Saturday, March 13, 2010

Mandragora: The Quieter Side of Belladonna

Mandragora: The Quieter Side of Belladonna

A successful case of a lesser known remedy

(Names and identifying features have been changed, and this case is published with permission by the parent and child)

January 24, 1992

Emily, a 4-year-old girl, first came to see me in January 1992. She was a stocky, blond child who had an unhealthy color to her skin. She was quite pale and had a sullen look - as if a dark cloud shadowed her. She was active with slightly destructive behavior. She was a little rough with the things in my office - banging into tables and slamming doors.

Emily’s mother begins to speak:

Emily started to have ear infections when she was 4 months old and then stopped a few months later when I took her off dairy. They came back this past summer. The ear infections are usually on the right and she will have a fever. The pain can be intense. Normally she has a very pale face, but when she gets a fever she flushes and has dark circles under her eyes. She will get quiet and cranky with the fever.

She is a very self-directed and moody child. She will have temper tantrums if you try to influence her. She screams, and will kick and hit if you try to restrain her. She says, “I hate you, you aren't my friend.” She has an inner violence and has smashed two mirrors recently. She is a very obstinate, bright and intense child; whatever she feels, she feels intensely. She is sensitive.

She is very curious about death and asks a lot of questions about it. She is not fearful but has a precocious understanding. She is fascinated by graveyards and the darker side of life. She likes to watch, over and over again, the video of Bambi’s mother getting shot. She will ask, “Why is there death? Where do you go when you die? What happens?” She is fixated on the Red Bull who is an evil character in the Last Unicorn video. She likes to watch the bull getting the unicorn.

[At this moment, Emily is hopping like a bunny, around and around in a circle]

She has a hard time going to sleep and awakens early in the morning. She says she is afraid she will die young, or that she might die in her sleep. She makes humming and muttering noises to pacify herself. She hates the dark, and she sleeps with the light on. Sometimes she has nightmares three to four times a week. She dreams of skeletons, wild animals and owls. It is almost impossible to wake her. She usually awakens between 1:00 and 4:30 am with the dreams.

She is afraid of monsters under the bed or in the closet, and she used to check for them. She is afraid of coat hangers; I had to take them all out of the closet when she was younger. She is afraid of sirens.

She can be very intense in her focus. She used to unnerve people because of her eye contact as a baby. She walked at 5 months. She was small for her age and wanted my attention all the time. When she turned 4 it started to dissipate. She doesn’t do things in the middle; it is one extreme or the other. I have had a hard time setting limits; she pushes against them all the time.

She is extremely curious. She has a remarkable connection to animals. She loves to draw pictures of them and tell long stories. She wants to create what she is imagining. Right now she has an idea she wants to save elephants, so she is making plans to build a preserve.

She gets along with other children and has two friends. In a group she has an inward focus and won’t join an activity circle; yet she is the dominant child in playgroups. She is very private about what is going on with her. If I ask about daycare she says, “I don’t want to tell you.” She is guarded about what is going on in her heart. She is not really affectionate.

She is not a morning person. She is warm-blooded and hates wearing clothes. She is not interested in them and will wear the same thing for days. She likes chicken, hot dogs, sausage, peanut butter and sweets. She doesn’t like eggs. She has average thirst. She sleeps on her left.

She has masturbated since she was 1 and 1/2 years old.

When she was born I labored for 30 hours. She had to be pushed back in before she could come out.

P: I first prescribed Tuberculinum and then months later, Belladonna and Stramonium. None of these remedies had any remarkable effect.

Six years after the initial visit

November 3, 1998

She is 11 years old now, with the same dark circles and pale look. A little like a blond version of Wednesday from the Addams Family television show.

Mother speaks:

Emily has been diagnosed with Attention Deficit Disorder. She started middle school this year and there was a big leap in the amount of homework to be done. It has been a bit of a challenge for her.

Emily speaks:

I don't get most of my homework done; it takes me 2-3 hours a night. I like certain classes in school like drama class. It's fun because you get to do whatever you want. We play "freeze" and then we get "sculpted." I like writing class too. I think my Astronomy and Science classes are the most difficult.

[Emily squints and blinks spasmodically throughout our conversation; like she has a tic]

I have lots of friends and we don't get into trouble too much. I like my friend Tanya, you can trust her if you tell her a secret. I live with my mother and step-dad and I see my father three-and-a-half days a week.

I am afraid of wars and worry someone could come and bomb Seattle. And I am afraid of gang members. I've read stories. They take drugs and do violence. I don't want to get hurt. I worry if I am home alone. Sometimes I'll be home three hours at night while my dad is out. I feel nervous, mostly about robbers. When I was little I was afraid of coat hangers. I still sleep with the light on because when I wake up it is really dark and I like to be able to see.

This year for Halloween I was a ‘killer cheerleader’ and the year before I had darts stuck all over my face.

[Emily described her costume as consisting of a cheerleader uniform with a knife stuck through her chest, blood spattered across the front of her sweater and dripping down her face. One arm was mangled and dangling as if it had been nearly ripped off]

Emily leaves the room and her mother continues:

Emily is not very verbal, but she loves to write. She doesn't like to focus on things she isn't interested in. Outside that circle, nothing else exists. She doesn't have the time of day for anything else. It is like pulling teeth to get her to do things she doesn't want to do. She would be happy if all she had to do was art, drama or writing. She has always had a constant fascination with animals.

She can't be flexible with her friends. She doesn't let someone into her own world, nor does she reach into theirs. She is connected to this other place, and even if she wants to fit in, this other world overtakes her. She arranged for a rite of passage ceremony when she was ten, for her menarche. She created a medicine wheel and lit candles.

She is daring and wants drama and excitement. She was the leader for a bungee jump for a group of kids. Another time she rented a limousine, dressed to the "nines" and went out for ice cream with her friends. Once she arranged for a belly dancer to teach her classmates how to dance. Her friends are not necessarily interested in these things.

As a child she was fascinated with the darker side of life. She was curious about death, not fearful of it. She wanted to watch over and over again the part in the movie where Bambi's mother is shot by the hunter. Or she would watch another movie repeatedly about unicorns and how the evil Red Bull gets them. She would watch that part over and over again. She was always fascinated by graveyards. She reads book after book of horror stories and loves fantasies and magic.

She can be very guarded and private about her feelings. She came into the world closed and the ADD may be a way for her to close off further from all the stimulation. She can get a sudden temper just out of nowhere. When she was little she often had temper tantrums. She displays a lot of aggression in her roughhousing. She will really whack her step-dad.

She stole some make-up from her father's girlfriend. She denied it. She needs more attention from him.

P: Mandragora 200

6 Weeks later

December 14, 1998

Emily’s mother speaks:

Her blinking stopped immediately and she recently got a note from her teacher saying she "exceeded expectations." There has been a sweetening of her. She seems less guarded and more vulnerable. She still keeps things inside however. She has been turning her homework in on time, where before it would be two or three days late. She says she is concentrating in class easier and isn't goofing off as much.

A: I am pleased with her response to the remedy. A physical symptom has improved as well as her overall state.

