Emergencies of Homoeopathic General Practice | Pain | Anxiety

Encyclopaedia Homeopathica

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BORLAND D. M., Some Emergencies of General Practice (bl8)
BORLAND Douglas M.

Some emergencies of general practice *
It would seem that for most of us life comes in phases. For our generation there was the period before the First World War, then the phase of the war, followed by the period between the wars, and then the phase of the Second World War. These are common to all, but there are also phases peculiar to each of us. I am now looking back over the period when I was actively engaged in the work of the Hospital and the teaching carried on there. Thinking of my early days and the difficulties then confronting me I wondered if in any way I could help those starting out on the same road. As a result, I am tempted to offer you this paper on some of the emergencies confronting the beginner in homoeopathic general practice. I think emergencies are one of one's greatest difficulties when beginning to practice Homoeopathy. In an acute emergency one has to do something immediately; we cannot spend time hunting for a drug. All these emergency cases fall roughly into two main groups - the patient who is dying, and the patient who is in great pain. You sometimes get the two combined. There is a third problem - Is the case medical or surgical? - and that is always at the back of one's mind. Here it is your general medical skill that comes in; in the other two types it is a question of homoeopathic knowledge. So it is the dangerous case and the case of acute pain that I want to consider here. In the first instance you will find that the matching of acute pain is much the more difficult; the cases of acute danger are much easier to tackle. The dangerous cases usually resolve themselves into a question of cardiac failure in one form or another, I think from the homoeopathic standpoint one can tackle these cases of incipient cardiac failure very satisfactorily. The simplest way to group the dangerous cases from a drug point of view is to look on them under three headings : 1, the cases with acute cardiac failure ; 2, the case in which there is a gradual cardiac failure with a tendency to dilatation; and 3, the case of acute cardiac attack of the anginous type.

Acute cardiac failure
For the acute cardiac failures I think you will find that most of your cases require one of four drugs; Arsenic, Antimony tart., Carbo veg., and Oxalic acid. There are various points about these individual drugs which help you in your selection, and you will find that very soon you begin to select your drug almost as quickly as you spot your pathological condition, and by the time you have overhauled your patient you know what to give. In the Arsenic case you have the typical Arsenic mental distress, with extreme fear, extreme anxiety, mental and physical restlessness, and with a constant thirst, a desire for small sips of ice-cold water. So far as the actual local symptoms are concerned the main complaint is of a feeling of extreme cardiac pressure, a sensation of great weight on, or constriction of, the chest, as if the patient cannot get enough breath in, and a fear that he is just going to die. The patients as a rule are cold, they feel cold, but they may complain of some burning pain in the chest. In appearance they always look extremely anxious and are grey, their lips rather pale, may be a little cyanotic, and they give you the impression of being very dangerously ill. They often have a peculiar pinched, wrinkled, grey appearance. As a rule in these cases you will get the history that the attack has developed quite suddenly, and the response to Arsenic should be equally quick. If you do not get a response to Arsenic within a quarter of an hour the patient is not an Arsenic one. The first response that you ought to get is a diminution of the patient's mental anxiety and extreme fear; the restlessness beginning to subside, and he begins to feel a little warmer. In these cases my experience has been that you are wise to administer the highest potency of Arsenic you have with you, © Copyright 2000, Archibel S.A.

Encyclopaedia Homeopathica and as I now carry all remedies up to the cm. I always give cms. of Arsenic. But whatever potency you have with you, use the highest, because this is the kind of case that will die very rapidly and you gain more by giving whatever potency you have than by wasting time going home to get a higher one. The Arsenic seems to act very much like a temporary cardiac stimulant, and I find that in the majority of these cases you have to repeat the dose, certainly to begin with, about every 15 minutes. The next thing is that very often one sees a case of that sort which responds perfectly well, the patient is better, everyone feels he is getting over it, and then in three, or four, or six hours the symptoms begin to come back, the patient no longer responds to Arsenic, collapses and dies. That was my experience at one time. Then it began to dawn on me that I had given another drug during the reactive period I could have carried these cases on. I found that when this was done the patients did not get the secondary collapse and were thus saved. To achieve this result you have to give your secondary drug within four to six hours of the primary collapse while the patient is still responding to the Arsenic, otherwise you are in great danger of having a secondary collapse which you cannot combat. So remember that this is one of the very few instances in which one appears to ride right across the dictum that so long as the patient is improving one carries on with the same drug. In these acute cases if you have set up a reaction at all you have got to take advantage of it, otherwise the patient will sink again. The drugs which as a rule I have found these Arsenic cases go on to in the reactive stage are Phosphorus or Sulphur, but that is by no means constant. You can quite see that grey, pinched, anxious Arsenic patient responding, getting a little warmer, less pinched and drawn, not so anxious or restless, with a little more colour, and becoming a typical Phosphorous type. Equally you can see them going to the other extreme, where they are too hot, with irregular waves of heat and cold, rather tending to push the blankets off, still with air hunger and going on to Sulphur.

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These are the two commonest drugs you will need, but whatever the response is you ought to be able to follow up immediately you get the action well under way. The Antimony tart. patients have very much the same sort of condition, but mentally they are quite different. In Antimony tart. there is a more definite tendency towards cyanosis than in Arsenic, you never see a patient needing Antimony tart., without very definite cyanosis signs in the finger nails, often extending over the whole of the hands, and the feet may be involved as well. We do not get the same degree of mental anxiety in Antimony tart. as in Arsenic. The patients are more down and out, much more hopeless and depressed. They are never quite so restless nor so pale. Again, there is none of the thirst you meet with in Arsenic, in fact anything to drink seems to increase the feeling of distress. Another contrast is that the Antimony tart. patient is very much aggravated by heat, and especially by any stuffiness in the atmosphere. But there is one point to remember here as a contrast between Antimony tart. and Carbo veg. : the Antimony tart. patients do not like a stream of air circulating round them; they want the room fresh, but they like it still. In most Antimony tart. patients there is a very early tendency to oedema of the lower extremities. Another point which helps in your Antimony tart. diagnosis is that practically all these patients have a very thickly coated tongue --it is a thick white coat - and a rather sticky, uncomfortable mouth. They have a feeling of fullness in the chest much more than the sensation of acute pressure found in Arsenic. An you are likely to find pretty generalised, diffuse rales in the lower parts of the chest on both sides. In contrast to Arsenic. the collapse is similar to that after a pneumonic crisis, and if the patient responds to Antimony tart. it will carry him through. You do not have to be on your guard to find the follow-up drug as you have to be in an Arsenic case. The Carbo veg. case gives the classical picture of the patient with all the symptoms of collapse. They have the cold sweaty skin, are mentally dull, rather foggy in their outlook with not a very clear idea of where they are or what is going to happen to them. There is intense air hunger, and, in spite of their cold, clammy extremities, they want the air blowing on them; they cannot bear the bedclothes around the neck and they do definitely benefit from the exhibition of oxygen. They are very much paler than the Antimony tart. patients, the lips tend to be pale rather than cyanotic, and there is none of the underlying blueness one associates with Antimony tart. The next point is that they always have a feeling of great distension, not so much in the chest as in the upper abdomen, and the cardiac distress is always associated with a good deal of flatulence. Like the Antimony tart. patients, any attempt to eat or drink tends to increase the distress, and they have none of the Arsenic thirst. Another apparent contradiction you come across in Carbo veg. is that, in spite of the desire to be uncovered and the intolerance of the blankets around the upper part of the neck or chest, these patients complain of icy-cold extremities, © Copyright 2000, Archibel S.A.

Encyclopaedia Homeopathica as if the legs were just lumps of lead, and they cannot get them warm at all.

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I think in Carbo veg. you have to be careful as to how long you are going to keep up your drug administration when you get the patient responding --sweating less, the surface becoming warmer, and the distress less acute. You are wise then to be thinking of a second drug, because some Carbo veg. patients do relapse although many of them make quite a straight recovery on that remedy. You do have to be careful. If you find the patient has responded up to a point on Carbo veg. do not imagine that a higher potency of Carbo veg. is necessarily going to carry on the improvement. As a rule it does not, and it is much better to look round for a fresh drug to keep up the reaction. In the majority of these cases the drug that follows best has been Sulphur, although Kali carb. should always be considered. The last of the drugs which I commonly think of for these collapsed conditions is Oxalic acid. Oxalic acid has one or two very outstanding symptoms which are a great help in the selection of that drug. The first is that the patients always complain of a feeling of the most intense exhaustion, very often associated with a sensation of numbness. They frequently state that their legs and feet numb and paralysed, as if they had no legs at all. The skin surface is just about as cold and clammy as it is in Carbo veg., but there is a peculiar mottled cyanosis in Oxalic acid which you do not get in the other drugs. The finger tips and finger nails and toe nails will be definitely cyanotic, but in addition there is a peculiar mottled appearance of the hands and feet which is quite distinctive of Oxalic acid. There is a somewhat similar mottled, cyanotic appearance in the face, especially over the malar bones. These patients, in contrast to the Arsenic type, want to keep absolutely still, and movement of any kind greatly increases their distress. In addition to the general distress, most of these Oxalic acid patients complain of very definite sharp praecordial pains. These pains are not like the typical anginous stab, but more of sharp pricking sort of pain which usually comes through from the back and may run up the left side of the sternum towards the clavicle, or down the left side of sternum into the epigastrium. The most starting cases giving this picture that I have seen have been in the critical stage of an influenzial pneumonia where the patient was just fading out, having lost all strength, and the heart failing rapidly. I think all the patients of that type that I have seen have been left basal pneumonias. I remember seeing two or three patients who apparently were doing quite well on Natrum sulph.. react beautifully to oxalic acid. But one does get indications for its use in chronic cardiac cases as well.

Gradual cardiac failure with tendency to dilation
In these cases the heart is just gradually giving out, beginning to dilate a little, becoming slightly irregular, while the patients are going down hill. If the condition is not so acute as to call for one of the four drugs we have been discussing there are another three or four which you may find very helpful. That is quite apart from your ordinary prescribing. You find that in many of these cases in which there is a tendency to cardiac failure, the heart picks up and the tendency to dilation disappears on your ordinary prescribing, and you do not need to prescribe on the cardiac symptoms particularly, that is to say, the patient responds to the drug for their general symptoms. For instance, quite frequently in pneumonia, a bad case, with the patient pretty worn out with indications for Lycopodium there is a tendency to a failing heart, with dilation, but after the administration of Lycopodium the heart picks up, the pulse steadies, and the tendency to dilation disappears. You find the same in all acute illness where the patient is responding to the particular drug indicated. But you also get cases in which the patient is doing quite well but there is a tendency to cardiac failure which is not responding to the apparently indicated remedy, then you have to consider the drugs for cardiac failure in addition. For these cases the most common drugs are the Snake Poisons, especially Lachesis and Naja. And less commonly Lycopus and Laurocerasus. It is very difficult to distinguish one Snake Poison from another in such conditions. In appearance they are all very similar, but much the most common remedies for these conditions are Lachesis and Naja. The Lachesis picture I think is pretty typical of all, and there are just a few indications which make one choose Naja in preference to Lachesis. In all these cases indicating the Snake Poison you get a rather purplish, bloated appearance. They suffer from a feeling of tightness or constriction in the chest, more commonly in the upper part of the chest, and they are intolerant of any weight or pressure of the bedclothes, or any tight clothing round the upper part of the chest, or neck. All are sensitive © Copyright 2000, Archibel S.A.

Anginous attacks Let us look now at the cases with definite anginous attacks. they feel hot and they dislike a hot stuffy room. Lastly. and the pulse is tending to become a little irregular. I have seen a case of that sort and put a dose of Aconite on the tongue and almost before the remedy © Copyright 2000. A point which is an apparent contradiction is that with this extreme cyanosis you get a very early tendency to the development of hypo-static pneumonia at the bases. They very often tell you it feels as if their heart had suddenly run away and was just going mad. one would give Lachesis. then the breathing gets gradually shallower. Apart from the Snake Poison there are two other drugs which you will find very useful in these conditions.stitching in character . but I think one can limit the choice to about one of half a dozen . Cactus. Iodine. yet if they sit up the feeling of constriction is increased. These patients are always chilly. and very often become difficult and suspicious.Encyclopaedia Homeopathica 4 to heat. so they have to get a position midway between. and their hands are shaky. And of course. Arsenic. they get acute suffocative attacks when they all fall asleep and they wake up in increased distress. and so it goes on. These patients always suffer from extreme dyspnoea. and are always restless.of the lips. All these Snake Poison patients in their cardiac distress have a marked aggravation from being turned over on to the left side. The outstanding characteristic of the majority of these cases in their first attack is an absolutely overwhelming fear.a contrast with the Snake Poisons which are worse turning over on the left side. next a pause. Another feature is that the respiratory dyspnoea gets very much worse when the patient sits up. these Lycopus patients have an intense dislike of any food. They have a marked aggravation after sleep. They want to be kept warm. And most of them as they tend to get worse become mentally fogged. Another Lycopus distinguishing symptom is that the distress is vastly increased by turning over on the right side . The Laurocerasus picture is very definite. as you would expect in a condition of that sort. confused. Here a dose of Aconite in high potency will give relief almost instantaneously.is more marked one tends to give Naja. It is a little difficult to pick out of the Materia Medica the most commonly indicated drug for it. but if the feeling of constriction is predominant then Lachesis is the remedy. very nearly Cheyne-Stokes in character. and they feel cold to touch. associated with very marked numbness. You know the peculiar bluish-red appearance of the congenital heart. That is the underlying colour you get in Laurocerasus. The other Lycopus symptom which helps is that accompanying his tumult in the chest there is a very marked tendency to cough. When lying down the cough is worse. It feels as if the heart just tuns away.Aconite. which again are rather congested. Spongia. but that is not very striking. and he is terrified. The patient is certain he is going to die. it is beginning to dilate a little. Archibel S. a little paler than Lachesis. and when it has developed the cough is very much more troublesome unless they are reasonably propped up. and the bluish appearance . then two or three gasps. and particularly of the smell of food. If there were nothing more than that. any movement or exertion aggravates them acutely. Spigelia and Lilium tig. The last of these drugs I want to touch on is Laurocerasus. it sets up an acute irritation. Where the numbness is pronounced one would give Naja in preference to Lachesis. The outstanding symptom of the Lycopus case is that the patients complain of a horrible tumultuous sensation in the cardiac region.A. and that very speedily. They have a very marked tremor. For these cases you must give the patient relief very speedily. . somewhat clubbed fingers. They take a sudden gasp for breath. and yet any movement seems to aggravate his distress. they are better in a semi-prone position.almost like ripe grapes . But the general symptoms are identical. But in a certain number of these cases you get rather acute stitching pains which go right through the chest from the precordium to the region of the scapula. particularly in the left arm and hand. He is quite unable to keep still. If the pain . The patients are pale rather than cyanotic. and I think the easiest way to remember it is to picture for yourself the appearance presented by a congenital heart in a patient 16 to 18 years of age. and they cough. You get indications for Lycopus in a case in which the heart is just starting to fail. less bloated looking. This is accompanied by a feeling of intense throbbing extending up into the neck and right into the head. I think possibly Naja is a little less red. followed by two or three long breaths. The first of these is Lycopus.

