CASES

Kalium phosphoricum

- Man, 26 years old

- January 12, 1988

- I read what he said at the first consolation, "When I was 16 years old I was already overworked, mentally overworked.

- I studied and two years later my uncle who lived at our house died."

- This is the anamnesis and six month before he came he had a commotio cerebri, that's what he came for.

- He is weak, he has no power and he can’t concentrate properly.

- A: In September 1988 you came because you were constantly tired.

- You felt very tense and extremely weak.

- That was the main complaint.

- It was as if you were in a dream, in a world of dreams.

- You were always ambitious.

- You studied very much and worked very hard.

- P: I only studied until I was 18 years old but afterwards I took evening courses for the job I did.

- A: Did you take the evening courses for a long time?

- P: For six years.

- A: After work every day?

- P: Yes.

- A: You told me that you always do your job in a perfect way.

- It was typical for you.

- P: Yes, I think that I do everything in a perfect way.

- I want to do it perfectly.

- A: By character you are a rather closed person.

- P: Yes, that's right.

- A: At that time you had a crack in the middle of the lip.

- It was remarkable.

- You slept on the left side.

- Concerning your food you preferred leeks, chicory, fish and also chocolate.

- You had diarrhea when you ate highly seasoned food.

- The stool was often watery, especially after lunch.

- The first part of the stool was often hard.

- Flatulence from onions.

- Couldn't tolerate pressure on the abdomen.

- The confusion in your head- because sometimes you suffered from it - appeared when you exerted yourself mentally.

- First, I gave you Lycopodium.

- It didn't do anything.

- Then Natrum muriaticum.

- It did very little.

- Do you understand why Natrum muriaticum?

- He is closed, has a crack in the lower lip and so on.

- A: You also had problems with concentration, the memory was bad, you couldn't do two things at the same time, it was impossible.

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

- When someone is confused and he can't do two things at the same time, it is which remedy?

- Alumina.

- They have to concentrate on one thing.

- For example, a women can't cook in two pans at the same time.

- In Alumina you can also recognize the divergent strabismus like in Natrum muriaticum.

- If they look one eye is turned outwards.

- A: So you couldn't do that for quite a long time.

- P: For example, watch television and at the same time talk to someone.

- Previously I could, but then there was a time that I couldn't.

- A: You had a feeling as if everything was unrealistic.

- Unreal things, again this is Alumina.

- A: You told me that your tempo was too slow, "weakness from mental exertion", "dullness from mental exertion".

- Your movements were rather slow, "slowness in motion".

- Then also a sense of inferiority and yet ambitious to prove yourself.

- P: Yes.

- A: Afterwards you got Anacardium, it did very little.

- Once I gave Sulphur, for example.

- Because when you looked at an object it seemed to you that it was further away from you then it was in reality.

- Apparently, there was a slight amelioration, but indeed there was no essential amelioration.

- A little bit up and down, until you told me, " I also have diarrhea after super."

- Then I looked it up and while studying the remedy it seemed that the remedy was known for extreme tiredness as in your case.

- Mental, but also physical tiredness.

- A situation of more or less pronounced depression.

- Also a headache while learning.

- Did you have these kinds of complaints?

- P: Previously, while studying?

- A: Or at the time when you were doing not so well.

- P: Not really stitching pains, no, but a kind of tiredness.

- I had difficulties in concentrating the whole time.

- A: But not a real headache?

- P: No, not really stitching pains.

- A: It was also typical... You work at the office of a notary.

- Especially, when there were people..

- Tell me!

- P: When people are looking at me, I have difficulties with it.

- Not while filling in forms or things like that.

- But when I know that people are watching me I had problems to go to the board or to get something, because the waiting room was connected with my working room.

- When I knew that they were sitting there and they were looking at me and saw what I did, I waited and said to my self, " They will be gone soon, I will wait and then I can get things in peace.

- They won't see it and they won’t look at me."

- I have problems with these kinds of things, yes.

- A: A little bit nervous and scared, when the people in your neighborhood look at you?

- P: Yes, but when the people are sitting there and thinking: what will he do now and where does he go?

- I wasn't nervous, for example, when we are sitting together and have a conversation and when I have to fill in things.

- That is no problem.

- But when there are four or five people sitting and all of them are watching what I will do and where I will go, then I have problems.

- You see how shy he is, how anxious, when other people are there.

- As a differential diagnosis Baryta carbonica is a possibility.

- A: The cause of the situation in the books is described as follows, " Excitement, anxious, too much work."

- Is it possible that you have exerted yourself too much mentally?

- P: I think that I wasted my energy between my 18 and 25 years old.

- A: In what sense?

- P: Worked too much in the corporate life.

- A: And also the evening courses.

- P: There were also the evening courses and I was secretary of two associations.

- A: What kind of associations?

- P: Pigeon association and basketball.

- A: Are you a social person?

- P: I think so, yes.

- Now, I'm the president of the basketball association.

- I always want to be the best example, in the way of, " Let's go on boys, we will make it, we will attack."