P: Watch and wait

I continued to see Emily every 2-3 months. I repeated the remedy in March due to some return of the blinking and because she began to turn in her homework late. I increased the potency to a 1M in July and repeated the remedy again in November.

15 months later

February 15, 2000

Emily speaks:

The remedy helps me to focus and I don’t feel depressed anymore. My classes are going well and I am getting my homework in on time.

Mother speaks:

Emily is doing remarkably better, I noticed within two hours of her taking the remedy that she seemed to improve. It made a huge difference and she really has started to blossom. She has more friends and she seems really engaged with them, more “out there.” Her father has been in therapy and is more available to her now.

But her blinking started a week ago again so I brought her in. She blinks when she is anxious.

She had a sore throat a month ago that lasted three days with fevers of 102. She got over it quickly. I don’t remember if it was worse on one side or not.

She had a dream about being in the snow and some birds came to sit on her. One was a very rude parrot and she gave him away to someone so they could eat him. The rest of the birds she kept as friends. She also just wrote a book for school; it was about life, death and love. In the story a boy, with multiple personalities, drowns. He has tried to kill the girl. Emily says at the end “She will always hold the memories in her heart”. It is about a girl who has a huge pain that made her different from others. That she is marked in some way, and never able to go back.

Emily has dealt in the underworld all her life. She used to freak people out even when she was just a few days old because she would look at you with so much intensity. But now she is enjoying being different. She tested in the top 10 percent in the country on her verbal SATs.

The remedy seems to allow her to receive love and helps her to understand that I am there for her.

P: Watch and Wait

Almost two years after the initial dose

October 11, 2000

Mom speaks:

Everything is great! Emily is in an amazing place. Before she took the remedy she was getting Cs and Ds on her report card. Now she is getting all As, and she has joined a volleyball team. It is amazing how she has relaxed into the world. She has come into it in a way I never imagined she would. It is like the sun came out. She can still be private, but she is not brooding anymore. She still has no blinking.

Emily speaks:

I am not afraid of the dark anymore. I am not afraid of anything. Everything is going fine. I like school and it is my birthday tomorrow. This year I am planning to dress up as Little Red Riding Hood for Halloween.

A: Overall Emily seems to be doing great. She is happy and succeeding in school. I am quite charmed that she has chosen Little Red Riding Hood to portray for Halloween. This storybook character seems to reflect a number of elements that are representative of a healthy expression of this remedy.

P: Watch and wait.

Mandragora: The Quieter Side of Belladonna

What struck me on my first meeting with Emily, when she was only four, was how self-contained she was. There was a coolness about her and a distance between her mother and herself. I remember Emily standing in the corner of our waiting room looking at the toys but not engaging with them. When she came into my office she gazed out the window, for a long time, at the cemetery across the street. After our first appointment she asked her mother if they could take a walk there.

She seemed set apart by her nature. Her fascination with and fear of death was at the center of her being. She did not express her fears with as much anxiety or activity as you might see in a Belladonna child, but instead she had a trance-like interest. She would watch over and over the death of the mother deer. She would read one scary story after another. She would dress up for Halloween as gruesome visions of death. She became fascinated with the very world that so frightened her.

In addition to these two characteristics she was captivated by a world of ritual and magic. These were her strategies to survive in a world that seemed full of danger.

In general, this case illustrates an intensity that I have seen in many of the Solanaceae. However, rather than the wildness of Belladonna, the terror of Stramonium, or the sense of betrayal of Hyoscyamus, there is a withdrawn quality coupled with intense focus. What seems to characterize Mandragora is not mania but a numbness with excitability; or what Whitmont calls a “drowsy hypnotic anxiety.” In Emily we see this as a quality of being removed; residing in her own world that is both fearful of and fascinated with death and darkness.

The Solanaceae plants seem to reside between these two worlds of Light and Dark. These plants often prefer growing in the shadows such as along a hedge or in the shade of a tree. Belladonna is an upright plant with the characteristic shiny black berry at the center of the corolla. These berries resemble a deep black pupil - as if dilated in order to be able to see in the dark.

Stramonium has flowers that are dead white or lavender; that only open in the evening, emitting an intoxicating scent. At night the dark, jagged leaves close up around the flowers like a cloak. The undersides of the leaves have a pale, ghostly color in contrast to the deep gray-green above and the dark purplish stems. When in fruit this plant looks quite hostile due to the spiky, explosive pods known as thorne apples.

Hyoscyamus looks like some spiny creature with tiny hairs and wild looking flowers. It also has a heavy, oppressive odor. There is another specie of this plant that is called Bella Noche. This Hyoscyamus is so named because its scent is reminiscent of the cheap perfume of prostitutes. One can imagine the physical qualities of the plant reflected in the symptoms of shameless behavior that Hyoscyamus is so well known.

Mandragora has the characteristic jagged leaves and foetid smell of the Solanaceae. It has small bell-like flowers that are white, tinged with purple. The fruit resembles a small apple or pear. And the roots were thought to look like the bodies of men and women. One of its common names is Love Apple, which refers to its use as an aphrodisiac and fertility herb.

There were many beliefs and fears about it’s various properties. It was thought to be dangerous to gather Mandragora root because the scream from the plant, when it was pulled from the ground, was so intense that it would kill anyone who heard it. Dogs were used to uproot the plant in order to avoid these mishaps.

It was also thought that if anyone touched the herb they would be marked by bad luck. It is interesting to me that Emily wrote a story about a boy’s attempt to kill a girl because she was “marked”. I think that was how Emily felt about herself; that she was different; that she had a “huge pain that made her different from others.” She would organize belly dancing lessons and bungee jumping for her friends. But these extreme activities didn’t bring them closer; instead they clarified the distinction between them. She was wild, courageous and attracted to danger and sensuality. And as the young girl in the story, she had a “huge pain” that, in essence, courted death.

Mandragora is also associated with witches and, in particular, Kirke, who transformed humans into animals and Hecate who chased “whining dogs, while walking across ... graves ... and through dark streams of blood." This association with dogs is interesting because many of the Solanaceae remedies have symptoms relating to animals; dogs particularly. I have several cases of Solanaceae remedies where the child dreams of animals turning into humans.

It seems these remedies are more animal-like than other plants. Anthroposiphists believe this family shares a large measure of characteristics with the Animal Kingdom. According to Grohmann the purple stems of Stramonium and the seductive flowers of Hyoscyamus suggest a more sexual and animal-like nature. We can see this in their symptom pictures as well. Belladonna and Hyoscyamus both can growl and bark like dogs and Stramonium can mimic animal voices and gestures. We see their fears and delusions residing in this realm as well.

In Emily we saw her attraction and affinity for animals. She wanted to create a preserve to save elephants. She had dreams of wild animals and owls. Her mother tells us she always had a deep connection and fascination with them. I think for Emily it was in part, a world she could enter into where she didn’t feel so alone, so different. She could identify with the “otherness” of these creatures.