and often an intense hyperaesthesia of the chest wall. and their distress is aggravated by any movement. the feeling of tension. Then you will get an occasional patient having an anginous attack with very similar constricting feelings. It is that feeling of increasing tension which gives you the Cactus indication. radiating pains from the precordium.Encyclopaedia Homeopathica 5 could be swallowed that patient was feeling better. they tend to be rather flushed. As a rule the face and neck give you the impression of being some what congested. just exactly how the majority of your anginous patients describe it. They are just about as restless. of course. This sensation of fullness and swelling is very much aggravated by lying down. is described as being actually in the heart itself rather than involving the whole of the side of the chest. Another is the type of the actual distress of which the patient complains. and not infrequently they complain of numbness of the lower extremities too. The man had a similar attack at a later date. is rather anxious and worried. There is another type of case which is very similar to that. particularly of the left arm and hand. ill-looking. Cactus has a good deal of anxiety and fear. drawn. and the fear were nothing like so marked because he had come through one attack before. That is one point about the Cactus indications. and as a rule they are dark-haired. and this sensation of fullness spreads up into the neck. In addition to the feeling of distension. drawn appearance which you get in Arsenic. Then there is yet another type of case in which instead of the complaint being of constriction it is of a progressive sensation of swelling in the heart region. I usually carried 10m as my highest potency in general practice and I gave Aconite 10m. fearful. Aconite does relieve him right away.but instead of the intense chilliness of the Arsenic they are uncomfortable in heat and in a stuffy atmosphere. they do not have the pale. These cases respond exceedingly well to Iodine.A. The patients themselves are chilly and any draught of air increases their distress. though very frequently there is numbness of the hand only without any involvement of the arm. Another drug which you will find useful in a condition which is somewhat similar. It feels as if the heart gets bigger and bigger until it would finally burst. They are very depressed. And Arsenic does relieve these cases quickly. So if you get a man with his first attack. and Aconite had no effect at all. In addition you may get stabbing. These anginous patients respond very well to a dose of Arsenic. very chilly. . the distress. Where you are dealing with the first attack and the patient is quite certain he is going to die. In these acute conditions I always give the drug in high potency because it acts much more quickly and one wants instant relief. but instead of the pale. though not an angina at all. And these cases respond well to Spongia. burning sensation in the chest. but which you meet with in hysterical women. and accompanying this feeling of constriction there is an acute. wrinkled Arsenicum appearance. it is more a conviction that he has an absolutely incurable condition which will eventually kill him. frightened. Archibel S. they usually complain of more or less marked numbness. very definitely anxious. when the patient feels as if he would nearly choke and it is accompanied by very acute pain. but does not act in a second or later attack. I have never seen Arsenic do anything in an anginous attack except in the rather broken down. But if he has had a previous attack Aconite will not be helpful. with very much the same sensation. radiating pains. and the anxiety. in spite of the fact that they have always been pretty good livers and very often have an appetite above the average although they have not been putting on weight. with that sense of constriction accompanied by the burning discomfort in the chest. © Copyright 2000. They have the very marked stabbing. give a dose of Aconite and you will probably find in no time he is feeling more comfortable. They are sensitive to heat. It is not a fear that the immediate attack will be fatal. For the patient who is having a subsequent attack much the most likely drug to help is Cactus. but it is quite different from that of Aconite. and intensely irritable. but the feeling of constriction. You will fail to find any cardiac lesion.in fact all these anginous patients are anxious . not quite so intense but a definite feeling of constriction. but they will produce a symptom picture difficult to distinguish from a true anginous attack. dark-complexioned people. That has been my experience. The patients are just about as anxious as the Arsenicum patients . The patient has been ailing for some time. which is. distressing. but they are not so characteristic of Cactus as the intense constricting feeling. He feels as if he had a tight band around the chest which was gradually becoming tighter and tighter and that if this constriction did not let up soon the heart would be unable to function. They are rather underweight.

To tackle these from the homoeopathic standpoint is not very difficult. and it does not matter whether it be gallstone. with all the signs of a rising temperature. when you first look t it from the homoeopathic standpoint you are completely lost.A. With that history after a few doses of Aconite the acute inflammatory process which is just starting will have entirely disappeared. I have seen quite a number of these cases now in which an electro-cardiogram shows no lesion at all. and tenderness over the mastoid region. . on the character of the pain and the modalities. and extreme tenderness to touch. one pays a little attention to the situation but very much more to the character of the pain and what modifies it. again with extreme tenderness. or a history of having had some gynaecological illness. In cases of acute otitis with violent pains all round the the mastoid region there are three or four drugs I want to consider. and the patient is extremely sorry for himself. You give him a few doses of Chamomilla and again the whole inflammatory process will rapidly subside. The next case has gone a little further. usually burning in character. and I thought probably the most helpful way would be to consider the cases of acute pain which one meets with in general practice.where there is not the same definite history of chill. If one considers the acute neuralgias from the prescribing point of view one takes the character of the pain and the circumstances which make it better or worse. miserable. there is much more tenderness over the mastoid region. often much redder than on the opposite side. Working on these lines it is possible to take up the three groups and give the indications for the leading drugs which you must have at your finger ends. You will get another case . and which one sees very often in winter. And all the symptoms have cleared up entirely with Lilium tig. and Capsicum almost always clears it up. and the ear begins to look a little more prominent on the affected side. One gets acute neuralgias. although that may be present. again it is partly on the situation but much more on the character of the pain and the circumstances which modify it that one prescribes. That is the type that one hopes for. wanting to be comforted. In addition to the three drugs which I have considered. acute inflammation of one of the serous membranes. it is fairly easy to individualize and get something which will give almost instantaneous relief. It is on these that one mainly prescribes : in other words. The external ear is very red. acute stabbing pains in the the ear. and to a lesser extent it s situation. probably a little tearful. Pain killers are a little difficult to systematize. These cases are usually associated with some kind of pelvic lesion. but without the irritability of Chamomilla. It is exactly the same as regards serous inflammations. There are very acute stabbing pains running into the ear. But before taking these up in detail I should like to touch on another very painful condition commonly met with in general practice. Pain killers The next problem I want to touch on is the patient suffering from acute pain. Supposing you take the the case which has come on very suddenly. is as cross and as irritable as can be.usually in children . intestinal or renal colic. I think that more or less covers the ordinary conditions one meets with in general practice. he is intensely restless.Encyclopaedia Homeopathica 6 In addition to the stabbing pains they have the anginous sense of constriction. With colic equally. but where the pain is even more intense and where the patient is practically beside himself with pain. possibly a little bulging. and often a case which you expect would require incision of the membrane within the next few hours quickly subsides ad the patient is comfortable when you go back in the evening. and you get the impression that nothing that the friends do satisfies him. tightness. Acute earache If you go to a patient who is suffering from violent earache. the condition is a little comforted by hot applications. will not stay still. one always has in mind the possibility of a Pulsatilla child requiring a © Copyright 2000. namely ACUTE EARACHE. He is irritable. you get your relief astonishingly quickly. Archibel S. with a history of the patient having been out in a very cold north-east wind. After a little experience you find that these cases are very satisfactory. the pains are very violent. and acute colic. of the chest wall. So you seen when you are confronted with one of these very distressing conditions where you have to make a quick decision. That is the sort of thing you should be able to do in these acute conditions. and these I think one can classify to a certain extent. a bit scared.

with practically the same symptoms. .nine out of ten will so respond. that type of case responds in almost every instance to Ranunculus. If it is a right sided sciatica I give Mag. for ten minutes or so. and the pains tending to radiate out over the course of the nerve. Let is consider the acute facial neuralgias. it generally responds to Colocynth. Then to go on to typical acute neuralgias. that the painful area is very sensitive to touch.Encyclopaedia Homeopathica 7 dose of Pulsatilla for the condition. © Copyright 2000. where the affected area is extremely sensitive to any cold draught. As a rule I use high potencies. very often so light that he paid little or no attention to it. which are sometimes very troublesome.the sciaticas. Archibel S. and thus causes unnecessary suffering. in spite of the burning character of the pain. more comfortable if kept quiet and warm. affecting the left side. Phos. And there again you can get helpful leads. Post-herpetic neuralgias There is another group of conditions of the same type. And these cases usually respond to Mezereum. with extreme superficial tenderness over the affected nerve. almost always responds to Mag. or acute sciaticas. and also from firm supporting pressure. facial neuralgias. The particular features for this drug are the history of herpes. you take a case like that. that is to say. with much the same distribution of pain. And you would be astonished how often one gets almost immediate relief from either Mag. the very sharp shooting pains extending along the course of the intercostal nerve. you want to get immediate relief. Well. That is Spigelia and Spigelia alone. but occasionally either drug may relieve neuralgias involving the opposite side. There is one very useful point about Spigelia. These are the three drugs which I find much the most useful in a routine way for facial neuralgias. which is aggravated by any movement. Phos. "as if a red hot needle were stuck into it" is a very common description in these cases. Well. Where you get an orbital neuralgia. and the same modalities. but these I have no time to do more than mention. the same modalities. for instance acute trigeminal neuralgia. with violent pain coming in sharp stabs. applied warmth. And also one not infrequently sees a case giving indications for Mercury or Hepar sulph. The side usually determines the choice. but without the marked aggravation in wet weather. and that is that you sometimes get the statement that. coming on from any movement of the muscles of the face. after it has been touched there is a strange cold sensation in the affected area. You know the ordinary shingles neuralgia where the patient comes with acute burning pain along the course of the intercostal nerve and gives a history that he has had a small crop of shingles. these are much more different and they run to quite a number of different drugs. acute pain down the sciatic nerve. In cases of sciatica. if you can get the same modalities as you got in the facial neuralgias under Mag. That case. Incidentally this does not apply to dental neuralgia. and you may get the statement that the patient is extremely conscious of any weather change because it will cause a return of the neuralgia again. Phos. there are two outstanding drugs for these conditions.. then it depends which leg is involved what drug I give.. that remedy will often relieve. is very sensitive to cold. in which I can get no indications at all but the ordinary classical symptoms of sciatica. which is much more comfortable from warmth.A. in the majority of cases you get relief from Spigelia. . Phos. and with a marked hyperaesthesia over the affected area. particularly sensitive to any bathing with cold water. that the pain is induced or aggravated by it. Much more commonly you find that these post-herpetic cases respond to Ranunculus. or Colocynth. You will get a few of these cases which have not responded to Ranunculus. very much aggravated by any draught of air.. particularly when it involves the right side. so in th these cases with acute pain I seldom go higher than a 30 potency. Again you can use pretty well routine methods for relieving these cases. or things of that sort where. but if it is a left sided I give Colocynth. the post-herpetic neuralgias. It does not really matter which branch of the nerve is involved. with much more sharp stinging pains. or twinges of pain running up the course of the nerve. but I do not like to go too high because sometimes in these very painful conditions the very high potency aggravates the pain for the time being. and where the pains are likely to be very troublesome at night. Sciatica Then you get another type of neuralgia . If you have the same condition.

a good deal of flatulence. and again more comfortable when moving about. X-rays usually reveal a number of gallstones. Another case having repeated attacks. To my mind the disadvantages of this procedure are twofold. and there are two drugs which seem to cover the majority of these cases. The patients somehow begin to realise that although the condition is frightfully painful it is not moral. Secondly. and without that mental anxiety Aconite does not seem to act. there is always the danger that in an acute case of this kind the morphia may conceal the development of a surgical emergency which in consequence may be missed. each short in duration. and who is losing condition becoming sallow and slightly yellow. you have very much the same modalities with a chilly patient. Fortunately the indications in these colics are usually pretty definite. just vague discomfort. So if there is a method of dealing with these colics apart from morphia I think it is wise to use it. Belladonna relieves them almost immediately. and where the attacks are induced. which has this sensation of numbness associated with pain and tenderness over the sciatic nerve more marked than any other drug in the Materia Medica. I have never seen a sciatica giving indications for Plumbum which was not associated with extreme constipation as well as the pain and numbness. there are two drugs which cover most of your cases. marked numbness. Then there are one or two odd indications which sometimes help you in a sciatica where you can get no other distinguishing symptoms. the patient feels frightfully cold. The pains are usually extreme and nearly drive the patient crazy. it is quite likely to be use to a stone pressing down into the bile ducts.A. in addition. If the patient is warm-blooded. For instance. Consider another patient who has had liver symptoms for some time. with violent shoots of pain going right through to the back. on the other hand. subsequent X-rays after Chelidonium has been given frequently show that one or more of these gallstones have passed almost painlessly. in contrast with what happens with morphia and atropine treatment. associated with the acute sciatic pain. which may perforate. which subside and leave a constant ache in the hepatic region. and rather better when moving about. First. Suppose you have a hepatic colic. faint whenever he sits up or sands up.that owing to the sedative. slight fullness in the right hypochondrium. If you have a case of a first attack of colic. particularly warmth of bed. . particularly if he is sensitive to damp as well as cold. in the majority of instances one gets relief from Kali Iod. indications of the perforation are not detected for hours afterwards. very anxious. developing quite suddenly. whether it be hepatic or renal it is a very devastating experience for the patient and he is usually terrified. associated with a feeling of fullness in the epigastrium. hepatic. by any fluids. if you get a sciatica which has. and you are exposing the patient to a very grave risk. That is one point to be said in favour of your © Copyright 2000. But. Chelidonium relieves these attacks in the most astonishing way. and the sciatic pains tend to be more troublesome when warm.one has seen it happen . whereas with morphia and atropine you merely relieve the acute attack of pain. And. you have already taken a long step in the treatment of that patient towards clearing the condition altogether. If morphia has been used it is quite possible . by the action of the morphia. the patient need not suffer merely because you would prefer using a homoeopathic drug to a sedative. intolerance of fats. The clinical picture is masked. Rhus will clear the majority of such cases. so the mental anxiety necessary for the administration of Aconite is not present. So with Chelidonium you are well under way with your treatment of the gallstones. and yet cannot bear the room being hot. if not actually complicated. they have got to start moving. The second drug which has this numbness associated with pain and tenderness of the sciatic nerve is Plumbum. When you go to such a case and know that morphia and atropine will relieve the spasm. In other words. If. If you cannot get your homoeopathic drug in a snapshot way I think you are bound to give the patient relief with your hypodermic. or very much aggravated. and then he gets another violent colicky attack. You will seldom get indication for Aconite in repeated attacks. Acute colic In case of acute colic. One is Gnaphalium. Aconite will usually give relief within a couple of minutes. you are only justified in using it if you are getting relief. In these cases. there is the disadvantage that after such relief it is necessary to begin to treat the case now masked. or intestinal one can give quick relief by fairly snapshot prescribing.Encyclopaedia Homeopathica 8 Some sciatica patients are frightfully uncomfortable the longer they keep still. it is very tempting to use them. particularly to the angle of the right scapula. These attacks are relieved by very hot applications. or the drinking of water as hot as it can be swallowed. and accompanied by flushing of the face dilated pupils and a full bounding pulse. Archibel S. and if. and the main indication which suggests this remedy is that. He develops an acute hepatic colic. as I say. stopping as suddenly. renal.

