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 MENTAL SYMPTOMS OF ANACARDIUM ORIENTALE
Dr.Sinsen Joseph  BHMS,MD(Hom)
Medical Officer,Dept. of Homoeopathy, Govt. of Kerala
Email :
drsinsen@yahoo.co.in
 


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The double will
There are stages in the development of the Anacardium image. All of the symptomatology of this remedy is not apparent from the outset. For instance, the familiar personified double wills of Anacardium - an angel sitting on his right shoulder telling the patient to do one thing and a demon on the other telling him to do exactly the opposite - arise only in the late stages of pathology, especially with the begining of schizophrenia. It is an hallucination. This familiar theme, expressed in the above manner, which appears in the texts will not be encountered in the vast majority of Anacardium patients. The conflict will instead more often manifest itself in different ways and to varying degrees with such expressions as:

"I hate my sister and I love her at the same time."
"I am two persons; one criticizes people and the other justifies them."
"There is a conflict inside me between the love I have and the feelings of hate that were left inside me after a certain period in my life."
She fears that she might hurt herself or others, something that she does not want.
"I have become wild. I cannot tolerate anything. I swear badly over trite things, or say very bitter things that hurt others quite deeply."
In a quarrel she had with her brother she wanted to harm him. She grasped a knife to throw at him, but at the same time she grabbed the knife she was thinking, " I will harm him and I will undergo the consequences. I shall hurt him and punish myself afterwards."
I feel as if my mind is separated from my body."
Disposition to laugh at serious things while he may remain serious when he should laugh. He laughed during his father's funeral; he makes jokes when everybody else may be in tears from a scene in the street or cinema.
All these examples portray, to varying degress, the same idea, the idea of a schism or a strong internal conflict .

Anxiety about the future
In the first stages of the development of pathology, the suffering provokes an anxiety about the future. They experience a constant sense of insecurity. They anticipate that small problems are going to expand into major ones. This anxiety, suffering and fatigue generated by perpetual inner conflict lead to an eventual compromise of mental vitality. They start suspecting that everything will go wrong and become suspicious of everything around them.

Memory
Memory loss is another characteristic of Anacardium. Initially the effect on memory is forgetfulness. They will be unable to recall what they have read. The mind is rendered empty from the effort made in trying to prove themselves. It resembles a form of mental paralysis.
There is one specific arena of life which is especially prone to evoke the Anacardium picture - school, especially around the time of examinations. A student, who has perhaps suffered the indignity of having been criticized by his teacher, will be determined to prove himself by excelling at his examinations. In the midst of his studying he will be overcome by a sudden profound loss of confidence. He will then feel unable to take the examination. His mind has become a blank; he is unable to remember what he has studied. There are other remedies that can similarly correspond to pre-examination difficulties and which, by way of contrast, we will briefly describe. Again, that which distinguishes Anacardium is the urge to be first - to prove oneself - in the face of perceived criticism; e.g. , "My teachers do not acknowledge my abilities."

In the Anacardium case there will most probably be an underlying conflict, a strong desire to succeed, and a subsequent sudden loss of memory. Later, as the case advances into the next stage of development, peevishness, irritability, and violence may appear. The pathology develops progressively; it originates predominantly as anxiety and insecurity; later the aspects of the inferiority complex, of cruelty and the double will become more prominent.

In the second stage
of development the memory deteriorates even further. Their memory loss may become so extensive that they begin to fear the loss of their sanity. This is not a fear of insanity as such, but rather, because of their profound decline in memory, a fear that their health is going to take an ominous turn for the worse, that something very bad is going to happen. They suddenly realize that they are unable to remember anything, even from one minute to the next. Some will describe it as if "someone or something is holding my brain," not allowing it to work. The mind becomes feeble; he feels as if he is in a dream and does not have a direct perception of reality. The mind feels sluggish and dull. It is a state bordering on imbecility.
It is important again to emphasize that loss of memory is a very important characteristic of Anacardium, and, as stated, this memory loss is precipitated by the suffering produced by the anxieties and insecurities. A businessman whose business has been doing quite well suddenly begins to encounter one problem after another. He becomes anxious and subsequently notes that he can no longer remember anything. He has to make lists of things to remember. This symptom evolution can occur within a span of six months to a year in a person only thirty years of age. There is forgetfulness in the morning, especially on waking.

The irritability and violence
The irritability of Anacardium arises as these people begin to lose control of themselves. The constant suffering generated by their inner conflict, their struggle with their sense of inferiority, gradually erodes their control, allowing irritability and violence to surface. They may break all the things around them in a quarrel if they cannot harm the person involved. The irritability and the feeling of inferiority are connected; for instance, these people are liable to misinterpret someone else's behavior as an intended slight against them and react to it with irritation. Someone enters a room with flowers, for example, and the Anacardium woman is likely to respond, "Oh, you're bringing flowers for your daughter." In fact, the flowers may be for her, but her first reaction is to assume that the gesture is intended as an offense. Her feelings of inferiority do not allow her to accept that someone is willing to care for her, or be nice to her, or show her love and affection.
At this stage in the pathological development of Anacardium these people have no belief in love; they believe in brutal force. Anacardium patients who are quite introverted and capable of introspection will describe themselves in the following manner, "I have lost my control. I really want to do harm. I don't care about anything any more." They will report these symptoms as if they are not natural, integral aspects of themselves, but as something apart. The more assertive Anacardium patients are unable to take the least offense without rapidly flying into a temper. One of the initial expressions of their irritability is a great tendency to swear. This tendency may take place in a person who never before even thought of swearing. For instance, it may happen that after a shock a headache develops, and with it there arises this peculiar tendency.

