We must widen our knowledge of methods to individualize a remedy and distinguish it from another when we end with a rubric having two or more remedies. Suppose from the common symptom of a patient we arrive at the rubric Rest, when things are not in proper place, cannot. Earlier there were two remedies Arsenicum alb. and Anacardium (Now more drugs have been added like Carcinocin, Sepia, & Sulph.). How shall we differentiate between the two drugs Arsenicum alb. and Anacardium Arsenicum alb. we have already discussed in the earlier chapter (No. 5) of this book. Anacardium has the same KING PIN rubric REST, when things are not in proper place, cannot, which is also found in Arsenicum alb. The meaning and the interpretation of the rubric for both the drugs will be the same. The difference will be the way a patient is going to express it. Why can’t he be at rest? For this, the most important aspect is to keep our observation on:
HOW HE SAYS,
WHAT HE SAYS,
WHY HE SAYS
WHEN HE SAYS (a new dimension for the observation of a patient)
This feeling comes when an individual becomes sick.
Anac (a peace of mind) (Cannot achieve rest while disorder is there)
A patient says, I wish to have rest (a peace of mind) which I can’t achieve while this problem is with me (a disorder). If you could remove this disorder from my life, I would be able to get my peace of mind.”
This patient finds so many disorders around him or her, which do not allow him to settle.
REST, desire for
aesc., alum., anac., arn., bell., brom., BRY., clem., coca., colch., eug., haem., kali-bi., lach., lyc., mez., morph., nux-v., op., ph-ac., sabad., stann., vesp.
+ REST, when things are not in proper place, cannot
anac., ars., carc., sep., sulph.
(Differential Study- I could only get settled if you can remove this disturbance. While this problem is causing disturbance I can’t be all right.
(In the above example a patient wants to settle down but the problem is not allowing him or her to settle down) A patient says, “I don’t like this situation of unsettlement. (DISTURBED, av. to being) A patient says, “I have come to you to have a permanent solution of this problem.” “I am tired (TORPOR, feeling) of facing this problem every day.” (EMBARRASSMENT, ailments, after). The medicine for this kind of expression would be Gelsemium
Anacardium has a desire for rest, which he cannot achieve when things are not in their proper place.
A patient says, “Doctor, you ask me to take rest and I also wish to have it, but how is it possible when there is so much disorder in my life. Like my son, he does not listen to me, my husband he never shows any affection to me. Also my problems are not getting cured. It is not possible for me to have rest when I see so much disorder around me.”
A patient says, “I will not rest till I come out of this problem. Please remove this disorder as soon as possible no matter how it could be possible. Any method, any strong medicine, I am ready to go for it.”
CARRIED, desires to be fast
acon, ARS, bell, brom, cham, lob, rhus-t, verat
+ REST, when things are not in proper place, cannot
Although there are many rubrics common and uncommon to the two drugs, for the finer understanding we have selected those rubrics, which show their predominance in most of the cases. (*It does not mean that we can ignore or should not use other rubrics. One should not limit oneself. He or she should keep on working on each and every rubric. We sincerely welcome whatever experiences our friends get in their practice for our future research.)