All the Solanaceae herbs were believed to have the ability to take away one’s inhibitions. Removing reason leaves us with instinct and impulse; something closer to an animal state. Stramonium and Belladonna were used in an ointment to induce a sense of erotic flying, in other words "flying on the witch’s broom." The scent of Hyoscyamus was also known to produce a floating sensation and the ingestion of the plant would cause wild dancing and shameless writhing. Emily expressed a precocious sexuality as well: masturbating at an early age.

Another impulse of the Solanaceae is kleptomania. Perhaps it is not unusual for children to go through a phase of stealing, but it was one of the symptoms that made me consider prescribing Mandragora in Emily’s case. Massimo Mangialavori also has found that many of his Mandragora cases have this trait.

Hecate, the witch associated with Mandragora, was further known as the "...the enemy of light and friend of darkness, who loved the spilling of blood, who walked over corpses, [and] the graves of the dead...." We can see some of these images in Emily. Certainly her Halloween costumes reflected this - dressing as a victim or perpetrator of violent deaths. And graveyards were one of Emily’s favorite places.

It is interesting to me that it was the death of the mother deer that so captivated her. It suggests her own state resonated with this image - the idea of a sudden and violent death. She was both frightened of and entranced by this idea. This is a distinguishing point for me in this case. In Belladonna I see many more instances of fear of dogs and the dark. And in Stramonium a fear that something could harm or injure them. But this fascination with death seems peculiar to Mandragora.

Her love of ritual and magic is also noteworthy. Emily created rites and ceremonies for herself by lighting candles and casting circles. One of her mother’s friends would meet with her to perform these rituals. This was a woman with whom Emily was closer to in some ways than her own mother.

Mandragora has long been associated with magic and the repertory cites two other Solanaceae with this symptom. Belladonna has the delusion that they are a magician and Solanum tuberosum aegrotans, or diseased potato, has dreams of magic.

An interesting side note is that according to Anthroposiphists, the potato, a member of this family, affects the nervous system and “interrupts creative, artistic thinking and simply supports materialistic thought.” They suggest that if people notice they are becoming forgetful, inattentive and sleepy, it can usually be connected to eating too many potatoes.

When Emily first presented to me she was intense and highly focused. So focused that, as an infant, she unnerved people with her gaze. She was described as “obstinate, bright and intense.” But as time went on her focus changed to dullness - an inability to concentrate. She didn’t “like to focus” on her school work or anything that wasn’t a part of her “other world”. This case illustrates the progression of disease. At the age of four we see that her desire and need for attention is “dissipating.” This is an instructive moment. Her ear infections had returned and her request for attention lessened. As time passed she moved deeper into her own world. She moves away from the vividness of high fevers and ear infections to a mental state that is dull. It is not the kind of numbness of mind that we might see in Helleborus. But more a trance or fascination with something. One can see the move from intensity to numbness expressed here.

In Helleborus, a member of the Ranunculaceae, we have a state that is benumbed - a kind of fog that overtakes the mind. This state of Helleborus seems to come from a broken or disrupted relationship, and in all my cases there has been a history of extreme abuse, as well. So what is it that distinguishes Helleborus from Mandragora in this regard?

One element that seems to differentiate the Ranunculaceae from the Solanaceae is how they feel forsaken. With remedies like Pulsatilla and Helleborus it seems that they were once in relationship and now feel deprived of that warmth. They long for connection and try to remain childlike as a means to retrieve the love and attention they have lost.

But the Solanaceae seem to have an experience of separateness that is cooler. Not a loss of something that was once warm, but rather, something that was never attainable in the first place. Is it the nutrition of the family soil that is different or the experience of the child? Most likely a little of both. But there does seem to be a greater disconnection between the Solanaceae child and their parents.

The Belladonna child will rage wildly, throwing themselves on the floor or striking out at their mother. But when these tantrums have occurred in my office, I have been surprised at the lack of connection between the child and the parent. It is as if the child is in their own world and the parent has distanced themselves as well. With Stramonium the feeling is that the child is completely alone in their terror; that there is no one who can bridge their fearful world with light and love. They so yearn for it, but feel a kind of dark isolation instead. And in Hyoscyamus the child feels a betrayal. Another sibling is born and the love that they longed for is even more unreachable now. In fact, what they so wished for, but never received, is being given to someone else.

In Emily we see some signs of this cool disconnection when her mother describes how “she wanted my attention all the time” and that “she needs more attention from [her father]”. In that statement is the seed of the idea that there is a greater need going unfulfilled. In some remedies there may be an insatiable hunger for love and connection in an environment that is loving, but I think in the Solanaceae there is a larger family dynamic that contributes to this disconnected state. That Emily felt closer to her mother’s friend than her own mother, or that it was the mother deer’s death that she was entranced by, suggest a larger story. We see the idea that there wasn’t enough attention for Emily and that she had a fear of losing it. But what is most interesting to me, is how Emily responds to these situations. She portrays some of the other Solanaceae strategies but more markedly she disconnects. Her mother says she is “not an affectionate” child, that she “doesn’t let anyone into her own world”. She is guarded and private. That “this other world overtakes her”.

I think the Solanaceae want relationship but they don’t trust its availability. Belladonna, Stramonium and Hyoscyamus all feel persecuted and suspicious. Stramonium and Hyoscyamus feels animals could devour them. Stramonium feels the need to be watchful or vigilant. Belladonna feels they could be injured. We can see by these symptoms that this family of plants does not rest easily; they do not trust that the world is safe. Instead, they feel aware of a constant threat. This makes them suspicious of not only creatures lurking in the night but loved ones as well.

In Emily we see her retreat to a place that is unreachable, with a resignation that the world is dark and forbidding. This is where Belladonna and Mandragora particularly diverge. A Belladonna child rages by moving into the world; they are full of fright and violence. Mandragora seems to withdraw. Emily tells us she likes her friend because you can trust her. Not because she is fun, or they share interests but because she will keep her secrets.

How did Emily get this way? I think it is quite possible that her birth trauma was a contributing etiology. To travel down a narrow passageway for 30 hours only to be pushed back in before she was allowed to come out would be terrifying and dissociating. What would one believe about the world as a result of such an experience? Why trust a world that pushed you away, who pushed you back when you were moving towards them?

All the Solanaceae have many fears. They are afraid of ghosts and animals that are hiding in the shadows, who will spring out and harm them. This is a projection of their inner state; they experience their own wildness and project that outside themselves. The Solanaceae believe the world outside is just like how they feel inside.

Emily had fears of monsters in the dark and, as she grew older, this changed to the unpredictable violence of gangs and war. I often see the sophistication of the fears of a child as they age. But what was unchanging in Emily was the idea of a sudden, impulsive violence. It is this quality that particularly excites the Solanaceae – that something wild will leap out from the dark and harm them.

Emily slept with a light on for nearly thirteen years. In the day she could find a way to live in her world, but at night all the wildness could creep into her room. She was afraid she would die in her sleep. She would hum or mutter to herself because her most frightful experience was the dark and to be able to enter into it, she had to numb herself.

