NOTES ON THE NOSODES


Sometimes there is evidence of syphilitic infection, sometimes there is not, and dont be too sure that you can spot a case of syphilis every time. I have seen cases of syphilis in both men and women which I have observed them again months or years later, and carefully hunting for evidence of the disease, I have been unable to discover any-in some such cases the Wasserman would be still positive, in others negative.


Used in its strict sense a nosode is pathologic material derived from vegetable, animal or human sources. Secale cornutum is therefore vegetable or semi-vegetable nosode. Tuberculinum bovinum an animal nosode, and Medorrhinum a human disease product.

The endocrine remedies such as Adrenalin and Thyroidin should not be included under this group but should be studied in relation to the other glandular remedies, such as the pituitary and ovarian products, these all being physiologic and not internationally pathologic derivatives.

Continuing within the limits of our definition Lac vac defloratum and Lac caninum cannot be regarded as nosodes any more than Apis mellifica, Cantharis or Lachesis.

It would seem to clarify our understanding of remedies somewhat to definitely and correctly classify them. What remedies then shall we include as strictly nosodes? The chief ones are: Ambra grisea, Anthracinum, Lyssin, Malandrinum, Medorrhinum, Psorinum, Pyrogen, Secale, Syphilinum, and Tuberculinum.

The following may possibly merit inclusion: Cholesterinum, Diphtherinum, Malaria officinalis, Vaccininum, and Variolinum.

Of all the nosodes the ones that stand out as meriting the closest study are Medorrhinum, Psorinum, Pyrogen, Secale, Syphilinum, and Tuberculinum. These are all frequently indicated and are profoundly deep antipsorics. No homoeopathic physician should be without these great medicines and he should clearly know the symptomatic and constitutional indications for their employment.

Right here allow me to emphasize the point stressed by Kent, Allen, Felger, and others that the nosodes are to be prescribed on the symptoms and not for the disease of which the particular nosode is a product. When you prescribe let it be always upon the essential symptoms similarly existing between the patient and his remedy. This important rule of practice need not hinder us from observing that Tuberculinum is frequently indicated in obstinate and confused cases where there is the family history of tuberculosis, and that Medorrhinum is often indicated in conditions undoubtedly sycotic in origin.

If the case is sycotic there are a number of remedies as frequently indicated as Medorrhinum, and if Neisserian infection be present, either acquired or congenital, does that thereby exclude the possible presence of tuberculosis, syphilis, diabetes or other disease entity?.

Calcarea carb., Calcarea phos., Phosphorus, and other remedies are as frequently indicated in tuberculosis subjected as is Tuberculinum, and I have seen Syphilinum do apparently nothing in known syphilitic cases both inherited and acquired. But I have also seen it work wonders in other cases, perhaps syphilitic, perhaps not, where the symptoms of the patient match those of the remedy.

Now for a few outstanding characteristic symptoms of some of these great medicines.

Medorrhinum.

The knee chest posture in children-sleeps in a kneeling position with face almost buried in pillow. (Compare with AEthusa cynapium, Petr., and Sepia.).

Amel. lying on abdomen.

Timid apprehensiveness with marked fear of the dark.

A hurried impatient feeling.

Marked sensitiveness.

Inordinate craving for sweets.

Marked amelioration at the seashore.

Ame. in the open air.

Worse in the daytime. (I have never felt at all sure of this modality.).

Enuresis in children-passing a large quantity of pungent strong smelling or ammoniacal urine.

Pungent body odor.

Penetrating pungent odor to stool.

Marked tenderness of the soles and heels. (Confirmed a number of times.).

Psorinum.

The Psorinum patient is usually cold, dirty, offensive, itchy, eruptive and gloomy.

He is much like Sulphur but much colder and is averse to uncovering and especially wants the head covered.

Poor reaction following acute illness (Carbo veg., Sulph., and Tub.).

Bad effects of suppression and palliation.

Hunger during headache-amelioration while eating.

Bad condition of hair and scalp-untidy and uncleanly appearance.

Very offensive almost putrid body odors-this usually also applies to all the excretions. In this respect it resembles Pyrogen which I have several times observed to be indicated in an acute septic putrid state, and to be followed during convalescence with symptoms calling for Psorinum.

Periodicity is a strong feature of Psorinum-periodic headache, especially where preceded by or associated with putrid stool.

Lingering and recurring complaints.

Acts especially on the skin and sebaceous glands.

Especially sensitive to drafts about the head.

Putrid chronic otorrhoea in dirty cold subjects.

Agg. from bathing-like Sulph. and Calcarea.

Worse on exertion.

