# Therapy

## GA 314 — 2 January 1924, Dornach

### Third Lecture

I would now like to deal with some of the questions that have been put to me, and here there are a few questions that seem to me to be particularly important to you.

The first question is about gonorrhea. Now, in order to understand what should actually be done, it is necessary to study the nature of the disease. It seems to me that in this area in particular, people are all too easily satisfied with simply saying: infection, infection, and more infection. That is, after all, what is actually being said. Certainly, in these and similar diseases there is an extraordinarily great and powerful possibility of infection; but the knowledge of contagion is the very least that can be inferred from the knowledge of the healing remedies. It is not much to know that something is contagious. The only thing one can do is to take precautions to reduce the risk of infection. That is something that is self-evident. But it is good to penetrate into the matter at hand, especially with such things.

Now, we must be clear about the fact that the human organism really is a closed system, and that, to a greater or lesser degree, everything that lies outside of it is poisonous to the human organism. So, in fact, anything that lies outside of the human organism is a poison. There are, however, certain adaptations in which the effect that would otherwise be a toxic effect is, so to speak, isolated. And this isolation of an effect that would otherwise be a toxic effect occurs for the realization of etheric impulses and astral impulses, namely when female and male seed unite. It also occurs in numerous other cases, but especially when female and male seed unite. The effect is eminently toxic when the two polar substances combine. So the effect is eminently toxic, but it is isolated and exposed to the forces of the cosmos in isolation, which can even be described in detail. These are the concentrated forces of the sun and moon, to which what arises from the union is then exposed.

This exposure is only possible if the male and female seed actually interact. With any substance that lies outside the female seed, that is, that is produced in organs that are not the female sexual organs, the male seed gives a useless poison everywhere in the human organism as well as in the outside world. Conversely, the female seed releases a poison that cannot be processed with every substance, except for that which is secreted by the male sexual organ. This poison is actually, basically, only under metamorphosis, sometimes a poison for the oystercatcher, sometimes a poison for the tripper. And with that, we are dealing with diseases that are something essentially different than the syphilis diseases that we have discussed. We are dealing with the production of poisons that cannot endure exposure, either in the human organism or beyond the human organism.

Now, such substances are also, in essence, extremely potent infectious agents. They are, in fact, the carriers of parasites of the smallest kind, hypermicroscopic organisms. And it is with such an effect that we are dealing, that is to say, with an interaction of the astral-etheric organization in the male and female, which then, when it works down into the physical, produces these corresponding poisons. That is the essential thing. The danger of infection is secondary. It is always there precisely because in this way the strongest poisons of all are produced for the organ.

I believe that it is extremely important that such things are understood at last, so that we do not always look at the corresponding symptoms, as I would like to call them, in the same way that the entire reproduction of the human race was once viewed, by tracing the whole human race back to Eve's ovary for all of the Earth's future. This is, of course, a very superficial consideration. It is also an easy way out to say: This disease is infectious; the infectious one has been infected again, and one naturally ends up being vague, but one does not arrive at any real insight. But if one arrives at such an insight, as I have just indicated, then one naturally asks oneself the following question. Then one says: How can we now get at the effect that arises in the human organism under the influence of this poison?

So you have to create something to which you can expose this poison, just as you can expose the fertilized female germ to the universe. So you have to create an atmosphere, so to speak, in the astral-etheric organism, an atmosphere that has a certain absorption capacity, not for the poison, which is then excreted when the poison-producing forces are absorbed in the astral and etheric.

And now it is precisely in such things that the healing powers are often allowed to work together from two sides, and one will really be able to achieve good things in such a case if one takes a preparation, such as some carbonate of alkali, alkali carbonate internally and then applies compresses locally, strong oily eucalyptus compresses locally, but allows both things to work together. This will most certainly lead to a cure, even if it is perhaps slow but thorough. This is because the alkali carbonates essentially work in such a way that they create a special etheric body from the human being's entire etheric body, so to speak; and the eucalyptus extract works in such a way that it flows through this created etheric tract as if it were astral. So that one actually creates an atmosphere around the genital tract that absorbs the poison-producing forces. This is what one can envisage in the process.

