Read before I.H.A., Bureau for Materia Medica, June 22, 1934.
ALFRED PULFORD, M.D.
When our chairmans request arrived, asking for a paper for his bureau giving a remedy, and telling just “when” it acts, it found me in the midst of compiling a practical Essential Materia Medica for our own use, giving just that very information. That request found me just finishing the above named remedy, so I have chosen it as a text for my theme, as it was to interesting to me.
True Hahnemannian homoeopathy spells, and demands, constancy, and above all, ACCURACY. Science spells accuracy and demands constancy and not inconsistency. Therefore true Hahnemannian homoeopathy is SCIENTIFIC. Only its application is an art. To attempt to apply a drug on only a few of its more prominent symptoms, apparently otherwise important, without, reference to its direct primary pathogenetic group, is to merely cause a suppression of those symptoms. That condition often appears to us as a most miraculous and brilliant cure; appearing all the more brilliant the nearer we are to THE indicated drug, but it does not necessarily cause us to arrive at the most coveted goal-A.RADICAL CURE.
It is our aim to incorporate into our Essential Materia Medica those things that would be positive and reliable guides to the student and to the busy practitioner, who could care to espouse, study and practice true Hahnemannian homoeopathy. We have started out with what, to us, appears to be the true CHARACTERISTIC of the drug, which may be simple, or complex as with Arsenic. Next we have given the true ESSENTIALS, as far as we have been able to find them. These symptoms must be constant in both drug and patient, whether produced early or late in the pathogenesis matters little, but they must be constant, and not due to reaction but lighting up latent predispositions.
Those essential symptoms must be, or have been present at some time in the disease, either at its onset or during its course. The ESSENTIAL group is followed by a schema embracing the all important, the leaders, and those symptoms which, to date, have been found under no other know remedy, together with the more valuable hints relating to the drug. Our only claim for originality in the work is a combination of its original formation and original. In presenting this remedy before this body I will give the grand-.
ARSENICUM ALBUM (ARS)
CHARACTERISTIC: Asthenia with irritability of fibre complicated with anxiety, anguish, fear of death, especially sudden death, when left alone or on going to bed; and great restlessness, even during coma, and when too weak to move the body he moves the head, or if able to get up he goes from chair to chair or from bed to bed; the child wants to go from nurse to nurse or from person to person or to be carried rapidly, often saying, “Run, run!”.
Next I will present the-ESSENTIAL:Including the above, we have:Sadness. Despair. Depression. Peevishness, Sensitiveness. Lassitude. Trivial affections producing sudden and complete sinking of strength. Extreme prostration. Face pale, waxy, puffy; expression of genuine agony. Especially aggravated around 1 a.m., and ameliorated from heat, except head. The initial thirst is violent, often ungovernable especially for little and often, as water molests the stomach.
The skin is dry, usually like parchment. All the discharges and excretions are acrid, scanty, putrid and of a cadaverous odor. Is chilly, always freezing, hovers over the fire, and is weak after the chill. The pains are burning stitching, either like burning hot needles or like coals of fire, and better heat.Anxiety, restlessness,.prostration and cadaverous odors are prominent essentials and predominate.
Out of the Schema, I have picked the following: Nearly all the mental diseases of Ars. are characterized by extreme anxiety, restlessness and fear. The delirium of Ars. is more violent than that of any other remedy except Nit. ac. The greater the suffering he greater the anguish and fear of death. Thinks he is surely going to die therefore it is unnecessary to take medicine. Desires head cold, body warm (reverse, phos).
All the ulcerations of the eyeball, and even the cornea, are characterized by extreme painfulness (burning), hot excoriating tears, swelling of lids and great photophobia. The oedema of the lids, especially the lower one, is not at all like the puffiness of Apis and Rhus, nor is it dependent on infiltration of the connective tissue as it may be with Rhus, but is associated with the general cachectic Ars. condition. The Ars. eye symptoms are better warm applications frequently periodic in recurrence, begin every fall, and often change from eye to eye (Lac.c) Sulph., Calc. and Ars. will be called upon whenever the discharge from the ear has been stopped, in broken down constitutions.
