1. The Nosode Syphilinum: Two questions arise: Is Syphilinum capable to Negativise the Bordet-Wassermann reaction?
The second problem which requires solution is : How many times Syphilinum is indicated in Syphilis?
In fact we do not know absolutely anything. It is one of the nosodes that we may use in two ways, either according to the real Homoeopathic method, or uniquely on the etiology of Syphilis in a systematic way. But when we give it systematically its action is very inconstant. Then it is necessary to ask oneself if it is faithfully only in relation to the symptoms of its pathogenesis, or it can really transform and negativise the serological or humoral reactions.
About ten years ago a Homoeopathic doctor of America used in syphilitic patients numerous medicines strictly according to the law of similars. The Bordet-Wassermann reaction was tested before and after the treatment. The medicines that seem to negativise are Lycopodium. Syphilinum comes to the second rank ex-aquo with many other remedies.
That was not a very intensive study. It is necessary to take up the question again. Because some persons may pass through the stages of negativation and reactivation in the evolution of the disease. However, it seems that in some cases Syphilinum acts in a sense of negativation.
Clinically Syphilinum seems to act better in the hereditary syphilis or in some very old cases and it is possible that its action is eclipsed like the disease itself. We do not find always the symptoms of Syphilinum, specially when the treponema enters the blood. The symptoms are rather manifested when the treponema is refugiated in the nerve tissues according to a still unknown mechanism. I have often observed when Wassermann test is positive, the Syphilinum has no indication whereas when it is negative the symptoms of Syphilinum are frequently seen.
2. The Metals: We are now going to speak about the classical Homoeopathic treatment of syphilis.
Our arsenal has many minerals than vegetables. Let us study at first these minerals.
Among these arms Gold and Mercury are very important.
The Mercury: It has about 15 salts which may be used.
The most well known is Mercurius solubilis or Mercurius vivus.
When you study the pathogenesis of Mercurius, you will find that this metal affects specially:
–The Lymphatic System: Ganglions and vessels.
It is necessary to know that it acts in all the stages of syphilis and in all its periods. It is a classical remedy of the Allopaths and so it is of the Homoeopaths.
Mercurius has, however, advantages as well as some disadvantages. It is surely advantageous when it is necessary to act on the Mucosa, on the digestive canal. But very much inconvenient when it is necessary to act on the skin or even sometimes on nervous system.
First of all in primary syphilis, is Mercury capable to act? We may reply in the affirmative. When you have to treat a chancre it is classic in Homoeopathy to use Mercurius solubilis or an other compound. That does not mean we will be satisfied with it. In France we understand Homoeopathy in such a manner that we want to become first of all a doctor then a Homoeopath and we draw out of Allopathic arsenal when Homoeopathy is not enough for us. Dr. Nebel informed us of a German doctor who in primary syphilis used Mercury and its salts in 2x, 3x, 4x, with impressive results. The author of the book pretends to have cured chancres with complete stoppage of Syphilis of that period. As for me, I am very sceptic, and I would preferably follow Dr. Bonard of Marseille. He very courageously rose against the exclusive Homoeopathic treatment of syphilis which may cause us to be treated as sectarian by the other school.
In the Homoeopathic clinic one cannot say frankly that we obtain excellent results in primary syphilis and secondary syphilis, because first of all among our patients we do not find any such case. As for me, in my private consultation, I still wait for such a patient with indurated chancre. I have seen only two such patients in Hospital consultations and that is all. Besides chancre is relatively rare.
On the other hand most of the persons do not know how they have contracted syphilis. The chancre has disappeared unperceived and one does not know whether there was a chancre at all. It is, therefore, not possible to form an opinion about the treatment of syphilis with necessary support with facts. We cannot buy say what other authors say and we are not always sure of their scientific mind.
Mercurius solubilis: In the secondary syphilis Mercurius Solubilis will act better in the 2nd decimal. One is proud of the action on the pains and ulcerations of the throat and of the mouth and in mucous plaques of all sorts, in articular pains and in alopecia of syphilitic origin.
In the tertiary syphilis, it may still act when there are gammas.
But Mercury acts specially on the hereditary syphilis. I think that for us, the salts of Mercury should really be considered with respect in the treatment of heredos because there are least we have solid experience. If we do not find any patient with plaques or chancres, the hereditary syphilitics very often come to us, specially children and in these cases we receive undeniable results.
Mercury seems to have double action. On the treponema and on the syphilitic ground. We may avoid all sorts of intoxications using it in classical fashion.
But in order that Mercury acts well and rapidly it should be used in ponderable doses like the officials. Mercury suppositories, frictions, etc…
In summary we may say that the attitude of Homoeopaths should be: preferably Mercury alone and Arsenic the least possible.