Would anyone like to say something about this right now? All these things are not really here to be discussed, but to be tried out. They will prove themselves. Now I would like to address a question that I have found here, and that is:

> Can a patient who has become a morphine addict due to severe asthma be successfully weaned, including from morphine, using the remedies citric acid, Prunus spinosa and Nicotiana tabacum, as applied by the Clinical-Therapeutic Institute

in Stuttgart?

With asthma, it is a difficult matter, because asthma is essentially based on the fact that the exhalation, the exhalation current, encounters resistance as it passes through the airways. It gets stuck, so to speak. This is something that can be seen very clearly in the astral organism.


It is always somewhat problematic when recording these things, but you are all anthroposophists and will take the things as they are meant, of course. So, the outgoing air stream, you can actually see something like hooks in the human being's astral body, into which it sticks (see drawing). That is the finding. And that just goes to show that asthma is really the one form of illness that is right on the border of purely psychological illnesses, by which I do not mean so-called mental illnesses, but those illnesses that are related to the psychological life. Mental illnesses do not need to be related to the psychological life at all, but can merely be physical illnesses, in which case the psychological is merely a symptom. So-called mental illnesses should not be called mental illnesses at all, because they are almost always a real organic illness that finds a psychological counterpart, simply a shadow image, and that is merely a symptom. It is best to cure so-called mental illnesses by recognizing from the physical findings as a symptom complex whether there is a kidney disease, liver disease, or a real organic brain disease. By mental illnesses, however, I mean those where, for example, psychological effects really underlie them, such as shock effects or anxiety effects and the like, in other words, where psychological causes are present. And with asthma, it is indeed the case that you often have to go back a long way to find the psychological causes.

When one has grown as old as I have, one has always encountered cases of asthma of the most varied kinds, and I must say that often, when looking for the cause of asthma, one has to go back to the embryonic stage, if one goes back to find the cause of the onset, apart from the karmic one. And the external causes often really lie in the embryonic stage. They lie in the fact that the mother has had shocks or worries that have occurred again and again during pregnancy. Such things have an extraordinarily strong effect on the entire mucous membrane system of the respiratory tract, and it is from this that the causes for what later manifests itself in asthmatic symptoms already go out during the embryonic period.

Now, however, the following is of particular importance for asthmatic symptoms: asthma manifests itself in very different ways, depending on the individuality of the person, and it is very important that we can really fight the other symptoms of asthma that exist in the organism. Then we make the organism strong enough that it can do something itself later to fight the asthma. And so I would now like to indicate the possibilities of how to deal with these matters, since it is indeed an irregular movement of the astral body in the bronchial-lung area.

There is something, I might say, very ingenious at the bottom of it, as asthma is generally a very ingenious disease. If one examines a person suffering from asthma with, if I may say so, occult vision, one finds that in his case, above all, what I might call the inner appetite of the organism is eliminated.

Let us first agree on this concept of the “inner appetite” of the organism. You only come across this concept of the inner appetite of the organism when you observe very young children. They don't just taste with their tongues. I have always said this to teachers: young children do not just taste with their tongues, they taste with their whole organism. The whole organism is something like a fine organ of taste. It is just that later on this tasting is localized around the palate, tongue and so on. But this differentiation, which occurs relatively early, is only a partial one. In subconscious spheres, the human being tastes and thus generates this inner experience of appetite through his whole organism. Simply the whole organism has that striving power that is called appetite.

Now, when there is a loss of appetite in the separate main tract, as is experienced, there is also, and this is particularly the case with the asthmatic to a high degree, a loss of appetite in the organism. And in asthma, the whole organism loses its appetite; it has no desire to absorb the ingested nutrients, especially those that enter the general circulation. He even has an aversion, but he is unaware of it because it is unconscious within, especially towards cooked food. This can be observed quite well from external symptoms that occur in his life. This must be dealt with first. You must first restore the appetite of the organism.

