WITH COMMENTS BY DR. VON BOENNINGHAUSEN Translated by S.W.S. Continued from the May, 1943, issue.
BOOK VI, Continued.
APHORISM 42. In jaundice liver sclerosis is bad.
COMMENT: It is well known that a hardened liver, often associated with jaundice, especially a scirrhous liver is dangerous, and difficult to cure. Here we have again the condition that we possess not a paucity, but an abundance of possibly indicated remedies, which makes the proper choice difficult.
The following remedies have been used successfully: Arnica, Arsenicum, Aurum, Belladonna, Bromium, Bryonia, Calcarea carb., Cannabis, Carbo vegetabilis and animalis, China, Conium, Ferrum met., Graphites, Iodum, Kali carb., Laurocerasus, Lycopodium, Magnesia carb., Magnesia mur., Mezereum, Mercurius, Nux, Sepia, Silicea, Sulphur and Taraxacum. To these must probably be added: Agnus castus, Ammonium, Chamomilla, Clematis, Fluoric acid, Phosphorus and Plumbum.
It is easily understood that with this large number of widely differing remedies, also the sickness (with the prominent symptoms of liver hardening and jaundice) must differ in anamnestic and attending symptoms as to time, conditions, etc. And yet, the exact similarity between these and the remedy symptoms point to the correct similimum, stripped of actually unimportant, indifferent matters.
We cannot close this account without calling attention to the abuse of iodum preparations for external applications in all these conditions. The worst about it is, that iodum is of such intensive and obstinate action, that it is extremely difficult to find an antidote with which to overcome the damage done. Aside from Hepar and Arsenicum we have seen the best results from Iodum in the highest potency repeated in smallest doses dissolved in water, shaking the bottle forcibly each time a dose is taken, which increases the dynamization. Experience teaches that continuing the same remedy in the same potency is not well tolerated.
APHORISM 43. If persons with enlarged spleen are attacked by prolonged dysentery, dropsy or lientery supervenes with fatal result.
COMMENT: Every chronic diarrhoea means a chronically diseased intestinal tract and in such dangerous conditions we must first think of Anacardium, Asafoetida, Bryonia, China, Dulcamara, Ignatia, Pulsatilla, Rhus or Sulphuric acid.
APHORISM 44. Those who after strangury are attacked by ileus, die in seven days, unless fever supervenes and there is an abundant flow of urine.
COMMENT: An attack of ileus is generally fatal unless the causative, crampy intestinal condition can be overcome. Arsenicum, Belladonna, Chamomilla, Cocculus, Colocynthis, Lycopodium, Nitri acidum, Nux, Platina, Rhus, Silica, Sulphur, Thuja, Veratrum and Zincum have been of great aid in this fortunately not frequently occurring disease, when properly, i.e., homoeopathically selected.
The kind reader, we hope, will pardon us when in this connection we speak of ourselves.–It was in the latter part of March 1833 when we had an attack of ileus,This was probably an attack of appendicitis, which was unknown in the days of Von Boenninghausen.–S.W.S. situated in the right lower abdomen, lasting two weeks. Four homoeopathic colleagues (among them Dr. Aegidi, physician in ordinary to Princess Friedrich of Dusseldorf) hastened to help me. Only during the fourteenth terrible night were we fortunate in finding the right remedy, which had never before been used in this ailment: Thuja.
It was selected because of the unusual symptom: only the uncovered parts of the body perspired very much, while the covered parts were dry. A single globule of Thuja 30 relieved the pain in five minutes; in ten minutes a copious stool occurred, followed by a refreshing sleep from which we awakened the next morning as if new born. In a few days we reported this to our beloved Hahnemann, and from his letter of six pages I quote these words (as if divinely inspired): “Shall I now give you an advice for the proper restoration of intestinal action, then I call your attention to Conium and Lycopodium in addition to daily strolls.
Splendid that you give full credit to our so useful Thuja through your example.” And how wonderfully this advice corresponded with our already followed prescription before we received that letter; for, two days after we sent Hahnemann our report, changed symptoms made it necessary to take Conium, and later Lycopodium, which removed every vestige of our trouble.
APHORISM 45. If ulcers last for a year or longer, it must be that the bones come away, and the scars are deep.
COMMENT: It is evident that this aphorism is clouded in too general a form, and that the condition mentioned is usually found only in such ulcers which started in the periosteum, or latter attacked it and the bone substance itself. Such ulcers, especially of long standing and maltreated by external means like plasters, salves, etc., are often difficult of cure except by internal remedies, for which purpose we have: Asafoetida, Mercurius, Phosphoric acid and Silica, chosen according to sensations and conditions. Pus in these cases is always foetid. This bone disease usually happens in scrofulous patients or after abuse of quicksilver, and such cases frequently do not come under homoeopathic care till after surgical means have made the situation worse, and destruction is extensive. But nothing prevents a thorough cure like abuse of iodum, plumbum and zinc, which are rarely indicated and always have baneful effect, yet are extensively used by allopaths.
APHORISM 46. Those who become hump-backed before puberty from asthma or cough die from it.
COMMENT: If one does not lay stress on the mentioned causative factors of hump-back, then many instances in aged patients with this deformity seem to contradict this aphorism. If the Kyphosis is the result of asthma or cough as here urged, then the seed of the sickness which threatens life was previously in the chest, and the kyphosis only one symptom of it, not even an essential one, although it is testimony of the degree of such sickness. Hence, in all such cases not even the orthopaedic means can give much result unless they are able to conquer the original chest trouble.
To this end, as upon overcoming all other coexisting symptoms which are always of the nature of chronic diseases, homoeopathy is valuable in the treatment of the deformity, and can boast of thousands of cases where the desired result was obtained, especially where the patient was still young and growing. To this purpose we have a large number of remedies which correspond to the totality of the patients symptoms and to his individuality.
We mention only: Aconitum, Antimonium crudum, Asafoetida, Aurum, Baryta carb., Belladonna, Bryonia, Calcarea carb., Causticum, Cicuta virosa, Clematis, Colocynthis, Dulcamara, Hepar, Ipecacuanha, Lachesis, Lycopodium, Mercurius, Mezereum, Phosphorus, Phosphoric acid, Plumbum, Pulsatilla, Rhus, Ruta, Sabina, Sepia, Silica, Staphisagria, Sulphur and Thuja, which, however, does not end the useful list. Of course, one cannot just grab one of them, and after a few days disappointed expectation immediately grab another.
No, as stated so many times, only a remedy which is homoeopathically indicated in all directions can produce results; but when carefully chosen, and given in suitably high potency and small dose, and given the necessary time to unfold its action, then frequently results are produced which surpass all expectation. We were fortunate four years ago in curing a kyphosis with respiratory difficulty in a girl of eight, of weak constitution, very pale face, etc., by giving a single dose of Silica 200. The result was so total, that the formerly miserable child is now normal and healthy without any further medication. Of course, such really surprising results are infrequent, the total recovery often difficult, and in adults usually impossible.
APHORISM 49. Gouty affections (podagra), after inflammation subsides, terminate within forty days.
COMMENT: Physicians in our time have rarely opportunity to observe such cases because in their true form are seldom met. A few such cases which we treated have taught us that under homoeopathic care they are cured much easier and quicker than under allopathic medication, as recorded in many of our older medical treatises. Our patients were freed from their pains by: Arnica and Sabina, one by Causticum; Sulphur prevented recurrences as proved by two cases after four and six years.
But, as stated, this sickness is so seldom seen, that much experience cannot be gathered, and we have not had opportunity to use the other remedies indicated in this trouble, which mainly are: Aconitum, Ammonium carb., Arsenicum, Asafoetida, Bryonia, Carbo veg., Conium, Graphites, Guaiacum, Ledum, Nux, Phosphoric acid, Sepia, Silica, Taraxacum, Thuja and Veratrum. What Hippocrates states regarding the forty days siege of podagra, which in the previous century was so dreaded, most likely refers to cases left to themselves, which were neither shortened by proper medication, nor prolonged by improper treatment.
APHORISM 51. Healthy persons suddenly attacked by pain in head, loss of speech and stertorous breathing die within seven days unless fever sets in.
COMMENT: For apoplexy homoeopathy usually prescribes Aconitum in the beginning when the pulse is hard and fast, Opium has the slow and full pulse, Lachesis presents the weak but fast pulse. Aside from these remedies we also have: Belladonna, Camphora, Cocculus, Coffea, Hyoscyamus, Ipecacuanha, Lycopodium, Pulsatilla, Sepia, Silica, Stramonium and Thuja, to be selected according to anamnestic and associated symptoms. But the true homoeopathist has no favorite remedies, neither here nor in any other condition; he always selects those remedies which correspond most to the characteristic symptoms.
In this connection we cannot abstain from reporting a cure which converted an old allopathic physician to homoeopathy. Drs. Fuisting and Lutterbeck (the latter physician in ordinary to Prince Bluecher) usually spent their Saturday evenings with us to talk about homoeopathy. On one such evening our cook suffered an apoplectic stroke. The elder allopath insisted upon doing a phlebotomy quickly, but we prevented it and gave the here indicated Aconitum, a small dose. In a short time patient regained consciousness, but was totally paralyzed on the entire left side. My assertion that this paralysis would soon be overcome if no phlebotomy were done was doubted by Dr. L. Meanwhile patient was placed in bed and received a small dose of Cocculus. At seven the next morning Dr. L. called to see the result, and was astonished when the patient answered the door bell. During the night the paralysis had disappeared, and patient was feeling as well as ever. Dr. L. became a zealous and true homoeopathist.
APHORISM 52. One must also consider what can be seen of the eye in sleep; if with closed lids a part of the white is visible it is, should diarrhoea or purging not be responsible, a bad, if not an absolutely fatal, symptom.
COMMENT: Remedies presenting this symptom are: Antimonium tart., Arnica, Belladonna, Bryonia, Capsicum, Colocynthis, Ferrum met., Helleborus, Ignatia, Ipecacuanha, Laurocerasus, Opium, Phosphoric acid, Sambucus, Stramonium, Sulphur, Thuja, Veratrum and Zincum. But of these only Belladonna, Ipecacuanha, Opium, Stramonium and Thuja correspond to apoplexy. The experienced physicians knows that this symptom is also met in other conditions, e.g., worms in children, in certain attacks of hysteria, etc., that even apparently healthy persons sleep with half open eyes.
The physician will not lay much weight on this symptom; yet, only experience teaches which symptom must be considered in selecting the indicated remedy.
APHORISM 53. Delirium with laughter is less dangerous than if patient is very serious.
COMMENT: Aside from the risus sardonicus, which hardly belongs here, we find in a number of dangerous diseases delirium and mental aberrations with laughing, which points to: Apis, Belladonna, Cuprum, Hyoscyamus, Stramonium or Veratrum, and in this symptom they are a very important indication of the one or the other of these remedies. We believe that in this aphorism Hippocrates referred to hysterical convulsions with laughing. These find their medicine according to accompanying symptoms in: Alumina, Ammonium mur., Antimonium tart., Apis, Arnica, Aurum, Belladonna, Calcarea carb., Cannabis, Carbo animalis, Cocculus, Conium, Crocus, Cuprum, Hyoscyamus, Ignatia, Lycopodium, Natrum carb., Natrum mur., Nux moschata, Phosphorus, Platina, Secale, Selenium, Silicea, Stramonium, Sulphur, Valeriana, Zincum and a few others, which latter are not often indicated. Such conditions are, however, not dangerous.
APHORISM 54. In acute affections with fever, sighing respiration is a bad sign.
COMMENT: Also this aphorism cannot be considered as generally accepted, for the sighing respiration is often found in patients who are not dangerously ill. This is easily seen by a homoeopathist when he looks at the remedies which have this symptom in their proving. Here belong: Aconitum, Antimonium crudum, Argentum nitricum, Arsenicum, Belladonna, Bryonia, Caladium, Capsicum, Chamomilla, China, Cina, Cocculus, Cuprum, Euphorbium, Graphites, Ignatia, Ipecacuanha, Kali carbonicum, Lachesis, Laurocerasus, Mercurius, Muriatic acid, Nux, Opium, Pulsatilla, Ranunculus sceleratus, Secale, Selenium, Silica, Squilla and Stramonium. Even though several of these are indicated in serious conditions, that is not case in all, and it would be incorrect to make an unfavorable prognosis for that reason. Moreover, this symptom is so unimportant that the experienced homoeopathist seldom gives it much weight.
In this connection we think we are permitted to emphasize that a complete knowledge of their proving in the healthy enables a homoeopathist to truly evaluate such single phenomenon and symptom in the sick. Some single symptoms however are important both for prognosis and remedy selection. In other instances, if not in most, this applies less to the single symptom as to its connection with others. Therefore, homoeopathy, in this regard, has the advantage here over allopathy, which in its generalizing tendency regards more the generality, and misses the indications taken from the totality.
Any unprejudiced physician will therefore consider it justified that we lay so much stress upon the peculiar actions of our remedies, which are unchangeable, and which we evaluate much higher than all pathologic and therapeutic theories which change so often, and which have not caused much progress in the cure of sickness from that of the previous century. The constantly changing treatment, e.g., of cholera, typhoid conditions, dysentery and croup, etc., and nowhere pleasing results nor certainty!.
APHORISM 57: Apoplexy occurs chiefly between the ages of forty and sixty.
COMMENT: In addition to the Aphorism 42 of Book II we have the following remedies: Antimonium crudum, Antimonium tart., Arsenicum, Aurum, Belladonna, Calcarea carb., Coffea, Ferrum met., Hyoscyamus, Ipecacuanha, Nux vom., Phosphoric acid, Pulsatilla, Rhus, Sambucus, Sepia, Stramonium, Thuja and Veratrum.
APHORISM 58. If the omentum protrudes, it must surely become gangrenous and suppurate.
COMMENT: Hippocrates here evidently refers to epiploceles, which are more difficult of reposition than intestinal herniae, and which become gangrenous more quickly than entero-epiploceles.
Homoeopathy cures all kinds of herniae like any other disease by internal use of remedies indicated by the symptom totality, and in only a few cases does taxis become necessary, made superfluous by proper recumbent position of the body. We have for this condition a large number of remedies, and it is practically impossible not to find among them the similimum for the essential symptoms of the patient.
The most frequently indicated hernia remedies are: Aconitum, Alumina, Asarum, Aurum, Belladonna, Bryonia, Calcarea carb., Capsicum, Chamomilla, Cocculus, Colocynthis, Guaiacum, Lachesis, Lycopodium, Magnesia carbonica, Nitric acid, Nux vomica, Opium, Phosphorus, Plumbum, Pulsatilla, Rhus, Sepia, Silica, Staphisagria, Sulphur, Sulphuric acid, Thuja, Veratrum, and Zincum. Of these the choice of remedy for incarcerated hernia fluctuates between: Aconitum, Alumina, Aurum, Belladonna, Calcarea carb., Capsicum, Chamomilla, Colocynthis, Lachesis, Lycopodium, Nitric acid, Nux, Opium, Plumbum, Silica, Sulphur, Sulphuric acid or Veratrum.
The decision for the one or the other depends partly on the location of the hernia, but much more on the sensations, the external appearance, and most important are the associated symptoms. A hernia is not an isolated local disease, or at least not for long, but almost always, often severely, involves the entire organism; the nature and therapeutic indications are soon clearly discernible.
It is self- evident that we do not favor operation when we are called early enough, and if gangrene and suppuration have set in we can only reluctantly consent to operative means. If however, allopathic treatment has preceded the debacle, double action is imperative, and whenever possible it is best to refuse taking the case. This last advice is especially aimed at the younger homoeopathists who have not yet an established reputation, for it is in this late stage of the disease the often unavoidable death of the patient will be laid to the physicians door and to homoeopathy.
APHORISM 60. In cases of chronic hip-joint disease with protruding head of the femur, the leg wastes and the patient becomes lame, unless the part be cauterized.
COMMENT: The recommended cauterization is also today the allopathic treatment of coxalgia, if not the alpha, at least the omega, and it cannot be denied that in this frequently seen malady, as in so many other conditions allopathic treatment leaves much to be desired.
If the case is of long duration, then even the homoeopathic cure is difficult and uncertain, when “everything had been done,” including the use of the moxa, and adhesions have formed; but it is easily accomplished and certain in the beginning, and if it has not yet been treated, neither by internal nor external means.
In such cases there are many remedies at our disposal, and according to conditions the following may be indicated: Aconitum, Ambra, Apis, Argentum, Arnica, Arsenicum, Asafoetida, Aurum, Belladonna, Bryonia, Calcarea carb., Cantharis, Causticum, Chamomilla, Colocynthis, Digitalis, Drosera, Graphites, Hepar, Kreosotum, Phosphorus, Pulsatilla, Rhus, Ruta, Sabina, Sepia, Silica, Staphisagria, Sulphur, Thuja and Zincum. The kind of pain, the modalities, as to time, position and condition make the remedy choice easier.
In addition to this, another factor helps out: In the often occurring shortening of the leg, we are reminded of: Ambra, Colocynthis, Mezereum, Oleander, Phosphorus and Sepia, and where the leg has lengthened our choice is among: Colocynthis, Kreosotum, Rhus, and Sulphur, provided the other accompanying symptoms do not form a contraindication. At any rate it is self-evident that the symptom totality is the deciding factor.
We have stated that the cure of old and allopathically treated coxalgias is difficult and uncertain, but we must add that these obstacles do not make a cure impossible, no, it is sometimes even quickly accomplished. In our journal we have several such cases, of which we shall only relate the following, because it created a sensation: Anna, three years old, had suffered from this trouble for six weeks. The left hip was enormously swollen, hard and painful, the skin showed large blue blood vessels, the leg three inches elongated; constant hectic cough, continual diarrhoea worse at night; emaciation to a skeleton, etc., a picture of most abject misery.
Since many external and internal remedies had been tried, the moxa was now to be used, even though the attending physicians were in doubt whether or not the weakened child could stand that operation. Therefore this was an exquisite case as a trial of the much ridiculed young homoeopathic science. Of the treatment we shall just mention that Sulphur cent. 60 was first given, followed by two doses of Aconitum, two of Rhus, and two of Colocynthis with surprising results; later two doses of Sulphur again were given, and one of Mercurius, all in the 30th cent. potency.
The result? In seven weeks the little patient could be dismissed completely cured. We have later often seen her as a blooming girl, totally free of the least reminder of her previous suffering. It is perhaps superfluous to mention that also in this apparently external disease absolutely no external means were applied.
END OF BOOK VI.
APHORISM 1. It is bad when in acute diseases the external parts become cold.
COMMENT: A well known, unfavorable sign which also may occur in chronic diseases when the exacerbations set in, which often are accompanied by internal intense heat and burning. This is a symptom, while it alone does not enable us to select a remedy, yet it is valuable and should not be overlooked. This symptom does not refer to hands and feet alone, but also to the face, ears, nose, chin, etc., even to tongue and eyes.
The remedies which here present themselves are: Aconitum, Antimonium tart., Apis, Arnica, Arsenicum, Belladonna, Calcarea carb., Camphora, Carbo vegetabilis, Chamomilla, Cicuta virosa, Cina, Digitalis, Drosera, Hyoscyamus, Ignatia, Iodum, Ipecacuanha, Kali carb., Mezereum, Moschus, Nitri acidum, Nux v., Phosphoric acid, Platina, Rhus, Sulphur and Veratrum. This proves that the serious symptoms can occur in many conditions. But when the properly selected remedy is given, one will see that the case is not hopeless.
APHORISM 2. It is bad when in bone disease the tissues become livid.
COMMENT: Not only in poorly treated fractures, or in persons who are unhealthy, but also in malignant bone ulcers may we find this livid discoloration of the skin and tissue, which often presages gangrene. Then it is imperative that the here indicated remedy be quickly given, especially: Arsenicum, Asafoetida, Aurum, Conium, Hepar, Lachesis, Mercurius, Silica or Veratrum, under strict observation of the accompanying symptoms.
Then it is possible every time to prevent gangrene, or when gangrene is established, to shed that part and to prevent further spreading. From our journal we could quote several cases where amputation had been decided upon and where thus the involved member was rescued. To save the provider of a poor family is indeed the best recompense for all trouble and diligence, without which no one can attain to a knowledge of remedies, which is necessary to obtain such results.
This livid discoloration of skin and tissue must not be confounded with that which follows contusion of blows, which lasts only a few days, and can be cured quickly by: Arnica, Belladonna, Conium, Lachesis, Pulsatilla or Sulphuric acid. A livid skin from other causes in affected parts is often a fine indication for the valuable Lachesis.
APHORISM 3. It is a bad symptom when after vomiting the eyes become red, and sobbing sets in.
COMMENT: As far as we know now, we have only one remedy with the symptom “sobbing after vomiting”: Bismuthum. The sobbing of Lachesis after fever has vomiting at the same time, and the sobbing after fever of Arsenicum lacks the vomiting, which occurs only during chills and heat, not during sweat or after fever. In Belladonna, Bryonia and Ruta we also see sobbing and vomiting, not after, but at the same time, and in Cuprum the vomiting is after sobbing. All these differences belong essentially to the characteristic of each remedy.
Regarding the reddening of the eyes after (or from) vomiting, it is of the same case as with the sobbing, and when this points to: Apis, Arnica, Arsenicum, Bryonia, China, Lycopodium, Nux, Pulsatilla, Sepia, Silica or Veratrum, that is too uncertain to permit a sure conclusion or a remedy selection.
APHORISM 4. Shivering after sweating is a bad sign.
COMMENT: In this aphorism we meet the same uncertainty as in the previous one. Only few remedies so far as we know have chills following sweat, only Carbo vegetabilis, Hepar and Nux, and that here is no reference to chills after getting heated with sweat, is self evident. On the other hand, we have a few additional remedies in which these two symptoms: “perspiration and then chills” alternate, and thus repeatedly follow each other: Arsenicum, China, Mezereum, Nux and Spigelia.
If, however, perspiration occurs before the following chill or alternates with it, at the same time as usually accompanied by more or less heat, then we have a considerable list of indicated remedies, and we find this double symptom in high degree in: Aconitum, Ammonium mur., Antimonium tart., Belladonna, Bryonia, Calcarea carb., Cantharis, Capsicum, Causticum, Chamomilla, China, Cina, Clematis, Cocculus, Dros., Graphites, Helleborus, Hepar, Ignatia, Ipecacuanha, Kali carb., Kreosotum, Lachesis, Lycopodium, Mercurius, Moschus, Natrum mur., Opium, Phosphorus, Pulsatilla, Rheum, Rhus, Sabina, Sambucus, Selenium, Sepia, Spigelia, Stramonium, Sulphur, Veratrum and Agnus castus.
Here we have a new reminder as well of the previously mentioned necessity of sharp, unequivocal statement of symptoms, as also of the great amount of possible experience which in its short existence homoeopathy has brought forth as very valuable material for her cures.
APHORISM 7. Rigor and delirium after excessive drinking are bad symptoms.
COMMENT: In this aphorism occur two entirely different actions of intoxication, the simple but more important from one excess, and also delirium tremens.
In the first instance the intoxicated lies in the state of unconsciousness and is cold all over, like a corpse, in which condition copious splashes with cold water seem the best beginning remedy. But if this is not enough, or brings no lasting result, and especially when the face is red and the eyes staring, Opium, and at times Aconitum and Belladonna must be given. The after effects of intoxication can usually be overcome by Nux v. or Carbo veg.
For the delirium tremens innumerable remedies have been suggested. When the accompanying symptoms have been conquered, usually by Opium, Nux vom., Belladonna, Hyoscyamus or Stramonium, and in rare cases by Anacardium, Aurum or Thuja, then the patient will most likely accept the strict milk diet mentioned in comment to Aphorism 64, Book V, which demands milk instead of any other fluid food. In a few weeks of this regimen, liquors are disgusting to the patient, who only then can be considered cured.
APHORISM 9. Delirium and convulsions are a bad sign after bleeding.
COMMENT: Delirium after severe haemorrhages usually demands: Arnica, Arsenicum, Belladonna, Ignatia, Lachesis, Lycopodium, Phosphorus, Phosphoric acid, Sepia, Squilla, Sulphur or Veratrum; the convulsions point to: Arsenicum, Belladonna, Calcarea carb., Cina, Conium, Ignatia, Lycopodium, Nux v., Pulsatilla, Sulphur or Veratrum. The choice among these remedies, which are indicated by the anamnesis, self-evidently must be determined by the unchangeable fundamental principles of homoeopathy. There may be other cases which demand other remedies which correspond more to the symptom totality. Yet such exceptions are rare.
APHORISM 11. Pneumonia following pleurisy is bad.
COMMENT: In pleurisy the following remedies are usually sufficient: Aconitum, Arnica, Bryonia, Kali carb., Phosphorus, Squilla and Sulphur. But in pneumonia a careful choice must be made among: Aconitum, Antimonium tart., Belladonna, Bryonia, Cannabis, Cantharis, China, Hyoscyamus, Lachesis, Lycopodium, Mercurius, Phosphorus, Pulsatilla, Rhus, Sabina, Senega, Sepia, Squilla, Stramonium and Sulphur. For stitches in the chest (false pleurisy) think of: Aconitum, Arnica, Bryonia, China, Lachesis, Nux vom., Pulsatilla, Sabadilla or Sulphur. The carefully selected remedy has often produced such astonishing results, that all physicians were deeply impressed, and they brought many such physicians to an intensive study of our remedies.
APHORISM 12. Encephalitis following pneumonia is bad.
COMMENT: In these days pneumonias, especially those treated by phlebotomy, easily take a typhoid character, while in former times real epidemic meningitis was frequently the end. Even today we see such sporadic cases, and those we saw, were usually in the picture of: Aconitum, Belladonna, Bryonia, Cannabis, Cantharis, Hyoscyamus, Lachesis, Mercurius, Rhus, Stramonium or Sulphur. Strange enough, these remedies (except Cantharis, but with the conditions as sequels. From this we learn two valuable lessons for our practice: first that the beginning and course of a disease as well as the anamnesis must be well considered; and, secondly, that the inherent power of a remedy, when it is well freed by potentization, has an action sphere well beyond the pathology forms, but never beyond its true character. One should be very careful not to stretch conclusions or follow them blindly.
Generally the correctly chosen remedy will quickly change the disease picture so that a different remedy may become indicated. That is the reason why the thoughtless and incomprehensible repetition of a remedy often does more harm than good, and that frequently the immediate succession of two remedies of similar symptoms, often lack in proper results. This was well known to Hahnemann, for in a consultation case submitted to him, where he compared Nux, Ignatia, Chamomilla, Pulsatilla and China, he concludes: “Since these remedies apparently are concomitants (except China), and one overcome the faults of the other (if one does not follow Nux by Ignatia, or Ignatia by Nux immediately, which is not good practice because they are too closely of similar action) you can easily judge which succession you should choose among Ignatia, Pulsatilla, Nux and Chamomilla if not the first one or the next is sufficient.
China has little or nothing in its favor in this case, hence should be excluded. For Chamomilla there should be more nocturnal thirst, and more irritability, etc.” If Hahnemann at that time had known the high potencies, he would have extended the rule still more and prohibited the repetition, as some of his most distinguished followers did (Stapf and Gross), because the higher potentizing extends the action sphere of the remedies and cures with less doses and in shorter time so that a repetition can find nothing left to cure.
APHORISM 13. It is bad when with acute fever clonic or tonic convulsions occur.
COMMENT: Some commentators have thought this aphorism refers to wounds instead of fever, but we can not take that view. However, this aphorism is backed up in many, if not all, cases by experience. This is clear to a homoeopathist when comparing the remedies with each other, usually employed in such conditions.
These are in clonic convulsions especially: Arsenicum, Belladonna, Bryonia, Calcarea carb., Camphora, Carbo vegetabilis, Chamomilla, Cicuta, Dulcamara, Hyoscyamus, Ignatia, Ipecacuanha, Kali carb., Lycopodium, Mercurius, Natrum muriaticum, Opium, Phosphorus, Phosphoric acid, Rhus, Sepia, Silica, Stannum, Stramonium, Sulphur and Veratrum. In tonic convulsions we have especially: Belladonna, Calcarea carb., Camphora, Chamomilla, Cicuta, Cocculus, Hyoscyamus, Ignatia, Ipecacuanha, Kali carb., Lycopodium, Mercurius, Moschus, Natrum mur., Nux, Opium, Petroleum, Phosphorus, Rhus, Sepia, Silica, Stramonium, Sulphur, and Veratrum. Among these conditions the most dangerous might be those whose accompanying symptoms indicate: Arsenicum, Belladonna, Camphora, Carbo vegetabilis, Hyoscyamus, Opium, Sepia, Stramonium and Veratrum.
APHORISM 14. Stupor or delirium from a blow on the head is bad.
COMMENT: The chief remedies indicated after a blow on the head, thrust or violent shaking up, especially with reference to the head, are, aside from Arnica also: Cicuta, Conium, Hepar, Lachesis, Pulsatilla, Rhus, and Sulphuric acid.
But if patient is stunned he may need: Arnica, Cicuta, Conium, Pulsatilla and Rhus. If delirium has set in, then we have in addition: Belladonna, Hyoscyamus, Opium, Stramonium and Veratrum, without overlooking those previously mentioned, and Arnica deserves here also special consideration. It is self-evident that in fractures or splintering, surgical aid must be employed immediately.
APHORISM 15. It is bad when after haemoptysis pus is expectorated.
APHORISM 16. After spitting of pus follow consumption and flux, and when the expectoration is checked, the patient dies.
COMMENT: With few, but strong and true words, Hippocrates sketches the beginning, course and end of the usual phthisis as seen at his time, and also often seen today. It is usually ushered in by a more or less severe haemoptysis, and here we find unusual unity among allopathic physicians (of von Boenninghausens time), the recommendation of phlebotomy. And here it is where we homoeopathic physicians also are in perfect harmony: we condemn it most severely.
Space does not permit to explain the remedies indicated, because there are so many, and each demands its own indications. We shall only mention some of the most frequently prescribed drugs: Aconitum, Ammonium carb., Arnica, Arsenicum, Belladonna, Bryonia, China, Ferrum, Hyoscyamus, Ipecacuanha, Nitric acid, Phosphorus, Pulsatilla, Rhus, Sabina, Secale, Sulphur and Sulphuric acid.
As in all homoeopathic treatment here also we must be guided by the consistency of the expectorated pus, the accompanying symptoms, the anamnesis and the modalities of aggravation and amelioration. In this connection we are sorry that the most reliable haemostatic, Thlaspi bursa pastoris, has not yet been sufficiently proved to enable us always to prescribe it from proper indications.
If the haemoptysis has been only temporarily checked and not really cured, then suppuration and pus expectoration are usually the sequelae. In such conditions homoeopathy is often unable to do much, especially not where deep acting allopathic medicines have been used. There we never can make a favorable prognosis without reservations, not even when danger dose not yet seem threatening. The remedies valuable in this stage are: Arsenicum, Bromium, Bryonia, Calcarea carb., Carbo veg., China, Conium, Drosera, Ferrum met., Hepar, Kali carb., Ledum, Lycopodium, Natrum mur., Nitri acidum, Phosphorus, Pulsatilla, Rhus, Sambucus, Sepia, Silica, Stannum and Sulphur.
But, as mentioned, the result is and remains uncertain, especially when those indicated remedies are given in large doses, or if frequently changed, or if the secondary action is not given sufficient time. If in any place, then here are speed and rapidity always a disadvantage. It is a matter of course, that in the remedy selection, aside from quantity, time of day when expectoration is easier or more difficult, the character of the same as to color, taste and odor give main moment for remedy choice. But also all concomitant symptoms must be carefully observed, especially since here never a frequent change of remedy is permitted.
But when, as mentioned in the Aphorism, diarrhoea and emaciation are added, thus bringing the disease into a further stage, then prognosis and saving the life become more problematic, however not entirely impossible and hopeless. Then one must pay special attention to the character of the stools and the accompanying symptoms in the remedy choice, which falls mainly on: Arsenicum Bryonia, Carbo veg., China, Ferrum met., Hepar, Nitric acid, Phosphorus, Phosphoric acid, Pulsatilla and Sulphur.
The emaciation as an immediate result will seldom offer anything characteristic, and therefore does not deserve much consideration as indicative. But the more attention we must pay to the often symptom-rich perspiration, and its sharp character as expressed in: Arsenicum, Bryonia, Calcarea carb., Carbo veg., China, Ferrum met., Phosphorus, Phosphoric acid, Sambucus, Sepia, Silica, Stannum and Sulphur. To quote just one example, it is important to know: does perspiration occur soon in sleep, but leaves quickly (Arsenicum), or does it last all through sleep and stops only upon awakening (Phosphorus), or does it occur only when patient is awake and changes to dry heat as soon as patient drops off to sleep (Sambucus)?
By finding and observing such and many other similar characteristic symptoms, which mean nothing to allopathic physicians, we have been able (not infrequently) to save consumptives when all hope had been given up; but that is only possible by giving the correct remedy in the smallest dose, and sufficient time for action; such small doses have almost no perceptible primary action or aggravation, but have a healing sphere, often surprising, exceeding all expectation. From lower potencies we have never seen similar results in desperate cases.
Permit me to once more mention my own person, which I do to honour both homoeopathy and my dear friend, Dr. Weihe of Herford, in grateful remembrance. He it was, who in 1828 (when we hardly knew the name of homoeopathy and had been given up by two prominent allopathic physicians), who cured us of phthisis with copious expectoration, and saved our life by prescribing Pulsatilla 30, and four weeks later one dose of Sulphur 30. Nothing more was necessary as proved by our present vigor and activity, in spite of the fact that my sickness had lasted more than nine months, and I had not been able to take a hundred steps without sufficient rest.
APHORISM 18. Convulsions and delirium after insomnia are a bad sign.
COMMENT: Insomnia can hardly ever be considered sole cause of convulsions and delirium, but all these symptoms belong to the same disease picture totality and must with them correspond to the picture of the selected remedy, without which no remedy could possibly fulfil the demand of the Law of Similars. In looking at the here indicated remedies and the accompanying other symptoms, one can easily understand the import of the mentioned diseases.
Remedies for convulsions with or after insomnia are principally: Alumina, Belladonna, Bryonia, Calcarea carb., Carbo v., Cuprum, Hepar, Hyoscyamus, Ignatia, Ipecacuanha, Kali carb., Mercur., Moschus, Nux, Phosphorus, Phosphoric acid, Pulsatilla, Rheum, Rhus, Selenium, Sepia, Silica, Strontium and Thuja. Those remedies which point to delirium and are more or less suited also to insomnia are: Aurum, Belladonna, Bryonia, Calcarea carb., China, Colocynthis, Digitalis, Dulcamara, Hyoscyamus, Ignatia, Lycopodium, Natrum mur., Nux, Opium, Phosphorus, Phosphoric acid, Platina, Pulsatilla, Rhus, Sabadilla, Selenium, Spongia, Stramonium, Sulphur and Veratrum. Every homoeopathic physician who is sufficiently conversant with the special action of our remedies will easily conclude how different the nature of the diseases is, and their degree of danger for which these remedies are indicated.
In this our semiotic differs essentially from that of Hippocrates, that with us a single symptom, especially one not completely given with modalities of aggravation and amelioration as to time and condition, and not sharply individualized through accompanying symptoms is insufficient for prognosis and therapy, and that hence our so-called symptomatic treatment is essentially different from that of the allopathic followers of Hippocrates, which prompts them to add another medicine to their mixture for every additional complaint.
APHORISM 19. When a bone is exposed, erysipelas follows.
APHORISM 20. Mortification and suppuration following erysipelas are bad.
COMMENT: Experience teaches the truth of these two aphorisms, not only where such bone exposure has been caused by external traumatism, but also when internal conditions have caused it. A commentator says: “How often we see such wounds change to malignant ulcers by irritating, complicated salves, balsams and tinctures, while they would have been healed under plain dressings and antiphlogistic treatment.” Against such accusations of an allopath regarding members of his own guild, we wish to emphasize what we can do with our simple remedies also in bone injuries, especially with: Arnica, Phosphoric acid, Pulsatilla, Symphytum or Ruta.
But the condition is much worse when caused from within, and suppuration has set in. In all such cases the basis is a chronic sickness to which our main attention must be directed. Most such afflictions come under the sphere of: Arsenicum, Asafoetida, Aurum, Calcarea carb., China, Conium, Hepar, Lachesis, Lycopodium, Mercurius, Mezereum, Nitri acidum, Phosphoric acid, Pulsatilla, Ruta, Sabina, Sepia, Silica, Staphisagria or Sulphur, among which one can usually find the similimum.
External treatment generally does more harm than good here, more so than in the first type which often heal in spite of external medication, but that can never be expected from the internal causes as long as they have not been cured. Even amputation in such cases is futile or only a temporary, one might say deceptive improvement. Many homoeopathists are undoubtedly able to show cases where amputation has been recommended, but where the patient in desperation took refuge in homoeopathy and was cured.
APHORISM 21. If violent throbbing in wounds is followed by haemorrhage it is a bad sign.
COMMENT: Not always does violent throbbing in wounds presage haemorrhage, but usually precedes severe inflammation and suppuration which is best met by: Arsenicum, Hepar, Lachesis, Mercurius or Silica, according to other conditions. Haemorrhage in even small wounds is easily overcome by: Arnica, Carbo veg., Lachesis, Phosphorus, Thlaspi bursa pastoris or Sulphuric acid. But in fungus haematodes, where often blood flows to exhaustion, even unto death, we have a special, very dangerous sickness, which probably never can be cured without Phosphorus; but with this true polychrest, when properly indicated, a cure fortunately has been obtained, also with the aid of: Arsenicum, Carbo animalis, Silica or a few other indicated remedies as inter- currents.
APHORISM 27. Tenesmus at stool during pregnancy causes miscarriage.
COMMENT: The indicated remedies are: Belladonna, Calcarea carb., Cocculus, Conium, Ipecacuanha, Lycopodium, Mercurius, Nux, Rhus, Sepia and Sulphur, among which it should be easy to find the homoeopathic similimum, for they should all be well known to homoeopathic physicians through their characteristic peculiarities.
APHORISM 29. When in a case of incipient anasarca violent diarrhoea supervenes, it removes the disease.
COMMENT: Copious diarrhoeas often bring unexpected cures, but at times it accelerates death. Homoeopathists are often consulted when the disease has reached its highest point, and they often find that Digitalis has been given in excessive doses, which paralyzes vital force and makes it impossible for other remedies to act. This is especially true where it has been given antipathically, i.e., where the pulse is fast. In the introduction to Digitalis Hahnemann wrote (Chronic Diseases): “The true homoeopath will never cause damage with it, but will always use it to the benefit of the patient; he will never give it (as the old school does) where he finds a fast pulse, because in the primary action of this drug the pulse is retarded very much; hence the secondary action is a very fast pulse, the reaction of the vital force”.
Our chief remedies, which we use for the condition of this aphorism, chosen according to accompanying symptoms, are: Antimonium crud., Apis, Arsenicum, Belladonna, Bryonia, China, Colchicum, Digitalis, Dulcamara, Ferrum, Helleborus, Kali carb., Ledum, Lycopodium, Mercur., Phosphorus, Pulsatilla, Rhus, Sabina, Sambucus, Sarsaparilla, Squilla and Sulphur. In dropsy of the lower extremities where water exudes constantly, so that the foot always feels “as in water,” there is no remedy as grand as Rhus toxicodendron, which seldom can be superseded by any other drug.
APHORISM 30. Foamy diarrhoea causes discharges from the head.
COMMENT: We think Hippocrates here refers to fluid coryza because it is not seldom accompanied by foamy diarrhoea. To prove this we remind of the following remedies which have foamy diarrhoea: Calcarea carb., Cantharis, Chamomilla, China, Colocynthis, Iodum, Lachesis, Magnesia carb., Mercur, Opium, Rhus, Ruta, Sulphur and Sulphuric acid, and which also have fluid coryza.
APHORISM 31. In febrile diseases a urinary sediment like coarse flour augurs long duration.
APHORISM 32. If urine is thin at first and then becomes bilious, an acute sickness is indicated.
COMMENT: These two aphorisms can not be separated, because one is the opposite of the other, and both have their problems and dark aspect. Aphorism 31 speaks of the flour-like sediment for which so far we have: Antimonium tartaricum, Calcarea carb., China, Graphites, Mercur., Natrum mur., Phosphorus, Phosphoric acid and Sulphur. However, these all correspond to chronic diseases, except China, and accordingly this aphorism so far seems correct. But it seems that in “like coarse flour” are included also the gritty, sandy sediments of white color, and that puts a different face on the matter. From this supposition we are led to still other remedies, which are not indicated in chronic diseases, because they are not of sufficiently deep and sustained action.
In Aphorism 32 we meet a double difficulty. It is not clear what Hippocrates meant by bilious sediment, but we think he referred to some solid matters like mucus, fibers, clouds, etc.
However, we do not think either of these aphorisms are of much importance to us.
APHORISM 33. Where urination is interrupted, there is a violent disturbance in the body.
COMMENT: The remedies which have this symptom are: Apis, Bovista, Capsicum, Carbo animalis, Causticum, Clematis, Conium, Dulcamara, Kali carb., Ledum, Opium, Phosphoric acid, Pulsatilla, Sulphur, Thuja and Zincum. These represent a considerable number of diseases of which several belong to the malignant group, justifying the final sentence of the aphorism.
APHORISM 34. Foamy urine indicates a chronic disease of the kidneys.
APHORISM 35. When fatty scum is massed together on the urine, it indicates acute kidney disease.
COMMENT: Our provings and experience have taught us that foamy urine is found in: Aurum, China, Kali carb., Lachesis, Laurocerasus, Lycopodium, Senega and Spongia; fatty top is found in: Calcarea carb., China, Colocynthis, Hepar, Iodum, Paris, Phosphorus, Pulsatilla and Sulphur. Of all these remedies we know (with the exception of Aurum, Colocynthis, Laurocerasus, Senega and Spongia) that they act upon the kidneys, and that there are many others having this action sphere, but they do not have the above mentioned symptoms, at least they have not yet been observed in them. It seems therefore that the symptoms mentioned in the aphorisms have been seen in few cases, hence they are not very important. We also have seen foamy or fatty urine in patients whose kidneys were normal.
APHORISM 36. When these symptoms occur in kidney diseases with acute pain in the superficial muscles of the back, expect an external abscess; if they are felt deeper, expect that the abscess will be internally.
COMMENT: We fail to see how some commentators can call the semiotic of this aphorism “confused, and easily mistaken for psoitis.” Of course, it does not happen often that a nephritis runs into external abscess. But it does happen, and we do not hesitate to say that it occurs oftener than we think, and that many abscesses in the lumbar region in reality have that origin. Such external abscesses are sometimes very obstinate, and one obtains results only by using remedies which correspond to the neglected symptoms of the kidney disease.
If in any place, then here it is very obvious that we must pay attention to the symptoms, and should carefully study the totality of the characteristic and essential symptoms of the disease picture in order to always select a medicine which is true homoeopathic to the disease.
Experience has taught us that many of our remedies indicated in abscess treatment are useless in these cases if they do not have special action on the kidney condition. And again other medicaments which have this sphere of action, but are seldom indicated in abscesses give the finest results. In these conditions we have fared best with: Arsenicum, Cantharis, China, Hepar, Lycopodium, Pulsatilla and Silica. We emphasize that Cantharis, chosen correctly and given in small doses, has top ranking among these remedies.
In cases of internal kidney abscess especially when chronic and disorganized, it is practically impossible to be of help. Cantharis, Lycopodium and Pulsatilla are then perhaps of some value when chosen correctly as indicated by the symptoms present. If the abscess opens into the abdomen, then a lethal result is usually unavoidable. Hence it is important to cure a nephritis (which is easily recognized by the symptoms) as quickly as possible. Here Cantharis is the main remedy but at times we need also: Aconite, Belladonna, Camphora, Cannabis, Hepar, Mercurius, Nitric acid, Pulsatilla, Squilla, Sulphur or Thuja.
APHORISM 37. Vomiting of blood without fever is not dangerous, but bad when fever is present. Must be treated with cooling and astringent remedies.
COMMENT: Vomiting of blood occurs sometimes without fever in suppressed natural bleeding like menstruation, or where blood from haemorrhoids has stopped. In such cases it becomes necessary to cure the symptoms with suitable remedies corresponding to the symptomatology.
Vomiting of blood with or without fever we find in many remedies, but those most often indicated are: Aconitum, Arnica, Belladonna, Cantharis, Carbo veg., China, Ferrum met., Hyoscyamus, Ipecacuanha, Nux, Phosphorus, Plumbum, Pulsatilla, Sabina, Sepia, Stannum, Sulphur, Sulphuric acid and Veratrum. In such cases it is necessary to note color and consistency of blood. For dark, black blood we have: Aconitum, Cantharis, China, Nux, Pulsatilla, Sepia and Sulphuric acid; light colored blood we find in: Arnica, Belladonna, Carbo veg., Ferrum met., Hyoscyamus, Ipecacuanha, Phosphorus, Plumbum, Sabina and Sulphur.
When blood coagulates quickly, or comes away in clots we must think of: Arnica, Belladonna, Cantharis, China, Ferrum met., Hyoscyamus, Ipecacuanha, Nux, Pulsatilla, Sabina and Sulphur. Seldom we meet haematemesis: purplish: Kali carb.; brownish: Bryonia, Carbo veg., Rhus; foamy: Arsenicum, Ledum, Phosphorus, Silica; acrid: Kali carb., Kali nitricum, Silica; stringy: Crocus, Cuprum; or the blood follows after vomiting of mucus or bile: Veratrum. Of course, all this must be considered in selecting the remedy, for these conditions are special and characteristic. In all such cases it is not difficult to select the similimum when also the accompanying symptoms are considered for individualizing according to the tenets of homoeopathy. Thus it never becomes necessary to use astringents, which often are dangerous.
APHORISM 45. Abscess of the liver treated with the knife or cautery, the patient will recover if the pus flows pure and white, for in such case the abscess is walled in by a membrane, but if it flows thick like oil, then death supervenes.
COMMENT: Though this is a dangerous condition, yet the correct use of: Belladonna, Bryonia, Lachesis, Nux, Pulsatilla, Ruta, Sepia or Silica holds out some hope and has produced cures in some cases.
APHORISM 49. It is good in throat inflammation when the swelling on the chest is red, for then the disease is being diverted.
COMMENT: In our comments to Aphorism 37, Book VI, we have mentioned croup, so here we shall speak of the homoeopathic treatment of influenza in the throat (angina) according to the symptoms. The usual remedies are: Aconitum, Alumina, Ammonium mur., Apis, Baryta, Belladonna, Bromium, Bryonia, Capsicum, Chamomilla, China, Cocculus, Coffea, Dulcamara, Hepar, Ignatia, Lachesis, Manganum, Mercurius, Nitric acid, Nux, Phosphorus, Pulsatilla, Rhus, Sulphur and Veratrum. It would lead too far, should we speak of the characteristics of each remedy, so we shall just point out one difference which must be observed: the condition of pain upon swallowing. If swallowing relieves the pain, then remember: Alumina, Capsicum, Ignatia, Lachesis, Manganum, Nux, Pulsatilla.
More important is the kind of swallowing. Empty swallowing or swallowing of saliva aggravates: Baryta, Belladonna, Bryonia, Cocculus, Hepar, Lachesis, Mercur., Nux, Pulsatilla, Rhus and Sulphur. But if swallowing of food is most painful: Alumina, Ammonium mur., Apis, Baryta, Belladonna, Bromium, Bryonia, Chamomilla, Cocculus, Coffea, Hepar, Lachesis, Mercurius, Nitric acid, Nux, Phosphorus, Rhus and Sulphur. Among these last mentioned for painful swallowing of solid food: Chamomilla, Hepar, Lachesis, Mercur. and Sulphur are the most prominent, while aggravation from swallowing fluid foods or drinks demands: Belladonna, Bromium, Ignatia, Mercur. and Phosphorus.
But if swallowing of fluids ameliorates, then choose: Alumina, Nitric acid or Nux; and if ameliorated by swallowing warm fluids, then Alumina and Nux head the list. Closely related to swallowing is speaking, and when that aggravates the pain, then consult: Aconitum, Alumina, Baryta, Bryonia, Dulcamara, Ignatia, Manganum, Mercurius, Phosphorus, Rhus and Sulphur; but in the rare cases where speaking ameliorates Hepar is the only remedy.
All these indications aim only at a single symptom, which alone is insufficient for a remedy choice, only the symptom totality can lead to the curative remedy, i.e., the modalities, sensations, aggravation and amelioration as to time and condition and accompanying symptoms.
APHORISM 50. Patients who suddenly get inflammation of the brain die within three days. If they live past this date, they can recover.
COMMENT: In sunstroke causing meningitic irritation usually a single dose of Belladonna in highest potency is sufficient to allay the symptoms in a few hours as long as they are new. Such patients go to sleep directly after that one dose and awaken without complaints, or, seldom, with light headaches which leaves without any further medication. Rarely, and only when Belladonna is not given at the very beginning, one dose of Nux may be necessary the next day.
Even rarer is the condition that after the first dose of Belladonna the symptoms have so changed, that Hyoscyamus is indicated, but it must be followed by another dose of Belladonna. Sunburns of face and hands respond quickest to Camphora, not only the spirits for external application, but at least just as well when given internally in a high potency.
APHORISM 56. Fear, yawning and shivering are overcome by drinking equal parts of wine and water mixed.
COMMENT: It is probable that Hippocrates here refers to hypochondriac and hysteric manifestations, and aims at calming such attacks. This is also seen from the fact that all remedies known to us for which wine is an antidote (Aconitum, Agaricus, Belladonna, Conium, Graphites, Lachesis, Mezereum, Nux, Opium, Phosphorus, Phosphoric acid and Sulphur) with the exception of Agaricus, they all, some particularly so, correspond to hysteria and hypochondriasis, and have been used in such conditions with much success. It goes without saying, that wine here is not to be considered a real and lasting cure.
APHORISM 58. In concussion of the brain, from any cause, the power of speech of necessity is lost immediately.
COMMENT: This aphorism does not refer to apoplexy, but only to traumatism. If a cure is still possible, we should study above all Arnica, and only in severe inflammatory states Aconitum, and later Belladonna and Hyoscyamus may come in question. Surgery may be necessary.
APHORISM 59. Florid patients should be starved, for hunger dries the tissues.
COMMENT: While it is evident that patients who are bloated and full-blooded should reduce, yet it is a question whether or not that would be rational and suitable, because practically always the disposition to plethora, as well as leanness, have chronic sickliness as basic factor, which can not be mechanically improved without danger. Excluding dropsical states, which do not belong here, our provings have given us remedies which here are important. Plethoric conditions are indeed as much an important symptom as any other deviation from the normal, and in many cases of remedy selection deserves much more consideration than usually given.
The careful prescriber will, in plethoric patients, choose that remedy which also in this respect agrees with the homoeopathic principle. If this plethora is hereditary, which styles it a characteristic sickness symptom, the physician will consult especially: Aconitum, Ammonium carbonicum, Ammonium muriaticum, Antimonium crudum, Apis, Arnica, Aurum, Belladonna, Bromium, Bryonia, Calcarea carb., Capsicum, Carbo veg., Causticum, Colocynthis, Crocus, Cuprum, Ferrum met., Graphites, Hyoscyamus, Kali carb., Lycopodium, Phosphorus, Rhus, Sarsaparilla, Selenium, Senega, Sepia, Silica, Strontium, Sulphur, Thuja and Valerianum, which are here especially indicated.
Among them we will find a remedy which is also suitable for the other symptoms, and is much more sure of a cure than when he only reduces the patients diet, because he attacks the inner sickness of which the plethora is only a result, and at that not always the worst.
APHORISM 72. It is fatal when in non-intermittent fever the body is cold externally, while the inside burns, and thirst is present.
COMMENT: In such cases these remedies present themselves primarily: Aconitum, Arsenicum, Pulsatilla, Rhus, Sulphur and Veratrum, but also other remedies frequently are indicated according to accompanying symptoms: Belladonna, Bryonia, Calcarea carb., Chamomilla, Sepia and Silica. At any rate the condition is not so hopeless under homoeopathic treatment.
APHORISM 77: Bone necrosis is followed by sequestration of bone.
COMMENT: An allopathic commentator properly indicts his colleagues: “This happy sequestration would happen much oftener, if the condition were not treated with balsamic, irritating salves and injections. The radical treatment of the dyscrasia is fundamental.” This is our opinion also, and without a doubt among their applications preparations of iodum are the worst, as many experiences have taught us. Homoeopathy has many illustrious results with: Arsenicum, Asafoetida, Aurum, Calcarea carb., Conium, Hepar, Lachesis, Lycopodium, Mercur., Mezereum, Nitric acid, Phosphoric acid, Pulsatilla, Sepia, Silica, Staphisagria and Sulphur in such conditions have saved many limbs which had been doomed to amputation.
END OF BOOK VII.
APHORISM 1. Mania after the age of forty is seldom cured.
COMMENT: Experience confirms the statement that phrenic diseases attacking in advanced age are difficult of cure under allopathic treatment.
But it is just as true, that when cerebral fevers have been properly, homoeopathically treated from the beginning, the desired result was almost always obtained. This is especially true when the condition follows a typhoid attack. Our lists prove that all conditions called typhoid are easily cured by homoeopathy. The treatment of such is considerably facilitated by the fact that only a small number of remedies comes up for our choice: Arsenicum, Belladonna, Bryonia, Kali carb., Muriatic acid, Opium, Phosphorus, Phosphoric acid, Rhus, Sulphur and Taraxacum. This is also in favor of the young homoeopathist to give him a reputation in the treatment of typhoid epidemics.
APHORISM 3. It is bad when in quartan fevers nosebleed occurs.
COMMENT: Epistaxis in fevers is most often caused by congestions to the head and belongs to all remedies which have this symptom in their primary action, hence our attention is directed to this, but also in which fever period it occurs, during chill, heat or perspiration.
Our remedies for head congestion during the chill are: Aconitum, Arnica, Arsenicum, Belladonna, Bryonia, Calcarea carb., Chamomilla, China, Digitalis, Ferrum met., Hyoscyamus, Ipecacuanha, Lycopodium, Mercurius, Nitrum (Kali nitricum), Rhus, Sabadilla, Stramonium, Sulphur and Veratrum; during the heat: Aconitum, Belladonna, Bryonia, Carbo veg., Chamomilla, China, Ignatia, Lachesis, Lycopodium, Nux, Opium, Rhus, Sepia, Silica, Squilla, Stramonium, Sulphur and Veratrum; during perspiration only: Bryonia, Causticum, Conium, Nux, Opium, Taraxacum and Thuja. All these remedies, some most prominently, have epistaxis.
But that is not sufficient for the exacting demands of homoeopathy, the character of the bleeding must also be observed, whether light and watery: Arnica, Arsenicum, Belladonna, Calcarea carb., Carbo veg., Hyoscyamus, Ipecacuanha, Mercurius, Rhus, Sabadilla and Sulphur; or dark: Bryonia, Causticum, Chamomilla, Ignatia, Lachesis, Lycopodium, Nux, Sepia, Stramonium, Sulphur; or coagulates quickly: Belladonna, Calcarea carb., Causticum, Chamomilla, China, Ferrum, metallicum, Hyoscyamus, Ignatia, Ipecacuanha, Rhus, Stramonium; and other conditions of the blood must be observed. After all of this, we have here only one symptom, which is insufficient for a homoeopathic prescription. We need the patients symptom totality.
APHORISM 4. It means danger when on critical days sweats occur repeatedly, as also sweats which are cold and stand in large drops on the forehead; such sweats can only come out with much power and over-exertion.
COMMENT: We suppose Hippocrates here refers to the so-called death sweat. This symptom is, to be sure, a bad prognostic sign, but it is not always so. It is most often found in diseases where: Carbo vegetabilis, Cina, Drosera, Ipecacuanha, Staphisagria and Veratrum are indicated. Carbo veg. will frequently save the patients life force from ebbing away when collapse is present. Veratrum is incomparable in severe gastric diseases, and even in cholera, when this cold sweat on forehead appears, and when every drink of cold water brings new attacks.
But where in such conditions drinking relieves, there Cuprum or Ignatia or Veratrum is indicated. Such apparently insignificant symptoms are the more important when the course of the sickness is rapid, and when the perhaps possible saving of life depends upon quick and correct decision. Hence homoeopathy has properly given special attention to them, and is diligently active to extend her therapeutic knowledge along these lines.
How exceedingly important an even apparently trivial remark, added to an original symptom can be, is clear in hundreds of instances, of which we shall only mention one. In Volume V of the German edition of Hahnemanns Materia Medica Pura, page 128, symptom 59, states of Thuja: “While blowing nose a pressing pain in a hollow tooth (sideways).” This “sideways” Jahr left out in his translation, and Noack and Trinks in their work copied it without comment, probably because they did not know what it signified.
To be sure, one must admit that the symptom, with the addition in parenthesis, has not been stated clearly enough, because the “sideways” can refer to the pain as well as to the location of the caries. Only the following practice has shed light on the subject, teaching us that “sideways” refers to the hollow tooth, and that caries is from the side, not the crown of the tooth. That makes it a very valuable symptom, appearing almost only in chronic diseases for which Thuja is indicated.–Of such real golden nuggets there are many in Hahnemanns remedy provings, but they are not considered important, and are swept out by those who “would purify” our materia medica.
APHORISM 9. A black and bloody tongue is not so bad, as long as some of the following symptoms are lacking; in that case the tongue discoloration is a sign of a milder disease.
COMMENT: We know and appreciate that this at times suspicious discoloration of the tongue can be found in different diseases which point to: Aconitum, Arsenicum, Belladonna, Bryonia, China, Cocculus, Colchicum, Cuprum, Digitalis, Lachesis, Mercur, Muriatic acid, Nitric acid, Nux, Opium, Phosphorus, Plumbum, Rhus, Sabina, Secale, Spongia, Sulphur and Veratrum, then it is easily understood that this symptom alone and in all circumstances does not signify a great danger to life.
END OF BOOK VIII.
and of the entire excerpts from Boenninghausens work.