Meetings with Practicing Physicians

GA 314 — 23 April 1924, Dornach

Second Discussion

In connection with the question raised by Dr. Husemann yesterday, we have decided to read out two cases from the book that Dr. Wegman will soon be publishing. We can then build on the presentation of these cases to address the issues that arise from your question as a need for further knowledge.

Of course, I will ask that these cases be treated with the utmost discretion at first, because they will be an integral part of the forthcoming book.

These cases are intended to show how to arrive at a therapy, especially by means of diagnosis. This is to be made clear, and it is to be done on the basis of anthroposophy. In this book we will not be embarrassed to speak entirely in anthroposophical terms.

Dr. Wegman reads the “Fourth Case” described in the book “Fundamentals of an Expansion of Medicine Based on Spiritual Science” on pages 97ff. [pp. 107ff. in GA 27, 1984]: “A child who was brought to the clinic twice, first at four years old, then at five and a half years old. In addition, the mother and the sister of the mother were present.

It is important that the mother and sister were present, and you will see why in a moment.

"The diagnosis led from the child's illness to that of the mother and sister. We were able to determine the following for the child: it is a twin child, born six weeks prematurely. The other child died in the last embryonic stage. At six weeks the child became ill, screamed an extraordinary amount and was taken to hospital. There the diagnosis was pylorospasm. The child was partially breastfed and partially bottle-fed. At eight months it was discharged from hospital. On arriving home, it had a seizure on the first day, which repeated daily for the first two months. During the attack, the child became stiff and rolled his eyes. Before the attack, the child was anxious and cried. The child also squinted with his right eye and vomited before the attack occurred. At two and a half years of age, another attack occurred that lasted five hours. The child became stiff again and lay there as if dead. At four years of age, an attack occurred that lasted half an hour. For the first time, we were informed that this seizure was accompanied by fever. After the convulsions that occurred after the child was brought back from the hospital, the parents noticed paralysis in the right arm and right leg. At two and a half years old, the child made his first attempt at walking, which turned out that only the left leg could step and the right one was dragged. The right arm also remained without will. The same condition was still present when the child was brought to us. The task was to determine the state of the child's organizational limbs. This was attempted independently of the symptom complex. It turned out that there was a strong atrophy of the etheric body, which in certain parts took up only a very slight influence of the astral body.

That is essentially the finding. We are dealing with an etheric body that is atrophied in the most diverse places and does not absorb the effect of the astral body in the atrophied places. There are such gaps in the etheric body (see drawing). The astral body does not penetrate into the areas where the etheric body is atrophied. This was the case in various parts of the organism.

“The area of the right side of the chest was paralyzed in the etheric body. In contrast, there was something like a hypertrophy of the astral body in the stomach area.”

One must use unusual expressions here, just as the term “hypertrophy” is used for places that are too active, too lively.

"Now the task was to harmonize the symptom complex with these findings. There is undoubtedly a heavy demand on the stomach during digestion due to the astral body, but this is blocked due to the paralysis of the ether body at the transition from the intestines to the lymph vessels. As a result, the blood is malnourished. We must therefore take the nausea symptoms as particularly important symptoms. Cramps always occur when the etheric body becomes atrophic and the astral body gains direct influence on the physical body without the mediation of the etheric body.

This is something important in principle. The occurrence of spasms is based on the fact that the regular connection between the astral body, the etheric body and the physical body is not there. One has to imagine this in such a way that the astral body only acts on the physical body with the help of the etheric body. If there are such atrophic areas, then the astral body takes hold of the physical body to the exclusion of the ether body. Spasm occurs everywhere where this is the case. We know that where spasm occurs, the ether body does not mediate properly between the astral body and the physical body.

"This was present to a high degree in the child. If this condition becomes permanent during the growth period, as was the case here, then those processes that make the motor system suitable for the normal absorption of the will are lost. This was evident in the child in the unusability of the right side. We now had to relate the child's condition to that of the mother. She is 37 years old when she comes to us. She states that she was already as tall as she is now at the age of 13. She had bad teeth early on.

I ask you to note this in particular. She has not grown any more from the age of thirteen until now, so that all her growth up to sexual maturity was complete.

