The remedy under consideration is a tuberculo-sycotic, increasingly appreciated with use, and an invaluable addition to the therapeutics agencies of the new school in medicine. Being a human disease product it occupies a position modern in its pathogenesis. Again, there comes to us with force the thought that development adjustment to the need is in operation in the field of substances which may be proved and clinically used.
There is a distinct relationship to Sulphur, the restlessness (mental and physical), the formication and itching in general permit of it following and being followed by Sulphur. Patients sensitive to touch want hard rubbing under its use, there is an oversensitive condition, an intensification of the psoric through sycotic expansion, which this remedy modifies.
Under a primitive miasm, psora, temporary relief can be obtained from physical effort. With the germinal impulse liberated and the development of subsequent disease forms we find varying phases of sensitivity arising from the background. This may be studied in the light of the duality of racial evolution. representing one pole of the major process plus the individual characteristics, namely the “strange, rare and peculiar” grouping of the Organon.
Where there has been a modification of the natural disease by the suppression of complications connected therewith we may find a drifting as it were. Upon closer scrutiny the outline of the Sulphur picture appears although it may be somewhat dim. The remedy is doing good work. You will raise the potency plane and give enough time to act, but repeated analysis will strengthen your conviction (and the patient will share the same with you although unable to express it) that something more is needed to jar loose the fading habit bond of miasmatic encagement of the vital force. This represents the restlessness of awakening cumulative health impulses in readjustment.
When needed to supplement Medorrhinum there appears a lack to meet the residual; concentrated psoric similarity, to bring out fully the vital reactive impulse which causes one to feel the unity of action desire and the coordinate determination to face the problems of life.
After a miasmatic crisis in the life of an individual with a corresponding asthenia in which the vital balance has been sufficiently sustained to weather the storm there may appear a more or less ravenous appetite. This under the action of Medorrhinum is often stimulated with lack of proper assimilation and addition of weight. There will be general improvement but the appetite and obesity tendency will persist, being an obstacle to the satisfactory progress of the case and the peace of mind of the patient.
Under the action of the indicated Sulphur there will appear increased endurance, a stiffening of the back-bone, the indecision will grow less, the appetite diminish, there will be almost an aversion for food, and a general shrinkage of the tissues. There will be small of loss of weight and an acceleration of the general improvement which took place under the previous remedy. This clearly presents treatment reversion to meet a primitive status of racial dynamic desire which in the evolving chain of circumstances and conditions remained up to this time unsatisfied.
Homoeopathy stands out in medicine by virtue of the liquid human vitalism in its provings, which, through the artistry of the master, can be molded into similarity with the disease picture in a rational manner.
The day aggravation has been established. There is also a critical period before sunrise and after sunset. Medorrhinum is benefited by the solar rays when not too hot. The dynamic balance is disturbed by the change from day to day to night and vice versa, corresponding to a like condition from change of weather, of environment, sleeping to waking state, etc. In awakening there is a confused and semi-conscious state of anxiety, fear and restlessness.
There are marked inconsistencies and contrarieties, an anarchy of the desires and aversions, a psycho-mental malignancy. In similarity it brings order and sequence in miasmatic interlocking. The danger in the case hanging in the balance appears in wrongly directing another remedy to meet the new appearing group without maintaining the balance of relation to the others in combination. Many cases are ruined for improvement in this way.
There is a desire to do, accompanied by a panicky feeling (Lyc.), which results in a psychic conflict, irritating anxiety with procrastination, a motion obsession with lack of proper adjustment ability. Strong impulses arise with fear and anxiety in chest. Perversion of natural desire rhythm, emotional chaos, and general depression.
The problem we face for solution is often partly social, connected with the “exciting cause” of Doctor Hahnemann, and we may not be able to remove same except as we impress the social structure with our philosophy of natural living.
CONFUSION, when indicated clears the process of thinking, develops exhilaration and a quick functioning of the mind mechanism. There is an uncertainty in sycosis, especially with the hereditary tubercular background, a useless expenditure of energy.
PROCRASTINATION, strong desire to do but keeps putting it off. There is a hurried anticipation with lack of determination to complete. The will to concentrate is weakened.
