BHATTACHARJEE, M.H.S., P.R.S.M..
Dr.Bhattacharjee was elected to membership in the I.H.A. in June 1948.
Of all the medicines in the miasmatic group, those that stand against the growth and development of human beings are specially to be studied because they are the remedies that are better to be used in the prime of life so that thousands of ills which would have come in the later years may be avoided and the young child may grow up to full manhood. Baryta carb. stands supreme in this sphere. It is a remedy which can correct the psoric, as well as the tubercular, tendency that appears in little children so that a proper cure may be possible. This remedy stands against the natural process of development and growth; it stunts, dwarfs and minimises the process of growth.
The current of development is not simply slowed, as in Abrot., Sanicula and other remedies, but the process is receded; a counter current is established so that Nature’s process is practically stopped and the result is that a man of forty speaks and thinks like an urchin of five years. Moreover, he will not mix with the people of equal age because he is conscious that there must be a great difference in their mental levels and so he will invariably play and folic with children of eight or ten. Under-development or arrested development is the central feature of Bar.c. The child is unable to cut teeth, is belated in speaking and walking as in other remedies of this group. Though the result is all the same, yet the cause behind in Bar.c. is altogether different.
Other remedies do not learn to walk or to speak due to the non-development of the muscles, but Baryta does not learn how to speak or how to walk, i.e. in Bar. the fault lies ;with the non-development of mind. From this you must understand that the mind and its physical counterpart, the brain, which is the metropolis of strength, the main power house, are underdeveloped and the mind or the brain is the first to be influenced by Bar.c. You will see this more prominently from the fact that the Baryta individuals grows with years but does not grow in mind so that he will seek for his company men of far younger years; the duller the companion, the better he will mix with him. There is a physical and mental dwarfishness and hence the above conditions come.
One word to be remembered in this connection is that it is not necessarily true that the individual dwarfed in size and stature should invariably be a subject for Bar.c; just point is that a Bar.c. subject must be of undeveloped and stunted mind. so a dwarfed body with a dwarfed mind may be a subject, but never a dwarfed body with a healthy mind.
The mind is stunted, so that his memory and intellect are also found to be stunted. He avoids any mental work, being
conscious of his lack in intelligence. Has “Want of self- confidence.” Seeks solitude, avoids company, specially that of a stranger. The central point of the Bar.c. mind is the shyness and so, in younger years, the patient is observed to hide himself behind an almirah or a screen or a picture when a stranger comes in, and so dull is he as to think himself quite safe and secure even if he is only partially covered. He is characteristically shy and this shyness is most important. Actually, he is confounded and bewildered at the very sight of a stranger and as the stock of his intelligence is already too scanty, he is practically upset and does not know what to do.
Dr.Roberts says, “They are much more afraid of men than of women, doubtless due to the fact that they are habitually more used to being in the company of women.” However, if the Bar.c. child should be corrected by admonitions and instructions, a violent wrath would be the result. The only course is not to vex him at all. Naturally he is despondent, moody and wanting solitude (Bufo- wants solitude to practise masturbation). His memory is dull, cannot remember, cannot learn, wants light work, a least admonition in school will make him sob and cry, he is generally a “problem child”, a sullen, backward boy; his hands are sometimes covered with warts. Bar.c. children do not want to play, “These children will not play normally, but just sit about, interested in nothing, showing a decided tendency to absent-mindedness and idiocy.”
On the other hand the children are over-sensitive which becomes acute, especially when they meet strangers when timidity comes in instead of absent-mindedness. Though the shyness is prominent in him, yet naughtiness and mischievousness are the other features of Bar.c. children. Their small amount of intelligence is wanted to be used by them in doing small mischief to others but the characteristic feature is that they are unable to do any mischief or harm which requires a plan or a long-drawn- out design and what they do they do under a momentary impulse.
Pari passu with the mental non-development, the physical side of the economy is also under deep disorder of dwarfish character. The whole stature of body is shortened and, as the mind is stunted, dwarfed and undeveloped, the exact counterpart is shown in the physical sphere, as if the current of non- development is brought on from in to out, from mind to physique.
