en:hahnadv:kent-jt-value-of-symptoms
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en:hahnadv:kent-jt-value-of-symptoms [2013/11/05 10:31] legatum |
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| //It may be advisable to dwell again for a little upon common symptoms.// Sometimes we find in woman the common symptom, prolapsus. It is common thing for women to say, %%''%%Doctor, I have such a dragging down in my bowels. I feel as if my insides were coming out." That is a common feature, and it is a common symptom. There is nothing about that alone that will enable you to find a remedy, but for these common symptoms we have a class of remedies. When you see a rubric containing a dozen, fifteen or twenty remedies, you may know very frequently that it is a common symptom. We would say that all women who have prolapsus have to a great extent a dragging down feeling, as if the uterus would come out. If we were to take this symptom and follow it up, we would see that it works in various directions, we would see that it runs into generals and into particulars. How shall we decide when to give //Sepia,// when //Lilium tig//., when //Murex//, when //Belladonna//, when //Pulsatilla//, when //Natrum mur.,// in such a case? To enable you to pick out of that group of remedies the one that will cure, you must study both the generals and the particulars of the patient, and the generals always first. If it be a //Nux vomica// patient, who has the prolapsus of the uterus, what will she say of herself that will make you see //Nux// in it? She would be chilly, full of coryza, with stuffing up of the nose in a warm room, she would be very irritable, snappish, want to kill somebody, want to throw her child in the fire, want to kill her husband, she would probably have constipation, and every pain that she had with it would make her want to go to stool, urging to stool, but only passing a little, and wanting to go frequently. You at once see that she has the generals of //Nux,// and whatever particulars she has, are in harmony with those generals, and so you go from generals to particulars. The whole problem, like any other scientific problem, must be gone into and followed from generals to particulars. Suppose that //Sepia// is indicated for that woman. You have in it as well this common symptom of prolapsus. Now what is there in this patient that no other patient has? The dragging down is just the same, but with it an awful all-gone, sinking feeling in the stomach, and she gets relief only when sitting with the legs crossed. She has a constant feeling of a lump in the rectum that makes her want to go to stool, but she goes for days without any urging at all. She is sallow and sickly, talks of bilious symptoms, and has a yellow saddle over the nose. She tells you that she has an aversion to her children, and feels very sad because she does not love her husband as she ought to. She is unable to exercise the love she has for her children. * Now you have that which she tells of herself in general and that which she tells of the stomach and rectum is particular and yet peculiar. You can see now that the dragging down sensation is not general, nor particular, but is common. Many of the symptoms that are of regions are both common and particular particular because they are of regions and common, because they describe a state. Scarlet fever gives us another illustration of this. We would group all the striking symptoms indicative of scarlet fever, the rash, the appearance of the mucous membrane, the sore throat, the fever, the history, and the period of prodrome. The remedies for scarlet fever must have these symptoms in common with scarlet fever. The //appearance of// scarlet fever is among the //common// things of //Belladonna. Ailanthus// has in its common things the appearance of scarlet fever. //Apis// has the appearance of scarlet fever. //Rhus// has the appearance of rough scarlet fever. //Sulphur// and //Phosphorus// have a rash similar to scarlet fever. So if we were to make a rubric for the Repertory we would put the names of all these remedies in a common group, and call it scarlet fever. But when are you going to give one remedy, and when another? We can sometimes figure out from local manifestations, things in general. For instance, you take an //Aurum trip//. patient; that which appears to be most striking is that he //picks his nose and lips until they bleed.// If you examine that state well you will understand that these parts and the fingers and toes tingle; about the extremities where the circulation is feeble and where the nerves are abundant, in the ends of the fingers and toes, there is an unusual tingling like the //creeping of ants// and he keeps picking at these parts. It is a state marking almost the whole economy. If you. watch a little more closely you will see that a liquid oozes out of the parts he has picked, a bloody, watery oozing, and that it denudes the skin around. It becomes a part of general state. Then in scarlet fever with the rash only partly out we want to take the language of nature alone I spoke of //Phosphorus. Phosphorus// has a typical scarlet fever rash. Suppose you have a case that is putrid, the rash has become very dusky, and