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Creating Waves of Awareness

On the eve of our master Hahnemann's birthday, I am going to share with you- something interesting.


It is our great pleasure that our master lived a longer life and gave homoeopathy a firm footing. If we see his practice with homoeopathic drugs, we can understand,
throughout his life he tried to establish homoeopathy on a solid ground on the basis of observations and experimentations till his death. But the most unfortunate part is that his own case records are now unavailable to the profession, although a very few cases are scattered here and there in different old journals which are unaccessible to most of us.


Later, Dr. Dudgeon collected some of the data from our master's case records and compiled a book “Hahnemann's Therapeutic Hints”.


Hahnemann used to keep his case records in his own hand writings. Some of these masterpiece manuscripts are now properly maintained and displayed in Robert Bosch Hospital museum, Stuttgart.



Although Boenninghausen came to homoeopathy from a different walk of life (he was a clergyman in his early life), but soon Hahnemann recognized his genius.
Boenninghausen became one of his close friends. Hahnemann used to communicate with Boenninghausen time to time regarding his cases.





Two Cases from Hahnemann's Notebook

(communicated by a letter dated 24th April, 1843, to Dr Von Boenninghausen, and
published in the Neues Archiv, Vol. I. 1844.)



CASE 1

Julie M. a country girl; 14 years old; not yet menstruated. 12th September, 1842. A month previously she had slept in the sun. Four days after this sleeping in the sun, the frightful idea took possession of her that she saw a wolf, and six days thereafter she felt as if she had received a great blow on the head. She now spoke irrationally, became as if mad, wept much, had sometimes difficulty in breathing; spat white mucus; could not tell any of her sensations.

She got Belladonna, [Dr. B. tells us that whenever the dilution is not indicated, it is understood that the 60th dilution was administered.] weakened dynamization, in seven tablespoons of water; of this, after it was shaken, a tablespoonful in a glass of water, and after stirring this, one teaspoonful to be taken in the morning.

16th. – Somewhat quieter; she can blow her nose, which she was unable to
during her madness; she still talks as much nonsense, but does not make so many grimaces while talking. She wept much last night. Good motion. Tolerable sleep.

She is still very restless, but was more so before the Belladonna. The white of the eye full of red vessels. She seems to have a pain in the nape of the neck.

From the glass in which one tablespoonful was stirred, one teaspoonful is to be taken and stirred in a second glassful of water, and of this from two to four teaspoonfuls (increasing the dose daily by one teaspoonful) are to be taken in the morning.

20th. – Much better; speaks more rationally; works a little; recognizes and names me; and wishes to kiss a lady present. She now begins to shew her amorous propensities; is easily put in a passion, and takes things in bad part; sleeps well; weeps very often; becomes angry about a trifle; eats more than usual; when she comes to her senses she likes to play, but only just as a little child would.

Belladonna, a globule of a higher potency: seven tablespoonfuls shaken in two
glasses, 6 teaspoonfuls from the second glass early in the morning. [The meaning of these directions, which is not very obvious, seems to be that the globule shall be dissolved in seven tablespoonfuls of water, and of this a tablespoonful is to be stirred in a second tumbler of water, and from this second glass a teaspoonful is to be given for six successive mornings.]

28th. – On the 22nd, 23d, and 24, very much excited day and night; great lasciviousness in her actions and words; she pulls up her clothes and seeks to touch the genitals of others, she readily gets into a rage and beats everyone.

Hyosciamus X’, seven tablespoonfuls, &c., one tablespoonful in one tumblerful of water; in the morning a teaspoonful.

5th October. For five days she would eat nothing; complains of belly-ache; for the last few days less malicious and less lascivious; stools rather loose; itching all over the body, especially on her genitals; sleep, good.

Sacch. Lactis for seven days, in seven tablespoonfuls, &c.