Anacardium is one of the main remedies for those who have an irresistible desire to curse (Nitric acid, Hyoscyamus, Nux vomica ). Subsequently, if the disturbance is left to develop, an increasing aggressive urge may appear, evoking more hostile actions; teenagers, for instance, may become juvenile delinquents, committing mischievous, malicious acts such as slashing tires, hitting people with chains, etc. They may join marauding gangs of hooligans. Some Anacardium patients may say that they experience violent thoughts only (e.g. , shooting or stabbing people), without ever reaching the point of actually commiting violence.

Initially the natural feelings of tenderness, love, and sympathy diminish, leaving behind a dullness, blankness and hardness of emotions and thoughts. This torpor of the emotions occurs as a consequence of the suffering previously described, and this emotional void allows for the emergence of cruelty. After constant shocks, disappointments and hardships, they become insensitive, their emotions stilled, and they find that their stagnant emotions can only be, in a sense, revived by performing cruel actions. Their cruelty can almost be a source of joyfulness for them. The lack of emotional liveliness, the hardness represents significant pathology. It can be likened to a hard tumor - a tumor of the emotional body.

Some may see a similarity between the emotional inertia of Anacardium and that of Sepia. Sepia, however, will never enjoy doing harm. They will say, "I have no emotions, and I don't care." Sometimes they may become so irritable that they hit their children, but as soon as they do so they will suffer remorse and feel emotionally exhausted. This state is quite different from that of Anacardium. Another similarity is that in Anacardium, once the emotions have become blunted and hardened, there is a lowering of sexual interest which can develop into an aversion to sex.

Cruel Anacardium people who harbor malicious feelings toward the world can eventually develop paranoia. They will begin to believe that everyone is their enemy, that they are pursued by enemies. They are afraid of everybody, even those who may approach to hug them, and become suspicious of everything. As they progress further, they may enter a delusional state in which they feel as if they are living in a dream. Reality and dreams intermingle as their confusion increases. It is at this point that they will say, "I have an angel on the right who says to do the correct thing and a demon on the left who says to do the wrong thing. Someone is telling me to do one thing, and someone else is telling me to do the opposite." This delusion is characteristic of a patient who is approaching the final stage of Anacardium. As we have noted, not all Anacardium patients will express such a division in this way nor in the way it is expressed in the texts, but there is a similar idea underlying their symptomatology. The irresolution, the hesitation, and the lack of confidence are manifestations of that theme. The constant second guessing about a course of action, the questioning of one's capabilities, etc. creates a split that progressively enlarges until a schizophrenic condition may develop. Finally there is the appearance of fixed ideas involving the belief that they are double, that they have a demonic half. They see devils and angels, etc., the main idea being that of a schism.

The religious aspect

On examining the lives of most Anacardium patients one would not be inclined to identify them as religious people. On the contrary, they are people who believe in human power. As the pathology progresses, however, there is a tendency to develop a religious turn of mind. This attitude, though, is not one that is motivated by a true religious spirit. These are people who have engaged in much cruelty, who did not care about others; they have lived a life of hardness and eventually reach a point where they ask themselves, "Have I done right or wrong?" They become afraid of God and of angels; they fear the consequences of their past actions and become preoccupied with their salvation. Thus, we can see how these people, who had previously exhibited cruelty, hardness and violence as part of their sickness, now take on a religious bent. It is pathology, not spiritual maturity.

There may be some tendency to confuse Anacardium with Lycopodium. There are several distinguishing points. Lycopodium will not want to assume responsibility; they will try to shun it. Even their family can become a burden, and they will contemplate deserting them. Anacardium, on the other hand, will attempt to undertake responsibilities to an extreme degree in an effort to prove themselves. These two attitudes are wholly dissimilar. Lycopodium persons are not cruel; they are cowardly. They have anxiety about their health and anxiety about seeing blood. Anacardium could well enjoy seeing blood. Blood and violence stimulate them; their stilled emotions are aroused by violence. Otherwise, in the later stages, they are incapable of the more usual forms of emotional arousal. They have experienced a lot of suffering, and, as a consequence, their emotions have become blunted. This scenario is unlike Lycopodium. Lycopodium people are selfish; they like to enjoy themselves. They are often among those who, when attending seminars, conferences, and the like, will show no restraint. They will be eager to establish a licentious relationship with any woman to whom they are attracted. Their pleasure is a priority. This is an aspect of Lycopodium that serves to illustrate the significant differences between the two remedies.

An important point to emphasize in the recognition of Anacardium patients is that in any given patient there is usually a preponderance of one of the following pathological states - either the inferiority complex, the cruelty or the double will. Patients should exhibit evidence of at least one of these qualities to justify the prescription of Anacardium on the basis of psychological symptoms alone.

References:
1. Materia Medica Viva by George Vithoulkas
2. Kent’s Lectures on Homoeopathic Materia Medica
3. A Dictionary of Practical Materia Medica by Clarke
4. Farrington’s Clinical materia medica
5. M.L.Tyler’s Homoeopathic drug pictures
6. Boericke’s materia medica
 

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