| In paragraph 9 of the Organon Hahnemann states that
the healthy organism is maintained in dynamic harmony by means of
sensation and function. In paragraph 10 he explains that aberrations
of sensation and function are the primary manifestations of disease.
It therefore makes sense that in investigating the subtle roots
of disease we should first look to these qualities.
What are sensation and function? From their names we can understand
that they are closely related to the nervous system. The nervous
system is the most dynamic aspect of human physiology, and as such
it is the closest physical manifestation of the dynamic vital force.
Sensation and function are attributes of sensory and motor nerves
respectively. This is the body’s principal means of maintaining
constant homeostasis, the harmony of health. Sensations inform us
of any change in the internal or external environment, and functions
serve to balance that change with an immediate and efficient response
Thus if we sense cold, our function is to heat ourselves by increasing
blood flow or trembling. If we sense hunger, our function is to
balance by eating or slowing the metabolism. Sensation and function
oppose each other, maintaining a dynamic balance. These operations
are circular in nature, and are usually controlled by feedback mechanisms.
The first expression of disease is in distortion of ‘sensations
and functions’. A person may feel cold in warm weather, or
tremble when they do not feel cold. They may feel hungry after eating,
or eat when not hungry. Homeostasis is disrupted and ill health
ensues.
Sensation and function are a more holistic way of describing pathology
than emotions, feelings or delusions, because they pertain to the
whole organism. Pathological sensations are the delusions of the
whole person, and functions are the physical, general or emotional
response. Experience shows that the same basic stuck sensation and
function run through all levels of the organism. As such we can
use them to find correlations between the physical, mental, emotional
realms and the invisible dynamic force.
Primary pathology, the subtle origin of disease, manifests as a
stuck sensation and function, meaning a fixed erroneous perception
of the environment resulting in repetitive misplaced action. Or,
vise versa, a fixed erroneous action may result in a perverted sensation.
For example, a person may have a continuous erroneous idea that
their left side is longer, causing them to lean to the left. Or
they may lean to the left due to a perverted function such as scoliosis.
The pathological disruption may occur anywhere in the cycle. At
times it is difficult to tell if the pathology lies in disrupted
sensation or disrupted function, as the result (leaning to the left)
is the same. But as a circular mechanism it does not really matter.
Sensation leads to function leads to sensation; a snake biting its
own tail. We cannot say that one is compensation for the other,
because that would suggest that one is primary. It is a ‘chicken
and egg’ situation.
Dynamis means motion, the basis of life. In a state of health we
are free to perform any motion at any time, and will choose the
right action in response to accurately sensed situations. Thus we
adapt perfectly to change. In pathology we become confined to a
fixed sensation or function, true in one particular circumstance,
but misplaced in every other situation.
Pathological functions repeat the same actions and are therefore
easy to perceive. Grammatically, these symptoms are expressed as
verbs. For example, in the symptom ‘My green nasal discharge
alternated sides’, alternate is the verb, discharge is the
noun and green is the adjective. The verb ‘alternate’
is the most dynamic expression of the case, and these dynamic symptoms
are often the characteristic. Most strange, rare and peculiar symptoms
are verbs rather than nouns, due to their dynamic nature (e.g. Feels
hot so he must cover—Camph).
I have therefore called this system of synthesis ‘The Verb’.
It is a description of the constant stuck action in which a person
is imprisoned. In health people are free to respond with any possible
verb. In pathology they are confined to a single function that indicates
loss of freedom. This restricted verb pervades the whole organism.
As a stuck repetitive action, people often express this verb as
‘must’, ‘have to’, should’, ‘need
to’ etc. For example a Silica patient may feel that they must
‘push through’, both mentally and physically. This is
a constant and misplaced function, resulting from a sensation of
being blocked, i.e. constipation, suppressed perspiration, delusion
he will fail). Every action will express difficulty pushing through
against this block (bashful stool, difficult dentition, abscess,
splinters, obstinacy etc.). In order to fulfil the constant need
to push through, Silica will be compelled to begin the process,
retreat and start pushing through again (bashful stool, yielding
and obstinate, inserting and expelling splinters, undertaking nothing
lest they fail). Thus the function (verb) becomes an ongoing repetitive
cycle.
One of the most accurate places to perceive this cycle is through
the simple original language of the proving. The Silica sensation
and function may be perceived in the following symptoms of Silica:
‘Sensation as if a bubble of air were pushed through eustachian
tube and burst in middle of ear.’
‘Nosebleed after inserting the finger.’
‘Obstruction of the nose in the morning, followed by coryza
during the after part of the day.’
‘Difficulty of swallowing; she imagines that she has swallowed
pins’
‘Silicea taken during the menses seems to suppress them for
four days, afterwards they flow for four or five days and then remain
away for six weeks.’
‘He woke with great anxiety about midnight, could not move
in spite of every effort, and imagined that thieves were breaking
in; on rising he became quiet, after lying down the anxiety returned.’
The fixed verb is a constant factor in any good proving or case,
repeating on every level. I remember a Silica child who had a repeated
pattern of peeking slowly through the door and then hastily retreating.
In pathology a person will tend to excel at performing their main
verb, while failing at everything else. Silicas are world champions
at the initial stages of pushing through and immediately retreating,
but will falter when it comes to going all the way. Germanium, which
resides in the same group as Silica in the periodic table, has a
similar verb of repeatedly trying to push through a block, but in
a more intense manner. When they finally succeed everything bursts
out, and then the cycle starts again.
