Minutus

work on miasmatic categorization. It may differ from Hahnemann in Psora,
but that is because Psora was multi-pronged as Hahnemann pointed out. It
was multipronged IMO because it included many other as-yet undifferentiated
component miasms. We are at the point of refining and further
differentiation. Do you agree? Disagree?))))))))

++++ Then I suggest that the acute miasms are not "sacred cows" that do not
get passed only because Hahnemann said they did not. I suggest that he just
did not have the chance to look at the next level of subtlety that we are
just starting to investigate, and which has taken Sankaran some 14 years to
get as far as he has. My guess is that there is an "Influenza" miasm as
well, for example. How it manifests will be more subtle and require the
subtle discernment and miasmatic understanding in order to classify. The
number of miasms must be quite large, and epidemiology is the place to look
to find ones to investigate. For example, Schistosomiasis is the #1
macroparasitic disease in the world, at least last time I looked with
hundreds of millions infected. We do not even have a Bilharziasis miasm
identified in homeopathy. WHY NOT? ______________
Then why we call them acute?
Acute diseases are those which are self-limiting and without treatment they
result in recovery or death.
I aggree that we have "influenza" miasm but it is acute one not chronic.
You can add Schistosomiasis and Bilharziasis as miasm but if you destroy
these prasites then their sign and symptoms continue their way or not?

================================

+++ I did not say we needed one. But in the cases that DO need the nosode
in order to proceed, not having identified the miasm dominant will cause
failure. Agree?___++++++++

No,I dont agree

And thanks a lot for info on down syndrom.

Kind Regards,
Nader

I was looking for some posts of Will Taylor's explaining why (as Nader says)
Med is not the nosode of gonorrhea, but rather of HPV (Human Papilloma
Virus), a different disease. Does anyone have it handy, or remember the
gist? I recall he said the mistake was due to a translation error, and he
describes Med as being more tubercular than sycotic...
Shannon

on 11/22/04 1:31 PM, Nader Moradi at mn0021@issa2000.net wrote:

I was looking for some posts of Will Taylor's explaining why (as Nader
says)
Med is not the nosode of gonorrhea, but rather of HPV (Human Papilloma
Virus), a different disease. Does anyone have it handy, or remember the
gist? I recall he said the mistake was due to a translation error, and he
describes Med as being more tubercular than sycotic...
Shannon

***I

***i remember discussing this with Will a few years ago on one of the
lists, and I seem to recall that the suggested reason for the inclusion of
Thuja with Med as sycotic and for gonorrhoeal maism, was because it was
noted at the time that figwarts and gonorrhoeal discharge often occurred
together, and so were thought to be part of the same disease. Without modern
technology to recognize viruses, an erroneous presumption seems to have been
made in one sense.

However, if it is common that they occur together then maybe there is a
connection but just not as thought?

Best

Robyn
---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
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[Non-text portions of this message have been removed]

Nader Moradi wrote:
+++++ By being aware of the loci of such poisons and their probable effects on the progeny. The patient's family would be asked to do thorough research. Otherwise, the chances of finding the toxins would most likely require intuitive means.
+++++ Probably only by noting any other changes that were concomitant to the hearing loss.

If nothing else at all changed, then it would throw weight toward using tautopathy. And using tautopathy if it is not indicated and not successful is unlikely to harm the patient anyway. This would particularly be the case when it is weighed against the gravity of the complaint, even if one is not sure of whether it is a drug toxicity problem or an activated miasm.

If there were other and constitutional changes after the allopathic, then that would throw weight, perhaps, toward an activated miasm. This would more especially be the case if the concomitant effects were not registered, known side effects of the allopathic intervention which preceded the hearing loss.

Otherwise, without any clues (if the totality of the case is not clear, and no miasm is clear), then the tautopathic is a reasonable test by trial and error in 30C to see if a reaction of any kind ensues.
Best, Andy

Nader Moradi wrote:
**** Well, you will need to explain these, as while I have heard of Selye and of course of Hippocrates, you need to be more explanatory for those of us who are less schooled in the panoply of medical theories and in the medical classics. And give references please.

If you are suggesting that the "triune" of syphilis, sycosis, psora are a magic number of categories that is all-inclusive and includes all miasms, then I think you may be correct about the broad categories, but hopelessly oversimplifying. Sure, we can make many correlations with other systems for example:

Ayurveda
Psora - vata ether and air
Sycosis kapha earth and water
Syphilis pitta fire and ____

