Professional Documents
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Ok let’s begin
In the last talk, we were talking about the integration of the traditional homoeopathy and the
sensation approach. I would like to continue this a little bit more & just give you my ideas about
it,
A 26-yr-old male patient came to me for treatment of eczema. He had been diagnosed as a case
of severe nummular eczema on his legs & it had gone on for very long he had all the modern
Medication & also had gone to Homoeopathy for 8 or 9 years but nothing had happened. The
first thing I asked him is, “Tell me what is your experience of having this problem (eczema)?”
And he said, “I feel handicapped.” I said, “What do you mean by ‘handicap’?” He said, “Its as if
I don’t have legs.” It is very interesting that his experience of handicap is as if he doesn’t have
legs, now we know this symptom in our Materia Medica you know in Remedy Baryta carbonica,
the delusion as if he has no legs His remedy was not Baryta carb but from the same row of the
periodic table.
I said, “Describe that,” and he said, “I feel handicapped because I feel I lack the ability to stand
on my own feet and take responsibility.”
And I said, “Tell me more,” and he said, “Always in my mind is the question - can I do it or can I
not do it? Should I do it or should I not do it, do I have it or do I not have it?”
Now the main thing with Baryta is:the feeling , “I don’t have it.” In baryta there is no question.
But here he had a question, “Can I or can I not?” Should I need to just keep doing the old
conservative thing according to the rule book and do exactly as others tell me, or should I go out
; strike out on my own and take my own leadership?
And for this he gave an example of two well-known sportsmen in the field of cricket. He spoke
about somebody very well known called Gavaskar & also somebody very well known, called
Kapil Dev & He said, for me“Gavaskar is somebody who just stays by the book, doesn’t do one
thing in his life out of the norm. He will play all the shots from the book. But Kapil Dev always
But with the kingdom approach now you are able to say that this is the theme of the Sixth Row,
because it has to do with standing on your own feet, taking up leadership, taking up
responsibility. But it is not exactly Baryta, because Baryta has the feeling “I don’t have it”, so it
must be a bit more later than Baryta, who has an alternating between should I, should I not,
Taking one step forward and one step backward. The Remedy for him was Tantalum
And with Tantalum hes much better and now many years have passed and he remains
completely alright in his problem and also in his state of mind.
So Here is a case where you needed to see that his symptom of having no legs gave you
traditionally Baryta carb but he was not exactly that but very close to that. This happens very
often in practice. It is a phenomenon I would like to describe a little bit more later on.
44] Case: Something from outside comes, pulls her out and finishes her - Venus mercenaria.
I want to share one more case. This is of a 20-yr-old girl with polycystic ovarian disease. In fact,
she had a huge cyst which was about 9 cm in diameter and extremely painful. The gynecologist
advised immediate surgery for fear that the cyst may burst. But she had tremendous faith in
homoeopathy; more faith than I myself had in that case. She came to my office once with severe
dysmenorrhoea.
She had come to me a long time ago and I had given her remedies like Calcarea carb and Tilia
europa but they didn’t work.
She had extreme pain and she was lying and screaming in pain. I had to take her to the casualty
ward of a hospital to see if there was something so terribly wrong. So I given her many
Remedies including Calcarea carb but then nothing happened.And then at some point I had to go
with her into her inner most experience. There are many things of the case that I would like to
describe but it would take a lot of time and is, therefore, enough if I describe a dream There was
a dream where she was inside a house and somebody from outside was coming and smashing
into the house and pulling her out and finishing her. At this point, I got a good clue towards an
animal Remedy, I said describe this, She said, “It’s like being locked in a cage under protection,
under a shield, and then there is a creature which has no form. It will come and just smash, grab
I couldn’t understand a word that she was saying. She says, I feel as if I have no figure, as if
there is something whitish, as if there are some cobwebs around me.”
So many times when the patient goes into the depth of their experience, they mention all these
things, things that we do not understand, these are beyond logic. And then we know that these
things are from the source and we have absolutely no clue what they are talking about.
And this is where the kingdom theory helps us because you know what the kingdom, the
subkingdom is and what is the source. In this case, I understood first of all that she needed a
remedy, which is an animal remedy and that the subkingdom she needed was a mollusk. A
mollusk as she was talking about a hard shell, of protection, and of being smashed, of Being very
soft and formless. These are very typical I know features of a mollusk. Infact we have done the
whole study on Mollusk on which the book “Mollusk” is based & these are the exact qualities of
Mollusk & then you see the opening & shutting, protective barrier… all these words are
Mollusk words
Now I needed to find which is the exact mollusk she needed. And the remedy she needed was the
Clam; in homoeopathy, Venus mercenaria.
And then we did research on Mollusk, we found out that she is giving the exact description of
the Clam, because in the Clam there is water comes in and water is flushed out. it opens and
shuts to regulate the inflow and outflow of water and nutrients. The actual body of the mollusk is
soft and formless, enveloped in a closely adhering thin translucent mantle, which often giving the
appearance of a cobweb. It was so dramatic the way she described her whole form as if she was
herself the Clam & when she got this Remedy, the result was equally dramatic
The size of the cyst decreased gradually and is hardly there now. The whole pain disappeared.
