The Rudolf Steiner Archive

[ 1 ] The activities of the several human organisms in relation to the organism as a whole are strikingly expressed in the formation of the blood and nerves. Where the foodstuffs absorbed into the body become progressively transformed in the process of blood-formation, this whole process stands under the influence of the ego-organization. From the processes that take place in the tongue and palate, accompanied by conscious sensation, down to the unconscious and subconscious processes in the workings of pepsin, pancreatic juice, bile, etc., the ego-organization is at work. Then the working of the ego-organization withdraws, and in the further transformation of foodstuffs into the substance of blood, the astral body is predominantly active. This continues to the point where, in the breathing process, the blood meets the air, the oxygen. At this point the etheric body carries out its main activity. In the carbonic acid that is on the point of being breathed out but has not yet left the body, we have a substance which is in the main only living—that is to say, it is neither sentient, nor dead. (Everything is alive that carries in it the activity of the etheric body.) The main quantity of this living carbonic acid leaves the organism; a small part continues to work into the processes that have their centre in the head organization. This portion shows a strong tendency to pass into the lifeless inorganic nature, but it does not become entirely lifeless.

The nervous system shows an opposite phenomenon. In the sympathetic nervous system which permeates the organs of digestion, the etheric body is paramount. The nerve organs with which we are here concerned are primarily living organs. The astral and ego-organizations do not organize them from within but from without. For this reason the influence of the astral and ego-organizations working in these nerve-organs is powerful. Passions and emotions have a deep and lasting effect upon the sympathetic nervous system. Sorrow and anxiety will gradually destroy it.

[ 2 ] The spinal nervous system, with its many ramifications, is the one in which the astral organization primarily intervenes. Hence it is the bearer of everything which is psychological in man, namely the reflex processes, but not of that which takes place in the ego, in the self-conscious spirit.

[ 3 ] It is the actual cranial nerves which underlie the ego organization. In these, the activities of the etheric and astral organization withdraw.

[ 4 ] We see three distinct regions arising in the organism as a whole. In a lower region, nerves permeated from within mainly by the action of the etheric organism work with a blood substance that is predominantly subject to the activity of the ego-organization. In this region, during the embryonic and post-embryonic period of development, we have the starting-point for all organ-formations connected with the giving of inner life to man's organism. In the formation of the embryo, this region, being weak as yet, is supplied with formative and life-giving influences by the surrounding maternal organism. Then there is a middle region, where nerves, influenced by the astral organization, are working with blood-processes which are likewise dependent on this astral organization and, in their upper parts, on the etheric. Here, in the periods of formation of man, lies the starting point for the formation of those organs which are instrumental in the processes of outer and inner movement, this applies not only to the muscles for example, but all organs which are causes of mobility, whether or not they be muscles in the proper sense. Finally there is an upper region where nerves, subject to the inner organizing activity of the ego, work with blood-processes that have a strong tendency to pass into the lifeless, mineral realm. Here lies the starting point, during man's formative epoch, for the formation of the bones and all else that serves the human body as organs of support.

[ 5 ] We shall only understand the brain of man if we see in it a bone-forming tendency interrupted in its very first beginning. And we shall only understand the bone formation when we recognize in it the working of the same impulses as in the brain; in the bone formation, the brain-impulse is carried to its final conclusion and permeated from without by the impulses of the middle organism, where astrally determined nerve-organs are working together with blood-substance etherically determined. In the bone-ash which remains with its particular configuration when the bones are subjected to combustion, we see the results of the uppermost region of the human organization. While in the cartilaginous organic residue which remains when the bones are treated with dilute hydrochloric acid, we have the result of the impulses of the middle region.

[ 6 ] The skeleton is the physical image of the ego-organization. In the bone creating process the human organic substance, as it tends toward the lifeless mineral, is entirely subject to the ego-organization. In the brain, the ego is active as a spiritual being. The capacity of the ego to create form in the physical substance is here overwhelmed entirely by the organizing activity of the etheric, even by the forces proper to the physical. The brain is based only minimally on the ego's organizing power, which here becomes submerged in the processes of life and in the workings of the physical. Yet this is the very reason why the brain is the bearer of the spiritual work of the ego. For, inasmuch as the organic and physical activities in the brain do not involve the ego-organization, the latter is able to devote itself freely to its own activities. In the bony system of the skeleton, perfect though it is as a physical picture of the ego-organization, the latter exhausts itself in the act of forming and organizing the physical, and as spiritual activity, there is nothing left. Therefore the processes in the bones are the most unconscious

[ 7 ] So long as it is in the organism, the carbonic acid which is pushed out in breathing is still a living substance; it is taken hold of and driven outward by the astral activity that has its seat in the middle or spinal region of the nervous system. The portion of carbonic acid which the metabolism carries up into the head is there combined with calcium, and thus develops a tendency to come into the sphere of action of the ego-organization. Through this, calcium carbonate is driven under the influence of the head nerves, motivated inwardly by the ego-organization, toward bone-formation.

[ 8 ] The substances myosin and myogen produced out of the foodstuffs, tend to become deposited in the blood; they are substances astrally conditioned to begin with, and they stand in reciprocal interaction with the sympathetic, which is organized from within by the etheric body. These two proteins are, however, also taken hold of to some extent by the activity of the middle nervous system which is under the influence of the astral body. They thus come into relationship with the breakdown products of albumen, with fats, sugar, and other substances similar to sugar. This enables them, under the influence of the middle nervous system, to find their way into the process of muscle-formation.

[ 1 ] Throughout all its members, the human organism unfolds activities which can only have their origin in the organism itself. Whatsoever is received from outside, must either merely provide the occasion for the organism to unfold its own activities, or else its activity in the body must be such that the foreign activity cannot be distinguished from an inner activity of the body once it has penetrated it.

[ 2 ] Man's essential food contains carbohydrates for example. To a degree these are similar to starch. As such they are substances which unfold their activity in the plant. They enter into the human body in the state which they can achieve in the plant. In this state starch is a foreign body. The human organism does not develop any activity which lies in the direction of what starch can unfold as activity in the state in which it enters the body. For example, what develops in the human liver as a substance similar to starch (glycogen), is something different from plant starch. On the other hand grape-sugar is a substance which stimulates activities that are of a nature similar to the activities of the human body. To develop an effect that plays any real part in the body, it must first be transformed. It is transformed into sugar by the activity of ptyalin in the mouth.

Protein and fats are not altered by ptyalin. To begin with they enter into the stomach as foreign substances. Here the proteins are so transformed by the secreted gastric pepsin that breakdown products as far as peptides arise. The peptides are substances whose impulses of action coincide with those of the body. Fat, on the other hand, also remains unchanged in the stomach. It is only changed when it comes in contact with the pancreatic secretion, where it gives rise to substances that appear on examination of the dead organism as glycerine and fatty acids.

[ 3 ] Now the transformation of starch into sugar continues through the whole process of digestion. Transformation of starch also takes place through the gastric juice if it has not already been accomplished by the ptyalin.

[ 4 ] Where the transformation of starch is achieved by ptyalin, the process stands at the boundary of that which takes place, in man, in the domain referred to in the second chapter as the organization of the ego. It is in this domain that the first transformation of the materials received into the human body from the outer world takes place. Glucose is a substance that can work in the sphere of the ego-organization. Corresponding to it is the taste of sweetness, which has its being in the ego-organization.

[ 5 ] If sugar is produced from starch through the gastric juice, this shows that the ego-organization penetrates into the region of the digestive system. For conscious experience, the sensation of sweet taste is absent in this case; nevertheless, the same thing that goes on in consciousness- in the domain of the ego-organization—while the sensation “sweet” is experienced, now penetrates into the unconscious regions of the human body, where the ego-organization becomes active.

[ 6 ] Now, in the regions of which we are unconscious, the astral body, in the sense explained in Chapter II, comes into play. The astral body is active when starch is transformed into sugar in the stomach.

Man can only be conscious through that which works in his ego-organization in such a way that this is not overwhelmed or disturbed by anything, but able to unfold itself to the full. This is the case in the domain where the ptyalin influences lie. In the realm of the pepsin influences, the astral body overwhelms the ego-organization. The ego-activity becomes submerged in the astral. Thus, in the sphere of material substance, we can trace the ego-organization by the presence of sugar. Where there is sugar, there is the ego organization; the ego-organization emerges where sugar arises in order to direct the sub-human (vegetative and animal) material towards the human.

[ 7 ] Now sugar occurs as a product of excretion in diabetes mellitus. Here the ego-organization appears in the human body in such a form that it works destructively. If we observe it in any other region of its activity, we find that the ego organization dives down into the astral. Sugar, directly consumed, is in the ego-organization. There it induces the sweet taste. Starch, consumed and transformed into sugar by ptyalin or in the gastric juice, reveals the action in the mouth or in the stomach, of the astral body working with the ego-organization and submerging the latter.

[ 8 ] However, sugar is present in the blood as well. The blood, as it circulates with its sugar content, carries the ego-organization through the whole body. But there through the working of the human organism the ego-organization is everywhere held in equilibrium. We saw in Chapter II how the human being contains, besides the ego-organization and astral body, the etheric body and the physical. These also take up the ego-organization and retain it in themselves. As long as this is the case, sugar is not secreted in the urine. How the ego-organization carrying sugar is able to live, is shown by processes in the organism bound up with sugar.

[ 9 ] In a healthy man sugar can only appear in the urine if consumed too copiously as sugar, or if too much alcohol is consumed. Alcohol enters directly into the processes of the body without intermediate products of transformation. In both these cases the sugar-process appears independently as such, alongside the other activities in the human being.

