The homoeopaths are not always interested in the diseases of mind, though they follow Master Samuel Hahnemann who, we should not forget, largely and specially studied the cases of follies. His numerous disciples also, applied, to maniacs the principles of similitude and the law of infinitesimal doses. Particularly in the United States of America some health houses and some asylums have been reserved for the homoeopathic treatment of these states. Some valuable books have been written at the end of the last century, particularly of Butler (Mental diseases) and of Hart and Royal.
In France we are greatly indebted to an author who specially studied the mental syndromes and their homoeopathic treatment. He is Father Gallavardin whose works are to be read with interest.
Unfortunately in every country the homoeopathic clinic is at variance with the therapeutics, excepting in France; since some years we are trying to unite in our instructions these two branches of medicine. In a general way, either the doctors are specialists and clinicians, in this case they neglect homoeopathy of which they have only a superficial knowledge or it is the therapeutists, faithful to Hahnemannians, who neglect the science of pathology and the diagnostic precision.
It is time to build branch of medicine a durable homoeopathic work without sectarism. We will come to it when we will have among us sufficient elements of quality, and specialists knowing the depth of their technique, who are capable enough to understand and to teach the Materia Medica.
Fortunately the repertories and the pathogenesis contain sufficiently, symptoms of psychic order for which it is possible to apply homoeopathy in many cases; small mental syndromes associated or not to a vago-sympathetic disequilibrium, psycho- neurosis, and even psychopathies.
A SO FAR AS SMALL MENTAL SYNDROMES ASSOCIATED OR NOT TO A VAGO-SYMPATHETIC DISEQUILIBRIUM ARE CONCERNED they are easily ameliorated by a well conducted homoeopathic treatment, on condition it is well individualised from the clinical point of view. I will say nothing about the services that I owe to the excellent works of M. Laignel Lavestine that has given me a very clear view of these states as well as on psychoneurosis. How sure and easy it is to treat well the patient, not only after having sought for the similimum, but rather after having understood and classified his conditions in pathological order.
In practice the REMEDY OF CONSTITUTION OR OF MORBID TREATMENT IS THAT WHICH HABITUALLY COVERS THE MENTAL SYMPTOMS, the satellite, the functional remedies or the remedies of drainage will have for their actions to fix by their local elective action the effects of the constitutional medicines or better canalise these effects, according to the fortunate experience of Dr. A. Nebel or rather to DEGRADE THE INTERNAL MORBID ENERGY, to drain on the energetic as well as on the material sphere.
One can observe unceasingly these numerous patients in series in our times of tormented and restless activity. Anxious-The Aconite type which has an indescribable fear, fear death during the least disease.
Agitated.- Type of Argentum nitricum who is in an unceasing, haste who is always afraid of being late, time passes very slowly for him.
Spasmodics._Type of Cimicifuga, who has cramps of all sorts, and spasms (specially of long muscles), who has a sensation of having mists around his head that confuses his ideas, as if micelants or small animals walking over his body, or the type of Moschus, whose spasms are extreme and violent.
Nervous: Gelsemium. Students in course of their examinations, singers, actors, lectures, etc….
Irritable.- Nux vomica, Ignatia, Lycopodium etc…
Choleric.-This type is suitable to Colocynth or Chamomilla or Stramonium.
Wicked and Haranguous- Cina with worm symptoms, Stramonium a seeker of doing wrongs.
Sexual excess-Type of Lachesis and Hyoscyamus.
Sulky-Sepia. I remember how Sepia has cured a husband who periodically pouted at his wife and children remaining during three weeks in a scowling mood and mute. A dose of Sepia that the patient took without his knowledge in a pot of milk, stopped the access in two or three days.
For all these mental syndromes the materia medica is rich with gems that have shown their utility. The difficulties lie in the doses to chose and their repetition (thus Aconite in low potencies does not act in chronic cases but 30th centesimal of Korsakow and Higher). In most of the chronic cases it is necessary to give high potencies. On the contrary, it is necessary to give lower potencies repeatedly in the acute cases.
Another difficulty to solve, on which we have never drawn attention, and that personally we have often REMARKED, IS THAT WE MUST TAKE INTO ACCOUNT THE SENSE OF ACTION OF THE REMEDY. There are some centrifugal remedies and other centripetal, and most of them act in these two senses according to the selected potencies. Thus in an anxious and august patient Ignatia is centrifugal and ameliorates the psychical condition but aggravates sometimes the mental conditions in high dilutions, while Aconite and Causticum are centripetal and calm the mind. Cimicifuga is the most important of the remedies of spasms. It diminishes in all dilutions, which Ignatia or Lachesis often aggravate.
