreover, many authors affirm that the more diluted 11. Dynamization the substance, the more potent it becomes. AMARILYS DE TOLEDO CÉSAR Indeed, Ŗdynamizationŗ, from the Greek dynamis (INTERNATIONAL JOURNAL OF HIGH - that Hahnemann himself employed Ŕ means Ŗforce, DILUTION RESEARCH, Sibiu, Romania. potencyŗ (5, 12). Aurélio, the most authoritative http://www.feg.unesp.br/ijhdr. 2, 5/2003) Portuguese language dictionary, defines Ŗdynamizationŗ as Ŗaccording to Homœopathy, Changes in material substances, especially the release of the therapeutic energy of a remedy through medicinal ones, through trituration with a non- dilution or diminution.ŗ (12) medicinal powder, or when dissolved through As the final product of the dynamizing process is agitation with a non-medicinal fluid, are so incredible called a Ŗpotencyŗ, we are faced once again with the that verge upon the miraculous, and it is most idea that the increase in activity directly depends upon fortunate that the discovery of such changes belongs the number of times that the double procedure to Homœopathy. dilution-agitation has been performed. An analysis of HAHNEMANN, The Chronic Diseases actual prescriptions shows that this is precisely the belief of homœopathic practitioners: they usually Introduction begin treatments by prescribing lower potencies and Upon hearing the expression Ŗhomœopathic go on prescribing ever higher potencies. Basic remediesŗ, one of the first ideas that come to our research data suggest instead that the pharmacological minds is Ŗvery dilutedŗ. If we know a little bit more, activity of drugs is better described by a sinusoid than we may also think Ŗthey are dynamizedŗ. But, what by the straight inclined line that translates the notion does Ŗdynamizedŗ mean? How is dynamization done? that Ŗthe higher the potency, the more active the How are homœopathic remedies made? solutionŗ. Homœopathic practitioners still refer to ŖDynamizationŗ comprises the process of diluting Ŗinefficient potenciesŗ, which may well represent the and agitating solutions. This constitutes one of empirical proof of the research hypothesis mentioned Homœopathyřs foundations and it was taught by above. Thus, it would be very interesting to verify Hahnemann, who developed it by both logical through careful research protocols, what is the actual reflection and intuition, as he sought better ways to clinical answer in relation to the variation of apply the Law of Similars into practice. dynamizations (2, 3, 4). Notwithstanding its essential role in the Itřs a fact that clinical activity is induced by preparation of homœopathic remedies, many dynamized solutions, diluted well above the practitioners still ignore many aspects of it, and this is Avogadro limit; the first conclusion is that immediately perceived through basic mistakes in the homœopathic pharmacology plainly contradicts prescriptions they write. A prescription is the written classical pharmacology (dose-dependent effects), and document that tells the pharmacist what he/she should this from its beginnings, 200 years ago. After the do, so it can leave no room for doubts. initial shock, we are tempted to deepen our The present article may seem very basic, but it knowledge concerning this phenomenon. In order to aims precisely at reviewing all pharmaceutical aspects do so, we will review data concerning the different essential to a right prescription, contributing thus to procedures of dilution and agitation, the variables that better therapeutic results. may act on these procedures and the dynamizing In order to accomplish our goal, we will discuss procedures employed since Hahnemannřs time to the pertinent literature and add our personal experience. present. Terms Dilution Many Brazilian sources employ the terms When HAHNEMANN first attempted to apply Ŗdiluting and dynamizingŗ instead of Ŗdiluting and the Law of Similars to the treatment of actual patients, agitatingŗ. Itřs true that whenever we agitate a he immediately realized that he needed to prescribe previously diluted solution we are finishing the very small amounts of drugs as they produced process of dynamization. This explains why the word symptoms by themselves. Hence, he began to dilute Ŗdynamizationŗ - the final result of the procedure - is substances in the ratio of 1 part of active substance to used in the place of Ŗagitationŗ. KEYNE states that in 100 parts of diluents vehicle. With this he had created France, Ŗdynamizationŗ is regarded a synonym of the centesimals Ŕ now called CHs, or Hahnemannian

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 160 centesimals. The father of Homœopathy mentions was very careful to precisely determine - through the using water and alcohol, probably to preserve number of drops - a very small volume of the fluid to solutions. be agitated (100 drops of strong alcohol, i.e. 2 mL). Winston explains that the original potencies were As he had already established that the vialřs content designated by a small-case Ŗcŗ as the upper- case couldnřt be smaller than half of it, he established the letter ŖCŗ may easily be mistaken with the Greek digit standard use of small vials, which would suffer a very C=100. Many of the earliest prescribers named their strong power of agitation, through Ŗ100 strong 200c potencies as Ŗ2Cŗ (10). succussionsŗ. (5) By the end of his life, HAHNEMANN used The agitated fluid is composed of a solution of therapeutic solutions successively diluted 200 times, water and ethanol, its density varying from 0.8 to 1 always intercalating agitations, that he called g/l. There are no descriptions of the possible influence Ŗsuccussionsŗ (11). of temperature, but there are mentions to

Agitation dynamizations performed in nitrogen atmospheres. (7) In The Chronic Diseases - thus, before the Even when he increased from 2 to 100 agitations, Organonřs 6th edition - it is written: HAHNEMANN would perform them manually. Ŗ... Then, 1 grain is dissolved in equal parts Notwithstanding, since his time to the present, there of water and alcohol and dynamized through was always an interest to develop machines. Authors 27 vials, with 2 succussions.ŗ (6) who lived at the time of the Industrial Revolution Clearly, HAHNEMANN initially applied 2 wondered what could be the highest possible potency succussions to his dynamizations. Later, he that will still keep pharmacological activity. Thus they experimented with 10 succussions and even more experimented ever increasing dynamizations, and until after harsh criticism, he realized that the increase tried to build machines to help them in the process. in the number and strength of succussions made A trend was established to use 100 succussions unbearable the violence of the final solutionřs effects. even in regular centesimals - it became the standard in Finally, upon feeling the need of prescribing even less Brazil at the present time. This made pharmacists amounts of drugs, he increased the ratio of dilutions to easily develop repetitive strain injury. On the other more than 1:50,000 at each step of the procedure, hand, the advancement of technology and the hope to rating it as Ŗmy best method of dynamizationŗ. At the set a definite standard in the preparation of same time, he increased the number of succussions to homœopathic remedies, set forth a trend to use 100. Ŗmechanic armsŗ. Brazil has developed its own As the procedure of Ŗdynamizingŗ comprises models. (8) Yet, it should be taken into account that both diluting and agitating, they are usually discussed many homœopathic practitioners consider that any together.Yet we may separate them in order to deviation from Hahnemannřs original procedures understand each of them more deeply. exclude the remedy thus prepared from the category Dilution may be manual Ŕ the vial is manually of ŖHahnemannianŗ. beaten against a semi-rigid surface (it is told that In Europe, there were developed machines that Hahnemann used a leather-covered book) or make vials vibrate, very similar to those employed in mechanical Ŕ when some appliance is used. There are odontologic offices to homogenize mixtures, such as those that believe that our Ŗpersonal energyŗ (an those fabricated by Belgian-based Labotics and sold expression very difficult to define) in the process of in the Northern hemisphere (Europe, United States, manual dilution may interfere in the final result, hence Canada and Japan) (14). mechanical procedures should be preferred. To this, So, when manual and mechanic agitations are others answer that such Ŗpersonal energyŗ, if it exists, compared, so many variables interact that impede their standardization. may both positively or negatively affect the outcome. Other factor that may affect the outcome of the LM Dynamizations agitation process may be classified as mechanical HAHNEMANN was very careful to set rules in (number of succussions, amplitude of the succussion order that remedies should be reliable. He began by motion, intensity of the impact against the chosen extracting Ŕ exotic dried and native fresh Ŕ plants surface, weight of the vial) or physico-chemical through alcohol (tinctures); whenever succulent or (density of the liquid, environmental temperature, fresh plants were available, he would use their juice. atmospheric composition inside the vial). Probably, he realized that when he changed the In the course of time, HAHNEMANN tested solvent, he would extract different fractions of the different number of succussions (5, 6). There are no plant. From Arabic physicians, he learnt how to available descriptions of the amplitude of each triturate all kinds of substances, no matter whether motion. Concerning strength, he would rate them as soluble or not, mineral, vegetable and animal, dried or Ŗstrongŗ, but it wasnřt objectively measured. Finally, fresh, all was to be triturated with lactose in a Hahnemann established that the vial should be filled porcelain mortar. to 2/3 of its capacity (5). Ŗ... 1 drop of the juice and the same amount When describing the method of preparation of of lactose, triturating until the millionth. remedies in the Organonřs 6th edition, Hahnemann Then 1 grain is dissolved in equal parts of

water and alcohol and dynamized through between the D4 (diluted to 10 - 4, with 4 X 10 27 vials, with 2 succussions. Experience succussions = 40) and the C2 (also diluted to 10 -4, shows me that the juice seems to acquire with 2 X 20 succussions = 40) (12, 13). It seems more dynamization when triturated.ŗ(6) proper to state that two solutions, diluted a different In such manner, diluting matter with the help of number of times, in different ratios and number of a powder that he thought was inert and agitating by agitations - no matter that the final number of the motion of the pestle, he was able to employ all agitations might be the same-, may not be considered kind of substances as remedies. He was free from as equivalent concerning their therapeutic properties solubility limitations and on the other hand, he before further research is thoroughly conducted. obtained very interesting results (ŖExperience shows The stock of decimal potencies is much smaller me that the juice seems to acquire more dynamization than centesimalsř in Brazilian pharmacies. Another when trituratedŗ (6)). problem is the availability of basic pharmaceutical ŖIn order to obtain homogeneity in the forms: when there are mother tinctures available, it is preparation of homœopathic remedies, very easy to dynamize them by diluting them to 1% or especially the antipsoric, at least in the form 10%. But if the procedure needs trituration at its of a powder, I advise to only reduce to the beginning, there is no way how centesimals may be millionth potency and prepare from it the changed into decimals, the only possible way is to solutions and potencies as needed.ŗ (6) obtain the original substance, which usually itřs not After 3 triturations in the ratio 1:100 (lactose), easy. This is the reason why many pharmacies refuse the obtained product was to be diluted in a low to fill decimal prescriptions. alcoholic solution (0.06 g of powder in 500 drops of a The present trend, as suggested by the solution prepared from 4 parts of water and 1 part of pharmacopoea, is to perform the same number of Ŗstrongŗ alcohol). From this solution, a new dilution succussions - 100 - in every dilution, no matter their (1 drop in 100 drops of Ŗstrong alcoholŗ), followed scale. It is thus possible that clinical results will by 100 Ŗstrong succussionsŗ, which were become more markedly different. Further research is standardized as it was always him who prepared needed to verify this fact. them). KORSAKOV Non-Hahnemannian dynamizations Decimal Contemporary of HAHNEMANN, KORSAKOV, a Russian of noble descent, learned of Homœopathy Itřs attributed to Hering the idea of diluting after being successfully treated by it. As a result, he substances in the ratio 1:10. Winston says that: became interested in it and introduced it in his ŖIn 1833, Hering began to test dilutions in country. As every pioneer, he needed to prepare his the ratio 1:10. By the end of the decade, own remedies and faced with the difficulty of both Samuel Dubs in the United States and travelling carrying a large number of vials, he Vehsemayer in Germany, began to prepare suggested to Hahnemann the idea of using only one, remedies in this scale. American potencies that would be filled, agitated, emptied and again were designated by an ŖXŗ, the Roman digit filled. Hahnemann found the idea interesting, but at for Ŗ10ŗ, while European potencies were the moment he was devoted to different matters. designated as ŖDŗ, from Ŗdecimalŗ - 3X or KORSAKOV tested the remedies prepared according D3.ŗ(10) to his new technique, obtaining good results. In our days, the use of decimal potencies is Remedies prepared according to Korsakov´s widespread, especially in relation to the so-called method are diluted in the centesimal scale, yet its Ŗcomplexesŗ, mixtures of dynamizations, usually at precision may be lesser than Hahnemann´s original low potencies. As the ratio of dilution is much methodřs. smaller, we may understand why someone may Few practitioners prescribe Korsakovian prescribe a D1 - which has no equivalence in the potencies in Brazil and thus, few pharmacies fill such centesimal scale -, but it is very hard to understand prescriptions. Agitation is accomplished by 100 why someone may prescribe a D60. No available data manual or mechanic succussions. show that they are more or less effective than Residue left after every emptying of the vial may centesimals. On the other hand, mathematical be weighed, this increases the methodřs precision, as equivalence is senseless, as there are no molecules in it shows that variations are very limited, perhaps very so much diluted solutions. similar to those inherent to Hahnemann´s method. The Moreover, the absolute ban of scale equivalences main difference resides in the fact that that in established by the FHBII reminds us that, precisely, Hahnemannřs procedure, a fraction of a dynamized its first edition allowed such procedure. The first solution is separated and poured in a new, clean vial, edition recommended 10 succussions in the case of containing 99 parts of inert hydroalcoholic solution, decimals and 20 in the case of centesimals. The while according to the Russianřs method, 99 parts of underlying idea was to establish an equivalence the inert hydroalcoholic solution are poured into the

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 162 same vial, which contains some residue of the Every single inventor would strive to protect his previous dynamization. This procedure has been invention through elaborate explanations. SKINNER, criticized as it involves a mixture of different for instance, wrote: dynamizations, from the initial to the final one. Yet, if ŖIt may be said that high potencies arenřt we take into account that each addition of fresh what they seem to be, because their method hydroalcoholic solution becomes homogeneized with isnřt Hahnemann´s. But this does not apply the residue, the remaining solution in the vial will to Boerickeřs, Jenichenřs, Dunhamřs, suffer a transformation rather than a mixture. Lippeřs and my own, which are produced Probably, the fact that we donřt use new vials at each according to a procedure that if step, make the final solutions so different from HAHNEMANN would be able to see, he Hahnemannřs, that may elicit very different clinical would approve, as all essential points are results. scrupulously observed and actually In the 1960s, France imposed serious restrictions improved and in less time, mistakes are that banned any potencies higher than CH30 but as an almost impossible, as so much perfect are offshoot of the creation of the European Union, a the methods employed.ŗ Sympose on Korsakovian potencies in Paris permitted DUNHAM was one of the first to mechanize the the prescription of these potencies. procedure of dynamization. He believed that the use Jack Hendrickxs, from Belgian-based Labotics, of strong forces would elicit better results. He put 120 built a mechanic dynamizer grounded on Korsakovřs vials at the end of a windmillřs wheel wooden blades, principle. After the the vial is filled and agitated by which would generate an oscilating motion that made 300 fast small motions, air enters the vial, expelling vials go up and down 50 cm high. The force applied Ŕ the fluid; only 1% of the original volume remains. approximately half a ton - was much more stronger The process is repeated as required. The last step is a than the one a human arm may effect. He used 125 regular Hahnemannian dynamization in beatings at each step. His potencies, 200D (ŖDŗ from hydroalcoholic solution (for preservation purposes), ŖDunhamŗ) took one week to be ready and were which is named according the number of times that prescribed by many American doctors (15). the vial was successively filled-agitated-emptied. For JENICHEN held succussion as the most instance, if this happened 200 times, the final solution important stage of the process and he believed that will be called K200. every 12 succussions increased the potency of the Although KORSAKOV established that the full solution in 1 degree. This was an original notion of procedure must start from the original substance - and his (15). this is still the practice in many countries - FHBII German-born BOERICKE migrated to the United rules that a Korsakovian dynamization must begin States, where he joined the bookseller Tafel. Hering from a CH30. Due to financial reasons, the same suggested both to sell remedies besides books. procedure may be accomplished by employing 2000 Boericke eventually would graduate as a physician liters of purified water until reaching solutions that we and both established Boericke & Tafel´s laboratory. called Ŗ100,000Kŗ. It is noteworthy the use of He built a machine that made centesimal dilutions, purified water instead of the traditional agitated 5 times, 100 potencies per minute. (15) hydroalcoholic solution, as mechanic procedures Bernhardt FINCKE prepared potencies according consume too much diluent. (12, 14) to different procedures. For instance, he would begin New questions arise: besides the option between with K30 and succussion them 180 times per minute. manual and mechanic agitations, the use of water as He patented his method as Ŗfluxionŗ. He put a CH30 diluent will also alter the final solution? What is the in a 30 ml vial, and made a continual flux of water difference between a Korsakovian potency developed pass through it. He believed that every 30 mL of from a CH30 and another that followed Korsakovřs water, the potency would increase in 1 degree. When instructions from the beginning? The different the desired potency was reached, the vial would be combinations of the solvent (water or hydroalcoholic emptied and filled with alcohol, with 2 succussions. solution) and the initial substance (CH30 or raw Besides dynamizing merely by the passage of water matter) will elicit different clinical results? through an initial potency, he used tap water as he believed that Ŗa 30th has already been so much Dynamization machines and the fluxion dynamized, that it may not be destroyed by any equipment used in Brazil chemical nor physical agent, as it possesses a different HAHNEMANN had already wondered ŖWhat is nature.ŗ (15) WINSTON tells that ROBINSON, in the highest dilution that still shows activity?ŗ JAHR 1941, alluded to some apprehension in those that saw thought that ŖThe higher the dynamization, the in Fincke´s proposal Ŗ a radical departure from all that stronger the individualizing properties of a drugŗ. It was held as indispensable in the process of was natural, then, that several homœopaths would ask dynamization. But, itřs a fact that these machines what may be the effect of ever higher dynamizations. became real and their clinical application seems Children of the Industrial Revolution, they sought uniformly satisfactory.ŗ (15) mechanic procedures to manufacture such potencies.

SKINNER stated that once the vial was deeply beings gave its positive verdict. The system penetrated by the remedy, and assuming that the is valid.ŗ process of attenuation is infinite, it would be As Continual Flux dynamizers began to be impossible to Ŗwash outŗ its medicinal properties produced in Brazil, they became available to a through cold water, but that its therapeutic power growing number of pharmacies. Research conducted would be much increased and that only heat would be by the ABFH (Brazilian Association of Homœopathic able to break the chain, to which he attributed spiritual Pharmacies) showed that several techniques were power. employed to prepare potencies with a same machine: Believing that succussion was not important, he empty chamber, full chamber and Ŗmicrodropsŗ 1. The prepared Sulphur beginning from a drop of tincture Manual of Technical Norms of the ABFH and the and a 60 mL vial, which he slowly filled with water. second edition of the Brazilian Homœopathic He emptied it without any agitation and filled it again. Pharmacopoea include several articles that try to After repeating this procedure 1,000 times, he standardize techniques. The Pharmacopoea makes prescribed it to a ŖSulphurŗ patient. He says that its financially impossible to dynamize very high effect was so powerful, that it needed to be antidoted. potencies. Brazilian pharmacies own potencies He also believed that his potencies Ŕ with Kentřs prepared very differently - sometimes, the procedure strong approval Ŕ were truly hahnemannian. is even unknown -, bought in the country and abroad. SWAN would make water pass through a The third edition of the recently published ABFHřs machine full of holes, as a sprinkler, in order to Manual includes the proposal voted at the last general Ŗelicit a perturbation much more violent than the meeting: use of 100 rotations per step and adoption of succussionŗ. two criteria in the calculation and use of the Continual Allen´s machine is unknown, but it started from a Flux dynamizer: change of solvent according to the Kentřs CM. It was used by Ehrhardt & Karl of volume of the chamber up to the FC ..., and the use of Chicago, to prepare potencies from DM to DMM the microdrop technique from this potency on. This (500,000 to 500,000,000). It seems that some of them makes the ...potency less diluted than the previous are still in use. Argentine pharmacist Arturo one. It is the consensus of most members of the MÉNDEZ bought some of these extremely high ABFH, and it is still unknown to physicians. (16, 17) potencies and sold them to Brazilian pharmacies. Whatever the technique, equipment or method Hence, we may be even able to find them in Brazil. employed, we may say that the preparation of very We should keep in mind that the scale of high potencies may only be accomplished through potencies prescribed by KENT (30th, M, 10M, 50M, mechanic dynamizers. It demands large amounts of 100M, 500M and MM) required mechanic purified water, consequently, of electrical power, dynamizers. KENT did nřt know the Organonřs 6th especially when water is purified through distillation. edition and never heard of the LMs. The fact that the Pharmacopoea rejects the use of the WINSTON suggests that to better identify microdrop technique - which actually diminishes dynamizations, we should call them by the name of material and energy consumption - may make high the substance, potency and method of preparation, potencies less available, notwithstanding the fact that besides the name of the manufacturer of the machine, their use has increased in the last decades, especially as it appears in old references (e.g.: 1 paper of by Kentian homœopaths. Belladona CM Fincke; Bryonia alba 30 B&T; Discussion Baptisia 8 MM Swan; 1 paper Sanicula 10M Tyrell). We have reviewed several methods and scales of As time went by, Homœopathy declined in the dynamization. As none of them has been completely United States. In Europe, until the 1960s, the French abandoned, we may conclude that all of them may would use mechanic machines to prepare higher effect clinical results. If it werenřt the case, we would potencies. One of such machines was bought by the have already established their therapeutic inertia. Yet, Laboratório Homeoterápico. Arturo MÉNDEZ first we still donřt know if any one of them is better than saw it there and afterwards he built one, which was the others. bought by Brazilians. This dynamizer, known as Lockřs model, promotes a continual dilution of the initial substance, with simultaneous agitation by 1 blades. Argentinian visiting professors strongly At the Congress of the International recommended its use. National models were Homœopathical Medical League, Rio de Janeiro, developed later on. 1986, Méndez presented a variation known as MÉNDEZ stated that Ŗmicrodrop techniqueŗ, where the initial volume of ŖThe system is not perfect from a the potency is reduced, and he would make all Hahnemannian point of view and it must not changes according to this new volume, so that, be compared to it. Yet, its therapeutic worth changes are performed according to the volume of has been proved in practice, through its use dynamization initially added to the chamber. This by Argentinian and Brazilian homœopathic procedure allows to obtain very high potencies, physicians. Clinical experience upon human especially above MM.

