This document provides information on Tuberculinum, including its preparation from a pure cultivation of tubercle bacilli, its representation of the tubercular miasm, and its key symptoms. Tuberculinum patients experience a feeling of being shut in and a need for rapid change. They are restless, dissatisfied, prone to destructive behavior, and prefer mountain climates. The remedy is also indicated for conditions like ADHD, autism, and a family history of tuberculosis.

1. TUBERCULINUM
DR PREETHI JAMES P
MM PG PART 1

2.  PROVED BY : DR BURNETT
 TEMPERAMENT : NERVOUS
 MIASM: PSORA
 DIATHESIS: TUBERCULAR
 Tuberculinum is a nosode
 A glycerine extract of a pure cultivation of tubercle bacilli
(human).
 Represents the heart of the tubercular miasm.
 The main feeling in this miasm is that of being shut in. The
sensation of suffocation, especially when stuck in a
place, and the need for hectic, intense activity. Therefore
miasm seems to demand a need for rapid change as a
condition of survival.
 Clinical experience has shown that tubercular patients heal
better in mountain forests with dry climate.

3.  History of tuberculosis, but have been treated by antibiotics.
(If they have been treated with Streptomycin there may occur a
crippling vertigo. It is a vertigo which is not specific; with no
modalities feels as if the head is cramped. This symptomatology
may respond to Tuberculinum)
 Tuberculinum as a classic way of prescription may be done on
basis of congenital state, his inherited illnesses.
 They are referred as "Consumptiveness" – i.e. who have
inherited phthisis are often of feeble vitality; takes on sickness
easily; anemic; nervous and debilitated.

4.  A proving of Tuberculinum was conducted in October 1993 at
seminar in Spiekeroog. The provers received Tuberculinum 200C.
Many provers had
 Dreams of intense and quick activity and used the word "hectic" to
describe their dreams.
 Dreams having to do with trains going up and down mountains,
which situations were described as being "dangerous, risky and
fast".
 Theme of risk and danger, included descending into down on a
rope with a feeling "So what if it is deep", of being in a narrow
restaurant with a feeling that this was dangerous for her, of being
bitten on the neck by a big dog.
 Dreams of being oppressed by a neighbor.
 Other themes that came up were: a need to help others,
especially those in danger, and hopefulness.

5. PREPARATION:
 Preparation Was first prepared by Drs. Finke and Swan in 1879 from the sputum
of a Tuberculosis patient.
 A drop from the pulmonary tubercular abscess was taken.
 Bacillinum (originally called Tuberculinum) was the earlier production: and,
glancing through Burnett’s epoch-making New Cure of Consumption, in the light
of one’s large experience in the use of, chiefly, Tuberculinum bovinum, probably
the infinitely more potent for good of the two.
 When Burnett was inspired by Koch, he was injecting it in potency, killed and
sterile and triturated and, in the 30th potency, merely one part in alcoholic
tincture to medicate a few tiniest pellets of milk-sugar.
 Burnett says
“If phthisis can be cured by bread and butter or attar of roses, well
and good:but if not, then let us have something that will cure it.”

6.  Dr. H.C. Allen says in his Keynotes,
“The potencies of Fincke and Swan were prepared from a
drop of pus obtained from a pulmonary tubercular abscess,
sputa. Those of Heath from a tuberculous lung in which the
bacillus tuberculosis had been found microscopically; hence
former was called Tuberculinum and the latter Bacillinum.
preparations are reliable and effective”
 Burnett tells us that the Homoeopaths, years earlier, using the
virus of consumption to cure consumption itself but” the
leaders of the dominant sect of the medical profession raised
against those of the homoeopaths to use the virus of
consumption against the disease itself; the practice was
almost discontinued – a few only publishing here and there a
striking case of the cure of consumption by the virus of the
process itself”.

7.  Koch lies in the way it is obtained: ours is the virus of the
natural disease itself, while Koch’s is the same virus
obtained in an incubator from colonies of bacilli thriving
beef jelly: ours is the chick hatched under the hen, Koch’s
the chick hatched in an incubator.
 The artificial hatching is Koch’s discovery, not “the
itself or its use as a cure for consumption”.
 But “There is one other difference, i.e. the mode of
administering it to the patient. I use the remedy in high
potency, which is not in dangers of Koch’s method of injecting
material quantities under the skin, or, in other words, straight
into the blood.”

