Therapy

GA 314 — 31 December 1923, Dornach

First Lecture

The wishes that are to be considered first have already been expressed by you, and we will begin today by addressing some of them. I hope that everything can be covered in the three hours that we have available. In these few introductory remarks, I would like to speak about these matters as they arise out of anthroposophy. We do not want to consider how these things are currently being discussed in other fields, but rather we want to address the issues as they arise out of anthroposophy, especially in relation to the wishes that have been expressed.

The first question that has been raised, and with which many others can also be dealt with at the same time, at least in principle, is the question of the diseases of the luetic type. The diseases of the luetic type, which we have so far discussed only briefly, are those which, firstly, must be carefully distinguished from all kinds of secondary symptoms, neighboring symptoms, and so on, and which actually indicate to the most intense degree how the organism behaves in general in a diseased state. The reason why the symptoms of tuberculosis are such an important medical and therapeutic issue is that for them, quite unequivocally – let us speak without prejudice, you will see that we do not want to stop at prejudice – a specific remedy is available in the mercury cure. But a consideration of the mercury cure will show us how to deal with the evil that lies therein in a more appropriate way.

Every illness is fundamentally based on the fact that the three systems of the human organism – the nervous-sensory system, the rhythmic system and the metabolic-limb system – are not working together harmoniously. You only have to consider what this harmonious interaction is based on. In the metabolism-limb system, we have an activity of the human organism that takes place with the preferential involvement of the etheric body. But the other parts of the human organism also play a role in each system. So one cannot say, for example, that in the metabolism-limb system the two parts of the human organism, the physical organism and the etheric organism, work together, but rather that the two mainly work together. The other two, the astral body and the ego organization, also play a role. For example, in the main organization, that is, in the entire nerve-sense organization, we have the ego organization and the astral organization playing the main role, with the etheric and physical organizations playing a subordinate role. Above all, we must realize that the difference between the waking state and the sleeping state is that during sleep, the activities that emanate from the astral organism and the ego organism and are directly effected during the waking state continue, so to speak, through a kind of persistence of the organism. In the sleeping state, these activities resonate without the astral body and ego organization being present. Can you understand that? They continue, just as when I push a ball and the ball still runs away even when I stop pushing, so the activities of the astral body and the ego organization continue during sleep. Therefore, one should not say that if something is derived from the ego organization or the astral organization, it could not therefore be there during sleep. Sleep must only cease when there is danger that the astral or ego after-effects will cease. At that moment, sleep must in turn cease and wakefulness must occur.

These things cannot be taken in the same schematic way as they sometimes have to be presented in anthroposophy for the sake of laypeople's understanding.

What is really important now is to present the facts correctly. All these questions about causes should not really relate to the internal organization of the organism, but rather only to the external causes of the matter. These should always be known. The diagnosis should always be made up of a complete history of the disease. But speculating about causes within the organism does not actually lead to finding the right remedy.

If I now ask the question with this in mind, I have to say: what is it that is present in the case of syphilis itself? Let us therefore separate syphilis from all the other possible sexually transmitted diseases, from all gonorrheal diseases, from all chancre symptoms and so on, in other words, from all the things that basically — we will deal with this separately — do not belong to the actual syphilis, but are basically a different disease. The actual syphilitic disease is essentially based on the fact that the human ego organization is overburdened for the metabolic limb system, preferably for the metabolic system. In a sense, the human ego organization slides down into the abdomen. And all the symptoms that occur stem from the fact that the ego organization slides too far down into the abdomen. This is precisely how the processes arise that are expressed through the symptoms you are familiar with, those processes that cause the ego organization to predominate over the etheric organization, which is not supposed to be present in this part of the human organism. There is simply too strong an ego organization in the sexual tract. That is the fact. We must first look at this fact, rather than at the infection and so on; we must look at this fact, because it is there. And the cure must actually start from this fact.

Now let us consider the effect of mercury therapy on this condition. What actually occurs in the human organism with every mercury treatment? Mercury treatment, as you know, is a very old treatment, and it is sometimes extraordinarily beneficial, not only for luetic patients but also for others. But what happens during mercury treatment?

