The Rudolf Steiner Archive

The wishes that are to be considered first have already been expressed by you, and we will begin today by addressing some of them. I hope that everything can be covered in the three hours that we have available. In these few introductory remarks, I would like to speak about these matters as they arise out of anthroposophy. We do not want to consider how these things are currently being discussed in other fields, but rather we want to address the issues as they arise out of anthroposophy, especially in relation to the wishes that have been expressed.

The first question that has been raised, and with which many others can also be dealt with at the same time, at least in principle, is the question of the diseases of the luetic type. The diseases of the luetic type, which we have so far discussed only briefly, are those which, firstly, must be carefully distinguished from all kinds of secondary symptoms, neighboring symptoms, and so on, and which actually indicate to the most intense degree how the organism behaves in general in a diseased state. The reason why the symptoms of tuberculosis are such an important medical and therapeutic issue is that for them, quite unequivocally – let us speak without prejudice, you will see that we do not want to stop at prejudice – a specific remedy is available in the mercury cure. But a consideration of the mercury cure will show us how to deal with the evil that lies therein in a more appropriate way.

Every illness is fundamentally based on the fact that the three systems of the human organism – the nervous-sensory system, the rhythmic system and the metabolic-limb system – are not working together harmoniously. You only have to consider what this harmonious interaction is based on. In the metabolism-limb system, we have an activity of the human organism that takes place with the preferential involvement of the etheric body. But the other parts of the human organism also play a role in each system. So one cannot say, for example, that in the metabolism-limb system the two parts of the human organism, the physical organism and the etheric organism, work together, but rather that the two mainly work together. The other two, the astral body and the ego organization, also play a role. For example, in the main organization, that is, in the entire nerve-sense organization, we have the ego organization and the astral organization playing the main role, with the etheric and physical organizations playing a subordinate role. Above all, we must realize that the difference between the waking state and the sleeping state is that during sleep, the activities that emanate from the astral organism and the ego organism and are directly effected during the waking state continue, so to speak, through a kind of persistence of the organism. In the sleeping state, these activities resonate without the astral body and ego organization being present. Can you understand that? They continue, just as when I push a ball and the ball still runs away even when I stop pushing, so the activities of the astral body and the ego organization continue during sleep. Therefore, one should not say that if something is derived from the ego organization or the astral organization, it could not therefore be there during sleep. Sleep must only cease when there is danger that the astral or ego after-effects will cease. At that moment, sleep must in turn cease and wakefulness must occur.

These things cannot be taken in the same schematic way as they sometimes have to be presented in anthroposophy for the sake of laypeople's understanding.

What is really important now is to present the facts correctly. All these questions about causes should not really relate to the internal organization of the organism, but rather only to the external causes of the matter. These should always be known. The diagnosis should always be made up of a complete history of the disease. But speculating about causes within the organism does not actually lead to finding the right remedy.

If I now ask the question with this in mind, I have to say: what is it that is present in the case of syphilis itself? Let us therefore separate syphilis from all the other possible sexually transmitted diseases, from all gonorrheal diseases, from all chancre symptoms and so on, in other words, from all the things that basically — we will deal with this separately — do not belong to the actual syphilis, but are basically a different disease. The actual syphilitic disease is essentially based on the fact that the human ego organization is overburdened for the metabolic limb system, preferably for the metabolic system. In a sense, the human ego organization slides down into the abdomen. And all the symptoms that occur stem from the fact that the ego organization slides too far down into the abdomen. This is precisely how the processes arise that are expressed through the symptoms you are familiar with, those processes that cause the ego organization to predominate over the etheric organization, which is not supposed to be present in this part of the human organism. There is simply too strong an ego organization in the sexual tract. That is the fact. We must first look at this fact, rather than at the infection and so on; we must look at this fact, because it is there. And the cure must actually start from this fact.

Now let us consider the effect of mercury therapy on this condition. What actually occurs in the human organism with every mercury treatment? Mercury treatment, as you know, is a very old treatment, and it is sometimes extraordinarily beneficial, not only for luetic patients but also for others. But what happens during mercury treatment?

Mercury is one of those remedies that was actually found to be beneficial in times when medicine was based on a certain instinctive knowledge of the human organism. But what actually cures when one has to have a mercury treatment for syphilis? It cures exactly as much as one introduces into the blood in the correct dosage of the mercury preparation. It cures exactly as much. Now think about what the consequences of this are. Firstly, as far as I know, it is not common practice to inject mercury into syphilitic diseases. In recent years, however, this has become the norm because, as we shall hear in a moment, the earlier smear cures are no longer effective, or are too strong; but on the whole, this partial transition has also been brought about empirically because it was seen that there is something about the smear cure that leads to disaster.

And what is the case here? When you use the smearing cure, it basically leads to a partial, even general infection. It is calculated on the whole to enter the blood circulation. That is what it is calculated on. But when you use the smearing cure, there are other channels for the mercury impulse in the human organism. What is healing is essentially that which enters the blood; while that which does not enter the blood but comes through etheric channels is carried along in etheric channels that, for example, run along the nervous system, along the nerve cords, and this is all bad. All this spreads, so to speak, the ego organization throughout the whole organism, and you basically just get the evil spread throughout the whole organism in a different form, which, after years of internal preparatory processes, causes you to suffer from all those symptoms that occur as a result of the mercury cure.

Therefore, it can be said that the healing effect of mercury is already evident in the treatment of syphilitic diseases with mercury. What is the reason for this? We can really say, in very general terms, what the factors involved are, as I said in my general lecture yesterday. From a certain moment onwards, organic substances are no longer influenced by terrestrial forces, but by the cosmic forces that act peripherally from the periphery to the center of the earth. And from a certain moment on, everything that we get into our organism through ordinary digestion is also under the influence of cosmic forces, cosmic rounding-off forces, right cosmic rounding-off forces, when it has passed through the intestines.

Now, the ego organization primarily lives in these cosmic rounding-off forces. If it interferes too strongly with the metabolic system, then there is simply a tendency for the ego organization to atomize, to round off and organize individual links in the human organism instead of organizing the whole body according to its shape. And all the phenomena of syphilis, all the symptoms of syphilis, are the result of this partial atomization, this atomistic organization. Thus the ego organization intervenes in very small systems of the human organism, while these small systems should reserve themselves for the organization of their own etheric body, which alone, not by the detour of the ego organization, is subject to the cosmic-peripheral forces.

Now, mercury has the peculiarity that, when introduced into the human organism, it is the substance that most strongly and most intensely mimics the outer form of the cosmos in earthly terms. The moment the mercury is introduced directly into the blood circulation by injection, the tendency arises for the mercury to give up this partial organization, this small atomistic organization, and the ego organization is released again, acting through the whole organism and is thereby able to restore the state of health by reaction.

But all this depends on the patient never taking in more mercury than is absolutely necessary. This is a problem that can never really be solved. Because you must never expose yourself to the danger of giving just a little too much mercury during the mercury cure. You have to give exactly as much as can be absorbed into the circulation according to the respective medical condition, because everything else remains behind as a residuum and causes precisely those sequelae that then occur and that you know.

Therefore, when using mercury therapy, it will always turn out that one cures, but that the patient may have to pay for the cure quite heavily with the terrible consequences, which then also look syphilis-like, but which actually have to destroy the organism little by little and irrevocably. It is precisely the certainty of healing that mercury provides that shows how problematic its use is.

It was not always problematic. You see, not exactly for syphilis, but for many other diseases, mercury was always used, we may talk about it in the next few days. Mercury did indeed evoke a very specific emotional response in the highly instinctive patient. The patient knew when he had had enough. He was saturated with mercury. Today, of course, the instincts have degenerated. The patient can no longer provide a yardstick for what happens to him through the mercury. He no longer gets enough of the mercury, he becomes oversaturated. That is what usually happens today: The patient becomes oversaturated with mercury, and then the well-known consequences occur in a very devastating way, so that just as one can clearly see the effect of sulfur and phosphorus in the organism, and just as one can clearly see what happens in the organism when salt dissolves, so one can clearly see what happens in the organism when mercury is taken, but one must always pay close attention to the dosage. We know the basis for the effect of mercury.

Now the question is whether it would be possible to carry out such a treatment that would be harmless even if too much was dosed, because simply an excretion would occur if the dosage was too high. Mercury has the peculiarity of not being excreted outwards if too much is administered to the body, but of being excreted inwards. In this respect, it was extremely important to me in my younger years how Hyrtl simply took the bones from people who had been treated with mercury, and then smashed them open at autopsy, and how one could then find the small mercury droplets in the bones under the microscope. So the whole bone system had been contaminated with mercury. That is the peculiar thing about mercury: it is not excreted outwards, but the organism takes it up, and the whole ego organization of someone treated for mercury has to constantly deal with the organization of these tiny mercury droplets, mercury atoms, which are everywhere in the organism, especially in the calcareous parts.

And so we can already say: We must try to find something in nature that, when applied like mercury, is absorbed by the organism and replaces the ego organization in the organism, thus relieving and freeing it. But if too much of it is taken in, which is unavoidable, then it must be excreted not inwardly but outwardly, like anything else that is digested.

It is therefore important to come up with something that corresponds to the ego organization in the external nature and that can be prepared in such a way that it actually enters the blood circulation and, so to speak, creates a phantom of the ego organization in the blood circulation. It is necessary to introduce an artificial ego into the blood circulation.

And our doctors in particular should carry out the appropriate experiments, and without doubt you will see that you will get results that will certainly be surprising.

Take what you can gain from those parts of the plant that have become extremely hardened, that have thus transferred the root process of the plant to the rest of the plant. In the root process of the plant lies an extraordinarily strong imitation of the ego organization. The flower of the plant is of etheric organization. In what is below the flower, the plant plays around the astral organization; where the plant is rooted in the soil, the I-organization intervenes. In every strongly lignified root, which is still attached to the plant, which has not yet passed over into the inorganic because it has been separated from the living plant, we have impulses of the I-organization.

Now, however, if one were to take plant roots directly and extract substances from them to inject, one would hardly be able to cope for the reason that although the root of the plant contains the I-organization very strongly, it is, so to speak, a phantom of the I-organization, but what lives in it as impulses is limited to the nerve sense system and does not have a strong effect down into the rest of the organization. Therefore, one can say: If you only take hold of the root organization at the root, then you will hardly be able to form a preparation suitable for the purpose mentioned. On the other hand, there are plants in which the root organization has a strong effect on the whole plant. And one such plant, in which the root organization actually penetrates the whole plant right up to the fruit, is Astragalus exscapus, the tragacanth root, which is also known as wolfberry. It has fruits that look like pods, but they are as hard as stone and inside them are grains. I am talking about what is, as it were, completely cornified. Or take certain woods that are already used, where the effectiveness is based on what I say.

But then it is a matter of taking these grains from a plant, let us say from the tragacanth root, from the wolfberry, grinding them finely, but then treating them with the juice of one's own plant, that is, with the flower and leaf juice of one's own plant. In this way, one obtains a preparation that can perhaps be brought up to the third decimal place. In the third decimal, if it is now injected, it will actually introduce this phantom of the ego into the blood circulation, and then, under the influence of this preparation, in the case of actual syphilitic disease, which is already the disease of the whole blood, one has exactly the same picture as with the mercury cure, and then one has to ensure that the excess is driven out by means of strongly heating baths. So you will have to combine these two things: on the one hand, injection with a preparation as indicated, and then drive out what is in excess through strong baths.

But something else comes out as well. What comes out is what is present in the blood of the syphilis patient as harmful substances. This must also come out through perspiration. So we have to say: what has to be brought out must be brought out by sweat secretion alone. But first it has to be held. And it can be held by this rounding-off effect of the impulses contained in the wolfberry seeds. Now, you see, you can only cope with these things if you combine diagnosis and therapy closely.

Individualization is indispensable in medicine, and you can very well observe that especially in syphilitic diseases, the clinical picture in a fat person is quite different from that in a lean person. In a fat person, the syphilis toxin is extremely difficult to remove. I don't know if there are friends here who have experience in this. It is more difficult to remove the syphilis toxin from a fat person than from a thin person. A thin person eliminates it relatively easily. With a thin person, you may be able to do well by proceeding as I have described. But you must be sure that a reaction will occur, that there really is a strong perspiration, otherwise you will naturally get all kinds of internal diseases as a result, because the disease process will not occur. The reaction must be there. But it could be that in order to achieve the effect with fat people, too, so to speak, you have to resort to something else. And here it will be very good to turn to that which has already emerged more in nature, also in the astral process. It will be very good to take gallnuts in certain cases where you see that you cannot achieve a reaction with the usual plant. I mentioned them yesterday in a different context.

In the gallnuts you have already mentioned the essential roundness; the gallnut already shows you the mercurial nature in the vegetable kingdom. If you now treat the gall apple by grinding it on one side and taking the poison from the wasp that produced the gall apple on the other side and grinding it in with a very small dose, you will get a preparation that has a considerable effect and can even cause a reaction where it would otherwise be difficult to do so.

It is really the case with us that we actually have far too few cases of illness that we can observe piece by piece. I can imagine that for our friends who are treating physicians, bringing syphilis patients into the institute is not exactly ideal. But such things shed light on the whole therapy. You really learn something from such a treatment for the whole therapy, and I am also convinced that if someone sees how a patient who has been injected in this way and gets out of the bath, his skin looks different than it did before the bath ; how his skin looks, so that to the finer eye – one can perhaps see it with a microscope – it looks as if it is covered with little pockmarks, almost with smallpox, then one will learn how the organism is affected by something like this. So I think that this is the way to go in terms of syphilis treatment.

Because, you see, with this disease in particular, it is necessary not only to see to it that the patient is helped and then released, but it is also necessary to see to it that the patient endures the cure in his or her next life. And here I come to a question that was asked at the same time and that will be extremely interesting for most of you: meditation in addition to drug treatment, is there some kind of typical advice?

Well, I mention the previous syphilis just in connection with this question for the reason that in fact this question can perhaps be answered most intensively precisely in the case of syphilis. It will depend on whether the apparently cured syphilitic patient – and every syphilitic patient is initially only apparently cured, because it depends entirely on whether the disease can flare up again due to some later cause, and every apparently cured syphilis can flare up again later under certain circumstances – has made his organism anything other than a non-syphilitic patient. He has a different constitution, and it must be ensured that this different constitution is actually maintained for the future life, otherwise it will simply prove to be too weak in the face of certain attacks of ordinary life, and the syphilis can flare up again.