Some of the selected common and uncommon rubric of Arsenicum alb and Anacardium are :
SENSITIVE, external impressions, to all
AILMENTS, from mortification
CRUELTY, brutality, inhumanity
ANGER, contradiction from
1) ANTICIPATION, complaints from
2) ANXIETY, health about
3) ANXIETY, hypochondriacal
5) ASKS, for nothing
6) BEGGING, entreating, supplicating
8) CARES, others about
9) CARRIED, desires to be fast
10) GREED, cupidity
11) INDIFFERENCE, recovery about his
13) PLAY, passion for gambling
14) QUIET, wants to be
15) REVERENCE, lack of
17) SHRIEKING, pain with the
18) WELL, says he is when very sick
1) ANTAGONISM, with herself
2) BUSINESS, averse to
3) CARESSED, caressing, husband and child, then pushes away
4) CONFIDENCE, want of self
5) CURSING, restrain himself in order not to curse, has to
6) DELUSIONS, right, does nothing
7) EGOTISM, self esteem
8) FORSAKEN, isolation, sensation of
9) GODLESS, want of religious feeling
10) HELPLESSNESS, feeling of
11) INDIFFERENCE, religion to his
13) RELIGIOUS, feeling want of
14) QUIETED, carried, only by being
15) REFUSES, treatment, every, sick, in spite of being very
16) SHRIEKING, must shriek, feels as though she
17) TALKING, agg. all complaints
18) THOUGHT two trains of thought
19) WILL, contradiction of
In the new repertories, under some rubrics, Arsenicum alb. has been added which originally was not present in Kent’s repertory, as in “helplessness. “
HELPLESSNESS, feeling of
aether, am-c, anac, ant-t, arg-n, ars. bamb-a, calad, cench, gels, germ, hecla, hell, hydrog, jasm, kali-br, lith-c, LYC, med, ozone, petr, phos, puls, rhus-t, sang, sep, stram, tax
If we study Arsenicum alb’s helplessness it comes when he feels helpless to manage the situation anymore, and then he has no other option but to take help – which otherwise he does not like to take from someone or from any therapy, to come out of the situation.
Whereas Anacardium feels helpless due to his health, which he thinks is not coming under control and he fears paralysis – total stagnation of mobility.
Another rubric, which is common to both, is:
alum, anac, androc, arg-n, ars, asar, aur, aur-ar, bar-ar, bufo, calc-p, calc-sil, CARC, con, cupr, graph, iod, kali-ar, kali-bi, kali-c, lac-ac, lac-c, lac-eq, lac-h, lob, med, morg-g, nat-ar, nat-c, nat-m, nat-p, nat-s, nux-v, oro-ac, phos, pip-m, plat, plb, PULS, sep, sil, sulph, thuj
An Arsenicum alb. patient is fastidious about maintaining the civil code – means they are very much conscious about their way of living in the society. (A standard which Chamomilla does not have). Like they feel that their house should be neat and clean, as it will carry a bad impression among people who visit them if they see their house in a bad condition. Arsenicum alb. is not eccentric. They believe in following the norms of living in a society. They become fussy about law and order. They bring to the notice of others their mistakes or errors, even if they are very minor. And they want others to amend their mistakes or errors immediately. They cannot tolerate any nonsense around them. They see much disorder around them (DISORDER, objects appear).
It does not mean that they want to project themselves to a higher position but they feel that it is the right conduct. They are highly conscious about their dignity. Nobody should come to know that they are sick; they feel bad about moving about in society with a sick face. It affects them badly and can cause depression in them with the fear that their status will be harmed if someone will come to know about their problem, so they hide. We have studied the Hiding of Belladonna Bell hides but they don t mind if they get exposed. They don’t feel depressed or have any kind of fear or consciousness about their status and morals. They believe they should not bother others, nor ask for any help for their problem. They feel guilty if they couldn’t maintain it or have to ask for help from others).
