CASE STUDY OF ERECHTITES HIERACIFOLIA

By Kieran Linnane

My attention was first drawn to this remedy by Jan Scholten whose lecture on the Compositae family of plants I attended in October 1998. The Compositae, commonly known as the Daisy Family, is one of the largest families of flowering plants comprising an estimated 25,000 species, but is represented by a meagre 45 plants in our present Materia Medica. The family contains some of most important trauma remedies, vulneraries and haemorrhagic remedies (e.g. Arnica, Bellis Perennis, Calendula, Millefolium, Erigeron) but also encompasses many obscure daisies about which we know very little indeed in terms of mental and emotional symptoms (eg Espeletia grandiflora, Brachygottis Repens). Hence many of these remedies have been totally neglected in practice or their use severely limited to a narrow range of action. In his seminar, Jan made some tentative first steps in elucidating some of the themes or narratives of this group, which he had observed in his practice.

Our use of bioliminal technology as a tool in our clinic has necessitated a huge shift in the way my colleague and I, practise homeopathy. After failing dismally to obtain photographic clarity in many cases using the more well known remedies, we were compelled to expand our use of material medica to embrace a far larger range of remedies and to experiment with lesser known remedies. Also we have found it practical to adopt a ‘kingdom’ approach. Whilst Jan Scholten has made an enormous contribution by grouping and outlining the themes of the elements and minerals, the plant families remain still very much unchartered waters in this respect and we are grateful to discover any information which can elucidate the possible themes of the various families.

We have decided to present this case of Erechthites hieracifolia since it represents an interesting narrative and it may inspire colleagues to use the remedy and thereby explore its full potential. So far it is our only case of Erechtites and we are therefore tentative about making any grand generalisations on the themes of this remedy. However, our experience does validate somewhat some of Jan’s initial thoughts about the remedy. Firstly let us present Jan’s case, a transcript of which was taken at the seminar, since it was this case which first alerted us to the remedy.

 

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plants.usda.gov/cgi_bin/plant_profile.cgi?symbol=ERHI9

CASE: ERECHTHITES

Girl, aged 4, coughing at night between 1 and 3am. Otitis, pains worse noise, after swimming, with diminished hearing. Brain concussion once. Bronchitis, vomiting, mucus white and thready. Spring a year before had high fever, recurrent, weak with it. Mother had vomiting during pregnancy, birth ok.

Can’t stand storms or wind, crying. Sleep disturbed - has to urinate. ++ sweets, fruits, eggs. Averse to spicy food, tomatoes

Timid, warm.

Gave Pulsatilla. Complaints were less but still not much better. Gave Calc Carb. Energy better, complaints less. 5 months later complaints returning, repeated Calc Carb. Didn’t help anymore. Gave Aralia Racemosa

Mental picture of Aralia is children who want to be grown ups, want to play with the older ones, feel frustrated when cannot - cough 11 pm. Repeated the Aralia.

Then in 1993 March - pain in ears, itching evening in bed, worse in car and after swimming. Much worse after wind. Cough

Coughing in evening, 8 to 9pm. Barking cough half hour to 1 hour in duration. Since December has had symptoms. Then had flu with high fever, 40 degrees, much sweating, fear of being alone, so stayed on couch. Limbs aching, severe epistaxis 3 times during the influenza. Flu came back in March.

Character - very caring, fear of not doing well enough, that she will be late with her library books, wants to please everyone. Fear others will not like her, unsure of herself, gives in to others, her girlfriends are more dominant. Always wants to help others, make them feet at ease

Desires lasagne, pizza, sweets, fruit. Aversion to cauliflower, milk, bacon

Dislikes quarrels. When parents are angry with her brother she feels sorry for him.

If people are domineering she will give in., Remedy – Erechthites.

