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Rajan Sankaran From Similia to Synergy Reading excerpt From Similia to Synergy of Rajan Sankaran Publisher: Homoeopathic Medical Publishers

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From Similia to Synergy The Evolution of Homeopathy

Rajan Sankaran

Mumbai, India

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Generations In Homœopathic Practice

Table of Contents Dedication 6 INTRODUCTION 7 Generations In Homœopathic Practice 9 INVENTION 9 INTENSIFICATION 10 INNOVATION 12 INTEGRATION 14 DEVELOPMENT 16 The Law of Similars: Hahnemann’s Experiment 18 The Remedy Produces a State of Being 18 Concept of Dynamization 19 Potentized Remedies Have Dynamic Effect Only 19 Holistic 20 Individualistic 20 Hologram - Microcosm and Macrocosm 21 Homœopathy Versus Modern Medicine 21 Dr. Prakash Vakil 22 Boeninnghausen’s Idea of Generalization 23 Boger’s Contribution 23 Phatak: Generalization of the Modalities and Sensations 23 Importance of Detailed Inquiry - Finding the Uncommon 25 Rubrics Become Meaningful When We Understand the Kingdom 37 Dr.Sarabhai Kapadia 38 Dr. Koppikar 40 Dr. Amar Nikam 41 Basic Homœopathy 41 Interpretation of the Expression Into the Rubric Form 41 Dr. B. N. Chakraborty 44 Provings 53 Group Consciousness 57 Experiments with Colours and Numbers 57 3

Similia

Provings Touch the Vital Force 58 Case-Taking 60 Knowing the Facts 60 Exploration of States 61 Evaluation of the Case 68 The PNEI Axis 68 What is a Sensation? 69 What is a Miasm? 69 The Sensation and Miasm Represent the ‘What’ and ‘How’ of a Phenomenon 71 What is a Level? 71 INTEGRATION 73 Remedy - Spirit of Source From Which It Comes 75 Grouping – Kingdoms and Miasms 76 Patterns in the Three Kingdoms 76 Minerals – Structure 76 Animals - Survival 77 Plants - Sensitivity And Reactivity 78 Application Of The Kingdom Classification 79 One Rubric - Three Experiences According To The Kingdom 80 Row 3 Represents Stages Of Development In A Child 82 Remedies As Part Of A Group 83 Row 4 Represents Money Matters 84 A Pattern Emerges 86 Understanding the Essence Through Proving 86 Row 5 Represents Self-Expression 87 Row 6 Represents Responsibility 89 Patterns Within The Plant Kingdom 90 Animal Kingdom: Sub-Kingdom - Classes 92 Experience In Every Case: Sensitivity, Structure, Survival 94 Seven Levels of Experience 94 Blank Level – 7th Level 95 Materia Medica Pura - Dr.Samuel Hahnemann 100 Summarizing The Miasm Classification 101 4

Generations In Homœopathic Practice

Deeper understanding of well-known remedies: 110 Sensation Approach as an Addition and not a Replacement 113 Which Approach To Follow? 116 The Value of the Repertory 122 My Familiarity With The Repertory 123 Repertory As An Index Of Symptoms 123 Advantages Of Repertory Use Of Different Repertories A Few Gems From The Repertory Some Other Confirmatory Rubrics And Symptoms

123 125 126 127

Chapters of Delusions and Dreams 128 Introduction To Boger-Boenninghausen’s Approach 132 The Doctrine Of Analogy 132 The Doctrine Of Concomitant 132 Experiences With Dr. Bhanu Desai 132 Experiences With Dr. S.R. Phatak 133 Some Other Unique Advantages Of Phatak’s Repertory 134 Dr. Pierre Schmidt 140 Well-proven remedies are highly represented. 146 Modern Provings 147 How I Use the Repertory 147 Issues of the Third Row 148 Reach the Centre of the Case 149 Not All Patients Go To The Sensation 149 Many Confirmatory Symptoms are From the Repertory 150 Stool 153 Cough 154 Cravings 156 Dreams 157 Vertigo 159 Menses 159 Restlessness 160 Inventive Uses of Mind Rubrics 163 Music 167 5

Similia

Integration of The New and The Old Methods Repertory Exercise

169 175

MATERIA MEDICA 176 How to study a remedy 178 Source 178 Materia Medica – the PQRS symptoms with LSM 178 Kingdom 178 Miasm 178 Complementary and similar remedies 178 Repertorial rubrics 178 Cases from practice 178 SILICEA 178 Source 178 Silicea from Materia Medica: 179 Confirmatory symptoms: Silicea 180 A Study of Silicea Through The Kingdom 181 What Is The Miasm of Silicea? 183 Comparing Silicea with other remedies 183 Silicea compared with other Sycotic remedies 184 Clinical observations 184 Some important rubrics 185 Other rubrics of Silicea 185 Some important points about Silicea 185 My imagination of Silicea 185 PULSATILLA 187 Pulsatilla from Materia Medica 187 Constitutional picture: 187 Mental picture: 187 Important generals: 188 Important female particulars: 188 A Study of Pulsatilla Through The Kingdom 188 What is the Miasm of Pulsatilla? 188 Correlation of characteristic symptoms with the Kingdom and Miasm 189 Confirmatory features and symptoms of Pulsatilla: 189 Trembling from anger, changes in the body from anger 189 6

Generations In Homœopathic Practice

Comparison of Pulsatilla with other remedies

191

LACHESIS 193 Some information about the source 193 Lachesis in Materia Medica 193 The classic characteristic symptoms of Lachesis 193 Important Modalities of Lachesis 193 Mind and Behaviour 194 The Miasm of Lachesis 194 Mental rubrics of Lachesis: 194 The Kingdom understanding of Lachesis 194 Some General Qualities of Reptiles 195 Classification of Lachesis muta 197 Common Reptilian and snake features and correlation with symptoms and rubrics of Lachesis: 197 Common Viperidae and Crotalinae features: 200 Rubrics of Lachesis that correlate with Crotalinae - Viperidae features 201 Effects of the Bushmaster venom: Strange and beautiful imaginations 203 My imagination of Lachesis 203 A few specific indications of Lachesis 204 Conclusion 206 DISCUSSION SESSION 209 Conclusion:  233 MIASMS 235 Miasm - A Way to Classify Disease and Remedies 237 The Search For a Common Pattern in Antisyphilitic Remedies 237 Hopeless Despair Leading to Destructiveness  237 Miasm - Etiology and Specific Pattern of Disease 238 The Search For a Common Pattern in Sycotic Remedies 238 Over-reaction, anticipation, and caution 238 Are There Only Three miasms? 238 Presence of More Than Three Patterns 238 Hectic pace – The Tubercular Pattern 238 Chaos and Control – The Cancer Pattern 239 The Sub-Acute Miasm: Typhoid 239 Hahnemann’s Idea of Miasm versus Clinical 239 7

Similia

The Ten Miasms 239 Acute: Panic 239 Sudden Pace: Comes and Goes 240 Features of the Acute Miasm Often Resemble Childhood 240 Examples of the Acute Miasm 240 PSORA: Hope Struggle, Effort, Hope

243 244

TYPHOID: Crisis situation Difference between the Acute and Typhoid Miasm:

248 249

MALARIA: Harassed Feeling of being stuck and periodically harassed The disease Mirrors pace and depth Remedies from the Malarial Miasm

252 252 252 253

RINGWORM: Doubtful Alternating states of effort and failure with acceptance

262 262

SYCOSIS: Fixed 266 Accept and Avoid 266 Anticipate 266 Other Remedies of the Sycotic Miasm 267 Rubrics representing the anticipation, fixed ideas, avoidance, and cover up of Sycosis: 268 TUBERCULAR: Claustrophobic Tubercular: Between the Sycotic and Syphilitic Miasms Difference Between Typhoid and Tubercular Miasms Emphasis on Pace and Desperation, Not Sensation Intense Restlessness

269 269 269 269 270

CANCER: Chaos Desperate to be in Control in a Chaotic Situation Chaos and Disorder in Every Cell A Case Example Other Remedies of the Cancer Miasm

273 273 273 273 274

LEPROUS: Isolation Feeling ‘Tortured’

279 279 8

Generations In Homœopathic Practice

Persecution: A Continuous Process Leprous Miasm Sounds Like the Animal Kingdom

279 280

SYPHILITIC: Impossible Impossible, Hopeless and Destructive Homicidal and Suicidal Tendencies Destructive Pathologies Syphilitic Remedies

284 285 285 285 285

SYNERGY 293 Introduction 294 Synergy 296 The Triangle of Symptoms, System, and Genius 296 Case of Reactive Polyarthritis 297 Case of Rheumatoid Arthritis and Migraine 299 A Case of Idiopathic Thrombocytopenia 301 Symptoms and System 308 Fixity and flexibility 309 Some reflections on flexibility 310 Entry Point 311 Generalization 312 Anchor 314 Hot Spot 315 Peripheral Vision 316 LEVELS AND BIASES IN ‘MIND’ 317 Genius 318 Three Parallel and Intertwining Lines 320 Appendix I 322 An Insight into Dr. Phatak’s approach 322 Appendix II 333 Miasms 333 Appendix III 344 Miasms - an Overview 344 Index 345

9

Dedicated With Love and Gratitude To David Kent Warkentin Who built the space crafts Mac Repertory and Reference Works to launch Homœopathy to the next level

My first and the foremost message to all students of homoeopathy is to acquire sustained trust in the system. I can attribute success of all great homoeopaths to the basic faith and passion with which they practiced homoeopathy. This faith comes from experience of seeing, reading and creating cures of difficult ailments, sometimes almost magical. Today it is very necessary for students to follow, study and learn from all masters of homoeopathy, old and contemporary. I can easily attribute my success to the basic faith that I had in homoeopathy because I had seen so many cases healed with homoeopathy, that my father was a homoeopath. Also the collaborative study with Dr Rajan Sankaran, Dr Sujit Chatterjee and all the others in the Bombay school helped my trust to continually boast my confidence. So many teachers of homoeopathy have time and again enforced the potency of the ‘trusthomoeopathy’ with in myself. It is this fundamental trust that homoeopathy works. This becomes like an operating system charged with excitement in healing with homoeopathy. This is the difference in the basic temperament, between a master of the system and an average practitioner of this system.

How does one acquire this trust and confidence? This comes from learning the system thoroughly and seeing its successful application in different situations and in different approaches, by experts of the different schools of classical homoeopathy. As many cases, one sees, cures or reads can only boost the knowledge and conviction in homoeopathy. Every student and every teacher is evolving each day. This is what makes the system of homoeopathy so dynamic that every sincere practitioner of this system will have so much to contribute to homoeopathic learning. One who can learn from such an evolution has to get infected with this unshakable faith and confidence in homoeopathy. This faith leads to confidence and creates the momentum for systematic, productive and practical learning. I remember my earliest days of practice when I was a young physician just 23 years of age charged with a lots of enthusiasm to cure with homoeopathy. One of my earliest cases, was a child aged one year and half; Came to me with multiple blisters, like as if from burns, big vesicles. It was all over the body. The faith in homoeopathy made me take pictures of the lesions to report a cured case! The child fitted perfectly into the description of the skin symptoms as in the remedy Mancinella from the Phatak’s materia medica : “Vesicles. Large blisters as from scalds. Brown crusts and scabs. Pemphigus. Dermatitis; with extensive vesiculation, oozing of sticky serum and formation of crusts.” Every word written there was resonating with what I was seeing! For this young homoeopath it was like a book picture present itself. However the remedy though indicated was not effective and the eruptions increased. The trust and enthusiasm was so innate that the mind immediately is into reevaluation of the situation. This is what you will learn from reading and seeing work of great homoeopaths like George Vithoulkas, Dr S R Phatak, Dr P. Sankaran, Dr M L Dhawle or Dr Sarabhai Kapadia who were the main teachers in my years of

growing into homoeopathy. Re-visitng the case and looking for further indications, I discovered symptoms ‘salivation during the sleep’; ‘craving for the bread and butter’; markedly open fontanelle. Using the Kent’s repertory the remedy emerged by eliminating these rubrics was Mercury. So I gave that child Merc-Sol 200c one dose. Within two days one could not locate where that blisters where! The eruptions that were aggressively progressing and labeled as pamphigius by the skin consultant just vanished in two days. I still possess the pictures of this infant who is now 30 years of age and a healthy adult! So what I saw as mencinella was mercury. The art of homoeopathy lies in creating the similarity. The next most interesting experience that I remember is a case again of a female child one and half years of age. She was coughing violent and was running high fever. Some how the remedy Pulsatilla given on the symptoms of being carried and being a mild and gentle child who was thirstless and a hot patient did not help. In three days the voice was lost and there was a deep hoarseness. Even though Puls was chosen on the general symptoms proved to be ineffective. The desire to be carried increased to a great degree. The child just would not want to be put down. Cough sounded so hoarse. She had glands in the anterior cervical region. My study of the symptoms through the Kent’s repertory led me to the rubric in mind section Carried desires to be, sub rubric, croup in. The remedy was bromine. With the cervical glands inflamed I got convinced of bromine and the health was speedily restored in two or three days. One can see how the use of repertory and then the materia-medica to confirm the other aspects got me to a more effective remedy. Remedy that covers the most spontaneous, clear and intense symptoms is always likely to work (George Vithoulkas). Also the remedy that is covering the most peculiar aspect is likely to work. The important general peculiarities and pathological peculiarity also helps one to match the pace of the disease with the remedy in order to establish the similarity. I always use this yard-stick of intensity, spontaneity and clarity to decide if I am on the right track. This applies to any methodology that I use to solve a case. In the initial practice these seemingly, unrelated peculiarities of the case when repertorized brought me good results. As if an unprejudiced picture emerges and then something reasonate in the materia-medica and your experience. Yeah, I got it. And once you get that feeling ‘that I got it’; then many other symptoms happily fall into place. Slowly over a period of time your knowledge of the materia-medica and the acquaintance with repertory increases. This is fundamental to the practice and evolution of a homoeopath.

Section 2: The desire to explore and seeing through the patches of darkness is obvious, when you work with a medical-system based on freedom from prejudice and individualization. Often one discovers newer symptoms, patterns and ways of understanding and carving the portrait of the disease as the master Hahnemann described it.

