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TUBERCULINUM
 PROVED BY : DR BURNETT
 TEMPERAMENT : NERVOUS
 MIASM: PSORA
 DIATHESIS: TUBERCULAR
 Tuberculinum is a nosode
 A glycerine extract of a pure cultivation of tubercle bacilli
(human).
 Represents the heart of the tubercular miasm.
 The main feeling in this miasm is that of being shut in. The
sensation of suffocation, especially when stuck in a particular
place, and the need for hectic, intense activity. Therefore this
miasm seems to demand a need for rapid change as a
condition of survival.
 Clinical experience has shown that tubercular patients heal
better in mountain forests with dry climate.
 History of tuberculosis, but have been treated by
antibiotics.
(If they have been treated with Streptomycin there may
occur a crippling vertigo. It is a vertigo which is not
specific; with no modalities feels as if the head is
cramped. This symptomatology may respond to
Tuberculinum)
 Tuberculinum as a classic way of prescription may be
done on basis of congenital state, his inherited illnesses.
 They are referred as "Consumptiveness" – i.e. who have
inherited phthisis are often of feeble vitality; takes on
sickness easily; anemic; nervous and debilitated.
 A proving of Tuberculinum was conducted in October 1993 at
seminar in Spiekeroog. The provers received Tuberculinum 200C.
Many provers had
 Dreams of intense and quick activity and used the word "hectic" to
describe their dreams.
 Dreams having to do with trains going up and down mountains,
which situations were described as being "dangerous, risky and
fast".
 Theme of risk and danger, included descending into down on a
rope with a feeling "So what if it is deep", of being in a narrow
restaurant with a feeling that this was dangerous for her, of being
bitten on the neck by a big dog.
 Dreams of being oppressed by a neighbor.
 Other themes that came up were: a need to help others, especially
those in danger, and hopefulness.
PREPARATION:
 Preparation Was first prepared by Drs. Finke and Swan in 1879 from the
sputum of a Tuberculosis patient.
 A drop from the pulmonary tubercular abscess was taken.
 Bacillinum (originally called Tuberculinum) was the earlier production:
and, glancing through Burnett’s epoch-making New Cure of
Consumption, in the light of one’s large experience in the use of, chiefly,
Tuberculinum bovinum, probably the infinitely more potent for good of
the two.
 When Burnett was inspired by Koch, he was injecting it in potency, killed
and sterile and triturated and, in the 30th potency, merely one part in
alcoholic tincture to medicate a few tiniest pellets of milk-sugar.
 Burnett says
“If phthisis can be cured by bread and butter or attar of roses, well and
good:but if not, then let us have something that will cure it.”
 Dr. H.C. Allen says in his Keynotes,
“The potencies of Fincke and Swan were prepared from a
drop of pus obtained from a pulmonary tubercular abscess, or
sputa. Those of Heath from a tuberculous lung in which the
bacillus tuberculosis had been found microscopically; hence the
former was called Tuberculinum and the latter Bacillinum. Both
preparations are reliable and effective”
 Burnett tells us that the Homoeopaths, years earlier, using the
virus of consumption to cure consumption itself but” the
leaders of the dominant sect of the medical profession raised
against those of the homoeopaths to use the virus of
consumption against the disease itself; the practice was almost
discontinued – a few only publishing here and there a striking
case of the cure of consumption by the virus of the process
itself”.
 Koch lies in the way it is obtained: ours is the virus of the
natural disease itself, while Koch’s is the same virus
artificially obtained in an incubator from colonies of bacilli
thriving in beef jelly: ours is the chick hatched under the
hen, Koch’s is the chick hatched in an incubator.
 The artificial hatching is Koch’s discovery, not “the remedy
itself or its use as a cure for consumption”.
 But “There is one other difference, i.e. the mode of
administering it to the patient. I use the remedy in high
potency, which is not in dangers of Koch’s method of
injecting material quantities under the skin, or, in other
words, straight into the blood.”
CONSTITUTION:
CONSTITUTION:
 Slender tall with narrow chest or
caved.
 Thin or oval face, light complexion,
blue eyes, eyelashes are long.
 Hair is soft and silky
 Lean , quick, muscular (Sulphur, Phos,
Nux) with rapid metabolisms and burn
fat quickly.
 Emaciate quickly
 skin is fine textured, clear and
translucent
 Stylish dressing
MIND:
 Unpredictable in their moods and behaviour. One minute
they are refined and gentle; the next, malicious and
destructive(people who burn the candle at both ends).
 They are full of contradictory feelings; mania and
melancholia, insomnia and sopor. Extremely sensitive to
music and also fond of it, and likes dance and art.
 They are never truly satisfied with themselves, and also
with other people. He doesn't know what he really wants,
and no-one else can find ways of satisfying him.
Deep dissatisfaction which leads to destructiveness.
Becomes irritable over and he flies to pieces.
 There is a desire to use foul language, curse and
swear. Feels himself forced to use insulting
languages, uses rough words.
 He feels his life is going to be short, so he hastens to
make the most of it while he can.
 Tub patients are difficult people to live with:- They
are exceptionally selfish. They seek self-gratification,
but they never achieve it. Because of
dissatisfaction,they continously seek change.
They go from job to job, or from location to location
- always seeking escape from their dilemmas. Once
they make a change, they may at first feel contented,
but soon they again become dissatisfied and want to
move on. These are people described in the books as
being COSMOPOLITAN.
