ChronicDiseasesSamualHahnemann

NatureofChronicDiseases.
TheHomoeopathichealingart,astaughtinmyownwritingsandinthoseofmypupils,whenfaithfully
followed,hashithertoshownitsnaturalsuperiorityoveranyallopathictreatmentinaverydecidedand
strikingmanner;andthisnotonlyinthosediseaseswhichsuddenlyattackmen(theacutediseases),but
alsoinepidemicdiseasesandinsporadicfevers.
VenerealdiseasesalsohavebeenradicallyhealedbyHomoeopathymuchmoresurely,withlesstrouble
andwithoutanysequelae;forwithoutdisturbingordestroyingthelocalmanifestationithealstheinternal
fundamentaldiseasefromwithinonly,throughthebestspecificremedy. Butthenumberoftheother
chronicdiseasesonthisgreatearthhasbeenimmeasurablygreater,andremainsso.
Treatment by allopathic physicians hitherto merely served to increase the distress from this kind of
disease; for this treatment consisted of a whole multitude of nauseous mixtures (compounded by the
druggistfromviolentlyactingmedicinesinlargedoses,ofwhoseseparatetrueeffectstheywereignorant),
togetherwiththeuseofmanifoldbaths,thesudorificandsalivatingremedies,the,painkillingnarcotics,
the injections, fomentations, fumigations, the blistering plasters, the exutories and fontanelles, but
especiallytheeverlastinglaxatives,leeches,cuppingsandstarvingtreatments,orwhatevernamesmaybe
giventoallthesemedicinaltorments,whichcontinuallyvariedlikethefashions. Bythesemeansthe
diseasewaseitheraggravatedandthevitalforce,spiteofsocalledtonicsusedatintervals,wasmoreand
morediminished;or,ifanystrikingchangewasproducedbythem,insteadoftheformer.sufferings,there
appearedaworsestatenamelessdiseasescausedbymedicine,farworseandmoreincurablethanthe
originalnaturalonewhilethephysicianconsoledthepatientwiththewords: TheformersicknessI
havebeenfortunateenoughtoremove;itisagreatpitythatanew(?)diseasehasappeared,butIhopeto
beassuccessfulinremovingthislatterasintheformer.Andso,whilethesamediseaseassumedvarious
forms, and while new diseases were being added by the use of improper, injurious medicines, the
sufferingsofthepatientwerecontinuallyaggravateduntilhispitiablelamentationswerehushedforever
with his dying breath, and the relatives were soothed with the comforting pretence: Everything
imaginablehasbeenusedandappliedinthecaseofthedeceased.
(P2)
ItisnotsowithHomoeopathy,thegreatgiftofGod!
Evenintheseotherkindsofchronicdiseases,itsdisciples,byfollowingtheteachingspresentedinmy
formerwritingsandmyformerorallectures,accomplishedfarmorethanalltheaforementionedmethods
ofcuring;i.e.,whentheyfoundthepatientnottoomuchrundownandspoiledbyallopathictreatment,as
wasunfortunatelytoooftenthecasewherethepatienthadanymoneytospend.
Usingthemorenaturaltreatment,Homoeopathicphysicianshavefrequentlybeenableinashorttimeto
removethechronicdiseasewhichtheyhadbeforethem,afterexaminingitaccordingtoallthesymptoms
perceptibly to the senses; and the means of cure were the most suitable among the Homoeopathic
remedies,usedintheirsmallestdoseswhichhadbeensofarprovedastotheirpure,trueeffects.Andall
thiswasdonewithoutrobbingthepatientofhisfluidsandstrength,asisdonebytheallopathyofthe
common physicians; sothat thepatient,fully healed, couldagainenjoy gladsome days. These cures
indeedhavefarexcelledallthatallopathistshadeverinrarecasesbeenabletoeffectbyaluckygrab
intotheirmedicinechests.
Thecomplaintsyieldedforthemostparttoverysmalldosesofthatremedywhichhadproveditsabilityto
producethesameseriesofmorbidsymptomsinthehealthybody;and,ifthediseasewasnotaltogethertoo
inveterateandhadnotbeentoomuchandintoogreatadegreemismanagedbyallopathy,itoftenyielded
foraconsiderabletime,sothatmankindhadgoodreasontodeemitselffortunateevenforthatmuchhelp,

and,indeed,itoftenproclaimeditsthankfulness. Apatientthustreatedmight andoftendidconsider

himselfinprettygoodhealth,whenhefairlyjudgedofhispresentimprovedstateandcompareditwithhis
farmorepainfulconditionbeforeHomoeopathyhadaffordedhimitshelp.*
(*Ofthiskindwerethecuresofdiseasescausedbyapsoranotyetfullydeveloped,whichhadbeen
treatedbymyfollowerswithremedieswhichdidnotbelongtothenumberofthosewhich,later,provedto
bethechiefantipsoraremedies;becausetheseremedieswerenotyetknown. Theyhadbeenmerely
treatedwithsuchmedicinesasHomoeopathicallybestcoveredandtemporarilyremovedthethenapparent
moderatesymptoms,thuscausingakindofacurewhichbroughtbackthemanifestpsoraintoalatent
conditionandthusproducedakindofhealthycondition,especiallywithyoung,vigorouspersons,suchas
wouldappearasrealhealthtoeveryobserverwhodidnotexamineaccurately;andthisstateoftenlasted
formanyyears.Butwithchronicdiseasescausedbyapsoraalreadyfullydeveloped,themedicineswhich
werethenknownneversufficedforacompletecure,anymorethanthesesamemedicinessufficeatthe
presenttime.)
(P3)
Evensomegrosserrorsofdiet,takingcold,theappearanceofweatherespeciallyrough,wetandcoldor
stormy,oreventheapproachofautumn,ifeversomild,but,moreyet,winterandawintryspring,and
thensomeviolentexertionofthebodyormind,butparticularlysomeshocktothehealthcausedbysome
severeexternalinjury,oraverysadeventthatboweddownthesoul,repeatedfright,greatgrief,sorrow
and continuous vexation, often caused in a weakened body the reappearance of one or more of the
ailmentswhichseemedtohavebeenalreadyovercome;andthisnewconditionwasoftenaggravatedby
some quite new concomitants, which if not more threatening than the former ones which had been
removed homoeopathically were often just as troublesome and now more obstinate. This would be
especiallythecasewhenevertheseeminglycureddiseasehadforitsfoundationapsorawhichhadbeen
morefullydeveloped.WhensucharelapsewouldtakeplacetheHomoeopathicphysicianwouldgivethe
remedymostfittingamongthemedicinesthenknown,asifdirectedagainstanewdisease,andthiswould
againbeattendedbyaprettygoodsuccess,whichforthetimewouldagainbringthepatientintoabetter
state. Intheformercase,however,inwhichmerelythetroubleswhichseemedtohavebeenremoved
wererenewed,theremedywhichhadbeenserviceablethefirsttimewouldprovelessuseful,andwhen
repeatedagainitwouldhelpstillless. Thenperhaps,evenundertheoperationoftheHomoeopathic
remedy which seemed best adapted, and even where the mode of living had been quite correct new
symptomsofdiseasewouldbeaddedwhichcouldberemovedonlyinadequatelyandimperfectly;yea,
thesenewsymptomswere attimesnotatallimproved,especiallywhensomeoftheobstaclesabove
mentionedhinderedtherecovery.
Some joyous occurrence, or an external condition of circumstances improved by fortune, a pleasant
journey,afavorableseasonoradry,uniformtemperature,mightoccasionallyproducearemarkablepause
ofshorterorlongerdurationinthediseaseofthepatient,duringwhichtheHomoeopathmightconsider
himasfairlyrecovered;andthepatienthimself,ifhegoodnaturedlyoverlookedsomepassablemoderate
ailments,mightconsiderhimselfashealthy.Stillsuchafavorablepausewouldneverbeoflongduration,
andthereturnandrepeatedreturnsofthecomplaintsintheendlefteventhebestselectedHomoeopathic
remediesthenknown,andgiveninthemostappropriatedoses,thelesseffectivetheoftenertheywere
repeated. Theyservedatlasthardlyevenasweakpalliatives. Butusually,afterrepeatedattemptsto
conquerthediseasewhichappearedinaformalwayssomewhatchanged,residualcomplaintsappeared
whichtheHomoeopathicmedicineshithertoproved,thoughnotfew,hadtoleaveuneradicated,yea,often
undiminished. Thus there ever followed varying complaints ever more troublesome, and, as time
proceeded,morethreatening,andthisevenwhilethemodeoflivingwascorrect andwithapunctual
observanceofdirections.Thechronicdiseasecould,despiteallefforts,bebutlittledelayedinitsprogress
bytheHomoeopathicphysicianandgrewworsefromyeartoyear.
(P4)
Thiswas, andremained,thequicker orslower processinsuch treatmentsinall nonvenereal, severe
chronicdiseases,evenwhentheseweretreatedinexactaccordancewiththeHomoeopathic,artashitherto
known.Theirbeginningwaspromising,thecontinuationlessfavorable,theoutcomehopeless.

Neverthelessthisteachingwasfoundeduponthesteadfastpillaroftruthandwillevermorebeso. The
attestationofitsexcellence,yea,ofitsinfallibility(sofarasthiscanbepredicatedofhumanaffairs),ithas
laidbeforetheeyesoftheworldthroughfacts.
Homoeopathyalonetaughtfirstofallhowtohealthewelldefinedidiopathicdiseases,theold,smooth
scarlet fever of Sydenham, the more recent purples, whooping cough, croup, sycosis, and autumnal
dysenteries,bymeansofthespecificallyaidingHomoeopathicremedies.Evenacutepleurisy,andtyphous
contagiousepidemicsmustnowallowthemselvestobespeedilyturnedintohealthbyafewsmalldosesof
rightlyselectedHomoeopathicmedicine.
Whencethenthislessfavorable,thisunfavorable,resultofthecontinuedtreatmentofthenonvenereal
chronicdiseasesevenbyHomoeopathy?Whatwasthereasonofthethousandsofunsuccessfulendeavors
tohealtheotherdiseasesofachronicnaturesothatlastinghealthmightresult?Mightthisbecaused,
perhaps,bythestilltoosmallnumberofHomoeopathicremedialmeansthathavesofarbeenprovedasto
theirpureaction?ThefollowersofHomoeopathyhavehithertothusconsoledthemselves;butthisexcuse,
orsocalledconsolation,neversatisfiedthefounderofHomoeopathyparticularlybecauseeventhenew
additionsofprovedvaluablemedicines,increasingfromyeartoyear,havenotadvancedthehealingof
chronic (nonvenereal) diseases by a single step, while acute diseases (unless these, at their
commencement, threaten unavoidable death) are not only passably removed, by means of a correct;
applicationofhomoeopathicremedies,butwiththeassistanceoftheneverresting,preservativevitalforce
inourorganism,findaspeedyandcompletecure.
(P5)
Whythen,cannotthisvitalforce,efficientlyaffectedthroughHomoeopathicmedicine,produceanytrue
andlastingrecoveryinthesechronicmaladiesevenwiththeaidoftheHomoeopathicremedieswhichbest
covertheirpresentsymptoms;whilethissameforcewhichiscreatedfortherestorationofourorganismis
nevertheless so indefatigably and successfully active incompleting the recovery even insevere acute
diseases?Whatistheretopreventthis?
Theanswertothisquestion,whichissonatural,inevitablyledmetothediscoveryofthenatureofthese
chronicdiseases.
TofindoutthenthereasonwhyallthemedicinesknowntoHomoeopathyfailedtobringarealcureinthe
abovementioneddiseases,andtogainaninsightmorenearlycorrectand,ifpossible,quitecorrect,into
thetruenatureofthethousandsofchronicdiseaseswhichstillremainuncured,despitetheincontestable
truthoftheHomoeopathicLawofCure,thisveryserioustaskhasoccupiedmesincetheyears1816and
1817,nightandday;andbehold!theGiverofallgoodthingspermittedmewithinthisspaceoftimeto
gradually solve this sublime problem through unremitting thought, indefatigable inquiry, faithful
observationandthemostaccurateexperimentsmadeforthewelfareofhumanity.*
(*YetIdidnotallowanyoftheseunintermittedendeavorstobecomeknowneithertotheworldortomy
followers,not,indeed,becausetheingratitudesofrequentlyshowntomepreventedme,forIheedneither
ingratitudenorpersecutionsonmytroublouspathoflife,whichyethasnotprovedaltogetherjoyless,
becauseofthegreatgoaltowardwhichIhavestriven.No,Ileftitunmentionedbecauseitisimproper,
yea,hurtfultospeakorwriteofthingsstillimmature. NotuntiltheyearI827didIcommunicatethe
essentials of the discovery to two of my pupils, who had been of the greatest service to the art of
Homoeopathy,fortheirownbenefitandthatoftheirpatients,sothatthewholediscoverymightnotbelost
totheworldifperchanceahighercalltoeternityhadcalledmeawaybeforethecompletionofthebook
aneventnotsoveryimprobableinmyseventythirdyear.)
It was a continually repeated fact that the nonvenereal chronic diseases, after being time and again
removedhomoeopathicallybytheremediesfullyproveduptothepresenttime,alwaysreturnedinamore
orlessvariedformandwithnewsymptoms,orreappearedannuallywithanincreaseofcomplaints.This
factgavemethefirstclewthattheHomoeopathicphysicianwithsuchachronic(nonvenereal)case,yea
inallcasesof(nonvenereal)chronicdisease,hasnotonlytocombatthediseasepresentedbeforehiseyes,
and must not view and treat it as if it were a welldefined disease, to be speedily and permanently
destroyedandhealedbyordinaryhomoeopathicremediesbutthathehasalwaystoencounteronlysome

separatefragmentofamoredeepseatedoriginaldisease.
(P6)
HAHNRSCHROMCDIS@RS.
The great extent of this is shown in the new symptoms appearing from time to time; so that the
Homoeopathicphysicianmustnothopetopermanentlyhealtheseparatemanifestationsofthiskindinthe
presumption,hithertoentertained,thattheyarewelldefined,separatelyexistingdiseaseswhichcanbe
healedpermanentlyandcompletely.He,therefore,mustfirstfindoutasfaraspossiblethewholeextent
ofalltheaccidentsandsymptomsbelonging,totheunknownPrimitivemaladybeforehecanhopeto
discoveroneormoremedicineswhichmayhomoeopathicallycoverthewholeoftheoriginaldiseaseby
meansofitspeculiarsymptoms.Bythismethodhemaythenbeablevictoriouslytohealandwipeoutthe
maladyinitswholeextent,consequentlyalsoitsseparatemembers;thatis,allthefragmentsofadisease
appearinginsomanyvariousforms.
Butthattheoriginalmaladysoughtformustbealsoofamiasmatic,chronicnatureclearlyappearedtome
fromthiscircumstance,thatafterithasonceadvancedanddevelopedtoacertaindegreeitcanneverbe
removedbythestrengthofanyrobustconstitution,itcanneverbeovercomebythemostwholesomediet
andorderoflife,norwillitdieoutofitself.Butitisevermoreaggravated,fromyeartoyear,througha
transitionintootherandmoreserioussymptoms,*eventilltheendofmanslife,likeeveryotherchronic,
miasmatic sickness; e. g., the venereal bubo which has not been healed from within by mercury, its
specificremedy,buthaspassedoverintovenerealdisease.Thislatter,alsoneverpassesawayofitself,
but,evenwiththemostcorrectmodeoflifeandwiththemostrobustbodilyconstitution,increasesevery
yearandunfoldsevermoreintonewandworsesymptoms,andthis,also,totheendofmanslife.
(*Notunfrequentlyphthisispassesoverintoinsanity;driedupulcersintodropsyorapoplexy;intermittent
feverintoasthma;affectionsoftheabdomenintopainsinthejointsorparalysis;painsinthelimbsinto
haemorrhage,etc.,anditwasnotdifficulttodiscoverthatthelatermustalsohavetheirfoundationinthe
originalmaladyandcanonlybeapartofafargreaterwhole.)
I had come thus far in my investigations and observations with such nonvenereal patients, when I
discovered,eveninthebeginning,thattheobstacletothecureofmanycaseswhichseemeddelusively
likespecific,welldefineddiseases,andyetcouldnotbecuredinaHomoeopathicmannerwiththethen
proved medicines,seemed very oftentolieinaformer eruptionofitch, whichwasnotunfrequently
confessed;andthebeginningofallthesubsequentsufferingsusuallydatedfromthattime.Soalsowith
similarchronicpatientswhodidnotconfesssuchaninfection,or,whatwasprobablymorefrequent,who
had,frominattention,notperceivedit,.or,atleast,couldnotrememberit. Afteracarefulinquiryit
usuallyturnedoutthatlittletracesofit(smallpustulesofitch,herpes,etc.)hadshowedthemselveswith
themfromtimetotime,evenifbutrarely,asanindubitablesignofaformerinfectionofthiskind.
(P7)
Thesecircumstances,inconnectionwiththefactthatinnumerableobservationsofphysicians,*andnot
infrequentlymyownexperience,hadshownthataneruptionofitchsuppressedbyfaultypracticeorone
whichhaddisappearedfromtheskinthroughothermeanswasevidentlyfollowed,inpersonsotherwise
healthy,bythesameorsimilarsymptoms;thesecircumstances,Irepeat,couldleavenodoubtinmymind
astotheinternalfoewhichIhadtocombatinmymedicaltreatmentofsuchcases.
(*Soalso,morelately,VONAUTENRIETH(inTubitigerBlatterfurNaturwissenschaftandArzneikunde,
2vol.,2dpart.))
GraduallyIdiscoveredmoreeffectivemeansagainstthisoriginalmaladythatcausedsomanycomplaints;
against thismaladywhichmaybecalledbythegeneralnameofPsora;i.e.,against theinternalitch
diseasewithorwithoutitsattendanteruptionontheskin.Itthenbecamemanifesttome,throughtheaid

affordedwhenusingthesemedicinesinsimilarchronicdiseases,inwhichthepatientwasunabletoshow
alikecause,that alsothesecasesinwhichthepatient remembered noinfectionofthiskindwereof
necessitycausedbyaPsorawithwhichhehadbeeninfected,perhaps,eveninhiscradle,orinsomeother
waythathadescapedhismemory;andthisoftenreceivedcorroborationonamorecarefulinquirywiththe
parentsoragedrelatives.
Mostpainstakingobservationsastotheaidaffordedbytheantipsoricremedieswhichwereaddedinthe
firstoftheseelevenyearshavetaughtmeevermore,howfrequentlynotonlythemoderate,butalsothe
moresevereandthemostsevere,chronicdiseasesareofthisorigin.Thisobservationtaughtmethatnot
onlymostofthemanycutaneouseruptionswhichWillandistinguisheswithsuchextremecarefromone
another,andwhichhavereceivedseparatenames,butalsoalmostalladventitiousformations,fromthe
commonwartonthefingeruptothelargestsarcomatoustumor,fromthemalformationsofthefingernails
uptotheswellingsofthebonesandthecurvatureofthespine,andmanyothersofteningsanddeformities
ofthebones,bothatanearlyandatamoreadvancedage,arecausedbythePsora.So,also,frequent
epistaxis,theaccumulationofbloodintheveinsoftherectumandtheanus,dischargesofbloodfromthe
same(blindorflowingpiles),haemoptysis,hematemesis,hematuria,anddeficientaswellastoofrequent
menstrual discharges, nightsweats of several years duration, parchmentlike dryness of the skin,
diarrhoea of many years, standing, as well as permanent constipation and difficult evacuation of the
bowels, longcontinuederratic pains,convulsions occurringrepeatedlyforanumber ofyears, chronic
ulcersandinflammations,sarcomatousenlargementsandtumors,emaciation,excessivesensitivenessas
wellasdeficienciesinthesensesofseeing,hearing,smelling,tastingandfeeling;excessiveaswellas
extinguishedsexual desire; diseasesofthemindandofthe soul,from imbecilityuptoecstasy,from
melancholy uptoraging insanity; swoons and vertigo; the socalled diseases of theheart; abdominal
complaintsandallthatiscomprehendedunderhysteriaandhypochondriainshort,thousandsoftedious
ailmentsofhumanitycalledbypathologywithvariousnames,are,withfewexceptions,truedescendants
ofthismanyformedPsoraalone.Iwasthusinstructedbymycontinuedobservations,comparisonsand
experimentsinthelastyears,thattheailmentsandinfirmitiesofbodyandsoulwhich,intheirmanifest
complaints,differ,soradicallyandwhich,withdifferentpatients,appearsoveryunlike(iftheydonot
belongtothetwovenerealdiseases,syphilisandsycosis),arebutpartialmanifestationsoftheancient
miasmaofleprosyanditch;i.e.,merelydescendantsofoneandthesamevastoriginalmalady,thealmost
innumerablesymptomsofwhichformbutonewholeandaretoberegardedandtobemedicinallytreated
asthepartsofoneandthesamediseaseinthesamewayasinagreatepidemicoftyphusfever.Thusin
theyear1813onepatientwouldbeprostratedwithonlyafewsymptomsofthisplague,asecondpatient
showedonlyafewbutdifferentailments,whileathird,fourth,etc.,wouldcomplainofstillotherailments
belonging to this epidemic disease, while they were, nevertheless, all sick with one and the same
pestilentialfever,andtheentireandcompleteimageofthetyphusfeverreigningatthetimecouldOnlybe
obtainedbygatheringtogetherthesymptomsofall,oratfeastofmanyofthesepatients.Thentheoneor
tworemedies,*foundtobeHomoeopathic,healedthewholeepidemy,andthereforeshowedthemselves
specificallyhelpfulwitheverypatient,thoughtheonemightbesufferingfromsymptomsdifferingfrom
thoseofothers,andalmostallseemedtobesufferingfromdifferentdiseases.
(P8)
(*Inthetyphusof1813bryoniaandrhustoxicodendronwerethespecificremediesforallthepatients.)
Justso,onlyuponafarlargerscale,itiswiththePsora,thisfundamentaldiseaseofsomanychronic
maladies,eachofwhichseemstobeessentiallydifferentfromtheothers,butreallyisnot;asmayreadily
beseenfromtheagreementofseveralsymptomscommontothemwhichappearasthediseaserunsits
course,andalsofromtheirbeinghealedthroughthesameremedy.
(P9)
Allchronicdiseasesofmankind,eventhoselefttothemselves,notaggravatedbyapervertedtreatment,
show,assaid,suchaconstancyandperseverance,thatassoonastheyhavedevelopedandhavenotbeen
thoroughlyhealedbythemedicalart,theyevermoreincreasewiththeyears,andduringthewholeof
mans lifetime; and they cannot be diminished by the strength belonging even to the most robust
constitution.Stilllesscantheybeovercomeandextinguished.Thustheyneverpassawayofthemselves,

but increase and are aggravated even till death. They must therefore all have for their origin and
foundationconstantchronicmiasms,wherebytheirparasiticalexistenceinthehumanorganismisenabled
tocontinuallyriseandgrow.
InEuropeandalsoontheothercontinentssofarasitisknown,accordingtoallinvestigations,onlythree
chronicmiasmsarefound,thediseasescausedbywhichmanifestthemselvesthroughlocalsymptoms,and
fromwhichmost,ifnotall,thechronicdiseasesoriginate;namely,first,SYPHILIS,whichIhavealso
calledthevenerealchangedisease;thensycosis,orthefigwartdisease,andfinallythechronicdisease
whichliesatthefoundationoftheeruptionofitch;i.e.,thePSORA;whichIshalltreatoffirstasthemost
important.
PSORA is that most ancient, most universal, most destructive, and yet most misapprehended chronic
miasmaticdiseasewhichformanythousandsofyearshasdisfiguredandtorturedmankind,andwhich
duringthelastcenturieshasbecomethemotherofallthethousandsofincrediblyvarious(acuteand)
chronic(nonvenereal)diseases,bywhichthewholecivilizedhumanraceontheinhabitedglobeisbeing
moreandmoreafflicted.
PSORAistheoldestmiasmaticchronicdiseaseknowntous.justastediousassyphilisandsycosis,and
thereforenottobeextinguishedbeforethelastbreathofthelongesthumanlife,unlessitisthoroughly
cured,sincenoteventhemostrobustconstitutionisabletodestroyandextinguishitbyitsownproper
strength,Psora,ortheItchdisease,isbesidethistheoldest andmosthydraheadedofallthechronic
miasmaticdiseases.
(SeeOrganonoftheHealingArt,fifthedition,1834,100sq.)
Inthemanythousandsofyearsduringwhichitmayhaveafflictedmankind,forthemostancienthistory
ofthemostancientpeopledoesnotreachtoitsorigin,ithassomuchincreasedintheextentofits
pathological manifestations an extent which may to some degree be explained by its increased
developmentduringsuchallinconceivablenumberofyearsinsomanymillionsoforganismsthrough
whichithaspassed,thatitssecondarysymptomsarehardlytobenumbered.And,ifweexceptthose
diseaseswhichhave,beencreatedbyaperversemedicalpracticeorbydeleteriouslaborsinquicksilver,
lead,arsenic,etc.,whichappearinthecommonpathologyunderahundredpropernamesassupposedly
separateandwelldefineddiseases(andalsothosespringingfromsyphilisandthestillrareronesspringing
fromsycosis),alltheremainingnaturalchronicdiseases,whetherwithnamesorwithoutthem,findin
PSORAtheirrealorigin,theironlysource.
(P10)
The oldest monuments of history which we possess show the Psora even then ingreat development.
Moses*3400yearsagopointedoutseveralvarieties.AtthattimeandlateronamongtheIsraelitesthe
diseaseseemstohavemostlykepttheexternalpartsofthebodyforitschiefseat.Thiswasalsotrueofthe
maladyasitprevailedinuncultivatedGreece,laterinArabiaand,lastlyinEuropeduringtheMiddle
Ages.Thedifferentnameswhichweregivenbydifferentnationstothemoreorlessmalignantvarieties
ofleprosy,(theexternalsymptomofPsora)whichinmanywaysdeformedtheexternalpartsofthebody,
donotconcernusanddonotaffectthematter,sincethenatureofthismiasmaticitchingeruptionalways
remainedessentiallythesame.
(*InLeviticusnotonlyinthethirteenthchapter,butalso(chapt.21,verse20)wherehespeaksofthe
bodilydefectswhichmustnotbefoundinapriestwhoistooffersacrifice,malignantitchisdesignatedby
thewordgarab,whichtheAlexandriantranslators(intheSeptuagint)translatedwithpsoraagria,butthe
Vulgatewithscabiesjugis. Thetalmudicinterpreter,Jonathan,explaineditasdryitchspreadoverthe
body;whiletheexpression,yalephed,isusedbyMosesforlichen,tetter,herpes(seeM.Rosenmueller,
ScholiainLevit.,p.II.,edit.sec.,p.124). ThecommentatorsinthesocalledEnglishBibleworkalso
agreewiththisdefinition,Calmetamongotherssaying: Leprosyissimilartoaninveterateitchwith
violentitching.Theancientsalsomentionthepeculiar,characteristicvoluptuousitchingwhichattended
itchthenasnow,whileafterthescratchingapainfulburningfollows;amongothersPlato,whocallsitch
glykypikron,whileCiceromarksthedulcedoofscabies.)

TheOccidentalPsora,whichduringtheMiddleAgeshadragedinEuropeforseveralcenturiesunderthe
form ofmalignant erysipelas(calledSt.AnthonysFire),reassumedtheform ofleprosythroughthe
leprosywhichwasbroughtbackbythereturningcrusadersinthethirteenthcentury.Andthoughitthus
spreadinEuropeevenmorethanbefore,(forintheyear1226therewereinFrancealone2,000housesfor
thereceptionoflepers),thisPsora,whichnowragedasadreadfuleruption,foundatleastanexternal
alleviationinthemeansconducivetocleanliness,whichalsowerebrought bythecrusadersfrom the
Orient;namely,the(cotton?linen?)shirtsbeforeunknowninEurope,andthemorefrequentuseofwarm
baths. Throughbothofthosemeans,aswellasthroughthemoreexquisitedietandrefinementinthe
modeoflivingintroducedbyincreasedcultivation,theexternalhorrorsofthePsorawithinthespaceof
severalcenturieswereatlastsofarmoderated,that,attheendofthefifteenthcenturyitappearedonlyin
theform ofthecommon eruption ofitch,just at thetimewhen theother miasmatic chronic disease,
syphilis,began(in1493)toraiseitsdreadfulhead.
(P11)
Thusthiseruption,externallyreducedincultivatedcountriestoacommonitch,couldbemuchmoreeasily
removed from the skin through various means; so that with the medicinal external treatment since
introduced,especiallyinthemiddleandhigherclasses,throughbaths,washesandointmentsofsulphur
andlead,andbypreparationsofcopper,zincandmercury,theexternalmanifestationsofPsoraontheskin
wereoftensoquicklysuppressed,andaresonow,thatinmostcaseseitherofchildrenorofgrownpersons
thehistoryofitchinfectionmayremainundiscovered.
Butthestateofmankindwasnotimprovedthereby;inmanyrespectsitgrewfarworse.For,althoughin
ancienttimestheeruptionofpsoraappearingasleprosywasverytroublesometothosesufferingfromit,
owingtothelancinatingpainsin,andtheviolentitchingallaroundthetumors,andscabs,therestofthe
bodyenjoyedafairshareofgeneralhealth.Thiswasowingtotheobstinatelypersistenteruptiononthe
skinwhichservedasasubstitutefortheinternalpsora.Andwhatisofmoreimportance,thehorribleand
disgustingappearanceofthelepersmadesuchaterribleimpressiononhealthypeoplethattheydreaded
eventheirapproach;sothattheseclusionofmostofthesepatients,andtheirseparationinleperhospitals,
keptthemapartfromotherhumansocietyandinfectionfromthemwasthuslimitedandcomparatively
rare.
Inconsequenceoftheverymuchmilderformofthepsoraduringthefourteenthandfifteenthcenturies,
whenitappearedasitch,thefewpustulesappearingafterinfectionmadebutlittleshowandcouldeasily
beconcealed.Neverthelesstheywerescratchedcontinuallybecauseoftheirunbearableitching,andthus
thefluidwasdiffusedaround,andthepsoricmiasmawascommunicatedmorecertainlyandmoreeasilyto
many other persons, the moreitwas concealed. Forthethings rendered unclean bythepsoric fluid
infectedthepersonswhounwittinglytouchedthem,andthuscontaminatedfarmorepersonsthanthe
lepers,who,onaccountoftheirhorribleappearance,werecarefullyavoided.
(P12)
PSORAhasthusbecomethemostinfectiousandmostgeneralofallthechronicmiasmas.Forthemiasm
hasusuallybeencommunicatedtoothersbeforetheonefromwhomitemanateshasaskedfororreceived
anyexternalrepressiveremedyagainsthisitchingeruption(leadwater,ointmentofthewhiteprecipitate
ofmercury),andwithoutconfessingthathehadaneruptionofitch,oftenevenwithoutknowingithimself;
yea,withouteventhephysiciansorsurgeonsknowingtheexactnatureoftheeruptionwhichhasbeen
repressedbythelotionoflead,etc.
Itmaywellbeconceivedthatthepoorerandlowerclasses,whoallowtheitchtospreadontheirskinfora
longtime,untiltheybecomeanabominationtoallaroundthemandarecompelledtousesomethingto
removeit,musthaveinthemeanwhileinfectedmany.
Mankind,therefore,isworseofffromthechangeintheexternalformofthepsora,fromleprosydownto
theeruptionofitchnotonlybecausethisislessvisibleandmoresecretandthereforemorefrequently
infectious,butalsoespeciallybecausethePsora,nowmitigatedexternallyintoamereitch,andonthat
accountmoregenerallyspread,neverthelessstillretainsunchangeditsoriginaldreadfulnature.Now,after
beingmoreeasilyrepressed,thediseasegrowsallthemoreunperceivedwithin,andso,inthelastthree
centuries,afterthedestruction*ofitschiefsymptom(theexternalskineruption)itplaysthesadroleof

causinginnumerablesecondarysymptoms;i.e.,itoriginatesalegionofchronicdiseases,thesourceof
whichphysiciansneithersurmisenorunravel,andwhich,therefore,theycannomorecurethantheycould
curetheoriginaldiseasewhenaccompaniedbyitscutaneouseruption;butthesechronicdiseases,asdaily
experienceshows,werenecessarilyaggravatedbythemultitudeoftheirfaultyremedies.
(*Theexternaleruptionofitchmaynotonlybedrivenawaybythefaultypracticesofphysiciansand
quacks,butunfortunatelyitnotinfrequentlyofitsownaccordwithdrawsfromtheskin(seebelow,e.g.,in
theobservationoftheolderphysicians,Nos.9,17,26,36,50,58,61,64,65).Syphilisandsycosisboth
haveanadvantageovertheitchdisease,inthis,thatthechancre(orbubo)intheoneandthefigwartin
theotherneverleavetheexternaluntiltheyhavebeeneithermischievouslydestroyedthroughexternal
repressiveremediesorhavebeeninarationalmannerremovedthroughthesimultaneousinternalcureof
the whole disease. The venereal disease cannot, therefore, break out so long as the chancre is not
artificiallydestroyedbyexternalapplications,norcanthesecondaryailmentsofsycosisbreakoutsolong
as the figwart has not been destroyed by faulty practice; for these local symptoms, which act as
substitutesfortheinternal disease,remainstandingevenuntiltheendofmanslife,andpreventthe
breakingoutoftheinternaldisease.Itis,therefore,justaseasytohealthemthen,evenintheirwhole
extent;i.e.thoroughly,throughtheirspecificinternalmedicines,whichneedonlytobecontinueduntil
these local symptoms (chancre and figwart) which are in their nature unchangeable except through
artificial external application, are thoroughly healed. Then we may be quite certain that we have
thoroughlycuredtheinternaldisease;i.e.,syphilisandsycosis.
Thisgoodfeaturepsorahaslostinthepresentmoreandmoremitigatednatureofitschiefsymptom,
whichhaschangedfromleprosytoitchinthelastthreecenturies. Theeruptionofitchbynomeans
remainsaspersistentlyinitsplaceontheskinasthechancreandthefigwart.Eveniftheeruptionofitch
hasnot(asisnearlyalwaysthecase)beendrivenawayfrom theskinthroughthefaultypracticesof
physiciansandquacksbymeansofdesiccatingwashes,sulphurointments,drasticpurgativesorcupping,it
frequentlydisappears,aswesay,ofitself;i.e.,throughcauseswhicharenotnoticed.Itoftendisappears
through some unlucky physical or psychical occurrence, through a violent fright, through continual
vexations, deeplyaffecting grief, through catching a severe cold, or through a cold temperature (see
below,observation67);throughcold,lukewarmandwarmriverbathsormineralbaths,byafeverarising
fromanycause,orthroughadifferentacutedisease.(e.g.,smallpox;seebelow,observation39);through
persistentdiarrhoea,sometimesalsoperhapsthroughapeculiarwantofactivityintheskin,andtheresults
insuchacasearejustasmischievousasiftheeruptionhadbeendrivenawayexternallybytheirrational
practiceofaphysician. Thesecondaryailmentsoftheinternalpsoraandanyoneoftheinnumerable
chronicdiseasesflowingfromthisoriginwillthenbreakoutsoonerorlater.
Butletnoonethinkthatthepsorawhichhasbeenthusmitigatedinitslocalsymptom,itscutaneous
eruption,differsmateriallyfromancientleprosy.Evenleprosy,whennotinveterate,couldinancienttimes
notseldombedrivenfromtheskinbycoldbathsorbyrepeateddippinginariverandthroughwarm
mineralbaths(seebelow,No.35);butalsothentheevileffectsresultingwereaslittleregardedasthe
moremodernphysiciansregardtheacutediseasesandtheinsidiousmaladieswhichdonotfailtodevelop
soonerorlaterfromtheindwellingpsorawhenaneruptionofthepresentitchdiseasehasdisappearedof
itselforhasbeenviolentlydrivenaway).
Sogreatafloodofnumberlessnervoustroubles,painfulailments,spasms,ulcers(cancers),adventitious
formations,dyscrasias,paralyses,consumptionsandcripplingsofsoul,mindandbodywereneverseenin
ancienttimeswhenthePsoramostlyconfineditselftoitsdreadfulcutaneoussymptom,leprosy. Only
duringthelastfewcenturieshasmankindbeenfloodedwiththeseinfirmities,owingtothecausesjust
mentioned.*
(*That the drinking of warm coffee and Chinese tea which has spread so generally in the last two
centuries,andwhichhassolargelyincreasedtheirritabilityofthemuscularfibreaswellastheexcessive
excitabilityofthenerves,hasfurtheraugmentedthetendencyofthisperiodtoamultitudeofchronic
diseases,andhasthusaidedthepsora,Ileastofallcandoubt,asIhavemadeprominent,perhapstoo

prominent,thepartwhichcoffeetakeswithrespecttothebodilyandmentalsufferingsofhumanity,inmy
littleworkonTheEffectsofCoffee(DieWirkungendesKaffees. Leipzig,1803). This,perhaps
undue,prominencegivenwasowingtothefactthatIhadnotthenasyetdiscoveredthechiefsourceof
chronicdiseasesinthepsora.Onlyinconnectionwiththeexcessiveuseofcoffeeandtea,whichboth
offer palliatives forseveral symptoms ofpsora,could,psoraspread such innumerable,such obstinate
chronicsufferingsamongmankind;forpsoraalonecouldnothaveproducedthiseffect.)
(P13)
ItwasthusthatPSORAbecamethemostuniversalmotherofchronicdiseases.
The psora, which is now so easily and so rashly robbed of its ameliorating cutaneous symptom, the
eruptionofitch,whichactsvicariouslyfortheinternaldisease,hasbeenproducingwithinthelastthree
hundredyearsmoreandmoresecondarysymptoms,andindeedsomanythatatleastseveneighthsofall
thechronicmaladiesspringfromitastheironlysource,whiletheremainingeighthspringsfromsyphilis
andsycosisorfromacomplicationoftwoofthesethreemiasmaticchronicdiseases,or(whichisrare)
fromacomplicationofallthreeofthem.Evensyphilis,whichonaccountofitseasycurabilityyieldsto
thesmallestdoseofthebestpreparationofmercury,andsycosis,whichonaccountoftheslightdifficulty
initscurethroughafewdosesofthujaandnitricacidinalternation,onlypassintoatediousmalady
difficulttocurewhentheyarecomplicatedwithpsora.ThusPSORAisamongalldiseasestheonewhich
is most misapprehended, and, therefore, has been medically treated in the worst and most injurious
manner.
(P14)
Itisincredibletowhatanextentmodernphysiciansofthecommonschoolhavesinnedagainstthewelfare
ofhumanity; since,withscarcelyanexception,teachersofmedicineandthemoreprominent modern
physiciansandmedicalwritershavelaiddowntheruleandtaughtitasaninfallibletheoremthat:Every
eruptionofitchismerelyalocalailmentoftheskin,inwhichailmenttheremainingorganismtakesno
partatall,sothatitmayandmustbedrivenawayfromtheskinatanytimeandwithoutanyscruple,
through local applications of sulphur ointment or of the yet more active ointment of Jasser, through
sulphurfumigations,bysolutionsofleadandzinc,butmostquicklybytheprecipitatesofmercury.Ifthe
eruptionisonceremovedfromtheskineverythingiswellandthepersonisrestoredandthewholedisease
removed. Of course, if the eruption is neglected and allowed to spread upon the skin, then it may
eventuallyturnoutthatthemalignantmattermayfindopportunitytoinsinuateitselfthroughtheabsorbent
vesselsintothemassofhumors,andthustocorrupttheblood,thehumorsandthehealth.Then,indeed,
manmayfinallybeafflictedwithailmentsfromthesemalignanthumors,thoughthesemightsoonagain
beremovedfromthebodybypurgativesandabluents;butthroughpromptremovaloftheeruptionfrom
theskinallsequelaeareprevented,andtheinternalbodyremainsentirelyhealthy.
(P15)
Thesehorribleuntruthshavenotonlybeen,andarestillbeingtaught,buttheyarealsocarriedoutin
practice.Theconsequenceisthatatthepresentdaythepatientsinallthemostcelebratedhospitals,even
inthosecountriesandcitiesthatseemmostenlightened,aswellastheprivateitchpatientsofthelower
andhigherclasses,thepatientsinallthepenitentiariesandorphanasylums,inothercivilandmilitary
hospitals,whereversucheruptionsarefoundinshort,theinnumerablemultitudeofpatients,without
exception,aretreated,notonlybyphysiciansunknowntofame,butbyall,eventhosemostcelebrated,
withtheabovementionedexternalremedies,*usingperhapsatthesametimelargedosesofflowersof
sulphur,andstrongpurgatives(tocleansethebody,astheysay). Thesephysiciansthinkthatthemore
quicklytheseeruptionsaredrivenfromtheskinthebetter. Thentheydismissthepatientsfromtheir
treatmentascured,withbrazenassuranceandthedeclarationthateverythingisnowallright, without
regardingorbeingwillingtonoticetheailmentswhichsoonerorlateraresuretofollow;i.e.,thePsora
whichshowsitselffromwithininathousanddifferentdiseases.**Ifthedeceivedwretchesthensooneror
laterreturnwiththemaladyfollowingunavoidablyonsuchatreatment;e.g.,withswellings,obstinate
painsinonepart oranother,withhypochondriacorhysterical troubles,gout,consumption,tubercular
phthisis, continual or spasmodic asthma, blindness, deafness, paralysis, caries of the bones, ulcers
(cancer),spasms,haemorrhages,diseasesofthemindandsoul,etc.,thephysiciansimaginethattheyhave

beforethem somethingentirelynewandtreat itagainandagainaccordingtotheoldroutineoftheir

therapeuticsinauselessandhurtful manner,directingtheirmedicinesagainst phantom diseases;i.e.,
against causesinventedbythem fortheailmentsastheyappear,untilthepatient,aftermanyyears
suffering continually aggravated, is at last freed from their hands by death, the end of all earthly
maladies.
(*Then,asthesegentlemendreamintheirpervertedminds,inwhichtheyhavedisposedofthenatureof
thismost important disease intheir arbitrary way and without consulting nature, then these frivolous
gentlemenassureus,thematteroftheitchhasnotyethadtimetopenetrateinwardlyandtobereceivedby
theabsorbentvesselstothedetrimentofthewholemassofhumors.Buthowthen,0conscientiousmen!if
eventhefirstlittlepustuleofitchwithitsunbearablevoluptuousitching,forcingamanirresistiblyto
scratch,andwiththefollowingburningpain,isineverycaseandeverytimetheproofofauniversalitch
diseasewhichhasbeenpreviouslydevelopedintheinteriorofthewholeorganism,asweshallseebelow?
Howthen,ifinaccordancewiththisfactanyexternalrepressionofthe,itcheruptioncannotonlydo
nothingtowardalleviatingtheinternalgeneraldisease,butratherasthousandsoffactsgotoprove,compel
it to develop and break forth quickly into innumerable, different, acute sufferings, or gradually into
chronicsufferings,whichmakemankindsohelplessandmiserable?Canyouthenhealthese?Experience
saysno;youcannotdoit.)
(Insomevigorousitchpatientsthevitalforce,followingthelawofnatureonwhichitrests(herinstinct
showingmorewisdomthantheintelligenceofherdestroyers),aftersomeweeks,drivesbacktotheskin
theeruptionseeminglydestroyedbyitchointmentsandpurgatives;thepatientreturnstothehospitaland
themischievousdestructionoftheeruptionbymeansofointmentsandlotionsofsolutionsofleadand
zinc,isrenewed. Ihaveseeninmilitaryhospitalsthiseruptionthusdestroyedinanirrationalacruel
manner three times in succession within a few months, while the quack who applied the ointment
pretendedthatthepatientmusthavebeeninfectedanewwithitchthreetimesinthisshortperiod,which
wasreallyimpossible.)
(P16)
(**Iwrotethissixyearsago,butevenatthisdaythephysiciansoftheoldschoolcontinuetoactand
teachwiththesamecriminalnegligence.Inthismostimportantmedicalaffairtheyhaveuptothisdaynot
becometheleastbitwiserormorehumane.)
( Byaccident(fortheycannotgiveanybutafeignedreasonfortheiraction)theyfoundoutarefuge
whichtemporarilyoftenalleviatesthesufferingsoftheirpatientswhentheycannotdoanythingathome
withtheirprescriptionsagainsttheunknowndiseases;thatis,theysendhimtosomesulphurbathorother,
wherethepatientsoftengetridofasmallpartoftheirpsora,andthusarealsoatthefirstuseofthebaths
for atimerelievedoftheirchronicdisease; but afterwards theyfall backintothe sameorakindred
ailment,andtherepetitionofthebaththenavailslittleornothing,becausethecureofadevelopedPsora
requiresafarmoreadequatetreatmentthantheimpetuoususeofsuchbaths.)
Theolderphysiciansweremoreconscientiousinthismatterandobservedwithlessprejudice.Theysaw
clearlyandbecameconvincedthatinnumerableailmentsandthemostseverechronicdiseasesfollowthe
destructionoftheitcheruptionfromtheskin.Andsincethisexperiencecompelledthemtoassumethe
existenceofaninternaldisease,ineverycaseofitchtheyendeavoredtoextirpatethisinternalmaladyby
meansofamultitudeofinternalremedies,asgoodastheirtherapeuticsafforded. Itwas,indeed,buta
useless endeavor, because the true method of healing, which it could only be the prerogative of
Homoeopathytodiscover,wasunknowntothem.Neverthelessthissincereendeavorwaspraiseworthy,
sinceitwasfoundedonanappreciationofthegreatinternaldiseasepresenttogetherwiththeeruptionof
itch,whichinternaldiseaseitwasnecessarytoremove.Thispreventedtheirrelianceonthemerelocal
destruction of the itchfrom the skin,as practiced bymodern physicians, who think that they cannot
quicklyenoughdriveitawayasifitwereamereexternaldiseaseoftheskinwithoutregardingthegreat

injuriesattendingsuch acourse. Theolderphysicians, ontheother hand, have warninglylaidthese

injuriesbeforeoureyesintheirwritings,givingthousandsofexamples.
(P17)
The observations of those honest men are too startling to be rejected contemptuously, or ignored by
conscientiousmen.
Ishallhereadducesomeofthesenumerousobservationshandeddowntous,whichImightincreasebyan
equalnumberofmyowniftheformerwerenotalreadyabundantlysufficienttoshowwithwhatfurythe
internal Psora manifests itself when the external local symptom which serves to assuage the internal
maladyishastilyremoved.Theyalsoshowthatitmustbeamatterofconscienceforthephysicianwho
loveshisfellowmantodirect allhisendeavorstocure,first ofall,theinternal malady,wherebythe
cutaneouseruptionwillatthesametimeberemovedanddestroyedandallthesubsequentinnumerable
lifelongchronicsufferingsspringingfromthePsorabepreventedor,iftheyarealreadyembitteringthe
lifeofthepatient,becured.
Thediseases,partlyacutebutchieflychronic,springingfromsuchaonesideddestructionofthechief
skinsymptom (eruption and itching) which acts vicariously and assuages the internal Psora (which
destructioniserroneouslycalledDrivingtheitchintothebody)areinnumerable;asmanifoldasthe
peculiaritiesofbodilyconstitutionsandoftheouterworldwhichmodifiesthem.
A brief survey of the manifold misfortunes resulting thence is given by the experienced and honest
LUDWIGCHRISTIANJUNCKERinhisDissertaliodeDamnoexScabieRepulsa,Halle,1750,p.1518.
Heobservedthatwithyoungpeopleofasanguinetemperamentthesuppressionofitchisfollowedby
phthisis, and with persons in general who are of a sanguine temperament it is followed by piles,
haemorrhoidalcolicandrenalgravel;withpersonsofsanguinocholerictemperamentbyswellingsofthe
inguinalglands,stiffeningofthejointsandmalignantulcers(calledinGermanTodenbruche);withfat
personsbyasuffocatingcatarrhandmucousconsumption;alsobyinflammatoryfever,acutepleurisyand
inflammationofthelungs.Hefurtherstatesthatinautopsiesthelungshavebeenfoundinduratedandfull
ofcystscontainingpus;alsootherindurations,swellingsofthebonesandulcershavebeenseentofollow
thesuppressionofaneruption.Phlegmaticpersonsinconsequenceofsuchsuppressionssufferedchiefly
fromdropsy;themensesweredelayed,andwhentheitchwasdrivenawayduringtheirflow,theywere
changedintoamonthlyhaemoptysis. Personsinclinedtomelancholyweresometimesmadeinsaneby
suchrepression;iftheywerepregnantthefoetuswasusuallykilled.Sometimesthesuppressionofthe
itchcausessterility,*innursingwomenthemilkisgenerallylacking,themensesdisappearprematurely;
inolder women the uterus becomes ulcerated, attended with deep, burning pains, with wasting away
(cancerofthewomb).
*ApregnantJewesshadtheitchonherhandsanddroveitawayintheeighthmonthofherpregnancyso
thatitmightnotbeseenduringtheperiodofherdelivery.Threedaysafterwardsshewasdeliveredand
thelochialdischargedidnotappearandshewasseizedwithahighfever;sincethattimeforsevenyears
shehadbeensterileandhadsufferedfromleucorrhoea.Thenshebecamepoorandhadtowalkagreat
distancebarefooted; hereupontheitchagainappearedandshethuslostherleucorrhoeaandherother
hystericaffections;shebecameagainpregnantandwassafelydelivered.(Juncker,ibid.)
(P18)
Hisexperienceswerefrequentlyconfirmedbytheobservationsofothers,ase.g.withreferenceto
Asthma, Lentilius Miscell. med. pract. Tom. I., P. 176. Fr. Hoffmann Abhandlung v. d.
Kinderkrankheitenn,Frft.,1741,P.104.DethardinginAppend.adEphem.Nat.Cur.Dec.III.,ann5et6
etinobs.parallel.adobs.58.Binninger,Obs.Cent.V.,obs.88.Morgagni,desedibuset.caus.morb.
Epist.XIV.,35.ActaNat.Cur.Tom.Vobs.47.J.Juncker,Consp.ther.spec.tab.31.F.H.L.Muzell,
Wahrnehm.Samml.II.Cas.8. 1 J.Fr.GmelininGesnersSamml.v.Beob.V.S.21. 2 Hundertmark.
ZiegerDissert.descabieartificiale,Lips.1758,p.32. 3 BeireisStammen.Diss.decausiscurimprismis
plebsscabielaboret. Helmst.,1792,P.26. 4 Pelargus(Storch)Obs.clin.Jahrg.,1722,P.435n438. 5
BreslauerSammlungv.Jahre1727,P,293.6Riedlin,thefather,Obs.Cent.II.,obs.90.Augsburg,1691. 7
SuffocatingCatarrh,Ehrenfr.Hagendorn,hist.med.phys.Cent.I.,hist8,9. 8Pelargus,Obs.clin.Jahrg.,

1723,P.15.9
(WhenwritingthefasteditionoftheChronicDiseases,IwasnotasyetacquaintedwithAutenrieths
Versuche fuer die prakt. Heilkunde aus den Klinishen Anstalten von Tubingen, 1808. But Isaw on
examiningthework,thatwhathesaysaboutdiseasesfollowingthedrivingawayofitchthroughlocal
applicationsisonlyaconfirmationofwhatIhadalreadyfoundwiththeotherhundredwriters.Healso
had observed that the external driving away of itch was followed by ulcers on the feet, pulmonary
consumption,hystericalchlorosiswithvariousmenstrualirregularities;whiteswellingoftheknee,dropsy
of the joints, epilepsy, amaurosis, with obscured cornea; glaucoma, with complete amaurosis; mental
derangement, paralysis, apoplexy and curvature of the neck; these he erroneously attributed to the
ointmentsalone.Buthisownslowlocaldrivingawayoftheeruptionbymeansofsulphuretofpotashand
softsoap,whichheinvaincallshealingit,isinnowaybetter.Justasifhistreatmentwereanythingelse
thanalocaldrivingawayoftheeruptionfromtheskin!Ofanytruecureheknowsjustaslittleasthe
other Allopaths, for he writes: It is, of course, absurd to endeavor to cure itch (scab) by internal
remedies.No!itisnotonlyabsurd,butevenwatchedtoundertaketocureaninternalitchdiseasewhich
cannotbecuredbyanylocalapplication,throughanybutinternalmeans,whichalonecancurethedisease
thoroughlyandwithcertainty.)
(1Aman30to40yearsofagehadbeenafflictedwiththeitchalongtimebefore,andithadbeendriven
awaybyointments;fromwhichtimehehadbecomemoreandmoreasthmatic.Hisrespirationbecameat
last,evenwhennotinmotion,veryshortandextremelylabored,emittingatthesametimeacontinuous
hissingsound,butattendedwithonlylittlecoughing. Hewasorderedaninjectionofonedrachm of
squills,andtotakeinternally3grainsofsquills.Butbymistakehetookthedrachmofsquillsinternally.
Hewasnearlosinghislifewithanindescribablenauseaandretching.Soonafterthistheitchappeared
againonhishands,hisfeetandhiswholebodyingreatabundance,andbythismeanstheasthmawasat
onceremoved.)
(2Theviolentasthmawascombinedwithgeneralswellingandfever.)
(3Amanof32yearshadtheitchdrivenawaybysulphurointment,andhesufferedforelevenmonths
fromthemostviolentasthmauntilbydrinkingbirchjuicetheeruptionwasbroughtbackonthetwenty
thirdday.)
(4Astudentwasseizedwiththeitchjustashewasgoingtodance,onwhichaccounthehaditdrivenout
byapractitionerwithsulphurointment.Butsoonafter,hewasattackedbysuchasevereasthmathathe
couldonlydrawbreathbythrowinghisheadback,andwasalmostsuffocatedduringtheattacks.After
thuswrestlingwithdeathforanhour,hewouldcoughuplittlecartilaginouspieceswhichwouldeasehim
foraveryshorttime. HavingreturnedhometoOsterodehesufferedcontinuallyfortwoyearsofthis
disease,beingattackedabouttentimesaday,whichcouldnotevenbemitigatedthroughthehelpofhis
physician,Beireis)
(5Aboyof13yearshavingsufferedfromhischildhoodwithtineacapitishadhismotherremoveitfor
him,buthebecameverysickwithineightortendays,sufferingwithasthma,violentpainsinthelimbs,
backandknee,whichwerenotrelieveduntilaneruptionofitchbrokeoutoverhiswholebodyamouth
later.)
(6 Tineacapitisinalittlegirl wasdrivenawaybypurgativesandothermedicines,butthechildwas
attackedwithoppressionofthechest,coughandgreatlassitude.Itwasnotuntilshestoppedtakingthe
medicines,andthetineabrokeoutagain,thatsherecoveredhercheerfulnessandthis,indeed,quickly.)
(7Aboyof5yearssufferedforalongtimefromitch,andwhenthiswasdrivenawaybyasalveitleft
behindaseveremelancholywithacough.)