If neither dilution alone nor agitation alone potencies instead of the 30th alone), it would increase increase the effect of a substance, the Ŗmagicŗ only the probability of working with at least one active appears when both procedures are performed together. potency. Letřs imagine a hypothetical situation: a CH30, Both OBERBAUMřS and the poolřs results must prepared according to Hahnemann´s traditional make us ponder on the limits of potencies. Yet, we method. We decide to further dilute it 1%: we expect have to insist upon the fact that clinical results in that it will lose Ŗstrengthŗ. But if we now agitate it humans are more important than any experimental 100 times, it will recover its power. Now it became a research, which merely supply us data that must be CH31 and, according to homœopathic principles, controlled through careful clinical observation. Ŗstrongerŗ than before, when it was CH30. We may BASTIDE also made some statements that seem wonder, Ŗhow such magic happened?ŗ When did the definite concerning dynamizations: Ŗweakerŗ previous solution became Ŗstrongerŗ? After - they show dilution-dependent effect, which does completing 100 succussions? Canřt be: not equate to dose-dependent effect; HAHNEMANN only used 2 to 10. We neither have - their effect goes through glass, so that it may be standardized how these agitations must be done. 100 transmitted to or suppressed by electromagnetic succussions elicit stronger effects? Does Ŗŗstrongerŗ fields. equates to Ŗbetterŗ clinical results? According to BENVENISTE stated that potencies prepared by Hahnemann, it depends on each case. Does the different researchers -even with the help of mechanic number Ŗ100ŗ has any special meaning? Or may be it agitators - may elicit different results. In his own possible that changes continue to occur indefinitely? work, he uses both traditional dynamizations and According to the LM method, the remedy is others prepared by transmission through routinely prescribed in daily doses, always shaking electromagnetic fields into a sealed vial containing the vial 8 to 12 times before taking it. Thus, it would water. Besides this, by transforming the action of a be agitated 10 times X 10 days, 100 times before diluted substance into an electromagnetic signal, it changing the potency. This is the reason why we may be feed into computers. He says that Ŗalthough focus on the number Ŗ100ŗ. the voice of a live singer isnřt the same as her If now we were to try to understand the Ŗmagicŗ recorded voice, the latter faithfully reproduces her of dynamizations prepared according to the method of voiceŗ. As such, it is possible to record and transmit Continual Fluxion - where dilution and dynamization signals to faraway places. He predicts that in the are performed simultaneously -, such Ŗmagicŗ only future it will be possible to retrieve from files signals becomes perceptible after switching off the machine. corresponding to the frequencies required for the Dilutions made in different ratios and agitations treatment of a particular individual. That is to say, we varying in time would produce different effects. will be able to expose water to such frequencies and How are we to approach potentization treat patients from afar. accomplished exclusively through dilution? Vieira This kind of thinking is disturbing. While many explains that in this case, agitation would be homœopathic practitioners still think of doses as exclusively represented by the brownian motion of amounts, many other imagine potencies as non particles. Once again, the same question: what is more quantitative stimuli. Concerning the statement that important, to dilute or to agitate? Or both? potenciesř effects get through glass, we wonder the Consecutively or simultaneously? (18) consequences for our stocks of remedies. Moreover, Madeleine BASTIDE, at a 2002 meeting in São how we will be able to guarantee the effectiveness of Paulo, mentioned the experiments conducted by potencies if they are subjected to the influence of Oberbaum in Israel. He studied the healing properties electromagnetic fields, ever more common in our of Silicea in injuries produced by metallic earrings in environment, arising from the use of computers, cell- mice. Both the 30th and 200th potencies shown phones and electric and electronic appliances? similar results. This may contradict some Dynamizations pose so many doubts. We havenřt assumptions of clinical practitioners that state that yet solved many questions of the past that future patients react to specific potencies of a remedy and possibilities are already in front of our eyes: not to all of them. traditional dynamizations, electronic dynamizations, Anyway, it is useful to keep always in mind that all with their possible ramifications. Dynamized besides having to be reproducible, experimental remedies, used according to the Law of Similars, are research must be very carefully appraised when active and may be effective in therapeutics, with transferring its results from animals to human beings. several advantages over the remedies of classical Several researchers are using a pool of pharmacology. If Homœopathy is to develop in the neighboring potencies instead of testing a few chosen future, we need to find the answers for these questions potencies, as they argument that the action of now. substances doesnřt follow directly the raise in Conclusions potency, but they seem to follow a sort of Ŗsee-sawŗ Thorough research shows that univocally, curve. By using a mixture of 4 or 5 close potencies dynamized solutions may be used, according to the (e.g., a solution of the 28th, 29th, 30th, 31st and 32nd Law of Similar, in the treatment of both individuals

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 165 and populations, extending their scope of action from Homœopathy has its own specific medical rationality human beings to animals, and perhaps even to plants. that establishes as a definite field of knowledge. This In the present article, we have reviewed several corresponds to a more general approach that states aspects concerning the preparation of homœopathic that there isnřt only one legitimate medical approach, remedies, in the hope that practitioners will be that the theoretical and therapeutic monopoly that enlightened. Many new ideas have been summarized Ŗscientific medicineŗ claims needs to be put into in order to awaken curiosity and interest, as further question. clinical and pharmacological research is needed. We The ideas concerning the process health-disease hope to contribute to a better understanding of the in homœopathic practice are directed by a general process as itřs basic for homœopathic professionals in view that necessarily includes the role of the sick general. individual, considered from a perspective that values Jeremy COLLIER, quoted by W W above all the singularity of human disease, ROBINSON, stated: emphasizing the individual features in it. ŖWe shouldnřt reject evident truths just Some definite elements of homœopathic theory because we canřt answer all questions about and practice characterize it as a medical system that, them... This evidently applies to a small by recovering the artistic dimension of medicine, group of physicians that firmly maintains focuses on the sick individual, with his/her specific that there is tremendous therapeutic power cultural and historical aspects that need to be in the high potencies. Lying in darkness, this addressed in the overall comprehension of the disease. idea is like a slumbering giant, that needs to Homœopathic therapeutics seek to understand the be awakened.ŗ patient in the context of his/her singular process of disease, which includes the relationship that he/she ------establishes with his/her own disease and the meanings that he/she attributes to such experience. 12. An Approach of The Individual In To understand a patient as a subject-became-sick The Process of Disease involves approaching him/her in every sense: not ELIANE CARDOSO DE ARAÜJO merely biologic and psychological features, but also (INTERNATIONAL JOURNAL OF HIGH as the spokesperson of a full set of social and cultural DILUTION RESEARCH, Sibiu, Romania. representations and as the agent of an interactive http://www.feg.unesp.br/ijhdr. 2, 5/2003) process that may lead him/her to resignify the notions concerning health, disease and cure. The centrality of disease in contemporary By focusing on the manifestations that Western medicine, and the ever-growing mediation of individualize the patient Ŕ on the basis of technology in modern medical practice, had gradually singularization criteria Ŕ Homœopathy expects to find distanced the physician from the patientřs disease the expression of such particularities in the symptoms process,and the patient too has been estranged from manifested by patients. his/her own body, erasing any subjective components Hence, its approach is directed to listening, of what ought to be an encounter between two watching, observing and examining that which is subjects. unexpected in each patient, as manifested through Many problems in contemporary Brazilian symptoms. medical care arise from notions and practices that So, symptoms represent partialities that engender focus exclusively on the technical aspects of disease, each individualřs dynamics, the expression and the forsaking the dimension of healing art of medicine, way of being of the patient, and may be understood as and with it, any possibility of sharing Ŕ doctors and representations of the sick person, as they carry patients Ŕ all sensations and perceptions that definite individual vital contents. Thus, they constitute constitute the symbolic and psychological contents of the object to be grasped, in order to apprehend the disease. Ŗdifferenceŗ, the singularity, through the application Precisely, those aspects are one of the reasons of the principle of similars of homœopathic that explain the growing search for other medical therapeutics. approaches and the latter success, particularly In homœopathic practice, the interview is a Homœopathy. therapeutic action by itself; it is specially important as As a point of departure, we selected two public it sets in motion and materializes the elements that clinics in the city of São Paulo, where we bring s pecificity into the treatment, and because it interviewed doctors and patients. Data were constitutes the space where intersubjectivity is built qualitatively analyzed. This let us identify privileged up between doctor and patient. expressions, such as Ŗsubjectŗ, Ŗpersonŗ, Ŗlisteningŗ, From this perspective, the patientřs complaints Ŗbookingŗ,Ŗbondŗ,Ŗtimeŗ,Ŗhealingŗ, Ŗremedyŗ. shouldnřt be merely technically read, but his/her A discussion of the components of homœopathic speech has another level: it is full of meanings that practice that may recover the dimension of caring for allow for a deeper understanding of the disease the sick individual, is grounded on the idea that process.

The singular characteristics of the object to be immediacy of results as necessary, but that assumes grasped in Homœopathy Ŕ the human subject Ŕ define that the nature and the goals of treatment may change, the particular nature of the components of the as the patient develops his/her own program of health. consultation, elements that express subjective Time, thus, is central to homœopathic episteme, and contents, both the doctorřs and the patientřs. our research showed that it is a key notion in the Patients rate a consultation as Ŗgoodŗ when understanding of the elements that characterize enough time is available and some elements appear, Homœopathy. which actualize the therapeutic relationship, i.e. The experience of time is deeply human, seeing, listening, touching, observing. precisely because it is related to an intersubjective These components of a less technological encounter that is able to actualize the idea of care. approach allow the patient to share his/her suffering Other considerations may also show that time is with his/her doctor in the framework of an interactive key component in the process of recovering process, and to relate to the manifestations of the subjectivity. disease. To Homœopathy, time is related to the way how By making biopathography the center of a subject positions him/herself regarding the diagnosis, Homœopathy partially eliminates the circumstances of his/ particular ill condition. Time is mediation of the object, so that the construction of an able to encompass the meanings each patient attribute interactive space between doctor and patient becomes to the contents underlying the superficial one of the fundamental dimensions of its therapeutic manifestations of his/her disease and the meanings practice. he/she attributes to his/her encounter with the Intersubjectivity enhances a more active attitude physician. in the patient, so that he/she becomes a partner in the From this point of view, the interactive conduction of his/her treatment. components of the therapeutic relationship not only By positing Homœopathy as a medical system become tools for humanizing care, but are the core centered on the human subject, its way of listening elements of any medical intervention. Such elements becomes an intrinsic component of its episteme and may facilitate the recovery of the subject, not only an essential working tool. because the patient is closer to his doctor, but also This particular wide scope of attention arises because he/she becomes less estranged from his/her from the fact that what it ought to be grasped are the own disease. manifestations of the individual disease, in the To understand the relational experience as an framework of an approach that privileges intersubjective process means to highlight its intersubjectivity. These are specific features of possibility as a space that favors the creation of homœopathic diagnosis and therapeutics, as it aims at identities, allowing the patient to recognize a more comprehensive approach of the disease him/herself as a subject in the course of treatment. process. When patients spoke of their reasons for seeking Listening allows to recognize the different ways Homœopathy and the causes of their satisfaction with how patients experience the situation of disease, its results, they taught us the paths followed by its letting their individuality to surface. Listening also legitimization. helps the patient to assume the role of the subject of What leads patients and physicians to the therapeutic action. Homœopathy does not translate into a fast Listening, when it relates to a subject, supposes a improvement of complaints but into the expectation of basic attitude of interest and concern regarding the a wider notion of care and the belief in a Ŗotherŗ, i.e. an opening to an interactive process, that comprehensive personal program of health. reflects itself in the semiologic procedures. As such, If there is any secret that may explain the reason listening and observing are not merely technical tools why Homœopathy still attracts growing numbers of but manifestations of the physicianřs disposition to patients and physicians, it is its caring nature, that know and understand the patient and his/her specific offers a therapeutic setting completely peculiar, where suffering. subjects and their hopes may be perceived. ŖSeeingŗ may be understood as both physical and psychological categories, to look at the patient Ŗface ------to faceŗ means to see him/her as a human being, an 13. Adrenalin, Iron And The Principle Of Least active member of the intersubjective encounter. Action (or The Homœopathic Smallest One) Of all these considerations, the one that proves MARION BELLE ROOD, & LAPEER, the most consistent regarding the homœopathic notion MICHIGAN of healing, is the awareness of the meaning that (JAIH. 59, 9-10/1966) disease holds in each patient, according to his/her life history, and the paths he/she may follow in the course This case report concerning Donnie, the surviving of treatment. member of a pair of twin boys born in April, 1961, By focusing on the individual, Homœopathy illustrates the Principle of Least Action. Born at full points to a therapeutic perspective that does not hold term after an uncomfortable pregnancy for the mother, the boys weighed 41/2 and 51/2 pounds respectively

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 167 and the smallest one, Donnie, was rushed to a newest sitting where he was and was carried sleeping to the model incubator in a nearby city hospital where he car and home, breathing easily, gently, and regularly. remained for six weeks whereas the heavier one went His last visit for difficult respiration was May 22, home from the hospital with his mother. A few weeks 1966. Now he had difficult inspiration, rapid after Donnie was released from hospital care to his expiration, but was not choking. It was 3:00 A. M. on motherřs care, his twin brother suddenly choked and a hot Sunday morning. A trial at single symptom expired before they could get him into the emergency prescribingŕallopathy againŕwas Sambucus, but entrance of the hospital where he was pronounced with no relief. Adrenalin this timeŕsame bottle as dead on arrival. before, same doseŕbut with no relief. This time his Thereafter Donnie began to have spells of pulse was not rapid, and he was not in shock. His face difficult respiration diagnosed as Asthma for which was flushed, he seemed rather warm, wanted his his parents usually rushed him into the hospital motherřs cool hand on his forehead, and, though through the emergency room. After about two years breathless, he wanted to run around the waiting room of this, he was referred to an allergist and pediatrician to look out at the sunriseŕactive though ill. Yes, he for regular weekly visits including desensitizing and had been given iron tonics tooŕso it was Ferrum met. other injections. in the 10M potency that freed me to go back to bed He still had asthmatic attacks at four and a half this time and send him home. Twelve hours later, 8:00 years so often that his parents were in a state of P. M. that Sunday night, he was back again, but this financial distress as well as panic. Because by now time he played outside. He had no respiratory distress, both of Donnieřs parents had had relief from personal and a little fever seemed all that remained. This time ailments through simple homœopathic prescriptionsŕ no medication was given. His parents, both there, the father from periodic sick headaches, the mother were touchingly grateful to see their financial and from some gall-bladder attacksŕthey wanted to give emotional distress reaching a conclusion. The last this kind of care to Donnie who also begged for the visit of Donnie was not for Asthma but for sunburn same. At first the classical croup remedies, namely from swimming (remedy, a little Calendula). Aconite, Hepar sulph., Carbo veg., and Spongia, were I refer you to the statements of Max PLANCK, a tried with temporary and partial relief. Later, the more more generally recognized authority than myself, in deep acting Phosphorus, Tuberculinum, Bryonia and his A Survey of Physical Theory, one among a series Drosera were indicated and given at long intervals of scientific monographs of outstanding authors put and in single doses. out by Dover Publications, Inc., New York, for the Finally, remembering that all chronic diseases layman or high school student who is interested in the have their roots in suppression of Psora, Psorinum scientific foundations on which our modern world and Sulphur produced the longest freedom from rests so uneasily. In his opening statement, Planck Asthma. In March, a single dose of Bryonia, 30X, says, ŖAs long as Natural Philosophy exists, its kept him well and active out of doors, even playing ultimate highest aim will always be the correlating of with his newborn pony colt for almost five weeks. In various physical observations into a unified system, April, as buds were swelling, he arrived in the middle and, where possible, into a single formula.ŗ On page of the night in distress, gasping for breath, almost in 41 of the same monograph, he says: shock, with very rapid pulse, count near 130-140 per ŖThe chief law of physics, the pinnacle of the minute, with pain in his left chest, left arm, and with whole system is, in my opinion, the principle of weakness, pallor, cold sweat and cold skin. Aconite least action, which involves the four universal was no help here, nor Carbo veg., nor Veratrum. co-ordinates in a perfectly symmetrical form.ŗ Single symptom prescribing is allopathy after all. So a Here, his footnote states that the Ŗaction integralŗ closer look at the child, and a recall of his motherřs (the function whose variation vanishes) of any previous casual remarks, added two more symptoms. physical phenomenon is an invariant for any Lorentz He had sudden urgency to evacuate stools so beyond transformation. PLANCK goes on to say: his control that he was mussing his pants much to his ŖFrom this central principle, four equally own chagrin. She also remarked that anatomically he important principles radiate symmetrically in four was precociously developed as to genitalia. directions, corresponding to the four universal Observations also added thisŕhere sat a five-year- dimensions. Corresponding to the three space old, patient, cooperative, using every effort to control dimensions is the (threefold) principle of his feelings like a little man. Kentřs repertory includes momentum, and to the time dimension the Adrenalin under generals, pulse, rapid, in plain type, principle of energy. It was never before possible but he had had adrenalin injections as often as often as to follow these principles back to their common every fifteen minutes for twenty-four hours in some of origin.ŗ his hospital occupancy. Here we have in a nutshell an answer to the So one dose of Adrenalin in the 1M potency was heated debates over the single, small dose and the given and in a very few minutes that pulse slowed nature and effect of high potencies, but this subject down to ninety beats per minute, and he went to sleep entails further intricate correlation with the Hamiltonian functions used to describe molecular

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 168 energy patterns on the one hand, and the nature, Chronic conditions: Migraine, Asthma, Allergic meaning, and existence of forbidden lines of the diseases, Rheumatism, Rheumatoid and spectra as they pertain to homœopathic potencies, and Osteoarthritis, Peptic Ulcer, Colitis, Diverticular also to the distant stars, on the other. But this is ample disease, Cholecystitis, Piles. material for another paper, some other day. Skin Diseases: Psoriasis, Eczema, Dermatitis, Warts. Strokes: claudication. ------Neurological: Epilepsy, MS, Neuritis, Paralysis. Depression: Anxiety states. 1 14. Treatment of Chronic Disease Psychosomatic conditions. H. W. BOYD, FRCP, FFHOM There are several ways of tackling these problems. (BHJ, Vol. 74, 1/ 1985) Aetiology or precipitating factors can be very important. Did this illness commence after an A summary of the type of chronic conditions injuryŕ(Arnica or Natrum sulph. may be required), treated by Homœopathy is given. An outline of after an infection (we may need Influenzinum or chronic case-taking procedure. Prescribing on a Morbillinum, or Carcinosin or Tuberculinum), after a specific, a local and a constitutional basis. Are fright (Aconite or Opium), following grief or a severe miasms a help? Brief outline of svmptomatology of emotional experience (Ignatia, Natrum mur.), or Psora. Sycosis, Syphilis and Tuberculinum. where resentment is a dominant feature (Staphisagria) Hierarchy of syrnptomsŕstrange and peculiar, mental or anger (Colocynth, Nux vomica, or Chamomila). (with grades of these), general, local. Past and Family History. The past or family history Evaluation of symptoms: directions of cure. may point strongly to the need for a Nosode (a Potency choice. remedy prepared from diseased tissue). Homœopathy is of immense value in the field of Past: Infectious Diseases, TB, Injury, reaction to primary care, in acute disease and early onset of Vaccination, Allergy. illness, and in this sphere it at least holds its own and Family: TB, Cancer, Arterial disease, Allergy. in many instances easily surpasses what we can do Having looked at the causal or precipitating with conventional drugs. In a few situations we may factors, we can then consider different ways of feel the need to use antibiotics; Meningitis, approaching the treatment of these patients. Specific, Septicaemia, Tuberculosis and some forms of local or constitutional. Venereal disease. In deficiency states we will usually We may take the local presenting symptoms, require orthodox replacement therapy; thyroxine, perhaps in a case of Arthritis, and study the character vitamin B12 insulin, iron or cortisone, and in of the pain or swelling, asking about the modalities, mechanical problems such as stones, obstructions, the characteristics which qualify a symptom. What is malformations, we will require to use surgery. the pain like, where is it, does it extend to another However, in this present age the incidence of part, is it affected for better or worse by movement, chronic disease is dominating our work both in heat, cold, draught, being at the sea, damp, or frost, general practice and in hospital. Have we in thunderstorm or even at a particular time of the day or Homœopathy anything to offer in these conditions? night. Unfortunately, many patients and doctors regard These things may enable us to select a remedy on Homœopathy as a last resort, and we frequently see local indications, and here we often prescribe in low patients referred with Advanced Cancer, Multiple potencies (3x, 6x) in tablet form two or three times a Sclerosis, Motor Neurone Disease, Muscular day for quite long periods. In severe pathological Dystrophy and of course severe Psychiatric and states this may be the best we can do; it will help to Depressive states, and the inevitable neurotics. In my palliate. But can we do more? I believe we can. experience many of these conditions are extremely We can study the patient as a whole, as a unique difficult to help with Homœopathy, although I am individual with his own characteristic reaction to his sure we can sometimes modify Multiple Sclerosis and illness and environment. To do this we must not only make Cancer cases much more comfortable, with less take into account the causal factors and the local analgesia, by using homœopathic remedies. But there symptoms, but also the general reactions and above are a large number of other chronic problems which all the mental reactions of the patient. are difficult to treat with conventional therapy, and where Homœopathy can prove effective, either on its own or, on occasions, alongside orthodox treatment. Case taking Let us look at some of these conditions. Let us refresh our minds about case taking and consider what we must look for and what we must ask. How does this arthritic patient respond in general 1 to heat and cold, frost and damp, thundery weather or A paper read to the International Center of sea air? Has he any strong food likes or dislikes, thirst Homœopathy in Washington in 1983, and to the or gastric disorder? In particular, have these likes or Faculty of Homœopathy in June 1984. dislikes changed with his illness?

