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Encyclopaedia Homeopathica

FORTIER-BERNOVILLE, What We Must Not Do In


Homeopathy (ftb1)
FORTIER-BERNOVILLE
(translated from french by Rajkumar Mukerji )

Preface
"What we must not do in Homoeopathy" is a translation of the article "Ce qu'il ne faut pas faire en pratiquant
Homoeopathie". Thirty doctors of France gave their answers to this referendum. I am giving here only the
translation of Dr. Fortier-Bernoville's reply. This translation was first published serially in the "Journal of
Homeopathic medicine" Nos. 1, 2 and 3, 1960.
The second article "Drainage and Canalisation in Homoeopathic therapeutics" is a translation of the article "Application
et valeur des principes du Drainage et de la Canalisation en therapeutique Homeopathique" by Dr. Fortier-Bernoville,
published in l' Homoeopathie Moderne, No. 19. This translation was first published in Hahnemannian Gleanings No. 19.
Dr. Fortier-Bernoville, during his life time was the Editor of the journal "l'Homoeopathie Moderne". He gave me the
authorisation to translate and publish all the articles published in the said journal.
My aim in publishing this book is to give to the Homoeopaths of India something new in Homoeopathy that is widely
practised by the Homoeopaths of France.
Something new in Homoeopathy is likely to face criticisms. But it is a fact that too much conservatism in medicine is a
draw-back for the development of medicine which is very aptly explained in these articles by Dr. Fortier Bernoville.
Chandernagor.
Raj Kumar Mukerji
April, 1974.

The errors in homoeopathic practice


The problem is extremely vast. On the one hand it has a general point of view and on the other hand there is a
particular point of view. It is evident that there are first of all some general rules which we must know well in order
to avoid the errors in homoeopathic practice. I will deliberately leave aside this general point of view. What is of
more particular interest to us is all that is of clearly practical order and I will deal in five chapter what we must not
do in homoeopathy from the particular point of view regarding :
1. The remedies.
2. The diseases.

Homoeopathic remedies
The results obtained in homoeopathic therapeutics are extremely variable according to the method of application of
remedies. The medical science is an art with two principles : The principle of prescription and the principle of
practice. The same is the case with homoeopathy as well as with other sciences of medicine. We know that the
results may be excellent or on the contrary negative or even replaced by violent aggravations if we make mistakes
about the following :
1. The drug sources.
2. The dose.
3. The repetition of dose.
4. Time of the application of the dose.
5. Finally some particular case for some particular remedies.

The drug sources


The part played by a homeopathic doctor does not consist only in treating the patients. He should at the same time
control the quality of the preparation of medicines supplied to him by the pharmacists from different laboratories.
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One error that one commits in this regard is the result of ignorance of the origin of a remedy and this is very
important. It is therefore, necessary that we must know how the homoeopathic medicines should be manufactured.
Hahnemann gave a solution of the problem in a very simple manner during his time. He completely ignored the part
which a pharmacist can play in the preparation of medicines. He himself used to prepare his medicines and even now
there are number of homoeopaths in different countries who, faithful to the principle of their master, prepare their
medicines themselves and directly apply these medicines to their patients. This is not only illegal but also not
progressive. We must call it a regression because it is not possible for us to have all the up-to-date machines and
the necessary personnel employed for the preparation of two or three thousands of medicines.
It is however necessary that we should know how the homoeopathic medicines are prepared. If not, we may be victims
of a wrong preparation. It is for this reason that the homoeopaths in France have in the beginning decided that he
homoeopathic medicines are to be prepared by the specialised homoeopathic pharmacists. But the doctors as well as
the specialised homoeopathic pharmacists ought to know how to prepare the Homoeopathic medicines.
(At present homoeopathic medicines are prepared in France by some pharmacists authorised by the Government,
according to a pharmacopoeia prepared under the control of the Government by a group of homoeopathic doctors.
th
Homoeopathic medicines unto the 6 dilution, i.e. up to the 22x which is physical dilution limit, can only be obtained
in France. Preparation of Isopathic remedies is completely stopped.)

The mineral kingdom


As regards the mineral kingdom the control is easy. A mineral substance should be taken as a remedy. You may say that
it should be taken pure and well-prepared. But this is not all and neither it is true. When Hahnemann and others
obtained a pathogenesis using a substance, it is necessary that we should use the identical substance even if it is in
an unpurified state, while the pharmacist, obsessed by the principles of modern chemistry, tries for purifying in an
absolute manner the substances of mineral origin, though some times they find that the resulting substances are
less active.
A classic example : Hahnemann prepared Calcarea Carbonica from the shell of the egg of ostrich (Calcarea Ostrum),
from the portion which is found in-between the external and the internal surfaces of the egg-shell. It is no doubt
carbonate of lime but it also contains traces of other minerals and marine substances. Therefore, it is not necessary
to use the absolutely pure Carbonate of lime but the egg-shell of ostrich itself for the preparation of Calcarea
Carbonica. This may be considered as a general rule for all substances of mineral origin. It is preferable to use the
mineral substances in their natural state. The mineral substances are valuable medicines in the form as they are
found in the natural state. They act generally better on the living organism. On the contrary, the synthetic chemical
substances are of secondary importance. Why? This requires no explanation. If we use some dilutions of Pyramidon
or Arsenobenzol we will find that they are rarely useful. But there are exceptions. As for example the Arsenic
compound of Bayer 205, has been very successfully used in dilutions of 200 and 1000 in Azotemia, at least in some
cases of Azotemia. (dilutions of penicillin are also now used in France with very interesting results).
It should therefore be a principle that we must not have our mind haunted by the idea of absolute purity. There
are some homoeopaths who go further and say that when water is used, it should be used it is in the place of
distilled or bi-distilled water. It should also be decided whether for some products, the water from the source
containing Carbonate of Calcium should be used instead of bi-distilled water. Some researches are to be made in this
regard.
From the point of view of the mineral kingdom we have yet another rule which requires elucidation. It is the frequent
necessity of replacing the pure metal by its oxide. It seems that Cuprum oxide is more useful than Cuprum itself,
both having the same indications. The former is more active. The case is the same with the Bromides.
Prof. A. Berne E.P. C.I. has show that when we use a metal for the preparation of some medicines, we cannot be
absolutely sure whether the substance will remain pure in the course of the preparation. Thus Zincum metallicum will
transform itself in Zinc Oxide in the process of preparation. The same may be said of Aluminium, Iron, and of all the
metals (except Gold and Platinum).
Besides, except for the very heavy metals, there is hardly and difference between the metal oxide and metal pure. For
this reason it is better to oxidise the metal before preparing a medicine from it. In practice, for example, when you
use a remedy having for its origin Cuprum metallicum, which has not given expected results, you must try Cuprum
Oxide which may prove to be more active, having the same indications as that of Cuprum metallicum.
Sometimes it is necessary to prefer some salts to others. This is not a rule in homoeopathy; this is a rule in
chemotherapy. In homoeopathy we have two such example. A classical example : Argentum nitricum, the Nitrate of
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silver, a remedy having an action though different from that of silver metal, yet deeper and much more important.
For this reason this remedy is very frequently used. There is another example which I have very often pointed out,
is that of Plumbum aceticum. Since two or three years I have replaced my prescription of Plumbum metallicum by
Plumbum aceticum which is much more active. Lead is a metal whose action is very well known to us because since long
time, the pathogenesis of lead and of all its salts have been enriched by symptoms of poisoning. On the other hand
we also know extremely well the morbid anatomy and pathology of the lesions caused by lead. But when we apply our
knowledge to homoeopathy we very often meet with some failures even when Plumbum is indicated, while Plumbum
aceticum has at least a much more interesting action in muscular atrophies, neuritis and polyneurits. Plumbum
metallicum does not act well in these cases. The acetate of the metal can provoke some pains and other acute
phenomena which its metal cannot. Can we explain this fact by the help of chemical reaction? This is also a case of
research.
On the other hand simple acids are not the remedies of first importance in homoeopathy. They are less important than
the metalloids. Phosphoric acid is not as valuable as Phosphorus. Sulphuric acid has very much less value than
Sulphur, and its indications are not so extensive. The acids have for themselves some common indications which are
primary to all acids. As for example the general symptom of Debility, thus some case of debility and burning
sensation may be covered by Muriatic acid as well as by Sulphuric acid. Thus you will get amelioration of pains
resulting from hyperacidity by prescribing Muriatic acid, Sulphuric acid and Nitric acid, Sulphuric acid acts longer
but it should be remembered that you may apply the one or the other but their action is secondary and functional
which will ameliorate hyperacidity but will not cure it.
It is necessary that we must have close contact with the chemists. The difficulty is that Chemistry is a practical
science having no general considerations. Take any book on chemistry you will find that it is experience pure and
simple and the chemists act according to a tentative procedure.

The vegetable kingdom


As regard the vegetable kingdom there are two important guiding principles. The first is that the plants should be
collected in their milieu i.e. to say in their wild state. Take care of the plants grown in gardens for using in the
preparation of tinctures. A big laboratory of Germany has a big botanical garden where plants growing on mountains
and in plains are grown in order to avoid the cost and to set up a better organisation. It is possible that such plants
may give results, but it is an error of a priori because the plants should be collected in their milieu or in their wild
state.
The second rule is the following. We must begin with alcoholatures (tincture made in alcohol) and not from tinctures i.e.
to say tinctures made from fresh plants. This is easy to do for indigenous plants but for plants growing in hot
countries it is very often difficult to be certain of its origin. The rule for the fresh plants has its value. In a word
the alcoholature, in order that it may be of any value, should begin as much as possible on the spot of collection of
the plant itself. As for example an exotic plant sent to France in dried condition may not have any action. It is
necessary that the person who collects the plants should make the alcoholic tinctures on the spot and then send
them to another place, otherwise the tinctures may not have equal value.
(The time of collection has also some importance. The general rule is that the plants should be collected in blooming
state. There are plants that grow in shade and there are others that grow in the open. The degree of insolation
must have some influence on the quantity of the juice of the plant and the quality).
To us, homoeopaths, our perfection in the practice of homoeopathy has no value if we are not sure of the original drugs
which we use for the preparation of our medicines. If we do not get the desired effect of a medicine we prescribe,
we do not apply it any more thinking that the prescription is defective while perhaps it has not given desired effect
because it is not prepared from a good source. Let us then be absolutely sure that the sources are good in order
that we may not accuse the medicine for being ineffective. We should, on the contrary, accuse ourselves because we
have failed to take the proper precautions. This is of course a difficult question.
It may be noted here that when we apply the globules dissolved in water mixing it with a spoon for 5 to 10 minutes we
get much more rapid results.
There are some laboratories that have replaced Psorinum of Hahnemann which is scraping of the itch, by scrapings of
eczema. This is an error because Hahnemann established the pathogenesis of Psorinum preparing it form the
scrapings of itch.
Similar is the case with Hydrophobinums. It should be made from the saliva of a rabid dog, and not from the marrow of
a rabid dog. The remedy prepared by the Pasteur Institute may be interesting but it is not the Hydrophobinum
which contains other organic substances, found in the saliva.
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The animal kingdom


In the animal kingdom there are other rules. Hahnemann, as for example formulated the rule that the entire body of
the animal is to be used. For the serpents and other big animals only the venom is used but for the small insects the
whole is to be used to start with.
However as regards the serpents we must know that the venom of the animal has no value if the animal is not caught in
its country of origin and if possible in liberty. The venom of the serpents kept in captivity in Europe has not as much
value. When these animals are not in freedom, but are in conditions comparable to those of a free state, we may get
some results. This is the rule for all the venoms of serpents kept in captivity in the antivenomous Institute of Rio de
Janeiro. The Institutes of this kind are famous in Brazil.
There the serpents live as if in liberty in gardens and for preparing the Antivenomous serums the venoms are gathered
during the time of the year when they are more active.
The case of Apis is interesting. Sometimes Apium virum acts better in oedema than Apis. In this case also we must be
sure of the stock used by the pharmacists. The Germans have found out the active principle of Apium virus which
they have isolated in the form of Apisine. You may use it by subcutaneous injections in 6x. This 6x dilution of
Apisine is much more active than Apium virus in rheumatism. We must be very careful about Apis. Many homoeopaths
very easily get the idea that Apis acts, in all case of oedema. This is one of the causes of failure with Apis because
the oedema of Apis is painful, rosy, hot and inflammatory. It is for this reason oedema of cardiorenal origin does not
come within the sphere of Apis.
The question of the stocks of medicine is very important an very delicate to deal with because finally it reads us to the
question of the "Trade mark". This question arises in homoeopathy and it also arises in pharmacology. We are forced
to apply Digitalis of such and such "Trade mark" because the action of Digitaline is variable according to the region
where it is produced; But the question is more grave and more delicate in homoeopathy for the very reason that we
have no means of control. We can control the efficacy of a homoeopathic medicine only by its application to our
patients. Our question is always a relative one. We may think (and the anti-homoeopaths actually think so) that there
is a coincidence if they have an amelioration and naturally we may always doubt the value of our medicines. A
particular case does signify nothing. We cannot be sure until and unless we experience the effect of a drug in
several thousands of cases. IN a word we may say that we have to have a certain confidence in our suppliers.
The case is the same with opotherapy where the question of "Trade mark" is important. As regards hormone such as
the Testoteron the "Trade mark" may play an important part. The laboratories that prepare them do more controlled
physiologic experiments.
(The problem of physiological experiments is less important in the case of Testoteron because it is a crystallised salt,
but for a complex powder the question is different).
As regards homoeopathic remedies it is not possible because we have no criterium of control. We know that such and
such product is good when we have experimented on several patients.
(There would have been a rediasthesic control. But it has not yet reached perfection).
But such experiment will vary according to the person who is entrusted with the control.
(Is it possible for us to know the value of stock).
We have in that case no scientific basis.
(By the principle of Boyd?)
There is also a personal factor. The case is the same with the apparatus of Abrums for diagnosis. Emanometre is a
transformation of the apparatus of Abrums which in the hands of Boyd and Mac Care, produces marvellous results.
(Lastly we may say that in our colleges, with the teaching of the different branches of homoeopathic medicine, we must
have a course of pharmacology also. We must not forget that in India we cannot accept in toto the rules laid down in
foreign pharmacopoeias. We must try to establish our own pharmacopoeia always with special consideration of our
Indian herbs growing in a climate which is so different to that of other lands. Secondly it is also necessary that we
have our own materia medica for the very reason that the drug action is variable according to the climate of its
origin.
In other words we, Indian homoeopaths, must have our own Materia Medica and our own Homoeopathic Pharmacopoeia.
R.M. )

The dose
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The question of the homoeopathic dose is our next problem. We may make many mistakes in this case also. We should
know the cases where high dilutions are to be used and where to apply the lower dilutions. We must also know how to
repeat the homoeopathic doses. The repetition of doses is a very important problem.
The laws regarding the dilutions are not yet accepted by all homoeopaths. They should be considered with an open mind.
However, most of the homoeopaths agree on the point that the lower dilutions act soon, superficially and for a short
time; the high dilutions act slowly, deeply and for a long time. It seems that the laws relating to the homoeopathic
dose are rather some corollaries of the law relating to the intensity of excitations caused in the living organism. In
practice this is very important and should be considered with a supple mind because the excitation differ according
to the remedies. But we must insist on the point that, while diluting the medicines the homoeopaths have discovered
a capital principle which is the duration of the action of homoeopathic medicines. This is what makes homoeopaths
far more superior to other therapeutists. We know at least approximately the duration of the action of our
medicines. In general medicine one does not know it. Hahnemann has discovered that in diluting and in dynamising a
substance, imparting to it some more medicinal energy, the duration of action is augmented, and in reading the works
of Hahnemann we find that he proved as for example, Causticum is capable in high dilution to act from 60 to 100
days. When the dilutions are increased up to CM (Korsakow), or still higher, it may be active for a much longer
duration. Every remedy has its duration of action but this duration of action may be increased in course of
treatment. When you begin to treat a patient with a high dilution the duration of its action is not very long. Take for
example : you administer Lachesis 200, to patient who has never been treated or who is having homoeopathic
treatment for the first time. In such a case the duration will not be more than 7 to 8 days. The negative phase is 24
nd
th
hours; the positive phase begins on the 2 day; amelioration continues for 6 days and from the 6 day the
amelioration begins to fall and the patient feels less better. You repeat the dose and as gradually you go on
repeating the dose even in the same dilution the duration of its action will increase. If instead of giving Lachesis
200, you apply 1,000, the duration of action will be 15 days of positive phase and next you will have one month with
another dose of M and you will obtain a positive phase for 2 to 3 months with Lachesis 10,000 Korsakow.
The duration of action varies according as the patient has only begun the treatment or he is having a treatment for a
long time. But there are such frequent exceptions to this rule that in reality it can only be learnt by individual
practice.
Here we have an excellent argument for propaganda of Homoeopathy to other doctors who never busy themselves with
the question of the duration of action of their medicines. The official school busy themselves only in case of
preventive vaccinations as regards the duration of action.
As regards the lower dilutions, they are to be applied rather in acute cases because they act superficially and for a
short duration. On the other hand for the drainage of a chronic case we will get a real hierarchy of actions by giving
a high dilution which acts for a long time, followed by some functional remedies which are repeated every day or at
an interval of two days for the reason that their action is short lasting.
Very recently Cahis of Barcelona and Dr. Nebel have used mixtures of dilutions and it has been seen that by mixing
dilutions an action is obtained which is intermediary between the high and the low dilution, acting at the same time
very rapidly (because there is a lower dilution) and that the duration of action is intermediary. The mixtures of
dilutions act rapidly, deeply and their duration is medium.
In summary we may say : While the high dilutions have a negative phase of aggravation for one or two days
followed by a slow amelioration continuing for a long time. The lower dilution acts for a short time. It acts
superficially and it should be repeated. The mixture of the two kinds of dilutions give a result intermediary
between the two.
In practice we have made some interesting mixtures for some remedies. Dr. Nebel often used to mix 30, 200, 500 or
30, 200, 500, 1,000. Cahis tried to obtain a violent reaction of the patient with these mixtures causing at the same
time a fall of the potential. He used to give for example : Silicea 18, the next day a mixture of 300 dilutions from
4,700 to 5,0 0 of Silicea. He used to give in this way 300 dilutions, simultaneously. This was a work of considerable
patience. Cahis of Barcelona had thousands of phials. He worked on Sundays to prepare the dilutions which he applied
during the following week. He obtained very interesting results by alternating one very low dilution with a very high
dilution. He did this for example for Thiosinamin.
(In my practice I have very often verified the rapid and sure action of a remedy by using two of its dilutions
alternately. In chronic case I generally use a remedy in the following manner : 6,200; 200, 1M; IM, 25M etc. applying
the high dilution first following it with its corresponding lower one. The dilutions are repeated in an interval more or
less according to the dilutions high or low. In neurotic patients this method of applying medicine is really marvellous).
According to the works of Berne, it seems that the dilutions always made in the same phial are but some mixtures of
dilutions and the elements of depolymerisation corresponds to the high dilutions and the elements already
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polymerised to the lower and medium dilution. The superiority that is attributed to the Korsakowian dilutions, * is
perhaps due to the mixture of dilutions and to some physical phenomena which will result out of the mixtures.
There is also another law which has been equally formulated, but for which there are so many exceptions. It should be
followed with great care. It is as follows :
When it is necessary to act on very subtle symptoms are for example mental or sympathetic or nervous, it is better to
use high dilutions. When you descend to the materiality of morbid symptoms apply medium doses in lower dilutions.
Such is the case for the diseases of digestive system. But to speak the truth, most of the gastro-intestinal
manifestations are neuro-digestive syndromes. They are some phenomena which, though we believe to be purely
material, are however of energetic order. This is really true for the stomach and for the coecum.
(It would not be simple to say that the pathogenesis of a given medicine is not the same when it has been studied in
lower and in higher dilutions).
It is evident.
(It is very difficult to get a pathogenesis of say Silicea M. It is quite different from that of silicea 3x. Similar is the
case with Sulphur and Hepar Sulphur).
I think that Homoeopaths are very often haunted by their spirit of synthesis.
(It is easy to verify Dulcamara with 1x. But the case is different with Dulcamara 6 or 30).
As regards Phosphorus when you read the pathogenesis you find in a general way that the symptoms caused by the
poisoning correspond to the acute stage of the disease. The symptoms produced by the high dilutions correspond to
the chronic stage. In reality it is necessary that we should establish the pathogenesis of Phosphorus in different
dilutions and to understand them well we must take into consideration the chronology of appearance of the
symptoms. You will find this kind of chronology in the materia medica established by Hahnemann himself. You find,
for example, that the patient of Lycopodium had such and such symptoms that appeared primarily and such other
symptoms that appeared later on.
(It corresponds to the declining action of the high dilution. It is, therefore, necessary to prepare three or four
pathogenesis because they are not the same).
some homoeopaths have acted thus. But the pathogenesis has not been established always according to these rules.
(However there is for each remedy an optimum dose).
In a general way, the symptoms that appeared in the beginning are the symptoms of acute stage, and the secondary
symptoms are the symptoms of the chronic stage.
In ignoring the fact that the action of a remedy is different in different dilutions, the homoeopaths have ignored some
very simple phenomena. The pathogenesis of magnesia Muriaticum has been prepared with very high dilutions. Some
aspects have been neglected and it has not been noticed that the disappearance of a wart may follow after
absorption of Magnesium Chloride and corresponds to a very special sycotic state with the possibility of a secondary
nephritis.
(It is necessary that first of all a pathogenesis of the tincture should be prepared, then we must proceed to the
different dilutions).
Now we shall consider errors that we should try to avoid concerning repetition of dose, the intervals and the moment
of application of remedies. Lastly we shall consider some particular cases for individual remedies.