It is generally good to know how to help an organism that you think has lost its appetite, that is, where the right connection between the etheric organism and the astral organism is interrupted, because that means being without appetite. Now it is good to know what is good for it. And it is always good to teach the organism the right dosage of what can be obtained in the form of tannic acid, for example from sage leaves, from nut leaves, from oak bark or willow bark; in short, if one teaches the human organism, I want to say, that which perhaps corresponds to the first decimal place, just only in terms of percentage, of tannic acid. This is what is particularly important for the astral body in such a case. It is stimulated to extend its activity to the ether body when it is supplied with this tannic acid. The ether body, on the other hand, does not react to this. So if you supply tannic acid on one side only, you will only cause disorder. You have to help the ether body on the other side as well. And this can be done, for example, by making a leaf extract from Veronica officinalis, from this speedwell, and extracting the bitter substances from it by name. These bitter substances are found in such plants – they can also be extracted from other plants wherever these bitter extractive substances are found in them — and then you will take one or the other in turn, in the morning one and in the evening the other, for example, and you can then regulate the rhythm between the astral and etheric bodies and in this way initiate the healing. Then you instruct the patient to lie in bed for weeks on end, not to get up at all, but to sleep in a chair, and when he tries to fall asleep, to meditate on breathing in the mind, thus to see or feel in the mind: inhalation, spreading the breath, exhalation, - to breathe quite consciously when he falls asleep; when he wakes up, to let him start breathing consciously again for a few minutes. If you strengthen your moral powers in this way, applying them to your own organism, namely to breathing, but in such a way that you can apply them unwaveringly - in any other position than when sleeping in a chair, especially when lying position, it is quite impossible for the patient to carry it out – and then use this as the third act of the cure, it is to be hoped that the asthma itself can be controlled even in very late stages of development. Morphine addiction is then only a consequence, and this will then be removed. One must try to fight the morphine addiction then.

Now for another interesting case that has been presented to me. However, I would like to emphasize that, of course, it is more or less problematic to give things without seeing the patient in question. It is just that I would like to say that the case can also be constructed ideally, but let us briefly state what is at hand in this forty-five-year-old postal clerk who, as a result of something, has suffered a nervous breakdown, then initially, it seems, became sleepless and ended up in a state where the patient is no longer in control of himself, where the head thinks alone, and is therefore automatic. That was probably the first stage. Then this stage seems to have passed into another, where he developed a trembling of the limbs after two years and probably also convulsive states in the limbs.

The main thing to do in such a case is to know that the whole condition is not located in organs other than those that have a directing effect on the human will system through the ego organization and the astral organization. The will system comes into consideration. And the irregular and abnormal nature of the will system is already evident in this peculiar surrender to the automatism of thought. This has nothing to do with thoughts, but everything with the will that underlies the development of thought. But everything is aimed at working deeply down into the subconscious in order to actually form the will in the mere metabolic-limb-organism, to pull it out of the rhythmic organism, to pull it out of the nerve-sense organism. So the tendency to relocate the entire physical and etheric will organs to the lower organism is actually present.

You would certainly have been able to observe this tendency in such a case, had you had the opportunity to observe this postal clerk, let us say, from some point in time and again after two years. You would have noticed that the reciprocal relationship between the lower lip and the upper lip had changed during these two years. Two years ago, it would have seemed to you that perhaps a certain, not quite harmonious relationship had taken place in the movement of the upper lip to the lower lip, that one has the feeling that it does not fit together as it does in normal people, and after two years it will have become stronger. The lower lip will have continued its naughty movements more than the upper lip. You will be able to observe such things. You will also be able to observe such an interrelationship between the legs and arms in discordant movements.

Now, in such a case, a combination of a drug treatment, a physical treatment, let us say, with a spiritual treatment in eurythmy therapy should be considered. These two things must be combined here, and this case is actually typical of this.