Anacardium is fastidious about his mobility (free movement). When he gets sick he is mainly concerned about MOBILITY of his body. He fears that due to the problem there can be danger to his mobility (meaning not been able to move freely or easily). (FEAR, paralysis of)
anac, am, asaf, bapt, bell, kali-p, med, syph
He has apprehension about his survival in the future once he becomes immobile. He suspects that no one will help him when due to the problem he gets bedridden or not able to help himself. He has lack of trust for his family members. (SUSPICIOUS, mistrustful)
ACON, act-sp, ambr, ANAC, anan, androc, ang, anh, ant-c, apis, arn, ARS, ars-s-f, aur, aur-s, bapt, bar-acet, BAR-C, bar-m, bar-s, bell, bor, BRY, bufo, cact, cadm-s, calc. calc-p, calc-s, CANN-I, cann-s, canth, caps, carb-v, carbn-s, carc, CAUST, CENCH, 1 cham, 1 chin, chin-ar, CIC, cimic, coca, cocc, con, crot-h, croto-t, cupr, DIG, dros, dulc, eup-a, graph, hell, hydrog, hyos, ign, ip, KALI-AR, kali-bi, kali-br, kali-p, LACH, lap-gr-m, 1 lap-mar-c, LYC, lycps, macrin, med, meli, meny, merc, mez, morph, mur-ac, nat-ar, nat-c, nat-p, nat-s. nit-ac, nux-v, op, pall, ph-ac, phos, plat, plb, psor, PULS, RHUS-T, 1 ruta, 1 sanic, sarr, SEC, sel, sep, seq-s, sil, spig, stann, staph, still, STRAM, sul-ac, sul-i, SULPH, syph, thuj, thyr, verat, verat-v, viol-t
A patient says, “At the time of need your own people with whom you are having blood relation may refuse to help you or support you. They can leave you to die. He fears that who is going to help him. He comments that nobody (even her own children, wife, mother or father) will be there to give him a glass of water. Such feelings make him fearful, which causes a negative thinking towards life and for others. Due to this fear they get over conscious about their problem that even a mild fever makes them very much concerned about their health. (ANXIETY, hypochondriacal)
acon, AGAR, agn, aloe, alum, am-c, anac, arg-n, arn, ars, asaf, asar, bar-c, bell, bry, calad, calc, calc-sil, cann-i, canth, caust, cham, con, cupr, dros, ferr-p, graph, grat, hyos, ign, iod, kali-ar, kali-c, kali-chl, kali-p, lach, lob, lyc, m-arct, med, mosch, nat-c, NAT-M, nit-ac, nux-v, ol-an, ox-ac, ph-ac, PHOS, plat, psor, puls, raph, rhus-t, sep, squil, staph, sulph, SYPH, valer
They immediately call the doctor to ask if some step has to be taken before it aggravates further.
(CAUTIOUS, anxiously cautious)
am-c, bar-c, carc, caust, lyc, puls, sil, sulph
This feeling is there in Belladonna also. They also fear about their mobility – FEAR, paralysis of – but it is not very much constant in their mind. They take this burden immediately out of their mind by thinking that they will see or manage if such a situation will come into their life. Why ruin your present now?
Case of a lady 36 yrs old, a teacher by profession. She came to me with the following complaints:
- Joints pain – both knees and fingers – (sometime in shoulder and elbow joints too), though it remains throughout the year but mostly aggravated during winters. Pains started in fingers followed by pains in both knees. Slowly they spread to shoulder and elbow. 8 yrs. R. A. Factor was negative.
- Recurrent throat infection, nearly every week. In the beginning it used to happen once in two to three months. Sensitive to pickles, cold air. 6 yrs.
- Cyst in the right thigh – approx. 5 yrs Could be earlier than that but it came to her notice only at that time.
- Flatulence. Mostly aggravated by slight overeating . 3 yrs. If by chance she ate 1/2 chapati or small portion of vegetable extra then immediately she used to feel the heaviness in the stomach and for two to three hours. she had sour eructation.
- Irregular menstrual cycle. Periods profuse only after 2-3 months. 8 months – For these ailments she had taken only allopathic treatment. She left the treatment as there was no relief. Remained without any treatment for the last 6 months. The patient presented herself with the following mental state.
Fearful whether she will get cured or not.
Occupied by negative thoughts throughout the day.
Fear of consequences of her ailments.
Had no interest in her job but doing it only because of the good salary. She desired to remain in bed and gets annoyed if children make any demands.
Annoyed by her son who did not obey her.
Curious to know about her problem but fear to go for investigation as she had apprehension of some serious outcome.