Mercury is one of those remedies that was actually found to be beneficial in times when medicine was based on a certain instinctive knowledge of the human organism. But what actually cures when one has to have a mercury treatment for syphilis? It cures exactly as much as one introduces into the blood in the correct dosage of the mercury preparation. It cures exactly as much. Now think about what the consequences of this are. Firstly, as far as I know, it is not common practice to inject mercury into syphilitic diseases. In recent years, however, this has become the norm because, as we shall hear in a moment, the earlier smear cures are no longer effective, or are too strong; but on the whole, this partial transition has also been brought about empirically because it was seen that there is something about the smear cure that leads to disaster.

And what is the case here? When you use the smearing cure, it basically leads to a partial, even general infection. It is calculated on the whole to enter the blood circulation. That is what it is calculated on. But when you use the smearing cure, there are other channels for the mercury impulse in the human organism. What is healing is essentially that which enters the blood; while that which does not enter the blood but comes through etheric channels is carried along in etheric channels that, for example, run along the nervous system, along the nerve cords, and this is all bad. All this spreads, so to speak, the ego organization throughout the whole organism, and you basically just get the evil spread throughout the whole organism in a different form, which, after years of internal preparatory processes, causes you to suffer from all those symptoms that occur as a result of the mercury cure.

Therefore, it can be said that the healing effect of mercury is already evident in the treatment of syphilitic diseases with mercury. What is the reason for this? We can really say, in very general terms, what the factors involved are, as I said in my general lecture yesterday. From a certain moment onwards, organic substances are no longer influenced by terrestrial forces, but by the cosmic forces that act peripherally from the periphery to the center of the earth. And from a certain moment on, everything that we get into our organism through ordinary digestion is also under the influence of cosmic forces, cosmic rounding-off forces, right cosmic rounding-off forces, when it has passed through the intestines.

Now, the ego organization primarily lives in these cosmic rounding-off forces. If it interferes too strongly with the metabolic system, then there is simply a tendency for the ego organization to atomize, to round off and organize individual links in the human organism instead of organizing the whole body according to its shape. And all the phenomena of syphilis, all the symptoms of syphilis, are the result of this partial atomization, this atomistic organization. Thus the ego organization intervenes in very small systems of the human organism, while these small systems should reserve themselves for the organization of their own etheric body, which alone, not by the detour of the ego organization, is subject to the cosmic-peripheral forces.

Now, mercury has the peculiarity that, when introduced into the human organism, it is the substance that most strongly and most intensely mimics the outer form of the cosmos in earthly terms. The moment the mercury is introduced directly into the blood circulation by injection, the tendency arises for the mercury to give up this partial organization, this small atomistic organization, and the ego organization is released again, acting through the whole organism and is thereby able to restore the state of health by reaction.

But all this depends on the patient never taking in more mercury than is absolutely necessary. This is a problem that can never really be solved. Because you must never expose yourself to the danger of giving just a little too much mercury during the mercury cure. You have to give exactly as much as can be absorbed into the circulation according to the respective medical condition, because everything else remains behind as a residuum and causes precisely those sequelae that then occur and that you know.

Therefore, when using mercury therapy, it will always turn out that one cures, but that the patient may have to pay for the cure quite heavily with the terrible consequences, which then also look syphilis-like, but which actually have to destroy the organism little by little and irrevocably. It is precisely the certainty of healing that mercury provides that shows how problematic its use is.

It was not always problematic. You see, not exactly for syphilis, but for many other diseases, mercury was always used, we may talk about it in the next few days. Mercury did indeed evoke a very specific emotional response in the highly instinctive patient. The patient knew when he had had enough. He was saturated with mercury. Today, of course, the instincts have degenerated. The patient can no longer provide a yardstick for what happens to him through the mercury. He no longer gets enough of the mercury, he becomes oversaturated. That is what usually happens today: The patient becomes oversaturated with mercury, and then the well-known consequences occur in a very devastating way, so that just as one can clearly see the effect of sulfur and phosphorus in the organism, and just as one can clearly see what happens in the organism when salt dissolves, so one can clearly see what happens in the organism when mercury is taken, but one must always pay close attention to the dosage. We know the basis for the effect of mercury.