- These kinds of things.

- Is this Baryta carbonica?

- President of the basketball association?

- A: According to you are you a rather modern or a conservative person?

- P: I think I'm a rather conservative person, a little bit retiring.

- A: A little bit conservative?

- P: Maybe yes.

- I try not to exaggerate, but, for example, when I by something to wear I always take my sister who is a little bit more a modern person and who will influence me in a positive way.

- A: Because you yourself...

- P: Because I know that I would buy something else.

- Although I also wear what I buy myself.

- A: You are a person who would not easily be dissuaded?

- I mean... Are you marred?

- P: Yes.

- A: How long do you work during the day?

- P: From 9 in the morning until half past five in the evening.

- A: Afterwards do you go to drink a beer here or there?

- P: No, I don't tolerate alcohol.

- I never go to drink beer after work.

- A: You think it is not correct to do things like that?

- P; You mean a waste of time?

- A: Yes, because your wife is sitting at home alone?

- P: No.

- But I know that supper is ready when I come home.

- And then I still have my hobbies.

- I have my pigeons.

- I'm not in the association anymore or active in the management, but I still go there for my relaxation.

- And this also worries me.

- You know this.

- A: They have to be fed and things like that.

- P: Yes.

- I try to feed them at regular times.

- A: Do they say that you are a person who sympathizes a lot?

- P: Yes, I think so.

- If there is something tog do, I like to be there.

- A: Do you take the suffering of other people to heart?

- P: Not particularly, not too much.

- I think that you must be able not to think about it.

- I think I can.

- Do you understand why I ask this?

- I know the remedy and then I try to understand.

- The last patient was constitutionally clear Sepia and Kali phosphoricum was a layer, because she studied so hard.

- Also Nux vomica, for example, can be a remedy for a layer because of the circumstances, but it also might be constitutional.

- I suspect that this man is constitutionally Kali phosphoricum because he already suffered from weakness and difficulties in concentration when he was 16 years old.

- Therefore I ask him to tell me something more about his character.

- We know of Natrum phosphoricum that they are closed, but often you also see that they need company and often they are sanguinic.

(Thus a person dominated by black bile was melancholic (gloomily pensive), by blood was sanguinic (headstrong and passionate), by phlegm was phlegmatic (unemotional and passive), and by bile was choleric (bad-tempered and angry).)

The sanguine temperament is often the life of the party, the one with the kind word and easy smile. Of the four personalities, the sanguine is the most positive. He or she is identified by (1) quick, vehement reactions to stimulus and that (2) these reactions are shallow and short-lived. A person who is sanguine is generally optimistic, cheerful, even-tempered, confident, rational, popular, and fun-loving. Dire events may occur around him, but after a short period of "being down," his natural enthusiasm and good-temper bounce back. He has a very active imagination. Although his learning may not be of great depth, he is intelligent, quick, alert, and a skilled conversationalist. In school, he is obedient and easily taught. Willing to oblige, he submits easily to superiors. He is not stubborn or defiant. Has a tendency to the external: His five senses are very active and acute. Thus, he is keenly aware of and attracted to beauty and sensuality in clothes, furnishings, the arts, etc.. He has an eye for fine detail. Although he can explode with anger, he usually bears no grudge or resentment.

The Choleric:

Is self-composed; seldom shows embarrassment, is forward or bold.

Is eager to express himself before a group if he has some purpose in view.

Is insistent upon the acceptance of his ideas or plans; argumentative and persuasive.

Is impetuous and impulsive; plunges into situations where forethought would have deterred him.

Is self-confident and self-reliant; tends to take success for granted.

Exhibits strong initiative; tends to elation of spirit; seldom gloomy or moody; prefers to lead.

Is very sensitive and easily hurt; reacts strongly to praise or blame.

Is not given to worry or anxiety. Seclusive.

"Melancholic children tend to be naturally thin for some reason, and they tend to be very empathetic. They are difficult to excite, but once an impression is implanted, it grows so deep that it is almost impossible to erase. This quality is key to understanding and guiding him or her. With pleasure, they study the past and look to the future, wanting to know the reasons for the way things are. Melancholics love solitude, and are introspective. They often have a sharp and well-developed intellect, are careful and detailed. They are compassionate, soft-hearted and sympathetic. They are trustworthy friends. When in love, they are very attached and are easily hurt by coldness or ingratitude. This is the disposition of sublime poets, artists, profound thinkers, the greatest inventors, legislators, and spiritual giants.

