THE SCIENCE AND ART OF HOMOEOPATHY
My first duty, as Chairman of the Section of the science and Art of Homoeopathy, is to offer you a warm welcome and to express the hope that by the end of the progress you will have found that it was well worth your time to come from such great distances to attend.
It is difficult to be a homoeopath is some surroundings, where men are, perhaps, isolated from all sympathetic influences. For, when it comes to homoeopathic prescribing we need all the help that can be obtained.
And at such a gathering as this there is the stimulating – if intangible- influence of mind on mind between those who come from the ends of the earth, intent on the same problems, fired by the same aspiration, eager to add each his quota to the common stock.
The time at our disposal is short. We have only a few days into which to crowd many things of importance and common interest.
Our own subjects is vast and of many aspects, all of which demand attention. In order to cover the ground, we must presuppose considerable knowledge of the principle. Similia similibus curentur. Many and varied details will come up for consideration, and the writers of papers have striven, therefore, to be and to the point.
I must ask that all who take part in discussion will keep strictly to the point, and refrain from wandering off other matters, or going over ground already covered by previous speakers. This in order that we may, by end of the Congress, have a wide range of valuable material to reflect upon.
Theories as to how the homoeopathic cure is brought about are interesting, and the failure of the homoeopath to give adequate explanation, in the exact terms of the science of his day, may have kept some men from investigating its claims. But the influence of Hahnemann not only on the medicine of his own time, but on medicine ever since, has been incalculable. VIde the tributes paid to him by Sir William Osler, Professor Bier and others.
I do not propose to deal with speculative theories. That hard facts are to be far greater importance may account for the numbers of Scotsmen who become homoeopaths. My countrymen are apt to go for the practical, and it is because homoeopathy practical that it appeals to us.
I remember asking one of my old allopathic teachers how a certain drug acted. His reply was pointed. “That it does have an effect, I know; but how, I know not.” Are we to wait for a full explanation before availing ourselves of any power? That we can use it, is enough meanwhile.
Hahnemann puts it well : “It would be foolish to refuse to learn to write, because we cannot understand how thought can be embodied in written words.”
The idea of the Law of Similar did not originate with Hahnemann. He found it in Hippocrates, and it is vaguely expressed in old proverb and in poetry.
But it was the genius of Hahnemann that first recognized it – tested in a thousand ways – and founded on it the first System of Medicine based on what his studies and experiments had led him to recognize as “an eternal infallible law of cure.”
Therefore, to the question sometimes levelled at our heads, “Why this Section Title? and to what purpose?” I would answer : That we stand for a great truth, as yet unrecognized by the majority of medical practitioners, and that our work is based on something wholly different from “orthodox” methods and thought.
But we are “a people apart” Only where the study and administration of drugs in concerned. All the rest we share with all our professional brethren. Only – we specialize in drugs.
As Sharp put it years ago, “Homoeopathy is a part of medical science. It is not medicine, but a great reform in one of its departments. It has no new anatomy. physiology, pathology or chemistry. But it utilizes the sciences of toxicology and pathology in a manner impossible before the discovery of the Law of Similars.”
And here, where one works by Law, possibilities are almost limitless.
In electricity we have power. We cannot define it, but we can wield it i.e., so far as we have mastered its laws, its applications and its limitations. All we know of it is that it is power, and that it can be made more and more to subserve our needs – almost to work miracles.
But we have to discover, to recognize and to heed, its conditions! The first scientist to put up a kite by wire into a thundercloud, found-death.
In the same way with healing. In homoeopathy we find power; and even though we cannot explain it yet by observing its conditions, its applications and limitations, we discover with amazement that there is nothing in world damaging or destructive to mind or to body – in the way of animal, vegetable, minerals poisons – even the poison of loathsome disease, that cannot be brought into use for healing.
And homoeopathy alone holds the key to the relationship between what a poison can and what a poison can cure, and so makes medicine scientific.
Hahnemann tells us that, “Drugs manifest no other curative power, except their tendency to produce morbid symptoms in healthy persons, and to remove them from the sick.”
And again, “Morbid disturbances called forth by drugs in the healthy are the only possible revelation of there inherent curative power.’ And he lays down the law, “In order to cure gently, quickly, unfailingly and permanently, select for every case of diseases a medicine capable of calling forth an affection similar to that which it is intended to cure.”