Now the question is whether it would be possible to carry out such a treatment that would be harmless even if too much was dosed, because simply an excretion would occur if the dosage was too high. Mercury has the peculiarity of not being excreted outwards if too much is administered to the body, but of being excreted inwards. In this respect, it was extremely important to me in my younger years how Hyrtl simply took the bones from people who had been treated with mercury, and then smashed them open at autopsy, and how one could then find the small mercury droplets in the bones under the microscope. So the whole bone system had been contaminated with mercury. That is the peculiar thing about mercury: it is not excreted outwards, but the organism takes it up, and the whole ego organization of someone treated for mercury has to constantly deal with the organization of these tiny mercury droplets, mercury atoms, which are everywhere in the organism, especially in the calcareous parts.

And so we can already say: We must try to find something in nature that, when applied like mercury, is absorbed by the organism and replaces the ego organization in the organism, thus relieving and freeing it. But if too much of it is taken in, which is unavoidable, then it must be excreted not inwardly but outwardly, like anything else that is digested.

It is therefore important to come up with something that corresponds to the ego organization in the external nature and that can be prepared in such a way that it actually enters the blood circulation and, so to speak, creates a phantom of the ego organization in the blood circulation. It is necessary to introduce an artificial ego into the blood circulation.

And our doctors in particular should carry out the appropriate experiments, and without doubt you will see that you will get results that will certainly be surprising.

Take what you can gain from those parts of the plant that have become extremely hardened, that have thus transferred the root process of the plant to the rest of the plant. In the root process of the plant lies an extraordinarily strong imitation of the ego organization. The flower of the plant is of etheric organization. In what is below the flower, the plant plays around the astral organization; where the plant is rooted in the soil, the I-organization intervenes. In every strongly lignified root, which is still attached to the plant, which has not yet passed over into the inorganic because it has been separated from the living plant, we have impulses of the I-organization.

Now, however, if one were to take plant roots directly and extract substances from them to inject, one would hardly be able to cope for the reason that although the root of the plant contains the I-organization very strongly, it is, so to speak, a phantom of the I-organization, but what lives in it as impulses is limited to the nerve sense system and does not have a strong effect down into the rest of the organization. Therefore, one can say: If you only take hold of the root organization at the root, then you will hardly be able to form a preparation suitable for the purpose mentioned. On the other hand, there are plants in which the root organization has a strong effect on the whole plant. And one such plant, in which the root organization actually penetrates the whole plant right up to the fruit, is Astragalus exscapus, the tragacanth root, which is also known as wolfberry. It has fruits that look like pods, but they are as hard as stone and inside them are grains. I am talking about what is, as it were, completely cornified. Or take certain woods that are already used, where the effectiveness is based on what I say.

But then it is a matter of taking these grains from a plant, let us say from the tragacanth root, from the wolfberry, grinding them finely, but then treating them with the juice of one's own plant, that is, with the flower and leaf juice of one's own plant. In this way, one obtains a preparation that can perhaps be brought up to the third decimal place. In the third decimal, if it is now injected, it will actually introduce this phantom of the ego into the blood circulation, and then, under the influence of this preparation, in the case of actual syphilitic disease, which is already the disease of the whole blood, one has exactly the same picture as with the mercury cure, and then one has to ensure that the excess is driven out by means of strongly heating baths. So you will have to combine these two things: on the one hand, injection with a preparation as indicated, and then drive out what is in excess through strong baths.

But something else comes out as well. What comes out is what is present in the blood of the syphilis patient as harmful substances. This must also come out through perspiration. So we have to say: what has to be brought out must be brought out by sweat secretion alone. But first it has to be held. And it can be held by this rounding-off effect of the impulses contained in the wolfberry seeds. Now, you see, you can only cope with these things if you combine diagnosis and therapy closely.

Individualization is indispensable in medicine, and you can very well observe that especially in syphilitic diseases, the clinical picture in a fat person is quite different from that in a lean person. In a fat person, the syphilis toxin is extremely difficult to remove. I don't know if there are friends here who have experience in this. It is more difficult to remove the syphilis toxin from a fat person than from a thin person. A thin person eliminates it relatively easily. With a thin person, you may be able to do well by proceeding as I have described. But you must be sure that a reaction will occur, that there really is a strong perspiration, otherwise you will naturally get all kinds of internal diseases as a result, because the disease process will not occur. The reaction must be there. But it could be that in order to achieve the effect with fat people, too, so to speak, you have to resort to something else. And here it will be very good to turn to that which has already emerged more in nature, also in the astral process. It will be very good to take gallnuts in certain cases where you see that you cannot achieve a reaction with the usual plant. I mentioned them yesterday in a different context.