There were so many mental symptoms that did not connect. Dr Rajan Sankaran along with his colleagues looked for a theme that would explain the seemingly unrelated mental symptoms. It was his genius stroke of idea that came from the chapter of delusions in the repertory! I clearly remember a case of chronic indigestion not responding to the selected remedies then. Here the client expressed tremendous guilt that he spoilt his health by eating at a bad restaurant and hence he suffers since then. He was very anxious that he has an incurable disease. He was very conscientious person. He was very anxious that his burping habit would expose his sickness to his colleagues during business meetings. This man was very cautious about eating well and was very particular about legal matters in the office. He was markedly hypochondriac in his moods. Rubrics like delusion, ruined his health; delusion that he has an incurable disease were the rubrics taken from the kent’s repertory. This helped to understand his obsession with disease and his cautious nature. The prescription of Chelidonium 200c instantly relieved him of the entire distress. I could see that he did not worry so much about eating at the restaurants after the remedy. Here I could understand many of his mental traits by understanding the feelings that were behind the traits like fastidious conscientious hypochondriac etc. The idea of delusions and the chapter of delusions in the repertory became really alive after this clinical application was discovered. Dr Rajan Sankaran has played a major role in the process of bringing this chapter of delusion to its utmost use. Today it is impossible to not use the chapter on delusions. In the beginning of our practice this chapter appeared to be full of symptoms of insanity! This was also the birth of his first book the spirit of homoeopathy. I rate this as the most exciting period in homoeopathy for me ever! So many mind symptoms got understood when one goes into the feeling state that is behind the compulsive doing symptoms in a case. For example a person can be fastidious because of many deeper feelings behind this compulsion! He is afraid of falling sick; he is afraid people are observing him; he thinks he will loose his things; he thinks there are thieves around; he will be reprimanded; he will appear ugly etc. This was one big step in understanding the mind state of a person. Some of the readers will not understand the excitement of this discovery. How mental symptoms made a different meaning all of a sudden and became more comprehensible. In one stroke the method of case taking and perceiving reached the new dimension of feelings. Like delusion people are observing him became more basic to fastidious for example. Natural extension of these ideas led to the use of dreams into the fold. Dr Jurgen Becker of Freiburg Germany along with his colleagues worked a lot with dreams and fairy tales as means to understand the mental state. This is where the idea of dreams and delusions got integrated into classical homoeopathy. I am sure many of us will have files full of cases that were integration of the dreams and delusions that helped in successful prescriptions. The use and importance of physical and pathological generals markedly diminished during this period of my evolution. Over excitement with the ideas of delusions and dreams might have caused some of our prescriptions to go prejudiced or in totally wrong direction. This

does not take the credit of solving and understanding so many cases that we could not have dreamt of before this discovery. Even today it is so much integrated into the system and the technique that everyone I know uses it in someway or the other. Also the methodology and emphasis in the newer drug proving records have evolved over a period of time. The contemporary method of case taking has been markedly influenced by this development in homoeopathy. One more parallel step in the development or evolution was the first attempt to create the system of the periodic table by Jan Scholten. This is still the most controversial proposition for many homoeopaths. For any system to be successful one needs to understand the basic thought process of the developer of the system. The step of the system of periodic table as if took away the necessity for any detailed symptom approach in homoeopathy. This was exactly the opposite of the location, sensation, modality and concomitant approach in homoeopathy. As I understand there can be good that can emerge from this development and also there is a potential for the students and practitioners to get carried away into some imaginary and prejudiced way of perceiving the case. Looking at this development and the use of it in my practice, I can surely say it makes complete sense when it integrates and adds to the basic methodology in homoeopathy. I can give this example of a case where the woman felt completely dependent and in need. She suffered from asthma and panic attacks. Detailed case taking and understanding her problems revealed her helplessness. She was in a constant fear of loosing her food clothing and shelter, as if she had no resources to generate this structure for herself. Her moods and depressions revolved around the memories of her childhood when she was abandoned in the orphanage and that she possessed only two pairs of clothes and was given little and forced to eat the food she disliked immensely. After receiving many unsuccessful prescriptions from very accomplished homoeopaths she was prescribed Lithium carb as one of my live case in the seminar. This was almost the first time I was working with the ideas of the periodic table. This prescription brought almost an instant relief in her asthma and also her emphysematous condition! Her moods and confidence improved greatly. I still cannot imagine coming to this remedy by the symptoms alone. Although the aspects of helplessness and aloneness are well described in some of our materia medicas. Newer drug pictures based on the system of periodic table started getting more clinical confirmations from colleagues especially in Holland and other European countries. Dr Rajan Sankaran revised some of the ideas to fit into his system as it was evolving into the sensation approach in homoeopathy. Dr Andreas Holling from Munster in Germany also holds some interesting ideas on how he utilizes the periodic system. I can easily quote some great cases solved by understanding and use of the periodic system that may be difficult to solve with symptom approach alone. However I also know of cases where I drifted far away from the essence of the case when I was prejudiced and forced the case and analysis to fit into a slot on the table! This is the main concern in the use of exclusive application of such a system without proper evaluation and critical filters that a homoeopath must develop. Everything depends on a holistic and mature integration of basics

with any modern propositions in homoeopathy. One has to be very careful and make a thorough study of the system before using the ideas loosely and inaccurately. The choice of an appropriate approach in a given case is a biggest challenge for a contemporary student and even a experienced practitioner in our times. Taking every case to the same place and then classifying it in the same frame-work does not work for me. Every case will have a different aspects that stand out as spontaneous, intense and clear. The frame-work I choose is the one that appropriately fits the case that has been elicited without prejudice. The case that is best elicited with the skills available at a given point of time, in our evolution. Often for me, the patient clearly leads me to the approach necessary in a given case. Every case presents differently and every methodology can be integrated if critical filters are in place. Failures and mistakes do happen with every human practitioner. One can only grow and learn from it and not make them into a habit! One thing that helps is meeting and discussing cases with colleagues. Their appreciation and criticism have been in the center of my progress in homoeopathy. This allows the so-called critical filters to develop. Next significant development was the idea of plant families. The attempt by Dr Rupal Desai for me was the first move in that direction. The most significant step was the case of Dr Rajan and the symptom of ‘forced out’ in the Lilium tigrinum. It was like a new ray of light into my practice of homoeopathy. This symptom of forced out is neither physical or mental symptom. It came across as something that runs through the mind and the body. So it was defined as vital sensation. The sensation is that phenomenon which runs through the body into the mind Or vice versa. This way the physical aspects of the case that were somehow neglected started to come alive. Here so many plant families and their classifications into miasms allowed use of many plants that would not so easily be used otherwise. This was the birth of the sensation approach in homoeopathy. The essence of the approach is to find that central thread, that experience, which runs in the mind, body and the spirit. This also brought into use the hand gestures as representative of the energy pattern that is beyond words, beyond the mind and the body. For me this step took my level of case receiving into strange non-ordinary dimensions. We are able to for the first time reach and prescribe remedies that would be very difficult to imagine even by the delusion and the mineral classification system. For example a case of Ulcerative Collitis bleeding profusely with profound weakness not responding to steroids and other treatment responded immediately to Aloes Soc 1m, single dose. The lady experienced severe pain in the abdomen which made her pull her hair. Pulling or holding tight her hair was the prominent gesture. Investigation of the gesture took me to the feeling that she can control her painful urge for stools which is going to discharge profuse blood only by holding tight, in this case her hair. The opposite was forced out. This was experienced in a leprous way. She had issues with her in-laws that made her feel the same forced out feeling in violent and ugly way. She also expressed desire to throw her husband out of the window with the same hand gesture that described her stools being forced out. To withhold and to be forced out were the polarities. The dreams integrated with intense disgust for snakes, that was experienced as shit or

excrements soiling her. Hence the prescription of Aloes that is in the Liliacae family in the leprous miasm. For me this step was significant as patients delved deep into a non- ordinary reality and resonated with something similar in nature or in a story that resonated similar to the vital sensation of the case. Also for me the idea of polarities holds a lot of food for research and clinical applications. One major pitfall of this method is forcing the case to an unknown remedy or even a unproven substance. Often such remedies were prescribed that have no proving. The idea of miasms and the idea of the sensation allowed us to prescribe far beyond the materia-medica and the repertory. There were colleagues who were asking and thinking if the repertory and the materia-medica are essential! I can surely testify curing a most difficult case of Ankylosing spondylitis with Tiger’s blood! No one could have the imagination or courage to do this 10 years ago. I say this with confidence, as this case in particular has not relapsed for 4 years since the first and the only dose of this remedy. The polarities were restricted and chained Versus free wild violent and open. The other characteristics of the animal kingdom and mammals being in the background to prescribe this remedy. This brought the ideas of the kingdoms-patterns running through the plants, minerals and animals. One major disaster of this approach was misuse of the images that a person gives, without really understanding the experience at the deepest levels. Also when the case approach is sensation-centric, it will miss out on some very obvious symptoms in the case. There are great cases solved by this method and also there are horrible examples of misuse of this method in prescribing. This method also brought the idea of levels as a guide to know if your prescription is only fitting the image or it is fitting into the deepest experience of the person. I firmly believe that no one approach is full proof. Every approach when discovered and practiced over a period of time brought its virtues and pitfalls to the surface. Dr Rajan has brought forward this idea of Synergy that will help homoeopaths to integrate and apply the most fundamental guidelines in classical homoeopathy with the sensation approach or the level of experience. This idea is a subject to debate in this moment amongst my esteemed colleagues especially in Europe. Colleagues who have developed deeper and sounder techniques of case processing with the sensation approach find very good results. On the whole the patients or the clients are often a part of this process and are very happy with this approach in homoeopathy. Particularly in Europe this method has renewed the interest in classical homoeopathy. It could be seen in the ‘WISH CONGRESS’ in Freiburg last year where over 500 participants attended the congress. (WISH : World Institute for Sensation Homoeopathy) The cases presented at this congress were of very high standard and the cures were brilliant. There was so much learning and appreciation from all the teachers and the participants. The fear amongst the group was to dilute the process of deep understanding that the sensation approach creates.

There needs to be some integration, for the old and the new to grow to gather. For me everything that I have learnt from the day one till my recent experiences with meditative way of case taking are all integrating. The most fundamental is the life force which will forever resonate with the similar. The art and science of creating this resonance is the key to success with homoeopathy. I am in deep appreciation of this work where the entire evolution and developments in homoeopathy have been systematically elaborated for the students to get deepest insights into all stages of homoeopathic thought process. I end with this prayer for emergence of the “homoeopathic wisdom or the homoeopathic common sense.” May it bring wholeness and flexibility that will take homoeopathy to its highest potential in restoring the sick to health.

Dr Jayesh Shah MD (Hom) Mumbai India.

INTRODUCTION The last three decades as a practitioner and teacher have been eventful years. I have seen homœopathy evolve to heights not imagined before; however, developments are a double-edged sword. On one hand, we see many improved results in practice; on the other hand, they have caused a schism in the profession between traditionalists who viewed these new ideas with much skepticism and spoke fiercely against them - and ‘post-modern’ homœopaths, who embraced the ideas with such enthusiasm that they ignored the solid fundamentals of Classical homœopathy. Both these extreme positions have helped neither the practitioners nor the profession. The basis of the split is to view remedies either traditionally as individual entities, or as within the framework of a group. In my practice, I see no division between the old and the new; rather, they are two sides of the same coin, like seeing the same thing from two different angles. If you consider an object — let’s say a banana — it can be seen as an individual entity and described by its various features of color, shape, consistency, taste, origin, etc., or it can be seen as a fruit and traced by its common characteristics with other fruits. Just as you can understand all fruits through a banana, you can understand a banana better by understanding the features of all fruits in general. In the same way, knowledge of a remedy and a system feed each other, support each other, and are indivisibly integrated with each other. Understanding and practicing homœopathy with this insight has been my personal secret of success, as well as that of many of my colleagues. I want to share this with the profession, to address interested practitioners from both sides of the divide and those in the middle, to discuss the reality of everyday practice: the cases, difficulties, mistakes, techniques, remedies, and systems. I feel that sharing this, in an organized way over two years, would put to rest some of the controversy and provide homœopaths with practical examples and an understanding of the development and integration of these approaches. This book will open some practitioners’ eyes to new possibilities, and warn others not to let fall by the wayside knowledge that has stood the test of time. Hopefully, it will remind ‘neoclassical’ homœopaths of the value of keynotes, rubrics, and polychrests, while revealing new possibilities like Hydrogen and Peregrine Falcon to ‘traditional’ homœopaths, and for all of us to see that all knowledge springs from the same source.

Advances in technology have allowed me to reach across borders, schools, and belief systems to directly address students and practitioners. An online forum, called Wednesdays With Rajan (WWR), was conceived and, at the time of writing this Introduction, has been active for one year. It has exceeded all expectations; more than a thousand homœopaths and students from 42 nations log in every week to get their next dose of a slightly higher potency of homœopathy. Brick by brick, we build a solid bridge where the new and traditional are seamlessly integrated and the practitioner develops the ability to travel between the two banks of the symptom and the system of this mighty river of homœopathy. It was felt that we should write a text book based upon the various concepts addressed in WWR. These concepts begin with the Law of Similars, cover basic concepts like case-taking, Repertory, recent concepts of kingdoms, miasms, and levels along with the latest ideas of synergy, all of which represent the evolution of homeopathy to the present. This makes an excellent manual for practice, and can be the base-camp from which the student and practitioner can explore all areas of homœopathy. With a firm foundation, as provided here, the chances of swaying too far in one direction or the other are minimized. For the book to come into being, it needed someone who, with the attention and care of an architect, would review the talks, discussions, questions, and comments, to put each in its place, to manifest the whole teaching in a way that is concise, holistic, practical, and useful. Fortunately, when I broached the topic with my friend, Laurie Dack, she volunteered to guide the project. Laurie embodies all the teaching I have presented, and is an able practitioner and teacher. As an important participant in the renaissance of homœopathy, she is suited for this task. Please join me in acknowledging thanks to Laurie for volunteering her time and energy for this project. Shizuko Nagasawa, a recent but well-grounded and efficient entrant to the profession, ably assisted her. I wish you, the reader, all the very best in your practice. May the spirit of Hahnemann bless us all. Rajan Sankaran Mumbai, April 2013

Generations In Homœopathic Practice “With the newest evolution of homœopathic practice, we can produce a unique and innovative service for our fellow man. With trust, openness and good intentions on our side, we as a profession can grow and take forward the most beautiful and gentle method of healing, without overlooking the roots that our forefathers established. This synergistic integration of generations— both old and new—will be the legacy that lives on.” Homœopathic medicine is a medical art that is based upon fundamental principles that have been used effectively in healing for hundreds of years. As time has progressed, the evolution of homœopathic medicine has expanded significantly with each generation of practitioner. As a second-generation homœopath, I was introduced to homœopathy when I was a child. I benefitted from watching my father and several of his contemporaries in close quarters, and heard many enlightening stories and anecdotes about their teachers and seniors. It has been fascinating to watch the evolution of homœopathy across generations in addition to visualizing where the practice is going and what the future is likely to be. I have attempted here to give a structure to this evolution and have described it through its stages of development – invention, intensification, innovation and integration. These stages of homœopathic development loosely parallel the stages of development in other arts and sciences, as well as the stages of development in the periodic table. For example, the first, second and third row have to do with conception and development, the fourth row as solidification, the fifth row with invention and, finally, the sixth row with attaining full maturity, independence and leadership. This article aims to travel through the journey of homœopathic existence and examine each of the four generations along with the respective contributors of its time.

INVENTION Let us begin with the generation of Invention, the era when the grounding foundations of homœopathic practice were established. Samuel Hahnemann was the founder of homœopathy. He postulated a healing principle: “That which can produce a set of symptoms in a healthy individual can treat a sick individual who is manifesting a similar set of symptoms — the Law of Similars”. This principle, like cures like, became the foundation for an approach to medicine to which he gave the name ‘homœopathy’. Hahnemann also laid down the fundamental principles of potency, case taking, and case management. 21

LECTURE 1

DEVELOPMENT

Generations In Homœopathic Practice

Study Guide for Lecture 1 1) Read the following chapters before you start reading Lecture 1:

- Dr. Rajan Sankaran, The Spirit of Homœopathy, Chapters 1-15



- Dr. Rajan Sankaran, The Sensation in Homœopathy, Part I



- Dr. Rajan Sankaran, The Other Song, Chapters 1 and 2



- Dr. S.K. Tiwari, Essentials of Repertorization, Part II, Chapters 1 and 2

2) BOOKS NEEDED for Lecture 1

S. R. Phatak’s Concise Alphabetical Repertory



Any standard Repertory like Complete or Synthesis



Sankaran’s The Soul of Remedies



Sankaran’s Schema



Kent’s Repertory

3) Read Lecture 1

Where any rubrics are mentioned, open your Repertory and try to locate them on your own.

