316. Course for Young Doctors: Evening Gathering
24 Apr 1924, Dornach Translated by Gerald Karnow |
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316. Course for Young Doctors: Evening Gathering
24 Apr 1924, Dornach Translated by Gerald Karnow |
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After the fourth lecture of the Easter Course for physicians and (Rudolf Steiner said the following in response to a question about Now, of course, you will only be able to manage here if you proceed from a comprehensive view, and not from details. One would have to investigate such questions by proceeding from more comprehensive things and especially by meditating on some of the things which I already said. If we take the connections in nature in a comprehensive way—I will only speak of things which will gradually lead to imaginative thinking—we have the drop form. One generally thinks that a drop is held together from within, but it is also possible to think that it is formed from outside or from all sides. Then one has the circumference of the universe in the surface of a drop. Of course, in these things one should realize that the imaginative idea must be true, and that the present-day ideas which one brings with one from one's general education diverge as far as is possible from the truth. People have this idea today that there is an infinite space which has stars scattered in it. Now, to proceed from such an idea means that one is imagining things and is brutally ignoring everything but what one has made up in thought. Just take a report which was in the paper a little while ago, and which should be taken more seriously than one thinks; they were trying to show that the cosmos is not empty after a certain distance from the earth, but that it is solid and filled with crystallized nitrogen. Things are so confused today that such a view is possible. Of course, it is untrue, but in any case, these things show one how superficial the assumptions which have been derived from observation till now are. For today someone can just decide to imagine that we live here in an empty space with a slightly condensed earth at the center with solidified nitrogen all around, and that this simulates the starry heavens for us. Of course it is nonsense but it is true that if one reads the literature today one can pick up all kinds of ideas about the way the cosmos is constituted. This report on crystallized nitrogen might just as well have been an April fool's joke, and yet many people probably believe it. One is hardly anymore foolish if one believes this report than if one believes what is generally assumed today. The thinking which is accepted today is brutally materialistic for in reality the universe acts like a hollow sphere and as if forces from the periphery were going into it everywhere. One is really dealing with formations which can only be modified and differentiated in accordance with the stars, so that it is true that we have a copy of the configuration of the stars which we see outside in us. Thus we arrive at an imagination through the idea which our head shows us. Speaking about heads, take a look at the way a bird is constructed. One is looking at a bird's structure or skeleton in the wrong way if one simply compares it with a whole mammal or human being. You can really only compare a bird's structure with a human head, and one has to imagine that one has a modified bird formation in the human head, and that the bird has the rest of its body attached in various ways as short appendages. Birds' legs are always stunted. Now imagine that our drop is drawn out into a cylinder. If you expand the drop into a cylinder and you imagine that the part of the head which is differentiated by the cosmos remains, except that it becomes modified in many ways, because you draw the drop out into a cylinder, you then get the human torso. In order to imagine man's torso, one has to think that the skullcap is rudimentary. The third stage is to indent the cylinder here, and then you get the limb man. What I drew here is what you would initially get at the arms. You have to imagine that you expand this to get the arms, and that the second expansion is made through the creation of a second copy from within which comes from the moon. But let us omit the arms to make it easier. So you pass over from a sphere to an expansion and then to indentations. If you get used to making images through expansion and indentations in this way you are beginning to get what you need in order to really accustom your soul to work in the imaginative sphere. For basically all organized life consists of expansion and infolding and just think how wonderful that really is. So let us say that I imagine a sphere, and then an elongated sphere; this is an expansion in an upwards direction which is brought about by the periphery. If you think that the earth and its forces here are a counterimage of the periphery then you have the earth under the human being as that which indents him. The cosmos expands up above and the earth indents down below. Thus an image is brought from the cosmos and man is indented by the earth. You can now ask what would happen if the earth were not beneath you and the starry heavens weren't over you, and you can answer this in an imaginative way And so if you want to form imaginations you should get used to looking at the universe as a whole when you pass over from solids to fluids, and you should not just try to sort of re-educate yourselves. You should gradually think: solid, sharp contours, whereas the fluidic element is always battling solids and is trying to insert them into the flow and the stream of the entire universe. And you will then get to the point of seeing this expansion and indentation everywhere, and you will thereupon look for counterimages. Embryologists proceed in such a way that one never really knows why things develop the way that they do. One proceeds from an egg cell and passes over into a clump of cells, and one sees how the thing suddenly folds in and becomes a gastrula. One should realize that what is really happening here is that the cosmos has the possibility of working upon the surface and that the earth can work upon the infolding process. Take an epidermis cell near the surface. They exist everywhere. Such a cell is here near the surface. The terrestrial principle which brings about the infolding continues to work in the human being. And so these terrestrial principles continue to work everywhere. Thereby there is always a tendency to direct fluidic things in people, so that things always move along in this way and so that an indentation is pushed along; indentation—push from behind, indentation—push from behind, this goes in various directions. Now imagine that this occurs as if some kind of fluid would move forward and become rigid. Look at an organ from this point of view. You can see rigidified, solidified and infolded things everywhere in it, and on the other hand, you can see its outward bulges. Thereby you arrive at the organ's form and at a view of how forces work from various sides, and you see that all these organs are part of a unity. However, you should realize that you must proceed from a quite particular point, namely, from the plastic element. Now, you have already pointed out that one should grasp forms through modeling. But actually try to get a feeling for what happens by taking some soft, plastic material or clay with one hand and pushing it forward with the other hand. Try to observe what is happening at the same time. You get the feeling that the idea of empty space is pure nonsense. Space has different kinds of forces in it everywhere and in this way you gradually learn to understand plastic things. Now, of course, if you want to understand man in a plastic way you must be able to go to extremes. Thus I can think of a sphere here. I imagine that the sphere becomes expanded on one side