Sensations are generally more difficult to perceive than functions,
as they demand accurate describing and perceptive listening. They
may often be understood from the simple spontaneous expressions
and idioms used in the case, or from dreams. Poor provings and poorly
taken cases will not reveal well-defined sensations.
The ‘verb’ of a case or remedy is its most dynamic
expression, equalled only by its invisible counterpart, the sensation.
It is interesting to note that certain aboriginal societies have
no nouns, only verbs (river being expressed as ‘rivering’).
As pathology advances it becomes progressively more static, just
as all verbs flow into nouns. Nouns (arthritis, tumour, neurosis)
are the end result of a pathological process that began dynamically
and ended as a fixed entity.
As homoeopaths dealing with dynamic forces, we should pay much
more attention to verbs than to nouns. But we often focus on the
more attractive nouns and their adjectives (green discharge, blue
monster, hot anger). This is particularly true in dreams. In a dream
of a huge black and white dog with purple eyes and yellow teeth
jumping over a fence, the jumping is primary, though most of us
are drawn to focus primarily on the multicoloured dog.
For example, in the symptom ‘My red eruption wanders rapidly’
eruption is the noun, the most static and least useful part of the
description. Red is its adjective, slightly more dynamic and descriptive.
But the most interesting and indicative parts of the symptom are
wandering (the verb) and rapid (the adverb), which echo the stuck
vital force.
Western physiology and pathology focus on nouns. In homoeopathy,
these nouns are termed affinities. Systems of analysis such as the
four elements (or Chinese five elements), focus on adjectives—colour,
taste, temperature etc. Verbs run silently behind these components,
lending them motion and life. From verb to noun is the true progression
of hierarchy. In formulating the sensation and function of a case
or remedy it is preferable to begin with generals and physicals
rather than with mentals. The mind can be a minefield, leading us
down the path of speculation.
An example is the remedy Sepia: We can speculate on many mental
themes. It would be more accurate to begin from characteristic physical
sensations and functions. We recall the Sepia prolapse with a need
to cross the legs or hold on with her hands – sensation “falling
out”, function “must hold on”. We then find the
Sepia symptom “Must hold on to something or she will scream”.
This is a stuck function, something she ‘must do’. She
has two options, either scream or hold on, i.e. expel forcefully
or prevent this expulsion.
We can now scan Sepia to see if there are any other examples of
this verb.
On the emotional level we recall Sepia’s avarice, a need to
hold on to money. Looking to the reciprocal sensation, we observe
Sepia’s great fear of poverty, a fear that the bank account
will be empty. We can conclude that it is a fear of emptiness that
leads Sepia to hold on so tightly. Thus the consistent sensation
is of emptiness. Emptiness of uterus, of bank account and the well-known
description of ‘all gone empty sensation’ in the stomach.
We find the same emptiness in the head, rectum and chest. It is
only now that we can understand the true nature of Sepia’s
emotional state. Drained by child care, menses and stress, she is
empty of emotions to husband, children and life.
To perpetuate the cycle of emptiness and holding on, Sepia must
expel, as in scream, prolapse or extravagance. This becomes a cycle
of expulsion until empty, then hold on until full. Function leads
to sensation leads to function in a circular way. We can summarise
the verb of Sepia as ‘Must expel till empty, then hold on’.
The sensations, driving the functions, are inherent within, i.e.
‘feels empty, then full’.
Function and form follow each other. It is interesting to note
the form of Sepia, an empty vessel with tentacles for holding on,
forcefully expelling ink. Sensation creates function, function creates
form, form begets sensation.
It is not essential to discern exactly which is sensation and which
is function. The important thing is that this understanding is not
based on speculative analysis of emotions, but on well described
physicals and generals. When searching the mentals, it is much easier
to find the ‘verb’ of the case or remedy from original
expressions. In the Sepia proving we find the following expressions:
‘She is filled with concern about her health’; ‘As
if he would pine away if he did not kill himself’; ‘Ideas
fly from me’; ‘Vent my ill-humor’; ‘Oppressed
in sultry weather, but become more cheerful when it thunders and
lightens.’ Bloatedness of abdomen…never during walking
or dancing’. These simple expressions describe the dynamic
process of filling and emptying.
Formulating ‘the verb’ for a remedy or case requires
careful and diligent study of original language and provings. It
cannot be found by lightly skimming third generation material medicas
that have moved to essences and keynotes. These later material medicas
often have become static, losing dynamic verbs to physical or emotional
nouns.
Verbs calcify into related nouns, just as the subtle origins of
disease result in hard pathology. Naturally it is preferable to
perceive and match the whole range of grammatical expression in
a single symptom. For example, in the symptom ‘He suddenly
(adverb) exploded (verb) in hot (adjective) anger (noun), each part
of the expression links to its neighbour to form a whole, yet in
the dynamic hierarchy, verb is primary to noun. Many remedies are
angry, but only some are explosive in character.
In my experience the ‘verb’ has been the most useful
method for perceiving the essence of remedies and cases, and more
importantly, of matching the two. Its value lies in its simplicity
and accuracy, in its proximity to the source, and in the fact that
it encompasses body and mind.
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