The Rudolf Steiner Archive

I should like, first of all, to speak to you about certain principles in medical study. Medical study today is based upon a scientific conception of the world, or, better said, upon scientific interpretations, which do not lead to the human being in his reality and which at the present time are not capable of giving a true description of the human being.

And so young physicians approach a sick human being without having any real picture of a healthy human being. For if, after having studied anatomy and physiology, we picture the essence of the human organism to be the organs, systems of organs, bones, muscles, all with their definite contours, and get into the habit of looking at these systems within rigid contours, we have an entirely erroneous view of the human being. All that is drawn and pictured in this way and then becomes the content of knowledge, is in reality involved in a perpetual process of becoming, in a perpetual process of build-up and breakdown (anabolism and catabolism). There is perpetual becoming, perpetual arising, and passing away. If we think deeply about this process of arising and passing away, it is at once apparent that we must pass over from what has contours within the human organism to what is fluid and has, therefore, no contours. We realize that the human being must be pictured as the product of streamings—which persist at certain locations—and that we must add to the solid body (which is, after all, the smallest part of the human being) the fluid man, if I may so express myself, the being who is no longer subject to the laws to which the bodies with definite contours are subject. The conceptions arising from modern anatomy and physiology usually give rise to the opinion that if fluid is taken to quench thirst and then more and more fluid is taken, the fourth or fifth glassful passes through the same process in the organism as does the first. But this is not the case. Up to the point where the thirst is quenched, the first glass of water passes through a complicated process; the second glass of water, when the thirst is no longer so intense, passes through the organism without this process, much more rapidly than the first. It does not go through the complicated ways of the first, and in the case of the second glass of water, what takes place is simply a kind of increased streaming of the fluid man, if I may put it so.

A true knowledge of the human being must, therefore, reckon, to begin with, with the sharply outlined organs but also with what is in flow in the organism. Physiology does, of course, also speak of what is in flow, but the flowing fluids in the human organism are only investigated from the point of view of the laws of dynamics or mechanics. The truth is that the moment the fluid man comes into consideration, we must realize that the so-called etheric body is working in this fluid man.

The drawings to be found in books on anatomy have merely to do with the human physical body. The streaming of the fluids in the organism is left out of account. This streaming of fluids within the organism is not dependent upon earthly forces, fundamentally speaking. It is dependent upon planetary forces. Therefore, we must realize that as long as we are concerned with rigidly outlined organs and systems of organs, earthly forces, pure and simple, come into consideration. The moment we are concerned with what is in circulation, whether it be the circulation of the digestive juice or of the digestive juice that has already been transformed in the blood, the ruling forces are not earthly but planetary. We will go into this more closely. It is merely a question, now, of the principle.

Thus, the physical laws of the physical body apply to the solid man; while the laws of the etheric body rule the fluid Man. But the aeriform, the gaseous, also plays a part in the human organism, a greater part, indeed, than is conjectured. Insofar as the gaseous works within and enlivens the human organism, it is entirely dependent upon the astral body. Human breathing, for instance, in its physical manifestation, is a function of the astral body.

I spoke of the physical man (physical body), of the fluid man (etheric body), of the gaseous man (astral body). So far as the fourth man, the warmth man, is concerned, there is not the slightest doubt that differentiated warmth is present in the space physically occupied by the human being, and even beyond this. If you put a thermometer behind the ear or under the armpit you will find evidence of differentiation in the warmth organism; the degrees of warmth are everywhere different. As the liver has its definite place in the organism, and the intestinal organs have theirs, so do they also have quite different temperatures. The liver temperature is quite different, for the liver has a very special kind of warmth organization. This warmth organization is subject to the ego organization.

Now, and really for the first time, you can picture the human being, insofar as he bears within himself the substances that exist on the earth in the solid, fluid, aeriform, and warmth conditions. The warmth is ruled from the ego organization. When something or other is in a certain condition of warmth, this condition of warmth has an effect upon what it is permeating. And here we come to how things really are as regards the ego organization. What the ego organization does in the human organism is done by way of the warmth organization. Suppose I am walking, simply walking. When I am walking, I take hold of my warmth organization with my ego organization. What the warmth does within the fluids which fill out the solid constituents of the legs is, indirectly, a consequence of the ego organization, but the ego organization only takes direct hold within the warmth organization. In the whole organism, in the solids, fluids, gases, and warmth, therefore, we see the intervention of the ego organization, but the intervention takes place by way of the warmth organization. The astral body also intervenes in the whole organism, but the astral body takes direct hold only in the aeriform organization, and so on. You can work out the rest for yourselves.

This helps you to understand something else. If you take what is presented to you today in physiology and anatomy all that is so beautifully drawn and is regarded as being the whole man, if you take this, you will never be able to pass over from this human being (who in reality does not exist in this form) to the soul, let alone to the spiritual. Just tell me where and how the soul or spirit could possibly be connected with the human being as pictured by physiology or anatomy today? This is the reason why all kinds of apparently well-thought-out theories have arisen concerning the interactions that take place between the soul and spirit and the body. The most ingenious of them—No, I ought to say the most nonsensical—is that of psycho-physical parallelism. It is said that the life of soul and spirit and the bodily life run their courses simultaneously and parallel to each other. No attempt is made to find a bridge. But the moment you pass on to the differentiation of the warmth and see therein the intervention of the ego organization, you realize: Yes, it is conceivable that the ego organization intervenes in the warmth ether, and by way of the warmth organization in the whole human being, down to the sharply outlined physical organization.

The reason why the bridge between the physical nature and the life of soul in the human being could not be found was because no account was taken of the existence of these organizations of which the soul and spirit take hold in successive stages. It is a known fact that the simple psychical condition of fear, for example, affects the bodily warmth. It is inconceivable that the psychical experience of fear should be capable of actually making the legs tremble. The thing is inconceivable, so a theory like that of psycho-physical parallelism has arisen. But it is conceivable that the organization of soul which is anchored in the warmth ether should be affected by fear, and then that the fear should live itself out in the corresponding change of the warmth, the warmth organization communicates itself to the airy organization, the fluid organization, and downwards to the solid body of the human being. Only in this way is it possible to build a bridge from the physical to the life of soul.

Unless you have this insight into the healthy human being you will never get insight into the sick human being. Take, for example, some part of the human organization, such as the liver or kidneys. In the so-called normal state, the liver or kidney receives impulses from the ego organization inasmuch as these impulses of the ego organization take hold, first of all, of the warmth organization and then pass down to the liver or kidney with its definite outlines. If we understand this process, it is possible to conceive that this intervention on the part of the ego by way of the warmth organization may cause the ordinary process of this warmth organization to be inwardly intensified, to deviate from its ordinary process, in such a way that the ego organization works too strongly upon the warmth organization in the liver or the kidneys. A certain state of balance must prevail in the organism in order that the ego organization can work in it. If this balance is upset, the organism may fall ill. But the organism as pictured by modern anatomy and physiology is, in reality, incapable of illness. From whence could the condition of illness possibly proceed? Somewhere or other the possibility of illness must exist in the organism. Now, the ego organization must work in with a certain strength upon the heart, that is to say, by way of the warmth organization upon the heart. Suppose it happens through some circumstance or other, and remember that in the external world, too, warmth can be guided to some other place where it is not desirable—suppose it happens that what ought to work by way of the warmth organization upon the heart works in the kidneys or liver. Something happens that must happen, but here it is out of place, has gone astray—and then the possibility of illness arises.

Only by remembering this principle will you begin to understand the possibility of illness; otherwise you will not understand. You will have to say to yourselves: Everything that goes on in the human organism is a process of nature. Illness is, however, also a process of nature. Where does a healthy process cease? Where does a process of disease begin? These questions are unfortunately unanswerable if you go no further than the teachings of orthodox physiology and anatomy. You can only get a conception of the possibility of illness when you know that what constitutes illness when it takes place in the liver, may be healthy when it takes place in the heart and so on. For if the human organism, working from out of the ego organization, could not bring forth the warmth that must be present in the region of the heart, the organism would, for example, be unable to think, to feel. But if these same forces were to invade the liver or kidneys it becomes necessary to drive them out again, to put them back, as it were, within their original boundaries. Now, in external nature there are substances and activities of substances which can take over, in the case of every organ, the activity of the etheric body, of the astral body, of the ego organization. Suppose the ego organization is taking too strong a hold of the kidneys. By giving equisetum arvense in a certain way, you enable the kidneys to do what the ego organization is doing in this abnormal, pathological condition. In this pathological condition, the ego organization is taking hold of the kidneys but in the way that ought only to happen in the heart, not in the kidneys. Something is going on in the kidneys which ought not to be there but which is there because the ego organization is pouring in its activity too intensely. We only get rid of this condition if we introduce artificially into the kidneys an activity which is an equivalent of this activity of the ego organization. That is what you can introduce into the kidneys if you really succeed in making equisetum arvense active in the kidneys. The kidneys have a great affinity with equisetum arvense. The activity of this substance throws itself into the kidneys, and the ego organization is sent out. And when the ego organization is given back to its own tasks it has a curative influence upon the diseased organ. You can call up the higher bodies, so-called, into health-giving activity when you drive them out of the diseased organ and set them again at their own proper tasks. Then, through a reactionary force which arises, these higher bodies can actually work curatively upon the diseased organ.

If we are to understand such forces and the connection of the human organism with the cosmos and with the three kingdoms of nature around man on the earth, we must cultivate a different kind of natural science from what is cultivated today. I will give you an example.

You all know that formic acid comes from ants. Certain things are known by chemists and pharmaceutical chemists about formic acid, but the following is not known. A forest in which no ants are carrying on their work causes great harm to the earth through the roots that are falling into decay. In the organic fragments that are falling into dust the earth goes to pieces. Just think of wood from which the vegetative process has gone and which has passed over into a kind of mineral condition; it is pulverized, is falling into dust. But when the ants are doing their work, formic acid in an extremely high potency is always present in the soil and in the air within the area of the forest. This formic acid permeates what is falling into dust and the connection of the formic acid with the dust safeguards the development of the earth; the dust is not just scattered away in the universe but can provide material for the earth's further evolution. Substances which seem merely to be the excretions of insects or other forms of animal life are seen, in very truth, to be the saviors of the further evolution of the earth when we know what their true function is.

The way in which the modern chemist investigates substances will never lead to a knowledge of the cosmic tasks of these substances. And without knowledge of the cosmic tasks of substances it is quite impossible to know the tasks of substances that are introduced into the human being. What formic acid does in external nature, quite without being noticed, is going on all the time within the human organism. And so I said in another lecture that the human organism must always have a certain quantity of formic acid in it because the formic acid restores the physical substances that are succumbing to the process of growing old. In certain cases it may be found that the patient has too little formic acid in his organism. It is essential to know that the different organs must each have different quantities of formic acid. When we discover that some organ has too little formic acid, this substance must be introduced into the organism. There will be cases where the introduction of formic acid gives no help, others again where it is a very great help. There may also be a case where the organism strongly resists the direct introduction of formic acid but will be inclined, when its oxalic acid content is increased, to manufacture formic acid itself, out of the oxalic acid. In cases where nothing can be done with formic acid, it is often necessary to apply an oxalic acid cure, because formic acid is produced out of the oxalic acid in the organism. This is only one indication of how necessary it is not only to understand the nature of the organs with definite contours but also the nature of the fluids, the fluid process outside in the cosmos as well as within the human organism. This must be known in all detail.

You see, certain processes outside in nature which are occasioned by man can be observed, but their whole significance cannot be revealed by scientific interpretations. Let me tell you about a very simple phenomena. Fig trees grow in the South. There are fig trees which produce wild figs and specially cultivated trees which produce sweet figs. People are shrewd in the way they produce sweet figs. They do the following: they cause a certain species of wasp to lay eggs in a fig, an ordinary fig. A wasp maggot comes from this germ and passes into the chrysalis stage. This process is interrupted and the young wasp is caused to lay a second lot of eggs in the same season. The result of this second lot of eggs from the wasps which have been generated in the same year is that sweetness is produced in the fig in which the second generation of wasps has laid eggs. In the South, people take figs that are nearly ripe, tie two together with string and hang them on a branch. The wasps come and deposit the eggs in the figs; the ripening process is very much accelerated through the fruit being cut away from the tree and the first generation of wasps develop very quickly; then the wasps go over to other figs that have not been cut, and they become very much sweeter.

This process is very important because here, within the fig substance itself, there takes place, in concentration, the same thing that happens when wasps, or, if you will, bees, take nectar from the flowers into the hive and produce honey. The bees take the nectar from the flowers and then produce honey in the hive. This same process takes place within the fig itself. The people in the South set a honey-producing process going in the fig by way of the young generation of wasps. A honey-producing process is generated in the fig which is inoculated by the young generation of wasps.

Here you have the metamorphosis of two nature processes. The one is spread out, so to say, over nature, when the bee fetches the nectar from the flowers at a distance and produces honey from this nectar in the hive. The other process is concentrated in the same tree on which the two figs are hung. These figs ripen more quickly, and the generation of wasps arises more quickly; other figs are inoculated and these become sweet. We must study such processes of nature for they are the processes which come into consideration in medical work.

There are processes at work within the human being of which modern physiology and anatomy have not the slightest inkling because their observation does not extend to nature processes such as I have now described. We must observe the more delicate processes in nature and then we shall unfold a real knowledge of the human being. For all these things, my dear friends, an inner understanding of nature is required and a comprehensive view of the warmth, the streamings of air, the warming and cooling of the air, the play of the sun's rays in this warming and cooling of air, the water vapor in the atmosphere, the wonderful play of the morning dew over the flowers and plants, the marvelous process which takes place, for example, in a gall apple which is also produced by a wasp's sting and the laying of an egg. A sense for nature is required in all these things. And this sense for nature is certainly not present when, as in the modern way of observation, everything is made dependent on what is seen under the microscope where things are taken right away from nature. There is a dreadful illusion here. What is the aim of looking through the microscope? The aim is to be able to see what cannot be seen by the ordinary eye. When the object is enormously magnified people imagine that its workings will be the same as they are in the minute. But in microscopy we are looking at something that is untrue. Microscopy is only of value if you yourselves have a sufficiently true sense for nature to be able, with your own inner activity, to modify the particular object to the corresponding minuteness. Then the whole thing is different. If you see an object magnified, you must be able to reduce it again, simply through its own inner nature. This is not done in the ordinary way. As a rule, people have no inkling of the fact that the magnitudes of the things of nature are not relative. The theory of relativity is great and fine and in most domains simply incontestable. But when it comes to the human organism, that is another matter altogether. Three years ago I was present at a discussion among certain professors. They simply did not understand when one said to them that the human organism cannot be twice as large, for example, as it actually is, for it could not endure such a size. The size of the human organism is determined by the cosmos; its size is not relative, but absolute. When the size is super-normal, as in a giant, or subnormal as in a dwarf, this immediately brings us to conditions of illness. And so when we see an object under the microscope, we see a lie, to begin with. It is a question of reducing objects back to truth, and this is possible only when we have a sense for nature, a sense for what is really happening outside in nature.