One mother's story:

"This child needs a steady rhythm or routine, where she is secure in the knowledge that after waking up she’ll be asked to get dressed, then she’ll have breakfast, then chore time, then school etc. I even warn her when it is Friday that Saturday is coming and remember there is no school, and give her an idea of what we’ll be doing. I find this particularly hard as I have a Sanguine Temperament, and love nothing better than to wake up and think, “So what shall we do today?” go to Our Home School Journey

They have a propensity to magnify difficulties and lose confidence. They may have problems articulating ideas and feelings. Melancholics hesitate to begin projects - "there might be too many problems." They hesitate to make decisions because there are too many considerations. Projects get postponed, and then they become even more time-consuming and onerous. They need time to consider every angle and if asked to answer quickly and without preparation, may become flustered and frightened. They may stutter, say the wrong thing, leave ideas unfinished. Although they are naturally reserved, that modesty is compounded by exaggerated anxiety about the possibility of disgrace and so they may let others less talented be promoted ahead. Then they feel resentment that, if not checked, can become entrenched. In the future, they may grow suspicious of others because of incidents like this.

"Phlegmatics are the solid ones - sometimes literally in their builds. They hang on. They can seem to be slow and are often very good natured - they are not fickle like sanguines or restless like cholerics or self obsessed like melancholics. They placidly regard the world and slowly decide what they are interested in. They will listen to any story - but getting something out of them can be a challenge. I have a strongly phlegmatic boy in the present sophomore class where I teach - he will literally count the words of the papers he writes and write not one more than required. So usually when he says "how long should the paper be" I say to him "As long as it needs to be to say what you need to say." He doesn't like that - but unlike a choleric who will be outraged by the seeming ambiguity of this requirement or the sanguine who will forget halfway what she was writing about anyway or the melancholic who will write exactly what she thinks is the right length no matter what the teacher says anyway, this typical phlegmatic just shrugs, smiles - and produces a very short paper!" Phlegmatic children live through their senses. They value safety, order and comfort. They are methodical and reliable. They take joy in rich sensory experiences, and tend to have good memories. They often appear soft, a bit round, and their skin usually feels warm and moist. Their favorite color is often green. Their element is water, and they tend to take joy in activities involving water.

- That is the phosphorus element.

- Here Kali is the more conservative element and I asked about the Phosphorus element; whether he is sympathetic and so on.

- I think he can be Kali phosphoricum constitutionally, but then he has to have a certain psychology and I ask about it.

- A: On June 24, 1987 we gave you the remedy.

- That was the first time I gave you the remedy.

- And it was the first time that you said afterwards, I'm really better."

- The diarrhea after supper was completely gone.

- Afterwards it went up and down.

- In October I gave you a remedy in 10 M potency.

- Then I repeated it once again.

- Every time you reacted very well.

Feedback (march 2, 1988)

- A: You got the remedy on December 18.

- P: In the meantime I was here for another video recording.

- A: Yes, for the course.

- Tell me, how did it go.

- P: At that time it was a little bit less well.

- It became better.

- I took the spare tablets a few days later and since then it was fine.

- In the meantime I had an influenza, then I didn't feel so well, but it became better spontaneously.

- And now, it is all right.

- A: Concerning the memory, the tiredness?

- P: It is good.

- In exceptional cases I still have difficulties with my concentration, but this is really exceptional.

- Previously, it lasted for weeks.

- Now it becomes better after a few days.

- A: Concerning the feeling that everything was in a dream?

- P: It doesn't happen anymore.

- A: Are you refreshed in the morning?

- P: Yes.

- A: Can you work when other people look at you?

- P: I still have difficulty with it.

- A: What about the diarrhea after supper?

- P: It hardly occurs, maybe still a few times.

- My wife doesn't work anymore, therefore we have our warm meal at noon, previously we ate in the evening.

- I don't know whether this plays a role.

- A: When did your wife stop working?

- P: December.

- It was already better before.

- A: It is already better since July.

- Then you ate in the evening?

- P: Yes, until December.

- A: I think we can stop the treatment for the time being.

- I saw him the last time in March 1988, since then he didn't need any other remedy.

- I called him and asked how he was doing and he said, " Fine".

- I gave the remedy four times, once in M Potency and afterwards three timed in 10M potency.

- You see I had to repeat it a few times and then he was doing well.

- Since nine months there are no problems anymore, not with the diarrhea, not with the confusion and he also didn't have concentration problems anymore.

- Even now I don't have a clear psychological picture of Kali phosphoricum, but the cause for a Kali phosphoricum state is clear: it concerns young people who studied too much and became weak.

- This remedy is missing in many rubrics, for example, " things seem unreal", also in "urging during colic"; it has to be added.

- Remark: "In Commotio cerebri it is there."

- A: Oh yes, in the rubric " concussion of brain" on page 109 Kali phosphoricum is there, not only Natrum sulphuricum.

- In Natrum sulphuricum it is more the sadness, the tendency to suicide.

- Here the central point is more the weakness and as a very important keynote the diarrhea after supper.

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

- A: Yes, it has many symptoms of Phosphoricum acidum and the differential diagnosis is not easy.

- Phosphoricum acidum also has the weakness in students, but the peculiar thing of Kali phosphoricum is the diarrhea after supper.

- This is a keynote of Kali phosphoricum.

- Remark: "For Phosphoricum acidum there is often a particular casual event, more than in Kali phosphoricum."

- A: Yes, grief, but then you have sleeplessness form grief in Phosphoricum acidum.

