the quest for specifics

10
The quest for specifics FRANK BODMAN, M.D., D.P.M., r.r. rTO~. Emeritus Consultant Psychiatrist, Bristol Homezopathic Hospital Less than ten years after Hahnemann's death in Paris, Dr. Dudgeon was lecturing on Homceopathy at the Hahnemann Hospital in London. These lectures were published at the end of 1853, and in lecture III the lecturer discussed specific medicine, for he stated that originally Hahnemann called his system the doctrine of specifics; and that from 1796 to 1808 specific was the word he used to designate his system; it was only after 1808 that the word homceopathic appears. It has been shown that in the very earliest ages of medicine, the main objec- tives of the legendary physicians were the discovery of specifics. Aesculapius himself was famous because of his knowledge of specifics, and the votive tablets hung in his temples were records of specific cures (Rapou, quoted 1854). The marvellous remedy was the "arcanum", a secret of the alchemists (Layard 1961). Bacon in the Advancement of Learning deplored the lack of specific medicines and quoted the then current jest that English physicians were like bishops that had the keys of binding and loosing but no more. The philosopher Locke, a Somerset man, whose bust, strange to say, is to be seen in the porch of a neighbouring church, commented: "Did we know the mechanical affections of the particles of rhubarb, hemlock, opium and of a man as a watchmaker does that of a watch, we should be able to tell that rhubarb will purge, hemlock kill, and opium make a man sleep." Sydenham claimed that a specific was a medicine, not a palliative, that cured a disease; and the only true specific that he recognized was the Peruvian bark for intermittent fever. It is worthy of note that this was the medicine Hahne- mann tested: a true specific in his search for its principle of action, and thus inductively reasoned out the similia principle. Sydenham, Boerhave, van Swieten, yon Storck, devoted themselves to the search for specifics with more or less success, but still they were obliged to chance mainly for their discoveries, and specific medicine still stood in antagon- ism as mere empiricism (i.e. not much better than quackery) to so-called rational medicine (Dudgeon). The Peruvian bark had been brought back to Europe in 1640 by the Countess of Chinchon, the wife of the Spanish Viceroy of Peru (Hobhouse). Even before, Camoens, the Portuguese poet, on his voyage to India with Vasco da Gama in Goa, met an expert on the native Indian remedies. In the nineteenth century, the American homceopath, Dr. Hale, collected the indigenous remedies of the United States used by those to whom he politely refers as domestic prac- titioners (Hale). But Hahnemann had discovered in the similia similibus curentur, the prin- A paper read to the Faculty of Homceopathy on 25 October 1973

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Page 1: The quest for specifics

The quest for specifics F R A N K B O D M A N , M.D. , D . P . M . , r . r . rTO~.

Emeritus Consultant Psychiatrist, Bristol Homezopathic Hospital

Less than ten years after Hahnemann ' s death in Paris, Dr. Dudgeon was lecturing on Homceopathy at the Hahnemann Hospital in London. These lectures were published at the end of 1853, and in lecture I I I the lecturer discussed specific medicine, for he stated that originally Hahnemann called his system the doctrine of specifics; and tha t from 1796 to 1808 specific was the word he used to designate his system; it was only after 1808 that the word homceopathic appears.

I t has been shown tha t in the very earliest ages of medicine, the main objec- tives of the legendary physicians were the discovery of specifics. Aesculapius himself was famous because of his knowledge of specifics, and the votive tablets hung in his temples were records of specific cures (Rapou, quoted 1854). The marvellous remedy was the "arcanum", a secret of the alchemists (Layard 1961).

Bacon in the Advancement of Learning deplored the lack of specific medicines and quoted the then current jest tha t English physicians were like bishops that had the keys of binding and loosing but no more.

The philosopher Locke, a Somerset man, whose bust, strange to say, is to be seen in the porch of a neighbouring church, commented:

"Did we know the mechanical affections of the particles of rhubarb, hemlock, opium and of a man as a watchmaker does that of a watch, we should be able to tell tha t rhubarb will purge, hemlock kill, and opium make a man sleep."