During the case taking she asked repeatedly if, in my opinion, there is something serious and whether she is curable. She always had negative forebodings about her problems. Because of her state she always remains under fear. A slight fluctuation in her problem makes her uncomfortable and negative thoughts again start coming into her mind.
Despite my assurance she kept on asking my opinion about her problem. She told me that the whole day she was occupied in thinking about it. She was very doubtful about her condition, that it may betray her.
I had an idea about this lady. She used to call me for her husband who was my patient. If he used to get some trouble she got more worried than him. She used to ask me many questions related to his ailment. Sometimes she used to accompany him. That time she asked many more questions about his ailment than he did . This time her husband wanted to talk about her. He told me that by nature she gets tense very easily. As soon as something happens to any member of the family all negative thoughts starts coming into her mind.
In a nutshell two symptoms were more predominant in her case : one was suspicious (about her health and also regarding my careful case recording of all cases pertaining to all members of her family including her own.) and her negative thoughts (which kept her always fearful).
On the basis of above I selected the following rubrics:
- SUSPICIOUS, mistrustful
- FEAR, betrayed, of being
- BUSINESS, neglects her
- LIGHT, shuns
- BED, remain in, desires to
I prescribed her HYOSCYAMUS. 6 one dose.
The next day I received a call from her. She said, I am sorry Dr. but I wanted to confirm that you have noted down all my problems. This was enough for me to be sure that she was Hyoscyamus I assured her that everything would be fine and that I had noted all her symptoms. After one week she reported that after 3 days of taking the medicine:
Her menses appeared after a gap of three months. The bleeding was profuse.
She felt slight relief in her flatulence.
No change in the size of cyst.
Pain in fingers and knee joints was slightly better.
On the basis of this report I gave her placebo for 2 weeks. For nearly two months the case was static. I kept on giving her placebo. On some days there was relief in one or two symptoms, and the next time the same were worse and other symptoms got better.
I raised the potency to Hyoscyamus 30, one dose.
The first relief she got was that her menses regularized, with normal bleeding.
Flatulence much less.
Pain in joints relieved.
She continued to get recurrent throat infection.
General efficiency – no improvement. The case remained on placebo – no repetition of medicine – for another two months. The patient told me again that she had relief but not the well being feeling. That normal feeling lasted for a very short span in between during these two months. After that I raised the potency to Hyoscyamus 200, one dose.
Pain in joints sometime relieved.
But the feeling was always there. This time I did not wait for long. When I realized that relief was not coming in a proper way I raised the potency to Hyoscyamus 1M. I could have changed the remedy but I did not. From my practical experience I learnt that sometime we change the remedy in haste and don’t look for the right potency. As I was convinced that Hyoscyamus was the right remedy for her, why change?
She was never sure whether she reported her symptoms accurately. She came back nearly every time after taking the medicine to ask me if I had noted down her particular symptoms as she was not sure if she had narrated her condition completely. She often called me on the same day or after one or two days of taking the medicine to inquire whether she had told me about her particular symptoms. She was also suspicious about my careful listening to her story. She called me immediately whenever she had noticed anything new or worse in her symptoms, or if there was some appearance of new symptom or some aggravation. She wanted to know the reason saying it did not happen to her before or this sort of feeling she never had earlier.
Because of the above two strong feelings I was convinced that she was Hyoscyamus I continued with the same medicine and kept raising the potency at shorter intervals. I exhausted the potency of Hyoscyamus from IM -CM. I switched from IM-10M-50M-CM in a time span of 20 days. The patient kept stressing that despite symptomatic relief the normal feeling was missing. Then I concluded that Hyoscyamus had worked but its action was limited. I gave her another sitting and re-analyzed her case.
I probed about her fear and suspicious behaviour which were persisting in her case.
- I asked her what kind of fear she was having.
- Related to my sickness
- What exactly is that?