the skin has become mottled and purplish, and there are places about the body that have a tendency to suppurate. You find there are swellings about the neck and swellings upon the hands and fingers that are inclined to suppurate, or there is an oozing round about them and pus is welling forth, and the case is so putrid and offensive that as soon as you enter the room you detect the horrible stench. If you examine into the case you will see that the child cannot get water enough, and cannot get it cold enough; the countenan»ce is sunken and the eyes are puffed and swollen and red. Blotches are appearing of a septic character intermingled with the scarlet fever blotches. There you have a //Phosphorus// case and //Phosphorus// will stop the trouble immediately. Now what have you gathered together. You have gathered an evidence of the //general// state. You see running all through that case //putridity// and a //zymotic// state. You may have many cases of //malignant// scarlet fever and you will find that you can manage them with your remedies as you would an unruly horse with reins. | //It may be advisable to dwell again for a little upon common symptoms.// Sometimes we find in woman the common symptom, prolapsus. It is common thing for women to say, %%''%%Doctor, I have such a dragging down in my bowels. I feel as if my insides were coming out." That is a common feature, and it is a common symptom. There is nothing about that alone that will enable you to find a remedy, but for these common symptoms we have a class of remedies. When you see a rubric containing a dozen, fifteen or twenty remedies, you may know very frequently that it is a common symptom. We would say that all women who have prolapsus have to a great extent a dragging down feeling, as if the uterus would come out. If we were to take this symptom and follow it up, we would see that it works in various directions, we would see that it runs into generals and into particulars. How shall we decide when to give //Sepia,// when //Lilium tig//., when //Murex//, when //Belladonna//, when //Pulsatilla//, when //Natrum mur.,// in such a case? To enable you to pick out of that group of remedies the one that will cure, you must study both the generals and the particulars of the patient, and the generals always first. If it be a //Nux vomica// patient, who has the prolapsus of the uterus, what will she say of herself that will make you see //Nux// in it? She would be chilly, full of coryza, with stuffing up of the nose in a warm room, she would be very irritable, snappish, want to kill somebody, want to throw her child in the fire, want to kill her husband, she would probably have constipation, and every pain that she had with it would make her want to go to stool, urging to stool, but only passing a little, and wanting to go frequently. You at once see that she has the generals of //Nux,// and whatever particulars she has, are in harmony with those generals, and so you go from generals to particulars. The whole problem, like any other scientific problem, must be gone into and followed from generals to particulars. Suppose that //Sepia// is indicated for that woman. You have in it as well this common symptom of prolapsus. Now what is there in this patient that no other patient has? The dragging down is just the same, but with it an awful all-gone, sinking feeling in the stomach, and she gets relief only when sitting with the legs crossed. She has a constant feeling of a lump in the rectum that makes her want to go to stool, but she goes for days without any urging at all. She is sallow and sickly, talks of bilious symptoms, and has a yellow saddle over the nose. She tells you that she has an aversion to her children, and feels very sad because she does not love her husband as she ought to. She is unable to exercise the love she has for her children. * Now you have that which she tells of herself in general and that which she tells of the stomach and rectum is particular and yet peculiar. You can see now that the dragging down sensation is not general, nor particular, but is common. Many of the symptoms that are of regions are both common and particular particular because they are of regions and common, because they describe a state. Scarlet fever gives us another illustration of this. We would group all the striking symptoms indicative of scarlet fever, the rash, the appearance of the mucous membrane, the sore throat, the fever, the history, and the period of prodrome. The remedies for scarlet fever must have these symptoms in common with scarlet fever. The //appearance of// scarlet fever is among the //common// things of //Belladonna. Ailanthus// has in its common things the appearance of scarlet fever. //Apis// has the appearance of scarlet fever. //Rhus// has the appearance of rough scarlet fever. //Sulphur// and //Phosphorus// have a rash similar to scarlet fever. So if we were to make a rubric for the Repertory we would put the names of all these remedies in a common group, and call it scarlet fever. But when are you going to give one remedy, and when another? We can sometimes figure out from local manifestations, things in general. For instance, you take an //Aurum trip//. patient; that which appears to be most striking is that he //picks his nose and lips until they bleed.