Repetition of doses
Almost all homoeopaths have a tendency to prescribe for a long time the same remedy in spite of the amelioration
obtained. We have tried much to fight against this habit. We may have to deal with an acute or a chronic case. We
treat it for a given period and it is very difficult for us to tell the patient when he will begin to have amelioration. It
is also necessary to lengthen the interval between the doses and to stop if totally when there is complete
amelioration of the symptoms. Thus, if the patient is left alone to his own initiative he may either stop the remedy
earlier before the amelioration has become manifest or he may fall in deep uncertainty. On the other hand we must
also take care to consolidate the amelioration obtained. But it is necessary as Hahnemann has said, to decrease the
frequency of doses as soon as their actions have become evident.
(This is a very delicate point in homoeopathic practice. As a rule we must stop repeating as soon as we have effect from
the medicine applied. But how long should we wait for the desired effect? No rule can be laid down in answer to this
question. On the one hand, the doctor is not sure whether his medicine is acting or not an on the other hand the
patient becomes impatient because you cannot assure him when he is going to have amelioration. This is really a
dilemma in homoeopathy. I venture to suggest a method, which I have seen very often useful during my long years of
experience. (Repeat the dose in however high dilution it may be at short intervals until its action becomes
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apparent or give a high dilution and intercalate it with a lower one and stop the medicine as soon as its action
is manifest and as long it continues to act. If the amelioration is not complete, repeat in the same way, R.M.
)
Only homoeopaths who have very long experience, do not commit such errors (in repetition). We should also try to avoid
a second error which will consist in stopping the medicine too soon. We must know to place ourselves on the
borderline of these two dangers. To stop the medicine too soon is to cause the patient to fall back on his diseased
condition. The first error is generally committed by very pusillanimous patients, while the second, which is generally
done by the doctors, is to prescribe the same medicine for a very long time. In most of the patients this kind of
continued prescription of the same medicine has practically no ill effects because their sensitiveness is of
medium nature. But this kind of prescription has very great importance in hypersensitive patients who are rather
exceptional. In such patients, the repetition of doses will cause in them not a stimulation but will bring en extreme
depression resulting out of too frequent medicinal excitations. It is the question of rhythm. In such cases we
cannot fix well the rhythm which suit him. In such cases you may take the help of a method in order to check this
medicinal excitation. It is to tell your patient no to take the medicine all the days of a week, to take it as for
example for 5 days after a interval of seven, or not to take any medicine at all till the day of his next visit. In this
way we may check the medicinal excitation; if not, we have the chance to fall in that extremely disagreeable
situation which is as follows : The patient has begun his first prescription; he has great amelioration. He continues
his medicines and telephones you that he is going much more worse. Then you change the medicine because you find
new symptoms, but the patient goes from bad to worse. If you persist in your error, you give continually some new
medicines till one day you stop all remedies and the patient feels immediately better.
Against this danger the Unicists and the adepts of Anglo-American school have found out a system which consists in
giving their "Placebo" for "Saccharum Lactis" or "Inertia". The patient knows not that what he is taking day after
day contains no trace of medicine, that it is nothing but sugar of milk. The patient is not told that he is taking only
sugar of milk to avoid all auto-suggestions. But in France we have not this habit.
In patients who are not very sensitive when the amelioration is very great and it can no more be increased, the
continuation of the treatment does not ameliorate any more, neither it does any harm. The patient who continues
the treatment will have no further benefit because he has reached the optimum, but at the same time there will not
be any ill-effect. This is what happens at the end of a well-conducted treatment of a chronic disease. But from time
to time we have to deal with hypersensitive patients. There hyper-sensitiveness is so intense that whatever
medicine we may apply will cause, an aggravation and they do not feel well until all medicines are stopped. Only then
they are freed from all medicinal excitations. It is also possible that thy may continue to feel well because some
medicines taken previously may act at that time in a very delayed way.
We have already seen while speaking about the duration of the action of remedies that we should not repeat a
medicine until the previous dose has ceased acting. The superiority of homoeopathy had been established from
the very beginning by Hahnemann who had discovered that we are capable of knowing the duration of action of the
medicines by diluting and dynamising it. We have thus an immense superiority over the official school. We can
measure the duration of the action of our medicines. It is now up to us not to fall in an inverse error of becoming
more of a homoeopath than Hahnemann himself and by repeating the medicines very often. We know that in a
general way we apply lower dilutions, often in repeated doses in acute cases, while in chronic cases we use high
dilutions repeating very rarely. Naturally it becomes a question of real technique, variable wit each patient. We know
also that in urgent cases, as for example a case of haemorrhage, we are authorised to repeat our medicines at an
interval of five or even three minutes; e.g. China 6, in dangerous epistaxis, or Silicea or Naja in metrorrhagia should
be repeated very frequently.
rd
th
In acute case we know also that the 3 and the 6 dilutions are applied every hour, every two hours or every three
hours. But let us remember always :
1. That we must avoid repeating a medicine for a long time when the amelioration is apparent and consolidated.
But let us also remember at the same time that we should not stop the medicine until the amelioration is really
consolidated.
2. That we must avoid repeating a medicine until it has completed its action.
As the evolution is much more rapid in acute cases, the homoeopaths in general and the beginners in particular may
commit the error of repeating the remedies too long a time. When you treat cases of whooping cough, measles,
mumps or bronchitis, you do not make the error of repetition of dose. When the symptoms are yielding, the
temperature is falling down, you will know well that the medicine is to be stopped. It is in chronic cases where
amelioration is often insidious, when it is feared that the patient may fall back it is quite possible to make the error
of continuing the prescription for a long time.
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Medicinal aggravation
A second important point is this : How to check the aggravation from the high dilutions?
All the medicines may be prescribed in high dilutions without danger but on the condition that we know how to
administer them. The beginners in homoeopathy are, according to their temperament divided into two groups : the
audacious and the timorous. Fortune favours the audacious and they advance very soon but will meet many failures.
Professor Marage, who was entrusted with some lectures in the University of Sorbonne, I think took up
Homoeopathy though he did not believe in it, because a Homoeopath gave him Sulphur and an eczema appeared on his
body. Chavanon took up Homoeopathy because he bought a book by Chiron and was terribly aggravated as a
consequence of taking different Homoeopathic medicines in frequent intervals.
Before knowing if it is necessary to check the aggravations, it is necessary to put to oneself the following question : It
is really necessary to check them or not? They are some American and English homoeopaths who systematically look
for aggravation. They are satisfied only when they get an aggravation while treating a chronic case.
I think that with the French temperament and character we cannot act in the same way with our patients. On the other
hand I believe that the Latin people, who react much sooner to remedies than Anglo-Saxons, tolerate much less well
the aggravations and are not at all made to note down regularly their symptoms. A Scotch and a Scandinavian will
accept willingly to pass through a phase of aggravation that may last long, as for example for the cure of a case of
Asthma. A Frenchman will accept it rarely. It is always necessary to take into consideration the desire of the
patients because it is they who know what will suit them. So far as we are concerned we follow the teachings of Dr.
Nebel who has made researches throughout his practice in order to check the aggravation caused by the high
dilutions and from him has generated the idea of applying the antidote to cause a drainage.

Drainage
You know that in the materia medica we have some short lists of remedies which are named as antidotes to some other
medicines. In act they are not the antidotes of medicines considered toxic. Nebel, by antidote, understands that the
medicines called antidotes are complementaries and satellites. Thus when Pulsatilla is indicated as antidote of Nux
Vomica, it means that when Nux vomica will finish acting it is necessary to apply Pulsatilla. Therefore, in the place of
"Antidote" it is better to use the word "Satellite" or "Complementary" and by so doing we will know to check the
aggravation of such medicines called antidotes. In the way Nebel has come to drainage. He began to observe in
tuberculous patients that the most indicated remedy aggravates and that aggravation may not be dangerous for a
patient who resists well or who has become ill very recently, but it may be terrible in patients in whom cavities are
already formed. His first research on drainage was carried out on the aggravation caused by Calcarea Carbonica in
high dilutions. We have therefore, continued like him to try to check aggravation caused by the high dilutions.
We have several means to check the aggravation. The first means is that of Dr. Nebel, afterwards taken up by Dr.
Chiron. Chiron systematically drains the patient during the first eight days i.e. to say he does not give high dilutions
when he starts the treatment. He gives first of all some drops or some globules of a functional remedy (that which
has an elective action on a particular organ). The medicine for the constitution is applied after a week.
The second process is applied by the Unicists themselves who always look for an aggravation. It is Doctoress M. Tyler
of London who first used this method which has been taken up by Dr. Renaud in France. This process consists in
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fractioning the high dilution. Instead of giving 200 once, it is broken into 3 parts and is applied every hour, i.e. to
say the complete dose is taken in two hours and in three times. It is a case of medicinal excitation. The medicine will
cause diminution of its intensity by antidoting itself partially.
A third process is that which I practise myself. I have often noticed that when a medicine is applied for along time
before or after the meals it acts much more deeply but it may cause some aggravation if the patient is very
sensitive. Therefore apply a medicine in the middle of a meal in hypersensitive patients. They will manifestly have an
amelioration. This process is used by the doctors of the thermal stations. At Vittel Evian and at Capvern, the water
does not act well but when taken in the morning during fasting and people are quire astonished that the water also
acts well when taken at table. It is because the water acts mildly when taken with meals.
Lastly the process of Dr. Cahis of Barcelona which consists in mixing of dilutions. This method is in my opinion
remarkable and I must emphasise this method. When you have a medicine, which systematically causes aggravation,
in such and such case, specially in very well characterised diseases, apply first of all a mixture of the high and a low
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dilution : Arsenicum M/6 (1M plus 6 ). You will have at the same time a rapid action of the 6 and the intensity and
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prolonged action of 1M. This process should besides be applied according to a precise technique for each disease,
because it adapts to the disease rather than to the patient.
I will tell you something of a fifth method which has also been indicated to us by Dr. Nebel. It is that the drainage
remedies should be applied in high dilutions, specially in the beginning of the treatment of a chronic cases. It is a
proved fact that the application from the very beginning of a high dilution may cause very injurious and prolonged
aggravation and a very delayed amelioration. The observation of a patient by the unicists are extremely instructive
in this respect for us, because these cases give us the experience of the application of a single remedy. I have
known a homoeopath who allowed a case of gonorrhoea to become chronic with increased of flow during a very
prolonged treatment. But it is possible that the blenorrhagias treated during two years check a prostatic infection
and some late aggravations which we do not relate to their real cause. To establish in a patient who has gonorrhoea a
kind of sinus flow continued for two or three years may not be a bad thing for the general health as well as for
avoiding the diseases of the late years, but we must not fall into an inverse error and we must be able to understand
the inconveniencies of such a method.

Time of application of doses


We are now going to see the errors that we may make regarding the time of the application of doses.
Medicinal aggravations are very often caused by applying the doses at the wrong moment. The time of action of the
remedy is extremely important and it is also sometimes very difficult to fix the proper time. He who knows the
proper time of the application of medicines can get rapid results. In other cases, on the contrary, if the application
is untimely, there are aggravations and the diseased condition of the patient is prolonged. Untimely application of
doses is a common error as regards the hour, season, and in woman during menses.
The time of application of remedies and the application of remedies in proper time as regards the menses in woman are
very easy to fix. We know very clearly the time when some medicines aggravate which indicates to us precisely the
hour of drainage. For functional remedies it is better to apply them one or two hours before he time of aggravation.
As for example, we know that in homoeopathy all the hepatobiliary medicines have an aggravation from 4 to 8 P.M. ,
with a summum towards 5 to 6 P.M. This is true for Lycopodium, Chelidonium, Sepia, Pulsatilla, Myrica, China,
Chionanthus. This rule is also applicable to Ricinus Communis. Apply the medicine at 4 P.M. at the end of the stomach
digestion and you will have an amelioration. Ricinus Communis, in the case of cholecystitis acts towards 4 P.M. , if the
patient has taken his meal between noon and 1 O'clock. This is the moment of the elimination of urea in the urine
which is very important. If you establish a curve of that elimination you will find that the maximum is towards 5 P.M.
This is what explains the aggravation of Lycopodium.
For China this is not always true. This remedy often acts better when it is given in the evening because it has an
aggravation between 2 to 5 P.M. , in children when they wake up in the morning. The aggravation of Natrum
muriaticum and Gelsemium is due to the solar influence. The patients suitable to these medicines have an aggravation
during the day. The solar activity is the greatest between 10 A.M. and 3 P.M. If you make a graph you will find that
from 10 A.M. to 12 noon the solar influence is at its highest. Natrum muriaticum and Gelsemium, of which the
symptoms follow the solar activity are to be applied during that time. There are other remedies, that have
aggravation before storm. As for example Rhododendron and Phosphorus. These medicines are to be applied before
the storm. Sometimes they are also applied earlier when great heat precedes storm. If you apply them during the
storm, during the fall of the barometer, they will not act very well. Fergie-Woods of London has shown that the
barometer on the one hand and the season on the other give very valuable indications about the marked action of a
remedy specially in children. He said that the mouth of June is the month of Sulphur, whereas the month of
Phosphorus is July. These remedies of "Burning" are really useful at a time when the days are the longest during the
year.
For seasonal aggravations we have tow medicines : Lachesis and Natrum sulphuricum. The same rule is to be followed
here; Do not be too late or too early to apply these medicines. Apply 15 days before heir seasonal aggravation. An
asthmatic or rheumatic who has terrible aggravation of his disease each year in the month of March, must begin his
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treatment from the beginning of February. A hay fever should not be treated from the 15 March when the
patient has already his attack of the disease. He should be treated from the month of January with Lachesis,
Allium, Sabadilla etc.
This rule is also very true for the Tuberculines. Very often asthmatic and rheumatic aggravation may be checked down
by diluted tuberculines specially by T.R. and also by Lachesis when there is aggravation in extreme conditions, in
great cold or in great heat.
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In amenorrhoea and in hypermenorrhoea, Sulphur, Graphitis, Pulsatilla, Kali carbonica form the quarto of remedies.
Apply high dilution of Sulphur 8 or 10 days before the period. If you apply it at a time nearer to the period it will not
bring back the menses which is delayed.
For the sea-sickness the same rule applies : Cocculus, Tabacum, Ignatia, are the three medicines given 4 days before
embarkation. If you apply it on board the result will be nil or insignificant, Generally Ignatia 1M, is to be applied 4
days before embarkation and it should be repeated after 8 days if the crossing is very long. In very troublesome
cases, apply Cocculus or Tabacum 30, once a day on board the ship also. I have got some beautiful results in sailors
who were suffering for 10 or 12 years from sea-sickness. One never becomes habituated to this disease. It is
according to one's temperament that one suffers or does not suffer from sea-sickness.
In dangerous hypermenorrhoea or metrorrhagia, apply the ground remedies 7 or 8 days before the possible date.
In simple cases of hypermenorrhoea, apply only in the beginning of the menses. When it is the question of a case where
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there is ground fro fear of a strong action or the stoppage of the flow apply it only towards the 4 day. There are
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some women for whom every thing is normal up to the 3 or 4 day, but who from the 5 day begin to be
haemorrhagic. They are types of Pulsatilla. In such cases you can apply China and Arnica, which will give you good
results. The question of time in menstrual disorders is very important.

How to avoid medicinal aggravation


1. Rare cases of complete hypersensitiveness :
There are patients who react in a general way to all medicines and develop some pathogenesis even when rarely
repeated doses and lower dilutions of such medicines are applied. There are some patients whose sensitiveness is
extreme and there is aggravation by all medicines that they take. It is said that they have become sensitised to all
substances, homoeopathic as well as allopathic. It is a kind of general sensitiveness. In such case it is extremely
difficult to prescribe for them, and before being place under Homoeopathic treatment they may require nature cure
therapy.
Fortunately, these patients are rare. They are seen one in a thousand. These patients are built up ideally and have
controlled pathogenesis. They are very much annoying to treat, but they show us the pathogenesis of our remedies.
To these patients it is necessary to give first of all "Saccharum Lactis" and some in active globules without telling them
that the doses contain no medicine in order to avoid auto-suggestion. Once that hypothesis is eliminated, they should
be taken up by very mild physical means. When they cannot tolerate any homoeopathic medicine we should stop all
medicines. We should treat them in the method of the naturists. We cannot even apply to them physiotherapy in the
form of rays, short waves etc. because they will have aggravations. When we take them up from the point of view of
homoeopathy we shall give them in lower dilutions some medicines acting on the mind. One of the best medicines in
such case is Ignatia 6, because the 200 the M give the greatest chance of aggravation. Even Ignatia 6, should be
given with care.
I have very often said that it becomes necessary to abandon homoeopathy for treating these patients and to apply to
them the methods of naturists. You must be very careful in doing such a treatment. Take a subject who is not very
sensitive, put him under a vegetable diet, he will become more and more sensitive. You may eliminate form his food
some substances which disagree with him but he will end by showing some real anaphylactic accidents the day he
begins to take those substances again. This is due to the sensitivity.
If you are forced, in these rare cases to abandon homoeopathy and to apply nature cure you must not leave your patient
for a long time under nature cure but you must very slowly bring him back under homoeopathic treatment giving him
for example Ignatia 6 in the middle of a meal thrice daily.
In the same way very mild opotherapy given during meals may give excellent results in hypersensitive patients.
Now we have eliminate that question : the total sensitiveness of the patients to al remedies, to all medicinal
excitations, allopathic, homoeopathic, to gross doses and infinitesimal doses.
It remains for us the question of patients who are aggravated by particular medicines. We will speak specially of
polychrests, ground remedies and constitutional remedies.
Hypersensitiveness to such and such particular medicine and medicinal aggravation.
We have said that the unicists look for an aggravation while we try to avoid aggravations by the help of drainage and
canalisation. But even after drainage and canalisation there may be aggravation. Of these aggravations we must try
to distinguish that which is beneficial : Aggravation which comes immediately after taking the medicine, lasts,
for a very short period and is followed by amelioration; For instance, a patient who has taken Sulphur or Natrum
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sulphuricum may have aggravation for 24 hours and then he begins to feel better on the second and the third day. If
the patient is not pusillanimous, and does no abandon his medicine after that aggravation, he will very soon feel the
good effects. The effect will continue and he will feel better and better.
But this aggravation, should be checked specially in old patients who cannot tolerate it. There is besides a very
characteristic point, viz. That the constitutional remedies do not cause aggravation in children. Aggravation in
children is rare. While in adults this aggravations is very frequent, I have not seen even two cases of such
aggravation in children in my practice. Young and old patients have very frequent aggravation. In advanced age,
especially after 50, these temporary aggravations become more dangerous to tolerate, even though durable
amelioration follows :
There is another series of patients, more rare, who react with persistent aggravations, as for example from 8 to 10 or
even 15 days after the absorption of a high dilution. They should be treated with still more care. The medicine used
should not be repeated; neither the method of Nebel, taken up afterwards by Renard should be applied. In a word
none of the methods that we have proposed should be applied.
The aggravation which lasts for a long time after taking a high dilution does not becomes dangerous if the medicines
are repeated in frequently. Whenever you have such an aggravation, you should increase the interval of the following
doses and the patient will become normal.
We are now going to study the nature of some particular remedies.
Sulphur : This is a remedy easy to understand. It is the backbone of our materia medica. It acts in acute as well as in
chronic cases. It has the characteristic of being on the borderline of the acuteness and chronicity. We give it at the
end of an acute case or in the beginning of an acute case when the patient falls back from a chronic state which had
existed before.
The aggravation of Sulphur, we may say, is much more dramatic and evident than dangerous or hidden. For example,
when this remedy causes an eczema to appear or aggravates an eczema which already existed, the aggravation is not
dangerous because soon everything will become normal. In these cases do not apply higher than 30. And when a very
high dilution, 200 or M, has caused an aggravation come down to 30 and repeat it rarely.
In arterial hypertension, Sulphur in dilution is sometimes dangerous in oxygenoid and lean types and in young patients.
But in these cases there is also the question of dilution.
There are two cases where Sulphur may really be dangerous and where one can really make an error in not giving in
proper time :1. In Phthisis, Sulphur should never beg given higher than 30 and 2. In suppurative patients this
medicine should rarely be repeated.
Last of all, Sulphur should not be trusted in otitis in children. Sulphur is a medicine whose action is like fire and which
aggravates the disease. It is a remedy which serves the interest of the organism and disserves the local
interest. Therefore in children suffering from adenoids, even if the nose alone is affected, Sulphur 30 may, acting
well on the general health, be dangerous because it will cause an otitis to appear. Chavanon goes still further and
says that Sulphur should be totally avoided in Children.
I think that if the nose is well disinfected and the application of Sulphur becomes necessary, it should be applied when
it is indicated in children.
Generally if you wish to avoid aggravation do not apply on principle more than 30, and in cases of suppurations and
phthisis do not even use 30.
Phosphorus. This remedy is to be avoided in some rare cases. First of all we must avoid it in pulmonary or laryngeal
tuberculosis.
In certain cases of asthma with undiagnosed tuberculosis, Phosphorus 30 may be indicated but it should be used very
prudently.
On the contrary, Phosphorus is very useful in hepatic cases, and in cases of cholecystitis where Phosphorus 200 and M
should be applied. In these cases this remedy is absolutely harmless. It may only cause a temporary aggravation but
not very dangerous.
The aggravation in tuberculosis by Phosphorus was a very disputed question. The homoeopaths who really disputed over
its action are those who have had the chance of using this medicine twice or thrice in 200 in pulmonary tuberculosis
and confronted no aggravation. But they change their opinion when they are confronted But they change their
opinion when they are confronted with an aggravation. There are a number of homoeopaths who have seen their
patients die rapidly with an extremely rapid caseation, after a dose of Phosphorus 200. When there is pneumothorax
the effects of Phosphorus are not dangerous, but it must be said that the aggravation of Phosphorus is dangerous in
pulmonary tuberculosis with caseation.
Chavanon got an amelioration with Phosphorus 30 in a patient suffering from laryngeal tuberculosis. Phosphorus acted in
that case because the patient defended well, but it is an exceptional case.
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Silicea terra
This remedy follows almost the same rule as Sulphur i.e. , to say in all cases of pulmonary tuberculosis or when the
patient has a tendency to suppurations, it should not be applied in high dilutions.
On the contrary when there is no tuberculosis, but you find sclerosis and septic tumors, you will not get any effect if
you do not use Silicea in high dilutions.
Silicea Aurum muriaticum natronatum and Calcarea fluorica are in my opinion the trio for uterine fibroma, to which are
added Thuja, Lachesis and other auto-inflammatory remedies. In this case Silicea acts in 1000 like a ground remedy
with Calcarea fluorica 1000 and Aurum muriaticum natronatum which we apply in 6x. This last medicine acts
remarkably well in 6x dilution.
In the same way we must not be afraid of applying it, in high dilutions in all sorts of cellulitis, sclerosis etc. It is the
best remedy that we know of in all kinds of cellulitis with periaortic inflammation and in symptoms of pseudo anginas.
In the last case Cholesterinum M and Calcarea fluorica M are to be added to Silicea M.
In short : Sclerosis-Silicea M
Cellulitis which is a torpid infection,
Silicea M.
Acute suppuration-Silicea 30 generally
Pulmonary suppuration-Silicea 12 or
30 with care.