10th. – On the 7th, fit of excessive anger; she sought to strike everyone. The next day, the 8th, attack of fright and fear, almost like the commencement of her illness (fear of an imaginary wolf;) fear lest she should be burnt. Since then she has becomes quiet, and talks rationally and nothing indecent for the last two days.

Sacch. Lactis, &c.

14th. – Quite good and sensible.

18th. – The same, but severe headache; inclination to sleep by day; not so cheerful.

New sulphur (new dynamization of the smallest material portion) one globule on three tumblers; in the morning one teaspoonful.

22nd. – Very well; very little headache.

Sulphur, the next dynamization in two tumblers.

She went on with the sulphur occasionally until November, at which time she was and still remains a healthy, rational, amiable girl.



CASE 2

0 – t, an actor, 33 years old, married. 14th January, 1843. For several years he had been frequently subject to sore throat, as also now for a month past. The previous sore throat had lasted six weeks. On swallowing his saliva, a prickling sensation; feeling of contraction and excoriation.

When he has not the sore throat he suffers from a pressure in the anus, with violent excoriative pains; the anus is then inflamed, swollen, and constricted; it is only with a great effort that he can then pass his faeces, when the swollen haemorrhoidal vessels protrude.

On the 15th January, he took, in the morning before breakfast a teaspoonful of solution of one globule of belladonna X’ then the lowest dynamization, dissolved in seven tablespoonfuls of water, of which a tablespoonful was well stirred up in a tumberful of water.

15th. – In the evening aggravation of the sore throat.

16th. – Sore throat gone, but the affection of the anus returned as above described; an open fissure with excoriative pain, inflammation, swellings, throbbing pain and constriction; - also in the evening a painful motion.

E confessed having had a chancre eight years previously, which had been, as usual, destroyed by caustics, after which all the above affections had appeared.

18th. – Merc. Viv. One globule of the lowest new dynamization I, (which contains a vastly smaller amount of matter than the usual kind), prepared in the same manner, and to be taken in the same way as the belladonna (the bottle being shaken each time), one spoonful in a tumberful of water well stirred.

20th. – Almost no sore throat. Anus better, but he still feels there excoriation pain after a motion; he has however no more throbbing, no more swelling of the anus, and no inflammation; anus less contracted.

One globule of merc. Viv. (2/10) the second dynamization of the same kind; prepared in the same way. And taken in the morning.

25th. – Throat almost quite well, but in the anus, raw pain and severe shootings; great pain in the anus after a motion; still some contraction of it and heat.

30th. – In the afternoon, the last dose (one teaspoonful). On the 28th the anus was better; sore throat returned; pretty severe excoriation pain in the throat.

On globule in milk-sugar for seven days; prepared and taken in the same manner.

7th February. – Severe ulcerative pain in the throat. Bellyache, but good stools; several in succession, with great thirst in the anus all is right.

Sulphur 2/10 in seven tablespoonfuls, as above.

13th. – Had ulcerative pain in the throat, especially on swallowing his saliva, of which he has now a large quantity, especially copious on the 11th and 12th. Severe contraction of the anus, especially since yesterday.

He now smelt here merc., and got to take as before merc. V. 2/10 one globule in seven tablespoonfuls of water, and half a spoonful of brandy.

20th. – Throat better since the 18th; he has suffered much with the anus; the motion causes pain when it is passing; less thirst.

Milk-sugar in seven tablespoonfuls.

3d March. – Now more sore throat. On going to stool a bloodless haemorrhoidal knot comes down (formerly this was accompanied with burning and raw pain), now with merely itching on the spot.

To smell acid. Nitri. And then to have milk-sugar in seve...

Almost no more pain after a motion; yesterday some blood along with the motion (an old symptom) Throat well; only a little sensitive when drinking cold water.

Olfaction of acid. Nitri. (olfaction is performed by opening small bottle containing an ounce of alcohol or brandy where one globule is dissolved, and smelt for an instant or two.