Another rule that I have formulated in my practice is this: FROM THE POINT OF VIEW OF THE MIND AND IN THE ORDER OF NERVOUS AND SYMPATHETIC TROUBLES IT IS GOOD TO PRESCRIBE AT FIRST one or more “Simili”, before the “Simillimum” that may aggravates greatly and without durable benefit. This is one of the corollaries of the laws of drainage as formulated by A. Nebel.
B. PSYCHONEUROSIS: The homoeopathic treatment is easy to fix seems to give often very good results. I will repeat once more that on this ground one will find easily the relations between the Materia Medica and the clinic using the excellent book of M. Laignel Lavestine and his schema of method. It is out of this schema is derived what I apply on different spheres for the classifications of symptoms into seven divisions; Mental, nervous, sympathetic, humoral, endocrinal, visceral spheres and in the last, the sphere of outlets and of microscopic mechanical effects.
1. Hysteria: A good psychotherapy, the PERSUASION is the best treatment of hysteria or of pithiatism, for which one does no more apply the dangerous hypnotic method. One will take into account the habitual factor of MYTHOMANIA brought into light by Dr. Dupre’. But the homoeopathic remedies are capable of acting in association with psychotherapy in order to modify the ground and calm down the exacerbation of the vago-sympathetic system.
Ignatia, Moschus, Platina, Asafoetida are classic. One should add to them Cimicifuga, Aconite, Hyoscyamus, according to the case and for sexual excitement Murex, Origanum, Staphysagria. One should not forget the medicines that act on the ovary: Palladium, Apis (right), Platina, Ovi gallinae pellicula, Vespa crabro.
2. Neurasthenia: It requires a treatment of psychic and physical order habitually mixed together. It is much more than we think physically; it seems to us that the “tuberculinism” and neurotropic toxins or Coli-bacilli are frequently the basis of these neurasthenic conditions. In these cases the constant digestive troubles will be ameliorated by Thuja and Nux vomica.
On the other hand, psychotherapy, climatology and mental hygiene are necessary, but by the help of Homoeopathy we may get ameliorations or cures more rapid with some remedies such Natrum Muriaticum. Gelsemium. Sepia, Aurum met and above all Calcarea carbonica which possesses in its pathogenesis some symptoms such as indecision, indolence, symptoms that one may find in acute neurasthenia.
3. Psychaesthenia: The cases of “psychaesthenia: are the most deceiving and the most obstinate of all psychoneurosis. It is the question of a person apparently healthy and well doing who pretends that he can do no work. He thinks and is in fact, incapable of all occupations. His entourage is divided into two opinions; the one which is the greatest in number, makes him believe that he is idle, and advises him not to hear and not to move; others who have for him a tender affection, the mother and the wife, pity him, and persuade him to lead an idle life, of parasital order compatible with some sure material resources.
It should be admitted on seeing a case of psychasthenia that a whole career-the whole life depends on the cure or on the failure of the treatment. But the classical treatment is almost futile and it is the most simple mental hygiene, or all sorts of psychotherapy that, can cure him. Personally, I have had the good luck to obtain some ameliorations and even cures with Serum Anticolibacillary of Vincent in homoeopathic doses, in the 30th to 1000th dilutions of Korsakow.
The ground remedies are: Thuja, Natrum Muriaticum and Silicea; very often Silicea has seemed to me to be the remedy of patient whose psychaesthenic stage begins after a long and profound overwork at the end of secondary and in the beginning of the higher studies as it is very often seen. I am convinced that in these cases, after overwork and bad physical and mental hygiene the tuberculinism exists making room for the colibacillosis, of which the evolution is torpid. It is, therefore, necessary to act deeply to make the patient desensitise to Tuberculine and Collibacilline with Serum of Mermoreck, Spengler, T.K., Denys, Vaudremere and Anticolibacillary serum. It is again necessary to remineralise the patient with the three Calcareas, Silicea and some extracts of cereals diluted or in gross form.
4. Emotional psychoneurosis. It is related to these cases by vagosympathetic disequilibrium that it accompanies and provokes or proceeds. The case of this type appear very frequently during actually troublesome times. They are often complex. One may find in them excitement as in psychasthania and rather a vagosympathetic unstability with emotion, hypersensibility to all impressions, exaggeration of senses and of impression.