 In their capriciousness(difficult to predict) and need for
change they are difficult to understand or to please.
 If they feel irritated, they usually want to be alone, and
the best thing for them to do is to walk in the open air
in the mountains, ameliorated by being in pine forests
conversely they do not feel well at the seashore.
 The situation of a orthodoxy or poor/middle class
person in an economically backward country, is similar
to that of Tuberculinum.
 If he remains stuck or stagnant in that country,
financial burden will oppress him. What he needs is
rapid and hectic activity to get him out of such a
situation . He feels sensation of suffocation and
oppression of lungs from having to breathe within a
restricted lung space.
 if he finds orthodoxy oppressive, he will break free
from the bonds of society and undertake exploits
which are rash, bold, daring and at times
destructive
 He cannot stick to the straight and narrow, he will
not be confined by monotony. He needs to take
risks and does so quite fearlessly.
 So can progress to destructiveness, both
physically(cavitations in the lungs), or emotionally
"burning out", at the end feels totally drained out
of energy.
 Sexually they are hyperactive, strong sexual
desire. They go from one relationship to another,
but always their love affairs are critical. There are
many upheavals and conflicts.
 Fear of dogs and cats mainly as a disgust. They may
even have allergies to the fur of cats or dogs.
 If they see a sharp knife they imagine the noise it
would make if plunged into someone - the crunching
of bones and tissues.
 Independent and very often gives the impression that
he needs nobody,emotionally or practically.
 Desire to travel and discover - Out of excitement,
fancifully and adventure because of great
restlessness.
 If they cannot travel physically, he travels in his mind,
reads magazines, pursues books, watches T.V.
programmes on travelling and often love to work
in travel agencies or airline company for the
opportunities if offers them to visit in new places
 Restlessness which prompts them to aggressively enter into new
experiences like sporting activities.
 They wanders in search of stimulation, and becomes bored when he is
in one place doing the same thing for too long.
 He takes jobs that involve movement and work in the open place for
example like delivery boy, postman, landscape gardener etc. i.e.
anything enabling him to avoid sitting at a desk .
 They can settle, providing their work and their partners are interesting
enough.If he is running away, it is from boredom rather than fear.
 He is a relatively unemotional type, and is usually very clear-headed,
and also confident.
 They feel there is SOMETHING BEYOND. They live their life in a
crescendo WITH A DEEP SENSE OF UNFULFILLMENT.
Lives for today, and loves for today,
Let the devil take the morrow.
PHYSICAL GENERALS:
 When the family history of tubercular affections the best selected
remedy fails to relieve or permanently improve, without reference to
name of disease.
 Symptoms ever changing; ailments affecting one organ, then
another - the lungs, brain, kidneys, liver, stomach, nervous system -
beginning suddenly, ceasing suddenly.(bell,kali bi,nit acid)
 Takes cold easily without knowing how or where; seems to take cold
"every time he takes a breath of fresh air" (Hep.)
Aggravated by cold wet weather & ameliorated in warm dry climates
 Emaciation rapid and pronounced; losing flesh while eating well
(Abrot., Calc., Con., Iod., Nat.).
 Desire : Pork (mez,cal phos ) and pungent-tasting meats like salami
and smoked meats (caust) ,ice-cream.
 Profuse perspiration all over the body, particularly at night, drenching
the bedclothes and may get up during the night to change their
night clothes.
 Once the disease has taken hold, they progress rapidly toward
destruction and death.
 The feeling of being stuck, suffocated and oppressed,as though
some weight or pressure will increasingly oppress the patient and the
spot he is stuck in will grow narrower and narrower and he will be
suffocated unless he were to move out.
 The sycotic aspect is seen in the fibrosis - the person has to live for
the rest of his life with a fixed, restricted lung space, and very often
has tendencies to recurrent colds and respiratory affections.
 On the other hand tuberculosis is also known to have violent,
progressive, destructive features which are almost totally hopeless
without medical intervention, e.g. TB meningitis, miliary TB, etc.
 Poor concentration. Teenagers who won’t do homework.
 SLEEP – KNEE CHEST POSITION
CHILD:
 Developmental Delays and Learning Disabilities:
o Lag behind in developmental milestones,slow to sit, walk or teeth
or learn to talk.
o Children may be slow at comprehension and may find it
exhausting to apply themselves to their studies, making
homework.
 Restlessness, Defiance and Destructiveness:
o Restless and hyperactive, even in their sleep. These children mess
up their beds, fall out of them and grind their teeth.
 Bedwetting, Head-thumping and Allergies:
o Heads may be thumped against pillows, bed frames, doors and
walls, sometimes quite forcefully.
o Child is more susceptible to adverse reaction to vaccines and
medications, making them more liable to develop autism and
other more serious developmental disorders.
 IRRITABLE CONTRARY DESTRUCTIVE TO AN EXTREME DEGREE.
 They are born irritable and angry, crying and being very fussy, especially
on waking.
 They bang their heads on floors and walls. They can also curse and swear
(ANACARDIUM, STRAMONIUM,HYOSCAYMUS.).
 They can be destructive to themselves and others. They can hit and kick
their teachers and parents.
 Violence may begin after an acute disorder or vaccination. (Vaccination
tends to push tubercular children more into the sycotic miasm).
 The Tub child is intentionally malicious. Just when we are about to go
somewhere, he will throw an uncontrollable tantrum just to spoil your
plans.
 He may swear at his mother. They are capable of disrupting entire families.