[ 10 ] In diabetes mellitus the case is as follows: the ego-organization, as it submerges in the astral and etheric realm, is so weakened that it can no longer effectively accomplish its action upon the sugar-substance. The sugar then undergoes the processes in the astral and etheric realms which should take place in the ego-organization

[ 11 ] Diabetes is aggravated by everything that draws the ego organization away and impairs its effective penetration into the bodily activities: over-excitement occurring not once but repeatedly; intellectual over-exertion; hereditary predispositions hindering the normal co-ordination of the ego-organization with the body as a whole. At the same time and in connection with these things, processes take place in the head system which ought properly to be parallel to the processes accompanying activity of the soul and spirit; they fall out of their true parallelism because the latter activity takes place either too slowly or too quickly. It is as though the nervous system were thinking independently alongside of the thinking human being. Now this is an activity which the nervous system should only carry out during sleep. In the diabetic, a form of sleep in the depths of the organism runs parallel to the waking state. Hence in the further course of the disease a morbid degeneration of nervous substance takes place. It is a consequence of the deficient penetration of the ego-organization.

[ 12 ] The formation of boils is another collateral symptom in diabetes. Boils arise through an excessive activity in the domain of the etheric. The ego-organization fails where it should be working. The astral activity cannot unfold itself because at such a place it only has power when in harmony with the ego-organization. The result is an excess of etheric activity revealing itself in the formation of boils.

[ 13 ] From all this we see that a real healing process for diabetes mellitus can only be initiated if we are in a position to strengthen the ego-organization of the patient.

[ 1 ] Of all substances in the organism, fat proves least of all a foreign body when taken in from the outer world. More readily than any other substance, it passes over from the quality it brings with it when taken as a food, to the mode of action of the human organism itself. The 80% of fat contained, for instance, in butter, passes unchanged through the domains of ptyalin and pepsin and is only transformed by the pancreatic juice into glycerine and fatty acids.

[ 2 ] This behaviour of fat is only possible because it carries with it as little as possible of the specific nature of a foreign organism (of its etheric forces, etc.) into the human organism. The latter can easily incorporate it into its own activity.

[ 3 ] This again is due to the fact that fat plays its part above all in the production of the inner warmth. Now the inner warmth is the element of the physical organism in which the ego organization prefers to live. Of every substance to be found in the human body, only as much is appropriate for the ego organization as gives rise to the development of warmth. By its total behaviour fat proves itself to be a substance which merely fills the body, is merely carried by the body, and is important for the active organization through those processes alone in which it engenders warmth. Derived as foodstuff, for example, from an animal source, fat will take nothing with it from the animal organism into the human, save only its inherent faculty of evolving warmth.

[ 4 ] Now this development of warmth is one of the last processes of the metabolism. The fat received as food is therefore preserved as such throughout the first and middle processes of metabolism; its absorption only takes place in the region of the inmost activities of the body, beginning with the pancreatic fluid.

[ 5 ] The occurrence of fat in human milk points to an exceedingly significant activity of the organism. The body does not consume this fat, it allows it to pass over into a product of secretion. Now, into this secreted fat the ego-organization also passes over. It is on this that the form-giving power of the mother's milk depends. The mother thereby transmits her own formative forces of the ego-organization to the child, and thus adds something more to the formative forces she has already transmitted by heredity.

[ 6 ] The healthy process occurs when the human form-giving forces consume the fat store present in the body in the development of warmth. On the other hand it is unhealthy if the fat is not used up by the ego-organization in processes of warmth, but carried over, unused, into the organism. Such fat will then give rise at one point or another in the body to an excessive power of producing warmth. The warmth thus engendered will mislead other life processes by interfering in the organism here and there without being grasped by the ego-organization. There may arise what may be called parasitic foci of warmth. These bear within themselves the tendency to inflammatory conditions. The origin of such must be sought in the fact that the body develops a tendency to accumulate more fat than the ego-organization requires for its life in inner warmth.

[ 7 ] In the healthy organism, the animal (astral) forces will produce or receive as much fat as the ego-organization is able to translate into warmth-processes and, in addition, as much as is required to keep the mechanism of muscle and bone in order. The warmth that the body needs will then be created. If the animal forces supply the ego-organization with an insufficient quantity of fat, the ego-organization will experience hunger for warmth. The necessary warmth must be withdrawn from the activities of the organs. The latter then become internally stiff and fragile. Their essential processes take place too sluggishly. We see the appearance, at one point or another, of pathological processes for an understanding of which it will be necessary to recognize if and how they are due to a general deficiency of fat.

[ 8 ] If on the other hand, as in the case already mentioned, there is an excess of fat, giving rise to parasitic foci of warmth, organs will be taken hold of in such a way as to become active beyond their normal measure. Tendencies towards excessive nourishment will then arise, so as to overload the organism. It need not imply that the person becomes an excessive eater. It may be, for instance, that the metabolic activity of the organism supplies too much substance to an organ of the head, withdrawing it from organs of the lower body and from the secretory processes. The action of the organs thus deprived will then be lowered in vitality. The secretions of the glands, for instance, may become deficient. The fluid constituents of the organism are brought into an unhealthy relationship in their mixture. For instance, the secretion of bile may become too great compared with that of pancreatic fluid. Once again it will be important to recognize how a syndrome arising locally is to be judged in that it may proceed in one way or another from an unhealthy activity of fat.

[ 1 ] Ingestion of albumen is a process connected with one aspect of the inner activities in the human organism. This is that aspect which comes about on the basis of the absorption of physical substance. All such activities result in growth, creation of form, or new formation of material content. All that is related to the unconscious functions of the organism, belongs to this domain.

[ 2 ] The processes of this kind are opposed by those which consist of excretion. These may be excretions directed outward; but they may also be processes of secretion where the product is further elaborated internally, in the forming or laying down of substances in the body. These are the processes of secretion where the product is further elaborated internally, in the forming or laying down of substances in the body. These are the processes which provide the material foundation of conscious experience. Through the first kind of processes the force of consciousness is muted if it exceeds that which can be held in balance by means of the second kind of processes.

[ 3 ] A most remarkable excretory process is that of uric acid. The astral body is active in this excretion. This has to take place throughout the whole organism. It takes place to a particular degree through the urine. In a very finely divided way it takes place for example, in the brain. In the secretion of uric acid in the urine the astral body is mainly active, while the part played by the ego-organization is only subsidiary. In the secretion of uric acid in the brain, on the other hand, the ego-organization is the important factor and the astral body is in the background.

[ 4 ] Now in the organism, the astral body is the intermediary between the activity of the ego-organization and the etheric and physical bodies. The ego-organization must carry lifeless substances and forces into the organs. Only through this impregnation of the organs with inorganic material can man become the conscious being that he is. Organic substance and organic force would lower human consciousness to the dim level of the animal.

[ 5 ] The action of the astral body inclines the organs to receive the inorganic impregnations of the ego-organization. Its function is in fact to prepare the way.

[ 6 ] We see, therefore, that in the lower parts of this human organism the activity of the astral body has the upper hand. Here the uric acid substances must not be received into the organism. They must be excreted copiously. Under the influence of this excretion the impregnation with inorganic material must be prevented. The more uric acid is excreted, the more lively is the activity of the astral body, while that of the ego-organization impregnating the body with inorganic materials is correspondingly diminished.

[ 7 ] In the brain, on the other hand, the activity of the astral body is slight. Little uric acid is excreted, whereas more inorganic material in the sense of the ego-organization is deposited.

[ 8 ] The ego-organization cannot master large quantities of uric acid; and thus they fall under the action of the astral body; small quantities, on the other hand, enter the organization of the ego and there provide the foundation for the forming of the inorganic in the sense of the ego-organization.

[ 9 ] In the healthy organism there must be a correct economy in the distribution of uric acid in the different regions. Whatever belongs to the system of nerve-sense organization must be provided with as much uric acid as the ego-activity can make use of and no more; while, for the system of metabolism and the limbs, the ego-activity must be suppressed and the astral enabled to unfold its action in the more copious secretion of the uric acid.

[ 10 ] Now since it is the astral body that makes way for the ego-activity in the organs, a correct distribution in the deposition of uric acid must be regarded as an essential factor in human health. For in this is expressed whether the correct relationship between the ego-organization and astral body exists in any particular organ or system of organs.

[ 11 ] Let us assume that in some organ, in which the ego organization should predominate over the astral activity, the latter begins to gain the upper hand. This can only apply to an organ where the excretion of uric acid beyond a certain measure is impossible by virtue of structural arrangement of the organ. The organ becomes overloaded with uric acid uncontrolled by the ego-organization. Nevertheless, the astral body begins to bring about a secretion of uric acid. Since the organs of excretion are lacking in such a region, the uric acid is deposited not outwardly but in the organism itself. And if it finds its way to places in the body where the ego-organization is unable to take a sufficiently active part, we find inorganic substance i.e. something which is only proper to the ego-organization, but which the latter leaves to the action of the astral activity. Foci arise, where subhuman (animal) processes insert themselves into the human organism.

[ 12 ] We are dealing with gout. If gout is frequently reputed to develop as a result of inherited tendencies, it is due to the simple fact that when the forces of inheritance predominate the astral-animal nature becomes especially active and the ego-organization is thereby repressed.

[ 13 ] We shall, however, understand the matter more clearly if we look for the true cause of gout in this: substances are introduced into the human body in the process of nourishment, which the activity of the organism is not strong enough to divest of their foreign nature. The ego-organization, being weak, is unable to lead them over into the etheric body, and they thus remain in the region of astral activities. If an articular cartilage or a portion of connective tissue become over-charged with uric acid and, as a result, overburdened with inorganic materials and forces, it shows that in these parts of the body the ego's activity lags behind that of the astral. And since the whole form of the human organism is an outcome of the organization of the ego, this abnormality must necessarily give rise to a deformation of the organs. In effect, the human organism will then strive away from its true and proper form.

