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Topics LMHI NEWS THELIGA NEWS • Jun 2017 • www.lmhi.org Homepage , Topics President’s editorial Editor’s Note Immediate Past President Dr. Renzo Galassi ; A case of Diphtheria from the old…… Hering’s Directions of cure…. ; K.H. Gypser A case of chronic Otitis Media ; Dr. Daniel Cook International convention on world homeopathy day – conference report by Prof. Bhupinder Sharma Report world Homeopathic Day 2017 ; Dr. Gustavo Cataldi Obituary 72nd LMHI Homeopathic World Congress Leipzig 2017 Germany The Quiz Part ; Dr. Pietro Gulia Renzo Galassi & Evin Turkay 1

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LMHI NEWS

THELIGA NEWS • Jun 2017 • www.lmhi.org

• Homepage , Topics • President’s editorial • Editor’s Note • Immediate Past President Dr. Renzo Galassi ; A case of Diphtheria from the old…… • Hering’s Directions of cure…. ; K.H. Gypser • A case of chronic Otitis Media ; Dr. Daniel Cook • International convention on world homeopathy day – conference report by Prof. Bhupinder

Sharma • Report world Homeopathic Day 2017 ; Dr. Gustavo Cataldi • Obituary • 72nd LMHI Homeopathic World Congress Leipzig 2017 Germany • The Quiz Part ; Dr. Pietro Gulia

Renzo Galassi & Evin Turkay

1

LMHI President’s editorial, by, Alok Pareek

The best rules are the ones you have created for yourself, based on your understanding through experience and the kind of work you wish to do. But while we are still formulating our own (and that may take a lifetime) it is wise to take inspiration from the ones drawn in the past by the "giants" who had tread the same path.

My dear colleagues, while the above may sound as philosophical theory, it is in fact a sound advice we ought to revisit as Homeopathic Physicians in the current time. While, the need for newer discoveries, further evolution and openness to ideas is perpetual, the need to hold high and follow the work of the "giants" whose shoulders we are sitting upon in more than ever. Homeopathy is lucky to be placed on a sound bedrock and also have a wonderful modern research oriented outlook. Are we perfect? Are we in the ideal situation? Are we beyond doubt? Well, no. But, what we can be confident about is that we are on the right path. This pursuit of self improvement is never-ending, what is important is to keep moving steadily.

THELIGA NEWS • June 2017 • www.lmhi.org

Our sole aim at the LMHI is to be able to act as a catalyst to maintain this steady motion. My dear friends, in this context I am happy to say that the work being done by the various office bearers, congress organisers, individuals, scientific contributors and members fills me with optimism. Over the past few months, there have been multiple occasions where we could help our fraternity in different parts of the globe. Helping devise homeopathic courses in new countries, presenting scientific rebuttals to skeptic attacks, preparing for the upcoming meetings in Leipzig, instituting new members, solidarity projects in needy countries, revising some of our guidelines, producing scientific work in the newsletter are all the objectives we have covered since my last editorial.

I am happy to share this rich issue of the newsletter. We will be happy to hear from you and have your suggestions. Happy reading. Dr. Alok Pareek

2 LIGA NEWS

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Dear colleagues, I hope that you have benefited from the previous three Editor Notes on the subject of Hyperactive, Attention Deficit Disorder and/or Autistic Children/Adults. I again want to thank the Past President of the LMHI, Renzo Galassi, who began the WORKING GROUP (WG) for the LMHI NEWS. As of this time, the following have very generously given their time and effort to this WG: Altunay Agaoglu, Dan Cook, Bernard Zauner and Pietro Guila. I would like now to present another case of Attention Deficit Disorder. B. B. is a 5 y/o boy who was seen originally in 11/04 with extreme restlessness, wants to be the center of attention with generally a friendly and happy attitude. However, could be destructive and aggressive. Loved to dance and run. He was given Tarantula 10 M and seen again in one month. His mother was impressed by his ability to concentrate and cooperate more fully. He was less headstrong and less destructive. He was better in his schoolwork. Tarentula hispanica (tarantula spider) Tarentula children have rhythm. These kids love to be the center of attention and can be real entertainers. They climb, jump, perform acrobatics, and seemingly never tire of activity. They are very hurried and impatient. Often destructive, they have to be watched very closely, as they are capable of breaking anything they get their hands on. They are generally wiry and agile. They love music and rhythmic activities like dancing, tapping, or drumming, and it soothes them. Cunning and mischievous. They play tricks on their parents and other children, tell lies, and love to hide.

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33 y/o ADHD Man ▲ J.D. JD was first seen on 9/5/97. He was taking Lithium for 3 months. Talkative, anxious, restless, friendly, depressed, scattered, poor short term memory, broods over unpleasant subjects, critical, jealous and avoids strangers. Fear of being alone, heights, people, claustrophobia, being sexually molested. Fear of abandonment. Wants to fly. Impulsive. Picked on as a child. Acted the clown. Irritable and tired inwardly, outwardly happy; compulsive. Hyoscyamus 1M. Please refer back to "Part Three" for a more definitive outline. He showed general improvement and was able to discontinue his Lithium

ADHD ╣15 y/o Adolescent ▪ M.S.

First seen on 4/30/91 at 10 weeks old.

• Mother and father had long history of drug problems.

• Mother died when MS was 9 y/o Father died when MS was 11 y/o . • MS lived for the last few years with grandparents. • Fear of spiders, dark •>>Salami, beef jerky, salt, sweets • Sleeps on abdomen; feet out of covers • Non-violent, but evades others space

THELIGA NEWS • June 2017• www.lmhi.org

Editor s Note

Dr. Richard Hiltner

A Homeopathic Approach to Hyperactive, Attention Deficit Disorder and/or Autistic Children/ Adults

(Part Four) by

Richard Hiltner, MD

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THELIGA NEWS • June 2017 • www.lmhi.org

Sense of humor, impatient. • Good in math; doesn’t like to read; is tutored 2X week. • Sweet and cooperative when he wants something. • Depressed • 4/30/91 10 weeks old Chamomilla 30C Colic and irritability. • 1/10/92 Sulphur 6C Diaper rash • 1/30/97 ADHD Sulphur 1M; some improvement.

Repeated sporadically.

• 4/2/99 Fears of flying, roller coasters, dark, alone, heights and spiders. Medorrhinum 1M. Repeated sporadically. Did well. • 1/30/97 given Sulphur 1M. He did well. • 12/11/98 Medorrhinum 1M. He had intermittent doses since.

Medorrhinum (nosode) The minds of these folks race a mile a minute, their minds crowded with a thousand thoughts at once. Night owls, these kids can stay up till all hours then want to sleep in the following morning. Passionate children and adults, they crave extremes of experience anywhere and anytime they can get it. Memory can be a real problem; they may bite their fingernails, or even toenails, to the quick. Diaper rash, sinusitis, warts, asthma and arthritis are typical physical problems. Those needing Medorrhinum often love oranges unripe fruit, ice, sweets, salt, and fat.

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THELIGA NEWS • June 2017 • www.lmhi.org

Dear Colleagues, With this issue, LMHI newsletter n.20, I want to start spending some time for our youngest colleagues. The idea is to dedicate space to old articles of our immortal Masters putting some comments in order to clarify some clinical cases, making reference to the doctrine left us by Samuel Hahnemann in his works, mainly the Organon and Chronic Diseases. The theme of today will be the management of an acute case and I will take advantage of a good article of Dr. Julius Schmitt, M.D. of Rochester, N.Y. USA. It was read before the Central New York Homeopathic Medical Society and published in the XVI Volume of the Medical Advance - 1886, whose Editor was the great Master Dr. Henry C. Allen (1836-1909). Before entering in the report of the clinical case, I think it’s important to remind us how to act properly with a patient attacked by an acute disease, from the clinical and theoretical point of view. Every time we face a patient, we should ask ourselves if we are dealing with an acute or chronic case. As in every situation, Hahnemann helps us with his writings and it’s very useful to read the aphorisms of the Organon 6th edition where Hahnemann gives the classification of the diseases. § 72 ……….the following will serve as a general preliminary view. The diseases to which man is liable are either rapid morbid processes of the abnormally deranged vital force, which have a tendency to finish their course more or less quickly, but always in a moderate time - these are termed acute diseases; - or they are diseases of such a character that, with small, often imperceptible beginnings, dynamically derange the living organism, each in its own peculiar manner, and cause it gradually to deviate from

the healthy condition, in such a way that the automatic life energy, called vital force, whose office is to preserve the health, only opposes to them at the commencement and during their progress imperfect, unsuitable, useless resistance, but is unable of itself to extinguish them, but must helplessly suffer (them to spread and) itself to be ever more and more abnormally deranged, until at length the organism is destroyed; these are termed chronic diseases. They are caused by infection with a chronic miasm. § 73 As regards acute diseases, they are either of such a kind as attack human beings individually, the exciting cause being injurious influences to which they were particularly exposed. Excesses in food, or an insufficient supply of it, severe physical impressions, chills, overheatings, dissipation, strains, ..etc., or physical irritations, mental emotions, and the like, are exciting causes of such acute febrile affections; in reality, however, they are generally only a transient explosion of latent psora, which spontaneously returns to its dormant state if the acute diseases were not of too violent a character and were soon quelled. Or they are of such a kind as attack several persons at the same time, here and there (sporadically), by means of meteoric or telluric influences and injurious agents, the susceptibility for being morbidly affected by which is possessed by only a few persons at one time. Allied to these are those diseases in which many persons are attacked with very similar sufferings from the same cause (epidemically); these diseases generally become infectious (contagious) when they prevail among thickly congregated masses of human beings. Thence arise fevers, (1) in each instance of a peculiar nature, and, because the cases of disease have an identical origin, they set up in all those they affect an identical morbid process, which when left to itself terminates in a moderate period of time in death or recovery. The calamities of war, inundations and famine are not infrequently their exciting causes and produces - sometimes they are peculiar acute miasms which recur in the same manner (hence known by some traditional name), which either attack persons but once in a lifetime, as the small-pox, measles, whooping-cough, the ancient, smooth, bright red scarlet fever (2) of Sydenham, the mumps, ..etc., or such as recur frequently in pretty much the same manner, the plague of the Levant, the yellow fever of the sea-coast, the Asiatic cholera, ..etc”

