CASES

 Hepar sulphur

CASE1 v2

 

 - Man, 26 years old

 - What you can see are subcutaneous fat cysts.

 - You can cut them and if you don't cut in the cyst you can cut it out entirely.

 - This is very often this remedy.

 - Sometimes they open spontaneously and you can remove the whole thing, but when these cysts are big it is better to have them operated on.

 - A : You were here on July 11, 1986 for the first time.

 - You got a remedy and on August 22 you came back and got Sac-lac.

 - Your problem was originally...

 - P : ....very bad acne.

 - A : I will describe this acne : with redness and always recurrent inflammations, with swellings.

 - P : Especially swellings.

 - A : But also a very intense redness of the face.

 - P : Yes.

 - You see inflammatory reactions all over the face, very big acne boils with redness around, almost like in Belladonna and they are everywhere.

 - A : It concerned recurrent ulcers which also occurred on your shoulders.

 - P : Yes.

 - A : You had the impression that the acne usually became worse when you drank beer.

 - P : Yes, after the weekend, when I went out, that's my idea.

 - A : You also had swollen sebum cysts, as a consequence of the inflammatory acne swellings that appeared at many places.

 - Now they are still at two places.

 - Are there places where the swellings disappeared?

 - P : Yes, I had one here.

 - A : It disappeared spontaneously.

 - Have the others become smaller?

 - P : No.

 - A : I don't know yet how these cysts will develop.

 - But any way it is clear that the intensity of the inflammatory reaction decreased.

 - It is much less red.

 - P : Yes., In the few months it went very quickly.

 - A : Compared to before.

 - P : Yes, otherwise with all these ointments and that rubbish...

 - A : It didn't help.

 - You also complained about itching on the back with the inflammations.

 - How is it with the inflammations on the back?

 - P : I still have some on the back they are not gone yet, but the acne is much better.

 - A : How many years have you had this acne?

 - P : I think about eight years.

 - A : And you did everything for it, didn't you?

 - P : Ointments, tablets and all kinds of things.

 - It didn't help anything.

 - A : Now you notice for the first time that it is better?

 - P : Yes, for the very first time.

 - A : Do you feel better in general?

 - P : At the moment I perspire less.

 - A : You perspire less? Did you perspire much before?

 - P : Yes.

 - A : Where especially?

 - P : Under the arms.

 - A : How was the perspiration under the armpits?

 - P : It gave a discoloration of the wash.

 - Rather yellow, when it was dry.

 - A : Did it also have a certain smell?

 - P : How shall I describe it? I had to take a bath every two days.

 - The perspiration gives the tissue a yellow discoloration.

 - Look on page 878 under chest, "perspiration, axilla, offensive" and "perspiration, axilla, yellow".

 

offensive : Apis., bov., carb-ac., dulc., Hep., hydr., lac-c., lach., lyc., merc-c., Nit-ac., nux-m., osm., Petr., phos., rhod., sel., sep., Sil., Sulph., tell.,thuj.

 

yellow : Lac-c.

 

 - There is Lac caninum and one remedy has to be added; we will do this afterwards.

 - There is another rubric under perspiration, "staining the linen yellow" this remedy is also an addition, namely from Boger.

 - This means that Boger and I found out the same thing.

 - A : Are there other things which have changed? The itching on the back became better?

 - P : It is gone.

 - It doesn't itch anymore.

 - Also not on the face.

 - A : And when you drink a beer now? You still do, don't you?

 - P : I still do, just like before.

 - A : And now the acne is not worse on Monday?

 - P : No., In fact, it is the same as otherwise.

 - A : Are there other things which have changed?

 - P : I don't know, whether it has something to do with it, but I have less cold feet.

 - A : This means that before you had cold feet.

 - P : Yes, always.

 - Very easily.

 - Nothing else, only the feet.

 - A : When especially?

 - P : For example, when it is warm outside in the summer and I was inside in a cool room.

 - Then I had cold feet.

 - A : Do you also perspire then?

 - P : It only started after a certain period.

 - A : When your feet were cold after a while you started perspiring.

 - P : For example when I came in a warm room then they started perspiring.

 - A : So you got cold feet at a cold place and when you came in the warmth your feet started perspiring?

 - P : This is really a nuisance.

 - Always washing the feet.

 - A : Why?

 - P : Because they smell.

 - We are dealing with a remedy which perspires a lot and the perspiration is offensive.

 - Be-sides it is very cold.

 - Perspiration, coldness, and smell, these are the three elements.

 - A : So you also had perspiring feet.

 - But it only started after they were cold.

 - P : Cold and then again in the warmth.

 - A : Not at the moment when they were cold?

 - P : No.

 - A : Apparently there was a switch from cold to warmth necessary, so that you perspired.

 - P : Yes., In fact it was the same under the armpits.

 - A : This is a very interesting symptom.

 - Was this warm perspiration? I mean, when you touched your feet, during the perspiration, were they very warm?

 - P : Yes, warm, really warm.

 - A : It was not a damp perspiration, no cold perspiration?

 - P : No.

 - A : You observed very well that it became better.

 - It is typical for this remedy.

 - P : I payed attention to it.

 - A : Are there other things which have changed?

 - P : I think that I feel better in the morning when I get up.

 - I'm not so tired anymore.

 - Otherwise I started itching all over immediately.

 - But now I'm fine after having washed.

 - It doesn't itch anymore everywhere through the clothes.

 - A : Are you more refreshed in the morning?

 - P : Yes, more refreshed in the face.

 - I feel it.

 - A : You seemed to be rather sensitive to cold? You just told us about, your feet.

 - Was it an exertion for you to get out of the bed in the morning?

 - P : Yes.

 - A : Was it because of your tiredness?

 - P : Because of the cold, not because of the tiredness.

 - A : Could you describe it.

 - P : Whether I went early or late to bed, it didn't make any difference.

 - I was wide awake, but I was always cold.

 - Of course not in the summer, but especially in the winter.

 - A : Then you were afraid of getting out of your bed.

 - What did you feel when you got up?

 - P : Cold shivers, as soon as I uncovered myself.

 - It didn't last for quite a long time, it was gone after a quarter of an hour.

 - But just the moment of getting up.

 - A : And this is better now?

 - P : Yes, I don't have it in the morning anymore.

 - A : Has something else changed?

 - When he woke up in the morning and uncovered himself, he became cold immediately.

 - "Chill, uncovering, undressing" on page 1275, there are a lot of remedies.

 

UNCOVERING, undressing : Acon., Agar., am-c., am-m., arg-m., arg-n., Arn., ars-h., ars., asar., aur., bell., bor., calc., canth., caps., carb-an., card-m.,Cham., chin-a., Chin., clem., cocc., colch., con., Cycl., dig., dros., eup-per., ferr., Hep., kali-n., lach., mag-c., merc., merl., mez., mosch., nat-m., nit-ac., nux-m., Nux-v., phos., plat., puls., rhod., Rhus-t., samb., sep., Sil., spong., squil., Stram., stront., tarent., thuj.

 

 - Also in the rubric "chill,>, morning, rising, after" on page 1259, the remedy is there, but not in "chill, morning, bed in".

 

bed, in : Ang., apis., arn., bov., carb-s., caust., chin-a., chin-s., chin., con., graph., kali-c., kali-n., led., lyc., mag-s., Merc., mur-ac., Nat-m., nit-ac., Nux-v., rhod., sars., staph., sulph., Verat.

 

 - As long as they stay in bed they don't have problems.

 - Remark : "But it is an addition of Kunzli."

 - A : In "chill, bed in"?

 - No, I don't agree.

 - The getting up is the problem.

 - When he lies in bed in the morning and he puts one finger out of the cover then he is freezing immediately, I agree with that, but when he stays in bed without moving then he doesn't get cold.

 - A : You never had to sneeze, no hay fever?

 - P : Oh yes, while you mention this now, I remember.

 - A : You never told me before, but I'm supposing.

 - P : In the morning because of the dust.

 - When I put away the covers, the dust is whirling up in the room.

 - Then I have to sneeze.

 - Again such an explanation, do you see? " When I uncover myself the dust is coming.

 - " No, the cold comes and therefore he starts sneezing.

 - P : I don't have it anymore.

 - It is also gone.

 - Now that you mention it.

 - Yes, exactly.

 - A : Besides this is a symptom which you didn't tell me about.

 - Do you think it is because of the dust?

 - P : I thought so.

 - I'm not sure, but I thought that I had an allergy for house dust.

 - Everybody knows the rubric "sneezing, uncovering, from" on page 351.

 

uncovering, from : Hep., merc., rhus-t.

 

 - There you see three remedies : Hepar sulphuris, Mercurius and Rhus toxicodendron, and in the sub rubric "hands" : Hepar, Pyrogenium, Rhus toxicodendron.

 

hands : Hep., pyrog., rhus-t.

 

 - And then you can add a new rubric, "uncovering from, tips of the fingers" : Hepar.

 - Or "sneezing, uncovering from, the tip of the nose" : Hepar.

 - P : I told my friends that once I repaired a vacuum cleaner and I had to sneeze.

 - Besides I have also worked for quite a long time in the coal-mine and notwithstanding the dust of the coal I don't have it.

 - That's why I thought that it comes from the house dust.

 - I don't have it anymore.

 - A : It is strange.

 - P : Yes, I think it is very funny.

 - A : Now you can get up unnoticed, without anybody hearing you.

 - Before you always had to sneeze.

 - Are there other complaints which have changed? What do they say about your character? Do they think it has changed? What does your girl- friend say about it?

 - P : Well yes, changed.

 - Before I was always ashamed because of my skin, that is normal.

 - If I entered somewhere and people were looking at me, I had to react in some way, because I couldn't bear it anymore.

 - This is much better now.

 - A : Do you think that you are much more quiet in your way of reacting? Less hot-tempered?

 - P : I react less impulsively.

 - A : Was this a characteristic that you reacted in an impulsive way?

 - P : Yes, I always have.

 - A : In what sense? What do you mean by it?

 - P : They hurt me ten times and talk with me ten times and it is all right.

 - But at a certain moment it becomes too much and the eleventh time there is trouble.

 - A : And then?

 - P : Yes, then I can...

 - A : ....can become very angry?

 - P : Yes.

 - A : Can you describe the intensity of your anger.

 - How far can this go?

 - P : Then I could take someone by his collar and lift him with his feet off the ground.

 - It happened once.

 - I hope that it will never happen again.

 - A : Can this go further? Can the intensity of your anger go so far that you have to be careful?

 - P : Yes, that happened once.

 - A : But I mean that you really have to be careful

 - P : Yes, that I don't beat him half to death by mistake.

 - A : It might happen to you.

 - Then you have to be careful that you don't kill him.

 - P : Yes, it might happen.

 - It happened once and then they had to hold me with two men.

 - I was so angry.

 - The boy had to stay in the hospital for 14 days.

 - He also went too far.

 - I have always been very sensitive, but too much is too much.

 - But in fact it is not good.

 - He can become so angry.

 - The anger can be so violent that he even could kill somebody.

 - If you look in the Repertory on page 2, "anger, stabbed, so that he could have, any one", you see one capital remedy : Hepar.

 

stabbed, so that he could have, any one : Chin., Hep., merc., nux-v.

 

 - Mercurius has this also.

 - Then you see it in another rubric "anger, violent".

 - If we look further under "kill, desire to" on page 60 we see Hepar is second degree.; "kill, desire to, sudden, impulse to, for a slight offence" : Hepar, Mercurius and Nux vomica.

 

for a slight offense : Hep., merc., nux-v.

 

 - Concerning the differential diagnosis it becomes very difficult with Mercurius.

 - Both perspire, sneeze while uncovering, are sensitive to the slightest draft of air and are easily angry.

 - But there is a big difference on the psychological level : for Mercurius everything must have its place, that is the idea of Mercurius and we don't find this in Hepar.

 - They are not so sensitive to injustices and for them the society and its functions are not so important.

 - Hepar seems to be much more egoistic.

 - Hepar has a Calcarea element and Calcarea is known for its egoism.

 - Hepar wants to have the way he imagines and he wants to feel good with it.

 - The slightest thing which comes into play, which disturbs their life they have an outburst.

 - He says, "They can make me angry nine times, but the tenth time I could kill him.

 - " This could also be Lachesis, but we rather see it in Mercurius. something doesn't fit him, he is grumbling internally the first time, a little bit more the second time and then the anger comes out.

 - Hepar is more impulsive, he doesn't get angry internally such a long time before he explodes.

 - Usually Hepar doesn't seem to be happy.

 - It is never good enough for them.

 - I cured a man with Hepar from a very bad cough, with a specific inflammation of the inguinal region, with stinking pus coming out, and this man was my step -father.

 - I got more kicks than half pence.

 - When he was standing there and you touched him it might happen that he became angry and when he was angry he was threatening my mother with a knife.

 - He was never contented, always discontented.

 - With the slightest touch he was hitting and he could even kill.

 - He was very, very sensitive to cold.

 - These people can sit before the stove for days and days, without doing anything, without shaving, without getting dressed; lazy, untidy, stinking, there you see the Sulphur element, but they are very, very cold, this is again the Calcarea element.

 - But both together give a new picture, the hepar picture of a real dangerous man.

 - It seems as if Hepar doesn't have any heart at all.

 - They are very, very hard, you don't see anything soft in these people, no love, no heart.

 - I think, it is one of the toughest remedies in the Materia Medica.

 - As a child I was a thief like many children are and, for example, when I came home late from school I knew exactly what would happen, my step-father would hit me.

 - Once I stole 100 BF, because I didn't have anything to eat but bread.

 - In fact it was my money, it was the orphanage money which my mother received because my father died, but my stepfather always took away the money.

 - So I stole 100 BF and I divided the money in two parts of each 50 bf.

 - One part I put in, my pocket and with the other part I bought ice cream and some sweets and put the rest of the money in the other pocket.

 - Then I was at school and suddenly my mother stood before me and said, 'You stole 100 BF.

 - You have to give it back immediately, otherwise your step-father will kill you.

 - " I said, "I didn't steal 100 BF, but only 50 BF.

 - Look this is everything I have.

 - " My mother grabbled in my pocket and found only a few little francs, but she insisted that I stole 100 BF I said, "No, only 50 BF.

 - I bought some sardines and this and that.

 - This is the rest and I will give it back to you."

 - When I came home my step -father said to me, 'You stole 100 BF." I said, 'No, I only stole 50 BF "And peng, he hit me so that I fell to the floor.

 - I got up again and he said, 'You stole 100 BF " - "No, I only stole 50 BY " Peng, again I was lying on the floor - 16 times.

 - Then my Aurum side appeared and I said to him, 'You will kill me and when I’m dead people will talk about you, what kind of bad person you are.

 - Kill me, kill me, you will see what they will say about you."

 - He was hitting me and hitting me, but I never admitted that I stole 100 BF -50 BF - yes, but not the other 50 BF, I could buy something else for this.

 - At that time I didn't understand all this, only now, when I cured him from a severe bronchitis going to pneumonia.

 - Now he is 70 years old and the chronic purulent inflammation which he had is typical for Hepar.

 - When a Hepar patient is being operated on you should give him Hepar before, otherwise the scars won't cure.

 - The scars don't cure or the operation wound open again after removing the stitches.

 - You should think of Hepar.

 - These people can be very, very hard on other people.

 - I’m sure that in the city or the village you come from there is somebody whom you were afraid of as a child and who was always angry; somebody who lived alone, with a very big, long jacket, untidy, unshaved, by appearance somebody like Sulphur, but not happy.

 - Sulphur can be happy in his chaos, Hepar not.

 - They never laugh and they are angry at the slightest triviality.

 - They are sensitive to everything, especially to pain.

 - They can become unconscious from it, even when the pain is not so strong.

 - You can see this often in children, for example, when they kick their foot against something and they fall down unconscious.

 - This is Hepar.

 - Pain is something subjective and they feel it so strongly that they even faint.

 - You find this in the Repertory on page 90 "unconsciousness pain, from".

 

pain, from : Hep., nux-m., phyt., valer.

 

 - A second Hepar element is if they have pain and don't become unconscious, they can become angry, really angry, violent from pain.

 - You have to look under "violent, pain, from" on page 91, there you see Aurum, Chamomilla and Hepar.

 

 - Hepar needs warmth.

 - I don't know whether I told you the story about the man with the stomach cancer.

 - At the end of his life he was so angry from pain, so violent and we had to put a hot iron wrapped in clothes and put it on his stomach.

 - This violence, anger from pain and the desire for warmth is Hepar.

 - Hepar can have every kind of disease, but the most important is the hypersensitivity to pain.

 - Chamomilla has this also, the pain of Chamomilla is terrible, but what else do we have to find with the pain of Chamomilla?

 - I mean, the sensitivity to pain, the reaction to pain depends on the constitution.

 - Some people would come when they cut their finger and say, 'Would you please bandage this so that I can go on working", the others will give a very loud scream so that you are wondering, 'My God what happened there?" The way they react to pain is different.

 - Chamomilla feels the pain very, very strongly; you find this especially in children, but also in women, maybe also in men, but I don't have experience with them.

 - But what is the second element in Chamomilla pain, with very strong pain, for example, in headache?

 - Answer : "Numbness."

 - A : Yes, numbness.

 - There are areas which are numb, usually with headache in women.

 - If you see them and you know their character first you think of Ignatia.

 - They have a somewhat hysterical character, are hypersensitive to pain and they always have this numbness with the pain.

 - Of which other remedy do we think when we hear about numbness with pain?

 - Answer : "Of Platinum."

 - A : Yes, Platinum also has numbness with pain.

 - All right, let's go on with the case.

 - A : No, no.

 - Did you have the impulse to kill him at that moment? At that moment? Do you understand?

 - P : Yes, I had at that moment, one moment later not anymore.

 - Yes, I think so, I had.

 - But at a certain moment I withhold myself and think : "I have to be careful."

 - A : Yes, but does it go that far so that you can't withhold yourself anymore?

 - P : Yes, it is true.

 - This means, that his anger was so big that he could kill somebody.

 - He can't control his anger.

 - If a child does not do what you want him to do you might hit him without knowing how severely you hit him.

 - Hepar people don't know it.

 - They could really kill somebody.

 - A : Do you feel more quiet?

 - P : Yes.

 - A : That's what I wanted to hear from you.

 - You feel more as if you...

 - P : Indeed I can tolerate much more.

 - A : Although you are known as a person who in fact doesn't get excited easily.

 - That's true, isn't it?

 - P : Yes, that's true.

 - A : But who stays where other people would react by running away.

 - You don't do that.

 - P : No.

 - A : You are stable and finally they bring you so far that you say...

 - P : ....now everything or nothing.

 - A : Everything or nothing, he or I.

 - P : That's what it comes to.

 - A : This is a specific characteristic of you.

 - Everybody else would slink off with his tail between his legs and run away.

 - You don't react in that way.

 - P : No.

 - A : Did you notice this yourself?

 - P : Yes.

 - If you hear somebody saying, 'My anger is so bad that I could grasp a knife", then first you have to think of Hepar, a threatening anger.

 - You also find this in the Repertory under "threatening" on page 88.

 

THREATENING : Hep., stram., Tarent.

 

 - They stand there with a knife and they are threatening, "I will kill you."

 - Threatening : "Hepar, Stramonium and Tarentula.

 - Remark : "Tuberculinum."

 - A : Yes, Tuberculinum may be added.

 - I experienced this maybe 100 times in my life that my stepfather was standing before my mother.

 - I lay in bed, heard everything and trembled, whether he would stab her or not.

 - This is Hepar.

 - A : Were there periods in your life that you were sad?

 - P : Yes, once.

 - I was 18 or 19 years old, I had a girl-friend for 2 years.

 - It was my first girl-friend.

 - And from one day to the other it was finished.

 - I suffered from it for about 8 months.

 - A : How did you feel then? How far did it go with your sadness?

 - P : It was as if I wasn't of any use in society.

 - I didn't mind anymore.

 - If somebody asked me something I said, 'I'm not interested."

 - A : Indifferent.

 - You couldn't easily forget.

 - You didn't get over it so easily.

