CASES

Baryta carbonica v2

Woman, 50 years old

 This is a case of malignant hypertension, the wife of a very important man, a tax inspector.

 If you have troubles with taxes they might kill you.

 Therefore first you have to treat these people before they come to you to inspect the books.

 The husband of this wife is the director of all the tax inspectors, but he didn't come for his own health problems, but because of his wife, which lead me to a nightmare.

 She came with an obstructed nose and things like that, so first I gave her Calcarea carbonica and then Lycopodium.

 She was doing relatively good, until she developed high blood pressure which became worse gradually, so that one day she had blood pressure of 220/120 mmHg and got a headache.

 At that time I had to find the remedy, if I didn't she would rather die.

 She never told me her past history before, we will hear it now.

 Maybe you think I could have given her Melilotus or Glonoin or things like that.

 All right, you could do, but surely it is only a symptomatic prescription.

 In such a long standing blood pressure which is going up gradually you have to find the constitutional remedy.

 There are no remedies only for hypertension; you have to find the remedy for the person who has this high blood pressure.

  A : First an introduction to show how difficult it is to tell the story.

 - I saw you the first time on October 1984.

 - Your problem was hay fever since the age of 20, with a complete obstructed nose.

 - You took a medicine for the nose obstruction and besides a remedy for high blood pressure.

 - You already had high blood pressure at that time.

 - Now let's look at your eyes.

 - Do you see these typical Lycopodium eyes?

 - There is a wrinkle in the upper lid, you see this in Lycopodium.

 - A : Here we see little hardenings, little tumors which are called xanthelasmas (Xanthelasma (or xanthelasma palpebrarum) is a sharply demarcated yellowish deposit of fat underneath the skin, usually on or around the eyelids ).

 - You can consider this as an expression of an arteriosclerotic process.

 - They have a colour - yes - how could you describe this colour - so a yellow, orange colour.

 - It goes in the direction of a yolk, maybe not so dark, but in this direction.

 - It is a very remarkable, bodily symptom, a kind of arteriosclerosis.

 - Another important symptom are the xanthelasmas.

 - What are xanthelasmas?

 - Fat.

 - And how can you express this in the language of the Repertory?

 - Answer : "Tomors, atheroma."

 - A : Yes, it is an atheroma.

 - Look in the Repertory under "tumors, atheroma."

 

 - And what can you find in the blood of these people?

 - An increased cholesterol, and this is an expression of sclerosis.

 - A diet without fat and so on with an increased cholesterol you can forget, it doesn't help anything, unless somebody really eats excessive fat things.

 - Then the cholesterol can increase, but when it is a family trait, you will not cure it, unless you give the right homoeopathic remedy.

 If you see these xanthelasmas in somebody the first remedy you have to think of is Baryta carbonica.

 - You find these atheroma also in the blood vessels, they cause obstructions of the blood vessels.

 - Question : "Where did you find 'atheroma'?"

 - A : In the generalities, "tumors, atheroma" on page 1409.

 GENERALITIES, TUMOR, atheroma : Bar-c.

 - A : In the past history you had an obstructed nose and the high blood pressure which I paid too little attention at that moment.

 - At that time you were easily cold, had cold hands and feet and quite a lot of anxieties, which you mentioned at the beginning of the treatment.

 - Here I also wrote down : 'My whole life I have been anxious."

 - But then I was too stupid to see it, and therefore I gave you a remedy which didn't help you so much.

 - You were easily weeping.

 Which remedy did I give her? Cold hands, cold feet, fear of high places, fear of narrow places? The remedy with many anxieties? Calcarea carbonica.

 - But here you might recognize a competitor of Calcarea carbonica, a competitor also concerning the frequency of prescription, at least in Belgium.

 - I don't know, maybe we are a little bit backward in development, but in fact I don't believe it.

 - We have to prescribe Baryta carbonica nearly as much as Calcarea carbonica, only we didn't know it up to now.

 - A : At that time you had claustrophobia, you had a fear in a narrow place.

 - Later we will talk about it.

 - You like to sit in the neighbourhood of the door to get out quickly.

 - P : Yes, but in fact this was when I was between many people.

 - I don't have this complaint in an empty church.

 - Then you give Argentum nitricum, but the patient is chilly.

 - You say that you don't mind that Argentum nitricum normally is warm-blooded and you give this remedy, but nothing changes.

 - A : But when you sit where there are many people, you prefer to sit in the neighbourhood of the door so that you can get out quickly.

 - At that time you said that you did it out of caution.

 - Just in case there is a fire, just in case something will happen, you get out quickly.

 - But the anxiety that something might happen was also the reason for your behaviour.

 - Do you understand what it means to prescribe horizontally, to repertorize horizontally? Do you understand what damage a computer can do? The computer tempts you to find the remedy by horizontal repertorization and makes you forget that you and the patient are human beings.

 - Try to understand the patient as a human being : "Tell me your history; tell me how it happened, tell me the stories of your life.

 - " Be careful of becoming a Bufo doctor, don't play too much with the computer.

 - A : You were also afraid of insects.

 - P : Yes, this was also the case.

 - A : Afraid of DDT and these kind of things.

 - Fear of contamination, fear of poisoning, this is again Arsenicum album.

 - A : There was a kind of poisoning delusion.

 - Maybe this is a strong word, but you always had to wash your hands when you touched something.

 - For example, when you have been in the garden or when you have been in the hospital to visit somebody, then afterwards you washed your hands.

 - HP : When I sprayed the vegetables I was afraid there was still some at my hands.

 - If you insert this In the computer Syphilinum, Psorinum, Sulphur and Arsenicum will come out.

 - And why?

 - A : It was an anxiety to dirty oneself, to get infected, to get inflamed.

 - Was this also an anxiety for diseases?

 - P : Yes, maybe it has something to do with it.

 - I can't say it exactly.

 - A : How is it now when you visit people in the hospital?

 - P : Yes, I'm still afraid, I have the feeling of getting it myself.

 - A : Anxiety for mice?

 - HP : Yes, then she really jumps on the table.

 - A : Afraid of big dogs?

 - P : Yes, it is a little bit better, since we have a big dog ourselves.

 - A : Afraid of a thunderstorm?

 - P : Yes, in fact I was afraid of everything, but especially of a thunderstorm.

 - A : "I'm afraid of everything", as you told me at that time.

 - "I'm very sensitive to what other people think of me.

 - It is very important for me what other people think, what kind of impression they have about me."

 - A Calcarea symptom.

 - A : Concerning your appetite, you like eggs, but you can't digest them.

 - You also like chocolate.

 - You can't bear the sun so well, but now it is a little bit better.

 - You have grey hair.

 - It began when you were about 30 years old.

 - P : Yes, it was about that time.

 - A : This means that it started rather early.

 - I also wrote down that your nails easily break off, and according to me you have Lycopodium eyes, the typical corner in the eye-lids.

 - Concerning the stool the first part of the stool was hard.

 - Then you told me, "I'm very insecure.

 - I can't act independently."

 - As homoeopathic diagnosis I wrote down : differential diagnosis Lycopodium/Calcarea and I decided to give Calcarea carbonica because of the anxieties.

 - Afterwards you felt a little misery, then there was a kind of amelioration.

 - Then you also told me that you had psoriasis.

 - How is it now? Do you still have it?

 - P : No, it went away, but now I have the feeling as if it is coming back on my head.

 - But before it had disappeared completely.

 - A : You came back on December 24,1984 and told me that you felt tired the first day after the remedy.

 - Then you had a cold again, after three weeks the same.

 - The last weeks a little bit better, but there was not a clear amelioration.

 - Then I underlined : likes sweets very much.

 - "I have quite a lot of problems with flatulence," you also told me.

 - Anticipating fear when you had to do something; then you got excited beforehand.

 - P : Yes., I don't like it so much.

 - A : Since two days you have had difficulties with the right knee.

 - I had reason enough to give you Lycopodium; also because it is complementary to Calcarea.

 - Then it went on like this, you suffered from this and that.

 - Now and then the flatulence was a little bit better.

 - The complaints in the right knee went up and down.

 - Sometimes you had flushes of heat, sometimes heart beat.

 - The heart beating was worse when you were lying on the left side.

 - Then you had to turn over to the right side.

 - You also couldn't tolerate tight clothes at the neck.

 - This indicated Lachesis, which you also got.

 - The obstruction of the nose was a little bit better in the meantime.

 - Then you got a kind of numbness again, a tingling, like a sleepy feeling in the hands.

 - Then the history again.

 - You got Lycopodium again, then Calcarea, once Pulsatilla.

 - In the meantime the blood pressure went up.

 - Now, I'm talking about December 22, 1986 where I underlined the remedy, but I didn't understand the case yet.

 - The blood pressure went up gradually, until 2201110 mmHg, with headache, a very critical situation.

 - You are one of the persons whom I have to be very careful with.

 - You work as director of the department at the tax inspection.

 - Did you always do this kind of job?

 - HP : Yes, since 1958 I work at the tax administration.

 - A : This means that you are a person who can't be at home on time, because you have to control here and there, and sometimes it is a little bit later.

 - HP : Yes, but it is not necessary because of the control.

 - When I have the opportunity now and then to sit together with my friends, to drink a beer I take the chance.

 - Lately it happens more than before.

 - In fact, I always liked this, but before she never got excited about it or became restless.

 - She was never angry, but lately she gets more and more excited about it.

 - She really became angry, when I didn't come home; not immediately when I come home, but the next day.

 - A : I think that the anger was not the most important thing, but that she nearly died for fear, because she was so restless.

 - HP : Yes, she was really anxious something might happen home, but in fact there was never a reason for it.

 - A : But you weren't far away from home?

 - HP : No, in fact there was no reason for it.

 - Once they brought me to the hospital because I drove into a ditch.

 - Maybe I drank too much and in the morning I woke up in the hospital.

 - But this is already 12 years ago.

 - P : 11 years.

 - A : Up to the beginning of these enormous anxieties 11 years have passed.

 - This can't be a real reason for the fact that the anxieties became stronger.

 - It was completely clear to us that the anxiety appeared when the husband stayed away too long, because something might have happened to him.

 - HP : It was really an anxiety that something could have happened to me.

 - A : You also had this anxiety concerning your daughters.

 - You have three daughters.

 - HP : Four women in the house, so it is not amazing a man has the desire to go to drink a beer.

 - A : Also when the daughters come home too late...

 - P : Yes., When I wake up at night and they aren't home yet, I become restless, I worry.

 - You know, I can't sleep anymore.

 - I can't find any peace.

 - In fact, that is the problem.

 - If I could sleep and wouldn't mind at all it would be different.

 - A : How is it exactly?

 - You go to bed and what happens?

 - P : Yes, then I start thinking and doubting, "Did I switch off the iron?" It really happened that I sent my husband to look for it.

 - When I get up myself afterwards I still doubt whether I really switched it off.

 - I prefer to send my husband to look and then I also believe him.

 - There are people who get up two, three times to see whether the door is closed.

 - That's the way I am.

 - I start doubting and it might happen, that I go back, sometimes twice to control.

 - A : There appears a Causticum symptom.

 - This anxiety to forget something or the anxiety something might happen.

 - It was also with the electricity.

 - For example, I wrote down, "If there is a thunderstorm..." - what do you do then?

 - P : I disconnect the plugs from the power socket.

 - Everything which is connected, if it is really....

 - HP : That's my idea.

 - The television and all the other plugs have to be disconnected from the power socket.

 - It might happen that a lightening strikes somewhere and I have the tendency to avoid beforehand what you can avoid.

 - A : How do you tolerate wind?

 - P : I can't tolerate it.

 - A : For example, this is again a Thuja symptom.

 - I notice, "I never learned to drive a car, I tried it once..."

 - P : But I stopped learning it because of an anxiety.

 - Then I was younger.

 - In Belgium you might learn to drive a car privately and my husband taught me how to drive a car, I tried, I went against the anxiety, I tried it...

 - A : Then you tried to enforce your independence.

 - You told your wife, "Try it yourself."

 - You always wanted to give her some responsibility.

 - HP : Yes, I really had to force her to fill in the remittances of the bank and beg her that she is also entitled to sign documents.

 - She wouldn't do it by herself.

 - But I thought if something happens to me then she had to have access to the bank account and have the power to sign documents.

 - A : Here it also says that you had a loss of urine when you were laughing very much.

 - Maybe I've torn to get this symptom out.

 - Here you could also give Causticum : the feeling as if you've forgotten something, loss of urine while coughing, sympathetic, and then the question : "Are you sensitive to injustice?" "Yes, Sir doctor, I can't tolerate injustice."

 - All right, this is also Causticum - forget it.

 - A : Then you also told me : "I can't see anybody weeping."

 - P : Yes, that's right.

 - A : You sympathize with other people.

 - P : I can't see anybody weeping, because I start weeping myself.

 - It depends on the situation.

 - A : What about funerals?

 - P : Usually I can withhold myself, but this is also different.

 - HP : She starts weeping when she sees a tragic film.

 - P : Yes, because I sympathize so much.

 - A : So you can say that she is sympathetic, that she sympathizes with other people.

 - HP : Yes, she is very worried about her brothers and sisters.

 - When they are in trouble she has to go there and see what is wrong, whether everything is all right.

 - She is really worried about these people.

 - A : Good elements for Causticum.

 - Sympathetic, loss of urine while coughing.

 - Then you didn't have problems with hoarseness, it was not a particular symptom.

 - Then there was a period in your life where you had to move.

 - Now you live in a village.

 - Are you born there?

 - P : Yes.

 - A : But because of the work of your husband you moved to X.

 - Tell me about this period, about this time.

 - You had problems with her, didn't you? You were unhappy, weren't you?

 - Tell me.

 - HP : After we married we moved to X.

 - First I picked out the house myself and when I showed her the first time she started crying.

 - We moved and have lived there for three years, but finally we had to move again because she had so many social problems.

 - Besides she had a very bad delivery.

 - A : How long did she have to lie in bed? It was still quite along time afterwards, wasn't it?

 - Do you know which remedy has breast cancer from homesickness ?

 - Carbo animalis.

 - HP : There were no neighbours to give advice.

 - When I came home in the evening she was sitting there and was crying.

 - I went to a doctor and the doctor told me the following, "You should be careful, you have to move back to the region from where your wife comes, then the homesickness will go away."

 - P : At that time I also got high blood pressure.

 - It already occurred during the pregnancy, when we were still living there.

 - I think the high blood pressure played an important role because I was afraid it might increase and where will it stop.

 - A : You also experienced that everything became worse when you were thinking about your problems.

 - P : Yes, and also the headache which I had with it.

 - Always headache, it was because of the blood pressure, but finally this headache didn't go away anymore.

 - A : .

 - Arid then you felt it reach a peak and in fact you were anxious that it...

 - HP : She always said to me, "be careful, one of these days it will happen."

 - It was always a feeling as if the head was bursting every minute.

 - A : But you don't have any problems with it anymore?

 - P : No, now it is over.

 - A : We can say that I was really anxious something might happen at the moment you came here.

 - I decided not to tell you how high the blood pressure was for fear you would worry more, become more restless.

 - You also told me then, "Dammed, I'm so dependent on my husband."

 - HP : Yes, that's right.

 - She can't do anything herself, she can't decide without asking me.

 - It might happen with completely unimportant things.

 - When I can't go with her, at least one of the daughters has to go with her, because she really can't make any decisions.

 - Even not when it deals with colours, or about particular things which you don't buy every day; she can't decide at all.

 - A : This irresolution, dependency is one thing.

 - Then you also told me : "I can't remember things."

 - P : This has become really a problem.

 - Yes, gradually it became worse.

 - Indeed, I never had a good memory, but at the moment it is really had.

 - A : Finally, we also found out that your tonsils have been removed when you were 10 years old.

 - P : Yes, it was at that period.

 - A : Do you still remember?

 - P : Yes, I was very, very ill.

 - I had to vomit quite a lot of blood.

 - A : At the age of 10 you have been operated on for polyps.

 - As a last thing here it says : you take many unimportant trivialities to heart, you are worried about things about which you don't have to worry at all.

 - HP : For example, when I say, "Shouldn't we tell Hilde, that she might forget to do it."

 - In fact, she is afraid before something happens.

 - A : Does she really think about it?

 - HP : Yes, then I say to her, "Yes, child, when she doesn't think about it..."

 - Sometimes she comes with the most unimportant things, she is doubting whether she will do that and she is asking me and in fact she finds it ridiculous herself.

 - It is more to ask me : What do you think of it? Not because I would take it away from her, but because she is doubting herself.

 - "Yes, what do you think yourself?" Essentially, this is the expression of the fact to give the decision to somebody else.

 - A : Maybe I have to tell that you also had an eczema when you were little.

 - P : Yes, I had eczema on the whole body when I was young.

 - I don't know it at all, but they told me.

 - Then they had to bind my hands together.

 - A : Wait.

 - You had eczema everywhere as a child.

 - In children with eczema who scratch until it is bleeding you may not forget Baryta carbonica.

 - The remedy is in the rubric "scratching until bleeding", together with Medorrhinum.

 - P : Yes, a small child scratches everywhere.

 - You have to wrap up the hands.

 - A : It was typical that you were scratching until bleeding.

 - All right, I gave you the remedy on May 16 and I saw you again on June 19.

 - That was the first time that you noticed a clear amelioration.

 - For the first time we could say it was really better.

 - You reacted less emotionally when your husband was away to drink a beer, your nose obstruction was better, your blood pressure went down to 150 to 90.

 - It was really very good, wasn't it?

 - P : Yes, it was really better.

 - A : Now we will measure the blood pressure.

 - HP : Yesterday I came home late, about a quarter after 1 : 00 a.m. , and I didn't notice any restlessness.

 - P : Yes, but in the meantime he called two or three times.

 - HP : She told me, "Just call me when you come home later."

 - I called her at half past 9, and she said when you will be home later you just call me.

 - I called her at half past 12 : 00 again.

 - A : Wonderful, the blood pressure is 150 to 85.

 - This is out of the dangerous region.

 - Are you excited at the moment?

 - P : No, in fact I'm not excited.

 - A : I gave you the right remedy, I'm completely quiet.

 - If you have problems we know what you need.

 

Second case V2

 

 - Now I know what it means what you had at that time.

 - In the meantime she is cured and she doesn't come anymore.

 - Now I try to cure her husband, who is not so ill.

 - I had another case, one of my most beautiful cases, and it was my aunt.

 - She had an obstruction of the ., iliaca communis and was operated on.

 - A piece of the artery was replaced.

 - This happened 12, 13, maybe 15 years ago.

 - She was smoking and the doctor forbade her, but nevertheless she went on smoking.

 - At that time I didn't treat her, because I didn't want to treat any member of the family, another doctor had to do it.

 - When she came in the Centre I sent her to another colleague who gave her Calcarea, but nothing happened.

 - She had pain in the back, headache and could only walk 100m with difficulties.

 - This was the Claudicatio.

 - She was working as a cleaning woman in a big house and when she was carrying the bucket she had to put it down and rest for a while.

 - When she was riding on a bicycle and it was going a little bit upward she had to get off the bicycle.

 - Besides she also had very strong back pain.

 - After Calcarea nothing changed about the complaints, and then the colleague gave her Lachesis.

 - Also this didn't do anything and after 1 1/2 years she came to me and wanted to be treated by me.

 - I didn't want it, but after my mother called me and begged me I did it.

 - Then she came and I asked her to tell me everything.

 - I knew already quite a lot, but the way she was telling I saw, "This must be Baryta carbonica!"

 - Before when I was a small boy she taught me the days of the week and I remember that I was lying with her in bed as a boy of 7 years old and she taught me the days of the week and the month and I prayed with her.

 - I remember that it was very important for her what the other people thought about her.

 - This was a very important thing in her life.

 - Second, her husband was a coalminer and he liked to drink a pint of beer.

 - He hit her often, she suffered very much from him, but she stayed with him.

 - This means that she must be a very passive person - passive not concerning the work, but in the sense of dependency.

 - When I considered this history it became clear to me that it had to be Baryta carbonica.

 - Indeed, I didn't have real facts upon which I could prescribe Baryta carbonica, but the personality was clear to me.

 - I asked her some more and some mental key-notes of Baryta carbonica appeared, so that I gave it to her.

 - At that time I thought in fact it is a case for the surgery, that she had to be operated on again, but some months later, after Baryta carbonica 10M it is not a problem anymore.

 - She is walking, she is working, she is riding with the bicycle and she smokes less.

 - She says that everything is better because she is smoking less, but before she was not able to smoke less.

 - Now she smokes only 7 or 8 cigarettes a day, before it would be impossible.

 - This is really a miracle.

 - Baryta carbonica is a very important remedy in sclerotic process, together with this personality.

 - In women who are beaten by their husbands and nevertheless stay with them, first you think of Staphisagria - no, the first remedy is Baryta carbonica.

 - "What would other people think, when I leave my husband?"

 - In the meantime I discovered the same thing in my mother.

 - She always had swollen tonsils and as a child diphtheria (serious bacterial infection usually affecting the mucous membranes of your nose and throat ).

 - My stepfather hit her always which made me so angry that I could kill him sometimes.

 - When I was 19 years old I told her that we had to leave this man, but she never could.

 - Then I never understood why she couldn't go away from him, but now I understand: it is Baryta carbonica.

 - Question : "..."(not understandable)

 - A : No., My aunt is now about 57 years old and her husband lost an eye in the coal-mine and that's why he is retired early.

 - Now he is at home and has become much more quiet, therefore they don't fight so much anymore.

 - But the whole time before she suffered very much from him and she could never decide.

 - The same happened to my mother.

 - I stood with her before the door of the lawyer and she was sighing.

 - I told her that I would take the responsibility for her for the rest of her life, when she leaves this man and comes with me.

 - I was making plans, to build a house, because I couldn't allow him to go on hitting my mother.

 - She said, 'Yes, yes, I come with you.

 - " "Good, then we go inside.

 - "She started to sigh and to cry and didn't come with me.

 - This is terrible, it is Baryta carbonica, they can't make decisions, they can't take responsibility.

 - But the reactions to the remedy are wonderful, I could hardly believe the result of the Claudicatio of my aunt.

 - I don't know whether this symptom is in the Repertory, for example, in "extremities, pain, leg, calf, walking" on page 1077 or something.

 

EXTREMETIES, pain, leg, calf, walking : Alum., anac., ars., arund., Calc., caps., carb-an., gymn., ign., iris., jatr., lyc., mur-ac., nux-v., onos., puls., spig., sulph., verat-v., zinc.

 

 - In the rubric "pain, leg, calf, walking" Calcarea is capital, but Baryta carbonica is not there, although it is a pathognomonic symptom of Baryta carbonica.

 - Remark : "But It is there."

 - A : Yes, is it really?

 - Remark : "Pain, calf, what does in English mean 'lower leg'? In the German Repertory it is in the rubric 'lower leg'.

 - (Further there is discussion whether it should be calf, lower leg, or ankle.)

 - A : The typical Claudicatio pain is constricting pain in the calf, maybe also cramping pain.

 - Remark : "Tearing pains."

 - A : Yes, maybe also tearing, but the patients with Claudicatio describe their pains usually as cramping, constricting.

 - If you look under "extremities, cramps, calf, walking on" on page 976 Baryta carbonica is not there.

 - Remark : "But it is in the rubric 'cramps, calf."

 - A : Yes, but how big is this rubric! And Baryta carbonica is there only one.

 - The pain occurs only when they are exerting themselves.

 - "Cramps, calf, with exertion", this rubric doesn't exist.

 - Anyhow, don't forget Baryta carbonica in Claudicatio intermittens if the personality fits.

 - Question : "Can you explain the difference of depression under which Staphisagria suffers?"

 - A : Normally, Baryta carbonica doesn't get annoyed at all.

 - Staphisagria are very proud people, and when they are suppressed or hit by somebody there is an internal anger.

 - They don't show this anger, it remains inside, and then they develop cancer or it comes to well-known outbursts, where they hit with objects and things like that.

 - This is a really hysterical way of reacting of Staphisagria.

 - In general it is a completely different personality, they are proud women, these Staphisagria women, also the Staphisagria men.

 - They are very sensible, very easily touched, but at the same time proud and internally they can become really mad.

 - They suppress this and therefore they get cancer and things like that.

 - Question : "You said that the Baryta family behaves very neat in church and visits it regularly.

 - Is this the same in Kali carbonicum?"

 - A : Kali carbonicum is not so dependent on others, he has to go to church because it is his duty, but he can go alone.

 - Baryta carbonica always has to go with the whole family.

 - This is something different.

 - There is another important remedy which express it this way : "Even if my house is burning I will always go to church on Sunday.

 My children have to do what I tell them to do, they have to go with us to church as long as they are at home.

When they are married, they can do what they want."

 - A patient told me this exactly.

 - He had complaints after injury of the spinal column and in the meantime he is cured.

 - In which rubric can we find this?

 - Answer : "Religious fanatism."

 - Answer : "Thuja."

 - A : Yes, Thuja.

 - They express it exactly like this patient.

 - Question : "Did you add Kali?"

 - A : No, Kali carbonicum goes in the church, because it is his duty, not because he is a religious fanatic.

 - This is only the case in Thuja.

 - Thuja is also inflexible, but with the Kalis the duty is the most important thing, in everything they do the duty comes in first place.

 - This is not the case in Thuja.

 

CASE3 v2

- Man, 54 years old

 - This patient is an engineer, this means he is a very intelligent man and he comes with anxieties and depressions.

 - He works in a centre for atomic energy and there he is one of the most important engineers.

 - P : I get easily excited.

 - I can't go outside anymore.

 - At the beginning I was so afraid that I couldn't go to the Centre or to work.

 - A : How did it appear?

 - P : I don't know.

 - It happened in November one year ago.

 - On the 19 or so.

 - A : That you had a heart infarct?

 - P : Yes, but I already had it before.

 - I think I might get it from excitement.

 - Lately, in May, about four months ago, at the Centre's request I had to go for an examination, because I work at the department for environmental measures and we did some test examinations of a incinerator, where sometimes we had to climb up to 20 metres high.

 - The Centre sent me to a specialist in the hospital and there they did a thorough heart examination, with stress tests and afterwards they showed that the result was better than in some younger colleagues.

 - Four months later I had this.

 - When I went eating I sat alone, because I couldn't bear it.

 - A : You were afraid of sitting among many people?

 - P : Yes., It is not 100% cured.

 - A : But it is much better for a higher percentage?

 - P : Yes, yes, sure.

 - On Tuesday I went to a director of the Academy in Gent, because there was a meeting with Flemish Belgian people.

 - The conversations took place in a very big auditorium.

 - Before I didn't dare to go there.

 - A : How is it now?

 - P : When there is a meeting of 20 people of a factory, I dare to say something, but it is difficult with a larger meeting.

 - When we drove to the meeting and we arrived in the neighborhood of Gent I noticed more and more that I became anxious.

 - I tried everything to feel better and more secure.

 - The reaction to the first three tablets which I got from you were really fantastic, but it took about 11/2 weeks before I became quiet.

 - Afterwards I could go to bed quietly, didn't have any complaints until last week.

 - Again I couldn't fall asleep and I got excited.

 - When I got up I took half a tablet of XANAX, waited for half an hour and when I drive to the Centre now I feel quiet and good.

 - When I want to watch television in the evening I get more and more anxieties to go to sleep.

 - Then I take again half a tablet of XANAX and then...

 - A : I gave you the tablet on July 23.

 - The problem was an enormous panic, enormous anxiety and a very, very strong depression.

 - At that time you were enormously down.

 - Could you describe it more clearly?

 - P : Well an anxiety to go somewhere, anxiety for meetings, even an anxiety to go to work.

 - The doctor prescribed me sick leave.

 - It was so extreme that I didn't dare to go to the Centre to work there.

 - A : You were afraid of people?

 - P : Yes.

 - A : And when you were alone you felt better.

 - P : Yes, Yes., It was all right, I didn't have problems at all when my wife was leaving.

 - When I sat alone at home I felt much better.

 - A : Even the presence of strangers in your house was unpleasant for, you.

 - You shamed yourself.

 - Or how was it?

 - P : Yes, I prefer I didn't get visitors.

 - Before somebody is coming to visit us I take a tranquillizer...

 - A : Without it you couldn't receive your visitors?

 - P : No.

 - A : So an enormous lack of self-confidence?

 - P : Yes.

 - A : What kind of medicines did you take after the heart infarct?

 - P : I don't know what I got from the hospital.

 - At the beginning of this year I was here the first time.

 - I got two medicines to make the blood thinner.

 - I don't take these medicines anymore.

 - I also got two medicines from the psychiatrist.

 - Your colleague told me that I should stop these medicines.

 - But I couldn't stop XANAX, I couldn't stay away from it.

 - I just had to take them.

 - I always tried as much as possible not to take them, but I still have them in my pocket.

 - Last time the specialist gave me tablets for the pain in my chest.

 - I had to take these, but they didn't help at all.

 - When I take XANAX the pain goes away.

 - Then I think I might have something at my heart, but I don't get so excited about it anymore, the rest of the day I'm rather quiet.

 - And since I got the last remedy here I'm rather well.

 - A : You were quiet from the beginning of August until last week.

 - P : yes, I'm still doing well, but when I get excited, for example, while watching television...- then I sit before the television in the evening, first it is all right, but then I start smoking from excitement.

 - Then I think again, `You made it through", and then I get less excited.

 - A : Then you were also afraid of death.

 - P : I'm not so brave.

 - A : You were irritable.

 - It was a strain for the other people.

 - P : Yes.

 - A : You thought that you would never be healthy again.

 - P : Yes, yes, that's what I thought.

 - The heart specialist was of my age, I'm 53.

 - At the beginning I didn't dare to go outside.

 - I know so many people with depressions.

 - A : How was it after the administration of the last remedy?

 - P : I became more nervous.

 - I had some more complaints than before.

 - Now I read that when you take a homoeopathic remedy everything aggravates.

 - A : Yes, there is an aggravation.

 - P : I also took an XANAX.

 - I try to do it as little as possible, only when I can't hold it I take one.

 - And after 11/2 weeks I got through this aggravation.

 - A : Did you have headache?

 - Or was the nervousness worse?

 - P : No, I didn't have headache.

 - The nervousness was much stronger, I had to sit down.

 - Wherever I wanted to go, I couldn't.

 - A : But now it is much better?

 - P : Yes.

 - Again Baryta carbonica.

 - I showed you this case so that you think of Baryta carbonica in the combination of heart infarct and anxieties.

 

CASE4 V2

 - Man, 45 years old

 - This is a patient of a doctor who has studied in our Center for three years.

 - He has struggled for 3 years and has given him nearly half of the Materia Medica - without convincing result.

 - So he gave me this patient as a present when he left and I had very big problems with him.

 - A while ago when I was driving to Salzburg to teach I saw a big man with a big moustache and a bald head playing with little children in a corner of the garden.

 - He was very big, strong and was playing enthusiastically with the children.

 - I asked my colleague if he knew the remedy and he said, 'Yes, I think it is Sulphur."

 - I answered him he should wait until tomorrow.

 - During the course he would experience what kind of remedy it is.

 - This is the case which I showed in every class.

 - The patient is also big and strong and has a very big moustache, only he is not bald yet.

 - His problems are anxieties and vertigo and once on a weekend duty I saw him with a very bad sciatica, a Rhus toxicodendron sciatica, on the left side and so on, with all the modalities of Rhus toxicodendron and he reacted very well to the remedy.

 - Therefore I thought that this man needed Rhus toxicodendron constitutionally, and if you read in Clarke you see that the mental symptoms of Rhus toxicodendron correspond completely with the mental symptoms of this man, but Rhus toxicodendron didn't solve his problem.

 - First, I was encouraged and I had to go on trying to find the right remedy for this man.

 - It is a long case and if you have suggestions you can say them, but I'm sure this man already got every remedy you will suggest.

 - September 19,1988

 - A : How is your factory doing?

 - P : Good, too much work.

 - A : It's not easy.

 - P : I would like to show it to the outside world.

 - In fact it is a wonderful job and to fix cars is very good, but I don't like that kind of job.

 - I prefer to do something for people, to work for all of them, not physically, but mentally.

 - Then, I'm much happier.

 - In the garage I never felt at home, not even for one hour.

 - I try to, but then I feel that I deceive myself.

 - Before I didn't know; I realized it only lately.

 - A : You came here because you were very depressed and you also had quite a lot of anxieties.

 - P : Yes, I still have them now.

 - At the moment they are more obvious.