“The sneezing of Ars. is no joke, it gives no relief, it starts from a spot in nose, as from the tickling of a feather.” The taste is bitter to water (to milk, Sabin., to sugar, Sang., to plums, Iod., to bread, Puls.). The wrinkling of the mucous membrane in diphtheria belongs to Ars., alone as far as known. Crude Ars. is supposed to kill the microscopic growths that are supposed to cause diphtheria, Ars,. drinks little and often and eats seldom and much (reverse, Bry.). The thirst is generally absent during the chill, or if present it is for warm drinks, during the heat it is for little and often, just enough to moisten the mouth and lips, while during the sweat it is for large quantities, beginning in dead earnest, the more he sweats the more he desires water, until he feels that he could drink a well dry.
In all the stomach troubles, even ulceration, there is extreme thirst, irritability causing stomach to reject everything, or retain but little, with extreme soreness and burning heat. The abdominal affections are characterized by inflammation of the abdominal viscera, extreme sensitiveness and collapse, “Do not use Ars. indiscriminately in summer complaints of babies, or for dysentery or cholera infantum, for it may do much harm if not indicated.” Ars. is most useful in cholera generally after the gushing period has passed, leaving a state of extreme exhaustion, a state like come appears, the patient looks as if almost dead except that he breathes; it is that Ars. will establish a reaction. Ars. is our most important remedy for diarrhoea from chilling the stomach with ice cream, or taking cold, the stools scanty, offensive, dark, and followed by great prostration.
After parturition the bladder may be weak, with loss of power and control (should it fail, do not forget Caust,, especially if no indications for any other remedy). In suppression of the urine from Ars, poisoning do not forget Spts. n.d. in large quantities of water. Valuable in pelvic cellulitis, enlarged uterus, tumor, ulceration, cancer of the womb, uterine haemorrhage, etc., with burning lancinating pains. The cough in all pulmonary complaints is worse after midnight, lying on back, with scanty expectoration. The cough is apt to appear periodically and with increasing force. Very valuable in weak heart, irritability, rapid on least provocation. Before an attack of epilepsy, icy coldness runs down back. Ulcers about fingernails (about joints: Bor., Sep).
Heat, burning up inside, cold outside (reverse, Carbo v.). Burning heat after midnight (Bry., before) Graph. is the best remedy for the skin troubles remedies for spreading ulcers that eat in every direction and such as follow the opening of a bubo which has no tendency to heal. Then skin eruptions requiring Ars. as a rule are dry, scaly, sore and burn and itch intensely. Unhealthy states of the skin, and low fevers, are often accompanied by ulceration and even gangrenous sloughs. Injured parts that suddenly turn gangrenous, or parts that suddenly take on erysipelas.
There is a great tendency to shriveling, mucous membranes of mouth and lips shrivel, and become wrinkled, mucous membrane of throat looks leathery and wrinkled, these are sure indications for Ars., such causes being very malignant in character. Euthanasia, use higher potencies. No other remedy has burning in so marked degree, better heat. Is of great service in chronic ailments will great debility, anaemia, from prolonged exposure to malarial influences, in the poorly fed and syphilitics. There may be thirstlessness in chronic troubles. The conditions of time and temperature especially as all important with Ars., and unless these correspond in the patient failure will be more frequent than success. TOLEDO,OHIO.
DR. SPALDING: Dr. Pulford has finally convinced me of exactly what he means by these primary, basic pathogenetic symptoms; I told him a year or two ago I couldnt quite follow what he meant by them.
I think his presentation of Arsenic shows clearly what he is emphasizing in the remedies, and it certainly presents the remedy in a way that you can recall more easily.
DR. FARRINGTON: I am looking forward to the publication of that materia medica. In studying and preparing the post-graduate extension course that has been carried on fro Chicago, for about three years, I think I looked into pretty nearly every materia medica ever written, and it is amazing how much copying there has been done. One man changes the wording a bit, but the same things are there over and over again. There are only a few who will give you firsthand information, Hahnemanns Materia Medica Pura, Lippes Materia Medica, Herings Condensed and the Guiding Symptoms, and the Encyclopaedia, my fathers Clinical Materia medica, which is full of pure gold, and one or two others.
We need a materia medica just as the doctor is working on now.
DR. MOORE: I should like to say a word on Arsenic; I miss so many of my patients that when I make a hit I am happy.