“A case of Diphtheria from the old American Homeopathic Literature, with notes of Renzo Galassi , LMHI Past President. “

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As we can see Master Hahnemann is very clear regarding the classification of acute diseases. So we can outline the subject as follows: Acute diseases are divided into: …..individual ……collective The Acute diseases that are individual may be: 1 – Trauma, exciting cause being injurious …, the Trauma may be: physical or psychic 2 – False diseases “Excesses in food, or an insufficient supply of it, severe physical impressions, chills, overheatings, dissipation, strains, ..etc., or physical irritations, mental emotions” (they are the most frequent situations of our modern society!!!) In both acute and chronic conditions they are FALSE diseases, that means that they are due to an hygienic error of life. By HYGIENE we mean everything related to nutrition, or external stressors, physical, chemical or mental, in other words the ENVIRONMENT. 3 – transient explosion of latent psora, that nowadays we can call transient explosion of a latent miasm (Psora, Sycosis or Syphilis) The explosion of a latent miasm is triggered by stimuli of different kinds, both internal and external, yet always with a tendency to reappear under certain circumstances (climate, temperature change, etc.). It occurs repeatedly in a certain climate or season of the year, or with exposure to certain environmental or emotional conditions. It represents most of the disorders for which patients or parents of patients call us with fear... ... .. but their characteristic is that: …….. “spontaneously returns to its dormant state if the acute diseases were not of too violent a character and were soon quelled “ § 73. Then we have the Acute diseases of a Collective kind 4 – sporadic acute diseases 5 – epidemic acute diseases a) immunogenic b) not immunogenic Sporadic acute diseases : “they are of such a kind as attack several persons at the same time, here and there (sporadically), by means of meteoric or telluric influences and injurious agents, the susceptibility for being morbidly affected by which is possessed by only a few persons at one time. “

Epidemic acute diseases They are the same category as Allopathy. Hahnemann says: “…. many persons are attacked with very similar sufferings from the same cause (epidemically); these diseases generally become infectious (contagious) when they prevail among thickly congregated masses of human beings. Thence arise fevers, (1) in each instance of a peculiar nature, …. “ “sometimes they are peculiar acute miasms which recur in the same manner (hence known by some traditional name), …..” – they are the acute diseases immunogenic and not, as: “….. the small-pox, measles, whooping-cough, the ancient, smooth, bright red scarlet fever (2) of Sydenham, the mumps, ..etc., ….. the plague of the Levant, the yellow fever of the sea-coast, the Asiatic cholera, ..etc. How can we do the picture of an epidemic disease ? § 102 “… but the whole extent of such an epidemic disease and the totality of its symptoms (the knowledge whereof, which is essential for enabling us to choose the most suitable homoeopathic remedy for this array of symptoms, is obtained by a complete survey of the morbid picture) cannot be learned from one single patient, but is only to be perfectly deduced (abstracted) and ascertained from the sufferings of several patients of different constitutions. ”. In this way it is possible to identify the most useful drug among those that correspond to the "Genus epidemicus." Even if sometimes we are, especially at the beginning of our practice, scared by the seriousness of the case, it is not so difficult to find the few symptoms that describe and cover the whole picture of the patient. It is not like chronic cases, where after a long anamnesis, we have to identify the correct Totality of the symptoms, i.e., the picture of the “TODAY” of the patient, (as Dr. Proceso Sanchez Ortega -1919-2005 - used to call the latest phase of the history of the patient) with the recent symptoms (Generals, mentals, particulars) and Characteristics, that lead us to the correct choice of the remedy, following the advice that Hahnemann gave us in Aphorisms 3 and 153 of the Organon: a perfect picture of the necessary CONDITIONS for a correct prescription. In acute cases, with merely a few details we can save the life of our patients if, of course, we respect all the rules that two centuries of experiences have left for us.

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THELIGA NEWS • June 2017 • www.lmhi.org

Well, it’s time now to read the article of Dr. Julius Schmitt, a name not famous to us, but a doctor living in that Golden Age, in which Homeopathy reached such a high quality level of knowledge, clinical successes, and popularity, especially in the USA, not duplicated in any other period of our history.

So we can see, as underlined by him, that, besides other symptoms, the symptoms chosen were: Brownish diphtheritic membranes, submaxillary glands swollen, expectoration of mucus which draws out in strings and is hard to detach from mouth, desire for beer and lemonade. (he writes ale, but later on he talks of beer.)

It’s interesting to see the skills of the doctors of that time, able to recognize the “Characteristic diphtheritic odor…..”. Apart from the pathognomonic symptoms we find a rare symptom: pain in the teeth when coughing! We find this symptom in the Kent repertory, page 436, with only 3 remedies: Bry, Lyc and Sepia. But let’s see if the doctor based his prescription on this keynote or if he tried to build a wider picture of the patient’s disease.

We have to remind that Adolph Lippe gives us an introduction to this remedy in the first volume of the Hahnemannian Monthly – 1865, as follows: “This valuable remedy was introduced into the practice of medicine twenty years ago; a large number of provings, both voluntary and involuntary, have been published; yet in comparison to the abundant material furnished, but a small number of cures by this remedy has been published. And in consideration that, since 1847, when Dr. Fr. H. Arneth's very complete and elaborate treatise appeared in the " Oesterreichische Zeitschrift," and the later rendition of it in the first volume of *' The Hahnemannian Materia Medica," by Dr. John T. Drysdale, in 1852, who ostensibly incorporated Arneth's essay into his work ; and also the publication of it in 1848, in the " Symptomen Codex, (Jahr's New Manual,) by Dr. C. Hempel ;—but little has appeared in the journals on the therapeutical use of this medicine, I will endeavor to add my mite towards showing where Kali bichromaticum may become the true curative remedy,—a diligent study of the remedy having enabled me to make frequent and satisfactory experiments in its therapeutic application.” So, let’s see if the symptoms chosen by Dr. Schmitt are present in the different publications of our literature: - Brownish diphtheritic membranes, we find in the Guidings symptoms of Hering, in the chapters “Throat” and “Larynx” every kind of membranes, with different colour, yellow, green, grey, ashy grey, red etc.

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THELIGA NEWS • June 2017 • www.lmhi.org

-Submaxillary glands swollen: I don’t remember where, but I have read an article of Adolph Lippe quoting Dr. Gregg as the writer of a very good book on “Diphtheria”. I tried to find this book and I succeded. Reading the book, titled” Diphtheria, it’s cause, nature and treatment” by Rollin Gregg, Buffalo, 1880, I have found under the chapter remedies of second class for diphteria, Kalium Bich, with the following symptoms: “When a very tough, stringy mucus, that can be drawn out into long strings, is expectorated, or discharged from the nostrils, or when large partially dried masses of mucus are discharged from the nose. Confirmatory symptoms are : tongue red, raw and shining; croupy cough, showing laryngeal and bronchial complications, with threatening of exudation in the larynx; swelling of the parotid and submaxillary glands.” So, another characteristic of the patient……concomitant to the other symptoms, is present: Swelling of Submaxillary glands. -Expectoration of mucus which draws out in strings and is hard to detach from mouth,

This is another interesting symptom, present in every materia medica under Kalium Bich., but very well illustrated and easy to memorize by an anecdote of Dr. Eugene B. Nash (1838-1917) in the Leaders in Homeopathic Therapeutics: “I once cured a dog that had a sore mouth and throat, from which the saliva hung in strings, and dragged on the ground as he staggered along. People who saw him said he was mad, but I think not, as he did not snap or bite or have suffocating spasms.” - desire for beer and lemonade. We have seen the patient asking for beer and lemonade, not so common for a 9 years old child, to ask for beer! Nowadays, beer and lemonade is very often served in German speaking countries, they call this mix “das Radler” and is very used during the hot weather because it is very fresh and thirst-quenching. It was invented more or less in 1922, by Franz Kluger, owner of a Gasthaus (Inn) who, on a June day, had to welcome a multitude of cyclists without having enough beer for everyone. Fearing to disappoint them, and perhaps let them go away, decided to mix his blondes and dark beers with lemonade. They were so happy with this mix that it bacame a famous drink, called Radler, because in German it means cyclist.

Anyway the Radler was invented many years after the case we are talking about, 1885, and the child couldn’t have idea of the Radler, it was a very good, characteristic symptom, the ones that with Hahnemann we define “Uncommon”! Looking at random to one materia medica, I take for example the “Textbook of Materia Medica, written by Allen Corson Cowperthwaite (1848-1926) we find under Kali Bich., chapter – Stomach: “Complete loss of appetite, great first for acid drinks; longing for beer……” Now we have four good symptoms to prescribe a remedy and our dear Dr. Schmitt chose it, let’s see the dose and the developments………

As we can see there was a slow reaction, with a movement of symptoms, until he “Raised a great quantity of Yellow mucus”. Don’t forget that all the great American Masters didn’t know the 6th edition of the Organon and their prescription was always based on the rules left by Hahnemann about single dose not repeated, waiting for the reaction of the patients. Nowadays we coud do something different with the use of the Q potencies according to the § 246-247-248 of the Organon, but at that time the prescription of this single dose of a CM potency,

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I suppose a Fincke Potency, was absolutely correct. We have to never forget that one of the rules of Hyppocrates in therapy was: “WAIT and observe”. And so did Dr. Julius Schmitt.