(8Owingtotineacapitis,whichhadbeendrivenoffbyrubbingwithalmondoil,therearoseanexcessive
lassitude of all the limbs, headache on one side, loss of appetite, asthma, waking up at night with
suffocatingcatarrh,withsevererattlingandwhistlingonthechestandconvulsivetwistingofthelimbs,as
ifabouttodie,andhematuria.Whenthetineabrokeoutagain,herecoveredfromalltheseailments.
A3yearoldgirlhadtheitch,forseveralweeks;whenthiswasdrivenoutbyanointmentshewasseized
thenextdaybyasuffocatingcatarrhwithsnoring,andwithnumbnessandcoldnessofthewholebody,
fromwhichshedidnotrecoveruntiltheitchreappeared.)
(9Agirloftwelveyearshadtheitchwithwhichshehadfrequentlysuffered,drivenawayfromtheskinby
anointment,whenshewasseizedwithanacutefeverwithsuffocativecatarrh,asthmaandswelling,and
afterwardwithpleurisy.Sixdaysafterward,havingtakenaninternalmedicinecontainingsulphur,theitch
againappearedandalltheailments,exceptingtheswelling,disappearedbutaftertwentyfourdaystheitch
againdriedup,whichwasfollowedbyanewinflammationinthechestwithpleurisyandvomiting.)
(P21)
SuffocationsfromAsthma,Joh.Phil.Brendel,Collsila.med.,Frft.,1615,Cons.,73.Ephem.Nat.Citr.,
Ann.II.,obs.3I3.Wilh.Fabr.V.Hilden,Obs.Cent.III.,Obs.39. 10Ph.R.Vicat.Obs.Pract.,obs.35,
Vitoduri,1780.11J.J.Waldschmid,Opera,P.244. 12
AsthmawithGeneralSwelling.Waldschmid,ibid.Hoechstetter,Obs.Dec.III.,obs.7Frft.etLips,1674,
P.248.Pelargus,Obs.Clin.Jahrg.,1723,P.504. 13Riedlin,thefather,Obs.Cent.II.obs.91.14
AsthmawithDropsyoftheChest. StorchinAct. Nat.Cur.Tom.V.,obs.147. Morgagni,desed.et
causis morb. XVI., Art. 34.15 Richard, Recueil dobserv. de Med. Tom. III., P.308, aParis, 1772.
Hagendorn,asabove,Cent.II.,hist.15.16
PleurisyandInflammationintheChest,Pelargus,asabove,P.10. 17Hagendorn,asabove,Cent.III.,hist.
58.Giseke,Hamb.Abhandl.,P.310.Richard,asabove.Pelargus,asabove.Jahrg.,1721,P.23and114, 18
andJahrg.,1723,P.29,19alsoinJahrg.,1722,P.459. 20Sennertpraxismed.lib.II.,P.III.,Cap.6,P.380.
Jerzembsky, Diss. Scabies salubris inhyrrope, Halae, I777. 21 Karl Wenzel, Die Nachkrankheiten von
zuruckgetretenerKratze,Bamb.,1826,P.49.22

(10Thedyspnoeaofayouth,20years,causedbythedrivingawayofitchwassogreatthathecouldnotget
anybreath,andhispulsewashardlyperceptible,inconsequenceofwhichhesuffocated.)
(11 Amoistherpesontheleftupperarmofayouthof19yearswasfinallylocallyremovedbymany
externalapplications.Butsoonafter,thereensuedaperiodicalasthmawhichwassuddenlyincreasedbya
lengthyfoottourintheheatofsummer,eventosuffocation,withapuffedupbluishredfaceandquick,
weak,unevenpulse.)
(12Thedyspnoeafromthedrivenoutitchcameonverysuddenly,andthepatientwassuffocated.)
(13A5yearoldgirlhadhadforsometimelargeitchvesiclesonthehands,whichdriedupofthemselves.
Shortlyafter,shebecamesleepyandtiredandwasseizedwithdyspnoea.Thefollowingdaytheasthma
continuedandherabdomenbecamedistended.)
(14A50yearoldfarmer,whohadbeenlongtorturedwiththeitch,whilehewasdrivingitoutbyexternal
applications,wasseizedwithadyspnoea,alossofappetiteandaswellingofthewholebody.)
(15AgirlinBolognadroveawaytheitchwithanointmentandwasseizedwiththemostsevereasthma
withoutfever. Aftertwobloodlettingsherstrengthdecreasedsomuchandtheasthmawassomuch
augmentedthatshediedonthefollowingday. Thewholechestwasfilledwithbluishwater,alsothe
pericardium.)

(16Agirlof9yearswiththetineacapitishaditdrivenaway,whenshewasseizedwithalingeringfever,a
generalswellinganddyspnoea;whenthelinesbrokeoutagainsherecovered.)
(17AmanOf46droveouthisitchwithasulphurointment.Thereuponhewasseizedwithinflammation
inthechestwithbloodyexpectoration,dyspnoeaandgreatanguish.Thefollowingdaytheheatandthe
anguishbecamealmostunbearableandthepainsinthechestincreasedonthethirdday.Thensweatbroke
out.Afterfourteendaystheitchbrokeoutagainandhefeltbetter.Butbehadarelapse,theitchdriedup
againandhediedonthe13thdayaftertherelapse.)
(P21)
(18Athinmandiedofinflammationinthechestandotherailmentstwentydaysafterdrivingouttheitch.)
(19Aboyof7yearswhosetineacapitisanditchdriedup,diedafterfourdaysfromanacutefeverand
asthmaaccompaniedwithexpectoration.)
(20Ayouthwhoremovedhisitchwithaleadointment,diedfourdaysafterwardofadiseaseofthechest.)
(21Ageneraldropsywasquicklycuredbyareturnoftheitch,butwhenthiswassuppressedbyasevere
cold,pleurisysupervenedanddeathensuedinthreedays.)
(22Ayoungpeasantwasattackedwithacutefeverwithpleurisyanddyspnoea,sixdaysafterdrivingout
aneruptionofitchwithsulphurointment.)
PleurisyandCough,Pelargus,asabove,Jahrg.,1722,P.79. 23
Severe Cough,Richard,asabove.Juncker,Conspect.med.theor.etpract.tab.,76. Hundertmark,as
above,P.23.23*
Hemoptysis,Phil.Georg.Schroeder,Opusc.II.,P.322.Richard,asabove,Binninger,Obs.Cent.V.,
obs.88.
Haemoptysis and Consumption. Chn. Max Spener, Diss. de egro febri maligni, phthisi complicata
laborante,Giess,1699. 24 Baglio,Opera,P.2I5.SiceliusPraxiscasual.Exerc.III.,Cas.I.,FrftetLips,
I743.25Morgagni,asabove,XXI.,Art.32.26UnzersArztCCC.,P.508.27KarlWenzel,asabove,P.32.
(23 AschoolboyOf13yearswasseizedwithcoughandstitchesinthechest,whenhisitchdriedup.
Theseailmentsdisappearedwhentheitchbrokeoutagain.)
(23*AmanOf36yearshadtheitchremovedsixteenmonthsagobyanointmentofleadandmercury;he
sufferedsincefromawhoopingcoughaccompaniedwithgreatanguish.)
(24Ayouthof19yearshadtheitch,whichhefinallydroveawaywithablacklookinglotion.Afewdays
after,hewasseizedwithchillsandheat,lassitude,oppressionoftheheart,headache,nausea,violentthirst,
coughanddifficultyinbreathing;heexpectoratedblood,commencedtospeakdeliriously,hisfacewas
deadlypaleandsunken,theurinewasdeepredwithoutsediment.)
(25Aneruptionofitchinayouthof18yearsdrivenoutbyamercurialplaster.)
(26Itchwhichdisappearedfromtheskinofitself,wasfollowedbyalingeringfeverandfatalexpectoration
ofpus;attheautopsytheleftlungwasfoundfullofpus.)
(27 Arobustlookingcandidatefortheministrywhowasabouttopreachinafewdaysandtherefore
wishedtofreehimselffromhisolditch,rubbedhimselfonedaywithitchointment,andinafewhours,
soonafternoonhepassedawaywithanxiety,dyspnoeaandtenesmus;theautopsyshowedthatthewhole
ofthelungswasfilledwithliquidpus.

(P22)
CollectionofPusintheChest.F.A.Waltz,Medic.Chirurg.AufsatzeTh.1.,P.114,115. 28Preval,inthe
journaldeMedec.,LXI.,P.491.
CystsofPusintheIntestines,Krause.Schubert,Diss.descabiehumana.Lips,1779,P.23. 29
GreatDegenerationofaGreatPartoftheIntestines.J.H.Schulze,inAct.Nat.Cur.Tom.,IobS.,231. 30
DegenerationoftheBrain.Dimenbrock,Obs.etCurat.med.,obs.6o. Bonet,Spulchretumanal.,Sect.
IV.,obs.I,131and2.32J.H.Schulze,asabove.
Hydrocephalus,Actahelvet.,V.,P.190.
UlcersintheStomach.L.Chn.Juncker,Diss.descabierepulsa,Halle,1750,P.16. 33
SphacelusoftheStomachandDuodenum.Hundertmark,asabove,P.29. 34
GeneralDropsicalSwelling. 35
DropsyoftheChest.HesslerinKarlWenzel,asabove,P.100and102.
(28Empyemafollowedthedrivingaway,throughexternalmeans,ofaneruptionofitchwhichhadcome
outafewyearsbefore,andappearedespeciallyinMarchandApril.)
(29Ayoungmanwhohadbeenwarnedby(thegoodphysicianand)Prof.Krauseagainsttheuseofsulphur
ointmentforthereappearingitchdidnotfollowhisadvice,butrubbedhimselfwithit,whenhediedof
constipationinhisbody,attheautopsy,werefoundsacsofpusinhisabdominalviscera.)
(3OAlsothediaphragmandtheliverwerediseased.)
(31 Alittleprinceoftwoyearshadhistineacapitisdrivenaway;inconsequence,afterhisdeath,much
bloodywaterwasfoundunderhisskull.)
(32 Inawomanwhohaddrivenoutthetineabyalotion,onehalfofthebrainwasfoundputrefiedand
filledwithyellowhumor.)
(33Amanofrank,ofacholericosanguinetemperament,wasafflictedwithgoutypainsoftheabdomen
andpainsasfromgravel. Aftertheremovalofthegoutthroughvariousremediestheitchbrokeout,
whichhedroveoutthroughadesiccatingbathoftanbark;anulcerformedonhisstomach,which,asthe
autopsyshowed,hastenedhisdeath.)
(34Aboyof7weeksandayouthof18yearsdiedverysuddenlyfromanitchdrivenoutthroughasulphur
ointment.Attheautopsyinthecaseoftheinfanttheupperpartofthestomachimmediatelybelowthe
orificewasfounddestroyedbygangrene,andinthesecondcasethatpartoftheduodenumintowhichthe
biliaryductandthepancreaticductemptywasfoundsimilarlydiseased.Asimilarfatalinflammationof
thestomachfromdrivenoutitch,inMorgagni,asabove,LV.,art.II.)
(35Ofthis,innumerablecasesarefoundinanumberofwritersofwhichIonlydesiretomentiontheone
reportedinJ.D.Fick,Exercitatiomed.descabieretropulsa,Halle,1710,6,whereaneruptionofitch
drivenoutbyapplicationofmercury,leftbehinditgeneraldropsy,whichwasonlymitigatedbythere
appearanceoftheeruption.
TheauthorofthebookEpidemionlib.5,No.4,whogiveshisnameasHippocrates,firstmentionsthesad
resultofsuchacase,whereanAthenianwasseizedbyaviolentlyitchingeruption,spreadoverthewhole
bodyandespeciallyoverthegenitalorgans;heexpelleditbytheuseofthewarmbathsontheislandof
Melos,butdiedoftheresultingdropsy.
(P23)
DropsyoftheAbdomen,Richard,asabove,andwithotherobservers.

SwellingoftheScrotum(inboys).Fr.Hoffmann,Med.rat.syst.,III.,P.175.
RedSwellingoftheWholeBody.Lentilius,Misc.med.pract.,PartI.,P.176.
Jaundice.Baldinger,Krankheitenein.Armee,P.226.job.Rud.Camerarius,Memorab.Cent.,X.,65.
SwellingoftheParotidGlands.Barette,inthejournaldeMed.,XVIII.,P.169.
SwellingoftheCervicalGlands,Pelargus,asabove,Jahrg.,1723,P.593. 36Unzer,Arzt.PartVI.,St.301.37
ObscurationoftheEyesandPresbyopia,Fr.Hoffman,Consult.med.,ICas.50. 38
InflammationoftheEyes,G.W.Wedel.Snetter,Diss.deOphthalmia,Jen.,1710.Hallmann,inKoenigl.
VetenskapsHandl.f.A.X.,P.210. 39G.Chph.Schiller,deScabiehumida,
P.42,Erford.1747.
(36 Aboyof8or9years,whohadbeenshortlybeforehealedoftineashowedmanyswellingsofthe
glandsoftheneckbywhichhisneckwasdrawncrookedandstiff.)
(37Ayouthof14yearshadtheitchinJune,1761.Herubbedwithagreyointmentandtheitchpassed
away.Uponthistheglandsbehindbothofhisearsswelledup;theswellingontheleftearpassedawayof
itself,buttherightoneinfivemonthsbecamemonstrouslyenlargedandaboutAugustbegantopainhim.
Alltheglandsoftheneckwereswollen.Ontheoutsidethelargeglandwasfullofhardknotsandwithout
sensitiveness,butinternallytherewasanobtusepain,especiallyatnight;atthesametimehesuffered
fromdyspnoeaandobstructeddeglutition.Allmeansusedtoproducesuppurationwereinvain;itbecame
solargethatthepatientwassuffocatedintheyear1762.)
(38Agirlof13yearswasseizedwiththeitch,especiallyonthelimbs,inthefareandonthepudenda;this
wasfinallydrivenawaybyointmentsofzincandsulphur,whereuponshegraduallybecameweakofsight.
Little dark bodies floated before her eyes, and these could also be seen from without floating inthe
aqueoushumoroftheanteriorchamberoftheeye.Atthesametimeshecouldnotrecognizesmallbodies
exceptwithspectacles.Thepupilsweredilated.)
(39 Agirlhadaviolenteruptionofitchonthelegs,withlargeulcersonthebendoftheknee. Being
attackedwithsmallpoxtheitchwassuppressed.Thisinducedahumidinflammationofthewhiteofthe
eyeandoftheeyelids,withitchingandsuppurationofthesame,andthevisionofdarkbodiesfloating
beforehereyes;thislastedfortwoyears.Thenforthreedayssheputonthestockingsofachildafflicted
withtheitch.Onthelastdayafeverbrokeoutwithdrycough,tensioninthechest,withinclinationto
vomit. Onthefollowingdaythefeverandthetensionofthechestdiminishedandasweatbrokeout,
whichincreaseduntilerysipelasbrokeoutonbothlegs,andonthefollowingdaythesepassedoverinto
therealitch.Theeyesthenimproved.
(P24)
Cataract,Chn.GottliebLudwig,Advers.med.II.,P.157. 40
Amaurosis,Northof,Diss.descabie,Gotting.,I792,P.10. 41Chn.G.Ludwig,asabove. 42Sennert,prax.lib.
III.,Sect.2,Cap44.Trecourt,chirurg.WahrnehmungenP.173LeipzI777.FabriciusabHilden.Cent.
II.,obs.39.43
Deafness.ThoreinCapelle,journaldesante,Tom.I.Daniel,Syst.aegritud.II.,P.228.Ludwig,asabove.
InflammationoftheBowels,Hundertmark,Diss.descabieartificiali,Lips.I758,P.29.
Piles,Hemorrhoids,Actahelvet.V.,P.I92. 44Daniel,Syst.aegritud.II.,P.245.45
AbdominalComplaints,Fr.Hoffmann,Med.rat.syst.III.,P.177. 46
Diabetes(Mellitaria),Comment.Lips.XIV.,P.365.Eph.Nat.Cur.Dec.II.,ann.10,P.162.C.Weber,
Obs.f.I.,P.26.
SuppressionofUrine,Sennert,Prax.lib.3,P.8.Morgagni,asabove,XLI.,art.2. 47
Erysipelas,UnzerArtz,Th.V.,St.301.48

(40Amanwhoseitchhadbeendrivenoff,butwhowasofrobustconstitution,wasseizedwithcataract.)
(41Fromitchexpelledbyexternalapplicationtherearoseamaurosis,whichpassedawaywhentheeruption
reappearedontheskin.)
(42 A vigorous man, when the itch had been expelled from the skin, was seized with amaurosis and
remainedblindtoanadvancedage.)
(43Amaurosisfromthesamecause,withterribleheadache.)
(44Bleedingpilesreturnedeverymonth.)
(45Inconsequenceofitchdrivenoffbyexternalapplications,lossofblooduptoeightpoundswithinafew
hours,colic,fever,etc.)
(46Aftertheexpulsionofitchamostviolentcolic,painintheregionoftheleftlowerribs,restlessness,
lingeringfever,anxietyandobstinateconstipation.)
(47Ayoungpeasanthaddrivenofftheitchwithointment,andshortlyafterhesufferedfromsuppression
ofurine,vomitingandattimesfromapainintheleftloin.Stillhe,afterawhile,passedurineafewtimes,
butonlyalittle,ofdarkcolorandattendedwithpains.Invaintheattemptwasmadetoemptyitwitha
catheter.Atlastthewholebodyswelledup,difficultandslowrespirationensued,andhediedonabout
thetwentyfirstdayafterthesuppressionoftheitch.Thebladdercontainedtwopoundsofurinejustas
dark,buttheabdominalcavity,water,whichbeingheldforawhileoverthefirethickenedintoasortof
albumen.)
(48Amanrubbedhimselfwithmercurialointmentagainsttheitch,whentherefollowedanerysipelatous
inflammationintheneck,ofwhichhediedafterfiveweeks.)
(P25)
Dischargesofacridhumors.Fr.Hoffman,Consult.Tom.II.,Cas.I25.
Ulcers,UnzerArzt,Th.V.,St.3O1. 49Pelargus,asabove,Jahrg.,1723,P.673. 50BreslauerSamm.,1727,
P.107.51Muzell,Wahrnehm.II.,Cas.6. 52Riedlin,theson,Cent.obs.38. 53AlbertiGorn,Diss.descabi.,
P.24.Halle,1718.
Caries.Richard,asabove.
SwellingoftheBonesoftheKnee.ValsalvainMorgagni,desedeetcaus.morb.I.art.13.
Paininthebones,HamburgerMagaz.,XVIII.,P.3,253.
RachitisandMarasmusinChildren,Fr.Hoffman.Kinderkrankh.Leipiz.,I74I,P.132.
Fever,B.V.Faventinus,Medicinaempir.,P.260.Ramazzini,Constit.epid,urbis.II.No.32,1691. 54J.
C.CarlinAct.Nat.Cur.VI.,obs.16.55
Fever,,Reil,Memorab. Fasc.III.,P.169. 56 Pelargus,asabove;Jahrg.,I72I,P.276. 57andibid.Jahrg.,
1723.58Amatus,Lusit.Cent.II.,Cor.33.SchillerDiss.descabiehumida,Erford,
1747,P.44.59 J.J.Fick,Exerdiatiomed.descabieretropulsa.Halle,1710,2. 60 Pelargus,asabove,
Jahrg,.1722,p.122.61AlsoJahrg.,1723,P.10,P.14. 62andP.291.C.G.Ludwig,
Advers.med.II.,pp.I57160. 63 Morgagni,asab.X.,art.9; 64XXI.,art.31;65XXXVIII.,art.22;66LV.,
art.3.67
(49Awoman,afterusingamercurialointmentagainstitch,hadaputrescenteruptionalloverherbody,so
thatwholepiecesoffleshrottedaway;shediedinafewdayswiththegreatestpains.)
(50Ayouthofi6yearshadtheitchforsometime;whenthispassedawayulcersbrokeoutonthelegs.)

(51Afterrubbingwithanointmentagainsttheitchtherefollowedwithamanof50yearstearingpainsin
theleftshoulderforfiveweeks,whenseveralulcersbrokeoutinthearmpit.)
(52Aquackgaveastudentanointmentfortheitch,fromwhichitdisappearedindeed,butinsteadofitan
incurableulcerbrokeoutinthemouth.)
(53Astudentwhohadbeenforalongtimeafflictedwiththeitchdroveitoffwithanointment,andinstead
ofthistherebrokeoutulcersonhisarmsandlegs,andglandularswellingsinthearmpits.Theseulcers
werefinallycuredbyexternalapplications,whenhewasseizedwithdyspnoeaandthenwithdropsy,and
fromthesehedied.)
(54Manyobservationsarefoundthererespectingcaseswheretheitch,beingdrivenoffbyointments,there
followedfever andblackishurine,andwhere,whentheitchwas brought backtotheskin,thefever
disappearedandtheurinebecamelikethatofahealthyperson.)
(55Amanandawomanhadaneruptionofitchonthehand,ofmanyyearsstanding,andasoftenasit
driedupfeveralwaysensued,andassoonasthiscametoanendtheeruptionofitchagainreturned;and
yetthisitchextendedbuttoasmallpartofthebodyandwasnotdrivenoffbyexternalapplications.)
(56Itchwassuppressedbyafeverthatsetin;whenthefeverwasremoveditreturned.)
(57Amotherputointmentonthetineaofaboyof9years;it,passedaway,buttherefollowedaviolent
fever.)
(58 Achild,1yearold,hadhadforsometimetineacapitisandaneruptionintheface;boththesehad
shortlybeforedriedup,whentherefollowedheat,coughanddiarrhoea.Areturnoftheeruptiononthe
headgavealleviation.)
(P26)
(59Awomanof43years,longafflictedwithdryitch,rubbedherjointswithanointmentofsulphurand
mercury,andthusdroveitoff,thiswasfollowedbypainsundertherightribs,lassitudeinallthelimbs,
heatandfeverishirritation.Afterusingsudorificremediesforsixdays,largevesiclesofitchbrokeoutall
overthebody.)
(60Twoyouths,brothers,droveofftheitchbyoneandthesameremedy,buttheylostallappetite,adry
coughandalingeringfeversetin,theybecameemaciatedandfellintoaslumberousstupor,sothatthey
wouldhavediediftheeruptionhadnotluckilyreappearedontheskin.)
(61Withathreeyearoldchildwhentineacapitishaddisappearedofitself,therearoseaviolentfeveron
thechest,coughandweariness,anditonlyrecoveredwhentheeruptionreappearedonthehead.)
(62AJourneymanpursemaker,whohadtomakesomeembroidery,droveofhisfrequentitchwithlead
ointment.Scarcelywastheitchdryingoffinconsequence,whenhewasseizedwithchills,heat,dyspnoea
andarattlingcough,ofwhichhesuffocatedonthefourthday.)
(63Avigorous,healthymanof30yearswastakenwiththeitchanddrovetheeruptionfromtheskin,but
wasthenseizedwithacatarrhalfeverwithanuncontrollableperspiration;hewasslowlyrecoveringfrom
itwhenhewasseizedwithoutanyfurthercausebyanotherfever. Theattacksbeganwithanxietyand
headache, and increased with heat, a quick pulse and morning sweats. There was added an unusual
sinkingofthestrength,anddeliriousspeech,anxioustossingabout,asobbingrespirationwithsuffocation
adiseasewhichdespiteallmedicinesendedwithdeath.)
(64Withaboytheitchpassedawayofitself,thiswasfollowedbyfever.Theitchnowappearedmore

violentandthefeverpassedaway,butthechildgrewthin,andwhentheitchagaindrieduptherefollowed
diarrhoea,convulsionsandsoonafterwardsdeath.)
(65Itchdisappearedfromtheskinofitself,onwhichlingeringfever,expectorationofpusandlastlydeath
followed,andattheautopsytheleftlungswerefoundfullofpus.)
(66AwomanOf30yearshadforalongtimepaininthelimbsandastrongeruptionofitch,whichshe
droveoffwithointment,whenshewasattackedbyfeverwithviolentheat,thirstandragingheadache,
whichwasaccompaniedwithdeliriousspeech,uncontrollabledyspnoea,tumefactionofthebodyandgreat
distensionoftheabdomen.Shediedonthesixthdayofthefever.Theabdomencontainedmuchair,and
especiallythestomachwasdistendedwithair,fillinghalfoftheabdomen.)
(67 A man whose tinea capitis had passed off from intense cold, was seized after eight days with a
malignantfever,withvomiting,accompaniedatlastwithhiccough;hediedinconsequenceontheninth
day.)
)InthesamearticleMorgagnimentionsthecaseofamanwho,havingscabsfromitchonthearmsandon
otherparts,droveoffnearlythewholeeruptionbyasulphuratedshirt,butwasseizedatoncewithdrawing
painsonthewholebodycombinedwithfever,sothathecouldneitherrestatnightnormoveaboutinthe
daytime;alsothetongueandthefauceswerethusattacked.Withmuchtroubletheeruptionwasbrought
outagainontheskin,andthushishealthwasrestored.)
Fever.Lanzonus,inEbh.Nat.Cur.,Dec.III.,ann.9anctzo,obs.i6and113.Hoechstetter,Obs.med.,
Dec.VIII.,Cas.8.68 Triller.Wehle,Diss.nullammedicinaminterdumesseoptimam,Witemb.,1754. 69
Fick,asab.,1.70Waldschmidt,Opera.,P.241.Gerbizius.inEph.Nat.Cur.,Dec.III.,ann.2,obs.167.
Amatus,Lusit.,Cent.II.,Curat.33.71Fr.Hoffmann,Med.rat.system,T.III.,P.175. 72
(P27)
TertianIntermittentFever.Pelargus,asab.,Jahrg.1722,P.103,cfr.withP.79. 73Juncker,asab.,tab.79;
Eph.Nat.Cur.,Dec.I.,ann.4.Welsch,Obs.15. Sauvages,Spec.II. DeHautesierk,Obs.,Tom.II.,
P.300;Comment.LipsiensesXIX.,P.297.
QuartanFever,Thom.Bartholinus,Cap.4,hist.35. Sennert,Paralip.,P.116. Fr.Hoffman,Med.rat.
systemIII.,P.175.74
VertigoandaTotalSinkingoftheStrength,Gabelchofer,Obs.Med.Cent.II.,obs.42.
VertigoLikeEpilepsy,Fr.Hoffmann,Consult.Med.I.,Cas.12. 75
(68Amalignantfeverwithopisthotonusfromdrivingofftheitch.)
(69 Ayoungmerchant haddrivenofftheitchwithointment,whenhewassuddenlyseizedwithsuch
hoarsenessthathecouldnotspeakaloudword;thenfolloweddryasthma,loathingoffood,severecough,
troublesomeespeciallyatnightandrobbinghimofsleep,violentillsmellingnightsweats,and,despiteof
allmedicaltreatment,death.)
(70Aburgomaster,6oyearsofage,wasinfectedwiththeitch,andsufferedunspeakablyfromitthrough
thenights; heusedmanymedicinesinvain,andat lastwastaught byabeggarasocalledinfallible
remedy,composedofoleumlaurinum,flowersofsulphurandlard.Havingrubbedwiththisseveraltimes
hewas,indeed,freedfromtheeruption,butsoonafterhewasseizedwithaviolentchill,followedbyan
excessiveheatalloverthebody,vehementthirst,agaspingasthma,sleeplessness,violenttremblingall
overthebodyandgreatlassitude,sothatonthefourthdayheexpired.)
(71Fromthesamecauseafevercombinedwithinsanity,precipitatingdeath.)
(72Afterdrivingoffitch,mostfrequentlyacutefeverswithagreatsinkingofthestrengthfollow.Inone
suchcasethefeverlastedsevendays,whentheeruptionofitchreappearedandstoppedthefever.)

(73Aboyof15yearsforalongtimehadtineacapitisandhadreceivedfromPelargusastrongpurgativeto
cureit;hewasseizedwithpainintheback,cuttingpainsduringmicturition,followedbytertianfever.)
(74Oldpeoplehaveespeciallydryitch,andifthisisdrivenoffbyexternalapplicationsusuallyquartan
feverensues,whichvanishesassoonastheitchreappearsontheskin.)
(75Acount,57yearsold,hadsufferedforthreeyearswithdryitch.Itwasdrivenoff,andheenjoyedfor
twoyearsanapparentlygoodhealthonlyhehadduringthistimetwoattacksofvertigo,whichgradually
soincreasedthatonceafterfinishinghismealhewasseizedwithsuchvertigothathewouldhavefallento
thefloorifhehadnotbeensupported.Hewascoveredwithanicyperspiration,hislimbstrembled,allthe
partsofhisbodywereasdead,andherepeatedlyvomitedupasoursubstance.Asimilarattackfollowed
sixweekslater,thenonceamonthforthreemonths.Heindeedretainedconsciousness,buttherealways
followedheavinessoftheheadandadrunkenstupor.Atlasttheseattackscamedaily,thoughinamilder
form. Hecouldnotreadnorthinknorturnaroundquicklynorstoopdown. Thiswisattendedwith
sadness,sorrowful,anxiousthoughtsandsighs.)
(P28)
EpilepsyLikeVertigo,Fr.Hoffmann,asab.,P.30. 76
Convulsions,Juncker,asab.tab.53.Hoechstetter,Eph.Nat.Cur.Dec.8,Cas.3.Eph.nat.cur.dec.2,
ann.obs.35,andann.5,obs.224.D.W.Triller.Welle,Diss.nullammedicinaminterdumesseoptimam,
Viteb.,1754,13,14.77Sicelius,DecasCasuumI.,Cas.5.78Pelargus,asab.,Jahrg.,1723,P.545. 79
(76Awomanof36yearshadtheitchdrivenfromtheskinafewyearsbeforewithmercurialremedies.
Hermensesbecameirregular,andwereofteninterruptedfortenorevenfifteenweeks;shewasatthe
sametime constipated.Four years agoduring pregnancy shewasseizedwithvertigo, and shewould
suddenly fall down while standing orwalking. While sitting she would retain her senses during the
vertigoandcouldspeak,eatanddrink.Atherfirstattackshefeltinherleftfoot,asitwere,acrawling
sensationandformication,whichterminatedinaviolentjerkingupanddownofthefeet.Intimethese
attackstookawayconsciousness,andafterwardsintravellinginacarriagetherecameanattackofreal
epilepsywhichreturnedthriceinthefollowingwinter.Duringtheseattacksshecouldnotspeak;shedid
notindeedturnherthumbsinward,butyettherewasfoamathermonth.Thesensationofformicationin
theleftfootannouncedtheattack,andwhenthissensationreachedthepitofthestomachitsuddenly
broughtonthefit.Thisepilepsywasremovedbyawomanwithfivepowders,butinsteadofithervertigo
reappeared,butmuchmoreviolentlythanbefore.Italsocommencedwithacrawlingsensationintheleft
foot,whichroseuptotheheart;thiswasattendedwithgreatanxietyandfear,asifshewerefallingdown
fromaheight,andwhilesupposingthatshehadfallenshelostconsciousnessandspeech;atthesametime
herlimbsmovedconvulsively.Butalsooutsideoftheseattackstheleasttouchofherfeetcausedherthe
mostintensepainasiffromaboil.Thiswasattendedwithseverepainsandheatintheheadandwithloss
ofmemory.)
(77Afteranitchdrivenawaybyointmenttherefollowedwithagirlamostprofoundswoonandsoonafter
themostterribleconvulsionsanddeath.)
(78Agirlof17,inconsequenceoftineacapitiswhichdisappearedofitself,wasseizedwithcontinualheat
intheheadandattacksofheadache.Shesometimessuddenlystartedupasiffromfright,andwhileawake
shewas seizedwithconvulsive motionsofthelimbs,especially ofthearms andhands,asalsowith
oppressioninthepitofthestomachasifherbreastwaslacedtogether;withmoaning;thenherlimbs
wouldjerkconvulsivelyandshewouldstartup.)
(P29)
(79Afullgrownmanwhohadbeenforsometimeaffectedwithtremorofthehandshadhistineadryup.

Hewasthereuponseizedwithgreatlassitudeandredpatcheswithoutheatbrokeoutonhisbody. The
tremorpassedoverintoconvulsiveshaking,bloodymatterwasdischargedfromhisnoseandhisears,he
alsocoughedupblood,andhediedonthe23ddayamidstconvulsions.)
EpilepticConvulsionsandEpilepsy,J.C.CarlinAct.Nat.Cur.VI.,obs.16. 80E.Hagendorn,asabove,
hist.9.81 Fr.Hoffnann,Consult.med.I.,Cas.31. 82;ibid.med.rat.syst.T.IV.,P.111.,Cab.I.,andin
Kinderkranjheiten,P.108.Sauvages,Nosol.spec.II.deHautesierk,obs.T.II.,P.300.Sennert,prax.III.,
Cap.44.Eph.Nat.Cur.Dec.III.,ann.2,obs.29.Gruling,obs.Med.Cent.III.,obs.73.Th.Bartolin,
Cent. III., hist.20.Fabr.deHilden,Cent.III., obs.10. 83 Riedlin,lin.med.ann.,1696,Maj.obs.I. 84
Lentilius,Miscell.med.pr.,P.I.,P.32. G.W.Wedel,Diss.deaegroepileptico,jen.,1673. 85 Herrm.
Grube, de arcanis medicorum. non arcanis, Hafn., 1673, P.165. 86 Tulpius, obs. lib. I., Cap. 8.87 Th.
Thompson,Medic.Rathpflege,Leipzig,1779,PP.107,108. 88
(80Amanwhohaddrivenoffafrequentlyoccurringeruptionofitchwithanointmentfellintoepileptic
convulsions,whichdisappearedagainwhentheeruptionreappearedontheskin.)
(81 A youth of 18 years drove off the itch with a mercurial ointment and two months after he was
unexpectedlyseizedwithconvulsions,whichattackedallthelimbsofthebody,nowthis,nowthat;with
painfulconstrictionofthebreastandtheneck,coldnessofthelimbsandgreatweakness.Thefourthday
he was seized with epilepsy, foaming at the mouth, while the limbs were strangely contorted. The
epilepsyonlyyieldedwhentheeruptionreturned.)
(82Withaboy,withtineahadbeendrivenoffbyrubbingitwithalmondoil.)
(83Withchildren,combinedwithsuffocatingcatarrh.)
(84Aservantgirlaftertwicerubbingheritchwithointmenthadanattackofepilepsy.)
(85 Ayouthof18,whohaddrivenoutitchwithmercurialremedies,wasseizedafewweekslaterwith
epilepsy,whichreturnedafterfourweekswiththenewmoon.)
(84AboyOf7monthswasseizedwithepilepsy,whiletheparentswereunwillingtoacknowledgethathe
hadhadtheitch.Butwhenthephysicianenquiredmoreparticularly,themotherconfessedthatthelittle
boyhadsomevesiclesofitchonthesoleofthefoot,whichhadsoonyieldedtoleadointment;thechild,as
shesaid,hadnoothersignoftheitch.Thephysiciancorrectlyrecognizedinthistheonlycauseofthe
epilepsy.)
(87Twochildrenwerefreedfromepilepsybythebreakingoutofhumidtinea,buttheepilepsyreturned
whenthetineawasincautiouslydrivenoff.)
(88Fiveyearolditchpassedawayandthis,afterseveralyears,producedepilepsy.)
(P30)
Hundertmark,asab.,P.32.89Fr.Hoffrnann,Consult.med.I.Cas.28,P.141. 90
Apoplexy.CummiusinEph.Nat.Cur.DecI.,ann.I,obs.58.Mobius,Institut.med.,P.65.J.J.Wepfer,
Histor.Apoplect.Amstel.,1724,P.457.
Paralysis,Hoechstetter.Obs.med.,Dec.VIII.,obs.8,P.245.journaldeMed.,1760,Sept.,P.211.Unzer,
ArztVI.,St.301. 91Hundertmark,asabove,P.33. 92Krause.Schubert,Diss.descabiehumanicorp.,Lips.,
1779,P.23.93KarlWenzel,asabove,P.174.
Melancholy,Reil,memorab.Fasc.,III.,P.177. 94
Insanity,LandaisinRoux,journ.deMedecine,Tom.41.Amat.Lusitanus,Curat.med.Cent.II.,Cur.74.
J.H.Schulze, Brune,Diss.Casusaliquot mente alienatorm, Halle,1707, Cas. I,P.5. 95 F.H.Waitz,

medic.chirurg.Aufsatze,ThI,P.130. 96Altenburg,1791.RichterinHufel.Journal,XV.,II.Grossmann
inBaldingersneuem,Magaz.,XI.,I.97

(89TheitchinayouthOf20yearswassuppressedbyapurgativewhichwasallowedtoactviolentlyfor
severaldays,afterwhichhefortwoyearssuffereddailythemostviolentconvulsions,until,throughthe
useofbirchjuice,theitchwasbroughtbacktotheskin.)
(90Ayoungmailof17years,ofvigorousconstitutionandgoodintelligence,wasattackedthreeyearsago,
afteritchhadbeendrivenout,first byhaemoptysisandthenbyepilepsy,whichgrew worsethrough
medicinesuntilthefitscameoneverytwohours.Anothersurgeon,throughfrequentbloodlettingsand
manymedicines,effectedthatheremainedfreefromepilepsyforfourweeks,butsoonafterwardsthe
epilepsyreturnedwhilehewastakinghisnoondaynap,andthepatienthadtwoorthreefitsinthenights;
atthesametimehewasattackedwithaveryseverecoughandsuffocatingcatarrh,especiallyduringthe
nights,whenheexpectoratedaveryfetidfluid.Hewasconfinedtohisbed.Atlast,aftermuchmedicine,
thediseaseincreasedsomuchthathehadtenfitsatnightandeightduringtheday.Neverthelesshenever
inthesefitseitherclenchedhisthumbsorhadfoamathismouth.Hismemoryisweakened.Theattacks
comeattheapproachofmealtime,butmorefrequentlyaftermeals.Duringhisnightlyattacksheremains
inthedeepestsleepwithoutawaking,butinthemorninghefeelsasifbruisedallover.Theonlywarning
ofafitconsistsinhisrubbinghisnoseanddrawinguphisleftfoot,butthenhesuddenlyfallsdown.)
(91Awoman,afterhavingtheitchdrivenout,hadparalysisofonelegandremainedlame.)
(92Afterdrivingofftheitchwithsulphurointment,amanof53yearshadhemiplegia.)
(93Aministerwhoforalongtimehadinvainusedinternalremediesagainsttheitchfinallygrewtiredof
itanddroveitoffwithointment,whenhisupperextremitieswere,inameasure,paralyzedandahard,
thickskinformedinthepalmsofthehands,fullofbloodychapsandinsufferableitching.
Inthesameplacetheauthormentionsalsoawomanwhosefingerscontractedfromanitchdrivenoutby
externalmeans;shesufferedofthemalongtime.)
(94Hefoundanidioticmelancholyariseinconsequenceofsuppresseditch;whentheitchbrokeoutagain
themelancholydisappeared.)
(P31)
(96Astudent,20yearsold,hadthehumiditch,whichsocoveredhishandsthathebecameincapableof
attendingtohiswork.Itwasdrivenoffbysulphurointment.Butshortlyafteritappearedhowmuchhis
healthhadsufferedfromit.Hebecameinsane,sangorlaughedwhereitwasunbecoming,andranuntilhe
sanktothegroundfromexhaustion.Fromdaytodayhebecamemoresickinsoulandinbody,untilat
lasthemiplegycameonandhedied.Theintestineswerefoundgrowntogetherintoafirmmass,studded
withlittleulcersfullofprotuberances,someofthesizeofwalnuts,whichwerefilled,withasubstance
resemblinggypsum.)
(96Thesamestory.)
(97 Amanof50yearswithwhom,afterdrivingawaytheitchbyointments,generaldropsyhadsetin;
whentheitchreappearedanddroveawaytheswellinghedroveitawayagain,whenhefellintoraving
madness,whileheadandneckswelleduptosuffocation;atlastblindnessandcompletesuppressionof
urinewereadded.Artificialirritantsappliedtotheskinandastrongemeticbroughtbacktheitchagain;
whentheeruptionextendedoverthewholebodyalltheformeraccidentsdisappeared.)

Who,aftermeditatingoneventhesefewexampleswhichmightbemuchincreasedfromthewritingsof
thephysiciansofthattimeandfrommyexperience,*wouldremainsothoughtlessastoignorethegreat
evilhiddenwithin,thePsora,ofwhicheviltheeruptionofitchanditsotherforms,thetineacapitis,milk
crust,tetter,etc.,areonlyindicationsannouncingtheinternal,monstrousdiseaseofthewholeorganism,
onlylocalexternalsymptomswhichactvicariouslyandmitigatinglyfortheinternaldisease?Who,after
readingeventhefewcasesdescribed,wouldhesitatetoacknowledgethatthePsora,asalreadystated,is
the most destructive of all chronic miasmas? Who would be so stolid as to declare, with, the later
allopathicphysicians,thattheitcheruption,tineaandtettersareonlysituatedsuperficiallyupontheskin
andmay,therefore,withoutfear,bedrivenoutthroughexternalmeanssincetheinternalofthebodyhas
nopartinitandretainsitshealth?
(*Anopponent,oftheoldschool,hasreproachedmethatIhavenotadducedmyownexperiencetoprove
thatthechronicmaladies,whentheyarenotofsyphiliticorsycoticorigin,springfromthemiasmaofitch,
assuchproofsfromexperiencewouldhavebeenconvincing.Oho!Iftheexampleshereadducedbyme
fromboththeolderandfrommodernnonHomoeopathicwritingshavenotyetenoughconvincingproof,I
shouldliketoknowwhatotherexamples(evenmyownnotexcepted)couldbeconceivedofasmore
strikingproofs?Howoften(andImightsayalmostalways)haveopponentsoftheoldschoolrefusedall
credencetotheobservationsofhonorableHomoeopathicphysicians,becausetheywerenotmadebefore
their owneyes andbecause thenames ofthe patients wereonlyindicated withaletter; asifprivate
patientswouldallowtheirnamestobeused!WhyshouldIendurethelike?AnddoInotprovemypoint
inamannermostindubitableandmostfreefrompartisanshipthroughtheexperienceofsomanyother
honestpractitioners?)
(P32)
Surely,amongallthecrimeswhichthemodemphysiciansoftheoldschoolareguiltyof,thisisthemost
hurtful,shamefulandunpardonable!
Themanwho,fromtheexamplesgivenandfrominnumerableothersofalikenature,isnotwillingtosee
theexactoppositeofthatassertionblindshimselfonpurposeandworksintentionallyforthedestructionof
mankind.
Oraretheysolittleinstructedastothenatureofallthemiasmaticmaladiesconnectedwithdiseasesofthe
skinthattheydonotknowthattheyalltakeasimilarcourseintheirorigin?Andthatallsuchmiasmas
becomefirstinternalmaladiesofthewholesystembeforetheirexternalassuagingsymptomappearson
theskin?
Weshallmorecloselyelucidatethisprocess,andinconsequenceweshallseethatallmiasmaticmaladies
whichshowpeculiar local ailmentsontheskinare alwayspresent asinternal maladiesinthesystem
beforetheyshowtheirlocalsymptomexternallyupontheskin;butthatonlyinacutediseases,aftertaking
theircoursethroughacertainnumberofdays,thelocalsymptom,togetherwiththeinternaldisease,is
wonttodisappear,whichthenleavesthebodyfreefromboth. Inchronicmiasmas,however,theouter
localsymptommayeitherbedrivenfromtheskinormaydisappearofitself,whiletheinternaldisease,if
uncured,neitherwhollynorinparteverleavesthesystem;onthecontrary,itcontinuallyincreaseswith
theyears,unlesshealedbyart.
Imustheredwellthemorecircumstantiallyonthisprocessofnature,becausethecommonphysicians,
especiallyofmodemdays,aresodeficientinvision;or,morecorrectlystated,soblindthatalthoughthey
could,asitwere,handleandfeelthisprocessintheoriginanddevelopmentofacutemiasmaticeruptional
diseases, they nevertheless neither surmised nor observed the like process in chronic diseases, and
thereforedeclaredtheirlocalsymptomsassecondarygrowthsandimpuritiesexistingmerelyexternallyon
theskin,withoutanyinternalfundamentaldisease,andthisaswellwiththechancreandthefigwartas
withtheeruptionofitch,andforesincetheyoverlookedthechiefdiseaseorperhapsevenboldlydenied
itbyamereexternaltreatmentanddestructionoftheselocalailmentstheyhavebroughtunspeakable
misfortunesonsufferinghumanity.
Withrespecttotheoriginofthesethreechronicmaladies,asintheacute,miasmaticeruptionaldiseases,
threedifferentimportantmomentsaretobemoreattentivelyconsideredthanhashithertobeendone:First,

thetimeofinfection;secondly,theperiodoftimeduringwhichthewholeorganismisbeingpenetratedby
thediseaseinfused,untilithasdevelopedwithin;andthirdly,thebreakingoutoftheexternalailment,
whereby nature externallydemonstratesthecompletionoftheinternal, development ofthe miasmatic
maladythroughoutthewholeorganism.
(P33)
Theinfectionwithmiasmas,aswelloftheacuteasoftheabovementionedchronicdiseases,takesplace,
withoutdoubt,inonesinglemoment,andthatmoment,theonemostfavorableforinfection.
Whenthesmallpoxorthecowpoxcatches,thishappensinthemomentwheninvaccinationthemorbid
fluidinthebloodyscratchoftheskincomesincontactwiththeexposednerve,whichthen,irrevocably,
dynamically communicates the disease to the vital force (to the whole nervous system) in the same
moment.Afterthismomentofinfectionnoablution,cauterizingorburning,noteventhecuttingoffofthe
partwhichhascaughtandreceivedtheinfection,canagaindestroyorundothedevelopmentofthedisease
within. Smallpox,cowpox,measles,etc.,neverthelesswillcompletetheircoursewithin,andthefever
peculiartoeachwillbreakoutwithitssmallpox,cowpox,measles,*etc.,afterafewdays,whenthe
internaldiseasehasdevelopedandcompleteditself.
The same is the case, not to mention several other acute miasmas, also when the skin of man is
contaminatedwiththebloodofcattleaffectedwithanthrax.If,asisfrequentlythecase,theanthraxhas
infectedandcaughton,allablutionsoftheskinareinvain;theblackorgangrenousblister,nearlyalways
fatal,nevertheless,alwayscomesoutafterfourorfivedays(usuallyintheaffectedspot);i.e.,assoonas
thewholelivingorganismhastransformeditselftothisterribledisease.
(*Wemayjustlyask:Isthereinanyprobabilityanymiasmaintheworld,which,whenithasinfected
from without, does not first make thewhole organism sick before the signsof it externally manifest
themselves?Wecanonlyanswerthisquestionwith,no,thereisnone!
Doesitnottakethree,fourorfivedaysaftervaccinationiseffected,beforethevaccinatedspotbecomes
inflamed?Doesnotthesortoffeverdevelopedthesignofthecompletionofthediseaseappeareven
later,whentheprotectingpockhasbeenfullyformed;i.e.,ontheseventhoreighthday?
Doesitnottaketentotwelvedaysafterinfectionwithsmallpox,beforetheinflammatoryfeverandthe
outbreakofthesmallpoxontheskintakeplace?
Whathasnaturebeendoingwiththeinfectionreceivedinthesetenortwelvedays?Wasitnotnecessary
tofirstembodythediseaseinthewholeorganismbeforenaturewasenabledtokindlethefever,andto
bringouttheemptionontheskin?
Measlesalsorequiretenortwelvedaysafterinfectionorinoculationbeforethiseruptionwithitsfever
appears. After infection with scarlet fever seven days usually pass before the scarlet fever, with the
rednessoftheskin,breaksout.
What then did nature do with the received miasma during the intervening days? What else but to
incorporatethewholediseaseofmeaslesorscarletfeverintheentirelivingorganismbeforeshehad
completedthework,soastobeenabledtoproducethemeaslesandthescarletfeverwiththeireruption.)
(P34)
(Itisjustsowiththeinfectionofhalfacutemiasmaswithouteruption.Amongmanypersonsbittenby
maddogsthankstothebenignruleroftheworldonlyfewareinfected,rarelythetwelfth;often,asI
myselfhaveobserved,onlyoneoutoftwentyorthirtypersonsbitten.Theothers,evenifeversobadly
mangledbythemaddog,usuallyallrecover,eveniftheyarenottreatedbyaphysicianorsurgeon.*)But
withwhomsoeverthepoisonacts,ithastakeneffectinthemomentwhenthepersonwasbitten,andthe
poisonhasthencommunicateditselftothenearestnervesand,therefore,withoutcontradiction,tothe
wholesystemofthenerves,andassoonasthemaladyhasbeendevelopedinthewholeorganism(forthis
developmentandcompletionofthediseasenaturerequiresatleastseveraldays,oftenmanyweeks),the
madnessbreaksoutasanacute,quicklyfataldisease.Nowifthevenomousspittleofthemaddoghas
really taken effect, the infection usually has taken place irrevocably inthe moment of contagion, for
experienceshowsthateventheimmediateexcisionandamputationoftheinfectedpartdoesnotprotect
fromtheprogressionofthediseasewithin,norfromthebreakingoutofthehydrophobiatherefore,also,

themanyhundreds,ofothermuchlaudedexternalmeansforcleansing,cauterizingandsuppuratingthe
woundofthebitecanprotectjustaslittlefromthebreakingoutofthehydrophobia.
From the progress of all these miasmatic diseases we may plainly see that, after the contagion from
without,themaladyconnectedwithitintheinteriorsofthewholemanmustfirstbedeveloped;i.e.,the
wholeinteriormanmustfirsthavebecomethoroughlysickofsmallpox,measlesorscarletfever,before
thesevariouseruptionscanappearontheskin.
(*We are indebted especially to the careful English and American physicians for these comforting
experiences toHUNTER and HOULSTON (inLondonMed.Journal,Vol.1.), andtoVAUGHAN,
SHADWELLandPERCIVAL.,whoseobservationsarerecordedinjam.MeasesOntheHydrophobia,
Philadelphia,1793.)
(Aneightyearoldgirl,inGlasgow,wasbittenbyamaddogonthe21stofMarch,1792.Asurgeon
immediately,exsectedthewoundaltogether,keptitsuppuratingandgavemercuryuntilitproducedamild
salivation,whichwaskepttipfortwoweeks;neverthelesshydrophobiabrokeoutonthe27thofApriland
thepatientdiedonthe29thofApril.M.DUNCANSMed.Comment,Dec.II.,Vol.VII.,Edinb.1793,
andTheNewLondonMed.journ.,II.)
(P35)
Foralltheseacutemiasmaticdiseasesthehumanconstitutionpossessesthatprocesswhich,asarule,isso
beneficent:towipethemout(i.e.,thespecificfevertogetherwiththespecificeruption)inthecourseof
fromtwotothreeweeks,andofitselftoextinguishthanagain,throughakindofdecision(crisis),fromthe
organism,sothatmantheniswonttobeentirelyhealedofthemand,indeed,inashorttime,unlesshebe
killedbythem.*
Inthechronicmiasmaticdiseasesnatureobservesthesamecoursewithrespecttothemodeofcontagion
and the antecedent formation of the internal disease, before the external declarative symptoms of its
internalcompletionmanifestsitselfonthesurfaceofthebody;butthenthatgreatremarkabledifference
fromtheacutediseasesshowsitself,thatinthechronicmiasmatatheentireinternaldisease,aswehave
mentionedbefore,remainsintheorganismduringthewholelife,yea,itincreaseswitheveryyear,ifitis
notexterminatedandthoroughlycuredbyart.
OfthesechronicmiasmataIshallforthispurposeonlyadducethosetwo,whichweknowsomewhatmore
exactly;namely,thevenerealchancreandtheitch.
Inimpurecoitiontherearises,mostprobablyattheverymomentinthespotwhichistouchedandrubbed,
thespecificcontagion.
If this contagion has taken effect, then the whole living body is in consequence seized with it.
Immediatelyafterthemomentofcontagiontheformationofthevenerealdiseaseinthewholeofthe
interiorbegins.
Inthatpartofthesexualorganswheretheinfectionhastakenplace,nothingunnaturalisnoticedinthe
first days, nothing diseased, inflamed or corroded; so also all washing. and cleansing of the parts
immediatelyaftertheimpurecoitionisinvain.Thespotremainshealthyaccordingtoappearance,only
theinternalorganismiscalledintoactivitybytheinfection(whichoccursusuallyinamoment),soasto
incorporatethevenerealmiasmaandtobecomethoroughlydiseasedwiththevenerealmalady.
(*Orhavethesevarious,acute,halfspiritualmiasmasthepeculiarcharacteristicthatafter,theyhave
penetratedthevitalforceinthefirstmomentofthecontagion(andeachoneinitsownwayhasproduced
disease)andthem,likeparasites,havequicklygrownupwithinitandhaveusuallydevelopedthemselves
bytheirpeculiarfever,afterproducingtheirfruit(thematurecutaneouseruptionwhichisagaincapableof
producingitsmiasma)theyagaindieoutandleavethelivingorganismagainfreetorecover?
Ontheotherhand,arenotthechronicmiasmasdiseaseparasiteswhichcontinuetoliveaslongastheman
seizedbythemisalive,andwhichhavetheirfruitintheeruptionoriginallyproducedbythem(theitch
pustule, thechancreandthefigwart,whichinturnarecapableofinfectingothersandwhichdonotdie
offofthemselvesliketheacutemiasmas,butcanonlybeexterminatedandannihilatedbyacounter