Mandragora was once used as an analgesic and soporific; Shakespeare’s Juliet took this herb to feign death and induce a deep sleep. Emily’s mother reported that it was difficult to awaken her as well. But that dreams could awaken her easily, often between 1 and 4 am. The sleep of Mandragora is deep but restless and often disturbed by horrible dreams and nightmares, especially from 3 to 5 am. This is the general time of aggravation for Mandragora. Belladonna has its aggravation most commonly at 3 pm.

Emily’s dreams were interesting to me as well. The whole family of the Solanaceae has nightmares of wild animals, murder and ghosts. Emily had dreams of skeletons, wild animals and owls. Her dream of the parrot is interesting because it is suggestive of the rubric Dreams of being eaten. She makes friends with some birds, but because one is being unruly she gives it away to someone to eat. Some analysts believe we are all the characters in our dreams. And to see the unruly parrot as an expression of Emily makes this rubric more applicable. To be devoured is a repeated image in this family of remedies.

Emily was described as “extreme”; as someone who “pushed against limits.” She was dominant in play groups yet inward and self-directed. She has these two seemingly contradictory states: “hypnotic anxiety” and “excitable numbness.” Even in her fevers we see a “quiet crankiness.” But it is in these paradoxes where the primary or core feeling of a case is clarified. She was afraid of the dark yet she is attracted to darkness. She was intensely focused and then becomes dull. She wants attention yet she pushes others away. She is afraid of death yet she watches over and again the death of the mother deer.

Emily’s physical symptoms are reflected in this remedy of Mandragora as well. And certainly they resemble Belladonna, the remedy closest to Mandragora. She had right-sided ear infections, and high fevers with flushing of the face. Belladonna and Mandragora share these characteristics. They are strongly right-sided remedies, have congestive, throbbing, frontal headaches, and dilated pupils. Mandragora has been described as a cool or attenuated Belladonna. In Emily we see the recurring symptom of blinking eyes. Belladonna has this symptom listed in the repertory, but Mandragora does not. However Mandragora does have spasms. But because the eye is so central to Belladonna, and these remedies share so many traits, I felt it was reasonable for me to expect Mandragora would have a good effect.

I have been very pleased with this case. The remedy has helped Emily in a remarkable way both physically and emotionally. She has moved from a world of darkness and fear, into one that is full of light. She has become a child who is engaged in school, volleyball and friends. She is scoring in the top 10 percent of students in the US.

I find it particularly charming that Emily chose to be Little Red Riding Hood this past Halloween; a fairy tale character that seems uniquely appropriate for someone in need of a Solanaceae remedy. But there is a healthy evolution both for Emily and this character. Emily has moved from gruesome visions of violent death to a happy, carefree child, who when faced with a frightful, hungry wolf sought help and lived happily ever after.

Copyright Krista Heron, October 2000

Wednesday, February 17, 2010

The Thornton Creek Homeopathic Clinic is Open!

After 20 years of practice in a group setting, I founded The Thornton Creek Homeopathic Clinic. Although I had enjoyed the support of staff and a lively collegial environment, I longed for more beauty and nature that would allow me to have more simplicity and quiet in my life. So, after years of practice in one setting, I decided to build a new clinic amidst gardens and a quieter neighborhood.

I wondered what it would be like to practice without the assistance of my valued and dearly loved receptionist. As it has turned out, my patients have adapted easily to this change, making appointments via email and when acute illnesses arise. Some call on the phone, especially new patients, but it is at such a pace that I find it easy and effortless to reach everyone in a timely fashion. I have always been a doctor who has been very available to my patients, and this has not changed. I consider myself on-call 24 hours a day, 7 days a week, and my promise is to return calls within 8 hours. There are times when I am away at a conference or on vacation, but the majority of those times I am still available through email. If there is a more urgent need, then I recommend going to the emergency room or calling one of your other caregivers for more immediate care.

The new clinic provides exquisite quiet and simple beauty: watching juncos and goldfinches feed, seeing the columbines emerge from the winter soil and the rhododendrons bloom, the raspberries fruit. Occasionally the raccoons wander through, or a heron visits the pond. I think you will find the interior space nourishing as well: soft warm yellows, soothing greens, and many windows and French doors opening to the gardens. Please join me in my new clinic.

http://www.kristaheron.com/

Monday, February 8, 2010

Treating the common cold

I caught a cold last week, and while treating a few other patients with colds at the same time I started to think about the best ways to support the body during this interlude of sneezing, sniffling and coughing.

I think colds occur because of a confluence of events, some combination of being stressed or stretched to thin in one’s life, along with some behavioral like poor diet, or lack of sleep lapses (in my case I finished the shortbread cookies left over from the open house I held for colleagues at my new clinic), and then an opportunistic bug (or just one conveniently placed) that comes along to sidle up for a little contact.

After a couple days of emerging symptoms I settled into a Spongia-like state of coughing that sounds like a saw through wood. I have never been one to think that homeopathy ‘cures’ the common cold, but that doesn’t stop me from periodically trying to address some of the limiting symptoms associated with a cold. I started out taking a 200c of Spongia tosta 4 times the first two days, feeling it was helping but not in any miraculous way (wishful thinking), but then by the third day I repertorized again looking to see if there was a better prescription with the evolution of my symptoms (something colds do: change and evolve as the cold ripens) and decided to instead increase the potency before I changed the prescription. I took a dose of Spongia 1M and that made a decided difference.

Do I still have a cold? Yes. Has the Spongia helped? I think so, in that my symptoms are less uncomfortable but the cold is still running its course. Is it shorter or milder? We will never know because we do not have a control that shows what would have happened in this unique case without a remedy or with a different one.

But what else can we do when a cold hits? I find hydrotherapy to be quite useful, along with a few herbs and supplements. I am listing below a few hydrotherapy treatments that can be quite helpful:

Sinus congestion:

Ginger oil for your sinuses:

Grate fresh ginger

Squeeze juice from gratings into a cup

Mix with a little oil (2 parts juice to 1 part oil, or 1:1)

Apply to the face over the sinus area affected

Head congestion:

Hot footbath to help drain the congestion in the head:

Pull a chair up to the bathtub

Place your feet in hot bath water

Place a cold washcloth at the nape of neck as well as one at the forehead

Dipping washcloth into a bowl of cold/iced water every 30-60 seconds

Stay wrapped up with a blanket to avoid chill

Repeat this for about 20 minutes

Colds and fever:

Wet sock treatment for colds and fever

Put cold, wet, well-wrung-out cotton socks on, then wool socks over them, and crawl into bed. Sleep with them on, but stay well covered in bed. Do not get chilled.

Wet t-shirt for colds and fever

You can do the same with a wet t-shirt. Take a warm bath and then put on a cold, wet, well wrung out T-shirt and socks (cotton is best). Next, cover them with a dry, warm sweatshirt, a dry pair of wool socks, and dry sweat pants and climb into bed.

Sore throat

A damp, cold cloth or hand towel wrapped around the neck and covered by a wool scarf helps bring the body's healing circulation to the neck and throat area.

Revulsive hydrotherapy

This hydrotherapy treatment uses alternating hot and cold applications to an area to increase circulation. This can be done through a compress, bath, or shower. Local, alternating, hot and cold applications produce marked stimulation of local circulation. In general one alternates 6 minutes of hot with 4 of cold, or 3 minutes of hot with 1 minute of cold, for a series of 3-6 sequences for best results. You can do use this over areas like the throat, sinuses, chest, or even injured body parts.

As far as supplements, one of the easiest things to do is to double up on your multi-vitamins for a few days. In addition you can try Zinc lozenges, vitamin C and bioflavonoid to help improve immune system functioning, along with Echinacea and goldenseal tinctures.

Keeping hydrated is very important during a cold, and my favorite tea during this time is Throat Coat Tea by Traditional Medicinals. It is also quite helpful to take a sip of water every time you cough.

Coincidentally my neighborhood newspaper ran a very nice article by a physician that I will add here as well. If you need help call me, but you might try some of the above treatments first. And remember, a cold is a time for reflection – what else are you going to do, lying in bed, surrounded by tissues? – Think about how your life has gotten a little out of control, how you are going to eat more leafy greens, take more walks to reduce stress and increase your heart rate and respiration and throw out that bowl of left over cookies next time.

Warmly,

Krista

Monday, August 31, 2009

Response to WHO

We the undersigned are outraged at the way the World Health Organization has allowed itself to be coerced by the Sense About Science Voices of Young Science into condemning the use of homoeopathy in developing countries.

This condemnation comes after what appears to be blind acceptance by WHO of the contents of a single letter from ‘young scientists’ living in the UK in June. VoYS is an offshoot of Sense About Science, an aggressive anti -homoeopathy lobby that has well documented funding connections to pharmaceutical companies. WHO appears to have made no efforts at all to establish the veracity of the claims of VoYS or to check with the homoeopaths in the named countries on what they are doing, their treatment policies or the results they are having in treating patients with a wide range of conditions.

There is an increasing body of evidence in favour of homoeopathy’s effectiveness. The respondents from WHO’s various departments, in their rush to fulfill the ‘Young Scientists’ request to condemn homoeopathy, apparently are not aware of, or have chosen to overlook, the positive results of many research studies. e.g

· A recent high quality trial by the prestigious, WHO qualified facility, the Finlay Institute in Cuba, involving two and a half million people, found homoeopathy to be extremely effective in the prevention of Leptospirosis (Dr. Concepción Campa Huergo report to Finlay Institute ‘Nosodes 2008 conference’ December 2008, to be published).

· A trial conducted by Quebec homoeopathy organization in partnership with McGill University in Honduras found homoeopathy effective in preventing and treating parasitic Chagas disease (Martine Jourde report to Finlay Institute ‘Nosode 2008 conference’ December 2008).

· Three studies that show homoeopathy is effective in the treatment of child hood diarrhea. Furthermore, counter to the uninformed claim of Joe Martines, on behalf of Dr Elizabeth Mason, Director, WHO Department of Child and Adolescent Health and Development, rehydration was included in the protocol of the trials (See below).

· A pilot study in Ghana showing homoeopathic treatment equal to and slightly more effective than chloroquine in the treatment of acute malaria (Br Homoeopath J 1996 Apr;85(2):66-70).

· The Stanford study treating tuberculosis in HIV patients resulted in significant improvement in patients receiving homeopathic immunotherapy (Stanford, Comm Br Hom Res Grp Dec 1992 22 30-9).

Furthermore, the WHO department directors have ignored the rich and well documented history of homoeopathy’s success in treating major worldwide epidemics of cholera, influenza (including the 1918 epidemic), yellow fever and many other serious epidemics. Homoeopathy has a well developed approach to epidemics which means homoeopaths can respond rapidly to an epidemic infectious disease. In light of these and more studies of homoeopathy and the extreme challenge of emerging drug resistant epidemics in developing countries, it is cause for wonder why WHO itself has not sponsored research into homoeopathy treatment.

Homoeopaths operate in a complementary way to conventional medicine, they do not recommend stopping any prescribed conventional medicines. Treatment results of patients in the developing countries where homoeopathy is used are impressive. Patients are happier and healthier and despite the constraints of lack of funding from established research foundations, studies are being undertaken and proving homoeopathy’s effectiveness.

In 2005 the World Health Organization proposed an extremely positive report on homoeopathy and its potential in the developing world, noting that it is cost effective, has no side effects, and above all is positively health enhancing. It was only after pressure from critics of Complementary and Alternative medicine to revise it, that the report was held back and despite considerable revision it has still not been published.

The VoYS has issued a press release to the media that widely publicises the statements from the WHO Departmental Heads. VoYS has stated that they will be contacting the Health Ministries of every country to tell them of the opinion of WHO and discourage the use of homoeopathy in order to accomplish their mission to stopping the use of homoeopathy altogether. VoYS has presented the communication from WHO as a public announcement from WHO and as a way to pressure countries to alter their internal health policies. Is this the intention of WHO? Does WHO condone other organizations speaking and acting on its behalf in such a way??

We have several questions for WHO:

· How can you allow your organisation to appear to condemn homoeopathy on the basis of one letter by an antagonistic lobby that receives funding from the pharmaceutical industry and without first checking the facts?

· How can you reverse your own previous recommendations without verification and dialogue?

· Why when all over the world doctors, scientists and patients are choosing homoeopathy because of their positive experience in regaining health, does WHO decide to condemn homoeopathy? How is the WHO statement and the subsequent contact by VoYS to be received by countries such as India, where homoeopathic doctors have a long and respected record of treating all diseases, including epidemics?

· Why when Ministries of Health in many developing countries have responded to the requests of their own citizens to make homoeopathy a registered medicine, does WHO choose to lend their authority to the dedicated campaign of an anti-homoeopathy group located in the UK?

The citizens of Switzerland recently voted in a national referendum to include homoeopathy as one of their medical choices. Should the poor sick of Ghana, Botswana, Swaziland, Tanzania, Brazil, Cuba, Thailand and other developing countries, living in rural areas with little or no access to other medicines, be deprived of this safe and affordable choice? How can WHO allow, through the contents of one arbitrary letter, removal of freedom of choice from the people who need it most? Is this not an issue of basic human rights?

The VoYS press release, which was further distorted by the BBC, has gone to the media throughout the world under the headline of “WHO Warns Developing Countries against Homoeopathy.” This is a deliberately inflammatory, malicious and false declaration that appears to have the backing of WHO. As a role model of good health and disease treatment to the world, we appeal to WHO not to let commercial powers and vested interests of a small vocal group influence your stated goal of bringing the “highest possible level of health” to all the people of the world.

We urge you to reverse your premature and apparently unconsidered condemnation of homoeopathy --a safe, effective and cost-effective therapeutic option for developing countries.

Please give health a chance!

Yours truly

Krista Heron, ND, DHANP

"Homoeopathy cures a larger percentage of cases than any other method of treatment and is beyond doubt safer and more economical and most complete medical science." Mahatma Gandhi

3 Research studies childhood diarrhoea:

Treatment of acute childhood diarrhoea in Nicaragua

This trial involved 81 children aged from 6 months to 5 years in a randomised, double-blind trial of intravenous fluids plus placebo versus intravenous fluids plus homoeopathic remedy individualised to the patient. The treatment group had a statistically significant decrease in duration of diarrhoea.

Jacobs J. Treatment of acute childhood diarrhoea with homoeopathic medicine: a randomized clinical trial in Nicaragua. Pediatrics 1994; 93: 719-725.

Treatment of acute childhood diarrhoea, repeated in Nepal

In a replication of a trial carried out in Nicaragua in 1994, 116 Nepalese children aged 6 months to 5 years suffering from diarrhoea were given an individualised homoeopathic medicine or placebo. Treatment by homoeopathy showed a significant improvement in the condition in comparison to placebo.

Jacobs J., Jimenez M., Malthouse S., Chapman E., Crothers D., Masuk M., Jonas W.B., Acute Childhood Diarrhoea- A Replication., Journal of Alternative and Complementary Medicine, 6, 2000, 131-139.

A meta-analysis of childhood diarrhoea trials

This meta-analysis of 242 children showed a highly significant result in the duration of childhood diarrhoea (P=0.008).

J. Jacobs, WB Jonas, M Jimenez-Perez, D Crothers, Homoeopathy for Childhood Diarrhea: Combined Results and Meta-analysis from Three Randomized, Controlled Clinical Trial, The Pediatric Infectious Disease Journal, 22 (3): 229-234, March 2003.

Saturday, June 6, 2009

Confessions Of A Neo-Classicist[1]

by Krista Heron, N.D. DHANP

As homeopaths and as scientists, we engage in continual conversation about what we have learned from our experiences. We perceive our environment, explain our findings, test and adjust our explanations and then communicate, as best we can, these ideas to each other. Our practice of medicine is a process of discovery and evolution.

Debate and dialogue is intrinsic to this tradition. Ideally these conversations open our eyes, allowing us to see a clearer path to our intended goal: healing our patients. One of the current discussions in our community raises the question of what constitutes the legitimate source of remedy information.

In this discussion several topics are addressed: the doctrine of signatures, thematic groupings, and provings. I believe for some there may be misunderstanding about these ideas, and for others simple disagreement. I wish to explain in this article how learning the natural history of a remedy’s source and how recognizing patterns, for either an individual remedy, a grouping of them, or those of the patient, has often led me to successfully identify the simillimum.

Form And Function

Doctrine Of Signatures

The Doctrine of Signatures has a long and enduring history. Galen, a Greek physician of the Second Century AD, wrote of it, as did Paracelsus and Jacob Boehme in the sixteenth and seventeenth centuries. Paracelsus formulated the doctrine of signatures into a medical model of pharmacognosy asserting that the appearance of a particular plant, its color, scent, or habitat indicated its medicinal use.[2] Later Boehme wrote a spiritual treatise entitled, “Signatura Rerum; The Signature of all Things,” claiming that God had marked everything created with a sign indicating its true purpose.[3]

In the past, this Doctrine of Signatures was simplistic and imbued with magical thinking, but today the idea has evolved into a more sophisticated thesis, closer to the idea that form follows function.[4]

That the hummingbird develops a long beak to better draw out the nectar from trumpeted flowers, or that the penguin sports black and white feathers as a means to hide from its predators illustrates how specialized adaptations of form allow for greater function of each species. The color of a flower or the sweetness of its scent reflects the means that a plant uses to reproduce successfully. These adaptations, together with a myriad of other characteristics, distinguish one substance from any other.

I find it helpful to understand these adaptations as well as the natural history of our remedies: to know how a plant grows or how an animal lives, even the environment where a particular mineral is found. To truly observe the natural world deepens my relationship with the remedy. I consider this gathering of information to be a kind of case taking of the substance. And here I do mean substance, not the remedy, as my study of a remedy is accomplished by poring over clinical cases, provings, materia medica and repertories.

There has been a recent proliferation of analogic thinking in our community, conjecture that because a substance has certain traits this then endows the remedy with particular symptoms. Metaphor and analogy are useful mnemonic tools but they cannot be relied upon to indicate a remedy’s sphere of action. Rather it is best to observe, to see connections between the substance and the remedy and to then verify its usefulness.

Exploring Natural History

Often there is inadequate information about a remedy. A proving may have had limited participants; or the mother tincture was used rather than a potentized dilution; or perhaps there are no recorded clinical cases. Take, for example, Pseudotsuga menziesii or Douglas Fir, a substance proven in 1995. This remedy had few clinical cases to illustrate its spectrum of healing when I first prescribed it. However, by studying the natural history of this tree, and about conifers in general, I was able to broaden my understanding of this remedy.

My Pseudotsuga patients[5] expressed a profound loneliness as well as a longing for perfect intimacy. They described feeling “cut off” and “suspended in darkness.” One patient said she felt “dark, gray, dismal and lifeless.” If you have stood in a forest of Douglas Fir you may relate to this description. This forest is near the end stage of a climax forest, the final phase of ecological succession. The canopy above creates a dark and somber environment below. One can feel quite alone with few creatures stirring in the gray, hushed twilight. For some this creates a feeling of deep connection to spirit, for others a lonely feeling. Both of these emotional elements are represented in the remedy.

My experience with these trees seemed to resemble what my patients and the provers were describing. I felt I recognized the forest in the patients. I studied the climate and altitude preferences for various conifers, histology and photosynthesis, and what distinguished one specie from another. Just as I recognized the feeling of these patients in my experience of the forest, I began to recognize connections between the homeopathic symptoms of Pseudotsuga and the biology of the trees.

I also recognized that the proving symptoms of Pseudotsuga, particularly symptoms in the digestive tract, were similar to the other conifer remedies. My patients spoke of an inner emptiness felt in their stomach, and several members in the conifer family share this sensation. Thuja, Sabina, Taxus, Abies canadensis and Abies nigra are listed in the rubrics ‘emptiness’ in the stomach or abdomen.[6] That all of these Conifer trees share this symptom was interesting to me.

Every tree has a large core of dead wood at its center, some becoming hollow once the tree is afflicted by disease. Between the cambium, which lies just inside the bark, and the pithy center of the tree, is the sapwood, which contains tracheids. These tracheids draw up massive amounts of water — up to 500 gallons each day — in order to fulfill the nutritional needs of the tree. At other times the trees exist in drought-like conditions. I wondered if there was any relationship between these facts and the symptoms “emptiness,” “ravenous” and “wanting appetite” so common to the Conifer remedies.[7]

Another prevalent feeling for my Pseudotsuga patients was that of being without an “anchor.” They felt lost, that they would fall into a black abyss. This brought to mind the dreams and fear of falling that characterize Thuja and Sabina. This feeling of being without an anchor seemed particularly reminiscent of the plight of the conifer, trees with shallow roots that can topple in high winds or from severe rain erosion.

