Year : 2018 | Volume : XIV | Issue : 1 | Page : 10-25
Tautopathy – its Applicability in Clinical Practice
Dr. Awadhesh Kr. Thakur, MD (Hom)*1, Dr. Subhas Singh, MD (Hom), PhD2
*1Medical Officer (Homoeopathy), Central Govt. Health Services, Mumbai, Govt. of India; Former Postgraduate Trainee, Department of Organon of Medicine, National Institute of Homoeopathy; E-mail: email@example.com
2Professor and Head, Dept. of Organon of Medicine, National Institute of Homoeopathy, West Bengal
Homoeopathy being a distinct mode of treatment has the basis of symptoms-similarity for the selection of medicine. In Homoeopathy, the basis of prescription varies from case to case. Causation, Modality, Past History, Family History, Generalities, Mental symptoms etc. has been given priority during prescription depending upon the case. The side effects produced by Modern violent heroic medicine and other agents are one of the major factors, which is the obstacle to cure in the way of Homoeopathic treatment. Tautopathy refers specifically to the prescription of a potentized drug or toxin that a person has ingested at some time previously. While Tautopathy claims to remove such obstacle, there arises a question regarding its Homoeopathicity as the prescription in Tautopathy seems to be directed against specific causation only. This paper is an attempt to find out the evolution of Tautopathic method in Homoeopathy and its Homoeopathicity.
Tautopathy, Homoeopathy, Homoeopathic Principles.
Word meaning: The term Tautopathy is derived from the Greek word ταυτόν (tauton) = same, selfsame, in the sense of “identical.”
Tautopathy is defined by the Oxford Unabridged English Dictionary as “suffering caused by the same thing that was habitually used previously.”
Tautopathy (Tauto-same) is a method of curing or removing bad or side effects of drugs by iso-intoxication, i.e., curing by means of identical harmful agent in potentised form. It is not the science of similar but that of identical.
Yasgur defines Tautopathy as a form of isotherapy, primarily reserved for treating the effect of conventional drugs. A form of isotherapy, using a homoeopathically-prepared allopathic medicine in order to counteract side-effects caused by that particular allopathic medication, e.g., giving homeopathic DPT to counter the ill-effects produced by the DPT vaccine. (or giving homeopathic)
Tautopathy usually refers to treatment of an artificial disorder with a micro-dose or potency of the drug or toxic agent that has caused the disorder. Dr. Manfred Mueller have coined the term “pharmacode” for a homoeopathic potency of such an agent, from the Greek word φαρμακόν (pharmakon) = drug or poison, to distinguish these remedies from nosodes.
Introduction: Master Hahnemann in his Organon of Medicine instructed about the treatment of artificial chronic disease as…
“……..those devastations and maiming of human organism exteriorly and interiorly, effected by years, frequently, of unsparing exercise of a false art with hurtful drugs and treatment, must be remedied by the vital force itself (appropriate aid being given for the eradication of any chronic miasm that may happen to be lurking in the background), if it has not already too much weakened by such mischievous acts, and can devote several years to this huge operation undisturbed. A human healing art, for the restoration to the normal state of those innumerable abnormal conditions so often produced by the allopathic non-healing art, there is not and can not be.”
So Hahnemann pointed out this condition as most deplorable, the most incurable; and it is impossible to discover or to hit upon any remedies for their cure when they have reached any considerable height.
“Before the era of Antibiotics and Sulphonamides, it was already the practice to influence and check infection by non-specific therapy.” And with that the resistance of the body against disease was created first in the body. But as regard the resistance of the body, it has been noted that antibiotics unfavorably influence the defense mechanisms of the human body. It was found that the administration of Penicillin in healthy individuals causes a decrease in the leucocyte counts. “Sulpha drugs and penicillin may cause confusional psychosis, anuria, epilepsy, glossitis etc.” In fact, the ultimate results seem rather unpredictable and one wonders what the patient may have to pay for the gains achieved. The antibiotic’s action is a directly lethal one over the other bacteria and the abrupt change in the bacterial flora, of the respiratory and alimentary tracts is likely to have consequences which we cannot at present foresee.
Again, “Antibiotics in the usual dosage do not effect complete destruction of the micro-organisms, because they act mainly as bacteriostatics. The final destruction of the germs is therefore, left to the body’s own defenses, e. g., phagocytosis, anti-body formation, bactericidal activity of the serum (or in one word Vital Stimulators) etc.”
In modern “Wonder drug” treatment, all the emphasis is on cures for diseases, specifics against certain germs, tolle causam!
Find the germ tranquilizer and then kill it with the largest doses of antibiotic that the patient will stand. But in the majority of diseases the germ found is not the complete cause of the trouble; it may be only an associated factor. Again, there is a balance of power among the bacteria which Chemotherapy may disturb with dangerous results as when “Staphylococci in a lung abscess are killed off by Penicillin only to allow quiescent tubercle bacilli to flourish and exceed their deadly excavations.” Moreover we must respect vis medicatrix naturae. No antibiotic, however powerful, will save the patient if the vital spark of healing and resistance is lacking.
It is now definite that the wonder drugs, and habit forming drugs like Hormones create untold miseries to patients. “Allergic reactions can practically happen after any sort of medication. By no means do they represent a characteristic of Antibiotics. Some substances (barbiturates, some antipyretics, sulphonamides, bromium etc.) seem to be more dangerous in this respect than others. Allergic shocks are many on records during antibiotic treatment.