 - Did you have suicidal thoughts?

 - P : No.

 - A : It didn't go that far.

 - Are you a person who easily forgets when they really hurt you?

 - P : No, never.

 - I'm not vengeful, I'm not.

 - I let it go.

 - But when I think about the person I remember automatically.

 - A : And then?

 - P : Yes, when I can get even with him I will do it.

 - If it is not tomorrow it will be after two years or after five years.

 - A : He will get it back.

 - Interesting.

 - Did you have other complaints besides the hay fever, for example, with the respiration?

 - P : No.

 - A : You never had shortness of breath?

 - P : No, my brother had.

 - A : Did you ever have salivation at night?

 - P : Never.

 - A : What about your appetite at the moment?

 - P : Very good.

 - A : Did you have certain preferences?

 - P : Sour things, mustard, herring, these kind of things.

 - I still have.

 - The first important desire is sour, sour like their character.

 - Also Sepia likes sour.

 - Hepar is capital in "desire sour" and another capital remedy is Corallium rubrum.

 - Corallium rubrum is a remedy in coughing, when they feel cold air while inspiring.

 - They have stringy expectorations between the nose and the throat and Psoriasis where?

 - Answer : "On the palms of the hand."

 - A : On the palms of the hands and on the soles of the feet, just like which other remedy which we often need when they have psoriasis on the palms of the hand and the soles of the feet is Hydrocotyle.

 - It is a remedy for elephantiasis, lepra, psoriasis, but only particularly on the palms of the hand and the soles of the feet.

 - It is also an acne remedy.

 - You will wonder how you can differentiate; there is a peculiarity in Hydrocotyle, this is the profuse perspiration.

 - Profuse perspiration together with psoriasis on the palms of the hands and the soles of the feet, that is Hydrocotyle.

 - All right, he likes sour things.

 - There are quite a lot of remedies.

 - Ptelea has to be underlined twice; we already talked about Ptelea.

 - Then Veratrum album with desire lemons, sour in general, they are thirsty, but cold with perspiration and unconsciousness with vomiting and diarrhoea.

 - Something else which he likes very much is mustard.

 - So sour, pickles - desire pickles is Hepar, even more Antimonium crudum and Sulphur, also Veratrum - and mustard.

 - A : You told me : sour, vinegar, mustard, gherkins, herring and highly seasoned food.

 - And not sweets very much.

 - P : That's right.

 - Highly seasoned food.

 - This desire has not only Sulphur, but also Hepar, Pulsatilla and China.

 - China has a strong desire sweets, highly seasoned food and a strong aversion fat.

 - They are very sophisticated, well educated people, well dressed, much better than Kali carbonicum and Mercurius.

 - Everything what they buy has to be of an excellent quality.

 - China patients are very nice, haughty people, they have a very haughty appearance.

 - So, Hepar has this desire highly seasoned food, Pulsatilla, Phosphorus, Lac caninum.

 - What is the particular desire of Lac caninum?

 - Answer : "Pepper."

 - A : Pepper, yes, pepper steak.

 - Lac caninum likes to eat pepper steak.

 - All right.

 - Then he has another desire of which he didn't tell anything yet.

 - We will see.

 - A : What about alcohol?

 - P : I like to drink a little beer, but not so much whisky or Dutch gin.

 - I do when it is New Year's Eve, but not the whole year through.

 - A : Do you have other characteristics, or things which you forgot, about which you didn't think, which eventually changed ?

 - P : In fact I should write it down if I remember a thing.

 - I forgot to ask for one particular desire, namely fat.

 - The desire for fat is very strong.

 - In the Repertory it is only one degree, I would make it capital.

 - Desire fat has Arsenicum, Hepar, Nitricum acidum, Nux vomica, Sulphur and the next remedies have to be added.

 - Medorrhinum, Natrum carbonicum, Phosphorus, Silicea and Turberculinum, Argentum metallicum, Carcinosin, Kali nitricum and Mezereum.

 - A : Did you have inflammations of the teeth before? Abscesses?

 - P : Once.

 - A : Middle ear inflammations?

 - P : No., But I had obstructed ears, ear wax.

 - In pain of the ears there is a particular rubric concerning the characteristic of the remedy and that is? With pain in the ears,"", they walk in a very particular way, namely completely wrapped up, they have a cloth or a cap around the ears and they put their hands on it.

 - Remark : "Because of the cold."

 - A : Yes, because of the cold.

 - Where do we find this?

 - Under "ear, pain, warmth and wrapping up amel.

 

EAR, PAIN, WARMTH, and wrapping up, amel. : Cham., dulc., Hep., kali-ar., lach., mag-p., mur-ac., rhus-t., sep., stram.

 

 - "on page 306, that is Hepar, Chamomilla and Pulsatilla; Chamomilla and Hepar have this strongest; also Magnesia phosphorica, but you know the shooting pain of Magnesia phosphorica.

 - Sepia is also there, but the most important is Hepar.

 - The slightest cold aggravates with them.

 - When they have pain in the throat or a purulent angina they are sitting wrapped up in covers and when the door is a little bit opened they have pain immediately, they are so sensitive.

 - They lie near the heater.

 - Not Mercurius, Mercurius doesn't tolerate either the warmth nor the cold, but Hepar is looking for the warmth and the slightest coldness aggravates.

 - It is the chilliest remedy of our Materia Medica, chillier than Silicea.

 - A : Did you have this recently?

 - P : No, it is already 10 years ago.

 - Before I suffered very much.

 - A : Inflammations of the tonsils?

 - P : Fever and swollen glands.

 - A : As a child did you set anything on fire?

 - P : No., (Is thinking) - as a child.

 - A : As a child did you play with fire?

 - P : Oh yes, once.

 - A : What?

 - P : A barrel with gasoline.

 - A : How old were you then?

 - P : About seven years old.

 - A : What did you do?

 - P : It was a small barrel with gasoline and I wanted to see what would happen.

 - The top of it started to burn and I took a bucket of water and put over it, but of course I couldn't extinguish the fire.

 - Then I took a cover and put it over it.

 - The fire didn't get any oxygen and it went out.

 - That was the first time and I never did it again.

 - A : Who was the leader?

 - P : I was alone.

 - A : You were all alone? Strange.

 - A strange tendency.

 - P : In fact it was more like trying something out.

 - What I didn't know, I had to try.

 - This is so with many things.

 - Now you can say that every child does this, but this is not right.

 - Sometimes they do when they are together with many children and they are inciting each other, but he was alone and he had the impulse to set something to fire.

 - Why?

 - That is strange.

 - Look in the Repertory on page 48 'fire, wants to set things on".

 

FIRE, wants to set things on : Hep.

 

 - Maybe we can cure many people who are in jail, because they set something to fire.

 - Why do they do this? We don't know.

 - There is something about them we can't explain.

 - Don't forget it is a keynote of this remedy.

 - A : You also told me that your feet are easily cold.

 - Is this still so?

 - P : Less.

 - Now I am warmer than before.

 - A : When you are lying in bed, how far are you covered up?

 - P : Maybe it sounds funny, but up to my chest.

 - A : And before?

 - P : Always rolled up and everything covered up very well.

 - A : Up to the head?

 - P : No, but nearly.

 - But now I just put the covers up to the breast.

 - Although I have cold feet and hands.

 - Also the window is open.

 - And yet I'm cold.

 - A : Do you do this voluntarily?

 - P : Yes.

 - A : To toughen up;?

 - P : Yes, in some way, yes.

 - A : If you would act spontaneously...

 - P : Yes, spontaneously I would get covered up completely.

 - A : May I ask you another question : You lie in bed with the cover up to the breast, but what do you do at night during your sleep?

 - P : In the morning I'm completely covered up, without having noticed it.

 - A : Without knowing you get completely covered up?

 - P : Yes., For example, when I wake up at night I put the cover aside.

 - A : Then you don't have to sneeze because of the dust?

 - P : No., Before I had to, but this is not the case anymore.

 - They are completely covered up; they cannot tolerate that one finger or the tip of the nose is coming out of the covers.

 - Everything has to be covered up, even when they start perspiring, they stay under their covers.

 - Somebody else, Sulphur, for example, will uncover himself, when he starts perspiring, but not Hepar.

 - They perspire the whole night.

 - Look under perspiration "night, lasting all night without relief on page 1294 : Hepar, Kali carbonicum, Mercurius.

 

PERSPIRATION, NIGHT, lasting all night without relief : Hep., kali-c., Merc.

 

 - Don't forget to ask the patient how far they are covered up.

 - A : All right.

 - That is a beautiful reaction.

 - Now the question is whether it is necessary to have you operated on for the sebum cysts.

 - In fact they should disappear spontaneously.

 - We will see what the future will bring.

 - P : It still might last for a while, but it may not become worse.

 - A : No, no, it will not disappear quickly, but because a few cysts already disappeared, the small ones, why wouldn't the big ones disappear.

 - When are you marrying.?

 - P : In July next year.

 - A : All right.

 - We still have quite a lot of time, we still have nine months to make a beautiful man out of you.

 - We hoped and hoped and we have waited for one year.

 - Last July he married and in March he had two cysts removed, without problems.

 - They didn't disappear with the remedy.

 - Small cysts disappear, but not the big ones.

 - Question : 'Did you ever see them disappearing?"

 - A : Yes, they disappeared as long as they were small.

 - That's the same with him.

 - Many small cysts disappeared, only the two big ones remained.

 - Question : "Where do we find cysts in the Repertory? Under face?"

 - A : No, in the generalities, under "tumors, cystic" on page 1409.

 

GENERALITIES, TUMORS, cystic (See Exostoses

, Polypus) : Agar., apis., Bar-c., brom., calc-s., calc., Graph., hep., nit-ac., sil., sulph.

 

GENERALITIES, POLYPUS : Ambr., ant-c., aur., bell., Calc-p., calc-s., Calc., carb-an., caust., Con., graph., hep., lyc., merc., mez., nat-m., nit-ac., petr., ph-ac., Phos., puls., sang., sep., sil., Staph., sul-ac., sulph., Teucr., thuj.

 

 - Remark : "There is another rubric under skin : 'wens'."

 - A : Yes, that is the right expression for these cystic tumors, containing white fat, these are the wens.

 - Hepar is in the rubric, also Calcarea carbonica.

- I have seen three of these wens on the head disappear with Calcarea, really big ones, which burst open so that I could get out the fat with a pair of tweezers.

 - Under head in the English Kent there is a rubric "wens" : there you see again Graphites, Hepar, Calcarea carbonica, Kali carbonicum.

 - Some years ago I had a Hepar patient who came in with coryza.

 - Often they have black hair, fatty hair.

 - He came and said, "I have had coryza for quite a long time.

 - Can you cure me?" - 'I don't know, maybe."

 - - "You get 1000 BF and you have to cure me, otherwise I don't pay."

 - I thought, 'My God what kind of man is this!" But immediately I saw the remedy : sneezing while uncovering in the morning and so on, and his appearance : 'You cure me or I don't pay anything."

 - This is a Hepar character, very hard.

 - Besides it is the most stinking remedy which we can imagine.

 - For example, if somebody is sitting with perspiring feet before you and they are stinking so much so that you could even faint or when you open such a cyst and it is stinking of fish, like rotten fish, this is the typical Hepar smell.

 - P : Yes, spontaneously

 

CASE2 v2

 Angina pectoris

 Hepar sulphur

 - Man, 66 years old

 - A : You were here three years ago, in 1982, because of pain in the region of the breast.

 - In the meantime you haven't been here for quite a long time.

 - In 1982 you already had pain for one year.

 - Could you describe the pain.

 - How was the pain exactly?

 - P : I had difficulties while breathing.

 - A : In which circumstances was it worse?

 - P : In excitement and in the cold.

 - WP : And he got up with it.

 - He comes and says that he has angina pectoris when he stands in the cold.

 - Now, you can say it is normal, but it is not normal, it is an indication for a certain remedy.

 - P : If something doesn't go the way I want then I get excited.

 - A : How does the pain feel?

 - P : Well, pain is pain.

 - A : But how did it feel? Was it a stitching pain?

 - P : No, a pressing pain.

 - It was pressing.

 - Internally it was a pressing pain.

 - I felt that there was something.

 - A : What did exertion do to it?

 - P : Not particularly much.

 - Besides I cannot assert that I didn't have pain when I had to run 100 metres.

 - A : But you could ride on a bicycle?

 - P : Yes, and rake the garden.

 - A : Did you have pain when you worked in cold weather?

 - P : No., When the first part was done it was all right.

 - A : So you said that the cold wind played a role?

 - P : Yes, the coldness in general played a role.

 - When it was icy cold outside I wasn't doing so well.

 - I had to be warm.

 - I always put on quite a lot of clothes when I go riding on a bicycle.

 - Cold wind seems to be not good for him.

 - If you look in the Repertory on page 1422 "wind, cold" you see some remedies, for example, this remedy here.

GENERALITIES, WIND, cold : Acon., ars-i., ars., asar., Bell., bry., calc-p., carb-an., carb-v., caust., cham., cupr., ferr-ar., Hep., ip., kali-bi., Nux-v., psor., sabad., sep., sil., Spong.

 

 - If something aggravates, normally the opposite ameliorates, here it is wet weather.

 - Wind is normally dry, so wet weather ameliorates, and usually warm, wet weather.

 - In the rubric of the generalities "wind, cold" the first remedy you see is Aconitum.

 - What happens with Aconitum when they drive a car with an open window, they sit in the cold air and two hours later they have what?

 - Answer : "A facial paralysis."

 - A : Yes, a paralysis from riding in the cold wind, paralysis in the face, that is Aconitum, and this paralysis comes suddenly.

 - Further Arsenicum has complaints from cold wind, Asarum- -Asarum has a particular key-note that they can't tolerate any noise at all, not even a slight scratching on silk.

 - Even while eating when the spoon touches the margin of the dish it is too much.

 - These people can't watch certain things on television, namely love and sex.

 - They have to switch off the television and they are used to drink alcohol.

 - That is Asarum.

 - Further Belladonna and Bryonia can't tolerate cold wind, and Causticum.

 - The differential diagnosis between Causticum and Nux vomica is really difficult.

 - Both are easily angry but the big difference is what?

 - Answer : "Sympathy."

 - A : Yes, sympathy.

 - They are so sympathetic that they cannot withhold their tears, for example, when they go to a funeral and they see a member of the family weeping; weeping from sympathy with others.

 - Look in your Repertory, it is an important rubric, "weeping, sympathy with others" on page 94.

 

sympathy was others : Carl., caust.

 

 - There you see Carlsbad, a mineral water, and Causticum.

 - They cannot see other people weeping.

 - Causticum also has the aggravation by cold, dry wind, eastern wind.

 - Then Hepar, Nux vomica, Kali bichromicum and Spongia.

 - Spongia is a remedy which acts firstly on which organ?

 - On the heart, it is a very important heart remedy.

 - It can even cure valvular diseases.

 - We had a patient with irregular heart palpitations and noises and after Spongia everything disappeared.

 - We can consider this almost a miracle and I think in Homoeopathy there are miracles.

 - It also seems that Spongia can cure heart diseases in new born infants, for example, a constriction of the pulmonalis or something like that.

 - I never had this experience myself, I have only experiences in old people, women, who are about 60 years old.

 - All these remedies which have complaints from cold wind, are better with wet weather, but not in cold wet weather, but with warm wet weather.

 - WP : And inside it may not be too warm.

 - P : She likes it to be 23o and I say, 'Why is it so warm here?"

 - A : The complaints were worse by the cold, that is sure.

 - And excitement seems to play a role.

 - He is easily excited, isn't he?

 - WP : Well yes, many things have to happen.

 - I understand this and I try to do everything so that he doesn't get excited, but the children don't understand it.

 - A : Do you think that it has to be that way, that the chair or a certain object has to be at a certain place?

 - P : Yes, everything must be in order, everything has to be put in its right place.

 - A : Can you see a painting hanging awry?

 - P : Yes., But in my working boxes nothing may fail, then there is something wrong.

 - Everything has to be put in its place.

 - When I start working I must find my tools immediately.

 - I can tolerate people working with my tools, but after they use them everything has to be the same way as before.

 - Everything has to be in its place.

 - A : Can you tolerate noise well?

 - P : No.

 - A : Can you tolerate strong smells?

 - P : Well yes, what do you mean by strong smell?

 - WP : No, he can't.

 - A : Are you a hot-tempered person or aren't you? Or is this only internally?

 - P : When there is something coming up it comes out as well.

 - WP : Not so strongly the last time, it has improved very much especially concerning the children.

 - The children are at home on Sunday.

 - The anger has improved, but he is angry internally.

 - A : Internally he is a hot-tempered person, isn't he?

 - WP : Yes., He didn't say as much as before, but when he says something, he says it loudly and goes away immediately.

 - A : Otherwise you don't say much?

 - P : No.

 - A : You give a discontented impression.

 - WP : That's right.

 - A : Or don't you?

 - WP : When he has pain he is unbearable.

 - When he is doing well and nothing is wrong with him it is not a problem.

 - He is discontented; the way he is sitting there, he gives a discontented impression.

 - A : Can you easily tolerate the warmth?

 - P : Yes.

 - A : Do you easily perspire?

 - P : Yes, I perspire, but not a lot.

 - A : Salivation from the mouth at night?

 - P : No.

 - A : Put out your tongue.

 - P : Puts out his tongue.

 - A : Good.

 - The tongue is not coated.

 - He is easily irritated, easily angry.

 - Is the anger so strong that he would get somebody by his throat?

 - P : No.

 - WP : He wouldn't harm anybody.

 - He would never hit anybody.

 - A : It never happened in your life that you arrived at the limit of your anger?

 - P : No, in fact not.

 - WP : He never grabbed anybody

 - A : He is somebody who sticks to his thoughts.

 - P : I don't know.

 - WP : Not so easily.

 - A : Obstinate?

 - P : No., I also admit even when the others don't agree.

 - I will not say to my, children, 'You may not come anymore," or things like that.

 - A : But when you have a certain idea you don't easily get away from it?

 - P : No., We talk with each other and then it is all right.

 - A : And in the relationship with the surrounding?

 - WP : He doesn't get away from his idea.

 - P : Sometimes I say it has to be so and so and then it has to be done like that.

 - A : Do you have problems with the present youth?

 - P : I don't agree with many things.

 - I can be satisfied with the ideas, but I think the old ideas are much more right.

 - For example, I don' agree with people living together.

 - I don't mind living alone, but somewhere it has to be...

 - You see that the differential diagnosis between Mercurius and Hepar is not so easy.

 - He says, 'When my children live together with their partner, without marrying, it disturbs me.

 - " Mercurius couldn't tolerate this, also not Kali carbonicum.

 - Hepar also has the disposition to contradiction, to be against everything, to be negative the whole time.

 - A : Do you faint from pain sometimes?

 - P : When I have headache.

 - There is tingling in my legs downward and I feel it in the head.

 - A : But it never happened that you fell down from pain?

 - P : No., Sometimes when I have a headache I lay down.

 - A : You can't tolerate cold drinks?

 - P : No., I will never drink something from the refrigerator.

 - A : You can't tolerate it?

 - P : No., When I'm thirsty I have to drink something which tastes good.

 - He doesn't tolerate cold drinks, he needs warm drinks.

 - You know this of Hepar in pain in the throat, but it is also in general.

 - If you look under "throat, pain, warm drinks, amel." on page 459 you see Hepar is capital.

 

amel. : Alum., Ars., calc-f., calc-p., cham., guare., Hep., Lyc., nux-v., rhus-t., sabad., sulph.

 

 - A : Can you tolerate misfortunes?

 - WP : No.

 - A : How does he react?

 - WP : Then he withdraws himself, goes outside and you don't see him anymore.

 - A : I also wrote down that he can't tolerate injustices.

 - P : Yes., That's right.

 - A : Because of the pain did you ever think that life didn't have sense anymore, "I wish I was dead?"

 - P : I think about this to get rid of the pain.

 - Normally you would give Mercurius.

 - He doesn't tolerate injustices, is rather closed, also then he doesn't have salivation at night.

 - But Mercurius didn't change anything about the pain, only Hepar helped him.