and infolded on the other. But now imagine that you go further and that you push it in so far here that you go beyond the expansion; then you get two formations. But now imagine that the formations do not just become acted upon from one side. Imagine that you make an expansion, infolding, expansion, infolding, and then another infolding from below and an expansion on the top, and if you do this three times you get a model of the forms of the two lungs. Thus you can gradually see how the whole human being is connected with such forces within, and then you can go on to the following. This is a very important idea, and its pathological, therapeutic significance will become completely clear when the book which Dr. Wegman and I are publishing appears (Fundamentals of Therapy). There one will be able to see the connection which exists between a fully developed organ and its function. Let us take the organ's function. This is something which is kept in connection with fluids and which is fluctuating continuously—the same thing which closed the organ off produces the activity. So that you can ask: What is the movement of juices in the stomach? It is something fluid which is basically the same thing as the stomach which has become solid. If you imagine that the movement of juices has become rigidified, you have the stomach. If this were not the case, no organ could be healed. You can only work upon a fluctuating organ and not upon a solid organ. Silica acts in the same way that the human kidney does. If I give the silica which is in equisetum to a patient I build up the phantom of a kidney in his renal region. The phantom then replaces the astral activity at this place. This presses out old kidney substances and permits some new kidney substances to form from what is in flux, just as it forms there in any case after seven to eight years. However, one accelerates the process by producing this phantom. One should realize that an organ and the activity which forms it are always present together, and that this activity always rigidifies into the organ. This is where you encounter the fluidic human being. But then you run into something else. You have to be able to press on to the idea that if I look at the solid human being I arrive at the pictures which one sees in anatomical books. But what we see there is only ten percent of the human being. As long as I look at these firm contours in the solid man a liver is a liver, a lung is a lung and a stomach is a stomach. But if I pass over to the fluidic man I will find that this stream of juices is particularly concentrated in the liver, let us say, and that it is constructing a liver out of fluids. However, every organ always wants to become the whole human being. This tendency is present in every organ in the fluid man. So that one should realize that if one cuts a liver out it remains a liver. But if I would take out the fluids with which the liver is created they would have the tendency to become a whole human being. You have to put this into an imagination: on the one side the tendency to take on contours, and on the other side the tendency to permeate everything. If one is serious about these things they are really as follows. The meditation formulas are the beginning, and through them you will eventually be able to tell yourselves what I am telling you here. The beginning lies everywhere in the formulas, and they are the way to get into imagination oneself. Anyone who begins to meditate has an enormous inner desire in the beginning, but after a certain point when things begin to get serious something in him revolts, because the thing gets enormously complicated. If one does not approach meditation in an extraordinarily serious way what happens to one is like what happens to someone who looks for Lucifer but sees a picture of Ahriman instead. Then the meditation works in such a way that one gets the opposite of what one is striving for. Or someone looks for Ahriman and sees a picture of Lucifer. That is the trouble. One usually becomes impatient and doesn't stick with it. It is not a question of time but of an intense application of patience, and then five minutes on a meditation can sometimes be a very long time. But it doesn't make any difference whether one loses one's patience in five months or in five minutes. You must have patience and then you will see that you can begin to understand things, and that you can pass over from the solid man to the fluid man. If you then go on to the aeriform man you will need a musical principle. Here you have to understand the breathing process, and if you really meditate you will become attentive to your breath. The astral, aeriform man appears. You will begin to realize that most people go through life without any real self-knowledge. One learns to feel with one's breath. One of the things which happens first if one is in the habit of thinking in a mathematical or qualitative way is that one may suddenly ask oneself: Are you three halves? One feels as if one were three halves. Why is that? It is because one's breathing is beginning to make one feel that one has a threefold lung on one side and a twofold lung on the other. In this way one can ascend to the astral, aeriform element, by experiencing the proportions of one's inner structures through air. A way to study the ego organization is to listen exactly to one's own speech. You can also get at the ego organization in a meditative way which ascends to a real understanding, if you take the skeleton of a dog or other mammal and concentrate very hard on its rear and front parts. One part is a modification of the other part. Then you have to pass over to cosmic aspects and think that the rear form was created by moon forces and the front one by sun forces and you should imagine how the sun looks at the moon, and then you have the animal's hindquarters on the moon side and its forequarters on the sun side. Then imagine that a modification of the sun and moon occurs so that man can stand upright and you will get a transformation. Thereby, the whole thing gets shifted up one level, and you can begin to grasp the ego organization. But you have to proceed in the following way: the spatial element must disappear into the plastic element, the plastic element into the musical element and the musical element into what has meaning. If you proceed in this way, you are moving towards comprehensive things, and this is really the healthier way, because you can get completely confused the other way. You really have to start with these principles and not with the details. |
316. Course for Young Doctors: Easter Course V
25 Apr 1924, Dornach Translated by Gerald Karnow |
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316. Course for Young Doctors: Easter Course V
25 Apr 1924, Dornach Translated by Gerald Karnow |