“Indiscriminate use caused an increasing number of serious and sometimes fatal reactions. Most antibiotic prescriptions written for common cold ‘flu’ and similar viral diseases and undiagnosed fever are unnecessary,” writes Dr. Gerant Eastman of Department of Medicine of State University of New York Medical School.
Penicillin made its initial appearance on civilization in 1945 as an authentic miracle of modern medicine. But today we are fast approaching the sobering realization that penicillin might not be such a blessing after all and more than a few doctors are seriously beginning to wonder about the wonder drug.
At the Antibiotic symposium held at Washington in 1958 covering a fair sampling of 29% of all hospital beds in United States from 1954 to 1956, revealed the bad reaction to penicillin that they had to receive special treatment for side effects. “Penicillin is the anti-biotic causing the greatest number of reactions and one most frequently involved in fatal cases.” Disturbances in the intestinal bacterial flora have been observed during antibiotic treatment predominantly after the oral administration of broad spectrum antibiotics.
A high rate of relapse has been observed, when introduction of chloramphenicol is done in the treatment of typhoid.
Neurological disturbances have been described in prolonged treatment with streptomycin and dihydrostreptomycin such as are often necessary in tuberculosis.
Hepatic disorders due to chlorpromazine are reported at the rate of 1 to 50 cases to 3 in 71.
Peptic ulcer is common during treatment with ACTH and cortisone. Peptic ulcer and migration of prostatic cancer to breast are known side effects of therapeutic hormones. Metastasis to breast may occur when oestrogen is given for prostatic carcinoma.
Antihypertensive agents have various undesirable effects; ‘Hexamenthonium’ in long course may bring an acute interstitial pulmonary fibrosis and progressive dysponea that is fatal in thirty days.
Considering all these bad effects produced by the drugs on human civilization, Dr. Oliver Wendell quoted: “If all drugs in the world could be dumped into the sea, it would be better for mankind and worse for the fishes.”
The side effects produced by Antibiotics and other wonder drugs are the matter of serious discussion these days. These are the problems to which everyone is exposed and there must be some sort(s) of solution to this. Tautopathy claims to be effective in these conditions. So let’s have an insight into our literature to find out how the concept of Tautopathy came into existence.
REVIEW OF LITERATURE
Mr. Dudley Wooton Everitt, the late director of Nelsons Homeopathic Pharmacy in London coined the term “tautopathy” around 1950s. Everitt was a Trustee of the Royal London Homeopathic Hospital who reportedly donated “boxed homeopathic remedies to every graduate of the Missionary School of Medicine.” He also contributed to homeopathic provings, including in the elder Sankaran’sprovings of Atraxrobustus and Hydrophyscyanocincta. Everitt was a passionate supporter of homeopathy until he and sixteen homeopathic physicians died tragically in the 1972 Trident air disaster.
Later in 1960 in a booklet, the noted Indian homeopathic physician Dr. Ramanlal P. Patel summarized his own rationale for the tautopathic method.
The discovery of this method by Dr. Patel was an accident when a lady aged 45 years consulted him. She was suffering from typhoid. She was under treatment of best allopathic physician of the town. He had prescribed Chloromycetin. In all, 32 capsules had been given within a week. Temperature came down from 104 to 100 degree and sometimes to 99.4 degree but never touched normal. Twelve more capsules were prescribed for 6 days. But after taking the 34th capsule she had stomatitis, with burning in the mouth; burning in the throat; sensation of feeling heat and swelling; thirsty; vertigo while getting up from bed; headache all over head, dull type. Movement aggravated her trouble. Itching here and there on the body; burning in the eyes mostly in the evening; hearing loss right ear without any pathological lesion; general weakness. In spite of these troubles she continued the treatment and she was becoming worse day by day and at last she asked a visit from a Homoeopathic physician. On consultation Dr. Patel prescribed her Bryonia 30, 8 hourly for four days without any good result. Then he prescribed Nux vomica 30 also without any good effect. After two days he switched to Chloromycetin 6, thrice daily for two days as most of symptoms were due to its ill effects. She felt better on third day and most of the symptoms were ameliorated within five days and the remaining – burning in the stomach and feet were controlled by Rhus tox 30, one dose after 15 days. This incidence led Dr. R. P. Patel to potentise most of the modern drug and adopt Tautopathy.
Patel pointed out that many homeopaths failed to recognize that some of their patient’s symptoms are actually drug side effects, including effects of previous medications that had been discontinued.
As per Dr. Patel: No doubt Homoeopathy alone of all therapeutic methods can legitimately claim to effect true cures by medication as distinguished from recoveries. But in the present era Homoeopathy suffers a set-back due to the use of present day most powerful wonder drugs, with their bad effects, creating drug diseases. These bad effects and drug diseases are to be removed to effect a true cure before we prescribe Homoeopathic drug. Here is a new feather (Tautopathy) in the cap of Homoeopathy. It can win for itself a corner in your heart, if you have any.
If a homeopathic physician prescribes on the totality of symptoms without considering the symptoms or bad effects of drug diseases of previous medication, he is going to fail, no doubt.
Patel noticed that not only could he remove the symptoms of the drugs with the tautopathic method, which would make it easier to find an indicated homeopathic remedy, but more often than not, there was no need of prescribing any other homoeopathic drug as in such cases patients recover completely if he is under the influence of that “wonder drug.
He used the tautopathic remedies as intercurrent remedies during constitutional treatment as well as during treatment of acute and chronic ailments. He used them in lower potencies than constitutional remedies, as a rule the 30c. He observed that you could even repeat the pharmacodes in the lower potencies without disturbing the action of the constitutional or chronic remedy.