 - Nobody can say whether he still needs Mercurius after Hepar.

 - Not withstanding all the symptoms which indicated Mercurius, Mercurius didn't help, but there was another important symptom, it was the coldness.

 - It influenced him so strongly that he needs a remedy that has this capacity in him.

 - Question : "How can you differentiate Hepar and Mercurius in children?"

 - A : In children the most important indication for Hepar is the hypersensitivity to pain.

 - They are so sensitive that they faint.

 - Besides there is an amelioration by warmth in ear pain.

 - The parents don't think to tell that their child already fainted from pain.

 - You have to ask this.

 - Question : How do you differentiate Hepar and Psorinum?"

 - A : Yes, that is not so ~, but Psorinum has constantly the strong fear that they don't have enough.

 - You will find the same anxiety, namely fear of poverty in Bryonia and in Bryonia this is the reason for their constant business.

 - If they loose some money, for example, when they have 5 DM less interest a month this is a very important matter.

 - The main point in Psorinum lies on the material, physical needs.

 - The fear of not having enough is the most important in Psorinum, "They took my money away, and I don't have enough of this and I don't have enough of that", that is the central point in Psorinum.

 - You must try to remember the situation during the war where people really suffered, where all kinds of things failed and if they are living now, in this century where they have everything in abundance, still have this idea, this indicates Psorinum very strongly.

 - Usually they suffer at the same time from itching.

 - They have a despair from itching and an anxiety of not having enough money for the future.

 - Also the appearance is that of a person who needs something, who fails vitamins, because their skin is always dirty, like in Sulphur.

 - They are also very chilly and they perspire the whole time.

 - When they have lain in bed it is also damp under the cover.

 - They easily despair from itching, from the anxiety of not having enough money or material things.

 - ...for example, if somebody says that he doesn't tolerate fat and you look in the rubric you see there Causticum, Natrum phosphoricum, Ptelea, Pulsatilla, Sepia, Sulphur.

 - When a certain symptom is very clear and very strong, for example, disorder stomach from fat, and Ptelea is the right remedy at that moment, then you can observe that this person will develop in the course of time to a remedy which is also in this rubric, for example, Sepia or Sulphur.

 - I have seen that the remedies which are in one rubric in a certain way are complementary.

 - Pulsatilla can develop to Sulphur, Ptelea to Sepia or Sulphur.

 - That is very strange.

 - Or there are relationships between remedies which become violent or faint from pain.

 - I see a relationship between Aurum, Nux vomica and Mercurius, because they all have the same tendencies.

 - I noticed this when I tried to be flexible and to follow the patient for many years.

 - For example, in Calcarea and Sulphur, both have vertigo at high places and often you see a development of Calcarea, often over Lycopodium, sometimes immediately to Sulphur and this one symptom remains the whole time.

 - Therefore the symptoms of the last patient are maybe an indication for Mercurius, but Mercurius as a first remedy didn't do anything.

 - After Hepar maybe he developed some more Mercurius symptoms, so that he might need it later on.

 - It is very important to recognize this, because otherwise you don't know what to do anymore.

 - The symptoms which are important at the present time, we take into consideration; we give the remedy according to the symptoms which are there now.

 - It is always the same question in this Ptelea case with clear keynotes for Ptelea : disorder stomach from fat and amelioration by sour things.

 - You treat this patient then three, four years and on Ptelea everything improves; the rheumatic complaints disappear and all the other things become better, until suddenly new symptoms appear, for example, headache.

 - The intolerance of fat is better, but still there and then you see how they develop leucorrhoea, how the character changes and how they develop to Sepia, and from Sepia maybe further to Sulphur.

 - You will only find this by treating your patient for many years.

 - A : colleague asked me whether it is possible a patient who was running all the time comes with clear Alumina symptoms.

 - In the morning he is very slow, it takes quite a long time before he is really awake and in the course of the day he is doing better.

 - Before he did quite a lot of sport and the colleague can't understand that this man needs Alumina now, but he has clear Alumina key-notes..he can't do two things at the same time, he has to do everything slowly, then the strong aggravation in the morning and the amelioration in the evening.

 - Do you understand why he ran so much before?

 - Answer : "Sepia "

 - A : Yes, Sepia.

 - Sepia likes to run, likes to exert himself, it ameliorates like also in Natrum muriaticum.

 - But when they over-exert themselves, when they do too much for too long time, then they can come in an Alumina state, the chronic Sepia.

 - Jogging and marathon running, that is specific for Sepia.

 - You know that the asthma of Sepia ameliorates by running.

 - In the generalities "exertion ameliorates% that is Sepia.

 - Sepia are the long distant runners.

 - You will never see a Calcarea man running a long distant.

 - A : short distance, yes, but never a long distance, but Sepia can run a long distance very well.

 - This is also the reason why half of the athletes don't care about women.

 - Real professional athletes don't need a woman, they need only their sport, their physical exertion.

 

CASE3 v2

 Asthma, eczema

 Hepar sulphur

 - Man, 36 years old

 - P : I want to be honest, because when I'm not honest I think it is not good.

 - When I went away from here the last time, I had my ideas.

 - Even with the time before the previous time you told me that you were completely sure about the remedy, that you found the right remedy for me, but the last time I had a very severe cough.

 - You thought that the cough was loose, but I was deadly ill before and I got over it myself.

 - In fact I expected that you would examine me, to see if I had a lung inflammation, but you didn't.

 - You said that I had to have more faith, but then I was in a situation that I didn't take any medicines.

 - I always take the spray to inhale.

 - When I was short of breath I went to the family doctor.

 - Then I was a coward not to admit I was in treatment here, because he is completely against Homoeopathy and I only told him about the bronchitis which I conquered without taking any medicines, about which I was very proud, even if I was not completely at ease whether everything was all right.

 - He should auscultate me, although I preferred not to take any medicines, because it is not allowed in Homoeopathy, which I didn't tell him.

 - He said that everything was all right, that he didn't want to take any risk.

 - Then I had to cough up to have the expectoration examined.

 - After he got the result he-advised me to take antibiotics.

 - I have taken them for two or three days.

 - I should have contacted you first, but it always happens to me during a weekend.

 - The problem was first asthma and after the remedy he started to cough with expectoration.

 - You know that when you give a remedy, Kali carbonicum or something else and it is the right remedy that the patient starts coughing instead of getting shortage of breath, cough with expectoration.

 - That's exactly what happened in this case.

 - He had a bronchitis with quite a lot of expectoration - which colour has the expectoration of Hepar? Green.

 - He conquered this all by himself, without medicines, but afterwards he went to his family doctor, because he was afraid, because I didn't listen to his lungs.

 - I learned that we often play tricks.

 - We trust our remedies and say, "Okay, that is no problem.", but nevertheless we have to auscultate our patients, and even if we don't auscultate, we have to put our stethoscope on the chest.

 - And I didn't in this case.

 - I talked to him and I said, 'You just go on, you don't take tranquillizers, you are on the right way."

 - He comes from a very deep depression, with alcoholism, he smoked very much, is divorced and so on.

 - You will see how he developed mentally.

 - He stopped drinking and smoking, he got the energy to do it.

 - A : I explained to you that everything is all right, as long as you have expectoration.

 - You are an educator by profession and understand the explanations.

 - P : I feel it intuitively.

 - When I can cough up something I'm satisfied.

 - A : It is not so bad, you took three tablets of antibiotics.

 - P : Yes., I got a box of EUSAPRIM.

 - I already had these before.

 - I had to take quite a lot of antibiotics my whole life.

 - A : You took them.

 - P : Yes., The family doctor searched the cheapest broad spectrum antibiotics.

 - There were 10 capsules in it, I have taken two capsules for five days.

 - Then I had to go for a check up and it wasn't cured yet.

 - Then he prescribed me a larger dose.

 - I took this until Wednesday included.

 - Now I have the impression it is completely loose, but now it is still in my nose.

 - A : Well yes, this is not so bad.

 - The situation was that you conquered the asthmatic situation and came into a bronchial situation and brought up expectoration.

 - The family doctor was probably afraid it would be I don't know which bacterium.

 - P : He mentioned the name, but of course I forgot it.

 - Do you think it is important what kind of bacterium they find in your culture?

 - Answer : "No, except in tuberculosis."

 - A : And why precisely in tuberculosis?

 - At that time we had a patient in the Centre, a 19 year old boy with a clear tuberculosis.

 - We discovered tuberculosis, a tuberculosis in the left lung apex, opacity with glands, with the typical perspiration, the typical cough, the weakness and so on.

 - He was with the family doctor before he came to us and got antibiotics from him, but he didn't diagnose tuberculosis.

 - You believe it is only tuberculosis when you find tubercle bacillus in the culture.

 - What do you think, how many tuberculosis patient are only treated with antibiotics.

 - For Homoeopathy it is not important what kind of bacterium they are, even when it is tuberculosis, syphilis or gonorrhoea, the name is not important, we only have to give the right remedy.

 - A : We are not sure that the remedy is antidoted, because you should take antibiotics for quite a longtime until you get a reaction...

 - P : Yes, it remained for quite a long time.

- I think I still have it.

 - (is coughing) I feel it is still below.

 - Probably I had to take antibiotics for one year.

 - A : The best thing to do is not to take any antibiotics.

 - P : No, no.

 - But I always have the tendency to take the classical medicines.

 - Also with my nose, it makes me completely mad.

 - I easily take medicines.

 - It gives a relief, but it doesn't cure.

 - That's why I came here.

 - A : Anyway we were on the right track and we will go on this way.

 - I want to tell the story from the beginning.

 - P : You said that the asthma is under control.

 - In fact that's not right.

 - I still have to take sprays, and now even increased.

 - Now, I have shortness of breath.

 - A : But the last time when you were here it was better for quite a long time.

 - P : Yes., My family doctor works in a very scientific way.

 - Every time I have to blow in a certain apparatus.

 - The last time in November, it aggravated when I reduced the medicines.

 - I reduced the VENTOLIN, I stopped the BEROTEC only later.

 - If I also stop the BECOTIDE I'm had.

 - It is as if I really need this cortisone.

 - A : Did you stop the BECOTIDE now?

 - P : No, I started taking it again.

 - I stopped it during the holidays, then I only took BEROTEC and LUMIDAL.

 - In Austria in the mountains I can stop it, but when I'm back after 14 days I have shortness of breath again.

 - A : All right, the whole situation has been bad for quite a long time and it is not only shortness of breath.

 - P : Yes, you always say it is more on the mental level.

 - A : And the eczema.

 - P : Yes, and the itching.

 - A : And the depression.

 - You came in a very depressed state in January 1988 here and were seen by a colleague, with feelings of anxieties and depressions.

 - You already had these as a young man.

 - This patient has taken cortisone for quite a long time.

 - If you see a mental amelioration in such a case, when you see that they become stronger in general, don't loose the courage.

 - It takes quite a long time before a definite cure, especially in Hepar sulphuris, also in eczemas.

 - It needs its time.

 - P : Yes, I can't remember that I didn't get them.

 - A : You have never in your life

 - P : ....felt good.

 - A : Here it says that as a child and in adolescence you had very strong inferiority complexes.

 - You were the smallest of the class.

 - You felt insecure, you never felt well?

 - P : No., I always had anticipation fear.

 - I still have when I want to do something.

 - He also says that he was a thin boy, just like the other patient before, one of the smallest of the class.

 - We see the lack of self confidence in both.

 - A : You felt very lonely.

 - Then you divorced your wife.

 - P : Yes, this was the last drop which made the bucket run over.

 - In fact I learned to live with all these frustrations.

 - I was very proud of what I reached and then I got a breakdown.

 - A : What kind of disease appeared first in you?

 - P : I think it was asthma.

 - I remember that my father took me on his motorbike to the hospital in X, when I was a very young child.

 - Although I already felt unhappy and anxious, but I don't describe this as a kind of disease.

 - In fact the anxiety is the first thing I can think of, although my bronchial state was very bad.

 - A : Do you still remember whether you had this eczema?

 - P : No, I can't remember.

 - The only thing I know is that I had a very big liver spot at the back of my neck.

 - A : Anyway you had shortness of breath when you were a child.

 - P : I don't know how this has been manifested.

 - Maybe I had more bronchitis.

 - The real shortness of breath started very late.

 - When was this? When I was 26, 27 years old.

 - As a child I had a real shortness of breath only for a little while.

 - A : Has this been treated constantly?

 - P : No., Before I was 27 years old in fact I had never been to the doctor.

 - I was against medicines and I persisted for quite a long time.

 - I could hardly do sports and so on.

 - I refused to use the spray.

 - When I started working in the chemical factory it really started, then I went to the hospital.

 - Since then I treated it seriously, I've never been without sprays.

 - It even went so far that I had to be hospitalized.

 - Dr.

 - X advised me to use cortisone constantly, one half a tablet every day.

 - My family doctor didn't agree.

 - He put me on BECOTIDE spray.

 - He didn't want me to take it in the form of tablets.

 - A : When did you marry?

 - P : It was about that age.

 - At the age of 26, 27 quite a lot of things happened in my life.

 - A : The relationship with your wife became bad?

 - P : In fact I was happy in my marriage, as far as I can feel happy.

 - I didn't notice that my marriage was bad, that's why I felt so depressed.

 - He says, 'As far as I can feel happy.

 - " At the beginning he said that he never felt happy as a child.

 - A : Is it hard for you to feel happy?

 - P : Yes, anyway to express it.

 - It is difficult for me to be happy.

 - I'm a kind of person who first has to earn something before I can enjoy it.

 - For example, I only allow myself to drink a beer, when I worked hard the whole day.

 - Otherwise it is difficult for me to allow it.

 - A : How did it come to a divorce?

 - P : We had a very stressful life.

 - I was working as an educator and then we still had a pub which was open from 10 : 00 a.m.  until 4 : 00 a.m.

 - We hardly had any family life.

 - Besides the pub and my job I had many other occupations.

 - I spent quite a lot of time in recording music, bicycling and so on.

 - I think that I neglected my wife this way.

 - There were quite a lot of men who liked her very much.

 - In fact it never came into my mind that this could happen to me.

 - A : After your wife went away...

 - P : I left the house immediately.

 - I went on working and I lived alone.

 - Within one year I weakened completely.

 - Then I came to you.

 - A : At that time you were in treatment with a psychiatrist.

 - P : Yes.

 - A : When did you see the psychiatrist the first time?

 - P : It was after my studies, in psychological treatment.

 - Also because of the same things.

 - I think that I have always been depressed.

 - At that time I had my first job and I didn't feel happy.

 - A : Unhappy?

 - P : Yes, also unhappy and at the same time an inferiority complex.

 - I don't know how I should say but in fact I have never been satisfied.

 - A : Never satisfied with yourself?

 - P : No.

 - A : And also not satisfied with the situation?

 - P : No, also not.

 - A : In fact that is the essence of your problem.

 - You are discontented.

 - P : Yes, always.

 - A : We can call it a constitutional, congenital discontentedness.

 - P : Yes, I always wanted to have things which I didn't have.

 - A : A kind of inexplicable way of not feeling well.

 - P : Yes.

 - He always says the same thing, "I always wanted to have something which I didn't have.

 - "He is discontented with himself and the others.

 - P : But I really got in treatment with a psychiatrist when I was alone and I really needed help.

 - The family doctor got into contact with two psychiatrists, first a man, then a woman, which didn't help at all.

 - At that time I was so bad that I couldn't take any help.

 - Then the family doctor came and he said, "According to me you don't have to do anything at all, but I advise you to go to the therapeutic centre in X."

 - There I got into contact with a psychologist and a psychiatrist who advised me to take part in a group therapy.

 - In fact I feel all right there, there are very intelligent people from all levels of society.

 - Independent, employee and so on.

 - We are with six women and men.

 - These people are not abnormal and there I have a kind of hold, although the conversations of the group are not easy.

 - A : Anyway, they gave you anti depressives.

 - How long did you take this?

 - P : First I got anxiolytics from another psychiatrist.

 - I can't remember the names.

 - A : Anyway you have taken antidepressives for quite a long time.

 - P : It was really necessary at that time.

 - A : Well yes, but...

 - P : Anyway, I felt it was necessary.

 - I had the need to take something.

 - A : The first time I saw you with a colleague when I was supervising.

 - Then you were really at the low point.

 - P : Yes, I was at the end of my resources.

 - A : You have also been hospitalized.

 - P : Yes, on voluntary basis in the hospital of X.

 - A : Once you got the remedy Sulphur, but the biggest problem was the suicidal thought.

 - P : It was there constantly, but in fact it never came that far that I really want to do it.

 - A : Anyway the suicidal tendency was the worst.

 - P : In fact, I still have it a little bit.

 - Look on page 85 "suicidal thoughts".

 

thoughts : Alum., ant-c., arg-n., Aur., dros., hep., ign., iris, kali-br., lil-t., merc., Nat-s., Psor., puls., rhus-t., thuj.

 

 - It was really a thought all the time.

 - There you also see Mercurius, Aurum, Antimonium crudum, Alumina, Hepar sulphuris, Ignatia ...? Natrum sulphuricum, Psorinum, Pulsatilla, Rhus toxicodendron, Thuja, additions are Medorrhinum, Anacardium and Capsicum.

 - A : You got the remedies Sulphur, Phosphorus and Aurum.

 - Because of a deep-seated discontent with constant thoughts that your life didn't have sense anymore, that it would be better that you were dead and so on, so in this way.

 - P : Yes, that's right.

 - A : On December 23, I consulted you myself and I wrote down that you had suicidal thoughts increased while taking antidepressives.

 - They became stronger, although you took antidepressives.

 - Is that right?

 - P : First I have to think about it, because it is such a long time ago.

 - In between there was another important thing which maybe is not yet in your file.

 - At the time of my depressions I had a severe fracture of the bone while bicycling.

 - I had to lie in a sling for 8 weeks in the hospital and I thought, 'I will become crazy", because I couldn't move.

 - People visited me and I was depressed for quite a long time.

 - I begged the doctors to give me medicines, because I thought I would become insane, because I had so much pain.

 - A : And the antidepressives, when did you take them?

 - P : Oh, now I know it again.

 - There was quite a long story about the medicines.

 - In Spring of 1988 I got into contact with psychiatrist X, I already saw many psychiatrists before.

 - Also in the hospital I got many medicines which didn't help at all.

 - When I came to X there was something to which I could direct.

 - I could go to the group twice a week and in the meantime when it was necessary, to the psychiatrist there, who said, "If you wanted to be treated by me, you have to take antidepressives."

 - There is no discussion about.

 - In September I started working again and I took the antidepressives every two days.

 - I stopped them gradually until November/December and when I stopped it definitely I came to you.

 - I thought, "As soon as I got rid of the medicines I go back to Hechtel."

 - But your question whether the suicidal thoughts were stronger while taking antidepressives, I can't confirm.

 - I think it has become a little bit better.

 - But I already said that I don't know by which factors I'm better now.

 - There were three factors : the National Health Service allowed me to go with somebody in a truck, something very simple, then I started working again and taking medicines.

 - Which of these three factors played a role to make me feel better I can't say.

 - Although "better" still has to be put between brackets, because I didn't really feel well.

 - The suicidal thoughts - I wanted to be dead, but there are people who can go very far in this matter, but I couldn't.

 - A : Yes, I understand.

 - But when I saw you with my colleague it was very bad.

 - P : Yes, I was really very bad.

 - A : This is an element of your constitution, the discontent, which brought you to the fact that your life didn't have sense anymore, second an asthmatic component and third a skin component.

 - You expressed it this way that your skin problems alternate with your asthmatic problem.

 - That is typical : "Asthma alternating with eruptions."

 - P : I always supposed so, although it is different at the moment.

 - At the moment I have a very strong itching between the toes and on my behind.

 - The itching on the chest has become less.

 - Also on the face, but it was not a real eczema.

 - But between the toes and on my behind it is really terrible.

 - Now and then I have the feeling as if I would get hemorrhoids, my intestine is protruding when I don't take care.

 - I also said that it is not so good with the asthma at the moment.

 - If I would have written it down, probably it always would have been.