infection,bymeansofthepotencyofamedicinaldiseasequitesimilartoitandstrongerthanit(theanti
psoric),sothatthepatientisdeliveredfromthemandrecovershishealth?)
(P36)
Onlywhenthispenetrationofalltheorgansbythediseasecaughthasbeeneffected,onlywhenthewhole
beinghasbeenchangedintoamanentirelyvenereal,i.e.,whenthedevelopmentofthevenerealdisease
hasbeencompleted,onlythendiseasednatureendeavorstomitigatetheinternalevilandtosootheit,by
producingalocalsymptomwhichfirstshowsitselfasavesicle(usuallyinthespotoriginallyinfected),
andlaterbreaksoutintoapainfululcercalledthechancre;thisdoesnotappearbeforefive,sevenor
fourteendays,sometimes,thoughrarely,notbeforethree,fourorfiveweeksaftertheinfection.Thisis
thereforemanifestlyachancreulcerwhichactsvicariouslyfortheinternalmalady,andwhichhasbeen
produced from withinbytheorganism afterithasbecomevenereal throughandthrough,andisable
throughitstouchtocommunicatealsotoothermenthesamemiasma;i.e.,thevenerealdisease.
Now,iftheentirediseasethusarisingisagainextinguishedthroughtheinternallygivenspecificremedy,
thenthechancrealsoishealedandthemanrecovers.
Butifthechancreisdestroyedthroughlocalapplications*beforetheinternaldiseaseishealed,andthis
isstilladailypractisewithphysiciansoftheoldschool,themiasmaticchronicvenerealremainsinthe
organismassyphilis,anditisaggravated,ifnotthencuredinternally,fromyeartoyearuntiltheendof
manslife,themostrobustconstitutionbeingunabletoannihilateitwithinitself.
Onlythroughthecureofthevenerealdisease,whichpervadesthewholeinternalofthebody(asIhave
taughtandpracticedformanyyears),thechancre,itslocalsymptom,willalsosimultaneouslybecuredin
themosteffectivemanner;andthisisbestwithouttheuseofanyexternalapplicationforitsremoval
whilethemerelylocaldestructionofthechancre,withoutanypreviousgeneralcureanddeliveranceof
manfromtheinternaldisease,isfollowedbythemostcertainoutbreakofsyphiliswithitssufferings.
(*Thevenerealdiseasenotonlybreaksoutthroughtheremovalofthechancrebythecautery,inwhich
casesomewretchedcasuistshaveconsideredsyphilisasresultingfromthedrivingbackofthepoisonout
ofthechancreintotheinteriorofthebody,whichuptothistimeissupposedbythemtohavebeen
healthy,no,evenafterthequickremovalofthechancrewithoutanyexternalstimulants,thevenereal
disease breaks out, which gives additional conformation, if this were needed, of the indubitable pre
existenceofsyphilisinthesystem.Petitcutoffapartofthelabiaminora,inwhichforsomedaysa
venereal chancre had appeared; the wound healed, indeed, but the venereal disease broke out
notwithstanding.M.s.Fabre,Lettres,supplementasontraitedesmaladiesveneriennes,Paris,1786.Of
course! because the venereal disease was present in the whole interior of the body even before the
outbreakofthechancre.
(P37)
Psora(itchdisease),likesyphilis,isamiasmaticchronicdisease,anditsoriginaldevelopmentissimilar.
Theitchdiseaseis,however,alsothemostcontagiousofallchronicmiasmata,farmoreinfectiousthan
the other two chronic miasmata, the venereal chancre disease and the figwart disease. To effect the
infectionwiththelatterthereisrequiredacertainamountoffrictioninthemosttenderpartsofthebody,
whicharethemostrichinnervesandcoveredwiththethinnestcuticle,asinthegenitalorgans,unlessthe
miasmashouldtouchawoundedspot.Butthemiasmaoftheitchneedsonlytotouchthegeneralskin,
especiallywithtenderchildren.Thedispositionofbeingaffectedwiththemiasmaofitchisfoundwith
almosteveryoneandunderalmostallcircumstances,whichisnotthecasewiththeothertwomiasmata.
Nootherchronicmiasmainfectsmoregenerally,moresurely,moreeasilyandmoreabsolutelythanthe
miasmaofitch;asalreadystated,itisthemostcontagiousofall.Itiscommunicatedsoeasily,thateven
thephysician,hurryingfromonepatienttoanother,infeelingthepulsehasunconsciously*inoculated
otherpatientswithit;washwhichiswashedwithwashinfectedwiththeitch;newgloveswhichhadbeen
tried on by an itch patient, a strange lodging place, a strange towel used for drying oneself have
communicatedthistinderofcontagion; yea,oftenababe,whenbeingborn,isinfectedwhilepassing
throughtheorgansofthemother,whomaybeinfected(asisnotinfrequentlythecase)withthisdisease;

orthebabereceivesthisunluckyinfectionthroughthehandofthemidwife,whichhasbeeninfectedby
anotherparturientwoman(orpreviously);or,again,asucklingmaybeinfectedbyitsnurse,or,whileon
her arm, by her caresses or thecaresses of astrange person with unclean hands; not tomention the
thousandsofotherpossiblewaysinwhichthingspollutedwiththisinvisiblemiasmamaytouchamanin
thecourseofhislife,andwhichoftencaninnowaybeanticipatedorguardedagainst,sothatmenwho
haveneverbeeninfectedbythepsoraaretheexception.Weneednottohuntforthecausesofinfectionin
crowdedhospitals,factories,prisons,orinorphanhouses,orinthefilthyhutsofpaupers;eveninactive
life,inretirement,andintherichclasses,theitchcreepsin.ThehermitonMontserratescapesitasrarely
inhisrockycell,asthelittleprinceinhisswaddlingclothesofcambric.
(*CAR.MUSITANI,Operadetumoribus,Cup.20.)
(AsWILLIShasnoticedinTURNER,desmaladiesdelapeau,traduitdelanglois,aParis,1783,Tom.
II.,Cap.3,P.77.)
(P38)
Assoonasthemiasmaofitch,e.g.,touchesthehand,inthemomentwhenithastakeneffect,itnomore
remainslocal.Henceforthallwashingandcleansingofthespotavailnothing.Nothingisseenontheskin
duringthefirstdays;itremainsunchanged,and,accordingtoappearance,healthy.Thereisnoeruptionor
itchingtobenoticedonthebodyduringthesedays,notevenonthespotinfected.Thenervewhichwas
firstaffectedbythemiasmahasalreadycommunicateditinaninvisibledynamicmannertothenervesof
therestofthebody,andthelivingorganismhasatonce,allunperceived,beensopenetratedbythis
specific excitation, that it has been compelled toappropriate this miasma gradually toitself until the
changeofthewholebeingtoamanthoroughlypsoric,andthustheinternaldevelopmentofthepsora,has
reachedcompletion.
Onlywhenthewholeorganismfeelsitselftransformedbythispeculiarchronicmiasmaticdisease,the
diseasedvitalforceendeavorstoalleviateandtosoothetheinternalmaladythroughtheestablishmentofa
suitablelocalsymptomontheskin,theitchvesicles. Solongasthiseruptioncontinuesinitsnormal
form, the internal psora, with its secondary ailments, cannot break forth, but must remain covered,
slumbering,latentandbound.
Usuallyittakessix,sevenorten,perhapsevenfourteendaysfromthemomentofinfectionbeforethe
transformationoftheentireinternalorganismintopsorahasbeeneffected.Thenonly,therefollowsafter
aslightormoreseverechillintheeveningandageneralheat,followedby,perspirationinthefollowing
night,(alittlefeverwhichbymanypersonsisascribedtoacoldandthereforedisregarded),theoutbreak
ofthevesiclesofitch,atfirstfineasiffrommiliaryfever,butafterwardsenlargingontheskin*firstin
theregionofthespotfirstinfected,and,indeed,accompaniedwithavoluptuouslyticklingitchingwhich
maybecalledunbearablyagreeable(Grimmen),whichcompelsthepatientsoirresistiblytorubandto
scratch the vesicles of itch, that, if a person restrains himself forcibly from rubbing or scratching, a
shudderpassesovertheskinofthewholebody.Thisrubbingandscratchingindeedsatisfiessomewhat
forafewmoments,buttherethenfollowsimmediatelyalongcontinuedburningofthepartaffected.Late
intheeveningandbeforemidnightthisitchingismostfrequentandmostunbearable.
(*Farfrombeinganindependent,merelylocal,cutaneousdiseasethevesiclesorpustulesofitcharethe
reliableproof that the completionoftheinternal psora hasalready been effected, andthe eruption is
merelyanintegratingfactorofthesame;forthispeculiareruptionandthispeculiaritchingmakeapartof
theessenceofthewholediseaseinitsnatural,leastdangerousstate.)
(39)
Thevesiclesofitchcontaininthefirsthoursoftheirformationalymphclearaswater,butthisquickly
changesintopus,whichfillsthetipofthevesicle.
Theitchingnotonlycompelsthepatienttorub,butonaccountofitsviolence,asbeforementioned,torub
andscratchopenthevesicles;andthehumorpressedoutfurnishesabundantmaterialforinfectingthe

surroundingsofthepatientandalsootherpersonsnotyetinfected. Theextremitiesdefiledeventoan
imperceptibledegreewiththislymph,soalsothewash,theclothesandtheutensilsofallkinds,when
touched,propagatethedisease.
Only this skin symptom of the psora which has permeated the whole organism (and which as more
manifestlyfallingunderthecognizanceofthesenseshasthenameofitch),onlythiseruption,aswellas
thesoreswhichlaterarisefromitandareattendedontheirborderswiththeitchingpeculiartopsora,as
alsotheherpeswhichhasthispeculiaritchingandwhichbecomeshumidwhenrubbed(thetetter),asalso
the tinea capitis these alone can propagate this to other persons, because they alone contain the
communicablemiasmaofthepsora.Buttheremainingsecondarysymptomsofthepsora,whichintime
manifestthemselvesafterthedisappearanceortheartificialexpulsionoftheeruption,i.e.,thegeneral
psoricailments,cannotatallcommunicatethisdiseasetoothers.Theyare,sofarasweknow,justaslittle
abletotransferthepsoratoothers,asthesecondarysymptomsofthevenerealdiseaseareabletoinfect
othermen(asfirstobservedandtaughtbyJ.HUNTER)withsyphilis.
Whentheitcheruptionhasonlylatelybrokenoutandisnotyetwidelyspreadontheskin,nothingofthe
generalinternalmaladyofthepsoraisasyettobenoticedinthestateofthepatient. Theemotional
symptomactsasasubstitutefortheinternalmaladyandkeepsthepsorawithitssecondaryailmentsasit
werelatentandconfined.*
Inthisstate,thediseaseismosteasilycuredthroughspecificremediesinternallyadministered.
Butifthedisease isallowedtoadvanceinitspeculiarcourse without theuseofaninternal curative
remedyoranexternalapplicationtodriveawaytheeruption,thewholediseasewithinrapidlyincreases,
andthisincreaseoftheinternalmaladymakesnecessaryacorrespondingincreaseoftheskinsymptom.
Theitcheruption,therefore,inordertobeabletosootheandtokeeplatenttheincreasedinternalmalady,
hastospreadandmustfinallycoverthewholesurfaceofthebody.
(*Asalsothechancre,whennotexpelled,actsvicariouslyandsoothinglyforthesyphiliswithin,anddoes
notpermitthevenerealdiseasetobreakout,solongasitremainsundisturbedinitsplace.Iexamineda
womanwhowasfreefromallthesecondarysymptomsofthevenerealdisease;withherachancrehad
remainedinitsplaceuntreatedfortwoyears,andhadgraduallyacquiredthesizeofalmostaninchin
diameter.ThebestpreparationofMercury,internallyadministeredsoonandentirelyhealed,notonlythe
internalmalady,butalsothechancre.)
(P40)
Yet even at this acme of the disease the patient still appears healthy in every other respect; all the
symptomsoftheinternalPsora,nowsomuchincreased,stillremaincoveredandassuagedthroughthe
skinsymptomaugmentedinthesameproportion.Butsogreatatorture,asiscausedbysounbearablean
itchingspreadoverthewholebody,eventhemostrobustmancannotcontinuetobear.Heendeavorsto
freehimselffromthesetormentsatanyprice,and,asthereisnothoroughhelpforhimwiththephysicians
of the old school, he endeavors to secure deliverance at least from this eruption, which itches so
unbearably,evenifitshouldcosthislife;andthemeansaresoonfurnishedhim,eitherbyotherignorant
persons, or by Allopathic physicians and surgeons. He seeks deliverance from his external tortures,
without suspecting the greater misfortune which unavoidably follows, and isbound tofollow, onthe
expulsionoftheexternalskinsymptom (whichhithertohasactedvicariouslyfortheinternalenlarged
psoradisease),ashasbeensufficientlyprovedbytheobservationsmentionedbefore.Butwhenhethus
drivesawaysuchaneruptionofitchbyexternalapplications,heexposeshimselftoasimilarmisfortune,
andactsjustasunreasonably,asapersonwhoinordertobequicklydeliveredfrompoverty,andthusas
hesupposestomakehimselfhappy,stealsagreatsumofmoney,andis,therefore,senttothedungeonand
thegallows.
Thelongertheitchdiseasehasalreadylasted,whethertheeruption,asisusuallythecase,hasspreadover
thegreaterpartoftheskin,orwhether,owingtoapeculiarlackofactivityintheskin,(asinsomecases)
theeruptionhasbeenconfinedtoafewvesiclesofitch*inbothcases,supposingonlythatthePsora
togetherwithitsskinsymptomhasgrownold,theexpulsionoftheeruptionofitch,whethergreateror
smallerorevenassmallasyouplease,isattendedwiththemostdestructiveconsequencesonaccountof

theinternalitchdisease(psora)withitsunspeakablesufferings,which,throughitslongcontinuance,has
increasedtoahighdegreeandthenunavoidablybreaksforth.
(*SeetheobservationtoNo.86.P.29)
(P41)
Buttheignoranceoftheuninstructedlaymanmaybepardonedifhedrivesouttheitcheruptionandthe
troublesomeitchingbyacoldshowerbath,byrollinginthesnow,bycupping,orbyrubbingthewhole
skin,oronlytheskinaroundthejoints,withsulphurmixedwithlard;forhedoesnotknowtowhat
dangerousaccidentsandoutbreaksofthePsoradisease,thatlurkswithin,hetherebyopensthedoorand
ingress. Butwhowillpardonthemenwhoseofficeanddutyitistoknowtheextentoftheinevitably
following,illimitablemisfortune,resultingfromtheexternalexpulsionoftheitcheruption,owingtothe
Psorawhichisthenarousedfromthewholeorganism,andwhooughttohaveguardedagainstitinevery
waybyathoroughinternalcureofthewholeofthisdisease,*whenweseethemtreattheitchpatientsall
in the same erroneous manner; yea, with even more violent internal and external remedies, sharp
purgatives,withtheJasserointment,withlotionsofacetateoflead,withthesublimateofmercuryor
sulphate of zinc, but especially with an ointment prepared of fat with flowers of sulphur or with a
preparationofmercury;withwhichtheylightlyandcarelesslydestroytheeruption,declaring thisis
merelyanimpuritylocatedintheskin,andmustbedrivenout;theneverythingwillbewellandtheman
willbehealthyandfreefromeveryailment.Whocanpardonthemiftheyarenotwillingtolearnfrom
the many warning examples recorded by the older, more conscientious observers, nor by the many
thousands of other examples, which frequently, yea, almost daily, come before their eyes? Yet they
cannotseenorbeconvincedastothecertain,quicklyfatalorlifelonginsidiousmisfortunetheybring
upontheitchpatient throughthedestructionofhiseruption,astheythusmerelyunfettertheinternal
malady(psora),whichisladenwithinnumerableailments.Thisdiseaseisneitherdestroyednorcured;and
sothisthousandheadedmonster,insteadofbeingconquered,isinexorablyletlooseagainstthedeceived
patienttohisdestruction,bytearingdownthebarriersthatshutitin.
(*Forevenwhentheitchdiseasehasreachedthishighdegree,theeruption,togetherwiththeinternal
malady, in one word, the whole psora, may still be healed by the internal, specific Homoeopathic
remedies,withgreaterdifficulty,indeed,thaninthebeginning,immediatelyafteritsorigin,butstillfar
moreeasilyandcertainlythanafteracompleteexpulsionoftheeruptionby mereexternal
applications,whenwemustcuretheinternalpsoraasitbringsforthitssecondarysymptomsanddevelops
intonamelesschronicdiseases.Theitchdisease,thoughitmayhaveadvancedsofar,mayneverthelessin
itsentirestatebemosteasily,certainlyandthoroughlycured,togetherwithitsexternaleruption,through
thesuitableinternalremedies,withouttheleastlocalapplication,justasthevenerealchancrediseasemay
most surely and easily be thoroughly cured often by the least, single dose ofthe best preparation of
mercuryinternallyadministeredwhenthechancre,withoutcallingintheaidoftheremedy,quickly
becomesamildulcer,andinafewdayshealsofitself,sothatnotraceofsecondarysymptoms(venereal
disease)theneverappearsorcanappear,sincetheinternalsymptomhasbeencuredtogetherwiththelocal
symptoms,asIhavetaughtformanyyearsorallyandinmywritings,andhaveprovedbymycuresofthis
kind.
How can we excuse the whole host of physicians, who, hitherto, after treating this generally spread
venerealdiseaseformorethanthreehundredyears,neverthelessremainsoignorantinrecognizingits
nature,thatinlookingatachancretheyeventothisdayacknowledgenothingdiseasedintheinfected
patient,butthissamechancre,anddonotseethesyphilis,whichwasalreadypresentwithinandhadbeen
developed in the whole organism, even before the breaking out of the chancre; and so they blindly
suppose,thatthechancreistheonlyvenerealevilwhichistobeextirpated,andthatthisneedsbuttobe
destroyedbyexternalapplications,inordertobeabletodeclarethemancured;andthiswithoutbeing
instructed,bythemanythousandcasesintheirexperience,thatbythelocalexterminationofthechancre
theyhaveneverdoneanythingbutinjury,astheyhaveonlydeprivedthesyphilispreexistingwithinofits
divertinglocalsymptomsandhavetherebycompelledtheinternalmaladytobreakoutonlythemore

certainlyanddreadfully(andinamannermoredifficultofcure),asvenerealdisease. Howcansucha
universal,perniciousobliquityofvisionbeexcused?
Orwhydidthesephysiciansneverreflectontheoriginofthefigwarts?Whydidtheyalwaysoverlookthe
internaluniversalmalady,whichisthecauseoftheseexcrescences?Itisonlywhenthisisrecognized,that
itcanbethoroughlycuredbyitsHomoeopathicremedies,whichthencausethefigwartstobehealed,
withouttheapplicationofanyexternalmeansofdestruction.
(P42)
Butevenifashadowofanexcusemightbeofferedforthissadnegligenceandignorance,andifanyone
wouldclaimthatthesephysicianshaveonlyhadthreeandonehalfcenturies,inwhichtodiscernclearly
thetruenatureofsyphilis,andthattheymighthavelearnedthistruthafterastillmoreextendedpractice
(stillIhaveendeavored,thoughinvain,toconvincethemoftheirerroranumberofyearsagoandsince
thenfromtimetotime),nevertheless,thatgeneralnegligenceofpreviousphysiciansand,Imaywellsay,
theirobstinateblindness,arequitewithoutexcuse,inthattheydidnotrecognizetheinternalpreexisting
malady, the psora, which lies at the bottom of the itchdisease, which has infected men for several
thousandsofyears,andthattheyignoredintheirproudlevityallthefactswhichpointtoit,sothatthey
mightcontinuethedelusionandleavetheworldinitsdestructiveinfatuationthat:theunbearablyitching
pustulesareonlyameresuperficialailmentoftheskin,andbytheirlocaldestructionmanisdelivered
fromthewholedisease,andhasfullyrecovered.
Notperchancemeremedicalscribblers,no,thegreatestandmostcelebratedphysiciansofmodernand
mostmoderndayshavemadethemselvesguiltyofthisgrievouserror(orshallIsayofthisintentional
crime),fromVONHELMONTeventothelatestadvocatesoftheAllopathicmedicalpractice.
Bytheuseoftheabovementionedremedies,theyindeedusuallyreachedtheiraim;i.e.,thedrivingaway
oftheeruptionandoftheitchingfromtheskin,andtheysupposedintheintoxicationoftheirspirit(orat
leasttheypretended),theyhaddestroyedthediseaseitselfand,indeed,totally,andtheysentawaythe
patients,thusabused,assuringthemthattheywereagainhealthy.
Allthesufferings,whichfollowtheonesideddestructionofthecutaneouseruption,whichbelongstothe
naturalformofthepsora,theypassedoffasanewlyarisendisease,owingtoquiteanotherorigin.Intheir
narrownessofmind,theyneverregardedtheinnumerable,plaintestimoniesofhonestobserversofearlier
days,whichrecordthesadconsequencesofthelocalexpulsionoftheitcheruption,whichoftenfollowed
soclosely,thatamanwouldhavetodenyhisreason,orelseacknowledgethemastheimmediateresultof
theindwellingseveremalady(thepsora),whichhadbeendeprivedofthelocalsymptom(thecutaneous
eruption),destinedbynaturetoalleviatetheinternalmalady,whencetheuncuredinternaldiseasehasbeen
compelledtoamanifestoutbreakofitssecondarysymptoms.)
(P43)
Itmayeasilybeimagined,asexperience,alsoteaches,thatthemoremonthsaneglecteditcheruption,has
flourishedontheskin,themoresurelyhasinternalpsora,whichunderliesit,beenabletoreach,inevena
moderatespaceoftime,agreatandfinallyitsgreatestdegree,whichdreadfulincreaseitalsothen
proves through the more dangerous consequences, which the expulsion of so inveterate an eruption
unavoidablydrawsafteritineverycase.
Ontheotherhand,itisjustascertainthattheeruptionofafewvesiclesofitchwhichhasbrokenoutonly
afewdaysbefore,inconsequenceofarecentinfection,maybeexpelledwithlessimmediatedanger;as
theinternalpsorathathassprungupinthewholeorganismhasnotyethadtimetogrowuptoahigh
degree,andwemustconfessthattheexpulsionofafewvesiclesofitch,thathavejustarisen,oftenshows
noimmediate,manifestlystrong,evilconsequences.Whereforewithdelicateandaristocraticpersons,or
theirchildren,itusuallyremainsunknown,thatasinglevesicleor,afewvesiclesitchingviolently,which
showedonlyafewdaysandwereatoncetreatedbythecarefulphysicianwithleadointmentoralotionof
lead,andwhichdisappearedthefollowingday,haditchfortheirfoundation.
Howeversmalltheinternalpsora,maybeatthetimeofthequicksuppressionofanitcheruption,which
hasonlydevelopedafewvesiclesandwhichisthenfollowedbyonlymoderateailmentsandcomplaints
(which are then usually, from ignorance, ascribed by the domestic physician to other causes of little
import):theinternalmaladyofpsora,althoughasyetofslightdegree,remainsinitscharacterandinits

chronicnaturethesamegeneralpsoricdiseaseofthewholeorganism;i.e.,withouttheaidofartitis
ineradicable,andcannotbeextirpatedbythestrengthofeventhebestandmostrobustbodilyconstitution,
anditwillincreaseeventotheendofthepatientslife.Itisusuallythecase,indeed,thatthisdisease,
deprivedasearlyaspossibleofthefirsttracesofitscutaneoussymptombylocalapplications,willgrow
butslowlyinthebeginningandwillmakebutslowprogressintheorganismmuchslowerprogressthan
where theeruptionhasbeenallowedtoremainforalongtimeontheskin; forinthelattercasethe
progressoftheinternalpsoraisofimmenserapidity;butthedisease,nevertheless,increasesunceasingly,
and even in the best cases and under the most favorable circumstances, quietly and often for years
unperceived by the eyes; sothat anyone, who does not know the signs ofitslatent presence, would
supposeanddeclaresuchpersonstobehealthyandfreefromanyinternalmalady.Oftenforyearsitdoes
notmanifestitselfinprominentsymptoms,whichmightbecalledmanifestdiseases.
(P44)
Many hundred observations have gradually acquainted me* with the signs, by which the internally
slumbering,hithertolatentPsora(itchmalady)mayberecognizedeveninthosecaseswhereithasnotyet
manifesteditselfinanystartlingdisease,sothatIamabletorootoutandtothoroughlycurethismalady
withitsroots,moreeasilybeforetheinternal psorahasrisentoamanifest (chronic)disease,andhas
developedtosuchafearfulheightthatthedangerousconditionsmakethecuredifficultandinsomecases
impossible.
Therearemanysignsofthepsorawhichisgraduallyincreasingwithin,butisasyetslumbering,andhas
notyetcometothefulloutbreakofamanifestdisease;butnoonepersonhasallthesesymptoms;theone
hasmoreofthem,theotherasmallernumber;theonehasatpresentonlyoneofthem,butinthecourseof
timehewillalsohaveothers;hemaybefreefromsome,accordingtothepeculiardispositionofhisbody
oraccordingtotheexternalcircumstancesofdifferentpersons.
(*Itwasmoreeasytome,thantomanyhundredsofothers,tofindoutandtorecognizethesignsofthe
Psoraaswellwhenlatentandasyetslumberingwithin,aswhenithasgrowntoconsiderablechronic
diseases,byanaccuratecomparisonofthestateofhealthofallsuchpersonswithmyself,who,asis
seldomthecase,haveneverbeenafflictedwiththepsora,andhave,therefore,frommybirthevenuntil
nowinmyeightiethyear,beenentirelyfreefromthe(smallerandgreater)ailmentsenumeratedhereand
furtherbelow,althoughIhavebeen,onthewhole,veryapttocatchacuteepidemicdiseases,andhave
beenexposedtomanymentalexertionsandthousandfoldvexationsofspirit.)
(Allopathyhasalsoassumedhidden(latent)conditionsofdiseaseinpatients,inordertoexplain,or,at
least,toexcuseitsblindinroadswithviolentmedicines,bloodletting,anodynes,etc. Thesesocalled
qualitates occultae Fernelli are, however, wholly suppositions and imaginary, as (according to the
statementofthissamephysician)theyaresupposednottoberecognizablebyanymanifestationsand
symptoms.Butwhateverdoesnotmakeknownitshidden,imaginaryexistencebyanysigndoesnotexist
forusmen,whoarelimitedbyourCreatorinourcognizanceofthingstoobservationsitisconsequently
aphantomofarovingfancy. Itisquitedifferentwiththevariousforcesslumbering(latent)innature;
despitetheirordinaryoccultness,they,nevertheless,showthemselveswhentherequisitecircumstances
andconditionsappear;e.g.,latentheat,eveninmetalsthatfeelcold,ismanifestedwhentheyarerubbed,
justasthePsoramanifestsitself;e.g.,asadrawingpaininthesheathsofthemuscles,whentheperson
infectedwithPsorahasbeen,exposedtoadraught,etc.
(P45)
SYMPTOMSOFLATENTPSORA.
Mostlywithchildren:frequentdischargeofascaridesandotherworms;unsufferableitchingcausedbythe
latterintherectum.
Theabdomenoftendistended.
Nowinsatiablehunger,thenagainwantofappetite.
Palenessofthefaceandrelaxationofthemuscles.

Frequentinflammationsoftheeyes.
Swellingsofthecervicalglands(scrofula).
Perspirationonthehead,intheeveningaftergoingtosleep.
Epistaxiswithgirlsandyouths(morerarelywitholderpersons),oftenverysevere.
Usuallycoldhandsorperspirationonthepalms,(burninginthepalms).
Cold,dry,orillsmellingsweatyfeet,(burninginthesolesofthefeet).
Thearmsorhands,thelegsorfeet,arebenumbedbyaslightcause.
Frequentcrampsinthecalves(themusclesofthearmsandhands).
Painlesssubsultusofvariousportionsofthemuscleshereandthereonthebody.
Frequentortediousdryorfluentcoryzaorcatarrh,*orimpossibilityofcatchingacoldevenfromthemost
severeexposure,evenwhileotherwisehavingcontinuallyailmentsofthiskind.
Longcontinuedobstructionofoneorbothnostrils.
Ulceratednostrils(sorenose).
Disagreeablesensationofdrynessinthenose.
Frequentinflammationofthethroat,frequenthoarseness.
Shorttussictilationinthemorning.
Frequentattacksofdyspnoea.
Predispositiontocatchingcold(eitherinthewholebodyoronlyinthehead,thethroat,thebreast,the
abdomen,thefeet;e.g.,inadraught,(usually,whenthesepartsareinclinedtoperspiration),andmany
other,sometimeslongcontinuingailmentsarisingtherefrom.
(*Theepidemiccatarrhalfeversandcatarrhswhichseizealmosteveryone,eventhehealthiestpersons
(Grippe,Influenza),donotbelongtothiscategory.)
(Personsnotafflictedwithpsorathroughdraughtsanddampcoldairmaynotbeagreeabletothem,do
notsufferanycoldsorevilaftereffectstherefrom.)
(P46)
Predispositiontostrains,evenfromcarryingorliftingaslightweight,oftencausedevenbystretching
upwardandreachingoutthearmsforobjectswhicharehunghigh(soalsoamultitudeofcomplaints
resultingfromamoderatestretchingofthemuscles:headache,nausea,prostration,tensivepaininthe
musclesoftheneckandback,etc.)
Frequentonesidedheadacheortoothache,evenfrommoderateemotionaldisturbances.
Frequentflushesofheatandrednessoftheface,notinfrequentlywithanxiety.
Frequentfallingoutofhairofthehead,drynessofthesame,manyscalesuponthescalp.
Predispositiontoerysipelasnowandthen.
Amenorrhoea, irregularities in the menses, too copious, too scanty, too early (too late), of too long
duration,toowatery,connectedwithvariousbodilyailments.
Twitchingofthelimbsongoingtosleep.
Wearinessearlyonawaking;unrefreshingsleep.
Perspirationinthemorninginbed.
Perspirationbreaksouttooeasilyduringthedaytime,evenwithlittlemovement(orinabilitytobringout
perspiration).
White,oratleastverypaletongue;stillmorefrequentlycrackedtongue.
Muchphlegminthethroat.
Badsmellfromthemouth,frequentlyoralmostconstantly,especiallyearlyinthemorningandduringthe
menses,andthisisperceivedeitherasinsipid,orasslightlysour,orasiffromastomachoutoforder,or
asmouldy,alsoasputrid.
Sourtasteinthemouth.
Nausea,inthemorning.
Sensationofemptinessinthestomach.

Repugnancetocooked,warmfood,especiallytomeat(principallywithchildren).
Repugnancetomilk.
Atnightorinthemorning,drynessinthemouth.
Cutting pains in the abdomen, frequently or daily (especially with children), more frequently in the
morning.
Hardstools,delayingusuallymorethanaday,clotted,oftencoveredwithmucus(ornearlyalwayssoft,
fermentingstools,likediarrhoea).
Venousknotsontheanus;passageofbloodwiththestools.
Passingofmucusfromtheanus,withorwithoutfaeces.
Itchingontheanus.
(P47)
Darkurine.
Swollen,enlargedveinsonthelegs(swollenveins,varices).
Chilblainsandpainsasfromchilblains,evenoutsideoftheseverecoldofwinter;even,also,insummer.
Painsasofcorns,withoutanyexternalpinchingoftheshoes.
Dispositiontocrack,strainorwrenchonejointoranother.
Crackingofoneormorejointsonmoving.
Drawing,tensivepainsintheneck,theback,thelimbs,especially,also,intheteeth(indamp,stormy
weather,innorthwestandnortheastwinds,aftercolds,overlifting,disagreeableemotions,etc.).
Renewalofpainsandcomplaintswhileatrest,anddisappearanceofthesamewhileinmotion.
Mostoftheailmentscomeonatnight,andareincreasedwithalowbarometer,withnorthandnortheast*
winds,inwinterandtowardsspring.
Uneasy,frightful,oratleasttoovivid,dreams.
Unhealthyskin;everylittlelesionpassesintosores,crackedskinofthehandsandofthelowerlips.
Frequentboils,frequentfelons(whitlows).
Dryskinonthelimbs;onthearms,thethighs,andalsoattimesonthecheeks.
Hereortherearough,scalingspotontheskin,whichcausesattimesavoluptuousitchingand,afterthe
rubbingaburningsensation.
Hereorthereattimes,thoughseldom,asingleinsufferablypleasant,butunbearablyitchingvesicle,atits
pointsometimesfilledwithpus,andcausingaburningsensationafterrubbing,onafinger,onthewristor
insomeotherplace.
Sufferingfromseveralorfromagreaternumberoftheseailments(evenatvarioustimesandfrequently),a
personwillstillconsiderhimselfashealthy,andissupposedtobesobyothers.Hemayalsoleadaquite
endurablelifeinsuchastate,andwithoutmuchhindrance,attendtohisbusinessaslongasheisyoungor
stillinhisvigorousyears,andsolongashedoesnotsufferanyparticularmishapfromwithout,hasa
satisfactoryincome,doesnotliveinvexationorgrief,doesnotoverexerthimself;butespeciallyifheisof
quite a cheerful, equable, patient, contented, disposition. With such persons the psora (internal itch
malady), which may be recognized by a connoisseur by means of a few or by more of the above
symptoms,mayslumberonformanyyearswithin,withoutcausinganycontinuingchronicdisease.
(*InEuropenortheastwindsarecold,sharpanddry,correspondingtoourwestwinds.Transl.)
(P48)
Butstill,eveninsuchfavorableexternalrelations,assoonasthesepersonsadvanceinage,evenmoderate
causes(aslightvexation,oracold,oranerrorindiet,etc.),mayproduceaviolentattackof(howeveronly
abrief)disease:aviolentattackofcolic,inflammationofthechestorthethroat,erysipelas,feverandthe
like,andtheviolenceoftheseattacksseemstobeoutofproportiontoitsmoderatecause.Thisismostly
wonttohappeninfallorwinter,butoftenalsobypreferenceinspringtime.
Butevenwhereaperson,whetherachildoranadult,whohasthepsoraslumberingwithinhim,shows
muchsemblanceofhealth,buthappensupontheoppositeoftheabovedescribedfavorableconditionsof
life,whenhishealthandwholeorganism havebeenverymuchweakenedandshakenbyaprevalent
epidemicfeveroraninfectiousacutedisease,*smallpox,measles,whoopingcough,scarletfever,purple

rash,etc,orthroughanexternalseverelesion,ashock,afall,awound,aconsiderableburn,thebreaking
ofanarmoraleg,ahardlabor,theconfinementduetoadisease(usuallyhelpedonbytheincorrectand
weakening Allopathic treatment), confinement at a sedentary occupation in a gloomy, close room,
weakeningthevitalforce;thesadlossesofbelovedrelativesbendingdownthesoulwithgrief,ordaily
vexationandannoyancewhichembitterthelife;deteriorationofthefoodoranentirewantofwhatis
necessaryandindispensable,exposureandinferiorfoodbeatingdownmanscourageandstrength;then
the, psora, which has hitherto slumbered, awakes and shows itself in the heightened and augmented
symptomsenumeratedbelow,initstransitiontotheformationofseveremaladies;oneoranotherofthe
nameless(psoric)chronicdiseasesbreaksoutandmostofallthroughweakeningandexhaustingimproper
treatmentbyallopathicphysicians,theyareaggravatefromtimetotimewithoutintermission,oftentoa
fearfulheight,ifexternalcircumstancesfavorableforthepatientdonotinterpose,andcauseamoderation
intheprocessofthemalady.
(*Attheterminationofanacutefeverthereoftenfollows,asifincitedbysuchafever,anappearanceof
anoldpsoraresidinginthebody,asaneruptionofitch.Thisthephysiciansexplainasanewgeneration
ofitchinthisindividualbodyrepletewithbadhumors(scilicet),sincetheyknownothingofapsorain
manwhichmaybequiescentforalongperiod.Buttheitchdiseasecannotnowbegeneratedorariseor
becreatedanewofitself,justasnosmallpoxorcowpox,nomeasles,novenerealchancredisease,etc.,
cannowmakeitsappearancewithanymanwithoutpreviousinfection.)
(Theoneortheotherdisease,accordingtotheoriginalbodilyconstitution,apeculiarmodeofliving,a
peculiardispositionofthemindoftenarisingfromtheindividualeducationoramorereceptiveormore
weakenedconditionofsomepartofthebody,givesapeculiardirectiontothedisease,andthuscausesthe
itchdiseasetoleadtotheoriginoftheoneortheotherdisease,soastoshowitselfpreferablyinthatone
directionanddevelopitselfinthatparticularmodification. Apassionate,peevishdispositiongivesan
extraordinarypredispositiontothedevelopmentofthepsora;soalsopreviousexhaustionthroughfrequent
pregnancies, excessive nursing of infants, extraordinary hardships, exhausting erroneous medical
treatment,debauchery,andaprofligatemodeofliving.Theinternalitchdiseaseis,asbeforementioned,
ofsuchapeculiarnaturethatitmayremain,asitwere,tieddownandcoveredupforalongthrough
externalfavorablesurroundings,sothatamanmayseemtothesuperficialobserverhealthyforyears,even
formanyyears,untilcircumstancesunfavorabletothebodyorthesoul,ortoboth,mayarise,andserveas
ahostileimpulsetoawakenthediseaseslumberingwithinandthusdevelopitsgerms.Hisacquaintances
andhisphysician,yea,thepatienthimself,cannotthencomprehendhowhishealthcouldsosuddenlyfall
intoadecline.Tobringsomeexamplesforexplanationfrommyownexperience:Afterasimplefracture
ofalimbattendedwithconfinementtobedforfiveorsixweeks,theremayfollowdiseasedconditionsof
anotherkind,thecauseofwhichcannotbeguessed,whichdiseasedcondition,evenwhenmeasurably
removed,neverthelessreturns,andwhichevenwithoutanyerrorindietneverthelessattheirreturnshow
aggravation.Thisismostlythecaseinfall(winter)andspringandbecomesatediousailmentincreasing
fromyeartoyear,alastingcureforwhich,withoutthesubstitutionofastillworsediseaseforitbyan
allopathiccure,hasbeenhithertovainlysoughtforinthecouncilsofformerphysiciansandalsoinvisits
tomineralsprings.Thereareinmanslifeinnumerablestumblingblocksorunfavorableoccurrencesof
thiskindwhichservetoawakenthepsora(theinternalitchdisease)whichtillthenhasbeenslumbering
(perhapsforalongtimepreviously)andwhichcauseitsgermstodevelop.Theyareoftenofsuchanature
thatthegraveevilswhichgraduallyfollowonthemareoutofallproportiontothem,sothatnorational
mancanconsiderthoseoccurrencesassufficientcausesforthechronicdiseaseswhichfollowandwhich
areoftenofafearfulcharacter.Butsuchamaniscompelledtoacknowledgeadeeperseatedhostilecause
oftheseappearances,whichcausehasonlynowdevelopeditself.
(P49)
Forexample,ayoungmarriedwomanwho,viewedsuperficiallyandaccordingtothecommonstandard,
washealthy,butwhohadinherchildhoodbeeninfectedwithpsora,hadthemisfortunetobethrownout
ofhercarriagewhileinthethirdmonthofherpregnancy,fromwhichshesufferednotonlyslightinjury
andthefright,butalsoamiscarriage,andtheattendinglossofbloodgaveheraconsiderablesetback.In

afewweeks,however,heryouthfulconstitutionhadprettywellrecovered,andshemighthavebeenofa
speedyreturntolastinggoodhealth,whentheannouncementofthedangerousillnessofabelovedsister,
livingatadistance,threwherbackandaugmentedherformerailments,whichhadnotyetbeenquite
removed,bytheadditionofamultitudeofnervousdisordersandconvulsions,thusturningthemintoa
seriousillness. Betternewsfromhersister,indeed,follow,andatlastgoodnews. Atlasthersister,
entirelyrestoredherself,paysheravisit.Butthesickyoungwifestillremainssick,andevenifsheseems
to recover for a week or two, her ailments nevertheless return without any apparent cause. Every
succeedingconfinement,evenwhenquiteeasy,everyhardwinter,addsnewailmentstotheold,orthe
formerdisorderschangeintoothersstillmoretroublesome,sothatatlastthereensuesaseriouschronic
illnessthoughnoonecanseewhythefullvigorofyouth,attendedbyhappyexternalsurroundings,should
nothavesoonwipedouttheconsequenceofthatonemiscarriage;stilllesscanitbeexplainedwhythe
unfortunateimpressionofthosesadtidingsshouldnothavedisappeared,onhearingoftherecoveryofher
sister,oratleastontheactualpresenceofhersisterfullyrestored.
(P50)
Ifthecausemustatalltimesbeproportionatetoitseffectandconsequence,asistheinnature,noonecan
see how, after the removal of the causes assailing her health, the resulting ailments could not only
continue,butevenincreasefromyeartoyear,iftheircausewerenotinsomethingelse,somethingdeeper,
so those unhappy occurrences (the miscarriage and the sad tidings), since they both disappeared of
themselvesandthereforecouldnotpossiblyyieldasufficientgroundfortheensuingchronicdisease,can
onlyberegardedastheoccasion,butnottheefficientcause,ofthedevelopmentofahostilepowerof
greaterimportance,preexistentintheinternalorganismbuthithertoquiescent.
In a similar manner, a robust merchant, apparently healthy, despite some traces of internal psoral
perceptibleonlytotheprofessionalexaminer,mayinconsequenceofunluckycommercialconjunctures
becomeinvolvedinhisfinances,evensoastoapproachbankruptcy,andatthesametimehewillfall
graduallyintovariousailmentsandfinallyintoseriousillness.Thedeathofarichkinsman,however,and
thegainingofagreatprizeinalottery,abundantlycoverhiscommerciallosses;hebecomesamanof
meansbuthisillness,nevertheless,notonlycontinuesbutincreasesfromyeartoyear,despiteallmedical
prescriptions,inspiteofhisvisitingthemostfamousbaths,orrather,perhaps,withtheassistanceofthese
twocauses.
Amodestgirl,who,exceptingsomesignsofinternalpsora,wasaccountedquitehealthy,wascompelled
intoamarriage whichmadeherunhappyofsoul,andinthesamedegree herbodilyhealthdeclined,
without any trace of venereal infection. No allopathic medicine alleviates her sad ailments, which
continuallygrowmorethreatening.Butinthemidstofthisaggravation,afteroneyearssuffering,the
causeofherunhappiness,herhatedhusband,istakenfromherbydeath,andsheseemstorevive,inthe
conviction,thatsheisnowdeliveredfromeveryoccasionofmentalorbodilyillness,andhopesfora
speedyrecovery;allherfriendshopethesameforher,astheexcitingcauseofherillnessliesinthegrave.
Shealsoimprovesspeedily,butunexpectedlyshestillremainedaninvalid,despitethevigorofheryouth;
yea,herailmentsbutseldomleaveher,andarerenewedfromtimetotimewithoutanyexternalcause,and
theyareevenaggravatedfromyeartoyearintheroughmonths.
Apersonwhohadbeenunjustlysuspectedandbecomeinvolvedinaseriouscriminalsuit,andwhohad
beforeseemedhealthy,withtheexceptionofthemarksoflatentpsoramentionedabove,duringthese
harassing months fell into various diseased states. But finally the innocence of the accused is
acknowledged,andanhonorableacquittalfollowed. Wemight supposethatsuchahappy,gratifying
eventwouldnecessarilygivenewlifetotheaccusedandremoveallbodilycomplaints.Butthisdoesnot
takeplace,thepersonstillattimessuffersfromtheseailments,andtheyareevenrenewedwithlongeror
brieferintermissions,andareaggravatedwiththepassingyears,especiallyinthewintryseasons.
Howshallweexplainthis?Ifthatdisagreeableeventhadbeenthecause,thesufficientcause,ofthese
ailments,oughtnottheeffect;i.e.,thedisease,tohaveentirelyceasedofnecessity,aftertheremovalofthe
cause?Buttheseailmentsdonotcease,theyareintimerenewedandevengraduallyaggravated,andit
becomesevidentthatthosedisagreeableeventscouldnothavebeenthesufficientcauseofthepresent
ailments and complaints it is seen that they only served as an occasion and impetus toward the
development,ofamalady,whichtillthenonlyslumberedwithin.

Therecognitionofthisoldinternalfoe,whichissofrequentlypresent,andthesciencewhichisableto
overcome it, make it manifest, that generally an indwelling itch (psora) was the ground of all these
ailments,whichcannotbeovercomeevenbythevigorofthebestconstitution,butonlythroughart.)
(P51)
Buteveniffavorableexternalconditionsshouldagainchecktherapiddevelopmentofadiseasethathas
brokenout,truehealthcannotbelastinglyrestoredbyanyofthemodesoftreatmenthithertoknown,and
the customary allopathic treatments, with their aggressive, inappropriate remedies such as baths,
mercury,prussicacid,iodine,digitalis,quinine,starvationandotherfashionableremediesincludedonly
hastendeath,theendofallthosemaladieswhichthephysiciancannotheal.
When once,underthe abovementioned unfavorable outward surroundings,thetransition ofthepsora
fromitsslumberingandboundconditiontoitsawakeningandoutbreakhastakenplace,andthepatient
leaveshimselftotheinjuriousactivityoftheusualallopathicphysician,whodeemsitappropriatetohis
officeandhisincometomercilesslyassaulttheorganismofthepatient(aswearesorrytowitnessevery
day)withthebatteringramsofhisviolent,inappropriateremediesandweakeningtreatments;insucha
case,theexternalcircumstancesofthepatientandhissituationwithrespecttohissurroundingsmayhave
changedeversofavorably,buttheaggravationofthediseaseneverthelessproceedsundersuchhands
withoutanyescape.
Theawakeningoftheinternalpsorawhichhashithertoslumberedandbeenlatent,and,asitwere,kept
boundbyagoodbodilyconstitutionandfavorableexternalcircumstances,aswellasitsbreakingoutinto
more serious ailments and maladies, is announced by the increase of the symptoms given above as
indicatingtheslumberingpsora,andalsobyanumberlessmultitudeofvariousothersignsandcomplaints.
Thesearevariedaccordingtothedifferenceinthebodilyconstitutionofaman,hishereditarydisposition,
thevariouserrorsinhiseducationandhabits,hismanneroflivinganddiet,hisemployments,histurnof
mind,hismorality,etc.
Then when the itchmalady develops into a manifest secondary disease there appear the following
symptoms,whichIhavederivedandobservedaltogetherfromaccountsofdiseaseswhichImyselfhave
treatedsuccessfullyandwhichconfessedlyoriginatedfromthecontagionofitch,andweremixedneither
withsyphilisnorsycosis.
(P52)
Iamquitewillingtobelievethatmanymoresymptomsmayhaveoccurredintheexperienceofothers.
Iwouldonlyaddfurther,thatamongthesymptomsadducedtherearealsosuchasareentirelyopposedto
eachother,thereasonofwhichmaybefoundinthevaryingbodilyconstitutionsexistingatthetime
whentheoutbreakoftheinternalpsoraoccurred.Yettheonevarietyofsymptomsisfoundmorerarely
thantheotheranditoffersnoparticularobstructiontoacure:
Vertigo;reelingwhilewalking.
Vertigo;whenclosingtheeyes,everythingseemstoturnaroundwithhim;heisatthesametimeseized
withnausea.
Vertigo;onturningaroundbriskly,healmostfallsover.
Vertigo,asiftherewasajerkinthehead,whichcausesamomentarylossofconsciousness.
Vertigowithfrequenteructations.
Vertigoevenwhenonlylookingdownonthelevelground,orwhenlookingupward.
Vertigowhilewalkingonaroadnotenclosedoneitherside,inanopenplain.
Vertigo;sheseemstoherselfnowtoolarge,nowtoosmall,orotherobjectshavethisappearancetoher.
Vertigo,resemblingaswoon.
Vertigo,passingoverintounconsciousness.
Dizziness;inabilitytothinkortoperformmentallabor.
Herthoughtsarenotunderhercontrol.
Sheisattimesquitewithoutthought(sitslostinthought).
Theopenaircausesdizzinessanddrowsinessinthehead.
Everythingattimesseemsdarkandblackbeforehiseyes,whilewalkingorstooping,orwhenraising

himselffromastoopingposture.
Rushofbloodtothehead. 1
Heatinthehead(andintheface). 2
Acoldpressureonthetopofthehead.3
Headache,adullpaininthemorningimmediatelyonwakingup,orintheafternoonwhenwalkingrapidly
orspeakingloudly.
Headacheononeside,withacertainperiodicity(after28,14oralessnumberofdays),morefrequently
duringfullmoon,orduringthenewmoon,oraftermentalexcitement,afteracold,etc.;apressureorother
painontopoftheheadorinsideofit,oraboringpainoveroneoftheeyes. 4
(1Whilethemindisuneasy,withanxietyanddisinclinationtowork.)
(2Notunfrequentlyaccompaniedwithcoldnessofthehandsandfeet.)
(3Usuallyaccompaniedwithanxiety.)
(4Atthesametimeagreatinternaldisquietandanxiety,especiallyintheabdomen;alackofstools,or
frequent,scantyevacuationsattendedwithanxiety;heavinessinthelimbs,quiveringinthewholebody,
tension of all the nerves with great irritability and sensitiveness; the eye can not bear any light,
lachrymation,sometimeswithswellingoftheeyes;thefeetarecold;attimesattendedwithdrycoryza;
oftenchills,thenagainaflyingheat;conjoinedwiththis,continuousnausea,alsoattimes,retchingand
vomiting;shelieseitherasifstunned,orthrowsherselfanxiouslyfromsidetoside,theattackslasting
fromtwelvetotwentyfourandmorehours.Aftertheseattackseithergreatwearinesswithsadness,ora
feelingoftensionalloverthebody. Beforetheseattackstherearefrequentlyjerksofthelimbsduring
sleepandstartingupfromsleep,anxiousdreams,gnashingoftheteethinsleepandtendencytostartat
anysuddennoise.)
(P53)
Headachedailyatcertainhours;e.g.,astitchinginthetemples. 1
Attacksofthrobbingheadache(e.g.,intheforehead)withviolentnauseaasifabouttosinkdown,or,also,
vomiting;startingearlyintheevenings,repeatedeveryfortnight,orsoonerorlater.
Headacheasiftheskullwereabouttoburstopen. 2
Headache,drawingpains.3
Headache,stitchesinthehead(passingoutattheears). 4 Roaringnoiseinthebrain,singing,buzzing,
humming,thundering,etc.
Thescalpfullofdandruff,withorwithoutitching.
Eruptiononthehead,tineacapitis,malignanttineawithcrustsofgreaterorlessthickness,withsensitive
stitcheswhenoneoftheplacesbecomesmoist;whenitbecomesmoistaviolentitching;thewholecrown
oftheheadpainfullysensitivetotheopenair;withithardswellingsoftheglandsintheneck.
Thehairoftheheadasifparched.
Thehairoftheheadfrequentlyfallsout,mostinfront,onthecrownandtopofthehead;baldspotsor
beginningbaldnessofcertainspots.
Undertheskinareformedpainfullumps,whichcomeandpassaway,likebumpsandroundtumors. 5
Feelingofcontractionintheskinofthescalpandtheface.
Palenessofthefaceduringthefirstsleep,withblueringsaroundtheeyes.
Frequentrednessoftheface,andheat. 6
(1Whichalsoswellattimes,withlachrymationoftheoneeye.)
(2Insomecasesadrawingpainfromthenapeofthenecktowardtheocciput,attimesalsooverthewhole
head and face, which is often bloated from it, while the head aches when touched, not infrequently

attendedwithnausea.)
(3Usuallywhilewalking,especiallywhilewalkingandmovingaftermeals.)
(4Atthesametimeeverythingfrequentlyappearsdarkbeforeherface.)
(5Whichalsoinrarecasespassoverintosuppuration.)
(6Heattimesalsobecomesquiteweakandwearyfromitoranxious,andheperspiresontheupperpartof
thebody;hiseyesattimesbecomedim;everythingbecomesblackbeforehiseyes,hismindissad;his
headalsofeelsasiftoofull,withburninginthetemples.)
(P54)
Yellowish,yellowcoloroftheface.
Sallowyellowishcomplexion.
Erysipelasontheface.1
Pressivepainontheeyes,especiallylateintheevening;hemustshutthem.
Hecannotlooklongatanything,elseeverythingflickersbeforehim;objectsseemtomove.
Theeyelids,especiallyinthemorning,areasifclosed;hecannotopenthem(forminutes;yea,evenfor
hours);theeyelidsareheavyasifparalyzedorconvulsivelyclosed.
Theeyesaremostsensitivetodaylight;theyarepainedbyitandcloseinvoluntarily. 2
Sensationofcoldintheeyes.
Thecanthiarefullofpuslikemucus(eyegum).
Theedgesoftheeyelidsfullofdrymucus.
Ontheedgesoftheeyelids,inflammationofsingleMeibomianglandsorofseveralofthem.
Inflammationsoftheeyes,ofvariouskinds. 3
Yellownessaroundtheeyes.
Yellownessofthewhiteoftheeye. 4
Dim,opaquespotsonthecornea. 5
Dropsyoftheeye.
Obscurationofthecrystallinelens,cataract.
Squinting.
Farsightedness;heseesfarinthedistance,butcannotclearlydistinguishsmallobjectsheldclose.
Shortsightedness;hecanseeevensmallobjectsbyholdingthemclosetotheeye,butthemoredistantthe
objectis,themoreindistinctitappears,andatagreatdistancehedoesnotseeit.
Falsevision;heseesobjectsdouble,ormanifold,oronlytheonehalfofthem.
Beforehiseyestherearefloatingasitwereflies,orblackpoints,ordarkstreaks,ornetworks,especially
whenlookingintobrightdaylight.
Theeyesseemtolookthroughaveiloramist;thesightbecomesdimatcertaintimes.
(1Insomecaseswithmuchfever,alsoattimeswithburning,itching,stingingwateryblistersintheface,
whichturnintoscabs(Erysipelasbullosum.)
(2Usuallywithmoreorlessinflammation.)
(3Thefistulalachrymalishasprobablyneveranyothercausethantheitchdisease.)
(4Orgreycolorofthesame.)
(5Evenwithouthavinghadanypreviousinflammationoftheeyes.)