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Let’s begin at the beginning. In his own words, Samuel Hahnemann wrote: “I took by way of experiment, twice a day, four drams of good China (Cinchona). My feet, finger ends, etc., at first became cold; I grew languid and drowsy, then my heart began to palpitate, and my pulse grew hard and small; intolerable anxiety, trembling, prostration, throughout all my limbs; then pulsation in the head, redness of my cheeks, thirst, and in short, all these symptoms which are ordinarily characteristic of intermittent fever, made their appearance, one after the other, yet without the peculiar chilly, shivering rigor, briefly, even those symptoms which are of regular occurrence and especially characteristic - as the dullness of mind, the kind of rigidity in all the limbs, but above all the numb, disagreeable sensation, which seems to have its seed in the periosteum, over every bone in the body - all these made their appearance. This paroxysm lasted two or three hours each time, and recurred if I repeated this dose, not otherwise; I discontinued it, and was in good health.” Samuel Hahnemann (Cullen, W.: ‘Abhandlung uber die Materia Medica. Ubersetzt und mit Anmerkungen versehen von Samuel Hahnemann.’ 2 Bande. Im Schwickertschen Verlag. Leipzig 1790.)

The Law of Similars: Hahnemann’s Experiment It began with Hahnemann discovering the Law of Similars. In his attempts to discover why Cinchona, the bitter red bark of a tropical tree, was an effective medicine for malaria, he experimented by taking medicine himself. He developed symptoms of periodic fever and chills, headaches, vertigo, and many symptoms similar to malaria. This lead him to postulate that a disease will be cured by a substance that can create a similar state in a person. This was the birth of the Law of Similars.

The Remedy Produces a State of Being Along with this discovery, he realized something else of profound significance. During a ‘Proving’, Hahnemann noticed different symptoms emerging. He took careful note of each one, recording and collating all his findings. As the experiments continued, he became aware of a change in his whole being. Hahnemann soon realized that remedies didn’t produce a symptom but did produce an effect on the organism which then developed a whole host of expressions in the 32

LECTURE 2

DEVELOPMENT (Cont’d)

Generations In Homœopathic Practice

Study Guide for Lecture 2 1) Read the following chapters before you start reading Lecture 2 - Dr. Rajan Sankaran, The Spirit of Homœopathy, Chapters 21- 24, 30-38 - Dr. Rajan Sankaran, The Other Song, Chapters 3 to 9 - Dr. Rajan Sankaran, The Sensation in Homœopathy, Part II, Chapter 1; Part III [Section 1], Chapters 1, 4, 5, 6 and 7; [Section 2], Chapters 1 and 2

2) BOOKS NEEDED for Lecture 2

- S. R. Phatak’s Concise Alphabetical Repertory



- Any standard Repertory like Complete or Synthesis



- Sankaran’s The Soul of Remedies



- Sankaran’s Schema



- Kent’s Repertory

3) Read Lecture 2

Where any rubrics are mentioned, open your Repertory and try to locate them on your own.

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Up to this point, we have seen cases where the patients describe peculiar physical or characteristic concomitant symptoms which take us straight to the Repertory in search of the precise rubrics. The remedies that appear in the rubrics are studied and a prescription is made. But when the patient describes symptoms on an emotional level, the path through the Repertory often becomes more challenging. We need to understand the patient at a deep level before we enter the pages of the Repertory. [Case 24] Lady Affected by Her Friend’s Death - Baryta carbonicum A very quiet woman from the south Indian state of Kerala arrived at the clinic accompanied by her husband. I noticed that she did not respond to my greeting and sat directly beside her husband, allowed him to begin the consultation. After their marriage 15 years ago, they had come to settle in Bombay. Recently, his wife had become very fearful. She was too afraid to sleep alone at night when he traveled. “Doctor, in the last while, she even calls in our 13-year-old son at night to share her room. She is too afraid to be alone.” I turned to her and asked if there had been any kind of stress in her life when these fears began. She glanced toward her husband and he continued to speak for her. “Well, yes. She was very much affected by the loss of her friend, a neighbor who lived in our building. After her friend’s death, she started to become frightened, especially of sleeping alone.” How can we understand this? We could look at the rubric: - Mind: Ailments from, death, parents or friends, of This is a direct rubric choice. We have taken the exact information and circumstance described by the patient’s husband and gone into the Repertory, basing our rubric choice on a single situation. If we take one more step and ask ourselves, “Why is she so affected by the death of her friend? Who is she? Who reacts to the loss of a friend in this way?” we may come to a fuller understanding of the totality of her expression. I tried again to engage her, asked simply, “Tell me something about yourself.” Her eyes quickly darted toward her husband and once more he responded, “She was born and lived most of her life in Kerala in South India. We came to live in Bombay 15 years ago, but she still does not have any friends here. In our entire apartment 70

LECTURE 3

INTEGRATION

Generations In Homœopathic Practice

So far, we have studied certain fundamental concepts: - Hahnemann’s discovery of homœopathy - Concepts of Holism and Individualism - Repertory and Materia Medica - Case-taking and individualizing each patient - Peculiar symptoms - Little bit about kingdom, miasm and the levels

Study Guide for Lecture 3 1) Read the following chapters before you start reading Lecture 3: -

Dr. Rajan Sankaran, The Sensation in Homœopathy, Part III

-

Dr. Rajan Sankaran, The Other Song, Chapters 10 through 15

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Dr. Rajan Sankaran, Structure, Vol I, pgs 21-53 and 131-307, Vol II, pgs 523-865

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Dr. Rajan Sankaran, An Insight Into Plants, Vol I, part I and part III as an overview [you can also read Vol II and Vol III later]

-

Dr. Rajan Sankaran, SURVIVAL – the MOLLUSC, Chapters 1 and 2.

2) BOOKS NEEDED for Lecture 3:

-

The Soul of Remedies



-

Sankaran’s Schema

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Integration It may seem that there are two very different approaches being discussed here: traditional classical homœopathy using Repertory, Materia Medica, and Provings, and what is now referred to as the Sensation Approach with kingdoms, miasms and levels. Many practitioners and students feel they have to choose one way or the other. They question themselves in a particular case, Will I look at symptoms and rubrics or will I look at the kingdom, sensation, and miasm? When I started to practice, I enjoyed very good results with traditional classical homœopathy, using Repertory and Materia Medica. ‘Guess the Rubric’ was a game I had played with my father when I was young so the Repertory was, and continues to be, essential to my practice. As the years went on, I noticed that my colleagues and I had inconsistent clinical results. There were some marvelous cases that were doing beautifully and others that had been given many well-considered remedies with no amelioration. Why? Our results were unpredictable which lead to uncertainty in practice. The question of inconsistent results became uppermost in my mind. While trying to understand what made our results so variable, I thought about the homœopathic process. A patient describes a set of symptoms; the homœopath puts them through a reportorial search and the remedies that run through those rubrics are considered. For example, a patient may come in with the symptoms of: ailments from worries, weeping disposition, yellow staining leucorrhea, aggravation from sun, aggravation from warmth, and aggravation from fatty food. When all these symptoms are repertorized, several remedies come through all the rubrics: Nux Vomica, Pulsatilla, Nitric acid, Ignatia, and Calcarea. What to do now? How to proceed from here? In the resulting repertorial chart, diverse remedies like Nux Vomica, Nitric acid, Calcarea come through, which are completely different from each other. At this point, what the patient needs becomes a matter of interpretation. One homœopath may think, “Oh! This is a Calcarea case,” while a colleague may think, ”This is definitely an Ignatia case.” This is the uncertainty. Another aspect that leads to unpredictable results is that when one set of symptoms is considered, a remedy comes through. But when a slightly different set of symptoms is highlighted, we come to a completely different remedy choice. 106

Generations In Homœopathic Practice

-

These inconsistencies were very troubling.

-

Is a patient a random collection of symptoms?

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Is a remedy an arbitrary group of symptoms?

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Does Ignatia mean symptom A, B, C, D, E, and F?

-

Is a patient 1, 2, 3, 4, 5, 6?

-

Are our patients and our remedies just random sets of symptoms?

Reflecting on these questions, we realize that each remedy is derived from a substance that belongs to a group; they are not a random set of symptoms. For example, Lachesis belongs to the group of snakes, Ignatia belongs to the Plant Kingdom and to a specific botanical family known as the Loganiaceae.

Remedy - Spirit of Source From Which It Comes Each remedy has a particular essence, a unique nature, a specific quality that comes from its source. It is not an arbitrary list of modalities, desires and aversions, fears and anxieties, etc. The symptoms are an expression of the innate quality of that substance. The remedy itself is the ‘spirit’ of the source from which it comes.

Grouping – Kingdoms and Miasms A remedy can be grouped according to the substance it is derived from. The first category pertains to the kingdoms of Plant, Animal and Mineral. These are basic classifications drawn from the world of natural science. I have discovered that these groupings can be immensely useful in practice. The second grouping is the miasms.

Patterns in the Three Kingdoms Is there a pattern that distinguishes each of the three kingdoms? What do remedies that belong to a specific kingdom have in common?

Minerals – Structure Let’s consider three remedies from the Mineral kingdom: Natrum Muriaticum, Argentum Nitricum, and Baryta Carbonicum. Look at our knowledge of Materia Medica and what do we see? Natrum Muriaticum – relationships We know one of the main symptoms of Natrum Muriaticum is disappointment in love. The remedy is concerned with relationships, most characteristically the breaking of a love relationship. This sensitivity shows the strong dependence and need of Natrum Muriaticum for relationship. 107

Generations In Homœopathic Practice

Lecture 4 [Case 43] Can I Do It, Can I Not Do It - Tantalum (In this case-study interview, D = Doctor and P = Patient. Italics are author’s notes.) A young man, 26 years old, came to the clinic for treatment. He had been diagnosed with a severe case of nummular eczema on his leg. Over the last eight or nine years, he had consulted several homœopaths with very little relief. D: Tell me, what is your experience of having this problem (eczema)? P: I feel handicapped. D: What do you mean by ‘handicapped’? P: As if I don’t have legs. This is how the case began. His experience of the eczema was of being handicapped, which for him meant not having legs, which is precisely the main characteristic symptom of Baryta Carbonica:’ Delusion as if he has no legs’. His remedy was not Baryta carb but from the same row of the periodic table. D: Describe that. P: I feel handicapped because I feel I lack the ability to stand on my own feet and take responsibility and leadership. D: Tell me more. P: Always in my mind there is the question - can I do it or can’t I do it? Should I or should I not, do I have enough or don’t I? Baryta Carb feels, ‘I don’t have it’; there is no question. This patient wonders, “Can I do it or can’t I? Should I just keep doing the conservative thing according to the rulebook, doing exactly as others tell me? Or should I strike out on my own and take a leadership role?” When asked to describe this dilemma further, he gave a very good example of two well-known sportsmen in Indian cricket. P: In life do I want to be Sunil Gavaskar or do I want to be Kapil Dev? 145

Lecture 5

The Value of the Repertory

Generations In Homœopathic Practice

The Value of the Repertory I have found that the more familiar we are with the Repertory, the easier it is to integrate different approaches of analysis. With the introduction of different concepts, kingdoms, and themes, the Repertory has been neglected at times. This is a big loss. The subject of this talk is the value of the Repertory and the benefits of developing skills to use it artistically.

My Familiarity With The Repertory I started my study of homœopathy with the Repertory. My father repertorized each one of his cases. He made a list of symptoms that he included in his Repertory search, neatly written in the case record forms. For many years, he taught Repertory at the homœopathic colleges. He would bring home cases from his clinic and, when I was just 13, he would call out the rubrics: ‘Desire for sweets’ or ‘Agg from warmth’; my job was to find common remedies shared by these two rubrics. From a young age, I became familiar with the Repertory. Even before I actually knew the names of the remedies, I knew the abbreviations. With this kind of background, the Repertory became one of the main tools of my practice. In my father’s time, Kent’s Repertory was almost exclusively used. Later, in 1976, Barthel and Klunker from Germany and Switzerland compiled the Synthetic Repertory. They compiled information from 14 different repertories to create three volumes as a supplement to Kent’s Repertory. The first volume was The Mind, the second was Generalities, and the third volume was Sleep / Dreams and Sexuality.

Repertory As An Index Of Symptoms A Repertory is an index of symptoms. Beside each symptom is a list of the remedies that are associated or expressed by that symptom. The Repertory is organized in different chapters, listing the symptoms, rubrics and sub-rubrics beneath each heading. Advantages Of Repertory There are innumerable advantages of the Repertory - far too many to list - but the most prominent ones are: •

Our memory cannot possibly hold even a fraction of our Materia Medica, so the Repertory catalogue is an essential tool. It is impossible for us to remember all 167

Lecture 6

REPERTORY (Cont’d)

Generations In Homœopathic Practice

Study Guide for Lecture 6 1) BOOKS NEEDED for Lecture 6: -

S R Phatak’s Concise Alphabetical Repertory

-

Standard Repertory like Complete or Synthesis

-

Kent’s Repertory

-

Boenninghausen’s Characteristics Materia Medica and Repertory

2) REFERENCES:

I recommend you read the following books -

Dr. Shashi Kant Tiwari, Essentials of Repertorization- part I- 1/7-29

-

Tyler, M.L. and John Weir, Repertorizing

-

Patel, R.P., Art of Case Taking and Practical Repertorization

-

Kanjilal, J.N., Repertorization

-

Bidwell, Glen Irving, How to use a Repertory

-

Kent, J.T., Repertory of Homœopathic Materia Medica

-

Schroyens Fredrick, Synthetic Repertory

- Boger, Synoptic Key - Boenninghausen, Therapeutic Pocket Book

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REPERTORY (Cont’d) We will continue to explore our most fundamental instrument, the Repertory. Skillful use of the Repertory grounds our thinking of symptoms, modalities, and rubrics. It gives us the foundation to explore homœopathy itself. If we lose that ground, we lose our footing. The advantages and different types of repertories have been discussed. Now, I would like to point out some disadvantages of the Repertory and the care that needs to be taken for successful repertorization. I will also talk a little about my own way of repertorizing. One of the main disadvantages of the Repertory is:

Well-proven remedies are highly represented. Every symptom of a proven remedy is listed in the Repertory. A polychrest, like Sulphur, Lycopodium, Natrum mur, Calc. carb, with very complete Provings, have a huge number of symptoms and thus thousands of entries in the Repertory. If someone did a mechanical repertorization with common symptoms like; -

Desire sweets

-

Aggravation from warmth

- Irritable, etc., without emphasizing the strength of one symptom or another, the result would always be Sulphur, Natrum mur, Phosphorus or Lycopodium because these remedies appear in the most rubrics. This shows the importance of skillful repertorization. When the patient describes a peculiar symptom and we open the Repertory in search of that specific expression, the Repertory becomes a direct link to the Materia Medica. This way of using the Repertory facilitates us accessing all the remedies, otherwise we would be giving polychrests all the time. Another caution in using the Repertory is: Be careful while using interpretative rubrics of the Mind chapter. In the Mind section, we need to tread carefully because it consists of symptoms that are interpretative, some are additions from clinical observation and can be somewhat 196

LECTURE 7

MATERIA MEDICA

Generations In Homœopathic Practice

Study Guide and Summary for Lecture 7 We have studied the overall idea of the Sensation Method and the Repertory. In this lecture we will study Materia Medica. How to study a remedy

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Source information



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Materia Medica - the PQRS symptoms with LSM

- Kingdom - Miasm

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Complementary and similar remedies



-

Repertorial rubrics



-

Cases from practice

-

Phatak’s Materia Medica

Study of three remedies, one from each major kingdom: Silicea Pulsatilla Lachesis

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How to study a remedy Source The first step I recommend is to study the Source from which the remedy is derived, to acquire some basic understanding about the origin of the substance, the kingdom, and sub-kingdom.