 - A : But you can't say that you have a severe shortness of breath at the moment.

 - P : It is because I take medicines.

 - I take BEROTEC at least four times a day.

 - When I go working I always take three to four sprays with me.

 - As soon as I notice something I take them.

 - Once I had to stop everything 24 hours before I came here.

 - Then I suffered from it very strongly.

 - This morning at half past seven I used the mask for three, four minutes and then four times spray and once BECOTIDE.

 - A : Here it says that you have had asthma since you were 10 years old and- eczema with a strong itching.

 - When the asthma becomes better, the itching is stronger.

 - That's what you told me.

 - P : Yes, that's what I said up to now.

 - A : At the age of 20 years the asthma was gone, but the nose remained obstructed.

 - There was a clear interaction between asthma and eczema.

 - You told me that you set fire to something when you were a child.

 - P : Yes., I was astonished by that question, because I didn't think of it anymore.

 - Indeed as children we set fire to a small forest.

 - In this matter I was the leader.

 - It went all right, because a farm could have been burnt, but at that time there was a very big panic of course.

 - There are a certain kind of people, the pyromaniacs, who are in jail for that reason and we know what we have to give them.

 - A : Then I asked you about the preferences of your food and you told me that you liked to drink alcohol.

 - P : Yes, for me it is a big problem to stay away from alcohol.

 - A : You also liked to eat highly seasoned food,

 - P : Yes.

 - A : You also liked fish, but not so excessively.

 - Highly seasoned food was a clear preference?

 - P : Yes.

 - A : And what did you like to eat with roast meat?

 - P : Fried potatoes and mustard and mixed pickles.

 - A : You drank alcohol daily?

 - P : I did at that time.

 - But now I have more control over it.

 - In fact, they forbid everything that makes life interesting.

 - Also with smoking.

 - I also have more control about this matter.

 - I only smoke two or three cigarettes a day.

 - But in fact I don't want to stop it.

 - A : Why do you have more control about these matters?

 - P : I don't know.

 - Maybe, because I'm more occupied.

 - In fact, I'm still depressed, but I start again every day.

 - I get up, dress myself, shave, wash myself and I also work a little bit in the garden.

 - It is not easy, but I can do it.

 - That's why I can limit this drinking better.

 - I don't drink in order to drink, but only, when I'm thirsty or when I think I deserve it.

 - This is the most important point.

 - Even though the asthma was not really better up to now, you see that he stopped smoking and doesn't drink one drop of alcohol.

 - He lives alone and goes to work regularly, he does this all by himself.

 - Even when the asthma is not yet clearly better you can recognise that a big change took place on the mental level.

 - To be able to do this, stop smoking and drinking, a clear amelioration has to have taken place.

 - The patient has had very strong depressions and at that moment we forget it.

 - We forget that he has had severe depressions, that he smoked and drank, we only see the asthma and we make a wrong interpretation.

 - We say that he is not better because the asthma is still there, we think, we have to find another remedy and we go into a foggy state.

 - We have to see what is the most important thing in this person and that is courage, that is the capacity to feel good.

 - If he can do this and he can do things which are good for his health, like stop smoking and drinking, this means that he is on the right track.

 - He still needs the BECOTIDE, the cortisone, and this is a problem.

 - Remark : "He does quite a lot of sport, he is bicycling and so on.

 - This means that...(not understandable)."

 - A : Yes, right.

 - Did you understand his way of thinking?

 - He wants to do sport just like everybody else and to be able to do this he needs BECOTIDE.

 - If he would do this sport on a lower level, he could stop this BECOTIDE, but he doesn't want it.

 - A : But you can already laugh a little bit?

 - P : Yes, it starts gradually again.

 - A : It is strange.

 - Where does this energy come from? You say that you can control this drinking and smoking.

 - You are still depressed, but you get up, do the washing up and so on.

 - You live alone, don't you?

 - P : Yes.

 - A : You do your housekeeping precisely.

 - They won't stumble over anything when they enter your house.

 - P : No, no.

 - I keep everything in order.

 - On this level it is all right.

 - A : I gave you the remedy on December 23.

 - You came back after one month and said, "I got an acute attack of shortness of breath, which is normally treated with antibiotics and cortisone and which went away spontaneously this time!'

 - P : Yes.

 - A : That was a very bad case.

 - P : Yes, I had to lie down for two days and I lost 2 kilos of weight.

 - A : Second your stool was much better.

 - P : 1 had this impression from the beginning very strong.

 - Later it diminished a little bit.

 - A : You also went to Austria on holiday and you didn't have complaints there.

 - P : No., I hardly had anything and could nearly stop all the medicines.

 - A : The anal itching, itching between the toes and at the sternum remained.

 - But you conquered the acute attack yourself.

 - P : Yes.

 - A : Then you came back on February 21 and had strong expectorations, green mucus.

 - P : Yes., It has lasted for one month.

 - That's why I was so worried.

 - In January I was happy that I conquered it myself, but in February I became restless, because the expectoration lasted for quite a long time.

 - A : Then we concluded that the depression was a little bit better

 - Type page no-45

 - A : But the serious state was gone.

 - P : Yes, all right, but I expected you to do a clinical examination and work in a more scientific way.

 - A : But I occupied myself extensively with you.

 - P : Yes, all right, but I expected that you would have the expectoration examined and so on.

 - A : Well Yes., Anyway, I explained to you extensively how I estimated the development.

 - I was very satisfied and apparently you were as well when you left.

 - I understand that you expected a more physical examination, but the name of the disease and things like that are of second importance.

 - It is most important that you become stronger in general.

 - P : The real reason why I acted this way is that in fact I have always been physically minded, and I was limited in doing sport, just the same as with my nose now.

 - In some way it makes me depressed so much that I want to be rid of it.

 - I can try to do my best one or two months, but if I can't do anything in the meantime, I can't accept this.

 - I would like to go bicycling on Saturday and want to sleep well.

 - But this! I can't even sleep well anymore.

 - He says that this constant obstruction of the nose makes him mad, it is terrible.

 - If somebody expresses that the obstruction of the nose nearly kills him than you have to think of Hepar.

 - There are many people who have an obstruction of the nose and who don't complain.

 - A : It was not necessary to take antibiotics.

 - You agree with me, don't you?

 - P : Yes., In fact it was not necessary.

 - If I would have lived in the neighborhood I would surely have come to you and would have said : "Dammed, keep an eye on me so that I don't get an inflammation of the lungs."

 - Constantly this anxiety, it might become worse.

 - A : Maybe the contact was too loose.

 - You have to know that we do not only treat mental problems.

 - We also treat dangerous acute states homoeopathically.

 - In the future you come to me if there is something wrong.

 - P : For example, now with my nose, what can you do for it?

 - A : We will see.

 - I will discuss your case with my colleagues.

 - But I hope that you trust me so that you come with acute problems to me, because for the treatment here it is bad to take antibiotics.

 - P : I know, that's why I asked whether I could still come here.

 - A : Well yes, that was a problem of your anxiety.

 - P : (Is blowing the nose)

 - Do you see the discharge? He says that his nose is obstructed and when he blows his nose a lot of mucus is coming out.

 - This is very good, isn't it?

 - A : There was still the question whether you are easily cold.

 - How far are you covered up in bed?

 - P : I'm always covered up to above, I put the cover very well around me.

 - A : Can you also become angry?

 - P : I remarked that I don't get angry so often, but the times I became angry with my wife I became so angry that I nearly lost my control.

 - I could have taken something and thrown it.

 - I remember my step -father and how he started discussing with my mother.

 - The whole table was full of service and he took the table cloth and threw everything to the floor.

 - At that time I was six or seven years old.

 - He was also playing accordion and when he was gone I took his accordion - it came nearly to my chin -and was playing.

 - I could play accordion very well and he didn't know that I was learning to play on his accordion.

 - At the moment he heard that I was playing his accordion - he had three accordions - he took it and crashed it.

 - It is incredible the way these people burst out, they can become very dangerous, also towards their children.

 - I remember that I had to go with my step-father to the forest at night, where they cut down the trees for the coal-mine.

 - During the day I had to go to school and at three, four o'clock at night I had to go to the forest.

 - He put the trees on his bicycle and took them home, this means that he stole the wood to warm the house.

 - He liked the fire very much, he liked it to be warm.

 - So at night I stood in the forest and he already put one tree on his bicycle and wanted to put a second one on his bicycle.

 - I saw that this trunk would kill me if it would fall on my side and I tried to move it a little bit to the other side.

 - The trunk came out of equilibrium and it fell down.

 - My God, how did I suffer when we came home! My step-father beat me black and blue, because I let this trunk fall.

 - That's the way these people are it is incredible.

 - I think that they can really kill, but it is not their fault, it is their constitution.

 - A : How far can this anger go? What do you mean with loosing your self-control?

 - P : I smash things.

 - I'm an educator of boys...

 - A : Have you ever been furious from anger?

 - P : Yes, I remember...

 - I've always been very angry, especially because of jealousy.

 - If you have men among your patients of whom you know that they hit their wives, first you have to think of Hepar.

 - P : I remember that I have been raised by my eldest sister, since my mother was ill.

 - We were four children at home and I always felt disadvantaged.

 - Maybe it sounds ridiculous, what I tell you now, but I always had to eat porridge.

 - I couldn't swallow this thing, I had to vomit it.

 - I had to sit before my dish for two hours and I couldn't eat it at all.

 - She was even not my mother, but my sister who treated me this way.

 - Once I threw the dish at her head.

 - Of course at that time it was for me a sign of being rebellious, but I was beside myself with rage.

 - A : Was it ever so strong that you thought, "I could kill him."?

 - P : No, it never came that far.

 - It was always directed externally.

 - A : The loss of self-control.

 - Can you become so furious that you loose your self-control?

 - P : I think it will not go that far.

 - A : Are you afraid of it?

 - A : When you broke your leg, did it hurt very much? You had a fracture of the thigh, or what was it?

 - P : I had a very painful fracture of the bone.

 - It has also something to do with the loss of self-control.

 - The first time it happened while playing football, I had to prove myself.

 - I hadn't played for quite a long time and I wanted to prove what I could do.

 - The second time it was really a consequence of anger.

 - I played offense and was rather quick.

 - The defence had quite a lot of difficulties with me because I was so mercurial.

 - I was enormously mercurial.

 - That's why I was often the target of somebody who was not so quick and talented, he was kicking at me.

 - The whole competition he was annoying me, kicking me and so on.

 - I felt my anger growing.

 - He kicked me from behind and I just turned around and kicked at him.

 - He kept his leg towards me and I kicked him as hard as I could.

 - I slipped over his leg, fell down and broke my shin bone, I was so angry.

 - That is the anger which comes suddenly like a flash.

 - A : Can you tolerate the pain?

 - P : No, I'm very fainthearted.

 - A : How do you know?

 - P : Last time when I was lying in the hospital I was ashamed.

 - I broke my leg while bicycling.

 - I was depressed, I was dreaming on the bicycle and I fell stupidly.

 - I had a severe fracture of the bone.

 - I already told you that I had been lying for nearly eight weeks on my back.

 - The first four, five days they nearly didn't dare to approach me.

 - When they even had to put the bed pan under me I was already in a panic, for fear of the pain which would come.

 - A : You are very sensitive to pain.

 - P : Yes.

 - A : Have you ever fainted from pain?

 - P : I nearly did.

 - With the first fracture of the bone I suffered terribly.

 - It was also a nasty fracture of the bone.

 - Both of us kicked bestially hard.

 - I thought my leg was ripped off.

 - I had to wait for 20 minutes for the ambulance.

 - The two people whose hand I was holding had to switch their hand regularly, I squeezed, so hard.

 - I really suffered.

 - A : You never fainted?

 - P : No.

 - A : Also not as a child?

 - P : Not that I know.

 - A : Do you ride much on your bicycle?

 - P : Yes., Now, I want to go with a truck driver over the Brenner pass and then to bicycle in the Dolomites for four days.

 - In fact, I like to do this very much.

 - If you recognize the remedy and you are sure that it is right, then you have to give the remedy, the patient, and the asthma time.

 - Don't be in a hurry even when they took quite a lot of cortisone.

 - Wait, wait, wait or repeat the remedy, but don't go away from the remedy.

 - And when it is Hepar believe in the action, believe in the energy and you will see it does miracles.

 - Question : "Did you repeat the remedy?"

 - A : Yes, first I gave him Hepar 10M, then Sac-lac and then I gave some tablets Hepar 200 just in case it becomes really bad with his lungs.

 - Maybe it was wrong, because it is normal he gets an aggravation when he is bicycling so much the whole time and then Hepar 200 can not change anything about it.

 - I think it would be the best thing to keep your hands off, unless he antidotes with cortisone.

 - And this is now the big question.

 - He is still taking the BECOTIDE, but what does this do?

 - Mentally he is better, he has more courage, he stopped drinking and smoking, this means that the remedy is working.

 - We have also seen this in the Friday/Saturday course in Hechtel.

 - It was a clear Natrum muriaticum case, a woman with headache and weakness who hated her mother for everything.

 - She got Natrum muriaticum and afterwards she did a sleeping course in the hospital and even afterwards the Natrum muriaticum went on working.

 - The headache was better, she could laugh and so on.

 - I think that the remedy does work, notwithstanding the BECOTIDE.

 - It must work, otherwise he wouldn't be able to stop the alcohol.

 - He was a very strong alcoholic and this means something if you stop the alcohol as an alcoholic.

 - But I am afraid of losing these patients, this means that I don't have the possibility to cure them.

 - I think it is possible when he doesn't quit with the treatment, but it can take quite a long time.

 - I remember a Sulphur patient with PCP, who couldn't get out of bed for half a year after stopping the cortisone.

 - Then, after half a year he could get up and it took still 1 1/2 years until we could really speak of a real cure and he could go to work again.

 - This is a serious case and we have to realize that it needs time.

 - Asthma which is based upon anxieties is another thing.

 - There you give the remedy, the anxieties stay away and the asthma is gone.

 - When you have somebody with migraine, it is clearly a functional complaint.

 - You give this remedy and the migraine is nearly gone, that is no problem.

 - But depressions, asthma, eczema and so on are chronic problems, and these are difficult problems.

 - Question : "Would you expect that a C200 would be sufficient in such a case?"

 - A : Yes, because the problem is on the physical level.

 - Maybe I’m theorizing too much and I might be wrong.

 - If it concerns physical complaints I don't repeat 10M, but give C 200.

 - Maybe it is wrong and it is better to do nothing or to give only Sac-lac.

 - The dry period in the last weeks was for him a difficult period and I advised him to inhale more often than usually, or only with plain water, without VENTOLIN or other drops.

 - This will have the same effect, because in Hepar wetness ameliorates.

 - I thought, maybe this is a possibility to help him, so that he can expectorate and try to get rid of the BECOTIDE.

 - I also told him that he has to make sure that the air in his sleeping room is rather wet, so that he can expectorate easier.

 - Question : "Do you know another pyromaniac remedy?"

 - A : Yes, Stramonium is also one.

 - Remark : "..."(not understandable)

 - A : Yes, Belladonna also, but even if they cut off my head I can't give you the difference between Belladonna and Stramonium.

 - I would like to know who really knows the difference between Belladonna and Stramomium concerning the symptoms.

 - In athens we all contributed mental symptoms of Belladonna and Stramonium, also the fever symptoms and we could not really differentiate both remedies and say the exact differences.

 - Remark : "Fear of dark."

 - A : Yes, in fear of dark, Belladonna is not there.

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

 - A : All right, I will tell you the opposite.

 - I had a boy who came with a barking cough.

 - He had a red face, was sneezing and had a real Stramonium behaviour.

 - He was kicking, hitting and didn't sleep the whole night.

 - Besides he had a fear of dark.

 - So I gave him Stramonium.

 - The cough disappeared, but he didn't change in his behaviour at all.

 - It was still the same, he didn't sleep the whole night.

 - The mother called me and was really angry.

 - I didn't know why the boy had this red face.

 - I gave him Belladonna and the next night he slept.

 - I don't understand, why?

 - Vithoulkas says, "If Belladonna doesn't work in high fever, you have to give Stramonium.

 - That is right.

 - But to differentiate both from the beginning is very difficult.

 - The only difference is the fear of dark."

 - Remark : "Pierre Schmidt added Belladonna in 'fear of dark'."

 - A : Yes, I also had a case with fear of dark and it was Belladonna.

 - In which degree did Pierre Schmidt add it?

 - Answer : "First."

 

CASE4 v2

 Asthmatic bronchitis

 Hepar sulphur

 - Man, 28 years old

 - He has nearly the same appearance as the patient with the acne.

 - He also has black hair.

 - A : First, I will tell your story.

 - You came the first time in 1982.

 - Now it is 1987.

 - At that time you had bronchitis regularly.

 - You have already had this for 10 months.

 - It started with a cold.

 - Afterwards coughing with green mucus and green expectoration.

 - P : Dark brown, yes.

 - A : You also had complaints with the breathing during an exertion and you were wheezing.

 - You said, "I don't feel the weather, but I have to cough more with cold air."

 - As a child you also had bronchitis.

 - You are rather cold.

 - You can't tolerate coldness at all, you prefer warmth, your feet get cold.

 - The feet perspire easily and you easily perspire in general with exertion.

 - You like to eat French fries very much, also fat, highly seasoned food, meat.

 - You are nervous, no anxieties.

 - Rather closed by character.

 - You said that you aren't easily angered, although I doubt this.

 - He says that he is not easily angry, but when I see him sitting there and see the way he looks I think that you have to be careful with him.

 - A : Maybe you didn't show when you were angry?

 - P : Yes, it might be.

 - A : You don't become angry easily?

 - P : No, I don't think so.

 - A : Can you get along well with everybody?

 - P : Yes, I think so.

 - A : Concerning your eating habits there is something new which was not so clear at that time.

 - You like rollmop very well, sour.

 - You like highly seasoned food, we already said this.

 - P : Yes., It was at that time, but not now anymore.

 - A : And gherkins and onions also?

 - P : No, not so much anymore.

 - A : If you eat cheese on your bread, what about it?

 - Do you often put mustard on it?

 - P : No, nothing.

 - I eat this very seldom.

 - Maybe curry ketchup or something like that.

 - Normally Hepar puts mustard on the cheese.

 - The question for this is a possibility to confirm Hepar.

 - What does Lycopodium put on the cheese?

 - Marmelade.

 - And Hepar puts mustard on the cheese.

 - A : But highly seasoned food?

 - P : Yes, but not so extreme.

 - A : Surely no aversion to sour, also not at that time.

 - P : No, no.

 - A : And then you became better gradually, and the asthma improved in the second week gradually, less wheezing, less obstructed nose, no bronchitis anymore.

 - That's how it developed at the end of 1982.

 - Then you didn't come a few years, from December 1982 until March 1987, you have been doing well for such a long time.

 - P : Before I was already bad, quite a while before.

 - I was working in shifts and in fact I should have taken a day off earlier.

 - But I got rid of it for quite a long time.

 - My mother noticed that I had more problems in the morning and the evening.

 - A : Did it start in 1986 or when?

 - P : Surely in 1986.

 - In 1985 or 1986, I think.

 - A : So it has been better for a few years.

 - P : Yes, that's right.

 - A : You came back on March 31 and then you said, "I have shortness of breath after exertion and I can hardly get oxygen when it is cold."

 - P : Yes, when I become cold, I feel obstructed the next day.

 - A : The coldness does no good for you? If you go into cold surroundings you have difficulties with your breath, as I understood well.

 - Is that right?

 - P : Not at that same moment when I come into the cold, only afterwards.

 - A : Do you sneeze?

 - P : Yes, in the last three weeks I have very much.

 - A : I gave you the remedy in 1986.

 - How did your shortness of breath do after the remedy?

 - P : When I became cold I still suffered the next day for quite a long time.

 - Not so much a runny nose, but I didn't feel well.

 - I didn't have any complaints with asthma.

 - The breathing is still good.

 - I go jogging two, three times a week.

 - When I stop I get difficulties in breathing.

 - I feel it a little bit in the back.

 - After 5, 6 kilometres I can't go on anymore.