[ 1 ] The human body, like other organisms, forms itself out of the semi-fluid[colloidal] state. However for its formation a constant supply of gaseous material is necessary. The most important is the oxygen transmitted by breathing.

[ 2 ] We may consider in the first place a solid constituent of the body, e.g., a bony structure. It is precipitated from semi-fluid material. In this separation the ego-organization is active. Anyone may convince himself of this who studies the formation of the bony system. For, in the embryonic period and in childhood, the bony system develops in the same measure in which the human being receives his human form and figure, the characteristic expression of the ego-organization. The transformation of protein which underlies this process first separates the (astral and etheric) foreign forces from the protein; the protein then passes through the inorganic state, and in so doing, has to become fluid. In this condition, the ego-organization, working in the element of warmth, takes hold of it and introduces it to man's own etheric body. It thus becomes human protein, but it still has a long way to go before the transformation into bony substance is achieved.

[ 3 ] After its transformation into human protein, it must first be prepared for the receiving and transforming of calcium carbonate, calcium phosphate and the like. To this end it must undergo an intermediate stage. It must come under the influence of the absorption of gaseous substance. This brings into the protein the transformation-products of carbohydrates. The substances which thus arise can provide a basis for the form of the individual organs. They do not represent the finished substances of the organs, e.g. liver or bone-substance, but a more general, less differentiated substance, out of which the individual organs of the body can then be built up. It is the ego-organization which is active in moulding the final shape of the organs. The astral body is active in the above-mentioned undifferentiated organic substance. In the animal, this astral body also takes upon itself the task of moulding the final form of the organs; in man, the activity of the astral body and, with it the animal nature as such, persists only as a general underlying foundation for the ego-organization. In man the animal development is not carried to a conclusion; it is interrupted in its path and humanity is imposed, as it were, by the ego-organization upon it.

[ 4 ] Now the ego-organization lives entirely in states of warmth. It derives the individual organs from the undifferentiated astral nature. It works upon the undifferentiated substance with which the astral nature provides it, by enhancing or lowering the states of warmth of the nascent organs.

[ 5 ] If the ego-organization lowers the state of warmth, inorganic materials enter the substance and a hardening process sets in; the basis is provided for the formation of the bones. Salt-like substances are absorbed.

[ 6 ] If on the other hand the ego-organization enhances the state of warmth, organs are formed whose action is to dissolve the organic substance, leading it over into a liquid or gaseous condition.

[ 7 ] Let us assume, the ego-organization finds insufficient warmth developed in the organism, for the adequate enhancement of the warmth-conditions in those organs which require it. Organs whose proper functioning lies in the direction of a dissolving process will then fall into a hardening activity. They assume in a pathological way the tendency which in the bones is healthy

[ 8 ] Now the bone, once it has been formed, is an organ which the ego-organization releases from its domain. It enters a condition where it is no longer taken hold of by the ego organization inwardly, but only in an outward way. It is removed from the domain of growing and organizing processes, and serves the ego in a merely mechanical capacity, carrying out the movements of the body. Only a remainder of the inner activity of the ego-organization continues to permeate it throughout life because the bony system must, after all, remain as an integral organic part within the organism; it must not be allowed to fall entirely out of the sphere of life.

[ 9 ] The arteries are the organs which for the reason above mentioned, may pass into a formative activity similar to that of the bones. We then have the calcifying disease of the arteries known as sclerosis. The ego-organization is, in a certain sense, driven out of these organ-systems

[ 10 ] The opposite is the case when the ego-organization fails to achieve that lowering of the state of warmth which is needed for the region of the bones. The bones then assume a condition similar to those organs which normally unfold a dissolving kind of activity. Owing to the deficient hardening process, they are no longer able to provide a basis for the incorporation of salts. Thus the final process in the development of the bone-formations, which properly belongs to the organizing domain of the ego, fails to take place. The astral activity is not arrested at the proper point on its path. Tendencies towards malformation of shape must then appear; for the healthy creation of the human form and figure is only possible within the realm of the ego-organization.

[ 11 ] We have here the ricketic diseases. From all this it becomes evident how the human organs are connected in their activities. The bone comes into being in the realm of the ego-organization. It still continues to serve it even when the actual formation is concluded, when the ego-organization no longer forms and creates the bone, but uses it for voluntary movements. It is the same for that which arises in the domain of the astral organization. Undifferentiated substances and forces are there engendered. These occur throughout the body as an underlying basis for the differentiated organ forming processes. The astral activity carries them up to a certain stage and then makes use of them. The entire human organism is permeated by semi-fluid material, in which an astrally directed activity holds sway.

[ 12 ] This activity spreads itself in the secretions which are made use of to form the organism in the direction of its higher members. Secretions tending in this direction are to be seen in the products of the glands which play so important a part in the economy of the organism and its functions. In addition to these inward secretions, we then have the processes that are excretions in the proper sense, towards the outer world. But we make a mistake if we regard the excreta merely as those portions of the food consumed which the organism cannot make use of and therefore discards. For the important thing is not the mere fact that the organism throws certain substances out, but rather, that it goes through the activities which result in the excretions. The exercise of these activities is something that the organism needs for its subsistence. This activity is just as necessary as that by which the substances are received into the organism, or deposited internally. In the healthy relationship of both activities, there lies the very essence of organic life and action.

[ 13 ] Thus, in the outward excretions we see the result of astrally orientated activity. And if the excreta contain substances which have been carried as far as the inorganic nature, then the ego-organization, too, is expressing itself in them. Indeed, this part of the ego-organization's life is of particular importance. For the force that is spent on such excretions creates, as it were, an inward counter-pressure. And this latter is a necessary factor for the healthy existence of the organism. Thus the uric acid, which is secreted through the urine, creates as an inward reaction the correct tendency of the organism to sleep. Too little uric acid in the urine and too much in the blood will give rise to so little sleep that it is insufficient for the health of the organism.

[ 1 ] Our knowledge of the effects of therapeutic substances is based upon the understanding of the development of forces in the world outside man. For, in order to bring about a healing process, we must bring into the organism substances which will distribute themselves in it in such a way that the disease process gradually transforms itself to a normal one. It is the essential nature of a disease process that something is going on within the organism which does not integrate itself into its total activities. Such a disease process has this in common with a similar process in outer nature.

[ 2 ] We may say: If there arises within the organism a process similar to one of external nature, illness ensues. Such a process may take hold of the physical or the etheric organism. Either the astral body or the ego will then have to complete a task they do not normally fulfil. In a period of life when they should be unfolding in free activity of soul, they must revert to an earlier stage—even in many cases as far back as the embryonic period—and then have to assist in creating physical and etheric formations which should already have passed into the domain of the physical and etheric organism, for in the earliest periods of human life these formations are in fact provided for by the astral body and ego-organization; only afterwards are they taken over by the unaided physical and etheric bodies. The whole development of the human organism is based upon this principle; originally the entire form and configuration of the physical and etheric body proceed from the activity of the astral body and ego-organization; then, with increasing age, the astral and ego-activities within the physical and etheric organization go on their own accord. But if they fail to do so, the astral body and ego-organization will have to intervene at a later stage of their development in a way for which they are no longer properly adapted.

[ 3 ] Let us assume that we have to do with lower abdominal disorders. The physical and etheric organizations are failing to carry out, in the corresponding parts of the human body, the activities which were transmitted to them at a former age of life. The astral and ego-activities must intervene. Because of this they are weakened for other functions in the organism. They are no longer present where they ought to be—for instance, in the formation of the nerves that go into the muscles. Paralytic symptoms arise as a result, in certain parts of the body.

[ 4 ] It will then be necessary to bring into the body substances which can relieve the astral and ego-organization of the activity that does not belong to them. We find that the processes which work in the formation of powerful etheric oils in the plant organism, notably in the formation of the flower, are able to fulfil this purpose. The same applied to certain substances containing phosphorus. But we must see to it that the phosphorus is so mixed with other substances as to unfold its action in the intestinal tract and not in the metabolism that lies beyond.

[ 5 ] If it is a case of inflammatory conditions in the skin, here too the astral body and ego-organization are unfolding an abnormal activity. They are then withdrawn from the influences which they ought to bring to bear on organs situated more internally. They reduce the sensitivity of internal organs. These again, owing to their lessened sensitivity, will cease to carry out their proper functions. In this way abnormal conditions may arise, for instance in the action of the liver, and the digestion may be incorrectly influenced. If we now introduce silicic acid into the organism, the activities which the astral and ego-organism have been devoting to the skin are relieved. The normal inward activity of this organism is set free again and a healing process is thus initiated.

[ 6 ] Again, we may be confronted by disease conditions manifesting themselves in palpitations; in such a case, an irregular action of the astral organism is influencing the circulation of the blood. This astral activity is then weakened for the processes in the brain. Epileptiform conditions arise, since the weakened astral activity in the head organism involves an undue tension and exertion of the etheric activities of that region. We can introduce into the system the gumlike substance obtainable from Levisticum (lovage)—as a decoction, or preferably in the slightly modified form of a preparation—then the activity of the astral body, wrongly absorbed by the circulation, is set free, and the strengthening of the brain organization occurs.

[ 7 ] In all these cases the real direction of the disease activities must be determined by an appropriate diagnosis. Take the last mentioned case. It may be in fact that the disturbance in the interplay of the etheric and astral bodies proceeds originally from the circulation. The brain symptoms are then a consequence. We can proceed with a cure along the lines described above.