It is very important to study a beehive. The single bee is stupid; it has instincts, but it is stupid by itself. The beehive as a whole, however, is exceedingly wise. Quite recently a very interesting discussion took place with workmen at the Goetheanum to whom, in normal times, I give two lectures a week. We had been speaking of bees and a very interesting question was put. People who keep bees know quite well that when a beekeeper who is loved by the inhabitants of the hive falls ill, or dies, the whole bee population falls into disorder. This actually happens. One of the workmen who has the typically modern way of thinking said that surely a bee cannot see such a thing, it cannot possibly have any picture of the beekeeper. How, then, can such a feeling of interconnection arise? He also brought forward the point that a beekeeper looks after the hive one year but the next year there is quite a different population in the hive; even the queen bee is another insect and all the bees in the hive are young bees. How, therefore, can there be this feeling of interconnection? I answered in the following way: It is well-known that in certain periods all the substances in the human organism are changed. Suppose we make the acquaintance of someone who goes to America and comes back after ten years. The person who comes back is really quite different from the one who went away ten years ago. All the substances in his organism have been exchanged for others. Things are exactly the same as in the beehive, where the bees have changed but the feeling of the interconnection between the hive and the beekeeper remains. This feeling of interconnection is due to the fact that there is tremendous wisdom in the beehive. The hive is not merely a cluster of single bees; the hive has an individual soul, a real soul.

The perception that a beehive has a soul is also something that must form part of our sense for nature. Such perceptions are part of a true sense for nature and can be applied in many other things. We can only begin to understand the human being in health and in disease when our knowledge is reinforced by a sense for nature that is not only microscopic but also macroscopic, if I may use the expression. We shall try to understand health and disease in this way during the lectures, my dear friends, and we shall consider, too, what I will call the moral side of medical studies and medical science.

As we shall be able to make use of the eight hours at our disposal for this course of lectures, I need not hurry, and this will certainly be all to the good.

I want to develop the material given yesterday by speaking of the characteristic qualities of the several members of the human being. I spoke of the physical body which is to be connected with everything that has definite contours in the organism. There is also the fluid organism. This fluid organism is permeated with the forces of the etheric body, forces which are, however, united with the physical body as primary components of it. These are the peripherically working forces. So far as the astral body is concerned, conceptions of space will not help us at all; the astral body cannot be understood from the quantitative aspect, but only from the purely qualitative aspect. We must picture the astral body in a world that is not the world of space, as we know it, but lies outside this spatial world. And this is all the more true when we come to the ego organization.

The easiest way will be to start from the ego organization. What is this ego organization, in reality? In the physical world, it is to be perceived in the form of the physical body. In the physical world, of course, both the inner and the outer form must be included. Looking at the physical body of man as it stands in the physical world, we must realize that it has nothing fundamentally in common with the forces working in the physical world. For the moment a human being passes through the Gate of Death, and the ego organization leaves the physical body, this body begins to be subject to the forces of the external world. This means that the body is no longer built up but is destroyed. If you remember that the physical body is destroyed by the forces that are working in external nature, you will realize at once that the body cannot, in its form, be subject in any way to the forces of the physical world. When the ego organization is forming and shaping the physical body, therefore, this means that it removes the body from the forces that are present in man's earthly environment. In other words, the ego organization is something quite different from all that is to be found in the physical world.

This ego organization is connected with death. What happens in death, all at once, goes on continually throughout the period of earthly life, through the ego organization. The human being is really continually dying, but this process of dying is balanced out. To get a picture of this, think of a modified version of the legend of Penelope. Suppose you were occupied every day in doing away with a heap of earth near your house, and during the night, in your absence, someone were to come and shovel the earth back again. As long as the earth is put back you have to shovel it away again. Your activity only ceases when the heap of earth gradually gets smaller and smaller on account of decrease of activity on the part of the one who puts the earth back again. This, approximately, is a picture of the ego organization in its relation to the physical body. Nourishment of the physical body consists in bringing into it substances from the earthly environment. These substances have their own inner forces, a certain complex of forces which belongs to them, and when, for example, you take common salt as an adjunct to food, this salt, to begin with, because it comes from outside, has the same inner tendency of action which it has, as salt, in the external world. But you begin to take these qualities away from it even when it is in the mouth, and then more and more, so that, finally, if the ego organization is working properly, there is nothing any longer within you of the salt, as it was in the external world. The salt has become something completely different. The activity of the ego organization consists precisely in transforming the in-taken foodstuffs. When it is no longer possible for the physical body to take food, the ego has no more to do, just as you had no more to do when nobody was shoveling the earth heap back again. When the body is no longer capable of taking food, it is impossible for the ego to work from out of the warmth, in the physical body. We can say that death occurs when it is impossible for the ego organization to so transform the external substances that nothing remains of the outer characteristics instead of being totally in the service of the ego organization.

What does the ego organization do with the physical body? It destroys the body all the time. It does the same as death, only the process is continually balanced out by the physical body being able to take external substances as food. Ego organization and the process of nourishment, therefore, are polar opposites. The ego organization betokens for man exactly the same—but in a process of continuous activity—as death betokens, but, in death, the process is concentrated, it happens all at once. Through your ego organization you are dying all the time, that is to say, you are destroying your physical body inwardly, whereas when you die, external nature destroys your physical body outwardly. The physical body is capable of destruction in two different directions and the ego organization is simply the sum total of the destructive forces working inwards. It really seems, at first, as if the ego organization had no other task than to bring about continual death in the human being—a process that is only prevented because there is fresh reinforcement, so that this activity only begins to bring about death. In the qualitative sense, therefore, ego organization is identifiable with death, and the physical organism is identifiable with the process of nourishment. We will speak in greater detail later on.

Ego organization = Death

Physical organism = Nourishment

Between these two polar processes in the human being lie the etheric body and the astral body. Astral body and etheric body lie between the ego organization and the physical organism. The astral body, as you heard, only works directly in the aeriform part of the human organism, from there by way of the etheric body upon the fluid organism and the physical organism or organism of nourishment. In every single organ there is a working together of etheric organism and astral organism.

When the etheric organism works upon an organ, this organ is imbued with budding, sprouting life. The life force in any single organ, or in the organism as a whole, comes from the etheric organism. The astral organism has at every moment the tendency to paralyze this budding, sprouting life—not to kill it, but to damp it down, to lame it. The ego organization strives all the time to kill the organism and the single organs, and in opposition to this there must be the reinforcement from the foodstuffs taken from the external world whereby life is continually poured into the organs. This process is especially active in childhood and youth.

The etheric impulses are opposed by the activity of the astral body which damps down the etheric activity all the time. If there were only etheric activity, budding and sprouting life in your organism, you would never have a life of soul, you would never unfold consciousness and would have to vegetate in a plant existence. No consciousness unfolds in a process that is simply one of growing, budding, sprouting. For consciousness to develop, the etheric, budding and sprouting life must be damped down. Therefore in any organ where the etheric life is damped down or lamed, we have, even in normal human life, the perpetual beginning of illness. There can be no development of consciousness without this perpetual tendency to illness. If you wanted just to be healthy—well, that is possible, but then you would have to lead a vegetative existence. If you want to unfold a life of soul, if you want to have consciousness, the vegetative process must be present, but it must be damped down.

The polar contrast is not so marked between the etheric and astral organizations as it is between physical organism and ego organization, but it exists, nonetheless, in a modified form. The astral organism must continually damp down what is brought about by the etheric organism. In reality, therefore, what the astral organism does day by day in the life of man, amounts to a tendency to illness. The etheric organism brings about rampant healthiness. Just as in abstract language, we can say: Man consists of physical body, etheric body, astral body, and ego organization—so we can also say: Man consists of the process of nourishment, of the building, sprouting, health-bringing process, of the perpetually in-working processes of disease, and of a continuous dying that is checked until the death-bringing processes gather together as it were into an integer and death occurs.

Think of this astral organism with its perpetual tendency to make an organ, or the whole man, ill. Genuine observation will show you that this is so. For no feeling could arise in you if this astral organism were not present. Just picture it.

The etheric organism unfolds life and the astral organism damps down the life. In the waking state (I shall yet have to speak of sleep), there must be a continual swinging to and fro in a labile state of equilibrium, between etheric organism and astral organism. This enables a human being to feel. He would feel nothing if this swinging to and fro did not take place. But now suppose the astral activity is not immediately driven back by the etheric activity. When it is driven back, when the astral activity is driven back in statu nascendi by the etheric activity, normal feeling arises. We shall see how this is connected, in the physical, with the activity of the glands. But when the astral organism becomes more powerful, so that the organ cannot work with sufficient strength in its etheric activity, then this organ will be laid hold of too strongly by the astral activity and instead of a swinging to and fro there will arise a deformation of the organ. When the astral body oversteps the mark in this activity of damping down, when it goes beyond the process that is balanced out in statu nascendi—then the cause of illness is located in the astral body. And there is indeed such a close connection between illness and feeling that we can say: The life of feeling in man is simply the reflection, in the life of soul, of the life of illness. If there is a swinging to and fro, there underlies the life of feeling—but always in statu nascendi, in the moment of ‘becoming’—the same process which is a process of illness when the astral organism gets the upper hand.

Now it may also happen that the etheric organism gets the upper hand of the astral, which withdraws. Then there will be rampant growth, which is illness in the other direction. When the astral body gets the upper hand, inflammatory conditions arise; when the etheric activity gets the upper hand, swellings or growths appear. In the entirely normal life of feeling, a delicately poised balance is always maintained between growths and the inflammatory process. The normal life of man needs this possibility of becoming ill, only a continual balancing must take place.

Thus if we are able to perceive truly, we can see in the normal life of feeling a great deal of what is represented by the processes of illness. If we can observe such things truly, we can ascertain the approach of the illness a long time before it can be physically diagnosed, in a wrong functioning of the life of feeling. Illness is only an abnormal life of feeling in the human being.

The life of feeling lies in the realm of the soul, because a continual equalization or balancing takes place in the etheric. When the balancing no longer takes place, the life of feeling strikes down into the physical body, unites with the body. Illness is present, therefore, as soon as the life of feeling shoots down into the organ. If, in the normal way, a person can keep his feeling within the realm of soul, he is healthy. If he cannot do this, if feeling shoots down into some organ, illness arises.

I say this by way of introduction, because you will realize from it how necessary it is for the physician to have a quick and delicate eye for the soul life as well. There can be no aptitude for true diagnosis without a faculty of delicate perception for the life of soul. We will speak of details later on and this will become still more intelligible.

But now, what of the ego organization and the physical organism? Think, first, of the process of nourishment. This process of nourishment is all the time destroying the substances as they are in the external world; the astral organism damps down what the human being is, inwardly, through his etheric organism. An inner balance is established between astral organism and etheric organism. Between the ego and the physical organism there is also a balance—here between outer world and inner world. Salt, as we know it, is outer world. When the salt is taken hold of by the forces of nourishment and by the ego organization, the ego organization must be in a position completely to transform the salt as it is in the external world, to leave nothing of it behind in this form. If anything is left behind, this means that a foreign body is within the organism, but you must not merely think of this ‘foreign body’ in the organism as necessarily having definite contours, for this is least often the case. A foreign body in this sense may also be the external warmth. There should be no warmth in the organism that is not engendered by the ego organization. You must be able to conceive of a person being seized, somewhere or other, by a condition of external warmth upon which he himself does not work—it is just like a piece of wood being seized by some condition of outer warmth. An external condition of warmth may not be only a stimulus to the human being to work up a warmth of his own, but the external warmth (or cold) may begin to work directly, and this outer cold or warmth would also have to be regarded as a foreign body in itself. Thus we can say: The inner balance between illness and health is produced by the astral organism and etheric organism. The balance between the human being and the world is produced by the polar contrast between physical body and the ego organization.

The thing of importance is to get a true perception of the activities of these four members of the human organism. You realize now, surely, that illness is simply not to be understood from the external, physical organism. The process that constitutes illness lies entirely in the super-sensible. Before we can understand illness at all we must have a conception of the astral organism. And you will get this conception if you will consider the following state of things: pain arises in some organ. When the astral body becomes too powerful, the organ is ‘deformed’, and pain arises. If the organ immediately balances the influence of the astral body in statu nascendi, feeling arises. Pain is really feeling, but an enhanced feeling, proceeding from the deformation, so we can understand why illness is accompanied by pain. Without knowing this, it is very easy to ask: What is it that really causes pain in manifestations of illness? It is easy to understand why pain arises when we know that this illness is merely caused by such a strong expression of the life of feeling that this life of feeling is deforming the organ concerned. You will see now that all manifestations of feeling can be judged truly through a thorough and deep study of man's life of soul.

But these things can only be seen in their right light when we say to ourselves: Conditions differ according to which organ in the human being is laid hold of by excessive activity of the astral body. Suppose, for example, it is the liver which is being thus laid hold of by the astral body. The liver behaves quite differently from other organs. The astral body can cause much deformation without pain being produced, without pain arising exactly in the liver itself. The reason why liver diseases are so hidden, so treacherous, is because they do not announce themselves through pain. This is because the liver is an organ which, in its whole make-up, is an enclave in the human organism. There are processes in the liver which, of all processes which arise in the organism, most resemble the processes of the external world. The fact, therefore, is that in the liver, man is least man. In the liver he really ceases to be man. He becomes outer world; he has a piece of the outer world within him. This is very interesting. We have the external world; we have the human being; and within the human being, inside him, we have something like a piece of the external world. It is as if a kind of cavity were hollowed out in the organism and just as it would not hurt if the astral body were to press into this cavity, just as little is there pain when the astral body presses into the liver. The astral body can destroy but cannot cause pain where the liver is concerned, for the liver is an organ where a piece of the external world appears in the organism, as it were, in an enclave.

Without entering into such things, we shall never be able to understand the human organism. In ordinary textbooks of anatomy and physiology you will find all kinds of indications about the liver. You will understand them when you know that the liver is an organ within the human being which is most foreign to him. Why is this?

Think of an eye, or some other sense organ. It lies in a cavity which digs itself into the human being from the external world. There are processes in the human eye which can almost be explained by physics. It is easy for a physicist to speak rationally about the human eye. A physicist makes a sketch with some lines on it which, although it is all really nonsense, gives a picture of the process of the breaking-up of the light and the production of an image by an ordinary lens. The same kind of drawings are made of the eye. People draw a ray of light which passes through a lens, is broken up and then forms a picture in the background of the eye. People have really become physicists in regard to the eye and since the days of Helmholz the ear, too, has almost become a kind of piano. It has become common to apply to the sense organs conceptions that are applicable to external nature. In the sense organs, something is being continued from outside inwards, a piece of the external world is continuing

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on into the inner world. There is even biological proof of this. In certain lower animals the eye is formed through an indentation which is then filled from outside. The eye is built into the organism, as it were; it does not grow out of the organism. The sense organs, therefore, are a piece of the external world within the organism. But they open outwards. In the sense organs the external world passes into the organism like a gulf. The liver is enclosed on all sides, but nonetheless it is a sense organ, a sense organ which, in the unconscious, shows a high degree of sensibility for the value of the different substances we take as foodstuffs. We can only understand what is going on in digestion, in the process of nourishment, when we no longer ascribe to the liver only those physical processes which are ascribed to it today. These processes are the expression of the spirit and soul. We must see the liver as an inner sense organ for the perception of the process of nourishment. For this reason the liver is much more closely related to the substances of the earth than are the familiar sense organs. With the eye we are exposed to the working of the ether, with the ear we are exposed to the air; but the liver is directly exposed to the qualities of the substances in the external world and it has to perceive these qualities.

