Book review by Dr Sunila
A nosode is a homeopathic remedy prepared from a pathological specimen. The only difference between a nosode and any other remedy is the starting material. It could be blood, pus, any other body secretion or excretion, or even a diseased fragment of tissue. Nosodes appear to stimulate the entire natural immune system to react against a specific disease. One of the many reasons that they have not been accepted in the ‘orthodox’ medical community is that they do not produce specific, measurable antibodies.
Medicines prepared from cultures of non lactose fermenting bacterial flora of the intestinal tract are called intestinal Bowel Nosodes. They are not the morbid product of disease, but they are classified under nosodes.
B.coli in the intestinal tract performs normal & useful function when the intestinal mucosa is healthy, but any change in the host that affects the intestinal mucosa will affect the balance, and change the biochemistry of B.coli. It should be noted that the primary change i.e. the disease, originated in the host which compels the bacilli to modify in order to survive.
The proving of bowel nosodes was not conducted in the strict Hahnemannian sense, but on clinical observation of the sick person. Bowel nosode was first isolated in 1880 by a bacteriologist –
Eberth. Bach did much work on them from a homeopathic point of view. Started to preparevaccines from dead cultures and treating patients with injections. In 1919 he joined the London Homeopathic Hospital as a bacteriologist and started potentising bacteria a year later. In 1928 Elisabeth and John Patterson did much work on the nosodes and did a protracted programme ofprovings and clinical trials.
1. Dr. Edward Bach (1886 – 1936)
A bacteriologist in London discovered that certain intestinal germs belonging to non lactose fermenting gram negative coli, typhoid group, had a close connection with chronic disease and its cure. These germs are present in healthy and diseased individuals but in the latter case it is pathogenic. He isolated the bacilli and prescribed it for the patient in the form of a vaccine – an autogenous vaccine – and claimed to cure the disease.
Years later he potentised the vaccine according to the Homoeopathic principle, administered and cured so many patients. The first full preparation of clinical proving was done in 1929 by Thomas Dishington on Dysentery co.
In 1930 Bach briefly summarized the clinically derived indication for most of the nosodes. In 1930 he stopped the research on Bowel nosodes and discovered “Bach flower remedies”.
2. JOHN PATERSON (1890- 1955)
A co-worker of Bach concentrated on this research after 1929. He studied more deeply the characteristics of the bowel flora, especially their behavior in health, disease and in drug provings. He examined more than 20,000 stool specimens and conducted research over 20 years.
He came to the following conclusions:
- The non lactose fermenting non pathogenic bowel flora (B.coli) undergoes definite changes in the disease condition. While this alternation in the nature of bowel flora might be a mere concomitant to the disease condition, there is reason to believe that the B.coli actually turns pathogenic.
- Bach found out that the non lactose fermenting gram -‘ve coli was closely associated with the symptoms collectively called Psora by Hahnemann. But Paterson believed that gram negative diplococci were directly related to the sycotic miasm.
He grouped and typed the flora by continuous experiment and observation. He was able to detect a definite relationship between certain drugs and certain types of bowel flora.
Paterson advocated specific recommendation on potency, dose and repetition of bowel nosodes.
He divided the Morgan group of bacteria into 2 sub classes on bacteriological basis and thus created nosodes – Morgan pure & Morgan Gaertner.
In1933 Paterson presented a paper on Sycotic co. In 1950 he published summary of his accumulated experience. After his death in 1954, his wife Elizabeth Paterson continued the research.
Indications for the Use Of Bowel Nosodes
During case taking, great attention should be given to the past as well as the presenting complaint. Bowel nosodes are deep acting remedies so the case taking must cover the totality of symptoms. The nosode should be administered in the same manner as any Homoeopathic remedy; they should not be given empirically but only on Homoeopathic principles.
Paterson divided the case in to 2 groups
- New case – when the patient has not taken Homoeopathic treatment.
- Old case: a patient under Homoeopathic treatment but not responding well.