8. CONSTITUTION:

9. CONSTITUTION:
 Slender tall with narrow chest or caved.
 Thin or oval face, light complexion, blue
eyes, eyelashes are long.
 Hair is soft and silky
 Lean , quick, muscular (Sulphur, Phos, Nux)
with rapid metabolisms and burn fat
quickly.
 Emaciate quickly
 skin is fine textured, clear and translucent
 Stylish dressing

10. MIND:
 Unpredictable in their moods and behaviour. One minute
they are refined and gentle; the next, malicious and
destructive(people who burn the candle at both ends).
 They are full of contradictory feelings; mania and melancholia,
insomnia and sopor. Extremely sensitive to music and also fond
of it, and likes dance and art.
 They are never truly satisfied with themselves, and also with
other people. He doesn't know what he really wants, and no-
one else can find ways of satisfying him.
Deep dissatisfaction which leads to destructiveness.
Becomes irritable over and he flies to pieces.
 There is a desire to use foul language, curse and swear. Feels
himself forced to use insulting languages, uses rough words.

11.  He feels his life is going to be short, so he hastens to make the most of it
while he can.
 Tub patients are difficult people to live with:- They are exceptionally
They seek self-gratification, but they never achieve it. Because of
dissatisfaction,they continously seek change.
They go from job to job, or from location to location - always seeking
escape from their dilemmas. Once they make a change, they may at first feel
contented, but soon they again become dissatisfied and want to move on.
These are people described in the books as being COSMOPOLITAN.
 In their capriciousness(difficult to predict) and need for change they are
difficult to understand or to please.
 If they feel irritated, they usually want to be alone, and the best thing for
them to do is to walk in the open air in the mountains, ameliorated by
being in pine forests conversely they do not feel well at the seashore.

12.  The situation of a orthodoxy or poor/middle class person in an
economically backward country, is similar to that of Tuberculinum.
 If he remains stuck or stagnant in that country, financial burden will
oppress him. What he needs is rapid and hectic activity to get him out
of such a situation . He feels sensation of suffocation and oppression
of lungs from having to breathe within a restricted lung space.
 if he finds orthodoxy oppressive, he will break free from the bonds
of society and undertake exploits which are rash, bold, daring and at
times destructive
 He cannot stick to the straight and narrow, he will not be confined by
monotony. He needs to take risks and does so quite fearlessly.
 So can progress to destructiveness, both physically(cavitations in the
lungs), or emotionally "burning out", at the end feels totally drained
out of energy.

13.  Sexually they are hyperactive, strong sexual desire. They go from
one relationship to another, but always their love affairs are critical.
There are many upheavals and conflicts.
 Fear of dogs and cats mainly as a disgust. They may even have
allergies to the fur of cats or dogs.
 If they see a sharp knife they imagine the noise it would make if
plunged into someone - the crunching of bones and tissues.
 Independent and very often gives the impression that he needs
nobody,emotionally or practically.
 Desire to travel and discover - Out of excitement, fancifully and
adventure because of great restlessness.
 If they cannot travel physically, he travels in his mind, reads
magazines, pursues books, watches T.V. programmes on
travelling and often love to work in travel agencies or airline
company for the opportunities if offers them to visit in new places

14.  Restlessness which prompts them to aggressively enter into new
experiences like sporting activities.
 They wanders in search of stimulation, and becomes bored when he is in
in one place doing the same thing for too long.
 He takes jobs that involve movement and work in the open place for
example like delivery boy, postman, landscape gardener etc. i.e. anything
enabling him to avoid sitting at a desk .
 They can settle, providing their work and their partners are interesting
enough.If he is running away, it is from boredom rather than fear.
 He is a relatively unemotional type, and is usually very clear-headed, and
also confident.
 They feel there is SOMETHING BEYOND. They live their life in a crescendo
WITH A DEEP SENSE OF UNFULFILLMENT.
Lives for today, and loves for today,
Let the devil take the morrow.

15. PHYSICAL GENERALS:
 When the family history of tubercular affections the best selected
remedy fails to relieve or permanently improve, without reference to name
of disease.
 Symptoms ever changing; ailments affecting one organ, then another -
the lungs, brain, kidneys, liver, stomach, nervous system - beginning
suddenly, ceasing suddenly.(bell,kali bi,nit acid)
 Takes cold easily without knowing how or where; seems to take cold
"every time he takes a breath of fresh air" (Hep.)
Aggravated by cold wet weather & ameliorated in warm dry climates
 Emaciation rapid and pronounced; losing flesh while eating well
(Abrot., Calc., Con., Iod., Nat.).
 Desire : Pork (mez,cal phos ) and pungent-tasting meats like salami and
smoked meats (caust) ,ice-cream.
 Profuse perspiration all over the body, particularly at night, drenching
the bedclothes and may get up during the night to change their night
clothes.