Hamer
Psora -
Sycosis -
Syphilis -

But this does not mean that these are all inclusive! And you have ignored my question! Prove to me that Influenza, malaria, etc as UNFINISHED DISEASE is somehow EXEMPT from being passed on to the offspring, though it can thoroughly affect the life of the individual, abeit less obviously than syphilis, gonorrhea, itch, TB. ONLY THEN we can talk more intelligently about whether Sankaran's "miasms" are miasms or something else, which was the purpose of the discussion, was it not? If you keep sending back only what you have read and "heard" without logic, then I am getting bored
and disappointed. Perhaps you don't have the time to respond? Then you will lose me as a correspondent.
**** Science is not based on what one has "heard", but what one has observed, deduced, inferred oneself, or understand from the same as written by others. If you have not yet heard or read it, does that mean it is not so? Or is that unscientific prejudice?
**** Please give me the precise titles if possible so I can put these on my list, or internet addresses.
**** Well, these layers may indeed not be miasms, but a car accident layer in this example is irrelevant, as it is not an infectious result, but a trauma result, and you yourself Nader, call Malaria an "acute miasm"(!), as did Hahnemann. There is no dispute as to whether Malaria is a miasm. What we have been discussing is ----does it show up in the offspring of one that had the acute disease.? Only this way can we intelligently get at your questions about whether Sankaran's new "miasms" are equivalent in valence to hahnemann's definition and our understanding of what a miasm
is, by this discussion! So please, do not keep evading my questions.

You quoted David Little as saying:
"...These never-well-since rubrics are very important
because they help us find unresolved disease states present in the case."

A miasm that is passed on energetically to progeny via the vital force of "seed" and "egg" IS an "unresolved disease state"(!). Do you have any better definition than that, Nader? Chris? Thus NEVER WELL SINCE is a MIASM in the parent. WHY do you maintain that this cannot be passed to the offspring just like any other miasm? Please tell me. If syphilis is *truly* resolved and not suppressed,, then the miasm of at least that bout of syphilis in the present time parent is not passed on to the children. If it remains unresolved, then it IS passed on . My guess is that you
have no problem with that. Then what keeps a Never Well since malaria from being passed to the offspring? What is the mechanism which blocks that transmission?
(((( I have seen many times that a simillimum results in an acute febrile syndrome and other aggravating results lasting a couple of days or longer, especially when using 200C or above potencies one dose method.
(((( Good question. My expectation is that the "molding effects" of lesser miasms is LESSER and show up more subtly, or they would not be lesser miasms, would they? , e.g. Malaria miasm resulting in intermittent macro phenomena which is a similar pattern to the intermittent nature of the disease itself. It would not surprise me if the myalgia of chronic fatigue syndrome, a disease which can be extremely difficult to treat and with miasm nebulous, has some root in a miasm like influenza, which has in its course often muscle aches and pains. But I do not rule out specific
morphological effects of miasms as yet uncharted. The problem with inertia and dogmatism is that possibilities never imagined are missed because of prejudice. Just because Hahnemann espoused no prejudice and you are a Hahnemannian, do you assume that you are not prejudiced by your attachement to Hahnemann's conclusions? Was Hahnemann a human being looking at reality just as you and I and Rajan Sankaran? Or have you ascribed to him higher powers?

Hi Robyn,

Below:

on 11/22/04 4:47 PM, Robyn at folco@tpg.com.au wrote:

My understanding is that he does indeed consider Thuja as sycotic, and the
"nosode" (as if) of sycosis. What he does *not* consider exclusively or
representatively sycotic is (what we today call) gonorrhea, nor its nosode
Med (which he says is more Tubercular). I found this association of Med to
Tubercular miasm especially interesting because of the difficulty I have had
(in one particular case) in distinguishing between Tuberculinum and
Medorrhinum. That child had the long lashes, restlessness, "mischief" and
discontent of Tub, but also had (I finally registered) the "extremes" and
nighttime energy surge of Med. In the end I *shouldn't* have had so much
trouble distinguishing (the nighttime stuff was clear once it registered!),
but I was interested to note how much the two have in common! (Altho Med
can include sycotic characteristics such as "deceitful", I saw none of that
in this case.) It looks as tho Med is a combination of sycotic and
tubercular (at least)?
Also, med does have sycotic traits... So it seems that they are related,
just not in the representative (disease/nosode) way that's been assumed.

Interesting, huh?

Shannon

Now this is interesting,, waiting hopefully...
SK
[Non-text portions of this message have been removed]

Hi Shannon,

I wonder why you want to classify remedies based on related miasms?
As there is no clear description of miasms,how you can rely on them to
classify your remedies?.By doing this one may make mistake in selecting
remedies,fore example may be based on totality the remedy is X but ,as I
said in my previous mail,your patient miasm according to description of some
authors is "Y" but your "x" remedy is not anti"Y",in this instance you may
not prescribe "X",as miasms pictures are not complete then IMO classifying
remedies is not good task!.

Best,
Nader

Hi Shannon,

If I remember correctly, this information is on the first tape (4 Feb
04):

http://www.wholehealthnow.com/teleconferences.html

Leilanae
[Non-text portions of this message have been removed]

Greetings Nader, this is a long post of mostly data which provides some evidence for your evaluation and the use of the group to attempt to answer the QUESTION:

Can Malaria be a chronic miasm in the Hahnemannian sense, or is it not passed on to offspring as Hahnemann suggested.

This will hopefully help to resolve the QUESTION: are Sankaran's "new" chronic miasms really chronic miasms in the Hahnemannian sense, or an overlain semiological system that happens to work in practice?

I urge interested members of the group to provide their opinion on this question for the below example of Malaria. The same type of analysis could be done for Influenza, Smallpox, Chicken Pox, Mumps, typhoid, ringworm, and other acute diseases which according to those with more scholarship of Organon and CD than I have undertaken (eg Nader and Chris)--were not considered to be capable of appearing as distinctive taints in the offspring, not being chronic diseases with stages as are the infectious precursors of the already identified and characterized more "classical" or
"traditional" miasms. We have discussed that within the hydra-headed psora likely lies a plethora of different miasms that are not psora at all, but have other precursors that Sankaran and others have only scratched the surface of. I submit that the answer to the above question is highly significant and I personally would like to hear the viewpoints presented by any and all.

(Andy)

=================
Nader Moradi wrote:
&&&& No, you missed my point. Look at the rubrics below for malaria agg or not well since--which indicate a state BETWEEN recovery and death--and which is present on the triggering etiology of a disease defined as an "acute miasm", and which, if present when procreation is initiated, will pass on the hallmarks of the energetic influence of that parent on the gamete of that parent, EVEN if the original susceptibility was from another miasm or from a complex of other miasms. Please prove to me a mechanism by which it is prevented from being passed on. I suggested that Malaria
miasm, which you have said is only an acute miasm and not engraftable, is capable of propagation to offspring. Sankaran thought so also, because the pattern of intermittency in many cases he saw did not fit any other miasm. This more refined identification and classification, as I mentioned, is much more subtle and difficult to see in a case than florid ezcema (psora), ulcers (syphilis), hydrogenous rheumatism or warts (sycosis)--of the original Hahnemannian miasms, which he correctly identified first. I asked you to prove that miasms of APPARENTLY self-limiting, non-staged
diseases are NOT passed on.

If we think that what is Malarial miasm is really psora, then homeopathis will both: miss cases that require a nosode because carefully selected do not work (not an uncommon occurrence in cases)--and influence choice of a remedy using the incorrect dominant miasm, which is expressed as chronic in the patient at hand--regardless of what Hahnemann concluded was passed on or was not passed on. If you deny that a disease like Malaria cannot pass on a taint which carries its signature, either within the same life or across a generation, then Sankaran's system of kingdom-miasm-vital
sensation should not work well, if at all. But it DOES. I suggest that out of our conversation here, we can conclude that Sankaran and others are extending Hahnemann's original conclusions based on new evidence, and that one should not rest on the words of a master when new science is done to refute the conclusions he made on the data he was able to perceive with the time available to him.

I am not certain of the suggestion I am making, but have yet to be convinced otherwise, having experienced the usefulness of Sankaran's system. I have an "AVERSION TO" having Hahnemann's conclusions from "Scripture" merely repeated,---much as we all revere Hahnemann, his CD theory was only a beginning. I look for proof that "acute" miasms are not capable of affecting the gametes and being passed on, when the immune mechanism gets stuck on them in the parent, and that blockage is never resolved and is present at procreation. Prove to me, at least that a taint from a "never
well since" "acute" disease cannot manifest as a chronic complaint in the offspring, or confirm that they can as Sankaran posits.
(((( I suggest that there is no reason why it cannot be passed on by people who procreate during a state of Never well since influenza. How significant the miasm is as a chronic one remains to be seen,, but I suggest that it could be very significant.
(((( This bears investigation. But I agree, macroparasites (worms, flukes, etc) may be in a different category than microorganisms, though some macroparasites also carry microbes that also may be infectious in the sense of a "noxious fog" and thus may be in the hahnemannian miasmatic category.
***** Yet you provide no substantiation. If you identify that the dominant miasm is malarial (which you maintain is impossible) and it is a case in which carefully selected rx fail to act and a nosode of the miasmatic disease (Malaria tropicalis or plasmodium falc.) would be needed, do you maintain that giving psorinum, medorrhinum, syphilinum, tuberculinum, carcinosin, leprosinum, typhoidinum, ringworm, or other nosode will be the optimum prescrip each time, and that giving malaria tropicalis or other appropriate malarial nosode would not be? Any other nosode that was close to
aspects of the case might partially resonate and shift the symptoms of the case,--but was that the optimal prescription? Did it do more than shift symptoms around? Or as I suspect you will maintain, the acute miasm was superficial, and the underlying miasm was actually dominant. Can you prove what you say?

I am open to your idea that Sankaran's Malarial miasm is not really a miasm as per Hahnemann, but an overlay that happens to yield results and maintains internal consistency to a remarkable degree for other reasons. But you must prove it to me with other than mere repeating of Hahnemann's words. We aspire to be unprejudiced scientists as was Hahnemann, who did not wish that his ideas become dead dogma. I liked your logic regarding aspartame, (and would like to see the hiroshima data showing gene repair in case of only ionic gene damage, not living miasmatic taint). But you
remain unconvincing in your conclusion that Sankaran has only created a system separate from those of Hahnemannian miasms. Please convince me using logic and evidence if you can.
**** My pleasure.
Andy replies :
&&& Obviously because they are self-limiting in course and rapid in pace. But as we know from rubrics, their effect can LINGER in the organism nonetheless
(at LEAST IN THE PERSON WHO EXPERIENCED THEM IN THE PRESENT LIFE) showing that they are "miasms", at least in the host that became sick by apprehending them and their influence.

(these not exhaustive(!)
(ailments after/from)/(never well)/Agg [sen] malaria/influenza/scarlatina/chicken pox/varicella/influenza/mumps/acute/typhoid/ringworm/fungus/tinea: 3Abrot.187, am-c.11, arn.11, bac.85, carb-v.11, carc, chin, con., 3Eup-per.1101, gels., influ, 2lycpr.100, nux-m per.85, 3Rhus-t.1101, 3Sabad.8, sulph.73, 2verat-v.85

Ailments/agg [sen] influenza: abrot.187, alum., am-c.11, ars.187, bac.85, bapt.1101, carb-v.11, caust.1101, con., eucal.171, 2eup-per.1101, 2euphr.160, gels., jab.1028,
lycpr.100, per.85, 3Rhus-t.1101, sabad.8, scutel., sulph.73, verat-v.

Trying to equate "acute" to mean self-limited and self-expirational in ALL aspects--even etherically/nonphysically goes against the obvious evidence otherwise. The flu of 1918 killed millions. Probably many tens of thousands or more of those that did not die but developed a chronic ailment--however subtle-- from that epidemic --PROCREATED. A percentage will have developed "Never well since influenza". Did that get passed on as a unique taint or not. and if not how and WHY. Please dont tell me only because Hahnemann said so--if he could say why, then please quote his
logic--beyond that they have not "stages".

=============
It is recognized that the signs and symptoms of these miasms will be a more subtle if they ARE passed on to later generations. This point has already been made--that Sankaran, for example is mining more subtle territory than hahnemann had a chance to investigate. Study of these remedies may give an idea of what the malaria miasm might look like in a succeeding generation--beyond Sankaran's characterizations.

From Nader's quote of David Little:
"...These never-well-since rubrics are very important
because they help us find unresolved disease states present in the case...."

Do the unresolved disease states of Never Well Since of "acute", "self-limited" diseases get passed to offspring leading to distinctive chronic miasms as Sankaran posits? What other information can we glean beyond what Sankaran posits for his "Malarial miasm"
Sankaran Analysis for RADAR and EH
Rajan Sankaran, MD
Since this download depends heavily on the concept of miasms, I thought it necessary to incorporate a summary of the miasms. What follows is
1. A short summary of each miasm
2. A chart explaining various aspects of each miasm
3. The key words of the miasm
For a detailed understanding of miasms the reader can refer to my books, The Substance of Homoeopathy and The System of Homoeopathy.
This work should not be looked upon as a final word, but as an evolutionary process.
It must also be remembered that a remedy belonging to a particular miasm will have qualities of the miasm before and after it.
Many remedies are absent from this categorization because I was not sure where to place them and had no clinical experience. This fact must be kept in mind when using this material.
Please keep in touch with updates to this work, either through wholehealthnow.com or through my website, www.thespiritofhomoeopathy.com
==========
Malarial miasm: (Sankaran)
There is an acute feeling of threat that comes up intermittently, in phases, between which there is an underlying chronic, fixed feeling of being deficient. This miasm is characterized by sudden, acute manifestations that come up from time to time, followed by periods of quiescence.

Some remedies:
Berb-v, Capsicum, Cina, China, Colocynthis, and Spigelia.
MALARIA
(between Acute
and Sycosis)
Stuck and intermittently attacked;
Limited;
Unfortunate;
Imprisoned;
Dependent;
Accepting his limits, not fighting them;
Intermittent attacks of anger, paroxysms of rage;
Lamenting nothing is good;
Miserable;
Phobic, paroxysmal fears;
Sentimental
Brooding;
Dependent;
Employee of an irate boss;
You have to bear it because you are limited and therefore dependent;

Childhood to middle age
Blind man’s bluff;
Migraine;
Neuralgia;
Worms;
Colic;
Colitis;
Rheumatism;
Meniere’s disease
Asthma;
China;
Spigelia;
Natrum muriaticum;
Colocynthis;
Cina;
Capsicum;
Antimonium crudum;
MALARIA:
Stuck
Intermittent attack
Persecution
Unfortunate
Colic
Neuralgia
Paroxysmal
Contemptuous
Disobedient
Malaria
Worms
Migraine
Periodicity
Harassed
Hindered
Obstructed
Alternation between excitement and acceptance
Torture
Hampered

==============
Malaria brief summary
http://www.biosci.ohio-state.edu/~paras ... odium.html

Malaria has been recognized as an important parasitic disease of humans for centuries, having been described by the early Egyptians in the third millennium B.C. Despite the introduction of control programs in many parts of the world over the past few decades, the impact of malaria on human populations continues to increase. Recent estimates suggest (1) that 1.5 billion persons live in areas of the world where malaria is an endemic disease, (2) that the number of infected humans exceeds 500,000,000, and (3) that 1-2 million persons die each year.

