Therapy

GA 314 — 1 January 1924, Dornach

Second Lecture

I have just been informed that some confusion has arisen because I spoke about mercury treatment on the one hand and about the preparation that I mentioned yesterday on the other. What is really at issue is that the mercury treatment has only been mentioned as a specifically effective treatment, but as one that is actually dangerous and can be avoided. So yesterday I meant to have given a complete replacement of the mercury treatment with the given preparation of tragacanth root.

I will start with the questions that are still on the old list, as we have another hour tomorrow. I believe there is something else among the newly arrived questions that is related: “How can we understand the success of Salvarsan therapy in the case of Lues?”

First of all, it would be a matter of describing this success in more detail. With such a therapy, it is always the case that a certain success can be achieved, but harmful side effects are present. And with Salvarsan therapy, it is completely unthinkable that one can even speak of rational therapeutic treatment, because the preparation, at least as it is described, is such that it tears apart the human body, that it tears the person apart. Nothing fits together. You can add whatever you want to the body, it can always be a success, but what then becomes of it, that is precisely what is unquestionably incalculable with salvarsan, because the things contradict each other. Therefore, one can only say: Salvarsan therapy is truly a child of the current way of thinking. And basically, the fact of the matter is that you can't seriously go into something like that. Does anyone perhaps wish to say something further about this?

Dr. Rascher: Does that then apply to all modern metal therapy in general, including bismuth therapy?

Not true, bismuth therapy can be overlooked from our point of view. What I mean is that in my courses themselves, bismuth therapy is discussed. But the preparation Salvarsan is impossible to overlook. It tears the body apart. Of course, there may be bismuth preparations that do the same when combined with other preparations. But our courses of treatment can show how bismuth itself acts.

Dr. Noll: Can an antimony preparation be effective against Lues?

Antimony is most effective between the sexual and respiratory tracts. Thus, anything in the human organism between these two tracts can be treated with antimony; the rest only insofar as the effect of one tract radiates into the whole organism. But it is not really possible to treat the sexual tract specifically with antimony for anything that is wrong with it. So, of course, the sequelae of syphilis can very well be treated with antimony, but to treat syphilis itself with antimony will certainly not lead to a complete cure. Antimony affects the pronounced middle organization of the human being, the entire digestive tract, the transition from the digestive tract to the circulatory tract and, of course, that part of the circulation that then passes into the sexual organs. But it is distinctly limited to this tract.

Dr. Kater: The deaths are enough confirmation of the bad effects of Salvarsan.

The most likely scenario is the following: Salvarsan has been used, not too long ago. The worst effects in their culmination will emerge in the patient after about five to ten years, maybe even in a seven-year period. Unfortunately, these case histories are not kept today. It is much more important for medical knowledge that the case history be continued beyond the healing process. Much more can be gained by this than by studying the internal make-up of the organism before the onset of the disease. Of course, this may be quite important in certain circumstances, but in most cases external factors are of particular importance.

Here I must again mention such cases: our friend Dr. Haakenson brought me a patient in Christiania. He had inexplicable symptoms of a rash. He was about forty-five years old when he was brought, and the whole picture presented itself to conventional medicine as an impossible-to-define complex of symptoms. You see, if you proceed purely from the organism, you cannot possibly arrive at a plausible cause. Of course, the doctor is usually dependent on what the patient tells him. I was able to say the following to this patient: I said, leaving out the intermediate links, “You must have been poisoned sometime between the ages of nine and 11 or 12.

Now it gradually came out that the man, who was about forty-five years old at the time, was thirsty as a boy at school. There happened to be a laboratory next to the schoolroom, with a weak hydrochloric acid solution on the window, which he drank to quench his thirst. And it was this poisoning that was still evident at the age of forty-five.

So you have to look at this external cause as the most important thing if you want to understand an illness. But afterwards, you actually have to carefully observe the organism after the healing to see what the healing does in the organism.

And that would be of particular importance in salvarsan therapy. In the case of salvarsan therapy, you certainly cannot apply what I said yesterday for the treatment of syphilis in general. I gave you a kind of meditative treatment afterwards, that is, with abstract concepts that have to be carried out conscientiously at different speeds, increasing speed, then decreasing speed again. This will enable you to make use of a psychic after-care, which admittedly takes years, especially with syphilis, if it is cured in the way I described yesterday. Even with mercury treatment, although I do not recommend it, such a psychic after-treatment would be beneficial. With salvarsan treatment, if you undergo such follow-up treatment, you will probably develop, at a later age, something that cannot be called dementia praecox, but is very similar to dementia praecox in later life. While with mercury treatment, if there is no follow-up treatment for mental health issues, psychiatric symptoms will develop due to the reasons I mentioned yesterday. But with Salvarsan treatment, it will turn out, precisely because of the disruption, that a kind of schizophrenia will actually occur, especially if you try a follow-up cure in the mental sense.