 In infants they are express on
the physical side as a constant runny nose
the emotional side as the familiar temper tantrums.
 Develop slowly (late walking and talking),fear of new situations and
fear of being observed.
 Fear strangers, cats, dogs, (allergic reaction to). There is
claustrophobia (stram, arg.nit, aconite) that may be expressed as a
fear of being buried alive(zinc m)On all levels they need freedom to
express themselves and open spaces.
 Impulsive: They may display an abundance of ideas. Can run away
from things and this may happen suddenly.
 Restlessness – particularly at night in bed, plays with many toys,
bounces on the furniture. Hyperactive but tire more easily.
 Lactose intolerance, children who drink milk often loose weight with
diarrhoea. It is hard for them to gain weight.
 ANOMALIES AS HYDROCELES, UMBILICAL HERNIAS AND CLEFT PALATE.
GESTURE:
ADHD:
 Hyperactivity, Concentration Difficulty, And
Destructiveness
 Child is hyperactive, restless and always
seems to have too much energy. Such
children can’t slow down to learn anything
and face difficulty while doing tasks that
need concentration.
 Destructiveness with a desire to break things.
 Irritability, stubbornness, and fretfulness. They
also are argumentative and tend to use foul
language, want to fight, and have fits of
violent temper tantrums.
COMPARE:
Tarentula Hispanica:
 Inattentiveness and marked impatience, a restlessness of hands and legs, sudden
impulsive, destructive behavior
 The child may strike himself and others, tear the clothing, throw things away.
 Great excitement induced by listening to music.
Carcinosin:
 Concentration And Memory
 Child remains in constant motion. He keeps on running, jumping, climbing here and
there. The child is difficult to be seated in one place and is usually impatient gets bored
easily.
 Fears of the dark and being alone, have restless sleep.
Hyoscyamus Niger:
 Hyperactivity And Excessive Talking
 While studying, he may use inappropriate words and sentences or make up irrelevant
answers. Unintelligible chattering.
 Emotional outbursts happens child may cry out suddenly or a loud laugh.
 He may insult, shout, scold, abuse and spit on people. He may make ridiculous gestures
and is often seen to play with his fingers.
Stramonium :
 Marked Hyperactivity
 He sits down, rises, kneels, rolls, creeps or takes other strange positions. He may also
continually move his hands and arms.
 He is inattentive, cannot connect a sentence, is unable to give a proper answer,
and cannot find the right words.
 He may tear his clothes, destroys things, and attempt to bite those who come near
him.
Veratrum Album:
 Violent, Impulsive And Destructive Behaviour
 During violent outbreaks, the child strike those around him, tears things up has an
impulse to bite.
 Excessive rapid, constant talking, at times with loud laughter, may also be present.
 The child may also have a habit of telling lies.
Chamomilla:
 ill-humored and irritable children.
 They are fretful, obstinate, cranky, cross, snappish, insulting, who cannot answer
patiently. They cannot bear anyone near the and are averse to talking.
 They are very impatient and, everything seems to go too slowly for them.
Medorrhinum:
 He loses the thread of conversation, seems very anxious, and has severe
mood swings.
 One moment the child is happy, the other moment he is sad.
Merc Sol:
 Hyperactivity At Night
 The child is restless, continually moves from one place to another, has a
hurried speech, and tends to be anxious and ill-humored
Cina:
 Irritable, Fretful, And Cross
 They are always complaining about everything. They are not satisfied by
anything, desire many things (which they refuse to accept when
offered), and throw away everything given to them.
 They are very restless even during sleep and keep on tossing about in
bed.
CURIOSITY:
 Children are curious about artistic & musical endeavours
Pulsatilla:
 Child loves visual beauty and is eager to learn about flowers, animals &
nature.
Agaricus :
 Their curiosity is very much towards super-natural things like Ghosts, dead
people, things associated with dead people like coffins, UFO’s, planets
etc.
Sulphur :
 These youngsters fond of playing with two toys at the same time, or
holding onto one while playing with another.
Carcinosin:
 They are very interested in the subject of GEOGRAPHY, love to know more
about different places & nature.
 They like to see the channel ‘Animal Planet’ and keep asking about
different animals, their habitat and the way they live, survive etc.
Lachesis :
 Their curiosity is limited to materialistic things like jewelry,
clothes and ornaments. Their clothes are the latest,
upscale, fancy, colourful, and very stylish
Phosphorus:
 They may tear apart toys & machines to find out how they
work with a straight-forward curiosity
Lycopodium:
 Superficial curiosity; it is just to impress the other person.
Sepia :
 Different types of music, dance and other physical
activities which involve the experience of physical
harmony.
 Physical healing arts like yoga, massage & Shiatsu.
Head:
 Vertigo: esp. in morning; by bending down with nausea.
 Intense pain, as of an iron band around head.
 Headache with sensation of heat; from neck to forehead; in morning, passing
away in afternoon
 Plica polonica .
Eyes:
 Breaking down of cicatrices of old corneal ulcers.
 Tuberculosis of eyelids, small grey and yellow nodules.
Nose:
 Coryza:viscid, yellow-green.
 Comedones on nose, surrounded with minute pustules.
 The nose, which used to feel "hot and burning," has lost this sensation.
Teeth:
 "Feeling as if the teeth were all jammed together and too many for his head"
 Inflammation of gums, scurvy-like.
Mouth:
 Aphthae on tongue and buccal mucosa.