Natrium muriaticum
In high dilution it is a marvellous remedy for oxygenoid types, children, adolescents, weak and worn out patients.
On the contrary it should not be applied in hydrogenoid patients having nephritis. We may use it in this case in a
dilution not higher than 6x.
We should avoid Natrum muriaticum in high dilution sin patients suffering from malaria because it will antidote Quinine.
On the contrary it is a marvellous remedy for patients who have suffered from malaria, who have no taken quinine
for a long time, and who are suffering from the consequences of malaria.
Whatever may be the constitution and the age of the patient Natrum muriaticum produces always good results in high
dilutions in diabetic patients and patients suffering from migraine even in advanced age.

Lycopodium clavatum
It has reputation for aggravation but this is much exaggerated. It is a marvellous remedy in all dilutions and it may be
applied in children as often as one likes, high dilutions. But in aged persons it should be avoided or given with care. If
it is at all necessary to apply it in old patients, use first a dose of Liver 200 and then apply it. It will give no bad
results Is it because it is antidoted or canalised by Liver? This question remains to be studied.
On the contrary lycopodium may cause temporary aggravation. Very frequently it gives temporary shocks without
danger and it may play tricks with those homoeopaths who have very little experience with it.
Lycopodium should never be given without proper drainage.

Thuja occidentalis
Thuya resembles Lycopodium as regards aggravation. Very frequently if gives temporary shocks like that of
Lycopodium. These shocks are not dangerous. This is a remedy which can be sued to anaphylactics and patients
having cervicobrachial neuralgias.
Thuya is a kind of Sulphur of the central nervous system; as for example, it cures the kidney and the liver by causing
aggravation of a sciatica. It will aggravate cervico-brachial neuralgia by curing the symptoms of Angor. Therefore it
will do some good to the patients by causing some disagreeable symptoms, but it is not dangerous.
There is a way of checking aggravation caused by Thuya. It is to give Cimicifuga at the same time and in the same
dilution or Thuya 300 and Cimicifuga M.

Sepia officinalis
It is a remedy very easy to apply. It is a ground remedy which is so to say very well adapted to all patients.
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In my practice I have never seen a clear-cut aggravation by Sepia. Sometimes it does not act when it is well indicated
particularly in melancholics where it is very often indicated, while in these cases Calcarea Carbonica M will cause an
amelioration of symptoms without causing aggravation.
It also acts marvellously in the tuberculosis of the left apex in women.
(Chiron reports that he treated a woman of Sepia type. He drained he for a long time, then he gave her Sepia 200. She
was tubercular and he could not check a maddening evolution).
(However Sepia is an anti-tubercular of the the first order).
It acts, marvellously specially in the the tuberculosis of left apex in women.
(Monod gives Sepia 200 and Nux vomica 6 in tuberculosis and he gets good results. I have also tried this treatment
with good results in brunettes having hypotension with aggravation during menses. It is a marvellous remedy for
congestive symptoms in tubercular patients).
What should be remembered of Sepia is that is acts no more in confirmed melancholia. However if you read the the
pathogenesis of Sepia you will see that there is a desire for solitude, the recoiling upon oneself etc...Sepia should be
applied just at the beginning of the state of melancholia, if not Calcarea carbonica M should be given which will give
good effect because it follows Sepia.

Lachesis mutus
This remedy is also easy to manipulate. However, there is one danger. In mania or in hypomania. Lachesis may cause
aggravation and causes a state of acute mania to appear if it is given in the beginning, because, when you study well
its pathogenesis you find that it is a remedy of the type of mental disease which serves as a refuge of the
organism. The patient who has some physical troubles takes refuge in the mental sphere. The logorrhoea, the
loquacity in women during menopause are necessary for the patients. You know that one of the important symptoms
of Lachesis is the aggravation of hallucinations which are normal at the beginning of the sleep. This state of slight
hypnotic hallucination that almost all of us have experienced before falling deeply asleep is exacerbated in women of
Lachesis type. All these unfold in extraordinary rapidity, it is a real succession of kaleidoscopic visions. The patient
has dreams during sleep, and during the day he is liberate from them by falling into loquacity. He is forced to talk
much in order that this flux of words may act like a real drainage on the mental sphere. But in maniac state, this
condition is at its height with the absence of sleep and if you give Lachesis in high dilution you will aggravate the
mania.
Therefore if you have to treat a case of hypomania do not give Lachesis. The remedies suitable in such cases are
Hyoscyamus 6, and Cannabis indica 6. You must know how to apply medicines having centripetal action when remedies
having centrifugal action are dangerous.
Besides that, Lachesis is a remedy easy to manipulate.
I will put the question to Dr. Nebel, why he applied Lachesis and Luesinum together which he calls Lu-Lu.
(It is because he considers Lachesis as an important drainer of Luesinum).

Drosera rotundifolia
This remedy should be applied with care, Dr. Curie, homoeopath, the grandfather of Pierre Curie, gave us the results of
his provings with this drug. These results are followed by the English school. According to the English school,
Drosera should be very rarely or never repeated. It is sometimes given only once in the lifetime of the patient in
chronic state.
This remedy is specially indicated in glandular tuberculosis. It behaves like Phosphorus and Tuberculines at the same
time;
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I have some cases that were marvellously ameliorated by Drosera. On the other hand I have observed that the 60
dilution is more easily tolerated by the patient than the 200.

Possible aggravations by the tuberculines


This is a very intricate question. I will give her only the summary.
We must know well the rule of Nebel. They are as follows :
In oxygenoids who defend well : T.K.
In hydrogenoids with florid type : Denys.
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In hydrogenoids and carbonitrogenoids : T.R.


These rules should always be strictly followed.
Serum of Marmoreck : It is not dangerous when one is careful and applied it in lower dilutions. It is dangerous in high
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dilutions because it favours the anaphylactic symptoms. It may be applied in the 5 or 6 and in these dilutions it
is often our best weapon in tuberculosis with cavity.
Spengler : Always well tolerated. IT is the satellite of Marmoreck. It seems to me that Marmoreck acts better with
Spengler.
It is interesting to state that Marmoreck gives us good results while it is abandoned in Allopathy, because the
tubercular antigen does not cause the formation of antidotes. Consequently it cannot act. I think that it acts simply
because it is a dilution of the toxin.
T.K. : It is very difficult to manipulate. Nebel recommends it only in oxygenoid patients who defend well.
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Denys : It is easy to manipulate in homoeopathy. We must start with, says 12 or 30 and we must remember that it
acts well in florid types, who have the tendency to become fatty.
T.R. : Inspite of its reputation, it is a delicate remedy to manipulate. Do not give T.R. 10 a person less than 40 years
old. If you apply it before the age of 40 or 50 you will have to face aggravation.
(Chiron applies it in young patients alternating with Natrum muriaticum).
(Of the tuberculins, Marmoreck is the best. Some prefer Bacillinum 200. This remedy is very mild. It does not cause
aggravation but it is very often inactive like Spengler. If Marmoreck is properly used, it acts really well).

The errors to avoid as regard patients


Now we should this subject we sill often be forced to come to some general considerations. The first is the most
important. It is that there must be a close relation between the clinic and the therapeutic. We must always keep in
mind that in homoeopathy we must make triple diagnosis :
1. Diagnosis of the disease.
2. Diagnosis of the patient.
3. Diagnosis of the remedy or remedies.
If we apply the law of similars directly without taking into consideration the patient on the one hand and the disease on
the other, we will end very often only in partial or ephemeral ameliorations. Therefore it is necessary to practise an
etiologic therapeutics and this cannot be realised without good diagnosis.
I will speak here only regarding some diseases for which this principle has much more importance.

Diseases of the heart and of the blood vessels


I take for example the disease of the heart and of the circulatory apparatus in general. The modern methods of
investigation, particularly electrocardiogram, may help us in certain cases of eliminate some homoeopathic medicines
of which the patients have all the symptoms, but the application of which might be dangerous or useless according to
a given diagnosis.
This is true for some cases of myocarditis. You have to deal with a patient who has fever, an intense praecordial pain,
and a sudden fall of the blood pressure. Before the era of cardiogram, or even when it was not possible to arrive at a
proper diagnosis clinically of the infractus of myocardia, one was tempted to apply homoeopathy to these patients on
symptomatic basis, without knowing how they got the lesions. In such cases, one could no get the desired results
that are now obtained. We know now that it is necessary to abstain in these cases from the tonicardiacs in high
dilutions. We know now that if in these cases we apply medicines to act on the fever we shall arrive at nothing, and
remedies like, Naja, Bothrops, Arnica, Arsenicum, are specially indicated to us because we have the physiopathologic
knowledge of that disease, an idea which we wanted totally until clinically on the one hand and by electro-cardiogram
on the other we learn what happens at the moment of a myocardiac infractus.
Therefore in a general way we must keep in mind that the diagnosis of the disease has an importance, and an
importance on which one cannot have the slightest doubt, not only from the point of view of the prognosis as it is
believed by the unicists, but from the point of view of the therapeutics, because it may have all sorts of extremely
important consequences. The kentian homoeopaths have the habit of saying that practice must be based purely on
symptoms and that the diagnosis of the disease has no importance for the treatment; and that it is important only
from the point of view of prognosis. This idea is absolutely erroneous and we will find other important examples of
it.
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Tonicardiacs and homoeopathy


Now I must speak on the question of the relation between the toni-cardiacs and symptomatic and etiologic
homoeopathic treatment.
This is important as regards asystole. There are cases where we are forced to apply some toni-cardiacs. In a general
way we may use them in minimum doses. We agree with the official school in these cases but rather with the
minimalists than with the maximalists and by so doing we will have good results keeping a good relation with our
therapeutics. Let us not trust Oubain given intravenously repeated daily for ten days, which does not agree well with
Homoeopathy. Oubain for example is good for acute heart weakness. It is a marvellous remedy in this case. But in
chronic cases this medicine is used in intravenous injections and in repeated doses. I have often observed that it
does not success well. By this kind of application of medicine, we get only a momentary amelioration after which
there is established a kind of obstruction. We may say that the heart having made its last attempt has become
completely tired.
In cardiac weakness. Oubain is a marvellous remedy no doubt, but it is a remedy to which one becomes habituated; one
cannot make himself free from its power.
Digitalis in massive doses is also extremely dangerous in weakness of the heart. There are cases of suicides caused by
taking digitalis. Digitalis causes tachyarythmia.
As regards the toni-cardiacs there is now a tendency to react against their being use for a long time and in massive
doses.
They are now replaced by bromohydrates of quinine and also quinidine.
For the homoeopaths it is a great problem, the question of toni-cardiacs. We are sometimes obliged to apply to these
patients in certain cases some toni-cardiacs but they hamper the action of the homoeopathic ground remedies.
I had two very curious cases. A case which I treated a long time ago. The patient was suffering from mitral disease. A
young patient having hyposystole, with periodic asystole. He used for a long time Digitalis. When we treated him we
applied a dose of Arsenicum Album M or 30 to be followed by a maceration of Digitalis. He took Arsenicum but he
did not take the maceration. The urine augmented from 400 grammes to one litre and a half after the use of
Arsenicum.
On the other hand we often see that Phosphorus augments the diuresis in astonishing manner in old asystolic patients.
How can the tonicardiacs act in a general way?
(A medicine like Naja act in rheumatic pancardithis, there is no doubt about it, and there is always infection of the
muscular fibres).
Naja sometimes causes the systolic rhythm to disappear in few hours.
(Can we treat with oil of Camphor along with homoeopathy).
Yes, that does not prevent the Homoeopathic remedies to act.
In conclusion we may say that we require some homoeopath cardiologists who understand well their clinical diagnosis as
well as homoeopathy.

Acute and chronic diseases


It is evident that in acute cases of heart, such as endocarditis, rheumatic endocarditis, pericarditis, the application of
homoeopathy according to the symptoms will give interesting results. But when it is the question of a chronic
disease, the case becomes completely different. Take for example a case of endocarditis who has a lesion of the
endocardium. In such a case, the endocarditis will not settle the prognosis. It is myocardia, and the general condition
which will settle the prognosis. We will have to treat the patient according to his constitution. We will have to give
him some diluted tuberculines. We will have to treat the patient a long time before we come to the disease. And the
most important and general rule in homoeopathy is : In epidemics of acute diseases it is often necessary to treat the
disease first. In the epidemics there is a kind of epidemic Genus, so that all the patients require the same medicine.
In certain epidemics of typhoid, Baptisia will be the only remedy, in others the remedy will be Arsenicum. During the
epidemic of "flu" called "Spanish", in 1918 all the homoeopaths of Europe and of the United States cured the disease
with Eupatorium perf.; the homoeopaths of Brazil used Gelsemium. The patient of Brazil had the symptoms of
Gelsemium, while Gelsemium is a remedy of acute diseases in a hot countries.
Then in acute epidemics, the diagnosis of the diseases leads directly to the homoeopathic remedy, indicated by the
symptoms, while in chronic cases, it is the diagnosis of the patient himself which is of the first importance, his
temperament, his constitution, his morphology, etiology of his troubles etc...
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I believe that there we have to avoid many errors. The first is that we must not base our treatment purely on
symptoms. The second is that inversely we should apply only the medicine having a far away action in relation to the
lesions in question. And this brings us to another consideration which ill be much more apparent as regards the
diseases of other organs : which is that there is very often in the local organism a kind of antagonism between
the local interest and the General interest of the patient and very often we are forced in homoeopathy to watch
and treat the patient in such a way that we do not aggravated the lesions or the local troubles or inversely by
respecting the general condition.
In a general way we may say that the allopathic medicine has always the tendency to consider the disease locally; the
homoeopaths practise a therapeutic, which is quite different and has the tendency to make a general treatment and
does not occupy itself with the local lesion. But the local lesion has also its importance. Some homoeopaths were
right to make us wise in this regard. You known that Sulphur for example of which the child has all the symptoms,
will ameliorate the general health but it may aggravate the otitis. We cannot, however aggravated a suppuration
which will cause some local disorders only because it is the best remedy of the general health.
There is another consideration which is the following :
Very often in chronic cases, the most evident symptoms are of an organ or of a system which suffers, while it is
another organ or another system which was really or primarily affected.

Diseases of stomach and of intestines


I will at first give you the example of aerophagia. In all aerophagias there is a vago-sympathetic syndrome and a
hepatic syndrome. We can cure aerophagia marvellously by the help of homoeopathy, but we can ameliorate more
surely with triturations of the liver and of the parathyroid, than by Carbo vegetabilis. If we follow directly the
homoeopathic therapeutics, and if we try to search for the simillimum then we will find that China will suit to
aerocolia, Carbo vegetabilis in aerogastria, and Abies canadensis in aerogastria which causes heart troubles. Then we
will not think of the liver which is really the cause of the disease. Here the suffering organ is the liver, and it is a
dumb organ, and the organ which cries for the pain is the stomach, but the latter is not really the cause of the
disease.
This is therefore a casein which the homoeopathic therapeutics should really be etiologic and should be applied on the
basis, not only of the etiology but on the pathogenesis. We will cure aerophagia with Thuya, Ignatia, remedies of
spasms, Kali carbonicum extracts of liver and of parathyroid in small homoeopathic or imponderable doses, while very
frequently Carbo vegetabilis and Graphites will be but medicines of secondary importance.
Let us take another case : The ulcer of the stomach, with hyperchlorhydria, syndrome of Reichmann, rather a pyloric
ulcer. According to the law of similars there is not other remedy but Robinia which is the best indicated by
symptoms. Robinia will cause amelioration no doubt because it will act on hyperchlorhydria. Besides, Sulphuric acid
will be indicated, or another remedy of the same type but these remedies will have only momentary effect.
Anacardium may also have a deep action if it is used according to the modality : painful hunger, amelioration by
eating.
Kent had already shown that very often from the homoeopathic point of view the symptom itself was not so important,
but it is the modalities by which the syndrome is established, which are much more important. It is for this reason
we give so much importance to the modalities which translate the temperament and the reaction of the organism,
while reaction of the organism is nothing but the pathogenesis itself.
Thus in order to cure ulcer of the stomach we apply on the one hand some antispasmodics and on the other hand some
medicines, having special action on the liver, such as Lycopodium. We also apply a remedy having local action because
we are obliged, it may be said, to act on a particular point according to its simillimum. It is important to use the
medicines of hyperchlorhydria i.e. , to say of the pain of the patient, but these remedies will be of secondary
importance.
This is the reason why in the whole homoeopathic treatment of chronic disease, in order to avoid this kind of
antagonism between the superficial and evident symptoms on the one hand and the general symptoms on the other,
Dr. Nebel has rendered a great service by first modifying the rules of the Drainage and Canalisation. He has built
the bridge between these two types of phenomena.
I am giving you some examples in order to make you understand this point of view and to show you the errors that
should be avoided. It is very curious to see how in a general way we get an action much more deep with the diluted
and dynamised medicines given according to the law of similars on the follow organs, having some autonomous
movement. And this is rather true as regards the digestive apparatus. It is on the digestive system that we can act
better, while apparently it is the question of some phenomena which seem material, visible energetic and palpable
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and which are before all due to a question of energy, to the sympathetic action on the nervous system, on these
hollow organs that can be contracted at will.
Well, there again, when we speak of Nux vomica as a canaliser of the small intestines, when we speak of Aloe, the
canaliser of the large intestines, and the rectum, we have in view some medicines that act on the sympathetic
system and which have no direct action, either mechanical or physiological on the intestines and on the rectum. Our
medicines act because we treat according to the pathogenesis of the observed troubles.
While treating the acute and the chronic intestinal troubles sometimes some interesting facts are observed. A patient
told me this : when I work or when I become nervous and fretful, I have soft and fetid stool. When I am at rest
stools are formed and have no odor. Try to understand the story. You will understand that his nervousness augments
the velocity of his intestinal transit because of the sympathetic action on the peristalsis. Thus you understand why
sometimes he has soft and why he has formed stools when he is at rest. But at the first thought you will not be able
to understand why in certain cases the stools are fetid and why in certain cases the stools are not fetid. If you
think a bit you will understand the reason. When the intestinal transit is very raid the bile flow is not sufficiently
abundant and cannot act well enough to check the intestinal putrefaction. And very often when the stools are fetid
the medicines like Podophyllum or Arsenicum will act better than Benzo-naphtha or other allopathic medicines
capable of deodorising the stools. We must come to the sympathetic system if we want to know what really happens,
Arsenicum album will be the important remedy for intestinal putrefaction.
(And if the rest of the individual is not Arsenicum Album, is there no risk of aggravation by Arsenicum album?)
I have never experienced. Arsenicum album is a remedy difficult to apply in chronic cases. It does not act according to
expectation. In acute cases it is a marvellous remedy. It is extra-ordinary from the point of view of the digestive
system.
(But the patient may be of Arsenicum album from the point of view of the cardio-vascular system or of the skin and if
Arsenicum is given to him, is there no risk of aggravation?)
I do not believe it because you know the antagonism described by Hahnemann between the acute and the chronic
disease. The acute disease acts as a drainer of the chronic one. You know that an acute disease ameliorates the
chronic one temporarily. The chronic disease will appear again but not in aggravated form.
I speak of Arsenicum album so that you may not confuse it with Podophyllum which will act on stools which is less
coloured. Arsenicum has back stool. The stools Podophyllum contain no bile, or in which the action of the bile is much
less. The stool is not deodorised by bile.