Does the menses affect her as a wholeŕare Our main reliance must be placed upon the symptoms worse before, during or after the periodŕ symptoms that signify the patient. We should pay are they relieved by the flow? Are the rheumatic particular attention to those symptoms that are symptoms in general affected by the menses? What is peculiar or characteristic of the patient, and not to her sleep patternŕdoes position in sleep affect the those that are common to the disease. Nevertheless, symptomsŕon her back, on her face? How does she pathological symptoms, or those associated with react emotionally to her illness? particular systems or organs are still important, partly We talk sometimes of the type of patient, the from a diagnostic point of view, to assess prognosis extrovert, the introvert, the placid, the irritable, the and what other forms of medical or surgical treatment fussy fastidious type, the untidy muddled person, the may be called for, but also because if the symptoms person who likes sympathy or affection, or are strongly related to certain organs or parts of the alternatively is reserved and resents fuss. The patient body, the remedy selected should if possible in its with fears or imagination or marked anticipatory provings have shown affinity for these same organs. symptoms and lack of self confidence. And symptoms This point is made very forcibly by Jouanny in his of jealousy, suspicion, anger, resentment, depression recent books, and I think may easily be forgotten in or excitability, indifference or tearfulness. our search for totality.

These symptoms can give us an insight into the Miasms person as she was, but what is more important we Can we obtain any help from the concept of the must try to find out the person she has become. We miasms as described by HAHNEMANN? This is may need to know from the patient or her family what always a topic of controversy among homœopaths. her normal was, and how this has changed with the CAMPBELL in a recent article in the British progression of her illness. We may have worked out Homœopathic Journal has made out the case that that a patient seems to fit the picture we associate with Hahnemannřs idea of the miasms was that they Pulsatilla, but we may find from her husband that resulted from skin complaints which were really since her illness she has changed. She is more superficial manifestations of an underlying disorder, depressed, easily irritable and even bitter or resentful. and suppression of these, be they Psoric, Sycotic or Instead of seeking company and affection she now Luetic resulted in more chronic disease, which was keeps to herself and resents interference. Perhaps she difficult if not impossible to cure and required may now be needing Staphisagria or Natrum mur., painstaking constitutional prescribing or the use of Nux vomica or Chamomilla. nosodes to effect improvement. Others have attributed Many of us have been taught the ideas of Kent to HAHNEMANN the concept of hereditary taints or and Margaret Tyler. The concept of remedy types traits, starting with one of the three skin lesions, but with characteristic build, colour and mannerisms may passed down through following generations and have been deeply instilled into us, and there is no resulting in many of the chronic diseases. Whichever doubt that such.types of people do exist, and we can of these concepts we believe, can an understanding of recognize the typical Calcarea carb., Pulsatilla, them help in prescribing? I find this quite difficult, Lycopodium, Sulphur, Sepia. These concepts can be except in so far as one can use a particular nosode helpful in selecting a remedy, but let me quote what 1 depending on the miasm, Psorinum, Medorrhinum, Donald FOUBISTER once said. ŖAlthough certain Syphilinum or Tuberculinum, to try and Ŗopen upŗ the polycrest remedies do seem to produce good results case, and thereafter use the related deep acting when given to related constitutional types, many remedies to follow. Antipsorics like Sulphur, patients cannot be so classified. There are only a few Alumina, Petroleum, Lycopodium, antisycotics like of these remedies, and there is a danger that the Natrum sulph., Thuja, Nitric acid, or antisyphilitics inexperienced may attempt to fit patients into types as like Mercurius and Aurum. There are, of course, part of their search for a remedy covering the totality related symptoms for these groups. of symptoms. If the totality of symptoms is covered, Psora: Itch, heat, eruptions, liver complaints, the correct prescription can almost always be found. If congestion in skin, headaches, lungs. it should happen that the patient can be classified as Self-centred, moody, lazy, depressed but with fits of belonging to a known group or type at the time of the passion and weeping. Can be active and restless and prescription, this could be an additional indication, full of fears. Always complaining. Sensitive to noise but it is not a necessity.ŗ There is always the risk that and smells with easy fainting. we progressively restrict our prescribing to the well Craving for sweet and rich food which upsets. known polycrests, and fail to use the many other Burning eruptions and hot feet. remedies with clear drug pictures, which are not These have alternation of symptoms and a slow associated with types. convalescence. (see Sulphur) In this method of prescribing for chronic disease Sycosis: Warty growths, mucous discharges, < damp. by using the totality of symptoms how can we Profuse perspiration, chilly, catarrhŕsinuses, bronchi, possibly see what is important in the selection of the bladder, leucorrhoea. remedy? Asthma < damp. Pains in fibrous tissue, muscles, joints. < damp.

Irritable, excitable, full of fears and anxiety, > lying (Psorinum) confusion, loss of memory. > knee elbow position (Medorrhinum) Can be jealous, suspicious and even suicidal. (more Headache > from eating (Anacardium) often Syphilis) Can swallow solid better than liquid (Lachesis) Mental symptoms are < damp, humid, thundery Painless diarrhea (Phos. acid) weather. Hates loved ones (Sepia) Slow insidious progression of disease. Piles > walking (Ignatia) Syphilis: Irritation, ulceration, sclerosis. Enlarged lymphatic glands, induration. Mental symptoms: Bone pains especially at night. These should be marked in the patient and Loss of elastic tissueŕpatients look wrinkled and old. marked in the rubric. The eyes are markedly affectedŕiritis, ulceration, (a) Will. Loves, hates, suspicions, jealousy, fears. pain. (b) Understanding. Delusions, delirium, loss of sense Dull, sullen, obstinate, depressed and suicidal, anxiety of proportion. especially at night. (see Aurum) (c) Memory. Changes from the normal. Tubercle: (Not one of Hahnemannřs Miasms). Get the strong, strange, peculiar symptomsŕsee that Lax tissues, soft bones, poor nails. no generals contradict. Susceptible to the least cold, but < extreme heat. General symptoms: Frequent colds and throat infections. Perspiration Relating to the patient as a whole. These we have marked. already mentioned earlier. Stubborn, wilful, obstinate children with fears and Local Symptoms: nightmares. With their modalities. The totality of symptoms does not consist of strings of little symptoms, but of broad outlines of Evaluation of symptoms mental and peculiar symptoms. It is the totality of Certain basic principles according to Gibson characteristic symptoms. MILLER apply in evaluating symptoms and selecting In Ŗkeynote prescribingŗ one or two outstanding the remedy. Having taken the case try to amplify the symptoms are used to select the remedy, practically patientřs statements by going back over these and ignoring all the others. This method may give good looking for any strange, rare or peculiar features results in certain situations, but an overall standard of either in the symptoms themselves, or in their accurate prescribing requires a general modalities. If you can discover several of these correspondence between the symptoms of the patient peculiar symptoms then see to it that there are no and those of the remedy. generals in the case that oppose or contradict. If the keynotes indicate Arsenicum, see that the patient is Hierarchy of symptoms chilly, fearful, restless, weak and very fastidious and Symptoms are important in selection of the Arsenicum will cure. If a general physical symptom, chronic remedy in the following order. or mental symptom, is particularly marked, try and Those which are peculiar in some way either in use it as a starting point by means of a repertory to themselves or in their modalities. note the important remedies having this feature (ie Let us look at some of these. black letter or italic type remedies in Kent under that Location: Bilateral eruptions, crack in the middle of rubric). Remember that these general or mental lower lip symptoms must be equally marked in the patient and Sensation: as if ...... the remedy. Try to decide what symptoms cannot be Modalities: Pain < slight pressure, > hard pressure omitted and must appear in the remedy picture. Find Burning pain > from heat out which of the several remedies having these Headache > from eating symptoms is most like the rest of the patientřs Causation: Convulsions from anger, or at the menses symptoms. Dyspnoea from anger The last appearing symptoms of a case also rank Extension: Pain which spreads diagonally closely behind the peculiar and general symptoms, but Pain spreads from left to right they must be outstanding and definite. If these are old Onset: Pain appears suddenly and disappears symptoms which have returned, no further gradually prescription should be given. Absence of particular Pain appears suddenly and disappears symptoms that strongly characterize a remedy cannot suddenly be relied on to exclude that remedy, yet when strong Circumstances: Thirstless with dry mouth generals that characterize the remedy are absent we Sleepless although sleepy can, with a fair degree of confidence, exclude that Absence of expected symptoms: remedy. A strong general symptom will over-rule Vomiting without nausea (Apocynum) several particulars. Painless ulcers (Opium) The treatment of chronic disease is not Fever without thirst (Pulsatilla, Gelsemium) accomplished by a single prescription, but by an Asthma ongoing assessment of the progression of the illness

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 171 and a constant review of the symptom picture. We Potencies must decide whether any improvement is better than The choice of potency is often a matter of would have been expected in the natural course of the individual experience. My own suggestions are to use: illness. We must make allowance for the patientřs 30cŕ10M frequently in acute disease. personality in assessing what he saysŕa reserved, 30c, 200cŕ3 doses in chronic disease. moody patient who admits to being slightly better is If strong mental symptoms use 1M, 10Mŕ3 doses. often describing a greater improvement than an If much pathology for palliation use 3x, 6x b.d. extrovert who wants to please and says he is much better, but on questioning is not really all that References different. CAMPBELL A. The Concept of the Constitution. Br We have to learn what remedies seem to follow Hom J 1981; 70:183-188. each other well or seem to belong in a group and tend CAMPBELL A. Miasms revisited. Br Hom J 1983; to complement each other. Miasmatic groups of 72:15-19. remedies may help here. FOUBISTER DM. Constitutional Type. Br Hom J We must learn with experience whether to leave 1969; 58:77-81; reprinted Br Hom J 1981; 70:197- the effect of a remedy to continue, because the patient 202. is still improving, and to give a placebo or nothing JOUANNY J. The Essential of Homœopathic further, or to repeat it in the same or a higher potency, Therapeutics. Boiron Laboratories. Lyons, 1980. or to change to a different remedy because of a MILLER RG. On the Comparative Value of change of symptom. Symptoms in the Selection of the Remedy. Br Hom J In chronic disease it is often better to give a (date uncertain). single dose or three doses of a remedy and then wait TYLER M. Homœopathic Drug Pictures. 1942. for two or three weeks before repeating, but remember that a Rheumatoid Arthritis, while labeled a ------chronic disease, may in fact be quite acute, and 1 require repeated doses of the remedy, even every 4 15. Repertory of Foot-Sweat hours or twice daily for some days. Olin M. DRAKE, M.D. In conditions like Asthma and Migraine our aim BOSTON, MASSACHUSETTS should be not only to treat attacks with acute [JAIH. 59, 11-12, 1966] remedies, but to prescribe for the patient as a whole with a deeper acting remedy between attacks in an I HAVE NO DOUBT that many of my effort to prevent recurrence. For example, Bryonia in colleagues, among the true followers of Hahnemann, acute migraine followed by Natrum mur. after the have often felt, like myself, the need of a complete attack, as a general remedy, or Calcarea carb. to repertory on Foot -sweat. The material for this follow acute Belladonna, or Sulphur to follow repertory was culled from the Materia Medicas of Arsenicum in Asthma. Hahnemann, Allen, Hering, Lippe, Farrington, Jahr’s This form of prescribing is most rewarding Manual, Jahr’s and Possart’s New Manual; Hull’s because it is much more difficult to do in Jahr, Hale, and Mure; and from the periodical conventional medicineŕbecotide or intal may help to medical literature of our school in the English reduce relapses or Asthma, but Natrum sulph. or language. Thuja may actually cure it altogether. I have given the modalities and concomitants Always remember Heringřs four directions of when I have found them in the Materia Medicaŕnot cure: otherwise, with a very few exceptions. From within out. I hope this short paper will be of use to some of From above down. my busy confrères, assisting them in finding the From more important to less important simillimum from the true Hahnemannian standpoint. organs. Sweat of the Feet. Acon., Am-car., Am-m., Anan., In the reverse order of their development. Angu., Ars., Ars-m., Arun Bar-c., Bell., Benz-ac., Bry., Try to observe whether any of these is occurring Calc-c., (Calc-p.), Cale., Cann-s., Canth., Carb- ac., during treatmentŕthe pains the neck and upper limbs Carb-an., Carb-v., Caus., Cenchris-c., Cham., Chlol., diminishing and those in the ankles being worse. The Cimic., Coc-c, Cocc., Coff., Coloc., Cup., Cyc., Dro., Asthma improving and the Eczema coming out again. Euphm., Fago., Farfa., Fl-ac., Graph, Haem., Hell., These things tend to indicate a progression in the right Hep., Hur., (Hype.), Ib., Ind., Iod., Ip., Jab., K-bi., K- direction, and therefore a beneficial effect from your ca., K-ph., Kalm., Kre., Lach., Lac-ac., Laur., Led., remedy. Lil-t., Lyc., Mag-m., Mang., Medor., Merc-sol., Merc- Above all, does the patient feel mentally better, sulph., Mez., Mur-ac., Na-c., Na-m., Nit-ac., Nx-j., himself, even though the local symptoms are still Ox-ac., Pb., Ped., Petrol., Phos., Pho-ac., Phyt., Pic- troublesome? This may still suggest that your remedy is correct and acting. 1 Reprinted from The Homœopathic Physician.

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 172 ac., Pod., Pso., Pul., Rhu-t., Sabi., Sal-ac., Sanic., ŕ ŕ ŕ ŕ ŕ or corrosive, so much so that the hose Sec-c., Sep., Sil., Squ., Stap., Sul., Tel., Thea., Thu., and shoes are quickly destroyed. Sec-c. Verat., Verat-v., Wies., Zn. ŕ ŕ ŕ ŕ ŕ making feet raw or sore. Cham., Calc- Sweat of the Feet, Constant. Sil., Thu. c., Grap., Lyc., Nit-ac., Petrol., Saba., Squ., Zn. ŕ ŕ ŕ ŕ Morning. Euphm., Sul. ŕ ŕ ŕ ŕ ŕ making soles raw or sore. Bar-c., ŕ ŕ ŕ ŕ ŕ, in bed. Bry., Lach., Merc-so!., Phos., Calc-c., Nit-ac., Petrol., Saba., Sil. Pul., Sabi. ŕ ŕ ŕ ŕ causing soreness of soles, with sticking ŕ ŕ ŕ ŕ ŕ, after rising. Am-m. pains, as if walking on pins. Nit-ac. ŕ ŕ ŕ ŕ P.M. Graph., Ple. ŕ ŕ ŕ ŕ making toes raw or sore. Bar-c., Carb-v., ŕ ŕ ŕ ŕ Evening. Calc-c., Coc-c., Grap., Pod. Coff., Grap., Nit-ac., Sep., Sil., Zn. ŕ ŕ ŕ ŕ ŕ, in bed. Calc., Cle., Mur-ac. ŕ ŕ ŕ Fetid. Am-car., Am-m., Anan., Arun., Bar-c., ŕ ŕ ŕ ŕ Night. Coloc., Nit-ac., Sul., Thu. Calc-c., Carb-ac., Chlol., Grap., K-ca., Kalm., Lac- ŕ ŕ ŕ ŕ ŕ, on waking. Mang. ac., Lyc., Na-m., Nit-ac., Nx-j., Pb., Petrol., Pho., ŕ ŕ ŕ ŕ Menses, before, during, and after. Calc-c. Pso., Rhu-t., Sal-ac., Sanic., Sec-c., Sep., Sil., Sul., ŕ ŕ ŕ ŕ ŕ, during, from severity of pain. Verat. Thu., Wies., Zn. ŕ ŕ ŕ ŕ Sitting, while. Bell. ŕ ŕ ŕ ŕ moisture, rather than sweat. Petrol. ŕ ŕ ŕ ŕ ŕ ŕ in warm room. Mez. ŕ ŕ ŕ ŕ Cheese, smelling like old. Pb. ŕ ŕ ŕ ŕ Summer. Cham. ŕ ŕ ŕ ŕ Eggs rotten, smelling like. Staph. ŕ ŕ ŕ ŕ Winter. Medor. ŕ ŕ ŕ ŕ Sole leather, smelling like. Cob. ŕ ŕ ŕ ŕ Right Foot, night. Sul. ŕ ŕ ŕ ŕ Sour smelling. Calc-c., Cob., Na-m. ŕ ŕ ŕ ŕ ŕ ŕ, the left remaining quite dry. Ple. ŕ ŕ ŕ ŕ Urine, smelling like. Canth., Coloc. ŕ ŕ ŕ ŕ Left Foot. Cham., Nit-ac. ŕ ŕ ŕ ŕ Menses, after. Sep., Sil. ŕ ŕ ŕ ŕ, with moist, painless vesicles between ŕ ŕ ŕ ŕ in persons of rheumatic tendency, much toes. Hell. exposed to rough weather and hard labor. Rhu-t. ŕ ŕ ŕ ŕ Burning with, of feet. Calc., Cale., Lyc., ŕ ŕ ŕ ŕ Odorless. Graph., Lac-ac., Merc-sol. Mur-ac., Petrol., Sep., Sul., Thu. ŕ ŕ ŕ ŕ Profuse. Ars-m., Arun., Carb-an., Carb- ŕ ŕ ŕ ŕ Coldness with, of the feet. Acon., Bell., v., Cenchris-c., Cham., Coloc., Fl-ac., Grap., Ind., K- Calc-c., Cann-s., Dro., Fago., Ib., Ind., Iod., Ip., Lyc., ca., Kre., Lach., Lac-ac., Lyc., Nit-ac., Petrol., Phyt., Pic-ac., Sil., Sul., Verat. Ple., Pul., Saba., Sal-ac., Sec-c., Sep., Sil., Stap., Sul., ŕ ŕ ŕ ŕ Itching with, of the soles. Sil., Sul. Thu., Zn. ŕ ŕ ŕ ŕ Swelling with, of the feet. Graph., Iod., Sweat of the Feet, Profuse. Can almost wring the K-ca., Kre., Lye., Pb., Petrol., Pho-ac., Saba. hose. Cenchris-c. ŕ ŕ ŕ ŕ Walking, when. Carb-v., Graph., Na-c. ŕ ŕ ŕ ŕ ŕ Right foot of, so that the hose was completely soaked. Ple. ŕ ŕ ŕ ŕ Pain, with tearing, in feet and hands. ŕ ŕ ŕ ŕ ŕ obliged to change hose, which was Graph. wet through. Sul., Thu. ŕ ŕ ŕ ŕ Soreness, with, at end of nails. Merc- ŕ ŕ ŕ ŕ ŕ the feet being cold in winter and sore sulph. in summer. Sil. ŕ ŕ ŕ ŕ Cold. Acon., Ars., Benz-ac., Calc-c., ŕ ŕ ŕ Soles. Acon., Am-rn., Arn., Fago., K-ca., Canth., Carb-v., Cimic., Cocc., Dro., Fago., Farfa., Merc-sol., Na-m., Nit-ac., Nx-m,, Oxytropis, Pb., Hep., Hur., Ip., K-ph., Lil-t., Lyc., Medor., Merc-sol., Petrol., Saba., Sanic., Sil., Sul., Wies. Mez., Mur-ac., Nit-ac., Ox-ac., Pb., Ped., Squ., Stap., ŕ ŕ ŕ ŕ soles always wet, and without feeling. Sul., Verat-v. Nx-m. ŕ ŕ ŕ ŕ ŕ Moisture, rather than sweat. Calc-c. ŕ ŕ ŕ ŕ Cold, on the left. Sul. ŕ ŕ ŕ ŕ ŕ Diarrhoea, during. Sulph. ŕ ŕ ŕ ŕ as though he had stepped into cold water. ŕ ŕ ŕ Cold, and Hands, in typhoid fever. Carb-v. Sanic. Sweat of the Feet, Cold and Clammy. Calc-c., Lau., ŕ ŕ ŕ ŕ Fetid. Pb., Petrol., Sil. Merc-sol., Pic-ac., Sanic., Sul., Thea. ŕ ŕ ŕ ŕ ŕ with tender feet. Petrol. ŕ ŕ ŕ ŕ ŕ ŕ ŕ evenings. Pic-ac. ŕ ŕ ŕ ŕ Sour. Na-m. ŕ ŕ ŕ ŕ ŕ one foot hot, the other cold. Hur., Lyc. ŕ ŕ ŕ ŕ Sticky, as though he had stepped into ŕ ŕ ŕ ŕ ŕ and clammy, up to knees. Lau. molasses. Sanic. ŕ ŕ ŕ ŕ ŕ ŕ damp, followed by very cold feet. ŕ ŕ ŕ ŕ ŕ the hose sticking to feet. Sanic. Ped. ŕ ŕ ŕ ŕ with callosities on the soles, which are ŕ ŕ ŕ ŕ ŕ followed by very hot feet. Hur. painful on walking. Bar-c. ŕ ŕ ŕ ŕ ŕ and sticky. Calc-c. ŕ ŕ ŕ ŕ causing exfoliation of skin of soles. Thu. ŕ ŕ ŕ ŕ Warm. Ars-m., Led. ŕ ŕ ŕ Heels, Profuse. Thu. ŕ ŕ ŕ ŕ Excoriating. Bar-c., Calc-c., Carb-v., ŕ ŕ ŕ Toes. Acon., Arm., Lach., Phyt., Pul., Sep., Coff., Grap., Iod., Lyc., Nit-ac., Sec-c., Sanic., Sep., Squ., Tel., Thu., Zn. Sil., Zn. ŕ ŕ ŕ ŕ mornings in bed. Lach. ŕ ŕ ŕ ŕ walking when. Grap.