In such cases, use comfrey baths with a fairly strong addition of comfrey, which you can then count on for silicic acid. Comfrey has a very high percentage of silicic acid, so use comfrey baths and you will be able to achieve a significant strengthening of the ego organization through these comfrey baths. But it is only there under the influence of the bath. There is a constant danger that it will disappear again after a short time. It is driven towards the tendency to be something lasting if you now have eurythmy therapy vocalization, simply vocalization, after the bath has run its course, for an hour of eurythmy therapy vocalization. That is what you are stimulating then, which was initially only predisposed in the equisetum bath. And then you can hope, in this way, to fight the matter, above all from the periphery, from the limb organism. You just have to try to find the point from which you can fight the matter.

Now I have been somewhat concerned with this other case, which is very interesting; it is just not clearly presented. It says here:

> Lupus-like, increasingly severe proliferation of the mucous membrane on the palate, causing difficulty in swallowing, in a thirty-seven-year-old female patient who had pulmonary tuberculosis seven years ago, second and third degree, but who has now largely recovered. She had an operation for gallstones that were not present.

I would like to know what happened immediately after the operation on gallstones that were not present!

> Suffers from disorders of the digestive tract, from flatulence, which is beneficially influenced by eurythmy therapy S-exercise and has been minimal lately; has been suffering from severe grief for years. Could a successfully performed I-exercise have caused the lupus disease? What should be done?

Do you really think that this is something lupus-like?

> It could also be scurvy; it just looks like that.

You don't have to assume that. In reality, it can only be that the plastic power of the etheric organism simply does not work sufficiently into the peripheral tracts. It cannot be anything else. And this would have to be remedied by simply injecting bee venom in perhaps a sixth decimal potency and making the process a total one, which arises from the fact that the bee venom very strongly stimulates the etheric body to take up the astral forces in a way that is truly directed towards the whole human organism.

Bee venom is a very interesting substance. The basis of bee venom is really a system of forces that is also the basis of the entire human organism. What takes place in the beehive between the production of the bee venom from the bee food and everything else that the bee takes in, and what then becomes the wax cells of the honeycomb, is not only wonderful for the individual bee but for the whole beehive, and is similar to the organic processes in the human organism. If you follow the bees from the moment they land on the flowers to the moment they return to the hive, secrete the products they have brought and then make the cells, you have an activity of the hive that is really similar in terms of the inner self, the , and etheric, very similar to what happens between the processes that take place internally in the brain when a person perceives, then takes in substances in the powers of perception and goes as far as the formation, into this remarkable formation of the bone cells. In the honeycombs we see something that has remained soft and different from what has become bone cells, and in the bee's sitting on the flower we see human perception. So that in fact the whole human organism is enclosed in its activity in what lies between the bees sucking on the flower and producing the wax cells.

The underlying organizing principle of the spiritual, bee venom, is at the root of it all again. So that, when it comes to seeing that the organic effect is, so to speak, breaking down at the periphery, and does not want to enter into the periphery, you can always do a great deal of good with bee or wasp venom, and then support the effect of the injection from within by making a liquid pulp of honey and milk, and then giving that as a daily nutritional supplement.

This is something that really presents itself in such a way that one sees that the organism, which has become cramped and shows such abnormal phenomena at various peripheral points, in turn spreads its effect on the one hand, under the influence of the insect poison that enters the circulatory system, and on the other hand, under the influence of that which is substantially related to milk and honey, develops and spreads in the organization. That is what I believe can be recommended in such a case.

Now I would like to talk about the question that, as it seems, is also close to your heart. This is the question of nervous diseases, spinal cord diseases and so on.

Of all nervous diseases, spinal cord diseases are of course the hardest to treat. The other nervous diseases are much more treatable. But one would be able to treat the so-called nervous diseases much more if one considered that in the nerve, in the nerve cord, in the nerve at all, there is a substance that continuously tends towards crumbling. Unlike other parts of the organism, the nerve contains no constructive, sprouting or growth forces. Instead, the nerve contains everywhere that which tends towards the ego organization, in that it actually always wants to separate and crumble. It just has to be continually prevented from crumbling. In the moment when the ego organization is not strong enough to prevent the nerves from crumbling, then the most diverse phenomena actually arise. Depending on whether it is the ego organization or the astral organization that is not strong enough, either the actual nervous diseases arise when the astral organization is not strong enough, or when the ego organization is not strong enough, the various neuralgias arise, or the various conditions with semi-psychic symptoms, and so on.