Drainage and canalisation in homoeopathic therapeutics


It is to Dr. A. Nebel that we owe the idea of Drainage and its corollary Canalisation, one of the most important
principles of Homoeopathic therapeutic. Out colleague of Lausanne is no doubt the incontestable father of Drainage.
He came to that idea through his clinical experiences following some researches in the field of histology. Later on he
found out, and he explains it in this journal how drainage was practised since Hippocrates up to our time by
Rademacher, by Hahnemann himself and finally by Burnett.
It is only since a few years that we have understood how it was possible to study drainage practically as one of the
superior means to develop the possibility of Homoeopathy, to make its therapeutic process more sure and above all
to gain time in treatment. We, therefore, consider a great step forward had been made in the Hahnemannian
therapeutics, thanks to drainage when it is well applied and we should first of all explain and define the terms
Drainage and Canalisation, before giving practical suggestions for their application :
We, therefore, propose here :
1. To define Drainage and Canalisation.
2. To indicate clearly the principles in order to understand them better according to the total observation of the
fundamental laws of therapeutics.
3. And finally to show the superiority of Homoeopathy with drainage over the other principle of prescriptions.
1. Definition of Drainage and Canalisation :
When we speak of drainage, we should distinguish well the theory from the practice. In order not do run the risk of
being reproached as builders of purely theoretical systems, we will speak here only of the results obtained form the
practice of drainage and canalisation, the theory having, in our opinion, only explanatory value, a value of simple
orientation.
However, we should give a theoretical definition of drainage before speaking about its practical application.
How then is the drainage defined?
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The theory of drainage is intimately bound up with the idea of making the organism free from morbid energies. If we
understand an organism as composed of many spheres, we will understand that it is necessary to give one or more
medicines acting simultaneously on the successive organic spheres.
But, a single remedy, even highly diluted, cannot always act in a sure and complete manner on all the spheres, and
generally the high dilutions help to obtain a superior action on the most subtle and higher planes, particularly on the
sphere of sympathetic system.
It is therefore necessary to help the Simillimum remedy by judicious application of Simile remedies.
It is said that in each pathological case, there exists, in homoeopathy, a single Simillimum and many Simile and the first
idea that comes to mind, is to apply uniquely the Simillimum with the exception of Simile remedies that seem to be
palliatives. In reality, very soon one understands that the rigorous application of the Simillimum remedy is not always
followed and is not necessarily followed by an amelioration. If we can prepare the organism by the application of a
remedy called satellite, or the remedy which by analogy has the symptoms culled from the patient, it happens very
often that the Simillimum may be applied afterwards without aggravation and it seems even to act more rapidly and
more deeply.
The theory of drainage is, therefore, before all a theory of purification of the intoxicated organism that shows
symptoms which may be classified according to the successive spheres of the organism and the disappearance
of these symptoms can not be caused in a complete and rapid manner but by the application, generally, of
many remedies simultaneously or successively.
The theory of drainage is, therefore, a theory of purification. Besides, the term Drainage, so often used in surgery, is
understood better when one is only on the material plane. There is no doubt that when there is a suppuration in the
organism, it is necessary to eliminate the formed pus, except in some cases where it is possible to obtain a complete
resorption.
It is therefore, necessary to purify the organism of the patient by eliminating the toxin. It is necessary to drain.
But drainage considered from the point of view of practice is much more important than from the point of view of
theory. The drainage is before all a practice justified by results. The theory of drainage like all theories is
seducing but it is rather easy. We need not find out up to what point it may be true, according as one represents it
in such and such manner but it is necessary before all to insist on this fact that it is Fecund and that this Fecundity
is the only justification that we require. The practice of drainage consists in following or in preceding the principal
indicated remedy by the application of one or more satellite remedies with the aim of facilitating the toxic
elimination in a given morbid state, to check medicinal aggravation and to obtain more rapid and sure results.
Experience shows that systematic and rational application of antidotes and complementaries of Hahnemann , side by
side with the principal remedy, forms the real key to the practice of drainage. It is thus that Dr. Nebel has shown
to us by attractive examples the value of drainage. He has, for example, shown to us that before Calcarea carbonica
is applied to a patient who has its symptoms, one may obtain good results, and can check all aggravations in a
tubercular patient, by giving at first Pulsatilla which is a real drainer of Calcarea carbonica.
In other cases when there is an acute and temporary febrile condition Belladonna may be a satellite of Calcarea
carbonica and which is necessarily indicated before the ground remedy. Sometimes the satellite may be Dulcamara
or Chamomilla etc....
Let us now speak of Canalisation.
We should also understand Canalisation from the theoretical and practical point of view.
From the theoretical point of view the principle of canalisation rests on the idea of the local elective actions of
most of the remedies used in homoeopathy.
It appears then that the principle of Canalisation is a corollary of the principle of Drainage. To canalise means to direct
the action of a remedy as well in space as in time. This is why Dr. Rouy has said with reason, after Dr. Nebel,
that Drainage and Canalisation consist in the real study of the physiopathologic action of remedies.
To canalise is to direct the effects of a medicinal substance and to orient its action. When we speak of the local
elective action of a remedy, it is necessary to speak precisely here, that most of the remedies may have, from
spatial point of view, some elective actions, either on the tissues, on the organs, or on a typographic region oriented
along the nervous system or very often according to a metameric segmentation. There exists, therefore, three kinds
of local elective actions which rule canalisation. In practice, to give a canaliser is to give a satellite which will have
for aim to canalise and orient the effects of the principal remedy, and that action becomes naturally in part a real
check. When we give to a patient a dose of high dilution of Sulphur according to the symptoms (while the patient has
also the tendency to suppuration), we may do some good to the general condition, but at the same time we may have
some dangerous local effects, by increasing the tendency to suppuration. If, on the contrary, we know how to
canalise the too centrifugal, violent and general action of Sulphur, on such and such parts of the organism, we will
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surely obtain good action of this remedy, either by giving Fumaria, Saponaria for the skin, Hypericum for the nerves,
Nux vomica for small intestines, Aloe for the rectum etc... In this case we may say that these different remedies
are the Canaliser of Sulphur, because they canalise its effects and orient its action and helps to obtain more sure
and rapid result from the curative point of view.
The traditional Homoeopaths are wrong to believe that the strict observation of the law of similars, without trying to
understand it, is always good for the patient. The pathogenesis are really, says Dr Nebel, some physiopathologic
studies of remedies. We should understand the homeopathic remedies as having physiological actions which may not
in practice always give curative actions. Canalisation is the art of determining the orientation of the
physiopathological action of the principal remedy by the prescription of the one or more clearly defined
satellite remedies.
Now we understand that the rational direction given to Homoeopathic treatment, by observing the Law of Similars in a
really scientific sense, will give to him who will understand its principles an incontestable superiority on a too
traditional Homoeopathy practised without taking into account the Drainage.
After defining thus the Drainage and Canalisation from the point of view of theory and practice we will try now to show
their value on the basis of the fundamental laws of therapeutics.

Drainage and canalisation on the basis of the law of therapeutics


The principle of drainage, corollary of the law of similars
The principle of drainage is a necessary corollary of the complete observation of the law of similars in therapeutic. In
fact, in most cases, a patient does not present only the symptoms of a single remedy. By complete observation we
may find in him some symptoms that indicate other remedies. It is necessary then to choose, and the choice is
difficult for the adepts of unicist school who give only one remedy very rarely repeated.
There is, therefore, a Simillimum and some Simile. Consequently, Homoeopathy requires hood valorisation, i.e. , to say
hierarchisation of symptoms and the medicines related to them. Why then should we not solve the difficulties by
giving, according to a direction known in advance, such satellite remedies or Simile which will prepare the organism
for the action of Simillimum. This is how one can explain drainage.
Let us refer to our scheme of successive planes of an organism and of the degradation of the morbid energy; we will
understand and in practice we will be able to act in that manner. The idea of the degradation of morbid energy, as
we have formulated it, seems to us necessary to explain drainage. In order to drain out the toxins, it is necessary
that we should first of all degarde the morbid energies which exist and which are interiorised in the organism. We
may find, in clinic, numerous examples in support of that theory.
When an intoxicated organism tried to debase that morbid energy, it should, in a chronic case, drain out the toxins
always through mucous secretion. A mucous membrane presents anatomically some pathological transformation,
ulceration or other, following which there will appear a flow. That flow is at first more or less excoriating, burning,
painful, fetid like that of Iodium, Arsenicum album or Kreosotum.

If we apply one of these remedies what will happen? Will the flow stop? Yes, only after changing the character : it will
become non-corrosive, more thick, creamy yellow, more homogeneous and the patient will enter into the field of
Pulsatilla which will cause the end of the flow, sometimes in the field of the action of Silicea, which is closely related
to Pulsatilla and is its chronic counterpart, its analogue of the mineral kingdom.
This is one of the typical example of the degradation of the toxins explaining drainage.

The law of infinitesimal dose and the drainage


Now we come to the law of infinitesimal dose which will help us to understand still better the value of drainage because
to be an adept of drainage and canalisation, it is to reply to the questions that Homoeopaths of all schools and of all
countries pose.
These are the questions : Should one, while treating a patient, give one for more medicines? Should one apply lower or
higher potency? Should one, while applying more than one medicine, mix them or not? In a word should we rally with
the School of Unicism or with Pluralism and finally to Homoeopathic complexism.
The principal argument put forward by those colleagues who are not partisans of Drainage is that traditionally well
studied Homoeopathy claims the unique medicine. Generally, the Homoeopaths who argue thus invoke as their
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principal authority the master himself, Hahnemann.


Dr. Nebel has shown us that Hahnemann was a partisan of drainage. Hahnemann understood well; it is necessary to
eliminate the toxins if it is not possible to neutralise them completely. What did he do when he came to see a
patient? After having said not to take any medicine, specially allopathic medicine, even before prescribing a
Homoeopathic medicine, he advised the patient in acute cases to drink as much water as possible. Was it not to
dislodge the humours, in order to disintoxicate and to help elimination. It is impossible to believe that had
Hahnemann lived up to our time, he would not have rallied to the practice of drainage, which is really rational and in
no wies goes against the principles of Hahnemann.
The Unicists believe that when we give more than one medicine to a patient, we do a work of idleness, because we
hesitate between several medicines and that in our hesitation between several medicines, we prefer to give to the
patient the indicated remedies rather than doing a work of discrimination.
But this is erroneous. A homoeopath, an adept of the theory of drainage, should always look for the Simillimum, and the
proof is that we know certainly better than those who are the followers of other schools, specially of the old school,
to hierarchise the medicines.
One should not think that any Homoeopathic remedy may be given in whatever dilution when it is indicated in a patient.
Practice shows the contrary. There are some remedies which may be used in all the dilutions, there are others that
should be applied only in high dilutions, there are still others that should be applied only in lower dilutions. It is thus
that we arrive at the hierarchisation of the remedies according to the dilutions in which they should be applied as
ground remedies, functional remedies and remedies of drainage. Pluralism then is the theory that can be practically
in direct relation with the principle of Drainage.
Systematic complexism or the use of complex remedies is a practice which should be on the contrary avoided and which
may be dangerous. Acting as complexists, we may obtain good results in some cases, but it is not possible to
ascertain what the action of the remedies used is. On the contrary, in order to obtain a drainage and rapid and
logical canalisation, we may apply several remedies. It will be always preferable not to mix them in advance...In
reality, the practice of drainage leads very often to medicinal pluralism, and also leads to the real and conscious
hierarchisation of remedies : ground remedies, functional remedies, lesional remedies, bioendocrinological remedies,
poly-drainers etc...
Let us recall here briefly the law of infinitesimal dose and its corollaries :
The first is the following :
A high dilution acts slowly, deeply and in a prolonged manner. A lower dilution acts rapidly, superficially and for a
short duration.
Here is the corollary :
The high dilution will be indicated in chronic cases, the medium or lower dilutions in an acute case or for
drainage.
The lower dilution is satellite to a higher dilution; the lower dilution of a medicine may act as a canaliser of the
medicine used in higher dilution.
The second law is as follows :
The high dilutions act rather on higher and subtle sphere of the organism, the lower on the lower spheres, on
the viscera and on the mechanical plane.
Thanks to the above laws, we understand still more clearly the value of drainage which should be effected on all the
spheres of the organism.
When we wish to drain in a material plane, by the digestive tract, by the principal viscera and through the emunctories,
we should use lower dilutions.
When we wish, on the contrary, to have a drainage action, a debasement of the morbid energy on the higher or subtle
spheres of the mentality, of the central or sympathetic or sympathetic nervous systems, we should use remedies in
dilutions.

Law of contraries and the principle of drainage


We should now ask ourselves if the Law of Contraries may help us to understand the principles of Drainage and
Canalisation.
Really speaking, as we have already said, the law of Contraries, more important than it is not believed by some
Homoeopaths, should be invoked only when it is not possible to follow the Law of Similars, i.e. , to says when it is
necessary to make palliative treatment, or when regimen and modalities are to be observed.
But precisely here, the Law of contraries may sometimes be observed in some rare case as a means of check to some
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Homoeopathic remedies given according to the law of Similars in different dilutions, specially in high dilutions.
It is logical to use a check when it is necessary as well as an accelerator in a given sense.
In some cases one may make the same reproach to Homoeopaths which they make themselves to the followers of the
Official School. We say that the allopaths often observe without knowing, the law of similars. Similarly some
Homoeopath very frequently observe the Law of Contraries, though not aware of it when they use some medicines in
ponderable doses or in lower dilutions used by our School. In such cases it is necessary to watch the patients closely,
if these medicines are used for a long time, for a real pathogenesis of the medicine used.
The Law of Contraries should be observed only in very definite cases when its use would seem to be quite rational.

The law of compensations and drainage


It is by the observations of the Law of Equilibrium in its different aspects and following its numerous corollaries that
we can understand better the value of the principles of drainage and canalisation.
When we recently studied the law of equilibrium we first of al considered the laws of compensations formulated by our
friend Dr. Balland. That law of compensation is necessary in order to understand the series of remedies. In fact
when we have to treat a chronic case we should not only know the basic remedy indicated by the patient and what
are the satellite remedies that will be necessary to apply, but we should also known what were in the past the stages
representing the homoeopathic remedies of which the patient has shown the symptoms.
Thus, for example, we should know that a Sepia patient having, at the age of 30 years, had passed formerly at the age
of two or three, through the stage of Calcarea fluorica, followed at the age of ten by the stage of Natrum
muriaticum which was at the age of 18 years followed by the stage of Pulsatilla and after several pregnancies which
caused portal hypertension and ptosis, and atony of the different small organs of the lower abdomen, she has come
into the stage of Sepia. But she will not remain a patient of Sepia. She may move towards Lachesis, Phosphorus,
Lycopodium and we should know exactly to which one she is moving. The knowledge of the series of remedies makes
the Homoeopaths incontestably superior who know the Law of Equilibrium and its corollary the Laws of
Compensation. In fact, a patient who is not treated may remain, for some years, suitable to a single remedy, so long
as it is possible to maintain more or less stable equilibrium of the organism. At a given time that equilibrium will be
broken, and he will pass to another remedy. It is thus that one may understand the series of remedies according to
the age, sex and the living conditions of the patient.

The law of the least effort and the drainage


We have also studied formerly the physical law of the least effort or the law of inertia. It has helped us to understand
how the nature should be guided towards the obligation of the reaction. The law of the least effort guides us to the
limits of Homoeopathy. When Homoeopathy is no more applicable, it should leave its place to surgery and to other
therapeutic methods. It is often by the application of drainage and of canalisation that we may let the patient pass
from one method of therapeutics to another, without any inconvenience for him.

The principle of polarity and drainage


We should know this law in relation to the principle of drainage an canalisation. It is in fact necessary to consider the
organism as formed of multiple poles which may react one upon the other. It is thus one will be brought, in some
cases, to some rational practice such as centro-therapy or other methods of reflexo-therapy. But even in
Homoeopathy when one wishes to treat a patient one should know the action of an infinitesimal dose in time and
space. In space the group of remedies are generally remedies of high dilution that have a triple character : medicine
of universal action, polychrest and long-range remedies.
The satellites that we give generally in lower dilutions or medium dilutions are localisers : they have a local elective
action.
But we should consider this classification with an one mind. A medicine which generally acts as ground remedy, Thuja
for example, may sometimes in some cases be a satellite or localiser of another remedy (Sulphur or sometimes of
Arsenic). In such a case we may say that this ground remedy has become the canaliser of another remedy.
When we consider this principle of polarity, we should first of all study the laterality and know the action on the left
side or on the right side of the body of al lour remedies.
Then we should know the principal poles of reaction. We will take into consideration for example the action of some
remedies having elective action on the liver and on the right eye; others that act on the cardiac region and on the
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left peri-orbital region etc...


The poles may sometimes be multiple and in such a case we may select remedies acting simultaneously or successively on
the different poles.
7. The Principle of Metastases and Drainage :
It is specially by the help of the idea of the metastases and of transfers of morbid energy that we may better
understand the necessity of drainage directed according to the principle of the degradation of morbid energies.
We should know well that there often exists an antagonism between the organism considered from the general point of
view and the local regions. There may exist a real opposition which may even have created the lesion, sometimes
together with functional and organic troubles in a given syndrome. When an organism cannot completely degrade its
morbid energies after the first phase of functional troubles it causes a fire in the form of a lesion, and when the
lesion is formed, there results at least temporarily in metastases and transfer of morbid energies.
In other cases when there doses not still exist a lesion or that it is late to come, any kind of treatment may apparently
give some results. The doctor generally believes to have cured, while he has only displaced the energy and it is the
history of those patients who go from one specialist to another for being treated successively for such and such
anatomical regions as some detached parts.
A cauterisation will cure rhinitis, but will cause to appear a more or less excoriating leucorrhoea for which the patient
will go to consult a gynaecologist after the laryngologist.
This is often seen in practice and it should lead us to humidity and prudence in our affirmations of cure. In order to
understand the metastases and the transfer of morbid energies that may exist alone or under the influence of any
treatment, it is necessary to study in a complete and analytical manner the elective action of each of the remedies
on such and such region and on such and such tissue. It is only thus that we will be able to understand the
canalisation of toxins and the canalising effects of the remedies, and these two phenomena may be studied
parallelly.
When we give a principal remedy and a satellite remedy we should ask ourselves whether the satellite precedes or
follows the ground remedy. If it precedes the ground remedy it canalises the action of the ground remedy as for
example Nux vomica, canaliser of Sulphur on the small intestines; Aloe, a canaliser of Sulphur on the rectum etc. In
this case it is said that Sulphur is the complementary of Nux vomica or Aloe.
If, one the contrary, the satellite follows, the ground remedy we may recommend to a less experienced Homoeopath or
to a beginner to use rather the canaliser before the canalised remedies to avoid medicinal aggravations.
The law of equilibrium also teaches us that the morbid energies should be degraded successively, progressively and by
stages. In difficult cases we should treat the patient by stages. This is important. When you have in your chamber a
case which embarrasses you greatly, and when the patient presents, on the same organic sphere, symptoms
indicating numerous remedies, it is necessary, that you should hierarchise these symptoms in order to know what is
the simillimum and how you should give these remedies.
We have, as for example, a complex case that shows at the same time the symptoms of Aconite, Belladonna, Calcarea
carb., Pulsatilla, Nux vomica, Lycopodium, Sulphur and Lachesis. This may happen more often than one believes. How
should we treat such a case. In the first phase we may treat him with Sulphur 200, followed by Aconite 30 and
Glonoin. 30. Then acting thus in a general way on the troubles caused by arterial hypertension we should treat the
endocrinal troubles by Lachesis followed by the same satellite remedies. Then will come the indication of Lycopodium
followed by Nux vomica and Kali bichromicum for hepato-intestinal troubles and finally will come the stage of
Calcarea carbonica in high dilutions, which we should precede or follow by Pulsatilla.
Here is an example in which is necessary some treatment by stages according to the successive steps in order to help
the patient to go back the way which he has previously crossed, in order to arrive at the stage that Mure (Benoit)
indicated to us in the form of a well-known law.
If the patient has taken ten years to arrive successively, by a more and more accentuated morbid syndrome, at the
stage for which he has come to consult, he should do again in six or eight months a sketch of the way he has
crossed, in which we may note that the two first months correspond to the symptoms of the two or three last years,
etc. He will have even the silent intervals that he had during his long continued disease.