 - A : More than before?

 - P : Well, the anxieties appeared again in the way they started at that time.

 - The anxiety of not being able to work enough, to earn too little money, anxiety about the other people.

 - This anxiety became less gradually, in fact I don't have problems anymore.

 - But the original complaint, the over anxiety, the hypersensitivity, concerning the welfare of my family came back, everything started with this anxiety.

 - A : So an excessive concern about your family, that's the way it started?

 - P : I think so.

 - Before it was the same with friends.

 - When I went away from home, for example, with friends to a motorcycling, unconsciously I had the anxiety of, Mid something happen at home, didn't I have to be at home?" I don't know whether it is because I am the eldest at home? I discovered it only in the last weeks.

 - I think I didn't leave my home properly, I've become independent too early.

 - I became independent when I was 20 years old and I married when I was 22 years old.

 - All my brothers and sisters were younger and still at home, they were still in the family circle.

 - After my marriage I had to sleep somewhere else from one day to the next.

 - For a few weeks I have had the feeling as if I haven't digested it unconsciously.

 - I grieve for the fact that I left home too early and didn't leave it completely.

 - I don't have a bad wife, I couldn't live without her, but it was too early and I was not prepared.

 - I still have that grief and I weep constantly, for every little thing, about everything.

 - My sister-in-law nearly had a miscarriage and strong bleedings.

 - Although I don't have much contact with her I really took it to heart.

 - She was in a very bad state in the hospital in Leuven.

 - Now, she is much better and also the small child is much better.

 -A Often they use diminutives, like "small child".

 - A Could you give me a description of this man up to now?

 - Answer : "Oversensitive."

 - A : Yes, oversensitive, but how exactly? His sister got a child and he is so...

 - Answer : "..."(everything mixed up)

 - A : What kind of symptom of the Repertory could we take up to now?

 - Answer : "Anxiety about others."

 - A : Yes, he is very concerned and has quite a lot of anxieties, about the child of his sister and about others.

 - You see the anxiety about others.

 - Besides he is theorizing the whole time.

 - He is sympathetic and theorizes, this makes us think of a certain remedy.

 - If you take the anxiety about others and the theorizing, it is Sulphur; if you take the anxiety about others and the sympathy, it is Phosphorus.

 - He already got those remedies, but without result.

 - P : Then I became very sad and depressed.

 - Although I learned very much by this state.

 - I'm very religious, I want to rise beyond.

 - A : What do you mean by it?

 - P : I think, I have to be honest, what happens in my inner life, namely I believe in the power of love.

 - If I could wish something for myself I would like to be a simple, a very loving person.

 - Nothing particular, nothing extraordinary, just simple, but a nice person.

 - Then I would be happy.

 - Lately, I discovered that my working place is not so important.

 - The other thing is much more important, for example, that a little life would have been lost.

 - A : Are you religious?

 - P : Yes, I believe in Jesus Christ, not in Buddha or something extraordinary.

 - What kind of impression do you get when you hear him talking like this?

 - Answer : "..." (not understandable)

 - A : Yes, very well, childish, he talks like a child.

 - A : The sadness is not as strong as before?

 - P : I'm not as depressed as before, but still I have to weep very much.

 - I cried a lot.

 - A : Were you tired of life?

 - P : It hasn't happened yet.

 - If you want to be a person of love and goodness you also have to prove how the goodness works in yourself.

 - That's why it is different now.

 - Before, I was so depressed that I could smash everything.

 - I didn't do it, only cursing or kicking against something.

 - A : You have had very little contact with people, haven't you?

 - P : Yes, not so much.

 - A : You easily sympathize with other people, whether it concerns strangers or when you see something on television.

 - P : Yes, I react very emotionally.

 - I want to see a better world.

 - If I see people who have difficulties, who are ill, I pray for them.

 - I also learned to trust my instincts.

 - A : One of your characteristics is an excessive concern about your children, about your wife; they also want to be well off.

 - P : Yes, that's right.

 - A : Second, a tendency to crying.

 - P : Yes, that is very strong.

 - A : Do you withdraw yourself or do you need anybody around?

 - P : No, no I want to be alone, in the bathroom.

 - WP : Last week when I was in bed already I heard him sniffling.

 - A : Are you sad at a certain time of the day?

 - P : Not in the morning, in the morning I can work very well.

 - Infact, it starts late in the afternoon, but then I don't dare to show it, because I'm working with other people.

 - Then it comes out in the evening or at night.

 - A : And then you are always anxious?

 - P : Then I weep because I am powerless and anxious.

 - I get an anxiety for the anxiety.

 - A : If you are anxious can you stay quiet?

 - P : Once it was bad, then I was praying on my knees before a statue.

 - Another time I got a kind of attack and was lying on the ground with my knees pulled upwards.

 - If they would show this on television you could think of an exorcism of the devil.

 - A : Can you sit quietly if something like this happens?

 - P : Usually, I remain on the floor, cross-legged.

 - I sit there and I just cry.

 - A : You can't withhold yourself?

 - P : No.

 - A : Do you know the cause for your weeping?

 - P : Yes, the anxiety, the incapacity, the anxiety that something might happen.

 - A : Do you start crying involuntary?

 - P : Yes, I always do.

 - A : Are you afraid of people?

 - P : A like people, but I'm also afraid of them.

 - A : So, an anxiety about people.

 - P : I like to be with people, I like to sit with people, but I don't like it when they come to me.

 - It's all right with the family.

 - When the family comes it is all right.

 - But when I'm sitting in the caravan and a stranger comes in I don't feel well at all.

 - Also not in a crowd.

 - A : What about your self-confidence

 - P : Yes, I have a lack of self-confidence.

 - I think it is very, very strong.

 - I wish I didn't have the inferiority complex.

 - A : Concerning the mental state I wrote down in a nutshell :

 Insecurity, lack of self-confidence, anxiety of the future, anxiety about the family.

 - You are hypersensitive, melancholic, sad and hopeless.

 - Did you have a sciatica before?

 - P : Yes, that's right, in the region of the kidneys.

 - That's why I was here on New Year's day.

 - A : I found a remedy which acted very well and which matched your anxieties.

 - P : Yes, it helped very much.

 - Up to now all this corresponds to the mind of Rhus toxicodendron.

  If you read this in Clarke you see that it corresponds completely : lack of self-confidence, anxiety about others, weeping easily, fear of people, anxiety about the future and so on.

 - Therefore I was completely sure Rhus toxicodendron was the right remedy and it really cured his sciatica, but his anxieties and vertigo did not change at all.

 - A : Afterwards you had quite a lot of pain in the back, in the neck and the joints.

 - The left side of the pharynx was hurting.

 - You had difficulties in swallowing, on stooping, on getting up and lying down.

 - You become dizzy when you move your head.

 - P : When I move the head fast or when I drive a car and move the head.

 - I have quite a lot of pain in the joints, in the left and in the right arm.

 - I can't lift up anything heavy, then I have pain in my neck and between the shoulder blades.

 - It's a stitching pain or a pain like cramps.

 - Here on the breast I also have it.

 - I stopped smoking and since then it has become much better.

 - But I still have pain in the joints.

 - WP : He has difficulties when he puts on his shirt.

 - P : Then I feel a terrible pain.

 - In fact it has become worse.

 - There it is worse.

 - There and there it is still worse.

 - While getting up and stooping I have pain in the knees.

 - These are the pains in the joints.

 - When I stoop to pick up something from the floor I become dizzy, I see less, I have a headache, and everything gets into a crampy state.

 - Also when I go to bed, I also have it; also when I get up.

 - I sit on the edge of the bed.

 - I have to sit there for quite a long time.

 - When I go to the toilet I don't sit this way, but that way.

 - If I don't do it, everything is gone, for the whole day.

 - I need some time to recover, and if I move wrongly I don't feel well for the whole day, and then my neck also hurts.

 - Every day I have to pay attention to it.

 - I haven't felt well for about five days.

 - When I turn over at night - I really have to be very careful ~ when I lie on the left side and turn myself over from the abdomen to the other side, everything is mixed up in the head, and if I look upwards, I really have to be very careful of not hitting anything.

 - So, these two symptoms were much better previously and now they appear very strongly again.

 - So the vertigo, the pain and the anxieties are absolutely on the top of the list at the moment.

 - A : Do you think it has something to do with the weather?

 - P : I can't say exactly.

 - I like the warmth.

 - In the bathroom I always put on the central heating, but if it gets too hot I can't tolerate it either.

 - I can't also tolerate the sun, but the winter - I have to be careful what I say - I can't tolerate the winter either.

 - But I prefer the winter because I can adjust the temperature myself.

 - I can't adjust the sun.

 - The temperatures have to be exact, otherwise I don't feel well.

 - I also discovered, but I'm sure this is not in your file : after milk and eggs I feel 50 % worse, also the anxieties are worse.

 - Then everything is worse.

 - I have to be careful what I say.

 - I haven't eaten milk, eggs, chocolate for quite a long time.

 - I have drunk milk again since this week and immediately afterwards I feel the previous complaints coming back.

 - A : Do you like to drink milk?

 - P : Yes, I like milk very much, but when I drink I become sick again.

 - I drank litres, oh yes, barrels of milk.

 - P : My grandmother had a farm.

 - She would give me a two litres jug with milk, then another litre and then I also drank 4 of those big cups which they used to have.

 - By 10 : 00, 11 : 00 a.m.

 - I had already drunk three litres.

 - Until one day it was too much and I got jaundice.

 - Afterwards I didn't dare to drink so much milk.

 - You see these are all symptoms of Rhus toxicodendron, it comes back every time, but there is also another remedy which shows up.

 - Rhus toxicodendron doesn't have the aggravation in the sun and...

 - A : How is the pain in the joints with damp weather?

 - P : I can't tolerate dampness and wind.

 - When I become wet while working outside I'm ill immediately.

 - A : Do you feel changes of weather?

 - P : I can't say.

 - But I feel a thunderstorm.

 - If the thunderstorm is already in the sky, just before it breaks I become nervous and restless.

 - I also feel the tension in the sky.

 - It causes a discomfort.

 - And then the anxieties also appear.

 - A : You have rheumatic complaints.

 - Coldness, weather and rain play a role.

 - What does movement do?

 - P : While moving it goes away.

 - A : (to his wife) Can he sit still?

 - WP No, no, he always has to do something

 - P : Yes, it has to be a regular occupation.

 - That's why I don't like my job.

 - Here a lamp has to be fixed, there a tire has to be switched and so on, always something else.

 - I hope that someday something happens that changes my life.

 - I can’t sit still, I can work for twelve hours a day, but it has to be regular work.

 - I have to see that I am useful.

 - I'm not discontented, but I would like to do something useful in my life.

 - That is not so at home.

 - I don't feel useful at home, I'm too hurried, people need me for something, but this does not mean that I'm useful.

 - I would like to do something and be useful, but in a positive way, if I can say it the way I feel it now.

 - That is important for me.

 - I want to get rid of the restlessness, but not sit still.

 - I have a trailer home, but there I don't feel happy either.

 - A : You can't sit still.

 - Because of your pain you have to move, that's why you can't sit still.

 - P : In the weekend we go walking in the forest, play tennis and swimming.

 - A : Does it improve then?

 - P : While playing tennis and swimming the pain goes away, but three hours later I feel it again, and therefore I don't do it anymore.

 - That's all Rhus toxicodendron, isn't it? A clear, beautiful Rhus toxicodendron picture, movement ameliorates and so on.

 - But there is one point which is not so clear and that is the aggravation by change of weather.

 - He says that he doesn't know exactly, that he is not sure whether he notices the change of weather at all.

 - But the sensitivity to cold and wet, the stiffness in the neck after draft of air when he has to go out of the garage also is a clear Rhus toxicodendron.

 - A : The vertigo appears at the beginning of the motion.

 - During the day when you are busy it is less.

 - P : Much less, if it doesn't go too quickly.

 - I can't tolerate if it goes too fast or when the pictures are moving on television.

 - I can give you an example : if I go outside on the street and about 50 cyclists are passing I have to turn my head.

 - I can't tolerate it.

 - I already told you this.

 - When I watch something on television, for example, a cycling tour or a football game, if it goes from one side to the other I have to close my eyes, I'm so perplexed.

 - Then I feel so strange.

 - This feeling is very strong at present.

 - A : gave him Rhus toxicodendron, because I was completely sure.

 

 Follow-up after 1 ½  month (november 7,1988)

 - A : You got 6 tablets Foliata squalosa in a tube to take home.

 - P : I took the first tablet immediately, the second one week later.

 - Then I became ill.

 - I got very severe attacks of anxieties.

 - They went away and I got a blissful feeling.

 - Afterwards I got terrible pains again, but they went away.

 - It went up and down.

 - I called you and I had to stop taking these tablets and gradually it became better.

 - Two weeks ago it started again.

 - Vertigo and so on, I wrote everything down.

 - Vertigo on getting up and while lying down, not only in the morning, but also during the day when I was lying under a car to work on it and when I got up I had to be careful otherwise I became dizzy.

 - I have to be careful when I lie down, when I move my head too fast or when I see fast pictures on the television or when I see a train passing.

 - When I look upwards it is worse.

 - Do you know this rubric? 'Vertigo, looking, moving object, at" (page 100)?

 

moving object, at : Agar., anac., con., cur., graph., jab., laur., mosch., nat-m., olnd., sep., sulph.

 

 - You callous this and all the other symptoms into a computer, but you will never find the remedy.

 - P : When I look upwards I get the symptoms of which I am complaining.

 - If I look downwards again, I become dizzy, I get headache.

 - It starts there (shows above the right eye).

 - It extends to the back, I become nauseous, I have qualms and a strong nauseous feeling.

 - That's what I felt the last ten days.

 - A very severe headache which occurs above the right eye, a kind of stitching that extends to the back.

 - It is funny, when I don't have a headache and I look upwards I can provoke a headache.

 - If it lasts too long, when I look too long into the air...- I shouldn't do it, then I have it.

 - I can provoke it when I want.

 - Then I get pain here, I become nauseous, I get a funny feeling.

 - When I push here in the neck I get a numb feeling in the head and I become nauseous.

 - Besides I have problems with the stomach.

 - Now I have to take care what I say concerning the food.

 - Before I already noticed it.

 - Before I had terrible pain in the stomach, and I didn't know what it was, whether it was the gallbladder or the stomach.

 - And then it started to become distended.

 - It became so distended I became nauseous, and my strength went away.

 - When I sit or lie down it becomes better.

 - Before, I also had this.

 - When I take milk products it is worse.

 - If I want to go to the toilet I have to eat ice cream.

 - A : What do you mean?

 - P : When I eat ice cream I get cramps and diarrhoea immediately.

 - It was very bad a few nights ago.

 - Indeed, I didn't eat ice cream, but lately I drank much more milk.

 - A : Lately you like to drink milk?

 - P : I like to drink milk, but I don't digest it.

 - A : Wait.

 - So, do you always have this vertigo with sudden movement, while getting up from lying down, while raising from sitting

 - P : .Yes, I have had these complaints for quite a long time.

 - In the morning I always have`this.

 - I have to get up very carefully and then sit on the edge of the bed for a while.

 - Start very slowly and no wild movements with the head, otherwise I have it the whole day.

 - It was better, but now I have it strongly again, constantly 24 hours a day.

 - When I turn around in bed at night, it is suff accent to get such a funny feeling, nauseousness, vertigo and qualm.

 - Indeed, I don't have to vomit, but I have a tendency to.

 - I can surely say I have another symptom : I bite my teeth the whole time.

 - A : At night?

 - P : At night I wake up because I bite so much on my teeth.

 - During the day, with every work I do I bite on my teeth.

 - I catch myself doing this constantly, there is a kind of tension.

 - I already told you about the other things : pain in the back the elbows and the left shoulder are still hurting.

 - I can't put on my coat.

 - There is also another symptom : When I move suddenly or when I stretch myself I get cramps in the muscles.

 - When I get up in the morning and stretch I have to bend quickly again, because the muscles in the back, all the muscles get cramped.

 - A : So biting the teeth and having cramps.

 - P : I already mentioned ice cream and milk products.

 - In the morning my nose is always obstructed when I get up.

 - Nearly the same symptoms appear again.

 - A : What about the sciatica pains?

 - P : You mean in the legs? I have this pain at night.

 - Then I don't know : do I have to turn this way or that way? And then I pull up the legs.

 - I have to stretch the muscles and I catch myself at night that I sleep with the toes turned upwards, while the muscles are stretched out.

 - When I relax them it is an awkward pain, a gnawing pain.

 - This also occurred before.

 - These are the physical complaints.

 - A : And the mental complaints?

 - P : The other complaints : I am anxious 24 hours a day.

 - I discovered that I had these anxieties from childhood on.

 - Now, I remember.

 - It is still unconscious, but gradually I became aware of it.

 - I will never read the newspaper, because there is only bad news and accidents.

 - You know, the first page is the worst page of the newspaper.

 - Or I would start reading the sports news to read something positive.

 - I remember I went to my grandmothers before, she was a nice woman, I liked to go there.

 - She had the newspaper, I went to her, was in a good mood and said, 'How are you doing, grandma?" Then I took the newspaper and suddenly I read, "Accident, ran into a tree."

 - Then my day was ruined.

 - Do you understand that? I think I have this from before.

 - So, I never read the newspaper, but I feel that it remains.

 - This is a very strong symptom for Phosphorus.

 - P : I will tell you something else : I am afraid of my own thoughts.

 - Misfortune, accidents, these thoughts are constantly in my head.

 - My biggest anxiety is the one about my nearest, I think this is the worst anxiety.

 - I don't know where it comes from.

 - It makes me insecure, sad, upset.

 - You don't see it on the outside, but internally I'm insecure, anxious, sad, not happy.

 - It is not so had for me, because now I found out what internal happiness means.

 - Now, I turn to my internal life.

 - I go away from this world, it is not so important anymore.

 - I feel, I want to experience internal happiness, I want to be there for my nearest.

 - That is more important for me.

 - The rest is not so important anymore.

 - I think this is so positive in proportion to all the other things, that the rest has become tolerable.

 - It doesn't last for ever.

 - It might be, for example, that I'm in a good mood and then by accident

 - I see an accident on the television.

 - Then everything tips over.

 - Then I fall from one extremely good mood into an extremely bad mood : depressed, unhappy, anxiety, nobody can convince me at that moment that it is otherwise.

 - I meditate, and I feel well enough that a human being can do more than just walk around, there are certain energies and energy radiations from people who have power.

 - That's my luck.

 - But still nothing can convince me at that moment.

 - My sister-in-law has been in the hospital for 8 weeks.

 - Thank God she can go home this week.

 - I'm insecure, I don't dare to ask my brother whether she is doing good or bad, because he could say she is doing bad.

 - Yesterday my brother-in-law visited me and said, "Things are going well, she is doing fine.

 - Finally, they found what is the matter with her.

 - Every day she is doing better.

 - On Friday I worked and I worked with joy.

 - I was not so joyful, but internally, I can work, have less pain, can suppress the pain myself.

 - I don't know whether the emotional state comes from the body or the physical state from the emotional state? Do you understand what I mean?

 - A : Yes, yes.

 - P : I don't know where it comes from, what the results are from.

 - That's what I wanted to say.

 - The over-concern, the constant anxiety, the sensitivity which I also have, that is the main point, as I should say.

 - I don't know whether you can do anything with it.

 - Last night it occurred again.

 - I'm very afraid of wasps, I startle and when I startle it itches very badly everywhere.

 - Normally, the itching is the worst thing, while the pain is strongest in the legs, where I have a sciatica.

 - I often noticed it.

 - At night when I startle from an unpleasant dream I have to scratch everywhere.

 - Then I really have to treat myself, because the itching is unbearable.

 - A : This happens when you wake up from a dream?

 - P : Yes, when I startle from a terrible dream.

 - Often I fall very deep into a hole and I hold myself at the edge, When I wake up, itching, itching, itching and after ten minutes the itching is gone.

 - Last night I woke up because the wasp was after me.

 - I have a terrible anxiety for wasps and spiders.

 - A : You wake up with the feeling as if you are failing into a hole?

 - P : Often, I fall so deep, just fall away.

 - These are all Sulphur symptoms: theorizing, anxiety about others and dreams of falling.

 - P : For example, often I also wake up from wasps.

 - A : In your dreams do you fall from above or from beneath or in a hole?

 - P : No, I fall into a hole, although I have fear of heights.

 - A : Do you have fear of heights?

 - P : Yes, I'm not so courageous.

 - I don't want to say I don't dare to climb a ladder, but when I look out of the window then I recoil a little bit, oh, it's so deep.

 - A : Do you become dizzy?

 - P : No, in fact it is not vertigo, but I don't feel well.

 - When I stand on a bridge and it is too high...

 - I even can't think about it because I already feel it.

 - In my thoughts I can imagine that I'm standing on a very high place or without a footing then I get such a funny feeling.

 - It is as if I don't have a hold anymore.

 - This is very important, "It is as if I don't have a hold."

 - This is very symbolic and very important for this remedy.

 - P : I can digest it symbolically.

 - I do rebirthing sessions, in a water reservoir.

 - The most beautiful session was when I experienced my birth trauma again.

 - The birth itself was not a problem, but my father went away too early.

 - My mother was lying in a room with three other women.

 - I was put in the hall.

 - There I nearly choked, because something got stuck in my throat.

 - They had to breath air into me for half an hour.

 - I was completely blue.

 - My mother was so restless that I took over this anxiety.

 - Very restless when somebody left home.

 - Before she had this anxiety with car accidents.

 - It is as if I took over the anxieties of my mother.

 - I felt abandoned in the hall, I cried, screamed for help.

 - A : As a child?

 - P : That's how I experienced it.

 - I didn't receive the help which I should have received.

 - The woman of the rebirthing session thinks that it has an influence on my present life.

 - A : Do you have warm feet in bed at night?

 - P : They are not too cold, or it has to be really very cold.

 - On the other hand I don't have to put them out of the cover either.

 - Until now the remedy is not clear yet, I don't know how it all matches together and now I try to confirm Sulphur.

 - WP : I often do.

 - But you are not so warm.

 - P : No, in fact not, I can't say.

 - If I don't feel well I put them out of the covers, the cold is very good then.

 - A : Do you like to walk outside?

 - P : No, not so much.

 - My wife wants to, but I don't like to.

 - I don't feel like going outside.

 - I'm more withdrawn, more a solitary person.

 - A : Do you think that you are a specialist in your job, that you are a master craftsman?

 - A question for Sulphur.

 - P : Yes, I am, I'm convinced, although I do my job 100% against my conviction.

 - For quite a long time I have thought I wasn't useful, but now I think that I'm good in myjob the last years.

 - A car comes in and immediately I know what is wrong.

 - I have to be honest.

 - A : Do you have nightmares?

 - P : Yes.

 - A : Did you dream about the future?

 - Now all kinds of Sulphur questions follow; questions about dreams of events which haven't taken place yet and so on, all key-notes of Sulphur.

 - P : Once I dreamt that my sister died.

 - Afterwards I felt very bad for months.

 - My dreams are not concrete.

 - They are vague; there are always strange situations, no present situations.

 - Very vague, very funny, far away, always nightmares.

 - It's difficult for me to express.

 - I have vague nightmares.

 - Last night I dreamt about wasps.

 - They are anxious.

 - I'm anxious for them.

 - I have a terrible anxiety for clairvoyance, an anxiety that I dream something which becomes reality, because this kills me.

 - I have anxiety for the fact that my dream becomes reality.

 - This is a kind of superstitiousness, and Rhus toxicodendron is superstitious, that is one of the elements of Rhus toxicodendron, but -well yes.

 - P : Once a doctor told me, "You should stop thinking about these dreams.

 - You should dream that you win a million or a very nice shop.

 - If this dream becomes reality!" An old doctor told me this, but nevertheless I'm still afraid of it.

 - I will never read anything about magic, because I have such a big anxiety of it.

 - If somebody talks about magic or clairvoyance I become angry with these people, but angry with love, I don't take offence at these people.

 - I only think they go in the wrong direction.

 - That's what the rebirthing woman says.

 - She always advises me, "Keep away from these kind of things."

 - A : How do you consider these meditations?

 - P : I like them.

 - Because these meditations give me wisdom.

 - I feel that these meditations let my inner voice speak, that everything can be all right.

 - This is also a Sulphur expression, 'The meditations let my inner voice speak."

 - P : For these meditations I go to somebody who lives in X.

 - The chairman of the "association for freedom of the world" in Belgium gives me a course of meditation.

 - It is not a sect.

 - These are very nice people.

 - They don't prescribe anything, they let people discover everything themselves.

 - My neighbours also meditate, they are also very nice people.

 - Also the people from the rebirthing.

 - During the last session I was always in the uterus.

 - I got the feeling of the pregnancy and the feeling of bliss to be in the uterus : no anxiety, no misery, the feeling that it can become reality in life the way you experience it in this state.

 - But because of the education we are formed as too catholic, Christian people.

 - This makes you think of Medorrhinum, "...the feeling of bliss to be in the uterus..."

 - P : I'm a very sensitive person, but I have the feeling that I come closer to the solution.

 - How difficult it is I withdraw myself in silence in the morning and in the evening.

 - A : Do you meditate in the morning and in the evening.

 - P : Yes, I can also withdraw myself anytime.

 - Sitting quietly in a corner and let everything work on me quietly.

 - I feel good in doing so.

 - I don't belong to the world of trade.

 - I feel it well enough.

 - The materialism is a very bad thing.

 - You have to experience it, otherwise you can't settle things.

 - I am lucky that I have good customers.

 - I really take care of them, but I don't feel happy with it.

 - It is not so important.

 - But I have the feeling it changes in the course of time.

 - I will do something else.

 - A : Do you like to drink milk?

 - P : Also other things, but I prefer milk.

 - If I drink it with cacao powder or Ovomaltine I like it very much.

 - I like this taste very much.

 - I always drank milk a lot, but I didn't feel well afterwards.

 - And ice cream.

 - Yesterday I ate ice cream and afterwards I didn't feel well.

 - A : Do you like ice cream very much?

 - P : No, in fact not.

 - I prefer milk to ice cream.

 - If I eat ice cream I become very ill from it.

 - I like to eat chocolate.

 - A : Highly seasoned food?

 - P : No, oh Yes., But I don't like sour things.

 - This morning I ate a piece of an apple, it was not a sour apple, but nevertheless I get goose flesh all over my body, even from a very little piece of an apple.

 - A : Do you like to eat winegrapes?

 - P : If they are juicy.

 - I have to eat sweets a lot.

 - A : Do you like sweets?

 - P : Yes, all kinds of sweets.

 - Highly seasoned food, it is all right, like

 - Chinese food, highly seasoned gravies, but not too much spiced.

 - A : And what about, fat?

 - P : No., But I must say that I like fat from the casserole, fat from fried bacon.

 - With a buttered slice of bread I like it very much.

 - A : So, a slice of bread with fried out bacon?

 - P : Yes, that's right.

 - I have to admit it.

 - But no other fat.

 - No fat at all.

 - Then I become nauseous.

 - I think it is disgusting.

 - But I like fried out bacon.

 - A : Are you easily disgusted?

 - P : Yes, lavatories when they are not clean, dirty or stinking people.

 - I will never wear overalls myself.

 - A : But you fix cars?

 - P : Yes, I do.

 - But nobody understands, because I work very much.

 - I wear a blue or a grey dustcoat.

 - A : How does it come that you are not dirty?

 - P : I'm always clean, even if I have to do a very heavy job, the dirtiest work.

 - I only wash my hands and my face and I'm clean.

 - If the dustcoat becomes too dirty or greasy I put the dustcoat into the laundry basket.

 - I'm always dressed beautifully, also the shoes, the pants.

 - I always have very much respect for people.

 - I don't ever want to be dirty.

 - And also the cars are never dirty.

 - When I work on a car the steering wheel and the door handle are wiped off properly.

 - I'm too much a perfectionist, I have to be the leader in certain cases because I am so clean, so tidy.

 - I can't tolerate stinking people.

 - I become nauseous, I think it is disgusting.

 - A : And if you go eating in a restaurant?

 - P : Also.

 - Everything has to be clean.

 - There is no such a cleaner woman than my wife.

 - Of course she is not mad concerning this level.

 - WP : If he gets a dirty cup in the restaurant he is not mad immediately.

 - Sometimes he is also dirty, not completely clean, unshaved and can wait until the next day to shave.

 - A : But you are easily disgusted, aren't you?

 - P : Yes, especially when the lavatories are dirty.

 - Once I went to a ladies toilet because the men's toilet was too dirty.

 - Again a symptom which indicates strongly Sulphur: disgust.

 - A : So only itching at night.

 - Further no itching?

 - P : Before I also had complaints with the groin.

 - I always had to squat, and it was itching at the testicles.

 - I still have complaints.

 - I can't jump, it hurts.

 - A : Do you still have itching in the groin regularly?

 - P : No, I had before.

 - It was very bad, I always had to squat, because it was itching tremendously in the groin.

 - I saw many doctors and they all said, 'You are a funny case, an unusual case, one out of ten thousand."

 - Why am I such an unusual case?

 - A : You said that your nose was obstructed in the morning.

 - When exactly?

 - P : When I get up in the morning.

 - At night I don't have problems with it, I can breathe well.

 - It concerns only one nostril, not both.

 - In the morning one or both sides is obstructed.

 - I notice these things.

 - I try to write them down.

 - I also become ill while travelling.

 - I become nauseous in the car.

 - I feel it here.

 - When I drive myself, it is all right.

 - I become nauseous when I just sit in the car as a passenger.

 - Vertigo looking at moving objects, nausea riding in a car, anxiety about others, which is the remedy?

 - Cocculus, yes, Cocculus, vertigo looking at moving objects, car sickness and so on.

 - A : And the rheumatic complaints?

 - P : The pain appears quietly.

 - A : Do you have complaints while moving?

 - P : No., I must say I still have pain when I lean on my hands, then it starts hurting.

 - And also my shoulder is still hurting when I put on my coat; I still can't do it.

 - My wife has to help me.

 - It hasn't disappeared completely.

 - It's very difficult to do this movement.

 - Here, it jumps.

 - It is a terrible pain.

 - It is always locked here, also between the shoulder blades, and in the neck.

 - That's why I already saw so many doctors.

 - Oh dear, I did so many things, osteopathy, cell therapy in Germany and so on.

 - A : Did you have eczema as a child?

 - P : Eczema, what is that?

 - A : Skin eruption with itching?

 - P : I might have but I don't know.

 - Before I suffered from so many things, pimples, acne, very bad, on the hands and on the body.

 - All the diseases which existed previously I got.

 - Pertussis, very bad.

 - I also got a very severe jaundice.

 - I have suffered from it for two months.

 - It was even dangerous.

 - And I also got headaches when I was a small boy.

 - A: Did you have headaches on the right side?

 - P : No, it alternates.

 - It extends from the eye away.

 - Before I had it more on the side, now it starts here.

 - It is such a terrible stitching pain.

 - Often it goes away from the right side to the left side.

 - It is funny the way it alternates.

 - If one side is not good it is better on the other side.

 - It changes place.

 - It's the same with my whole attitude.

 - Heavenly shouting with joy or deadly sad.

 - I don't know whether I become dizzy from headache.

 - In Leuven they examined everything, with the scanner and so on.

 - But I must tell you if I compare this with two days ago it is an enormous progression.

 - I don't feel happy.

 - I'm not Really joyful.

 - Sometimes I have it at certain moments, so internally.

 - I don't like extravagance.

 - I rather like to be in equilibrium, to be a quiet person.

 - I don't like extravagances and parties.

 - Is this Medorrhinum?

 - No, certainly not.

 - A : Do you drink beer?

 - P : No, certainly not.

 - No strong alcoholic drinks, no alcohol.

 - When I drink it I become ill.

 - I can't tolerate it.

 - WP : He is too good a person.

 - A Have you always been?

 - P : Before when I was young I wanted to join the group, but after I drank three beers I had to go home because I became ill.

 - My stomach was cramping and I had terrible pain.

 - A : You don't like beer?

 - P : Certainly not.

 - A : Also no other strong alcoholic drinks? Dutch gin or things like that?

 - P : If I meet somebody who has a stinking breath from alcohol I get headache.

 - If I meet somebody who is dirty and has a bad odour from his mouth I get bursting headache.

 - Then I turn around.

 - That is really true.

 - I can't tolerate somebody who is stinking from alcohol.

 - I don't blame them.

 - A : Do you pray?

 - P : There are very few priests who do.