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I should still like to add something to what we have been studying, and afterwards to consider the more general theme to which certain of your questions relate. I want to speak now of something that it is well to consider only after we have listened to what has been given here in the last few days. It is not well to give the general truths first but only to pass on to them when certain things have already been learned. Only so can general truths receive their proper coloring. We will now picture to ourselves that each of the four members of man's being—physical body, etheric body, astral body, and ego has its own special structure. The structure of physical body and etheric body is one of space and time. The structure of astral body and ego is purely spiritual. A purely spiritual structure is not governed by space and time. It is possible, nonetheless, to make a picture of the spiritual structure so that we can have a conception of it. This can be done in imaginative consciousness. Hold it firmly in your minds, my dear friends, that on the one side we have to do with a physical etheric structure which in the sleeping human being is separated from the structure of spirit and soul, and, on the other side, with the structure of spirit and soul. In the sleeping human being we have a physical etheric structure which has sent out the ego and astral body, and again we have the structure of spirit and soul that is separated from physical body and etheric body. These two structures are very different from each other. The physical-etheric structure is differentiated into the single organs, as an organism that has, so to speak, driven out the single organs from the center of life. The astral body and ego structure have, however, been driven inwards from outside—it is as though space and time had been left free by this process. The essential thing is that the physical-etheric structure and the structure of spirit and soul are fundamentally different from one another. In the human being as he stands in the physical world in waking consciousness, the spirit and soul (astral body and ego) are inserted into the physical-etheric organization—to use a form of expression that is not absolutely accurate but enables us to visualize the state of things. To a certain degree they permeate each other. So that every physical organ that is warmed through and irradiated by the etheric body is also filled with life, inasmuch as the cosmos works through the etheric body, and in every physical organ ego organization and astral organization are working, when the human being is in waking consciousness. And now think of the following: Suppose that astral organization and ego organization impress their own structure upon some organ or system of organs. In other words, something that ought to maintain its physical and etheric structure receives a spiritual structure, becomes an image of the astral and ego organization. This, speaking quite generally, is the cause of physical illnesses. Speaking generally, the cause of physical illnesses is that the body of the human being is becoming too spiritual, in some parts or as a whole. Hence, as was well-known in olden times, real and devoted study of the sick human being throws tremendous light upon knowledge of man as a being of spirit. In ancient times quite a different idea prevailed of man's nature. Therefore I do not say the following in any sense for the purpose of suggesting that this conception should be re-adopted or made the basis for modern methods. In olden times, when conceptions of the human being were more robust, a man who held heretical views was burned, if such a fate was deemed necessary for the salvation of his soul. These heretics were burned for the salvation of their souls—so at least it was alleged. They were burned in order that they might be freed from what, after their death, would cause them the most terrible sufferings. This procedure was, in earlier times, the outcome of a form of vision; later on, of course, it assumed a really brutal form. Views about the human being were more robust and so it might happen that a certain preparation of melissa (balm mint) would be given to someone who might be regarded as healthy. When he took melissa that had been prepared in a certain way, his consciousness would become slightly dreamy. He became more dreamy than he was before taking the melissa preparation. In this condition, faint imaginations entered into his consciousness. If, for instance, a man was treated in a certain way with henbane (Hyoscyamus niger) he became very susceptible to inspirations. Such investigations revealed that if the solar plexus was stimulated by means of henbane, it was permeated with spirit; in such a case, astral body and ego organization take firm hold of the solar plexus. Or it was noticed that the whole blood supply of the cerebrum became stronger—to a slight extent, but the effect was very significant—by the administration of melissa juice, because the ego organization takes a firm hold by way of the cerebrum. And so the whole human being was tested for the purpose of finding out how he could become spiritual and of perceiving how the single organs could become more spiritual. It is a preconceived notion to imagine that we think with the head. This is simply not true. We think with legs and with arms and the head beholds what is going on in the arms and legs and receives it into the pictures of thought. I said at Christmas that man would never have learned the law of angles if he had never walked. He would never have learned the mechanical laws of equilibrium if he had had no experience of them through his own center of gravity which lies in his subconsciousness. When we come to the astral body which unfolds these things in the subconsciousness, the human being appears to us to be extraordinarily wise, even if he is often a fool in the physical world, because the geometry that comes to expression in walking, for instance, is all known—if I may put it so—in the subconsciousness, and then perceived by the brain. Now when the organization of spirit and soul takes too strong a hold of the physical-etheric organization, physical illness ensues. In former times, therefore, the spirit in the physical organs was investigated because everything that can be spoken of as a gift from above is spiritual, of the nature of spirit and soul. But a distinction has to be made here. What the human being received, in a purely spiritual way, as a gift from above, was called a gift and retained this name. But now take a substance like belladonna for example. Whereas in ordinary plants the physical and etheric principles are at work, there are others where the cosmic astrality works very strongly from outside, where the spiritual element—either the astral or what corresponds in the cosmos to the ego organization—works upon plants or animals. Poisons are then produced instead of the gifts bestowed by the spirit. But the poisons are a true correlate of the spiritual because, in plants and animals, they are the element of cosmic astrality which transcends the plant nature proper. By administering henbane we lead over the astral contained in the warmth mantle of the earth (which marks the boundary of the atmosphere) into the solar plexus and thereby into the diaphragm of the human being. Melissa, which is not a poison in the real sense, produces a gentle working of the spiritual which shows itself only in a form of slight stupor. In melissa, the poisoning process is in statu nascendi. This leads to the principle: physical illness arises when the physical organism or its parts are becoming too strongly spiritual. But a different condition may set in. It may happen that when a human being is in waking consciousness, the soul-spiritual structure of his astral body or ego organization is transferred with too much strength into some physical organ. But instead of impressing itself upon the physical organism the physical organism forces physical structure upon the structure of spirit and soul, so that when he is asleep the human being becomes, in his astral body and ego, an image of his physical and etheric body. He takes the physical structure into his astral body and ego. Here we have the difference in the two forms of irregularities which may appear. Even to observation they differ quite essentially. When a human being is ill, the sick organ is, strange to say, spiritualized. It becomes clearer. As though from outside, from its surface inwards, it is laid hold of by spirituality. Long before any definite traces are noticeable in the color of the skin and the like, a sick man appears transparent—shall I say—to occult sight and the spirit and soul is pressing into the transparency. We notice the opposite condition, where the organization of spirit and soul is taking on the structure of the physical and etheric, when a man in his life of soul and spirit is really asleep. Then he becomes a ghost, a fleeting, wavering