Sydenham claimed tha t a specific was a medicine, not a palliative, tha t cured a disease; and the only true specific tha t he recognized was the Peruvian bark for intermit tent fever. I t is worthy of note that this was the medicine Hahne- mann tested: a true specific in his search for its principle of action, and thus inductively reasoned out the similia principle.

Sydenham, Boerhave, van Swieten, yon Storck, devoted themselves to the search for specifics with more or less success, but still they were obliged to chance mainly for their discoveries, and specific medicine still stood in antagon- ism as mere empiricism (i.e. not much bet ter than quackery) to so-called rational medicine (Dudgeon).

The Peruvian bark had been brought back to Europe in 1640 by the Countess of Chinchon, the wife of the Spanish Viceroy of Peru (Hobhouse). Even before, Camoens, the Portuguese poet, on his voyage to India with Vasco da Gama in Goa, met an expert on the native Indian remedies. In the nineteenth century, the American homceopath, Dr. Hale, collected the indigenous remedies of the United States used by those to whom he politely refers as domestic prac- titioners (Hale).

But Hahnemann had discovered in the similia similibus curentur, the prin-

A paper read to the Faculty of Homceopathy on 25 October 1973

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T H E Q U E S T FOl% S 1 ) E C I F I C S 31

eiple on which specifics could be discovered, and for the next six years he proved drug after drug, one specific after another (Nankivell).

Cullen's Materia Medica was not the only textbook he translated in the last decade of the eighteenth century; there was also Munro's textbook, a Thesaurus by a London M.R.C.P. and yon Haller 's Materia Medica (Dudgeon).

Hahnemann commented on these authorities tha t in treating of a disease, the plan they pursued was:

" I f A should not answer, t ry B, and if this will not do, a choice lies among C, D, E, F, G; I have often found H and K of service; others recommend most highly J and L; and I know of some who cannot sufficiently praise M, U and Z; while others extol N, R and T; S and X also are said not to be bad in this disease; some English physicians recently recommended Q in preference to all others in this affection; I certainly would be inclined to give it a trial." (Hahne- mann 180lb.)

"You may put all the names of (the medicines) together into a bag and according to your fancy draw out one or several, it is quite immaterial, you may use this one or that one." (Hahnemann 1809a.)

But he was critical too of the claims of those physicians for so-called specifics against undifferentiated groups of disorders; he wrote tha t grand plans were formed by medical men for discovering nothing less than a universal specific for everything they called poison; and this included the plague, philtres, bewitch- ment and the bites of venomous animals. Among other agents this specific was sought for in vinegar (Hahnemann 1798a). Again, he condemned a qualified doctor who advertised a spirit for the toothache as certain to cure. t tahnemann commented:

"Tha t toothache is as various in character as are the internal maladies tha t produce it; hence one medicine is useful only in one kind, another in another kind of toothache." (Hahnemann 1809b.)

He gives examples of three different kinds of toothache and their three appropriate remedies, remedies which are not palliatives but permanently curative.

Of course, to begin with, there was inevitably a hangover from his early training; he found some difficulty in giving up the concept of diseases as entities in themselves; so he began by searching for specifics for different diseases such as mercury for syphilis, thuja for gonorrhoea (Bodman 1954).

He wrote:

" I t is exhilirating to believe tha t for each particular disease for each particular morbid variety, there are peculiar directly acting remedies and tha t there is also a way in which these (remedies) may be methodically discovered." (Hahnemann 1796.)

Quite a euphoric mood in contrast to the depressed frame of mind four years before, when writing of epidemics, he claimed that there were no specific antidotes and if the doctor felt himself going down with the prevailing infection, he could only advise him to take a domestic remedy (Hahnemann 1792).

But t t ahnemann was soon disillusioned with the "named Diseases" of ortho- dox medicine; he found tha t they were not of a constant character, did not conform to a fixed form; indeed that the name of a disease was in itself an imaginary thing to be cured, and the few true specifics had been discovered by

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32 T H E B R I T I S H H O M ( E O P A T I t I C J O U I ~ I A L

accident, specifics for the few illnesses which always preserved the same charac- ter (Hahnemann 1825).