"She had bad teeth early on, suffered from articular rheumatism as a child, claims to have had rickets. Menstruation started relatively early. The patient reports having had a kidney disease at the age of sixteen and also speaks of convulsive conditions she has had. At twenty-five years of age, obstipation due to spasm of the anal sphincter, which had to be stretched. Now she also has spasms during defecation. The findings, established without any conclusion from the complex of symptoms in direct observation, show an extraordinary similarity to those of the child. Only everything appears in a much milder form. It must be borne in mind that the etheric body of a person undergoes a special development between the change of teeth and sexual maturity. In the case of our patient, this is expressed in the fact that the available forces of the etheric body, which are not very strong, only allow for growth up to sexual maturity. With this, the special development of the astral body begins, which, with its hypertrophy, now overgrows the etheric body and intervenes too strongly in the physical organization.

This was the case with both mother and child: the astral body intruded too strongly into the physical body.

"This becomes evident in the arrested growth at the age of thirteen. The patient is by no means dwarfish, but very tall, which is due to the fact that the growth forces of the etheric body, although weak, caused a strong expansion of the physical body when uninhibited by the astral body. These forces were not yet able to intervene regularly in the functions of the physical body. This manifested itself in the occurrence of articular rheumatism and later in convulsive states.

Joint rheumatism is also connected with the fact that the astral body directly engages with the joints of the physical body. This engagement can also cause inflammation where it can occur. So either we are dealing with spasms or with inflammation.

"Due to the weakness of the etheric body, the effect of the astral body on the physical body is particularly strong. This effect is destructive. In the normal course of life, this is balanced out by the anabolic forces at work during sleep when the astral body is separated from the physical and etheric bodies. If the etheric body is too weak, as in the case of our patient, there is an excess of catabolism, which in her case was indicated by the fact that her teeth needed their first filling at the age of 12.

Due to the excessive intervention of the astral body, too much breakdown occurs. The physical body and etheric body build up; the astral body and ego organization break down. If there is now an excess of degrading activity, this is indicated by the fact that she has to wear fillings at the age of twelve. Each time she has become pregnant, her teeth have become worse.

"If the etheric body is particularly stressed, as in pregnancy, the teeth deteriorate each time. The weakness of the etheric body in relation to its connection with the astral body is still particularly evident in the frequency of dreams and in the healthy sleep that the patient has, despite all the irregularity.

If there is complete regularity in the connection between the astral body, etheric body and physical body, there is no excess of dreams. The moment the astral body can predominate because the etheric body is weakened, frequent and vivid dreams occur. And because the astral body is strong, it can easily come out and the sleep still remains healthy.

"The weakness of the etheric body is also evident from the fact that foreign processes take place in the physical body that are not mastered by the etheric body, and these show up in the urine as protein, isolated hyaline cylinders and salts.

These are the decomposition products that form due to the hypertrophy of the astral body. They must always be sought when one is dealing with a hypertrophy of the astral body.

"The relationship of these disease processes to those of the mother's sister is remarkable. The findings regarding the composition of the parts of the human being are almost exactly the same. Weak etheric body, hence predominance of the astral body. Only the astral body itself is weaker than in the sister. Therefore, just as in the sister, the menses begin early, but instead of inflammations, she experiences mere pains that arise from irritation of the organs, for example, the joints.

This is really very interesting. The mother and child have almost the same disease constitution. The sister, who is walking at the same time, only has weaker symptoms, everything to a lesser extent, everything, I would say, en miniature, in hints.

"The etheric body must be particularly active in the joints if vitality is to be normal. If the activity of the aetheric body is weak, the activity of the physical body becomes predominant, which is evident here in swelling and chronic arthritis. The weakness of the astral body, which has too little effect on subjective feeling, is indicated by a preference for sweet foods, which increase the astral body's sensitivity.

This is very interesting. In order to arrive at a diagnosis, one must actually ask what the person concerned likes to eat: sweet or bitter things, a preference for these or those sensory impressions. Some have a peculiar weakness with regard to olfactory impressions. All this shows that the astral body is to be engaged somehow. This preference of the astral body shows that it is not engaged; it is engaged immediately when it has sweets.