ghost of his physical body. He remains like his physical body. He truly becomes a specter of his physical body, and all the crude experiments that are made by spiritualists in connection with manifestations, as they are called, are due to the fact that the spirit and soul in the medium is weakened. That is indeed obvious. In some hidden way, this is what happens. In a dark room the weakened astral body and ego can take on the forms of the organs to the point of visibility. The manifestations are real, but illicit. Now all so-called mental diseases are due to the spirit and soul—astral body and ego organization—assuming the physical and etheric structure. All so-called mental illnesses are due to this. We may therefore say: Physical illnesses are due to the physical organism or its parts becoming spiritual. Mental illnesses are due to the astral body or ego organization, or one of their parts, taking form in the physical or etheric sense. This universal truth is a very good guiding principle. These things have a bearing, too, upon questions put by individuals about the connection between medicine and pedagogy, for in the child's organism we have before us every grade between these two extremes. The astral and ego organization in one child will tend to make the physical and etheric body spiritual. In another child the tendency of the astral and ego organization will be to allow the physical and etheric to give them form. Between these two extremes there are all kinds of intermediate stages. This fundamental principle also comes to expression in the temperament. When the astral body and ego organization have a vehement tendency (not as in insanity but of a kind that is controllable) to assume forms belonging to the physical and etheric body, we have the melancholic temperament. When the astral body and ego organization have the tendency to impress their structure on the physical and etheric body, we have to do with the choleric temperament. The phlegmatic and sanguine temperaments lie in between. In the phlegmatic temperament the astral body and ego organization have a tendency, but only in a certain sense, to assume the structure of the physical and especially of the etheric body In the sanguine temperament, the vital principle in the etheric body is strongly influenced by the astral body. So this principle also comes to expression in the temperaments. What, in radical cases, is the guiding principle for the physician, namely, knowledge of how the spirit and soul and physical-etheric are interlinked in the waking consciousness of a human being, is also a guiding principle for educators, although they have to deal with latent conditions. Pedagogy and medicine are mutual continuations, the one of the other. Now what you have to do, my dear friends, is to strive with might and main to attain imagination in your conception of man's being. I should therefore like, in this connection, to give you a few fundamental indications. The form of the human being in the embryonic state is familiar to you as a picture—or at any rate can become so. We know today what the embryo looks like in its earliest stages and the form it takes later on, and from this you can make a connected picture of the human being in the embryonic state. You can also form a connected picture of the human being during childhood. You must try to make both the first and second pictures as intense as possible, as though your thinking were actually touching them, so that it seems as if the embryo were tangible to your thinking and you were inwardly following its forms. Then, in your thoughts, expand the embryo to the size of the child in an equally intense mental picture which you can look at and observe. Then, inwardly metamorphosing the mental picture of the embryo, let it pass into the picture of the child. If you really carry this out, you will be aware of certain difficulties. You will feel: If I enlarge the head of the embryo to the size of a child's head, it becomes very big. I must compress it. I must also inwardly crystallize, as it were, all that in the embryo is still watery and fluid, being part of the fluid man so that it becomes the embryonic brain. Then you will have to stretch and give shape to the limbs in the embryonic state. Inwardly you will have to carry out an act of plastic activity by letting the unplastic limbs of the embryo pass over to become the limbs of the child. It is an extraordinarily interesting inner occupation to let the embryo pass over into childhood in inner contemplation. Then, going further, you can make the same experiment with the child and the grown-up person. Here there will be greater difficulty. The differences between embryo and child are very considerable and you will have to be extremely active inwardly if you are to succeed. But when you compare childhood with the prime of life, the differences will not be so great. The difficulty will be to fit the one into the other. But if you succeed in this, the imagination of the human etheric body will actually come to birth within you, and comparatively soon.
Here you have a guiding principle which you can use just as well as the others I have given during these lectures. But you must fully realize that the acquisition of imaginative consciousness demands effort. It is not to be attained by mere beckoning but only by strenuous work. Now you can go still further. You can try to picture an old, sclerotic man—old men are, to a certain extent, sclerotic—feeling that you are touching him and in this act of spiritual touching you get the impression that he is really hollow. The impression you get when you touch an old, sclerotic man spiritually is not as if he were more solid, harder, but, on the contrary, as if he were sucking at you. In this spiritual touching the feeling is as if, in the physical world, you were to run a moistened finger along the foam of a breaking wave or along the surface of clay. This, as you know, gives the impression of suction. So it is, spiritually, with a sclerotic old man. You must develop this experience of touch in your visual picture of the old man. This applies not only to the visual act but to any one of the twelve senses, also to the sense of life (Lebenssinn). So you have a picture of age, with its density, which seems to exercise suction. And now just as in the first instance you let the picture of the embryonic period pass on into the picture of childhood and then into that of the prime of life, maturity—now let the picture of old age pass backwards. Picture the mature human being and let your touch experience of the aged man pass back into the picture of man in the prime of life, who does not seem to suck but stands in the world full of vigor. When you let the picture of the embryonic structure pass over into the structure of childhood, you carried out a spatial metamorphosis—what happens now is that with old age you have the impression of a being who has been hollowed out, who sucks all the time, and this hollow being seems to be filled with force and energy when you let the picture pass back into the age of maturity. Whereas the first picture of abounding strength is connected with an experience of being very slightly paralyzed, when the picture of the old man is let pass backwards, vigor seems again to come into his bones and into the whole structure of his solid organism. More care must be taken when this inner process is being carried out. And then the picture of the prime of life must be carried back to that of youth. This is an easier thing to do. We picture a man who already has one or two wrinkles and then let him be merged into the picture of a young, chubby-faced person. When we succeed in doing this, we get the impression of the etheric body being animated, beginning to ring and sound. This gives us an impression of the astral nature of the human being. And so you have a guiding principle for the ascent to inspiration.
You will realize from what I have told you that guiding lines for meditation are not given out as a commandment but are based upon things that can be understood. When a human being is guided to meditation in the proper way, conditions are not as they once were in the ancient East, when both the upbringing of children and the development of old age rested upon quite different foundations. When somebody is given meditations today, they are of such a form that he realizes and understands what he is doing with himself. In the East the child was under the guidance of his Dada. This meant that the child was taught and brought up according to the Dada's mode of life. The child learned no more than he was able to learn by watching the Dada. When a grown-up man wished to make progress, he had his Guru. And the Guru taught in no other way than: thus it is and thus it shall be done. The difference in our Western civilization is that an appeal is always made to the free spiritual activity of the human being, so that he is fully aware of what he is doing. He also has insight into how inspiration arises. If with the powers of healthy human intelligence we have grasped how physical illness and spiritual illness work—and the things I have told you today can be understood by healthy human intelligence—if we go on to realize what we should achieve in meditation, we have reached, with the powers of healthy human intelligence, the boundary of what can be attained. Healthy human intelligence can acquire everything that proceeds from Anthroposophy. When things begin that are not to be understood by healthy human intelligence, then it is right for this intelligence to work only so far as that boundary, and no farther. It is like standing by an lake—a boundary is there, too. We look towards it from the shore. Truly, the healthy human intelligence leads right up to this boundary. No criticism ought to be leveled at you for spreading an obscure, mystical view of the world, for it should be one that is attainable by all healthy human intelligence. When I once said the same thing in Berlin, an article that was written about the lecture, said: Healthy human intelligence can comprehend nothing whatever about the spiritual world and a form of intelligence which does grasp something about the spiritual world is ill; it is not healthy. This was what was held up against me. I want still to say something else. Your medical studies oblige you to look very intimately into the whole nature and being of man and as young men and women you are in a special position. In all seriousness we must take the fact that the Kali Yuga has passed, that we have entered a new Age of Light although for the reason that the old continues through inertia, humanity is still living in the darkness. From the spiritual universe, light is shining in; as human beings, we are entering an Age of Light; only we must make ourselves fit to realize the intentions of this Age of Light. Young people are especially predestined for this and if with the necessary earnestness they unfold a definite consciousness of why they have been born precisely at the beginning of the Age of Light, it will be possible for them to adjust themselves to what is really demanded in the sense of the true evolution of humanity. And what is demanded now is that we shall look into the human being if we want to explain the world, just as formerly men looked at nature in order to see how the human being is built up out of the forces and processes of nature. Man and his being will have to be understood and the single nature processes as specializations, one-sided processes of what is going on within the human being. When this point is reached a certain inward quality in all the activities of human feeling and the human mind will arise—a quality that has been sought for, although in a rather tumultuous fashion. Think only of how youth began to deify nature when the Youth Movement of the Age of Light began. It was all abstract, however vitally the impulse may have been felt. The true path of spiritual development for the young man or woman today must lead to the unfolding of intimate feelings for his connection, as a human being, with the world—there must be intimate, tender feelings and what the young absorb spiritually must no longer be a science for the intellect. In that he remains cold—it has always been so. Science must take a form in which every stage that is reached means that one becomes a different human being in feeling and in mind, and acquainted with something that has been forgotten. We also learned to know nature before we came down into the physical world. But then, nature had a different appearance. When a young human being today is led to a coarse, robust, external way of looking at things, the deathblow is struck at what he experienced in pre-earthly existence. If we could succeed in feeling that an old acquaintance of pre-earthly life had entered into our external, material way of looking at things, then feeling would flow into knowledge and understanding. And like a bloodstream, a spiritual bloodstream, this must go through the whole of scientific life, above all through the whole education and teaching of the human being. It is this intimacy with reality that must be acquired in science. Truly the modern age was lacking in understanding in this respect. Comparatively early in my life I tried to show how the human being, when he confronts the outer world of sense, really has only the half reality, and how he only reaches the whole reality when he unites what arises within him with the outer, material reality. And to begin with, because the times were quite different then—things have always to be prepared—I had to present it in terms of a theory of knowledge. When you read my little book Truth and Science (Mercury Press, 1993), try to let the spiritual rise up into the mind and heart, the spiritual that wells forth from within. Thereby the first step is taken towards this “making inward” of science, especially towards a heart-filled receptivity to world reality. The physician has particular opportunities for this intimate experiencing of reality and therefore the physician, just because he is a physician, can be the person who can make the abstractness prevalent in the other Youth Movement composed of those who are not destined to be physicians, more concrete, more full of heart. A young person today who has some real knowledge of medicine has the advantage when he comes together with someone else who knows nothing but jurisprudence and is, consequently, to be pitied. Medicine can be deepened as we are deepening it here, but with law this is quite impossible. Even up to the beginning of the eighteenth century, something of the spirit still remained in medicine; in jurisprudence spirituality ceased far away in the Middle Ages, when men no longer even dreamed of the spirit and had nothing but recorded statutes. The physician who from the very beginning comes to grips with the most concrete facts of life can have an extraordinarily good effect upon the rest of the youth. It would be good if you, as physicians, would interest yourselves, too, when opportunity arises, in the educational work that is being done in the Anthroposophical movement. There would be nothing to prevent this if you are in real earnest. The information contained in the Waldorf School Seminary courses cannot be given to everyone, but when somebody shows genuine interest there is nothing against your getting these courses if you really study them from the medical point of view, remembering the close relationship that existed in ancient times between healing and education. In these days we have quite got away from the conception of man as a being who comes into earthly life burdened with sin, because the modern mind simply does not know what sin really is. What is it that took form as the notion of sin? It is what I have spoken of here as the law of heredity—this is the inherited sin. Individual sin, too, is something that the human being has to overcome in the second half of his life. He has to overcome the sinful model, which comes from heredity. We can also say the sick model, according to ancient conceptions. If the human being were to retain, as his body, what works in his model up to the change of teeth, he would carry it within him his whole life long and at nine years of age he would be a man—how shall I put it?