16.  Once the disease has taken hold, they progress rapidly toward destruction
and death.
 The feeling of being stuck, suffocated and oppressed,as though some
weight or pressure will increasingly oppress the patient and the spot he is
stuck in will grow narrower and narrower and he will be suffocated unless
he were to move out.
 The sycotic aspect is seen in the fibrosis - the person has to live for the
rest of his life with a fixed, restricted lung space, and very often has
tendencies to recurrent colds and respiratory affections.
 On the other hand tuberculosis is also known to have violent, progressive,
destructive features which are almost totally hopeless without medical
intervention, e.g. TB meningitis, miliary TB, etc.
 Poor concentration. Teenagers who won’t do homework.
 SLEEP – KNEE CHEST POSITION

18. CHILD:
 Developmental Delays and Learning Disabilities:
o Lag behind in developmental milestones,slow to sit, walk or teeth or learn
to talk.
o Children may be slow at comprehension and may find it exhausting to
apply themselves to their studies, making homework.
 Restlessness, Defiance and Destructiveness:
o Restless and hyperactive, even in their sleep. These children mess up their
beds, fall out of them and grind their teeth.
 Bedwetting, Head-thumping and Allergies:
o Heads may be thumped against pillows, bed frames, doors and walls,
sometimes quite forcefully.
o Child is more susceptible to adverse reaction to vaccines and medications,
making them more liable to develop autism and other more serious
developmental disorders.

19.  IRRITABLE CONTRARY DESTRUCTIVE TO AN EXTREME DEGREE.
 They are born irritable and angry, crying and being very fussy, especially on
waking.
 They bang their heads on floors and walls. They can also curse and swear
(ANACARDIUM, STRAMONIUM,HYOSCAYMUS.).
 They can be destructive to themselves and others. They can hit and kick their
teachers and parents.
 Violence may begin after an acute disorder or vaccination. (Vaccination tends to
push tubercular children more into the sycotic miasm).
 The Tub child is intentionally malicious. Just when we are about to go
somewhere, he will throw an uncontrollable tantrum just to spoil your
 He may swear at his mother. They are capable of disrupting entire families.
 In infants they are express on
the physical side as a constant runny nose
the emotional side as the familiar temper tantrums.

20.  Develop slowly (late walking and talking),fear of new situations and fear of
being observed.
 Fear strangers, cats, dogs, (allergic reaction to). There is
(stram, arg.nit, aconite) that may be expressed as a fear of being buried
alive(zinc m)On all levels they need freedom to express themselves and
open spaces.
 Impulsive: They may display an abundance of ideas. Can run away from
things and this may happen suddenly.
 Restlessness – particularly at night in bed, plays with many toys, bounces
on the furniture. Hyperactive but tire more easily.
 Lactose intolerance, children who drink milk often loose weight with
diarrhoea. It is hard for them to gain weight.
 ANOMALIES AS HYDROCELES, UMBILICAL HERNIAS AND CLEFT

21. GESTURE:

22. ADHD:
 Hyperactivity, Concentration Difficulty, And Destructiveness
 Child is hyperactive, restless and always seems to have too much energy.
Such children can’t slow down to learn anything and face difficulty while
doing tasks that need concentration.
 Destructiveness with a desire to break things.
 Irritability, stubbornness, and fretfulness. They also are argumentative and
tend to use foul language, want to fight, and have fits of violent temper
tantrums.

23. COMPARE:
Tarentula Hispanica:
 Inattentiveness and marked impatience, a restlessness of hands and legs, sudden
impulsive, destructive behavior
 The child may strike himself and others, tear the clothing, throw things away.
 Great excitement induced by listening to music.
Carcinosin:
 Concentration And Memory
 Child remains in constant motion. He keeps on running, jumping, climbing here and
there. The child is difficult to be seated in one place and is usually impatient gets bored
easily.
 Fears of the dark and being alone, have restless sleep.
Hyoscyamus Niger:
 Hyperactivity And Excessive Talking
 While studying, he may use inappropriate words and sentences or make up irrelevant
answers. Unintelligible chattering.
 Emotional outbursts happens child may cry out suddenly or a loud laugh.
 He may insult, shout, scold, abuse and spit on people. He may make ridiculous gestures
and is often seen to play with his fingers.