Agg. from woollens.

Agg. from heat of the bed.

Syphilinum.

All symptoms worse at night-from sundown to sunrise, from darkness to daylight.

Many times have I seen this symptom verified, and upon ….. meeting with I am solely tempted to reach for the Syphilinum bottle and pronounce judgment before taking the rest of the testimony and properly summing up the case. But we must not be hair trigger, one symptom prescribers. Let us look further.

The aggravation comes on slowly and wears off slowly.

This is one of the remedies indicated where there is deficient reaction in conditions especially chronic.

Sometimes there is evidence of syphilitic infection, sometimes there is not, and dont be too sure that you can spot a case of syphilis every time. I have seen cases of syphilis in both men and women which I have observed them again months or years later, and carefully hunting for evidence of the disease, I have been unable to discover any-in some such cases the Wasserman would be still positive, in others negative. Syphilis is often present where one would least suspect it. It exists in any of a hundred, I am almost tempted to say a thousand different forms.

Just here may I suggest, but by no means insist, that possibly what Hahnemann called psora might after all have been the endless train of symptoms and sufferings consequent upon inherited syphilis and sycosis, and possibly also congenital tuberculosis together with the terrible result of suppression in both the congenital acquired cases. If syphilis and gonorrhoea can be transmitted through one generation why not through several? Is not every one after all more or less syphilitic and more or less sycotic? Now the case requiring Syphilinum may be no more nor as deeply syphilitic than one requiring Psorinum or Tuberculinum.

Another well proven symptom of this remedy is leucorrhoea profuse, soaking through the napkin and running down to the feet.

More than any other type of leucorrhoea will the Syphilinum type do this every thing. It is difficult for the patient to take care of it.

Chronic headaches and periodic headaches associated with falling out of the hair-a strong feature of this remedy. Bone pains and bone aches-when worse during the entire night. The pains compel frequent change of position.

Tuberculinum.

Ever changing symptoms. This required explanation. It often works this way-you get a rather clear cut picture of a remedy and give it with that satisfied “Well done thou good and faithful servant” feeling we have all experienced after a careful and accurate prescription. Perhaps the remedy works. Perhaps it does not. In any event, in a short time the patient is back and gives us just as bright a picture of some other remedy, and we give it with less of that feeling and again fail to really bring about satisfactory reaction. One remedy picture after another.

This is one of the cardinal and characteristic symptoms of Tuberculinum. Change is the word, for the patient wants to roam and to travel, first here, now there, both near and far, a restless urge that known no peace, no tranquillity.

Always taking cold-often without adequate, apparent cause or occasion.

Glandular disturbances.

Chronically enlarged tonsils-very likely here comes in the family history of tuberculosis which many times can be elicited- more often than the history of syphilis or gonorrhoea for various and obvious reasons.

Eczematous tendency-often observed where there is tubercular history.

Tendency to lose flesh.

Often an easy sweating tendency. (Compare Calc. phos. which has a number of features in common with Tuberculinum.).

Air hunger-loves to breath in the cold fresh air but takes cold as if he does so.

In cases hard to spot where there are enlarged tonsils, glandular involvement and the family history of tuberculosis it will sometimes work wonders.

In cases of advanced tuberculosis-beware! It will occasionally produce a fearful aggravation like Phosphorus under similar circumstances.

The other nosodes it is to be hoped will receive some consideration in the discussion. PHILADELPHIA, PA.

DISCUSSION.

DR.KRICHBAUM: I have a striking case of woman who hasnt had a normal bowel movement for over twenty years. I was treating her, and she thought I was doing very excellent work. She came in and s aid she had to go down to Atlantic City to look after some property, and as soon as she returned, she was going to the hospital for observation, and if necessary she was willing to be opened to find out what was the matter. she had only a few minutes before she had to catch the train and she remarked, “If I could feel as good during the day as I do at night, I would be all right. From the time the sun comes up until it goes down, I feel badly”. I didnt ask her any more questions.

I gave her Medorrhinum. She had been having an attack of colicky pain. she thought she had appendicitis. She had symptoms of it without fever. She left on the train, and I didnt see her again. She wrote me in about two weeks to send her some Medorrhinum, which I did, and which she took-four grams of Sac.lac.-very religiously. she came back about four weeks later and she said, “I had some of that pain for about four hours after I left your office and it has never returned.” she is now having normal bowel movements and I havent given her a repeated Medorrhinum once. I think I gave her one other remedy. she has been paying for sugar, but she is well.