[ 8 ] But the opposite may also be the case. The original cause of irregularity may arise between the astral and etheric activities in the brain system. Then the irregular circulation and abnormal cardiac activity will be the consequence. In such a case we shall have to introduce sulphates, for example, into the metabolic process. These work on the etheric organization of the brain in such a way as to call forth in it a strong force of attraction to the astral body. The effect can be observed as the consequent improvement in initiative of thought, in the will-sphere, and in the patient's general state of composure and control. It will then probably be necessary to supplement this treatment by the use, for instance, of a copper salt, so as to assist the astral forces in gaining their renewed influence upon the circulatory system.

[ 9 ] We shall observe that the organism as a whole returns to its regular activity when the excessive action of the astral and ego-organism in some part of the body, conditioned by the physical and the etheric, is replaced by an activity which has been externally induced. The organism has the tendency to balance-out its own deficiencies. Hence it will restore itself if an existing irregularity can for a time be regulated artificially by combating the abnormal process, which was internally induced and must be made to cease, with a similar process brought about externally.

[ 1 ] It is necessary to know the substances that may be considered for use as remedies in such a way that one can judge the possible effects of the forces they contain within and outside the human organism. In this connection the reactions which ordinary chemistry investigates only come into consideration to a small extent; the important thing is, to observe those effects which result from the connection of the inner constitution of the forces in a substance, in relation to the forces that radiate from the earth or stream in towards it.

[ 2 ] Let us consider e.g., grey antimony ore from this point of view. Antimony shows a strong relationship to the sulphur compounds of other metals. Sulphur possesses a number of properties which only remain constant within relatively narrow limits. It is very sensitive to those natural processes such as heating, combustion, etc. This also makes it able to play an important part in the proteins' faculty of completely freeing themselves from the earth-forces and subjecting themselves to the etheric. Antimony will readily partake in this intimate connection with the etheric forces through its affinity with sulphur. Hence it is easy to introduce into the activity of protein in the human body; and it will help the latter in its etheric action when the body itself, through some disease condition, is unable to transform a protein introduced from without, so as to make the protein an integral part of its own activity.

[ 3 ] But antimony shows other characteristics as well. Wherever it can do so, it strives towards a cluster formation. It distributes itself in lines which strive away from the earth, toward the forces that are active in the ether. With antimony, we thus introduce into the human organism something that comes half way to meet the influences of the etheric body. What antimony undergoes in the Seiger process also points to its etheric relationship. Through this process it becomes filamentous. However, the Seiger process is one that begins, as it were, in a physical way from below and passes upwards into the etheric. Antimony integrates itself into this transition.

[ 4 ] In addition, antimony oxidizes at a red heat; in the process of combustion it becomes a white vapour, which, deposited on a cold surface, produces the flowers of antimony.

[ 5 ] Moreover, antimony has some capacity to repel electrical effects. Under certain conditions, when deposited electrolytically on the cathode, it will explode on contact with a metallic point.

[ 6 ] All this shows that antimony has a tendency to pass easily into the etheric element the moment the conditions are present in the slightest degree. All these details merely count as indications for spiritual vision; for this directly perceives the relationship between the ego's activity and the working of antimony; it sees in effect how the antimony processes, when brought into the human organism, work in the same way as the ego-organization.

[ 7 ] As it flows through the human organism, blood shows a tendency to coagulate. This tendency stands under the influences of the ego-organization, by which it must be regulated. Blood is an intermediate organic product. The blood substance, as it originates, has undergone processes which are already on the way to the fully human organism, i.e., to the organization of the ego. It must undergo further processes which fit in with the configuration of this organism. What kind of processes these are, can be seen in the following. As the blood coagulates when removed from the body, it shows that it has in it the tendency to coagulate, but that within the organism it must be perpetually prevented from doing so. Now the power that hinders the coagulation of the blood is that by which it integrates itself into the human organism. It integrates itself into the configuration of the body by virtue of the form forces which lie just before the point of coagulation. If coagulation actually took place, life would be endangered.

[ 8 ] Hence, if we are dealing with a disease condition where the organism is deficient in those forces directed to the coagulation of the blood, antimony will work in one form or another as a therapeutic substance.

[ 9 ] The formation of the organism is essentially a transformation of protein, whereby the latter comes into collaboration with mineralizing forces. Chalk, for instance, contains such forces. The formation of the oyster shell demonstrates this. The oyster must rid itself of the elements which are present in the shell, in order to preserve the nature of the protein. A similar thing happens in the formation of the eggshell.

In the oyster, what is chalky is excreted so as not to integrate it into the protein. This integration must take place in the human organism. The mere action of protein must be transformed into one wherein the formative forces, which can be evoked by the ego-organization from the chalky substances, work as well. This must take place within the formation of the blood. Antimony counteracts the forces that excrete chalk and leads the protein, which wishes to preserve its form, into formlessness; through its kinship with the ether element, this formless state is receptive to the influences of chalky substances or the like.

[ 10 ] Take the case of typhoid fever. The illness clearly consists of a deficient transmutation of protein into blood substance with its formative power. The kind of diarrhoea, occurring in this disease, shows that the incapacity for this transformation begins already in the intestinal tract. The markedly lowered consciousness shows that the ego-organization is driven out of the body and prevented from working. This is due to the fact that the protein cannot approach those mineralizing processes where the ego-organization is able to work. The fact that the excretions carry the danger of infection is also evidence for this viewpoint. Here the tendency to destroy the inner formative forces shows itself enhanced.

[ 11 ] If antimony preparations are used in typhoid manifestations in an appropriate compound, they will prove to be a therapeutic substance. They divest the protein of its own forces and enable it to integrate with the formative forces of the ego-organization.

[ 12 ] From the points of view that are so widespread and habitual today, it will be said: Such conceptions as these about antimony are inexact; and they will emphasize in contrast the scientific exactitude of the methods of ordinary chemistry. But the fact is, the chemical reactions of substances are no more significant for their action within the human organism than is the chemical composition of a paint for its application by the artist. Undoubtedly the artist will do well to have some knowledge of the chemical starting-point from which he works. But how he treats his colour as he paints is derived from another method. It is so for the therapist. He can regard chemistry as a basis which has some meaning for him, but the mode of action of the substances within the human organism has nothing to do with this chemical domain. So long as we only see exactitude in the conclusions of ordinary chemistry—its pharmaceutical branch as well—we destroy the possibility of gaining conceptions of what is taking place within the organism in the processes of healing.

[ 1 ] Anyone who wishes to assess the action of therapeutic substances must have an eye for the effects of forces which arise when a substance is introduced in some way into the human organism, and which shows certain activities external to the latter.

[ 2 ] A classic example is to be found in formic acid. It occurs in the body of ants as a corrosive substance causing inflammation. Here, it appears as a product of excretion. The animal organism must produce this in order to carry out its activities appropriately. The life lies in the excretory activity. Once it has been produced, the excretion no longer has a task within the organism. It must be excreted. The Being of an organism does not lie in its substances, but in its action. The organization is not a conglomeration of matter, it is an activity. Matter carries in it the stimulus to activity. Once it has lost this stimulus, it has no further meaning for the organization.

[ 3 ] In the human organism, too, formic acid is produced. There, however, it has its importance. It serves the ego organization. The astral body separates out parts, which tend to become lifeless, from the organic substance. The ego organization needs this transition of organic substance to the lifeless state. But it is the process of transition which it needs, not the result. Once the substance which is on the way to the lifeless state has been produced, it becomes a burden within the organism. It must either be separated out directly, or it must be dissolved in order to be eliminated indirectly.

[ 4 ] If something which ought to be dissolved fails to be dissolved, it will accumulate within the organism and may then constitute a foundation for conditions of gout or rheumatism. There, the formic acid as it arises within the human organism can act as a solvent. If the necessary amount of formic acid is produced, the organism will remove those products tending to the lifeless state in the correct manner. If the force to create formic acid is too weak, rheumatic and gouty conditions arise. By introducing formic acid into the organism from outside, we support it, by giving what it is unable to create for itself.

[ 5 ] We learn to recognize such modes of action by comparing one substance with another with respect to the way in which they continue working in the human organism. Take oxalic acid for example. Under certain conditions it turns into formic acid. The actions of the latter represent a metamorphosis of oxalic acid. Oxalic acid is an excretion of the plant, just as formic acid is of the animal. The creation of oxalic acid in the plant-organism is an activity analogous to that of formic acid in the animal, which means that the creation of oxalic acid corresponds to the domain of the etheric, and the creation of formic acid to the domain of the astral. The diseases which reveal themselves in rheumatic and gouty conditions are to be ascribed to a deficient action of the astral body. There are other conditions which present themselves such that the causes, which in gout and rheumatism stem from the astral organism, lie further back in the etheric organism. In which case there arise, not only congestions of forces towards the astral, which hinder and obstruct the ego organization, but also retarding effects in the etheric, which the astral organization is powerless to overcome. These reveal themselves in sluggish activity of the lower abdomen, in slowing of the liver and spleen activity, in stony deposits of gall and the like. If oxalic acid is given in such cases, the activity of the etheric organism is supported in the appropriate way. Through oxalic acid the etheric body is reinforced; for that force of the ego-organization is transformed by this acid into a force of the astral body which then has a strengthened effect on the etheric body.