it is usually accompanied by a very marked aggravation from any movement. Both remedies are often useful for colic in any area. "I don't understand this case at all. and he said. and by heat. I think. The doctor said. and Mag. That is how you have to do it in practice. There are certain homoeopathic physicians who sometimes call me out in consultation for acute cases and I know perfectly well before I leave my room that it is no use my thinking of these drugs as they will already have been given. In both cases the pains are relieved by external pressure. and that every now and then you meet a case which appears to call for one of these drugs and yet the patient does not respond. The pallor. bile ducts. It does not matter where the colic is.Encyclopaedia Homeopathica homoeopathic treatment rather than the merely sedative relief. and one gave it purely because she had already had her Chelidonium. In a Berberis renal case the urine is as rule rather suggestive. it goes through to the back. There are one or two other drugs that I can touch on which you will find very helpful in these colics. but mostly contains pus and a quantity of amorphous material usually phosphates. but I have never seen another case that had a Snake Poison for that condition. and what I have to get is something that is not common but out of the way. this is present to a slight extent in the renal colics. . or renal . I am picking out only the points which apply too this type of case. Berberis. but you must remember that these drugs I am giving you for these conditions are the common ones.A. sometimes urates. The patients get spasms of pain which come up to head and then subside." This is the sort of old case you will meet with. but contains a quantity of greyish-white deposit which may be pure pus. The outstanding point about the Berberis colic. Phos. or in the course of the ureter. 9 There are quite a number of other drugs for these colics. In Mag. Suppose you have a renal colic . There are two drugs which one always thinks of for colics of any kind. which prefers steady. hard pressure. and you may be very suspicious of a peri-renal abscess in the renal cases. where you are dealing with a renal colic you almost always get an acute urging to urinate. when you have an acute abdominal colic of any kind one always thinks of the possibility of either Colocynth. I remember seeing a case of gallstones colic with one of our very good physicians. It is surprising how widespread the area of tenderness can be which is associated with a Berberis colic. but it is not so marked. there is one centre of acute pain.and when Berberis is indicated I think it is more commonly on the left side than the right . but without benefit. © Copyright 2000.. It was an elderly woman. into the chest. no matter its situation. some of them hepatic. there is rather more relief from rubbing than there is in Colocynth.it does not matter which it is. had I seen the case in the first instance I should certainly have given Chelidonium. and they all have their own individual points which are very easy to pick up at the bedside. For instance. and they are Colocynth. or Mag. and she had that typical Chelidonium picture. and a good deal of pain on urination. and from that centre the pain radiates in all directions. You see I am not giving you the full description of these drugs. In addition to that. More commonly it is not bloodstained. As a matter of fact that particular case responded to a dose of one of the Snake Poisons. Archibel S. and some intestinal. The next thing about them is that their colics are intermitting. you will find that as time goes on you get more and more cases that do work and the exceptions are fewer and fewer. into the abdomen. so if that should happen to be your first one do not think therefore that Homoeopathy does not work. Although it is a very dirty looking urine it is surprisingly inoffensive. is more marked in the renal cases. and has a pale. that always in their colics the pain is very extreme. I think she must have a malignant lever. and the patients are doubled up with pain. If you have a hepatic colic you get the centre of acute intensity in the gall-bladder. intestinal. which is extremely useful in colics whether renal or gallstone." I asked why. Phos. and where there has been a previous gallstone colic you may get a jaundiced tinge in the hepatic cases. In spite of the old cases it is worth while getting these ordinary drugs at your finger ends so that when cases crop up you can prescribe easily on the few indications of the acute condition as presented to you. earthy looking complexion. Of course she had had Chelidonium already. so much so that in gallstone attacks you get so much tenderness and resistance that you are very afraid of a perforated gall-bladder you get such a resistant right upper rectus. and I do not know any other which has the extent of radiation of pain that you get in Berberis. That is the outstanding point about these Berberis colics. "Because she has all the Chelidonium indications and she does not respond. Where you are dealing with a biliary colic. some renal.you will find that where you get indications for Berberis the colicky pain starting in the renal region. If one memorizes them in this way it is astonishing the ease of your work in acute cases. and from there that pain radiates in all directions. uterine. is that from one centre the pain radiates in all directions. and in both the patient is very distressed. Phos. The point about these drugs is that they are almost identical. It is a very useful drug. again because of the extreme resistance of the muscles on the side of the abdomen.

Less commonly in such cases where there has been marked irritability in addition to the local symptoms. For instance. than Colocynth. You will see quite a number of adolescent girls who get most violent dysmenorrhoea. Colocynth. and very often Ipecac. I have seen it useful in gall-bladder attacks. and it has very much the same sort of pain.they very often describe is as cutting pain in the lower abdomen they get hot and sweaty and deadly sick so that they cannot stand up and any movement makes them worse. Mag. but I think that is more rare. associated with the same intense nausea. Phos. and is liable to be violently angry if the relief is not forthcoming. Phos. is much more cutting than the acute spasmodic pain occurring in most other drugs. But the outstanding feature of Ipecac. has given the most astonishing relief. Phos. I have never tried it in renal case. Mag. There is one other drug I want to mention because one tends to forget it as a colic medicine. then subsiding. and if so it is much more likely to be Lycopodium than either of the other two. I have seen several cases of renal colic. as I say. He is frightfully impatient. there is apt to be a tendency to giddiness. . say dysmenorrhoea. Very often one or other of these drugs has kept a patient in a surprising degree of comfort till death supervened. that is to say. Both these drugs have a marked aggravation from cold. There is another drug which is very useful as a contrast to these two. is the feeling of intense nausea which develops with each spasm of pain. they are rather warm-blood people. either a dysmenorrhoea or an abdominal colic. It is one of the very useful drugs and. and it is sometimes more comfortable for him pressure. and that is Dioscorea. It Is always an intestinal colic in which I expect to find indications for one or other of these drugs. it is more commonly in uterine cases that you get indications for it.and I think this applies much more commonly to uterine than to intestinal colic has followed on an attack of anger it is almost of anger it is almost certainly Colocynth. whereas when Mag. In an ordinary acute colic. in a few intestinal colics.Encyclopaedia Homeopathica 10 There are one or two distinguishing points which help you to choose between Colocynth. In all three there is a tendency for the flatulence to be stuck in various pockets in the abdomen. Phos. In these malignant colics I never th go high. It may be associated with a gall-bladder disturbance. and with the spasm of pain . which have responded to Ipecac. and even the tendency to dysmenorrhoea altogether. you require. and it is surprising the relief you can get. or Mag. a very violent. Phos. Phos. one of the ones one tends to overlook. wants something done at once. These are two of the most useful drugs in the Materia Medica for colics. characteristic that in spite of that feeling of deathly sickness the patient has a clean tongue. not Mag. spasmodic colic coming on quite suddenly. but this is not present in Mag. The character of the pain described in Ipecac. will stop the attack. Accompanying that nausea is the other Ipecac. particularly on turning more especially to the left. Archibel S.. is not so extremely sensitive to cold air in its neighbourhood. whereas Colocynth.A. Phos. you find them bending back as far as possible. there is not the same degree of irritability. is one of the most useful colic drugs we haven and the indications for it are very clear and definite. tends to have a slightly coated tongue. If the colic is the result of over-indulgence in cheese it is Colocynth. you get © Copyright 2000. Another distinguishing point between the two is that in Colocynth. and Mag. and the patient is distraught because of the intensity of the pain rather than violently angry. a little more marked in Mag. Where you have a report that the colic . I give a 10M and the relief is almost immediate. Phos. that is indicated. it is much more likely to be Mag. is indicated it usually is clean. is exceedingly sensitive to a draught on the area. Where you get that extreme extension of the spine you can give Dioscorea every time without asking any further questions. Dioscorea has the same relief from applied heat. If the pain is the result of exposure to cold. With Colocynth. instead of the patients being doubled up with pain they are hyper-extended. from the administration of Colocynth. Phos. a 30 potency is sufficient. in the attacks of colic you always find the patient intensely irritable. I have seen cases of intestinal carcinoma with partial obstruction in which the patients were suffering from intense recurring colicky pains coming to a head and then subsiding. has also done wonders. There are three drugs I always tend to associate in my own mind for colics : Lycopodium. And the only drug I know which has that violent abdominal colic which does get relief from extreme extension is Dioscorea. the reason being that in all three the colic is accompanied by violent abdominal flatulence. wants immediate relief. and in a case of violent dysmenorrhoea. Ipecac. but. particularly if it is the digestive tract that is upset. and the same applies to intestinal colics. rising up to head. even in cases of intestinal obstruction. than in Colocynth. Another point that sometimes helps in your selection is that Colocynth. In Mag. and that is Ipecacuanha. Phos. They have a perfectly clean tongue and a normal temperature. in contradistinction to the other two drugs. though it likes hot applications. Raphanus and Opium.

It has a 7 o'clock in the morning peak temperature. The Raphanus type of post-operative colic is again slightly different. That is the general picture. and it is one of the most commonly indicated drugs in a paralytic ileus. © Copyright 2000. Where you have definite paralytic conditions like a paralytic ileus following abdominal section you are more likely to get indications for Raphanus and Opium than for Lycopodium. in Raphanus you get pockets of wind. or the swelling up in the middle as in Opium. wants to push the blankets off. down towards the right iliac fossa. . limp. and then subsiding.m. or as if something were being forced through a very narrow opening.Encyclopaedia Homeopathica 11 irregular areas of distension. followed by fresh areas doing exactly the same. of course. the Podophyllum patients are very miserable and depressed. feels the bed abominably hot. but if the paralytic condition happens to be more in the region of the caecum the indications are probably for Lycopodium rather than for the other two. Another point that leads to the selection of Opium is that which these attacks of colic the Opium patient tends to become very flushed and hot. That hyperaesthesia to noise made me think of Opium. and I have seen quite a number of them now. In acute attacks of pain the patients tend to get a little flushed. getting quite hard. In all three you are likely to get indications in post-operative abdominal distensions. but then you prescribe it much more on the diarrhoea symptoms than on those of the colic. there is apt to be a definite area of distension. I remember one patient who had a paralytic ileus after an abdominal section and as he was working up to another attack of vomiting he had that hyperaesthesia to noise more marked than I have ever seen it. Archibel S. For instance. having found this potency worked I have stuck to it. The area of distension in Opium is likely to be in the centre of the abdomen rather than in the right iliac fossa. and after the spasm has subsided tends to become very pale. Instead of getting the right side of the abdomen distended as in Lycopodium. in fact they do not seem to be able to get rid of their wind at all either upwards or downwards. and there are one or two distinguishing points which help you. These pockets of wind may be in any part of the abdomen. In Lycopodium you are very liable to get a late afternoon period of extreme distress. post-operative cases. pale complexion. and it is astonishing how quickly after a dose of this remedy the disturbance subsides and the patient begins to pass flatulence quite comfortably. I usually give a higher potency because these cases are pretty extreme. I think in these cases where you have Podophyllum indicated in hepatic colic you always have a degree of infection of the gall-bladder. This hyperaesthesia is worth remembering as it is so different from the sluggish condition induced by the administration of Opium in material doses. and spread over to the left side. and the patient may say that he gets a feeling as if everything simply churned up to one point and could not get past it. but not so flushed as the Opium patients. I mean with acute diarrhoea. Podophyllum you will find useful in hepatic colics mainly. almost disgusted with life. In Opium. whereas in the other two it remains more or less localised in the one definite area. Where there is eructation the patients usually complain of a very sour taste in Lycopodium cases. But it is these small isolated pockets coming up in irregular areas throughout the abdomen which give you your main lead in Raphanus cases. a small area coming up in one place. There is likely to be very much more rumbling and gurgling in the abdomen in Lycopodium. th In post-operative cases I usually give Lycopodium in 200 potency. and it may be pretty marked. Another point that sometimes puts you on to Opium is that when the pains are developing and coming up to a head the Opium patients develop an extreme hyperaesthesia to noise. But you do get indications for it in hepatic colics purely on the local symptoms. but I am trying to pick out those most useful in emergencies.A. In addition to that. and often stuporose. In Lycopodium you usually have a somewhat emaciated patient with a rather sallow. In Raphanus I always use the 200 s. There is always a degree of jaundice in the gall-bladder cases. aggravation of Lycopodium. There are. whereas in the other two the patient does not seem to get the wind up to the same extent. There is one other which you ought to know Podophyllum. or as if something were trying to squeeze the intestinal contents past some obstructing band. and there is more tendency to eructation. semi-paralytic conditions of the bowel. In Opium. in Lycopodium the colicky pain is likely to start on the right side of the abdomen. as I said. endless other drugs which have colic. and one of the first things that makes you think of the possibility of Podophyllum is the fact that the maximum temperature is in the morning and not in the evening. It is helpful in intestinal colics associated with diarrhoea. the ordinary 4 to 8 p. and it completely controlled his attack and the whole condition subsided. If the nurse in the room happened to jangle the basin into which he was going to be sick he nearly went off his head and he turned and fairly cursed her. and they do not have the tendency to eructation that one associates with Lycopodium. There are one or two points that lead you to Opium instead of the other two.

Lycopodium had always been considered to be a right-sided remedy but the peculiar point about a case in which it had proved successful was that the pain had been left-sided and when the case had been X-rayed it had been found that the right kidney was more involved than the left. It was possible to prescribe homoeopathically without covering the whole of the case. blue face and blue nails.mental fear. it is more in the epigastrium as a whole. Paterson that Digitalis 200. was very effective in the semi-chronic or chronic case of the right sided congestion. Arsenic and Sulphur his experience was that Arsenic was often the acute of Sulphur and on the mental side they were the exact opposite. and it worked and on the second occasion there was a different totality. There were one or two points he would like to mention with regard to Aconite which. It is astonishing how often one gets this indication. She also used mother tincture Crataegus for heart patients because it was specific for the cardiac muscle. The pains are twisting in character. . and they are much aggravated by taking food. He had had an acute case with Cheyne-Stokes respiration. Borland's paper. To have such cases so plainly stated with the drug indications for them was very valuable.A. Borland had said. the Aconite had removed one phase of the case . one dose. He wanted to criticize something Dr. and then you generally see the patient lying in bed stroking the liver region. In every case where the morning temperature and that relief from stroking have put me on to Podophyllum I have found that the other symptoms fitted in. and the Aconite did not work. He was interested in the question of Aconite acting in the first attack but not in the second. so that even with a left-sided renal colic Lycopodium should not be excluded. mcCrae thought the paper was a masterpiece. When I see an infected gall-bladder with a morning temperature instead of an evening one I immediately think of Podophyllum. and you find these patients lying stroking the liver. Another remedy was Natrum Mur. Dr. Dr. With regard to the cardiac cases. G. One found that a Sulphur patient swung in an acute condition to Arsenic and Dr. In these Podophyllum cases when the acute pain has subsided there is a horrible feeling of soreness in the liver region. Another drug which was used in Russia was Adonis mother © Copyright 2000. He wondered if any orthodox practitioners were surprised that there was no mention of Digitalis but Digitalis was quite useful in these slightly relaxing hearts in homoeopathic doses. Paterson said when he took the Aconite example as not prescribing on the totality. Dr. hardy added her grateful thanks to Dr. Dr. It was only when the right kidney was involved that the first symptom developed. Mitchell said that a clinical paper was most useful. so that it looked as if the actual renal colic condition started in the left kidney but gave no trouble. With regard to medicines for heart complaints she agreed with Dr. only covering a phase because obviously on the next occasion the pain was present but not the fear. He also thanked the President for the way in which he had read the paper. Discussion Dr. Borland would soon return so that the members could thank him personally. not in the massive doses given in allopathic medicine. There had been many discussions about covering the totality of the symptoms and here was evidence that the homoeopathic remedy could be prescribed on the mental symptoms which worked in the first instance but it did not cover the whole of the case. it looked as if the patient would die. but one might add a little. and tends to spread across from the middle of the epigastrium towards the liver region. which gives a great sense of comfort. Dr. There was not much which one could criticize. He hoped Dr.Encyclopaedia Homeopathica 12 In the majority of these cases the pain is not definitely localized in the gall-bladder area. in examining the stools of patients the Bacillus Morgan came out very frequently and he associated Lycopodium with it. there were details of valuable help to everybody which were like the artist sharpening his pencil to produce some line of particular splendour which would make the picture complete. he gave Hydrocyanic Acid and he recovered very nicely. With regard to renal colic. That was the way he would regarded the matter. There was nothing in it to criticize. Borland for his paper. who was always coming up against acute cases. Borland said he gave Laurocerasus in acute heart complaints. John Paterson said that they had listened to a real clinical paper. was very useful in many cases. The case which he did not mention was the acute pulmonary oedema. Stonham said that the paper was excellent and the sort of paper which would appeal to the general practitioner. Aconite came out very strongly in the air raids. Most had pencils but they were blunt. Archibel S. Borland had brought out that point. on all the manifestations. Many people would substantiate the value of Dr. but not in the acute patient. Aconite was the drug. and the homoeopath would always be grateful for these amazingly useful hints. R. He would have thought it was an example of prescribing on that procedure because in the first case. He had given Aconite 30 in such cases and it quickly calmed the patient in that distressing and somewhat dangerous condition and he had found it valuable not only in the first case but also in cases when the attack has been repeated. as Dr.