(P55)
Nightblindness;heseeswellindaytime,but,inthetwilighthecannotseeatall.
Blindnessbyday;hecanonlyseewellduringthetwilight.
Amaurosis;uninterrupteddimnessofvision 1increasedfinallyeventoblindness.
Painfulnessofvariousspotsintheface,thecheeks,thecheekbones,thelowerjaw,etc.,whentouched;
whilechewing,asiffesteringinwardly;alsolikestitchesandjerks;especiallyinchewingtherearejerks,
stitchesandatensionsothathecannoteat. 2
Thehearingisexcessivelyirritatedandsensitive;shecannotbeartohearabellringwithouttrembling;he
isthrownintoconvulsionsbythebeatingofthedrum,etc.;manysoundscausepainintheear.
Therearestitchesintheear,outwardly. 3
Crawlingsensationanditchingintheear.
Drynessintheear;dryscabswithin,withoutanyearwax.
Runningfromtheearofthin,usuallyillsmellingpus.
Pulsationintheear.
Varioussoundsandnoisesintheear. 4
Deafnessofvariousdegreesevenuptototaldeafness,withorwithoutnoiseintheear;occasionallyworse,
accordingtotheweather.
Swellingoftheparotidglands.5
Epistaxis,moreorlessprofusely,moreorlessfrequently.
Thenostrilsasitwerestoppedup.6
Sensationofdrynessinthenose,troublesomeevenwhentheairpassesfreely.
Polypiofthenose(usuallywiththelossofthepowerofsmelling);thesemayextendalsothroughthe
nasalpassagesintothefauces.
Senseofsmell,weak,lost.
(1Morefrequentlywithoutopacityofthecrystallinelensthanwithit.)
(2Duringchewingorspeakingthereisattimesalsoasimilartwitchingonthesidesofthehead,where
protuberances like painful bumps often arise. When the pain is still more unbearable and at times
combinedwithaburningpain,itiscalledFothergillspainintheface.)
(3Especiallywhilewalkingintheopenair.)
(4 Such as clinking, rushing, seething, roaring, humming, chirping, ringing, drumming, thundering,
whizzing,fluttering,murmuring,etc.)
(5Oftenwithstingingpainsintheglands.)
(6 Eitheroneorboth,oralternately,firstone,thentheother;oftenthereisonlythesensationofbeing
stoppedup,whiletheaircanbefreelydrawninthroughit.)
(P56)
Senseofsmellperverted. 1
Tooviolentsensationofsmell,higherandhighestsensitivenessforevenimperceptibleodors.
Scabsinthenose;dischargeofpusorhardenedclotsofmucus. 2
Fetidsmellinthenose.
Nostrilsfrequentlyulcerated,surroundedwith,pimplesandscabs.
Swellingandrednessofthenoseorthetipofthenose,frequentorcontinual.
Underthenoseorontheupperlip,longlastingscabsoritchingpimples.
Theredofthelipsisquitepale.

Theredofthelipsisdry,scabby,peelingoff;itchaps.
Swellingofthelips,especiallyoftheupperlip.3
Theinsideofthelipsislinedwithlittlesoresorblisters. 4
Cutaneouseruptionofthebeardandoftherootsofthehairsofthebeard,withitching.
Eruptionsofthefaceofinnumerablekinds. 5
Glandsofthelowerjawswollen,sometimespassingoverintochronicsuppuration.
Glandularswellingsdownthesidesoftheneck.
Gumsbleedingataslighttouch.
Gums,theexternalortheinternal,painful,asiffromwounds.
Gums,witherosiveitching.
Gums,whitish,swollen,painfulontouching.
Gums,recession,leavingthefrontteethandtheirrootsbare.
Gnashingoftheteethduringsleep.
Loosenessoftheteeth,andmanykindsofdeteriorationoftheteeth,evenwithouttoothache.
Toothacheofinnumerablevarieties,withvaryingcausesofexcitation.
Shecannotremaininbedatnight,owingtotoothache
Onthetongue,painfulblistersandsoreplaces.
Tonguewhite,coatedwhiteorfurredwhite.
Tonguepale,bluishwhite.
Tonguefullofdeepfurrows;hereandthere,asiftornabove.
Tonguedry.
Sensationofdrynessonthetongue,evenwhileitisproperlymoist.
(1E.g.,thesmellofmanureorsomeotherpeculiarsmellisinthenose.)
(2Sometimesalsoadischargeofacridmucusfromthenose.)
(3Attimeswithaburning,bitingpain.)
(4Oftenverypainful,comingandpassingaway.)
(5 Milkcrust,pimples,blotches,herpesandcarcinomatousulcersofthenose,lipsandface(alsocalled
cancer),withburningandstingingpain.)
(P57)
Stuttering,stammering;alsoattimessuddenattacksofinabilitytospeak.
Ontheinsideofthecheekspainfulblistersorsores.
Flowofbloodfromthemouth;oftensevere.
Sensationofdrynessofthewholeinternalmouth,ormerelyinspots,ordeepdowninthethroat. 1
Fetidsmellfromthemouth.
Burninginthethroat.
Constantflowofsaliva,especiallywhilespeaking,particularlyinthemorning.
Continualspittingofsaliva.
Frequentmucusdeepdowninthethroat(thefauces),whichhehastohawkupandexpectoratefrequently
duringtheday,especiallyinthemorning.
Frequentlyinflammationofthethroat,andswellingofthepartsusedinswallowing.
Insipid,slimytasteinthemouth.
Intolerablysweettasteinthemouth,almostconstantly.
Bittertasteinthemouth,mostlyinthemorning. 2
Sourishandsourtasteinthemouth,especiallyaftereating,thoughthefoodtastedallright. 3
Putridandfetidtasteinthemouth.

Badsmellinthemouth,sometimesmouldy,sometimesputridlikeoldcheese,orlikefetidfootsweat,or
likerottensourkraut.
Eructations,withthetasteofthefood,severalhoursaftereating.
Eructations,empty,loud,ofmereair,uncontrollable,oftenforhours,notinfrequentlyatnight.
Incompleteeructation,whichcausesmerelyconvulsiveshocksinthefauces,withoutcomingoutofthe
mouth.
Eructation,sour,eitherfastingorafterfood,especiallyaftermilk.
Eructation,whichexcitestovomiting.
Eructation,rancid(especiallyaftereatingfatthings).
Eructation,putridormouldy,earlyinthemorning.
Frequenteructationsbeforemeals,withasortofrabidhunger.
Heartburn,moreorlessfrequent;thereisaburningalongthechest,especiallyafterbreakfast,orwhile
movingthebody.
(1Chieflyonwakingupatnightorinthemorning,withorwithoutthirst;withagreatdealofdrynessin
thethroat,oftenaprickingpaininswallowing.)
(2Notrarely,thisisconstant.)
(3Rarelyanoffensivelysweettasteinthemouth,evenwithouteatingordrinking.)
(P58)
Waterbrash,agushingdischargeofasortofsalivaryfluidfromthestomach,precededbywrithingpains
inthestomach (thepancreas),withasensation ofweakness(shakiness), nausea causingasitwerea
swoon,andgatheringofthesalivainthemouth,evenatnight. 1
Therulingcomplaintsinanypart ofthebodyareexcitedaftereatingfreshfruit,especiallyifthisis
acidulous,alsoafteraceticacid(insalads,etc.).
Nauseaearlyinthemorning.2
Nauseaeventovomiting,inthemorningimmediatelyafterrisingfrombed,decreasingfrommotion.
Nauseaalwaysaftereatingfattythingsormilk.
Vomitingofblood.
Hiccoughaftereatingordrinking.
Swallowingimpededbyspasms,evencausingamantodieofhunger.
Spasmodic,involuntaryswallowing.
Frequentsensationoffastingandofemptinessinthestomach(orabdomen),notunfrequentlywithmuch
salivainthemouth.
Ravenoushunger(caninehunger),especiallyearlyinthemorning;hehastoeatatonceelsehegrows
faint,exhaustedandshaky,(orifheisintheopenairhehastoliestraightdown).
Ravenoushungerwithrumblingandgrumblingintheabdomen.
Appetitewithouthunger;shehasadesiretoswallowdowninhastevariousthingswithouttherebeingany
cravingthereforinthestomach.
Asortofhunger;butwhenshetheneatseversolittle,shefeelsatoncesatiatedandfull.
Whenshewantstoeat,shefeelsfullinthechestandherthroatfeelsasiffullofmucus.
Wantofappetite;onlyasortofgnawing,turningandwrithinginthestomachurgeshertoeat.
Repugnancetocooked,warmfood,especiallytoboiledmeat,andhardlyanylongingforanythingbutrye
bread(withbutter),orforpotatoes.3

(1Thisalsoattimesturnsintovomitingofwater,mucus,oragushofacridacidmorefrequentlyafter
eatingflourdumplings,vegetablescausingflatulence,bakedprunes,etc.)

(2Oftencomingverysuddenly.)
(3Especiallyinyouthandchildhood.)
(P59)
Inthemorning,atonce,thirst;constantthirst.
Inthepitofthestomachthereisasensationofswellingpainfultothetouch.
Sensationofcoldnessinthepitofthestomach.
Pressureinthestomachorinthepitofthestomach,asfromastone,oraconstrictingpain(cramp). 1
Inthestomach,beatingandpulsation,evenwhenfasting.
Spasminthestomach;paininthepitofthestomachasifdrawntogether. 2
Gripinginthestomach;apainfulgripinginthestomach; 3itsuddenlyconstrictsthestomach,especially
aftercolddrinking.
Paininthestomach,asifsore,wheneatingeventhemostharmlesskindsoffoods.
Pressureinthestomach,evenwhenfasting,butmorefromeverykindoffood,orfromparticulardishes,
fruit,greenvegetables,ryebread,foodcontainingvinegar,etc. 4
Duringeating,feelsdizzyandgiddy,threateningtofalltooneside.
Aftertheslightestsupper,nocturnalheatinbed;inthemorning,constipationandexceedinglassitude.
Aftermeals,anxietyandcoldperspirationwithanxiety. 5
Duringeating,perspiration.
Immediatelyaftereating,vomiting.
Aftermeals,pressureandburninginthestomach,orintheepigastrium,almostlikeheartburn.
Aftereating,burninginoesophagusfrombelowupward.
Aftermeals,distensionofthe,abdomen. 6
(1 In some cases even while fasting, and causing him to wake up out of sleep at night, sometimes
oppressingthebreathing.)
(2Usuallyashorttimeaftereating.)
(3 Notinfrequentlywithvomitingofmucusandwater,withoutwhichinsuchacasethegripingisnot
alleviated.)
(4 Even after partaking of the slightest quantity of such things, there may also ensue colic, pain or
numbnessofthejaws,tearingpainintheteeth,copiousaccumulationofmucusinthethroat,etc.)
(5 Theremayalsobepains,renewednowandthen;e.g.,stitchesinthelips,gripinganddigginginthe
abdomen,pressureinthechest,heavinessinthebackandthesmalloftheback,eventonausea;when
nothingbutanartificiallyexcitedvomitingwillgiverelief. Withsometheanguishisaggravatedafter
eating,eventoanimpulsetodestroythemselvesbystrangulation.)
(6Withthis,attimes,wearinessinthearmsandlegs.)
P60)
Aftermeals,verytiredandsleepy.1
Aftermeals,asifintoxicated.
Aftermeals,headache.
Aftermeals,palpitationoftheheart.
Alleviationofseveral,evenremote,complaintsfromeating.

Theflatusdoesnotpassoff,butmovesabout,causingmanyailmentsofbodyandofspirit. 2
Theabdomenisdistendedbyflatus, 3theabdomenfeelsfull,especiallyafterameal.
Sensationasiftheflatusascended;followedbyeructationsthenoftenasensationofburninginthe
throat,orvomitingbydayandbynight.
Paininthehypochondriawhentouched,andinmotion,oralsoduringrest.
Constrictingpainintheepigastrium,immediatelyundertheribs.
Cuttingpainsintheabdomen,asiffromobstructedflatus;thereisaconstantsensationoffullnessinthe
abdomentheflatusrisesupwards.
Cuttingpainsintheabdomenalmostdaily,especiallywithchildren,oftenerinthemorningthaninother
partsoftheday,sometimesdayandnight,withoutdiarrhoea.
Cuttingpainsintheabdomen,especiallyontheonesideoftheabdomen,orthegroin. 4
Intheabdomen,qualmishness,asensationofvoidness,disagreeableemptiness, 5evenimmediatelyafter
eating,hefeltasifhehadnoteatenanything.
Fromthesmalloftheback,aroundtheabdomen,especiallybelowthestomach,asensationofconstriction
asfromabandage,aftershehadhadnostoolforseveraldays.
Painintheliver,whentouchingtherightsideoftheabdomen.
Painintheliver,apressureandtensionatensionbelowtheribsontherightside.
Belowthelastribs(inthehypochondria),atensionandpressureallover,whichchecksthebreathingand
makesthemindanxiousandsad.
(1Oftenuntilthepatientliesdownandsleeps.)
(2Attimesdrawingpainsinthe,limbs,especiallyinthelowerlimbs,orstitchesinthepitofthestomach,
orinthesideoftheabdomen,etc.)
(3Theflatusoftenascends;lessfrequentlyagreatquantityofflatusischarged,especiallyinthemorning,
withoutsmellandwithoutalleviatingtheotherailments;inothercasesflatulence,withagreatquantityof
excessivelyfetidflatuspassingoff.)
(4Thecuttingpainalsoattimespassesdownintotherectumanddownthethigh.)
(5Insomecasesalternatingwithacontractivepainintheabdomen.)
(P61)
Painintheliver,stitchesmostlywhenstoopingquickly.
Inflammationoftheliver.
Pressureintheabdomenasfromastone. 1
Hardnessoftheabdomen.
Crampycolic,agraspingpaininthebowels.
Incolic,coldnessononesideoftheabdomen.
Aclucking,croakingandaudiblerumblingandgrumblingintheabdomen. 2
Socalled uterine spasms, like labor pains, grasping pains often compelling the patient to lie down,
frequentlyquicklydistendingtheabdomenwithoutflatulence.
Inthelowerabdomen,painspressingdowntowardthegenitals. 3
Inguinalhernias,oftenpainfulwhilespeakingandsinging. 4
Swellingsoftheinguinalglands,whichsometimesturnintosuppuration.
Constipation;delayedstoolssometimesforseveraldays,notinfrequentlywithrepeatedineffectualurging
tostool.
Stools hard, as if burnt, in small knots, like sheepdung, often covered with mucus, sometimes also
envelopedbyveinletsofblood.
Stoolsofmeremucus(mucouspiles).

Passageofroundwormsfromtheanus.
Dischargeofpiecesoftapeworm.
Stools,inthebeginningveryhardandtroublesome,followedbydiarrhoea.
Verypale,whitishstool.
Greystools.
Greenstools.
Claycoloredstools.
Stoolswithputrid,soursmell.
Atthestools,cuttingpainsintherectum.
Stoolsshowdiarrhoeaforseveralweeks,months,years. 5
Frequentlyrepeateddiarrhoea,withcuttingpainsintheabdomen,lastingseveraldays.
(1Whichoftenrisestothepitofthestomach,diggingandcausingvomiting.)
(2Attimesonlyintheleftsideoftheabdomen,passingupwardswiththeinspirationanddownwardwith
theexpiration.)
(3Pressingdownasiftocauseaprolapsus,andwhenitispassedshefeelsheavyinallherlimbs,thelimbs
gotosleep;shemuststretchandextendherlimbs.)
(4Inguinalherniasriseasaruleonlyfrominternalpsora,exceptingthefewcases,whenthesepartsare
injured bygreat external violence, or when the hernia arises from superhuman exertions ofthe body
throughliftingorpushingquickly,whileinagreatfright.)
(5Usuallyprecededbyrumblingorfermentationintheabdomen;chieflyinthemorning.)
(P62)
Afterastool,especiallyafterasofter,morecopiousevacuation,greatandsuddenprostration. 1
Diarrhoea,soonsoweakening,thatshecannotwalkalone.
Painlessandpainfulhaemorrhoidalvaricesontheanus,1therectum(blindpiles).
Bleedinghaemorrhoidalvaricesontheanusorintherectum 3 (runningpiles),especiallyduringstools,
afterwhichthehaemorrhoidsoftenpainviolentlyforalongtime.
With bloodydischargesintheanus orinthe rectum,ebullition ofblood through thebodyandshort
breathing.
Formicationanditchingformicationintherectum,withorwithoutthedischargeofascarides.
Itchinganderosionintheanusandtheperineum.
Polypiintherectum.
Duringmicturition,anxiety,alsoattimesprostration.
Attimestoomuchurineisdischarged,succeededbygreatweariness. 4
Painfulretentionofurine(withchildrenandoldpeople).
Whenheischilled(feelscoldthroughandthrough),hecannoturinate.
Attimesowingtoflatulence,shecannoturinate.
Theurethraisconstrictedinparts,especiallyinthemorning. 6
Pressureonthebladder,asiffromanurgingtourinate,immediatelyafterdrinking.
Hecannotholdtheurineforanylengthoftime,itpressesonthebladder,andpassesoffwhilehewalks,
sneezes,coughsorlaughs.
Frequentmicturitionatnight;hehastogetupfrequentlyatnightforthatpurpose.
Urinepassesoffinsleepinvoluntarily.
(1Especially,weaknessinthepitofthestomach,anxiety,restlessness,alsoattimeschillsintheabdomen
orthesmalloftheback,etc.)

(2Whichnotinfrequentlyhaveaslimyfluidoozingfromthem.)
(3Fistulainanohaveprobablyneveranyothercausethanthismalady,especiallywhentothisthereare
addedastimulatingdiet,anexcessinspirituousliquors,frequentlaxatives,asedentaryoccupationand
abuseofthesexualinstinct.)
(4Diabetes,whichwithAllopathicremediesisusuallysofatal,hasprobablyneveranyotheroriginthan
thismalady.)
(5 The urine frequently passes off as thin as a thread, or the stream spreads out; the urine is only
dischargedinjerksatlongintervals;theseinterruptionsarefrequentlycausedbyaspasmintheneck,of
thebladderwhichantagonizestheactionofthebladderandspringsfromthesamepsoricmalady.Soalso
inflammationofthebladderfromstricturesoftheurethra,andthefistulainvesicaarealwaysofpsoric
origin,thoughinrarecasessycosismaybecomplicatedwiththepsora.)
(P63)
Afterurinating,theurinecontinuestodripoutforalongtime,.
Whitish. urine, with a sweetish smell and taste, passes off in excessive abundance, with prostration,
emaciationandinextinguishablethirst(diabetes).
Duringurination,burning,alsolancinatingpainsintheurethraandtheneckofthebladder.
Urineofpenetrating,sharpodor.
Theurinequicklydepositsasediment.
Theurinedischargedisatonceturbidlikewhey.
Withtheurinethereisdischargedfromtimetotimearedsand(kidneygrits).
Darkyellowurine.
Brownurine.
Blackishurine.
Urinewithbloodparticles,alsoattimescompletehematuria.
Discharge of prostatic fluid after urination, but especially after a difficult stool (also almost constant
drippingofthesame).1
Nocturnalpassageofsemen,toofrequent,one,twoorthreetimesaweek,oreveneverynight. 2
Nightlydischargeofthegenitalfluidinawomen,withvoluptuousdreams.
Nocturnalpollutions,evenifnotfrequent,yetimmediatelyattendedbyevilconsequences. 3
Semenpassesoffalmostinvoluntarilythedaytime,withlittleexcitation,oftenevenwithouterection.
Erectionsveryfrequent,longcontinuing,verypainfulwithoutpollutions.
Thesemenisnotdischarged,evenduringalongcontinuedcoitionandwithapropererection, 4 butit
passesoffafterwardinnocturnalpollutionsorwiththeurine.
Accumulationofwaterinthetunicavaginalisofthetesticle(hydrocele).
Thereisneveracompleteerection,evenwiththemostvoluptuousexcitement.
(1Sometimesalsoconsumptionfromtheconstantoozingoutoftheprostaticfluid.)
(2 Withhealthychasteyoungmen,pollutionsnaturallyonlytakeplaceeverytwelveorfourteendays,
without any attending troubles, and they are (followed by cheerfulness and a feeling of strength and
serenity.)
(3Gloominess,obtuseness,dimnessofthethinkingpowers,diminishedvividnessoftheimagination,want
ofmemory,depression,melancholy;thevisionisweakened,aswellasthedigestionandtheappetite;
stoolsareretained,arushofbloodtotheheadensues,alsotowardtheanus,etc.)
(4Thetesticlesinsuchacaseareneverdrawnuptothebody,buthangdownmoreorless.)

(P64)
Painfultwitchesinthemusclesofthepenis.
Itchingofthescrotum,whichissometimesbesetwithpimplesandscabs.
Oneorbothofthetesticleschronicallyswollen,orshowingaknottyinfection(Sarcocele).
Dwindling,diminution,disappearanceofoneorbothtesticles.
Indurationandenlargementoftheprostaticgland.
Drawingpaininthetesticleandthespermaticchord.
Painasfromcontusioninthetesticle.
Lackofthesexualdesireinbothsexes,eitherfrequentorconstant. 1
Uncontrollableinsatiablelasciviousness, 2withacachecticcomplexionandsicklybody.
Sterility,impotence,withoutanyoriginalorganicdefectinthesexualparts. 3
Disordersofthemenstrualfunction;themensesdonotappearregularlyonthetwentyeighthdayafter
theirlastappearance,theydonotcomeonwithoutotherailmentsandnotatonce,anddonotcontinue
steadilyforthreeorfourdayswithamoderatequantityofhealthycolored,mildblood,untilonthefourth
dayitimperceptiblycomestoanendwithoutanydisturbanceofthegeneralhealthofbodyandspirit;nor
arethemensescontinuedtothefortyeighthorfiftiethyear,nordotheyceasegraduallyandwithoutany
troubles.
Themensesareslowinsettinginafterthefifteenthyearandlater,orafterappearingoneormoretimes,
theyceaseforseveralmonthsandforyears.4
Themensesdonotkeeptheirregularperiods,theyeithercomeseveraldaystooearly,sometimesevery
threeweeks,oreveneveryfortnight. 5

(1Oftenfor,years,yea,formanyyears.Themaleandthefemalegenitalpartscannotthenbeexcitedto
anyagreeableorvoluptuoussensationthebodyofthemalepenishangsdownrelaxed,isthinnerthanthe
glans penis, which feels cold and isof a bluish orwhite color; inthe female parts the labia are not
excitable,theyarerelaxedandsmall;thevaginaalmostnumbandinsensible,andusuallydry;sometimes
thereisafallingoutofthehairofthepudenda,orentirebarenessofthefemalegenitalparts.)
(2MetromaniaandNymphomaniaareofthesameorigin.)
(3Toofrequentcoitionfromimpotentlasciviousness,withtoosuddenapassingoffofimmature,watery
semen,orlackoferection,orlackoftheissueofsemen,orlackofsexualdesiremensestoocopious,ora
constantflowofbloodwatery,scantyordeficientmenses;copiousdischargeofmucusfromthevagina
(leucorrhoea),induratedovaries,thebreastshaveeitherdwindleddownorbecomeknotty;insensibility,or
merelypainfulsensibilityofthegenitalorgans,aremerelytheproximateusualsymptomsofsterilityor
impotencewiththeonesexortheother.)
(4Consequentsallowpalenessandtumefactionoftheface,heavinessofthelimbs,swellingofthefeet,
chilliness,weariness,asthma(chlorosis),etc.
(5Themensesrarelycomeseveraldaystoolate,andflowthenintoogreatabundance,withprostrating
wearinessandmanyotherailments.
(P65)
Themensesflowonlyoneday,onlyafewhours,orinimperceptiblysmallquantities.
Themensesflowforfive,six,eightandmoredays,butonlyintermittently,alittlefloweverysix,twelve,
twentyfourhours,andthentheyceaseforhalforwholedays,beforemoreisdischarged.

Themensesflowtoostrongly,forweeks,orreturnalmostdaily(bloodyflux). 1
Mensesofwaterybloodorofbrownclotsofblood.
Mensesofveryfetidblood.
Menses accompanied with many ailments, swoons or (mostly stitching) headaches, or contractive,
spasmodic,cuttingpainsintheabdomenandinthesmalloftheback;sheisobligedtoliedown,vomit,
etc.
Polypiinthevagina.
Leucorrhoeafromthevagina,oneorseveraldaysbefore,orsoonafter,themonthlyflowofblood,or
duringthewholetimefromtheonemenstrualdischargetotheother,withadiminutionofthemenses,or
continuingsolelyinsteadofthemenses;theflowislikemilk,orlikewhite,oryellowmucus,orlikeacrid,
orsometimeslikefetid,water.2
Prematurebirths.
(1Oftenfollowedbyswellingoftheface,ofthehandsandfeet,painfulinthebreastandtheabdomen,
innumerableailmentsfromnervousdebility,excessivesensitiveness,aswellingeneral,asofparticular
sensoryorgans,etc.,andbeforetheappearanceoftheflow,anxiousdreams,frequentawakeningswitha
rushofbloodtothehead,palpitation.,restlessness,etc. Withamoreviolentflowofbloodfromthe
uterus,thereareoftencuttingpainsintheonesideoftheabdomenandinthegroin;thecuttingpain
sometimesdescendsintotherectumandintothethigh;thenshefrequentlycannoturinate,orsitdown,on
accountofherpains;afterthesepainstheabdomenachesasifitwerefestering.)
(2 Leucorrhoea, especially the more malignant kind, isaccompanied by an innumerable multitude of
ailments. Not to mention the lesser ones (such as the itching of the pudenda and the vagina, with
excoriation on the outside of the pudenda and the adjacent part of the thigh, especially in walking),
hystericalstatesofallkindsfollowthemoreseverecasesofthistroublesomeflux,asalsodisturbancesof
themindandspirit,melancholy,insanity,epilepsy,etc.Oftenitcomesintheformofanattack,andthenit
isprecededbyadiggingintheonesideoftheabdomen,orbyburninginthestomach,inthelower
abdomen,inthevagina,orstitchesinthevaginaandinthemouthoftheuterus,oraconstrictivepainin
theuterusandpressuretowardthevaginaasifeverythingwereabouttofallout,alsoattimesmostkeen
painsinthesmalloftheback;theflatusisobstructed,causingpain,etc.Hasthesocalleduterinecancer
anyotheroriginthanthis(psora)malady?
(P66)
During pregnanciesgreat weariness, nausea,frequent vomiting, swoons, painful varicose veins onthe
thighsandthelegs,andalsoattimesonthelabia,hystericailmentsofvariouskinds,etc.
Coryzaatonce,whenevershecomesintotheopenair;thenusuallyastuffedcoryzawhileinherroom.
Drycoryzaandastuffednoseoften,oralmostconstantly,alsosometimeswithintermissions.
Fluentcoryzaattheleasttakingofcold,thereforemostlyintheinclementseasonandwhenitiswet.
Fluentcoryza,veryoften,oralmostconstantly,alsoinsomecasesuninterruptedly.
Hecannottakecold,eventhoughtherehavebeenstrongpremonitorysymptomsofit,simultaneouslywith
othergreatailmentsfromtheitchmalady.
Hoarseness,aftertheleastamountofspeaking;shemustvomitinordertoclearhervoice.
Hoarseness,alsosometimesaphony(shecannotspeakloudbutmustwhisper),afteraslightcold.
Constanthoarsenessandaphonyforyears;hecannotspeakaloudword.
Suppurationofthelarynxandthebronchia(laryngobronchialphthisis). 1
Hoarsenessandcatarrhveryoften,oralmostconstantly;hischestiscontinuallyaffected.
Cough;frequentirritationandcrawlinginthethroat;thecoughtormentshim,untilperspirationbreaksout
onhisface(andonhishands).
Cough,whichdoesnotabateuntilthereisretchingandvomiting,mostlyinthemorningorintheevening.
Cough,whichterminateseverytimewithsneezing.
Cough,mostlyintheeveningafterlyingdownandwhenevertheheadlieslow.
Cough,wakingthepatientupafterthefirstbriefsleep.

Cough,especiallyinthenight.
Cough,worstafterawakinginthemorning.
Cough,worstaftereating.
Cough,atonce,witheverydeepbreath.
Cough,causingasensationofsorenessinthechest,orattimesstitchesinthesideofthechestorthe
abdomen.
Drycough.
(1Inflammationofthelarynx(croup)cannottakeplacewithanychildthatisfreefromlatentpsoraorhas
beenmadefreefromitbytreatment.)
(P67)
Cough,withyellowexpectorationresemblingpus,withorwithoutspittingofblood. 1
Cough,withexcessiveexpectorationofmucusandsinkingofstrength(mucousphthisis).
Attacksofwhoopingcough.2
Violent, at timesunbearable stitchesinthechest at everybreath; cough impossiblefor pain; without
inflammatoryfever(spuriouspleurisy).
Paininthechestonwalking,asifthechestwasabouttoburst.
Pressivepaininthechest,atdeepbreathingoratsneezing.
Oftenaslightlyconstrictivepaininthechest,which,whenitdoesnotquicklypass,causesthedeepest
dejection.3
Burningpaininthechest.
Frequentstitchesinthechest,withorwithoutcough.
Violentstitchesintheside;withgreatheatofthebody,itisalmostimpossibletobreathe,onaccountof
stitchesinthechestwithhaemoptysisandheadache;heisconfinedtohisbed.
Nightmare;heusuallysuddenlyawakesatnightfromafrightfuldream,butcannotmove,norcall,nor
speak,andwhenheendeavorstomove,hesuffersintolerablepains,asifhewerebeingtorntopieces. 4
Obstructionofthebreath,withstitchingpainsinthechestattheslightestamountofwalking; 5hecannot
goastepfarther(anginapectoris).
Asthma,merelywhenmovingthearms,notwhilewalking.
Attacksofsuffocationespeciallyaftermidnight;thepatienthastositup,sometimeshehastoleavehis
bed,standstoopingforward,leaningonhishands;hehastoopenthewindows,orgooutintotheopenair,
etc.;hehaspalpitations;thesearefollowedbyeructationsoryawning,andthespasmterminateswithor
withoutcoughingandexpectoration.
(1 Suppurativepulmonaryphthisishasprobablyseldomanyothercausethanthismalady,evenwhenit
seemsasifthefumesofquicksilverorarsenichadcausedit;atleastmostofthesecasesofsuppurative
phthisis originate in pneumonias mismanaged with bloodletting, and this disease may always be
consideredasthemanifestationoflatentPsora.)
(2Sheissuddenlycompelledtocough,butcannotdoso,asherbreathfailsher,eventosuffocation,witha
darkred,bloatedface;usuallytheoesophagusisthenalsoconstricted,sothatnotadropofwaterwill
pass;aftereightortenminutes,therefolloweructationsfromthestomach,andthespasmterminates.)
(3Usuallytheattackslastfromeveningtomorning,thewholenight.)
(4Suchattacks,insomecases,alsooccurseveraltimesinonenight,especiallywhenhehasnotbeenout
intheopenairduringtheday.)
(5especiallywhenascendingaheight.)

(P68)
Palpitationwithanxiety,especiallyatnight.
Asthma,loud,difficult,attimesalsosibilantrespiration.
Shortnessofbreath.
Asthma,onmoving,withorwithoutcough.
Asthma,mostlywhilesittingdown.
Asthma,spasmodic;whenshecomesintotheopenairittakesherbreath.
Asthma,inattacks,lastingseveralweeks.
Dwindlingofthebreasts,orexcessiveenlargementofthesame,withretrocedingnipples.
Erysipelasononeofthebreasts(especiallywhilenursing).
Ahard,enlargingandinduratingglandwithlancinatingpainsinoneofthemammae. 1
Itching,alsomoistandscalyeruptionsaroundthenipples.
Inthesmalloftheback,inthebackandinthenapeoftheneck,drawing(tearing),tensivepains.
Lancinating,cutting,painfulstiffnessofthenapeoftheneck;ofthesmalloftheback.
Pressivepainbetweentheshoulderblades.
Sensationofpressureupontheshoulders.
Inthelimbs,drawing(tearing),tensivepains,partlyinthemusclesandpartlyinthejoints(rheumatism).
Intheperiosteum,hereandthere,especiallyintheperiosteumofthelongbones,pressiveandpressive
drawingpains.2
Stitchingpainsinthefingersortoes. 3
Stitchesintheheelsandsolesofthefeetwhilestanding.
Burninginthesolesofthefeet.4
Inthejointsasortoftearing,likescrapingonthebone,withred,hotswellingwhichispainfullysensitive
tothetouchandtotheair,withunbearablysensitive,peevishdisposition(gout,podagra,
chiragra,goutintheknees,etc.).5
Thejointsofthefingers,swollenwithpressivepains,painfulwhentouchingandbendingthem.
(1 Isitprobablethatthedifferentvarietiesofcancerofthebreasthaveanyotheroriginthanthispsora
malady?)
(2Thesespotsthenalsopainonbeingtouched,asiftheywerebruisedorsore.)
(3Inworse,chroniccases,thisisaggravatedintoacuttingpain.)
(4Especiallyatnightunderafeatherbed.)
(5Thepainsareeitherworseindaytime,oratnight.Aftereveryattack,andwhentheinflammationis
past,thejointsofthehandarepainful,asalsothoseoftheknee,thefoot,thoseofthebigtoewhenmoved,
whenhestandsup,etc.,theyfeelintolerablybenumbedandthelimbisweakened.)
(P69)
Thickeningofthejoints;theyremainhardswollen,andthereispainonbendingthem.
Thejoints,asitwere,stiff,.withpainful,difficultmotion,theligamentsseemtooshort. 1
Joints,painfulonmotion.2
Jointscrackonmoving,ortheymakeasnappingnoise.
Thejointsareeasilysprainedorstrained. 3
Increasingdispositiontostrainsandtooverliftoneselfevenataveryslightexertionofthemuscles,even
inslightmechanicalwork,inreachingoutorstretchingforsomethinghighup,inliftingthingsthatarenot
heavyinquickturnsofthebody,pushing,etc. Suchatensionorstretchingofthemusclesoftenthen

occasionslongconfinementtothebed,swoons,allgradesofhystericaltroubles, 4fever,haemoptysis,etc.,
whilepersonswhoarenotpsoricliftsuchburdensastheirmusclesareableto,withouttheslightestafter
effects.5
Thejointsareeasilysprainedatanyfalsemovement. 6
Inthejoint,ofthefootthereispainontreading,asifitwouldbreak.
Softeningofthebones,curvatureofthespine(deformity,hunchback),curvatureofthelongbonesofthe
thighsandlegs(morbusanglicus,rickets).
Fragilityofthebones.
Painfulsensitivenessoftheskin,themusclesandoftheperiosteumonamoderatepressure. 7
(1 E.g.,thetendoAchillisonstandingerect,stiffnessofthetarsus,oftheknees,eithertransient(after
sitting,whenrising),orpermanent(contraction.)
(2E.g.,theshoulderjointonraisingthearm;thetarsuspainsontreadingasifitwasabouttobreak.)
(3E.g.,thetarsus,thewristjoint,thejointofthethumb.)
(4Oftenalso,atoncesevereheadacheinthecrownofthehead,whichisthenalsopainfulexternallywhen
touched,orsuddenlyapaininthesmalloftheback,orpainintheuterus,notunfrequentlystitchesinthe
sideofthebreast,orbetweentheshoulderblades,whichchecktherespiration,orpainfulstiffnessofthe
neckorspine,frequentaudibleeructations,etc.)
(5Thecommonpeople,especiallyinthecountry,seekalleviationthroughasortofmesmericstroking,but
withoutlastingeffects;thetendencytooverliftingneverthelessremains. Itisusuallywoman(calleda
strokingwoman)who makes withthetipsofherthumbs passesover theshoulder blades towardthe
shouldersoralongthespine,sometimesalsofromthepitofthestomachalongbelowtheribs,onlythey
usuallyexerttoostronga.pressurewhilestroking.)
(6E.g..theankleatafalsestep,soalsotheshoulderjoint.Ofthiskindisalsothegradualluxationofthe
hipjoint(i.e.,oftheheadofthefemurfromtheacetabulum,whenthelegthenbecomestoolong,ortoo
shortcausinglimping).
(7Aswhenhemoderatelystrikesagainstsomething,itbecomesverypainfulandforalongtime;theparts
onwhichheliesinbedareverypainful,whereforehefrequentlyturnsoveratnight,,theposteriormuscles
ofthethighandtheboneonwhichshesitsarequitesore;aslightstrokewiththehandonthethighscauses
greatpain.Aslightknockagainstahardobjectleavesbluemarks,suffusionofblood.)
(P70)
Intolerable1painintheskin(orinthemuscles,orintheperiosteum)ofsomepartofthebodyfromaslight
movementofthesameorofamoredistantpart;e.g.,fromwritingtherearisesapainintheshoulderorin
thesideoftheneck,etc.,whilesawingorperformingotherhardlaborwiththesamehandcausesnopain;
asimilarpainintheadjacentparts,fromspeakingandmovingthemouth;paininthelipsandintheback
ataslighttouch.
Numbnessoftheskinorofthemusclesofcertainpartsandlimbs. 2
Dyingoffofcertainfingersorofthehandsorfeet. 3
Crawlingoralsopricklingformication(asfromthelimbsgoingtosleep)inthearms,inthelegsandin
otherparts(eveninthefingertips).
Acrawling,orwhirling,oraninternallyitchingrestlessness,especiallyinthelowerlimbs(intheevening
inbedorearlyonawaking);theymustbebroughtintoanotherpositioneverymoment.
Painfulsensationofcoldinvariousparts.
Burningpainsinvariousparts(frequentlywithoutanychangeintheusualexternalbodilytemperature).

Coldness,repeatedorconstantofthewholebody,oroftheonesideofthebody;soalsoofsingleparts,
coldhands,coldfeetwhichfrequentlywillnotgetwarminbed.
Chilliness,constant,evenwithoutanychangeintheexternalbodilytemperature.
Frequentflushesofheat,especiallyintheface,morefrequentlywithrednessthanwithout;sudden,violent
sensation of heat during rest, or in slight motion, sometimes even from speaking, with or without
perspirationbreakingout.
Warmairintheroomoratchurchisexceedinglyrepugnanttoher,makesherrestless,causeshertomove
about(attimeswithapressureinthehead,overtheeyes,notinfrequentlyalleviatedby
epistaxis).
(1Ofincrediblevariety.Oftenburning,jerking,lancinating,butoftenalsoindescribable,arethesepains
whichcommunicateasimilarintolerableexcessivesensitivenesstothemind. Thesepainsthusaffect
chieflytheupperpartsofthebody,ortheface(ticdouloureux),ortheskinoftheneck,etc.,atevena
gentletouch,inspeakingandchewing,intheshoulderata,slightpressure,ormovementofthefinger.)
(2Thesenseoftouchislacking;thepartsfeelhardandtumid,eitherperiodicallyorpermanently(constant
insensibility).
(3 Thelimbthanbecomeswhite,bloodless,withoutfeelingandquitecold,oftenforhours,especially
whileitiscool(strokingwithapieceofzinctowardthetipsthefingersorthetoesusuallydrivesitaway
quickly,butonlyasapalliative.)
(P71)
Rushesofblood,alsoattimesasensationofthrobbinginallthearteries(whileheoftenlooksquitepale,
withafeelingofprostrationthroughoutthebody).
Rushofbloodtothehead.
Rushofbloodtothechest.
Varices,varicoseveinsinthelowerlimbs(varicesonthepudenda),alsoonthearms(evenwithmen),
oftenwithtearingpainsinthem(duringstorms),orwithitchinginthevarices. 1
Erysipelas,partlyintheface(withfever),partlyonthelimbs,onthebreastwhilenursing,especiallyina
soreplace(withapricklingandburningpain).
Whitlow,paronychia(sorefinger,withfesteringskin).
Chilblains(evenwhenitisnotwinter)onthetoesandfingers,itching,burningandlancinatingpains.
Corns,whichevenwithoutexternalpressurecauseburning,lancinatingpains.
Boils(furuncles),returningfromtimetotime,especiallyonthenates,thethighs,theupperarmsandthe
body.Touchingthemcausesfinestitchesinthem.
Ulcersonthethighs,especially,alsoupontheanklesandabovethemandonthelowerpartofthecalves,
withitching,gnawing,ticklingaroundtheborders,andagnawingpainasfromsaltonthebaseoftheulcer
itself;thepartssurroundingareofbrownandbluishcolor,withvaricesneartheulcers,which,during
stormsandrains,oftencausetearingpains,especiallyatnight,oftenaccompaniedwitherysipelasafter
vexationorfright,orattendedwithcrampsinthecalves.
Tumefactionandsuppurationofthehumerus,thefemur,thepatella,alsoofthebonesofthefingersand
toes(spinaventosa).
Thickeningandstiffeningofthejoints.
Eruptions,eitherarisingfromtimetotimeandpassingawayagain;somevoluptuouslyitchingpustules,
especiallyonthefingersorotherparts,which,afterscratching,burnandhavethegreatestsimilaritytothe
originalitcheruption;ornettlerash,likestingsandwaterblisters,mostlywithburningpain;orpimples
withoutpainintheface,thechest,theback,thearmsandthethighs;orherpesinfinemiliarygrains,
closely pressed together into round, larger or smaller spots of mostly reddish color, sometimes dry,
sometimesmoist,withitching,similartotheeruptionofitchandwithburningafterrubbingthem.They
continuallyextendfurthertothecircumferencewithredness,whilethemiddleseemstobecomefreefrom

theeruptionandcoveredwithsmooth,shiningskin(herpescircinatus).Themoistherpesonthelegsare
called saltrheum; or crusts raised above thesurrounding skin, round inform, with deepred painless
borders,withfrequentviolentstitchesonthepartsoftheskinnotyetaffected;orsmall,roundspotson
theskin,coveredwithbranlike,dryscales,whichoftenpeeloffandareagainrenewedwithoutsensation;
orredspotsoftheskin,whichfeeldry,withburningpain;somewhatraisedabovetherestoftheskin.
(1Theswellingsofthearteries(aneurismata)seemtohavenootheroriginthaninthepsora.)
(P72)
Freckles,smallandround,brownorbrownishspotsintheface,onthehandsandonthechest,without
sensation.
Liverspots,large brownish spotswhich oftencover whole limbs,thearms, the neck, thechest, etc.,
withoutsensationorwithitching.
Yellownessoftheskin,yellowspotsofalikenaturearoundtheeyes,themouth,ontheneck,etc.,without
sensibility.1
Wartsontheface,thelowerarm,thehands,etc. 2
Encysted tumors in the skin, the cellular tissue beneath it, or in the bursae mucosae of the tendons
(exostosis),ofvariousformsandsizes,coldwithoutsensibility. 3
Glandularswellingsaroundtheneck,inthegroin,inthebendofthejoints,thebendoftheelbow,ofthe
knee,intheaxillae,4alsointhebreasts.
Drynessofthe(scarf)skineitheronthewholebodywithinabilitytoperspirethroughmotionandheat,or
onlyinsomeparts.5
(1Afterridinginacarriage,yellownessoftheskincomesonmostquickly,ifitisnotyetconstantbutonly
occasional.)
(2Especiallyinyouth.Manyremainonlyashorttimeandpassawaytogiveplacetoanothersymptomof
psora.)
(3 The fungus hematodes, which has lately become such a dreadful plague, has, according to the
conclusionsIamcompelledtodrawfromseveralcases,noothersourcethanpsora.)
(4Attimestheypassover,afterlancinatingpains,intoasortofchronicsuppuration,inwhich,however,
insteadofpus,onlyacolorlessmucusissecreted.)
(5Especiallyonthehands,theoutersideofthearmsandlegs,andevenintheface;theskinisdry,rough,
parched,feelschapped,andoftenhasscaleslikebran.)
(P73)
HAHNEMANNSCHRONICDISEAS]ES.73
Disagreeablesensationofdrynessoverthewholebody(alsointheface,aroundandinthemouth,inthe
throat,orinthenose,althoughthebreathpassesfreelythroughit).
Perspirationcomestooeasilyfromslightmotion;evenwhilesitting,heisattackedwithperspirationall
over,ormerelyonsomeparts;e.g.,almostconstantperspirationofthehandsandfeet, 1 soalso,strong
perspirationintheaxillae2andaroundthepudenda.
Dailymorningsweats,oftencausingthepatienttodrip,thisformanyyears,oftenwithsourorpungent
soursmell.3
Onesidedperspiration,onlyononesideofthebody,oronlyon,theupperpartofthebody,oronlyonthe

lowerpart.
Increasingsusceptibilitytocoldseitherofthewholebody(oftenevenfromrepeatedlywettingthehands,
nowwithwarmwater,thenwithcold,asinwashingclothes),oronlysusceptibilityofcertainpartsofthe
body,ofthehead,theneck,thechest,theabdomen,thefeet,etc.,ofteninamoderateorslightdraught,or
afterslightlymoisteningtheseparts; 4evenfrombeinginacoolerroom,inarainyatmosphere,orwitha
lowbarometer.
Socalledweatherprophets;i.e.,renewedseverepainsinpartsofthebodywhichwereformerlyinjured,
wounded,orbroken,thoughtheyhavesincebeenhealedandcicatrized;thisrenewedpainsetsin,when
greatchangesoftheweather,greatcold,orastormareimminent,orwhenathunderstormisintheair.
Wateryswelling,eitherofthefeetalone,orinonefoot,orinthehands,ortheface,ortheabdomen,orthe
scrotum,etc.,alone,oragaincutaneousswellingoverthewholebody(dropsies).
Attacksofsuddenheavinessofthearmsorlegs.
Attacksofparalyticweaknessandparalyticlassitudeoftheonearm,theonehand,theoneleg,without
pain,eitherarisingsuddenlyandpassingquickly,orcommencinggraduallyandconstantlyincreasing.
(1Thelatterisusuallyveryfetidandsoabundantthat,afterevenashortwalk,thesolesofthefeet,the
heelsandtoesaresoakedandsore.)
(2Notinfrequentlyofredcolororofaranksmalllikethatofhegoatsorthatofgarlic.)
(3Herebelongstheperspirationofpsoricchildrenontheirheadaftergoingtosleepintheevening.)
(4Theailmentsfollowingfromit,immediatelyafterwards,arethenconsiderableandmanifold:Painsin
thelimbs,headaches,catarrh,sorethroat,andinflammationofthethroat,coryza,swellingoftheglandsof
theneck,hoarsenesscough,dyspnoea,stitchesinthechest,fever,troublesofdigestion,colic,vomiting,
diarrhoea, stomachache, rising of water from the stomach, also stitches in the face and other parts,
jaundicelikecoloroftheskin,etc.Nopersonwhoisnotpsoriceversufferstheleastaftereffectsfrom
suchcauses.)
(P74)
Suddenbendingoftheknees.
Childrenfalleasily,withoutanyvisiblecause.Alsosimilarattacksofweaknesswithadultsinthelegs,so
thatinwalkingonefootglidesthiswayandtheotherthatway,etc.
Whilewalkingintheopenairsuddenattacksoffaintness,especiallyinthelegs. 1
Whilesitting,thepatientfeelsintolerablyweary,butstrongerwhilewalking.
Thepredispositiontosprainingandstrainingthejointsatamisstep,orawronggrasp,increasesattimes
eventodislocation;e.g.,inthetarsus,theshoulderjoint,etc.
Thesnappingandcrackingofthejointsatanymotionofthelimbincreaseswithadisagreeablesensation.
Thegoingtosleepofthelimbsincreasesandfollowsonslightcauses;e.g.,insupportingtheheadwiththe
arm,crossingthelegswhilesitting,etc.
Thepainfulcrampsinsomeofthemusclesincreaseandcomeonwithoutappreciablecause.
Slow,spasmodicstrainingoftheflexormusclesofthelimbs.
Suddenjerksofsomemusclesandlimbsevenwhilewaking;e.g.,ofthetongue,thelips,themusclesof
theface,ofthepharynx,oftheeyes,ofthejaws,ofthehandsandofthefeet.
Tonicshorteningoftheflexormuscles(tetanus).
Involuntaryturningandtwistingofthehead,orthelimbs,withfullconsciousness(St.Vitusdance).
Suddenfaintingspellsandsinkingofthestrength,withlossofconsciousness.
Attacks of tremor inthe limbs, without anxiety. Continuous, constant trembling, also insome cases
beatingwiththehands,thearms,thelegs.
Attacksoflossofconsciousness,lastingamomentoraminute,withaninclinationoftheheadtotheone
shoulder,withorwithoutjerksofonepartortheother.
Epilepsiesofvariouskinds.
Almostconstantyawning,stretchingandstrainingofthelimbs.

Sleepinessduringtheday,oftenimmediatelyaftersittingdown,especiallyaftermeals.
Difficultyinfallingasleep,whenabedintheevening;heoftenliesawakeforhours.
(1Attimesthefeelingoffaintnessseemstoriseupeventothescrobiculuscordis,whereitturnsintoa
ravenous hunger, which suddenly deprives him of all strength; he is attacked with tremor and has
immediatelytoliedownforawhile.)
(P75)
Hepassesthenightsinamereslumber.
Sleeplessness,fromanxiousheat,everynight,ananxietywhichsometimesrisessohigh,thathemustget
upfromhisbedandwalkabout.
Afterthreeoclockinthemorning,nosleep,oratleastnosoundsleep.
Assoonashecloseshiseyes,allmanneroffantasticappearancesanddistortedfacesappear.
Ingoingtosleep,sheisdisquietedbystrange,anxiousfancies;shehastogetupandwalkabout.
Veryvividdreams,asifawake;orsad,frightful,anxious,vexing,lasciviousdreams.
Loudtalking,screaming;duringsleep.
Somnambulism;herisesupatnight,whilesleepingwithclosedeyes,andattendstovariousduties;he
performsevendangerousfeatswithease,withoutknowinganythingaboutthemwhenawake.
Attacksofsuffocationwhilesleeping(nightmare).
Varioussortsofseverepainsatnight,ornocturnalthirst,drynessofthethroat,ofthemonth,orfrequent
urinatingatnight.
Earlyonawaking,dizzy,indolent,unfreshed,asifhehadnotdonesleepingandmoretiredthaninthe
evening,whenhelaydown;ittakeshimseveralhours(andonlyafterrising)beforehecanrecoverfrom
thisweariness.
Afteraveryrestlessnight,heoftenhasmorestrengthinthemorning,thanafteraquiet,soundsleep.
Intermittentfever,evenwhentherearenocasesabout,eithersporadicorepideinic, 1orendemic;theform,
durationandtypeofthefeverareveryvarious;quotidian,tertian,quartan,quintanoreverysevendays.
Everyevening,chillswithbluenails.
Everyevening,singlechills.
Everyevening,heat,witharushofbloodtothehead,withredcheeks,alsoattimesaninterveningchill.
Intermittentfeverofseveralweeksduration,followedbyamoistitchingeruptionlastingseveralweeks,
butwhichishealedagainduringalikeperiodofintermittentfever,andalternatingthusfor
years.
Disturbancesofthemindandspiritofallkinds. 2
(1Epidemicintermittentfeversprobablyneverseizeamanwhoisfreefrompsora,sothatwhereverthere
isasusceptibilitytothem,itistobeaccountedasymptomofpsora.)
(2Ihavenevereitherinmypractice,norinanyinsaneasylum,seenapatientsufferingfrommelancholy,
insanity,orfrenzywhosediseasedidnothavePsoraasitsfoundation,complicatedattimes,however,
thoughrarely,withsyphilis.)
(P76)
Melancholybyitself,orwithinsanity,alsoattimesalternatingwithfrenzyandhoursofrationality.
Anxiousoppression,earlyonawaking.
Anxiousoppressionintheeveningaftergoingtobed.1
Anxiety,severaltimesaday(withandwithoutpains),oratcertainhoursofthedayorofthenight;usually
thepatientthenfindsnorest,buthastorunhitherandthither,andoftenfallsintoperspiration.
Melancholy,palpitationandanxiousnesscausesheratnighttowakeupfromsleep(mostlyjustbeforethe
beginningofthemenses).