"If the weak astral body is still worn out by daytime life, then, if the weakness persists, the pains become more significant. The patient complains of increased pain in the evenings. The connection between the conditions of the three patients points in the ascension to the generation preceding the two sisters, in particular to the grandmother of the child. The cause must be sought in the latter. The disturbed equilibrium between the astral and etheric bodies in all three patients can only be explained by an equivalent disturbance in the grandmother of the child. This irregularity must be due to the defective formation of the embryonic organs of nourishment, especially of the allantois, in the grandmother's astral and etheric bodies.

This case is particularly interesting because it can be seen that the cause really lies in the inadequate development of the allantois of the grandmother. The whole condition of this astral body, which of course manifests itself more strongly in one person, the mother, and to a lesser extent in the other, can be traced back to the grandmother. It is not bound to one part, but constitutionally goes through the whole astral body and can only go back to that peculiar formation, the allantois, the embryonic period.

We have here an occult finding that must be taken up. But once we have come across it, the individual phenomena are quite suitable for verification. We must definitely get into the habit of verifying the causes from the causes. The composition of the symptoms actually only gives an unclear picture.

“This defective formation of the allantois must be sought in all three patients. We first established it in a purely spiritual scientific way. The physical allantois metamorphoses, passing over into the spiritual, into the efficiency of the forces of the astral body.”

What is more, we could only hint at this as a principle, in the physical allantois, which can only be embryonic as well; the entire organs that are present in the embryo are present in the born human being as the higher limbs. What is a physical accessory organ is, spiritually, in the adult state, so that we only have to see the physical correlate of the embryonic period in the allantois.

"A degenerated allantois produces a diminished efficiency of the astral body, which manifests itself particularly in all motor organs. All this is the case with the three patients. One can really recognize the nature of the allantois from that of the astral body.

It is important to know that the amnion is the physical correlate of the etheric body, the allantois is the physical correlate of the astral body, and the chorion is the physical correlate of the I organization of the adult.

"It will be seen from this that our reference to the ascendants does not come from a daring fantasy conclusion, but from a real spiritual scientific observation. To those who may be disturbed by this truth, we would say that our statements are not motivated by a desire for paradox, but by a desire to share this knowledge with everyone. The mystical concepts of inheritance will always remain obscure if we are afraid to recognize the metamorphosis from the physical to the spiritual and vice versa in the succession of generations. In therapeutic terms, such an insight can only lead to a view of the point at which the healing process is to be applied.

Now it moves into the therapeutic.

"If one had not been referred to the hereditary in such a way, but had simply noticed the irregularities in the connection between the etheric and astral bodies, one would have applied remedies that would have worked on these two parts of the person. But these would have remained ineffective in our case because the damage, which goes back generations, lies too deep to be balanced out in these links of the human organization itself.

It is particularly important that we consider this case. What is presented here ties in with yesterday's question. If one simply had the finding that the astral body and the etheric body are not in intimate harmony, one would have to take this or that remedy — then one would hardly achieve any particular effect. If one goes strictly further to the cause, then the therapy also becomes clearer. By being led away from direct observation into the succession of generations, the way was pointed to strict exactness.

"In such a case one must work upon the ego-organization and bring to bear in it everything that has to do with the harmonizing and strengthening of the etheric and astral bodies. This can be achieved by acting on the ego organization with, so to speak, intensified sensory stimuli (sensory stimuli act on the ego organization). In the case of the child, this was attempted in the following way: a bandage of the right hand was applied with a five percent pyrite ointment and at the same time the left half of the head was rubbed with emperor's sponge ointment.

And now we have the therapy: we work directly on the hand with pyrite, iron sulphide. This enables us to influence the astral body and the etheric body at the same time, thereby bringing about harmonization. We must work to bring the etheric body and the astral body closer together. This is the basis for healing. And for that we must apply means that go beyond the immediate, because it has been going on for generations.