He remained permanently cured. [ The following account of an illness with which hahnemann was attacked, which he gives in a letter to the same correspondent, dated 28th April, 1833, will be read with interest. “Although I kept myself very calm, yet the annoyance I receive from * * * * * may have contributed to bring upon the suffocative catarrh, that for seven days before and 14 days after the
10th of April [ Hahnemann’s birthday], threatened to choke me, with instantaneous attacks of intolerable itching in the glottis, that would have caused spasmodic cough, had it not deprived me of breath altogether; irritation of the fauces with the finger, so as to cause sickness, was the only thing that restored the breathing, and that but slowly; there were besides other severe symptoms – very great shortness of breath (without constriction of the chest), total loss
of appetite for food and drink, disgust at tobacco, bruised feeling and weariness of all the limbs, constant drowsiness, inability to do the least work, presentiment of death. &c. The whole neighborhood proved their great affection for me by sending so frequently to inquire how I was, that I felt quite ashamed. It is only within these four days that I have felt myself out of danger; I obtained relief by
two olfactions, of coff. Cr. X’ first, and then of calc,; ambra too was of use. And so the Great Protector of all that is true and good will grant me as much more life upon this earth as seemeth good to his wisdom.”






I hope, you are delighted.......................ARINDAM

Views: 1226

Comment by Dr Muhammed Rafeeque on March 25, 2010 at 6:50am
Thanks for posting this historical case. This case history clearly proves that Hahnemann was not "classical" like some of our contemporary homeopaths who always speak on delusions, core delusions etc. His approach was simple and his prescription was based upon the similarity to the presenting totality. On several occasions, he had mentioned about some specific medicines like sulphur, hepar, china, merc etc to be administered one after the other, when the case is not responding to one remedy.

I feel that Now we are going over-classical than Hahnemann!
Comment by Alias Azhar on March 25, 2010 at 12:38pm
salam,
it seem that Dr H always start with Bell,
peace wasalaman
Comment by Dr Guillermo Zamora on March 25, 2010 at 10:00pm
Dear Dr. Dutta..Thank you for this presentation...I apreciate it so much.

Dr Rafeeque...hoho, definitely...you have found the master key to say whole truth in a few words!!!...of course, thanks to Dr Arindam´s contribution.

Best wishes.
Dr. G
Comment by Dr. Saurav Kariwala on March 26, 2010 at 12:52am
Thank u sir for such precious cases!where exactly did u find these cases??thank u
Comment by DR. ARINDAM DUTTA on March 26, 2010 at 1:57am
Dear GZ,

Thanks for the complement.

Dear members,

"More the merrier..."

I am presenting another two cases of Hahnemann, dated back around 1817, the budding stage of Homoeopathy.
We see in the evolution of repertory the idea of repertorization was first introduced by Boenninghausen in Homoeopathy around 1832, when he published his "Repertory of Antipsoric Medicines" in Germen language.


From our Master's analysis of these cases, it is evident that the concept of repertorization was there in the back of his mind.

Let's read the cases-

"Cases Illustrative of Homoeopathic Practice
By Samuel Hahnemann


From the Reine Arzneimittellehre, pt. il, 3d edit. 1833. The cases here given originally appeared around 1817 in the first edition of the R. A. M. L.

Remarks
All who feel a true desire to assist in elucidating the peculiar effects of medicines - our sole instruments, the knowledge of which has for so many centuries remained uninvestigated, and which is yet so indispensable for enabling us to cure the sick - will find the directions how these pure experiments with medicines should be conducted, in the Organon of Medicine, 118-142.

In addition to what has been there stated, I shall only add, that as the experimenter cannot, any more than any other human being, be absolutely and perfectly healthy, he must, should slight ailments to which he was liable, appear during these provings of the powers of medicines, place these between brackets, thereby indicating that they are not confirmed, or dubious.

But this will not often happen, seeing that during the action upon a previously healthy person of a sufficiently strong dose of the medicine, he is under the influence of the medicine alone, and it is seldom that any other symptom can show itself during the first days but what must be the effect of the medicine.