 On lips black blisters.Palate: granulations enormously
swollen and vascular,Breath offensive.
TONGUE:
Throat:
 Tickling in throat exciting cough.
 Aching extending from throat to ears.─Dysphagia increased;
later diminished
 Sensation of a tumour in throat.(NIT AC)
Appetite:
 Loss of appetite, esp. in morning.─Thirst: extreme, day and night;
burning in morning.
Stomach:
 Eructations and sensation of fulness over stomach
 Vomited severely with > to headace and after every meal.
 Cramping pain in stomach in umbilical region with diarrhoea.
Abdomen:
 Colic with great thirst,Fatigue and sickness in region of stomach
and abdomen.
 Mass of enlarged glands, in r. iliac fossa much smaller.
 Discrete papular rash over chest and abdomen.
 Perforating ulcer in intestines.
Stool and Anus:
 Constipation; stool hard, dry, with wind and colic.
 Pressure and constriction in rectum with Itching.
Urinary Organs:
 Diminished quantity of urine.Urinate very often, esp. during
changes of weather.
 Specific gravity of urine increases from 1016 to 1023 with an
excess of urates and ropy mucus.
Male Sexual Organs:
 Pains in testicles and cord of l. side.
Female Sexual Organs:
 Severe pains in breast in evening at beginning of menstruation.
 Menstruation with pains in lumbo-sacral and ovarian
region < when walking.
 Blood lumpy, lasting more days than usual. Menstruation, returns
fourteen days after parturition.
 Sensation of heat in genitalia externa, with increased
leucorrhoea.
Respiratory Organs:
 Enlarged tonsils.
 Hard, dry, hacking cough during sleep.
 Expectoration thick, easy; profuse
bronchorrhoea.
 Cough and expectoration lasting four
months, from a wetting
 Broncho-pneumonia in children.
 Shortness of breath. Sensation of suffocation
rales all over chest even with plenty of fresh
air. Longs for cold air.
 Deposits begin in apex of lung.
COMPARE:
Antimonium Tartaricum:
 Rattling of the mucus in the chest with little expectoration.
There is much congestion in the chest but the expectoration
cannot be raised.
 A cough usually ends up in vomiting.
Natrum sulphuricum:
 Ill effects of damp, rainy weather, from the night air, cold food
and drinks, vegetables, fruits, in cellars
 Cough with thick, ropy, greenish expectoration, chest feels all
gone. better in warm, dry air.
 Thirst for something cold and desires ice or extremely cold
water.
ADENOIDS:
 Adenoids hypertrophy with great sensitivity to cold and and low temperatures
Calcarea Carb:
 Adenoids enlargement with excessive sweating of the head
 The child is very sensitive to cold air and takes cold easily at every change of
weather.
Baryta Carb:
 Adenoids with tonsil enlargement
 The child has catarrh of posterior nares. There may even be pus formation in the
tonsils.
Sanguinaria Nitrica:
 Adenoids with sense of obstruction.
Thuja:
 Adenoids enlargement with greenish discharge
 There may be a feeling of painful pressure at the root of the nose.
Heart:
 Palpitation early in morning with cough and sticking pains in
lungs < when raising himself up.
 Death from paralysis of heart.
Neck and Back:
 Tension in nape of neck and down spine.
 Chilliness between shoulders or up the back
Limbs:
 Sensation of formication in arms and legs.
 Great weakness in limbs after dinner with fatigue and faintness
in all limbs.
 Trembling and Twitching in the limbs.
Skin:
 Erythematous eruption with subcutaneous indurated nodules.
 Itching all over the body in the evening in bed; changing
place after rubbing.
 Rash on abdomen and back, commencing very red; speedily
becoming brownish, resembling ordinary skin eruption of
secondary syphilis.
Fever:
 Post-critical temperature of a remittent type
 Shivering, when beginning to sleep; cold feet in bed.
Modalities:
 Worse- motion, music; before a storm; standing; dampness;
from draught; early morning, and after sleep.
Remedy relationship
 Compare:
 Hydrast (to fatten patients after Tuberc);
 Formic acid (tuberculosis, chronic nephritis, malignant tumors;
pulmonary tuberculosis, not in third stage, however; lupus;
carcinoma of breast and stomach; Dr. Krull uses injections of
solutions corresponding to the third centesimal potency; these
must not be repeated before six months).
 According to Burnett, vaccinosis may block the way of action
of tuberculin until Thuja.
 When Tuberculinum fails, Syphilinum often follows
advantageously producing a reaction .
 Complementary: Calcarea; China; Bryon.
Dose.--Tuberculin needs more frequent repetition in children's
complaints than nearly every other chronic remedy. Thirtieth
and much higher, in infrequent doses.
 The first dose of Tuberculinum in any difficult case is, however,
the most weighty prescription. The remedy should not be
given without a most careful cardiac examination. As the
surgeon before the anaesthetic, so must the physician know
the heart before administering this drug, especially to children,
and seniles-and to young seniles.
 The above caution applies also to asthma, pleuritis, peritonitis
in scrofulous (tuberculous) subjects. "
 Tuberculinum bovinum Kent → Calcarea carbonica→ Silicea
terra → Psorinum
MENTAL CLINICALS
 1. Hyperactive
restlessness (ADHD) and
autism.
 2. Temper tantrums.
 3. Depression.
 4. Changeable and
destructive mentality.
 5. Anger episodes.
 6. Obsessive compulsive
disorder (OCD).
