Scientific Disciplines and Anthroposophy

GA 73a — 7 April 1920, Dornach

10. Hygiene as a Social Issue

Roman Boos: Dear attendees! The aim of these lectures was to attempt to show, from the perspective of specialized science, how anthroposophically oriented spiritual science could lead to the fertilization and further development of the individual specialized scientific fields. The visitors will have had the thoroughly consistent impression throughout the whole event that something is not being hatched in a narrow circle, but that from a central point a real spiritual fertilization into the individual subject areas can take place. Even if not everyone was able to recognize this at the very beginning of their efforts, surely everyone who looked, as it were, at the driving forces present here, who looked at the fertilizing forces that radiate out and not on the value of the first formulated formulations, could be convinced that here is something in relation to our spiritual life, which deserves attention and, as far as possible, also cooperation and goodwill from wide circles – especially here in Switzerland. This is so because it is precisely here that a spiritual force is struggling to the light that can actually claim to have a spiritually fertilizing effect on the social community.

There will be an opportunity for discussion following Dr. Steiner's lecture on “Hygiene as a Social Question.

Rudolf Steiner: Dearly beloved! That the social question is one of the most pressing issues of our time is not doubted in the broadest circles. And wherever there is even a modicum of concern for the issues arising from the development of human history in the present day, wherever there are threatening or unresolved impulses for the future, all of this can be summarized under the heading of the social question. But we must admit that the consideration and treatment of this social question in the present suffers from the fundamental defect that afflicts so much of our intellectual and moral life, and indeed of our whole civilized life, namely, the intellectualism of our time. It suffers from the fact that its problems are so often viewed only from the standpoint of an intellectualistic consideration. The social question is discussed more from the point of view of the right or the left. The intellectualism of these discussions is shown by the fact that they start from certain theories, from the assumption that this or that must be so or so, that this or that must be abolished. In doing so, little consideration is given to the human being himself. One treats people as if there were something general like “the human being”, as if there were not something that is individually developed in a particular way in each person. One does not turn one's attention to the uniqueness and peculiarity of the individual human being. Therefore, our whole consideration of the social question also takes on something abstract, something that today so rarely translates into social feelings, into the attitudes that play between person and person. The defect in our social thinking is most clearly seen when we focus on a specific area, one that is perhaps more suitable than many others for social reflection, for example, the area of hygiene, insofar as hygiene is a public matter that concerns not the individual but the human community.

Of course, we are not lacking in hygienic instructions, treatises and writings on health care as a public matter. But one must ask: how do these instructions, these considerations of hygiene, fit into social life? And here one must say: they are so introduced that individual discussions about proper health care are published as the result of medical, physiological, and scientific knowledge, whereby the trust that one has in a field whose inner essence one is not able to test is supposed to form the basis for the acceptance of such rules. On the basis of authority alone, the broadest sections of the population can accept the rules on hygiene that emerge from the study chambers and examination rooms, the medical laboratories, and are then made public.

If one is convinced, however, that in the course of modern history, in the course of the last four centuries, a yearning for a democratic order in all matters has arisen in humanity, then, even if it seems grotesque to many today, one is confronted with the undemocratic nature of the pure belief in authority that is demanded in the field of hygiene. The undemocratic nature of this blind faith in authority is juxtaposed with the yearning for democracy, as it has often - albeit, one might say, in a very paradoxical way - culminated in the present day.

I know very well that the sentence I have just uttered is perceived by many as paradoxical, because one simply does not combine the way someone receives health care-related information with the democratic demand that the community of emancipated people should judge public affairs that concern every emancipated person, whether directly or through their representatives. Of course it must be said that something like a hygienic view, a hygienic cultivation of public life, cannot be fully realized in a democratic way, because it depends on the judgment of the person seeking knowledge in a particular field. But on the other hand, the question must arise: should we not be striving for a greater democratization in such a field as this, which concerns every single person and thus the human community as closely, as infinitely closely as public health care does? Today, we are certainly told a great deal about the way in which man should live in terms of air and light, in terms of nutrition, in terms of the disposal of waste products produced either by man himself or by his environment, and so on and so forth. But the rules governing these things that are thrown upon humanity are mostly unworkable for the people to whom they are supposed to apply.

Now I do not wish to be misunderstood; I do not wish to be misunderstood as taking a particular stand on anything in this lecture, which is supposed to be dedicated to the topic “Hygiene as a social issue”. I do not wish to deal one-sidedly with what today tends to be treated one-sidedly from the point of view of a party or of a certain scientific conviction. I would like – perhaps you will permit this small apparent departure from the role in the introduction – I would like neither to take any party for the old superstition that devils and demons go around and move in and out of people as diseases, nor would I like to take sides for the modern superstition that the bacilli and bacteria move in and out of people and cause the diseases. Whether one is dealing with a spiritualist, spiritual superstition of old or with a materialistic superstition, that may concern us less today. But I would like to touch on something that permeates our entire education, especially insofar as this education depends on the fundamental scientific beliefs of our time.

Even if it is asserted from many sides today that scientifically materialism, as it asserted itself in the middle and still in the last third of the 19th century, has been overcome, this assertion cannot apply to the one who really sees through the essence of materialism and its opposite , because this materialism has been overcome at most for some people who see that today's scientific facts no longer allow us to declare in a sweeping way that everything that exists is just some mechanical, physical or chemical process taking place in the material world. It is not enough that, forced by the power of facts, some people have come to this conviction. For in the face of this conviction stands the other fact that now, despite this conviction, those who have it - and the others even more so - when it comes to explaining something specifically, to forming an opinion about something specific, then they do include the materialistic direction in their way of thinking. It is also said that atoms and molecules are harmless accounting coins, of which one does not want to claim anything other than that they are thought-things. But the consideration has therefore remained an atomistic, a molecularistic one. We explain the phenomena of the world in terms of the behavior and the mutual relationship of atoms or molecular processes, and it does not matter whether we now imagine that any thought, feeling or other process is only related to the material processes of atoms and molecules, but rather it depends on the direction of our entire state of mind, the direction of our spirit, when it takes as a basis for its explanations only what is thought in terms of atoms, what emerges from the smallest, the contrived smallest. What matters is not whether one has the conviction, literally or mentally, that there is something other than atomistic effects, than material atomic effects, but what matters is whether one has the possibility of making other explanations of the world the guiding principle of one's mind than deriving phenomena from the atomic. It is not what we believe, but how we explain, how we behave in our souls, that matters. And here, at this point, it must be stated with conviction that only genuine spiritual science, anthroposophically oriented spiritual science, can help us to overcome the evil that can be characterized in this way, as I have just done.

I would like to prove that this can now be the case in concrete terms. There is hardly anything that confronts us with more confusion than the differences that are often asserted today between the human body and the human soul or the human spirit, between what are physical illnesses and what are so-called mental or spiritual illnesses. It is precisely the appropriate distinction and the appropriate interrelationship of such facts of human life as those of the sick body or the seemingly sick soul that suffer in terms of understanding under the materialistic-atomistic way of thinking. For what, then, is actually the essence of the materialism that has gradually emerged as the newer world view of many people and that has by no means been overcome, but is in fact in its heyday today? What is its essence? The essence of materialism is not that one looks at material processes, that one looks at the material processes that take place in the human body and that one devotedly studies the miracle-working and miracle-working of the human nervous system and the other human organs or the nervous system of animals or the organs of other living beings; it is not that studying these things makes one a materialist, but it is abandoning the spirit in the study of material processes that makes one a materialist, that one looks into the world of matter and sees only matter and material processes.

But this is what spiritual science must assert - today I can only speak about this point in summary - that wherever material processes appear to us externally for the senses, those processes which today's science alone wants to accept as observable and exact, that wherever these material processes are only the external appearance, the external manifestation of spiritual forces and powers at work behind and within them. It is not the hallmark of spiritual science to look at a person and say: Oh, there is the body; this body is a sum of material processes, but within it the person cannot exist alone, he has his immortal soul independently of it ; and the fact that one is now beginning to develop all kinds of abstract theories and views about this immortal soul, which is independent of the body, in a rather mystical way, does not characterize a spiritual worldview at all. One can certainly say: Man has, in addition to his body, which consists of material processes, an immortal soul that is taken to some spiritual realm after death. One is therefore not yet a spiritual scientist in the sense of anthroposophically oriented spiritual science.

One is only a spiritual scientist when one realizes that this material body with its material processes is a creature of the soul, when one understands in detail how the soul, which was there before birth or, let us say, before conception of the human being, works, how this soul forms, how it sculpts the structure, indeed the substantiation of the human body. If we can truly see the direct unity of this body and the soul everywhere, and if we can see how the soul's activity in the body wears out this body as such, how this body partially dies every minute, and how then, in the moment of death, I would say, the radical realization of what what happens to the body every moment through the influence of the soul and spirit, if one sees through this living interplay, this constant working of the soul in the body, in the individual concrete case, if one strives to say: the soul breaks down into very concrete processes, then it passes over into the processes of liver activity, then it passes over into the processes of breathing, then into the processes of heart activity, then into the processes of brain activity – in short, if one is able to present the physical body as the result of a spiritual one when describing the material in the human being, then one is a spiritual scientist. Spiritual science comes to a true appreciation of the material precisely because it does not see only what today's science sees in the individual concrete material process, what the eye ascertains or what is then recorded as the result of external observation in abstract terms. Rather, spiritual science is spiritual science solely because it shows everywhere how the spirit works in the material, how it looks devotedly at the material effects of the spirit.

That is the one thing that matters. On the other hand, it is important that one is thereby saved from all the abstract, chatty talk about a soul independent of the [physical] human being, about which, as far as life between birth and death is concerned, one can only fantasize. For between birth and death, with the exception of sleep, the soul and spirit are so devoted to the bodily effects that they live in them, through them, and present themselves in them. One must come to the point of being able to study the soul and spirit outside of the human life cycle and to accept the human life cycle between birth and death as a result of the soul and spirit. Then one looks at the real, concrete unity of the spiritual-soul with the physical-bodily. Then one does anthroposophically oriented spiritual science, because then one has the prospect that this human being, with all his individual structures, stands before one as a result of the spiritual-soul, also for knowledge. The mystical theosophical view, which puts forward beautiful theories about all kinds of body-free spiritualities, cannot serve the concrete sciences of life, it cannot serve life at all, it can only serve intellectualistic or soul-based lust, which wants to get rid of life, of the outer life, as quickly as possible and then, in order to have an inner satisfaction, to be able to indulge in an inner lust, weaves all kinds of fantasies about the spiritual and soul.

Here in this anthroposophically oriented spiritual movement, it is a matter of working very seriously, of cultivating a spiritual science that is able to enliven physics, mathematics, chemistry, physiology, biology and anthropology, so that it is not a matter of stating religiously or philosophically on the one hand that the human being an immortal soul, and then to pursue anthropology, biology, physics and chemistry as if one were only dealing with material processes, but rather it is a matter here of applying what can be gained in knowledge about the soul and spirit to the details of life, of looking into the miracle of the body itself. It may well be said, even if it sounds paradoxical to some: there are those who want to be good mystics or good theosophists and want to talk about everything under the sun, how the human being consists of a physical body, etheric body, astral body, I and so on, but they don't even have a clue about what expression of the soul it is when you sneeze, for example. It depends on seeing matter, not as matter, but as the manifestation of the spirit. Then one also receives sound, content-filled views about the spirit, but then one also receives a spiritual science that can be fruitful for the science of life.

But something else is also achieved with this. It achieves the ability to overcome what, in recent times, precisely because of the materialization of scientific knowledge, has driven us into specialization. I certainly do not want to deliver a diatribe against specialization, because I am well aware of its justification. I know that certain things today must be practiced by specialists simply because a specialized technique is needed for them. But the point is that if someone clings to the material, he can never become a specialist and gain a world view that can be applied in life, because material processes are an infinite field. They are an infinite field out in nature, and they are an infinite field within the human being. If you just study the human nervous system based on what is currently known, you can spend a long time on it, at least as much time as specialists are usually willing to spend on their studies. But if one has only what the material processes are in what happens in the nervous system, only what is expressed in the abstract terms that are the subject of science today, then nothing leads one to anything universal that can become the basis of a worldview. The moment you begin to observe spiritually, let us say, the human nervous system, you cannot observe this nervous system without what you find active in it as spirit leading you immediately to what underlies the muscular system, the bone system, the sense of the nervous system as something spiritual, because the spiritual is not something that can be broken down into individual parts like the material. Rather, the spiritual is something that – and this is only the most basic way of characterizing it – spreads out like a limb or an organism. And just as I cannot look at a person by merely looking at his five fingers and otherwise covering him, so too in spiritual science I cannot look at a single detail without what I perceive in this detail as spiritual-soul leading me to a totality. If we are led to such a totality — even if it is perhaps only a specialist in brain or nerve research — then we will be able to get an overall picture of the human being from the observation of this individual link in the human organism; then we will be led into the position to arrive at something truly universal for a world view, and then the peculiar thing is that we can begin to speak of something that can be understood by all people who have common sense and sound understanding.

That is the great difference between how spiritual science can speak about man and how specialized, materialistic science must speak about man. You see, let us take the simple case of how specialized, materialistic science is presented to you in any of the textbooks in use today. If you, as an ordinary person who has not learned much about the nervous system, take a manual about the nervous system in your hand – well, you will probably soon stop reading or, in any case, you will not gain very much that can give you a basis for looking at the human being as a real human being in his value, in his dignity. But if we listen to what spiritual science has to say about the human nervous system, then what leads to the whole human being follows everywhere. It provides such enlightenment about the whole human being that the idea that arises in one's mind presents something of the value, essence and dignity of the human being with whom one is dealing. And this applies even more when we look at the human being not just in terms of one of his or her many parts, but it applies especially when we look at the sick person, this sick person with his or her many deviations from the so-called normal, especially when we are able to look at the whole person, when he or she is under the influence of this or that disease. What nature presents to our soul in the sick person is apt to lead us deep into the world's interconnections, to show us how this person is organized and how, because of his organization, the atmospheric and even extraterrestrial influences can affect this person, how this human organization is connected to these or those substances of nature, which then turn out to be healing agents, and so on.

We are led into broad contexts, and it may be said that if we supplement what can be recognized in this way about the healthy human being with what can be recognized through the sick human being, then a deep insight into the whole context and the deeper meaning of life will open up. But everything that comes to light in this way is the basis for a knowledge of human nature, and can be expressed in such a way that it can be spoken to all people. Of course, we have not yet reached this point, because spiritual science, in the sense in which it is meant here, has only been working for a short time. Therefore, as Dr. Boos said in his introductory words just now, the lectures given here can often only be seen as a beginning. But the tendency of this spiritual science is to work out what is present in the individual sciences in such a way that what every human being should know about the human being can actually be brought to every human being.

And now imagine if spiritual science first has such a transforming effect on science and if spiritual science then succeeds in developing forms of knowledge for the healthy and sick human being that can be made accessible to general human consciousness If this succeeds, how different human beings will be in social life, how differently understanding one person will be confronted with another than today, when everyone passes by the other and has no understanding for the special individuality of this other person. The social question will only be taken out of its intellectualism when it will emerge from the most diverse areas of life based on factual knowledge, when it is based on the concrete experiences of life. This is particularly evident in the field of health care. Just imagine the social impact of fostering an understanding of what is healthy and what is sick in other people; just imagine what it means when health care is taken into the hands of all of humanity with understanding. Of course, the aim is not to cultivate scientific or medical dilettantism – that must be avoided – but imagine, it simply awakens sympathy, not just feeling, but understanding for the healthy and the sick in our fellow human beings, understanding based on an insight into the human being. Imagine the social effect of such a thing, and you will have to say to yourself: There you can see that social reform, the social reconstruction, must arise out of specialized knowledge in the individual fields, not out of general theories, whether they be Marxist, be they Oppenheim theories, be they theories of any kind that look beyond the human being and want to shape the world out of abstract concepts. Salvation cannot come from this, but from the dedicated study of the individual fields. And health care, hygiene, is such a very special field, because it leads us, I would say, closest to everything that our fellow human being experiences in terms of joy through his healthy, normal way of life or in terms of pain and suffering, of restrictions due to what lies within him as more or less sick.

This is something that immediately points us to the special social way in which spiritual science can achieve results in the field of hygiene. For if in such a way the cultivator of the knowledge of humanity, the cultivator of the knowledge of the healthy and the sick human being, is also the one who specializes as a doctor, with such knowledge in human society, then he will be able to create enlightenment within this human society, because he will be understood. And not only will the doctor develop a relationship with the community in which, if they are not a friend or relative, they will send for the doctor when they have a pain or have broken a leg, but the relationship with the doctor will develop in such a way that the doctor is the constant teacher and instructor of prophylactic health care, that in fact a constant intervention of the doctor is available not only to heal the person when the illness goes so far that he notices it, but also to keep people healthy as far as possible. A lively social activity will take place between the physician and all the rest of humanity. But then health itself will radiate from such knowledge, for it is precisely because materialism has extended to the medical view of life that we have truly come up against strange conceptions.

On the one hand, we have physical illnesses. They are studied by finding degenerations of the organs or whatever else is supposed to be physically perceptible or physically imagined within the human body's skin, and attention is drawn to the fact that any damage found can be repaired. In this direction, thoughts now turn quite materialistically to the physical body of the human being in its normal and abnormal states. Alongside this, the so-called soul or spiritual illnesses arise. These soul or spiritual illnesses have now been reduced, on the one hand, to mere brain illnesses or to illnesses of the nervous system because of materialistic thinking, and the foundations for this have also been sought in the other organ systems of the human being. But because they did not develop any kind of conception about the way in which spirit and soul work in the human body, they could not gain any conception of the relationship between mental illnesses, the so-called mental illnesses, and what the human being otherwise is. And so, I would like to say, mental illnesses stand on one side, even today they are grasped by a strange hybrid science, psychoanalysis, which thinks in a materialistic way but does not understand the materialistic at all; they stand there, these mental and soul illnesses, without being able to be brought together in any reasonable way with what actually happens in the human organism.

Spiritual science can now show – and I have drawn attention to this – that what I am saying here is not just a program, but that it is being pursued in detail – precisely on the occasion of the course for physicians that has been taking place here during these weeks. Spiritual science can indeed show in detail how all so-called mental and soul diseases are based on organ disorders, on organ degeneration, organ enlargement, organ reduction in the human organism. Somewhere in the heart, in the liver, in the lungs, something is not right if at the same time or later something occurs that is a so-called mental illness. A spiritual science that penetrates to recognize the spirit in the normal heart in its effectiveness is also capable of - and need not be ashamed of - seeking a cause for the so-called sick mind or soul in the degeneration of the heart, in the failings of the heart.

The main mistake of materialism is not that it denies the spirit - in which case religion could still ensure that the spirit is recognized - the main mistake of materialism is that it does not recognize matter, because it only observes its exterior. This is precisely the defect of materialism, that it gains no insight into matter, for example in the purely psychoanalytic treatment, in the mere observation of something that has taken place in the soul, which psychoanalysis calls islands of the soul, and thus an abstraction. Rather, one must follow how certain impressions of the soul, which a person receives at this or that time in his life and which are normally bound to the normal organism, impinge on defective organs - instead of, for example, on a healthy liver, on a diseased one; such an impingement may perhaps show itself at a completely different time than when the defect has become organically noticeable.

Spiritual science need not shy away from showing how so-called mental or psychological illnesses are always connected with something in the human body. Spiritual science must strictly point out that if one merely studies the soul, the psychological complex, the deviations of the soul from the so-called normal psychological life, one has at most a one-sided diagnosis. Therefore, psychoanalysis can never be anything more than diagnostic; it can never lead to real therapy in this field. For this reason, because therapy for mental illnesses must begin with the physical examination, we must know the ramifications of the spiritual in matter down to the individual parts if we want to know where to start in the material body – which is, however, spiritualized – to cure that which only shows symptoms in abnormal mental conditions. Spiritual science must most decidedly emphasize that the so-called mental and soul diseases must be traced back to the organology of the human being. However, one can only see into the abnormal organology of the human being if one can follow the spirit into the smallest parts of matter.

And the other way around: what appear to be merely soul phenomena or phenomena that act in the soul, let us say what emerges in the temperaments and in the activity of the human temperaments , in the whole way in which a person plays as a small child, how he walks, what he does, all this, which today is only understood in a mental-spiritual sense, also has its physical side. And a failure in relation to some aspects of a child's education can appear later in a very ordinary physical illness. Indeed, in certain cases, when one is dealing with mental illnesses, one is led to look at the physical aspects in order to explore what is important, and in the case of physical illnesses, to look at the spiritual aspects and explore what is important. For that is the essential thing in spiritual science, that it does not speak in abstractions of a nebulous spiritual, as mystics and one-sided theosophists do, but that it follows the spirit into its material effects, that it nowhere grasps the material as as it is grasped by today's external science, but everywhere, in the contemplation of the material, it penetrates to the spirit and can thus also observe where an abnormal soul life must express itself in that an abnormal bodily life is present, even if it is perhaps hidden externally.

In the broadest circles today, people have completely false ideas about seriously anthroposophically oriented spiritual science – perhaps sometimes rightly so, when one hears those who do not truly want to go into what it is actually about, and only talk about abstract theories, that man consists of this and that, and that there are repeated earth lives and so on. These things are, of course, extremely important and very nice. But when it comes to working very seriously in this spiritual-scientific movement, then the individual chapters, the individual areas of this life, must be dealt with. And in the broadest sense, this in turn leads to a socially minded gathering of people. For when one sees how the soul, appearing sick, radiates its impulses into the organism, when one can feel this connection between the organism and the soul that appears to be sick - feel with understanding - and when, on the other hand, one knows how the institutions of life also affect the physical human being's physical health, how the spiritual, which apparently only exists externally in social institutions, has an effect on the physical health of the human being, if one has an overview of all this, then one is involved in human society in a completely different way. You begin to gain a real understanding of people, and you treat others quite differently; you pursue their character quite differently. You know that certain qualities are connected to this or that, you know how to behave towards these qualities, you know how to place people's temperaments in human society in the right way, and especially how to develop them in the right way, especially when you have associated tasks with them.

One social area in particular will need to be intensively influenced in terms of hygiene by a knowledge of human nature gained in this way: the area of education. Without really knowing people very well, it is impossible to appreciate what it means when children sit in school with stooped backs, causing their breathing to become irregular, or when they are not encouraged to speak loudly and distinctly, clearly vocalizing and clearly consonanting. The whole of later life depends essentially on whether the child breathes correctly at school and whether he is encouraged to speak loudly and distinctly and with articulation.

In such matters – I am only giving examples here, as the same could be said for other areas – the specialization of overall hygiene in the school system is evident, and this in particular shows the full social significance of hygiene. It also shows, however, how life demands that we do not further specialize, but that we bring together the specialized into an overall view. We need not only the knowledge that enables a teacher to educate a child in a particular way according to certain pedagogical norms, but we also need the knowledge that enables a teacher to judge what it means when he or that sentence of the child's clearly articulated utterances or when he lets the child, after saying half a sentence, lets out another breath and so on and does not ensure that the air is used up while the sentence is being spoken. Of course, there are many clues and rules about this too, but the right way of mutual recognition and the right application of these things only enter our hearts when we grasp the full significance for human life and for social health, for only then does the matter become a social impulse.

These considerations were the basis for the pedagogical-didactic course I gave to the teachers at the Stuttgart Waldorf School, which was the starting point for the founding of the school. Teachers are needed who can work from the full depth of a humanistic worldview for the education and teaching of children. Everything that has been incorporated into the sentences that have been expressed as a pedagogical-didactic art strives to turn the children who are being educated and taught into people who, later on, by being encouraged to perform the functions of life in the right way as a child, will have lungs and liver and heart and stomach in order because the soul has been worked on in the right way.

This world view will never interpret the old saying, “A healthy soul lives in a healthy body,” in a materialistic way.

A materialistic interpretation would say that if you have a healthy body, if you have made it healthy with all possible physical means, then it will automatically become the bearer of a healthy soul. That is nonsense. It makes sense if you proceed in the following way, that is, if you say to yourself: “There is a healthy body in front of me, which shows me that the power of a healthy soul has built it up, shaped it, and made it healthy.” I recognize from this body that an autonomous healthy soul has worked in it. That is the meaning of the saying. But only in this way can this saying also be the basis for healthy hygiene. In other words, we do not need a school doctor who visits the school once a fortnight, if that, and doesn't know what to do with himself, in addition to teachers who only work from an abstract pedagogical science. No, we need a living connection between medical science and the art of teaching. We need a pedagogical art that educates and teaches children in a hygienically correct way in all its measures. That is what makes hygiene a social issue, because the social issue is essentially an educational issue, and the educational issue is essentially a medical issue, but only a question of that medicine that is spiritually fruitful, of a hygiene that is spiritually fruitful.

These things then point to something else that is extraordinarily significant, especially with regard to the topic of “hygiene as a social question”. Because, my dear attendees, when spiritual science is cultivated and when spiritual science is something concrete for the human being, then he knows that in what he receives in spiritual science there is something that differs from what he receives in mere intellectualism and in the natural science of the present, too, is mere intellectualism. He knows that what he has in mere intellectualism or in the merely intellectualistically developed natural science or in the merely intellectualistically developed history or jurisprudence of today is different from what he has in mere intellectualism. All of today's sciences are intellectualistic; if they claim to be empirical sciences, it is only because they interpret the empirically observed results of experience in an intellectualistic way. What is given in the humanities differs quite essentially from these natural science or other results interpreted in an intellectualistic way. It would even be quite sad if that which lives in our intellectualistic culture were not merely an image, but a real power that has a deeper effect on people. Anything intellectualistic remains only on the surface of the human being. This sentence is meant to be very comprehensive.

Those who pursue spiritual science only intellectually, that is, who only make notes: there is a physical body, an etheric body, an astral body, an ego, repeated earthly lives, karma, and so on and who notes these down in the same way as in natural science or in today's social science, is not seriously engaged in spiritual science, for he merely transfers the way of thinking he otherwise has to what confronts him in spiritual science. But the essential thing about spiritual science is that it must be thought in a different way, felt in a different way, and experienced in a very different way than the intellectualistic way. Therefore spiritual science is something that, through its very nature, maintains a living relationship to the healthy and the sick person, albeit in a somewhat different way than one might often dream of. People will surely have become sufficiently convinced of how powerless one is with what one, whether as admonishment or as encouragement, begins in the purely intellectualistic culture in relation to the so-called mentally ill. The mentally ill person claims that voices are speaking to him; you tell him all kinds of things that you find based on your intellectual reason – in vain, because he has all kinds of objections for you. This alone could indicate that we are not dealing with an illness of the conscious or even the subconscious soul life, but with an illness of the organism. Spiritual science teaches us to recognize that one cannot, however, use such methods, which are supposed to be so-called spiritual ones, in which, for example, one resorts to hypnosis and suggestion, to treat so-called mental or soul diseases, but that one must treat them in so-called physical ways, that is, by healing the organs, for which, however, one really needs spiritual knowledge of the human being. Spiritual knowledge knows that it should not actually intervene at all in the field of so-called mental illnesses with mere spiritual or psychological procedures, because the mental illness consists precisely in the fact that the spiritual element of the human being is suppressed, as it is otherwise only in sleep, and is weak in this suppression, but that one must cure the organ so that it in turn takes back the soul and the spirit in a healthy way. On the other hand, that which does not arise from the intellect, from the head, but from the whole human being as a spiritual-scientific result, when it appears as imagination, inspiration, intuition, and when it is taken up by the human being, engages the whole organism. It really engages the physical organization of the human being in a healing way, which is what spiritual science really is.

On the other hand, there is no proof that some spiritual scientists feel ill within spiritual science or show the opposite of what I have just said. There are so many who are not spiritual scientists, but who are intellectualistic collectors of notes on spiritual-scientific results. But to spread spiritual science in its true substance is itself a social hygiene, for it affects the whole human being, it normalizes his organology when it threatens to develop this or that tendency towards deviation into the abnormal after dreams or after another side. This is the tremendous difference between what is given in spiritual science and what occurs in mere intellectual science: that the concepts emerging in the field of intellectualism are much too weak because they are merely pictorial to intervene in the human being, to be able to have a healing effect on him. The concepts of spiritual science, on the other hand, are such that they are drawn from the whole human being. In the formation of spiritual-scientific concepts, it is truly not only the brain that has been involved, but also the lungs and liver and heart and the whole human being. And if one imbues oneself with these spiritual-scientific concepts, if one assimilates them through healthy human understanding, they in turn have a hygienic effect on the whole human being. This is what, starting from spiritual science, can intervene in a directive way in hygiene as a social matter.

But in many other ways too — I can only give a few examples — spiritual science will intervene in a guiding way in the whole of humanity's health life, when this spiritual science really takes root among humanity in its full seriousness. I will point out just one example. The relationship between the awake human being and the sleeping human being is one of the chapters that must be studied again and again through spiritual science. The same applies to the enormous difference that exists between the human organization in waking and in sleeping. How spirit and soul behave when we are awake, when the physical and spiritual and soul aspects of the human being interpenetrate each other, and how they behave when they are temporarily separated from each other, as in sleep – this is carefully studied through spiritual science.

Now I can only give a certain sentence, but it is a very certain result of spiritual science. We see so-called epidemic diseases occur in life, diseases that affect whole crowds of people, which are therefore also a social matter at the same time. Ordinary materialistic science studies them in terms of the human physical organism. It knows nothing of the tremendous significance for epidemics and for the predispositions for epidemic diseases that lies in the abnormal behavior of humans in terms of waking and sleeping. What happens in the human organism during sleep is something that, when it happens in abundance, for example, predisposes to a high degree for so-called epidemic diseases. People who, by sleeping too long, set processes in motion in the human organism that should not be there because sleep should not interrupt waking life for so long are predisposed to epidemic diseases in a completely different way and they also engage with epidemics in a completely different way.

Now you can see for yourself what it means to educate people about the correct distribution of sleep and wakefulness. You cannot do that by means of regulations. At best you can order people not to send their children to school when they have scarlet fever; you cannot give lectures when there is an outbreak of influenza: people do not respond to that - because today man tends towards freedom, I mean, because the sense of authority is not as great as in former times - people do not respond to that. I am not saying that they are not right to do so, I am not saying anything against what happens in this way, but you cannot possibly tell people in the same way: you must sleep seven hours. Nevertheless, it is more important than the other rules that people who need it sleep seven hours, the others who do not need it may sleep much shorter and so on. But such things, which are so intimately connected with the most personal aspects of a person's life, have a social effect in a magnificent way. It actually depends on the most intimate aspects of a person how the social effects occur, whether, for example, a larger or smaller number of people are withdrawn from this or that occupation or not, which may have an effect in a completely different place under certain circumstances. Hygiene really does have a tremendous impact on social life. Quite apart from what one thinks about contagion or non-contagion, this element intervenes in social life during epidemics. You cannot work through external regulations, you can only work if you bring a lay audience into human society, but one that has an understanding of people that stands in contrast to the physician's educational prophylaxis, wherever a lively interaction between the expert physician and the layman can occur to maintain health.

If we take all these things into consideration, we can say: Here we have described one side of hygiene as a social question, which in the most eminent sense depends on our having a free spiritual life, on our actually having a spiritual life in which, within the spiritual realm, those who are engaged in the cultivation of the spiritual life, including its practical aspects such as hygiene, are completely independent of everything else that does not give pure knowledge, that does not cultivate the spiritual life itself. What each individual can do for the good of his fellow human beings must arise entirely from his abilities. There must be no state standards for this, nor must there be any dependence on economic powers. This must be placed in the personal sphere of dependence of the individual human being and must continue to be placed in the understanding trust that others who need the application of his abilities can place in the capable person.

What is needed is a spiritual life that is completely independent of all authority, of the state and of the economy, and that works purely from within its own spiritual forces in an expert manner.

If you think about what hygiene can really achieve, which is closely connected with insightful human knowledge and insightful social behavior, and if you look at the individual branch of hygiene with expert insight , then you will come to the conclusion - and this is precisely what the individual, concrete subject area demands, and it could be demonstrated for other areas as well as for hygiene - that the spirit must be taken into administration by those who are involved in its cultivation. No matter what abstract theories may say against the independent position of intellectual life, the individual concrete subject demands that the administrators of intellectual life are not merely experts who work for the ministries, but that those who are active in intellectual life must also be the administrators of that intellectual life, and indeed the sole administrators of that intellectual life. Then, when social insight arising out of a free spiritual life has created a hygiene that really exists as a social institution, it will be possible to work economically for this hygiene in a completely different way, precisely in an independent economic life, in an economic life that is structured as I have described in my “Key Points of the Social Question”, as it has been repeatedly described in the journals that serve this idea of the threefold social organism, for example in the Swiss “Social Future”, which is published by Dr. Boos.

If the forces for the cultivation of hygiene that lie dormant in the bosom of human society are received by society with understanding, if this is accepted with human understanding by society, if this becomes general order, then everything that can be carried out of this independent economic life, without regard to any dependence on impulses of gain or state impulses, everything that can be worked out of this independent economic life purely, can be carried into economic life, into independent economic life, everything that can work purely out of this independent economic life, without any consideration of any dependence on profit impulses or on state impulses, can be carried into economic life, and that which must be cultivated in the service of genuine, true hygiene. But then, and only then, will it be possible for that high spirit to enter into economic life, which is necessary in order for hygiene to be cultivated in human life. If the mere acquisitiveness of our economic life is dominant, which has an ever-increasing tendency to be incorporated into the unified state, and if the general opinion is that one must produce that which earns the most, then the self-contained impulses of a free spiritual life cultivated in this field of hygiene cannot assert themselves; then this spiritual life becomes dependent on the extra-spiritual, on the state or economic, then the economic becomes master over the spiritual. The economic must not become master over the spiritual. This is best seen when one is to produce what is required by the spirit in economic life, when one is to serve a genuine, true hygiene.

The forces of economic life, of free economic life, will be added in the threefold social organism to the insight that becomes a public matter and to the understanding of the human being that becomes a public matter. And when, on the one hand, people are immersed in a free spiritual life in which a hygiene truly based on objective ground can be cultivated, and when, on the other hand, people develop that high spirit through which everyone in economic life will in turn approach production with understanding – but with such understanding does not arise merely from the sense of acquisition, but from the insights that arise in free spiritual activity - then, once this insightful social understanding of people will be there, then people will be able to come together democratically in parliaments or otherwise, because then the insight into the necessity of hygiene as a social phenomenon will be shaped from the free spiritual life. And what is necessary for the maintenance of hygiene will be shaped by the economic life, which is based on practical and professional considerations, through the high spirit that will be developed in it. Then people, having come of age, will be able to negotiate on the basis of the legal system, on the one hand from their insight and understanding of human nature, and on the other hand from their relations with the economic system that serves hygiene. Then people will be able to negotiate as equals on the basis of state or legal life about the measures that can be taken with regard to hygiene and public health care. Then, of course, it will not be laymen, dilettantes, who will be healing, but the person who has come of age will face the expert as an equal with understanding when the expert tells him this or that. But the layman's understanding of human nature makes it possible for him, in the context of what is cultivated together with the physician in social life, to approach specialized knowledge with understanding in such a way that he can say “yes” in a democratically conceived parliament not merely on the basis of authority but on the basis of a certain understanding. If we take a close look at such a specialized field and see how the three members of the social organism interact, then, my dear audience, we find the full justification of this idea of the threefold social organism. One can only fight this idea of the threefold social organism if one has first grasped it only in the abstract.

Today, I could not give you more than a sketchy indication of what follows from the threefold social order in a specific area, the area of hygiene, if one thinks correctly about it. But if the paths I have only been able to hint at today are pursued further, it will be seen that although those who approach the impulse of the threefold social organism with a few abstract concepts may, to a certain extent, oppose it – as a rule, they present reasons that one has long since accepted as objections oneself. But anyone who approaches the individual areas of life with full inner understanding and the living out of these individual areas with all that they bring into human life - that is what social life is about - anyone who really understands something in a specific area of life, who makes an effort to understand something of true life practice in any field, will be led more and more into the direction indicated by the idea of the threefold social organism.

This idea did not arise out of a reverie, out of abstract idealism; it arose as a social demand of the present and the near future precisely from the concrete, appropriate consideration of the individual areas of life. And again, when one penetrates these individual areas of life with what emerges from the impulse of the threefold social organism, then one finds for all these areas that which, it seems to me, is needed for them today. And I just wanted to give you a few brief indications this evening of how the field in which blind submission to authority is still accepted today, can be enriched by the spiritual science that follows from the threefold social organism. For this reason it may be said here: Through this enrichment, which the field of hygiene can receive from a spiritually expanded medicine, hygiene can become a social, a truly social matter, and it can also be cultivated in the most genuine sense in a highly democratic way as a general matter of the people.

Following his lecture, Rudolf Steiner answers a series of questions submitted in writing.

Dear attendees! With regard to the matters discussed today, it is important to first address the whole spirit of what has been said. It is sometimes difficult to answer questions that are formulated from the present way of thinking and feeling without reformulating them or at least without explaining them properly. This first question, which probably seems terribly simple to you or many of you, so that it could be answered in a few sentences or with one sentence, is:

How do you get rid of sleeping too long?

Well, to answer this question, I would have to give an even longer lecture than the one I have already given, because I would first have to gather the various elements in order to answer this question properly. But perhaps the following can be said: Today, there is an intellectualistic state of mind in almost all people. Those who believe that they judge or live from their feelings, or who believe that they are not intellectualistic because of some other reason, are intellectualistic all the more. Now the basic character of intellectualistic soul life is that our instincts are ruined by it. Man's right instincts are ruined. It is actually the case that if you want to point to instincts that have not been completely ruined, you either have to point to primitive man or even to the animal kingdom.

For you see, on another occasion these days I was able to point to an example that says a great deal. There are birds that, out of their greed, eat insects, for example, cross spiders. But they fall into convulsions, into spasms, from eating these cross spiders, which are poisonous to them; they must die miserably very soon after swallowing the cross spider. But if henbane is nearby, the bird flies to it, sucks out the healing juice and saves its life with it. Now think about how something has developed that in us humans has shrunk to the few reflex instincts we have. For example, when a fly lands on our nose, we make a movement to get rid of it without first pondering the situation. A defensive instinct takes effect on the insult stimulus. In the bird that eats the cross spider, the effect that the cross spider has on its organism is followed by such an instinctive defense that it drives it to do something quite reasonable. We can still find such instincts in people who lived in the dim and distant past, if we understand their history correctly. But in our time, we have different experiences. I have always found it extremely painful when I came to someone who sat down at the lunch table and had a scale next to their plate. A scale, you really do experience something like that – I was otherwise accustomed to knife and fork and similar implements lying next to the plate – a scale, and with that he weighed the piece of meat, because only then did he know how much meat he should eat according to his organism, when he had weighed it. Just imagine how far removed from all real, original instincts a humanity has now become, to which something like this has to be prescribed.

It is therefore important not to stop at intellectualism, but to ascend to spiritual-scientific knowledge. You will now believe that I speak pro domo, even if it is pro domo of this great house, but I do not speak pro domo, but I actually express what I believe to have recognized as truth, quite apart from the fact that I myself represent this truth. One can see that if one penetrates not only into the merely intellectual, but into that which is to be grasped spiritually, and which therefore comes before humanity more in a pictorial sense, one you realize that by grasping such knowledge, which is not accessible to the mere intellect, you are led back to healthy instincts, not in individual cases, but more in the things that lie in the depths of life. He who spends at least some time, even if it be ever so little, on developing the quite different frame of mind that is needed to really understand spiritual science, will be led back to sound instincts in such matters as, for instance, the need for sleep. The animal does not sleep too much in normal living conditions. Primitive man did not sleep too much either. One need only educate oneself to healthy instincts, which are being unlearned in today's so intellectualized culture, so that one can say: A really effective way to get rid of sleeping too long is to be able to absorb spiritual truths without falling asleep in the process. If you fall asleep at once when you hear spiritual truths, then you will indeed not be able to get rid of sleeping too long. But if you succeed in really taking an inner human interest in the spiritual truths you are learning, then this inner human interest is activated in such a way that you can actually find out what bedtime is for your organism.

On the other hand, it is extremely difficult to give intellectualized rules, for example, to say that a person who has this or that about his liver or kidneys, which does not exactly make him ill in the usual sense, but which is there nonetheless, must sleep for such and such a length of time. As a rule, this does not lead to anything special. And artificially inducing sleep is not the same as when the body, out of its need for sleep, only denies the mind entry for as long as it needs to. So one can say: Proper hygiene, which follows directly from spiritual science, will also lead people to measure their sleep in the right way. Therefore, the other question that has been asked here cannot be answered so easily:

How can you know how much sleep you need?

I would like to say that you don't need to know this through discursive thought, it's not necessary at all, but you do need to acquire such instincts, which you acquire not by collecting notes from the humanities, but by the way you understand humanities when you take it in with full participation. Once you have developed this instinct, you can then measure the right amount of sleep for you individually. That is what is usually said about it. As I said, I can only give you a guide to answering this question, not what is perhaps expected. But what is expected is not always the right thing.

Is sleeping with the window open healthy?

It is not always possible to give a general answer to such questions. It is quite possible that for one person sleeping with the window open is very healthy, depending on the particular structure of their respiratory organs, but that for another person, for example, a room that is well ventilated before sleeping but then has the windows closed while they sleep is better. It is actually a matter of gaining an understanding of the relationship between the human being and the extra-human environment, in order to be able to judge in individual cases on the basis of this understanding.

How do you explain the occurrence of mental disorders caused by crimes committed from a spiritual point of view, that is, how can the physical illness that underlies the mental disorders be recognized here?

Well, here it would be necessary to go into the whole criminal and, basically, psychiatric anthropology if the question is to be dealt with exhaustively. I would just like to say the following: Firstly, when considering such things, it is important to assume that there are abnormalities among the organ dispositions of a person who becomes a criminal. You only have to follow the studies of Moriz Benedikt, the first important criminal anthropologist, who was really quite objective in his research in this direction, and you will see how, through pathological examination, the forms of individual human organs can indeed be linked to a disposition to commit crimes. So there is an abnormality inherent in it, although, of course, materialistic thinkers like Moriz Benedikt draw false conclusions from it, because someone who shows such signs in this direction is by no means a born criminal from the outset. The point is that one can work on the existing defects in the organism - these are organ defects, not the already existing mental illness - precisely through education and later through appropriate spiritual means, that is, in a spiritual-mental way, if only the facts are examined in a spiritual-scientific way. So the conclusions that Benedikt draws from the pathological investigations are not correct. One can indeed point to such organ defects, but then one must be clear about the fact that in ordinary human life, those things that are not intellectual but are emotional or affective do have an effect. These have an effect, to be sure, first on the glandular activity or the like, on the secretory activity, but in turn also on the organs. In this regard, I advise you to read, for example, an interesting booklet written by a Danish physician about the mechanics of emotional movements. There are many useful things in it in this regard. And now imagine the bodily disposition that can be traced in every person who comes into question as a criminal, and add to this everything that follows for the caught criminal in terms of emotional upheaval and what as a continuation of these mental shocks now in turn affects the organs, then you have the way to look for the defective organs for what produced a mental illness as a consequence, which can occur when a crime is committed. In this way, one must gain an understanding of such connections.

How does Theosophy relate to Anthroposophy? Is the former Theosophy no longer fully recognized here?

In answer to this I would simply say: Nothing but anthroposophically oriented spiritual science has ever been advocated here, and what is advocated here today has always been advocated here, and if this has been identified with what is advocated on many sides as so-called Theosophy, then that is simply due to a misunderstanding. This misunderstanding will also remain a misunderstanding because anthroposophically oriented spiritual science has, within certain limits, been within the framework of the Theosophical Society for some time; but even within the framework of this Theosophical Society, the representatives of anthroposophically oriented spiritual science at that time advocated nothing other than what I advocate here today. They just watched for a long time, as long as it didn't look too heretical. But when they realized that anthroposophy is something quite different from the abstract mysticism that often claims to be theosophy, they threw out the anthroposophists. This procedure has been adopted from the other side, while what is represented here has never had any other form than the one it has today.

Of course, those who deal with things only superficially or who have gained their knowledge only from those members of the Society who themselves have only dealt with it superficially – for one does not always have to stand outside in order to have a superficial understanding of anthroposophy or to confuse anthroposophy with theosophy, one can also stand inside with it in society - those who only acquire knowledge in the way of such superficially grasped activity come to such confusions. But here that is represented, which I have today characterized for a particular area, and never has anything else been represented here, even if, of course, work is constantly being done and certain things today can be characterized more precisely, more fully, more intensely than they could have been fifteen, ten or five years ago. That is precisely the nature of the work: that one progresses, that one progresses in particular in the formulation of making oneself understood in something as difficult as spiritual science. One really need not concern oneself with those people who, out of ill will, have twisted the fact that what was previously expressed in an imperfect way is later expressed more perfectly, and who derive all kinds of transformations of world views from it. For spiritual science, as it is meant here, is something living and not something dead, and the one who believes that it cannot progress, who wants to nail it down to where it once stood, in a way that often happens, does not believe in the living, but wants to make it into something dead.

Would you please explain how an epidemic like the flu or scarlet fever comes about if not through the transmission of germs. For many diseases, the pathogen has been scientifically identified. What is your position on this?

Well, if I were to discuss this question, which I have indicated that I do not want to take sides on, then I would have to give a whole lecture. However, I would like to draw attention to the following. The person who, through his knowledge, is compelled to point out that for illnesses accompanied by the appearance of bacilli or bacteria, there are deeper causes as primary causes than just the appearance of the bacilli, does not yet claim that the bacilli are not there. It is quite another thing to claim that the bacilli are there and that they appear in the wake of the illness than to look for the primary cause in the bacilli. What needs to be said in this regard has just been developed in detail in this course for physicians, which is now being held. But it takes time. This also applies to certain elements that need to be dealt with first. This cannot be quickly settled in a question and answer session. Nevertheless, I would like to point out the following. The human constitution is not as simple as one often imagines. Man is a many-sided being. In my book 'Riddles of the Soul' I show at the beginning that man is a threefold being, a being that can be called, firstly, the nerve-sense human being, secondly, the rhythmic human being, and thirdly, the metabolic human being. That is what man is. And these three aspects of human nature interact with each other; and if the human being is to be healthy, they must not interact in any other way than that there is a certain degree of separation between the areas. For example, the nerve-sense human being, who is more than what today's physiology imagines, cannot simply transfer his effects on the metabolic human being in a different way than that these effects are mediated by the rhythmic movements of the circulation and breathing processes, which extend to the outermost periphery of the organism. But this interaction can be interrupted in a certain way.

Now, this interaction brings about something very specific. For example, when such questions are asked, you will forgive me for having to answer them appropriately. I will be as discreet as possible, but it is necessary to say some words that have to be heard appropriately. For example, it is quite true that processes take place in the human abdomen that are integrated into the whole organism. If they are integrated into the whole organism, then they work in the right way. If they are either directly increased in the abdomen, so that they become more active there, or if the corresponding processes in the human head or in the human lungs become less intense, then something very peculiar occurs. Then it becomes apparent that the human organism, in order to live normally, must develop processes within itself that are only allowed to develop to a certain extent so that they take up the whole person. If the process is increased, then it localizes itself, and then, for example, a process occurs in the human abdomen whereby what takes place in the human head or in the lungs and what corresponds to certain processes in the abdomen is not properly separated. The processes always correspond in such a way that they run parallel to each other. But as a result, what may only be present in man to a certain extent in order to maintain his vitality, the vitality carried by spirit and soul, is, so to speak, raised above a certain level. Then, I would say, it becomes the atmosphere for all kinds of lower organisms, for all kinds of small organisms, and these small organisms can then develop there. That which is the creative element of the small organisms is always present in the human being, it is only extended throughout the whole organism. When it is concentrated, it provides a breeding ground for small organisms, microbes; they find a home in it. But the reason why they can thrive there is to be found in extremely fine processes in the organism, which then turn out to be the primary ones.