ŕ ŕ ŕ ŕ Fetid, with redness and swelling of tips. attributes of Homœopathy, despite being fundamental Thu. to the method he developed, and ŕ ŕ ŕ ŕ Under. Phyt., Tarax. ŕTo define Homœopathy according to the attributes ŕ ŕ ŕ ŕ Between. Acon., Am., Cle., Cob., Cyc., HAHNEMANN considered essential for the Ferr., K-ca., Lyc., Sanic,, Sep., Sil., Squ., Tarax., Thu. homœopathic phenomenon.

ŕ ŕ ŕ ŕ Between. Softens the corns, so that they Minimum single dose, dynamization and provings can be taken out with the finger-nails. Lyc. ŕ ŕ ŕ ŕ ŕ Fetid. Cyc., Pul., Sil,, Thu. Note that Hahnemann's homœopathic Řlaw of Sweat of the Feet, Suppressed. Apis, Ars., (Awa nature' did not refer to infinitesimal doses, Samoa), Bad., Bar-c., Bar-rn., Coch., Colch., Cup., experimental provings or single medicines: Form., Haem., K-ca., Na-m., Nit-ac., Nx-j., Pul., Rhu- a weak dynamic affection is permanently t., Sep., Sil., Thuj., Zn. excluded from the living organism by another, stronger one, if this (different in quality) is very ŕ ŕ ŕ ŕ ŕ by a cold. Apis. 17 ŕ ŕ ŕ ŕ ŕ ŕ ŕ ŕ bath. Bar-c. similar to the first in its manifestations. ŕ ŕ ŕ ŕ ŕ ŕ getting wet. Colch., Sil. In the first cases he treated homœopathically HAHNEMANN used weighed not dynamized doses, ŕ ŕ ŕ ŕ ŕ followed by angina tonsillaris. Bar-c. 18 19 ŕ ŕ ŕ ŕ ŕ ŕ ŕ chorea. Form. e.g. 6.5mg Arsenic and 260mg Veratrum album. ŕ ŕ ŕ ŕ ŕ ŕ ŕ icy cold feet and legs, worse He had to face the problem of the aggravations which evenings in bed. Sil. principally followed repetition of a medication that ŕ ŕ ŕ ŕ ŕ ŕ ŕ eyes, affection of. Sil. had homœopathic effects. Progressive reduction of ŕ ŕ ŕ ŕ ŕ ŕ ŕ lameness. Bar-c. dose was one way of minimizing aggravations. ŕ ŕ ŕ ŕ ŕ ŕ ŕ lost appetite. Sil. Discovery and development of dynamization up to ŕ ŕ ŕ ŕ ŕ ŕ ŕ nervous excitement, Zn. what is today known as the fiftieth millesimal per- ŕ ŕ ŕ ŕ ŕ ŕ ŕ palpitation. Ars., Haem. mitted HAHNEMANN to treat homœopathically in a ŕ ŕ ŕ ŕ ŕ ŕ ŕ paralysis of feet. Zn. mild and effective manner. Although minimal doses ŕ ŕ ŕ ŕ ŕ ŕ ŕ toothache. Sil. and dynamization are said to play a fundamental role Feet, Fetid Odor of, Without Sweat. Grap., Sep., Sil. in Hahnemann's clinical method, it was he who ŕ ŕ ŕ ŕ ŕ ŕ carrion like. Sil. brought to light the fact that examples of involuntary homœopathic cure could be found in the medical ŕ ŕ ŕ ŕ ŕ ŕ sour, Sil. 20 Sensation as though the feet were sweating, and the practice of the old school. Homœopathy can thus hose soaked full. Lac-ac. exist without minimal doses and dynamization. ŕ ŕ ŕ a cold sweat were trickling down the feet, at With reference to the single medicine concept, night on rising. Croc. HAHNEMANN was against simultaneous exhibition ŕ ŕ ŕ had on cold damp stockings. Calc-c., of two or more medicines as he considered it impossible to forecast how these substances would Saponinum. 21 ------interact within the organism. He did, however, recognize the existence of effective cures with a 16. For Debate variety of compound preparations, in which the predominating substance always was homœopathic by A Strict Definition of Homœopathy according 22, 23 to Hahnemann nature. U.C. ADLER, MD, E. AMBROSIO, MD, I.M. The single medicine is thus another therapeutic ANELLI, E. CAPPELLO, MD, A. DE TOLEDO principle in Hahnemann's homœopathic method, but CESAR, E.C. GUIMARAES, MD is not an essential attribute of Homœopathy. He was (BHJ. Vol. 85, 2/1996) the first to test medicines in healthy individuals to The term ŘHomœopathy' is widely known, yet its discover their medicinal actions. For him, 'Pure meaning is ambiguous and vague. It is ambiguous Materia Medica' was the essence for selecting the because the term Homœopathy also serves as a most similar medicine while considering the synonym for infinitesimal dynamized doses or symptoms of the particular illness. According to dynamized medicines. It is vague because some Hahnemann's teaching, Homœopathy could exist authors were not concerned with the strict definition without experimental provings, for he had observed that homœopathic cures can occur at random, as a of Homœopathy, considering it to be therapy, medical 24 15 work of nature. art or even lifestyle based on the Law of Similars. HAHNEMANN also used the term in a wider Essential attributes and definition of Homœopathy sense, as a healing art16 or as a doctrine, but he HAHNEMANN established two conditions for established the essential attributes of Homœopathy occurrence of the homœopathic phenomenon in living and from these we can derive a strict definition. organisms: The objectives of this paper are ŕaffections should be of different qualities; ŕTo demonstrate that for HAHNEMANN ŕaffections should produce very similar effects. dynamisation, infinitesimal doses, single medicines The understanding of HAHNEMANN was that and provings in healthy individuals were not essential the homœopathic phenomenon obeyed the following

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 174 model: the stronger pathogenic principle extinguishes between two vital principles that are qualitatively the weaker affection, because it affects exactly the different but very similar in their effects on the living same parts of the organism.25 He therefore postulated organism. This may be attenuation of the stronger or a kind of competition between two different principles extinction of the weaker principle. that had very similar effects on the organism. Discussion We can thus easily understand that if the For the creator of the term, Homœopathy was affections were of equal quality, there would be no much more than a therapy. For Hahnemann, it was competition, but their actions would add together, as natural phenomenon occurring in accordance with the in isopathy (aequalia aequalibus). An example is a Řhomœopathic law of natureř. Unfortunately, this patient with Scabies, who was given fresh material concept has not been given due attention. harvested from the vesicles of the lesion = Scabies + Homœopaths, for example, do not cite cures between Scabies (but treated with Sulphur which produced a very similar 'Miasms'. Yet modern virologists very similar eruption, though of a different quality, describe different viruses in competition for the same resulting in Scabies vs Sulphur).26 cellular mechanisms. This results in the extinction of If the principles were not very similar in their the viral disease which has inferior multiplication. 31 effects, the more powerful one would not extinguish We might imagine that HAHNEMANN would have the weaker one. called such a viral interaction Homœopathy. According to Hahnemannřs model of Considering Homœopathy as the outcome of Homœopathy, patients would exchange their disease interaction between pathogens with very similar for another that was similar but stronger. This was actions on the organism helps us to understand why clearly exemplified by naturally occurring HAHNEMANN saw Jenner's vaccination as a form of homœopathic cures: homœopathy, 20, 24, 30 which facilitates understanding Mighty Nature herself has ... as instruments for of the controversial concepts of immunization32 effecting homœopathic cures, little besides the debated in homœopathic publications. miasmatic diseases of constant character … In medicine, Homœopathy is the systematic Measles and Smallpox ... as medicines are either application of the homœopathic law of nature in more dangerous to life and more to be dreaded clinical medicine. With this objective in mind, than the disease they are to cure;…following homœopaths may use different methods that have attainment of a cure they cured themselves.27 their basis in the following principles: To the very end of his life, HAHNEMANN was 1. Strict and unqualified adherence to the similia dedicated to the development of a therapeutic system principle and, consequently capable of producing a rigorously controlled 2. Avoidance of all allopathic methods of treatment, homœopathic phenomenon that induced an artificial wherever it is possible to achieve the objective with disease very similar and only slightly stronger than homœopathic medicines; and therefore the greatest the patientřs disease. Once this therapeutic objective possible. was achieved, medication would be discontinued. 3. Avoidance of all positive medicines and those that The cure is promoted through the reaction of the are weakening by their after-effect; hence the Vital Force to the appropriate medicine.28 avoidance of all venesection, of all derivation, Examples of the homœopathic phenomenon: upwards or downwards, of all medicines causing pain, ŕaffections extinguishing another, very similar and inflammation or blisters, of burning, or punctures etc. weaker affection 4. Avoidance of all medicines selected and destined • a homœopathic aggravation preceding a cure of only to stimulate, whose after-effects are weakening acute or chronic diseases;21 in every case. • Smallpox extinguishing vaccinia eruption;24 Whoever has acknowledged as his own these tenets, • the first hours of the morning, the shining Jupiter which are the main pillars of Homœopathy, let him disappears from the observer's vision due to a similar sign his name below.32 force, much stronger, acting on the optic nerve: the References light of day is near;17 1. Brunini C, Sampaio C, Criança Livre. P. 11. São ŕaffections attenuating another, very similar and Paulo: Círculp do Livro 1988. stronger affection 2. Coulter HL. Homœopathic Science and Modern • the vaccinia, near its maximum development, Medicine, p. 19. California: North Atlantic Books diminishes homœopathically the intensity of the 1981. patient's smallpox eruption;24 3. Dorfman P, Tetau M. From Diathesis to • Jenner's vaccination Řcure by anticipationř of Immunomodulation: 200 years of Homœopathy, p. smallpox; 30 41. Paris: Editions Similia 1990. • snuff alleviates fetid odours.17 4. Eizayaga FX. Tratado de Medicina Homoeopática. pp. 7-8. Buenos Aires: Ediciones Marecel 1972. A strict definition of Homœopathy 5. Grupo de Estudos Homeopaticos de Sao Paule On the basis of the above, we define Benoit Mure. Doutrina Medica Homoeopática. p. Homœopathy as the outcome of dynamic interaction 70. São Paulo 1986.

6. Jahr GHG. A Prática da Homoeopatia, Princípios e years from 1804 until 1811 is sketched out. Regras. p. 37. Rio de Janeiro: Grupo de estudos Interesting details of the Torgau years - one of the homoeopáticos James T. Kent 1987. most productive stages in Hahnemannřs life - are 7. Kent JT. Lesser Writings,p. 652. New Delhi: B Jain highlighted. A summary of the history of 1988-87. Homœopathy in Saxony is presented. The 8. Kossak-Romanach A. Homoeopatia em 100 International Homœopathic College, a charity that Conceitos, p. 19. São Paulo: Elcid 1984. works in research, teaching and practice of the 9. Ortega PS. Los Miasmas o Enfermidades cronicas Hahnemannian method in his former house is de Hahnemann, p. 229. Buenos Aires: Editorial introduced.

Albatros 1989. Hahnemann’s journey to Torgau 10. Paschero T. Homoeopatia. p. 20. Buenos Aires: El If his biographers made the count right, Samuel Ateneo 1988. HAHNEMANN moved at least 25 times in the course 11. Poitevin B. Le Devenir de lř Homéopathic p. XIII. of his 88 years of life. In the beginning, he roamed Paris: Doin Éditeurs 1987. over half of Europe in pursuit of his studies, which 12. Resch G, Gutmann V. Scientific Foundations of was not exceptional at that time. In Meissen, the city Homœopathy, p. 23. Berg: Barthel & Barthel of his birth, for Leipzig, where he took university 1987. training. After that he went to Vienna then to 13. Roberts H. The Principles and Art of Cure by Hermannstadt (present day Sibiu, Romania) and Homœopathy, p. 33. New Delhi: B Jain 1990. finally to Erlangen, where he was awarded his 14. Tyler M. Curso de Homoeopatia. p. 10. Brasileira: doctorate in medicine. In 1780 he spent further time in Editorial Homoeopática, 1965. Leipzig studying chemistry. 15. Ulman D. Homoeopatia Para o Século XXI p. 21. In 1781, HAHNEMANN set himself up as a São Paulo: Editora Cultrix 1988. pharmacist in Dessau. There he met Henriette, the 16. Hahnemann CFS. Organon der Heilkunst 6. Aufl., daughter of Küchler, his pharmacy teacher. The two Vorrede pp. LXXIII-LXXVII. Heidelberg: Haug were married in 1782. From this time on the couple 1987. led an itinerant existence, which took them in the 17. Ibid. §26. course of 23 years all over Saxony, Thüringia and 18. Hahnemann CFS. The Lesser Writings of Samuel Niedersachsen. Hahnemann, collected and translated by R.E. For one thing, HAHNEMANN was constantly in Dudgeon. Vol. 1. p. 288. Delhi: B Jain 1984. search of a means to treat sickness in good 19. Ibid. p. 307. conscience, without (as in the materialistic medicine 20. Hahnemann CFS. Organon. Einleitung 4. Aufl. of then and now) inflicting iatrogenic Ŗside-effects.ŗ pp. 51-104 (mentioned by Hahnemann in the But HAHNEMANN was also trying to find a Einleitung of the 6. Aufl. p. 52). Dresden: Arnold position to ensure a livelihood for himself and his 1829. rapidly growing family. 21. Hahnemann CFS. Organon 6. Aufl. § 274. Although the young couple must have found 22. Ibid. Einleitung S. 51-54. the first years quite challenging, they appear to 23. Hahnemann CFS. Lesser Writings, p. 460. have coped with things in loving companionship. 24. Hahnemann CFS. Organon 6. Aufl. § 46. Since Hahnemannřs Autobiography consists of 25. Ibid. §45. only four pages, encompassing the entire first two- 26. Hahnemann CSF. Lesser Writings p. 449. thirds of his life, what we know of his daily 27. Hahnemann CSF. Organon 6. Aufl. § 50. routine comes mostly from letters and contemporary 28. Ibid. § 161. accounts. 29. Ibid. §56. Many of these anecdotes can be traced back 30. Davis BD, et al. Microbiology. pp. 877-9. to Hahnemannřs grandson, Leopold Süss [1]. As a Philadelphia: JB Lippincott 1990. child, Süss lived with his mother for some time at his 31. Fisher P. Enough nonsense on immunization, Br grandfatherřs house in Köthen. It was from three of Hom J 1990; 79: 198-200. Hahnemannřs daughters who were living there that he 32. Hahnemann CFS. Agreement of 11 August 1833, learned so many details about the difficult years. in Haehl R. Samuel Hahnemann, His Life and Süss later practiced as a homœopathic physician Work. p. 200. New Delhi: B Jain 1989. in London, and he may be taken as the source for

Dudgeonsř own anecdotes. ------In these years HAHNEMANN alternated 17. Birthplace of Homœopathy: Hahnemannřs between writing, translating and his medical house in Torgau, then and now duties. He pursued every possible source of income. ALEX Peter Since he moved so often, it was not easy for his Internationales Homöopathiekolleg Torgau, patients to track him down, and they had to be Germany (IJHDR, 2009; 8(27): 70-79) satisfied with follow-up consultations by mail. But for

[ The history of the house that Samuel all these trials and tribulations, HAHNEMANN never HAHNEMANN and his family inhabited during the once lost sight of his goal to set medicine on a

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 176 rational footing. from the possession of the widow, Barbara Through his many publications, as much in REPPITZSCH, to a family by the name of von the popular press as in the specialist world of MINCKWITZ. Hans von MINCKWITZ was an medicine, pharmacy and chemistry, HAHNEMANN adviser to the Saxon ELECTOR, Friedrich the WISE, became so well known, that wherever he went a who earned his place in history as a friend and patron crowd already awaited him. His income grew of Martin LUTHER [3]. correspondingly. After the turn of the 18th century, the building In a letter to a friend [1], HAHNEMANN records frequently changed hands. From an auctioneerřs that in 1801 he had a house built in Eilenburg, and record, dated 1796, we know quite accurately how it that he had earlier bought a place in Machern where looked around the time when HAHNEMANN he resided. But here again the Hahnemanns were to acquired it in 1804: occupy this house for only two years, before moving ŖAt the entrance / a vaulted entrance gate with on. Undoubtedly the Hahnemanns were preoccupied double doors, besides which an entryway with door. with concerns other than recording their Upon entering the house / a vestibule on the right experiences while on the move. There remain some hand, with a wrought-iron latticed window. / A blank spaces even in the biography by Richard parlor with 3 windows, one provided with a wrought- HAEHL [1], which appeared only after many years of iron lattice, in which / there is a large black tiled oven research in the original sources. In these instances we with a metal fire-box in an adjoining alcove / A simply do not know where Hahnemann lived. There is chamber with 1 window and 1 door leading into the good reason to assume that the Hahnemanns vestibule / A floor-covering in front of the stove in the (who with nine children did not make a small parlour, having a door with tin fittings / To the left household, after all) simply lodged at inns in these hand opposite the parlor / a paneled kitchen in which new places, until HAHNEMANN could find and there is a window with wrought-iron latticework, acquire a suitable dwelling. before which / a cook-stove with a metal plate, under From the contract of purchase [2] (figure 1) there which a bath barrel, on the stove / a baking oven. is evidence that HAHNEMANN bought quite a large Off the kitchen / a pantry with a metal door and farm in Schildau (about 15 km from Torgau) in the a small window, outfitted with an iron grill / A spring of 1804. stone spiral staircase, which leads to the upper story Yet the remote place did not yield enough people and attic, but which is in bad shape and almost to his practice, so Hahnemann traded the farm in for a unusable. decent house in nearby Torgau, which had been the At the entry to which (the upper story), a Saxon royal seat in previous times. And there he hallway with 2 windows and a big chimney, acquired Ŗa house with an entranceway and gardenŗ somewhat adaptable, beside which on the right [1]. hand, / a chamber with 2 windows and a iron oven with white tiled surface. Nearby on the right hand / a The house at number 3 Parish Street chamber with 2 windows and 1 iron oven with a The name Pfarrstraβe (Parish Street) derives from white earthenware top, and to the right of that / a the rectory of the cathedral, located at one end of the small chamber with 1 window / On the left hand a street (figures 2 and 3). The earliest known name for small room with 1 widow and an old earthenware this street was Nun Lane, reflecting the fact that a tiled-oven. cloister stood on this very location back in the 13th Beside the first parlor, a chamber with century. Even today, a portion of the lots in the window and next to that a little room with 1 chimney, borough remain church property. In the 15th century with an iron oven surfaced with blue and white the remaining portion was given as a fief to nobles in earthenware; and in the same chamber 3 windows, the service of the Saxon Elector. The earliest 2 of them with half-shutters. documented owner (and probably also the one who Outside the vestibule, a roofed hallway with 2 built the house) was Nickel von Holdaw privies / On this floor, two chambers that have been (according to a record from 1474). In 1488 boarded up. The floor is half stamped earth floor, half Michael Reppitzsch, the electorřs chamberlain, is planked. / Above this floor is yet / another floor, but mentioned. From Nickel HOLDAW he bought a without floor boards / The clay-tiled roof is in property as a Ŗfree-houseŗ by decree of the Elector. disrepair and needs reroofing. This he converted into a hereditary estate. [3] Next to the living quarters / a good double A Ŗfree-houseŗ was, as the name implies, exempt cellar, which can be entered either through the from any taxes or duties imposed by the city. If at all, living room or from the outside. the only taxes were those paid to the sovereign. This Opposite the main house / a shed with servant exemption seems to have applied right down to quarters inside / A well with iron pump handles. Hahnemannřs time. On outbuilding holding /a cart /shed /fire wood A tree-ring analysis of the original roof-beams /enclosure, cow-stall and horse-stall, above which /a yields 1485 as the felling year. Presumably the hayloft, the roof being covered with clay tiles. A structure would have been fully framed within a few pig-barn roofed with clay tiles. years of that date. In 1535 the house was transferred