PHYSICAL CLINICALS
 1. Chronic recurrent tonsillitis.
 2. Chronic asthma.
 3. Chronic renal conditions.
 4. Recurrent chest infections.
 5. Recurrent skin conditions
including recurrent pimples.
 6. Chronic enuresis including
worm infestations.
 7. Chronic gastritis.
TUBERCULINUM-2.BHMS.MATERIA MEDICA.HOMOEOPATHY

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TUBERCULINUM-2.BHMS.MATERIA MEDICA.HOMOEOPATHY

  • 2.  PROVED BY : DR BURNETT  TEMPERAMENT : NERVOUS  MIASM: PSORA  DIATHESIS: TUBERCULAR  Tuberculinum is a nosode  A glycerine extract of a pure cultivation of tubercle bacilli (human).  Represents the heart of the tubercular miasm.  The main feeling in this miasm is that of being shut in. The sensation of suffocation, especially when stuck in a particular place, and the need for hectic, intense activity. Therefore this miasm seems to demand a need for rapid change as a condition of survival.  Clinical experience has shown that tubercular patients heal better in mountain forests with dry climate.
  • 3.  History of tuberculosis, but have been treated by antibiotics. (If they have been treated with Streptomycin there may occur a crippling vertigo. It is a vertigo which is not specific; with no modalities feels as if the head is cramped. This symptomatology may respond to Tuberculinum)  Tuberculinum as a classic way of prescription may be done on basis of congenital state, his inherited illnesses.  They are referred as "Consumptiveness" – i.e. who have inherited phthisis are often of feeble vitality; takes on sickness easily; anemic; nervous and debilitated.
  • 4.  A proving of Tuberculinum was conducted in October 1993 at seminar in Spiekeroog. The provers received Tuberculinum 200C. Many provers had  Dreams of intense and quick activity and used the word "hectic" to describe their dreams.  Dreams having to do with trains going up and down mountains, which situations were described as being "dangerous, risky and fast".  Theme of risk and danger, included descending into down on a rope with a feeling "So what if it is deep", of being in a narrow restaurant with a feeling that this was dangerous for her, of being bitten on the neck by a big dog.  Dreams of being oppressed by a neighbor.  Other themes that came up were: a need to help others, especially those in danger, and hopefulness.
  • 5. PREPARATION:  Preparation Was first prepared by Drs. Finke and Swan in 1879 from the sputum of a Tuberculosis patient.  A drop from the pulmonary tubercular abscess was taken.  Bacillinum (originally called Tuberculinum) was the earlier production: and, glancing through Burnett’s epoch-making New Cure of Consumption, in the light of one’s large experience in the use of, chiefly, Tuberculinum bovinum, probably the infinitely more potent for good of the two.  When Burnett was inspired by Koch, he was injecting it in potency, killed and sterile and triturated and, in the 30th potency, merely one part in alcoholic tincture to medicate a few tiniest pellets of milk-sugar.  Burnett says “If phthisis can be cured by bread and butter or attar of roses, well and good:but if not, then let us have something that will cure it.”
  • 6.  Dr. H.C. Allen says in his Keynotes, “The potencies of Fincke and Swan were prepared from a drop of pus obtained from a pulmonary tubercular abscess, or sputa. Those of Heath from a tuberculous lung in which the bacillus tuberculosis had been found microscopically; hence the former was called Tuberculinum and the latter Bacillinum. Both preparations are reliable and effective”  Burnett tells us that the Homoeopaths, years earlier, using the virus of consumption to cure consumption itself but” the leaders of the dominant sect of the medical profession raised against those of the homoeopaths to use the virus of consumption against the disease itself; the practice was almost discontinued – a few only publishing here and there a striking case of the cure of consumption by the virus of the process itself”.
  • 7.  Koch lies in the way it is obtained: ours is the virus of the natural disease itself, while Koch’s is the same virus artificially obtained in an incubator from colonies of bacilli thriving in beef jelly: ours is the chick hatched under the hen, Koch’s is the chick hatched in an incubator.  The artificial hatching is Koch’s discovery, not “the remedy itself or its use as a cure for consumption”.  But “There is one other difference, i.e. the mode of administering it to the patient. I use the remedy in high potency, which is not in dangers of Koch’s method of injecting material quantities under the skin, or, in other words, straight into the blood.”
  • 9. CONSTITUTION:  Slender tall with narrow chest or caved.  Thin or oval face, light complexion, blue eyes, eyelashes are long.  Hair is soft and silky  Lean , quick, muscular (Sulphur, Phos, Nux) with rapid metabolisms and burn fat quickly.  Emaciate quickly  skin is fine textured, clear and translucent  Stylish dressing
  • 10. MIND:  Unpredictable in their moods and behaviour. One minute they are refined and gentle; the next, malicious and destructive(people who burn the candle at both ends).  They are full of contradictory feelings; mania and melancholia, insomnia and sopor. Extremely sensitive to music and also fond of it, and likes dance and art.  They are never truly satisfied with themselves, and also with other people. He doesn't know what he really wants, and no-one else can find ways of satisfying him. Deep dissatisfaction which leads to destructiveness. Becomes irritable over and he flies to pieces.