1. In a new case where a definite symptom picture points to a remedy, that remedy should be given, not the nosode.
2. In cases where the choice may be from a number of possible remedies, eg. Sulphur, Calcarea, Graphitis, and it is difficult to select a remedy from this, Morgan pure can be considered to cover the totality of symptoms by referring to the table of related remedies.
As another example, the choice might lie within the group of remedies Merc. viv., Phosphorus, Silicea in which case the nosode Gaertner(Bach) would be indicated.
This is an individual who has had Homoeopathic treatment over a period of time and received a considerable number of remedies in various potencies. In such cases, it should be remembered that the potentised remedy can alter the bowel flora. In old cases the remedy already given may have caused a positive phase of bowel flora that is it changed the B.coli predominance to that of non lactose fermenting bacilli.
If the percentage of non lactose fermenting bacteria in the stool is greater than 50% the administration of bowel nosode is contraindicated, the nosode given at that time produces a negative phase with a corresponding period of vital depression in the patient. In such cases use a nosode in 6c potency in the first instance to avoid the chance of violent negative reaction.
DOSE, POTENCY & REPETITION
As usual in Homoeopathy, the more obvious the mental picture, the higher the potency, but lower the potency if marked pathological symptoms are present. With outstanding mentals, use 1M potency or higher. But in pathological conditions like RA or malignancy, use 6c potency. But between these two extremes use the 30th potency-when there is a combination of acute and chronic state, for example, in chronic bronchopneumonia.
- Proteus acts best in high potency.
- GaErtner will not work in low potency.
According to Paterson do not repeat a bowel nosode within three months, instead prescribe the homeopathically indicated similimum from the group of remedies (previously given) related to the bowel nosode.
Important Bowel Nosodes
- B. Morgan (Bach)
- Morgan pure (Paterson)
- Morgan Gaertner (Paterson)
- Dysentery co. (Bach)
- B. Proteus (Bach)
- Gaertner (Bach)
- Sycotic co. (Paterson)
- Bacillus No.7 (Paterson)
- B.Mutabile (Bach)
- B.Feacalis (Bach)
- Bacillus No.10 (Paterson)
- Cocal co
1. MORGAN (Bach)
- B. MORGAN is the type of non-lactoe organism most frequently found in the stool & it has the greatest number of associated remedies.
- “Congestion” is the keynote
- Biochemistry: Sulphur and Calcarea carb stand out the most.
- Associated skin remedies are Sulphur, Graphites, Petroleum & Psorinum.
MORGAN PURE (Paterson)
- Indicated when there is marked skin eruption, disturbance of liver, bilious headache or gallstone.
MORGAN GAERTNER (Paterson)
- It is most useful in acute inflammatory conditions as in renal colic and gallstone colic.
- Aggravation at 4-8 pm.
2. PROTEUS (Bach)
- Key note: Suddenness in nearly all complaints.
- Mental symptoms are prominent in the clinical proving & “Brain storm” might be taken as the key note to indicate this sudden & violent upset of the nervous ystem.
- It is always related to central and peripheral nervous system.
- Biochemistry: The outstanding element is chlorine.
- It is highly recommended in Raynaud’s disease and Miner’s disease.
3. BACILLUS No.7 (Paterson)
- This is so named because it was the 7th non- lactose fermenting type of bacillus to be observed in the laboratory, & as it did not conform to any of the previously known groups, it was given the numerical “7”.
- Keynote: Mental & physical fatigue, old rheumatism
- Biochemistry: Br & Iodine.
4. GAERTNER (Bach)
- Key note: Malnutrition
- Biochemistry: Sil, P, Fl, Merc-viv.
- Overactive brain with undernourished body.
5. DYSENTERY CO. (Bach)
- Keynote: Anticipatory nervous tension.
- MARKED IMPROVEMENT IN CONGENITAL PYLORIC STENOSIS.
6. SYCOTIC CO. (Paterson)
- This organism is not of bacillary form but is a non lactose fermenting coccus found in the intestinal tract. A PRE-TUBERCULAR REMEDY.
- Key note: Irritability with special reference to synovial & mucus membrane.