Now, of course, we will only deal with the question of meditative treatment in general, but it can be linked precisely to this. What happens with syphilis is that the ego organization becomes somewhat independent, which is not otherwise the case in a normal person. The syphilis patient has, through the injection, created a phantom out of his own organism, and as a result, for the rest of his life on earth, his ego organization is more independent than that of someone who has never had syphilis. He has this more independently, and this must be taken into account. So if you want to permanently cure a syphilis patient, you have to make sure that he begins to take a strong interest in pondering certain highly abstract thoughts over and over again in his mind, pondering them meditatively. You must therefore recommend that he meditatively think through, for example, geometric or mathematical problems, that is, in recurring rhythmic repetition, so that he never fails to actually maintain this artificial abstraction of his ego organization. You must accustom his thinking to entering into a certain inner constitution. Therefore, you will do him a great favor if you advise him: Every morning after you wake up, think about how a small triangle that resembles a large one behaves. They have the same angles but different sides. Think about it slowly at first: the same angles, different sides. Then think about it a little faster, then think about it even faster, then think about it so quickly that you can hardly keep up. Then start thinking more slowly again.

So thinking at different speeds, brought about by your own arbitrariness, will guide you in caring for this independent ego organization. That is one type of meditation. But wherever you see that the ego organization has become more independent through some healing process, you can try to make it possible for it to continue on its path through life by means of such a meditation, which, however, has to be applied particularly strongly in the case of the syphilis patient. Actually, the syphilitic patient must be encouraged to really supply his independent ego organization with such a meditation, which proceeds in a modified rhythm, on a permanent basis. Can you understand it?

These things lead us to consider other questions that have been asked. We will come back to everything again, I just want to have a context that is required by the matter.

Question about tragacanth.

They are pods. You open the pods and inside are seeds that are as hard as stones and have to be ground into a very fine powder.

Now another question that has been asked, which apparently has nothing to do with it – but inwardly things are connected – is about the occurrence of glaucoma. Today, I believe, glaucoma is hardly treated in any other way than by surgery, at most by homeopaths; but homeopathy is not yet rational. But now it is a matter of realizing what exactly such a phenomenon as glaucoma is based on. Glaucoma is, in a sense, viewed organically, according to the four limbs of human nature, physical body, etheric body, astral body and I, actually the opposite phenomenon of all possible ear infections from the overall process of the organism. The two things are almost polar. Ear infections are on one side, and glaucoma-like phenomena are on the other. If you just take the facts, it is like this: in glaucoma, there is a strong activity that infiltrates and substantially constitutes the vitreous humor of the eye. The vitreous humor becomes too intense internally in relation to its own substance. This results in a hypertrophy of the vitreous humor activity, and the glaucoma disease is actually based on this hypertrophy of the vitreous humor activity. But what then occurs?

The eye, as a sensory organ, is at the point where it is sufficiently independent according to the general bodily constitution, sufficiently objectively separated from the whole organism. If it is somewhat more separated from the whole organism than is the case with normal vision, then it is so diseased that the whole organism can no longer expand its activity over this organ.

In the case of glaucoma, it is extremely interesting to see how the etheric body – which is so extraordinarily important in the case of the eye – permeates the eyeball, so permeates it that the physical substance in the vitreous body appears quite strongly as a physical substance. If it goes beyond this boundary, it appears too strongly as a physical substance. The etheric body can no longer reach it, can no longer infiltrate it. So you have to make sure that the etheric body comes into action again, or that the physical activity in the eye is toned down. It is of course trivial, but true, to say that when something like this occurs, the entire organic activity in this part of the human organism is just too weak, partially paralyzed. It is too weak and must be stimulated. You can only stimulate it by making the exhalation of the human organism stronger than it is in the case of the person suffering from glaucoma at the time of his illness, or in the course of his illness. Therefore, if you can determine the correct moment, you will be able to self-correct the symptoms of glaucoma – but in relation to such partial illnesses the organism sometimes performs something extraordinary – by doing everything you can to organism to promote exhalation and thereby stimulate it to increase activity within the head, and you will then be able to counteract the activity within the glaucoma formation. And such a thing can be achieved by introducing calcium carbonate from bone meal into the human organism and combining it with some aerial roots of plants. This produces a preparation that does indeed regulate respiratory activity in the way it is needed in this case.

So I mean it like this: If we take calcium carbonate from bone earth and introduce it into the human organism, we get a correspondingly strong stimulation to exhale. But in order for the organism itself to become involved, we have to add some kind of impulse to this carbonic acid lime, so that it does not run sluggishly, so to speak, without the organism. These impulses are present in the roots that come from some trees or plants that climb rocks, roots that live outside in the air, and where what otherwise thrives in the ground as roots is carried out into the air. This changes the roots so that their impulses actually become more similar to respiratory activity, and this makes it possible to get the respiratory activity within oneself. One then feels it. Otherwise, the respiratory activity is stimulated quite involuntarily by the carbonate of lime. But if you mix the calcium carbonate with the sap of such aerial roots, then you get the urge to breathe in that way, and from that urge to breathe in that way, the strengthening of the whole human organization arises, which you need to balance what has been snatched from you in the formation of glaucoma.

It is precisely from such a case that one sees how it is necessary to look at the whole person everywhere. But the physical body is never the whole body. The physical body is always only a part; the physical body is liver, is stomach and so on, and the individual parts are connected with each other. The etheric body is already relatively strong for the whole person. And in a very grand sense, the whole human being is the astral body. It is just that this astral body is very strangely constituted. One might say that what is the astral body of a person up to the diaphragm – roughly speaking, locally confined – is quite different from what is the astral body below the diaphragm. What the astral body there does towards the head, towards the nervous-sense organization, is in its work, in its polarity, completely opposed to what is done in the metabolic-limb system. And consider the metabolism altogether, which essentially proceeds under the influence of the astral body. What we usually call metabolism is actually an activity of the human organism in which only the activity matters. In the metabolism, it is actually only a matter of absorbing and excreting substances. One might say that food as such, in substance, is basically not what interests the metabolism, but rather the overcoming of the outer substantial form of the food and the metamorphosis, not what the organism needs. But excretion begins right there in the metabolism itself. It actually goes from absorption directly into excretion. Only some of it is secreted. And this penetrates into the nerve-sense organization. The nerve-sense organization is of extraordinary importance in terms of substance, because the nerve substance is the metabolic substance taken to its logical conclusion.

As grotesque as this may seem, the reality is that the intestinal contents are, after all, nerve substance that has been left behind halfway through. The nerve substance, especially of the head, is the intestinal contents that have been processed to the end, the intestinal contents that have been transformed by the human organism, especially by the ego organization. The intestinal contents stop halfway and are excreted halfway. The contents of the nerve substance are driven to their very end and must then be processed by the organism as completely 'used up'. So the astral organism in the actual metabolism performs a completely different activity than the astral organism in the central nervous system. They are truly polar opposites. That is, one stops halfway, the other is carried to completion, and in between lies a zero point. It is actually the case that a complete polarity takes place. If you were to draw the etheric body, you would still draw it as an egg-shaped form, but you can no longer draw the astral body as an egg-shaped form. You have to draw it as two parts, above and below, which are actually quite different from each other in the way they work. And without understanding this, one can actually understand neither the healthy nor the sick human being. One must be clear that there is a completely different activity within the metabolism than within the nervous activity, within the nervous system. And only from this insight does the possibility arise to have a corresponding effect on the human organism. If, for example, you give a person preparations obtained from the flowers of plants, say, as essential oils, then you do not bring them from the lower part of the astral organism into the upper part, and they can only be used to bring about certain processes in the lower part, in the actual metabolic tract. The moment you use anything derived from the root of the plant, it expresses itself through from the lower to the upper tract of the astral body, and you have it in it because it in turn reacts from the head back to the organism. You have it in the whole organism.

Because you must understand that the ordinary view of the composition of the human organism is actually a terribly amateurish one. No, one would imagine that if, say, in some part of the human organism, after a certain period of life, new substance has appeared, that it has come through the process of ordinary metabolism, that is, the old substance has been shed, and through the process of ordinary metabolism the new substance has appeared. At least, that is how we imagine it. I do not believe that anyone who has studied medicine in any way today imagines it differently, as that substances in the human body, which are summarily different after a certain period of life, have come there by way of the usual metabolism, have been exchanged, other than through the metabolism.

But that is not the case. If you find a different substance in any part of the human organism after a certain period of life, it has never been excreted by the ordinary metabolism. The ordinary metabolism provides only the nervous system, only the internal structure of the nervous system, only the building blocks of the nervous system. Through the activity of the nerve-sense system, in connection with breathing, substances are then absorbed from the cosmic environment in an extraordinarily finely distributed state, which are incorporated into the organism by the nerve-sense organization and substantially replace what is lost. For the losses are much slower than one thinks. So the human body is never built up from food. Food only maintains the activity that is needed to organize the nervous system. The building, the substantial building, does not happen at all through nutrition, that is only chimerical, but it actually happens from the cosmos. So when you cut a nail that grows back, the substance that grows back is not from the food, which in turn has nothing else to do than to rebuild the nervous system, but it is the one that grows back, which actually replaces the organic substance in the human being substantially, absorbed from the cosmos.

This, of course, presents a very different picture of the composition of the human being than if one believes that the human being is a kind of tube, with food entering at one end, being exchanged in the meantime, and what is unusable being secreted. But the human being is not this tube. What happens in a tubular form takes place entirely within the human organism itself. That by which man is rebuilt after a certain period of life comes into the human organism through the senses with breathing and even with fine absorptions from the outside world through the senses. In this respect, the ears are extraordinarily important organs of absorption, as are the entire sensory organs that are spread over the body. So if you look at the human being properly, you will have to say from the outset that metabolism is the inner work of the human organism. The rhythmic organism and the nerve-sense organism are also involved in the construction of the human being.

Now, we will take it from there tomorrow and gradually answer the other questions that have been raised. Please tell me if you would like another session, since we only have so few hours. I think we will get to the individual problems that have been raised. If anyone still has problems, I would ask them to tell me tomorrow.

I have just been informed that some confusion has arisen because I spoke about mercury treatment on the one hand and about the preparation that I mentioned yesterday on the other. What is really at issue is that the mercury treatment has only been mentioned as a specifically effective treatment, but as one that is actually dangerous and can be avoided. So yesterday I meant to have given a complete replacement of the mercury treatment with the given preparation of tragacanth root.

I will start with the questions that are still on the old list, as we have another hour tomorrow. I believe there is something else among the newly arrived questions that is related: “How can we understand the success of Salvarsan therapy in the case of Lues?”

First of all, it would be a matter of describing this success in more detail. With such a therapy, it is always the case that a certain success can be achieved, but harmful side effects are present. And with Salvarsan therapy, it is completely unthinkable that one can even speak of rational therapeutic treatment, because the preparation, at least as it is described, is such that it tears apart the human body, that it tears the person apart. Nothing fits together. You can add whatever you want to the body, it can always be a success, but what then becomes of it, that is precisely what is unquestionably incalculable with salvarsan, because the things contradict each other. Therefore, one can only say: Salvarsan therapy is truly a child of the current way of thinking. And basically, the fact of the matter is that you can't seriously go into something like that. Does anyone perhaps wish to say something further about this?

Dr. Rascher: Does that then apply to all modern metal therapy in general, including bismuth therapy?

Not true, bismuth therapy can be overlooked from our point of view. What I mean is that in my courses themselves, bismuth therapy is discussed. But the preparation Salvarsan is impossible to overlook. It tears the body apart. Of course, there may be bismuth preparations that do the same when combined with other preparations. But our courses of treatment can show how bismuth itself acts.

Dr. Noll: Can an antimony preparation be effective against Lues?

Antimony is most effective between the sexual and respiratory tracts. Thus, anything in the human organism between these two tracts can be treated with antimony; the rest only insofar as the effect of one tract radiates into the whole organism. But it is not really possible to treat the sexual tract specifically with antimony for anything that is wrong with it. So, of course, the sequelae of syphilis can very well be treated with antimony, but to treat syphilis itself with antimony will certainly not lead to a complete cure. Antimony affects the pronounced middle organization of the human being, the entire digestive tract, the transition from the digestive tract to the circulatory tract and, of course, that part of the circulation that then passes into the sexual organs. But it is distinctly limited to this tract.

Dr. Kater: The deaths are enough confirmation of the bad effects of Salvarsan.

The most likely scenario is the following: Salvarsan has been used, not too long ago. The worst effects in their culmination will emerge in the patient after about five to ten years, maybe even in a seven-year period. Unfortunately, these case histories are not kept today. It is much more important for medical knowledge that the case history be continued beyond the healing process. Much more can be gained by this than by studying the internal make-up of the organism before the onset of the disease. Of course, this may be quite important in certain circumstances, but in most cases external factors are of particular importance.

Here I must again mention such cases: our friend Dr. Haakenson brought me a patient in Christiania. He had inexplicable symptoms of a rash. He was about forty-five years old when he was brought, and the whole picture presented itself to conventional medicine as an impossible-to-define complex of symptoms. You see, if you proceed purely from the organism, you cannot possibly arrive at a plausible cause. Of course, the doctor is usually dependent on what the patient tells him. I was able to say the following to this patient: I said, leaving out the intermediate links, “You must have been poisoned sometime between the ages of nine and 11 or 12.

Now it gradually came out that the man, who was about forty-five years old at the time, was thirsty as a boy at school. There happened to be a laboratory next to the schoolroom, with a weak hydrochloric acid solution on the window, which he drank to quench his thirst. And it was this poisoning that was still evident at the age of forty-five.

So you have to look at this external cause as the most important thing if you want to understand an illness. But afterwards, you actually have to carefully observe the organism after the healing to see what the healing does in the organism.