This interference, this negative condition, is never functional but deeply organic, dynamicity is far more intense than in ordinary remedies. You know that an organic deformation can never be brought about by any mono-miasmatic, i.e., simply psoric, remedy. It must be the work of some bi-miasmatic or tri- miasmatic remedy. Only psora can derange but cannot deform. By the observation of the working of Bar.c. you must have to conclude that it is not alone an antipsoric, but tubercular, too, as will be observed by symptoms delineatory.
It is pre-eminently a glandular remedy. But its working upon the glands is slow, very slow, as its general action is. All the destructive remedies are so, but characteristically Bar.c. and Iod. are specially so. Though the patient of this remedy is too chilly, yet some of his particular conditions, namely headache and skin symptoms, are aggravated by warm-closed room and in bed when he craves fresh air but cannot tolerate it. Cold air, cold bath and damp weather are intolerable to him. He is greatly susceptible to tonsillitis and swelling of the submaxillary glands from slightest exposure to cold, damp air.
Every cold brings in a slow and low inflammation in the tonsil and round about it. Submaxillary glands, parotid glands, and those below the neck are greatly affected, nodulated and indurated by a least exposure to cold, but the peculiarity of its tonsillitis and glandular affections is that it never brings a positive inflammation and suppuration. All its works are passive and paralytic, like Conium (in Bell., Help., etc., it is positive and inflammatory).
So during the first period of such tendency the affected parts are not much more painful, only a sort of local malaise is felt there by the patient, and the guardians or the physicians may not notice the fact in the very onset of the tendency or, even if occasionally it is detected, a few doses of Rhus., Bell., or like remedies are given to the case every time, which only brings a timely reaction and the process, or rather tendency, continues on and on dormantly.
But after two or three years the glands commence to enlarge more prominently, they gradually become harder and harder, the tonsils also go on enlarging and enlarging and they indurate, emaciation sets in and the little patient shows his inability to breathe through the nose and difficulty of breathing comes in when, on enquiring, it will be found for the first time that adenoids on both the sides have assumed such a form that the air passage threatened to be closed unless immediate measures are taken. Then in most cases Baryta is not applied but the surgeon’s knife comes to the rescue and makes the condition of the child ten times more complicated and confused.
I would warn you against advising the parents for operation unless the child’s life is threatened. In any case, if there are symptoms, do not lose the opportunity of really curing the child and thus putting a stop to the destructive process. But why? Because the operation will only relieve the most immediate and painful symptoms, but aggravate the child’s condition as a man. Not only the child will be duller but the chance in 90% cases is that the lung will commence to be infiltrated and the foundation will be laid for either death from rickets and emaciation in course of a few years or for lung phthisis which will make its appearance during the youthful period.
I can tell you that 10% to 12% of such cases may escape such a calamity simply because such cases are actually more psoric and less tubercular. In those cases you are to be very careful regarding the selection of your remedy. Never make a hasty prescription and never make a prescription on local symptoms only. Always look for the Baryta mind, Baryta constitution and modalities and, if they are present, be sure of Baryta Carb. and of eventual cure, provided you can hit the right potency and know when to stop and how long to stop. The homoeopathic philosophy you cannot discard, without which your homoeopathic practice is bound to be a series of failures and consequent disappointments.
The next symptoms of tonsillitis is inability to a swallow solid but the patient can easily eat or drink liquid food like Baptisia and Sil. Paralysis of the soft palate appears most frequently when even the liquid food comes out of the nose. If its foot sweat or skin eruptions is suppressed, on comes the tonsillitis or asthma or lung infiltration accompanied with emaciation and glandular derangement; tendency to frequent quinsy may also appear as its result. Hoarseness and huskiness of voice are also found. In this connection I wish to say one thing more that though Bar.c. prevents the chronic predisposition to quinsy, yet, if it is used during an acute aggravation, it may rather
aggravate the case; even where the case is exactly fit for Bar.c. I warn you against using it because, by doing so, you will simply aggravate the pains of the poor patient; anyhow manage the aggravation in a hygienic way or by giving short acting medicines and, as soon as the aggravation ceases, give a dose of Bar.c. high. I warn you again against using Merc. low in these cases because it will not cure but must aggravate (if you want to avoid suppuration in a chilly case, always use Hep. high, not below 200., and, after the aggravation ceases, treat curatively).
