Understanding Tub-bov.

Dr. Claudio C. Araujo MD, FFHom. (Lon)

Something is not right for the Tub-bov. patient – and he needs to find it out. He has been studding in more than one University, has being working in different places with different occupations, has tried a few relationships and maybe a few marriages. But in the end, he feels as if he didn´t have found what he has been looking for all of his life. There is this sensation in the Tub-bov. patient, this “restlessness”, nothing satisfies, it doesn´t matter if it´s a faculty, a profession, a job or a relationship; it´s a lack of fulfillment, there will be no peace inside him, he is always troubled by this “emptiness” inside. He feels frustrated, unfulfilled, always looking for a new school, a new job, a new trip, a new relationship - but once he has found it out, very soon the “new” event becomes boring, repetitive and now our patient is again on the move, searching for “that very thing” that might ended up one´s agony. She may have tried psychotherapy, believing that her “quest” was originated during childhood after her parent´s divorce.  Her therapist may create a theory and now she understood her anguishes, but it will not cease, unless treated with Tub-bov. Her emptiness will remain, although understood, because it comes from deep inside. The proving gives us this patient fears like dogs and snakes, it show us how aggressive he might become to himself and to the others, but this “emptiness, this lack of fulfilment has not become clear. We know that it´s there inside and it puts our patient on the move, on the quest, searching for something that might calm oneself down, once and for all.  

The Tub.bov. child is a very easy patient to spot, it´s a very aggressive child, has outburst of violence, he might also hit oneself and anyone nearby. It´s a very restless child, never calming down, has a profuse head perspiration during sleep and frequently has a nose blockage due to adenoids inside one´s nose. Afraid particularly for dogs.

Kent defined this patient as someone “cosmopolitan” 

“Someone who is cosmopolitan has had a lot of contact with people and things from many different countries and as a result is very open to different ideas and ways of doing things”.

This is the definition of the word and it maight shed some ligth over the undestanding of this patient personality ;but we must not forget that our patient has been on the move due to his lack of fulfilment and from being non satisfated with the things that are nearby him. He will be someone always searching for “peace inside”, something that might ended up his search – for something he doesn´t know what it is.

 

Tuberculinum bov. Groups

Kent, Allen & Hering

Dr. Claudio C. Araujo M.D. F.F.Hom. Lon)

With the Environment

Irritable on waking; Nothing can please him. 

Nothing satisfies. 
Everything in the room seems strange, as though in a strange place. 
 

 TravelChange

Cosmopolitan.

A person gradually running down, never finding the right remedy, or relief only momentarily; has a constant desire to change, and travel, and go somewhere, and do something different, or to find a new doctor.

The desire to travel, that cosmopolitan condition of the mind belongs strongly to the one who needs Tuberc. It comes out so often in clinical experience; is found so often in the Calcareas and especially in Calc. Phos., always wanting to go somewhere. Such is the condition of those about to go into insanity, about to go into some lingering disease. Persons on the border land of insanity.

Intense restlessness; and inward restlessness. 
Very restless in the evening when aroused. 
 

   Dogs and snakes.

Fretful and ailing, whines and complains, indurated glands can be felt everywhere, child hot, drowsy, urine red and sandy, much given to be frightened, particularly by dogs; was vaccinated and had a very bad arm for four months thereafter; would not smile, whimpers when spoken to, skin dingy, skull hydrocephalic. Burnett.
With every little ailment, whine and complains; easily frightened, particularly by dogs; screams in terror when approached by a dog. 
Waken from 3 to 4 A. M. with terrible dreams; of snakes crawling upon my sister from the back; of dark-green snakes three and four feet long, two inches in circumference; they seem like the snakes in my own country, Columbia. 
Periodical anxiety and terror. 

Music

Sensibility to music. 

Extremely sensitive to music. 

Great anxiety for future, otherwise marked indifference. 

With Oneself

Hopelessness in many complaints. 

Weary of life. 

In the Guiding Symptoms, "A sullen, taciturn, irritable" condition of mind.

Although naturally of a sweet disposition, became taciturn, sulky, snappish, fretty, irritable, morose, depressed, and melancholic, even to insanity. θ Tubercular meningitis.