And that would be of particular importance in salvarsan therapy. In the case of salvarsan therapy, you certainly cannot apply what I said yesterday for the treatment of syphilis in general. I gave you a kind of meditative treatment afterwards, that is, with abstract concepts that have to be carried out conscientiously at different speeds, increasing speed, then decreasing speed again. This will enable you to make use of a psychic after-care, which admittedly takes years, especially with syphilis, if it is cured in the way I described yesterday. Even with mercury treatment, although I do not recommend it, such a psychic after-treatment would be beneficial. With salvarsan treatment, if you undergo such follow-up treatment, you will probably develop, at a later age, something that cannot be called dementia praecox, but is very similar to dementia praecox in later life. While with mercury treatment, if there is no follow-up treatment for mental health issues, psychiatric symptoms will develop due to the reasons I mentioned yesterday. But with Salvarsan treatment, it will turn out, precisely because of the disruption, that a kind of schizophrenia will actually occur, especially if you try a follow-up cure in the mental sense.

Dr. Palmer: It would be very interesting if you would share with us your opinion on so-called tertiary syphilis and iodine therapy.

From what can be said about it, it is essential to realize that when dealing with a very generalized disease such as syphilis, one is dealing, firstly, with the actual focus of the disease and its radiations, but then, because syphilis affects the whole person, reaching up into the ego organization, one is dealing with the counter-image in the nerve-sense man. It is quite possible to say schematically: the disease is located in the metabolic-limb-human being, but has its counter-image in the nerve-sense-human being, to which, for example, the larynx tract also belongs, everything that is connected with the differentiating upper breathing. These two things are intimately connected. What one accomplishes with mercury refers to the actual source and its radiation. What one accomplishes with the iodine preparation relates to the upper part. So that the polarizing effects in the nerve-sense apparatus can be paralyzed again by iodine when mercury treatment is applied. So that is the connection.

Now, as you will recall, yesterday I essentially indicated two parts to the entire syphilis treatment. The first is the injection with the preparation, the second is a bath treatment that expels. This corresponds to each other in a much more natural, rational sense, just as mercury and iodine do here. That is how it is intended. In most cases, therapy leads us to a balancing treatment of the two polar opposite organizations.

Dr. Palmer: So the gummata are to be considered as a consequence of too strong mercury therapy?

Yes, that is absolutely the case. Is there anything else to ask that is directly related to this?

Dr. Kater: What is the effect of arsenic?

The effect of arsenic in general is that arsenic essentially energizes the human astral body. That is the archetypal phenomenon of the effect of arsenic. Arsenic, even in its compounds, has such a strong effect on humans that one can say: arsenic energizes the astral body. Therefore, if you use arsenic, especially in liquid form, simply as Roncegno and Levis water in the appropriate dosage, you will always be able to act when it is necessary to stimulate the astral body to develop its natural impulses, so to speak.

Now, in every such disease, by the way, in syphilis as well as in other venereal diseases, a defect in the astral body is either the cause or the consequence. Therefore it is quite natural that arsenic also has an observable effect on it; but it need not heal. It does not go deep enough to be able to speak of healing. Dr....: Are the conditions in a child with congenital syphilis different from those in an adult?

You mean with hereditary syphilis? With syphilis in children, the conditions are of course completely different. And with children, if you can diagnose in time, you will achieve something with the arsenic cure, but not with the Salvarsan cure, but with the arsenic cure, in which you use the arsenic in its stronger dilution and, if possible, by adding lactic acid or something similar, you can have it work far enough in the body. In this way, you can achieve very favorable results, especially with children. For hereditary Lues is not actually syphilis, but hereditary Lues differs from syphilis in that syphilis, among the human organs, especially in adults, when it has occurred through infection, has its essential effect in the etheric body. The hereditary passes only into the physical body and is then not in the etheric body. And so you can, if you strongly stimulate the astral body with arsenic, transfer it to the etheric body, and then you really fight it rationally in the physical body. The difficulty with hereditary syphilis lies precisely in the fact that what is so difficult to access by earthly means has been thoroughly ruined.

What I described in the general lecture as being subject to the peripheral forces comes into consideration here. If you want to have any influence at all on such deformations and degenerations, on damage that is connected to the peripheral forces, then you have to set etheric forces in motion somehow.

Now this wolfberry, which I mentioned yesterday, has the peculiarity that it hardens, becomes horny, and is therefore not actually continuously surrounded by etheric forces. If you then obtain these etheric forces through the sap of its own flowers and leaves, you will end up with a preparation like the one I described yesterday. This then leads to rational thinking about the matter. Dr. Palmer: There is another question about tertiary syphilis.

One can only say about tertiary syphilis: the only truly rational thing to do is to not let it get close, to strive to catch syphilis in its first stage. Because once syphilis has become secondary or tertiary, then, especially for an occult observation, there is such a complicated complex of symptoms that does not need to be the same in two patients. It only appears so on the outside; on the inside, it does not need to be the same. So it is very difficult to get to the bottom of it, because you are really curing at one end and at the other end it breaks out in the opposite sense. Therefore, one can only say, when one has to take a position on it: secondary syphilis must, of course, be treated as I said yesterday, and in the case of tertiary syphilis, the aim will be to achieve a cure under certain circumstances, but it will always remain problematic.

Dr. Palmer: Regarding the glaucoma process and the ear process: the glaucoma process is seen as a kind of tumor process; ear processes are pus processes, inflammatory processes. Now, the eye in its entire development is to be understood as an inflammation process, and in the development of the ear we see a tumor formation process. Is it precisely this polar opposite that is the clinical picture of glaucoma on the one hand and ear suppuration on the other?

Isn't that obvious? If in the eye, under normal conditions, there is an inflammatory process, and if in the ear, under normal conditions, there is a tumor process, then the disease process in the eye must be an inflammatory process and in the ear an inflammatory process, namely that which occurs as the opposite. It is obvious, so to speak, that it must be so.

Now, on this occasion, it is perhaps possible to speak immediately of these polar processes of inflammation of the ear, especially of the middle ear. In the case of inflammation of the ear, one is dealing with an overgrowth of the etheric organization in this local tract. That this is so is evident not only from occult observation but also from the simple sight of a final state, final stage of inflammation of the middle ear with the adhesion of the organs and so on.

One can already see from the physical organism that this is an activity of the etheric body getting out of hand. Now it must be clear that this excessive ether organization in this tract immediately leads to a strengthening of the ego organization for this tract, which goes down into the subconscious.

We therefore have a physical formation that should not be there and that is dependent on the ego organization. We can best deal with this by, as it were, getting the breathing process going again. Internally, the respiratory process can be stimulated so that exhalation becomes more lively by using levisticum internally in an appropriate dosage. This stimulates the respiratory process in the opposite sense to that mentioned yesterday for the formation of glaucoma. One breathes more so that the strengthening of breathing goes inwards, whereas in the levisticum process it must go outwards. So the strengthening of the breathing process goes more inwards. And then, as strange as it seems, it will prove to be particularly beneficial for the ear infection if eurythmy is also used for the ear infection, eurythmy therapy. And it will be extremely beneficial to practise eurythmy therapy with the L, M and S in particular. That is to say, everything that relates to the ear is really only a localized process for a process in the whole human etheric body. Therefore, everything that is localized in the ear can be treated by promoting breathing in such a way that one also promotes only breathing - by having the letters listed performed in eurythmy therapy.

Now I would like to talk about a few more things.

Dr...: Would the eurythmy be different for ear infections and sclerosis?

If it is a case of sclerosis, then vowel eurythmy therapy will be used. This would involve vocalizing in eurythmy therapy. In inflammatory processes, it would be a matter of consonanting, and in particular L, M, S and such sounds.

Now other questions have been raised, which I would like to address in turn. The case that was asked about here and about which we already have some experience is particularly interesting. The question has been raised here:

Is therapeutic intervention still possible in cases of chronic arthritis deformans? We are currently trying one percent phosphoric oil and stannum. Is consonantal eurythmy indicated here as well?

Perhaps I could ask Dr. Palmer to briefly report on our Stuttgart case of arthritis deformans.

Dr. Palmer: The case we treated back then, and whose therapy has become widely known, was a very fresh case of arthritis deformans. It was Mrs. X., who, after four to five weeks of treatment with one percent phosphorus oil and four to five percent stannum trituration, had all symptoms that had previously been treated elsewhere in clinics. At that time, too, the patient underwent eurythmy therapy in addition to the medicinal treatment. Of course, we did not have the same success with the cases that came to our clinic and where we used the same therapy as we did with this fresh case. A small boy who had already developed the disease at the age of three or four was also treated with phosphorus oil and stannum, but we also had to give injections of levicowater to intensify the effect. At that time, this boy had a very acute inflammatory stage of arthritis deformans in his hip, and all the symptoms there also subsided, becoming completely painless. Of course, the destruction in the joints and the destruction of the cartilage was already so extensive that in this case, restoration of joint mobility was no longer possible.

That is, of course, the difficulty in general. Let us now first consider the two cases, because that will be very instructive. How old was our female patient, Mrs. X?

Dr. Palmer: Maybe in her late twenties, and the boy would have been twelve or thirteen years old, he was the American boy.

Dr. Kater says that her patient is twenty-seven years old and has been suffering from the condition since the age of twelve, a second patient is forty-five years old and has been suffering for three years, and a female patient is around seventy years old.

Now the question is whether you have achieved a cure. Have you used the same treatment here?

Dr. Kater says that she has only just applied the treatment.

The matter is extremely important because, with this disease, an enormous amount really does depend on the person with whom one is dealing. And it can be said that with this disease, with deforming arthritis, it is really the case that in all cases one must actually individualize to a certain extent, because the origin of this disease is closely related to the overall development of the person. Sometimes, when a disease occurs in middle age, as in the case I first asked Dr. Palmer to interpret, you have to ask yourself: does the cause lie very far back in childhood, or does it lie in later years?

The peculiar thing is precisely this: that with the appropriate physical disposition, namely with a constitutional weakness of the etheric body, in most cases the cause of arthritis deformans lies in psychological processes, namely in people who into a weak etheric body on waking, so that the astral body becomes stronger than it should be because of the weakness of the etheric body, because it is not sufficiently weakened when it penetrates into the etheric body. Grief, worry, shocks and consuming misery that arise in the soul actually act as the cause of this illness.

But now comes the strange thing: if you have a child, let us take an imaginary case, a child of ten years of age has, let us say, due to a previous measles disease or something similar, an etheric body that is only temporarily weakened; the astral body is too strong. Therefore, in this life-time of the child — I do not want to say ten, but twelve years, you will soon see why — if it has a grumpy educator who brings it into all sorts of states, so that it causes discord within itself, such childish sorrows initially predominate. And now let the fourteenth year approach, approximately of course, then you have two years from the twelfth year to the fourteenth year, and then two years to the sixteenth year, and in the sixteenth year there is again a possibility that the period of completion of completion of the period after sexual maturation, as the insult occurred before sexual maturation, that the matter is repeated rhythmically, but that then, of course, no new sorrow occurs, which would have to come from outside, but that the organic counter-image of sorrow occurs. Then the question is: how long does this process take to become properly peripheral, according to the periods that develop? At twenty-one years of age there is another period, that is, at nineteen, two years before this period, and two years after, at twenty-three years of age, there is again the possibility for this child that somehow the matter will progress. Now it is only a matter of how long this process takes to become properly peripheral, that it appears as a deformation? This may, under certain circumstances, range from the age of twelve, when the first causes lie, to the age of thirty, or even to the beginning of the age of forty. Then one has a completely different picture than when, for example, someone experiences the psychic cause only after the age of fifty or at the end of the age of forty, when it can also be experienced. Then these deformations occur from a completely different depth of the organism. And so we can say, let us assume that we are dealing with a patient who, for my sake, is in his late thirties or early forties and has severe deforming arthritis, which shows us that the causes actually lie quite far back. Then, under certain circumstances, we can suggest the following treatment based on this fact. In answer to your question, I have therefore constructed an ideal case, and the idea would now be to use arsenic injections, stannum and so on to evoke in such a case what has been discussed here, by giving hydrogen sulfide baths, thus initially acting on the nerve-sense system, on which the corresponding baths always act, and thereby affecting the peripheral human being from the outside. Then give, say, highly potentized arnica substance, arnica tincture or equisetum, from the inside, which in this case would be the same, so you work from the inside out in the same way, and you will probably achieve a cure for even long-standing arthritis deformans.

It is quite true that one can say: This would be a case that might be treated like this. While cases like the first one, as interpreted by Dr. Palmer, which certainly did not have its cause far back, can be treated with stannum and phosphorus oil. I was very happy to mention this case because it is instructive to see, especially in such a very deep-seated disease, how one must individualize.

A case is described in which the patient underwent something similar in her youth. In her twenties, she then suffered from a gonorrheal infection, followed immediately by very severe chronic arthritis. She is now about forty-five years old and in a very desolate condition.

It's almost as if I had constructed this case ideationally earlier! Hydrogen sulfide baths and internally Equisetum or Arnica, possibly, if it is not directly attacking, injections.

Dr. Kater: The case you mentioned is exactly the same as that of the 27-year-old woman among my patients. You have outlined it precisely without knowing it.

Now we also have an interesting question here: diseases of the gastrointestinal tract as a result of shock. Well, these can occur as a result of shock, but I also believe they can occur as a result of other psychological effects, for example, from prolonged grief and the like, which is always rekindled; this will be the case especially in female personalities. Very painful colicky conditions can occur. There may also be a lethargy of the entire gastrointestinal tract, and even a complete failure may occur under certain circumstances, but a failure that is very often associated with pain at the same time. Isn't the clinical picture something like this? (Answer: Yes!) — This is now a very common illness, and it is very interesting to observe what actually happened. In each such case, the following has happened: The human astral body is a very differentiated organism. When you get to know this human astral body, you will find that the organs behind the sexual organs towards the renal tract and bounded at the top by the pulmonary and cardiac tracts, in other words in this part, the astral body adapts very strongly to the etheric body. So much so that one can actually say: the etheric body is the decisive one for this tract. The astral body takes on in its movements, in its forms, what the etheric body does. This is quite different in the sexual tract. In the sexual tract, the astral body is very active in itself, suppressing the activity of the etheric body to a certain extent. If a shock effect occurs here, then the activity that the astral body develops in the sexual tract forces its way into the digestive tract, so that one has a displacement of the astral activity, and all the symptoms are then the ones mentioned above. And one has to really initiate that process that brings the astral body back to its proper place in such a case.

One must really understand this connection, which actually takes place entirely within the higher members of the human organism. The other things that take place in the physical body are merely consequences, merely external symptoms. What takes place takes place between the etheric body and the astral body, and that is partially in the particular region of the body.

You will achieve something in all cases if you apply either compresses or rubbings with oxalic acid, i.e. simply oxalic acid, which you can best obtain by squeezing clover. You squeeze the clover to obtain the oxalic acid. This is where it is most effective. And of course it is best used by rubbing it in. It is extraordinarily effective in energizing the etheric system in the digestive tract. This results in a particularly strong activity. And now you have to try to get this astral sexual system, which has gone in there, back again. You get this back either through a silver preparation per os in the appropriate dosage, or through a silver injection used in the fifth or sixth decimal place. Silver, when introduced into either the circulatory or digestive system, always tends to restore deformations to the higher limbs of organization.

You see, if you apply these two processes one after the other, you will achieve very good results, especially with shock effects. Shock effects are extremely interesting. And if you have cured a shock effect, if, let's say, there is a typical shock effect as we have just described it, then you will notice the following when you continue to follow the patient. If you know how to ask the right questions, you will get answers from the patient that go something like this: It is very strange, but since I got well back then, my heart has been working quite differently; since then, when I perceive something startling, a cannon shot or something like that, my heart acts as if it wanted to calm me down, as if I had a being on it that wanted to calm me down.

In this you see how truly polarizing processes are present in every regulatory intervention, not only in a healing intervention, in the human organism. This heart effect, of which the patient speaks, which also essentially takes place in the etheric and the astral, is the polarizing counteraction to what you actually did to establish the correct relationship between the sexual tract and the digestive tract. That is what needs to be said with regard to this shock effect.

Now tomorrow I will talk in more detail about an interesting question, namely nervous diseases, in particular spinal cord diseases, which is written down as the first question, so to speak. We will meet again tomorrow at half past eight. I just want to say something now, because it seems to me that there really is a very topical question here, which is also on the note, namely about children wetting the bed. It seems to be occurring in a very intensified form.

When children wet the bed, it is a typical weakness of the astral body. The astral body simply does not have the strength it should have. But if you use arsenic in the case of bedwetting, even in the healthy form of Levicowasser or Roncegnowasser, then you will usually achieve a strong but extraordinarily short action, especially in the case of bedwetters, through their overall organization. The children will still wet their beds; but you will definitely achieve good results if you use the substance that you can obtain by squeezing the leaves and flowers of St. John's wort, Hypericum perforatum. I don't know if you know that this is the only plant that has three sets of stamens. It belongs to the 18th Linne class, it has yellow petals and leaves that look as if there were holes in them when you look through them. If you squeeze this plant, you get a juice. It is essentially due to this bitter extractive contained in this plant, also a substance that has a very strong and lasting effect on the inner mobility of the astral body and strengthens it. And as a result, it may lead to healing if you then still have a moral effect on the child by simply saying that he is obliged to pay attention to his functions. This moral influence should actually take place precisely in the case of such things, which, don't you think, are on the border between naughtiness and disease. Please don't misunderstand me, I know, of course, that it is a disease, but it is on the border between naughtiness and disease. And because moral will does indeed have a great influence, it should not be disregarded. If you cure such a thing in a child – of course you can cure it with Hypericum – you weaken the child's will if you do not at the same time encourage it, give it an impulse in the moral sense. That would be said with regard to bedwetting.

Then tomorrow we will talk about neuropathic children, especially children with various forms of dementia praecox. Then we will discuss some other questions, and I will try to take all of these questions into account.

Dr...: The question is asked as to how old the juice may be.

It should not be allowed to become too old; but if you prepare it by squeezing it as well as possible to a certain quantity, say one gram of leaf and flower mixture, half and half, then you will be able to supply a glass of water with it, and you can then portion it out and use it in this way for half a year.

I would now like to deal with some of the questions that have been put to me, and here there are a few questions that seem to me to be particularly important to you.

The first question is about gonorrhea. Now, in order to understand what should actually be done, it is necessary to study the nature of the disease. It seems to me that in this area in particular, people are all too easily satisfied with simply saying: infection, infection, and more infection. That is, after all, what is actually being said. Certainly, in these and similar diseases there is an extraordinarily great and powerful possibility of infection; but the knowledge of contagion is the very least that can be inferred from the knowledge of the healing remedies. It is not much to know that something is contagious. The only thing one can do is to take precautions to reduce the risk of infection. That is something that is self-evident. But it is good to penetrate into the matter at hand, especially with such things.

Now, we must be clear about the fact that the human organism really is a closed system, and that, to a greater or lesser degree, everything that lies outside of it is poisonous to the human organism. So, in fact, anything that lies outside of the human organism is a poison. There are, however, certain adaptations in which the effect that would otherwise be a toxic effect is, so to speak, isolated. And this isolation of an effect that would otherwise be a toxic effect occurs for the realization of etheric impulses and astral impulses, namely when female and male seed unite. It also occurs in numerous other cases, but especially when female and male seed unite. The effect is eminently toxic when the two polar substances combine. So the effect is eminently toxic, but it is isolated and exposed to the forces of the cosmos in isolation, which can even be described in detail. These are the concentrated forces of the sun and moon, to which what arises from the union is then exposed.

This exposure is only possible if the male and female seed actually interact. With any substance that lies outside the female seed, that is, that is produced in organs that are not the female sexual organs, the male seed gives a useless poison everywhere in the human organism as well as in the outside world. Conversely, the female seed releases a poison that cannot be processed with every substance, except for that which is secreted by the male sexual organ. This poison is actually, basically, only under metamorphosis, sometimes a poison for the oystercatcher, sometimes a poison for the tripper. And with that, we are dealing with diseases that are something essentially different than the syphilis diseases that we have discussed. We are dealing with the production of poisons that cannot endure exposure, either in the human organism or beyond the human organism.

Now, such substances are also, in essence, extremely potent infectious agents. They are, in fact, the carriers of parasites of the smallest kind, hypermicroscopic organisms. And it is with such an effect that we are dealing, that is to say, with an interaction of the astral-etheric organization in the male and female, which then, when it works down into the physical, produces these corresponding poisons. That is the essential thing. The danger of infection is secondary. It is always there precisely because in this way the strongest poisons of all are produced for the organ.

I believe that it is extremely important that such things are understood at last, so that we do not always look at the corresponding symptoms, as I would like to call them, in the same way that the entire reproduction of the human race was once viewed, by tracing the whole human race back to Eve's ovary for all of the Earth's future. This is, of course, a very superficial consideration. It is also an easy way out to say: This disease is infectious; the infectious one has been infected again, and one naturally ends up being vague, but one does not arrive at any real insight. But if one arrives at such an insight, as I have just indicated, then one naturally asks oneself the following question. Then one says: How can we now get at the effect that arises in the human organism under the influence of this poison?

So you have to create something to which you can expose this poison, just as you can expose the fertilized female germ to the universe. So you have to create an atmosphere, so to speak, in the astral-etheric organism, an atmosphere that has a certain absorption capacity, not for the poison, which is then excreted when the poison-producing forces are absorbed in the astral and etheric.

And now it is precisely in such things that the healing powers are often allowed to work together from two sides, and one will really be able to achieve good things in such a case if one takes a preparation, such as some carbonate of alkali, alkali carbonate internally and then applies compresses locally, strong oily eucalyptus compresses locally, but allows both things to work together. This will most certainly lead to a cure, even if it is perhaps slow but thorough. This is because the alkali carbonates essentially work in such a way that they create a special etheric body from the human being's entire etheric body, so to speak; and the eucalyptus extract works in such a way that it flows through this created etheric tract as if it were astral. So that one actually creates an atmosphere around the genital tract that absorbs the poison-producing forces. This is what one can envisage in the process.

Would anyone like to say something about this right now? All these things are not really here to be discussed, but to be tried out. They will prove themselves. Now I would like to address a question that I have found here, and that is:

Can a patient who has become a morphine addict due to severe asthma be successfully weaned, including from morphine, using the remedies citric acid, Prunus spinosa and Nicotiana tabacum, as applied by the Clinical-Therapeutic Institute

in Stuttgart?

With asthma, it is a difficult matter, because asthma is essentially based on the fact that the exhalation, the exhalation current, encounters resistance as it passes through the airways. It gets stuck, so to speak. This is something that can be seen very clearly in the astral organism.

It is always somewhat problematic when recording these things, but you are all anthroposophists and will take the things as they are meant, of course. So, the outgoing air stream, you can actually see something like hooks in the human being's astral body, into which it sticks (see drawing). That is the finding. And that just goes to show that asthma is really the one form of illness that is right on the border of purely psychological illnesses, by which I do not mean so-called mental illnesses, but those illnesses that are related to the psychological life. Mental illnesses do not need to be related to the psychological life at all, but can merely be physical illnesses, in which case the psychological is merely a symptom. So-called mental illnesses should not be called mental illnesses at all, because they are almost always a real organic illness that finds a psychological counterpart, simply a shadow image, and that is merely a symptom. It is best to cure so-called mental illnesses by recognizing from the physical findings as a symptom complex whether there is a kidney disease, liver disease, or a real organic brain disease. By mental illnesses, however, I mean those where, for example, psychological effects really underlie them, such as shock effects or anxiety effects and the like, in other words, where psychological causes are present. And with asthma, it is indeed the case that you often have to go back a long way to find the psychological causes.

When one has grown as old as I have, one has always encountered cases of asthma of the most varied kinds, and I must say that often, when looking for the cause of asthma, one has to go back to the embryonic stage, if one goes back to find the cause of the onset, apart from the karmic one. And the external causes often really lie in the embryonic stage. They lie in the fact that the mother has had shocks or worries that have occurred again and again during pregnancy. Such things have an extraordinarily strong effect on the entire mucous membrane system of the respiratory tract, and it is from this that the causes for what later manifests itself in asthmatic symptoms already go out during the embryonic period.

Now, however, the following is of particular importance for asthmatic symptoms: asthma manifests itself in very different ways, depending on the individuality of the person, and it is very important that we can really fight the other symptoms of asthma that exist in the organism. Then we make the organism strong enough that it can do something itself later to fight the asthma. And so I would now like to indicate the possibilities of how to deal with these matters, since it is indeed an irregular movement of the astral body in the bronchial-lung area.

There is something, I might say, very ingenious at the bottom of it, as asthma is generally a very ingenious disease. If one examines a person suffering from asthma with, if I may say so, occult vision, one finds that in his case, above all, what I might call the inner appetite of the organism is eliminated.

Let us first agree on this concept of the “inner appetite” of the organism. You only come across this concept of the inner appetite of the organism when you observe very young children. They don't just taste with their tongues. I have always said this to teachers: young children do not just taste with their tongues, they taste with their whole organism. The whole organism is something like a fine organ of taste. It is just that later on this tasting is localized around the palate, tongue and so on. But this differentiation, which occurs relatively early, is only a partial one. In subconscious spheres, the human being tastes and thus generates this inner experience of appetite through his whole organism. Simply the whole organism has that striving power that is called appetite.

Now, when there is a loss of appetite in the separate main tract, as is experienced, there is also, and this is particularly the case with the asthmatic to a high degree, a loss of appetite in the organism. And in asthma, the whole organism loses its appetite; it has no desire to absorb the ingested nutrients, especially those that enter the general circulation. He even has an aversion, but he is unaware of it because it is unconscious within, especially towards cooked food. This can be observed quite well from external symptoms that occur in his life. This must be dealt with first. You must first restore the appetite of the organism.

It is generally good to know how to help an organism that you think has lost its appetite, that is, where the right connection between the etheric organism and the astral organism is interrupted, because that means being without appetite. Now it is good to know what is good for it. And it is always good to teach the organism the right dosage of what can be obtained in the form of tannic acid, for example from sage leaves, from nut leaves, from oak bark or willow bark; in short, if one teaches the human organism, I want to say, that which perhaps corresponds to the first decimal place, just only in terms of percentage, of tannic acid. This is what is particularly important for the astral body in such a case. It is stimulated to extend its activity to the ether body when it is supplied with this tannic acid. The ether body, on the other hand, does not react to this. So if you supply tannic acid on one side only, you will only cause disorder. You have to help the ether body on the other side as well. And this can be done, for example, by making a leaf extract from Veronica officinalis, from this speedwell, and extracting the bitter substances from it by name. These bitter substances are found in such plants – they can also be extracted from other plants wherever these bitter extractive substances are found in them — and then you will take one or the other in turn, in the morning one and in the evening the other, for example, and you can then regulate the rhythm between the astral and etheric bodies and in this way initiate the healing. Then you instruct the patient to lie in bed for weeks on end, not to get up at all, but to sleep in a chair, and when he tries to fall asleep, to meditate on breathing in the mind, thus to see or feel in the mind: inhalation, spreading the breath, exhalation, - to breathe quite consciously when he falls asleep; when he wakes up, to let him start breathing consciously again for a few minutes. If you strengthen your moral powers in this way, applying them to your own organism, namely to breathing, but in such a way that you can apply them unwaveringly - in any other position than when sleeping in a chair, especially when lying position, it is quite impossible for the patient to carry it out – and then use this as the third act of the cure, it is to be hoped that the asthma itself can be controlled even in very late stages of development. Morphine addiction is then only a consequence, and this will then be removed. One must try to fight the morphine addiction then.

Now for another interesting case that has been presented to me. However, I would like to emphasize that, of course, it is more or less problematic to give things without seeing the patient in question. It is just that I would like to say that the case can also be constructed ideally, but let us briefly state what is at hand in this forty-five-year-old postal clerk who, as a result of something, has suffered a nervous breakdown, then initially, it seems, became sleepless and ended up in a state where the patient is no longer in control of himself, where the head thinks alone, and is therefore automatic. That was probably the first stage. Then this stage seems to have passed into another, where he developed a trembling of the limbs after two years and probably also convulsive states in the limbs.

The main thing to do in such a case is to know that the whole condition is not located in organs other than those that have a directing effect on the human will system through the ego organization and the astral organization. The will system comes into consideration. And the irregular and abnormal nature of the will system is already evident in this peculiar surrender to the automatism of thought. This has nothing to do with thoughts, but everything with the will that underlies the development of thought. But everything is aimed at working deeply down into the subconscious in order to actually form the will in the mere metabolic-limb-organism, to pull it out of the rhythmic organism, to pull it out of the nerve-sense organism. So the tendency to relocate the entire physical and etheric will organs to the lower organism is actually present.