The mode of action of remedies. cohesion, purification. phenomenon of shock


and counter-shock
If we continue to study the law of equilibrium from another point of view, we will arrive at the conception of the mode
of action of the remedies, which may be, according to the cases, centripetal or centrifugal. We have already given
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some examples regarding the mode of action of the remedies. We have always checked the centrifugal action of
Sulphur by the centripetal action of China. This is also an important point as regards the clear understanding of
drainage.
We must not like some Homoeopaths, use that term haphazardly and think that when we treat a certain patient, we
only drain him. Adding of new substances is generally more important from the quantitative point of view than the
elimination of toxins, of which the proof is that when a patient is treated homoeopathically during a long continued
disease, the patient gains weight under the influence of the treatment. All chronic patients are demineralised
patients. They have lost the mineral contents of the organism and also have lost the heat or the vital force. It is
necessary to repair in the organism what is destroyed and to neutralise or eliminate toxins. It is easy to understand
that the centripetal or centrifugal actions of homoeopathic remedies should be well known in order to avoid
dangerous aggravations. To give a high dilution of Sulphur to an oxygenoid, tubercular patient who has its symptoms
may be dangerous. Of course it is true that one thus neutralises the toxins, one eliminates the toxins, but one
augments the demineralisation and the patient loses weight.
On the contrary, Sulphur, may be given without any danger in high dilutions to some patients of hydrogenoid or
carbonitrogenoid constitutions.
To follow with closed eyes the Law of Similars by giving a single remedy, rarely repeated, may be sometimes a
dangerous practice. We should not practise Homoeopathy like a trustee who applied like a simpleton a rule which he
knows to the letter, but of which he does not know the meaning. It is before all necessary to understand and to act
in the two senses to give back to the patient what is beneficent and at the same time to eliminate what is harmful to
him. Acting thus one should arrive at the double principle of cohesion and purification.
The remedies having centrifugal actions help us to obtain elimination. The remedies having centripetal actions give us a
better cohesion of the organism. Rational Homoeopathy should always lead to the conservation of the individual.
There are cases where the strict application of Unicism is not rational.
Besides, the phenomenon of shock and counter-shock as we have studied it before has equally led us to avoid the brutal
action of some remedies in high dilutions and has obliged us to treat the patient by successive palliative, avoiding the
dangerous shocks. It is for this reason when the law of equilibrium is considered not only from the spatial point of
view, but also from the point of view of the time, when one has well defined the multiple aspects of periodicity of
Psora, one does not fail to insist on the study of the series of remedies, medicinal relations and a good canalisation.
Before closing this short study of the introduction to Drainage and Canalisation, it is necessary to show the
inconveniences of Homoeopathy without drainage.

Homoeopathy without drainage


We should at first prove that there exists unquestionably some cases in which it is dangerous to follow blindly the law
of Similars in using a single remedy and in a routine way without knowing the physiological action of the medicine
applied, and without trying to check i.e. , to add to that remedy its satellites and canalisers.
The few examples that we are going to give are known to be true by most modern Homoeopaths.
The first is the well-studied action of Phosphorus in tuberculosis. There does not surely exist any other remedy having
in the highest degree a similitude of action than Phosphorus as regard tuberculosis of the respiratory system,
specially the laryngeal tuberculosis. In this case we ought to have sure success if we apply the law of similar without
understanding it well. And what do we see? There is the immense danger of applying Phosphorus repeatedly in all
dilutions in a tuberculous patient, to such a point that we may, without the fear of being mistaken, say that
Phosphorus should never be applied in a pulmonary or laryngeal tuberculosis.
On the contrary, some combinations of Phosphorus with other substance will be suitably replaced without danger, such
as Ferrum phosphoricum, Calcarea phosphorica, which are classic and give very good results. Phosphorus iodatum or
Phosphorus tri-iodatum, of which Dr. Barishac as taught us the value, are excellent in some cases of tuberculosis,
without causing the dangers of Phosphorus. Phosphorus seems to be domesticated by another substance that enter
in the new combination, and this is capital. Why then do we read from time to time in the American journals that
some cases of pulmonary tuberculosis have been successfully treated we have treated a case of tuberculosis with
Phosphorus we have got disastrous results. Another remedy which is also very dangerous in pulmonary tuberculosis is
Silicea, if it is applied in high dilutions. On the contrary the same Silicea in medium or lower dilution may be very
successfully applied if it is well indicated.
Still another remedy is also dangerous to apply without drainage : It is Lycopodium in hepatics. We say, without the
fear of being criticised, that a high or even medium dilution of Lycopodium, as for example Lycopodium 30, may be
extremely dangerous in a patient suffering from hepatic insufficiency with a tendency to cirrhosis of liver.
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On the contrary, if a good drainage is effected and if the remedy is well canalised it may be given with inestimable
success in subjects suffering from hepatic troubles.
In the same way Sulphur is dangerous in subjects having an unquestionable tendency to suppuration. Sulphur is the king
of centrifugal remedies. Its eliminating power is incomparable; It is for this reason we apply it in a routine way in
the beginning of the treatment of an acute cases. But when a proper drainage is not effected and the action of
Sulphur is not canalised, it may, in improving the general condition, cause a grave suppuration, a for example it may
provoke an otitis in a child suffering form bronchitis and in this case it is better to avoid the application of this
remedy without having it followed or preceded by some appropriate satellite remedies.
We may say the same thing for Natrum muriaticum Natrum muriaticum may be dangerous in high dilutions in patients
suffering from acute malaria. Natrum muriaticum in high dilutions (200, 1000) may still be dangerous in persons
suffering from chloruraemic or azotemic neuritis with retention of chloride. On the contrary the same remedy given
in lower dilutions (3x or 6x) may act excellently as shown by Arnulphy.
In some pre-cancerous or cancer cases, repeated high dilutions of Thuja may be dangerous. On the contrary, the same
remedy with an appropriate drainage and canalisation may be applied and will give surely some good results.
These are few examples where the application of a remedy in high dilution, without a proper drainage and canalisation,
will surely give dangerous results.
The same thing may be said of Nosodes. We have very often observed dangerously aggravating action of Syphilinum in
high dilution. Personally I have seen in an apoplectic patient, after the application of Syphilinum 200, the attacks
became subintrant for many months. The remedy was applied without proper drainage. On the contrary this remedy
may safely be given in several cases of epilepsy after many months of rational treatment.
Finally to end, every one of us knows the dangerous effects of tuberculins prescribed without proper drainage, in
oxygenoid patients as well as in hydrogenoid or carbonitrogenoid patients. The application of tuberculins is one of
the most important and the most delicate chapter in Homoeopathy.
There is a disease which is very frequent. It is acute or chronic cholecystitis. It cannot be cure by Homoeopathic
treatment without a good and appropriate drainage.
It is very often necessary to canalise Phosphorus by Berberis, Bryonia, Ricinus, China etc... if we like to have a sure and
durable amelioration. Experience shows us that when we add Isopathy with the classical Homoeopathy it is really
difficult to obtain a sure treatment of immunity without having effected a drainage. This does not mean that it is
always dangerous to give a single remedy in a chronic patient. We have treated a good many patient by the
application of a single remedy and we have got good results. We criticise Homoeopathy only wen it is not practised
with a clear idea of Drainage and Canalisation and only when it is not keeping pace with the modern clinic and
pathological knowledge. The unicist Homoeopathic therapeutic and the clinic are at variance because when we
examine a patient and make a serious diagnosis, it is not possible to build the bridge between the clinical and medical
diagnosis if we administer as a rule a single remedy rarely repeated. Knowledge does not necessarily give power, out
the power in therapeutics can not exist without the science of pathology.
We may say besides that the great unicist Homoeopaths, admired as therapeutists, have sometimes shown themselves
as deplorable clinicians and it is not permitted, as it is still said sometimes, to publish some case records that are
self-evidently cured by Homoeopathy without all the necessary proofs for their support. Thus some Homoeopaths
pretend that they have cured with Bryonia and Apis for example, applied alone an never repeated, some cases of
tuberculous meningitis, naturally without lumber puncture; acting thus we give sufficient ground to the official
school of medicine to criticise us seriously.

Conclusion
In conclusion we affirm that the practice of drainage and of canalisation helps to obtain a real adjustment of
Homoeopathy with clinic, pathology and laboratory practice. The practice of drainage and canalisation leads
necessarily to pluralism and even to some points to complexism. It is for this reason that the Homoeopaths who
follow unicism attack these theories so violently.
It is curious to state how difficult it is to put forwards some new ideas. It is also curious to take into account that the
homoeopaths who ought to become the avant-garde of the medical science have a mind as narrow as that of the
officials regarding new ideas. This ought to be a humiliating lesson for us.
Generally, the slanderers of the theory of drainage speak against it without having practised it. It is not the case with
us because we have always studied successively different schools of Homoeopathy, the unicist, pluralist, and the
complexist, in order to find out the truth.
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The Unicists, the most adverse critics of the practice of drainage may be very go homoeopaths but we say that the
therapeutics results that they obtain are more slow and less complete than the results we obtain. In their
arguments and criticisms there is a very curious respect for traditionalism. They are the staunch guardians of a
wrongly understood Homoeopathy. But generally the critics of drainage believe that those who do not think like
them, remain always a step inferior because they have not studied sufficiently deeply the Materia Medica. This
belief is erroneous.
It is impossible to practise drainage and canalisation without a sound knowledge of Materia Medica and the relations of
remedies. We do not believe ourselves to be at fault in supporting the serious and justified principles of Drainage
and of Canalisation, because it will lead to an immense progress in the art of therapeutics.
nd
(this article is translated fully, excepting a few lines, from L'Homoeopathie Moderne, 2 . year, No. 2. 15 January,
1934).

FOUBISTER D. M., Homoeopathy and Paediatrics (fb2)


FOUBISTER Donald M.
Paper read at the british homoeopathic congress, bristol, june 1954 by dr. d.m. foubister
There are many ways in which homoeopathy can be of service in the treatment of children; the subjects is a very large
one and it is possible only to touch on some aspects of it. An understanding of the place of homoeopathy in
paediatrics as in other branches of medicine, can best be achieved by an appreciation of its meaning. The enquirer
must free himself from preconceived ideas and detach himself from accustomed trends of thought. Otherwise,
theoretical objections usually prevent the ultimate test of any method of therapy - to try it out and see if it works.
The majority of doctors who practice ho;oeopathy were led to it by some chance personal experience. Although it is
not necessary too practice homoeopathy using small doses of drugs, the use of drugs in potency is so integral a part
of homoeopathic practice, that it is advisable to review the steps which led Hahnemann to advocate the use of
potentized remedies. Such remedies do not act by suggestion nor do they simply appear to achieve success by
protecting the patient against treatment which, in Hahnemanns day, might have been worse than the disease.

The discovery of homoeopathy


It has been believed for over two thousand years that like remedies could cure disease, that is to say, that Belladonna
which produces poisoning symptoms closely similar to an attack of scarlet fever, could cure that illness. Century
after century such treatment had its advocates, but it was not always successful. In 1790, Hahnemann tested out on
himself the action of Cinchona bark (Crude Quinine) to ascertain its pure effects. He developed symptoms closely
resembling a paroxysm of malaria. Here was a remedy which was capable of producing in health a clinical picture
identical to the disease for which it was almost a specific remedy.
After many other experiments on himself and friends with Cinchona bark and other drugs, Hahnemann confirmed that
there was a relationship between the therapeutic application of a drug and its effect in health and that by testing
or proving drugs on healthy human beings, this could be used as a reliable guide to their effect in disease.
Hahnemann did more than merely give confirmation to an ancient belief which was only partly true, he discovered
why like remedies sometimes worked and at other times failed. Perhaps the best way to explain this is to take
primary pneumonia and consider the matching of a like remedy. There are always two groups of symptoms in
pneumonia, firstly, those such as cough, pain in the chest, dyspnoea and cyanosis, which can be explained by the
presence of an inflamed mass of lung tissue; secondly, there is a group of symptoms which are largely disregarded
outside of homoeopathic practice, as they are of little or no importance when chemotherapy is used. The second
group of symptoms varies from patient to patient, although there is a tendency to follow a limited number of
patterns. One child for example is irritable, thirsty and likes to be left undisturbed, another likes the nurse to hold
her hand, wants cold milk to drink and is afraid of the dark and of being left alone. These symptoms have appeared
since the onset of the pneumonia and disappear when the patient is recovering, yet they are not the direct result of
the pneumonic process. It is reasonable to suppose that these symptoms represent in some way, just as fever does,
the patients response, the attempt to get well. It is these symptoms which are matched in homoeopathic
prescribing by a drug which could call forth a similar reaction in health. In other words the pattern of response is
observed and an antigenic stimulus given, specific to the individual. Bryonia is the homoeopathic prescription for the
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first case and Phosphorus for the second. If the disease were measles or typhoid fever and these responses were
observed, the same remedies would be given in homoeopathic practice. Belladonna is the correct homoeopathic
treatment for scarlet fever when there is a close similarity between the individual clinical picture and Belladonna
effects. It is not the remedy if the patient exhibits a different clinical picture. Sulphur is more frequently
indicated today. The prescription, however, is based on the individual clinical picture and will only be successful when
it covers the individual expression of the disease.

The homoeopathic dose


Hahnemann noted that sometimes, especially in chronic disease, the administration of the like remedy was followed by a
sharp aggravation of the illness before amelioration began.
He made experiments to determine the optimal dose which would influence the patient beneficially without causing an
aggravation. He prepared his remedies by succession in order to ensure an even distribution of the drug in the
diluting medium, and to his surprise found that the remedies had an enhanced effect when given in minute quantities
prepared in that way. It must be clearly understood that this only applies to remedies chosen for the patient as a
whole, in the way just described. This does not mean that drugs used for their chemical, physiological or physical
effects, as used in the ordinary way, are given in inadequate doses. When a patient is treated by chemotherapy for
instance, the usual doses must be given. It is difficult to understand the real meaning of the often ridiculed
homoeopathic dose especially for the medically trained mind because the use of drugs to influence the patient as a
whole is foreign to modern medical thought and the amazing effect of correctly chosen drugs for this purpose in
suitable cases has to be seen or experienced to be believed. Homoeopathy does not imply the use of small or
infinitesimal doses of drugs for purposes which require material doses, such as, for example, the maintenance of
sufficient concentration of a drug in te tissues to kill bacteria. Homoeopathic remedies must act in some way as a
stimulus to which the patient is sensitive only when the remedy is accurately chosen.
The lower animals respond to drugs in potency even better than human beings. Thousands of puppies, for instance, have
been protected against distemper by the oral administration of Distemperinum 200 (a potentized distemper
vaccine). Many thousands of animals are treated annually by homoeopathy through the Peoples Dispensary for Sick
Animals and in private veterinary practice. Recently, Dr. Boyd of Glasgow has demonstrated in the laboratory,
biological effects of Strophantus in what amounts to the 30th centesimal potency.

Homoeopathy and chemotherapy


Homoeopathic treatment helps the patient to overcome infection by raising resistance; chemotherapy by damaging the
pathogenic micro-organism. Both therapeutic measures can be given together, but it is better to avoid the
disadvantages of chemotherapy immediate and remote if this can be done. By the raising of resistance, complications
and sequelae are minimal. One of the advantages of homoeopathic treatment in dealing with infections is that, the
nature of the infection is, generally speaking, of no importance, virus diseases yield as readily as bacterial diseases.
Poliomyelitis, non-specific diarrhoea and measles can be as effectively treated as bacterial infections. There is no
problem of natural or acquired intensivity to chemotherapeutic agents. In overwhelming infections or where the
indications for a homoeopathic remedy are not clear, or an apparently well indicated remedy does not work, or in
some surgical conditions when an internal antiseptic is required, chemotherapy may be invaluable. It is customary in
homoeopathic hospitals to test for drugs sensitivity in all severe infections and chemotherapy is kept in reserve.
When such treatment is given it is usual to treat homoeopathically as well, because chemotherapy has no effect on
the patient except sometimesan adverse one. Homoeopathic prescribing will raise resistance. In the Childrens Ward
of The Royal London Homoeopathic Hospital a record is being kept of all admissions of acute bronchitis and
pneumonia. The record starts in 1948 and of the first 50 cases under the age of two, there were no deaths. Only 9
of these cases received chemotherapy. Between 1948 and early 1953 there were 92 cases of pneunomia admitted to
the ward of these 64 received nothing but homoeopathic treatment. There was no death, a boy of 5 years who
suffered from muscular dystrophy and was admitted in a moribund state during his third attack of pneumonia. There
were 74 cases of acute bronchitis of which 62 received only homoeopathic treatment. There were no deaths.
Oxygen was administered by tent in all cases when indicated. In 1911 Dr. Roberson Day compiled a record of 400
cases of pneunomia treated in the hospital between 1900 and 1910. The mortality rate was about 50 per cent of the
average mortality rate in a number of childrens hospitals. In the under two group, the figures were considerably
more in favour of homoeopathic treatment. Lack of resistance to infection in the neo-natal period and in the under
twos is an important paediatric problem which the application of homoeopathy could help to solve.

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Homoeopathy in traumatic conditions


Injury, including birth trauma, plays a significant part in disablement and death in infancy and childhood. Dr. C.V. Pink
who has had 30 years experience of obstetrics, considers that Arnica 30 or 200 given to mother and child after
parturition, sometimes with Hypericum in the same potency, is of service in helping mother and child to overcome
the effects of trauma. The effects of Arnica in preventing puerperal sepsis as well as overcoming the effect of
injury is well known to homoeopaths who have used it for this purpose for generations. Gross cerebral haemorrhage
kills, and minor shock requires no treatment, but there is a considerable margin of cases in btween in which, to say
the least, it is possible that the sock and after effects of injury can be minimized.
In head injury, if there are no specific indications for Nat. Sulph., Cicuta or Nat. mur. it is worthwhile to consider
Helleborus, the symptomatology of which is closely similar to the after effects of head injury and which has
clinically been found to be a near specific.

Homoeopathy as an adjunct to surgery


Arnica is the routine pre-operative treatment for children undergoing operation. Children having tonsils and adenoids
removed are given Arnica 30 VI. 4-hourly and post-operatively Rhus tox. 30 VI. 4-hourly, or as required.
Staphisagria is valuable when the operation wound is painful. Pain in a cut wound is a strong indication for
Staphisagria. Silica is useful when wounds continue to discharge, especially when the pus is thin and serous. Pyrogen
may be invaluable in any condition in which there is a septic focus and toxaemia or septicaemia, whether after tooth
extraction or in peritonitis, skin or urinary infection. Toxaemia plus a discrepancy between pulse and temperature is
a very reliable guide to Pyrogen. Other symptoms may be present, such as restlessness, because the part laid on
feels sore (the bed feels hard) and offensive odours. An alternative to Pyrogen which appears to act well in
osteomyelitis or any condition in which there is a profuse discharge from a wound, is to take a bead of pus with
aseptic precautions and place it in distilled water or alcohol and have it potentized to the 30th potency. It is then
given in the same way as any other remedy, say t.d. s. for 3 days followed by b.d. for 3 days. In some recent cases
of osteomyelitis and otorrhoea with threatened mastoid this treatment appeared to be extremely helpful in
addition to chemotherapy. The use of vaccines for such conditions is, of course, well known, a method which has
perhaps been to some extend neglected since the advent of chemotherapy. Dr. Charles Wheeler believed that the
indication for an autogenous potency was a profuse discharge. The powerful effects of homoeopathy is severely
toxic states is surprising. I have seen cases in which the white blood count was up as high as 50,000, even in older
children, respond rapidly to Pyrogen alone. These are but a few of the ways in which homoeopathy can be of use in
surgical cases.

Homoeopathy in the childrens ward


Most children settle down quickly in the the ward, but the very timid or the very tense, or desperately homesick child
can usually be given a homoeopathic remedy which will restore him to happiness. Phosphorus is the most commonly
indicated remedy for the very frightened child. The Phosphorus child is responsive, loves affection and gives it out.
Pulsatilla loves affection but is not so responsive.
Calc. phos. is another drug with sometimes a craving for infection. Responsiveness, fear and hyperactivity of the the
senses are a triad of symptoms found in the Phosphorus child. The child often shrinks away when you go to examine
her or asks What are you going to do to me? Phosphorus 200 or 10m is the routine presciption for pre-operative
anxiety. Sometimes Pulsatilla or Ignatia are required. The latter is occasionally invaluable when a very young child is
separated from his parents and experiences acute grief because to him he has lost his parents forever. The
terribly tense child settles down on Dysenteryco. 200 Capsicum 200 is the first remedy to think of in homesickness.
Sometimes a child reacts to the new situation of being in the ward by developing dirty habits and Sulph. 200 is
almost always followed by a dramatic change for the better. The ward Sister sometimes asks Can we give this child
Sulphur? for obvious reasons.

Acute manifestations of psychosomatic disease


In the the treatment of a child suffering from an attack of asthma, acidosis or other acute of psychosomatic disorder,
the approach is similar to the treatment of injury or acute infection, to observe the pattern of individual reaction
and match this with a remedy, known from its provings and/ or therapeutic record to be capable of dealing with it.
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In asthma, if no unusual pattern is followed, such as relief from lying down (Psorinum) or relief when kneeling in the
knee-elbow position (Medorrhinum) Arsenicum iodatum 6 VI 1-hourly or 2-hourly is a useful routine prescription. In
attack of cyclical vomiting or other manifestation of the periodic syndrome, Dysentery co. 30 or 200 VI. 2-hourly is
useful in the mentally tense child who gets sick on excitement such as when preparing to go to a party, and for
others Senna 6 VI. 2-hourly as recommended by Dr. Vannier of Paris. Phosphorus and Lycopodium are sometimes
indicated in the attack. The treatment of these diseases is, however, essentially constitutional and this shall be
discussed later on. Homoeopathy is of service in the treatment of many other acute conditions, such as rheumatic
fever and acute nephritis, but sufficient has been said to suggest other applications of this thoroughly tested
empirical therapeutic law. To sum up, the homoeopathic approach in acute diseases is to give the patient a drug, the
effects of which in health closely correspond with the pattern of symptoms reflecting the patients attempt to get
well and thereby enhancing the natural tendency to recovery.