Mariaofselfdestruction2(spleen?).
Aweepingmood;theyoftenweepforhourswithoutknowingacauseforit. 3
Attacksoffear;e.g.,fearoffire,ofbeingalone,ofapoplexy,ofbecominginsane,etc.
(1Thiscausessomepatientstobreakoutintoastrongperspiration;othersfeelfromitmerelyflushesof
bloodandthrobbinginallthearteries;withothers,theanxiousoppressiontendstoconstrictthethroat,
threateningsuffocationifallthebloodintheirarterieswerestandingstill,causinganguish.Withothers,
thisoppressionisassociatedwithanxiousimagesandthoughts,andseemstorisefromthem,whilewith
others,thereisoppressionwithoutanxiousideasandthoughts.)
(2Thiskindofdiseaseofthemindorspirit,whichisalsomerelypsoric,seemsnottohavebeentakeninto
consideration. Without feeling any anxiety, or anxious thoughts, therefore also, without any ones
perceivingsuchanxietyinthem,apparentlyinthefullexerciseoftheirreason,theyareimpelled,urged,
yea,compelledbyacertainfeelingofnecessity,toselfdestruction.Theyareonlyhealedbyacureofthe
Psora,iftheirutterancesarenoticedintime.Isayintime,forinthelaststagesofthiskindofinsanityitis
peculiarlycharacteristicofthisdisease,nottoutteranythingaboutsuchadeterminationtoanyone.This
frenzymanifestsitselfinfitsofonehalforofwholehours,usuallyintheenddaily,oftenatcertaintimes
oftheday. Butbesidesthesefitsofdestructivemania,suchpersonshaveusuallyalsofitsofanxious
oppression, which seem, however, to be independent of the former fits, and come at other hours,
accompaniedpartlywithpulsationinthepitofthestomach,butduringthesetheyarenottormentedwith
thedesireoftakingtheirownlife.Theseattacksofanxietywhichseemtobemoreofabodilynature,and
arenotconnectedwiththeothertrainofthoughts,mayalsobelacking,whilethefitsofsuicidalmaniarule
inahighdegree;theymayalsoreturn,whenthatmaniaisinagreatpartextinguishedthroughtheanti
psoric remedies, sothat the two seem tobe independent of one another, though they have the same
originalmaladyfortheirfoundation.)
(3Thisisasymptom,however,whichseemstobecausedbythediseasedstate,especiallyofthefemale
sex,inordertosoothetemporarilymoreandgreaternervousdisorders.)
(P77)
Attacksofpassion,resemblingfrenzy.
Frightcausedbythemeresttrifles;thisoftencausesperspirationandtrembling.
Disinclinationtowork,inpersonswhoelsearemostindustrious;noimpulsetooccupyhimself,butrather
themostdecidedrepugnancethereto.1
Excessivesensitiveness. 2
Irritabilityfromweakness.3
Quickchangeofmoods;oftenverymerryandexuberantlyso,oftenagainand,indeed,verysuddenly,
dejection; e.g., on account of his disease, or from other trifling causes. Sudden transition from
cheerfulnesstosadness,orvexationwithoutacause.
Thesearesomeoftheleadingsymptomsobservedbyme,which,iftheyareoftenrepeated,orbecome
constant,showthattheinternalPsoraiscoiningforthfromitslatentstate.Theyareatthesametimethe
elements, from which (under unfavorable external conditions) the itchmalady, as it manifests itself,
composes the illimitable number of chronic diseases, and with one man assumes the one form, with
anotheranother,accordingtothebodilyconstitution,defectsintheeducation,habits,employmentand
external circumstances, as also modified by the various psychical and physical impressions. It thus
unfoldsintomanifoldformsofdisease,withsomanyvarieties,thattheyarebynomeansexhaustedbythe
diseasesymptomsenumeratedinthepathologyoftheoldschool,anderroneouslydesignatedthereas
welldefined,constantandpeculiardiseases.*
(1Suchaperson,whenshedesiredtobeginoneofherdomesticoccupations,wasseizedwithanxietyand
oppression;herlimbstrembled,andshebecamesuddenlysoweary,shehadtoliedown.)

(2Allphysicalandpsychicalimpressions,eventheweakerandtheweakest,causeamorbidexcitement,
ofteninahighdegree.Occurrencesaffectingthemind,notonlysuchasareofasadandvexatiouskind,
butalsothoseofajoyouskind,causesurprisingailmentsanddisorders;touchingtales,yea,eventhinking
ofthemandrecallingthem,causeatumultuousexcitementofthenerves,anddrivetheanxietyintothe
head,etc. Evenalittlereadingaboutindifferentthings,orlookingattentivelyatanobject;e.g.,while
sewing,attentivelylisteningeventoindifferentthings,toobrightalight,theloudtalkingofseveralpeople
atthesametime,evensingletonesonamusical instrument,theringingofbells,etc.,causeharmful
impressions: trembling, weariness, headache, chills, etc. Often the senses of smell and of taste are
immoderatelysensitive.Inmanycasesevenmoderatebodilymotion,orspeaking,alsowarmth,cold,open
air,wettingtheskinwithwater,etc. Notafewsufferevenintheirroomfromasuddenchangeofthe
weather,whilemostofthesepatientscomplainduringstormywetweather,fewofdryweatherwithaclear
sky.Thefullmoonalsowithsomepersonsandthenewmoonwithother,hasanunfavorableerect.)
(*They bear the following names: Scrofula, rickets, spina ventosa, atrophy, marasmus, consumption,
pulmonary consumption, asthma, tabes mucosa, laryngeal phthisis, chronic catarrh, constant coryza,
difficultdentition,wormsandconsequentdiseases,dyspepsia,abdominalcramps,hypochondria,hysteria,
dropsy, dropsy of the abdomen, dropsy of the ovaries, of the uterus, hydrocele, hydrocephalus,
amenorrhoea, dysmenorrhoea, uterine haemorrhages, hematemesis, haemoptysis and haemorrhages,
vaginalhaemorrhages,dysuria,ischuria,enuresis,diabetes,catarrhofthebladder,hematuria,nephralgia,
gravelofthekidneys,strictureoftheurethra,strictureoftheintestines,blindandrunningpiles,fistulaof
therectum,difficult stools,constipation,chronicdiarrhoea,indurationoftheliver,jaundice, cyanosis,
heart diseases, palpitation, spasms of the chest, dropsy of the chest, abortion, sterility, metromania,
impotence,indurationofthetesticles,dwindlingofthetesticles,prolapsusuteri,inversionofthewomb,
inguinal,femoralandumbilicalhernias,dislocationsofthejointsfromaninternalcause,curvatureofthe
spine,chronicinflammationsoftheeyes,fistulalachrymalis,shortsightednessandlongsightedness,day
blindness and night blindness, obscuration of the cornea, cataracts, glaucoma, amaurosis, deafness,
deficientsmellortaste,chroniconesidedheadache,megrim,ticdouloureaux,tineacapitis,scab,crusta
lactea, tetters (herpes), pimples, nettlerash, encysted tumors, goitre, varices, aneurism, erysipelas,
sarcomas, ostecsarcoina, scirrhus, cancer of the lips, cheeks, breast, uterus, fungus nematodes,
rheumatism, gout in the hips, knotty gout, podagra, apoplectic fits, swoons, vertigo, paralysis,
contractions,tetanus,convulsions,epilepsy,St.Vitusdance,melancholy,insanity,imbecility,nervous
debility,etc.)
(P78)
These are the characteristic secondary symptoms,* of the longunacknowledged, thousandheaded
monster,pregnantwithdisease,thepsora,theoriginalmiasmaticmaladywhichnowmakesitsmanifest
appearance.
(*ThesupremeroyalcouncillorKopp,anAllopath,whoisunwillinglyandonlyhalfandhalfapproaching
Homoeopathy,pretendstohaveseenchronicdiseasesdisappearofthemselveshemayhaveseensome
particularsymptomsdisappear,whichsymptomstheoldschool,initsshortsightedfashion,considered,
withhimassomanyentirediseases!)
(Iwillgrantthatthedoctrine,thatallchronicnonvenerealdiseaseswhicharenotextinguishablebythe
vital force, in an orderly course of life, while external circumstances are favorable, but which even
increasewiththeyears,areofpsoricorigin,isforallwhohavenotfullyweighedmyreasonsandforall
narrowmindedpeople,toogreat,toooverwhelming.Butitisnonethelesstrue.Orshouldweregard
suchachronicdiseaseasnotbeingpsoric,becausethepatientcannotremember,thatheatsometime,all
thewaybacktohisbirth,hashadseveralormore(intolerablyvoluptuously)itchingpustulesofitchonhis
skin,or(sincetheitchdiseaseisconsideredassomethingdisgraceful)isnotwillingtoacknowledgeit?
Hisnonacknowledgmenthereprovesnothingtothecontrary.

Sinceatalltimes,alltheinnumerablechronicdiseasesresultingfromanacknowledgedprecedingitch
(whenthishasnotbeencured)areineradicablethroughthevitalforce,andadvanceintheirequablecourse
aspsoricailments,andarecontinuallyaggravated:solongasthedoubtersofthepsoradoctrinecannot
showmeanyothersourcewhichisatleastasprobablefora(nonveneric)ailment,which,despiteof
favorableexternalconditions,correctdiet,goodmoralityandvigorousbodilyconstitution,nevertheless
increaseseveryyear,withoutanyprecedinginfectionfromitchsofarasmemorygoes:solongIhaveon
mysideanoverpoweringanalogousprobability,i.e.,100to1,thatalsotheindividualcasesofchronic
disease,whichshowalikeprogression,probablyalsoare,yea,mustalsobeofapsoricnature,although
thepatientcannotorwillnotrememberaprecedinginfection.
(P79)
Itiseasytodoubtmatterswhichcannotbelaidbeforeourocularvision,butinitselfthisdoubtproves
nothingatall,foraccordingtotheoldruleoflogic:negantisestprobare.
Toprovethepsoricnatureofthesechronicdiseaseswithoutacknowledgedinfection,wedonotevenneed
thefactthattheantipsoricremediesproveeffectualtherein;thisservesonlyliketheprooftoacorrectly
solvedmathematicalproblem.
Nowsince,inaddition,theotherremedies,althoughalsoselectedaccordingtothesimilarityoftheir
symptoms,donotbyfaryieldsodurableandthoroughacureinsuchchronicdiseases,asthosewhichare
recognizedasantipsoric,andwhichareselectedinasHomoeopathicamanner,becausethesemorethan
theothersareadequatetothewholeextentoftheendlessnumberofsymptomsofthegreatpsoramalady:I
donotseewhymenwilldenytothelatterthetitleoftheespeciallyantipsoricremedies,unlessthis
springsfromdogmatism.
Andjustaslittleisthereanygoodreasonforcontradictingme,whenI(Organon,73,)explaintheacute
diseaseswhichreturnfromtimetotime;e.g.,inflammationsofthethroat,ofthechest,etc.,asflamingup
fromalatentpsora,simplybecausetheirinflammatorystate,astheysay,ismostlytobecombatedby
meansoftheantiphlogisticremedies,whicharenotantipsoric;i.e.,Aconite,Belladonna,Mercuryand
thelike.These,nevertheless,havetheirsourceinalatentpsora,becausetheircustomaryreturncannotbe
preventedbyanythingbutafinalcurewithantipsoricremedies.
(P82)

CureoftheChronicDiseases.
CURE.
We now proceed to the medical Homoeopathic treatment of the illimitably large number of chronic
diseases,which,aftertheabovegainedknowledgeoftheirthreefoldnature,hasnot,indeed,becomeeasy,
but what without this knowledge was before impossible has at last become Possible, since the
homoeopathicallyspecificremediesforeachoneofthesethreedifferentmiasmatahaveingreatpartbeen
discovered.
Thefirsttwomiasmata,whichcausebyfarthesmallerpartofthechronicdiseases,thevenerealchancre
disease(syphilis)andthefigwartdisease(sycosis),withtheirsequelae,wewilltreatfirst,inorderthatwe
may have a free path tothe therapeutics of the immeasurably greater number ofthe various chronic
diseaseswhichspringfromPsora.
(P84)

SYCOSIS.
First, then, concerning sycosis, as being that miasma which has produced by far the fewest chronic
diseases, and has only been dominant from time totime. This figwartdisease, which inlater times,
especiallyduringtheFrenchwar,intheyears18091814,wassowidelyspread,butwhichhassince
showeditselfmoreandmorerarely,wastreatedalmostalways,inaninefficientandinjuriousmanner,

internallywithmercury,becauseitwasconsideredhomogeneouswiththevenerealchancredisease;but
theexcrescencesonthegenitalsweretreatedbyAllopathicphysiciansalwaysinthemostviolentexternal
way by cauterizing, burning and cutting, or by ligatures. These excrescences usually first manifest
themselvesonthegenitals,andappearusually,butnotalways,attendedwithasortofgonorrhoea*from
theurethra,severaldaysorseveralweeks,evenmanyweeksafterinfectionthroughcoition;morerarely
theyappeardryandlikewarts,morefrequentlysoft,spongy,emittingaspecificallyfetidfluid(sweetish
andalmostlikeherringbrine),bleedingeasily,andintheformofacoxcomboracauliflower(brassica
botrytes).These,withmales,sproutforthontheglansandon,orbelow,theprepuce,butwithwomen,on
thepartssurroundingthepudenda;andthepudendathemselves,whicharethenswollen,arecoveredoften
byagreatnumberofthem.Whentheseareviolentlyremoved,thenatural,proximateeffectis,thatthey
willusuallycomeforthagain,usuallytobesubjectedagain,invain,toasimilar,painful,crueltreatment.
Buteveniftheycouldberootedoutinthisway,itwouldmerelyhavetheconsequence,thatthefigwart
disease,afterhavingbeendeprivedofthe,localsymptomwhichactsvicariouslyfortheinternalailment,
wouldappearinotherandmuchworseways,insecondaryailments;forthefigwartmiasm,whichinthe
wholeorganism,hasbeeninnowaydiminished,eitherbytheexternaldestructionoftheabovementioned
excrescences,orbythemercurywhichhasbeenusedinternally,andwhichisinnowayappropriateto
sycosis. Besidestheunderminingofthegeneralhealthbymercury,whichinthisdiseasecanonlydo
injury, and which is given mostly in very large doses and in the most active preparations, similar
excrescentthenbreakoutinotherpartsofthebody,eitherwhitish,spongy,sensitive,flatelevations,inthe
cavityofthemouthonthetongue,thepalateandthelips,oraslarge,raised,brownanddrytuberclesin
theaxillae,ontheneck,onthescalp,etc.,orthereariseotherailmentsofthebody,ofwhichIshallonly
mentionthecontractionofthetendonsoftheflexormuscles,especiallyofthefingers.
(*Usuallyingonorrhoeaofthiskind,thedischargeisfromthebeginningthickish,likepus;micturitionis
lessdifficult,butthebodyofthepenisswollensomewhathard;thepenisisalsoinsomecasescoveredon
thebackwithglandulartubercles,andverypainfultothetouch.)
(Themiasmoftheothercommongonorrhoeasseemsnottopenetratethewholeorganism,butonlyto
locallystimulatetheurinaryorgans.Theyyieldeithertoadoseofonedropoffreshparsleyjuice,when
thisisindicatedbyafrequenturgencytourinate,orasmalldoseofcannabis,ofcantharides,orofthe
copaivabalm,accordingtotheirdifferentconstitutionandtheotherailmentsattendingit.Theseshould,
however,bealwaysusedinthehigheranddynamizations(potencies),unlessapsora,slumberinginthe
bodyofthepatient,hasbeendevelopedbymeansofastronglyaffecting,irritatingorweakeningtreatment
byAllopathicphysicians. Insuchacasefrequentlysecondarygonorrhoeasremain,whichcanonlybe
curedbyanantipsorictreatment.)
(P84)
Thegonorrhoeadependentonthefigwartmiasma,aswellastheabovementionedexcrescences(i.e.,the
wholesycosis),arecuredmostsurelyandmostthoroughlythroughtheinternaluseofThuja,*which,in
thiscase,isHomoeopathic,inadoseofafewpilletsaslargeaspoppyseeds,moistenedwiththedilution
potentizedtothedecillionth degree,andwhenthesehaveexhaustedtheiractionafterfifteen,twenty,
thirty,fortydays,alternatingwithjustassmalladoseofnitricacid,dilutedtothedecillionthdegree,
whichmustbeallowedtoactaslongatime,inordertoremovethegonorrhoeaandtheexcrescences;i.e.,
thewholesycosis.Itisnotnecessarytouseanyexternalapplication,exceptinthemostinveterateand
difficultcases,whenthelargerfigwartsmaybemoistened.everydaywiththemild,purejuicepressed
fromthegreenleavesofThuja,mixedwithanequalquantityofalcohol.
Butifthepatientwasatthesametimeaffectedwithanotherchronicailment,asisusualaftertheviolent
treatmentoffigwartsbyAllopathicphysicians,thenweoftenfinddevelopedpsora**complicatedwith
sycosis,whenthepsora,asisoftenthecase,waslatentbeforeinthepatient. Attimes,whenabadly
treatedcaseofvenerealchancrediseasehadpreceded,boththesemiasmataareconjoinedinathreefold

complicationwithsyphilis.Thenitisnecessaryfirsttocometotheassistanceofthemostafflictedpart,
thepsora,withthespecificantipsoricremediesgivenbelow,andthentomakeuseoftheremediesfor
sycosis,beforetheproperdoseofthebestpreparationofmercury,aswillbedescribedbelow,isgiven
againstthesyphilis;thesamealternatingtreatmentmaybecontinued,untilacompletecureiseffected.
Only,eachoneofthesethreekindsofmedicinemustbegiventhepropertimetocompleteitsaction.
(*MateriaMedicaPura,PartV.)
(IffurtherdosesofThujaarerequired,theyareusedmostefficientlyfromotherpotencies(viii.,vi.,iv.,
ii.),achangeofthemodificationoftheremedy,whichfacilitatesandstrengthensitsabilityofaffectingthe
vitalforce.)
(**Thispsoraishardlyeverfoundinitsdevelopedstate(andthuscapableofenteringintocomplication
withothermiasmata)withyoungpeoplewhohavejustbeeninfectedandseizedbythefigwartdisease,
andwhohavenothadtopassthroughtheusualmercurialtreatment,whichneverrunsitscoursewithout
themostviolentassaultsontheconstitution;bythisperniciousderangementofthewholeorganism,the
psora,evenifslumberingeversosoundly,willbeawakened,if,asisoftenthecase,itwaspresentwithin.)
(P85)
Inthisreliablecureofsycosisfromwithin,noexternalremedy(exceptthejuiceofThujaininveteratebad
cases)mustbeappliedorlaidonthefigwarts,onlyclean,drylint,iftheyareofthemoistvariety.
(P87)

SYPHILIS.
Thesecondchronicmiasma,whichismorewidelyspreadthanthefigwartdisease,andwhichforthree
andahalf[nowfour]centurieshasbeenthesourceofmanyotherchronicailments,isthemiasmofthe
venerealdiseaseproper,thechancredisease(syphilis).Thisdiseaseonlycausesdifficultiesinitscure,if
it is entangled (complicated) with a psora that has been already far developed with sycosis it is
complicatedbutrarely,butthenusuallyatthesametimewithpsora.
Inthecureofthevenerealdisease,threestatesaretobedistinguished:
1. Whensyphilisisstillaloneandattendedwithitsassociatedlocalsymptom,thechancre,oratleastif
thishasbeenremovedbyexternalapplications,itisstillassociatedwiththeotherlocalsymptom,whichin
asimilarmanneractsvicariouslyfortheinternaldisorder,thebubo.*
2. Whenitisalone,indeed,i.e.,withoutanycomplicationwithasecondorthirdmiasma,buthasalready
beendeprivedofthevicariouslocalsymptom,thechancre(andthebubo).
3. Whenitisalreadycomplicated withanother chronicdisease,i.e.,withapsoraalreadydeveloped,
whilethelocalsymptommayeitherbeyetpresent,ormayhavebeenremovedbylocalapplications.
Thechancreappears,afteranimpurecoition,usuallybetweentheseventhandfourteenthdays,rarely
soonerorlater,mostlyonthememberinfectedwiththemiasma,firstasalittlepustule,whichchanges
intoanimpureulcerwithraisedbordersandstingingpains,whichifnotcuredremainsstandingonthe
sameplaceduringmanslifetime,onlyincreasingwiththeyears,whilethesecondarysymptomsofthe
venerealdisease,syphilis,cannotbreakoutaslongasitexists.
Inordertohelpinsuchacase,theAllopathicphysiciandestroysthischancre,bymeansofcorroding,
cauterizinganddesiccatingsubstances,wronglyconceivingittobeasorearisingmerelyfromwithout
throughalocalinfection,thusholdingittobeamerelylocalulcer,suchalsoitisdeclaredtobeintheir
writings.Theyfalselysuppose,thatwhenitappears,nointernalvenerealdiseaseisasyettobethought
of,sothatwhenlocallyexterminatingthechancre,theysupposethattheyremoveallthevenerealdisease
fromthepatientatonce,ifonlyhewillnotpermitthisulcertoremaintoolonginitsplace,sothatthe
absorbentvesselsdonotgettimetotransferthepoisonintotheinternalorganism,andsocausebydelaya
generalinfectionofthesystemwithsyphilis.Theyevidentlydonotknow,thatthevenerealinfectionof

thewholebodycommencedwiththeverymoment oftheimpurecoition,andwasalreadycompleted
beforetheappearance ofthechancre. The Allopathic doctordestroysinhisblindness,through local
applications, the vicarious external symptom (the chancre ulcer), which kind nature intended for the
alleviationoftheinternalextensivevenerealgeneraldisease;andsoheinexorablycompelstheorganism
toreplacethedestroyedfirstsubstituteoftheinternalvenerealmalady(thechancre)byafarmorepainful
substitute,thebubo,whichhastensonwardtosuppuration;andwhentheAllopath,asisusuallythecase,
alsodrivesoutthisbubothroughhisinjurioustreatment,thennaturefindsitselfcompelledtodevelopthe
internal malady through far more troublesome secondary ailments, throughtheoutbreak ofthewhole
chronicsyphilis,andnatureaccomplishesthis,thoughslowly,(frequentlynotbeforeseveralmonthshave
elapsed),butwithunfailingcertainty.Insteadofassisting,therefore,theAllopathdoesinjury.
(*Veryrarelytheimpurecoitionisatoncefollowedbythebuboalonewithoutanyprecedingchancre;
usuallythebuboonlycomes after thedestructionofthechancre bylocal applications,and isavery
troublesomesubstituteforthesame.)
(P88)
JohnHuntersays:Notonepatientoutoffifteenwillescapesyphilis,ifthechancreisdestroyedbymere
externalapplications,andinanotherpassageinhisbookhesays:Theresultofdestroyingthechancre
eversoearly,andevenonthefirstdayofitsappearance,ifthisiseffectedbylocalapplications,was
alwaystheconsequentoutbreakofsyphilis.
JustasemphaticallyFabredeclares:**Syphilisalwaysfollowsonthedestructionofthechancreby
localapplications.HerelatesthatPetitcutoffapartofthelabiaofawoman,whohadthereonforafew
daysavenerealchancre;thewoundhealed,butsyphilis,nevertheless,brokeout.
How,then,couldphysicians,despiteofallthesefactsandtestimonies,closetheireyes,andearstothe
truth:thatthewholevenerealdisease(syphilis)wasalreadydevelopedwithin,beforethechancrecould
appear, and that itwas amost unpardonable mistake toforward thecertain outbreak of thesyphilis,
alreadypresentwithin,intothevenerealdisease,bydrivingawayanddestroyingthechancrebyexternal
means,andtherebydestroyingthefairopportunityaffordedofcuringthisdiseaseintheeasiestandmost
convincingmanner,throughtheinternalspecificremedy,whilethechancrewasyetfullypresent!The
diseaseisnotcuredexceptwhenthroughtheeffectoftheinternalremedyalone,thechancreiscured;but
itisfullyextinguished,assoonasthroughtheactionoftheinternallyoperatingmedicinealone(without
theadditionofanyexternalremedy)thechancreiscompletelycured,withoutleavinganytraceofits
formerpresence.
(*,4bhandl.uberdievener.Krankheit(TreatiseontheVenerealDisease),Leipsic,1787,P.531.)
(Abhandl.uberdievener.Krankheit,Leipsic,1787,PP.551553.)
(**Fabre,Lettres,Supplement,asontraitedesmaladiesveneriennes.Paris,1786.)
(P89)
Ihavenever,inmypracticeofmorethanfiftyyears,seenanytraceofthevenerealdiseasebreakout,so
longasthechancreremaineduntouchedinitsplace,evenifthiswereaspaceofseveralyears(foritnever
passesawayofitself),andevenwhenithadlargelyincreasedinitsplace,asisnaturalintimewiththe
internal augmentation of the venereal disorder, which increase takes place in time in every chronic
miasma.
Butwheneveranyoneissoimprudent,astodestroythisvicariouslocalsymptom,theorganismisreadyto
causetheinternalsyphilistobreakoutintothevenerealdisease,sincethegeneralvenerealdiseasedwells
inthebodyfromthefirstmomentofinfection.
Forinthespot,intowhichattheimpurecoitionthesyphiliticmiasmahadbeenfirstrubbedinandhad
been caught, it is, in the same moment, no more local: the whole living body has already received
(perceived)itspresence,themiasmahasalreadybecomethepropertyofthewholeorganism.Allwiping

offandwashingoff,howeverspeedy,andwithwhateverfluidthisbedone(andaswehaveseen,eventhe
exsectionofthepartaffected),istoolateisinvain.Thereisnottobeperceived,indeed,anymorbid
transmutationinthatspotduringthefirstdays,butthespecificvenerealtransformationtakesplaceinthe
internal ofthebodyirresistibly,from thefirst moment ofinfectionuntilsyphilishasdevelopeditself
throughoutthewholebody,andonlythen(notbefore),nature,loadeddownbytheinternalmalady,brings
forththelocalsymptompeculiartothismalady,thechancre,usuallyintheplacefirstinfected;andthis
symptomisintendedbynaturetosoothetheinternalcompletedmalady.
Thereforealso,thecureofthevenerealdiseaseiseffectedmosteasilyandinthemostconvincingmanner,
solongasthechancre(thebubo)hasnotyetbeendriven,outbylocalapplications,solongasthechancre
(thebubo)stillremainsunchanged,asavicarioussymptomoftheinternalsyphilis. Inthisstate,and
especiallywhenitisnotyetcomplicatedwithpsora,itmaybeassertedfrommanifoldexperienceandwith
goodreason,thatthereisonearthnochronicmiasma,nochronicdiseasespringingfromamiasma,which
ismorecurableandmoreeasilycurablethanthis.
(P90)
Inthisfirstsimplestateandsimplecure,whenthechancre(orthebubo)isstillpresent,andthereisno
complicationwithadevelopedpsora,noprominentchronicailmentfromapsoricorigin(usuallythereis
nonesuchwithyoung,livelypersons),andwithlatentpsorasyphiliscombinesaslittleassycosisinthis
firststateitneedsonlyonelittledoseofthebestmercurialremedy,inordertocurethoroughlyandforever
thewhole syphilis withitschancre,withinfourteen days. Inafew days after takingsuch adose of
mercury,thechancre(withoutanyexternalapplication)becomesacleansorewithalittlemildpus,and
healsofitselfasaconvincingproof,thatthevenerealmaladyisalsofullyextinguishedwithin;andit
doesnotleavebehindtheleastscar,ortheleastspot,showinganyothercolorthantheotherhealthyskin.
Butthechancre,whichisnottreatedwithexternalapplication,wouldneverheal,iftheinternalsyphilis
hadnotbeenalreadyannihilatedandextinguishedbythedoseofmercury;forsolongasitexistsinits
place,itisthenaturalandunmistakableproofofeventheleastremainderofanexistingsyphilis.
Ihave,indeedinthesecondeditionofthefirstpartofMateriaMedicaPura(Dresden,1822),describedthe
preparationofthepuresemioxideofmercury,andIstillconsiderthistobeoneofthemostexcellentanti
syphiliticmedicines;butitisdifficulttoprepareitinsufficientpurity.Inorder,therefore,toreachthis
wished for goal inastill simpler manner, free from all detours, and yet just as perfectly (for inthe
preparationofmedicineswecannotproceedintoosimpleamanner),itisbesttoproceedinthewaygiven
below,sothatonegrainofquitepurerunningquicksilveristrituratedthreetimes,with100grainsof
sugar of milk each time, up to the millionth attenuation, in three hours, and one grain of this third
triturationisdissolved,andthenpotentizedthroughtwentysevendilutingphialsupto(x)thedecillionth
degree,asistaughtattheendofthisvolume,withrespecttothedynamizationoftheotherdrymedicines.
Iformerlyusedthebillionthdynamization(ii)ofthispreparationinI,2or3finepelletsmoistenedwith
thisdilution,asadose,andthiswasdonesuccessfullyforsuchcures;althoughthepreparationofthe
higherpotencies(iv,vi,viii),andfinallythedecillionthpotency(x),showsomeadvantages,intheirquick,
penetratingandyet mildactionforthispurpose; but incaseswhereasecondorthirddose(however
seldomneeded)shouldbefoundnecessary,alowerpotencymaythenbetaken.
(P91)
Justasthecontinuedpresenceofthechancre(orthebubo)duringthecureshowsthecontinuedpresence
ofsyphilis,sowhenthechancre(andthebubo)healmerelyfromtheinternallyappliedmercury,without
anyadditionofaremedyusedforthelocalsymptom,andyetthisdisappearswithoutleavinganytraceof
its former presence; it is incontrovertibly sure, that also every trace of the internal syphilis was
extinguishedatthemomentofthecompletionofthecureofthechancreorthebubo.
Butjustasincontrovertiblydoesitfollowthateverydisappearanceofthechancre(orthebubo)owingtoa
merelocaldestruction,sinceitwasnorealcurefoundedontheextirpationoftheinternalvenerealdisease
throughtheinternallygivenappropriatemercurymedicine,leavestousthecertaintythat thesyphilis
remainsbehind;andeveryonewhosupposeshimselfhealedbyanysuchmerelylocal,pretendedcure,is
tobe,consideredasmuchvenereallydiseasedashewasbeforethedestructionofthechancre.
Thesecondstateinwhich,asmentionedabove,syphilismayhavetobetreated,istherarecasewhenan

otherwisehealthyperson,affectedwithnootherchronicdisease(andthuswithoutanydevelopedpsora),
hasexperiencedthisinjudiciousdrivingawayofthechancrethroughlocalapplications,effectedbyan
ordinaryphysicianinashorttimeandwithoutattackingtheorganismovermuchwithinternalandexternal
remedies. Eveninsuchacase,aswehavenotasyettocombat anycomplicationwithpsoraall
outbreaksofthesecondaryvenerealdiseasemaybeavoided,andthemanmaybefreedfromeverytrace
ofthevenerealmiasmathroughthebeforementionedsimpleinternalcureeffectedbyalikedoseofthe
abovementionedmercurialmedicinealthoughthecertaintyofhiscurecannomorebesomanifestly
provedasifthechancrehadstillbeeninexistenceduringthisinternalcure,andasifithadbecomeamild
ulcersimplythroughthisinternalremedy,andhadbeenthusmanifestlycuredofitself.
Butherealsotheremaybefoundasignofthenoncompletedaswellasofthecompletedcureofthe
internalsyphiliswhichhasnotyetbrokenoutintothevenerealdisease;butthissignwillonlymanifest
itselftoanexactobserver.Incasethechancrehasbeendrivenoutthroughlocalapplication,evenifthe
remediesusedhadnotbeenveryacrid,therewillalwaysremainintheplacewhereitstood,asasignof
theunextinguishedinternalsyphilis,adiscolored,reddish,redorbluescar;whileonthecontrary,when
thecureofthewholevenerealdiseasehasbeeneffectedbytheinternalremedy,andifthusthechancre
healsofitselfwithouttheactionofanexternalapplication,andwhenitdisappearsbecauseitisnomore
neededasasubstituteandalleviatorofaninternalvenerealdisorderwhichnowhasceased,thenthespot
oftheformerchancrecannomoreberecognized,fortheskincoveringthatplacewillbejustassmooth
andofthesamecolorastherest,sothatnotracecanbediscernedofthespotwherethechancrehadstood.
(P92)
NowiftheHomoeopathicphysicianhascarefullytakencognizanceofthepresenceofthediscoloredscar
remaining after the quick, merely local expulsion of the venereal local symptom, as a sign of the
unextinguished internal syphilis, and if the person to be healed is otherwise in good health, and
consequentlyhisvenerealdisorderisnotyetcomplicatedwithpsora,hewillalso,evennow,beableto
freehimfromeveryremainderofthevenereal.miasmabyonedoseofthebestpreparationofmercuryas
abovedescribed,andhewillbeconvincedthatthecureiscompleted,fromthefactthatduringthetimeof
theactivityofthespecificremedythescarwillagainassumethehealthycoloroftheotherskinandall
discolorationofthatspotwilldisappear.
Evenwhen,aftertheexpulsionofthechancrebylocalapplications,thebubohasalreadybrokenoutbut
thepatientisnotyetseizedwithanyotherchronicdisease,andconsequentlytheinternalsyphilisisnotyet
complicatedwithadevelopedpsora(whichisneverthelessararecase),thesametreatmentwillalsohere,
whilethebuboisonlydeveloping,produceacure;anditscompletionwillberecognizedbythesame
signs.
Inbothcases,iftheyhavebeenrightlytreated,thecureisacompleteone,andnooutbreakofthevenereal
diseaseneedanymorebeapprehended.
Themost difficult ofallthesecases,thethird,isstilltobetreated: whenthemanatthetimeofthe
syphiliticinfectionwasalreadylaboringunderachronicdisease,sothathissyphiliswascomplicatedwith
psora,evenwhilethechancreyetexisted,orwhen,evenwhiletherewasnochronicdiseaseinthebodyat
theoutbreakofthechancre,andtheindwellingpsoracouldonlyberecognizedbyitstokens,anallopathic
physicianhas,nevertheless,destroyedthelocalsymptom,notonlyslowlyandwithverypainfulexternal
applications,buthasalsosubjectedhimforalongtimetoaninternaltreatment,weakeningandstrongly
affectinghimsothatthegeneralhealthhasbeenunderminedandthepsorawhichhadasyetbeenlatent
within him hasbeenbrought toitsdevelopment andhasbroken out intochronic ailments, and these
irrepressiblycombinewiththeinternalsyphilis,thelocalsymptom,ofwhichhadbeenatthesametime
destroyedinsuchanirrationalmanner.Psoracanonlybecomplicatedwiththevenerealdiseasewhenit
hasbeendevelopedandwhenithasultimateditselfinamanifestchronicdisease;butnotwhenitisasyet
latentandslumbering. Bythelatterthecureofsyphilisisnotobstructed,butwhencomplicatedwith
developedpsora,itisimpossibletocurethevenerealdiseasealone.
(P93)
HAHNUMANNSCHRONICDISHASRS.93

Onlytoooften,Ishouldsay,dowefindthesyphiliswhichhasremaineduncuredafterthemerelylocal
destructionofthechancre,complicatedwithawakenedpsora,notalwaysbecausethepsorawasalready
developedbeforethevenerealinfectionforthisisrarelythecasewithyoungpeoplebutbecauseitis
violentlyawakenedandbroughttoitsoutbreakbytheusualtreatmentofthevenerealdisease.Bymeans
offrictionwithmercury,largedosesofcalomel,corrosivesublimateandsimilaracridmercurialremedies,
(whichoriginatefever,dysentericabdominalailments,chronicexhaustingsalivation,painsinthelimbs,
sleeplessness,etc.,withoutpossessingsufficientantisyphiliticpowertocurethechancremiasmamildly,
quicklyandperfectly,)theyassaultthevenerealpatientoftenformanymonths,withtheintermediateuse
ofmanyweakeningwarmbathsandpurgatives;sothattheinternalslumberingpsora(whosenaturecauses
ittobreakforthinallgreatconvulsionsandintheweakeningofthegeneralhealth)isawakenedbeforethe
syphiliscanbecuredbysuchallinjudicioustreatment,andthusbecomesassociatedandcomplicated
therewith.
Therearisesinthismannerandthroughthiscombinationwhatiscalledamasked,spurioussyphilis,andin
Englandpseudosyphilis,amonsterofadoubledisease,*whichnophysicianhithertohasbeenableto
cure,becausenophysicianhithertohasbeenacquaintedwiththepsorainitsgreatextentanditsnature,
neitherinitslatentnoritsdevelopedstate;andnoonesuspectedthisdreadfulcombinationwithsyphilis,
much less perceived it. No one, therefore, could heal the developed psora, the only cause of the
uncurablenessofthisbastardsyphilis,norcouldtheyinconsequencefreethesyphilisfromthishorrible
combinationsoastomakeitcurable,justasthepsoraremainsincurableifthesyphilishasnotbeen
extirpated.
Inordertoreachthissocalledmaskedvenerealdiseasesuccessfully,thefollowingrulemustservethe
homoeopathicphysician:
Afterremovingallhurtfulinfluencesthataffectthepatientsfromwithoutandaftersettlingonalightand
yetnourishingandstrengtheningdietforthepatient,lethimfirstgivetheantipsoricmedicinewhichis
homoeopathicallythebestfittingtothethenprevailingstateofdisease,aswillbeshownbelow;andwhen
thismedicinehascompleteditsaction,alsoprobablyasecond,mostsuitabletothestillprominentpsora
symptoms,andtheseshouldbeallowedtoactagainstthepsora,untiltheyhaveeffectedallthatcanbeat
presentdoneagainstitthenshouldbegiventhedoseabovedescribedofthebestmercurialpreparationto
actagainstthevenerealdiseaseforthree,fivetosevenweeks;i.e.,solongasitwillcontinuetoproducean
improvementinthevenerealsymptoms.
(*Yea,aftersuchatreatmentitisevenmorethanadoubledisease;thesharpmercurialmedicines,inlarge
andfrequentdoses,havealsoaddedtheirmedicinaldisease,whichwhenweconsiderinadditionthethan
a double disease; the sharp mercurial medicines, in large and frequent doses, have also added their
medicinaldisease,whichwhenweconsiderinadditionthedebilitycausedbysuchtreatmentmustplace
thepatientinamostsadstate. Insuchacaseheparsulphurisisprobablytobepreferredtothepure
sulphur.)
(P94)
94HAHNUMAN@NSCHRONICDISIMASRS.
Ininveterateanddifficultcases,however,thisfirstcoursewillhardlyaccomplishallthatisdesired.There
usuallystillremainsomeailmentsanddisorders,whichcannotbedefinitelyclassedaspurelypsoric,and
otherswhichcannot beclassed asdefinitelysyphilitic,and these require yet someadditional aid. A
repetitionofasimilarprocessofcureishererequired;i.e.,firstanotherapplicationofoneormoreofthe
antipsoricremediesthathavenotyetbeenused,andwhicharehomoeopathicallythemostappropriate,
untilwhateverseemsstillunsyphiliticallymorbidi.e.,psoricmaydisappear,whenthebeforementioned
doseofthemercurialremedy,butinanotherpotency,shouldbegivenagainandallowedtocompleteits
action,untilthemanifestvenerealsymptoms(thepricking,painfululcerofthetonsils,theroundcopper

coloredspotsthatshimmerthroughtheepidermis,theeruptivepimpleswhichdonotitchandarefound
chieflyinthefaceuponabluishredfoundation,thepainlesscutaneousulcersonthescalpandthepenis,
whicharesmooth,pale,clean,merelycoveredwithmucus,andalmostlevelwiththehealthyskin,etc.,
andtheboring,nightlypainsintheexostoses)haveentirelypassedaway. Butsincethesesecondary
venereal symptoms are so changeable that their temporary disappearance gives no certainty of their
completeextinction,wemustalsowaitforthatmoreconclusivesignofthecompleteextirpationofthe
venereal miasm afforded by the return of the healthy color and the entire disappearance of the
discoloration found inthescar which remains after the extirpation ofthechancre bylocal, corrosive
applications.
(P95)
Ihave,inmypractice,foundonlytwocases*ofthethreefoldcomplicationofthethreechronicmiasms,
thefigwartdiseasewiththevenerealchancremiasmandatthesametimeadevelopedpsora,andthese
caseswerecuredaccordingtothesamemethod;i.e.,thePsorawastreatedfirst,thentheoneoftheother
twochronicmiasmata,thesymptomsofwhichwereatthetimethemostprominent,andthenthelastone.
Theremainingpsoricsymptomshadthenstilltobecombatedwithsuitableremedies,andthenlastlywhat
thereyetremainedofsycosisorsyphilis,bymeansoftheremediesgivenabove.Iwouldalsoremarkthat
thecompletecureofsycosiswhichhastakenpossessionofthewholeorganismbeforetheoutbreakofits
localsymptomsisdemonstrated,likethatofthechancremiasma,bythecompletedisappearanceofthe
discolorationonthespotoftheskin,whichdiscolorationremainsaftereverymerelylocaldestructionof
thefigwartasasignoftheunextirpatedsycosis.
(*AmastertilerfromtheSaxonErzMountains,whosedissolutewifehadinfectedhimwithavenereal
diseaseinhisgenitals,concerningwhichitwasnotapparentfromhisdescriptionwhetheritwasachancre
orafigwart,hadbeensomaltreatedbyviolentmercurialremediesthathehadlosthisuvula,andhisnose
wassoaffectedthatthefleshypartshadmostlybeeneatenaway,andtheremainingpartwasswollenand
inflamedandpiercedlikeahoneycombwithulcers.Thiswasattendedwithgreatpainandanintolerably
fetidsmell.Inadditionhehadapsoriculcerontheleg.Theantipsoricremediesimprovedtheulcersup
toacertaindegree:theyhealedtheulcerontheleg,theytookawaytheburningpainandmostofthefetid
smellofthenose;alsotheremediesgiventocurethesycosiscausedsomeimprovementbutastothe
sumtotalnothingfurtherwaseffecteduntilhereceivedasmalldoseofprotoxideofmercury,afterwhich
everythingwasfullyhealedandhewasrestoredtofullhealth,exceptingtheirreparablelossofhisnose.)
(P97)
PSORA.
Ithinkitnecessarybeforeproceedingtothedoctrineofthethirdchronicmiasma,themostimportantof
all,psora,topremisethefollowinggeneralremark:
Fortheinfectionwiththeonlythreeknownchronicmiasmaticdiseasesthereisusuallyneededbutone
moment;butthedevelopmentofthistinderofinfection,sothatitbecomesageneraldiseaseoftheentire
organism,needsalongertime. Notuntilacertainnumberofdayshaveelapsed,whenthemiasmatic
diseasehasreceiveditscompleteinternaldevelopmentinthewholemannotuntilthen,fromthefullness
ofinternalsuffering,thelocalsymptombreaksforth,destinedbyakindnaturetotakeuponitselfina
certainsensetheinternaldisease,andinsofartodivertitinapalliativemannerandtosootheit,sothatit
maynotbeabletoinjureandendangerthevitaleconomytoomuch.Thelocalsymptomhasitsplaceon
theleastdangerouspartofthebody,theexternalskin,and,indeed,onthatpartoftheskinwhereduring
theinfection,themiasmahadtouchedthenearestnerves.
This process of nature, which repeats itself continually and evermore inthe same manner inchronic
miasmata,aye,eveninthosewhichareacuteandconstant,oughtnottohaveescapedthepenetrationof
physicians,atleastnotinvenerealdiseases,tothetreatmentofwhichtheyhaveappliedthemselvesnow
formorethanthreehundredyears;andthentheycouldnothaveavoideddrawingaconclusionastothe
process of nature in the other two chronic miasmata. It was, therefore, irrational and unpardonably

thoughtlessofthemtosupposethateverychancreevolvedbytheorganismafterseveraldays,oftenafter
quiteanumberofdays,astheresultofthecompletedinternalmalady,wasathingmerelyadventitious
fromwithoutandsituatedontheskinwithoutanyinternalconnection,sothatitmightbesimplyremoved
bycauterizing,soastopreventthepoisonfromthechancre(scilicet)frombeingabsorbedintothe
internal parts, and thus from causing man to be afflicted with the venereal disease. Irrational and
unpardonably thoughtless was thisfalse idea of theorigin ofthe venereal chancre, which caused the
injuriouspractice oftheexternal cauterizationofthechancre, producing asitsunavoidable, shameful
effect,thebreakingoutofthevenerealdiseasefromtheinternalwhichhascontinuedinitsdiseasedstate.
Thishasbeenthecaseinseveralhundredthousandsofcasestheselastthreecenturies.Justasirrational
andthoughtlessisthenotionofphysiciansoftheoldschool,evenofthemostmoderntimes,thatitchis
merelyadiseaseoftheskin,inwhichtheinternalportionofthebodytakesnopart.Accordingtothis
groundlesssupposition,therefore,nothingbettercanbedonethantoremovethisailmentfromthesurface
oftheskin,althoughtheextirpationoftheinternalpsoradiseasewhichcausesthecutaneouseruptionis
necessaryasanaid,andwhenthisiscuredalsothecutaneousailment,beingthenecessaryconsequenceof
theinternaldisease,willnaturallydisappearcessantecausa,cessateffectus.
(P98)
Forinitscompletestate,i.e.,solongastheoriginaleruptionisstillpresentontheskinsoastoassuagethe
internalmalady,theentirediseaseofthepsoramaybecuredmosteasily,quicklyandsurely.
Butwhenbythedestructionofthisoriginalcutaneouseruption,whichactsvicariouslyfortheinternal
malady,ithasbeenrobbedthenthepsoraisputintheunnaturalpositionofdominatinginamerelyone
sidedmannertheinternalfinerpartsofthewholeorganism,andthusofbeingcompelledtodevelopits
secondarysymptoms.
Howimportantandnecessarythecutaneouseruptionisfortheoriginalpsora,andhowcarefullyinthe
only thorough cure of itch, that is,the internal cure, every external removal ofthe eruption must be
avoided,wemayseefrom thefact thatthemostseverechronicailmentshavefollowedassecondary
symptomsoftheinternal psoraaftertheoriginal itcheruptionhasbeendrivenout,andthatwhen,in
consequence of a great revolution in the organism, this itching eruption reappears on the skin, the
secondary symptoms are so suddenly removed, that these grievous ailments, often of many years
standing,arewonttodisappear,atleasttemporarily,asifbyamiracle.Seethebeforequotedobservations
ofolderphysicians,Nos.1,3,5,6,8,(9),16,(17),(21),23,33,35,39,41,54,58,60,72,81,87,89,94.
Butletnoonesupposethataninternalpsora,which,aftertheexternaldestructionoftheoriginalcutaneous
eruption,hasbrokenoutintosecondarychronicailments,can,throughthereappearanceofsuchanitch
likeeruptionontheskin,comeintojustasnormalastateasbefore,orthatitcanbecuredjustaseasilyas
ifitwerestilltheoriginaleruptionandasifthishadnotbeenasyetremoved.
(P99)
This isnot at all the case. Even theeruption following immediately after the infection has nosuch
unchangingconstancyandpertinacityontheskinasthechancreandthefigwartsshowonthespotswhere
they first appear,* but not infrequently disappears from the skin also from other causes than from
artificialremediesusedpurposelyforitsdestruction,andsoalsofromothercausesunknown.**Sothat
thephysicianmustnotwasteanytimeevenintheoriginaleruption,ifhewouldcompletethecurewhile
theitchdiseaseisstillentire,bytheuseofinternalantipsoricremedies.Sucharespitecanbeexpected
stilllessinthissecondaryeruption,whichhasbeenbroughtoutontheskinbyanycauseafterthelocal
extirpationoftheeruption;fortheseconderuptioniswonttobefarmoreinconstantandchangeable,so
thatitoftenpassesawayonmuchslighterprovocationinafewdaysaproofthatitlacksmuchofthe
completequalityoftheprimitiveitcheruption,sothatthephysiciancannotcountonitinthethorough
cureofthepsora.
Thispronenesstochange,intheitchlikeeruptionwhichhasbeencalledasecondtimetotheskin,seems
evidentlytobecausedbythefactthattheinternalpsora,afterthedestructionoftheoriginalitcheruption
isunabletogivetothesecondaryeruptionthefullqualitiesbelongingtotheprimaryeruption,andis
alreadymuchmoreinclinedtounfolditselfinavarietyofotherchronicdiseases;whereforeathorough
cureisnowmuchmoredifficult,andissimplytobeconductedasifdirectedagainsttheinternalpsora.
Thecureisnot,therefore,advancedbyproducingsuchasecondaryeruptionthroughinternalremedies,as

hassometimesbeeneffectuallyattempted(seeNos.3,9,59,89);orbyitsreappearancethroughother
unknowncauses(seeNos.1,5,6,8,16,23,28,29,33,35,39,41,54,58,60,72,80,81,87,89,94)or,
especially,throughthehelpofafever(seeNo.64,also55,56,74).Suchasecondaryeruptionisalways
verytransitory,andsounreliableandrarethatwecannotbuildourhopeofcureonit,norexpectfromit
theadvancementofanythoroughcure.
(*Neitheroftheseeverpassesawayofitself,unlessdestroyedexternallyonpurpose,ortheentiredisease
ishealedinternally.)
(Eg.throughcold,seeNo.67oftheabovementionedobservations;throughsmallpox,No.39;through
warmbaths,No.35.)
(**SeeNos.9,7,26(36),50,58,61,64,65,inwhichobservationsitmaybeseenatthesametimethat
aftersuchdisappearancesoftheoriginalitcheruptionwithoutappreciablecausejustasmanyilleffects
arewonttofollowaswhenithasbeendrivenawayartificiallythroughlocalapplications.)
(P100)
Butevenif,byanymeans,suchasecondaryeruptionmight,afterafashion,beproduced,andevenwereit
inourpowertoretainitontheskinforalongerperiod,wecannotatallcountonitforassistanceinthe
cureofthewholepsoricmalady.*
Itremains,therefore,anestablishedtruth,thatthecureoftheentiredestructivePsorathroughantipsoric
remediesiseffectedmosteasilyonlywhiletheoriginaleruptionofitchisstillpresent.Fromthisitagain
appears how unconscionable it is of the allopathic physicians, to destroy the primitive itch eruption
through local applications instead of completely eradicating this grave disease from the whole living
organismbyacurefromwithin,whichatthatstageisasyetveryeasy,andbythuschokingoffinadvance
allthewretchedconsequencesthatwemustexpectfromthismaladyifuncured;i.e.,allthesecondary,
chronic,namelesssufferingswhichfollowit.
(*Therewasatimewhen,notyetfullyconvincedofthisfact,Ithoughtthatthecureoftheentirepsora
might berendered easierbyanartificial renewal ofthecutaneouseruptioneffectedthroughasortof
checkingoftheperspiratoryfunctionoftheskin,soastoexciteithomoeopathicallytothereproductionof
theeruption.ForthispurposeIfoundmostserviceablethewearingofaplastermostlyontheback(but
wherepracticablealsoonotherportionsoftheskin);theplasterwaspreparedbygentlyheatingsixounces
ofBurgundypitch,intowhich,afterremovingitfromthefire,anounceofturpentineproducedfromthe
larchtree(calledVenetianturpentine)wasstirreduntilitwasperfectlymixed. Aportionofthiswas
spreadonachamoisskin(asbeingthesoftest),andlaidonwhilestillwarm.Insteadofthis,theremight
alsobeusedsocalledtreewax(madeofyellowwaxandcommonturpentine),oralsotaffetacoveredwith
elasticresin;showingthattheitchingeruptionevolvedisnotduetoanyirritationcausedbythesubstance
applied;nordoesthepsorafirstmentionedcauseeithereruptionoritchingontheskinofapersonwhois
notpsoric.Idiscoveredthatthismethodisthemosteffectivetocausesuchanactivityoftheskin.Yet
despiteofallthepatienceofthesickpersons(nomatterhowmuchtheymightinternallybeaffectedwith
thepsora),Inevercouldevolveacompleteeruptionofitch,leastofallonethatwouldremainforatime
ontheskin.Whatcouldbeeffectedwasonlythatsomeitchingpustulesappeared,whichsoonvanished
again,whentheplasterwasleftoff.Morefrequentlythereensuedamoistsorenessoftheskin,oratbesta
moreorlessviolent,itchingoftheskin,whichinrarecasesextendedalsototheotherpartsnotcoveredby
theplaster. This,indeed,wouldcauseforatimeastrikingalleviationofeventhemostseverechronic
diseasesflowingfromapsoricsource;e.g.,suppurationofthelungs.Butthismuchcouldnotbeattained
ontheskinofmanypatients(frequentlyallthatcouldbeattainedwasamoderateorsmallamountof
itching), oragain, ifIcould produce aviolent itching,thisfrequently became toounbearable for the
patienttosustainitforatimesufficienttoproduceaninternalcure.Whentheplasterthenwasremovedin
ordertorelievehim,eventhemostviolentitching,togetherwiththeeruptionpresent,disappearedvery
soon,andthecurehadnotbeenessentiallyadvancedbyit;thisconfirmstheobservationmadeabove,that