Four species of Plasmodium infect humans and cause malaria. All species are vector borne diseases, being spread by anopheline mosquitoes, and the disease is distributed throughout much of the world (view distribution). In the human host the parasite is found primarily inside of the red blood cells (RBC). The parasite reproduces asexually inside of the RBC, and following this the RBC breaks open releasing many new parasites (merozoites). These parasites then infect more RBC's, and this ultimately leads to the destruction of massive numbers of RBC's. The characteristic "chill
and fever" (paroxysm) associated with malaria occurs when the parasites are released from the RBC's, and since the release of parasites is periodic, the paroxysms are periodic. For examples, the paroxysms associated with a tertian malaria (e.g., Plasmodium vivax) occur about ever 48 hours, and those associated with a quarten malaria (e.g., Plasmodium malariae) occur about every 72 hours (view a diagram of the life cycle).
------------------------------------------------
Here is some evidence of lingering of a so-called "acute disease", whether the original susceptibility was from other miasms or miasm complexes or not (example--malaria). Hopefully this will provide data by which those interested can hazard their opinion on the question posed at the beginning of this mail.

==========================
Malaria nosode:(Complete Rep)

Gen
Elephantiasis. {7> 37> 0} [56]
Food and drinks: potatoes: desires. {0> 21> 0} [149]
Malaria, ague, ailments from. {0> 8> 0} [85]
Wet, getting: agg. {27> 76> 0} [85]

Mind
Delirium. {60> 250> 0} [149]
Delirium: night. {21> 49> 0} [149]
Delirium: loquacious. {18> 37> 0} [149]
Fear: general. {72> 424> 0} [56]
Fear: drink, to. {0> 7> 0} [56]
Fear: insanity, of losing his reason. {27> 74> 0} [149]
Hypochondriasis. {54> 88> 0} [149]
Morose, sulky, cross, fretful, ill-humor, peevish. {77> 292> 0} [56]
Prostration of mind, mental exhaustion, brain fag. {85> 207> 0} [149]
Restlessness, nervousness: general. {122> 468> 0} [149]
Restlessness, nervousness: night. {50> 222> 0} [149]
Sighing. {28> 125> 0} [149]

Vertigo
Waking, on. {3> 39> 0} [149]

Head
General. {11> 745> 0} [149]
General: occiput. {114> 292> 0} [149]
General: occiput: vertigo, with. {5> 20> 0} [149]

Nose
Coryza: general. {100> 346> 0} [85]
Coryza: annual, hay fever. {31> 100> 0} [85]

Stomach
Thirst. {110> 370> 0} [1058]
Thirst: heat: after. {3> 13> 0}

Abdomen
Enlarged. {18> 142> 0} [102]
Enlarged: spleen. {33> 37> 0} [102]
Inflammation, peritonitis, enteritis. {57> 247> 0} [149]
Inflammation, peritonitis, enteritis: liver, hepatitis. {39> 114> 0} [149]
Inflammation, peritonitis, enteritis: liver, hepatitis: gallbladder, cholecystitis. {0> 49> 0} [149]
Pain: general. {12> 775> 0} [56]
Pain: diarrhea: agg.: during, colic. {69> 184> 0} [77]
Pain: liver. {66> 234> 0} [56]
Pain: drawing. {24> 165> 0} [56]
Pain: drawing: liver. {1> 24> 0} [56]
Spleen, complaints of. {32> 58> 0} [102]

Rectum
Constipation: general. {170> 345> 0} [85]

Chest
Tuberculosis pulmonalis. {81> 141> 0} [77]

Back
Pain: general. {1> 642> 0} [122]
Pain: dorsal region. {37> 348> 0} [122]
Pain: dorsal region: scapulae. {22> 328> 0} [122]
Pain: dorsal region: scapulae: below. {6> 149> 0} [122]
Pain: dorsal region: scapulae: below: right. {9> 51> 0} [122]

Fever
Bilious. {24> 59> 0} [85]
Intermittent, chronic, ague, malarial. {55> 157> 0} [56]
Intermittent, chronic, ague, malarial: quinine, after abuse of. {7> 16> 0} [102]

===========================
MALARIA AILMENTS FROM OR AGG (this is neither recovery NOR death (!))
------------------------------------------------
MALARIA ailments OR aggravates: ang., aran., 2ars., cadm-s., carb-v., cean., cedr., 3Chin., chin-m., eup-a., ferr., ign., kali-i., mag-m., mag-p., malar., 2nat-m., nat-mar., nat-s, nux-v., parth., plan., polyp-p., psor., sep., sulph., tarax., verbe-h.

========
ANG- (case)--A man, aged 28, consulted me in June 1990, with the complaint of severe headaches. These headaches started after an injury following malaria, six months previously. There was a sudden onset of severe headaches. His eyes would become small and his face swollen. The pain would compel him to take large doses of pain killers. There were times when he took four to six paracetamol to get relief. Very often these pains would not respond even to stronger pain killers. His concomitant mental state was very peculiar and intense. He was so sensitive that he would be offended by
the least criticism.
Eventually he became so sensitive that he would feel and imagine that people were being harsh to him. For example, he reacted with a lot of anger and excitement at the lunch table when his wife asked him: 'Tell me quickly what you want for dinner.' He misunderstood this, thinking he was being forced to eat quickly. He flared up with red eyes and was about to get up from the table in utter frustration. He narrated many examples where his day-to-day life was greatly affected because of this excitability.

There are two incidences worth mentioning that will clearly help us to understand the finer dimensions of this sensitivity.
Once he was accompanying his father on a business trip for the purpose of marketing their product. The client made a casual remark: 'Your product is not known to us. We have not heard of your brand.' Such a situation is very common when you visit a new client, however, his reaction was very intense.
It was interesting to perceive his reaction.
'I felt like telling him right to his face that we were not going to supply him with any material in the future. I was damn angry. When you don't know anything about technology how can you talk to me like this! My hands were shivering and I broke into a cold sweat with a feeling as if life was leaving my body. The entire incident took less than ten minutes. I felt like leaving his office immediately with a feeling that, if he came to my office, I would talk to him as rudely and in the same way as he had spoken to me. I will show him how to talk to people! He was really rude.
Even now I still have the feeling that, at least once, I'll behave with him in the same way as he behaved with me. I was telling my father, we should not have such type of customers. You should have gotten up with me.
That fellow also realised that I was angry and he became a bit softer. He cooled down and then he listened to our talk and looked at our reports and also asked for samples. I left his office and immediately got a severe headache. Even today that feeling is there.'

This state existed prior to the injury and the malaria. However, the malaria and injury seem to have aggravated his state. I perceived that he had been in this state for a long time, since he narrated an incident which occurred long before the malaria, during his days in college. His professor, although reluctantly, agreed to give a letter of recommendation.
The professor did not have a good impression or image of our patient. Hence he gave him the certificate which rated him as a student of average intelligent. Knowing the nature of the professor he opened the letter and read the recommendation. He was extremely angry and just tore it up. He felt hurt and bitterly let down. In his words: 'Even today if I see him in the library, I get angry. My eyes become red with anger. I feel like telling him, you have not done justice to me. I will see you whenever we come face to face. I will pull you down. I see myself rise so high that I
can feel him to be very small.... nobody is giving importance to him. One day, in a seminar, when we meet face to face, somewhere in pubic, I will prove myself so much better that nobody will look at him again. I will see that he doesn't get any importance. I will make him feel that there is something wrong with him. At least once. I will take revenge for the way he treated me.'

Since then, he has almost became a bookworm with a constant desire to gain as much knowledge as he can. He spends most of his time in the library, reading and studying, with a great ambition to be a knowledgeable, learned person. He theorises and imagines how his life is going to be, what sort of a person he aspires to become. In his words: 'I get flighty thoughts, like being in the driver's seat in business. I am supposed to be a big business man with many foreign collaborators. I will head them all. I will be known to industry people as a technically knowledgeable man.
People will come to me for guidance. I compare myself to big companies, that kind of fantasies.
I will be highly competitive, making better products than these companies.
It is not the money, but making a big name. I will have an office with grand furniture.'
He had fantasised a complete picture of his image and achievements, right up to the minute details of his office furniture. He is very hardworking and industrious and feels happy only when he has worked hard.
The other side of him was weak, faint-hearted and cowardly. The sight of a fatal accident affected him so profoundly that he was beside himself for days. Even after some months, he was afraid of passing by the site of the accident. He feels weak when passing by the site of the accident. He feels weak and faint in his legs, as if they will give way. He would be extremely anxious as if anticipating bad news. Any setbacks in his business, or a sickness in the family would make him feel very faint and nervous. During these phases of excitement he has a flow of thoughts and gets
headaches. He feels better only by drinking coffee.

He was highly sensitive to coffee. Drinking coffee ameliorated his excitement and calmed him down. Or it got him excited, thoughtful and in a sleepless state if he was calm. Hence he needed coffee only when he was in a state of excitement.

Analysis
One expression he used very often was 'damn angry'. I was sure this expression must have a lot to do with his state. The word 'damn' is related to 'curse' 'condemn' 'hatefulness' (damnable). The important traits of the patient were:
* - Malice - revengeful with excessive thoughts of revenge
* - Excitable
* - Very sensitive, offended easily
* - Hatred
* - Faint-hearted
* - Fancies exaltation of
* - Theorising-planning
* - Industrious
* - Serious
* - Sensitivity to coffee

When analysing and evaluating the case, I was reflecting on these traits and searching for a remedy which could produce this kind of a highly sensitive, excitable and malicious state. I was convinced that the remedy he needed was Angustura Vera after I referred and studied the rubric:
'Hatred, has bitter feeling for slight offense'.

Embittered - offences from slight. Let us understand the meaning of this rubric.
a) Hatred - Hatred means having a strong dislike, bear malice and have an ill-will for someone.
b) Bitter means very virulent, biting harsh feelings.
c) Slight - means rather flimsy, small amount, unimportant, trifling.
d) Offence - Aggressive action.