[ 6 ] Starting with such observations, we can learn to recognize the healing effects of various substances on the organism. The study can start with plant life. In the plant, the physical activity is permeated by the etheric. In studying the plant, we learn to recognize how much can be attained by means of etheric activity. In the animal-astral organism, this activity is carried over into the astral. If as etheric activity it is too weak, it can be strengthened by adding to it the etheric activity from a plant-product, introduced into the body. Animal nature forms a basis for the human organism. Hence, it can be considered the same as the animal, within certain limits, where the interplay between the human etheric and astral bodies is concerned.

[ 7 ] By the use of therapeutic substances from the plant kingdom, we shall thus be able to remedy a disturbed relationship between the etheric and astral activities. But such medicaments will not suffice when anything in the physical, etheric and astral organization of man is disturbed, in connection with interplay with the organization of the ego. The ego-organization must direct its activity to processes which are tending to become mineral.

[ 8 ] Therefore, in these conditions of illness, only mineral substances will be useful as remedies. In order to get to know the remedial effects of a mineral, we must discover how far the substance can be broken down, for in the organism the mineral introduced from outside must first be broken down and then built up again in a new form by the body's organic forces. The healing influence must consist in this breaking down and building up process. The outcome of it must lie in the direction that a deficient activity of the organism is taken over by the activity of the medicament given.

[ 9 ] Take the case of menorrhagia. Here the power of the ego organization is weakened. It is expended one-sidedly in the formation of blood. Too little is left of it for the power to absorb the blood into the organism. The path, which the forces in the organism that incline towards the lifeless realm should take, is unduly shortened because these forces work too violently. They exhaust themselves half-way.

[ 10 ] We can come to their assistance by administering calcium in some combination to the organism. Calcium cooperates in the production and formation of the blood. The ego activity is thus relieved of this sphere and can turn to the absorption of the blood.

[ 1 ] Within the sphere of our therapy, a special position is occupied by what we describe as “curative eurythmy”. [ 2 ] It was evolved initially by Rudolf Steiner as a new art, out of Anthroposophy. [ 3 ] The essential nature of the art of eurythmy has often been described by Dr. Steiner, and indeed in its artistic form, it has enjoyed wide recognition.

[ 4 ] Eurythmy is presented on the stage by the human being in movement; but is not an art of dance. This is evident already from the fact that in eurythmy it is mainly the arms and hands that are in movement. Groups of people in movement elevate the whole to an artistic picture on the stage.

[ 5 ] All movements are based on the inner nature of the human organization. From this, speech flows in the first years of man's life. Just as in speech the sound frees itself from the constitution of man, so, with a real knowledge of this constitution, we can derive from the human being, and from groups of human beings, movements which represent a truly genuine visible speech, or visible song. These movements are as little arbitrary as speech itself. As in a spoken word an O cannot be pronounced where an I (EE) belongs; so, in eurythmy only one kind of gesture can appear for an I or for a C-sharp. Eurythmy is thus a true manifestation of human nature and can be derived out of it, not indeed unconsciously like speech or song, but consciously by means of a true knowledge of man.

[ 6 ] In the presentation of eurythmy we have people or groups of people in movement on the stage. The poem which is thus translated into visible speech, is recited simultaneously. The audience hear the content of the poem, and see it at the same time with their eyes. Or again, a piece of music is presented, and appears at the same time as visible song in the gestures of the performers.

[ 7 ] Eurythmy as a sculptured art of movement constitutes a true extension of the sphere of the fine arts.

[ 8 ] What has been discovered as an artistic form can now be developed in two different directions. On the one hand it can be applied to education. In the Waldorf School at Stuttgart, which was founded by Emil Molt and which stands under the direction of Rudolf Steiner, educational eurythmy is done throughout the school as well as gymnastics. The fact is that in ordinary gymnastics only the dynamics and statics of the physical body are developed. In eurythmy the full human being, body, soul and spirit, goes out into movement. The growing human being perceives this and experiences the eurythmy exercises as a perfectly natural expression of his human nature, just as in earlier years he experienced learning to speak.

[ 9 ] The other aspect of eurythmy is therapeutic. If the gestures of the artistic and educational eurythmy are modified, so that they flow out of the unhealthy being of man just as the others flow out of the healthy, then curative eurythmy arises.

Movements thus carried out react on the diseased organs. We observe how the outwardly executed movement is continued inward with a health-giving influence into the organs, the moving gesture is exactly adapted to a diseased organ. Because this method of working in the human being through movement, affects body, soul and spirit, it works more intensely in the inner nature of the unhealthy human being, than all other movement-therapy.

[ 10 ] For this very reason, curative eurythmy can never become an affair for amateurs, and on no account must it be regarded or applied as such.

[ 11 ] The curative eurythmist, who must be well trained in a knowledge of the human organization, may only work in connection with the qualified doctor. All dilettantism can only lead to bad results.

[ 12 ] It is only on the basis of a proper diagnosis that the curative eurythmy treatment can be carried out. The practical results of curative eurythmy are such that we may describe them as a most beneficial part of the therapeutic approach explained in this book.

[ 1 ] In this chapter we shall describe a number of cases from the practice of the Clinical and Therapeutic Institute at Arlesheim. They will show how, with the help of a knowledge of spiritual man, it is possible to achieve such a thorough picture of the disease that diagnosis directly teaches us the remedy which should be used. Fundamental to this is a view which recognizes the process of illness and of healing as one complete cycle. The illness begins with an irregularity in the composition of the human organism with respect to its parts, which have been described in this book. It has already reached a certain stage when the patient is received for treatment. Our object must now be to bring about a reversal of all the processes which have taken place in the organism since the beginning of the illness, so that we arrive at length at the previous state of health of the organism. A process of this kind, reversing on itself, cannot be accomplished without the organism as a whole undergoing some loss in the forces of growth, which are equivalent to those forces which the human organism - needs during childhood in order to increase in size. The therapeutic substances must therefore be so composed as not only to bring the diseased process back to its starting-point, but also to support the reduced vitality again. To some extent this latter effect must be left to dietary treatment. But as a general rule, in the more serious cases of illness, the organism is not in a condition to evolve sufficient vitality in the assimilation of its food. Therefore the actual treatment will also have to be constituted so as to give the organism the necessary support in this respect. In the typical remedies supplied by our clinical/therapeutic institutes, this provision has been made throughout. Hence it will only be realized on closer inspection, why a given preparation contains particular constituents. In estimating the course of the disease, not only the localized pathological process, but the changes suffered by the organism as a whole must be considered and included in the reversing process. How this is to be conceived in detail will be shown by the individual cases we shall now describe. We shall then continue the more general considerations.

First Case

[ 2 ] A twenty-six years old woman patient. The whole personality reveals an extraordinarily labile condition. It is clear from the patient that that part of the organism, which we have here called the astral body, is in a state of excessive activity. One observes that the ego-organization has only slight control over the astral body. As soon as the patient begins to do some work, the astral body develops a state of agitation. The ego-organization tries to make itself felt, but is constantly repulsed. This causes the temperature to rise in such a case. A well regulated digestion depends mainly on a normal ego-organization. The impotence of this patient's ego-organization expresses itself in an obstinate constipation. The migraine-like conditions and vomiting from which she suffers are a consequence of this disturbance in the digestive activity. In sleep, her impotent ego-organization shows itself in a deficient organic activity from below upward and impaired expiration. The consequence is an excessive accumulation of carbonic acid in the organism during sleep, which shows itself organically in palpitations on awakening; psychologically in anxiety, and screaming. Physical examination can show nothing other than a lack of those forces which bring about a regular connection of the astral, etheric and physical bodies. Owing to the excessive activity of the astral body in itself, too little of its powers can flow over into the physical and the etheric. The latter, therefore, have remained too delicate in their development during the period of growth. This has shown itself on examination in the patient's slight build and weak body, and also in the fact that she complains of frequent back pain. The latter arises because in the activity of the spinal cord the ego-organization must make itself felt most. The patient talks of many dreams. The reason is that the astral body, separated in sleep from the physical and the etheric, unfolds its own excessive activity. We must start with the fact that the ego-organization needs to be strengthened and the over-activity of the astral body lowered. The former is attained by selecting a remedy that is suitable to support the weakened ego-organization in the digestive tract. Such a remedy is to be found in copper. Applied in the form of a copper ointment compress to the region of the loins, it has a strengthening effect on the deficient inner warmth coming from the ego-organization. This is observed in a reduction of the abnormal activity of the heart and the disappearance of anxiety. The excessive activity of the astral body in itself is combated by the smallest doses of lead taken orally. Lead draws the astral body together and awakens in it the forces through which it unites more intensely with the physical body and the etheric. (Lead poisoning is composed of an over-intense union of the astral with the etheric and physical bodies, so that the latter are made subject to excessive breakdown processes.) The patient recovered visibly under this treatment. Her labile condition gave way to a certain inner firmness and assurance. Her moods, recovering from their disrupted state, grew inwardly calm and contented. The constipation and back pain disappeared; likewise the migrainous conditions and the headaches. The patient's capacity for work was restored.