The heart is a sense organ of a different kind. The perceptive faculty of the liver is exposed to external substances that come into the human being. The heart is a sense organ for perceiving the inner being of man. I have often said that it is nonsense to regard the heart as a kind of pump which drives the blood through the arteries. The movement of the blood is the result of the activity of the ego and astral body, and the heart is merely a sense organ which perceives the circulation, particularly the circulation from the lower to the upper man. The task of the liver is to perceive, in the digestive process, what value a carbohydrate, let us say, has for the human being. The task of the heart is to see how astral body and ego are working on the human being. Therefore the heart is an entirely spiritual sense organ, the liver a wholly material one. This distinction must be made. We must develop a qualitative knowledge of the organs.

What are the methods of the natural science upon which medicine is based today? Some tissue or other—it really does not matter very much which—is taken from some part of the organism, perhaps from the heart or the liver. The outer structure and make-up of this tissue are then examined. But this tells us nothing about the organ as it actually is, within the human organism. Suppose I have, here, a knife, and, there, a knife. I examine them. This is a knife, and that is a knife, only the one, when I examine its form, has a blunt edge on one side and a cutting edge on the other, and the blade is in a handle. The same could be said of the other knife—therefore the net result is, here, a knife; there, a knife. But to find the difference between a table knife and a razor I must go beyond this kind of examination. I must relate the knives to something that is a whole. Regarded externally, a razor might also be a table knife; therefore, merely from the form, I cannot know whether I have to do with a table knife or with a razor. Each thing must be observed in its whole nexus. Out of the kind of observation that is applied today to an organ, one cannot know anything about the significance of this organ in reality. It must always be regarded in the whole nexus of things. Mere examination of the structure and the make-up of an organ leads nowhere. The human being must be studied with quite different methods from those of chemistry which merely examines the chemical affinities and forces. In this respect, people are terribly naive today. In a certain physiological institute, experiments were made to see how mice could be nourished with milk. The result was splendid, for the mice flourished and became fat and big. At the same time, for the purpose of proving that there is something more in milk than its component parts, these components were separated and given to the mice. They perished within three or four days and could not be kept alive. And then people said: Milk does not only contain its known components, but it contains, as well, another substance—the vitamin. They were obliged to affirm the existence of yet another, very fine substance, namely, the vitamin. The point of importance is not the discovery of such a 'substance' but that to take the separate components of the milk is like taking a clock and looking at the brass, the silver, the other metals in it, the glass and so on. Yes, but the brass, the silver, the glass and all the other metals do not make a clock. The clock depends upon what the mind of the mechanic makes out of these substances. And in the case of milk and its components we are thinking with the mind of the mechanic, when we are concerned with the fact that earthly qualities are contained within these components—qualities which they get from the earth. Up to a certain point of time the peripheric forces from the etheric body are still present, as well as the earthly components. People must finally bring themselves to accept these things. It is not so much a question of things being hidden, and then ‘found’. The discovery of vitamins, for example, simply confirms what exists. Quite a different mode of observation must become current.

Suppose you are eating too many potatoes. You will never find out anything with the ordinary methods of investigation. It will be useless to try to ascertain the effect of potatoes in the human organism by computing the quantity of carbohydrates. The other carbohydrates which are present, for example, not in roots but in leaves or in fruits, are worked up in the digestive tract. There is something very remarkable about the potato. The potato passes with its forces so intensely into the human organism, that, what in the case of the bean happens while still within the digestive tract, happens in the case of the potato only in the brain. In the brain, too, processes of nourishment are continually taking place. I am only indicating these things in order to speak in greater detail later on. A person who eats too many potatoes may, under certain circumstances, overwork his brain. He transfers processes which ought to take place below the brain to the brain itself. It will only be possible to get something from medical science for hygiene and for social life in general by learning the relations of the human being to the substances around him, not from their chemical make-up but from their world connections. Whether a substance appears in leaf or in root constitutes a fundamental difference. It is much more important to know from which part of the plant a substance comes than to know whether it contains carbohydrates. Roots are more connected with the head organization of man; flowers and leaves more with the lower man. The chemical make-up really plays no outstanding part. The relations of the human being to the surrounding world must be learned from quite other things if we really want to understand the curative and the disease-producing factors, the disease itself, and its remedy. The heed that is paid to the indications given by abstract chemistry has really, little by little, buried all knowledge of the human being, because knowing the chemical make-up of a substance does not tell us anything about the real relations of man to the surrounding world.

Take another example—the point of view derived from chemistry is that oxygen is necessary in the air but that nitrogen is not necessary to the same extent. From what is commonly thought about oxygen and nitrogen, we might imagine that it does not matter so much to the breathing when there is too little nitrogen in the air, provided there is enough oxygen. But the truth is, that when air contains too little nitrogen, the human being gives off nitrogen in order to replace it in the air around him. The human being is so constituted that there must be a certain relation between his own nitrogen content and the nitrogen content of the surrounding air quite apart from the breathing process.

All these things are exceedingly important for an understanding of the nature of man. But although they are investigated and known, here and there, they remain fruitless for the modern world of science as long as there is no basis for understanding how man is membered into the world around him. We will try to find this basis in order to get insight into the healthy as well as the ill human being.

From tomorrow onwards I want you to think about what questions you would like to ask, and then give these questions to me so that I may remember them as these lectures go on.

Today I want to say something in direct continuation of what was said in the two preceding lectures about the nature of the human being and his relation to the world. In our anthroposophical studies here it is useless to bother about the ‘views’—in reality they are not ‘views’ at all—that are held by modern science in connection with the human being. It would be equally useless to make up our minds to deviate as little as possible from things that have become customary and habitual. For the state of affairs at present is that in certain great and significant directions the truth deviates very considerably from what has become customary. It deviates in an extraordinarily high degree. And so those who are striving after truth today will also need to have the courage to acknowledge many things that modern science would consider quite absurd. On the other hand, if you really want to heal, it will be necessary for you—not here, but in other places—to mix with those who set out to heal today by the methods customary in the external world. You will have to have dealings with science as it is in the modern world. Otherwise, among all the errors of the times, you will feel insecure with the truth you possess.

The current idea today is that there are about seventy to eighty substances on the earth, with certain forces of attraction and repulsion. These forces are supposed to work through certain atomic weights and the like. A number of theoretical laws of nature are then evolved according to which people try to find out how the substances are formed, and then, out of the different forces whose origin is looked for in the substances, a phantasmal picture is built up which is supposed to represent “man.”

But the truth is that neither in his form nor in the forces which maintain his processes of growth and nourishment is the human being subject only to the influences proceeding from the substances of the earth. In speaking of the etheric body, we found that it is entirely under the influence of forces which stream in from the periphery, from the cosmos. Taking these two kinds of forces—those which proceed from the substances of the earth, and those which stream in from the periphery—you will realize that a balancing, a harmonizing of these two kinds of forces, is necessary for each organ in the body. The several systems of organs in the human being differ very considerably in the way in which this balance is established.

Let us now consider the human head from this point of view. To begin with, attention must be called—and I have often done this—to the weight of the human brain which is very largely eliminated because the brain, with its definite outline, floats in the cerebral fluid. The brain floats in the cerebral fluid which circulates through the spinal column. The actual weight of the brain is about thirteen hundred to fifteen hundred grams. But when it is within the human being, it weighs much less—at most, twenty grams. This is because it floats in the cerebral fluid, and, according to the Law of Archimedes, every body, when it floats in fluid, loses as much of its weight as is equivalent to the weight of the volume of fluid displaced. In the fluid, the brain is subject to buoyancy so that only about twenty to twenty-five grams of its weight remains, and this is the weight with which the brain presses downwards. If it were to press downwards with its full weight there could be no blood vessels underneath it; they would be crushed. The earthly quality of heaviness is actually taken away from the brain. It is not the earthly quality of heaviness that enables us to be alive in the brain, but the buoyancy, the force that is in opposition to heaviness. In the case of the brain, this earthly heaviness amounts to, at most, twenty grams. The force of attraction exercised by the earth upon the human head is very little.

We see from this that the earthly characteristic of the brain vanishes—vanishes because of the way man is organized. The human organization is such that the earthly forces vanish. The Law of Archimedes has taught humanity about buoyancy, but it is not always taken account of in technical contrivances. I am not sure whether people realize it, but it is quite obvious that they acknowledge laws which happen to suit them and ignore those which do not. What I have told you about heaviness disappearing applies not only to the human head but to the whole inner structure of the head. Something else happens as a result of the special

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arrangement of the breathing process, of certain static conditions which hold sway between in-breathing and out-breathing. When we draw a breath, a force is exercised, and then comes a counter force when we breathe out again. The relationship between this force and counter force in breathing is similar to the relationship between gravity and buoyancy.

The curious thing is that when we are walking, the head, the brain, remains at rest. On account of buoyancy, the brain is not heavy, and its inner condition of rest, its inner static condition, is not changed when we are walking. Nor is this true only of our walking, but, in a curious manner, it is especially true also of the movement we make together with the earth. We only share in the movement with the rest of the body, not with the brain. The movement is quashed, so far as the brain is concerned. We may move the head itself as rapidly as the rest of the body, but even then the brain remains at rest. It is harder to conceive that something that is momentarily in movement is, in reality, at rest, than to conceive that something that is subject to gravity is, in reality, not heavy. But it is so, nevertheless. Thinking of the inner organization of the human being, we must say that the head remains at rest all the time. All the forces adjust themselves; there is a slight pull of gravity in the downward direction, in a proportion of twenty to fifteen hundred, and in the forward direction there is a very slight propelling force of movement. In essentials, however, the movement is balanced out.

We can, therefore, say that the human head, as regards its inner existence, is like a person who is sitting quietly in an automobile and not moving at all while the car moves forward. The experience of the human head is just as it would be if it had no weight. Neither does it move when the human being moves and when the earth is moving together with the human being. The head is, therefore, a very special organ, for it excludes itself, exiles itself from what is happening on the earth; the earth only participates to a small extent in the activities of the head. The head is an image of the cosmos. In its essential nature, it has nothing to do with the forces of the earth. The inner structure of the brain is an image of the cosmic forces. Its form cannot be explained from anything of an earthly nature but only from the in-working cosmos. I must speak rather crudely here, but you will understand me. The earth works only to this extent, that it breaks through the cosmic formation and inserts into the human being that which tends towards the earth. You can see this readily by looking at a skeleton. Take away the skull and you have taken away the part of the skeleton that is an image of the cosmos. The arrangement of the ribs is only half cosmic for here the skeleton is already impressed by the earthly forces. In the long bones of the legs and the long

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bones of the arms, you have a purely earthly formation. The spinal vertebrae to which the ribs are connected have arisen from the condition of equilibrium between the cosmic and the earthly. In the head, with its covering skull you have a form in which the cosmos deprives the earthly forces of the possibility of taking shape; this form of the skull is an image of the cosmos. In this way we must study the forms of the human body.

When we study the forms of the human body in this way, knowing that the inner life of the head, the soft substances and fluids of the head remain at rest and in this state of rest are an image of the cosmos, we shall realize that anatomy and physiology, as presented today, cannot really be said to be true because they do not acknowledge the existence of cosmic influences. I have spoken of forces which proceed from the periphery and stream inwards. They stream in from all sides upon the human head. But it makes a difference if these forces are intercepted by the moon, by the sun, or by Saturn. There peripheric forces are modified by the planetary bodies standing in the heavens. The directions from which these forces stream in are, therefore, not without significance. The in-streaming is essentially modified according to the position of the constellation from which it comes.

This is a thought around which there is nothing but dilettantism today, but in olden times it was the basis of great astronomical wisdom. The dreadful treatises that exist on such subjects today give no picture at all of the reality. Understanding of what I have said is essential before we can have insight into the structure and make-up of the human being. For the fact that in his head the human being is subject entirely to the cosmos, and in the long bones of arms and legs entirely to the earthly forces, is an expression, right down into substance, of how the cosmic formative forces behave. You know that human bone contains calcium carbonate. But it also contains calcium phosphate. Both substances are very important for the bones. Through the calcium carbonate the bones become subject to the earth. If the bone substance was not permeated by calcium carbonate, the earth could not approach the bones. The calcium carbonate constitutes the substantial point of contact for the earth which is thereby able to shape the bones in accordance with its formative forces. The thigh bones could not have their extension from above downwards if this was not made possible by the calcium carbonate. But there would be no femoral head without CaPO3. This fact is not changed by the objection which anatomists will raise, that the quantities of CaCO3 and CaPO3 do not essentially differ in the shaft of a long bone and its neck or head. To begin with, this statement is not quite accurate, for minute research will reveal a difference, but something else comes into consideration here. The human organism must have within it both up-building processes and processes of demolition—processes out of which something is built up and processes by means of which what is not used in the up-building is separated off.

A very decided difference between these up-building forces and forces of demolition in substances themselves is shown, for example, by fluorine. The physiologist would say that fluorine plays a part in the up-building of the teeth and is also present in the urine. Fluorine, therefore, exists here and there in the human body. But that is not the point of importance. In the up-building of the teeth, the activity of the fluorine is a positive one. The teeth could not develop without fluorine. In urine, there is fluorine which has been broken down and is excreted. The essential thing is to distinguish between whether a substance is being eliminated at some place in the body or whether it is an absolute necessity in the up-building process. If part of a bone is built in from the cosmos, as it were, CaPO3 has here an up-building activity. In another part of a bone the CaPO3 is being eliminated. In the shafts of the long bones, CaCO3 builds up, but it is being eliminated in that part of the bone which is built in from the cosmos (head of the bone). The essential thing is not the actual presence, here or there, of a substance. The point of importance is what the substance is doing, what significance it has at some particular place in the organism.

I once tried to give a picture of these things by saying the following: Suppose I am going for a walk one morning at nine o'clock and see two men sitting together on a bench. At three o'clock in the afternoon I pass the bench again and the two men are together there again. These two facts in themselves really tell me nothing, because it may be that one of the men had taken his lunch with him and had remained sitting on the bench from nine o'clock until three o'clock, while the other had gone off for a walk and had come back again just before three o'clock. One of them is quite rested, the other terribly tired. In this respect there is an inner difference between them. The point of importance is not the presence of the one person or the other, but what each of them has been doing, how has life brought him to this particular place. Therefore, so far as understanding of the human being is concerned, the presence of some substance in an organ is not really a matter of importance. It is a question of knowing in what kind of process the substance is involved—a process of up-building or a process of demolition.