// If you examine that state well you will understand that these parts and the fingers and toes tingle; about the extremities where the circulation is feeble and where the nerves are abundant, in the ends of the fingers and toes, there is an unusual tingling like the //creeping of ants// and he keeps picking at these parts. It is a state marking almost the whole economy. If you. watch a little more closely you will see that a liquid oozes out of the parts he has picked, a bloody, watery oozing, and that it denudes the skin around. It becomes a part of general state. Then in scarlet fever with the rash only partly out we want to take the language of nature alone I spoke of //Phosphorus. Phosphorus// has a typical scarlet fever rash. Suppose you have a case that is putrid, the rash has become very dusky, and the skin has become mottled and purplish, and there are places about the body that have a tendency to suppurate. You find there are swellings about the neck and swellings upon the hands and fingers that are inclined to suppurate, or there is an oozing round about them and pus is welling forth, and the case is so putrid and offensive that as soon as you enter the room you detect the horrible stench. If you examine into the case you will see that the child cannot get water enough, and cannot get it cold enough; the countenan»ce is sunken and the eyes are puffed and swollen and red. Blotches are appearing of a septic character intermingled with the scarlet fever blotches. There you have a //Phosphorus// case and //Phosphorus// will stop the trouble immediately. Now what have you gathered together. You have gathered an evidence of the //general// state. You see running all through that case //putridity// and a //zymotic// state. You may have many cases of //malignant// scarlet fever and you will find that you can manage them with your remedies as you would an unruly horse with reins. | ||
| - | Now, as to the grades. The value of symptoms is divided into three grades. General symptoms are divided into three grades, first grade, second grade and third grade; and particular symptoms and common symptoms are divided into the same three grades. You will see in Boenninghausen a fourth grade, but as a matter of fact these remedies do not form a grade; they are only the probationary remedies, requiring demonstration by reproving and clinical confirmation. The //general// symptoms of the //first// grade are such generals as //all or the majority of powers state of themselves// as a class. For instance, take that symptom of //Apis, "suffocation in a warm room."// All, or nearly all, the provers of //Apis// were affected to a great extent in that way. All the provers of //Pulsatilla// were worse in a warm room. There can be no doubt about such a symptom, for all the provers feel that state so strongly. //Kali hyd.// //Pulsatilla, Iodine,// and //Apis// are among those that have that symptom in the first grade, //worse in a warm room, suffocation in a warm room//. Now, when those symptoms have existed as generals among the provers, come into the experience of the practitioner and are confirmed by curing these states extensively wherever administered, for years, then those remedies are fully entitled to this grade. When only one prover has recorded a certain symptom, it is doubtful whether that is a symptom from the action of the remedy, but when several provers have recorded the same symptoms, it becomes confirmed. When that symptom has been removed or cured by the remedy in the hands of a physician, it can then be said to have been verified. So that symptoms are recorded, confirmed by reprovings and verified upon the sick. When several provers have observed that //Pulsatilla// causes aggravation in a warm room, and this is confirmed by other provers, and then verified by cure upon the sick, it places //Pulsatilla// in the first grade of that general state. Suppose it were something that was in relation to the bladder. //Pulsatilla// has a symptom of frequent urination. Now that is immediately classified as a particular symptom because it relates to a region. Now if all of these provers had irritable bladder when they took //Pulsatilla// that wotald be a confirmation of it, and if it cures for years, experience verifies //it// and it is then placed, as belonging to //Pulsatilla// under the //particulars// and marked in the //highest// grade. So with the symptoms of bearing down, which also comes under //Pulsatilla//. That would be classed as a common symptom, but of the first grade. | + | Now, as to the grades. The value of symptoms is divided into three grades. General symptoms are divided into three grades, first grade, second grade and third grade; and particular symptoms and common symptoms are divided into the same three grades. You will see in Boenninghausen a fourth grade, but as a matter of fact these remedies do not form a grade; they are only the probationary remedies, requiring demonstration by reproving and clinical confirmation. The //general// symptoms of the //first// grade are such generals as //all or the majority of powers state of themselves// as a class. For instance, take that symptom of //Apis, "suffocation in a warm room."