If I am allowed to say so, Psorinum is the grandest remedy…… of all to prevent quinsy and to cure the whole patient, either used in its own sphere or as an interpolation after Sul., Bar.c. and Calc.c. cases, the only proviso being that the patient should be chilly, too much hungry, with offensiveness of the discharges. Between Psorin. and Bar.c. the distinction lies in this that Psorin, is aggravated specially by dry cold and, like Hep., takes a process of suppuration unless timely prevented. Baryta is aggravated both by damp and dry cold; moreover, the process is slow and not towards suppuration. If in Psorin. cases Psorin. is unable to cope then you are to look to Tuberculinum which has no special quinsy symptoms of its own and you are not to use the remedy first hand. The tubercular history in the family will indicate Tuberculinum.
But nowadays even acute cases cannot easily be brought under control without interpolation of T.bov. There is a wide difference between Bar.c. and T.bov. and a comparison can only be thought of regarding their mood. Bar.c. wants to flee away due to its aversion to strangers, whereas T.bov. is averse to those that are familiar, so that Bar.c. does not want any new man or stranger, whereas T.bov. wants new men, new things, new places every moment; therefore he is called cosmopolitan. It is also necessary to compare Bar.c. with Calc.c. Both have mal-growth. But if you remember only two points it will be sufficient: Bar.c. produces an undergrowth, whereas Calc.c. manifests over-growth.
As regards its respiratory organs, asthma, especially of old people, and chronic cough demand special mention. Every catarrh brings breathing difficulties and a sense of paralytic weakness in the air passage when the patient cannot cough to raise the mucus though there presents much rattling nose of mucus in the chest. The cough aggravates at night, especially while lying down, and is ameliorated by lying on the abdomen. Paralysis of tongue, especially of old people. Other general and mental conditions must have to be present more or less along with the above symptoms.
Bar.c. patient is too much hungry, but the peculiarity is this that as soon as he reaches the dining-room the hungry feeling ceases suddenly when he drinks only some quantity of water, but if he eats as a matter of habit or by the request of anyone a sort of dull pain in the stomach would be the result. aggravation of the stomach symptoms after each meal is a noted fact in Bar.c. It is due to the fact that the glands in the digestive canal get enlarged and indurated and they cannot perform their functions properly. The abdomen is distended and painful to touch. It has aversion to fruits and sweets. “A peculiar symptom in the abdomen is the sensation as if the intestines fell to the side upon which the patient lies,” is most important.
A condition which is a product of the tubercular miasm, and
technically called tabes mesenterica, is found to appear most frequently in a Bar.c. patient. Its stools are hard, dry and knotty; the haemorrhoids protrude every time the patient urinates or passes stool. The aged patient of this remedy must pass the urine several times during the night. Bar.c. has many other particular symptoms as regards male and female generative organs, heart, blood pressure, rheumatism, etc., but they are of less value; the mental conditions and constitution are the only guiding features.
The cold, foul, excoriating foot sweat of this remedy is most important. In many cases after the suppression of the foot sweat tonsillitis appears because the throat is the weakest centre in Bar.c. like Arg.nit., Lach. and Lac.c. At such a circumstance Baryta high will first restore the foot sweat and then cure the quinsy and foot sweat also will disappear. If moist crusts are found over the head of a dwarfish child do not forget to think about Bar.c.
Worse: from thinking of the complaints (opp. Camphor); while lying on the left and on the affected side; before a stranger; from cold bath, exposure to cold and damp air, and while swallowing solid things.
Better: When alone and from cold food; from warmth, covering and exertion; only during headache craves cold, open air.