Abstract
Tuberculinum is a combination of Psora and Syphilis i.e. Tubercular miasm or Pseudo psora. The main feeling in this miasm is that of being shut in, cramped, suffocated and to get out from such a situation. The tubercular miasm seems to demand a need for rapid change as a condition of survival. The sensation of suffocation especially when struck in a particular place and the need for hectic, intense activity are the two aspects of tubercular miasm.
As tuberculinum is a nosode, the basic theme of nosode is desperation and this desperation is expressed in every sphere of life of a person who requires them to be desperate.
It shows psoric manifestations like irritability, restlessness and syphilitic manifestations like destructiveness, wildness and cruelty.
Introduction
The present era is a rat race going on between man and nature. It looks as if both of them have entered the arena of competition. Urbanization and industrialization have become the order of the day. Have we ever realized our greater folly that modernization is rendering us? These are the prime causes responsible for invoking dangerous consequences on ecosystems and the state of health and sickness, of the entire living fraternity.
It is at this crucial juncture Homoeopathy the only rational system of therapeutics existing on this globe. Which has potential to play an effective role as a responsible member of the medical fraternity.
Fortunately, master Hahnemann, a genus, has already discovered a special class of remedies as “Nosodes” for effective fighting this nuisance more than two centuries ago.
One of the frequently indicated nosode is TUBERCULINUM. Which is deep acting constitutional with wide range and depth of action for more than polychrest remedies that is why it is described as multipolychreast.
Method of Preparation:
The crude Tuberculinum is the product without the addition of any aseptic, obtained from a liquid culture medium on which mycobacterium tuberculosis is developed.
The microbian stocks used belong to the human and bovine type, also some crude tuberculines may as well be prepared with stocks obtained from birds. These stocks are selected and watched over periodically in order to be sure of their activity.
The most used dilutions are at the rate of 1 / 200 or 1 / 1000.
Indications: Tuberculinum as Nosode
- Symptoms of ever changing ailments affecting one organ, then another — the lungs, brain, kidneys, liver stomach, nervous system, beginning suddenly, ceasing suddenly.
- Takes cold easily without knowing how or where; seems to take cold, “every time he takes a breath of fresh air”
- Emaciation is rapid and pronounced, losing flesh while eating well.
- The remedy can be thought of when there is a family history of tubercular affections or when the best-selected remedy fails to relieve or permanently improve, without reference to the name of the disease.
- Sudden, early morning diarrhea.
- Good remedy for bony suppurations especially in cases that have been resistant to other remedies.
- Chronic headache, when well-selected remedy only palliates. Also, it is good for a school girl’s headache even when suitable glasses fail to relieve, but the patient must have a tubercular history.
- Crops of small boils that are intensely painful appear successively especially in the nose, containing green foetid pus.
Clinical Applications of Nosode-Tuberculinum
Albuminuria, Appendicitis, Asthma, caries of bones, bronchitis, Catarrhal pneumonia, opacity of cornea, ulceration of, Dentition, Erythema, Hematuria, Hemoptysis, Headache, heart affection, palpitation of, influenza, leprosy, leucorrhea, lungs, edema of, lupus, mania, menses too early, meningitis tubercular, marasmus, paralysis. Pleurisy, phthisis, pneumonia, acute, plica polonica, skin affection, tuberculosis, etc.
Constitution:
It is especially adapted to the light complexion and is more muscular and not so graceful. Tall, thin with a narrow chest. The face is narrow with blue eyes and long lashes. The face is angular, hairs are straight and quite fine lips are narrow but not absent. People who are very precocious mentally but weak physically. They rapidly emaciate, especially children.
; Temperament: Nervous person
; Relation with heat and cold: Highly chilly
; Diathesis: Tubercular and scrofulous
Personality Type:
The mentals of tuberculinum constitute a personality profile as distinct and specific as any other type, but unfortunately, it is poorly understood by a majority of homoeopaths and this is one reason the remedy is used more as a nosode than as a constitutional remedy.
The remedy is made from tuberculous lymph nodes as usual, there is some correspondence between the origin of the remedy and the characteristics of the patient who needs it, including their personality. The image of the consumptive writer living off bread, wine, and tobacco, embodies the spirit of tuberculinum a great many things in a short period, as if time were really running out for them. They cannot bear a steady routine unless it is packed with excitement.
In previous times, the tubercular patient lived with his disease for many years, gradually losing strength and drawing closer to a premature death. This long lingering pattern of disease seems to have produced a miasma. In other words, it affected every aspect of the health of the infected person, changing them at a cellular level, producing new characteristics, which were then passed onto their children. It is the slow nature of the disease that allows it to create a characteristic and inheritable mental picture.
Tuberculinums restlessness is not aimless, it is accompanied by a drive for stimulation, in which they aggressively enter into new experiences. Probably the most widely known aspect of Tuberculinums restlessness is his desire to travel.