Tautopathic drugs have two advantages such as: They can be proved according to Homoeopathic “Proving” and can be assimilated in Homoeopathic Materia Medica and can be given to antidote the bad-effects of crude or offending and harmful identical agents.
“Tautopathy is indirect Homoeopathy. It is Homoeopathy minus actual proving of the drugs on healthy provers. It is used on the basis of
- Causative factor (abuse of corresponding drugs) and
- The symptoms produced as side effects of the abused drug.
Tautopathic drugs have nothing to do with allopathy on the following grounds –
(1) They are used on the basis of symptoms produced by the crude on the diseased persons.
(2) They are prepared strictly in the process of Homoeopathic Pharmaceutical discipline.
(3) They are used in potencies.” (Dr. J. N. Kanjilal)
Dr. Donald M. Foubister reported similar experiences:
Hahnemann observed that Nux vomica was a useful remedy for “the evil consequences of coffee and wine drinking” and since then Nux vomica has been extensively used for the after effects of drugs in general. Pulsatilla has been found effective in treating patients upset by iron. Nat. mur., and other remedies have been used to counteract the effects of prolonged drugging with quinine in malarious districts. Thus certain relationships have been established between constitution and the influences of drugs. As a rule constitutional treatment can deal with the after-effects of drugs once the drug has been excreted. There are also many records of drug effects being antidoted by the same drug given in potency. It is better to prescribe constitutionally first, as a potency of the drug may work dramatically or not at all. It is interesting that the same applies to the nosodes of acute infection in respect of ill health following an acute illness as already mentioned.
Dr. Charles C. Bowes related a case in which a potency of the chemical responsible for the illness was successful in curing. “A child of four years falling into short spells of unconsciousness, unable to control the flow of urine day or night, was absolutely cured by a dose of Terebinth 1M. The history of the case was that the child had drunk a lot of turpentine when eighteen months old and had gone from bad to worse ever since. She never had a fit after that dose and gradually but quickly got over the enuresis.”
Some years ago Dr. Foubister treated a child suffering from an almost purely allergic type of asthma. The attacks occurred about once a week on an average. The first attack had been apparently caused by inhaling Sulphur fumes. In this case the constitutional remedy was Sulphur, which was given in the 30th, later the 200th, potency at long intervals, repeating when there was a relapse. The child was completely cured.
A woman of forty-two developed psoriasis consisting of rounded areas about 2 centimetres in diameter, widely distributed over her trunk and limbs, after treatment for tonsillitis with Sulphapyridine. Arsenicum album was prescribed but without any effect and a month later she was given Sulphapyridine 30. The psoriasis cleared up completely and had not returned six years later. Many cases of this kind have been reported in the homoeopathic literature in respect of a wide range of chemicals.
Sometimes the child may be affected by drugs taken by the mother. In another case previously recorded, a boy of 14 years of age was said by his teachers to be intelligent but somehow “could not use his brain.” His mother had been taking Pethidine during pregnancy on account of osteomyelitis. The boy was given Pethidine 30 and his ability to study shot up. It is interesting to speculate on what exactly happens in such cases when the drug which has adversely influenced a patient helps dramatically when given in potency- Is it that in these successful cases the drug is in fact one of the constitutional remedies for that individual, that it would have helped in any case whether the patient had had an overdose of it or not? For some years now I have taken the “anesthetic history” of every patient and this is occasionally very rewarding in constitutional prescribing.
The most definite feature which has emerged is that patients suffering from liver or gall bladder disease, who have had a bad reaction to chloroform, usually benefit from chloroform in potency. Such a history is often obtainable from older patients. It is probable that just means that chloroform with its known toxic effect on the liver, may be a useful “pathological” liver remedy.
An infant of six months old kept her parents awake through flatulence although there was no obvious feeding mismanagement. Lycopodium and Raphanus were helpful, but the parents were getting worn out through lack of sleep despite this. The child had been born by caesarean section in 1961, and it is very likely that any chloroform was given. As there was a possibility of some very slight liver damage I tried Chloroform 30, and there has been no trouble for the past nine months.
A man of forty-five who had suffered from very severe attacks of asthma for ten years responded to some extent to constitutional treatment. He had been born under chloroform anaesthesia, and his mother had been greatly upset by the anesthesia. Nat. sulph. and Lachesis, both liver remedies, had seemed to help him. He was given Chloroform 30, and later 200, and he has been practically free from asthma for over three years.
A woman of twenty complained of bouts of colicky epigastric pains which began at the age of eight. The attacks had become much more frequent and more severe during the previous year. Investigations were all negative. Colocynth 3x was found to be an effective remedy in relieving the pains, but despite careful constitutional treatment the number of attacks, about one in two weeks, was not reduced. There was a strong family history of cancer and four siblings had been helped by Carcinosin. Carcinosinadenostum 30 was given, but without apparent effect. She was the only one of the family born under chloroform anaesthesia and on this fact, together with symptoms of liver dysfunction, Chloroform 30 was tried. The attacks cleared for three months and then returned, but not so severely. Chloroform 100 was given and followed by practically complete freedom for over three years. She became pregnant, and during pregnancy the colicky pains returned quite severely. She came to see me in July 1962 and Chloroform 200 wiped out the pains.
Like Patel, Foubister made the observation that a constitutional remedy would sometimes not act, even though well-indicated, until the obstacle to cure caused by the influence of a past drug was removed.
