CASES

 Sulphur

When you have someone who drinks a lot of alcohol and therefore has liver problems, you have to forbid alcohol completely. With remedies such as Nux vomica, Aurum, Sulphur, you have to forbid alcohol completely. They may not drink alcohol for three, four, five months, or they will relapse.

CASE1v2

MAN, 59 YEARS OLD

This case is one of the most difficult, not difficult, but important cases I had. PCP(Pneumocystis pneumonia, or PCP ) is one of the most difficult diseases. You have to be very sure of your remedy, because there is only a slow amelioration. Second, usually these people have had a lot of allopathic remedies. They have had Cortisone and other medicines, also this man, before they come to your consultation with swollen joints all over their body - the knees, the ankles, the fingers and so on. If you give such a patient the wrong remedy, he will suffer and suffer for years. If you give the right remedy, they will suffer much more but for a limited period of about one year. So, you are in a difficult situation.

If those people are working, they have to work to get money, it is not possible for them to hold on to your treatment and there you are loosing your patients.

But first of all, you have to be sure of the prescription of your remedy, and when you are sure, you can expect a total cure, when the people are not too old. But also in elder people of 65 years old I have seen PCP-cases, who have become very well. That was another remedy, Tuberculinum.

But this man is totally cured. Everything started about 1982.

A: In 1982 you came here with PCP. You already had complaints with the joints for quite a long time and you got Cortisone regularly.

P: Yes, already since two years.

Do you observe what he does the whole time (he licks his lips)? You will see it often.

A: Then you came with ischias and for the acute ischias I gave you Rhus toxicodendron M and it has improved spectacularly.

P: It has improved very well within a few days. I had it on the left side behind my hips and the pains were very strong. Then, I got the remedy, the next day it was much worse and afterwards I could walk and two days later I could go upstairs again.

A: Then you believed in Homoeopathy.

P: Yes, when it cured so quickly.

A: You said to yourself that this thing had to work, because 1982 was a period in which everybody laughed at the globuli. I started in 1979 withHomoeopathy, but at that time everybody was very sceptic and critic. These times are passed now.

P: In fact, that was the result of the remedy that I got from you for the ischias. You told me: "Absolutely no other remedies!" I followed your advice. When I took the remedy for the ischias, all the other complaints returned, from which I have suffered for two years, but which have been suppressed by Cortisone and painkilling remedies. So, when the ischias had disappeared, the arthritis returned to a certain amount. I got one problem after the other.

A: Your acute problem disappeared and your chronic returned.

P: It appeared very strongly.

He has a certain way of talking like: "I am sure what I am telling you."

If you hear Lycopodium talking, it is something else. You feel a kind of uncertainty; but here, he is straight, he is sure.

When you ask him something, he says that all the complaints have returned, because he took the remedy. He knew it, I explained it before, but you will see it later in the consultation, that he starts talking, talking, talking and makes big speeches: "This is the theory, and that is because of this or that." You will see it.

Then something else: when you scratch with a remedy at the top of an iceberg, then the iceberg itself appears, and that is the danger for Homoeopathy. When you do not put the second step right, you are lost. How often do we see when we have given a remedy - I remember two cases. She came with sadness and things like that and got Natrum muriaticum. Afterwards one eye suddenly became red, was swollen, it was very red and infected, very painful and the pain was extending to the back.Which remedy is this? Complementary to Natrum muriaticum? Which remedy did we give? Apis. And Apis did something. Afterwards, other complaints appeared, again other complaints, again the eye, again complaints here and there. You start asking yourself, whether it might be a tumor or a glaucoma, because of the dilation of the pupil. You think about it and maybe you give Prunus spinosa, because the pain is extending to the back. And it goes on this way, until you make the right step and recognize that it is Tuberculinum. Then we gave Tuberculinum and everything became all right.

But everything started, because you gave Natrum muriaticum. Yes, it was the right remedy, because she had a grief and things like that, and only because she has had Natrum muriaticum she has the energy to produce Apis symptoms, a clear Apis picture, but these symptoms were only a part of the whole.

By giving a remedy you give energy. New symptoms are developed and they ask to be cured totally. You have to give the right remedy that covers all the symptoms. Do not forget that "all the symptoms" does not only mean "all the symptoms at a certain moment", but means "all the symptoms of one year ago, or 6 months ago, or 3 months ago", because this changeable state is typical for Tuberculinum. You may not only take all the symptoms which are there during one month, but you also have to take the symptoms which have been there a few months ago or a year ago. "The totality of the symptoms" means also "the totality within several years."

When you take the symptoms of only one moment, today you will give Apis for the eye, tomorrow another remedy for the knee, maybe Pulsatilla. When it is first the right knee and then the left: Lycopodium. After Lycopodium Pulsatilla, because she cried a little bit at the consultation, and after Pulsatilla another complementary remedy, maybe Silicea, because she is so chilly and the nails break easily and so on. We do so, because we do not see the whole picture of the case.

Now, in this case he got Rhus toxicodendron because of the left-sided ischias, that was clearly Rhus toxicodendron. It was a beautiful reaction.

Up to that moment he was still taking Cortisone and then he believed that Homoeopathy really acts: "My God, this little tablet really does something, because after one day I could walk again." Then, the big story comes. The rheumatism which has been suppressed with Cortisone for many years appeared more strongly than before. Then it is up to you to give the right remedy.

In this case you will see which remedy he needs only on the mental picture.

A: Then I said to stop the Cortisone and that was of course an indication to cure you completely at last.

P: Yes.

A: You got arthritic complaints in all your joints. How did it start? How did it develop?

P: Yes, in all the joints. First of all, it began with thick feet; while driving a car, when standing for a long time, when the ankles are burdened too much. That's how it started and then I got it in my hands. I got thick hands. The rings on my fingers were pressing very much. Swollen joints, thick knotty fingers. Then I got thick joints of the hands, elbows, the joints of the shoulders didn't function anymore and thick joints of the knees. It went from downwards to upwards and at the end from the hands back...

The only thing I can say, I hardly have had complaints in my hip; a little, only a little, but for the rest I have had complaints in all my joints.

A: So, it was difficult for you to stand. That's how it started?

P: Yes, yes. I had pain in all my joints. Then it extended to my knees, and from my fingertips to the shoulders.

Which remedy do we think of when it starts in the ankle and if we think it is an ascending rheumatism? Ledum. Does everyone know the rubric for Ledum? Look at "extremities, pain, foot, extending upward" (p. 1079, General p. 896): Dirca palustris, Drosera, Ferrum iodatum, Ledum as capital remedy. Ledum is a very important remedy in gout, mostly in the big toe. When the toe is thick, red, swollen, and is very painful, they have to put their foot in cold water, it improves. And what do they do when they lie in bed? They put their feet out of the covers or put a cardboard box above their feet which are covered up, so that the covers can not touch the feet, because they are so sensitive to touch.

Natrum muriaticum is very important, when it has been preceded by a deep grief. In Natrum muriaticum you almost find always a very deep, emotional grief.

Nitricum acidum, Nux vomica, Plumbum, Silicea and Sulphur. What does Plumbum do when he has pain in his foot? He has also pain at night and rubs his foot constantly. Rubbing ameliorates in Plumbum.

Nitricum acidum has a peculiar kind of pain, a stitching pain, a splinter pain.

A: You could only walk with difficulty.

P: I had a period, in which I hardly could walk. It became worse. I had to lie in bed. One month it was so bad that I needed a strong person at home who helped me to go to the toilet.

I couldn't put on my socks and clothes; I had difficulties in eating because of my hands, I didn't have feeling anymore and I couldn't hold the cutlery. The joints of my elbow were so swollen and painful, that I couldn't put on my clothes myself. I couldn't wash myself or comb my hair. Then I have lain in bed, because there was no other possibility.

I had to repeat the remedy. I have given him Rhus toxicodendron only once, then his constitutional remedy, I had to repeat it.

In PCP it is very difficult to recognize, when you have to repeat. At the moment there is a big discussion about repeating the remedy in the homoeopathic world. In our center we have seen that you can not do damage when you repeat the remedy, even when it is a beginning relapse, if the patient still needs the same remedy. It is another question when the patient develops to another remedy. Then you have an aggravation of the symptoms, they become better, but the original symptoms are as bad as before. It can be for example, that someone develops from Calcarea to Lycopodium, you repeat Calcarea and there is an aggravation, but no amelioration. Or a patient who has been cured with Sepia and comes in a situation of grief. If you repeat Sepia, all the old symptoms appear again, disappear again, but the symptoms, which have been developed because of the grief, are still there. Then you have to give Ignatia.

In this case I repeated the remedy a few times, maybe ten times in two years. It is no problem to repeat the remedy, but there is no reason to repeat when the patient is better. Then you can wait, wait and wait and give him Sac-lac., one year, two years Sac-lac.

P: At the beginning I was really depressed, whether it would become all right. There was no amelioration, it became always worse; also on account of the confinement to bed and its disadvantageous consequences for my work and so on. I had to arrange things in bed. I really had periods where I only saw black before my eyes. Fellow-lodgers and friends have helped me and said: "Then take your normal medicines again." You cured me from my ischias and I said: "When I say A, I also say B," and now I have to go on with this. No matter how it looks, I have to go on. And fortunately, I have persisted.

Do you observe the way he behaves? He is decently dressed, wears a tie, he is very polite and often licks his lips. Where can we find this in the Repertory? "Mouth, motion of the tongue, lapping, to and fro" (p. 407; General p. 345): Cuprum, Hyoscyamus, Lachesis and Sulphur.

MOUTH,MOTION,LAPPING,to and fro : Cupr., hyos., lach., sulph

He moves his tongue shortly to and fro, like a snake. Lachesis is also in the rubric and another, also very talkative and jealous remedy, which we often change with Lachesis, namely Hyoscyamus. Then there is also Cuprum which is a remedy in epilepsy and cramps. What does it mean that he always licks his lips with his tongue? That he takes a kind of position. The way he sits there, he plays theatre, very polite, very serious: "I am a very important man." It is very important to observe the behaviour and the gesticulation of the patient. I assure you that I prescribe this remedy in 80% only on account of my feelings and some key-notes. You also have to do it this way, if you do not do so, you miss the remedy in 50% of the cases. It is a remedy that has to be prescribed most of all the other remedies, but you miss it, one after the other. It happened to me once.

A: With the help of the characteristics of pain it was impossible to find the remedy. It was hurting the whole time. When you moved,...

P: Always.

A: Especially in motion. But the pains didn't particularly indicate a homoeopathic remedy. You had a particular character. You are a little bit a philosopher?

P: Yes, you can call it this way. I can brood on something, but still follow the way I have taken first.

A: You are also the best in your profession?

P: Yes.

A: I think you are "a carrossier".

P: Yes, that is a French word, I am a coach-work man.

A: Yes, that is the right word.

P: A little too long.

That is very interesting. I say to him that he is "a carrossier" and he corrects me and says the right word for his profession. He corrects me, that is remarkable. Besides, he behaves this way the whole time (like a cock with a swollen breast).

A: I know that there is no better coach-work man in the whole neighbour. Other people told me that you work very accurately.

P: Yes.

This remedy is sure, that he knows it and he is sure that he is the best. He thinks of himself: "I am the best and what you tell me, I don't believe, because I know it better."

How can we describe his way? How can we find this in the Repertory? He is haughty, but it is a refined way of haughtiness (p. 51; General p. 41).

MIND,HAUGHTY : Agar., alum., anac., arn., aur., cann-i., caust., chin., cic., con., cupr., dulc., ferr-ma., ferr., guai., ham., hyos., ign., ip., lach., Lyc., merc., nux-v., pall., par., phos., Plat., rob., sabad., sec., squil., staph., stram., stront., Sulph., thuj., Verat.

Besides you can see, that he is playing a kind of theatre. This kind of playing theatre already shows me the remedy; even in depressions and grief they act this way. You notice that the grief does not come from deep. "Oh, my God, doctor, I lost my husband and now my son wants to go in the monastery. Oh, I am suffering so much, doctor!" But you see that it does not come from the heart, but rather from the head. You also often see that they use clichés.

Alright, in "haughtiness" we see three remedies: Lycopodium, Platinum and Sulphur. Platinum comes in, wears a hat and the tie is decently: "Doctor, how are you? I see, you are very well." "Yes, I am very well, but..." "Yes, yes, you work too much, I think, you work too much. You are tired. Lately, you look bad. Well, may I take a seat?" "Yes, sit down" - that is Platinum.They come in and overwhelm you with their being. They do not tell you their problem, they come in and ask how you are - "you look ill, doctor", to whom they come with their problems. Another man came in and called me with my first name. Then he said: "You know, I am an engineer" "Ah, you are an engineer, what kind of engineer?" "Brewery engineer."But someone else told me that he was just an ordinary man, who learned how to brew beer. There are no engineers at the breweries, but he called himself an engineer. These people lie and exaggerate. This patient does not do this, he does it in a more refined way.

A: Indeed. In your job you are the best.

P: I don't want to say it of myself, but I assume it.

A: But you also want to be the best.

P: I want to be the best in everything I have in mind to do. I have done so many things in my life. I also know all kinds of sports. I tried in everything I started to be one of the best or the best. Whether it is in the coach-work, or in the leather branch or in the machinery. I know both jobs. So car manufacturer. I am responsible for a lot of tasks: How does this look? How is it manufactured? How should this be or that? At the moment I am in an Oldtimer-Club, where they always rely on my knowledge, because they know me personally, and say: "Choose one for me." Because they know that I am one of the qualified persons. Whatever I started or learned in life, I have always tried to belong to the best.

A: And the result is that you are the best in your job, as I experienced it. Maybe there is somewhere a better, but I don't know any in the neighbourhood.

That is exactly what Vithoulkas says about this remedy: "They want to be the best."

He also says: "When I start with something, I want to end it properly." But he only works when he likes to work, when he is in a good condition. When he has enough money, he stops working, he is driving with the car and drinking beer in a pub, and talking, talking and talking with other garagists.He is only living for himself, he is making his own life. That is why I say that this remedy is an egoistic remedy,but not an avarice remedy. The difference between egoistic and avarice is not simple, but someone is avarice when someone wants more than he needs - like which remedy? Arsenicum. Arsenicum is the most important avarice remedy. But this remedy is egoistic, he only does what he wants to do. And he likes to sit somewhere and to snap his fingers: "Bring me a cup of coffee!", or "Bring my slippers" - really lazy and egoistic.

A: You are characterized: you have to go to this man with a car, but he only works when he wants to work.

P: Yes.

A: ...when the muse are there. Some poets can only make poems when they have inspiration.

P: Yes, yes.

A: The artists can only create when the muses are there. Apparently, it is the same with you.

P: Yes, exactly.

A: Describe it.

What I do is the following: "...you know everything and you are a good man and you have a good knowledge and you are the best and so on", to get him out of his shell and to show, how he reacts. And he: "Yes, really, I am the best and I know exactly where to knock with the hammer."

P: Previously, I said that I have done several things in my life and I always wanted to be one of the best. Regularly, I get very difficult tasks. I prefer not to accomplish a normal, little task, I leave it for others. I want the most difficult, the impossible task, but that requires inspiration, or a study of the object.

Do you hear how he expresses himself? "The study of an object" - no garagist will use such words. They say: "That is a starter and that is a..." They call it by name. But he says: "The study of the object." These are clichés.

P: Then, I have a certain plan in my head, it has to be made this or that way. I often fight hours for one millimeter, because when I repair something I think it concerns human lives. I have an enormous responsibility in my job, so on the automobile level. When something is wry for one millimeter or even half a millimeter, I work for hours to put it right.

He says that he has a big responsibility, but you feel that this responsibility does not come from the heart, because then he would work, work and work, but he only works when he likes to work.

He is indifferent towards the welfare of others, he only cares about his own good feeling, his own theorizing, his own world. He does not really care about other people at all, in the depth, as you see in Phosphorus, Causticum, Pulsatilla or even Arsenicum or Baryta carbonica. He can be anxious about others, but the reason for this anxiety is himself: when my wife dies in a car accident, who will prepare my meals? In the depth he is indifferent to the welfare of others. "Indifference to the welfare of others" (p. 55; General p. 44).

MIND,INDIFFERNCE,welfare of others, to: Sulph

Second, these people say they have suffered very much, because their wife or their father died. "You have suffered?" "Oh yes, I suffered a lot, I really suffered a lot." They express it in this way. Someone else, for example, Ignatia would only sigh deeply, or Natrum muriaticum would sit there quietly, seriously and closed: "Yes, doctor, but I can not talk about it."

But this person, he plays theatre, you feel it, when he sits in front of you. Therefore, you often prescribe a wrong remedy, a grief remedy, because everything started after a grief.

But the causation on the emotional level with this remedy is embarrassment. When you humiliate these people, they can suffer.

P: Sometimes I don't succeed. Then I just don't have the right inspiration. From my experience I switch to something else, I go into the garden or to another garagist and we have a little chat. After half an hour, or an hour I go back and knock on the head.

A: You see it from a rational point of view, but in fact you are a person who does what he wants.

P: I prefer so, yes.

A: No, no, everybody wants to do it this way, but you really do so.

P: Yes, yes.

A: In fact you are a maniac in your profession. We know that. You are entirely wrapped up in your work, but at a certain moment you say, alright...

You don't care much when people say: "The car has to be ready then or then." It doesn't interest you at all.

P: No, not at all. But when I am in condition, I might be working day and night at the car. I can also work very late, because in the evening it is quiet, there is not so much distraction. When I'm busy with my work, I have to concentrate for 100%.

A: They have to leave you in peace?

P: They have to leave me in peace and then I can accomplish the most difficult tasks, but beside I must think as little as possible. And when there is distraction, also from outside, then I have a little problems.

A: Because you keep thinking of it. When you are talking with others about politics and so on...

P: To say it exactly, I think about next week.

A: Yes, yes, but I want to say, about every thing they talk with you, you are talking and don't like to work anymore, then you go into another direction.

P: I try to go into another direction. Honestly, in previous years I have made a habit of it. At a certain moment I might have some problems, I can brood on it, but it doesn't give a solution. When I take another direction, do something else, talk about another issue and afterwards return to the first subject, I found a solution.

A: Yes, yes. You are also rather a critic person?

P: Yes. Very critic. Every screw has to be in the right place. When I have to examine such an Oldtimer - and they like it, also in Brussels, but they also examine it exactly. One screw not in the right place, two, three millimeter wrong... They say: "Try the car, what do you think?"

If you go to this man with a car, which has been repaired by another garagist, he would surely say that it has not been done right. He is very, very critic.

These people come from another doctor or specialist and start talking behind his back; they are very censorious.

Where can we find this? "Censorious" (p. 10), two capital remedies: Sulphur and Arsenicum. For Arsenicum it is not easy good enough. When Arsenicum buys something it has to be completely all right; when there is only a small spot, he will not take it anymore. For Arsenicum everything has to be 100% all right. Besides, he must think about the price before, because surely it will be too expensive. He will turn it 20 times and look very carefully before he buys.

He is also very critic towards other people, it is never good enough, because he is the best.

P: You can judge the car like everyone would do, or as an expert. Then, I have to bring critic things into prominence. I search for things about which you don't care at first. A car can be very beautiful for me, but in general there is always something wrong. If there wouldn't be anything wrong, we would have the perfection.

A: You don't always do what other people say?

P: No.

A: Can you strike a person a blow?

P: I could previously. I can put up with a great deal, I mean, they can tap on my toes, as long as they don't tap on my big toe, because when someone taps on my big toe, I tap back. I can fight with someone. I know, and afterwards I am ashamed. Whether in public or not, it doesn't interest me. Once said and over. It doesn't last half an hour with me.

A: All right. There are also periods that you don't like to work.

P: Yes, there are. When there are too many problems, I am not at ease. Then there are difficult objects and I don't have inspiration and I don't know how I should solve it. Then, two things are fighting: that I am rather precisely and demand responsibility of myself. When there is a certain object which is rather difficult, when I have to adjust the coach-work to manufacture rules, it asks capacity, time and thinking. When I have several problems from outside - that might be several things - I can't find the right way, to start and because of my responsibility I don't do it.

Do you see how he is playing theatre? He says that he often has problems, because the tasks are too difficult, because I asked him whether there are times in his life that he does not work at all. "Yes, I don't have the right spirit and too many problems" and so on. No, it is because he is just too lazy. He only works when he has the muse for it. Do you know what the muse is? It is the inspiration from the cosmos. When it comes, he feels well and works, but when he does not feel well he takes his car, drives to another garagist and drinks a beer with him and talks, talks, and talks, and theorizes with him.

Later in the consultation you will see how he says: "I have the intention to build a car for my grandson, a little car, with everything on it." You see, he makes plans. "But I don't have the time to do all this, because I have to do this and that", so only theorising and making plans.

P: Then I would make mistakes which I regret afterwards. In my life I have repaired thousand difficult cases.

Do you see how he is lying: thousand difficult cases - one difficult case lasts 6 months, and with thousand difficult cases it means that he lives for 500 years, and that is impossible.

Do you understand how he lies, how he exaggerates, which theatre he plays?

P: Whether it concerns this or that, even when the car has been under a train, it doesn't make any difference to me. I only need the manufacture information, then I can build the car again. I calculate the coach-work and the bearing-power, the heart of the car, the middle of all the things which have to be correct. And when the car - usually it is an expensive make, otherwise it is not worth while - when I have repaired the car and someone drives that car I have to be sure that this car is 100% sure. There are certain influences which play a role. I say again: "I have had hundreds or thousands difficult cases and I haven't got back any.

Do you believe that he really calculates the coach-work and the bearing-power and all these things? No, he does not count anything at all. The only thing he counts is his money. He tells us how much he works, that he calculates this and that, but he does not do it. These people work very hard, mental work, they think and indeed, for this reason they do not work at all, they are lazy.They think too much, they speculate too much, they theorize and therefore they do not work.They can sit with someone in a pub, drinking beer and talking about politics and other things until 3 a.m.

That is a remedy for Northern Ireland. When you go there people with great beards are sitting there, they are talking and drinking the whole time. They do not have money, but they drink and have it put on an account.

In this patient you do not see what Kent writes about the remedy. Kent describes it as a man whom I saw this morning in the underground. He was sitting on the floor with a great beard, his hair was not washed, a cigarette in his mouth and there was a bottle of beer behind him, at 9 o'clock in the morning! He did not wear socks and he was very dirty.

Kent describes the remedy this way, but with this description you will never think of the remedy when you see this man. He is a refined Sulphur type. He theorizes the whole time and tells how much he works and how much he knows and that he is the best, all the elements are there, but they are hidden, you do not see them clearly, until you listen very carefully and thinks about his behaviour. Then you recognize the real Sulphur type.

Some Sulphur people do not care about their appearance. You know the rubric "indifference personal appearance" (p. 55): one capital remedy: Sulphur.

MIND,INDIFFERENCE,personal appearance : Sulph.

Sulphur has a fine nose, a very good sense of smell, he smells himself. When he goes to the toilet and afterwards washes himself very profoundly, nevertheless he would smell his stool. They have a very fine nose and that is the reason why Sulphur women use so much perfume and make-up.In women with strongly make-up eyes and who use very much make-up in general, first you have to think of Sulphur. They smell their own body and to conceal that, because they think that other people will smell their perspiration, they use all kinds of possible perfumes.

A: It was remarkable: you have been unable to work for a complete year. I had the opportunity to treat you - I'm very grateful for that - and I have done it to prove that you can be cured with homoeopathic remedies. I visited at your home several times, wrote letters for the mutuality, and have remitted your treatment payments. I didn't care how much it would cost, I knew he would make it. This person is relatively young and my remedy is correct, so he has to get healthy again.

That was in 1982 and at that time I had to prove myself and Homoeopathy and at that time he has wrapped me around his finger.

At that time he came and said that he did not have money anymore, that he even could not pay the heating. He has a large house and a lot of money, but he sat there at a small fire, his wife also. His wife uses a lot of make-up. You smell her from 2 metres distance when she is coming.She came for flushes of heat and like she is, it is the same constitutional remedy he needs. Both play the same theatre.

And I, who was only thinking of Homoeopathy at that time, said that I had to cure this man and I was absolutely sure of my remedy, but he deprived me of the opportunity to cure him. Because what did he say? He said: "I haven't worked for almost one year, now I don't have money anymore, I don't even have money to pay the heating." And what did I do? I begged him not to go to the hospital or to another doctor and I gave him money so that he could pay the heating and buy something to eat. Within one year I gave him between 700 and 800 £ and nobody knew.

Do you see how egoistic this man is? He puts me in a situation where I did not discover that this was his way of acting to get more money for himself.

After he was cured my technician sent our little car that has had a small accident to him to repair it. For maybe twenty minutes he worked at the car he desired 50 £. He let me pay. I did not say anything, I have to pay everywhere, but it indicates his character, his egoism.

And previously he complained: "Doctor, I don't have money", and this and that and you walk into the trap and then you pay and give him money, because you think that they have to be cured. It is the same with Lycopodium people. They also wrap you around your finger, exactly the same as he does.

A: But it was remarkable, and I don't know whether it is a characteristic, that you are anxious about poverty?

P: Yes.

A: Does it mean a lot to you?

P: In a certain way yes. I come of a good family. They also had an independent profession. There are quite a lot of independents in my family, but more businesses. It is typical for my family. Therefore I also choose an independent profession. In a way ... yes... you live in a certain style which you are used to, and then fall back to poverty... Then I try to survive with all kinds of means, to make sure that nobody will notice it. There are so many little tricks. Even when you can afford you less, it must not mean that you are worth less or that you must dress yourself worse.

A: You don't do that?

P: No.

A: You like to be well-dressed, I thought.

P: Yes, I also like people who look decently. So, nothing with punk and so on. I like decent people.

A: You also like to drive a nice car?

P: Yes, my whole life long. A car that might be seen. It might be exaggerated, but not an old car, then I prefer none, or a bicycle or by foot.

A: You can discuss for hours, also when you come here?

P: Yes, hours and hours. Discuss and talk about certain things. Once I held a lecture about the art of waiting an oldtimer in the culture centre. They asked me: "Can you talk about that issue for three hours, do you have enough material for that?" So the whole project... I started to talk about that at 8 o'clock in the evening. I explained certain things and at half past 10 they were still asking questions. I continued, although they all looked at their watch. It was after half past eleven. It was a splendid evening. No one left before I finished. I could go on for hours about one issue. Maybe a little too long, but...

A: Do you have certain fears? Things, about which you worry? When I was at your home I had the impression that you were a little worried about your wife and children.

P: Yes, for persons about whom I care. It has nothing to do with my own family. It also might be strangers, a good friend, an acquaintance and so on, a person whom I like. Yes, at that moment I can be very depressive. When something happens to people whom I know well and who know me well, whom you sympathize with, it strikes me.

A: Is it a certain anxiety that something might happen?

P: No, I don't think so.

A: When your wife or one of your children is ill, I think I noticed that you are worried about them?

P: Well, anxious, I don't know... I want to help in a way.

A: Does it mean there is a kind of connection with the person? That you are over-concerned? Or worried?

P: I don't worry. Internally, I am worried, and then it reaches a certain point. But externally, I don't show it. When I have certain worries or pains, it remains internally. I show it other people as less as possible, also not my wife. She does not have to know that I feel bad.

A: Wait, we are deviating.

For which symptom did I ask? "Anxiety about others". In the meantime, everyone knows that it is Sulphur and Sulphur often has a strong anxiety about others, that we also see in Arsenicum, Cocculus, Phosphorus and Baryta carbonica. Sulphur also often has it, but I could not get it clearly out of him.

A: You have two sons. If one son...

P: One son and two daughters.

A: When there are healthy problems, do you think: "Maybe it is this, or it will develop to that direction, and then this or that." Do you think about that in this way?

P: No, I don't think so. It remains inside...

A: And with your grandson?

P: Then I am concerned. When there is something wrong with him, I want to know it instantly. I don't know why.

A: But then you want to know it immediately?

P: I want to know it. When he is better I am relieved.

A: It is at the same time...

P: Somehow... what do you mean with "anxiety"? What is the difference between "anxiety" and "concern"? And much love for the person whom you like?

A: When your wife is away with the car?

P: Yes, then I also have it.

A: What do you have then?

P: A certain anxiety feeling, especially when she says she will be back at a certain hour and when she isn't back.

A: Then you start to fantasy??

P: Yes, then I start to fantasy: just in case. And then the next moment: Man, what are you thinking about? Then I try to push the thought aside. She is driving the car for years, she is a good driver. No, then I think: Will something have happened?

That is exactly what Vithoulkas says about the anxiety about others. When the child is away from home and should be back at 10.00 p.m. and when it is 10.00 p.m. and the child is not there yet, Sulphur imagines that this or that has happened. He begins to theorize anxiously.

Here, we see that when his wife has gone with the car and comes back too late, he is anxious.

Also Phosphorus is in the rubric and you often mix it with Sulphur, because you think that he is so sympathetic.

But he is in no way sympathetic, he is egoistic - "egotism" (p. 39).In the rubric you see Sulphur, but the capital remedy is Platinum.

MIND,EGOTISM : Calc., lach., med., merc., pall., Plat., sil., sulph.

He only lives for himself, he only does what he wants to do.These are people who live all alone in the mountains or in the wood, only for themselves, they sit there with lots of books and study, study and think - maybe Einstein was Sulphur.

These are also the monks who are sitting there and they have enough with themselves. They do not need other people, because they think, that they are the best and have the best theory.

Why is Arsenicum anxious about others? The essence of Arsenicum is the security, they need security, that is the central theme of Arsenicum on all levels.

Then there is another important remedy that we often mix with Lycopodium. There are many people who have studied and are a teacher now and you know the remedy for teachers is Lycopodium.But when the self-confidence is diminishing and the anxiety about children and wife increases, then it is Baryta carbonica.

Normally, it is a consequence of exhaustion after too much study. They have to study of their parents, and then the indecision starts, not being able to decide. "Will I become a teacher or will I work at the bank?"

Besides, you also find the anticipation fear, like in Lycopodium.

Usually, they are bald, you even see this in young people. Baryta carbonica, these are very intelligent people, mathematicians, but they do not have self-confidence. At night they lie in bed and are anxious and you think of Arsenicum: and you think, they are avarice, because they say they need so much and so much money, because they have four children. But it is Baryta carbonica. They become anxious because of all possible trivialities: they do not have enough money, they are not able to teach; they doubt at themselves. Or when they want to buy a radio they can not decide which radio they want to buy. They doubt, doubt and doubt, and then the anxiety, that is Baryta carbonica.

You can mix up Baryta carbonica and Arsenicum, because often the difference is not very big. They look like Lycopodium, but they suffer a little bit more and have a larger irresolution. That is Baryta carbonica.

What do you have to ask to be sure it is Baryta carbonica? Whether they have had thick tonsils in their childhood, whether they have had tonsillitis and whether the tonsils have been taken away. I do not know whether you push the symptoms inward by taking the tonsils away, in the direction of lack of self-confidence and the irresolution. In most adults who have had Baryta carbonica I have seen that they have their tonsils taken away in their childhood. I do not know if there is a relation, but anyhow, Baryta carbonica is the most important remedy in swollen, thick, chronical swollen tonsils.

A: That's it. Did it ever happen to you that you imagine that something would have happened?

P: That might have happened.

A: Do you see it before your eyes?

P: No, no.

A: You are a person who likes a beer?

P: In some measure.

A: It doesn't matter how much or little, but about the desire, the thirst.

P: No, I can't say.

A: Don't you like to drink a beer?

P: No, then the circumstances have to be in accordance. I prefer a whisky or things like that. I prefer something little and strong.

A: Something strong.

When you go out eating you can observe quite a lot. In Greece I went out eating with someone and his wife was complaining about acne. I ordered fish, he also and his wife meat. 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.

In Celle I went out eating with someone who wanted to have a remedy prescribed for him. We were eating asparagus and with asparagus there is always melted butter. There was a small dish with melted butter, but that was not enough for him, he wanted another one. Then, they brought the beer and he drank it in one draught. I knew which remedy he needed.This remedy drinks beer in one draught and they can drink two, three beers after each other. It is not like Phosphorus who drink so quickly because they are dry. I don't know why they do it, but they do it. And they eat fat, fat meat and highly seasoned food. They have dark red lips and a plethoric appearance, then you know the remedy. You do not need to talk much with them, the observation is sufficient.

P: I prefer something strong. But there must also be a background. Then I also think in advance, what I have to do the next hours. When I am in a company, invited or so, and I have to drive home with the car, I drink very little; then I drink nothing. Or I say: "Until that hour so and so much." Then nobody can trust upon me. I have my own style. Two, three, four until that hour and then I have to be sure, that I can eat something.

A: Why?

P: Because the alcohol you have in your body will be neutralized.

A: Are you hungry then?

P: No.

A: Can you bear hunger?

P: Yes, very well. I can eat nothing for days.

A: You don't notice anything?

P: No.

I don't believe him. He says, that he do not need food for days, but I am sure that he has an emptiness in his stomach at 11.00. And I am sure that he will faint from hunger or gets headache from hunger when he does not eat for one day. And this feeling of emptiness is absolutely there, there is no need to discuss it further.

A: So, you prefer whisky.

P: Yes, to beer.

A: And brandy?

P: No, I drink brandy when I have a cold or so. Before I go to bed I drink a good brandy. It works better than whisky. Then you can go in bed and perspire...

A: Do you perspire much at night?

P: Then, and the next day my cold is loose.

A: You never have headache?

P: No.

A: Can you lie in bed as long as you want?

P: Yes, but normally it is different. When I have to wake up at 6.00 o'clock I am there at 6.00 o'clock.

A: At what time do you usually get up?

P: Usually at half past 8, 9 o'clock, but I don't go to bed before 1.00, 2.00 o'clock.

A: Even when you go to bed at 4 o'clock?

P: Yes.

A: Then, you don't lie in bed until noon?

P: No, no. I might lie down in the afternoon, when I don't have anything to do.

A: But not stay in bed until noon?

P: No, I can't.

A: Why not?

P: In the morning I am awake at a certain hour. Then I can turn around a little, but I can't sleep anymore.

A: Then, you have to get up.

P: I have to get up.

A: You have never lain longer in bed?

P: No, that was seldom.

A: You can't?

P: I can until 9.00, 10.00 o'clock. Between 9.00 and 10.00 I get up and do the necessary things. I might lie down in the afternoon at 1.00, 2.00 o'clock for a few hours.

A: But you have to get up at a certain hour?

P: Yes.

A: When you stay longer in bed, you...

P: No, it has no sense, because I think about this or that I have to do, about my taxes and so on. It has absolutely no sense.

What was I looking for with sleep? For which rubric? You know the weekend-headache, that is 90% Sulphur headache. And why? Because in the weekend they stay longer in bed and Sulphur gets headache from prolonged sleep. They feel very bad, when they usually get up at 8.00 o'clock and in the weekend they sleep until 10.00 o'clock. "Long sleep agg." (p. 1402; General p. 1156), that is one of the most important key-notes of Sulphur, this weekend-headache.

GENERALITIES,SLEEP, long agg. : Ambr., anac., arn., ars., asaf., bell., bor., bry., calc., camph., carb-v., caust., cham., cocc., con., dig., euphr., ferr., graph., hep., hyos., ign., kali-c., kreos., Lach., lyc., mag-c., nux-v., ph-ac., puls., rhus-t., spig., stram., Sulph., verat.

In the rubric "long sleep agg." are two remedies capital: Lachesis and Sulphur, Calcarea is only two capital.

A: Alright. You just told me that you liked something strong. Does this also concern your meals?

P: Yes, I like a little mustard on my meals. There might also be pepper on it. A little highly seasoned, I like that. Insipid, no! Always and everywhere I want salt on my meals - even when I am on a visit, as they told me. Yes, I like salt.

A: A little hearty?

P: Yes, insipid meals are nothing for me.

The strongest desire of this remedy is highly seasoned food, then fat, but they can also have an aversion to fat. It is not in the rubric "mustard". A combination of fat and highly seasoned food indicates this remedy very strongly. Normally, they have an aversion of fish. It is not in the rubric "desire fish", but nevertheless they can have it.

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: And you don't like fat?

P: The liking is at the moment second-rate. The cholesterol in my blood is too high, that's why I may not eat it. Now and then, I like it very much. Previously, I have eaten it with a spoon, it couldn't be fat enough.

A: And the fat rim of the meat?

P: Everything, it couldn't be fat enough. But I never liked fat meat, the rim of fat. Well-baked, the meat has to be well-baked. But the juice or what you call it, couldn't be fat enough. I don't like it diluted.

A: And sour?

P: Less. When I am in the mood I like it. For a long time I didn't like it. Sometimes a collared herring or a sour herring, but that is only for a change.

A: Repeatedly?

P: No.

A: Do you drink with small draughts or long draught?

P: No, no.

A: And when you are thirsty?

P: No, never, also when I am thirsty. When I am really thirsty and I have a glass of beer or so, it seldom happens. Especially in summer, when it is warm, then I drink it in two or three draughts. I will never drink it at one draught.

Be careful! I asked him whether he drinks in small draughts or drinks his glass at once and he says: "I never drink my glass at once, never!" and then he starts to theorize: "But in summer, when it is warm..." Be careful, this remedy wraps you around your finger, they play theatre.

I remember that one of my female colleagues from the Centre begged me to see a patient who came for a depression. She already gave her all kinds of remedies, Ignatia and all kinds of grief remedies, but nothing helped. Now, she came on a Sunday and told me her story. I sat there and thought: "My God. That is not Natrum muriaticum, that is not Ignatia...", and then suddenly she put her head on the shoulder of her husband who was sitting next to her. I had the feeling that it was not real, that it was only theatre. I asked her, why she put her head on his shoulder. Her husband immediately said: "That is every time when she sleeps too long, every Sunday she wakes up with headache." Then the remedy was clear - Sulphur 10M and two days later everything was over. You feel that the suffering, the depression is not really deep, it has something theatrical.

A: On which side do you sleep?

P: That is different. I wake up regularly at night.

A: No, no, I mean to fall asleep.

P: To fall asleep. Then I have to say 70% on the right side, 20% on the left side and 10% on the back.

A: To fall asleep?

P: Yes, that is different.

Even when he tells you this about 10% or 30% or 70%, it is theatre, these are clichés.

A: You said, you often wake up at night?

P: Yes.

A: Is it regularly?

P: Yes. I rather have a lot of problems with that.

A: How often?

P: Three to four times.

Do not forget: "Frequent waking after midnight", Sulphur is capital, the catnap. They wake up, fall asleep again, wake up and sleep again after midnight - "sleep, frequent, midnight, after" (p. 1256; General p. 1036).

SLEEP,WAKING,FREQUENT,MIDNIGHT,after : Am-m., grat., mag-s., mez., sep., sil., Sulph.

Remark: "But he always goes to bed after midnight."

A: Yes, but do not take this as a symptom. You have to take it, because he often wakes up after midnight. You must not theorize. You have to take it the way he says. It is the same, whether he goes to bed at 10.00 o'clock or at 1.00 o'clock, if he often wakes up after midnight, you have to take this as a symptom.

A: Do you also dream?

P: No, only when I am ill, while perspiring. Then I am wet through, and I have fever. They say: "You said something last night."

FEVER,NIGHT,perspiration, with : Agar., alum., am-m., ant-c., Bell., bor., bry., calc., caps., carb-an., cedr., cina., colch., con., ferr., glon., ign., mag-c., mag-m.,Merc., nat-m., nit-ac., nux-v., op., Phos., psor., Puls., Rhus-t., sabad., sep., staph., stram., Sulph., thuj., verat.

A: While sleeping?

P: Yes, while sleeping. About something, but I can't remember. Otherwise I never dream.

A: Do you have nightmares?

P: No, I don't know.

A: Have you ever been in the mountains?

P: Yes.

A: And how do you feel there?

P: I suppose, like every other person. I wouldn't do anything else.

A: Do you like to go into the mountains?

P: No, no problem. I prefer adventure. I would like to do the 1.000 km of Switzerland, but my wife is a little too anxious. She has fear of height. That is the problem.

A: To drive with the car to Switzerland?

P: Of course. I would like to do it once. I have already missed many youth-dreams.

He is a dreamer.He wants to go to Switzerland high in the mountains. "When I was young, I dreamt of it" and you see, he is still a dreamer and makes plans.

Normally, Sulphur has fear and vertigo on high places, that is the key-note. Do not ask it immediately, try to ask it from behind and ask whether they love mountains and things like that. Another important key-note is, when they say, that they can not sleep on the back, because then they have nightmares. "Nightmares while sleeping on the back" is also one of the important key-notes of Sulphur. Look at "sleep, dreams, nightmare, lying on the back" (p. 1242; General p. 1025). That is a very important key-note. Often they say: "I wake up in the morning and when I fall asleep again, I lie on my back and wake up in a nightmare."

A: When you walk over a bridge and water is running underneath and you look downwards... no problem?

P: No, I could even jump.

A: You are never dizzy or so?

Another rubric is "walking over the bridge, looking to running water" (p. 106). That is especially Sulphur. When they are looking from the bridge to the running water, they get vertigo.

P: On that level, no. Walk over the ridge of a roof, to change the T. V antenna or to change the position, to climb into the highest tree so that the branches sway to and fro, that is no problem.Walk on a high bridge at the edge of an abyss. I could sit on the railing. There might be a depth of 50, or 100 m, I don't care.

A: Is there something you disgust?

P: Yes, I do.

A: How do you mean?

P: When I go eating somewhere in a restaurant, hotel or so, then I am inclined to clean my cutlery with my serviette ( table napkin ). That might be noble. I do it under the table, because that is a little bit comic.

Which rubric is this in Kent? "Disgust" (p. 37).

Sulphur has a very fine nose, when he sees or smells something in his plate, for example, a hair, he does not eat it. Sulphur disgusts very easily. When he, for example, goes home drunken and sees someone vomiting, immediately he begins to vomit. He is so easily disgust. He smells it from a few metres distance and begins immediately to vomit. This disgust is a very important sign for Sulphur.

P: You can ask my wife. I am now about 40 years married - when did we marry? 1950? 37 years. As long as we are married, I have never used a cup or a glass she used before.It is crazy, but it is so; her fork, knife, that is her cutlery. And when I don't have cutlery I won't use hers. Why? I don't know. Then I take clean cutlery. I do not say it is disgust for each other. I don't know in which category it belongs. I absolutely don't disgust her, otherwise I wouldn't have hold it out so long. The same with my grandchildren and so on, with someone else. It is impossible. I will never pull at the cigarette of someone else. That's impossible, even when I know him very well.

A: Can you bear the sun?

P: Yes, but I can not lie in it. I begrudge the time. I have so many things, for example, a sunbench, I have never lain on it yet.

"Begrudge the time", all proverbs, he has time enough.

P: To lie half an hour on the sunbench, I think it is a waist of time. There is so much to do. I would like to accomplish so many things in my life. I know it myself, that it is impossible to do it. I have many projects of which I dreamt as a boy, but which have been delayed, and afterwards because of certain circumstances I had to give them up.

A: You make a lot of plans in your life?

P: Yes, I have made very much plans. When I want to go somewhere, I make accurate plans.

A: I mean, in the sense of: I must do the 1.000 km of Switzerland.

P: I must do so... For a long time I had the idea, or better the dream...

A: You are really an idealist.

P: Yes, I dream of building a car for myself. But in Belgium you don't get a license for that. That's definitely and therefore I can't. I have bought cars for that purpose, to demolish them and to build a new coach-work - according to my own ideas. Do you understand?

A: Yes, yes.

P: At the moment I have built a real car for my grandson - you should see it yourself. It is only two meters, with everything on it. I have also made plans to build a boat. I could so, but I don't have time for it. A boat for four persons, in which you can sleep. Because my wife doesn't want to go in the sea, doesn't like water in general, and can not swim, you have to decide for this or that.

A: Are you easily chilly?

P: No, never. It happens seldom. I can bear the warmth worse. I perspire easily.

A: Is the water in your bath cold, warm or luke?

P: Luke. I don't like the warmth well, but I neither like the cold.

A: It must have the exact temperature for you.

P: Yes.

That is very important. Everyone thinks that Sulphur is warm-blooded. That is right. Sulphur is warm-blooded, but at least 30% of the Sulphur people are chilly in general. Do not forget that. We have many, many Sulphur cases where the people are chilly, and they often think that this can not be Sulphur, because he is so chilly. But do not go away from Sulphur, because he is chilly.

Second, Sulphur can not bear very hot or very cold water. Often, they do not like to wash themselves, they are afraid of water. They put their toe in the water - "iihh, that is too cold', then they put it again in the water - "iihh, that is too warm". It must have the right temperature.

A: As a child, did you ever have eczema?

P: No.

A: Itching?

P: Never.