In the gallnuts you have already mentioned the essential roundness; the gallnut already shows you the mercurial nature in the vegetable kingdom. If you now treat the gall apple by grinding it on one side and taking the poison from the wasp that produced the gall apple on the other side and grinding it in with a very small dose, you will get a preparation that has a considerable effect and can even cause a reaction where it would otherwise be difficult to do so.

It is really the case with us that we actually have far too few cases of illness that we can observe piece by piece. I can imagine that for our friends who are treating physicians, bringing syphilis patients into the institute is not exactly ideal. But such things shed light on the whole therapy. You really learn something from such a treatment for the whole therapy, and I am also convinced that if someone sees how a patient who has been injected in this way and gets out of the bath, his skin looks different than it did before the bath ; how his skin looks, so that to the finer eye – one can perhaps see it with a microscope – it looks as if it is covered with little pockmarks, almost with smallpox, then one will learn how the organism is affected by something like this. So I think that this is the way to go in terms of syphilis treatment.

Because, you see, with this disease in particular, it is necessary not only to see to it that the patient is helped and then released, but it is also necessary to see to it that the patient endures the cure in his or her next life. And here I come to a question that was asked at the same time and that will be extremely interesting for most of you: meditation in addition to drug treatment, is there some kind of typical advice?

Well, I mention the previous syphilis just in connection with this question for the reason that in fact this question can perhaps be answered most intensively precisely in the case of syphilis. It will depend on whether the apparently cured syphilitic patient – and every syphilitic patient is initially only apparently cured, because it depends entirely on whether the disease can flare up again due to some later cause, and every apparently cured syphilis can flare up again later under certain circumstances – has made his organism anything other than a non-syphilitic patient. He has a different constitution, and it must be ensured that this different constitution is actually maintained for the future life, otherwise it will simply prove to be too weak in the face of certain attacks of ordinary life, and the syphilis can flare up again.

Now, of course, we will only deal with the question of meditative treatment in general, but it can be linked precisely to this. What happens with syphilis is that the ego organization becomes somewhat independent, which is not otherwise the case in a normal person. The syphilis patient has, through the injection, created a phantom out of his own organism, and as a result, for the rest of his life on earth, his ego organization is more independent than that of someone who has never had syphilis. He has this more independently, and this must be taken into account. So if you want to permanently cure a syphilis patient, you have to make sure that he begins to take a strong interest in pondering certain highly abstract thoughts over and over again in his mind, pondering them meditatively. You must therefore recommend that he meditatively think through, for example, geometric or mathematical problems, that is, in recurring rhythmic repetition, so that he never fails to actually maintain this artificial abstraction of his ego organization. You must accustom his thinking to entering into a certain inner constitution. Therefore, you will do him a great favor if you advise him: Every morning after you wake up, think about how a small triangle that resembles a large one behaves. They have the same angles but different sides. Think about it slowly at first: the same angles, different sides. Then think about it a little faster, then think about it even faster, then think about it so quickly that you can hardly keep up. Then start thinking more slowly again.

So thinking at different speeds, brought about by your own arbitrariness, will guide you in caring for this independent ego organization. That is one type of meditation. But wherever you see that the ego organization has become more independent through some healing process, you can try to make it possible for it to continue on its path through life by means of such a meditation, which, however, has to be applied particularly strongly in the case of the syphilis patient. Actually, the syphilitic patient must be encouraged to really supply his independent ego organization with such a meditation, which proceeds in a modified rhythm, on a permanent basis. Can you understand it?

These things lead us to consider other questions that have been asked. We will come back to everything again, I just want to have a context that is required by the matter.

Question about tragacanth.

They are pods. You open the pods and inside are seeds that are as hard as stones and have to be ground into a very fine powder.