- I have an apprehension that one day it shall render me non – functional. I have fear that one day I will become bedridden. Who will look after me in that event.
- I asked her why she did not express this feeling to me before?
- I never thought like that before. Before that I was more worried about its consequences, which I think got better by your medicine.
It means Hyoscyamus worked. She told me that the medicine had worked on her but not in the way she had expected. She told me that a normal feeling, which had to come in a patient after the medicine, was missing. Physically and mentally the medicine gave her some relief but not the stability.
She further said, “Who will look after me in that event?” “Sir, once I get bed ridden, nobody is there to give me support.” “I have no faith in my children. They won’t help me in this state what would they do later on”. “Also I can’t think of taking help from anybody. Even though I am sick but still I like to do my work on my own. It is only when I feel tired that I take rest. But it is impossible for me take rest for a long time when I see work around. ”
- How do you feel when you see work around you?
- I get very restless. From inside I don’t like to work. I wish to take some rest in between. But I could not rest till I finish it. When I lie down my mind gets occupied with the negative thoughts. To avoid them I think it is better to occupy myself in work. When I work I get tired very easily. Then I get irritated. That time I don’t like to fulfill the demand of my children. I like that they should help themselves and don’t bother me. It doesn’t mean I don’t care about them. I keep everything ready for them. But I don’t get worried or take it more seriously if I could not prepare food for them. My son is a totally obstinate. There is always an argument between us. He doesn’t care about his studies. I am worried about him. He never listens to me. I get very angry about it and feel very sad that he does not listen to me. I can’t tolerate if he says I would study later on. I like that he should obey me at once. I feel very sad when he misbehaves with me. Then I tell to myself why I shall worry about him let him bear the consequences. I like my children to be perfect. I wish that when I come back from my duty I see my house as I left it in the morning i.e. neat and clean. I expect my children to keep it as it is. But they never do like that.
- What do you do then?
- I have to do it myself. Who else would do it? I curse them and get irritated on them. I am not able to reach any decision. If I curse them then I could not decide if I was wrong or right. I am never able to reach to any decision. I always fight myself for my negative thoughts. But I am not able to control them to coming into my mind.
On the basis of her state I chose these rubrics:
FEAR, paralysis, of
HELPLESSNESS, feeling of
BUSINESS, averse to
REST, desires for
REST, when things are not in their proper place, can not
CURSING, restrain herself in order not to curse, has to
ANGER, contradiction from
ANTAGONISM, with herself
WILL, contradiction of
THOUGHTS, two trains of thoughts
WILL, two will, feels as if she had
CARES, worries, full of others
CONFIDENCE, want of self
FORSAKEN, isolation, sensation of
I prescribed Anacardium 30, one dose. After a week she came and said to me, “Why haven’t you given me this medicine before?” She felt relaxed. This case showed overall progress. Her acidity and flatulence problem went away within two weeks of the medicine. 3-4 times she had reported for throat infection. Placebo was given. After a while it stopped. No joint pain. No cyst. After a few months on placebo she used to send someone from home to pick up medicine for her, whereas earlier she could only be satisfied after talking to me personally. Last time she called me for fever I gave placebo – no medicine, no repetition of remedy or potency- and she got better in 2 days.
Further study about Anacardium
Why are they so concerned about the mobility?
The reason behind it is their fear, that if they become immobile then they have to depend upon others, which they can’t tolerate, as it will make their position lower in relation to others. So even if they require help, they won’t ask. And if somebody tries to help they feel bad about it. A patient says, “My friend so many times has offered his help but I have always refused to take the help. I don’t know but in spite of the fact that he is my best friend, I can t take help from him. I don’t want to feel low before him. (EGOTISM.)