// All, or nearly all, the provers of //Apis// were affected to a great extent in that way. All the provers of //Pulsatilla// were worse in a warm room. There can be no doubt about such a symptom, for all the provers feel that state so strongly. //Kali hyd., Pulsatilla, Iodine,// and //Apis// are among those that have that symptom in the first grade, //worse in a warm room, suffocation in a warm room//. Now, when those symptoms have existed as generals among the provers, come into the experience of the practitioner and are confirmed by curing these states extensively wherever administered, for years, then those remedies are fully entitled to this grade. When only one prover has recorded a certain symptom, it is doubtful whether that is a symptom from the action of the remedy, but when several provers have recorded the same symptoms, it becomes confirmed. When that symptom has been removed or cured by the remedy in the hands of a physician, it can then be said to have been verified. So that symptoms are recorded, confirmed by reprovings and verified upon the sick. When several provers have observed that //Pulsatilla// causes aggravation in a warm room, and this is confirmed by other provers, and then verified by cure upon the sick, it places //Pulsatilla// in the first grade of that general state. Suppose it were something that was in relation to the bladder. //Pulsatilla// has a symptom of frequent urination. Now that is immediately classified as a particular symptom because it relates to a region. Now if all of these provers had irritable bladder when they took //Pulsatilla// that wotald be a confirmation of it, and if it cures for years, experience verifies //it// and it is then placed, as belonging to //Pulsatilla// under the //particulars// and marked in the //highest// grade. So with the symptoms of bearing down, which also comes under //Pulsatilla//. That would be classed as a common symptom, but of the first grade. |
| Now, suppose that there are some symptoms that have only been brought out by a few of the provers they do not run through the whole family of provers, but they have been confirmed and occasionally verified, then you see it is entitled to so much consideration, and as a matter of degree it belongs to the second grade, because it is not so strong as the first grade, which produces these symptoms upon everybody or nearly everybody. Of course what is true of the generals will be true of common and particular. Then as to the third grade. Now and then a prover brings out a symptom andit has not yet been confirmed by reproving, but it stands out pretty strong, and seems to be worthy of a third place, or it has been verified by having cured sick people, or perhaps it is admitted as a clinical symptom. Sometimes close and careful observers have noticed that certain symptoms not in the proving have generally yielded to a certain remedy, and others have confirmed this clinical experience, these symptoms are admitted and go into the third grade. A great many of Boenninghausen's fourth grade symptoms really belong to the third grade, because Boenninghausen was very cautious with the symptoms that had never been verified. His fourth grade remedies include such as he had gathered from his clinical experience and he was doubtful about the propriety of placing them in the third grade, and also those symptoms that had occurred in the provers but had not proper confirmation or were not verified. He laid them as it were upon the shelf for approbation, to be hereafter proved or accepted. | Now, suppose that there are some symptoms that have only been brought out by a few of the provers they do not run through the whole family of provers, but they have been confirmed and occasionally verified, then you see it is entitled to so much consideration, and as a matter of degree it belongs to the second grade, because it is not so strong as the first grade, which produces these symptoms upon everybody or nearly everybody. Of course what is true of the generals will be true of common and particular. Then as to the third grade. Now and then a prover brings out a symptom andit has not yet been confirmed by reproving, but it stands out pretty strong, and seems to be worthy of a third place, or it has been verified by having cured sick people, or perhaps it is admitted as a clinical symptom. Sometimes close and careful observers have noticed that certain symptoms not in the proving have generally yielded to a certain remedy, and others have confirmed this clinical experience, these symptoms are admitted and go into the third grade. A great many of Boenninghausen's fourth grade symptoms really belong to the third grade, because Boenninghausen was very cautious with the symptoms that had never been verified. His fourth grade remedies include such as he had gathered from his clinical experience and he was doubtful about the propriety of placing them in the third grade, and also those symptoms that had occurred in the provers but had not proper confirmation or were not verified. He laid them as it were upon the shelf for approbation, to be hereafter proved or accepted. | ||
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