Foubister explained as follows:
“Constitutional homoeopathic treatment consists mainly of prescribing on the psychosomatic make-up of the patient and on the past history. The patient is viewed against a background of a theoretical average person of the same age, sex and social environment, and the salient mental and physical characteristics are noted and matched by a remedy having a similar drug picture. One or more, usually a number of remedies carefully chosen in this way can frequently restore health when there are no insuperable pathological barriers.
Quite often the psychosomatically selected remedy can cover outstanding episodes in the past, for example Natrum muriaticum when the patient has had concussion, but sometimes it seems that it is necessary directly to antidote some past event which greatly disturbed the patient’s health. The patient’s past history and the family history are similarly viewed against the background of a theoretical average family and personal history and outstanding features or events are noted.
Then, if psychosomatic prescribing fails to produce satisfactory results, the past history may lead to an appropriate remedy for that individual, or it may be advisable to prescribe on the family or individual history when there are no clear symptomatic indications for any one remedy right from the beginning.
Foubister was of the opinion that while “as a rule constitutional treatment can deal with the after-effects of drugs once the drug has been excreted” there are many circumstances where the administration of unproved potentised medicines is justified when selected on the basis of events found in the patient’s history.
Dr. P. Sankaran published his case cured Tautopathically in Journal of Homoeopathic medicine in December, 1966: A case with difficulty in articulating speech after a history of typhoid for which the patient was given Chloromycetin. Causticum, the indicated remedy failed in different potencies. He was thereupon put on Chloromycetin 30, three doses a day for three days and later on Causticum 1M and there was an immediate and very satisfactory improvement and within a month he was arguing in the court. Dr. Sankaran pointed that sometimes tautopathic medicine is required to overcome the obstacle in the way of recovery.
Dr. Downer gives illustrative cases and says that first the road must be cleared of drugs that are hindering the true line of cure and then the indicated remedy must be given. That these drugs seriously interfere with and prevent a cure is known to the homoeopathic physicians. But fortunately for us, the same drugs, in potency seem to have the power of antidoting and nullifying the ill-effects of the massive drugging.
- H. Clarke wrote:
Dr. J. H. Clarke in his clinical repertory says that, “It is often as important to be able to arrest a medicinal action as it is to start it. A prescriber who cannot antidote a drug effect is like the driver of a motor who cannot put on the brake.”
Most remedies under our Materia Medica list several other remedies and various crude substances such as vegetable acids, camphor, coffee, salt, etc., that could antidote its effects along with other remedies and crude substances that they themselves could antidote. The practice of antidoting the crude substances with a potency of a substance in case of poisoning or a sensitivity reaction was common knowledge, as the following quote shows: Apparently, as usual, the crude poison is antidoted by its potencies, 200c, etc.
Clarke, in his Dictionary discusses the history and danger of Pasteur’s rabies vaccine and mentions that several cases had died after the vaccine. That these complications were real is confirmed as late as the 1967 Merck Manual, which cites that in as many as one in 2000 inoculations, the patient dies from a serious adverse reaction causing a syndrome reminiscent of and sometimes indistinguishable from rabies. Clarke proposed the use of a pharmacode made from the Pasteur rabies vaccine to counteract the effects of the vaccine in cases of serious neurological complications from the vaccine. It would be well to have as an alternative preparation, Hydrophobinum pasteurianum, obtained from Pasteur’s vaccine, to meet conditions similar to these.
Clarke also mentions that the adverse effects of medical x-rays and radiation therapy were removed by X-ray and Radium bromatum.
Dr. Dieffenbach, who had been investigating Radium for ten years before he published his pamphlet, records that as a result of former X-ray and Radium-ray experiments one prover’s hands had, when the proving commenced, eczematous eruptions, cracks, scaly excrescences, and wart-like outcroppings. After his proving with 6x these gradually disappeared.
A girl employed in the X-ray Department of the hospital with which she is connected developed dermatitis of the right hand and fingers. An ointment was prescribed without benefit, and cracks appeared on the skin. Two doses of Radium Bromatum 30c were given, on Mr. Pierrepont’s suggestion, one in the morning and one in the evening. The following day the patient came out in a rash, which the matron mistook for measles, eyes watering, fingers very sore, and she felt very ill. By the following day the rash had disappeared and she felt well. The fingers were now better, and they got quite well, except that a sore feeling was left after washing.
As per Dr. Margaret Tyler:
An alarming case of supposed aluminium poisoning is given in American Medical Journal- misled at the moment, doubtly interesting because a similar case happened in one’s private practice. It was a malignant disease of oesophagus, which cleared up when aluminium cooking vessels were discarded.
Almost universal use of Aluminium cooking vessel must be worth thousands a year to the chemists who sell laxatives and purgatives galore to the public.
“No desire for stool; and- no power to strain at stool, however soft” is a common feature of Aluminium toxicity.
Tyler treated the effects of aluminum exposure with high potencies of Aluminum.
Dr. J. Compton Burnett, in a pamphlet on the interfering effects of anesthesia, related how he found that anesthetized patients who had been drugged with ether did not respond properly to homeopathic treatment. Not until he tried antidoting the effects of ether in potency did the indicated remedy act.
Dr. Stuart Close describes some remarkable cases in his book Homoeopathy in terminal conditions and apparently incurable diseases. Some of these cures probably simulate Tautopathic applications of medicines.