he had watched these things and had been able to classify them. Phos. The mental aspects characterized the whole case. which cleared up in ten minutes. He must have made it easier for beginners by his ability to get into the other person's mind the essentials of a very wide experience.Encyclopaedia Homeopathica 13 tincture. Wheeler thought that as all the members felt the same about Dr. and would like to see the next case which came along. Ghai said that during the last four or five years he could not remember a case where he had used morphia in a very large panel and private practice. and almost immediately there was no need for him to attend. One liked to have something at the back of one's mind which could help immediately without having to think too completely of other remedies. Hardy added that Bryonia was very useful. but he was rather surprised that Dr. Borland's paper a special message should be sent to him from the meeting. With regard to heart cases he had had a lot of help from Chamomilla. he thought that the mental aspects were not so much mental as characteristic of the whole case. From the earlier years that he knew Dr. Pulsatilla was very useful but usually in the Pulsatilla patient the pain did not come and go constantly. Dr. and when death threatened the patient the prescriber should think of the Snake Poisons. Alva Benjamin said that with regard to the collapse cases one would have thought that Dr. Borland did not make more use of the Snake Poisons in heart cases because he must admit he would not be without Lachesis. The paper would require a great deal of study. In one case she gave a dose of Bryonia where the patient was lying on the painful side and did not want to move. and Colocynth. It was not merely one or two cases. Archibel S. Le Hunte Cooper did not think too much could be said about the work which had been put into this paper and the wonderful collection of details on which indications had been given and which were of the greatest possible value." Another point was that he thought a little more might have been made of Pulsatilla for the ear. but at first one might fall between two stools. He personally had never been able to decide whether Colocynth. flushed. think of the Snake Poisons. although the paper was long there was no over-elaboration of detail. and Momordica in splenic lesions. He asked Dr. one © Copyright 2000. Cunningham to come to see the case. He was rather in favour of trying to keep the remedies which were very definitely specific for particular conditions because in cases where there was an emergency. Borland. dilated pupils with the pain coming and going constantly. was a left sided drug. In her personal experience Raphanus was indicated in the hepatic lesions. Borland had mentioned were unfamiliar. There were one or two points which he would mention. he had given it for left-side neuralgia. He could recall three or four cases of children with earache. In one of his own cases of a child of 11 or 12 with asthma who was in a dreadful state he gave Aconite and within a few moments she was relatively easy. meantime giving the child Bryonia 10M. In one case the child was developing mastoid. His principal feeling as he listened was certainly one of enjoyment but also of regret that he had not been able to sit under Dr. Borland would have mentioned Veratrum Album for cases of great coldness and excessive sweating.that the patient did not respond and that it must therefore be cancer. Dr. five drops to a dose. "When death threatens. The most prominent ingredient in tincture of Colocynth. Dr.A. which was death. He had had other cases in which he found Bryonia 10M extremely valuable. although the speaker would admit that he had never given Oxalic Acid in heart emergencies. Dr. She had a very bad case of cancer which was cured by Lachesis. There was one rather interesting point from the homoeopathic point of view with regard to Snake Poisons and that was to think of the first thing which an individual felt when he was bitten by a snake. Phos. . Borland would be gratified to know that his paper had been enjoyed so much. was Mag. so that these indications could be taken for future use. he had found It admirable. Borland did not mention Bryonia for inflammatory conditions. The case was Lachesis to start with and that did not exclude the possibility of cancer. Dr. E. a liver case with constant pain. His experience was that a pain in the ear was met by Pulsatilla irrespective of the indications of the Pulsatilla patient. Dr. It was not that the drugs Dr. so that in prescribing Colocynth. In the Berliner Tageblatte there appeared in headlines. for which he gave Belladonna 30 and the next day the child was better. There was a remark which she did not like about Chelidonium . particularly when the pain was very severe. If one had too many remedies they came in afterwards. Dr. Fraser Kerr said that the Aconite cases had interested him. in this way they were classified. With regard to ear cases he was surprised Dr. there was no time to seek for all the exact indications which might help. Borland he had always realized that he had the gift of classifying his experience to himself and getting the maximum value of it and that was why he could express himself clearly. If there was any suggestion of heart failure he would give Lachesis and would be surprised if it did not answer. C. He had managed to get what he wanted to say into a succinct space. He mentioned this in a paper he read on Snake Poisons in Berlin just before the war and it attracted the attention of reporters who were present. The first was the relation drawn between Mag.

it did not. With regard to dysmenorrhoeal pain where there was excessive periods and nausea. Tart. A far more detailed knowledge of the proportions of mineral ingredients in the vegetable tinctures was needed. Alb. Phos. If there was scar tissue present in the posterior root it would take more than one dose of Ranunculus to remove it. This was not a true sciatica. Belladonna and Chamomilla to abort and avoid discharge. but how often did one get it? Kali Iod. Phos. and he made it because it was the general observation which enabled one to see whether the point had substance and one which should be studied. Sciatica was rarely easy. Borland had elaborated on the appearance of the patient. had not been given? I there was to be research he would suggest that this was a suitable subject. indicate Colocynth. With regard to otitis media he felt that the success obtained depended on the stage at which the doctor was called in. but he was frequently surprised how rarely this was required. which raised an interesting point. was the drug where the patient would not SIT DOWN in the consulting room. Rhus had to be considered in the fibrositic conditions. he would have thought of Ipecac. therefore. Archibel S.the pain. had a great and justifiable reputation as the "corpse reviver" and it did work when the appropriate symptoms were present. . that Dr. He had seen Capsicum successful where there was tenderness and swelling of the mastoid. Tart. He did not think atropine was a pain reliever. was indicated and proved efficacious. It had been in his mind since he realized that tinctures were mixtures. . if pain was due to coronary thrombosis he doubted if the high potency alone should ease this particular pain in a matter of minutes. but with otitis media and a purulent discharge he would not delay in seeking the advice of the aurist. Again with fifth nerve neuralgia it was question of stage at which the doctor saw the patient. Phos. Supra-orbital neuralgia after sinus trouble was interesting. Post-herpetic pain was another difficult condition to influence. that would be a strong indication to him. e. The Colocynth. Borland was not more specific in his diagnoses.g. Alb. If it was a chronic case the treatment was not easy. and Arsenic covered the pathology of the condition as well. possibly because one did not always get the symptoms. for the must admit that he did not get such good results. he wondered. That was the point in his mind. and frequently he found that China Sulph.. The typical Colocynth. case where the pain was better for lying on the painful side was often quoted. and Verat. and like confinements many of these emergencies did occur at night. Dr. and people talked as if a mastoid arose suddenly. Such research might throw a great deal of light on some symptoms when they would be associated in that way. Most of the emergencies he saw were unable to give symptoms and one had to judge on appearances. There were potassium salts in Pulsatilla and it was the potassium salt which stood out in a particular tincture.? Was it not probable that the vehicle was important and that it would not be so effective if the Mag. Many of these cases had already received Ranunculus in the acute condition. One useful indication for Lycopodium in renal colic was pain in the back better on passing urine. had a pulmonary pathology. Borland mentioned the symptoms of Dioscorea where the patient rolled about and did not know what to do . In Podophyllum the one outstanding symptom was that there was normally a gastro-colic reflex-taking food into the stomach stimulated the movement of the colon and there had to be a motion after every meal. Carbo veg. was useful in heart cases because he believed the pathology was different. Why was this. With regard to drugs. but Clarke stresses the symptom "moves all over the place to get relief".A. He was sorry that Dr. lees Templeton said that most of them felt that they had been back at school and he felt not only humbled but humiliated. Here the amelioration of Dioscorea was rarely obtained. He would suggest that a definite expression of pleasure for his paper should be sent to Dr. he did not find Ant. Did Mag. Some might say © Copyright 2000. but how rarely one did get to it early! Beyond that stage it was not so easy. as shown by the improvement from exercise.a very useful indication. a true sciatica rarely was. If he got in early and there were good indications the result could be very good. The wait with the patient for four or five hours for the second presentation was a serious matter when one was called out in the middle of the night. it was a relaxer. whether the drug which presumably was responsible for the relief of a group of symptoms would be just as effective if it were given alone. it was not a question of an earache today and a mastoid tomorrow. Lycopodium contained a lot of Silica and so on. Borland. because that was important. so did Belladonna and the balsam compounds. As well as giving the homoeopathic remedy in these colic cases he confessed he often left something more palliative. etc. The drug he found most useful in the acute condition was Arsenic where the eruption was widespread. Pulsatilla and Silica were the great polychrests in otitis media with discharge. He was glad. With reference to the colics he was glad Dr. W. not cardiac. and he had verified its value in collapse. He thought Ant. Phos.Encyclopaedia Homeopathica 14 was giving Mag. was chosen on the whole symptomatology which was all in Mag. Cold sweat he looked upon as a guiding symptom for Verat.

15 He would like to stress again the importance of the objective description of the symptoms in these emergencies . the exception being the very tough drums which she occasionally had to refer to Dr. In his clinic he advised that if local modalities were good. If the left ear was affected she often found Silica useful. and had found Dr. and she had found Pulsatilla so often indicated if the condition affected the right ear that she almost tended to use it as a routine remedy. but with a history of acute earache for one or two nights. with regard to Veratrum Alb. but if the condition was chronic he feared that to claim too much would only lead to disappointment. Dr. if the child was so hypersensitive to pain that he or she cried before being touched. Phos. autumn. and what success she had in acute prescribing she felt was due to his teaching. Ghai's remarks on Belladonna in earaches. he had a very severe diarrhoea one day. brothers. Wheeler that Verat. For two years she had amalgam in that tooth and she had to have it removed. With regard to dysmenorrhoea very often Mag. -So far as the actual local symptoms are concerned. Cooper. If of short duration and there was little pathological change. and Hepar Sulph. Alb. speedy results could be obtained. Very often there were no indications on which o prescribe at all.the appearance of the patient. and in twenty minutes was relieved. she agreed with Dr. Tyler's experiences of Tuberculinum also most effective in this condition. but Arnica for a tired heart was useful. One had to be careful that there was not some such cause for pain in the face. Most of her ear cases either cleared up or discharged. but only as a result of a serious study of the whole case. but he doubted if this was so. With regard to Dr. He would not say very much about the drugs. He did not agree with Dr. a feeling © Copyright 2000. They all knew that Carbo veg. He had found great pleasure in reading the paper. winter and spring. to prescribe in the first instance one these alone. Archibel S. the other day : John sat on the chair. A. He took a dose of Veratrum Alb. and it very often eliminated the need for Mag. he got her X-rayed and found a black speck in one of her teeth. A patient came to him with neuralgia in the face. M. with constant thirst and desire for small sips of ice-cold waster. Borland whom she considered our most brilliant prescriber in acute conditions. but he emphasized this method only where the local symptoms were good. extreme anxiety.A. In her children's clinic she had a great number of cases of otitis media and most of them came not necessarily in the very acute stage when probably Belladonna might be indicated. with extreme fear. The President said that a message would be sent to Dr. BORLAND D. Kit sat on his mother's knee but John would not do so. just then with the high cold winds it was Belladonna. it often depended on the season of the year.Encyclopaedia Homeopathica that it was a mechanical relief. the main complaint is of a feeling of extreme cardiac pressure. The Treatment of Certain Heart Conditions (bl2) BORLAND Douglas M. He saw two boys. was a "corpse reviver". On examination of the drums there would be redness and possibly bulging. Phos. would help in the acute attack. position and movements were usually all one had to prescribe on. with a cold clammy sweat. He was typical Bryonia case and the other child was a typical Pulsatilla. . although he would do anything for his mother. and the remedy which had helped him the most was Tuberculinum 6. and only when this failed to take the whole case. No that results could not be obtained. In painful conditions so much depended on circumstances. mental and physical restlessness. Moncrieff added her thanks to Dr. There were remedies suitable for summer. his colour. there was no drug for any one complaint.. was very useful in dysmenorrhoea accompanied with vomiting. Cunningham. Acute heart failure Arsenicum album -There will be the typical Arsenic mental distress. Borland. With regard to colics.

the patient no longer responds to Arsenic and collapses and dies. patient is very much aggravated by heat. or 4. In a case of that sort. if one does not get a response to Arsenic within a quarter of an hour the patient is not an Arsenic patient. -They have a feeling of fullness in the chest rather than the feeling of acute pressure found in Arsenic. But to that one has to get in the secondary drug within 4 to 6 hours of the primary collapse while the patient is responding to the Arsenic. Archibel S. -These are the two commonest drugs. the restlessness beginning to subside. -I found that when I did this they did not get the secondary collapse.hunger. or 6 hours the symptoms begin to come back. much more hopeless.. The first response that one ought to get is a diminution of the patient's mental anxiety and extreme fear. and especially by any stuffiness in the atmosphere. and the patient beginning to feel a little warmer. In these acute Arsenic cases if one has set up a reaction at all one has to take advantage of the reaction. The Arsenic seems to act very much like a temporary cardiac stimulant. more depressed. but whatever the response is one ought to be able to follow it up immediately the reaction is well under way. patients do not like a stream of air circulating round them. patients present a somewhat similar picture. -Another contrast is that the Antimony tart. They very often have a peculiar pinched. uncomfortable mouth. and feel that they are just going to die. getting a little warmer. because this is the kind of case that will die very rapidly and no time should be wasted on low potencies. if one has a case of this type it is the kind of collapse one meets with after a pneumonic crisis if © Copyright 2000. wrinkled. -In contrast to Arsenic. but there are clear points of difference. -The patients as a rule are cold. -Another point which helps you in your Antimony tart. one never sees an Antimony tart. in fact anything to drink seems to increase the patient's distress. still with air. but that is by no means constant. diffuse rales in the lower parts of the chest on both sides. Antimonium tartaricum -The Antimony tart. certainly to begin with. Equally one can see them going to the other extreme where they are too hot. and then in 3. -This seems to be one of the very few instances in which one appears to ride right across the dictum that so long as the patient is improving one carries on with the same drug. though they may complain of some burning pain in the chest.Encyclopaedia Homeopathica 16 of great weight or constriction of the chest. namely. and going on to Sulphur. but they like it still. -In a case of that sort my experience has been that one is wise to administer the highest potency of Arsenic available. a little less drawn. otherwise there is great danger of a secondary collapse which one cannot combat. there is none of the thirst one meets with in Arsenic. and they give you the impression of being very dangerously ill. -In appearance. selection is that practically all these patients have a very thickly coated tongue a white coat with a rather sticky. -There is a very important practical point in connection with these cases. and if one does not do so the patient will sink. The patients are more down and out. a little less pinched. That was my experience at one time. the patient is better. There is one point worth nothing here as a contrast between Antimony tart. They are grey. and Carbo veg. And one usually finds pretty generalized. everyone feels he is getting over it. patients there is a very early tendency to oedema of the lower extremities. with irregular waves of heat and cold. This may involve the whole extremities or may be confined to the finger and toe nails. they want the room fresh. I am merely throwing it out as a help. may be a little cyanotic. a little less anxious. there is more a definite tendency towards cyanosis than in Arsenic. -Again. and the response to Arsenic should be equally quick. I have found these Arsenic cases go on to in the reactive stage are Phosphorus or Sulphur. patient without very definite signs of cyanosis. . grey appearance. and going on to a typical Phosphorous. and one saved them. as a rule. rather tending to push the blankets off. anxious Arsenic patient responding. a little more color. Associated with this the patients feel as if they cannot get enough air into the lungs. a little less grey. -Then it began to dawn on me that had I cut in with another drug during the reactive period I could have carried these patients on. -One never sees the same kind of mental anxiety in Antimony tart. -In most of these Antimony tart. that one very often sees a case of this sort which responds perfectly well. -One can easily picture that grey. -As a rule in these cases one gets a history that the attack has developed quite suddenly. they feel cold. They are never quite so restless and never quite so pale. pinched. -In Antimony tart.A. they always look extremely anxious. about every 15 minutes. -The drugs which. and I find that in the majority of these cases one has to repeat the dose. Antimony tart. their lips are rather pale.

but there is a peculiar mottled cyanosis in Oxalic acid which one does not get in the other drugs. the follow-up drug will be found to be Sulphur. in spite of their desire to be uncovered. patients. It is wise then to hunt round for a second drug in case of need. the patients always complain of a feeling of the most intense exhaustion. have not a very clear idea of where they are or what is going to happen to them. was dead beat. All the patients of that type that I have seen have had left basal pneumonias. in contrast to the Arsenic patients. but in addition to that there is a peculiar mottled appearance of the hands and feet which is quite distinctive of Oxalic acid. -First. and they have none of the Arsenic thirst. They have the cold sweaty skin. movement of any kind vastly increases their distress. and the intolerance of the blankets round the upper part of the neck or chest. There is a somewhat similar mottled. it is a sharp pricking sort of pain which usually comes through from the back and may run up the left side of the sternum towards the clavicle. it does not follow that a higher potency of Carbo veg. -The next point is that they always have a feeling of horrible distension. should always be considered. -One does not have to be on the jump to find the follow-up drug as one has to be in the Arsenic case. and it is much better to hunt round for a fresh drug to keep up the reaction. any attempt to eat or drink tends very much to increase their distress. Chronic heart failure © Copyright 2000. because some Carbo veg. and their cardiac distress is always associated with a good deal of flatulence. If one finds a patient who has responded up to a point on Carbo veg. they cannot bear to have the bedclothes round their necks. very often over the malar bones.Encyclopaedia Homeopathica the patient responds to Antimony tart. these Carbo veg.. -I think in Carbo veg. patients do relapse. and collapsed. They have the most intense air hunger. the surface becoming warmer. they feel as if the legs are just lumps of lead. -The skin surface is just about as cold and clammy as it is in Carbo veg. and the distress less acute. Oxalicum acidum -has one or two very outstanding symptoms which are often met with in cases of collapse. But one does get indications for it in chronic cardiac cases as well. precordial pains. Associated with that exhaustion there is usually a sense of numbness. and they cannot get them warm at all. and they do definitely benefit from the administration of oxygen. rather foggy in their outlook. and they reacted beautifully to Oxalic acid. and there is none of the underlying blueness one associates with Antimony tart. sweating less. seemed to have lost all strength. As a rule it does not. or down the left side of the sternum into the epigastrium. they are mentally dull. . I remember seeing two or three cases which apparently were doing quite well on Natrum sulph. Often when the patient has responded only up to a point to the administration of Carbo veg. is that. It is very often complained of not so much in the chest as in the upper abdomen. in spite of their cold clammy extremities. -The most startling cases giving this picture that I have seen have been in the critical stage of an influenzal pneumonia where the patient was just petering out. Archibel S. it will carry him through. but Kali carb. The patients very often they say they don't feel as if they had any legs at all. cyanotic appearance in the face. one has to be careful as to how long one is to keep up the administration once the patient is responding. 17 Carbo vegetabilis -presents the classical picture of patients with all the symptoms of collapse. -The pain is not like the typical angina's pain. most of these Oxalic acid patients complain of peculiar. an. is going to carry on the good work. and which are a great help in the selection of the drug. although many of them make quite a straight recovery on Carbo veg. want to keep absolutely dead still. they want the air blowing on them. sharp. -The patients. The finger tips and finger nails and toe nails will be definitely cyanotic. -Like the Antimony tart. the lips tend to be pale rather than cyanotic. patients.A. and the heart was just giving out. very definite. Another apparent contradiction you come across in Carbo veg. patients complain of ice-cold extremities. -They are very much paler than the Antimony tart. One does have to be careful. -In addition to their general distress.

particularly the smell of food. and they wake up in increased distress. as they tend to get worse. It feels as if the heart just runs away. stitching pain. That is the sort of underlying color one associates with Laurocerasus. They all suffer from a feeling of tightness or constriction in the chest. If the feeling of constriction is more marked. a little paler than Lachesis. and once this has appeared the patient's cough is more troublesome unless they are reasonably propped up. But in a certain number of these cases there are rather acute stitching pains which go right through the the chest from the precordium to the region of the scapula. then two or three long breaths. one tends to give Lachesis. They get acute suffocative attacks when they fall asleep. They all have a marked aggravation after sleep. their hands are shaky. associated with very marked numbness. are rather congested. one tends to give Naja. but one would be guided to the choice by the septic state rather than by the cardiac symptoms per se. I think possibly Naja is a little less red. they are better in a semi-prone position. and I find the easiest way to remember it is to picture to oneself the appearance presented by a congenital heart of about 16 to 18 years of age. and they dislike a hot stuffy room. -All these Snake Poison patients in their cardiac distresses have a marked aggravation from being turned over on the left side. Semi-prone is the position of choice. And where that numbness is pronounced one tends to give Naja in preference to Lachesis. -Lastly. -The patients tend to be pale rather than cyanotic. become difficult and suspicious. All are sensitive to heat. then two or three gasps. they feel hot. They very often tell one it feels as if their heart had suddenly run away and was just going mad. these Lycopus patients have an intense dislike of any food. and the type of dyspnoea is very nearly Cheyne Stokes in character. and the peculiar bluish appearance almost like ripe grapes of the lips. somewhat clubbed fingers. particularly in the left arm and hand. Lycopodium clavatum -One gets indications for Lycopus in a case in which the heart is just beginning to fail. But their general symptoms are identical. it is beginning to dilate a little. it sets up an acute irritation. For example. You know the peculiar bluish red appearance of the congenital heart. -If the the pain. Archibel S. This is accompanied by a feeling of intense throbbing extending up into the neck and right into the head. and so it goes on. . Another Lycopus distinguishing symptom is that their distress is vastly increased by turning over on the right side a contrast with the Snake Poisons which are worse turning over on the left side. and they are all intolerant of any weight or pressure of the bedclothes. and the pulse is tending to become a little irregular.Encyclopaedia Homeopathica 18 Lachesis mutus -In all these cases indicating the Snake Poisons there is a rather purplish bloated appearance. again. If there were nothing more than that one would give them Lachesis. and they are always restless. When lying the cough is worse. -And most of them. They take a sudden gust for breath. The outstanding symptom of the Lycopus case is that the patients complain of a horrible tumultuous sensation in the cardiac region. -There is a marked tendency to the early development of hypostatic pneumonia in such cases.A. -To my mind the the choice of one of the other Shake Poisons as distinct from Lachesis and Naja in such cases is always governed by the general symptom picture rather than by the purely cardiac picture. then a pause. -Another feature is that the respiratory dyspnoea gets very much worse if they are sat up. but that is not very striking. Sitting bolt upright produces a feeling of extreme constriction of the chest. or any tight clothing round the upper part of the chest or the neck. less bloated looking. -These patients always suffer from extreme dyspnoea. then the breathing gets gradually shallower. one may require Crotalus horridus in a case of failing heart associated with acute sepsis. which. -The other Lycopus symptom which helps one is that accompanying thus tumult taking place in the chest there is a very marked tendency to cough. and they cough. -All of them have a very marked tremor. is more marked. more commonly in the upper part of the chest. Laurocerasus -The Laurocerasus picture is very definite. © Copyright 2000.

and Arsenic does relieve these quite quickly. -That is one point about the Cactus indications. of course. . and the fear were nothing like so marked because he had come through one attack before. I have never seen Arsenic do anything in an anginous attack except in the rather broken down. He is quite unable to keep still. and Aconite had no effect at all. burning sensation in the chest. drawn appearances which you get in Arsenic they © Copyright 2000. -It is that feeling of increasing tension which gives the Cactus indication. however. and yet any movement seems to aggravate his distress. Aconite is unlikely to help him. who is a bit pale. because it acts much more quickly. Arsenicum album -Occasionally one comes across a patient having an anginous attack with very similar constricting feelings. Iodium -There is another type of case which is very similar to that. and I gave Aconite 10 m. rather withered looking. -That man had a similar attack at a later date. In a case of that sort a dose of Aconite high will give relief almost instantaneously. -He feels as if he had a tight band round the chest which was gradually becoming tighter and tighter and that if this tightness does not let up soon the heart will be unable to function. is rather anxious and worried. it is more a conviction that he has an absolutely incurable condition which will eventually wipe him out. but still a definite feeling of constriction. Cactus has a good deal of anxiety and fear. as my highest potency in general practice. It is almost instantaneous. but. distressing.Encyclopaedia Homeopathica 19 Angina and pseudoangina Aconitum napellus -If one thinks for a moment of any cases of the kind one has seen one finds. and that he is going to die very speedily. It is not a fear that the immediate attack will kill him. ill-looking patient. -In these acute conditions I always give my drug high. very chilly. I have seen such a case and put a dose of Aconite on the patient's tongue. The patient has been ailing for some time. very definitely anxious. Aconite does relieve him right away.A. That has been my experience. but the feeling of constriction. just exactly how the majority of angina's patients describe their feeling. but it does not act in a second or later attack. Where one is dealing with the first attack and the patient is quite certain he is going to die. but it is quite different from that of Aconite. I usually carried 10 m. These anginous patients respond very well to a dose of Arsenic. with that sense of constriction accompanied by the burning discomfort in the chest. instead of the pale. I think. The patients are just about as anxious as the Arsenicum patients in fact all these anginous patients are anxious but instead of the intense chilliness of the Arsenic they are uncomfortable in heat and in a stuffy atmosphere. with very much the same sensation. the distress. They are just about as restless. Archibel S. which is. -In addition to the constriction there may be stabbing radiating pains from the precordium. If he has had a previous attack. The patient is certain he is going to die. and the anxiety. fearful. and he is terrified. and before the medicine could be swallowed the patient was feeling better. the feeling of tension. Cactus grandiflorus -If you have a patient who is having a later attack much the most likely drug to help is Cactus. and accompanying the feeling of constriction there is a pretty acute. is described as being actually in the heart itself rather than involving the whole of the side of the chest. and one must get relief as quickly as possible. but they are not so characteristic of Cactus as the intense constricting feeling. Another point is the type of the actual distress of which the patient complains. not quite so intense as in Cactus where it seems to dominate the whole picture. So if one gets a man in his first attack a dose of Aconite will probably help and in no time he will be feeling more comfortable. that the outstanding characteristic of the majority of these cases in their first attack is an absolutely overwhelming fear.

although they have not been putting on weight. and. It feels as if the heart gets bigger and bigger until it would finally burst. wrinkled Arsenicum appearance. Spigelia anthelmia -There is another drug which is useful in the case which has not got the typical anginous constriction. The patients themselves are chilly. Spongia tosta -There is yet another type of case in which instead of the complaint being of constriction it is of a sensation of progressive swelling in the heart region. namely. and any draught of air increases their distress. -In such a condition there will be the usual accompanying symptoms. -In addition to their stabbing pains they have the anginous sense of constriction. and not infrequently they complain of numbness of the lower extremities. Cratoegus Oxyacantha and Lactrodectus mactans. tightness. and it is accompanied by pretty acute pain. and they very often have an intense hyperaesthesia of the chest wall.Encyclopaedia Homeopathica 20 tend to be rather more flushed. -And all the symptoms have cleared up entirely on doses of Lilium tig. One fails to find any cardiac lesion. of the chest wall. the face and neck give you the impression of being somewhat congested. These cases respond exceedingly well to Iodine. They are very depressed. Heart conditions in general Crataegus oxyacantha -The condition in which I have found Crataegus of the greatest value is the myocardial degeneration with a steadily failing heart. Archibel S. and they are intensely irritable. spreading up into the neck. drawn. -This sensation of fullness and swelling is very much aggravated by lying down. in spite of the fact that one gets a report that they have always been pretty good livers. or a history of having had some gynecological illness. may be across into the right side. © Copyright 2000. slight cyanosis. or may be more or less numbness involving the whole affected area. and as a rule the pain that they stress is a little eased by turning over on the right side. Lilium tigrinum -There is a condition which is not an angina at all. they are dark-haired. a certain amount of oedema. they usually complain of more or less marked numbness. These cases respond very well indeed to doses of Spigelia. If you attempt to percuss out the area of cardiac dullness the patient resents it extremely. they have very marked stabbing. dark complexioned people. too. That is to say. stabbing pains starting in the precordium. -These cases respond well to Spongia. but which one meets with in hysterical women. though very frequently there is numbness of the hand without any involvement of the arm. They are usually rather underweight. but the patients will produce a symptom. and aggravation from any exertion. radiating pains. They are sensitive to heat. signs of pulmonary congestion. -In addition to their feeling of distension. radiating pains charp. when the patient feels as if he would nearly choke. -These cases are usually associated with some kind of pelvic lesion. but has much more the pseudoanginous stabbing. steadily increasing pulse rate. Any movement aggravates the pain. and this sensation of fullness spreads up into the neck.A. particularly of the left arm and hand. they do not have the pale. -They are two other medicines which are of great value in treating heart conditions. or brings on a violent attack. and they very often have an appetite above the average. . -Accompanying the stabbing pains there is always more or less marked hyperesthesia over the precordium. they are very frightened. -As a rule.picture which one finds difficult to distinguish from a true anginous attack. as a rule. and they distress is aggravated by any movement. -I have seen quite a number of these cases now in which I have had an electrocardiogram done which showed no lesion at all.