We shall never find the transition from the quality of a substance that is necessary to the human organism, to a remedy, unless we keep this process in mind. This is the only way which will lead to the realization that the distribution of substances in the cosmos is quite different from what is usually thought. It is a striking fact—a fact to which no thought has been given for five or six centuries—that while certain analytical processes prove the existence of iron in the human organism (it can be said quite certainly that there is iron in the blood), attempts to prove the existence of lead in the human organism will fail, if the organism is in a normal state. Lead is only known in the form of lead ores, or heavy lumps. But just think of it—all metals which exist in the coarse, lumpy form as earthly substances were once present during the epochs of Saturn, Sun and Moon, in the fluid condition, even in the condition of warmth ether. Now, the human being—in a different form of course—was already in existence on Old Saturn. He has been involved in all these processes, among them the process whereby, out of a fluid, delicate etheric condition, iron has become what it is today. Man has been involved in the whole process of the world's evolution.

The strange thing is that the human being has taken iron and also magnesium into his own structure, but not lead. He has united the magnesium process with his own being. But he threw out the lead process. So far as the magnesium is concerned, therefore, we see that there are working, within the human being, the same forces as are working in magnesium in the external world; the human being has to master them inwardly. But before man was enclosed in his skin, when he was still a structure that was involved in a process of metamorphosis and united with the cosmos, he overcame the lead process and still has within him the forces for the elimination of the lead process. He has within him the up-building forces of magnesium and the forces for the elimination of the lead process.

What does this mean, in reality? You need only study what happens to the human organism in lead poisoning. It becomes inwardly brittle, sclerotic. It is therefore correct to say that the organism cannot tolerate lead and when there is lead poisoning there is lead within the organism. The organism begins to fight against the process that is contained in the lead substance—substances are always processes. Lead spreads out within the organic process, and the organism, exerting itself in opposition, tries to drive out the lead. When it succeeds it gets well. If the lead proves itself to be the stronger, the organism does not get well, and the well-known process of decay that is connected with lead poisoning sets in, because the organism can only tolerate those processes which overcome the lead process. It cannot tolerate the formative forces of lead. If we now try to find out what it means to the human being that he will not put up with having lead in his organism, we are led to the following: man is a being of sense. He perceives things around him and then thinks about them. He needs both forms of activity. He must perceive things in order that he may be connected with the world; he must also think about them. He must repress the act of actual perception and then unfold his own, independent activity. If we were only to perceive, we should lose ourselves all the time in acts of external seeing. But by retreating from the things themselves, by thinking about them—thereby, we become a personality, an individuality. We do not lose ourselves in the things. If we study the human etheric body, we find that it has within it a center for the forces which throw out lead. This center, approximately, lies where the hairs grow in a kind of vortex at the back of the crown of the head. That is the center of the forces which overcome lead. They stream into all parts of the organism in order that the formative forces of lead may not get into the organism. The forces which the body has developed for the overcoming of lead have great significance, for they are the same forces which enable me, when I am looking, say, at this piece of chalk, not to be entirely caught up in the simple act of looking at the chalk. Otherwise I should identify myself with the object of perception. But I make myself independent, I dampen down the perception of the object observed by means of those forces which overcome lead. It is due to these forces that the human being can be a self-contained personality; these forces enable the human being to separate himself from the world.

I will now speak of something that is very striking in connection with the forces which overcome lead. Not only have they a physical-etheric significance but also a psychical and moral significance.

The human being takes certain metallic substances into himself, unites them with his own bodily organism; other metallic substances he overcomes and has them within him only in the form of processes of rejection, processes which are master of these substances. Now why is it that in the course of his long evolution from the Saturn period and the Sun period, man has separated off certain external substances and has received others into his organism? In that man has this process of elimination within, he is able to receive into himself independent moral forces. We can imagine that the human organism, as constituted presently, may be unable to make use of lead but contains certain forces which compensate for lead; we can imagine the organism containing lead in the same way as it now contains iron. If this were so the human being would bring into himself semi-moral qualities; for it is so with lead. He would then have a morbid affinity (we should call it a 'morbid' or pathological affinity) to the impurities existing in the outside world. Such a person would always be on the lookout for vile-smelling substances and like to smell them. If we notice that some child has perverted instincts of this kind—and there are children who are partial to everything that smells,—they will sniff petroleum, for instance—then we may be sure that the quality of the blood that rejects lead is not present. And it is then a matter of calling up this lead-rejecting power by clinical methods or even by medicaments. It is possible to do this.

And now let us think of magnesium, a substance which plays a significant role in the human organism. There is something very interesting about magnesium. When speaking about education I have said many times that the first period of life, the period which lasts to the time of the change of teeth, must be sharply differentiated from the following periods. The second period lasts from the change of teeth until puberty. Magnesium, as well as fluorine, is necessary for the development of the teeth. But the process of the development of the teeth is not localized in the upper and lower jaws—the whole organism participates in it. The magnesium process takes place over the whole organism. And this is the most important process of all up to the time of the change of teeth. After the teeth have changed, magnesium has no longer its former significance. For the magnesium forces in the human being harden the organism; they enclose it in itself. This consolidation of the organism, this incorporation of the forces and substances, comes to an end at the second dentition.

Until then, the magnesium forces are exceedingly important for the organism. This organism, so far as its development is concerned, must now be considered a self-contained whole. It must contain and it must enfold the magnesium process, for if this process were absent the organism would lack the necessary forces of consolidation. The organism cannot cease generating the magnesium forces. This goes on after the change of teeth just as it did before. The magnesium forces must be worked upon in the organism, and after the change of teeth the essential thing in regard to magnesium is that it must be overcome, must be thrown out. It enters particularly into the secretion of milk, is excreted with the milk. The secretion of milk is connected with puberty, so you have here a periodic process. Up to the change of teeth magnesium is consumed, as it were, by the organism; after the change of teeth, up to the time of puberty, it is thrown off, separated. And magnesium, now a substance to be secreted, is one of the forces which form the milk. After puberty there is a kind of rebound and the magnesium forces are used for the more delicate consolidation of the muscles.

Substances are only a combination of processes. Lead is only in semblance the heavy, gray substance—with which we are familiar. It is nonsense to say that lead is a piece of coarse substance. In reality, lead is the process that goes on within the boundaries which mark the extent of the spread of lead. Everything is a process. One cannot say, once and for all, that certain 'substance processes' are worked up in the human being, and certain others, like the lead process, for which we must always have the power of elimination, are thrown off. It is not correct to say this because there are other processes, like the magnesium process, in connection with which there is rhythmic alternation; in periods which alternate rhythmically we have to consume the magnesium process, and then again throw it out.

This will show you that it means nothing to say, as the result of mere analysis: the human organism contains magnesium. It means nothing, for in the twelfth year of life these substances have quite a different significance than they have in the fourth or fifth year of life. We unfold a real knowledge of the human being when we know the period during which certain substance processes are important in the human organism. If we want to know how substances outside in nature can work further within the human organism, it is of very little importance to study the chemical composition of these substances. We must study something that is hardly studied at all today. If we trace back the study of substances to the thirteen or fourteenth century, we find the beginnings of modern chemistry. These beginnings are to be found in the alchemical processes which are so often scoffed at nowadays. But alchemy contained something else too, of which there has been no continuation. It is what might be called today the doctrine of signatures. This Doctrine of Signatures was applied especially in the study of plants but also of minerals, and it has not been developed or continued.

The characteristic quality of antimony is its well-known spiky, crystalline formation. If you apply a certain metallurgical treatment to antimony, you get the familiar “antimony mirror” when the volatilizing antimony is precipitated on a cold surface. Antimony has the tendency to develop forms which reveal themselves very clearly as forms of the etheric body. The shapes taken by antimony are very similar to the forms of certain simple plants which have an affinity to the etheric body. When one studies antimony one has the feeling at once that this antimony is very sensitive to etheric forces. It has an affinity with etheric forces. Everyone can confirm this by bringing antimony to the cathode. There will be a series of slight explosions which show the relation of antimony to the etheric forces. This is a striking case, but at one time people had a great faculty for understanding these things. This faculty is now quite lost and no attention or respect is paid to such indications as I have given. And for this reason, certain significant observations leave people in complete perplexity.

Think of diamond, graphite, anthracite, common coal. They are all carbon, but yet so different from each other. Why are they different? If people were capable of not limiting their investigations to the chemical composition but of finding out about the ‘Signature’, as it was called in olden times, they would begin to understand what the difference is between common coal and graphite. Common coal came into being during the Earth evolution, graphite during the preceding Moon evolution. Diamond came into being during the Sun evolution. When you study these things in the cosmic aspect, you realize once again that what is of essential importance is not the substance itself but the conditions and times under which and during which a substance assumed a definite form. Physical reality is subject to the element of time, and time has a definite significance. If you think of what I have said, you will realize: common coal is a child, it has as yet no great age; graphite is a youth, but older than common coal; diamond, though not exactly ancient, is very mature. If you have to set a task which demands the power of maturity, you will not give it to a child. Everything depends on the age. So you will realize that simply because of its cosmic age, coal, in whatever form it appears, has a different task from graphite which is more mature.

Insight into cosmic processes is necessary if we want to understand the relationship of the human being to what is out there in the cosmos. Antimony has a particular connection with the human etheric body, and if you introduce it into the human organism as a medicament, you must understand what antimony is outside the human being before you can know what is stimulated in the etheric body by the use of antimony. You must study the delicate processes in nature if you want to understand how a medicament is to act within the human organism.

In the three previous lectures I have tried to give you an outline of the kind of knowledge that should serve as a foundation for physicians. Owing to the very brief time at our disposal, it has only been the merest sketch. But you will have realized that to speak in detail would need considerable time. The kind of knowledge I have given as a foundation for medicine would constitute, as it were, a first course which would take at least a year and longer still if that were possible. It is impossible for me to do more than give a general description of these things, so I should like you to regard what I have said in the three previous lectures as a sketch of what a physician ought to have as a basis. Let me call it the exoteric side of medical knowledge, and it ought really to be followed by the esoteric side, of which we will speak now.

This esoteric side must be built upon the foundation of the exoteric knowledge. In your medical studies you must not be too proud to master the exoteric side; you must master this with all earnestness. It is difficult at the present time, but, as we shall see, much will be achieved in this direction by the establishment of the Medical Section here at Dornach.

After all, it is possible now to expand the short sketch that has been given by many details contained in my lecture courses and writings. Up to now, very little has been done in this direction and the work will only begin to develop in the real sense of anthroposophical medicine when this work that I am preparing with the help of Frau Dr. Wegman comes to the fore. It will then be apparent that Anthroposophy can give a great stimulus to medicine and medical studies. But you must realize quite clearly that medicine is a very special kind of study, with definite preliminary requirements—a study in which the results of Spiritual Science simply cannot be ignored. There can be no true medicine without the knowledge that results from Spiritual Science. The chaotic conditions prevailing today are due to the fact that the current trend of study and knowledge is utterly unsuited to medicine. We have a science of nature that has found its way even into theology, a science that is suited only to technical purposes and not at all to a real knowledge of the being of man. This science is not able to impart a true knowledge of man's nature. Medical science in the real sense demands something quite special and you will realize that this is so when I come to speak of how the human being really comes into existence.

I spoke yesterday from the exoteric side and will now make the transition to the esoteric aspect: external substances are, in reality, processes. Salt is only a precipitation of processes; the magnesium process, the iron process are processes which exist outside in nature. The lead and mercury processes are processes in external nature which the human being cannot have within his physical organism. For all that, it is only in outward semblance that these processes are not within the human being.

How does the human being come into existence? The physical germ comes into being through fertilization and there must be a union between this physical germ and the etheric body of the human being. But fertilization does not create the etheric body. The etheric body forms around what are, later on, ego organization and astral organization, in order to receive the being of spirit and soul who comes down from the spiritual worlds, the being who has been living in pre-earthly existence. The real kernel of man is of the spirit and soul. It has come firstly, from earlier incarnations, secondly, from the period between death and rebirth, and has been in existence long before any fertilization takes place. This kernel of spirit and soul exists before a connection is made with the physical germ cell which is the result of fertilization. It unites, first, with the etheric body which in turn unites with the physical embryo. Ego, astral organization, etheric organization—this trinity unites with what comes into being through the physical fertilization. You must regard the etheric body as something that is built in from out of the cosmos. Now at the time when the etheric body first unites with the physical organization it contains within itself the forces which are not suitable for the physical organization, namely, the lead forces, the tin forces and so on. It is only in semblance that the human being is not a complete microcosm because certain substances are not within him physically. The substances that are not contained in the physical organism of man are of the greatest importance for the constitution of the etheric body, and in the etheric body, before it unites with the physical body, there are lead processes, tin processes, mercury processes, and so on.

And now the etheric body (and the other members, too, of course) unite with the physical body. All the forces derived by the etheric body from the substances that are not contained within the physical body now pass over to the astral body—this happens to a slight degree during the embryonic period but in a high degree when the real breathing begins at birth. The etheric body then takes on those forces which the physical body works up within itself. Thus the etheric body passes through a very significant metamorphosis. It takes on the content and constitution of the physical body and gives over to the astral body its own constitution, its relationship with the environment of the human being. The astral body is now inwardly linked with what the human being is capable of knowing, and the moment you begin, my dear friends, to acquire not merely a theoretical but a true and inwardly digested medical knowledge—in that moment you make alive within you the knowledge that is already within the astral body. It is there, but it remains unconscious, and it is, in reality, a knowledge of man's relationship with his environment.

Let me take a special case. Think of some district that is depressing—on account of the soil containing gneiss and the mineral known to you as mica. Mica has a very strong influence on the physical constitution of a person who is born in such a district. The physical body is different in a district where there is much mica. The mica forces work upon the physical body from out of the soil. Now you will find that many rhododendrons grow in districts where the soil contains a great deal of mica. This plant grows plentifully in the Alps and in Siberia and so forth. The rhododendron substance is something that is intimately connected with the etheric body before it comes down into the physical body in such regions. This relationship with the rhododendron the ether body gives over to the astral body. And now, suppose that illnesses occur which are due to a preponderating working of the mica by way of the ground water. The etheric body has given over what came to it from the rhododendron, to the astral body. This element is present externally, in the rhododendron plants. This indicates that the rhododendron contains a sap that has a remedial effect upon this illness. In many cases, though not in all, a specific remedy is to be found in regions where particular illnesses occur.

And now suppose you are a physician. Every night when you go to sleep, you pass, in your astral body, into the environment which was once connected with the etheric body but is now connected with the astral body. If you have medical knowledge, if you know what healing forces exist in the environment, that knowledge becomes experience during sleep, and so you have continually the confirmation of what you learn, externally, through dialectics. And this factor must be reckoned with in medical study, because no outer dialectic learning of medical science really helps. It becomes fragmentary and chaotic if there cannot arise during every sleep, within the span of the astral body, the confirmation that is necessary. If medical knowledge is not acquired in such a way that the astral body, in the intercourse with the environment, is able to say “Yes” to what the student has learned, it is just as if he were listening to something that he cannot understand and only confuses him. So you see, medical knowledge is intimately connected with the sleeping state.