Materia Medica – the PQRS symptoms with LSM To study the Materia Medica of a remedy it is most useful to focus on the peculiar, queer, rare and strange symptoms along with the location, sensation and modalities. The characteristic and unique symptoms are especially important, as are the outstanding mental and general symptoms. When a thorough symptom picture is understood, then we can look at the remedy from the kingdom perspective.

Kingdom After determining the kingdom the remedy is derived from, we can study its place in the kingdom, which will enable us to see how the characteristic symptoms are understood.

Miasm The next facet to study is the miasm of the remedy, the pace and depth. Is its sphere of action acute and fast-paced or do the symptoms build slowly, producing deep chronic types of pathology?

Complementary and similar remedies To differentiate a particular remedy, studying complementary and similar remedies is very helpful. Which remedies are similar or close in terms of symptoms, kingdom, sub-kingdom and pathology? What differentiates these remedies from each other?

Repertorial rubrics The next step is a search of all the rubrics in which the remedy appears, either from a Repertory extraction (an alphabetical list of rubrics in which the remedy appears) or directly from the Repertory, paying close attention to the ‘grade’ of the remedy and size of the rubric. Are there any single remedy rubrics? 238

Lecture 8

DISCUSSION SESSION

Generations In Homœopathic Practice

I would like to describe some cases, which will illustrate how to apply the Materia Medica ideas that have been presented. The case examples will include Silicea, Pulsatilla and Lachesis to help reinforce the remedies already discussed.

CASE 1 (In this case-study interview, D = Dr. Rajan Sankaran and P = Patient. Italics are author’s notes.) Date: 7th August 2008 Patient: A young woman twenty-five years of age Profession: Fashion design Chief complaints: Abnormal facial hair growth and thinning of hair on the top of her head. Her hair was dry with an oily scalp. She had been diagnosed as Polycystic Ovarian Disease and was given contraceptive medication. She said that the medication, ‘freaked me out’. Her menstrual cycle was regular but she experienced pain and cramping during her period. Pathological diagnosis: Polycystic Ovarian Disease I asked her to describe her complaints and here is her response: P: I am very conscious of my hair thinning out. I don’t like people talking to me about it. I become sad and depressed and it tends to play on my mind. The main fear is that eventually I might be bald. I have never been conscious or protective about my hair, but suddenly it has become very important. Everyone in my family has long hair.

I feel I don’t have enough self-esteem and self-confidence. I am very selfconscious. People judge me by my looks. I feel very sad and low. I don’t feel like doing anything and I go into a shell. I don’t want to socialize. I like to be on my own, left alone. I don’t want to come out of my shell. Then I feel very angry. Why can’t I deal with all of this?

I asked her to go into the experience of this feeling. P: I don’t like mirrors or looking at myself in any way. A weird feeling runs through my body, exactly like when I have an examination - butterflies in my stomach, everything churns inside. I can’t move. My heart rate goes up, my hands tremble 279

LECTURE 9

MIASMS

Generations In Homœopathic Practice

Study Guide for Lecture 9 4) BOOKS NEEDED for Lecture 9

S. R. Phatak’s Concise Alphabetical Repertory



Any standard Repertory like Complete or Synthesis

Kent’s Repertory Boenninghausen’s Characteristics materia medica and repertory References -

Dr. Rajan Sankaran – The Substance of Homœopathy, Part II

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Dr. Rajan Sankaran – The Sensation in Homœopathy, Part III, Sections 1 – 6/263

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Dr. Rajan Sankaran – An Insight Into Plants, Vol. I, Part I/53

-

Dr. Rajan Sankaran – The Other Song, Part 2, 11 – 24

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Miasms as a classification started with Hahnemann, who presented it as a theory about the nature and origin of chronic diseases. Hahnemann found that diseases recurred or persisted in spite of seemingly well-selected medication, and proposed that an inherent ‘taint’ exists in a human being, which predisposes the individual to a particular set of symptoms and diseases. He postulated that this taint, which he named a ‘miasm’ or ‘polluting exhalation’, originated from a particular type of infection. He identified Psora (the itch), Sycosis (a venereal disease that manifests as figwarts), and Syphilis as three main, distinct infections, which leave such a taint. This was primarily an etiological concept; however, Hahnemann also identified a distinct group of symptoms and manifestations for each of the miasms. He classified remedies according to the miasms, and postulated that the miasm be treated by a remedy from the corresponding group.

Miasm - A Way to Classify Disease and Remedies Initially, I did not see the practical value of this theory. I felt that if a remedy covered the totality of symptoms, it would automatically address the miasm. I saw the concept of miasms as an etiological theory of chronic diseases, a theory without much practical use. However, when I came to the idea of disease as delusion, the miasm classification came to life. I observed that the patient’s delusion had distinct qualities based on the intensity and pace of the perceived situation. I recognized three different types of states possible: 1) the situation is hopeful 2) the situation is not solvable but can be lived with 3) the situation is destructive and hopeless I saw Hahnemann’s idea of miasms as a way of classifying states of being and remedies. This was of great practical value. I began to study the miasms from a typological viewpoint rather than an etiological one.

The Search For a Common Pattern in Antisyphilitic Remedies How can this be done? One way would be to see remedies we consider antisyphilitic as sharing a common pattern. With this hypothesis in mind, I embarked on a study. If a common pattern was found in well-known antisyphilitic remedies, then we could conclude that this was the pattern of the syphilitic miasm, which allows us to classify both the patient’s state and the remedy states accordingly. In this way, the miasm concept could become very useful in practice. 318

Generations In Homœopathic Practice

Hopeless Despair Leading to Destructiveness Let’s consider five well-known antisyphilitic remedies: Aurum metallicum, Hepar sulph, Alumina, Mercury and Platinum. We see that there is an underlying pattern in this group of remedies of a deep destructive quality in the physical symptomotology. The homicidal and suicidal features of these remedies are well-described. From this, we could make a hypothesis that syphilitic remedies have a destructive attitude of the mind; if we explore a little further, we see that the destructive attitude is accompanied by an expression of despair and hopelessness. Kent writes in his lecture of Aurum metallicum, “Intense hopeless depression and disgust of life…talks of committing suicide.” Phatak describes Syphilinum as having, “Hopeless despair of recovery, antisocial, horrid depression.” These remedies are known for destructive pathologies, ulcerations, degeneration, and necrosis. We see that in syphilitic remedies there is destructiveness in the mind as well as the body.

Miasm - Etiology and Specific Pattern of Disease A miasm is not only an etiology of disease but also a specific pattern of disease, encompassing both physical manifestations and mental attitudes. This becomes useful clinically. We can restrict our search to remedies from the syphilitic miasm for patients who show this deeply destructive pattern.

The Search For a Common Pattern in Sycotic Remedies When we examine Thuja, Medorrhinum, Silicea, Pulsatilla, and Causticum, what pattern is seen in sycotic remedies?

Over-reaction, anticipation, and caution First, we observe the tendency to form warts, growths, keloids and tumors. In the mind, there is a perception of fragility leading to a need to be careful and to cover up. The sense of anticipation is a common symptom in this group. The destructive quality of the Syphilitic miasm is not present, but we see a strong tendency to caution and fixed ideas. From the perception of fragility and caution comes an over-reaction, either in the form of egotism, or the other extreme of carefulness. This over-reaction comes from defenses that have been built up to protect the weak, fragile spot from exposure. Generally, egotism is a cover-up for a person’s lack of self-confidence, just as over-cautiousness is a cover-up or over-reaction to anticipatory anxiety. The pattern of over-reaction is also seen on the physical level in the over-growth of tissue in the development of warts, keloids, and tumors, when a ‘sentinel pile’ (overgrowth) develops at the edge of a fissure in order to protect the vulnerable area. This pattern is also evident in the over-response seen in allergies, asthma, and a reaction to vaccines. We can understand the Sycotic miasm not only as 319

SYNERGY

Introduction Consistency of results is very important in practice. In homœopathy, the traditional methods of Repertory, Materia medica, keynotes, and comparison of symptom pictures with respect to the patient has been the foundation for homœopathic practice. This approach has led to many successful prescriptions and wonderful results. In the past two decades, there has been much emphasis on remedy classification. This has brought fundamental developments in the understanding and application of kingdoms and miasms. Along with this evolution has come the importance of understanding the exact experience of the patient. This has led to the rediscovery of the Sensation, the generalization of the local sensation into the general state, as described by one of our great master homœopaths, Boennighausen. Increased findings of the qualities shared between each remedy and its source has brought new dimensions to homœopathic prescribing. These ideas have been termed ‘The Sensation Approach’ - many homœopaths throughout the world have made use of various aspects of the method. These concepts have especially appealed to the artistic segment of the homœopathic world. However, I have found that the most consistent results are realized when the artistic side and the logical, traditional side join together. In fact, these two ways of thinking are integrated; when we understand this, our prescriptions are well-rounded and complete. I have also become aware of a third aspect - the ‘genius’, or the main idea of a remedy, the flavour or essence of a remedy. This has been referred to in some of the homœopathic literature as the ‘generalization’ of a remedy state. With these three aspects woven together, the consistency and success of my prescribing has increased significantly. I have seen the most wonderful results using this integrated approach and am so eager to share this with my colleagues, practitioners, and students.

SYNERGY I have come to the conclusion that when ‘symptoms’ and ‘system’ - the left and right brain - come together, it is like a matchbox and a match. You can toss them into the same bag or drawer and nothing happens, but strike them together and you have fire.

Generations In Homœopathic Practice

Then it is as if one plus one is not two; it is as if one plus one is a thousand. This is synergy - two things come together with a result that is greater than the sum of the parts. Whether you pick up the matchbox and bring it to the match, or the other way around, the outcome is the same. When the two come together, the fire is lit. This is the way I work. I may read something in a case that falls into a concept. For instance, a patient feels harassed, belittled, and looked down upon; this theme is central to the case. This sounds like a mammalian remedy, but I am not sure which one. Then I look for indications on the fact level. Even one strong characteristic symptom like warts on the hands is enough. When it comes together with the system data of “mammal”, the match suddenly strikes the matchbox and the remedy, Lac caninum, is clear. The reverse may also be true. Symptomatically, I see that the patient has a certain neurotic state that started after the death of his friend. This is a rubric for Ignatia, Nux vomica, Kali bromatum, Natrum muriaticum and several other remedies, ‘Ailments from death of parents or friends’. When I examine the other side, ask the patient about his experience, he describes it as a sudden shock, a surprise, a feeling that he wants to avoid. The fire is lit. The Loganiaceae Sensation comes together with the Sycotic miasm with a rubric containing two other Loganiaceae plants, and you know that the remedy must be Gelsemium. There is a point when the right and left sides come together with a realization that the remedy has to be this. It is not merely this data added to that data, but an entire understanding of the System on one side intersecting with the rubrics on the other side; the fire is lit.

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Synergy The Triangle of Symptoms, System, and Genius I would like to share with you the most current evolution of my own practice. It grew from my understanding of the Sensation not as a separate and independent method of practice, but as an interdependent and flexible tool. Used corroboratively and synergistically with traditional methods of analysis, it expands the view of the case and of the remedy. This allows the greatest understanding of what is to be cured in disease, and what is curative in a remedy. As I focused on the integration of Sensation with traditional homœopathy, interesting things began to happen. I began with a question: How does one best arrive at an understanding of what is to be cured in each patient? I realized that this basic question meant using a flexible approach to case analysis. When approaching a new case, I would look for the anchor – a solid and dependable characteristic that is beyond interpretation. But I found that the anchor given by the patient depended entirely on their level of experience of their own state, and how they were able to express this. One patient might give one or more general symptoms; another might talk about a characteristic physical particular; another might talk directly about his Sensation. In a fully integrated approach, one does not need to push the patient to express herself within a particular framework that might stray too far from her level of experience. Instead, we can choose a viewpoint of the case that resonates with her experience, as she is able to tell it. This allows for a more organic and gentle style of case-taking that fully respects the patient. This is less draining for homœopath and patient alike. This is important not only because our process should be gentle, but also because we have found that pushing patients to reveal a deep level of experience in many cases simply doesn’t work. Following this line of thinking led to deeper consideration of the various angles from which one can view a case and a remedy. There has been the angle of ‘symptoms’ of traditional Materia Medica, Provings, and rubrics. Then we came to understand the angle of ‘system’ - Sensation, in which we see that the deepest experience of the state (in both patients and remedies) relates to themes of the kingdom, family, and remedy source, as well as to the miasm (the depth of the state, which includes the coping strategy). I saw that each of these angles could lead to the remedy, yet each could fail on its 396

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Appendix I Article on Phatak’s Repertory My student and colleague Dr. Munjal Thakar has written a very comprehensive article about Phatak’s Repertory and his approach to case analysis. An Insight into Dr. Phatak’s approach by Dr. Munjal Thakar Dr. Phatak was a master clinician. He was, to the best of my knowledge, the most recent of the followers of Boger’s approach. Unfortunately, Dr. Phatak has written little. Moreover he has practically never penned down his cases. In fact, he never kept written records of his patients! In the article below an attempt is made to unearth Dr. Phatak’s rationale in-absentia. How accurately it depicts the reality will always remain a matter of doubt. To minimize errors I have rechecked his writings, his language, his phraseology, and his practical application of these concepts in the cases, before making a conclusion about his thought process & its application. I have referred to the following literature : a) Concise Materia Medica- Dr.S.R.Phatak b) Concise Repertory- Dr.S.R.Phatak. c) Clinical experiences - Dr. S.R.Phatak, Edited Dr.P.Sankaran d) Elements of Homœopathy- Dr.P.Sankaran. e) Collected Works of Boger- Robert Banan. I will try and demonstrate how I could unearth the rationale, by putting together several bits and pieces from various literature written by Dr.Phatak, Dr.P.Sankaran, and others. For this, let us first of all take a close look at the Materia Medica Dr.Phatak has written. “Materia Medica of homœopathic Medicines”- Second ed. 429