act-sp, agar, alco, anac, anan, androc, arn. aur, bufo, calc, cic, cimic, croto-t, cur, hydrog, lach, lap-gr-m, lap-mar-c, lyc, med, mere, nux-v, pall par, phos, PLAT, sil, staph, stram, sulph, verat
“They want it but they can’t take it.” They should take help or they should not take help. These two thoughts run simultaneously in their mind. (THOUGHTS, two trains of thoughts)
acon, ANAC, anh, ant-t, aur, bar-c, cann-i, cann-s, caps, irid, kali-c, lac-c, lach, lyss, naja, op, paro-i, sep, sil, verb
“On one side in their mind they think that there is nothing wrong in asking help from others” – they should take the help – “but on other side they think how can they ask for help as it will put them low” – they should not ask for help (WILL, contradiction of.)
acon, ANAC, anh, ant-t, aq-mar, aur, bar-c, cann-i, cann-s, caps, irid, kali-c, lac-c, lach, lyss, naja, op, paro-i, sep, sil, verb
(WILL, two wills, feels as if he had)
Divided between the two thoughts they get confused and feel helpless to reach to a conclusion. HELPLESSNESS, feeling (It is a state where one feels that nothing can help them or they are in a situation where it is not possible for anyone to help them or they feel too stuck to bring themselves out of a situation.) They curse themselves – “I am stupid, I am an idiot, to think like this” – for this condition. (REPROACHES, himself.)
acon, ambr, anac, ars, aur, aur-ar, calc-p, cob, con, cupr, cycl, dig, germ, gink, hell, hura, hydrog, hyos, ign, lach, lap-c-b, lyc, m-arct, med, mere, myric, nat-ar, nat-m, op, ph-ac, plb, puls, sarr, sil, stram, sulph, thuj, verat
They fight inside them against their own thoughts. (ANTAGONISM with himself)
acon, ANAC, anh, ant-t, aur, bar-c, cann-i, cann-s, caps, irid, kali-c, lac-c, lach, lyss, naja, op, paro-i, sep, sil, verb
In their mind there are always two options running simultaneously to fulfill a wish or work. For this reason they believe (and which actually happens also) that they are not capable of doing anything right. (DELUSIONS, right, does nothing) anac, arg-n, aur, nat-c
Because of this instability of mind on one side they curse their own blood relations and on the other side they show lots of affection towards them. One time she becomes gentle towards her husband and children and at other time she moves them away from her. (CARESSED, caressing, husband and child, then pushes away- anac)
The family members of the patient are not able to understand her behavior that one time she becomes so gentle and showers so much of affection and next time it there is a repulsive attitude of pushing away. At one moment she is talking normally to a person and the other moment she starts cursing the same person.
A patient says, “Several times in the past it has happened that I have attempted to do a new thing and I failed miserably. But I did not feel anything bad about it. Now since this problem has started I assume before starting the work that I won’t succeed, I will fail”. (ANTICIPATION, examination before.)
acon, aesc, aeth, agn, alum, am-c, ambr, anac, androc, apis, ARG-N, arist-cl, ARS, aur, bamb-a, bar-c, bell, bor, bry, calad, CALC, calc-p, calc-s, camph, cann-i, canth, carb-v, CARC, CAUST, cench, chin, chin-s, cic, cina, cocc, coff, crot-c, crot-h, cupr, cypr, dig, dys-co, elaps, epip, ferr-p, fl-ac, GELS, GRAPH, hyos, IGN, iod, kali-acet, kali-br, kali-c, kali-i, kali-p, lac-c, lach, lec, levo, LYC, lyss, MED, mere, MEZ, mosch, mur-ac, naja, nat-c, nat-m, nat-p, nat-s, nux-v, ox-ac, ozone, petr, ph-ac, phos, pic-ac, plat, plb, PSOR, PULS, rhus-t, sec, sep, sil, spig, spong, staph, still, stram, stront-c, stroph, sul-ac, sulph, syc-co, syph, thuj, tub, verat, vise, zinc
“Now I have lost the confidence which I used to have earlier before starting anything new.” (CONFIDENCE, want of self.)