Such things convince us that medical knowledge must be acquired by the whole man, by man as a living, feeling being, for together with this ‘nightly’ intercourse with the healing substances, something else grows up, something that can never be acquired through dialectic—I mean, the true desire to help. Without the sincere desire to heal, the feeling of sympathy on the part of the physician with the person he has to cure, without this strong desire to give personal help, no healing in the real sense is possible.

And here I must say something that may seem very strange and paradoxical, but as you want to know in what way things are wrong today and what ought to be done, I must say it, for in Dornach we are working from esoteric impulses. People have often said to me that steps might have to be taken to protect the remedies that are prepared in our pharmaceutical laboratory, so that they shall not be copied by other people. I once replied that I was not so very anxious about this, provided we succeeded in bringing true esoteric impulses into our medical work. Then people will realize that the remedies are made with an esoteric background, and that it is not the same if the remedies are made here, with the esoteric life behind the work, or whether some factory copies them. This may seem very strange, but it is true nevertheless. Much more important than protecting things by business devices is the growth of an attitude which aims at making the remedies effective from out of the Spiritual. This is not superstition—it is something that can be substantiated in Spiritual Science. Therefore, people possessed of understanding will begin to realize that with the taking of remedies that are produced here, a beginning has been made in the right direction.

Such objections as have been made to me are due to the fact that people do not realize in the least how seriously the esoteric, spiritual life must be taken, above all, in medicine. If you once grasp this, you see that a center for medicine must be instituted here as a reality, not as a mere formality.

And now you will understand that a first, exoteric course of medical study should be followed by a second which approaches the human being esoterically, which merges medical knowledge into what becomes a true medical consciousness, a true medical attitude. There have, of course, always been individuals who sought instinctively for this. And in the last third of the nineteenth century, at a time when there was so little that was capable of producing this attitude, one could see, but only in isolated individuals who were then regarded as cranks, sporadic manifestations of this medical consciousness. The basis of the reputation enjoyed by the Viennese School of Medicine at the time when I was growing up was connected with its attitude to therapy, where the actual therapy hardly mattered at all, especially treatment of pneumonia, an illness where one can do very little for the central disease itself. You have all heard of medical nihilism, and this is its origin. The most eminent physicians in Vienna were deliberate advocates of medical nihilism In other words, they held the point of view that no remedy heals. To a certain extent, Rudolf Virchow (1821–1902), too, held this view. His view was: If a hundred patients are said to have been cured, one can assume with fifty percent of them that it did not matter whether they had been given a remedy or not; they would have got well without it; with 30 percent it could be said that the remedy had done actual harm; and with the remainder, chance might have brought it about that the remedy selected had helped. It is not I who make this statement, but Virchow, who had a great reputation in the medical world last century. I know eminent men today, too, who adhere to this view, although they may be advocates of therapy. No true medical consciousness is expressed in this view. Medical consciousness can never be regarded as a merely formal attitude. It must be a reality. Therefore, the second medical course would have to contain the human aspect that is built up on the basis of the exoteric material. There must be that human factor that worked, in a somewhat degenerate form, but, for all that so magnificently and attractively, in a person like Paracelsus.

Certainly, objections to Paracelsus can be made in certain details, but this medical consciousness lived in him, in a splendid way. Whenever he came to a district where the soil was strikingly red, he knew that a number of diseases—especially those that are due to diseases of the blood—were caused by the red sandstone in the soil. {Translator's note: The word in the German is the name of a substance described as a system of sandstone, shale and conglomerates of the lower terrain of Germany.}

The way in which a process of illness develops is very characteristic. We find that the people living in a district where there is this red sandstone soil have accustomed themselves to this soil and have a certain characteristic temperament. They have a very lively activity of the spleen. Coming as a stranger to the district, one does not easily take a liking to them. They are frightfully stubborn, dogmatic, obstinate, and when one considers what they do to be foolish—they just return the ‘compliment!’ But suppose a stranger comes and wants to set up a business or something of the kind. He cannot stand the soil, especially not the water, and he will show certain symptoms of illness. Paracelsus said that illnesses which are contracted in such a district are then passed on to the natives who are born there. He said that something must be present in the etheric body (which he calls the ‘Archaeus’). He said that the ‘Archaeus’ must have undergone something before it entered the embryo. Now in these districts we always find that laburnums are prevalent and in the blossoms, leaves and sometimes also in the roots of the laburnum there is a fluid which can provide a very useful remedy.

What is important is to unfold a quite different perception of nature through this medical consciousness. In my young days I knew a physician whom one often met in the meadows and fields—among the plants and insects and flowers. In the place where he carried on an unpretentious practice, there were three or four very learned men. But the work of this unpretentious physician who had such a love for the wildflowers in the meadows was much more fruitful for the sick people than that of the city physician and the other learned men. Their wisdom came from the schools, but his wisdom and understanding of remedies came from that direct intercourse with nature which leads to a real medical knowledge when we can love nature, in all her details. To look at fragments of nature under the microscope is not to love her. We must love nature. We must all be able to expand her to the macrocosmic. This shows you how necessary it is to call up this subconscious life of the astral body, particularly for medical knowledge, to call it up in reality.

It is not at all my wish to revive the stock-in-trade of ancient medicine, my dear friends, but only to lay before you the results of present-day observation. One is obliged to resort to the terminology of ancient tradition, because neither modern language nor modern medical terminology contain the right expressions. It might even be more favorable for the spreading of our views if we were to devise an altogether new terminology. But that would take years, and as you want to hear about these things now, I shall have to use the old expressions with certain modifications.

It will be a good thing to look, first of all, at the plant world—not because I want to recommend plant remedies for everything, but because much can be learned from the plants, above all for an esoteric deepening.

It is very important to study three things connected with medical tradition, but not to study them in the way that is current in present-day science. When a student has learned something of today, he knows it and he thinks: Well, that's all right, I know it and I can apply it. But a religiously-minded person learns the Lord's Prayer. He, too, knows it, but he does not think that the mere fact of knowing it is sufficient. He says it every day as a prayer. What he knows, he prays, every day. He lets what he knows pass through his soul every day, and that is a very different matter—very different, indeed.

Or think of an Initiate. We presuppose that he knows the elements of occult science. He himself attaches no importance to the mere fact of knowing them, to the fact that he once assimilated them. He knows that it is much more important to let the very first rudiments and then all that follows flow through his soul from time to time so that his soul can always be receiving new forces of inspiration. A person who is fundamentally religious has quite different experiences from one who merely regards nature as something that is there before us in the physical world. We must live in the rhythms of nature again and again if we desire a living and not a dead kind of knowledge. There must be constant, rhythmic repetition of knowledge and the activity of knowledge. That is what I mean when I say that a real medical consciousness must be the basis for medical science. The acquisition of medical knowledge from the nature of the human being and from his environment—that is what is so important, in therapy as well. Again and again you must let the plants really come to life in the soul.

Three things are of particular significance in the plant. One is the scent that is connected with the oils. The scent, or aromatic element is that which attracts certain elementary spirits who like to come down into plants. The activity (not the substance) which underlies this aromatic nature, is to be found, in its most concentrated form, in the mineral kingdom, in sulfur. This spiritual extract that is active in the aroma of the plants gives rise to a kind of longing in the elementary beings who come down through the scent. In ancient medicine, this element was known as the sulfuric nature of the plants. If we contemplate the sulfuric nature of the plants we can acquire an understanding for their scent, if we know that something spiritual is in play above and below when the plant gives off its scent. That is the first thing.

A second thing that we acquire is an inner feeling-filled understanding of what is growing in the leaf. The form and character of leaves is so manifold; they may be serrated, with pointed or round ends, geniculated, and so forth. We should evolve a delicate perception of this leaf nature of the plants. For those spiritual beings who come down through the scent can draw life from this leaf nature. And streaming from the cosmic periphery inwards, there is everywhere the striving to the drop formation. This can give you a marvelous feeling for the cosmic, form-loving principle that is contained in the leaf. And then, think of the plant covered with glistening drops of dew in the morning. In their essential nature these drops of dew are a reflection of the striving of the cosmic periphery to produce the spherical form, the drop form in the plant kingdom. The principle of drop formation is at the basis of the leaf nature in the plant. If the peripheric, cosmic forces alone were spiritually active in the plant, it would always produce this spherical form. The spherical formation is particularly to the fore when the cosmic forces get the upper hand in the formation of berries, also in the formation of many leaves, but the drop formation here is immediately taken possession of by the earthly forces, and manifold forms arise.

This striving towards drop formation is concentrated, in the mineral world, in quicksilver. Therefore, ancient medicine called this 'striving towards drop formation', the Mercurial principle. In ancient medicine, Mercury was not the substance of quicksilver but the dynamic striving towards the drop formation.

On the earth, quicksilver is the metal which has the drop form because the conditions for this exist. On the earth, quicksilver has the form which silver has on the moon, where it would also have to exist in the drop form. The point is that ancient medicine called everything that had the drop form Mercury. All metals were also 'Mercury' in ancient medicine. This ancient medicine had living, mobile concepts, and we, too, must develop them. We must gradually grow into a frame of mind which makes us say: “When I walk over the fields in the morning and see the silver pearls of dew on the leaves, these pearls of dew reveal to me what is living spiritually in the leaves themselves; it is the striving towards the cosmic form of the sphere.” But this must become a feeling within us, so that we are able to understand the plants. We must understand them in their cosmic, spherical form.

If you get such an insight into the nature of the plants that you understand the forces in them which are striving towards drop formation, and then again think of their scent, you will gradually begin to understand everything that works centrifugally in the human being. There is a centrifugal force at work when the nails are cut. The centrifugal forces working through the human being make the nails grow again. During the first seven years of life particularly, the forces which come to a conclusion with the second dentition, work out centrifugally through the human being. They express themselves strongly in the formation of sweat. The element which in the scent of plants strives upwards and attracts the Nature Spirits is also active in the smell of sweat which works in the centrifugal direction. And so if you want to look for the plant nature in the human being, you must seek it where it strives outwards, and in this way you unfold an intimate knowledge of the connection between what is outside and what is within the human being. For you see, when the etheric body gives over its special features to the astral body, the whole thing is changed. The inclination of the etheric body would be to unfold what it takes from the environment, in the upward direction; inasmuch as this is given over to the astral body, it unfolds in the centrifugal direction. In this respect, too, the human being bears the plant existence within him.

And now think of how the plant sinks into the earth with its root; how with its root it enters into a close connection with the salts in the soil. A process takes place here that is exactly the opposite of the one we know in the material world. Take sodium chloride which, in solution, tastes salty, and now think of the process being exactly reversed, the solution being arrested, a congealment taking place and the smell and the taste become latent. There you have the process which goes on between the soil and the root of a plant. That is what was known as the salt process in ancient medicine. Ancient medicine did not use the word salt in the way we use it today, but meant by salt that element which, in the downward-pointed root of the plant, enters into a connection with the substances of the earth. That is the salt nature.

By directing your attention rhythmically to these wonderful secrets of nature you fill your medical knowledge with life that is capable of practical application. If you try in this way to fill your medical knowledge with life, you will begin to regard nature and the human being in such a way that the capacity to heal will be born of the strong impulse to give help, of which I have spoken. The capacity to heal can only come from this foundation. It must be quickened by keen, diligent, and zealous exoteric learning, for otherwise mere vagueness will be the result. But it is necessary to know that the real foundation of medical knowledge lies in this rhythmic, meditative absorption in the natural environment of the human being, and not in theoretical study.

What I am now going to write on the blackboard is not there in order that you may “learn” it, but in order that it may quicken life in your medical thinking.

You healing Spirits,
You unite
With Sulfur's blessing
In the ethereal fragrance;

You come to life
In upward springing Mercury
Dewdrop
Of growing
And becoming.

You make your halting place
In the Earth Salt
Which nourishes the root
In the soil.

Ihr heilenden Geister
Ihr verbindet euch
Dem Sulphursegen
Des Ätherduftes;

Ihr belebet euch
Im Aufstreben Merkurs
Dem Tautropfen
Des Wachsenden
Des Werdenden.

Ihr machet Halt
In dem Erdensalze
Das die Wurzel
Im Boden ernährt.

This is what the soul receives in looking out into the universe around. The human being answers:

I will unite
The Knowledge of my Soul
With Fire of the flower's fragrance;

I will bestir
The Life of my Soul
On the glistening drop of leafy morning;

I will make strong
The Being of my Soul
With the all hardening Salt
Whereby the Earth with loving care
Nurtures the root.


Ich will mein Seelenwissen
Verbinden dem Feuer
Des Blütenduftes;

Ich will mein Seelenleben
Erregen am glitzernden Tropfen
Des Blättermorgens;

Ich will mein Seelensein
Erstarken an dem Salzerhärtenden
Mit dem die Erde
Sorgsam die Wurzel pflegt.

If over and over again, as the pious are wont to do in prayer, we make this inwardly living, it will quicken in the soul the forces which render us capable of medical work. The ordinary powers that are educated in the schools cannot awaken true medical knowledge, for true medical knowledge must be drawn forth from the soul. And so at the very summit of the esoteric studies which we are to pursue, I always place this thought: that the powers of the soul must first be quickened in order to bring to birth in the soul the faculty that can lead to true medical knowledge.

I have now studied your questions, which are all connected with the matters of which we spoke yesterday. A first category of questions has arisen out of a certain uneasiness. Single questions will find their answer in the course of the lectures: in the case of others which are fundamentally similar, it will not be possible to give theoretical answers—the answers will only emerge as a result of the whole course of lectures. Fundamentally, the trend of all these questions is: How can those who are attending this course develop their medical work in association with Dornach? The true development of the impulse of which I spoke in the esoteric sense yesterday and shall speak of again tomorrow—this true and real development of our work is the foundation of everything, although, naturally, such matters can only be inadequately dealt with in so few lectures. To begin with, I will make certain general remarks in connection with what was said yesterday.

Little is accomplished, my dear friends, if we simply direct a person's general attention, or if he does this himself, from the material world to the spiritual world. In every sphere of life—and most strongly of all in the medical sphere and for the physician—this general indication towards the spiritual does correspond with an innermost need of the soul. But in many respects this need requires much greater definition and clarity and also possibly most important of all—a greater inner strength than that with which it usually arises. It is a striving in you, my dear friends, but a definite path must be taken. The impulse towards this path can, in the first place, be given by me, but having received this impulse you yourselves must continue to work in association with Dornach—definitely those of you who have set yourselves this task.

It is not enough to strive, in a general way, towards the spiritual; this striving towards the spiritual must be concrete and real in every domain of life. We must enter into a real communion with the being of the world, with the being and reality of the external cosmos. Man has no experience of the cosmos today and because he does not experience the cosmos, he does not experience spirituality, for spirituality can only be acquired by way of the cosmos. In its external form, medical science yields no spiritual knowledge concerning existence. It is only by being able to place things in their whole cosmic connection that we learn to see through the veil of nature to the spiritual forces behind her.