 - Im not pious, but in my deepest being I am a religious person.

 - Although it is not always very easy.

 - Often I think there is nothing.

 - I seldom pray, before I did it more intensively and frequently, but it has changed.

 - I pray much, Yes., I have a little book containing my prayers.

 - Today I bought a new one.

 - Often I'm really shy.

 - Often I can be very shy, I don't know where to go, so shy.

 - I prefer to be alone in my room and to watch television.

 - Sometimes I just get blocked.

 - For years I have stayed inside and couldn't go outside, because I had this kind of phobia.

 - If I have to wait in this waiting room I also have it.

 - I notice I don't feel well, I get abdominal cramps, shortness of breath, headache and dizziness.

 - I get it very strongly.

 - But this also became better.

 - When I came here in the beginning it was very bad.

 - I had to wait in the car because there were too many people in the waiting room.

 - Although it is difficult I can manage.

 - I just sat down.

 - When it was my turn they will call me.

 - I could never wait.

 - When he came to the Centre he stayed in his car, he didn't wait in the waiting room.

 - When it was his turn the secretary called him and he went immediately to the doctor.

 - A : Are you impatient?

 - P : Before my wife wanted to do shopping and looking in windows.

 - I wasn't interested.

 - Then I became impatient.

 - In the morning I had to control myself.

 - I'm determined to start quietly.

 - The one who can't wait he has to learn it.

 - I tell myself, "Stay calm, stay calm."

 - Externally people don't notice anything.

 - Often people tell me that I'm such a quiet person, such a funny type.

 - I could nearly burst out.

 - A : On which side do you sleep?

 - P : I can sleep on both sides.

 - When I lie on the left side I have to put my legs over my wife, otherwise I don't sleep well.

 - A : Does he put his legs over your legs?

 - WP : And also his arm.

 - Sometimes this is very awkward.

 - P : But you are built strongly.

 - A : Did you also sleep this way as a child? What is the cause of your anxiety in fact?

 - P : It dates from before.

 - The people from rebirthing put me into contact with the birth trauma.

 - They say that the anxiety is fixed inside and doesn't come out.

 - If it comes out I'm cured.

 - Then I'm free.

 - We thought about it, but I didn't have an accident nor experience something terrible and still I have a constant anxiety.

 - Maybe the cause of this anxiety is buried in my unconsciousness.

 - I know only that I will take it with me as long as my memory goes back.

 - A : Already as a child?

 - P : When I was a little bit older and I left home I wanted to be home as fast as possible.

 - I was quiet when I was at home, when everybody was around me.

 - I felt as the defender of the family.

 - I always have to be at home.

 - It really started to become bad when I married and left home.

 - We didn't drive away often.

 - When we went on holiday I had tears in my eyes, because I had to leave home.

 - A : Did you feel better when you reached your destination?

 - P : I had to cry every evening.

 - I already did so before.

 - As a small boy I often went on holiday with my aunt in Brussels.

 - I liked to be there, but every evening when I went to bed I cried silent tears.

 - I wasn't at home where I belonged.

 - When I married I had to go away from home and live with my parents-in-law.

 - I suffered very much from it.

 - There the problem really started.

 - From then on I have never been healthy again.

 - A : Do the anxieties come suddenly?

 - P : Yes, they overwhelm me.

 - If I read something about an accident I'm so overwhelmed that I could kill myself from despair.

 - I have a sinking feeling.

 - The anxiety doesn't concern me, but always my family.

 - That is the main problem : my role as a defender for the family, the concern about the family.

 - We were 6 children at home.

 - Then there was a tragedy.

 - I just met my wife and then it happened, we lost our little sister.

 - She hid herself.

 - I never got rid of this anxiety my whole life.

 - Since then I have never liked to go away from home.

 - If you think of what I have experienced my whole life, it is a miracle that I can still go along with customers every day.

 

 Follow-up AFTER 3 MONTH (february 17,1989)

 - A : In the morning you are dizzy when you are moving.

 - P : Yes, everything is instable.

 - It is as if I'm falling.

 - I become nauseous.

 - When I look in the mirror and I move, then the muscles of the neck and the legs are cramping.

 - Also when we are driving the car and everything passes very slowly, so that the other cars can pass, I become dizzy.

 - I have to control myself very much so that I don't become nauseous.

 - I also might get it without moving anything.

 - Then I also get a cramp in my neck.

 - I don't know whether it comes from the neck or from the head, but I don't feel well at all.

 - Once I flew in a helicopter, I was really bad.

 - I had a dry mouth, I was sick as a dog.

 - It was at a flower fete and he was flying us over the whole region so that we could see it from above.

 - I only hoped we were landing soon.

 - It seemed to me as if we have been in the sky for hours.

 - Unfortunately, when we landed I couldn't hardly put one foot before the other I was so dizzy.

 - My wife had to support me and then I needed a good, cold cola.

 - Afterwards my stomach was still turning and my head was a little bit better.

 - A : If you get up from bed in the morning are you also dizzy?

 - P : Yes, I get up and oops I am dizzy.

 - A : Are you also nauseous? Do you have a qualm?

 - P : Yes, I feel it in my throat.

 - A : Is it as bad as in the helicopter?

 - P : No, it doesn't come up but I have to swallow very much.

 - A : Do you have to sit at the edge of your bed?

 - P : No, it is not that bad.

 - When I get up I become dizzy and nauseous, but I don't have a qualm immediately.

 - I only have to be very careful in the morning.

 - A : If you sit as a passenger in the car do you become nauseous as well?

 - P : As long as the car is standing still it is all right, but when my wife starts driving I notice that it starts gradually.

 - My throat tightens, I become warm and cold.

 - I become weaker and weaker and I become really nauseous.

 - I try to lie down on the seater, then I feel better.

 - But when we drive a longer distance, for example, to the sea, I need 1 1/2 hours to recover.

 - When I get this my mouth becomes so dry so that I can't swallow.

 - Then I have to drink, cola is the best.

 - Lemonade or water doesn't help so much.

 - If the stomach starts working again I feel better.

 - My legs are not so weak and my head becomes clearer, but I have to be careful.

 - Everywhere I take a bottle of schweppes or cola to have my stomach work again.

 - The less I eat, the better I feel.

 - Before I had terrible cramps in the stomach.

 - Once I lost 6 kg in 3 days.

 - For years I have taken PASPERTIN with me.

 - Afterwards I felt better and the stomach is less distended.

 - A : How do you feel when you watch moving pictures on the television?

 - P : Yes, I even get it while watching this.

 - A : If you become dizzy do you have the impression that every thing around you is moving?

 - P : They also asked me in the hospital in Leuven.

 - When I become dizzy I don't have the impression that everything is turning, but it is moving.

 - That's a difference.

 - I have this already for years.

 - I haven't gone outside for five years, because I have a phobia.

 - A : What is your main anxiety? Is it the anxiety you might loose a member of the family?

 - P : Yes, yes, that's the most important anxiety.

 - This has always been so, even when I was a small child and when we went with the family to an amusement park it was terrible for me when my parents were at a distance of 20m, because I didn't know anymore whom I should stay with.

 - I have always run from one to the other so that I was sure nothing would happen.

 - WP : When I'm gone, oh dear, that's a problem.

 - P : Then clear appointments have to be made.

 - WP : And if I don't return at the right time he really gets into a panic.

 - P : Then I become dizzy, everything gets cramped as if the anxiety becomes fixed at the weakest places.

 - Once I saw a doctor in Brussels and he gave me an injection.

 - Afterwards the dizziness and all the rest have gone for months.

 - I had less anxieties, more desire for working.

 - He injected at certain points in the muscles.

 - Unfortunately, he died and I came to you.

 - A : If you look at something and you turn your head away do you retain this picture for quite a long time?

 - P : Yes, yes, I do.

 - For example, when I look at the church-tower or at a picture and I look into the other direction I retain the picture.

 - But this is not always the case.

 - But also when I look from the television to something else, I always have this picture in mind afterwards.

 - Which remedy has this symptom, together with the symptom that they cannot see moving objects? They have nausea from moving objects, they vomit and the images are retained too long?

 - Answer : "Cocculus."

 - Answer : "Alumina."

 - A : No., It is in the Repertory.

 - Answer : "Vaborandi."

 - A : Yes, Jaborandi.

 - This is typical for Jaborandi, images are retained too long and they have nausea, they have to vomit when seeing moving objects.

 - Who can give me the corresponding rubric?

 - Under vision, "images, too long retained" (page 280) :

 

IMAGES too long retained : Alum., anan., jab., lac-c., nat-m., tab., tub.

 

Alumina, Anantherum muriaticum, Jaborandi, Lac caninum, Natrum muriaticum, Tabacum, Tuberculinum.

 - And under stomach "nausea, looking at moving objects" (page 508),

 

at moving object (See Vertigo) : Jab.

there is only one remedy..

 - Jaborandi.

 - P : I also have lively pictures of before.

 - When I was a small boy somebody was killed in an accident.

 - I still see it before my eyes., Also when my grandfather died.

 - So all traumas, all people who have been killed in an accident remain in my memory, also strangers, especially people who were killed at a young age.

 - A niece of mine also died in a car accident and since then the old pictures appear more often.

 - A : Is this a strong symptom?

 - P : No, they only appear in difficult situations.

 - The strongest symptom is the anxiety and the over-concern about others.

 - That is the strongest symptom.

 - That was so before and it still is every day.

 - A : Here I still didn't see the remedy yet.

 - I didn't understand the essential point.

 

 Follow-up AFTER 1 YEAR (march 31,1990)

 - A : You told me that you were dizzy especially on turning your head fast.

 - P : Yes, it is worse then.

 - When I keep my head a little bit straight, not lift it too fast or lower it then it is better.

 - A : And you told me that you can't make decisions.

 - P : I'm always insecure about my decisions, afterwards I doubt them.

 - Insecure when I want to do something, insecure about my work I did, when I have to go somewhere, insecure when I have to telephone.

 - Just insecure.

 - Often I have the feeling that the dizzy feeling is a consequence of the uncertainty.

 - Also when I'm working on the car I think, `Will the customer be satisfied?" I think that I have this uncertainty, the anxieties from adolescence on, that I got these physical complaints because I'm so insecure.

 - I have never been insecure, also not about the things I did.

 - Probably I showed this and became frustrated every time.

 - Now, I've come to the point where I have to take the consequences of this longstanding uncertainty.

 - I try to convince myself with a nice car.

 - I try to prove myself without saying anything.

 - "I need a beautiful car, not because I’m haughty, but to cover the lack of my self-confidence.

 - "That's the reason why he has such a big moustache, "You see I am a man, because my beard is growing so much, that's why I have such a big moustache."

 - P : Now, it is over, I've become a little bit older.

 - But the uncertainty, that is terrible.

 - For example, at home, when I have to go to family parties.

 - I'm trembling when I have to go there.

 - I'm so insecure.

 - I like to withdraw myself, I like to be alone.

 - I also like to be among people.

 - In fact, I feel well then.

 - But because of the uncertainty I don't feel well either.

 - This is again a part of the uncertainty.

 - I can't miss my wife.

 - What should I do without her? Here the uncertainty plays a role again.

 - I have this already for quite a long time.

 - In fact, I always suffered from that.

 - A : Apparently, it appears especially when you have to go somewhere.

 - P : Yes, when we are at home it is wonderful.

 - Even with my friends I have to conquer a kind of shyness.

 - When I'm in a conversation the uncertainty goes away.

 - Often it doesn't disappear at all, it even increases.

 - Then I become dizzy, I become nauseous, I have the tendency to leave.

 - And when I come home it is better.

 - I have always had this.

 - I noticed this the first time when I became independent on the professional level at quite a young age.

 - Then it started.

 - Before that I can't remember so well.

 - Also in school I was a little bit uncertain.

 - Uncertain about what kind of figure I would cut, whether I didn't say anything wrong, always a little bit withdrawn.

 - Apparently, I only discovered lately that the uncertainty is so strong.

 - It's not a shyness, I thought about this quite a lot.

 - People come inside and when they are inside I go outside.

 - It is not a shyness, but an uncertainty because these people might talk to me.

 - I think it is a pity, because I feel well inside.

 - Is that the reason why I don't like my business, because of the uncertainty? I think it really started with it.

 - Maybe I became independent too early.

 - Suddenly, an independent job at the age of 20.

 - I think it became worse, because I don't have a hold anymore.

 - Although it is a good business I don't find any hold there.

 - When I become ill, I'll get retired; at the moment I have insurance which guarantees income, because otherwise I wouldn't receive anything.

 - That is also an uncertainty.

 - Also with my money.

 - If I don't have money in my account I'll get a breakdown.

 - Also when I buy something, even if I have the money.

 - For example, I buy a new car and if I can't sell the old car I'll get a break down.

 - I put my money in this car.

 - Uncertainty about material things, about the money.

 - I think I suffered quite a lot because of this.

 - Also with my family, when they drive away, the uncertainty, anything may happen to them, because I can't be without them.

 - I always feel the uncertainty, there is no self-confidence.

 - I can't stand alone in the world, I just can't.

 - That's why myjob is so strenuous.

 - I work like a madman in order to satisfy the customers.

 - If they stay away I can't make any money.

 - Yesterday, it came up just like that.

 - A : So, we take the vertigo as a parameter, this is the most objective, and the anxieties which is the main problem.

 - They go together.

 - At this moment I finally recognized the remedy.

 - P : Yes, yes, they go together.

 - Now, the vertigo is the main point for me.

 - At the moment it is very bad.

 - A : Because they go together.

 - The anxiety together with the vertigo.

 - P : That's what I meant.

 - He says that he has vertigo when he moves his head fast and he has a very strong anxiety about others.

 - When his wife is gone he has a very big anxiety about her.

 - He has an anxiety because of all kinds of things, also because of trivialities.

 - We could say it is an uncertainty as we know of Arsenicum, but he also has an anxiety about his health, he gets this anxiety as soon as he notices the least change.

 - At certain periods he didn't dare to go out, he stayed at home the whole time.

 - He has fear for what?

 - He has fear for other people, strangers.

 - All right, let's listen to the last follow-up of the right remedy.

 

 Follow-up (1 month later)

 - A : In the meantime an uncle of yours died?

 - P : Yes.

 - A : I gave you three tablets.

 - I gave him the remedy about one month ago.

 - A little while later his uncle died, then he relapsed and I repeated the remedy.

 - A : Last time you were here because of vertigo with qualm (a momentary faint or sick feeling.), especially when you moved your head suddenly.

 - Other symptoms were the irresolution and a lack of self-confidence.

 - Look in the Repertory, "vertigo, moving the head" and "vertigo, moving the head quickly" on page 101.

VIRTIGO,MOVING HEAD, quickly : Am-c., atro., bar-c., bry., calc-s., Calc., carb-v., coloc., gels., helod., kali-c., lact-ac., sang., spig., staph., sulph., verat.

 - If you compare the remedies of this rubric with the remedies in the rubric "anxiety about others"

MIND, ANXIETY, others, for : Ars., bar-c., cocc., phos., sulph.

- these are Arsenicum , Baryta carbonica, Cocculus, Phosphorus and Sulphur - Arsenicum and Phosphorus are eliminated, Baryta carbonica, Cocculus and Sulphur remain.

 - A : That was on March 31.

 - Now, it is May, this is one month ago.

 - Do you think you are better in general?

 - WP : Now it is a little bit less.

 - A : Before you always prayed for help and courage.

 - WP : It is less.

 - P : But I still have a relationship with God.

 - There is no difference, but it is not so cramped anymore.

 - It is more in silence.

 - Look the way he is talking, he is laughing.

 - It is as if a child is sitting in front of you.

 - Pay attention to this way of talking and laughing.

 - A : Your uncle died.

 - P : That was the only uncle whom I visited regularly.

 - WP : He was an example for him.

 - A : After his death you were in a panic.

 - Then you were very bad.

 - P : How should I say.

 - I didn't know how it should go on.

 - Then I'm afraid about myself and about my nearest.

 - I had thoughts like, "Are my nearest assured?" I wasn't so much anxious about myself.

 - Why does he have this anxiety about others?

 - Because he is dependent on the others.

 - He is dependent on his wife, he never came alone to the consultation, she was always with him.

 - And the relationship between them is like a mother son relationship; you will notice this.

 - WP : If something happens like that he is doing bad immediately.

 - A : He died one week ago and then he received the last remedy.

 - P : Before I was doing rather well.

 - WP : He said himself that the vertigo was much better.

 - P : I cried very much.

 - I didn't have problems with the dizziness.

 - There was an internal force, I don't know where it came from.

 - But before I suffered very much about it.

 - Now, there is clearly less dizziness when I get up in the morning.

 - The sleep is much better.

 - In the morning I can't start working easier.

 - There are only the anxieties, the insecurity.

 - The insecurity about my being, the existence of my nearest.

 - I feel all right.

 - I feel well when my nearest are doing well.

 - A : We also need objective symptoms, for example, the vertigo.

 - Often, it was accompanied with ear ringing.

 - P : Often I still have a kind of buzz.

 - A : But in general it is better?

- P : Yes., The vertigo was not always accompanied with ear ringing.

 - Yesterday I had ear ringing without vertigo when I lay down, but it didn't bother me very much.

 - Now I fall asleep much easier, but I wake up early, when I got stuck with the meditation, for example, when I'm aggressive.

 - An astrologer made me angry, because according to me he said something wrong, namely that the astrology and the nature are one.

 - The astrologer said that the vertigo existed because of the anxiety, that I had many complaints from arthritis, problems with the metabolism and that is right.

 - From the astrologic point of view I don't object, but essentially I was annoyed totally.

 - I decided to get rid of this person.

 - A : Have you become independent now?

 - P : Yes., I hardly intend to ask advice of other people.

 - I feel that my inner life has become important.

 - Since then I feel better.

 - There is a combination of myself and something else which tells me to stay away from it, to hold on to it, to go there.

 - I don't know, but it is funny.

 - A You have a feeling of oneness with yourself?

 - P : Yes, before I listened more to other people.

 - I do everything much more quietly.

 - Sometimes it still surprises me.

 - But the trust regulates everything.

 - I go to bed quietly.

 - A : Do you mean that you don't let yourself be influenced so easily anymore?

 - P : I became stronger, but often it also disappears.

 - It is not constant.

 - It flares up and then it is over again.

 - I keep it to myself.

 - I don't tell anybody.

 - A : Why did you start smoking again? Since the last remedy you started smoking.

 - P : Yes, since the last remedy, before I didn't.

 - WP : And much.

 - P : I smoke many cigarettes, but I only smoke very little of each.

 - I smoke only a little bit and then I throw it away.

 - A : Do you know why he smokes much?

 - Because he is less anxious about himself.

 - P : I don't have any problems from smoking.

 - A : Because you are doing better, because you are much more quiet, you dare to smoke again.

 - P : Yes.

 - After he took the last remedy he started smoking again.

 - That is a very good reaction.

 - (Laughing)

 - Yes, but you must understand.

 - Before when he took a cigarette he thought about the damage he could do to himself and how sick it could make him, and what does he say now? "It is strange, but I smoke and I don't feel bad with it.

 - Before the smoking made me sick."

 - This means that the anxiety about his health, the anxieties about all the trivialities have gone.

 - That is a very good reaction.

 - A : Does he still talk so much to you?

 - WP : Yes, Yes., Yesterday I wanted to watch television, but he was always talking, and I couldn't watch television and listen to him at the same time.

 - There were moments that he was talking to his wife and she had to listen to him.

 - He talked, talked, and talked to get rid of his anxieties and somebody who understands him has to listen to him.

 - Often he had the tendency to tell his wife everything, like a child who has to tell everything that occupies him.

 - This is also a kind of dependency and if you look it up you see Baryta carbonica is in the rubric "loquaciousness".

 - P : I don't do this anymore because I'm under pressure, but because I'm occupied by something.

 - It's impossible that we just walk around automatically.

 - We have to find out what is inside, a kind of people, which keeps us in balance.

 - WP : He always talked very much.

 - P : The talking is a kind of finding some help.

 - I have the necessity to tell something.

 - I think it is also a way of venting my emotions.

 - A : And what about the pain?

 - P : This is much better.

 - Before when I smoked a cigarette it was very bad.

 - I couldn't tolerate the pain.

 - I have to be honest, the pain is much better.

 - When I smoke much or when I start smoking early in the morning...

 - I have to wait until the afternoon to start smoking again.

 - It is better, but surely not gone.

 - WP : At this side it is also a little bit swollen.

 - P : At this moment everything hurts.

 - It is not gone, but it is better.

 - Now, I can easily take a burden.

 - A : What about the rheumatic complaints in your shoulder, your leg?

 - P : It hurts when I sit in a wrong position.

 - At a party I sat on chairs.

 - If I would have sat for a longer period it would have hurt.

 - A : Since the event with your uncle you can do things which normally you couldn't do?

 - P : Yes, as sad as it is, but after his death I made some progress.

 - It sounds funny and I don't want to connect this event to it.

 - A : Were you dependent on your uncle?

 - P : I couldn't go anywhere, but I could go to him.

 - He had obstructed veins.

 - A : In general it is a good development.

 - I mean since the last remedy.

 - P : I even noticed it the same week.

 - I was afraid of what might happen to me after the death of my uncle, but I persevered.

 - Even my aunt came.

 - She came to me and told me what our presence meant to her.

 - I don't know what she meant, but it might be that she meant that before I couldn't go to other people.

 - Even when we went on holiday I only remained in the trailer home.

 - A : You didn't go anywhere?

 - P : No.

 - WP : He stops working on Saturday and he doesn't leave our home before Tuesday morning.

 - He doesn't go anywhere.

 - P : I'm doing better.

 - Years ago I went out.

 - I just didn't come out.

 - WP : His sisters come, but he never visited them.

 - A : And now you went to a funeral?

 - P : Yes., For me it is positive, I'm grateful for it.

 - A fusee youneral is something particular, it has something to do with the worse thing.

 - WP : In fact he doesn't like to go there.

 - P : This time I didn't like to go there either, but I went there, because I felt that I was a kind of support, because I was a good friend of my uncle.

 - I could go to the funeral and my aunt was grateful for it.

 - A : When was the last time a person died in your family?

 - P : Before Christmas.

 - A : Then you couldn't go to the funeral.

 - P : No, even when they started talking about it I became nauseous and dizzy.

 - His uncle died and he was the only person whom he could go to with his wife.

 - He could not go to other family members or to other parties, it was impossible for him.

 - He could only go to his uncle whom he could talk to very well and who was like a father to him.

 - Now his uncle died and he was able to go to his funeral.

 - A few months ago the daughter of his sister died and he could not go to the funeral, he had to stay home.

 - The reason was a fear for strangers, a fear of strange environments.

 - This fear improved so much that he even could go to the funeral of his uncle.

 - P : Now I want to rationalize.

 - I think, "This isn't life.

 - I go on.

 - I have to work."

 - When I sit still it is worse.

 - In the evening when I sit still I have my little book which I love and which supports me very much.

 - There are things inside which are true internally and which help me very much.

 - A : A little while ago you took three tablets.

 - You took them immediately.

 - P : Yes, in the evening, in the morning and in the afternoon.

 - A : Now, we will wait and I see you again after awhile.

 - Did you take the last tablet one week ago?

 - P : Yes., When did I take it?

 - WP : On Monday evening.

 - P : I also drank a cup of coffee.

 - Normally, I don't drink it, but there was nothing else and I had such a dry mouth.

 - I also eat much more.

 - Before when I ate fat food I became nauseous and I couldn't digest it anymore.

 - Now, I can go to the toilet much better.

 - And the stool is different, not so small and so bright.

 - It's more dark, larger.

 - I must also tell you that I have done a meditation for already three weeks.

 - But I'm still angry with the astrologer.

 - We did a spring course with the meditation group.

 - But I think this doesn't have such a good result.

 - A : I don't know, I can't judge this.

 - P : During the spring course I ate very little meat.

 - I'm still angry with the astrologer.

 - He told me that he knew within one minute what doctors don't know in years.

 - He said it would be better for me to go to an anthroposophist.

 - They work with body and soul.

 - Is this true?

 - A : If you consider how you improved the last month can't you say that the treatment also worked on the mental level? A deeper equilibrium has to be reached.

 - But I don't discuss about it.

 - P : No, I don't mean it like that.

 - A : All right, we will take care you'll get into equilibrium.

 - P : I believe in one truth and further you can say what you want,

 - I don't let myself influence.

 - I listen but I just don't accept what they say, only that what I like.

 - Why should I listen to strangers? Now, I trust more my internal voice.

 - A : All right, that is a beautiful reaction.

 - Maybe you can understand that by finding this remedy a new world opens.

 - We all have an idea about Baryta carbonica, that these are backward people and so on, but I never could believe that this man would react to Baryta carbonica beautifully.

 - To me this was a clear Rhus toxicodendron case, I was completely sure, but I didn't get the expected results.

 - If you put everything together in this case, indeed you can recognize Baryta carbonica.

 - But does this man look like Baryta carbonica? Certainly not.

 - And therefore after treating this patient I saw Baryta carbonica from another point of view and suddenly I recognized it in many other cases.

 - Question : "What kind of anger has Baryta carbonica?"

 - A : They don't become very angry, maybe as angry as a child con be.

 - He is angry, for example, when his wife doesn't listen to him, but he doesn't hit or do things like that, the way Bufo would do.

 - Maybe he says something furiously, "Listen to me!!''

 - Last year Ananda asked me about the differential diagnosis between Bufo and Baryta carbonica.

 - That's a complete story, you just can't compare these two remedies concerning details.

 - In Baryta carbonica you see a soft childishness, while Bufo is rather foolish and can't withhold his rage.

 - You will never find this in Baryta carbonica.

 - Baryta carbonica is rather dependent, for example, on their wife.

 - Every time this patient came with his wife, looked at her and she explained everything for him.

 - When he went somewhere he could never go alone, like also Medorrhinum cannot go alone because of his anxieties.

 - Then the anxiety about the money and so on.

 - Baryta carbonica has the same insecurity as Arsenicum, but on a different level.

 - It is not a question of money or egoism, but a question of dependency.

 - Then his car, his beautiful car to cover his lack of self confidence and the very big moustache for the same reason.

 - It is a remedy for medical doctors as well as for people in other professions.

 - Baryta carbonica people don't have to be necessarily backward people, on the contrary they can be very intelligent, but characteristic in these people is a strong dependency.

 - Question : "You talked about two remedies for the big moustache.

 - Which is the other remedy?

 - A : Maybe it was Sulphur? Maybe, I don't know.

 - There are two kinds of moustaches, the normal to show the virility and the very big ones.

 - It might be Medorrhinum or Sulphur, only when the moustache is so big you have to think of Baryta carbonica.

 - Question : "Did you ever see Baryta carbonica patients with a high sexual drive?"

 - A : No., In Baryta carbonica everything is an expression of dependency, also when he wants to sit next to his wife or to put his head on her breast.

 - In Medorrhinum it has another meaning.

 - We said about Calcarea carbonica that it was a broad spectrum anxious remedy, but also Baryta carbonica has many anxieties : fear of heights, fear of others, fear that others will laugh at him, many anxieties which all are an expression of dependency.

 

CASE5 V2

 

 Mental retardation

 Baryta carbonica

 - Woman, 26 years old

 - This is a case of mental retardation and is the consequence of taking out the tonsils.

 - You will see how far this mental retardation can go.

 - I cured her father from a chronic recurrent stomach ulcer with Natrum muriaticum and her mother from anxieties and palpitations with Carcinosin, besides I cured their son from Crohn's disease with Natrum muriaticum.

 - That's why they trust me so much and they hope I can do something for this child.

 - A : Does she understand me?

 - MP : From birth on she is mentally retarded.

 - A : What do you mean?

 - MP : She is 26 years old and she has a mind of a 6-7 year old child.

 - A : You shouldn't say so if you see her sitting like this.

 - She talks, doesn't she?

 - MP : Yes., If she wants to.

 - She talks to us, but not to others.

 - The whole time she is looking to her mother or her father.

 - A : Does she bite the nails?

 - MP : Yes., Until the flesh.

 - A : Let me see.

 - This is very important, we find this in the rubric "biting nails".

 - This is something you can see.

 - Nobody will tell you that they are biting nails, you have to notice it yourself.

 - It is a pity that these patients are sitting so closely to my desk so that I can't see their hands.

 - I need a desk made out of glass, where you can see through what is happening under the desk- For example, restless feet or all kinds of movements.

 - MP : And she also scratches her face.

 - What else should I have asked?

 - Whether she scratches until she bleeds, because Baryta carbonica scratches until it bleeds.

 - Baryta carbonica does, together with another remedy, that one day puts an icy cold bottle of coca cola from the refrigerator on the itching skin and then the itching disappears.

 - Which is the remedy?

 - Answer : "..."(many propositions)

 - A : No., Which remedy from the Materia Medica has an amelioration from very cold things in cases of pain and itching?

 - Answer : "Ledum."

 - A : Yes, it is Ledum.

 - A : Did something happen during birth?

 - MP : She was born in a very normal way.

 - Only the placenta grew together and had to be taken out.

 - But she didn't suffer from it.

 - A : Which are her main complaints? About what does she complain?

 - MP : Sometimes she is very difficult.

 - She is easily annoyed.

 - A : In what sense?

 - MP : If she says, "No," she won't do it.

 - A : Often a little bit obstinate?

 - MP : Yes.

 - A : How angry can she become?

 - MP : She can become very angry.

 - A : That is not a reprimand.

 - Does she understand what we say?

 - MP : I think so.

 - Often she slams the door behind her and says, "I go away."

 - What she means I don't know.

 - Often she says, "I take my things", but she just says it.

 - Often she says something, but I have the impression it doesn't come from inside.

 - She never hits.

 - She likes children.

 - Especially, small children.

 - She can get along very well with small children.

 - We have already seen this in another case.

 - They like to be with other people of the same mental age.

 - Lycopodium likes to be with older people, Lycopodium children like to play with older children.

 - MP : If boys or strangers on the street come closer she runs away.

 - Also when a car stops to ask for the way.

 - A : Does she have a fear of strangers?

 - MP : Yes, but I prefer it this way instead of her going with them.

 - A : Was she ill as a young child?

 - MP : From the age of seven months on she had false croup and also many throat inflammations.

 - When she was two years old her tonsils were removed.

 - A : Did she have big tonsils?

 - MP : We had them removed because she had throat inflammations constantly.

 - In Holland we had a big discussion because some people did not accept my theory, namely by taking out the tonsils the defence mechanism is deprived of a possibility to express itself.

 - At the seminars in Holland on one side there are quite a lot of classical homoeopaths and on the other side there are medical doctors who want to get the diploma of Homoeopathy, but they don't accept this.

 - They said that taking out the tonsils is not of big importance.

 - But in this case it means this child's health is going downhill with this child if you take out the tonsils.

 - That's why I always say, "For the rest of your life don't have the tonsils removed by anybody.

 - They are not just there, there must be a certain reason for it."

 - MP : She started walking when she was two years old.

 - A : That's very late.

 - She started walking late.

 - MP : We had her examined.

 - They told us that she was a little bit retarded, but at that time we didn't understand what it meant.

 - Compared to other children I thought she was retarded on the level of walking, but I didn't realize that she was retarded mentally.

 - A : She has a fear of strangers.

 - That is important.

 - Was she shy as a child?

 - MP : Yes, certainly.

 - A : Did she take quite a lot of antibiotics because of the throat inflammations?

 - MP : Yes, she did.

 - A : How many times a year did she have an inflammation of the throat?

 - MP : Before one was cured she already had another one.

 - When she took all the medicine she already had a new inflammation in her throat.

 - That's why we had her tonsils removed so early, and afterwards it was better.

 - A : Afterwards the inflammations of the throat became better.

 - But do you think she was also doing better on the mental level?

 - MP : At that time I didn't know.

 - In fact it started when she was in kindergarten.

 - They told me, "She isn't ready for school yet."

 - A : Is she also afraid when she comes here? I'm also a stranger for her.

 - MP : But we are with her.

 - A : When you are with her it is all right.

 - During this first consultation she didn't say anything at all.

 - MP : Say something!

 - P : No, I don't want to say anything.

 - A : Is she too shy to say anything? We don't want to force her.

 - But it is an interesting case.

 - So, she is not aggressive, or is she? She never hits, or does she?

 - MP : No.

 - A : Rather a soft child, but she remained a child.

 - MP : Yes, I think so.

 - Only when she gets her periods she is a little bit excited, irritated, angry.