PERSISTENT THOUGHTS, inclined to brood; ego-centric; fancies of joy or sorrow; dwells on faults of others; perverse desires and aversions, deep-seated and persistent.
SENTIMENTAL MOOD, indefinite longings, tinged with sadness and mild loathing of life; reflectiveness; aggravated before sunrise and evening after sunset, from company, change of weather and music (Nat. sulph).
This is a characteristic of the passive tuberculo-sycotic type. In these persons it is difficult to elicit symptoms of value and it becomes necessary to enlarge upon the use of the objective miasmatic symptoms to round out the totality. This type of case is introspective and possesses definite eccentricities.
It corresponds with the Kalis, which also have the desire for motion, although there is a deeper shade of indolence. The Phosphoric acid element (Kali phos. has a sustaining ability to assist through a serious crisis under which the patient may be laboring. Medorrhinum may follow to correct the deeper suppressed effects.
Kali carb. when there is a picture of cellular toxaemia, a tendency to exudative swellings.
Kali iod. comes in the destructive phase; the brutally irritable; and the growing shyness of the insane.
Homesickness; distracting desire to return to friends and places visited many years ago; dreams of friends and places of long ago.
Unrealness of life; seems like a dream; ponders how it all came about; sensation of remoteness of recent events.
FORGETFUL; absent-minded; does not seem to register; forgets as quickly as mind is off subject; must put in writing that to be remembered. When leaving home forgets if windows were closed or door locked, must go back to be convinced, and repeats procedure. Forgetful of names and figures of what he has read. Forgets recent events but those long past remembered.
Anxiety; comes in waves over her (Sulph); anguish; a feeling of anxious hurry, a panicky state with prostration.
FEAR, many kinds; of death; of sickness; of the dark; being alone; of disease; of paralysis.
Sadness, aggravated by music and in company; tendency to dwell on past unpleasant occurrences (Nat. mur).
Weeping which ameliorated all mental symptoms.
Sensitive to external impressions; to others talking or ASKING QUESTIONS; to noise; odors.
Anticipation; knows things before they happen; visualizes the scenes as they will be.
Restless urge; a driving feeling must get away; desire for motion, which ameliorated all symptoms; internal restlessness, aggravated in a closed room, ameliorated by motion and open air. FEELS AND ACTS HELPLESS; is a sensation of mental and physical disjointure, on the point of coming apart, aggravated from concentration (Bacillinum, Thuja).
Anger; uncontrollable desire to swear.
Double vision; blurring of vision.
Easily frightened; awakens from sleep in fright several times during night.
Sensitive to heat with chilliness. The thermic centres are affected by sycosis, and the reactions to atmospheric changes are unstable.
Some of the violent congestions often need a remedy with sycotic similarity to turn the tide of vital prostration.
REMORSE, aggravated on waking and in the evening, ameliorated by motion and open air.
Alternation of aversion and affection for loved ones; wants to be away form them and vice versa. This emphasizes the unsatisfied longing for affection; vague feelings of loneliness, aggravated in evening as night comes on. Before and after daylight is a critical interval. Sunrise always brings renewed activity of the vital force.
Feeling of impending misfortune; impending poverty. Medorrhinum dwells on the disagreeable past and thereby builds fancies of the future.
Irritable, aggravated fasting, ameliorated in the open air and motion.
Hot flashes begin in the face and extend over the body; palms hot.
Sexual desire increased; erratic; exotic. In the active tuberculo-sycotic we are usually confronted with excessive gonadal activity (decreased-Syphilinum). Do not forget the Kalis which likewise debilitate the sexual function.
Presentiment of death; although in apparent good health has urge to arrange affairs.
Dreams are sad and full of remorse, aggravated after midnight; there is a mournful tinge to dreams concerned with past events.
The element of remorse is found in the dream and conscious state, which places the remedy in a position of great importance in meeting the effects of emotional shock. The constitutional state is such that the will of the person has no control over recurring shock exacerbations, and if so acts as a repressant.