But why no more than these few specifics? "because all other disease only present themselves as individual cases of disease differing from each other, or as epidemics which have never been seen before, and will never be seen again in exactly the same form" (Hahnemann 1825). What foresight. No high-powered microscopes, no bacteriology, no virus experts in his day.

In 1792, Hahncmann was rather pessimistic about epidemics. In The Friend of Health he admitted tha t "we know of no specific antidotes for the several kinds of contagious matters; we must content ourselves with general prophylac- tic I n e a n s ' ' .

But six years later he reported on an epidemic of influenza tha t as a remedy camphor surpassed all his expectations; he claimed tha t it was a specific in all stages of the disease, especially when it was given early as possible and in large doses; a large number of patients recovered in four days in spite of their serious symptoms (Hahnemann 1798b).

And in the next year, 1799, an epidemic of scarlet fever reached the town where he was living. Faced with an early case in a child of ten, he recalled tha t Belladonna was the remedy capable of producing a counterpart of the little girl's symptoms and prescribed a dose of the 6x potency. The child recovered on the second day; then he prescribed Belladonna for the other five children in the family and they all remained perfectly well (Hahnemann 1801a).

By 1809, Germany and indeed much of Europe was suffering from a feverish epidemic which was being treated very unsuccessfully as if it were a malarial infection; Hahnemann described the symptoms in detail when they had not been altered by drugs, and matched these with his description in Latin of the symptoms of the toxicology of Nux vomica in his Fragmenta de Viribus Mediea- mentorum Positivis which he had published four years before in 1805. He found Nux vomica the only medicine capable of curing a great par t of the infected patients in a short time; but he had to admit that in some severe cases there were patients whose symptoms were not covered by lYux vomica, and tha t these states were matched by the symptoms produced by Arsenic, a mineral which had fallen out of favour with orthodox physicians as too dangerous in ordinary doses, but which Hahnemann found efficacious when given in the 12x potency (Hahnemann 1809).

After the retreat from Moscow in 1812, a peculiar epidemic spread all over Germany; the chief specific remedies according to Stapf, Hahnemann 's favourite pupil, appeared to be N u x vomica and Pulsatilla (Stapf, quoted by Haehl). The following year, Hahnemann was in Lcipsic when conditions became even more difficult; on the plains outside the city were camped soldiers from half Europe, French, Spaniards, Italians, Germans, Russians and Poles. For four days in October, cannons thundered, rifles cracked outside the gates of the town. After the battle, a typhus epidemic developed which was quite different from the previous year 's infection but no less devastating. Hahnemann published an essay describing the fever's course in two stages; for the first stage he advised Bryonia 12x, for the second stage Rhus toxicodendron 12x (Hahncmann 1814): he wrote: "of the 183 patients whom I t reated for this infection in Leipsic, I did not lose one" (Hahnemann 1816), which excited a great sensation among the members of the Russian government then occupying Dresden but was taken no notice of by the Austrian medical authorities.

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In 1821, an epidemic mistakenly diagnosed by the profession as scarlet fever appeared, which Hahnemann distinguished as purpura miliaris; this often proved fatal in orthodox hands; but Hahnemann recommended Aconite 16x, a single dose to be followed in 16-24 hours by Coffea 6x; he adds:

"Nothing should be done or given to the patient: no venesection, no leeches, no calomel, no purgatives, no cooling or diaphoretic medicines or herb tea, no water compresses, no baths, no clysters, no gargles, no vesicatorics (blisters) or sina- pisms (mustard plasters)." (Hahnemann 1821.)

Cholera invaded Europe in 1831. I tahnemann tackled the problem ener- getically and published four pamphlets free of charge. His advice proved very valuable. The Hungarian Dr. Bakody had 154 cholera patients from the end of Ju ly to the beginning of September; only 6 died; this compared with 122 deaths out of 284 hospital patients and 699 deaths out of 1217 cholera patients treated privately in the same town (Haehl).