Second Case

[ 3 ] A forty-eight year old man. He had been a robust child with an active inner life. During the war, as he informed us, he had undergone a five months' treatment for nephritis and been discharged as cured. Married at the age of thirty-five, he had five healthy children; a sixth child died at birth. At the age of thirty-three, as a consequence of mental overwork, he began to suffer from depression, tiredness and apathy. These conditions increased continuously. At the same time he began to feel spiritual despair. He is confronted by questions, in which his profession—that of a teacher—appears to him in a negative light, which he cannot meet with anything positive. The illness shows an astral body which has too little affinity with the etheric and physical, and is rigid in itself. The physical and etheric bodies are thus enabled to assert their own inherent qualities. The feeling of the etheric not being rightly united with the astral body gives rise to states of depression; while the deficient union with the physical produces fatigue and apathy. That the patient is in a state of spiritual despair is due to the fact that the astral body cannot make use of the physical and the etheric. Consistently with all this, his sleep is good; for the astral body has little connection with the etheric and physical. For the same reason he has great difficulty in waking up. The astral body is loath to enter the physical. It is only in the evening, when the physical and etheric bodies are tired, that their normal union with the astral begins to take place. Therefore the patient becomes properly awake in the evening. This whole condition indicates that it is necessary first of all to strengthen the astral body in its activity. This can always be attained by giving arsenic internally in the form of a mineral water. It becomes clear that the particular individual is seen to gain more command over his body after some time. The connection between the astral and the etheric is strengthened; the depression, apathy and fatigue cease. But the physical body also, which through its long defective union with the astral has become sluggish and immobile, must be helped; this is done by giving treatment with a mild dose of phosphorous. Phosphorous supports the ego-organization, enabling it to overcome the resistance of the physical body. Rosemary baths are used to open a way out for the accumulated products of metabolism. Curative eurythmy re-establishes the harmony of the individual members of the organism (nerve-sense system, rhythmic system, motor and metabolic system), impaired as they are by the inaction of the astral body. Finally, by giving the patient elder-flower tea, the metabolism, which has gradually become sluggish owing to the inactivity of the astral body, is restored to a normal condition. We were able to observe a complete cure in this case.

Third Case

[ 4 ] This patient was a musician, thirty-one years old, who visited our clinic during a concert tour. He was suffering from a severe inflammatory and functional disturbance of the urinary tract, catarrhal symptoms, fever, excessive bodily fatigue, general weakness, and incapacity for work.

[ 5 ] The past history of the patient showed that he had repeatedly suffered the same condition. Examination of the patient's spiritual state revealed a hypersensitive and exhausted astral body. The susceptibility of the physical and etheric body to catarrhal and inflammatory conditions was a consequence of this. Already as a child, the patient had a weak physical body, badly supported by the astral. Hence measles, scarlet fever, chicken-pox, whooping-cough and frequent attacks of sore throat; at the age of fourteen, there was an inflammation of the urethra, which recurred at the age of twenty-nine in conjunction with cystitis. At the age of eighteen, pneumonia and pleurisy; at twenty-nine, pleurisy again, following on an attack of influenza; and at the age of thirty, catarrhal inflammation of the frontal sinus. There is also a perpetual tendency to conjunctivitis.

During the two months which he spent at our hospital the patient's temperature curve rose at first to 39.9¡C, after which, it descended, only to rise again on the fourteenth day; it then fluctuated between 37¡ and 36¡, occasionally rising above 37¡ and falling to 35¡. Such a temperature curve gives a clear picture of the changing states of the ego organisations. Such a curve arises when the effects of the semi-conscious contents of the ego-organization find expression in the warmth-processes of the physical and etheric bodies without being reduced to a normal rhythm by the astral. In this patient, the whole capacity of action of the astral body was concentrated on the rhythmic system, where it found expression in his artistic talent. The other systems fell short. As a significant result of this, the patient suffers from severe fatigue and insomnia during the summer. In the summer season, considerable demands are made upon the astral body by the outer world. Its inner capacity for activity recedes. The forces of the physical and etheric body become predominant. In the general perception of one's sense of well being, this manifests as severe fatigue. At the same time the weakened capacity for action of the astral body hinders its separation from the physical. Hence the insomnia. The deficient separation of the astral body from the etheric finds expression in anxious and unpleasant dreams, arising from the sensitivity of the etheric body to the lesions in the physical organism. Characteristically, the dreams symbolize these lesions in images of mutilated human beings. Their terrifying aspect is simply their natural quality and emphasis of feeling. As a consequence of the astral body functioning deficiently in the metabolic system, there is a tendency to constipation. And owing to the independence of the etheric body, which is too little influenced by the astral, the protein received as food cannot be completely transformed from vegetable and animal protein into human. Hence, protein is excreted in the urine, so that it is positive for albumen. If the astral body is functioning deficiently, processes will arise in the physical body which are really foreign processes in the human organism. Such processes express themselves in the formation of pus. This represents, as it were, an extra-human process within the human being. Thus in the sediment of the urine we actually find pure pus. But this formation of pus is accompanied by a parallel process in the soul. The astral body works as little psychically on the experiences of life, as it works physically on the substances of food. While extra-human substances are produced in the form of pus, mental and psychic contents of a extra-human character arise at the same time, as a keen interest in abnormal relationships of life, forebodings, premonitions and the like. We therefore set out to bring a balancing, purifying and strengthening influence to bear upon the astral body. As the ego organization is very much alive, its activity could be used, in a manner of speaking, as a carrier of the therapeutic remedy. The ego-organization, which is directed toward the external world, is most readily approached by influences whose direction is from without inward. This is achieved by the use of compresses. We first apply a compress of Melilotus, a remedy which works upon the astral body in such a way as to improve the balance and distribution of its forces, counteracting their one-sided concentration on the rhythmic system. Naturally the compresses must not be applied to that part of the body where the rhythmic system is especially concentrated. We applied them to the organs where the metabolic and motor systems are concentrated. We avoided compresses around the head, because the mood swings of the ego-organizations proceeding from the head, would have paralysed the effect. For the Melilotus to take effect, it was also necessary to assist the astral body and ego-organization, by drawing them together. This we sought to do by the addition of oxalic acid, derived from Radix bardanae. Oxalic acid works in such a way as to transform the activity of the ego-organization into that of the astral body. In addition, we gave oral remedies in very diluted doses; with the object of bringing the excretions into a regular connection with the influences of the astral body. We tried to normalise the excretions directed from the head organization by means of potassium sulphate. Those processes that depend upon the metabolic system in the narrower sense of the word, we sought to influence by potassium carbonate. We regulated the excretion of urine with Teucrium. We therefore gave a medicament, consisting of equal parts of potassium sulphate, potassium carbonate and Teucrium. The whole treatment had to reckon with a very labile balance in the whole, physical, psychical and spiritual organism. Thus we had to provide complete bed rest for physical rest, and mental quiet for spiritual balance; this alone made possible the proper interaction of the various remedies. Movement and agitation render such a complicated therapeutic process almost impossible. On completion of the treatment, the patient was restored to bodily strength and vigour, and was mentally in good condition. With such a labile state of health, it goes without saying that any external disruption may bring about a recurrence of one or another disturbance. It is part of the total treatment that in such a case such events should be avoided.

Fourth Case

[ 6 ] A child, who was brought to our clinic twice, first at the age of four, and then at the age of five and a half years. Also the mother of the child, and the mother's sister. Diagnosis led us from the illness of the child to that of her mother and of the sister. As for the child, we received the following information: it was a twin, born six weeks prematurely. The other twin died in the last stage of foetal life. At the age of six weeks, the child was taken ill, began to scream excessively, and was admitted to hospital. They diagnosed pyloric stenosis. The child was partly breast fed by a wet nurse and partly fed artificially. At the age of eight months it left the hospital. On the first day after arrival home the child had a convulsion, which recurred daily for the next two months. During the attacks the child became stiff, with the eyes deviated. The attacks were preceded by fear and crying. The child also squinted with the right eye and vomited before the attack began. At the age of two and a half years there was another attack lasting five hours. The child was again stiff and lay there as though dead. At the age of four there was an attack lasting half an hour. According to the report we received, this was the first attack which was seen to be accompanied by fever. After the convulsions that had followed directly on the return from hospital, the parents had noticed a paralysis of the right arm and the right leg. At two and a half the child made the first attempt to walk, but was only able to step out with the left leg, dragging the right after it. The right arm, too, remained without volition. The same state prevailed when the child was brought to us. Our first concern was to determine the condition of the child with respect to the members of the human organization. This was attempted independently of the syndrome. We found a severe atrophy of the etheric body, which, in certain parts, received only a very slight influence from the astral body. The region of the right chest was as though paralysed in the etheric body. On the other hand, there was a kind of hypertrophy of the astral body in the region of the stomach. The next thing was to establish the relation between this diagnosis and the syndrome. There could be no doubt that the astral body strongly involved the stomach during the process of digestion, which, however, owing to the paralysed condition of the etheric body was blocked at the transition from the gut to the lymph. Hence the blood was under-nourished. We thus attached great importance to the symptoms of nausea and vomiting. Convulsions always occur when the etheric body becomes atrophied and the astral gains a direct influence over the physical without the mediation of the etheric body. This was present to the greatest extent in the child. Moreover, if, as in this case, the condition becomes permanent during the period of growth, those processes which prepare the motor system to receive the will normally fail to take place. This showed itself in the uselessness on the right side in the child. We had now to relate the condition of the child to that of the mother. The latter was thirty-seven years old when she came to us. At the age of thirteen, she told us, she had already reached her present size. She had bad teeth at an early age, and had suffered in childhood from rheumatic fever, and maintained that she had had rickets. Menstruation began comparatively early. At the age of sixteen she had had a disease of the kidneys and she told of convulsive conditions which she had had. At twenty-five she had constipation owing to cramp in the sphincter ani, which had to be stretched. Even now she suffered from cramp on defaecation. Diagnosis by direct observation, without drawing any conclusions from this syndrome, revealed a condition extraordinarily similar to that of the child. But everything appeared in a far milder form. We must bear in mind that the human etheric body has its special period of development between the change of teeth and puberty. In the mother this expressed itself thus: with their deficient strength, the available forces of the etheric body enabled growth to take place only until puberty. At puberty the special development of the astral body begins and, being hypertrophied, now overwhelms the etheric body and takes hold of the physical organization too intensely. This showed itself in the arrest of growth at the thirteenth year. The patient was, however, by no means dwarf-like, on the contrary, she was very big; this was because the growth forces of the etheric body, deficient though they were, had worked uninhibited by the astral body and so brought about a large expansion of the volume of the physical body. But these forces had not been able to enter properly into the functions of the physical body. This showed itself in the appearance of rheumatic fever and, at a later stage, convulsions. Owing to the weakness of the etheric body there was a particularly strong influence of the astral body on the physical. Now this influence is a disintegrating one. In the course of normal development it is balanced by the regenerative forces during sleep, when the astral body is separated from the physical and the etheric. If, as in this case, the etheric body is too weak, the result is an excess of disintegration, which showed itself in the fact that she had the first filling already in the twelfth year. Moreover, if great demands are made on the etheric body as in pregnancy, on every such occasion the condition of the teeth grows worse. The weakness of the etheric body with respect to its connection with the astral was also shown by the frequency of the patient's dreams and by the sound sleep which she enjoyed in spite of all irregularities. Again the weakness of the etheric body shows itself in that foreign processes unmastered by the etheric take place in the physical body, and reveal themselves in the urine as protein, isolated hyaline casts, and salts.