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Case 10: Young boy with prolapse of rectum. He had great craving for eggs, but when he took eggs his prolapse would be worse. He was given Calc.carb which completely cured the condition. Comments: [Refer above point 6. Structure & content of Phatak’s Repertory.] The above mentioned cases clearly depict the flexibility with which Dr.Phatak evaluated symptoms in any case. This flexibility is completely unlike the modern ways. In the modern practice of homœopathy it is already predetermined what is to be looked for in the case and what is most important in the case. This has lead to rigidity in approach. It has lead to rigid schools of thoughts in homœopathy! The issue is not so much about having different viewpoints, but more of being rigid about what we think the truth is. Essentially correct scientific thinking should liberate us from rigid approaches; it should by its innate nature promote integration of differences. Are we going wrong somewhere? Case11: Long ago I was consulted by a young lady who had developed black pores on the face. She became so self-conscious that she avoided meeting people. Once however she had to go and attend a social function. There someone, an acquaintance, asked her how she developed the pores. This embarrassed the patient so much that next day, she got convulsions and thereafter the convulsions seemed to recur on and off. I gave her Opium and her seizures disappeared. I gave her Opium on the rubric “Embarrassment agg.” For which my Repertory gives only four remedies viz. Ambr, Ign, Op, and Sulph. Homœopaths generally know well that Opium covers the effects of fright, but it also covers the effects of embarrassment. Comments: In Phatak’s case and also Boger’s cases the mental symptoms are seldom given the importance the way we modern homœopaths give. The case above is one such illustration where emphasis was given on mental symptoms. Here also, Dr.Phatak and Boger seem to be following the same dictum, viz …. mental attitudes, causation, have their own place in the selection of the remedy, when they are very marked.” The question, that still remains unresolved in my mind, is this “Are we treating the mentals the way they should be?”- As I think aloud, - the modern homœopathic approach has seen brilliant cures with fair amount of consistency with the way it treats mentals, yet an equally good number of cases are merely palliated (in spite of there being a possibility of a complete cure). This leaves us with space of improvisation. Secondly, I am sure Dr.Phatak and Dr.Boger, had their share of failures too. One could hypothesize that may be the modern approach might have better worked on those failed cases…In any case, the failure of these Masters will not be available to us to study the pattern of their failure. Had this literature been available, we would see their limitations. I think, knowing the limitation of their approach is imperative. It will complete the circle and bring to light a larger picture. Such a study will carve a niche for both- the modern approach which we follow today and the approach followed by these Masters. 441

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their approach is not replacing what we do in our Modern approach, but a thorough conglomeration of the two viewpoints. It has resulted into : a) A solid consistency in my ability to produce improvement (in both acute and chronic cases) - i.e. towards a cure. b) More than anything it has given me a cutting edge insight into clinical decision making, interpreting cases & follow ups etc. c) It has given me glimpse of the method to take a case towards cure when you know that you have managed to prescribe only a partially similar remedy; i.e. when is the next remedy required and what will be the totality that would point towards the second prescription. [Courtesy: The article was first published in German language in the journal “Zeitschrift für Klassische Homöopathie”.] Dr. Munjal Thakar M.D.(Hom) 28, Vardhaman Flats, Opp. Jain Merchant Soc, Paldi, Ahmedabad- 380007 INDIA Email: [email protected] Tel: 079-26642523, Mobile: 09227926514 [Along with my private homœopathic practice, I work as a Chief Executive Coordinator at Spandan Homœopathic Clinic & Research Center at Ahmedabad, affiliated to Spandan Holistic Institute, Mumbai. It is an NGO run by M.B.Barvalia Foundation. The organization works through a multidisciplinary approach with homoepathy as the key therapeutic modality in areas of Neurodevelopmental disorder, HIV/ AIDS, Rheumatology. The organization runs a Government sponsored project for treating Autism Spectrum Disorders.(www.holisticfoundation.org)]

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Appendix II Miasms By Dr. Roger Morrison Miasm is staging a comeback. After nearly sinking into oblivion, Hahnemann’s concept is receiving tremendous attention in many locations. Harry van der Zee published his Miasms during Labor describing the miasms in terms of Grof’s psychological insights. Jeremy Sherr recently published his scholarly book, Dynamic Materia Medica: A Study of the Syphilitic Miasm. Rudolph Ballentine’s new book, Radical Healing, deals mainly with miasm. And Rajan Sankaran has been slowly evolving his concept of miasm for the past 10 or more years. Why this sudden rebirth of interest in the concept that Hahnemann proposed 175 years ago? A Little History Hahnemann published Chronic Diseases in 1828, bringing to the world his theory of miasm. Hahnemann had been grappling with the question of the frequent failure of homœopathy in chronic conditions. He writes, “Why, then, cannot this vital force, efficiently affected through Homœopathic medicine, produce any true and lasting recovery in these chronic maladies even with the aid of the Homœopathic remedies which best cover their present symptoms…?” (Chronic Diseases) In other words, Hahnemann was searching for the reason that chronic cases relapsed after benefiting from homœopathic treatment. He says he began to consider this problem in depth from 1817 or 1817 and after many years of thought and effort he came to the discovery of miasm, “To discover this still-lacking keystone and thus the means of entirely obliterating the ancient chronic diseases, I have striven night and day, for the last four years, and by thousands of trials and experiences as well as by uninterrupted meditation I have at last attained my object. Of this invaluable discovery, of which the worth to mankind exceeds all else that has ever been discovered by me, and without which all existent Homœopathy remains defective or imperfect, none of my pupils as yet know anything.” (Letter to Baumgartner) He felt he had unlocked a great truth. Eventually in 1827 he revealed his theory to Stapf and Gross – his two closest students. Hahnemann had a special understanding of the word miasm. Miasm is understood to 444

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Tubercular Miasm The feeling of the miasm relates to the ever encroaching and eventually fatally suffocating infection. The patient rebels, struggles, longs for freedom from his condition. He hurries to live his life even as he intuits that it is burning away from him. He feels the walls closing in upon him. His loved ones cannot be trusted. He suffers from respiratory conditions, persecution complex, and deformative arthritis. Abrotanum. Acalypha. Apis. Aranea. Arsenicum Iodatum. Atrax. Balsamum. Brucea. Bromium. Calcarea Iodata. Calcarea Phosphorica. Cereus Bonplandii. Cimicifuga. Cistus. Coccus Cacti. Coffea. Drosera. Elaterium. Euonymus. Ferrum Iodatum. Ferrum Phosphoricum. Fluoric Acid. Ginseng. Iodum Kali Phosphoricum. Latrodectus. Magnesia Phosphorica. Mygale. Myristica. Myrtus Communis. Natrum Phosphricum. Oleander. Phelandrium. Phosphorus. Pix. Rumex. Salix Niger. Sambucus. Senega. Succinic Acid. Tarentula. Theridion. Ustilago. Verbascum.Vespa. Nosode – Bacillinum. Tuberculinum (in all its preparations). BCG vaccine. Leprosy Miasm Lepers have suffered enormously through history. The condition is slowly progressive and eventually leads to death. However, even more disturbing to the patient is the reaction of those around him. He is reviled by his friends and community. Where they looked at him with affection they now feel loathing. This results in a desperate state of self-disgust and self-hatred. He feels contempt with his condition and towards himself or others. He desires to tear, mutilate or bite himself. He suffers from suicidal thoughts or impulses, depression, morbid obesity. Known Remedies of the Leprosy Miasm Agraphis. Aloe. Ambra. Androctonus. Aristolochia. Aurum Sulphuricum. Azadirachta. Baryta Iodata. Baryta Sulphurica. Cereus Serpentinus. Cicuta. Coca. Codeinum. Comocladia. Curare. Cyclamen. Fumaria. Gratiola. Homarus. Hura. Hydrastus. Hydrocotyle. Indolum. Kola nut. Lac Defloratum. Laurocerasus. Ledum. Mandragora. Mephites. Ocimum sacntum. Rhus glabra. Secale. Sepia. Skatolum. Solanum Tuberosum Aegrotans. Spiraea. Nosodes – Leprominium. Psorinum. Syphilitic Miasm Syphilis was an inexorable death sentence in the pre-antibiotic era. The condition is utterly destructive – either physically or mentally. Extreme nihilism marks the patient in the uncompensated state. The diseases are destructive of bone and tissue leading eventually to death. The patient reacts to his illness or his perceived life situations as though under a death sentence. He is prone to feelings of violence and revenge. Suicide or homicidal feelings are common. Destructive addictions often 458

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Appendix III Miasms - an Overview By Dr. Manish Bhatia In his work The Spirit of Homœopathy, Sankaran had described disease as ‘delusion’, the ‘awareness’ of which becomes a ‘cure’. In his subsequent work ‘The Substance of Homœopathy’, he extends his approach to disease to the concept of miasms. Unlike others who developed their understanding of miasms through the cause and classification of diseases, Sankaran evolved his ideas of miasms by trying to find the common theme in the mental states and delusion of known anti-miasmatic remedies. From there he extended the concept to the physical and pathological states corresponding to the miasms. For example, to develop an understanding of Psora he studied known antipsoric remedies like Sulphur and Psorinum and compared their underlying theme, delusions and state to find the common miasmatic ground. Sankaran says - “The acute (miasm) is the immediate reaction necessary to survive. Psora is the reaction to a situation which demands struggle with the circumstances outside in order to survive. Sycosis is the reaction to a situation that demands that he accepts his own weakness and cover it up to survive. The syphilitic reaction comes with the realization that adjustment is no longer sufficient and that in order to survive he must bring about a radical change in the internal or external circumstances, or both.” Sankaran’s approach on the mental plane may seem radical to many but on the ground his use of physical symptoms of the miasms is very classical. The only difference is that Sankaran has come to hold the ear from behind the head! Sankaran has evolved his understanding of miasms with his understanding of medicines and their mental states. The significant aspect of Sankaran’s concept of miasms is his focus on newer miasms like Tubercular, Leprous, Cancer, Malarial, Typhoid and Ringworm. He says Typhoid miasm is a sub acute miasm, which lies between the acute, and Psoric miasms. It has the main feeling of a critical situation, which, if properly handled for a critical period, will end in a total recovery. Ringworm miasm lies between Psora and 460

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Sycosis. It is characterized by an alteration between periods of struggle with anxiety about its success, and periods of despair and giving up. Malarial miasm, which lies between acute miasm and Sycosis, has an acute feeling of threat that comes up intermittently. Tubercular, Leprosy and Cancer miasm lie between Sycosis and Syphilis. In Tubercular miasm the feeling is of intense oppression and exploitation, and a desire for change. Cancer miasm has a feeling of weakness and incapacity within, with a desire for perfection. Leprosy has the feeling of intense oppression, intense hopelessness, and an intense desire for change. The other difference in Sankaran’s approach is his list of anti-miasmatic remedies. Since he uses a different classification of miasms and also relies on the ‘state’ of the patient to judge the miasm, he has his own list of anti-miasmatic remedies. I cannot dwell deeper on Sankaran’s approach here but I would like to say that although Sankaran’s miasms appear very different from Hahnemann’s miasms, they are actually not. Sankaran has picked all his miasms from infections and uses physical symptoms too, to identify a miasm just like others. The difference in his work is that he has been able to associate different mental states with each miasm and the transition from one miasm to another is shown through successive changes in the mental state. The only drawback in Sankaran’s approach is that his process relies so heavily on a specific method of case-taking, analysis and understanding of mental states that it introduces a lot of subjectivity and others may find it difficult to get the same results by following his approach.

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Index

reprimands 131

7

punishment from 131

7th Level 95, 96, 141

Alert 35

A

allopathic 22, 37, 38, 67, 120, 218, 229, 301, 311, 329

A†dark dusky†remedy; dark†face; sooty nostrils; dark†lips, hands, etc. 319 abdomen pain 21, 29, 52, 108, 137

Alumina 27, 81, 83, 84, 174, 182, 183, 212, 213, 214, 222, 223, 234, 237, 285, 312, 343

rumbling, fasting, agg 55 stretching, with 29

An Insight Into Plants 74, 236

abdominal 21, 28, 29, 52, 108, 137, 154, 170, 212, 306, 328

Anacardium 102, 103, 140, 342

Abrotanum 70, 71, 90, 141, 342

anaesthesia 26, 43

abrupt 34, 35

Anantherum 28, 341

Aconite 141, 214, 240, 319, 334, 340

Anarchist, revolutionary 33, 146

Adulterous 33, 318

Anchor 314

Aethusa 42, 43, 341

anger at absent persons, while thinking of them 225

aggravation from warmth 75, 146 aggression 172, 195, 199, 283

irascibility general, violent 118

Agnus Castus 38, 39, 141

jealousy, with 199

AIDS 41, 289, 332

touched, when 199

Ailing, worn out, nervous, flatulent, and flabby 320

from anticipation 171 bad news 171, 252 disappointed love 80, 81 fright 131

Anac 153, 158 Anacardiaceae 101, 102, 103, 116, 213

Abies nigra 141

ailments before examination 171

Aloe 268, 342

violent 199 kill desire to 194 trembling with 225 angina pectoris 227 Anhalonium 58, 59, 168, 255, 342 Animal kingdom 37, 77, 80, 92, 93, 108, 110, 111, 112, 191, 194, 206, 208, 220,

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226, 234, 268, 280, 282, 285, 290

Astatine 89

Antimony 34, 87, 89, 91, 132, 341

asthma 40, 142, 179, 270

Antisyphilitic 237

asthma aggravation from draft 179

anxiety 53, 81, 84, 131, 171, 174, 221, 222, 306

bronchial 55, 169, 170, 269

anxiety after fright 131

worse in summer 142 Aurum 51, 83, 84, 89, 127, 162, 168, 169, 190, 225, 237, 285, 290, 323, 327, 338, 341, 342, 343

after midnight 174 disorder 221

Aurum met 84, 162, 168, 169, 190, 237

midnight, after 222

autoimmune arthritis 117

when a time is set 171

autoimmune disorder 117, 312

Apis 117, 118, 119, 120 appetite easy satiety, bites, after a few 152

autoimmune hepatitis 95, 103, 110 Avogadro 19

increased during fever 152

axilla 169, 173

Appetite Increased, hunger in general vanishing attempting to eat, on 152

B

Ravenous, canine, excessive, eating after soon 152 Argentum 76, 87, 128, 135, 136, 142, 153, 183, 184, 225, 239, 259, 274, 318, 329, 334, 342 Argon 81

baby 15, 33, 65, 69, 90, 140, 242, 266, 274, 277 back pain general, sacral region, extending, to thighs, right agg., by pressing at stool or coughing 164 warts, cervical region 127 Back Chair, leaning on, amel 136

Arnica 71, 90, 141, 340 Arsenicum 29, 30, 51, 52, 77, 84, 87, 120, 127, 129, 132, 142, 154, 161, 239, 259, 274, 342

pain standing while, erect almost impossible after sitting 126 spondylitis, cervical region 102

Art of Case Taking and Practical Repertorization 145

Bambusa 147, 317

ASO 117

Barium 89

assimilation 82, 181

Barthel and Klunker 11, 68, 123

banana 7, 271, 272

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Similia

Baryta 49, 50, 76, 88, 104, 107, 108, 116, 127, 174, 185, 313, 342

buccal cavity 44, 45

Baryta Carbonica 49, 107, 185

Burnett, Dr. 92

Basic Homúopathy 41

bypass surgery 52, 103, 227, 228, 229, 231

Bathing, warm, ameliorates 180

Bufo 43, 44

C

Becker, Juergen 55, 56

Cadmium 87

bed post 29

Caesium 89

bee 77, 78, 119, 198 Belladonna 19, 64, 69, 91, 129, 130, 139, 164, 240, 242, 243, 312, 323, 334, 340 Bellis perrenis 90

cage 102 Calc 67, 68, 84, 146, 152, 158, 159, 160, 183, 206, 330, 334, 336, 337

Bidwell, Glen Irving 145

Calcarea 26, 27, 40, 52, 53, 54, 60, 66, 67, 68, 75, 76, 84, 85, 88, 104, 108, 115, 116, 124, 154, 172, 173, 183, 221, 222, 239, 270, 287, 312, 313, 341, 342

