Some indications on the sequence of remedies:
We are now going to say something very rapidly about the sequence of remedies of syphilis, specially in the child from its birth.
If you want to have clear understanding of the sequence, I will ask you to read a book on syphilis and to read again the malformations, all the lesions and all the troubles that syphilis can produce from the foetal stage up to the old age and try to keep in mind the names of Homoeopathic remedies as the limits of each stage of troubles of hereditary syphilis, primary syphilis, secondary and tertiary syphilis.
We will say that in this way we may very usefully unite the clinic and the Homoeopathic therapeutics.
Dr. Nebel has published in this journal an excellent scheme about the constitutions in relation to tuberculous stages. On this subject he gives us a triade of remedies. All the three of which meet at Sulphur and take three different directions:
–The normo-endocrinal direction.
–The direction of hypofunction of endocrines.
–The direction of hyperfunction of endocrines.
As regards hyperactivity of endocrines, the remedies are numerous, specially those which act on Phospho-calcic, in those who, from the hereditary psora move towards tuberculosis, beginning from Calcarea phosphorica, finishing with Marmoreck, passing through Kali carbonicum, Arsenicum iodatum, Natrum muriaticum, Iodium, Ferrum, etc…
In those cases there is an exaggeration of metabolism, function of some glands, specially of the thyroids, of ovaries and hypofunction of the suprarenal.
On the contrary the direction of endocrinal hyperactivity has less numerous remedies and a slow metabolism and a general hypofunction. Dr. A. Nebel indicates to us Calcarea fluorica, Baryta carbonica, Kali bichromicum, Aurum metallicum, Magnesia carbonica, Cuprum metallicum, Causticum, Ammonium carbonicum, Cuprum metallicum, Carbo vegetabilis and again Calcarea fluorica. It is the complete picture of hereditary syphilis from the childhood of the subjects who are less infected so as not to die in the foetal stage and subjects of first infancy who are going to live with a hereditary syphilis more or less attenuated.
This is very instructive. The child may be born with the symptoms of Calcarea fluorica. From his birth he has some malformations of the skeleton and troubles of ligaments. This picture will lead us to think about Calcarea fluorica, more than about Calcarea phosphorica or Calcarea carbonica.
We are face to face with a child who has :
1. Possible congenital malformations, which, even they are less marked, give at least an asymmetric look. The subject may have an eye placed higher than the other: loss of symmetry in the mouth, etc… Think of Calcarea fluorica when there is an ogival palate. We should look for the copper colour of the palate, an important sign of syphilis in whatever age it may be. On this subject Dr. Naret of Thonon has published an article, two years ago in the Bulletin de la Societe Rhodanienne. The child of Calcarea fluorica is then going to develop with a certain asymmetry, which may be present in the thorax or on the limbs. However, he will be sufficiently robust and his ligaments will be lax. He will have the tendency to entorses ( which is also later on found in Natrum muriaticum).
2. Lax ligaments in young age which may be contrasted with early sclerosis. He is very often a subject who, in young age could bend his fingers of his hands at a right angle with the back of his hands and if we follow this subject during his life we will find that at the age of 30 years this subject on the contrary has stiff hands even when he has not suffered from rheumatism. his hands have become ankylosed, which shows he has peri- articular sclerosis.
After Calcarea fluorica of the first infancy, Baryta carbonica is a good remedy of first and the second infancy in hereditary syphilis. The child is late in speaking and walking, he is backward in the class, he has incontinence of urine for a long time, and from all points of view he is late and for such a child we will do wonder with Baryta carbonica 30 and Syphilinum 200. In this case from the age of 2 to 4 we can get very good results if the child is late from all points of view as regards his general development.
Kali bichromicum is indicated in all the ages of life of the syphilitic. It is indicated in the child in all the trouble of tonsils like Baryta carbonica, which is an important remedy of the hypertrophy of the tonsils.
Kali bichromicum is a good remedy of a subject who has tendency to frequent anginas and tendency to diphtheria.