Dr. Palmer: It would be very interesting if you would share with us your opinion on so-called tertiary syphilis and iodine therapy.

From what can be said about it, it is essential to realize that when dealing with a very generalized disease such as syphilis, one is dealing, firstly, with the actual focus of the disease and its radiations, but then, because syphilis affects the whole person, reaching up into the ego organization, one is dealing with the counter-image in the nerve-sense man. It is quite possible to say schematically: the disease is located in the metabolic-limb-human being, but has its counter-image in the nerve-sense-human being, to which, for example, the larynx tract also belongs, everything that is connected with the differentiating upper breathing. These two things are intimately connected. What one accomplishes with mercury refers to the actual source and its radiation. What one accomplishes with the iodine preparation relates to the upper part. So that the polarizing effects in the nerve-sense apparatus can be paralyzed again by iodine when mercury treatment is applied. So that is the connection.

Now, as you will recall, yesterday I essentially indicated two parts to the entire syphilis treatment. The first is the injection with the preparation, the second is a bath treatment that expels. This corresponds to each other in a much more natural, rational sense, just as mercury and iodine do here. That is how it is intended. In most cases, therapy leads us to a balancing treatment of the two polar opposite organizations.

Dr. Palmer: So the gummata are to be considered as a consequence of too strong mercury therapy?

Yes, that is absolutely the case. Is there anything else to ask that is directly related to this?

Dr. Kater: What is the effect of arsenic?

The effect of arsenic in general is that arsenic essentially energizes the human astral body. That is the archetypal phenomenon of the effect of arsenic. Arsenic, even in its compounds, has such a strong effect on humans that one can say: arsenic energizes the astral body. Therefore, if you use arsenic, especially in liquid form, simply as Roncegno and Levis water in the appropriate dosage, you will always be able to act when it is necessary to stimulate the astral body to develop its natural impulses, so to speak.

Now, in every such disease, by the way, in syphilis as well as in other venereal diseases, a defect in the astral body is either the cause or the consequence. Therefore it is quite natural that arsenic also has an observable effect on it; but it need not heal. It does not go deep enough to be able to speak of healing. Dr....: Are the conditions in a child with congenital syphilis different from those in an adult?

You mean with hereditary syphilis? With syphilis in children, the conditions are of course completely different. And with children, if you can diagnose in time, you will achieve something with the arsenic cure, but not with the Salvarsan cure, but with the arsenic cure, in which you use the arsenic in its stronger dilution and, if possible, by adding lactic acid or something similar, you can have it work far enough in the body. In this way, you can achieve very favorable results, especially with children. For hereditary Lues is not actually syphilis, but hereditary Lues differs from syphilis in that syphilis, among the human organs, especially in adults, when it has occurred through infection, has its essential effect in the etheric body. The hereditary passes only into the physical body and is then not in the etheric body. And so you can, if you strongly stimulate the astral body with arsenic, transfer it to the etheric body, and then you really fight it rationally in the physical body. The difficulty with hereditary syphilis lies precisely in the fact that what is so difficult to access by earthly means has been thoroughly ruined.

What I described in the general lecture as being subject to the peripheral forces comes into consideration here. If you want to have any influence at all on such deformations and degenerations, on damage that is connected to the peripheral forces, then you have to set etheric forces in motion somehow.

Now this wolfberry, which I mentioned yesterday, has the peculiarity that it hardens, becomes horny, and is therefore not actually continuously surrounded by etheric forces. If you then obtain these etheric forces through the sap of its own flowers and leaves, you will end up with a preparation like the one I described yesterday. This then leads to rational thinking about the matter. Dr. Palmer: There is another question about tertiary syphilis.

One can only say about tertiary syphilis: the only truly rational thing to do is to not let it get close, to strive to catch syphilis in its first stage. Because once syphilis has become secondary or tertiary, then, especially for an occult observation, there is such a complicated complex of symptoms that does not need to be the same in two patients. It only appears so on the outside; on the inside, it does not need to be the same. So it is very difficult to get to the bottom of it, because you are really curing at one end and at the other end it breaks out in the opposite sense. Therefore, one can only say, when one has to take a position on it: secondary syphilis must, of course, be treated as I said yesterday, and in the case of tertiary syphilis, the aim will be to achieve a cure under certain circumstances, but it will always remain problematic.

