Bowel Nosodes

Morgan Pure (Paterson) 6C, 12C, 30C, 200C, 1M, LM1

Heavy, sluggish persons with a poor diet and history of steroid or drug therapy may benefit. There may be skin, metabolic or circulatory issues. Related remedies include Sulphur, the Carbons, Rhus Tox, Thuja and Graphites.

Morgan Gaertner (Paterson) 6C, 12C, 30C, 200C, 1M, LM1

Apprehensive, anxious persons with gastrointestinal vulnerability, a history of excess stress and drug therapy may benefit from this remedy. Colon and liver symptoms are present. Associated remedies include Lycopodium, Chelodonium, Nux Vomica, Sulphur, Pulsatilla, Sepia, Lachesis and Carbo Veg.

B. MORGAN is the type of non lactose organism most frequently found in the stool and it has the greatest number of associated remedies compared to other types on the list.

The keynote for the Morgan group is contained in the word "Congestion" and if this is used in the study of the various parts of the body affected it will afford a good symptom picture of the pathogenesis of the B. Morgan.

Head. Congestive headaches, with flushed face ; worse from hot atmosphere ; thundery weather ; excitement ; travelling in bus or train. Vertigo from high blood pressure.

Mentals. Introspective, anxious and apprehensive about state of health ; irritability ; avoids company but often shows mental anxiety if left alone. Mental depression, often with suicidal tendency.

Digestive System. Congestion of gastric mucosa and liver ; heart-burn pyrosis, dirty tongue, bitter taste in mouth in the morning with accumulation of mucus causing gagging as soon as rises from bed. Congestion of liver ; "bilious attacks" with severe headache which is finally relieved by vomiting large quantities of bile stained mucus. (A history of "bilious attacks', especially occurring at the menopause in women should lead one to consider the use of the nosode, Morgan (Bach).) Cholecystitis, gallstone ; constipation, hæmorrhoids, pruritus ani.

Respiratory System. Congestion of nasal and bronchial membrane, especially in children, broncho- and lobar pneumonia. (A history of repeated attacks of "congestion of the lungs" or broncho-pneumonia, in children, is indicative for the use of the nosode Morgan (Bach) or one of the sub-types Morgan-pure (Paterson) or Morgan-Gaertner (Paterson).)

It is worth noticing, in view of the frequent use of the Sulpha drugs in the treatment of pneumonia, that Sulphur is outstanding among the remedies associated with Bacillus Morgan of the intestinal tract.

Genito-urinary System. The congestive headache associated with the menstrual onset has already been mentioned, and this is often accompanied by ovarian pain (congestive dysmenorrhœa) or by the congestive flushings of the menopause period.

Circulation. Congestion and sluggish action is seen by the tendency to hæmorrhoids and varicose veins and the condition known as "Erythro cyanosis puellorum", a blueness of the lower extremities, often in female adolescents and marked by chilblains of feet and toes.

Fibrous Tissues. Chronic congestion around the joints causes arthritic conditions, usually affecting the phalangeal or knee joint regions.

Skin. It is here that the outstanding action of the Bacillus Morgan group of organisms is to be found. Morgan (Bach) is the nosode indicated where there is congestion of the skin with itching eruption, worse from heat. The type of eruption which characterises this can be ascertained from a study of the "provings" of well known skin remedies found among the list of remedies associated with the Bacillus Morgan, e. g. Sulphur, Graphites, Petroleum and Psorinum. There are few eczemas of the infant at the teething stage or later life, which do not require a dose of this nosode Morgan (Bach). It was found possible to isolate two sub-types of Bacillus Morgan and to observe the clinical indications for the use of the respective nosodes.

1. MORGAN-PURE (Paterson) is indicated where there is a marked symptom of skin eruption or disturbance of the liver ; bilious headache, or actual presence of gallstones.

2. MORGAN-GAERTNER (Paterson) is also indicated in skin and liver conditions, but it is likely to be more useful where there is evidence of acute inflammatory attack, such as that found in Cholecystitis.