—the whole of his skin would be covered with a kind of moist eczema and if the condition continued he would get little cavities all over his body, would look like a leper, and if he lived on at all the flesh would fall away from his bones. Man is born as a sick being into the world and to educate him, that is to say, to understand and guide what is working according to the model, is the same thing as a mild healing process. Within the Youth Movement and when speaking of education, you should consider yourselves as healers. You can indicate the remedies—which in the first place, of course, remain a spiritual matter—but can certainly be applied physically when a child's condition becomes pathological. In pedagogy, too, there is an art of healing, only it is on another level, another plane. On the other hand, when a patient gives no help at all by working with any guiding principle we may give him for his own subjective consciousness, for the understanding of his illness, for pessimism or optimism in his conception of life—when we simply cannot work educationally—it is exceedingly difficult to help him medically. If the patient—I do not say that he must have blind faith in the remedy for that would be an exaggeration—but if the patient, simply through the individuality of the physician, is brought to a point where he feels the physician's will-to-heal, the reflex action in him is that he will be filled with the will to become healthy. This interplay of the will-to-heal and the will to be healthy plays a tremendous part in the therapeutic process. We can therefore say that there is a reflection of education in healing, and in education a reflection of healing. Very much depends today upon human beings in the world coming together in the right consciousness. If, therefore, medical youth comes together with the other youth in the right consciousness, the result will certainly be that the medical youth can work very fruitfully on the others. But what is so necessary is to sharpen the consciousness in both directions. These are the things that I would fain have laid into your souls and hearts, now that you have come here again. I hope they have helped to strengthen still more the bonds between your souls and the Goetheanum and that even in such a concrete domain as that of medicine, the Goetheanum will find human beings who carry out into the world those things that can be found here. You will think rightly about this if you will also feel yourselves as part of the Goetheanum and will often turn your thoughts to what the Goetheanum desires for the world and the growth of civilization. And so the ties of heart that you can form with the Goetheanum may be a very great help to you in the tasks before you. This is what I have had in mind in giving these more intimate addresses and I believe that we shall be able to achieve much if, after what must be the last lecture now, you will carry this feeling out into the world. Thereby we shall also remain together and the Goetheanum will feel itself a center with a definite task. Then the Goetheanum will be a real Goetheanum and you, true Goetheanists. And at the same time, out yonder in the world you will be the supporting pillars which the Goetheanum needs. If things go on in this way, everything will be well. |
316. Course for Young Doctors: Appendix: First Circular letter
11 Mar 1924, Dornach Translated by Gerald Karnow |
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316. Course for Young Doctors: Appendix: First Circular letter
11 Mar 1924, Dornach Translated by Gerald Karnow |
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1. With regard to a question about the difficulties which pre-med students have today in studying both school medicine and the medicine in the Anthroposophical movement, we can only reply that we will try to gradually eliminate these difficulties through what we write in these circulars. Dr. Wegman is prepared to give the meditation which was described in the letter as a supplementary one to anyone who feels a need for it. 2. Concerning studies at the Goetheanum. We ask you to be patient with respect to practical studies, although of course we will try to make them available. We will indicate in these circulars when you can begin to make applications. 3. With respect to the question of the suggestion of particular themes for co-workers at the Medical Section for spiritual science, we remark that we would like to begin work in this direction. But we will mainly be able to negotiate about such themes through individual correspondence, and not so much through inserts in this circular. However, we request that you be a little patient here also; we will get closer and closer to our goals but we can only proceed one step at a time. We would also like to add that therapeutic questions about special cases will not be answered in the circular anymore after this. However, we welcome questions of a special therapeutic nature which refer to the medical courses which were given here, and also questions which refer to physiological and anatomical problems, study, and the moral attitude of physicians. 4. To those people who asked whether they could participate in any work here at the school in the near future, perhaps after they have taken their exams, we would like to say that three to five more lectures will be given after the Easter lectures, in which interested people can receive guidelines for their further work. The theme will be the human being and orientation with respect to education and healing in the world and also with respect to the particularly important tasks of humanity in this area. 5. Although the direct dispensation of our medicaments to patients by physicians would no doubt be desirable, it cannot be done at the moment, because the laws say that only homeopathic medicines can be dispensed in this way by city physicians. Once we are in the same position as these homeopathic physicians (that is, with respect to legal recognition), we will be able to do the same. Meanwhile we will 6. Concerning the question about whether a patient should be told how the medication works, we can say that the effect is reduced if a knowledge of it enters into his thinking. However, the deleterious effect is less if the thoughts are merely intellectual ones, greater if they are pictorial and the greatest if the patient can follow the whole course of the healing in himself. But this should neither keep the physician from giving information about the way the treatment works nor should he withhold a cure from a knowing patient. For what is lost through the knowledge can be completely regained if the patient develops some reverence for the healing methods. One has to see to this when one informs them. 7. Question about the kind of injections. As a rule, injections would be given subcutaneously, but if the patient doesn't react to these after repeated attempts, one can inject highly potentized doses intravenously. In this case one has to wait and see what the effect of the first injection is. 8. The writer of a letter speaks of two lines, one of which runs along the spinal column, while the other goes down from the head in the hyoid bone to the arch of the lower jaw to the thyroid cartilage and then to the side of the ribs. He wondered what significance the direction of these two lines has. The latter line corresponds to what an animal's astral body forms out of solid substances. In man this line is brought into a slanting angle with the vertical by his upright posture. This is aligned by the ego organization, and, namely, in such a way that the earthly ego works in a hypertrophic way along the dorsal vertebrae; the developing ego which remains after death aligns the cartilaginous part of the ribs and the breast bone in a hypertrophic way. Since the human element is left out in spiritual beings like Lucifer, his spinal column, breast bone and the cartilaginous part of his ribs must be eliminated. This is why the writer of the question saw a peaked chest and a lateral tendency in the ribs of the Lucifer sculpture. 