 - A : So the shortness of breath has improved.

 - P : Yes.

 - A : And what about the nose?

 - P : It became worse the last three weeks.

 - A : What do you mean?

 - P : The nose runs, but not a lot.

 - I was at the sea two weeks ago.

 - There was quite a lot of wind and the next day I had a runny nose.

 - A : You don't have problems in the morning when you wake up?

 - P : No.

 - A : No complaints with ulcers and so on?

 - P : No.

 - A : Never had them before?

 - P : No.

 - A : Acne on the face?

 - P : No, I never had it.

 - A : What percentage are you better compared to the last time? I have the impression that the shortness of breath remains better?

 - P : Yes, with the shortness of breath it is all right.

 - A : You have very few complaints, only now and then with the nose.

 - P : Yes, I mean, I feel it with very heavy exertions.

 - Yes, then it comes back.

 - The last three, four months I have problems with loss of hair.

 - I don't know whether it has something to do with it, but it is so.

 - By coincidence I washed my hair and there came quite a lot of hair out, a bundle of hair.

 - I never had this before.

 - A : What kind of job do you have?

 - P : I'm an employee in a chemical factory.

 - A : Do you get into contact with certain substances?

 - P : Not before.

 - I did awhile ago, and I got eruptions.

 - It didn't become worse, but I still have it.

 - A : And how is your eczema.

 - It isn't gone?

 - P : No.

 - A : But better?

 - P : It is still the same, not completely gone.

 - A : What percentage is the asthmatic state better compared to two months ago?

 - P : About 50 - 60 %.

 - A : I will give you a remedy now, Foliata squalosa and I'll give you one tablet in a tube to take home.

 - You may only take this when it is very bad and you have to call me first.

 - You have to explain clearly by telephone how you are doing.

 - You put the tube in a dark place, in a cupboard.

 - You don't take this now, first you take the other one.

 - And if there is a strong relapse you may repeat it.

 - Here I gave him Sac-lac and then also Hepar to take home because of the eczema.

 - He said that the eczema appeared because of the chemical substances, but it became better by Hepar, so maybe Hepar might have something to do with it.

 - You know that Hepar doesn't tolerate wool.

 - Itching from wool, together with which other remedies?

 - Sulphur, Pulsatilla, Psorinum, Phosphorus and Hepar, five remedies which can't bear the wool.

 - Try to remember this face, it might help you very much.

 - He looks nearly the same as the patient with the acne.

 - In people with black hair you have to think of Hepar.

 - You can also observe the beard.

 - It looks as if it wouId grow very fast, faster than in other people.

 - Also in hair falling, hair falling in spots, I have seen wonderful cures with Hepar.

 - Question : "Where are the Hepar symptoms in this case?"

 - A : Here in this case?

 - At that time he had a strong desire sour, fat, highly seasoned food.

 - In 1982 he said that he liked pickles and mustard very much, now the desire is less.

 - Maybe he thought it might be not good for him, because I emphasized it so much.

 - It often happens in your consultation when you ask something and the patient thinks it is bad for him.

 - So in this case the desire and the sensitivity to coldness clearly indicated Hepar.

 - In children who put the cover above their head it is an important indication for Hepar.

 - In 1978 when I just came back from Zaire, I was called to see a small child who just died.

 - The parents of the child put it in a large bed and there it was lying in the middle of the bed, completely under the cover and it didn't get any oxygen.

 - Hepar children do this.

 - If you think of Hepar in children, you ask for how they are lying in bed, what they do with the covers.

 - Spontaneously they get under the cover all over.

 - The parents prevent this now by putting them in a sleeping bag or by putting a box at the end of the bed so that the children can't slide down.

 - The way somebody is covered up is for me one of the most important points on which I base the prescription of Hepar.

 - Question : "He already had asthma three years ago.

 - Why..." (rest not understandable.)

 - A : No, he got Hepar in 1982 and then he was doing well until 198511986.

 - It became worse again, was not so bad as in the beginning.

 - This was the first time he came back because of his asthma, but from 1982 until 198 7, in these five years he was relatively good and only in March 1987 it became worse again so that he had to come back.

 

CASE5 v2

Hepar sulphur

 - Woman, 35 years old

 - This is the wife of a medical doctor.

 - She has asthma and eczema, diseases which make you tremble.

 - A : You have two children.

 - P : Three.

 - A : Three.

 - I haven't seen the eldest.

 - You came because I have your second child in treatment.

 - Since you were 11/2 you had eczema.

 - You had all kinds of ointment put on it.

 - When you were six years old you got asthma.

 - As a child she has eczema and later she got asthma.

 - This is a classical reaction, classical symptomatology.

 - In the Repertory we find this under respiration, "respiration, asthmatic, eruptions, after suppressed" on page 765.

 

eruptions, after suppressed : Apis., ars., carb-v., dulc., ferr., hep., ip., psor., Puls., sec., sulph.

 

 - Here you see Pulsatilla capital, also Dulcamara and Mezereum has to be added.

 - P : No, right after I was born.

 - I was not home from the hospital for one week when I got an attack of asthma.

 - A : It lasted until you were seven years old and then you had your tonsils removed.

 - P : Yes.

 - A : Then the eczema disappeared, except in the bends of the knees.

 - She says that the eruption is still in the bends of the knee.

 - Of which remedy do we think first in eruption in the elbow and in the bends of the knee?

 - Graphites, but these places indicate Hepar sulphuris as well.

 - I don't know whether it is in the rubric, but Clarke underlines this.

 - Lets look in extremities, "eruption, elbow, bend of' on page 991.

bend of : Am-m., bry., calad., calc., cupr., graph., hep., merc., mez., nat-c., nat-m., psor., sep., staph., sulph.

 

 - There we do not only see Graphites, also Hepar, Mezereum, Sepia, Staphisagria and other remedies are there.

 - Then "eruption, knee, hollow of knee" on page 1001,

 

hollow of : Ars., bov., bry., calc., carb-s., chin., dulc., Graph., hep., kali-c., led., merc., nat-m., petr., phos., psor., sars., sep., tep., zinc.

 

there Hepar is second degree.

 - These two places make us think of Graphites first, but we may not forget Hepar.

 - And what about the lower lip in Hepar? They have a crack in the middle of the lower lip, a symptom which indicate Natrum muriaticum very strongly.

 - P : I had it between my second and sixth year.

 - A : From the age of 14 years until 20 years the eczema came back again, but I don't know what happened with the asthma.

 - Your natural resistance force put the eczema back to the surface.

 - You put cortisone ointment on it and then it went up and down.

 - But every time when you put the ointment on it you had difficult breathing.

 - Last winter the shortness of breath was worse.

 - Five years ago you got Sulphur a few times in a low potency and afterwards it was better.

 - In the summer of 1988 you got Sulphur in a high potency and you didn't have shortness of breath for one month.

 - This is very interesting.

 - Hepar is a combination of Sulphur and Calcarea and she improved on a low potency of Sulphur, this means she reacted to the Sulphur element of a low potency, but there was an aggravation with the high potency.

 - You see that you can suppress more easily with low potencies than with high potencies and that you can suppress easily by repeating the wrong remedy.

 - You can also observe that in Hepar cases often you can give Calcarea carbonica with an apparent good result, but the amelioration lasts only a little while, then everything comes back.

 - A : In the middle of October you got an influenza and you had tremendous shortness of breath and had to take VENTOLIN.

 - In the last three weeks before you came here you didn't have any complaints besides the eczema, so the shortness of breath disappeared.

 - P : Only in exertions I still have it.

 - For example, while doing sports.

 - A : This was your life history.

 - Then I saw you a quarter of an hour and I prescribed the remedy.

 - Tell me what do you like to eat.

 - P : Hearty things, meat, bacon, cheese.

 - A : Meat, bacon.

 - That is fat.

 - P : Yes.

 - A : What do you like about the bacon?

 - P : The rim.

 - A : Further?

 - P : Sour things like Pickles, sweet-sour vegetables, paprika and mustard.

 - A : This was the whole consultation and then I gave you a remedy in M potency.

 - Tell me what was the reaction?

 - P : In the first week I had the impression nothing happened, but at the end of the week I noticed that the cold which I had since October disappeared.

 - A : So you had a cold since October and it disappeared.

 - P : The cold and the cough disappeared and in fact the shortness of breath as well.

 - It didn't come back either.

 - In the second week I had an inflammation of the leg and an inflammation of the eyes., I think this disappeared after two weeks.

 - Then I got terrible complaints at the bend of my knees.

 - A : So itching.

 - P : The skin was raw.

 - Here I think of another patient from Holland, also a Hepar case, but she had treated the skin with cortisone for 10, 15 years.

 - This was a very, very big problem.

 - It was a clear Hepar case and I gave her the remedy in M potency.

 - Then the eczema came completely out, it was terrible, but she had so much courage and held on.

 - After two months it was still as bad and I wondered how this could be possible, but she held on and then it became better.

 - In patients who have used cortisone ointment for quite a long time you have to be sure of the remedy.

 - If you are not sure, if you are doubting between Lycopodium, Sulphur, Hepar, then you don't touch the case.

 - Wait until you can say with certainty, "This is the right remedy.

 - "I would like to give you this advice, because when you are sure you can wait. if you are not sure - everybody wants to help the patient, often we don't give enough time, we give another remedy, then comes again the cortisone and then you can forget the case.

 - Patients with asthma who take cortisone, orally or as an aerosol, are very difficult to treat.

 - You can reach a mental amelioration with the right remedy, but to get rid of the cortisone completely it takes quite a long time and this can make you doubt about the remedy.

 - You need quite a lot of patience.

 - A : You took the remedy on January 6 and now it is February 3.

 - This is one month ago.

 - The shortness of breath is clearly better.

 - P : I don't have complaints with it anymore.

 - A : Also not in tiredness, exertions?

 - P : No.

 - A But the eczema came back?

 - P : Not on the hands, I don't have complaints with it anymore, but small spots on the body and a lot in the bends of the knees.

 - A : How do you feel in general?

 - P : Good.

 - A : Probably the remedy is right.

 - You feel it yourself.

 - Tell me are you a person who is very chilly or who is rather too warm?

 - P : Rather cold.

 - I have icy cold hands and feet.

 - A : How far are you covered up in bed?

 - P : Until the nose.

 - A : What do you think about your own character?

 - P : I'm very quiet, rather intellectual.

 - P : Not emotional, rather rational.

 - P : Yes., Now and then I have a peak.

 - I stay quiet for quite a long time and then there is a peak.

 - A : Then you become angry.

 - You keep your feelings inside.

 - P : Yes, I think so, but I don't notice that I keep my feelings to myself.

 - At the beginning I don't notice it, but finally I see that I've gone too far.

 - A : Then you have an outburst.

 - P : I had this very strongly last week.

 - I scolded the children so that I didn't even recognize myself anymore.

 - A : Do you think you are a satisfied person?

 - P : Yes.

 - A : With yourself and with your surroundings?

 - P : Yes.

 - A : Have you ever fainted?

 - P : Not really.

 - I remember I nearly did before.

 - A : In which circumstances?

 - P : While standing a long time.

 - This is very important.

 - I remember a case of a man of about 40 years old who lived here in the neighbourhood.

 - He had hay fever and had already taken a few remedies like Nux vomica, and so on, to which he didn't react at all.

 - One day I was sitting with his mother and she was telling about her son.

 - She said, he was a very angry child, he could weep so that he even became unconscious.

 - " "What do you mean, weeping until becoming unconscious?" I remember him kicking his feet against the table and then he became unconscious.

 - And another time, something fell on his big toe; he started to weep and became unconscious.

 - " Then it was clear to me which remedy he needed.

 - "Unconscious from pain", this is Hepar, they are hypersensitive to pain.

 - Other remedies as well, but besides he was also chilly and so on.

 - Nobody asked about the hypersensitivity to pain, but it is a very important question.

 - Especially Hepar becomes unconscious from pain.

 - A : Did you ever have an accident?

 - P : No.

 - A : Did you set something to fire before? Did you play with fire as a little child?

 - P : Yes.

 - A : You still like to do it now?

 - P : Yes, I like the open fire place very much.

 - It might be very interesting to ask the patient what kind of heating they have at home.

 - This might give information.

 - A : But as a child did you set something on fire at home?

 - P : No., I didn't get the chance to play with fire.

 - A : By character you are a little bit hot-tempered?

 - P : Not so strong.

 - A : But it is a very good reaction.

 - I gave you two remedies to take home, but you only took one remedy.

 - We will have the remedy work further, we won't interfere.

 - If you know this remedy it goes very quickly.

 - You see the eczema, asthma, the sensitivity to coldness, the desires - all right, the next patient.

 - Remark : "She seems to be quite happy.

 - I thought that one of the most important aspects of the essence of Hepar is the discontent."

 - A : Fortunately, not everybody has the mental problems of Hepar. sulphuris.

 - The problems of this woman are not on the mental level, but on the physical, nevertheless you find some spontaneous things like the fire and the sensitivity to coldness.

 - It is the same in Mercurius, they might be very nice people, it depends.

 - The reason is that they only have physical symptoms, only the eczema and the asthma.

 - These are the most important points and she does not have strong mental symptoms, but she is constitutionally Hepar because of the fire element.

 - She might be easily offended, but her husband is wonderful, well educated man, also a homoeopath, a person whom you never have difficulties with.

 Follow-up

 - P : In the course of time many complaints came back.

 - Only the lungs became clearly better.

 - After a short period I didn't have to cough anymore, I didn't become ill anymore.

 - I noticed this from October on.

 - After one, maximum two weeks it disappeared completely.

 - Then I had spots of eczema on my body, here and there.

 - Then these also disappeared.

 - In the meantime I still had an inflammation of my eyes.

 - A : Itching in the bends of the knees, in February?

 - P : Yes, then it was very bad.

 - They have been open for quite a long time and they were oozing.

 - A : In February something else changed; you were less cold.

 - P : Yes.

 - A : It went up and down.

 - And afterwards, how did it go?

 - P : The skin became better, the eczema on my elbows and hands disappeared completely.

 - I still had it in the bends of my knees.

 - Then I was here on April 4 and immediately afterwards the eczema in the bends of the knees disappeared, but then it wandered to the lower leg.

 - It remained so.

 - Everything is cured, there are only spots on my lower leg.

 - A : The respiration remained good?

 - P : Yes, in the meantime it was a little bit worse, in the evening I was wheezing.

 - But now it is very good.

 - Don't make wrong interpretations in this remedy.

 - You give the remedy, the asthma becomes better, the eczema becomes worse, this is a normal reaction.

 - But if the eczema becomes better it might be that the asthma comes back at certain moments, without being a suppression.

 - Why? Because this remedy has alternation of asthma and eczema. if you look in the Repertory under respiration "asthma, alternating with eruptions" on page 764, there you see Hepar is second degree.

 

alternating with eruptions : Calad., crot-t., hep., kalm., lach., mez., rhus-t., sulph.

 

 - P : Before Pentecost, I think this is 5 weeks ago I had to cough the whole time until I had to vomit.

 - A : Then we repeated the remedy?

 - P : Yes.

 - A : How was the reaction to the remedy?

 - P : Gradually I had to cough less.

 - Now I still have to cough now and then, but it is not so bad as at that time.

 - A : The shortness of breath is also better?

 - P : Yes., I don't have problems with it anymore.

 - A : It is slow, but sure progress.

 - P : Yes.

 - A : You never had mental problems?

 - P : No.

 

CASE6 v2

 Asthma alternating with eczema

 Hepar sulphur

 - Girl, 1 1/2 years old

 - This child had eczema from her head to her toes.

 - I didn't recognize Hepar sulphuris until I found the remedy in the mother.

 - The child was covered all over with eczema, the eczema was oozing and at the end they had to bring her to the hospital to rehydrate her, only afterwards I recognized Hepar.

 - It is very difficult to recognize Hepar in such a small child, unless you recognize the remedy in one of the parents and think that it could be this remedy and try to find out whether this patient is really chilly.

 - If the parents, for example, cover the child very well and the child doesn't uncover then you can say that it is chilly.

 - Also the perspiration, the sour perspiration might be an indication, but it is not easy.

 - In Hepar often you also see that the eczema is inflamed.

 - Not every remedy has putrid symptoms; but in Hepar you find inflammations and ulcerations of the eczema which are sensitive to touch and normally smell sour.

 - In an inflamed eczema we have to think of Hepar, but the diagnosis is really not easy.

 - Clarke says that normally they are blond persons, but I don't think so.

 - The first Hepar patient was blond.

 - This child she is dark.

 - A : Does she have eczema on the abdomen?

 - MP : She has a few spots on the abdomen, not on the hands.

 - A : Only on her face it is so bad?

 - MP : Yes, and she also has some eczema on the back and on the feet.

 - A : But the cough disappeared after the remedy?

 - MP : Yes.

 - A : And the skin is curing, especially in the middle?

 - MP : Yes.

 - A : Suddenly she started to climb the stairs; she has become more alert...

 - MP : ...and she started to talk.

 - A : And she likes to eat bacon?

 - MP : Yes.

 - A : And sauerkraut?

 - MP : Yes.

 - A : All right.

 - Good, now the follow-up.

 - There is something very interesting which I would like to emphasize.

 

 Follow-up

 - A : Can you become angry?

 - MP : I could when I was a child, just like her.

 - I could become very angry, until I was two, three years old, I could really become red from anger, nearly fall down, when it didn't please me.

 - A : You also had this?

 - MP : Yes, I recognize this very strongly in her.

 - When something doesn't please her she falls down on the ground.

 - Strange when something occurs so spontaneously in such a small child.

 - A : You were also like this as a child?

 - MP : Yes.

 - A : And later?

 - MP : Later I have always been in balance.

 - A : Less hot-tempered?

 - MP : Yes., Lately a little bit more, when I'm tired.

 - When she is ill I'm also more hot-tempered towards the other children.

 - A : You never became unconscious?

 - MP : No.

 - A : Not when you hurt very much?

 - MP : No.

 - A : Not from crying?

 - MP : No.

 - A : Did you set fire to something before?

 - MP : No., I still prefer an open fire.

 - I love to make fires, to grill and things like that.

 - When it is a little bit cold I like to put on the stove.

 - A : People with the same constitution like you like the open fire very much, the warmth and the fire.

 - She got the remedy the first time on February 3.

 - Tell me what was your reaction? (The child is eating something)

 - Eating ameliorates.

 - The child is eating every time she comes in for every consultation.

 - MP : I can't remember very well.

 - Concerning her skin she didn't react so well to the remedy, but something has changed on the mental level, she has made progress.

 - Every time she gets a remedy she makes progress.

 - Two days later, for example, she started to climb stairs.

 - Before she wanted to do it, but she didn't.

 - This happened with many things, for example, with walking and talking.

 - This is also much better.

 - At the end of the year she often had inflammations of the ear or a cold and when she got the remedy it disappeared.

 - A : It was remarkable when she got an acute inflammation - for example three weeks before she got a bad cold and one day after the remedy the cold was gone.

 - MP : Yes.

 - A : So, a very quick reaction.

 - MP : Yes.

 - A : Often the cough was accompanied with vomiting.

 - MP : Yes., This was three weeks ago.

 - Gradually it became worse and worse.

 - At that time she didn't react to the remedy, it became worse and worse.

 - She had to vomit six or seven times a day.

 - The next is very important.

 - A : The skin of her face became much better?

 - MP : At the moment it is worse than three days ago.

 - Then it was completely healed and you couldn't see any crusts.

 - A : But then she also started to cough more?

 - MP : Yes., She coughed more and more.

 - A : Because her cough is better now (the cough is loose), the eczema starts again.

 - But it is not as bad as before.

 - MP : No., Much less.

 - And also on the head it is much better.

 - She had thick crusts there and now she has only a few.

 - A : Has she been vaccinated?

 - MP : No.

 - A : It is interesting that the dry cough started when the weather became so warm.

 - MP : With Pentecost it started.

 - Then it was very warm.

 - A : This is about fourteen days ago, I think.

 - MP : Yes, 2 1/2 weeks ago.

 - A : Then she started to cough, a kind of hacking cough.