The sub-type Morgan-Gaertner (Paterson) has often been found in the stool of patients suffering from renal colic and where X-ray has demonstrated the presence of renal calculus. The nosode Morgan­Gaertner (Paterson) should therefore be considered as a possible remedy in cases of renal colic. It is also likely to be of value in treatment in any case which has 4-8 p. m. modality which is also a characteristic of the group prototype remedy-Lycopodium. For its prototype, Morgan-Pure (Paterson) has Sulphur and within the main group represented by Morgan (Bach) you will find the well known trio of remedies mentioned by Kent as working in a cycle of Sulphur, Calcarea Carbonica and Lycopodium.

PROTEUS (Bach) 6C, 12C, 30C, 200C, 1M, LM1

It is difficult to offer you a single word with which to explain the pathogenesis of the B. Proteus, but it will be useful at the outset to suggest to you that the nosode Proteus (Bach) will seldom have any therapeutic action unless there are outstanding symptoms in the case relative to the central or peripheral nervous systems and symptoms which appear with degree of suddenness.

Mentals. Mental symptoms are prominent in the clinical proving and "Brain Storm" might be taken as the keynote to indicate this sudden and violent upset of the nervous system.

Outburst of violent temper, specially if opposed in any way ; will throw any missile which is at hand ; kick or strike ; the child objecting to parental control will lie on the floor and kick and scream.

Emotional hysteria, suggestive of the remedy Ignatia is also found in the proving of this B. Proteus preparation and convulsive and epileptiform seizures and meningismus in children during febrile attacks often responds to the action of the nosode Proteus (Bach). Further indication for the use of this nosode is disturbance of the peripheral nervous system, evidenced by spasm of the peripheral circulation, e. g. "dead fingers

intermittent claudication in the circulation of the lower limbs ; anginal attacks due to spasm of the coronary capillaries. There are two well known diseases associated with capillary spasm where the nosode Proteus (Bach) has been found useful in treatment-Raynaud's Disease, where there is spasm of the capillary circulation of the extremities, and Meniere's Disease where spasm of the brain circulation results in vertigo attacks.

Digestive System. It is important to note that any of the symptoms manifest in the digestive system are secondary to the action of the central nervous system. It is now being realised that prolonged nerve strain is a factor in the production of duodenal ulcer, and in the' Proteus proving, this is also to be found. The type of case is that where there are no prodromal symptoms in the digestive system and the first sign is that of a hæmatemesis or melæna. These ulcers have a tendency to perforate, probably due to the enervation and interference with capillary circulation in that area.

As part of the scientific discussion at this meeting, a study is to be made of the remedy Natrum muriaticum and you will note that this is given in my list as the outstanding member of the list of remedies I associate with the Proteus nosode, and I may have the opportunity of further discussing with you the significance of the disturbed chloride metabolism associated with this intestinal organism.

Neuromuscular System. As one might expect from the foregoing indications, cramp of muscles is a characteristic symptom and Cuprum metallicum is also found among the list of remedies.

Skin. Angio-neurotic œdema, which one associates with the remedy Apis mellifica is found in the proving of the B. Proteus preparation and also a tendency for the production of herpetic eruption at the mucocutaneous margins.

There is marked sensitivity to exposure to ultra-violet light.

Before leaving this "proving" of Proteus (Bach), it may be of interest to you to know that in Great Britain since the war years, there has been a marked increase in the frequency with which one has been able to isolate B. Proteus, and this I associate with long continued "nerve strain"-a factor of considerable importance of the pathogenesis of this type of bowel organism.

GAERTNER (BACH) 6C, 12C, 30C, 200C, 1M, LM1

The keynote for this nosode is "malnutrition" and as this would imply, it is the nosode applicable to the treatment of many diseases of childhood, but it is also found to be of value in the other extreme of life associated with malignancy. Marked emaciation may be taken as an indication for the use of the Gaertner nosode.

Mentals. Mostly observed in the child ; hypersensitive to all impressions, psychical or physical ; overactive brain with under-nourished body.

Digestion. It is in the digestive tract that the B. Gaertner has its greatest action, and this often manifests itself about the age of 6 months at the time when the infant is put on to artificial feeding.

The inability to digest fat -cœliac disease ; ketosis ; "intestinal infantilism"- are all disease complexes found under the "proving" of the B. Gaertner preparations ; also chronic gastro-enteritis ; tabes mesenterica ; threadworms. The clearing of threadworms is difficult and usually requires prolonged treatment.

If you combine the clinical picture of three well known remedies with which you are familiar, Phosphorus, Silicea, Merc. viv., you will have before you a very good clinical picture of the "proving" of Gaertner (Bach).