"Pyrite, a compound of iron and sulfur, when applied externally, stimulates the I-organization to make the astral body more lively and to increase its affinity to the ether body. The substance of the Emperor's mushroom, with its special content of organized nitrogen, works in such a way that an effect emanates from the head, which, through the ego organization, makes the ether body more lively and increases its affinity to the astral body. The healing process was supported by eurythmy therapy, which sets the ego organization itself in lively activity. Thus, what is applied externally is guided into the depths of the organization. The healing process thus initiated was then further strengthened by means of measures that were intended to make the astral and etheric bodies particularly sensitive to the effect of the ego organization. In a rhythmic daily sequence, the following treatments were applied: baths with a decoction of Solidago, back rubs with a decoction of Stellaria media, and internally, tea made from willow bark (which particularly affects the receptivity of the astral body) and Stannum 0.001 (which particularly makes the etheric body receptive). We also gave poppy juice in a weak dosage to make the damaged self-organization recede in the face of the healing effects. The mother received more the last therapy because, as a generation older, the forces of heredity had less effect. The same applies to the mother's sister. While the child was still in the clinic, we were able to see that it was easier to direct and that it was in a better mental state. For example, it became more obedient; and the movements it otherwise made very awkwardly, it now made more skillfully. Afterwards, the aunt told us that a great change had taken place with the child. It has become calmer, the excess of involuntary movements has decreased; it has become so skilled that it can play alone; and in terms of the soul, the former stubbornness has disappeared."

Perhaps you would like to say something? In this way, the diagnosis leads to the therapy. This is where the higher aspects of human nature come into play. The starting point is the clinical picture. In this case, the starting point is as follows: the sick organism was subject to a process that takes a certain course. This process must be reversed. By properly understanding the process, one arrives at the point of reversing the process by realizing how not only an organ, but the entire human interior is related to what is happening in the world.

So let us say you want to recognize how to treat some kind of damage, say to the gall bladder. Then you have to study the opposite process in the outside world; at least take this opposite process as an aid. If you recognize one of them, say, as the incoming process, you recognize the other as the outgoing process and thus have the closed circuit. Is there perhaps another question?

Sometimes with adults, sometimes with those who are psychically agile, one can arrive at a diagnosis. I have also tried this with children; but I have the impression that I have gone too far in this kind of diagnosis.

That you did not achieve what you intended by penetrating the soul? This is something that may be true or may be false. It depends entirely on how far one is able to coax the things one wants out of the child, and also on whether the child is communicative or not. It also depends on the memory effect; and on whether the right things from the soul are elicited. In principle, the child can give really great things, especially when there are condensed soul phenomena. If you expect the childish and it tells what it has seen of condensed soul phenomena, you can look very deeply into irregularities; these are always the correlate of this. You have to look at the case individually.

With adults, of course, it is fairly easy to penetrate the soul if you know the soul organism as such, if you know that people tell you anything. Now you move forward. Most of the time what they tell is not true. First of all, the patient does not say how it is. Now you have to find something to latch onto. You come across something that is mostly true. Once you have grasped that, you can move on. You have to distinguish whether one thing is true in relation to the other. An animal that has the beak of an eagle cannot at the same time have the feet of an ostrich. In the same way, things in the soul fit together. You have to guide the patient towards this. Until you have found the right point, you believe everything, that is, you believe nothing, but you make him understand that you believe everything. Once you have hooked on a point where the matter must be true, you then draw his attention very sharply to what cannot be. You then get a kind of soul organism that points very strongly to the physical organism. So it is useful to be based on a mental diagnosis.

A participant comments.

The direction you indicated yesterday is this: I make a diagnosis and then have the diagnosis before me. I know that when this turns out, these remedies are available to me. I can choose from among them. Now you wanted to know: how can one actually choose? The answer can only be given by saying: If I can choose between several remedies, I must assume that I have not yet completed the diagnosis and must continue the diagnosis until I arrive at a definite remedy. There is no such thing as an arbitrary choice. This was truly a happy case, and I was amazed. The fact that one goes from the condition of the child to the allantois of the grandmother is something that does not otherwise occur in the diagnosis. I was extremely astonished that this was the motif; on the other hand, the result shows that one must try to penetrate to the last cause.