Such a law makes the homoeopathist master of the situation in all kinds of adverse and difficult circumstances.
For instance,Compton Burnett used to say that were he marooned without medicines on a desert island, he would soon be able to collect for himself a useful pharmacopoeia.
Observing the effects of poisonous bites, stings, plants, testing them on himself (safely prepared according to
Hahnemann’s method of attenuation), he would be able to use them without hesitation, as occasion arose, for the relief of just such conditions of mind or body as they were capable of producing. He might never know their names; he would know their uses.
How would the orthodox physician fare in like case? Would he be master, by reason of the knowledge taught him in the schools, of the strange flora and fauna surrounding him, and be able to apply them without hesitation for the cure of “that abnormal functional activity and which we call disease “?… Without morphia and quinine and aspirin, and the chemist and the laboratory, where would he be?
The homoeopath, on the other hand, is never at a loss. He has all nature everywhere to draw upon. He works by law. He has received the freedom of the universe.
The man who or is taught not principles but practice is a mere replica of his predecessors. And he may remain so to his dying day – doing his bit, but without knowing the why or wherefore; and without advancing one step. He will, on the contrary, be discarding and forgetting all his life. He will inevitably tend towards that state of medical Nihilism which, we are told, prevails to a great extent in the profession of medicine. He will have less-not more – to teach those who come after him.
But the man who has mastered first principles in never stationary. He is for ever discovering new applications. He is no mere copyist, basing his work and his excuses on authority. He knows. The truth has made him free. He relies on results, not on orthodoxy.
And so the homoeopathic Materia Medica has grown – and continues to grow – and must continue to grow. It is illimitable. Whatever can cause, can cure, whether it be the venom of serpent or disease, the poison of plant, of minerals, even of substances inert or insoluble until homoeopathically prepared.
We homoeopaths are comparatively few in number and sad, because we know much we have to offer to the sick and to our professional brethren of inestimable value to them, but which it is difficult to get them to consider.
And, indeed, in these days the dominant school have much that is new end “advanced” with which to interest themselves. But here, all that is of curative value in medicine in the present as in the past is in line with homoeopathy.
Mercury for syphilis? It was Hahnemann’s great remedy for that disease, since their symptoms are almost identical. And it was Hahnemann himself who gave us – and them – the soluble black oxide.
Potassium iodide for gummata? It was not a homoeopath who wrote “that persons had been dosed to death with Pot. iod. for gummata actually caused by that drug.’
Ipecac. for vomiting, which it cause and cures.
Terebinth for nephritis and haematuria, which it can cause and cure.
X-ray and radium for cancer? Hear the Lancet! “The mystery surrounding the fact that X-ray and other emanation can set up ugly pathological processes, whilst at the same time they are employed – presumably on scientific grounds – to stop the progress of such a process is in urgent need of study.”
We would tell the Lancet that the question has been exhaustively studied a hundred years ago – by Hahnemann – and that law lurks behind these and a hundred other facts. They are no mere coincidences.
Disease products, as in vaccination to protect again like disease. Hahnemann claimed this for what it Homoeoprophylaxis.
Disease products for the cure of the same disease. Again, unconscious homoeopathy; and again, dating from Hahnemann. He discussed them – were they homoeopath or isopathy? “The cure in such cases, ” he asserts homoeopathy… it is the application of absolute similimum to similimum… the administration of a high potentized and altered miasm to a patient.” (By miasm Hahnemann means germ-disease.)
Hahnemann says that homoeopathic prescribing the only correct direct means of cure as it is only possible to draw one straight line between two given points.”
It is true that, in medical conceptions and even practice, the two schools are slowly, yet surely, converging. Yet the straight line remains straight, and the approach all on the other side.
Led by restless energy, by ambition, by daring expect mention, but unguided by law, men stray into devious paths, where there is much science but little art, treating and little healing.
A university professor said to me, ” I don’t know what is going top happen to our students. We are teaching the all wrong. What was want in men of the old type physician, who sees the patient’
This feeling is voiced in a little article by “A physician,” entitled,”Are Doctors too Clever?”