A Prussian Medical Officer of Heal th wrote in Ju ly to Hahnemann, asking him to suggest a specific remedy, as a Russian ship had docked at Danzig only 15 miles away, and already 500 Danzigers had died (Beumelberg 1831). How did Hahnemann, who had not seen or treated a single cholera patient, find the remedy with such complete conviction? He procured from some careful obser- vers, a very accurate description of the commencing symptoms and found that the first and most important symptoms of the patients were alike to the symptoms produced by a healthy individual who had taken a large dose of Camphor; Caqnphor, therefore, should be the best remedy to be given a t the onset of the infection, according to his principle of similia similibus (Sehmit). Hahnemann insisted on the very early recognition of the disease; only in the first two hours of the sickness would Camphor abort the infection (Hahnemann 1831). I f the disease had advanced to the second and third stages, he advised the use of Cuprum and of Verabrum album (Haehl).

Nearly a century later, our Swiss colleague Pierre Schmidt presented a paper to the I X International Homceopathic Congress in London on the Genus Epidemicus. In an epidemic period the homceopathic physician must seek, not the individualisation of the patient, but the individualization of the epidemic itself; for even the same epidemic will have different manifestations as it reaches different cities, different countries. He quotes one influenza epidemic where in Wurttemberg, Sepia was almost specific, but in the same epidemic, Bryonia was the remedy in Geneva, while in Lausanne it was Rhus radicans. So he advises, when the outbreak is malignant from the beginning, affects a large area, many persons are involved, cases are serious, mortal i ty is high, convalescence is slow; in such an epidemic individual variations arc overwhelmed by the acuteness of the infection. Then, says Schmidt, the homceopathic physician is faced with the special task. He must see at least ten cases; he will then retire to his s tudy for one, two, ten hours and concentrate on the data he has collected; nothing must be allowed to disturb him; he must s tudy the picture from the totali ty of all the symptoms from all the cases tha t gives a clue to the group of remedies from which a choice has to be made. Generalizing, he claims tha t for epidemic use, there will be no single routine remedy but a group of remedies which selected according to homceopathie rules, will prove adequate for probably all cases during this particular epidemic.

In the subsequent discussion, Dr. Dishington, a former President of the Society, reported tha t in the great influenza epidemic of 1918, Rhu8 toxicodendron

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34 T H E B R I T I S H H O N I G ~ O 1 ) A T I t I C J O U t C N A L

was the specific remedy in Glasgow; he had the great good fortune not to lose a single case.

From this epidemic following the First World War, let us go to a mild epidemic of influenza at the beginning of the Second World War. Dr. Templeton, another Past President of the Society, analysed 100 cases from this 1939 epidemic and 61 per cent. were covered by 3 remedies, i.e. Gelsemium 36 per cent., Bryonia 15 per cent. and Sulphur 10 per cent. The remaining 39 per cent. were covered by 18 different remedies (Templeton 1939).

In the same epidemic in Bristol, I found myself in agreement with Templeton that Gelsemium was the most frequently used drug; but I did not find tha t Gelsemium covered the hospital admissions of influenza complicated by pneumo- nia. I am of the opinion tha t the patients who contract complications are constitutionally different from the general run and are likely to require a differ- ent drug; in m y ward, I had five patients with influenzal pneumonia at the same time, and as far as I can remember they all required different homceopathic drugs (Bodman 1939).

Another exception to the general response to the epidemic remedy is the patient who has undergone a recent inoculation. Soon after the blitzes began in Bristol, a huge shelter population began to gather each night, and it was decided by the MOH, as a protective measure, to inoculate the nursing staff at the hospital against diphtheria and typhoid. Two months later, the hospital was smitten with a mild influenza-type infection and about a dozen nurses went sick in a couple of days. They were typically Bryonia, and the nurses cleared up promptly in 48 hour's, all except a sister who had been recently inoculated; her temperature failed to come down, all her sinuses were infected and she made no improvement until she had a dose of Morbillinum (Bodman 1941).

In contrast to the 1939 epidemic of influenza when the leading remedy was Gelsemium, Dr. Templeton reported on the next year 's epidemic when Rhus toxicodendron (40 per cent.) and Bryonia alba (25 per cent.) covered two-thirds of his cases, while Gelsemium only cured 5 per cent. (Templeton 1941).

Ten years later, in 1951, a s tudy was made of a series of influenza cases (Hamil- ton). In this epidemic, no characteristic remedy was identified. This was confirmed by Dr. Blackie who admitted tha t she had used a greater variety of remedies than ever before in an influenza epidemic. In the 1957 epidemic of influenza due to Asian virus A, the first phase of the epidemic affected children and the symptoms were very uniform; Belladonna was definitely the epidemic remedy (Mitchell); most cases were normal within 12 hours and there were no recurrences. In the second phase of the epidemic there were more adult patients, the symptomatology was less uniform and Belladonna was rarely indicated.

But influenza epidemics are not the only epidemics whose characteristic remedy varies; the dominant types of whooping cough epidemics are now well known; Hahnemann originally claimed tha t Drosera was a specific for pertussis (Hahnemann 1827), but he m a y not have encountered subsequent epidemics of a different strain; Leeser claimed that in certain epidemics of whooping cough where the copious expectoration of viscid stringy mucus was a feature, Coccus cacti 3x proved superior to Drosera or Ipecacuanha (Leeser 1959).

Dr. Foubister comments on Dr. Burnet t ' s specific for Mumps, Pilocarpine muriate 3x; in his experience either the salt or Pilocarpine itself in the 30th potency has an almost specific effect. Again, he quotes Dr. Tyler who claimed tha t Antimony tartrate is a specific for impetigo contagiosa in children.

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T/4E QUEST FOIr SPECIFICS 35

Perhaps it is in children that good results can still be expected, for they have not been exposed to so many decades of prophylactic antibiotics. I t has been suggested that the poor response to homceopathic remedies in acute infections nowadays is due to the abuse of antibiotics and the consequent increasing resistance of the infecting agents; at the 1965 International Homceopathie Congress in London, yon Petzinger compar.ed two cases of acute rheumatic fever; one a girl of 16 he treated in 1949 with a good result, the other, a judge of 61, whom he attended in 1964 with a poor outcome.

You will remember the 1957 Asian influenza epidemic, where the children responded well to one remedy, while the adults failed to produce a convincing response to this remedy.

Now, there are a group of remedies which appear to have a specific effect on individual organs or tissues; some physicians are critical about their use as no more than empiricism; it is true that many of them have not been thoroughly proved (Galatzer); but as Dr. Wheeler pointed out, prescribing on a tissue basis was the main doctrine of the influential Dr. Hughes whose textbooks in the late Victorian era were read all over the world; diseased tissue is an extremely sensitive tissue; generally, in order to give and maintain a tissue stimulus, Wheeler recommended a low potency of a drug, fairly frequently repeated.

I t was on these organ specifics that the French homceopath Leon Vannier relied in practising "le Drainage"; he quotes Ceanothus for the spleen, Helonias for the uterus, Hura Brasiliensis for the rectum; but when we come to the elimination of so-called toxic products we have regressed to the worn-out phantasy of getting rid of the materia peccans (Bodman 1934). Another French homceopath, Fortier-Bernoville, argues a theoretical basis for le Drainage, le plan visceral, but he starts with the assumption that the organism can be sepa- rated into several floors or levels, and he concentrates on sweeping each floor clean but neglects the reaction of the organism as a whole.

A former President followed up this notion, that mental, general and particu- lar symptoms have their own definite level of action in the body, and in like manner, there may be a level of action to be found in the different potencies of the remedies; that the lowest potencies can only influence those regions where local tissue change has occurred (Kenyon). I t is true that I myself produced the evidence 36 years ago as to the level of action of our different remedies, but I had to conclude that our choice of remedy was still to be based on the totality of the symptoms (Bodman 1936). Ten years later, Dr. Boyd senior of Glasgow drew our attention to the advances made possible by the use of artificial radioactive tracers, and the outstanding instances to his mind were the radio- active phosphorus with its selectivity on bone and radio-iodine with its selectiv- ity for the thyroid gland (Boyd 1947). That there is this selective action on certain tissues is established for some minerals; but in the case of vegetable or animal agents, it is much more difficult to identify the constituent responsible for the selective action.

A fairly recent investigation of the bark of an Indian tree, Ficus religiosa, isolated three sterols from a petroleum ether extract, another sterol from a chloroform extract, a further sterol from an acetone extract, a saponin, a sixth sterol, another saponin, and a glucoside from an alcoholic extract (Srivastava 1966.)

~Iot to take up time with a long list of organ remedies, let me remind you of Fraxinus Americana and Helonias dioica as useful in prolapsus uteri and cystocoele (Wilson 1937), of Mercurius solubilis in the gingivitis of pregnancy

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36 T t t E B R I T I S H I ~ O M G E O ] P A T H I C J O U R N A L

(Hochstetter 1966) and of Borax 6x in the t rea tment of postextraction alveolitis (Hoehstetter 1967) as reported by our colleague from Santiago in Chile. Cratae- gus mother tincture has been widely used in the t rea tment of hyperpiesia by homceopathie doctors; its main effect may be to lower the systolic blood pressure, but it is well to bear in mind that i t also has an action on the blood clotting time, and to give it at the same time to post coronary patients who have been put on coumarin-type antithrombotics is to prolong the bleeding time and promote alarming haemorrhages.

An alternative to Crataegus for hypertension is Eel-serum recommended by an American homceopathic physician as a good, safe hypertensive depressant, having no dangerous side effects (Gladish). Some of you may remember Dr. Blackie's dramatic report of the good results with this remedy in an apparently terminal case of nephritis.

During the air raids in London, Crotalus horridus was found effective in gas- gangrene infections of muscle after injury (Borland 1941). But Crotalus was also the remedy of choice by Dr. Manasse, who quotes six cases of thrombophlebitis resolved by this remedy; indeed, he states tha t it worked so convincingly in the major i ty of his eases tha t the diagnosis of thrombophlebitis produced almost a reflex of Crotalus.

Another remedy tha t has a specific action on uterine muscle is Caulophyllum, valuable in dysmenorrhoea and difficult labour (Taylor-Smith). But this is not the only tissue involved, for it has proved useful in arthritic pains in the small joints of the fingers.

But leaving aside epidemic remedies and tissue remedies, it is not so much a question of Tolle eausam (find the cause) but Tolle causas;

"All the other innumerable diseases exhibit such a difference in their phenomena tha t we may safely assert that they arise from a combination of several dissimilar causes." (Hahnemann 1805b.)

Dr. Drysdale, defending the then new English Repertory, a concordance of symptoms, reiterates Hahnemann 's proposition tha t no two cases are exactly alike in terms of symptoms.

I t was all very well for Hahnemann in 1808; he could say of medicines whose action had been accurately ascertained (he means by provings) : " I possess now almost 30, and of such as are pre t ty well known about the same number."

Probably, his superintelligence could hold the symptoms of these 60 remedies available for instant recall. But in our day and age, we are told that the newest edition of Kent ' s Repertory will include the symptomatology of 600 remedies. The odds against picking the winner have become much higher.

I f at first Hahnemann followed in the footsteps of Boerhaave, yon Storck and van Swietenin, in the search for specific remedies for diseases, his experience in the application of his new principle, led him to retrace his steps: he still searched for the specific, but for the individual patient, not for the disease (Bodman 1959).

Perhaps some of you saw Truffaut 's film Stolen Kisses; the lover told his mistress, "you are an extraordinary woman". "No," she said, "or rather "Yes - - I am, but so are you extraordinary, and for tha t matter , so is everyone."

Dr. Leeser, writing on constitutional treatment, says: " I n the specificity of the person, we see the most central point of the functional system; this central office of the individual receives the stimulus from outside

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THE QUEST FOR SPECIFICS 37

already in its own specific manner, transforms it equally specifically so that the outward effect also bears the stamp of its own specific personality." (Leeser 1934).

