The chronic diseases (die chronischen krankheiten) their peculiar nature and their homoeopathic cure
Dr. Samuel hahnemann in 1828.
Presently it contains 2 volumes and which is Translated from 2nd Enlarged German Edn of 1835.
By Prof. Louis H. Tafel With Annotations byDr. Richard Hughes
Total number of drugs – 48.
History of the work
- The chronic diseases is Hahnemann’s last medical work of fundamental importance.
- It has 2 Editions
I EDITION – 4 Volumes (1828-1830)
- I Vol. – devoted to an exposition of his theory
- II & III Vol – 15 new medicine.
- IV Vol – 7 medicines (5 from malaria medica. Pura + 2 new drugs – Kalic and Natnus)
So total number of drugs – 22
II EDITION – 5 Volumes (1835-39).
- I Vol & II Vol -1835
- III Vol. – 1837
- IV vol – 1838
- V- 1839
Besides the twenty two medicines of the Ist edition it contain 25 others of which 13 are new and 12 had already appeared in Materia medica pura.
So total = 47 drugs
22 – from Ist Edn
25 – 13 (new) + 12 from MMP—II nd Edn
Present Edition contain 2 volumes
Translated from second enlarged German edition of 1835 (Exported reprint edn.1995)
Volume I – Has two parts
Part I (Theoretical part)
- Translations preface
- Annolator’s preface
- Authors preface
- Authros preface
- Nature of chronic disease
- Cure – Sycosis, Syphilis, Psora
Part II (Medicinal part) Antipsoric medicines)
Agaricus to Kalicaib (27 drgus)
Medicines – Lycopodium to Zinc met (21 drugs) Index to the first or theoretical part.
List of Drugs
|Volume I||Volume II|
|3.||Ammonium carb||3.||Mag mur|
|6.||Antim crude||6.||Muriatic acid|
|7.||Ars alb||7.||Natrum Carb|
|9.||Aurum mur||9.||Nitric acid|
|25.||Hepar Sulph Calc|
1. Translators Preface
This is the second translation of this work to English. The first translation is done by Dr. Charles J. Hempel and published by Wm. Radde in the year 1845-46.
Translators preface is written by L.H. Tafel. Here, he describes about the mode of translations made from the original work. He has tried to translate the same German word by the same English word, except, where words have several meanings. These are few words, which require a varied translations, according to the context. for eg. Brust is used for both for chest and females mammae
He mentioned that the symptoms taken from the old school authorities (poisonings/overdose) are cited with small capitals and that of other provers are given in italics as in case of Materia medica pura.
There is no separate index for antipsoric medicines because this is furnished in various repertories especially in that of Boenning housen’s. There is a separate index for theoretical part of this work.
2) Annotators preface
In this secton, Richard Hughes, says that as Hahnemann became famous in the treatment of various illnesses, he had to pay more attention to the chronic diseases, thereby he stopped to attend acute diseases.
Among the 3 volumes of Ist edn of this work (1828-30), two latter volume contains the pathogenesis of 15 medicines, which are not present in Materia medica pura.
- Amm Carb
- Baryta carb
- Calc carb
- Mag carb
- Mag mur
- Nat carb
- Nit acid
The pathogenesis of above medicines appear without a word of explanations as to how the symptoms were obtained and without acknowledgement of fellow observers. At this time Hahnemann was 70 or 80 years old and he was not in a position to conduct proving upon him. So we are compelled to reach a conclusion that these symptoms are mainly from his experience from treatment of cases.
Hahnemann recommended the medicines to be given in the dilution from 18-30th. When the lower potencies (upto 12th) were used it produced violent symptoms in sufferers of chronic diseases, which make up the bulk of the Ist issue of chronic diseases.
In the 4th volume, published in 1830, 2 more medicines added (Kalicarb and Natmur) and additional symptoms are give for 5 other medicines (Carbonanimalis, carboveg, Caust, Conium and Sulphur) which already given in Materia Medica pura.
The second edition of the “Chronic diseases” published in 1835-39. It contains 47 medicines. (Besides 22 medicines of Ist Edn. It contains 25 others, of which 13 are how and 12 had already appeared in Materia Medica Pura.
New drugs are Old ones are
Hahenemann strongly recommended the use of 30 potency in all drug proving is order to yield good results.
Richard Hughes appended a note to the list of “fellow observers” which were given by Hahnemann in the preface of each medicine (This note gives an idea about the time of provers is whether they were the provers of the later or earlier times, manner of their experimentation whether their observations already existed in print and what information we have about them.)
In pathogenesis of drugs, the symptoms cited by other authors were thoroughly varified by Richard Hughes and made necessary correction and explanation to set it forth in its full meaning and value. Additional information is given at the bottom of the page, represented by Small figures, 1,2,3 etc. and Hahnemann’s own annotations are designated by * etc.
3) Editor’s Preface
In editors preface Pemberton Dudley mainly deals with the peculiarities of style in writings of Hahnemann, some of which are not all common to our English polemical literature. Eg : His long and involved sentences. His exceedingly frequent use of parenthetical clauses and sentences and his use of parenthesis within the parenthesis. Etc.
At the end of Editor’s preface he says that no attempt has been made to render this work or any portion of it, a model of concise perspecuity. On the contrary the aim has been to retain rather than to eliminate the characteristic style of the original text.
4) Author’s Preface
To the first edition – 1828
Here the expressed his doubt about the acceptance of his great discovery by the contemporaries in other school of medicines.
He criticizes the use of larger doses, which may tends to endanger the patient life.