Sulphur is a psoric remedy. When you ask and you insist they tell you they had eczema as a child. That is an affirmation to prescribe Sulphur.

A: And at the feet?

P: I have a spot at my feet, but it only exists since a few years.

A: Since when?

P: Since three years.

A: So that appeared after the treatment.

P: Yes, it is so scaly, especially with warm weather, when I wear closed shoes. First, there are vesicles that break open.

A: We have treated you. You couldn't work anymore, lift up your arm. You walked like a monkey, the arms away from the body.

He has really walked like a monkey. It was here and there swollen, the knee, the feet, he could not climb stairs. All his joints were swollen and inflamed. Not acute inflamed like Belladonna, not so red, but swollen and slight red, but not hot.It was terrible. He could not turn in bed, other people had to turn him.

A: How much percent have you improved in the meantime?

P: 90%. I can not say 100%. There are certain things which I absolutely can't do anymore.

A: You couldn't lift up your arms anymore, how is it now? Please stand up.

At that time it was impossible, he just could not do it.

P: Well, I can ...

A: So, that is beautiful. Also lift them up sideways? That's good. I notice a few knots.

P: Yes, a few on my hands. But this changes from day to day.

A: Previous it was completely swollen, thick. The joints of the hands as well. Here, we notice a little swelling, a soft swelling. It is not a hard swelling. And it is different from day to day?

P: Yes, it can be different, but it depends on what kind of work I have done.

A: This hand is better, isn't it?

P: That is better.

A: Because there were very thick knots.

P: There were very thick knots, so that my fingers were spread. I had to take off my rings. And it differs from day to day, according to the work I have done. With a very heavy hammer or when I cut wood with an axe, then I know that I will have thick hands at the end of the day and that they hurt.

A: Then you have challenged it.

P: I started at zero. These were times that I was hopeless. I wasn't sure whether I would make it or not. Then, slowly I came out of the depth. After one year it was 60% better. But when I saw that it became better, I had the courage to persevere.

He was only cured after one year of very much suffering. He had a very severe aggravation, so that he had to stay in bed. It was because of the Cortisone he took previously.

I give you a good advice: never accept persons who used Cortisone when you work alone. You will suffer very, very much. Send people with Cortisone away. There are so many other people who have never taken Cortisone and where you have much faster results.

It is the same with asthma. It is very, very dangerous. When they have taken Cortisone and you stop it, they can get a deadly aggravation. So, do not take them.

The reason why he had to stay in bed so long was the Cortisone. In Homoeopathy it is the problem that we do not have beds for the patients. The hospitals of the allopathic medicine are hotels. The patients can stay there a long time, because it is paid by the assurance, in Homoeopathy it is different. I do not think that he would have such a long aggravation if he did not have Cortisone. Indeed, it was for half a year that he could not walk at all and then it improved slowly. And now he is doing well since a few years. Now, we are 1988 and I saw him last week. He is definitely cured, there is no discussion about that. Since then he never had a relapse, never.

Question: "... (about the height of the potency)?" (not understandable)

A: I started with Sulphur M and went up to CM. I have given him at least 10 or 12 times Sulphur, each time a higher potency. Every time when I thought that he had a relapse I repeated Sulphur. But I am sure that it would not be necessary. You do not have to give it every time, it was because of fear, it might be better for him to give him once more Sulphur. One Sulphur and may be you can repeat Sulphur after a real relapse, that would have been sufficient, but in chronic rheumatic diseases, where it is very bad, it is difficult to know whether the patient has a relapse or not. That is why I repeated the remedy a few times, every three months or so. Maybe it was not necessary, but I have never given another remedy, only Sulphur.

I am sure that you can repeat the remedy without any harm or problems as long as it is the right remedy and the patient needs it. When he develops from one remedy to another, there is an aggravation and at the end you return to the starting-point. You can repeat an indicated remedy and there is no problem.

I have given this man a few times Sulphur up to CM. Yes, M, 10M, 50M and then CM, but every time only one tablet.

Question: "...about aggravation?"

A: Yes, that is what I said it is difficult to recognize.

First, they take Cortisone, you stop it and then they come into a very bad situation. The feet, the knee, the finger and other joints swell and they have very severe pains. You have to go through this aggravation, but it is an aggravation of a few months. Then it is difficult to differentiate, whether it is better, or whether there are relapses. And then in the meantime I gave him another dose of Sulphur. But now, he is better since a few years, he has not have any Sulphur, unless he relapses. One week ago he had a bad ischias and I repeated Sulphur; but as long as there are no problems, he does not get a remedy.

Normally, you can repeat the remedy in a relapse, but often it is difficult to judge, because then he is bad in general.

Question: "When can you repeat?"

A: Yes, in other situations you may not repeat the remedy, unless there is a real relapse. I agree, we also say so. But often it is difficult to know whether it is a relapse or not. It is better to wait and see, whether it is a real relapse. And when you become afraid in a relapse and it becomes worse and you want to give the remedy in time, you will not have problems, if the remedy is indicated; if it is not indicated, you will get problems.

Question: "When do you repeat? When he is bad for one day or several days or for how long?"

A: No, only when you have the feeling he is going downward, but it is very difficult in chronic progressive polyarthritis. The only criterion I usually take is the sleep. As long as they sleep well I do not touch the remedy; but when they get pain at night, I repeat the remedy. This is for me the most interesting criterion in PCP to repeat a remedy.

Question: "What about cases who had Cortisone in repeated cases? Is it advisable to give them homoeopathic remedies in Cortisone-free periods?"

A: No. If Cortisone suppresses the disease, it means that this man is not so strong, because you can suppress his disease. Then you have to stop the Cortisone and the old symptoms appear again with the danger of bleedings and things like that.

You say that you can treat the patients in the Cortisone-free period, but if the Cortisone has suppressed the symptoms previously, your remedy will do nothing, nothing at all. In Homoeopathy you give a remedy for symptoms which are there; if you take a remedy that suppresses the symptoms, your remedy will do nothing, because the symptoms are not there.

When the disease is suppressed you can do nothing with your remedy. It is another thing when there appear symptoms because of the suppression.

Question: "What about painkillers?"

A: If they take the pain away, they are suppressive and then you have to stop those painkillers. If your homoeopathic remedy is correct the patient can stop those painkillers; if your remedy is wrong, he can not stop them. We have to be flexible. I don't know if you were at the first seminar in Augsburg. The theme of that seminar was "flexibility" and "reflexibility". This means that we have to be flexible to have reflexes - that is the reason for this kind of teaching - so that immediately like a reflex the remedy becomes clear, but that you remain flexible. If there is a Rhus toxicodendron-pain, you have to give Rhus toxicodendron and then comes the Sulphur state which have been suppressed by the Cortisone. By giving Rhus toxicodendron you take the ischias-pain away and you give energy to push the chronic disease outward and then he asks the next remedy.

We have to be flexible.

There are people saying that a person needs his whole life the same remedy, but that is not right. I will give you other examples. If someone needs Sulphur for his chronic disease, and one day he will get an influenza he will need Baptisia.When he does not get it, he can die of an acute influenza. Or he will get an encephalitis when he has been treated with Cortisone. He will get in the neurology, becomes unconscious for three months and then he will die - only because you did not give him Baptisia. Or when he would have been all right with Sulphur and he would have had an accident and we would have seen him with a snoring respiration and open eyes, he would have needed Opium. Without Opium he would have died. Or if he would have had a whiplash and he would have been lying there with extended head and with extremities turned inward. Do you know this kind of state, this kind of convulsions? That is Hypericum, for a base-brain-accident you need Hypericum.

This means that we have to give the right remedy at the right moment, and later you may return to your constitutional remedy, why not? It is possible.

Question: "Could you stop all allopathic remedies? In every case? With every patient?

A: We stop all the allopathic remedies in every case, unless maybe with old, arteriosclerotic patients who have no complaints with antihypertensive remedies and who have a very high potency, they can continue taking those antihypertensive remedies. Even with most patients we saw that they felt better after we have stopped the antihypertonic remedies, even when they have a hypertension of 18 or 20 kpa.

It is something different with a substitute therapy, for example, Insulin. But in 80 or 90 % of the cases you should stop all the medicines.

Question: "Why no Q potency?"

A: They say that Q potencies are mild in action and I have seen very strong aggravations from Q potencies. And I have also seen very strong aggravations after C potencies. But with very high C potencies I have no aggravation, but immediate cures. Therefore, I do not know whether Q potencies really work so mild. We only give very high C potencies.

Question: "You have stopped all the rheumatic medicines..." (not understandable)

A: Yes, you should stop all the antirheumatic medicines, because if your remedy is correct you give him energy that he could stop them - but your remedy has to be right, that is the big question. But even if your remedy is correct and you stop the medicines you can have problems. Personally, I am afraid. Cortisone is the only medicine I am really afraid of, because I have seen big bleedings in the skin after I stop the Cortisone. I had to give Carbo vegetabilis and things like that. At the end the patient was cured. It is not because allopaths give Cortisone, that homoeopaths have to go to jail. The damage caused by the allopaths has not to be blamed to the homoeopaths. Therefore it is better to keep your hands of, if you are not sure.

CASE 2v2

Acute inflammatory swollen leg

Sulphur

MAN, 43 YEARS OLD

This is an acute case and I remember that some homoeopaths said that you should never prescribe minerals in acute cases, but only vegetarian or animal remedies. To me "similia similibus" is the only valid law

This man has an acute, inflammatory swelling of the leg with pain on the tibia after a blow, maybe you could call it a myositis

A: What happened yesterday? Since when do you have complaints? You have pain in your leg and it is swollen.

P: Yes, today it is Monday and I have complaints since last Thursday, but then it was less bad.

If it would have appeared more quickly I would have given which remedy? Aconitum. But the development here was too slowly

A: When did they kick against your leg?

P: Last week, Saturday.

A: So, that is 8 days ago.

P: Last Thursday, I didn't have much complaints. It was a little swollen, but I continued with Judo.

He is a male nurse and I know him for about 20 years. You see that he ---is very suspicious

A: Let's have a look at your leg...

While examining it we see that it is red, the whole part here; and it is warm.

P: It is a little bit yellow.

The swelling is difficult to recognize, but you can see the redness

A: Does it hurt while touching?

P: Yes. You touch it very carefully. But here, everything is stuck.

A: Yes, indeed you feel the heat from a distance. And it is also swollen.

Which remedy do we think of when you can feel the heat from a distance, when it is red and swollen? Of Belladonna- and it is on the right side. Belladonna has the preference of the right side, like Apis and others. But Belladonna has to have an aggravation from slight touch. That was not so clear in this case

Besides, we see a kind of yellow tint. Which remedy has this yellow skin tint after an accident? Arnica. First bluish and then yellow. Arnica is also sensitive to touch, not to very slight touch, but touch is painful. That is the reason why Arnica can not lie on a hard surface. You know the rubric "bed feels too hard": Arnica, Baptisia, Silicea..

GENERALITIES,HARD bed, sensation of: Acon., agar., Arn., ars., bapt., bar-c., bry., caust., con., dros., ferr-p., ferr., graph., ip., kali-c., lyc., mag-c., mag-m., manc., merc., nux-m., nux-v., op., phos., plat., puls., pyrog., rhus-t., ruta., sabad., Sil., spong., stann., sulph., tarax., thuj., verat.

Lachesis is sensitive to the slightest touch, besides there is another remedy that can not tolerate when the knees touch each other at night, that is Mercurius. And Lac caninum can not tolerate when the fingers touch each other, they have to spread the fingers

The third modality of Belladonna is the aggravation from motion, the slightest motion causes pain. But here, I could not agree with Belladonna, because the heat and the sensitivity to touch were not strong enough

A: So it happened a week ago. Immediately after the blow you didn't notice anything?

P: Yes, I did. Suddenly, I got very strong pains, but I haven't taken care of them. I didn't have such pain that I couldn't do things normally. Tuesday, I ran and I didn't have complaints, Thursday I did Judo, Friday I ran. Then it became worse.

A: Has your leg been operated on previously?

P: Yes, the varices have been removed.

A: We may be sure that it is caused by an accident, I mean by a blow.

P: I couldn't think of anything else. Maybe, I have made it worse by continuing the usual things.

A: You said you had fever last night, didn't you?

P: Yes. I feel so miserable. As if I have influenza and fever.

A: Did you sleep well last night?

P: No, not at all.

A: What do you mean?

P: I woke up very often. Then, I always had to turn on the other side, although on the left side...

A: Restless at night.

P: I got out of bed once.

A: And what about dreams?

P: Yes, dreams, but so forced, I don't know. Real miserable dreams, yes. As if I couldn't hold my thoughts together.

He has dreams or a kind of delirium, as if he could not hold his thoughts together. That is a symptom for which remedy? For Baptisia. When someone can not hold his thoughts together and he has to turn around the whole time, that is Baptisia

A: A kind of delirium. And always busy with something and can't get the thought.

P: Exactly. It returned the whole time. I even don't know about what.

A: And restless?

P: But really strenuous dreams. I even got a slight headache of it, and it disturbed me while sleeping.

A: Is there a certain position in which the thoughts which you can't control, appear enforced?

P: I think I dream more when I'm lying on my back.

A: Now also, last night?

P: I think so.

You must have feeling for Homoeopathy. Every remedy has a certain picture. When you see this picture, it is also the remedy. I do not agree with Belladonna and now I see the way he sits, his hair - which are not well-combed.He has a rather high position, a kind of director in a school. He makes me think of a certain kind of remedy, I have the feeling that he needs this remedy and this feeling makes me to follow a certain way to find out whether he really needs this remedy or not

He says that he has fever and wakes up at night. Many remedies often wake up at night, but especially one. And then he says spontaneously that he wakes up from dreams when he is lying on his back. In the Repertory "sleep, waking from dreams" (p. 1255) and "sleep, waking frequent", there is Sulphur capital

SLEEP,WAKING,dreams, from : Agar., arn., atro., aur., bad., bar-c., bell., bry., cham., coca., colch., coloc., gran., graph., hep., hyper., lyc., lyss., mag-s., merc., nat-m., nux-v., ph-ac., phos., plan., puls., sars., sil., stann., staph., Sulph.

I have chosen this case, because we do not think about Sulphur in acute cases. For example, in influenza, where the patient is very hot, very congestive, everyone thinks of Belladonna. Sometimes the feet are warm and sometimes they are cold, but when the feet are cold during fever, and the patient is congestive, we give Belladonna. But there is also Sulphur. If you look in "coldness of the feet during fever" (p. 963)

EXTREMETIES,COLDNESS,FOOT,fever, during : Am-c., arn., ars., bar-c., bell., bufo., calad., calc., caps., carb-an., carb-v., chin., hell., ign., ip., iris., kali-c., kali-s., lach., meny., nux-v., petr., ptel., puls., ran-b., rhod., samb., stann., stram., sulph.

you also see Sulphur. Mostly, Sulphur is warm all over. The difference between Belladonna and the Sulphur congestion is that Belladonna is not so deep plethoric. Behind this Belladonna state you see this Calcarea child

Calcarea children are Belladonna in acute cases and Sulphur usually gets a Sulphur fever. Calcarea can also get a Calcarea fever, but mostly in acute, very congestive fever Calcarea children need Belladonna.

In very acute fever Sulphur needs which remedy? Aconitum, and Aconitum is then pale, anxious, restless and it comes suddenly

Here, it is the case of someone who says that it started a week ago, after the blow. But a few years ago he has been operated on this leg, this means, we are dealing with a chronic case, an acute exacerbation of a chronic disease. Therefore, we have to think of a very deep acting remedy

A: So, when I turned on the right side, I lay quietly, but not for a long time.

We know this kind of restlessness of Rhus toxicodendron and other remedies. First, they lie on one side, they have the feeling that the bed is too hard and a few minutes later they turn to the left side; they have dreams in which they are very busy, a kind of delirium, not really a dream. They say that it is between waking and sleeping, it is not really sleeping. They have to be busy the whole time and they work, work - "Delirium, busy" (p. 18; General p. 15).

Mind,delirium,busy : Bapt., bell., bry., camph., hyos., rhus-t., stram., sulph.

Which remedy do we think of? Of Baptisia. Baptisia tries to get the pieces together, they are very restless and have a kind of wild feeling, a sensation of wildness. They sometimes express it this way. It is also in the Repertory. If you look under "head, wild sensation in the head". Baptisia is there. They can not keep the mind, the brain together and they have to work the whole time, being busy

A: Does your breath smell? Open your mouth.

Why do I ask this question? Again because of Baptisia. Baptisia has this bad odor from mouth, do not forget that. The first remedy in bad odor from mouth is which remedy? Mercurius, with white and flabby tongue

Baptisia also has this bad odor from mouth, this stinking flatus, this stinking perspiration, the restlessness of Rhus toxicodendron and the busy dreams of Bryonia. Mercurius, Rhus toxicodendron and Bryonia together, that is Baptisia

If you doubt in a case whether it is really Mercurius, because he is so restless at night, think of Bryonia, because he is so thirsty, but the restlessness does not fit here; also Rhus toxicodendron, but Rhus toxicodendron is not so thirsty and then Mercurius because of the bad taste in the mouth, but Mercurius is not thirsty...

You are not satisfied with any decision. Then you see: tired, like besotted: Baptisia

These situations appear more often than you know; also in fever and influenza in pregnancy. First, think of Baptisia, because it is a remedy for abortion due to the fever

A: The tongue is not coated. Do you have headache?

P: No, not particularly. But I still feel bad.

A: Tendency to vomit?

P: A little, it doesn't really come up.

A: Did you perspire last night?

P: Yes, warm, cold. Although not so much, I thought that I would perspire more. I hoped so.

In the rubric "extremities, coldness, foot, during fever" (p. 963) you also see Stramonium as a differential diagnosis with Belladonna

fever, during : Am-c., arn., ars., bar-c., bell., bufo., calad., calc., caps., carb-an., carb-v., chin., hell., ign., ip., iris., kali-c., kali-s., lach., meny., nux-v., petr., ptel., puls., ran-b., rhod., samb., stann., stram., sulph.

Do you know what Vithoulkas says? If you have a clear Belladonna picture, but Belladonna does not act, then you give Stramonium. The differential diagnosis between Belladonna and Stramonium is very, very difficult

In this rubric you see Sulphur two and there is also Arnica. Arnica after an injury with cold feet

A: Are you easily warm?

P: Yes.

A: You can't let your leg hang down, you have to lay it upward?

P: I can let it hang down, but then it hurts.

Where can you find this? He can not let his leg hang down. "Extremities, hang down, letting limbs, agg." (p. 1009).

EXTREMETIES,HANG down, letting limbs, agg. : Alum., am-c., berb., Calc., carb-v., caust., cina., dig., hep., ign., lyc., nat-m., nux-v., ox-ac., par., ph-ac., phos., phyt., plat., plb., puls., ran-s., ruta., sabin., stann., sul-ac., sulph., thuj., valer., vip.

Vipera is the first remedy we have to think of, because maybe also in this case we are dealing with a venous thing

Sulphur is there, Calcarea is capital. They can not let the arms hang down, they have to put the arms on the same level as the shoulders

A: Was it covered up last night or did it lie bare?

P: Under the covers.

A: You didn't have to cover it up?

P: No.

A: I have the impression that you easily have perspiring feet, or not?

P: That might be, I don't know. Maybe a little bit.

A: Do they sometimes stink?

P: Yes.

A: Do you have fear of height?

P: Yes, very much.

A: Are you dizzy when you stand high?

P: Yes, exactly. Now, you find something. That is not so good.

He has found out something, he says to me, that I have found the remedy. He is very suspicious. He is a male nurse and is suspicious of Homoeopathy. I have treated his wife and his children, but he is very suspicious of Homoeopathy. Now, he is sitting there, doubting the whole time and suspicious and now he smiles, because I am so enthusiastic

A: Did you ever have eczema?

P: Yes, I did.

A: It is the first time you come here in treatment. You come here, because your wife and children are here, but you haven't been here yourself.

Mostly, Sulphur has had eczema in the past.When the eczema has gone, mostly it has been suppressed. But it is very important to ask for it to be sure of the remedy

A: I have to ask for it quickly. When did you have this eczema?

P: Four, five years ago.

A: How did you treat it?

P: At the beginning... I saw a dermatologist and I have some examinations done. And antioxidants.

A: Have you used Cortisone?

P: Ointment, only for a little while, not long.

A: Then, the eczema has disappeared, or does it return now and then?

P: It returns now and then. Between the fingers and so. These vesicles. But not so strong. At that time it was stronger.

A: Are you warm-blooded? I mean, can you easily bear the coldness?

P: Yes.

A: Do you sleep on the left side?

P: On both sides.

A: Left and right. To fall asleep?

P: On the right side to fall asleep.

A: Not on the left side? On which side lies your wife? On the other side?

P: We lie against each other.

A: What about your appetite?

P: It is all right.

A: What kind of food do you prefer?

P: There is not so much that I don't like.

A: Do you like something sweet, or...?

P: Both. Now and then I like something sweet, but not so much. I also like highly seasoned food. Italian and things like that.

A: You don't eat the fat?

P: Eh, no.

A: What about sour food?

P: Sometimes.

A: Not particularly. You like to drink a beer?

P: I haven't drunk much?

A: You don't like beer?

P: Yes, I do.

A: Do you drink in small draughts or at once, in large draughts?

P: I drink much. In fact, I drink the whole day. There were a few years that I drank more beer, but that was when I was together in a group of friends. Not out of myself, I won't easily go easily on my own...

Sulphur is the social drinker. Mostly, they do not drink alone, but together with others. They drink and like to discuss. But they also drink secretly. Sulphur is also the alcoholic who drinks and nobody knows it. And they drink strong things like brandy, whisky or things like that.But mostly, they drink in company, they are social drinkers and not the anticipating drinkers

Who are the anticipating drinkers? Natrum muriaticum is one.He has to drink to be able to talk. A second remedy that drinks because of fear is Medorrhinum. Medorrhinum is the anticipating drinker. Medorrhinum is also egoistic.Medorrhinum often has the appearance of Sulphur. They put the feet out of the covers, like Sulphur does. Therefore we miss the prescriptions. But Sulphur has not so clearly the anticipating fear

A: I will give you a remedy now.

P: You are really enjoying yourself. Now, you must tell me why.

A: I'm always enjoying myself when I find the remedy in a patient.

P: What kind of person am I now?

A: It doesn't matter.

P: I want to read about it.

A: Now look, first I have to prove it. I give you a remedy and you let it melt under your tongue. Now, you stay at home, to rest a little, it is a very serious case. It is attended with a phlebitis.

P: Do I have to stay at home? That would be all right until Wednesday, but afterwards?

A: Probably, it would be all right afterwards. But I would like to see you again at the end of the week.

Feedback (19.6.1987)

A: That is for the progress of humanity. To let people be less material or how should I say it.

You got a remedy on June, 15. Acute kind of phlebitis, swelling of the right lower leg. Show it on the video. It was a diffuse inflammation. The whole leg was red. Now, the redness has concentrated itself on one spot.

P: It has become looser.

A: The calf has become looser. You see how the diffusion is concentrated on one spot. Is it very painful?

P: It doesn't pull madly. It hurts, but not so madly.

A: I think, that we can say, concerning the classical diagnosis, that we are dealing with a deep inflammation, phlebitis. Because you have been operated on the varices previously.

That might be a phlebitis, I do not know. The disease has to have a name, but it does not matter. We see the cure and that is important

A: Do you want to tell me how it has developed the previous days?

P: Tuesday, it was considerably better. A feeling as if something like a leg protection was gone. First, I slept very bad, but then it has improved very much.

A: Because at night, as I remember, you could not hold your thoughts together, you couldn't control your own...

P: I was confused in my head the whole time.

A: As if you couldn't control your mind.

P: The second night I slept much better. I also dreamt, but differently, more normal. The dreaming was not so strenuous.

A: It was at the beginning.

P: And less fever I mean. From Wednesday until today it has improved less quickly.

A: How do you mean?

P: From Monday to Tuesday my leg developed spectacular, and also the way I felt. The local improvement of the leg has still increased, but not so strong as from Monday to Tuesday.

That is normal. When you give a homoeopathic remedy and people are really ill the improvement of the first day is very spectacular and then the amelioration is going slowly

Also when you give a right remedy and the patient is good and then he has a relapse, they also say, that the difference with the first remedy was very clear and with the second remedy it was not so clear anymore. The remedy has acted, but the difference to previous was not so big anymore. You can often see this, but that is because the complaints are not so strong anymore, the difference between disease and health is not so big anymore as the first time.

Also here: the first day a very big amelioration, also the mental symptoms and the fever disappeared. Mentally, he was much better, so that you can expect a total cure without repeating the remedy

A: That is normal. That was more at an acute height and it went over very quickly, but now we are treating a chronic disease, which already existed a long time. You have to cure slowly.

P: The eruptions between my fingers returned again.

A: That is a good reaction.

Everyone knows that it is a good reaction when eczema that has been there for quite a long time, returns after a remedy. It means that you make the patient more strong to push out his eczema

A: Do you know that it is a good sign that you get it back?

P: You told me that probably it would return. It is not bad, only a little.

A: Do you have the impression that it is not good yet, when you let your leg hang down?

P: When I let it hang down, it is not good enough yet. Then it hurts in one spot. When I lay it upwards, it is better.

A: Did you rest completely?

P: Especially, the first two days. Also afterwards, but I got up a little bit more. I think that I have been on my legs for 1 until 1 1/2 hours a day.

A: Do you still rest so much? And can you sleep well?

P: No, not sleeping, but I sit with my leg upwards.

A: You didn't take any other medicines?

P: No, nothing. I did before.

A: All right. Do you think you perspire more?

P: No, I think rather a little less.

A: Does this mean that you have to wash you less? That you have to wash your feet less?

P: I had never have to wash my feet often.

A: I thought, you had stinking perspiring feet.

P: Often. Especially, one foot. There are a kind of scales between my toes of my right foot. I have always washed myself very much. Nearly every day sport. At least three times a week a shower.

You know that Sulphur does not like to wash himself? He feels good in his dirtiness. He tries to explain why it is not good to wash yourself

P: Not to wash the feet extra.

A: It doesn't interest you.

P: What do you want to say? Finally, I have been at the military service.

A: Are you a social worker?

(Telephone)

P: Yes, but how long will it last?

A: Well, it doesn't interest me how long it lasts.

P: No.

A: We have to realize that this is something chronic. You have been operated on varices.

P: That is a long time ago.

In Homoeopathy it is important to know what you are treating. If you are treating PCP you can be sure that it is a question of months, maybe of two years.If you are treating something superficial, acute, you can be sure that it is gone within one, two days. This here is a chronic case, this means that if it is completely cured after two weeks, we may be happy.

It is important for yourself to judge about this. If you think that you should have cured a PCP after two months you are discouraged. Also in multiple sclerosis cases, where Alumina is the remedy, you may be sure that it is incurable. You may attain that the state does not aggravate or that he will become a little bit better, but once they sit in a wheeling chair you will not get him out of it. Maybe it is different with Sulphur and also with Platinum, they might get cured, with Argentum nitricum maybe you can attain a slight amelioration. 80% of the ms-cases are Alumina cases, that is clear, and you can not cure them, because it is too late. So, do not be disappointed. It depends on which disease it is, how long it exists and things like that. If the multiple sclerosis is a hysterical multiple sclerosis, you can cure them with Moschus, Ignatia or another remedy. That is a total different thing

It is the same with asthma: when it has been suppressed with Cortisone for a long time, forget it, you will kill the patient with Homoeopathy, because you stop Cortisone and so on. The prognosis depends on the disease, on the previous treatment, on the remedy the patient needs and on the person himself, in what kind of circumstances he lives. If a man lives together with a wife with whom he is always fighting, you can not cure him. Or when he has unhealthy relations with men and women, then here, then there, you can not cure him either. Curing means, to come to an internal peace and as long as such a person does not change his way of life he can not find an internal peace, this means no curing

A: Yes, of course. But we have to be very conservative and to let the case develop. So, I propose that you do not go working, until the redness is completely gone. You feel that the calf has become softer.

P: Yes, especially the tibia.

A: It pulls together at one spot or it ulcerates, I don't know, we will see. But I would be carefully. Especially, not work suppressively, because this would happen once again.

P: Rest, not so much walking.

A: Do what it does good to you. If you have to do yachting and it does good to you then you may do that.

P: I walked about with my leg and I have the impression that it has become worse.

A: Do what you think it is best for you. If you have to lay your leg upwards, you lay it upwards. I can't give you any advice, that is individually.

P: But I may not go working until it is 100% over.

A: No.

P: So, I may not walk around.

A: You may go working if you can work with your leg on a chair.

P: But that can last quite a long time.

A: You already could so for five days. Try another week, then it has developed further. But I absolutely wouldn't go working.

P: Also no sport.

A: Nothing. Only rest until it is all right.

P: That I heard it well, because usually I am madly impatient concerning such things.

A: But you may be idle now and then?

P: Now, I work already for two days at home, paperwork and so on. I have worries, because I work alone.

A: Well yes, you must lay your feet upwards.

Feedback (26.6.1987)

A: The swelling has completely gone. What about the pain?

P: Almost nothing. Itching.

A: That is a good sign. Also scaling off, itching. It doesn't hurt?

You often see this in Sulphur: from pain going to itching. In the beginning it hurts and afterwards they say: "Doctor, this itching is much worse than the pain before." Mostly, this is the answer of Sulphur when there is a good cure

P: No, it starts itching. Still resting and not walking about? Because I am fed up with it.

A: Do you feel well enough for working?

P: I doubt whether it is good to go working.

A: You don't have pain anymore. You know, that something cures with scaling off and itching, that the case is all right then. Do you feel better when you sit quietly?

P: Yes, it is better, when I'm resting. It is very much better, but it isn't completely gone.

A: My advice is to keep rest until it is completely gone. Until you say I don't feel anything anymore. And then you may go working again.

P: And sport and so? Start gradually?

A: When everything is gone. Then you can go back to work and start gradually with sport. How do you feel now? All right?

P: Yes, I have put on some weight.

A: Now, you don't get anything anymore.

So this was the last consultation for his leg on June, 26 1987. Then he came on April, 1 1988 with an ischias on the left side. He woke up in the morning at 6.00 o'clock, and he had pain especially in the nates, and it was aggravated from sitting: Sulphur 10M and he was cured. He came back on September, 26 1988 because of an eczema in the palm of the hand and the foot and because of itching between the toes and in the inguinal region. Besides, he had a boil in the face and on the thigh

Do you see how the disease always comes to the surface and every time he needs the same remedy. Then I repeated Sulphur 10M

CASE3v2

Allergic asthmatic bronchitis and nervous tics

Sulphur

BOY, 10 YEARS OLD

This boy came with asthma and nervous jerks. I say chorea, but you can give it another name

Everything started when he was 2 1/2 years old. When he was 2 years old he had tuberculosis. You already see that it is a very deep matter. Before he was two years old, he had a slight eczema. Therefore he went to the dermatologist and he prescribed ointments. Afterwards the eczema disappeared, but half a year later he got tuberculosis. For half a year he has been treated with tuberculostatics and afterwards he developed asthma and neurologic symptoms

The remedy he needs has never skin symptoms and neurologic symptoms at the same time. That is impossible. If this remedy has chorea or epilepsy from suppressed skin eruptions, the eruptions are gone. There is another remedy that has skin symptoms and neurologic symptoms like chorea, epilepsy or tics at the same time, that is Bufo.This is a very peculiar matter, because our idea about health is that skin diseases are a very peripheral problem and the neurologic diseases are a central problem, and a central and a peripheral problem at the same time is very peculiar

A: On October 20, 1986 he came with the problem of asthmatic bronchitis. Now, it is December, 8 1986.

It started when he was 2 1/2 years old. Before he was two years old he had eczema and went to the dermatologist and they have put ointment on it. Since then he didn't have eruptions anymore, but he had "false croup" a few times and recidivistic bronchitis with deficiency of breath. Then, he got tuberculosis, respectively a positive test. His problem arose after the disappearance of the skin eruptions. This means, that they have suppressed the resistance mechanism of the child by using Cortisone ointment. Then they noticed a positive skin reaction in a tuberculosis test. He got tuberculostatics for six months. Until now he hasn't used Cortisone yet for the asthmatic bronchitis, but antibiotics. He has already taken a cure six times. How long did the cures last?

FP: One week.

A: Six times a cure of one week this year, but never a real Cortisone treatment for the asthma.

FP: No.

A: Of course, in a prognostic way, this is good.

Once, someone said to me that I am exaggerating, when I blame the dermatologist for treating and suppressing skin eruptions with Cortisone. It could not be that bad

To indicate you how bad this can be look in the Repertory under "insanity". Do you agree that insanities are the worst diseases? Look in the rubric "mind, insanity, after suppressed eruptions" (p. 57): Belladonna, Causticum, Stramonium, Sulphur, Zincum.

MIND,INSANITY,suppressed eruptions, after : Bell., caust., stram., sulph., zinc.

And when you look in the rubric "chorea", chorea as a neurologic symptom: "Chorea from suppressed eruptions" (p. 1348),

GENERALITIES,CHOREA,suppressed eruptions : Caust., Sulph., zinc.

three remedies: Sulphur capital, Causticum, Zincum

Be careful with ointments, you can cause this kind of situations

A: When he sat on a horse accidently his eyes swelled up. Afterwards he was allergic again with swelling of the eyes and deficiency of breath, when he was in the neighbourhood of a cat.

FP: Every time, where ever we went where they had a cat. She even didn't have to be there. She only had to have sat there, that was enough, you could see it on him that they had an animal at home.

They say that he is allergic to dogs and cats. Which is the remedy? Tuberculinum

Tuberculinum is the first remedy that is not only allergic to dogs and cats, but that has a disgust for cats and a fear especially for dogs. And he had tuberculosis

A: Also with deficiency of breath?

FP: It started with the eyes, then sneezing, rubbing and then he had again a deficiency of breath.

A: That applied to dogs, rabbits, horses, pigeons, flowers in the hay period and when he exerted himself.

Which is the first remedy in "asthma from exertion"? Calcarea carbonica

A: Often he had a slight pain in the legs, was tired and had to sit upwards. That was a kind of wandering pain in the lower limbs, which improved by rubbing.

So, he had wandering pain in the legs, pain here, then there. Which remedy indicates wandering pain

Pulsatilla, also Kali bichromicum and Kali sulphuricum, a lot of remedies, but the most important remedy for wandering pain is Tuberculinum; not only wandering pain, also wandering symptoms. That is Tuberculinum. Here, we have a lot of symptoms for Tuberculinum

A: Sometimes he got jerks. What kind of jerks? It has developed so far that the complaints were already on the level of a neurologic disease.

Look what he is doing there? He turns his head with a jerk aside. That is chorea, the neurologic symptom

A: I already told you the last time and you noticed it yourself. You told me that this therapy should be ended because this makes the child more ill.

FP: At last you become anxious. It repeats so often. If you could say that the distances would enlarge, but on the contrary they shorten.

A: But you noticed that more symptoms appeared.

VP: The jerks and the pain in the legs appeared. The vision changed.

A: He also noticed and said: "The picture I see often seems distant."

Because of the suppression he developed neurologic symptoms. Where can we find this in the Repertory? First, he got "asthma from suppressed eruptions",

Respiration,Ashamtic,eruptions, after suppressed : Apis., ars., carb-v., dulc., ferr., hep., ip., psor., Puls., sec., sulph.

second, he got "neurologic symptoms from suppressed eruptions" (p. 765; General p. 651):

generalities,chorea,suppressed eruptions : Caust., Sulph., zinc.

Apis, Arsenicum, Carbo vegetabilis, Dulcamara, Ferrum, Ipecacuanha, Psorinum, Pulsatilla capital, Secale and Sulphur

Then this kind of tics, the translation into the language of the Repertory is Chorea

And then the next symptom, the eyes. "The picture seems distant." Where can we find this in the Repertory? He has the impression that the objects seem distant. Look in the rubric "vision, distant, objects seem" (p. 278, General 234). There you see two capital remedies: Gelsemium and Sulphur

You know that in Gelsemium the functions on the level of the eyes, ears, nose - all the senses - are less. They do not hear well, they do not see clearly, they can not talk clearly, they do not smell well. They are terrible weak, completely weak, they have to lie down and are not thirsty

Also Baptisia has this enormous weakness, but they are very thirsty. Gelsemium is an influenza remedy

A: A symptom that makes you anxious.

FP: At last, he had a medicine that he had to take in the morning and in the evening.

MP: ZADITEN.

A: When he took this he got problems with the vision.

FP: He took ZADITEN for a while, because it should put a film around the lung vesicles, which would act repulsively. But according to me, it has become worse instead of better.

A: According to you he got this problem with the vision when he took ZADITEN?

FP: Then, the vision changed in fact.

A: And the incoordinate movements?

FP: I think it was a consequence of that. I am not sure, but I suppose.

MP: Yes, everything started then.

This means that he sees worse when he takes ZADITEN. You see that also ZADITEN, LOMIDAL and THEOPHYLLIN, all these remedies work in a suppressive way and they push the symptoms always stronger towards the neurologic level

A: Another symptom was that he talked in his sleep, that he often screamed in his sleep. He very often woke up.

FP: He was anxious. If you can not breathe properly you will become anxious at last. And that is what you saw. At night, when he had just lain down he got a deficiency of breath and then he woke up suddenly.

He was talking in his sleep, he was screaming anxiously and woke up anxiously. Look in the rubric "shrieking during sleep" (p. 80).

MIND,SHREIKING, sleep, during : Am-c., anac., apis., arg-m., arn., aur., bell., Bor., bry., calc-p., calc., caps., carb-ac., caust., cham., chel., cina., cocc., dulc., eupho., fl-ac., guai.,hell., hep., ip., kali-br., kreos., Lyc., mag-c., mag-m., nat-m., nit-ac., op., phos., Puls., sep., sil., stram., stront., sulph., thuj., Zinc.

Sulphur is two and Zincum is capital. Indeed, Zincum is a differential diagnosis with Sulphur. Zincum has this kind of chorea from suppressed eruptions. It has not this distant view, but it is in the rubric "shrieking during sleep". And Zincum has the same food aversion like Sulphur, namely to fish.Which remedy has the strongest aversion to fish? Graphites. But also Zincum is two and also Sulphur has an aversion to fish. We have to be careful.

There is this chorea from Zincum, on which part of the body Zincum has the most jerks

The feet. They rub one foot against the other and they have jerks. They can not lie still in bed and they kick their partner. Also Tuberculinum has this. Tuberculinum is an addition, but we will discuss Tuberculinum later

A: He also saw figures when he closed his eyes when he lay in bed.

P: Not only when I lie in bed, otherwise also.

A: Otherwise also. He also was afraid of death and that his mama and papa would die. You told that as well.

He was anxious that his mama and papa would die.That is which anxiety? "Anxiety about others." Sulphur is there

MIND,ANXIETY,others, for : Ars., bar-c., cocc., phos., sulph.

A: So he ( 10 AGE ) is very concerned. He was afraid of animals, thieves. Until now, no fear of height. Concerning his character: he perseveres. He likes sweets, salt, chips with paprika, sour and fruit. He likes to drink cold drinks, drinks with large draughts, avarice. He likes bananas, ice-cream and spaghetti. He doesn't like milk, fish, meat, butter, fat and bacon.

On the level of the food modalities we see: "Aversion milk", Sulphur is there, also Phosphorus.

milk : Aeth., am-c., ant-t., arn., bell., bry., calad., calc-s., calc., carb-s., carb-v., cina., ferr-p., guai., guare., ign., Lac-d., lec., mag-c., Nat-c., nat-p., nat-s., nux-v., phos., puls., rheum., sep., sil., stann., sulph.

"Aversion fish": Sulphur, also Phosphorus and Zincum.

fish : Colch., Graph., guare., nat-m., phos., sulph., zinc.

"Aversion meat": Zincum is there, Sulphur and Phosphorus. "Aversion butter": Phosphorus. "Aversion fat": Sulphur is there, also Phosphorus. And then the desire for sweets and salt, that is very strong for Phosphorus. Desire sweet, paprika, highly seasoned food is Phosphorus as well as Sulphur. Cold drinks with large quantities: Phosphorus, Sulphur

Sulphur has the aversion and desire for sour, both. Most remedies have both, for example, Tuberculinum has an improvement as well as an aggravation at the sea.Which is the remedy with the strongest desire for fat? Nitricum acidum. And you also have to add Nitricum acidum in the rubric "aversion fat"

You see, it is not so easy with the food modalities only

A: You don't like that at all. He is untidy. As a child he was very orderly. It was remarkable that he can't drink out of the glass of someone else, he disgusts that.

He does not drink out of the glass of someone else, he disgusts it. Do you see all the key-notes of the remedy yet? He never had bleedings - because of Phosphorus, that we may not forget because of the desires and aversions

A: He has never had bleedings, but easily bruises. He sleeps on the right and the left side. He is in panic when he sees blood; his stool is very good.

FP: Every morning when he gets up he has stool.

A: Often, he lies bare in bed. He perspires easily. He never puts the feet out of the covers. Often, he lies half bare.

One of the most important key-notes of Sulphur is that they uncover the feet. Where can we find the rubric for the desire to take off shoes and socks? Under "extremities, uncover, inclination to, feet" (p. 1222)

EXTREMIES,UNCOVER, Feet : Agar., Cham., cur., fl-ac., mag-c., Med., petr., Puls., sang., sanic., sep., Sulph.

: Chamomilla, Medorrhinum, Pulsatilla, Sulphur and a few other remedies. Do you know which remedy roars with a sunshine roof at 220 km/h over the speedway? Medorrhinum. And why? Look in the rubric "extremities, fanned, wants hands and feet) (p. 1005).

EXTREMITIES, FANNED, wants hands and feet : Med.

They love this wind, this draught of air, they feel good with it. And they drive fast. The Medorrhinum life is a very intensive life. They sit at the sea, with their feet in cold water, their hands also, and look at the sea: "Oh, how beautiful!" That is Medorrhinum

Do not forget Medorrhinum in the differential diagnosis with Sulphur, when someone put the feet out of the cover. And when these Medorrhinum people travel with the aeroplane, they take off their shoes, but for another reason: because of the swelling of the ankles. They say it is normal that their ankles swell while sitting, but it is not normal. These people always take off their shoes, because their ankles and feet swell, their shoes become too small when they sit in the aeroplane. There are two reasons for Medorrhinum to take off their shoes.

A: He annoys himself easily. He is not so sympathetic, but he loves animals very much.

MIND,SYMPATHETIC: Carl., caust., cic., croc., ign., iod., lyc., manc., nat-c., nat-m., nit-ac., nuph., nux-v., Phos., puls.

He loves animals. We know a remedy that loves animals very much, that is Aethusa. It is a sickly love for animals in Aethusa. You will not often meet this remedy in adults, but usually in children, in little children with vomiting of curdled milk

Sulphur is one of the most important remedies that likes animals very much. I think, it is an addition in this rubric, as well as love for "own sex", that is Sulphur as well

A: I gave one remedy in potency 30, because I didn't dare to give a higher potency.

That was very, very dangerous. With all the suppressions and the tuberculosis I was a little anxious to give a high potency. I was anxious about what would happen when I give a higher potency and therefore I only gave a C30. That is two months ago. Now the reaction to one tablet Sulphur C30.

FEEDBACK

A: Tell me how it developed.

FP: We have been here Monday and Friday he went swimming. He came home in the evening and normally, when he has been wet, he easily has a cold afterwards. In the evening he started to sneeze and on Saturday evening he had a deficiency of breath. Then we considered what we should do.

A: I told you to take aminophylline 250 mg, one dose in case he has a deficiency of breath.

FP: Then we gave him one dose. He really had a deficiency of breath, I heard it. Then we waited that night and it didn't increase. Otherwise we would notice it about that time. If you see him about that time, you say, it aggravates. By the morning he got another dose, but he got other symptoms, others signs, more abdominal pain. And he could lie in bed. Otherwise, he had to sit upwards, with two cushions. Now he could lie in bed, but he couldn't sleep. He had abdominal pain the whole night and had to vomit. Therefore, we gave him another dose by the morning. Then I called you, because we wanted to see you. You told us it was a good reaction! We were a little astonished, we waited and we didn't give him anything else. We let him in peace. In the forenoon he vomited a few times and afterwards it ameliorated. But he has been ill longer. Otherwise, when the doctor gives him medicines, it takes two to three days. Now it lasted a week. That is now six weeks ago and during these six weeks he hasn't had anything else. He has been running about at home, playing with the dog. Now, he can do so.

MP: Previously, when it was misty, I was anxious.

FP: He got extra swimming hours to make up. He likes water and you don't know... On the whole, you should say, go on.

A: And with dogs and cats?

FP: His aunt has promised him a dog and how often did you get him yet?

P: About five times.