Finally behind the main house, there is a State to reconstruct and restore the old part of the vegetable garden, 28 yards long and 23 yards wide, building as well as to attach a modern part surrounded by lattice fencing, within which stand containing a lift and toilets for visitors several fruit trees, and there are also vines strung out.ŗ Since then the members of the college have [3] raised more than 50.000 € in donations and sold By the time HAHNEMANN acquired the souvenirs and books for the maintenance and property in 1804, the original renaissance interior was equipment of the place. In 2008, the College no longer in style. The wide window arches, which published The Homœopathic Tour Guide, a book that had been embellished with murals, were reduced covers all the historically important places in Saxony down to little recessed niches. In compensation, and around to be visited by interested people. they decorated the ceiling with stucco and the doors Hahnemann’s productive years in Torgau bore delicate baroque hardware. Although the Hahnemanns had already lived Through the current restoration some very in Eilenburg, in the neighborhood of Torgau, through beautiful details lasting down through several 1801 and 1802, their journey next led them to centuries are being once again brought to light. Even Wittenberg and Dessau, before they finally arrived at during Hahnemannřs time the spiral staircase, made Torgau in 1804. Here, after 23 years as from quarry sandstone, was described as Ŗin bad itinerants, they would settle down for the shape and almost unusable.ŗ As the tower housing comparatively long stretch of six-and-a-half years. the staircase had bent over 350 years ago, it needed to Hahnemannřs letters plus the Torgau deeds be fixed with concrete injections during the registry provide us with the some details surrounding restoration in 2007. the transaction. The latter source attests: For over 500 years this house served as a ŖIntending to pursue homœopathic cures dwelling place. But finally in the 1970s, under the among the sick and suffering, in 1804 Dr. German Democratic Republic. it fell into such Samuel Hahnemann bought the dwelling with its disrepair that it became uninhabitable. With the roof entranceway on Parish Lane near the deaconry leaking, the city of Torgau considered tearing the from Moebius, the tanner. Previously it place down. However, in 1992 people were made belonged to Mehl, the pensioner. Since people aware of the historical uniqueness of the house at were as yet unfamiliar with this manner of cure, it number 3 Parish Street. From all the rain leaking caused quite a sensation to hear that these tiny in, the plaster in places had peeled away from the little globules could help more a whole spoonful wall, revealing the first of a series of late Gothic of medicine. Belief had its own role to play: murals. many were helped, and many were not. He In 1997, through a comparison of property gained enemies and detractors, and since Torgau registers and other records, the Torgau teacher, Karl- had no place for him, and since his circle of Heinz Lange, established without doubt that the house influence was so small, he left and went to at what is now 3 Parish Street was actually the Leipzigŗ [4]. dwelling where Hahnemann had lived with his It was not before 2005 that the local historian, Dr. family from around Christmas 1804 to 1811. Jürgen Herzog dug out the contract of purchase HAHNEMANN practiced there as a physician, from an archive that states that Ŗthe house no. 3 and it was there that he wrote several of those Parish Lane was bought by Dr. Samuel C.F. works which had a lasting impact right down to Hahnemann and his wife, Henriette Hahnemann, nee the present day. Küchlerinŗ. These proved to be the oldest domestic murals During the Torgau years, there were some found anywhere in Saxony. moving episodes in the life of the HAHNEMANN After the special cultural and historical value of family. The oldest daughter, Henriette, married, while the house became known, in 2002/3 the roof and the one remaining son, FRIEDRICH, went to Leipzig exterior facade were restored, while measures were to study. WILHELMINE, their 16-year-old daughter, taken to reinforce the structure overall. The died in Torgau. Later, during his years in Köthen, work was undertaken by the current owner, the city Hahnemann would recall more than once those of Torgau, under the direction of Hainz Inc., an especially wrenching moments, when he was called architectural firm located in Meissen. Noll-Minor, the upon to bury his own children. However, regarding Torgau restoration studio, was entrusted with securing these years in Torgau there are relatively few details and restoring the valuable wall and ceiling paintings, known about the Hahnemanns life. as well as with overseeing all renovation measures The above record of deed does not provide the Until October 2007, when HAHNEMANN whole picture, which HAHNEMANN himself drew of House was officially handed over to the his life circumstances during the Torgau years. International Homœopathic College, there had Unable to expand his circle of influence, he left been put in more than 2.5 million €, mainly Torgau - but only under the pressure of external subsidies from the European Community, the events. After NAPOLEON had forced his ally, the Federal Government of Germany and the Saxon Saxon King, to erect a fortress on the Elbe, with the

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 178 choice falling on Torgau, HAHNEMANN perceived Second World War that he would have to leave the city for security The history of Homœopathy as a topic of public reasons. As later would be shown, it was wise discussion begins with the publication of the first foresight that caused him to move elsewhere. In a edition of the Organon. Here HAHNEMANN letter to a friend, dated January 30, 1811, a few days presented the first ripe fruit of his research extending after the king officially ordered the city to be fortified, over 25 years. With this as a stepping-stone, he he wrote: could also venture into academia. Being accepted

ŖAnd another few words from me. At almost 56 into the Alma mater at Leipzig was more than a years of age I live in the circle of a family that is dear quaint formality. After his proposal for a to me - a wife of rare kindness and seven almost private homœopathic teaching institute had died adult, cheerful, educated, well-behaved, innocent away without an echo, he saw no other way to bring daughters, who look after me hand and foot, and his method into the light of day; and thus establish to who (together with music) gladden my life. what extent it could be communicated Ŗaccording to Besides, with those patients to whom I am clearly understood principlesŗ [5]. entrusted, almost without exception, I can cure At the outset, Hahnemannřs pupils formed a quickly, simply and permanently and thus make a lot small, dedicated circle that maintained close personal of people happy - through Him, who created these contact with the master. From 1826 on, after marvelous remedies and placed them in my hand. Am Hahnemann had already left Leipzig for Köthen, I not almost to be envied? But, observe, they are they called themselves the Corresponding Society of getting ready to make Torgau into a huge royal Homœopathic Physicians. The formal incorporation fortress, wherein the likes of myself cannot hope to of the Union for Promotion and Training in live in peace. I have to sell my dear, comfortable free- Homœopathic Medicine took place in Köthen on house and after that go who knows where? Reflect, August 10, 1829, the anniversary of Hahnemannřs my dear friend! For the scale to bear such a heavy graduation. Any physician who practiced weight, the all-wise Providence thus places trouble in homœopathic medicine could become a member the other pan.ŗ [1] of the Union, as well as lay persons who wanted From this letter it becomes apparent that to cooperate in spreading Homœopathy. In the HAHNEMANN had no intention of leaving Torgau same period HAHNEMANN received the sum of he expected a better reception or indeed fame in 1,250 thalers as a down payment for a Leipzig. Just a few weeks before his arrival in the homœopathic hospital. After 1832 the Union called University town, it was not yet clear where his itself the Homœopathic Central Union. departure would take him. From Leipzig, on Interestingly, the articles of incorporation December 3, 1811, he wrote: stipulated that of the 8 elected directors at least 3 ŖThe Mars constructor [as HAHNEMANN had to be residents of Leipzig. In addition to Stapf’s called NAPOLEON] threatened to bury me Archive, the General Homœopathic Gazette was under the monstrous walls of the Torgau founded in that same year. It has continued to appear fortification, and so I fled here. Nothing down to this day, thus being the oldest medical without Godřs Providence! It grieved me all journal in the world that has appeared without the same to leave my pretty house and interruption [6]. garden, where I believed I had nurtured Since STAPF was a close friend of something for the welfare of humanityŗ [1]. HAHNEMANN and also one of his first students, the In Torgau HAHNEMANN continued with his Master viewed the appearance of a second remedy provings, in all likelihood solely on himself publication with some mistrust - all the more so and his family, since his first co-workers, known when he was informed (the developments in from the Materia Medica Pura, joined him only in Leipzig back then being viewed as if from afar), 1812, in Leipzig. From the breadth of his that some doctors were interpreting his teaching in a publications from 1805 to 1811 it is clear that in quite arbitrary way. HAHNEMANN described the Torgau, Hahnemann had sufficient peace for directors of the new organization as Ŗmongrel concentrated work and that it was a time without homœopathsŗ and from 1833 on the Union material concerns. (Table 1) convened no longer in Köthen, but rather in Leipzig From the last two items, it is obvious that in [6]. Torgau HAHNEMANN crowned his first period of Here was also founded the worldřs first creativity with two of his most important works, homœopathic hospital. In January 1833 Moritz establishing the basis for homœopathic MÜLLER was appointed director of this institution. treatment. Also in Torgau, HAHNEMANN was for The hospital had 24 beds, 12 each for men and the last time paid to translate a book, in this case the women. In the first 8 months, 1,118 day patients pharmaceutical text of Albrecht von Haller, published received treatment, along with 119 in-patients. in 1806. Though MÜLLER was certainly an enthusiastic supporter of Homœopathy, he had also worked with Homœopathy in Saxony, from 1811 to the naturopathic methods, including outdoor exercise.

He dared to use these various methods within the development of Homœopathy stagnated as a form of confines of a hospital designated as Ŗhomœopathic,ŗ professional medicine. Since there were no officially and for this he was sharply criticized by recognized teaching facilities, any doctors who HAHNEMANN. On this account, MÜLLER learned and practiced genuine Homœopathy were quitted his position. After admonishing his always kept on the margin. And that is how things followers to practice Homœopathy in strict remain today. accordance with the principles he had laid down, Beginning at the time of the rift with the master himself assumed control of the HAHNEMANN, the exponents of the so-called hospital, appointing Dr. LEHMANN as a director in Ŗschool of critical scienceŗ in the homœopathic 1834 [6]. Central Union always enjoyed superiority in numbers. In 1835, when HAHNEMANN left Germany for In point of fact, this was not a school based on good, the Central Union again took over the hospital. the principles HAHNEMANN laid down for This group was not, however, very adept in homœopathic medicine, but rather a departure appointing a successor. In 1835 it even transferred from these. For example, B. A. VEHSEMEYER leadership to a conventional doctor, who had recommended the use of decimal dilutions, because to gained his reputation by forging Ŗhomœopathicŗ scientifically trained doctors it would be easier to publications. But in any case, the Central Union was make a case for such lower preparations. With not especially interested in the homœopathic hospital. their striving for recognition from materialistic In 1839, the Union chose Leipzig as the site for science, these doctors abandoned the path drew by its annual general meeting. It was expected that HAHNEMANN - and with it also the road to success homœopaths from all parts of Germany would travel [1]. there to see the hospital. But nobody came [6]. On the other hand, in Saxony amongst the doctors From the beginning, there was clearly no of the Central Union, there were enough advocates to standard for the homœopathic training of doctors, set up a homœopathic hospital for themselves - even which again and again led to differences of though there was only a single one in Leipzig from opinion as to the correct way to practice. This was 1888 to 1901 before it had to be closed again on one of the main reasons why there was a lack of account of financial woes, disorganization and response by sick people (this, in turn created financial personal in-fighting [7]. difficulties). In 1842 the place had to be closed once There were two other forces which lent some again. impetus to Homœopathy, keeping it alive if only in a From 1843 on, a homœopathic polyclinic was feeble sense. From 1870 on, William SCHWABE, a held in Leipzig under the direction of HARTMANN, very active pharmacist, also carried on a polyclinic in a student of Hahnemann, and the above-mentioned Leipzig. Since in Saxony and in Germany Müller. These homœopaths were successful in gaining generally there were not enough homœopathic public support for their facility from the physicians to justify a production centre for genuine Saxon government, so that they could remedies, SCHWABE went in another direction, administer to provide poor people as well. which his son of the same name continued into the In addition, the polyclinic also served as a first of the 20th century with great success. teaching establishment, as Leipzig University has SCHWABE founded a homœopathic publishing stopped offering a course in Homœopathy since house, providing self-help books for the layman, Hahnemannřs departure. Although health insurance at offering home remedy kits with these, and that time covered homœopathic administrations, the through various publications (for example, the number of Saxon physicians who trained in Leipzig Popular Journal of Homœopathy) informing Homœopathy remained quite modest - for the year the public in no uncertain terms about the 1897, for example, only 10 to 15 physicians are listed advantages of Homœopathy, compared to the [6]. dominant medicine of the old school. This one journal In the 1890s, three doctors at the Polyclinic appeared monthly with a circulation of 55,000. At the treated between 3,000 and 4,000 patients on a yearly same time, SCHWABE marketed all sorts of basis. The Polyclinic existed for 100 years, preparations which today we would characterize as frequently moving from one location to another, phytotherapeutic. Due to this traditional blending of until it was totally destroyed by the bombing of Naturopathy and Homœopathy in Saxony, even today Leipzig in 1943. Destroyed also were the Archive the majority of doctors and lay persons cannot of the Central Union and certain original editions distinguish between the two therapeutic systems [7]. and pieces of furniture which Hahnemann had Prior to SCHWABE, there was a charismatic owned. follower of Homœopathy who achieved enormous Compared with the situation in the United States, popularity the lay therapist Arthur Lutze, of Köthen. where a number of Hahnemannřs successful He had heard of Hahnemannřs works and students emigrated, and where homœopathic subsequently studied them. He pursued colleges turned out hundreds of graduates per year, in Homœopathy with such great zeal, that he created Germany generally (and not only in Saxony) the the most modern clinic in Europe, which treated one

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 180 million patients over a period of 16 years. Although Manufactoryŗ (previously ŖWillmar Schwabeřs his treatments involved a combination of Pharmaceutical Worksŗ) produced homœopathic Homœopathy and Mesmerism (which tablets such as Arnica, Belladona and Aconitum in HAHNEMANN expressly recommended in the dilution 4x, until production was suspended in Organon), Lutze was very controversial for other 1991. Additionally, these remedies were openly reasons, among which his new edition of the authorized for sale in the pharmacies.

Organon, which he corrected on his own initiative. Homœopathy in Saxony following the German Though in actual fact Lutze practiced not in Saxony, reunification but in the Grand Duchy of Anhalt-Koethen, a few Stimulated by contacts with doctors and healing kilometres from the Saxon border, he nevertheless practitioners in West Germany, interest in exerted an immense impact on a whole generation of Homœopathy soon reawakened in the Eastern area. contemporary homœopathic physicians [7]. The first homœopathic courses began almost Since conventional medicine at that time was simultaneously around 1991, organized by the known to be profit-oriented, for some time German Central Union for Homœopathic Physicians Homœopathy enjoyed a considerable following and the Leipzig's Faculty for Veterinary Medicine, among ordinary people, who could not afford supported by the Veronika and Karl Carstens expensive procedures. In Saxony there were more Foundation. While the very learned Swiss doctor, than 130 homœopathic lay societies, up until their Dario SPINEDI, was teaching in Machern, in Leipzig dissolution in the Nazi period. This was due less to several West German veterinarians (Achim the efforts of the Central Union (which, SCHUETTE, among others) and healing practitioners rechristened as the Central German Union of (above all, Klaus Thon from Frankfurt/Main) were Homœopathic Physicians, soon excluded lay also holding lectures. persons, contrary to Hahnemannřs practice) - and Since then, the homœopathic doctors and the more to the spread of basic homœopathic non-medical homœopaths have gone separate ways, philosophy through publications like those of just as the statute of the German Central Union of SCHWABE and LUTZE, as well as through Homœopathic Physicians presaged. Thus, in Saxony lectures by lay homœopaths. the already meager base for Homœopathy remains In any case, because there was an absence of divided. Currently, there are roughly 300 doctors in expert supervision, the Homœopathy practiced in Saxony who have earned the additional designation of Saxony was often a colorful mixture of true ŖHomœopathyŗ through attending 300 hours of homœopathic treatment, together with traditional instruction. However, the designation ŖHomœopathyŗ folk-healing, modern naturopathy, and various forms is awarded by administrators at the State Medical of spiritual healing. Board of Registrations - people without a clue on

Homœopathy in Saxony, 1933 to 1989 Homœopathy - so there still exists no effective Due to the lack of physicians in the war-time, the standard for qualifying homœopathic doctors. As one Nazi government passed an Act Concerning the of those who actually participated in Machern as an Practice of Medicine without a License. This stated instructor, Uwe Friedrich, a homœopathic physician, that existing lay practitioners, who had writes on this very point: demonstrated before a board of medical examiners ŖThe current problem for Homœopathy in that they knew enough about the fundamentals of Germany is that at the present time the not very medicine to present Ŗno danger to the health of the high educational standards for Homœopathy as a public,ŗ could practice medicine under certain physician‟s designation provided by the Medical stipulations; and that they were to be designated as Council have been slashed to an intolerably low Heilpraktiker; that is, healing practitioners [8]. level. In this way the designation becomes more a After the fall of the Nazi dictatorship, the German stigma of ignorance than a sign of special Democratic Republic (GDR) government struck qualificationŗ [8]. down all laws passed during the Nazi period This situation also explains why, of the hundreds including the Medical Practitioner Act. Thus, in of Saxon doctors having the designation Saxony for the next 40 years there were only a ŖHomœopathy,ŗ fewer than a dozen practice as handful of homœopaths: the few homœopathic classical homœopaths. All the rest tend to confuse doctors who had survived the war and were not yet their patients and bring Homœopathy into disrepute, retired and those who from 1939 on were called because often ŖHomœopathyŗ may be seen on the Ŗhealing practitioners.ŗ The latter had busy practices, shingle, whereas there is none to be had in the office. but officially their knowledge could not be passed on. Among those who set themselves up as healing In the GDR, an ideology of strict materialism practitioners, the situation is scarcely better. At their prevailed, by which any non-physical medicinal own schools many take some homœopathic lectures actions were precluded by decree. over a few weekends, and then inscribe Typical of the overall inconsistency and ŖHomœopathyŗ among several other healing confusion of the socialist era was the fact, however, modalities on their office shingle. Until now, no one that a portion of the ŖLeipzig Drug has asked whether they were really qualified to do so.

Beginning in 1998, strenuous efforts have been made I last but not least acknowledge Douglas SMITH, in Germany to raise the standard of homœopathic from Minden, Ontario (Canada) for the translation of education to a uniformly higher level, and to do this in the manuscript. a way that ensures transparency on behalf of the References patient. Representatives from some 70 teaching institutes from all over Germany deliberated for five [1] Haehl R. Samuel Hahnemann: sein Leben und long years, before establishing the diploma of the Schaffen. Leipzig: Willmar Schwabe, London: Homœopathic Publishing Co; 1922. Foundation for Homœopathic Certification (SHZ). To earn this diploma, homœopaths must demonstrate at [2] Zentralarchiv Wernigerode; 1804 Contract of least 1,800 hours training, as well as perform clinical Purchase between Avokat Ziegler and Dr. Samuel rounds under the supervision of experienced Hahnemann concerning the property Torgau, homœopaths. The diploma is not granted for life, but Pfarrgasse 3. must be re-applied for every two years. [3] Noll-Minor M. Das Freihaus Pfarrstr 3. In: Keeping with the spirit of HAHNEMANN, the Torgau: Stadt der Renaissance, editor. Von International College of Homœopathy at Stockhausen T. Dresden: Michel Sandstein Hahnemannřs House in Torgau was founded in 2003. Verlag; 2003. It is concerned with the training and continual education of homœopaths, strictly according to the [4] Lange KH. Dr. Christian Friedrich Samuel method of HAHNEMANN and his genuine followers. Hahnemann: Begruender der Homoeopathie. Torgau; 1998. It is also devoted to restoring and utilizing Hahnemannřs House as a listed historical building, to [5] Hahnemann S. Organon der Heilkunst. 6th ed. serve once again as a centre for homœopathic therapy, Berg am Starnberger See: O -Verlag; 1985. teaching and research. [6] Haehl E. Geschichte des Deutschen After restoration is complete, it is foreseen that Zentralvereins homoeopathischer Aertze. Hahnemannřs House and the operative teaching Leipzig: Verlag Dr. Willmar Schwabe; 1929. facilities it hosts will be incorporated as a foundation, in order for the public to continue to use the building [7] Alex P. Wo das Organon entstand: Hahnemanns and the knowledge developed there in perpetuity. An Haus in Torgau, damals und heute. Grimma: Edition Krannich; 2004. artistic representation (wmv format) can be shown at http://www.feg.unesp.br/~ojs/index.php/ijhdr/article/v [8] Friedrich U. Zeitschrift fuer Klassische. iew/339/388. Homeoepathie, 2003. The International Homœopathic College keeps close cooperation with the following institutions: Table 1: Hahnemannřs publications during the Professional Association of Classical Homœopaths Torgau years (VKHD) and the Foundation for Homœopathic Certification; other homœopathic teaching- and research institutes, primarily in Saxony and the bordering German states (among others, Meissen‟s Hahnemann Centre, InHom at Koethen, the ProLife Clinic at Greiz); homœopathic foundations such as the Veronica and Karl Carstens Foundation and the Robert Bosch Foundation at Stuttgart; lay movements, such as Hahnemannia; homœopathic publishers, book sellers and journals; international teaching- and research institutes with similar goals; and the city of Torgau, with regards to public relations and the vibrant tourist activity in the city, which comes with international exchanges, at which point the house at 3 Parish Street becomes integrated with Torgauřs museum scene.