You would certainly have been able to observe this tendency in such a case, had you had the opportunity to observe this postal clerk, let us say, from some point in time and again after two years. You would have noticed that the reciprocal relationship between the lower lip and the upper lip had changed during these two years. Two years ago, it would have seemed to you that perhaps a certain, not quite harmonious relationship had taken place in the movement of the upper lip to the lower lip, that one has the feeling that it does not fit together as it does in normal people, and after two years it will have become stronger. The lower lip will have continued its naughty movements more than the upper lip. You will be able to observe such things. You will also be able to observe such an interrelationship between the legs and arms in discordant movements.

Now, in such a case, a combination of a drug treatment, a physical treatment, let us say, with a spiritual treatment in eurythmy therapy should be considered. These two things must be combined here, and this case is actually typical of this.

In such cases, use comfrey baths with a fairly strong addition of comfrey, which you can then count on for silicic acid. Comfrey has a very high percentage of silicic acid, so use comfrey baths and you will be able to achieve a significant strengthening of the ego organization through these comfrey baths. But it is only there under the influence of the bath. There is a constant danger that it will disappear again after a short time. It is driven towards the tendency to be something lasting if you now have eurythmy therapy vocalization, simply vocalization, after the bath has run its course, for an hour of eurythmy therapy vocalization. That is what you are stimulating then, which was initially only predisposed in the equisetum bath. And then you can hope, in this way, to fight the matter, above all from the periphery, from the limb organism. You just have to try to find the point from which you can fight the matter.

Now I have been somewhat concerned with this other case, which is very interesting; it is just not clearly presented. It says here:

Lupus-like, increasingly severe proliferation of the mucous membrane on the palate, causing difficulty in swallowing, in a thirty-seven-year-old female patient who had pulmonary tuberculosis seven years ago, second and third degree, but who has now largely recovered. She had an operation for gallstones that were not present.

I would like to know what happened immediately after the operation on gallstones that were not present!

Suffers from disorders of the digestive tract, from flatulence, which is beneficially influenced by eurythmy therapy S-exercise and has been minimal lately; has been suffering from severe grief for years. Could a successfully performed I-exercise have caused the lupus disease? What should be done?

Do you really think that this is something lupus-like?

It could also be scurvy; it just looks like that.

You don't have to assume that. In reality, it can only be that the plastic power of the etheric organism simply does not work sufficiently into the peripheral tracts. It cannot be anything else. And this would have to be remedied by simply injecting bee venom in perhaps a sixth decimal potency and making the process a total one, which arises from the fact that the bee venom very strongly stimulates the etheric body to take up the astral forces in a way that is truly directed towards the whole human organism.

The underlying organizing principle of the spiritual, bee venom, is at the root of it all again. So that, when it comes to seeing that the organic effect is, so to speak, breaking down at the periphery, and does not want to enter into the periphery, you can always do a great deal of good with bee or wasp venom, and then support the effect of the injection from within by making a liquid pulp of honey and milk, and then giving that as a daily nutritional supplement.

This is something that really presents itself in such a way that one sees that the organism, which has become cramped and shows such abnormal phenomena at various peripheral points, in turn spreads its effect on the one hand, under the influence of the insect poison that enters the circulatory system, and on the other hand, under the influence of that which is substantially related to milk and honey, develops and spreads in the organization. That is what I believe can be recommended in such a case.

Now I would like to talk about the question that, as it seems, is also close to your heart. This is the question of nervous diseases, spinal cord diseases and so on.

Of all nervous diseases, spinal cord diseases are of course the hardest to treat. The other nervous diseases are much more treatable. But one would be able to treat the so-called nervous diseases much more if one considered that in the nerve, in the nerve cord, in the nerve at all, there is a substance that continuously tends towards crumbling. Unlike other parts of the organism, the nerve contains no constructive, sprouting or growth forces. Instead, the nerve contains everywhere that which tends towards the ego organization, in that it actually always wants to separate and crumble. It just has to be continually prevented from crumbling. In the moment when the ego organization is not strong enough to prevent the nerves from crumbling, then the most diverse phenomena actually arise. Depending on whether it is the ego organization or the astral organization that is not strong enough, either the actual nervous diseases arise when the astral organization is not strong enough, or when the ego organization is not strong enough, the various neuralgias arise, or the various conditions with semi-psychic symptoms, and so on.

Now we have to be clear about how to act on the nervous system in such a way that a kind of phantom of the astral and ego organisms arises in the nervous system. This really occurs when one attempts to get the forces – that is, when there is an already severe nervous disease, not a partial one – the silica effect into the whole nervous system. This is, so to speak, something of a postulate, to get silicic acid into the nervous organization.

Now, if there are no particular obstacles or inhibitions, you get the silicic acid into the nervous system because there is an extraordinarily strong affinity between the form of the human nervous system and the arnica substance. This is already very strong. And if you give arnica injections, especially in high potency, of course, in the fifteenth, twenty-fifth, even thirtieth potency, you will find in most cases that the arnica injection works in such a way that the sick person then even gets the urge and drive to do something against his nervous state. For it must always be brought about that the patient suddenly realizes: whatever is in the nerves is relieved by some remedy, and I can now use my ego organization, my astral organism. In this case, it is a matter of relief. In a nervous patient, the ego and astral organisms are intensely occupied with the nervous process. Something must be introduced into the nervous process that imitates the ego organization and the astral organization. And that is precisely what the remarkable configuration in Arnica does. Arnica is, after all, a mixed compositum of all kinds of things, and it is truly a kind of microcosmic imitation of all kinds of macrocosmic things. The Arnica substance does this to a very special degree.

Just think of everything that happens. First of all, there is the silicic acid that is found in Arnica montana. This is the basic substance. It is extremely sensitive, a deeply significant reagent for all possible cosmic influences. Silicic acid is an extremely fine reagent for everything that affects the earth. Then there is always a tendency in Arnica montana to transfer these fine silicic acid perceptions of the cosmos, one might say, and to shape them plastically in the potash salts and also lime salts, which are distributed in Arnica montana in a wonderful way.

Now imagine the whole effect that I described earlier for tannic acid; this effect on the astral organism is also present in arnica. So that what is now brought in from the cosmos is, as it were, plastically imprinted in the potassium calcium salts by the silicic acid, and directly carried into the organism through the tannic acid content of the arnica. Then, as if by a miracle, the arnica substance simultaneously develops a sedative so that the person does not feel the disturbing effect of the penetration of foreign substance into the physical correlate of the astral body. This is because the arnica substance contains something camphor-like. So it contains its own sedative. Then the arnica substance, wonderfully embedded in rubber and similar substances, contains protein substance, which gives it an affinity to the etheric body. And then we have phosphorus inside, namely essential oils, which builds the whole thing up in such a way that it directly becomes a phantom of the human ego-organism. |

Therefore, if you introduce the correct dosage into the organism – but by injection, the other things will not work as strongly by injection – a substance from Arnica montana, you will usually see that, at least initially, there is a strong influence on the nervous system. The right process will be there when you can see how the patient now feels stronger and believes that they can now conquer the problem on their own. This feeling must be evoked. If it does not come, then take the help of Arnica montana, alternating with that which now supports him by also boosting the effect of Arnica montana from the respiratory side, so alternate with a fairly high-percentage formic acid injection. You will see that then the thing can occur.

If you cannot manage that, then it is of course necessary to take an extract of the part of the nervous system of an animal in which the actual source of the disease can be found, depending on whether it is in the brain or in the spinal cord, and then inject this in high potency instead of formic acid in alternation with arnica. So, for example, if you suspect that the nerve disease originates in the visual area, then take the secretion from the four-hilled substance or such a substance of an animal, extract it, take it in a fairly high potency and inject it to support the Arnica montana. Let the support go exactly where it is needed. These are things that one must always observe.

However, a mild toxic effect may occur, especially when Arnica montana cures are successful – it should even occur – that can be observed in something. But you will always see that this mild toxic effect can be counteracted by per os alkalis in some combination. I believe that what I have described here is actually very important for what should be done in the case of nervous diseases, including spinal cord diseases, which could only be diagnosed in the right stage, and in which one should get rid of that medical impudence that is so rampant, especially in Western Europe, that one attributes almost all cases of tabes dorsalis to some kind of syphilitic cause. It is complete nonsense. And if you obstruct your own view from the outset, you will naturally not be able to come to terms with your view. Most of the diseases of the spinal cord do not at all arise from any syphilitic starting points, but from colds that appear harmless to most people, in the gastric or other abdominal tracts, or from the fact that the spine itself has been exposed to a cold. It is just that, well, of course, according to the well-known social conditions of the last decades, the purely external complication of syphilis and spinal cord disease occurred very frequently, and the view was then distracted by this, and one did not do the right thing, namely to fight the consequences of syphilis on its own and those of spinal cord disease with something like what I have just described. It should always be considered and treated as a nervous disease, as I have just described.

Now the interesting thing is that if you localize the nerve disorders in the digestive tract or even in the stomach and they do not go further beyond the digestive organs, you can achieve the same thing – and this is extremely interesting – if you take Chamomilla instead of Arnica montana and treat it in exactly the same way by injection. And this is interesting because you can see from this – because chamomile is almost completely lacking in silica – that silica is only necessary when you get beyond the digestive tract with the nerves. It lacks silica. On the other hand, it contains sulfur, which is particularly beneficial when it comes to stimulating the etheric body in the digestive system.

Now some questions have arisen, but we don't have more time to deal with things in depth: “What is the essence of short-sightedness and long-sightedness?”

Don't you think it's worth asking whether these things could be therapeutically influenced? The causes of these lie on the palm of your hand, and you don't ask about these things. You mean, how can they be therapeutically influenced, whether they can be cured by mere medical remedies? It will be possible to cure them, both short-sightedness and long-sightedness can be cured, and thus also prevented, because you are quite right, glaucoma is of course essentially connected with long-sightedness. People who are not clear-sighted do not easily develop glaucoma. But a medicinal cure, which is indeed possible, will only be successful if it is initiated perhaps even before the age of three. So you have to notice the tendency towards short-sightedness or long-sightedness in the child very early on. Then you can do a lot with highly potentized belladonna. But you actually have to notice it before the child has fully learned to speak and walk. Once the organism has reached the stage of physical development that it has reached, once it has learned to walk, stand and speak, the entire tendency towards the formation of the crystalline lens and the vitreous body, which underlie hyperopia and myopia, is already present. And because it is something purely mechanical and formal, it is difficult to do anything. On the other hand, as long as the eye can still be affected by the unformed, wriggling movements, the as yet unoriented arm movements and so on in the child, and this is achieved by a highly potentized belladonna, which is imbued with a certain feeling, a certain sensation, one might think that something can be done. But it will probably not be easy to make his observations. That is to be said about it.

Now, unfortunately, we have to conclude these considerations. I hope that we will continue them again at a suitable time. It will always give us a very special satisfaction here if we can, so to speak, insert into the announced medical college activity that we can give the doctors something when they come to such meetings. I hope that in the future this can always be achieved in some way or other. But it will also be possible for those friends who stay in touch with the Dornach School to receive answers to their questions about these or those things from time to time – we will make sure that this is done in the right way. So if you send questions to Dr. Wegman, we will provide answers together, although not in the supplement to the 'Goetheanum', of course, but in a form that can only be sent to the doctors. But I believe that we should set it up so that when someone asks a question, the answer should always go to our anthroposophical doctors, because it is always actually interesting for everyone and we will make the most progress this way. We will try to initiate communication with the doctors here in Dornach in a corresponding way.

Dr. Palmer: Dear Dr. Steiner, I hope you will allow me to express my colleagues' and my own heartfelt thanks for taking time out of your busy schedule over Christmas to devote a few hours to us. We who work at the Clinical-Therapeutic Institute in Stuttgart know how much we need these hours, and we would ask you to continue to support us with your advice and assistance.

The only thing I would have liked would have been just that it could have been more hours. But however much we thought about it with Dr. Wegman, it did not result in more than these three hours. As I said, it would have been my wish that it could have been more hours; but hopefully another time! Hygiene as a social issue.

Automated Translation

I think the main thing we will have to discuss should be discussed in connection with specific questions that you ask. I will only say a few words, I would like to say a few words in advance about the fundamentals.

In the course of human development, much of the reality has been lost because the knowledge of the spiritual, which also lives in everything physical, has gradually been lost. But medicine is undoubtedly one of the things that have lost the most, for the simple reason that by merely limiting oneself to knowledge of nature, all insight into the human being and his life must be lost. For it must be emphasized again and again that all processes that take place in nature are such processes that cannot take place in the same way within the human organism.

We want to disregard animal and plant organisms. Today, there is a belief that a process that is observed externally in nature can also exist in some way within the human organism. One speaks of combustion and all kinds of other physical processes within the human organism. Such do not actually exist in reality, and just as we have before us in the self-contained human organism something unnatural, which, to the external eye, is different from an extra-human natural object outside, so too is every single process in the human organism something thoroughly different. All the processes that take place outside of the human being in nature have a building and breaking down effect on the human being. And if we want to understand the human being, we must recognize three levels of breakdown.

The first degradation is the one that happens from the inside out, so to speak, through everything that affects the human being from the earth. The forces of the earth work in such a way that they degrade the human being from within. The forces that work from the air, primarily through breathing, and are transferred to the human being, have a degrading effect from the earth's orbit. And the forces of light from the Cosmos have a degenerative effect on man. Thus the extra-human forces of the Cosmos have a degenerative effect on man in three ways, and the degeneration occurs immediately if the ego organization and the astral body do not participate in the human organization. The astral body and the ego organization counteract the degenerative principles in man. In that moment, therefore, the breakdown by the extra-human forces must occur, in which the I and the astral body no longer work in man. But this also shows us that we cannot get by without gaining more and more real insight into the higher members of human nature, even when we consider the medical aspect.

Medicine has arrived at mere trial and error, experimentation, only because in recent times it has no longer dared to reckon with the higher limbs of human nature, with the supersensible. But the process of illness cannot be understood if it is not grasped as being connected with the higher limbs of human nature. And the process of recovery, the process of healing, cannot be understood either without being placed in such connections with the higher limbs of human nature. For, let us consider the following: In the human head, in the human skull, the processes of decomposition of the physical body and of the etheric body are essentially at work. These processes of disintegration that are active there make it possible for the astral and the I to be active in the human head. In contrast to this, in the metabolic limb organization, in all that is connected with the motor system and the metabolism, we are dealing with the building processes of the human organism, both of the etheric body and of the physical body. In these anabolic processes, only the ego and the astral body are active in the most eminent sense for the metabolic and motor system. The astral body and the ego are active in everything that takes place in the metabolism. The ego organization is active in everything that is movement. So that in the metabolism-limb system we have: I and astral body engaged; in the human head they are, as it were, exposed, there I and astral organization are quite free. So that if we wanted to draw schematically, we could draw: physical head, etheric head, but now free astral body and I, not engaged in physical and etheric. On the other hand, if we now omit the middle human being, the rhythmic, the blood human being, and consider the metabolic, limb-bearing human being, then, firstly, the etheric body is fully engaged in this. It is also present in the head, but in addition, the astral body and I-organization are engaged here – not left free internally, but rather effecting the processes.

When we look at the child, we see a complete connection between what is free in the head as the astral body and ego organization, and what is bound to the physical organization as in the body, whereas we do not have such an inner connection in the adult and therefore the whole body is not so dependent on what is going on in the head as it is in the child. In the child, the whole body is still dependent on what is going on in the whole head.

It is quite impossible to acquire a knowledge of human nature without really taking the higher aspects of human nature into consideration. For no one can really understand what is going on in the motor and metabolic systems of the human being without also taking the soul and spirit into account. At best, the organization of the head can be used as an aid, as it is very strongly modeled internally on physical, extra-human laws. The organization of the head is permeated by an etheric body and differs from the extra-human organizations, but it is most similar to the extra-human organization.

What does it actually mean to understand the disease? Assuming you are dealing with any organ of the metabolism, you have to assume a very specific connection between the physical and the etheric and how the astral body and I-organization intervene in this organ, say in the liver. The astral body and I-organization must intervene in a very specific way. The moment the I and the astral body withdraw somewhat from this organ, the organ becomes similar to the head organ, and one must always be aware that when any metabolic organ, and also anything related to metabolism, shows an irregularity, the astral body and I-organization are not involved enough in the organization of this organ; and in the head it is the other way around. If the astral body and the ego intervene too strongly, then the pathological condition occurs in the human head; so that actually the human head is that which is most strongly predisposed to the vegetable-mineral interior in man, and the motor and metabolic organs are those which are most strongly predisposed to the animal-human. Actually, one only sees the opposite. One believes that the head organization is the one that is most spiritual as an organization. But when the head organization becomes too spiritual, consciousness becomes clouded. At the moment when too strong vegetative processes intervene in the head organization, at that moment the head becomes diseased. In the moment when too few processes emanating from the ego or astral body intervene in the metabolic-limb organism, in the moment when the metabolic-limb system becomes similar to the head system, that system becomes ill.

The doctor's approach must therefore be to ask: How do I get it to happen that when I see any illness associated with clouding of consciousness, how do I get it to prevent this? I must prevent the too strong intervention of the I and the astral body. — Or, how do I get it to happen that the astral body intervenes more strongly when it intervenes too weakly? And you see, here we have a case where the way we think, our way of thinking, plays an extraordinarily important role, especially in medicine. For it is certainly necessary to become familiar with the healing substances, the healing remedies. But of course you will rightly ask how one comes to know the healing remedies. And you cannot get to know them unless you first experience in the spiritual what is really going on in the human being. Now, you see, in order to experience what is really going on in a person, a certain way of thinking is necessary. And that is what I wanted to say in principle in my introduction, that a certain way of thinking must already permeate the physician. For example, one must start, I would say, from more external natural things. First of all, the physician must realize that everything that can be called warmth, light, and so on, is actually present in two ways. You see, in summer, light and warmth come down to earth from the sun. Sunlight and solar heat take hold of what sprouts, sprouts, blossoms, and bears fruit on the earth. And actually, what is essentially interesting to us about flowering and fruiting is that they are the carriers of sunlight and solar heat.

But what about winter? In summer, sunlight and solar heat penetrate into the earth, and the sunlight and solar heat that are in the earth continue to have an effect throughout the winter. And so light and sun come into consideration from two sides.

But if we look at what the sun and the earth's orbit in general, the cosmic, brings to the earth from this orbit, we see that all of this has an effect on the human metabolic and limb system. The entire metabolic and limb system is already influenced by what comes in from the cosmos. Everything in the head is influenced by what was already preserved in the earth by cosmic forces. In this respect, the human being stands on the earth in reverse. His metabolic-limb system is influenced by what is extraterrestrial and cosmic. But you can extend this to every single substance. Take lead, for example, because lead is a particularly effective remedy for certain things. We find lead as it exists in non-human nature in the form in which it was created by the total cosmic forces; it works in the most eminent sense when it is there through the cosmic forces, and in the most eminent sense it works through the limb-metabolic system up into the head. If we melt the lead, that is, if we subject it to an earthly process, then it acts directly on the head system. This is the great difference.

Among our medicines, we have an essential remedy, antimony, grey spear luster. If we take it as it exists outside as a fibrous ore – the spear-like is formed out of the cosmos – then in antimony we have a remedy that acts on the metabolism. If we subject antimony to an earthly process so that it becomes antimony sulfate, then we are acting in a specifically human way on the human head.

And you see, it is a matter of penetrating everywhere with this way of thinking, not only into the substance, but into the processes, into what is happening. It is not right to say that lead is a remedy for this or that. It is a matter of knowing how the process has taken place, whether we have a raw material or whether we have subjected the substance to some process. The way in which substances are treated is, after all, the essential thing. And the way of thinking should stop looking for the remedy in the substance as such. We should increasingly say to ourselves: When there is disease, there is a process that is not embraced by the whole of the human organism. If we want a remedy, we must strengthen the person, we must subject the person to such processes that we understand exactly. That is what it comes down to.

I would now like to tell you something to which this whole introduction should lead, which may at first seem somewhat paradoxical to you, but which is necessary to be truly grasped in the whole of medical life. That is, if one studies all those processes that one has to study in the universe, one has to study them to see whether they are cosmic or telluric processes or those that vibrate between the two. We have no way of really getting to these processes if we cannot understand how the soul is structured in these three different regions of the human being. Without understanding the soul, it is actually impossible to really get to the person.

And you see, you have to take the following into account. In the adult human being, the soul is actually a much stronger unity than the physical organism. The physical organism is clearly divided into three parts: the nervous-sensory system, the rhythmic system and the metabolic-limb system. These can be distinguished from one another. But the soul fills both the head system, the nerve-sense system, and the rhythmic system, as well as the metabolic-limb system. It is only very sleepy, dreamy in the lower system, but it fills the whole human being according to its three parts. But when a person is supposed to develop a system in particular, when the soul is supposed to pour its activity into a particular system, what actually happens? It is true that a person can occupy themselves with thinking, walking, or working with their hands or legs – we have to speak of the middle system separately. But what happens to the soul when a person is actively engaged, when a person is walking? When a person walks or works with his hands, it is truly the case that the same power is expressed in all that is in the world that is called love, which remains in arms and hands, in legs and feet (gap in the text). A person must come to the boundary of his skin when he is active, which then, when it overflows beyond the human being, unfolds as love.

But what does it mean in practical terms: the human being walks? It means that he lovingly animates the human organism within his skin, that is, he energizes his astral or ego organization in an appropriate way. And when he walks, he energizes his ego organization in such a way that he draws it out to a certain extent from the physical and etheric organism. When thinking, he exercises it in such a way that he pours it into the physical and etheric organization. Man withdraws his astral and I-limbs when walking; while stretching out his legs, he withdraws the astral body and the I when walking. When he thinks, he radiates them in, of course, but only to the skin. And if we take this into account, we can say that we simply have the beginning of illness in the activity of the organism. Because when, without the person lovingly filling his organism, the astral body and I-organization withdraw from the metabolic limb system, then pathological conditions arise. If the etheric body and the physical body are filled in the head without it being caused by arbitrariness, pathological conditions will again occur. So that what a person does arbitrarily is immediately corrected. Daily life in thinking and moving: it is a continuous process of making oneself ill. Only the human organism can make itself healthy again immediately.

And an understanding of these things depends on the fact that one can now really muster so much love for what happens in the case of illness that one can look at it as what actually shows one in a physical way what the spiritual in man is. You see, when a person becomes ill in the liver, let's say he gets abnormalities in the liver, then his astral body is not sufficiently active in the liver. What is the corresponding spiritual activity where something similar happens? It occurs when I take a particularly strong inner interest in something external. At the moment when one looks at something with intense attention, one is actually suffering from liver disease at that moment. At that moment, the astral body withdraws from the liver, but it balances out again immediately. And by going through the various processes of illness in the human organism, one can always study what happens in a healthy person through their will, through their arbitrary life. If the arbitrary processes were not continually being balanced, the person would continually make themselves ill through the arbitrary processes. So one can learn what the soul and the spirit are like if one likes the processes of illness as processes of study, really loves them.

And this love of disease must, of course, be connected with something else. After all, one does not just want to study the disease; that is the less important thing. But if one can heal again, what does one have then? Then one has an insight into the way in which the divine world has come about from the most diverse spiritual activities and beings, how the world has been created. And that is the starting point for a doctor's work: to say to oneself, first of all, that disease processes lead one into knowledge of the human being. They are real processes of knowledge. But the healing processes can only be grasped with a religious attitude. To really relate to the world with a religious attitude must permeate all this medical work. Without that, knowledge will never come about in detail.

Of course, you will always be able to say: Well, yes, there we have the remedies, and anthroposophy also comes along and gives remedies, but the whole thing cannot be seen through! — It can be seen through if you take into account such things as have now been characterized, if you can permeate a real process of knowledge with the diagnosis and a real process with the therapy. These things must be taken very seriously. Only by adopting this attitude can we understand what has been put forward as what anthroposophy has to say for medicine. Of course, the details are only what can be put to practical use. But it is necessary to permeate all medical activity with this attitude that we have been talking about.

I would now like you to ask one or two more questions, so that we can move on to specific considerations tomorrow. I just wanted to touch on the qualitative side.

First question: As a doctor today, you are sometimes forced to use remedies that you don't like to use, and some of these remedies are certainly so that you shouldn't use them. Can't anything be said about remedies that you shouldn't use?

Dr. Steiner: I would like to say the following in principle to this question: There is a big difference between a remedy that I can understand how it works in the human organism and one that I cannot understand. That is a big difference. Of course, this difference is initially relative for external practice, as long as we do not have medical faculties where one goes through a course of study such as that taught by anthroposophy. Until then, it will always happen that the practical doctor will also take note of what is advised by anthroposophy: 'This is a remedy for this or that'. Of course, we would love to start by teaching the science of human nature, so that by looking at an onion we would know how the onion process works in the human organism under these or those antecedents. That would be our favorite, of course. But for the time being it is relative, and for the time being it can only be the case that a remedy is given for this or that. But from here, a remedy is hardly given without its inner effect in human nature being made known. For example, it is not said that silicic acid of equisetum is taken without knowing that it causes a kidney process. The irritated kidney is reduced in its over-irritability. So the over-irritability of the kidney is reduced when silica from equisetum is added to the kidney. This is obvious, and one should know (gap in the text). But now I ask you on the basis of trust: How do the investigations happen outside? They are done externally with the help of statistics, they are done in such a way that so and so many patients are given the remedy. Actually, we don't really know what is going on, and above all, the big difference between a real remedy and one that is not a real remedy is that with a real remedy, we understand the process and know how it affects the whole of human life. If today you heal something by any means, you cannot know what will become of it in five years. But if you understand the process completely, you do not need statistics. With our remedies, it is never a matter of statistics. You will see from the book that is about to be published how it is not dependent on statistics whether a remedy works or not, but on the study of the individual case. If you have a box of matches and try the match, you will not burn all the matches, but you know when you have burned a match that each one can burn. Likewise, you know that each process must proceed as you know it. It is therefore not a matter of statistics, but of understanding the individual case. Therefore, we will always have great difficulties when people say: Give out your remedies, they should be tried! — But that does nothing; it does not create trust in the remedies. Of course, our remedies will produce extraordinarily favorable results statistically, but the usual cases are either not correctly diagnosed or are cases where additional remedies have yet to be administered. Now, I believe that the essential thing when it comes to such remedies, which heal without being understood, is, above all, to really understand how things work. You see, it is remarkable that even the trial leads to all sorts of interesting things. Today, all kinds of remedies for syphilis appear. Arsenic plays a role everywhere. Why is that? With us you hear: Arsenic is something that stimulates the astral body to do so when it is lethargic, to stimulate it to intervene more in the physical body. This astral body is made active by introducing arsenic into the human being. These remedies, discovered by trial and error, are actually based on this effect on the astral body. Of course, you can also see how they are mistaken, how they are caused by an illusion. One relies on the penetrating effect of arsenic in cases where the astral body can really become so strong through arsenic. And in the case of syphilis, only arsenic really cures. So with all such remedies, one must always see through the effectiveness of the remedy. One should always strive to see through the effectiveness of a remedy. Our way of thinking must therefore become more and more known, and that is precisely what we want to achieve through the book, namely to introduce it into the medical way of thinking to be cultivated here and not so much to point out the remedies. It will also be important to point out the way of thinking for remedies that are not indicated by us. After all, there are good remedies outside our area, and if necessary one gives this or that.

Second question: When we were here last time, we talked about bronchial asthma. You indicated as a remedy that one should meditate on breathing. Are we justified in giving such a meditation in such cases? I didn't know what else to do, I found a saying by Goethe:

In breathing there are twofold blessings:
To draw in air, to discharge it,
The former presses, the latter refreshes;
So wonderfully is life combined.
You thank God when He presses you,
And thank Him when He releases you again.

I didn't know if that was right.