Bismuth 89, 334

Calcium 84

bizarre 28

Calendula 90, 340

Black Mamba 46, 56, 110, 200

Camphor 26, 153

blisters 44, 45, 54, 214, 216, 217

Candegabe 318

blood pressure 20, 21, 250, 311

Cannabis-indica 128

Bogerís Synoptic Key 10, 132, 133, 136, 145, 296, 313, 318, 319, 320, 322, 323, 324, 325, 327, 330

cannot weep, when sad 171

breath 67, 85, 139, 187, 241, 270, 276, 312

Capsicum 69, 70, 334, 341

Bhatia, Dr. Manish 344

breathe 98, 154, 210, 212, 241, 242, 246, 259, 260, 270, 281

Cantharis 36, 37, 329

Carbo Vegetabilis 32, 33, 313, 341 carbuncle 194 Carcinosin 79, 156, 239, 259, 273

Bromium 84, 172, 342 Bryonia 96, 123, 125, 248, 249, 334, 340, 341

464

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cardiomyopathy 111

choice 34, 49, 50, 75, 82, 116, 127, 148, 149, 156, 157, 164, 174, 180, 181, 182, 183, 184, 189, 206, 207, 212, 213, 217, 222, 234, 256, 263, 265, 287, 329

Case of Spondylosis Nux Vomica 22

Chromium 84

Case-taking 74

chronic synovitis; of knee joint 67

Cedron 132, 341

cicatrices 179

Cenchris 56, 201, 343

Cicuta 134, 135, 323, 334, 342

central disturbance 40, 68, 120, 155

Cina 70, 90, 140, 334, 341

central serous retinopathy 109

CINA 152

cervical spondylosis 22, 101, 102

Cinchona 18, 20

Chakraborty, Dr. B. N. 44, 54

clairvoyance 92, 196, 220

Chamomilla 22, 79, 90, 140, 248, 249, 334, 341

clairvoyance - feature 92, 201, 202

Characteristic Repertory 160, 327

Clam - remedy 108

cheeks 18, 45, 253

Clarke, John Henry 10, 92

Chelidonium 158, 159, 334, 341

Classical 7, 113

Chest coldness internal, as if ice water were rising and descending through a cylindrical tube 28

claudication 227, 228, 233

Heat, axilla 169

Cobaltum 84

Mammae, complaints of, menses before 160

Cocculus 164

Card Repertory 152 cardiac valvular disease 137

Pain, General, mammae, menses, before 160

clam - experience 108

Clinical Experiences by S.R. Phatak 133

coconut 36, 37, 94, 206 Coffea 69, 129, 167, 270, 320, 342

Children when asleep, jump, cry, grasp the mother, startled, nervous children 81

cold agg and heat 206

CHIN-S 152

aggravation 170, 206

Chlorine 81

aggravation in general 170

Chocolate 13, 147, 340

company aversion to, agg presence of:

heat, and cold 199

465

Similia

strangers, to 202

Corallium 153, 154

solitude, fond of 202

coryza 141, 172, 224, 270

solitude, fond of, fancy, to indulge herself 202

coryza, ascending 172

complaints before menses 160

cough 31, 32, 154, 155 cough bending the head backwards 155

Compositae 70, 71, 90

bending, head backward agg 32

compounder 32, 229 Concise Alphabetical Repertory 17, 48, 145, 236

dry emaciated boys in 155 dry, emaciated boys in 32

concomitant symptoms 23, 27, 49, 143, 147, 160

minute gun, short, hacking cough, like 154

concussion 138

minute, guns, short, hacking cough 154

confidence, want of self, others have none which makes her unhappy, and thinks 84

paroxysmal consisting of three coughs 154

confusion 83, 84, 114, 174, 213, 214, 222, 223, 248, 256, 280, 300, 311, 335, 338

consisting of two succession, in 154

confusion as to his identity 83

consisting of two coughs 154 coughs,

quick

minute gun 154 uninterrupted paroxysms 154

identity, as to his 213, 222 of mind as to his identity 174

violent, spasmodic jerking of head forward and knees upward 31

Conifer 42, 55, 91, 184

whooping, minute gun 154

Conium 24, 25, 136, 138, 139, 143, 153, 160, 169, 170, 268, 315, 319, 328, 334, 336, 337, 342

Coulter, Catherine 114

constipation from mental shock, nervous strain 61

covers ameliorate and desire for 180

mental shock, nervous strain from 134 contradictory intentions are contradictory to speech 213 Cooper, Dr. 92

Court of Appeal 147, 234

crack in the heel 154, 225 in the soles 154 in the winter 154 craving 149, 168, 190, 254

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Generations In Homœopathic Practice

craving combination of tastes 156

brother fell overboard in her sight 129

for fish 149

choked 36

for salt 168

choked, by icy cold hands 37

for spice 149

consciousness belongs to another 83, 213

Crocus 113, 168, 342

conspiracies against him there are 194

Crotalidae 194, 202

conspiracy 220

Crotalinae 197, 200, 201, 202, 220

crime he has committed 128

Crotalus 56, 92, 200, 201

deserted, forsaken 129

crystallization 66

dirty that he is 130

Cubeba 60, 61

dog of 46

Culex 37

duty he has neglectedí 112

Cullen, W 18

errors of personal identity 83

culture 131 cunning 35

everything is strange or familiar things are strange 130

Cuprum 34, 84, 87, 133, 134, 154, 244, 341

fail, everything, will 185

Cyclamen 64, 65, 66, 150, 334, 342

head belongs to another 83, 213

D

injury will receive 128

death presentiment of 201

legs are cut off 116

thoughts of 201

murder, someone that he has to 194

Deceitful 35, 43, 199

murdered, that he will be 130

deceitful, sly 199

neglected duty 112

delusion alone in the wilderness 128

neglected she is 187

as if he has no legs 107 body divided, left half does not belong to her 185 body is brittle 128

forsaken, deserted 187

of being sold 130 sees robbers 129 soda water, thinks he is a bottle 128

467

Similia

sold, being 64

pursued by enemies 194

strangers sees 129

surrounded by enemies 166

that she is looked down upon 111

Dendroaspis polylepis 110

unfortunate 46

Desai, Dr. Bhanu 132, 133

wonderful, beautiful landscape 129

desire for cold drinks 189

wrong he has suffered 112

for salt 149

Delusion 36, 37, 42, 46, 51, 52, 64, 77, 83, 99, 107, 111, 112, 113, 116, 128, 129, 130, 131, 146, 147, 174, 185, 187, 194, 213, 218, 220, 233, 242, 244, 252, 253, 256, 268, 278, 309, 318

for sweets 123, 225 for warm food and drinks 225 sweets 146

Delusion looked down upon 77

desires solitude to practice masturbation 43, 44

delusions everything she says is a lie 111

what disagrees 190

he is being injured 112

Dev, Kapil 107

imaginations beautiful, wonderful 203

dialysis103

beautiful, wonderful: landscape 203

diarrhúa 82, 135, 138, 153

conspiracies against him 199

dictatorial, domineering, dogmatic 118

conspiracies against: him, there are 201

DIOS 153

deserted, forsaken 202

Dioscorea 137, 138, 153

die: about to: he is 201

diversion amel 139

injury: injured, is being 198

dizziness 136

injury: receive, will: friends, from his 202

Doctrine of Analogy 132

people: behind him, someone is 201 poisoned: about to be, that he is 201 poisoned: has been, he 201 superhuman: control, is under 201 talking: friends talking about her 202

of Concomitant 132 of Signatures 93, 94, 206 Draggy, relaxed females 319 dreams 51, 66, 118, 123, 128, 129, 157, 158, 159, 181, 182, 187, 212, 216, 224, 225, 252, 255, 264, 265, 284, 303 dreams animals of, pursued by, wild 159

468

Generations In Homœopathic Practice

being pursued by wild animals 181

dynamization 19

buried alive, being 158

dysmenorrhoea 108, 299, 302, 307

dead bodies 158

E

dead people, of 158

Eagle 115

frightened by a black dog 187

eating 27, 135, 140

funerals 158

eating ameliorates 140

of stool 66

Echinacea 90, 343

of times of youth 182

ectothermic 195, 199

of unsuccessful efforts to dress for an occasion 158

eczema 21, 23, 37, 38, 39, 64, 65, 66, 107, 108, 133, 134, 174, 183, 223, 312, 342

pursued, of, being, run backwards, must 159 unsuccessful efforts to do various things 158 unsuccessful efforts to dress for a ball 158

Edematous swelling 119 egotism rubric 88, 185, 298 theme 81, 82, 238 Elapidae 112, 200

youth, time of 159

Elaps 28, 29, 56, 58, 156, 200, 201, 343

Dreams of trees, growing on fences, without ground under them 225

Electronic Resources 8

drinking too much water, aggravates 138

envy 34

drinks more than what is good for her 161

eructation 329

Drosera 31, 34, 95, 97, 99, 104, 239, 270, 334, 342 Drosera Rotundifolia 97

eructation with pressive pain on the chest during meals 222 eructations ameliorate 174 eruptions itching without 135

dust, aggravation 172 dynamic 13, 19, 21, 23, 33, 38, 56, 208, 333, 334 dynamis 35, 38

emaciation 68, 71, 82, 327

erysipelas 119 Essentials of Repertorization 17, 145 Euphorbiaceae 71 Eupionum 136

469

Similia

evening aggravation 225

face eruptions, acne, menses before 159

Excitable and overactive. Oversensitive; to noise, it may even be painful (Ther.); to pain, pleasure, etc 320

greasy 149

external throat 181, 212

perspiration, lips, upper 151

external throat clothing agg 200

fairies 32, 33

sensitive touch, to slightest 200

Farrington, Dr. 92

external throat, warts 181

eruption, elbow, bend of, eczema 133

fear 26, 37, 42, 46, 50, 51, 63, 64, 67, 69, 84, 85, 91, 108, 112, 113, 115, 117, 129, 130, 131, 164, 169, 173, 174, 182, 183, 184, 188, 189, 191, 198, 201, 207, 210, 213, 217, 219, 222, 224, 227, 233, 240, 243, 246, 247, 250, 251, 252, 259, 260, 264, 266, 267, 268, 271, 272, 275, 282, 284, 286, 302, 303, 306, 313, 340

heat; flushes; feet; soles 61

fear nimals, snakes of 200

itching, toes, evening, on undressing 41

appearing in public, of 185

jerking, lower limbs, on going to sleep, one leg is jerking up 156

behind him, that someone is 201

extremities corrugated nails 180 cracks skin, feet, heel 127 skin, feet, soles 127

nails, discolouration, White spots on 181 perspiration, forearm 125 perspiration, lower limbs, nates, buttocks 151

hairy 148, 149

dog of 46 failure, of 185 falling of 185 forsaken, of being 187

restlessness, feet 160

he would be sold 64

restlessness, hands 160

neglected, of being 187

roughness fingers, nails, ribbed 127

of dark 36

warts, hands, fingers 127

of dogs 51, 129, 169

eye pain, drawing

of examinations 185

backward, the eyeball 31

of high places 159

F

of slights 188

faÁade 110

of strangers 227 470

Generations In Homœopathic Practice

of undertaking a new enterprise 185

Formic Rufa 37

sleep

forsaken feeling

go to, to: lest: die, he would 201

beloved by his parents, wife, friends, feels is not being 81

undertaking anything, a new enterprise 227 feelings of inferiority 112 feels as if somebody else has heard or said something when he has heard or said it 213 feet 18, 50, 61, 64, 76, 88, 104, 107, 127, 148, 160, 174, 181, 218, 220, 224, 246, 260, 297, 299, 306, 330

friendless, feels 202 Fragmenta de Viribus medicamentorum Positivis 123 fruit 7, 156 frustration 97, 119, 215, 217, 233, 284 G Gallavardin 146, 318

feigning, sick 199

Gallium 84

Ferrum 84, 103, 244, 247, 334, 341, 342

gambler, passion for gambling 147

fever 18, 20, 32, 33, 34, 70, 71, 117, 125, 132, 133, 153, 160, 161, 164, 216, 220, 228, 252, 255, 285, 297, 298, 301, 316, 328, 340

Gandhi, Dr. Mahesh 253

fever noise from 125

Gandhi, Indira 26, 27, 279 gangrene 193, 194, 201, 221, 313 Gavaskar, Sunil 107

Fixity 309

Gelsemium 153, 171, 252, 267, 295, 300, 301, 327, 342

fl-ac 152, 153, 158, 159 flatulence up anddown passing amel 136, 329 flatus 135, 136, 225, 329

Generalities 27, 29, 55, 82, 123, 156, 181, 300, 323, 324, 325, 329, 330, 331, 336, 337 Generalities

Flexibility 326

emaciation, appetite, ravenous with 82

Fluoride 67

food and drinks: ashes, desire 55

Fluorine 67, 85 foot 35, 44, 127, 134, 139, 153, 174, 225, 248, 262, 273, 298, 330

and drinks: sweetened 156

forced out 112, 113, 319 471

buttermilk,

desires,

and drinks: sweet, desire, and salt 156

Similia

and drinks: sweet, desire, and sour 156

guide 88

desire for sweetened buttermilk 29

Guiding Symptoms 10, 11, 64

potatoes aggravate 27

Gutman, Dr. William 185, 187, 194

generalization 23, 27, 38, 41, 60, 133, 139, 287, 294, 312

H

female

Hahnemann, Dr. Samuel 8, 9, 18, 19, 20, 22, 23, 35, 55, 74, 93, 100, 123, 190, 237, 238, 239, 256, 257, 258, 291, 292, 308, 333, 334, 335, 336, 337, 338, 339, 340, 344

Menses wash off, difficult to 127

Hahnemann, Samuel 18, 237

seminal discharge, bloody 30 Genius 296, 297, 300, 318, 324

hand gesture 96, 97, 98, 99, 100, 108, 109, 110, 116, 141, 142, 196, 219, 226, 231, 232, 255, 270, 309

Germanium 84

hanging

ghost 91, 118, 119, 131, 246

affected parts amel 24, 25

giddiness 136, 221

down parts ameliorate 139

glomerulonephritis 39, 287

limbs, amel 25

goddess 37, 38

harassed 70, 103, 252, 253, 256, 279, 294

Geneva 140 genitalia

gonorrhea 44 grand generalization 113, 132, 312, 313

harm 50, 51, 111, 119, 130, 180, 201, 283

graphites 153, 154, 158, 159, 160, 334, 336, 337

hated and revenge 194

Gratiola 138, 342 grief silent 150

hatred persons of, agree with him, who do not 27 head

undemonstrated 150

baldness of young people 185

grotesque 28

hair, baldness, young people 128

group consciousness 57, 58, 59

itching of scalp, sleep, when going to 39

Group Proving 55, 56

itching scalp, sleep on falling to 39 472

Generations In Homœopathic Practice

pain, fright after 31 headache 94, 113, 139, 164, 168, 241, 242

horrible things, sad stories, affect him profoundly 169 How to use a Repertory 145

heart

Hudson, Dr. 92

attack 103, 221

hurried, when eating 225

hands over heart 137

Hyoscyamus 62, 64, 69, 91, 120, 129, 130, 142, 252, 313, 341

palpitation 21

I

Helix Toasta 172

identity 54, 63, 82, 83, 84, 88, 90, 149, 156, 174, 181, 182, 183, 184, 207, 212, 213, 214, 222, 223, 244