 - MP : With some glassy mucus with it.

 - A : Then we gave the remedy in 10M potency and then further in 200.

 - MP : And in the meantime also Spongia.

 - A : There was no reaction.

 - MP : No.

 - A : Because it was such a dry cough we repeated the remedy, which is her constitutional remedy.

 - In 200, a few days.

 - MP : The first time she got it on Monday evening and within two minutes she had to vomit.

 - On Tuesday she still got it three times and on Wednesday morning she was suddenly much better.

 - She had to vomit still once, further nothing.

 - She had to cough less and was also much more alert and happy and played much better.

 - This was a very big problem for me.

 - I was sure about the remedy, as well on the mental level as concerning the desires, but the child started to cough, with a barking cough, a dry, deep, barking cough.

 - The remedies which have this are Belladonna, Stramonium, Spongia, Hepar sulphuris, also Aconitum.

 - I repeated Hepar 10M, with spoonfuls, dissolved in water, but there was no clear amelioration.

 - Her father called me and said what was wrong, why it was not better.

 - But at that time I didn't think of the weather.

 - It was very, very dry and hot at that time.

 - The child had a barking cough and Hepar has normally also a barking cough, but the cough was also rattling at the same time when she came to me.

 - I said, "Okay, Hepar fits well, I give it to her -no reaction.

 - Then I gave Spongia, and this was wrong.

 - It can not be that you give Spongia when it is Hepar.

 - I gave her Spongia 200 - no reaction, and then again Hepar 200 and then this symptom disappeared.

 - The weather was the reason why she didn't react so quickly to the right remedy.

 - The dryness was the reason, why she started to cough.

 - In aggravation by dry weather Hepar is capital.

 - Nash writes about the pseudocroup with the nightly shortness of breath there are three important remedies : Aconitum, Hepar and Spongia.

 - And what does allopathy say that you should do with these children? It says that you need some wet things, you should boil water and wet the air with it.

 - This is Hepar, isn't it?

 - "Dry weather aggr." on page 1357 Hepar is capital, also Spongia is in the rubric.

 

DRY weather agg. (See Cold Dry Weather) : Alum., ars., Asar., bry., carb-an., carb-v., Caust., Hep., kali-c., Nux-v., phos., sabad., sep., sil., spong., staph., sulph., zinc.

 

 - Spongia has an amelioration by drinking.

 - Think of this remedy if somebody says, "I need my aerosol."

 - What is an Aerosol? Aerosol is vaporized water.

 - And often it doesn't matter what else they put in the water, whether it is LOMIDAL or VENTOLIN or whatever, it is not so important, the humidity is important.

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

 - A : First I gave Hepar M.

 - Then she started to cough in this dry, hot period, with a barking cough.

 - Therefore I repeated the remedy in 10M and had it repeated a few times dissolved in water.

 - After about two days the parents stopped it, but the cough was not really better.

 - At that moment I should have repeated Hepar, but I gave Spongia, because both have aggravation from dry weather.

 - At that moment I doubted and I gave Spongia, but Spongia didn't do anything at all.

 - Three, four days after Spongia the father called me again and said that it didn't help anything at all.

 - Then I told him he had to repeat Hepar again.

 - Question : "Was the weather better then?"

 - A : No, it was still dry, but she became better on Hepar 200.

 - I can't explain this, I don't know why.

 - Maybe it became a little bit more wet in the meantime.

 - The only thing I can say is that the cough became looser after Hepar 200 and then it disappeared.

 - I'm sure that the Hepar 10M which we have in the Center is all right, there is no discussion about it.

 - But was 10M too high? Had it to be a lower potency? I don't know.

 - Anyway, the amelioration by wet weather and the aggravation by dry weather is important in Hepar.

 - This is also important for hay fever.

 - They say hay fever occurs because of the pollen in the air, but it is because of the dry weather.

 - Hepar is one of the most important remedies for hay fever.

 - Also Sabadilla has an aggravation by dry weather, Carbo vegetabilis also and some other remedies.

… TODAY ..

 

CASE7

 Chronic bronchitis

 Hepar sulphur

 - Man, 58 years old

 - A : You were here in June, three months ago.

 - Your problem was a cough which has already existed for quite a long time.

 - P : Yes.

 - Usually I get it during the winter months and especially in the cold, in the car or at home.

 - With the slightest cold I start coughing.

 - A : On June 24 the cough was worse.

 - You couldn't bring up mucus, you felt it somewhere in the left lung.

 - So with the slightest cold you started coughing.

 - P : Yes, especially in the morning.

 - A : For example, when you got out of your bed.

 - P : Yes, when I got out of bed I started to cough.

 - A : But when you were warm under the covers you didn't have to cough?

 - P : No, then I didn't cough.

 - A : So, you always have to be dressed very warm.

 - P : Yes, I get cold shivers when it is too cold.

 - Then I have to put on warm clothes.

 - I just read in the waiting room that Gemini have to be dressed warm, otherwise they will get a cold.

 - I think so because the sign of the zodiac "Gemini" is a chilly sign.

 - I don't know whether "Gemini " are really so chilly and that they easily get a cold when they are cold.

 - Maybe there is a relationship between astrology and homoeopathy - not in the sense of finding the remedy, but to limit the area to see what kind of person the patient is, in what group of remedies to look for.

 - Does he belong to the group of Sepia, Nux vomica, Alumina or to the group of Calcarea, Lycopodium, Sulphur, to which group does he belong?

 - A : I gave you a remedy quickly, to which you reacted very well.

 - P : I told my wife I can't understand why such a little tablet works so fast.

 - I went to a shop in the neighbourhood and I already noticed that it was better.

 - A : Within which time?

 - P : After half an hour.

 - A : After the last treatment it was very good for quite a long time.

 - P : Yes, a few weeks.

 - A : And now it has started again.

 - It returned.

 - P : Yes.

 - A : So I know which remedy you need.

 - But tell me what kind of character does he have.

 - WP : He is a soft person.

 - Everything is all right for him.

 - We can get along very well.

 - A : Is he open or closed?

 - WP : A very open person.

 - A : That is strange.

 - (Laughter) Yes, but what can you do, you heard what he said, "I got a little tablet and I became healthy with it, incredible.

 - "He can't believe it, but it is so because of the key-note, the cold.

 - The question is whether there is a layer.

 - Why not? It might be.

 - A : Does he easily get excited?

 - WP : Very seldom.

 - On the contrary I'm a nervous type.

 - I excite myself the whole day.

 - A : Do you easily perspire?

 - WP : He can bear the warmth very well.

 - P : Yes, I can bear it very well.

 - A : What does he like to eat?

 - WP : Cake, ice cream, porridge, all kinds of porridge, no highly seasoned food.

 - A : Sweets?

 - WP : He prefers sweets.

 - But no highly seasoned food.

 - A : And sour?

 - P : No.

 - A : And fish?

 - P : Yes.

 - A : What kind of fish?

 - WP : Cod, all kinds of fish, but not young herring or things like that, it is too highly seasoned.

 - A : No sour thine.

 - P : When I eat French fries I will never eat gherkins with it.

 - WP : A soft person and he likes soft food.

 - A : What about the cough, is it much better?

 - P : I cough especially when I get up in the morning.

 - As long as I lie in bed it is all right, but when I have to get up, first I have to cough for a while.

 - I feel it always on this side.

 - A : So they took X-rays and they didn't find anything.

 - P : But I tell you, in the winter...

 - A : When you are lying in bed and you put your hands out of the covers do you start coughing already?

 - P : Yes.

 - WP : He must always have his feet under the covers.

 - P : When I put a hand out of the covers I have to cough.

 - But the feet always stay under the covers.

 - A : And when the hand comes out of the cover he starts coughing.

 - WP : Yes.

 - You see the physical key-notes of Hepar are clear and the reaction to Hepar was beautiful, but you don't find the typical Hepar mind.

 - This might be a layer, but there might be another reason.

 - Answer : "He is not ill enough."

 - A : It might be, but I think there is something else.

 - Answer : "Another remedy."

 - A : Yes, maybe, but I don't think so because the physical symptoms are so clear, only the mental picture fails, as we saw in the first patient who was married to the Lachesis wife.

 - Answer : "The situation."

 - A : Yes, I think if two people understand each other very well it might have an effect on your character.

 - For example, somebody can have a Hepar character, but when he is married to a person who understands him very well it might change very much.

 - And they are happy with each other, they love each other.

 - I am sure when you are married or live together with somebody who has a good character, with whom you have a good understanding, who quiets you and understands you when you are angry, who reacts in this positive way to you why should it be difficult to live with such a person? It might be difficult to live with somebody, but it might also be easy to live with somebody.

 - It depends on the different characters and therefore in this case I think they are happy with each other and there is no reason for him to be angry.

 - The woman doesn't contradict him, why should he become angry? There is no reason for it.

 - Remark : "(not understandable)

 - A : Yes, it might be, maybe he behaves differently at work as she tells us.

 - I don't know.

 - Anyway, it might be that you have to give the remedy when they only have clear physical symptoms, without the mental picture at the same time.

 - Therefore it is also dangerous to prescribe only on the mental picture.

 - It is good when you have both, physical and mental symptoms, it gives you more security, but when some physical symptoms of a remedy are so clear you have to give it, without the corresponding mental picture.

 - Maybe you say, "That is strange, he must get angry very easily", but he really doesn't.

 - He also doesn't have desires which we expect of Hepar; he likes ice cream, pastries like Calcarea, but of Calcarea we know the strong sensitivity to cold, that he starts coughing immediately when he is uncovered.

 - This is a symptom which indicates Hepar very strongly and the reaction to it was very good.

 - You could also say that Hepar has a partial reaction, and Calcarea covered the whole picture -maybe.

 - You see often we don't understand; we try to explain, but we can't.

 - WP : With the slightest cold he always wears a thick pullover with a scarf.

 - Another interesting story : I had a patient who was always too warm and who puts one foot out of the covers.

 - He got Sulphur, he got Calcarea, but nothing helped.

 - Then I gave him Hepar -because he puts his foot out of the cover - and he was cured.

 - Look in the Repertory under extremities, "heat, foot, bed, in " on page 1013

EXTREMETIES,HEAT,FOOT,bed, in : Calc., fago., hep., hura., merc., mez., sang., sil., stront., Sulph.

: Calcarea, Fagopyrum - Fagopyrum with itching in the region of the genitals in old women - and Hepar and so on.

 - That is strange, isn't it?

 - Don't forget Chamomilla, Chamomilla uncovers the feet : if you look a little bit lower you see "heat, feet, uncovers them"..

 - Chamomilla.

EXTREMETIES,HEAT,FOOT,BURNING,uncovers them : Agar., cham., mag-c., Med., Puls., sang., sanic., Sulph.

 - This is a very important symptom for Chamomilla.

 - He was warm-blooded, had two warm feet in bed and he put the feet out.

 - He was very fat, maybe that was the reason why he was so warm.

 - Anyway he reacted very well to Hepar.

 - A : You had a kind of chronic bronchitis?

 - P : Yes., In 1980 I coughed for three months.

 - I started coughing and I became a little bit anxious.

 - I could hardly talk anymore, I was so hoarse.

 - Then I went to the family doctor and he prescribed medicines, but it didn't go away.

 - I said to my wife, "I must be warm."

 - Then she said we will drive to the South of France, where it is warm.

 - It was in 1980.

 - Wt. drove there and I took the tablets in the car.

 - In France we stopped and went to the toilet and I said to my wife, "I must put on my jacket."

 - We stayed there at night and I lay in bed with thick covers and coughed a lot.

 - Three hundred kilometres further in St.

 - Tropez I got up in the morning and it was over.

 - I had had it for three months without interruption.

 - WP : Then he didn't cough anymore.

 - Not a little bit.

 - I think he always dressed himself too warmly.

 - A : But he is somebody who is easily cold.

 - WP : We always have to be dressed very warmly because we work outside in the cold the whole winter.

 - P : I would like to pass the day well, because outside there is no heating and when I dress myself warm I can work.

 - But in the warm climate the cough was gone immediately.

 - A : We can say that you didn't cough the last two months.

 - P : Yes.

 - This is also practice.

 - This is the truth and we can't explain why he has such a soft character.

 - We can find the remedy only because of the peculiarities of a person, only because of a certain characteristic of his being or certain physical symptoms.

 - These peculiarities give us the possibility to find a remedy.

 - Don't try to understand everything.

 - You will knock your head against the wall.

 - We have to believe what is in the Repertory and prescribe on this information.

 - If the mental picture of a remedy fits it is good and we can feel more secure.

 - If the corresponding food modalities are there it is a complete picture.

 - But don't be disturbed if he develops other symptoms after three months and needs another remedy.

 - We may not become angry because the patient develops differently than the way we would like.

 

CASE8

Hepar sulphur

 - Man, 45 years old

 - This is a long and a very interesting case.

 - Since 1983 I have been looking for the right remedy, but I couldn't find it.

 - In April of this year I got an inspiration from heaven.

 - A : The first time you were here in 1983.

 - P : It is possible.

 - A : You came because you had been depressed for 10 years.

 - P : I don't know it exactly anymore.

 - A : That's what you said at that time.

 - P : I believe you, but I don't know it anymore.

 - A : So for about 10 years, it must have started at the beginning of the seventies.

 - P : Yes, in December 1972.

 - A : Tell me.

 - P : In December 1972 I became depressed because I thought I was a bad teacher.

 - Suddenly I had to teach in another class, because my colleague became ill.

 - Vocational training or technical school was not so important and I got quite a lot of extra work when modern mathematics were introduced.

 - I couldn't digest it immediately and that's how I became depressed.

 - I think this was the immediate cause.

 - But maybe this was not the real reason and there might be a deeper reason.

 - I think that the cause dates from before.

 - A : Why do you think that the cause dates from before?

 - P : I always felt it.

 - Unconsciously I have the tendency to hide, the feeling that I don't feel secure in my skin, a feeling of dissatisfaction.

 - Lately, it became a little bit better, but it has always been there.

 - This means that the problem didn't start at a certain moment.

 - He says that it has always been this way.

 - This means that it is something constitutionally and that the remedy has to change him in depth.

 - A : "Discontented", what do you mean by that?

 - P : I've always have a discontented feeling, as long as I remember.

 - A : As long as you can remember you have never been happy, satisfied?

 - P : Not that I know of, no.

 - A : Without a certain cause? Is this your constitutional being?

 - P : Yes, I think so.

 - One might get one or other disease and if you can accept this it is not so bad or not so important.

 - But if you make a mountain out of a molehill this makes the case bad.

 - To make something much worse than it is in reality and being conscious about it, but nevertheless to have to do so.

 - A : The slightest thing is difficult for you?

 - P Yes., When other people say, "Again something like this", this is already the end for me.

 - A little misfortune for other people is a big misfortune for me.

 - A : The dissatisfaction was accompanied with fits of anger since childhood?

 - P : Yes., I remember very well.

 - When I was a small boy I would jump half a meter and become completely blue when I wanted my own way.

 - This was a story which was told in the family afterwards and I still remember it well myself.

 - It is still clear in my mind and I know exactly where it happened.

 - It happened many times.

 - A : That you became very angry?

 - P : Yes., And it still happens now.

 - A : Still now?

 - P : Yes., In class I can become hot-tempered at a certain moment, within half a minute, so that afterwards I say : "What did I say?" Unprepared, without knowing what to say.

 - To my amazement I wonder whether this is really me.

 - A : As if you can't control yourself.

 - P : Yes.

 - A : Did you have this also as a child in relationship with other children?

 - P : Not as a child, only when I went to the secondary teacher training course.

 - I had a fight with a boy when I was in the second year, I don't know exactly why, but since then I haven't talked to him anymore.

 - This is also one of my characteristics, to close down and don't say anything.

 - This was going on for three years then.

 - I lived with this boy in the boarding school, we had to do gymnastics together and things like that.

 - It was terrible for the boy.

 - A : Have you ever been so angry that you hit somebody?

 - P : No, maybe I never dared to.

 - I was too small, soft and not strong.

 - A : Small, soft and not strong?

 - P : Yes.

 - A : But did you have the tendency?

 - P : To physical violence? No.

 - I had a fight, but hit somebody? No.

 - A : Also not the tendency that you became so angry that you couldn't control your anger?

 - P : No.

 - A : During the consultation where I gave your remedy you used a very strange expression : "Sometimes I become so angry that I could burn the house."

 - What do you mean by that?

 - P : To destroy everything.

 - I never thought about it, but I said it and you went more deeply into it.

 - Disappointment, that is not sufficient to kill somebody.

 - A : But somebody else would say : "I'll jump into the water, or I'll hang myself!' Everybody reacts to anger and depression in their own way and you used a strange expression : "I could burn the house."

 - Did you ever use this expression before? Do you say this regularly?

 - P : I can't remember, but to me it seems to be normal.

 - This is very interesting.

 - Spontaneously, he says that he could bum down the house when he is angry.

 - Very strange.

 - This means that it is a constitutional expression.

 - A : Could you give an example?

 - P : Yes, I could tell you a story about it.

 - A : Tell me.

 - P : It is a story from the World War.

 - It was nearly 45 years ago.

 - I don't know exactly, but there was a potato field and we were looking for bullets from the German soldiers and I threw them into the fire.

 - I heard them exploding and they were flying through the windows of our house.

 - I always liked to make a fire, I still do now.

 - A : Still now?

 - P : Yes, of course.

 - I prefer nothing else to the open fireplace and it can never be too warm.

 - It is a spontaneous desire to set things on fire, 'fire, wants to set things on" on page 48; besides he says that it can't be warm enough for him.

 - We have a combination of these two things.

 - Remark : "(not understandable)

 - A : Belladonna as an addition of P.

 - Schmidt in the rubric "fire, wants to set things on".

 - All right, but I won't add it, there are other ways to discover Belladonna.

 - Maybe it is right.

 - P : Maybe it is not so logical, because I bought it during the energy crisis.

 - I take the greatest pleasure when I can make a fire.

 - In our dialect there is word for it : "To spark".

 - Maybe it comes from "spark", so "make a fire".

 - A : Did you set a meadow on fire before?

 - P : Yes, of course.

 - And also the borders of the road.

 - A : You could always control the fire?

 - P : I don't remember anymore.

 - I wouldn't be amazed if something had happened.

 - But what do you mean? That a house burnt down?

 - A : That they had to call the fire brigade.

 - P : No., I don't remember anymore.

 - A : Were there other children or were you the inciter?

 - It is very strange, I read, "I doubt about myself, I'm insecure, shy, withdrawn."

 - A doubt about whether you can do it or not.

 - This was the problem with which you came the first time in 1983.

 - P : Yes, that is right.

 - A : So, there is a very strong uncertainty, a kind of not daring to do anything?

 - P : Exactly.

 - A : You already had this as a child?

 - P : Yes.

 - A : But it was very strange, that you dared to set things on fire.

 - This is also a way of daring to do something.

 - P : Yes, at home to make a fire in the open fireplace.

 - A : And before?

 - P : Yes, also before.

 - A : For example, an unexploded bullet...

 - P : As a child of four years old maybe I didn't know it or maybe I wasn't aware of it.

 - Many people in our surrounding were amazed at that time.

 - I remember very well.

 - A : Yes, if you hear a bullet flying near your head...

 - On the other hand it means that you were a person who dared to do things.

 - Not everybody dares to do things like that.

 - P : We didn't think about that.

 - There was so much gun powder everywhere.

 - We took out the powder and set it on fire to make fireworks.

 - I didn't understand - later we will understand - why he says about himself that he doesn't have self-confidence, that he is insecure.

 - He describes himself as an anxious person.

 - I didn't understand that somebody who puts bullets into the fire, lets them explode and fly near your head and through the windows, can be anxious.

 - Do you think Baryta carbonica would be able to do things like that? Do you think that another anxious remedy, which is insecure, with a lack of self-confidence, chilly, like Arsenicum, would do something like that? Never, this would be too dangerous.

 - I didn't understand this.

 - There must be something else besides this lack of self-confidence and if we take this as an important symptom this can send us into fog.

 - A : You say, "I make a fire in the open fireplace, and it can't be warm enough."