FP: He keeps him a few hours at home and plays with it.

P: Already one whole day.

FP: Now, he gets a little eczema again. He sits and itches.

MP: He rubs and then I say: "Go on and wash yourself and leave it." Then he doesn't itch anymore and it is over.

FP: With the eyes it is not yet...

MP: Yes, once again. Previously, when he had swollen eyes, the next day he would have a deficiency of breath when he went to sleep in the evening. He came home, washed himself and went to bed and when he lay in bed for one hour he started wheezing.

A: At the moment he doesn't react to dog and cat with a deficiency of breath but with itching, previously he had a deficiency of breath and swelling of the eyes.

First, the chorea has to be cured, then the problem with the vision and then the asthma. When the eczema appears again he can not have the chorea again, nor the asthma

MP: His eyes are still swollen now.

A: In the same degree or less?

MP: Once, he had very thick eyes.

FP: In proportion we have to say it is a bit less. Previously, it was always thick. My sister has little cats. If we had been there, the next day we were sure he would be ill. That became worse and worse, not now anymore. Now, he can easily go there and if he doesn't touch them he wouldn't get anything.

The allergy to dogs and cats starts to ameliorate.A few months ago a dermatologist asked me if allergies to gold and other things can be cured and you see here, that the allergy to cats is better yet.

A: Did you still notice jerks, involuntary movements?

FP: No, it has gone. When we went to see the teacher of the school, he told us that he didn't recognize him any more. He has become so wild. He seizes everyone, goes to everybody. His reactions have become much stronger, you could say more lively in proportion to previously.

A: Do you still have the feeling that everything seems distant?

P: I think that I had it once again.

A: When?

P: I don't remember anymore.

MP: Was it before or after your illness?

P: I think after.

MP: Yes, a little bit after your illness, the next day. Yes, the next day.

A: But afterwards you have never had it again?

MP: No, I don't think so that he had it again afterwards.

A: Did he still speak during his sleep?

MP: Not that I know.

A: Did he still scream in his sleep?

P: No.

A: How often does he wake up at night now?

P: I don't wake up anymore. But it takes quite a long time before I fall asleep.

A: Do you still have pictures when you close your eyes?

P: Not so much.

A: Did you have it once again?

P: Still once.

With one tablet Sulphur C30 it has improved on all levels. That is Homoeopathy. That was on December, 8 and the child is very well.

A month ago he got influenza and I repeated Sulphur - no reaction. Then I gave Bryonia - again nothing. Baptisia cured him. If you do not give the right remedy he needs at that certain time, you are lost.

A: Do you think he gets more skin eruptions?

MP: Yes, when he sits in bath for a long time or has been in the swimming pool, then...

A: He gets itches after the bathing.

"Itching after bathing", Sulphur is one of the capital remedies. According to me Sulphur is the most important remedy in acute tuberculosis. There is another remedy for florid, very suddenly appearing tuberculosis, that is Theridion. Florid tuberculosis, florid phthisis: Theridion. In the Repertory "chest, phthisis florida" (p. 879)

But according to me Sulphur is the most important remedy for the treatment of tuberculosis concerning the frequency

If there were layers in this patient, he should start coughing, coughing very much, because first he had eczema that has been suppressed; afterwards he got tuberculosis with coughing, that has been treated with tuberculostatics and only then he got asthma. If there would exist layers he should start coughing after the asthma, the whole time coughing. But he does not, this means, that Sulphur has cured him completely

For example, if you had to give Ferrum for the asthma as a first remedy, because he would have had vertigo on stooping and nose bleedings, if then the eczema would have appeared again, you would have to give another remedy, a complementary remedy. Which remedy is complementary to Ferrum? Alumina

Ferrum would not have cured the eczema that you push out to the surface. Probably, an itching and a great dryness would have appeared, a dryness with constipation and then Alumina has to be given to cure this eczema

A: That is the most beautiful development one could wish. The eczema has been suppressed, this has your child made more ill. We have given the remedy and now your child is able to produce eczema again, that will be cured as well. Now, we know in which direction it goes. You see, that this is an ideal reaction. For you, it is probably unbelievable.

FP: If I see what he has taken previously and compare it to now, that is only one tablet, then I can't understand. How many nights have we been awake, because you don't sleep yourself. You can say, there was not one week in which you could say that we have slept the whole week. I always heard him panting and was taking care of that.

A: Does he still pant?

FP: No, I don't hear it anymore. In the morning he stays better in bed. He has become much more quietly. It is not understandable that in such a short time he ...

A: You have a child that reacts very well. Thanks to less Cortisone he cures very quickly. Fortunately, you didn't give him that, because the resistance decreases very much, so that you get difficulties as a homoeopath.

MP: Yes, that was our purpose. The doctor said, we will start with the injections, but you can't do it. Because you will go here or there and here they have a dog and there they have a cat. Then he said: "We will start with the injections." I said: "No doctor, I won't start with it yet. First, I want to find another solution, because ..."

A: Have you seen the doctor in the meantime?

FP: I have been there once and he asked me how he was doing. Then he said: "I'm glad to hear that." He was very interesting and found it positive...

I also told him that he has been ill once and had no problems afterwards.

That is really a miracle, you can only reach this with Homoeopathy, with no other medicine

Question: "Why did you only give him a C30?

A: I was afraid for a strong aggravation of the skin eruptions

If the problems are on the mental level and there are no skin problems, then you have to give high potencies, for example, with hyperventilation. I have seen such cases where nothing happened after Aconitum C200 and after one 10M the patients were cured; or when I have given Aconitum M, no clear reaction, after one 50M they were cured. I always give high potencies, but if skin eruptions have been suppressed previously, I am a little anxious, because the patients have to suffer very much in certain circumstances

In this case I cannot say whether there would have been the same reaction as with the C30. We are theorizing, when we say that he would have had a strong aggravation with a high potency. I do not know. In one patient you will never have two times the same situation and that is the problem

Our master Vithoulkas warned us to give high potencies in such cases. He has this experience but we do not. Therefore I gave here only C30 and you see, with a very good result

Question: "Have you seen a relation between the height of the potency and the duration of the suppression by allopathic medicines?

A: No, that is difficult. One patient needs Sulphur and another also needs Sulphur, but both can react completely differently. You can not make a law that is valid for everyone, because every individual has his individual way of reacting to a homoeopathic remedy

Question: "Is the skin of the boy better now?

A: Yes, he does not have problems anymore. If the picture is complete, I mean if the remedy is the remedy that is indicated in the whole picture, first he would push the skin eruptions out and then they will disappear

When there are layers it is something different, but here it is only one remedy he needs, unless a stone falls upon his head and he lies there like Opium, then he needs Opium; or when he gets an influenza and needs Baptisia or when he knocks on his finger with a hammer and needs Hypericum

Question: "If he has had Sulphur as a baby when he got this eczema, he would never have had all these diseases, would he

A: No, never. If he would have had Sulphur in C6 as a baby, he would not have had asthma, nor chorea, nor tuberculosis. That is sure

Question: "Why did you not give the child Tuberculinum?

A: We do not give a remedy on account of a disease, but on account of homoeopathic symptoms

When someone has syphilis in initial state there is no reason to give Syphilinum. Reasons to give a certain remedy may be swellings of the glands and other symptoms and maybe we have to give Mercurius or Sulphur or some other remedy

We do not treat the disease, we treat people who have a certain disease and because he has this character, these symptoms, modalities and peculiarities, we choose our remedy

If someone says that for a certain disease this or that remedy is good, that is not true. Forget this as soon as possible

If someone comes with AIDS, that is not our problem, the diagnosis does not interest us. All right, for the prognosis we have to know what kind of disease someone has, but to choose the remedy we only need homoeopathic symptoms

We do not give Tuberculinum because someone has tuberculosis. We can give Tuberculinum if he is afraid of dogs, perspires at night, likes salami and so on, maybe he has had tuberculosis

CASE4v2

Anxieties, diarrhoea, enuresis

Sulphur

BOY, 9 YEARS OLD

A: I have let you come because of a differential diagnosis. You have been seen by a colleague because of the following symptoms: anxiety to go to school, anxiety he would see a child who has been burned and he can't see it. Therefore he cries in bed in the evening. But he likes that child very much, he's concerned about that child the whole time.

He is easily too warm.

If you want to go on a visit he keeps saying the whole time that he doesn't want to go. Anyhow, if he goes he amuses himself very much. He has a lot of phantasy and is very untidy. He is worrying yet about the next school-year. Last year, every morning he had abdominal pain and diarrhoea during the week he goes swimming. If he was there for a few days, everything was all right. He is sensitive, feels easily pity for someone. This has been interpreted as an anticipation fear with anticipation diarrhoea and therefore he got Argentum nitricum on September, 3. He didn't react. On September, 7 you came back. Indeed, it is quickly to give another remedy, but I didn't agree with the interpretation. Normally, you have to wait for a while after a remedy, before you change the remedy, unless you have clear arguments to give another remedy. If you give another remedy and he reacts immediately, I think there is no discussion about the right remedy.

He has been seen by a colleague and he prescribed him Argentum nitricum C200 on September, 3. On September, 7 he came to me and I gave him another remedy, only 4 days later. You can never do this. If your colleague prescribed a remedy and you give another remedy 4 days later, it is wrong, unless your prescription is right.

In a case like this, where the anxiety is so strong and he cries the whole time there must be a reaction within two days. If not, the remedy is wrong and you can give another

If your colleague has given a wrong remedy you should not blame him. Maybe you can find the right remedy, because he gave the wrong remedy. We have to work together. Most of us are obstinate, we are haughty people, because we are doctors, because we think we know something. Therefore it is difficult for us to work together. We are individualistic, but we have to forget this. We have to learn, work together, build centers. If we continue to work alone it is not good for the development of Homoeopathy

A: I interpreted it differently. I wouldn't interpreted it as an anticipation fear.

There is a child in the school who has been burned and now he is afraid to go to school, because he has to see the boy with the burned face, whom he loves very much. The interpretation of my colleague was anticipation fear. Is this correct? What does it mean "anticipation fear"? That something is expected from him, he has to do something. But this child is not afraid to go to school, but he is afraid to see his friend with the scars

A: This child is not a coward.

MP: No, not at all. That is not his character.

A: I try to make the remedy clear now, without mentioning it. So, he is not an anxious child.

This child is not anxious at all, he does not care about anything. He is not Arsenicum or Argentum nitricum or what else. He is a child without anxieties, he lives his own life

MP: In fact, he is a child who rather lives simple, who doesn't make a lot of problems.

A: And also a child who isn't impulsive or nervous from character. It is not a hurried child.

MP: No.

Here, you can have 55 symptoms of Argentum nitricum, if the essence of Argentum nitricum is not there, it will not touch the case

Do you remember the Calcarea case in Augsburg (hyperventilation). Maybe, I repeated ten times Argentum nitricum and nothing happened. It was Calcarea carbonica. "What will people think about me when they see that I am crazy?"That is the reason why she did not faint while driving a car or riding a bicycle. Then people did not have time to watch her clearly. But when she is standing in a shop, then people can observe her and she faints

This here is a child without anxieties, without impulses - how can this be Argentum nitricum? That is impossible. The essence of the remedy is not there. If you do not feel the remedy you may have 10 computers, it will do nothing. You can give 560 symptoms in a computer - nothing. The computer does not know anything. You know, you understand and feel. That is the difference

A: We have to agree with the essence, what we aim with the remedy.

What did I suppose now? I thought, I have to see it this way and while asking for the symptoms I noticed that he had diarrhoea. Here it says: "Every time when he had to go somewhere", but here he also has it on Sunday morning. Then he didn't have to go to school.This means that the symptom "diarrhoea from anticipation fear" is not correct. But it was so that he had diarrhoea on Sunday morning and therefore he had to go out of bed.

MP: Yes.

Before he had to go to school, he had this diarrhoea. But on Sunday morning he did not have to go to school and nevertheless he had diarrhoea. This means that he has diarrhoea in the morning driving him out of bed. Which remedy is there? Sulphur. "Diarrhoea in the morning, on waking, driving him out of bed."Natrum sulphuricum is capital, but there is also Sulphur

Rectum,diarrhea,morning,bed, driving out of : Aloe., bell., bov., bry., chin., cic., dios., hep., hydr., hyper., kali-bi., lil-t., nat-a., nat-s., nuph., petr., phos., phyt., podo., psor., rumx.,sil., Sulph., syph., tub., zinc.

A: Second, he is warm-blooded. On the contrary, Argentum nitricum has local coldness, cold fingers, often blue fingers.

MP: Warm hands...

A: All right, that would be typical for Argentum nitricum. He has also eruptions. I noticed eruptions in the corners of the mouth.

MP: And also on the nose.

"Eruptions corners of mouth", Sulphur is there, also Mercurius, Silicea and others; also

"cracks in the corners of the mouth". Which cancer remedy is there? Condurango. Condurango is the first remedy in breast cancer, if there are clearly cracks in the corners of the mouth. Complementary to Condurango is Lachesis and Lachesis is complementary to Condurango. In the little book about complementary remedies they write Lachesis - Condurango. You have to add the reverse direction, namely Lachesis as a complementary remedy to Condurango

A: Yes. I asked myself: Does he disgust the sight of the mutilated face? I interpreted it as a kind of aversion that he feels when he sees this, a kind of disgusting feeling, bah. He can not see this, like someone else can not see when someone else is vomiting or has stool - something like that.

The other child has burned his face and he as Sulphur could not see that, he disgusts it. It has nothing to do with anxiety or anticipating fear

Sulphur has a very fine nose, he defends himself with his nose. They smell immediately when the food is not good anymore. If Sulphur sees someone vomiting, it comes up and has to go away immediately or he would start vomiting as well. Sulphur is very easily disgusted.

This child disgusts the appearance of the friend with the burned face and the scars. Long effects of burns is which remedy? Causticum

A: Can he see this on television, can he see horrible things?

MP: He doesn't watch much television.

A: Your description of the child is beautiful: a child that lives simple. He lives without worries. He doesn't wash himself.

MP: Forgets everything, looses everything, removes everything, this way of living. He always washes himself like a cat. He doesn't need new clothes, that is a subordinate matter.

A: It doesn't interest him what kind of clothes he is wearing. It leaves him cold.

Sulphur children does not like to wash. They wash like a cat and then they go to school.

Sulphur women or Sulphur men who have bought a new suit probably would wear a vivid yellow tie.They do not notice that it does not match.They will wear very old shoes with the new suit.There is always something that does not match. Or all the clothes are new, or the shoes are old or are not polished. You smell their feet because they have not washed them. Where do we find this in the Repertory? "Indifference to personal appearance" (p. 55; General p. 44). That is exactly the opposite of Calcarea,to whom it is important what other people think about them

A: He is a child who has a lot of phantasy, who works out quite a lot of things?

MP: Very much phantasy.

A: Could you give an example?

MP: His room is full of Lego works. You may not take anything away, because everything represents something. Once, he has built a complete world. Not according the directions how it has to be built. It has already a concrete foundation, but he starts building from that. He got a police-car with a flashing light for his birthday and he made a police-boat out of it.

A: So there is a beautiful picture of a remedy, about which I personally do not doubt. He is also attentive. He prefers to play alone.

MP: He plays alone very well, but he can also play with other children very well. He doesn't have problems with that. If he is alone he is alone. I think he has never bored himself for five minutes.

A: On September, 7 I gave him a remedy in 10M.

FEEDBACK (11.9.1987

A: Now, we are 4 days later. Tell me how the reaction was to the remedy.

MP: At 9.00 o'clock he got the remedy. It was very difficult to get him to school, but then he went to school after very much talking. I agreed with him that I should pick him up for lunch. At noon he got abdominal pain suddenly, but he wanted to go back to school. I brought him back to school very late, so that he didn't have to wait in the playground anymore. In the evening he went to bed at 10 minutes to six and he has slept until half past 7.00 the next morning.

A: Previously, he couldn't fall asleep, could he? He was always lying there and crying?

MP: Now, he was dead tired, he went to bed at 10 to six and has slept until half past 7. And he was not wet.

One day after the remedy he has not wet the bed

MP: The next morning he lay in bed and didn't cry. Otherwise he would have lain in bed crying: "I don't go to school." He didn't cry, but he didn't want to go too early, he wanted to have lunch with his mama. And so we did. The next day he didn't have diarrhoea anymore. At noon I was allowed to bring him earlier too school. He said himself: "It will be all right."

On Wednesday there was no problem. He went to bed, again at 6.00 o'clock and has slept until half past 7. He woke up again without crying. No diarrhoea anymore, no bed-wetting. And since yesterday he went to school normally, and has taken lunch in the refectory. It went very well. He said himself that those three days were much better.

P: Yes, the abdominal pain, the diarrhoea and less anxieties.

CASE 5v2

Stool-incontinence

Sulphur

BOY, 5 YEARS OLD

This is a child that looses his stool - encopresis. Which is the remedy? Aloe.The stool is formed very well - no diarrhoea, they loose their stool without feeling it. Aloe is an important remedy, but often there are other remedies

A: Tell me exactly what is the matter.

MP: It started with pain while having stool during the holidays. He went more often and had only little stool. Therefore, he got Phosphorus. Afterwards he didn't have pain anymore, but since then he has stool in his pants.

They gave him Phosphorus. Look at this child. If you would try to comb this child decently, his hair would not lie down properly. When he comes in you already see that there is something wrong with his hair. The mother says: "I wet his hair and combed it decently, but as soon as it is dry, it comes again in a real obstinate way.

That is very strange. I had another case, a woman who came with all kinds of things and I asked her what was the matter with her hair. She said: "I may go to the hairdresser or put hair-curlers in it, it doesn't help anything. One day later everything has disappeared." And after the remedy my hair remained for 3 weeks. It is very strange what a homoeopathic remedy can do

When I saw this boy it was clear to me that it had to be this remedy

A: ...six, seven times a day.

MP: But he doesn't feel it. When he runs about in his bare behind he comes to us and then he succeeds in putting the stool in his little pot. The evening before yesterday, when I put him on his pot, he said: "I can't, I don't have to!" and so on. When I took off his pants and let him walk around with his bare behind: "Oh, I have to." The moment it comes at his constrictor he has to go. He doesn't feel it before.

A: Or we can interpret it as if the impulse comes suddenly.

MP: That might be. In any case, it depends from one second to the other. One minute before he absolutely can't go. I already showed him how he has to push, because apparently he didn't know.

A: Is his hair always so bristlelike?

MP: Yes, it is always so tumbled, I have to wet it with a face-cloth.

A: Otherwise nothing else can be done with it?

How can you put this in a computer? You can not at all, that is impossible. Only if you see this child, you can find this remedy. A computer will never find the remedy. I am not against computers, but I think we are human beings who talk with the patients, who see, who feel, we have to observe. Computers can not observe. The time you need to put all the information in the computer you already found the remedy. Afterwards, a computer is very good for studying, but it is not for real active Homoeopathy

MP: When you wet his hair, it stays so. If you see him crawling in his bed, that is impossible.

A: What do you mean?

MP: Yes, he is a very active boy during the day but also at night. He tosses in bed. He doesn't wake up anymore, or only very seldom, but he is athoroughbred, still.

A: And the stool in the morning?

MP: By 10 o'clock. In school they put him on his pot about this time, until some stool has come out.

A: Especially in the morning by 10 a.m. he has stool?

MP: Yes, in the morning by 10 a.m. and in the afternoon by 4.00 p.m. and 7.00 p.m.

She says that this urging comes suddenly. There are two capital remedies: Sulphur and Croton tiglium, "rectum, urging, sudden" (p. 634).

RECTUM,URGING,sudden : Aesc., agar., aloe., ant-s., bar-c., bry., carb-v., cic., cocc., Crot-t., cycl., dig., dirc., ferr., gent., graph., ign., kali-bi., kali-n., lach., lact-ac., lil-t., mag-m., manc., naja., nat-c., nat-p., nat-s., plat., podo., psor., ptel., rhus-t., rob., sep., Sulph., sumb., tab., verat., zinc.

The diarrhoea of Croton tiglium is shooting out suddenly and they have a constant itching at the scrotum

You see restless children are not only Veratrum, Tarantula, Tuberculinum and so on, it can also be other remedies

A: Does the stool has a certain smell?

MP: After the last Phosphorus it has changed. Not a certain smell, it stinks very strong, but it had especially a certain colour, strong colour. It was difficult to get the stains out of his pants.

A: What about at night?

MP: He seldom has stool in his pants.

A: But still sometimes?

MP: Once, when he had just fallen asleep, at the beginning of this week, but otherwise... And also once early in the morning.

(The child talks in between)

A: At first sight, the child looks more vividly. Is he easily too cold?

MP: No, absolutely not. He walks barefoot, with bare behind.

She says he walks barefoot, he takes off his shoes and socks and walks about, this means, he likes to uncover his feet

A: Does he easily perspire?

MP: No, not so easy. And he can also bear the warmth well. Also when it is very hot in the summer, he doesn't care.

...although he is so vividly, he has to wake up in peace.

A: Why?

MP: When you have to wake him up and he has to hurry, he is in a bad mood. You have to wake him up and then it is all right: "I'm still so tired."

A: What about his appetite?

MP: If he has time to eat he has a good appetite. But here something has changed as well. He liked to eat mussels and olives. He still eats them but he isn't so crazy about them anymore.

A: That is strange, don't you think so? A child eating olives.

MP: Yes, he eats all the olives of the pizza. He still eats them but not so much anymore...

Do you have the additions of Vithoulkas for desire olives? Calcarea, Lycopodium, Sulphur like olives and Sulphur has an aversion of olives

A: Is he thirsty?

MP: He drinks quite a lot. Especially, when he has done something.

A: He is also very untidy.

MP: That is peculiar, while playing he makes him very dirty, but he also likes it when you dress him with very nice clothes, and when you make him beautiful, then he shows off before the mirror.

A: Does he drink out of your cup?

MP: Oh yes. He eats from the floor. If there is somewhere a sweet he puts it in his mouth if you don't take it away from him. It is very strange he doesn't get ill of that.

A: Does he weep easily?

MP: He is not melancholy, he falls, screams and goes on running. Often, he has a thick bruise.

Pain does not interest him. Can this be Pulsatilla? He does not weep when he falls. He gets up and goes on running. Chamomilla? No, these are sensitive to pains. He is not sensitive, he loves the olive, he is running around and does not care about his stool.Another child would cry and complain, Calcarea, Natrum muriaticum and others, but Sulphur not, he does not care about that

A: Does he wash himself?

MP: Usually, he complaints when he has to go in bath, but once he is in bath he enjoys himself very much. But the water has to be a little bit luke. If I say that the water is nicely hot, has the right temperature, he cries blue murder. It is too hot.

A: The water may not be too hot. He always walks barefoot?

MP: Yes, they always take off their shoes, also outside, both of them. Outside, outside, he always wants to be outside.

P: Inside (screams).

MP: Yes, but you like to play outside?

P: Yes.

MP: Often they are also a little bit cross-patch. It is strange, he murmurs, for example, if he may not do something and I forbid him then he murmurs something like: "You may not go to the party of Nel." And then it is over. While Nelke starts crying, is angry and is a bore. But he has said his opinion, afterwards you can see yourself.

A: All right, then we will take care that he will get rid of it. It has to be disappeared within 14 days. Then I would like to see you again.

The remedy he got was Sulphur

FEEDBACK (12 DAYS LATER)

MP: We have been here on Friday and he was clean next Wednesday. In the morning he had some stool in his pants, in his pampers a little and during the day a little in his pants.

In school he had a quarrel because the teacher didn't want it, and then he has hold it up for the whole weekend. His behind was hurting. During the weekend it was still very little, but not really full. The teacher became very angry and let him sit on his pot until some stool came. Then, he could make stool. Although his pot was full, he was still screaming: "I can't, I can't."

(In the meantime the patient is lamenting)

MP: Listen now: "You should sit here, otherwise you won't come on the television." But he still has some stool in his pants.

A: But previously, he had constantly stool, that is not the case anymore?

MP: No, now it is an exception, and otherwise it was a rule.

A: Compared to previously, it has improved clearly.

MP: Yes, yes. But now, he wakes up again at night.

A: All right, it is only a fortnight ago. But since the remedy you noticed a clear improvement?

MP: Yes.

There are no more problems with the child. I let him come back after two weeks, maybe this was a little bit too early.

CASE6v2

Sulphur

WOMAN, 51 YEARS OLD

When she was two years old she had a sunstroke. Which is the first remedy for acute sunstroke

Belladonna and Glonoin

And which is the remedy for long effects from a sunstroke

Natrum carbonicum

When she was 8 years old she already had hay fever with asthma. She was desensitized and on this desensitization she did an allergic anaphylactic shock. Then she went to a homoeopath in a university town. He gave her expensive injections. If your patient says he had expensive injections from a homoeopath, forget it, he is not a homoeopath

She came with hay fever, asthmatic breathing, arthritic pains in the neck and so on

A: You came with the problem of hay fever, itching right and left in the nose, throat and uvula. Often, the itching extended a little bit to the ears. The eyes were itching enormously. And you had a deficiency of breath.

She says that she had itching in the palate and in the uvula extending to her ears. Where can we find this symptom? Where do we find an itching starting in the throat and extending to the ear? In the eustachian tubes. "Ear, itching, eustachian tubes" (p. 292). The remedies are Agaricus, Argentum metallicum, Calcarea carbonica, Causticum, Coccus cacti, Colocynthis, Nux vomica, Petroleum and Silicea and there is an addition, that is Tuberculinum and there is another one, but I can not tell you now

Besides, she had a deficiency of breath during hay fever. Where can we find this? "Nose, annual, asthmatic breathing" (p. 326; General 274).

NOSE,CORYZA,ANNUAL,asthmatic breathing: Ars-i., ars., bad., carb-v., dulc., euphr., Iod., kali-i., lach., naja., nat-s., nux-v., sabad., sang., sil., sin-n., stict.

There are a lot of remedies and also here there are some additions

But these are clinical rubrics, and with clinical rubrics you have to be careful. They are not complete. It depends on your experience if the rubric is complete or not

A: You have been desensitized by which you got an anaphylactic shock. What happened?

P: I got injections and maybe the dose was a little bit too high. My face became completely red and swollen, my eyes, I could hardly see anything. I had to scratch everywhere I could. It was terrible.

A: With the swelling of the eyelids and the difficult respiration, a real anaphylactical shock.

P: I had the feeling that this was the beginning of the end.

Which is the remedy in an anaphylactic shock with swelling of the eyes and itching of the whole body? Apis

A: A second point was that you had problems with the neck and your back. Can you remember what happened exactly? When did you have the most problems?

P: Especially, when I worked too much. Especially, physically, but also after immaterial work. When I have sat too long at my desk, I also got it.

"Also immaterial work."She uses expressions which a person usually does not use. That is strange

P: It was very clear below in my back and after a while it started in my neck and I could not look right or left while driving the car, because it hurt so much.

A: You asked a professor in orthopedics, a friend of the house, for advice and he looked at the X-rays and said it would...

P: Because it was arthrosis, nothing could be seen on the X-rays. There was a possibility to have the neck-vertebrae and eventually the back-vertebrae operated on, because I had so much pain.

A: These were the two main complaints, so the allergy with a difficult respiration, together with the rheumatic complaints in the cervical- and lumbar region. Not very deep, there were the belt is.

P: I have to add that the allergy only lasted a certain period, from May until June/July. It depended on the season, on the warmth.

A: And in the winter it was gone?

P: I didn't have problems with the allergy in winter. Allergy in the sense of - and no hay fever - if I was confronted with dust in winter, for example, tossing dust, then I started sneezing.

A: And also a kind of deficiency of breath. It was no real hay fever.

P: No, there was something else.

A: These were the pre-complaints.

Then I asked you about the sensitivity to temperature. Tell me about it.

P: I am easily cold. For example, this afternoon I examined orally. At the moment it isn't cold. I have sat there until half past three, and it is really true, my hands, for example my little fingers, become a little bit insensitive because of the cold. Afterwards, I often have difficulties in opening my purse while doing some shopping, because my hands are too cold. In winter I have very often cold hands and always cold feet.

A: Your feet are never warm?

P: I can't say. When I sit at the open fire in winter, then I have the feeling of nicely warm feet.

Which remedy does she get? She has itching at the palate, itching in the neck, in the eustachian tubes and she is chilly. Nux vomica. All right

A: Then you told me: "I sleep badly."

P: Yes.

A: You slept on the side, more on the right than on the left side. Or has this changed?

P: I have thought about it and I think that I sleep more on the left than on the right side. But the position remains about the same.

A: Was there a position in which you could not sleep?

P: Yes, on the back.

A: Why not?

P: I don't feel well. I can't sleep on the back.

A: What happened when you slept on the back?

P: I don't know.

A: You told me: "I wake up when I sleep on my back."

P: Yes, that is possible, excuse me, I don't remember it anymore. I slept very well. Since a year I sleep well.

A: But you told me something. "When I lie on my back I dream." That was the reason why you couldn't sleep on your back.

P: That is possible, yes.

A: And you didn't have normal dreams, you had nightmares.

P: Those dreams weren't nice. Now, I remember that I dreamt very much, that's right.

A: That was very remarkable. Then I asked you if you had certain anxieties. Then you answered: "I think it is ridiculous, but..."

P: "Fear of height," I said, yes.

A: A clear anxiety?

P: Yes, that was very strong. Very strong. I had to do the same things as previously, to know if I can do things which I didn't dare to do previously. I don't know.

A: Tell me about the fear of height previously.

P: I remember very well when we were on holidays, there was a very small bridge in a mountain and my husband was there as well. We went on it, and suddenly I couldn't do anything. I couldn't go on. I just sat down and said: "I don't dare to go on." Then he tried to say to me: "Don't look down, then we will go back or go on, but we have to go away from here." I just would have sat there. It happened again a few times on ski holidays. Suddenly, I realized that it was very deep and I didn't dare to do anything. Then they had to get me, because I didn't dare anything else.

A: You even became dizzy when you were standing so high?

P: Yes, I became dizzy.

A: And when there was running water underneath it?

P: Then even more.

A: I think you didn't have other anxieties, did you?

P: No, not particularly.

A: I thought it was a decisive anxiety, I mean, very well underlined. Concerning your character - no, first the sleep. You told me: "Sleeplessness, unbelievable."

P: Yes, that was really true. That was terrible. You can ask my husband. That was incredible. I could be very tired, go to bed and wake up at 2 o'clock in the morning and lying awake until 5 or 6 o'clock. And now, I must say, I sleep well. Really well.

A: Describe the sleeplessness. You woke up by 2 o'clock in the morning and you didn't sleep anymore?

P: No. I tried to sleep, told myself: "If you can, you can sleep", but I couldn't get it. I was tossing about in bed and so my husband couldn't sleep either. I got up constantly and lay down again. Now, it is over.

A: Then we talked about your appetite. You said you liked to eat everything.

P: Yes.

A: But there were some strong desires?

P: Yes, I like highly seasoned food. Also a glass of whisky. A good glass of wine of course. But highly seasoned food very much. On the other hand, I also like sweets.

A: And there might be some fat?

P: Yes, also.

A: You described it very well. You said, you weren't thirsty.

P: You told me that I am a kind of person who doesn't drink much and I read that in fact it is important to drink sufficiently, but I have difficulties to empty a glass of water. That is very seldom. I take care of that and I try to drink more. Now, it is a little bit better, but that is only periodically.

A: The constipation was also a problem.

P: That was a very big problem.

A: Especially, when you were travelling.

P: Yes, I took bran of wheat and tablets. Not regularly, but at the moment I don't have problems with it.

Constipation while travelling, which are the remedies? There are two rubrics: "Rectum, constipation while travelling" (p. 608; General p. 521): RECTUM,CONSTIPATION,travelling while: Alum., nux-v., op., plat.

Alumina, Nux vomica, Opium and Platinum. And "rectum, constipation when away from home" (p. 607): Lycopodium

A Sepia woman who is away from home and who is suffering from constipation needs which remedy? Alumina. Alumina is the chronic Sepia. Or she needs Nux vomica, because Nux vomica is complementary to Sepia

A: I noticed opposition for quite a long time before you admitted that you were really better.

P: That is right.

A: This means that you have a certain kind of character, that you are not easy to convince.

P: Yes, maybe that is so. Maybe you should call it "obstinacy", I don't know, but I would like to admit it.

A: On October, 15, 1986 I gave you your constitutional remedy. But it was difficult for me to get out if you were really better.

P: That's right. But you may not forget you have to consider the past history as well. I tried quite a lot of things and I think that I stood before quite a lot of things and then I was told that they couldn't help me anymore. This also plays a role. I told you that I tried to believe in it. I must say honestly, I have changed. I have become much more quietly and concerning the hay fever there is an enormous difference to previously. My husband also has to admit it. For example, last week I helped to break out a wall somewhere, also the ceiling. Imagine this, if you break down a ceiling you get the dust on your head, everywhere. I was buried under the dust and I didn't have to sneeze once.

A: And no deficiency of breath?

P: No, no deficiency of breath. Afterwards, I felt that my nose was dirty, but I didn't sneeze.

A: And rheumatic complaints?

P: These are much better.

She has the same way of talking as the patient with the PCP. "It is much, much better". It is very haughty, a kind of cultivated haughtiness

A: Although there were wears and tears.

P: Yes, that is right, haha.

A: This is a statement of a professor. I haven't said that.

P: I have to be carefully. When I notice that I get pain I don't go on working or don't stay at my job. But I can see to the right and left side very well, that is no problem anymore.

A: You sleep very well. But we were dealing with the fact that you don't like to admit.

P: Maybe, it is a little bit better, but that is not clear.

A: You are a person who is rather self-confident. Very self-confident. You are not easy dissuaded if you have an opinion.

P: That's right.

A: Obstinate. You are not easy moved from your opinion.

P: Yes, but now I admit it, don't I?

A: No, concerning the therapy. I mean in general.

P: That's right.

A: I will go further into your character, because it is typical for this homoeopathic remedy.

P: But it is true.

A: And you can still discuss very well?

P: Yes, and sometimes I like to do that very much.

A: About what?

P: Oh, about themes that interest me, of course, but that can be very differently.

A: You are teaching at a higher school. Your husband is a professor at the university.

P: I teach economy.

A: You had an economic training. Did you study economy?

P: Yes, I like that very much and in fact I like to teach. Personally, I get a lot of satisfaction from that. And as I already told you, when I teach one bad hour - and this happens - I am unhappy. But, for example, as an economist - I teach accountancy - it is very difficult for me to sit at a desk and do accountancy. That is too bored for me, I prefer to teach. I like to be among the people.

A: Are you companionable?

P: I think so, yes.

A: I don't understand quite well, because it doesn't fit with the kind of this homoeopathic remedy, that you are so practical. Economy is a real practical subject.

P: Yes, that's right, it is a practical subject, but I think you need a lot of logic thinking as well.

A: Yes, of course. It is an exact science.

P: A human science, in fact not exact.

A: Because the psychologic factor plays an important role?

P: I think, it plays a role, yes. When you only look at the Exchange business: if you and a few other people say tomorrow we exert ourselves on account of certain shares and you offer sufficiently, then you know what will happen with the prices.

She is more sophisticated than the other man. She does not constant lick her lips like he does. Her tongue does not really come out. Only if you observe very well, you see her tongue coming out a few times

A: You also prefer subject-matter of teaching about which you can philosophize?

P: Yes, but be careful. I studied economy, but at the moment I teach accountancy and finance analysis. But I like philosophy.

A: What about your religion interests? I don't mean whether you go to church or not.

P: Well, I think this has changed a little in the last years. That is normal, you become older, wiser. But I believe, I venture to say I believe and I also pray.

A: You pray? Tell us more about that.

P: Yes, doctor. I believe that God exists, and when I pray, it is really so. Not that I... eh.... Of course, I can also make a prayer, but that I talk to a higher being, with God.

A: And what is the background for that praying?

P: I don't know, if you understand, but I believe, I can say normally: "Thank for this or that", because there are quite a lot of things I have to be grateful for. I ask myself why I got this and not other people. If there are big or little difficulties I say it. I venture to ask for it. And I am convinced that this prayer is heard.

A: Do you believe that you are very altruistic?

P: In fact not.

A: In fact, you aren't. Describe it.

P: Maybe I don't know myself well enough, but in fact I don't think so. I have to ask you. Apparently, you think so?

A: No. I expected you should say: "No." Why do you think you are not altruistic. How do you notice that? That is not a condemnation, but an analysis, an ascertainment.

P: That is a difficult question. Probably, because it has to do with emotions. Is it possible that it has less to do with the mind? Maybe that is the reason, but I have to think about it, because I can not say it immediately. But I think it is so.

She analyzed it very well, because real altruism has something to do with emotions and she does not have them. Therefore, she is not altruistic. That is a very good, very sharp analysis of herself

A: Do you make plans?

P: Yes, yes, I have to make plans.

A: Then, you feel that you live?

P: Yes, except during the holidays, then I don't need to make plans, at least not from hour to hour. But in normal life everything has to be organized and planned.

A: Do you still have ideals?

P: I think so.

A: Do you live from ideals?

P: Yes, partly I live from ideals.

A: Are you an idealist?

P: Yes, but not so strong. Yes, I think so, yes.

Do you see what "idealistic" means?Why is Causticum idealistic? With Causticum it comes from the heart, it has to do with justice.Her idealism is based upon thinking, upon theories, it does not come from the heart. Every remedy has its own focus, its own being.There are heart-remedies, there are liver-remedies, there are stomach-remedies and so on.If people say: "It lies on my stomach", then you probably need Lycopodium.Other people say that it lies on their heart. That is which remedy? Aurum. And the remedy that says that it lies on their kidneys is Kali carbonicum. In every remedy the accent lies on a certain area in the human being, and in this remedy it is the mind

A: I think you belong to the best in your subject.

P: I don't think so.

A: For example, in your teaching?

P: I think I teach very well, but in my subject I could have come further.

A: Yes, but you are teaching at the moment.

P: I think that I teach very well, but that is my duty.

A: Do you think you are hyper-orderly?

P: I have surely been the whole time. But at the moment it is difficult, doctor, what kind of rules are at the root? I am very orderly. It might be a little bit untidy. On my desk a little bit untidy, but then... In certain cases it is only for two hours, exceptionally two days, but then it has to be cleaned.

A: Do you think you are easily disgusted, for example, if you go eating in a restaurant?

P: No, I don't think so.

A: Would you drink out of a glass of which someone else has drunk?

P: It depends on who.

A: At what time do you get up on Saturday?

P: Late. Well, do I have to tell this here?

A: You can also laze about?

P: On Saturday and Sunday morning, yes.

A: How long do you stay in bed?

P: That might be until 10 o'clock.

A: How do you feel if you get up?

P: In fact, I feel well. Often, I think I could have done this or that. That occurs on weekends when we have a lot to do. But there are also weekends that we say they are completely for us. Then I don't mind.

A: But you are as fresh as the other days, when you get up early?

P: I absolutely need one or two hours to get fresh.

A: So that is my question, if you sleep long... Has it ever happened that you get headache in the weekend when you stay too long in bed?

P: That might be.

A: What you call a weekend migraine.

P: That is possible, but in general I don't have much headache.

A: In addition, we can say that you have reacted beautifully. You admit it, don't you?

P: I admit it.

A: But you still are easily cold.

P: Yes, that's right.

A: Also when you got your remedy and you feel very well in general.

P: Yes, I feel very well.

A: Don't they say you look younger?

P: Not immediately, doctor. I have to ask my husband immediately.

A: A last point. I think that you like to be served.

P: Yes, of course.

A: You say: "Bring this, bring that."

P: I would do so. Only you may not conclude that I let myself serve at home. But I can sit on.

A: At your home nobody is inclined to serve, your both sons surely not. As the tree, so the fruit.

P: No, that is true.

A: Do you often weep?

P: No. I did previously. That is dammed a long time ago. Now, as you are saying...

A: Tell me when you cried the last time?

P: When I had difficulties and I had the impression that I didn't have energy enough to conquer these difficulties. Then I cried and even with beautiful music, for example, but that is another crying. But I still have it, you don't get lost of it, I think. But then I put the record on the record-player again, because I thought that it was a kind of relief.

A: Do you often have the thought: "Why do I cry now?" Especially when you were tired?

P: Yes, I had so.

A: I thank you very much for coming, because you are an example of this homoeopathic remedy.

P: And I thank you because you helped me quite a lot.

These people cry when they are very tired. In the Repertory there is a rubric "mind, weeping, causeless" (p. 93).

MIND,WEEPING,causeless: Apis., ars., bell., camph., cina., graph., hura., kali-ar., kali-br., kali-c., kreos., lyc., nat-m., nit-ac., Puls., staph., Sulph., tarent., viol-o., zinc

They don't know why, without reason. Sulphur is capital

She is chilly, has an itching at the palate, the hay fever with asthma, all this indicates Nux vomica. Even if every symptom indicates a Nux vomica symptom, I could not give her Nux vomica, that would be wrong. Maybe, Nux vomica would do something superficially, because it has all these Nux vomica symptoms, but in fact it is not Nux vomica. She is chilly and so on, but nevertheless it is Sulphur

This is real Homoeopathy, that is the difference between a superficial prescription, like a computer and a prescription on the basis of the kind of person, the character

She got Sulphur M and later a few times Sulphur 10M. That is one, two years ago and since then she is doing very well

Question: "Where is the rubric 'weeping when tired'?

A: No, this rubric does not exist. We have seen a few times in Sulphur patients that they say they easily weep when they are tired

CASE7v2

Hay fever, urticaria

Sulphur

MAN, 26 YEARS OLD

This is a case of hay fever and urticaria. Previously, I treated his mother. She is professor at the university in Leuven and his father is also professor, so they are very important people. Their son is also studying, so he is really intelligent

P: I have allergy, hay fever. With warm weather, with pollen, when the air is dry, when there is a lot of dust, I have difficulties with the bronchial tubes, the nose and I have watery eyes. The classical symptoms of hay fever.

What did he say? "The classical symptoms of hay fever." Who uses such expressions

You have to imagine this, he goes to a doctor because of his hay fever and he says that he has classical symptoms of hay fever! These are not his own words, these are clichés

A: Aggravated by dust, warmth...

P: The warmer, the worser. The sea has a good influence. If I feel bad at home and I go to the sea for the weekend it is clearly better.

This means that he has hay fever in the warmth, in dust, in dryness. It is better with wet weather. Which remedy has capital amelioration in hay fever in wet weather

Answer: "Causticum.

A: Yes, Causticum has an amelioration in wet weather, but in hay fever there are two other important remedies which have an amelioration in wet weather

Answer: "Hepar sulphuris.

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

Answer: "Sabadilla.

A: Yes, Sabadilla, but there is another remedy that has this symptom more strongly indicated and that is Nux vomica

People say that there are less pollen when it is raining. But I do not believe that. I only take into account the fact that the hay fever is better when it is raining and look in the Repertory under "wet weather ameliorates" (it is not in the Repertory) or "dry weather aggravates" (p. 1357). There is Asarum, that is very interesting; then Causticum, as someone already said Hepar sulphuris, Nux vomica, Sabadilla one and Medorrhinum is an addition

He also says that he is better near the sea. Which is the most important remedy with amelioration near the sea? Medorrhinum. Medorrhinum is better near the sea

A: Near the sea it is clearly better?

P: Yes.

A: Is it also better near the sea when it is warm?

P: Yes.

A: Or you are better because there are no pollen, or because you are near the sea. That is difficult to interpret.

P: Yes.

This is a very important differential diagnostic point. It is important to know why he is better near the sea. Is he better because there is less dust or is it because of the sea self? That is often difficult to differentiate. If he has other symptoms which are better near the sea, you can take the rubric "sea ameliorates", but not if there is only the hay fever, because then usually it is not the sea, but the dust-free air, and that is normal

A: Do you have other complaints?

P: Eruptions over my whole body by contact with grass, pine-trees. When I work in the garden with naked arms or legs I am covered up with vesicles all over my body.

Urticaria, that is the second problem. He gets an eruption when he works in the garden and comes in contact with flowers or trees or things like that

A: So urticaria.

P: Yes. They are gone after one day.

A: Other complaints?

P: No.

Now, we can end this consultation and say that in 60% of the cases Nux vomica is the right remedy and give Nux vomica. Or we can look in a book where certain remedies are described for certain indications and see what is written in the combination of hay fever and urticaria. Or we can follow the classical way and see what kind of person he is and what his constitutional remedy could be, because he does not have clearly local symptoms which would surely indicate a certain remedy. Until now, nobody can say whether he needs Sabadilla, Hepar, Nux vomica, Asarum or some other remedy. Surely, he will not need Asarum. Why? In which kind of people is Asarum indicated? In very nervous people, in people who have stopped drinking alcohol or taking tranquilizers or other things. In such cases you have to think of Asarum; in people who are very nervous, because they have abstention symptoms

A: What is your profession?