The author says that the wisest and the most experienced heads in the medical world are seriously concerned with the fact that doctors have acquired too much knowledge. As much of it as can be pumped into each student for five years and then he is let loose to cope with this mass of facts, which he fears to apply. So he falls back on a specialist for this another for that, till his patient or rather little bits of them, are treated not by one man, but by as committee of experts. Where is all this leading us? he asks. We are treating diseases sometimes only separate bits of disease, instead of treating patients. We are dividing the body into water-tight compartments, forgetting that patient are sick and suffering fellow creatures. In our dependence on tests and apparatus, we are losing personality and insight – even the skill of finger and eye – for which our predecessors were famous.
Only the other day at Guy’s Hospital, a t the centenary of Richard Bright, Dr. Thayer, Emeritus Professor of Medicine at the Johns Hopkins University, Baltimore, spoke of this tendency. He said, ” The increase of our knowledge and technical skill had brought it about that men might devote a whole career to the specialities of surprisingly limited boundaries, specialities which had given rise to a terminology bordering sometimes on the ludicrous.”
It was against this treating disease,, or “bits of disease instead of treating patients, that Hahnemann waged war : “this dividing the body into water-tight compartments and forgetting that patients are sick and suffering human beings.”
For Hahnemann disease was merely the expression of the suffering vital force appealing through symptoms for its treatment; an where it was a question of treatment he knew no diseases, only sick persons.
And the “symptom-complex” that expressed the totality of the disease had only to be matched with some drug symptom-complex in order to arouse curative vital reaction.
Sir William Milligan, M. D., recently wrote : “The early stages of disease are often insidious, its symptoms mainly subjective, and its diagnosis difficult from the absence of gross pathological changes. These early changes are, however, just the stages where the physician has the best chance of curing his patient, and of nipping disease in the bud.”
It is here that homoeopathy scores, The old school physician is helpless till the pathological changes appear he is absolutely at sea. He cannot even diagnose.
But a patient, before actual pathological changes appear has symptoms. He feels ill. He can tell his deviations from his normal. And the homoeopath, in treating the symptoms that do exist saves his patient more often than he knows from serious illness.
The late Sir James Mackenzie also contented for the fact that the patient himself;f is our problem. He is a very cosmos in himself, unlike any other human being that exists. His reactions and response to stimuli whether of drug or disease are of special interest and importance.
Diagnosis must go deeper than the mere proximate causation – deeper than those previous conditions which have permitted the disease – deep down into the hidden life-activities, with which curative response is indissolubly bound up.
Much of Mackenzie’s work might have been written by Hahnemann. He with Hahnemann, says, ” What is important to us is the unusual, the unexpected in the patients reaction to stimuli external or internal mental or physical, connected or not with disease as giving us some inkling of the inner and deeper working of life.”
Hahnemann says, ” The more prominent uncommon and peculiar characteristic features of the case should be especially, and almost exclusively, noted; for these in particular should bear the closest similitude to the symptoms of the desired medicine, if that is to cure.”
Papers to be read in our Section will deal with various points in homoeopathic prescribing, but I will run briefly through the subject. It is well to remind ourselves, from time to time, what is involved in PRESCRIBING, AS LAID DOWN BY HAHNEMANN.
First, and most important – the remedy.
Dr. Tyler will go more fully into TAKING THE CASE, with DIFFERENT WAYS OF FINDING THE REMEDY. But I must say a few words here.
Why do we bother so much about General Symptom (or Generals) the patient’s reaction as a whole (not bits of him) to such conditions as heat and cold, damp and dry, thunder, times of day and night, special hours and such other conditions?
Because no two of us are alike regard to these things, even when suffering from the same malady.
It is useless to diagnose “rheumatism” and then prescribe a rheumatic remedy.
A “rheumatic” patient limps in, “Doctor, it’s one of my bad days It’s raining.” A second follows with “I’m fine to-day. Look! my joints are free and I’ve on pain; I’m always like this when its pouring.”
Rhus tox, and Causticum are “rheumatic remedies.” But Rhus will never help the man who is worse in dry weather nor will Causticum the man who is worse in wet. These two drugs may affect the same tissue, but they will not cure the same patients.
Therefore such symptoms if well marked are important guides in the choice of remedy.