 - P : Yes, like these dry days, with these high temperatures.

 - A : When everybody says, "It is too warm," you feel well.

 - P : Yes, then I feel well.

 - A : Do you tolerate the sun on your head?

 - P : Yes, of course.

 - I rode on my bicycle on the warmest day in the blazing sun.

 - This means that he is very chilly.

 - Many remedies are chilly, but normally Arsenicum, Arsenicum can lie in the sun, yes, but not with the head uncovered.

 - The differential diagnosis, also concerning the food modalities, the desire of fat is also Arsenicum, but Arsenicum can't tolerate the sun on the head.

 - He can tolerate the sun, but not on his head.

 - Natrum carbonicum is also chilly, but it is out of question here.

 - Anyway it has to be a very chilly remedy which can tolerate the warmth at the whole body, very much warmth.

 - A : You are sensitive to cold and you tolerate the sun very well.

 - Mercurius is very chilly, but does not tolerate the extreme coldness, or extreme warmth.

 - -Here the tolerance for chilliness is zero and for the warmth one hundred.

 - A : How are you covered up in bed?

 - P : Up to my nose.

 - Only my nose is left out.

 - A : May one hand be uncovered?

 - P : No, never.

 - I am very sensitive to cold.

 - When I married my mother gave me a woolen or a cotton scarf and said, "Here boy, you will need this."

 - I thought, `What will I do with this?" I never thought ,about it.

 - Already from childhood on I had to wrap myself once or twice a day in this cloth because of pain in my back and on my side.

 - Since then I already wore out two scarves.

 - I always put ointment on it.

 - My muscles are very sensitive to cold.

 - Was it a woolen or a cotton scarf which his mother gave him when he married?

 - It must be a cotton scarf, because otherwise it would have itched.

 - So it was made out of cotton.

 - Of the remedies which have itching from wool, two are cold and two are warm.

 - A : So, very sensitive to draft of air?

 - P : Oh yes, of course.

 - And also my voice is sensitive to wetness and coldness.

 - A : Wetness and coldness?

 - P : Cold wetness.

 - A : Not to warm wetness?

 - P : No, no.

 - A : Do you tolerate warm wetness? When you make a fire in the open fireplace do you put a kettle with water above it?

 - P : No.

 - A : Do you tolerate central heating, for example, in school?

 - P : I like warmth very much.

 - A : Yes, yes, warmth, but when the air is too dry?

 - P : At the beginning there is a kettle with water, but not afterwards.

 - I have a dry nose, especially in the morning I have a dry throat.

 - A : So hypersensitive to cold and drafts of air?

 - P : Yes, yes.

 - A : When you are lying in your bed and you put a hand out of the covers what do you feel?

 - P : It is impossible.

 - A : Why?

 - P : It has to be warm everywhere.

 - I never do that.

 - I can't imagine it.

 - This is the key-note of this remedy.

 - When they are lying in bed everything is covered up, only the tip of the nose is uncovered.

 - Mercurius can put one foot out of the covers, until it is cold and then he covers up again.

 - Here it is impossible, he is always covered up until the top.

 - A : I think you never met such a cold person as you? Did you ever see somebody who is so sensitive to cold as you are?

 - P : I never thought about it.

 - A : An the first consultation you said, "Before I had pain in the throat from September until May."

 - Then I gave you a wrong remedy, Lycopodium.

 - P : Yes., I always had pain in the throat.

 - A : The time before last I gave your constitutional remedy.

 - We will talk about it in a minute.

 - You had pain in the throat the whole winter.

 - P : Now, the pain in the throat is less, now I'm rather hoarse.

 - The pain in the throat has disappeared since the time before last.

 - Now the hoarseness appeared because of my profession.

 - If I would have been home for one week I wouldn't be hoarse anymore.

 - A : But up to then you always had pain in the throat? Apparently the remedy solved the pain in the throat.

 - P : Yes., I think so.

 - A : Quite a hacking cough, quite a lot of mucus on the vocal cords?

 - P : Yes.

 - A : Do you still have much mucus on the vocal cords?

 - P : Yes., And difficulty in speaking.

 - Every word hurts in fact.

 - I feel every word I say.

 - A : Shortness of breath?

 - P : Yes, I have at certain moments.

 - A : When?

 - P : How shall I say? Now I don't have it anymore, also the whole last year I didn't have it, but when I didn't feel well on the mental level, when I was depressed then I had heart palpitations and shortness of breath the whole day.

 - A : Your depression is expressed by heart palpitations and shortness of breath.

 - P : For example.

 - A : What do you mean by "for example"?

 - P : There are other things, becoming dizzy and so on.

 - We already talked about that and you asked me whether I ever fainted.

 - It never happened, but often I have a dizzy feeling.

 - A : With heart palpitations?

 - P : Yes.

 - A : You don't like soup very much?

 - P : No.

 - A : Are there other things which you like very much?

 - P : Yes, my favourite dish is sauerkraut.

 - A : You have a desire corresponding to your character.

 - P : I don't know.

 - This is very interesting.

 - His desire is like his character and like his perspiration : sour.

 - P : The remedy now has a negative effect.

 - I eat what I find.

 - I call it a negative effect, but I don't mean anything bad with it.

 - I have a very good appetite, nothing can be safe in the house since the remedy before the last one.

 - It is a pity.

 - A : For your wallet.

 - Did you have this before as well?

 - P : No.

 - A : Before you had a bad appetite?

 - P : Lets say, now I care about food.

 - For example, at three o'clock I already think about supper.

 - Before, I didn't have this.

 - This is a general symptom of this remedy : they think of food and food ameliorates.

 - A : When you didn't feel well you couldn't eat.

 - P : No.

 - A : And for how long do you have a good appetite?

 - P : Since the time before the last time.

 - A : So, you say, "When I don't feel well, I can't eat."

 - Now you eat too much, so you must feel well.

 - (is laughing)

 - P : Yes, it is better, I can't deny it.

 - A : So further.

 - You like sauerkraut with sausage.

 - P : Yes.

 - A : You like sour things.

 - P : Yes.

 - A : In what way?

 - P : Mustard, pickles, all sour things, sour beer.

 - There are also sweet beers, but I can't drink them.

 - A : Also highly seasoned food?

 - P : Yes, yes.

 - A : Sausages, and fat?

 - P : Yes, also.

 - A : Are you a very precise person?

 - P : I'm always very conscientious.

 - Now comes the point.

 - He says, that he is insecure and if you look to the essences of Vithoulkas you say, "Insecurity is Arsenicum.

 - " This is the essence ofArsenicum.

 - Vithoulkas relates everything to insecurity in Arsenicum.

 - If we take it just like this, without analyzing, we will miss.

 - He is chilly, desires fat, almost everything indicates Arsenicum.

 - The insecurity, is it typical for Hepar?

 - No.

 - Remark : "The first moment I also thought of Anacardium, because of the dissatisfaction, the lack of self-confidence and..."

 - A : All right.

 - Now we will analyze what he means by insecurity, why he uses this expression.

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

 - A : Yes, he says that he is a perfectionist, but this again indicates Arsenicum.

 - The differential diagnosis is not easy.

 - Both are chilly and so on and he will also say that he is fastidious and he is insecure.

 - But let's try to analyze.

 - P : When I bought my building lot, this was 20 years ago and I had to go to the notary.

 - I already payed a little bit : I don't know exactly, but let's say the taxes or something like that.

 - I didn't know, because I never bought anything before.

 - If they expect something of me I fulfil it.

 - A : Yes, yes, in this way.

 - But I mean, punctuality at your desk.

 - P : Yes, also.

 - For example, when my daughter leaves on the train on

 - Sunday evening I leave everything until she is gone, then I start cleaning.

 - She is the opposite of me.

 - Ten minutes and everything is cleaned up.

 - I can't see when something lies here and there.

 - When I worked, for example, with the computer, I put all the papers together at one side.

 - He is also fastidious.

 - Can somebody tell me what is the essence of this remedy?

 - The essence of this remedy is the hypersensitivity to everything, a hypersensitivity to noises, to too much light, to smells, to people, to untidiness and this explains the fastidious behaviour.

 - What does this hypersensitivity do in this man? For example, if this kind of character is confronted with too much noise or too much light or with somebody whose make up you smell at a distance of 10 m how does he react to this?

 - Answer : "With anger."

 - A : Yes, his reaction to the hypersensitivity is anger.

 - Then he says, "I am anxious if I go where other people are, I want to stay at home, Im anxious if I go away" and so on.

 - We think that he has a fear of stranger,% fear of narrow places or maybe a real insecurity.

 - But it is something else, it is a fear of his way of acting to these people, that he will not be able to control his reaction.

 - He gives all possible symptoms which may mislead us : lack of self-confidence, the anticipating fear of Arsenicum, the insecurity and the fastidiousness of Arsenicum - but why in this remedy? Why does he have these symptoms?

 - Because he is afraid of his own way of reacting, of overreacting, because he is so hypersensitive.

 - He doesn't realize himself If the behaviour of a certain person is constitutional he doesn't realize the way he behaves.

 - This indicates that it is constitutional.

 - A : Before did you dream of fire?

 - P : I can't remember anymore.

 - A : Do you work with the computer?

 - P : Yes, I'm teaching it.

 - A : Is it also a free time occupation?

 - P : Yes., But it costs quite a lot of energy.

 - I mean, I like it, but it is strenuous.

 - You can't let your thoughts go for one minute.

 - A : Are you afraid about the future? About health?

 - P : Yes.

 - A : Then you said, "I have stinking perspiration in the armpits."

 - P : Yes.

 - A : Very interesting.

 - And you never have stinking feet?

 - P : No, never, not even on the warmest summer day.

 - A : Very interesting.

 - This is very strange.

 - He has offensive perspiration in the axilla, but not of the feet.

 - You should expect of this remedy that it is an offensive remedy.

 - The smell of the perspiration is sour and like old cheese.

 - If you look under "perspiration, axilla offensive" you see Hepar sulphuris.

 

 - If you look in the rubric "perspiration, feet, offensive" it is absent.

 - That is strange.

 - Also like Mercurius it is a perspiring remedy, but not at the feet.

 - We don't know why.

 - If you look under "hands "you find it again in "cold perspiration of the hands", but it is absent in "feet, offensive sweat".

 - It is very important.

 - A : Do you perspire in bed at night?

 - P : Yes., The last two nights I didn't perspire very much, I was a little bit wet.

 - But I don't think it is so bad.

 - A : What does the cold do when you have pain in the throat?

 - P : I can't say.

 - A : For example, when you have pain in the throat do you have to drink something cold or warm?

 - P : I don't drink something warm easily.

 - A : But you don't know whether the pain in the throat becomes worse or not from drinking something warm?

 - P : I don't know.

 - A : Did you ever have a putrid inflammation of the tonsils?

 - P : Yes., I know it exactly when I think about it.

 - I think when I was 18 years old.

 - This was the only time and I had to vomit.

 - I was at boarding school and the doctor told me that I was not allowed to leave my room.

 - It lasted for at least one week.

 - A : A putrid inflammation of the throat?

 - P : Yes.

 - A : Can you be so angry so that you say, "Dammed, I must go away!"

 - P : Yes, I don't want to be a nuisance for the others then.

 - A : So that you have to resist your own anger?

 - P : Yes.

 - This is essential.

 - He feels that the anger is coming up.

 - He doesn't tolerate that the door is a little bit open, then he becomes angry immediately and he has to defend himself against his anger.

 - What does he do? He knows that he has this impulse, he tries to withhold it and goes to his garden and closes himself in the summer-house.

 - A : You also said, "It seems as if I start stammering."

 - P : Yes, I also have this often.

 - But not such a longtime, maybe since one year, or?

 - A : Since 1983.

 - Every day I had pain in my throat, even in August (this was in 1983).

 - Maybe the weather was bad.

 - Then there was also a story with your neighbour, and you couldn't eat anymore.

 - P : Oh yes, with the tree and the hedge.

 - A : Yes, tell me.

 - P : Do you want to hear the story with the woman, or which one?

 - P : No, but you were so angry then.

 - What did it do to you?

 - P : Yes, we went to Court for that.

 - Of course I was wrong, but I couldn't admit it.

 - The law says that the hedge has to be at 1,60 m, but I couldn't admit this to this woman.

 - Finally, I had to cut away the hedge.

 - A : Your mind says so, but your feeling doesn't let it happen.

 - P : Yes, one goes to the extreme, but one knows that this is impossible.

 - A : Can you tolerate contradiction?

 - P : No, not at all.

 - Not a pupil nor my daughter, my wife is something else.

 - The remedy is not there and I understand why, because they are sensitive to everything, not only to contradiction, but very sensitive to contradiction.

 - A : What does this contradiction do to you?

 - P : I get an anxiety, I become in a panic that they will dominate.

 - A : Then you become angry?

 - P : Yes, of course.

 - Then comes the anxiety and the panic.

 - But why?

 - Answer : "Because of the ouersensitivity."

 - A : No., Why is he anxious when someone is contradicting? Because he is anxious he will have an outburst which he could have because of the contradiction of the other.

 - He himself doesn't realize this mechanism.

 - A : As a child did you have the tendency to contradict?

 - P : Yes, to my mother.

 - A : Tell me something about it.

 - P : The relationship with my mother has always been bad, until two months before her death.

 - I always had the feeling that my mother didn't want me, only my brother.

 - Always the feeling that I was too much, I don't know.

 - And this lasted for quite a long time.

 - Over the years I didn't pay attention to my mother anymore and I was occupied more with my father.

 - A : Then there was a period that you couldn't sleep, you had suicidal thoughts, you thought about killing your daughter.

 - How was it? Tell me about it.

 - What did you feel there?

 - P : My daughter also is a little bit depressed and therefore I had very big feelings of guilt.

 - I thought it is my fault the way she is.

 - I didn't see any solution for her anymore, except by driving into a tree with her.

 - Then the problem would be solved.

 - Lately it has changed, and I thought, maybe she can enter a convent.

 - I thought that this child couldn't go on going to school or studying.

 - A : Why did you think this? Because you are a difficult person yourself.

 - I see quite a lot of similarities between you and your daughter.

 - Here is the differential diagnosis to which remedy?

 - Answer : "Nux vomica"

 - A : Yes, you could mix up with Nux vomica : desire highly seasoned food, easily offended, desire fat, chilly, tendency to be ill, and suicidal.

 - But I mean he is somebody who has been sad his whole life -Aurum, yes, but the underlying reason in Aurum is totally different.

 - Aurum notices that the picture, which he made of himself, the expectations about himself are not true.

 - The picture is staggering and then comes the depression.

 - Question : "Why is Hepar not in the rubric 'remorse, reproaches himself ?"

 - A : It is not in the rubric and therefore the differential diagnosis with Aurum is very difficult.

 - Remark : "I think it is not in this rubric because this psychological mechanism is so unconscious that he isn't conscious of his impulses."

 - A : I think in Hepar it is not primarily a reaction of reproach.

 - Only afterwards when he thought about it and by theorizing he says that it is all his fault and so on.

 - It is not a spontaneous reaction to reproach himself like in Natrum muriaticum, Ignatia, Aurum and some other remedies.

 - Remark : "And the reserve.

 - In known company it is not a problem, but the new, the strange is strenuous for them.

 - I have seen this during practice."

 - A : That is another point by which we can miss again.

 - 'When I am in the company of strangers Im closed.

 - " Then you can say, "Oh, closed, maybe Natrum muriaticum : or fear of strangers, maybe Ambra grisea or Baryta carbonica."

 - But why there is a shyness you will see, it is a way of reacting on something deeper.

 - Question : "Can it be that by his education he learned to be shy and anxious, that the real symptoms of this man only existed during childhood, that he had a good education and that everything he tells now is a mixing up of his education and the real symptoms? We see only the surface when he says he is shy and anxious, because he is a very well educated man and knows his destructive capacity very well."

 - A : Yes, but why shy? Why does he have a lack of self-confidence?

 - Because he can't control his anger and therefore he starts doubting about himself, he has the feeling of not being able to control himself This is the reason for the lack of his selfconfidence.

 - Remark : "But somebody must have told him verbally or by any other means that this is a dangerous behaviour."

 - A : No, no, he experienced it himself This is an automatic reaction.

 - He experienced that he had this way of acting and, because of this experience he goes to the garden and locks, himself in when the anger is coming up because he is afraid  he would have an outburst and do damage to his wife.

 - Remark : "But he already noticed this as a child when he threw the bullets into the fire, he already was afraid at that time."

 - A : No, he was not afraid because of that.

 - Remark : "But now he doesn't throw bullets in the fire."

 - A : Yes, not as an adult anymore.

 - It was a spontaneous impulse to throw the bullets into the fire.

 - He likes fire and this you can' explain, it is constitutional.

 - He likes fire, he likes to set things on fire.

 - Try to understand this.

 - You can try to explain the sensitivity to coldness, but it is impossible, he is just sensitive, to cold.

 - You can try to explain why he likes fire, why he throws bullets into the fire, but you can't explain, it is a spontaneous tendency, but the reaction to the tendency makes the personality.

 - Remark : "But we could explain, why he said that he didn't have self-confidence.

 - It think it is a secondary phenomenon, Coming from his education.

 - Remark : "Yes, I think that another Hepar person with another education would be much more impulsive."

 - A : Yes, in a certain way you are right.

 - But it also depends what kind of ~man he married.

 - My stepfather drank very much when I was a small boy.

 - When he came home my mother started reproaching him and often he reacted by taking a knife and threatening her.

 - Then I didn't understand all this, but today as a homoeopath I understands.

 - Then I was lying in bed and I heard how he hit my mother and I prayed, "Please, don't kill her, please!"

 - This man was never shy.

 - Why not? Because his wife always came at him.

 - The wife of this patient is a Lycopodium.

 - She understands him and she acts in the right way.

 - She tries to make life beautiful for him, she tries to explain.

 - She is a very diplomatic wife.

 - Therefore he doesn't have reason to blame his wife and because of this relationship in which his wife never accuses him, automatically everything turns to himself.

 - I think this is the reason why he became insecure, because he cannot blame his wife.

 - His wife does everything that he wants.

 - On the other side, I know my stepfather was at home the whole time, he didn't want to be with other people.

 - This is also a kind of shyness.

 - I don't know whether my way of thinking is right, but in my stepfather I also found a shyness in a certain way, but not such a shyness as in this patient here.

 - He is an intellectual, a person who tries to analyze, to understand, my stepfather was another kind of person.

 - A : Were these only thoughts which you had or were these also impulses?

 - P : It was rather strong.

 - A : A kind of spontaneous impulse?

 - P : Yes, I really had to resist against this not to do it.

 - A : You would do this because of your daughter, to save your daughter from the pain which you suffered yourself.

 - P : In consideration of her future.

 - A : You have a very diplomatic wife.

 - P : You hit the nail on the head.

 - She knows exactly how to handle me.

 - We understand each other very well, but it is not because of me, but because of her.

 - I'm convinced about that.

 - She can do everything so that I feel all right.

 - When my daughter is at home during the weekend it is a little bit more difficult.

 - You find this in the Repertory under "kill, impulse to, for a slight offence" on page 60 : Hepar, Mercurius, Nux vomica.

 - Question : "But when did he say that he had an impulse to kill? I didn't hear it?"

 - A : His wife never offends him, therefore he never had an impulse to kill his wife.

 - Question : "And when he wasn't married yet?"

 - A : Yes, this comes later, you will hear this.

 - A : That's why you never had hot disputes?

 - P : Maybe in 1984.

 - A : Haven't you ever been angry with her once?

 - P : Yes, I have, but I don't remember when and where anymore.

 - But I remember that once I wanted to kill a woman.

 - That is strange.

 - Maybe it was at the end of September in 1963.

 - I was studying to become a teacher.

 - In 1960 I became a teacher and afterwards I did a traineeship.

 - I had to repeat the first year, it was very bad.

 - The second year I didn't succeed either, so that I had to repeat this also.

 - At that time I was walking and on the other side of the street there was a woman from our village walking with her bicycle and she said, "Boy, you have to start from the beginning again!" I will never forget this moment.