DD Calcarea Silicata Erechthites is quite near to Erigeron. Erechthites = Fireweed. Grows after fires because then not dominated by other plants; when other plants start to grow then the fireweed disappears. Cannot stand dominating persons. Contains a lot of Manganum. Wants to help, fear of wind, ear pains from wind. Worse tomatoes. Aversion to fat food.

 

Before presenting our case, we will say just give a little botantial information about Erechtites, which is taken from A Modern Herbal by Mrs M. Grieve.

 

FIREWEED Erechthites hieracifolia

Synonyms Senecio hieracifolius (Linn.) Parts Used. Herb, oil.

Habitat.Newfoundland and Canada, southward to South America.

Description. This coarse, homely American weed is an annual and derives its name from its habit of growing freely in moist open woods and clearings, and in greatest luxuriance on newly-burnt fallows. It has composite flowers, blooming from July to September.

Senecio is derived from Senex (an old man), in reference to the hoary pappus, which in this order represents the calyx; Erechthites comes from the ancient name of some troublesome Groundsel.

Fireweed is a rank, slightly hairy plant, growing from 1 to 7 feet high. The thick, somewhat fleshy stem is virgate, sulcate, leafy to the top, branching above, the branches erect. The leaves are alternate, delicate and thin, very variable in size and form, lanceovate to linear, apex-pointed, margins irregular, sharply toothed, or divided right down to the midrib into leaflets, which are sometimes then bipinnatifid, the lower, very short-stalked and becoming sessile as they grow up the stem. The flowers are white or yellow, a corymbose panicle. The little fruits are oblong, slender, tapering at the end, striate and crowned with a very fine copious silky pappus, white or violet. The whole plant is succulent, the odour rank and slightly aromatic, with a bitterish and somewhat acrid and disagreeable taste.

In the United States Fireweed is a very troublesome weed; the fields often get infested with it, and when growing among Peppermint, it is definitely destructive, as it gets mingled with plant in distilling and causes great deterioration of the oil

Medicinal Action and Uses Astringent, alterative, tonic, cathartic, emetic. Much used among the aborigines of North America in various forms of eczema, muco-sanguineous diarrhoea, and haemorrhages, also for relaxed throat and sore throat, and in the United States Eclectic Dispensatory in the form of oil and as an infusion, both herb and oil being beneficial for piles and dysentery. For its anti-spasmodic properties, it has been found useful for colic, spasms and hiccough. Applied externally, it gives great relief in the pains of gout, rheumatism and sciatica.

A short materia medica is found in Clarke’s Dictionary of Materia Medica, Allen’s Encyclopaedia and a few lines in Boericke. According to Clarke, it is closely allied to Erigeron and has been used empirically in haemorrhages, especially metrorrhagia and as a local application in skin affections, herpes, eczema, psoriasis and indolent ulcers. A short proving has shown an action over the circulatory apparatus, producing flushes of heat which give way to coldness.

The case presented below was videoed so much of the material is verbatim.

CASE – ERECHTHITES HIERACIFOLIA

Female. DOB: 18.6.50. Married with 3 children

Originally from India. Occupation: Manageress of health food shop.