For more than twenty years now within the Anthroposophical movement, it has been possible to study and to get a very exact knowledge of the difficulties that may arise in the pursuit of the spiritual life. And it may sound rather trivial when one describes, in a few brief words, in what these difficulties have consisted. They have consisted simply in the fact that those who were striving for esotericism in some domain or other wished to make things too easy, too comfortable for themselves. The esoteric path is either difficult or it is no path at all! Esoteric development is not to be obtained along an easy or comfortable path. We must take in complete and solemn earnestness the general and often repeated statement that it is a matter of overcoming difficulties, of man growing out of and beyond himself. From now onwards, from the time that began with our Dornach Christmas Foundation Meeting, a kind of change must take place in our whole conception of the anthroposophical movement. This change must also take place in the individual sections of the work. And you who are seeking to find your path in the medical sphere, must, from the very beginning, share in this essential change. There can be no question of regarding the esoteric path as a mere adjunct to life; one's path of life must be completely filled with esoteric impulses. The help that can be given will be given in the lectures. But, as I shall say at the end of this lecture, something else must be added as well.

Let us first consider one particular detail. For if you have not the will to enter into details in spiritual studies, you will not be able to find the way to the spiritual. Let it not be imagined that one can really find the spiritual as a dreamer, or as a person who gives himself up to all kinds of vague inspirations and the like. The spiritual must be attained today by the most intensely earnest, inner striving. And it can only be attained through the knowledge that comes from the spiritual world.

I have already said that much can be learned from the world of the plants. And now let us think of a plant. People study plants today by looking at the root, stem, leaves, flowers, pistil, stamens, seed. The seed develops in the ovary, and then people describe what they thus see in the plant more or less as they would describe an armchair, adding that they often sit in one! This, more or less, is the way in which a plant is described. We are told how the roots are set in the soil, how they draw in physical and chemical forces and substances, how the saps rise up through capillary action, or the like. To speak of a spiral arrangement of the leaves is considered an error, an aberration. At any rate, it is not known that this spiral arrangement is connected with the cosmos. So far as the blossoms and flowers are concerned, the most that can be said is that botanists picture some kind of force in connection with the colors and substances of the flowers, or with fertilization. The whole thing is described entirely from the external point of view, just as one describes how a person sits in an armchair. Yes, but the reality that must be grasped simply cannot be grasped by these methods. In studying a plant we must realize that a wonderful mystery is indicated as it stands there with its root sunk in the soil. The stem with the leaves points to another mystery and the processes in the blossom to yet another mystery.

Think of it, my dear friends—the root, sinking into the soil, represents the end of the plant existence in the direction of the solid earth. But this root could receive nothing from the soil if the soil of the earth had not first come under the influence of the cosmic environment. The cosmic environment, not only the warmth and light of the sun but also those forces which proceed from the rest of the planetary system belonging to the earth, influence the earth from the surface a little way inwards. And the forces that are quickened in this way in the earth's substances make it possible for the root to be within the earth.

Now in the human head we find the same forces that play around the roots of plants, but in the human head we find them in quite a different form from that in which they exist around the roots of plants in the soil. Inner perception of these things will never unfold if we go no further than what can be learned today from natural science. Many of your questions speak of this as the chaotic knowledge given you by contemporary natural science. What is necessary is to understand, out of real experience, the nature of what was once called the earthy, the watery, the airy, the fiery. For if you simply go on speaking about hydrogen, oxygen, carbon, nitrogen, sulfur, phosphorus, in the way modern chemistry speaks, these things will always remain something quite external. You will never be able to think in any other way than that you stand there as a human being and somewhere outside there is oxygen or nitrogen. What modern physiology or chemistry tells you about oxygen or nitrogen is something quite direct. Physiology tells you that nitrogen exists in the organism, but you do not experience nitrogen in the organism. What is necessary is to take one's start from what can be experienced. And things that can be experienced must be deeply united with our whole being, if it is our aim to place ourselves in the service of the shaping of the world. And that is what we are doing when we heal.

Now so far as one of the elements of antiquity is concerned, everyone can know that he experiences it. This element is warmth, warmth as a quality of nature. We experience warmth, for we feel warm, or we feel cold. We are not as external to warmth as we are to oxygen and nitrogen.

It was characteristic of ancient study of nature that it took as its fundamental element something that could actually be experienced, something in which a man can be, not something that he must remain outside of. Let us first take this element of warmth, of fire, because here it is easiest to grasp the factor of actual experience. We know that as human beings we experience warmth. Now what is, for the plant, the earth—the earthy element is, for the human head, warmth.

Suppose you have here the earth, and 'think away' from it what appears to you as the earthy element; also think away the fluid and the airy, but let the warmth remain, so that you have a kind of ‘soil’ of warmth. You can picture this quite easily. Now take the whole thing (See Illustration I on the next page) and turn it round, so that what was formerly below is now above (See Illustration I on the next page)—it is a polar opposite.

You can now say: I behold the root of the plant, it is within the earthy soil; I behold the human head, it is in the 'warmth' soil, but the soil is in the reverse position. That is because what happens here (See Illustration I on the next page) lies four stages further back than this. (See Illustration I on the next page) If you speak of what goes on in the plant root as an earth happening, you must speak of what goes on in the human head, out of the warmth, as a Saturn happening. Between them are Sun and Moon happenings. And now 'think away' from the human head everything that came into it at later stages. Think away the earthy, the watery, the airy, and picture merely the warmth working in the human head, the warmth that provides the rest of the organism with differentiated warmth—and then you have the human head as it is today, a miniature Saturn. In the human head today you have the old Saturn organization. And if you understand the connection, then you say to yourselves: In the cosmos, untold millennia ago, there was a structure that anticipated everything that exists today as warmth in the human head. And the plant root in the earthy element today creates an image of the condition that thus preceded it.

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There you have a connection. You behold ancient Saturn in the warmth organization of the human head. But if this act of beholding is to be true, it must be connected not merely with theoretical ideas but with inner, moral impulses. Looking at the human head must be an experience that moves us inwardly; we feel that the human head is the living, embodied remembrance of a very ancient evolutionary period of the cosmos, of the old Saturn period. Try, for once, to let this feeling permeate you. I am a human being who has reached a certain age. My childhood stands before me; the remembrance of childhood rises up. As one who has grown older, I sink myself into the remembrances of my childhood. This in itself gives rise to a certain inner experience which we can confront with moral power. And now expand this feeling to the point where you say to yourselves: “As a human being I was present during the old Saturn period. If, in this present time I understand my head truly, it is like a living remembrance of a primeval evolutionary period of the cosmos.” All that takes shape through the remembrances of childhood is infinitely multiplied when contemplation of the living head leads us back to the time of Old Saturn.

Such knowledge is only of value when it is steeped in moral feeling, when one can really be filled with awe by the fact that our own activity leads us into a real experience of the cosmos. Meditation, above all for the physician, does not consist in merely brooding over thoughts; meditation consists in actually bringing such interrelationships before the soul and having, in regard to them, manifold feelings through which one may experience all kinds of inner shocks and emotions. Suppose I meet a human being whom I have not seen for, say, forty years. As he comes before me in his present form, the picture of his childhood stands before my soul. I see him before me as a child. This gives rise to certain inner emotion or shock. I look at the root nature of the plant, I acquire the capacity to relate this root nature to the human head, and the human head leads me back to the time of Old Saturn. Meditation must penetrate to the very soul; it must quicken a deep inward life.

This is an indication of how, after the foundation has been laid by a course of exoteric study, everything in the esoteric domain must aim at promoting intuitive experience of the cosmos in connection with the whole being of man. For just as the Old Saturn existence can arise within you when you study the connection between the human head and the root of a plant, so too can the Old Sun existence arise within you when you study the connection between the human heart and the development of the stem and leaves of a plant. The stem and leaf development in the plant is, again, a remembrance that has now become living, of the Old Sun existence.

The flower in which the seed is produced is connected with the human metabolic system, the limb-metabolic system. And when we study what goes on in the flower in connection with the metabolic or limb system in man, a remembrance of the Old Moon period arises. And if you have this inner experience, if in deepest meditation you feel these connections inwardly, then you experience still more.

Something of great significance is experienced. If with this deepened feeling you turn your soul to the root of the plant, you will begin to feel as if no plant root were really still, but as if it were moving. You learn to recognize this movement. I can only give an outline of these things. I can only point to an impulse, to the way in which inner experience must be built up and how knowledge of nature becomes a real wisdom. You will experience this movement in the root of the plant. And contemplating it, you will feel as if, together with the root, you were moving through cosmic space. Through this very experience, in which you seem to be in the chariot which travels with you through the cosmos with the swiftness of the plant root, you will discover that what you are really experiencing is the movement of the planetary system through cosmic space. In the root of the plant you experience the movement of the whole planetary system through cosmic space. And if then, in the same way, you experience the growth of the leaves, again you experience a movement in which you yourselves participate. And this is the true movement, the inwardly experienced movement of the earth.

What the Copernican system has to say about the revolution of the earth around the sun is nothing but a series of constructions. The true movement of the earth becomes an

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inner experience when we deepen ourselves in the connection which exists between stem and leaves. In your contemplation of stem and leaves you move, together with the earth, in the wake of the sun, so that the earth really seems to be doing what the Copernican system describes. But the movement is, in reality, a much more complicated one.

If you contemplate the processes in the blossom around the stamens and the pistil deeply enough, you will experience the movement which the moon carries out around the earth. In experiencing the flower you experience the movement of the moon—a movement that is already separate from the earth. The planetary system as a whole is experienced in the root of the plant, the earth's movement in the stem and leaves; the moon's movement which has been separated off, is experienced in the generation of the seed in the plant.

I say this to you, my dear friends, in the first place, in order that you may learn to have insight into things of which ordinary science takes no account at all, because it considers that such matters are neither knowable nor worth knowing. But they must be known—otherwise nothing of reality can be known. And I tell you all this for yet another reason. I do not think that, in the ordinary way, anybody gets a shock or feels emotion from what he learns about the plants. It causes him no inner concern—he simply assimilates it. And he experiences nothing at all, in reality. But in a second medical course such as that of which we spoke, if you begin to know the planets' movements, the earth's movement, the moon's movement from your contemplation of the plants, the minerals, (though here things are rather different) and also of the human being—then these things will not leave you indifferent.

It is essential for us today, my dear friends, to bring activity of knowledge into these things. The heart feels that these are the ways which knowledge should take. But what is offered to the heart is something that is merely didactic, containing nothing of the realities. People think they have the realities in what is nothing more than a tiny fragment.

What is the attitude of science today? It always seems to me to be rather like this—suppose someone were to go to Dresden and were looking at the Sistine Madonna. A scientist might come up to him and say: This Sistine Madonna is, after all, nothing but an external impression which comes to you from outside. Then he might proceed to take the Madonna out of the frame and break it up into fragments getting smaller and smaller until they were mere atoms. And then he might say: Now you have real knowledge of this Madonna. But this is all wrong. If we want to have a real understanding of the Sistine Madonna we must first be able to enter into the aims of religion, then into all that poured into this Madonna figure from Raphael's spirituality, then into many other things too, but this is the first: we must try to enter into the intentions of the Gods, of the Divine Spiritual Beings behind the physical world. This would have to form part of the second medical course of which I have spoken. Only in such ways is it possible to bring people near to reality.

If you will take what I have just said as a stimulus, you will understand the two meditations which will awaken the power of medical understanding within you. In this meditation you may proceed as follows: First of all you can deepen yourselves in contemplation of the external phenomenon of fire, of fire that gives warmth, realizing in this contemplation that this external manifestation of fire is Maya, semblance, illusion. Behind the fire there is something quite different. Behind the fire there is working, active will.

You may ask: Yes, but how do I get to know that there is active, working will behind the fire? All true esoteric instruction addresses itself to the powers in the pupils themselves. If you will allow what I have said today really to enter into your hearts, there will arise within you the realization that wherever there is fire, there, too, is active working will—just as when you see the form of a human countenance, a human figure, you realize that here there is spirit and soul. Wherever you have fire, even in the tiniest match, there is active, working will. In order that you may also be able to penetrate the other substances of nature, you must reach the point where a burning match is no longer merely the external phenomenon that would be described today, but where you actually see it as active, working will. When you are able in this way to transform your minds and hearts, you will find that your soul learns to experience quite differently, to have quite a different attitude to the environment in which you find yourselves. You will find that your own working, active will is akin to fire. You will live out into the world from your own inner being and you will have a much more subtle and delicate perception of fire than before, because you realize its kinship with your own will. You will find this kinship wherever there is fire. You must learn to realize: I am really within this fire, for it is active, working will; it belongs to me, just as my own finger belongs to me.

Air must be encouraged in you as courage. Wherever wind blows, you will experience it in your own soul as courage. What you see in outer nature as air—this is courage. Courage is air. This must be an experience in your soul.

Water is the outer manifestation of feeling. In feeling there is the same inner activity as is present in the external world, in water. Water is feeling.

Earth, solid earth, is the same as thought. In thought, life freezes.

If you can grasp these four points in meditation; if you can learn to think of fire as active, working will—if you can take the external appearance of fire as manifestations of this active will—if you see in the fire this active will just as you see spirit and soul in the form of a human being—if you can feel that the external form of the fire is maya—if you can feel that the blowing wind and the clouds are phenomena which are a revelation of courage—if you can see water as an expression of feeling, and the earth as something that resembles your own thoughts—then you will discover that this organic process, which arises in your own being as an earthly going out from the head and stretching downwards, is a continuation of the earth formation, the uniting of a substance of earth formation which has weight, and this is the nature of thought.

If you then pass to the breathing and feel how, in the breathing the aeriform nature of the human being is circulating, then you will recognize, in the activity of man's aeriform nature, everything that may be called activity in the human being, that takes him into the outer world, in order that he may assert himself within this outer world. And you will try to learn from the study of many phenomena in outer nature, what it is that happens to the air in the human being.

And you will know that the watery organism of man, the fluid organism with its inner mobility, is the seat of feeling, the feeling that flows in the centrifugal and centripetal directions. You will know that the movement of air is a semicircular movement, from above downwards. You will know that what lives in the fluid nature has a centrifugal and centripetal movement in man and strives everywhere to hold the balance.

Thus, from observation of what exists outside in nature, you will find the transition to what happens with these elements in the human being. The essential point is that we shall not rest content with observation of the ordinary kind, for this makes us earthy ourselves, dried up and rigid, and we lose our mobility.

Much has been given in what I have sketched today. Intermediary stages have been left out because it would take too long to give you every detail. I can only give suggestions. You will have realized from what I have said that the whole method, the whole way of medical study must become different. And now see to it that what I have told you here really bears fruit within you. Many of the questions which you have put with heavy hearts and which I have read with a heavy heart because they point so tellingly to what is needed in our times, will be answered if you always remain in connection with the Goetheanum. If you do this, your medical studies, wherever they may be, will constantly be enriched.