Fretful, ailing, whines and complains; mind given to be frightened, particularly by dogs. θ Hydrocephaloid. Burnett.

Anxiety evening, until midnight. 

Anxiety during fever. 

Anxiety, gloomy, melancholy humor. 
Has lost melancholy expression she formerly had. 
Is disposed to whine and complain, dejected mind, anxiety. 
She is very sad. 

She is very sad, dejected, and complains continually. 

Indifferent. 
Although naturally of a sweet disposition, became taciturn, sulky, snappish, fretty, irritable, morose, depressed, and melancholic, even to insanity. θ Tubercular meningitis. Burnett.

Irritability

Trifles produced intense irritation and I could not shake them off. 
Very irritable, want to fight; no hesitancy in throwing anything at anyone, even without cause. 
Great anxiety for future, otherwise marked indifference. 

 Loquacity and delirium

Loquacity during fever. 

Loquacity during fever is a common feature in hectic fever when the patient, is decidedly affected by the toxins of tuberculosis.

Boy, æt. 20 months, ill for days with head, high fever, restlessness, and constant screaming; finally, no sleep for forty hours, followed by a condition of collapse; peculiar smell of body; family history of tuberculosis. Burnett.
Tubercular meningitis, with effusion; head greatly enlarged; alternately wakeful and delirious at night, talked nonsense by day, at intervals; nocturnal hallucinations and fright; delirium; pyrexia; had eczema which almost disappeared after two unsuccessful vaccinations, and which were soon followed by above condition; after administration of remedy there occurred a severe pustular eruption, then patches of a lepra and eczema appeared. Burnett.

Tormenting, persistent thoughts during the night.

Thoughts intrude and crowd upon each other during the night.

It is true that phthisis and insanity are convertible conditions, the one falls into the other. Many cases that are treated and cured, and phthisis of the lungs has just been turned aside, finally become insane. Persons who have been cured of insanity go into phthisis and die, showing the deep-seated character of their nature. The intellectual symptoms and the lung symptoms are interchangeable.

Persons on the borderland of insanity.

Screams in his sleep.

 Is very restless at night.

Suddenly became unconscious while sewing or talking, began screaming, tearing her hair, beating her head with her fists, or trying to dash it against wall or floor ; attacks daily, for a month, then spasms set in, with rolling of head from side to side and moaning ; continuing five weeks, followed by a recurrence of fainting fits, at least twice a week ; a few hours before an attack of fainting, a shuddering like a chill seemed to go from brain down spine ; when questioned about an attack, she said head would suddenly seem to swell over eyes and pain became "horrid", and she knew no more ; between attacks she was free from all complaints except fatigue and an ever-present frontal headache. Swan.

Headache of great intensity preceded by a shuddering chill passing from brain down spine; with attack a feeling as if head above eyes were swollen; became unconscious with screaming, tearing her hair, beating her head with her fists or trying to dash it against wall or floor. Swan.
Terrible pain in head, as if he had a tight hoop of iron around it ; trembling of hands ; distressing sensation of damp clothes on his spine ; almost absolute sleeplessness ; profound adynamic ; was thought by his friends to be on verge of insanity ; most of his brothers and sisters had died of water on brain ; right lung solid, probably from healed-up cavities, as he at one time suffered from pulmonary phthisis. Burnett.
Sullen, taciturn, irritable, screams in his sleep, is very restless at night, costive; sister died of tubercular meningitis. Burnett.
Fretful and ailing, whines and complains, indurated glands can be felt everywhere, child hot, drowsy, urine red and sandy, much given to be frightened, particularly by dogs; was vaccinated and had a very bad arm for four months thereafter; would not smile, whimpers when spoken to, skin dingy, skull hydrocephalic. Burnett.

Felt positively ugly; personal aversions became almost a mania. 

Work

Aversion to mental work. 

Forgetful. 

Memory weak, unable to think. 
Comprehension and concentration almost impossible. 

Nervous irritation; averse to physical or mental labor. 
Indifferent; forgetful; averse to all labor, especially mental work. 

Indifferent. 
Great sleepiness and weariness; entire muscular system relaxed; desire to lie down all the time. 
Nervous; weak; 

Hopelessness in many complaints. 

Anxiety, gloomy, melancholy humor. 
Has lost melancholy expression she formerly had. 
Is disposed to whine and complain; dejected mind, anxiety. 
She is very sad. 
Forgetful. 

Despondent, discouraged, feel as if I would rather die than live. 
Although naturally of a sweet disposition, became taciturn, sulky, snappish, fretty, irritable, morose, depressed, and melancholic, even to insanity. - Burnett.

Tuberculosis and Insanity:

It comes out so often in clinical experience; is found so often in the Calcareas and especially in Calc. Phos., always wanting to go somewhere. Such is the condition of those about to go into insanity, about to go into some lingering disease. Persons on the border land of insanity.

It is true that phthisis and insanity are convertible conditions, the one falls into the other. Many cases that are treated and cured, and phthisis of the lungs has just been turned aside, finally become insane. Persons who have been cured of insanity go into phthisis and die, showing the deep-seated character of their nature. The intellectual symptoms and the lung symptoms are interchangeable.

Anyone who has inherited phthisis, anyone who has been in a state of debility, who has had intermittent fever with continual relapses, and these mental symptoms are present, you may think of Tuberc.

It is true that phthisis and insanity are convertible conditions, the one falls into the other.

 Many cases that are treated and cured, and phthisis of the lungs has just been turned aside, finally become insane.

 Persons who have been cured of insanity go into phthisis and die, showing the deep-seated character of their nature.

The intellectual symptoms and the lung symptoms are interchangeable.

Insanity; acute or chronic, with a family history of tubercular affections. 
Although naturally of a sweet disposition, became taciturn, sulky, snappish, fretty, irritable, morose, depressed, and melancholic, even to insanity. - Burnett.

 Beating her head, tearing her hair.

Headache of great intensity preceded by a shuddering chill passing from brain down spine; with attack a feeling as if head above eyes were swollen; became unconscious with screaming, tearing her hair, beating her head with her fists, or trying to dash it against wall or floor. Swan.
Suddenly became unconscious while sewing or talking, began screaming, tearing her hair, beating her head with her fists, or trying to dash it against wall or floor ; attacks daily, for a month, then spasms set in, with rolling of head from side to side and moaning ; continuing five weeks, followed by a recurrence of fainting fits, at least twice a week ; a few hours before an attack of fainting, a shuddering like a chill seemed to go from brain down spine ; when questioned about an attack, she said head would suddenly seem to swell over eyes and pain became "horrid", and she knew no more ; between attacks she was free from all complaints except fatigue and an ever-present frontal headache. Swan.
Suddenly became unconscious while sewing or talking, began screaming, tearing her hair, beating her head with her fists, or trying to dash it against the wall or floor ; attacks daily for a month, then spasms set in, with rolling of head from side to side and moaning ; continuing five weeks, followed by a recurrence of fainting fits, at least twice a week ; a few hours before an attack of fainting, a shuddering like a chill seemed to go from brain down spine ; when questioned about an attack, she said head would suddenly seem to swell over eyes and pain became "horrid" and she knew no more ; between attacks she was free from all complaints except fatigue and an ever-present frontal headache. - Swan.

With the Others

Anyone who has inherited phthisis, anyone who has been in a state of debility, who has had intermittent fever with continual replaces, and these mental symptoms are present, you may think of Tuberc. 

Sister died of tubercular meningitis.

Does not like to be disturbed by people, trembling of hands. 
Terrible pain in head, as if he had a tight hoop of iron around it ; trembling of hands ; distressing sensation of damp clothes on his spine ; almost absolute sleeplessness ; profound adynamic; was thought by his friends to be on verge of insanity ; most of his brothers and sisters had died of water on brain ; right lung solid, probably from healed-up cavities, as he at one time suffered from pulmonary phthisis. Burnett.
Sullen, taciturn, irritable, screams in his sleep, is very restless at night, costive; sister died of tubercular meningitis. Burnett.
Boy, æt. 20 months, ill for days with head, high fever, restlessness and constant screaming; finally, no sleep for forty hours, followed by a condition of collapse; peculiar smell of body; family history of tuberculosis. Burnett.