Very acute observation. As we have seen Kent put in his repertory also Bryonia for this symptom, but not Kali Bich. How can we explain this improvement of the symptom “Toothache when coughing” if it is not covered by Kali bich? Nowadays, the new authors of the “New Age Homeopathy”, always in a hurry to add symptoms to the repertory and to their “rich” Materia medica, would have put this symptom under Kali bich., as a clinical symptom. But, if we read Hahnemann properly, in the footnote of the § 67, 6th edition of the Organon, we find the solution: “……… It does not follow that a homoeopathic medicine has been ill selected for a case of disease because some of the medicinal symptoms are only antipathic to some of the less important and minor symptoms of the disease; if only the others, the stronger, well-marked (characteristic), and peculiar symptoms of the disease are covered and matched by the same medicine with similarity of symptoms - that is to say, overpowered, destroyed and extinguished; the few opposite symptoms also disappear of themselves after the expiry of the term of action of the medicament, without retarding the cure in the least.”

The hopeless case, starts moving and the patient’s Vital Force begins to react!

We can see eliminatory symptoms and an increase of the urine and stools, besides the mucus discharged with the cough and from the nose……….

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This exactly means that a stronger or revitalized Vital Force by the action of the proper remedy is able to cancel also the minor symptoms of the patient, not covered by the prescribed remedy. This is exactly the concept expressed by Dr. Henry N. Guernsey (1817-1885) in an article of the Cincinnati Medical Advance vol. 22 , 1889: “The symptoms that until now have not been produced by a prescribed remedy, but disappear with its use, mean that they need to be added to the series of remedy symptoms? ...... it may happen that the vitalized vital force gets rid of these "occasional" symptoms together with others .... these observations have not been placed in the Materia Medica until they are verified again and again ". So, we can give the final words on the subject to Master Constantine Hering (1800-1880) who writes in the preface of Guiding Symptoms: "A cured symptom only, has never such an intrinsic value as one produced and cured, and yet, such a one should not be ignored; in course of time it may be added to the characteristics. “ Let’s see if some of us will find the symptom “Toothache during cough” cured by Kali bich., we could think after repeated cures to add it to our Materia Medica and Repertories…..

We fully agree, “Waiting” is a very therapeutic rule, if we are sure of the chosen remedy according to the proper rules of our noble Art, left us by Samuel Hahnemann. Thank you to Dr. Julius Schmitt, for this great lecture of clinics. Unfortunately as an “average” doctor of the USA Golden Age of Homeopathy, he was not photographed in one of the American journals, and I couldn’t find a photo of him. “My thanks go to Daniel Cook MD of Dallas/Texas who corrected the style of my article.”

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THELIGA NEWS • June 2017 • www.lmhi.org

INTRODUCTION In the worldwide teachings of homoeopathy Hering´s directions of cure are firmly established as a part of prognosis. They are usually referred to as “Hering´s Law” or “Hering´s Rule”. They consist of three elements and can be observed regularly during the curative action of the remedy in chronic cases, but only rarely in acute ones: The development of symptoms from above to downward The development of symptoms from inside to outside The return of old symptomsThere is also a fourth direction circulating in the last decades namely from more to less vital organs² which is simply a specification of the direction from inside to outside. One of the most influential teachers of homoeopathy in the past century, Pierre Schmidt (1894-1987), made the following remark in 1969 which is representative of many similar statements from others: “The doctor has to know […] that diseases in case of genuine cure disappear from above to downward, from inside to outside and in reverse order of their advance or development (Hering´s law).”

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This ascertainment contains two assertions among the three before mentioned elements: 1) Using the term “genuine” it says the symptoms have to evolve into that direction, and this leads to the reverse conclusion that the patient does not experience a true cure if the symptoms do not follow this path 2) The direction of symptoms has the character of a law In the following outline these suppositions will be taken into closer consideration as well as their authorship which is generally ascribed to Constantine Hering (1800-1880). THE HISTORIC ORIGIN Looking back into the homoeopathic literature it seems it was J.T. Kent (1849-1916) who first spoke of “Hering´s law” in a paper presented to the Society of Homoeopathicians in 1911. It reads: “Hering first introduced the law of direction of symptoms: from within out, from above downward, in reverse order of their appearance. [...] It is spoken of as Hering´s law. [...] There is no specific assertion in literature except as given in the lectures on philosophy at the Post-Graduate School.” ⁴

Hering´s Directions of Cure - Their Background and Consequences¹

by K.H. Gypser

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Which statements does this contain in regard to the directions of cure? 1) The authorship goes to Hering 2) t is mentioned nowhere except in the Lectures of the Post-Graduate School 3) t is a law 4) It is built up by three directions Before we analyse the different subjects it has to be mentioned that Kent referred to the three directions of cure already in 1905 but without giving credit to Hering. He said in his lecture about Natrum muriaticum: “The only cure known to man is from above down, from within out, and in the reverse order of coming. When it is otherwise, there is only improvement, not cure.”⁵ The last sentence supports the idea that Schmidt got his inspiration from Kent. In 1897 in the second “Lecture on Homoeopathic Philosophy” delivered at the Post-Graduate School of Homoeopathics in Philadelphia he made the remark: “[...] the cure must proceed [...] from above downwards, from within outwards [...] symptoms which disappear in the reverse order of their coming are removed permanently.”⁶

In regard to the first part of Kent´s statement - the authorship - Hering never mentioned a so-called “Hering´s Law” or “Hering´s Rule”. But whoever would give a discovery he had made his own name? It is common that this is done by the followers but the fact itself should be found in Hering´s writings. If we open the first volume of the periodical “Hahnemannian Monthly” established by Hering and others in 1865 we find an article entitled “Hahnemann´s Three Rules Concerning the Rank of Symptoms” written by Hering. To quote from it: “Hahnemann has given us a second rule in his Chronic Diseases [...] the quintessence of his doctrines is [...] to give in all chronic diseases [...] such drugs as [...] act from within outward, from up downward [...] Hahnemann gives us a third rule [...] symptoms recently developed are the first to yield; older symptoms disappear last.”⁸ And on the last page of this article Hering explained: “If we have succeeded in restoring a chronic case of long standing, and the symptoms have disappeared in the reverse order of their appearance, we can dismiss the case with full confidence as being cured, and not being in danger of returning again [...]”⁹ In 1857 he declared the downward and outward development of symptoms as signs of favourable prognosis.¹º If we go back even further we find “Dr. Hering´s Preface” to C.J. Hempel´s (1811-1879) translation of Hahnemann´s “Chronic Diseases” in the year 1845. Here Hering wrote: “Every homoeopathic physicians must have observed that the improvement in pain takes place from above downward; and in diseases from within outward. [...] Even the superficial observer will not fail in recognising this law of order.”¹¹“ [...] the affection passes off in the order in which the organs had been affected, the more important being relieved first, the less important next, and the skin last.” ¹² Furthermore in Hering´s writings in the German language there is an even earlier faint hint dating back to 1833: “If in leprosy knots on the buttocks, where they started, disappear first while remaining in the face, then this is no good course of healing.”¹³

But it was in 1885 when Kent for the first time spoke of these possibilities of symptomatic development: “Now it must be known first of all that diseases recover from above downward from within out and in the reverse order of their coming.”⁷

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Let us sum up what had been outlined in regard to the authorship: 1) It seemed to be Kent who introduced the term

“Hering´s law” to a wide audience 2) The three elements originate from Hering who used “law” in 1845 and “rule” in 1865 Therefore it is fully appropriate to attribute the axiom to Hering´s honour when talking of it today. By the way he makes no secret of it that he was inspired by Hahnemann referring to the “Chronic Diseases”, first edition of 1828¹⁴. Hahnemann had written there: “Symptoms of latest appearance [...] of a chronic disease disappear during antipsoric cure at first, but the oldest and most continuing [...] sufferings [...] at latest and only after all other complaints have already disappeared and health [...] has almost returned completely.”¹⁵ Finally Kent claimed in the second part of his cited assertion that there is no reference to Hering´s discovery except in the teachings of the Philadelphia Post-Graduate School of Homoeopathics. This school was founded by Kent and others. From various sources it is obvious that this statement is correct. Kent even mentioned that his deeper insights concerning the directions of cure were in line with the doctrines of Swedenborg.¹⁶ But is has also to be said that the British E.W. Berridge (1844-1920) wrote in the second Edition of his repertory of the eye symptoms as early as in 1873: “Clinical symptoms are marked with an asterisk, to facilitate the application of Hering´s Law of Inverse Directions.”¹⁷ Therefore the axiom was used earlier than by Kent but he probably was not aware of this source. Kent had the edition of Hahnemann´s “Chronic Diseases” of 1845 in his library¹⁸, and

while reading Hering´s preface where he spoke of a “law” Kent naturally called it “Hering´s law”. Furthermore it was Kent who spread it widely through his teachings, and with his students it became a familiar element of basics in homoeopathy. Whether it was referred to in other teaching institutions with or without giving credit to Hering is a subject of further research in history of homoeopathy. LAW OR RULE? Returning to Kent´s statement in the third part he claimed it to be a law. This means there are no exceptions contrary to the rule. Kent is completely in line with Hering who said in 1845: “Even the superficial observer will not fail in recognising this law of order. An improvement which takes place in a different order can never be relied upon.”¹⁹ And in 1865 Hering remarked: “If we have succeeded in restoring a chronic case of long standing, and the symptoms have disappeared in the reverse order of their appearance, we can dismiss the case with full confidence as being cured, and not being in danger of returning again; if not, we had better tell the patient, even if he should be satisfied with the partial cure, that he may, before long, be sick again.²º

In spite of the fact Hering called it in the very article a rule we will not splitting hairs: For Hering and Kent it was a law. But in fact there is one exception which has not properly brought before the profession up to now, and the fundamental idea of this was laid down by Boenninghausen. He published a case-history²¹ of a gouty toe treated by Old School´s external applications. The pain subsided and a toothache occurred. Then the patient consulted Boenninghausen for it,