[ 7 ] Very remarkable was the relationship of these disease-processes in the mother with those of her sister. As to the composition of the members of the human being, diagnosis revealed almost exactly the same. A feebly working etheric body and hence a preponderance of the astral. The astral body was, however, weaker than that of the mother. Accordingly, menstruation had begun early as in the former case, but instead of inflammatory conditions she had only pains due to an irritation of the organs, e.g. the joints. In the joints the etheric body must be particularly active if the vitality is to go on in the normal way. If the activity of the etheric body is weak, that of the physical body will predominate, a fact which appeared in this case in the swollen joints and in chronic arthritis. The weakness of the astral body, that did not work enough in the subjective feeling, was indicated by her liking for sweet dishes, which enhanced the experience of the astral body. When the weak astral body is exhausted at the end of the day, then, if the weakness persists, the pains will increase in intensity. Thus the patient complained of increased pain in the evening. The connection between the pathological conditions of these three patients points to the generation preceding that of the two sisters, and more especially to the grandmother of the child. It is here that the real cause must be sought. The disordered equilibrium between the astral and etheric bodies in all three patients can only have been founded in a similar condition in the grandmother of the child. This irregularity must have been due to a deficiency of the embryonic organs of nutrition, especially the allantois development by the astral and etheric bodies of the grandmother. A deficient development of the allantois must be looked for in all three patients. We determined this to begin with by purely spiritual-scientific methods. The physical allantois, passing into the spiritual realm, is metamorphosed into the effectiveness of the forces of the astral body. A degenerated allantois gives rise to a lessened efficiency of the astral body, which will express itself, especially, in all the motor organs. Such was the case in all three patients. It is indeed possible to recognize, from the constitution of the astral body that of the allantois. From this it will be seen that our reference to the preceding generation was not the result of drawing far-fetched conclusions, but of real spiritual-scientific observations.

[ 8 ] To anyone who is irritated by this fact, we would say that our statements here are not inspired by any love of paradox; rather by the wish not to withhold existing knowledge from anyone. Conceptions of heredity will always remain dark and mystical, as long as we shrink from recognizing the metamorphosis from the physical to the spiritual and vice-versa, which takes place in the sequence of the generations.

[ 9 ] Therapeutically, such an insight could of course only lead us to perceive the right starting-point for a healing process. Had not our attention thus been drawn to the hereditary aspect, had we merely observed the irregularity in the connection between the astral and etheric bodies, we should have used therapeutic substances which affect both these members of the human being. Such remedies however would have been ineffective in our case, for the damage, running through the generations, was too deep-seated to be made good within the etheric and astral bodies themselves. In a case like this, one must work on the organization of the ego; here it is, that one must bring to bear all those influences which relate to a harmonizing and strengthening of the etheric and astral bodies. One can achieve this if one gains access to the ego-organization through intensified sensory stimuli, (Sensory stimuli work upon the ego-organization.) For the child, we attempted this in the following way: we bandaged the right hand with a 5% iron pyrites ointment and simultaneously we massaged the left half of the head with ointment of Amanita caesarea. Externally applied, pyrites, compound of iron and sulphur, has the effect of stimulating the ego-organization to make the astral body more alive and increase its affinity to the etheric. The Amanita substance, with its peculiar content of organized nitrogen, gives rise to an influence proceeding from the head, which, working through the ego-organization, makes the etheric body more alive and increases its affinity to the astral. The healing process was supported by curative eurythmy, which moves the ego-organization as such into quickened activity. This brings what is externally applied into the depths of the organization. Initiated in this way, the healing process was then intensified, with remedies making the astral and etheric bodies especially sensitive to the influence of the ego-organization. In rhythmic daily succession we gave a decoction of solidago in baths, massaged the back with a decoction of Stellaria media and gave orally willow bark tea (which particularly affects the receptivity of the astral body) and stannum 0.001 (which particularly makes the etheric body receptive). We also gave diluted doses of poppy juice, to allow the damaged organization to give place to the healing influences. In the mother's case, the latter kind of treatment was mainly adopted, since the inherited forces had worked far less than in the succeeding generation. The same applied to the sister of the mother. While the child was still with us in the clinic, we established that it became more easily guided and the general psychological condition was improved. It grew far more obedient, for example; movements which it had carried out very clumsily, it now accomplished with greater skill. Subsequently the aunt reported that a great change had taken place in the child. It had grown quieter and the excess of involuntary movements had decreased; the child is now sufficiently adroit to be able to play by itself, psychologically the former obstinacy has disappeared.

Fifth Case

[ 10 ] A woman patient, twenty-six years old, came to our clinic suffering from the serious consequences of influenza and bronchitis which she had undergone in 1918; this had been preceded in 1917 by pleurisy. Following the influenza, she had never properly recovered. In 1920 she was very emaciated and weak, with a slight temperature and night sweats. Soon after the influenza, back-pains began, which worsened continuously up to the end of 1920. Then, with violent pain, a curvature in the lumbar region became apparent. At the same time there was a swelling of the right forefinger. A rest cure had considerably lessened the back-pains. When the patient came to us, she was suffering from a cold abscess on the right thigh; her body was distended with slight ascites. There were catarrhal sounds over the apices of both lungs. Digestion and appetite were good. The urine was concentrated, with traces of protein. Spiritual-scientific investigation revealed a hypersensitivity of the astral body and the ego-organization; such an abnormality expresses itself to begin with in the etheric body, which produces, in place of the etheric functions proper, an etheric impress of the astral functions. The astral functions are destructive. Thus, the vitality and the normal process of the physical organs showed themselves to be stunted. This is always connected with processes occurring to some extent outside man, but taking place in the human organism. Hence the cold abscess, the lumbar pains, the distended abdomen, the catarrhal symptoms in the lungs, and also the deficient assimilation of protein. The treatment must therefore seek to reduce the sensitivity of the astral body and the ego-organization. This may be done by administering silicic acid, which always strengthens the inherent forces against sensitivity. In this case we gave powdered silicic acid in the food and in enemata. We also diverted the sensitivity by applying mustard plasters to the lower back. The effect of this depends upon the fact that it induces sensitivity of its own accord, thus relieving the astral body and ego-organization of theirs. By a process which damps down the over-sensitivity of the astral body in the digestive tract, we were able to divert the astral activity to the etheric body where it ought normally to be. We achieved this by minute doses of copper and carbo animalis. The possibility that the etheric body might withdraw from the normal activity of digestion, to which it was unaccustomed, was countered by administering pancreatic fluid.

[ 11 ] The cold abscess was punctured several times. Large quantities of pus were evacuated by aspiration. The abscess grew smaller and the distended stomach decreased in that the pus-formation grew continuously less and finally disappeared. While it was still flowing we were surprised one day by a renewed rise in temperature. This was not inexplicable to us, since, with the above-described constitution of the astral body, small psychological excitements could give rise to such fever. However, one must differentiate between the explanation of fever in such cases and its strongly harmful effect. For under these conditions, such a fever is the mediator for a profound intervention of the processes of destruction in the organism. One must provide at once for a strengthening of the etheric body, which will then paralyse the harmful effects of the astral. We gave high potency silver injections and the fever sank. The patient left the clinic with a twenty pounds' increase in weight, and in a stronger condition. We are under no illusion as to the necessity for further treatment to consolidate the cure.

Interpolation

[ 12 ] With the cases hitherto described, we wished to characterize the principles whereby we seek to find the therapeutic substances out of the diagnosis. For the sake of clear illustration we selected cases where it was necessary to proceed along very individual lines. But we have also prepared typical therapeutic substances applicable to typical diseases. We will now deal with a few cases where such typical medicaments were used.

Sixth Case. Treatment of Hay Fever.

[ 13 ] We had a patient with severe symptoms of hay fever. He had suffered with it from childhood. He came to us for treatment in his fortieth year. For this disorder we have our preparation “Gencydo”. This we used in this case at the time—the month of May—when the disease was at its worst. We treated him with injections and locally by painting the inside of the nose with “Gencydo” fluid. Following this there was a marked improvement, at a time of the year when formerly the patient had suffered severely from hay fever, undertaking a journey, he reported feeling incomparably better than in former years. In the hay fever season of the next year, he was travelling again from America to Europe and only had a far milder attack than previously. The repetition of the treatment achieved a tolerable condition for this year. For a thorough cure, treatment was repeated the next year, although he had no actual attack. In the fourth year the patient himself described his condition in the following words: “In the spring of 1923, I again began the treatment, as I was expecting fresh attacks. I found my nasal mucous membranes far less sensitive than before. I had to spend my time working among flowering grasses and pollen-producing trees. I also had to ride all through the summer along hot and dusty roads. Yet with the exception of a single day, no symptoms of hay fever occurred the whole summer, and I have every reason to believe that on that single day it was an ordinary cold, not an attack of hay fever. In thirty-five years this was the first time that I could stay and work unhindered in an environment where in former years I experienced real hell.”