1st Appointment – 29/7/99


Presenting Complaints
Energy is very low. I am menopausal. Feel exhausted. We have been moving house and I have been working 11 hours a day. Cough a lot at night - a dry cough. Frontal headaches every morning.
My heels hurt in the morning - they are very sore. Get hot flushes. I missed a period a while ago and then I was bleeding constantly for 3 weeks. The blood was heavy and I had to keep changing my pad every 20 minutes. The blood was bright red. The doctor wanted to put me on HRT but I refused. I was given progesterone which stopped the bleeding.
I am feeling tired and unenthusiastic. I used to feel irritable but now I am not irritable, more flat and demotivated. My husband and I are at each others’ throats. He dominates me. I never get my own way. I used to weep a lot but not a lot now, although I may cry to myself in bed. Feel that my husband stops me from doing what I want. It is as if I am nothing, as if I don’t exist. I feel unappreciated. Do feel angry inside, a sense of powerlessness. However, anger does not come out now. I feel a sense of resignation. I don’t like arguing. I want harmony and peace. I am sensitive to arguments and to being reprimanded. If I have an argument with my husband I spend a week or so feeling very upset and I tend to sulk. I am scared to ask him for anything because I fear the confrontation that ensues. I get fed up with myself. Feel that there is no will power. I have always pleased my husband. My husband treats me like a child. I don’t see myself as equal to my husband. Was very happy when I started to go out to work, felt happy to be independent.
Sleep - light sleep for a year or so. Feel as if I don’t sleep enough. Don’t have many dreams. Although the other night I dreamt that I survived the end of the world with a group of Indians.
Music is very important to me. I like sad music.
I feel restricted. I am never able to go out. I would go out every night if I could. But I don’t make a fuss. I just don’t go out. I don’t assert myself. I used to do self-assertion classes but they didn’t help me. I tend not to demand things for myself. Sometimes I don’t tell my husband things - I wait until the last moment. I want to have parties at the house but would have to get husband’s permission first.
I pray a lot. I’m a Hindu. My guru is my Dad. Praying is the only solution. I pray in the morning.
I do a lot for other people. Find that I can’t say no to others. I feel very responsible. However, I don’t ask other people for help. I don’t rely on others.
The children have all left home now and sometimes I feel lonely for them.
Fear of snakes

Food
I crave sugar. Find that I am nibbling food all day because of boredom.
Vegetarian
Think I might have a problem with yeast as I get bloating in my abdomen
Aggravated from spicy food sometimes so I tend not to eat spices

Temperature
Chilly. Always feel the cold. However in bed might sometimes get hot and throw the covers off.

Analysis:

So we have here a mild, gentle woman who feels unappreciated in her marriage and dominated by her husband. She is very sensitive to arguments and fearful of any confrontation and and will not assert her own needs because of this particular sensitivity. There is no bitterness and no sense of seething anger in our patient – more a feeling of frustration and resignation about her situation. She is a yielding type of woman, always ready to go out of her way to help others but does not expect the same in return. We felt that this was the essence of the case. We are also treating her husband at the moment for diabetes and although the patient insists that he is very domineering, we did not feel that he was excessively so. He is actually a very benign and charming man. Whilst he may be more dominating in his own home, we felt that this sense of being dominated was more due to the yielding nature of our patient rather than the reality of living with a very tyrannical husband.

The patient had been prescribed Sepia and Staphisagria on and off over the years by my colleague and both had helped her in terms of her energy and well-being. But the central theme of the case i.e. our patient’s sense of being dominated and her inability to confront and assert her own needs had not really been touched by either remedy. We tested out the following remedies with our technology: Palladium, Manganum, Staphisagria, Calc Carb, Pulsatilla but none produced the type of photographic clarity which indicated a correct prescription. We suspected at this point that we did not know the remedy our patient required and our hearts sank at the prospect that it may be a plant remedy which we did not know since the themes of many of the plant families remain vague and rather obscure. When we reach this point in a session we wait a while hoping for some kind of inspiration to come to us! Suddenly I saw my colleague switch on the computer and turn to the notes I had given him from Scholten’s seminar on the Compositae. He had remembered a few lines from one of the cases and wanted to check the remedy out. This is often how we work when we don’t know the remedy and we suspect that a laborious repetorisation will yield nothing. A line read in a particular materia medica will suddenly come to consciousness and we then follow this up. (I recall another case of a highly loquacious female patient who had not responded to the obvious snake remedies. I recalled a line in a book by Grandgeorge about Lyssin where he said that patients requiring Lyssin were often the most loquacious patients in his practice. This one line led to a correct prescription of the remedy.) My colleague turned to Jan Scholten’s case presented above and we found the following:

Character – very caring, fear of not doing well enough, that she will be late with her library books, wants to please everyone. Fear that others will not like her, unsure of herself, gives in to others, her girlfriends who are more dominant. Always wants to help others, make them feel at ease. Dislikes quarrels. When parents are angry with her brother she feels sorry for him. If people are domineering, she will give in. Remedy: Erechthites.