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Kent´s repertory is probably on the desk of every homeopathic practitioner and everybody who goes a little deeper into homeopathy sooner or later comes across it. Even without going very much into details and basic knowledge of homeopathy one can use Kent´s work easily for searching the proper remedy after a well-done anamnesis. The repertory is so widely known and accepted, that many are surprised when they learn also about different other repertories. But this is just one single point that shows the great influence of Kent´s work, his thinking and teaching, which ended up in its classification as: “Kentianism”. Beyond doubt Kent´s influence for the homeopathic world was immense. “which by one dose of Sabina was quickly cured, and neither the toothache nor the pain in the toe ever returned, precisely as I had foretold, the pain in the toe as well as the toothache being covered by Sabina.” In another example Boenninghausen relates the suppression of epileptic convulsions by intermittent fever. If the intermittent is cured by its proper homoeopathic remedy the convulsions will come up if they are not part of the pathogenesis of the applied remedy.²² If the old symptoms are covered completely by the remedy they will not reappear. This is important to understand because Schmidt and Kent were not aware of this fact and the practitioner could be misguided if old symptoms do not occur. He could interpret it as a failure having not in his view that the old symptoms were also covered by the given remedy. Even in 1875 Hering had no knowledge of this exception because he declared: “Only such patients remain well and are really cured, who have been rid of their symptoms in the reverse order of their development.”²³ Of course in long continued chronic cases there is rarely one remedy which corresponds to the extensive and complicated total symptomatology. Therefore Hahnemann said that depending upon the development of the symptoms several antipsoric remedies are required to cure a chronic disease. ²⁴ Here we are facing a very important practical consequence: When old symptoms returned Boenninghausen did not watch and wait because the return was a sign for him that these symptoms were not covered by the applied remedy. As they could not be cured by this he did not wait but prescribed the next one upon the present totality of symptoms. Of course we can criticise this procedure because we were always taught different, that is: watch and wait, and this seems to be very deeply rooted in us. Having checked all of Boenninghausen´s about 150 published chronic cases it was obvious that he arrived at an average time of cure of two and a half months!

This we should keep in mind when objecting to his procedure; and we should not forget that at least to our knowledge today there was no practitioner in the two centuries of homoeopathy who cured his chronic cases quicker than him. Keeping Boenninghausen´s discovery in mind we cannot any longer speak of Hering´s law but of Hering´s rule. Returning to the fourth part of Kent´s statement he mentioned the three different directions of cure. There is no discussion about it, as he had taken this from Hering properly. MESMERISM

At the end of this paper a very interesting fact should be revealed. Hahnemann gives reference to F.A. Mesmer (1734-1815) and to the so-called Mesmerism in the Organon VI, §§ 288-289, as well as in the “Chronic Diseases”²⁵, “Materia Medica Pura”²⁶ and “Lesser Writings”²⁷. In this method of treatment the same directions of cure are well known. In the work of J. Ennemoser (1787-1854) who deals extensively with the method of Mesmer we meet the direction of symptoms from above downward from internal to external parts, and in reverse order of their appearance. ²⁸ Perhaps the fact that homoeopathy as well as Mesmerism follows the same directions of cure can lead to further research and also to speculations. By the way Sigmund Freund (1856-1939) declared in 1895 that during psycho-analysis the occurrences in the patient´s life exactly follow a reverse order and finally the first event arises with which everything had begun.²⁹

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EPILOGUE Returning to the beginning it was suggested by Schmidt that Hering´s directions of cure have the character of a law and a genuine cure has to follow its three elements. In regard to the necessity of a return of old symptoms even Hering and Kent believed in that. But an exception was outlined by Boenninghausen, and therefore the law is a rule only. To come to an end we will point out again that the directions of cure were discovered by Hering inspired by Hahnemann, were named and spread by Kent and have parallels in Mesmerism and psycho-analysis. My thanks go to Daniel Cook MD of Dallas/Texas who pointed to Berridge and corrected the style of the manuscript. Dr. med. Klaus-Henning Gypser Schaeferei 22 56653 Germany e-mail: [email protected]

¹Paper presented to the 71th Congress of the LMHI in Buenos Aires, Aug. 2016; it is based on a study the author delivered to the Boenninghausen group on the Wartburg, Germany, on 6th May 1996. ²Saine, QHD 21(2004), 1, 32 and 38. Vithoukas 1987.243 ³Kent 1973.317 (with annotations by P. Schmidt); Schmidt made an almost identical remark on p. 74. This was first published in Schmidt´s French translation of Kents “Lectures on Homoeopathic Philosophy” (1969). ⁴Kent, TRS 1(1911)31; Kent 1987.610 ⁵Kent 1905.728 ⁶Kent, JHC 1(1897)170; Kent 1900.31 ⁷Kent, 1987.139 ⁸Hering, HHM 1(1865)6-7. ⁹Hering, HHM 1(1865)12. ¹ºHering 1857.731 ¹¹Hering in Hahnemann 1845.I, 7-8 ¹²Hering in Hahnemann 1845.I, 8 ¹³Hering 1988.216 ¹⁴Hering, HHM 1(1865)7. ¹⁵Hahnemann 1828.228 ¹⁶Kent 1987.610-612 ¹⁷Berridge 1873.viii ¹⁸Kent 1987.674 ¹⁹Hering in Hahnemann 1845.I, 8 ²ºHering, HHM 1(1865)12. ²¹ Bradford 1908.265 ²²Boenninghausen 1963.348-349 ²³Hering 1881.24 ²⁴Hahnemann 1845.136 and 162 (very badly translated by Hempel) ²⁵Hahnemann 1845. I, 95 footnote 1, and 163; V, 44 ²⁶Hahnemann 1881.II, 61 ²⁷Dugeon 1852.464 ²⁸Ennemoser 1852.105 and 177 ²⁹Freund 1975.81

BIBLIOGRAPHY Berridge, E. W. Complete Repertory to the Homoeopathic Materia Medica - Diseases of the Eyes. 2nd Ed. London 1873 (11869). Boenninghausen, C. v. Die Aphorismen des Hippokrates. Leipzig 1863. Bradford, T. L. The Lesser Writings of C. M. F. von Boenninghausen. Philadelphia 1908. Cook, D. A Footnote to Hering’s Law. Unpublished Manuscript. Dallas no date. Dudgeon, R. E. The Lesser Writings of Samuel Hahnemann. New York 1852. Ennemoser, J. Anleitung zur Mesmerischen Praxis. Stuttgart und Tuebingen 1852. Freud, S. Schriften zur Behandlungstechnik - Studienausgabe. Frankfurt am Main 1975. Hahnemann, S. Die chronischen Krankheiten. Vol. I. Dresden und Leipzig 1828. Hahnemann, S. Materia Medica Pura. Transl. R. E. Dudgeon. Vol. I-II. Liverpool 1880-81. Hahnemann, S. The Chronic Diseases. Transl. C.J. Hempel. Vol. I-V. New York 1845-46. Hering, C. Amerikanische Arzneipruefungen. Leipzig, Heidelberg 1857. Hering, C. Analytic Repertory of the Symptoms of the Mind. 2nd Ed. Philadelphia 1881 (11875). Herings Medizinische Schriften. Edit. K.-H. Gypser. Vol. I. Goettingen 1988. Hering, C. Hahnemann´s Three Rules Concerning the Rank of Symptoms. HHM 1(1865)5-12. Kent, J.T. Correspondence of Organs, and Direction of Cure. TRS 1(1911)31-33. Kent, J.T. La Science et l´Art de l`Homéopathie. Trad. P. Schmidt. Paris 1969. Kent, J. T. Lectures on Homoeopathic Materia Medica. Philadelphia 1905. Kent, J.T. Lectures on Homoeopathic Philosophy - Lecture II. JHC 1(1897)167-172. Kent, J.T. Lectures on Homoeopathic Philosophy. Lancaster 1900. Kent´s Minor Writings on Homoeopathy. Ed. K.-H. Gypser. Heidelberg 1987. Kent, J.T. Zur Theorie der Homoeopathie. Transl. J. Kuenzli. Leer 1973. Saine, A. Hering´s Law, Rule or Dogma? Quarterly Homoeopathic Digest, 21(2004), 1, 32-39. Vithoulkas, G. Die wissenschaftliche Homoeopathie. 2. Aufl. Goettingen 1987. [For reference in regard to the abbreviation of periodicals have a look at: Baur, J., K.-H. Gypser, G.v. Keller and P.W. Thomas. Bibliotheca Homoeopathica. Vol. I. Periodicals. Gouda 1984.]

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At this three-year-old’s first appointment in October 1997, her mother brought a 3-page list of the child’s pediatric appointments and medical prescriptions from September 1994 through September 1997, documenting 21 courses of antibiotics for otitis media or pharyngitis. She was born full-term after a healthy pregnancy on February 1, 1994, and was ill for the first time in September 1994, diagnosed as bacterial pharyngitis. Mother conscientiously gave every dose of antibiotics on schedule, but got only short-term benefits: between September 1994 and April 1995 she had 9 rounds of antibiotics for bacterial pharyngitis, sometimes with additional prescriptions of prednisone. From April 1995 to October 1995 the child’s illnesses became typified by right-sided tonsillitis, clear runny nose, fever, cough, and vomiting — treated by antibiotics each time. In December 1995, at age 22 months, she suffered her first otitis media; it was bilateral. The clinical symptoms were no different from the throat infections she had been having the preceding months. There was no ear tug, no overt ear pain, no colored or acrid nasal mucus, no eye symptoms. The remaining serous otitis from this infection did not resolve until summer 1996. She had 3 episodes of right-sided otitis media between August 1996 and January 1997. No ear-checks were scheduled two weeks following treatment to ensure that the ear cleared. She completed each course of antibiotics, and returned to the clinic when fever, cough, and listlessness recurred; at those acute appointments the right ear was congested. Conservatively, in the 22 months between December 1995 and October 1997 her right middle ear chamber was congested with either pus or serous fluid for 12 of those months, but more likely 16 to 18 months. By February 1997, the frequency and obstinacy of her ear infections concerned her pediatricians (she went to a multi-physician clinic) to the point that they began prescribing 3 antibiotics at a time for her ear plus throat infections, clarithromycin plus two different cephalosporins. She was prescribed six courses of this triple antibiotic combination between February and September 1997. Clinically her hearing, appetite, mood, and energy never improved during that time, but at one of her appointments during that period, a pediatrician checked the box “Ears clear” on the examination form (tonsillitis was diagnosed at that appointment).