theeruptionifevolvedasecondtime(andsoalsotheitchingreproduced)hadnotbyanymeansthefull
characteristicsoftheeruptionoftheitchwhichhadoriginallybeenrepressed,andwasthereforeoflittle
assistanceintherealadvancementofathoroughcureofthepsorathroughinternalremedies,whilethe
little aidafforded loses all value owing tothe often unbearable infliction of the artificially produced
eruptionanditchingoftheskin,andtheweakeningofthewholebodywhichisinseparablefromthe
titillatingpain.)
(P101)
Theexcuseoftheprivatephysician(forthephysicianatthehospitalhasnoexcuseatall)amountsto
nothing.Hewillsay,indeed:Ifitisnotknownandhardlyeverdoesitbecomedemonstrablyknown
where,when,atwhatoccasionandfromwhatpersonavowedlysufferingfromitchtheinfectionhasbeen
derived,thenhecouldnotdiscoverfromthepresent,andofteninsignificantlittleeruptionwhetheritwas
realitch;sohewasnottobeblamedfortheevilconsequences,ifhesupposedittobesomethingelseand
endeavoredtoremoveitfromtheskinassoonaspossiblebyalotionofleadsolution,oranointmentof
cadmia,orwhiteprecipitateofmercury,accordingtothewishesofthearistocraticparents.
Thisexcuse,asabovesaid,amountstonothing.For,firstofall,nocutaneouseruptionofwhateverkindit
maybe,oughttobeexpelledthroughexternalmeansbyanyphysicianwhowishestoactconscientiously
andrationally.*Thehumanskindoesnotevolveofitself,withoutthecooperationoftherestoftheliving
whole,anyeruption,nordoesitbecomesickinanyway,withoutbeinginducedandcompelledtoitbythe
generaldiseasedstate,bythelackofnormalityinthewholeorganism.Ineverycasethereisatthebottom
adisorderlystateofthewholeinternallivingorganism,whichstatemustfirstbeconsidered;andtherefore
theeruptionisonlytoberemovedbyinternalhealingandcurativeremedieswhichchangethestateofthe
whole;thenalsotheeruptionwhichisbasedontheinternaldiseasewillbecuredandhealedofitself,
withoutthehelpofanyexternalremedy,andfrequentlymorequicklythanitcouldbedonebyexternal
remedies.
Secondly,evenifthephysicianshouldnothavepresentedtohimtheoriginal,undestroyedformofthe
eruption,i.e.,thepustuleofitchwhichinthebeginningistransparent,thenquicklyfilledwithpus,with
anarrowredmarginallaroundit,eveniftheeruptionshouldconsist onlyofsmallgranuleslikethe
miliaryeruption,orappearlikescatteredlittlepimplesorlittlescabs,stillhecannotforamomentbein
doubt as to whether the eruption is itch, if the child or even the suckling only a few days old,
uninterruptedlyrubsandscratchesthespot,or,ifitisanadult,whenhecomplainsofthetitillationofa
voluptuously itching eruption (or even only a few pimples) which is unbearable without scratching,
especiallyintheeveningandatnight,andwhenthisisfollowedbyaburningpain.Insuchacasewecan
neverdoubtastotheinfectionwithitch,thoughingenteelandwealthyfamilieswecanseldomsecurethe
informationandthecertaintyastohow,whereandfromwhomtheinfectionhasbeenderived;forthere
areinnumerableimperceptibleoccasionswherebythisinfectionmaybereceived,astaughtabove.
(*SeeOrganonoftheHealingArt,fifthedition,187203.)
(P102)
Nowwhenthefamilyphysiciannoticesthisintime,thenwithoutanyexternalapplication,thesimpledose
ofoneortwopillsaslargeaspoppyseeds,moistenedwiththepotentizedsulphurinalcohol,asdescribed
below,willfullyandabundantlysufficetocureachildandtodeliveritfromtheentirediseaseofitch,
boththeeruptionandtheinternalitchmalady(psora).
Thehomoeopathicphysicianinhisprivatepracticeseldomgetstoseeandtotreataneruptionofitch
spreadoveraconsiderablepartoftheskinandcomingfromafreshinfection.Thepatientsonaccountof
theintolerableitchingeitherapplytosomeoldwoman,ortothedruggistorthebarber,who,oneandall,
cometotheiraidwitharemedywhich,astheysuppose,isimmediatelyeffective(e.g.,lardmixedwith
flowersofsulphur).Onlyinthepracticeofthebarracks,ofprisons,hospitals,penitentiariesandorphan
asylums those infected have toapply tothe resident physician, ifthe surgeon of thehouse does not
anticipatehim.
Eveninthemostancienttimeswhenitchoccurred,foritdidnoteverywheredegenerateintoleprosy,it

wasacknowledgedthattherewasasortofspecificvirtueagainstitchinsulphur;buttheyknewofnoother
wayofapplyingit,buttodestroytheitchthroughanexternalapplicationofit,evenasisdonenowbythe
greaterpartofthemodemphysiciansoftheoldschool. A.C.Celsushasseveralointmentsandsalves
(V.28)someofwhichconsistmerelyofsulphurmixedwithtar,whileotherscontainalsocompoundsof
copperandothersubstances;theseheprescribesfortheexpulsionofitch,andthishesupposestobeits
cure. Soalsothemostancientphysicians,likethemoderns,prescribedfortheiritchpatientsbathsof
warmsulphurousmineralwater. Suchpatientsareusuallyalsodeliveredfromtheireruptionbythese
externalsulphurremedies.Butthattheirpatientswerenotreallycuredthereby,becamemanifest,evento
them,fromthemoresevereailmentsthatfollowed,suchasgeneraldropsy,withwhichanAthenianwas
afflictedwhenhedroveouthissevereeruptionofitchbybathinginthewarmsulphurbathsoftheisland
ofMelos(nowcalledMilo),andofwhichhedied.ThisisrecordedbytheauthorofBookV.Epidemion,
whichhasbeenreceivedamongthewritingsofHippocrates(somethreehundredyearsbeforeCelsus).
Internallytheancientphysiciansgavenosulphurinitch,becausethey,likethemoderns,didnotseethat
thismiasmaticdiseasewas,atthesametimeandespecially,aninternaldisease.
(P103)
Modernphysicianshavenevergivensulphuronly,andinternally,tocuretheitch,becausetheyhavenever
recognizedtheitchdiseaseasbeingalsoaninternaland,indeed,chieflyinternaldisease.Theyonlygave
itinconnectionwiththeexternalmeansofdrivingawaytheitch,and,indeed,indoseswhichwouldactas
purgatives,ten,twentyandthirtygrainsatadose,frequentlyrepeated,sothatitneverbecamemanifest
howusefulorhowinjuriousthisinternalapplicationofsuchlargedoses,inconnectionwiththeexternal
application,hadbeen;atleastthewholeitchdisease(psora)couldneverbethoroughlyhealedthereby.
Theexternaldrivingoutoftheeruptionwassimplyadvancedbyitasbyanyotherpurgative,andwiththe
sameinjuriouseffectsasifnosulphuratallhadbeenusedinternally.Forevenifsulphurisusedonly
internally,butintheabovedescribedlargedoses,withoutanyexternaldestructivemeans,itcannever
thoroughlyhealapsora;partlybecauseinordertocureasanantipsoricandhomoeopathicmedicine,it
mustbegivenonlyinthesmallestdosesofapotentizedpreparation,whileinlargerandmorefrequent
dosesthecrudesulphur*insomecasesincreasesthemaladyoratleastaddsanewmalady;partlybecause
thevitalforceexpelsitasaviolentlyaggressiveremedythroughpurgingstoolsorbymeansofvomiting,
withouthavingputitshealingpowertoanyuse.
(*HereitispropertosubjointhewordsofanimpartialandevenpracticalconnoisseurofHomoeopathy,
the deepthinking, manysided scholar and indefatigable investigator of truth, Count Buquoy, in his
Anregungenfurph.w.Forschungen(Leipzig,1825,P.386sgg.).Afterassumingthatadrug,whichina
normalstateofhealthcausesthesymptomsa,b,g,inanalogywithotherphysiologicalphenomena,
producesthesymptomsx,y,z,whichappearinanabnormalstateofhealthcanactuponthisabnormal
stateinsuchawaythatthediseasesymptomsx,y,z,aretransformedintothedrugsymptomsa,b,g,
whichlatterhavethepeculiarcharacteristicoftemporarinessortransitoriness;hethencontinues: This
transitorycharacterbelongstothegroupofsymptomsofthemedicinea,b,g,whichissubstitutedforthe
groupofsymptomsbelongingtothedisease,merelybecausethemedicineisusedinanextraordinarily
smalldose. Shouldthehomoeopathicphysiciangivethepatienttoolargeadoseofthehomoeopathic
remedyindicated,thediseasex,y,zmayindeedbetransformedintotheother,i.e.,intoa,b,gbutthe
newdiseasenowjustsitsasfirmlyfixedastheformerx,y,z;sothattheorganismcanjustaslittlefree
itselffromthediseasea,b,g,asitwasabletothrowofftheoriginaldiseasex,y,z.Ifaverylargedoseis
given,thenanewoftenverydangerousdiseaseisproduced,ortheorganismdoesitsutmosttofreeitself
veryquicklyfromthepoison(throughdiarrhoea,vomiting,etc.).)
(P104)
Nowif,asexperienceteaches,noteventhefreshitchdiseasewhichisthemosteasytocureofall,i.e.,the
internal,recentlyformedpsoratogetherwiththeexternal,recenteruption,canbethoroughlyhealedby
externalapplicationsaccompaniedwithlargequantitiesofflowersofsulphur,itmayeasilybeseen,that
thepsora,afterithasbeendeprivedofitseruptionandhasbecomemerelyinternalandinveterate,having
developedsecondaryailmentsandthushavingchangeintochronicdiseasesofvariouskinds,forthesame

reasoncanbejustaslittlecuredbyaquantityofsulphurflowers,orbyanumberofbathsinsulphurous
mineralwaters,orontheotherhandbysimultaneouslydrinkingthesameorasimilarwater;inaword,it
cannot be cured by a superabundance and frequent repetition of this remedy, although it is of itself
antipsoric.*Itistruethatmanysuchchronicpatientsbythefirsttreatmentatthebathsseemtogetridfor
sometimeofthesymptomsoftheirdisease(thereforeweseeanincrediblethrongofmanythousands,
suffering from innumerable different chronic ailments at Teplitz, Baden, AixlaChapelle, Neundorf,
Warmbrunn,etc.);yettheyarenotonthataccountrestoredtohealth,butinsteadoftheoriginalchronic
(psoric)disease,theyhaveforatimecomeunderthedominionofasulphurdisease(another,perhaps
morebearable,malady). Thisintimepassesaway,whenthepsoraagainliftsitshead,eitherwiththe
samemorbidsymptomsasbefore,orwithotherssimilarbutgraduallymoretroublesomethanthefirst,or
withsymptomsdevelopinginnoblerpartsoftheorganism.Ignorantpersonswillrejoiceinthelattercase,
thattheirformerdiseaseatleasthaspassedaway,andtheyhopethatthenewdiseasealsomayberemoved
byanotherjourneytothesamebaths. Theydonotknow,thattheirchangedmorbidstateismerelya
transformationofthesamepsora;buttheyalwaysfindoutbyexperience,thattheirsecondtourtothe
bathscausesevenlessalleviation,or,indeed,ifthesulphurbathsareusedinstillgreaternumber,thatthe
secondtrialcausesaggravation.
Thusweseethateithertheexcessiveuseofsulphurinallitsforms,orthefrequentrepetitionofitsuseby
allopathicphysiciansinthetreatmentofamultitudeofchronicdiseases(thesecondarypsoricailments)
havetakenawayfromitallvalueanduse;andwemaywellassertthat,tothisday,hardlyanythingbut
injuryhasbeendonebyallopathicphysiciansthroughtheuseofsulphur.
(*Usedinsmalldoses,sulphurasoneoftheantipsoricremedieswillnotfailtomakeabriefbeginningof
acureofthechronic(nonvenerealandthereforepsoric)diseases. IknowaphysicianinSaxonywho
gainedagreatreputationbymerelyaddingtohisprescriptionsinnearlyallchronicdiseasesflowersof
sulphur,andthiswithoutknowingareasonforit. Thisinthebeginningofsuchtreatmentsiswontto
produceastrikinglybeneficenteffect,butofcourseonlyinthebeginning,andthereforeafterthathishelp
wasatanend.)
(P105)
Butevensupposingthatanyoneshoulddesiretomaketheonlycorrectuseofsulphurinthiskindof
disease,itwillseldombepossibletodothiswiththesamedesiredsuccessaswherethehomoeopathic
physicianfindsarecentcaseoftheitchdiseasewithitsstillexistingeruption.Evenwhen,owingtoits
undeniableantipsoriceffects,sulphurmaybeableofitselftomakethebeginningofacure,afterthe
externalexpulsionoftheeruption,eitherwiththestillhiddenandlatentpsoraorwhenthishasmoreor
lessdevelopedandbrokenoutintoitsvariedchronicdiseases,itcanneverthelessbebutrarelymadeuse
offorthispurpose,becauseitspowershaveusuallybeenalreadyexhausted,becauseithasbeengivento
thepatientalreadybeforebyallopathicphysiciansforonepurposeoranother,perhapshasbeengiven
alreadyrepeatedly;butsulphur,likemostoftheantipsoricremediesinthetreatmentofadevelopedpsora
thathasbecomechronic,canhardlybeusedthreeorfourtimes(evenaftertheinterveninguseofother
antipsoricremedies)withoutcausingthecuretoretrograde.
Thecureofanoldpsorathathasbeendeprivedofitseruption,whetheritmaybelatentandquiescent,or
alreadybrokenoutintochronicdiseases,canneverbeaccomplishedwithsulphuralone,norwithsulphur
bathseithernaturalorartificial.
HereImaymentionthecuriouscircumstancethatingeneralwiththeexceptionoftherecentitchdisease
stillattendedwithitsunrepressedcutaneouseruption,andwhichissoeasilycuredfromwithin*every
otherpsoricdiathesis,i.e.,thepsorathatisstilllatentwithin,aswellasthepsorathathasdevelopedinto
oneoftheinnumerablechronicdiseasesspringingfromit,isveryseldomcuredbyanysingleantipsoric
remedy,butrequirestheuseofseveraloftheseremediesintheworstcasestheuseofquiteanumberof
themoneaftertheother,foritsperfectcure.
(*Recentitchdiseasewithitsstillpresentcutaneouseruptionhasbeencuredattimeswithoutanyexternal
remedybyevenoneverysmalldoseofaproperlypotentizedpreparationofsulphurandthuswithintwo,

threeorfourweeks;onceadoseof1/2grainofcarbovegetabilispotentizedamillionfoldsufficedfora
familyofsevenpersons,andthreetimesalikedoseofashighlypotentizedsepiawassufficient.)
(P106)
Thiscircumstanceneednotastonishuswhenweconsiderthatthepsoraisachronicmiasmaofquite
peculiarandespecialcharacterwhichinseveralthousandsofyearshaspassedthroughseveralmillionsof
humanorganisms,andmusthaveassumedsuchavastextensionofvariedsymptoms,theelementsof
those innumerable, chronic, nonvenereal ailments, under which mankind now groans, and could
transmute itself intosuch anindefinite multitude offorms differing from one another as it gradually
ultimateditselfinthevariousbodilyconstitutionsofindividualmenwhodifferedfromoneanotherin
theirdomiciles,theirclimaticpeculiarities,theireducation,habits,occupations,*modesoflifeandofdiet,
andwasmouldedbyvaryingbodilyandpsychicrelations.Itis,therefore,notstrange,thatonesingleand
onlymedicineisinsufficienttohealtheentirepsoraandallitsforms,andthatitrequiresseveralmedicines
inordertorespond,bytheartificialmorbideffectspeculiartoeach,totheunnumberedhostofpsora
symptoms,andthustothoseofallchronic(nonvenereal)diseases,andtotheentirepsora,andtodothisin
acurativehomoeopathicmanner.
Itisonly,therefore,asalreadymentioned,whentheeruptionofitchisstillinitsprimeandtheinfectionis
inconsequencestillrecent,thatthecompletecurecanbeeffectedbysulphuralone,andthenattimeswith
butasingledose.Ileaveitundecided,whetherthiscanbedoneineverycaseofitchstillinfulleruption
ontheskin,becausetheagesoftheeruptionofitchinfectingpatientsisquitevarious.Foriftheeruption
has been on the skin for some time (although it may not have been treated with external repressive
remedies)itwillofitselfbegintorecedegraduallyfromtheskin.Thentheinternalpsorahasalreadyin
partgainedtheupperhand;thecutaneouseruptionisthennomoresocompletelyvicarious,andailments
ofanotherkindappear,partlyasthesignsofalatentpsora,partlyaschronicdiseasesdevelopedfromthe
internalpsora.Insuchacasesulphuralone(aslittleasanyothersingleantipsoricremedy)isusuallyno
longersufficienttoproduceacompletecure,andtheotherantipsoricremedies,oneoranotheraccording
totheremainingsymptoms,mustbecalledupontogivetheirhomoeopathicaid.
The homoeopathic medical treatment ofthecountlesschronic diseases(nonvenereal and therefore of
psoricorigin)agreesessentiallyinitsgeneralfeatureswiththehomoeopathictreatmentofhumandiseases
astaughtintheOrganonoftheArtofHealing;Ishallnowindicatewhatisespeciallytobeconsideredin
thetreatmentofchronicdiseases.
(*I.e.,occupationswhichcalledmorefullyintoplayoneoranotherofthebody,oneoranotherfunction
ofthespiritandmind.)
( I refrain from hinting through what exertions and through how many careful observations,
investigations,reflectionsandvariedexperimentsIhavefinallysucceededafterelevenyearsinfillingup
the great chasm in the edifice of the homoeopathic healing art, the cure of the innumerable chronic
diseases,andthusincompletingasfaraspossibletheblessingswhichthisarthasinstoreforsuffering
humanity.)
(P107)
AstothedietandmodeoflivingofpatientsofthiskindIshallonlymakesomegeneralremarks,leaving
thespecialapplicationinanyparticularcasetothejudgmentofthehomoeopathicpractitioner.Ofcourse
everythingthatwouldhinderthecuremustalsointhesecasesberemoved.Butsincewehaveheretotreat
lingering,sometimesverytediousdiseaseswhichcannotbequicklyremoved,andsinceweoftenhave
casesofpersonsinmiddlelifeandalsoinoldage,invariousrelationsoflifewhichcanseldombetotally
changed,eitherinthecaseofrichpeopleorinthecaseofpersonsofsmallmeans,orevenwiththepoor,
thereforelimitationsandmodificationsofthestrictmodeoflifeasregularlyprescribedbyHomoeopathy
mustbeallowed,inordertomakepossiblethecureofsuchtediousdiseaseswithindividualssovery
different.Astrict,homoeopathicdietandmodeoflivingdoesnotcurechronicpatientsasouropponents

pretendinordertodiminishthemeritsofHomoeopathy,butthemaincauseisthemedicaltreatment.This
maybeseeninthecaseofthemanypatientswhotrustingthesefalseallegationshaveforyearsobserved
themoststricthomoeopathicdietwithoutbeingabletherebytodiminishappreciablytheirchronicdisease;
thisratherincreasinginspiteofthediet,asalldiseasesofachronicmiasmaticnaturedofromtheirnature.
Owingtothesecauses,therefore,andinordertomakethecurepossible,thehomoeopathicpractitioner
mustyieldtocircumstancesinhisprescriptionsastodietandmodeofliving,andinsodoinghewillmuch
moresurly,andthereforemorecompletely,reachtheaimofhealing,thanbyanobstinateinsistenceon
strictruleswhichinmanycasescannotbeobeyed.
Thedailylaborer,ifhisstrengthallows,shouldcontinuehislabor;theartisanhishandiwork;thefarmer,
sofarasheisable,hisfieldwork;themotherofthefamilyherdomesticoccupationsaccordingtoher
strength;onlylaborsthatwouldinterferewiththehealthofhealthypersonsshouldbeinterdicted.This
mustbelefttotheintelligenceoftherationalphysician.
Theclassofmenwhoareusuallyoccupied,notwithbodilylabor,butwithfineworkintheirrooms,
usuallywithsedentarywork,shouldbedirectedduringtheircuretowalkmoreintheopenair,without,on
thataccount,settingtheirworkaltogetheraside.
(P108)
Personsbelongingtothehigherclassesshouldalsobeurgedtotakewalksmorethanistheircustom.The
physicianmayallowthisclasstheinnocentamusementofmoderateandbecomingdancingamusementsin
the country that are reconcilable with a strict diet, also social meetings with acquaintances, where
conversation is the chief amusement; he will not keep them from enjoying harmless music or from
listeningtolectureswhicharenottoofatiguing;hecanpermitthetheatreonlyexceptionally,buthecan
neverallowtheplayingofcards.Thephysicianwillmoderatetoofrequentridinganddriving,andshould
knowhowtobanishintercoursewhichshouldprovetobemorallyandpsychicallyinjurious,asthisisalso
physicallyinjurious.Theflirtationsandemptyexcitationsofsensualitybetweenthesexes,thereadingof
indelicatenovelsandpoemsofalikecharacter,aswellassuperstitiousandenthusiasticbooks,aretobe
altogetherinterdicted.*
Scholarsoughtalsotobeinducedto(moderately)exerciseintheopenair,andinbadweathertodosome
lightmechanicalworkindoors;butduringthemedicaltreatmentmentaloccupationshouldbelimitedto
workfrommemory,sincestrainingtheheadbyreadingishardlyevertobeallowed,oratleastonlywith
greatlimitationandastrictdefinitionastothequantityandqualityofwhatisread,i.e.,intreatinganyof
themoreseverechronicdiseases.Inmentaldisordersitcanneverbeallowed.
Allclassesofchronicpatientsmustbeforbiddentheuseofanydomesticremediesortheuseofany
medicinesontheirownaccount.Withthehigherclasses,perfumeries,scentedwaters,toothpowdersand
othermedicinesfortheteethmustalsobeforbidden.Ifthepatienthasbeenaccustomedforalongtimeto
woollenunderclothing,thehomoeopathicphysiciancannotsuddenlymakeachange;butasthedisease
diminishesthewoollenundergarmentsmayinwarmweatherbefirstchangedtocottonandthen,inwarm
weather,thepatientcanpasstolinen. Fontanellescanbestopped,inchronicdiseasesofanymoment,
onlywhentheinternalcurehasalreadymadeprogress,especiallywithpatientsofadvancedage.
Thephysiciancannotyieldtotherequestofpatientsforthecontinuationoftheircustomaryhomebaths;
butaquickablution,asmuchascleanlinessmaydemandfromtimetotime,maybeallowed;norcanhe
permitanyvenesectionorcupping,howevermuchthepatientmaydeclarethathehasbecomeaccustomed
thereto.
(*Physiciansfrequentlywishtoassumeimportancebyforbiddingwithoutexceptionallsexualintercourse
tochronicpatientswhoaremarried.Butifbothpartiesareableanddisposedtoit,suchaninterdictis,to
saytheleast,ridiculous,asitneithercannorwillbeobeyed(withoutcausingagreatermisfortuneinthe
family).Nolegislatureshouldgivelawsthatcannotbekeptnorcontrolled,orwhichwouldcauseeven
greater mischief if kept. If one party is incapable of sexual intercourse this of itself will stop such
intercourse. But of all functions in marriage such intercourse is what may least be commanded or
forbidden.Homoeopathyonlyinterferesinthismatterthroughmedicines,soastomakethepartythatis
incapableofsexualintercoursecapableofit,throughantipsoric(orantisyphilitic)remedies,oronthe
otherhandtoreduceanexcitableconsortsmorbiditytoitsnaturaltone.)

(P109)
Astodiet,allclassesofmenwhowishtobecuredofalingeringdisease;cansuffersomelimitation,ifthe
chronicdiseasedoesnotconsistofanailmentoftheabdomen;withthelowerclassesthereneedtobeno
verystrictlimitations,especiallyifthepatientisabletoremainatworkinhistrade,thusgivingmotionto
thebody.Thepoormancanrecoverhealthevenwithadietofsaltandbread,andneitherthemoderate
useofpotatoes,flourporridgenorfreshcheesewillbinderhisrecovery;onlylethimlimitthecondiments
ofonionsandpepperwithhismeagrediet.
Hewhocaresforhisrecoverycanfinddishes,evenatthekingstable,whichansweralltherequirements
ofanaturaldiet.
Most difficult for ahomoeopathic physician isthe decision astodrinks. Coffee hasingreat part the
injuriouseffectsonthehealthofbodyandsoulwhichIhavedescribedinmylittlebook(Wirkungendes
Kaffees[EffectsofCoffee],Leipzig,1803);butithasbecomesomuchofahabitandanecessitytothe
greaterpartofthesocalledenlightenednationsthatitwillbeasdifficulttoextirpateasprejudiceand
superstition, unless the homoeopathic physician in the cure of chronic diseases insists on a general,
absoluteinterdict. Onlyyoungpeopleuptothetwentiethyear,oratmostuptothethirtieth,canbe
suddenlydeprivedofitwithoutanyparticulardisadvantage;butwithpersonsoverthirtyandfortyyears,if
theyhaveusedcoffeefromtheirchildhood,itisbettertoproposetodiscontinueitgraduallyandeveryday
todrinksomewhatless;whenloandbehold!mostofthemleaveitoffatonce,andtheywilldosowithout
anypeculiartrouble(except,perhaps,forafewdaysatthecommencement).AslateassixyearsagoIstill
supposedthatolderpersonswhoareunwillingtodowithoutit,mightbeallowedtouseitinasmall
quantity. But I have since then become convinced that even a longcontinued habit cannot make it
harmless,andasthephysiciancanonlypermitwhatisbestforhispatient,itmustremainasanestablished
rulethatchronicpatientsmustaltogethergiveupthispartoftheirdiet,whichisinsidiouslyinjurious;and
thisthepatients,highorlow,whohavetheproper confidence intheirphysician,whenitisproperly
representedtothem,almostwithoutexception,dowillinglyandgladly,tothegreatimprovementoftheir
health.Ryeorwheat,roastedlikecoffeeinadrumandthenboiledandpreparedlikecoffee,hasbothin
smellandintastemuchresemblancetocoffee;andrichandpoorareusingthissubstitutewillinglyin
severalcountries.
(P110)
Thelikemaybesaidconcerningtheexpensiveandsocalledfinesorts,aswellasconcerningthecheap
sortsofChineseteawhichsoflatteringlyalluresthenervesandsosecretlyandinevitablyinfestsand
weakensthem.Evenwhenmadeveryweakandwhenonlyalittleisdrankonlyonceadayitisnever
harmless,neitherwithyoungerpersonsnorwitholderoneswhohaveuseditsincetheirchildhood;and
theymustinsteadofitusesomeharmlesswarmdrink.Patients,accordingtomyextensiveexperience,are
alsowillingtofollowtheadviceoftheirfaithfuladviser,thephysicianinwhomtheyhaveconfidence,
whenthisadviceisfortifiedwithreasons.
Withrespecttothelimitationinwinethepractitionercanbefarmorelenient,sincewithchronicpatientsit
will be hardly ever necessary to altogether forbid it. Patients who from their youth up have been
accustomedtoaplentifuluseofpure*winecannotgiveitupatonceorentirely,andthisthelesstheolder
theyare.Todosowouldproduceasuddensinkingoftheirstrengthandanobstructiontotheircure,and
mightevenendangertheirlife. Buttheywillbesatisfiedtodrinkitduringthefirstweeksmixedwith
equalpartsofwater,andlater,graduallywinemixedwithtwo,threeandfourandfinallywithfiveandsix
partsofwaterandalittlesugar.Thelattermixturesmaybeallowedallchronicpatientsas,theirusual
beverage.
Moreabsolutelynecessaryinthecureofthechronicdiseasesisthegivingupofwhiskyorbrandy.This
willrequire,however,asmuchconsiderationindiminishingthequantityused,asfirmnessinexecutingit.
Wherethestrengthappreciablydiminishesatgivingituptotally,asmallportionofgood,purewinemust
beusedinsteadofitforalittlewhile,butlater,winemixedwithseveralpartsofwater,accordingto
circumstances.
Since,accordingtoaninviolablelawofnature,ourvitalforcealwaysproducesinthehumanorganismthe
oppositeoftheimpressionscausedbyphysicalandmedicinalpotenciesinallthecasesinwhichthereare

suchopposites,itmayeasilybeunderstood,asaccurateobservationalsotestifies,thatspirituousliquors,
afterhavingsimulatedrefreshmentandheightenedvitalwarmthimmediatelyafterpartakingthem,must
havejusttheoppositeaftereffects,owingtothisoppositereactionofthevitalforceoftheorganism.
Weaknessandadiminutionofthevitalwarmtharetheinevitableconsequencesoftheirusestateswhich
oughttoberemovedasfaraspossiblefromthechronicpatientbyeverytruephysician.Onlyanallopath
whohasneveraccustomedhimselftoobservationandtoreflection,andwhoisunwillingtoacknowledge
theinjuriouseffectsofhispalliatives,canadvisehischronicpatientstodailydrinkstrong,purewineto
strengthenthemselves;agenuineHomoeopathwillneverdothis(sedexungueleonem!).
(*Evenformeninquitegoodhealthitisimproperandinmanywaysinjurioustodrinkpurewineasa
customarybeverage,andmoralityonlypermitsitsuseinsmallquantitiesatfestiveoccasions. Ayouth
cannot keephissexual desiresundercontrol uptohismarriage unlesshealtogether avoidsbanquets.
Gonorrhoeaandchancreareduetosuchexcesses.)
(P111)
Thepermissionofbeerisquitequestionable!Sincetheartificesofbrewers inmoderntimesseem to
intend,bytheiradditionofvegetablesubstancestotheextractofmalt,notonlytopreventitfromsouring,
butalsoandespeciallytoticklethepalateandtocauseintoxication,withoutanyregardtotheinjurious
qualities ofthese malignant additionswhichoftendeeply undermine thehealthwhendaily used,and
whichcannot bediscoveredbyanyinspection,thehonest physiciancannot allowhispatient todrink
whatsoeveriscalledbeer;foreveninthewhitebeer(thinbeer)andtheporter,whichonaccountoftheir
lackofbitternessseemsoharmless,notinfrequentlyhavenarcoticingredientsaddedtogivethemthe
muchlikedintoxicatingqualityinspiteoftheirdiminishedquantityofmalt.
Amongthearticlesofdietwhicharegenerallyinjurioustochronicpatientsarealsoalldishescontaining
vinegarorcitricacid. Theseareespeciallyapttocausedisagreeablesensationsandtroublesinthose
afflictedwithnervousandabdominalailments. Theyalsoeitherantagonizeorexcessivelyincreasethe
effectsofseveralmedicines.Forsuchpatientsalsoveryacidfruit(assourcherries,unripegooseberries
andcurrants)aretobeallowedonlyinverysmallquantities,andsweetfruitsonlyinmoderatequantity;so
alsobakedprunesasapalliativearenottobeadvisedtothoseinclinedtoconstipation.Tothelatter,as
alsotothosesufferingfromweakdigestion,vealwhichistooyoungisnotserviceable. Thosewhose
sexualpowersarelowshouldlimitthemselvesineatingyoungchickensandeggs,andshouldavoidthe
irritatingspiceofvanilla,alsotrufflesandcaviare,whichaspalliativeshinderacure.Ladieswithscanty
mensesmustavoidtheuseofsaffronandcinnamonforthesamereason;personswithweakstomachs
shouldavoidcinnamon,cloves,amomum,pepper,gingerandbittersubstances,which,beingpalliatives,
arealsoinjuriouswhileunderhomoeopathictreatment.Vegetablescausingflatulencyshouldbeforbidden
inallabdominaltroublesandwherethereisaninclinationtoconstipationandcostiveness.Beefandgood
wheatbreadorryebread,togetherwithcowsmilkandamoderateuseoffreshbutter,seemtobethe
mostnaturalandharmlessfoodformen,andalsoforchronicpatients;onlylittlesaltshouldbeused.Next
tobeefinwholesomenessaremutton,venison,grownchickensandyoungpigeons.Thefleshandfatof
geeseandducksareevenlesstobepermittedtochronicpatientsthanpork.Pickledandsmokedmeats
shouldberarelyusedandonlyinsmallquantities.
(P112)
Sprinklingchoppedrawherbsonsoups,puttingpotherbsintovegetables,andeatingold,rancidcheese
mustbeavoided.
In using the better quality of fish their preparation should be especially looked to; they had best be
prepared by boiling and used sparingly with sauces not much spiced; but no fish dried in the air or
smoked;saltfish(herringsandsardines)onlyrarelyandsparingly.
Moderationinallthings,eveninharmlessones,isthechiefdutyofchronicpatients.
Inconsideringdiet,theuseoftobaccoshouldalsobecarefullyconsidered. Smokinginsomecasesof
chronicdiseasesmaybepermitted,whenthepatienthadbeenaccustomedtoanuninterrupteduseofit,
andifhedoesnotexpectorate;butsmokingshouldalwaysbelimited,andmoresoifthementalactivity,
sleep,digestionortheevacuationsaredefective.Ifevacuationsregularlyonlytakeplaceaftersmoking,

theuseofthispalliativemustbeallthemorecircumscribed,andthesameresultmustbeobtainedina
lastingmannerthroughtheappropriateantipsoricremedies.Moreobjectionableyet,however,istheusing
ofsnuff,whichiswonttobeabusedasapalliativeagainstrheumandobstructionofthenoseandinsidious
inflammationoftheeyes,andwhichbeingapalliative,isagreathindranceinthecureofchronicdiseases;
itcan,therefore,notbeallowedwithsuchpatients,butmustbediminishedeverydayandatlaststopped.
Anespecialreasonforthisisalsothatinsnuffthemedicinalliquors(sauces)withwhichalmostallsnuffis
medicatedtoucheswithitssubstancethenervesoftheinnernoseandinjuresjustasifaforeignmedicine
weretaken,whichislessthecasewiththeburningsmokingtobaccoinwhichthestrengthisdisintegrated
bytheheat.
Inowpasstotheotherhindrancestothecureofchronicdiseaseswhichmustbeavoidedasfaras
possible.
Allthoseeventsinhumanlifewhichcanbringthepsoralatentandslumberingwithin,whichhashitherto
manifesteditselfonlybysomeofthesignsmentionedabove,whereinthepatientvariesfromastateof
health,soastobreakoutintoopenchronicdiseases,thesesameeventsiftheyoccurtoapersonalreadya
chronicpatientmaynotonlyaugmenthisdiseaseandincreasethedifficultyofcuringit,but,iftheybreak
inonhimviolently,maymake hisdiseaseincurable,iftheuntowardcircumstancesarenotsuddenly
changedforthebetter.
(P113)
Sucheventsare,however,ofveryvariousnature,andthereforeofdifferentdegreesofinjuriousinfluence.
Excessivehardships,laboringinswamps,greatbodilyinjuriesandwounds,excessofcoldorheat,and
even the unsatisfied hunger of poverty and its unwholesome foods, etc., are not by any means very
powerfulincausingthefearfulmaladyofpsorawhichliesinambush,lurkinginsecrettobreakforthinto
seriouschronicdiseases,norofgreatconsequenceinaggravatingachronicdiseasealreadypresent;yea,
aninnocentmancan,withlessinjurytohislife,passtenyearsinbodilytormentsinthebastileoronthe
galleysratherthanpasssomemonthsinallbodilycomfortinanunhappymarriageorwitharemorseful
conscience. A psora slumbering within, which still allows the favorite of a prince to live with the
appearanceofalmostbloominghealthunfoldsquicklyintoachronicailmentofthebody,ordistractshis
mentalorgansintoinsanity,whenbyachangeoffortuneheishurledfromhisbrilliantpinnacleandis
exposedtocontemptandpoverty. Thesuddendeathofasoncausesthetendermother,alreadyinill
healthanincurablesuppurationofthelungsoracancerofthebreast. Ayoung,affectionatemaiden,
alreadyhysterical,isthrownintomelancholybyadisappointmentinlove.
How difficult it is, and how seldom will the best antipsoric treatment do anything to relieve such
unfortunates!
Byfarthemostfrequentexcitementoftheslumberingpsoraintochronicdisease,andthemostfrequent
aggravationofchronicailmentsalreadyexisting,arecausedbygriefandvexation.
Uninterruptedgriefandvexationverysoonincreaseeventhesmallesttracesofaslumberingpsorainto
moreseveresymptoms,andtheythendeveloptheseintoanoutbreakofallimaginablechronicsufferings
morecertainlyandmorefrequentlythanallotherinjuriousinfluencesoperatingonthehumanorganismin
anaveragehumanlife;whilethesetwoagenciesjustassurelyandfrequently,augmentailmentsalready
existing.
Asthegoodphysicianwillbepleasedwhenhecanenlivenandkeepfromennuithemindofapatient,in
ordertoadvanceacurewhichisnotencumberedwithsuchobstructions,hewillinsuchacasefeelmore
thaneverthedutyincumbentuponhimtodoallwithinthepowerofhisinfluenceonthepatientandonhis
relativesandsurroundings,inordertorelievehimofgriefandvexation.Thiswillandmustbeachiefend
ofhiscareandneighborlylove.
(P114)
But if the relations of the patient cannot be improved in this respect, and if he has not sufficient
philosophy,religionandpoweroverhimselftobearpatientlyandwithequanimityallthesufferingsand
afflictionsforwhichheisnottoblame,andwhichitisnotinhispowertochange;ifgriefandvexation
continuallybeatinuponhim,anditisoutofthepowerofthephysiciantoeffectalastingremovalofthese
mostactivedestroyersoflife,hehadbettergiveupthetreament*andleavethepatienttohisfate,foreven
themostmasterlymanagementofthecasewiththeremediesthat arethemostexquisiteandthebest

adaptedtothebodilyailmentwillavailnothing,nothingatall,withachronicpatientthusexposedto
continualsorrowandvexation,andinwhomthevitaleconomyisbeingdestroyedbycontinuousassaults
on the mind. The continuation of the fairest edifice is foolish, when the foundation is being daily
undermined,evenifbutgradually,bytheplayofthewaves.
Almostasnear,andoftenneareryet,toinsurabilityarethechronicdiseases,especiallywithgreatandrich
men,whoforsomeyears,besidestheuseofmineralbaths, havepassedthroughthehandsofvarious,
oftenofmany,allopathicphysicians,whohavetriedonthemoneafteranotherallthefashionablemodes
ofcure,theremedieswhicharesoboastinglylaudedinEngland,FranceandItaly,allstronglyacting
mixtures. Bysomanyunsuitable medicines,whichareinjuriousbytheirviolenceandtheirfrequent
repetitioninlargedoses,thepsorawhichalwayslieswithin,evenifnotcombinedwithsyphilis,becomes
everyyearmoreincurable,asdoalsothechronicailmentsspringingfromit;andafterthecontinuationof
suchirrationalmedicalassaultsontheorganismforseveralyearsitbecomesalmostquiteincurable. It
cannotwellbedecided,sincethesethingstakeplaceinthedark,whethertheseheroicunhomoeopathic
doseshaveadded,asmaybesuspected,newailmentstotheoriginaldisease,whichailmentsthroughthe
largenessofthedosesandtheirfrequentrepetitionhavenowbecomelastingandasitwerechronic,or
whetherthroughabusetherehasresultedacripplingofthedifferentfacultiesoftheorganism,i.e.,thoseof
irritability,ofsensation and ofreproduction,and so(probably from bothcauses) there hasarisenthe
monsterofvariousailments,fusedintooneanother,whichcannolongerberationallyviewedasasimple
natural ailment. In short, this manysided disharmony and perversion of parts and of forces most
indispensabletolifepresentachaosofailmentswhichthehomoeopathicphysicianshouldnotlightly
declarecurable.
(*Unlessthepatientshouldhavelittleornocauseforhisgriefandsorrow,orhardlyanyincitementfrom
withouttovexation,andinconsequencewouldneedmoreparticularlytobetreatedwithrespecttohis
mentaldisorder,bymeansoftheantipsoricremedies,whichareatthesametimesuitedtotherestofhis
chronicdisease.Suchcasesarenotonlycurable,butofteneveneasilycurable.)
(Everytimethebathsareused,evenwhenthewaterisnotinitselfunsuitabletotheailment,theyareto
beconsideredastheuseoflargedosesoftenrepeatedofoneandthesameviolentlyactingmedicine,the
violentoperationofwhichcanseldombesalutary,andmustoftenresultintheaggravationofthemorbid
state,yea,eventothepatientsutterdestruction.)
(P115)
Bysuchtreatments,whichareincapableofcuringtheoriginaldisease,butareexhaustinganddebilitating,
theaggravationofthepsoraisnotonlyhastenedfromwithin,butnewartificialandthreateningailments
aregeneratedbysuchdelusiveallopathiccures,sothatthevitalforce,thusattackedfromtwosides,often
isunabletoescape.
Ifinsuchcasesthesadconsequencesoftheseindirectassaultsoftheoldmethodsofcureweredynamic
disturbancesonly,theywouldsurelyeitherdisappearofthemselveswhenthetreatmentisdiscontinued,or
theyoughtatleasttobeextinguishedagaineffectivelythroughhomoeopathicmedicines.Butthisisnotat
allthecase;theydonotyield. Verylikelybytheseindirect,continuousandrepeatedassaultsonthe
sensitive,irritablefiberbysuchinjudiciousmedicinaldiseasepotencies,whicharegiveninlargedoses
frequentlyrepeated,thevitalforceisobligedtomeetthisattackandtoendeavoreithertodynamically
changethesetenderinternalorganswhichareassaultedsomercilessly,ortoreconstructthemmaterially
soastomakethemunassailabletosuchviolentattacks,andthustoprotectandshieldtheorganismfrom
generaldestruction.Thus,e.g.,thisforce,whichinstinctivelypreserveslife,beneficiallyshieldsthefine
sensitiveskinofthehandwithacallouscoveringofhard,hornyskininpersonswithwhomtheskinis
exposedtofrequentinjuriesduringhardlaborwherebytheskinisinjuredbyhard,scratchingmaterialsor
bycorrodingsubstances. Soalsoinalongcontinuedallopathictreatment,whichhasnotruehealing
powerwithrespect tothedisease,nodirect pathic(homoeopathic) relationtothepartsandprocesses
concernedinthechronicdisease,butinternallyassaultsotherdelicatepartsandorgansofthebody,insuch
cases the vital force, in order to protect the whole from destruction, dynamically and organically

transmutes these fine organs; i.e., either makes them inactive or paralyzes them, or dulls their
sensitiveness,ormakesthem altogethercallous. Ontheonesidethemosttenderfiberisabnormally
thickenedorhardened,andthemorevigorousfibersconsumedorannihilatedthusthereariseartificially,
adventitious organisms, malformations and degenerations, which at postmortem examinations are
cunninglyascribedtothemalignancyoftheoriginaldisease.Suchaninternalstateisnotinfrequent,and
isinmanycasesincurable. Onlywheretherearestillsufficientvitalpowersinabodynottoomuch
boweddownbyage(butwhereunderanallopathicregimedowenotfindthepowerswasted?)under
favorableexternalcircumstances,thevitalforcedynamicallyfreedfromitsoriginaldiseasebythecareful
homoeopathic(antipsoric)treatmentofapracticedphysician,maysucceedingraduallyreassertingitself,
andingraduallyabsorbingandtransformingthose(oftennumerous)adventitioussecondaryformations
whichitwascompelledtoform.Suchatransformationis,however,onlypossibletoastillenergeticvital
force, which has been in great part set free from itspsora. Only however, under favorable external
circumstances,andafterthelapseofaconsiderabletimeandusuallyinonlyanimperfectmanner,doesthe
vitalforcesucceedinthisalmostcreativeendeavor.Experienceprovesdailythatthemorezealouslythe
allopathputsintopracticeinchronicdiseasehisperversedestructiveart(oftenwithgreatcare,industry
andpersistence),themoreheruinshispatientsinhealthandlife.
(P116)
Howcanperversions,introducedintopatientsinthismannerfrequentlyforyears,betransformedina
shorttimeintohealthevenbythebest,i.e.,thetruemethodofcure,whichhasneverassumedtoitselfthe
powerofdirectlyinfluencingorganicdefects?
Thephysicianhastomeetinsuchcasesnonatural,simplepsoricdisease.Hecanthereforepromisean
improvementonlyafteralongperiodoftime,butneverafullrestoration,evenifthevitalpowersarenot
(asissofrequentlythecase)altogetherwasted;forwherethisisthecase,hewouldfeelcompelledto
desistfromtreatmentevenatthefirstglance.Firstthemanychronicmedicinaldiseaseswhichpassover
thefluctuatingstateofhealthmustgraduallyberemoved(perhapsduringaseveralmonthsstayinthe
countryalmostwithoutmedicine);ortheymustdepartasofthemselvesthroughtheactivityofthevital
force,whentheantipsorictreatmenthastosomedegreebegun,withanimprovedmanneroflivinganda
regulateddiet.Forwhocouldfindremediesforalltheseailmentsartificiallyproducedbyaconfusedmass
ofstrongunsuitablemedicines? Thevitalforcemustfirstabsorbandreformwhatithascompulsorily
deformed,beforethetruehealerwillintimeseeagainbeforehimapartiallyclearedmaladysimilartothe
originalone,andwhichhewillthenbeabletocombat.*
(*On theother hand, themost dreadful diseases ofevery kind which have not been spoiled byany
medicalfatuity,inthefamiliesoffarmlaborersandotherdaylaborers,onwhomofcoursenoordinary
physicianpresseshisservices,arequitecommonly,almostasifbyamiracle,curedbytheantipsoric
remediesinashorttime,andaretransformedintolastinggoodhealth.)
(P117)
Woetotheyounghomoeopathicphysicianwhohastofoundhisfameuponthecureofthosediseases,of
rich and prominent persons, which by a mass of allopathic evil arts have degenerated into such
monstrosities!Withallhiscarehewillendinfailure!
Asimilargreathindrancetoacureoffaradvancedchronicdiseasesisoftenfoundinthedebilityand
weakness into which youths fall who are spoiled by rich parents, being carried away by their
superabundanceandwantonness,andseducedbywickedcompanionsthroughdestructivepassionsand
excesses,throughrevellings,abuseofthesexualinstinct,gambling,etc.Withouttheleastregardforlife
and for conscience, bodies originally robust are debilitated by such vices into mere semblances of
humanity,andarebesidesruinedbyperversetreatmentoftheirvenerealdiseases,sothatthepsora,which
frequentlylurkswithin,growsupintothemostpitiablechronicdiseases,which,evenifthemoralityofthe
patientshouldhaveimproved,onaccountofthedepressingremorse,andthelittleremnantoftheirwasted
vitalpowers,acceptantipsoricreliefonlywiththegreatestdifficulty.Suchcasesshouldbeundertakenby
homoeopathicphysiciansascurableonlywiththegreatestcautionandreserve.

Butwheretheabovementionedoftenalmostinsurmountableobstaclestothecureoftheseinnumerable
chronicdiseasesarenotpresent,*thereisneverthelessfoundattimes,especiallywiththelowerclassesof
patients,apeculiarobstructiontothecure,whichliesinthesourceofthemaladyitself,wherethepsora,
after repeated infections and a repeated external repression of the resulting eruption, had developed
graduallyfromitsinternalstateintooneormoreseverechronicailments. Acurewill,indeed,alsobe
certainly effected here, if the abovementioned obstacles do not prevent, by a judicious use of the
antipsoric remedies, but only with much patience and considerable time, and only with patients who
observethedirectionsandwhoarenottooagednortoomuchdebilitated.
(*Oneadditionalobstacletothehomoeopathiccureofchronicdiseases,andonewhichisnotveryrare
butisstillusuallydisregarded,is:Thesuppressedsexualinstinctwithmarriageablepersonsofeithersex,
eitherfromnonmarriageowingtovariouscausesnotremovablebyaphysician,orwhereinmarried
personssexualintercourseofaninfirmwifewithavigoroushusband,oroftheinfirmhusbandwitha
vigorous wife has been absolutely and forever interdicted by an injudicious physician, as is not
infrequentlythecase.Insuchcasesamoreintelligentphysician,recognizingthecircumstancesandthe
naturalimpulseimplantedbytheCreator,willgivehispermissionandthusnotinfrequentlyrendercurable
amultitudeofhystericalandhypochondriacstates,yea,oftenevenmelancholyandinsanity.)
(P118)
Butinthesedifficultcasesalsothewisearrangementofnatureismanifestedinaidofourefforts,ifwe
onlymakeagooduseofthefavorablemomentoffering.Forexperienceinformsusthatinacaseofitch
arisingfromanewinfection,evenwhen,afterseveralprecedinginfectionsandrepressionsoftheeruption,
thepsorahasmadeconsiderableprogressintheproductionofchronicdiseasesofmanykinds,theitch
whichhaslastarisen,ifithasonlystillkeptitsfullprimitiveeruptionunhinderedontheskin,maybe
curedalmostaseasilyasifitwerethefirstandtheonlyone,i.e.,usuallybymerelyoneorafewdosesof
theappropriateantipsoricmedicine,andthatbysuchacurethewholepsoraofalltheprecedinginfections,
togetherwithitsoutbreaksintochronicailments,iscured.*
Neverthelessitisnotadvisabletointentionallycauseanewartificialinfectionwithitch,evenifthepatient
feltnorepugnancetoit(asisnevertheless,frequentlythecase)merelyonaccountoftheeasiercureinthat
caseoftheoldpsorawhichhadbeenseveraltimesrenewed;becauseinseverechronicdiseasesofanon
venerealandthereforepsoricorigin,ase.g.suppurationofthelungs,acompleteparalyzationofoneor
anotherpartofthebody,etc.,theitchmiasmararelyretainsitshold,and,asfarasexperienceshows,it
clings less when caused by an artificial inoculation than when it originates from an accidental,
unintentionalinfection.
Ihavelittlefurthertosaytothephysicianalreadyskilledinthehomoeopathicartastohowheisto
operateinthecureofchronicdiseases,excepttodirecthimtotheantipsoricremediesappendedtothis
work;forhewillknowhowtousetheseremediesforthisnobleendsuccessfully.Ihaveonlytoaddafew
cautions.
First of all, the great truth is established that all chronic ailments, all great, and the greatest, long
continuingdiseases(exceptingthefewvenerealones)springfrompsoraaloneandonlyfindtheirthorough
cureinthecureofthepsora;theyare,consequently,tobehealedmostlyonlybyantipsoricremedies,i.e.,
bythoseremedieswhichintheirprovingsastotheirpureactiononthehealthyhumanbodymanifestmost
ofthesymptomswhicharemostfrequentlyperceivedinlatentaswellasindevelopedpsora.
Thehomoeopathicphysician,therefore,incuringachronic(nonvenereal)disease,andinallandinevery
symptom,ailmentanddisorderarisinginthisdisease,nomatterwhatseductivenamethesemayhavein
commonlifeorinpathology,willusuallyandespeciallylooktotheuseofanantipsoricmedicineselected
accordingtostrictlyhomoeopathicrules,inordertosurelyattainhisend.
(*Thesameisthecase,accordingtothemercifularrangementofnature,withsyphilis,where,afteralocal
destructionofthechancreorthebuboandafteraconsequentbreakingoutofthevenerealdisease,anew
infectiontakesplace.Thenewinfection,whilethechancreremainsundisturbed,maybecured,together
withthevenereal diseasesprungfromtheformerinfection,justaseasilybyasingledoseofthebest

mercurialpreparation,asifthefirstchancrewerestillpresent,providedthatnocomplicationwitheither
oftheothertwochronicmiasmata,especiallythepsoric,hastakenplace;forinsuchacase,ashasbeen
mentionedabove,thepsoramustfirstberemoved.)
(P119)
Lethimnotthink,whileawellchosenantipsoricmedicineisactingandthepatientsomedayfeelsa
moderateheadache,orelseamoderateailment,thathemustgivethepatientatoncesomeothermedicine,
whetheranantipsoricoranotherremedy;orifperchanceasorethroatshouldarise,thathemustgive
anotherremedy,oranotheronaccountofdiarrhoea,oranotheronaccountofsomemoderatepaininone
partoranother,etc.
No!thehomoeopathicantipsoricmedicinehavingbeenchosenaswell aspossibletosuitthemorbid
symptoms,andgivenintheappropriatepotencyandintheproperdose,thephysicianshouldasarule
allowittofinishitsactionwithoutdisturbingitbyaninterveningremedy.
Forifthesymptomsoccurringduringtheactionoftheremedyhavealsooccurred,ifnotinthelastfew
weeks,atleastnowandthensomeweeksbefore,orsomemonthsbeforeinasimilarmanner,thensuch
occurrences are merely ahomoeopathic excitation, through themedicine,ofsomesymptom not quite
unusualtothisdisease,ofsomethingwhichhadperhapsbeenmorefrequentlytroublesomebefore,and
theyareasignthatthismedicineactsdeeplyintotheveryessenceofthisdisease,andthatconsequentlyit
willbemoreeffectiveinthefuture.Themedicine,therefore,shouldbeallowedtocontinueandexhaust
itsactionundisturbed,withoutgivingtheleastmedicinalsubstancebetweenitsdoses.
Butifthesymptomsaredifferentandhadneverbeforeoccurred,orneverinthisway,and,therefore,are
peculiartothismedicineandnottobeexpectedintheprocessofthedisease,buttrifling,theactionofthe
medicine ought not for the present to be interrupted. Such symptoms frequently pass off without
interruptingthehelpfulactivityoftheremedy;butiftheyareofaburdensomeintensity,theyarenottobe
endured; in such a case they are a sign that the antipsoric medicine was not selected in the correct
homoeopathicmanner.Itsactionmustthenbecheckedbyanantidote,orwhennoantidotetoitisknown,
anotherantipsoricmedicinemoreaccuratelyansweringitssymptomsmustbegiveninitsplace;inthis
thesefalsesymptomsmaycontinueafewmoredays,ortheymayreturn,buttheywillsooncometoa
finalendandbereplacedbyabetterhelp.
Leastofall,needwetobeconcernedwhentheusualcustomarysymptomsareaggravatedandshowmost
prominentlyonthefirstdays,andagainonsomeofthefollowingdays,butgraduallylessandless.This
socalledhomoeopathicaggravationisasignofanincipientcure(ofthesymptomsthusaggravatedat
present),whichmaybeexpectedwithcertainty.
(P120)
Butiftheseaggravatedoriginalsymptomsappearonsubsequentdaysstillofthesamestrengthasatthe
beginning,orevenwithanincreasedseverity,itisasignthatthedoseofthisantipsoricremedy,although
properlyselectedaccordingtohomoeopathicprinciples,wastoolarge,anditistobeapprehendedthatno
curewillbeeffectedbyit;becausethemedicineinsolargeadoseisabletoestablishadisease,whichin
somerespects,indeed,issimilartoit;withrespecttothefact,however,thatthemedicineinitspresent
intensityunfoldsalsoitsothersymptomswhichannulthesimilarity,itproducesasimilarchronicdisease
insteadoftheformer,and,indeed,amoresevereandtroublesomeone,withouttherebyextinguishingthe
oldoriginalone.
Thiswillbedecidedinthefirstsixteen,eighteenortwentydaysoftheactionofthemedicinewhichhas
beengivenintoolargeadose,anditmustthenbechecked,eitherbyprescribingitsantidote,or,ifthisis
notasyetknown,bygivinganotherantipsoricmedicinefittingaswellaspossible,andindeedinavery
moderatedose,andifthisdoesnotsufficetoextinguishthisinjuriousmedicinaldisease,anotherstill
shouldbegivenashomoeopathicallysuitableaspossible.*
Nowwhenthestormyassaultcausedbytoolargeadoseofmedicine,althoughhomoeopathicallyselected,
hasbeenassuagedthroughanantidoteorthelateruseofsomeotherantipsoricremedies,then,lateron,the
sameantipsoricremedywhichhadbeenhurtfulonlybecauseofitsoverlargedosecanbeusedagain,
and,indeed,assoonasitishomoeopathicallyindicated,withthegreatestsuccess,onlyinafarsmaller
doseandinamuchmorehighlypotentizedattenuation,i.e.,inamilderquality.