Further, that in order to investigate the symptoms of medicines for chronic diseases, for example, in order to develop the cutaneous diseases, abnormal growths and so forth, to be expected from the medicine, we must not be contented with taking one or two doses of it only, but we must continue its use for several days to the amount of two adequate doses daily, that is to say, of sufficient size to cause us to perceive its action, whilst at the same time we continue to observe the diet and regimen indicated in the work alluded to.

The mode of preparing the medicinal substances for use in Homeopathic treatment will be found in the Organon of Medicine, 267-271, and also in the Chronic diseases. I would only observe here, that for the proving of medicines on healthy individuals, dilutions and dynamizations are to be employed as high as are used for the treatment of disease, namely, globules moistened with the decillionth development of power.

The request of some friends, halting half-way on the road to this method of treatment, to detail some examples of this treatment, is difficult to comply with, and no great advantage can attend a compliance with it. Every cured case of disease shows only how that case has been treated.

The internal process of the treatment depends always on those principles which are already known, and they cannot be rendered concrete and definitely fixed for each individual case, nor can they become at all more distinct from the history of a single cure that they previously were when these principles were enunciated.

Every case of non-miasmatic disease is peculiar and special, and it is the special in it that distinguishes it from every other case, that pertains to it alone, but that cannot serve as a guide to the treatment of other cases. Now, if it is wished to describe a complicated case of disease consisting of many symptoms in such a pragmatic manner that the reasons that influence us in the choice of the remedy shall be clearly revealed, this demands details laborious at once for the recorder and for the reader. In order, however, to comply with the desires of my friends in this also, I may here detail two of the slightest cases of Homeopathic treatment.

Case 85 - Sch
A washerwoman, somewhat above 40 years old, had been more than three weeks unable to pursue her avocations, when she consulted me on the 1st September, 1815.

1. On any movement, especially at every step, and worst on making a false step, she has a shoot (pain) in the scrobiculus cordis, that comes, as she avers, every time from the left side.
2. When she lies she feels quite well, then she has no pain anywhere, neither in the side nor in the scrobiculus.
3. She cannot sleep after three o'clock in the morning.
4. She relishes her food, but when she has eaten a little she feels sick.
5. Then the water collects in her mouth and runs out of it, like the water brash.
6. She has frequently empty eructations after every meal.
7. Her temper is passionate, disposed to anger.
8. Whenever the pain is severe she is covered with perspiration. The catamenia were quite regular, a fortnight since.

In other respects her health is good.

Now, as regards symptom 1
Belladonna, China, and Rhus toxicodendron cause shootings in the scrobiculus, but none of them only on motion, as is the case here. Pulsatilla (see Symp. 387) certainly causes shootings in the scrobiculus on making a false step, but only as a rare alternating action, and has neither the same digestive derangements as occur here at 4 compared with 5 and 6, nor the same state of the disposition.

Bryonia alone has among its chief alternating actions, as the whole list of its symptoms demonstrates, pains from movement, and especially shooting pains, as also stitches beneath the sternum (in the scrobiculus) on raising the arm, (448) and on making a false step it occasions shooting in other parts, (520, 574.)

The negative symptom 2
met with here answers especially to Bryonia, (638) few medicines (with the exception, perhaps, of Nux vomica and Rhus toxicodendron in their alternating action-neither of which, however, are suitable for the other symptoms) show a complete relief to pains during rest and when lying; Bryonia does, however, in an especial manner, (558 and many other Bryonia-symptoms.)

Symptom 3
is met with in several medicines, and also in Bryonia, (694.)

Symptom 4
is certainly, as far as regards "sickness after eating," met with in several other medicines, (Ignatia, Nux vomica, Mercurius, Ferrum, Belladonna, Pulsatilla, Cantharis) but neither so constantly and usually, nor with relish for food, as in Bryonia, (279.)