Preface to the fourth volume (Inquiry into the process of Homoeopathic healing)
In this preface Huhnemann explain the mode of action of Homoeopathic medicines, and how the cure take. He also mentiond that the vitalforce alone couldn’t overcome the miasmatic chronic disease. It required the aid of remedies of true healing art.
Preface to the 5th Volume (Dilution and potencies (dynamisation)
Here he describe about the dynamisation. These are the processes by which the medicinal properties which are latent in natural substances while in their crude state become aroused and then become enabled to act in an almost spiritual manner on our life.
Dynamisation usually done in 2 ways.
1) In case of dry substances trituration is employed
2) In case of liquid substance by means of shaking or succession.
First part (Theoretical part)
5. Nature of Chronic diseases
Here he says about the usefulness of Homoeopathic medicines in the treatment of Sporadic, venereal, and acute diseases and he criticize the crude and inhuman ways of Allopathic treatment like blistering plasters, leeching, cupping, pain killing narcotics etc.
Hahnemann specified the importance of etiological factors which can alter health like some gross errors in diet, some violent exertion of mind or body, repeated fright great grief, sorrow and continuous vexation etc.
Even after administration of similinum, Hahnemann observed a continuous relapse or recurrence of the symptoms occurred at variable intervals and there by no complete cure. This made him think about the obstacles for complete cure and this led him to the discovery of the nature of chronic diseases, which lead him to theory of 3 chronic measms – Psora, Sycosis and syphilis.
6) Cure of chornic diseases
Here Hahnemann describes about the Homoeopathic medical treatment of large number of chronic diseases. The treatment of chronic diseases become impossible without the help of Homoeopathic antimiasmatic medicines.
The two miasmata syphilis and sycosis cause a smaller part of the chronic disease, will treat first in order to make the path free to the therapeutics of the immeasurably greater number of the various diseases which spring from psora.
Hahnemann says that the whole sycosis dependent on fig wart miasma, as well as the excrescence, can only be cured most surely and thoroughly through the internal use of Thuja. When the action of thuja is exhausted it should be alternated with a small doses of nitric acid, which must be allowed to act as long as long a time in order to remove the whole sycosis. There is no need of using external application except in most difficult and inveterate cases, we can moister the figwards everyday with the mild pure juice prepared from the green leaves of Thuja, mixed with equal volume of alcohol.
If the patient was at the same time affected with another chronic ailment is psora complicated with sycosis or both miasm (psora and sycosis) conjoined then it is necessary to treat the psoric component first, with specific, antisporic medicines. Then to make use of the remedy for sycosis and lastly proper dose of the best preparation of Mercury is given against syphilis. The same alternating treatment in continued until a complete cure is affected.
The syphilis is chronic miasma, which is more widely spread than sycosis. In the cure of this venereal disease three states are to be distinguished , when the syphilis is alone and associated with local symptoms (chancre) or the local symptoms has been removed by external application or associated with some other local symptoms which act vicariously for the internal disorder.
Hahnemann says that “there is on earth no chronic miasma, no chornic disease spring from a miasma which is more curable and more easily curable than this (syphilis).
If it is not complicated with psora and present with local symptoms (chancre) then it needs only one little doses of the best mercurial remedy in order to cure thoroughly and forever the whole syphilis with its chancre.
Cure of third stage of syphilis is most difficult when compared to Ist and 2nd stage. The latent psora cannot obstruct the cure of syphilis but if it is complicated with developed psora it is impossible to cure the venereal disease alone.
When syphilis is complicated with awakened psora, this combination is called masked, spurious syphilis or pseudosyphilis– a monster of a double disease and it is very difficult to cure. Treating the psoric component first with suitable antipsoric which is homoeopathically the best fitting to the then prevailing state of the disease, when this medicine has completed its action also probably a second most suitable to the still prominent Psora symptoms and these should be allowed to act against the psora, until they have effected all that can be at present done against it — then should be given the dose above described of the best Mercurial preparation to act against the venereal disease for three, five to seven weeks, ie so long as it will continue to produce an improvement in the venereal symptoms.
In inveterate and difficult cases this first course will not accomplish what is desired. A repetition of a similar process of cure in required.
Psora is the most ancient, most universal, most destructive and most apprehended chronic miasmatic disease which for many thousands of years has disfigured and tortured mankind and which during the last centuries has become the mother of all thousands of incredibly various chronic diseases by which the whole civilized human race on the inhabited globe is being more and more afflicted. It is the most hydraheaded of all the chronic miasmatic diseases.
He says, sulphur in small doses will make a brief beginning of cure of chronic disease. But excessive or frequent repetition of sulphur in chronic disease is of no use.
The cure of old psora that has been deprived of its eruption whether it may be latent and quiescent or already broken out into chronic disease can never be accomplished with sulphur alone nor with sulphur baths either natural or artificial . Recent itch disease with its primary cutaneous eruption is easily cured from with in by very small dose of properly potentised preparation of sulphur. But the other psoric diathesis ie, latent psora and developed psora with its secondary manifestation is very seldom cured by any single antipsoric remedy but requires the use of several of these remedies in the worst cases the use of quite a number of them one after the other for its perfect cure.
Then Hahnemann was describing the diet and mode of living of chronic patient. Avoidance of coffee, spiritual liquors, main hindrances to the cure like allopathic treatment, modom civilized life, suppressed sexual instinct.
A Homoeopathic physician must know how to use the antisporic remedies for the cure of chronic disease successfully. Hahnemann warns the physician to be cautious about the dose, unwanted hastiness of repetition and wrong choice of remedy.
Author: Dr Mansoor Ali.