Case: A case of uremic coma, gangrene, and apparent death of a woman aged 45 years had been ill for over two months. There was no clear or satisfactory previous history owing to the ignorance or inattention of the people concerned. On extended search it was found that the case began as an eczema, affecting principally the lower extremities. In the beginning of treatment by her allopathic family physician, she did not appear to be seriously ill; but as treatment progressed she became more and more ill and weak, and finally was confined to her bed. From this time on there was a steady decline of weight and strength, of loss of interest in life, and of hope, until she became apathetic, and finally comatose. Urinary secretion had become scantier until it ceased, and uremic coma came on. The treatment had been mostly topical — consisting of the application of various ointments and lotions for the eczematous areas. The treatment had been mostly topical — consisting of the application of various ointments and lotions for the eczematous areas, and, as I learned afterward, of the free use of Arsenic internally. In consequence the eczema had been suppressed, and the systemic symptoms developed. The treatment had been mostly topical — consisting of the application of various ointments and lotions for the eczematous areas, and, as I learned afterward, of the free use of Arsenic internally. In consequence the eczema had been suppressed, and the systemic symptoms developed.
She was given Arsenic album 45M. Within a short period of time patient made a magical recovery gradually regaining her strength until she finally resumed her ordinary round of life.
Dr. Dewey reports on the use of the tautopathic method for the treatment of allergies. He cites Hahnemann’s awareness of the individual differences in sensitivity and susceptibility, that “all persons were not affected by a medicine in an equally great degree” during proving.
Hahnemann had described “idiosyncrasies” that predisposed some to have serious hypersensitivity reactions to foods and plants even without exhibiting any other chronic illness:
Some persons are apt to faint from smell of roses and to fall into many other morbid and sometimes dangerous states from partaking of mussels, crabs, and fish roe, or from touching the leaves of some kinds of sumach.
While Hahnemann did not describe a treatment other than homeopathic for these, homeopaths experimented with the tautopathic method by giving the allergen in potentized form, often with success.
Dewey reports about homeopaths in the 1870s who treated food allergies with the potentized foods themselves, having results in both treatment and prevention, or many apparent cures of the specific sensitivity. Dewey also acknowledged the use of constitutional treatment for allergies. He declared the action of the tautopathic medicine is simply homeopathic. He points out that many foods that can cause disease are in our material medica and have even been proven.
Dr. W. P. Wesselhoeft of Boston was first to advocate that people exist who cannot eat strawberries. These susceptible individuals suffer from urticarial rashes, sometimes difficulty in breathing as if a weight were on the chest. Potentized Fragaria vesica relieved at once. It was later amply verified by Drs. Swan, and Wells.
In 1867 Dr. Adolf Lippe had a case of chronic poisoning by cane sugar (in other words a super sensitiveness to this substance). He removed it completely by Saccharum officinalis. (Hahn. Mo. Oct. 1867)
There are numerous cases of over susceptibility to Apis poisoning which is remedied by taking Apis mellifica in minimum doses. Bee keepers and those who handle bees are rendered immune, and do not mind or suffer from bee stings, nor do they produce swellings or edema when the person is thus immunized.”
A case of Quininism cured by Cinchona sulphuricum in high potency. (Organon Vol. iii p. 208.)
As per Dr. Robin Murphy:
Tautopathic prescribing: The prescribing of potentised remedies based on their chemical similarity to the disorder being treated. Tautopathy is the science of antidotes and toxicology. This method excels in removing the effects of drugs and toxins.
Drug layers, drug abuse, addictions, cravings and drug overdoses can all be treated with tautopathic methods. The first remedy ever prescribed in homeopathy was a tautopathic, one not a homoeopathic, one. Hahnemann used the remedy China (potentised Peruvian bark) to treat Peruvian bark poisoning: that was tautopathy.
You need an ideal patient for classical homeopathy to work; they are the exception in homeopathic practice, not the rule.
Etiology overrules symptomatology in clinical practice. If the cause of the disorder is a drug, then the homoeopath should be prescribing accordingly. The symptoms are an expression of the vital force. Each case tells you, via the etiology and symptoms, whether to go for homeopathy, tautopathy or isopathy, etc.
Healing is a continual process; we have to keep the patient moving towards better health. Health is a part of living, growing and ageing.
The average American has a 9000% greater chance of dying from allopathic drugs than from a loaded gun in their own home! A person has double the chance of dying from their doctor than from a car accident.
Classical homeopathy is useless in cases of severe pathologies and patients on allopathic drugs. Clinical practice consists of sixty to seventy per cent of these types of patients. Most patients today are on two or three different drugs. Therefore we should be familiar with the top allopathic drugs being prescribed today, especially those used for heart problems, blood pressure and diabetes. We need to know the drug side-effects, drug overdose and withdrawal symptoms etc. Also, we need to know how to use the allopathic drugs as homeopathic remedies.
Some fifteen hundred new drugs are developed annually, all of which are new to the human gene pool. Therefore any approved drug is still one foreign to human DNA for generations. The true toxic effects of any drug may not be known for at least forty years. Humans are being chemically manipulated, poisoned and experimented on, for money and no other reason. Chemotherapy is as toxic as getting cholera, but we have to pay for the chemo poisoning, and cholera is free!
Following are the methods of tautopathic prescribing:
- Tautopathic prescribing for drug side-effects.
- Tautopathic prescribing for drug layers: ‘Never been well since taking a drug or chemical poisonings’ is a common phenomenon in modern practice. Drug poisonings can leave drug layers. If a drug layer exists in the case, then it must be removed first. Otherwise the patient’s health will not improve. Mixing these drug layers with the general case is a big mistake. Also, ignoring the top layer of the case can lead to a failure to cure or even palliate.