P: I am still studying.

A: What?

P: Laws. I am in the last year.

A: Does it suit you?

P: Yes, very much.

He is studying law, he will become a lawyer. That is very interesting, because the profession often indicates the remedy

A: You can explain very well?

P: That is a job where you have good possibilities. I intend to do practice with a lawyer. Later, you can still go into the industry.

A: I think that a lawyer...

P: ... yes, to be a lawyer is a nice job.

A: If it suits you.

P: Yes.

A: Now, I try to analyze your character and your behaviour. That's why I ask these questions. Anyhow, you choose a profession in which you are dealing with people.

P: Yes, absolutely.

A: You are not a person that avoids the company of other people.

P: No, I'm active everywhere.

A: A social person.

P: Yes.

A: You don't have much scruple. When I see you sitting like that I have not the impression that you are a closed, retired person.

P: No, not at all.

The first step was to see if he is a social person, if he has an open character. He says: "Yes, absolutely, I have several activities on several levels, I am not a closed person." So, we can forget Natrum muriaticum. His appearance was really plethoric, this means full lips and a lot of blood in the face. This gives me a certain impression. That is Homoeopathy. You see someone and on account of his appearance and his way of behaviour you think of a certain remedy

A: You also look rather warm-blooded. Do you suffer from coldness?

P: No, not at all. I rather have difficulties with the warmth.

In this point we can forget Hepar. I asked him if he is chilly and he says: "No, not at all, I am always too warm." So, we can exclude Hepar and Nux vomica

A: Can you discuss well?

P: It is difficult to judge about that myself, but I think so.

A: I mean whether you like to discuss?

P: Very much. Often, this is the reason why I come home so late.

A: Do you like to go and drink a beer?

P: Very much. Less because of the beer than because of the company.

He says he often comes home late when he goes drinking a beer, because he is discussing the whole time. This means that he likes to drink beer. We know yet that he likes to drink beer, without asking him immediately whether he likes alcohol: "Desire beer", the remedy is there capital

A: When you drink beer do you drink in small draughts?

P: No, when we are talking I usually empty my glass in three or four draughts.

A: Also when it is warm?

P: Yes.

A: Do you discuss about practical or theoretic things?

P: Both. It depends on the person whom you are with. Many like to discuss about theoretic things...

A: You can discuss theoretically?

P: Yes.

A: Do people often say you are a little bit philosophically-minded?

P: Yes, people who know me better.

A: Can you also make many plans for your own?

P: Oh, surely. That happens every day. So, daydreams.

These are the daydreamers who are making new plans every day and who are constantly theorizing. He often lives in himself, thinks, makes plans and builds castles in the air

A: That is very well expressed, daydreams, making plans. Are that castles in the air?

P: Yes, castles in the air related to reality. They are not without relation to reality.

A: I also think that you are a rather critical person?

P: Yes, very critical. More critical for other people than for myself.

He is censorious, very censorious and more censorious for other people than for himself. These people only live for themselves, they are the best

A: This again indicates the theorizing. What do you mean with difficulties with the warmth?

P: Then, I have less concentration. I can do some handwork, but I have difficulties with studying and with sleeping. I need very chilly rooms to sleep. At home we have a garden-house of wood. I put a bed and a desk inside. When I am at home I sleep there, because it is too oppressive in the house. I need air.

A: You need fresh air?

P: I always have to sleep with open windows, unless it is a very, very cold winter.

A: Are there some parts of the body you have difficulties with when you are too warm?

P: Yes, when my genitals are too warm, they are always in the way.

A: Does it often itch there?

P: Yes, because of the warmth.

A: Can you bear a hot bath?

P: Not very hot.

A: How do you feel after a hot bath?

P: Awkward and immediately perspiring when I come out of the bath.

A: Does it itch after the bathing?

P: No.

A: Are you easily too warm at night?

P: Not when I sleep in a cold room. Otherwise I am not covered up and sleep naked.

A: Do you regularly sleep naked?

P: Yes.

A: And in winter?

P: I often wear pyjama-trousers and seldom a pyjama-jacket, unless it is very cold.

A: Do you put your arms above the covers?

P: Yes, upper body and head free.

A: Otherwise you are covered up well?

P: Yes.

A: What do you do when you are too warm in bed?

P: Put away the eiderdown.

A: Your feet do not lie bare?

P: No, unless they are uncovered.

A: You don't put your feet out of the covers to cool them?

P: It might happen that I put my legs upon the cover.

A: I am sure there are certain things for which you are afraid of.

P: Well, anxiety... maybe for the future.

A: Are you an anxious type?

P: No.

A: Are there certain occasions, places where you are anxious?

P: Anxious?

A: Where do you go on holiday?

P: Near the sea or visiting towns.

A: Not to the mountains?

P: Yes, a few years ago we went a few times to the mountains. And every winter ski-running.

A: How do you feel in the mountains?

P: Fine.

A: You never had problems?

P: No. When there was a steep downhill...

A: You never had a fear of height?

P: Yes. Once, I went climbing mountains with a friend. It went down in steps and he really had to take me by the arms, because I didn't dare to go on.

A: Did you become dizzy?

P: That is possible when I am very anxious.

A: I mean in the height?

P: No. During the holidays I repaired roofs. In the beginning it was strange, but then you work like everyone else.

A: But clearly a fear of height?

P: Yes.

A: How do you feel on a bridge?

P: What kind of bridge?

A: A high bridge.

P: It depends on how large the bridge is. I don't feel anything on a large bridge. If it is a small bridge, I will take care where to put my feet.

A: You have never become dizzy when you looked into the water?

P: No, I haven't.

A: How do you lie in bed?

P: Mostly, on the right side.

P: To fall asleep?

P: No, on the left side.

A: Well yes, I expected so. Unless, you have to lie on the side where there is most fresh air.

P: No, you are right, on the left side.

A: Do you ever lie on your back?

P: Seldom.

A: Why?

P: I rather lie on my stomach than on my back.

A: To fall asleep?

Do you know why I asked if he sometimes lies on his back

P: Yes, that might occur.

A: But usually on the left side?

P: Yes.

A: You didn't notice anything particular when you lie on your back?

P: No.

A: That you, for example, can't sleep?

P: No, then I automatically turn over to the other side.

A: What happens if you wake up and you lie on your back and then you fall asleep again?

P: Nothing happens.

A: Alright. Do you dream?

P: Yes, very much.

A: About what?

P: About roof working, the future and the past.

A: Do you have nightmares?

P: Yes, sometimes. In the sense that you experience situations which you don't like to meet.

A: That you have to fly or things like that?

P: Previously a lot, but now more like being attached. You see everything happening and you can't do anything.

A: Do you dream about things that haven't happened yet?

P: Yes.

A: Describe it.

P: During the holidays I restored a house in Antwerp. Then, I dreamt that I was living there with my girl-friend.

This remedy dreams of situations that have not happened yet. Where can we find this in the Repertory

Answer: "Prophetic dreams.

A: Yes, "prophetic dreams", but there is another rubric "sleep, events, not yet taken place" (p. 1239): Sulphur

SLEEP,DREAMS,EVENTS,not yet taken place : Mang., sulph.

And in the rubric "dreams, events, long past" you see Silicea.

SLEEP,DREAMS,EVENTS,long past: Am-c., calad., ferr-i., ferr., senec., Sil., spig.

Silicea is a remedy for people who have been in the concentration camps. These people are anxious and it originates from a very big fright. They experienced several very strong emotional events and every night they dream of these long past events.Once, I had a patient who came with headache. I gave her Silicea and two days later she called me crying and said that everything that happened in the concentration camp came back.She saw how a child was beaten with the head against the floor until the head was bursting and the brain was coming out. She saw all this back in her dreams and she was crying and crying, it has affected her so strongly. Afterwards everything was over and her chronic coryza was cured as well

Silicea is one of the remedies you may not forget in people who are still suffering from war memories

Do you know the rubric "anxiety from fright" (p. 7)? There you see all the remedies and Silicea is capital.

MIND, ENXIETY,fright, after : Acon., gels., lyc., merc., nat-m., op., rob., sil.

A little bit higher there is the rubric "anxiety from noise", Silicea is again capital.

MIND,ENXIETY,noise, from : Agar., alum., aur., bar-c., caps., caust., chel., nat-c., petr., puls., Sil.

These people often tell you that they heard shooting during the war, that they have been frightened by that and that they found someone dead. They heard this "blow" and since then they have these anxieties and these dreams of these long past events. Then, think of Silicea

Compare those two rubrics "anxiety after fright" and "anxiety from noise". There you see Aconitum. Arsenicum is not there. Arsenicum is also afraid, has fear of dead and so on; but not the anxiety from fright. Arsenicum can not see dead people.When they see dead people or something which reminds them of death, or when you are talking about death, then they go away. That is the difference to Aconitum. When Aconitum sees a dead man, he gets an anxiety, maybe because the man who is dying is so thin and so yellow and maybe he has cancer, it frightens him. That is something different as in Arsenicum

In the rubric you also see Gelsemium. Gelsemium with the trembling, Lycopodium, Mercurius, Natrum muriaticum and Opium. In Gelsemium it is more the weakness than the trembling. The trembling of Gelsemium is a slight trembling. Opium trembles all over the body, looses its stool and becomes unconscious from fright. It is also in the Repertory: "Rectum, involuntary stool after fright" (p. 621)

RECTUM,INVOLUNTARY STOOL,fright, after : Op., phos., verat.

Question: "...?" (not understandable

A: Yes, Gelsemium urinates involuntary from fright. There is a difference between fear and fright. Fright is a sudden fear.If someone is trembling all over his body after an accident, then you have to give Opium. When a child is brought in that is continuously weeping, because it has broken its leg, is very, very anxious and is weeping very loudly then you have to give Aconitum, and it will sleep within two minutes. But if the trembling is an important symptom then you have to give Opium

A: Do you think that you are orderly and punctual?

P: I am orderly, but not very punctual. Always a little bit too late, because I have so many intentions.

A: Do you put your trousers over the chair orderly?

P : Yes, yes. Unless I drank too much beer, then they fly in the room.

Normally, it depends on the mother, but these people take off their trousers and hop it flies in a corner, then the shoes and the socks and they are already in bed. Someone else puts everything orderly over the chair, but these people absolutely not, unless the mother is behind them the whole time, then they will do it. But when they are alone there is a complete mess: here trousers, there a sock, there a shoe and everything stinks. Once I saw a small student room and there were forks, spoons, cups and things like that on the floor of the toilet.It was the room of a man with whom I often went to drink a beer and I knew that he was often drunken. Then he stood there in the toilet and was urinating... That is Sulphur. He cleaned his room maybe two times a year and under his bed there were socks, pants and so on. Once I had to stay the night, because it was too late to go home. I was lying there in a small room and I saw three bottles with a coloured liquid. I was wandering, because in fact he only drank beer, and I could hardly believe that he drank wine as well. So, I took the bottle and smelled - it was urine! He was too lazy to get up and therefore he urinated in these bottles

At that time I did not know anything about Homoeopathy, but today I would make a video of it

A: I also have the impression that you can be lazy?

P: Yes, there are days...

A: Where everything goes all right.

P: Yes. (Coughs)

You see, he suffers. He does not smoke, I think, he does not smoke

A: What do you prefer to eat?

P: That is different. At the moment salmon with new potatoes and a good juice.

A: Are there things you don't like?

P: No.

A: You like everything?

P: There are things I don't like so much, but I eat everything.

A: And how does it have to be prepared?

P: It is very important. The potatoes and the frites have to be baked very well, not too much, not too little. There must be a good juice with it. The meals have to be prepared very well. I like to cook as well.

A: Do you drink a beer with it?

P: No.

A: Which taste do you prefer?

P: Not sweet.

A: Do you have an aversion to it?

P: No, but I wouldn't get sweets for me.

Do not forget Sulphur in "aversion sweets"

STOMACH,AVERSION,sweets: Ars., bar-c., caust., Graph., hipp., lac-c., merc., nit-ac., phos., sin-n., sulph., zinc. A: What else?

STOMACH,DESIRE, sweets: Am-c., arg-m., Arg-n., ars., bar-c., bry., bufo., calc-s., calc., carb-v., chin-a., Chin., elaps., ip., kali-ar., kali-c., kali-p., kali-s., Lyc., mag-m., med.,merc., nat-a., nat-c., nat-m., nux-v., op., petr., plb., rheum., rhus-t., sabad., sec., sep., Sulph., tub.

P: A ham or cheese roll or a hot dog.

A: Rather highly seasoned food?

P: Yes, highly seasoned. I like that very much.

A: Do you want mayonnaise with it?

P: Yes.

A: You have an aversion of fat?

P: No. Frites with quite a lot of mayonnaise.

Do you see these plethoric, well-blooded lips. We know of Sulphur that all the orifices are red: redness around the rectum, red mouth, all the openings are often red, dark red, plethoric

A: And sour?

P: I also like that.

A: But you also like to eat some sweets?

P: Sometimes. But it really has to lie somewhere, so that I can take one. Otherwise I wouldn't. I also like Chips and peanuts and cake.

A: And vegetables?

P: Very much.

A: Raw or boiled?

P: Both.

A: Have you had eczema previously?

P: Yes, as a child.

A: Aha! And how has it been treated?

P: I don't remember.

A: With ointment.

P: I suppose with ointment and talcum powder.

A: And when the eczema went away, you got the allergy?

P: Yes, I already got it in my younger years, because the children's doctor has treated it.

A: Do you see the relation between eczema, hay fever and eventually the asthmatic components?

P: I have been told that it is hereditary.

A: What I mean is: originally, you had eczema.

P: Yes.

A: It has been suppressed by ointment. Then you got hay fever and eventually asthma. I mean, because you are coughing there could be an asthmatic component with it.

P: Can this be due to smoking?

A: I don't think so. You don't smoke two packets a day, do you?

P: No, ten cigarettes.

A: I want to say that not everyone who smokes so much is coughing. But that is theory. I have to give you the right remedy.

P: That's why I came.

A: I asked you these questions to be sure of the choice of the remedy.

P: My brother and mother are in treatment here and they are very well. Last time, I got acupuncture, but without perceptible result.

A: What kind of medicines do you take at the moment?

P: I don't take anything.

A: That is sensible. I want to see you again within two months for the feedback.

You see, I have recorded this patient as a constitutional case and the first thing is the impression you get from the patient. You can not learn this from books, but only from video-cases, so that you feel when a Sulphur patient comes in. On account of this impression you think about the remedy and then try to confirm, to find the important key-notes

This is a theorizing man, a selfish man, he lives only for himself. So you can clearly recognize Sulphur. It is not important to know which disease he has; this patient has urticaria and hay fever

Another symptom was the following: the first consultation was on August, 29, 1987. I told him he should come back after two months for the feedback, but he did not make an appointment. A few months later I called him, because I wanted to know how he was doing and then he came on April, 2, 1988 - seven months later - for the feedback. So, at the end of August 1987 he got a tablet Sulphur M and now he comes back at the beginning of April 1988

FEEDBACK (2.4.1988)

A: You were here the first time on August, 29.

P: That's right.

A: I haven't heard anything from you.

P: That is a good sign.

A: Therefore, I called your mother to ask how you were doing. The problem was hay fever and problems with dust and warmth, better near the sea. Urticaria when you came in contact with grass.

P: Yes.

A: You also had a deficiency of breath.

P: Yes, a little.

A: I gave you a remedy. How was the reaction? Of course, it is already a while ago.

P: I must say that I have little problems with grass and nature substances. But in August I restored an old house, broke out the walls and the floor and then I had difficulties because of the dust. But there were really thick clouds of dust. Now and then I got a fit of sneezing.

A: But you were only here at the end of August.

P: I thought I came in July.

A: But, in any case you had less difficulties from the warmth.

P: Yes, that was remarkably better.

A: You haven't been ill of the remedy?

P: No, I haven't noticed anything of it.

A: What about the urticaria?

P: When I lie down in the grass I still have it.

A: Still as strong as previously?

P: I can hardly say, because I take care that I don't get in contact with trees.

A: You are still taking care?

P: Yes.

These people and especially the intellectuals, do not accept that they are better; I asked him if his urticaria is better when he comes in contact with grass. He says: "No." Then I asked him, if it is a little bit better and then he says that he does not know, because he has not come in contact with grass. How can he know whether it is better or not

With these people you have to be careful. They can make you doubting about a remedy

A: How did it go from August until now, when you compare it with the previous years?

P: I had less difficulties with fits of sneezing and watery eyes.

A: Is it a handicap for you now?

P: Well yes...

A: Before it was a serious problem, wasn't it?

P: Yes. I think that I was here just before the examinations. I can't remember very well.

A: Did you have to take examinations in September?

P: No, only in June.

A: I don't remember either.

P: Anyhow, I should have come back after 4 months. But I thought, everything is all right.

A: So, you feel well?

P: Yes. The only problem I have is a kind of skin eruption on my arm. It occurred a month ago.

A: Very interesting. Good.

P: I have it now and then on my underarm.

That is very interesting. After almost 10 months an eczema appears. You see how long you have to wait. The first consultation was at the end of August and at the end of March the eczema started, this means six months after Sulphur M

A: Did you have eczema as a child?

P: Yes, I had.

A: How has it been treated?

P: With powder and ointment.

A: When did it appear?

P : About 1 or 1 1/2 months ago.

A: It appeared 5 or 6 months after the homoeopathic remedy.

P: Since then I also have a dry skin.

As a child he got an eczema and it has been treated with powder and ointment. Do you see the relation? Urticaria and hay fever after suppression of the eruption

Remark: "I am not so convinced, because you saw this patient in August last year. You saw him again in April this year and in the meantime, in winter, normally, hay fever patients do not suffer. It would be interesting to know how he is doing this year.

A: Previously, with the slightest dust, either summer or winter, he always has reacted with strong sneezing, even with deficiency of breath. It was a very good and deep reaction, because he did not want to come at all

Besides, the state of hay fever is over now, because he gets an eczema. Normally, you will not have hay fever and eczema together. When the eczema is showing up, he will not have hay fever. If the eczema is suppressed the hay fever will aggravate. He will have a relapse when the eczema is treated with ointment. If not, he will not have a deficiency of breath again, not at all

Question: "If you treat hay fever with the right remedy, does it disappear within the same year?

A: If you have a clear picture, like this case, where nobody can doubt about the fact that it is Sulphur, then you give the remedy and the patient is cured. But often the acute picture is not the same as the constitutional and then you have to give the remedy depending on the local symptoms. Then, it comes back every year and you give Nux vomica or Wyethia or Sabadilla and so on, until a clear picture appears. If you can give the constitutional remedy at the beginning, normally, it will not appear the following year, but there is not a general rule for it

A: Have you been the same kind of person you were previously?

P: What do you mean.

A: I mean someone who is rather critical, a little daydreaming, warm-blooded. You had fear of height, liked highly seasoned food, and there may be a little bit fat.

P: Yes, yes. Everything has remained the same.

A: In the meantime you are not cold?

P: I have been in Russia for a fortnight, and the windows had to stay open.

A: I will give you another remedy to cure the eruption.

P: Fine. I still have hair-loss when my hair is a little bit longer. I took some vitamins for it.

A: Of course, that might improve, but it also has something to do with heredity.

P: I heard so.

A: I mean, don't let you convince to take all kinds of things.

P: No, no, but those vitamins don't harm.

A: Because you have skin eruption and a dry skin the hair-loss might have increased. There might be a relation. The hair-loss might be better.

Have you ended your studies yet?

P: No, I am in the last year.

A: What are you studying?

P: Law.

A: Oh yes. Then you have to be careful?

P: On the contrary, these people are there to help you.

A: Do you want to go into the industry?

P: No, I want to open my own office.

A: You know, what you want.

P: Yes. But first I have to do military service.

CASE8v2

Acute bronchitis

Sulphur

BOY, 2 YEARS OLD

Here, you see the beautiful appearance of a very small remedy. Late in the night he came with coughing, an acute tracheo-ACUTE BRONCHITIS

MP: I think it is because of ... He swallows it, he can not blow his nose. I'm teaching him how he should do it, but in school he swallows everything. Everything came out.

A: Vomiting.

MP: Yes.

A: While coughing?

MP: Yes.

Of which remedy do you have to think of with a one sided redness in the face with coughing, ACUTE BRONCHITIS? Of Ipecacuanha. What other sign has Ipecacuanha

A complete clear tongue notwithstanding the continuous nausea. A clean tongue without a nausea does not mean anything at all, but a clean tongue with nausea, that is peculiar, that is Ipecacuanha

What does Ipecacuanha do with the fingers? They put them in their mouth. Besides, Ipecacuanha is delicate in eating. There is another remedy with nausea and vomiting with coughing together with a clean tongue, and that is Cina. Cina has a clean tongue with stomach disorder

Which is the remedy that has most a white coated tongue with stomach disorder? Antimonium crudum. Do you see his tongue here? Both sides are red, a circumscribed redness

A: Open your mouth. Put out your tongue. It is clean. Does he slaver?

MP: Yes, a little, but he doesn't have difficulties with it. In the morning I notice it, because of the sheets. Otherwise, I don't understand how they can be so dirty, they are really dirty.

A: I have never seen this child. - Oh yes, he was here once at night.

MP: No, on Saturday evening, he had an acute inflammation of the ear.

A: And how did he do afterwards?

MP: He got one tablet and then it went over, but the nose was still running. I also got a tablet for the fever, but he didn't have to use it.

A: Then, it cured very quickly?

MP: Yes, very quickly.

The white of the eyes is really white with him; you do not see a redness, no congestion of the blood vessels in the eyes

A: Did he cry?

MP: Yes, a minute ago. I think he doesn't get enough air.

A: Is he a bore?

MP: Not very much. Only when something doesn't work the way he wants it, he gets angry. He can really kick and so.

A: If he has it the way he wants, does he often throw it away or not?

MP: No, he doesn't. Often it is when his little sister doesn't notice it immediately, then he often is difficult. But he normally went to school.

A: He only just started coughing?

MP: In the afternoon. He came home and he was coughing a little bit and we gave him HOLUNDER. But just now, when I laid him in bed he started coughing. Before, he ate very well. But now, he is coughing constantly when he lies in bed. My husband said he was also coughing in the afternoon for a while, but... I was not at home. Constantly, I think.

She says he is coughing constantly. "Cough, constant" (p. 784). The remedies here are Alumina, Causticum, China, Sulphur, Rumex, Spongia

COUGH, CONSTANT : Acon., agar., ail., Alum., am-br., am-c., ant-t., apoc., arg-c., arn., ars., bell., benz-ac., bry., calad., calc., cann-s., carb-ac., carb-v., Caust., Chin., chlor., cimic., cimx., cina., coff., con., cor-r., cub., cupr-s., cupr., dol., dros., elaps., eupho., ferr-p., ferr., guare., hep., hyos., hyper., ign., ip., kali-bi., kali-chl., kali-i., kali-ma., kali-n., kalm., kreos., lac-c., lach., lact-ac., lact., laur., lob-s., Lyc., mag-arct., mang., med., merc., mez., nat-m., nat-p., ph-ac., phel., phos., phyt., plan., podo.,puls., rhus-t., Rumx., sang., seneg., sep., Spong., squil., stict., tab., thuj., zinc.

MP: This already happened a few times. Therefore, he got quite a lot of antibiotics.

A: Yes, let's listen to the lungs.

Never forget a physical examination with cough, because you can not know whether you are dealing with a pneumonia

A: How many times did he vomit?

MP: Once, but quite a long time. It came out with difficulties. Vomiting and then again coughing and then again vomiting.

A: Does he still have a tendency to vomit while coughing?

MP: Yes. He complained about his stomach. He has a little diarrhoea.

A: What do you mean with diarrhoea?

MP: Yes, he has to go a few times a day. It is bright and falls immediately apart. Maybe, that is from HOLUNDER, I don't know, he is sensitive to it.

He is playing, because he sees himself in the monitor. Who proposes a remedy

Proposal: "Phosphorus.

A: Why Phosphorus? You took the rubric "face, discoloration, red, circumscribed redness" (p. 362). That is a clear symptom and Phosphorus is capital. But how can you exclude the other remedies

I would like to say something: when Phosphorus is ill and it has the circumscribed redness in the face, then the rest of the face if pale. Phosphorus is in coughing and generally in his disease very, very pale, very thirsty and normally he vomits five until ten minutes after he drank something. Phosphorus is very pale and his redness is a circumscribed redness

Here in this case you do not see the paleness. But anyhow, if you do not know how Phosphorus looks in an acute state, you have to differentiate with the help of the Repertory.

To me it can not be Phosphorus, because acute Phosphorus cases are terrible, you start trembling. They are very white and very pale and they vomit the whole time. They vomit with enthusiasm, yes really with phosphoric enthusiasm. They vomit and vomit, loud and strong, it is terrible. Then you give Phosphorus 10M and 5 minutes later they are cured, yes really, in 5 minutes. Often these are very, very acute cases, where they call you out of bed and you don't think of taking the video camera with you or these are life dangerous cases where the mother is anxious that her child will die and it is not very polite to stand there with your video camera

Do not forget Phosphorus in very, very serious diseases, but they are also very, very quickly cured

All right, Phosphorus is one possibility. Other proposals

Proposal: "Antimonium tartaricum because of the white tongue and the circumscribed redness during cough.

A: In the rubric "circumscribed redness during cough" I do not see Antimonium tartaricum. You made a mistake. It can not be Antimonium tartaricum. Antimonium tartaricum is rattling in the breast, often with motion of the nose wings. These are very serious situations with lung oedema and constant rattling. They are coughing and coughing the whole time, but nothing is coming out. They do not have the energy to expectorate. There is another remedy with rattling and strong coughing, but nothing is coming out and it is especially indicated in old people, that is Ammoniacum. And when they expectorate then it is very strong stringy - like in which remedy?

Kali bichromicum and Hydrastis. Are there other prepositions in this case

Proposition: "Drosera because of the coughing while lying down.

A: No, that is not right. He is sitting there and he is also coughing. If he would only cough while lying down, you could take this rubric, but he is also coughing while he is sitting. Mostly, Drosera also has a very deep sound while coughing, very deep. Look in the Repertory: "Larynx and trachea, voice, deep (p. 758) and their cough is also this kind of low tone. Therefore, it is also in the rubric "barking cough" and therefore it is also the remedy in laryngitis stridulosa, because in Drosera the larynx is affected, their voice has changed. Also in Arum triphyllum and Spongia the larynx is affected

In this case the problem lies in the trachea

Other proposals

Proposal: "Sanguinaria.

A: Sanguinaria, yes, that is very interesting. They cough, and cough, become red, red-blue, and nothing is coming out, bluish-red like Belladonna. Both have this kind of laryngitis, the "false croup". But not here, it is a circumscribed redness - or is Sanguinaria in the rubric? Yes, two. Well, all right.

Other remedies

Proposal: "Carbo animalis or Carbo vegetabilis.

A: Yes, good, but I do not know, I do not think that Carbo animalis has to do with this kind of acute disease. If it would be Carbo vegetabilis, how should the mother have come in with the child? What should she have done? She should have fanned him. If you go on house visit and there is a man sitting and in the same room there is a ventilator, you can give him immediately Carbo vegetabilis

Proposal: "Spongia.

A: Yes, Spongia, but the sound of the cough in Spongia is very low, hard and dry, it gives the impression that it comes from very deep; not here in this case, it comes from higher

Proposal: "Rumex.

A: Yes, Rumex is a possibility, but which symptom indicates Rumex particularly? "Coughing while breathing cold air", that is a very important symptom for Rumex

Proposal: "Sulphur.

A: Did you see the wrinkled forehead? You could not see it once. I have looked for it, because he was constantly coughing and because of the circumscribed redness, these are symptoms for Sulphur. But there is one sign in Sulphur that is always in lung symptomatology, this is the wrinkled forehead. Do you see "face, wrinkled forehead, with chest symptoms" (p. 396), one capital remedy: Sulphur.

But here you could not see once a wrinkled forehead. Concerning his character, his mother said that he is quiet, he is not asking much; when Sulphur is coughing like this, they are dictators: "I want water!" When they do not immediately get what they want, they become angry, dictatorial, unsatisfied. Here, it is not the case

Proposal: "Pulsatilla.

A: Pulsatilla? I did not ask for the thirst. But what do we see here? We see the circumscribed redness in the face and until now nobody has proposed Belladonna. That was because I said that the eyes were not congested. For me there was a differential diagnosis between Belladonna and another remedy. Belladonna has this circumscribed redness, but Belladonna has not these red lips, this dark red tongue. With him we do not see Calcarea behind, but which other remedy

You see Sulphur behind. So we give him which remedy? Sulphur, Sulphur acute

I gave him Sulphur M or 10M, I think, it was a 10M

FEEDBACK

Do you see the difference? Within one day he has improved beautifully. To get this you have to prescribe antibiotics, expectorants and things like that

A: Tell me how it developed. Yesterday evening I put a remedy in 10M in his mouth. Tell me what happened.

MP: Immediately afterwards, he vomited in the car, about three times. When we came home I called you and I didn't give him the other remedy, because you said so. Then he went to sleep.

It is not another remedy. It is the same remedy. Normally, I give two different remedies. I gave him immediately Sulphur M and a 10M in a tube to take home, in case he would need one later

A: I gave him the remedy in his mouth and one to take home, in case it was necessary.

MP: He didn't need it.

A: He vomited in the car?

MP: Yes, three times, and there was mucus. About 10.00 p.m. he went to bed and has coughed a little, but it was only for 20 minutes. I observed it and I didn't need to repeat the remedy once more. Then he slept the night through until half past 5 and then he coughed again a little, but it was already less. During the day he has played. Only when he comes into a cold car, then he is coughing a little, but I do not notice it, it is loose.

A: That is everything what I have to know. That is all right.

With this case I want to show you that in acute cases, in broncho-pneumonia, influenza and other very acute diseases you may not forget the most important remedy of Homoeopathy, Sulphur.

This coughing indicates nothing particular. For example, you can recognize the Ipecacuanha cough, because it is so loose, but the mucus does not come out and there is also the nausea. You can recognize the Spongia cough, the Drosera cough and the Sanguinaria cough, but there are so many kinds of coughs, where one is like the other which you can not differentiate. The cough is not so important to find the remedy, but more the other symptoms around. You have to look if you can find other symptoms beside the cough, for example, fears, expression, thirst, vomiting or things like that

Question: "...?" (not understandable

A: I am not sure whether he coughed two times every time. If he did, where can we find this? "Cough, paroxysmal, two coughs" (p. 800), Sulphur is there. "Cough, paroxysmal, three coughs": Carbo vegetabilis, Cuprum, Phosphorus, Stannum. The very, very long cough, the cough until they become blue, that is Cuprum

CASE9V2

Diabetes

Sulphur

MAN, 72 YEARS OLD

Normally, you can not often cure diabetes with Homoeopathy. There are a few remedies, Syzygium and some others. Who knows the remedy which has a big emaciation in diabetes, very thirsty and urinating a lot

Answer: "Thuja, Natrum muriaticum...

A: No, especially for diabetes

Uranium nitricum. Uranium nitricum is an important remedy in diabetes. But here, it is another remedy

A: You are one of the few patients whom I cured from diabetes. I recorded it on the video previously. At that time you had pain and arthrosis in the right knee and diabetes, for which you took INSULATARD 50 I.E. and ACTIRAPID 25 I.E. a day. Often, also stitching headache on the forehead. That was in October 1984.You became dizzy when you were hungry, were easily tired, warm-blooded, liked sweets, highly seasoned food and so on.At that time I gave you one tablet Sulphur M and gradually we diminished the INSULIN after the check up of the blood sugar value.

The first consultation was on October, 23, 1984. When he came, he injected 50 I.E. INSULATARD, a slow acting INSULIN and 25 I.E. ACTIRAPID. His glycamie was 92 mg%

Then, he said that he has often had headache since two or three years. He has stitching pain in the forehead and it is better after eating. And he says, that he has to eat or he will faint. Where can we find this in the Repertory? "Generalities, faintness, from hunger" (p. 1360). There are two remedies: Phosphorus and Sulphur

Generalities,faintness,hunger, from : Phos., sulph.

Then he said, that he is always too warm, that he likes fat and sweets, highly seasoned food and sleeps on the back

In his family there are no diabetes, no skin diseases, but because of his appearance and those symptoms, for example, dark lips and so on I started the treatment in October 1984 with Sulphur M

Then, I let him come back every week without paying, because I wanted to cure him. These symptoms were so clear, besides he still had pain and a slight swelling of the right knee. "Swelling of the right knee", Sulphur is capital

EXTREMETIES,SWELLING,KNEE,right : Benz-ac., chin., elat., Sulph., ter.

He came with 50 I.E. INSULATARD and I let him injected 4 I.E. less. After the first week he injected only 40 I.E. and the glycamie was 91 mg%

the 2nd week 40 I.E. , glycamie 91 mg%

the 3rd week 34 I.E. , glycamie 96 mg%

the 4th week 28 I.E. , glycamie 96 mg%

the 5th week 22 I.E. , glycamie 92 mg%

the 6th week 16 I.E. INSULATARD and no ACTIRAPID at all and the glycamie was 94 mg%; the next week 10 I.E. , glycamie 90 mg%, the next week 4. I.E. , glycamie 84 mg%, the next week no INSULATARD and no ACTIRAPID anymore and the glycamie was 94 mg%

Then, I sent him to the specialist in the hospital. He was in treatment there because of his diabetes and hypertension.For his hypertension he took INDERAL. The diabetes had been treated with INSULIN. Under homoeopathic treatment the diabetes became progressively better, so that the patient did not have to take antidiabetics anymore, nor orally, nor subcutaneously

In the report of the specialist it was said that the patient had a diastolic hypertension and at that time a little bit coryza and besides he had an gonarthrosis of the right knee - but he does not say that he has no more pain and - at the end it says that the diabetes has improved in the meantime. At the beginning the glycamie was 496 mg% and now only 112 mg%, so you can say at this moment there is no manifestation of the diabetes, because the glycosuria is also negative. We did not do a new hyperglycaemic curve

This report is from July 1985 and the letter of January 1985, when the patient has already seen the specialist, and it says: "The fasting glycamie was 113 mg%, the glucosuria is negative." It is very strange and very seldom that a diabetes patient who has been treated with INSULIN can go back to a normal glycamie, without INSULIN injections. In literature, some cases are described, we know there exist some like these, but that is really very seldom and you have to be careful for a relapse. On October, 23, 1984 he got Sulphur M and I repeated Sulphur M on November, 25, 1987, when he came the second time. There were three years without repeating one single homoeopathic remedy and without any sign of diabetes

That was the prehistory, now we will see what happened before the repetition of Sulphur in November 1987

A: In the family there was not one case of diabetes. On October, 24, 1984 you were here the first time. On December, 11 the value of the glycamie was normal and we stopped the INSULIN. Until then the remedy hasn't repeated once. You went to the hospital for a check up, we got the report of the specialist, in which he had to admit that you were cured. But he thought that probably it would return. On November, 25, you came back. You cried and said: "I have diabetes again." Tell me what happened then.

P: I must admit that I haven't paid attention to my diet. I just ate what the rest of the family eats. Then, I noticed that I had to drink again quite a lot.

A: Before you noticed that you had to drink a lot, didn't you have anything else before?

It is impossible that someone who could live for years without INSULIN and then gets a relapse without a suppression somewhere. This can not happen. I try to find out why he got this diabetes again

P: Yes, now I have arthrosis in the left knee as well.

A: Before you started to drink more you had complaints in the left knee?

P: Yes, already before.

A: What did you do when you had pain in your left knee?

P: I put an electric cover over it and rubbed the knee with ointment.

A: You went to the doctor?

P: Yes, but he couldn't do anything, it is arthrosis.

A: Yes, listen, you put ointment on it - what else?

P: Kept it warm with the electric cover. Gradually, it became better.

A: And then?

P: Then I noticed that I had to drink quite a lot.

A: You didn't take any medicines because of the pain in your knee.

P: No. Previously, I have X-ray taken. That was, after you treated me for sugar.

A: You were in the hospital?

P: Yes. Because I had so much pain. They took X-ray and they proposed an operation. But I haven't let it done, because I was anxious. I didn't dare. I was there on Thursday and I should come back on Monday, but then it was already better. So, I didn't go. I think it is dangerous to have you operated on the knee. Gradually, it became better.

A: Which medicines did you take, before you discovered the sugar again?

P: CAPOTEN.

A: For the hypertension. You still take them?

P: And NOTROPIL.

A: For your head...

P: I brought them, so little red one. You stopped those.

A: PERSANTINE. What else?

P: MINIPRESS. I don't take them anymore.

A: Which painkillers did you take for your knee?

P: None.

A: At that time you said that you took painkillers.

P: No, I haven't taken any.

A: Not for the rheumatism?

P: No.

A: Or was it that the doctor prescribed them and you didn't take them? ACENTERINE?

P: Yes, I still have them at home. The large white ones?

A: Yes.

P: I still take them every two days.

A: You shouldn't take them anymore.

What happened? The pain in the knee returned, and this pain in the knee was one of his constitutional symptoms. He had headache, pain in the knee and diabetes

The pain in the knee came back and therefor he got ACENTERINE, a painkiller. The pain in the knee has been suppressed by this painkiller and therefor the diabetes came back. That was the real reason why the glycamie increased again. If one symptom of the symptoms of the complex of this case has been suppressed you risk to have a more deeper disease

P: Well, I thought I shouldn't take them anymore.

A: You can go on taking them, that is no problem.

P: I was not quiet, because the red ones were for the circulation of the blood. I got an attack.

A: A small cerebral haemorrhage.

P: Yes.

A: So, what else do you take?

P: Well, those two: CAPOTEN and the large white ones.

A: ACENTERINE. You stop those. You have little complaints with your knee?

P: Not very much.

A: You can take the rest further, but I would like that you didn't take the ACENTERINE anymore. So, you got sugar again, very thirsty. Before you went to the hospital you had pain in the left knee and I wrote down here that you took ACENTERINE for that reason.

P: That's right.

A: Before you went to the hospital. That is very important for me.

P: Yes. They gave them in the hospital after I got that cerebral bleeding. In between, I stopped them and then I took them again.

A: So, I wanted to know this. You got pain in your left knee and then you took those painkillers, namely those ACENTERINE. For your knee. That's what you told me at that time.

P: That's right.

A: And after the pain in the knee you got a dry mouth. As far as I can see, the diabetes has come back because of the suppression of the pain in the knee. But that is not so important. You came on November, 25, 1987 again with 80 I.E. INSULIN, 60 I.E. in the morning and 20 I.E. in the evening. You saw the same specialist for the diabetes.

P: When I came in he said: "Do you see that the sugar has returned again." I answered: "But I got rid of it for two years."

A: What did he say then?

P: He didn't say anything anymore.

A: Only laughed a little.

P: Yes, more or less. My doctor doesn't know either that I come here.

A: You saw the doctor after you came out of the hospital and then you asked him if you could come back to me for the treatment of the diabetes. What did he say?

P: He said: "You are your own boss, but I guarantee you that you will be berried on the cemetery within two years, if you do that."

A: That's what he said. That was a real blow for you.

P: Of course.

Do you see, he has a relapse of diabetes, he goes to the hospital and the specialist starts laughing: "Do you see, the diabetes has returned again!

Is this the real sense of our profession? The sense is to be grateful for every cure. We have to be happy if someone feels good, it does not matter by which treatment. But he is happy, because this patient has diabetes again. What kind of doctor is this? And why? Because the patient only has been cured with Homoeopathy for two years.

Then, the patient went back to his family doctor and he said to him: "If you go back to Geukens, you will be dead within one year." But he came back, a month ago, and when he told this story he started crying

A: Then we started the treatment again. When you came you had quite a lot of pain in your knee.

P: Yes.

A: And coughing at night?

P: Yes, terribly coughing at night.

A: What about your head?

P: When?

A: The most important thing was the involuntary weeping, this means that you cried very much when you were here. And strong complaints in your left knee. We had a regular check up of the value of the glycamie. Then, I repeated your constitutional remedy, Sulphur M. From November, 25, I let you come back every week and gradually we stopped the INSULIN. On December, 2 I repeated once Sulphur M, three spoons, because you woke up at night because of the cough. It improved very quickly, didn't it?

P: Yes.

"Waking from cough" (p. 1255), that is a very important symptom for Sulphur. He is coughing at night and then he wakes up from cough.

SLEEP,WAKING,cough, from: Alum., ars., bism., calc., caust., coc-c., graph., hep., Hyos., mag-m., mang., nit-ac., nux-v., op., psor., Puls., rhus-t., sep., sil., stront., Sulph., tab., thuj.

Sulphur is capital. He had another Sulphur symptom, on which I repeated Sulphur M

A: On January, 4, 1988 I saw you the last time. Until then, you didn't get any homoeopathic remedy. I said, you only have to pay that time. In November you came back with 60 I.E. INSULIN in the morning and 20 I.E. in the evening, and because your glucamie notwithstanding the reduction of the INSULIN wasn't above 120 mg%, in December we first went down to 20 I.E. and then to 12 I.E. On January, 4 we stopped the INSULIN completely. Now, we are January, 8, so four days later. We will immediately have a check up. What did you eat this morning?

P: A small bread of butter.

A: You haven't taken INSULIN for a few days. How are you?

P: All right, not bad.

A: When you took INSULIN, you said that you were more hungry. How is it now?

P: It is gone.

A: The increased appetite has gone?

P: Previously, when I had eaten an hour later I was hungry.

Do you see, when he took INSULIN, he had more appetite

Remark: "..." (not understandable

A: Yes, I know, but do not theorize too much. That is a Sulphur symptom. Not everyone who has an increased appetite needs Sulphur. But anyhow, this is a strong Sulphur symptom. Or do you mean that now he has less appetite, because he does not take INSULIN anymore?

Remark: "...INSULIN contains Sulphur...

A: We are full of Sulphur bridges. We have them in our hair, everywhere. If you stop the INSULIN in someone, do you think that he has less appetite

Remark: "...INSULIN increases the appetite...

A: Yes, when you give INSULIN, although he does not need it, then he will become very hungry, won't he

Remark: "But this is no Sulphur symptom.

A: Wait. This man has a glycamie of 400 until 500 mg%. Did he need INSULIN

Remark: "No. I think you have to make a difference between Type I and Type II, and Type II is not insulin-dependent...

A: In August he was in the hospital with a glycamie of 800 mg% and I asked you how you can know in such a situation that you are dealing with Type I or with Type II diabetes

There is no discussion, in the beginning you have to decrease the glycamie, but then you have to put the patients on a diet... then you have to decide whether oral antidiabetics will be sufficient or whether you give INSULIN. People like this patient are too often treated with INSULIN, although it is not necessary...

Also in Homoeopathy you have to make a difference between Type I and Type II diabetes and you have to be careful to state that you can cure diabetes with Homoeopathy

At the beginning I said that normally you can not cure diabetes with Homoeopathy

Do you remember the patient who had a glycamie of 800 mg%, the man who was nearly dead and whom I send to the hospital? No? It was the husband of an old friend. She called me at night and said: "Doctor, my husband is dying!" I went immediately to her house and saw the man lying like a fish, with a superficial respiration, icy cold, the legs and the whole body was icy cold.It was 1.30 at night and I asked her what happened. She said: "Yes, he was so restless and now he is in coma and is only breathing superficially. I saw that he was dying and asked myself what I should do. I was desperate because it was clear that this man could be dead within a few minutes. I went back to my car, got the oxygen and at that moment I noticed that he was very pale - not blue - and was icy cold; dry, no perspiration. This must be Arsenicum in the differential diagnosis with Carbo vegetabilis. In near dead situations you need near dead remedies: Opium, Antimonium tartaricum, Carbo vegetabilis, Arsenicum, to get the patients out of their situation

I came back and I gave him Arsenicum 200 in his mouth, gave him oxygen and was sitting for a few minutes beside him

Suddenly, he woke up, sat up and said: "Where are my glasses? Where is my hearing-aid?" - "Here." - "Where is my hat?" He put it on and said: "I do not go to the hospital." I replied: "All right. You do not want to go to the hospital, but you have to go, because if the same will happen again within three hours I will die. Get up at night three times and work next day for twelve hours, that is impossible for me.