Chronic disease
The place of homoeopathy in the treatment of chronic disease is best appreciated by an understanding of the
homoeopathic approach.
There is some considerable divergence of opinion among homoeopathic physicians on this subject, including the
interpretation of Hahnemanns theory of chronic disease. There is, however, general agreement on this point, that it
is the patient who should be treated, rather than directly the disease. Constitutional treatment of chronic disease
is not easy to explain, especially as there is no counterpart in modern medicine. In acute illness the patients changes
from normal are taken into account in prescribing. In chronic illness the patients mental and physical make-up are
studied and considered against a background of a theoretically average normal child (or adult, as the case may be).
We note the salient features in which the child under consideration differs from this theoretical norm, and whether
his disease were asthma or recurrent colds, or an anxiety state, the homoeopathic presciption is a drug which could
cause a similar deviation from health when given to healthy people. Constitutional treatment is best given in between
acute episodes.
The normal for children differs from age to age. For instance, destructive tendencies at the age of twelve years is
outside the normal pattern of behaviour, whereas it is within the normal pattern at the age of four.
To use a drug to raise the general level of health, to make the patient more resistant to infection, or a less allergic
subject or less liable to attacks of acidosis is foreign to modern medical thought That is nevertheless the aim of
constitutional treatment. Perhaps the word constitutional is not the best one, but it conveys the intended meaning
that the patients constitution can be altered. Change of environment can alter a patient for the better and it is not
possible that a drug may do it also. Genetic qualities probably cannot be altered, but environmental influences come
into play immediately after conception. There is a large group of disorders in which genetic qualities may lie dormant
till environmental influences come into play. Such conditions, including most psychosomatic diseases respond on the
whole well to homoeopathic treatment.

Pathology and prognosis


In assessing the possible value of homoeopathy in any chronic condition, a knowledge of the pathological state is, of
course, required, but this in itself may not enable an accurate prognosis to be made. For instance, vitamin-resistant
ricketts can respond to homoeopathic treatment. That there is a constitutional factor in ricketts is apparent
because when ricketts was common, one child in an institution might develop the disease and others in the same
environment and having the same diet did not.
Without change of diet or extra vitamin D many of us have seen children suffering from ricketts lose their night
sweats and improve remarkably after a high potency of Calc. carb., Phosphorus, Medorrhinum, or other indicated
remedy. The very fact that vitamin-resistant ricketts exists is evidence that there is some other factor than the
generally accepted pathology. On the other hand, idiopathic epilepsy does not as a rule seem to be influenced by
homoeopathy, although there may be no obvious pathological changes. To take another example, bronchiectasis is
incurable,but constitutional treatment can raise resistant to infection to such an extent that the patients outlook is
appreciably improved - something of obvious value when the disease is widespread. Such a child who had lobectomy
performed, but was too ill for further surgery, used to get pneunomia with every cold. Constitutional treatment
(with Bacillinum mainly) was followed by a gain in weight of a stone in eighteen months and colds could be easily
thrown off. Homoeopathy has a potential therapeutic value whenever raising of resistance is a problem.

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Prescribing in chronic disease


Having decided that homoeopathy can play a part in treatment the psychosomatic pattern of the patient is obtained by
observation and questioning the parents. Hereditary tendencies and the personal history of illnesses are also
considered in constitutional prescribing. It would be out of place to deal in detail with this large subject here. There
is a remarkable resemblance between the effects of drugs and human personality which makes constitutional
treatment possible. The like remedy is chosen because f its likeness to the patient. If the child is of what we term
the Pulsatilla type, gentle, weepy, craving affection, changeable, having an aversion to fat and a strong desire for
open air, Pulsatilla is the homoeopathic prescription no matter whether the disease be poor resistance to colds, an
anxiety state or asthma. The Arsenicum alb. child is chilly, anxious and restless, may be naturally extremely tidy,
putting his toys in neat rows, and worries especially about school or whenever anything is expected of him. He may
complain of weakness which is out of proportion to the nature of the disease and cannot be readily explained. In
such a child Arsenicum alb. would be the prescription, no matter what the nature of the disease. These are simple
examples of constitutional prescribing. This does not mean that other aspects of treatment, general management,
rest, exercise, diet, etc., even at times the use of drugs for their orthodox purposes, are neglected. Dr. Tylers
Drug Pictures is a useful guide to psychosomatic dug relationship. Dr. Borlands pamphlet on Childrens Types is a
valuable introduction to this aspect of prescribing in children.

Gestation
The period of gestation is regarded in homoeopathic practice as a time specially suitable for constitutional treatment
of the mother. During pregnancy there may be an outcropping of constitutional symptoms not in evidence at other
times. This includes craving for or aversion to articles of diet. Hahnemann recommmended Sulphur to be given to the
pregnant mother to beneficially influence adverse hereditary tendencies when there were no indications for
anything else.

Infant feeding
An infants chance of survival is enhanced by breast feeding. In premature infants the chance of survival is doubled in
breast fed as compared with the artificially fed. Homoeopathy has a great deal to offer in conjunction with other
measures such as pre-natal preparation by pulling out the nipples advocated by Waller to enable the infant to bite
beyond the tender tip. The use of Calendula compresses for tender nipples (a drachm of the tincture to a pint of
water) sometimes enables breast feeding to be maintained when sore nipples could be a cause for weaning.
Phytolacca 6 or higher is valuable when there is pain radiating from the nipple and there are many other local and
constitutional remedies to abort breast abscess (such as Bryonia, Belladonna and Pyrogen) and other remedies to
help effectively in maintaining lactation, including Pulsatilla, Calc. carb., Zincum, Ignatia and many others. Here is a
field for research, because if our clinical impressions are correct, homoeopathy could here also provide means for a
major advance in paediatrics. In dealing with feeding mismanagement, having considered the diet and feeding
technique., Carbo veg. and Lycopodium are commonly indicated when there is excessive flatulence or flatus.

Case taking in infancy


Constitutional treatment of infants and very young children presents some problems in case-taking. Hints may be
obtained from (1) the family history and consideration of the hereditary nosodes, Tuberculinum, Carcinosin,
Medorrhinum, Lueticum and Psorinum. Sometimes the infant bears a striking resemblance to one or other of the
parents and a reliable hint can be obtained by studying the constitutional make-up of the parent : (2) Occasionally an
emotional upset or acute illness in pregnancy is significant.
Influenzinum or Aconite or other remedy may be suggested in this way - just occasionally. A boy of four suffering from
cerebral diplegia resulting from a birth injury improved after receiving homoeopathic treatment, then appeared to
come to a standstill. He could walk with some difficulty, but the chief trouble was that he was terribly frightened of
falling and this prevented further progress. On retaking the history it was discovered that the mother had a severe
fright during pregnancy. She said that she felt as if worms were wriggling all over her after the episode (a dog had
jumped out on her suddenly and unexpectedly). The boy was given Lac Caninum 200 and the following day he began
to walk without fear. (3) Birth injury suggested by the history, especially by slowness in initiating feeding calls to
mind the head injury remedies (Nat. sulph., Nat. mur., Cicuta and Helleborus). Among the symptoms useful for
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prescribing purposes which may be obtained from a normally observant mother or nurse are (4) craving for affection
Puls., Phos., Calc. phos. (5) Position in sleeping preferred or adopted. Knee-elbow position is found in Medorrhinum,
Carcinosin, Tuberculinum, Phosphorus, Calc. phos., Lycopodium and Sepia. (6) Wrinkling of forehead is of practical
value, if present, in narrowing down the choice of remedies : (7) Desire relatively warm or colds feeds, if bottle fed.
Some infants refuse the feed if it is the least bit cool. Others wait till it is cool. If there is a definite preference
of this sort, it is a reliable symptom. (8) Modalities : the time of day or night at which the infant is most grizzly
e.g. 4 to 8 p.m. Lycopodium, etc. allowing for hunger and tiredness , may be useful. Less often there may be obvious
aggravation from downward movement, sensitivity to noise or other aspects of the environment. In babies the
tendency to start at noise is of course normally well marked and to be outside the average pattern must be very
marked. The infant must almost jump out of its skin at sudden noises if this sympyom is to be taken for prescribing
purposes. (9) Excessive flatulence or flatus after consideration of diet and feeding technique; (10) Perspiration if
excessive, its distribution, nature and modalities, e.g. coming on during sleep and any other skin conditions. Such a
scheme can be expanded.

Tonsils and adenoids


A common problem in children is frequent colds often associated with chronically infected tonsils and adenoids, or the
latter with sinusitis and otitis media. Perhaps the main indications for operation are evidence of a septic focus
which, especially when flared up, has a serious effect on the childs health such as might be accompanied by loss of
weight and/or persistent obstruction of the nose. In a great many cases the indication for operation may not be
clear.
Constitutional treatment is well worthwhile even if operation is done later, as it raises the general level of health. It is
seldom that dramatic results are obtained in such cases if there is a septic focus, but when after operation
improvement is not apparent, constitutional treatment is usually successful, and the impression is that if such
treatment has been given before operation the after effects of surgery are better. There are many remedies which
may be indicated in such cases. Kent advocated Tuberculinum for chronically infected tonsils and adenoids, and a
strong indication for Tub. bov. is very large tonsillar or other cervical glands such as might make one think of
tubercular cervical adenitis.

Constitutional treatment of psychosomatic conditions


Purely spasmodic asthma responds relatively easily to treatment. (It is said that it should respond to psychotherapy
alone.) When there is lung damage progress is slower and sometimes incomplete. When there is also eczema, there
may be even more difficulty, but in all these conditins homoeopathy can play an effective part in treatment, a wide
range of drugs may be required. Medorrhinum is a remedy which is not infrequently indicated in asthma when the
child has fewer or no attacks when at the seaside and adopts the knee-elbow position in an attack. Homoeopathy is a
really valuable therapeutic agent in asthma.
Epilepsy and petit mal are sometimes classified as psychosomatic disorders. As already mentioned these conditions do
not respond as a rule well to homoeopathic treatment. The spasmodic remedies when indicated are worth special
consideration. A case of petit mal in a child of eight diagnosed at a Childrens Hospital to be the result of
encephalitis accompanying whooping cough cleared up completely on Drosera 30, 200, 1m. but such is the exception
rather than the rule. Over two years have elapsed since this prescription and there has been no recurrence.
Migraine responds well to constitutional treatment in adults and even more readily in children. It is not very common
before puberty. Cyclical vomiting and other manifestations of the periodic syndrome which can be regarded as the
equivalent of migraine respond well to homoeopathic treatment, both in an attack and in preventing recurrences.
Treatment of the attack has been already mentioned. Commonly indicated constitutional remedies are Phosphorus,
Tuberculinum, Calc. phos., Carcinosin and Dysentery co.
Enuresis calls for a careful examination and a full investigation of psychological and environmental factors. The
over-stern father of the big brother reading at night keeping the small brother awake until he fails into too deep a
sleep, for example, must be dealt with.
In addition to all other measures homoeopathy can play a very definite part in treatment which should be
constitutional, but local applications of hypericum ointment or lotion if there is local rawness, is sometimes useful.
When Tuberculinum is indicated, Bacillinum testium is reputed to be the best preparation. When all other measures
have been exhausted, as is sometimes the case, Polyvalent Bowel Vaccine may help. The effect of treatment in a
condition which tends to cure itself is difficult to assess.

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Chronic indigestion
Chronic indigestion in one form or another is a problem which takes up a considerable amount of the paediatricians time
in Out-Patients. Constitutional treatment can play a very useful part in this condition. Here I should like to mention
the adverse effects of aluminium cooking utensils in undermining the health of a minority of children. It has special
importance in alimentary disorders and allergic diseases. Common symptoms are irritability, touchiness about the
least thing, slowness in eating accompanied by a sensation as if food lodged behind the sternum and itching of the
eyes, especially the inner canthi. A specially important feature of aluminium is weakness of the rectal muscles so
that straining is necessary for the evacuation of a stool of normal consistency. Dryness of mucous membranes and
skin along with a tendency to cracking of the skin may also be present. A girl of eleven years of age came to the
hospital with the complaint of diarrhoea alternating with constipation since the age of eighteen months. She had
almost constant headaches and a leucorrhoeal discharge for six years. All the aluminium symptoms mentioned were
present. The cooking utensils were replaced by enamelware and the girl given a 200th potency of Alumina. Within a
month all symptoms including the leucorrhoea had disappeared and the irritable disposition vanished also.
Incidentally, many migraine sufferers are extremely sensitive to aluminium, and it is advisable to make sure that the
kettle is replaced as well as the pans.

Disorders of personality
Stammering is, in my experience, difficult to treat by homoeopathy. Tics, anxiety states, and the nervous child respond
well. Silica is the most commonly indicated remedy for children who cannot hold their own with the other children,
Phosphorus probably comes next. The excessively obstinate child often responds to Tub. bov.

Backward and mentally defective children


It is very well worthwhile to consider homoeopathic treatment in the case of backward children and the fairly
high-grade mentally defective. Obviously the prognosis ultimately depends on the pathology. Mongols cannot be
altered basically but constitutional treatment, apart from a minority who presumably have a primitive brain
formation, enables the mongol to accept some education. Nearly all mongols benefit definitely, physically and
mentally, by receiving constitutional homoeopathic treatment. Medorrhinum is a near specific, Carcinosin, Sepia,
Baryta carb. and other remedies may be required.

FOUBISTER D. M., The carcinosin Drug Picture (fb4)


FOUBISTER Donald M.

Foreword
I have great pleasure in placing this booklet in the hands of the homoeopathic physician of whom I have the honour to
have been a student. He has made very valuable observations and advances in the homoeopathic treatment of
children and some of the essence of his experience is presented herewith. Carcinosin is a remarkable remedy and to
Dr. Foubister goes the credit of exploring and exposing its great possibilities. This paper was originally published in
the British Homoeopathic Journal and I am deeply grateful both to the editor Dr. L. R. Twentyman and to the author
for their kind permission for reprinting this.
P. Sankaran

Preface
Various preparations of Carcinosin have long been used in homoeopathic practice mainly in cases with a background of a
family history of cancer not responding to ordinary constitutional prescribing. The usefulness of Carcinosin today
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may be attributed to the greater amount of radiation to which mankind is exposed or it may be that it can now be
prescribed on accurate indications, and was in the past often missed.
All Carcinosins have a common action. It may be that the site of the tumour from which a preparation was made can be
a guide to the choice, but so far there are no clear differentiating symptoms. It is to be hoped that the unusual
approach to discovery of the indications for Carcinosin will not put any one off from a clinical trial.
This paper was written some time back but is fully up-to-date. Since then no new indications have emerged, but ones
given below have been further confirmed.
London, January 1967.
D. M. FOUBISTER

The carcinosin drug picture


Carcinosinum
According to homoeopathic philosophy, organic disease is an ultimate, the result of preceding changes in the vitality of
the patient which are manifested by functional changes and subjective symptoms. It is generally accepted that
organic disease may be foreshadowed by functional changes. 1 It is these symptoms of disordered vitality which
have to be matched in selecting a constitutional remedy with the object of correcting the underlying disharmony.
There is perhaps a tendency to regard nosodes representing the ultimates in disease as being comparatively superficial
in their action. Yet the well-proved nosodes such as Tuberculinum and Medorrhinum are undoubtedly among the most
deeply acting and valuable medicines in the materia medica. It may be that nosodes carry in them in their potentized
state something of the nature of the preceding deranged vitality. After six years study of Carcinosin that is my
impression and its profound action may possibly be explained in this way. Kent believed cancer to be the result of
suppressed psora and it is of interest to note that in some cases responding to Carcinosum, indications for Psorinum
feels specially well before an attack was uncovered only after previous benefit from Carcinosin.
My interest in Carcinosin was aroused by a chance experience: that of having in the out-patient department
simultaneously two children born of mothers who were, during the pregnancy, suffering from cancer of the breast. 2
These children presented a remarkably similar appearance, having blue sclerotics, a caf au lait * complexion and
numerous moles. Both children suffered from insomnia. I had previously been given a therapeutic hint that where
there was a family history of cancer, Carcinosin sometimes cured insomnia, and had used it occasionally in insomnia
with success.
I wondered if one could regard these children, having been nourished by cancerous blood, as exhibiting these
characteristics on account of the mothers condition. In other word was this a sort of proving of Carcinosin, or was
it a coincidence?
It would take considerable time to collect a number of such cases and the immediate course open was to study the
antecedents of children with that appearance to find out whether this appearance was associated with a strong
family history of cancer or not. In the out-patient department we began by checking the family history and giving
Carcinosin to children with that appearance. During the first few years detailed notes were taken by one of my
clinical assistants of 200 cases in which we had tested the remedy with or without success. Gradually the picture of
th
Carcinosin emerged. It did receive a small proving, 3 and I proved it myself in the 200 potency.
It is generally accepted that we can utilise the symptoms derived from clinical experience of the therapeutic effects
of a remedy and that the drug picture which is the real basis of prescribing is built up from provings plus clinical
experience.
It has been noted that only a small proportion of provers are sufficiently sensitive to any substance to bring out
anything like its full effects, those presumably having an idiosyncrasy to the drug being tested. 4 In studying the
therapeutic effects of a homoeopathic remedy one cannot escape the conclusion that anyone benefiting from a drug
in high potency must also have been sensitive to it. A more careful study of therapeutic effects would in my view
enrich the materia medica. Disease in fact tends to increase sensitivity to the appropriate remedy even in the
physiological use of drugs. 5
It soon became apparent that children of what we came to regard as the Carcinosin appearance did not show the kind
of family history we had almost expected to find. In many instances there was a strong family history of cancer, but
in others there was a strong family history of tuberculosis, of diabetes and pernicious anaemia, or a combination of
all these more strongly represented than in the average family; only occasionally there was no such history. It would,
of course, require a great deal of research to prove this.
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Gradually we gained the impression that in addition to the Carcinosin appearance and a tendency to insomnia even in
young children there was a tendency to have an inflammatory illness, usually a whooping cough or pneumonia, very
early in life, and therefore almost severely. For instance, whooping cough at five months fits into the Carcinosin
picture. If, for the sake of argument, we accept McDonaghs concept that there are two basic diseases,
inflammation and tumour formation, also the teaching of Rudolf Steiner, then it might not be too far fetched to
regard this tendency to inflammation as a reaction against inherited tendencies.
A child who had the longest list of severe inflammatory diseases I have ever seen had indications for Carcinosin, and its
administration was followed by a remarkable improvement. We gained the impression that after administration of
Carcinosin, there was considerable likelihood of an inflammatory reaction very difficult to prove also without
considerable research in the childrens ward Sister Sayer observed that children receiving Carcinosin often had a
rise of temperature on the tenth day, and this has been often confirmed.
Alimentary upsets of one kind or another, say a tendency to diarrhoea or constipation or acidosis in childhood, seemed
to come into the picture, but this is not certain; it is so common in childhood. In the provings Dr. Templeton noted
the constancy with which Carcinosin produced constipation.
In the childrens ward we observe the position in which a child sleeps, and in the out-patient department I have for
years asked all mothers about this symptom, as it is an unequivocal one. There is a tendency for many infants to
sleep in the knee-elbow position up to the last quarter of the first year, then it often disappears. The knee-elbow
position is noted in Kents Repertory only under Medorrhinum, but our enquiry has revealed that a number of drugs
have it. Carcinosin has this symptom (also a tendency to sleep on the back, hands above head). Other drugs having
the knee-elbow position, which is obviously more valuable as a symptom in older children, are Tuberculinum,
Phosphorus, Sepia, Lycopodium and Calc. phos.
More work is required to elucidate the full picture of mentals and generals of Carcinosin, but clinical studies gradually
revealed that Carcinosin is related to some of the most commonly indicated and deeply acting medicines in the
materia medica and the action of Carcinosin is deep and long lasting.
The majority of the children in out-patient had been receiving treatment, and it became apparent that many children
who were candidates for Carcinosin in other respects had already been helped by one or more of a group of
remedies, the most constant of which are Tuberculinum, Medorrhinum, Nat. mur. and Sepia. Others were Alumina,
Ars. alb., Ars. jod., Pulsatilla, Staphisagria, Phos., Calc. phos., Lueticum, Lycopodium, Sulphur, Psorinum, Dysentery co.
and Opium. Others may be added as experience grows.
In any patient not responding to one of these remedies, though accurately chosen, it is worthwhile to see whether
Carcinosin may fit the case. Also, when two or more of the related remedies are partially indicated but no one
adequately covers the case, Carcinosin should be considered. These indications for Carcinosin have been abundantly
confirmed.
Say, you have a child with the obstinacy and love of travel of Tub. bov. Combined with amelioration by the sea and other
symptoms of Medorrhinum, a fairly common combination in my experience. Carcinosin will often cover the case. I
have not hesitated to prescribe Carcinosin with Medorrhinum in the treatment of backward or mentally defective
children. Clarke noted that Carcinosin was useful in mental cases with a tendency to suicide and family history of
cancer.
In my experience with Carcinosin, it is useful in mental cases with a background of fright, prolonged fear, or
unhappiness. Fear can come into the picture a great deal, and anticipation. This is an important aspect of Carcinosin.
Among the specific mental symptoms it covers is Fastidiousness. Think of its related remedy, Arsenicum. It can be
added to the tidy remedies Ars., Nux, Anacardium, Graphites. It can have the opposite being related to Sulphur.
It has the obstinacy of Tub. bov. And the enjoyment watching a thunderstorm of Sepia. It has the marked sense of
rhythm, the love of dancing of Sepia. It has the sensitivity to music of Sepia, and the sympathy others of Phos. etc.,
also incidentally a feature of Sepia.
It has in children the sensitivity to reprimand of Medorrhinum and other, if not all, sycotics.
GENERALS: Among physical generals Carcinosin has either a craving or an aversion to one or more of the following:
Salt, Milk, Eggs, Fat meat, Fruit and there may be a craving now and an aversion at another time in the same patient not
an uncommon finding in childhood.
It can be added, therefore, to the small list of remedies having a desire for meat fat.
Carcinosin has alternation of symptoms like Lac caninum, Sepia etc.
Regarding environment influences, Carcinosin is better or worse from sea air.
This is a very definite symptom linking it up with Medorrhinum, Nat. mur., and Sepia, also Tuberculinum which
sometimes is worse at the seaside.
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Discounting the benefit of a rest for the tired housewife, the exhilaration of the child going to the coast for its annual
holiday, and the influence of fresh air on the town dweller, sea air does greatly ameliorate some patients and their
asthma or peptic ulcer pain disappears regularly by the seaside, or it may have the opposite effect.
We should, however, be careful not to accept as absolutely definite the symptoms recorded in Kents Repertory under
Air, Sea. Medorrhinum almost invariably is ameliorated by the sea but very rarely it is worse by the sea. Nat. mur.
is about 50-50. It is benefited by sea air just as often as it is aggravated.
Carcinosin is worse or better at the seaside and quite often is worse at the East Coast and better on the South Coast
or vice versa.
A word about the various preparations of Carcinosin. The original Carcinosin, obtainable at Nelsons and Keene and
Ashwell, is the one which was proved and the one which we have used mainly. Its source is unknown, but it is believed
to be from carcinoma of breast. Recently two new series of preparations have been made by Nelsons to whom we
have supplied specimens from the homoeopathic hospital, and Gould and Son who have potentized a number of
specimens of cancer obtained from another source.
In general it may be said that the recently introduced preparations are much more active, and there is a very definite
place for the newer ones. Of these I have had most experience with Nelsons Carcinosin adenostum, and it is a very
powerful nosode. Goulds preparations are also extremely active and valuable.
Another point in the prescription of Carcinosin as a constitutional remedy is that it is probably unsafe to give it to
patients suspected of cancer. It has been frequently used in the treatment of cancer. In one article in an old
Homoeopathic Recorder it is claimed to ease the pain of cancer of the breast. It is not easy to find a single case of
cancer treated by Carcinosin alone, and it seems to be of very doubtful value in the treatment of the disease. In
fact, it almost seems that the further away you get from actual cancer, as in childhood, the more useful Carcinosin
is a constitutional remedy.