It is, of course, essential that you should realize the necessity of earnest striving, earnest learning. You must work seriously and earnestly. And you must have a second feeling which arises in you in all sincerity—you must decide whether you will follow this feeling, or whether you will not. This feeling must be that the enrichment of medical study is to proceed, in future, from Dornach; in Dornach we shall try to give the enrichment that is so needed today. You must choose the path you are going to take in medicine. For one thing, there will be the problem of karma. In the nature of things, those who want to heal must have an intimate understanding of karma in the world. I shall speak of this again. In healing, one cannot run counter to karma; one can only heal in accordance with karma. But where karma is concerned one cannot say superficially: When someone is ill, it is his karma to remain ill; and when he is well again, his karma has given him health. It is not right to speak thus. The question of how karma works in human life needs a real, fundamental deepening, a cosmic deepening. These things will be taken care of in Dornach for those who seek them.

I have already said that in the future, impulses will be given from esoteric sources, for account must be taken of the realities which exist and which were reckoned with in the foundation of the General Anthroposophical Society at the Christmas Meeting. As I said yesterday, the question of others copying the remedies causes me no anxiety, if in Dornach, it is really understood that esoteric medical study must be carried on in a much deeper connection with Dornach. To this end it will be necessary to carry out this medical work in the same way as other branches of the spiritual life in Dornach.

In the life of the Anthroposophical Society it was always the case that those who wanted to become esotericists did not pay enough heed to the inner conditions of the esoteric life. And so the years went by. It has only been in two spheres that we have been able to achieve what is necessary, namely, in the sphere of General Anthroposophy and in the sphere of Eurythmy and the Art of Speech. But the independent, inner activity that has developed in these spheres must be developed in all the Sections now to be formed. And to this end you must really submit to the conditions that will be made; you must submit to them in full confidence and trust.

One of these conditions is that I shall carry out everything connected with the medical sphere in association with Dr. Wegman, who in the course of years within the anthroposophical movement has prepared herself for medicine and whose place in this medical movement is such that it will be led by her in association with me. And so those who join Dr. Wegman with confidence will get help from Dornach as they go along. An arrangement will have to be made that those who want to remain permanently connected with the Section for the renewal of medicine shall address themselves, with their requests, to Dr. Wegman, in complete confidence.

Periodically—perhaps about every month—we will answer, in a circular letter, the questions of those who, at the end of this lecture course, want to become pupils at the Goetheanum. It will be the same in all the sections. This circular letter will answer the questions put by individuals and all those who are members of the corresponding section will receive the answers. But unless there is inner confidence, there will be no success. A real link will be created by these means, and all your human and medical needs will be satisfied.

This is how things will be arranged to begin with, until we can take further steps. The great failing that has existed in the esoteric life hitherto is that people have been arrogant enough to think that they should always receive their esoteric exercises from me. They all wanted to come to me, not to others. That is where the esotericism has foundered hitherto. For inner, occult reasons, the only possible way is for what lives in the well-spring of esotericism to be led and guided by the personalities who are suited for this work. This leadership by persons who are destined for it by fate—this is part of esotericism. It is a principle that has been rejected because people were immodest. If this principle is not adopted we shall not make progress, even in the newly founded Anthroposophical Society.

Thus I have sketched, and I will still further develop, how the true esotericism must work on into the future. Tomorrow I will try to answer the greater part of the questions which have been put and will all amount to this: How can I find my way into a training that has its center in Dornach? You will be able to find the way, but you must have confidence. It is not a matter of belief in authority but of an intelligent building upon an inner foundation, and an acceptance of conditions that are created by destiny.

For reasons I will not now mention, I will postpone the more esoteric lecture I had intended to give today, to the end of this course, and speak to you now about something else.

A certain amount of astonishment may have been caused when it was said yesterday that if we want to get at the realities, we must think, for instance, of thought being behind solid, earthy phenomena, and courage behind all that is of the nature of air. There is a significance from the point of view of medical history in having our attention drawn to the fact that thought is to be connected with all that is solid, earthy, all that stands before us with definite contours. For this leads us to say to ourselves that thought—thought as a force—is not to be connected with the watery, with the circulation of fluids in the human organism. Neither is thought to be connected with the airy and the warmth nature in man. We have spoken of the conception we must have of the air and the warmth in the cosmos. Within the human being, too, all these things are present, but in a particular form. Within the human being it is like this—only that which has contours, including that which, although it may be soft and pliable, has, nevertheless, the character of solidity, only this may be thought of as corresponding to thought. We have said that behind the fluid, or the watery element which confronts us in the physical world, we have to think of something spiritual—namely, something that is of the nature of feeling.

This element of feeling within the human organism must be thought of in a special way. We usually think of subjective feeling in this connection; we think of feeling that is connected with the psychical and bodily constitution of the human being. But within the human being, feeling is not merely this direct experience; feeling has an up-building activity within the human being. The watery or fluid body, as a formation of the universal, cosmic fluidity, contains feeling as its very essence. This etheric activity that works within the fluid body must be understood, but it cannot be understood by the same kind of knowledge that we apply to something that is outside the human being, because the substances and processes within the human organism do not work in the same way as they do in the external environment. The moment we come to the fluid organism—when we have to do with a part of the human organization which is in fluid circulation, although there are vascular organs within it—in that moment the knowledge forces which can be applied to what is outside the human being in the physical world are no longer adequate.

That is why medicine lost its knowledge of the fluid man—that was the last of the higher members of which knowledge was lost. One may say that up to the middle forties of the nineteenth century, medicine still had an inkling of the existence of this fluid man. People spoke of the humors, of the circulation of the fluids, of the mixture and the separation of the fluids. Medicine was not confined to the physiology and pathology of cells but actually perceived the combinations and separation of fluids. In the nineteenth century, of course, it was all tradition, but this tradition led back to the time before the fifteenth and sixteenth centuries, when men had not only tradition but also actual knowledge—knowledge in the form in which we today wrestle for in Anthroposophy and should be able to reach in imagination. Knowledge in those days had, it is true, an illusionary character, but men had instinctive imaginations. It was known that the human organism cannot be understood by mere sense perception and cogitation; it was known that thinking and sense observation could only be applied to those parts of the organism which have firm contours, and that knowledge of the circulation of the fluids in the watery man must be gained through imagination. It is, therefore, not to be wondered at that the perception of this fluid man was lost. Perception of the fluid man can only come again when we attain to imaginations in full consciousness.

Let us go over what has been said, once again. When the bony system is building itself up from out of the human organism taken as a totality, when the human being is, as it were, crystallizing into the skeleton—this is not a good way of expressing it, but you will understand what I mean—cosmic thoughts are weaving in him. The organs that have definite outlines have these outlines only because they are subject to the same forces to which the building of the bones is subject. It is only the bony structure in the physical sense that is of the nature of thought, and the other organs with definite outlines have been built up out of the etheric world by an activity of thought. Inasmuch as they have definite outlines and contours, an activity of the nature of thought has been working. The forms in the human organism of which physiology and pathology speak are the result of an activity that is of the nature of thought.

But this is only one member of the human organization, and it must fall out of the human organization if one does not rise to imagination. It is imagination that can lead us to the fluid man, to the way in which the muscles are formed out of the fluidity and how the being of man pours into the muscles. Muscles appear to be solid, but this is mere semblance.

Imagination is indispensable if one wants to comprehend the uniting of the solid nature of the bony structure with the fluid nature of the blood into what has the semblance of another solid structure—muscle.

We must therefore realize: Thought, which is of course, supported by physical perception, can in reality, only grasp the bony system, and apart from the bony system everything else that thought may say about the human being is fantasy.

We must ascend from thinking to imagination. With imagination we can grasp the nature of the fluid man and understand how this fluid man shoots into the muscular system. The fundamental nature of the muscles can only be grasped by imagination. Why is this? You see, if you apply thoughts, you cannot help applying, too, those laws which are discovered by thought, namely, mechanical laws. You apply the laws of statics and dynamics, and this is possible with the bony system. But just try to apply statics and dynamics to the muscular system and see how you get on! Try to calculate from the laws of statics how you can crush a cherry pit, or a peach pit, by biting it. Try to find out by an experiment how much weight of pressure is necessary to crush this cherry stone. Some—not all of us perhaps—try to bite them! But try to reckon out whether, according to the laws of mechanics, a muscle is capable of crushing a cherry pit. Thought alone will never help you to understand the muscular system. It is quite impossible. The moment we come to the muscles, the principles of mechanics become futile. We must be able to pass over to a form of knowledge that can leave the laws of mechanics behind and which grasps the whole picture of the muscles through imagination. Ordinary gravity is non-existent here. For the moment you come to the watery element you have to do with pure buoyancy.

In the things that you do with your etheric body, you have nothing to do with weight but with what overcomes weight to a great extent. Even this will make you realize that quite a different form of knowledge must be applied to the muscular system. This form of knowledge is imagination. The muscular system is comprehended through imagination—though there are transitions everywhere. It is not possible to understand the muscular system unless we conceive of it as a structure that has not arisen in the same way as the bony system. It has taken shape, as it were, through a coagulation of blood. This is just as inadequate an expression as when I say that the bony system crystallizes, but it is a comparatively correct picture. Suppose you take some bone—the radius or the ulna, or upper arm—and apply the laws of leverage to it. This is quite all right. But while you can understand by the laws of leverage and other laws of mechanics what goes on in the radius or upper arm, just think whether these laws help you to understand what is going on in a muscle. Your mental pictures here must all become mobile, must be transformed. The essential characteristic of imagination is that it can always yield and give way and so embrace the substance of things that have their being in the process of metamorphosis. And this is the characteristic of the muscle; the muscle has its life in its metamorphosis. In contrast to the bones to which the laws of mechanics can be applied, the muscle is just as mobile as the pictures of metamorphosis—say pictures, not thoughts—which we have in imagination.

In the bony system we have the solid, earthy man; in the muscular system we have the fluid man, the watery man.

At the stage of inspiration, above imagination, we come to the airy man, to what is aeriform within the human being. In inspiration we approach a mode of cognition that very much resembles the hearing of musical tones, melodies. Inspiration has nothing any longer to do with concepts but with something that is like the cognition, the realization of music. Music must not always be heard; inasmuch as it is spiritual, it can also be felt, experienced. All inspiration has, fundamentally, something musical about it. It is a strange fact that the form of the inner organs of man, of those organs which really provide for the growing organization during life in nourishment, breathing, etc., that none of these organ forms can be explained by any laws of mechanics. Not even by imaginative knowledge are they to be explained. It is just nonsense to try to explain the form of the lungs, of the liver, through their position, through the lie of the cells or through weight. Just try to discover if anyone has succeeded in explaining the form of the liver or the lung and you will find that there is nobody. For these organs, which look after the life that is coming into being during earthly life, are present, in germ, at a very early stage, although later on they are much metamorphosed. They are all of them the outcome of the formative forces of the air.

Modern science says: Air is composed of oxygen, nitrogen and a few other substances. The aeriform substance is more or less uniform, only differentiated through inner mechanical movement, such as can be observed in wind. But the air that is described by physics today does not exist, in reality. The air that surrounds our earth is permeated throughout with formative forces. We breathe in these formative forces together with the physical substantiality of the air. Once our organs are complete and we breathe in the air, these formative forces coincide, as it were, with the form of the lung and are not particularly significant except for the purposes of growth. But during the embryonic period, while there is a physical isolation from the external air—then these formative forces of the air work by way of the body of the mother. They build up the lungs and the other organs, with the exception of the muscles and bones. All the inner organs that are to receive life are built up out of the formative forces of the air.

What happens here can be compared—although the comparison is a crude one—to the Chladnic sound figures. Plates covered with fine dust are secured at some point, a violin bow is drawn across the edge of the plate, and then the dust forms itself into certain patterns according to how the violin bow is drawn across the plate. The figures in the dust are formed out of the formative forces produced in the air. So too, the inner organs of man are formed out of the universal formative forces of the air. The lung is formed out of the breathing forces, also the other organs, only the other organs are formed more or less indirectly, the lungs directly. This fact, that the organs are built out of the formative forces of the air, is only to be grasped through inspiration. What has been built out of the air, formed out of the air, has something of the nature of music about it, just as the musical element is at the basis of the Chladnic sound figures.

Much of what modern physiology says is so fundamentally false that one sometimes is embarrassed to say what is correct, so greatly does it differ from what is stated in the ordinary way. In acts of hearing, all the organs of the human being, not only the inner organs of hearing, vibrate together with the air. The whole man vibrates, if only slightly; and the ear is not the organ of hearing just because it vibrates but because it brings to consciousness what is present in the rest of the organism. There is a great but also a subtle, delicate distinction in saying that man hears through the ear, or through the ear is brought to consciousness what has been heard. The human being is built out of sound, although not from sound that is actually heard. Inspiration is required for comprehension of the inner organs. The organization of man's inner organs, of the aeriform man, must be understood by means of inspiration. It is really not to be wondered at that real understanding of the inner organs of man was already lost in days of antiquity, for inspiration was lost and inspiration is the only means whereby the inner organs can be understood. They can be taken from the corpse and diagrams can be made of them, but they cannot be understood by this means.

You see, therefore, that the whole human organism stands really towards the background of the physical world. After reading my book Knowledge of the Higher Worlds, people always get the picture: Here is the physical world and behind it, the spiritual world, in stages or degrees. We reach the nearest spiritual world through imagination, a further spiritual world through inspiration and a further world through intuition. But people do not picture to themselves that of all that is within the human being, the bony system alone is built up by the elementary spirits, whereas the muscular system is built up by spiritual beings of a higher hierarchy. This must be known and understood. A man must be able to reach these beings through imagination if he is to understand the muscles.

To understand the inner organs, still higher spiritual beings must be reached through inspiration. The inner structure of a skeleton, too, can only be truly understood with inspiration. Just think of the following. A modern scientist investigates a plant by analyzing its substance by the methods current today. But this is by no means the plant in its reality. The plant is built up from out of the cosmos, as I said yesterday. It is only the root that is built up from earthly forces. The whole form of the plant is a spiritual reality, a super-sensible reality; this super-sensible reality is then filled with matter. And a man who merely examines this physical matter in the plant is like someone who has a document in front of him that is wet with ink, that he has covered with sand to dry and who then imagines that the sand is the essential thing of the document. The document is covered with this sand and then it is scratched away and the man says: I am examining the sand and I read what the document contains out of the sand. This, more or less, is the way in which people explain the root of a plant, whereas in reality the root is spiritual, filled with physical substance in its framework. So too, the human organs merely receive physical substance.

The reality is that only the bony system is physical; the muscles are etheric, the organs are astral.

If we can attain true intuition we get to the warmth man, the organization that is a space of warmth, inwardly differentiated. The human being actually experiences himself in warmth; his relationship to warmth is not the same as to carbon or nitrogen. Warmth is within him and the human being is within it when he experiences warmth.