Dr. Wegman reads the “Fifth Case” described in the book mentioned at the beginning on pages 114-116: "A 26-year-old female patient came to our clinic with the severe consequences of influenza, which she had suffered through in 1918 with lung catarrh, and which had followed a pleurisy that had occurred in 1917. Since the flu, the patient had been unable to fully recover. In 1920, she was very emaciated, weak, and had a slight fever and night sweats. Soon after the flu, she developed lower back pain that continued to worsen until late 1920; and then, with severe pain, a curvature appeared in the lower back. There was also swelling of the right index finger. A rest cure supposedly brought improvement of the back pain. When she came to us as a patient, she had a suppurative abscess on the right thigh, distended abdomen with some ascites and catarrhal noises over the lung tips, both on the right and left. Digestion and appetite are good. Urine is concentrated, showing traces of protein. The spiritual scientific examination showed: hypersensitivity of the astral body and the ego organization; such an abnormality initially expresses itself in the ether body in that it does not develop the actual ether functions, but an etheric imprint of the astral functions.

This is very interesting when, as in this case, the etheric body is so weak that it does not perform its own functions but acts as a matrix, like wax, into which the astral body imprints its own functions. We have an etheric body that actually acts as a masked astral body. This is the case here.

"The astral functions are destructive. Therefore, vitality and the normal process in the physical organs must show signs of atrophy. This is always connected with processes that are, as it were, not human, but which take place in the human organism.

We must be strict about this. When something enters the human organism, whether it is from some aggregate state or warm air and so on, it must undergo a change in the human organism – roughly speaking, within the human skin. Nothing is the same outside of and within the human organism. The human organism has to work through everything that comes from outside. No heating process may take place in the body as it does in stone, where a temperature simply passes through and warms the stone. If we are warmed from the outside, like an inorganic body, we process the warmth that approaches us so deeply that it is completely revitalized. If a cold occurs, even if it is an internal cold of the internal organs, it does not come from within, but from an external imposition of heat.

This goes all the way down to the metabolic states. When a substance enters, it must be transformed in the human organism, right down to its most intimate processes. If we have ingested something – let's say a carbohydrate – another process takes place in the organism. The carbon-hydrogen-oxygen process, which takes place outside of human nature, must not be there in the same way. There is a process in the human being that is foreign to human nature. This is the basis for all disease states that are based on metabolic deposits. All of them are basically based on the fact that heat processes do not occur through the human being himself, but rather processes that arise as actual processes of matter because the human organization is not strong enough in some part. If, for example, the ego organization is too weak, one will find that the fat taken in is not processed in the right way. If the astral organization is too weak, one will find that carbohydrates are not processed properly. If the aether organization is too weak, one will find that the protein taken in is not processed in the right way. This is something to be aware of.

"The abscess, back pain, bloating, catarrhal phenomena in the lungs and also the inadequate processing of protein are caused by this. The aim of the therapy is to reduce the sensitivity of the astral body and the ego organization. This is achieved by administering silicic acid, which always strengthens the power of self-healing in the face of sensitivity.

So silicic acid always strengthens the power of self-healing in the face of sensitivity.

“We did this by adding powdered silicic acid to food and giving it as enemas. We also reduced sensitivity by placing mustard plasters on the lower back. Its effect is based on the fact that it causes sensitivity on its own and thus reduces it for the astral body and the ego organization.”

You see how one helps oneself: one applies mustard plasters to the lower back; this causes artificial sensitivity. This artificial sensitivity takes away the inner sensitivity of the astral body, thus creating an intimation. This is often the case when something is wrong in the human limbs, creating an intimation; in this case, a strong intimation of the astral body downwards. If it becomes strong enough, the sensitivity is no longer there. The sensitivity of the astral body decreases downwards. If the sensitivity moves upwards, it is increased.

"Through a process that dampens the hypersensitivity of the astral body in the digestive tract, we achieve a diversion of this astral activity to the etheric body, where it normally belongs. We achieved this by administering small doses of copper and carbo animalis. We counteract the possibility that the etheric body withdraws from the normal digestive activity to which it is unaccustomed by administering pancreatic juice.

This is only a help, a last resort.