This rubric means to have hatred, i.e. malice, and very strong dislike and ill-will, and to have very virulent, biting harsh feelings for unimportant, trivial, negligible, aggressive acts. These Angustura patients are highly sensitive to any offences. Over a period of time, they develop a delusion that people are offending them on purpose, humiliating them and persecuting them. It seems as if they are reacting to a situation where they are persistently and chronically put down. Also there is a feeling of being 'smalled' in presence of others under such circumstances. He
suffers this intense humiliation with a totally helpless feeling because of his cowardice and also his vulnerable, small status. He reacts with intense bitterness for this offence and develops a state of hatred and desire to avenge this humiliation. The only way he can do this is by theorising in his mind an inverse situation in which he can put his offenders down. The ambitious and industrious nature of these Angustura patients stems from the hope and desire to become big so that they are no longer vulnerable to such indignation or to be enabled to avenge the insults. Somehow
the Angustura state has a lot to do with coffee. In this particular case, an extreme sensitivity to coffee was more marked than the craving for coffee. The modality of the chill in malaria was 3 p.m. Also, Clarke has compared the excitability of Angustura vera with Nux Vomica. It was interesting to note that Angustura vera belongs to the Ruta family and is related to injuries.
Clarke has described the pusillanimity and want of self-confidence in
Angustura vera. The dictionary meaning of pusillanimous is 'mean spirited' and also 'faint-hearted'. It is strange that both the meanings seemed to apply to this case. The important rubric showing various aspects of Angustura vera are as follows:
* - Hatred, bitter feelings for slight offences
* - Embittered, exasperated offences from slight
* - Ailments, insults of offences (from 'Complete Repertory')
* - Offended easily
* - Jesting, joke cannot take a
These rubrics give us the idea of the sensitivity and the bitter feelings of Angustura vera.

The rubrics showing the timidity and pusillanimity are:
* - Startled, sleep during
* - Fear of death from heart attack in dyspepsia
* - Fear, death of, heart symptoms during
* - Anxiety, paroxysms, attacks of
* - Anxiety with weakness
* - Cowardice
* - Frightened easily, trifles at
* - Anxiety in bed, wake up as if he would never
* - Delusions, imaginations, fainting, faintness of

The rubrics showing activity of the mind are:
* - Activity, increased excessively
* - Delusion, fancy of
* - Memory active
* - Plans, making many
* - Thoughts, clearness of
* - Thoughts, persistent
* - Rapid, quick, rush, flow of, wandering thoughts
* - Theorising

The rubrics, I suggest for further addition in the repertory are:
* - Thoughts, malicious
* - Ailments, injury
* - Head, pain, anger, vexation from
* - Ailments, indignation
* - Offended easily, (my suggestion is to make Angustura vera in bold marks in this rubric and put * - Offended easily, (my suggestion is to make Angustura vera in bold marks in this rubric and put 'Embittered from slight offense' as a very important cross reference to this rubric).

He was give one dose of Angustura vera 200K on 15 June, 1990. He responded immediately to the dose and reported considerable amelioration in his headaches within one week. In the second week after the remedy, he came down with an attack of intermittent fever. During this fever, which lasted for two weeks, he was put on placebo. The blood work did not show malaria parasites. This whole episode was much less intense compared to his previous attacks of malaria in which he suffered for almost six months with frequent chills and extreme weakness. I followed his case from 1990 to 1995
and he has reported total amelioration in his mental-emotional state and no recurrence of headaches or malaria. It was exciting to see a single dose of the remedy produce such a long lasting cure.
Aran-Swelling of the spleen after intermittant fever suppressed by Quinine. Enlarged spleen with chilliness. Fullness and heaviness in the abdomen as from a stone with a sinking sensation in the epigastrium. Borborygmus in the abdomen and heaviness in the thighs every day at the same time.
This is a powerful remedy for the malaria cachexia where the acute ATTACKS ARE BROUGHT ON OR AGGRAVATED BY COLD WET, RAINY WEATHER. OR WHEN THE ATTACKS APPEAR ANNUALLY IN THE SPRING OR AUTUMN WITH THE CHANGE FROM WARMTH TO DAMP STORMY WEATHER.
The symptomatology of this remedy can be summed up into a few general features, viz. mental despondency, physical exhaustion, periodicity, hemorrhagic tendencies, anemia, coldness and lack of vital heat, chronic deep-seated complaints.

ARAN-(Grimmer)- This is a powerful remedy for the malaria cachexia where the acute ATTACKS ARE BROUGHT ON OR AGGRAVATED BY COLD WET, RAINY WEATHER. OR WHEN THE ATTACKS APPEAR ANNUALLY IN THE SPRING OR AUTUMN WITH THE CHANGE FROM WARMTH TO DAMP STORMY WEATHER.
The symptomatology of this remedy can be summed up into a few general features, viz. mental despondency, physical exhaustion, periodicity, hemorrhagic tendencies, anemia, coldness and lack of vital heat, chronic deep-seated complaints.

(2)ARS (Mathur)- 1. Ailments from alcohol, chewing tobacco, sausage poisoning, dissecting wound, bites of venomous insects, anthrax, sea bathing, ptomaine poisoning, malaria, abuse of quinine, iodine, climbing mountains.