Now we have to be clear about how to act on the nervous system in such a way that a kind of phantom of the astral and ego organisms arises in the nervous system. This really occurs when one attempts to get the forces – that is, when there is an already severe nervous disease, not a partial one – the silica effect into the whole nervous system. This is, so to speak, something of a postulate, to get silicic acid into the nervous organization.

Now, if there are no particular obstacles or inhibitions, you get the silicic acid into the nervous system because there is an extraordinarily strong affinity between the form of the human nervous system and the arnica substance. This is already very strong. And if you give arnica injections, especially in high potency, of course, in the fifteenth, twenty-fifth, even thirtieth potency, you will find in most cases that the arnica injection works in such a way that the sick person then even gets the urge and drive to do something against his nervous state. For it must always be brought about that the patient suddenly realizes: whatever is in the nerves is relieved by some remedy, and I can now use my ego organization, my astral organism. In this case, it is a matter of relief. In a nervous patient, the ego and astral organisms are intensely occupied with the nervous process. Something must be introduced into the nervous process that imitates the ego organization and the astral organization. And that is precisely what the remarkable configuration in Arnica does. Arnica is, after all, a mixed compositum of all kinds of things, and it is truly a kind of microcosmic imitation of all kinds of macrocosmic things. The Arnica substance does this to a very special degree.

Just think of everything that happens. First of all, there is the silicic acid that is found in Arnica montana. This is the basic substance. It is extremely sensitive, a deeply significant reagent for all possible cosmic influences. Silicic acid is an extremely fine reagent for everything that affects the earth. Then there is always a tendency in Arnica montana to transfer these fine silicic acid perceptions of the cosmos, one might say, and to shape them plastically in the potash salts and also lime salts, which are distributed in Arnica montana in a wonderful way.

Now imagine the whole effect that I described earlier for tannic acid; this effect on the astral organism is also present in arnica. So that what is now brought in from the cosmos is, as it were, plastically imprinted in the potassium calcium salts by the silicic acid, and directly carried into the organism through the tannic acid content of the arnica. Then, as if by a miracle, the arnica substance simultaneously develops a sedative so that the person does not feel the disturbing effect of the penetration of foreign substance into the physical correlate of the astral body. This is because the arnica substance contains something camphor-like. So it contains its own sedative. Then the arnica substance, wonderfully embedded in rubber and similar substances, contains protein substance, which gives it an affinity to the etheric body. And then we have phosphorus inside, namely essential oils, which builds the whole thing up in such a way that it directly becomes a phantom of the human ego-organism.

Therefore, if you introduce the correct dosage into the organism – but by injection, the other things will not work as strongly by injection – a substance from Arnica montana, you will usually see that, at least initially, there is a strong influence on the nervous system. The right process will be there when you can see how the patient now feels stronger and believes that they can now conquer the problem on their own. This feeling must be evoked. If it does not come, then take the help of Arnica montana, alternating with that which now supports him by also boosting the effect of Arnica montana from the respiratory side, so alternate with a fairly high-percentage formic acid injection. You will see that then the thing can occur.

If you cannot manage that, then it is of course necessary to take an extract of the part of the nervous system of an animal in which the actual source of the disease can be found, depending on whether it is in the brain or in the spinal cord, and then inject this in high potency instead of formic acid in alternation with arnica. So, for example, if you suspect that the nerve disease originates in the visual area, then take the secretion from the four-hilled substance or such a substance of an animal, extract it, take it in a fairly high potency and inject it to support the Arnica montana. Let the support go exactly where it is needed. These are things that one must always observe.