  • 11.  There is a desire to use foul language, curse and swear. Feels himself forced to use insulting languages, uses rough words.  He feels his life is going to be short, so he hastens to make the most of it while he can.  Tub patients are difficult people to live with:- They are exceptionally selfish. They seek self-gratification, but they never achieve it. Because of dissatisfaction,they continously seek change. They go from job to job, or from location to location - always seeking escape from their dilemmas. Once they make a change, they may at first feel contented, but soon they again become dissatisfied and want to move on. These are people described in the books as being COSMOPOLITAN.
  • 12.  In their capriciousness(difficult to predict) and need for change they are difficult to understand or to please.  If they feel irritated, they usually want to be alone, and the best thing for them to do is to walk in the open air in the mountains, ameliorated by being in pine forests conversely they do not feel well at the seashore.  The situation of a orthodoxy or poor/middle class person in an economically backward country, is similar to that of Tuberculinum.  If he remains stuck or stagnant in that country, financial burden will oppress him. What he needs is rapid and hectic activity to get him out of such a situation . He feels sensation of suffocation and oppression of lungs from having to breathe within a restricted lung space.
  • 13.  if he finds orthodoxy oppressive, he will break free from the bonds of society and undertake exploits which are rash, bold, daring and at times destructive  He cannot stick to the straight and narrow, he will not be confined by monotony. He needs to take risks and does so quite fearlessly.  So can progress to destructiveness, both physically(cavitations in the lungs), or emotionally "burning out", at the end feels totally drained out of energy.  Sexually they are hyperactive, strong sexual desire. They go from one relationship to another, but always their love affairs are critical. There are many upheavals and conflicts.
  • 14.  Fear of dogs and cats mainly as a disgust. They may even have allergies to the fur of cats or dogs.  If they see a sharp knife they imagine the noise it would make if plunged into someone - the crunching of bones and tissues.  Independent and very often gives the impression that he needs nobody,emotionally or practically.  Desire to travel and discover - Out of excitement, fancifully and adventure because of great restlessness.  If they cannot travel physically, he travels in his mind, reads magazines, pursues books, watches T.V. programmes on travelling and often love to work in travel agencies or airline company for the opportunities if offers them to visit in new places
  • 15.  Restlessness which prompts them to aggressively enter into new experiences like sporting activities.  They wanders in search of stimulation, and becomes bored when he is in one place doing the same thing for too long.  He takes jobs that involve movement and work in the open place for example like delivery boy, postman, landscape gardener etc. i.e. anything enabling him to avoid sitting at a desk .  They can settle, providing their work and their partners are interesting enough.If he is running away, it is from boredom rather than fear.  He is a relatively unemotional type, and is usually very clear-headed, and also confident.  They feel there is SOMETHING BEYOND. They live their life in a crescendo WITH A DEEP SENSE OF UNFULFILLMENT. Lives for today, and loves for today, Let the devil take the morrow.
  • 16. PHYSICAL GENERALS:  When the family history of tubercular affections the best selected remedy fails to relieve or permanently improve, without reference to name of disease.  Symptoms ever changing; ailments affecting one organ, then another - the lungs, brain, kidneys, liver, stomach, nervous system - beginning suddenly, ceasing suddenly.(bell,kali bi,nit acid)  Takes cold easily without knowing how or where; seems to take cold "every time he takes a breath of fresh air" (Hep.) Aggravated by cold wet weather & ameliorated in warm dry climates  Emaciation rapid and pronounced; losing flesh while eating well (Abrot., Calc., Con., Iod., Nat.).  Desire : Pork (mez,cal phos ) and pungent-tasting meats like salami and smoked meats (caust) ,ice-cream.  Profuse perspiration all over the body, particularly at night, drenching the bedclothes and may get up during the night to change their night clothes.
  • 17.  Once the disease has taken hold, they progress rapidly toward destruction and death.  The feeling of being stuck, suffocated and oppressed,as though some weight or pressure will increasingly oppress the patient and the spot he is stuck in will grow narrower and narrower and he will be suffocated unless he were to move out.  The sycotic aspect is seen in the fibrosis - the person has to live for the rest of his life with a fixed, restricted lung space, and very often has tendencies to recurrent colds and respiratory affections.  On the other hand tuberculosis is also known to have violent, progressive, destructive features which are almost totally hopeless without medical intervention, e.g. TB meningitis, miliary TB, etc.  Poor concentration. Teenagers who won’t do homework.  SLEEP – KNEE CHEST POSITION
  • 18. CHILD:  Developmental Delays and Learning Disabilities: o Lag behind in developmental milestones,slow to sit, walk or teeth or learn to talk. o Children may be slow at comprehension and may find it exhausting to apply themselves to their studies, making homework.  Restlessness, Defiance and Destructiveness: o Restless and hyperactive, even in their sleep. These children mess up their beds, fall out of them and grind their teeth.  Bedwetting, Head-thumping and Allergies: o Heads may be thumped against pillows, bed frames, doors and walls, sometimes quite forcefully. o Child is more susceptible to adverse reaction to vaccines and medications, making them more liable to develop autism and other more serious developmental disorders.
  • 19.  IRRITABLE CONTRARY DESTRUCTIVE TO AN EXTREME DEGREE.  They are born irritable and angry, crying and being very fussy, especially on waking.  They bang their heads on floors and walls. They can also curse and swear (ANACARDIUM, STRAMONIUM,HYOSCAYMUS.).  They can be destructive to themselves and others. They can hit and kick their teachers and parents.  Violence may begin after an acute disorder or vaccination. (Vaccination tends to push tubercular children more into the sycotic miasm).  The Tub child is intentionally malicious. Just when we are about to go somewhere, he will throw an uncontrollable tantrum just to spoil your plans.  He may swear at his mother. They are capable of disrupting entire families.  In infants they are express on the physical side as a constant runny nose the emotional side as the familiar temper tantrums.