Dr. Steiner: You see, in such matters one must accept that because you are going half-spiritually or three-quarters spiritually for my sake, you also have something spiritual in your response when the attitude I have spoken of today is present. This being rooted in the earthly, then in the cosmic through the head, if the doctor has learned to think and feel spiritually and to behave in the same way towards the patient, then one can take responsibility for something like that. But if you approach the sick with an attitude that is often shaped by a materialistic world view, if you approach the sick with an attitude that is indifferent to the soul, then you can usually achieve the opposite of what you actually want to achieve with such things, even if they have nothing to do with the soul. You see, there are really many people who work with such things over and over again – and today it is not completely ruled out for doctors either – who work with such things. They will sometimes bring about relief, even if it is not a cure. If the sick person is strengthened by it, then this relief can really lead him to healing. But if people ask whether you can really achieve something like that, I have to say that if you really love the sick person, then it will be possible. But if you are indifferent towards the patient, then it will not help.

You should really have the courage to heal. That is why I have always mentioned the courage of healing here with our institute, where this is the case. It is the worst thing a doctor can do, even when a patient is very seriously ill and you want to cure him, to think of death. As a doctor, you should forbid yourself to think of the patient's death as a possibility. After all, the imponderables are so strong. It is an immensely strengthening force when you, under all circumstances, send the thought of death away to the very end – to the very end! — and think only of what I can do to save the patient's life force, to save what can be saved. If this attitude is developed, many more people will be saved than if the opposite attitude is developed, which somehow predicts death from these or those things. One should never do that. And one must indeed take such things into consideration. Then one is justified in having the courage to heal.

Question: If one works as an assistant at a hospital and has to prescribe morphine and other drugs to patients, can something one does to the patient that is wrong be counteracted by something else, by one's attitude towards the patient, for example?

Dr. Steiner: Much can be achieved through the attitude. But if the interventions are necessary with physical substances, then these should be taken directly from the plant kingdom, not derived preparations, depending on how necessary it is to use the juice of the poppy plant directly. And not with an awareness of the inner process, on the contrary, by focusing on the outer form of the plant, on what is pleasing about the plant. It is difficult to give rules in such matters, because even when one is obliged to give the remedy, one's attitude is of great importance in picking up what comes to light in the patient. You have to pay attention to the mood that arises in the patient through the remedy, then you can intervene. The patient has become more transparent through the remedy in terms of helping. We will continue tomorrow, when I ask you to ask anything you have on your mind.

A participant asks about the significance of milkweed and dandelion juices as a remedy for leukemia. This remedy presented itself to him during a meditation.

Of course, it is important to take into account the accompanying symptoms, because leukemia can have a wide variety of causes. If it is the case that there can be a clear awareness that one is dealing with a disturbance in the rhythmic human being, then you will be right; then you will come to results. The thing is this: Wherever products are used that come from the plant kingdom and still have the remnants of the etheric body in them – and that is the case with resinous and milky juices, both in dandelion and in spurge; it is also the case with wax, for example in vegetable wax – all these substances have a strong effect on the human rhythmic system. But if we are dealing with something that has its primary cause not in the human being's rhythmic system but in the metabolism – these things merge into one another, but in principle they must be distinguished – then you will hardly succeed. Everything that still contains the etheric body within it has a very strong effect on the internal mobility of the astral body, and thus stimulates the entire activity of the organism from the astral body. And in this way one can achieve success. This is based on the fact that the astral body is strongly influenced by these substances and that, because it acts on the etheric body, it then also causes a balance in the etheric body.

What are the conditions for a smallpox epidemic to occur? It seems that this disease has lost its malignant character. I have observed such cases.

What does spiritual science have to say about vaccination?

In this matter, as with smallpox, we are dealing with a strong regression of the ego organization of all three other human bodies, both the physical and the etheric and astral bodies, in the individual. This strong regression, this weakening of the ego organization, can be due to the fact that the person, with their present ego, slips into the egos of past lives; and as a result, there is a strong affinity between the ego organization and the spiritual world. And what is remarkable about smallpox is that there is a certain similarity with what a person goes through when they undergo certain types of initiation. However strange it may seem, this is the case.

When a person, for example, really gets to know the effect of the zodiacal figures on people, such states of knowledge are associated with strong inner shocks. At least a person can undergo this by controlling it more, by working more on the soul, what is present in the case of smallpox, because it is a matter of the person living very strongly in the spiritual during the smallpox illness, albeit in a different way.

It can be said that the risk of infection is extremely high when suffering from smallpox. However, one should not be so careless as to always think of physical mediation in the transmission, but rather that the psychological predispositions are particularly strong in the case of smallpox. Proof of this could be that one can protect oneself very well if one is able to shut oneself away in the right way. I am able to speak about this because once, as a twenty-two-year-old person — I need not mention the circumstances — I taught a pupil whose mother was lying with black smallpox right next to it, separated only by a screen from the room in which I was giving my lessons. I did nothing about it, continued the lessons the whole time until the mother recovered. But I did it quite willingly, especially to see how one can protect oneself when one absolutely takes the smallpox patient, including those suffering from black smallpox, quite objectively like another object, like a stone or a bush, towards which one has no further feelings of fear or any other psychological stirrings, but takes it as an objective fact. In this case, the danger of infection must indeed be highly counteracted. Therefore, after all, the psychic factor can also play a strong role in the infection.

I have never been afraid of exposing myself to the possibility of infection, and in fact I have never been infected and have never suffered from an infectious disease. I was therefore able to determine that simply the consciousness, the strong consciousness of the existence of an illness can be the cause of illness from the astral body. The strong consciousness of an illness can be the cause of illness from the astral body.

And the smallpox vaccination? That is a peculiar case. You see, if you vaccinate someone and you educate them as an anthroposophist, it does no harm. It only harms those who grow up with predominantly materialistic thoughts. In such cases, vaccination becomes a kind of Ahrimanic force; the person can no longer rise above a certain materialistic feeling. And that is actually the most worrying thing about the smallpox vaccination, that people are virtually clothed with a phantom. The human being has a phantom that prevents him from getting rid of the soul entities as far from the physical organism as in normal consciousness. He becomes constitutionally materialistic, he can no longer rise to the spiritual. That is the worrying thing about vaccination. Of course, the statistics are always brought into play. The question is whether so much value has to be placed on statistics in these matters. With the smallpox vaccination, it is very much a psychological issue. It cannot be ruled out that the belief that the vaccination helps plays an incalculably large role. If this belief were replaced by something else, if people were educated in a way that would make them impressionable by something other than vaccination, for example, by bringing them closer to the spirit, it would be quite possible that, against the unconscious intrusion: here is a smallpox epidemic! - by complete consciousness of it: here is something spiritual, even if it is an unauthorized spiritual, against which I must protect myself! would work just as well as one would have to strengthen people against such influences.

If the circumstances are as they are, for example in our area, where the influence through education and so on is very difficult, how should one behave there?

You just have to vaccinate. There is no other way. Because fanatical opposition to these things is what I, not for medical reasons, but for general anthroposophical reasons, would not recommend at all. Fanatical opposition to these things is not what we are aiming for. Instead, we want to use insight to change things on a large scale. I have always regarded this, when I was friends with doctors, as something to be combated, for example with Dr. Asch, who absolutely did not vaccinate. I have always fought against that. Because if he does not vaccinate, someone else will. It is a complete nonsense to be so fanatical in the details.

Dr. Kolisko: As a school doctor, I observed that children who start school show a tremendous inner restlessness, which manifests itself particularly during sleep, so that the parents of children aged 6 or 7 complain that the children are plagued by nightmares, by motor restlessness, and that they have difficulty falling asleep. What are the circumstances that lead to this?

The conditions that children show when they start school, that is, in Germany, stem from the fact that, due to the nutritional conditions that have prevailed for years, rather than the general conditions, the inner ability to digest food - not the process that takes place in the stomach, but the inner ability, where it is important to drive the food pulp out of the intestines - is highly disturbed. It is the case that these children actually become incapable of properly interacting with their astral body in the etheric body. As a result, these children are usually unable to really transfer what they take in as food, even if they take it in through charity, into the organism. Every food has its own inherent laws; it must pass through a certain stage of digestion, every food must pass into the inorganic state. This is something that is not known in external science, that, for example, the protein we consume as vegetable or animal protein must be thoroughly disorganized, converted into the mineral state and then reconverted into human protein. The whole process takes place in the state nascendi, but it does take place. This transmutation must take place, otherwise the process does not take place as a human process, but as a foreign one. So we can say that within the human skin, roughly speaking, apart from the presence of direct salts, there must be nothing that occurs outside the human organism. There is nothing within the human skin that is outside except salt. Everything else is transmuted. Now, just when their etheric body is becoming free – it becomes free when they enter primary school age – these children lose the ability to organize this freed etheric body in the right way, starting from the astral body. This is what causes this digestive disorder. They have extra-human processes in them; and such things must be combated quite rationally physically. We have this remedy, which we prepared when we had some particularly bad examples of such children. I believe you will always have excellent success in this direction. Dr., do you remember the pale little boy in the second class? What about him?

He is much better.

He is now quite decent, relatively.

We have also used it on many other children.

That was the next occasion: there was a pale boy whom the doctors had already given up on; he was supposed to die in the near future. We used this remedy on him: calcium carbonate and calcium phosphate. It turned out that this remedy was very effective in promoting digestion; then the internal conditions improved. It is always the case that shortness of breath and breathing difficulties occur when the astral body cannot work properly. If it is held back, shortness of breath occurs, which can also be the cause of hidden anxiety. All this can be improved with this remedy. This remedy is of the

manner that one can say that if a person is no longer able to benefit from what he eats, despite eating, then this remedy is an extraordinarily good one.

What do you do for spinal paralysis?

What are the symptoms?

Just tenderness over the affected vertebra. The x-ray shows that the affected vertebra may have melted together a little on one side, that the vertebra has now taken on this (shown or drawn) shape instead of its normal shape.

It is natural that in such things, where there are such localized conditions, it is very difficult to approach the matter if one does not go back to the primary cause. Which vertebra is it?

The sixth thoracic vertebra.

Is there any kind of external mechanical insult that can be proven?

No, but the finding is that it is derived from pulmonary tuberculosis.

But there are changes in the hilar glands.

It is the case that in the x-ray image, larger shadows are found at this point, which enter the lung tissue in a scattered manner.

How old is the patient?

Thirty-five years.

Has he had this problem for long? Has it been noticed for long?

About three months. I have four such patients, all of them women. Two of them have a trauma on their back from falling down the stairs. In the other two, the x-ray image is such that one could conclude that the problem originates in the lungs.

Can't you prove that the neighboring vertebra is also affected?

Not a single one. In one case it is the tenth, in other cases the sixth. These are adults, about 36 to 39 years old. In one child the case is traumatic, in a twenty-year-old girl it is also traumatic.

In such a case, one would have to try to examine whether the lungs – the matter does not of course have its cause there – have insufficient space at some point, perhaps because they have been expanded. And in this case, one will find something in the area where the lungs unfold towards the front. And there it will be a matter of finding further dilations in some area of the lungs, expansions, for this shrinking - it is a shrinking process. Perhaps it is not in the lung area; it could even be in the bone of one of the ribs. That would have to be looked for. Then it would be a matter of using something that is suitable for balancing the formation of the human body. Now we have a substance that is excellently suited for balancing traumas. That is tobacco. Injected in dilution, it proves to be what balances deformities. If the aim is to bring the remedy to work freely in the organism, phosphorus must be used. Then it will certainly be possible to achieve healing processes in this way. It can definitely be said that healing processes will be achieved if the person concerned is under twenty-eight years of age. But it is not impossible, especially in women, to achieve healing processes even at a later age. And when you have very stubborn natures that are very reluctant, you would have to get them to be cheered up artificially, to cheer up their growth forces, their vital forces a little, and in this way promote the effect. That is what I mean, that in such a case you could do that.

In connection with what has been said about syphilis, I would like to ask how a patient who has received mercury and salvarsan can be freed from the damage caused by the medicine.

The following can be done to alleviate damage caused by mercury: give the patient a very hot bath every day or every other day and let the patient sweat profusely. This alone will greatly stimulate the body to defend itself against the mercury. It is necessary to defend oneself against the mercury to the very depths of one's bones when one has been treated with it. For you have perhaps all heard that after mercury cures, small droplets of mercury can be detected in the bones when an autopsy is performed. When the organism is strengthened by the hot baths, it is already a strong helper to the organism. That it helps sufficiently can be seen from the fact that the bathwater turns black from the returning mercury. Did you not notice that? You have to notice it! Because you don't understand why the bathwater is so dark. If that does not happen, then an arsenic bath should be taken, with about 5% of an arsenical water added to the bath; again, the patient should take a warm bath and, in particular, it should be ensured that the peculiar smell of ink that arises is actually smelled by the patient, so that he has a sensory impression of it. (Gap in the text.)

In such a case, a follow-up cure is needed. The mercury may have been almost completely removed, but the destructive tendency introduced by the mercury remains in the organism. We must bear in mind that mercury has an extraordinarily strong effect on the human organism. One must consider: what is mercury for the human organism? If you follow the embryonic development, you have an ascending embryonic development, that is, from the germ rising to what becomes a human being, and you have a descending development, something that falls away, that is gradually destroyed. The regulator of this destruction is that which, in the human being, is the inner mercurial nature. And if it should turn out that there are too many vital forces, then you could check it by means of mercury, which works constitutionally towards the destruction of the human being. This destructive tendency of mercury must be combated psychically. If you can induce a person to pursue a completely abstract science quite regularly, geometry, for example, dutifully for half an hour every day, then that is the follow-up cure. Sharp, logically connecting and separating thoughts that engage the mind and help to develop inner activity, not passive surrender to the world, but this inner activity, is what must actually be applied for a very long time. Then you will be able to heal someone of the forces of Mercury.

Sometimes women develop nodular hardenings in the mammary gland. Is it safe to use Viscum prophylactically, even if the diagnosis of carcinoma is questionable?

Have you found that prophylaxis in this case causes any damage?

You once said that with this remedy, which is being considered for a disease, there is also a risk of causing something in the wrong case.

We use the viscuminjection in a very specific way. Let us assume the case of an error in the diagnosis. That can be the case. Of course, one would not proceed prophylactically because one has diagnosed that carcinoma is in its early stages. As soon as the tendency is there, prophylaxis can no longer do any harm. But let us assume that an error has occurred. Now we inject seven times in a row; then we take a break. If there really had been an error, we would see it immediately, because a kind of carcinomatous tendency would have arisen that would immediately disappear when we did the second seven injections. We would not go any further. What would be created would be transformed again by a similar process. If one is careful, it is quite impossible to do any harm with Viscum treatment.