Thephysiciancan,indeed,makenoworsemistakethanfirst,toconsiderastoosmallthedoseswhichI
(forcedbyexperience)havereducedaftermanifoldtrialsandwhichareindicatedwitheveryantipsoric
remedyandsecondly,thewrongchoiceofaremedy,andthirdly,thehastinesswhichdoesnotalloweach
dosetoactitsfulltime.
(*Ihavemyselfexperiencedthisaccident,whichisveryobstructivetoacureandcannotbeavoidedtoo
carefully. Stillignorantofthestrengthofitsmedicinalpower,Igavesepiaintoolargeadose. This
troublewasstillmoremanifestwhenIgavelycopodiumandsilicea,potentizedtotheonebillionthdegree,
givingfourtosixpellets,thoughonlyaslargeaspoppyseeds.Discitemoniti.)
(P121)
ThefirsterrorIhavealreadyspokenof,andwouldonlyaddthatnothingislostifthedoseisgiveneven
smallerthanIhaveprescribed. Itcanhardlybegiventoosmall,ifonlyeverythingillthedietandthe
remainingmodeoflifeofthepatientwhichwouldobstructorcounteracttheactionofthemedicineis
avoided. The medicine will still produce all the good effects which can at all be expected from a
medicine, if only the antipsoric was homoeopathically, correctly, selected according to the carefully
investigatedsymptomsofthedisease,andifthepatientdoesnotdisturbitseffectsbyhisviolationofthe
rules.Ifeveritshouldhappenthatthechoicehasnotbeencorrectlymade,thegreatadvantageremains,
that the incorrectly selected medicine in this smallest dose may in the manner indicated above be
counteracted more easily, whereupon the cure may be continued without delay with a more suitable
antipsoric.
Astothesecondchieferrorinthecureofchronicdiseases(theunhomoeopathicchoiceofthemedicine)
thehomoeopathicbeginner(many,Iamsorrytosay,remainsuchbeginnerstheirlifelong)sinschiefly
throughinexactness,lackofearnestnessandthroughloveofease.
Withthegreatconscientiousnesswhichshouldbeshownintherestorationofahumanlifeendangeredby
sicknessmorethaninanythingelse,theHomoeopath,ifhewouldactinamannerworthyofhiscalling,
shouldinvestigatefirstthewholestateofthepatient,theinternalcauseasfarasitisremembered,andthe
causeofthecontinuanceoftheailmentshismodeoflife,hisqualityastomind,soulandbody,together
withallhissymptoms(seedirectionsinOrganon),andthenheshouldcarefullyfindoutintheworkon
ChronicDiseasesaswellasintheworkonMateriaMedicaPuraaremedycoveringinsimilarity,asfaras
possible,allthemoments,oratleastthemoststrikingandpeculiarones,withitsownpeculiarsymptoms;
andforthispurposeheshouldnotbesatisfiedwithanyoftheexistingrepertories,acarelessnessonlytoo
frequent;forthesebooksareonlyintendedtogivelighthintsastooneoranotherremedythatmightbe
selected,buttheycanneverdispensehimfrommakingtheresearchatthefirstfountainheads.Hewho
doesnottakethetroubleoftreadingthispathinallcriticalandcomplicateddiseases,and,indeed,withall
patienceandintelligence,butcontentshimselfwiththevaguehintsoftherepertoriesinthechoiceofa
remedy,andwhothusquicklydispatchesonepatientaftertheother,doesnotdeservethehonorabletitleof
agenuineHomoeopath,butisrathertobecalledabungler,whoonthataccounthascontinuallytochange
hisremediesuntilthepatientlosespatience;andashisailmentshaveofcourseonlybeenaggravatedhe
mustleavethisaggravatorofdiseases,wherebytheartitselfsuffersdiscreditinsteadoftheunworthy
discipleofart.
(P122)
Thisdisgracefulloveofease(inthecallingwhichdemandsthemostconscientiouscare)ofteninduces
suchwouldbeHomoeopathstogivetheirmedicinesmerelyfromthe(oftenproblematic)statementof
theiruse(abusuinmorbis)whichareenumeratedintheintroductionstothemedicines,amethodwhichis
altogetherfaultyandstronglysavorsofallopathy,asthesestatementsusuallyonlygiveafewsymptoms.
Theyshouldonlyserveasaconfirmationofachoicemadeaccordingtothepureactionsofthemedicines;
butnevertodeterminetheselectionofaremedywhichcancureonlywhenusedaccordingtotheexact
similitude of its homoeopathic symptoms. There are, we are sorry to say, even authors who advise
followingthisempiricpathwayoferror!
Thethirdleadingmistakewhichthehomoeopathicphysiciancannottoocarefullynortoosteadfastlyavoid
whiletreatingchronicdiseases,isinhastilyandthoughtlesslywhenaproperlymoderatedoseofawell

selectedantipsoricmedicinehasbeenserviceableforseveraldays,givingsomeothermedicineinthe
mistakensuppositionthatsosmalladosecouldnotpossiblyoperateandbeofusemorethaneightorten
days.Thisnotionissoughttobesupportedbythestatementthatonsomedayorother,whileallowedto
continueitsaction,themorbidsymptomswhichweretobeeradicated,hadshownthemselvessomewhat
fromtimetotime.
Butifonceamedicine,becauseitwasselectedinacorrecthomoeopathicmanner,isactingwelland
usefully,whichisseenbytheeighthortenthday,thenanhourorevenhalfadaymaycomewhena
moderatehomoeopathicaggravationagaintakesplace.Thegoodresultswillnotfailtoappearbutmay,in
verytediousailments,notshowthemselvesintheirbestlightbeforethetwentyfourthorthirtiethday.
Thedosewillthenprobablyhaveexhausteditsfavorableactionaboutthefortiethorfiftiethday,and
beforethattimeitwouldbeinjudicious,andanobstructiontotheprogressofthecure,togiveanyother
medicine. Let itnot be thought, however, that we shouldscarcelywait for thetimeassignedasthe
probabledurationofactiontoelapse,beforegivinganotherantipsoricmedicine:thatweshouldhastento
changetoanewmedicineinordertofinishthecuremorequickly. Experiencecontradictsthisnotion
entirely,andteachesonthecontrary,thatacurecannotbeaccomplishedmorequicklyandsurelythanby
allowingthesuitableantipsorictocontinueitsactionssolongastheimprovementcontinues,evenifthis
shouldbeseveral,yea,many*daysbeyondtheassigned,supposedtimeofitsduration,soastodelayas
longaspracticablethegivingofanewmedicine.
(*Inacasewheresepiahadshoweditselfcompletelyhomoeopathicallyantipsoricforapeculiarheadache
thatappearedinrepeatedattacks,andwheretheailmenthadbeendiminishedbothastointensityand
duration, while the pauses between the attacks had also been much lengthened, when the attacks re
appearedIrepeatedthedose,whichthencausedtheattackstoceaseforonehundreddays(consequently
itsactioncontinuedthatlong),whenitreappearedtosomedegree,whichnecessitatedanotherdose,after
whichnootherattacktookplacefor,now,sevenyears,whilethehealthwasalsootherwiseperfect.)
(P123)
Whoevercanrestrainhisimpatienceastothispoint,willreachhisobjectthemoresurely,andthemore
certainly.Onlywhentheoldsymptoms,whichhadbeeneradicatedorverymuchdiminishedbythelast
andtheprecedingmedicinescommencetoriseagainforafewdays,ortobeagainperceptiblyaggravated,
thenthetimehasmostsurelycomewhenadoseofthemedicinemosthomoeopathicallyfittingshouldbe
given.Experienceandcarefulobservationalonecandecide;anditalwayshasdecidedinmymanifold,
exactobservations,soastoleavenodoubtremaining.
Nowifweconsiderthegreatchangeswhichmustbeeffectedbythemedicineinthemany,variously
compositeandincrediblydelicatepartsofourlivingorganism,beforeachronicmiasmsodeeplyinrooted
and,asitwere,parasiticallyinterwovenwiththeeconomyofourlifeaspsorais,canbeeradicatedand
healthbethusrestored:thenitmaywellbeseenhownaturalitis,thatduringthelongcontinuedactionof
adoseofantipsoricmedicineselectedhomoeopathically,assaultsmaybemadebyitatvariousperiodson
theorganism,asitwereinundulatingfluctuationsduringthislongcontinueddisease.Experienceshows
thatwhenforseveraldaystherehasbeenanimprovement,halfhoursorwholehoursorseveralhourswill
again appear when the case seems to become worse; but these periods, so long as only the original
ailments are renewed and no new, severe symptoms present themselves, only show a continuing
improvement,beinghomoeopathicaggravationswhichdonothinderbutadvancethecure,astheyare
onlyrenewedbeneficentassaultsonthedisease,thoughtheyarewonttoappearattimessixteen,twenty
ortwentyfourdaysaftertakingadoseofantipsoricmedicine.
( Theseattacks,however,iftheantipsoricremedywasselectedfittinglyandhomoeopathicallyandthe
dosewasamoderateone,duringitscontinuedactiontakeplace,evermoreandmorerarelyandmore
feebly,butifthedosesweretoostrongtheycomemorefrequentlyandmorestrongly,tothedetrimentof
thepatient.)
(P124)

Asarule,therefore,theantipsoricmedicineinchronicdiseasescontinuetheiractionthelonger,themore
tediousthediseasesare. Butviceversaalsothosemedicineswhichinthehealthybodyshowalong
periodofactionactonlyashorttimeandquicklyinacutediseaseswhichspeedilyruntheircourse(e.g.
belladonna,sulphur,arsenic,etc.)andtheirperiodsofactionareshorter,themoreacutethediseases.The
physicianmust,therefore,inchronicdiseases,allowallantipsoricremediestoactthirty,fortyorevenfifty
andmoredaysbythemselves,solongastheycontinuetoimprovethediseasedstateperceptiblytothe
acuteobserver,eventhoughgradually;forsolongthegoodeffectscontinuewiththeindicateddosesand
thesemustnotbedisturbedandcheckedbyanynewremedy.*
(* The importance of avoiding the abovedescribed two errors will hardly be realized by physicians.
Thesegreat,puretruthswillbequestionedyetforyearsevenbymostofthehomoeopathicphysicians,and
willnot,therefore,bepracticed,onaccountofthetheoreticalreflectionandthereigningthought: It
requiresquiteanefforttobelievethatsolittleathing,soprodigiouslysmalladoseofmedicine,could
effect the least thing in the human body, especially in coping with such enormously great, tedious
diseases;butthatthephysicianmustceasetoreason,ifheshouldbelievethattheseprodigiouslysmall
dosescanactnotonlytwoorthreedays,buteventwenty,thirtyandfortydaysandlongeryet,andcause,
eventothelastdayoftheiroperation,important,beneficenteffectsotherwiseunattainable.Nevertheless
thistruetheoremisnottobereckonedamongthosewhichshouldbecomprehended,noramongthosefor
whichIaskablindfaith.Idemandnofaithatall,anddonotdemandthatanybodyshouldcomprehendit.
NeitherdoIcomprehendit;itisenough,thatitisafactandnothingelse.Experiencealonedeclaresit,
andIbelievemoreinexperiencethaninmyownintelligence.Butwhowillarrogatetohimselfthepower
ofweighingtheinvisibleforcesthathavehithertobeenconcealedintheinnerbosomofnature,whenthey
arebroughtoutofthecrudestateofapparentlydeadmatterthroughanew,hithertoundiscoveredagency,
suchasispotentizingbylongcontinuedtriturationandsuccussion.Buthewhowillnotallowhimselfto
beconvincedofthisandwhowillnot,therefore,imitatewhatInowteachaftermanyyearstrialand
experience(andwhatdoesthephysicianrisk,ifheimitatesitexactly?),hewhoisnotwillingtoimitateit
exactly,canleavethisgreatestproblemofourartunsolved,hecanalsoleavethemostimportantchronic
diseasesuncured,astheyhaveremainedunhealed;indeed,uptothetimeofmyteaching.Ihavenomore
tosayaboutthis. Itseemedtomemydutytopublishthegreat truthstotheworldthatneedsthem,
untroubledastowhetherpeoplecancompelthemselvestofollowthemexactlyornot.Ifitisnotdone
withexactness,letnooneboasttohaveimitatedme,norexpectagoodresult.
Dowerefusetoimitateanyoperationuntilthewonderfulforcesofnatureonwhichtheresultisbasedare
clearlybroughtbeforeoureyesandmadecomprehensibleeventoachild?Woulditnotbesillytorefuse
tostrikesparksfromthestoneandflint,becausewecannotcomprehendhowsomuchcombinedcaloric
canbeinthesebodies,orhowthiscanbedrawnoutbyrubbingorstriking,sothattheparticlesofsteel
whicharerubbedoffbythestrokeofthehardstonearemelted,and,asglowinglittleballs,causethe
tindertocatchfire?Andyetwestrikefirewithit,withoutunderstandingorcomprehendingthismiracleof
theinexhaustiblecalorichiddeninthecoldsteel,orthepossibilityofcallingitoutwithafrictionalstroke.
Again,itwouldbejustassillyasifweshouldrefusetolearntowrite,becausewecannotcomprehend
how one man can communicate his thought to another through pen, ink, and paper and yet we
communicateourthoughtstoafriendinaletterwithouteitherbeingableordesirousofcomprehending
thispsychicophysicalmiracle!Why,then,shouldwehesitatetoconquerandhealthebitterestfoesofthe
lifeofourfellowman,theChronicdiseases,inthestatedway,which,punctuallyfollowed,isthebest
possiblemethod,becausewedonotseehowthesecuresareeffected?)
(P125)
Butiftheseappropriatelyselectedantipsoricmedicinesarenotallowedtoacttheirfulltime,whenthey
areactingwell,thewholetreatmentwillamounttonothing. Anotherantipsoricremedywhichmaybe
eversouseful,butisprescribedtooearlyandbeforethecessationoftheactionofthepresentremedy,ora
newdoseofthesameremedywhichisstillusefullyacting,caninnocasereplacethegoodeffectwhich
hasbeenlostthroughtheinterruptionofthecompleteactionoftheprecedingremedy,whichwasacting
usefully,andwhichcanhardlybeagainreplaced.

Itisafundamentalruleinthetreatmentofchronicdiseases:Tolettheactionoftheremedy,selectedina
modehomoeopathicallyappropriatetothecaseofdiseasewhichhasbeencarefullyinvestigatedastoits
symptoms, come toan undisturbed conclusion, solongasit visibly advances thecare and the while
improvementstillperceptiblyprogresses.Thismethodforbidsanynewprescription,anyinterruptionby
anothermedicineandforbidsaswelltheimmediaterepetitionofthesameremedy. Norcantherebe
anything more desirable for the physician than to see the improvement of the patient proceed to its
completion unhindered and perceptibly. There are not a few cases, where the practiced careful
Homoeopathseesasingledoseofhisremedy,selectedsoastobeperfectlyhomoeopathic,eveninavery
severechronicdisease,continueuninterruptedlytodiminishtheailmentforseveralweeks,yea,months,
uptorecovery;athingwhichcouldnothavebeenexpectedbetterinanyotherway,andcouldnothave
beeneffectedbytreatingwithseveraldosesorwithseveralmedicines. Tomakethepossibilityofthis
processinsomewayintelligible,wemayassume,whatisnotveryunlikely,thatanantipsoricremedy
selectedmostaccuratelyaccordingtohomoeopathicprinciples,eveninthesmallestdoseofahighorthe
highestpotencycanmanifestsolongcontinuedacurativeforce,andatlastcure,probably,onlybymeans
ofacertaininfectionwithaverysimilarmedicinaldiseasewhichoverpowerstheoriginaldisease,bythe
processofnatureitself,accordingtowhich(Organon,5,FifthEdition,)twodiseaseswhicharedifferent,
indeed, in their kind but very similar intheir manifestations and effects, as also in the ailments and
symptomscausedbyit,whentheymeettogetherintheorganism,thestrongerdisease(whichisalwaysthe
onecausedbythemedicine,33,ibid.)destroystheweaker(thenaturalone). Inthiscaseeverynew
medicineandalsoanewdoseofthesamemedicine,wouldinterrupttheworkofimprovementandcause
newailments,aninterferencewhichoftencannotberepairedforalongtime.
(P126)
Butifanyunfavorableeffectsareevolvedbythepresentdoseofmedicine,i.e.,troublesomesymptoms
whichdonotbelongtothisdisease,andifthemindofthepatientbecomesdepressed,ifonlyalittleat
first, still increasingly, then the next dose of the same medicine, given immediately after the former,
cannot but becomeinjurioustothepatient. Yet whenasuddengreat and striking improvement ofa
tedious great ailment follows immediately on the first dose of a medicine, there justly arises much
suspicionthattheremedyhasonlyactedpalliatively,andthereforemustneverbegivenagain,evenafter
theinterventionofseveralothersremedies.
Neverthelesstherearecaseswhichmakeanexceptiontotherule,butwhichnoteverybeginnershould
riskfindingout.*
(*Stilltherehasbeenoflatemuchabuseofthisimmediaterepetitionofdosesofthesamemedicine,
becauseyoungHomoeopathsthoughtitmoreconvenienttorepeat,withoutexamination,amedicinewhich
inthebeginninghadbeenfoundtobehomoeopathicallysuitable,andwhichhadthereforeinthebeginning
provedserviceable,andeventorepeatitfrequentlywithoutexamination,soastohealmorequickly.
Wemaydeclareitonce,thatthepracticeoflate,whichhasevenbeenrecommendedinpublicjournalsof
givingthepatientseveraldosesofthesamemedicinetotakewithhim,sothathemaytakethemhimselfat
certainintervals,withoutconsideringwhetherthisrepetitionmayaffecthiminjuriously,seemstoshowa
negligentempiricism,andtobeunworthyofahomoeopathicphysician,whoshouldnotallowanewdose
of a medicine to be taken or given without convincing himself in every case beforehand as to its
usefulness.)
(P127
Theonlyallowableexceptionforanimmediaterepetitionofthesamemedicineiswhenthedoseofawell
selected and in every way suitable and beneficial remedy has made some beginning toward an
improvement,butitsactionceasestooquickly,itspoweristoosoonexhausted,andthecuredoesnot
proceedanyfurther.Thisisrareinchronicdiseases,butinacutediseasesandinchronicdiseasesthatrise
intoanacutestateitisfrequentlythecase.Itisonlythen,asapracticedobservermayrecognizewhen
thepeculiarsymptomsofthediseasetobetreated,afterfourteen,ten,seven,andevenfewerdays,visibly
ceasetodiminish,sothattheimprovementmanifestlyhascometoastop,withoutanydisturbanceofthe
mindandwithouttheappearanceofanynewtroublesomesymptoms,sothattheformermedicinewould

stillbeperfectlyhomoeopathicallysuitable,onlythen,ifsay,isituseful,andprobablynecessarytogivea
doseofthesamemedicineofasimilarlysmallamount,butmostsafelyinadifferentdegreeofdynamic
potency.*Whentheremedyisthusmodified,thevitalforceofthepatientwillallowitselfmoreeasilyto
befurtheraffectedbythesamemedicine,soastoeffectbyiteverythingthatmaybeexpectedofthis
medicineandinthisailment.
Toadduceanexample:afreshlyariseneruptionofitchbelongstothosediseaseswhichmightsoonest
permittherepetitionofthedose(sulphur),andwhichdoespermititthemorefrequently,thesoonerafter
theinfectiontheitchisreceivedfortreatment,asitthenapproachesthenatureofanacutedisorder,and
demandsitsremediesinmorefrequentdosesthanwhenithasbeenstandingontheskinforsometime.
Butthisrepetitionshouldbepermittedonlywhentheprecedingdosehaslargelyexhausteditsaction(after
six,eight ortendays),andthedoseshouldbejustassmall astheprecedingone,andbegivenina
differentpotency. Neverthelessitisinsuchacaseoftenserviceable,inanswertoaslightchangeof
symptoms,tointerposebetweenthedosesofpuresulphur,asmalldoseofHeparsulphuriscalcareum.
Thisalsoshouldbegiveninvariouspotencies,ifseveraldosesshouldbeneededfromtimetotime.Often
also,accordingtocircumstances,adoseofNuxvoinica(x)oroneofmercury(x)**maybeusedbetween.
(*Ifit,hasfirstbeengiveninthe30thpotencyitwillnowbegiveninperhapsthe18th,andifarepetition
should,beagain foundserviceable and necessary, itmight afterwards begiven inthe 24th.andlater
perhapsalsointhe12thand6th,etc.,if,thechronicdiseaseshouldhavetakenonitselfanacutecharacter.
Adoseofmedicinemayalsohavebeensuddenlycounteractedandannihilatedbyagraveerrorinthe
regimenofthepatient,whenperhapsadoseoftheformerserviceablemedicinemightagainbegivenwith
themodificationmentionedabove.)
(Incaseswherethephysicianiscertainastothehomoeopathicspecifictobeused,thefirstattenuated
dosemayalsobedissolvedinaboutfourouncesofwaterbystirringit,andonethirdmaybedrunkat
once,andthesecondandthirdportionsonthefollowingdays;butitshouldeachtimebeagainstirredso
astoincreasethepotencyandthustochangeit.Therebytheremedyseeingtotakeadeeperholdonthe
organismandhastentherestorationinpatientswhoarevigorousandnottoosensitive.)
(**Thattheitchpatientduringsuchatreatmentmustavoideveryexternalapplication,howeverharmless
itmayappear,e.g.,thewashingwithblacksoap,isnotnecessarytoemphasize.)
(P128)
IfIexceptsulphur,HeparsulphurisandinsomecasesSepia,theotherantipsoricremediescanseldombe
usefullygiveninimmediatelyrepeateddoses.Indeeditishardlyeverneededinchronic
diseases,aswehaveagoodlysupplyofantipsoricremediesatourdisposal,sothatassoonasonewell
selectedremedyhascompleteditsaction,andachangeofsymptoms,i.e.,achangeinthetotalimageof
thedisease,appears,anotherantipsoricremedyhomoeopathicallyappropriatetothealteredcasemaybe
chosentogreateradvantageandwithamoresureprospectofhasteningthecure,thanifwetaketheriskof
prescribingtheformermedicinewhichnowisnolongeraltogetheradequate.Neverthelessinverytedious
andcomplexcases,whicharemostlysuchashavebeenmismanagedbyallopathictreatment,itisnearly
alwaysnecessarytogiveagainfromtimetotimeduringthetreatment,adoseofSulphurorofHepar
(accordingtothesymptoms),eventothepatientswhohavebeenbeforedosedwithlargeallopathicdoses
ofSulphurandwithsulphurbaths;butthenonlyafterapreviousdoseofMercury(x).
Where,asisusuallythecaseinchronicdiseases,variousantipsoricremediesarenecessary,themore
frequentsuddenchangeofthemisasignthatthephysicianhasselectedneithertheonenortheotherinan
appropriatelyhomoeopathicmanner,andhadnotproperlyinvestigatedtheleadingsymptomsofthecase
beforeprescribinganewremedy.Thisisafrequentfaultintowhichthehomoeopathicphysicianfallsin
urgentcasesofchronicdiseases,butoftenerstillinacutediseasesfromoverhaste,especiallywhenthe
patientisapersonverydeartohisheart.Icannottoourgentlywarnagainstthisfault.
Thenthepatientnaturallyfallsintosuchanirritatedstatethat,aswesay,nomedicineacts,orshowsits
effect,*yea,sothatthepowerofresponseinthepatientisindangerofflaringupandexpiringattheleast

furtherdoseofmedicine.Insuchacasenofurtherbenefitcanbehadthroughmedicine,buttheremaybe
inuseacalmingmesmericstrokemadefromthecrownofthehead(onwhichboththeextendedhands
shouldrest forabout aminute)slowlydownoverthebody,passingoverthethroat,shoulders,arms,
hands,kneesandlegsdownoverthefeetandtoes.Thismayberepeatedifnecessary.
Adoseofhomoeopathicmedicinemayalsobemoderatedandsoftenedbyallowingthepatienttosmell a
smallpelletmoistenedwiththeselectedremedyinahighpotency,andplacedinavialthemouthofwhich
isheldtothenostrilofthepatient,whodrawsinonlyamomentarylittlewhiffofit.Bysuchaninhalation
thepowersofanypotentizedmedicinemaybecommunicatedtothepatientinanydegreeofstrength.One
ormoresuchmedicatedpellets,andeventhoseofalargersizemaybeinthesmellingbottle,andby
allowing the patient to take longer or stronger whiffs, the dose may be increased a hundred fold as
comparedwiththesmallestfirstmentioned.Theperiodofactionofthepowerofapotentizedmedicine
takeninbysuchinhalationandspreadoversolargeasurface(asthatofthenostrilsandofthelungs)last
aslongasthatofasmallmassivedosetakenthroughthemouthandthefauces.
(*Thatahomoeopathicallypotentizeddoseofmedicineshouldeverfailofhavinganeffectinatreatment
conductedwithcare,Ithinkimpossible;Ihaveneverexperiencedit.)
(Evenpersonsbornwithoutthesenseofsmellorwhohavelostitthroughdisease,mayexpectequally
efficienthelpfromdrawingintheimperceptiblevapor(proceedingfromthemedicineandcontainedinthe
vial)throughonenostrilortheother,asthosedowhoaregiftedwiththesenseofsmell. Fromthisit
follows that the nerves possessing merely the sense of touch receive the salutary impression and
communicateitunfailinglytothewholenervoussystem.)
(P129)
Suchmedicatedpelletskeptinastopperedvialretaintheirmedicinalpowerquiteundiminished,evenif
thevialbeopenedanumberoftimesinmanyyearsforthepurposeofinhalation;i.e.,ifthevial be
preservedfromsunshineandheat.Thismethodofallowingthepatienttobeacteduponbysmellingthe
potentizedmedicinehasgreatadvantagesinthemanifoldmishapswhichoftenobstructandinterruptthe
treatmentofchronicdiseases. Theantidotetoremovethesemishapsasquicklyaspossiblethepatient
mayalsobestreceiveingreaterorlessstrengththroughinhalation,whichactsmostquicklyonthenerves
andsoalsoaffordsthemostpromptassistance,bywhichalsothecontinuationofthetreatmentofthe
chronicdiseaseisleastdelayed.Whenthemishaphasthusbeenobviatedmostspeedily,theantipsoric
medicine before taken frequentlycontinues itsinterrupted actionforsometime. But thedoseofthe
inhaled medicine must be so apportioned to the morbid interruption that its effect just suffices to
extinguishthedisadvantagearisingfromthemishap,withoutgoinganydeeperorbeingabletocontinue
itsoperationanyfurther.
(P130)
Ifahomoeopathicphysician,scrupulousatthewrongoccasion,shouldaskmebowhemightfillupthe
manydaysaftergivingadose,sothatitmaycontinueitsactionundisturbedduringtheabovementioned
longtime,andsosatisfy,withoutinjuring,thepatientwhoeveryday*asksforhismedicine,Ireplywith
twowords,thatheshouldbegiveneverydayattheusualtimeformedicineadoseofsugarofmilk,about
threegrains,whichshallbemarkedasusualwithcontinuousnumbers.Iremarkhere,thatIconsiderthe
sugarofmilkthususedasaninvaluablegiftofGod.**
(*Nooldestablishedcustomamongthepeople,beiteversohurtful,canbesuddenlychanged.Soalso
thehomoeopathicphysiciancannotavoidallowinganewchronicpatienttotakeatleastonelittlepowder
aday;thedifferencebetweenthisandthemanymedicinaldosesofallopathsisstillverygreat.Duringthis
dailytakingofapowder,followingthenumbers,itwillbeagreatbenefittothepoorpatientwhoisoften
intimidatedbyslanderersofthebettermedicalart,ifhedoesnotknowwhetherthereisadoseofmedicine
ineverypowder,noragain,inwhichoneofthem?Ifheknewthelatter,andshouldknow,thattodays
numbercontainsthemedicineofwhichheexpectssomuch,hisfancywouldoftenplayhimaneviltrick,
andhewouldimaginethathefeelssensationsandchangesinhisbody,whichdonotexist;hewouldnote

imaginarysymptomsandliveinacontinualinquietudeofmind;butifhedailytakesadose,anddaily
noticesnoevilassaultonhishealth,hebecomesmoreequableindisposition(beingtaughtbyexperience),
expectsnoilleffects,andwillthenquietlynotethechangesinhisstatewhichareactuallypresent,and
thereforecanonlyreportthetruthtohisphysician.Onthisaccountitisbestthatheshoulddailytakehis
powder,withoutknowingwhetherthereismedicineinallorinacertainpowder;thushewillnotexpect
morefromtodayspowderthanfromyesterdaysorthatofthedaybefore.)
(Chronicpatientswhofirmlytrustinthehonestyandskilloftheirphysicianwillbesatisfied,withoutany
afterthoughts,toreceivesuchadoseofsugarofmilkeverytwo,fourorsevendays,accordingtothe
dispositionofeach,andneverthelessretainafirmconfidence,as,indeed,isonlyjustandreasonable.)
(**Thereweresomeanxiouspurists,whowereafraidthateventhepuresugarofmilk,eitherinitselfor
changedbylongtrituration,mighthavemedicinaleffects.Butthisisavain,utterlyunfoundedfear,asI
havedeterminedbyveryexactexperiments. Wemayusethecrude,puresugarofmilkasafood,and
partakeofconsiderablequantitiesofit,withoutanychangeinthehealth,andsoalsothetrituratedsugar.
Buttodestroyatthesametimethefeartowhichutterancehasbeengivenbysomehypochondriacs,that
throughalongtriturationofthesugarofmilkalone,orinthepotentizingofmedicines,somethingmight
rubofffromtheporcelainmortar(silica),whichbeingpotentizedbythissametriturationwouldbebound
tobecomestronglyactingSilicea( 1),Itookanewporcelaintrituratingbowlinwhichtheglazinghadbeen
rubbedoff,withanewporcelainpestle,andhadonehundredgrainsofpuresugarofmilk,dividedinto
portionsofthirtythreegrains,trituratedeighteentimesforsixminutesatatimeandasfrequentlyscraped
for fourminuteswithaporcelainspatula,inordertodevelopbythisthreehoursstrongtriturationa
medicinalpowereitherofthesugarofmilkorofthesilicaorofboth;butmypreparationremainedas
indifferentandunmedicinalasthecrude,merelynutritivesugarofmilk,ofwhichIconvincedmyselfby
experimentsonverysensitivepersons.)
(P131)
Wecannotflatterourselvesthattheantipsoricmedicinegivenwasrightlyselected,orthatitwillforward
thecureofachronicdisease,ifit quickly and entirely destroysasifbyastroke ofmagic themost
troublesomesymptoms,old,great,continuouspains,tonicorclonicspasms,etc.,sothatthepatientalmost
immediatelyaftertakingthemedicine,fancieshimselfasmuchfreedfromsufferingsasifhewerealready
restored,andasifinheaven.Thisdeceptiveeffectshowsthatthemedicinehereactsenantiopathicallyas
anoppositeorpalliative,andthatinthedaysfollowingwecannotexpectanythingfromthisremedybutan
aggravationoftheoriginaldisease.Assoonthenasthisdeceptiveimprovementwithinafewdaysbegins
againtoturntoaggravation,itishightimetogiveeithertheantidotetothismedicine,or,whenthiscannot
behad,amedicinewhichishomoeopathicallymoreappropriate.Veryrarelywillsuchanenantiopathic
remedydoanygoodinthefuture.Ifthemedicinewhichisthusantipathicatonceinthebeginning,i.e.,
whichseemedsotoalleviate,isinclinedtoreciprocalaction,itispossiblethatwhentheaggravationfrom
thisdosetakesplace,aseconddoseofthesameremedymayproducethecontrary,andthusbringabouta
lastingimprovement,asIhaveatleastperceivedinignatia.
Insuchcaseswemayalsosuccessfullyuse,fortheailmentsfollowingafterafewdaysfromsuchan
antipathic remedy, one of the remaining medicines from the considerable store laid down inMateria
MedicaPura,intheArchivderhomoeopathischenHeilkunstorintheAnnalen.Thismaybedone
forafewdaysuntilthePsoradiseasereturnstoitscustomaryroutinecourse,whenahomoeopathically
selectedantipsoricmedicineistobegiventocontinuetheCure.
Amongthemishapswhichdisturbthetreatmentonlyinatemporaryway,Ienumerate:overloadingthe
stomach(thismayberemediedbyhunger,i.e.,byonlytakingalittlethinsoupinsteadofthemeal,anda
littlecoffee);disorderofthestomachfromfatmeat,especiallyfromeatingpork(tobecuredbyfasting
andpulsatilla);adisorderofthestomachwhichcausesrisingfromthestomachaftereatingandespecially
nauseaandinclinationtovomit(byhighlypotentizedantimoniumcrudum);takingcoldinthestomachby
eatingfruit(bysmellingofarsenicum);troublesfrom spirituousliquors(nuxvomica);disorderofthe
stomachwithgastricfever,chillinessandcold(bryoniaalba);fright(whenthemedicinecanbegivenat

once, and especially when the fright causes timidity, bypoppyjuice (opium); but ifaid can only be
renderedlater,orwhenvexationisjoinedwiththefright,byaconite;butifsadnessiscausedbythefright,
ignatiaseeds);vexationwhichcausesanger,violence,heat,irritation,bychamomilla,(butifbesidethe
vexationthereischillinessandcoldnessofthebody,bybryonia);vexationwithindignation,deepinternal
mortification(attendedwiththrowingawaywhatwasheldinthehand,bystaphisagria);indignationwith
silentinternalmortification(bycolocynthis);unsuccessful.lovewithquietgrief(byignatia);unhappylove
withjealousy(byhyoscyamus);aseverecold(nexttokeepingthehouseorthebed)bynuxvomica;when
diarrhoearesulted,bydulcamara;oriffollowedbypains,coffeacruda;oriffollowedbyfeverandheat,
byaconite,acoldwhichisfollowedbysuffocativefits,(byipecacuanha);coldsfollowedbypainsandan
inclinationtosleep,(bycoffeacruda);coldwithconsequentcoryzaandlossofthesenseofsmellandof
taste, (by pulsatilla); overlifting or strains (sometimes by arnica, but most certainly by rhus
toxicodendron);contusionsandwoundsinflictedbybluntinstruments,(byarnica);burningoftheskin(by
compressesofwatermixedwithadilutionofhighlypotentizedarsenicum,oruninterruptedapplicationfor
hoursofalcoholheatedbymeansofveryhotwater);weaknessfromlossoffluidsandblood,(bychina);
homesicknesswithrednessofthecheeks,(bycapsicum).
(P132)
Butduringthetreatmentofchronicdiseasesbyantipsoricremediesweoftenneedtheothernonantipsoric
storeofmedicinesincaseswhereepidemicdiseasesorintermediatediseases(morbiintercurrentes)arising
usuallyfrommeteoricandtelluriccausesattackourchronicpatients,andsonotonlytemporarilydisturb
thetreatment,buteveninterruptitforalongertime.Heretheotherhomoeopathicremedieswillhaveto
beused,whereforeIshallnotenteruponthishere,excepttosaythattheantipsorictreatmentwillhavefor
thetimetobetotallydiscontinued,solongasthe,treatmentoftheepidemicdiseasewhichhasalsoseized
our(chronic)patientmaylast,evenifafewweeksintheworstcasesmaythusbelost.Butherealso,if
the disease is not too severe, the above mentioned method of applying the medicine by smelling a
moistenedpelletisoftensufficienttohelp,andthecureoftheacutediseasemaythusheextraordinarily
shortened.
The intelligent homoeopathic physician will soon note the point of time when his remedies have
completedthecureoftheepidemicintermediatedisease*andwhenthepeculiarcourseofthechronic
(psoric)maladyiscontinued.
(* Usually these epidemic intermediate diseases appear in the form of a fever (if they are not the
permanent miasms,smallpox,measles,dysentery,whoopingcough,etc.).Therearefeversofvarious
kinds,acontinuousacutefever,oraslowremittent,oranintermittentfever.Intermittentfeversappear
almost every year in a somewhat changed form. Since I have learned to cure chronic diseases and
maladiesbyahomoeopathic extirpation oftheir psoric source, Ihave found theepidemicallycurrent
intermittentfeversalmosteveryyeardifferentintheircharacterandintheirsymptoms,andtheytherefore
requirealmosteveryyearadifferentmedicinefortheirspecificcure.oneyeartheyrequirearsenicum,
anotherbelladonna,anotherantimoniumcrudum,orspigelia,aconite,withipecacuanha,alternatingwith
nuxvomica,salammoniacum,natrummuriaticum,opium,cina,aloneorinalternationwithcapsicum,or
capsicumalone,menyanthestrifoliata,calcareacarbonica,pulsatilla,oneofthetwocarbos,arnica,alone
orinalternationwithipecacuanha,andwiththesetheywerecuredinafewdays. Iwouldnot,indeed,
exceptanyoneofthenonantipsoricmedicines,iftheyareonlyhomoeopathictothewholecomplexofthe
symptomsoftheprevailingfever,initsattackaswellasinitsapyrexia(seevonBoenninghausen,Versuch
e.hom.Therapied.Wechselfiebers,1833,Muenster),butIwouldalmostalwaysexceptcinchona;forthis
canonlysuppressitstypeinmanylargedosesinaconcentratedform(asquinine),andthenitchangesit
into a cachexy of quinine, which it is difficult to cure. (China is only appropriate to the endemic
intermittentfeverinmarshyregions,andeventhiscanonlyberightlycuredbyitinconnectionwith
antipsoric remedies.) Even at the beginning of the treatment of an epidemic intermittent fever, the
homoeopathicphysicianismostsafeingivingeverytimeanattenuateddoseofsulphurorinappropriate
cases,heparsulphurisinafinelittlepelletorbymeansofsmelling,andinwaitingitseffectsforafew
days,untiltheimprovementresultingfromitceases,andthenonlyhewillgive,inoneortwoattenuated
doses,thenonantipsoricmedicinewhichhasbeenfoundhomoeopathicallyappropriatetotheepidemyof

this year. These doses should however only be given at the end of an attack. With all patients in
intermittentfever,psoraisessentiallyinvolvedineveryepidemy,thereforeanattenuateddoseofsulphur,
orofheparsulphurisisnecessaryatthebeginningofeverytreatmentofepidemicintermittentfever,and
makestherestorationofthepatientmoresureandeasy.)
(P133)
Thesymptomsoftheoriginalchronicdiseasewill,however,alwaysbefoundsomewhatvariedafterthe
cureofsuchaprevailingintermediatedisease.Alsoanotherpartofthebodywillbefoundsuffering,so
that the homoeopathic physician will choose his antipsoric remedy according to the totality of the
remainingsymptoms,andnotsimplygivetheoneheintendedtogivebeforetheintermediatedisease
appeared.
Whenthephysicianiscalledtotreatsuchaprevalentdiseaseinapatientwhomhehadnotbeforeattended
asachronic patient he will not unfrequently find, especially ifthefever was considerable, that after
overcomingitbytheremedieswhichhadbeenhomoeopathicallyspecificwithotherpatientsofthiskind,
thefullrestorationtohealthdoesnotfollowevenwithgooddietandmodeofliving:butincidentsof
another kind will show themselves (usually, called afterpains or secondary diseases) and these will
graduallybeaggravatedandthreatentobecomechronic. Herethehomoeopathicphysicianwillnearly
alwayshavetomeetapsorawhichisdevelopingintoachronicdisease,andthiswillhavetobecured
accordingtotheprinciplesherelaiddown.
(P134)
Here isafitting opportunity tonote that thegreat epidemic diseases: smallpox, measles,purple rash,
scarletfever,whoopingcough,falldysenteryandtyphoid,whentheycompletetheircourseespecially
withoutajudicioushomoeopathictreatment,leavetheorganismsoshakenandirritated,thatwithmany
whoseemrestored,thepsorawhichwasbeforeslumberingandlatentnowawakesquickly,eitherinto
itchlikeeruptions*orintootherchronicdisorders,whichthenreachahighdegreeinashorttime,ifthey
arenottreatedproperlyinanantipsoricmanner.Thisisduetothegreatexhaustionoftheorganismwhich
stillprevails. Theallopathicphysician,whensuchapatient,asisfrequentlythecase,diesafterallhis
unsuitabletreatment,declaresthathehasdiedfromthesequels,ofwhoopingcough,measles,etc.
Thesesequelsare,however,theinnumerablechronicdiseasesinnumberlessformsofdevelopedpsora
whichhavehithertobeenunknownastotheiroriginandconsequentlyremaineduncured.
Epidemicandsporadicfevers,therefore,aswell asthemiasmatic acutediseases,iftheydonotsoon
terminateandpassdirectlyoverintogoodhealth,(evenwhentheepidemicandacutemiasmaticparthas
found a homoeopathic specific which has been rightly used against them), often need an antipsoric
assistance,whichIhaveusuallyfoundinsulphur,ifthepatienthadnotusedshortlybeforeamedicine
containingsulphur,inwhichcaseanotherantipsoricsuitabletothisparticularcasewillhavetobeused.
Endemicdiseases,withtheirstrikingpertinacity,dependalmostwhollyonapsoriccomplication,oron
psora modified by the peculiarity of the nature of the locality (and the especial mode of life of the
inhabitants),sothat,e.g.,inintermittent fever originatinginamarshyregion,thepatients,evenafter
removalintoadryregion,oftenremainuncureddespiteofalltheiruseofchina,unlesstheantipsoric
treatment isespeciallyused. Theexhalationfrom swampsseemstobeoneofthestrongest physical
causesofthedevelopmentofthepsoralatentwithinwithsomanypersons andthismostofallinhot
countries.Withoutanalmostregularuseofthebestantipsoricmethodofcure,weshallneversucceedin
removingthemurderousqualitiesofhumidclimatesandchangingthemintopassablyhealthy,habitable
regions.Manmayaccustomhimselftotheextremedegreesofatmosphericheat,aswellastothemost
violentcold,andcanlivejoyousandhealthyinbothextremes,Whyshouldhenotbeabletoaccustom
himselftomarshy regions just aswell astothedriest mountainregions,ifthere were not ahitherto
undiscovered and unconquered enemyofvigorous life and lasting health, lying inambushinmarshy
regions,i.e.,psora?Whereverpsoralieslatentwithin(andhowfrequentlyisthisthecase?)itisdeveloped
intochronicdiseasesofeverykind,especiallythoseinwhichtheliverismostaffected,throughstagnant
waterandthegasesthatemanatefromdampsoilandfromswamps;andthisiseffectedmoresurly,yea,
unavoidablybythesecausesthanbyanyotherphysicalpowerinjurioustohealth.

(*Whensuchaneruptionappearsinanyquantity,itiscalledbywritersscabiesspontanea(spontaneous
itch)amerechimeraandnonentity,forasfarashistorygoes,noitchhasarisenexceptfrominfection,
anditcannotnowariseagainofitselfwithoutinfectionwiththemiasmaofitch.Butthisphenomenon
afteracutefeverisnothingelsethanthesecondaryeruptionsooftenmentionedabovespringingfromthe
slumbering and latent psora remaining within after the repression (or more rarely the gradual
disappearance)fromtheskinoftheoriginaleruptionofitch.Thiseruptionfrequentlyleavestheskinof
itselfandithasneverbeenprovedthatitinfectedanyotherpersonwiththeitch.)
(Presumablytheseexhalationspossessaqualitywhichasitwereparalyzesthevitalforceoftheorganism
(whichinanordinarystateofhealthisabletokeepdowntheinternalpsorawhichalwaysendeavorsto
manifestitself)andthuspredisposestoputridandnervousfevers.)
(P135)
Thelatestsymptomsthathavebeenaddedtoachronicdiseasewhichhasbeenlefttoitself(andthushas
notbeenaggravatedbymedicalmismanagement)arealwaysthefirsttoyieldinanantipsorictreatment;
buttheoldestailmentsandthosewhichhavebeenmostconstantandunchanged,amongwhicharethe
constantlocalailments,arethelasttogiveway;andthisisonlyeffected,whenalltheremainingdisorders
havedisappearedandthehealthhasbeeninallotherrespectsalmost totallyrestored. Inthegeneral
maladies which come in repeated attacks, e. g. the periodic kinds of hysteria, and different kinds of
epilepsy,etc.,theattacksmayquicklybemadetoceasebyasuitableantipsoric;buttomakethiscessation
reliableandlasting,thewholeindwellingpsoramustbecompletelycured.
The frequent request of a patient to have one symptom, which above others is troublesome to him,
removedfirstofall,isimpracticable,buttheignorantpatientshouldbeexcusedforhisrequest.
Inthedailywrittenreportduringtheuseofanantipsoricmedicine,thepatientwholivesatadistance
shouldunderscoreonce,fortheinformationofthephysician,thoseincidentsymptomsduringtheday,
whichafteraconsiderabletimeoralongtimehehasnowfeltagainforthefirsttime;butthosewhichhe
neverhadbeforeandwhichhefirstfeltonthatday,heshouldunderscoretwice.Theformersymptoms
indicatethattheantipsorichastakenholdoftherootoftheevil,andwilldomuchforitsthoroughcure,
but the latter, if they appear more frequently and more strongly, give the physician a hint that the
antipsoricwasnotselectedquitehomoeopathically,andshouldbeinterruptedintimeandreplacedbya
moreappropriateone.
(P136)
Whenthetreatmentisabouthalfcompleted,thediminisheddiseasecommencestoreturnintothestateofa
latentpsora;thesymptomsgrowweakerandweaker,andatlasttheattentivephysicianwillonlyfind
tracesofit;buthemustfollowthesetotheircompletedisappearance,forthesmallestremnantretainsa
germforarenewaloftheoldailment.*Ifthephysicianshouldheregiveupthetreatmentandsuppose
whatthecommonman(andalsothehigherclassofthenonmedicalpublic)isapttosay:Itwillnow
likelygetrightofitself,agreatmistakewouldbemade;forintimetherewoulddevelop,(especially
whenanyimportantuntowardeventstakeplace),outofthislittleremnantofthisonlydiminishedpsora,a
newchronicdiseasewhichgraduallywouldincreaseunavoidably,accordingtothenatureofdiseases
springingfromunextinguishedchronicmiasmsasshownabove.
Thecito,tutoetjucunde(quickly,safelyandpleasantly)ofCelsus,thepatientmayreasonablyaskfrom
his physician, and from the homoeopath he can rightly expect this in acute diseases springing from
occasionalcauses,aswellasinthewelldefinedintermediatediseasesprevalentattimes(thesocalled
intercurrentdiseases).
ButwithespecialregardtotheCito(quickly),i.e.,thehasteningofthecure,thenatureofthecase
forbidsit,atleastininveteratechronicailments.
Thecureofgreatchronicdiseasesoften,twenty,thirtyandmoreyearsstanding(iftheyhavenotbeen
mismanaged by an excess of allopathic treatments, or indeed, as is often the case, mismanaged into
incurableness)maybesaidtobequicklyannihilatedifthisisdoneinoneortwoyears.Ifwithyounger,
robustpersonsthistakesplaceinonehalfthetime,thenontheotherhandinadvancedage,evenwiththe
besttreatmentonthepartofthephysicianandthemostpunctualobservanceofrulesonthepartofthe

patientandhisattendants,considerabletimemustbeaddedtotheusualperiodofthecure.Itwillalsobe
foundintelligiblethatsuchalongcontinued(psoric)chronicdisease,theoriginalmiasmofwhichhashad
somuchtimeandopportunityinalonglifetoinsertitsparasiticalrootsasitwere,intoallthejointsofthe
tender edifice of life, is at last so intimately interwoven with the organism that even with the most
appropriatemedicaltreatment,carefulmodeoflifeandobservanceofrulesonthepartofthepatient,great
patienceandsufficienttimewillberequiredtodestroythismanyarmedpolypusinallitsparts,while
sparingtheindependenceoftheorganismanditspowers.
(*Sofromthewaterpolypuswhichhasseveralofitsbranchesloppedoffintimenewbrancheswillshoot
forth.)
(Onlyanordinaryignorantpractitionercanlightlypromisetocureasevereinveteratediseaseinfourto
sixweeks. He need not,indeed, keep his promise! What does he risk, ifas amatter ofcourse, his
treatmentonlyaggravatesthedisease?Canheloseanything?Anyhonor?No;forhiscolleagues,who
arelikehim,donobetter.Canheloseinselfrespect?Shouldheyethaveanytolose?)
(P137)
Thestrengthofapatientunderanantipsorictreatment,evenifitshouldbecontinuedeversolong,ought
continuallytoincreasefromtheverycommencementofthecorrecttreatmenteventotherestorationof
healthandofthenormalstate.Thestrengthincreasesduringthewholeofthecurewithouttheuseofthe
socalled tonics, and the patients joyously rise up again of themselves in proportion as their life is
deliveredfromitscorrodingenemy.*
Thebesttimefortakingadoseofantipsoricmedicineseemstobe,notanhourbeforegoingtobedbut,
rather,earlyinthemorningwhilefasting.Themedicineinthenumberedpaper(asalsoallthatsucceed)
ifitisdesiredthatitshouldactbutfeebly,shouldbetakendryandallowedtodissolveonthetongue,or
bemoistenedwithtwoorthreedropsofwateronaspoon,andbyitself,withoutineithercasedrinking
anythingafteritoreatinganythingwithinhalfanhourorawholehour.**
Aftertakingthemedicinethepatientshouldkeepperfectlyquietatleastafullhour,butwithoutgoingto
sleep(sleepdelaysthebeginningoftheactionofthemedicine).Hemustavoidduringthishour,asindeed
throughoutthetreatment,alldisagreeableexcitement,norshouldhestrainhismindimmediatelyafter
takingthedose,inanyway,eitherbyreadingorcomputing,bywriting,orbyconversationsrequiring
meditation.
(* It is inconceivable how allopathic physicians could think of curing chronic diseases through a
continuanceofexhaustinganddebilitatingtreatments,withoutbeingrestrainedbytheirlackofsuccess
fromrepeatingcontinuallytheirperversetreatment.Theamarawhichtheygivebetween,togetherwith
thequinine,withoutbeingabletosupplythestrengthlost,onlyaddnewevils.)
(Numberingthepowderscontinuouslyhastheconveniencethatthephysicianwhenthepatientsrender
theirdailyreport(especiallythoselivingatadistance)puttingfirstthedateandthenumberofthepowder
takenthatday,canrecognizethedaywhenthepatienttookhismedicine,andcanjudgeoftheprogressof
itsactionaccordingtothereportofthefollowingday.)
(**Ifthemedicineistoactmorestronglyitmustbestirredinalittlemorewateruntildissolvedbefore
takingit,andinstillmorewaterifitistoact stillmorestrongly,andthephysicianshouldorderthe
solutiontakenaportionatatime.Ifheordersthesolutiontakeninoneorthreedaysitmustbestirredup
notonlythefirsttime,butalsotheothertwotimes,bywhicheverypartthusstirredacquiresanother
somewhathigherdegreeofpotency,andsoisreceivedmorewillinglybythevitalforce.Todirecttheuse
ofthesamesolutionforagreaternumberofdaysisnotadvisable,asthewater,keptlonger,wouldbegin
toputrefy.Howadoseforsmellingmaybeadaptedtoalldegreesofstrength,Ihavementionedabove.)