These associations may serve as a device to remember the qualities and characteristics of a remedy, or may offer some explanation of why a remedy has particular symptoms. I feel it is a disservice to suggest symptoms for a remedy just because of the natural history of the substance. However, to make the connection from remedy to source has proven worthwhile for me. If I can understand something of why the symptom is expressed by the remedy, the rubric can have more meaning for me.

Delving Into The Cultural History

In addition to learning about the habits and habitat of a substance I find it valuable to understand the cultural history associated with each. Such study may reveal rich insight into the remedy. In 1998 I successfully prescribed Physostigma for a patient with multiple sclerosis.[8] I began by repertorizing her case using three symptoms: multiple sclerosis, numbness in the left upper limb and a combination of rubrics that expressed the feeling of being alone, including the delusion of being a castaway.

I found that Physostigma was one of a handful of remedies represented in all three rubrics and the only one unknown to me. I was curious, so I began to study the remedy. My research included not only homeopathic information, but also the plant’s botany and history.

In West Africa the seeds of Physostigma were used to determine the guilt of persons accused of witchcraft. If the accused vomited within a half-hour, they were considered innocent, but if they died from the poison they were found guilty. What would someone feel in this situation, I wondered?

The peculiar feeling in the proving of Physostigma is that of being cast away and this was similar to what I imagined someone might feel undergoing this criminal trial – as often witches or sorcerers were shunned and cast out from the larger community. It was this feeling that seemed particularly characteristic of my patient. She felt “shunned” by others and unwanted by her parents.

Why does Physostigma have this feeling? Can we as classical homeopaths ask this question or must our curiosity be limited to the few symptoms of the provings? Some may argue that it makes no difference why, that it is enough that the prover stated: “Delusion; being a castaway.” But what does this statement mean and how do we differentiate Physostigma from the other remedies in the rubric “Delusions; being a castaway”, or even from the larger rubric “ Delusions, imaginations; alone.”

At times we make a leap of faith in our prescriptions because there is no other clarifying information from the provings or clinical cases. It is at these times that I find researching the cultural or natural history of the remedy helps to expand my understanding of the characteristic feeling behind the symptom.

Observation, Not Speculation

This process of understanding how form and myth reflects function is not a matter of supposition or imposition, but rather one of perceiving coherence between symptoms and the substance. Perhaps it is all done in hindsight, but this does not negate the value of the perception. If one theorizes that because bees are busy, the remedy Apis is busy as well, it is folly. But if one observes Apis to be busy, and that bees are truly busy, one may understand more deeply something of the unique and peculiar busyness of Apis. It is essential that we not impose theories upon the remedies because of their natural history; rather to make connections — to observe, not speculate.

Provings and clinical experiences provide us with information about the medicinal sphere of our homeopathic remedies. As Hahnemann states, we should know the powers of our medicines through provings, not speculation.[9] Nonetheless, there is virtue in knowing nature; provings should not limit our curiosity.

And then there is the problem that many provings, past and present, do not meet the rigor of our current science. Some provings used mother tincture, some were performed on sick patients, or on a single individual, and for some remedies we have no proving at all. This presents an unfortunate problem. If we are to rely solely on provings, and these provings must meet an agreed-upon standard, then we may be limited to very few remedies.

Thematic Groupings

Fractals And Patterns

Buddha is believed to have said, “The way you do anything is the way you do everything.” I think this is true, that we are consistently ourselves. How we dance, laugh, breathe or become sick follows an unvarying pattern that reflects our individual state, even if it is for just that moment. The tone of a man’s voice, his posture and the words he chooses are all directly linked to the unconscious process and each becomes an echo of the larger whole. The way a woman views herself, how she perceives the world, and what beliefs she holds resound with this “organicity.” Because of this consistency we could extract a single moment or expression to function as a lens to reveal the whole of the patient. We recognize this in many other examples: that within a single cell there exists the blueprint of a whole person, or the architecture of a tree within a single twig.

How a whale lives in the sea, I believe, is reflected in the fragment of Ambra grisea, or how a dog behaves is expressed in the remedy Lac caninum. In the same vein, I contend, a truly skilled homeopath could prescribe on very few symptoms if they understood how they reflected the whole of the patient. Fortunately, we have countless symptoms from our repertories to pair with our patients. Finding the simillimum can be challenging enough with a complete and well-taken case, and it is far easier to perceive the patient through a constellation of their peculiar and individuating symptoms than on just two or three. But the point is this: each symptom is a fractal[10] of a greater whole, each symptom rings out the same clear tone as all the others: the name of the patient’s remedy.

This “organicity” is true of our remedies as well. A single symptom should be able to act as a microcosm of the whole remedy. Of course, with many symptoms, we have no sense of how they fit into the larger idea of the remedy; but when we do understand; we are able to grasp the remedy in a deeper way. We can see the inflammation of Belladonna[11] expressed in their rage, meningitis, and pharyngitis. Or the swellings and sensation of enlargement that Agaricus[12] experiences reflected in their feelings of omnipotence. If we understand how each contributes to the whole we may understand something more comprehensive than a simple list of symptoms.

Thematic Patterns

I find it useful to identify patterns within a remedy or a patient’s case by collecting individual symptoms into thematic groups. I attempt to see what ideas, symptom expressions and sensations run throughout the case or remedy. If a patient consistently has right-sided symptoms, no matter what the complaint, I might use the rubric Generalities: right side, or if a patient has a predominance of wandering pains in many different locations I will use Generalities: wandering pains. There is nothing controversial in this; it is simply recognizing the pervasiveness of a symptom expression and naming it as a general symptom. But I do this in other ways as well. And it is this recognition of patterns that can allow me to hear the characteristic voice of the remedy or patient.

Recently the question was raised whether remedies made from creeping plants or vines have the symptoms of dreams of or desire to travel.[13] I was curious about this so I examined eleven remedies, all which are creepers — Bryonia, Clematis, Cocculus, Colocynthis, Dioscorea, Dulcamara, Elaterium, Gelsemium, Lycopodium, Rhus venata and Solanum nigra — to see whether they were present in rubrics having to do with wandering, traveling or creeping.

All eleven had some kind of wandering sensation, four had creeping symptoms (Bryonia, Clematis, Colocynthis, and Lycopodium), two had a desire to travel or wander (Bryonia, Elaterium) and one (Lycopodium) had dreams of journeys.

A question was posed, the hypothesis researched and now we must establish whether the information is useful. Can I apply it? Does it broaden and clarify my perception of the remedies or rubrics? This kind of questioning, pattern recognition and identification has become a daily exercise in my study of remedies.

Identifying the themes of a remedy can be accomplished by identifying patterns of rubrics. For example Pulsatilla is considered to be mild person[14] and we see this as a consistent theme throughout her physical symptoms as well. Her discharges of leucorrhea, catarrh, and tears are often bland and mild.[15] We also see Pulsatilla in rubrics describing her as servile, quiet and submissive at the same time as the remedy appears, more frequently than any other, in rubrics citing ailments from suppression. I wonder if the susceptibility to suppression is a reflection of a larger theme of servility and submissiveness; does Pulsatilla suffer from the effects of suppression because she is so easily dominated in her emotional life?