DR.GREEN: I would like to tell of an experience along the same line, but not so successful. A lady had a husband who died of tuberculosis and their children had inherited tubercular tendencies. While her husband was very, very ill, she had what the doctors at the time called sleeping sickness. Nobody seems to know whether it really was that or not. Within perhaps five or six years from that time she began developing rigidity in the muscles of her jaw, some of the muscles in her face, and then it spread.

I lost track of her for several years about that time, and when I saw her again she was a pitiful looking sight. The doctor she had had, had diagnosed it as paralysis agitans. However, she was emaciated to a very sad degree. The expression of her face was changed completely; she did not look nearly so intelligent as before. The stiffness had grown worse. She held her hands out in front of her and walked rather stiffly. She said, “I wish I could tell you how I feel. I am so nervous. I wish I could tell you how it feels inside”.

That is about all I could get out of her. Her mother told me that when she felt worst, she would go upstairs and do what she called “putting her head down”. I had her illustrate to me what she meant. She meant sitting down on the edge of the bed and bracing herself on the edge of with her hands and tipping her head over until it hung over the edge of the bed. She would stay that way for from a few minutes to an hour at a time. She said it made the nervousness inside less.

Then her mother told me that at about nine-thirty every evening all this nervousness and the rigidity would rather suddenly let up and she also looked forward to that time of day because for the rest of the evening she would feel much more like herself and look much more like herself. She was in the habit of sitting up until one or two oclock in the morning in order to get the benefit of the amelioration, and then she would sleep in a relaxed way until her regular waking time, and as soon as she awakened and started the day, the rigidity would return with all the distress.

I gave her Medorrhinum and there was a slow amelioration, so that she herself said that all the symptoms were less. She could use her hands much better. She could handle herself at the table, and dress herself, comb her hair much better, and gained a little in weight, but it didnt last, and repeating the Medorrhinum didnt bring about as much amelioration the second time as the first. The family, in other branches, were so importunate with the mother that they finally went off to some other kind of treatment and had a lumbar puncture and various other things, so I dont know any more about them.

These apparent Medorrhinum symptoms are interesting to me and I never met a condition anywhere like this.

DR.ESMOND: I would like to relate a case in regard to Medorrhinum. A few months ago a young woman brought her daughter, five years old, to me. she said, “Every once in a while this child will have a soreness around the vulva and the and the anus and sometimes a slight discharge from the vulva. I asked particularly in regard to gonorrhoea in the father and the mother, but I could get nothing satisfactory. If there was any such thing, they denied it. But notwithstanding, I gave a dose of Medorrhinum, 1M and in ten days the whole condition cleared up and has not returned. That was several months ago, and she had attacks every few weeks.

DR.FARRINGTON: Madam Chairman, I liked the doctors paper very much, and especially the stand that it takes that we should prescribe these remedies symptomatically and not give them merely on the supposition of a preceding miasm, either inherited or acquired.

Speaking of Medorrhinum, I have cured several cases of asthma in children with it. The leading symptoms usually was that the child took that knee chest position at night, and I know positively in one of the cases that the child had no asthmatic valves.

I would like to relate a short case for Tuberculinum. Many years ago I was called to see a lady of about 69 years of age. After careful examination and questioning, I could practically no symptoms whatever. The only things that I could ascertain were that she was emaciated and although she had a fair appetite, her strength was declining and the left shoulder was getting stiff. I did not prescribe at first, but during the several days in which I was giving her expectant treatment, the shoulder became almost ankylosed, at least I could not move it. I gave her a single dose of Tuberculinum and very shortly noticed an improvement in tone and in strength, and the shoulder began to limber up so that the inside of ten days t was as good as the other. The woman got well, at least as well as a woman of that age could be. Apparently there was no inflammation, no previous history of trouble in that shoulder joint, no history of tubercular heredity, nor anything of the sort.

DR.WOODBURY: I have verified two symptoms of Psorinum that were set down in the books as characteristic of them-hunger at night, accompanied by headache, a long, standing, chronic headache, and dyspnoea relieved by lying down. There are only one or two other remedies that have that symptoms, but when one or two other remedies that have that symptom, but when one can get that peculiar complex, it is striking. I have also verified the action of Syphilinum in the constant washing of the hands. I have verified Tuberculinum bovinum in the tonsillar growth of children.

I have had some results with Medorrhinum as an intercurrent in cases of chronic gonorrhoea.

Secale disappointed me in a case which had arteriosclerosis. I thought Secale was the remedy, but I found that Sulphur very quickly changed the whole condition.

Ambra grisea I have verified in its peculiar nervous symptoms.