But what happened to her life, that was even more dramatic, her entire life completely changed
I would like to share with you one more case. We are talking about a 41 yr-old male patient with
central serous retinopathy. I asked him to describe this retinopathy. He says, “I can’t see, I can’t
focus my vision. I can’t focus on things because of the problem with my vision.” I asked him
Later, when I said, “What do you like to do?” And he gave a smile and he said, “I like to watch
the National Geographic channel and especially all about big cats and especially about lions.
And I love it when I see the lion chasing the poor victim.” And in the last burst of energy he
takes his giant paw and smashes the victim to the ground. And he got the remedy Lac Leoninum
and he did very well. His retinopathy disappeared.. His whole aggressiveness was gone.
So what is interesting is that Lac Leoninum wasn’t a remedy in our Materia medica before this.
Originally I got it from the veterinary doctor who was treating lions in a National park. I
requested him to obtain for me a little bit of the milk of the lion, and luckily he was able to do it.
He obtained the milk and I potentized it in my clinic. We did a proving of this potency & there
were many interesting experiences. one was of a woman prover, who was in my understanding
was a very mild and gentle person, yielding and soft person. In fact, one might think of Pulsatilla
for her. But when she took a dose of Lac leoninum, she became very aggressive and she said that
she told her husband that the maid servant in her house, she has to leave; either she stays or I stay
and if anyone comes in my way I want to smash them. She didn’t know of what remedy she was
taking in the proving. At the end of the proving I asked her “Do you know what remedy you are
taking?” and she said “I don’t know but I think it is a big cat, I think it is a tiger. She was pretty
close because lions and tigers are biologically close.
So a proving brings out the same spirit, the patient brings out the same spirit, at that level. When
this comparison happens along with the symptoms, then your ability to predict increases many
fold.
We will talk about a 40-yr-old female with autoimmune hepatitis and systemic lupus
erythematosus. She had a lot of stress. She had a politician friend who told her, she said “ just
help me win the election & I will reward you with a very important govermental contract.” But
after the election was won, our patient didn’t get the reward. This politician had been a close
friend for 30 yrs. And she said, I felt that she had suddenly become a monster.
She felt there was a sudden change. She said it was as if the politician had a mask, a façade and
suddenly she showed her brutal and dangerous side. It was like an explosion.
When we investigated this further, she said it was as if someone had put me against the corner
and I am going to get killed here & in this position, I feel as if my body is divided into two. One
part of my body goes up and one part remains on the ground..”
The remedy she needed was a new remedy which is called Dendroaspis polylepis which is the
Black Mamba snake. I also did a proving of this. It’s from Africa, and it is one of the most
poisonous snakes in the world. What she described are all qualities of the reptile and of the Black
Mamba. When attacking, the black mamba lifts the front half of the body off the ground, while
the rest of the body remains on the ground. Very few other snakes for example the cobra do this.
So you see the kingdom approach also expands our Materia Medica.
She did very well and her liver function improved and she is now really normal and her mind
state is completely changed. She said in the follow up, “I feel as if my whole body has shifted
and all the molecules have rearranged themselves within me and I feel completely normal.”
Not only we can know new remedies but we can understand well-known remedies through
Sensation approach. We have learnt new remedies in this session like black mamba, tantalum,
venus merceneria etc. We are able to get to these new remedies through provings and through the
kingdom approach. & to see how they convey the spirit of the source from which they come. But
in the same approach we can understand very very well-known remedies in a much deeper way.
Let’s take a case.
Lets take a case. A 32-yr-old female who came to me with rheumatoid arthritis, with positive
RA factor. She had crippling joint pains and swellings in many joints of her body. I asked her
She says, “In the world, there are good people and there are bad people. And then there are
people who are lying and cheating and hypocritical. And then there are people who make you
feel inferior but she said, I am a very loyal person.”
So these are the words that she used to describe her perception of life and of her situation. her
feeling was she needs a group but in that group there are people who make her feel inferior. So
what she was bringing out beautifully is the survival mechanism of a dog and what she got was
Lac caninum as the remedy.
We understand Lac caninum much better through that understanding and not only through the
rubrics and recorded symptoms.
She did very well on this Remedy, her arthritis almost completely disappeared. And her RA
factor became from positive to negative. We have a long follow up of more than five years with
her.
When you read the symptoms of lac canium in the Materia medica, you will find one symptom,
“delusion that she is looked down upon” and another symptom, “delusion that all she says is a
lie”. These symptoms which only appear as symptoms take on a meaning, a context when we
understand them through the system approach. We understand that somebody looks down on
somebody, here is the hierarchy of the animal kingdom, and the feeling I cant do anything about
it. This is what I have to be and I accept this inferior position; this is the Sycotic miasm of Lac
can. So many symptoms of Lac can and its whole state can be understood much better through
the kingdom approach.
One more case …A 30-yr-old male with cardiomyopathy was in line for heart transplant.
Cardiomyopathy is a disease of the heart muscle, which really doesn’t have any treatment in
modern medicine.
And his story was that he had a very strong sense of right and wrong, and what is wrong for him
is that when one individual is attacked by a group of people and he is helpless.
He said “This is very wrong. This is terribly unjust.”And he feels it so strongly about it that if he
is in a bus or car travelling and sees such scenes on the street, he will get off the vehicle & go
and defend the person who is being attacked.
This is a very strong reptilian quality, the quality of an animal kingdom. The experience of, “I
am weak and I am attacked by so many people, I am alone, and then I will have to strike back.