She had continuous opaque congestion in both middle ear chambers for the four months from June 20, 1997 until October 24, 1997, the day of her first appointment with me. On September 29, 1997 she saw an ENT specialist who diagnosed chronic otitis media and hypertrophy of the tonsils and adenoids, and recommended surgery: tympanostomy tubes to be placed in both eardrums, removal of tonsils, and removal of adenoids. The parents, from Mexico City originally and well educated, refused. They consulted a Chinese medicine specialist in September 1997, but in two months saw no clinical improvement. She was sullen, pale, sickly, uncommunicative, and underweight (5th percentile). She didn’t play much at home. She wasn’t angry or mean to her older siblings (she was the youngest of four), and she didn’t have strong tantrums, but she was fussy when she was coaxed to be active. Her appetite had decreased considerably in the past year, and now all she wanted to eat was grapes, oranges, and tomatoes. She was constipated — “little balls” every 2-3 days. Teething did not seem to have been a particular problem. She did not have troubles in her sleep: no snoring, apnea, drooling, sweating, or nightmares. She had met her developmental milestones for speech and gross motor function. Her hearing was greatly impaired; she did not respond to sounds or the human voice except at loud volume. In the last month she had developed leg pains in the night, better from rubbing. Her skin was clear except for a faded blue Mongolian spot in the sacral area. On physical exam both typanic membranes were opaque, with white fluid to the full height of each TM. Both bulged slightly; the light reflex was absent bilaterally. Her tonsils were enlarged. They touched the uvula but did not meet at the midline. Analysis: I was nervous about this case. If she had not had a rotating panel of doctors looking after her, she would likely have been referred to an ENT for surgery months ago. Her middle ear chambers had been completely and continuously congested for 4 months, and for virtually all of the last 8 months. At what point would the small bones in the middle ear cavity so instrumental to hearing — the hammer, incus, and stapes — start corroding? Had they perhaps already begun to do so? If she had tympanostomy tubes placed in her ear drums today, would her hearing return to normal? If she did not get tubes today, and no damage had as yet occurred, how much longer could her middle ears remain congested before concern for permanent hearing loss became overriding? What window of time was available to me to effect a change?

A Case of Chronic Otitis Media by Daniel Cook MD, DHt, Dallas Texas, USA

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That question aside, how fast could homoeopathy act in this child? How quickly could I expect even the most curative remedy to impact this child’s health and move it forward to the point of clearing her middle ear chambers, against the burden of a large quantity of antibiotics? I shared these concerns with the parents, and urged them to consider surgery as the safest course. They refused, and said that even if I did not treat their child with homoeopathy, they would find something else to treat her with, but not surgery. All her symptoms pointed to Pulsatilla. Her complaints were predominantly right-sided. She was warm-natured. She had bland discharges with her colds. She craved fruit. Her leg pains were better from rubbing. She was docile unless disturbed, and even then not violent. One might argue that in early childhood, when ear infections are so common, most children love fruit, most children are warm-natured, most children like rubbing and cuddling. So be it — if such a child has frequent right-sided ear infections, and the symptoms do not indicate a remedy such as Belladonna or Chamomilla or Mercurius or Sulphur, then Pulsatilla should be the choice, especially if the child is excessively clingy and wants to be held, rocked, nursed. Pulsatilla would be the choice even if cold applications on the ear are not desired, and even if the earache is left-sided. The main question was whether the antibiotic load had dulled her symptom-picture so that it was not clear for prescribing, also whether the antibiotic drugging had disordered and weakened her health so that a remedy specifically for drug-inflicted disorders was needed first. The remedies one thinks of for abuse of medicaments are Nux-vomica and Sulphur (Hering, Analytical Therapeutics, “Old maltreated cases”: Hep, Phos, Sil, Stram, Sul. ; Van Zandvoort, Complete Repertory, “Generalities, Abuse of Medicaments: NUX-V, Sul. ) I prescribed a single dose of Pulsatilla 1M, dry on the tongue, on October 24,1997, and asked her to return in two weeks. At that second appointment, on November 7, her ears were unchanged by otoscopic exam, but her mother described significant clinical improvement – she looked better, her hearing was subjectively better, she had more energy and appetite. We decided that the congestion in her ears must improve in two weeks, or the parents would consent to surgery.

You are likely to have many situations like this in your career: time running out, and one chance left. A rule of thumb that has served me well in my practice: make the choice that, if it turns out wrong, afterwards you can assure yourself that it was intelligent and well-grounded; that if you came face to face with Hahnemann, Boenninghausen, or Kent you could say, “Yes, I failed with this case, and this was my final prescription.” You have little to regret when your failed choice is based on an established approach. And very often that established choice turns out to be correct! If your failure comes from pursuing a side-track to standard analysis, you’ll always wonder whether you would have succeeded if you’d done the normal thing. Our egos want to be clever; we must keep this under control when we are practicing. Behind inconsistent success often lurks the urge to be fancy. Tread the well-trodden ways first; you will do well. So on November 7, 1997 I prescribed one dose of Sulphur 1M. If at her next appointment her ears were unchanged, and I never saw her again, I would always regret not giving Sulphur. If I failed with Sulphur, I could live with myself and my training, because of the teachings of homoeopathy back to Hahnemann. Her right ear was entirely clear of congestion on December 9, 1997. The right tympanic membrane was normal in color and shape; there was a normal light reflex and no fluid in the middle ear chamber. The left ear could not be visualized because of a large plug of wax, which I could not remove. I was greatly encouraged despite the blockage in the left external auditory canal, as the right ear was by far the more problematic of the two. If the right ear was so dramatically improved, the left was likely keeping pace, or ahead. This was confirmed by all the clinical improvements: her hearing in both ears was much more sensitive and acute, she had no more leg pain, she was eating better, and she had not come down with any new illnesses – a significant victory for her. So we continued. At this appointment I gave placebo (Sac. lac.) The Sulphur 1M given on November 7 had greatly helped and there was no sign that its action had ceased, so I let it continue. January 7, 1998. Mom called to report the child’s first upper respiratory infection under my care. She had non-descript sore throat with no lateralization, no fever, and clear runny nose. Warm drinks were more welcome than cold drinks. Her hearing had not declined. She had no ear pain, but then she never did, even with otitis. Analysis: Her health has improved in the last two months, but she is not cured.

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I assume this means her body is laboring against congestion or inflammation in the right ENT area, as she has no scalp or hair problems. Most likely this is the right eustachian tube. Nothing else has changed in her sleep, eating, behaviour. Analysis: (1) Ext Throat, Induration of Glands; (2) Ext Throat, Swelling, Right Side; (3) Ear, Inflammation, media, right side; (4) Throat inflammation, right side (the predecessor to all this). Lycopodium 200, 1 dose, on February 8, 1998. February 20, 1998. Regular constitutional appointment. No change from Lycopodium. Hearing is still subpar. She is teary. Now gets chilled easily. The right ear is clear, left still blocked. The right submandibular gland is still enlarged. Weight not improved. She seems to have stagnated – at a higher level than when we started, certainly, but not with the boost in energy and spirit I expected. Sulphur can be a right-sided remedy, and it already proved it could clear her right middle ear. But it did not act well enough centrally. I give Pulsatilla XM, 1 dose. Mother calls 3 weeks later to report that she became a new child. She ran and played in the house more in the past 2 weeks than she did in the last year. Her hearing improved dramatically, and now seemed normal. But two days ago she became suddenly fatigued. That evening she felt chilly, had leg pain, and complained of her left ear. Yesterday she did not complain of ears or leg, but looked tired and unwell. I see her in the office March 10, 1998. Through a gap in the wax plug in her left ear I glimpse the left TM – retracted, but no fluid. The right TM is clear. Throat normal. No fever. Assessment: Curative response with classic aggravation 2-3 weeks after remedy. I give placebo (Sac lac). Her left ear, I now know, has also cleared of congestion. March 15, 1998. Telephone call after hours on Sunday. The fatigue never ceased, and today she developed fever to 38.5º, and has vomited twice, but no diarrhea or stomach cramps. She is dull, has no appetite. She is chilly. I am thinking this is her typical URI manifestation (without the cough or sore throat). I would like to prescribe Arsenicum album 200c or Pulsatilla 200c, but she has neither on hand. I therefore prescribe Silica 200c, 1 dose, as Silica is a near complement to Pulsatilla. She has no more vomiting, and the fever goes away by the next morning. She sleeps well, but remains sullen and inactive and without appetite. I see her in the office two days later on March 17, 1998. She has dropped one pound in the last week, to 30 ¼ pounds. There has been no weight gain in the five months since I began treating her. She refuses to say a word to me during the appointment, and won’t let me examine her ears or throat, thrusting her head violently when I try, even with mom trying to clamp her down. She has no runny nose, cough, fever, vomiting, diarrhea, or ear pain. The right submandibular gland has re-swelled.

Sulphur had strengthened not only in her ears but her susceptibility to illness. When a constitutional remedy has done remarkable work, and an acute sickness arises, consider that remedy for the acute sickness. Many remedies function as both constitutional remedies and acute remedies. The individualizing symptoms that indicate a particular remedy in a chronic illness are likely to be different than the symptoms the patient displays in an acute case, but may point to the same remedy. When a person is experiencing tremendous improvement under a constitutional remedy, and becomes acutely ill, do not be surprised if that remedy — in its acute properties — runs strongly through the symptoms of the acute sickness. Do not neglect it as an acute remedy; in fact, favor it if there is no clearer choice. In the case at hand, with an unwell child unwilling to talk, there were few individualizing symptoms, maybe only one: throat pain ameliorated by warm liquids. Sulphur covered all the throat symptoms of this illness, including ‘better from warm drinks’ I prescribed one dose of Sulphur 200c. The acute illness was gone in two days. Jan 12, 1998. Her scheduled constitutional appointment. She was feeling well, and her appetite was steadily increasing beyond its low baseline of the last year. Her weight was up only 8 ounces, however. After the Sulphur 1M her constipation resolved; she was having normal daily bowel movements. Her hearing is improving clinically, but not yet normal. (She would not comply with a finger-rub test of her hearing.) On physical exam, her right TM continued to be clear; the left continued to be occluded with wax. Her right tonsil was slightly swollen compared to the left, and she had a significantly swollen, firm, non-tender right submandibular lymph gland, 3 cm x 1.5 cm. Assessment: (1) Lingering right-sided symptoms from her recent URI. (2) Ears and hearing spared during that cold – good thing. (3) Hearing still needs to improve. (4) Weight gain lagging – usually when sickly kids are launched in the right direction by proper homopathy, their appetite, weight, and energy skyrockets, and they look transformed 2 months later. She did not. A choice between Pulsatilla and Sulphur. I choose Pulsatilla 200c, 1 dose dry on the tongue. I checked her briefly two weeks later: right tonsil now normal, right submandibular gland smaller but still enlarged. Hearing no better, and right TM now retracted (left still occluded). Pulsatilla 1M, 1 dose on Jan 26, 1998. I request a progress report call in two weeks. At that time, her hearing has improved, but right submandibular gland is still swollen.

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Assessment: Standstill. She is not acutely sick right now. Her ears have been normal for months. Yet she will not improve to a normal energy and appetite. I don’t like her weight. I am getting more concerned about that right submandibular adenopathy. It has waxed and waned, but persisted two months. I look back on the case so far. Sulphur helped her the most. I prescribe Sulphur 1M, 1 dose on March 17, 1998. She flourishes, gaining 2 pounds over the next 4 weeks, and by mid-June her weight is at the 25th percentile. At her pediatrician appointment in June her bloodwork is normal, and the right submandibular gland had reduced in size to nearly normal size. For the first time in more than two years, no antibiotics were prescribed at her appointment. In June 1998 she gets a febrile URI with runny nose, much sneezing, a restless night’s sleep. A week prior to this cold her appetite, which had been very strong, had dropped off: the first sign of her health starting to wane after long improvement. She has no ear pain or sore throat. Both ears are clear. I decide that the cold is a flare-up of her constitutional state and treat this not with an acute prescription but constitutionally: Sulphur 1M, one dose. She improves quickly and does very well, playing with lots of energy and happiness, until another cold hits her 4 months later, in October 1998: runny nose and cough, worse at night and disturbing her sleep, low appetite, no throat or ear pain. The left TM is clear (and easily visualized); the right TM is now occluded with wax. The right submandibular gland is slightly swollen, and slightly tender. I prescribe Sulphur 200c, 1 dose, for this non-descript cold, and give her a dose of Sulphur 1M to take in 4 weeks as her next constitutional remedy, as she has done so well on Sulphur as constitutional remedy. Winter 1998-99: The patient went to Mexico with her family for a month, and developed a throat infection there, treated by a local doctor with antibiotics. This was the first antibiotics she had taken since her initial homoeopathic appointment over a year ago. She returned to Dallas in late December, and on Christmas Day had a cold, cough, sore throat, and decreased hearing in her right ear. I was unavailable, so she went to her pediatrician, who could not remove the wax plug with an ear speculum, so performed multiple warm-water pulsatile washings of the ear canal until the plug came out. The right TM was then seen to be red (congestion or physical irritation?), and a 10-day course of the antibiotic Augmentin was prescribed for right otitis media.

.

February 4, 1999. Her first appointment with me since her allopathic holiday. She has just turned five years old. It is 3 months since her last remedy, Sulphur 1M. The whole month of January her appetite was less; she had no weight gain in 4 months. Her energy was lower, she was more complaining and tearful. She was in school now. She had no constipation of GI troubles, but was sneezing frequently mornings, with much clear runny nose, better going outdoors. She had a pronounced evening cough, worse lying down. She coughed little in the night, it didn’t wake her. She became warm at night and kicked off the covers, but did not perspire anywhere. Both ears were clear on exam. Assessment: A new symptom picture, pointing strongly to Pulsatilla. Sulphur would not be a wrong choice here, as it has helped so much that it could certainly be prescribed once more even if the symptoms have changed (cf. Kent, Lectures on Homoeopathic Philosophy, Chapter XXXVI, “The Second Prescription”), but there are sufficient new symptoms to call for the new remedy. Pulsatilla 1M, one dose. She had a hearing test later that month and hearing was perfect in both ears. Mobility of both TMs was normal. Her mother reported that her mood, energy, appetite, and playfulness improved dramatically after Pulsatilla 1M, and remained high for months. From age 5 through age 13 she had only four ear infections: 2 were cured with Pulsatilla, one with Sulphur. The other was treated with antibiotics as I was out of town and the illness struck on New Year’s Eve 2000. From 2003 to 2009 I see her every eight months for constitutional appointments, at which her ears are never a concern. Now nearly 14 years old she is rarely ill, is an honors student, and plays piano well. (This case was published in American Journal of Homeopathic Medicine, Vol. 101, No. 2 Summer 2008, p 97-102.)

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INTERNATIONAL CONVENTION ON WORLD HOMOEOPATHY DAY: Defining the Role of Homeopathy within Ontario’s Health-Care System

CONFERENCE REPORT by Prof. Bhupinder Sharma, NVP LMHI Canada

On April 22 and 23, 2017, an international convention was held in Brampton, Ontario to commemorate the 262nd anniversary of Dr. Samuel Hahnemann’s birth. The theme of the convention was ‘Defining the Role of Homeopathy within Ontario’s Health Care System. The Convention was jointly held by Homeopathic Medical Association of Canada and Liga Medicorum Homeopathica Internationalis (LMHI) supported by various Associations from Ontario other provinces in Canada and North America. The convention provided an ideal platform for discussing opportunities for homeopathy within mainstream health care. It was also informed about activities that support professional self-regulation. Dignataries-- including the Consul General of India, a senior delegation from the Ministry of AYUSH, Government of India, the CEO from the Central West Community Care Access Centre, Registrar of the College of Homeopaths of Ontario, family physicians, a psychiatrist, and homeopathic subject matter experts -- deliberated on emerging opportunities for homeopaths in the context of Ontario’s Bill 41, the Patients First Act. Panel participation was preceded by a questionnaire on stakeholder views about obstacles and future opportunities for the homeopathy profession. The panel included a discussion of various strategies related to building and formulating policies that will shape the future participation of homeopathy within the mainstream of healthcare in Ontario, standards of education, international co-operation and evidence-based practice and research in homeopathy.

This event was organized by the Homeopathic Medical Association of Canada (HMAC) together with Liga Medicorum Homeopathica Internationalis (LMHI), the North American Society of Homeopaths (NASH), Ontario Homeopathic Association (OHA), and the Syndicat Professionnel des Homéopathes du Québec (SPHQ). INAUGURATION: The event was inaugurated by Dr. Gustavo Albert Cataldi, MD, Vice-President, Liga Medicorum Homeopathica Internationalis (LMHI) together with dignitaries including Mr. Dinesh Bhatia, Consul General of India, Mr. P.N. Ranjit Kumar, Joint Secretary Ministry of AYUSH Government of India, and Dr. Raj Manchanda, Director General Central Council for Research in Homeopathy Ministry of AYUSH. (Picture 1). Also present were Mr. Basil Ziv Hom, Registrar & CEO, College of Homeopaths of Ontario, and Prof. Bhupinder Sharma Hom (MD Homeopathy India), the Conference Chair. Other noted guests at the conference panels included Ms. Cathy Hecimovich, CEO, Central West Community Care Access Centre, Dr. K.M. Dhawale, MD (Psych. Medicine), D.P.M. M.F.Hom. (London), Memorial Homeopathic Institute, Mumbai, India, Dr. Gulam Murtoza, MD, CCFP Family Physician, Mr. Louis Klien, Hom, FS Hom,(B.C.) Dr. Nazia Nighat, MD, CCFP Family Physician, Mr. Robert Field, RSHom (NA) Vice President NASH, U.S.A., Dr. Jawahar Shah, M.D.( Hom.), Homeopathy Software Developer, and Martine Jourde Hom HPSQ (Quebec). Internationally acclaimed researchers from all over the world participated in the conference. More than 175 delegates, including practitioners, researchers, teachers and students, attended this convention, arriving from various provinces in Canada and many countries including India, Argentina, and the USA .

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Prof. Bhupinder Sharma welcomed all the dignitaries, presenters and delegates. Dr. Cataldi gave his key note address and spoke about of the role of LMHI in the support and Advancement of homeopathy in the membercountries of the world. Mr. Dinesh Bhatia, Consul General of India, Toronto, spoke in his inaugural address about the introduction of Homeopathy within India more than 200 years ago, and the substantial benefits that have flowed to the Indian public which has made India the world leader in the homeopathy profession. He emphasised the need for patients to have freedom of choice for primary and chronic health care. Mr. Ranjit Kumar, Joint Secretary of AYUSH, who spoke about altruistic efforts towards the globalization of AYUSH systems and the signing of MOUs with various countries including Canada and the CHO, reflecting the willingness of the Ministry of AYUSH to offer support, as requested, globally to homeopathic regulatory bodies for the benefit of their patients. Dr. Manchanda, Director General CCRH, spoke about the importance of the MOU and the relationship developed with the CHO. He emphasized that successful relationships were key to successful projects. Mr. Basil Ziv offered a vote of thanks, followed by a lighting of candles in front of Hahnemann’s portrait. Among the highlights of the weekend were two panel discussions during which experts in a number of relevant areas reflected on potential opportunities for homeopathy within the broader health-care system. The panel discussions focused on clinical and practical aspects of integration, including education, communication, and the development of a common understanding of interprofessional collaboration in light of growing emphasis on patient choice. Ms. Cathy Hecimovich, CEO, Central West Community Care Access Centre spoke about the practical implications of Bill 41, the Patients First Act, and considered opportunities for homeopaths and their patients. She described one example with the possible inclusion of a homeopathic facility in the new Peel Memorial Integrated Health and Wellness Centre in Brampton, Ontario. She emphasised that the homeopathic community itself would have to act proactively in order for this to become a reality. The conference included a number of clinical presentations. Topics included mental health, proving of new remedies, case studies and evidence-based research.