However, a mild toxic effect may occur, especially when Arnica montana cures are successful – it should even occur – that can be observed in something. But you will always see that this mild toxic effect can be counteracted by per os alkalis in some combination. I believe that what I have described here is actually very important for what should be done in the case of nervous diseases, including spinal cord diseases, which could only be diagnosed in the right stage, and in which one should get rid of that medical impudence that is so rampant, especially in Western Europe, that one attributes almost all cases of tabes dorsalis to some kind of syphilitic cause. It is complete nonsense. And if you obstruct your own view from the outset, you will naturally not be able to come to terms with your view. Most of the diseases of the spinal cord do not at all arise from any syphilitic starting points, but from colds that appear harmless to most people, in the gastric or other abdominal tracts, or from the fact that the spine itself has been exposed to a cold. It is just that, well, of course, according to the well-known social conditions of the last decades, the purely external complication of syphilis and spinal cord disease occurred very frequently, and the view was then distracted by this, and one did not do the right thing, namely to fight the consequences of syphilis on its own and those of spinal cord disease with something like what I have just described. It should always be considered and treated as a nervous disease, as I have just described.

Now the interesting thing is that if you localize the nerve disorders in the digestive tract or even in the stomach and they do not go further beyond the digestive organs, you can achieve the same thing – and this is extremely interesting – if you take Chamomilla instead of Arnica montana and treat it in exactly the same way by injection. And this is interesting because you can see from this – because chamomile is almost completely lacking in silica – that silica is only necessary when you get beyond the digestive tract with the nerves. It lacks silica. On the other hand, it contains sulfur, which is particularly beneficial when it comes to stimulating the etheric body in the digestive system.

Now some questions have arisen, but we don't have more time to deal with things in depth: “What is the essence of short-sightedness and long-sightedness?”

Don't you think it's worth asking whether these things could be therapeutically influenced? The causes of these lie on the palm of your hand, and you don't ask about these things. You mean, how can they be therapeutically influenced, whether they can be cured by mere medical remedies? It will be possible to cure them, both short-sightedness and long-sightedness can be cured, and thus also prevented, because you are quite right, glaucoma is of course essentially connected with long-sightedness. People who are not clear-sighted do not easily develop glaucoma. But a medicinal cure, which is indeed possible, will only be successful if it is initiated perhaps even before the age of three. So you have to notice the tendency towards short-sightedness or long-sightedness in the child very early on. Then you can do a lot with highly potentized belladonna. But you actually have to notice it before the child has fully learned to speak and walk. Once the organism has reached the stage of physical development that it has reached, once it has learned to walk, stand and speak, the entire tendency towards the formation of the crystalline lens and the vitreous body, which underlie hyperopia and myopia, is already present. And because it is something purely mechanical and formal, it is difficult to do anything. On the other hand, as long as the eye can still be affected by the unformed, wriggling movements, the as yet unoriented arm movements and so on in the child, and this is achieved by a highly potentized belladonna, which is imbued with a certain feeling, a certain sensation, one might think that something can be done. But it will probably not be easy to make his observations. That is to be said about it.

Now, unfortunately, we have to conclude these considerations. I hope that we will continue them again at a suitable time. It will always give us a very special satisfaction here if we can, so to speak, insert into the announced medical college activity that we can give the doctors something when they come to such meetings. I hope that in the future this can always be achieved in some way or other. But it will also be possible for those friends who stay in touch with the Dornach School to receive answers to their questions about these or those things from time to time – we will make sure that this is done in the right way. So if you send questions to Dr. Wegman, we will provide answers together, although not in the supplement to the 'Goetheanum', of course, but in a form that can only be sent to the doctors. But I believe that we should set it up so that when someone asks a question, the answer should always go to our anthroposophical doctors, because it is always actually interesting for everyone and we will make the most progress this way. We will try to initiate communication with the doctors here in Dornach in a corresponding way.

> Dr. Palmer: Dear Dr. Steiner, I hope you will allow me to express my colleagues' and my own heartfelt thanks for taking time out of your busy schedule over Christmas to devote a few hours to us. We who work at the Clinical-Therapeutic Institute in Stuttgart know how much we need these hours, and we would ask you to continue to support us with your advice and assistance.

The only thing I would have liked would have been just that it could have been more hours. But however much we thought about it with Dr. Wegman, it did not result in more than these three hours. As I said, it would have been my wish that it could have been more hours; but hopefully another time!