7. MUTABILE (Bach)
- It is named so because it mutates as soon as it is sub-cultured from non lactose to a lactose fermenter. Mutabile is likely to be of value in treatment where there is alteration of symptoms, eg. Where skin eruption alternates with asthmatic symptom. Associated remedy isPulsatilla.
- It is an intermediary form between B.coli and the true non lactose fermenting type.
8. B. FAECALIS
- It is similar to Sepia. Not well proved
9. BACILLUS No.10 (Paterson)
- Spongy gums. Numerous flat warts on hands & Lipoma.
10. COCAL CO. (Paterson)
- It is used in septic state. Not well proved.
BOWEL NOSODES & RELATED REMEDIES
- MORGAN PURE SULPHUR
- MORGAN GARTNER LYCOPODIUM
- PROTEUS NAT. MUR
- MUTABILE PULSATILLA
- BACILLUS NO.7 Br, KALI C, IOD
- GAERTNER MERC VIV, SIL, PHOS
- DYSENTERY CO. ARS ALB
- SYCOTIC CO. THUJA
- B. FAECALIS. SEPIA
REPERTORY OF BOWEL NOSODES
- Published by: Indian Books & Periodicals Publishers, New Delhi.
- Price: Rs. 25.00/-
- First edition: 1998.
- Author : Dr Mrs. Namita Mohanty MD. Hom(Repertory)
For fullest utilization of symptoms recorded in the Materia Medica of Bowel Nosodes, a Repertory of Bowel Nosodes is prepared &presented with 27 chapters starting from Constitution to Generalities.
- Neck & Back
- Circulation &
The characters of sub-rubrics are:
- Alternate with
- Unexpected deviation
- Sensation as if
- Various type
There are 2 gradations:
- First grade: bold letters
- Second grade: Roman letters.
Rubrics & sub-rubrics are in alphabetical order.
List of abbreviations
- Sycotic Co.: Syc. Co
- Dysentery Co.: Dys. Co.
- Proteus: Prot.
- Gaertner: Gaert
- Morgan(pure): Mor.(pure)
- Bacillus No.7: Bac.No.7
- Bacillus No.10: Bac.No.10
Important Rubrics in Different Chapters
- Anaemic: Sycotic Co.
- flushed: Morgan(Bach)
- pale: Morgan Gaertner.
- Florid: Bacillus N.10, Morgan Pure, Proteus.
- dark: Dysentery Co.
- freckles: Gaertner
- pale: Bacillus No.7.
- Active: Bacillus No.10, Morgan Pure.
- Anger, contradiction from: Proteus.
- Anxiety: Bacillus No.10
- Anticipatory: Dysentery Co.
- Apprehensions: Dysentery Co.
- strangers in the presence of: Dysentery Co.
- Cross: Sycotic Co.
- Depressed: Bacillus No.10, Morgan Gaertener, Morgan Pure, Proteus.
- Exhausted: Bacillus No.7
- Fear: Dysentery Co.
- Fixed notions: Proteus
- Emotional: Proteus
- Impatient: Morgan Gaertener
- Intelligent: Gaertner
- Overactive brain with undernourished body: Gaertner.
- Irritability: Bacillus No.10, Morgan Gaertener, Morgan Pure, Proteus.
- Loner: Proteus
- dislikes to be ignored yet: Proteus.
- Nervousness: Dysentery Co., Gaertener, Morgan Gaertener, Sycotic Co.
- alone when: Gaertener
- crossing street when: Gaertener
- noise from: Gaertener
- Stubborn (obstinate): Proteus
- Tense: Bacillus No.7, Morgan Gaertener, Morgan Pure, Proteus
- Unresponsive: Proteus
- Weeping, tearful mood: Morgan Pure.
- Pain headache in general: Dysentery Co.
- blinding: Dysentery Co.
- Vertigo: Morgan Pure.
- High blood pressure from: Morgan Pure.
- Discolouration, red: Morgan Pure.
- Dry: Morgan Pure.
- moist: Morgan Pure.
- pustular: Morgan Pure.
- scalding: Morgan Pure.
- scaly: Morgan Pure.
- Heat: Morgan Pure.
- Eyes, under: Sycotic Co.
- Granular, lids: Morgan Pure.
- Pain: Sycotic Co.
- Photophobia: Proteus.
- Cracks behind ear: Morgan Pure.
- Discharges: Morgan Pure, Sycotic Co.
- Eruption: Morgan Pure.
- Behind ears: Morgan Pure.
- fissured: Morgan Pure.
- itching: Morgan Pure.
- moist: Morgan Pure.
- scaly: Morgan Pure.
- Eczema, on ear passages: Morgan Pure.
- Hearing, impaired, deafness, catarrhal: Morgan Gaertener
- Inflammation, mastoid portion of temporal bone: Morgan Gaertener.
- Meniere’s disease: Proteus.
- Coryza: Dysentery Co., Morgan Gaertener, Morgan Pure, Sycotic Co.
- annual (hay fever): Dysentery Co.
- frequent: Dysentery Co.
- Coated, tongue: Morgan Pure.
- Cracks tongue: Sycotic Co.
- Furred, tongue: Sycotic Co.
- Pain, sore, tongue: Sycotic Co.
- Rawness, tongue: Morgan Pure.
- Slimy, tongue: Morgan Pure.
- Swelling, tongue: Morgan Pure.
- Taste, bad: Morgan Gaertener
- bitter: Morgan Gaertener.
- Tongue: Sycotic Co.
- Dryness: Morgan Pure.
- parched: Morgan Pure.
- Goitre: Sycotic Co.
- Granulated: Morgan Pure.
- Pain: Morgan Pure.
- burning: Morgan Pure.
- rawness: Morgan Pure.
NECK & BACK
- Inflammation, fibrositis, back: Sycotic Co.
- neck: Morgan Pure.
- Pain: SycoticCo.
- heat, amel: Sycotic Co.
- Back: Sycotic Co.
- Lumbo sacral region: Sycotic Co.
- back: Bacillus No.7
- shoulder: Bacillus No.7.
- Fibrositis, chest wall: Morgan Pure, Sycotic Co.
- Inflammation, bronchi, bronnchitis: Morgan Pure, Proteus.
- winter attack: Morgan Pure.
- Asthmatic: Bacillus No.10.
- Butter: Morgan Pure.
- Chocolates: Bacillus No. 10
- Eggs: Morgan Pure.
- Fats: Dysentery Co., Morgan Pure
- Fish: Bacillus No.10
- Milk: Dysentery Co.
- Salt: Dysentery Co., Morgan Gaertner
- Sweets: Bacillus No.10, Dysentery Co.
- Fish: Gaertner.
- Onion: Sycotic Co.
- Orange: Sycotic Co.
- Coeliac disease: Gaertner.
- Distended, colon: Dysentery Co., Morgan Pure.
- Eructation: Morgan Gaertner, Morgan Pure.
- bitter: Morgan Pure.
- sour: Morgan Pure.
- Heartburn: Dysentery Co., Morgan Pure, Proteus.
- Inflammation, gastroenteritis: Gaertner.
- Pain: Morgan Pure, Morgan Gaertner.
- empty stomach in, not relieved by eating: Proteus.
- Sensation, distention of: Morgan Gaertner.
- Stone, gall bladder: Morgan Pure.
- kidney: Morgan Gaertner.
- Tabes mesentrica: Gaertner.
- Thirst, cold drinks for: Dysentery Co.
- Water Brash: Morgan Pure.
- Buerger’s disease: Proteus.
- Contraction, Upper limb: Proteus.
- Inflammation, joints, arthritis, Upper limb, shoulder: Morgan Pure.
- Rheumatoid arthritis: Bacillus No.7.
- Intermittent claudication: Proteus.
- fingers on: Morgan Pure.
- Raynaud’s disease: Proteus.
- Sensation, heat of feet at night: Morgan Pure.
- Swelling, Lower limb, painful: Morgan Pure.
- Heat, flushes of: Morgan Pure.
- Jaundice: Morgan Pure.
- Varicose, ulcer: Morgan Pure.
- Vein: Morgan Pure.
Dr Sunila BHMS,MD(Hom)
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