DR.SLOAN: I had a case of asthma for several years past which I relieved, but didnt cure. Finally I awoke to the fact that the attacks came on about bedtime and Syphilinum cleared it up very quickly, and so far it has remained cleared up.

DR.WAFFENSMITH: We cannot cure all patients who come to us. Some of them die. I want to call attention to one important phase of Tuberculinum, and that is in euthanasia. It has been of good service many times in this respect, and especially in cases which have had an active prior tuberculosis which has improved or quiescent. Later on in life when they pass through the crisis or when a malignancy or other incurable condition appears, think of tuberculosis. I had one particular case last winter which made quite an impression upon me.This case had been digitalized and suffered intensely from all t he important characteristic symptoms of digitalis. she was a prover of digitalis. I had never seen a more perfect proving.

In the progress of the treatment of this case, I secured very little result. The first remedy I gave was Ignatia, which did a great deal to modify the neurotic symptoms, but the patient rapidly went back to her former condition. After a careful study I concluded that she had but a very short time to live and that the remedy indicated as far as I could see, was Tuberculinum.

Within six hours Tuberculinum cleaned up all of the hyper-activity and the nervous irritability, and the patient, who was known to have an intense fear of death, called her mother the night before she died, entered into the discussion of business affairs very quietly and peacefully told her that she was going to die. The family repeatedly thanked me for this euthanasia condition that that Tuberculinum had given in this case. I remember another case, a homoeopathic physician, to whom I gave Tuberculinum. There are two remedies that I always consider in this neurotic state prior to death, Tuberculinum and Tarentula hispanica.

DR. FARR: I didnt hear Dr.Underhill mention Bacillinum. I inherited the drugs of a Brooklyn physician a number of years ago, and among them I found Bacillinum. I also had Tuberculinum. I dont know just what the difference is between the two remedies. I am using Bacillinum much more than Tuberculinum in the conditions which sometimes follow the grip of flu, where we have a small afternoon rise in temperature, a lack of appetite and a general tubercular looking condition. I find Bacillinum comes in very often in such cases. I have tried the Tuberculinum and do not get good results. I have Tuberculinum in the 1000th and in the Bacillinum I have the 200th.

DR.KAVCIC: I am sure that Hahnemann would have known that psora is at the bottom of tuberculosis if this really were true, because tuberculosis does not attack a healthy man. A man who sickens with tuberculosis must have some constitutional weakness. Only so will he contract tuberculosis. Very often you will find tuberculosis and no psora, but you will also very often find psora and no tuberculosis. Perhaps this will be much closer to the truth than everything else.

DR.BOGER: Psora and itch were usually considered the same thing until Baggenhouse exploded the idea and said that the after effects of itch was only a psoric susceptibility. Now about tuberculosis, there are two starting things that came to my notice. I talked this subject over a great deal with the late lamented Dr. Patch. One day I said to him, “Dr. Patch, do you think that a tuberculosis in the body is ever destroyed”? He said, “No, the patient never shakes it off”. I said, “What makes you think so”? “Well”, he said, “my father-in-law, who was raised near Lynchburg, Virginia, had tubercular haemorrhages when he was a young man. His lungs healed up, but in his old age somewhere in the eighties he developed an obscure brain trouble. We were not able to diagnose it and he died. We did a post- mortem on him, and found tubercular nodules in the lungs”.

I am very much of the same opinion, that no case of tuberculosis ever eliminates the germ. True, it may become quiescent, but it is never eliminated. A recent occurrence in my practice bears me out very strongly in this respect. A young woman who belongs to the “poor white trash” class, that is the very lowest type, came into the office one day and said, “Doctor, look at that wrist.

All the doctors tell me that I have rheumatism and there is no use of taking any medicine; that in six weeks I will get well without any medicine. I cant stand the pain”. I looked at it and said, “What do they say that is”? “It is rheumatism”. I said, “Have you a cough”? “Yes, I have a cough”. “Do you have night sweats”? “Yes, I have night sweats”. “How is your appetite”? “I cant eat”. “What kind of pain do you have in that wrist”? “I feel all the time as if water were slowly running through my wrist”. The wrist had a peculiar oval look of tuberculosis of the joint.

I gave her one single dose of Tuberculinum and in five days you could see all the ligaments in the wrist. There was ankylosis there. The pain all left. She rested well. Her appetite came back, and the cough stopped in about ten days. A month or two after that a friend of hers was in office and I asked what had become of her. She has gone to the City Hospital to have that wrist broken over again. Can you imagine any man who considers himself a physician breaking that wrist open again? That is the kind of a person who tries to tell homoeopaths what to do.

Eugene Underhill