A case by Dr. Ian Watson: A woman in her sixties consulted for “her gullet had shrunk” when tried to swallow, food become lodged behind the sternum, causing a ‘hot’ pain which went through to the back. The pain was relieved by regurgitating the food. On drinking she often has spasmodic attack of hiccough. She has frequent eructation of wind; a sensation of lump in the throat, not relieved by swallowing; easy satiety and tendency toward constipation.
About eight year previously she had an internal investigation of gullet which caused laceration and punctured her right lung. The lung collapsed and she developed pleurisy as a result. This had left her with a tendency to get out of breath easily, soreness in the chest on deep inspiration. She was given Arnica 200, Calendula 30 on the basis of past trauma and this relived the soreness in the chest and produced no other change. On repertorising the symptoms Natrum Mur seemed best indicated but it was given with no result. Kali Carb and Lachesis also tried but without result.
On further questioning about the onset of trouble it was found that approximately one year after the lung episode ‘she has an attack of arthritis’ in the right hip. She was given Naprosyn (a non-steroid anti-inflammatory drug). As soon as she started taking it she developed an awful burning in the esophagus. After a week the drug was stopped but ever since then she had the difficulty in swallowing, pain behind the sternum and feeling of a lump in the throat. In fact, she assured me “she had never well since”.
Based on this she was given Naprosyn 30 three doses to take over a 24-hour period. After that she recovered well. Then she had a partial relapse after the sudden death of a close friend, which Ignatia 200 took care very quickly.
This case demonstrates the typical result with a Tautopathic prescription in a “never well since situation” i.e. marked initial aggravation followed by followed by rapid and dramatic improvement.
- Tautopathic prescribing for drug withdrawals: Treat all drug withdrawals as acutes, and use the tautopathic remedies in higher potencies.
- Tautopathic prescribing for drug addictions: Cravings for cigarettes, alcohol, coffee, marijuana or allopathic drugs are all treatable with Tautopathics. Example – alcohol in potency is a great remedy.
- Tautopathic prescribing for drug and chemical overdoses: Acute drug overdoses are a common cause of death in our society. Knowing the correct Tautopathic or Homeopathic remedies can save someone’s life.
Example: Barbiturate overdose symptoms are slurred speech, drowsiness, murmuring and heavy eyes, followed by coma and death. Phenobarbital in potency is the antidote for Phenobarbital overdose.
- Tautopathic prescribing of allopathic drugs based on their allopathic indications: Example: Ritalin is used in hyperactivity, and so it has a similar affinity for that disease. It is a stimulant that treats overstimulated children. Therefore Ritalin in potency is a great remedy for treating hyperactivity. Example: Dopamine is a drug used for Parkinson’s disease. Therefore Dopamine is a remedy for Parkinson’s disease. These patients also have a dopamine deficiency.
- Tautopathic prescribing of allopathic drugs and chemicals based on their homeopathic indications: Remedies like Lithium Carbonicum, Alcoholus, Mercurius, Plumbum and Adrenalinum have been in the repertory for over a hundred years. Via provings and case histories we have the indications for prescribing them as homeopathic remedies. Likewise, any drug or chemical can be used in a potentised form as a homeopathic remedy to treat things beyond its normal allopathic indications.
- Tautopathic prescribing of preventative remedies: This is also known as PROPHYLACTIC TAUTOPATHY. If one knows a person is about to be exposed to a toxic substance, then one can give a tautopathic remedy to help them through the toxic exposure.
Example: Before a visit to the dentist, give the anesthetic in potency, especially if the patient has a history of poor recovery from that drug.
- Tautopathic prescribing for detoxification.
Elimination of toxins: It has been demonstrated in experiment carried out in 1950’s and 60’s that animals injected with sub-lethal doses of toxins such as Arsenic or Bismuth would eliminate far greater quantities of poison in the stool and urine if they were then given the same substance in low potency such as 4c, 5c and 7c. whilst the investigation techniques are objectionable, the result suggest that Tautopathy could prove effective in treating the cases of poisoning, overdosing, and other forms of chemical toxicity.
- Intercurrent remedy: sometimes patients will present with a fairly clear remedy picture, but that remedy, on being prescribed, fails to act as well as it should or the patient soon relapses. This may suggest a miasmatic blockage in the case but it could also be that a drug or other toxin that has been ingested in the past is preventing the remedy to act fully. In cases like this an intercurrent prescription of the drug in potency will clear the way and allow the indicated remedy to act as it should.
A woman suffering from eczema who responded to indicated constitutional remedy Calcarea carbonica but relapsed very quickly. On the basis that she had been given penicillin on numerous occasion in the past, and knowing that it has strong affinity for the skin, penicillin 200 was prescribed. It produced marked improvement in her condition, and when given Calcarea carb again subsequently, it completed the cure and there was no further relapse.
Some of our famous ‘Imponderabilia’ can be usefully employed as an intercurrent Tautopathic prescription. For example – patient who has received multiple x-rays who fail to respond to treatment may well require a dose of potentised X-ray; cancer patients and others with a history of radiation exposure may require Radium Bromide and patient who have endured E.C.T. treatment in the past may prove difficult to treat until they have been given Electricitas.