 - But I think it is normal.

 - A : I see that the gum is a little bit red.

 - Does it easily bleed?

 - MP : Not that I know.

 - A : At what age did she get teeth? Did she get them at the right age?

 - MP : Yes, at the right age.

 - She was only late in walking.

 - A : What about perspiration.

 - Does she easily perspire?

 - MP : Yes, very easily.

 - A : Where?

 - MP : She has very strong sweaty feet.

 - When we have photographs taken the water runs down because she sweats so much.

 - I think it is because she is anxious.

 - But she is always perspiring under her arms and also on her feet.

 - MP : She also has hollow feet (pes cavus).

 - "Perspiration, strangers, in the presence of' on page 1302 is a very interesting rubric which you have to look at.

 PERSPIRATION, STRANGERS, in the presence of : Ambr., Bar-c., lyc., sep., stram.

 - Baryta carbonica is capital, Stramonium is also there, but doesn't have warts.

 - A : Her feet especially perspire?

 - MP : Yes, and under her arms.

 - But I never did anything for it.

 - A : You shouldn't.

 - That's right.

 - Do the sweaty feet also perspire?

 - MP : Yes.

 - In "stinking foot perspiration" Baryta carbonica is capital.

 

 - I remember something which I want to tell you.

 - For children who have problems with ears, throat or head every time after swimming we can take which rubric?

 - Answer : "...cold and wet..." (not understandable)

 - A : No., Which rubric? A very practical rubric.

 - 'Ailments from wet, getting, head" on page 1421.

 

GENERALITIES,WET APPLICATION, getting : Am-c., ant-c., apis., ars., bell., bor., bry., calc-p., calc-s., Calc., camph., carb-v., Caust., chin., colch., dulc., eupho., hep., ip., lach., lyc., nit-ac., nux-m.,phos., Puls., Rhus-t., sars., sec., Sep., sulph., verat., zinc.

 

 - These children dry themselves completely when they come out of the swimming pool, only the hair remains wet.

 - That's why you can take this rubric.

 - Often you will find Baryta carbonica, it is not only Belladonna.

 - Belladonna will give a very acute state, a state which you easily would recognize.

 - MP : And if we go somewhere she always has abdominal pain.

 - I also think because she gets excited.

 - She always says, "I have pain here in the abdomen."

 - Here you recognize the same symptom.

 - The girl who wanted to go on holiday and got abdominal pain before; the other child with a kind of anticipation abdominal pain.

 - Here again.

 - If they want to do something particular they get abdominal pain.

 - Think about this.

 - Question : "Did you add Baryta carbonica in this rubric?"

 - A : You can add it if you want, but try to remember this, because we can't make the Repertory twice as big.

 - A : Does she have problems with colds?

 - MP : No.

 - A : Nose bleeds?

 - MP : She never had them.

 - A : Does she have bumps on the head?

 - MP : No.

 - For which symptom do I ask?

 - For wens.

 - That is a very important, objective symptom.

 - "Head, wens" on page 234.

 

 - A wen is a cyst filled with white fat which is very stinky is Hepar.

 - Question : "Did you ever see this disappearing?"

 - A : Yes, I have seen them opening spontaneously so that you can push out the fat.

 - I saw this in Calcarea carbonica.

 - A very important addition of Clarke in this rubric is Nitricum acidum.

 - A : Does she hear well?

 - MP : Yes.

 - A : Did she ever have swollen glands in the neck or things like that?

 - MP : No.

 - A : Does she riddle in her face?

 - MP : Yes., When she is watching television and there is an interesting film she riddles about with her face.

 - A : Where on the face?

 - MP : Well, you see the scars there.

 - A : Is she just fiddling about or is she also scratching?

 - MP : She is scratching and then she is also riddling about.

 - She pulls her sleeves up and scratches until it bleeds.

 - A : Does she complain about itching?

 - MP : When she has a pimple she scratches until it opens.

 - Whether she does this because she is bored I don't know.

 - A : What about her appetite?

 - MP : It is very good.

 - She eats quickly.

 - In fact she doesn't eat so much, but very quickly.

 - She still has an acceptable weight.

 - She is rather fat.

 - Yesterday somebody asked me what I think about fat women in American cities.

 - I think this is also a remedy for fat women.

 - There are quite a lot of remedies, Graphites and so on, but you should also think about Baryta carbonica.

 - A : Is she hurried in general?

 - MP : Yes.

 - A : What does she like to eat?

 - P : French fries.

 - A : Does she have a desire for anything else?

 - Sweets?

 - MP : No.

 - A : What about fruit?

 - MP : Often she eats two oranges a day.

 - A : Does she like fruit?

 - MP : Yes, she also likes apples.

 - You know that Baryta carbonica and Ignatia have an aversion fruit.

 - But she likes fruit.

 - MP : She eats sweets behind my back, she eats chocolate in secret.

 - But she doesn't admit it.

 - A : Does she have other complaints?

 - MP : Not that I know.

 - Often she blinks her eyes., I think it is because she is so excited

 - She is hiding the whole time, she is hiding her face.

 - A : Do the soles of her feet hurt while walking?

 - MP : No, she often complaints about pain in the legs while running.

 - A : Does she often have disturbances of equilibrium?

 - MP : Yes, she falls easily.

 - We had to go for a medical examination for the insurance of invalids.

 - We had X-rays taken of her back and they detected that her back was rather bent.

 - There is a difference of two centimetres between the left and right hip.

 - They can't change anything about it anymore.

 - The professor said that she could wear a corsette if she was 13 years old, but now she is fully-grown.

 - But she doesn't complain about her back.

 - Where can we find this symptom?

 - Under back, "curvature of spine" on page 887

BACK,CURVATURE of spine : Bar-m., Calc-f., calc-p., Calc-s., Calc., carb-s., carb-v., con., lyc., Merc-c., merc., op., Ph-ac., phos., psor., puls., Sil., Sulph., tarent., thuj.

 

there is Baryta muriatica and in the rubric "curvature of spine, dorsal" there is Baryta carbonica, but as I already told you I don't know the difference between Baryta muriatica and Baryta carbonica.

 

 - A : What does she do at home?

 - MP : Three days a week she goes to occupational therapy in a centre.

 - On Thursday and Friday she is at home, with us.

 - A : Does she help you at home? While doing the washing up and things like that?

 - MP : Mrnrrimnimm.

 - A : I mean, can she do the washing up?

 - MP : She can, but she doesn't do it at home.

 - In the centre where she does the handiwork she does.

 - A : What does she do at home?

 - MP : Also handiwork, sometimes dusting.

 - A : Did she ever have epileptic attacks, high fever?

 - MP : No.

 - A : When does she go to bed?

 - MP : Before she went to bed about 8 o'clock, half past 8 by herself, but lately she only goes to bed if one of us is upstairs.

 - A : Does she sleep then?

 - MP : Before she went upstairs alone, but lately she doesn't do it anymore, even if she falls asleep on the couch.

 - We tell her we won't go away.

 - We have never left her alone.

 - A : How is her sexual development?

 - MP : Also retarded.

 - A : Like everything.

 - MP : Yes.

 - This is the big difference in the differential diagnosis with Bufo.

 - Bufo has a strong sexual desire and an early sexual development.

 - Here everything is retarded also the sexual development.

 - They say about Baryta muriatica that they have a strong sexual desire, but I don't know.

 - Don't forget that she can't go to bed alone - for the follow-up.

 - I also asked whether she had epileptic attacks, but she didn't have any.

 - If she had epileptic attacks and handling the genitals, then...-for this reason I asked about what time she went to bed.

 - You know that Bufo goes to bed early to be able to seek solitude to masturbate.

 - A : You have to observe carefully so that you can report about her development, because I expect a big development.

 - Of course, it won't be so quickly.

 - The picture is rather clear.

 - Does she take medicines?

 - MP : Nothing.

 - She doesn't take anything.

 - When she has a headache I give her an effervescent tablet, but other than that she doesn't take anything at all.

 - Don't forget this remedy in abscesses of the teeth, especially as a constitutional remedy.

 - MP : At home I have tranquillizers like LEXOTANIL, once the doctor prescribed it, and if she is very restless I give her one sometimes, but I don't make a habit of it.

 - A : Now I have to examine the glands again.

 - Do you see the acne?

 - A : May I see your tongue?

 - P : (shows her tongue)

 - A : She is not interested in boys?

 - MP : No, not at all.

 - We don't have problems with it.

 - A : Does she have her menstruation?

 - P : Yes, regularly, very regularly.

 - A : So observe and write down everything you notice after the remedy.

 - Tell me how she developed, because in this case I expect a clear development.

 - MP : When we go to an examination she is always excited and then she says beforehand, "I won't say anything if they ask me something."

 - And if they ask her something she refuses to answer.

 - She cannot colour, write or read either.

 - She can copy letters in a book, but when I say a sentence which corresponds to this in the book she can't write it down.

 - A : Do you think she will take this tablet?

 - MP : I think so.

 - A : Just suck on it, only one tablet.

 - It tastes like milksugar.

 - I want to see her again after 2 months.

 

 Follow-up (march 29,1988, 2 months later)

 - A : What has changed?

 - MP : The child has become more quiet.

 - VP : She goes to bed alone.

 - A : And what about her nails?

 - MP : Now she has nails.

 - She goes to bed alone.

 - She is still scratching, but not so much anymore.

 - I think she has become more quiet.

 - She is doing better.

 - A : Before she didn't go alone to bed?

 - MP : No.

 - She is very proud of her nails.

 - Show them.

 - A : Yes, they are very nice.

 - Do you see the way she looks away; she is timid.

 - A : She bit her nails until they bled?

 - MP : Yes., And she was tearing the edge from the nails away, she doesn't do it anymore.

 - This is a very, very deep change.

 - VP : She doesn't scratch her face either.

 - MP : Just a little bit.

 - A : She scratched until it bled?

 - MP : Yes.

 - A : Last time we said that probably her total development was disturbed because of the removal of her tonsils.

 - You see that the acne is clearly better.

 - A : Is she still so restless?

 - MP : I think it is not so bad anymore.

 - A : You think that she has become more quiet.

 - The main problem was an obvious timidity, a shyness.

 - Has anything changed concerning this level?

 - MP : It is still the same.

 - A : But the fact that she goes to bed alone means that she has less anxiety.

 - MP : Yes, I think so.

 - Often we even don't know she has gone to bed.

 - I ask, "Where is she?" and then she is in bed already.

 - A : What about the enormous perspiration?

 - MP : It is still so.

 - This week she didn't feel so well and then she perspired a lot.

 - She had pain in her left shoulder.

 - A : Does she still have pain?

 - P : A little bit.

 - MP : She also had quite a lot of pain in the chest.

 - A : She had very sweaty feet.

 - Do you still have problems with them?

 - P : Yes.

 - She starts answering herself

 - A : And before she was scratching until it bled.

 - MP : Yes, also on her arms.

 - Show your arms.

 - A : Yes, it healed very well.

 - What does she do at the moment? Does she go to school?

 - MP : No, now she is 25, she will be 26.

 - Three times a week she goes to a nursing home for the disabled.

 - A : What do you do there, Ingrid?

 - Do you make products? Do they sell these things?

 - MP : No, no, these are just normal things, so that they can occupy themselves.

 - Now, they start learning to count a little bit.

 - A : However, from now on I expect that her development will go on slowly, that she will learn something.

 - Until now there was a kind of stagnation on the mental level, but we see that she has become more quiet now, that she goes to bed alone and this means that she has developed more self-confidence.

 - At least that's my impression.

 - MP : Yes, I noticed it immediately by her nails.

 - Before it was not so, and it is the same with going to bed.

 - A : Does she go to bed alone every evening?

 - MP : Not every evening, but she doesn't have to.

 - A : I mean alone.

 - MP : Yes, she does.

 - A : I think there is quite a deep change, but the changes concerning the mental performance will follow gradually.

 - MP : I don't expect something exciting will happen, but "I still hope it will develop further.

 - A : That easily falling down - previously she easily fell down - is this still so?

 - MP : Yes.

 - A : But until now she hasn't fallen down yet, has she?

 - MP : No, she hasn't fallen down yet.

 - A : She hasn't fallen down since two months.

 - MP : No.

 - A : And her knees aren't bruised.

 - MP : No., That's right.

 - (to her daughter) Yours stockings were constantly torn because you fell down so often.

 - P : Yes, that's right.

 - A : Has it ever happen that she didn't fall for two months?

 - MP : Sometimes it was more, sometimes it was less.

 - A : Do you know how long the periods were that she didn't fall down in general?

 - MP : No., It was not that she was thinking about something, it was just stumbling, she sprained her foot.

 - A : Did you sprain your foot, Ingrid?

 - P : Yes.

 - A : And do you have more desire to go into the nursing home for the disabled compared to before?

 - Your mother doesn't know that, you have to know it yourself.

 - MP : Yes, before she also liked to go there.

 - The mother must learn to be quiet so that the child can also say something.

 - MP : Before I had the impression that they talked to each other, that they were on the same level.

 - Sometimes I went with her to see what she was doing there, but I can't leave my mother alone.

 

 Follow-up (july 26,1988)

 - You can see that her face has changed.

 - She has become more adult; less childish.

 - A : I saw her in January.

 - The reaction to the remedy was that she didn't bite her nails anymore.

 - Let me see your nails.

 - P : (shows the fingernails)

 - A : Oh, they are very beautiful!

 - Do you see, she is more interested now.

 - A : Show me also the other hand.

 - They have become really beautiful.

 - Wonderful.

 - Not everybody has such beautiful fingernails.

 - A : Before she bit her fingernails off and now she doesn't do that anymore.

 - Then, what else has changed?

 - MP : Yes, before she scratched her face.

 - I have the impression she has started scratching again, but this time on her legs.

 - She is scratching her knees.

 - A : So, she's got wonderful nails.

 - Before she was scratching her face and that improved a lot, but she still does it now and then.

 - MP : I have the impression she still does it now and then.

 - It is as if the remedy doesn't work anymore.

 - A : Before she didn't dare to go anywhere.

 - How is it at the moment?

 - MP : She is not so anxious anymore.

 - She still goes to bed alone, she didn't do that before either.

 - A : When you called me you even told me that she goes out alone on the street.

 - MP : Yes, now she dares to go away alone.

 - A : She is also a little bit obstinate, isn't she?

 - MP : If she says "no" she means "no".

 - A : Tell me, Ingrid, how often do you go to the nursing home for disabled? Or is it different during the holidays?

 - P : Yes, four days.

 - A : Tell me when do you go there?

 - P : On Monday, Tuesday, Wednesday and Thursday.

 - Now she says it herself.

 - A : And when does it start?

 - P : In the morning.

 - A : At what time do you start? When do you have to be there?

 - P : I don't know.

 - A : You have a watch, don't you? At 9 : 00 o'clock?

 - P : (doesn't answer)

 - A : And do you have lunch there?

 - P : Yes.

 - A : At what time do you stop in the evening?

 - P : (doesn't answer)

 - A : You know it but you don't want to say it,

 - Well Yes., Anyway you have lunch there, but you don't have dinner there, do you?

 - P : Yes, I do, slices of bread.

 - A : Also in the Centre?

 - P : Yes.

 - A : And you have breakfast at home?

 - MP : Yes, she has.

 - A : And do you have to go there during the holidays as well?

 - P : Yes.

 - You see there is a very, very deep change.

 - Question : "When did she receive the last remedy?"

 - A : I didn't repeat the remedy, she got it only once.

 - In these small, partial relapses I don't repeat the remedy.

 - In acute states with fever I repeat the remedy and then she makes one step forward in her development. 

 

 

 Case 6 v2

 

 Baryta carbonica

 - Man, 45 years old

 - The diagnosis in this case is chondromalacia, called so by a doctor, a specialist in sports medicine, who has worked in our Centre for two years.

 - The patient is a young man, a nurse who had problems with his knee.

 - I have known him since 1963.

 - At that time we were studying together to become nurses and we lived together in the same room.

 - Even at that time it was strange, he never went out drinking with us.

 - At that time we drank beer 90% of our free time, and the other 10% we studied.

 - Together with a few other nursing students we took a guitar and in the evening after class we went to the city and sang in the pubs.

 - That's the way we earned our beer money.

 - We stayed out until 3 : 00, 4 : 00 o'clock in the morning and afterwards we went back to the hospital.

 - The nurse on night duty prepared eggs and bacon and afterwards we went to bed.

 - We had a busy night life, we were real night owls, but only with music and beer.

 - And this patient lived together with me in the same room, but he never joined us on the tour of the pubs.

 - To become a nurse you don't have to study as much as when you want to become a doctor, so it was sufficient when we started studying one or two months before the examination.

 - But this person studied the whole year.

 - He was a very quiet, very mature person, much more mature than we were at that time.

 - At least that's what I thought.

 - I saw him again a few years ago.

 - He came in with pain in his joints and distention for which I gave Lycopodium, but it didn't help.

 - Then he didn't come in for two years and now he comes in with a very serious problem.

 - He had already seen another doctor who worked in the Centre before who had given him an injection in his knee, something natural, I don't know what exactly.

 - After this injection he came to me and said that it didn't help - and then I recognized the remedy.

 - A : You have had complaints with your knee for quite a long time.

 - Do you have problems with other joints?

 - P : Before I had quite a lot of problems with my back and I also had problems with my shoulder and elbows.

 - A : Last time you were here 6 weeks ago.

 - Can you tell me what kind of problems you had?

 - P : I had pain while going upstairs and downstairs.

 - It started in winter.

 - I started bicycling and then it became worse.

 - A : Did you have pain while going upstairs and downstairs?

 - P : Yes, stitching pain in the knee at the inside.

 - I have pain in the kneecap.

 - The problem was stitching pain while going upstairs.

 - Let's look at these rubrics.

 - Pain, stitching, knee, ascending stairs" on page 1148,

GENERALITIES, PAIN, STITCHING, KNEE, ascending stairs : Agar., bar-c., bry., sulph.

there are four remedies : Agaricus, Baryta carbonica, Bryonia, and Sulphur.

 - What else do you observe?

 - Baldness of the head.

 - Look under head, "hair, baldness " on page 120, there is only one capital remedy.

 

HEAD, HAIR baldness : Anac., apis., Bar-c., fl-ac., graph., hep., lyc., phos., sep., sil., zinc.

patches : Apis., calc., graph., hep., lyc., phos., sep.

young people : Bar-c., sil.

 

 - Question : "How old is he?"

 - A : How old? 45 years old.

 - Remark : "Baldness in...(not understandable)"

 - A : Not in the rubric "young people".

 - "Baldness" in the general rubric, Baryta carbonica is capital.

 - Hair, baldness, young people" there is only Silicea and Baryta carbonica.

 - He will tell that he has this baldness since he is 19 years old.

 - If you see somebody with baldness and a very big moustache you know what kind of remedy it is.

 - Because they have baldness they have to show their virility in another way and therefore they grow a very big moustache.

 - Now we have to be sure whether this is Baryta carbonica, because if we would prescribe Baryta carbonica only on these two symptoms it would be a prescription of key-notes.

 - A : That was your main problem?

 - P : Yes.

 - A : What kind of medicines did you get from the sports doctor?

 - P : Injections in the joints.

 - I got one on the left side and two on the right side.

 - At that time the most complaints were on the left side.

 - On the left side the complaints are gone, but I still have them on the right side.

 - A : When you came here you still had major complaints.

 - I gave you a remedy, and since then it is clearly better.

 - P : Yes.

 - A : What about the bicycling?

 - P : Yesterday I went bicycling.

 - When I do a lot of movement I still feel something below on the right side.

 - A : Does the stitching pain still appear?

 - P : No., With certain movements I still feel something.

 - A : Now, for the first time you can say that the complaints are clearly better.

 - P : Yes.

 - These complaints are an expression of a kind of sclerosis, a lack of flexibility in the cartilage, early aging.

 - Also the baldness is an expression of it.

 - A : Do you have other complaints?

 - P : Yesterday I worked in the garden and I got pain in my back while lifting something.

 - It is not constant.

 - D : You didn't have this before?

 - P : No., I always have a little pain in the back, but after I worked in the garden yesterday it is worse.

 - A : I saw you the first time in 1980, for an allergy, sneezing and running nose.

 - You said that you are an anxious person.

 - You are a nurse by profession.

 - Can you tell me what you are afraid of?

 - WP : I think he is more anxious when he is among people.

 - There is a small group where he feels at ease, but when he is among strangers or among people whom he doesn't know, he becomes insecure and then he doesn't feel well.

 - Do you know the reason why he didn't go have a beer with us?

 - A : Has this always been so your whole life?

 - P : Yes, since primary school.

 - I still remember.

 - A : What do you mean?

 - P : Often I had to fetch something and didn't dare to.

 - They told me

 - "Do this, do that," but I was just too timid.

 - For this reason I gave him Lycopodium in 1984.

 - Do you see my mistake?

 - I interpreted this as an anticipating fear and therefore I gave him Lycopodium.

 - But he does not give the appearance of what you would expect of Lycopodium, haughtiness and constant theorizing.

 - A : At what age did you learn to walk?

 - WP : His parents always said that he wasn't early.

 - These people are also good husbands.

 - They do what their wives tell them to do, they never come home too late and they go with their wives to festivals and things like that.

 - These are really obedient husbands.

 - A : Do you remember your early childhood?

 - P : When I was one year old I had croup.

 - A : Real croup or inflammation of the throat, false croup?

 - P : False croup.

 - A : And what about your tonsils?

 - P : They haven't been removed, although often I had inflammations of the throat.

 - In most Baryta carbonica cases you will see that the tonsils have been taken out.

 - If they still have tonsils they are very big and if you look at them what do you remark?

 - Veins on the tonsils.

 - If you look under throat "varicosis, tonsils" on page 470 you see Baryta carbonica, Baryta muriatica, Hamamelis and Lachesis.

 

THROAT, VARICOSIS ,Tonsils : Bar-c., bar-m., ham., lach.

 

 - You know that there is hardly any difference between Baryta carbonica and Baryta muriatica.

 - We tend to give Baryta muriatica in acute cases, in acute tonsillitis, but often we also give Baryta carbonica.

 - We don't know the difference and if somebody knows the difference he should tell us.

 - The distended veins on the tonsils is one of the signatures, one of the key-notes of Baryta carbonica.

 - Second, while feeling you often find nodes at the occiput, enlarged lymph nodes.

 - A : The tonsils haven't been taken out?

 - P : No.

 - A : Did you always have enlarged tonsils?

 - P : Yes., At the moment I don't suffer anymore from them.

 - A : At that time you also told me that you were anxious when you felt something.

 - WP : He is really anxious at the least little thing he feels.

 - He gets anxious if you talk about a doctor, then he gets listless, he doesn't say anything at all.

 - As if he is thinking very deeply.

 - You see that Baryta carbonica is not in the rubric "anxiety about health" .

 - But this is not a peculiar anxiety.

 - They have a lot of anxieties.

 - The basic anxiety is the fear of strangers and the delusion that they will be laughed at.

 - This is the main idea of Baryta carbonica.

 - A : Is the anxiety about you or the children as strong as the anxiety about his own health?

 - P : No., It's not as bad.

 - I think I'm more anxious.

 - Of course it depends on what it is.

 - A : He is more anxious about his own health.

 - What about making decisions?

 - WP : It depends on what kind of decisions.

 - A : How did you do in school concerning learning.

 - P : I didn't have problems with it.

 - We didn't have to learn so much, if you knew the catechism it was sufficient.

 - A : Didn't you have problems in studying?

 - P : I did.

 - I learned too little.

 - A : You didn't like studying, did you?

 - Did you repeat a school year?

 - P : I had to repeat the fifth grade.

 - I didn't like to learn.

 - If somebody has to repeat a year there must be a reason for it.

 - If he had to repeat a school year because he was a little thief and stole all kinds of things you can forget about Baryta carbonica, but in such a good boy the reason is either a lack of understanding or a lack of interest, and then you should think about this remedy.

 - Usually they are very good in the first class when they are about seven years old and then every year it becomes worse and worse, until they go to gymnasium at the age of twelve, then the real problems start.

 - In the first grade they are so good.

 - They do everything they have to do because they are so good.

 - This is a typical Baryta carbonica development.

 - It might happen that such a person becomes a doctor, but only by working very hard.

 - A : If you go somewhere eating with your wife and your children and you are sitting somewhere in a restaurant how do you feel?

 - P : We often do.

 - A : Don't you have the feeling of being looked at?

 - P : Yes, I don't like being looked at.

 - WP : He is very sensitive to it.

 - A : That they are talking about you.

 - P : Yes.

 - This is a "delusion being laughed at".

 - This is one of the big keynotes, of the mental key-notes of Baryta carbonica.

 - 'Delusions, laughed at, imagines she is" on page 28.

 

Mind, delusion, laughed at, imagines she is : Bar-c, Ign, nux-v, Ph-ac, Sep.

 

 - That's why they are uneasy when they are in a strange place, for example, in a restaurant

 - A : Do you also have this at work?

 - P : No., It is not so bad at work.

 - Of course, I think everything concerns me.

 - A : Are you afraid of strangers?

 - P : For a public performance.

 - When I have to do something in public.

 - A : For example, read something in church.

 - WP : He wouldn't do anything like that.

 - P : I can't.

 - A : Is he a hurried person?

 - WP : No, rather quiet Often too quiet, I think.

 - A : What about making decisions? You didn't answer that question yet.

 - WP : He says that I wear the trousers at home.

 - At home automatically I make the decisions because he never makes decisions.

 - A : Do you easily perspire?

 - P : Yes.

 - A : Under which circumstances?

 - P : If there are some tensions.

 - Also while bicycling.

 - A : Do you perspire a lot?

 - P : Yes., Yesterday I was soaking wet while bicycling.

 - A : What about tension? Do you feel tense at the moment?

 - P : Yes, a little bit.

 - A : Do you perspire especially under the nose?

 - P : No, everywhere.

 - Do you see? His wife is wiping off the sweat and he let it happen.

 - A : Is he easily depressed?

 - WP : Yes., He just sits there.

 - He doesn't say anything and you can't say anything because otherwise he gets angry.

 - A : He doesn't want to be disturbed? .

 - P : No.

 - A : Does he want to be alone then?

 - WP : Yes., He prefers to go bicycling, and to be away.

 - A : Bicycling is your hobby, isn't it?

 - P : Yes, for 15 years.

 - A : Is this your life?

 - P : No.

 - WP : Partly it is.

 - P : It is my free time.

 - WP : On the bicycle he feels well.

 - A : If you go bicycling you feel well?

 - P : Yes.

 - Occupation ameliorates, Baryta carbonica is there.

 - A : Do you go bicycling alone?

 - P : Yes, usually.

 - A : Do you feel better when you go bicycling alone?

 - P : Not particularly.

 - But we trained alone.

 - A : Do you feel well on the bicycle? When you are away and ride fast?

 - P : Yes, I exhaust myself a little bit, but not too much.

 - Do you know these bicycling people? In Belgium they go in big groups, I don't know whether it is so in Germany.

 - Like a flock of sheep they bicycle 20 or 30 km through the country.

 - All of them they are a little bit too fat, 40,50 or 60 years old and they do this to loose some weight.

 - They stop at a pub because they are very thirsty, drink 3, 4 bottles of beer and eat some French fries with quite a lot of mayonnaise and go on bicycling.

 - But when he goes bicycling he goes alone, he doesn't want to bicycle in such a group.

 - Strange.

 - A : At what age did you start talking? Did your parents ever tell you?

 - P : No.

 - A : Does he talk in his sleep?

 - P : Yes.

 - A : Does he easily weep?

 - WP : Lately he does.

 - With the slightest thing he has tears in his eyes.

 - A : At what age did you begin to get bald?

 - P : When I was 18 or 19 years old.

 - A : That is early?

 - P : Yes., I always got a prickling on my head, as if some needles were stitching.

 - "Head, prickling" on page 22, there is also Baryta carbonica.

 - P : My moustache also fell out.

 - I think there was too much tension in class.

 - A : Can he become angry?

 - WP : Yes.

 - A : Very angry?

 - WP : Yes, usually with the children.

 - But he easily forgets.

 - Usually these people can't become angry.

 - I mean, they can become angry, maybe inside, but they do not dare to show this anger.

 - I lived with him for three years and we saw each other every day, but I never saw him angry.

 - A : Does he become really angry?

 - WP : No, usually his reactions are the opposite of what one would expect.

 - When the children fall he would hit them instead of seeing what happened.

 - He became angry when the child fell down the stairs and he would hit him for what happened.

 - He reacts differently, than I would expect.

 - A : As a child did you play with friends or were you a solitary child?

 - P : Always with friends.

 - I can't remember playing on my own.

 - A : Do you easily remember things?

 - P : No, not anymore.

 - Before

 - A : How do you notice that your mind is worse? At work?

 - P : Not particularly.

 - Not on all levels.

 - For example, I have to read something a few times before I understand.

 - Before I didn't suffer so much from it.

 - This is the remedy for early arteriosclerosis, but also for early arthrosis, for chondromalacia and early hypertension.

 - A : You told me you liked sweets?

 - P : I like sweets, but I became too fat.

 - A : What else besides sweets?

 - P : Soup.

 - Good thick soup.

 - A : Do you have other strong desires?

 - P : Milk pudding, pastries.

 - I also like French fries.

 - I have eaten chocolate for quite a long time.

 - Now I'm trying to put myself on a diet.

 - A : What kind of things don't you like?

 - P : (To his wife).

 - You should know.

 - A : Do you like fruit?

 - P : I like oranges, I eat quite a lot of apples.

 - I also like strawberries and cherries.

 - A : Do you like all kind of fruit?

 - P : I don't like grapefruit.

 - They have a strange taste.

 - I don't like bitter things.

 - A : There are no other strong desires?

 - P : No, in fact not.

 - A : Do you like asparagus?

 - P : Oh yes, I do.

 - You know that Baryta carbonica has an aversion to plums.

 - A : Your so called arthrosis complaints - or how do you call them?

 - P : Injuries of the cartilage.

 - A : Yes., So that has improved clearly and I think it will go on improving.

 - If it becomes worse we will have to repeat the remedy.

 - Before you had hepatitis, a disturbance of the function of the liver.

 - Do you still have complaints with that?

 - P : No., Often my urine is still dark, but I don't have complaints with it anymore.

 - This was an interesting case for me, because I didn't expect learned people to need Baryta carbonica.

 - Question : "Did you also see children with baldness?"

 - A : Yes., Silicea is the most important remedy in baldness in children.

 - It concerns these white, emaciated children with baldness.

 - Question : "..?"(not understandable)

 - A : He doesn't have pain anymore.

 - I mean, at the beginning of the consultation he talked about the result of the treatment, that the pain in the knee has nearly gone and that he can ride on a bike again.

 - Before he suffered from these pains for quite a long time and he has already been to a physiotherapist who injected something in the knee, but it didn't help.

 - Question : "There are two Points : he has a weak memory and he easily weeps...(not understandable).

 - Why didn't you repeat the remedy?"

 - A : I didn't repeat the remedy, because the weeping was not so bad and a memory weakness is a normal symptom for Baryta carbonica.

 - To repeat we have to wait until the physical symptoms appear clearly again, that is the right moment.

 - If he would get, for example, an acute tonsillitis, it would be very interesting.

 - You may be sure he will need the remedy and this administration will have a clear influence on his constitutional state.

 - As long as there is no acute state it is better to wait, because if you repeat the remedy too early there is no effect.

 

CASE 6 V2

- Man, 55 years old

 - The problem of this man is impotency.

 - I saw him before and gave him a remedy.

 - It sometimes happens that you give somebody a remedy, afterwards he is doing better, but you already see another remedy, namely his so called constitutional remedy.

 - You could say that you didn't have to give the first remedy at all, that the constitutional remedy would have given the same result.

 - But what is meant by a constitutional remedy; the constitution? Nobody can answer this question exactly.

 - Maybe this so called constitutional remedy would have given the same result, it is possible, but we have to take the symptoms of the patient as they are and try to find the remedy, which has exactly these symptoms.

 - This is the only right way to practice Homoeopathy.

 - A : I saw you the first time in October 1988.

 - Your problem was impotency.

 - You couldn't get an erection.

 - A kind of fear of failure.

 - You have been a widower for three years.

 - You started a new relationship and have a kind of fear of failure.

 - Before your wife died she was already sick for three years.

 - She had a brain tumor and you took care of her.

 - P : From the beginning of the illness until she died.

 - A : Now in this new relationship it is difficult for you to get an erection.