Acknowledgements The author expresses his gratitude to Dr. Juergen HERZOG, Torgau Historical Society, for his research; to Ms Andrea STAUDE, the mayor of Torgau, for her enthusiastic support of our project; and to Matthias SCHULZE, architect and photographer, for his professional services. Special thanks are owed to Dr. Egon KRANNICH, my colleague and publisher, whose experience, practicality and sharp eye have transformed a mass of material into the present paper.

the aerial is up in the car or not, how his father mows ŖAesculapius in the ŖConcerning the the lawn, if the baby is fed properly or not. He also scalesŗ (1805) substitution of foreign remedies and the pumps out 40° fevers, has a history of ear infections, Fragmenta de viribus superfluous state of and is badly affected by artificial additives and medicamentorum which, as declared most colours etc. Prescription: Belladonna 200C. The positivis sive in sano recently by the medical mother sends me a text message two hours later: corpore observatis (1805) Faculty in Viennaŗ ŘOkay whatřs in that mixture? The only word he said (1808) between Drummoyne and the M4 was Řoctagonř when ŖThe medicine of experienceŗ (1805) ŖConcerning the value he saw a stop sign. Then he fell asleep. He has of speculative medical woken now but is very quiet. Have we drugged him? ŖScarlet fever and French systems…ŗ (1808) This could be great! Ha ha ha ha laugh out loud.ř measles: two completely It was a nice result and all was well in the different Diseasesŗ (1806) ŖSummary of a letter to kingdom. He has remained well these last 6 weeks. a highly-ranked doctor ŖConcerning a substitute concerning the much - Almost a good enough result to present at a for cinchonaŗ (1806) needed rebirth of conference. All except for this part. She also said, medicineŗ (1808) Řshall I keep going with the antibiotics and the stuff I ŖWhat are poisons? What got from the health food store?ř are medicines?ŗ (1806) ŖRemarks concerning Just when do we say, Řthat patient is better?ř scarlet feverŗ (1808) When do we publish our cases? Just what is cure? ŖSerious questions Report of the inquiry concerning the cinchona (…) into prophylactic Many homoeopaths donřt use this term at all substitute reported in measures against anymore. They prefer to use the term Řimprovement.ř Issue 12 of the scarlet fever (1808) Or something else. Reichsanzeiger for 1806, My personal state of professional and about substitutes ŖConcerning the schizophrenia grew and was heightened by an generallyŗ (1806) venereal diseases and their cureŗ (1809) experience last year. At the Links Heidelberg ŖBrief investigation of conference I heard two things which made me stop various principles by ŖTo a doctoral and reflect. The first was in Sankaranřs presentation. which medicines healŗ candidate in medicineŗ He played a case, worked the evaluation with the (Review of the (1809) audience, come to a conclusion and then finished dissertation by S. with: Řand the patient did beautifully.ř He must have Breinersdorf). (1806) ŖInstruction concerning the prevailing feverŗ said that 10 times during his presentation. And I am ŖHints concerning the (1809) sure they did. homœopathic use of Soon afterwards it was the turn of Mangliavori to medicines in recent ŖSigns of the times in present. He says in a recent book (2004) that his practiceŗ (1807) standard criteria for a published case or a Řcureř is, Řonly one pharmacologyŗ (1809) ŖLibellus de Dysenteriaŗ remedy used over a period of two years which works (Review of the book by Organon of Rational in all chronic and acute situations.ř J.G. Rademacher) (1807) Medicine (1810) From conducting a recent and exhaustive audit of my practice, if I used his criteria I could publish or ŖConcerning the present Materia Medica Pura, speak about 3% of my clients. But if I used Sankaran's lack of non-European Part I (1810)

drugsŗ (1808) criteria I think I could present 70% of my cases as

cured cases. Having spent the last two years in the ------world of research I can no longer agree with either. One is too loose. One is too tight and does not reflect 18. Developing Homœopathic Practice: Towards a reality. framework of working with multiple Conducting an audit can be exhaustive, but has interventions transformed the way I think in practice and what I say Alastair Gray S about it and how I teach. I realize that in addition to [The 6th Australian Homœopathic Medicine not having criteria for what constitutes Řcureř in our Conference, Swiss-Grand Hotel, Bondi Beach, profession we also donřt have an active dialogue 13th &14th September 2008] about what we do about those patients who get better Establishing the issue: but are also seeking and receiving other medical It is a normal day in the clinic. A mother turned interventions. Given the working reality of the coal up with her two children. One is four months old, face of practice; that few if any, or NO clients are being breast-fed, the other is four years old and is a only ever getting just Homœopathy for their chronic tornado. Usual story. My room gets destroyed. He hits diseases, do we need to reframe, adjust or discard any me, punches as mother and decides that itřs very aspects of our homœopathic behaviours and important to start drumming on every conceivable principles? Said one homoeopath, service. In amongst all of this I was able to discern ŘIt has been years since I had a client come into that he has daily explosions over trifles, like whether my clinic and say, I am just getting Homœopathy, I

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 183 am doing no other form of medicine, just amount of time we have established a good Homœopathy. All of my clients are doing herbs, therapeutic relationship of some depth. She wants to Feldenkrais, naturopathy, supplements, epilepsy stay with my treatment and trusts that the small drugs, osteopathy or something as well as seeing me, improvements we have had will continue. Like so especially the clients with serious pathologies.ř many others sheřs down the health food shop. She Interview H10-17. found a homœopathic combination. Amongst the In 2007 three practicing homoeopaths and few ingredients that I actually recognized were lecturers in three countries turned their attention to Ferr, Hyper, Berberis, Sepia, Ars, Nicotiana, Merc this important issue. Working as a group with viv, Arg nit, Mocsh, E-coli and something called problem-based learning templates they asked some Ovary co. There were a number of other ingredients fundamental questions. How does the reality that our which I didnřt recognize. clients are getting multiple medical interventions from This scenario is surely familiar to you. What is your various modalities reaction? Punch, yell, counsel, anger, sack the affect the principles of similars in our clinics? patient? What do you do when a patient says I am affect the principles of totality when we are getting osteopathy? I am getting herbs. I am getting an selecting symptoms, and which totality? MRI. I am getting fish oils. We work as if our affect the basis of the prescriptions? remedies will act on the parts of the case that are not affect how we look at Heringřs direction of cure being affected by the other treatments. We say to the and gauge how our remedies are truly working? remedy, Řhey remedy I just want you to work on the affect working with obstacles to cure? knees and the throat okay.ř What I previously did in affect research, the writing up and reporting of my practice with the patients who did this was do my results? best. Is this good enough? Research is about determining the action of one really matter at all factor: to eliminate everything else to just one thing. Moreover, how does this impact on our perceived ŘIn this double-blind trial I have shown that efficacy given that practitioners in these other disciplines usually have no idea about our concepts of prednisone does this in people with this thing. I can show how this homœopathic medicine did this in this minimum dose, the direction of cure and person.ř But what I am suggesting is that this is homœopathic treatment plans and therefore, it is massively difficult if what is happening in my practice argued, intervene inappropriately. is being mirrored elsewhere in the profession. There is very little knowledge base underpinning these questions. When interviewing practicing RESEARCH PLAN homoeopaths everybody seems to Řdo their bestř. Suspecting that this was an area of clinical Muddle on through. ŘOn critical reflection the best I significance in practice that needed developing, in could say about my method in these cases is, I am 2007 a small research team was established to 1 making it up as I go. Is this good enough? For a investigate this issue. The research plan consisted of: profession that has aspirations? Not at all?ř (Interview 1. Completing clinical audits to confirm that this 2 H10-17) This seems ludicrous for a profession that is is in fact as big an issue as assumed. wanting and demanding the respect of it medical 2. Researching the traditional homœopathic literature peers. It seems clear that some literature needs to be for guidelines. created, and some clinical guidelines, some clinical 3. Researching the modern academic literature for principles, some structures and some sort of a guidelines. common language that is multi-modality. This is 4. Interviewing and auditing practitioners of other doubly crucial because in every other branch of the modalities, researching and delving into their practice of homœopathic medicine there is clarity. curricula and directives.

Got this? Do this. When this happens? Do that. But if RESEARCH RESULTS: DECONSTRUCTION the estimation from one exhaustive clinical audit of In order to determine if this was an area of four years of practice is correct and around 90% of the genuine concern a Clinical Audit was conducted time patients are seeing other practitioners and getting from one practitionerřs last 550 cases.3 other treatments and doing other medicinal things, perhaps we do need to begin a discussion and reframe this aspect of homœopathic medical 1 Alastair Gray, Marianne Roman, Jacqueline Dodding Clinical practice and the teaching of it. Audits 2007. We have all had this experience. Patient shows up 2 One researcher did a complete clinical audit of all cases over the in the clinic. She presents with irritable bowel last 4 years. Other researchers did an audit of their own practices, syndrome, and after questioning it is clear that looking at many cases that been unsuccessful, cases where patients there is a massive component of anxiety that goes Řbehaving badlyř had influenced what was done and had an impact along with it. She is struggling, and soon, after six on the outcome. Cases were examined where there were many integrative techniques. Cases were examined where other months of treatment, so am I. Arsenicum, Nux, Sil, practitioners had prescribed or intervened during the patientřs Cina, all the suggestions from Jon Gambleřs book. Homœopathic treatment. 3 Some improvement but nothing startling. After this What is presented here is 10% of that audit; a micro audit of

Name Presenting Treatments mentioned KN1 Hernia Supplements /code complaint by patient used KB1 IBS Orth meds concurrently with MG1 PN Depression Naturopathy homœopathic medicine PC2 Back Pain Visualization RM 2 Panic Attacks Depo-Provera FP1 Herpes Chinese medicine, RM3 MS Oth meds Orthodox valtrex SM1 Depression Orth meds, counselor LH1 Obesity Gym weight watchers TT1 Depression No other treatment EP1 Cysts knees Osteopath, Chinese herbs Eczema Orth surgeon, Massage TL1 Panic Attacks Orth meds G1 Acne Skinproducts, Naturopath TM1 Menstrual Nutrition LR1 Bodyimage, Valtrex,Naturopath, problems Acne, Herpes Nutrition, Prof of UM1 Autism Orth meds Dermatology AC 1 Panic Orth meds BR1 Lymphoma Chemotherapy,Therapist, AC2 Eczema Nutrition Body work AH1 Headaches No other treatment AC1 Herpes, Therapist AK2 Chronic sinusitis Orth meds Over emotional AN1 Genital Naturopath CB1 Psoriatic arthritis Therapy moluscum Anti AS1 Off methodone Orth meds inflammatory, AR1 Sinusitis herpes Orth meds Naturopathy Naprasin AM2 Depression Orth meds D1 Hashimotos, Therapy AP Eczema Orth meds Hayfever, AJ1 Chronic resp. Supplements Divorce infections DC1 Depression Acne Eft,Supplements, AH2 Depression Orth meds Roacutane AM2 PN depression Chirop, energetic healing LW1 Cancer Therapy,Homœopathy, AS2 Exhaustion Naturopathy Nutrition, Energetic AT Over relationship Bodywork bodywork.Chemotherapy, AL2 Depression Therapy Oncologist, Chinese AK1 Panic attacks Orth meds herbs, Acupuncture AS3 Hay fever Therapy CO1 Infertility IVF AJ1 Stunted growth Orth meds AQ1 Unidentified No other treatment1 AH2 Insomnia Naturopathy, therapy ulcerous skin Condition The message from this piece of research in one AW1 Eczema eyes, Supplements practice is unequivocal: 93% of patients are doing menstrual what they want. Hereřs another surprising statistic: Problems from the audit, male patients are using other AN1 Obesity Acne Counseling, naturopath medicinal interventions far less than female Am 2 Chronic Fatigue Antibiotics patients. The conclusion from this particular audit AW1 Exhaustion No other treatments was overwhelmingly that this is an area of practice in BS1 IBS Naturopathy need of developing.2 Further evidence gathered CG1 Arthritis Osteopath anecdotally confirms the finding. CG2 Knee injury OrthopedicSurgeon ŖIn my own experience at the cancer charity, patients Acupuncture have often chosen to use a number of complementary CP1 Migraines Osteopath, Chiropractor therapies alongside their conventional treatment. It is FB1 Insomnia Codeine, Naturopath exceedingly rare for patients to choose only to use JC Rheumatoid Orthodox medicine, fish Homœopathy without exploring other therapies, and Arthritis oils, glucosamine of course conventional medical intervention. JA Acne Roacutane However, I feel that in such an acute situation, the KB1 Nail biting No other treatment homoeopath cannot expect a patient to choose to use KR1 Hepatitis Naturopathy

2 This is obviously just one practitionerřs results from an individual clinical practice. Of the random 55 cases produced of the 550 here 4 clinic. The clinic is inner city Sydney. Clientele overwhelmingly had no other treatments, representing 7%, in other words 93 % of educated, western, aspirational. Anecdotal evidence from patients are receiving multi modalities or multi treatments. colleagueřs worldwide suggests a similar trend in the western world. The exception was a conversation with Andreas Bjorndal 1 who said it is extremely rare to have patients in his practice on other Patient previously had Homœopathy in Pakistan treatments.

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 185 only Homœopathy, in order that we are able to in close apartments, or the frequent indulgence in ascertain the remedyřs effect, and whether the mere passive exercise (such as riding, driving or Law of Cure is progressing in the correct manner. swinging), prolonged suckling, taking a long siesta in Patients need to be able to use whatever they feel is a recumbent posture in bed, sitting up long at night, important, in this situation, in maintaining a good uncleanliness, unnatural debauchery, enervation by level of health. In my own practice, I always ask reading obscene books, reading while lying down, patients whether they are currently taking other Onanism or imperfect or suppressed intercourse in medication, whether complementary or conventional. order to prevent conception, subjects of anger, grief or This can help me ascertain whether the patientřs Vital vexation, a passion for play, over-exertion of the mind Force is being suppressed by conventional or body, especially after meals, dwelling in marshy medication, and therefore often has an effect on the districts, damp rooms, penurious living, etc. All these potency I choose for the patient. It also allows things must be as far as possible avoided or removed, an indication of the patientřs reaction to in order that the cure may not be obstructed or complementary therapies and which ones they choose rendered impossible. Some of my disciples seem to use.ŗ Interview H15-7 needlessly to increase the difficulties of the patientřs

TRADITIONAL HOMŒOPATHIC GUIDELINES dietary by forbidding the use of many more, tolerably In researching the traditional homœopathic literature indifferent things, which is not to be commended. it is clear that Hahnemann (1842) gave us no Also in some aphorisms at the end of the Organon he instructions when it comes to how to interact with, or mentions the use of magnets and water. integrate, ongoing or new treatments from other He does suggest value of the use of magnets, modalities into our treatment plans. Of course he does minerals, massage and basic hygiene, but nowhere is mention things to avoid in his aphorisms on Obstacles there an implication of how to use these with to Cure in 259 and 260. The advice was in essence, to Homœopathy. take away everything which can have any medical § 286 (Sixth Edition) The dynamic force of minerals action. magnets, electricity and galvanism act no less § 259 ŖConsidering the minuteness of the doses powerfully upon our life principle and they are not necessary and proper in homœopathic treatment, we less homœopathic than the properly so-called can easily understand that during the treatment medicines which neutralize disease by taking them everything must be removed from the diet and through the mouth, or by rubbing them on the skin or regimen which can have any medicinal action, in by olfaction. There may be diseases, especially order that the small dose may not be overwhelmed diseases of sensibility and irritability, abnormal and extinguished or disturbed by any foreign sensations, and involuntary muscular movements medicinal irritantŗ which may be cured by those means. But the more § 260 ŖHence the careful investigation into such certain way of applying the last two as well as that of obstacles to cure is so much the more necessary in the the so-called electromagnetic lies still very much case of patients affected by chronic diseases, as their in the dark to make homœopathic use of them. So diseases are usually aggravated by such noxious far both electricity and Galvanism have been used influences and other disease causing errors in the diet only for palliation to the great damage of the sick. The and regimen, which often pass unnoticed.ŗ And in the positive, pure action of both upon the healthy human footnote to § 260: Coffee; fine Chinese and other herb body have until the present time been but little tested. teas; beer prepared with medicinal vegetable § 287 (Sixth Edition) The powers of the magnet for substances unsuitable for the patientřs state; so-called healing purposes can be employed with more fine liquors made with medicinal spices; all kinds of certainty according to the positive effects detailed in punch; spiced chocolate; odorous waters and the Materia Medica Pura under north and south pole perfumes of many kinds; strong-scented flowers in the of a powerful magnetic bar. Though both poles are apartment; tooth powders and essences and alike powerful, they nevertheless oppose each other in perfumed sachets compounded of drugs; highly the manner of their respective action. The doses may spiced dishes and sauces; spiced cakes and ices; be modified by the length of time of contact with one crude medicinal vegetables for soups; dishes of or the other pole, according as the symptoms of either herbs, roots and stalks of plants possessing medicinal north or south pole are indicated. As antidote to a too qualities; asparagus with long green tips, hops, and all violent action the application of a plate of polished vegetables possessing medicinal properties, celery, zinc will suffice. onions; old cheese, and meats that are in a state of Beyond this there are few directives. Close decomposition, or that passes medicinal properties (as (1990) says, ŘIt is taken for granted that the physician, the flesh and fat of pork, ducks and geese, or veal that acting in another capacity than that of a is too young and sour viands), ought just as certainly prescriber of homœopathic medicine, will remove to be kept from patients as they should avoid all the causes of the disease and the obstacles to cure as excesses in food, and in the use of sugar and salt, as far as possible before he addresses himself to the task also spirituous drinks, undiluted with water, heated of selecting and administering the remedy which is rooms, woollen clothing next the skin, a sedentary life homœopathic to the symptoms of the case, by which

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 186 the cure is to be performed.ř ability to fight infection rather than the drug itself. If Other homoeopaths have stated stronger antibiotics prevent an infection from happening, the opinions. Vithoulkas (1986) says other treatment will body suffers no interference and is not antidoted. interfere with Homœopathy: dental treatment, Antibiotics are the most common drug antidote. Oral essential oils, acupuncture, herbs etc. ŖThis occurs steroids are also risky. Other allopathic drugs vary in by interferences with the action of the defence their potency to antidote or interfere, so the best mechanism itself.ŗ Johnston (2007) is tougher still policy is to call and ask. Over-the-counter medicines with her opinions. are safe. They do not antidote. People worry about