In the hereditary syphilis, Mercury may act on all possible troubles.
I will recall to you some of its symptoms which may indicate it in acute or chronic cases. But if we try to reason inversely we will find that we will arrive at in a practical way, some interesting facts. Instead of telling to ourselves: whenever there is syphilis, let us give Mercury. Let us rather say: every time Mercury is indicated, let us try to find out whether there is really Syphilis and very often we will be right. When you have some very clear symptoms of Mercury similar to Syphilinum it is specially necessary to think about it. First of all an important Modality: Aggravation at night, which is perhaps more or less a symptoms of all the medicines that gravitate around Syphilinum. In Mercurius solubilis or vivus you have Aggravation in the heat of the bed; great sensitiveness to all changes of weather; sensitiveness to heat and cold. The patient is too much hot, he has sweats and often burning sensation but sweat does not ameliorate. Sweats are oily and extremely abundant, which does not ameliorate. The subject has foetid breath, foetid smell of the whole body and of all excretions, having a suppurative tendency.
Sedillot says that the treponema has a very great affinity for all superadded infections. It is very clear in Mercurius subjects who has the tendency to develop all sorts of suppurations. There is a very clear association with pyogenic germs and treponema.
Mercurius will particularly give good results in Vincent’s angina. It is to ask oneself whether Vincent’s angina and mumps are among infectious diseases, being given that Mercurius acts very rapidly in those cases.
It is said that Mercury is a real human thermometer because it registers all sorts of thermal changes.
I will act on soft chancre and more in hard chancre.
This is what we know about Mercurius solubilis, the most important of all Mercury compounds. Now let us speak of other remedies. There are three others of which the Latin names do not begin with Mercurius: Aethiops, Aethiops antimonialis and Cinnabaris.
Aethiops: The first one is black Sulphur or Mercury, Aethiops or Mercurius mineralis. It contains Sulphur and Mercury.
It is generally used in 2x in hereditary syphilis and in what was formerly known as Scrofula. We are of the same opinion with Dr. Dano who says that the scrofula of the ancients is really an association, in a child of tuberculinism and syphilis.
In scrofulous state, there may appear ophthalmias, otorrhoeas, and some irritating and painful eruptions. On this subject every time you see a child who has early sensorial localisation, specially of suppurations, it is necessary to look for very attenuated Syphilis. That does not mean to say that all the children who have otitis are heredos. However, when there is deficiencies on the side of eyes or ears, it is necessary to look for the indications of Syphilinum.
Dr. Seidengart who has learnt it from Dr. Crepit, told me one day that in these cases Sulphur iodatum may act usefully. This will be the ground remedy of the Luetics who have sensorial localisation with certain facial asymmetry.
Aethiops should be given in lower dilutions and sometimes in the 30th.
What is interesting in this remedy is that it is capable to cure stubborn cutaneous affections; some cases of herpes, eczema and psoriasis.
There appeared in the Review of Dr. Clarke of England, taken up later on by Ellis Barker, a case of psoriasis, cured by Aethiops 2x.
Aethiops antimonialis. Less important and is a compound of Mercury, Antimony and Sulphur.
It has been used in all scrofulous states with adenopathy, otorrhoea, corneal ulcers.
When a very young child has chronic blepharitis, we must think of Psora and Syphilis. You know that the specialists look for syphilis when a new-born has wide spread eczema which is very persistent. In such case we may have very good results with Syphilinum. Syphilis may sometimes cause temporary aggravation.
Cinnabaris: A very important remedy. Its real name is Mercurius sulfuratus ruber. It is, therefore, a compound of Mercurius and Sulphur.
The two Aethiops are remedies of scrofula, i.e. to say of the association of Psora and Syphilis. Cinnabaris will be a remedy of association of Sycosis and Syphilis.
It is a complementary and satellite of Thuja which it follows well. It acts on sycotic states (warts) and in syphilis, specially when the two states are combined. Warts on the prepuce, biting ulcers, phagedenic ulcers, ganglions are attacked with buboes, soft and indurated chancres, squamous and vesicular syphilis. These are its indications.
It acts specially on condylomas which bleeds easily. You remember the case that Dr. Tellier told us about old Dr.Conan who himself cured him small canceroid of the face with Cinnabaris 3 and Thuja 6. Since then these two remedies are given in similar cases with marvellous results, in all dry warts, bleeding, specially of the face near the eyes. This remedy also acts on ciliary neuralgia. Like the Aethiops, the elective localisation is on the occular globe. In ciliary neuralgia with pain going along the lachrymal duct to the temples up to the interior corner of the eye and up to the eyebrows and even to ears, you should think of Cinnabaris. Pains of the orbit bones, redness of the eyes, blepharitis with corners of the eyelids red.