"The abscess was punctured a few times. Large quantities of pus were drained off by aspiration. The abscess shrank and the swelling of the abdomen decreased as the pus formation steadily diminished and finally disappeared. While the pus was still flowing, we were surprised one day by a renewed rise in temperature. This did not seem inexplicable to us, since, given the constitution of the astral body described above, even slight psychic agitation can cause such fever. However, one must distinguish between the explicability of the fever in such cases and its severely damaging effect. For under the given conditions, such fever is virtually the mediator for a profound intervention of the catabolic processes in the organism. And one must immediately ensure a strengthening of the etheric body so that it paralyzes the damaging effect of the astral body. We used highly potentized silver injections and achieved a decrease in fever. The patient left the clinic with a 20-pound weight gain and in a strengthened condition. We are under no illusion that in this case, a follow-up treatment is still needed to consolidate the healing."

So the case is intended to show how one can really come to use therapeutically what is otherwise said more theoretically about the astral body and the etheric body. One can now be faced with the question that has always been raised by “well-meaning” people: Should one use the terms that have been used here as the naked truth and reality, or should one conceal them? “Well-meaning” people have said that one should not speak of the etheric body, but of functional processes or something similar. You can't get as far as the astral body that way. The fact of the matter is that most illnesses are not grasped in their essence if one does not go up to the astral body. The damage caused by the organization of the ego, that is, the severe damage caused by metabolic deposits: here the situation is such that this damage is already clearly present. On the other hand, the more insidious damage is the catabolic damage caused by the astral body. One really has to be very careful when talking about this.

Now the situation will be such that one can simply say – yes, that is what many people will say – one should not come to people with the astral body and the etheric body. But if you don't approach people with that, there is no reason at all to believe that something new is being presented here. People think that only a little of one or the other has been changed here, that it is done here just as it is done elsewhere, that at most there is a little progress. It is not like that! And that must be made clear to people with all the radical clarity. If one shows that these are not abstract things, but rather, in these many very concrete individual cases, points out how the individual cases are constituted, and then shows how the diagnosis leads into the therapy, and how, as soon as the therapy is applied, the healing progresses: it is indeed the case that this must be understood, otherwise one would have to despair of humanity's ability to understand at all. I am completely convinced that only this method can help us: to say things very boldly and courageously.

The question is how the scientific picture presents itself in the intimate study of carcinoma.

In the case of carcinoma, we are dealing with the fact that a sense organ is evoked at a point in the organization where there is no reason to evoke a sense organ. Take, I would like to say, the most radical sensory organization – just to understand the matter – take the eye. How does the eye come about? You know that it is actually formed partly from the outside; it is incorporated into the organism. Roughly speaking, the organism leaves out the eye socket. Then the eye is embedded. This indicates that essentially extra-human processes are at work in the formation of the eye. The eye is only embraced by the human being. When we have such a striking sensory organ as the eye, we can say that a foreign body is incorporated into the human organism. This is a radical concept because it is so unusual. Nothing like the shape of the lens or vitreous humor, or the substantial composition of the lens or vitreous humor, would ever arise from the human organism. Now, all that is deposited, which is partly even in the eye ethereal, not merely physical, is embraced by the astral body and the ego organization, which are actually as emancipated as possible from the physical and etheric in the eye. In the eye, the connection between the I, the astral body, the etheric body and the physical body is quite different than, let us say, in a piece of muscle. In a piece of calf muscle, you see a very intimate connection between the ego, the astral body, the aetheric body and the physical body. This is the normal constitution in this respect. If I were to write a chemical formula to describe the eye, I would say that the ego and the astral body are closely connected (see drawing I and A), and the other two are also closely connected! There is only a loose affinity between the etheric body and the astral body. This is only the case with the eye.

With other sense organs, for example with the ear, it is not so, there it cannot be so pronounced. There is actually a loose affinity between the ego organization and the astral body and again between the physical body and the ether body. It is somewhat different for each sense.

If there is a tendency towards a sense organization somewhere in the human organism where there should be no sense organization - and the tendency can arise in any part of the human organism; what should happen in another place, the tendency for it can arise in any other place - then you can see how the physical body and ether body on the one hand, and the astral body and I on the other, fall apart.

