When lately visiting an old school physician where the conversation always turns to the importance of constitutional therapy, he demands that in disposition to sickness heredity must be especially considered. It is clear to him that the name of the disease is absolutely not important for the treatment.
To the homoeopathic physician the physical and psychical character of the patient with all inherited and acquired peculiarities of the sickness, and their similarity to the symptoms of a certain remedy or poison are very important. to such a physician enumerated; yes, to him every well-proved remedy presents a separate types.
Thus gold and its salts influence above all the heart and arterial system in the form of high arterial pressure, which is associated with a thick-set body and apoplectic habitus, as well as skin affections with many fold exanthema forms.
As early as Avicenna (Arabian physician 980 to 1037) it was held that gold strengthened the heart more than any other medicine, cured melancholia, bad dreams and fantasy, and created a happy disposition. In wounds it prevented “proud flesh” and caused a sweet breath. Here (about 1000 years ago) we already find a knowledge which in many ways is superior to the modern method of killing bacilli. the consideration of the patients melancholic mental conditions already excluded the general use of gold salts where we meet parasitic diseases which are cured by increasing the patients resistance to the diseased organism, as we see in syphilis, tuberculosis recurrence and streptococcic invasion.
The old school does not yet know why some patients with such infection react favorably to gold salts, why many others are not influenced in the least. It is generally accepted that metallic catalysers are here active, but only homoeopathy accepts the specific constitutions ability to activate resistance, and thus makes it possible to shunt of “refractory” cases.
Which gold salt is best used therapeutically is often unimportant, only in iodine compounds special indications are considered. The simpler gold salts Aurum chloratum, Aurum muriaticum natronatum, Aurum sulphuratum and Aurum colloidal are preferable, if indicated, and less expensive than most organic compounds of gold, which the old school used for parenteral treatment.
Paracelsus (1493 to 1541) recommended gold for leprosy and syphilis; but that was again forgotten, because exact indications were not known, and therefore no certain results could be accomplished. Hahnemann in his valuable apothecary Lexicon (1795) opposed it and said: “This metal seems to be the mainspring of the entire healing art rather than the remedy”.
Really, I have often experienced that even our high potency adherents of the strictest inclination in their medical practice knew hot to evaluate Aurum even in the unpotentized form (when we still had such). Hahnemann later changed his views after he had made provings on himself and his students with soluble fold preparations. At that time French investigators used Aurum frequently in many diverse disease, but again without exact indications.
It is imperative briefly and sharply to described the Aurum type: We must have before us, if the remedy is to unfold its action, a usually older person of plethoric, pyknic (thickest), solid structure-habitus apoplecticus-with fullblooded, red face, high blood pressure, slow and heavy motions and of deep melancholia inclined to suicide, and yet very irritable upon slightest contradiction.
Only in such patients the clinical use of Aurum salts can be of results if the further indications are present: Skin and mucous membrane symptoms of different kinds up to ozaena and perforating nasal ulceration, chronic bone and glandular diseases with nocturnal pains, tubercular diseases of many organs, arteriosclerotic changes with higher blood pressure, chronic congestion with hypertrophy of organs (testicles, uterus, ovaries), essential hypertonia, coronal-sclerotic cardiac diseases, aortic lues-in which Iodum salts are to be preferred- cardiac asthma, tertiary lues of diverse organs, especially the eyes (chorioretinitis and detachment of retina) and of the cerebrum.
For differential diagnoses we must especially consider (regarding skin and mucosa): Mercurius preparations-fetor oris, salivation, etc.+.
Kali bichromicum-yellow tough mucus.
Ozaena and perforating ulcers of palate and nose: Kali bichromicum and Mercurius; pains in bones the same and also asafoetida-fetid odor of discharges, flatulence.