24. Stramonium :
 Marked Hyperactivity
 He sits down, rises, kneels, rolls, creeps or takes other strange positions. He may also
continually move his hands and arms.
 He is inattentive, cannot connect a sentence, is unable to give a proper answer, and
cannot find the right words.
 He may tear his clothes, destroys things, and attempt to bite those who come near him.
Veratrum Album:
 Violent, Impulsive And Destructive Behaviour
 During violent outbreaks, the child strike those around him, tears things up has an
impulse to bite.
 Excessive rapid, constant talking, at times with loud laughter, may also be present.
 The child may also have a habit of telling lies.
Chamomilla:
 ill-humored and irritable children.
 They are fretful, obstinate, cranky, cross, snappish, insulting, who cannot answer
patiently. They cannot bear anyone near the and are averse to talking.
 They are very impatient and, everything seems to go too slowly for them.

25. Medorrhinum:
 He loses the thread of conversation, seems very anxious, and has severe
mood swings.
 One moment the child is happy, the other moment he is sad.
Merc Sol:
 Hyperactivity At Night
 The child is restless, continually moves from one place to another, has a
hurried speech, and tends to be anxious and ill-humored
Cina:
 Irritable, Fretful, And Cross
 They are always complaining about everything. They are not satisfied by
anything, desire many things (which they refuse to accept when offered),
and throw away everything given to them.
 They are very restless even during sleep and keep on tossing about in bed.

26. CURIOSITY:
 Children are curious about artistic & musical endeavours
Pulsatilla:
 Child loves visual beauty and is eager to learn about flowers, animals &
nature.
Agaricus :
 Their curiosity is very much towards super-natural things like Ghosts, dead
people, things associated with dead people like coffins, UFO’s, planets etc.
Sulphur :
 These youngsters fond of playing with two toys at the same time, or
holding onto one while playing with another.
Carcinosin:
 They are very interested in the subject of GEOGRAPHY, love to know more
about different places & nature.
 They like to see the channel ‘Animal Planet’ and keep asking about
different animals, their habitat and the way they live, survive etc.

27. Lachesis :
 Their curiosity is limited to materialistic things like jewelry, clothes and
ornaments. Their clothes are the latest, upscale, fancy, colourful, and very
stylish
Phosphorus:
 They may tear apart toys & machines to find out how they work with a
straight-forward curiosity
Lycopodium:
 Superficial curiosity; it is just to impress the other person.
Sepia :
 Different types of music, dance and other physical activities which
the experience of physical harmony.
 Physical healing arts like yoga, massage & Shiatsu.

28. Head:
 Vertigo: esp. in morning; by bending down with nausea.
 Intense pain, as of an iron band around head.
 Headache with sensation of heat; from neck to forehead; in morning, passing away
in afternoon
 Plica polonica .
Eyes:
 Breaking down of cicatrices of old corneal ulcers.
 Tuberculosis of eyelids, small grey and yellow nodules.
Nose:
 Coryza:viscid, yellow-green.
 Comedones on nose, surrounded with minute pustules.
 The nose, which used to feel "hot and burning," has lost this sensation.
Teeth:
 "Feeling as if the teeth were all jammed together and too many for his head"
 Inflammation of gums, scurvy-like.

29. Mouth:
 Aphthae on tongue and buccal mucosa.
 On lips black blisters.Palate: granulations enormously swollen and
vascular,Breath offensive.
TONGUE:

30. Throat:
 Tickling in throat exciting cough.
 Aching extending from throat to ears.─Dysphagia increased; later diminished
 Sensation of a tumour in throat.(NIT AC)
Appetite:
 Loss of appetite, esp. in morning.─Thirst: extreme, day and night; burning in
morning.
Stomach:
 Eructations and sensation of fulness over stomach
 Vomited severely with > to headace and after every meal.
 Cramping pain in stomach in umbilical region with diarrhoea.
Abdomen:
 Colic with great thirst,Fatigue and sickness in region of stomach and abdomen.
 Mass of enlarged glands, in r. iliac fossa much smaller.
 Discrete papular rash over chest and abdomen.
 Perforating ulcer in intestines.

31. Stool and Anus:
 Constipation; stool hard, dry, with wind and colic.
 Pressure and constriction in rectum with Itching.
Urinary Organs:
 Diminished quantity of urine.Urinate very often, esp. during changes of
weather.
 Specific gravity of urine increases from 1016 to 1023 with an excess of urates
and ropy mucus.
Male Sexual Organs:
 Pains in testicles and cord of l. side.
Female Sexual Organs:
 Severe pains in breast in evening at beginning of menstruation.
 Menstruation with pains in lumbo-sacral and ovarian region < when walking.
 Blood lumpy, lasting more days than usual. Menstruation, returns fourteen
days after parturition.
 Sensation of heat in genitalia externa, with increased leucorrhoea.