This was a gentleman who is seventy-four years old. He has angina. In the first place, as a baby no one expected him to live. He was an asthmatic for about twenty years, then that left and now for twenty years he has had one of the most severe anginas that anyone can possibly have. Doctors who have seen him in an attack have marveled that he ever came through. He hasnt been able to take a glass of cold water in all these years, not once, without going into one of these terrible conditions.
It he has a violent dream, it will carry him into this, unless he can get on his feet. If he can stand on his feet, he gets relief. That is a very strong Arsenic symptoms in the chronic cases; if they can get out on their feet, they can get relief; and I have seen him standing like that at eight oclock in the morning and have asked him, “How long have you been standing like that?” “Since eleven last night.”.
He couldnt sit down or lie down without staring an attack.
Last September he was very ill. He was standing for days and it looked as though any day would be the last. I was getting to go to New York, and I said, “He may be dead tomorrow morning, but I will give him a dose of Arsenic,” and I gave it in the 200th.
I supposed I would read the death notice when I came back, but he became free of his symptoms of angina and was able to eat as he hadnt been for a long, long time. Along in February he began to get a little into it again, and I gave him the thousandth. It gave him quite a knock, but he is enjoying pretty good health right now.
So, that is just a little arsenic and just a little bragging.
DR. BOGER; Dr. Farrington opened up a strange chapter in the history of homoeopathic medicine, because, as he says, he finds many works are simply copies of others, but anyone conversant with other languages sees more of that.
Much as I think of Dr. Lippe, his Materia Medica was a verbatim copy of Boenninghausens Characteristics, except for remedies that were produced since Boenninghausens Characteristics was written.
You run across that sort of thing all the time. I dont hold that as a discredit to homoeopathy at all, because when you see a good thing, you ought to be able to pass it along. You need all that help, including Lippes.
DR. EDWARDS: I want to say one thing about passing the good word along. Last summer Dr. Boger gave me a specimen of Plasmodium. Along the St. Lawrence River we are not supposed to have malarial fever or what is quoted now in the journals as undulant fever. If you have a chronic case and you cant get it routed out, it seems that a dose of Plasmodium will bring out the latent symptoms and lead to the real difficulty.
That has happened not in one case but in quite a number I have had for a number of years there. Plasmodium has done a great deal of good work.
Arsenic is a big remedy, and I can verify one of the doctors statements, and that is, pain, aggravated by drinking water; no matter where the pain is, it has been relieved quickly by Arsenicum.
DR. BOGER: I want to say something about the history of Plasmodium. Several years ago I received a letter from a man in England. He said that he had had a case of malignant malarial fever, the kind where the patient dies in the third chill or the second, and the had taken some of his blood serum and potentized it, and he sent me this graft of 30 potency taken from the man who died, and that is it. It is from pernicious malarial fever.
DR. GRIMMER: Can that be obtained?.
DR. BOGER: I am the only one who has it. You can have it if you write to me.
DR. ALFRED PULFORD: In closing the only thing that I can say to you is that those who have seen the light are beginning to inquire into it more and more, particularly so in England, India, and the West Indies; now it is coming back into out own country because of the fact that our materia medica is confusing, and we have no method whereby we can get an intelligent introduction to it. There is no remedy that produces directly all the symptoms attributed to it and, consequently, those symptoms are not necessary. They are the trimming on the fabric and what we need out of the remedy is the fabric.
These facts cannot fail to influence the great question of matter and force, how they are combined and in a continued flux change in innumerable forms and quantities. Those facts evolved by homoeopathics will sooner or later be acknowledged by unbiased natural and other philosophers who in them will find new views leading to a better understanding of the organic world especially as the medical part is concerned.
The crude notions of materialism must yield to the induction into the nature of matter as the vehicle of force and as the carrier of a number of forces which under proper conditions can be isolated and transferred upon other matter, so that the idea of the inertia of matter takes another meaning, matter being rather the unmoved receptacle of the forces which it endowed until they undergo changes in consequence of other forces. The idea of inertia is not warranted by the facts because nothing is really at rest. All mater is constantly under the dominion of all kinds of forces and the apparent rest is only a regular system of forces running into each other in a circle by a continued equalization (Lagrange) mediated by the least quantity of action (Maupertius)-the least additutum (Fincke).-B. FINCKE, M.D., 1893,.