Now another question that has been asked, which apparently has nothing to do with it – but inwardly things are connected – is about the occurrence of glaucoma. Today, I believe, glaucoma is hardly treated in any other way than by surgery, at most by homeopaths; but homeopathy is not yet rational. But now it is a matter of realizing what exactly such a phenomenon as glaucoma is based on. Glaucoma is, in a sense, viewed organically, according to the four limbs of human nature, physical body, etheric body, astral body and I, actually the opposite phenomenon of all possible ear infections from the overall process of the organism. The two things are almost polar. Ear infections are on one side, and glaucoma-like phenomena are on the other. If you just take the facts, it is like this: in glaucoma, there is a strong activity that infiltrates and substantially constitutes the vitreous humor of the eye. The vitreous humor becomes too intense internally in relation to its own substance. This results in a hypertrophy of the vitreous humor activity, and the glaucoma disease is actually based on this hypertrophy of the vitreous humor activity. But what then occurs?

The eye, as a sensory organ, is at the point where it is sufficiently independent according to the general bodily constitution, sufficiently objectively separated from the whole organism. If it is somewhat more separated from the whole organism than is the case with normal vision, then it is so diseased that the whole organism can no longer expand its activity over this organ.

In the case of glaucoma, it is extremely interesting to see how the etheric body – which is so extraordinarily important in the case of the eye – permeates the eyeball, so permeates it that the physical substance in the vitreous body appears quite strongly as a physical substance. If it goes beyond this boundary, it appears too strongly as a physical substance. The etheric body can no longer reach it, can no longer infiltrate it. So you have to make sure that the etheric body comes into action again, or that the physical activity in the eye is toned down. It is of course trivial, but true, to say that when something like this occurs, the entire organic activity in this part of the human organism is just too weak, partially paralyzed. It is too weak and must be stimulated. You can only stimulate it by making the exhalation of the human organism stronger than it is in the case of the person suffering from glaucoma at the time of his illness, or in the course of his illness. Therefore, if you can determine the correct moment, you will be able to self-correct the symptoms of glaucoma – but in relation to such partial illnesses the organism sometimes performs something extraordinary – by doing everything you can to organism to promote exhalation and thereby stimulate it to increase activity within the head, and you will then be able to counteract the activity within the glaucoma formation. And such a thing can be achieved by introducing calcium carbonate from bone meal into the human organism and combining it with some aerial roots of plants. This produces a preparation that does indeed regulate respiratory activity in the way it is needed in this case.

So I mean it like this: If we take calcium carbonate from bone earth and introduce it into the human organism, we get a correspondingly strong stimulation to exhale. But in order for the organism itself to become involved, we have to add some kind of impulse to this carbonic acid lime, so that it does not run sluggishly, so to speak, without the organism. These impulses are present in the roots that come from some trees or plants that climb rocks, roots that live outside in the air, and where what otherwise thrives in the ground as roots is carried out into the air. This changes the roots so that their impulses actually become more similar to respiratory activity, and this makes it possible to get the respiratory activity within oneself. One then feels it. Otherwise, the respiratory activity is stimulated quite involuntarily by the carbonate of lime. But if you mix the calcium carbonate with the sap of such aerial roots, then you get the urge to breathe in that way, and from that urge to breathe in that way, the strengthening of the whole human organization arises, which you need to balance what has been snatched from you in the formation of glaucoma.

It is precisely from such a case that one sees how it is necessary to look at the whole person everywhere. But the physical body is never the whole body. The physical body is always only a part; the physical body is liver, is stomach and so on, and the individual parts are connected with each other. The etheric body is already relatively strong for the whole person. And in a very grand sense, the whole human being is the astral body. It is just that this astral body is very strangely constituted. One might say that what is the astral body of a person up to the diaphragm – roughly speaking, locally confined – is quite different from what is the astral body below the diaphragm. What the astral body there does towards the head, towards the nervous-sense organization, is in its work, in its polarity, completely opposed to what is done in the metabolic-limb system. And consider the metabolism altogether, which essentially proceeds under the influence of the astral body. What we usually call metabolism is actually an activity of the human organism in which only the activity matters. In the metabolism, it is actually only a matter of absorbing and excreting substances. One might say that food as such, in substance, is basically not what interests the metabolism, but rather the overcoming of the outer substantial form of the food and the metamorphosis, not what the organism needs. But excretion begins right there in the metabolism itself. It actually goes from absorption directly into excretion. Only some of it is secreted. And this penetrates into the nerve-sense organization. The nerve-sense organization is of extraordinary importance in terms of substance, because the nerve substance is the metabolic substance taken to its logical conclusion.

As grotesque as this may seem, the reality is that the intestinal contents are, after all, nerve substance that has been left behind halfway through. The nerve substance, especially of the head, is the intestinal contents that have been processed to the end, the intestinal contents that have been transformed by the human organism, especially by the ego organization. The intestinal contents stop halfway and are excreted halfway. The contents of the nerve substance are driven to their very end and must then be processed by the organism as completely 'used up'. So the astral organism in the actual metabolism performs a completely different activity than the astral organism in the central nervous system. They are truly polar opposites. That is, one stops halfway, the other is carried to completion, and in between lies a zero point. It is actually the case that a complete polarity takes place. If you were to draw the etheric body, you would still draw it as an egg-shaped form, but you can no longer draw the astral body as an egg-shaped form. You have to draw it as two parts, above and below, which are actually quite different from each other in the way they work. And without understanding this, one can actually understand neither the healthy nor the sick human being. One must be clear that there is a completely different activity within the metabolism than within the nervous activity, within the nervous system. And only from this insight does the possibility arise to have a corresponding effect on the human organism. If, for example, you give a person preparations obtained from the flowers of plants, say, as essential oils, then you do not bring them from the lower part of the astral organism into the upper part, and they can only be used to bring about certain processes in the lower part, in the actual metabolic tract. The moment you use anything derived from the root of the plant, it expresses itself through from the lower to the upper tract of the astral body, and you have it in it because it in turn reacts from the head back to the organism. You have it in the whole organism.

Because you must understand that the ordinary view of the composition of the human organism is actually a terribly amateurish one. No, one would imagine that if, say, in some part of the human organism, after a certain period of life, new substance has appeared, that it has come through the process of ordinary metabolism, that is, the old substance has been shed, and through the process of ordinary metabolism the new substance has appeared. At least, that is how we imagine it. I do not believe that anyone who has studied medicine in any way today imagines it differently, as that substances in the human body, which are summarily different after a certain period of life, have come there by way of the usual metabolism, have been exchanged, other than through the metabolism.

But that is not the case. If you find a different substance in any part of the human organism after a certain period of life, it has never been excreted by the ordinary metabolism. The ordinary metabolism provides only the nervous system, only the internal structure of the nervous system, only the building blocks of the nervous system. Through the activity of the nerve-sense system, in connection with breathing, substances are then absorbed from the cosmic environment in an extraordinarily finely distributed state, which are incorporated into the organism by the nerve-sense organization and substantially replace what is lost. For the losses are much slower than one thinks. So the human body is never built up from food. Food only maintains the activity that is needed to organize the nervous system. The building, the substantial building, does not happen at all through nutrition, that is only chimerical, but it actually happens from the cosmos. So when you cut a nail that grows back, the substance that grows back is not from the food, which in turn has nothing else to do than to rebuild the nervous system, but it is the one that grows back, which actually replaces the organic substance in the human being substantially, absorbed from the cosmos.

This, of course, presents a very different picture of the composition of the human being than if one believes that the human being is a kind of tube, with food entering at one end, being exchanged in the meantime, and what is unusable being secreted. But the human being is not this tube. What happens in a tubular form takes place entirely within the human organism itself. That by which man is rebuilt after a certain period of life comes into the human organism through the senses with breathing and even with fine absorptions from the outside world through the senses. In this respect, the ears are extraordinarily important organs of absorption, as are the entire sensory organs that are spread over the body. So if you look at the human being properly, you will have to say from the outset that metabolism is the inner work of the human organism. The rhythmic organism and the nerve-sense organism are also involved in the construction of the human being.

Now, we will take it from there tomorrow and gradually answer the other questions that have been raised. Please tell me if you would like another session, since we only have so few hours. I think we will get to the individual problems that have been raised. If anyone still has problems, I would ask them to tell me tomorrow.