Summary
HEREDITARY BACKGROUND: Various preparations of Carcinosin have long been used in homoeopathic practice, mainly
on the indication of a strong family history of cancer. Recent clinical experience suggests that they may be useful as
constitutional remedies for patients having a strong family history of cancer, diabetes, tuberculosis, or a mixture of
these disease, more strongly represented the in an average family.
RELATED REMEDIES: The Tuberculins, Medorrhinum, Syphilinum, Sepia, Natrum muriaticum, Calcarea phosphorica,
Dys. co., Lycopodium, Phosphorus, Psorinum, Arsenicum album, Arsenicum iodatum, Pulsatilla, Sulphur, Opium, Alumina
and Staphisagria.
(a) There may be partial indications for two or more of these remedies without complete coverage by any single one,
such as the desire for travel of Tuberculinum or Calcarea phosphorica;the fastidiousness of Arsenicum album; and
the dislike of consolation of Natrum muriaticum or Sepia. Many combinations may be found.
(b) One of these remedies may apparently be clearly indicated, e.g. Sepia and little effect is produced, or the effect
may be short-lived. Sometimes a series of those remedies may have been given without really satisfactory results.
APPETITE: There may be a craving for, or aversion to salt, milk, eggs, fat, fruit (N.B. -It can be added to the list of
remedies having a craving for fat).
ENVIRONMENT: A definite symptom which has emerged is influenced by sea air. The patient may be better or worse
at the seaside, or may be better at the east Coast and worse at the South Coast and vice versa, as a Carcinosin
indication.
POSITION IN SLEEP IN CHILDREN: the knee-elbow position is covered by Medorrhinum, Carcinosinum, Calcarea
phophorica, Phosporus, Sepia, Lycopodium and probably others. Normally this position is adopted in the first nine or
twelve months of life, then it is less often found and is therefore of more value when found in older children.
PERSONAL HISTORY: There is often tendency to insomnia even in childhood. Whooping cough born of mothers who
while pregnant were suffering from cancer of the breast and subseqeuntly died from it. These children had a
brownish, caf au lait complexion, numerous moles and blue sclerotics. Both suffered from insomnia (the Carcinosins
are useful remedies for insomnia, when indicated).
SUGGESTIVE OF THE CARCINOSINS AS CONSTITUTIONAL REMEDIES:
One or more of the following:
(a) The family history (and possibly the personal history).
(b) Reaction to sea air.
(c) Appetite.
(d) Knee-elbow position in children.
(e) Related remedies. Either two or more strong partial indications, or, one or more remedies have not achieved what
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would be expected.
(f) the patients appearance.
All the Carcinosins have a general common action, as outlined above, but it is likely that further experience will
demonstrate points of differentiation.

Case histories
Case 1
A girl of 10 years was first seen in 1952 with a history of asthma dating from a fright caused by a flying bomb when
she was 18 months old. After orthodox treatment the parents took her to an osteopath and after he too failed, she
arrived at Shepherds Bush Clinic.
PREVIOUS ILLNESS: Pneumonia at 1 year. Whooping cough badly at 9 years, followed by an aggravation of the asthma
for 6 months.
FAMILY HISTORY: Diabetes on both sides of the mothers family.
No history of cancer.
MENTALS, GENERALS: Weeps if reprimanded.
Aversion to fat meat and eggs. Also allergic to eggs and intolerant he smell of eggs.
Asthma better at seaside.
APPEARANCE: Caf au lait complexion. Numerous moles. Blue sclerotics.
Carcinosin was followed by an aggravation and then a sustained improvement in health. During the past five years she
has had altogether four doses of Carcinosin 200 and one of 1 m. the only other medicine on the card is Phos. 6 for
some acute condition. She is now discharged, having had eight minor attacks since the beginning of treatment and
none for the past year.

Case 2
Another child who had the typical appearance and in this case no family history of any of the related diseases.
She was seen first at the age of 11 about two years ago, having been discharged from a teaching hospital with second
stage nephritis following a severe acute attack. The urine had 6 parts albumen per 1,000, a few granular casts, many
leukocytes and lower urinary tract epithelial cells. Blood urea 22 mgm per cent. This had persisted for some time and
a very gloomy prognosis had been given.
PREVIOUS ILLNESS: Whooping cough, measles, tonsillitis, enuresis-slow in getting dry.
FAMILY HISTORY: Nil
MENTALS, GENERALS: Typical appearance, caf au lait complexion, numerous moles, very blue sclerotics.
Desires salt, eggs (vinegar, coffee).
Aversion to milk.
Sleeps well.
Carcinosin 30, 200, 1m was given, and a month later seen by someone else at the hospital who gave Sepia 12.
There was a great improvement in general health and the albumen went down fairly rapidly to 1 part per 1,000 and the
urine was otherwise normal. Eventually there was just a persistent trace of albumen. Ten months later with this
trace of albumen B coli mutabile 200 was given and the next specimen a month later was clear.
That is over a year ago, and there has been no recurrence of albumen.

Case 3
This illustrates the use of Carcinosin in a case where an apparently well-selected related remedy, Nat. mur., failed to
produce a lasting effect. This man of 50 came to see me about two years ago with the complaint of asthma for eight
years.
PREVIOUS ILLNESS: Migraine, which ceased before the asthma developed. Concussion at the age of 21. Tonsils and
adenoids removed as a child.
FAMILY HISTORY: Mother, cancer of bowel. Father, peptic ulcer.
MENTALS and GENERALS: Sympathetic to others.
Sensitive to music.
Tired in the sun (sensitive to drugs, especially acids).
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Aversion to salt.
Better in himself in the evening.
Asthma worse in wet weather; worse at 10 a.m. , better cool dry days.
Nat. mur. 30, 200, 1 m was given and followed by a definite improvement but he relapsed within two weeks.
Nat. mur. 200, 1 m, 10 m, was tried with some improvement and another quick relapse. Then Nat. sulph. 200 was tried
but without any real benefit.
Thinking over the case it seemed to me that Nat. mur. would ordinarily have had a much better effect in this case. It
did have an excellent effect which vanished after two weeks, and apart from Nat. sulph. Which also failed, there did
not appear to be any other obvious remedy. Taking into consideration the relationship of Nat. mur. to Carcinosin and
the history of his mother having died of cancer, probably a stronger heredity indication than any other, Carcinosin
30 was followed by several months of freedom from asthma and another dose by a further period of several months
of freedom up to the present, and great benefit to general health.

Case 4
Another case already reported in the paper of 1954 further illustrates the use of Carcinosin when an apparently
well-indicated remedy failed, in this case Sepia.
A woman of 30 suffered from boils in the ears, alternating from one ear to the other. Chemotherapy helped to clear up
the boils but did not stop recurrence. She had no freedom from boils for more than a week or two at a time. The
following symptoms were present: Disliked consolation, could not weep even when she lost her mother who died from
cancer of the uterus. Nausea and vomiting at the beginning of her periods.
Dragging dawn at M.P. Headache before a thunderstorm. Tired in the morning, better in the evening. Profuse offensive
axillary perspiration. Nat. mur. and Gelsemium have sadness but cannot weep. Sepia, however, which contains Nat.
mur., seemed to be much more indicated. The patient was given Sepia 30, 200, 1m on three consecutive days. She
had a weeks aggravation, then six weeks freedom and her menstrual symptoms were relieved. She was then given
Sepia 200, 1m, 10m, which was followed by three weeks of freedom, after which another relapse. Carcinosin 30, 200,
1m was given.
It was followed by a severe aggravation lasting about a wek and then had been followed by complete freedom for three
years.

Case 5
The next case is that of a girl of 15 years of age who had practically all her life a chronic yellow nasal catarrh and
frequent colds. Her condition had been worse since whooping cough at the age of 11 years.
PREVIOUS ILLNESS: Tonsils and adenoids removed. Measles badly. Whooping cough very badly.
All childish illnesses more severe than her five sibs.
FAMILY HISTORY: Mother subsequently died of cancer of oesophagus.
MENTALS, GENERALS: timid, loves affection, chews nails.
Very fond of dancing.
Terrific reader.
Feels a fright in her stomach.
Starts at noise. Anticipation or chlorine in a swimming bath starts up eczema. Anticipation may cause vomiting.
Carcinosin appearance.
Pulsatilla and Sepia were considered, but in view of her appearance and the severe whooping cough and the fact that
both Pulsatilla and Sepia are related to Carcinosin, she was given Carcinosin adenostum 30, 200, 1 m, the C.
adenostum being selected because of fright in the stomach and vomiting on anticipation.
There was a violent aggravation after which catarrh and colds vanished for a year.

Case 6
A child of 9 suffered from the age of 5 months from recurrent attacks of fever going up to 104-105, not influenced
by any orthodox drugs. Investigation in two hospitals had proved negative.
The picture was that of a typical attack of acidosis-the periodic syndrome-including the fact that they never lasted for
more than five days, and attacks could come on from excitement. The attacks were followed by a loss of weight, and
the parents had no real confidence in homeopathy but had come out of a sense of duty to clutch at the very last
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straw. There was nothing outstanding in the personal or family history except that the attacks came on a month
after vaccination at 3 months and the father had suffered from similar attacks in childhood which cleared up before
puberty.
In this case the best course seemed to be to try to stop the attacks first to gain the parents confidence and then
treat constitutionally.
Belladonna 30 was administered on the symptomatology 3 hourly for the first 24 hours, then 6 hourly for two days.
There were an enormous mass of prescribing symptoms, far too many, and the parents did not seem to understand what
was wanted.
To cut a long story short, Belladonna helped enormously to cut down the severity and length of the attacks and then
Calc. phos. 30, 200, 1m given with partial success in reducing the number of attacks. Later Carcinosin adenostum 200
was given about a year ago and there has only been one slight attack in the past six months. The main indications
here were a combination of related remedies including Calc. phos. Among her symptoms were: Loves a thunderstorm,
likes fruit and fat meat as well as bacon fat. Loves affection. Suffers from anticipation. Dreams of snakes. Sensitive
to reprimand. Mentally tense (Dys. co.).

Case 7
A boy of 13 years had suffered from asthma from the age of 2, both spasmodic and bronchial attacks.
PREVIOUS ILLNESS: Three attacks of pneumonia at 3 months, 10 months and 18 months of age. Asthma started after
the second pneumonia.
FAMILY HISTORY: Nil, except tendency to asthma on fathers side. Dissimilar twin brother also had asthma for which
he was given Medorrhinum, which cured him.
MENTALS AND GENERALS: Carcinosin appearance; moles +++
Sensitive to reprimand.
Loves fat meat.
Asthma always better at the seaside.
In this case Medorrhinum seemed indicated except for the love of fat meat-an example of two or more partial
indications for related remedies.
Carcinosin 200 was given and during the following year he had only two minor attacks.

Case 8
A girl of 9 was brought with the complaint of night terrors for five years. She had a severe fright at 2, when her
tonsils and adenoids had been removed.
The mother described the terrors: She screams while still asleep; when wakened she answers correctly and forgets
about the episode in the morning. On one occasion she talked of being afraid of someone behind a screen.
PRVIOUS ILLNESS: Nil.
FAMILY HISTORY: Nil.
The child was of the Phosphorus type-responsive, affectionate, wanting to please and the kind of night terrors might
well have been covered by Phos. which were quite definite.
Loves dancing. Very tidy.
(Sympathetic to animals only).
Phosphorus was given with some definite benefit, later Opium to antidote the fright, and eventually Carcinosin, and the
night terrors disappeared for two years altogether. Then the adenoids grew in again and another operation was
done, and back came the terrors which again were abolished by Carcinosin 30, 200, 1m,

Case 9
Another case I will just briefly mention. A boy of 14, much underweight, had been severely frightened ever since going
to a boarding school at 9. Among his symptoms was fear of people, fear of mirrors, and he bottled things up.
Staphisagria, Stramonium and later Medorrhinum helped. Eventually Carcinosin was given at long intervals and he is
now doing his military training and has recently passed the stiff physical tests for a commission.

Case 10
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Mrs. R. 45. Married. Generalized early osteoarthritis, hands, feet, spine.


PREVIOUS ILLNESS: recurrent pseudocyesis with enlarged abdomen and mild in breasts.
Tubes ligated on advice of psychiatrist.
Prolonged fear in childhood caused by a sadistic father.
Used to stammer.
Still cannot say certain words including number 8 or letters.
FAMILY HISTORY: Nil.
MENTALS AND GENERALS: Sympathetic to others and loves affection. Sentimental.
Headache in thunderstorm.
Loves dancing. Sensitive to certain people.
Weak ankles.
(Still afraid in dark). Never weeps.
8-6-57 Carcinosin 30, 200, 1m given with remarkable benefit and patient can say 8 now.
28-9-57, Sepia 12, also Ruta.
Iron in low potency.

Case 11
Egyptian boy of 5 years. Recurrent colds, debility. Tonsils removed at 2 years.
PREVIOUS ILLNESS: No illnesses.
FAMILY HISTORY: Both parents cancer.
GENERALS AND MENTALS: Carcinosin appearance (many moles). Obstinate. Sensitive to music. Loves travel.
Aversion fat cream +. Aversion salt.
Sensitive to reprimand.
th
Perspires profusely even in winter, Carcinosin 30, 200, 1m given 4-5-54. Letter, December 6 , 1954, from his father:
th
The temperature foreseen by you appeared on the 15 day and lasted 24 hours. He has developed physical endurance
and there has been no more snoring or coughing. As a matter of fact. John has not had a single cold until lately and
this is most exceptional, particularly in view of the debilitating climate we have to endure here (East Africa).

Case 12
Finally, a tragic case of cancer in childhood. It is of interest from the view-point of the Carcinosin drug picture.
A child of 11 years of age was looking after a baby in a garden, the gate of which opened into a cul de sac. The baby
managed to slip out through the gate while the girl looking after her was preoccupied, and was killed by a motor car.
The girl was so shocked she stopped growing, and eventually developed cancer of the liver from which she died.
THE FAMILY HISTORY was as follows: Fathers mother died of pernicious anaemia. Fathers brother died of cancer.
Mothers mother died of diabetes.
PREVIOUS ILLNESS; Measles only.
MENTALS AND GENERALS: Loves affection. Sympathetic to others. Very tidy. Blue sclerotics. Numerous moles. Caf
au lait complexion.
In conclusion I wish to thank those who have contributed to this clinical study, especially Dr. James Hamilton, Dr.
Andrew Strigner and Dr. L.R. Twentyman.

References
(1) Kent, J.T. : Lectures on Homoeopathic Philosophy.
(2) Foubister, D.M. : Clinical Impressions of Carcinosin, Brit. Hom. J. 44, April, 1954.
(3) Templeton, W.L. : Brit. Hom. J. 44, April 1954.
(4) Goodman and Gilman: The Pharmacological Basis of Therapeutics 1955, p. 12, Macmillan and Co.
(5) Ibid, pp. 12 and 13.
(6) Templeton, W.L. : Brit. Hom. J.). 44, April 1954.

Discussion
THE PRESIDENT, Dr. A.D. MacNeill, expressed the thanks of the meeting to Dr. Foubister for his most interesting
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paper and said he was interested in the relationship between Carcinosin and other remedies which had been
mentioned. He then opened the meeting to discussion.
DR. T.D. Ross said that this paper had given us a great deal of material. The interesting thing was that Dr. Foubister
was using Carcinosin as a remedy for constitutions to make healthier people, in particular starting in childhood. This,
of course, was the best time to treat patients in order to prevent serious disease in the future. The use of
Carcinosin in actual cancer had not produced such brilliant results. This is as we would expect because in these cases
we are dealing with ultimate disease processes. Or are we? In fact some of those developing cancer have quite good
heredity and past history. Many, however, have bad health and may be nervous or asthmatic or have a bad heredity.
In these Carcinosin is very valuable and one links it with Medorrhinum.
He thought the stress on family history was important and should be more universally adopted in history taking. He also
thought we ought to try using the newer more potent preparations of Carcinosin. Nelsons original Carcinosin had
come from America and Dr. Compton Burnett got his from Epps, Thatcher. All these comments linked up with the
virus theory of cancer. Are we perhaps using a virus or infecting agent along with antibodies? In our Carcinosin
maybe pure virus would be better and the method of preparation may be important. Several serums have been
prepared for cancer in the past, other than homoeopathic ones.
DR. FOUBISTER said that he wishes to warn us about the new preparations as these were very potent and could cause
violent reaction, but in suitable cases worked very well indeed.
DR. AHMAD asked why we used the 30, 200 and 1m potencies in series.
DR. FOUBISTER replied that he thought this probably caused less aggravation than the single dose.
DR. CAMPBELL described a case of pernicious anaemia she had in 1945 and had treated with Carcinosin 200 m 3 doses
weekly together with Ars. Alb. and Ferr. Phos. 6x repeated. This patient had been unable to go out or do any work,
She was now well and able to undertake quite a lot. She had had no vitamin B12.
DR. RUNCIE said he was interested in the relationship of cancer to an inflammatory condition in order to get a result,
as there is a lack of inflammation in cancer? He quoted a case of a lady with ganglia on her wrist, one of which had
been cut, but it recurred. She was treated with Benz. acid for a long time and the other ganglia disappeared.
The one which had been cut remained. He discovered, however, a history of miscarriage and prescribed Pyrogen. The
ganglion eventually cleared up.
DR. FOUBISTER stated that an inflammatory state also occurs after using Iscador in cancer. He had used Carcinosin in
cases of ganglion.
DR. COOPER said he thought of Carcinosin if there was a history of syphilitic heredity and stated that he knew of a
certain island which had an epidemic of syphilis in 1870 and there was now much cancer, hypertension and mental
illness of depressive type. He wondered if Carcinosin and Lueticum might be closely related.
To which DR. FOUBISTER replied that he thought this was most likely, and these remedies were probably
complementary.
DR. DUTHIE said we were most fortunate in having heard Dr. Foubister as he had given us something that we could not
get else where. Burnett had originally introduced eleven Carcinosins. He had also found that Nat. mur, was a
complement to Carcinosin. He thought that Thuja woke up his patients. He had found Dr. Foubisters remarks on
modalities most interesting. He also stated that Clarke mentioned that milk should not be given and salt should be
eliminated from the diet of patients with cancer, as this seemed to stimulate tissue activity.
DR. STEWART remarked that he thought Carcinosin should not be used in actual cases of cancer. This was in keeping
with other nosodes. Burnett had found that Bacillinum was not much help in established cases of tuberculosis.
He then went on to the enjoyment of all by reciting.
Carcinosins The Ballad of Cars and Sins
Begins with car which makes you think of going away.
So travelling appeals to some of these poor souls.
The car begins with C which stands for caf au lait
Complexion as well as cutaneous moles.
He craves or cannot take at all
Egg, fruit, fat, and also salt.
C stands for consolation causing distress
And consummate correctness and fastidiousness.
Carcinosins last syllable starts with S
And sin makes you think of sleeplessness,
S stands for the spots on which they rest,
Elbows and knees which youve probably guessed,
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S stands for sea and sclerotics that are blue.