Helleborus 319, 334, 341 Helonias 113

idiopathic thrombocytopenic purpura 112

hematoma 138 hemorrhage 193, 201 Hepar Sulphur 39, 288, 343

Ignatia 75, 78, 80, 131, 132, 152, 164, 171, 259, 277, 278, 295, 334, 342

Hering, Constantine 9, 11, 64, 93, 169, 193, 291, 327, 335, 339

impulse to stretch with abdominal distress 29

hide

impulsive 35, 37

desires to 64

inability to realize responsibility 166

fear from 64

independence 9, 82, 183, 196, 226

high places aggravate 159

indifference, to loved ones 166

Histamine 167

Indium 87

HIV 332

individualistic 20

holding

inferior 50, 105, 111, 197, 232

the breath ameliorates 139

inflammation 10, 24, 25, 68, 90, 312

the hand over heart 137

intense pain 108, 135

holistic 8, 20, 99

IOD 152

hologram 21

Iodum 87, 342

Homúopathic Drug Pictures 114

Ipecac 34, 341 473

Similia

Iridium 89

fun of somebody, making 204

Iris versicolor 168

K

irritable 94, 124, 146, 160, 187, 189, 191, 207, 210, 253, 306

Kali 50, 51, 84, 125, 126, 129, 130, 131, 151, 160, 189, 191, 267, 268, 295, 305, 306, 307, 308, 342

ischemic heart disease 52, 162, 311 itch 37, 38, 39, 41, 95, 133, 134, 135, 214, 224, 291

Kanjilal, Dr. J. N. 90, 145 Kapadia, Dr.Sarabhai 38, 55

ITP 113, 301, 306, 308

keloid 181

J

keloids 179, 183, 238, 276

Jatropa 135

Kent Homúopathics 169

jaundice 140, 255, 264, 287

Kent, James Tyler 10, 82, 145

jealousy 34, 92, 198, 199, 203, 204

keynotes 7, 11, 14, 115, 116, 151, 171, 172, 193, 194, 233, 294, 311, 321, 325

brutal, kind man becoming 204

kill

crime, to a 204

desire to; poison, impulse to 199

foolish as it is irrestible, as 204 images, with frightful, tendency to mock, satire and ridiculous ideas 204

King Cobra 112 Kishore, Dr. Jugal 152

insane 204

kite 33, 34

kill, driving to 204

Knerr, C. B. 225, 337

loquacity, with 204

Koppikar, Dr. 40, 41

quarrels, reproaches, scolds 204

Krypton 84

saying and doing what he would not say and do 204

L

sexual excitement, with 204 strikes his wife 204 tearing the hair 204 women between 198 jesting

Lac Caninum 77, 111, 267, 342 Lac humanum 115 Lac Leoninum 109, 110, 285 Lac-can 168 Lachesis 46, 56, 61, 75, 77, 78, 79, 80, 92, 93, 129, 135, 170, 177, 191, 193,

474

Generations In Homœopathic Practice

194, 195, 196, 197, 198, 199, 200, 201, 202, 203, 204, 206, 210, 220, 289, 343 lamenting, bemoaning, wailing, appreciated, because he is not 27

Third 94 Liliaceae 113 Lilium Tigrinum 113

Lanthanum 89

Lippe, Dr 45, 46

lassi 29, 156

Little, D 121

late learning to talk 82

liver 103, 110, 329

Laurocerasus 136, 137, 313, 342

liver transplant 103

Law of Similars 9, 18

LM potencies 218, 223

Lectures on Medica 114

Homúopathic

Materia

Loganiaceae 75, 80, 171, 251, 259, 277, 295, 300

left brain 37, 116, 175, 309

logic 91, 108, 163, 292, 331

Lesser-Known Remedies 103

longing for the good opinion of others 89, 91

leucoderma 26 Level

loquacity

1 72, 147, 315

changing quickly from one subject to another 198

2 72, 147, 316

jesting, with 198

3 72, 147, 233

with jesting 126, 220

4 72, 147, 233

losing 27, 33, 66, 67, 70, 77, 96, 121, 130, 173, 219, 230, 267, 274, 312

5 72, 147 Delusion 45, 50, 99, 247 Fifth 95 First 94

LSM 177, 178 lumbar 136, 138 Lycopodiaceae 225, 226

Physical 19, 155, 238, 291

Lycopodium 32, 104, 127, 146, 154, 155, 166, 170, 206, 225, 226, 227, 234, 341

Second 94

Lyssin 37, 38, 313

Sensation 112, 133, 147, 149, 309

M

Sixth 95

MacRepertory 6, 169, 303

Generalization 23, 312, 327, 331

475

Similia

macrocosm 21 Magnesium 61, 77, 81, 82, 84, 127, 153, 156, 157, 158, 159, 182, 183, 212, 253, 265, 320

Magnoliaceae 130

Mercury 41, 89, 146, 154, 237

male sexual, pollutions, seminal emissions general dreams without 153 Mandragora 64, 91, 258, 283, 284, 342 Manganum 84, 168 Mangifera 100, 102, 103

Mezereum 23, 133 Miasm 69, 71, 101, 102, 177, 178, 183, 188, 189, 194, 233, 237, 238, 239, 240, 244, 249, 250, 253, 258, 262, 266, 267, 270, 274, 280, 283, 285, 333, 340, 341, 342, 343 Acute 69, 70, 101, 239, 240, 242, 243, 248, 249, 260, 262, 298, 339, 340

marasmic 70 marasmus 82

Cancer 69, 70, 71, 79, 102, 115, 161, 184, 239, 259, 274, 277, 278, 279, 289, 313, 339, 342, 344

mask 110 Materia Medica Pura 100, 291

Leprosy 102, 135, 239, 253, 255, 258, 278, 279, 280, 283, 289, 291, 339, 342, 344

Medical Advance, The 92 meditation 20, 101, 102, 141, 224, 333 Medorrhinum 44, 45, 54, 61, 120, 151, 156, 160, 165, 166, 189, 238, 257, 267, 324, 338, 342 Mehta, Dr. Kamlesh 175 menses 68, 127, 159, 160, 188, 220, 265 menses

Leprous 163, 194, 256, 267, 278, 279, 280, 283, 288, 291, 344 Malaria 102, 239, 252, 253, 255, 256, 279 Malarial 70, 103, 244, 253, 256, 262, 298, 339, 341, 344 Psora 101, 115, 225, 226, 237, 239, 244, 247, 248, 258, 289, 290, 291, 334, 338, 339, 341, 344

blackish 220 concomitants, before menses, mammae 160

Boeninnghausen 23

Merc.iod.ruber 41 Mercurius 30, 51, 165, 166, 324, 334, 335, 338, 343

magnetism 179, 180, 182

Mentors

Boger 10, 23, 132, 133, 136, 145, 296, 311, 312, 313, 318, 319, 320, 321, 322, 323, 324, 325, 326, 327, 329, 330, 331

Ringworm 40, 54, 102, 115, 239, 244, 259, 261, 262, 265, 339, 341, 344 Sycotic 51, 54, 101, 102, 111, 113, 115, 116, 131, 166, 170, 171, 179, 180, 181,

476

Generations In Homœopathic Practice

about money matters 53

183, 184, 185, 187, 188, 189, 190, 191, 233, 238, 256, 259, 261, 265, 266, 267, 268, 269, 289, 290, 295, 300, 339, 341, 342

conscience of as if guilty of a crime 132 friends 81

Syphilitic 40, 41, 51, 89, 101, 193, 194, 222, 238, 253, 255, 256, 269, 272, 285, 287, 288, 289, 290, 333, 339, 342, 343

aversion to certain persons 40

Tubercular 71, 238, 239, 249, 255, 256, 269, 270, 272, 279, 289, 290, 339, 340, 342, 344

break things, desire to 118

aversion, persons, to certain 39

childish behaviour 43, 50 childish behaviour, body grows, but 43

Typhoid 33, 69, 101, 102, 239, 244, 247, 248, 249, 250, 251, 259, 260, 262, 269, 276, 289, 291, 339, 340, 341, 344

clairvoyance 92 contemptuous, relations, for 163

microcosm 21

crawling on the floor 196

migraine 30, 299

cut, mutilate, slit, desires to, others 38

Millifolium 90

dark, fear of 164

Mind 27, 34, 41, 50, 68, 118, 123, 146, 147, 155, 163, 179, 317, 318

deceitful, sly 43

Mind

delusion

abrupt 34

enlarged, eyes are 131

absorbed, buried in thoughts 163

imaginations, thieves, robbers, sees, house in 52

activity, mental sleeplessness 167

activity,

with

marriage, has to be dissolved 166

ailments from

delusion, body parts, delicate 42

death of parents or friends 50

delusion, danger, from his family 130, 131

death, parents or friends, of 49 anger, mistakes over his 163

delusion, engagement, betrothal has to be broken 166

anxiety

delusion, imaginations

about health, which represented their great concern and anxiety over small symptoms 53

crime, about to commit 51 murdering, husband and child, she is about to murder her 51

477

Similia

delusions

extravagance, of 164

body, body parts, erroneous ideas, as to the state of his body 164

of poverty, fear that they may come to want 85

imaginations, married, she is 132

poverty, of 67

imaginations, neglected; duty his 56

sleep, to close the eyes lest he should never wake 43

imaginations, spectres, ghosts, spirits, sees 36 Imaginations, walls, falling, inward 32 imaginations, watched, that she is being 63

undertaking anything, new 166 which is excited, after hearing of cruelties 26 forsaken feeling 81

imaginations, wrong: suffered has 56

going out, aversion to 65

imaginations: enlarged 59

grief 50, 65

imaginations: floating in air 59

grief ailments from, cry cannot 150

imaginations: wrong, suffered, has 37

grief silent 150

neglected duty, his 162

grief, silent, undemonstrative 65

reproach, has neglected duty and deserves 162

hatred

delusions, imaginations, committed, he had 65 dreams flying 118 egotism and haughty 88 egotism, or self-esteem 81 embarrassment 81 envy 34 fear

crime

persons of, who do not agree with him 27 hatred for persons, who do not agree with him 40 horrible things, sad stories affect her profoundly 26 hurry, in occupation, hurry in movement, hurry in eating and hurry in everything 167 ideas, abundant, clearness of mind, uncertain in execution, but 166 identity, confusion of 83

betrayed, being 63

impulse to kill her beloved 51

duty, neglect her, to 162

impulsive, stab his flesh with the knife 478

Generations In Homœopathic Practice

he holds, to 37

responsibility, inability to realize 165

indifference, apathy, to the welfare, of, others, to 162

responsibility, unusual aggravates 162 restlessness, waiting, during 167

irritability, menses, before 159

sadness, weeping impossible 150

jealousy 34, 118

secretive 132

jealousy, general 118

startled, when called by his name 163

kill desire to, husband 51

strangers, in presence of agg 50

kill desire to, sudden impulse to 50 kill, desire to, person that contradicts her 165 lamenting, bemoaning, wailing, appreciated, because he is not 27 laughing, serious matters, over 164

striking, general, children, in, other, when not observed 161 sympathetic, compassionate 81 the person is yielding and yet also could be obstinate 180 threatening 34

light desire, for 163

unfeeling, hard-hearted 162

light shuns, doesnít want light 170

weeping at sad thoughts, but cannot weep 150

light, desires 79 malicious, vindictive 43 merging of self with oneís environment 59

weeping when narrating her complaints 189 weeping, cannot weep 150

monomania, to appear in public in a grotesque manner 28

weeping, tearful mood, goes off alone and weeps as if she had no friends 50

music amel, sad 168

weeping, thanked, when 166

music amel., drums produce euphoria 168

weeping, ungratefulness, at 166

music amel., rhythmical 168 recognize everything, but cannot move, in catalepsy 164 remorse 167 responsibility, aversion to 165

will, contradiction of 56 Mineral kingdom 76, 79, 103, 148, 174, 191, 206, 207, 268, 270, 290 mischievous 35, 117, 120 mocking ridicule, passion to 204

479

Similia

sarcasm 204

Niccolum 84, 86, 87, 88, 89, 244, 341

modality 23, 25, 26, 27, 33, 41, 118, 133, 134, 136, 138, 139, 142, 169, 170, 179, 202, 206, 224, 324, 329, 332

Nikam, Dr. Amar 41

Modern Medicine 21

Nitric acid 26, 75, 151

Molluscum Contagiosum 38

Nitric Acid 25, 151, 329

Mollusk 172

Nitric-acid 150

Molybdenum 87

nocturnal emissions 153

money 52, 53, 54, 64, 66, 67, 84, 85, 86, 87, 129, 183, 229, 245, 247, 249, 250, 251, 259, 274, 281

non-committer 166

Niobium 87

nose coryza, stool, during 141

mood 50, 96, 216, 231, 276, 280, 283, 298, 301, 306, 321

itching, eating, while 135

Morrison, Dr. Roger 333

knobby tip 127

motions of the tongue, in and out of the, like a snake 196

perspiration on 151

mouth

nosode 54, 79, 257, 259, 272, 338, 339, 341

dry with thirstlessness 123

Nux moschata 130, 135

salivation, sleep during 30

Nux Vomica 22, 33, 34, 75, 171, 334, 341

mucous colitis 135

O

Myoclonal Jerk 25

opinion 27, 82, 88, 89, 91, 182, 211, 213, 256, 318, 334, 335

N Naja 56, 93, 111, 112, 196, 200, 201, 343 Nash, E. B. 46

Opium 131, 164, 313, 328, 330, 334, 342

Natrum 22, 40, 41, 76, 80, 81, 82, 84, 113, 129, 132, 146, 148, 149, 152, 153, 168, 182, 183, 187, 207, 212, 252, 265, 295, 325, 338, 341, 342