And in the reptiles, in the snakes there is a particular group called Elapidae, in which is our
favorite snake the Cobra. The cobra it raises its head and it warns, “Don’t come forward, or I will
finish you.” That’s the remedy he got – Naja.
And he did beautifully well. The ejection fraction of his heart which was 27% kept on increasing.
Within a few months It came to 63% which is nearly normal. He is still fine. Now 12 years later,
he is completely fine & he goes jogging every morning on the beach next to my house
So when we See the symptoms of Naja from the repertory, “delusion wrong he has suffered”,”
delusion duty he has neglected”, etc we are able to understand the feeling, the symptoms, the
kingdom, the whole spirit of Naja in a much better way not only through rubrics but also through
the understanding of the reptile kingdom, esp of Naja in particular.
Let’s talk about one case. Where you will see that we will combine the old and the new.
49] Case: Forced out sensation with erroneous ideas of body - Sabadilla.
A 22-yr-old girl with idiopathic thrombocytopenic purpura, ITP, which has a low platelet count
& then you bleed & so forth, She already had a splenectomy done, the spleen was removed,
sometimes they do that when the case is too bad not coming under control in ITP. The platelet
counts dropped down to 15,000 (which should be normally 120,000 ) when she first came.
Being in her mid-twenties, her main story was a problem about getting married. Her feeling was,
“What if someone finds out about my splenectomy? In India, we have a system of arranged
marriages, which means the girl’s information her bio-data is given to the groom and so forth,
and then lot of things are matched. Hence, this girl was very much afraid what if they find out
about my disease or my splenectomy. Then I will not be able to get married. Nobody will marry
me. Society will make an outcaste out of me.” This was the constant anxiety that she lived with,
the constant anticipation. A kind of guilt, a kind of hiding.
A fixed idea is rigidity in thinking. She has this fixed idea that she was not okay, that something
was wrong with her body, and this would cause her to be forced out from society. This was her
anxiety, her anticipation. This was her state.
She had pain in the head with a sensation “as if something will burst out and come out of the
head.” We know that all these sensation “of forced out” and “of coming out” belongs to the
family Liliaceae in plants. You can look up Lilium tigrinum in Phatak’s Materia medica; the
main sensation is ‘forced out, pushed out.’
The main idea is based on that of Boenninghausen’s generalization. He propounded the idea that
any sensation is general and not local. This is called generalization. I owe a lot to this idea.
That’s the basis of all the work.
Lilium tigrinum has a forced out feeling in the pelvis. It also has a forced out sensation in the
head and, therefore, the patient must also mentally experience of being forced out because the
mind and body are not two separate entities in homoeopathy.
So, I understood that the Liliaceae sensation is forced out, because if that is the sensation of one
plant in the family it is the sensation of all the plants in the family just like the “injury” sensation
of Arnica or the “terror” sensation of Stramonium is common for the whole family of Arnica &
Stramonium.
So, here was the anticipation was that I will be thrown out. Therefore, the Liliaceae family and
this hiding, avoidance, anticipation, fixity, i.e., the fixed idea was Sycotic miasm, and therefore,
the remedy from liliaceae and sycotic misasm was Sabadilla, or Crocus, or Helonias or Lilium
tigrinum.
These four remedies are mentioned in my chart in sycotic miasm in liliaceae family. Now which
one to give? This is quiet confusing. Here, we went to the repertory and under sabadilla we
found the rubric of mind – ‘Delusion, erroneous ideas about the state of his body’ and the feeling
that some part is deformed, smaller, or some part is altered.
So this is what she had, fixed ideas, I am dark skinned,that something is wrong in my body, my
spleen is wrong & this I have to hide & therefore I chose for her Sabadilla
For eg Liking of salt in Natrum mur which is salt or the dislikes of bad smells in sulphur which
itself is bad smelling. It is part of the story.
So here, using the repertory in association with the idea of the kingdom, we got to Sabadilla.
She did very well, both pathologically and generally. Her platelet count improved. She lost her
excessive consciousness about her skin color. She went out in the world, found herself a man to
marry. She told him straight away that this is my problem - my spleen has gone and I have ITP.
There was no problem with him, she is now happily settled, and doing a profession and all is
well.
What I want to talk to you is about is that the Sensation Approach is not a replacement but an
addition, a complement to the Classical Homoeopathy. It is very much a part of classical
homoeopathy, and it is a way in which we can deepen and widen our understanding of both
patients and remedies.
By using a system of miasms, kingdoms and levels, we are able to find a map by which we can
approach both patients and remedies, and study them in conjunction with repertory, materia
medica and all the traditional sources of homoeopathy. It becomes a very useful tool in our
practice and actually it changes our perception of what disease, health and cure is. I am now
going to come to a very important part of this talk & that is, we are going to talk about a conflict
A conflict
Often there is a conflict between the so-called traditional method, namely the use of symptoms
and rubrics, and on the other hand going into the experience through the understanding of
kingdoms, miasms, and source. Very often this is seen as two completely different streams,
which do not meet anywhere, and then the person is left with a confusion, with a conflict, which
path to follow. I want to address this issue right now in this talk.
Everything is useful, from pathology, symptoms, emotional make-up (remedy picture) and the
patient’s perception of reality (delusion) to his core experience, the kingdom, the subkingdom
and also his energy pattern. Every aspect, every level of the patient is useful in practice. The
Sensation Approach has only added more tools and increased the range and the depth of our
Ideally, it should happen that since the patient’s remedy is one, his state is one. Therefore, these
different tools should lead us to the same conclusion. That means the pathology, the symptoms,
the mental make-up, the perception (i.e. the delusion), the core experience and the energy pattern
should all indicate the same or nearly the same remedy.
However, this ideal does not translate into practice always because of the following reasons:
1. Provings are incomplete. Some remedies have no proving; some remedies have partial
proving; some remedies have more complete proving. But for sure, no remedy has a
complete proving. Therefore, if we go by the symptoms alone, we could miss the remedy,
simply because that symptom was not brought out in the proving.
2. The entire range of curable pathology is not known. We are also not aware of all the
pathology that can be treated by that remedy. In the case of pathology, we have seen that
many times remedies can cure pathology for which they are not known.
3. The mental and emotional make-up of the patient what we call in homoeopathy as “the
remedy type” is also a very partial picture, and usually represents one expression or one
person’s clinical experience of that one remedy. In books like Kent’s Lectures on
Homoeopathic Materia Media, Margaret Tyler’s Drug Pictures and Catherine Coulter’s
Portraits of Remedies, the commentaries are very one-sided and the picture is partial.
4. The understanding of the Delusion may be misleading. The delusion is the person’s
perception of reality and includes his dreams, fears, hobbies, stressful situations in the
past and present. Sometimes the delusion is divorced from the sensation and when we go
deeper into the experience of the delusion, we find something totally unexpected. Thus
the delusion of a given remedy and a patient are also not completely reliable.
5. The core experience of a person, namely the Sensation. This is our new tool to perceive
the state of a patient. Here too, there are six major limitations:
i. In our case taking, we sometimes can take one sensation out of the context and ignore
other data input and get over enthusiastic and have a very one-sided view of the case,
thus coming to very wrong conclusion.
ii. We can jump quickly to a known sensation and thus we classify the patient just as we did
before with symptoms.
iv. We tend to ignore hard facts like peculiar symptoms, modalities, etc.
v. We tend to chase exotic remedies and sometimes we shepherd the patient into some
remedy.
vi. Many times the patient’s core experience doesn’t fit into what we know. Then we get
confused; then we may either try to fit it into what we already know or we try to think of
something completely new without a proper foundation. And of all the sins we can do,
the worst one is to theorize. Theorizing with anything like with essences, rubrics, Materia
medica, repertory. Then, we theorize and try to fit patients into remedies. The same
applies with the Sensation method. This should be meticulously avoided. For example, if
the patient mentions the word freedom, we ask him to describe and he say that “for me,
freedom is feeling like a bird,” immediately our mind jumps to the idea of a bird remedy
without actually perceiving what is the experience of the patient. Once the mind is
prejudiced, everything that the patient says appears to confirm the idea, e.g., the patient
might say that he desires music, then without looking into the experience of music, we
will say that certain birds have a rhythmic dancing of flapping their wings and therefore,
we can fully understand the symptom of desires music, or if the patient says that I am
spiritual tendency, then we will say that spirituality has a sensation of rising above and
hence, is a bird remedy. These are just hypothetical examples but I have seen that once
some idea comes to our minds, then we try to use any means, any source, any reference,
to fit patients expressions to that remedy. This is one of the weaknesses and is especially
true for practitioners who use only concepts and themes rather using both concepts and
facts.
6. Apart from the above, it is also true for “the energy patterns”- hand gestures, body
movements, the pace of the person and his speech, are all often subject to interpretation. For
example, if he makes a swooping motion with his hand or he makes a clenched fist, we say ohh
this is a bird !!this is an Eagle!! Don’t u see it!!!plus we make interpretations rather than asking
him to go into the experience of that particular gesture.
7. Miasms also lend themselves to confusion. We may take any one word of the patient that
indicates a particular miasm, and jump to that miasm without verifying to see, if, by that word,
the patient actually conveys the pace and depth of his or her desperation. For example, if the
patient says “control” somewhere during the case, then we simply jump to the conclusion that it
is the Cancer miasm, without seeing what that word means for that patient. For that patient,
“control” simply could mean avoidance, which could be the Sycotic miasm, you never know
…you have to find out.
Thus, we see that every approach has its limitation. And the best results will be obtained when
we combine more than one way of seeing the patient. We have to be flexible in our approach.
We don’t have to slot ourselves in a particular method or dogma.
What is important is that we go by what is clear in a given case. If in a given case you get clear
rubrics or very clear symptoms from the Materia medica or very clear or characteristic keynotes,
then please do go by this. Of course, you should see that the kingdom and subkingdom match at
the sensation level. For example, if the patient has very clear and marked symptom like
perspiration in the head during sleep with a marked craving for eggs and a marked fear of dogs,
then do strongly consider Calcarea carb. On the other hand, if the patient is giving very clear
indication of the kingdom and source, then do go by this. Of course, do try to confirm the
remedy at all other levels. For example, today I had a case where the patient’s marked sensitivity
was to the exploitation of people by the politician. He was very sensitive to their completely
narrow-minded and selfish motives, as opposed to their need to being selfless and to thinking of
the welfare of others. This was the most prominent thing in the case. His local symptoms, his
characteristics were not available but this sensitivity was strong and marked. This theme ruled
his life, was the cause if his stress and was the most prominent feature available. This is clearly
the theme of the remedy Lac humanum, and I confirmed that the patient had all the attributes of
the ringworm miasm to which Lac humanum belongs. Then I could make a fairly confident
prescription. Thus, it is important to go by what is most clear in a given case and then seek to
confirm it in other areas. If you come to a remedy through one approach, it would be very useful
to see whether another approach would also lead you to a similar conclusion.
At this point, it is important to remember that in reality the source is reflected in the provings, in
the mental make-up and in the symptoms. Also, it is important to remember that our knowledge
of kingdoms, miasms, subkingdoms etc. are but a systematization of the information, which is
found in the provings and the materia medica. Therefore, they form the foundation of our system
approach. In this context therefore, for example, if you find that the patient through his gestures
and his sensation, has given us the indication of a bird or of Anacardiaceae or of a remedy like
Scandium, then it would be important to see that some of the symptoms of the patient are of a
known remedy of that particular subkingdom. For example, if we think of Scandium the patient
must have the qualities of Row 4 and at least some of the known symptoms of Calcarea
carbonica. So, we need to confirm our conclusion by the data of the known remedies located
around the one we are considering or the common group symptoms and rubrics of the
subkingdom to which the remedy belongs.
Conversely, if the patient gives us characteristic symptoms, peculiar symptoms, keynotes and a
known mental picture which leads us to a particular remedy, then it would be important to
Sometimes it happens that you found a rubric or a remedy through symptoms but the remedy is
not the exact one; the exact one is close-by in terms of sub-kingdom. For example, the Tantalum
case mentioned earlier. The patient gives us the exact rubric of Bar-c., namely, ‘Delusion, legs
are cut off’. But his remedy is close to Bar-c., namely Tantalum. Similarly, rubrics may give us
Tarentula as the remedy but what the patient needs is a remedy from the spider family and not
exactly Tarentula. Here, the knowledge of rubrics complements the knowledge of systems.
Now the question arises as to which approach one should follow in practice; the traditional
repertory and rubric approach or the concept kingdom, theme,miasm approach? I believe the
answer is very simple – we have to follow that which suits the given case best. If the patient is
more comfortable talking in terms of his symptoms and rubrics, then this is where we should go
first. Later, we could attempt to go into the experience, which in some cases is not always
possible. On the other hand, if the patient is amenable to going into his experience right away
through the gestures or through the chief complaint or stressful situations, this is where we
should go. And having reached the depth, we should now make a check on all his symptoms and
peculiarities.
Many times you could start with one approach and it leads you to the other side; two approaches
criss-cross. In fact, these two approaches are like two sides of us, namely the right brain and the
left brain. The right brain thinks in concepts and the left brain in facts. We perceive both these
faculties together. If we just use one part, then our perception is incomplete and often erroneous.
In a rare case the patient falls into one extreme of this range and refuses to shift. For example, he
may only mention the pathology and some symptoms, and despite our best effort he may not go
any deeper. And sometimes he may fall into that other side of the range where he expresses very
clearly the source but is unable to ground the rare facts. In these rare cases, we may need to
prescribe on what is available without confirmation from the other side. But we must know that
these cases are usually exceptions and are therefore risky. Since we know that both sides are
found in all cases, all attempts should be made to get that picture.
What is important in any approach is to get to the very basic idea, whether it be a rubric or a
sensation. Nothing should be taken superficially. It is important that when we take a rubric or a
symptom, it is important to identify the exact symptom and its peculiarity, and to go to the
materia medica and verify the exact symptom from it. Similarly, when we go into the sensation,
we must not talk superficially. We must go deeper till we get to the basic core of the person.
Very often we stop at the level of expression, both in terms of rubrics and in terms of sensations.
What we need to ask is, the question, what is it that is true for this person at a very basic and
constant level. The question then is not only what he feels, what he perceives, or what he
experiences; but who is this person, basically, that feels, perceives, or experiences those things in
those given situations. What we are looking for at the core is WHO (what) he is.
Here, I would like to discuss the case that was put up in the summary of talk 3.
A 12-yr-old boy was brought to my clinic on 26/12/1994. (This case is with you all in the
summary notes of talk 3.) This case is illustrates all that we have been discussing so far.
He complained of pain in the joints with swelling of ankle joints, interphalangeal joints, fingers
and calf muscles. He experienced inability to walk with pain, which was worse in morning.
“He had severe tonsillitis one year ago with fever and he was bedridden. He got an injury of the
elbow and was given Ampicillin (an antibiotic) for a day. After that he got a severe stomach pain
and he was suddenly bedridden and he would scream if anybody touched on any of his joints. He
was screaming with pain and was suspected to have rheumatic fever.
He was advised hospitalization, since his state was bad and the ASO ( Anti Stryptolysin O) titre
was 400. He was put on intravenous penicillin which is the treatment for rheumatic fever. He
refused to be hospitalized due to fear of hospitals.
He developed a huge swelling on the right side of his jaw, which grew very fast. It was first
thought to be a pyaemic abscess but they found that it was just a swelling. He was administered
oral erythromycin and aspirin. He could not move in bed anymore. The pain was horrible. So he
was hospitalized.
He developed all over the body fiery red, angry-looking patches which were diagnosed as a
penicillin reaction. Then, he was given oral erythromycin and heavy doses of antihistaminic
drugs. The swelling increased a lot and they were spotty and soft. It was now diagnosed as auto
immune disorder and it was decided to wait before starting him on steroids.
The high fever was constant. The pain came in attacks and was better by ice applications. The
attacks would last for an hour and he would shriek with the pain. His hemoglobin dropped to 5
mg and they transfused blood into him and gave him 30 mg of steroids.
After the steroids, he started eating too much. He was fond of cold milk. He became very
mischievous and too conscious of his body. He keeps jumping and climbs trees sometimes.
Now again he had a relapse, and he can’t get up or move. Now he was put on 60 mg of steroids
and there was no response and now we have come to you.”
Mo: If we follow his orders he behaves. Otherwise he is a very bad child. He doesn’t respect
elders especially his old grandparents. We must obey him or else he may go to any extreme. He
can cry for hours. If we lock him up somewhere he will just destroy everything. He becomes
angry in a minute and starts breaking things. He then behaves as if he does not care. If we put off
the TV, he will put it on again and demand to know the missed story or else will create a ruckus .
a huge tantrum. There is no discipline.
When he wants something he behaves very good. But when the job is done, he is back to square
one. He stood first in school despite the illness and 3 months of absence. He says, “You keep
quiet, see I got good rank. So I can do what I want.” He misbehaves, has anticipatory anxiety and
is afraid of his teacher. He will create havoc before the exams since he is anxious that the teacher
will beat him. He has temper tantrums. He has too much anger and is abusive. Once, he was
angry and he jumped into the gutter. He doesn’t care about hurting himself, he behaves like
Tarzan. He keeps jumping on the furniture.
He abuses the nurses and doctors. He is very jealous. He treats everyone rudely and roughly,
especially the servants. He causes absolute havoc.
Mo: There were lots of conflicts and I was depressed. My husband and I were north and south.
D: What were your feelings with the husband and the in-laws?
Mo: I would hit myself and cry out a lot. I felt a lot of hatred. I felt like I was in a prison. I was
previously very talkative and now I have reduced my talking by half. Why, why, why…I keep
hammering. I take decisions very fast. I don’t think long. I used to do everything in my house, I
would manage it all. I always dictate to others, even my teachers. I feel that the housework
should be done by both man and woman and not only by woman. I have dreams of flying,
dreams of big dog coming to bite my hand. I get anxious dreams of exams.
The boy had dreams of some ghost coming to murder him and he would also get dreams of
flying.
When you take the above rubrics you find the remedy that works out is Apis mellifica.
So we can get to this remedy purely from the rubrics of the mind.
2] We can take the Materia medica approach as by referring to Phatak’s Materia Medica.
Burning, stinging, smarting, prickling, lancinating pains, with excessive swelling. The various
parts are swollen and puffed up, become edematous, and of shiny red-rosy color.
If you have phataks materia medica handy please have a look in generalities section of apis
mellifica..you will never forget if you look at it.
Phatak writes:
Symptoms develop rapidly. The pains are sudden and extort cries. Shrieking with pain.
So, you see that it is exactly the description of the complaints. Sudden complaints, sudden rapid
development of symptoms, shrieking with pains. Swelling that develops very fast, fiery redness
and angry looking eruptions. The modality is better by cold bathing, cool air.
What is the main causative factor in Apis mel? What is the main pathology?
We know that apis mel has “Large urticaria, skin dry” Edematous swellings”
Large urticarial eruptions are allergic reactions. The patient received heavy doses of
antihistaminic drugs for this. What is Apis mel? It is a histamine stimulant and that is what he
had.
So we have seen that you can come to it purely from the mind rubrics or purely from the
generalities side.
3] Let’s see the other side; what do we see in regard to the kingdom.
You have strong themes of jealousy and of one versus the other. We see both, i.e., violence done
by him and violence done to him like a ghost coming to hit/kill him. There was a strong theme of
fear of teacher that she would harm him. In the dream a ghost comes and there is a sense of
danger. So you have strong animal themes.
Themes of an Insect are rapidity, rashness, recklessness, shamelessness and violence. These are
seen in his state. And finally, we can also understand the dreams of flying because Apis is an
insect that flies. So, it is easy to understand the flying dream.
So now you have the reportorial rubrics of the mind indicating the remedy. Bee is also dictatorial
in nature, the queen bee is the dictator here.
Then you have the whole development of the pathology, you can see the rapidity and the pace
and the fiery redness with the exact generalities and modalities of Apis.
You see the animal theme of Apis and the insect themes. The special quality of the bee Apis mel
is the need to be the boss. The flying indicating the bee and insect.
The whole story of the honey bee is about who the queen is. There is one boss, one queen, and
the rest are workers and slaves.
That is the story which we can see in both the mother and the child. What is important is that we
see all the mind symptoms, the jealousy, the shrieking, the violence as well as the physical
histaminic effects, the sudden swelling, burning, shrieking, and the dreams and the delusions and
the entire situation, all in the expressions of the basic survival quality of this source. That is what
happens when a bee stings. You get stinging burning, you get sudden rapid development of fiery
red swelling. Therefore, the pathology describes the source, the mind state describe the source.
So all the approaches ideally ultimately come to the same point from different angles.
Once we understand this - that they are coming to the same point - then we are able to master
both the sides, the side of the rubrics and the side of the kingdoms. If we master both sides, then
we are able to manage when one side is a little weaker of deficient.
So when you find very nice rubrics, very nice peculiarities and you can go there, you come to a
remedy, which you may not be able to come to by the Sensation Approach.
And on the other hand, you may have a remedy such as, for example, Rhodium or Technetium,
which you can never come to through the Reportorial approach. I remember a beautiful case of
renal failure which did so beautifully on Technetium; I could never have got to this remedy
through the rubrics.
So, if you understand the concept that both of them are expressing the same thing and coming to
the same point, then you can come from this road or that road and if one of them is blocked, you
could take the other road.
And what is interesting is that it kind of centers you into what is really “disease”. What is the
state that is inside the patient, what is it that needs healing?
And then you understand that in this person it is the Apis state. In another person, it is the
Hyosycamus state. In a third person, it is the Arsenicum state and that these states are the direct
representatives of the source that is within. It is as if the source is speaking through each state,
the language of the mineral in Arsenic, the plant in Hyosycamus, and an animal in Apis.
The basic question of what is to be healed in disease and what is it that is curative in the
medicine, that is the most fundamental lesson that directs our search. If we know that, if we can
see that, that really qualifies us to practice and then we can find with whatever tool in whatever
way what the center is. It doesn’t matter, we are free then because we know where we have to
get to, where we have to reach.
Follow up: 25/1/1995 - the pain is 50% better and all medicine of Modern Medicine has been
stopped including steroids. The local symptoms and pathology are much better. But the boy is
more abusive, his mind state has flared up a little bit, so I raised the potency from 1M to 10M
and then he started getting better & better, his aggressiveness & his anger went down, his entire
illness, autoimmune problem went away. I followed him up for 9 years after that, and I found his
state to be completely changed. He came for the another problem after 9 years, there was none of
the Apis state left & I had to give him another Remedy based on the state at that time, just for
your curiocity the Remedy I gave him was Medorrhinum, at this point I want to quote wise
words from colleague David Little, he said
“Why are some using only old methods and some only using new methods, when a combination
of the two is the best way forward? Why is it that human beings like to take a whole truth and
break it into two halves and turn one side against the other?
Base your homoeopathic house on the bedrock of the classical tradition rather than the shifting
sands of fashion, so that when the winds and rains of clinical realities blow, your practice will
not fall down! If one harmonizes the classical and contemporary methods one has a solid basis
from which to reach for the sky without losing one’s balance.”
I think at that point I want to stop talking about the integration of old and new because that’s
what I wanted to say. And now, I want to take up some of the questions that I have received from
1) In the Staphysagria case, the case starts with “I went to visit my brother-in-law and
he is more well-to-do than I am...” just this beginning part does it not sound like an animal
kingdom, me versus my brother-in-law. I know the whole case has to be considered, but
when someone compares themselves to others, is that usually animal kingdom? In a plant
patient’s sensitivities, the people around them might bother them as well. How would their
representation be different from animal?
I think this is a very important and fundamental question and I would like to answer it at this
moment. The question starts with “I went to visit my brother-in-law and he is more well-to-do
than I am...” This is a comparison, is not an comparison a quality of an animal kingdom? The
plant patient is sensitive, therefore other people bother him. So if he says, I am bothered by the
other person, Is this not one versus the other? & therefore the Animal Kingdom?. How do you
really differentiate the two?
The answer always is one to all these questions and the answer is: it is not what is seen to
happen, it is not what happens ( the brother-in-law may well be more well to do than the patient
and the patient also perceives it as such), but the question always is how does he experience this
situation? What is his experience of this situation? That is what will point to the kingdom. The
sensation, the experience. Do you follow me? I will give you a very very simple example, (I have
probably given this before but it is worth repeating) I had a patient and he was a case of
depression for many years. He had taken Homoeopathy for 10 years. It was one of the saddest
cases I had seen in my life. A 30-35-yr-old man. He would not go out. He had no friends, no
social life, couldn’t even think of having a woman friend. It just so complete isolation. His voice
was low and face was drawn & when I asked him to describe the experience, he said that his
childhood was terrible. I asked him to tell about his childhood. he said that my father was such a
tyrant, he would chase me around the house and he would really beat me up & I tell you he said
my happiest day was when my father died of accident. In fact, I was thinking of killing him
myself. Now listen, this is so clearly a case of comparison, so clearly the case of one versus the
other, if he harms me I will kill him. I am the victim he is the aggressor. It was so clear that it
was an animal kingdom. But wait a minute, it was not. I asked him to tell me what was the worst
situation for you when your father is taking that stick to beat you, what was your experience?
How did you experience it? He said, I was in terror. It was so much terror. My heart was
palpitating. My body was sweating and I was just running from here to there to escape him. I
went and hid myself in a room and he came and smashed open the door. What is interesting is
2) This question concerns the mineral kingdom. The question is, “As you explained
that the Rows represent the stages of development, if a person has separation issues and is
given a Row-2 remedy, then is it possible that they move on from this stage? They could
have been stuck here and the remedy helps them separate. Could their remedy then
change? Especially if it is an adolescent, as they move through teenage years and then
become young adults.
The answer is NO. He will not move from one remedy to another Remedy because any remedy is
itself a state and it is sickness to be stuck in any stage of development. This itself is unhealthy.