 - P : Not at the beginning, but then suddenly it started.

 - A : What do you mean?

 - P : I became anxious whether I could get an erection or not.

 - A : You were anxious because of the fact that you couldn't do it.

 - P : Yes.

 - A : A second point was that you couldn't make decisions.

 - You couldn't make up your mind about which clothes you would buy.

 - P : You asked me this question and I confirmed it, because I am a person who easily doubts about things.

 - I'm always irresolute.

 - I always like somebody to be around to give me a push so that I can make decisions.

 - I'm always thinking, `Would this be all right?" I'm thinking, "What I do now, would this be correct?"

 - A : But on the technical level, which you know very well, you are rather good?

 - P : Yes.

 - A : On the levels which you control well it was all right.

 - But otherwise you easily doubt.

 - P : Yes, also concerning the combination of colours and things like that.

 - A : What do you mean?

 - P : Well yes, what I should wear : a grey shirt with a red tie? Or something else?

 - A : You don't know what you should do.

 - P : No.

 - A : Was this also before?

 - P : I always relied on my wife.

 - She selected everything for me.

 - A : Before your wife supported you always.

 - P : Yes., When she said, "Put this on," I could be sure it was good.

 - It was so.

 - That's how I experienced it.

 - A : In fact you had this problem of self-uncertainty before?

 - P : Yes, it might be, but it was never expressed this way.

 - A : It was solved by your wife.

 - And now suddenly you are alone and you do it on your own.

 - P : I never had this fear of failure with my wife.

 - A : But still you already had a kind of self-uncertainty with her.

 - Another point is that apparently you were insecure on all kinds of levels except for the professional which you control very well.

 - You don't have problems with it at all.

 - That is typical.

 - You have children.

 - How many children do you have?

 - P : Three daughters.

 - A : Before you emphasized that you were really worried about the children.

 - P : It is even stronger after the death of my wife, because I had the feeling that I had to take the burden on my own.

 - I want to put them on the right road and educate them decently.

 - Often it was difficult to agree with the friends whom they were going along with.

 - It's a generation gap.

 - A : Often the concern was exaggerated?

 - P : It was too exaggerated.

 - A : What do you mean?

 - P : Afterwards it was solved by itself, I became in a panic too early.

 - A : Could you give me an example to prove your over-concern?

 - P : Especially on the level of studies.

 - I didn't get big difficulties, but I was very concerned.

 - Because they had to work for it.

 - Some students only have to look at the subject matter and they already know.

 - But I had the feeling that my children really had to work for it.

 - A : It was strange that you could get an erection in the morning.

 - So in the morning the penis became stiff.

 - It is strange.

 - Only in the morning.

 - P : Yes.

 - That is a strange symptom.

 - "Erections, morning, only" on page 694, there are only two remedies.

 

GENITALIA MALE, ERECTION, MORNING, only : Bar-c., pall.

 

 - A : Apparently you got an erection at the moment you weren't completely conscious, but when you were completely awake there was uncertainty and the erection was gone.

 - There were mental causes.

 - P : Yes., Maybe my education plays a role.

 - At home I was raised in a Christian way, and now I live with a woman who is divorcing.

 - But I find this woman attractive, there are other women who don't move me at all.

 - I feel that maybe I'm not doing the right thing, but I still go on with this woman.

 - A : Do you mean that your thoughts are not good?

 - P : Maybe because of the education it is not good.

 - A : But you feel something for this woman.

 - P : Yes, otherwise it won't work.

 - It was mutual.

 - If I feel something for her and she didn't feel anything for me or the other way round, then it is difficult.

 - I can't go out with somebody whom I don't feel anything for.

 - On that level I have to feel something.

 - We talked about it together and found a solution.

 - When I decide and promise something I hold on to it.

 - I wouldn't do anything if I'm not behind it.

 - This is not the easiest way, I know.

 - I could have other women whom I don't care for at all, but I don't mind.

 - It's not my intention to have a small adventure, and I don't do it.

 - I mean it seriously.

 - Since I have been in treatment here I'm more resolute.

 - A : That is the effect of the remedy.

 - I also asked you whether you had inflammations of the throat as a child.

 - P : Yes., I also had inflammations of the lungs.

 - A : And an abscess of the lung.

 - P : Yes, but I don't know anything about it, I was only eleven years old.

 - A : Do you remember whether you had inflammations of the throat regularly as a child?

 - P : Yes, up to the age of 16, 17 years I got it every two years.

 - A : What?

 - P : The inflammations of the lungs.

 - But afterwards they disappeared.

 - A : But do you remember whether you had inflammations of the throat?

 - P : No., Not that I really suffered from it.

 - A : Have the tonsils been taken out?

 - P : No.

 - A : Concerning your mood, you were easily depressed, sad.

 - P : I was only sad after the death of my wife, only afterwards.

 - Maybe, I was also before, but I really had good support.

 - My wife could really pull me up.

 - I could count on her.

 - Without her I am lost.

 - And now with this new relationship it has changed a little bit.

 - My life has more sense.

 - A : I gave you the remedy in M potency on October 7.

 - You came back on December 2.

 - That was nearly two months later.

 - You told me then, "I think it is clearly better", and I wrote down, that you were very satisfied.

 - After you took the remedy you were ill, you were very bad.

 - P : Yes, I had a headache.

 - A : Can you tell me what you felt exactly after the remedy?

 - P : A paralyzed feeling and headache.

 - And I couldn't have intercourse, it was impossible.

 - A : You said, "I did things which I couldn't have done."

 - Could you give me an example?

 - P : You know that I'm a widower and I have a new relationship and I'm looking for a new house.

 - I decided to sell my house.

 - This is a decision which I don't have problems with, although I would have before.

 - A : This is a very important decision.

 - P : Yes, I think so.

 - But I think this is the best solution, because I still have so many memories at home, which wouldn't be good for my new relationship.

 - She is leaving her home as well, and then together we will start a new life.

 - A : You decided this?

 - P : Yes, I did.

 - And I don't regret it.

 - A : Do you live together at the moment?

 - P : Not yet.

 - A : Do you have problems with coition?

 - P : Yes, sometimes I do, sometimes I don't.

 - You gave me one tablet to take home.

 - I took this at New Year, because I noticed that I was doing badly.

 - It doesn't happen every day, but sometimes when we sleep together and it lasts too long, the erection goes away.

 - I didn't experience this before.

 - There should be a foreplay, but when it lasts too long the erection goes away.

 - A : But what is "a long time" according to you?

 - P : 5 minutes is already a long time.

 - A : So you are easily excited.

 - P : Yes.

 - A : But could you have intercourse?

 - P : Yes.

 - But it also happens that the erection goes away and then I don't feel well.

 - When I have intercourse I'm the happiest man in the world.

 - I also want to make my partner happy.

 - A : If you compare this with the situation before you came here it is really better.

 - P : Yes, but it is not gone.

 - Not 100%.

 - I want to tell you this today.

 - You want me to tell this, don't you?

 - A : Yes, you should say what you have in mind.

 - You got the remedy the first time on October 7.

 - It has become clearly better and I gave you the remedy in December to take home and I advised you to wait.

 - You waited but one month later you took it.

 - How was the reaction to the second administration?

 - P : I felt better.

 - A : I will give you the remedy in a tube again.

 - But you may only take it if you clearly feel it's becoming worse.

 - P : Otherwise not?

 - A : No.

 - P : Between Christmas and New Year I noticed it became worse and I took it on January 2.

 - But it didn't help as much as the first remedy.

 - Besides after the first remedy I was like paralyzed.

 - But I didn't notice it with the second remedy.

 - A : The aggravation is not so important the second time.

 - But the bigger the tree which you cut the bigger the difference is.

 - I hope that you understand this.

 - The patient comes with a big problem, so a big tree.

 - You cut the tree, this means you give the remedy and the reaction is very good.

 - The patients tell you, "The first remedy worked beautifully."

 - Then the tree starts growing again, but only a little bit and if you cut this tree again the difference compared to before is not as big as the first time.

 - This is the same with the daughter of a colleague whom I gave a remedy.

 - The colleague said that the first remedy acted very well, the second less and the third still less, but in general the symptoms are better.

 - P : Now it is better.

 - A : This is because the complaints were stronger at the beginning.

 - P : Is it normal the way I reacted?

 - A : Yes, yes, it was a perfect reaction.

 - I want to point out that everybody wants to feel optimal.

 - P : And yet I'm still doubting, `Will it succeed or not?" And then it turns out to be a disappointment.

 - A : All right, nevertheless you improved a great deal.

 - P : Yes, slowly it becomes better.

 - I don't know what I can do for you if this really becomes good.

- A : You have also become more self-secure.

 - P : Yes, I told you what I did.

 - And I don't have problems with it.

 - Nobody had to force me, to push me.

 - We made the decision ourselves.

 - I didn't have difficulties with it.

 - I feel it is the best solution.

 - I'm satisfied with this decision.

 - A : All right, we'll go on in this direction.

 - After this consultation he showed me his fingernails and said, 'Doctor, look at my fingernails, they break off so easily."

 - Do you think this man will be cured by Baryta carbonica? I mean really cured?

 - You know that Kent writes about Baryta carbonica that everybody will come in a Baryta carbonica state by a sudden event, a state with this lack of self-confidence.

 - Maybe in this patient it was the death of his wife, but before he already had a kind of indecision.

 - Baryta carbonica did quite a lot in this Person, but which remedy do you think will solve this problem finally? With this appearance?

 - Answer : "Silicea."

 - A : Yes, Silicea.

 - Look in the small book about the relationship of the remedies with each other, there it says that Silicea is complementary to Baryta carbonica.

 - The first time when he came he didn't complain about his fingernails at all, now he says that they easily break off.

 - This means that now the moment has come where he is susceptible to Silicea, because he is pushing up a symptom, the breaking off the nails, for which Silicea, Antimonium crudum, Squilla and Sulphur are the remedies.

 - For this reason I gave him one month ago Silicea and this will cure him profoundly.

 - I can't say what would have happened if I ignored Baryta carbonica and started giving him Silicea from the beginning, because he is clearly Silicea by appearance.

 - If you see somebody with hair like straw, this means, dry, inflexible hair, this is Silicea until you can prove it is another remedy.

 - Do you understand why he has erections only in the morning? The reason is his consciousness.

 - I mean at the moment he is waking up, but is not completely conscious he has an erection, but when he becomes awake the anxieties come back, "will it succeed or not?" and the erection disappears again.

 - Many other remedies might have this, I don't know.

 

Case 7 V2

Cracks on fingers

 Baryta carbonica

 - Woman, 45 years old

 - JUNE 30,1989

 - This woman came in with cracks on her hands and fingers and as you can see she has dark red lips, she is clearly pIethoric and she even has distended veins on her face, a symptom which also belongs to Sulphur.

 - This appearance of cracks on the fingers, which are worse in the winter, led me to which plethoric remedy?

 - To Sulphur.

 - That's why I have given Sulphur for at least three years and I repeated it a few times a year, but I was never really satisfied.

 - The cracks became better and worse again, it was constantly going up and down, until one day a lot of new problems appeared and then I recognized the remedy.

 - But I recognized it only because she developed a certain strong anxiety.

 - Another problem was the high blood pressure for which she has taken anti-hypertensives for years.

 - Besides she had swollen feet, so she also took diuretics.

 - Her problem was swollen feet, hypertension, cracks in the fingers and anxieties.

 - The cracks were indeed on the hands, but especially on the fingers.

 - If somebody has cracks everywhere, several places, you have to take the general rubric under skin, "cracks".

 - But if somebody has only cracks on the fingers you have to take the rubric "cracked skin, fingers" under extremities on page 970.

 

EXTREMETIES, CRACKED SKIN, Fingers : Am-m., bar-c., Calc., cist., hep., kali-c., mag-c., merc., Petr., phos., Sars., sil., zinc.

 

 

 - There is also the subrubric "cracked skin, fingers, tips of 'with Aurum muriaticum, Baryta carbonica, Graphites, Petroleum.

 

tips of : Aur-m., bar-c., Graph., Petr.

 

 - I made Baryta carbonica capital.

 - All right, let's listen to the story.

 - A : You are somebody who is rather full-blooded.

 - You always had dark red lips.

 - Your original problem was cracks on your hands and feet.

 - These were really serious deep cracks.

 - P : Concerning my hands, compared to the last time I don't think they have become worse.

 - A : Compared to the first time it is surely better.

 - P : I think they were even better last week.

 - She might have the appearance of Sulphur, but she doesn't behave like Sulphur, not at all.

 - A real Sulphur patient has to behave like a Sulphur; if this is not the case we have to be careful.

 - P : I also had swollen hands this week.

 - A : Were your hands swollen?

 - P : Yes.

 - A : All right, that is the problem.

 - I will read what you said at the first consultation, "Cracks on the hands and feet, fear of heights even on a stepladder, dark red lips, itching of hands and feet, itching in bed in the evening."

 - I mean, the itching is worse between the toes in bed in the evening.

 - Often you put your feet out of the covers at night.

 - You are afraid of the dark.

 - You are over-concerned about others, especially about your family members.

 - This is another Sulphur symptom, "anxiety about the others".

 - A : This corresponds to the remedy you got at that time.

 - There was something which I didn't like, namely you always slept on the right side and not on the left.

 - Don't forget that Baryta carbonica is one of the remedies who can't lie on the left side.

 - It is not in the Repertory, but it is important for the differential diagnosis.

 - Question : "...on the left side."

 - A : No, they just can't lie on the left side.

 - It is not in the Repertory, but .

 - I made an addition from cases, because many Baryta carbonica patients can't lie on the left side, just like Lachesis.

 - The distended veins in the face are an expression of sclerosis.

 - Do you know the rubric "face, veins, distended" on page 396 and do you know which remedies are there?

 - If somebody can not lie on the left side it is important to think of Baryta carbonica. …. TODAY …There are a lot of other remedies which can't sleep on the left side.

 - Question : "In the rubric face, veins, distended' Sulphur is not there?"

 - A : Yes, that's right.

 - Sulphur has to be added, but - Do you have the additions for Sleep, position, side, on, left, impossible"?

 - These are Baryta carbonica, Ceanothus, Hydrastis, lberis, Naja, Ptelea, Spigelia, Thea and Viburnum.

 - Question : "And cracks in the fingers this is also a Sulphur symptom, isn't it?"

 - A : Yes, but Sulphur has cracks all over.

 - Remark : "But they can be at the fingers."

 - A : Yes, the cracks can be at the fingers, but in Sulphur we often see that there are deep cracks in the palms of the hand.

 - Sulphur can have cracks all over and in this case we have to take the general rubric under skin, "cracks".

 - P : Yes, that's right, but lately I can lie better on the left side.

 - If you think that you should give Sulphur and the patient can't lie on the left side there is something wrong.

 - Question : "In the Repertory Baryta carbonica is in the rubric 'sleep, position, side, on, left, but not in the rubric 'sleep, position, side, on, left, impossible

 - A : Yes, but Baryta carbonica has to be added in the rubric, Sleep, position, side, on, left, impossible".

 - Besides they can not bear the sun, so that the differential diagnosis with Lachesis is not easy in certain circumstances.

 - You don't have to add Baryta carbonica in this rubric, it is your decision, but I am sure it should be added in this rubric.

 - Question : "Can you repeat in which position Sulphur sleeps?"

 - A : On the left side.

 - Question : "Only on the left side?"

 - A : Mostly on the left side.

 - As we have seen most of the real Sulphur patients sleep on the left side.

 - If a Sulphur patient sleeps on the right side we have to be careful, probably it is not Sulphur.

 - A : Sulphur was given for many reasons.

 - It was in 1986.

 - Then Sulphur was repeated in August 1986, in October 1986 Sulphur 50M, then again Sulphur 10M in May 1987, in November 1987 again Sulphur 10M, then again a few times Sulphur 50M.

 - Apparently, there was a slight improvement, but not to cure these cracks completely.

 - In the course of the treatment a very, very strong anxiety appeared.

 - I will read the past history : As a child you already had cracks on your hands.

 - P : Yes, I have suffered for quite a long time.

 - A : Second, in the past history there is high blood pressure.

 - When you hear about cracks in the fingers together with high blood pressure as a reflex you have to think of Baryta carbonica, as well as you think of Natrum muriaticum when you hear about hay fever with migraine and pain in the back.

 - The idea for the remedy is there and I ask all the other questions just to confirm the remedy.

 - P : Yes, but at the moment I don't have problems with high blood pressure.

 - A : Do you still take diuretics?

 - P : Not now anymore.

 - No.

 - I stopped when I started taking tablets for the blood pressure.

 - But I stopped these as well.

 - A : When did you stop them?

 - P : About one month ago.

 - A : The family history : You have two children.

 - Grandfather died of cancer.

 - Your father had a cerebral haemorrhage and three sisters of your father died of cancer, the grandmother on your father's side also had cerebral bleeding.

 - There is a tendency to cerebral bleeding in the family.

 - On the other side it is clear, that there is cancer in the family.

 - If you often find heart infarcts or heart attacks in the family history you think of a sclerotic remedy.

 - Also with high blood pressure of the parents or the grandparents you have to think of a sclerotic remedy, and this is a very important element of Baryta carbonica.

 - A : Very, very slowly anxieties appeared, anxieties for all kinds of things.

 - Please give the microphone to your husband, so he can tell about the anxieties.

 - Tell me something about the character of your wife.

 - Something happened which made me think of the remedy.

 - I mean the story when you went away.

 - Tell me again about that story.

 - HP : It was on a Sunday evening.

 - I finished work and I forgot something.

 - She went inside our house, I went away and came back.

 - Then I had to look for our animals in two different places.

 - Because I didn't come back immediately she went into a panic.

 - She went everywhere looking for me, but she couldn't find me because I was all the way down in the meadow.

 - She really went everywhere, looked for me and then she called her sister.

 - They all came to search for me.

 - She was completely in a panic, but I didn't care anything about it at all.

 - She was really anxious.

 - She was crying from anxiety.

 - A : Do you know why she was weeping?

 - HP : Probably because she was anxious.

 - When the children don't come home on time from school she starts weeping immediately.

 - A : Why?

 - P : I think I always had this.

 - A : But it has become worse lately.

 - Here you see something that Vithoulkas said about Sulphur: the child should be home at 10. .00 p.m. , they lay awake in bed and watt.

 - If the child is not at home at 10 : 00 p.m.  they become anxious and they jump out of bed.

 - This corresponds to the rubric "anxiety about others".

 - This is the same.

 - Her husband went away and at that moment when she didn't know where he was a terrible anxiety took hold of her.

 - She started weeping and ran weeping to her sister, 'Where is my husband? Where is my husband?"

 - This is the anxiety about others, at the same time it also means a dependency on him.

 - When he is gone the world collapses for her.

 - After I heard about this story the remedy became clear.

 - P : Yes, lately it really became worse, but before I also had this more or less.

 - I'm just made that way.

 - A : From childhood on?

 - P : Yes, even when I was a child I already had this, but now it is stronger.

 - A : Has it become worse?

 - P : Yes, lately it really has become worse.

 - A : What were you afraid of as a child?

 - P : I was anxious that somebody would come from behind, that somebody was behind me.

 - For example, when I think somebody is sitting behind the wall I still startle, I still get upset about it.

 - A : Have you always been so concerned?

 - P : No, I don't think so.

 - I don't think it was an abnormal concern.

 - I think, before it was normal.

 - I thought that it had to be like that, that I worry so much.

 - '

 - A : And now for a while the anxiety really has become worse, the anxiety about your husband.

 - What could happen to him, the wellfare of the children.

 - She can not lie on the left side, Phosphorus can not lie on the left side.

 - Somebody of the family had to go to the hospital, she had a big anxiety about him, was very sympathetic, anxiety about the other -you give Phosphorus and nothing happens.

 - The personality of Phosphorus is missing, but you just can't see another remedy, so you give them Phosphorus.

 - You see that the differential diagnosis of all these remedies, the anxiety about the others - Arsenicum, Baryta carbonica, Phosphorus, Sulphur, Cocculus - is not easy.

 - A : There is still another problem : This feeling is a strange symptom which is accompanied by an enormous anxiety.

 - You always think, "I hope I don't have cancer in my throat!' Somebody in the family had to go to the hospital, I gave Phosphorus.

 - Afterwards you felt something in the throat...

 - P : Yes, something..

 - A : Is this constricting feeling, frightened feeling better?

 - P : Yes, I called on Wednesday.

 - It started again.

 - Now it seems as if I have to bring up something from my stomach.

 - A : Does it do you any good?

 - P : Yes, it relieves a little bit, but it doesn't go away.

 - A : Do you still have complaints in the region of the chest?

 - P : No, it doesn't hurt anymore.

 - A : The eructation does you good?

 - P : Yes it does.

 - A : Do you have a feeling of pressure or heaviness in your chest?

 - This constriction, the feeling of pressure is a very important expression of the sclerosis of Baryta carbonica.

 - You will see this in a very old woman.

 - Besides, it is very strange that the pain in the chest is ameliorated by the eructations.

 - This is a very important rubric, "chest, pain, eructation, amel." on page 843.

 

CHEST, PAIN, ERUCTATION, amel. : Bar-c., kali-c., lyc.

 

 - This is a key-note and you see it in Baryta carbonica patients with heart problems, I mean inpatients with coronary sclerosis.

 - They have this kind of pain, which you will find in each of these cases and which is ameliorated by eructation.

 - Kali carbonicum has this symptom also, Kali carbonicum as a rigid remedy, which is also known for hypertension.

 - Lycopodium is also in the rubric, but Lycopodium is not known as a sclerotic remedy, even when it has the tendency.

 - P : Yet it is as if my stomach starts eructating.

 - A : The feeling which you have in your throat becomes better and then worse.

 - P : Since Tuesday I've been hopeful, but before that it was aggravated.

 - At that time there was also a kind of anxiety, a kind of hurriedness.

 - It has become less.

 - Yesterday I could concentrate on something else.

 - A : So, before you were always concerned about Your throat, that there could be something, "Do I have cancer?" and you were anxious for all kinds of things, for example, that there was something wrong, wasn't there?

 - HP : Yes, yes.

 - A : Could you give me an example?

 - HP : She'd get excited about the slightest thing that happened.

 - A : Could you give me a concrete example for these small things.

 - HP : She was excited about all kinds of small things.

 - How should I say? - For example when our work wasn't done properly.

 - A : You breed swines.

 - HP : For example, when the swines weren't fed at the right time, then...

 - You see that the swines have to be fed at the right time.

 - You could interpret this as fastidious, but in fact it is not important whether you feed the swines at 6 : 00 o'clock or at a quarter past  6.

 - It is not important, but to her it is.

 - It is a triviality which means quite a lot to her.

 - P : We handed the business over to our sons, and these are young people.

 - You always have to be behind them.

 - HP : But she always wants it to be perfect.

 - She has precise ideas and it must correspond to her picture.

 - A : For example, it is important for her that the swines are fed on time and that the cows are milked on time.

 - P : Yes, the swines are fed automatically.

 - I'm more concerned with the cows.

 - Our sons went to agricultural college and they got very good training.

 - We think, "How is this possible? They got good training."

 - We wonder, because they do so many things wrong.

 - Practically, they didn't learn much.

 - They have their things which occupy them.

 - They are not interested in the farm.

 - A : Does this also concern your work? Does she get excited about it?

 - HP : Yes., Also when nothing has happened she behaves as if something has happened, which makes her restless.

 - A : This was the situation

 - I know a few such women.

 - Every Friday morning at 9. .00 o'clock they have to start cleaning the house, also when they have been on holiday the previous week.

 - They have to clean, even if everything is clean.

 - It is terrible, sclerotic.

 - I mean that they follow a certain pathway, continuously, without asking whether it is really necessary.

 - It has to be the way it is, every Sunday they go to church, every Saturday afternoon the car has to be cleaned at 5:00 p.m.  and so on.

 - On Sunday morning they all go together to church and you see them walking in a certain order : first the husband and then the three children and then the woman behind.

 - That's the way they go to the church, they sit down and watch, what the others - no, no, they don't pray, unless they are depressed, they watch the other people.

 - That is Baryta carbonica.

 - It is good for a homoeopath to go to church from time to time to observe the people.

 - Remark : "I think naive is a good expression for it."

 - Question : "In the rubric 'cares about trifles' on page 10 there is only Arsenicum.

 - Should Baryta carbonica be added?"

 - A : You can do it, but you don't have to.

 - You could think about Baryta carbonica in such cases.

 - Remark : "But it is in the rubric 'conscientious about trifles", Baryta carbonica."

 

MIND, CONSCIENTIOUS about trifles : Apis., ars., aur., bar-c., bry., carb-s., cham., chin-a., chin., cycl., ferr-ar., ferr-i., ferr., graph., hep., hyos., Ign., iod., lac-d., lyc., mez., mur-ac., nat-a., nat-c., nux-v., puls., sarr., sec., sep., Sil., spig., stram., sulph., thuj., verat.

 

 - A : Yes, that's right, Baryta carbonica is in this rubric.

 - Question : "What kind of rubric do you use for sclerotic remedies?"

 - A : There is no rubric, it is not in the Repertory as sclerotic remedy.

 - Question : "Which remedies?"

 - A : If you cure patients of hypertension you see that all of these patients needed an inflexible remedy.

 - These are Natrum muriaticum, Mercurius, the Kali's, Plumblum, it is very sclerotic, Baryta carbonica is also there.

 - Remark : "And Lachesis."

 - A : Lachesis has this also, but for other reasons, I don't know.

 - Think about this remedy in elderly people who are very, very anxious, with a very big sadness, who, for example, became very, very depressed after the death of their husband or wife.

 - In these cases you often hear about the symptom of burning tip of the tongue.

 - You know this occurs in Conium cases, but also in Baryta carbonica, because they are so dependent.

 - "Pain, tongue, burning, tip" on page 412 Baryta carbonica is second degree.

 - And as a subrubric "touch, agg.".

 - Ammonium carbonicum, Baryta carbonica, Belladonna, Nitricum acidum.

 - But don't prescribe only on this symptom, the whole personality is decisive.

 - A : There was another problem.

 - You had a burning feeling on the tip of the tongue.

 - P : Yes, also my lips were burning at the sides.

 - It has become less.

 - It was as if there was a blister on my tongue, a small pimple.

 - A : Let me see.

 - (Looks at the tongue)

 - I don't have a lamp over here, but I don't see anything.

 - P : I have the feeling it has diminished.

 - A : Anyway, it is better.

 - P : Yes, yesterday it was there, but the day before yesterday I didn't have it.

 - It goes a little bit up and down.

 - A : This was also a chronic complaint which occurred lately.

 - P : Yes, I always had it.

 - It is strange.

 - The vesicles in my mouth haven't disappeared completely yet.

 - A : First, we talked about the cracks and a second symptom was that you got terribly excited about small things.

 - HP : Now, I've thought of an example : we bought a new refrigerated tank to cool the milk.

 - On the inside the tank is cleaned automatically, but she cleans it on the outside, she cleans it very well.

 - She can't tolerate at all when there is still some dust on the outside of the tank.

 - She cleans the tank on the outside until it is spotless.

 - She can't stand it when this doesn't happen.

 - In fact it is not important at all, but for her it is very, very important there is no dust on the tank at all.

 - P : In my house it is the same, our second son doesn't clean up his room, his pyjamas lies here and his coat there.

 - A : Do you clean everything yourself?

 - P : Yes, when it is possible I do it.

 - Everything has to be in order.

 - You see the rubric "rest, cannot, when things are not in proper place" on page 72, there is Anacardium and Arsenicum.

 

MIND, REST, cannot, when things are not in proper place : Anac., ars.

 

 - With Baryta carbonica it is the same.

 - The cups, the plates everything has to be clean and in proper place before she goes to bed.

 - If you hear these kind of stories you have to think of Iodium and Causticum.

 - They go to bed and suddenly they think of, 'My God, did I close the door?" or did I really switch off the stove in the kitchen?" They have to get up and look.

 - In these kind of things the lack of self-confidence and the carefulness about ordinary things play a role.

 - All right, it depends on where you live.

 - If you live in a city like Amsterdam you have to lock your door three times, but not in a small village in Belgium.

 - The North of Belgium is a very quiet region, and if somebody is afraid of thieves it indicates a certain remedy.

 - A : Can you easily bear the sun? , don't I?

 - P : Yes, rather, better than you do

 - HP : No, she never complains about it.

 - A : Are you easily too cold or too warm?

 - P : No, not in particular.

 - Normally, they are chilly, but don't tolerate the sun.

 - If you ask thoroughly you will hear probably they can work in the sun, but can't lie in the sun at all.

 - A : There was something else which was very particular : You had difficulties in making decisions.

 - P : Yes, I can't decide, for example, when I go to a shop to buy something.

 - I'm not a person who easily buys things.

 - I prefer to go home first and think about it.

 - I think, "If I buy it now and I don't like it afterwards, then I will have it and get annoyed by it."

 - A : Do you make decisions quickly while shopping?

 - P : No, my husband does.

 - He always says to me, 'Yes, take it, it is all right, isn't it?"

 - Once I was cheated, I don't do it anymore.

 - A : Do you ask the advice of your husband when buying clothes?

 - P : No, it is not so bad with clothes, but when it concerns, for example, a new television or something bigger, I discuss it with him.

 - When I buy clothes for myself it is not so bad, but when I buy something for him I want him to go.

 - He doesn't like to go shopping, but if there is something which I don't like to buy alone he has to come along.

 - I tell you this is really a problem.

 - If you are married to a Baryta carbonica wife and they take you when they have to buy a new pair of shoes it might become a big problem.

 - "Try these shoes, or these.

 - " And you are sitting there and think that this pair of shoes fits all right, but she says, "Put on these shoes.

 - The other are rather expensive" and so on.

 - Baryta carbonica women are so concerned, they are worried about everything, but to go shopping with them is a very big problem.

 - A : Apart from the anxiety and the concern about the children there is an over-concern about trifles.

 - Another element is that you can't make decisions.

 - You want to go to Lourdes.

 - And the last time when you were here you said, "If I didn't have to go there, I just could stay at home!"

 - P : Yes., I decided to go there in the next weeks.

 - I don't feel so much like going there, but I'm a little bit less afraid.

 - A : But internally you are ready to go there?

 - P : Yes, it is better than before.

 - Before I couldn't hear anything about it, but now I can talk about it.

 - A : So you agree when I say that you are going the right way?

 - P : Yes, Im sure.

 - A : I wanted to see you again to see how it developed further.

 - P : The problem has gone although it still goes a little bit up and down.

 - A : The intensity of your anxiety is not so strong anymore?

 - P : Yes, it has become clearly less.

 - One day last week it was as strong as it was before, but I thought it would pass.

 - HP : In general she is better, she has become more quiet.

 - A : You don't have to go to your doctor, he wanted to take a swab of the throat.

 - P : When he got the result he thought that I had to go to the specialist.

 - He thought that the throat was too dry.

 - He said to me, "Don't worry about it."

 - A : You got the the remedy on the 21st, that is one week ago.

 - Within a short time your general state has improved clearly.

 - If you are sure about the remedy you can forget about the rest and tell the patient that he doesn't have to worry about his health, that everything will be all right.

 - You can say this when you are absolutely sure because this remedy is a very deep working, constitutional remedy which you find in children and people of all ages.

 - A : When do you go to Lourdes?

 - P : On Sunday within one week.

 - A : When you are back you make an appointment after three, or four weeks.

 - Question : "Before you gave Sulphur in this case.

 - Were you satisfied with this prescription?"

 - A : No, I was never satisfied, but I didn't see any other remedy, until these enormous anxieties appeared.

 

 Follow-up (september 1, 1989)

 - A : What about your anxieties, your enormous anxieties about cancer? This was really a very big point, it was the the most important.

 - Anxieties consume most of the the energy, of the power.

 - How are the anxieties now?

 - P : They are less.

 - In fact, they are gone.

 - It has improved very much.

 - When I think about it, I don't go on thinking about it.

 - I have really conquered it.

 - A : You have become more quiet?

 - P : Yes., When I think about it it still appears, but it disappears rather quickly.

 

MIND, THINKING, complaints, of, agg. : Agar., alum., am-c., ambr., arg-m., arn., ars., aur-m., aur., bapt., bar-c., bry., calc-p., calc., caust., chin-a., con., dros., gels.,graph., hell., helon., hura., lach., mag-s., med., mosch., nat-m., nit-ac., nux-v., olnd., Ox-ac., oxyt., phos., pip-m., plb., ran-b., sabad., sars., sep., spig.,spong., staph., thuj.