DD Calcarea Silicata. Erechthites is quite near to Erigeron. Erechthites = Fireweed. Grows after fires because then not dominated by other plants; when other plants start to grow then the fireweed disappears. Cannot stand dominating persons.

This seemed like a possibly good match for our own patient and, for want of any other ideas, we tested her with this remedy. Result: a crystal clear photograph! We then turned to other material medica but did not find much information other than its use as a haemorragic remedy. We noted that our patient had had excessive menstrual bleeding of bright red blood which her doctor had treated with progesterone. This was an added confirmation for Erechthites as a possible prescription. Interestingly we had earlier considered Manganum as a possibility with its theme of a suppressed person under the domination of another (see Sankaran, Substance of Homeopathy) and Scholten writes that this plant contains much Manganum and therefore has a lot of similarities with this remedy. The clarity of the photographic image and the similarity of our patient’s state to that of Scholten’s little patient gave us the confidence to prescribe the remedy.

Rx: Erechthites 200c BD for 3 days

2nd Appointment – 2/9/99

The patient reported that the remedy had helped her considerably. ‘The hatred has shifted. Because I was hating my husband sometimes when I couldn’t get my own way. But now those things are clear. I have no hatred now. My energy went up and recently I have been feeling much more energetic. I used to feel tired when I climbed the stairs and I felt puffed but recently I have been running around a lot. The patient’s heels were no longer sore and her periods were fine. Sleep was also much better. The headaches were gone.

We asked whether she felt more detached with regard to her husband and what happens when he shouts at her. ‘I just ignore him.’ she responded. ‘I don’t feel any anger towards him.’ She said that when she wants to do something she just goes ahead and does it. ‘If I decide to go out, I just go out.’

Analysis:

The remedy had caused a dramatic shift in our patient both physically and psychologically and we were pleased by this result. When we photographed our patient on arrival her base photograph was completely coherent and clear. This indicated to us that we did not need to repeat the remedy at this point. We gave our patient another few doses of Erechthites 200c to take away with her and told her to phone us if she felt she was relapsing and required another dose.

The patient did not require a repeat of the remedy until January 2000 (approximately 5 months after the original prescription) as she felt her energy was going down somewhat.

Themes of the Compositae

The good result we obtained from Erechthites inspired us to re-read our Scholten seminar notes and also to try and find more information about this family. Scholten says that the Compositae have some similarities with the Carbon series (see Homeopathy and the Elements) in that there are problems and issues around self-worth. He says that the person has a problem becoming independent and being able to show themselves in the world. They either fight too much or not enough and are not able to stand up for themselves. There is sometimes the sense that their space is being intruded upon and that they are not able to decide for themselves. Boundaries and borders are a strong theme and this is reflected in the haemorrhagic nature of a lot of the remedies. ‘One bleeds when ones boundaries are not strong enough. Blood is the carrier of the ego and when you lose your ego your boundaries are hurt.’ (Scholten)

We have divided the compositae remedies into a number of different groups each with a different general theme. For instance Group III contains: Carduus Benedictus, Carduus Marianus, Taraxacum officinalis, Liatris spicata and Centaura tagana. This group, has the theme of anger and boundaries, with the liver being primarily affected. We put Erechthites hieracifolia in Group II with Arctium Lappa, Echinacea angustifolia, Echinacea purpurea, Eupatorium perfoliatum and Eupatorium purpureum. The principal theme of this group, is that of not wanting to be dominated by another.

Whilst we feel that much of this material needs to be borne out in practice, we can at least endorse Scholten’s insights about Erechthites in our own case and we look forward to prescribing more remedies from this wonderful daisy family.

References:Homoeopathy and The Elements by Jan Scholten

Homeopathic Links 1/99

A Modern Herbal by Mrs. M. Grieve