with classical homeopathic prescribing. By using the information in this book on drainage techniques.Encyclopaedia Homeopathica 21 -In such a condition Crataegus in low potency has in my experience produced the most dramatic effects and an astonishing amount of recovery in the apparently irreparably demaged heart. nutritional.. colitis. acupuncture. Therefore. © Copyright 2000. It acts well on acute diseases such as infections. eczema. chiropractic and osteopathy. but. in addition. asthma. there is no replacement for a doctor trained in homeopathic medicine. This book can also be used at the beginning of the homeopathic medical student's training to obtain good results. it is essential that the practitioner help the patient regain and maintain their health as quickly as possible by draining or detoxifying the organs and balancing their functions through biotherapeutics. and then repeated only when necessary. Of course. Allopathic drugs may also stop certain symptoms of a chronic disease. or dependent on. therapists. Most of the chemicals physicians have on their therapeutic palette can bring on very unpleasant side effects and sometimes these side effects are very dangerous. etc. However. which may be of any degree of severity. Many patients will derive a great benefit from combining homeopathic techniques with diet. and satellite drainage remedies. colds. Homeopathic and Drainage Repertory (bkl1) BOUKO LEVY Preface FOREWORD This family book can be used everyday by mothers. environmental.. there are the usual physical signs of a failing heart. Homeopathy. however. the information obtained by using this book to analyze a critical situation will be of great help. Once a physician is consulted. -I am in the habit of giving Crataegus 3x every 3 to 4 hours for several weeks. Many homeopaths combine the new biotherapeutics of phytotherapy. . it is a complete system of medicine related to the other branches of the Healing Arts. In the past one hundred years.A. etc. and they usually have precordial pain. With this book. a definite valvular lesion. given at short intervals. The type of case in which Y have found it most useful is in a case of heart failure accompanied by. the most effective and least toxic medication can be found to treat diseases occurring in the family. Archibel S. -In such a case I have found great help from the administration of Lactrodectus 12 or 30 . Overall. BOUKO LEVY M. in Lactrodectus there is always very marked irritability. but this does not mean they can cure the patient. and the patients always complain of numbness of the left hand and arm. trace elements. These successes will allow the student to gain self confidence and appreciate how homeopathic reasoning takes into account the individual reactions of a patient. as well as on chronic diseases such as allergies. and doctors. Latrodectus mactans -The indications for Lactodectus are again in cases of cardiac failure. organotherapy. which have their roots in the old healing philosophies. -As in Cactus. is a family medicine. for a matter of 24 hours. These biotherapeutics. say 2 to 4 hours. and chemical stresses have changed and the sensitivity of the patient has increased while the strength of their immune system has declined. practitioners who are already familiar with homeopathic prescribing will add tremendously to their successes. this book can be of great assistance when there is an emergency or if a doctor is not available. headaches.. mastitis. arthritis. will help a patient reach and maintain their optimum health. athletic injuries. cystitis. phytogemmotherapy.

hormone.. This natural analogy is the basis of homeopathic reasoning and explains why homeopathic remedies are more effective than synthetic drugs at correcting disorders in the body's systems. animal. But noticing this must not paralyze us. on the contrary. will always be perishable and limited in its power to adapt. Each person is made of various layers and the homeopath must take them off carefully. and throat pathologies. how can we quickly get good results in chronic diseases? An easy way to penetrate the homeopathic world. Archibel S. cell to cell. etc. etc. Homeopathic medicines are elements taken from this system. overabundance diseases. It is also a cybernetic system in which the totality of the organization is interdependent on the dynamics of communications between subunits. trace elements. When they are prepared according to homeopathic procedures. and general ageing functions. cell. Also. D.e. It usually takes many years to become a good homeopath. either from the plant.N." . the plant. digestive disorders. the body needs assistance in detoxifying and tonifying the affected organs. The body's cleaning and fortifying abilities are naturally maintained by the wheel of emunctories.Encyclopaedia Homeopathica 22 Homeopathic medicine and cybernetics "We shall never gain complete control of nature.1929. one by one. Our solar system is known as a cybernetic system in which the planet earth and other planets interact and function as a whole system. So. Homeopathic remedies which are prepared by dilution and dynamization contain the same type of coded information that exists in these naturally occurring diluted and dynamized bodily elements.Sigmund Freud - Discomfort in the Civilization . organ to organ. the information contained in a homeopathic remedy comes from the three kingdoms of nature and is more accessible and penetrating to the systems of the body than any synthetic drug. In most cases. In other words. and mineral kingdoms. Our [body's systems also obey the same general laws as the rest of the universe: each organ. or mineral kingdom. stress management. just as in the amplitude of its functions. They are particularly effective for all chronic diseases such as allergies. animal.. As the homeopath removes each layer. i. Homeopathy is a natural system of medicine based on the experimental scientific method. The new biotherapeutic remedies Drainage The disorders that the patient presents to the homeopath are superficial expressions reflected from their deep reactive mode. nose.. The planetary system contains all the elements necessary to maintain life. vitamins.A.e. homeopathic medicine helps the individual to adapt to the general laws of the planetary system where they live and follow its evolution. are found in very small quantities and are naturally succussed or shaken about 80 times a minute by the force of the heart beat. without dangerous side effects. our organism. rheumatisms. it indicates to our being the direction to follow. defining a group in equilibrium by its entries and exits. etc. This is the perfect field of action for the new biotherapeutics which have been prepared from the three everpresent kingdoms of nature. ear. all interact and react with each other in order for the body to function within its own organization. the patient needs to stimulate the organs affected by a chronic disease. Most of the natural elements circulating in our body such as hormones. A. to penetrate deep into the mechanisms of the patient. The ecosystem is a loop or feedback system. © Copyright 2000. It needs drainage of the essential emunctories. . which is itself an element of nature. A homeopathic remedy acts with the very precise coded information that it gets more precise with increasing potencies. i. The materia medica evolves all the time and the repertories are very large. These new biotherapeutics are excellent for all ages. woman's health. is to use the techniques of drainage. vitamin. these medications become powerful natural remedies. hormone to hormone.

Organs must work in harmony with the body so that each organ can assimilate the proper nutrition from the body as well as help to maintain the health of the body. Action of the remedy according to its potency 4C stimulates the organ 7C regulates the function 9C suppresses the activity All diseases evolve to a cellular destruction of the system. the order in which the different organs are affected shows the exact treatment strategy to follow and the type of drainage the patient needs. Organotherapy will help to slow down the natural and pathological deterioration of the organ and its function. in first decimal ( lX) Plants are the basic elements to use for the drainage of all chronic diseases. The first course goes from the skin to the digestive system and then to the respiratory system. As biotherapeutic remedies they can be used in either liquid or pill form and are known as oligotherapeutic remedies. usually for a minimum of 2 months each. In the evolution of a chronic disease. The key to chronic disease treatment is good detoxification. the disorders are due to the difficulty of the person to adapt to stressful conditions. Techniques of drainage phytotherapy: plant extracts. in arthritis it is a major complementary therapeutic. A functional pathology means that the patient does not have any deep organ lesions. The most commonly used potency is the 4C. . liver detoxifying plants in the Spring and kidney detoxifying plants in the Fall. The second course evolves from the urinary system. Trace elements Trace elements are metals and metalloids present inside the human body. They should be used when the patient has a functional pathology.Encyclopaedia Homeopathica 23 Two courses of emunctories treat and eliminate the stream of toxins along this wheel. and line of life.A. then goes to the osteo-articular system and finally to the cardio-vascular system. There are many cases where oligotherapy is an essential part of the treatment. during viral infections it stimulates the immune system and facilitates a quick and complete healing. or after. Archibel S. necessary for normal metabolic functioning. Drainage and hygiene of the body are always necessary to correct and maintain health. © Copyright 2000. rather. Drainage regulates the activity of the blocked or deficient organs and improves the quality of the essential emunctories. in mother tincture (M. ) and phytogemmotherapy: bud extracts. Along with. Our individual wheel of emunctories turns according to our own constitution. reactive mode. Organotherapy Organotherapeutic remedies are healthy organ extracts or organ secretions prepared according to the general rules of homeopathic remedies. For example. This is the first condition necessary for a quick and complete healing. They must be used for prolonged courses of treatment. in minute quantities. It is important to alternate the different plants according to the rhythm of seasons: vascular plants should be given in the Summer and rheumatic plants in the Winter.T. All of the emunctories are govemed by the endocrine and nervous system and must be considered at each stage of treatment. organotherapy will support the organs and help them to recover their natural functioning. prolonged allopathic treatments. Organotherapy represents a vital support for over stressed organs and must be started in all lesional pathologies.

like discipline and respect the law. Their teeth make the dentist's day. the satellite of thuya and calcarea carbonica. phosphoric to tuberculinic. Some patients present one constitution that is very closely related to one reactive mode. introverted. etc. They walk as though they are on a tight-rope. urticaria and hay-fever. each person is characterized by 1 or 2 constitutions and reactive modes which evolve naturally throughout their life. All of the tissues are bloated by water retention. They will help to prevent the aggravations that are produced by a deep acting remedy and permit the stabilization of a chronic disease. acting on many emunctories. For example. fast or slow.Encyclopaedia Homeopathica 24 Satellite remedies Satellite remedies facilitate the action of polychrests by improving the function of the affected emunctories. increased IgE. The skeleton is long. They are suspicious. Some have a very sharp action such as lemna minor. fragile. The human edifice is a mosaic made of the four constitutions and four reactive modes. obesity and sclerosis. which reestablishes their balance. In acute and chronic pathologies they aid in the drainage of the patient. They are punctual. eczema and asthma. chronic suppurations and organ degeneration. They are improved by eliminations. They have a tendency to decalcification. The skeleton presents with varied malformations and asymmetries with marked flexibility and hyperlaxity of the joints. The pathologies alternate periodically with arthritis. psoriasis and piles. artistic. obstinate. The fluoric constitutional type has a twisted growth. the joints are stiff. Others have a wide emunctorial field of action such as chelidonium. Intuitive or insensible. The four reactive modes direct the evolution of the chronic diseases. the hands and teeth are strong and square. Archibel S. They should be used before the polychrest or nosode and during the entire chronic treatment. genius or retarded. They will develop vascular disorders and ulcerative processes. The walk is slow and disturbed by an ineffective anxious restlessness and all kinds of tics. and suffer from being oversensitive with wide mood swings. Drainage is the easiest and most natural way to safely practice preventive medicine. their nervous system is always involved. The four constitutions The carbonic constitutional type develops broadly. However. The skeleton is thick and resistant. acting on the nose mucosa. a sluggish lymphatic system. © Copyright 2000. They are creative. The phosphoric constitutional type grows thin. carbonic can be very closely related to psoric. . The four constitutions and four reactive modes The four constitutions describe the patient's framework. Their tendency is to develop chronic infections. they show the development of the body and it's functions. The four reactive modes The psoric (earth) reactive mode has centrifugal reactions. skin and intestinal diseases. The natrum constitutional type grows in a vague diamond shape. allergies. secretive and obsessional. and very flexible.. parasitosis. or as needed. 1 to 6 times a day or less. they determine the predisposition and sensitivity to develop specific pathologies. They have a tendency to congestions.A. and in particular warts and tumours in the genital system. in 4C to 7C potencies. the satellite of several polychrests.

especially E. The luetic (fire) reactive mode presents with a physical and mental disharmony that leads the patient to ulcerative and sclerotic processes. such as hepatitis or pneumonia. induration and sclerosis. germs. and genito-urinary infections. especially with organotherapeutics. over and over. fatigue. Archibel S. veins. drink and activity. Their reactive mode is to over-react. but with functional ageing they develop temperature regulation disorders. The tuberculinic (air) reactive mode evolves by sudden paroxysmal attacks according to their extreme sensitivity. Drainage of each reactive mode is essential to slow down the natural ageing process. vaccinations. T. hepatic. obsessive ideas. They might need mineral salts and endocrine drainage during periods of growth and in old age. elastic tissue. They also develop cyclothymic instabilities. The patient repeats the same action. Their endocrine disorders are dominated by a hyperexcitability of the thyroid gland. They have a mineralization defect that is particularly aggravated during the growth periods of childhood and adolescence. skin. Toxins. and tumours that are the result of a failure of their normal immune system function. venous. The body is progressively invaded by overabundance diseases. Some present with no specific defenses and others present with increased IgG. throat. The psoric is always overloading themselves with food. . All of the symptoms are aggravated by dampness. exostosis. Between the periods of elimination they feel well. and capillaries. Lymphatic. © Copyright 2000. decalcification spots and ptosis. as well as.Encyclopaedia Homeopathica 25 The eliminations. Their reactive mode is to balance. and in old age it is associated with the luetic reactive mode.N. and prolonged allopathic treatments aggravate the deceleration of their metabolic functions and the intoxication of their reticuloendothelial tissue by water retention. and neuroendocrine system. lack of physical exercise and allopathic suppression of their attempt to eliminate will progressively break down the psoric. spasmodic disorders with insecurity syndromes. They usually develop persistent chronic infections. and abnormal hunger. The chronic disease state evolves quickly into a condition of cellular degeneration and necrosis.A. natural and pathological. They evolve with infection and necrosis. The eliminations exhaust the patient. are ill-smelling and cause itching. Sedentary life. this person is bounced up and down by cyclothymic rhythms (alternating moods of elation and mild depression). hepatic and pancreatic systems. The Lymphatic. and growth disorders that in the extreme result in being either a midget or a giant. Mentally and physically. pathologies related to environment stress. Restlessness and fears are aggravated during the night. Treatment of the reactive modes Treatment of the chronic patient consists of aiding the affected organs in regaining their strength and reestablishing a balance between the function of the body and the affected organs. They manifests entire system imbalances and as a result of being dominated by the speed of life. regulation of the nervous system. These paradoxical behaviors and cellular mutations drive their life of anarchy. The sycotic (water) reactive mode drags into conditions of progressive degeneration. They are like a garbage can that is maladjusted to their environment and cannot get rid of the toxic wastes that they accumulate. The sycotic must unblock their emunctories and stimulate their immune system. They need prolonged digestive drainage and a good diet with daily physical exercise. the same behaviors and physical tics. The tuberculinic must always receive mineral salts and intense periodical drainage to activate the venous. The luetic needs drainage of the arteries. bones. overabundance. mucous membranes. Their reactive mode is no reaction. and respiratory systems are predominantly affected with a general exhaustion syndrome and nervous hypersensitivity. Drainage of their nervous system is essential. They need prolonged digestive and urinary drainage. Some tuberculinics present with allergies while others present with anergy. Their reactive mode is to live in unbalance. The target organs are the vascular walls.

etc. Archibel S. and the heart to the Sun. they express their luetic reactive mode. Their behaviors are obsessional. During growth accelerations. All of the changes that take place in the mother during the pregnancy are extremely important for understanding the future health of the mother and her child. the kidneys to Venus. they become sycotic. It's course shows the evolution of the reactive modes and the logic in the appearance of the different diseases that occurred during their life. they are tuberculinic. © Copyright 2000. the lungs to Mercury. the line of life can be divided into 6 essential cycles: birth until 7 years. when the two germinal cells meet and combine producing the first embryonic cell . The first cycle corresponds to intra-uterine life. The second cycle the first seven years The second program is encoded from O to 7 years and will determine many of the disease patterns for the rest of a person's life. The first cycle intra-uterine life O1 corresponds to the first moment of birth. such as fevers. bronchitis. respiratory system pathologies appear. From birth. When the child starts walking and talking. When the child discovers cleanliness. At this period the child must always recieve mineral salts. with or superimposed on chronic fatigue and decalcification. between the ages of 18 and 36 months. vaccinations. During the first cycle of 7 years. 7 to 14 years. with a lack of immune system response. Embryonic and foetal studies give very precious information to the doctor about the human body. . the practitioner must be able to perfectly draw the patient's individual line of life. This is the time for night fears and restlessness. eventually becoming self-sufficient. The evolution of this second cycle corresponds to the visible maturation of their immune system and will express itself through similar pathologies all the rest life of their life. The depth of the hereditary psora can be precisely evaluated from these first moments of the child's life. The infant is a psoric. and finally old age. Each organ and function corresponds to a particular planet: the brain to the Moon. 21 years until the menopausal or andropausal period begins. the discovery of oxygen and light. From birth. They can repeat the same nose or ear infections over and over. just as they contain 7 lives in the planetary system. They have sudden and violent pathologies. pollutions. another type of cell produces both the genital and urinary systems. just as our growth and our maturity follow natural cycles until death.Encyclopaedia Homeopathica 26 The line of life In order to correctly analyze the patient's case. the spleen to Saturn. The line of life often shows the patient's individual sensitivity with one or two reactive modes dominating their history. When these two emunctories are surpassed. for example.. the gallbladder to Mars. This is the first program that encodes hereditary information about the immune functions. etc. 14 to 21 years. such as Schuessler salts. never becoming completely healthy. They experiment with their center of gravity and the power of language. they remove stresses by skin eruptions and digestive disorders. not only mentally but also physically. epidemics. parasitosis. During the first seven years of life. O2 corresponds to the second birth. arthritis. colics. The 4 reactive modes also follow a natural evolution during our life. the period of menopause or andropause. the liver to Jupiter.A. stresses. O1 to O2 contains the essential mystery of creation.which develops into a fetus in total darkness for 9 months. this natural movement of the reactive modes can be disturbed by many factors such as infectious diseases. there is a natural evolution of the four reactive modes along the line of life which marks the development of any healthy child. all individuals will evolve by 7 cycles. the same type of cells produce the skin and nervous systems.