SYCOTIC Co.(Paterson) 6C, 12C, 30C, 200C, 1M, LM1

This organism is not of bacillary form but is a non-lactose fermenting coccus found in the intestinal tract. The details of this organism and the manner in which it was identified) is to be found in the original work published in the British Homœopathic Journal of April, 1933.

The keynote for the nosode Sycotic Co. (Paterson) is "irritability" and this has special reference to mucous and synovial membrane.

Mentals. Nervous irritability ; tempery (cf. Lycopodium) ; fear of dark ; of being left alone ; twitching of facial muscles, blinking of eyelids.

Head. Irritation of meninges, sub-acute or chronic ; headache from infection of sinuses ; persistent headache-particularly in a child-which may be the prodromal sign of a tubercular meningitis (cf. Hellebore). Sweating of head at night, profuse.

Digestive System. Chronic irritation of the whole alimentary tract ; catarrhal conditions ; acute or chronic gastroenteritis in the child ; loose offensive stool, excoriating (cf. Medorrhinum) ; urgent call to stool as soon as rising out of bed ; constipation unusual ; diarrhœa common ; nausea or sickness after eating eggs (Cf. Ferrum met.).

Respiratory. Acute, sub-acute, chronic bronchial catarrh ; catarrh of mucous membranes of nose, throat (enlarged tonsils and adenoids in child). Irritable cough at night, 2 a. m.

I regard Sycotic co. (Paterson) as a pre-tubercular remedy.

Circulation. Anæmia and hydræmia, usually in the adult.

(The Sycotic patient is always anæmic looking, never carries much colour in the face.)

Neuro-muscular System. General rheumatic fibrositis, aggravated from dampness, alter a period of rest (Cf. Rhus tox.). Feet painful when walking, as if walking on loose cobble stones, pain in the me tarsal bones, fidgety feet at night in bed.

Skin. Sallow complexion, oily skill) vesicular or varicellar type of eruption on face or body : (After administration of Sycotic Co. (Paterson) to children, a rash varicellar in type, resembling, and often mistaken for chicken-pox may appear.) Warts on mucocutaneous surfaces.

Genito-urinary System. Sycotic Co. (Paterson) has marked action of the whole of the genito-urinary tract causing irritation of mucous membranes from the kidney to the urethral tract ; albuminuria ; pyelitis ; cystitis ; urethritis ; vulvo-vaginitis ; balanitis.

Female. Pain in left ovary at menstrual period ; tic ovaries ; tubal infection (tubercular or gonococcal) ; profuse leucorrhœa.

It will be evident that this coccal organism of the intestinal tract is related morphologically and clinically to the Gonococcus. Hahnemann related what he called "The Sycotic Miasm" to the disease, Gonorrhœa, but this disease is only one form of catarrhal infection of the mucous membrane of the urinary tract. There are many other non-gonorrhœal organisms associated with the symptom picture of "catarrh" and I suggest that the miasm "Sycosis" may be considered synonymous with "Catarrh". Gonorrhœa is an infection of mucous membrane (i. e. it is a sycotic manifestation) but catarrhal manifestations (Sycotic) are not all due to gonorrhœal infection.

These are the nosodes prepared from the non-lactose fermenting organisms of the bowel which are most generally called for in practice, but there are two other members which are found occasionally in the stool and which are not well proved and seldom used.

DYSENT Co. (BACH) 6C, 12C, 30C, 200C, 1M, LM1

This is the nosode prepared from B. Dysenteriæ and the keynote for its use is nervous tension of a peculiar type and best described as "anticipatory", since it is that sense of nerve tension which a student might feel immediately before facing his examiners, or a business man before attending an important engagement.

Mentals. Nervous tension, mental uneasiness in anticipation of some event ; hypersensitive to criticism ; shyness and uneasiness among strangers ; mental uneasiness shows itself by physical restlessness, cannot keep still, fidgets, choreic movements of facial muscles, or limbs. Headache, frontal over the eyes, or in vertex, brought on by excitement ; often occurs at regular time periods of 7 or 14 days' cycle.

Digestive System. B. Dysenteriæ has been shown to have selective action on the pylorus causing spasm and retention of digested contents ; dilatation of stomach ; wakened at 12 midnight to I a. m. with acute pain in stomach, relieved by vomiting of a large quantity of mucous material.