Few cases related to Tautopathy:
Case No. 1: (By Dr. R. P. Patel)
Mr. M. Aged 64 yrs. A patient of mine was under treatment for prostatic complaints and he was feeling better for the last 6 months. He developed cold attack followed by incessant cough with fever. It continued for 4-5 days without the aid of medicines as he was 45 miles away from Kottayam. As the cough was troubling him he approached a nearby Allopathic Doctor who prescribed Zephrol, which contains Ephedrine for his cough. After taking 2-3 doses his cough was better, but he found difficulty to pass urine. Even after 6 hours he could not pass urine at all. The patient approached the Doctor and he was catheterized twice not knowing that this was due to the drug taken. However, the patient could not pass urine voluntarily and he wanted to avoid catheterization. He was rushed to me for help. After going through the history and the contents of the medicine, Zephrol, I suspected that it was the effect of Ephedrine content of the drug, which has its side effects—urinary complaints with retention of urine and prescribed Ephedrine 6/12 doses 3 hours apart. After the 3rd dose he started passing urine without the aid of the catheter. He was advised to continue the rest of the doses with the effect that he never had to resort to the catheter again.
Comments: This proves that immediate after-effects can be metimmediately by Tautopathic drugs which all practitioners must have at hand for emergency cases to save the immediate situation in a critical condition of the patient. The patient never had afterwards such a complaint—retentioninspite of his enlargement of prostrate —for the last 8 months.
Case No. 2: (By Dr. R. P. Patel)
Mr. F. Aged 68. A famous writer was under my treatment for his so called rheumatic complaints and gastric complaints. One day suddenly he had gastric upset and diarrhoea followed. Became weak and fainted. He was rushed to a Mission Hospital, where saline and glucose were given together with antibiotics. Diarrhoea stopped but had severe reaction on the body. Whole body was swollen up and became pinkish red. All possible anti-allergic treatments were given but without relief. Was brought home and I was called in. When I saw him it was a surprise to me to see him disfigured. He told me the story. He asked me to do something as he cannot tolerate itching and can’t sleep day and night. I told him that I must have the names of the medicines which were given to him. His cousin phoned to the Doctor who treated him but the Doctor would not tell the names of the medicines. However, the other cousin who had a medical shop and who supplied the medicine came out with all prescriptions and he told me that this medicine (Reverin I. V.) created all the troubles. Before that I gave RhusTox 0/3/6 which gave but temporary relief. As soon as I came to know that it was Tetracycline I gave two doses of Tetracycline 30 prepared by me at the interval of 12 hours and after two days swelling started subsiding and peeling of the skin started. Itching was 90 % relieved and had comfortable sleep afterwards and within 10 days, skin peeled off from all over the body and the whole allergic reaction completely disappeared. The doctor being a friend of the patient made three visits during this process and he was amazed to see the result of Tautopathy, the sister of Homoeopathy. He was satisfied. What else do I want?
Case No. 3: ((Dr.S. R. Wadia M. B. B. S; M. F. Horn. Bombay)
Name of the Patient: Mrs. Makim age: 59.
This patient is very sensitive to drugs, but in spite of that, when she developed fever, on 27th August, 1974, she was first given METACIN which brought down the fever temporarily, but she developed cough and cold, for which the doctors prescribed TERRAMYCIN 3 capsules only, to see the effect of medicine. After a couple of days, she developed a pink rash like velvet all over her skin. To antidote the effects of Terramycin, they gave some injections, medicines etc. In the past too, she had taken some drugs for her diabetes and had developed similar skin disease with enlargement of the glands for which STREPTOMYCIN was given, which gave rise to choking sensation. Being an extremely well-to-do patient, I was shown a big file of various reports not only from India, but from U. K. too.
This disease was diagnosed by a skin specialist as ‘SOLAR DERMATITIS’. All sorts of applications and medicines were given, but the rash persisted.
As there was so much talk about doctors and their different diagnosis, I could hardly get time to get personal symptoms from her. She immediately wanted some remedy to relieve her itching and her pink rash all over her body.
01.8.’74 TERRAMYCIN in 30th potency was repeated 3 times a day. After about a week, she developed a little fever but the rash on the skin and the itching was less. TERRAMYCIN 200 a single dose was given, with plentiful placebo. After about a week, there was further improvement and most of the red patches had disappeared leaving skin white and I found that the skin of the palms and soles were peeling. No more Terramycin was administered and the patient had a fine recovery in about 6 weeks.
Case No. 4: (Dr. S. R. Wadia, M. B. B. S., M. F. Horn. Bombay)
Mr. S. Age 50. This patient is suffering from urticaria for the past several years. He has taken various Allopathic and Homoeopathic medicines without relief. There was no definite modality except better by cold applications. He is a hot patient and has suffered in the past from Eczema. On further questioning I could not get any key symptoms to prescribe so I again questioned once more as to how it started years back and he told me he had taken Marking Nut which was given by a Vaid for some ailment which he does not remember. Anacardium Oriental in the 30th potency was given in repeated doses. The Urticaria disappeared completely but after a month it again appeared in milder form. The same remedy in the 200 potency 3 doses has made him completely free from this disease.
Objections and Controversy
Homoeopathy is the art of cure based on the natural law of healing discovered by Dr. Hahnemann. The law is known as ‘similiasimilibuscurenture’ which means in simple language that drug producing symptoms also cure such symptoms.
What is Homoeopathic Medicine?
……there are many drugs common to Homoeopathy and other system of medicine. Digitalis, Sulphur, Insulin etc are some example. So the drugs by themselves are neither Homoeopathic nor Allopahic. A drug does not become Homoeopathic just because it is prescribed by a Homoeopath or comes from a Homoeopathic pharmacy. Neither does a drug become Homoeopathic by the process of potentisation because many Homoeopathic drugs are used in the unpotentised tincture form also. Rather, it is the application of the drug to the case that makes it Homoeopathic or Non-homoeopathic to the particular case. If the drug is given following the principles of Homoeopathy then the drug is Homoeopathic to the case.