Thematic Families

We may also recognize patterns that lead us to a group of remedies, such as a botanical family or miasm, or perhaps a grouping based on some observable shared theme.[16] We see a characteristic running through our patient’s case and then explore remedies that we know share the same theme. Once we recognize a family we can explore and examine the individuating symptoms to determine the exact simillimum. I have found this method to be useful many times. I will recognize something of Lachesis in a patient but know there is something incongruent. Then I will discover that a different member of the snake family fits the case beautifully.

In one of my Mandragora cases, I had tried, unsuccessfully, to give three other remedies first. I had observed symptoms in the patient that reminded me of Belladonna and Stramonium, but giving these remedies produced little or no results.

This child had a fascination with and fear of death, but she did not express her fears with as much anxiety or activity as you might see in a patient needing Belladonna. Rather than the wildness of Belladonna, or the terror of Stramonium, she had a withdrawn quality coupled with intense focus. She was entranced with a world that frightened her, a world of death and darkness.

Each time I prescribed for her, I tried to understand how she was both similar to and different from the previous unsuccessful prescription. I recognized something familiar in her case, but the remedies I thought should cure, did not. If the case looked like Belladonna and Stramonium, but wasn’t, what was the simillimum?

I then looked to other remedies that I thought might be similar. I examined the characteristics of each remedy in the Solanaceae family in order to determine what commonalties existed between them, and what differentiated each from the other. It was in this way that I arrived at the prescription of Mandragora. When I finally gave my patient the correct remedy she became well; her attention deficit disorder and fears resolved.[17]

I have found in my study of families that often the well-known member of the group, such as Lachesis for the snakes, or Belladonna for the Solanaceae can act as a template for the other members of the group. In the same way that we understand something of Medorrhinum in the other sycotic remedies I have found that we may share or extend some of the template’s qualities and symptoms to the lesser-known members of the family. As in all of homeopathy, this is both a science and an art; it requires extensive study to understand what is shared and what is peculiar.

We Are Synthetic Thinkers

Homeopaths are synthetic thinkers, looking at the smallest peculiarities of our patients and attempting to understand their larger meaning. Our patients present discrete symptoms that on closer inspection turn out to be part of one seamless whole. When we take the case of a patient we want to know about her symptoms, how he lives, what kind of relationships she has, what he likes and dislikes. And when we study our remedies we should ask the same questions of them.

To practice good homeopathy we must have an open mind, and be an “unprejudiced observer.”[18] If we truly observe Nature, without speculation, without theorizing, we may be able to witness an extraordinary consonance between a remedy and its source. If we open our eyes and our minds to the congruency of the spirit of the medicine and the spirit of the substance, we may enjoy the “organicity” between the two.

As homeopaths we make connections, see relationships, draw conclusions, test our theories and practice our empirical science. As scientists we are at our best when we explore a thesis without prejudice. If we see reason and truth, we share our experience — our successes and failures — learning from each other in a respectful and curious manner. In this way we can grow in our knowledge and in our ability to help those who need us most.

Krista Heron, ND, DHANP has been in practice in Seattle, Washington since 1989 and has taught at Bastyr University since 1997. She has studied with Jeremy Sherr, Louis Klein, Nandita Shah, Rajan Sankaran, Divya Chabra, and Massimo Mangialavori.

Krista Heron, ND, DHANP
7541 44 Avenue Northeast
Seattle 98115
(206) 524-6044
Email: krista@drizzle.com

Copyright Krista Heron, Revised September 2002, All rights reserved.



[1] Peter Wright, past editor of the Simillimum, first used this term to describe me in the winter of 2000. I am charmed by the descriptor but frankly, consider myself to be a classical homeopath.

[2] Dudgeon, Robert Ellis. Similarities between Hahnemann and Paracelsus. Presented by Peter Morrell.

[3] James, Tamarra. An Introduction to the Doctrine of Signatures.

[4] Early twentieth century functionalist architect Louis Henry Sullivan insisted that architecture must embody the human connection with nature. He is the first to have noted, “Form ever follows function.” Later Ludwig Mies van der Rohe said “Form IS function”, followed by Frank Lloyd Wright stating, “Form and function should be one, joined in a spiritual union.”

[5] Heron, Krista. “Longing for a Perfect Intimacy: Two cases of Pseudotsuga menziesii.” LINKS Journal. Autumn 1999.

[6] Stomach: Emptiness (weak feeling, faintness, goneness, hungry feeling): Abies-c, Abies- n, Tax, Thuj.

Abdomen: Emptiness, faintness: Sabin.

Rubrics from van Zandvoort, Roger. The Complete Millennium Repertory.

[7] Stomach: Appetite, ravenous, canine, excessive: Abies-c, Abies- n, Pseuts-m, Tax, Ter, Thuj

Stomach: Appetite, diminished: Pin-s, Sabin, Tax, Ter, Thuj

Stomach: Appetite, wanting: Abies- n, Sabin, Tax, Ter, Thuj

Rubrics from van Zandvoort, Roger. The Complete Millennium Repertory.

[8] Heron, Krista. “Physostigma: The Discarded Vine.” American Homeopath. 2000.

[9] Hahnemann, Samuel, The Organon. paragraph 110.

[10] Fractal: frac - tal: noun. Etymology: French fractale, from Latin fractus broken, uneven.

: Any of various extremely irregular curves or shapes for which any suitably chosen part is similar in shape to a given larger or smaller part when magnified or reduced to the same size. Objects which display repetition of the same shape on a variety of scales.

: The idea that every moment of our life is a tiny representation of a larger time period; that our days, weeks and years are made up of individual moments, any one of which reflects the greater whole.

[11] Fever: Heat; Inflammatory, fever: Bell (3)

Head: Inflammation; meninges, meningitis: Bell (3)

Mind: Anger, irascibility; general; face color; red: Bell (4)

Mind: Rage, fury; fever, in: Bell (1)

Mind: Rage, fury; fever, in; heat Bell (1)

Throat: Inflammation; sore throat Bell (3)

Rubrics from van Zandvoort, Roger. The Complete Millennium Repertory.

[12] Mind: Delusions, imaginations; great person, is a: Agar (2)

Mind: Delusions, imaginations; light, incorporeal, immaterial, he is Agar (1)

Mind: Delusions, imaginations; officer, officers; he is an: Agar (1)

Mind: Delusions, imaginations; superhuman; control, is under: Agar (1)

[13] Saine, Andre. “Homeopathy Versus Speculative Medicine, A Call to Action.” Simillimum. Fall 2001. XIV, 3.

[14] We know Pulsatilla to be irritable as well, usually because she is experiencing a lack of attention or support.

[15] Pulsatilla is in 9 of the 15 rubrics citing bland discharges, and in 13 of the 111 rubrics citing acrid discharges.

[16] Such as the remedies identified by George Vithoulkas as treating “mania” that include Stram, Bell, Hyos, etc.

[17] Heron, Krista. “Mandragora, the Darker Side of Belladonna.” American Homeopath. 2001.

[18] Hahnemann, Samuel. The Organon. paragraph 6.