Instead of a specific for a disease, a specific for a constitutional type. Thus the specific for the individual acts now for a patient with rheumatism, now for a schizoid psychopath, or a patient with exophthalmos, a clerk with hyperpiesia, a child who is a congenital syphilitic, or a workman with a terminal pneumonia a s Dr. Rorke recounted in his series of Sulphur patients. Dr. Templeton analysed 30 successful prescriptions of Lycopodium for 17 different disorders (Templeton 1948), and more recently still, the late Dr. Fergus Stewart listed 50 occasions when Thuja was prescribed for a series of patients with nosological diagnoses of at least 11 different complaints. The corollary of course, is that in the same diseases, the simillimum or specific will vary for different individual patients (Kasad).

But, it has been pointed out by our colleague in Chile, that with all his empha- sis on individualization, t tahnemann in his last work Chronic Diseases, once again refers to specific diseases and specific remedies (Hochstetter 1966).

Apart from the epistemology, what have we learnt from this review? Firstly, that in comparison with the four specifics known to Hahnemann

before his provings, there is quite a range of specifics for the infectious diseases and for tissue disorders. These specifics are important in teaching Homceopathy; any inquiry into the way orthodox practitioners were convinced of the value of homceopathic prescribing demonstrates that the great majority were profoundly impressed by the personal experience of a rapid cure of an acute illness, either in themselves or in one of their patients when they themselves had failed (Bod- man 1973). The teaching of Homceopathy should not only be theoretical or confined to the lecture room, but must include practical experience; what more certain confirmation is available than the demonstration to the post-graduate in his own practice of the value of specifics?

Dr. Hamish Boyd has collated a number of almost specific remedies used by Dr. Runcie of Dunfermline and Dr. Burns of Manchester as suitable for pilot clinical trials (Boyd 1973). As he says, there are others which could be added to the list, and I have incidentally indicated some others.

Not only can specific remedies for specific diseases provide valuable evidence for convincing our inquiring colleagues; moreover, as has been shown at Santiago University, we can gain the co-operation of official medicine in proving the efficacy of our remedies (Hochstetter 1966).

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pathie Journal, 41, 151. Bodman, F. (1934) Book review. The British Homeeopathic Journal, 24, 160. Bodman, F. (1936) Levels of Drug Action. The British Homceopathic Journal, 26, 19. Bodman, F. (1939) discussion on Homceopathic Treatment of Influenza. The British

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Rahmen der HomSopathie, Stuttgart, and The British Homveopathic Journal, 48, I53. Bodman, F. (1973) Introductory Lecture to October Post-Graduate Course, Faculty of

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38 THE B R I T I S H H O l g ( E O P A T H I C J O U R N A L

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Page 10: The quest for specifics

THE VALUE OF TIz[E CALCIUM SALTS 39

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382.

The value of the calcium salts M. G . B L A C K I E , M . D . , F .F .HOM.

CALCIUM C A r B O n A T E

This is made f rom the soft whi te subs tance be tween the ha rd layers of the oys te r shell and pa t i en t s who need i t as a medic ine have an inab i l i ty to ass imilate l ime. I t is, perhaps , most commonly useful in chi ldhood, bu t can be needed a t a n y age. The Calcarea chi ld is pale , soft, f a t a n d f l abby looking, a l though qui te often the neck and b o d y are scraggy. These chi ldren are la te in teething, la te in walking, and in some cases, la te in ta lk ing . The hands are chil ly and of ten have a d a m p and boneless feeling on t ak ing ho ld of them.

The Calcarea child sweats profuse ly round the head a t n ight a n d soaks the pillow. Menta l ly t h e y are also of ten slow and the doctor is t o ld t h a t their l ives run on a minor key all the t ime. They are sor ry for themselves and ra ther hopeless. I f t h e y can be induced to speak of the i r difficulties a t al l t hey go over and over the same s to ry and can bore the i r f ami ly and fr iends b y thei r cons tan t repet i t ion . They are ve ry sensi t ive to cr i t icism. I f the i r school teachers te l l t h e m t h a t t h e y a lways ge t th ings wrong, t h a t t h e y are s tup id and don ' t t ry , t h e y go home b a t h e d i n tears ; no loud sobbing, bu t tears jus t t r ickl ing down thei r faces. I f not well, t h e y are ap t to become pa r t i cu l a r ly spineless. They t end to be worriers abou t the i r family, neighbours , and jus t anyth ing .