climate. Acute cases need only 2 or 3 marked symptoms consisting of a localization. sweat. a sensation and a modality. Ist degree symptoms are capitalized and 2nd degree symptoms are in lower case. the period of menopause or andropause. to find the correct homeopathic remedy. dreams. has the strengh of 2 marked symptoms and accelerates the © Copyright 2000. when they are the real cause. described by sensations and modalities. (3) its peculiarity. . these natural endocrine changes will orient the reactions of the person to the tuberculino-sycotic mode which can remain with them their entire life and provoke tumoral pathologies when their fertility declines. sleep. General and mental symptoms are next and local symptoms have the least value. Most of the time they are a general modality and not the real beginning of the pathology. When the genital glands mature puberty is established. Usually the pathologies of the first two cycles return. Etiological symptoms. appetite. This patient should be given a prolonged drainage of their emunctorial system. all of the remedies are important inside each rubric.Encyclopaedia Homeopathica 27 The other cycles Seven years of age corresponds to the beginning of the Oedipus cycle. then the thyroid. When the disease is not neuro-psychiatric any mental symptoms will have the most importance. aversions. is a particularly luetic period. during the fifth cycle of mature age. (2) its precision. In neuro-psychiatric cases. The treatment strategy of chronic diseases lies in the precise analysis of the two first cycles. In acute cases. from ages l4 to 21 years. desires. just as when the child learned to walk they needed the same luetic energy. This period of time is dominated by the luetic reactive mode. take a strong etiological and general value. After 21 years of age. side. Archibel S. sensory organs. the general reactive mode.e. The sixth cycle. i. However. thirst. The local symptoms are at the bottom of the hierarchy. and a precise cause. temperature. pain. The endocrine glands are stimulated and develop beginning with suprarenal. The individual line of life indicates the dominant reactive modes of the patient and shows the correct order to follow with the homeopathic therapy. In this repertory. the general reactive mode which can be recognized as accidents on the line of life. One must be careful with the so called "etiological" symptoms. the easiest and most useful symptoms are the general symptoms. which point out the dominant general modalities of the patient. In the fourth cycle. A specific behaviour. They can take a general value when they are recurring during the line of life or present in at least 3 organs as a particular reactive mode of the patient. a general modality. Respect the hierarchy of the the natural wheel. sensations. Above this hierarchy. the different methods of adaptation turn around and show which of the 4 reactive modes the patient is operating in for that particular period of time. the symptoms are described in two degrees. symptoms which are unusual from the norm. During the third cycle.A. and sexuality. . from ages 7 to 14 years. The seventh cycle is dominated by elderly emunctories which are worn out with deep lesions of the vascular and osseous systems. mental symptoms that stand out will lead directly to the remedy. periodicity. the child develops into puberty. general modality. The natural evolution of the second and third cycle of the line of life Symptoms and remedies Symptoms The value of a symptom is proportional to: ( I ) the importance the patient gives to it. are first in the hierarchy.

In chronic diseases.e. and drainage remedies are in italics and will often be sufficient as a first treatment in many simple cases. use nosodes and blockage remedies promptly. emotional. Some remedies have a fast but short action. Second. Remedies also have a time of day during which they act more effectively. organotherapy. to unblock a pathological evolution when the previous treatments do not lead to the patient's improvement. The index of rubrics should be consulted first and is sufficient in most cases. Generally. The usual potency for satellite remedies is 4C. or better yet. when they become a general reactive mode of the patient. allowing remedies to be picked with more precision. use drainage techniques on the affected organs with phytotherapy. and modalities. knee. Only after the reactions of the patient to the medication have been observed can the precise choices be made in successive consultations. or organ. the homeopathic treatment must also clear out all allopathic drugs and accelerate a healthy detoxification and clearing. Mental or general symptoms call for high potencies from 9C to 10 M and over. How to use this book This dictionary of symptoms. This opens the field of research by bringing into the picture new concomitant pathologies and modalities. Fourth. use polychrests or general remedies which contain the totality of the patient's physical. diseases and pathologies gives several techniques of treatment according to the needs of the patient. The end of each rubric is cross-referenced to the main rubrics that are related to that rubric. They will treat the acute attacks. drainage system. This is especially the case when the disease is neuro-psychiatric. Archibel S. the remedies should be chosen according to this order: First. there are many exceptions. Animal remedies obey individual rules. In most of the cases the correct potency to use is 5C. plants are for the day and minerals are for the night. and emotional symptoms. all the essential emunctories. facilitate the action of the polychrests. In some chronic pathologies. This general rule is based on the depth of action of the 3 natural kingdoms. Other remedies act slowly and deeply. nails. In most of the acute cases. Third. it is better to give plant remedies in the morning and the mineral remedies in the evening. They don't need to be used for a long time. . The remedy must only be repeated if the symptoms persist. and mental symptoms. the homeopathic remedy has to be repeated several times a day. phytogemmotherapy. These two indexes contain physical. i. The first cure must always include the active and prolonged drainage of the affected organs and functions. and help to prevent aggravations. and trace elements. a high potency must not be repeated frequently. general. such as aconitum.A. local symptoms are the most dangerous elements for a homeopathic diagnosis. © Copyright 2000. however. many anatomical systems such as the eye. Local. Acute diseases must be treated with satellite remedies and polychrests. except when they have very marked modalities. The index of pathologies allows the practitioner to refer to all the rubrics concerning a particular symptom. mental. the patient is in a deadlock and has to be pushed out with force and energy. In most chronic treatments. In all cases. etc.Encyclopaedia Homeopathica 28 diagnosis of the proper remedy. the acute treatment and the chronic treatment with their strategies. but they must be repeated frequently. use satellite remedies that act on precise organs and functions. disease. and they must not be repeated often. such as mercurius. Remedies It takes time to understand the individual's evolution and reactive mode associations.

any of life's traumas to develop the true picture of the evolution of the patient's pathology. except when the patient corresponds to a heavy metal. cramps. restlessness. The order of these remedies will be governed by the chronology of each person's individual line of life. nervousness. Repeat one dose every week or more often. (2)When the acute symptoms are cleared out. gastroenteritis. constipation. colitis. (3)Next regulate the reactive mode of the chronic disease. . organotherapeutics when the organs have suffered. starting with 9C and go higher if necessary. appetite. anxiety. gallbladder. pains. Use the polychrests corresponding to the reactive mode of the chronic disease. or for emotional blockages such as ambra grisea in fibrositis. 1 to 3 times a day : MAGNESIUM TRACE ELEMENT See : anger. bulimia.Encyclopaedia Homeopathica 29 The treatment strategy of chronic diseases follows 4 main stages ( I )Start with drainage. vomiting. of which one of the leaders is : • 1 dose. teething. A culture of the pus must always be done. etc. as well as. diarrhea. dyspepsia. When you ask the child where their pain is. Abscess Homeopathic remedies are useful in all 3 stage of suppuration (inflammation. (4)Finally. and drainage). aversion. Acute © Copyright 2000. flatulence. and remedies of time aggravation or a particular modality. pancreatitis. parasitism. Use high potencies. emotional. ) to 5C. hepatic.T. At any stage of a treatment. gastric ulcer. capricious. The potency used must be low. use the neurovegetative regulators (See : nervousness. from mother tincture (M. either for physical blockages such as pertusinum in allergy. Avoid deep acting remedies such as the main nosodes or heavy metals. trauma. pregnancy. anorexia. as well as in recurring abscesses. Homeopathic and drainage repertory Abdominal pain There are many causes of abdominal pain. their successive blockage remedies. To control a spasmodic state of the abdomen. delivery. excitement. Archibel S. eructations. and the nosodes of the 4 reactive modes. or for mental blockages such as staphysagria in reactional depression. such as 1 to 4 times a day if needed. regulate the reactive mode of the patient by introducing the heavy metals of the patient. sensations. tetany. arsenicum album in coronaritis. and phytogemmotherapy for all prolonged drainage treatments. jealousy. Facilitate the drainage by using the similimum of the symptoms of the acute disease. These remedies must be introduced slowly. Plant remedies are always first. It is important at this stage to clear out all of the allopathic blockages. such as natrum muriaticum in asthma. pus collection. using the new biotherapeutics and satellite remedies. fears.A. they always give the same answer : "around the belly button". It is a very frequent problem during childhood that is certainly in direct relationship to the emotional life. Insist on trace elements for pathologies of adaptation and viral diseases. the correct remedies might fail. Some difficult blockages may need a prolonged treatment of at least 9 months with a urine isotherapeutic remedy. lycopodium in gout. in case antibiotics are necessary to clear out the acute state. faintness. desire. sadness. tetany). start the blockage remedies. since.

throbbing. Archibel S. use high potencies to concentrate the suppuration.a. earth contamination and wounds : • 1 dose. by cold applications : 3 granules.the swelling : • red.when the following occurs : redness which darkens.etc). p. according to symptom evolution : PYROGENIUM 5C. 1 hour later : HEPAR SULFUR 15C . or LACHESIS 5C Second stage. give anti-infectious agents : • 1/2 hr before each dose of HEPAR SULFUR. . 3 granules : MYRISTICA 4C / PYROGENIUM 5C / a. It must never be used on a closed cavity (breast. HEPAR SULFUR 5C activates the suppuration (use only on open abscess). stinging pains amel. 3 granules. hot. . agg. HEPAR SULFUR 15C reduces the suppuration. pus collection Usual treatment The abscess is so hard and sensitive that the slightest touch makes the patient scream. ear. T. unless there is a good natural or surgical way out for the pus. a black spot appears. sinus.the suppuration : • the key remedy is : HEPAR SULFUR careful ! HEPAR SULFUR's action obeys to the general laws of homeopathic remedies. one dose every hour in severe cases. itching. p. . by least jar : 3 granules.a. as needed : BELLADONNA 4C • rose colour. repeated boils. inflammation Local treatment • 20 drops on warm wet compresses : CALENDULA / ECHINACEA / a. HEPAR SULFUR's action is intensified by the repetition of increasing doses of the remedy. as needed : APIS 4C . 1st HEPAR SULFUR 9C 2nd HEPAR SULFUR 15C 3rd HEPAR SULFUR 30C open cavity : The surgical drainage (when necessary) must be helped by a centrifugal sterilization (low potencies). -. paroxystic pains.Encyclopaedia Homeopathica 30 First stage. • 3 granules.M.in most of the cases : • 3 granules : PYROGENIUM 5C • one dose. suppuration from bites.to avoid complications. as needed : HEPAR SULFUR 4C .A. every hour : © Copyright 2000.to accelerate the pus collection : Some difficult or advanced cases a resistant to the fast and complete action of HEPAR SULFUR 15C : • alternate every hour. all kind of abscess with tendency to gangrene. this centripetal movement will sterilize the pus center. When the abscess starts. 1 to 4 times a day. Two dangers must be controlled : closed cavity : The diffusion of the suppuration needs an active centripetal sterilization (high potencies).

then 24C. then 12C. severe cases with hot persistent abscesses that are near bursting : • repeat 20 drops every hour. at least 4 times (6 months) . then 15C. the medications must perform these 3 functions : sterilize. or THUYA 9C Chronic suppuration -. trauma. since. deforming scars. as needed : ECHINACEA 1X / HEPAR SULFUR 4C / SILICEA 15C / a. then 30C . colitis. bite. sensations.T. infections. Most of the cases start around puberty and cure spontaneously. 3 granules : ISOTHERAPEUTIC 5C • weekly. • tuberculinism : fatty degeneration. p. acne points out the dominating reactive modes : • psora : auto poisoning. increasing the potency in the following order : ISOTHERAPEUTIC 7C. The detoxification of emunctories needs specific drainage to restore their normal functions and balance the immune system. one dose : .A. itching. with mature age. Repeat the same sequence of 6 doses. septicemia evolution : • 10 drops.drainage of open abscess. otitis. lasting infection. then 15C. every hour. bronchitis. tonsillitis. impetigo. hyper-reactive immune system. vaccination) Each disease needs a strategy built around the reactive modes that dominate the individual's line of life . Acne Inflammation and infection of the sebaceous glands is under the control of the endocrine system. nodes. hyper reactive immune system. then ISOTHERAPEUTIC 9C. then 12C. Background treatment alternate every other week. breast. The treatment is aimed at preventing scarring. mycosis. infections. pains. fever. adenitis. lymphangitis. Recurrent boils (See :furuncles. then 30C. skin. Archibel S. sinusitis. © Copyright 2000. prevent a recurrence.in case of spreading boils.tuberculino-sycotic : • SILICEA 9C. • sycosis : repeated and prolonged infections. genital exterior. 31 Third stage. one dose. • luesa : necrotic destruction.make an isotherapeutic with the patient's pus : • daily. drainage To heal an abscess. mumps. . fistula. .a.psoro-luetic : • HEPAR SULFUR 9C. sweat. The immune system will retain scars which can not be easily removed. or MERCURIUS SOLUBILIS 9C . thirst.in case of a recurrence : • always keep a few doses of : ISOTHERAPEUTIC 30C See : acne. non-reactive immune system. as needed : ECHINACEA M. vaccination. generalized infection. The adolescent's self-image is reduced as blackheads appear on their face. pollutions. reconstitute the tissues. On the line of life.Encyclopaedia Homeopathica ANTHRACINUM 9C.

in case of warts. . by warm applications.a. chronic purulence (intestines.Encyclopaedia Homeopathica 32 Teenager Local treatment • several times a day.in case of old looking greasy face and balding (See :falling hair) : • one dose. amel. every 10 days : THUYA 9C . menstrual disorders. 3 granules : CALCAREA SILICATA 6X. lung. genital or urinary infections. every week. Usual treatment • every day : 20 to 50 drops : RIBES NIGRUM BUDS 1X one dose : morning : COPPER GOLD SILVER TRACE ELEMENT evening : MANGANESE COPPER TRACE ELEMENT • 3 granules : morning : ARNICA 5C evening : KALIUM BROMATUM 5C • alternate every other week. agg.A. every 10 days : RADIUM BROMATUM 7C . or NATRUM PHOSPHORICUM 6X • one dose. with hard nodes : • 3 granules. one dose : on the 1st of the month : TUBERCULINUM RESIDUUM 9C on the 15th of the month : ENTEROCOCCINUM 15C Thin subject Usual treatment • alternate every other day. Archibel S. in the following order : 1st NATRUM MURIATICUM 15C 2nd CALCAREA PHOSPHORICA 9C 3rd SULFUR IODATUM 9C 4th CALCAREA PHOSPHORICA 15C . apply the following preparation on the new blackheads : PRECIPITATE SULPHUR ( 2gr ) / 60% CAMPHORATED ALCOHOL ( 60gr ) / a. every 10 days : SELENIUM 7C . daily : ARSENICUM BROMATUM 5C Heavy subject Usual treatment © Copyright 2000. p.in case of indurated acne. sinus) : • one dose. or THUYA 9C • every month. staphylococcus.thick itching scars. by shaving : • one dose. one dose : GRAPHITES 9C.