There troubles may be provoked by physical and moral pain, anger, joy and above all by fear A very frequent case is this: It is the question of a woman who after a violent emotion or a series of emotions, is attacked by a stage of unceasing fear. She cannot remain alone, she cannot go out either alone or even accompanied, without being attacked by an invincible agony, or she cannot go into a cave, or pass into a lobby without window in it. One treats these patients by steps.
These are anxious neurotics, such as were found during or even after the war or during revolution. The homoeopathic remedies of this stage are: Lachesis, Ignatia (with prudence), Moschus, Aconite, Cimicifuga, Gelsemium, Ambra grisea (aggravation by music) These conditions of emotional psychoneurosis are more rapidly and easily cured than psychaesthenia or true neurasthenia.
C. It remains now to speak of True and Confirmed Psychopathies for which the precision of homoeopathic treatment is not yet thoroughly studied. Our personal experience is very candid and as for the different authors who speak of cases of this type treated by them with success, we are not bound to accept their savings but with prudence, because of the want of clinical experiences for which the old fashioned homoeopaths are to be reproached. We will therefore be satisfied in stating briefly some cases:
A CASE OF MELANCHOLY. It is the case of a worker in a bank, married, father of two children, depressed b y worldly cares, who seemed to be incapable to do his work, lived unceasingly with his wife in the house or during going for a walk, felt and indescribable fear, always hesitating, greatly depressed, wished to make an end of his life. Required immediate action, because the danger of suicide was imminent, the patient ought to have been constantly watched. Amelioration began after a dose of Calcarea Carb 200, and Tuberculinum 200 cured the patient with Kali carb 30, Pulsatilla 30, Avena sativa 3x.
ON THE BORDERLAND OF INSANITY: A young woman, blonde and thin of dry muscular fibres, intelligent and sensitive, suffered from not having any children, because the husband had not the desire for it, After a depression caused by overwork and repeated cares began the mania. Complete insomnia, exaltation, leucorrhoea, continual talking, access of jealousy etc. Dr. Morlaas advised to put the patient in a health home. The family preferred to keep her in the family. Cure began in there weeks after a course of Canabica Indica 6 and Hyoscyamus 6 alternated every two hours. Afterwards the patient has given birth to a girl and is doing as goods as possible.
In this maniacal states we should give Lachesis in high potency.
I have seen several aggravations with this medicine; patient becomes more agitated and still more sensitive.
IT SEEMS TO ME THAT IN THESE CASES THERE EXISTS AT THE BASIS TUBERCULINISM ASSOCIATED WITH A MENTAL DISORDER. Prof. Pages insists on the equilibrium of physical and mental state. One may have seen for example some tuberculous persons becoming psychasthenic when their pulmonary lesions are cured.
Morlaas and Allendy also insist on these metastasis. “By a therapeutic of drainage and derivation bringing back the menstrual flow one obtains some unexpected cures of some mental states wrongly declared incurable.
A CASE OF DELIRIUM TREMENS. A French subjects, partly of English origin of Anglo-Saxon type had an invincible inclination to alcoholic drinks (A Nebel has shown that alcoholism is due to tuberculism and responsible for desire for meat in an alcoholic person). This patient had an extreme and violent attack of delirium tremens which I. with my friend Leon Renard have treated. Cure began rapidly with Gelsemium (tremblings), Cimicifuga (spasms), Stramonium (violent delirium).
(Here the readers should one note the peculiar method of prescribing medicines by the French homoeopaths. At a time they prescribe a series of medicines and a administer a number of medicines during twenty-four hours. I do not yet understand why they do this. I have tried this method and to my wonder I have got unquestionable good results. This is perhaps the method of prescribing “Simile” before the “Simillimum” – Tr.).
Drainage with Spt. Quercus Glandium 1x and Nux vomica 30. For preventive treatment Apocynum canabinum O 10 drops every morning to remove the liking for alcohol.
MANY CASES OF DELIRIUM. Acute cases of delirium may often be cured with well conducted homoeopathic treatment.
Stramonium. In furious delirium, of persecutors and persecuted.
Belladonna. In delirium of diseases caused by fever, intention to tear clothings, to bite, to run out of the bed.
Hyoscyamus. In delirium of sexual order, jealousy.
Baptisia. Typhoid state. Thinks to have been cut into pieces. The Materia Medica is rich with practical informations on this subject. We have just given some examples.