I am not speaking out of antipathy to the germ theory; I fully understand the reasons that people have for believing in germs. Believe me, if I did not have to speak as I am speaking now for factual reasons, I would recognize these reasons, but here it is the realization that necessarily leads to the recognition of something else and that then forces one to say it. [For example, I can say:] I see a certain landscape, there are many extraordinarily beautiful cattle, well cared for. I now ask: Why are these living conditions in the area? They come from the beautiful cattle. I explain the living conditions of this area by explaining that beautiful cattle have moved in from somewhere; they have spread there. I will not do that, but I will examine the primary causes, the diligence and understanding of the people, and that will explain to me why these beautiful cattle are developing on this land. But I would be making a superficial explanation if I just said: It's beautiful here, life is good here because beautiful cattle have moved in.

The same logic basically applies if I find the typhoid bacillus and then declare that one has typhoid fever because the typhoid bacillus has moved in. Much more is needed to explain typhoid fever than simply to refer to the typhoid bacillus. But one is misled in a completely different way if one succumbs to such false logic. Certainly, the primary processes, which provide the typhoid bacillus with the basis for its existence, are in turn the basis for all kinds of other things that are not primary. And it is very easy to either completely confuse or conflate what is secondary with the actual original clinical picture. These are the things that lead to the right point here, or show how what is justified in a certain sense can be shown to have its limits.

Perhaps you can see from the way I have given this answer – although I can only sketch it out and am therefore easily misunderstood – that this is really not about the all-too-popular ranting against the germ theory, but that it is really about examining things very seriously.

Could you give us some examples of how physical organic disorders can cause mental and spiritual suffering?

Well, if it were to be answered in detail, that too would, of course, be taking us much too far today. But I would like to point out just one thing. You see, the development of medical thought in the history of medicine is not as it is presented today, with Hippocrates as the beginning of medicine and Hippocraticism as its further development. As far as we can trace it, we know that Hippocrates was much more the last outpost of an old instinct-based medicine than merely the beginning of today's intellectual medicine. But we find something else as well. You see, in this old instinctive medicine, as long as it was still in force, people did not speak, for example, of a certain kind of mental depression, which is a very abstract way of expressing it, but rather of hypochondria - abdominal cartilaginousness. So they knew that hypochondria is a disorder of the abdomen, a hardening of the abdomen. We cannot say that the ancients were more mystical than we are.

Likewise, it is easy to show how certain chronic lung defects are definitely connected with what could be called a false mystical sense in people. And so we could point out all sorts of things, quite apart from the fact that – again, in line with a correct instinct – the ancients definitely pointed to something organic when it came to the temperaments. They derived the choleric temperament from bile, from white bile, the melancholic from black bile and all that black bile causes in the abdomen. They then derived the sanguine temperament from blood and the phlegmatic temperament from what they called mucus. But then, when they saw degenerations of the temperaments, they were absolutely things that indicated the degenerations of the organic matter concerned. How this was done in instinctive medicine and in instinctive hygiene can certainly be taken up in a strictly scientific way into the state of mind and, from the point of view of our present knowledge, cultivated.

Here is a question that could lead to further misunderstanding: Do you recognize eye diagnosis? Do you accept it as a science?

Now, it is generally true that in the case of an organism, and especially in the case of the complicated human organism, if you look at it in the right way, you can draw conclusions about the whole from all the possible individual parts. And again, the way these individual parts are arranged in the human organism has a great significance. In a sense, what the eye diagnostician examines in the iris is, on the one hand, so very isolated from the rest of the human organism, and on the other hand, it is so peculiarly integrated into the rest of the organism that it is indeed an expressive organ. But precisely with such things, one must not schematize; and the mistake with such things is that one does just that. For example, it is quite true that people of a different mental and physical constitution show different characteristics in their irises than other people. If one wants to apply something like this, one needs such intimate knowledge of what happens in the human organism that, if one has this intimate knowledge, one actually no longer needs to search from a single organ. And if you are instructed to adhere to some intellectualized rules and to do such things schematically, then not much of value will come of it.

What relation do diseases have to the progress of world history, especially the newly emerging diseases?

A chapter of an entire cultural history! Well, I will just note the following. When studying history, one must have a sense for practicing symptomatology, that is, to understand much of what is taken as history today only as a symptom for much that lies much deeper behind it, which is really the spiritual current that only carries these symptoms. And so that which is in the depths of human development does indeed appear symptomatically in these or those diseases of the time. It is interesting to study the relationships between what prevails in the depths of human development and what takes place in the symptoms of this or that disease. One can also conclude from the presence of certain diseases that impulses are at work in historical development that cannot escape a symptomatology of this kind. But the question could then also point to something else that is not insignificant when pursuing the historical development of humanity. This is this: Diseases, whether they occur in individual human beings or take the form of an epidemic in human society, are often also reactions to other degenerations, which may be regarded as less serious from a health point of view, but which must nevertheless be regarded as very serious from a moral or spiritual point of view. What is said here must not be applied to medicine or hygiene – that would be quite wrong. Diseases must be cured. In hygiene, one must work to benefit people. One cannot say, “First I will check whether it is perhaps your karma to have this illness; then I will let you have it, if not, I can cure you.” These views do not apply when it comes to healing. But what does not apply to us humans in our intervention in nature does, therefore, objectively apply in the outside world. And there one must say that, for example, many things that exist as a predisposition to moral excesses are so deeply ingrained in the human organization that reactions occur which then appear in certain illnesses, and that the illness is the suppression of a moral excess.

In the case of the individual, it is not even of such great importance to follow these things, because they should be left to one's individual destiny and one should not interfere in them any more than one interferes with the secrecy of other people's letters - unless one is guided by the view that is so prevalent at the moment: “opened by the authorities under the laws of war”. Just as little as one should interfere with a person's letter secrets, so little should one interfere with his individual karma. But in world history, that is again something else. There it is important because in world history, the individual human being plays only a, I would say statistical role in its laws. It must always be pointed out that statistics provide a good basis for life insurance companies to assess mortality rates, on which their premiums are based. The matter is quite accurate and the calculation is quite correct, it is all quite scientific. But now – one does not have to die at the very moment that has been calculated by the life insurance statistics, nor does one have to live as long as has been calculated. When the individual comes into consideration, other things occur. But when groups of people or even the whole development of humanity comes into consideration, then it may very well be that one is not a superstitious person, but very much a scientific person, when one examines the extent to which symptoms of illness, illnesses that occur are corrective of other excesses, so that one can indeed see a certain reaction of the disease or at least a disease caused by something that, if the disease had not come, would have developed in a completely different form. These are just a few points on how what is touched upon by this question can be considered.

But now our time is so far advanced that we too will now follow the others who have already left in such large numbers.