Therefore, to move from a stuckness of Row-2 to into a remedy of Row-3 or 4 is not a healthy
sign at all. What is healthy and should happen and what does happen is when you give a person,
let’s say Carbon or Boron, then their Carbon or Boron state dilutes, becomes lesser and lesser
and lesser, to a point that it does not interfere with their life anymore. Then they are free to
develop emotionally and spiritually according to their chronological age. So, when they are free
from the state of Boron or Carbon or Nitrogen or Oxygen then their life proceeds as normal.
Then they are free to have relationships, they are free to have creativity, they are free to perceive
their security issues, then they are free to perceive their responsibilities. Not that they have to
move from one element to the state of another element. I mean Just as a joke, if you treat a
person as a case of Lac can does he evolve into a case of Lac leoninum after few months. It is
like asking this question. The answer is that he will become free of his Lac can state and he can
be free to be in the moment and not become stuck in another state even if it is more evolved than
his state. Because to be stuck anywhere itself is not healthy.
3) You explained why Alumina falls in the Syphilitic miasm, which is an exception to
the general rule that further you go down in the periodic table and right you go elements
become more Syphilitic.
It is true that Alumina is an exception to the rule and though it is higher up in the periodic table
and more to the left it is still a Syphilitic remedy. This is one exception.
Well, hand gestures are the energy pattern. Often, they do not help you locate rubrics. You
cannot find rubrics for specific HG. But when you ask the patient to focus on the gesture, and
allow whatever experience to come up to happen there & to see it, often it gives you the
indications of the sensation of the kingdom. What he needs. Sometimes he can even give you
peculiar symptoms that could be converted into rubrics. Hence, Hand Gestures(HG) by
themselves are a key a doorway into the inner experience of the patient. In that experience you
( here dr rajan sankaran invited participants to ask questions and give feedback on live chat to
him which he would answer)
Ok.. I will rewind the chat and see some questions and what I see important for most of you I
will answer in the next ten minutes. I will answer some. i suggest you send us all these questions
through email. I will answer some common questions here.
One of them is …
I must tell you that once you practice this method, understand where you are going, all cases do
not take much time. Sometimes, I go to the opd in the hospital once a week in the morning in a
hospital and there I see more than 50-60 patients including 8-10 new cases within two hours. So
if you really practice and perfect this, and you see that it is an approach and not just a method,
then you will apply it in a quick manner most times. Some cases need time but lot of cases do not
need so much time.so don’t worry ok!!
Yes, you can do that. There is nothing mandatory here except that you know what you are
looking for, the inner core experience of the patient, wherever it comes from, wherever it can be
seen, or where ever it is found focused upon. In one of my seminar, somebody asked me, what
do you do with patient who doesn’t have hands. Its really a funny question! You find your way
around as long as you know where you are going. That is the most important thing. To perceive
that we are going to the central core experience of the person, whether it is the expressed in
rubrics, or kingdoms, or subkingdoms, or gestures or nonhuman specific words, or energy or
anything.
7) In the Apis case, nine years later you prescribed Medorrhinum. Why?
Because at that time, complete state of Apis had gone without a trace and what was there was
other completely different problem he had come for. When I studied his case that time, it gave a
complete picture of Medorrhinum from head to foot. Therefore, I changed the prescription. This
happens in some cases that some years later they come with a totally different picture and you
need a different remedy.
Yes, in the beginning he needed quite a bit of repetition, maybe once in a month of Apis 10 M.
Then he didn’t need repetition any more. For many years we didn’t give him any remedy.
You know when the patient needs nosode when he is at the center point of the miasm. The pace
and the depth are what is expressed in every area of his life, be it sensitivity, structure or
survival. In every area commonly what is expressed is the pace and depth that indicates the
miasm. And at that time I will give nosode. I will try and explain this in detail later on.
10) Explain the changing of the remedy during life? How often does that happen?
It doesn’t happen that often. Now, I have practice of 30 years and I have seen some patients over
10-15-20 years, many of them need the same remedy over many years.
It is very important what I have described to you here, do not marginalize or put yourself into a
slot. See that the rubrics, Repertory, Materia medica everything is available and useful for you,
and they are all coming to the same point and speaking the same language. This is very
important. In my practice, I use all these tools all the time. And in the next talk we are going to
talk more about repertory. Infact the next three talks are about the repertory and materia medica,
before we start with the kingdoms and the miasms because I think that we must have a good
foundation and see how all these knowledge come together, that is the real secret of success.
11) I thought the Apis case is a spider case, till you explained it.
You see that we are thinking in concepts. Therefore, when the patient said mischievous, you
thought of spider. But if you ground yourself in facts also you see so clearly that it is a case of
Apis and cannot be anything else. Materia Medica, the swelling, stinging, burning, redness
indicates Apis. The dictatorial, the breaking thing indicates Apis. All this when you see from
both sides you can’t make a mistake. That is why just to think of concepts is sometimes
misleading. That is the whole reason for giving this talk and giving this case.
So now I would like to conclude this session. The last 4 talks that we have done where we have
established …some of you might have found it to be very basic..no problem, it was meant to be
basic. Unless we establish a base, how can we build anything further!!the base as we said is the
most important thing is our concept of what is to be cured in disease and what is curative in
medicine., what clearly is disease and then to understand this…to see that the disease is a state of
being and the source within speaking to us from anywhere in the universe., to recognize the
language of the source either through symptoms and proving and rubrics or through kingdom,
So I wish you good morning good evening, good night, good bye and till next week
(note: next week here means the next lecture of essential homoeopathy.)
End of Talk 4