 

 - In the rubric "thinking, complaints, of, agg." on page 87 Baryta carbonica is two.

 - When they think of it, the anxieties might come up.

 - You know that Oxalicum acidum is capital with the small spot pain, the wandering, shooting pain.

 - P : Is it normal I have a vesicle, a pimple in my throat?

 - A : What is "normal"? These are all symptoms of certain energies.

 - It is only an expression for a certain shift of energy.

 - The energy is not the way it should be.

 - P : Yes, I still have complaints.

 - A : All right, you can have what you want, it might be vesicles, or this or that, but the way you react to this, whether you react, for example, with panic or anxiety to such a situation is decisive.

 - If you have vesicles now and then it is not so bad.

 - For example, there are people who have aphthae in the mouth regularly, but they don't mind it.

 - On the other hand when you have only one vesicle you can worry about it very, very much.

 - Did you still have a burning pain on the tip of your tongue?

 - P : Yes, I had it again today.

 - A : It goes a little bit up and down.

 - P : Yes.

 - A : What about the pain in the chest? By which you have to eructate and which improves the pressure?

 - P : I don't get it anymore.

 - It has clearly diminished.

 - I feel it now and then, like a cold which is obstructed, but I don't have it at the moment.

 - One week ago I said to my husband that it seems as if it is obstructed, like a cold or something like that.

 - Now and then I have to cough, but I don't know what it is in fact.

 - A : It is not bad.

 - When it just goes away you don't have to worry about it.

 - The most important were the cracks on your hands.

 - How are they at the moment?

 - P : They are much, much better.

 - A : You never had such beautiful hands, you never had such soft hands?

 - P : No, no, I'm not used to it.

 - A : You never looked so well.

 - HP : I also never saw she had such soft hands.

 - A : Yes, it is really a soft hand.

 - In fact she is a woman farmer, and she really has very soft hands to be a woman farmer.

 - On the left side it is a little bit rougher than on the right side, but it is really not to compare to the situation before the last remedy.

 - You can think about all kinds of remedies which would be right, but it is important to prove it and if the hands are cured, this is a proof.

 - This is the first time that she really had soft hands, the first time in three, four years of treatment.

 - A : Before you also had headache?

 - P : Yes, I still got it once, but afterwards it hardly appeared anymore.

 - A : Before you suffered from it regularly.

 - What kind of headache was it? It was a constant headache between the eyes?

 - P : Yes, when I had to go somewhere it started in the morning and it lasted until the evening.

 - Here you see the anticipating fear again.

 - Headache, pain behind the eyes when she has to go somewhere.

 - Also in sleeplessness from anticipating you should think of Baryta carbonica.

 - A : Wonderful.

 - Also the hands! They have really improved spectaculary.

 - How beautiful they are now! Also on the left hand you clearly see the difference.

 - Indeed, it is not as nice as the right, but it was always worse.

 - Nevertheless, it is much, much better.

 - HP : Before it was so bad that she wasn't able to work.

 - A : Yes, it is a clear improvement.

 - We can accept that you still have complaints here and there, but they are not so bad.

 - What about the strong dependency on your husband?

 - P : It is also better.

 - A : Surely you won't be 100% without complaints, none of us would.

 - P : Yes, I still have pain in my shoulder, also pain while urinating.

 - Is this due to the prolapse of the uterus?

 - A : Yes, but when it goes away it is not so bad.

 - P : Before the gynecologist told me that I had a prolapse of the uterus, I thought it was the kidneys, because it didn't improve, but I didn't really have pain.

 - And I thought...

 - A : Does it hurt much?

 - P : No, it is not so bad.

 - Now I have to go have a pap test.

 - A : Yes, you can go there.

 - It is all right.

 - So, we can say we are sure that you are improving.

 - I will give you some more tablets, and if you have a problem you just call me and then we will discuss what you should do.

 - The hypertension also disappeared, now her blood pressure is 120/80 mmHg, and without diuretics.

 - There is one point we discussed a lot in the Centre.

 - If a doctor leaves the Centre after three years training, they leave the patient behind and the patient goes to another doctor.

 - Some of them considered this a problem.

 - They said that more Belgian doctors should work in the Centre, because they can take care of their patients after these three years.

 - It is impossible with German, French or Dutch doctors, because they go back to their mother country.

 - I have another opinion about that.

 - This patient has been seen by me every three, four months for the last three years, and now, with the right, deep acting constitutional remedy, what happens? You give her a few tablets of the remedy and after one year probably she will call and say that she has this or that complaint.

 - -'All right, you take such a tablet.

 - " Or when Im not in the Centre and she comes in, a colleague sees in her file it is Baryta carbonica and he just repeats the remedy.

 - That's what I mean by "a good treatment".

 - You don't have to treat the same patient for 20, 30 years.

 - In Homoeopathy one day the patient will tell himself that he doesn't come anymore, that he will call when there are problems.

 - But in 80% of the cases there is another problem, and that is the husband syndrome.

 - You know this in the meantime and I will add a second syndrome, namely the nun syndrome.

 - If somebody has a fight with their spouse and can't divorce, you will always have problems with this patient, you won't cure him.

 - "Curing" means that one day he says, "I feel well, I don't need a doctor anymore.

 - " You can't cure anybody who has problems within the family constantly; nor can you cure nuns who are 40 or 45 years old.

 - Then it is too late for them to leave the monastery.

 - In this case you are like a priest, to whom they can go and tell everything.

 - You can give her a remedy and try to help her survive.

 - For these kind of people you are not important as a doctor, but as a human being to whom they can tell their problems and who understands them.

 - But all the other cases are cured after the right remedy.

 Class break

 - During the break somebody asked me how he should study Homoeopathy, which books he should read and whether he has to read everything through from A to Z.

 - I told him there is no right way.

 - We have to be good doctors, like a carpenter has to be a good carpenter.

 - For example, I never saw a carpenter who only learned from books and didn't do anything.

 - If he, for example, has to hit a nail into the wall he does this, but the best way is to learn by experience.

 - That's exactly the same way we have to learn Homoeopathy - the way we do.

 - All right, you have to learn something, but who can just remember a remedy by only reading about it? You might have read a remedy 10, 20 or 30 times, but you still don't know anything about the remedy.

 - I read Tuberculinum maybe 50 or 60 times, I read the Repertory 6 times from the first until the last page, but I don't remember.

 - It goes in here and comes out there, unless you recognize some of your patients while reading.

 - If you study the remedy with the concrete case in your head you might remember.

 - Later you will have another patient who needs this remedy, you read it again and so on.

 - The three most important books to learn are the Lectures of Kent, Boericke and Clarke.

 - There are many other important books, but it is impossible to take the whole collection of Hering when you go on holiday.

 - So you better take Boericke and the Repertory, and if you still have some place you can also take Clarke and go on holiday in India.

 - We have to know our job, just like a carpenter has to be able to make a solid table.

 - We have to do our jobs, even when it is a particular job.

 - Homoeopathy is the most important thing in our lives, more important than all the rest.

 - Homoeopathy changes your life and it is good for health, even if you are a workaholic.

 - It is good for your mental health, because, for example, you learn something for your patients.

 - There are people who think they know enough and don't have to go on studying, but that is not right.

 - The more you know and the more you learn, the better you understand what you don't know and don't understand.

 - You can be 90 years old and you always have to find out how this or that remedy works.

 - Only when you understand the remedy can you explain it, before you can't.

 - Why does he have this symptom? Why does Natrum muriaticum have to lie on a hard surface? This is an expression of the fact he needs support, a firm support.

 - Why does Kali bichromicum have pain in small spot? Because his interests are aimed at a small point, at his family, all the rest doesn't interest him at all.

 - All the symptoms are an expression of something and in order to understand that we have to understand the remedy.

 - That is the goal of our life as a Homoeopath, to try to understand people in order to give them the right remedy, and it will never stop.

 - If you think, 'Now I have been working for 20 years as a Homoeopath I am rich and I travel around the world," you are mistaken.

 - Maybe you need Tuberculinum or something.

 - Homoeopathy is something for the rest of your life.

 - You can forget about retiring, or resting, that doesn't exist in Homoeopathy.

 

Case 8

 

 Problems in swallowing

 Baryta carbonica

 - Woman, 70 years old

 - A : The problem occurred the first time in July 1988 when your children were on holiday in Spain.

 - P : Yes.

 - A : You were having lunch and suddenly a piece of meat got stuck in your throat.

 - P : I couldn't get it up.

 - I tried to put my finger into my throat, to vomit, but I couldn't.

 - A : Then you had to cough and to vomit.

 - P : I couldn't get any air and it was as if my throat was open, I had so much pain.

 - It has hurt for quite a long time.

 - A : Then you went to the hospital and when you arrived it was over.

 - The piece of meat came out.

 - P : It came out by the mouth.

 - A : This happened the first time in July 1988, and the second time in December.

 - Did it ever happen in between?

 - P : On December 22, it was the same.

 - A : What did you do?

 - P : I was also eating.

 - A : Meat?

 - P : A little piece, but this little piece got stuck.

 - A : At lunchtime.

 - P : When I was having a warm meal.

 - It was at a party of the federation of retired persons.

 - A : And when did it happen the third time? Not so long ago?

 - P : No, one month and a half ago.

 - I can't remember things like that.

 - Maybe it was at the carnival, in February.

 - A : In the middle of February.

 - DP : (Daughter of the patient) On Tuesday after carnival.

 - A : Soon February 6, again a piece of meat got stuck in your throat.

 - Also while eating meat.

 - P : Yes, at lunchtime.

 - DP : And it lasted until 5 : 00 o'clock in the morning.

 - A : It means that it becomes worse every time and more frequent.

 - From July until December were 5 months, from the end of December until February there was only one month in between.

 - Where can we find the right rubric?

 - Every time it concerned a meat and the last time it even concerned a very small piece of meat.

 - The meat got stuck in her throat and then she had to cough, cough, cough, until her throat was constricting.

 - It never happened with bread or other things, but only with meat.

 - Which rubric can we take?

 - When there are also convulsions which is the remedy?

 - Answer : "Cicuta."

 - A : Yes., Cicuta virosa.

 - That's why I gave her Cicuta virosa to take home after she told me the story the first time and I said to her that she should take the remedy whenever it happened again.

 - When it happened again she took Cicuta virosa, but it didn't act at all.

 - Which rubric can we take?

 - Answer : "Swallowing, difficult, solids."

 - A : No, it is not true.

 - She can swallow, but what happens suddenly?

 - Answer : "She gets spasm."

 - A : Yes, spasm, constriction and it never happens when she eats bread and never at supper, but only when she eats something warm, a warm meal with meat.

 - It happened three times and only with a warm meal, so you can take the rubric in throat, "choking, dinner during" on page 449.

 - A : When you came here the third time I came to your house and I said, "This can't go on like this."

 - You are in treatment since 1978.

 - P : I never had another family doctor.

 - A : I cured you of many problems, for example, a heart problem.

 - At that time there was not only the problem of the regular appearance of the spasm in the throat, but also the big loss of weight, which appeared very critical to me.

 - You have always been lean.

 - P : But never so lean.

 - I just didn't gain weight at all.

 - She lost too much weight.

 - Where do we find this?

 - Answer : "In the generalities."

 - A : Yes, under emaciation and she is not young, so "emaciation old people" on page 1358.

 

GENRALITIES, EMACIATION, children (marasmus) : Abrot., alum., ant-c., arg-n., Ars-i., Ars., bar-c., Calc-p., Calc., carb-v., caust., chin., cina., hydr., Iod., kali-c., kreos., lyc., mag-c.,Nat-m., nux-m., nux-v., ol-j., op., petr., phos., plb., psor., puls., sars., sep., Sil., sulph.

 

GENERALITIES, EMACIATION, old people : Ambr., Bar-c., Iod., Lyc., sec., sel.

 

 - This was the second problem, but the biggest problem still has to come.

 - DP : Then she also had influenza.

 - A : But I think that she lost very much weight within a short time.

 - You started to pine away.

 - Third, the memory was another important thing.

 - You couldn't remember anything.

 - Can you describe what you couldn't remember?

 - P : I couldn't remember anything.

 - DP : If you told her to do something she just forgot about it and said, 'You should have minded me I had to do this", although we already told her.

 - She just couldn't remember.

 - P : When I put something away I couldn't find it anymore.

 - A : She forgot what she was told.

 - DP In fact, she forgot everything.

 - Where can we find the rubric? She couldn't remember anything, she forgot everything.

 - Answer : "Forgetful, old people, of."

 

MIND, FORGETFULL, old people, of : Ambr., bar-c., lyc., ph-ac.

 

 - A : Yes, "Forgetful, old people, of' on page 49, there are four remedies : Ambra grisea, Baryta carbonica, Lycopodium and Phosphoricum acidum.

 - A : She really became a little bit childish.

 - The memory, loosing weight, and all the other things.

 - Then a fourth point : she had a cataract of the eye which became worse and worse.

 - Look in the rubric "cataract" on page 236, the remedy is second degree there.

 - P : Now, it is better.

 - A : Besides the cataract, there was a fifth point : a very small tumor on the upper lid.

 - Look under eye, "tumors on lids, tarsal tumors " on page 268, Baryta carbonica is there.

 - A : The eye doctor advised you to be operated on because of the cataract, but you didn't do because you were afraid of the operation.

 - DP : Now she still sees, but we don't know what would have happened after the operation.

 - A : Three weeks ago I visited you and brought you three tablets.

 - I said, "Take these three tablets three days after each other," it was in 10M potency, a very high potency.

 - Tell me the reaction to the remedy.

 - How is your memory?

 - DP : She can remember things better now.

 - A : It is strange that you can reach things like that at such an age with Homoeopathy.

 - P : Yes, it is much better than before.

 - If they say something to me I still remember, before I didn't.

 - This was a miracle to me.

 - Before she forgot everything, she didn't even recognize me when I visited her at home.

 - After the remedy it became better, the memory returned.

 - A : The tarsal tumor burst open.

 - It was completely thick and pus was coming out.

 - P : Yes, for two weeks.

 - Before you asked me whether wens could open by themselves after a reinedy.

 - You just heard it yourselves.

 - In the meantime everything is cured.

 - A : Do you still have spasm during eating?

 - P : No, I have to be careful, but I don't have spasms anymore.

 - A : When you eat bread, which is also rather hard, you don't have it, do you? Only while having dinner.

 - DP : Only when she eats meat at dinner.

 - A : From eating your dinner or meat?

 - DP : Now, she eats mixed meat.

 - Chopped meat or sausages, are all right, but when she eats boiled meat, or goulash, she doesn't dare to eat it anymore, because she is afraid a piece might get stuck in the throat.

 - From March until last week when I visited her (in September), she didn't have any relapses.

 - A : Do you also think that you have become more sensitive lately, weep easily and things like that, or is this not true?

 - P : Yes, that's true.

 - A : When I visited her she started weeping immediately.

 - DP : Yesterday and the day before yesterday she didn't want to go away from home.

 - She says that people are looking at her because she lost so much weight.

 - She said, "They think that I am starving."

 - P : Yes, they think so.

 - Do you see the Baryta carbonica mind? She weeps easily, like a child and is wondering what other people say about her.

 - A : But you didn't loose any weight further.

 - DP : Now she starts eating better.

 - But she didn't gain weight yet.

 - A : Yes, it can't change from one day to the other.

 - DP : But she doesn't have to mind what other people tell about her, she doesn't have to stay at home for that reason.

 - A : She is afraid that people might say how lean she became.

 - Are there other reasons why she doesn't want to go away?

 - DP : No, there aren't.

 - A : Do you also think she is more concerned lately, that she is worried much more?

 - DP : I don't know.

 - Last week she was worrying about this or that, especially about the ankle.

 - I treat the whole family and one child, her grandchild has problems with the ankle and she is worried about him.

 - You see the anxiety about the others, all the mental Baryta carbonica symptoms.

 - Think about this remedy when you have old patients with hypertension, beginning of a cataract, who weep easily and who worry very much about their grandchildren.

 - A : About what does she talk now?

 - DP : About everything what happened during the day.

 - A : What do you prefer to eat at the moment?

 - P : I eat everything what comes on the table.

 - A : Do you eat fruit?

 - P : Yes, but very little.

 - A : Does she like it?

 - DP : Yes, she likes oranges, but she hardly eats any other fruit.

 - A : What about the sleep now?

 - P : Bad.

 - I'm so tired, I go to bed in the evening and I rather easily fall asleep, but two, three hours later I'm awake; and then I have cramps in my legs! I have to get out of bed and I have to walk around in the room until the feet become cold.

 - A : Where do you have cramps? In the calves?

 - P : No, no, in the legs, at the shin bone and in the ankle.

 - A : Where do you have cramps? At the front of the legs?

 - P : Yes, it extends from the lower side of the knee over the shin bone until the ankle and it hurts so much that once I even fell.

 - There was a chair in the bedroom and I held on to the bed, but I fell over the chair when I tried to hold on.

 - But my daughter didn't wake up from it.

 - A : How is the pain in your hip from which you complain compared to three weeks ago?

 - P : It seems as if the hip became fatter.

 - On the other side there isn't anything at all, everything has gone.

 - A : But on the left side there is still a swelling.

 - We have X-rays taken, it was a kind of exostoses.

 - Then you had a lot of pain.

 - How is it at the moment? Do you think it has changed?

 - P : Yes, when I have been busy the whole day or when we have been away, when I have sat somewhere, I just can't sit down because it hurts so much.

 - A : But when you don't exert Yourself so much it doesn't hurt?

 - P : Yes, yes, but I still feel the pain.

 - When I touch it I feel a kind of swelling on this side.

 - A : So it is important that she doesn't have pain when she doesn't exert herself so much.

 - What about the vision?

 - P : In the morning the eye is completely glued.

 - A : Is there quite a lot of pus in it?

 - P : Yes, yes, the right eye is completely closed lately.

 - A : All right.

 - I think that we are on the right track.

 - The memory is much better, she starts eating better.

 - DP : Yes, before she didn't have appetite at all, she couldn't eat anything at all and now after her meal she says she is still hungry.

 - P : Before I could easily pass the day without eating anything, but that's different now.

 - But what is this pain in fact?

 - A : I think it is not easy to cure, but I think that you will get more and more energy because of the remedy and the pain might diminish in the future.

 - I don't think you will get rid of the swelling, but I think you will suffer relatively very little from pain.

 - I think we'll get it all right.

 - All right, you don't do anything else and I will visit you on Thursday next week.

 - Don't let these old people slip away.

 - If you say, 'Well, she is 80 years old, it is too late anyway", that's not right.

 - You can also find the right remedy for these old people and help them.

 

CASE9

Angina pectoris

 Dd acon., bar-c.

 - Man, 58 years old

 - This man had a very severe heart attack and when he came in to the Centre a few years ago after the heart attack he took about 40 different medications.

 - At night he had pain in his right arm - but not only at night, also during the day while resting.

 - The pain ameliorated by motion and aggravated with wet, stormy weather, with change of weather.

 - Which remedy is this? Better by motion, rest aggravates, also stormy, rainy weather and it is on the right side?

 - Answer : "Rhus toxicodendron."

 - A : No !!

 - Answer : "Rhododendron."

 - A : Yes, that's right.

 - Rhododendron cured this pain.

 - Do you know by which remedy the angina pectoris pain extends to both arms?

 - Answer : "Latrodectus."

 - A : No., I mean : in both arms, with Latrodectus they extend only to the left arm.

 - The extension to both arms is described for Dioscorea in Boericke.

 - All right, in this case the pain extended to the right arm and therefore I gave Rhododendron.

 - Afterwards he developed another symptom and therefore he comes now.

 - A : Before you had a heart attack.

 - Then you came here in treatment and everything became better with Rhododendron and you could stop the allopathic medicines.

 - But now you have pain in the region of the heart and in the hospital they couldn't find anything.

 - P : Pain and what kind of pain! Normal pain is bearable, but this pain is so bad that I could run against the wall and it didn't help at all.

 - Normally I took VALIUM, but I didn't have any.

 - And the doctor who came didn't dare to give me VALIUM.

 - He said, 'No, you should get an injection.

 - You go to the hospital."

 - And in the hospital they examined me, the heart was all right, the EKG was remarkably better.

 - The pain was caused by stress, it caused a contraction of the blood vessels.

 - It was a real pain, it extended to this side.

 - It was always at night, it started in the evening.

 - A : And it also extended to the arms, to both arms?

 - P : Yes, to both arms.

 - The right arm is hurting more than the left one, but it was extending in both arms.

 - It was at the whole chest.

 - I couldn't detect whether it was an internal or an external pain, I don't know, it was just unbearable, it was an unbearable pain.

 - A : So when you took your tablets or something like that...

 - P : I didn't take them anymore, they didn't help at all.

 - A : (to his wife) How is his behaviour at the moment when he has pain?

 - WP : Then he is restless.

 - A : Can he stay in bed?

 - WP : No., He stays in bed because it is too cold to walk about, but he is constantly in motion : first he is sitting on the edge of the bed, then he lies down again, then he tries to drink something, because he thinks it might be his stomach.

 - Often it relieves for a while, but it always goes on.

 - After an attack of pain he has to urinate about 10 times.

 - A : When is it over?

 - P : When the pain comes earlier and I haven't slept yet I couldn't sit down, I couldn't stand up nor lie down.

 - I was going from one couch to the other, I lay down for a while.

 - One minute later it hurt again, then I tried to sit, but it was impossible, I tried to lie on the couch, but it was impossible.

 - I couldn't find any solution.

 - A : So completely restless.

 - P : I just walk around in the house, I have anxiety, I always fear the worst thing.

 - A : What are you afraid of at that moment?

 - P : I can't say exactly what I am afraid of.

 - I don't know.

 - But I have the impression that it is very bad, it can't become worse.

 - Now it will be the last time.

 - I think the best thing would be to hang myself.

 - A : You think, "I can't bear this pain anymore, now it is finished with me?"

 - P : I think, "I wish the pain was gone, I can't bear this pain any longer."

 - Of which remedy do you think?

 - Answer : "Of Aurum."

 - A : Other propositions?

 - Answer : "Natrum sulphuricum."

 - A : What else?

 - He has pain which normally appears in the evening and at night, he has to get out of bed, restless, anxiety.

 - Answer : "Kali arsenicosum."

 - Answer : "Mercurius."

 - A : Yes, right, but he thinks that it is the last time, that he has pain.

 - That's what he said.

 - It could also be Aconitum, but when it is Aconitum there must be a cause and in Aconitum it would be?

 - Answer : "A fright."

 - A : Your wife used the word "panic".

 - The state is accompanied with enormous anxieties and trembling.

 - P : Anxiety, and trembling.

 - A : Does he also start breathing deeply?

 - WP : He doesn't have shortness of breath, but I have the impression that it becomes better when he breathes deeply and exhales a long time.

 - P : I also thought that it helps, but it is not right, because it appears afterwards as bad as before.

 - A : You have the tendency to breath deeply?

 - P : Yes.

 - A : He is nervous?

 - WP : It is like a kind of hyperventilation.

 - P : I stop breathing deeply, because I fear it could be hyperventilation.

 - WP : Often I think that his heart might get too little oxygen.

 - A : It has nothing to do with his heart, it has something to do with his nerves.

 - Since when do you have these kinds of attacks?

 - WP : It already started early.

 - 12 years ago the doctor had to come, because I was trembling just like I do now.

 - A : Why did you get it at that time? What affected you then?

 - P : I can't say why, I don't know, but it has something to do with the pain.

 - When I don't have pain, I feel all right.

 - A : But wait, at the moment you get pain you become in a panic.

 - P : Yes, that's right.

 - A : And before, when you got your first child, was he also afraid?

 - WP : No, not so much.

 - In fact it started in 197611977.

 - Then he got it the first time.

 - Then they brought him to Leuven and examined him.

 - A : Why did they take him to Leuven?

 - WP : Because he had so much pain.

 - According to the doctors it was due to the constriction of the blood vessels.

 - A : And then?

 - WP : Then he noticed something with his heart and they suspected that there was something wrong with his coronary artery.

 - A : Before he never had this anxiety?

 - WP : Oh yes, before he said the whole time, "I hope I won't get it again."

 - But of course, I can't say when it was, it was even before we were married.

 - At that time he already went to the doctor because he didn't feel well.

 - He suspected that he could have this or that.

 - I don't know exactly what he had, but the doctor didn't find anything at all.

 - A : When did you get these attacks for the first time together with the panic? When was it the first time in your life?

 - P : That is quite a longtime ago.

 - It might be in 1961,1962 or 1963.

 - Then I didn't dare to stay alone.

 - I always tried to have some company, it didn't matter who.

 - This was at the beginning of the sixties.

 - A : Before the heart attack?

 - P : Yes., Father, mother, it didn't matter who was near by.

 - When I was in the printer alone, I tried to have somebody near.

 - I never said anything to anybody that something is wrong with me, but if somebody was with me it went away.

 - A : Do you still remember the very first time when you got anxieties?

 - WP : It happened once in the printer, that is quite a long time ago.

 - We got the doctor to examine him but he didn't find anything, but detected that it might be caused by the fume of the oven, that he felt so miserable.

 - Then quite a long time passed without complaints.

 - A : But you don't know this.

 - This was before you were married? WP But I worked there, I saw that he didn't feel well, that he was pale.

 - A : Do you remember yourself the very first time when you got these attacks of anxieties? Was it in this period? What happened during that period? What frightened you?

 - P : There was nothing particular, not that I know.

 - I remember, this might be the cause, it was about the time that my father died suddenly.

 - A : When did your father die?

 - P : In 1963.

 - It must be in that period.

 - A : So, your father died in 1963.

 - And this came suddenly?

 - P : Yes.

 - A : Now, I ask you a concrete question : How did you experience the sudden death of your father?

 - P : This is difficult to say.

 - I could hardly digest this.

 - A : Have you been frightened? Has it affected you deeply?

 - WP : Yes, he always is when something like this happens.

 - Then he is easily startled.

 - A : Do you remember whether you had an attack before your father died?

 - P : Yes, once.

 - It was when my godfather died.

 - He was a doctor.

 - He had lung cancer and finally they said that I could visit him only once.

 - And then I saw him.

 - But the person whom I saw there was not even one fourth of the one he normally was, such a small face and as yellow as one can be.

 - I was frightened very much, enormously.

 - This was the biggest shock which I ever had.

 - One week later he died.

 - It was a few years before, in 1960.

 - Then we were still living in X.

 - So in 1960, 1961.

 - A : So the problems exist since 1960 and apparently they start again, these kind of panic attacks.

 - P : Yes, this is again the same.

 - Do you see what happened?

 - Everything started with these anxieties, anxieties with hyperventilation.

 - It was in 1961.

 - He got medicines for it, medicines which suppressed the anxieties and then came the heart infarct.

 - Homoeopathically speaking these are layers.

 - The first, the upper layer disappeared with Rhododendron and then the anxieties appeared again where everything started.

 - It was in 1961, 27 years ago.

 - A : In the meantime he has been hospitalized and got medicines for the heart, he had a heart infarct and a thrombosis in the leg.

 - Then we stopped the medicines, you felt rather well and the anxieties, which you had since the death of your uncle for a while, appeared again during the last months in an inexplicable way.

 - The pain comes, you get in a panic, you can't calm him down anymore and he wants to go to the hospital, while before he didn't want to go to the hospital, or wasn't it like this?

 - P : Yes, Yes., Because I said, "They can't get me in the hospital anymore."

 - WP : It is all right until I have to call the doctor.

 - I always say, "Try to be calm, then it is all right again."

 - I also begged the doctor to give him an injection of VALIUM, then he would be calmer.

 - But the doctor didn't dare to, he said, `You don't know what is behind!' Later I asked what he gave him when he came in the hospital.

 - He also got VALIUM.

 - A : Now he doesn't need any VALIUM.

 - I will give him a remedy which he takes immediately, and also takes one when he gets the attack again.

 - P : The doctor gave me something and said that there is nothing better for the exertions, it is called CLOZAN.

 - But I get ill from it.

 - Last time you also said that it has disadvantages.

 - I become ill.

 - A : Stop these, you get a tablet here.

 - So don't take anything else.

 - P : The family doctor stopped the other medicines, because now he prescribes less than the previous time.

 - I don't digest the medicines so well.

 - WP : This morning he woke up with heartburn.

 - I gave him MALOXAN.

 - Then he fell asleep again, but this is already the second time this week that he has this burning pain in his stomach.

 - P : In the hospital they say it is because of the stress.

 - But stress and stress, these are two things.

 - A : We try to hide our ignorance behind fancy names and to find any explanation for the complaints.

 - But we have to take care that the problem is solved.

 - And we will do this now.

 - WP : I also said, "Don't you have any other solution?", because he can't tolerate the printer anymore.

 - P : So, the printer doesn't have anything to do with it.

 - If I would have to miss it, I would become really ill.

 - I know that it doesn't have anything to do with it.

 - A : So at the moment you feel that you get an attack you take a tablet, otherwise you don't do anything and I'll see you again within one month.

 - The cause is clear : a fright when he saw his uncle.

 - The remedy is Aconitum.

 - But the story is not finished yet.

 

 Follow-up

 - A : I saw you about one month ago.

 - What did you feel after the tablet and how did it develop further?

 - You always got a kind of anxiety situation.

 - How did it go with this?

 - P : I have to think about it.

 - I took the remedy on the way home.

 - Then I felt better for three days and the next day I really suffered again, such a bad heart attack.

 - Then I called you here and I took the remedy immediately.

 - Then I fell asleep, maybe one quarter of an hour later.

 - Since then the pain has gone and didn't come back.

 - A : And the depression?

 - P : And the depression which I had is also better.

 - But I think I became depressed again because of this ear ringing.

 - A : I know what has to be done for it.

 - But my question now is, concerning this sudden pain, did you ever have this feeling of "I would give everything if the pain would disappear", that you became depressed and sad from it?

 - P : No.

 - A : So you haven't been in the hospital anymore?

 - P : No.

 - Concerning my heart I didn't notice anything the last week.

 - But the depression depends on the fact I think that I have the impression that I'm not strong enough, that I'm too weak, that I don't have so much strength anymore.

 - It is because of this tasteless food, without salt and things like that, not fat anymore.

 - A : You are not allowed to eat it?

 - P : No, no.

 - A : You would prefer salt and fat?

 - P : No, but with vitamins and things like that, I don't know.

 - Something tasty, something which is highly seasoned.

 - A : Do you feel in your body a need for highly seasoned food?

 - P : Yes.

 - A : You don't feel fit, do you?

 - P : It takes awhile before I can start in the morning.

 - The tiredness goes away slowly when I'm busy, but it lasts for a few hours until the tiredness is really gone.

 - We go to bed at half past 10 and when I don't take anything to sleep I usually wake up at half past three.

 - I don't sleep anymore, then I have to take half of a sleeping tablet and I sleep until half past seven.

 - A : Do you feel refreshed when you get up at half past six?

 - P : No, less refreshed than at another time of the day.

 - In fact I'm still tired.

 - A : Do you have itching lately?

 - Of which remedy am I thinking?

 - Of Sulphur, because Aconitum and Sulphur are complementary and because he has a strong desire for very highly seasoned food.

 - The desire became so strong that he even becomes sad because he can't eat it.

 - That's why I thought that he might need Sulphur.

 - P : Yes, terrible.

 - I nearly forgot it, but unbelievable.

 - It is worse than the pain.

 - I have it here, and below at the leg, and also at other places where it is difficult to scratch.

 - A : Do you get skin eruptions?

 - P : Yes, 'but especially an itching and in fact you don't see anything.

 - But it might itch terribly, so that I have to scratch.

 - A : When does it itch especially?

 - P : It might come any time.

 - Sometimes during the day, sometimes in the evening, sometimes at night so that I wake up from it.

 - A : Do you wake up from itching?

 - P : Yes, it is itching so much.

 - I tried all kinds of ointment.

 - A : But you may not use ointments! What kind of ointment do you use?

 - P : I don't know anymore what they are called.

 - A : With cortisone or things like that?

 - P : No, no, I didn't use any of them.

 - I think just an ointment, something yellow which they used for the children before.

 - A : Well yes, anyway you have to he careful with cortisone ointments.

 - P : I have a box, the doctor prescribed me a box with cortisone.

 - But I didn't take it.

 - A : If you don't take sleeping tablets you wake up at half past three?

 - P : Yes, I wake up very early.