Organon 12, 35, 140, 308, 335

neoclassical 7

ovarian cyst 108

nervous anxiety 52

Oxygen 178, 212, 265, 271

Osmium 89, 343 Other Song, The 14, 17, 48, 74, 236, 309

480

Generations In Homœopathic Practice

P

2nd Row 33, 67, 85, 90, 271

pain 28, 136, 160, 164, 174, 203, 218, 244, 262

3rd Row 54, 81, 82, 83, 84, 86, 90, 148, 174, 179, 180, 181, 182, 183, 184, 185, 207, 212, 213, 214, 222, 223, 244, 264, 285, 298

pain in the chest pressing while eating 174

4th Row 51, 54, 67, 84, 85, 86, 87, 88, 90, 103, 116, 160, 161, 244, 247, 259, 274

swallowing agg: empty 203

5th Row 87, 88, 89, 90, 91, 103, 184, 214, 244, 274

agg: liquids 203 Palladium 87, 88, 89, 342

6th Row 51, 83, 88, 89, 90, 107, 116, 174, 244

Pani puri 156

7th Row 90, 285

Papavaraceae 158

peripheral neuritis 135

parotid gland 24, 328

peripheral vision 157, 316, 317

Parotiditis 24

Peripheral vision 316

Patel, R. P. 145

persecuted 45, 70, 103, 252, 253, 256, 279, 298

pavbhaji 118 peculiar 18, 20, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 37, 39, 40, 42, 43, 44, 49, 54, 55, 60, 62, 63, 79, 84, 104, 114, 116, 124, 125, 127, 131, 132, 133, 134, 135, 136, 137, 139, 142, 143, 146, 147, 149, 150, 152, 153, 155, 156, 157, 161, 164, 172, 173, 174, 175, 178, 179, 223, 234, 278, 287, 288, 315, 316, 317, 325, 327, 329

perseverance 103, 104, 257 perspiration 125, 151, 152, 181, 211, 216, 219, 224, 254, 264, 276, 287 perspiration odor offensive 181 on face, eating while 152

peptic ulcer 29

on side lain on 151

Periodic Table 174, 179, 180, 181, 184, 207, 265, 298

single parts, not lain on 151 single parts, on parts lain on 151

10th Column 184, 213 1st Row 90 2nd column 88

when eating, warm food 152 Petroleum 23, 125, 127, 150, 154, 341 Phatak, Dr. S. R. 133 481

Similia

Phatak, S. R. 10, 17, 23, 24, 25, 26, 29, 30, 48, 61, 67, 81, 113, 118, 125, 133, 134, 135, 136, 137, 138, 139, 140, 142, 143, 145, 151, 162, 165, 172, 177, 178, 179, 180, 181, 187, 190, 191, 194, 201, 236, 237, 296, 305, 306, 313, 318, 322, 323, 324, 325, 326, 327, 328, 329, 330, 331 Phosphoric Acid 102 Phosphorus 44, 81, 146, 183, 239, 270, 342

pregnancy 39, 65, 118, 119, 219, 242, 243, 271, 287 pressure, amel 136 Proving 18, 19, 20, 25, 27, 35, 36, 40, 54, 55, 56, 57, 58, 60, 68, 86, 88, 91, 94, 96, 109, 110, 114, 115, 146, 147, 159, 174, 193, 194, 207, 208, 244, 247, 269, 272, 273, 317, 318, 323 Psorinum 133, 291, 342, 344

Piperaceae 61

Pulsatilla 30, 31, 61, 75, 78, 79, 110, 116, 124, 155, 173, 177, 184, 187, 188, 189, 190, 191, 192, 207, 210, 217, 218, 221, 222, 233, 234, 238, 267, 334, 342

Pit Vipers 92, 194

pus 24, 41, 117, 291, 313

Plant kingdom 78, 80, 90, 206, 217, 233, 242, 268, 270, 290, 300

Python 98, 99

Pic Ac 153

Platina 51

Q

poison 140, 193, 194, 196, 199, 201, 220

Q & A 19, 20, 28, 38, 40, 42, 43, 45, 46, 58, 59, 78, 79, 83, 84, 89, 91, 93, 95, 97, 99, 100, 102, 104, 112, 120, 133, 137, 141, 143, 170, 173, 206, 207, 208, 213, 214, 217, 218, 223, 226, 234, 243, 247, 255, 256, 258, 259, 260, 261, 278, 279, 288, 289, 290, 291

Polonium 89

quick 35

polychrest 104, 146

R

polycystic ovarian disease 108, 172, 210

Radar 169

Portraits of Remedies 114

Radon 89

Potassium 84

rage, fury

potency 8, 9, 12, 19, 45, 72, 120, 174, 218, 223, 233, 278, 300, 306, 328

touch, renewed by 199

Platinum 89, 237, 343 Plumbum 29, 51, 89, 312, 319, 343 PNEI Axis 68

Potentization 19

Ranunculaceae 116, 124, 184, 187, 188, 189, 190, 191, 217, 233, 274

PQRS symptoms 177, 178

rectum 482

Generations In Homœopathic Practice

diarrhúa

Revolutionary 146

morning, rising, after 153

Rheumatoid Arthritis 218, 220, 299

morning, rising, after moving about, and 153

Rhodium 87, 119

morning, waking with urging 153 ReferenceWorks 6, 14, 28, 51, 129, 169, 234, 272 remedy 18, 55, 75, 102, 116, 244, 298

Rhus radicans 102, 103 Rhus toxicodendrom 101, 102, 103, 159, 160, 248, 291 rickets 82 right brain 37, 116, 175, 294

remorse about trifles 185

Rubidium 87

renal colic 20, 21

Ruthenium 87, 103, 104

renal failure 30, 103, 119 Repertory of Homúopathic Materia Medica 145

S Sabadilla 26, 112, 113, 164, 342

Reptile 92, 198

Sac-alb 152

respiration

sadness, cannot weep 171

aggravated in summer 142

salt 54, 113, 146, 156, 168, 173, 190, 191, 263, 276, 305

asthmatic

Sanicula 151

draft of air aggravates 181

sarr 152

asthmatic, air, draught of agg 127

Sarsaparilla 136, 341

responsibility

Scandium 84, 116

aversion to 165

scarlatina 119

inability to realize 165 rest cannot when things are not in proper place 161

Schema 17, 48, 55, 74 Schmidt, Dr. Pierre 140, 141

restlessness 160, 167, 190, 238, 270

Schroyens, Fredrick 145

restlessness

scream 108, 117, 215, 243

duty, as if he has not done his 190

Sea Anemone 143

retinopathy 109

Secale cor 163 483

Similia

Sehgal, Dr. M. L. 163, 164

Shah, Dr. Meghna 242, 272

Selenium 84

shrieking, screaming, shouting, pain, with the 118

Sensation

Silica 53, 54, 81, 83, 84, 127, 152, 178, 179, 180, 181, 182, 184, 191, 192, 207, 212, 213, 215, 234

A 147 B 147

Silicea 127, 159, 170, 177, 178, 179, 180, 181, 182, 183, 184, 185, 187, 206, 210, 212, 213, 214, 218, 238, 267, 312, 342

C 147 C1 147 C2 147

similimum 45, 46, 301

C3 147 Sensation Approach 33, 45, 46, 57, 67, 75, 79, 91, 94, 95, 113, 114, 115, 119, 207, 226, 255, 259, 265, 294, 301, 312, 317

Single Remedy, The 46 skin 26, 38, 124, 126, 262 skin

Sensation in Homúopathy, The 17, 48, 74, 236, 239

discoloration

Sensation Method 13, 177, 206

white, dark borders, spots, with 26

sense of right and wrong 111, 182 sensitive

dry, inability to perspire despite exertion 124

cannot bear anything tight round the neck, throat or waist 199

sleep 26, 123, 155, 167, 190, 212, 216, 276

oversensitive

sleep

walking of people in room, to 199

half asleep, when agg 26

oversensitive; touch, to 199

half sleep evening aggravates, afternoon aggravates, before, during, falling to aggravates 26

Sepia 93, 135, 152, 154, 159, 189, 319, 342

white spots 126

serum creatinine 30, 103

position, abdomen, on 155 position, arms, hands head over 155

servile, obsequious or submissive 190

position, arms, hands head under 155

Seven Levels of Experience 94

position, arms, head 155

Shah, Dr. Jayesh 27, 40, 164, 166, 167 484

Generations In Homœopathic Practice

sleeplessness, thoughts and activity of mind, from, the same idea is always repeated 167

like hot needles 320

snake remedy 29, 58, 196, 220

coldness ice like, after cold drinks 28

Sodium 81

eructations, night, lying, agg 60

Solanaceae 64, 69, 70, 79, 91, 92, 130, 142, 239, 242, 243, 283

nausea, noise, from 31

sole 139, 198

Stomach

Soul of Remedies, The 17, 48, 74, 306

appetite, ravenous, canine, eating, two hours after 55

Spanish Fly 37

stomach

pain, lying on abdomen amel 28

stomach pain better by lying on the stomach 29

spider 35, 116, 120 spider remedy 35, 120

stool 135, 137, 153

Spirit 17, 48, 75, 344

stool

Spirit of Homúopathy, The 17, 48, 344

aggravates 137

splenectomy 112, 113, 308

boiled milk aggravates 135

Spongia 31, 34, 334

Stramonium 64, 91, 128, 129, 164, 170, 214, 234, 240, 243, 258, 283, 320, 321, 334, 340

Stannum 87, 319 Staph 152, 268, 336, 337 Staphysagria 78, 190, 191, 274, 334, 342 State 18, 19, 20, 25, 26, 32, 33, 34, 35, 46, 49, 50, 54, 58, 59, 60, 61, 66, 67, 68, 70, 72, 82, 83, 89, 95, 100, 103, 110, 111, 112, 114, 120, 125, 128, 137, 141, 143, 148, 157, 158, 163, 164, 166, 167, 170, 172, 173, 175, 194, 211, 220, 221, 222, 223, 225, 237, 240, 248, 255, 256, 257, 258, 259, 260, 272, 273, 274, 275, 277, 281, 283, 285, 287, 289, 290, 291, 292, 294, 295, 296, 306, 309, 310, 312, 314, 315, 318, 319, 320, 324, 327, 331, 334, 335, 340, 342, 343, 344 Stinging burning, pricking, smarting,

Strontium 87, 88 Study Guide 17, 48, 74, 145, 177, 236 sugarcane juice 29 aggravates 30 suicidal disposition on seeing blood or a knife she has torrid thoughts of killing herself, although she abhors the idea 83 throws himself from a height 84 Sulphur 61, 81, 84, 104, 113, 146, 152, 153, 154, 156, 159, 162, 163, 167, 183,

485

Similia

191, 244, 248, 249, 265, 287, 297, 298, 312, 334, 338, 341, 344 Sundew 97

206, 207, 316, 342 Tarzan 117, 118 taste 140, 150

suppression 45

Taste

SURVIVAL ñ the MOLLUSC 74

bitter from anger 150

suspicious 52, 129, 130, 142, 202, 203, 219, 220, 224

bitter vexation from 150

suspicious

dulled, flat, insipid watery 140

rubric 64

Technetium 87, 119

suspiciousness, mistrustfulness 198

telepathy 58

sweat 39, 119, 151, 152, 172, 181, 212, 301

Tellurium 87, 164

sweat

Thakar, Dr. Munjal 322, 331

on the head 149

Thallium 89

Sweat 149, 278

Therapeutic Pocket Book 124, 139, 145, 325

symmetrical affections 126

Testimony of the Clinic, The 46

Synthesis 17, 48, 124, 143, 145, 147, 236

Theridion 31, 32, 342

Synthetic Repertory 68, 123, 145

Thoughts, persistent, music about at night 191

Syphilinum 130, 140, 142, 151, 237, 257, 343

thermal state 211, 216, 219, 222, 232

threatening 35

systemic lupus erythematosus 110, 278

three pillars 140

T

throat 27, 200

Tabacum 64, 69, 91, 342

throat

talks, through him, other person, as if 213

choking

Tamil 86

esophagus, swallowing 27 Throat

Tantalum 107, 108, 116, 174 Tarentula 34, 35, 55, 116, 160, 161, 168,

486

choking

Generations In Homœopathic Practice

constricting, clothing agg 200

uncommon 25, 30

Thuja 39, 42, 91, 104, 126, 127, 128, 132, 133, 141, 151, 157, 168, 179, 183, 184, 187, 238, 267, 312, 318, 334, 335, 338, 342

unfortunate feeling 46

Tilia Europa 108

stricture 125

timidity, appearing in public 185

urinary Tract 36

Titanium 84

urticaria 95, 97, 119

Tiwari, Dr. S. K. 17, 145

V

tongue 78, 150, 151, 200

Vakil, Dr. Prakash 22

cracks

Valeriana 26, 313

fissures, centre 151

Vanadium 84

in the middle of the tongue 150

varicose vein 84

protruded rapidly darting in and out, like a snakeís 200

Venus Mercenaria 108, 109

touch agg

urethra 329 Urethra

vertigo 18, 130, 136, 141, 159, 221 vertigo high places 159

slight 199

old people, in 159

sensation of being touched 200

walking on hard pavements 136

Touch

worse by reading 141

agg throat agg 200 TSH 95, 221, 223 Tuberculinum. 151, 273 Tyler, Margaret 114, 145

worse by reading long 141 video 41, 58, 62, 69, 97, 165 violence 38, 199, 243, 282, 340 violence vehemence

U ulcer 28, 29, 54, 68, 139 Umbellifereae 135, 139, 170

touch, from 199 vehemence; deeds of, rage leading to 199 487

Similia

violent 19, 31, 35, 37, 109, 119, 170, 179, 231, 239, 286, 287, 288, 306, 312, 318, 319, 340 Vipera 93

warts on fingers 168 weak 27, 32, 82, 111, 180, 197, 198, 221, 223, 324

Viperidae 197, 200, 201, 202, 220

Weak 238, 245, 254, 263, 287, 300, 301, 341

vision 168, 316

Wednesdays With Rajan 8

vision

weeps, thanked, when 227

blurred, headache, beginning of, at 168

weeps, ungratefulness at 225

Vital Energy 19

Weir, John 145

Vital Force 19, 58

X

Vital Sensation 19, 175, 206, 309, 310

X-ray 138, 163, 164, 262, 328

Vithoulkas, Professor George 165

Xenon 87

vitiligo 26, 27, 125, 240

Y

W

Yttrium 87

walk

Z

agg, on hard pavements 136

zigzag 45, 46

must walk 137, 171

Zinc 159, 160, 268, 328, 334

walking in open air ameliorates 126

Zincum 84, 87, 160, 341

walking on hard pavement aggravates 136

Zirconium 87

walks more than what is good for her 161 walking must 137 Warkentin, D 6 warmth 123, 179 ameliorates, stove, of the 180 in general aggravates 126 wart 101, 181 488

Dr. Rajan Sankaran is a world-renowned homoeopath who has practiced and taught homoeopathy internationally for more than three decades. He began with a firm footing in traditional homoeopathy and introduced ground-breaking concepts such as delusion, kingdom, sensation, and levels. This has been an evolutionary process, described through his various publications spanning The Spirit of Homoeopathy to The Synergy in Homoeopathy. During this progression, Sankaran discovered that the secret to success lies in an integration of the original concepts of homoeopathy - materia medica, repertory, and case-taking - with contemporary approaches. To excel in this, one needs a strong foundation in conventional homoeopathy, as well as a clear understanding of contemporary approaches. There was a call for a textbook to take the reader through the entire evolution, as well as demonstrate step by step how various concepts are integrated in practice. That textbook is here and now in your hands. From Similia to Synergy guides the reader through the full spectrum of homoeopathic knowledge. Sankaran demonstrates integration with actual case studies. Case-taking discourses have been transcribed and parsed to allow the reader to understand Sankaran’s thought processes. Throughout, the reader is encouraged to refer to supporting bodies of work for further research and comprehension. This is a book that will help you produce solid and definite successful results in practice. 
“I am in deep appreciation of this work, which systematically elaborates the entire evolution and developments in homoeopathy.” From the foreword by Dr. Jayesh Shah, MD (Hom)

Published by

Rajan Sankaran

From Similia to Synergy The Evolution of Homoeopathy 488 pages, hb publication 2013

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