32. Respiratory Organs:
 Enlarged tonsils.
 Hard, dry, hacking cough during sleep.
 Expectoration thick, easy; profuse bronchorrhoea.
 Cough and expectoration lasting four months, from a wetting
 Shortness of breath. Sensation of suffocation rales all over chest even with
plenty of fresh air. Longs for cold air.
 Broncho-pneumonia in children.
 Deposits begin in apex of lung.
COMPARE:
Antimonium Tartaricum:
 Rattling of the mucus in the chest with little expectoration. There is much congestion in
the chest but the expectoration cannot be raised.
 A cough usually ends up in vomiting.
Natrum sulphuricum:
 Ill effects of damp, rainy weather, from the night air, cold food and drinks, vegetables,
fruits, in cellars
 Cough with thick, ropy, greenish expectoration, chest feels all gone. better in warm, dry
air.
 Thirst for something cold and desires ice or extremely cold water.

33. ADENOIDS:
 Adenoids hypertrophy with great sensitivity to cold and and low temperatures
temperatures
Calcarea Carb:
 Adenoids enlargement with excessive sweating of the head
 The child is very sensitive to cold air and takes cold easily at every change of
weather.
Baryta Carb:
 Adenoids with tonsil enlargement
 The child has catarrh of posterior nares. There may even be pus formation in
the tonsils.
Thuja:
 Adenoids enlargement with greenish discharge
 There may be a feeling of painful pressure at the root of the nose.
Sanguinaria Nitrica:
 Adenoids with sense of obstruction.

34. Heart:
 Palpitation early in morning with cough and sticking pains in lungs < when raising
himself up.
 Death from paralysis of heart.
Neck and Back:
 Tension in nape of neck and down spine.
 Chilliness between shoulders or up the back
Limbs:
 Sensation of formication in arms and legs.
 Great weakness in limbs after dinner with fatigue and faintness in all limbs.
 Trembling and Twitching in the limbs.
Skin:
 Erythematous eruption with subcutaneous indurated nodules.
 Itching all over the body in the evening in bed; changing place after rubbing.
 Rash on abdomen and back, commencing very red; speedily becoming brownish,
resembling ordinary skin eruption of secondary syphilis.
Fever:
 Post-critical temperature of a remittent type
 Shivering, when beginning to sleep; cold feet in bed.

35. Modalities:
 Worse- motion, music; before a storm; standing; dampness; from draught;
early morning, and after sleep.
 Better- open air.
Remedy relationship
 Compare:
 Hydrast (to fatten patients after Tuberc);
 Formic acid (tuberculosis, chronic nephritis, malignant tumors; pulmonary
tuberculosis, not in third stage, however; lupus; carcinoma of breast and
stomach; Dr. Krull uses injections of solutions corresponding to the third
centesimal potency; these must not be repeated before six months).
 According to Burnett, vaccinosis may block the way of action of tuberculin until
until Thuja.
 When Tuberculinum fails, Syphilinum often follows advantageously producing
a reaction 13.
 Complementary: Calcarea; China; Bryon.
 Dose.--Tuberculin needs more frequent repetition in children's complaints than
nearly every other chronic remedy. Thirtieth and much higher, in infrequent
doses.

36.  The first dose of Tuberculinum in any difficult case is, however, the most
weighty prescription. The remedy should not be given without a most
careful cardiac examination. As the surgeon before the anaesthetic, so
must the physician know the heart before administering this drug,
especially to children, and seniles-and to young seniles.
 The above caution applies also to asthma, pleuritis, peritonitis in
scrofulous (tuberculous) subjects. "
 Tuberculinum bovinum Kent → Calcarea carbonica→ Silicea terra →
Psorinum

37. MENTAL CLINICALS
 1. Hyperactive restlessness
(ADHD) and autism.
 2. Temper tantrums.
 3. Depression.
 4. Changeable and
destructive mentality.
 5. Anger episodes.
 6. Obsessive compulsive
disorder (OCD).
PHYSICAL CLINICALS
 1. Chronic recurrent tonsillitis.
 2. Chronic asthma.
 3. Chronic renal conditions.
 4. Recurrent chest infections.
 5. Recurrent skin conditions
including recurrent pimples.
 6. Chronic enuresis including
worm infestations.
 7. Chronic gastritis.