As regards symptom 5
several medicines certainly cause a flow of saliva like water-brash, just as well as Bryonia, (282) the others, however, do not produce the remaining symptoms in a very similar manner. Hence Bryonia is to be preferred to them in this point.

Symptom 6
Empty eructation (of wind only) after eating is found in few medicines, and in none so constantly, so usually, and to such a great degree, as in Bryonia, (255, 239.)

To 7.
One of the chief symptoms in diseases (see Organon of Medicine, 213) is the "state of the disposition," and as Bryonia (778) causes this symptom also in an exactly similar manner - Bryonia is for all these reasons to be preferred in this case to all other medicines as the Homeopathic remedy.

Now, as this woman was very robust, and the force of the disease must accordingly have been very considerable, to prevent her by its pain from doing any work, and as her vital forces, as has been observed, were not consensually affected, I gave her one of the strongest Homeopathic doses, a full drop of the pure juice of Bryonia root, * to be taken immediately, and bade her come to me again in forty-eight hours.

I told my friend E., who was present, that within that time the woman would be quite cured, but he, being but half a convert to Homeopathy, expressed his doubts about it. Two days afterwards he came again to ascertain the result, but the woman did not return then, and, in fact, never came back again.

I could only allay the impatience of my friend by telling him her name and that of the village where she lived, about three miles off, and advising him to seek her out and ascertain for himself how she was. This he did, and her answer was: "What was the use of my going back? The very next day, I was quite well, and could again commence my washing, and the following day I was as well as I am still. I am extremely obliged to the doctor, but the like of us have no time to leave off our work; and for three weeks previously my illness prevented me earning any thing."

* According to the most recent development of our new system the ingestion of a single, minutest globule, moistened with the decillionth (x) potential development would have been quite adequate to effect an equally rapid and complete recovery; indeed, equally certain would have been the mere olfaction of a globule the size of a mustard seed moistened with the same dynamization, so that the drop of pure juice given my be in the above case to a robust person, should not be imitated.

Case 86 - W - e
A weakly, pale man of 42 years, who was constantly kept by his business at his desk, came to me on the 27th December, 1815, having been already ill five days.

1. The first evening he became, without manifest cause, sick and giddy, with much eructation.
2. The following night (about 2 AM) sour vomiting.
3. The subsequent nights severe eructation.
4. Today also sick; eructation of fetid and sourish taste.
5. He felt as if the food lay crude and undigested in his stomach.
6. In his head he felt vacant, hollow and confused, and as if sensitive therein.
7. The least noise was painful to him.
8. He is of a mild, soft, patient disposition.

Here I may observe:

To 1.
That several medicines cause vertigo with nausea, as well as Pulsatilla (3), which produces its vertigo in the evening also (7), a circumstance that has been observed from very few others.

To 2.
Stramonium and Nux vomica cause vomiting of sour and sour-smelling mucus, but, as far as is known, not at night. Valerian and Cocculus cause vomiting at night, (61, 62) and can also cause sour vomiting, (66) but not the other symptoms observed here. Pulsatilla, however, causes not only sour vomiting in the evening (349, 356) and nocturnal vomiting in general, but also the other symptoms of this case not found among those of Iron.

To 3.
Nocturnal eructations is peculiar to Pulsatilla (296, 297).

To 4.
Fetid, putrid (249) and sour eructations (301, 302) are peculiar to Pulsatilla.

To 5.
The sensation of indigestion of the food in the stomach is produced by few medicines, and by none in such a perfect and striking manner as by Pulsatilla (321, 322, 327).

To 6.
With the exception of Ignatia (2) which, however, cannot produce the other ailments, the same state is only produced by Pulsatilla (39 compared with 40, 81).

To 7.
Pulsatilla produces the same state (995), and it also causes over-sensitiveness of other organs of the senses, for example, of the sight (107). And although intolerance of noise is also met with in Nux vomica, Ignatia, and Aconite, yet these medicines are not Homeopathic to the other symptoms, and still less do they possess symptom 8, the mild character of the disposition, which, as stated in the preface to Pulsatilla, is particularly indicative of this plant.