He had to go to the hospital

He was an old man, he lived very well, a very rich man and because of the contraction of the palm of the hand he got once Plumbum and he reacted very well to that. Now, he came with a glycamie of 850 mg% in the hospital and the specialist said that he has been in a hyperglycaemic coma. I wanted to know how high his sugar was in coma and what Arsenicum has done. It was a real miracle, because his glycamie was still 850 mg% when he came in the hospital

Do you still believe what they say about INSULIN? I do not believe anything of it. Nobody can explain why he came out of coma so suddenly after Arsenicum and the sugar was still 850 mg%. Even 850 mg% these are clear values of glycamie of a diabetic coma

Yesterday, we had a discussion about an aids patient, who is doing very well, but the aids test is very bad. Do not take care about this test, but take care about the patient. Therefor, I said yesterday the fact that the disease is called "aids", and the test is bad, it is a problem of the allopathy. To cure the patient is our problem. I saw a case. A doctor, the father of a friend, who died in the hospital, because he had an increased sedimentation rate. He had no other complaints, but he has been operated on because of the high sedimentation rate, to look at the pancreas. Then he got a septicemia and then he died, because his sedimentation rate was too high. Is that a reason

We must know what we are doing, but the fact is that Sulphur has done something in this case. I am sure, in Type II cases, where you say Type II, it is very difficult to decrease the sugar. It is not easy, to find the right remedy in diabetes, whether it is Type I or Type II. Here, I was lucky. It was clear Sulphur, that was no problem. Sometimes, you can cure diabetes, but mostly not

A: How is the pain in your knee?

P: Much better.

A: Now, I will check up the glycamie. (Check up)

You see it yourself. How high has the glycamie been?

P: 98.

A: What else do you want to say?

P: You say: "You must come here." But when I had that cerebral bleeding... if I have to call here first.

A: You can get something unexpected anytime. But I think, that it went wrong afterwards, when you went back to your family doctor. They gave you something to suppress the pain and then afterwards the diabetes returned again. Now, you just come here every three months for a check up. Four to five times a year is not so often, is it?

P: No.

A: I prescribe you the medicines you need for the hypertension. The blood pressure is 170/100 mmHg, that is too high, but not imminent. Then we can follow up the case. If there is something wrong you can call. You don't live too far. Once, you have to come for a check up of the glycamie and then I have it confirmed by the specialists. I want that the truth is known. Do you agree?

P: Yes.

A: I will treat you further. When it is very urgent I will come to your home. I can not guarantee you that you will become 120 years old, but I will take care that you feel well.

P: At that time I was really not able to come.

A: Yes, that was an emergency case. But quite a lot of things happened before. You haven't been here for about 2 years.

P: Yes, that's right.

He had a small attack, one year after he was in treatment, but he did not have paralysis and things like that. He fainted when he sat near the stove. Maybe, this was a kind of transient ischemic attack, but you can not know. How often they faint and you do not find a reason, probably it was a transient occlusion of an artery, who knows. Anyhow, he has had this attack and we have discussed about that

Question: "Did Sulphur cure the hypertension of this man?

A: Why did Sulphur not cure the hypertension? This blood pressure is necessary for this man. He has lived very well and I am sure, that he needs this hypertension, so that the blood-flow is guaranteed everywhere

All right, that is theorizing, but even with four CAPOTEN you could not decrease the blood pressure. Then it is better to give nothing and to leave the blood pressure to 20 Pa

I have old women, I think, there are three, with a blood pressure of 20 Pa to 10 Pa, one is 86 years old, the other 82 and the third is 79. They refused to take antihypertensives, because they become dizzy.What should I do? Send them in the hospital, where I know that they suffer more? Or find the remedy to bring down the blood pressure? No, they need this high blood pressure, to live. And when they are old then for me it is no problem. If I can live until I have become 86 years old, I may die of hypertension, that is no problem.

Every symptom is a trial to be in balance, but this hypertension is no symptom. A symptom is something that the patient feels. A temperature of 38°C without being ill is not a symptom. If you feel well and you have a temperature of 40°C, it is not a symptom. If you feel well, you do not need anything. Only the subjective symptoms are real symptoms

Remark: "There is a rubric '...feels well when he is ill'.

A: But then you see that the patient is very ill. Someone can say: "I feel well," and is running around naked. The doctor has to observe and to see. The patient can say that he is feeling well, but his behaviour can be Stramonium or Hyoscyamus, he can be crazy

That is not what I like to tell you, but that a man who feels well and we do not see any symptoms, this man has not to be treated. Someone who is really crazy, a brain disease, idiocy or things like that, when he notices that he is acting abnormally, that is another thing

Question: "Why did this patient got the pain in the knee back? He...

A: Yes, that was the beginning of a relapse and then he would have needed Sulphur. Because of the suppression he got diabetes again

What I want to show you in this case is that it is not important what you find in the blood, not for us. We have to be clearly homoeopathic. If the value of the blood is often increased, but the patient feels well, it means that we have done very good work

I sent this patient once again to the hospital but the specialist refused to write me another letter. Not because he is angry, not at all. I asked him if he could give some medicines for his hypertension, but he did not want to treat him for that, and until now - it is already a few months ago - I did not receive a letter from him. In the hospital they are afraid to write a diagnosis for patients who come from our centre, because when they come back, after they are treated and cured by us, it can be a problem

CASE10V2

Herniated disk, migraine

Sulphur

WOMAN, 54 YEARS OLD

Here, we have three symptoms: migraine, flushes of heat and a hernia cervical that had to be operated on. There was a beginning paralysis of the arms, both arms, a neuritis cervicobrachialis

A: You were here two months ago. Can you describe what your problem was at that time and how you felt after the remedy?

P: I was in treatment with Dr. X, because of a prolapse of the hernia in the region of the whiplash. I had symptoms of paralysis in my fingers. I couldn't use my arm anymore. They proposed an operation. Of course, I refused. Then, I came to you, told everything and took a remedy and then I noticed how the pain disappeared.

A: How long after the remedy?

P: After three or four days. I have been deadly ill. I felt like an invalid. I felt the pain from my back until my legs. I couldn't bear the covers on my legs. I felt that the pain in the neck and the arms decreased, but I still had pain in my lower limbs. After about five days it has really disappeared. It was as if a burden was taken away. I felt enormously quiet. I haven't felt this way for months. I really felt good.

A: You married at the age of 31. In 1979 your husband was killed in an accident. That was a real grief for you.

P: Yes, a very great grief. Yes, a very, very great grief.

"Yes, that was a very great grief for me." Do you see the way she expresses her grief

A: Then, you locked up yourself, and so you got an inferiority complex, as you told me.

P: That's right.

A: Then, your son has become ill. He has been operated on on his head three times and has remained ill. You felt, that you didn't have resistance anymore and in 1983 your problem with the cervical hernia appeared. In the meantime your brother in law died in the same year as your husband, and your mother has suffered a heart operation the same year.

P: Quite a lot of strokes of bad luck.

A: An enormous waist of energy. With this background you came with a physical problem. It was expressed physically. You told me that you could not digest it, that you were not strong enough to burden it on your shoulder.

She had some griefs, but does the way of answering remind you of Natrum muriaticum or Ignatia? The way she is sitting there is a self-confident way, you can recognize a kind of haughtiness. She really had a grief; we can start from the rubric "ailments from grief" (p. 51)

P: I want to say that I have done very well with medicines for six weeks, but now it returns, the effect of the medicines has ceased. I have again an enormous problem. I have a son who told me that he wants to become a priest. Shortly, in September he wants to go into the monastery.

A: Do you have another son?

P: No, only this one.

A: This boy who has been so ill?

P: Yes, that's him. Now, he wants to go into the monastery, and that is very bad for me. He is a fantastic boy and I have great difficulties with his decision. This is an additional problem. And again I feel these flushes of heat.

A: You had flushes of heat. Have they been away?

P: Yes, everything had disappeared. Oh, I really felt well.

She is talking about her son who wants to become a priest, and things like that, but she expresses her grief in a particular way. I have a certain feeling. Maybe it comes from the heart, I do not want to judge about that, but the feeling we get as a therapist is as if they are acting, playing theatre. That is how it appears to us and I do not say that it is not a deep grief, but I have the impression they are playing theatre. It does not remind me of Natrum muriaticum nor of Ignatia

A: You have been here more than two months ago. The appearance of the flushes of heat...The complaints with the neck vertebrae, what about them?

P: Much better. Now, I feel again that I am under pressure. As if the effect has ceased, if I may express it this way.

A: Is that what you are feeling?

P: Yes, a kind of pressure (puts her hand in the neck). It is not to compare with previously. On February, 5 I should go back under the scanner. I'm asking myself whether I should do so?

A: An examination has to cure a patient. If they can find something by doing so, if it can help the patient then it has to be done. But if you get rid of your complaints with one tablet, then you are asking yourself whether it has sense that the society pays the costs for such an examination.

P: Yes.

A: But you have to do what you think it is right. Go to the specialist who has proposed the operation and tell him everything. He is a serious man and he will not operate if he is not sure. So, the flushes of heat are coming back.

P: Yes.

A: Have they already come back before you knew that your son wants to go the monastery?

P: No. He already talked about it a long time ago, but I have never thought that he would go in September. I thought, first he will study a few years, but apparently it is not so.

A: Now and then, you took LEXOTAN to sleep?

P: Very seldom.

A: Did you still take this?

P: No, not anymore.

A: The pain in the neck extended to your arm until the hands?

P: Yes.

A: You aren't sensitive to draught of air?

P: No.

A: Regularly, migraine on waking up.

P: Yes. I didn't have migraine anymore, only once, shortly after I have been here, the first day when the tablet was acting. With vomiting and so on. Since then I didn't have any complaints. Today, it is the first time I have headache.

A: You told me spontaneously: "Doctor, I can not lie on my back, or I have so crazy dreams."

P: Yes, exactly.

A: Nightmares, you said spontaneously.

P: Yes.

Even if Sulphur is not in the rubric "ailments from grief", we can accept that everything what happened has taken away so much energy, that this caused the disease. We can not give Natrum muriaticum to a Sulphur woman, that is impossible. You can give Ignatia to a Natrum muriaticum woman, but not Natrum muriaticum to a Sulphur woman

Even when Sulphur is not in the rubric - if she has Sulphur symptoms, then you have to give Sulphur.

A: You sleep on the right side, can you also sleep on the left side?

P: Yes, I can.

A: The last time, flushes of heat. At night, you wake up in perspiration. You have to uncover you for a while.

Where do these flushes of heat of Sulphur start? On the chest. Look in the rubric "chest, heat, flushes, rising to face" (p. 834), one capital remedy

CHEST,HEAT,FLUSHES,rising to face : Sulph.

A: You felt the flushes of heat in your stomach extending to your head?

P: Yes.

A: Profuse perspiration at night with sleeplessness.

P: Yes.

A: You eat everything?

P: Yes.

A: You said spontaneously that you are hungry about 11.00 o'clock and have an emptiness in the stomach.

P: Yes.

In which rubric can you find this? "At 11.00 o'clock I feel so..." - "Emptiness, weakness, hunger." Look in the rubric "stomach, emptiness at 11.00 o'clock" (p. 488). The aggravation time of Sulphur is 11.00 a.m. I don't know how it is with the nausea at 11.00 a.m. - no, Sulphur is not there

She has an emptiness, the headache - the headache of Sulphur is mostly at this time. The headache of Natrum muriaticum is mostly at which time? At 10.00 a.m. Natrum muriaticum has an aggravation at 10.00 a.m. , Sulphur at 11.00 a.m

A: Then, I found the remedy. Since when do you have complaints with the neck and the head?

P: Since about a fortnight. But I must say, it is easy to live with it. Now, it is only a pressure, a heavy pressure.

A: Does it still extend to the hands?

P: It is still in the joints of the fingers when I bend my fingers.

A: Are these flushes of heat again so strong?

P: Not in that way. I feel it when I think of something, then they come up spontaneously.

There is still one symptom that she has not told. This is a feedback video and we forgot to record it. She told me that she is perspiring so strongly at night, that she wakes up. That is very interesting. "Perspiration, profuse, at night, with sleeplessness" (p. 1300)

PERSIPARATION,PROFUSE,NIGHT,sleeplessness, with: Bar-c., cham., cic., corn., iod., Sulph.

A: Did you also feel happy?

P: Enormously, as if they took away a burden. I felt free.

A: You are also a little bit idealistic?

P: No, rather not.

A: Do you live from ideals?

P: No, I am a realist. I think so.

A: Have you never made plans, projects?

P: No.

A: What is your hobby?

P: Nothing. Really. I don't do much.

A: You are a little bit lazy, aren't you?

P: Yes, really.

A: But you didn't feel unhappy?

P: Not after the tablet, but I did before, then I was really unhappy.

A: But now, when you are feeling well, don't you have any interests?

P: Yes, I have. At the moment I have a lot of projects in my mind, Caritas-work.

A: Isn't that an idealistic work?

P: I consider it more as an occupation, so that I am away from home, to spend the weekends useful. The weekends are a real burden for me. During the week I am not unhappy, but I am during the weekends. I don't go out. I can't drive a car. I sit at home. I feel unhappy. Not during the week.

A: So, you do Caritas work. You can't be a materialist, if you do this kind of work?

P: No. I'm not a materialist. I said a realist.

A: A person with ideas, when it doesn't concern material things?

P: I don't know.

A: You give a lot of money for a good purpose?

P: Yes, that's right.

A: But it has to raise in your mind?

P: I have to do something. It is not sufficient when I think about it.

A: But you do some work for a good purpose, a beautiful purpose. That is idealistic, isn't it?

P: Yes, if you see it this way. When you say so, yes. But with "idealistic" I thought about someone who is working out ideas in his mind.

A: The other side of your character is that you are capable.

P: Yes, I notice it myself. I didn't know, but now I notice it myself.

A: Are you accurate in everything?

P: I was previously, but not so much now.

A: You can leave things as they are?

P: Yes.

A: Do you like vegetables?

P: Yes.

A: Do they have to be cooked, or raw?

P: I eat everything.

A: You also like sweets very much?

P: Yes, but I don't snoop.

A: Does your food have to be tasteful?

P: No, I don't like spices. Not to spicy.

A: But it might be highly seasoned?

P: Yes, it might be, but I would not choose it for myself. I will not go to a Chinese restaurant.

A: Something sour?

P: Yes, very much.

A: Did you have eczema?

P: I still have a little spot in my face, it itches. I thought it is because of the nerves. I have seen a specialist for that. He said that I didn't have anything. Now, it has returned.

A: In between you didn't have it, and now it returns?

P: Yes.

A: Did you have eczema as a child?

P: No.

A: Ulcers?

P: Yes, often. My parents said so.

A: This means that the remedy I gave you is your constitutional remedy from your birth on. This also means that you are rather strong, because it hasn't changed yet and you still need the same remedy.

P: I often have swollen feet.

A: When?

P: When I, for example, sit in the bus.

A: Especially, while sitting.

P: When I am on holidays I have elephant legs, so thick.

A: Did you have this the last time as well?

P: Yes.

A: As strong as previously?

P: No.

A: Does your feet also hurt when they are swollen?

P: No, it is only annoying.

A: Do you have other complaints?

P: Yes, a difficult stool. But already since years. I already bought tea for it in a diet shop, but I didn't dare to take it, because I didn't know if there was peppermint in it.

A: I think you can take it.

P: All right.

A: Do you have complaints with it now?

P: Yes. I always have, because I take...

A: Do you move much?

P: No.

A: Not enough motion.

P: Yes.

A: Then, you have to do roller-skating.

P: I did after the remedy. I really enjoyed it. I haven't done something like that for months. I enjoyed life again.

A: Does your son have your character?

P: Very optimistic, very cheerful, yes.

A: Does it resemble your character?

P: Yes, I always say that he has the mind of my husband and my character.

A: Therefor, he wants to become a priest. Also a little bit an idealist?

P: He is a very good child, a boy with depth.

A: How old is he now?

P: 18 years old.

A: That is early.

P: I wished...

A: I think he will be happy, if he goes his own way. More than we are.

P: I think so. But for a mother...

A: You may be happy that you have such a son.

P: In my heart I am proud of it. As a mother I am egoistic, of course. I think that you may be so, because we have a good relation.

She took Sulphur M and then two months later shecame back with a kind of relapse - that is what you see in this video. The flushes of heat returned again and also the pain has returned a little. After the remedy she had a strong aggravation with headache and then she followed the Hering-law, this means that the complaints were wandering downwards and disappeared in this direction. That was an ideal reaction. Now, I gave her Sulphur M again in a tube to take home. She may only take this remedy when the pain aggravated

This woman did not have to be operated on the herniated disk. You see, that mostly - not always - there is no relation between the complaints of the patients and that what you see on the X-ray

Sometimes you see an arthrosis of the right hip, but the pain is in the left hip, or you see an arthrosis of the vertebrae from head to the coccyx, but the patient has no pain. In other cases you see a beautiful spine and the patient has pain. Often, the complaints do not have anything to do with that what you see on the X-ray

In this case you saw again this haughtiness and the dark red, plethoric lips. She was sitting there in a kind of self-confident way, a way that gives you the impression of haughtiness

Question: "... the rubric for playing theatre?

A: It does not exist, it is a feeling. She gives the impression of playing comedy. You feel that her feelings are not so deep as in Natrum muriaticum, Ignatia or other so called grief remedies

CASE11v2

Tennis elbow

Sulphur

WOMAN, 45 YEARS OLD

This patient has a tennis elbow on the right side. Which remedy could it be

Proposal: "Rhus toxicodendron.

A: Rhus toxicodendron? No. With a tennis elbow on the right side and some other right sided symptoms you can think of Lycopodium. But Rhus toxicodendron on the right side? That can be, but there is another remedy beside Rhus toxicodendron. Rhododendron has complaints on the right side with the same modalities as Rhus toxicodendron

Look at this patient. I would like to show you the appearance of Sulphur. You can not see it very well, because she has quite a lot of make-up on her face

A: On August, 16, 1987 I saw you the first time. That was accidentally a Sunday, because you are a family member of an acquaintance. You had problems with the right elbow since a few months, it extended metacarpal, so to your hand, between the first and the second finger.

P: Yes.

A: That was with wet, warm weather. And when you came you had a lame feeling in your forearm. That was everything I knew.

Lameness forearm. Try to take the symptoms as the patients express them. If the patient says: "It hurts here", then you take "sore", if he says "stitching", it is "stitching", if he says "burning" it is "burning"

She says lameness in the forearm. "Extremities, lameness, forearm" (p. 1032).

EXTREMITIES,LAMENESS,Forearm : Agar., bell., berb., caust., colch., dulc., fl-ac., merc-i-f., myric., nat-m., sil., stront., sulph., thuj.

It is as if something has been paralysed, lame. Do you see the remedies in the rubric? Sulphur is there - but do not say that Sulphur is in every rubric, that is not right.But if there is Sulphur you have to think of it and look for key-notes of Sulphur and try to recognize whether it could really be Sulphur the way we learned it. But Sulphur has many different forms of appearances, a very large scale. Causticum is also there. Causticum has this smoothness as if ironed, all the wrinkles have gone, as if all the muscles under the skin have disappeared, so smooth

A: You also said that wet weather aggravates.

Wet weather aggravates, everyone knows the rubric "wet weather aggravates" (p. 1421).

GENERALITIES,WET,weather: Agar., Am-c., ant-c., ant-t., aran., arg-m., arg-n., ars-i., Ars., aur., Bad., bar-c., bar-m., bell., bor., bov., brom., bry., calc-p., calc-s., Calc., canth.,carb-an., carb-v., cham., chin., cist., clem., colch., con., cupr., Dulc., elaps., ferr., ham., hep., hyper., iod., ip., kali-c., kali-i., kali-n., lach., laur., lem-m., lyc.,mag-c., mag-p., mang., meli., merc., mez., mur-ac., naja., nat-a., nat-c., Nat-h., Nat-s., nit-ac., Nux-m., nux-v., paeon., petr., phos., phyt., Puls., ran-b.,Rhod., Rhus-t., ruta., sang., sars., seneg., sep., sil., spig., stann., staph., stront., sul-ac., sulph., sumb., teucr., thuj., tub., verat., zinc.

The rubric is very large, but you have to look at it, because some sub-rubrics are very interesting for acute diseases: "wet, getting, feet" (p. 1421), "wet getting, head" (1421), "wet, getting, perspiration, during" (p. 1421). Here are the important remedies you often need in acute cases in your practice. If someone says: "I have perspired, it started to rain and then I was completely wet", or when someone with wet hair comes out of the swimming pool, does not dry himself and has a cold or fever since then, you see Belladonna and Pulsatilla

Belladonna is also the main remedy for cutting hair

Rhus toxicodendron is the remedy for getting wet after perspiration, and for perspiration after exertion. When there is a draught of air, that is also Rhus toxicodendron, you remember from before

These three rubrics are very important in acute cases for the cause, the reason of the disease.

A: I asked you what you liked to eat. What did you say?

P: Highly seasoned food.

A: Also raw things, vegetables, in fact everything, fish, meat. You liked to drink a glass of wine or beer. You said: "I perspire easily, especially in the face. I'm never too warm. I sleep on the left side. At night, I often wake up because of the heat with tingling in the legs." You have to put them out of bed because they are too warm.

She says that she often has tingling in the feet and that they are warm, so that she has to put them out of the covers. This tingling is the restlessness, the heat in bed, everyone knows that it is Sulphur.

A: You cool down and then you put them back under the covers. Then, you also told me: "I dream very seldom. I only dream..." When?

P: I have terrible dreams, I wake up suddenly. I have them very often lately.

A: Wait. You wake up, and how? On which side?

P: On the left side, on the one I always sleep. Also on the back, especially on the back.

A: So, especially on the back, then you wake up suddenly.

So, "sleep, dreams, nightmares lying on back", the same as "waking from dreams", "anxiety night on waking"

A: Then I gave you on August 16, a remedy in M potency.

Do you see it is much better to record the first consultation, but you loose quite a lot of time with it. At that time she said spontaneously: "I never dream, only when I lie on my back, then I dream."If someone tells you this symptom spontaneously you can end the consultation immediately and prescribe Sulphur

There are symptoms which are very particular for a remedy, the so called key-notes. They are the key to recognize a certain remedy, and these nightmares while lying on the back are such strong symptoms, that you do not have to doubt about Sulphur, if you find a few other Sulphur symptoms.

A: Then, I saw your brother. I heard: "That stupid tablet, it doesn't help."

P: No, at the beginning I said, I curse that little tablet, now I have headache.

A: But the first three days you didn't have anything?

P: No. I was here on Sunday morning. On Tuesday I had terrible headache. First, I thought nothing will happen, because I had this aggravation the whole Monday. You said I would notice something.

A: Well yes. What did you feel?

P: A kind of pressure above the eyes.

A: With bad headache.

P: Yes, because I had to lie down in bed.

A: You are not the kind of person who suffers quickly.

P: No, I don't easily lie down. After a few hours sleep it was better, but then it returned again.

A: How long did the headache last?

P: More or less three weeks. But it was less. But the strong headache surely lasted longer, about a week. Then, it disappeared gradually. But all together it lasted three weeks.

A: Did you feel something of the remedy?

P: Lame in the legs, I still have it.

A: So it is nearly two months ago. What else?

P: And dreaming, oh?

A: Every night?

P: Yes, but I must say, when I wake up in the morning I feel much better than previously. Fresh. A few hours later, about noon, I am tired again.

A: But fresher in the morning?

P: Yes. And the legs...when I first lie...

A: But not when you are busy?

P: No, only when I lie.

A: You have tired legs?

P: Yes.

A: All right. What else did you feel?

P: Nothing.

A: In fact you came for the pain in your elbow.

P: At the beginning I had quite a lot of stitches in my elbow, in this part here. Now, I must say that I didn't have pain the last fortnight, more a lame feeling. But it is here, not in the elbow.

A: You don't feel anything in the elbow?

P: No. Only at the beginning a strong stitch.

A: But now, the last fortnight...

P: ... I didn't have complaints.

A: All right, I think we tackled the problem, haven't we?

P: Yes. If it goes on like this.

A: I give you a remedy and we will stop the treatment provisionally, unless the complaints return.

P: Yes.

A: I give Foliata squalosa. I don't let the patients come back if it is not necessary.

P: Will I feel again something of the remedy? We go on holidays.

A: No, that is over now.

What did I give? Sac-lac

Do not forget that Sulphur is a very deep acting remedy. The amelioration can only come very slowly and the aggravation can last very long.Maybe, you see the cure only after three months. Do not repeat the remedy unless something happened in the family, by which they could have lost energy

Question: "What about the summertime?

A: If someone wakes up at 3.00 a.m. with swollen eyes, which remedy is this? Kali carbonicum.Kali carbonicum wakes up at three o'clock and when it is summer time, at what time will he wake up? At 2.00 a. m, but 14 days later he will wake up at three o'clock again. Beat Spring has found out this very clearly. He has prooved professionally that the body adapts the change of time

A second question was about the antidote of coffee. Everyone knows that coffee antidotes in general, but not in every case. There are cases where coffee did not antidote. I think it is a question of personal power and strength

Then there was a question about the ß-blocker. They do not always antidote, but medicines can obscure the picture. You know that ß-blocker can slow down the pulse so strongly that the patients can get cold hands and feet. If you take this as a homoeopathic symptom, it can mislead you.

CASE12v2

Sulphur

MAN, 45 YEARS OLD

This is an acute case, so we have to look for an acute remedy

A: Today it is Thursday.

P: Yes, on Sunday forenoon I ate papayas. I eat them regularly. Then, my normal lunch. In the afternoon a piece of strawberry cake and bread. And all of a sudden I got diarrhoea.

A: So, after papaya and cake. And then?

P: Then, I had to get up at night every hour, to go to the toilet.

A: Every hour.

P: Yes. With heavy abdominal cramps before the stool. Abdominal cramps, get up and go to the toilet, then back to bed.

A: The whole night through?

P: Yes.

A: What kind of cramps were they?

P: As if you have exercised the whole day and the next day have a muscle hangover, it is exactly the same.

A: It hurt?

P: Yes, really pain. The next morning I hardly ate anything, only bread. And then I went with my wife to the market, because she also had to go to the bank, because of papers and so on. Then, I visited my sister because she is also lying in bed for hernia. She had a nerve pinched. Because I have had this as well she asked me to make an appointment for massage.

A: Do you have this also?

P: Yes.

A: Still pain now?

P: Yes, I always have enormous pain in my back.

He has not only diarrhoea, but also ischias

P: Then I came home and I had to go to the toilet, and from then on until the next morning I had to go every half an hour.

A: Then, it was Tuesday morning.

P: Yes, Tuesday morning. On Monday, I liked to eat something. I ate a bread of butter and then I felt sick. Every time when I drank something, also of the homoeopathic coffee, I felt sick. I had the need to drink something, but every time...

A: So you were thirsty.

P: Yes, but I didn't dare to drink, because I got those cramps immediately. On Tuesday morning I went with my sister to the massage. They succeeded in taking away the pain at one side.

A: Where?

P: In the back.

A: Where was the ischias?

P: Last week here. The week before on the other side.

A: Last week on the right side.

P: Yes, and this week on the left side.

A: Strange.

P: I don't know, I have always been strange. But it was my fault...

A: But wait. Did you have the diarrhoea and the pain in the ischias at the same time?

P: Yes. I have the pain on the right side of the back since four, five months. Then, pain in both shoulders.

A: Where do you have pain in your back?

P: The pain is very strong until the neck and above the head.

A: The whole body hurts?

P: Yes. The shoulders also. It appears that the muscles are completely under stress.

What is important here

He explains, and explains and explains. He says: "That is because of that, or that", he is theorizing

A: I can't quite follow. It is a whole complex.

P: Yes.

A: What do you have exactly since four months?

P: Difficulties with my back. To start with the beginning: in December I stopped working, because I couldn't bear the stress and the whole situation anymore.

Do you see, someone comes because of something acute and then he starts telling his story. There are no acute remedies

P: I rather stopped working. I went to the doctor and said that I didn't want to work anymore, it is over. He said it is about high time. I had pain day and night. I came home and I said to my wife: "They wrote me ill for one month. I don't work anymore, because I can't."

A: Day and night pain, where?

P: Over my whole body. Then I went to bed and slept for nearly a fortnight. I was completely exhausted. Sleeping, get up, sleeping.

A: So, you rested very well.

P: Everything went better, but the pain remained. In the shoulders, in the arms and in the back. But in the back it was not so bad. Then, I went to the office for invalids in Brussels. I don't have any result yet. Dr. X also found out that I had an enlarged liver, because of the fat. I am rather fat, fatty degeneration.

This man came in 1982 with hyperventilation and anxieties. Which remedy did I give him

Aconitum, and he was cured

Now, he comes with other complaints. First, he went to see another doctor who took blood. If everything did not help and he got it back for half a year he came back to the centre

P: The rest was rather good. No rheumatism, nothing. But the pain remained of course.

To see if there is rheumatism in the blood and things like that they go to a specialist, but to be cured they come to a homoeopath

P: Then I started to shovel snow, all of a sudden it cracked in my back and it was over. I could walk, but only very crooked.

A: So a crick.

P: It was on the right side. Then, I was already here in treatment. Besides, I got a cold, and so it aggravated. Only after three weeks it became better. Otherwise it only lasts four days. After Easter I was playing with the ball with the boy and then I fell down, crack, and the pain was gone. That was fantastic.

After a fortnight something stupid happened again. I fell down again and I got again pain in my back on the right side. And last week something else happened, the pain jumped from the right side to the left side.

A: So, it means that your pain jumped from the right side to the left side. Without reason?

P: Yes, by lifting or so.

A: Are you sure it happened because of a movement you made?

P: Yes. I wanted to lift up cases and I turned and crack, and then it disappeared on one side and appeared on the other side.

A: All right, now you have diarrhoea. Tell me something more about that.

P: Well, on Monday I sat on the toilet the whole day until night. Tuesday massage. The pain in the back on the left side was gone.

A: The pain has completely disappeared now?

P: Not completely, but much better.

In the afternoon every hour to the toilet.

A: Every hour?

P: Yes. Then I asked for another appointment.

A: You have been seen by a colleague because you had a kind of cramps. You had to bend. Then you got Colocynthis.

P: Yes, I took it until yesterday noon.

I did not prescribe Colocynthis, that was a colleague, who gave this because of the bending

P: It changed slowly. From time to time it became a solid substance, often only water. After eating it was more solid, before eating looser, like a chaplet. Yesterday evening, 10 to 10 I went back to the toilet, because I had so much cramps and it was clearly red blood.

A: Was it after the stool or was the stool itself blood?

P: There was no stool. It was a kind - how do you call it? Not solid, not hard. I was a little bit suspicious and looked at it - it was blood.

A: You can say that all of a sudden you got an urgency for stool?

P: Yes. It came all of a sudden. Then, I got cramps and I had to go to the toilet.

He gets a sudden urgency for stool

A: Well, that was yesterday evening. How was it at night?

P: I didn't get up. Only this morning at 6.00 o'clock.

A: Did you have diarrhoea? Did you have to get out of bed?

P: Yes. It was again a solid substance, no blood.

Sudden diarrhoea. He has slept the whole night well and at 6.00 o'clock he wakes up with a sudden urging

Let's have a look in the Repertory "rectum, diarrhoea". First of all, we can take the rubric "diarrhoea, morning, bed, driving out of bed" (p. 609) and on the next page the rubric "diarrhoea, morning, waking with urging" (p. 610). Then, there is another rubric "rectum, urging, sudden, in the morning" (p. 634): Mancinella and a capital remedy, Sulphur

A: No diarrhoea?

P: Not so solid as normal. Not like a chaplet. How do you say? Not thick. It was not watery, it was more solid, soft, but not...

A: It was still soft, still diarrhoea. And you had to get out of bed this morning?

P: Yes.

A: And the urging also came suddenly this morning?

P: I was lying in bed and I started to get cramps. So, from beneath to above and back downward. If you push on it it hurts enormously. I had to get up immediately.

A: How fast did the stool come this morning? Did it came quickly or did it last for half an hour?

P: It was urgently.

A: And did it came quickly?

P: Quicker than usually. On Monday: I had pain and immediately stool.

Often, the differential diagnosis is difficult to which remedy? To Nux vomica, because of the urging during colic. Look in the Repertory: "Rectum, urging during colic" (p. 633).

RECTUM,URGING,colic, during : Coloc., Ind., Nux-v.

"Colic" means sudden, cramp pain in the abdomen. In the rubric you see Colocynthis, Indigo, Nux vomica and an addition is Natrum phosphoricum. Nux vomica is capital and you have urging during colic, but also during urination

A: All right. Did you perspire last night?

P: Yesterday evening, when I went to bed I was cold. Also on Monday; feverish shivers. I took a sheepskin. At night I woke up, wet because of the perspiration.

P: Did you also perspire this morning?

P: Yes.

Why did I ask this? Because of the differential diagnosis between Sulphur and Nux vomica. He is warm, he is perspiring, he is covering up himself. Nux vomica would never do this, but Sulphur will

A: Was the perspiration warm?

P: No, it was clammy. No, more precisely, an oppressive perspiration.

A: Did you have the tendency to take off something?

P: Yes, but then I was cold again.

A: The feet remained under the covers?

P: I always had the tendency to put my feet out of the covers to cool them down.

A: Are you very thirsty?

P: I have a dry mouth.

A: And thirst?

P: I like to drink something.

A: Do you do so?

P: Regularly, I drink 1/2 glass of water.

A: In one draught?

P: Yes.

A: So, you still have a little pain in the back on the left side. You have diarrhoea. Now, I will give you a remedy, you let it melt under your tongue. Then, I will see you again within a few days. Then, everything has to be all right. Not only the diarrhoea, but also the back, because it is all the same thing.

P: I think so.

A: I am sure it is so.

P: On Sunday we have a party with a colleague.

A: Then you are all right. Tomorrow between 3.00 p.m. and 6.00 p.m. you call me and tell me how you are doing, all right?

We have to stay homoeopathically and if he still has pain in the back with his diarrhoea, it means that he needs a remedy for both symptoms. If you give Colocynthis in this case, it is absolutely wrong, unless he has an Colocynthis ischias. And what is particular for the Colocynthis ischias, how can you recognize a Colocynthis ischias

Bending ameliorates. Normally, it aggravates with ischias, because of the tension of the nerve

A remedy has to solve both problems, if not the homoeopathic laws are not correct. This is only true if no external influences like an accident or something happen

FEEDBACK (5.6.1987)

A: You were here for diarrhoea, with sudden urging, especially in the morning and crick, that was already better. I gave you a remedy in 10M potency, on June, 4, that was yesterday. Tell me how it developed?

P: Yes, I took the remedy and drove home. The first hours I didn't notice anything, only the same as previously, namely the urging and the pain. Until about 4.00 p.m. Then it has improved. I still had pain in the abdomen, but not those sudden fits and I haven't been to the toilet either, until this morning. But still those slight pains, which jumped upwards and downwards like a mill. Until half past 5, then I had to go back to the toilet.

A: Diarrhoea, or what?

P: Solid stool. About 8.00 o'clock I got up and I ate. I did some shopping and so on, until half past 11. Then I had another urging to go to the toilet. I still had this gnawing feeling the whole time. I went to the toilet, had stool, first solid, then loose and then the pain was gone. I hardly have pain in the back.

A: Has it completely disappeared?

P: Yes. Only at one side a little bit.

A: In general you feel well?

P: I feel fine.

A: That is all I have to know. It improved the last 24 hours.

P: Yes.

With one tablet Sulphur the pain in the back improved within one day, the diarrhoea and the pain in the abdomen disappeared

You see that in acute cases you need more frequently a chronic remedy than a not chronic remedy. There are no chronic and no acute remedies, there are just remedies. And also the nosodes are just homoeopathic remedies. The homoeopathic laws are valid for nosodes, for all the other remedies, as well as for remedies of a mineral, vegetable or animal origin. There are people saying that in acute cases you must give vegetable remedies. These are theories. That is not right

It is very difficult to give a complete answer to the question about the treatment of cancer. First, I would like to say that you should not start a treatment before you work in group and before you work with classical Homoeopathy for quite a long time.. If you are so far then you can cure some cases with different remedies. In the Centre we cured with Conium, Condurango, Lachesis, Calcarea carbonica, Lycopodium, Sulphur. For the treatment of cancer many remedies are considered. Very important remedies are Radium bromatum, Tuberculinum and Thuja

Decisively are the prognosis and the situation in which the patient is. If a patient is worrying about a problem the whole time and tries to solve it when he is in a difficult situation, for example, with the family, it might be the cause of the cancer and then you can not cure him

When he is in a good situation concerning his family, his work and so on, you can cure them

It is a fact that you do not have to be afraid of cancer. It is a name, like aids and other names, you don't have to be afraid of that. But before you start treating cancer patients, you have to have a knowledge, especially Boericke, the little and the constitutional remedies. Mostly, one of the large remedies appear somewhere. If you start, for example, with Condurango, in 90% of the cases Lachesis will follow, but if you give Conium, then Phosphorus will follow

CASE13v2

Prostatitis

Sulphur

MAN, 29 YEARS OLD

Doctor: It concerns a 29 year old man who has recidivistic inflammation of the prostate. The problems arose three years ago. At that time he had an inflammation of the right testicle. A part of it has been taken away and a year later he had complaints with urinating.

He has already been in homoeopathic treatment. They could not find the remedy, so that he had to take antibiotics and had to be operated on. Now, he comes to us

Doctor: From time to time he couldn't urinate at all and then they did - how do they call it - a lavage of the prostate.

A: He has been treated in a homoeopathic centre.

Doctor: That's right. They had to give it up. Last time he got antibiotics, because he had strong complaints and also fever. After the antibiotic cure he had rather quickly a relapse. When he was taking antibiotics he already called here, but we advised him to go on with the cure for a little while. Then, he got a relapse. On Monday, he came with the same complaints: tension in the abdomen, a kind of tickling, numbness between his behind and the scrotum, so at his perineum. He also had the feeling as if the penis was stiff, although it was supple. He woke up at 4.00 o'clock at night and could only urinate in drops. Afterwards he had the feeling as if the bladder was pulling together. In the morning he had pain everywhere, the limbs, the occiput. He says: "As if I have carried a heavy weight the whole night." On Tuesday he slept the whole day. Then, he came with the following symptoms to the consultation: urinating in drops, feeling as if the stool had to come from behind a corner while having stool.

A: We have already seen you before. I said, because you just took antibiotics, that we will only treat you when the complaints are there again.

He was already here a few weeks ago and he wanted to be treated, but at that time I did not do an anamnesis of him because all the symptoms have been suppressed by the medicines. I said, he should wait and come back when the symptoms are there again

Doctor: In the urine there were white flocks, the colour was dark brown, at the end of urinating yellow green mucus, this could also been seen in the pants. He had the feeling of having fever, but he didn't take the temperature. These were the complaints.

Can you decide for a remedy with this information

If you repertorize the symptom until now there are a lot of remedies to be considered. Only on account of local symptoms of the prostatitis it is impossible to find a remedy

He is a young man and if he would like to travel and would have been in eastern lands where he would have enjoyed life you could have thought about Medorrhinum, but he is just an ordinary man and because the local symptoms do not help us at all I have to see what kind of character he has

A: All right, further.

Doctor: Anamnesis (Of October, 7, 1987)

A warm-blooded man. He sleeps on the right side or on his back. At night he dreams, not often, but if he dreams it "has sense" as he says himself. "I dream of things that come true afterwards."

He dreams of things that have not happened yet, they happen later. There is a special rubric. "Sleep, dreams, events not yet taken place" (p. 1239; General p. 1023). There are two remedies: Manganum and Sulphur

SLEEP,DREAMS,EVENTS,not yet taken place : Mang., sulph.

Do you know in which disease Manganum is an important remedy? In M. Parkinson. They walk backwards and speak on the same level, with a monotonic voice

Manganum is also an important remedy in tooth problems. Most fillings contain Manganum and this can cause tooth-ache

Doctor: He did not have fear of height, nor other anxieties. On the sexual level he was very active. If it depends on him he could have sexual intercourse every day.

Concerning his character, he is someone who makes a lot of plans, everything at once. You will hear it when he tells it.

His desire is highly seasoned, very highly seasoned. He also likes meat with fat and very much ice-cream. He is very thirsty and drinks in great draughts. He prefers drinks from the refrigerator.

A: We will see the reaction. I have supervised the case. When did he get the remedy?

Doctor: He took it the same day. That was on October, 7, 1987. (Patient comes in)

I gave him one tablet of a remedy in 50M potency and you will see how his reaction was

In this case there were not so many symptoms, only a few. One key-note was the dreams of events not yet taken place. Then, we know that he is a warm-blooded man and that he likes highly seasoned food. There were no clear other symptoms, but from his character he could be a man of one certain remedy: he does not work, he has an unemployment benefit, he has three children and does not work, he makes a lot of plans. He does a lot, but only when he likes to..

A: Your main problem was difficulties with urinating.

P: Yes, and before inflammation of the testicles.

A: It concerns a chronic inflammation. You have been operated on on the epididymis.

P: Yes, they took a part away. It has been good for one year and then I got a very severe inflammation of the prostate. Then, I have been treated homoeopathically, but it didn't help. Then they did some lavages and I had to take antibiotics. Again in the hospital, because I couldn't urinate at all. They did lavages. It was good for one year.

A: Without antibiotics?

P: Yes, without antibiotics. I only had to take antibiotics for one month, after I was dismissed from the hospital. I stopped them and about one year later it returned again.

A: Did you have complaints the whole year? Could you urinate well?

P: Yes. The problem came back after one year. Again, I had difficulties with urinating. It always appears suddenly. It doesn't start slowly.

A: Has is disappeared every time after the operation?

P: No.

A: We have seen you here together and you had a remedy melted under your tongue. But I forgot to tell you that you dreamt of things that haven't happened yet.

P: Yes.

A: We already told the rest. The dreams come true afterwards?

P: Yes.

A: You took the remedy. Tell me what happened. You had difficulties in urinating.

P: Yes. It was all right, but there was a kind of tickling feeling; also after urinating.

A: It was like an old man, in drops.

P: Yes. I could sit for five minutes on the toilet until I had finished.

When I was studying a specialist for kidney and urinary disease said that the typical way of standing of a prostate patient is with his hands on shoulder height pressing against the wall. I will never forget how he showed us at that time, but I only understand it now. At that time we theorized, we said that he was standing like this, otherwise he would urinate on his knees or feet, or by pushing against the wall so that he could make the necessary pressure. But these are only theories

Which is the remedy that urinates in this way? It is a specific prostate remedy. Chimaphila. Chimaphila is a very important remedy and the description in Boericke is very beautifully

P: I took the remedy. The next day I still had difficulties in urinating, but it was much better. I didn't have tickling anymore. Then, next morning I had a dream, a seminal emission.

A: In your sleep?

P: Yes. I didn't notice anything of it. I woke up and it was wet. On the toilet I saw that it was involuntary seminal discharge.

A: Was it much?

P: Yes.

A: This is to be considered as an exception.

P: It was unusual much. I never had this so much. Then I washed myself and then it went better while urinating. I could again urinate in a ray.

A: With pressure?

P: There was not so much pressure, but it came out. A few days later I felt that there was pressure again. I have caught my urine for one week to see if there were still flocks in it, to see whether it was all right. I felt very well.

A: Now, you can urinate very well?

P: Yes, there is again pressure. I can also hold my urine for one week, while previously I had to let it run.

A: Now you can try to write your name in the snow, or to urinate a fly dead.

P: After the operation it was already better, but there was no pressure behind it.

A: Be happy that your name does not have an "i", because that is the most difficult thing. But there was a second symptom, the feeling as if the stool came behind a corner, probably because of the swelling of the prostate. How is it now?

P: I can have stool without difficulties. I don't have any complaints, that feeling is gone.

A: All right. You had only one tablet in 50M potency.

P: Yes.

I don't know which remedy he had until today, but it would be very important to know if he has had Sulphur, maybe in a low potency

If you can not cure a patient do not blame Homoeopathy, but blame yourself. There are exceptions, incurable patients, but mostly when we have to do with inflammations it must be easy, because the fact that you are producing means that there is resistance

During the aggravation there was a very strong discharge in the night, a kind of seminal emission, and afterwards everything was better

Question: "What would have happened if you would have given Sulphur immediately after the antibiotics?

A: I don't know, but you just can not treat if there are no symptoms

Question: "But you know that he had a kind of prostatitis.

A: No, previously he had a kind of prostatitis that has been suppressed by the antibiotics and the operation. As long as there are no symptoms I do not like to give a remedy. If you, for example, treat a migraine and you give the remedy in the pain free period, you might get an attack of migraine. I always tell the patients to wait until they have their migraine and then to take the remedy. If you give the remedy in between the attacks, the reaction can be confused

Question: "Should the remedy be given at the beginning of the migraine or...?