DR. GORDON ROSS said that he had now a much clearer idea of the Carcinosin type. He often used it in a new case in a
child in order to prepare the ground for other remedies. He had recently had three cases of bad hearts in children
in which he had used this remedy whose mothers were Nat. mur. cases.
DR. FOUBISTER said that he had found it valuable in rheumatic fever as many of these children have a caf au lait
appearance. He also thought it was necessary to repeat the remedy weekly in these cases. One might often start
with Carcinosin and then obtain a clear indication for other remedies. He thought that more than one remedy was
usually required in treatment.
DR. T.D. ROSS asked if he had any experience of its use in cases of worms, and DR. FOUBISTER replied that he had
used it sometimes but was not sure how it compared with Burnetts Scirrhinum.
DR. E. PATERSON said she thought Carcinosin was the end result of all miasms and this was why often Tub.,
Medorrhinum and Lueticum were all needed. Regarding Dr. Foubisters remarks that nosodes might be deep or
superficial, she thought they were always deep. She also wondered how soon one should repeat the Carcinosin. She
remembered a case of a baby with a skin which had been greatly irritated by a nosode and she felt this could not be
left without some kind of treatment while the aggravation was wearing off.
To this DR. FOUBISTER replied that when he mentioned superficial he meant e.g. using B. coli muabile for clearing up
the remains of urinary infection. He thought that Carcinosin could be repeated in the same way as other remedies.
Sometimes the mental symptoms of Puls. or Staph. may come out in children after Carcinosin and he wondered
whether he should prescribe the remedy or wait.
Regarding the skin irritation, he sometimes used hydrocortisone ointment etc. in these cases, because he felt that the
emotional upset of itch might well effect the action of the remedy.
DR. GUNN said she was rather afraid of Carcinosin but had used it very successfully in repeated dosage 3x for cases
of chronic mastitis.
DR. BOYD remarked that much stress had been placed on the appearance of these children, and he for one had not
come across very many with the typical caf au lait colour, moles and blue sclerotics, and he wondered whether
perhaps these were not as clear as one gathered from Dr. Foubisters paper.
He also queried Dr. Stewarts statement regarding the use of nosodes in acute disease, as he had successfully helped a
child with primary tuberculosis with three doses of Tub. bov. 12c which had brought down the fever and cleared up
the chest.
DR. STEWART replied that he had been quoting Burnett on use of Bacillinum in late cases.
DR. FOUBISTER said that the appearance might be fully or only partially in evidence. If it were present, at least I this
country it was a very suggestive pointer, but its partial or even complete absence, as in the case of other
characteristic symptoms, should not deter one from prescribing Carcinosin providing it was indicated on other
grounds such as family history, failure of related remedies though apparently well indicated, or indications for two
or more of the related -remedies without complete coverage by one.
The meeting finished with a vote of thanks to Dr. Foubister for his most interesting paper.
Postscript 1967
The indications for Carcinosin outlined above have been verified and further information has been obtained. The late
Dr. Douglas Ross considered Carcinosin to be essentially a psychotic remedy, which is understandable from its origin,
although it covers all miasms. Dr. Paschero and Dr. Shapiro independently found that Carcinosin can be added to the
list of homoeopathic medicines most generally indicated for adverse after-effects of vaccination. Fr. Paschero also
had the opportunity to administer Carcinosin preoperatively to patients undergoing plastic surgery, and found that
the incidence of keloid scars was greatly reduced.
Dr. Hui Bon Hoa who has had extensive experience with Carcinosin stressed its high value to patients unduly disturbed
by anticipation, and here again it can be added to the list of homoeopathic medicines suitable for complaints from
anticipation.
In slow recovery from any acute illness, miasmatic influences require consideration. Carcinosin has been found useful in
this sphere in general, when indicate, but especially in cases of whooping cough not responding to apparently
indicated remedies. Glandular fever may run a prolonged course, and it may not be easy to make accurate
homoeopathic prescriptions because the protean nature of the pathology makes it difficult or impossible to
distinguish between pathological and reactive symptoms. Some years ago a young woman presented herself for
treatment of sub-acute glandular fever. She was typically Carcinosin in her constitutional make-up, and the
superficial resemblance between groups of enlarged lymph glands in this disease and malignancy seemed to be an
additional indication. Administration of Carcinosin, and nine cases showed considerable improvement.
Another aspect of Carcinosin which was noted during the clinical proving was that when indicated, amelioration or cure
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might be obtained, or if a month or two were allowed to elapse after its administration, clear-cut indications for
Pulsatilla or other related medicines were sometimes thrown up. It is difficult to explain this other than by the
supposition that Carcinosin, when indicated, has the power to disentangle miasmatic influences.

Carcinosin
A clinical and pathogenetic study
By j. hui bon hoa, m.d. , d.f. hom.
Gibson Miller liked to say that if he were confined to the use of one single remedy he would choose Sepia. I am sure
that if this great homoeopath were alive today he would choose Carcinosinum which is the nosode, or should one
rather say, the sarcode, of cancer. Following the work of Dr. D.M. Foubister and Dr. W. Lees Templeton of the
Faculty of Homoeopathy of Great Britain, this remedy has come into current usage at the same level as Sepia,
Sulphur, Lycopodium, Phosphorus and other constitutional remedies, surpassing them all in the number of times it is
indicated.
The preparation used by Foubister and Templeton in clinical practice and in the elaboration of its pathogenesy is the
original preparation of Carcinosin. Its origin is unknown. It was brought over from the United States and was
probably prepared from an epithelioma of the breast. A number of different specimens obtained from the operating
theatre of the Royal London Homoeopathic Hospital are now available in potency. These Carcinosins were prepared
by A. Nelson and Co. Six of them are now in current use. They are:
Carcinoma adeno stom- from an epithelioma of the stomach
Carcinoma adeno vesica- from an epithelioma of the bladder
Carcinoma intest. co.-from an epitheliomata of the intestine and of the bladder
Carcinoma scir. mam.-from a scirrhus of the breast
Carcinoma squam. pulp.-from an epithelioma of the the lung
The original Carcinosin of source unknown remains the the one of choice because it alone has been the subject of
considerable clinical and pathogenetic study. According to Foubister, the newer Carcinosins are extremely powerful
and should be used with caution.
The time has now come to present to French-speaking homoeopaths a study of Carcinosin (modelled on the the familiar
style of Dr. Duprat). The facts are drawn from the work of Dr. D.M. Foubister who has described the general and
mental characteristics of the remedy and drawn the drug picture in an article in the July 1958 number of The
British Homoeopathic Journal which was translated into French by Dr. E. Schepens of Brussels, and from that of Dr.
W. Lees Templeton who published a fine pathogenesy of this remedy in the April 1954 number of the same Journal.

Table of individual characteristics


Typology
Physique
By reference to Foubisters list of related remedies and the classification of these remedies according to the
biochemical constitutions of Vannier and Bernard we shall see that Carcinosin belongs equally to the carbonic
(Sulphur, Lycopodium), phosphoric (Nat. mur., Ara. alb., Phos,) and sulphuric (of Bernard) (Sulphur, Nat. sulph.,
Psorinum, Nat. mur.) constitutions. None of the remedies described by Vannier as fluorique appear on Foubisters
list.
Facies
Caf au lait, pale complexion, with numerous moles and blue sclerotics (Foubister).
Psychology
Templetons provings show up a sort of cerebral torpor, mental inertia which is aggravated by a feeling of cephalic
constriction. The patient may even be apathetic and does not reply to questions. He is preoccupied, but annoyed by
this. Brain work is a trial to him. Foubister has drawn attention to the beneficent action of Carcinosin, resembling
that of Medorrhinum, in the treatment of mongols and sometimes other backward or mentally defective children. Dr.
J.H. Clarke wrote that Carcinosin was used in the treatment of psychotic patients with a tendency to suicide who
had a cancerous heredity.
The following mental symptoms drawn from numberous clinical observations mainly from the work of Foubister are very
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important. Homoeopathic prescribing is based on this type of symptom, in addition to those obtained from provings.
Fundamental fear-prolonged fear, and prolonged unhappiness.
Anticipation. This takes the form of worry, sometimes amounting to anguish, as for example the late arrival of a child,
husband, or wife, or the fear of young people that they may fail examinations. It is a frequent symptom of
Carcinosin which has been of great value in my work. The list of remedies showing anxiety of anticipation thus
becomes: Arg. Nit., Ars., Carbo. Veg., CARC., Gels., Lyc., Med., Plumb., Phos. ac., Sil., Thuja.
Attention to detail, exaggerated precision, fastidiousness, like ARS., Nux v., Anac., Graph.
Obstinacy, like the Tuberculins.
Strong sense of rhythm, love of dancing; a useful confirmatory symptom of both Sepia and Carcinosin.
Sensitive to music which sometimes makes him weep. Carc., Digitalis, GRAPH., Kreos., Kali nit., NAT. C., Nat. sul., Nux v.,
Thuja. Note that Nux and Carcinosin are the only two remedies of the materia medica with both have fastidiousness
and sensitivity to music. It is therefore useful to associate these two symptoms in our history taking, in the
interests of rapid prescribing.
Like Sepia again, Carcinosin likes watching a thunderstorm.
Like Phosphorus, it is very sympathetic to others.
Like Medorrhinum, it is very sensitive to reprimand, a sycotic symptom, a pointed out by Dr. Twentyman; found in the
section of generalities, rubric sycosis, of Kents Repertory.
Finally, I have noticed that Carcinosin often has bizarre tics; one of my patients constantly tapped his brothers skulls
with his fingertips; another used to gently bite the tips of childrens fingers, one after the other; he had not lost
this habit at the age of 40. Sometimes Carcinosin tears at the skin round the nails. Dr. Templeton points out that
blinking of the eyes, another common form of tic, suggests Carcinosin. It has all sorts of grimaces.
All these symptoms are peculiar to Carcinosin and thus of great importance and we are indebted to Foubister for
describing them.

Modalities and characteristic reactions


Aggravation and amelioration
Aggravation or amelioration from heat or cold, or else the patient is sensitive to both heat and cold.
Very characteristic is the influence of the sea air, whether aggravation or amelioration, as in Medorrhinum and Nat.
mur. Medorrhinum is characteristically better for sea air, very occasionally it has a seaside aggravation, whilst Nat.
mur. has roughly 50% amelioration of aggravation. There may be aggravation on the Atlantic coast, amelioration on
the Mediterranean coast, or vice versa. (The English equivalent, according to Foubister, is amelioration on the East
coast and aggravation on the West coast, or vice versa.)
Worse for undressing (cough, skin), as in Rumex.
Worse talking or laughing (cough), as in Phos.
Better after a short sleep
Causalities
A family history of cancer, diabetes, tuberculosis, pernicious anaemia, or a combination of these diseases more strongly
represented than in an average family history (Foubister); hereditary syphilis (Cooper); a past history of whooping
cough or other acute fevers at an early age.
Sensations
Beating, throbbing (Templeton)
Secretions
Acrid and thick
Desires and aversions (food)
Desire or aversion for salt, milk, eggs, fat, fruit.
Sometimes there is a desire in a child for one of these foods at one time, followed by aversion for the same food at
another.
Alternation
Alternation of symptoms from one side of the body to the other as in Lac caninum and Sepia.
Periodicity
Afternoon, 1-6 p.m.
Concomitance
Numerous pigmented naevi, in particular, moles. Other remedies associated with pigmented naevi are: Calc., Carb. V.,
Graph., Nitric ac., Petroleum, Phos. acid, PULS., Silicea, Sulphur, Sulph. ac., Tarentula, Thuja. Blue sclerotics, blinking
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of the eyes.
Sleep
Sleep disturbed. Difficulty in falling asleep, restless sleep; awakened by shudders; exciting dreams; over-active ideas
(Coffea);lies awake most of the night; insomnia in general (Foubister).
Position during sleep
The child may sleep in the genu-pectoral position (position of Mohammedan prayer) as with Medorrhinum. Foubisters
list of remedies associated with this position is as follows: Carcinosin, Calc. phos., Lycopodium, Medorrhinum, Phos.,
Sepia, Tuberculinum.
Dorsal position: with arms raised above the head (Puls.)

Guiding symptoms (w.l. templeton)


Head
Throbbing headache. Pulsating, deep-seated, rightsided, suborbital headache (Tub.). Feeling of constriction of the
brain.
Eyes
Twitching lids
Ear, nose and throat
Sensation as of a lump. Palatal pain, aggravated by hot drinks, ameliorated by cold; worse morning and evening (Lach.).
(This localisation to the palate is unusual and therefore of great importance, according to Templeton.)
Mouth
Tender gums, dental pain, ulceration
Chest
Cough; stomach cough (Bry.) provoked by tickling the substernal region. Aggravated by heat, in a warm room, or by cold
air (Rumex) by laughing or talking (Phos., Rumex) from changing clothes (Rumex) from yawning (Nat. sulph.)
Cardiovascular system
Violent cardiac palpitation heard and felt by the patient (Spiegelia). Feeling of constriction of the heart. Oppression of
the chest, with the desire to take a deep breath (Ignatia).
Digestive system
Feeling of tightness, pain better for pressure or for bending, or for hot drinks (Mag. Phos.).Constipation without desire
(Opium). Stools hard and dry.
Back and limbs
Muscular twitchings in thighs, arms and back. Pain, weakness, fatigue and swelling of the thighs, better after a short
sleep (marked symptoms). Pain in the legs, better for heat, or for gentle movement (Puls.), aggravated by rapid
movement.
Skin
Acneiform eruption of the face. Rash between the shoulder-blades, worse for undressing (see cough).

Clinical indications
Mental retardation
Arthritis
Asthma
Headache
Mental confusion
Constipation
Neuro-vegetative dystonias
Ocular fatigue
Flatulence
Grimacing
Sexual impotence
Insomnia
Hepatic insufficiency
Masturbation
Migraine
Mongolism
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44

Styes
Cardiac palpitation
Facial palsy
Intestinal parasitosis
Sacral pain
Sciatica
Tics
Cough
Ulceration of mucous membranes
On the subject of whether Carcinosin is indicated in cases of cancer Dr. Foubister writes: It must be noted that it is
not without danger to give Carcinosin to cancer suspects. It has often been used in the treatment of cancer. In an
article published in the Homoeopathic Recorder, Carcinosin is claimed to relieve the pain of breast cancer; but there
are no records of cases of cancer treated by Carcinosin alone, and it is doubtful whether it is of much value in the
disease. Foubisters paper, however, deals with Carcinosin as a constitutional remedy and he says: It seems that
the further away you are from cancer, the more valuable it is as a constitutional remedy.

Essential features for the prescription of carcinosin


Dr. Foubister gives the following indications for the prescription of Carcinosin:
1. A family history of a tendency to cancer, diabetes, tuberculosis, pernicious anaemia, or a combination of these, a
personal history of whooping cough or other severe acute infection at an early age.
2. Marked aggravation or improvement at the seaside.
3. Appetite: desire or aversion for salt, milk, eggs, fat, fruit.
4. Genu-pectoral position during sleep.
5. Associated remedies: the patient is partially covered by two or more of these remedies; or else apparently clearly
indicated related remedies do not work, or have a very short action.
6. The appearance of the patient: moles, blue sclerotics or pale caf-au-lait complexion.
One or more of the above conditions must be present.

Related and complementary remedies


Tuberculins, Medorrhinum, Sepia, Syphilinum, Nat. mur., Calc. phos., Dys. ca., Lycopodium, Phosphorus, Psorinum, Ars.
alb., Ars. iod., Pulsatilla, Sulphur, Nat. sulph., Opium, Alumina, Staphysagria, Nux vomica, Dioscoria (Foubister).
Associated bowel nosodes: No growth, Cocci, Yeasts (W.L. Templeton and J. Paterson).
Auto-isotherapy
Some patients who had responded to Carcinosin but whose improvement only lasted for a short time have derived
benefit from auto-isopathy. I give a single dose of Pharyngeal Mucus 30CH.

Potencies
The following potencies are available
Co., Ltd.:
C. adeno stom.
G
C. adeno vesica
6
C. intest. co.
6
C. scir. mam.
6
C. squam. pulm.
6
Old Carcinosin
(on which this paper is based)

from A. Nelson and


12
12
12
12
12

30
30
30
30
30

200

1M

200
200
30

200

1M

Clinical cases
Case I
Copyright 2000, Archibel S.A.

10M

50M

CM

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45

(Dr. Hui Bon Hoa)


th
This case was presented to the meeting of the Socit de Mdecine Homoeopathique dAquitaine on 11 March 1962.
Mme. F., aged 78, sent by her doctor in September 1961 on account of jaundice which, in view of the patients age, gave
cause to suspect a neoplasm.
History of present condition
The illness began with mild fatigue which became rapidly worse, curtailing all physical activity, so that the patient,
without being senile, found herself consigned to enforced rest, moving from chair to chair without being able to
undertake any useful work whatever. Moreover, she developed angina of effort. It was then that she asked her
doctor to obtain another opinion.
Past history revealed the following:
A severe attack of Spanish flu in 1917. She was expected to die, but recovered after a struggle.
Hypertension, 230/110, for which she was given Sarpagnan which upset her, followed by Anaprel which she tolerated
better.
Her husband died of a growth of the colon. A grandmother also died of cancer.
On examination She was tired; she had an obvious caf-au-lait complexion, but no jaundice. Liver and spleen were not
enlarged. The stools were of normal colour, the urine normal and clear. Auscultation revealed extra systoles. Chest
sounds normal. Reflexes normal. No lymphadenopathy.
Laboratory investigations
These showed a slight rise in the serum albumin and a right branch bundle block. Also diverticulous colon. Otherwise
normal.
Individual characteristics
Typical Carcinosin appearance; caf-au-lait complexion; enormous pigmented naevus of the forehead; multiple naevi; blue
sclerotics. Feels the heat.
Meticulous and fastidious.
Anticipatory anxiety.
Conclusion
An asthenic patient, whose typical Carcinosin. Skin had given rise to an impression of icterus. Precancerous condition. A
typical Carcinosin from both the morphological and psychological points of view.
Treatment: Carcinosin 200 one dose.
th
Results: Marked improvement from the 7 day of treatment. The asthenia and precordial pain disappeared and the
patient resumed her normal activity. There was no aggravation.
rd
On 23 February 1962 this patient was still well. Her appearance was unchanged. B.P. 190/100. No medicine.

Case II
Mme B., aged 42, governess, had suffered for eight days from pain in the right buttock, of moderate severity, which
prevented her from sleeping.
Modalities
Worse for stumbling
Worse for sitting in one position for long
Worse lying down
Better standing
On examination
Lasegues sign
A fibrous band, two centimetres long, and as thick as a pencil, was present on the right border of the sacrum, and gave
rise to pain which radiated to the anal fold.
Blue sclerotics
A few moles
Carcinosin 200 CH, 1 dose.
The pain had distinctly improved the day after the administration of the remedy, and had completely disappeared by
the following day. At the same time, the patient experienced a general sense of well-being, great euphoria, and
increased vitality. There was no aggravation.
Other symptoms were as follows:
Sensitive to heat
Desire for sweets
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46

Desire for strongly seasoned food


Sensitive to music
Sensitive to noise
Sensitive to reprimand
Cutaneous hyperaesthesia
Anticipatory anxiety
Past history
Childish ailments
Serious croup at 5
Chronic leucorrhoea as a small girl
Her father and two of his brothers died of cancer
No tuberculosis in the family.

Case III
Mme B., aged 38, no profession, suffered from asthma. The attacks came every evening at bedtime, never during the
day.
They were not very severe, but wheezing forced her to get up. They responded to theophyline suppositories. Her
asthma was ameliorated by liver extracts, aggravated after such food as fried food, port and shellfish.
Past history
Infantile asthma till puberty (at 12 years) and again from age 30 until the present.
Whooping cough. Possibly initiated the disease.
Heredity. Maternal grandmother died of cancer.
Collateral relatives. A first cousin and a nephew asthmatic.
On examination
Respiration completely normal (attacks only occur at night), but considerable abdominal meteorism. Liver not enlarged
or tender. The lower limbs were very thin by comparison with the average corpulence of her body. Multiple large
moles.
No other findings. Cholesterol 1.30 g.
She had had extensive homoeopathic treatment in another town. One frequently meets with a case such as this, where
Pertussin, Carbo. Veg., Nux vomica and Streptococcin and other remedies have been prescribed with good results.
The following mental and general symptoms were also present:
Worse for heat
Better in open air
Worse for wind
Worse at new moon
Not affected by storms or the seaside
Hunger easily satisfied
Desire for sugar
Desire for hot drinks
Dislikes fat
Irregular, restless sleep
Nervous and distract, easily gets angry when contradicted
Afraid of having cancer like her mother
Tidy, but not excessively so

Copyright 2000, Archibel S.A.