 - A : Do you fall asleep again?

 - P : No, I don't fall asleep again, but I rest and I don't mind.

 - I don't toss about.

 - I just doze off a little bit.

 - Wake up at half past two, fall asleep again for a while and then wake up again.

 - That's the way it goes when I don't take any sleeping tablets.

 - A : On which side do you sleep?

 - P : At present always on the left side.

 - A : It has changed also?

 - P : Yes., I try to fall asleep on the right side or on the back, but it is impossible.

 - After a quarter of an hour I'm completely tired, then I lay on the left side and fall asleep immediately.

 - A : In the morning you don't lie on another side but the left?

 - P : In the morning I often lie on the back.

 - A : Do you often dream?

 - P : Yes, I dream, but not always.

 - There are nights when I have nightmares.

 - Often these are dreams which go on when I wake up.

 - I wake up from a dream.

 - I don't really sleep anymore, but I go on dreaming.

 - A : Are these nightmares or what kind of dreams?

 - P : No, not nightmares, but fantastic things, so that I think it can't be, it is impossible.

 - For example, I dream of fights, or of things which I experience now, but which happen at the place where I lived before together with people who are living in my neighborhood and who have never been there.

 - I experience situations in which people of nowadays have contact with people of that time.

 - I can't think of an example at the moment, but it concerns very funny things which normally can't exist, for example, people of the present are in situations of before.

 - The times of 40 years ago and the present are mixed up.

 - A : These are never dreams which make you anxious?

 - P : No.

 - A : Do you dream sometimes that you are falling?

 - P : No., Not at all.

 - You see I try to confirm Sulphur.

 - A : Do you have itching over the whole body?

 - P : No, here or below at the leg, or here.

 - A : In the groin?

 - P : No.

 - A : In the pubic hair?

 - P : Deeper.

 - More what is hanging below?

 - A : At the scrotum?

 - P : Yes.

 - A : Does it extend to the region of the anus?

 - P : No, there is a small place.

 - A : Is there skin eruption?

 - P : No, not that I know, but probably it is swollen because of the scratching.

 - A : Have you been walking the last time?

 - P : It is too cold for it, but at Easter the weather was beautiful, then we were in the Ardennes and climbed on a mountain.

 - This walk lasted 11/2 hour and it was too much for me.

 - I had to go back all the way and I didn't think that going downhill also is difficult.

 - A : If you are standing on the mountain and you look downhill how do you feel?

 - P : Dizzy and it seems as if I loose my equilibrium a little bit.

 - A : What about the stool?

 - P : It is not normal, because I can't have stool for 4 or 5 days.

 - Then I have diarrhoea for two days, with enormous abdominal pain, cramps in the intestines.

 - It might last for two days.

 - Then I have constipation for 5 or 6 days.

 - I can't have stool if I don't take anything.

 - But I don't take anything.

 - A : This is interesting.

 - Changing stool : Pulsatilla, Sulphur.

 - A : Do you have cold feet?

 - P : Yes, icy cold, really lumps of ice.

 - In the evening at home it is 26 until 28o and I'm still freezing, I have icy cold feet.

 - Notwithstanding warm socks and warm covers they remain icy cold.

 - A : And at night?

 - P : At night they are not cold, at night they are warm.

 - When I wake up I feel whether they are cold.

 - Because during the day they are icy cold, but at night they are warm.

 - A : Very warm?

 - P : No, normally warm.

 - "Coldness, foot, evening, bed, in, amel." on page 963, one remedy.

 - Sulphur.

 - P : It is itching a few centimeters above the ankle, not at the feet.

 - I really have to scratch at night, also during the day.

 - A : What about the thirst?

 - P : I am more thirsty than normally.

 - A : And you have a desire to eat something hearty, not this tasteless thing at the time?

 - P : Yes, I have a very big desire, but I hardly eat this because I don't dare to.

 - I'm mostly tempted by chocolate.

 - When I see it lying on a table I prefer to eat it at once, but I have this desire since I was a small boy, then I also liked to eat chocolate.

 - A : What else do you like to eat besides chocolate?

 - P : I must say, the last few weeks I don't have any appetite anymore, besides something hearty, highly seasoned or sour.

 - Like mussels in sour gravy.

 - A : Interesting development.

 - Tell me something about the ear ringing.

 - What can you tell me about it?

 - P : It is always a kind of ringing, a buzzing.

 - This buzzing started last Wednesday.

 - Strange enough it started with a blow in both ears.

 - There was a kind of explosion in both ears at the same time and then I noticed that my ear was ringing afterwards.

 - At the other ear I didn't notice anything, but the other ear went on buzzing and yesterday evening it stopped for the first time.

 - A : The ear ringing?

 - P : Yes., I was lying in bed for about 10 minutes and I had nearly fallen asleep, I said, "It is like a motor who is shaking a little bit afterwards and then it stops gradually."

 - When I woke up it started to ring again.

 - Where do we find this in the Repertory?

 - It started with a report in the ear, "noises, reports in" on page 298 and afterwards he had other noises in the ear which were worse when he woke up.

 - P : Maybe there is again a narrowing of the vessels in the head.

 - But it is only at one side.

 - Before it was always on the left side.

 - A : The ear ringing of before went away, I solved this with Phosphoricum acidum.

 - It was in 1986.

 - P : But now it goes away.

 - Now it doesn't disturb me as much as three days ago.

 - The noise is a little bit softer and it disappears more quickly.

 - I think it also has something to do with the fact that it becomes warmer.

 - This means that he has ear ringing which is ameliorated by lying down.

 - Look on page 293, "noises, lying, amel." : five remedies..

 - Baryta carbonica, Belladonna, Natrum carbonicum, and Phosphoricum acidum.

 - If you compare this rubric with the rubric "noises, reports in, "Baryta carbonica and Natrum carbonicum are left.

 - P : Since last week I feel so weak.

 - For example, I drive away with the car and it is all right.

 - But when my wife has to do something, for example, to go to the post office or to do some shopping, then I have the impression, "I can't anymore."

 - If it is really necessary, I will do it.

 - A : I also want to advise you that you have to listen to your body.

 - If it says, 'You have to eat mussels in sour gravy", then you have to eat it.

 - If you have a need for highly seasoned food you have to eat it.

 - You have to be careful with sweets.

 - You may eat some sweets, but not exaggerated.

 - You shouldn't eat salt too much either.

 - P : I don't have a need to.

 - A : But You have an appetite for something hearty?

 - P : Yes., At the moment I don't worry so much anymore.

 - A : This is exciting.

 - There is a gradual development to a next remedy.

 - Therefore I would like to see you again after one month.

 - And I warn you again not to use any ointment for the itching.

 - You can take a hot bath.

 - P : It itches more when I take a bath.

 - Yesterday I took a bath and afterwards the eruptions really bloomed, and there was an enormous itching.

 - Whether with warm or cold water, even when I don't use soap, the itching is aggravated by the water immediately.

 - A : The remedy will also improve the itching.

 - Then I decided to give Sulphur and the itching disappeared.

 - In the course of the story you will see what a superficial prescribing of a remedy means.

 - But first let's make a summary : he has a strong desire for sweets and this from childhood on.

 - Second he is chilly.

 - Then he has these reports in the ear and afterwards ear ringing ameliorated by lying.

 - The itching was worse after bathing.

 - Very early he had a heart infarct and has been operated on a narrowing of the vessels, he also had arteriosclerosis.

 - Besides he was a very anxious man, very anxious, and this already as a child.

 - He said that he always wanted somebody to be near.

 - Then there was another symptom, which never disappeared, it was the trembling of his hands.

 - He is working as a printer and I remember that he started trembling all over his body when I came to him to talk about the printing of this book.

 - It is strange and it means that his anxiety is rather strong.

 - What does this all mean?

 - Answer : "Baryta carbonica."

 - A : Yes, Baryta carbonica.

 - I am treating this person for four years, first with Rhododendron, which helped, then with Aconitum which also helped, later with another remedy which you will see afterwards, to which he reacted wonderfully.

 - But then I was wondering why he goes from one remedy to another one.

 - Sulphur to Aconitum?

 - Yes, they are complementary, but is this a Sulphur man?

 - No, certainly not, this is not a Sulphur man.

 - Did you see the way he looked to his wife all the time, when I asked him about the reaction to the remedy?

 - "I have to think about it, eh, hmmm", and only then he could tell me.

 - This is now the constitutional remedy and all the rest was necessary because I didn't recognize the remedy.

 - You could say that these were layers which have been reduced, but the trembling and the anxieties, the Aconitum anxieties could have been Baryta carbonica anxieties.

 - And the Sulphur itching this can also be Baryta carbonica.

 - Baryta carbonica is one of the most important remedies in itching, unbearable itching.

 - Look under "itching, scrotum" on page 701, Baryta carbonica here is second degree.

 - They scratch until it bleeds.

 - If you take all the symptoms together it is Baryta carbonica and then you can understand why he got this heart infanct so early.

 - Afterwards you will see the decision for Kali carbonicum and how I tried to make a Kali carbonicum picture of this man.

 - I will show you my mistakes, because you will learn from them.

 

 Follow-up

 - A : You were here in treatment for all kinds of complaints.

 - Then you came back at the end of last year and said that you didn't have pain anymore which was accompanied with anxieties, but pain in the chest, especially at night.

 - They always come at half past three.

 - The pain in the chest ameliorated with eructation’s.

 - P : That's right.

 - This is very interesting.

 - Look in the Repertory, "chest, pain, eructation amel" onn page 843.

 - The remedies are Baryta carbonica, Kali carbonicum, Lycopodium and Gelsemium is an addition from Boger.

 - Pain in the chest at 3 : 00 o'clock at night, this rubric doesn't exist, but he had stitching pain and the remedy is not there.

 - A : You have swelling of the eyelids, less than before, but you see that the eyelashes disappear.

 - Another symptom was that you liked to eat sweets, especially sugar.

 - Desire sweets has also Kali carbonicum and also Baryta carbonicum.

 - Both are also chilly.

 - A : You were here a few days ago, on January 30.

 - Tell me, why did you come?

 - P : I had pain in the chest again and the right arm at 3 : 00 o'clock and half past three at night.

 - It was extending to the back, between the scapulae.

 - A : How was the pain?

 - P : It is difficult to describe.

 - In fact unbearable.

 - I didn't know which position I should take because of the pain in the back.

 - I couldn't sit, stand, nor lie.

 - The pain in the back was worse than in the chest.

 - A : You can't say what kind of pain it was?

 - P : I think it was a pain as If you have an inflammation of the lungs.

 - I had this before.

 - At that time I had pain with every exhaling, the same pain as I have now.

 - A : How did the pain feel? Burning or how do you experience the pain?

 - P : It is like a rheumatic pain, gnawing.

 - Apparently not a stitching pain.

 - P : It was changing, the pain was not always the same.

 - Often it was stitching like mad, but usually it was a constant, stable pain.

 - Often there was a strong stitching.

 - A : Then I repeated your remedy, the one I gave you on December 2, in M potency.

 - You had a clear reaction to this remedy, but the complaints came back at the end of January.

 - That's why I repeated the remedy.

 - How did you react to the last remedy?

 - P : Good.

 - One hour after I took the remedy the pain went away and I haven't felt anything since then.

 - I didn't have shortness of breath anymore, which I suffered from before regularly.

 - The last days I haven't felt so good for years.

 - Now I know what it means to be without pain.

 - It is already quite a long time that I have been without any complaints.

 - I have had quite a lot of stress for a few days.

 - I have been lying awake at night for one hour and was worrying how I should do this or that.

 - It is still so, but I don't notice any disadvantages from it.

 - A : You are independent, you have a printer and work very much.

 - P : Yes, I worry for one hour at night, but the next day I can work very well.

 - A : But you don't wake up at 3 : 00 o'clock anymore?

 - P : No, I sleep through.

 - A : Can you tell me the most peculiar characteristic?

 - P : I don't easily make decisions.

 - Now, be careful!

 - P : The other could interpret it wrongly.

 - I don't dare to give orders to the staff.

 - The first thing he said was, "I don't easily make decisions", and so irresolution and this is the most important in Baryta carbonica.

 - But as stupid as I am at that moment I thought it is Kali carbonicum and I discovered Baryta carbonica only later.

 - This is the idea : the delusion that others will laugh about him.

 - Calcarea has a very similar idea, namely he asks what the others will think about him; Baryta carbonica thinks that the other laughs about him.

 - P : During the holidays there were quite a lot of problems.

 - It is nearly impossible to do everything alone, but I don't dare to say, "You can't go on holiday now."

 - A : You are too soft.

 - P : Yes, I hope my wife says it.

 - I don't dare to make a decision.

 - A : I remarked that you are always wearing a tie and are always dressed very well.

 - P : That has always been important for me.

 - A : What do you mean?

 - P : I have grown up this way, from childhood on.

 - My brother and I were completely different.

 - My brother was always wearing worn-out rags and I was always wearing new clothes.

 - I cleaned my shoes twice a day, even when I was 12 or 13 years old.

 - This was not important for my brother at all.

 - What does this mean? Why does he clean his shoes twice a day?

 - Answer : "Because of insecurity."

 - Answer : "He doesn't want to make any mistakes."

 - A : Yes, but there is something else : he cares about trifles.

 - Normally, the shoes are not important, but he cleans his shoes twice a day.

 - Of course you could also think that he does this like Kali carbonicum out of conservatism, but the main reason with him is that he thinks that the others will laugh about him and second, because trivialities are important for him.

 - P : I always liked to buy a new suit.

 - A : You like nice things? It has to be neat?

 - P : Yes.

 - A : When I payed a visit to you I noticed that everything was cleaned up, neat and tidy.

 - Is this your wife or do you want it to be this way?

 - P : I like it very much.

 - I don't feel at home when it is not neat.

 - When I go somewhere where it is not neat I will never go there again.

 - It's just as easy as that.

 - And here appears the differential diagnosis with Arsenicum : he is fastidious, is chilly, wants to have somebody near all the time and has these anxieties.

 - Another differential diagnosis is Nux vomica, but he is not a Nux vomica personality.

 - A : Do you have other fixed ideas besides neatness? For example, concerning the society, are you a progressive person?

 - P : No, I wouldn't say so.

 - A : What kind of person are you?

 - P : I don't criticize the situations in the society so easily.

 - I always see the bright side.

 - There are people who always see there is something wrong.

 - I look beyond this.

 - I try to see more the bright side.

 - It has always been so that the small businessmen have to work for the government.

 - There are some who say : we small businessmen have to pay for the others as well, but they forget to tell that they earn quite a lot of money as a small businessman.

 - I'm not against taxes.

 - Most of the small businessmen are very strong.

 - If you are honest you have to admit that if you have to pay very much you earned very much.

 - Otherwise you don't have to pay.

 - A : According to you what should everybody in society do?

 - P : If you consider all the people it should be that everybody works for his own and not for the others.

 - A : What do you mean?

 - P : Everybody has to take care that everything is all right with him and then worry about the others, not neglect his own things and help somebody else, it doesn't solve anything.

 - First you have to take care that your own affairs are settled.

 - A : What do you mean?

 - P : First you have to take care that you are somebody in society.

 - Also as a normal worker you can become somebody.

 - If you do your job , whatever it might be, as good as possible you can make something out of it.

 - A : If everybody does his job the way it has to be...

 - Could you give me another word for it?

 - You see, now I try to get the word "duty" out of him.

 - You can manage your consultation when you are on the wrong track.

 - Remark : "He is slow in his reactions."

 - A : Yes, indeed he is slow.

 - Kali carbonicum is much more to the point, "my factory has to be number one, it has to be better than the other" - this is not so in this man.

 - Sometimes he gives the impression as if he is staring, as if he is absent when he is talking.

 - A : This means, everybody must do what? His ?

 - P : Yes, that's right.

 - I hold on to it.

 - Also my employees have to do this.

 - Now you see the difference : Baryta carbonica doesn't dare to do what is not allowed.

 - And why?

 - Because of fear.

 - He is completely dependent, has fear something might happen, lack of self-confidence, this Baryta carbonica.

 - Therefore he will only do what he is told to do or what society prescribes, that's why he pays his taxes regularly.

 - A real business man would do all kinds of things to escape the taxes, like a fish he would swim.

 - This is not like Baryta carbonica, they have to pay their taxes.

 - Regularly they go with the children to the church, but not, because they are conservative, but because it has to be like this.

 - It is a childish behaviour.

 - A : You are not hyper conservative, but also not very flexible.

 - P : I hold on to the rules.

 - And again the inflexibility.

 - Who is inflexible? Baryta carbonica, but also Kali carbonicum.

 - P : Sometimes I even get angry with my wife, because I can't go away to do what is necessary.

 - We have children who are still studying and she says that I give money for this and for that, but I have my own opinion about that, and I still have.

 - My opinion is always, 'Who gives something, will receive something!'

 - A : That is also my opinion.

 - P : I often noticed this and then I say to my wife, 'You see, this is the result of it."

 - A : Nothing ventured, nothing gained.

 - P : Most people can not understand this.

 - Concerning this point my brother was completely different.

 - We were opposites, but we understood each other very well.

 - A : You said, "You have been educated in a conservative way!' And yet your brother is completely different.

 - You are who you are.

 - P : We have always been together.

 - We have always been to the same school.

 - I was always one class behind him.

 - One year we were not together, then I was working in Brussels.

 - Afterwards he came to Brussels as well to work there.

 - A : All right, this is sufficiently described.

 - You reacted in a beautiful way.

 - This is how you can prescribe a wrong remedy.

 - There were so many Kali carbonicum symptoms, the conservatism and so on, but the cause in Baryta carbonica is different from Kali carbonicum.

 - In this case I never felt well with the remedies which I gave, I always thought that I had to give another remedy, a deeper acting remedy.

 - Yes, with Rhododendron the pain disappeared and the reaction to Aconitum was very good, but then he came back with new symptoms, the ear ringing and when you see something like that you can assume that the remedy was wrong.

 - If your remedy was really chosen right, when it was a really deep acting remedy they can't come back so early with new symptoms.

 - The right remedy must bring peace, an equilibrium.

 - The complaints may be still there, but less, then it is a good prescription.

 - If somebody comes first with complaints of the right shoulder, you give a remedy and then they come back because of something else, then you can forget about it, then the remedy was wrong.

 - Now we come to the discussion what is a layer and what isn't.

 - That is a problem.

 - If there is a certain group of symptoms, you give a remedy these symptoms disappear and then new symptoms appear, can you say this is a layer? What is necessary so that you can talk about a layer?

 - Answer : "..." (not understandable)

 - A : Yes, all right, a period of feeling good, but especially also a cause.

 - If something happens, for example, an accident, or there exist some other external influences it might cause a layer.

 - And what would you see if a child comes who needs Tuberculinum, you give Tuberculinum and afterwards this child is doing well.

 - Later you see that it develops symptoms of another remedy.

 - This happens, doesn't it? The reaction to Tuberculinum was good, all the symptoms disappeared and then the child changes, it becomes fatter and so on, Calcarea appears.

 - These are also layers, but the heredity plays a role.

 - All this theorizing is not very clear -for me.

 - In the course of time I started to think less about it.

 - I try to forget all this theorizing and concentrate only on the remedy, try to recognize the whole picture and to prescribe on this basis, without influences of any thoughts, theories and so on.

 - I think that is the only right way to prescribe, the picture of the remedy.

 - Also other theories are not good.

 - I have seen books in which it says that in this or that remedy there is a Calcarea element and therefore it must be chilly or for example in Calcarea sulphurica there is a Sulphur element and therefore they are less chilly as in Calcarea carbonica.

 - But every remedy has its own picture and we can't detect this by theorizing, but only by understanding the remedy.

 - For example, you can say that Hepar sulphuris is a combination of Calcarea and Sulphur and therefore it must be neutral, but it is one of the most chilly remedies.

 - But from where comes all this theorizing? Try to recognize this picture and to understand the way of being of the remedy.

 - I think this is the only thing we should do in Homoeopathy.

 - I don't believe these were all layers in the last case.

 - I could defend myself by saying that these were all good prescriptions, Rhododendron, Aconitum and Kali carbonicum, but the remedies were only chosen on the basis of symptoms, not on the basis of the total personality.

 - These were all wrong prescriptions because I didn't take the heart infarct into account.

 - This was also a symptom, just like the arteriosclerosis.

 - These were important symptoms and I forgot them.

 - How often did we see that we gave a small remedy, the complaints became better, but came back and at the end it was Calcarea or something else.

 - Again and again we see that finally everything comes back to the big constitutional remedies.

 - It is strange.

 - We have so many small remedies but again we have to come back to the big remedies.

 - I do not want to say that small remedies don't heal.

 - There are certain cases in which small remedies really cure, but this is not so frequent.

 - Usually in 90% of the cases or even more these are the big constitutional remedies.

 

 Follow-up

 - A : At the previous consultation you said that you always had an anticipating fear, before you have to do something, that you become nervous before.

 - Has this always been like that?

 - P : Yes.

 - In this man I also observed distended veins on the nose.

 - In "Face, veins, distended" on page 396 you see remedies like Crotalus horridus, Opium, Lachesis, and so on, but it is also a typical characteristic for Baryta carbonica.

 - A : In such a situation you start trembling and shaking, also when you are excited.

 - Last time you told me that the trembling has occurred your whole life.

 - You always have had this?

 - P : Yes, I have always had this.

 - A : Also as a young man?

 - P : Yes, always.

 - A : So, trembling hands.

 - Then you told me that it was a family trait.

 - Put out your hand.

 - Yes, it trembles a little bit.

 - P : Some days it is stronger than other days, but it is always there.

 - A : Your whole life long you preferred to eat sweet, but you couldn't digest them very well.

 - P : When I was a small boy it was fried fillet of haddock and this has been my whole life long.

 - A : Last time you told me that you often had pain in the chest, here.

 - P : When I can have eructations it is better.

 - This is very interesting : Look in the Repertory under "chest, pain, eructation amel.".

 - The remedies are Baryta carbonica, Kali carbonicum, Lycopodium and Gelsemium is an addition of Boger.

 - A : Did you ever have this pain again?

 - P : Yes, but not so frequent anymore.

 - Last week I didn't have pain at all.

 - Well, maybe a few times.

 - During the day when I lie down I have pain.

 - But in fact it is already three weeks ago that I had this kind of pain for the last time.

 - In the evening about 8 : 00 o'clock I have eaten French fries with hamburger.

 - About 10 : 00 o'clock I went to bed and when I took off my clothes, I got pain suddenly, so in the back under my shoulder blades and I didn't know how I should move, what I should do.

 - I sprayed Nitroglycerin in my mouth, drank cola then I could eructate and the pain went away.

 - But in fact the pain was too high to come from the stomach.

 - It didn't hurt at the front, only on the back there was a terrible pain.

 - It didn't last a long time either, maybe a quarter of an hour and afterwards I didn't feel anything at all.

 - A : You also told me about your ear ringing.

 - How is it at the moment?

 - P : I still have it, but not so often anymore.

 - A : But it still occurs regularly?

 - P : Yes, it comes back again.

 - A : Tell me, when does it occur?

 - P : It is changeable, but when I lie down it is over.

 - In "ear, noises, lying amel.

 - " Baryta carbonica is second degree and Phosphoricum acidum is capital.

 - He had this already a few years ago when he had another kind of infarct.

 - Therefore he went to the hospital and the doctor said to him that he would never get rid of it, that he has to live with it his whole life long.

 - Then he came to me, I gave him Phosphoricum acidum and the ear ringing disappeared, but later it appeared again.

 - I would like to show you these cases so that you can give the remedy, by which these symptoms disappear, but which don't cure the patient.

 - I gave him Rhododendron, Aconitum, Sulphur, Phosphoricum acidum and Kali carbonicum, but none of them hit the mark.

 - He was doing well, he was happy, he was satisfied with the way of treatment, but it was never the right remedy.

 - A : How is it when you lie on your ear?

 - P : I nearly always lie on my ear.

 - A : All right, you have ear ringing and it disappears when you lie on your ear.

 - How is the itching?

 - P : It is still bad.

 - Now it is very strong itching on my neck, at the hair line.

 - Often there are thick knots and often while sleeping I scratch until it bleeds.

 - Here, above, and behind at the head it is worse.

 - Again the itching is appearing, you think of an itching remedy, Sulphur, he is worried about others, all right, Sulphur.

 - So you can give one remedy after the other.

 - A : What about the angina pectoris attacks at night?

 - P : In the last weeks I don't suffer anymore from them.

 - It occurs in periods.

 - Sometimes I have it when I get up in the morning.

 - I think, it is when I get out of bed very quickly or when I get up very quickly; I get shortness of breath and when I take Nitroglycerin it is over.

 - A : What about the vertigo?

 - P : I don't notice anything of it at the moment.

 - A : And when you turn your head quickly?

 - P : No.

 - A : Have you been ill as a child?

 - P : Oh yes, I have been ill very often.

 - A : What kind of diseases did you have especially?

 - P : Mostly I suffered from lung inflammations, many years in a row.

 - It was always about the period of Christmas, always at that period.

 - A : Did you suffer from your throat?

 - P : I can't remember anymore, I think so.

 - A : What about your tonsils?

 - P : The tonsils are like a moon landscape with holes and ditches.

 - A : Have they been taken out?

 - P : No, no.

 - They wanted to take them out when I was 18 or 19 years old, but I didn't dare to.

 - A : You didn't want to be operated on at that age?

 - Can you remember whether you had inflammations of the throat often?

 - P : I think so.

 - A : Did your mother tell you at what age you learned to walk?

 - P : Yes, I learned to walk very quickly.

 - I think I was 7 months old.

 - When I was 9 months old I had something like typhus.

 - Afterwards I couldn't walk anymore and I learned it again at the age of 2 years.

 - A : What about talking?

 - P : I learned talking at a very early age.

 - A : It didn't develop either?

 - P : Yes, because of the typhus.

 - I remember a story that I was in a comatose state and I couldn't talk anymore.

 - I survived, but maybe that's the reason why I'm so sensitive to all kinds of diseases.

 - I nearly got all childhood diseases and all the diseases which you can name.

 - But still I survived.

 - A : What about your anxiety, did you dare to do anything? Did you have this already as a child?

 - P : Being reserved, Yes., Sometimes it is a little bit better, but in general I was rather shy of people.

 - A : What do you mean, "shy of people"?

 - P : For example, there was a family party one week before I became ill, because I didn't want to go there.

 - In fact I always had this and this remained so.

 - At the time when I was working in Brussels at the newspaper and there was a family party on Sunday I asked my boss, "Would you please give me duty on Sunday, so at least I don't have to go to the family party."

 - If I had to go to some meeting or a party, when I couldn't escape from going there, then I went there but I drank four, five beers and then it was all right.

 - Then I could behave normally, then I wasn't anxious anymore.

 - Which other remedy does this?

 - Answer : "Natrum muriaticum."

 - A : Natrum muriaticum and?

 - Answer : "Medorrhinum."

 - Question : "What do they do?"

 - A : They drink beer because they are anxious.

 - They have to drink three, four beers, before they can go somewhere.

 - I had a Medorrhinum patient, who smelled of beer so much that I even became half drunk by the smell.

 - A : After you drank a few beers you didn't have complaints anymore?

 - P : No, no.

 - A : Then the anxiety was a little bit better?

 - P : Yes, I became more self-secure when I drank a few beers.

 - It is especially difficult when other people are there.

 - I still have this.

 - The last time I had to go to a reception and to a wedding and then a few days before I started feeling nauseous.

 - In the meantime it is not as bad, but I don't feel well.

 - I always think whether there isn't any excuse for not going there.

 - So I still have some difficulties with it.

 - A : There is another element which I wrote down in September 1988, when I gave you the remedy the first time, namely that you are very worried, even anxious when your wife stays away too long.

 - Why?

 - P : Yes, yes, that's right.

 - Every time I think she has an accident.

 - A : Do you think that you are too worried about your wife? Does this also concern your children?

 - P : Yes., Maybe I'm too worried.

 - A : What do you mean?

 - P : Yes, for example, the examinations start tomorrow.

 - Now, I'm so restless, and I'm worried, that they learned too little and therefore they get bad marks.

 - A : Is there anything else?

 - P : In the last days I had to sneeze very much.

 - I sneezed 71 times, but then it was over.

 - Since then I don't have it anymore.

 - A : What about this anxious worry about the others?

 - Do you become anxious by it?

 - P : Yes.

 - A : What about the domestic affairs? Do you worry much?

 - P : Yes, in fact I'm easily worried about all kinds of things.

 - A : Could you give an example?

 - P : For example, when I'm at home, the children come home from school and my wife says shortly before that she has to do some shopping.

 - When she is not at home when the children come home from school, I think, 'My God, they don't have anything to eat.

 - Why does she stay away so lone", something like that.

 - Also when my wife is a little bit ill I easily panic.

 - Then I think, "Well, I wished I was ill."

 - I prefer to be ill, otherwise I become in a panic immediately.

 - For example, a few days ago she had to vomit very much and then I'm in a panic immediately.

 - A : In general do you think that you are easily cold or perspire easily?

 - P : I am easily chilly.

 - I'm rather too cold.

 - A : What do you mean in general?

 - P : All the people are wearing a thin shirt and I'm still wearing a heavy shirt.

 - Otherwise I'm too cold.

 - A : Are you always covered up completely in bed?

 - P : Yes, I always have to put a blanket on me, otherwise I can't sleep.

 - A : Do you lie under the cover, completely covered up? Also the arms?

 - P : Yes, yes, always.

 - And there must be a certain weight lying on me.

 - I have to feel the pressure of the covers.

 - There has to be something on me.

 - I can't bear an eiderdown at all, it is too light for me.

 - It must be a real cover, which has a certain weight.

 - A : At what age did you get your first heart attack?

 - P : It was in 1977, it is 12 years ago.

 - Now, I'm 58 years old, then I was 46 years old.

 - A : Rather young?

 - P : Yes, then I was the youngest in the department.

 - When I was in the hospital the last time, this is 14 days ago, there were four, five people who weren't 30 years old yet, who also got a heart attack.

 - Question : "What kind of profession does he have?"

 - A : He is a printer.

 - This means that he had a lot of contact with lead.

 - You can think of Plumbum, but Plumbum is completely different on the mental level.

 - What is typical for the mental picture of Plumbum?

 - Answer : "..."(not understandable)

 - A : Yes, they love and enjoy life.

 - A : On the other hand you also said that you were afraid when you are alone.

 - P : Yes, I was, but this anxiety has gone now.

 - It is really gone.

 - A : How do you behave concerning making decisions? Do you easily make decisions or do you think much about it?

 - P : It is difficult to make decisions on my own, I always had problems with it.

 - A : Also before?

 - P : Yes, also before.

 - In fact, it has always been a difficulty for me to make decisions.

 - My whole life was adjusted to my brother.

 - We were together at school.

 - When I or he had to go to another school we always went together.

 - When I went to Brussels my brother came immediately after his military service to Brussels as well.

 - I took over the business in X and he also came with me.

 - When I went working in Brussels again he stayed in X.

 - I always relied on him completely.

 - At least he could take initiatives.

 - For example, on the practical level he could do everything and I couldn't even fix a screw.

 - A : Because of your trembling hands?

 - P : No, I'm just not capable manually.

 - For example, I can't hang up a picture, this is for me a catastrophe.

 - I'm not able.

 - My brother was very capable in everything and that's why I completely relied on him.

 - A : Your brother died of lung cancer, didn't he?

 - P : Yes.

 - A : And now your wife took over this role, didn't she?

 - P : Yes, partly she did.

 - We have a business and the salesman has been in the business for 6 years.

 - He took over this function, he makes all the decisions.

 - A : Does it concern the buying, the dealing and so on?

 - P : Yes, he does everything himself.

 - The salesman makes all these kind of decisions.

 - Everybody knows the irresolution in projects and acts, the rubric on page 57 "irresolution, projects, in", "irresolution, trifles, about", for example, buying shoes is a triviality.

 - A : Are you easily annoyed?

 - P : Not so easily, no.

 - He puts away some money to be sure.

 - He always needs the feeling to have enough.

 - This is also an expression of a lack of self-confidence and the dependency.

 - A : You told me that you have fear of heights, that you become dizzy when you are standing somewhere on a high place?

 - P : Yes, yes, I have.

 - A : Then you also told me that you have had attacks of anxieties since you were frightened by the loss of your uncle.

 - P : Yes, I think so.

 - A : But you also told me that You always had certain things, for example, these difficulties in making decisions, the dependency on your brother and so on.