9. We have the following to say with regard to a question about the head's hollows and their significance. The physical and etheric parts of the head are arranged in such a way that the physical predominates in certain places and the etheric in others. The latter are the real bearers of thoughts, whereas the physical, completely filled out parts are bearers of life in the head and suppressors of thought experiences. If their activity is too great dizziness, hallucinations and the like arise. 10. Concerning a question about mediumistic talents. The mediumistic talents of certain people are based on an incomplete insertion of the astral body and ego into the metabolic-limb tract of the etheric and physical bodies when these people are in a trance. Thereby, the limbs and the lower torso are inserted into the etheric and astral environment in an irregular way as a kind of a sense organ. This results in perceptions of spiritual things, but at the same time the moral and conventional impulses which ordinarily work through these organs are excluded, just as they are excluded in other sense organs. Our eyes see blue, but not slanders. It is very difficult to cure mediums by physical means. They could only be cured by injections of highly potentized tobacco in some part of a sense organ, for instance, inside a Eustachian tube or in the eye's cornea, which of course is very dangerous. A psychic healing requires that the healer have a stronger will than the medium outside of the trance condition and that he can work through waking suggestion. 11. Concerning a question about whether one is interfering with the karmas of mother and child if one saves the mother through an abortion, we can say that one can hardly speak of an intervention in their karmas, since both karmas will be directed into other channels for a short time but will soon be brought back into the right direction by the natural course of events. On the other hand, there is a strong intervention in the karma of the one who does the operation. And he has to ask himself whether he really wants to do something which brings him into karmic connections which would not have existed without the intervention. But questions of this kind depend upon the particular circumstances and cannot be answered in general, like many other things in purely psychological cultural life which constitute an intervention in karma and which can lead to serious and tragic conflicts in life. 12. Concerning a question about cod liver oil. Cod liver oil can be avoided if the basis for the corresponding disorder is diagnosed and one uses things like our Waldon I = plant proteins and plant fats, Waldon II = proteins and fats of plants and iron silicate, and Waldon III = plant proteins and fats, iron silicate and calcarea carbonica. 13. Even a single injection of Belladonna D30 and Hyoscyamus D15 will be helpful for wounds which have come into contact with the ground. 14. Concerning a thirty-five-year-old diabetic. The rosemary cure would probably be best for this diabetic. It might also help to give Silicea D10. 15. A question about the treatment of ear noises (tinnitus). The general recommendation for tinnitus is poppy juice D6. One will gradually be able to bring about a subjective cure if the patient exerts enough force to transform the passive experience of the noises into an active ideation, as if he did this himself. Noises in the ears are based on a weakening of the astral body relative to the etheric body in the bladder region. 16. Question about a case of flu in the brain with subsequent symptoms. One would have to try to inject Agaricus muscarius D30 into the thirty-eight-year-old patient with aftereffects of flu, which do not react to the medicaments used, and see to it that a confident, cheerful mood is maintained after the injection.
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Course for Young Doctors: Introduction
Translated by Gerald Karnow |
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Course for Young Doctors: Introduction
Translated by Gerald Karnow |
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From the beginning, a number of medical students took part in the medical courses. [...] During the third course which took place in the autumn of 1922 in Stuttgart, there were about fifteen students. We often gathered in the cafés of Stuttgart. Intense conversations took place there. It had been clear to us for quite some time already, that although Rudolf Steiner's medical lectures satisfied our need for knowledge, they did not meet our humanity. We had repeatedly asked the physicians of the Stuttgart Clinic to request of Rudolf Steiner that he give other lectures to deal with the more human-moral aspect. The answer was: “We can't do that because we haven't yet fully understood the value of what he has already given us.” Where-upon we answered: “We can't wait for that. Who knows how long Rudolf Steiner will still be among us.” We knew, with that assurance which youth may have, that his time was measured, and that it would be unpardonable if he did not hear the questions which would enable him to deal with the more intimate aspect of medical work. When we realized that the path via the ‘older physicians’ led nowhere, we decided to appeal to Rudolf Steiner directly. So after discussing it amongst ourselves we decided to submit the following question at the end of the Stuttgart Course, during the time set aside for questions: “Is it not possible to show us students a way of becoming anthroposophical physicians even while we are still students?” The paper with the question on it was ignored by the discussion leader. It floated down under the table. Rudolf Steiner asked, “What is that note?” He was told, “It is a question from some students.” The only thing left to us was to turn to Rudolf Steiner directly. After the discussion we asked for a meeting with him and were asked to come the next day. Of the fifteen students, only four of us were present the next day (October 29, 1922) in front of Rudolf Steiner's apartment [...] We brought forth our concern as well as we could. We said quite openly that we weren't able to do much with the lectures in this cycle; they seemed to us to be directed entirely toward the older physicians. We hoped to be able to understand more later, but for now we were unable to find our way there. We were searching more for what was human and moral. One of us mentioned medical school experiences. To get anything positive out of the negative aspects of university teaching, a high level of spiritual knowledge was already necessary. Another voiced the hope that there might be lectures concerning what was generally human with the subtheme of ‘Medicine’, just as there had recently been the Pedagogical