Medorrhinum stands out in all forms of psychic shock, the susceptibility increased by a long chain of recurrences. In one case I could trace it back three generations. We often fail to realize that in the difficult problem of disease we may have a clear-cut family habit groove, temporarily obscured in early life by a favorable environment or the abundance of vitality of youth and the first half of adult life.
Desire for open air.
Chilliness, aggravated 11 to 3 p.m., with fear of becoming unconsciousness and incapacitated.
Haemorrhagic tendency; small wounds bleed profusely (Lachesis, Phos.).
GENERAL SORENESS AND ACHING; soreness in muscles and joints, aggravated before storm, soreness with cramping; soreness of teeth; of arch of foot.
Dull pain deep in brain with confusion and forgetfulness. Vertigo, occipital, aggravated before chill and from concentration.
Dim vision; yellow-green spots in field of vision; muscae volitantes.
Nasal obstruction; discharges green crusts from nose. Sharp pain in right middle ear, aggravated from blowing nose.
Enlargement of cervical glands; glands sensitive to touch.
Salivation, profuse, fills mouth when talking; slimy (Nat. sulph). Taste brassy.
Inflammation of gums; root abscess; stimulates chronic inflammations; soreness of teeth loosen; gums recede.
Chilliness between scapulae, extending to sides and back of arms; aggravated morning and afternoon, malaria dumb chills.
SPINAL SORENESS AND STIFFNESS OF MUSCLES OF BACK, extending entire length.
SPINAL ANAEMIA (Kali phos.); occipital vertigo (Sil.); sensation of disjointure with symptoms of incoordination of delicate, movement, transfixing, wandering pains when indicated with a history of suppressions or a symptom complex indicating same. It is to be thought of in that long train of vague and indefinite symptoms leading to cerebral and spinal sclerosis.
Medorrhinum represents psycho-mento-physical chaos, up on the borderland leading to almost any organic condition; the patient needing it is trying to discover a natural relation to the whole and in the same manner the physical functions fail to maintain a balance.
The dynamic balance is a constructive force and assists to ward the development of a more normal realization of what one actually is. Medorrhinum brings to the light the good and evil tendencies which lie dormant within and tends to establish rhythm in expression through understanding.
The nosodes represent the added artificial complexities which have resulted from repeated interference of man with the unfoldment of the basic natural miasms.
Ravenous appetite wanting; desires hot drinks; sweets bread; potatoes; fruit; salt; onions, which aggravate (Thuja), and is a sycotic symptom; meat, fried foods (tubercular, who do not care of vegetables).
Pulsation in stomach, aggravated a.m. (Sulphur). Emptiness in stomach. Hunger, aggravated after eating. Nausea, aggravated after eating. Thirstless; aversion to water (Pulsatilla).
Cramping pain in abdomen, with flatulence, aggravated after eating and in evening, ameliorated passing flatus and from stool. This may be a persistent symptom and date back to a sycotic colic in infancy.
Constipation with cramping pain and ineffectual urging to stool, aggravated evening, company, and travelling on train. There is a tension of the rectal muscles, is too restless to sit, walks around for relief of distress in abdomen. It is an anxious restlessness similar to Ars. Stools soft and mushy; forcible expulsion; hurried desire.
Urine scanty. Frequent urging to urinate. Dribbling of urine. The irregular feature of Medorrhinum is seen in the prostatic urethra, there being a tendency to pocket formation functional or pathological. The stream forks cross each other hand and pass in expanding sheets forming ribbon spray. Prostatic congestions. Sensation bladder is not emptied; last drop burns and profuse deep prostatic soreness.
Oppression; desire to breathe deeply. Anxiety and sadness centered in chest, aggravated by company, music, morning and evening. Stitching pain in apex of heart, comes and goes quickly.
Awkwardness; tendency to fall; lack of finer coordination in lower limbs, with occipital vertigo. Numbness of extremities. Shooting pain in left wrist to hand. Cramps in calf. Heat, beginning in feet and passing upward. Palm of hand and feet hot to touch. Hang-nails with inflammations around the nails.
Tensions; sensation of general contraction of the musculature with difficulty to relax. Perspiration in palms, soles and axilla, aggravated anxiety. Corns sore with stitching pains. Sensitiveness of soles.
PEARLY WHITENESS OF SKIN, especially of legs exfoliation of a shower of fine flakes on rubbing briskly (sycosis). This is an important diagnostic point and is equal in value to the spider web capillary enlargement and the red macular eruption. We find this trinity of objective symptoms under Medorrhinum.
Itching of skin, aggravated undressing; itching of back; voluptuous, on sides near axilla (no eruption) Discoloration of skin in varying shades of black.
Profuse perspiration, without weakening effect; offensive perspiration, aggravated genitals.
Sleepless, aggravated after 4 a.m. (Bacillinum, Sulphur); after midnight.
NEW HAVEN, CONN.
DR. A. PULFORD: This paper is very valuable and Medorrhinum is among our latest infantile developments. There is one hint I picked up from Kent that I think ought to be passed along for I have found it valuable Sulphur for burning feet that you must put out of bed to cool off; Zinc for restless feet; but Medorrhinum as a combination.
DR. H.B. BAKER: A symptom of Medorrhinum is intense sensitiveness of the feet as if walking on eggshells. I had that very beautifully developed in a patient once. He came into my office just as though he were stepping on eggshells, afraid he would break something. Medorrhinum cleared him up very nicely. Then there is another symptom that has led me to this remedy very often, and that is when a child sleeps on the knees and chest with the face bored into the pillow. I remember walking in on the case of a child with ordinary colitis, who was down on the floor that way. One dose of Medorrhinum cleared that case right up. This symptom is only marked in the lowest degree in the Repertory. But I have confirmed it I know half a dozen times.
DR. C.A. DIXON: I want to confirm the knee-chest position. I have found it at least three times, twice in gallstone colic, once in renal colic. I found the patient in bed in that position distracted with pain.
DR. H.FARRINGTON: That is evidently a typical, and I might say a hereditary, effect of the psychotic mind: that infants and small children take that knee-chest position in sleep. And it is a valuable keynote and pointer. Looking up the other symptoms we find that they usually agree. I have cured three cases of asthma in children in which that was the leading symptom.
DR. H.A. ROBERTS: I think that knee-chest position, while it is not ranked, has not been valued highly enough because I have verified it many times, especially in infants. And in doing so you eradicate early in life a train of symptoms that otherwise would follow.
DR.G.B. STEARNS: A few years ago Philip Krichbaum was giving Medorrhinum to his pneumonia cases one winter, and the only keynote I know that he gave it on was that they were very painful cases.
DR. J.W. WAFFENSMITH: There is nothing further I have to say except that this paper was not intended as an exhaustive study, but only to bring out certain features that have especially appealed to me which were not in the Repertory. For instance, the sensitiveness of the soles of the feet is marked in a high grade in Kents Repertory and is generally used. In reference to the knee-chest position and the aggravation by day, I think those symptoms have been recognized as characteristic of the remedy and of course help us remarkably in the totality of the case.
I believe, as has been said, that Medorrhinum will grow remarkably in the future in the estimation of the homoeopathic profession because it is so many times needed and we dont think of it. If it doesnt directly help us clear the case it may open up the way for an earlier remedy which has been obscured by a series of suppressions.
DR. R. E. HAYES: May I make one comment on Dr. Waffensmith last remark? In regard to that symptom of burning and soreness of the feet, I have not seen this symptom in a Medorrhinum patient until within the last two or three years, and it is supposed to be one of the high keynotes and I have prescribed Medorrhinum for many years, and I dont know how many times.
Hahnemann proved, to the satisfaction of all homoeopaths, that the first dilution or trituration of any drug contained a more efficient curative power than massive doses. “This demonstration was made long before high dilutions were used, thus showing that the curative power of drugs is not in proportion to their material quantity, and thus established the first principle of the dynamic theory.”.
“When, furthermore, he showed, to the demonstration of all homoeopaths, that substances, which in their crude state exert no medical power, such as gold, charcoal, tin, common salt, etc., etc., do, after dilution, trituration or potentization, come to possess a medicinal power, he demonstrated, in part, the second principle of the dynamization theory.”–J. T. TEMPLE, M. D., 1868.