The Honourable Linda Jeffries, Mayor of Brampton was in attendance during the lunch hour and spoke to the advantages of the Patients First Act, and how it will benefit the entire Brampton community, and in particular those in the community who are already familiar with Homeopathy. She recognized the cost advantages and effectiveness of homeopathic treatment especially in home care and for those members of an aging community. Mayor Jeffrey was proud, that the first Alternative Health Clinic had already opened in Brampton, and said that this would not have happened without the support of the SE Asian community. She also encouraged Homeopaths to negotiate to participate in the Peel Memorial Integrative Health Centre which is now in the second phase of opening. The Honourable Harinder Malhi Member of Provincial Parliament(MPP) Brampton-Springdale addressed the conference and congratulated the homeopaths in the establishment of the College of Homeopaths and the self-regulation frame-work for the profession. She encouraged homeopaths step up to the plate and to become more involved in playing a role in healthcare in the Brampton-Springdale community. MPP Malhi gave a strong message to Ontarians to supporting Independent Living. She is a strong supporter of Homeopathy and believes that homeopaths will bring more opportunities for healthcare to the benefit of the community. She later presented plaques to Prof. Bhupinder Sharma, Conference Chair and other presenters, including Dr. Gustavo Albert Cataldi, MD, Vice-President, Liga Medicorum Homeopathica Internationalis (LMHI) and Dr. Raj K Manchanda , Secretary(Rsearch), LMHI and Director General CCRH in appreciation of their continuous support to promote Homeopathy in Ontario. The Conference concluded with closing remarks from the Chair, Bhupinder Sharma, who thanked the Liga Vice President/Secretary(Reserach) for their support including panelists, dignitaries and everyone who attended, for their contribution to the huge success of the convention.

Prof. Bhupinder Sharma

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Dr. Gustavo Cataldi

The celebration of the World Homeopathic Day, tribute to Samuel Hahnemann, took place April 22nd and 23rd 2017, at Courtyard by Marriot Hotel (Brampton, Canada). I had the pleasure to be there as LMHI Prime Vice-president representing our association. I was wonderfully received by Dr. Bhupinder Sharma (LMHI NVP for Canada, Council Member and Past President of the College of Homeopaths of Ontario) and Basil Ziv (Registrar and CEO of the College of Homeopaths of Ontario). The event was entitled “International Convention of World Homeopathic Day” and was organized by the Homeopathic Medical Association of Canada (HMAC). The North American Society of Homeopaths (NASH), Ontario Homeopathic Association (OHA) and the Syndicat professionnel des homéopathes du Québec supported this gathering. There were many excellent presentations during the convention, but the main topic was “Defining the role of Homeopathy within Ontario’s health-care system”. There were two round tables related to this topic, in which I had the honor to participate. On Saturday 22nd I sat together with Dr. Raj Manchanda, Louis Klein, Robert Field, Dr. Kumar Dhawale, Martine Jourde, Dr. Ghulam Murtoza and Basil Ziv to discuss “Opportunities for Homeopathy within mainstream health care”. We debated about the best way to introduce homeopathy to an integrated health-care system, taking into account that this introduction is happening now in Ontario. In this opportunity I expressed: “The integration of Homeopathy into the health system in each country is an act of justice towards a therapy that persists in spite of the attacks against it since it was discovered. The first ones to be benefited with this integration are the patients, who are able to access a holistic therapeutic system with less cost for them. The lack of collateral effects of our remedies gives the patients a better therapeutic possibility.

Report World Homeopathic Day 2017

Dr. Gustavo Cataldi LMHI Prime Vice-president

Apart from that, the benefit produced by the homeopathic remedy when it is aimed to heal the chronic disease, understanding it as our philosophy does, puts the patient in the situation of having less clinical problems, which results in their wellbeing. Besides, the reduction of the costs is also a benefit for the Government, since the investment should be smaller. In addition, the rationalization of complementary studies and the reduction of iatrogenic effects that may produce remedies used by standard medicine, also contribute to reduce the costs of the attention. In this regard, it is good to remind a recent study published in the BMJ¹ which showed that medical errors are the third cause of death in the USA, and between them can be found the use, abuse and the collateral effects of conventional remedies. Several studies that have been performed show not only the efficacy of results in recovery but also the reduction of costs in homeopathic treatments.” […] “All these studies show what homeopaths already know: the usefulness of homeopathy, confirm its benefits for the patients and its utility regarding the costs and quality of attention if it is integrated in the health system. Regarding the benefits of its integration for the community of homeopaths, we reasonably could expect fewer attacks against the practice, although that still happens for example in the United Kingdom, despite the fact that the integration exists. As Poitevin² and Manchanda³ have already pointed out, we would have benefits regarding education and a more qualified practice with policies of entities that control it, and more possibilities to develop clinical and basic research. The integration into a health system where the hegemonic paradigm is the one of biomedicine, has unquestionable advantages but, at the same time, certain precautions have to be taken into account.

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We must not give up in our practice the concepts of totality and individuality for the election of the homeopathic remedy. In this aspect, homeopathy differs from the practice of standard medicine, where symptoms and clinical manifestations are treated, but not the vital unbalance that these cause. That is why, considering the patient as a psychophysical totality with the unbalance he brings to the practice, evidenced through the disease, and selecting the remedy based on the sick individual and not based on the disease, are essential in our practice and this is how we must integrate with any health system. This is a humanitarian practice of homeopathy that we must never abandon”. On Sunday 23rd April at 9.20 I participated in the round table “Practical applications of patients first-action plan for health care” with the same colleagues. This invocation to concentrate the health plan in the patient is the motivation of any physician dedicated to Homeopathy, as it was the desideratum of its discoverer, Samuel Hahnemann. Actually, if we follow the definition of “Health” provided by the WHO, the homeopathic treatment carries out its search more precisely than the biomedical system. In 1986 the WHO issued a document produced during the first international conference for the promotion of Health, organized in Ottawa, Canada, which modifies the definition from 1948. In this document it is said that health is “a resource for everyday life, not the objective of living. Health is a positive concept emphasizing social and personal resources, as well as physical capacities”. From this definition we can deduce the following reflections: 1) health involves three aspects: the physical, social and personal aspects; 2) health is NOT an end in itself, but a resource, a condition necessary for the development of daily life. And it is a resource that allows personal and social development. In this sense, it proposes not to “live” for health, but to “be healthy” to be able to live. In general, this is not a priority in the biomedical paradigm that runs in health systems.

Homeopathy, on the other hand, is closer to this vision of the WHO than the biomedical paradigm is. If we turn to the end of the already quoted § 9 of the Organon, Hahnemann says: “[…] so that our indwelling, reason-gifted mind can freely employ this living, healthy instrument for the higher purpose of our existence”. Here, Hahnemann manifests that the state of balance achieved by the vital power over health allows the spirit to head towards a higher end. This means that the stat of health or disease determines the possibilities of development of the human being. This addition made by Hahnemann in the paragraph where he formulates what is the state of health is a magnificent precedent, unusual to the period it was written, to the definition given by the WHO in 1986. The efforts of our colleagues from Canada are giving their results, to celebrate with justice the World Homeopathic Day and making possible the integration of our art to an integrated health care system. I want to thank the HMAC, Dr. Bhupinder Sharma, our NVP in Canada, and Basil Ziv for their generous welcome; and to everyone involved in the success of this conference. I wish you success to continue with your endeavor. ¹Makari M, Daniel, M. Medical error—the third leading cause of death in the US BMJ 2016;353:i2139 ²Poitevin B. Integrating Homoeopathy in health systems. Bull World Health Organ 1999;77:160-6. ³Manchanda R. IndianJResHomoeopathy 1011-6108515_165805

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Obituary Dr. Jesús Avendaño García (1928-2016)

Dean of professors at Homeopatía de México A.C.

He studied three medical degrees, at the University of Mexico, at the Escuela Nacional de Medicina Homeopática y en la National School of Homeopathic Medicine, and at the Escuela Libre de Homeopatía de México, where he met Dr. Proceso S. Ortega. He attended Dr. Proceso as a physician for his last days, as well as Mrs. Rebeca Caballero, Dr. Proceso’s wife, for the last day of her life. He was a master of Materia Medica. His exceptional explanations of each medicine began with a physiopathology approach, and ended with a miasmatic interpretation. He was a very healthy person since he never took allopathic medicines thanks to his mother who always treated him with homeopathy. When he finished his first medical degree, his mother told him “you must study the kind of medicine we use”, and that was why he studied medicine twice again at the two homeopathic medicine schools in the country. He was a very wise and humble man. He always opted to travel by public transport to get to school to teach his lessons. He also liked singing, and consequently, he formed a choir named Organon with which he wrote two hymns, one to Hahnemann and one to Dr. Proceso, for whom he was one of his most beloved students. He spent a great part of his life devoted to the teaching of Homeopathy, along with medical consultations that he offered in a very modest office located in the city center. He spoke French, which he particularly liked, and English. He always recommended his students to carry Kent’s Lectures on Homeopathic Philosophy with them. Until his last days, he wrote a lot of valuable notes by hand, which he used for his lessons given at the Escuela Libre de Homeopatía de México Free School of Homeopathy and at the Escuela de Posgrado de Homeopatía de México A.C.