 - The woman was at a distance of about 6 metres and at that moment I could have killed her.

 - A : That was an impulse?

 - P : Yes., For me it is as clear as if it had happened yesterday.

 - I saw that woman later again and I wasn't angry with her anymore, only at that moment.

 - A : I asked you a question whether you can become so angry so that you could kill somebody?

 - P : When you ask me now I remember.

 - It happened in 1963, it is quite a long time ago.

 - Does everybody know the rubric "threatening" on page 88? There are Stramonium, Tarentula and Hepar.

 - A : You also have pain in the right knee.

 - P : Yes, because my meniscus were torn.

 - Some years ago I had Xrays taken and I still have it.

 - I have to pay attention to the knee, for example, I may not bend my knee.

 - Now I don't have pain anymore.

 - A : You said, "I can't sleep on my right side, because of pain in the right shoulder."

 - P : Yes., It is better, but it is still there.

 - A : Is the pain better?

 - P : Yes, it is better.

 - A : But you don't know exactly when.

 - Is this quite a long time ago?

 - P : Yes.

 - A : Concerning your temperament are you in balance usually?

 - P : You live with it, day and night.

 - But I'm not like that in class, there I'm the clown.

 - I mean in the classical meaning of clown, happy on stage, but internally sad.

 - This is also the case with me.

 - If the situation allows, I'm the clown in school.

 - Maybe it is a little bit amazing, but that's it.

 - And I have always been like that.

 - A : Explain this a little bit, because I don't understand this.

 - P : For example, if a boy is wearing glasses I will make a remark about this, not to hurt him, but to laugh about it.

 - I always try to tell everything in a laughing way and to explain it in a laughing way.

 - A : Can you say that you are an economical person?

 - P : Surely not avaricious.

 - A : Then you also told me, "I don't dare to go somewhere alone.

 - I have an anxiety to go alone somewhere."

 - A kind of anticipating fear?

 - P : Yes, that's right.

 - When I come here it is different, we have known each other for quite a long time, but for example to go to X, to a study day, my wife always went with me.

 - Before I wouldn't go there.

 - It is sufficient when I know that my car is in the neighbourhood.

 - Which remedy has this? He doesn't dare to go somewhere alone, he needs somebody with him.

 - This is Arsenicum and Kali arsenicosum.

 - If you take this as a symptom - and this is a symptom - you will go straight to Arsenicum.

 - But we will analyze what happens.

 - A : So you don't dare to go somewhere.

 - Your wife and your daughter drove to Italy last year.

 - Why didn't you go with them?

 - P : It happened before as well, they went alone to Paris.

 - 8 years ago my daughter went with her class to the sea, but I didn't go with her.

 - I sleep very badly, when I am at a strange place, it is even worse.

 - A : Is this essentially an anxiety Or not an anxiety?

 - P : I think so.

 - A : For what?

 - P : For the unknown, the new thing.

 - A : Did anybody tell you that this is the unknown? Before you went to psychiatrist.

 - Did he tell you that you had a bad self-confidence?

 - P : No.

 - A : That's what you think yourself.

 - P : Of course.

 - I experience it that way.

 - I compare this with other people whom I see daily in school.

 - They don't have this, I think.

 - What does this mean? He says that he has a lack of selfconfidence, that he doesn't trust himself.

 - He says, 'I'm not sure whether I am able to withhold myself so that I won't do stupid things."

 - But the remedy is not in the rubric "lack of selfconfidence".

 - A : Do you doubt your own capabilities?

 - P : Yes, I do.

 - I always have.

 - A : Did you have inflammations of the tonsils?

 - P : No.

 - A : At what age did you learn walking?

 - P : Normal.

 - A : Also speaking.

 - Before you were a good student.

 - You went to school at the time after the World War.

 - P : Yes., The secondary school was at the end of the fifties and the secondary teaching training course at the beginning of the sixties.

 - A : At that time you could choose between the Teachers Training College and the seminary.

 - P : Yes., Maybe I was intelligent enough for the seminary, but not in school.

 - For example, I couldn't get up the courage to learn.

 - A : Tell me.

 - What do you mean?

 - P : I remember very well, in the last year, it was after four years of study I had to take an examination in physics.

 - It was on a Monday.

 - The previous Sunday I lay on my back in bed the whole day and before 9 : 00 o'clock p.m.

 - I couldn't get up the courage to learn.

 - I started at 9 : 00 o'clock and learned until 6 : 00 o'clock in the morning and I did a very good examination.

 - A : Why couldn't you get up the courage?

 - P : I had fear.

 - I just couldn't start studying.

 - Why, I don't know.

 - Inexplicable.

 - But I know that it is so.

 - A : You just said, 'I don't like to go to the sea, because I can't sleep well there!' Isn't it so that when you are away from home you don't feel well...

 - P : Yes, of course, it is much worse.

 - It was always so.

 - For example, when I go on a visit three houses away, I think, "If I was at home I would feel much better."

 - When I have pain anywhere I just get into a panic.

 - He is away from home, for example, he is sitting somewhere else for three hours on a chair which is not comfortable.

 - He gets pain from it and we know that this remedy is hypersensitive to pain, that they faint from pain.

 - He is sitting somewhere the least discomfort makes him uneasy and then comes this feeling of dissatisfaction of sadness.

 - Therefore he rather wants to stay at home.

 - A : The slightest feeling you feel...

 - P : ...makes me afraid, and the thought about death...

 - A : Are you so sensitive to pain?

 - P : Remarkably sensitive.

 - My wife laughs about that, she says that I exaggerate, that I always make a mountain out of a molehill.

 - It happened yesterday again.

 - I went to a friend with whom I make music, but I was half an hour too early.

 - I didn't feel well at all.

 - His mother and his father were sitting there and I thought, "What time is it? Can't I go home again?" I don't know why.

 - A : Then you don't feel well.

 - P : Yes, I have pain everywhere, here and there.

 - A : Then you have to be somewhere else, where you can do what you want.

 - P : Yes, then I sit on a chair and I can't get up.

 - I can't say, "I will look through the window."

 - In fact, I could, but...

 - I'm stuck.

 - For example, this morning I went to the barber.

 - That is like a torture to me.

 - To sit on the chair, with the cape around my neck for 20 or 25 minutes...

 - Five other people are watching me.

 - That is for me a little catastrophe.

 - Fortunately, I don't wear glasses, so I don't see all this.

 - But I know that it is so.

 - As a last resort I start talking with the barber.

 - Clarke writes : "Sensitive to all impressions."

 - This is not only the impression of touch which causes pain, but also the impressions on the ear: noise; on the eyes : light; on the nose : smell.

 - He didn't wear his glasses, so that he couldn't see the other people and he says, 'If I wore my glasses I couldn't tolerate all this."

 - Why? If he saw them he would have the impression that maybe they were talking about him.

 - Essentially the most important symptom of this remedy is the hypersensitivity to all impressions, the physical as well as the mental.

 - Sensitive to slight touch; it is not in this rubric, but it belongs there.

 - They are sensitive to the least little thing that touches them.

 - They are also sensitive on the mental level.

 - A : If you don't feel well you feel very badly, I mean, you feel pain somewhere and the pain makes you depressed, irritable and in a bad mood.

 - Then you have to go somewhere where you can do what you want.

 - P : Exactly.

 - A : That is the reason why you don't want to go away.

 - P : It might be.

 - A : I think so.

 - P : Yes, I never thought about it.

 - I don't like to travel, but why...

 - A : Because you can't do what you want to do when you are travelling.

 - You are sitting in a hotel room or at a camping place...

 - P : For example, to sit the whole day with the same people in a car.

 - Not for one million dollars.

 - I can't do it.

 - There are people who leave in the evening and arrive the next day, I couldn't.

 - That would kill me.

 - A : Tell me why you can't? Don't tell me that you are shy, because that is not true.

 - I don't agree with you.

 - P : But I think so.

 - A : There is something else, something deeper.

 - P : I don't know.

 - The fact that I'm bound to one place is unconquerable.

 - A : But why?

 - P : I don't know.

 - A : A will tell you.

 - When you are sitting in a bus you are sitting with 40 other people.

 - You are easily annoyed, I mean, for example, when somebody is snoring or smoking, or the music is playing too loudly or when somebody is talking too much...you are easily annoyed.

 - That is the reason why you can't stay for a long time.

 - You get annoyed, you get pain and so on..

 - P : That is possible.

 - I have to think about it, but it might be.

 - Anxiety that I might start screaming or doing stupid things and I want to avoid this.

 - A : Aha, now we have come to the point.

 - This is the essence.

 - Now you can understand every symptom.

 - He says it himself he is afraid of his impulses.

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

 - A : Yes, "fear, self-control, losing" on page 47.

 - That is the essence.

 - But we have to be careful, that is not the primary fear, only a secondary one.

 - It is not a constitutional anxiety like in Argentum nitricum, Gelsemium or Staphisagria, it is a secondary anxiety as a reaction to the fact that he is easily offended.

 - The anxieties which we have in our Repertory are spontaneous anxieties, inexplicable anxieties.

 - There is a big difference between an anxiety as a consequence of something and a primary, constitutional anxiety.

 - A constitutional anxiety can't be explained, but his anxiety can be explained, it is the anxiety that he might loose his self-control, because he is easily offended.

 - Therefore I don't like to add it in this rubric.

 - Remark : "You can explain the anxiety of Argentum nitricum : Argentum nitricum has a weakness on the mental level, a weakness on the intellectual level and, for example, in a discussion it is difficult to keep control.

 - I think you can explain the anxieties of Argentum nitricum.

 - These are anxieties because of the mental weakness, the anxiety for discussion, the anxiety for an examination, the anxiety to keep control in an examination situation.

 - This is explainable, or better understandable."

 - A : I don't agree with you.

 - We are talking about finding his constitutional being, this means, which symptoms are primary and which symptom is a reaction to the first symptoms.

 - That is the question.

 - Secondary here are the fastidiousness, the insecurity, the lack of self-confidence, the anxiety for other people, all these are secondary, a reaction to the fact that he is offended by the least thing, that he is hypersensitive.

 - This he can't change, this is primary, constitutionally.

 - All the rest is secondary and if you take these secondary symptoms you won't find the remedy.

 - We have to try to find out the behaviour which can't be changed anymore.

 - This is covered by all kinds of behaviors which are there to counteract the spontaneous behaviour.

 - Anyway, the essence is the oversensitivity and a reaction to everything with a kind of anger, of Violence.

 - Try to find out the spontaneous symptoms which you can't explain.

 - Because of these symptoms you can find the remedy.

 - It is difficult to find real peculiarities, what is spontaneous and what has been his whole life long, for example, the way he plays with the fire, the sensitivity to cold, to noises, to drafts of air, and so on.

 - It is not easy and if you mix the constitutional and the secondary symptoms you get problems.

 - P : Yes, I have to control myself and that's why there are tensions.

 - A : It is not that you are afraid of other people, but you are afraid of yourself.

 - P : Yes, exactly.

 - Sure.

 - A : This is the problem.

 - You also said that you are afraid in a narrow place.

 - P : It is possible.

 - A : That's what you said then.

 - There is the same idea behind this.

 - P : Yes.

 - A : The anxiety which you have, you got during the World War of 1944.

 - P : It was especially about my heart...

 - A : "...because my father was afraid, I also became afraid", and you thought, "It is finished with us ..."

 - P : Because my father was afraid during the World War, I got complaints with my heart.

 - I heard this as a small boy and I never forgot it.

 - As a small boy I said in class that I had pain in my heart.

 - Everybody had to laugh about it.

 - At that time I didn't know where my heart was.

 - I remember very well.

 - I never got rid of this, it always pursued me.

 - As a small boy I also read once that the bass from the loudspeaker could cause complaints with the heart.

 - For example, I never drink coffee, not because I'm in homoeopathic treatment, but because I'm afraid of my heart.

 - I never drank coffee, because I heard it once.

 - Presentment of death.

 - This is an Aconitum idea, but Hepar is there also in second degree.

 - Therefore Hepar can also be a remedy for hyperventilation, as well as Ignatia, Phosphorus, Aconitum.

 - A : You feel better with wet weather.

 - P : Yes, of course then it is better.

 - With exertions I also have a wet nose, when I ride on a bicycle it is not a problem.

 - A : The pain makes you angry in some way?

 - P : Yes, disappointed and angry.

 - A : So you can become angry, violent, wild from pain?

 - P : In fact it is so.

 - Where can we find this? "Violent from pain?"

 - "Violent, pain, from" on page 91, three remedies : Aurum, Chamomilla and Hepar.

MIND,VIOLENT,pain, from : Aur., Cham., Hep.

 - Remark "I have an addition in the Repertory : 'pain, from, anger' : Arsenicum.

 - I think it is from Hahnemann."

 - A : Is this from Hahnemann?

 - He also says that the pain comes when he is angry.

 - A : Do you think that you are the most difficult person whom you know?

 - P : No, I'm not.

 - A : On April 4 I gave you a remedy in 10M potency and you came back on May 16.

 - On the mental level you were much better and the fits of anger were clearly less.

 - I don't know whether your wife was with you the second time.

 - P : Not the last time, but the second time she was.

 - She was here twice this year.

 - I think that I was here three times.

 - A : Yes., In February I gave you Arsenicum album, it was wrong.

 - Then on April 4 I gave you the right remedy and afterwards on May 16 you got Foliata squalosa.

 - What does your wife say? What does she think about it? First, there should be a change in mood and second there should be a change on the physical level.

 - P : She sees through me.

 - I say that it is not good, but she says that it is good.

 - For example, she says, "It is a hundred times better than last year."

 - It is so, I don't have to take any allopathic remedy.

 - It is much easier.

 - Regularly I took GRATUSMINAL and tranquillizers for the heart.

 - A : Now you don't take it anymore.

 - P : No.

 - A : Good, a very interesting analysis.

 - So you agree with me that you are not afraid of other people, but you are afraid of yourself.

 - P : I always knew this, but I never realized that this was one and the same case.

 - In fact you are a little bit of a psychologist, when I hear and see all this.

 - A : If you prescribe a homoeopathic remedy the psychology of the remedy has to correspond to the psychology of the person.

 - P : Yes, but also your technique.

 - You have very sharp ears, I noticed that.

 - A : It is necessary.

 - P : Of course.

 - This is your profession.

 - But not every doctor has this.

 - It is an attitude, probably.

 - A : In Homoeopathy this is completely different, the totality of the person plays an important role.

 - How does he react, why he does this or that.

 - P : For example, when you go to a cardiologist he doesn't listen to you.

 - He says, "Tell me."

 - This lasts for one minute and then he starts talking himself.

 - You can still sit there for three quarters of an hour, but he doesn't listen to you.

 - There are very few doctors who consider you as a totality.

 - Only here.

 - A psychiatrist lets you talk, but he doesn't give you any possibilities of solution.

 - And if you don't find it yourself..

 - A : I can't reach anything by talking myself, but by discussing with you I come to a consensus and can say, "You see, is this the essence of your being?" " And this has to correspond with the choice of the homoeopathic remedy.

 - You can talk as much as you want, but you also know that this doesn't help much.

 - This will give relief for a while, but you don't want to be unhappy yourself.

 - P : No, not at all.

 - A : You just don't have the energy to be happy.

 - Do you understand, that's what it is about.

 - P : Yes.

 - A : We have to give you the energy with the right remedy.

 - I think, that

 - P : Did I get three times the same remedy?

 - A : No, the first time this year I doubted between two remedies...

 - P : Yes, you said something about punctuality and...

 - A : Yes, yes...

 - I won't tell you, because this is recorded for the seminar.

 - The second time, on April 4 I gave you a second remedy...

 - P : This is the only remedy which helped me on the mental level.

 - Before I also got Lycopodium.

 - And afterwards I could sleep very well, I also had less pain in the throat and less heart palpitations, I remember very well.

 - But on the mental level it didn't do anything at all.

 - A : But this remedy has.

 - P : Yes.

 - This is one of the most neglected remedies and it is difficult to detect it in your patients.

 - If you know the remedy it isn't anymore, but everything is easy if you know it.

 - You have to develop a reflex for the two main symptoms, the sensitivity to cold and the desires on which you can rely.

 - Sour, mustard, pickles, highly seasoned food and fat, this combination, and often an aversion to sweets - but sometimes they like it and the extreme chilliness, this together is an objective basis.

 - Do not expect to find this mental picture in every Hepar patient.

 - In this patient the problem was on the mental level, the depression, the anxieties and so on.

 - Therefore the psychological symptoms were so strong, but it is not necessary.

EXTRA

When she started to eat she took mustard on her meat, quite a lot of mustard and then it was clear that she needed Hepar; Hepar is the remedy for acne.

 

Which remedy has also desire fat and highly seasoned food, but is very chilly? That is Hepar sulphuris, and with Hepar you have to ask whether they like mustard. Hepar can not sleep if one arm or hand comes out of the covers. You always have to ask for that and then you can be sure that it is Hepar. They are always covered up until the nose tip and they can not put one finger out of the covers. They perspire under the covers, but they can not put one finger out of the covers. In acute Hepar diseases you know the sneezing from uncovering and the general aggravation by uncovering.             

 

A: Yes, but we recognize Hepar sulphuris at the very big chilliness. They are very, very chilly. This is the way to recognize Hepar sulphuris, but also by their desires. We know that they like highly seasoned food very much, mustard, "pickles" and fat, and they are very, very chilly. They lie in bed covered up to their nose. They can not put one finger out of the covers, or they start sneezing immediately. Which remedy that is very often indicated in hay fever has this amelioration in wet weather

Extra

- In the rubric "asthma from suppressed eruptions" Hepar is only one, but nevertheless it is a very important remedy which we always forget.

 - They have eczema especially in the bends of the elbows and knees, together with asthma, and they are better by which weather?

 - In wet weather, in warm, wet weather.

 - The last summer, this dry summer was very bad for Hepar patients.

------------

I already treated her husband because he had constant sneezing, sneezing from cold, perspiring feet, stinky perspiring feet and his mother told me that as a child he always fainted from pain, when he was hit somewhere. He is a chilly man.

 Which is his remedy?

 Hepar sulphuris.

 

You know of Hepar that he is already irritated by the slightest noise. Somebody is sitting with many other people in a bus, one is turning the paper, another one smells very strongly, a Sulphur woman is sitting there with a lot of make-up, another one is sleeping and is grinding his teeth. Nux vomica is sitting here and there Hepar. Tell me how they will react. What does Hepar do and what Nux vomica?

 Answer: Hepar doesn't go along with the bus.

 A : Yes, when he sees this he wouldn't even enter the bus. But let's suppose he didn't see this beforehand.

 Answer: He can't control his anger.

 A : No, no, he is controlling his anger. He is sitting with set teeth and turns everything inside out, while Nux vomica explodes. There is a difference on the mental level.

 Remark: Hepar would set fire to the bus.

 A : Yes, Hepar would set fire to the bus.

 Remark: And if somebody would sneeze in his face he could kill him.

 A : Yes, maybe. Anyway Hepar reacts in a way that he would withhold his anger. Then he gets anxiety from this, anxiety for his own danger. He feels that he could kill and because of this anxiety he withdraws himself and he has an aversion to company.

 In Nux vomica it is rather a sudden impulse and then they shout. They show it.

 Both are chilly, both like highly seasoned food, pungent food and fat. Hepar prefers sour, sour things, mustard. The typical Hepar lunch is a German specialty, trotter with sauerkraut and mustard.

 The target organ is the skin. Hepar is one of the most important remedies in eczema and in asthma from suppressed eruptions.

 Hepar is a lot more chilly than Nux vomica and they tolerate the sun, Nux vomica doesn't.

 

 

EAR, PAIN, WARMTH and wrapping up, amel. : Cham., dulc., Hep., kali-ar., lach., mag-p., mur-ac., rhus-t., sep., stram.

 Here you see some remedies and the most important is Hepar sulphuris. You know Hepar, often together in connection with an inflammation of the throat, a purulent inflammation of the throat. They cannot tolerate the slightest draft of air. They are completely covered up, even the head is covered up, and they perspire a lot.

 

CASES