(P138)
Thedoseofantipsoricmedicinemustnotbetakenbyfemalesshortlybeforetheirmensesareexpected,
norduringtheirflow;butthedosecanbegiven,ifnecessary,fourdays,i.e.,aboutninetysixhoursafter
themenseshavesetin.Butincasethemensespreviouslyhavebeenprematureortooprofuse,ortwo
longlasting,itisoftennecessarytogiveonthisfourthdayasmalldoseofnuxvomica(oneverysmall
pellet,moistenedwithahighdynamization)tobesmelled,andthen,onthefourthorsixthdayfollowing,
theantipsoric.Butifthefemaleisverysensitiveandnervous,sheought,untilshecomesnearherfull
restoration,tosmellsuchapelletonceabouteverytimeseventytwohoursafterthebeginningofher
menses,notwithstandinghercontinuedantipsorictreatment.*
Pregnancyinallitsstagesofferssolittleobstructiontotheantipsorictreatment,thatthistreatmentisoften
mostnecessaryandusefulinthatcondition.Mostnecessarybecausethechronicailmentsthenaremore
developed.Inthisstateofwoman,whichisquiteanaturalone,thesymptomsoftheinternalpsoraare
oftenmanifestedmostplainly**onaccountoftheincreasedsensitivenessofthefemalebodyandspirit
while in this state; the antipsoric medicine therefore acts more definitely and perceptibly during
pregnancy,whichgivesthehinttothephysiciantomakethedosesintheseassmallandinashighly
potentizedattenuationsaspossible,andtomakehisselectionsinthemosthomoeopathicmanner.
(*Insuchamorbidstateofthemensesnothingcanbedoneinthecureofchronicdiseaseswithoutthe
intermediate useofNuxvomica, whichhere speciallyreducestoorder thedisharmonyarisinginthe
functionsofthenervesfromsodisorderlyaflowofthemenses,andsoquietsthisexcessivesensitiveness
andirritability,whichputaninsurmountableobstacleinthewayofthecurativeactionoftheantipsoric
remedies.)
(Inwhatmorecertainwaycould,e.g.,thereturnofmiscarriage,whichisalmostexclusivelyduetopsora,
beprevented,and,indeed,belastinglyprevented,thanthroughajudiciousantipsorictreatmentbeforeorat
least during Pregnancy? In what more reliable way could the states of the womb, which are not
infrequentlydangerous,andsometimesfataleveninaproperpresentationofthefoetusandinanatural
labor,beremovedinadvancethanbyatimelyantipsorictreatmentduringpregnancy?Eventheimproper
presentationofthechildhas,ifnotalways,stillveryoftenitsonlycauseinthepsoricsicknessofthe
mother,andthehydrocephalusandotherbodilydefectsofthechildhavesurelythiscause!Onlythe
antipsorictreatmentofthesicklywifeifnotbefore,atleastduringpregnancy,canremoveinadvancethe
mothersinabilityforsuckling,asalsoinsucklingpreventthefrequentsorebreasts,thesorenessofthe
nipples,thefrequentinclinationtoerysipelatousinflammationsofthebreastsandtheirabscesses,aswell
thehaemorrhagesoftheuterusduringsuckling.)
(**Nevertheless,theentireoppositefrequentlytakesplace,sothatthewifewhobeforepregnancywas
alwayssickly,anduninterruptedlycomplaining,feelsinunusualgoodhealthduringeverypregnancyand
onlyduringthisstate. Andwithsuchcasesthistimeofpregnancymayverywellbemadeuseoffor
antipsorictreatment,whichinsuchacaseisdirectedagainstthesymptomsofthemorbidstatebefore
pregnancy,sofarasthiscanberemembered.)
(P139)
Sucklingsneverreceivemedicine;themotherorwetnursereceivestheremedyinstead,andthroughtheir
milkitactsonthechildveryquickly,mildlyandbeneficially.
Thecorporeal nature(calledthelifepreservingprincipleorvital force) whenleft toitself,since itis
without reason, cannot provide anything better than palliatives in chronic diseases and in the acute
diseasesspringingthencewhichcausesuddendangertolife,owingtotheindwellingpsora.Thesearethe
causesofthemorefrequentsecretionsandexcretionsofvariouskindstakingplaceofthemselvesnowand
theninchronic(psoric)diseases,ase.g.,diarrhoeas,vomiting,perspiration,suppurations,haemorrhages,
etc.Alltheseareattendedwithonlytemporaryalleviationsofthechronicoriginalmalady,whichowing
tothelossesofhumorsandofstrengththerebyonlybecomesmoreandmoreaggravated.
Allopathyhas,sofar,notbeenabletodoanymorethanthistowardagenuinecureofthechronicdiseases;
itcouldonlyimitatetheunreasonincorporealnatureinitspalliatives(usuallywithoutanequalalleviation

andwithagreatersacrificeofstrength). Itcausedtherefore, morethantheother,ahasteningofthe

generalruin,withoutbeingabletocontributeanythingtotheextinctionoftheoriginalmalady.Tothis
classbelongallthemany,indescribablepurgatives,thesocalleddissolvents,thevenesection,cupping,the
applying of leeches now so insanely frequent, the sudorifics, the artificial sores, setons, fontanelles,
exutories,etc.
Godbepraised,thehomoeopathicphysicianwhoisacquaintedwiththemeansofaradicalcure,andwho
thusthroughtheantipsorictreatmentcandestroythechronicdiseaseitself,hassolittleneedoftheabove
mentionedapplications,whichonlyhastendissolution,thathehasonthecontrarytouseallcarethatthe
patientmaynotsecretlyusesomeoftheseappliances,followingtheoldroutine,diffusedoverthewhole
earthbyallopathy.Hecanneveryieldtotherequestofthepatient,e.g.,thathehasbecomeaccustomedto
beingbledsoandsomanytimesayear,ortobecupped,ortousepurgativesorwarmbaths,andthathe
thereforeneedsthem.Suchthingscannotbepermitted.
(P140)
The homoeopathic physician who is a master of his art, and God be praised! there is now a not
inconsiderablenumberofsuchmastersinhomoeopathy,neverallowsadropofbloodtobedrawnfrom
hispatient;heneverneedsanysuchorsimilarmeansofweakeningthebody,forsuchacourseevermore
remainsthenegationofcuring.Onlyjourneymen,halfhomoeopathsstill,Iamsorrytosay,usesucha
contradictioinadjecto(weakeningwhiledesiringtocure).*
Onlyintheonecase,where,asinmanychronicdiseases,thedelayinpassingevacuationscausesgreat
trouble,hewillpermit(inthebeginningofthetreatmentbeforetheantipsoricmedicinehashadthetime
[initsaftereffects]toproduceimprovementinthispoint)ifthestoolisnotpassedforthreeorfourdays,a
clysterofclean,lukewarmwaterwithouttheleastadmixture,alsoperhapsasecond,ifanevacuationdoes
notresultwithinaquarterofanhour.Rarelyathirdinjectionwillbeneeded,afterwaitingathirdquarter
of an hour. This help which acts chiefly mechanically by expanding the rectum, is harmless when
repeatedafterthreeorfourdaysifitisnecessary,and,asbeforementioned,onlyatthebeginningofthe
treatmentfortheantipsoricmedicines,amongwhichinthisrespectlycopodiumnexttosulphurhasthe
preeminence,usuallysoonremovethisdifficulty.
Theinexcusablewastingfontanellesthehomoeopathicphysicianmustnotatoncesuppress,ifthepatient
hashadthemforsometime(oftenformanyyears),norbeforetheantipsorictreatmenthasalreadymade
perceptibleprogress,butiftheycanbediminishedwithouttotallystoppingthem,thismaysafelybedone
eveninthebeginningofthetreatment.
Soalsothephysicianshouldnotatoncediscontinuethewoollenunderclothing,whichissaidtoprevent
thetakingofcoldandtherecommendationofwhichiscarriedveryfarbytheordinaryphysiciansin
defaultofanyrealassistance. Thoughtheyareaburdentothepatient,weshouldwaituntilthereisa
visibleimprovementeffectedbytheantipsoricswhichremovethetendencytotakingcold,anduntilthe
warmerseasoncomes.Withpatientswhoareveryweakly,heshouldinthebeginningchangetocotton
shirtswhichrubandheattheskinless,beforerequiringpatientstoputlinenunderclothingontheirskin.
(*Thismaywellbepardonedwithjourneymenandbeginners:butwhentheyassumetoboastofthis
noviceshipanddeclareinpublicjournalsandbooksthattheincidentaluseofbloodlettingandleechesis
indispensable,yea,thatitismoreessentiallyhomoeopathic,theybecomeridiculousandaretobepitiedas
tyrosandaslaboringunderdelusion;andtheirpatientsalsoaretobepitied.Isitlazinessorahaughty
preferencefortheirold(althoughruinous)allopathicroutine,orisitlackoflovefortheirfellowman
whichpreventsadeeperenteringintotrue,beneficentHomoeopathyandanelevationintothetroublesome
but correct and useful selection oftheremedyhomoeopathicallyspecificineverycase, and intothat
masteryofHomoeopathynownomorerare?)
(P141)
Formanyeasilyperceivedreasons,butespeciallyinorderthathisdelicatedosesofmedicinemaynotbe
interferedwithintheiraction,thehomoeopathicphysiciancannotinhisantipsorictreatmentallowthe
intermediate use of any hitherto customary domestic remedy, no perfumery of any kind, no fragrant
extracts,nosmellingsalts,noBaldwintea,oranyotherherbteas,nopeppermintconfection,nospiced

confectionsoranisesugarorstomachdrops,orliqueurs,noIcelandmoss,orspicedchocolate,nospice
drops,toothtincturesortoothpowdersoftheordinarykinds,noranyoftheotherarticlesofluxury.
Socalledwarmandhotbathsforthesakeofcleanliness,towhichspoiledpatientsareusuallyverymuch
attached,arenottobeallowed,astheyneverfailtodisturbthehealth;noraretheyneeded,asaquick
washingofapartorofthewholeofthebodywithlukewarmsoapwaterfullyservesthepurposewithout
doinganyinjury.
Attheendofthesedirectionsfortreatingchronicdiseases,Irecommended,inthefirstedition,thelightest
electricsparksasanadjuvantforquickeningpartsthathavebeenforalongtimeparalyzedandwithout
sensation,thesetobeusedbesidestheantipsorictreatment.Iamsorryforthisadvice,andtakeitback,as
experiencehastaughtme,thatthisprescriptionhasnowherebeenfollowedstrictly,butthatlargerelectric
sparkshavealwaysbeenusedtothedetrimentofpatients;andyettheselargersparkshavebeenasserted
tobeverysmall. I,therefore,nowadviseagainstthissoeasilyabusedremedy,especially,aswecan
easilyremovethisappearance ofenantiopathicassistance; forthereisanefficienthomoeopathiclocal
assistanceforparalyzedpartsorsuchasarewithout sensation. Thisisfoundincoldwater*locally
applied(at54Fahrenheit)frommountainspringsanddeepwells;eitherbypouringonthesepartsfor
one,twoorthreeminutes,orbydouchebathsoverthewholebodyofonetofiveminutesduration,more
rarely or more frequently, even daily or oftener according to the circumstances, together with the
appropriate,internal,antipsorictreatment,sufficientexerciseintheopenair,andjudiciousdiet.
(*Waterofthisandalowertemperaturehastheprimarypowerofdeprivingthepartsofthelivingbody
partlyofsensationandpartlyofmotion,insuchcasesitthereforegiveslocalhomoeopathicassistance.)
(P143)

THEMEDICINES.
The medicines which have been found most suitable and excellent inchronic diseases sofar, I shall
presentinthefollowingpartaccordingtotheirpureactiononthehumanbody,aswellthoseusedinthe
treatmentofthediseasesofpsoricorigin,asthoseusedinsyphilisandinthefigwartdisease.
Thatweneedfarfewerremediestocombatthelatterthanthepsoracannotwithanythinkingmanforman
argument againstthechronicmiasmaticnatureofthelatterandstilllessagainstthefactthatitisthe
commonsourceoftheotherchronicdiseases.
Thepsora,amostancientmiasmaticdisease,inpropagatingitselfformanythousandsofyearsthrough
several millions of human organisms, of which each one had its own peculiar constitution and was
exposedtoveryvariedinfluences,wasabletomodifyitselftosuchadegreeastocausethatincredible
varietyofailmentswhichweseeintheinnumerablechronicpatients,withwhomtheexternalsymptom
(whichactsvicariouslyfortheinternalmalady),i.e.themoreorlessextensiveeruptionofitch,hasbeen
drivenawayfromtheskinbyafatalart,orinwhomithasdisappearedofitselffromtheskinthrough
someotherviolentincident.
Henceitseemstohavecometopassthatthishalfspiritualmiasma,whichlikeaparasiteseekstoinroot
itshostilelifeinthehumanorganismandtocontinueitslifethere,coulddevelopitselfinsomanywaysin
themanythousandsofyears,sothatithasevencausedtospringforthandhasbornmodifiedoffshoots
withcharacteristicproperties,whichdonotindeeddenytheirdescentfromtheirstock(thecommonpsora)
but,nevertheless,differfromoneanotherconsiderablybysomepeculiarities.Thesechangesareduein
somepart tothevaryingphysical peculiaritiesandclimaticdifferences ofthedwellingplacesofmen
afflictedwiththepsora,*andinpartaremouldedbytheirvaryingmodesoflife,e.g.childreninthe
corruptcityairdeveloprachitis,spinaventosa,softeningofthebones,curvatures,canceroflatebones,
tineacapitis,scrofula,ringworm;adultsexhibitnervousdebility,nervousirritability,goutofthejoints,etc.
And soalsotheother great varietiesinthemodeoflivingand inthe occupationsofmenwiththeir
inheritedbodilyconstitutionsgivetothepsoric diseasessomanymodifications,thatitmayeasilybe
understood,that morenumerousandmorevariedremediesareneededfortheextirpationofall these

modificationsofthepsora(antipsoricremedies).
(*E.g.theSibbens orRadeSyge commonlyfoundinNorway andinthenorthwest ofScotland; the
Pellagra in Lombardy; the plica polonica (Koltun, Trichiasis) in Poland and Carinthia, the tumorous
leprosyinSurinam;theraspberrylikeexcrescences(Frambosia)inGuineacalledyawsandinAmerica
pian; the exhaustive fever in Hungary called Tsomor, the exhausting malady of Virginia (asthenia
Virginensium),thehumandegenerationinthedeepAlpinevillagescalledcretin,thegoitreinthedeep
valleysandattheirentrances,etc.)
(P144)
Ihaveoftenbeenaskedbywhatsignsasubstancemaybeforehandberecognizedasantipsoric?Butthere
canbenosuchexternalvisiblemarksinthem;neverthelesswhileprovingseveralpowerfulsubstancesas
totheirpureeffectsonthehealthybody,severalofthembythecomplaintstheycausedshowedmetheir
extraordinaryandmanifestsuitablenessforhomoeopathicaidinthesymptomsofclearlydefinedpsoric
diseases.Sometracesoftheirqualitiesleadinginthisdirectiongavemeinadvancesomehintastotheir
probable usefulness; e.g. the efficacy of the herb Lycopodium, much praised in Poland for the plica
poloniapointedmetotheuseofthepollenoflycopodiuminsimilarpsoricailments.Thecircumstance
thatsomehaemorrhageshavebeenarrestedbylargedosesofsaltwasanotherhint.Sowastheusefulness
ofGuaiacum,SarsaparillaandMezereum,eveninancienttimeswherevenereal diseasescouldnotbe
healed byanyamount ofmercuryunlessoneortheotherofthese herbshadfirstremovedthepsora
complicatedwithit.
Asaruleitwasdevelopedfromtheirpuresymptoms,thatmostoftheearths,alkaliesandacids,aswellas
theneutralsaltscomposedofthem,togetherwithseveralofthemetalscannotbedispensedwithincuring
thealmostinnumerablesymptomsofpsora.Thesimilarityinnatureoftheleadingantipsoric,sulphur,to
phosphorusandothercombustiblesubstancesfromthevegetableandthemineralkingdomsledtotheuse
of the latter, and some animal substances naturally followed them by analogy, in agreement with
experience.
Stillonlythoseremedieshavebeenacknowledgedasantipsoricwhosepureeffectsonthehumanhealth
gave a clear indication of their homoeopathic use in diseases manifestly psoric, confessedly due to
infection;sothat,withanenlargementofourknowledgeoftheirproper,puremedicinaleffects,intimeit
maybefoundnecessarytoincludesomeofourothermedicinesamongtheantipsoricremedies;although
evennowwecanwithcertaintycure,withtheantipsoricsnowrecognized,nearlyallnonvenereal(psoric)
chronicdiseases,ifthepatientshavenotbeenloadeddownandspoiledthroughallopathicmismanagement
with severe medicinediseases, and when their vital force has not been depressed too low, or very
unfavorableexternalcircumstancesmakethecureimpossible.Nevertheless,itneednotbespeciallystated
thattheotherproved, homoeopathic medicines, not excepting mercury, cannot be dispensed with in
certainstatesofthepsoricdiseases.
(P145)
Homoeopathy,byacertaintreatment ofthecrudemedicinalsubstances,whichhadnotbeeninvented
beforeitsfoundationanddevelopment,advancesthemintothestateofprogressiveandhighdevelopment
oftheirindwellingforces,inorderthatitmaythenusethemincuringinthemostperfectmanner.Someof
thesemedicinesintheircrudestateseemtohaveaveryimperfect,insignificantmedicinalaction(e.g.
commonsaltandthepollenoflycopodium).Others(e.g.gold,quartz,alumina)seemtohavenoneatall,
butallofthembecomehighlycurativebythepreparationpeculiartoHomoeopathy.Othersubstances,on
theotherhand,intheircrudestateare,eveninthesmallestquantities,soviolentintheireffectsthatifthey
touchtheanimalfibre,theyactuponitinacorrodinganddestructivemanner(e.g.arsenicandcorrosive
sublimate)andthesemedicinesarerenderedbythesamepreparationpeculiartoHomoeopathynotonly
mildintheireffects,butalsoincrediblydevelopedintheirmedicinalpowers.
Thechangeswhichtakeplaceinmaterialsubstances,especiallyinmedicinalones,throughlongcontinued
triturationwithanonmedicinalpowder,orwhendissolved,throughalongcontinuedshakingwithanon
medicinal fluid,aresoincredible,thattheyapproachthemiraculous,anditisacauseofjoythatthe

discoveryofthesewonderfulchangesbelongstoHomoeopathy.
Notonly,asshownelsewhere,dothesemedicinalsubstancestherebydeveloptheirpowersinaprodigious
degree,buttheyalsochangetheirphysicochemicaldemeanorinsuchaway,thatifnoonebeforecould
everperceiveintheircrudeformanysolubilityinalcoholorwater,afterthispeculiartransmutationthey
becomewhollysolubleinwateraswellasinalcoholadiscoveryinvaluabletothehealingart.
The brownblack juice of the marine animal Sepia, which was formerly only used for drawing and
painting,isinitscrudestatesolubleonlyinwater,notinalcohol;butbysuchatriturationitbecomes
solublealsoinalcohol.
TheyellowPetroleumonlyallowssomethingtobeextractedfromitthroughalcoholwhenitisadulterated
withetherealvegetableoil;butinitspurestatewhilecrudeitissolubleneitherinwaternorinalcohol(nor
inether).Bytriturationitbecomessolubleinbothsubstances.
(P146)
SoalsothePollenoflycopodiumfloatsonalcoholandonwater,withouteitherofthemshowingany
actionuponitthecrudelycopodiumistastelessandinactivewhenitentersthehumanstomach;butwhen
changedinasimilarmannerthroughtriturationitisnotonlyperfectlysolubleineitherfluid,buthasalso
developedsuchextraordinarymedicinalpowers,thatgreatcaremustbetakeninitsmedicinaluse.
Whoeverfoundmarbleoroystershellssolubleinpurewaterorinalcohol?Butthismildlimebecomes
perfectlysolubleineither,bymeansofthismodeofpreparation;thesameisthecasewithbarytaand
magnesiaandthesesubstancesthenexhibitastonishingmedicinalpowers.
Leastofallwillanyoneascribesolubilityinwaterandalcoholtoquartz,torockcrystal(manycrystalsof
whichhavecontainedenclosedinthemdropsofwaterforthousandsofyearsunchanged),ortosand;nor
wouldanyoneascribetothemmedicinalpower,andyetbythedynamization(potentizing)*peculiarto
Homoeopathy,bymeltingsilicawithanalkalinesalt,andthenprecipitatingitfromthisglass,itnotonly
becomessolublewithoutanyresiduuminwaterandinalcohol,butalsothenshowsprodigiousmedicinal
powers.
WhatcanIsayofthepuremetalsandoftheirsulphurets,butthatallofthem,withoutanyexception
becomebythistreatmentequallysolubleinwaterandinalcohol,andeveryoneofthemdevelopsthe
medicinalvirtuepeculiartoitinthepurest,simplestmannerandinanincrediblyhighdegree?
Butthechemicalmedicinalsubstancesthuspreparednowalsostandabovethechemicallaws.
Adoseofphosphorus,potentizedhighlyinasimilarmanner,maylieinitspaperenvelopeinthedesk,
and,nevertheless,whentakenafterawholeyearsinterval,itwillstillshowitsfullmedicinalpower;not
that of phosphoric acid, but that of the unchanged, uncombined phosphorus itself. So that no
neutralizationtakesplaceinthisitselevated,andasitwere,glorifiedstate.
The medicinal effects of natrum carbonicum, of ammonium carbonicum, of baryta, of lime, and of
magnesia,inthishighlypotentizedstate,whenadoseofoneofthemhasbeentaken,isnotneutralized
likebasicsubstancestakeninacrudeformbyadropofvinegartakenafterwards;theirmedicinaleffect
beingneitherchangednordestroyed.
(* In its crude condition and without this preparation quartz and pebbles do not seem to allow a
development oftheirmedicinal powersbytriturationandtherefore itisthat thetrituratingofvarious
medicinewiththeindifferentsugarofmilkintheporcelaintrituratingbowlseemstoimparttothemno
admixtureofsiliceaassomeanxiouspuristshavevainlyfeared.)
(P147)
Nitricacidwhenthusgiveninitshighlypotentized stateinwhichitisserviceableforhomoeopathic
medicinaluse,isnotchangedbyalittlecrudelimeorcrudesodagivenafterit,astoitsstrongwelldefined
medicinalaction;thereforeitisnotneutralized.
Inthispreparation,peculiartoHomoeopathy,wetakeonegraininpowderofanyofthesubstancestreated
of in the six volumes of Materia Medica Pura,* and especially those of the antipsoric substances
following below, i.e., of silica, carbonate of baryta, carbonate of lime, carbonate of soda and sal
ammoniac, carbonate of magnesia, vegetable charcoal, animal charcoal, graphites, sulphur, crude
antimony,metallicantimony,gold,platina,iron,zinc,copper,silver,tin.Thelumpsofthemetalswhich

havenotyetbeenbeatenoutintofoil,arerubbedoffonafine,hardwhetstoneunderwater,someofthem,
asiron,underalcohol;ofmercuryintheliquidformonegrainistaken,ofpetroleumonedropinsteadofa
grain,etc.Thisisfirstputonaboutonethirdof100grainsofpulverizedsugarofmilk,andplacedinan
unglazedporcelainmortar,orinonefromwhichtheglazehasbeenfirstrubbedoffwithwetsand;the
medicineandthesugarofmilkarethenmixedforamomentwithaporcelainspatula,andthemixtureis
trituratedwithsomeforceforsixminutes,thetrituratedsubstanceisthenforfourminutesscrapedfrom
themortarandfromtheporcelainpestle,**whichisalsounglazed,orhashaditsglazingrubbedoffwith
wetsand,sothatthetriturationmaybehomogeneouslymixed.Afterthishasbeenthusscrapedtogether,
itistrituratedagainwithoutanyadditionforanothersixminuteswithequalforce.Afterscrapingtogether
againfromthebottomandthesidesforfourminutesthistriturate(forwhichthefirstthirdofthe100
grainshadbeenused),thesecondthirdofthesugarofmilkisnowadded,botharemixedtogetherwiththe
spatula for a moment, triturated again withlike force for sixminutes; then having again scraped the
triturateforfourminutes,itistrituratedasecondtime(withoutaddition)forsixminutesmore,andafter
scrapingittogetherforanotherfourminutesitismixedwiththelastthirdofthepowderedsugarofmilk
bystirring itaroundwiththespatula,and then thewhole mixture isagaintrituratedfor sixminutes,
scraped forfour minutes, andasecondandlast timetrituratedfor sixminutes; thenitisall scraped
togetherandthepowderispreservedinawellstopperedbottlewiththenameofthesubstanceandthe
signature100becauseitispotentizedonehundredfold.
(* Vegetable substances which can only be procured dry, e.g., cinchona bark, ipecacuanha, etc., are
preparedbythesamekindoftriturationandwillcompletelydissolvewhenpotentizedamillionfold,not
less,withtheirpeculiarpowers,inwaterandalcohol,andmaythenbepreservedasmedicinesfarmore
easilythantheeasilyspoiledalcoholictinctures.Ofthejuicelessvegetablesubstances,suchasoleander,
thuja,thebarkofmezereum,etc.,wemay,withoutmakingamistake,takeofeachaboutoneandahalf
grainsofthefreshleaves,bark,root,etc.,withoutanyfurtherpreparation,andtrituratethesamethree
timeswith100grainsofsugarofmilktothemillionfoldpowdertrituration.Agrainofthisdissolvedin
alcoholandwatermaybedevelopedinthedilutingvialswithalcoholtothenecessarydegreeofpotency
oftheirpowersbygivingforeachpotencytwosuccussivestrokes.Alsowiththefreshlyexpressedjuices
oftheherbsitisbesttoatonceputonedropofthesamewithasmuchsugarofmilkasistakenforthe
preparationoftheothermedicines,soastotriturateittothemillionfoldpowderattenuation,andthena
grainofthisattenuationisdissolvedinequalpartsofwaterandalcohol,andmustbepotentizedtoa
furtherdynamizationthroughthetwentysevendilutingvialsbymeansoftwosuccussivestrokes. The
freshjuicesthusseemtoacquiremoreofdynamization,asexperienceteachesme,thanwhenthejuice
withoutanypreparationbytrituratingismerelydilutedinthirtyvialsofalcoholandpotentizedeachtime
withtwosuccussivestrokes.)
(Evenphosphoruswhichissoeasilyoxidizedbyexposuretotheairispotentizedinasimilarmanner,
andthusrenderedsolubleinthesetwoliquids,andisthuspreparedasahomoeopathicmedicine;butin
thiscasesomeprecautionsareused,whichwillbefoundbelow.)
(P148)
(**Thatafterthecompletionofeverythreehourstriturationofamedicinalsubstance,themortar,pestle
andspatulaaretobeseveraltimesscaldedwithboilingwater,beingaftereveryscaldingwipedquitedry
andclean,Ipresupposeasindispensable,sothatnoideaofspoilinganymedicinethatmaybetrituratedin
itinfeaturemaybeentertained.Ifthefurtherprecautionisusedofexposuremortar,pestleandspatulato
aheat approaching red heat, thiswill dissipate every thought that any least rest ofthe medicine last
trituratedcanclingtothemandthuseventhemostscrupulousmindwillbesatisfied.)
( Only phosphorus needs some modification in the preparation (if the first attenuation to the 100th
degree.Herethehundredgrainsofsugarofmilkareatonceputintothetrituratingbowland,withabout
twelve drops of water they are stirred by means of the wet pestle into a thickish pap; one grain of
phosphorusisthencutintonumerouspieces,saytwelve,andkneadedinwiththemoistpestleandrather

stampedthanrubbedintoit,whilethemasswhichoftenclingstothepestleisasoftenscrapedintothe
mortar.Thusthelittlecrumbsofphosphorusarerubbedtolittleinvisibledustparticlesinthe,thickpapof
sugarofmilkeveninthefirsttwoperiodsofsixminuteseach,withouttheappearanceoftheleastspark.
Duringthethirdperiodofsixminutesthestampingmaypassoverintorubbing,becausethemassisthen
approachingtheformofpowder.Duringthesucceedingthreeperiodsofsixminuteseachtriturationis
carriedononlywithamoderateforce,andaftereverysixminutesthepowderisscrapedfromthemortar
andthepestleforseveralminutes,whichisdoneeasily,asthispowderdoesnotadheretenaciously.After
thesixthperiodoftriturationthepowder,whenstandingexposedtotheairinthedark,isonlyfeebly
luminous,andhasbutaslightodor.Itisputintoawellstopperedvialandmarkedphosphorus1/100,the
othertwotriturations1/10000,and1/mill.
arepreparedlikethosefromotherdrymedicinal
substances.)
(P149)
Topotentizethesubstancetothetenthousandthattenuation,onegrainofthepowderlastmentionedas
beingtheonehundredthistakenwithonethirdof100grainsoffreshsugarofmilk,stirredinthemortar
withaspatulaandtreatedasabove,sothateverythirdistrituratedtwiceforsixminutesatatime,and
aftereverytriturationisscrapedtogether(foraboutfourminutes),beforethesecondthirdofthesugarof
milkisaddedandafterthishasbeensimilarlytreatedthelastthirdofsugarofmilkisstirredintoitand
againsimilarlytrituratedtwiceforsixminutesatatime,whenitisscrapedtogether,putinastopperedvial
withthesignature1/10000asitcontainsthemedicinepotentizedtothetenthousandthattenuation.*The
sameisdonewithonegrainofthispowder(marked1/10000)inordertobringittoI,andthustoattenuate
ittothemillionfoldpotency.
Inordertoproduceahomogeneityinthepreparationofthehomoeopathicandespeciallytheantipsoric
remedies, at least in the form of powders, I advise the reducing of medicines only to this millionth
potency,nomoreandnolessandtopreparefromthisthesolutionsandthenecessarypotenciesofthese
solutions;thishasbeenmyowncustom.
Thetriturationshouldbedonewithforce,yetonlywithsomuchforcethatthesugarofmilkmaynotbe
pressedtoofirmlytothemortar,butmaybescrapedupinfourminutes.
Nowinpreparingthesolutionsfromthis,andinbringingthemedicinesthuspotentizedonemillionfold,
into the fluid form, (so that their dynamization may be still further continued), we are aided by the
propertyofallmedicinalsubstances,that,whenbroughttothepotencyI,theyaresolubleinwaterand
alcohol;thispropertyisstillunknowntochemistry.
(*Thusitwillbeseenthateveryattenuation(thatto1/100, that to 1/10000, and also the third to
1/1000000orI)ispreparedbysixtimestrituratingforsixminutesandsixtimesscrapingtogetherforfour
minuteseachtime.Thuseachonerequiresonehour.)
(InthebeginningIusedtogiveasmallpartofagrainofthepowderspotentizedtothe1/10000ortheI
degreebytrituration,asadose.Butsinceitsmallpartofagrainistooindefiniteaquantity,andsince
Homoeopathymustavoidallindefinitenessandinexactnessasmuchaspossible,thediscoverythatall
medicinesmaybechangedfrompotentizedmedicinalpowdersintofluidswithwhichadefinitenumberof
pelletsmaybemoistenedforadose,wasofgreatvaluetome.Fromliquidsthehigherpotenciesmayalso
beeasilyprepared.)
(P150)
Thefirstsolutioncannotbemadeinpurealcohol,becausesugarofmilkwillnotdissolveinalcohol.The
firstsolutionisthereforemadeinamixtureofhalfwaterandhalfalcohol.
ToonegrainofthemedicinalpowdertrituratedtothemillionfoldpotencyI,fiftydropsofdistilledwater
aredroppedinandbyturningthevialafewtimesroundonitsaxisitiseasilydissolved,whenfiftydrops
ofgoodalcohol*areadded,andthevial,whichoughtonlytobefilledtotwothirdsofitscapacitybythe
mixture,oughttobestopperedandshakentwice(i.e.withtwodownstrokesofthearm).Itismarkedwith

thenameofthemedicineand1/100I.Onedropofthisisaddedtoninetynineoronehundreddropsof
purealcohol,thestopperedvialisthenshakenwithtwostrokesofthearmandmarkedwiththenameof
themedicineanddesignated1/1000I.Onedropofthisisaddedtoninetynineoronehundreddropsof
purealcohol,thecorkedvialisthenshakenwithtwostrokesofthearmandmarkedwiththenameofthe
medicineandII.Thepreparationofthehigherpotenciesisthencontinuedwithtwostrokesofthearm**
everytimetothe1/100II,1/10000II,III,etc.,buttoattainasimpleuniformityinpracticeonlythevials
withthefullnumbersII,III,IV,V,etc.,areusedinpractice,buttheintermediatenumbersarepreserved
inboxesorcaseswiththeirlabels.Thustheywillbeprotectedfromtheeffectofdaylight.
(*Forthefiftydropsofwateraswellasforthefiftydropsofalcoholavialcontainingjustthatquantity
maybeused,sothatweneednotthencountthedrops,especiallyasdropsofwaterarenoteasilycounted
whenitflowsfromavial,themouthofwhichisnotroughenedbyrubbingwithsand.)
(Itwillbewelltomarkonthelabelthatithasbeenshakentwice,togetherwiththedate.)
(**AftermanyexperimentsandsearchingcomparisonswiththepatientsIhaveforseveralyearspreferred
fromconvictiontogivetothemedicinalfluidswhicharetobeelevatedtohigherpotenciesandatthe
sametimetoberenderedmilder,onlytwoshakes(withtwostrokesofthearm)insteadofthetenshakes
givenbyothers,becausethepotentizinginthelattercasebytherepeatedshakingpassesfarbeyondthe
attenuationateverystep(thoughthisisonehundredfold);whileyettheendstrivenforistodevelopthe
medicinalpowersonlyinthedegreethattheattenuationmayreachtheendaimedfor:tomoderateinsome
degreethestrengthofthemedicinewhileitspowerofpenetrationisincreased. Thedoubleshakealso
increasesthequantityofthemedicinalforcesdeveloped,likethetenfoldshake,butnotinashighadegree
asthelatter,sothatitsstrengthmay,nevertheless,bekeptdownbytheonehundredfoldattenuation
effected,andwethusobtaineverytimeaweakerthoughsomewhat morehighlypotentizedandmore
penetratingmedicine.)
( Instead of the fractional numbers 1/1000000 (I/I), 1/1000000000000 (I/II), etc., these degrees of
dynamizationarefrequentlysoexpressedthatonlytheexponentshowinghowoftenonehundredhasbeen
multipliedintoitselfisexpressed,thus,insteadof 1, 100 (3);insteadofI/II, 100 (6);insteadof I, 100 (9);
insteadof1/100III 100(10);insteadof1/10000IX,100(29)andinsteadofdecillionI/X, 100(30),thusonlythe
exponentsastothethird,sixth,ninth,tenth,twentyninthandthirtiethpotency,etc.)
(P151)
Astheshakingisonlytotakeplacethroughmoderatestrokesofthearm,thehandofwhichholdsthevial,
itisbesttochoosethevialsjustsolargethattheywillbetwothirdsfilledwith100dropsoftheattenuated
medicine.
Vialsthathavecontainedaremedymustneverbeusedforthereceptionofanyothermedicine,though
theyberinsedeversooften,butnewvialsmustbetakeneverytime.

Thepelletswhicharetobemoistenedwiththemedicineshouldalsobeselectedofthesamesize,hardlyas
largeaspoppyseeds,madebytheconfectioner,partlysothatthedosemaybemadesmallenough,and
partlythathomoeopathicphysiciansinthepreparationofmedicines,asalsointhegivingofdoses,mayact
alike,andthusbeabletocomparetheresultoftheirpracticewiththatofotherHomoeopathsinthemost
certainmanner.
Themoisteningofpelletsisbestdonewithaquantity,sothatadrachmorseveraldrachmsofpelletsare
putintoalittledishofstoneware,porcelainorglass;thisdishshouldbemoredeepthanwide,intheform
ofalargethimble;severaldropsofthespirituousmedicinalfluidshouldbedroppedintoit(ratherafew
dropstoomany),sothattheymaypenetratetothebottomandwillhavemoistenedallthepelletswithina
minute.Thenthedishisturnedoverandemptiedonapieceofcleandoubleblottingpaper,sothatthe

superfluousfluidmaybeabsorbedbyit,andwhenthisisdone,thepelletsarespreadonthepapersoasto
dryquickly.Whendry,thepelletsarefilledinavial,markedastoitscontents,andwellstoppered.
Allpelletsmoistenedwiththespirituousliquidhavewhendryadullappearance;thecrude,unmoistened
pelletslookwhiterandmoreshining.
Topreparethepelletstogivetopatients,oneoracoupleofsuchlittlepelletsareputintotheopenendofa
papercapsulecontainingtwoorthreegrainsofpowderedsugarofmilk;thisisthenstrokedwithaspatula
orthenailofthethumbwithsomedegreeofpressureuntilitisfelt,thatthepelletorpelletsarecrushed
andbroken,thenthepelletswilleasilydissolveifputintowater.
WhereverImentionpelletsingivingmedicine,Ialwaysmeanthefinest,ofthesizeofpoppyseeds,of
whichabout200(moreorless)weighagrain.
(P152)
Theantipsoricmedicinestreatedofinwhatfollowscontainnosocalledidiopathicmedicines,sincetheir
pureeffects,eventhoseofthepotentizedmiasmaofitch(Psorin)havenotbeenprovedenough,byfar,
thatasafehomoeopathicusemightbemadeofit.Isayhomoeopathicuse,foritdoesnotremainidem
(thesame);eveniftheprepareditchsubstanceshouldbegiventothesamepatientfromwhomitwas
taken,itwouldnotremainidem(thesame),asitcouldonlybeusefultohiminapotentizedstate,since
crudeitchsubstance whichhehasalreadyinhisbodyasanidem iswithout effect onhim. Butthe
dynamizationorpotentizingchangesitandmodifiesit;justasgoldleafafterpotentizingisnomorecrude
goldleafinertinthehumanbody,butineverystageofdynamizationitismoreandmoremodifiedand
changed.
Thuspotentizedandmodifiedalso,theitchsubstance(Psorin)whentakenisnomoreanidem(same)with
thecrudeoriginalitchsubstance,butonlyasimillimum(thingmostsimilar). ForbetweenIDEMand
SIMILLIMUMThereisnointermediateforanyonethatcanthink;orinotherwordsbetweenidemand
simileonlysimillimumcanbeintermediate. Isopathicandaequaleareequivocalexpressions,whichif
theyshouldsignifyanythingreliablecanonlysignifysimillimum,becausetheyarenotidem.

(P155)

SECONDPART.

ANTIPSORICMEDICINES.
PREFACE
CONCERNINGTHETECHNICALPARTOFHOMOEOPATHY 1

SinceIlast*addressedthepublicconcerningourhealingart,Ihavehadamongotherthingsalsothe
opportunitytogainexperienceastothebestpossiblemodeofadministeringthedosesofthemedicinesto

thepatients,andIherewithcommunicatewhatIhavefoundbestinthisrespect.
Asmallpelletofoneofthehighestdynamizationsofamedicinelaiddryuponthetongue,orthemoderate
smellingofanopenedvialwhereinoneormoresuchpelletsarecontained,provesitselfthesmallestand
weakestdosewiththeshortestperiodofdurationinitseffects. Stilltherearenumerouspatientsofso
excitableanature,thattheyaresufficientlyaffectedbysuchadoseinslightacuteailments,tobecuredby
itiftheremedyishomoeopathicallyselected. Neverthelesstheincrediblevarietyamongpatientsasto
theirirritability,theirage,theirspiritualandbodilydevelopment,theirvitalpowerandespeciallyastothe
natureoftheirdisease,necessitatesagreatvarietyintheirtreatment,andalsointheadministrationtothem
ofthedosesofmedicines.Fortheirdiseasesmaybeofvariouskinds:eitheranaturalandsimpleonebut
latelyarisen,oritmaybeanaturalandsimpleonebutanoldcase,oritmaybeacomplicatedone(a
combinationofseveralmiasmata),oragainwhatisthemostfrequentandworstcase,itmayhavebeen
spoiledbyaperversemedicaltreatment,andloadeddownwithmedicinaldiseases.
Icanherelimitmyselfonlytothislattercase,astheothercasescannotbearrangedintabularformforthe
weakandnegligent,butmustbelefttotheaccuracy,theindustryandtheintelligenceofablemen,whoare
mastersoftheirart.
Experiencehasshownme,asithasnodoubtalsoshowntomostofmyfollowers,thatitismostusefulin
diseasesofanymagnitude(notexceptingeventhemostacute,andstillmoresointhehalfacute,inthe
tedious and most tedious) to give to the patient the powerful homoeopathic pellet or pellets only in
solution,andthissolutionindivideddoses. Inthiswaywegivethemedicine,dissolvedinsevento
twentytablespoonfulsofwaterwithoutanyaddition,inacuteandveryacutediseaseseverysix,fouror
twohours;wherethedangerisurgent,eveneveryhouroreveryhalfhour,atablespoonfulatatime;with
weak persons or children, only a small part of a tablespoonful (one or two teaspoonfuls or
coffeespoonfuls)maybegivenasadose.
(1ThisprefacewasprefixedtoVol.III,oftheChronicDiseases,publishedintheyear1837.Tr.)
(*Inthebeginningoftheyear1834Iwrotethefirsttwopartsofthisworkandalthoughtheytogether
containonlythirtysixsheets,myformerpublisher,Mr. Arnold,inDresden,tooktwoyearstopublish
thesethirtysixsheets.Bywhomwashethusdelayed?Myacquaintancescanguessthat.)
(P156)
InchronicdiseasesIhavefounditbesttogiveadose(e.g.,aspoonful)ofasolutionofthesuitable
medicineatleasteverytwodays,moreusuallyeveryday.
Butsincewater(evendistilledwater)commencesafterafewdaystobespoil,wherebythepowerofthe
smallquantityofmedicinecontainedisdestroyed,theadditionofalittlealcoholisnecessary,orwhere
thisisnotpracticable,orifthepatientcannotbearit,Iaddafewsmallpiecesofhardcharcoaltothe
waterysolution.Thisanswersthepurpose,exceptthatinthelattercasethefluidinafewdaysreceivesa
blackishtint. Thisiscausedbyshakingtheliquid,asisnecessaryeverytimebeforegivingadoseof
medicine,asmaybeseenbelow.
Before proceeding, itisimportant toobserve, that our vital principle cannot well bear that the same
unchangeddoseofmedicinebegiveneventwiceinsuccession,muchlessmorefrequentlytoapatient.
Forbythisthegoodeffectoftheformerdoseofmedicineiseitherneutralizedinpart,ornewsymptoms
propertothemedicine,symptomswhichhavenotbeforebeenpresentinthedisease,appear,impedingthe
cure. Thus even a well selected homoeopathic medicine produces ill effects and attains its purpose
imperfectlyornotatall.Thencecomethemanycontradictionsofhomoeopathicphysicianswithrespect
totherepetitionofdoses.
Butintakingoneandthesamemedicinerepeatedly(whichisindispensabletosecurethecureofaserious,
chronicdisease),ifthedoseisineverycasevariedandmodifiedonlyalittleinitsdegreeofdynamization,
thenthevitalforceofthepatientwillcalmly,andasitwerewillinglyreceivethesamemedicineevenat
briefintervalsverymanytimesinsuccessionwiththebestresults,everytimeincreasingthewellbeingof
thepatient.
Thisslightchangeinthedegreeofdynamizationiseveneffected,ifthebottlewhichcontainsthesolution

ofoneormorepelletsismerelywellshakenfiveorsixtimes,everytimebeforetakingit.
(P157)
Nowwhenthephysicianhasinthiswayusedupthesolutionofthemedicinethathadbeenprepared,ifthe
medicinecontinuesuseful,hewilltakeoneortwopelletsofthesamemedicineinalowerpotency(e.g.if
beforehehadusedthethirtiethdilution,hewillnowtakeoneortwopelletsofthetwentyfourth),andwill
makeasolutioninaboutasmanyspoonfulsofwater,shakingupthebottle,andaddingalittlealcoholora
fewpiecesofcharcoal.Thislastsolutionmaythenbetakeninthesamemanner,oratlongerintervals,
perhapsalsolessofthesolutionatatime;buteverytimethesolutionmustbeshakenupfiveorsixtimes.
Thiswillbecontinuedsolongastheremedystillproducesimprovementanduntilnewailments(suchas
haveneveryetoccurredwithotherpatientsinthisdisease),appear;forinsuchacaseanewremedywill
havetobeused. Onanydaywhentheremedyhasproducedtoostronganaction,thedoseshouldbe
omittedforaday. Ifthesymptomsofthediseasealoneappear,butareconsiderablyaggravatedeven
duringthemoremoderateuseofthemedicine,thenthetimehascometobreakoffintheuseofthe
medicineforoneortwoweeks,andtoawaitaconsiderableimprovement.*
Whenthemedicinehasbeenconsumedanditisfoundnecessarytocontinuethesameremedy,ifthe
physicianshoulddesiretoprepareanewportionofmedicinefromthesamedegreeofpotency,itwillbe
necessarytogivetothenewsolutionasmanyshakes,asthenumberofshakesgiventothelastportion
amounttowhensummeduptogether,andthenafewmore,beforethepatientisgiventhefirstdose;but
afterthat,withthesubsequentdoses,thesolutionistobeshakenuponlyfiveorsixtimes.
(*Intreatingacutecasesofdiseasethehomoeopathicphysicianwillproceedinasimilarmanner.Hewill
dissolve one (two) pellet of the highly potentized, well selected medicine in seven, ten or fifteen
tablespoonfulsofwater(withoutaddition)byshakingthebottle.Hewillthen,accordingasthediseaseis
moreorlessacute,andmoreorlessdangerous,givethepatienteveryhalfhour,oreveryhour,everytwo,
three,four,sixhours(afteragainwellshakingthebottle)awholeorahalftablespoonfulofthesolution,
or,inthecaseofachild,evenless.Ifthephysicianseesnonewsymptomsdevelop,hewillcontinueat
theseintervals,untilthesymptomspresentatfirstbegintobeaggravated;thenhewillgiveitatlonger
intervalsandlessatatime.
Asiswellknown,incholerathesuitablemedicinehasoftentobegivenatfarshorterintervals.
Childrenarealwaysgiventhesesolutionsfromtheirusualdrinkingvessels;ateaspoonfordrinkingisto
themunusualandsuspicious,andtheywillrefusethetastelessliquidatonceonthataccount. Alittle
sugarmaybeaddedfortheirsake.
(P158)
Inthismannerthehomoeopathicphysicianwillderiveallthebenefitfromawellselectedremedy,which
canbeobtainedinanyspecialcaseofchronicdiseasebydosesgiventhroughthemouth.
Butifthediseasedorganismisaffectedbythephysicianthroughthissameappropriateremedyatthesame
timeinsensitivespotsotherthanthenervesofthemouthandthealimentarycanal,i.e.ifthissameremedy
thathasbeenfoundusefulisatthesametimeinitswaterysolutionrubbedin(eveninsmallquantities)
intooneormorepartsofthebodywhicharemostfreefromthemorbidailments(e.g.onanarm,oronthe
thighorleg,whichhaveneithercutaneouseruptions,norpains,norcramps)thenthecurativeeffectsare
muchincreased.Thelimbswhicharethusrubbedwiththesolutionmayalsobevaried,firstone,then
another.Thusthephysicianwillreceiveagreateractionfromthemedicinehomoeopathicallysuitableto
thechronicpatient,andcancurehimmorequickly,thanbymerelyinternallyadministeringtheremedy.
Thismodeofprocedurehasbeenfrequentlyprovedbymyselfandfoundextraordinarilycurative;yea,
attendedbythemoststartlinggoodeffects;themedicinetakeninternallybeingatthesametimerubbedon
theskinexternally.Thisprocedurewillalsoexplainthewonderfulcures,ofrareoccurrenceindeed,where
chroniccrippledpatientswithsoundskinrecoveredquicklyandpermanentlybyafewbathsinamineral
water,themedicinalconstituentsofwhichweretoagreatdegreehomoeopathictotheirchronicdisease.*
Thelimb,therefore,onwhichthesolutionistoberubbedin,mustbefreefromcutaneousailments.In
ordertointroduce alsoherechangeandvariation,whenseveral ofthelimbsarefreefrom cutaneous
ailments,onelimbaftertheothershouldbeused,inalternation,ondifferentdays,(bestondayswhenthe

medicineisnottakeninternally).Asmallquantityofthesolutionshouldberubbedinwiththehand,until
thelimbisdry.Alsoforthispurpose,thebottleshouldbeshakenfiveorsixtimes.
Convenientasthemodeofadministeringthemedicineabovedescribedmaybe,andmuchasitsurely
advancesthecureofchronicdiseases,nevertheless,thegreaterquantityofalcoholorwhiskyortheseveral
lumpsofcharcoalwhichhavetobeaddedinwarmerweathertopreservethewaterysolutionwerestill
objectionabletomewithmanypatients.
(*Ontheother handsuchbathshave alsoinflictedaproportionallygreaterinjurywithpatients who
sufferedfromulcersandcutaneouseruptions;fortheseweredrivenbythemfromtheskin,asmaybedone
byotherexternalmeans,whenafterashortperiodofhealth,thevitalforceofthepatienttransferredthe
internaluncureddiseasetoanotherpartofthebody,andonemuchmoreimportanttolifeandhealth.Thus
e.g. may be produced the, obscuration of the crystalline lens, the paralysis of the optic nerve, the
destructionofthesenseofhearing;painsalsoofinnumerablekindsinconsequencetorturethepatient,his
mentalorganssuffer,hismindbecomesobscured,spasmodicasthmathreatenstosuffocatehim,oran
apoplecticstrokecarrieshimoff,orsomeotherdangerousorunbearablediseasetakestheplaceofthe
formerailment. Thereforethehomoeopathicremedygiveninternallymustneverberubbedinonparts
whichsufferfromexternalailments.
(P159)
Ihave,therefore,latelyfoundthefollowingmodeofadministrationpreferablewithcarefulpatients.From
amixtureofaboutfivetablespoonfulsofpurewaterandfivetablespoonfulsofFrenchbrandywhichis
keptonhandinabottle,200,300or400drops(accordingasthesolutionistobeweakerorstronger)are
droppedintoalittlevial,whichmaybehalffilledwithit,andinwhichthemedicinalpowderorthepellet
orpelletsofthemedicinehave beenplaced. Thisvial isstopperedandshakenuntilthemedicineis
dissolved.Fromthissolutionone,two,threeorseveraldrops,accordingtotheirritabilityandthevital
forceofthepatient,aredroppedintoacup,containingaspoonfulofwater;thisisthenwellstirredand
giventothepatient,andwheremoreespecialcareisnecessary,onlythehalfofitmaybegiven;halfa
spoonfulofthismixturemayalsowellbeusedfortheabovementionedexternalrubbing.
Ondays,whenonlythelatterisadministered,asalsowhenitistakeninternally,thelittlevialcontaining
thedropsmusteverytimebebrisklyshakenfiveorsixtimes;soalsothedropordropsofmedicinewith
thetablespoonfulofwatermustbewellstirredinthecup.
Itwouldbestillbetterifinsteadofthecupavialshouldbeused,intowhichatablespoonfulofwateris
put,whichcanthenbeshakenfiveorsixtimesandtheirwhollyorhalfemptiedforadose.
Frequentlyitisusefulintreatingchronicdiseasestotakethemedicine,ortorubitinintheevening,
shortlybeforegoingtosleep,becausewehavethenlessdisturbancetofearfromwithout,thanwhenitis
doneearlier.
WhenIwasstillgivingthemedicinesinundividedportions,eachwithsomewateratatime,Ioftenfound
thatthepotentizingintheattenuatingglasseseffectedbytenshakeswastoostrong(i.e.,themedicinal
actiontoostronglydeveloped)andI,therefore,advisedonlytwosuccussions.Butduringthelastyears,
sinceIhavebeengivingeverydoseofmedicineinanincorruptiblesolution,dividedoverfifteen,twenty
orthirtydaysandevenmore,nopotentizinginanattenuatingvialisfoundtoostrong,andIagainuseten
strokeswitheach.SoIherewithtakebackwhatIwroteonthissubjectthreeyearsagointhefirstvolume
ofthisbookonpage149.
Incaseswhereagreatirritabilityofthepatientiscombinedwithextremedebility,andthemedicinecan
onlybeadministeredbyallowingthepatienttosmellafewsmallpelletscontainedinavial,whenthe
medicineistobeusedforseveraldays,Iallowthepatienttosmelldailyofadifferentvial,containingthe
samemedicine,indeed,buteverytimeofalowerpotency,onceortwicewitheachnostrilaccordingasI
wishhimtobeaffectedmoreorless.