CONSTITUTIONAL HOMŒOPATHIC aspirin or Tylenol interfering, but they do not. Dental TREATMENT ANTIDOTE LIST Drilling. Drilling on teeth with medium and low- Homœopathic remedies are very powerful speed drills consistently antidotes remedies. High- medicinal substances. Their action and effectiveness, speed drilling (with a light touch) may also antidote, however, can be disturbed by some of the chemicals but much less frequently. For this reason, we and medicines commonly used in our lives. The recommend avoiding drilling unless the situation following is a list of things that should be completely warrants it. If there is pain, or if the cavity is causing avoided for maximum benefit from your other risks like structural weakening or abscess homœopathic treatment. If you ever have any formation, then drilling may be necessary. Have it questions about a particular medicine, it is better to done, wait 3 weeks, and then we will re-evaluate the call to inquire than take the chance of disrupting your remedy. Routine procedures at the dentist are not a treatment program. MOST MEDICATIONS problem except when they lead to drilling. Teeth Antihistamines, antibiotics, or cortisone cleaning is fine, X-rays are fine, but cavities that are ointments, sprays, creams or pills, cold formulas, found are best left undrilled until they pose more of a antibiotic ointments such as Neosporin, pain problem. In discussions with dentists, they usually medications. Each medication needs to be evaluated agree with me that drilling can be delayed when I individually, so please check your current medications point out the likelihood of an overnight flare-up of, and inquire about any you may take in the future. say, multiple sclerosis or ulcerative colitis. Teeth All `over the counter', non-prescription medicines cleaning is fine, but the ultrasonic cleaner (called a must be avoided. RECREATIONAL DRUGS Cavitron, which is not used so often anymore) will Marijuana, hashish, cocaine, LSD, mescaline and all antidote. Otherwise, using hand tools and a rubber others. DENTAL WORK, CHIROPRACTIC or polisher is fine. Sonicaire toothbrushes do not ACUPUNCTURE. Contact the office if dental work antidote remedies. Acupuncture. Acupuncture, is planned, preferably have it done before whether with needles or moxa, frequently Homœopathic treatment. Routine teeth cleaning is not antidotes remedies. Because it is a powerfully a problem. Chiropractic or Acupuncture treatments curative system in its own right, acupuncture can be should be avoided. ELECTRIC BLANKETS You an extremely good choice for chronic disease ŕ but a may use the electric blanket to warm your bed, but it choice it must be, because both systems interfere with is inadvisable sleep with the blanket on. each other. Acupressure, however, does not antidote. Bill Gray (2007) presents a long list of interfering Chinese herbs do not antidote in my experience. issues including such an array of common aspects of Mothballs. Brief inhalation, even for a few hours, may western lifestyle that it is bewildering to think how not be a problem. But sleeping overnight in the midst our medicines can possibly act at all. of mothball odors often antidotes. Electric blankets. Australian Tea Tree (Melalucca) Oil. Often used Sleeping under an electric blanket covering most of to heal skin or gums in a variety of ways, skin the body seems to inhibit flows of electromagnetic exposure can antidote just like camphor. Antibiotics energy in the body, preventing adjustments crucial to and steroids. It is a frequent story for someone to be healing and balance. Using the blanket to warm the doing well for a chronic disease, to catch a cold or bed beforehand and then turning it off once in bed is sinus infection, go to a doctor for diagnosis, and then no problem. Heating pads are no problem because the thoughtlessly take antibiotics. Within days, all the bodyřs energy flows can adjust around it. TENS units chronic symptoms come back full force. Whenever do not antidote. Geothermal Hot Springs. Water prescription drugs are recommended, call the office activated by minerals coming up from deep in the first to get our advice. If needed, I will agree and we Earth apparently interfere with remedies. Being will pick up the pieces later. But usually, I will advise around the baths, sunning by the side, etc., do not waiting and to allow the remedy to work through the antidote. But full immersion, even in the side-tubs, acute problem on its own. One interesting situation is will likely antidote. Minerals added to the bath at the use of antibiotics during gum surgery or dental home do not antidote. Safe Interactions. Cigarettes cleaning in people with heart valve problems. do not antidote. Alcohol Safe, except Kahlua, Irish Antibiotics do not usually antidote in that setting. coffee, anything with coffee beans. Tea any amount. Also, when given for viral complaints, they tend not Recreational Drugs. This is variable. Some people are to antidote. Therefore, it seems the antidotive action hypersensitive to many chemicals and could be easily of antibiotics arises out of interfering with the bodyřs antidoted. General recreational use is not a problem

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 187 for most people. Chronic habitual use, however, can realities go a considerable way to reducing clinical eventually antidote. Allopathic Medications. Do not efficacy, and creating a climate of fear, hesitancy and stop medications without advice. Most patients begin anxiety amongst homoeopaths, and especially recently Homœopathy on medication, then gradually wean off graduated homoeopaths work. There is a very as many as possible over time. Medications are not poor conversion rate to successful practice in the instant antidotes, except antibiotics and steroids. Most profession, a lack of confidence in prescribing, others eventually shorten the action of remedies and at times poor satisfaction rates with our clients. within 2 to 9 months, depending on the situation. The There is also hesitancy to publish clinical results for issue with allopathic drugs is their suppressive nature. fear of being beaten by the homœopathic police. To Aimed to relieve symptoms, which are attempts to enforce the point, in exhaustive searching in the heal, they convert acute to chronic and delay cure in homœopathic literature, the only reference chronic disease. Thus, if nothing else, they act like a found where a contemporary authoritative Ŗparking breakŗ on remedies. homoeopath made reference to integrative treatment The vast majority of our literature and certainly a was in Morrison (1998). number of authorities in our profession have all said, Management. Many of our patients are Řdo not integrate treatmentsř. An Australian already seeing a body worker or physician homoeopath in interview said, ŘItřs wrong. The (chiropractor, osteopath) when they begin patients are wrong. Donřt encourage itř.1 Three homœopathic treatment. Also, these health reasons are generally given. We cannot get clear professionals often refer to us in an attempt to keep symptom pictures on which to prescribe, these their patients away from the risks of allopathic factors antidote our remedies, and we are less able to medications or surgery. Startlingly, some monitor our patientřs progress well and refine our homoeopaths, out of fear of antidoting, ask such second prescriptions when there are multi medicines referred patients to refrain from seeing their referring and multi modalities. practitioner. Needless to say, this practice is divisive

THE CONSEQUENCES OF THOSE GUIDELINES in the alternative community and does more harm When I look around the profession I see profound than good. Instead we must work with our alternative consequences from these guidelines. We are pushing colleagues and discuss our concerns rather than put our patients in a position of divided loyalty. in the opposite direction to patients. What do they want? What do we want them to do? What are their RESEARCH THE MODERN ACADEMIC values and attitudes towards health? Cure? How long LITERATURE FOR GUIDELINES do they want their treatment to last? Just what is their Looking into any academic homœopathic attitude towards maintenance of their health? You can literature to give direction on this area of clinical be sure that only 10% of the population has the same practice proved fruitless. There is very little if any values as you do when it comes to that. And yet so knowledge base. Moreover it is very difficult to often when the homoeopath talks and prescribes to search the literature. Researching the subject was time our patients we are assuming that they're just like us. consuming and exhausting.2 There were certainly And when they then don't comply we label them as many examples of research into the effectiveness of Řdifficult patientsř or Řnon-compliant patients.ř Homœopathy in relationship to Integrative Medicine.3 Many homoeopaths are struggling. Many homoeopaths donřt see enough clients. Of course 2 there are multiple reasons but one of them is of our Explored were many databases, the UCLA library, Google, Google Scholar, EBSCO, INFORMIT, MICROMEDEX, false expectations of what our patients are actually PROQUEST, Science Direct, then journals such as British Medical looking for. They have different values and different Journal, American Medical Association, Complementary Medical assumptions about themselves and their health. And Research Journal, British Homœopathic Journal, Society of we find ourselves in the awkward situation of Homoeopaths Journal, Simillimum, NASH, NESH and much more. Initially starting with integrative medicine in various relationships prescribing in the 21st century for 21st century with Homœopathy, then integrative medicine, homœopathřs patients, patients that have been bought up on attitudes, and other combinations of words, there were many dead youtube and facebook and PDAřs and food ends. This was doubly the case when combined with searching the colouring and fluorescent lights and the pill, when the other therapies that can be combined with Homœopathy. Very little information was discovered which was relevant to the initial basic paradigms of our profession are rooted firmly in question posed. the 18th and 19th centuries. Old paradigm, new 3 Example. The Journal of Alternative and Complementary world. We are even trying to sell the word Medicine. Homœopathy and Conventional Medicine: An Outcomes ŘHomœopathyř in the 21st-century marketplace. It's a Study Comparing Effectiveness in a Primary Care Setting. Apr very big ask. 2001, Vol. 7, No. 2 : 149 -159. David Riley, MD. University of It is the opinion of this author that the New Mexico Medical School, Albuquerque, New Mexico; Integrative Medicine Institute, Santa Fe, New Mexico. Michael consequences of such fixed guidelines by CLOSE, Fischer, PhD. ClinResearch, Cologne, Germany. Betsy Singh, PhD. KENT and VITHOULKAS etc, and such rigid ideas Southern California University of the Health Sciences, Whittier, that are so clearly out of step with our patientsř California. Max Haidvogl, UD, DrMed Ludwig-Boltzmann Institute, Graz, Austria. Marianne Heger, MD. Research Center HomInt, Karlsruhe, Germany. Background: Recent meta-analyses 1 Interview H13-25 of randomized controlled trials in Homœopathy have suggested that

There is much research on the integration of some Amy Rothenberg who documented the use of Homœopathic training into existing orthodox Arsenicum and other naturopathic interventions. medical curricula.1 Furthermore there is After conducting an extensive search of relevant demonstrable research of Homœopathy integrating literature this was the only real example of an article into the existing curricular of CAM therapies.2 But or research which demonstrated homoeopathsř nothing on how to integrate. attitudes to patientřs use of other complementary Researching laterally when inputting search terms and alternative medicine or conventional proved no more fruitful. One researcher flew to New medicine alongside homœopathic treatment. What Zealand to search in the only partially electronic has been interesting to note is that in most reported Julian Winston archive. Only one article on cases in homœopathic journals, the homoeopaths Homœopathy was found that mentioned integrative refer to the remedies and the homœopathic treatment. Simillimum (2005) contained an article by treatment given to their patients, but very rarely document any other modes of treatment that patients Homœopathy is more than a placebo response. Objective: may be using concurrently, which may have an effect Comparison of the effectiveness of Homœopathy in primary care on the progression of their health problem. with conventional medicine in primary care for three commonly However what was discovered were studies encountered clinical conditions. Results: Four hundred and fifty-six on how other health professionals felt about (456) patient visits were compared: 281 received Homœopathy, 175 received conventional medicine. The response to treatment as patients choosing other healthcare regimes. Giveon, measured by the primary outcomes criterion for patients receiving Liberman, Klang and Kahan (2003) surveyed 150 Homœopathy was 82.6%, for conventional medicine it was 68%. doctorsř perceptions of their patientsř use of Improvement in less than 1 day and in 1 to 3 days was noted in complementary medicine concluded that 91% of the 67.3% of the group receiving Homœopathy and in 56.6% of those receiving conventional medicine. The adverse events for those respondents were Řsatisfiedř or Řnot botheredř about 3 treated with conventional medicine was 22.3% versus 7.8% for their patientsř use of complementary medicines. those treated with Homœopathy. Seventy-nine percent (79.0%) of Furthermore, Nanke and Canter (1991) conducted patients treated with Homœopathy were very satisfied and 65.1% of another survey which examined doctorsř patients treated with conventional medicine were very satisfied. In both treatment groups 60% of cases had consultations lasting recommendations of other forms of treatment to their 4 between 5 and 15 minutes. Conclusions: Homœopathy appeared to patients. And confirmation that patients are more be at least as effective as conventional medical care in the treatment than happy to mix modalities came in Sharples, Van of patients with the three conditions studied. Haselen and Fisher (2003) survey of United Kingdom http://www.liebertonline.com/doi/abs/10.1089/10755530175016426 1 NHS patientsř perspectives on Complementary Example. Integrative Medical Education: Development and Implementation of a Comprehensive Curriculum at the University Medicine where four hundred and ninety nine of Arizona. Victoria Maizes, MD, Craig Schneider, MD, Iris Bell, responses were analysed. The patients were all MD, PhD, MD(H), and Andrew Weil, MD receiving treatment at the Royal London http://scholar.google.com/scholar?hl=en&q=%27integrative+medic Homœopathic Hospital. Their most frequent reasons ine+Homœopathy%27+&spell=1, or, The challenge of complementary and alternative medicine. American Journal of for seeking CAM intervention were that other Obstetrics & Gynecology. 177(5):1156-1161, November 1997. treatment had not helped, and the concerns that they Chez, Ronald A. MD; Jonas, Wayne B. MD had about adverse treatment reactions which may occur when using conventional medicine. The http://pt.wkhealth.com/pt/re/ajog/abstract.00000447- most frequently used complementary therapy was 19971100000033.htm;jsessionid=FvTGzv9FQY2q93T7FJfvhHrQg YMT4lr2ZkGFWQd1Rl2h1TSv2TbF!-1480123504!- Homœopathy and two-thirds of the patients 949856144!8091!-1, or Homœopathy incorporated in a Swiss surveyed indicated that their main presenting university - aims and results of 10 years „KIKOMŖ Integration der condition was moderately or much improved.5 Homöopathie an einer Schweizer Universität - Ziele und Resultate von 10 Jahren „KIKOMŖ K von Ammon1, A Thurneysen1 Institute of Complementary Medicine KIKOM, University of Berne, 3 Inselspital, Bern, Switzerland. http://www.thiemeconnect. Although the survey was directed more to the use of herbal com/ejournals/abstract/ahz/doi/10.1055/s-2005-868674. remedies rather than Homœopathy, this is still a useful indicator of 2 other health professionalřs responses to clients using other forms of Example. Status of Complementary and Alternative Medicine in medicine alongside their own. Of note however is that 58% of the the Osteopathic Medical School Curriculum. Dale W. Saxon, PhD; physicians who responded to the survey routinely asked patients Godfrey Tunnicliff, PhD; James J. Brokaw, PhD, MPH; Beat U. whether they were using other forms of medicine concurrently with Raess, PhD. The authors found that CAM material was usually their own. presented in required courses sponsored by clinical departments, 4 was most likely taught in the first 2 years of medical school, and The results of the survey showed that core treatment methods involved fewer than 20 contact hours of instruction. The topics such as counselling, diet, exercise and massage, and well most often taught were acupuncture (68%), herbs and botanicals established complementary and orthodox treatments such as (68%), osteopathy, acupuncture, orthodox medication, Homœopathy, spirituality (56%), dietary therapy (52%), and Homœopathy (48%). herbal medicine and psychotherapy were the most widely Most (72%) CAM instructors were also practitioners of CAM recommended. In contrast those treatments described as Řfringeř modes of therapy. Few (12%) of the instructors taught CAM from treatments (e.g. radionics, biofeedback, colour therapy, gem an evidence-based perspective. The authors conclude that the form therapy, Kirlian aura diagnosis) were the least recommended. 5 and content of CAM instruction at osteopathic medical schools is 19.5% reported that it was slightly improved, 13.5% reported no similar to that offered at allopathic medical schools and that both change, 2% were slightly worse and 3% were moderately or much osteopathic and allopathic medical schools should strive to teach worse. The survey also requested information about other CAM with less advocacy and more reliance on evidencebased treatments that patients were also receiving as well as the treatment medicine. http://www.jaoa.org/cgi/content/abstract/104/3/121. from the RLHH. Half of the patients were receiving treatment

RESULTS OF SEARCHING IN THE LITERATURE There are many proposals in developing this area OF OTHER CAM DISCIPLINES and a lot of work to do.

Searching outside of the world of homœopathic Communication. It is crucial that as a profession we medicine into other complementary therapies to are have more dialogue. Robust discussion and determine their attitudes to multiple interventions was debate. And as we do so we also need to realise that undertaken. Interviews and audits, electronic based one homoeopath who practices in a specific way research of practitioners in other CAM therapies, because of their training, because of their perception and exploration of their curricula and directives to of health and disease and their concept of totality determine their attitudes to patients seeking multiple may be legitimately different to the homoeopath modality treatments were conducted. practising in Ipswich, Wagga or Adelaide or where- Over the years I found it incredibly valuable ever. Our practices are different and varied and our to work alongside naturopaths and practitioners of working models need to reflect this. There is much traditional Chinese medicine, Ayurvedic medicine that is different but significantly more that a similar. and all the other Complementary and Alternative Audit tools. Consistent use of an audit tool that is Medicines in the different clinics that I worked agreed upon would go a huge way to creating and around Sydney and Auckland. From discussions statistical facts about our clinical effectiveness. For about multiple interventions they didnřt seem to care example, one audit tool which could be employed so much that their patients have their own initiatives more would be to categorise patient response: and values about their health and they don't get upset No change about it. And actually it doesn't worry them in TCM if Some improvement their patient is also seeing a homoeopath. They are Considerable improvement less precious, and they are less concerned. Major change In formal interviews, what was asked was how Transformation they deal with patients getting multiple modality Percentages can be used or a different and treatments, what instruction do they get in their agreed-upon language, slight, some, significant training, do they get as angry with patients and other improvement etc. Homoeopaths must be encouraged practitioners as homoeopaths do, do they have any to engage in this necessary critical reflection. further ideas and research, do they worry as much revealed a clear pattern? Research focused Audit tools that reflect multiple interventions. especially on TCM practitioners who were Results can be cross-referenced with the treatments homoeopaths as well who were familiar with it or and modalities being used at the same time as used Homœopathy. One said: homœopathic treatment. ŘThere is not the dogma in TCM around Just Homœopathy repetition of the dose so much. It is much more Homœopathy and one modality relaxed. We give herbs to be taken every day. There Homœopathy and multiple modalities are some clear contraindications at times - say a Already the computer software packages contain patient is on blood thinners and other treatments the capacity for significant statistical analysis of but over-all we are less precious. Other therapies are practice. Who uses them? We need to. In the absence welcomed like sports medicine, bodywork is of being able to describe how Homœopathy works - welcomed. TCM is often practiced with the the mechanism of action, we must be in a position to practitioner doing herbs needles and bodywork provide evidence of our clinical efficacy. anyway.ř Research. Much more research is necessary. When asked about the Direction of Cure the The deconstruction and then reconstruction and response was, ŘAll other therapies are seen as helping collection of information from clinical practice is not hurtingř (Interview T12). Nevertheless, as in deeply satisfying. But beyond understanding exactly Homœopathy, students of TCM colleges in the US what goes on within oneřs practice, and having some and Australia reported no curriculum time being prejudices and ideas challenged about different devoted to this. They also reported surprise that it aspects of that practice at a personal level, would even be an issue (Interview T11 and T12). combination with similar audits from multiple

RECONSTRUCTION AND DEVELOPMENT: NEXT practitioners can provide clear demonstrative STEPS IN DEVELOPING THIS AREA OF PRACTICE research of the type that is required to demonstrate a clinical efficacy in the modern marketplace. It is not other than that prescribed at RLHH. Just under a third were taking difficult. Itřs not hard. You donřt have to have a PhD conventional prescription medicines, 13% treatment from another in statistics to do it. You just have to do it. From hospital doctor, 12% non-prescription medicines, and 7% were conducting such audits on a regular basis I know using complementary therapies from elsewhere. Therefore, once exactly the demographic of my practice. I know again, this survey has demonstrated that patients often choose to use more than one therapy concurrently, whether it is complementary or exactly the percentage of patients I see once, and a conventional. Although two thirds of the patients reported that breakdown of male and female that I see once. I know their main presenting complaint had improved either moderately or exactly how many patients I see twice or seven times significantly, it is difficult to establish whether the main therapy has or 22 times. I know exactly how many remedies are caused the moderate or significant change in the patientřs health.