  • 20.  Develop slowly (late walking and talking),fear of new situations and fear of being observed.  Fear strangers, cats, dogs, (allergic reaction to). There is claustrophobia (stram, arg.nit, aconite) that may be expressed as a fear of being buried alive(zinc m)On all levels they need freedom to express themselves and open spaces.  Impulsive: They may display an abundance of ideas. Can run away from things and this may happen suddenly.  Restlessness – particularly at night in bed, plays with many toys, bounces on the furniture. Hyperactive but tire more easily.  Lactose intolerance, children who drink milk often loose weight with diarrhoea. It is hard for them to gain weight.  ANOMALIES AS HYDROCELES, UMBILICAL HERNIAS AND CLEFT PALATE.
  • 22. ADHD:  Hyperactivity, Concentration Difficulty, And Destructiveness  Child is hyperactive, restless and always seems to have too much energy. Such children can’t slow down to learn anything and face difficulty while doing tasks that need concentration.  Destructiveness with a desire to break things.  Irritability, stubbornness, and fretfulness. They also are argumentative and tend to use foul language, want to fight, and have fits of violent temper tantrums.
  • 23. COMPARE: Tarentula Hispanica:  Inattentiveness and marked impatience, a restlessness of hands and legs, sudden impulsive, destructive behavior  The child may strike himself and others, tear the clothing, throw things away.  Great excitement induced by listening to music. Carcinosin:  Concentration And Memory  Child remains in constant motion. He keeps on running, jumping, climbing here and there. The child is difficult to be seated in one place and is usually impatient gets bored easily.  Fears of the dark and being alone, have restless sleep. Hyoscyamus Niger:  Hyperactivity And Excessive Talking  While studying, he may use inappropriate words and sentences or make up irrelevant answers. Unintelligible chattering.  Emotional outbursts happens child may cry out suddenly or a loud laugh.  He may insult, shout, scold, abuse and spit on people. He may make ridiculous gestures and is often seen to play with his fingers.
  • 24. Stramonium :  Marked Hyperactivity  He sits down, rises, kneels, rolls, creeps or takes other strange positions. He may also continually move his hands and arms.  He is inattentive, cannot connect a sentence, is unable to give a proper answer, and cannot find the right words.  He may tear his clothes, destroys things, and attempt to bite those who come near him. Veratrum Album:  Violent, Impulsive And Destructive Behaviour  During violent outbreaks, the child strike those around him, tears things up has an impulse to bite.  Excessive rapid, constant talking, at times with loud laughter, may also be present.  The child may also have a habit of telling lies. Chamomilla:  ill-humored and irritable children.  They are fretful, obstinate, cranky, cross, snappish, insulting, who cannot answer patiently. They cannot bear anyone near the and are averse to talking.  They are very impatient and, everything seems to go too slowly for them.
  • 25. Medorrhinum:  He loses the thread of conversation, seems very anxious, and has severe mood swings.  One moment the child is happy, the other moment he is sad. Merc Sol:  Hyperactivity At Night  The child is restless, continually moves from one place to another, has a hurried speech, and tends to be anxious and ill-humored Cina:  Irritable, Fretful, And Cross  They are always complaining about everything. They are not satisfied by anything, desire many things (which they refuse to accept when offered), and throw away everything given to them.  They are very restless even during sleep and keep on tossing about in bed.
  • 26. CURIOSITY:  Children are curious about artistic & musical endeavours Pulsatilla:  Child loves visual beauty and is eager to learn about flowers, animals & nature. Agaricus :  Their curiosity is very much towards super-natural things like Ghosts, dead people, things associated with dead people like coffins, UFO’s, planets etc. Sulphur :  These youngsters fond of playing with two toys at the same time, or holding onto one while playing with another. Carcinosin:  They are very interested in the subject of GEOGRAPHY, love to know more about different places & nature.  They like to see the channel ‘Animal Planet’ and keep asking about different animals, their habitat and the way they live, survive etc.
  • 27. Lachesis :  Their curiosity is limited to materialistic things like jewelry, clothes and ornaments. Their clothes are the latest, upscale, fancy, colourful, and very stylish Phosphorus:  They may tear apart toys & machines to find out how they work with a straight-forward curiosity Lycopodium:  Superficial curiosity; it is just to impress the other person. Sepia :  Different types of music, dance and other physical activities which involve the experience of physical harmony.  Physical healing arts like yoga, massage & Shiatsu.
  • 28. Head:  Vertigo: esp. in morning; by bending down with nausea.  Intense pain, as of an iron band around head.  Headache with sensation of heat; from neck to forehead; in morning, passing away in afternoon  Plica polonica . Eyes:  Breaking down of cicatrices of old corneal ulcers.  Tuberculosis of eyelids, small grey and yellow nodules. Nose:  Coryza:viscid, yellow-green.  Comedones on nose, surrounded with minute pustules.  The nose, which used to feel "hot and burning," has lost this sensation. Teeth:  "Feeling as if the teeth were all jammed together and too many for his head"  Inflammation of gums, scurvy-like.
  • 29. Mouth:  Aphthae on tongue and buccal mucosa.  On lips black blisters.Palate: granulations enormously swollen and vascular,Breath offensive. TONGUE:
  • 30. Throat:  Tickling in throat exciting cough.  Aching extending from throat to ears.─Dysphagia increased; later diminished  Sensation of a tumour in throat.(NIT AC) Appetite:  Loss of appetite, esp. in morning.─Thirst: extreme, day and night; burning in morning. Stomach:  Eructations and sensation of fulness over stomach  Vomited severely with > to headace and after every meal.  Cramping pain in stomach in umbilical region with diarrhoea.
  • 31. Abdomen:  Colic with great thirst,Fatigue and sickness in region of stomach and abdomen.  Mass of enlarged glands, in r. iliac fossa much smaller.  Discrete papular rash over chest and abdomen.  Perforating ulcer in intestines. Stool and Anus:  Constipation; stool hard, dry, with wind and colic.  Pressure and constriction in rectum with Itching. Urinary Organs:  Diminished quantity of urine.Urinate very often, esp. during changes of weather.  Specific gravity of urine increases from 1016 to 1023 with an excess of urates and ropy mucus.
  • 32. Male Sexual Organs:  Pains in testicles and cord of l. side. Female Sexual Organs:  Severe pains in breast in evening at beginning of menstruation.  Menstruation with pains in lumbo-sacral and ovarian region < when walking.  Blood lumpy, lasting more days than usual. Menstruation, returns fourteen days after parturition.  Sensation of heat in genitalia externa, with increased leucorrhoea.
  • 33. Respiratory Organs:  Enlarged tonsils.  Hard, dry, hacking cough during sleep.  Expectoration thick, easy; profuse bronchorrhoea.  Cough and expectoration lasting four months, from a wetting  Broncho-pneumonia in children.  Shortness of breath. Sensation of suffocation rales all over chest even with plenty of fresh air. Longs for cold air.  Deposits begin in apex of lung.
  • 34. COMPARE: Antimonium Tartaricum:  Rattling of the mucus in the chest with little expectoration. There is much congestion in the chest but the expectoration cannot be raised.  A cough usually ends up in vomiting. Natrum sulphuricum:  Ill effects of damp, rainy weather, from the night air, cold food and drinks, vegetables, fruits, in cellars  Cough with thick, ropy, greenish expectoration, chest feels all gone. better in warm, dry air.  Thirst for something cold and desires ice or extremely cold water.
  • 35. ADENOIDS:  Adenoids hypertrophy with great sensitivity to cold and and low temperatures Calcarea Carb:  Adenoids enlargement with excessive sweating of the head  The child is very sensitive to cold air and takes cold easily at every change of weather. Baryta Carb:  Adenoids with tonsil enlargement  The child has catarrh of posterior nares. There may even be pus formation in the tonsils. Sanguinaria Nitrica:  Adenoids with sense of obstruction. Thuja:  Adenoids enlargement with greenish discharge  There may be a feeling of painful pressure at the root of the nose.
  • 36. Heart:  Palpitation early in morning with cough and sticking pains in lungs < when raising himself up.  Death from paralysis of heart. Neck and Back:  Tension in nape of neck and down spine.  Chilliness between shoulders or up the back Limbs:  Sensation of formication in arms and legs.  Great weakness in limbs after dinner with fatigue and faintness in all limbs.  Trembling and Twitching in the limbs.
  • 37. Skin:  Erythematous eruption with subcutaneous indurated nodules.  Itching all over the body in the evening in bed; changing place after rubbing.  Rash on abdomen and back, commencing very red; speedily becoming brownish, resembling ordinary skin eruption of secondary syphilis. Fever:  Post-critical temperature of a remittent type  Shivering, when beginning to sleep; cold feet in bed. Modalities:  Worse- motion, music; before a storm; standing; dampness; from draught; early morning, and after sleep.
  • 38. Remedy relationship  Compare:  Hydrast (to fatten patients after Tuberc);  Formic acid (tuberculosis, chronic nephritis, malignant tumors; pulmonary tuberculosis, not in third stage, however; lupus; carcinoma of breast and stomach; Dr. Krull uses injections of solutions corresponding to the third centesimal potency; these must not be repeated before six months).  According to Burnett, vaccinosis may block the way of action of tuberculin until Thuja.  When Tuberculinum fails, Syphilinum often follows advantageously producing a reaction .  Complementary: Calcarea; China; Bryon.
  • 39. Dose.--Tuberculin needs more frequent repetition in children's complaints than nearly every other chronic remedy. Thirtieth and much higher, in infrequent doses.  The first dose of Tuberculinum in any difficult case is, however, the most weighty prescription. The remedy should not be given without a most careful cardiac examination. As the surgeon before the anaesthetic, so must the physician know the heart before administering this drug, especially to children, and seniles-and to young seniles.  The above caution applies also to asthma, pleuritis, peritonitis in scrofulous (tuberculous) subjects. "  Tuberculinum bovinum Kent → Calcarea carbonica→ Silicea terra → Psorinum
  • 40. MENTAL CLINICALS  1. Hyperactive restlessness (ADHD) and autism.  2. Temper tantrums.  3. Depression.  4. Changeable and destructive mentality.  5. Anger episodes.  6. Obsessive compulsive disorder (OCD). PHYSICAL CLINICALS  1. Chronic recurrent tonsillitis.  2. Chronic asthma.  3. Chronic renal conditions.  4. Recurrent chest infections.  5. Recurrent skin conditions including recurrent pimples.  6. Chronic enuresis including worm infestations.  7. Chronic gastritis.