Seventh Case. Treatment of Sclerosis.

[ 14 ] A woman patient, sixty-one years old, came to our clinic with sclerosis and albuminuria. Her immediate condition was the sequel of an attack of influenza, with slight fever and disturbances of the stomach and intestines. She had not felt well again since the influenza. She complained of difficult breathing on waking, attacks of vertigo, and a pounding sensation in the head, ears and hands, which was especially troublesome on waking, but occurred also when she walked or climbed uphill. Her sleep was good. There was a tendency to constipation. The urine contained protein. Her blood pressure was 185mm Hg. We took our start from the sclerosis which was noticeable in the over-activity of the astral body. The physical and etheric bodies were unable to receive the full activity of the astral. In such a case, excess activity of the astral body remains, which the physical and etheric do not re-absorb. The normal and firm poise of the human organization is only possible when this re-absorption is complete. Otherwise, as in this case, the non-absorbed part will make itself felt in attacks of vertigo and subjective sensory illusions, pounding etc. Also the non-absorbed part takes hold of the digested substances, forcing certain processes upon them before they have penetrated into the normal metabolism. This became apparent in the tendency to constipation, in the excretion of albumen, also in the stomach and intestinal disorders. The blood pressure is raised in such a case because the excess activity of the astral body also heightens the activity of the ego, and this reveals itself in raised blood pressure.—We treated the case mainly with our remedy, “Scleron”; we supplemented this with very minute doses of belladonna, only as an aid to counteract immediately the attacks of vertigo. We gave elder-flower tea to help the digestion, regulated the action of the bowels by enemas and laxative tea, and ordered a salt free diet, because salts tend to aggravate sclerosis. A comparatively quick improvement was the result. The attacks of vertigo receded, likewise the pounding. The blood pressure went down to 112mm Hg. The patient's subjective feeling visibly improved. During the subsequent year the sclerosis made no further progress. At the end of a year the patient came to us again with the same symptoms in a lesser degree. A similar treatment brought about a further improvement; now, after a lapse of considerable time since the treatment it is evident that the sclerosis is producing no further degeneration of the organism. The external symptoms characteristic of sclerosis are on the decline, and the accompanying rapid aging of the patient is no longer there.

Eighth Case. Treatment of a Goitre.

[ 15 ] A woman patient, who came to us in the thirty-fourth year of her life. She is typical of an individual whose psychic state is strongly influenced by a certain heaviness and fragility of the physical body. Every word she utters seems to cost her an effort. Very characteristic is the concavity in the whole shape of her face; the root of the nose is as if it were held back within the organism. She tells us that she was delicate and sickly even as a schoolgirl. The only actual disease that she went through was a slight attack of measles. She was always pale and very tired and had a poor appetite. She was sent from one doctor to another, and the following were diagnosed in succession: Infection of the apex of the lung, gastritis, anaemia. In her own mind the patient felt that she was not so much physically ill, but rather psychologically.

[ 16 ] Having given this part of her history, we will now indicate the spiritual-scientific diagnosis, in order to examine everything further against the latter.

[ 17 ] The patient reveals a highly atonic condition of the astral body. The ego-organization is thus held back, as it were, from the physical and etheric bodies. The whole life of consciousness is permeated by a subtle, dull drowsiness. The physical body is exposed to the processes arising from the ingested substances. Therefore, these substances are transformed into parts of the human organization. The etheric body in its coherent vitality is too strongly muted by the ego and the astral body; hence the inner sensations, namely, the sense of well-being and the sense of the orthostasis of the body become far too vivid, and the activity of the external senses is too dull. All the bodily functions thus have to take a course whereby they come into disharmony with one another. Inevitably the feeling arises in the patient that she cannot hold the functions of her body together with her own ego. This appears to her as a powerlessness of the soul. Hence she says she is more psychologically than physically ill. If the powerlessness of the ego and astral body increases, disease conditions must arise in various parts of the body, as is also indicated by the different diagnoses. Powerlessness of the ego expresses itself in irregularities of glands, such as the thyroid and the suprarenal; also in disorders of the stomach and intestinal system. All this is to be expected in the patient and does in fact occur. Her goitre and the condition of her stomach and intestinal system correspond entirely with the spiritual-scientific diagnosis. Most characteristic is the following: owing to the powerlessness of the ego and the astral body the need for sleep is partly satisfied during waking life, the patient's sleep is therefore lighter than a normal person's. To her, this appears as a persistent insomnia. In connection with this, she has a sense of easily falling asleep and easily awakening. Also in this connection she thinks she has many dreams, they are not, however, real dreams but mixtures of dreams and waking impressions. Thus they do not remain in her memory and are not powerfully exciting, for her excitability is lowered. In the inner organs the powerlessness of the ego first expresses itself in the lungs. Infection of the apex of the lung is in reality always a manifestation of a weak ego organization. The metabolism not being fully taken care of by the ego leads to rheumatism. Subjectively these things come to expression in the patient's general fatigue. Menstruation began at the age of fourteen; the weak ego organization cannot supply a sufficient unfolding of its forces to repress and restrain the menstrual process once it has come into flow. The work of the ego in this act of restraint comes as a sensation into consciousness through those nerves that enter the spinal cord in the region of the sacrum. Nerves insufficiently permeated by the currents of the ego-organization and the astral body are painful. Thus the patient complains of lower back pain during menstruation. All this led us in the following way to treatment. We have discovered that Colchicum autumnale has a powerfully stimulating action on the astral body, notably on the part that corresponds to the organization of the neck and head. Hence, we apply Colchicum autumnale to all those diseases which have their most important symptom in goitre. Accordingly, we gave the patient five drops of our Colchicum preparation three times a day; the goitre swelling receded and the patient felt much relieved. When the astral body is thus strengthened, it mediates a better functioning of the ego-organism, so that remedies which can work upon the organs of digestion and reproduction keep their strength in the organism. As such a remedy we used wormwood enemas, mixing them with oil, since oil stimulates the digestive tract. With this remedy we attained a considerable improvement. We hold that this treatment can develop its particularly favourable influence about the thirty-fifth year of life, for at this age the ego-organization has a strong affinity to the rest of the organism and can be readily stimulated, even when weak. The patient was thirty-four years old when she came to us.

Ninth Case. Migrainous Conditions in the Menopause.

[ 18 ] This patient came to us at the age of fifty-five. She informed us that she had been weak and delicate as a child; during childhood she had measles, scarlet fever, chicken pox, whooping cough and mumps. Menstruation began at the age of fourteen to fifteen. The bleeding was unusually intense and painful from the outset. In the fortieth year she underwent an oopherohysterectomy because of a tumour in the lower abdomen. She also reported that she suffered since the age of thirty-five from a migrainous headache lasting three days, every three or four weeks, which in her forty-sixth year developed into a cerebral illness lasting three days with unconsciousness. The spiritual-scientific diagnosis of her current condition is as follows: General weakness of the ego organization, which expresses itself in that the activity of the etheric body is insufficiently immobilized by the ego organization. Hence the vegetative organic activity extends over the head and nerve-sense system to a far greater degree than is the case when the ego-organization is normal. This diagnosis is corroborated by certain symptoms. Firstly a frequent urgency of micturition. This is due to the fact that the normally developed astral body which regulates the secretion of the kidneys is unopposed by a normally restraining ego-organization of sufficient strength. A second symptom is the long time she took to fall asleep and her tiredness on awakening. The astral body has difficulty in leaving the physical and etheric, for the ego is not strong enough in drawing it away. And when she has awakened, the vital activity, working on after sleep, was perceived as a feeling of fatigue owing to the weakness of the ego. A third symptom is to be found in the scarcity of her dreams. The pictures which the ego-organization can impress upon the astral body are feeble and cannot express themselves as vivid dreams.

[ 19 ] These perceptions led to the following treatment: we had to pave the way for the ego-organization to the physical and etheric bodies. We did this by compresses with a two per cent Oxalis solution on the forehead in the evening, compresses with a seven per cent solution of Urtica dioica on the lower abdomen in the morning, and compresses with a twenty per cent solution of lime blossom on the feet at midday. The object was, in the first place, to tone down the vital activity during the night; this was brought about by the oxalic salt, which exercises within the organism the function of suppressing an excessive vital activity. In the morning we had to ensure that the ego-organization could find its way into the physical body. This was done by stimulating the circulation. The iron effect of the stinging nettle (Urtica dioica) was applied for this purpose. Finally, it was desirable to assist the penetration of the physical body by the ego-organization in the course of the day. This was done by the downward drawing action of the lime blossom compresses at midday. We have already referred to the headaches to which the patient had become subject, with their intensification at the forty-sixth year of life. For us there was connection between the headaches and the cessation of the menses after the operation and their intensification with unconsciousness as a compensatory symptom for the menopause. We first tried to effect an improvement by the use of antimony. This should have worked if we had been concerned with the general metabolism, regulated by the organization of the ego. There was, however, no improvement. This proved to us that we were dealing with the relatively independent part of the ego-organization which primarily regulates the organs of reproduction. For the treatment of this, we see a specific remedy of the root of Potentilla tormentilla at a very high dilution, and in fact this worked.