weekly : CAPSICUM 9C .with warts : © Copyright 2000. chronic purulence : • one dose. depression and melancholy.recurring abscesses. very irritable. twice a month : SEPIA 9C Nose . every week. in the following order : 1st THUYA 9C 2nd BROMUM 7C 3rd THUYA 9C 4th TUBERCULINUM RESIDUUM 9C . sexual desire : • one dose. impetigo. quarrelsome.A.thin subject : • 3 granules.big head upon thin body. indifferent.agg.M.heavy subject : • one dose. restlessness.constipated. dirty.very meticulous. hepatic congestion. alternate every other month. puberty. after midnight. 1 to 3 times a day : EUGENIA JAMBOLANA 3X . very fearful. 3 times a day : 1st month : JUGLANS CINEREA 3X.a. agg. twilight : • 3 granules. as needed : 20 drops. weekly : PHOSPHORIC ACID 15C . sociable : • one dose. extremely secretive and introverted : • one dose.oily forehead. in the evening : CAUSTICUM 9C . aversion for milk. ill-smelling foot sweat.itching. 6X 33 Modalities -. 1 to 3 times a day : CHELIDONIUM / HYDRASTIS / JUGLANS REGIA / RAPHANUS / a. weekly : HEPAR SULFUR 15C . Location Forehead . plays with fire : • one dose. craves vinegar. etc. : • one dose. p.does not like washing. by menses : • 20 drops.Encyclopaedia Homeopathica • 3 granules. easy weeping. eczema at margins of hair. monthly : NATRUM MURIATICUM 15C . daily : CALCAREA PHOSPHORICA 6X . anxiety. agg. every day : morning : ANTIMONIUM CRUDUM 5C evening : GRAPHITES 5C • one dose. Archibel S.extremely tired. craves sweets.in case of digestive disorders : • 3 granules. between 1 and 3 A. twice a month : SILICEA 9C . greedy. . sad. angers at trifles : • one dose. infected vesicles : • during the acute attacks (See : herpes) : 3 granules. 2nd month : ECHINACEA 1X. weekly : ARSENICUM ALBUM 9C . twice a month : SULFUR FLAVUM 9C .thin subject. 3 times a day : RHUS TOXICODENDRON 4C • for chronic conditions.

chilly. old age : • 3 granules. mountain. cysts : • 3 granules. daily : NITRIC ACID 5C . bulimia. daily : LACHESIS 5C Cramps . hair falling. numbness and acute pains. pains.a. agg. Lymphatic subject • 20 drops.frostbite. infections.constricting blue. craves fat foods : • 3 granules. Acrocyanosis This vasomotor disorder is seen essentially on the upper limbs. 3X • one dose. tetany. The cold provokes a sudden arterial constriction.A. cold.constipated. Archibel S. 3 times a day : SECALE CORNUTUM 5C -. the affected part becomes blue then white. eczema. by blocked elimination (nose. biting) . warts. daily : HYDRASTIS 4C Back . with pins and needles. decalcification. menses. since. the nose. p. scars. hot needles. polyps. burning and itching chilblains : • 3 granules. genital).always : • 20 drops. ice cold. 3 times a day : AGARICUS 5C .boils on the neck : alternate every other day.bleeding and extremely painful boils (See : pains. face. constipated. related to menstruations. cysts. anorexia. arteritis. lasting boils : • 3 granules. . diabetes. by heat. by cold. eldery : • 3 granules. sensations. skin. speech. sties : • 3 granules. heart. wind.Encyclopaedia Homeopathica • 3 granules. agg.fat. heat. at night : CUPRUM ARSENICOSUM 7C See : air. every new moon : PULSATILLA 15C Vascular subject . Adenitis © Copyright 2000.arteritis. the white teguments redden.frostbite especially in face. • 3 granules : KALIUM IODATUM 5C or LACHESIS 5C . 3 times a day : HAMAMELIS / PULSATILLA / a. arteritis. menses. hepatic. feet. or any extremity of the body. daily : CAUSTICUM 5C 34 Chin . cracks of orifices. daily : THUYA 5C See : abscess. vaccination. face. however it can involve just one ear. daily : GRAPHITES 5C . veins. prementrual. since. warts. When pressed. etc) : • 3 granules. chronic eczema (folds.recurring and lasting infections during life. 1 to 3 times a day : VIOLA TRICOLOR 3X -. diabetes. amel.

measles : • 3 granules. p.very severe pharyngitis. cough. Usual treatment . seaside. daily : GRAPHITES 5C • chilly subject : 3 granules. pains. every hour : AILANTHUS GLANDULOSA 4C Chronic . Archibel S. greenish discharges. mumps. and lung infections. are characteristic of the patient's reactive mode. coryza. polyps : • 3 granules. german measles. 4C . oxyuriasis (See parasitism).very sensitive to cold : • 1 or 2 homeopathic spoons of the trituration daily : AGRAPHIS NUTANS / CALCAREA CARBONICA / LEMNA MINOR / a. These children can avoid surgery and the complications of infection if homeopathic treatment is given early. eczema. The patient might repeat these anergic symptoms every year at the same period. at night : MERCURIUS SOLUBILIS 5C • fat subject : 3 granules. 1 to 3 times a day : KALIUM BICHROMICUM / TEUCRIUM MARUM / THUYA / a. since.N.chronic infections. air. hayfever. fever. prostration. wind. the delay in healing and the repeated infections also belong also to the sycotic. measles.with stiff neck. If the patient is mainly a tuberculinic. tonsillitis. dystonic and anergic states (See : nodes) and is the result of a lymphatico-hepatic regression. 3 times a day : PHYTOLACCA 5C . vaccination. Mononucleosis covers the hyposthenic. repeated E. scarlet fever.agg. infections. Monocytosis syndromes that include all pathologies with increased monocytes. heat. allergy. by damp cold. The results are always excellent when the reactive mode remedies are used in the proper order.nose and anus itching. 3 times a day : DULCAMARA 5C . rhinopharyngitis. 4C © Copyright 2000. diarrheas : • 3 granules. adenoids.for drainage : • 3 granules. at night : SILICEA 6X See : abscess. and lung pathologies because of a chronic inflammation of the posterior nasal lymphatics. high fever. whooping cough. cold.N.a.for suppuration : • thin subject : 3 granules. acute or chronic tonsillitis : • 3 granules. Usual treatment • one dose. as well as mononucleosis.Encyclopaedia Homeopathica 35 Inflammation of the lymph nodes is a frequent and natural reaction to viral and bacterial invasions. 3 times a day : CISTUS CANADENSIS 3X . just like a birthday celebration. otitis. hiccough : • 1 or 2 homeopathic spoons of trituration daily : CALCAREA CARBONICA / CINA / TEUCRIUM MARUM / a. nodes. 3X . Adenoids Many children present with repeated E. .a.A. T. pains radiate to ears. p. T. daily : morning : COPPER GOLD SILVER TRACE ELEMENT noon : MANGANESE COPPER TRACE ELEMENT evening : MAGNESIUM TRACE ELEMENT Acute .a. p.

heat.A. decalcification. laryngitis.a. measles. rhinopharyngitis. nodes. p. . slow in comprehending. daily : • 1st month : morning : MANGANESE COBALT evening : ZINC COPPER • 2nd month : morning : COPPER GOLD SILVER evening : ZINC NICKEL COBALT Phytogemmotherapy General tonic treatment alternate one month courses of treatment : • 1st month of treatment : morning. agg. sinusitis. every 2 weeks : SULFUR IODATUM 9C See : abscess. during teething : • 3 granules. evening. weekly : BARYTA CARBONICA 30C . wakes up suddenly before midnight.a. parasitism. vaccination. asthma. 1 to 3 times a day : HYDRASTIS / KALIUM BICHROMICUM / MEZEREUM / a. © Copyright 2000. p. asthma. 4C . in the evening : SAMBUCCUS NIGRA 1X • violent. 3 times a day : BARYTA CARBONICA 5C • and one dose. Homeopathic remedies. daily : CORALLIUM RUBRUM 4C 36 Plump child .diarrhea. with good individualized drainage. whooping cough.no appetite exept for sweets but intense thirst. intolerant to milk (milk allergy). hoarseness : • one dose.Encyclopaedia Homeopathica . whooping cough.fair hair. spasmodic cough with mucus vomiting. Trace elements Alternate one month courses of treatment. daily : CALCAREA PHOSPHORICA 6X • one dose. every full and new moon : BROMUM 9C Thin child . 20 to 40 drops : CRATAEGUS / ELEUTHEROCOCCUS 1X / LEONURUS CARDIACA 3X / a. chronic cervical nodes : • one dose. coryza. one dose.timidity. rhinopharyngitis by least damp cold. with cyanosis. Eustachian tube obstruction : • 3 granules. chronic nose obstruction in newborn : 10 drops. weekly : CALCAREA PHOSPHORICA 15C . when sucking. german measles.suffocation : • sudden. prevents disorders from developing in the entire system and prolongs an active life. allergy. air. Archibel S.chronic adenoid inflammation. adenitis. teething. polyps. wind Ageing Homeopathic medicines are not to be looked at as a panacea for the Fountain of Youth. hayfever. during rest. since. otitis. when waking : 3 granules. 50 drops : PANAX GINSENG M. cold. 1X. nose obstruction.T. chronic enlarged tonsils : • 3 granules.

p. by heat. in the evening : ESCHSCHOLTZIA CALIFORNIA M.sad.osteoarticular diseases : • 20 to 40 drops. p. fussy.T. aversion and agg. memory.changing moods.nervous system tonification : • alternate 40 drops. by music : • one dose. extreme timidity. spasmodic coughs. brain softening. as needed : KALIUM CARBONICUM 9C . hair falling. high blood pressure : • one dose.a. 1 to 3 times a day. arteriosclerosis. arteritis. as needed : SELENIUM 9C . cholesterol.a.a.brain arteriosclerosis. vascular sclerosis. as needed : BARYTA CARBONICA 30C . melancholic. agg.frequent. every other evening : even days : BULBINUM / CEREBRINUM / MEDULLINE / a.to improve the immune system : • one dose.high blood pressure. p. as needed : OPIUM 9C See : anxiety. skin. evening : VISCUM ALBUM 3X . 4C .A. . face.annoyed by little things.Encyclopaedia Homeopathica • 2nd month of treatment : 50 to 100 drops. exhausted. every 2 weeks : THYMULINE 7C Background Essentially nervous .terrible anger. 4C .T.feels heavy. 1 to 3 times a day : CARTILAGO/ MEDULOSS / OSSEINUM / PARATHYROIDINUMINUMINUM / a. nervousness. fear of diseases. nervous. insomnia. amel. since.in case of insomnia : • 20 to 100 drops. sadness. 4C odd days : hypothalamus / SURRENINE / THYROIDINUM / a. weak and slow memory. agg. heart. by heat. as needed : LYCOPODIUM 9C Essentially apathetic . veins. p. fear of breaking down by stress : • one dose. as needed : AURUM METAL 9C . arteritis. as needed : SECALE CORNUTUM 5C . agg. © Copyright 2000. eczema. fatigue. depressed. painless. 1 to 3 times a day : HEPATINE / NEPHRINE / a. lack of vital reactions. does not want to be alone : • one dose. aversion to strangers : • one dose. arthritis. daily : morning : CHRYSANTHELLUM AMERICANUM M. by cold drinks : • one dose. amel. as needed : AMBRA GRISEA 9C . Archibel S.in case of arthritis : • 50 to 100 drops. 4C . pulsations in all vessels. itching.a. trembling. by uncovering : • 3 granules. . in Summer : • one dose. daily : morning : BETULA PUBESCENS BUDS 1X evening : SEQUOIA GIGANTEA YOUNG SHOOTS 1X 37 Organotherapy General drainage • 20 to 40 drops.

monthly : LUESINUM 15C . wind. weekly : ARSENICUM ALBUM 7C .hot air in the head. fears. goes out all the night. such as cold. crowds). mental fatigue. mountains. since haircut or washing head. will help the patient more than any heavy medicinal treatment. anger : • one dose. desire. tetany. every full moon : PULSATILLA 15C agg. every 2 weeks : ARGENTUM NITRICUM 15C . cough.aggravated by seashore : • with loss of appetite and loss of weight. old people : • one dose. © Copyright 2000.Encyclopaedia Homeopathica 38 Air Certain atmosphere conditions. bridge. obesssions. eczema. constipation. every hour : BELLADONNA 5C . eczema. weekly : SEPIA 9C . Archibel S. palpitations. hot. etc. aversion. salt. needs to be fanned. monthly : MEDORRHINUM 15C Needs open air . restlessness agg. Sensitivity Mountain .on head. old people : • 3 granules. asthma.A. amel. restlessness). agg. cold applications : • one dose. throbbing headache : • 3 granules. high blood pressure. violent physical exercise : one dose.phobia (elevator.cold air inside the whole body.cold air on feet stops flow of menses : • one dose. weekly : KALIUM CARBONICUM 9C Sensations . since. in the evening. in certain tuberculinic patients mountain air can relieve the symptoms of bronchitis. craves sweets. Often the prescription for a change of environment. all mental features (anxiety. and alcoholic drinks : • one dose. extremely fearful of catching infectious diseases : • one dose.agg.improved by being in the mountains : • one dose. cold. heat. asthma. seaside. by heat in general. burning in arteries. by least draft of air . insomnia : one dose. monthly : TUBERCULINUM 15C Seashore . For example. can affect the well-being of the patient. anticipation. sensations.aggravated by being in the mountains : • one dose.improved by seashore. every 2 weeks : CALCAREA CARBONICA 9C . monthly : AURUM METAL 9C See : anxiety. or damp. monthly : ARSENICUM ALBUM 15C • sadness. asthma. hurried : • one dose.of continuous lack of air.faints if he cannot breathe open air. 1 to 4 times a day : CARBO VEGETABILIS 4C . . amel. sighing.

young subject : 1st NUX VOMICA 9C © Copyright 2000. flushes of heat : • 3 granules. 39 Albumin When proteins are found in the urine.very sensitive to cold. lung weakness. to a transient condition like orthostatic proteinuria during growth periods. fatigue. anorexia. or STANNUM IODATUM 15C • every month. The drainage techniques. a complete and careful investigation needs to be done to determine the cause. are always necessary to support the injured organs (brain. There are many causes. 3 times a day : CALCAREA PHOSPHORICA 6X Healthy looking with localized redness . heart. cystitis. decalcification. Alcoholism Alcohol abuse cannot be healed by homeopathy alone. Obviously. pregnancy. Archibel S. fatigue. one dose : NATRUM MURIATICUM 15C . edema. hepatic. liver. water). every week. from a very severe acute disease such as nephritis. depression. chronic eczema : • 3 granules 1 to 3 times a day : ARSENICUM IODATUM 5C -. pancreas. alternate one dose : PHOSPHORIC ACID 15C. anemia. sexual excitability : • 3 granules. nephritis. every morning : PHOSPHORIC ACID 4C • 3 granules. depression.A. Orthostatic proteinuria Thin subject Usual treatment • every other 2 weeks. and stomach).intolerant to heat. urination.adolescent with important acne and lung weakness.Encyclopaedia Homeopathica whooping cough. venous disorders : • 3 granules. lithiasis. blood pressure. 1 to 3 times a day : PULSATILLA 5C . General remedies • one dose. nerves. 1 to 3 times a day : FERRUM METAL 5C See : anorexia. this symptom is more frequent during pregnancy and the first stage of treatment is to recommend a proper diet that excludes most of the salted foods. by coolness (air. the practitioner can help these difficult patients find a physical and mental balance. special psychological care is also essential. amel. . especially organotherapy and satellite remedies.adolescent growing quickly. However. in the following order : .

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