Like Aethiops, Cinnabaris should be given in lower dilutions 3x or 3. For the Mercury salts it is almost a general rule.
Now we come to a different kind of Mercury. Let us cite:
Mercurius auratus. A compound of gold and Mercury. When the symptoms of both the elements are there, naturally one will think of it. We use them in syphilitic catarrh with bone lesions, specially of bones of the nose. It will act in ozaena, tumours of the breasts, testicular swelling and tumours and also in Psoriasis.
Mercurius bromatus. It acts specially in secondary syphilis. Bromine has always an elective action on the skin. Thus Kali bromatum acts specially in acne, psoriasis, on some urticarias, eczema. All the troubles caused by bromine which may be clinically verified will serve us to understand the compounds of Bromium. Mercurius bromatus, consequently should be considered in Syphilides. Among all the salts of Mercury it acts better in cutaneous affections of syphilitic origin.
Mercurius nitrosus. It is used in Keratitis, and in pustulous conjunctivitis. It may also be used in all sorts syphilides.
Mercurius phosphoricus. It is used in exostosis. Let us recall here the best Homoeopathic remedy Hekla lava which is remarkably faithful. This remedy may be compared with Fluoric acid. When there is osteitis, specially of the diaphysis of the long bones think also of Conchiolinum. It is enough to refer to the book of toxicology in which is described the osteitis of persons who work with mother of pearls, in order to understand the value of this remedy. I admit that this remedy has not given me good results. On the contrary Hekla lava is remarkable and it is followed by T. R. and Syphilinum according to the case.
Mercurius precipitatus ruber. Used in the association of gonorrhoea and syphilis. It acts better on treponema than on gonococcus. It may ameliorate urethritis when the urethra seems hard and swollen or in chancres and phagedenic ulcers, in eczema, blepharitis and otorrhoea.
Its symptoms are comparable with those of Lachesis; Suffocation oat night, when the patient is lying down, at the time of sleep; he is suddenly forced to sit up on the bed and wakes up with agony.
Mercurius tannicus. Syphilis, alternating or co-existing with gastro-intestinal affections in very sensitive subjects and in subjects intoxicated with mercury used in gross doses.
Mercurius corrosivus. The sublimate is also, like Mercurius precipitatus ruber and Mercurius Solubilis, a remedy used against gonorrhoea as well as against treponema. It acts in deep corrosive stage of ulcers that become soon grave and having rapid evolution. It is very often used in syphilitic iritis. Mercurius cyanatus is also used in this case.
I have seen very frequently our friend Dr. Subileau use Mercurius corrosivus or Mercurius cyanatus in iritis with success, as well as Spigelia, Iris versicolor, Lachesis, Mercurius corrosivus may also be indicated in syphilitic albuminuria and nephritis of the secondary stage.
It is also used successfully in ozaena with perforation of the septum. In this case Thuja is the ground remedy.
Mercurius cyanatus. It is comparable with Mercurius corrosivus in all syphilitic ulcers, when there is the menace of perforation. Necrosis, perforation of the palate with very bad general condition.
Mercurius dulcis. The Calomel. Some are very proud of it and some are not.
As for me I use it very often in children having a liver which does not function well and in digestive troubles. Perversion of appetite and anorexia.
When a hereditary syphilitic has a big liver and a big spleen or only a big spleen, it will be necessary to think of Mercurius dulcis, having relation to Lycopodium. It acts better in 1x, 2x, or in 3x. Pierre Jousset used it much in the 6th, specially in hypertrophic cirrhosis of liver. I think in these cases Phosphorus is to be preferred in high dilutions followed by Digitalis, China and Arsenicum. But like all sorts of Mercury salts Calomel is an important cholagogue although it is very much disputed between the clinicians and experimentators. The latter say that Calomel is inferior to other substances, vegetables or minerals that may cause biliary vesicle like Magnesia sulfuricum. However, the clinicians stick to Calomel, an excellent remedy for insufficient liver function or for digestive troubles, specially of the children.
It acts also on phagedenic ulcers and copper colour eruptions.
Mercurius iodatus flavus. It is used in the troubles of the throat, in chancres of tonsils.
It will also act on indurated chancre of the phallus with inguinal glands which are very hard and very big, and also on tumours of the breast.
But whenever it is the question of primary or secondary syphilis we are not sure of its action.
Mercurius iodatus ruber or biniodatus. It is a very good remedy. If I had to valorise the importance of the different Mercury compounds I would have placed it in the first rank. Aethiops, Cinnabaris, Mercurius solubilis, Mercurius dulcis and Mercurius biniodatus.
Those that I use more frequently are Mercurius dulcis in simple cases and Biniodatus when it is necessary to act deeply. The action of the last one is like that of Kali iodatum. It may be used conjointly with Kali iodatum and it will act well in all the phases of Syphilis, even in very ancient acquired syphilis. It may be used in tertiary Syphilis in a systematic way and it seems to act also in the primary stage, when there is chancres, but specially in the hereditary phase. It will act better in the 3x in chronic scrofula, chronic suppurative buboes, aphthaes, and in all sorts of syphilitic ulcers.
It will also act on the skin, when there are papules with induration of the papules.
We have studied 15 compounds of Mercury. Here we have seven compounds of God.
If Mercury acts better in the tertiary period or in hereditary syphilis, as we do not know its action in the primary and secondary syphilis, Gold very clearly acts better in the tertiary period, more in the adult than in the child because Gold is indicated in syphilis when there is sclerosis.
Aurum metallicum is indicated in periodic scleroses which cause irremediable lesions.
As for example if you find a person, who, still young, has aortic clangor or senile arch of the cornea or some sclerotic plaques in different parts of the body when you will be astounded to see that at the age of 22 to 24 years, the subject has scleroses always thinks of hereditary syphilis and of Aurum because a patient suffering from acquired syphilis, will not have so early sclerotic tissue.
You will then have association of classical arthritis and syphilis. When we say classical arthritism we mean Psora and tuberculinism which are hereditary and weakened.
Arum metallicum acts on glands, blood and bones. It also attacks the mental sphere.
Bones: There may be necrosis of bones; an attack of the conjunctive tissues or on the contrary the transformation of bones may end in caries or in some cases exostosis. Syphilitic osteitis is atrophying or hypertrophying. In light cases we may note only pains at night.
You will find for example some subjects having pains in the skull, of nose, of palate, of behind the sternum at night. When ever there is such a pain we should think of syphilis.
In acute bone pains of influenza you should think of Eupatorium perfoliatum.
In persons whose growth is difficult, think of syphilis and specially of Gold while treating them.
Mucosa: When there is atrophied Mucous, there may the n be ozaena and at the same time some necrotic affections of the bones of the nose. Mucous lesions often accompany bone lesions. Early necrosis is to be sought for by the help of radiography. A syphilitic osteitis may grow unperceived and may cause one day a fracture by the slightest cause.
In such a case Aurum may act with Phosphorus and Syphilinum.
Sympathetic system: Aurum acts specially on lymphatic ganglions. We come again to scrofula, either in the child or in the adult. It is, therefore, necessary to look for ganglions in all parts of the body, very often below the elbows.
Aurum metallicum may also act on all possible gammas.
Circulatory apparatus: Finally Aurum metallicum acts electively on the circulatory apparatus, on the containers (heart, aorta) as well as on the contained (blood). You may find arteriosclerosis, aortitis, aneurysm which are treated with gold.
We may ask to ourselves whether Aurum acts as a preventive against coronaritis, in the infarctus of the myocardia which is often found in syphilitic subjects in the tertiary period when there is arteriosclerosis, early or late. Think of this remedy in cases of cerebral syphilis, in hepatic and renal lesions as well as in cardiac lesions.
Mental and sensorial sphere: You know that one of the most important symptoms of Aurum is Desire for suicide. It should be compared with Alumina and Nux vomica of which the tendency to suicide is not so dangerous. Two kinds of suicides are to be feared. That of Calcarea fluorica and Aurum metallicum.
Calcarea fluorica suits to bankers and financiers who are ruined and who wish to shoot themselves. Here it is the question of hereditary syphilis which has gradually caused mental change. The Fluoro-calcic of Nebel, or the Calcarea fluorica type has the desire to pose himself, he is generally extremely gifted for business, and for all profession that may help to earn money, specially banking.
But he is unstable and anxious; he is terribly afraid of being ruined; often becomes a miser and accumulates money because of his fear of being ruined; he then goes towards Arsenic album, a remedy of old persons who was formerly very generous but for fear of being ruined has amassed money.
Aurum metallicum is haunted by the idea of suicide which comes to him suddenly. The subject is impulsive and he may kill himself when there is none who may check him. He lives well, has a red and joyful look of the sulphur type; he is gay in company and who will kill himself after a pleasant soiree when he was found very jolly.
Although Aurum metallicum has a tendency to suicide, he is afraid of death when he is not feeling disgusted and discouraged.
The other mental symptoms of Aurum metallicum are: weak memory, loss of intellectual capacity.
The subject may become taciturn, he has anthropophobia, does not want to see anybody, cannot bear consolation and contradiction. He is often authoritarian and irritable. Thus he is very similar to Nux vomica.