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Obituary Dr. Alejandro Brenes (1955-2016)

The Homeopathy in Costa Rica had lost one of its honorable sons, Dr. Alejandro Brenes (1955-2016) was an homeopath with high standards on his practice, he was appreciated by his patients and by those who knew him. He was a defender of Homeopathy as another branch of that huge tree called the medical sciences, enough reason for him to advocate his efforts to the investigation of homeopathy based on a rational methodology and the spreading of it through articles published in national medical journals. Dr. Brenes in addition to other colleagues gave the intellectual fight to reach the status of Homeopathy as a medical specialty, recognized by the Medical Association of Costa Rica in 1986 and officially by the national authorities of Costa Rica in 1994. Alejandro was a musician and a beloved family man. by Dr. Carlos José Quesada

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Obituary Dr. Angelika Gutge-Wickert

Köthen (Anhalt), in February 2017 On Monday, February 6, 2017, Angelica died after a long and serious illness. We are sad! After completing her studies in pharmacy, she came into contact with homeopathy in her first profession as a pharmacist, which became her vocation and life task for her. She then completed a medical examination and a homeopathy training and worked as a homeopathic doctor for over 30 years. In addition to her practice, she was a member of the Berlin Association of Homeopathic Physicians - many years as a member of the board of directors - and later as a member of the board of the German Central Association of Homeopathic Physicians. Her special interest was in further education, in particular the training of homeopathic physicians and pharmacists. She also worked for the training of homoeopathic veterinarians and dentists. For WissHom, she was not only an essential co-founder with many ideas, but also a central member of the board. WissHom would not have been launched without its continuous and sustained impetus, and without its coordination, its valuable contributions, and its steadfast persistence, WissHom would perhaps no longer exist today. In addition to her management, she organized the International Coethener Exchange of Experiences (ICE) for many years and with great success, as well as the Köthen Summer Course of Homeopathy as an introduction to a contemporary theoretical discourse on homeopathy. Lastly, she took over the responsible office of the President of the Congress for the World Congress of Homeopathic Physicians, which will take place in Leipzig in June 2017. She will not be able to experience this congress. We feel committed to your work. The Presidium of the Scientific Society for Homeopathy. WissHom

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72nd LMHI Homeopathic World Congress, Leipzig, Germany, 14 – 17 June 2017

„Networking in Medical Care – Collaboration for the benefit of the patient“

You will find program details and further information about the congress via the

congress website: http://www.lmhi-congress-2017.de

LIGA NEWS

Quiz Corner... for our younger colleagues...

Pietro Gulia Medico-Chirurgo Omeopata

[email protected]

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1) According to Hahnemann what is the highest ideal to restore the health? 2) How can we achieve this aim? 3) Could you quote any of homeopathic fundamental principles? 4) In Materia Medica Pura Hahnemann states (in bold): 12 –

His consciousness is as if in a dream; 66 - Excessive dryness of the eyelids; 89 – Dull appearance of the eyes with blue rings round them; 92 – Frequent flow of tears from the eyes, with redness of them, as in catarrh (after 6 hours); 125 – Sensation as if the nose were too dry inwardly, such as caused by the dust of a dry road in the nose (after 3 hours); 171 – Saliva runs incessantly out of the mouth, like waterbrash; 210 – Taste and coolness in the mouth and thirst, as from peppermint drops; 308 – Flatulent colic, which attacks the bowels here and there and the whole abdomen; the longer the flatus is retained the more difficult is it to be expelled (from 6 to 12 hours); 384 – Palpitation of the heart with anxiety, and quicker, audible respiration; 401 – Spasmodic constriction of the larynx, with contracted pupils; 426 – Tickling quite low down in the air tubes, causing cough, with slighe expectoration (after 1, 6 hours); 615 – Feeling of internal chill ran through him from the head to the toes of both feet at once, with thirst (immediately after taking it); 686 – Melancholy, with chilliness, as if he were sprinkled with cold water, and frequent inclination to vomit; 688 – She is inconsolable about an imaginary misfortune, runs about the room howling and crying out, with her looks directed to the ground, or sits absorbed in thought in a corner, lamenting and weeping inconsolably; worst in the evening; sleeps only till 2 o’clock. What a long exercise .. I beg your pardon, but I believe it will be useful for all of us to learn a little more about this remedy … which is …

5) Clinical case – July. A 3-yrs old child. Whooping cough

since two weeks. Violent cough, < by night, << lying on a side; expectoration is frothy and white. Cough attacks start at 10 p.m.; the cough is very violent, tormenting, racking. The child is afraid of coughing, weeps, asks for parents’ help. Drosera 200K: totally ineffective (actually the child worsened after Drosera). Belladonna 30 CH: totally ineffective. The mother adds: “When she is coughing her lips and cheeks are blue. She shortly after squirms, then becomes stiff, then bends her back, and her head drawn backward”. The right remedy is …

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6) Clinical case. Italian hot June. Woman, 55 yrs old, a chemist. “I have got a violent diarrhoea since yesterday. What an awful night! Every hour I had to run to the toilet; I suddenly feel violent cramps in my belly and soon after I have to run for an explosive discharge that it is too difficult to control … sorry, I confess that I haven’t made it twice. The faeces are watery, real water. I wonder from where such a lot of water comes. I feel completely drained. What a strange .. the faeces stink not much, really. I sweat, above all on the forehead and face while I am discharging and the sweat is cold. No fever. No appetite. I am very thirsty, I would like to drink a lot of cold water, but I am afraid of drinking because every time I drink, I feel sick, then vomit and have to run to the toilet.. Please, doctor, help me , I feel washed out ... It is a viral gastro-enteritis: many people get same symptoms in the town (see aph. 73) What is the remedy? 7) In Chronic Diseases Hahnemann states: 1 – Melancholy; she shuns the sight of men, seeks and loves solitude, and troubles herself about her imminent death, which she supposed to be unavoidable. 6 – Restless tossing, and constant uneasiness. 124 – Sweet taste in the mouth. 190 – Pinching, like colic, in the abdomen, as soon as he walks about after eating (a green vegetable), it goes off by lying down and resting, but leaves a great weakness behind. 223 – Cough continuing uninterruptedly for a half hour or a whole hour and even two hours (early in the morning). 239 – Spasmodic attacks of asthma; the chest feels contracted, the respiration difficult, even to suffocation, and, when these cramps abate, a spasmodic vomiting, after which the attack subsided for half an hour. Could you discover the remedy? Yes, of course … the Repertory will help you. 8) Nash states (Leaders in Homeopathic Therapeutics). “Mania with desire to cut and tear things, with lewdness, lascivious talk, religious or amorous. Rheumatic affections < in damp weather; drives patient out of bed”. The remedy is … 9) How to prepare the remedy Calcarea carbonica? a) from a calcium carbonate solution; b) by triturating the inner white portion of oystershells, broken into small pieces; c) by triturating small pieces of oystershells

Solutions quiz Corner – LMHI News n. 19 1) c) The state of the disposition of the patient. 2) b) Prescribing the smaller dose of the homeopathic remedy. 3) c) Never, in non case under treatment. 4) MIND – Symptom 20 = Sensitive – Weeping, trifles at. 22 = Laughing, alternating with weeping. 24 = Delusions, wrong, gives people something wrong which they die; she. 26 = Anxiety, head, heat of; with cold feet; and – Irresolution – Memory, weakness of memory, do; for what was about to. 38 = Anger – Offended, easily – Suspicious – Delusions, insulted, he is – (Embittered) - Quarrelsome. 53 = Peevish, irritability – Obstinate - Answering, refusing to answer – aversion to answer – Company, aversion to; bear anybody, cannot – Impatience. SULPHUR 5) Aph. 274 – “ … because even though the simple medicines were thoroughly proved with respect to their pure peculiar effects on the unimpaired healthy state of man, it is yet impossible to foresee how two and more medicinal substances might, when compounded, hinder and alter each other's actions on the human body; and because, on the other hand, a simple medicinal substance when used in diseases, the totality of whose symptoms is accurately known, renders efficient aid by itself alone, if it be homoeopathically selected …”. 6) STOMACH – Thirst, large quantities for – often, and. GENERALS – Food & drinks, warm drink desire – amel; cold drinks desire – amel; GENERALS – Warm air agg – Air, open air agg. COUGH – Paroxysmal – Suffocative – Dry – Loose, morning – Air, open. EXPECTORATION – Transparent – Viscid. RESPIRATION - Accelerated - Panting – Difficult, cough during. HEAD – Pain, coughing on. CHEST- Pain, cough during. BRYONIA ALBA, 200 K, two doses, the second one in water, 6 hrs after the first one. Quick improvement: totally recovered from her tracheo-bronchitis in less than 72 hrs. 7) Clinical case. Sulphur was a bad prescription: not only her symptoms got worse but also the appearance of new symptoms, never felt before by the lady, shows Sulphur and its daily taking were unfavorable. See Hahnemann, Organon 6th ed, aph. 247 See Kent: 10th observation in Lectures on Homeopathic Philosophy – Lesson XXXV. 8) MOUTH – Discoloration; Tongue, brown, Centre. RECTUM – Involuntary stool – BLADDER – Urination, involuntary. RECTUM – Diarrhea, involuntary urination; with simultaneous – STOOL – Brown – White. BLADDER – Retention of urine, dysentery - SKIN – Eruptions, boils, small – Ecchymoses. STOMACH – Thirst, chill, during. HEAD – Heat, coldness, Body; with coldness of. ARNICA MONTANA. 9) SKIN – Coldness, icy - Uncover must. GENERALS – Formication – Formication, External parts – Numbness, accompanied by crawling – Paralysis. SKIN – Formication, mouse were crawling under the skin; as if a. GENERALS - Hemorrhage, passive, oozing – Lean people – Cachexia. SECALE CORNUTUM 10) b) by triturating flowers of sulphur with sugar of milk up to the 3rd.

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10) How many remedies did Hahnemann and his disciples prove? a) About 45; b) about 90; c) about 105; d) about 150

IMPRINT THE LIGA NEWS • No. 20/June 2017 • Pictures: Archive • LMHI Newsletter Team: Dr. Richard Hiltner (Newsletter Secretary), Dr. Renzo Galassi (Italy), Dr. Altunay Agaoglu (Turkey), Dr. Bernardo Merizalde (USA), Dr. Daniel C. Cook (USA), Dr Bernhard Zauner (Austria), Dr. Pietro Gulia (Italy) • Editorial Support: Evin Türkay (LMHI Secretariat) • Correspondence address: 1388 sok. No:6/2 Alsancak 35220, Izmir, TURKEY • E-Mail: [email protected] • Fax: +90-232-4650406

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