Tuberculinums are predominantly a mental or intellectual type like lycopodium, kali and sulphur. In keeping his restlessness and hunger for the experiences, tuberculinum intellect is different from sulphur or kali carbonium.
Most tuberculinums are very much future-oriented. The future holds the promise of fantastic discoveries which will liberate mankind from the routine existence, giving him the time and the means to play and to explore the Inner and the outer universe. Tuberculinums are often such parallel universes and virtual reality, which expand the possibilities of mental and physical stimulation.
Style is very important to most tuberculinums, the national Characteristics of French people suggest a great deal of tubercular influence.
One thing in tuberculinum is that he does what he wants and if things don’t work out, he moves on to something else without fretting too much. This ‘laid-back approach is similar to that seen in Sulphur individuals and some phosphorus and lycopodium, Sulphur, is often laid back in part because he is oblivious to what is going on around
him. This is not the case with tuberculinum, whose subtle and sharp mind is usually very well connected to his surroundings. This is because of his intellectual detachment and also his adaptability. Like sulphur they can strike up a conversation with anybody and generally, they will enjoy it, as long as it doesn’t last too long. Their cosmopolitan outlook makes them interesting to talk to and if they are talking to the opposite sex, they are likely to ooze a lot of natural charm.
Tuberculinum does not keep cool always — when things are not going his way, he can become not only restless but also irritable. He will generally keep his cool for a while, then become more or more irritable.
Tuberculinum children are very often hyperactive, the hyperactive of Tuberculinum children is more focused than that of Natrum and especially stramonium children. A child is always on the go but knows what he is doing. He may run around all day and in the consulting room, his excessive physical energy may cause him to forget and tap his feet, but at least his activity is purposeful. Their anger is very violent may include smashing toys or crockery. Swear obscene language at their parents. They intend to be free to do as they wish. Tuberculinum children are generally bright intellectually, but they are easily bored at school and he may make a nuisance of themselves by distracting other children in the classroom. He is likely to love playing vigorous games, unless he is one of the highly intellectual Tuberculinum and he will tend to do what he wants much of the time and resist pressure to do what he finds boring much like -the sulphur child.
Modalities:
Aggravation: During a storm, in humid cold, closed room, standing position, by physical work specially by intellectual work, after 3 a.m., after sleep, early morning, draught, motion, music.
Amelioration: Open air, wind, walking
Posology: Dynamizations: from 4 CH to 30 CH.
Dr. Kent said “if Tuberculinum be given in 10 M, 50 M, CM and MM potencies, two doses of each potency at long intervals, all children and young people who have inherited Tuberculosis will become immune from their inheritance and their resiliency will be restored.”
A CASE REPORT
PRELIMINARY DATA:
Name – S S R
Age – 8 yrs
Sex – Male
Occupation – Student
Address – Malgaon
Religion – Hindu
Marital Status – Unmarried
D. O. I. – 03/05/2023
CHIEF COMPLAINTS:
- Cough since childhood
- Coryza since childhood
H/O CHIEF COMPLAINTS
Cough since Childhood
- Cough with expectoration
- Whitish & sticky expectoration
- < eating sweets
- < playing outside
Coryza since childhood
- Sneezing 2-3 times
- Watery discharges & then whitish sticky discharge
- Firstly, one side of the nose blocks then sneezes & then coryza & cough starts
PAST HISTORY
- Premature baby, early milestone
- A patient has taken AKT at the age of 2 ½ yr.
FAMILY HISTORY:
- No major illness in the family
PERSONAL HISTORY
Diet – Mixed
Appetite – Good
Desire – Meat++, Boiled egg++
Aversion – Not specific
Appetite – Good
Thirst – Moderate
Stool – Satisfactory
Urine – 2-3/0-1, D/N
Sleep – Sound
Perspiration – All over body
Dreams – Not remember
Thermal – Chilly
Constitution – Tall, narrow chested, lean thin
MIND–
- Talkative
- Plays with his hands continuously
- Restlessness
- Intelligent
- Difficult concentration
- Angery when not listen to him
GENERAL PHYSICAL EXAMINATION
Built – Average
Nourishment – Average
Head – Normal shape, size
Eyes Conjunctiva –pink
Sclera -Muddy
Mouth Tongue – pink moist
Nose – NAD
Ear – No discharge
Nails – Pink
Oedema – Absent
Clubbing – Absent
Lymphadenopathy – Not palpable
VITAL DATA
Temperature – 98.6° F
Pulse Rate – 72 beats. / min.
Respiratory Rate – 16 cycles/min.