 - Do you know whether you were anxious before your uncle died, whether there were periods that you were in a panic?

 - P : I think so.

 - I think I already had this from childhood on.

 - Already as a child he had Baryta carbonica symptoms and this has been so his whole life.

 - This is constitutionally.

 - A : What kind of anxiety?

 - P : Yes, it is difficult to explain.

 - (long pause)

 - Slow in answering.

 - A : This is something internal, but the consequences are...

 - P : Yes, I immediately start trembling enormously.

 - And sometimes it happens that I have difficulties in breathing.

 - In fact it is a kind of trembling for fear, it is very strong then.

 - A : Do you tremble all over your body?

 - P : Yes, completely.

 - I have the impression it started when I was four, five years old; then I fell down from a truck.

 - Maybe I got a few scratches, but I think I got many things from then on.

 - A : You mean that you got this anxiety even before your uncle died.

 - P : Yes.

 - A : And this anxiety is connected to a fear of dying?

 - P : Yes, that's it.

 - A : A kind of hyperventilation for which you got the wrong remedy.

 - What about yawning? In fact the attacks of anxieties were always connected to yawning.

 - P : Yes, when I start yawning I know that it will be over soon.

 - A : I think that you also said that you have salivation at night.

 - P : Yes, before.

 - Not now anymore.

 - Another differential diagnosis is Mercurius because of trembling hands and the salivation at night.

 - A : With the angiography they found some narrowing at the heart.

 - P : Yes.

 - A : Arteriosclerosis.

 - P : Yes, they detected a hardening.

 - But in fact I don't understand this.

 - Some constrictions have to be found.

 - A : On the other side there was a constriction of a blood vessel extending to the leg.

 - P : Yes, at the right leg.

 - Yes, a few times it hurt very much, but not so frequently.

 - A : Is it worse while walking?

 - P : Yes, but not always.

 - When I am walking, I have to take a rest for I minute and then I can go on and when I do this for about three, four times, I can walk for quite a long time without any problems.

 - Now with this bad weather I have had many complaints, for two, three days, I have had rather strong pain in the leg.

 - This happened last week, I think, when it rained very much.

 - A : The last time in fact you had very few angina pectoris attacks?

 - P : Yes, really seldom.

 - A : What about the pain which is ameliorated by eructation? Did you still have it?

 - P : Yes, a few times.

 - A : But it is not the same pain as it was a few months ago? Then it was much stronger?

 - P : Yes, much, much worse.

 - A : All right, now we know what we have to do.

 - You see if you consider the whole history of a patient from childhood on you can understand everything if you know the remedy.

 

 Follow-up

 - P : I feel terrific.

 - I was doing very well up to four days ago when I got new complaints.

 - Four days ago I felt something in my breast.

 - But before there was not one day that I had complaints.

 - I hardly had to take any medicines.

 - Four days ago I wanted to take something, but I didn't have any.

 - Today I don't have any complaints anymore and yesterday there was a kind of pressure, here and a little bit lower.

 - I think it might be because I gained some weight.

 - I gained about 8 kilo and maybe this disturbs the work of my heart.

 - Further I didn't have so many complaints.

 - I couldn' t bear the warmth.

 - We have been at the sea for a few days and on the right side I got an extremely swollen foot.

 - It was completely blue.

 - A : Did it go away?

 - P : Yes, in the evening and at night I put my leg upwards, when I went to bed, and in the morning it was over.

 - A : Did you have a pressure on your chest today?

 - P : No, no, it was about four days ago.

 - I took a reserve tablet when we went on holiday, but I lost the tube and so I couldn't take anything.

 - A : What about your medicines did you reduce them?

 - P : Yes, I take much less.

 - I didn't take Nitroglycerin anymore.

 - I also don't need NITROLINGUAL anymore.

 - I still have some reserve of SEDOCARD, but I don't take it anymore.

 - A : What kind of medicines do you still take?

 - P : Two tablets of MEXITIL, two TILDIEN and in the morning SEDOCARD.

 - A : Do you still take MARCUMAR?

 - P : Yes, I still take it.

 - You know this is an anticoagulant.

 - When he comes the next time I will tell him to stop also this MARCUMAR.

 - Before I never felt at ease with this man for 100% concerning the remedy and therefore I didn't want him to stop MARCUMAR.

 - Question : "Does it disturb?"

 - A : It might cause bleeding.

 - Question : "No, I mean, whether it disturbs the remedy."

 - A : No, it doesn't disturb the remedy, but it is better to stop to prevent bleeding and so on.

 - A : What about the nightly pains, do you still get them?

 - P : No, no.

 - Four, five days ago when I woke up in the morning I got some complaints, so a pressure, but when I sat down it was over.

 - A : Do you think that your complaints are connected with eructation’s and so on?

 - P : Yes, it still ameliorates.

 - I don't know whether it has something to do with it, when I had quite a lot of complaints at that time I had to urinate very often.

 - I don't know whether it has something to do with it, but I noticed this.

 - A : You worked the whole time, you didn't have any problems?

 - P : Yes, yes, I could work very well.

 - I even worked very much and I was a few days away, at the sea and in the Ardennes, which is also very exhausting.

 - And besides this heat.

 - They all told me, 'You should stay inside", but I didn't stay inside, in fact I didn't have complaints any more with it.

 - A : What about the ear ringing?

 - P : Ear ringing? No, I didn't have it anymore.

 - Maybe once, a kind of noise, but it was gone after 5 minutes.

 - In fact, I don't have complaints anymore with it.

 - A : What about the pain in the stomach when you eat something sweet?

 - P : In the last time I don't eat sweets anymore, because I want to loose weight.

 - But it happened a few times when I drink a cup of coffee and I eat a slice of bread with it, I really get severe pain in the stomach.

 - Then I drink some mineral water and then it goes away.

 - But really burning stomach pain after a cup of coffee and a slice of bread.

 - During the day it never happens, only when I have breakfast in the morning.

 - Sometimes I also have complaints with my leg.

 - When I go for a walk it can really start hurting so much, so that I have to stand still.

 - A : The right leg which has been obstructed?

 - P : Yes, often, when I walk for 50 metres it starts hurting.

 - When I rest for about 20 minutes, and I go on I can walk without pain for about three, four kilometres.

 - A : But all together we can be satisfied?

 - P : Yes.

 - A : Then you get the remedy in a tube to take home.

 - As long as the pain is less you don't have to take anything, and when the pain comes back you call me.

 - What about the trembling hands? Is it better?

 - P : Yes, it is better.

 - In fact, I don't notice it anymore.

 - Sometimes I had difficulties in putting the letters and I don't have it at the moment.

 - A : Can you write better at the moment?

 - P : Yes, yes, it is readable again.

 - A : All right, that is fine.

 - Remark : "Coffee doesn't antidote Baryta carbonica?"

 - A : How do you know? Everything which makes nervous is an antidote for Baryta carbonica, because they are nervous themselves.

 - Remark : "In other remedies..." (rest is not understandable)

 - A : When I think that the cause of the complaints of the patients is the nervousness, then I am careful, then I tell them not to drink coffee in any case.

 - But any patient may not drink coffee as long as he isn't cured yet or isn't doing really better.

 - Then I allow them to drink coffee now and then, but in any case not at the beginning of the treatment, until we are sure that we found the right remedy.

 - Also in these circumstances you have to be flexible.

 - Question : "What about psycho pharmaceuticals? "

 - A : Psycho pharmaceuticals are really suppressing.

 - Question : "But he didn't take any?"

 - A : He? No, he didn't take any psycho pharmaceuticals.

 - He took only TILIDIEN and MEXITIL, these are both medicines for the heart.

 - He stopped the VALIUM and the DOMESTA.

 - Remark : "And antiarrhythmics."

 - A : Ah, the antiarrhythmics, that's what you asked for.

 - No, the antiarrhythmics seem not to antidote, but I will ask him to stop everything because I feel completely sure.

 

CASE10

Eczema

 Dd bufo, bar-c.

 - Boy, 13 years old

 - September 26, 1988

 - A : You came here with the problem that your son always wanted to be alone, a hermit.

 - He likes to puzzle about.

 - He has an eczema at the elbow, right more than on the left, at the elbow.

 - In a group of strangers he is reserved.

 - He has no anxieties.

 - He has to be busy constantly.

 - He is not anxious, we are sure about that.

 - He is not interested in books, in news, but always wants to be busy.

 - He knows a lot about music, installations, cars, technical things, so slightly abnormally much.

 - MP : Not abnormal.

 - A : Well yes, I mean more than the average.

 - MP : Yes.

 - A : This means that his level of interest is limited, but what he is interested in he knows very well.

 - It is a limited interest level, but the knowledge on this level is more than usual.

 - A doctor from Holland sent me this child with a letter, in which he wrote that his problem was eczema.

 - When the boy came I said, "No, the eczema doesn't interest me, the child is the problem, his behaviour.

 - " He is in a special school and when I started to talk with his father, he agreed completely with me, "My child always wanted to be alone.

 - He likes to be alone.

 - He sits in his room and he does several things, for example, with the computer.

 - In a group and with strangers he is reserved.

 - He doesn't watch television, he doesn't read, he doesn't have any interest at all.

 - He always wanted to be busy, has to do something constantly.

 - " He is autistic and very restless.

 - As a child he fainted from rage, he could be so angry.

 - Then he was very impatient and with the first consultation he still had these tics, he couldn't sit still.

 - As a child he had big tonsils which have been removed.

 - Up to now you can recognize two remedies.

 - Let's see further.

 - A : Autistic and restless.

 - At that time you told me that I hit the right point.

 - As a child he had hay fever, quite a lot of nose bleeding, walked at the age of 18 months.

 - He fainted twice from anger.

 - As a baby he cried constantly.

 - He was impatient, couldn't sit still, had tics in the shoulder, which he moved constantly.

 - P : I don't know anymore.

 - A : It was there.

 - MP : Yes, yes.

 - A : In the family history a child of your great-aunt has had tuberculosis.

 - He likes pork, chicken and chopped meat.

 - This is the total picture.

 - I gave him the remedy, one tablet under the tongue to let it melt.

 - Tell me, how did he react to this? The first day - your father just told me, you had headache.

 - And afterwards? How long did this headache last?

 - P : I think, two days.

 - A : Headache for two days.

 - Was it bad?

 - P : Yes.

 - A : Where did you have a headache?

 - P : Here or there (shows right and left on the forehead).

 - A : It was not particularly at one place?

 - P : No.

 - A : And then?

 - P : The first week was rather good, only the eczema become worse.

 - A : In which sense was it good the first week?

 - MP : He was active and didn't have headache or nose bleeding anymore.

 - A : So no nose bleeding anymore.

 - Did you have headache regularly before?

 - P : Yes.

 - A : So, no headache anymore, you felt more active.

 - How long did it last that you felt so active?

 - FP : About five, six weeks.

 - He was doing extremely well for five, six weeks.

 - MP : Really good.

 - A : In what sense do you mean extremely well?

 - FP : No headache, was very active, less reserved.

 - A : Less autistic, less reserved.

 - FP : Yes, that's right.

 - We were very satisfied.

 - And after six weeks the skin eruption became enormously worse.

 - A : After six weeks, when was it?

 - FP : It was in September.

 - A : And during these six weeks the eczema also became better?

 - FP : First the nose bleeding returned.

 - A : At the time when you were doing well was the eczema also better? Or did it increase? How was it?

 - P : In the evening it increased.

 - A : We have to emphasize clearly the period.

 - After the headache - the headache lasted for a few days, then it got better gradually, no nose bleeding, no headache anymore, very active; And how was your eczema at that period?

 - FP : Very little changed.

 - A : But it hadn't become worse?

 - FP : No.

 - A : You didn't have so many complaints about it?

 - MP : About the same as before.

 - A : So we can say that the eczema remained about the same, but on the mental level there was a clear improvement.

 - Six weeks after the administration of the remedy there was a sudden relapse.

 - FP : First he got the nose bleeding again, every day.

 - MP : Especially in the evening while taking a shower.

 - FP : The nose bleeding disappeared and then the eczema appeared suddenly all over his body.

 - A : So let's see.

 - P : There it is and I have it here.

 - Especially in the bends.

 - A : What about the ears?

 - P : No, there is nothing.

 - FP : It is worse on the head.

 - A : So the nose bleeding disappeared and then the eczema became very bad.

 - How is his behaviour in the meantime?

 - FP : His behaviour in school is better.

 - Before it was always a problem.

 - A : This autism, this withdrawal, this not being interested is it better than before? How is it now compared to the first time you were here?

 - MP : I think it is good.

 - A : So he is still more active than otherwise.

 - MP : He is doing better in school, with his work and I don't always have to force him.

 - A : What about the tics?

 - FP : They aren't gone yet?

 - A : Is it better?

 - MP : He still has it now and then.

 - A : But I don' t notice anything anymore.

 - MP : Now he doesn't have it.

 - A : But it is less.

 - MP : Yes.

 - FP : But he has a terrible itching on the head.

 - During holiday he slept in our room and we couldn't sleep because he scratched the whole night.

 - A : At the moment we have to be very careful to treat the eczema, because there is a fundamental improvement on the character level.

 - Now comes the problem.

 - Because of all these elements the character and so on I gave him Bufo and he improved.

 - He is better in school, his behaviour has improved, the tics became better, but then an itching appeared.

 - Skin symptoms together with neurologic symptoms is Bufo.

 - What did I do? I repeated Bufo, but the skin became worse, and this was a problem.

 - I said to myself, "This is not Bufo anymore, it was Bufo and now I have to take the actual symptoms and see which remedy appears."

 - Because he reacted the first time so wonderfully to Bufo I let them wait once and afterwards I repeated the remedy.

 - But the itching became so intense, with oozing, a yellow secretion and it was bleeding in all the bends of the joints.

 - Which remedy has these oozing, sticky secretions, bleeding crusts and cracks?

 - Graphites.

 - So I gave Graphites but he didn't react, not at all.

 - Then I looked all over his file again and read everything, from the beginning on, and then the remedy was clear.

 

 Follow-up (december 2,1988)

 - A : We know the problem, originally there was this disturbance of behaviour and an eczema.

 - The disturbance of behaviour became better and an unbearable eczema appeared.

 - P : Yes.

 - A : The first time when he got so many complaints about his eczema was in September or October.

 - FP : Then we came here, but he already had it.

 - A : Yes, but I mean the unbearable itching only started in September/October.

 - I repeated the remedy and it didn' t help and then we only -Show me the eczema.

 - It is especially in the bends of the joints, at the lower arms and in the region of the throat- and chest, also in the inguinal region and in the bends of the knees.

 - FP : Not so bad.

 - P : And it itches terribly on his head.

 - FP : Without eruption.

 - It started last Friday.

 - A : I gave him a remedy, Graphites, because it was in the bends, because it was oozing, and sticky.

 - He scratched until it was open.

 - But it didn't help anything, with Graphites the itching even became worse.

 - I examined the whole case again.

 - It is a burning itching, which was very strong, unbearable.

 - P : Yes.

 - A : Especially in the evening.

 - If a patient comes with unbearable itching and has to scratch constantly and you give him the right remedy, the itching has to disappear the next day.

 - Or when somebody has to scratch the whole night he can sleep the next day after the remedy.

 - The parents pushed me that they came because of the eczema and now the eczema became worse.

 - I told them they had to wait, that I can't give another remedy immediately, unless there are symptoms.

 - And the symptoms came and the parents pushed me a little bit further, to do something so that I gave which remedy? Itching, scratching until bleeding, you see the agglutinated blood.

 - Look under skin, "itching, scratch until it bleeds, must" on page 1328 : Agaricus, Alumina, Argentum metallicum, Arsenicum, Baryta carbonica, Bovista, Chloralum and Medorrhinum, Psorinum and Pulsatilla.

 - Baryta carbonica is also there.

 - The tonsils have been removed in this child, there are other elements : he learned walking late at the age of 18 months and he was shy.

 - The timidity was more pronounced than the first time when he was here.

 - I gave him Baryta carbonica 10M and the reaction was wonderful.

 - He slept the whole week and you will see in one, two months the skin will be completely all right.

 - Now we can be sure that Baryta carbonica is complementary to Bufo.

 - You can say the mental symptoms are the most important symptoms.

 - All right, if the suffering mainly exists on the mental level, I mean if the behavior really becomes bad like in autism, no relationship to the surrounding, when this is clear then it is important.

 - But if afterwards an unbearable itching appears, then this is the important symptom.

 - You can also say Bufo was the right remedy and now an itching appears, a skin symptom, I don't mind this.

 - But you can't let your patient scratch the whole body until it is bleeding and oozing and so on.

 - You could also say: wait.

 - No, we can't wait in this case, we have to help this boy now, because he developed very clearly skin symptoms after two or three doses of Bufo.

 - If you give a 10M potency of the right remedy everything is over, and that's what you have to do here.

 - The symptom by which you suffer most, which limits the creativity most this is the most important symptom.

 - It might be a mental symptom, but also a pure physical.

 - Here it is a physical symptom.

 - The complementary remedy is Baryta carbonica, again flexibility.

 - We have to stay flexible.

 - A : Wet after scratching and you had to scratch until it was bleeding.

 - You show me places of itching but without eruption, and by the scratching you got an injury.

 - He was really scratching until the skin was broken.

 - Then at the age of two years his tonsils have been taken away.

 - Was this because they did it with everybody?

 - FP : It was not so at that time.

 - But it was really necessary with him.

 - A : He had enlarged tonsils which have been taken out.

 - FP : His bronchi have been examined as well at that time and they told us that they could see at the heart that the tonsils obstructed the supply of the oxygen.

 - A : So on the characteristic level we have this, what you also told me, this withdrawal, this restlessness, this being directed to himself, this has become much better, especially the restlessness.

 - He was walking only at the age of 18 months.

 - So the restlessness and the closeness, this being directed to himself is much better now.

 - He is still a little bit shy, isn't he?

 - (isn't confirmed or denied by his parents)

 - A : But the restlessness has completely disappeared.

 - I also asked you about his toys, whether he is very careful with the toys which belong to him.

 - P : I think so.

 - I don't break anything.

 - FP : He is very careful.

 - A : Concerning his toys is he over worried?

 - P : No.

 - A : He can occupy himself a longtime with something, with Lego, with the electric railway.

 - A : All right.

 - Any way this itching was intolerable.

 - I gave the remedy on November 25, in 10M potency.

 - Now it is December 2, one week later.

 - How was the reaction to the remedy?

 - P : I think, good--

 - A : Tell me yourself.

 - P : When we came home on Friday suddenly I got nose bleeding.

 - FP : He slept a lot.

 - He slept the whole week very well.

 - He didn't have to get up.

 - Once he rubbed himself with ointment and he used a cooling down.

 - P : Not now anymore.

 - Only on Sunday and Monday night.

 - FP : But the itching on the head became worse.

 - A : In general he can sleep better and had more itching on the head.

 - P : We are satisfied.

CASE10

Parotitis

 Dd bry., bar-c.

 - Boy, 8 years old

 - A : Turn your head this side so that I can see that it is a swelling of the parotid.

 - A : Does it hurt when I touch it?

 - P : Yes, it hurts here below.

 - A : Does it hurt?

 - P : No, a little bit.

 - So not particularly a strong pain on a slight touch.

 - A : Not bad, or?

 - P : No.

 - A : It is not red, only swollen, also not particularly warm.

 - If they can't tolerate the slightest touch, when it is warm and swollen, heat with fever and on the right side, it is Belladonna.

 - But here it is not Belladonna.

 - In aggravation on slight touch there is another remedy, which immediately comes into our mind and that is Mercurius.

 - You have to smell the breath and look at the tongue and then you can give Mercurius.

 - Does everybody know the rubric for swelling of the parotid? It is under face "swelling, parotid gland" on page 394.

 

 

FACE,SWELLING,parotid gland : Ail., am-c., anth., apis., arn., ars., Arum-t., aur-m., aur., Bar-c., bar-m., Bell., Brom., bry., bufo., calc-s., calc., carb-an., carb-s., carb-v.,Cham., chin-a., Chin., chlol., cinnb., cist., coc-c., cocc., con., crot-h., dig., dulc., fago., ferr-p., graph., hep., hippoz., hyos., ign., iris., kali-ar., kali-bi., kali-c., kali-i., kali-p., lac-c., lach., lyc., mang., merc-cy., merc-i-r., Merc., mur-ac., nat-a., nat-c., Nit-ac., nux-v., phos., phyt., plb., psor., puls., Rhus-t., sarr., sep., Sil., staph., stram., sul-ac., sulph., sumb., vip.

 - A : Before he came the last time he has been ill for 14 days.

 - Tell me how did it start.

 - FP : With stitching headache.

 - When the school was out he started crying because of the headache.

 - He came home and he felt miserable and he complained about headache the whole time.

 - It was alternating very strongly.

 - Sometimes it was a little bit better and then he was a little bit quiet and then he started to cry again because of the headache.

 - The fever went up and down, then 37.5o, then higher.

 - He also vomited during his headache.

 - A : Tell me when did he vomit?

 - FP : The slightest thing he ate he vomited after 5 minutes, so with the slightest quantity he drank, even when it was only one draught.

 - Everything started with a kind of meningeal irritation, vomiting after drinking, a kind of influenza; it was a dangerous situation with headache, vomiting and so on.

 - A : How was his behaviour compared to before?

 - FP : I told my wife that it was better the last week.

 - It does him good when he conquers a disease.

 - He is much more verbal and talks much more.

 - He became more independent.

 - But during the disease his behaviour was completely different than otherwise.

 - A : Tell me about it.

 - FP : Normally he is active, but when he is ill, especially with headache, then he wants to stay in bed.

 - A : Do you have to be with him or not?

 - FP : He wanted to be left alone?

 - He was more quiet than otherwise.

 - The first day he nearly slept the whole day.

 - A : And he was paler than otherwise?

 - FP : Yes.

 - A : Last week on Tuesday or Wednesday I gave him the remedy, we will not mention the name.

 - It was in 200 potency and I said, you should call again tomorrow.

 - You gave him one spoonful.

 - And how did it go?

 - FP : It became a little bit worse.

 - It was surely not better.

 - A : Then you came back.

 - I looked again and said, 'Yet, it is the right remedy.

 - I will give it in 10M potency."

 - FP : Then it went very quickly.

 - After four hours he was nearly cured.

 - He came very acute with vomiting after the slightest quantity of water.

 - You know the rubric under stomach, "vomiting, drinking, after, smallest quantity" on page 532 :

STOMACH,VOMITTING,DRINKING AFTER,smallest quantity : Ars-h., Ars., Bism., Bry., Cadm., Phos., plb.

Arsenicum, Bismuthum -Bismuthum in very dangerous situations, in perforations of the stomach - Cadmium sulphuratum - in what kind of disease?

 - Answer : "In cancer."

 - A : In cancer of the stomach, with black vomiting, vomiting like coffee grounds.

 - Then Bryonia, Phosphorus, Plumbum with vomiting after small quantities.

 - Normally he is a very lively child, but now he just only wants to lie down.

 - He doesn't want to have anybody around, so Arsenicum and Phosphorus are out of question.

 - For Bismuthum he doesn't have any particular symptom, not these terrible pains in the stomach which we know of Bismuthum.

 - Further, in such a young child you wouldn't expect cancer of the stomach, so Cadmium sulphuratum is excluded.

 - 'Doesn't want to be disturbed", there are two remedies in the Repertory, Gelsemium and Bryonia, besides he was very pale, he only wanted to lie down and so on, so that I gave Bryonia 200.

 - The next day he came back and it was worse.

 - But I was absolutely sure it was Bryonia and I gave him Bryonia 10M and four hours later he was cured.

 - This is always the same story with low potencies.

 - Now, I can understand that it must be very difficult to be a good homoeopath If you work with low potencies.

 - You repertorize the case, give the right remedy and nothing happens.

 - Then you start doubting.

 - All right, so four hours later he was cured and then came this swelling of the parotid, one week later.

 - Look very closely at the behaviour of the child and pay attention to what the father says.

 - A : This disease went away very quickly.

 - It was a kind of meningeal irritation, although the examination was not clearly positive, but this isn't of any importance.

 - This is now one week ago and this morning you called because of this swelling of the parotid.

 - A second important argument for this remedy is his state after the last disease.

 - Can you describe this again?

 - FP : Afterwards it went very easily, he talked more.

 - I already said that it appears to me that he is doing much better every time when he got through a disease, as if the disease would bring him on a higher level.

 - I don't know what kind of influence this might have, but he is really verbal.

 - He is only 51/2 years old and if you hear him explaining things, he can do it better than before.

 - A : How does he behave?

 - FP : The amelioration which we determine, is that he is not so hyperactive anymore.

 - You remember surely about the time that he was nearly hyperkinetic.

 - This is much better.

 - It is as if this improves after such a disease.

 - A : The remedy which we have to give is clear.

 - After the disease he was more talkative, more understandable.

 - FP : I also wondered where he got this.

 - He really asked intelligent questions.

 - I really wondered where he got this cleverness, otherwise he doesn't do it, otherwise he is more childish.

 - A : Show me your tongue, boy.

 - A little bit down so.

 - P : (Puts out his tongue.)

 - A : It is not coated, Did he perspire last night?

 - FP : He might have perspired, but not so strongly.

 - This morning he had more pain than now.

 - A : The swelling is not particularly red or warm.

 - I will give him a remedy now and I would like to see him again on Saturday.

 - FP : Yes, yes.

 - A : If the swelling of the parotid would extend to the other side you must call me immediately.

 - You see how this child is sitting there, is looking around and is playing.

 - (Everything is very slow and hard).

 - I've known this child for quite a long time and the problems were always tonsillitis, sometimes very acute, severe inflammations.

 - He got a remedy in 10M potency and two days later he was cured.

 - If the parotitis would have gone from right to left it would have been which remedy?

 - Lycopodium.

 - All right, he had Bryonia for the acute state.

 - It became better and ' then came the parotitis.

 - In the Bryonia state his behaviour was' completely different from normal, but now his normal behaviour came back.

 - Which is the remedy?

 - Baryta carbonica.

 - But up to now we can't decide definitely, because we have too little information.

 - FP : I think that his penis and his testicles remain very small compared to other boys.

 - He thinks that in this boy compared to other boys the penis and the testicles are too small.

 - This corresponds to the dwarfishness of Baryta carbonica, certain areas are not developed well enough.

 - These are children which are late in learning to walk and at the same time late in learning to talk.

 - I have quite a lot of difficulties in the differentiation of Baryta carbonica and Baryta muriatica.

 - I tried to find out the differences.

 - You know that Baryta carbonica and Baryta muriatica are remedies for childhood or for old people or for people who studied too much and whose memory fails and there is a lack of self-confidence, for example, in engineers.

 - In such situations we have to think of Baryta carbonica, with anxiety with company, anxiety with strangers and so on.

 - Another important point is the chronic swollen tonsils, as it is described in Baryta carbonica, and the swelling of the cervical glands.

 

 - You find this in the Repertory in the generalities on page 1405 "swelling glands, knotted cords, like".

Generalities,swelling,glands, knotted cords, like : Bar-m., calc., cist., con., dulc., hep., iod., lyc., rhus-t., sil., tub.

 - If you feel in the neck before the M. sternocleidomastoideus you feel very small glands like a paternoster.

 - Baryta muriatica is capital here, Baryta carbonica is not there.

 - I doubt very strongly.

 - They say Baryta muriatica is a remedy for old people with aneurysms and arteriosclerosis; but this is not clear for me.

 - Yesterday evening I saw a child of which I had the idea only by the external appearance it could be Tuberculinum.

 - But now it is three years old and up to now he didn't speak.

 - Besides it was very late in learning to walk.

 - When he turned his head I saw small glands in the throat and I felt them like a knotted cord.

 - Then it was clear to me it was Baryta carbonica, but in the Repertory it is not in the corresponding rubric.

 - I think there is a lack.

 - It was a very small child, a child of which you could say it is a Natrum muriaticum child; pale, the head was just flat, the same appearance as Natrum muriaticum, but it was a child which let him tell by somebody else, a nice child.

 - I think that the muriaticum element maybe indicates in the direction of Natrum muriaticum.

 - Maybe is Baryta muriatica a somewhat smaller child than Baryta carbonica child, rather small, while Baryta carbonica goes more in the direction of the Calcarea, more fat and round.

 - Maybe it is so, but I can't say for sure.

 - A second observation was that it is a thin child, but the abdomen was a little bit too fat.

 - If we look under the rubric "abdomen, enlarged, children" on page 546

ABDOMEN,ENLARGED,children : Bar-c., Calc., cupr., mag-m., psor., sanic., sars., Sil., sulph.

marasmus : Calc., sanic., sars.

we see again Baryta carbonica, on the other hand the glands like knotted cords : only Baryta muriatica.

 - Here nobody seems to know exactly and it is our task to find out the differences between Baryta carbonica and Baryta muriatica.

 - Maybe they are also complementary.

 - Kent writes that if somebody got Baryta carbonica as a constitutional remedy before, you should give Baryta muriatica in acute inflammations.

 - Maybe it is so.

 - We did it, we gave a child in an acute disease Baryta muriatica 50M which had got before Baryta carbonica and it worked wonderfully.

 - It is difficult to recognize the difference, but in a certain way both have underdeveloped areas, either the mind or as a person they are too small or the testicle or the penis is too small and so on.

 

 Follow-up

 - A : Tell me how did it go?

 - FP : Now, he is much better.

 - The swelling is still a little bit to see.

 - He still feels it when you push on it.

 - When was I here?

 - A : You were here on May 19.

 - This is now 4 days ago.

 - It was on Tuesday and now it is Saturday.

 - Within some days it improved very well.

 - On Tuesday he had a very serious swelling.

 - FP : Immediately afterwards it became less.

 - Then it was again a little bit more swollen and then it was again a little bit less swollen.

 - The swelling was especially in the morning, it improved during the day.

 - You see, sometimes he is absent-minded; he doesn't follow the consultation.

 - If it would be a Calcarea child he would pay extreme attention, 'What do they say about me? I hope they don't say anything wrong or bad about me."

 - He would listen very carefully.

 - But this boy here, he is sitting there and he looks absent-minded.

 - Do you see him dreaming?

 - A : How is his behaviour now?

 - FP : Good, absolutely good.

 - Now I can't see any difference between the other boys.

 - Two years ago it was really hopeless.

 - A : He can go to school on Monday.

 - He doesn't have any fever, eats well, plays well and looks very well.

 - He looks better as if we...

 - FP : ...and maybe he feels much better than I do.

 - Every time the father comes with this child to the consultation.

 - Very strange.

 - He works at the bank, works with quite a lot of money and so on and he comes with his son here.

 - Very strange.

 - One day he had a very bad sciatica and during a weekend he went in an acute state to his family doctor, because I was not there or because he got the wrong remedy at the Centre, I don't know exactly.

 - The family doctor gave him an injection and he sent him to the hospital, where X-rays were taken and all these kind of things.

 - He was lying in bed with this sciatica for weeks and weeks.

 - When it was a little bit better and he could walk again and work again he came back to the Centre and I said to him, "I see that you are still in pain.

 - " 'Yes, it is still hurting, but it is much better than before."

 - Then I started thinking..

 - He always comes with the children here and he always starts talking about the child, about his behavior and so on.

 - That is strange.

 - In his free time he goes fishing and takes his two children with him and on Saturday in the afternoon he goes with his wife shopping.

 - Then I asked him where he had pain and he said, "Here!" and he pointed with his finger to one point.

 - Since then everything is all right, he is doing well.

 - His wife is Sepia and he is complaining - well yes, you know, about what he is complaining.

 - But he is a good father and he understands his wife, because she had a very difficult youth, he understands everything and he is worried about his family, his wife and his children.

 - He is also worded about his clients, he is very serious towards them, very careful and for me he is really a good father, because I don't understand anything at all about financial things.

 - He says to me that I have to do this or that and nothing else and so on.

 - He is a real father on this level, in his profession, for his clients.

 - Also when they are a director of the bank or something like that you feel that they want to help you.

 

EXTRA

Remark: In this patient I was also thinking of Baryta carbonica, because she is 21 years old and she is really childish.

 

ANOTHER CASE

- If there are enlarged glands in the occiput it is which remedy? Baryta carbonica.

 - In the rubric "head, swollen, glands, occiput" on page 232 Baryta carbonica is capital and Magnesia muriatica one.

HEAD, SWOLLEN glands of head,Occiput : Bar-c., mag-m.

 

 

 

CASES