- Remark: " But they also have diarrhea."

- A: They also have diarrhea, but a very strong diarrhea with what kind of modalities?

- It is painless diarrhea, which does not exhaust, although it is profuse, watery diarrhea.

Extra

=====

- The diarrhea has gone, the weakness and the pain in the abdomen are gone with tow doses of Kali phosphoricum M and one 10M.

- The complaints of this layer with the causation of the hard studying have gone, now she is doing well.

- It is over.

- She suffered form it for four years.

- Now, another remedy will appear.

- Kali phosphoricum has in the first place diarrhea after supper, but also while eating.

- She also said that she often suddenly had to go to the toilet while eating, often she couldn't hold the stool.

- If you look in the rubric " diarrhea while eating", Kali phosphoricum is there, but also in the rubric " diarrhea after eating".

- Let's read what Boericke writes "One of the greatest nerve remedies.

- Prostration.

- Weak and tired.

- Especially adapted to the young...

- Marked disturbance of the sympathetic nervous system.

- Conditions arising form want of nerve power, neurasthenia, mental and physical depression are wonderfully improved by this remedy.

- The causes are usually excitement, overwork very hard, she was anxious that she wouldn't pass her examinations and that was the cause.

- "Besides, it corresponds to states of adynamia and decay".

- This means gangrenous situations.

- "In these two directions it has won many clinical laurels.

- Remember it in the treatment of suspected malignant tumors.

- After removal of cancer when in healing process skin is drawn tight over the wound."

- This means that Kali phosphoricum pulls people out of their adynamia and weakness, who had cancer, who have been radiated, who had chemotherapy or who had an operation and had chemotherapy afterwards.

- Therefore you will find Kali phosphoricum also in leukemia in the generalities in the Repertory.

- There you see al the natrums.

- The leukemia is treated with chemotherapy and then comes the adynamia, the powerlessness of Kali phosphoricum.

- " Anxiety, nervous dread, lethargy.

- Indisposition to meet people.

- Extreme lassitude and depression.

- Very nervous.

- Starts easily, irritable.

- Brain-fag; hysteria; night terrors.

- Somnambulance.

- Loss of memory.

- Slightest labor seems a heavy task.

- Great despondency about business.

- Shyness; disinclined to converse.

- Head... Headache of students, and those worn out by fatigue."

- These are the students which have studied too much.

- "Headaches are relieved by gentle motion.

- "They go out of the room and they go for a little walk.

- "Face:... Right - sided neuralgia, relieved by cold applications.

- Stomach: A nervous 'gone' sensation at the pit of the stomach.

- Abdomen: - Diarrhea; foul, putrid odor; occasioned by fright, with depression and exhaustion.

- Diarrhea while eating.

- Dysentery; stools consist of pure blood; patient be comes delirious; abdomen swells."

- Of which remedy do we think in this situation?

- If the abdomen is swollen in chronic diarrhea?

- Apocynum cannabinum.

- Apocynum has a distended abdomen in chronic diarrhea, but also Kali phosphoricum.

- You see how important this remedy this remedy is in young people, people of 19 years old until maybe 36.

- In a kind of situation that they have to lie down, that they are worrying abut their children and about money, Kali phosphoricum is a wonderful remedy.

- Further: "Respiratory: Asthma; least food aggravates."

- You see, Kali phosphoricum is a situation after too much study, too much work and worry, they get a little symptom here and there, the diarrhea comes especially when they come home from work in the evening, diarrhea after supper.

Kalium phosphoricum

by Huib Wijtenburg

Preparing a Materia Medica Validating Day, in which a group of homeopathic doctors would discuss patients who reacted well for more than one year on one special remedy, I found a lot of successful treated patients with Kalium Phosphoricum, the remedy to discuss, in my computer.
It was in ’94 that I saw a man who reacted very well on Kalium Phosphoricum and it looks like I could understand better from that time on which patients needed Kalium Phosphoricum.
I will show you this case and three later cases, in which I gave Kalium Phosphoricum in the first consult and who reacted very well in the next year. 
After giving you the stories of the patients and the symptoms I will discuss the 4 cases and what is the theme of Kalium Phosphoricum in my mind.

Case
A man of 54 years old comes to me because he has headache. The headache is worse in the last months and he had gone to an orthopedist, a dentist, a jaw surgeon, a KNO doctor and after this the general practitioner sends him to me. He looks a little depressed.
From the age of 8 year he had headache. The headache is a maddening pain what starts in the occiput left or right and what radiated by the side to the forehead.
The pain is worse by eastern wind and after draft on his perspired head. Warm water and pressure on the head gives him relief. Eating ice and every draft can cause the headache.
Having a terrible headache his vision to the lateral left and right side diminished. 
Having headache the best is to be outside. He wants to be alone when he has headache. He doesn’t like people talk with him when he has headache.
He was very nervous as a child. They called him a “zenuwlijder”. He is operated for stomach pain. The surgeon cut some nerves near his stomach (vagotomie).
He is from a family with 17 children. He is the third in the row. The theme in the family was, working, working, and working. When he was 14 years old he went to a shoe factory, and later he went to a factory where they made dry soaps. In the factory everything has to go perfect, but after 23 years it was too much for him. His ideal was to become a truck driver, but he did not do this because of the insecurity to earn too little money for his family.
His two sons became truck drivers and when riding with them abroad he had the best time of his life. When he told me this his eyes are flickering. He wanted to be free. Now he is working for the municipality as a green worker.
He is working in the surroundings of a tennis court and he is his own boss. He can make his own decisions and makes his own talks with through passers. He likes this work.
His hobbies are fishing and training of dogs. His relation with his wife is well, he sleeps well and he has no fears.

Generals
He can not have raw vegetables, apples and boiled eggs because of regurgitations. He has a desire for sweets. He is using Tagamet for stomach pain. He perspires a lot all over his body with the slightest exercise. During the day he is going home for taking a bath and have some dry clothes.

Analysis
I was first looking to rubrics like:
Head pain schoolchildren
Head pain open air amel
Head pain draft of air agg
Head pain from taking cold

There was the libertinism and the desire to travel of Phosphor and the work/task/responsibility of Kalium.
Earlier in life there was anxiety about the future and anxiety about money matters
The most important in this case was, I thought, that because of his cares (cares about his family what had to do with work, task and responsibility) he did not do what his heart was longing for (be free).

Follow-up
He got kalium phosphoricum 200K and 6 weeks later he told that he reacted very strong on this remedy. In one day his head pain disappeared, but at the third day his nose began to run and did not stop for one week. There was discharge in great masses, in green yellow and white. It was a delight ness that his head pain was gone while his nose was running.
The second reaction was after three weeks. He got a very heavy diarrhea for more than three days, what he himself was reasoning as a reaction on porridge what he was eating for years and was maybe poisoning him (just in that days there was an article in the paper about this subject). After this the feeling of his stomach like a harness disappeared.
He could stop his Tagamet.
He could remember two dreams. In one dream he was going to die (fear of death) and in the other dream people were chasing at him. He was more free and loquacious. “The pressure is gone”.
Another 12 weeks later he told me that he had to take the Kalium phosphoricum 200K after two weeks and after three weeks. The complaints were coming back after three weeks and he was out of new granules but he waits a short time before coming back. He is dreaming about an accident with a car. His wife is hurt and had a hole in her head. He himself had broken legs and despite he knows he could not help the accident, he feels guilty (about his wife). 
I prescribe Kalium phosphoricum MK. 
Four months later I see him back. He took the remedy every three weeks. When he perceives the smallest headache he takes the remedy. Immediately this headache is gone and the discharge from the nose is coming for a short time. He is still sensitive for the Eastern wind.
Now there are dreams with anxiety for high places. He is standing on a high mountain and he looks down and has a tight feeling. Or he is in a hole in the ground and cannot come out of it. There is the same tight feeling.
In his work he is more relaxed. He can let the work the work. He wanted always to finish his work, but now he can say that he will do the work tomorrow.
His wife tells me he is more relaxed at home and in conversations with everybody.
On parties he wanted to go home soon, but now he can stay for a whole evening and is very communicative. On the video that I took of him you can see that he enjoys the consult. He is very enthusiastic and very open. There is nothing to see about a kind of sadness or a kind of irritation, what was to be seen in the first consultation
After taking Kalium phosphoricum 10MK his complaints of headache disappeared totally.
He was still sensitive for wind and still was perspiring easily. His whole family was astonished that he changed so much in his moods.

Comments
Work and task was in his family so important, and he was so very sensitive for this, that he could not feel his desires and his anxieties. In his responsibility for his family he could not change to a job what was more appropriate to him. By getting children he feels the responsibility but later on he also begins to feel what he really wants. He wants freedom and to be his own boss. When his children have their own lives he can take the decision to follow his heart and change jobs. But following his heart, his complaints are not away. The body carries the carves of his former life.

In this case I think that his complaints are reacting very quickly because on the moment of taking the remedy for the first time, he knows what he wants in his life. He does the things in his life what he wants, but it looks like that his body doesn’t know that. After taking the remedy body and mind understand each other.
In becoming healthier he is for the first time of his life aware of anxieties. This feels okay for him. He doesn’t complain about his anxieties, he is describing it like a spectator.
He notices that the surrounding of his stomach feels free. But also his family notices that he is more free, loquacious, cheerful and enjoying communication with all the people in his surrounding.
In this case we can understand why some contradictory rubrics are in the repertorium. It depends of the fact if the kalium phosphoricum person is feeling well or is feeling bad. We see the rubrics:

Mind aversion-family: to members of
Mind aversion-husband, to
Mind company aversion
Mind company aversion to-alone; when-amel.
Mind company desire for
Mind company desire for-amel. In company
Mind company desire for-friend, of a
Mind conversation amel
Mind conversation aversion to
Mind irritability alone-wishes to be alone
Mind irritability spoken to, when
Mind quarrelsome- family, with her

After this case I gave some patients with recurrent sinusitis maxilaris Kalium Phosphoricum when I heard of them in the anamnesis that they were doing a job what they didn’t want but had a job in their mind what was their ideal job. Most of them reacted very well and decided to change jobs or to change other important things in their lives.