Take a very specific case. In the case of a severe physical insult, say to the mammary gland, the impact continues inwards in such a way that it shows, roughly speaking, a line of action within the skin that originates from the outside – in other words, a mechanical insult that continues inwards. In most cases of breast cancer, this will be the real origin. It could only be a prolonged process of overheating or burning. In the sense I am describing here, it will always be an insult that brings this about, speaking externally. Now, in this case, something occurs that strongly suggests the astral body at this point, which is otherwise absorbed by the etheric body. When the astral body suddenly appears at this point, it shows itself in, I would say, dim light; it appears as if it were burning. When it becomes so noticeable, then there is a tendency at this point towards the formation of a sensory effect, a carcinoma develops. There it is not a question of at least starting with the first seven vaccinations.

The connections there become particularly interesting when you see how one is connected with the other. Suppose you have someone who is no longer quite young. You are obliged to remove the carcinoma. But the thing that is present in a fairly strongly developed carcinoma manifests itself in such a way that actually in the whole body, because the organism is one entity, there is a tendency to allow non-human processes to take place. The carcinoma changes in its course in a very strange way. After a while, the localized carcinoma becomes a valve for concentrating the carcinomatous development. If you cut out the carcinoma, the valve is suddenly gone. But if you are dealing with an older person, this tendency to have something non-human in the person leads to the valve being in the lungs, which is the organ that most absorbs the inorganic, non-human. Therefore, especially in the case of carcinoma present in old age, you will dissolve the process into pneumonia. If the organism is sclerotic, the process in old age ends in pneumonia. This is because the old organism takes in the extra-human even more and more easily than the younger one. The organ that most easily takes in extra-human processes is the lung; it is damaged in the process. There is an organ that can easily absorb extra-human processes and is not damaged by them; that is the liver. It is very thick-skinned against extra-human processes. The lungs absorb them, but are damaged by them. That is the essential thing, that the lungs absorb easily and are damaged by it.

Question about the heritability of the predisposition to carcinomas.

This is connected with acquired ideas. In itself, there is no inclination in humans to fear carcinoma. This can be seen from the fact that this fear actually only exists among civilized people of educated classes. Country folk have no fear. They carry the carcinoma, die of it, without having had any knowledge of it. This is something that depends on education, and one must work against it.

To what extent is supersensible vision necessary in these two cases, and how is it applied?

The processes must be as follows: First of all, in order to get started at all, one must have complete mastery of spiritual scientific observation – this becomes apparent over time – and see how what can be established spiritually is connected with outward symptoms. If nothing else is indicated, then the purely spiritual finding is always apparent.

How does it express itself outwardly?

On the other hand, one could just as well say that it should, of course, be meditative. You can meditate on rheumatoid arthritis, you can meditate on diabetes. But that would only drive you back. Meditating on a disease process according to the symptoms is a very good way to arrive at spiritual scientific observation. It is just not easy to go the other way around. You can even do it like the homeopaths, who put together the symptom complex and then do the therapy. Only there it happens – I don't even say it can, I know it is so – again and again that symptoms are overestimated and underestimated, that they are put together wrongly, so that sometimes a symptom complex put together by homeopaths is a caricature of reality. When you meditate on this, you meditate on caricatures. If you have a real spiritual cause, that is decisive for the complex of symptoms, then you do not overestimate or underestimate any of the symptoms. You will have noticed that the symptoms we have presented are not caricatures, but well-formed complexes of symptoms. When you meditate, you come to the impossibility of making spiritual findings. And if someone says that is not possible, I must say: try it, but not with a randomly composed complex of symptoms, but with one that has been established by spiritual science.

What is eurythmy based on?

In the human organism everything is based on the fact that a conscious element goes back to an unconscious one. Eurythmy is based on the fact that when a human being comes into the world and wants to express himself, he does not lack a language as such, but the expression in the use of the movements of the limbs. This is rejected, he is not allowed to do it and cannot do it. Today this is not noticed, because it has already been beaten back by inheritance. All this integrates itself, metamorphoses itself, comes out bound to the air and lives itself into language. If one knows how this has lived itself into language, one knows that this is the origin of language, then one goes back from the movements to the language, in reverse order of consciousness. Here too it is the same: spiritual scientific diagnosis illuminates the symptom complex. If one forms it and meditates on it, one comes back to spiritual scientific diagnosis. I have to leave it at these three hours; I hope that we will meet again. But if you come more often, the little social being will become the key to future work.

In any case, it was nice to be able to talk about things again.

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