BP – 110/70mm of Hg
SYSTEMIC EXAMINATION – NAD
DIFFERENTIAL DISEASE DIAGNOSIS
- Recurrent URTI
- Asthma
- Bronchiectasis
PROVISIONAL DISEASE DIAGNOSIS – Recurrent URTI
INVESTIGATION
- CBC
- ESR
- X-ray Chest
FINAL DISEASE DIAGNOSIS – Recurrent URTI
ANALYSIS OF SYMPTOMS
Mental General
- Restlessness
- Difficult concentration
- Intelligent
- Talkative
Physical General
- Desire – Meat, boiled egg
- Sweat – All over body
- Chilly patient
Particulars
- Cough with expectoration
- Whitish & Sticky expectoration
- < eating sweet, < playing outside
- Watery discharges follow whitish sticky discharges through the nose.
EVALUATION OF SYMPTOMS
General Symptoms
Grade I
- Restlessness
- Difficult concentration
- Intelligent
- Talkative
Grade II
- Chilly patient
- Sweating all over the body
Grade III
- Desire – Meat, boiled egg
Particular
Grade I
- Whitish & sticky expectoration
- Watery discharges follow whitish sticky discharge through the nose.
Grade II
- < eating sweets
- < playing outside
Grade III
- Sneezing
- Blockage of nose
REPERTORIAL TOTALITY
- Restless
- Intelligent
- Difficult concentration
- Desire meat, boiled egg
- Whitish expectoration
- < eating sweet
DIFFERENTIAL REMEDIAL DIAGNOSIS
- Calc Phos
- Tuberculinum
- Phosphorus
INDICATED REMEDY – Tuberculinum
INDICATION
- Restlessness
- Difficult concentration
- Intelligent
- Desire meat
- Chilly patient
PRESCRIPTION
Name – S S R
Age – 8 yrs
Date – 03/05/2023
Rx
Tuberculinum 1M
Single dose
PL
4 – 4 – 4 x 1 wk
Follow up
| Date | Follows up | Prescription |
| 10/05/2023 | Cough has reduced 25 %Coryza reducedGeneralities improved | PL 4 -4 –4 2 weeks |
| 26/05/2023 | Cough reduced 50%No CoryzaGeneralities good | PL4 – 4 – 4 x 2 weeks |
| 11/06/2023 | Cough reduced 60%No CoryzaGeneralities good | Tuberculinum 1M Single dose PL 4 – 4 – 4 2 weeks |
CONCLUSION
Homoeopathic Nosode Tuberculinum is a powerful and versatile remedy that has been used for centuries to treat a range of respiratory, immune, and constitutional disorders. With its deep-acting and long-lasting effects, Tuberculinum has proven to be a valuable addition to the homoeopathic Materia medica. The clinical experience and anecdotal evidence suggest that Tuberculinum is a remedy that deserves careful consideration in the treatment of patients with tuberculosis-like symptoms, respiratory infections, and chronic immune system disorders.
Homoeopathic Nosodes represent a unique and valuable class of remedies that have been used to treat a wide range of chronic and acute diseases. Derived from the products of disease, Nosodes are effective in treating conditions that are resistant to conventional treatment, and offer a safe and gentle alternative to traditional medicine. By understanding the principles and characteristics of Nosodes, homoeopathic practitioners can harness their potential to restore health and balance to their patients. As a testament to the wisdom and foresight of Hahnemann, the founder of Homoeopathy, Nosodes continue to play a vital role in the treatment and prevention of disease, and remain an essential part of the homoeopathic armamentarium.”
REFERENCES
1) Essence of Materia Medica, George Vithoulkas, 2’ Edition 2006, Page no. 208.
2) Nosodes Multipolychreast Remedies. Kasim M.R.S. Chimthanawala, 1st Edition 2005, page no. 4.
3) Allen’s Keynotes and Characteristics, Dr. H. C. Allen, 8 Edition 2002, page No. 296.
4) Textbook of Material Medica, Dr. S. K. Dubey, 3rd Edition 2001, page no. 396.
5) Lecturers on Materia Medica, Dr. J. T. Kent, Indian Reprinted Edition, Page No. 951.
6) Homoeopathic Psychology, Dr. Philip Bailey, Reprint Edition 2006, Page No. 389.
7) Homoeopathic Psychology, Dr. Philip Bailey, Reprint Edition, 2006, Page No 387.
8) Soul of Remedies, Dr. Rajan Sankaran.
Authors –
Dr. Jineshwar Annasaheb Yaligouda– M.D.(Hom) : Professor & H.O.D Department of Human Anatomy, Gulabrao Patil Homoeopathic Medical College & Hospital, Miraj , Maharashtra State. India.
: President of Malgaon Medical Association Malgaon. Miraj, Sangli.
: Sanjivani Clinic, Malgaon, Miraj
Mr. Padmraj Jineshwar Yaligouda, B.H.M.S. Final Year.: Bharatesh Homoeopathic Medical College & Hospital, Belgavi, Karnataka State. India.