Case 2
The second case is of a man of 54 years old. He is the director, wholesale dealer, doing business in paints and comes to me because he wants to stop Prozac what he is using for nearly 12 years. He notices that by using Prozac his mind is flattened and his communication with his surrounding is worse (irritability and indifference, less concentrated) but also his smell diminished and his respiration is more difficult. He cannot enjoy anything anymore.
Before the Prozac he was using 20 years Seresta. This was given to him because one evening he got palpitations, ear noises, perspiration and fear. He thought he was going to die, that special evening.
For me this man had a hyperventilation syndrom, but I was the first doctor who asked him about this syndrome. 
He was feeling a tension in his face and behind his nose. The stress had taken me, he told.
The stress takes the ground under me.
It started on an evening in a time that he was a sales representative in paints and his boss obliged him to work more commercial. So he could not spent so much time with communicating with his customers. Beside that in their neighborhood there was a robbery (what frightened him very much). On that moment this two facts had a big impression on him.
Eight years ago he bought the business of his boss and after that it was a little bit better with him.
He was traveling very much for his job what he enjoys. He liked to invite his customers and to give parties, when he felt well. He liked to make speeches when he felt well.
His biggest fear was that he could not enjoy with other people anymore. He had repeating dreams about dogs what frightens him. He had dreams in which he could fly when there were problems.
Sometimes he is frightened by sinless violence.

He came from a family with 7 children, his youth was nice, with parents who had attention for everyone. His parents were simple, social and very honest. When he sports 4 times a week he feels better. He did not have special aversion or desires. From beer he is the next day lighter in his head. From salt he is perspiring easier.

Analysis
It was very nice to talk with this man and he talked several times about communication and his complaints started in the moment he was pressed to communicate less with customers and while there was a robbery, so I took as first and second rubric:

Mind communicative
Mind fear of robbers

And also the next rubrics
Mind fear responsibility
Mind fear death of
Chest palpitation with anxiety
Face tension of skin

Follow-up
I gave him Kalium Phosphoricum LM6 1 granule a day.
After 8 weeks he was very optimistic about what happened with him in this 8 weeks.
In the first 10 days after starting the remedy he was very dull.
He tells spontaneously that he now can rule his own respiration. “I did not have the rest in my abdomen, but now my respiration is coming more from my abdomen”.
“I feel the same with this remedy as with Prozac, but with the big difference that this remedy doesn’t take anything of myself”. When he wakes up in the morning he feels better than before.
After another eight weeks he feels much better. He is more aware of his respiration.
The tense feeling in his face has gone. “ I am three times better than before”. His smell is normal now. He has much more energy and he is enjoying life.
After one year he tells me that he sometimes takes one granule of Kalium Phosphoricum LM6 and he is very grateful to me that he is so much better than in the beginning.

In this case I did not give this man respiration education.
What a physiotherapist could learn him in 6-12 respiration sessions in a short time after the complaints began, he did himself with the granules Kalium phosphoricum 33 years after the starting of his complaints. In this case the healthy side of this man was more visible in his story than in the story of the man in the first case. So I could not take the rubric mind-businessmen-worn-out businessmen, suited to.
On the moment I saw him, he also did the work he wanted to do, but fear and the reaction in his body on this fear restrained him to enjoy life totally. 

Case 3
The third case is a 13 years old girl.
She is with her mother but she can tell her story very well herself.
She is looking tired and has dark blue circles around her eyes. She is lean and 5 kilo under her ideal weight. She has to eat frequent times because otherwise there is to less energy to do anything.
Her main complaints are tiredness, headache regular (but I did not ask what kind of headache) and vertigo, but she is also complaining about lack of energy and coldness. When she is rising from her bed in the morning there is the vertigo, but also late in the evening.
Sometimes she has herpes labiales. Earlier in her life there was eczema and some difficult respiration what was much better on a holiday in France.
She was known with serious homesickness (even with a girlfriend two houses away from her own house) and sometimes there was somnambulism.
There were dreams about school, about friends and about holidays. There were nightmares in which she was eaten by lions and that she was in prison under water.
Earlier she had a fear for fire and for spiders.
She was a nice and a little bit timid girl, but independent. Mother told spontaneously that she was very task directed and mother thought her complaints aggravated when she was going to the middle school and her responsibilities about schoolwork grew.
Before going to the middle school she played a lot outside with other children, more with little children than children of her own age. Starting with middle school she stopped playing outside.
She told that when she is older she wants to work with children.
She did not have her first menses. She desires sweets and has an aversion for champignons, brown beans and Soya products.

Analysis
In the rubrics
Head pain schoolchildren
Mind talking sleep during
Mind homesickness
Mind somnambulism
Dreams nightmares
Face discoloration bluish eyes circles around
Face eruptions herpes lips about
we can see Kalium phosphoricum, but for me the moment of aggravation, going to the middle school, for a task directed child with nightmares and dreams about, school, friends and holidays was enough to give Kalium Phosphoricum.

Follow-up
So I gave Kalium Phosphoricum 200K
Five weeks later I saw her back and the mother said there was not so much changed. She was much more quarreling with her smaller brother.
But the patient overruled her mother. She tells me it is much better with her. She has a lot more energy. She is playing outside with other children again. And concerning her brother she doesn’t want to undergo anything of her little brother anymore. She was more assertive to her brother. When the girl is telling that she is better, it looks like mother now can see for the first time it is really better with her daughter. She tells me that what is striking that her daughter is playing now with children of her own age. She has an unquenchable thirst. She is drinking much more than before. She can live now with less frequent eating. She is able to walk with a feeling of hunger. When the tiredness came back she took herself (outside the knowing of the mother) another two granules and the next day the tiredness was already better. Sometimes there was a little bit vertigo, but there was no headache anymore.
Two months later she was very well. The vertigo also diminished.

Case 4
The fourth and last case is of a man of 43 years.
He comes with several complaints. The main complaint is an itching cough what is there for several years and what also is a complaint of his family. His father has this same complaint.
The itching is behind the sternum and is worse when he is lying in his bed. He can wake up from it. In the morning he has a little bit expectoration by coughing.
Other complaints are: Tiredness after warm food. Irritation or inflammation of the gums. A bad smell of his mouth. Much stinking flatulence. He is too lean, he needs some kilos. He has blue circles around his eyes. He isn’t in a best condition, but he can easily drive a bike in the mountains.
In the years of his childhood he went several times to the general practitioner for respiration complaints (no real inflammation, but coughing and difficult respiration). There was a tonsillectomy and he thought there was a sinusitis frontalis. Later in his life he had a hepatitis on a holiday. He has no aversions and he likes pasta’s and red wine. He lacks heat easy and has cold feet.
His father was a farmer and a careful father. His mother was a little bit chaotic. He had one sister with whom he quarreled a lot. His sister was a girl with hair on her teeth, he himself was a boy seeking for harmony. On the farm he felt very lonesome. On school he was a good student, he was bad in sports but he could compensate that with making jokes. After secondary school he first did a technical education, but after that he switched to the social academy because he wanted to do something with other people. He was very curious and loved travelling. He told me, “in every men you meat the world”. He went to Asia several times and to Africa.
On one of his first journeys he got fear in the airplane. He was afraid to loose his control, so that he should jump in the cockpit and should pull the control column. After that he was some time very hurried. There is some fear of high places. He has two children and he is full of cares and can have catastrophal thoughts about them. He is afraid of aggression on his work.
Seven years before he woke up and felt totally paralyzed, as if he had no control on his muscles. He must think how to use his muscles and went out of bed.
He is working now as a family guide for a medical centre for pre-school infants. He likes to work with the parents.

Analysis
There was one striking word in the time of his youth in this anamnesis, where I looked for. It was “harmony”. I think I was very lucky that Kalium Phosphoricum was in that rubric, otherwise I had given him Phosphor. But when I saw Kalium Phosphoricum in this rubric it was clear for me that he must have this remedy.
I asked him about his responsibilities for his children. He could be very restless and would leave the house and leave the children. He would like to travel. He was doubtful that a man with cares could be a good father.

Follow-up
So he started with Kalium Phosphoricum LM6 1 granule a day.
Six weeks later he told me that his gums were much better, even the dentist was very optimistic.
He had a very good holiday and he could enjoy his children very much. He did really father things with them and that was great for him. It was strange for him that he had the rest to stay so easy with his children and did not have the tendency to leave.
The itching cough disappeared just as the stinking flatulence and the bad odor of the mouth.
He is more aware how he is feeling. On his birthday there were some people on his party, but he felt very lonely. But now it was okay for him. “I was the person who did not want to feel my pain and grief” and now I have to. I have to confront myself.
On his job he is also confronting his co-workers and that gives beautiful discussions. Two months later I see him with his daughter who needs Lycopodium and he tells me that he stopped the medicine because he feels very well. I gave him Kalium Phosphoricum 200K for the moment his complaints would come back. One year after starting the remedy I saw him back and he told me that when he notices his itching cough he takes his granules and within one or two days it disappeared. It is much better with him and his children. Nobody can make him hurry.
It is much easier to concentrate and it is easier to make music. He also started a new education for his job. There is a little bit eczema between the fingers of the left hand and a little bit on the sole of the left foot. It is always there in the summertime for years and the last symptom left.

Discussion
Mind Harmony-desire for
Mind cares full of
Mind fear high places
Mind fear responsibility
Mind hurry haste –occupation in
Mind indifference apathy relations to/ loved ones to

In this four cases we can see how helpful the words are what Jan Scholten gives to Kalium and to Phosphor in his book “homeopathy and minerals”. 
Let us see; 
Kalium: Duty, Principled, Closed, Optimistic, Work, Task, Family
Phosphorus: Communication, Sympathetic, Friends, Neighbours, Brothers, Homesickness, Curious and traveling, Restlessness and fears.

With this words Jan Scholten makes the next four themes:
1: They feel responsible to have many contacts.
2: The task is a barrier for them in making contact.
3: They have the task to learn well.
4: They have the task to communicate very well.

These are themes but not a real essence. Only case 3 of the girl I can compare with theme 3.
But with the words of Jan Scholten we can make many more themes, but is it possible to make one essence?

Rajan Sankaran gives as main feeling “I am not loved (Phos) by the people whom I seek support (Kali)”.
I can not see this feeling in my cases. I think it is another theme for Kalium Phosphoricum but it is not an essence or a main feeling. But in his writing about this remedy Rajan Sankaran gives the example of two cases in which there were frightening dreams. In both cases the patient is dreaming that he/she is chased by an animal (tiger) and that the dreamer has to look after her children in the dream. So there is the responsibility for caring. There is no main feeling in this dream but there are other striking resemblances with my cases. In my first case the patient is chased by persons.
In the second case the patient dreams about terrifying dogs and going to fly when there are problems. In the third case we see that the patient is eaten by lions in her dream. So the dreams are frightening but there is not the item of not being loved by the people whom I seek support.
In my first case we see the dream, after taking Kalium phosphoricum, that there is a car-accident and that the patient feels guilty what happened to his wife. I do not know or we may interpret this more as not fulfilling his responsibilities but it is better than interpreting it as a feeling of not feeling beloved by his wife where he seeks support.
Rajan Sankaran writes that the extreme anxiety in his cases is the anxiety of Kalium and that the caring of others is a feature of Phosphor. For me it is clear that the anxiety and the caring of others is of Kalium Phosphoricum but I am not sure what is of Kalium and what is of Phosphor.
Rajan Sankaran gives us the next physical symptoms and I notice in which of my cases it agrees:
Weakness-fagged out: paralytic weakness (see case 1, 2, 3 and 4, waking paralyzed).
Oversensitive physical states (this is a very general symptom, but it is for all the four cases).
Chilly patients (case 1 cold feet before headache, case 3 and 4).
Careworn look on the face (case 1 and 4).
Hungry soon after eating (case 3).
Craves sweets (case 1 and 3).

Now I will try to give a kind of an essence for Kalium phosphoricum,

“Fears and responsibilities (also the fear for responsibilities) are troubling the communication on the only way (journey of life) you have to go.”

For some people it is more important to follow their heart than other people. The person who needs Kalium phosphoricum gets complaints as soon as he goes of his course of life. Fears, communication and responsibilities, but also holidays and freedom are striking words, the same words as Jan Scholten uses.

I hope this article will help to come to a better understanding of Kalium Phosphoricum for the people who need Kalium Phosphoricum.

Literature
Synthesis edited by Frederik Schroyens, edition 8.1
Sankaran Rajan: The substance of homoeopathy 1994
Scholten Jan: Homeopathy and minerals 1993

Categories: Remedies 
Keywords: kalium phosphoricum, element 
Remedies:

ANOTHER CASE

- We already talked about Kali phosphoricum : they are weak, tired after a cancer operation, they become so weak that the slightest work seems to be a big mountain.

- Then the diarrhoea, when they start eating, the diarrhoea after supper, this is typical for Kali phosphoricum.

Jonathan shore

JS: Kali phosphoricum. I do not have really a lot of experience with Kali phosphoricum, but I believe Kali phosphoricum would be too weak, there is a lot of weakness in Kali phosphoricum. Phosphoricum acidum can also be quite irritable. Phosphoric acidum is one of the remedies which has great apathy, great weakness, but you will be surprised to see that Phosphoricum acidum is quite irritable (3), but it is not the sort of aggressive irritability.

AD: It says in Phatak ...

JS: I don't have a lot of experience with it, but my sense of it ... If you read what else it says, you get the idea that the remedy carries a lot of weakness; a neurasthenia and they probably fly into a tantrum, because their nerves are in such a delicate state, that a little stimulus makes them collapse. And the way that children collapse, is they fall on the floor and: "Whaaa!!" and the mother says: "Oh, the child is tired.” But this little girl, this is much more ... This aggressiveness, this irritability is much more central in the case. With Kali phosphoricum it would have to be something more on the outside. Other thoughts?

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- It also might be during eating; look on page 612 "diarrhoea, eating, while", Kali phosphoricum and Ferrum and other remedies.

eating, while : Ars., chin., crot-t., Ferr., kali-p., podo., puls., trom.

- Kali phosphoricum is one of the remedies in Crohn's disease and Colitis ulcerative, especially in young people, normally students, who become weak because of the studies and the worries.

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CASES