In some children, diagnosed as- suffering from congenital pyloric stenosis considerable success has followed the use of Dys. Co. (Bach), which would suggest that in these cases the condition had been due to pyloric spasm rather than to congenital malformation, of the pylorus.

Duodenal ulcer often calls for the use of the nosode Dys. Co. (Bach) but there must always be present also evidence of nervous tension, which always precedes the physical symptom and which the patient feels and refers to his "stomach and heart area". This is in contrast to the type of duodenal ulcer found associated with the B. Proteus, where the nerve tension is insidious in action, unperceived by the patient, and the physical condition-the ulcer-tends to come on as a "crisis" without previous warning.

Cardio-vascular. Functional disturbance of heart action, associated with nerve tension ; palpitation before important events ; anticipatory discomfort in the cardiac area.

These are the outstanding symptoms found in the clinical proving of the nosode Dys. Co. (Bach), and you will find in them something of each of the associated remedies, Arsen. Alb. ; Argent. Nit. ; Kalmia.

BACILLIS No. 7 6C, 12C, 30C, 200C, 1M, LM1

This is so named because it was the 7th non-lactose fermenting type of bacillus to be observed in the laboratory, and as it did not conform to any of the previously known groups, it was given the numeral "7".

As a keynote for the use of this nosode I suggest "Mental and Physical Fatigue". The "proving" of Bacillus No. "7" is not unlike that of Proteus (Bach) as it has similar relationship ; Proteus (Bach) is related to Chlorine whereas Bacillus No. "7" seems to have a closer relationship to the two halogens, Bromine and iodine, often in combination with Potassium.

Mentals. The outstanding symptom is mental fatigue, a feeling of unfitness for any mental effort, which produces a sense of extreme physical exhaustion.

Digestive System. All the symptoms can be related to general lack of nerve and muscle tone ; a sense of fullness after food ; flatulence and distension of the stomach ; enteroptosis.

Genito-urinary System. Feeble urinary flow ; loss of sexual function, premature senility.

Respiratory System. Asthma ; bronchial catarrh ; tough sticky mucus, difficult to raise.

(Compare the symptom picture of Kali carb., which is one of the associated remedies.)

Circulation. Slow pulse rate, often with lowered blood pressure ; myocardial weakness.

(Potassium has a specific action on cardiac muscle.)

Neuro-muscular System. Relaxed fibrous tissue, with tendency to the formation of "rheumatic nodules" ; backache, cannot stand long without feeling of faintness ; tendency to syncope after sudden exertion.

Skin. Nothing outstanding ; sensitive to cold, to draughts and cold damp air.

MUTABILIS (Bach) 6C, 12C, 30C, 200C, 1M, LM1

This bacillus is so named because it mutates almost as soon as it is sub-cultured from a non-lactose to a lactose fermenter and is of interest mainly from a bacteriological point of view as the Bacillus Mutabile is an intermediary form between the B. Coli and the true non-lactose fermenting type. Its associated remedy is Pulsatilla and the nosode Mutabile (Bach) is likely to be of value in treatment where there is alteration of symptoms, e. g. where skin eruption alternates with asthmatic symptoms. This remedy is suitable for unstable or capricious persons with emotional stress and over-treatment of medications, urinary tract infections, asthma, eczema and diverticulitis may occur.

FAECILIS 6C, 12C, 30C, 200C, 1M, LM1

Anger at those trying to be helpful, a poor diet and suppressed stress and communication issues can underlie the need for this nosode. Cancer, surgery and chemotherapy may be contributing factors. The patients may develop post-operative diarrhea, constipation or skin problems. Related remedies include Sepia, Kali-mur, Baryta Carb, Opium, Croton tig and Apis.

BACILLUS No. 10 6C, 12C, 30C, 200C, 1M, LM1

Consider in anxious, irritable or depressed patients with a history of sexually transmitted disease and persistent inflammation. Sepia, Medorrhinum, Borax Nitric-Acid and Hydrastis are related remedies. Underlying symptoms include headaches, asthma, vomiting or gallbladder pain, rheumatoid arthritis, itching of vulva or rectum, warts and changes in bowel movements.

COCAL Co. 6c, 12C, 30C, LM1