A: No, at the height.The moment of the most intensive symptomatology is the best moment to give the remedy, then you see the best reaction. If you give the remedy in the pain free period you are producing pain, namely first the aggravation and then there is an improvement

Also when you are treating cancers you should try to get the symptoms of the past, so that you can find the constitutional remedies. The whole picture is important and not only the totality at a certain point, but also the totality in time. So, you can, for example, see if previous symptoms have been suppressed and maybe you can find a remedy that covers all the symptoms, also those of the past

CASE14V2

Sulphur

Case

Boy, 2 years old

April 16, 1990

This boy was born in 1988 and came for treatment of eczema with a female colleague in the Center. She took the case very precisely and also asked about the family history. She found out that the brother of the grandmother had had cancer, the mother also had eczema and tuberculosis. Therefore she had to take tablets for quite a long time. On the father's side there was eczema twice and I think diabetes.

Concerning his appearance my colleague wrote down: blue sclera. The picture wasn't clear, there were no clear symptoms. The result of the first consultation was: blue sclera, diabetes in the family, desire for soup, and because there was cancer in the family he got Carcinosinum.He didn't react and later, because he likes oranges very much, he got Medorrhinum. He reacted very well and the eczema disappeared.

He got Carcinosinum in May 1989, Medorrhinum in August 1989, and afterwards no other remedy.

In April he came back with a cough and shortness of breath, asthma. In this situation he was thirsty for small quantities, and there was motion of the alae nasi.Look on page 340:

NOSE, Motion of wings constant, fan-like

MOTION of wings constant : Ammc.

fan-like (See Dilated) : Ammc., ant-t., brom., chel., iod., Lyc., merc-i-f., phos., pyrog., spong., sul-ac., zinc.

in pneumonia : Am-c., ant-t., kreos., Lyc., phos., sulph.

Do you see that?

The child was irritable, breathing badly, was thirsty for small quantities and had this motion of the nose during asthma. These were all symptoms indicating Lycopodium. He got Lycopodium and afterwards he was relatively better, and then the whole story started. When I had night duty, they came back and I started perspiring.

A : He is perspiring, he has short, panting respiration. Has it always been so bad?

MP : On Thursday night it was worse. He got very little oxygen and he received a remedy. Afterwards it was a little bit better, but on Sunday afternoon it was worse again.

A : At night he vomited.

MP : He also can't sleep.

A : Did he cough a lot?

MP : Yes.

A : A lot?

MP : Yes. Now it is much looser than before. He can breathe better now. I give him elderberry syrup to loosen the mucus. This is something very natural. I also gave him VENTOLIN Aerosol, but nothing has changed.

A : He perspires a lot on his head.

MP : Yes, and the perspiration has a smell.

A : What kind of smell?

MP : I don't know, it is a strange smell.

A : He is also restless, isn't he?

MP : Yes. And the cold has loosened. He has yellow, green discharge from the nose.

The noise you hear is his respiration, it is an asthmatic state. It is a panting respiration.

A : Now also?

MP : No, actually it has stopped now. His nose is obstructed. (Silence)

His lips are clearly cyanotic, blue lips. You see that he has a lack of oxygen.

Which remedy do you think of when somebody is in a real state of asphyxia?

Audience: Laurocerasus.

A : Yes, Laurocerasus. And Laurocerasus has a peculiarity, which one?

Audience: ... always coughing twice.

A : Yes, it might be, but what is peculiar? In which cases do we need Laurocerasus?

Audience: In heart problems.

A : Yes, in heart problems; and what is peculiar for Laurocerasus? The position. They are ameliorated by lying down. And when you observe you will see lumps on the fingers like fingers of a drummer. When they drink you can hear how the drinks go down to their stomach. The underlying problem in Laurocerasus is usually a cardiac deficiency.

Question: ... (not understandable)

A : You will hear this later. He has eczema, as I told you and he got Medorrhinum with good result.

Remark: ... (not understandable)

A : No, we don't know whether the reaction to Medorrhinum is a clear amelioration unless asthma appears.

The doctor who took the case asked me how she could have known that the remedy was wrong. I told her, "You won't know, until he develops asthma. At that moment you can say that the remedy was a suppressive prescription." You see that you can suppress with the wrong homeopathic remedy as well as with allopathic ointments.

So in this case what is the second symptom?

If somebody gets a remedy, the eczema disappears and he develops asthma, what is the rubric? "Asthma from suppressed skin eruptions". That is the second rubric, everybody knows. The remedies are Apis, Arsenicum, Carbo vegetabilis - what symptom do we see in Carbo vegetabilis cases?

Desire to be fanned.

Also there is Dulcamara in the rubric. You find Dulcamara states especially in September/October, they have an aggravation in cold, wet weather.

Ferrum also has asthma after suppressed skin eruptions, often accompanied by vertigo. The constitutional Ferrum people are pale, they flush easily and are very dictatorial. Think of the "iron lady" of England. She sends canons and all these things made of iron from Europe to the Middle East. She is Ferrum: dictatorial, inflexible and very strong.

Then there is Hepar with the strong sensitivity to coldness, and Ipecacuanha. What is the most important symptom of Ipecacuanha?

Cough and constant nausea and they put their finger in their mouth.

With asthma Psorinum lies on the bed like Jesus hangs on the cross, lying flat like Laurocerasus. Laurocerasus has to lie completely flat in heart diseases. This is very strange. And Psorinum also lies flat. Then we also see Pulsatilla, everybody knows, Secale and Sulphur. I have two additions: Calcarea carbonica and Mezereum.

In this case this rubric is very important because the asthma is a consequence of suppression.

If you have to give Ferrum in such a case, in asthma from suppressed skin eruptions, usually the skin eruption comes back and then you need which remedy?

Alumina. Some remedies can cure everything at once, the eczema and the asthma, while others only cure the asthma and bring the eczema to the surface, so that you need another remedy to cure the eczema.

Ferrum is one of the remedies which cures asthma and brings the former suppressed eczema to the surface and then you need another remedy to cure the eczema definitely, usually Alumina.

MP : Usually he vomits mucus.

A : From coughing?

MP : Yes. He has a terrible cough and so he can't sleep.

We can take the rubric on page 532:

STOMACH, Vomiting, coughing, on

But there are 250 remedies.

MP : He doesn't want to drink, nothing at all.

With every breath there is motion of the alae nasi.

A : You gave him the remedy.

MP : Yes, dissolved in water, three times a day, for two days.

A : On Sunday you didn't give him anything?

MP : No, it was very good, everything had loosened and came out.

A : So you gave the remedy on Friday and Saturday?

MP : Yes, on Sunday afternoon the asthma came back. Up to then he was very good for two days.

After Lycopodium there was an amelioration on the level of the cough and the asthma, and now I don't know what to do. If a remedy acted well usually we repeat it before giving a new remedy. So I decided to repeat Lycopodium.

(Video is running, the child is breathing heavily)

This was at 5:00 o'clock in the morning and in the afternoon the general state was better.

A : Does he drink?

MP : No.

A : (to the child) I'll give you a tablet now.

P : No, no.

If Lycopodium is acting there must be an amelioration within 12 hours. I gave Lycopodium 200 and Lycopodium M in a tube to take home.

A : Does he perspire on his head during sleep?

MP : Yes, always on his head, when he is too warm or when he has fever, otherwise he doesn't.It started on Thursday and then he also vomited. Before he vomited he was wet all over.

A : All over his body?

MP : Yes, all over his body.

He perspires a lot. That is one element, and the other element is difficult respiration.

A : Did he vomit his food last night?

MP : He ate at noon the last time and vomited everything. In the evening I didn't give him anything at all, because he didn't want anything.

Question: Would Arsenicum be more restless?

A : Arsenicum also has asthma from suppressed skin eruptions. Look in the Repertory on page 770:

RESPIRATION, Difficult, perspiration

Here you see the remedies.

Question : What about ... (not understandable) ... only when he wakes up.

A : Yes, only when he is awake, but wait they say something else. He doesn't sleep at all, he cannot sleep.

So the first symptom is perspiration and then difficult respiration. The combination of these two symptoms is a new rubric in which we also find Arsenicum. Arsenicum also has asthma after suppressed skin eruptions and this leads us to the question of whether it could be Arsenicum.

Question: What did you hear with auscultation?

A : Rattling all over the lung, wheezing and rattling, this combination.

Question: Did he have fever?

A : Yes, he had fever, I think 38°C.

Remark: ... that it is not an asthmatic problem, but a pneumonia.

A : Yes, it could be pneumonia. This could be important for us, because if it was pneumonia we should take the rubric "motion, of wings constant, in, pneumonia". The remedies in this rubric are different from the ones in the rubric "Nose, motion of wings constant, fan-like".

MOTION of wings constant : Ammc.

fan-like (See Dilated) : Ammc., ant-t., brom., chel., iod., Lyc., merc-i-f., phos., pyrog., spong., sul-ac., zinc.

in pneumonia : Am-c., ant-t., kreos., Lyc., phos., sulph.

NECROSIS (See Caries) : Phos.

Remark: No, I didn't mean that. I wanted to know whether asthma from suppressed skin eruptions is different from pneumonia after suppressed skin eruptions. This is completely different in my opinion.

A : Yes, it could be pneumonia, but anyway it is asthmatic respiration, and there was a suppression from the level of the skin which has affected the respiration organs. That is important.

Of course we can discuss whether it is pneumonia or asthma or a combination of both, an asthmatic bronchitis or whatever. In allopathy there are many names: asthma, asthmatic bronchitis, but for us it is only important that it is difficult respiration after suppressed skin eruptions.

Of course it is also important to know whether it is pneumonia and to look at the X-ray, on which side it is, because a left-sided pneumonia, for example, often is Tuberculinum. To be able to work really well we need an apparatus to take X-rays, because if we send the patients to the hospital for X-rays we can forget it. If he goes to the hospital first, he will get antibiotics and then we are more distant from our goal than before. This is another suppression and it becomes much more difficult for us to bring the patient back to the state we want him to be in. That is the only reason, it is only for the patient, not for us. It is not a matter whether we are right or not. It is only for the patient's sake we must try to go through these situations homeopathically.

So here it is a question of whether this is an Arsenicum case.

His mother just said that he perspired very strongly.

A : Does he breathe better when he sits upright?

MP : On Thursday and Friday he only wanted to lie down, and then it was better.

A : When he was lying down?

MP : Yes, the cough.

A : I mean the difficult respiration.

MP : Yes, he wanted to lie down and then it was better. But when the respiration becomes worse he sits upright.

You see it is more like pneumonia than asthma.

MP : (to the child) You are tired, aren't you?

FP : He changes color.

Question: Is he restless?

A : No.

A : Now is he pale or normal?

MP : Now he still has good color.

A : Does he look paler usually?

MP : No, that's his normal color. Maybe sometimes he is a little bit paler.

(to the child) Do you want to sit down?

Question: Is he ... ? (not understandable)

A : Yes, he is sleepy, but he cannot sleep.

Question: ... (not understandable)

A : The question was whether it could be Antimonium tartaricum. That's a very good question. He has blue lips, and what can you hear with auscultation in Antimonium tartaricum?

Rattling. In what disease is Antimonium tartaricum indicated?

Audience: In pneumonia.

A : Yes, right, in pneumonia with atelectasis, if a part of the lung is collapsed because of obstruction of a bronchitis. For example, if a child swallows amniotic fluid at birth and then becomes cyanotic and asphyctic, when there is a lack of oxygen, motion of alae nasi and rattling, it is Antimonium tartaricum. In these cases it is safer to give Antimonium tartaricum. It was also indicated in this case, to give Antimonium tartaricum for reasons of safety. What did I do?

I gave him Lycopodium 200, then there was an amelioration, maybe a little bit better. After 1/2 hour he was breathing a little bit deeper, he was more sleepy, but there was still motion of the alae nasi during respiration.

After 2 hours: Lycopodium M, but nothing changed. For reasons of safety I gave Antimonium tartaricum without any result. I sent them home and examined the case very thoroughly. The next morning they called me and said that nothing had changed at all.

MP : He has no fever.

A : Now he is breathing deeper, not so superficial anymore. You can hear that the oxygen is going deeper.

FP : A little bit deeper, yes.

I'll give you the symptoms so that we don't have to wait too long: if he has to cough more he starts crying. You find the rubric on page 93:

MIND, Weeping, coughing, during

during : Ant-t., arn., ars., bell., cahin., cham., chin., cina., Hep., ip., lyc., osm., ph-ac., samb., sep., sil., spong., sulph., verat.

That's one symptom. He can't sleep, so you can take the rubric sleeplessness and he perspires profusely.

We don't need to watch the video anymore, I'll tell you the rest of the story. The next day they called me in the morning and said that there was no amelioration at all, he hadn't slept all night.

I sat down again and thought about the case once again: it is certain that he can't sleep, so we must use sleeplessness.Secondly, he perspires profusely. These are two facts.If you combine them with each other you get the rubric on page 1300:

PERSPIRATION, Profuse, sleeplessness, with

PERSIPERATION,PROUSE,sleeplessness, with : Bar-c., cham., cic., corn., iod., Sulph.

There are six remedies in this rubric.

There is another rubric on page 1254:

SLEEPLESSNESS, Perspiration, from

SLEEP,SLEEPLESSNESS,perspiration, from : Ars., Con., ferr., sulph., tarax., verat.

Here again Arsenicum and Conium are capital, and if you look in the rubric "waking from perspiration" Conium is the only capital remedy.

Remark: He couldn't sleep because he didn't get oxygen.

A : Yes, all right, if we analyze clearly what she says it means that he perspired profusely and because of the difficult respiration he couldn't sleep. So the rubric "sleeplessness from perspiration" is not right, and we can only take the symptom "sleeplessness with profuse perspiration".

Which remedy did I give?

Audience: Hepar.

A : Why Hepar?

Audience: Sleeplessness with cough, perspiration with cough, asthma from suppressed skin eruptions.

A : Yes, that is a possibility.

Audience: Sambucus.

A : The essential point in Sambucus is the obstruction of the nose. Difficult respiration because of obstruction of the nose. This is not the essential point, but you could think of Sambucus because of the type of respiration.

If you combine these symptoms, "weeping from coughing", motion alae nasi, but in pneumonia, as our colleague proposed, asthma from suppressed skin eruptions, which remedy do we get?

Audience: Sulphur.

A : Right, Sulphur.

Remark: You can also take the rubric difficult respiration with perspiration.

A : Yes, this rubric exists and Arsenicum is in this rubric.

Remark: Yes, and also Sulphur.

A : Aha, Sulphur also.

In this case there was a differential diagnosis between Arsenicum and Sulphur.

That morning he got Sulphur 10M, and at 3:00 p.m.the parents called me: the child was doing better and he developed a high fever, he had thick, yellow expectoration and he was quietly sleeping at the moment. Anyway that was a very good reaction.

FEEDBACK (April 18, 1990)

A : Tell me. He is looking very well.

MP : He's doing very well.

A : How did it go?

I gave him the remedy during the consultation here. It was April 16, at 10:00 o'clock. How did it develop?

In the morning when she came to get the Sulphur I gave her one THEOPHYLLIN suppository to prevent him from going to the hospital. They wanted me to do something because the previous remedy didn't work. So I gave her a suppository so that she could do something.

MP : He got fever.

A : After the remedy?

MP : Yes. And he perspired a lot.

A : He also perspired a lot before, when he couldn't sleep.

MP : Yes.

A : Then he coughed up some mucus.

MP : Yes, once.

A : Once rather much.

MP : No, not so much, but he could bring up some mucus. It was rather thick mucus. At the moment there is some discharge from one side of his nose.

A : Can he sleep now?

MP : He sleeps much better, but he still wakes up often and wants to drink. He is very thirsty.

A : Does he perspire less?

MP : Yes, but he still wants to drink a lot.

A : (to the child) Do you want to drink something? Shall I get something to drink?

P : Yes.

A : (goes and gets something to drink)

Don't be afraid of a fever. Fever is a good reaction. If fever occurs after the remedy it is a very good reaction and it is much better if there is also expectoration.

A : (comes back with water)

FP : Now he is coughing a little bit more, but it is still looser.

MP : When he drinks water he keeps it in his mouth a long time. At the moment he has a molar coming in. Today he ate a little bit.

A : (to the child) Have you eaten anything today?

FP : He drinks a lot of milk.

A : Cold or warm milk?

FP : Cold.

A : Something else: he gets more itching.

MP : Yes.

FP : When we're changing his diapers he scratches.

A : He's scratching more.

MP : He still has some eczema on his hands, and he has scratched it open.

A : Did he cough last night?

MP : Yes, but less.

A : How often did he wake up?

MP : About four times to drink something. I slept with him because he was always calling for me.

A : You have to be with him.

FP : He always needs somebody.

MP : He doesn't eat a lot, maybe once a day.

A : But he drinks some milk. Actually that's sufficient.

FP : He has a lot of energy.

A : And today he's already running about. That's a wonderful reaction.

MP : He's also smiling again.

FEEDBACK (May, 1990)

A : Tell me, how is your little child?

MP : The eczema returned, but not on his hands, on his legs.

(to the child) Take off your pants. Also on the inside of his arms.

A : Yes, a little bit.

MP : First it became worse, and one morning it wasn't so bad anymore.

A : You think that first the eczema became worse first and then it ameliorated by itself.

MP : Yes. There is not much left, some on his legs, and also on his knees.

A : But rather minimal.

MP : It has been very red and spread upwards.

A : What about his appetite?

MP : He's eating badly.

A : In what sense?

MP : He eats less, and if we force him to eat something he vomits.

A : Do you think that the eczema was worse in the past?

MP : After the asthma was cured the eczema became worse. Now he eats very little; with his asthma he didn't want to eat anything at all.

A : Don't you think it is normal that he eats so little when he's severely ill?

MP : Yes, but now, afterwards, he doesn't eat anything either, after getting up no slices of bread, nothing.

A : How is his sleep?

MP : Now it is a little bit worse again, but he sleeps through the night.

FP : He drinks very, very much.

A : What about his cough?

MP : You can still hear him coughing now and then, but it is a normal cough, the way everybody coughs now and then. I took care, because I was afraid that he might get it back.

A : Can you tell me whether there are substances or materials which make him itch?

MP : Yes, he tolerates cotton, but he doesn't tolerate wool. I don't tolerate wool either.

A : Yes, the apple never falls far from the tree.

The last symptom she said was that he likes to drink cold milk much more than before. He doesn't eat much, but he drinks a lot. Look on page 480:

STOMACH,APPETITE,WANTING,thirst, with: Am-c., ant-t., ars., bor., calc., colch., coloc., kali-n., kreos., nux-v., ox-ac., phos., psor., rhus-t., seneg., sep., sil., spig., Sulph., zinc.

STOMACH, Appetite, wanting, thirst, with: ... Sulph ...

There is only one capital remedy, and one capital remedy has to be added: Baptisia.

The mother is very worried about her child, she is very anxious.If he coughs a little bit immediately she comes to me. He has received Sulphur a few times, every time with good result.

Now we have to be careful and pay attention to the Tuberculinum symptoms. It might be that this child will need Tuberculinum one day, notwithstanding the itching from wool.

Unless you go through such cases how can you make a theory about homeopathy? It is impossible. And I warn you: it is easy to give the first remedy, but with the right constitutional remedy you make the patient stronger, so that he can produce other symptoms. Probably after some time he will develop symptoms of diseases which have been suppressed in the past and you have to go through this with homeopathy.

In asthma, acute attacks of asthma the differential diagnosis is often very difficult, but in Arsenicum cases which I have seen, the patients were very anxious, had to sit upright, somebody had to be near them, they were restless and had to get out of bed.That was not so in this case, we didn't observe the anxious restlessness.

And don't forget that Arsenicum is complementary to Sulphur and patients who need Arsenicum in acute states probably will need Sulphur afterwards.

CASE15v2

Sulphur

Case

Woman, 21 years old

This is a very difficult, very dangerous case. It is an abscess, a big abscess with high fever, which began eight days ago. The abscess was terribly painful, she perspired strongly and within a few days she had emaciated a lot.

The patient has a big, bluish-red abscess on the left side of the nates.

A : How long has she been suffering from this?

MP : Eight days. She had the feeling that there was something hard inside. Then she went bicycling and the next day, precisely in the fold of the nates, the skin was excoriated. It was not red, the skin was open.

A : So she has had this 8 days already. And then it became inflamed?

MP : Yes, I called you on Tuesday because she had fever, and it had become red and inflamed.

A : And fever?

MP : Yes. And so it became worse.

A : Now you can't sleep because of the pain.

P : Yes.

A : And there is blue discoloration. How is the pain?

The first symptom is that she cannot sleep. She hasn't slept all night.

P : Burning, stitching.

A : So burning and stitching. And you had pain all night long?

P : Yes. Yesterday it was a little bit better.

So, burning, stitching pain all night long.

A : And you have more pain at night than during the day?

P : Yes.

A : Does she perspire a lot all the time?

MP : Yes.

She perspired all the time, and the abscess has a blue appearance.

A : How many kilos did she lose?

MP : (to her daughter) How many?

A : She doesn't eat or drink?

MP : She didn't eat her lunch. She had no taste for it. She doesn't know what she's eating.

A : And fever all the time?

MP : Yes.

A : How high?

MP : Up to 39°. In the morning it was lower, 37.5° C, later it increased again.

A : When was the fever higher?

MP : In the afternoon; 38.5° C, yesterday 39° C. Every day it was the same.

Where can we find this?

It was a high fever, an inflammatory fever.

Look on page 1287:

FEVER,INFLAMMATORY fever: Acet-ac., acon., apis., arn., ars., Bell., Bry., cact., canth., cham., chin., colch., con., dig., dulc., gels., hep., hyos., ip., kali-c., lach., lyc., Merc., nit-ac., nux-v., phos., Puls., Rhus-t., sep., sil., sul-ac., sulph., verat.

FEVER, Inflammatory fever

Which remedy has burning or stinging pain at night with a bluish abscess?

Audience: Tarentula cubensis.

A : Yes, Tarentula cubensis. Take Boericke and there you read: "A toxemic medicine, septic condition." It is an inflammation and you can also take the rubric "septicemia" in the generalities. Here you see Tarentula, but it must be Tarentula cubensis.

"Adapted to the most severe types of inflammation and pain, early and persistent prostration. Various forms of malignant suppuration. Purplish hue and burning, stinging pains. Bubo. The remedy for pain of death; soothes the last struggles. Pruritus, especially about genitals. Restless feet. Intermittent septic chills. ... Dizziness after heat and hot perspiration..."

So I gave her Tarentula cubensis, but it had zero effect.

MP : Yesterday she begged for her remedy. She slept and I gave it to her every three hours. So I gave it 5 times.

A : Yes, now it is 3:30 p.m. and you got the remedy at 10:00 o'clock.

P : Yes.

A : How was the pain?

P : Not so much has changed.

A : You could sleep.

P : Yes.

A : But before you couldn't.

P : No. The remedies which I got before made me even sicker.

A : (to the mother) You said that her eyes look better, that she looks better in general.

MP : Yes. Also her tongue, it was coated and dirty looking yesterday, and now it looks much better.

A : This has changed today at noon? This morning the tongue wasn't better yet?

MP : No, not yesterday either, and now it is much better. This morning she felt weak in general, all over her body, and now it is better.

Here I think that the remedy has acted, but the next day nothing had changed yet. Because of the pain she didn't sleep all night. I tried to make a little hole in the abscess with a needle, so that the pus could come out. But do you know what happened after Tarentula cubensis? The hole closed again, this means that the remedy was wrong.If you open an abscess and the remedy is correct it will bring out all the pus, everything will be cured.

FEEDBACK (May 4, 1990)

When she came the previous day she could hardly walk from the pain.

These are very dangerous, terrible cases where you fight to find the right remedy, but you will see that it is better the next day with the correct remedy. Unless you find the right remedy you will have sleepless nights.

A : As we can see the swelling has completely gone. What about the pain?

P : Only the place where it was open it still hurts a little bit.

A : But it doesn't hurt around the abscess?

P : No.

A : (looks at the spot) It is all right. You can get dressed again. We'll look at the case once more. You can sit down.

You see that the patient is really thin. She looks like a tubercular patient.

A : On April 30 I gave you Tarentula cubensis, because the abscess had a bluish appearance, stinging, burning pain, worse at night, every night 39°C fever and during the day 37.5°C.I made a hole in the abscess and pus came out, but it didn't really improve after Tarentula cubensis, on the contrary, the hole closed again and the next night you didn't sleep at all. This was the night of April 30 to May 1. On May 1, you came back in the morning, and I examined it once more. It was remarkable that you perspired a lot, were very thirsty and you were always too warm. You had to be covered up. Once again I made a hole in the abscess and I gave you a remedy in 10M potency, one tablet under the tongue and a few to dissolve in water. That was all we did. How did it develop? Before you hadn't slept for 8 days, is that right?

P : Yes. But the night of May 1 to May 2 I slept very well.

A : The whole night?

P : Yes, I slept the whole night.

A : That was the first change. Also the hole didn't close, the pus came out and the abscess became smaller. Now the abscess is cured. Has the fever gone as well?

P : Yes.

A : How did it go otherwise? Yesterday I checked it and there was still pus coming out. How did it go last night?

P : Yesterday night I slept very well. I could lie on the right side and also sit and walk. Since Tuesday it has been very good.

A : It was remarkable that you walked bent forward. Now you aren't doing that anymore. Do you still have pain while sitting?

P : No. Only in the car, because I sit a little bit lower, and if I'm sitting right on the spot, it still hurts.

A : What about your appetite?

P : It's all right.

MP : The fever has also gone.

A : You also had vertigo when you got up from a seat.

P : That's also better.

A : You can say that one dose of the 10M potency solved the case. On which side did you sleep last night?

P : On the right side.

A : Did you dream?

P : No.

A : You don't easily dream?

P : Before I would wake up suddenly and then I wondered, "Why does this happen?"

A : Were these nightmares?

P : No.

A : You never had nightmares?

P : No.

A : Can you sleep in any position? On your back also?

P : No.

A : Why not?

P : I never could. I just can't fall asleep.

A : When you were acutely ill you were too warm in bed. Is this still so?

P : No, I haven't noticed it.

A : Last night you stayed under the covers?

P : Yes.

A : Are you very thirsty?

P : Yes.

A : It's still the same.

P : Yes.

What was the remedy?

Audience: Anthracinum.

A : And why?

Audience: Because of the burning pain, it was a carbuncle, blue and she was thirsty during fever.

A: And what about the perspiration?

Audience: I don't know.

A : Again and again I see that this is a very interesting rubric for this remedy: profuse perspiration with sleeplessness. She couldn't sleep and she perspired all the time, so we can take both symptoms together and say: profuse perspiration with sleeplessness.

Where was the abscess?

On the nates.

In addition she had an inflammatory fever, septicemia, and she had stooped shoulders. When she came in you could clearly see it; and she was thirsty, so she received Sulphur M.

Question: Can you say what remedy you gave before?

A : I don't know, I don't have the file here.

Remark: I have had some similar cases during my night and weekend duty, and it was terrible. I remember that I gave Silicea and some other remedies, but none acted.

Remark: The way you valued the symptoms, the general symptoms was more important than the symptoms specific for the abscess, like the burning pain and so on.

A : Yes, we have to take the symptoms which are definite. If you look under "pain, burning", you find many, many remedies.

Remark: But in "abscess, burning" it is only ... (rest is not understandable)

A : And Sulphur is there?

Audience: No.

Question: ... (not understandable)

A : It depends on what you start with. First you can look under "Abscess, nates", there you see Sulphur.

ETREMETIES,ABSCESS,Nates: Carb-o., sulph., thuj.

If you forget the abscess and take the general picture into consideration, that she is perspiring constantly, wants to be covered up and is very thirsty, first you think of which remedy? Of Sulphur.Sulphur is thirsty, warm-blooded, wants to be covered up.

Remark: You can't think of Arsenicum which is also in the rubric burning, abscess, because ... (rest is not understandable)

A : No. You cannot think of Arsenicum, because if it was Arsenicum, with burning pain, what would she do? She would put something warm on it, then it would ameliorate. And she would be very pale. She was very pale, the way Tuberculinum looks, but sometimes Sulphur can also be very pale.

We haven't recognized her remedy for a long time. She got Calcarea phosphorica, Phosphoricum acidum because she was long and thin and so on, but now, in the acute state, the symptoms appeared and clearly indicated her chronic remedy.

Question: Could it have been Lachesis?

A : She received Lachesis without result.

Question: Do you always incise these kind of abscesses?

A : No, I'm afraid of doing that. Unless the abscess is mature it is very dangerous to open it. You could cause a septicemia if you don't know the remedy. If I know the remedy I feel secure. Then I cut a little bit, and the abscess will open further by itself. With the right remedy the abscess will open without incision, only it takes one more day to open spontaneously.

Question: ... (not understandable)

A : I don't know. I didn't take the rubric "sleeplessness from pain". I took the rubric "sleeplessness with profuse perspiration." This does not mean that she couldn't sleep because of the profuse perspiration, this means that she couldn't sleep AND there was profuse perspiration. If you take both symptoms together you have a small rubric, and we like small rubrics.

The remedies she got before like Lachesis, Silicea and so on, can be excluded and then it is easier to find the correct remedy than at the beginning.

Remark: In this patient I was also thinking of Baryta carbonica, because she is 21 years old and she is really childish.

A : Yes, for her age she is rather childish. She is a teacher.

The clinical rubrics for fever are really interesting. If you know these well it is often very helpful to find the remedy. Inflammatory fever, exanthemic fever, pectoral fever, fever in abdominal diseases: when there is an appendicitis or another inflammation in the abdomen, septicemia. If somebody has a constant high fever and inflammation somewhere, for example, cystitis, and you are sure that this fever comes from the cystitis, then you take the rubric septicemia.

In such cases you will find that it is good to work together in a group. My female colleague, who saw the patient during weekend duty, didn't know the remedy and looked for somebody who could help her. A colleague has more distance, is not so anxious, and therefore can observe the case more clearly. For this reason it is good to work together and to help each other. We can ask each other, one colleague has this idea, the other that, and if we bring everything together we have more courage and we can treat homeopathically to the end of the illness. It is impossible to do homeopathy for really serious illnesses, if you are alone. You will have to send patients away or you give antibiotics. Nobody on earth can carry all the responsibility alone in very acute, dangerous cases, nobody and so we have to work in groups.

CASE15V2

Nephritis

Dd ars., berb., sulph.

Case

Woman, 30 years old

This is one of the cases that will give you gray hair.

She came on January 5 with the following story. She was completely exhausted because her brother died of cancer 14 years ago, then her father died of cancer, then her mother 4 months ago and recently her eldest brother died 3 weeks ago. Since then she has had bleeding, constant bleeding; therefore she takes the contraceptive pill.

She is completely exhausted and she has a feeling of constriction in her throat, which becomes worse when she thinks about her mother and all the others who died.When she does something she feels better, occupation ameliorates. She has pain in the cervical region of her neck, in a small spot. Everybody knows the rubric, "pain in a small spot", in the generalities. There are two rubrics, one on page 1378:

GENERALITIES, Pain, Small spots

on one on page 1385:

GENERALITIES, Pain, sore, spots in

These rubrics are very important. She also had headaches, so we took the remedy "headache from grief"; and she is very closed.

In the foreground there is grief and the consequences of it.

What remedy did I give her?

Audience: Ignatia.

A : Yes, Ignatia has pain in small spots, headache from grief, a lump, sensation of constriction in the throat, and so on.

Then she came back on January 30 and said that she felt a little bit better and stopped taking the contraceptive pill, but she felt badly every morning and had intense fear of cancer, because all the members of her family died of cancer. Then I said, "Oh my God, everybody in the family died of cancer, it makes me tremble." Because she desires chocolate very much I gave her Carcinosinum. That was on January 30, and she came back on February 12 and said, "I have pain in my chest, burning pain. My whole chest is burning, and I constantly want to drink something warm." She was very pale, couldn't sleep at night and was very anxious. She didn't dare go to sleep alone. That was 12 days after Carcinosinum.

She was with her brother when he died, she told me this the first time on February 12. In general this was a clear Arsenicum picture. I don't know what Carcinosinum did, anyway Ignatia and Carcinosinum pushed the Arsenicum picture to the surface.

She reacted wonderfully to Arsenicum and then she came back in April. Until April 24 she didn't receive any remedy. This very day she came back and said she was pregnant and that she wanted to abort this child. She was very, very sad, didn't want to have the child in any way, couldn't smell any food and couldn't eat anything at all. First I gave her the remedy once, and said that we would talk about this matter later once again.

She had an aversion to the smell of food, nausea from the smell of food, and didn't want to eat anything at all. This was a clear, acute Arsenicum case.She was in a terrible state, she didn't want the pregnancy at all. Therefore I gave her Arsenicum M on April 25. On May 8 she came back and said that she was very happy that I didn't send her to the hospital right away, and that she decided now to keep the child. She had more appetite, but no desire to cook. In general she reacted very well to Arsenicum.

On June 26 she came back and complained about headache, but she was working a lot.

Then she came back with a severe inflammation of the renal pelvis. It was a very acute state and you see that she is very pale. In the meantime she is a few months pregnant.

July 6, 1990

A : How many months pregnant are you now?

P : Four months.

A : And when did you became ill?

P : With the kidneys?

A : Yes.

P : Since Monday evening. During the day while I was working I felt some pain in my back.

A : You can't sit well.

P : I didn't feel well. I couldn't sit properly. In the evening I prepared supper and I was very tired. It started at 3:00 o'clock that night. I couldn't sleep anymore, had a headache and pain in my back.

A : It started on Monday.

P : No, on Wednesday. I was wrong before.

A : So the evening before yesterday and the next day you had pain in your back. You were also restless and couldn't sit still. The pain was worse at night. Where?

P : On the right side.

A : On the right side, the right kidney. Did you have to urinate much?

P : No. It was not so bad.

A : But yesterday it was more frequent.

P : Yes. I couldn't lie well in bed for a while.

A : During the day it was better?

P : Everything had to be dark, I couldn't tolerate the light. I wore sunglasses ...

A : And last night?

P : Last night it was terrible. I slept maybe half an hour or a quarter of an hour, almost not at all. I looked at the clock every minute and I read a book.

A : Did you get up?

P : Yes, frequently. I went to the toilet constantly. And I read, so that time passed more quickly. I thought, "If I could sleep only for one hour, so that time would pass more quickly", but I couldn't. And I perspired constantly.

A : What do you mean?

P : I perspired on my face, my neck and on my back. If I started perspiring I couldn't lie anymore, I had to get up. I put a cold washcloth on my head.

That's a symptom: sleeplessness from perspiration.

You also see the exhaustion, the weakness, weakness with restlessness and the nightly aggravation.

A : You had to put a cold washcloth on your head. How did the rest of your body feel?

P : I needed a washcloth only on my head.

A : And the rest of the body?

P : It was rather cold. I was freezing in the car. Last night I was afraid.

A : What do you mean?

P : I wondered whether it was this or that. I worried about the child, whether there would be something wrong with the child.

Now there is anxiety about others, a nightly anxiety.

P : I think of all kinds of things. Last week I was taking care of my brother's child. She had diarrhea and high fever. It was salmonella, and I was afraid of contamination. The child didn't have a severe diarrhea, but was vomiting a lot, and then I thought, I will have to vomit too.

A : Do you think a lot about the child?

P : No, no, but because I vomited and I was nauseous, I was anxious.

A : Do you have fever?

P : Last night it was 38.6°C.

HP : She also has fever during the day.

A : Something else?

P : Yes, thirsty. I'm terribly thirsty. My lips are very dry.

A : What do you drink?

P : Water.

A : Warm or cold?

P : Not too cold. Room temperature.

A : Do you drink with small sips or a lot at once?

P : I drink with large draughts. I drank two bottles. Otherwise I don't do that. Only water.

A : Are you still chilly?

P : No, not at the moment.

A : But in the car you were freezing.

P : Yes.

A : When you were so warm last night did you uncover yourself?

P : Yes.

A : Your legs also?

P : Yes, my legs also. And when I got up then I was cold again.

A : When you get up you are chilly, but then it goes away.

The differential diagnosis with Sulphur is often not easy. As I already said Arsenicum can have burning hot feet at night, but she says that she is chilly immediately after she gets up.Sulphur puts his feet out of the covers and keeps them out, whereas Arsenicum, Mercurius and other remedies only cool them down for a little while and put them back under the covers immediately again.

But don't forget that Arsenicum can develop into Sulphur, both remedies are complementary.

You cannot yet decide upon this symptom. Therefore I also said that Arsenicum is almost always chilly. She is also chilly, but she has hot feet. The restlessness, the anxiety which drives her out of bed and because I knew that she already received Arsenicum I felt more secure with Arsenicum.

A : We had the urine examined. The leukocytes were positive, the nitrites also and there was a lot of acetone. Did you drink too little?

P : No, I drank a lot the last few days.

A : And there was blood in the urine, an infection in the urethra. We have to check it. Today it is Friday, hm (is thinking). If there is anything wrong you call me.

P : Yesterday evening it was very bad, actually I wanted to call you, but I waited until this morning.

A : If there is anything wrong, if you have problems call me; tomorrow during the forenoon, if it is necessary. You must come back on Monday in any case. I'll give you a tablet now which you should dissolve in water and if it is necessary take a spoonful at night also. You said something else before.

P : I have thoughts.

A : What do you mean?

HP : When she's lying in bed in the evening.

A : On Wednesday night?

P : No, in the evening. I don't know how it happened.

A : What came into your mind? Tell me. You must tell me everything.

P : I was thinking about my mother who died and who is buried in my home village and then suddenly I thought, "I don't want to be buried there." It just came into my mind. I had to say it and then it was all right again, it was gone.

A : You don't have these thoughts at night?

P : No, but I thought about the baby, whether it will be damaged or not. And I think a lot about my hip; it always cracks when I'm walking and I feel so tired, but I can't sleep.

Did you understand?

Suddenly, at night thoughts about the death of her mother come into her mind and she doesn't want to be alone. You clearly recognize Arsenicum, fear of being along and thoughts about death.

Question: Did you give Arsenicum?

A : Yes, again Arsenicum M, dissolved in water.

FEEDBACK (July 9, 1990)

A : You dissolved the tablet in water.

P : Yes. I took two spoonfuls and I got a high fever at 4:00 o'clock and started perspiring profusely.

A : How high was the fever?

P : 39.5°C.

A : You called me and I told you that you shouldn't worry.

P : It went even higher, 39.9°C, 39.8°C. I perspired and the towel I put on my body was soaked. In the evening the fever went down to 38.8°C. But my head, it was terrible, and it lasted until yesterday. Yes, my head, there was something wrong!

Now it is better. I couldn't turn it to the left nor to the right side. With everything I did I had to hold it, otherwise it hurt. My husband had to help me go to the toilet. I had to hold on to him. I couldn't tolerate anything at all. The pains in my back and abdomen were better by evening.

A : Immediately after the remedy the pain was better.

P : The fever dropped immediately after the remedy and the pain ameliorated gradually, the pain in the back, but the headache was bad; I had to hold my head. I perspired profusely; four times that night I had to dry myself and to change clothes. On Saturday morning the fever was gone. I was hungry, but I couldn't taste the food. I just drank something. The fever was gone, but the perspiration remained. Every time I slept I was soaked even though I didn't have fever anymore. I walked around the bed, because I thought that it was because I had been lying quietly for such a long time. It was always here on the right side. When I was very quiet, it was good, but as soon as I got up, I got a headache and pain in my neck. The towel was soaked, I could wring it out. Then everything improved, but I still have it. For example, if I belch, there are still stitches in my head, and when I'm stooping I also have stitches right through me, from left to right.

HP : Yesterday it was bad.

P : When I'm stooping or getting up I see black before my eyes, I see black spots, and once I collapsed.

She has vertigo when she rises from stooping. If anybody tells you that, it must be in the picture of the remedy. Vertigo from rising after stooping makes us think immediately of Ferrum, and Ferrum is one of the most important remedies in septicemia, with inflammation of the bladder. You have to be careful, maybe she needs Ferrum. But Arsenicum also has vertigo from rising after stooping. No one can say whether she developed a Ferrum state after the acute Arsenicum state with the fear of being alone,the thoughts about her mother, thoughts of death and so on. It's possible. We have to be flexible and follow the path of our patients.

A : How did you feel during the day? Did you still have fever?

P : No, now it is over, but I still have a slight headache. That's the only thing; but it is not constant, but only with certain movements. It is a kind of stitching.

A : How did you sleep last night?

P : All right. Yesterday evening I couldn't fall asleep. For the first time I ate something again. Maybe I couldn't sleep for that reason. It was pressing on my stomach.

A : Yesterday you started eating and drinking again.

P : Yes, yes, yesterday I ate something.

A : Also this morning?

P : Yes, yes.

A : And did you have problems after eating?

P : No. It stayed inside. But yesterday, no, on Saturday, I couldn't taste the food.

A : How is the back pain now?

P : Better.

A : Do you still have pain?

P : This morning a little bit on both sides.

A : I will have the urine checked once more.

You see that her general state is much better, but the story is not finished yet.

A : It is good now, there is no blood in the urine anymore, no albumin, no acetone, still a few nitrites. You drink enough ...

P : I don't have to urinate so frequently anymore. Actually I don't have any problems anymore. This morning and yesterday evening I still had a feeling as if there is something in the intestines.

A : Is this gone now?

P : Yes. It was only yesterday evening, when I lay in bed and also this morning.

A : All right, if there is anything wrong you call me. With the ultrasound for the pregnancy - are you three or four months pregnant?

P : Four. It is still such a long time until September. Isn't it?

A : (is laughing) Don't be in such a hurry. If this develops well we won't need to do anything about it. If you get complaints again, blood in the urine or pain or anything like that you just call me.

First let's do an ultrasound.

I propose to go on tomorrow when you are refreshed, because I saw some of you yawning.

People who fall asleep or yawn while listening to a conversation are what remedy?

Audience: Causticum.

A : Yes, right. Yawning while listening to a conversation is in our Repertory.

One month later she came back during a weekend, to a colleague on duty. Again she had fever and pain on the right side with stitches, and she had to walk stooped. The first remedy you think of, if somebody is walking stooped, is Sulphur.You can say it is normal for somebody who has pain to walk stooped, but that's not right.

So she has fever, pain, is very thirsty, has a dry mouth, is restless, wants to lie on the painful side and warmth ameliorates.There was again blood in the urine, leukocytes, albumin and bacteria. She didn't want to eat anything and was thinking constantly about the death of her brother.

Because she took Arsenicum a few days before, we decided to wait first to see whether it would be a little bit better in the afternoon than in the morning.

That was August 9.The last video you saw was from July 9. During this month she was doing well.

Then she called on August 11 to say that she was doing better, but 3 days later she called me again, and said that she was doing badly, that she couldn't come. She couldn't sleep and had terrible pain in her back. I asked her about all the details thoroughly on the telephone, worked out the symptoms, decided upon a remedy, gave it to her and now she is back again. This video is the feedback for the remedy I gave her on August 14.

(Video is running without sound)

In the meantime I will tell you the symptoms, and you can look them up in the Repertory: she had again a high fever, continued fever, which started in the afternoon.

She is 5 months pregnant, and up to now she hasn't had an ultrasound. Because she is acutely ill, I said that she should wait until she is healthy again, because if you send her to the hospital with such an acute disease they will keep her there and treat her with antibiotics.

So she had stitching pain in the right kidney, the pain came suddenly, but whether it disappeared quickly or gradually she couldn't say. It was definitely a stitching pain in the right kidney and it appeared suddenly.

Where can we find this pain modality in the Repertory?

Look on page 1377:

GENERALITIES, Pain, appear suddenly

These rubrics indicate how the pain appears and disappears, whether it is gradual or sudden, this is very important to me.

I told myself that the remedy must surely be in this rubric.

The remedies in this rubric are:

GENERALITIES, Pain, appear suddenly: Agar, arg-m, aster, Bell, berb, camph, croc, cimic, ferr, lyc, mez, morph, Nit-ac, phys, puls, sabin, sep, tab, valer

Additions are: Carbolicum acidum, Spigelia and Medorrhinum from Kent.

Now we will let her say what symptoms she has.

FEEDBACK (August 19, 1990)

It is difficult for the translator because she has hasty speech, therefore it is difficult to translate everything.

A : You had a urethritis in July. At that time you had stitching pain in the right kidney, you had to urinate a lot and you had pain on the right side. This has disappeared, and two weeks ago you got pain again in the right kidney.

P : I fainted when I was shopping. While I was shopping I started perspiring because of the crowd and I got palpitations. Then I fainted, and when I was outside again, it was a lot better in the fresh air. Actually it was more of a fright. I called you in the evening because I became dizzy when I went upstairs. I had palpitations all over my body, and then I called you. The fever came back, 40°C.

A : That was on Tuesday.

P : Yes, yes, Tuesday evening. I had pain in my upper abdomen, 2 strips like so, and also in my back at night. In the evening the fever came back, I called you and then I took Arsenicum again. Then the pain went more to the region of the kidney and I thought, "Now the kidneys are affected again." Since then I have had fever every day, usually in the evening. In the morning I would get up feeling very well, in the afternoon I was doing rather well then I became weaker, and by the evening or at night the fever went up again, especially towards 10:00 o'clock.