Hypochondria: agg.: malaria, after. 1>3>4
CARB-V- (Mathur)-- Asthma dates from measles or pertussis of childhood. Indigestion from drunken debauch. Bad effects of long ago injury. Bad effects of typhoid. Excessive discharges. Ailments from quinine, suppressed malaria, abuse of mercury, spoiled fish. (Carbo an). Fats (Puls, Kali mur) Meats alcohol. Getting overheated. (Ant cr). Loss of vital fluids lifting. Haemorrhage from m. m. (Cinch, Phos) Indigestion from late suppers and rich food. Sluggish ulcers. Blood stagnates in the capillaries, state of shock. Pulse irregular almost imperceptible, intermittent fevers. Varicose
ulcers; burning and oedema in legs. Gangrenes develop due to feeble circulation. Parts get numb on the side laid on. Dropsy after loss of vital fluids. Low forms of fever, typhus, typhoid and yellow fever. Prolonged cold spells with lack of reaction. Lack of reaction after violent illness. Surgical shock (Stron c), Acidity. Acne. Angina pectoris. Aphonia. Asthma.
Affinities: Mucous membranes, digestive tract, stomach, heart, circulation, veins, blood, occiput, collapse, carbuncle, debility, dyspepsia, flatulence, putrid diseases. Pregnancy disorders. Oppression of chest. Scurvy. Sleep. disorders, Tympanites ulcers.
Cachectic persons with exhausted or weakened vitality. Persons who have never fully recovered from the exhausting effects of some previous illness. Weakness of memory and slowness of thoughts. Broken down constitutions. Patients crave things that make them sick. Old topers crave whisky or brandy. Want clothing loose around abdomen. Desire to be constantly fanned rapidly. Awakens from sleep due to cold limbs due to feeble circulation. Want of susceptibility to well selected remedies (Op. Laur, Caps, Val, Sulph, Psor). External coldness with internal burning and heat.
Premature old age in middle aged people. Menopause with flushes of heat mounting upwards. Longing for whisky and tobacco (Asar, Carb ac.).

CEAN--(Boenninghausen)- Hypochondria: agg.: malaria, after. 4>4>0

CEDR (Boenn)- Hypochondria: agg.: malaria, after. 4>4>0

(3)CHIN (Farrington) Ailments from the suppression of malaria,
Rabe--Neuralgic affections having a malarial basis and in which the pain is decidedly aggravated by drafts or by light touch, are met by China.
Allen, JF--Ailments: from loss of vital fluids, especially hemorrhages, excessive lactation, diarrhea, suppuration (Chin-s.), of malarial origin, with marked periodicity, return every other day.

CHIN-M--(Roberts)- Chinium mur. may be of use in rheumatic affections of the sclerotic coat of the eye and in iritis when associated with malarial troubles having the marked aggravations of the remedy.

EUP-A (Complete Rep) Malaria, ague, ailments from. {0> 8> 0} [85]

FERR (Boenn)-- Hypochondria: agg.: malaria, after. 4>4>0

IGN (Boenn) Hypochondria: agg.: malaria, after. 4>4>0

KALI-I (boenn) Hypochondria: agg.: malaria, after. 4>4>0

MAG-M--(complete)--INTERMITTENT, CHRONIC, AGUE, MALARIAL: PERIODIC: FOURTEEN DAYS AGG., THEN FOURTEEN DAYS AMEL. {0> 1> 0} [5]
MALAR (complete)--Malaria, ague, ailments from. {0> 8> 0} [85]
NAT-M (Complete) --Malaria, ague, ailments from. {0> 8> 0} [85]
NAT-MAR (Tyler)- Malaria; and ailments since malaria and quinine.
NAT-S (Puddephatt)- Our other outstanding sign post is the adverse effect produced by water. These folk are so sensitive to conditions pertaining to water that their ailments are brought on and also aggravated by living anywhere near water, including the sea, by eating watery foods, by all wet weather both warm and cold, by living in damp places, damp houses or cellars and places which have a malarial influence. Although very sensitive to night air, yet they are worse in a warm room and they need, and fell better from being in open air.
(Lilienthal)- [VARICES.] Sycosis malaria, affections of spleen and liver, agg. in rainy, wet weather; hepatic engorgement, humid asthma.

NUX-V (Burt)-- Fever. The Nux vomica fever is intermittent, with decided morning aggravation, malarial in origin, and the motor nerves are greatly affected.
PARTH (Jones)--Here is the remedy to cure, so it is said, any malarial fever, ague, or ailment characterized by periodical attacks; Parthenium Fluid Extract, adult 1 to 2 drachms every two or three hours.

PLAN (complete)-Malaria, ague, ailments from. {0> 8> 0} [85]
POLYP-P (complete)-Malaria, ague, ailments from. {0> 8> 0} [85]
PSOR (complete)-Malaria, ague, ailments from. {0> 8> 0} [85]

SULPH--allen TF---Clinical. It is indicated in various types of fever, idiopathic or symptomatic; in the malarial types there is tendency to torpor, with nocturnal aggravation; heat of the head, with cold feet, or heat of the palms and soles at night. In eruptive fevers the eruption is partial and scanty; the tongue is usually dry and red at the tip and edges (compare Rhus t.).

TARAX (complete)-Malaria, ague, ailments from. {0> 8> 0} [85]
VERBE-H (complete)-Malaria, ague, ailments from. {0> 8> 0} [85]