Take thunder again. Some of us are ill in a thunderstorm. Many know hours before the storm bursts. Dr. Wheeler suggests that this effect may be chemical. It is very real. Shock and fear, as we know, alter secretions, perhaps by liberating auto-toxins. The milk of a nursing mother, under stress of emotion, poisons her babe. A man who had been farming said. “One night strange dogs broke into the fold and frightened and worried the sheep. We found them all huddle together in terror in the morning. It was curious, but all the lambs were ill for days afterwards scoured.” But cow’s milk in the dairy is soured in thundery weather; and anyway, thunder may have to be reckoned with in the make-up of a patient.
The strange symptoms of remedies – and of patients have met with a certain amount of derision and incredulity. But they are very real; and they get from time to time, outside confirmation.
Effects of the moon are among these. A Brigadier who was with kitchen in his advance on Khartoum says, Certain ordinary, well- conducted Egyptian and Soundanese soldiers periodically break out into frenzied madness about the time of full moon, and in a day or two become absolutely rational again.” Again Dr. Lindsay, of Paraguay writing to the British Medical Journal, in regard to the tropical full moon, says that it has such a powerful effect upon all forms of life, that towards and during full moon, the nervously disposed require to take greater care of themselves, and keep themselves under greater restraint. Epileptic, lunatics and alcoholic all have their conditions aggravated during full moon.
Time aggravations are among our valuable symptoms. They are very definite.
Arsenicum……… 1 a. m.
Kali carb……… 2-3 a. m.
Nat. sulph………. 4 a. m.
Chamomilla……… 9 a. m.
Nat. mur………. 10 a. m.
Sulph………. 11 a. m.
Belladonna……… 3 a. m.
Lycopodium……… 4, or 4-8 p.m.
and many others.
But not only people. Flowers also have their definite hours of activity and fragrance. So much so that gardens have been planted in such a way as to make a floral clock, where each flower, opening at its own particular hour, tells the time.
The day’s eye uncloses its petals with break of day. The evening primrose opens about 76 or 7 p.m. Cactus grandiflorus, the night-blooming cereus, about midnight, at which time many of its symptoms are worse. the scarlet pimpernal at mid-day and so on.
Remedies, to be useful have to fit, not only the disease, but this individual with the disease.
A man wants a suit of clothes. It is not enough to phone a tailor. “I want a suit of clothes for a man.” It would be quite easy if we only needed to say, ” I want a remedy for vomiting – for bronchitis”, as if that were all to it.
But a court suit is useless to a farm labourer as are fur-lined garments for the tropics. The clothes must fit- in all ways – his height and build, his taste his requirements.
If we need to take care and forethought in selecting our clothes, surely we need to individualize when it comes to choosing remedies for our subtle deviations from the normal, in temperament, in reactions to environment, mental and physical. All these must be met, or the remedy can only by accident fit the case.
It is the totality of the characteristic symptoms that decides the choice of the remedy. You may not find all the symptoms of a patients in any drug, or all the symptoms of a drug in any patient, but the essentials must be there.
Idiosyncrasies in regard to food are very important. The child that steels salt; the woman who can can never pass the pickle jar without helping herself; the child that munches raw suet or gnaws at a raw onion while the tears run down its cheeks. In some cases, as with salt the individual while eating quantities may not be absorbing enough for his needs; in other cases it may be a depraved appetite. In the nausea and vomiting of pregnancy unusual cravings help in the selection of the remedy.
Then the peculiar symptoms that sound so absurd may leads us to consider some remedy that would never, else, have occurred to us. As : –
One of our doctors, in his student days after a morning of practical pharmacy experienced a strange sensation in lying down at night. It was as if a globe of fine metal was shattered at the base of the brain, whose fragments were heard to tinkle as they fell. In the morning a hunt was made among the drugs that had been handled during the pharmacy class, and the symptom was actually found, under Aloe. Many years later, a patient mentioned this extraordinary symptoms and Aloe cured headaches of which she complained.
A young doctor was in distress because one side of his face was pouring with sweat while the other was dry. He had been taking Pulsatilla, for some ailment, and was proving it.
A boy mentally deficient, in was among other things frightfully jealous especially of the man his sister was engaged to. Whenever he came to the house the boy “was very naughty, and passed his stool into his trousers”. Hyoscyamus was found to have the symptom involuntary stool from excitement. He got a dose of Hyoscyamus cm, and the next report was that people remarked how much quieter he was, and that though the sisters finance had been staying in the house, he had not been jealous.”