Youth Course [The Younger Generation, GA 217] which had dealt with the generally human from the perspective of world history. Rudolf Steiner listened intensely and then said: “If you want to form a humanitarian group of people, effective in the culture as the pedagogues want to be, that is a contradiction in terms. You see, for the pedagogues, the pedagogy itself could be completely absorbed in what is generally human. That is not possible in your case. You can gather either as a humanitarian group with general cultural tasks, or as medical practitioners and physicians. Both together cannot exist in this form. You may not forget the purely medical within the purely human. Also, the pedagogues are in quite a different situation: through their profession they have maintained a much stronger connection to the living human being, the child. Through their work they really cannot lose touch with the human being. But the academic medicine of today is entirely dead, has no connection at all to the human being and has no idea what happens when it concerns itself with a sick person. In your case it is actually an entirely different matter. You feel in yourselves a vast abyss across which you have to find a bridge. You must find the bridge from the medical-scientific to that which is moral, loving. You see, if, for example, I speak of that which I call the warmth organization of the human being, then for the moment that is an abstraction for you. But you must find the bridge, so that you experience this warmth organization in such a way that out of the experience of this warmth differentiation in the individual organs, you find your way to what is morally-warm. We will have to arrive at the point where that which we call a ‘warm heart’ can be felt into the physical realm itself. You must find the way out of the scientific-physiological into the spiritual-moral and out of the spiritual-moral to the anatomical-physiological. Such a group of people, that have a ‘warm heart’ and who know right into the physical sphere how the ego in themselves works on the warmth organization, such a group will then be able to affect its surroundings out of much deeper warmth forces; it will be able, through these forces of love, which work into the physical realm, to affect the culture. On the other hand, if such people sink down, in spite of all, to the level of philistines, of narrow-mindedness, then it will become clear that sclerotic and other forces will become effective in a most radically destructive manner, much more destructive than for others! Gather up fifty, sixty, seventy medical students who share your attitude, and bring them to me and I shall talk to you more of this. Naturally, they will have to be younger medical people, for you see, to the older ones, I really cannot speak of these things. But gather up fifty, sixty, seventy young medical students for me, they must be medical people, and young, of course not schematically according to age; for, indeed, there are old people, too, who are still young. Well, you understand what I mean, bring them to me and I will give a course for you to which one might give the theme: ‘The Humanizing of Medicine.’ ” (The quotations are unfortunately not exact. They were recorded later from memory.) With that we were dismissed and the search for the young medical people began. [...] All inquiries flowed to Helene von Grunelius who carefully filtered and appraised them. 1923 saw several additional conversations with Rudolf Steiner in connection to our goals. I remember a meeting in the carpentry shop with Rudolf Steiner, Ita Wegman and the assistant physicians from the Clinic. Besides myself and my brother there must have been one or two other students there. The theme was Rudolf Steiner's indication that we ought to take a notebook and on the left hand side write what the professor says, or a good case history, while on the right hand side we were to transpose the medical symptoms into the language of the human sheaths. As an example, Rudolf Steiner gave the following: ‘The patient has edema of the lower half of the body’, would be transposed into: ‘Weak etheric in the lower half of the body’. It was advice which we did not follow enough, for we lacked confidence. [...] Helene von Grunelius was, as van Deventer put it, ‘the soul’ of this group. That this was so can also be surmised from her invitation for medical students to the planned course which was to take place in Dornach in January, 1924:
On November 1, 1923, Helene von Grunelius wrote to her friend Madeleine van Deventer in Utrecht:
Grunelius' unadorned language reflects the mood clearly. How things stood with those taking initiative for the first ‘Young Doctors' Course’ is evident. Their resistance to the older physicians was no doubt intensified by Dr. Steiner's remarks. On December 5, she wrote another letter to van Deventer with quotations from a letter of Ita Wegman's which show her attitude toward these students.
Regarding The Bridge lectures [included in this volume] M. P. van Deventer has this to say: In discussions between Helene von Grunelius and myself, we realized the significance of the lectures we had both heard in December 1920, which were later published and became known by the title The Bridge. The role of the warmth organization as mediator between soul and body appeared to us to be of fundamental significance. The Bridge lectures were available only in the Archives. However, upon being asked, Rudolf Steiner immediately gave us permission to duplicate and distribute them to all future participants for common preparation. In late summer Rudolf Steiner asked me about the state of the preparations. In the course of the conversation he suddenly became very serious and requested that I tell him exactly what we really wanted. He demanded utter clarity of consciousness. I attempted to speak about the path which we already wanted to embark upon during our studies. I was too reticent, however, to speak about meditative practices. Afterwards I had the feeling as if I had failed an exam. I immediately wrote to Helene von Grunelius and asked her to go to Dornach as soon as possible and continue the discussion. This continuation took place in late Fall 1923. Helene complained that it was impossible for her to follow the advice of keeping a notebook because she wouldn't know whether what she wrote on the right side was correct. Rudolf Steiner answered: “That doesn't matter. In the course of time you'll correct yourself; besides, you can send the notebooks to me. However, if you would like to gain greater certainty, I can give you a meditation.” Then he gave her the Warmth Meditation and told her that she could pass it on to all future participants. He himself would give it to Dr. Wegman. He called it a chain meditation (passed on from person to person by word of mouth), not a circle meditation. And he described it as the path of the physician towards beholding the Etheric Christ. [...] In Dec. 1923 we could again report to Rudolf Steiner. By then we had unfortunately only found 30 participants. “Why shouldn't I speak to 30 people,” he said. As a date he gave us the week immediately following the Christmas Foundation meeting, beginning January 2. We wrote this to all participants and invited them at the same time to come already December 24 to participate in the Christmas Foundation meeting. In this way, all were immediately united with the new stream which began with the new founding of the General Anthroposophical Society and the founding of the High School for Spiritual Science. The ‘Course for Young Doctors’ was thus the first event of the High School for Spiritual Science at the Goetheanum in Dornach.
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