This patient, therefore, could not be cured by any thing in a more easy, certain and permanent manner than by Pulsatilla, which was accordingly given to him immediately, but on account of his weakly and delicate state only in a very minute dose, i. e., half-a-drop of the quadrillionth of a strong drop of Pulsatilla.

This was done in the evening. The next day he was free from all ailments, his digestion was restored, and a week thereafter, as I was told by him, he remained free from complaint and quite well.

The investigation in such a slight case of disease, and the choice of the Homeopathic remedy for it, is very speedily effected by the practitioner who has had only a little experience in it, and who either has the symptoms of the medicine in his memory, or who knows where to find them readily; but to give in writing all the reasons pro and con (which would be perceived by the mind in a few seconds) gives rise, as we see, to tedious prolixity.

For the convenience of treatment, we require merely to indicate for each symptom all the medicines which can produce the same symptoms by a few letters, (e. g., Ferr., Chin., Rheum, Puls., ) and also to bear in mind the circumstances under which they occur, that have a determining influence on our choice, and in the same way with all the other symptoms, by what medicine each is excited, and from the list so prepared we shall be able to perceive which of the medicines Homeopathically covers the most of the symptoms present, especially the most peculiar and characteristic ones - and this is the remedy sought for.

* According to our present knowledge and experience the same object would have been attained by taking one of the smallest globules of Pulsatilla x (decillionth potency) and with equal certainty a single olfaction of a globule the size of a mustard seed of the same potency of Pulsatilla."


.........................ARINDAM
Comment by Dr Muhammed Rafeeque on March 26, 2010 at 8:08am
Great. You are really a homeopathic historian!
Comment by Dr. Wequar Ali Khan on March 26, 2010 at 9:48am
Arindam,thank you for these cases by Hahnemann.We see that each medicine considered was first checked for its indicative symptoms.Accepted or rejected depending on the characteristic symptoms of the patient observed by the master.That was how repertorizing started and todays software sort of follow the same theme.

Dr Rafeeque has also pointed out that from cases presented, Hahnemann had also used multiple medicines for an on going case,though no "mixopathy' as such is found.

If there could be a possibility to compare Hahnemann's cases from his earlier years to his later years we may be able to understand better if there was a change in his approach in prescribing.

Once again thank you Arindam;;
Comment by DR. ARINDAM DUTTA on March 26, 2010 at 11:49am
Dear WAK,

That's the point I wanted to share.

Our master had devoted his whole life for the search of the TRUTH and therefore we see him always in the position to change himself for the sake of truth. We see so many changes in different editions of his Organon. He tried to modify himself in every step of his life.

From this standpoint, we can tell, obviously there were changes in his approach of prescribing too, since his initial practice in Germany upto his last days in France. But, alas! we have only a very little access of his vast practice life.

And I am in full support with Dr. Rafeeque regarding the so-called "Classical Homoeopathy"

........................ARINDAM
Comment by Hans Weitbrecht on March 31, 2010 at 5:22pm
Dear members
All documents from the Robert Bosch Krankenhaus relating to homeopathy were moved 20 years ago to the Institute of history of medicine which is situated in Robert Bosch's old family residence. (a Classmate and friend of my father)

http://www.igm-bosch.de/content/language1/html/index.asp

Boenninghausen published those two cases and they were actually found in Hahnemann's case records. ( I have a copy of them )

Some information was left out in Boenninghausen's write up, as well as the exact potencies which were Q-potencies.

Cheers, Hans
Comment by Hans Weitbrecht on April 11, 2010 at 4:30pm
dear Members

Just back from the continent.
I found both cases in hahnemann's original case books:
1) Julie Moulin; Page 338 and 344 Df 13
2) Monsignor Varlet: P 154 / 155 Df 14
Details later.

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