© Quarterly Homœopathic Digest, Vol. XXVI, 3 & 4/2009 190 prescribed to each patient on average. I know exactly genuine role of naturopathic interventions and how many times I use Scholten method successfully, lifestyle advice (for the results of pseudo chronic and or Sankaran, or Boenninghausen, or how many times I artificial disease). use multiple methods in my clinic. Rather than What is also needed is the development of clear guesswork I now know about the compliance of my clinical guidelines and rules and the building up of patients and their improvement after the first literature for complicated cases and complicated consultation, and at the end of the treatment. clinical situations. Many lecturers make assertions but

Criteria for cure and publication. It is crucial that upon a flimsy evidence base. as a profession we have a dialogue and then establish The development of clear clinical guidelines. To ourselves some fundamental agreement on what can my mind it is crucial that we establish some firm be considered a curative or publishable case. To my literature through argument and disagreement, mind that definition of Řcureř, or Řimprovementř through audit and literature reviews in relation to needs to include the celebration of patients that are patients that are living 21st-century lifestyles and getting other therapies and doing other things with who have in their cases many obstacles to cure their health, or at the very least a criteria for reporting and maintaining causes and who are Řbehaving cases which is more real-life. It is clear from badly.ř The development of clear clinical guidelines substantial reading that reported cured cases in and ideas around best practice does not necessarily Homœopathy are overwhelmingly where one remedy have to restrict us in what we do. Clinical guidelines was used and where no other treatments were had or are not necessarily Řthis remedy for that condition.ř reported. The clear reason for this is to determine that But models of working and guidelines and directions nothing else medicinal was going on in the health of that are underpinned by evidence has significantly the patient or any other treatments that this remedy helped other similar professions develop and grow. created that change, i.e. this created that. But this is One only needs to glance at the developments in out of step with reality by not acknowledging the Nursing, Physiotherapy, and Psychotherapy in the last very real improvement in some cases partially 20 years to see how they have outstripped and due to the Therapeutic Relationship and other outperformed Homœopathy in the area of medical interventions. It is confusing for all that research, and ultimately medical respectability. homoeopaths are encouraged to report Řcured casesř CONCLUSION yet such cases are dismissed when the peers and After exhaustive searching and research it is readers see that the patient was also getting chinese concluded that there is very little if any literature or medicine or flower essences or steroid creams guidance when it comes to this genuine clinical issue (Interview H10-17). There needs to be more freedom of patients seeking multi modalities or multiple in publishing cures and cases that reflect our treatments. There is very little or no knowledge base actual clinical experience. Another excellent attempt underpinning these questions. There is plenty of real by Thompson (2004) has been made at a model for a life clinical experience. But while clinical experience ŘFormal Case Studyř in Can the Caged Bird Sing. counts for a lot, evidence is often perceived as more Education. Many of our educational assumptions valuable. need to be re-examined in the curricula in colleges. Having deconstructed the knowledge base, A re-emphasis to an honest discussion of critically analysed, reviewed and reflected, on the Homœopathyřs place in the perception of the patient traditional homœopathic literature it is clear that much and the context of CAM is in order in most of it is out of step with patientřs perceptions of CAM. curricula. Substantial anecdotal evidence suggests that Furthermore the dearth of any academic literature on homœopathic students leave colleges world wide high this issue highlights the need to develop this area of on skills and low in confidence. While crucial to grasp practice. the fundamentals of the minimum dose and the Are our patients behaving badly? No they are just direction of cure, it is doubly important in clinical doing what they do. Itřs homoeopathsř expectations training that these concepts need to be grounded in the which are fixed and need to change or at the very least real world of patientsř expectations. This aspect of some additions need to be made to clinical practice needs to be developed, and integrated in to frameworks. None of the practitioners interviewed the working curriculum of every college, and the daily from other disciplines had the preciousness or the practice of every homœopath. tightness around their patients having other Furthermore, strongly emphasising Hahnemannřs modalitiesř treatments that homoeopaths did. actual classification of disease is in order. It is often Perhaps concepts of suppression and ideas of forgotten that Hahnemann classified Chronic Disease. spoiling the case (Close, Kent and others) impede Homoeopaths often assume this was his idea of Psora, practice. Therefore it is proposed that the steps Sycosis and Syphilis. In fact he had a broader suggested, research, rethinking the publication of classification which included Pseudo Chronic cured cases, a reorientation of the emphasis within Disease, Artificial Chronic Disease and True Chronic undergraduate curricula and the development of some Disease. Being reminded of this reality often literature around clinical skills in multi modality creates a context for Homoeopaths to see the cases, are implemented to use as a springboard by

References 2529. von Ammon, K & Thurneysen, A 2005, Homœopathy Mangliavori, M & Zwemke, H 2004, Bitten in the incorporated in a Swiss university−aims and results of Soul Experiences with Spider Remedies and 10 years, Homœopathy. Moderna and Berlin. http://www.thieme- Morrison, R 1998, Desktop Companion to Physical connect.com/ejournals/abstract/ahz/doi/10.1055/s- Pathology. San Francisco. Hahnemann Clinic 2005868674. [Accessed: July 2008]. Publishing. Chez, R & Jonas, W 1997, The challenge of Nanke, L & Canter, D 1991, Treatment complementary and alternative medicine. Primary Recommendation in Complementary Medicine: a Care. American Journal of Obstetrics & Gynecology, selective network Complementary Medical Research, vol. 177, no. 5, pp. 1156-1161. vol. 5, no. 1, pp.1-7. http://pt.wkhealth.com/pt/re/ajog/abstract.00000447- Riley D et al 2001, Homœopathy and Conventional 19971100000033.htm;jsessionid=FvTGzv9FQY2q93 Medicine: An Outcomes Study Comparing T7FJfvhHrQgYMT4lr2ZkGFWQd1Rl2h 1TSv2TbF!- Effectiveness in a Primary Care Setting, The Journal 1480123504!-949856144!8091!- of Alternative and Complementary Medicine, vol. 7, 1.[Accessed:July2008]. no. 2, pp. 149 -159. Close, S 1921, Genius of Homœopathy Lectures and www.liebertonline.com/doi/abs/10.1089/1075553017 Essence of Homœopathic Philosophy. Reprint. India. 50164226 last accessed March 2007. [Accessed: July Jain. 2008] Gaudet, T 1998, Integrative Medicine, the Evolution Rogers, CR 1951, Client-Centred Therapy. Boston: of a New Approach to Medicine and Medical Houghton Mifflin. Rotherberg, A 2005, A Case of Education. Interstitial Cystitis, Simillimum, vol. XVIII http://scholar.google.com/scholar?hl=en&q=%27integ Spring/Summer. rative+medicine+homeopat hy%27+&spell=1. Sharples, F & Van Haselen, R & Fisher, P 2003, NHS [Accessed: July 2008]. Patientsř Perspective on Complementary Medicine: a Giveon, S et al. 2003, A Survey of Primary Care survey, Complementary Therapies in Medicine, vol. Physiciansř Perceptions of their Patientsř Use of 11, pp 243-248. Complementary Medicine Complementary Therapies Thompson, T 2004, Can the Caged Bird Sing in Medicine, vol. 11, pp. 254-260. Reflections on the Application of Qualitative Gray, B 2000, Interferences - Antidotes. Available at Research Methods to Case Study Design in http://www.billgrayHomœopathy.com/Interferences.h Homœopathic Medicine, BMS Medical Research tml [Accessed: July 2008]. Methodology, vol. 4, no. 4. Hahnemann, S 1997, Organon of Medicine 5th & 6th Tuckman, B & Jensen, M 1977, Stages of Small eds. Group Development Revisited Group and http://www.Homœopathyhome.com/reference/organo Organisational Studies, vol 2, pp. 419-427. n/organon.html [Accessed: July 2008]. Vithoulkas, G 1986, The Science of Homœopathy Hamilton, E 2003, Exploring General Practitionersř Northamptonshire: Thorsons Publishing Group, p. attitudes to Homœopathy in Dumfries and Galloway. 263. Homœopathy, vol. 92, issue 4, pp. 190-194. Science Wyllie, M & Hannaford P 1998, Attitudes to Direct [Accessed: July 2008]. complementary therapies and referral for Hargreaves, A 1994, Changing Teachers, Changing homœopathic treatment: A survey of general Times. London: Continuum. Harris, P et al. 2003, practitioners in Lothian, Scotland. Homœopathy, vol. Complementary and Alternative Medicine Use by 87, issue 1, pp 13-16. Patients with Cancer in Wales: a cross sectional survey Complementary Therapies in Medicine vol. Appendices 11, pp. 249-253. Interviews Conducted Harris, P & Rees, R 2000, The Prevalence of H10-17 Complementary and Alternative Medicine Use among H15 - 7 the General Population: a Systematic Review of the T11 - - Literature, Complementary Therapies in Medicine, T12 - - vol. 8, pp.88-96. H13 - 25 Johnston, L, Constitutional Homœopathic Treatment - H14 - 25 Antidote List, N16 - 8 http://www.Homœopathymd.com/Homœopathy_/Pati N18 - 11 ent_Info/Antidote_List/antidote_list.htmlgroup, ______[Accessed: July 2008]. Kristof, O et al. 1998, Patterns of use and attitudes of Complementary Medicine Consumers in Switzerland,

PART III

(While Part II features articles from other journals, Part III contains the editorřs own contribution and other original articles.) ------

BOOKSHELF: these 11- year period. In 1811 HAHNEMANN was already 57 years. Shortly after his arrival in Leipsic 1. Kathrin Schreiber, Samuel Hahnemann in HAHNEMANN attempted to organise a private Leipzig, Die Entwicklung der Homöopathie ŘMedical Instituteř. zwischen 1811 und 1821: Förderer, Gegner und He felt that it was not sufficient if he wrote Patienten, Quellen und Stidien zur articles as in the Allgemeiner Anzeiger der Homöopathiegeschichte, Band 8, herausgegeben Deutschen; more was required for Homœopathy to vom Insitut für Geschichte der Medizin der progress. He felt that at least a six-month-course as Robert Bosch Stiftung, Stuttgart; Karl F. Haug Introduction to Homœopathy would be sufficient for Verlag, Stuttgart, 2002. ISBN 3-8304-7163-7. Physicians to pursue further in homœopathic Materia (German) (Samuel Hahnemann in Leipzig. The Medica and Therapeutics. Unfortunately this idea did development of Homœopathy between 1811 and not materialise. He therefore felt that he must 1821, Supporters, Oppositions and Patients.) th become a member of the facultry where he may find This is the 8 volume in the Series of ŖSource some followers. He was convinced that Homœopathy studies in the History of Homœopathyŗ. would win over the old Medicine: ŖOur Art requires HAHNEMANN lived and practised in Leipzig no political lever, no belts of denoting Order, to during the period August 1811 to June 1821. This is grow. It grows up so slowly unnoticed in the an important period in his life and work. This was beginning from an acorn to a stem among the several the longest period of his stay in any one place until weeds which grow around it so thick and tall; and in then. Earlier he had come to Leipzig as a student in its time grow up to an Oak of God which spreads its 1775. He was again in Leipzig in 1789 as a doctor; arms on all zones un moved by any storm in anyway after a brief period in the city he found it too so that the hitherto plagued humanity get invigorated expensive and so moved over to a suburb of Leipzig, under its beneficient shade.ŗ Stœtteritz. Hahnemannřs application to the University to Hahnemannřs writing activities were vigorous deliver lectures was accepted after he fulfilled the during this period. It was during his earlier period in Universityřs condition to submit a dissertation first. Leipzig in 1790 that HAHNEMANN carried out his HAHNEMANNřs Dissertation was on the famous Cinchona experiment on himself. Leaving ŖDissertatio historico-medica de Helleborismo Leipsic in 1792 HAHNEMANN travelled much Ŕ veterum”. There was not a word about Homœopathy Gotha, Georgenthal near Gotha, Molschleben, in this Dissertation. HAHNEMANN began his Göttingen, Pyrmont, Wolfenbüttel, Brunswick, Lectures from the end of September 1812. Although Königslutter, Hamburg-Altona, Mölln, Machern, his lectures were well attended by the Professors and Eilenburg, Dessau Ŕ until the end of 1804 and thence Students in the beginning it began to thin down when. to Torgau From 1805 to 1811, a fairly long period, Soon Hahneannřs lectures turned to be a castigation he lived in Torgau from where he published the of Allopathy and his impassioned lectures began to be Organon which announced to the world loudly the attended by a small number of loyal listeners. We new Science which was completely the opposite of all have no record, except what Franz HARTMANN has Medicinal theories extant till then. It may be noted reported in the AHZ 26/1844 (see HAEHL). that these, the pre-Organon period, were the most During the Leipsic period HAHNEMANN restless period of his life and when there was no more published 20 essays, reviews, etc., including the Pure doubt that his ideas were not mere imaginations but Materia Medica (1811-1821). facts, the conception took place and began to develop He made many Provings. into the Organon and he remained in one place Ŕ There are separate Chapters on Hahnemannřs Torgau. At the same time his work on the Materia supporters, students, provers, university lecturers; Medica Pura was also progressing. These were the opponents: the opposition from the other physicians, most turbulent years in his life Ŕ continuous, fierce pharmacists, the administration, etc. These studies attacks by detractors, Provings, Writings, Teaching are interesting and informs us of the tremendous and Practice; and a large family!! After the stress under which HAHNEMANN would have publication of the Organon and the Materia Medica carried his various activities. Truly he had a mind of Pura, he was no more restless. However, he left Damascus steel! Torgau in 1811 when he foresaw Napoleonřs Hitherto there seems to have no detailed study of onslaught upon Torgau, and came to Leipsic. The HAHNEMANNřs Leipzig period. The present present Volume by Kathrin SCHREIBER studies volume fills the gap and helps much in appreciating HAHNEMANN and his Medicine much better.

Certainly a great addition to HAHNEMANN and this Monograph; for example while Homœopathy literature. ŖStechende Schmerzen in der Stirnŗ is given in Řcapitalsř, in the repertory it is given only in 1 mark K.S SRINIVASAN grade. There are other symptoms too which require careful comparison. Strongly recommend for every ------conscientious prescriber to procure copies of these Monographs and work with them and report verify 2. Materia Medica Revisa Homoeopathiae, cation. This is the duty of every homœopath. Clematis - Sammlung homöopathischer Arzneimittel in mehreren Bänden, herausgegeben K.S SRINIVASAN

on Klaus-Henning Gypser (Revision of ------homœopathic Materia Medica, Collection of homœopathic medicines in several volumes. 4. LESSER WRITINGS, Dr. P.S. Published by Klaus-Henning GYPSER), Clematis by KRISHNAMURTHY, Published by Dr. P. S. Robert GOLDMANN, Wunnibald Gypser Verlag, Krishnamurthy, Barkatpura, Hyderabad - 500027, Glees, 2008, ISBN 978-3-9808817-7-7 (German): India. Paperback. Pages 67. Price Rs.100/-. This Monograph is in the series of revised Foreign US 10/- plus postage. Materia Medica, a stupendous task undertaken by Dr. The author has written in homœopathic journals K.-H. GYPSER. Clematis erecta has 821 Symptoms both within India and abroad over the past 50 years or in the Encyclopaedia. In this Monograph there are more on various aspects of Homœopathy. It has been 1285 symptoms. Apart from the Symptoms from my privilege to read almost all of these and find them sources already in the EN, Symptoms from a Proving of practical use in day-to-day homœopathic Practice. by Dr. Randolph NEUSTADTER of the USA It is a good service to the Homœopathy Practitioners reported in 1984 have also been included. A rapid that he thought it good to publish a collection of those verification with the Kent Repertory reveals that articles. several symptoms given in this Monograph have not There are more than 25 papers in this small been included. All the symptoms given in this collection, few of them measuring up to only a page Monograph have been verified in Practice and it will or lesser. The first essay is on ŘExteriorizationř. This not therefore be wrong if we include them in the brief essay is very interesting and a great help in Repertory in appropriate place and await further therapeutics. Similarly the titles that follow: Potency confirmation by more cures. It has several Řsleepř selection, Miasmatic drugs assessment in the patient; symptoms met with in daily Practice. Seemingly a One sided diseases; Direction of Cure; How to detect Řsmallř remedy but with big potential. the involved miasmatic diatheses in the patient; This is a most welcome addition to every management of terminally ill patients; Symptom conscientious Practitioner. totality vs Miasmatic Prescription; these are some of the titles in this book-let. Each essay is brief and easy K.S SRINIVASAN to read and comprehend. One should carefully read what Dr. KRISHNAMURTHY says in the light of his ------rich experience. In ŘDirection of Cureř he cautions

3. Materia Medica Revisa Homoeopathiae, that when only some of the symptoms match and Cyclamen Ŕ Sammlung homöopathischer some do not match a particular remedy an Ŗuntoward Arzneimittel in Mehreren Bänden , herausgegeben direction of cureŗ takes place, we should therefore von Klaus-Henning Gypser (Revision of watch carefully whether the disease is moving from homœopathic Materia Medica, Collection of the centre to the periphery or vice versa. It is homœopathic medicines in several volumes. important that we must hearken the admonition of the Published by Klaus-Henning GYPSER) founder of Homœopathy, HAHNEMANN and its Cyclamen by Eva KOWZAN, Wunnibald Gypser Řnestorř HERING, in this regard. In the present days Verlag, Glees, 2008, ISBN 978-3-9808817-5-3: where several Řinnovativeř methodologies are (German): Eva KOWZAN says that she chose to work propagated where the fundamentals of Homœopathy this Řsmallř remedy for the Materia Medica revision like Provings, study of the Pure Materia Medica and project for one reason, among others, due to a the direction of cure, etc., are ignored it is good to see personal experience Ŕ with two doses a chronic coryza the advice of experienced masters like which was better in open air was promptly cured by KRISHNAMURTHY. The articles in this small Cyclamen where Řbigř remedies failed. After book-let must be read and imbibed in practice as discussions with colleagues the author feels Cyclamen genuine Homœopath. is not a small remedy. Whereas HAHNEMANN There are few printing errors; hopefully these will mentioned 202 symptoms, the present collection has be corrected in the next edition. Every homœopath 946 symptoms, more than four times the number in would undoubtedly benefit from careful study of this the Materia Medica Pura. 2 edn. It would be much book-let. K.S SRINIVASAN fruitful if one sits down with careful examination of the Repertory with regard to the symptoms given in ------

THIS COMPOST 5. The Supreme Value of Single Remedy Rubrics, 1 by Dr. P. S. KRISHNAMURTHY, SOMETHING startles me where I thought I was safest, Barkatpura, Hyderabad 500 027, India, 47 I withdraw from the still woods I loved, pages, paperback. Rs.100/-, Foreign US 10/-, I will not go now on the pastures to walk, plus postage. I will not strip the clothes from my body to meet my lover the sea, I will not touch my flesh to the earth as to other flesh to renew me.

The title gives out the nature of this book-let. O how can it be that the ground itself does not sicken? There are several rubrics in the Kent Repertory with How can you be alive you growths of spring? only one remedy. Dr. KRISHNAMURTHY How can you furnish health you blood of herbs, roots, orchards, grain? explains, with some of his own cases, the successes Are they not continually putting distemper'd corpses within you? with these remedies. The idea is that one should not Is not every continent work'd over and over with sour dead? neglect these remedies. When one has a case with Where have you disposed of their carcasses ? just one or two symptoms and where the Řsingle Those drunkards and gluttons of so many generations? rubricř is quite striking, one can very well prescribe Where have you drawn off all the foul liquid and meat? on that. Fifty cases are given to justify these rubrics I do not see any of it upon you to-day, or perhaps I am deceiv'd, I will run a furrow with my plough, I will press my spade through in practical application. In the ŘAppendixř he has the sod and turn it up underneath, given a very interesting case of Platina. A brief list of I am sure I shall expose some of the foul meat. single remedies rubrics in the Boericke Repertory is 2 given. Behold this compost! behold it well! This and the one above, both carry interesting and Perhaps every mite has once form'd part of a sick personŕyet appreciative ŘForewordř by Dr. ATENA, National behold! Vice President of the LIGA for Romania. The grass of spring covers the prairies, The bean bursts noiselessly through the mould in the garden, Strongly recommended that every homœopath The delicate spear of the onion pierces upward, study this book-let and it will be rewarding. The apple-buds cluster together on the apple-branches, The resurrection of the wheat appears with pale visage out of its K.S.SRINIVASAN graves, The tinge awakes over the willow-tree and the mulberry-tree, The he-birds carol mornings and evenings while the she-birds sit on 6. E/S/C/O/P Monographs Ŕ The Scientific their nests, Foundation for Herbal Medicinal Products The young of poultry break through the hatch'd eggs, Second Edition, Supplement 2009, Thieme, The new-born of animals appear, the calf is dropt from the cow, the colt from the mare, 2009. Hb 306 pages. Out of its little hill faithfully rise the potato's dark green leaves,

This beautifully illustrated book on Phytotherapy, Out of its hill rises the yellow maize-stalk, the lilacs bloom in the door-yards, contains Monographs on 27 plant remedies. Many of The summer growth is innocent and disdainful above all those the remedies are used in Homœopathy Therapeutics strata of sour dead. also, e.g. Agrimone, Aloe, Crataegus oxycantha, What chemistry! Echinaceae, Millefolium, Ratanhia, Symphytum, That the winds are really not infectious, Zingiberis, etc. Of course in Homœopathy these That this is no cheat, this transparent green-wash of the sea remedies act curatively in a wider spectrum and which is so amorous after me, That it is safe to allow it to lick my naked body all over with its deeper. tongues, The Monographs are produced by the expertise of That it will not endanger me with the fevers that have deposited many authorities from many members of European themselves in it, Union; the Monographs represent Ŗthe best European That all is clean forever and forever, That the cool drink from the well tastes so good, knowledge baseŗ. Herbs like Curcuma, Zingiberis That blackberries are so flavorous and juicy, are well-known remedies in Ayurveda and used for That the fruits of the apple-orchard and the orange-orchard, that centuries in India in almost every house-hold and of melons, grapes, peaches, plums, will none of them poison me, course there have been laboratory experiments and That when I recline on the grass I do not catch any disease, Though probably every spear of grass rises out of what was once a analysis of these remedies. The European Union may catching disease. benefit by sourcing these material too. In so far as Now I am terrified at the Earth, it is that calm and patient, Homœopathy is concerned, study of these It grows such sweet things out of such corruptions, Monographs may help us in applying the remedies in It turns harmless and stainless on its axis, with such endless a wider range of complaints, but of course within the successions of diseas'd corpses, It distills such exquisite winds out of such infused fetor, scope of the law of similars. Whereas Ratanhia is a It renews with such unwitting looks its prodigal, annual, sumptuous great remedy in Homœopathy, and used in day-to-day crops, practice, this Monograph contains practically little! It gives such divine materials to men, and accepts such leavings Well produced, printing etc. excellent, certainly from them at last. 1856 1881 of use in study of the medicines and application. Source: Leaves of Grass, THE COLLECTED WORKS OF WALT WHITMAN, Editor: EMORY HOLLOWAY, Blue Ribbon Books, K.S SRINIVASAN Garden City, New York, USA, 1942, p. 310 Ŕ 311.