Dr. Köller: I had a conversation with a lay doctor about carcinoma treatment. I told him that I believe Viscum is a cure for this. He replied that this would be the case, but that one would have to take something else, namely Quendel; otherwise one would not have the possibility to get to the disease with Viscum. Quendel is what provides the possibility.

Did the man know this on his own initiative?

Dr. Köller: I got to know him because he had performed a remarkable healing. A girl who was almost blind came to see him. He is an eye diagnostician. It is not clear how he does it. He has 750 kinds of tea. It is so difficult to have a conversation with these people. They are all very optimistic. He said that everything can be cured, even cancer. He didn't ask how we do it, he just said it was through mistletoe. He told me that he and a few friends had once been walking through a landscape and had come across a cherry tree with mistletoe on it; the tree was stunted and had cancer. The man said to himself that there was a great healing power in mistletoe.

Viscum is the specific for carcinoma. There is nothing to be done about it. Of course, because basically every disease is treated differently, since every organism is in a certain condition, the remedies are sometimes supported by the addition of something else. It is possible that he has cured with mistletoe. He does not use it as an injection. In that case, it is possible that something else would be needed as an addition. But when Viscum is used as an injection, it is the specific remedy. You just have to pay attention to the differences in the individual case, whether you have the mistletoe from an oak tree, a cherry tree or another tree, such as an apple tree. The essential thing is that the use of mistletoe juice really depends on the fact that we actually have to enhance its effect. I don't know if you have seen that we are not seeking to use Viscum in such a simple way, but that we need an apparatus to do so. First we bring the mistletoe juices into a vertical movement, and then we let a horizontally rotating movement penetrate them. The aim is to make the mistletoe juice drip and to circulate it in drops, combining it again with mistletoe juice in horizontal circles, so that a special structure is created right down to the smallest circles. This is actually only the healing effect of the viscum, which arises. Of course, it is an effective remedy in itself; but the absolutely specific remedy only arises in this complicated way. The only thing that can be said is that when the disease occurs in a complicated way, quendel is used. Because the pure carcinoma, which is a self-contained disease, is not like influenza or flu, for example, where all sorts of things can be added. It is a self-contained disease that is treated with a self-contained remedy.

It is interesting that a person comes up with something like this just because of what he has told you and what you have said, but it is only a mask, not a mask known to him; because the knowledge can only come to such a person in his sleep. The Lord gives to his own in his sleep, truly. There is a prophetic foresight in his sleep that he is looking for mistletoe. Then he remembers this unconscious prophetic experience just as he comes to the mistletoe. A conversation takes place that is quite insignificant for the matter itself. It must be clear that a certain foreknowledge is possible, especially in cases of illness. You can rely on that. I remind you of the case of Schleichs: the person concerned knew that he would die the next night.

Dr. Köller: Basically, it turned out that he also cures in other ways. He said that he had not been at rest; he did not believe that I would get anywhere.

He does not inject. If you give the remedy mistletoe as an internal medicine, you cannot hit the cancer. You hit more of his soul. But you are hitting a malformation in the etheric body, which expresses itself through an impairment of the sensory. You cannot heal internally with mistletoe, only through injection. I understand what he is saying to you; he doesn't dare to approach the matter.

Is the cause of cancer the same in women and men? Is the cause different in the upper and lower human being? I believe I have noticed that the remedy satisfied in the case of stomach cancer but did not satisfy in the case of uterine cancer. Success was clear in the case of stomach cancer in men. In contrast, the matter drags on in the case of uterine cancer. In some cases we cannot get at it; we always injected into the periphery, even in the case of uterine cancer.

It is of course the case that you have to decide whether to inject further away from the site of the cancer or to get very close. If you can get very close to the site, you will achieve results more quickly than if the cancer is in a place where you cannot get close.

With the uterus, you can get close all around, while with stomach cancer you are much further away.

That is quite right. But on the other hand, there is much more communication between the surface and the stomach than between the surface and the uterus. The uterus is a more internal organ. However, the different success is not justified by the fact that there is a difference between men and women. There must be other conditions. All sources of error must be excluded. It is definitely the case that some of our remedies have gained a reputation for being less effective because the remedies in the way they used to be prepared were not as stable. Now, I believe, this no longer occurs in the same way; when they have aged, they will no longer work less well.

For some of the remedies, we are still in the experimental stage.

It has become much more apparent to me that the carcinoma remedy, as it has been manufactured so far, loses a great deal when it is one year old, while it is absolutely effective when it is not particularly old. So this matter would also have to be excluded, excluded as a source of error, and included. Possibly a considerably larger dose would also have to be used for uterine cancer.

A participant would like to ask about a girl who is now 29 years old and who went insane between the ages of 18 and 19. As a child, she was always unruly and naughty; now she has become completely dull. Especially during her period, she became wild. During the time when she became more and more dull, she also became increasingly fat; she now weighs 97 kilograms. So before she was what you might call a naughty girl; then between the ages of 18 and 19, a great increase in this naughtiness, dullness, stupidity, non-reaction, raging during the period, so that the straitjacket had to be applied; then she became more and more dull, less and less responsive, fatter and fatter, with regular periods. She was treated with thyroid extract with the result that the dullness and fattening subsided.

These symptoms all indicate that she had a very weak ego organization. And it is very likely that in such a case, a strengthening of the ego organization can be achieved by a silica cure, a silicon cure, whereby one would have to advise taking the cure twice, i.e. taking silica and taking silica baths. Also Equisetum, that is a good thing. It is likely that one can achieve something for her in this way.

She received silicic acid for a while, but not baths, two years ago; but everything has remained the same.

I would emphasize the effect of silicic acid through baths, especially because this, if it were to be effective, would already have a specific effect. The peculiar rhythmic states that occur through silicic acid would hold back this fat formation, would also combat dullness, and would make her more sociable. It could also be that she is in a state where she does not absorb silicic acid. In this case, an experiment should be made with a very highly potentized phosphoric acid salt, with phosphoric acid potassium. One would have to bring the matter to effectiveness again.

On further question:

The silicic acid to about the sixth decimal place. But really use quartz for internal administration, and equisetum for baths.

Question about a neurasthenic patient. The matter responded very well to formic acid injections, but came back this year and did not go away despite formic acid injections. Eventually, I went down the wrong track by taking out an ingrown toenail, after which the matter got even worse. I tried formic acid again, reinforced with silicon; but I couldn't get through. The pain became unbearable, radiating from the foot to the calf. It was a variety of pains, sometimes rhythmic. I had to give him morphine injections, which I had to increase a lot; I barely touched him to keep the pain within tolerable levels. He couldn't sleep anymore. He would sit holding his foot, complaining of terrible pain; I tried alternating foot baths. The foot had to be amputated halfway up the calf. I ask because unfortunately the process also wants to appear on the other leg. What can be done?

In such a case, it is important to determine what the primary cause is.

He traces it back to his time in the military, when he usually didn't have very good shoes. He is 47 years old and often had to lie in the wet.

But could the pain have occurred first not in the leg but perhaps in the abdomen? It is quite possible that the whole case originates from a deformation at some point in the intestine, that he received a splinter, fell off the horse, pushed himself up, and that this caused an intestinal deformation. This intestinal deformation has the peculiarity of migrating downward and causing such conditions as you have described in the legs, first in one, but then jumping over to the other. Usually this ends in bone tuberculosis. But if the case is as likely as it is, you can achieve something with the remedy that works against the deformation: tobacco. In such a case with tobacco enemas (see note 5. 326).

He smokes quite a lot.

That has nothing to do with it. Tobacco smoke does not affect the organism in the same way as when you use tobacco by injection or as enemas. You only need very diluted enemas if you use them. It has a completely different effect on the organism. When smoking, the tobacco does not have time to exert its re-deforming effect.

A boy who is now eleven years old learned to walk when he was one, and could also speak a little. When he was two years old, he was standing a little too close during a shooting exercise with cannons. It is said that he has been deaf and dumb ever since. His speech is an incomprehensible babble, and he hears absolutely nothing. Is there anything that can be done? He can walk; he even looks very intelligent.

Otherwise, there are no disorders except for not hearing and speaking? What happens if you somehow make an impression on the eye?

Then he reacts just like a normal person; only in the ear and in speaking is there a change.

How was the second teething?

Quite normal at seven and a half.

One would have to assume that in some way the vitality of the auditory nerve has been broken. Now, after all, we have had quite considerable success with edelweiss, especially in the 10th decimal; or first in the 6th, then in the 10th, to revive the auditory nerve. There have been failures, but basically these have been observed in fairly old people; not really in younger people. I do think you can try this. It is indeed extremely difficult to treat these devitalized nerves; but one can certainly be successful with edelweiss under certain circumstances.

During the war, a female patient had suffered some kind of shock. She believed that her fiancé was dead. She was alone at home and had no one to talk to about it. Since then, she has become epileptic. The attacks always occur before her period. The attacks occur with tongue biting and so on, very typical. As soon as the period begins, it is over. She is in an institution for epileptics, even though the seizures only occur before her period.

How is she treated?

(Answer missing)

In such a case, you start with belladonna. If that doesn't help, you move on to reindeer moss in 6 decimal, and finally you administer fly agaric. It is very difficult to say anything specific in this case without seeing the patient. There could be any number of underlying causes.

A fifty-year-old man had a very hard time in his earlier years. For eleven years he had rheumatoid arthritis, which killed a brother of his. Now there is still a change in the left knee. Until two years ago, he had episodes of blood rushing to his head. Two years ago, a clear change occurred. He gained weight, and the rush of blood to the head disappeared. But what occurred was what he briefly describes as asthma. He has breathing difficulties, he has to gasp for breath when he talks. I have the impression that the problem is now in the bronchial tubes.

At 48 years old. Just as the rush used to be to the head, now it's to the chest. Now it happens that the man sometimes turns a little blue; it just needs to be quiet for him to turn a little blue.

It's possible.

It is very likely that this man is able to convert too much of the oxygen he has taken in into carbonic acid, so that he always has too much carbonic acid in his blood. You can test whether the man does not feel relieved when given air with more oxygen. If that is the case, then it is quite clear. Then the man produces too much carbonic acid, and it is necessary to give this man - what is he? —

- engineer —

to add silicon in the first decimal place, i.e. five percent, and he should be encouraged to do so, if he has taken it, for about half an hour after taking the silicon, to make some kind of mental effort. Then he can get better. He then manages to reduce the excessive carbonic acid production capacity.

We must now conclude, and continue tomorrow in the same vein.

I don't find these types of questions fruitful. The individual gets a lot out of them, but the others don't get much out of them. One should ask more general questions, something more interesting. Tomorrow it should be done a little differently. Don't you agree, Doctor?

I am prepared to answer anything that is asked. You can give a whole lecture on each question. I could have talked about the subject until now, when the first one asked; but then only one person would have had their turn. I think it was quite good to hear something varied. It's not important that we are satisfied, but that the audience is.

I think that something is being done here, as in the way clinics are held at the university, because the way of asking the question does not allow for the other question of how one can develop understanding within oneself.

That would come immediately if a question were asked about it. So tomorrow, ask a question about it, then it can come about. I don't think it's completely useless to go into this question. But other answers come up. We just evaluate them in such a way that the audience can be satisfied.

What about deepening the diagnosis? We can think about a patient in many ways. A lot of questions arise, and one often faces the difficulty of deciding what to do. Intellectually you cannot; you have to make a volitional decision. I would like to ask: Is it not possible to push back this intellectual volitional impulse at that moment, so that what you have to do comes to you? Perhaps you could say something about that?

You mean how one can make the diagnosis more transparent?

In treatment, you are faced with various possibilities. You can't decide whether to use herbal or mineral remedies; you have to decide on something. You should be able to approach the patient from deeper grounds and to merge all these ideas together so that you arrive at knowing that this is the right thing to do.

We will make something up tomorrow and then develop an idealized diagnosis.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

"It will be seen from this that our reference to the ascendants does not come from a daring fantasy conclusion, but from a real spiritual scientific observation.

To those who may be disturbed by this truth, we would say that our statements are not motivated by a desire for paradox, but by a desire to share this knowledge with everyone. The mystical concepts of inheritance will always remain obscure if we are afraid to recognize the metamorphosis from the physical to the spiritual and vice versa in the succession of generations.

In therapeutic terms, such an insight can only lead to a view of the point at which the healing process is to be applied.

Now it moves into the therapeutic.

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

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

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

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

"Pyrite, a compound of iron and sulfur, when applied externally, stimulates the I-organization to make the astral body more lively and to increase its affinity to the ether body. The substance of the Emperor's mushroom, with its special content of organized nitrogen, works in such a way that an effect emanates from the head, which, through the ego organization, makes the ether body more lively and increases its affinity to the astral body. The healing process was supported by eurythmy therapy, which sets the ego organization itself in lively activity. Thus, what is applied externally is guided into the depths of the organization. The healing process thus initiated was then further strengthened by means of measures that were intended to make the astral and etheric bodies particularly sensitive to the effect of the ego organization. In a rhythmic daily sequence, the following treatments were applied: baths with a decoction of Solidago, back rubs with a decoction of Stellaria media, and internally, tea made from willow bark (which particularly affects the receptivity of the astral body) and Stannum 0.001 (which particularly makes the etheric body receptive). We also gave poppy juice in a weak dosage to make the damaged self-organization recede in the face of the healing effects.

The mother received more the last therapy because, as a generation older, the forces of heredity had less effect. The same applies to the mother's sister. While the child was still in the clinic, we were able to see that it was easier to direct and that it was in a better mental state. For example, it became more obedient; and the movements it otherwise made very awkwardly, it now made more skillfully. Afterwards, the aunt told us that a great change had taken place with the child. It has become calmer, the excess of involuntary movements has decreased; it has become so skilled that it can play alone; and in terms of the soul, the former stubbornness has disappeared."

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

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

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

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

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

A participant comments.

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

Dr. Wegman reads the “Fifth Case” described in the book mentioned at the beginning on pages 114-116:

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

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

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

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

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

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

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

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

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

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

This is only a help, a last resort.

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

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

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

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

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

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

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

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

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

Question about the heritability of the predisposition to carcinomas.

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

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

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

How does it express itself outwardly?

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

What is eurythmy based on?

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

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

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