Dr. Palmer: Regarding the glaucoma process and the ear process: the glaucoma process is seen as a kind of tumor process; ear processes are pus processes, inflammatory processes. Now, the eye in its entire development is to be understood as an inflammation process, and in the development of the ear we see a tumor formation process. Is it precisely this polar opposite that is the clinical picture of glaucoma on the one hand and ear suppuration on the other?

Isn't that obvious? If in the eye, under normal conditions, there is an inflammatory process, and if in the ear, under normal conditions, there is a tumor process, then the disease process in the eye must be an inflammatory process and in the ear an inflammatory process, namely that which occurs as the opposite. It is obvious, so to speak, that it must be so.

Now, on this occasion, it is perhaps possible to speak immediately of these polar processes of inflammation of the ear, especially of the middle ear. In the case of inflammation of the ear, one is dealing with an overgrowth of the etheric organization in this local tract. That this is so is evident not only from occult observation but also from the simple sight of a final state, final stage of inflammation of the middle ear with the adhesion of the organs and so on.

One can already see from the physical organism that this is an activity of the etheric body getting out of hand. Now it must be clear that this excessive ether organization in this tract immediately leads to a strengthening of the ego organization for this tract, which goes down into the subconscious.

We therefore have a physical formation that should not be there and that is dependent on the ego organization. We can best deal with this by, as it were, getting the breathing process going again. Internally, the respiratory process can be stimulated so that exhalation becomes more lively by using levisticum internally in an appropriate dosage. This stimulates the respiratory process in the opposite sense to that mentioned yesterday for the formation of glaucoma. One breathes more so that the strengthening of breathing goes inwards, whereas in the levisticum process it must go outwards. So the strengthening of the breathing process goes more inwards. And then, as strange as it seems, it will prove to be particularly beneficial for the ear infection if eurythmy is also used for the ear infection, eurythmy therapy. And it will be extremely beneficial to practise eurythmy therapy with the L, M and S in particular. That is to say, everything that relates to the ear is really only a localized process for a process in the whole human etheric body. Therefore, everything that is localized in the ear can be treated by promoting breathing in such a way that one also promotes only breathing - by having the letters listed performed in eurythmy therapy.

Now I would like to talk about a few more things.

Dr...: Would the eurythmy be different for ear infections and sclerosis?

If it is a case of sclerosis, then vowel eurythmy therapy will be used. This would involve vocalizing in eurythmy therapy. In inflammatory processes, it would be a matter of consonanting, and in particular L, M, S and such sounds.

Now other questions have been raised, which I would like to address in turn. The case that was asked about here and about which we already have some experience is particularly interesting. The question has been raised here:

Is therapeutic intervention still possible in cases of chronic arthritis deformans? We are currently trying one percent phosphoric oil and stannum. Is consonantal eurythmy indicated here as well?

Perhaps I could ask Dr. Palmer to briefly report on our Stuttgart case of arthritis deformans.

Dr. Palmer: The case we treated back then, and whose therapy has become widely known, was a very fresh case of arthritis deformans. It was Mrs. X., who, after four to five weeks of treatment with one percent phosphorus oil and four to five percent stannum trituration, had all symptoms that had previously been treated elsewhere in clinics. At that time, too, the patient underwent eurythmy therapy in addition to the medicinal treatment. Of course, we did not have the same success with the cases that came to our clinic and where we used the same therapy as we did with this fresh case. A small boy who had already developed the disease at the age of three or four was also treated with phosphorus oil and stannum, but we also had to give injections of levicowater to intensify the effect. At that time, this boy had a very acute inflammatory stage of arthritis deformans in his hip, and all the symptoms there also subsided, becoming completely painless. Of course, the destruction in the joints and the destruction of the cartilage was already so extensive that in this case, restoration of joint mobility was no longer possible.

That is, of course, the difficulty in general. Let us now first consider the two cases, because that will be very instructive. How old was our female patient, Mrs. X?

Dr. Palmer: Maybe in her late twenties, and the boy would have been twelve or thirteen years old, he was the American boy. Dr. Kater says that her patient is twenty-seven years old and has been suffering from the condition since the age of twelve, a second patient is forty-five years old and has been suffering for three years, and a female patient is around seventy years old.

Now the question is whether you have achieved a cure. Have you used the same treatment here?

Dr. Kater says that she has only just applied the treatment.

The matter is extremely important because, with this disease, an enormous amount really does depend on the person with whom one is dealing. And it can be said that with this disease, with deforming arthritis, it is really the case that in all cases one must actually individualize to a certain extent, because the origin of this disease is closely related to the overall development of the person. Sometimes, when a disease occurs in middle age, as in the case I first asked Dr. Palmer to interpret, you have to ask yourself: does the cause lie very far back in childhood, or does it lie in later years?

The peculiar thing is precisely this: that with the appropriate physical disposition, namely with a constitutional weakness of the etheric body, in most cases the cause of arthritis deformans lies in psychological processes, namely in people who into a weak etheric body on waking, so that the astral body becomes stronger than it should be because of the weakness of the etheric body, because it is not sufficiently weakened when it penetrates into the etheric body. Grief, worry, shocks and consuming misery that arise in the soul actually act as the cause of this illness.

But now comes the strange thing: if you have a child, let us take an imaginary case, a child of ten years of age has, let us say, due to a previous measles disease or something similar, an etheric body that is only temporarily weakened; the astral body is too strong. Therefore, in this life-time of the child — I do not want to say ten, but twelve years, you will soon see why — if it has a grumpy educator who brings it into all sorts of states, so that it causes discord within itself, such childish sorrows initially predominate. And now let the fourteenth year approach, approximately of course, then you have two years from the twelfth year to the fourteenth year, and then two years to the sixteenth year, and in the sixteenth year there is again a possibility that the period of completion of completion of the period after sexual maturation, as the insult occurred before sexual maturation, that the matter is repeated rhythmically, but that then, of course, no new sorrow occurs, which would have to come from outside, but that the organic counter-image of sorrow occurs. Then the question is: how long does this process take to become properly peripheral, according to the periods that develop? At twenty-one years of age there is another period, that is, at nineteen, two years before this period, and two years after, at twenty-three years of age, there is again the possibility for this child that somehow the matter will progress. Now it is only a matter of how long this process takes to become properly peripheral, that it appears as a deformation? This may, under certain circumstances, range from the age of twelve, when the first causes lie, to the age of thirty, or even to the beginning of the age of forty. Then one has a completely different picture than when, for example, someone experiences the psychic cause only after the age of fifty or at the end of the age of forty, when it can also be experienced. Then these deformations occur from a completely different depth of the organism. And so we can say, let us assume that we are dealing with a patient who, for my sake, is in his late thirties or early forties and has severe deforming arthritis, which shows us that the causes actually lie quite far back. Then, under certain circumstances, we can suggest the following treatment based on this fact. In answer to your question, I have therefore constructed an ideal case, and the idea would now be to use arsenic injections, stannum and so on to evoke in such a case what has been discussed here, by giving hydrogen sulfide baths, thus initially acting on the nerve-sense system, on which the corresponding baths always act, and thereby affecting the peripheral human being from the outside. Then give, say, highly potentized arnica substance, arnica tincture or equisetum, from the inside, which in this case would be the same, so you work from the inside out in the same way, and you will probably achieve a cure for even long-standing arthritis deformans.

It is quite true that one can say: This would be a case that might be treated like this. While cases like the first one, as interpreted by Dr. Palmer, which certainly did not have its cause far back, can be treated with stannum and phosphorus oil. I was very happy to mention this case because it is instructive to see, especially in such a very deep-seated disease, how one must individualize.

A case is described in which the patient underwent something similar in her youth. In her twenties, she then suffered from a gonorrheal infection, followed immediately by very severe chronic arthritis. She is now about forty-five years old and in a very desolate condition.

It's almost as if I had constructed this case ideationally earlier! Hydrogen sulfide baths and internally Equisetum or Arnica, possibly, if it is not directly attacking, injections.

Dr. Kater: The case you mentioned is exactly the same as that of the 27-year-old woman among my patients. You have outlined it precisely without knowing it.

Now we also have an interesting question here: diseases of the gastrointestinal tract as a result of shock. Well, these can occur as a result of shock, but I also believe they can occur as a result of other psychological effects, for example, from prolonged grief and the like, which is always rekindled; this will be the case especially in female personalities. Very painful colicky conditions can occur. There may also be a lethargy of the entire gastrointestinal tract, and even a complete failure may occur under certain circumstances, but a failure that is very often associated with pain at the same time. Isn't the clinical picture something like this? (Answer: Yes!) — This is now a very common illness, and it is very interesting to observe what actually happened. In each such case, the following has happened: The human astral body is a very differentiated organism. When you get to know this human astral body, you will find that the organs behind the sexual organs towards the renal tract and bounded at the top by the pulmonary and cardiac tracts, in other words in this part, the astral body adapts very strongly to the etheric body. So much so that one can actually say: the etheric body is the decisive one for this tract. The astral body takes on in its movements, in its forms, what the etheric body does. This is quite different in the sexual tract. In the sexual tract, the astral body is very active in itself, suppressing the activity of the etheric body to a certain extent. If a shock effect occurs here, then the activity that the astral body develops in the sexual tract forces its way into the digestive tract, so that one has a displacement of the astral activity, and all the symptoms are then the ones mentioned above. And one has to really initiate that process that brings the astral body back to its proper place in such a case.

One must really understand this connection, which actually takes place entirely within the higher members of the human organism. The other things that take place in the physical body are merely consequences, merely external symptoms. What takes place takes place between the etheric body and the astral body, and that is partially in the particular region of the body.

You will achieve something in all cases if you apply either compresses or rubbings with oxalic acid, i.e. simply oxalic acid, which you can best obtain by squeezing clover. You squeeze the clover to obtain the oxalic acid. This is where it is most effective. And of course it is best used by rubbing it in. It is extraordinarily effective in energizing the etheric system in the digestive tract. This results in a particularly strong activity. And now you have to try to get this astral sexual system, which has gone in there, back again. You get this back either through a silver preparation per os in the appropriate dosage, or through a silver injection used in the fifth or sixth decimal place. Silver, when introduced into either the circulatory or digestive system, always tends to restore deformations to the higher limbs of organization.

You see, if you apply these two processes one after the other, you will achieve very good results, especially with shock effects. Shock effects are extremely interesting. And if you have cured a shock effect, if, let's say, there is a typical shock effect as we have just described it, then you will notice the following when you continue to follow the patient. If you know how to ask the right questions, you will get answers from the patient that go something like this: It is very strange, but since I got well back then, my heart has been working quite differently; since then, when I perceive something startling, a cannon shot or something like that, my heart acts as if it wanted to calm me down, as if I had a being on it that wanted to calm me down.

In this you see how truly polarizing processes are present in every regulatory intervention, not only in a healing intervention, in the human organism. This heart effect, of which the patient speaks, which also essentially takes place in the etheric and the astral, is the polarizing counteraction to what you actually did to establish the correct relationship between the sexual tract and the digestive tract. That is what needs to be said with regard to this shock effect.

Now tomorrow I will talk in more detail about an interesting question, namely nervous diseases, in particular spinal cord diseases, which is written down as the first question, so to speak. We will meet again tomorrow at half past eight. I just want to say something now, because it seems to me that there really is a very topical question here, which is also on the note, namely about children wetting the bed. It seems to be occurring in a very intensified form.

When children wet the bed, it is a typical weakness of the astral body. The astral body simply does not have the strength it should have. But if you use arsenic in the case of bedwetting, even in the healthy form of Levicowasser or Roncegnowasser, then you will usually achieve a strong but extraordinarily short action, especially in the case of bedwetters, through their overall organization. The children will still wet their beds; but you will definitely achieve good results if you use the substance that you can obtain by squeezing the leaves and flowers of St. John's wort, Hypericum perforatum. I don't know if you know that this is the only plant that has three sets of stamens. It belongs to the 18th Linne class, it has yellow petals and leaves that look as if there were holes in them when you look through them. If you squeeze this plant, you get a juice. It is essentially due to this bitter extractive contained in this plant, also a substance that has a very strong and lasting effect on the inner mobility of the astral body and strengthens it. And as a result, it may lead to healing if you then still have a moral effect on the child by simply saying that he is obliged to pay attention to his functions. This moral influence should actually take place precisely in the case of such things, which, don't you think, are on the border between naughtiness and disease. Please don't misunderstand me, I know, of course, that it is a disease, but it is on the border between naughtiness and disease. And because moral will does indeed have a great influence, it should not be disregarded. If you cure such a thing in a child – of course you can cure it with Hypericum – you weaken the child's will if you do not at the same time encourage it, give it an impulse in the moral sense. That would be said with regard to bedwetting.

Then tomorrow we will talk about neuropathic children, especially children with various forms of dementia praecox. Then we will discuss some other questions, and I will try to take all of these questions into account.

Dr...: The question is asked as to how old the juice may be.

It should not be allowed to become too old; but if you prepare it by squeezing it as well as possible to a certain quantity, say one gram of leaf and flower mixture, half and half, then you will be able to supply a glass of water with it, and you can then portion it out and use it in this way for half a year.