While we are using a drug Tautopathically simply to counteract the drug action of any drug, without considering the Individualization and totality of symptoms, then it is like a specification, which is against the province of Homoeopathy.
Again if we quote Dr. Kent: “We have seen that Rhus cures the patient of his sensitiveness to Rhus as well long after as before he was poisoned by it. This is not Isopathy, as it was not Rhus that was cured, but the patient, and it was simply pointed out to the intelligent physician by the accidental poisoning wherein Rhus was pointed to as one of the medicines that he is sensitive to; it being fully understood that the patient is always highly sensitive to his needed medicine. This, therefore, is but a centering of a complex of symptoms in a homeopathic problem.”
So as per Dr. Kent if Rhus poisoning is cured by potentised Rhus in high potency, it was his needed medicine to which he was highly sensitive and it must be patients constitutional medicine.
With the onset of industrialization that brought a massive increase in exposure to allopathic drugs, environmental poisons, radiation and other irritants, the need for the Tautopathic methodology of antidoting these artificially induced disorders became increasingly apparent to homeopaths. Grimmer, a protégé of Kent wrote:
Many times unhappy and disappointing results follow a truly homeopathic prescription in these days of universal drugging, processed and adulterated foods, poisoned water supplies (chlorine, fluorine, etc.), polluted air (carbon dioxide and monoxide gases from automobile engines, poisonous and noxious wastes from manufacturing and chemical plants of all kinds, etc.), to say nothing of the latest menace to the inhabitants of the world from the atomic radiations that have already impregnated the atmosphere of the earth from the explosions of the atomic and hydrogen bombs set off by the United States and Soviet Russia.
In a general way the things just mentioned are among the hindrances to the action of the homeopathic remedy and are often difficult to control or antidote. In recent months in my practice I have found remedies like Phosphorus, Radium Bromatum and X-ray in potency, more frequently indicated and very helpful in clearing the cases and paving the way for complimentary remedies that may be needed to complete the cure. It seems that radiation influences are already at work.
Tautopathy cannot cure all type of drug diseases but it can help to cure many and varied cases. All cases of Choloromycetin poisoning produced drug disease do not respond to the potentised Chloromycetin. Which cases of Chloromycetin poisoned drug diseases are responding to potentised Chloromycetin and which case are not is to be found out through the research works.
At the same time through the use of a Tautopathic drug we get certain hint regarding the use of Tautopathy drug in which case they are useful but only through extensive proving of a the drug its full picture can be found, hence it can be used more successfully and Homoeopathically in the relevant cases.
The record shows that classical homeopaths used Tautopathy successfully to remove syndromes produced by drugs, chemical poisons, animal and plant poisons; allergic reactions; and even proving symptoms caused by homeopathic remedies. Some homeopaths used the method to remove the influence of drugs taken by the patient in the past, when this influence interfered with or prevented the use of regular constitutional treatment long after the drugs or poison had been discontinued.
Successful clinical cases through Tautopathic approach stimulates the modern scientific research in this path. Tautopathic medicines have to be proved extensively both on healthy human and also clinically.
But while including this method into the province of Homoeopathy, the basic principles of Homoeopathy should not be compromised at all.
- Boericke W. A Compend of the principles of Homoeopathy. Reprint ed., New Delhi: B. Jain Publishers (P) Ltd.; 2008.
- Dey SP. Essentials of principles and practice of Homoeopathy. 3rd ed., Howrah: Smt. Aparna Bhattacharya; 2000.
- Gunavante SM. The Correct Prescription. 5th imp., New Delhi: B. Jain Publishers (P) Ltd.; 2010.
- Hahnemann S. Organon of Medicine. 5th, translated by Dudgeon RE and 6th edition by Boericke W. New Delhi: B. Jain Publishers (P) Ltd.; 2002
- Kanjilal JN. 15th Imp., New Delhi: B. Jain Publishers(P) Ltd.; 2013
- Master FJ. Clinical Organon of Medicine. 2nd imp., New Delhi: B. Jain Publishers (P) Ltd.; 2010.
- Mathur KN. Principles of Prescribing. 11th, New Delhi: B. Jain Publishers (P) Ltd.; 2013.
- Murphy R. Case Analysis & Prescribing Techniques. 5th, New Delhi: B. Jain Publishers (P) Ltd.; 2004.
- Patel RP. What is Tautopahty. 7th, India: R. P. Patel; 2005.
- Sankaran R. Homoeopathy the Science of healing. 2nd, New Delhi: B. Jain Publishers (P) Ltd.; 2005.
- Watson I. A Guide to the methodologies of Homoeopathy. Revised ed. Devon, England: Cutting edge Publications; 2004.
- http://www1.a-rh.org/Publications/Journal /sampleArts/RobinMurphyHIPOct02.pdf (last cited on 26-08-2016)
- http://www.homeopathyjournal.net/article/S0007-0785(57)80048-9/abstract (last cited on 26-08-2016)
- http://thehomeopathiccollege.org/antidoting/practice-tautopathy-classical-era/ (last cited on 27-08-2016)
Cite this article as: Thakur AK, Singh S. Tautopathy – its Applicability in Clinical Practice. National Homoeo Recorder 2018;XIV(1):10-25