A : The pain was on the right side, and you could hardly sleep at night.

P : Actually there was pressure in my back; I slept on my back.

A : Then I gave you a remedy. You slept very little for 10 days and perspired profusely, until August 14. The profuse perspiration was especially at night, so you couldn't sleep, and of course the pain kept you awake.

P : Yes, with every movement I had pain on the right side. When I lay on it it was all right, but when I slept on the other side I had pain on the right side and the pain radiated downwards.

A : So when you lie on the left side the pain extends to the abdomen.

August 14 was a critical moment. You had pain in the right kidney, a stitching pain, appearing suddenly.

P : They were stitches. The kidneys always hurt, and then suddenly the pain appeared, radiating to the abdomen and to the back. So stitches in the back, the abdomen and in the inguinal region.

A : The stitches appeared suddenly.

When she was seen by my colleague she didn't express these symptoms so clearly. Now she says that she has stitching pain extending to the abdomen, and the bladder. Where do we find this rubric? Look on page 666:

KIDNEYS, Pain, stitching, extending to bladder

and a little bit further:

KIDNEYS, Pain, stitching, extending to, down ureters: ... Berb ... Kali-bi ...

For Kali bichromicum we know there is sudden appearance of the pain and sudden disappearance of the pain.

Another important symptom of Kali bichromicum is that the pain doesn't remain in the same place, but changes location.

P : This was a pain that went all through my body.

A pain that went all through her body, that is typical for this remedy. Radiating pain, which is felt all over the body, that is particular for this remedy.

A : Did you feel the pain all over the body?

P : No, no, actually it was low on the right side, only the stitching pain went through my whole body. The pain was in the abdomen, but it went like a shock through my whole body, especially when I got up a little bit. Besides, I had a headache in my forehead and pain in the left ear, inside.

Also in her ear she had pain appearing suddenly, and then the question arises: Is this Kali bichromicum or what other remedy?

Ferrum. Look on page 313:

EAR, Pain, stitching, in: left: ... Kali-bi ... Sulph ...

EAR,PAIN,STITCHING,IN,left: Aesc., arg-m., bar-c., bor., bry., calad., carb-an., coc-c., colch., cop., dros., eupi., form., graph., Kali-bi., kali-p., mag-c., mag-m., mag-s., merc-c., merc-i-f., mill., nicc., psor., ptel., puls., rhod., sabad., samb., sang., sep., sil., staph., Sulph., verat., verb.

Berberis is not there. But look in the rubric:

EAR, Pain, lancinating: ... berb ...

P : I got this ear pain only at the end.

A : Actually you were complaining about pain all over the body, superficial pain.

P : Yes, yes, it became very very bad the last few days. The legs, the arms and the elbows, everything hurt. And especially there, at the thigh. The limbs were so heavy, as if there was lead in them, the feet, the toes and the calves. I had a feeling of vertigo with attacks of fainting. Actually it started with the fainting, then the fever followed and pain everywhere. Every evening I had fever. A dry mouth and mucus or salivation in the mouth, which was terribly sticky. The lips were sticking together. I moistened my mouth, because it was so dry day and night.

To differentiate between Kali bichromicum and Berberis it is good to start from the mental and local symptoms of Berberis.For example, she says that she has a dry mouth. If you read Boericke you find the following: "Mouth: Sticky sensation. Diminished saliva. Sticky, frothy saliva, like cotton. Tongue feels scalded, vesicles on tongue. Face: Pale, sickly. Sunken cheeks and eyes, with bluish circles." We don't know this of Berberis. It is written in the books, but we don't have this in our mind.

Clarke writes: "Anxiety, great fear and disposition to take fright. Inclination to weep with dislike to conversation. Position: bending over, compelled by contractions." They have to walk bent, as Hering writes.

You can look in Boericke and Clarke to see if the picture really fits Berberis.

P : If I don't take a homeopathic remedy the fever might increase to 39.6°C.

A : Then I gave you the remedy, which your father-in-law picked up on Wednesday.

HP : No, on Tuesday night.

A : Yes, yes, it was on the 14th. He got it late in the evening.

I gave her Berberis M on August 14, and this was the reaction.

We don't know why it was Berberis in this case. It is not clear, why somebody who with an inflammation of the kidneys first reacts well to Arsenicum, then develops a Berberis state. Do you know why?

Remark: ... (not understandable)

A : Kali bichromicum is complementary to Arsenicum, but not to Berberis. You will see why.

A : Now it is 5 days later. You let the remedy melt under your tongue and then took some spoonfuls of the solution. Then immediately afterwards you slept very well.

P : I was surprised: I had hardly let the remedy melt under my tongue and I fell asleep and I didn't wake up. I still had a little piece in my mouth, but I was already asleep.

A : That was the first time in many many days that you could sleep. The next day you still had slight pain, but the fever was gone. What happened to the pain?

P : I still feel some pain in my back. I can still feel my kidneys, especially with motion or with a shock. I hold them immediately. But at that time it was very, very bad. I still grab the kidneys easily, because I know very well where they are. In general I still feel them.

A : Can you sleep well?

P : Yes, yes. The day before yesterday I couldn't stay awake during the day, I fell asleep constantly, but in the night I'm awake from 3:00 o'clock on.

A : And then you fall asleep again?

P : No, no, seldom. Maybe half an hour, but I don't sleep properly. I doze off a little bit and then I'm awake again.

A : What about your appetite?

P : It is better. It was really bad. I couldn't eat anything all day. Now I eat fruit. I can eat oranges, oh! I really want fruit, especially oranges, every evening I drink orange juice. And the juice must be really cold. And milk.

A : In the past you didn't like milk so much?

P : No.

A : Of all the fruits you especially want oranges.

P : Yes, and also berries, grapes, every fruit.

HP : But the oranges, that's stronger. Oranges are something special.

Sometimes you wonder why they wake up at 3:00 o'clock, and you have the feeling it is important. Of course you cannot ignore a symptom, because later you will get the door slammed in your face. So it is better not to ignore it and to take into account that she wakes up at 3:00 o'clock and can't fall asleep anymore.

P : The juice.

A : Do you prefer sweet or sour fruits?

P : Actually the sweet fruit more, like grapes and berries, but they must be very juicy.

A : You don't have the stitching pain in the inguinal region anymore?

P : No, no, I don't feel any stitching pain from the kidneys.

A : How is your ear?

P : It is all right. I haven't felt anything there. But I still feel ... I have a feeling as if the right ear is obstructed when I blow my nose. It is as if something is inside, a kind of obstructed feeling. Then I have to blow my nose so that it comes out. A feeling like after you dive and some water remains in your ear.

A : (Examines her ear) I can't see anything, but you have the feeling as if your ear is obstructed.

P : When I blow a little bit it is better. It is as if you are sitting in an airplane and your ears pop, but nevertheless a little bit remains.

A : You have a need for milk, and are very thirsty.

P : Yes, I always am.

A : Do you have any new desires?

P : No, not that I know of.

A : Bread?

P : No, actually I can't see any bread before my eyes. The bread tastes awful. After a little piece I get the feeling that I ate a whole loaf of bread.

A : Does the bread taste badly?

P : Yes, it has an awful taste. Before I liked it, but not now. I don't want any. I prefer warm meals, normal food.

A : And do you drink water?

P : Yes, yes.

A : No lemonade?

P : No, I have an aversion to it.

A : And fizz water?

P : No, I drank a lot of it, I drank it day and night. I haven't had bread for a long time, at the moment I eat only warm food.

HP : Now she also drinks warm tea.

P : This Johannes herb tea, which I actually didn't like, I drink it with lemons, of course .

A : Do you like the milk cold or warm?

P : Cold, only cold.

A : Do you dream anything in particular or have other complaints appeared?

P : I'm not so anxious anymore. I've taken many things to heart, but this has completely disappeared. When I was lying there perspiring, I was thinking about all the people who died, and there was a feeling as if they had just died and were still in their graves. Yes, and I was also thinking that I couldn't open my eyes anymore. I haven't had these dreams or thoughts anymore the last few days.

A : Are you more warm or cold?

P : I feel warm, very warm, especially at night. The windows always have to be open. Where I sleep it has to be very cold.

A : Do you uncover?

P : Yes, especially my arms and legs.

A : Now?

HP : You keep your arms under the cover.

P : Yes, but I get warm easily.

A : I noticed that you flushed when you came in and then suddenly you became pale again. You can flush easily from excitement.

P : Yes, yes. That happens lately. But it might come from the perspiration.

A : And then again very pale.

P : If I don't feel well I become pale immediately.

A : All right.

P : But I can still feel the kidneys.

A : Now is there something wrong with your eyes?

You see that she has an inflammation, conjunctivitis of the left eye and for this reason I wasn't satisfied.

The acute state, the Berberis state was clear, the stitching pain had gone, she could sleep well again and so on, but you can't sit back and tell your patients, "Go home, and live in peace!"

I was thinking Berberis acted beautifully so I wondered what remedy was complementary to Berberis. Indeed it might be that you give somebody a remedy now and three days later he needs another one. It doesn't depend on us, but on the patient.

The complementary remedies to Berberis are Lycopodium, Magnesium muriaticum and Sulphur, and which remedy wakes up at 3:00 o'clock at night?

Audience: Sulphur and Magnesium muriaticum.

A : Right. And which remedy is warm-blooded, has to sleep with an open window and puts the feet out of the covers? Sulphur. Which remedy has redness of the face from excitement?

Also Sulphur.

P : Yes, especially the left eye, it is very unpleasant. Last night I had to get up, I felt it. I thought, "I'll get a swollen eye." Some moisture is coming out, and some yellow pus is in the corner of the eye. It doesn't really hurt, but there is a kind of film over my eyes.

A : Do you have this yellow discharge only in the morning?

P : No, I have it also other times.

A : It was yellow, not white?

P : Yes, yes, yellow mucus.

Look on page 237:

EYE, Discharges, yellow

EYE,DISCHARGE,yellow: Agar., alum., arg-n., ars., aur., calc-s., calc., carb-s., carb-v., caust., chel., euphr., kali-bi., kali-c., kali-chl., kali-s., kreos., lyc., merc., nat-p., Puls., sep., Sil., sulph., thuj.

A : Do you uncover your feet at night?

P : I can't tolerate thick covers at the moment.

A : Yes, but before you were always chilly.

P : Yes, but not anymore. And the window has to be completely open, otherwise I can't sleep.

A : Vertigo?

P : No. Sometimes I still have it, but only slightly.

A : How is your behavior? Is it pleasant or irritable?

HP : She is very feeble, very weak, unbelievable. She's complaining and moaning all the time.

P : I'm alone from morning until evening, but now I can be alone easily.

Do you see how she goes away from Arsenicum?

She can be alone, is warm-blooded and so on.

A : Do you have a tendency to itch?

P : Yes, for example, if I get a mosquito bite I complain a lot. I scratch madly. I had a spot that was itching and itching especially at night, and I had to scratch and scratch and scratch, always in the same place. Now at the moment it is not so bad. I scratch mosquito bites open.

HP : When she gets a mosquito bite she reacts very strongly to it. These are not only little stings, but enormous spots.

P : Yes, yes.

A : What is left of your complaints is the waking at 3:00 o'clock. Do you fall asleep again?

P : Yes, a little bit. Actually I don't sleep through. Wake up, fall asleep again, wake up, fall asleep again. It is not a deep sleep anymore.

This is typical for Sulphur, the catnaps. They wake up often. In waking frequently after midnight Sulphur is capital.

A : Can you sleep on your back?

P : I prefer to sleep on my side. I can also sleep on my back, then I lie very quietly, but usually I lie on the right side where I have the pain.

A : Are you still very thirsty?

P : Yes, rather.

A : Do you drink with large draughts?

P : Yes, I drink with rather large draughts. If I don't feel well, actually I'm less thirsty, but now, afterwards - I'm very thirsty, I really drink a lot because of the thirst.

A : You prefer warm food. Does it have to be highly seasoned?

P : No it doesn't have to be so spicy. I don't like salt so much. But I have eaten saltless my whole life. I'm not used to salt.

A : You are always too warm. Which part of your body is too warm? Your feet? So that you have to put your feet out of covers or that you have to take off your shoes?

P : Yes. But usually it is my body. I put my legs out of the covers, they have to be bare, they have to be out of the covers. But the kidneys and the back have to be warm, I put a towel on it. And when I lie in a warm bath it is very pleasant for the kidneys and the back.

A : I'll give you a remedy to take home, but do not take it yet. The problems with your eyes also belong to this remedy. I want to see how this develops. It isn't quite over. Call me if something changes. The worst is over. I still want to wait to see how this will develop.

"I will wait to see how this will develop", and this was the wrong decision of me. I should have given her the remedy.

What happened afterwards?

I gave her Sulphur M in a tube to take home and I told her that she should take it when she gets fever again.Up to then she had not had an ultrasound done yet and a few days later she had her first appointment. The child was all right, and do you know what the gynecologist found?

A kidney stone, that was the reason she needed Berberis in between.

The day that she went to the hospital for an ultrasound she got fever again, and so the gynecologist examined the urine. It was not normal and she had to stay in the hospital and take antibiotics. She called me, told me this and I asked her where the Sulphur tablet was. "At home." "Then send your husband very quickly home so that he can fetch it, dissolve it in water and take a spoonful three times. I can't do anything about the fact that the gynecologist wants to give you antibiotics."

Three days later she was back home and now everything is all right. But what helped her? Was it Sulphur or the antibiotics? If the antibiotics suppressed it, she would have relapses, but up to now she has been doing very well, physically and mentally.

Remark: I think three days is too quick for antibiotics.

A : No, she came back home after three days. If someone who is in homeopathic treatment takes antibiotics he is healthy the next day. Some of you will have this experience, because if you work alone sometimes you have to give antibiotics. It is as if you have helped your patient so much with the homeopathic treatment that they only need an antibiotic to cure it definitely.

Remark: No ... (not understandable) ... with a stone. It can't disappear in three days.

A : Yes, I understand. We can discuss that.

Anyway, one day after Sulphur and the antibiotics the fever was gone and three days later she was back home. You must see it yourself, if you treat homeopathically the smallest quantity of antibiotics is sufficient to cure definitely. This does not mean that you should give antibiotics, certainly not.

You see that it is always important to be flexible. If I knew the day she came with the stitching pain on the right side that it was a kidney stone, I would have immediately searched for a remedy with kidney stones that fit her, like for example, Berberis.

CASE16v2

Dd alum., bell., bry., lyc., podo., sep., sulph.

Woman, 30 years old

October 13, 1986

With this case I would like to show that sometimes you need many remedies to cure a patient.

What you will see now was taken three years ago and at that time this patient was pregnant, she had diarrhea and paralysis of the fingers, Guillain Barré syndrome. In the course of the case you will see how often I had to give another remedy, always with a very good reaction, until one day she developed a symptom, a symptom which indicated the remedy which could cure the paralysis.

This is the second consultation. The first remedy I gave was Sepia officinalis. There were many reasons, but the most important were the diarrhea and the constant bearing down sensation during pregnancy.

She is still pregnant with her second child and still has a paralysis of her fingers, toes and back, so that she cannot lift her first child. It is a general paralysis, Guillain Barré, a disease where allopathy can do nothing.

A: Here we are dealing with the syndrome of Guillain Barré. You were in the hospital in Antwerp and they made the diagnosis. I gave you a homeopathic remedy before you went to the hospital in Antwerp, and then you recovered rather well.

P: Yes.

A: This is clear. The diarrhea went away.

P: Yes.

A: You could rest very well and you didn't receive any medicines.

P: No, nothing at all.

A: Later, when you came back the problem was that you couldn't rest well because your husband broke his clavicle - he is a football player - and of course you lost energy.

P: I was doing a little bit worse. Not really bad, but it didn't improve either.

A: The diarrhea didn't come back. Was there still a feeling that it would come back?

P: Yes, but in fact it stayed away.

A: Then it improved slowly. You were here on September 1 and I repeated the remedy in M potency.On July 31, I gave you the remedy in M potency and again on September 1, and on September 18, in 10M potency, because your husband had this accident. How was the reaction to the last remedy?

P: It seems that I gained more strength. Besides you can see it in my hands, I cannot yet put the middle finger of my right hand and two fingers of the left hand up properly. The first 14 days I perspired very, very much. I don't know whether this is normal, but I woke up at night wet all over. I also perspired during the day, but not so strongly. The last week it went away. Sometimes I still perspire, but not so strongly anymore.

A: The last one week you feel rather well.

P: Yes, that's right.

A: Although the date of delivery is coming closer.

P: I have quite a lot of contractions and I saw the gynecologist three weeks ago. There was an opening of the cervix of about 2 centimeters and he said that I should wait, because the other child was born two weeks too early.

A: Will this be a Cesarean section?

P: No, a normal birth, because I'm already so far. Because of this 2 centimeter opening I don't need to rest anymore. I often have contractions and I think that the cervix has opened more.

A: You can stand up better now.

P: Yes, and I can also walk better. Now I can also walk barefoot. I could already do this a week ago, but not so well. Now I walk around the desk, I can stand upright better, and you can clearly see in my fingers that it is better. Only the middle finger and on the left hand the middle and the ring finger cannot yet be put upright properly. Compared to three weeks ago I have more strength. There were things which I couldn't do anymore, for example, to spray something, now I can do it again. I notice that I have more strength. I think that the fingers are still stiff.

A: I think it will disappear after the birth. I told you that your state is bad now because of the pregnancy. This is not the only reason, but this made the bucket run over. This pregnancy took so much energy that you collapsed. You also worked very hard. I heard from your boss that you are a very good worker, this means that you did more than necessary.

P: That's right. I'm never satisfied with myself. I always want more and more and I will never stop and say, "It is good." No, it has to be better, that's my character.

A: If a boss says something like that I immediately think that you work too much, because a boss doesn't say this kind of thing easily. Besides the work at home, all this together was the reason that you were doing so bad. We know the remedy and we know that it improved very clearly after a 10M potency.

P: I must also tell you that I suffered a lot from the perspiration during the first 14 days. Now it is better. It was terrible, especially on the breast and on the forehead.

A: Also under the armpits?

P: Not so strong there, more here. The perspiration was really dripping, also on the face. I woke up at night from the perspiration.

A: Do you still sleep a lot?

P: Yes.

A: Do you sleep well?

P: Yes, very well.

A: You couldn't before.

P: Not at the beginning, no.

A: So it improved. What about your appetite?

P: Very good. I could always eat very well.

A: The stool is normal?

P: Yes. I didn't notice anything in particular.

A: All right, it's good. That is enough for me. We will see further after the birth. What about breastfeeding?

P: In fact I didn't want to breastfeed, but you advised me to do it. The last time I had many cracks in the nipples and the pain extended along my arm.

A: But I would advise you to breastfeed, otherwise they have to give you medicines to stop the milk production and this would be a suppression. I'm anxious that this would aggravate your problem. I don't think it is a problem when the milk production stops after three weeks, but of course you must be able to do it. I would advise you to breastfeed. If you get the cracks again I will give you a remedy. If you can breastfeed only for 14 days it is no problem, but a suppression wouldn't be good.

For the time being we won't do anything at all. Almost one month ago you got a remedy in 10 M potency and you are doing better. This perspiration was an aggravation, because the potency had been increased. Now we don't need to do anything else, at the moment you are doing better.

I would like you to inform me, no matter what problem appears after birth, like the cracks in the nipples or things like that. It would be best to solve this homeopathically.

I told her that she should call me if another problem occurs, because she is about to deliver, this is a new life situation, and therefore an acute problem can lie upon her chronic problem.

FEEDBACK (November 6, 1987)

A: You were here because of diarrhea with paralysis of your hands, legs and back since your first pregnancy.

P: Yes.

A: During pregnancy you had a severe diarrhea which exhausted you totally. Finally you had examinations done in Antwerp and the diagnosis was the syndrome of Guillain Barré.

P: Yes, in the academic hospital.

A: Because there was no possibility of treatment with classical allopathic medicine you came to this Center. I saw you the first time on July 13, 1986. At that time they told you that your state would improve as soon as you delivered, but they were not sure.

You told me the following: lots of headaches during pregnancy, balance disturbances, all the muscles of the fingers hurt and during the first months of the pregnancy you had constantly the feeling as if there was something bearing down in your abdomen. You had a severe influenza of the stomach and intestines during pregnancy, shortly after the other complaints appeared.

I asked you about your anxieties: you had a fear of heights, fear of dark, fear of a thunderstorm, fear of thunder and lightning, fear of mice, animals, fear of death, claustrophobia and vertigo in high places.You were doubtful about recovery, could lie in the sun for days, no aversion to sex, had never had leucorrhea. The diarrhea was very watery, the pain occurred on the slightest touch of the extremities, chilly, very wet hands.You were sleeping on the right side, could never lie on the left side, liked very much tarts, cakes, eggs, ice, grapefruit, but this was not so prominent at that time and an aversion to fish. Because of the diarrhea you were very tired, had nightmares at night, and you didn't have refreshed sleep. Because of the anxieties and the desires I gave you Calcarea carbonica, without an amelioration.

The first remedy was Calcarea carbonica, without effect, and later, after Calcarea she received Sepia officinalis.

A: You came back one week later, on July 21, and said that it didn't help at all. Because of your appearance and the bearing down sensation I gave you Sepia officinalis. You came back and you said, "I could rest very well, I feel a little bit better, I became more quiet, and could sleep better." On July 31, 1986 you received Sepia officinalis M and on September 1, I repeated Sepia officinalis M. After Sepia officinalis the paralysis improved gradually.

Then you delivered and you called from the hospital that you had an inflammation of the breast immediately after delivery, with very high fever. You were cold, had cold hands and feet, the fever appeared suddenly and was very high, and the breast abscess was on the right side. Your husband came to take a remedy for you and in how much time did the fever disappear?

P: The next day the fever was gone.

A sudden inflammation of the right breast with cold hands, cold feet and high fever is which remedy?

Belladonna.

I told her on the telephone that she should call back if the inflammation wandered to the other side.

A: This was the remedy after Sepia officinalis and I told you that you should telephone me when the left breast became inflamed, because I thought this could happen.

Sometimes it is very strange in Homeopathy. I don't know why I told her that she should call when the inflammation appeared on the left side. It was as if I felt that this would happen.

A: Three days later it was much better on the right side, and the inflammation started on the left side. I gave you a remedy and it improved very quickly, without antibiotics.

P: No, I didn't take them.

The first remedy was Belladonna and the next remedy was what?

Lycopodium clavatum.

This is routine. It has to become routine for you to think of this. If the inflammation is on the right side you may need Belladonna or Bryonia alba - there are surely some other remedies, but in acute cases it is usually these remedies - and when the inflammation goes to the left side it is Lycopodium clavatum.

A: This improved gradually and you came back on December 12, 1986and you were desperate, despair of recovery. You felt the need to sleep with your husband, you were very precise. When your husband did some shopping he had to buy exactly what you asked for, otherwise you became very hot-tempered. You were in a very, very bad mood. I gave you a remedy for this great irritability, the enormous punctuality and your chilliness and immediately afterwards you were clearly less depressed and you said that you felt a lot better psychologically.

This was which remedy?

She came home with her child and was very, very irritable, very precise, very fastidious. She told her husband what he had to buy, and when he didn't buy the things she wanted she became angry. I gave her Nux vomica and the reaction was wonderful.

Question: Were there other symptoms which indicated Lycopodium clavatum?

A : No. She called from the hospital and I was sitting behind my desk.

Question: ... (not understandable)

A : Yes, Belladonna has this also, but she has had Belladonna before and you don't give Belladonna because it goes from right to left, but because of the suddenness of the fever and the coldness of the extremities during fever.If something goes from right to left it indicates Lycopodium clavatum. This is almost in every acute disease. In a parotitis which was first on the right side and then goes to the left side it is Lycopodium clavatum, in 90% of the cases it is Lycopodium clavatum.

A: You also had pain in the back and it improved. Everything improved with warmth. You needed this remedy once again in January 1987, again because of the irritability, you slept very little because of the children, you were cold and you dreamt about work. You are very precise in your work and you are in some way a businesswoman. I repeated the remedy once again and you reacted very well immediately. It concerned again the irritability, and then you had an acute influenza.

P: Yes.

A: With enormous pain everywhere - this was in May 1987 - and a constant feeling as if you would have diarrhea.

Where can you find this rubric?

Look on page 543:

ABDOMEN, diarrhoea, sensation as if, would come on:

... Bry ... Dulc ... Hydr ... Nux-v ...Ran-s ...

Ranunculus scleratus is one of the remedies for herpes zoster, zona, with boring pain in the bones.

She had an influenza with this kind of sensation.

A: And after the remedy you took a very big step forward, I mean after the acute remedy. You had pain everywhere, you had a touch of flu, you were trembling, you sagged in your legs, had a dry mouth, were thirsty and had to lie down.

Which remedy?

Dry mouth, very thirsty, pain everywhere and motion aggravated.

Answer: Bryonia alba.

A : Right, Bryonia alba. I gave her Bryonia alba and then also her neurological complaints improved a lot.

A: Then you sprained your ankle. You had stitching pain in the ankle, a sprained ankle, stitching pain, and then I gave you a remedy. It went away very quickly.

And now which remedy?

She had stitching pain in the ankle while walking.

Answer: Bryonia alba.

A : Yes, it could be Bryonia alba.

Let's look in the Repertory on page 1151:

EXTREMITIES, pain, stitching, ankle

No, Bryonia alba is not there.

She sprained her ankle and it was a stitching pain, therefore I gave her Ruta. Ruta is one of the most important remedies in a sprained ankle, besides she had stitching pain. But this was not so essential; maybe it would have improved by itself, if we had waited.

A: On July 17you came to see a colleague and then you said that you had itching in the eyes, a burning feeling and pus was coming out. The feet were very warm, especially in the evening and at night and you had to put your feet out of the covers. The thirst was normal, you perspired a lot, had a fear of heights, and therefore you received Sulphur200.

This was a consultation with a colleague who gave her Sulphurbecause of the burning pain in her eyes, fear of heights and she had to put her feet out of the covers. Sulphurmade her feel really bad so that she came back 5 days later. She was weeping uninterruptedly, had hot feet in the evening and at night, and burning pain in her eyes in the evening.

Look in the Repertory on page 253:

EYE, pain, burning, evening: ... Nat-m ... Puls ...

Ruta ... Sep ... Zinc

Look on page 1012:

EXTREMITIES, heat, foot, night: Calc, ign, nat-s,

ph-ac, sep, sil, staph, Sulph

This weeping on telling of her sickness was very strong, so what is the remedy?

Audience: Pulsatilla.

A : Pulsatilla? No. I gave her Sepia officinalis. You must see this kind of weeping on video. The weeping of Pulsatilla is completely different from that of Sepia officinalis. In Sepia officinalis it is miserable, desperate weeping, Pulsatilla weeping makes you feel sympathetic when they are weeping.

Anyhow I gave her Sepia officinalis 10M.

A: You didn't react to Sulphurat all. You came back two days later and you were weeping a lot, had burning pain in your eyes in the evening and had a vesicular eruption. Where?

P: On the lips.

A: You had to weep a lot and you suffered also from hemorrhoids. You didn't know what to do anymore.

P: At that time I was really doing badly, I really felt down.

A: That was on June 24. I gave you Sepia officinalis 10M with a spectacular amelioration.

P: Yes, it was an enormous amelioration.

A: And then the last consultation - and this is the most important for this course. You said, "I have strange complaints with my footsoles, especially the balls of the feet hurt so much. It hurts while walking. They are so sensitive and there is a corn on it, so a callus." I argued with a colleague who said that these corns are always painful, but I don't think that every corn is painful. You had a callus which was sensitive while walking. This is a very important symptom.

This is which rubric?

She says that it is difficult for her to walk because the footsoles are so sore, they hurt. I examined them and I found hard spots. Where do we find this?

Audience: Callosities, soles, sensitive.

A : Yes, on page 954:

EXTREMETIES,CALLOSITIES, horny, on hands: Am-c., Graph., kali-ar., rhus-v., sil., Sulph.

with deep cracks : Cist., graph.

Soles, on : Ant-c., ars., calc., plb., sil., sulph.

tenderness : Alum., lyc., med., nat-s.

EXTREMITIES, callosities, soles, on, tenderness

These calluses were very, very sensitive while walking. Up to now she hadn't had this symptom. She received Sepia officinalis, Belladonna, Lycopodium clavatum, Nux vomica, Bryonia alba and then again Sepia officinalis, and after the last dose of Sepia officinalis she developed this symptom. Before she never complained about this symptom. What does this mean?

This means that we may not run before the patient. I mean that we have to wait until the patient develops clear symptoms and then we can give the remedy.

Question: What happened with the paralysis?

A : The paralysis improved from the beginning on and after Bryonia alba it improved even more. Now you will see what this remedy did. The last remedy pushed her forward a great deal so we can say that it cured the paralysis.

There was no reason to give this remedy earlier because a clear symptom appeared now. If clear symptoms appear the patient is more susceptible to the remedy and then the reaction will be good.

A: You also said that your memory was bad, you were easily distracted while reading and you couldn't concentrate very well. Your skin was drier than before, you felt hurried.At some moments you felt as if it wasn't you or you were doubting that it was yourself. Can you describe this again?

P: It was as if I was going upward, as if I was floating. I was occupied with something and I felt as if I was floating, and I had to exert myself to keep my feet on the ground. I doubted whether it was really myself standing there.

A: Were you also wondering whether it was really you that you saw in the mirror?

P: No, not in the mirror.

A: Or when you were talking?

P: No.

Of which rubric can you think?

Of "confusion about identity". "Is this me?" - "It is as if it is not me who is talking there." It was a kind of confusion, she started doubting whether it was really herself.

Then she was internally hurried, an internal hurriedness which she couldn't put into practice and the skin became drier the last time.

Alumina is a very dry remedy, but sometimes also with extreme secretions like leucorrhea, for example. The leucorrhea of Alumina can go down to the knees and even fall to the floor.

A: You were tired, had loss of hair and you didn't like what? What didn't you like to eat?

P: Potatoes I don't like.

A: But you like French fries and croquettes.

P: Yes.

Aversion to potatoes and instead of potatoes they eat what?

Rice.

Ananda Zaren has a lot more experience with the treatment of newborn children than I do and she told me about a case of icterus neonatum in which the newborn had abdominal pain when the mother ate potatoes. The child got abdominal pain and some diarrhea. They have an aversion to potatoes and an aggravation, and the aggravation from potatoes seems to be very important for Alumina. An Alumina child suffers when the mother eats potatoes when breastfeeding.

P: In fact I never ate potatoes since my marriage until I became pregnant. Then I started eating potatoes because everybody said, "You have to eat potatoes, they are healthy, you need them during pregnancy." But before I never ate potatoes.

Everybody told her that she had to eat potatoes during pregnancy so she ate them and maybe this was the reason for the diarrhea.

Remark: There is a rubric "diarrhea from potatoes."

A : Yes, an aggravation from potatoes, this is Alumina.

At this moment I was thinking of giving her Alumina. The amelioration on Sepia officinalis was too slow to go to a real cure, and that's why I started doubting about the correctness of Sepia officinalis.

A: You liked tarts, but by what did you replace the potatoes?

P: With rice and spaghetti.

A: And you also like to eat fruit, a lot.

The desire for fruit is another very important keynote of Alumina.

As far as the potatoes are concerned they like fried potatoes, chips, French fries, croquettes and so on but they don't like boiled potatoes and they don't tolerate them.

A: This also belongs to the remedy. I gave you the remedy in 10M potency. My starting point to give this remedy was the sensitivity of the footsoles.

I forgot to tell you that she was very chilly.Alumina is a chilly remedy and it is the chronic of Sepia officinalis. I have another Sepia officinalis patient, constitutionally Sepia officinalis, who worked and worked until she finally developed paralysis. That was Alumina.

Alumina is also complementary to Bryonia alba. You see that this patient has had Bryonia alba and that Bryonia alba pushed her forwards a lot.

A: The sensitivity of the footsoles while walking has to disappear or at least has to improve when the remedy is right. What about it?

P: I must tell you that the first three weeks I didn't have any complaints with the footsoles at all, at least not as strong as before. And it was only on the left side. Now it is gone on the left side, but it wandered to the right side, only on the right side. I said to my mother, "It's unbelievable, I don't have any complaints with the footsoles." It disappeared already the next day. The next day I was walking and I remarked, "Oh dear, I had terrible pains on the footsoles." I didn't feel anything anymore, I went on and on, nothing, for three to four weeks. Then it came back on the left side, but much less and now I have again a lot of pain on the right side.

A: Every day?

P: Yes.

A: How is the paralysis?

P: It has improved, especially the strength in my fingers has improved a lot.

A: Show me your hands.

P: (Shows her hands)

A: It is a lot better. The middle finger was pointing forwards.

P: Now I can put it upright. I can almost put it upright and my little finger on the right hand is still deviating a little bit. The left leg was almost all right, but I couldn't lift my right foot. Now, I can lift it when I pull the toes. The physiotherapist said, without asking me anything, that I gained a lot more strength in my toes.

A: That's what the physiotherapist said.

P: Yes, she pushes against the toes. I didn't start talking about this subject myself, but she said, "You can push them very well."

A: Can you say that the strength from September 22 until now, this is 1 1/2 months, compared to before has increased?

P: Yes, I must really agree. I'm amazed myself. In the evening I think to myself, "Oh dear, I can already lift my right foot very well." All summer long when I was lying on the sofa I tried to do exercises and I couldn't with my right foot at all, but lately I can lift the right foot very well. I can also walk barefoot very well, I mean without heels, before I couldn't.

A: The cause of the whole state was in fact that you were pregnant and that you worked too much.

P: Yes.

A: You worked for a boss who squeezes everything out of a person. In fact you worked excessively. There were no disappointments in your history.

P: No.

A: But too much, too much exertion.

Try to understand what is going on here. We are dealing with a Sepia officinalis constitution, and Sepia officinalis likes to work, likes to be occupied. They work, work and they come into a stressful situation, and this is what kind of situation? Because of too much work and because of the stress they become irritable. This is?

Nux vomica. They work so much they develop paralysis. This is Alumina.

Do you understand why Sepia officinalis, Nux vomica, Alumina are complementary? Because it is a story. But you cannot give Alumina at the time they need Sepia officinalis, it won't work. Also in the state in which they need Nux vomica, Alumina wouldn't do anything. Only when the Nux vomica state or the Bryonia alba state is over and clear Alumina symptoms appear Alumina will work.

If she continues working so much she is incurable. This is something you see in patients with multiple sclerosis. In many patients this multiple sclerosis starts when they leave as is their house. During the day they work in a factory and in the evening they continue working at their house. This is apparently too much and then the paralysis appears.

This is very often the cause in Argentum nitricum cases as well as in Alumina cases, too much work.

It is important to give the remedy at the right moment, even when they already have an aversion to potatoes.

I couldn't give Alumina when she had the bearing down sensation and the diarrhea during pregnancy. I had to give Sepia officinalis. It is not always easy. It happens that you give the remedy at a certain moment and apparently it doesn't do anything, you give it later on and then it works. Why, I don't know, but it seems to be that there are periods that a patient is more susceptible to this remedy and then you see a good reaction. The totality becomes difficult when we are dealing with different layers.

At the beginning she had Calcarea symptoms, clear Calcarea symptoms, fear of heights, vertigo in high places, fear of mice, desire for sweets, desire for tarts and so on, but Calcarea didn't do anything.

Maybe later on she might need Calcarea when she is more in balance. The Calcarea symptoms are lying in a deeper layer and often this makes the totality difficult.

Which remedy do I have to give now? I see symptoms of Calcarea, of Alumina, of Sepia officinalis. These kinds of cases are very difficult.

Remark: ... the law of Hering ....

A : You mean that the old symptoms come back, from inside to outside, and you propose not to give the remedy, but to repeat Sepia officinalis.

Remark: ... (not understandable)

A : But afterwards the symptom appeared. It is a new symptom which she didn't have before. The new symptom indicates a new remedy. I think now she had the energy to push out a new symptom and now she is susceptible to the new remedy. That's the way I understand it.

These are very, very difficult cases, and you can only treat the patients when you are very near to the patients, when you can follow their development and see what they need.

P: I worked too much, I know it myself. I had to work very hard at work and also at home, because everything had to be very precise, everything had to be all right, and then I also want to do everything myself.

A: This is your history. The reaction to the last remedy shows that this was the remedy which really helped you very deeply and which helped you to conquer the paralytic state.

P: Yes, that's right.

The last three months she was working at the Center and at a certain moment I saw that she started coughing. She was working, working and working and I said that I would have to give her Nux vomica again if she continued to work so much, and this wouldn't be good. I had to give all these remedies because she didn't behave the way she should have. She could work, but not in a Nux vomica way, because then she would relapse into a Nux vomica state again.

In this way I agree with the physiotherapist who has the idea that you have to be careful with your own energy, that you should stop when you notice that it becomes too much. For the patient it is important that they understand that the paralysis can come back when they work too much.

A: I will wait. I will give you a tablet in a tube to take home. I don't want you to take the remedy, unless the pain in the footsoles lasts another 10 days or becomes even worse. If the pain decreases you don't take the remedy.

This is a very complicated case.

P: I still can't tolerate the cold very well. Yesterday I was outside with the children, it was piercing cold and my fingers were bent immediately and they hurt. I had to wait a while before I could move them again.

A: Good, that's it.

In the differential diagnosis with Argentum nitricum remember that Alumina is chilly, while Argentum nitricum is relatively warm. Argentum nitricum is also hurried, but on the whole it is a completely different picture.

FEEDBACK (January 20, 1988)

You see how much she has changed. She looks a lot better. She got Alumina 10M on September 22 and now it is January, four months later.

A: The last time you got a remedy was on September 22, about which we will talk in a minute. I saw you again on November 6, with a good reaction and we said that you wouldn't receive anything, because you were doing well. How did it go further?

P: I think it really improved a lot, especially in my feet. They were blocked and now I can lift them higher, not so much the toes, but my feet. In the left foot I can lift up the toes, but in the right foot I can't lift them up so well, but I think I made a lot of progress as far as the movements of the foot are concerned.

A: Have they become looser?

P: Yes, and there is a lot more strength. Even the physiotherapist said so at that time. Without asking me anything she said that it improved a lot, that I had much more strength.

A: And the hands?

P: I can put the fingers upright properly, only the little finger remains a little bit behind. When I have to do particular things, for example, washing my hair, I don't have so much strength in my fingers. When I use my fingers separately I don't have enough strength, I mean for fine motor movements. I have to wash my hair with flat hands. I also have difficulties in typing on a typewriter. When I bend one finger the other fingers also bend. I can write, but not on a typewriter, I can't do it yet the way I could before, but it is better. I tried using a typewriter, but the coordination of the fingers isn't good.

(Telephone call)

This is another Alumina patient who is just calling. She has an influenza. Which remedy do you think she will need?

Answer: Bryonia alba.

A: Yes, good.

A: So difficulties in coordination. And what about standing, the strength in the back, lifting up the child?

P: It is all right. But I must tell you that I had tiredness in my back the last few months. I had to lie down, because I had such a tired feeling in my back. But concerning the strength, I can lift my children. Only when they resist, then I can't hold them very well with my hands, then I have to push them under my arm.

A: In the morning you were nauseous, you were also a little bit as if you were drunken. How is this?

P: I think I'm better in the morning. I'm more refreshed, feel much fitter, when I get up I feel more like handling things. It was gone for a while and now everything comes back. Sometimes I feel that I need to rest. In the evening my energy is used up.

A: Are you going to bed early and can you sleep well?

P: Yes, I sleep well. The last few months I had to lie down a few times in the afternoon. Usually, I don't need to lie down anymore. I work the whole day through, but the last few months with the pain in the back I couldn't work so well.

A: There were also periods that you were very irritable.

P: Yes, there was a period that I was very irritable and I always had to make remarks. Everything had to be the way I wanted, but that went away completely.

A: And the stool?

P: It is normal, once every day.

Do you know the stool of Alumina?

Answer: Dry stool.

A : Yes, sometimes dry balls, like in Plumbum and other remedies, but the typical stool of Alumina is constipation with soft stool. The soft stool is an expression of the paralysis of the rectum. There are many remedies which have constipation with soft stool, for example, Sepia officinalis.

A: This seems to be very good. There is no reason to give a remedy.

P: No.

A: Because you also made progress within the last one month.

P: Yes, the last few months it improved a lot, and I can perform my work much better. A few months ago there were things I couldn't do and now I can do them, also at home.

She came back on July 15,I think with herpes on the lips, swollen gums, cramps in the calves, she was easily freezing, didn't want to have sex, she was better in the evening and she had been taking the contraceptive pill for two months. I told her that she was not allowed to take the contraceptive pill anymore. "But then?" I don't know, she has to use other contraceptives.

After taking the contraceptive pill for two months she relapsed into a Sepia officinalis state again. I gave her Sepia officinalis and the reaction was good. But I think in these cases you have to forbid the contraceptive pill. Ananda Zaren also said that the contraceptive pill can influence the action of the remedy, that the remedy doesn't work at all or only for a short time.

Ananda: Up to two months.

A : Up to two months and then no more.

Be careful with the contraceptive pill. It is a suppressive medicine and therefore I think the best thing to do is to avoid it.

A: What do you think, could you start working again?

P: I would like to work again, but not long days anymore.

A: No, I just wanted to know whether you feel strong enough to start working again.

P: If I only had to work a few hours a day and the work is not too heavy I could. I have the impression it would even do me good to work a few hours a day, but not full-time, I can't yet.

A: Now you still receive money from the insurance.

P: Yes.

This is the follow up. From September 1987 until July 1988she didn't receive a remedy, this means that the amelioration from Alumina 10M lasted 10 months and then I had to give her Sepia officinalis again, because she had complaints after taking the contraceptive pill.

FEEDBACK (November 3, 1988)

A: I saw you in March 1988 and you were doing well. The fingers were good, you had slight cramps in your feet, you were chilly, the sleep was a little bit unrefreshed, in the evening you were better than in the morning, this has always been so, no problems with the footsoles anymore, the strength was clearly better. Then I saw you again on May 18. Here it says that you had cramps in the feet, legs and hands. The fingers were good and the right foot had improved. You had suffered from your footsoles for one week, but it disappeared spontaneously, and we waited. On July 15, 1988 you developed a new picture, namely swollen gums and a swelling of the palate, aphthae in the mouth, herpes around the lips, again some diarrhea, especially in the morning and for 14 days a headache. You said, "The children wake me up at night. I often wake up. Maybe this is the reason." You had cramps in the lower legs, were very critical towards your husband, also angry with your children. You were cold, but sometimes, when it was warm in bed you put your feet out of the covers.

P: Yes.

Sepia officinalis has hot hands and cold feet or hot feet and cold hands. This is particular in Sepia officinalis.

A: And you had taken the contraceptive pill for two months. It was not good on the sexual level. Well yes, maybe it was good, but I mean, you were rather indifferent.

P: Yes.

A: Because of the general state, because you also had complaints with the gums and the palate I gave you a remedy which follows the last one, but I don't have feedback yet. I heard that it was all right, but I haven't written it down. This was almost three months ago. How was the reaction to the remedy?

P: At the moment I'm doing fine. Now I have a constant feeling of warmth and then I feel good.

A: But what about the gums? How did you react to the remedy which I gave you in July for the vesicles on the lips, the swollen gums and the headache?

P: Yes, that's quite a while ago. It went away, but I can't remember how soon. I know that it helped very much. I still had apathies for two days and then they also disappeared. The headaches disappeared and in general I improved a lot, also mentally I'm better. I don't think I was so annoyed with the children anymore. The herpes on the lips was gone after a few days.

A: And the swollen gums?

P: I know that I had a lot of problems with them, but it appeared even before the aphthae. I think it was also immediately afterwards - I don't think I noticed anything the next day. I remember that it improved immediately afterwards.

A: In the meantime on August 19 you saw the neurologist?

P: Yes.

A: The very first time you were in the hospital they diagnosed you as having the syndrome of Guillain Barré, dissociation and polyneuropathy. Now you have gone back to the neurologist who sent me this report. He writes that you are almost recovered, the deficiency symptoms of the Guillain Barré syndrome are almost cured, still some symptoms, slight dysfunction of both hands and a slight decreased strength of the right foot. That's written here, and what did he tell you?