The experience of warmth is intense and real and a modern man cannot deny that he has it, whereas he has no inkling of the fact that he experiences air, water, earth. He has no inkling of this because he has grown out of these experiences. Understanding of the warmth involves the application of intuition to the human organization, but it is the delicate differentiations of the warmth in the forms of the organs themselves which have to be perceived and experienced. When intuition can be applied to the warmth organism through the whole body, this form of cognition leads, not, in this case, to an understanding of the inner organs as such, but to the activity of these inner organs. The activity of the inner organs must be grasped by an understanding of the organization within the warmth ether. Every other kind of knowledge is incapable of bringing about understanding of the activity of the organs. The activity of the warmth ether, of the warmth man, must be cognized by intuition.

It will not do simply to think: There is the physical world and one must acquire imagination, inspiration and intuition in order to attain the other worlds. The other worlds are actually present; the etheric world is present in the muscular system, the astral world in the organs and the devachanic world, the spirit world, is present in the warmth man. The spiritual is always around us; it is actually present. Man is a spirit and this spirit is merely filled with physical substance. To say that man is a physical being is an illusion; man in himself is a spirit who actually reaches up into the higher world through his warmth organization.

That is why it is so odd that spiritualists should sit around a table and address themselves to spirits who are far, far inferior to those eight or ten people who are sitting around the table without knowing that they are spirits! This is a truth that must be taken very, very deeply to heart, and then progress can be made.

If through initiation we have grasped the nature of this wonderful activity from organ to organ which goes on in the warmth ether, we find that there are two kinds of warmth. The warmth ether is a quite special element. When any process calls forth a change in the warmth ether, there is always a counter-working. There is always action and reaction with streamings of warmth. The warmth ether is differentiated within itself. There is always a coarser etheric substance which runs counter to a more delicate one.

Suppose you are in a room that is comfortably warm. You make it warmer—so warm that you cannot stand it. That is not merely a physical condition but also a condition of the life of soul. The more delicate warmth is experienced by the soul. The experience of warmth is really always twofold; there is the warmth that we experience psychically and the warmth in which we live, the warmth that is outside the soul; there is the warmth that is within our warmth organism and the warmth that is external to us. Warmth is of the nature of the soul. We can therefore speak of a physical warmth and a soul warmth.

If we pass on to the inner organs, to the aeriform man, where inspiration is needed, here we have the airy element in its main form. Whereas the finer warmth works within warmth, in the aeriform there works light. Intuition reveals warmth within warmth; warmth remains warmth when it is differentiating itself within itself. But this is not the case with air. The real air is not the fantastic air of the physicists which surrounds our earth like another skin. The real air is inconceivable without some condition of light—for darkness is also a condition of light. Light and air belong together; light is an active, organizing force in the whole airy organism. Here we come still further into the realm of soul. There is not only external light but also metamorphosed inner light which permeates the whole human being, which lives in him. The light lives within him together with the air.

Equally, the chemical forces (chemism) are within the human being, together with the water, with the fluid element. Water conceived as physical water, the water of the physicists, is pure fantasy. To picture the fluid element within the human being without the chemical forces is just like picturing a human organism without a head. It can be drawn without a head and the life of soul can be entirely eliminated, but then there is no longer any reality. If you cut the head away from your body, the body cannot live, it is no longer an organism. In the same way, the fluid nature in man is not what the physicists fantastically describe as water. Just as the organism, with the head, forms one whole, so is the fluid organism bound up with the chemical forces. The solid or earthy in the human organism only exists in statu nascendi. Like the water in the human being, it is immediately transformed. Within the human being the earthy is bound up with life.

The physical body and its corresponding etheric body form one whole; they are one unit, seen from two sides. We have the ether stages: warmth, light, chemical forces, life—and we have the physical stages: warmth, air, water, earth. When we give an abstract description of the ethers we give the first place to the warmth ether; when we start from the fluid or solid as the lowest ether, then the highest ether is the life ether. But when we describe the human being we say that the warmth man, the inner activity of the organs, is known by means of intuition. As we descend to the coarsest stage, from the warmth to the earthy in the physical organism, we ascend, in the etheric body, from warmth into life. What does this mean? Think of it. It means that the human being really reverses his own attributes, or qualities. He expends the warmth ether only upon the warmth organism, the light ether upon the airy organism, the chemical ether upon the fluid organism, the life ether upon his solid organization. If you really grasp this, then you cannot think as people ordinarily think. If you insist upon thinking along the ordinary lines, you can, in reality, grasp only the bony system, the earthy human being. It is necessary for you to pass over from ordinary thinking to an inner comprehension of the world, as I have said before.

The fact that medical science has a certain peculiarity is connected with these things. Medical knowledge was an outstanding part of the ancient mysteries where man had real insight into the treatment of a sick human being. The physicians were trained in the mysteries—they were not merely medical men, but they were also sages, wise men who looked after the religious cults. It is natural that the physician should have kept his knowledge secret, as was the case with all mystery knowledge. For you see, if a man wants to know something, he must clothe this knowledge in thoughts; otherwise he floats about in indefiniteness. The picture that comes in imagination, what is heard spiritually (inspiration) and also what is beheld in intuition must all be clothed in thoughts. In ancient times it was known that medical knowledge must be clothed in thoughts. But by clothing it in thoughts it is deprived of some of its efficacy. I am touching here upon deep matters. It cannot be denied that the knowledge of remedies in a sense takes away their power and a really serious physician must deny himself the use of these therapeutic measures which he uses for his patients; he must deny himself and use, for himself, other kinds of healing. Please think about this last sentence and you will realize, in a much deeper sense than before, that the physician must personally cultivate the mood of helping. He must deny himself the healing forces which he applies to his patients. If a man ascribes the efficacy of a remedy merely to the chemical forces, if he imagines that remedies work like steam in a locomotive, he is not submitting to these spiritual laws. But the moment it is realized that the human being reaches up into the spiritual, it will never be doubted that spiritual laws are at the basis of what is contained in the different remedies. In its real essence, medicine is the most wonderful means of education towards selflessness. To demand that therapy should be taught as mechanics or similar subjects are taught is a crude and coarse misunderstanding. The laws of mechanics can, of course, be applied to the human being, but that is valid then to humanity as a whole. And the physician's work is entirely individual. If a physician has a really profound knowledge of some remedy, it is necessary for him, to a certain extent, to deny healing himself by means of this remedy. This is the great education towards selflessness. I will indicate sometime how the physician can help himself. But you must understand in your hearts what underlies these facts. If you take seriously and earnestly what I have said, it will become a world necessity to introduce into medicine not egoism but altruism. Altruism, selflessness, is the basic principle of medicine. Medical morality is not something that has been invented but proceeds from heavenly laws, from laws which the cosmos itself has formed in order to create remedies which follow its own laws.

The more earnestly a communication like this is taken, the more it will be able to contribute to an understanding of the real basis of all remedies.

We will spend the first part of the time today in answering questions which do not belong to the general category of which I have already spoken. We will then continue the theme of yesterday's lecture in order, tomorrow, to come to the esoteric conclusion.

Most of the questions fit into what I have said to you in general. There are only a few questions which call for a specific answer and we will take these more or less at random.

Question: Are there definite exercises for strengthening the so-called magnetic healing forces, and what are these exercises?

This, of course, necessitates a few words about the nature of the forces of magnetic healing. The magnetic healing forces are forces which play, essentially, between the etheric body of the one person and the etheric body of the other. You must picture to yourselves that the efficacy of what goes by the name of healing magnetism is based on the following—suppose somebody has a very strong character, that is to say, it is possible for him to unfold his will very strongly. Indications can be given to such a person. I can, for instance, say to him when he is suffering from some illness or other; every morning at eleven o'clock you should think about the sun; think that the sun warms your head first, and then that the warmth of your head passes to your upper arm, lower arm, hands, so that your own power is strengthened; then, when you have strengthened your own power, try to make a clear mental picture of what you feel about your illness, in order, then, through the power of your will, to get rid of it. This procedure may help, when the illness is not connected with damage to a specific organ, whereby the damage can naturally extend itself to all four parts of the elemental body: the solid, fluid, aeriform, and warmth elements. Although I do not say that it will invariably help, for there is always something problematic about these things.

Through the indications given him, the astral body of the patient has been stimulated. The indication which he has put into practice, this picturing of the sun, the warmth in his head, and so on, which has still further strengthened his will—this has worked upon his astral body. The astral body has worked upon his etheric body and the etheric body in turn has worked in a healing way on his physical body and has been able to adjust, to nullify the trouble which is not a deep, organic one. It cannot be said that such healing can only occur in what modern medicine calls “functional” disturbance in contrast to organic disturbance where there is an actual disturbance of the organs themselves. This difference is, as a matter of fact, quite inexact. It is impossible to say where functional disturbances cease and organic disturbances begin. In functional diseases there are always slight organic disturbances as well, only these latter cannot be proved by the crude methods of physiology and pathology today. In a case like that which I have described, we are not applying the forces of magnetic healing, but we are calling upon the patient's power to heal himself and this method, when it can be used, is the best, under all circumstances. We thereby strengthen the patient's will, as we make him well.

The following is also possible. Out of our own astral body, without the patient exerting his own will, we can influence our own etheric body in such a way that our own etheric body works upon the etheric body of the patient in the same way as, in the previous case, the astral body worked. It is in this that healing magnetism consists. The magnetic healer does this unconsciously; he influences his own etheric body with his astral body. Instinctively, he can then so direct the forces he unfolds that as he passes them on to the patient they strengthen the patient's forces. You must realize that if it is to be a question of healing, the magnetic healer must use means that are able, somehow, to bring it about. If we have a patient who is weak, of whose will we can expect nothing, the forces of healing magnetism may sometimes be applied. But I want to say, with emphasis, that magnetic healing forces are pretty problematical and are not equally useful in all cases. The instinctive faculty of activating one's own astral body in order thereby to influence one's own etheric body and then work over into the etheric body of the patient—this instinctive faculty is an individual one. There are people in whom it is strong, others in whom it is weak, others who do not possess it at all. There are people who are, by nature, magnetic healers—certainly there are. But the important thing is this, that the faculty is, as a rule, of limited duration. The natural magnetic healers have this magnetism, as it is called. When they begin to apply it, it may work very well; after a time it begins to wane, and later on it often happens that magnetic healers, after this faculty has died down in them, go on acting as if they still had it, and then charlatanism begins.

This is the precarious element when magnetic healing becomes a profession. This kind of healing really cannot be made into a profession. That is what must be said about it. The process of magnetic healing—when a person has the faculty for it—is only unconditionally effective when it is carried out with genuine compassion for the patient, a compassion that goes right down into one's organism. If you practice magnetic healing with a real love for the patient, then it cannot be done as a profession. If real love exists it will always be able to lead to something good, if no trouble arises from another side. But it can only be done on occasions, when karma leads us to a person whom we are able, out of love, to help; then the outer sign may be a laying on of the hand, or a stroking and then what is happening is that the astral body is passing on its forces to the etheric body which then works upon the ether body of the other person.

Something must still be said from another aspect about what goes on here. The healing always proceeds from the astral body, either from the patient's own astral body or from the astral body of the magnetizer. The reverse is the case in therapy where medicaments are used. When you give medicaments you introduce into the physical body substances which then work partly upon the inner forces and partly upon the rhythm of the physical body in such a way that the etheric body of the patient is influenced. The healing always proceeds from the etheric body. If you influence the etheric body from the astral body—which is a psychical healing—this lies in the realm of magnetic healing and is somewhat problematic, having a humanitarian, social element in it, something to do with the relations of one human being to another. Rational therapy must proceed from intervention by means of medicaments which proceed from the physical body and pass into to the etheric body. Always, however, the healing proceeds from the etheric body. It is a complete illusion that the physical body, when it has become ill, can itself bring about any healing. The physical body has, precisely, the basis of illness within it, and the cause of healing must always come from the etheric body.

Question: What relationships are there between the heart and the uterus and its position on the one hand, and experiences of the soul such as pain or joy, on the other?

There are direct relationships. In the first place, even though they are not in physical contact, heart and uterus belong together as closely as sun and moon. Sun and moon belong together in such a way that both of them throw the same light on an object. Sometimes the sun throws the light directly, at other times by the indirect way of passing first to the moon and being reflected back from there. The organ of the heart contains direct impulses for the human organism. It is the organ of perception for the blood circulation which goes on in the normal organism. The uterus is so constituted that it is the organ of perception for the circulation that comes about after fertilization. That is its purpose. It is just like the moon reflecting the sun's light; the uterus reflects what the heart perceives in the blood circulation; it radiates it back. They belong together as sun and moon inasmuch as what these organs perceive are like direct and reflected influences. When a human being is once in existence, he needs the heart forces; when he first begins to develop he needs reflected heart force and this comes from the uterus.

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These organs, together with certain others—lungs bring it more down to the etheric-physical body—these organs, heart and uterus, are, physically, nothing else than that which, seen from the spiritual, is the soul nature of the human being. Perhaps I may put it as follows—suppose you develop imaginative cognition. When you have developed imaginative cognition and look at a human being, you actually get the picture of sun and moon when you look at heart and uterus. That is the corresponding spiritual reality which the human being experiences in his soul. There is a real correspondence between what goes on in the heart and in the uterus—goes on, that is, in the half-unconscious region of the soul, for generally speaking, the life of soul is otherwise influenced by thoughts. A delicate process is unveiled in imaginative cognition, namely, an intimate connection of heart and uterus. But those who can only observe a little, can see how, half-consciously or half-unconsciously, shall I say, the activity of the heart develops under the influence of the physical environment. A person whose life is such that he constantly
receives shocks through his profession, let us say, has in his subconsciousness an exact counterpart in his life of soul of the heart activity which is there set up, and this reflects itself—in the case of woman—in the uterus. We can then see how what takes place there is transferred to the constitution of the embryo.

Question: Here is a question that is difficult to answer because it must either be answered superficially, that is to say as a mere communication, or one must go into it thoroughly. The question is: How does the wearing of pearls and precious stones work upon individual organs?

There is an effect, certainly, but the effect can only be judged when one is able to look into the spiritual world; the effect has to be judged according to the individual. It can quite well be said, for example: Sapphire works upon a certain temperament, upon a choleric temperament, but really only in an individual case. There certainly are effects but to answer the question completely one would have to enter into deeper things than is possible today.

Question: This next question: “How can one get insight into karma in cases of individual illness?” can only be answered out of what I have said in the lectures.

Much will have resulted from what has been said and much will come out of what I still have to say.

Question: Here is another: Are there favorable connections between the degree and length of time of the post-mortem processes of decay (Verwesungsvorgänge = processes of decay) and the destiny of the individual in the spiritual world?

There are really no connections which would have any significance for us as human beings. The process of decay is not, of course, the purely physical process which it is usually considered to be by chemistry. There is something deeply spiritual connected with it. This was felt in the days of the old, instinctive knowledge. It was said: The innermost kernel, or essence, of a thing is the real or essential being (Wesen) and the prefix ver always means the movement towards something. If, for example, you say, “to have a sudden rapid movement (zucken),” that is a movement. But if you say verzücken, that is the tendency, the movement towards a sudden rapid movement. If you say verwesen (to decay), this means a movement towards Wesen, towards real being, a rising into real being.

Man is not an entirely self-enclosed being. