WE are now in position to approach definitely Grauvogl’s own arrangement of the morbid constitutions according to excess or deficiency of certain elements in the tissues and blood. For every organ and every tissue breathes, and if the lungs are the gate-way and the blood the carrier it is the tissues which are the ultimate recipients of the oxygen that is inbreathed.
1. The Hydrogenoid constitution is characterised by an excess of Hydrogen and consequently of water in the blood and tissues.
2. The Oxygenoid is characterised by an excess of Oxygen, or, at least, by an exaggerated influence of Oxygen on the organism.
3. The Carbo-nitrogenoid constitution is characterised by an excess of Carbon and NItrogen.
The Hydrogenoid Constitution corresponds closely with Hahnemann’s Sycosis but it covers a much wider area and is not by any means confined to the acquired or inherited results of gonorrhoeal infection. Intermittent-fevers and periodicity come within its sphere.
At the present time Vaccinosis, or the constitutional sufferings from cow-pox infection, should certainly be included under this heading.
The antidotal relation to it of Thuja, which is one of Grauvogl’s principal remedies for Hydrogenoid is a clear indication that this is so. Moreover, Burnett told me that he regarded Gout as belonging to the Sycotic diseases.
The Oxygenoid constitution corresponds to Hahnemann’s Syphilis but we have no examples of its treatment as we have of the other two.
The Carbo-nitrogenoid constitution is Hahnemann’s Psora.
I will now let Grauvogl describe them in detail and give examples of their treatment- at least of the first and third. The Hydrogenoid is the one most fully elaborated and illustrated by a great wealth of clinical cases. It is also illustrated by cases from other writers, making altogether as fascinating a clinical record as it has ever been my lot to peruse. Parts of it had been already familiar to me but I may here confess that this is the first time I have ever had an opportunity of putting the experiences in their proper setting. I trust it may prove a worthy one and as helpful to others as it has been to myself.