P: I remember very well, when I entered he didn't recognize me. He asked me why I went to see him and I told him that I was there because of the Guillain Barré syndrome. Then he remembered me and asked me whether I was the woman who was pregnant at that time. He said, "It is impossible that you are doing so well." He was very, very, very astonished. I said, "Yes, I feel very well. I'm only here for a check up." I was lying on the examination table to have the tests done and he said, "I really can't believe this." He had an assistant and they were talking to each other. He explained to him that I suffered from this disease and he said, "I don't know who we have to thank, I think our Blessed Lord, because I really can't believe this." He expressed this a few times explicitly, because he was so astonished. All the time he wanted to send me to the MS hospital, even now. He said to me, "You must come back", and I answered him, "No, I won't come back anymore, I don't want to have anything to do with it." Again he said, "I can't believe this at all!" He was really very very surprised.

A: But he is also a person who is very negative towards Homeopathy.

P: I told him the first time about Homeopathy, but he said to me, "Do you believe that these tablets will help you really?" And this time I didn't want to talk about it, because I wanted to stick to my point of view that Homeopathy helped me. He didn't help me and he couldn't give me anything at all.

A: Homeopathy helped you every time, with all your difficulties when you had clear symptoms.

P: Yes, absolutely.

A: In the meantime you are employed in the Homeopathic Center and you are working on a word processor. How are you doing with your fingers in the meantime?

P: It can work very fast. In the beginning I still had some difficulties, I didn't have the rhythm like before yet, the coordination of the fingers was not so good yet, but because of this daily practice I'm doing very well.

A: It goes so well that I can hardly give you enough texts. You work rather a lot.

P: Yes, I work a lot.

A: You have to be careful.

P: Yes, maybe, but when I can work I feel good. I know that I have to limit myself. I have to be careful. My husband also says, "It's almost as if you are married to your computer."He only wants to say that I work too much. Every minute I'm free I'm behind my computer.

We were recently at the sea for two days to be away and to rest. Otherwise I also work in the evenings and during the weekends. All my spare time goes to the computer, because I like it very much. I feel fine when I can do this kind of job.

A: Further no other complaints?

P: No, not at the moment. I really feel fine, really very well. And the sensitivity to cold has also gone. Before I suffered a lot from it, but at the moment I have a real nice feeling of warmth. I feel good, as if the sun is in me. That's it, it's really true. And even my feet, sometimes they are so warm, from the ankles on they are very warm. When I'm sitting behind my computer I have very warm feet, and also at night. Often I put them out of the covers.

A: Before did you ever have eruptions on the skin?

P: No, not that I know of. And I also have - how should I say - cramps and yet no cramps, or maybe these are twitchings of the muscles? For example, when I blow-dry my hair, and I turn my hair a little bit inwards with the brush then I have these twitchings and I have to put them back in their place. These are not the same as the cramps which I had before, no, but maybe some jarring of the muscles, as if they don't go back in their original place.

A: You feel that there is something wrong.

P: Yes, I feel it on these occasions.

A: Is it the first time in your life you have this feeling of warmth?

P: Yes.

A: Otherwise you never had this?

P: No. Now I could easily sit barefoot.

A: Do you think your appetite has changed?

P: I really have to stop myself. I always want to eat well and a lot, I always want to go to feasts to eat.

A: No, I mean, what you eat. Before you didn't like potatoes.

P: No, it is still so. Last week we were discussing at home that in fact I don't like potatoes. The children don't like them so much either and my husband even less. I like to eat spaghetti and rice and things like that, for example, rice with curry sauce.

A: So highly seasoned food.

P: Yes, but we never take salt.

A: And sweets?

P: That is still the same, in fact it even became worse. Now I have more of a desire for chocolate.

A: Are you very thirsty?

P: Yes, now I drink more. Before I drank only one cup of homeopathic coffee in the forenoon and now I drink six, seven cups of coffee in the forenoon and in the afternoon also. But it has to be warm, I don't like it cold.

A: How is your sleep?

P: At the moment I can sleep very well, only my children wake me up often.

A: On which side do you sleep?

P: On the right side and half on my abdomen, by preference.

A: You never sleep on your back?

P: No, I can't sleep on my back.

A: Why not?

P: When I'm lying on my back many thoughts come into my mind. I can't sleep then, because I'm thinking so much.

A: Did you notice that you dream more when you lie on your back?

P: In fact I dream a lot. Last night I dreamt that my cleaning woman cleaned my friend's house. She wasn't satisfied with this woman and had to do everything herself again. She scolded, "What kind of cleaning woman is this!" I always dream about things that I experience during the day.

A: Never nightmares that you fall down somewhere?

P: No.

A: Do you have itching sometimes?

P: Yes, on my back I have a spot which is always itching.

A: During the first consultation in 1985 you said that you become dizzy when you stand in a high place. Do you still notice this in the meantime?

P: No, not really dizziness, but I have fear of heights.I don't like standing in a high place. I don't dare to go to high places. Since then I have never climbed to a high place, because I have fear of heights.

A: All right, let's wait for the next symptoms to come and we will see which remedy you will need then.

P: I had some complaints with the footsoles but this was not worth talking about.

A: Fine.

In May she again got Sepia officinalis because of an inflammation of the ear and now she is pregnant again (December 1989).I think that the Sepia officinalis relapses were caused by the contraceptive pill. You can never be sure, but I think she wouldn't have come into this state if she had not taken the contraceptive pill. At the time she was taking the contraceptive pill she needed Sepia officinalis twice, every time with a good reaction, although she continued taking the pill. She stopped the contraceptive pill, became pregnant and now she is doing very well.

You see how much energy you need to follow your patient the right way and that it is important to do this.

Maybe you have the opinion that I shouldn't have given Nux vomica and Bryonia alba, but this patient did very well afterwards and I had reason enough to give these remedies.

FEEDBACK (June 16, 1990)

A: You were here on April 23. Tell me about the problems which you had at that time. I also saw you in July 1989. Then you had pain in the right ovary and with the ultrasound they detected a cyst. I gave you Apis, a remedy which is complementary to the remedies you received earlier. This remedy didn't do anything. Before this pregnancy you had another ultrasound and the cyst was still there.

P: Yes, the cyst was still to be seen, but it didn't grow bigger.

A: But if the remedy was right it should have disappeared. Then you became pregnant. How long have you been pregnant now?

P: Since the beginning of December.

A: How have you been up to now?

P: Very well. I don't have any problems. I haven't been ill up to now, I haven't been nauseous or things like that. I even feel better than before. But I have a lot of contractions. I haven't told anybody up to now, not even the gynecologist, because it didn't bother me. I told only my husband that it would be exactly the same as with the two other pregnancies. Then I also had a lot of contractions.

A: Can you describe the contractions?

P: When they appear my abdomen becomes very hard and they disappear slowly. I have already had quite a lot of contractions, surely 10 to 15 a day. I didn't want to complain, because I'm afraid they would keep me in the hospital. I was in the hospital for these contractions for three weeks during the first pregnancy.

A: It seems as if you have some pain with the contractions.

P: Yes, but it is bearable.

A: So we cannot say that the contractions are completely painless?

P: No.

A: How does the pain feel?

P: Rather stitching.

A: Is it a bearing down sensation?

P: Also. It is a feeling as if I would get my menstruation, as if it is bearing down.

Look in the Repertory on page 735:

GENITALIA-FEMALE, pain, bearing down, uterus,

come out, as if everything would: ... Sep

... pregnancy, during: Kali-c

A: As if it would come out. So this is the first point: bearing down pain in uterus. The pain was not so strong. Was it worse during stool?

P: No, I don't have problems with that.

A: The second point is the cyst in the right ovary. You had pain on the right side of the lower abdomen?

P: I had very much pain below in the right rib cage. It was really a terrible pain and it appeared also at this time.

Look in the Repertory on page 563:

ABDOMEN, pain, hypochondria, right

She said it was a stitching pain.

Question: Why did you look in hypochondria?

A : The hypochondria is here, under the ribs, she had pain there.

P: I also had pain in my back, at the same height. I always had to look for a different sitting position.

A: Transverse pain. How did it feel?

P: Stitching.

A: This was the third element. Something else?

P: My right ear.

A: Also a problem which you had before. Therefore you received Sepia officinalis, which helped indeed, but the pain kept coming back. Can you describe the pain once again?

P: It was a burning feeling. It was especially itching. It started to itch, then it became wet and it was burning.

A: It concerned an eczema of the external auditory meatus. Point five is the diarrhea. In July 1986 you were in an exhausted state because of diarrhea during pregnancy. We treated the consequent paralysis successfully, so that the development was favorable.

P: It was the same as before. I often had diarrhea. It was not as bad as at that time.

A: What was the color?

P: Dark.

A: Not yellow?

P: Now and then it was yellow. It was variable.

A: How often?

P: It was two to three times a day.

A: Did it smell?

P: Yes, but not so strongly.

A: What complaints did you have with this diarrhea?

P: Before I had to go to the toilet I had abdominal cramps.

A: Was it the same pain that you noticed with the contractions of the uterus?

P: About. But I noticed a difference between the contractions of the intestines and the uterus. When I felt the intestinal cramps I had to go to the toilet. After the stool I felt better.

A: Weren't you tired then?

P: I was tired all the time.

A: These were the five points. I gave you a remedy first in C 30 potency and a few days later in C 200. How did you react to this remedy?

P: The same day I took a spoonful at 10:30 a.m. I still had two contractions. At 7:00 p.m. I took another spoonful and then the contractions stopped. I didn't feel anything anymore. The next morning the stool was still thin and I still had strong pain under the right rib cage. After the first spoonful I had strong itching in my right ear. It was a little bit better in the evening. After I took another spoonful the second morning I still had two contractions. After the fourth spoonful I didn't have any contractions all day long, but still itching in my ear. I had the impression that the uterus became quiet. I felt it clearly, because before I had more or less constant contractions. The stool was still thin and the pain under the right rib cage was still there. The next day I had contractions only at night, but still the pain in the right hypochondria.

A: This was the third day after the remedy.

P: Yes. The next day I didn't have any pain at all. The stool wasn't normal yet. At noon it was bright brown. In the evening I had very warm feet. In general I've become warmer. I was more thirsty.

Something else concerning the stool: I had stool twice at noon and it was really shooting out. On Friday you told me to take a 200 C potency.

A: Yes, because I had the opinion that the diarrhea should not last such a long time.

P: Afterwards, everything became better.

A: This was one week later.

P: I took the remedy in C 30 potency on Monday and on Saturday I took C 200. After the C 200 potency the contractions appeared again. On Saturday I had contractions 8 times. On Saturday the stool was very thin at 7:00 o'clock, but without previous cramps. At 9:00 a.m. the stool became normal. Since then it is better. I suffered from the pain in the right hypochondria for a few days and then it disappeared again. Now I don't feel anything about it.

A: How is the stool now?

P: Good. I can say, it is very normal.

A: And the contractions are gone?

P: At the utmost once or twice a day, surely no more.

A: And the pain in the hypochondria?

P: It's gone.

A: No stitching pain anymore. How is your right ear?

P: It is not completely cured, but a lot better.

A: You have suffered already quite a long time from it.

P: Yes, about two years.

A: The birth date is in August.

P: The expected date is August 9. I would like to deliver at home.

A: This was the story. I think we closed the circle. Probably it was originally a Podophyllum peltatum state.

This was Podophyllum peltatum. And why?

Look in the Repertory on page 745:

GENITALIA-FEMALE, tumors, ovaries, right: Apis,

fl-ac, iod, Lyc, Podophyllum peltatum

Look very closely at this rubric, otherwise you will forget it.

I gave her Apis, because I know that Apis often appears after Sepia officinalis. Xanthoxylum is an addition in this rubric.

You find Podophyllum peltatum in this rubric, and you also find it in the following rubrics on page 735:

GENITALIA-FEMALE, pain; bearing down, uterus,

come out, as if everything would: ... podo ...

GENITALIA-FEMALE, pain; bearing down, uterus,

come out, as if everything would, during stool:

Podo

Podophyllum peltatum is the only remedy in this rubric, but the patient didn't have this symptom.

Also look on page 563:

ABDOMEN, pain, hypochondria, right: ... Podo ...

Question: ... extending to the back ... (rest not understandable)

A : In the rubric "abdomen, pain, hypochondria, right, extending to back" Podophyllum peltatum is not there, but with this patient the pain didn't extend from the hypochondria to the back, but were there at the same time.

After this pregnancy the cyst must disappear. We will see.

Question : .... (not understandable)

A : Thirst for large quantities is an addition of Boericke. We know some other mental symptoms of Podophyllum peltatum, for example, loquaciousness during fever. Children with very high fever are talking, talking, and talking.Tuberculinum bovinum Kent also has this symptom, besides Teucrium marum. These are children with liver problems who vomit bile, usually at night, with inflammations of the tonsils and ears on the right side. Very often we wrongly give Lycopodium clavatum in such cases, because they like sweets and everything is on the right side.

The mother of this patient is doing very well on Sulphurand so sometimes I think of giving her Sulphur. Maybe she will develop real, clear Sulphursymptoms and then the cure will be definite.

FEEDBACK (September 1990)

A: The child was born at home. How long did the delivery last?

P: Four minutes. This was it. It really went terribly fast. I had contractions, but hardly any pain. I didn't feel the contractions, only the last one right before the delivery. The midwife said it was time to lie down. Three minutes, I pressed once and there she was. Unbelievable. The midwife also said it was an exceptional birth.

A: When was she born?

P: On July 25, at 4:00 p.m. (for the astrologists)

A: This was two months ago. After the last delivery you had an inflammation of the breast, first on the right side, then on the left side. Do you have problems as far as this inflammation is concerned?

P: No. I couldn't nurse the other two children after birth. I nurse this child four times a day and she gets an extra bottle.

A: Immediately after birth there was bleeding. I mean, the midwife called me and said that you were bleeding. If she rubbed on your abdomen at the height of the uterus the bleeding stopped. And when she stopped rubbing the bleeding started. I gave a remedy and immediately the bleeding stopped.

P: Yes, the bleeding stopped very quickly.

A: And also afterwards you didn't have any abnormal loss of blood?

P: No, not at all. The midwife told me that I shouldn't stand a long time, because I would lose too much blood. But I didn't have any abnormal loss of blood and the bleeding stopped immediately after the remedy.

A: On July 25, 1990 you took the remedy for the bleeding. Do you have other complaints?

P: No, the problem with the right ear started again. I have a kind of eczema.

A: How is the stool?

P: It is normal.

A: The ear is itching a little bit ....

P: Yes, and some liquid is coming out.

A: Are you warm or cold in general?

P: I'm cold again.

A: But you have been outside very little, you always stayed in the house because of the child.

P: Yes, and also during the summer when it was so warm I stayed in the house.

A: And how are you doing with your hands?

P: At the moment my hands are very well. A while ago I was very tired because of all the visitors. The spastic cramps in my hands returned. But when I can rest, I feel very well.

A: Are you also cold while lying in bed, or do you have warm feet then?

P: No, I'm rather cold, I always want to be covered up very well.

A: Appetite and digestion are good?

P: Yes, too good.

A: Further you don't have any complaints?

P: No.

Which remedy did I give her?

We can start from the rubric on page 731:

GENITALIA-FEMALE, metrorrhagia, subinvolution:

Lil-t, psor, sec, sulph, ust

I gave her Sulphur30 because Sulphuris complementary to Podophyllum peltatum.

I would like to give you some additional information: her mother was in treatment because of chronic pain in the back and she has been doing very well for some time.

FEEDBACK (August 5, 1991)

A: How are you doing?

P: I'm doing very well. One month ago I was here because I had a lot of itching on my eyelids. It was a kind of eczema. I don't know whether it had something to do with the contraceptive pill. The itching started one month after I started taking the contraceptive pill.

A: I advised you to stop the contraceptive pill and to wait. I thought maybe it would disappear without a remedy. How did it go further?

P: After three months I stopped the contraceptive pill and gradually the itching disappeared. I didn't take anything for it.

If we consider the first consultation we see that she came here with diarrhea during pregnancy.

In the rubric on page 614 Podophyllum peltatum is a very important addition:

RECTUM, diarrhoea, pregnancy, during: Podo

This diarrhea exhausted her completely.

Look in the Repertory on page 1416:

GENERALITIES, weakness, diarrhea, from: ... Podo ...

Because we didn't give the right remedy at that time the patient went into a paralytic state, with the classical diagnosis of Guillain Barré.

During the last pregnancy a similar state threatened to appear. This time we gave the right remedy. Apparently this remedy gave her the strength to develop a so-called symptomatology, namely a Sulphurconstitution.

Podophyllum peltatum is a remedy which is very much misunderstood especially during pregnancy. Typical for these women is that they want to sleep on their abdomen during pregnancy, anyway until they are six months pregnant. Another symptom of this remedy is "rubbing abdomen, amel.". They like very much for their husband to rub their abdomen.

Another symptom during pregnancy is a kind of "black out". This is expressed as a kind of "transitory ischamic attack" with hemiopia. After these transient vision disturbances usually the patients have a headache.

On page 276 you find the rubric,

VISION, dim, headache, before: Gels, hyos, Iris, kali-bi,

lac-d, nat-m, podo, psor, sep

CASE17

Dd sulph., tub.

Woman, 35 years old

February 24, 1988

A: Your main problem is backache, isn't it?

P: Yes.

A: Where do you have pain?

P: Low in the back.

A: At the height of the belt or lower?

P: Just below.

A: How long have you had this pain?

P: Already for 4 or 5 years.

A: Did you have such complaints in the past?

P: No, not that I know of.

A: When do you suffer most?

P: Especially when it is cold.

A: With cold weather or when it is cold inside?

P: When I'm freezing. And after a lot of exertion.

A: After a lot of exertion, what do you mean?

p: For example after a big job or after a walk.

A: What happens from standing?

P: I even have problems while standing. Standing doesn't do me any good. I can't stand longer than 20 minutes.

A: Now and then you need a support?

P: Yes, or going to and fro. I have to. I can't lie on the back.

Which is the first symptom we can use?

I know her mother-in-law. She is an old woman and when I cure somebody in her family I get one of her old books. In these old books you find all the information which Hahnemann had. Here you find all the possible indications for Sulphuricum acidum, Nitricum acidum and all these remedies which already existed long before Homeopathy.

Anyhow, I had to cure this patient because her mother-in-law always complained that her daughter-in-law couldn't run or walk properly.

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.

Then her son came with cracks in the fingers and the feet. He was in treatment in the Center and he had already received all possible remedies, Sarsaparilla and so on, until he came to me. Without any mental symptom indicating Hepar I gave him Hepar. I have this case on video and when I show you the video nobody would ever think of Hepar. Also I couldn't have found it if I hadn't known his father and some physical symptoms which indicated the remedy. He was cured with Hepar.

This is his mother for whom I try to find the right remedy.

Which is the first rubric we can take?

Look on page 898:

standing, while: Agar., agn., asar., berb., bry., calc., cann-i., caps., cocc., coff., con., hep., ign., Ind., kali-bi., kali-c., kali-p., kali-s., lil-t., lith., lyc., meny., merc., mur-ac., nit-ac., petr., ph-ac., phos., plan., plb., podo., puls., rumx., ruta., sep., spong., Sulph., thuj., tus-p., Valer., verat., zinc.

BACK, pain, standing while

A: What about local warmth?

P: I already tried a hot water bottle.

Look very closely. It is already the third time she does something with her tongue. What do you see?

Audience: She is licking her lips.

A : Yes, that's what she does all the time. Where do you find this in the Repertory?

Look on page 407:

to and fro: Cupr., hyos., lach., sulph.

MOUTH, motion, lapping, to and fro: Cupr, hyos,

lach, sulph

And what kind of impression do you get from this woman? What can you say about her hair?

It is not very correct, although she is rather rich. Her father is a dentist, one of her sisters works in a hospital in Switzerland and the others somewhere in Belgium. They work until they earn enough money and then they travel to India.Now they are on a trip with the rucksack on the back. When they have spent all the money they come back and work 1 1/2 or 2 years until they earn enough money to travel again to India.

I know there was tuberculosis in the family; her mother had tuberculosis.

How can you use the symptom of her hair as a mental symptom?

It seems that she doesn't care about her hair, she is rather indifferent about her personal appearance. There are not so many remedies in this rubric.

A: What kind of pain is it, how does the pain feel?

P: Like needles.

A: Are you easily warm or how is your temperature?

P: I'm rather frozen.

A: What do you mean?

P: When the others are taking off their pull-over I keep mine on for quite a long time.

She says that she is rather chilly. Be careful when it comes to this theme. For example, a Pulsatilla patient may say that she tolerates the sun well, that she likes to lie on the beach. "Oh, can you lie on the beach?" "Yes, I enjoy lying on the beach." "And for how long?" "All day long."

All day long? And this must be a Pulsatilla?

"And how often do you go into the water?" "Every quarter of an hour."

Be careful, also with Natrum muriaticum. For example, they can say that at home they can lie in the sun the whole afternoon, but they have a hose so that they can squirt themselves with cold water.

Up to now I never - "never" does not exist in Homeopathy, you know that - but up to now I haven't seen a Natrum muriaticum who can tolerate the sun well, neither a Pulsatilla, but there are always exceptions to the rule.

P: I don't say it has to be 23° C ( 73F ) in the house, then I get a headache.

A: Then you get a headache?

P: Yes, whenever it is too warm, when the air is too warm, there is not enough air-conditioning, then I get a headache.

A: You need fresh air?

P: Yes.

A: Are there other situations in which you get a headache?

P: Yes, also in the car, when there is too little oxygen.

A: When you drive the car?

P: Yes.

A: Could it be that it is too warm in the car?

P: Yes. When it is too warm I easily get a headache. I rather easily have cold hands.

A: Cold hands during a headache?

P: No, I may be warm all over, and yet I might have cold hands.

A: May I see your fingernails?

They are normal. Do you bite them?

P: No.

What can you observe about the fingernails of Sulphur?

Audience: They are dirty.

A : Yes, they are dirty, there are black stripes under the nails. You should also have a look at the feet ...

A: Are there other situations in which you get a headache?

P: No, not that I know of.

At the moment I have a headache.

A: Yes, it is too warm in here. Do you have a headache at night?

P: No.

A: How is it in the morning?

P: Now and then I have a headache.

A: When exactly?

P: When I wake up or when I have to get up.

A: At what time do you get up?

P: At a quarter past seven.

A: Do you get up at a quarter past seven every day?

P: Yes, about this time.

When I don't have to get up...

A: What about the headache then?

P: I get up later, but not, when I go to bed at the regular time.

A: And when you don't go to bed at a regular time?

P: It might happen that I don't wake up before 9:00 o'clock.

A: What happens when you stay in bed until noon?

P: I never sleep until noon.

A: Why?

P: I think it is because of my internal clock that I wake up.

A: And when you don't wake up?

P: Then I have pain in the back and I get up and think that everything is bad again.

A: So pain in the back. Are you irritable then?

P: Yes, it's not good for the mood when I stay in bed too long. Then the day has passed when I get up and I haven't done anything. I don't like that.

Which symptom am I trying to get out?

The headache during weekends. When they sleep too long they have the typical Sulphur headache during the weekend or on a holiday. When they used to get up at 6:00 a.m. and when they sleep until 9:00 a.m. they have a headache. This is caused by sleeping too long.

Do you know the rubric?

Look on page 1402:

GENERALITIES, sleep, long, agg.

long agg. : Ambr., anac., arn., ars., asaf., bell., bor., bry., calc., camph., carb-v., caust., cham., cocc., con., dig., euphr., ferr., graph., hep., hyos., ign., kali-c., kreos., Lach., lyc., mag-c., nux-v., ph-ac., puls., rhus-t., spig., stram., Sulph., verat.

This is the reason for the weekend headache of Sulphur.

A: Are there situations in which you are anxious?

P: Yes, when I wait for somebody and he doesn't show up.

A: Do you have fear of heights?

P: Not when I can support myself. But I can't look downwards while standing on a high mountain, I don't feel 100% sure.

A: What do you feel then? Do your knees become weak?

P: Yes, something like that.

A: Do you become dizzy afterwards?

P: Yes, I become dizzy on stooping for a while and when I have to get up again.

A: Just from stooping?

P: Yes, but then I was stooping so often. Then it went away.

A: How was it? Was it while getting up from stooping or just while stooping?

P: Yes. Now I have more complaints in this matter.

She doesn't answer my question correctly, she is just talking. It is very difficult, but I know her behavior and therefore I know which remedy she needs. Now I try to show it, but it is very difficult.

A: On which side do you sleep?

P: It is the same.

A: On the left or the right side?

P: Yes.

A: Never on the abdomen?

P: No, never.

A: And on the back?

P: I think that I lie on my back while sleeping. But then usually I wake up because of pain in my back.

A: Then you wake up from pain?

P: Yes.

A: Do you often dream?

P: Yes.

A: What kind of dreams?

P: I can't say. I don't know what I dream of. I dream, but of nothing in particular. These are more or less vague dreams.

A: Do you wake up from a dream sometimes?

P: Yes, it can happen, but not so often.

A: Are these nightmares?

P: No, in fact not.

A: What about your appetite?

P: It is very good.

A: What do you like to eat and what is a real aversion?

P: I like to eat everything. Especially a lot of sweets,but in fact I like to eat everything.

A: But you are very much attracted to sweets?

P: Yes.

A: How does the food have to be prepared, highly seasoned, or rather less?

P: I prefer it rather highly seasoned. It has to be spicy.

A: How spicy does it have to be?

P: Not so spicy that I have to extinguish it afterwards with water, but I like it rather highly seasoned. I like to taste what I eat,don't you?

A: What about fat? Do you like the rim of fat on the meat?

P: I don't prefer it.

A: Are there restaurants where you prefer not to eat?

P: I can't say, because I hardly eat in restaurants. I'm not so fastidious, but I can appreciate something good.

Which symptom am I trying to get out now?

Disgust.

A: Do you often drink out of the glass of somebody else?

P: I hardly do.

A: Can you tolerate this well?

P: No, it is not so strong.

A: Are you easily disgusted?

P: No, in fact I'm not.

A: Do you think that you can smell well what you eat?

P: Yes, I smell it very strongly.

A: So your smell is very good?

P: Yes.

A: You have a very good sense of smell. Do you smell when something is rotten?

P: Yes.

A: Do you throw it immediately away when something doesn't smell fresh?

P: It depends whether I think something is really bad. I smell immediately when something is rotten or not.

A: What about your stomach? Do you have complaints with your stomach when you eat something?

P: No.

A: Are you cold in bed?

P: Yes, in the beginning I'm cold, but after a while, when I can cuddle up against my husband I become warm.

A: But you are never too warm?

P: Yes, sometimes I am terribly warm.

A: Do you have to uncover yourself?

P: No. Sometimes it is so bad that I wake up from the warmth, that I'm really wet, from head to feet, soaking wet.

A: Do you often perspire at night?

P: No, not so often. Before it was less. Lately I have to sleep with the windows open. When the windows are closed I can't sleep properly at all. Then I get up and look to see if the windows are open.

A: Do you have itching of the skin sometimes?

P: Yes, the whole day. I have constant itching somewhere. And once I start scratching I can't stop.

A: Without a skin eruption?

P: Yes, it might start somewhere and then it goes on. Sometimes I have an eruption here in the neckline, so little white points. When I start scratching I can't stop at all and then it starts burning. I have complaints especially when I wear something synthetic, for example, a shirt which is not completely made out of cotton. When I wear shirts made out of cotton I don't have it.

A: Which materials don't you tolerate?

P: Synthetic. When I wear a synthetic shirt my skin itches. I put a little ointment on it and after a few days it goes away. I may not touch it, otherwise it becomes worse. When I wear something made out of pure cotton I don't have it.

A: What about wool?

P: I don't tolerate it. I never wore it on the bare skin, it is not an agreeable feeling.

Itching from wool, everybody knows the rubric.

Look on page 1329:

SKIN, itching, wool agg.: Hep, phos, psor, puls, Sulphur

If somebody tells you this spontaneously it must be one of these remedies.

A: Did you have eczema in the past?

P: No.

A: Can you tell me something about your character? I mean what is remarkable in your character?

P: Sensitivity, I think. Yes, I'm easily worried about everything. I have fear that somebody else is deficient. I also react too quickly instead of thinking first. Sometimes I think it would be better to think first before saying something.

A: Do you easily give up your ideas?

P: Yes, I'm rather easily influenced.

A: Or are you a person who perseveres in his ideas?

P: Yes, I have a certain pride.

A: Are there other remarkable things?

P: Maybe I'm too easily excited. A little bit hot-tempered, impulsive.

A: Is there something else which is characteristic for you?

P: No, in fact not.

A: Nothing in particular?

P: No.

A: Are you a thirsty person?

P: No.

A: You drink little?

P: Yes.

A: OK. This is clear.

In these cases you must prescribe Sulphur on the appearance and on something particular which I can't explain.

They can turn you around their finger and give a completely different picture of what they really are.

FEEDBACK (April 11, 1988)

(after remedy on Feb24 1988)

A: You were here on February 24. This is 1 1/2 months ago, what did you feel after the remedy?

P: Nothing.

A: You didn't have a headache?

P: No, nothing in particular. I paid attention to it, but I didn't notice anything in particular.

A: So there was no aggravation?

You had pain in the back from a burden, from a long walk, while lying on the back and with cold. How is the pain in the back at the moment?

P: Lately I do quite a lot of exertion and the pain in the back has certainly not aggravated at all. It isn't gone yet, but ...

A: So the pain in the back didn't aggravate although you have done a lot of exertion. If you would have done this kind of exertion in the past you would have certainly had more pain?

P: Yes, now I can do a lot more things.

Listen very carefully. You will hear a clear amelioration. These patients will never admit that they are better, you know this.

P: I also detected that the stool improved.

A: The stool is also better.

P: Yes, probably because I do a lot more exercise and a lot of walking.

These are all theories; the stool is better because she does more exercise.

A: But before you also did a lot of walking?

P: Yes, but since Christmas I participate regularly in orientation running. I don't run uninterrupted, in between I run, then I walk, but every week I'm on the run for 8 or 9 kilometers.

A: Is the stool better since Christmas or since when?

P: When I was here on the 24th I didn't have the strong pain which I had before. I still feel it, but I can tolerate it.

A: Do you think that you tolerate physical exertion better since you have been here?

P: Yes, I run regularly. Before I never did this regularly, but now I run every week.

A: Before you were rather constipated.

P: This is not the case anymore; I notice that the stool has become softer.

Before she went with my wife to gymnastics every week and my wife always told me that she had a lot of difficulty and now she runs 8 to 9 kilometers every week.

P: I can't run a very long time, but I can do it to some extent.

A: Before you took the remedy did you suffer a lot with your back, could you move? Did you still suffer from your back sometimes?

P: Yes, I had pain, especially at night, but not as intense as before. No, I didn't really wake up at night from pain, no it was never so bad.

Before she said that she couldn't stay in bed from pain in the back.

A: What about the sensitivity to coldness?

P: It is terribly hot in here. I could take off all my clothes, it is so warm in here.

A: But before you said that you are easily cold, that you easily freeze?

P: Yes, I'm not so sensitive anymore. Yesterday it was not really cold, it was rather chilly, but I could tolerate it well. But here, I don't feel so well here.

A: Besides you were complaining about a headache when it was too warm.

P: I had a headache two or three times since I've been here. I turned off the central heating and I don't let it come that far.

A: Are you still dizzy on stooping or while getting up?

P: Yes, I still had this. I think it has something to do with my blood pressure.In the summer I was often dizzy and then my mother-in-law said that I should have my blood pressure taken and it was too low.

A: How is it lately?

P: Between 120 and 130. But the complaints which I had during the summer didn't come back.

A: At that time you also told me that you had itching of the skin?

P: Yes, I still have.

A: Did you have more eruptions of the skin eventually?

P: At the moment I have these little points all over, you can hardly see them, but I feel them.

A: How do you feel in general?

P: Tired. For a while I have felt really tired.

A: Nevertheless you run a few kilometers during the week?

P: Yes, to be in the air outside is a real relaxation for me. I walk at least 5 or 6 kilometers a week.

A: But afterwards you are not so extremely tired?

P: Yes, I notice that I'm not in condition, but ...

A: Apparently your sleep has improved, hasn't it? You don't wake up so frequently anymore?

P: Yes, that's right, it is really true.

It is a very important, deep amelioration when the stool and the sleep ameliorate. She doesn't accept this amelioration, also Lycopodium clavatum often doesn't do this. In these cases you have to give Sac-lac and wait and after some time all the other complaints will improve.

A: You don't drink coffee?

P: No, I drank only two cups of coffee.

A: Do you take peppermint?

P: No.

A: Do you have other particular complaints?

P: Yes, my vision is very bad. I also have an eruption of the skin.

A: Homeopathically this skin eruption is a good reaction. I like this kind of reaction.

P: Somebody else has this also, I'm not the only person who suffers from this.

Her husband also had an eruption. He got Hepar.

A: But it is an excretion.

Tell me, you had a headache while driving the car?

P: In fact I don't have it anymore. It is less, but I switch off the heat whenever it is possible.

This was in April 1988. I gave her Sulphur10M and then I didn't have to repeat the remedy anymore. Later she had a discharge from the right ear.

FEEDBACK (September 9, 1989)

A: After your earlier complaints you had a discharge from the right ear. This was the main complaint. You also had pain in the region of the right mastoid. This chronic middle ear inflammation lasted for 4 months in June. It started in February.

On June 4, I repeated your constitutional remedy, but it didn't change anything with the ear. On July 26 you got another remedy.Tell me what the reaction was.

P: First the discharge went on, there was discharge from the ear until August 5, so 11 days. On August 6 or 7 the ear started bleeding. I thought, "What is wrong?" and then gradually the bleeding stopped, and then everything stopped. This was the end of the story as you can say. And now I'm saved.

A: Now you are saved, in fact that's all I wanted to know. This shows that your so-called constitutional remedy on which your other complaints improved a lot didn't help you anymore.

That's what I want to show you. You give Sulphur, the pain in the back is better and then, at the beginning of 1989 the right ear starts running, with pain in the mastoid. I repeat Sulphur, no reaction. This is the point where I have to make a decision.

A: How are you doing otherwise?

P: I feel good, now and then a little bit stiff and some pain.

A: Do you have this when you run a lot?

P: Yes, exactly.

With this case I want to show you that we have to be flexible and to do the next step, to give the next remedy at the right moment.

If you don't give the right remedy, Tuberculinum bovinum Kent, in a case of chronic ear discharge you have to send the patient to the throat-nose-ear doctor.He gives antibiotics and maybe also Cortisone and then you can't really cure the patient profoundly. The development may go the other way around, somebody who was cured by Tuberculinum bovinum Kent will need Sulphur later on.

Tuberculinum bovinum Kent as a complementary remedy is often indicated to cure the patient profoundly.

Question: The symptoms for Tuberculinum bovinum Kent were only these ...

A : The symptoms for Tuberculinum bovinum Kent were the chronicity of the discharge, the tuberculosis in the family and the fact that after Sulphur she didn't develop any symptoms for another so-called normal homeopathic remedy.Patients with a strong psoric remedy like Sulphur, Calcarea or Lycopodium clavatum do not easily develop to another classical homeopathic remedy, but rather to a nosode. I don't like to use the word nosode, because every homeopathic remedy has its own picture, but do you understand what I mean?

Question: Couldn't this be Kali sulphuricum or something like that?

A: If it would have been Kali sulphuricum I would have expected more Kali sulphuricum symptoms, more mental Kali sulphuricum symptoms, like Pulsatilla symptoms. But if there was a case of tuberculosis in the family some time you must give the patient Tuberculinum bovinum Kent if you treat him long enough.

EXTRA

If people say, "I feel worse in the afternoon, but that is because of this or that," then you have to take the rubric "theorizing". He tries to explain why, and this remedy, you know, always try to explain why

MIND,THEORIZING (See Plans) : Ang., arg-n., ars., aur., Cann-i., chin., coff., lach., lyc., sel., sep., sil., sulph.

MIND, PLANS, making many : Anac., ang., arg-n., chin-s., chin., coff., nux-v., olnd., op., sep., sulph.

A: Of course, you can add it there. But you have to start from the total picture of the child. This is a calm child, who sits there quietly, quickly exhausted, can not tolerate exertions; thistogether with the anxiety "broad spectrum anxiety" ! This child is also anxious in school. He wants to do his best. He is anxious of other children. He would do everything, so that the others would say, "You are a sweet boy."Sulphur would not be worried about what other people would say about him; Sulphur is strong-minded and what somebody else says about him is not important.For Calcarea it is important what other people think about him. You feel that it can not be Sulphur. That is Calcarea.

Sulphur exaggerates her make-up as you know, and often you can prescribe Sulphur on the smell and the appearance.

And you know, Sulphur weeps when he wants to weep. When Sulphur is weeping, he is playing theatre. He starts weeping and when you give him a handkerchief to dash away the tears and start talking about a new subject, they talk immediately with you and they forget everything.

DREAM,FALLING,from high places : Acon., alum., am-m., anan., aur., chin., dig., guai., hep., kali-c., kreos., merc., mez., nat-s., nicc., nux-m., op., phos., sep., sol-t-ae., sulph., sumb., Thuj., zinc.

In Sulphur you have or symptoms on the level of the skin or on the level of the lungs or maybe the bones or on the level of the mind, the nervous system. If you suppress the skin symptoms in Sulphur, the asthma or the neurologic symptoms will appear.

The way his hair looks, you think of which remedy? (His hair looks as if has used wet-gel) Sulphur

Case17 BIDWELLv2

Case 2. -Mrs. H.S. came to me 2-12-107,-with the the following symptoms which I will give in her own language : "I am so nervous; am afraid, I shall kill some of my people, as I go, all to pieces and can't control myself. Thinking about killing, I dream of killing my little girl. If I do not get better soon, I shall commit murder. Every afternoon I have pain over my eyes as if burned. Can't read at night, as there are sharp pains going through my eyes; if I persist in reading dark points appear on the page; so I cannot see the print. Hungry most of the time; in morning when I awaken, there is burning pain in my stomach which grows worse until I get up, when it goes away. Always have to take pills to move my bowels; before they move, there is a sharp cutting pain in the rectum and many times the bowels come out while at stool. If I drink beer will have piles for two or three days. My menses have been too often since my last child, three years ago, and for a week before I am sick, have whites each morning, which are much worse walking. There is not much flow, and it only lasts two or three days and smells sour as vinegar. Can't sew for past month, as there are stitching pains in the back of my neck when bending my head forward. Feet cold as ice every afternoonand the cramps in my calves keep me awake nearly all night. Do not shop, as I feel so badly when I have to stand long."

PAGE 71

Repertory Analysis-Fear of killing people.-Absin., Ars. a., Nux v., Rhus t., Sulph.

PAGE 72

Dreams of committing murder.-Rhus t., Sulph.

Burning pains over the the eyes, worse afternoon.-Sulph.

Sharp shooting pains at night, on reading.-Phyto., Sulph.

Following by dark points.-Con., Sulph.

Burning pains in stomach on waking, better rising.-Sulph.

Cutting pain in rectum before stool.-Asar., Sep., Sulph.

Prolapsus recti during stool.-Ign., Lyc., Podo., Rhus t., Sulph.

Leucorrhoea mornings, worse walking.-Nat. m., Bov;, Sarsa., Sep;, Sulph.

Menses scanty, short duration.-Am. c., Lach., Puls., Sulph.

Menses smell sour.-Carbo v., Sulph.

Stitching pain in neck from bending head forward.-Sulph.

Feet cold afternoon.-Nux v., Sulph.

Cramps in calves while in bed - Ars. a., Caust., Ign., Sulph.

Worse standing.-Con., Cycl., Lil. t., Puls., Sep., Sulph. Valer.

Here we see that Sulphur covers each symptom, but with a good knowledge of the the arrangement of the repertory it took me some time to work it out. Now to demonstrate how much more rapidly we can arrive at the same results by working from the generals to particulars, we will start with a general rubric :

PAGE 73

Menses scanty, short duration.-We find the following nineteen remedies that have this symptoms in the first and second grades : Alum., Am. c., Asaf., Bar. c., Cocc., Dulc., Graph., Lach., Mang., Merc., Nat. m., Nux v., Phos., Plat., Puls., Sepia, Sulph., Thuj.

Now among this group of nineteen remedies will be found one which will cover the totality of our case. If we were to give a remedy upon this one symptom alone, we might give any of the above, for they all have this condition in a high degree; but if we did not give the right one, we should not cure the case. We must individualize our case still further, so we will use another general.

Worse standing.-In consulting the repertory we find that of the first nineteen there are only the following seven which have the symptom in the first or second grade : Con., Cocc., Phos., Plat., Puls., Sep., Sulph.

But still we have seven remedies, any one of which may be the remedy so far, and we must individualize still further by another symptom. We will take the general, better in open air. Here we find that we have only four remedies of our previous group which have this symptoms in the first and second grade-Con., Phos., Puls., Sulph.

PAGE 74

We have now worked our list down to four remedies and we will individualize again by taking another general, fear of committing murder. This gives us Sulphur, the only remedy which covers all of the symptoms we have taken so far. Now if the logic of our reasoning be correct, if the technique of selection be without a flaw, Sulphur must be the mathematically correct remedy, and reference to the pathogenesis of the remedy shows that Sulphur not only covers these four symptoms we have used, but it also contains all the other particular and common symptoms of the case. The proof of the pudding is in the eating, so we will turn to our record and we find that patient was discharged 7-7-'07; that all symptoms had disappeared, bowels move naturally. Says she, never felt better in her life.

Epileptic attacks

ANOTHER CASE >

- A : Yes, Sulphur, very well observed.

- And why?

- The lips, look how dark the lips are!

ANOTHER CASE

- A : Do you have itching lately?

- Of which remedy am I thinking?

- Of Sulphur, because Aconitum and Sulphur are complementary and because he has a strong desire for very highly seasoned food.

- A : Do you dream sometimes that you are falling?

- P : No., Not at all.

- You see I try to confirm Sulphur.

- A : What about the stool?

- P : It is not normal, because I can't have stool for 4 or 5 days.

- Then I have diarrhoea for two days, with enormous abdominal pain, cramps in the intestines.

- It might last for two days.

- Then I have constipation for 5 or 6 days.

- I can't have stool if I don't take anything.

- But I don't take anything.

- A : This is interesting.

- Changing stool : Pulsatilla, Sulphur.

- P : At night they are not cold, at night they are warm.

- When I wake up I feel whether they are cold.

- Because during the day they are icy cold, but at night they are warm.

- A : Very warm?

- P : No, normally warm.

- "Coldness, foot, evening, bed, in, amel." on page 963, one remedy.

- Sulphur.

- P : It itches more when I take a bath.

- Yesterday I took a bath and afterwards the eruptions really bloomed, and there was an enormous itching.

- Whether with warm or cold water, even when I don't use soap, the itching is aggravated by the water immediately.

- A : The remedy will also improve the itching.

- Then I decided to give Sulphur and the itching disappeared.

-------------

The headache during weekends. When they sleep too long they have the typical Sulphur headache during the weekend or on a holiday. When they used to get up at 6:00 a.m. and when they sleep until 9:00 a.m. they have a headache. This is caused by sleeping too long.

Do you know the rubric?

Look on page 1402:

GENERALITIES, sleep, long, agg.

long agg. : Ambr., anac., arn., ars., asaf., bell., bor., bry., calc., camph., carb-v., caust., cham., cocc., con., dig., euphr., ferr., graph., hep., hyos., ign., kali-c., kreos., Lach., lyc., mag-c., nux-v., ph-ac., puls., rhus-t., spig., stram., Sulph., verat.

At that time she also said, "I would rather cry than laugh", so she was sad, melancholic. Cold shiverings alternating with perspiration, cough worse on lying down and in the evening in bed, after midnight.Also she was wearing make-up.

Why did the colleague write this down?

Because he was thinking of Sulphur,but here he made a mistake. Her make-up is appropriate, Sulphur make-up is exaggerated. There is too much lipstick, the black is too black, the blue too blue and so on. You can already smell them at a distance and you are afraid to touch them because you could dirty your hands. This is Sulphur, but in this patient the make-up is not exaggerated.

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She says, "Nice parents". But at the first consultation she said that she had troubles with her father, that he was quite a dominating man. I got her father at the consultation a few months after she came, as most fathers and mothers do. First, they send their children and then they come themselves. He was a straight Sulphur-man. He responded very well to Sulphur. He came for hypertension and he was very anxious about his hypertension, so that he stopped all his exercises, like running and sporting. He didn't dare to do any other things like that. Afterwards, I explained him that it is very good to do some sports.

He was quite a closed man, a dominating man and I can imagine she had troubles with her father.

- Question : "Can you repeat in which position Sulphur sleeps?"

- A : On the left side.

- Question : "Only on the left side?"

- A : Mostly on the left side.

- As we have seen most of the real Sulphur patients sleep on the left side.

- If a Sulphur patient sleeps on the right side we have to be careful, probably it is not Sulphur.

CASES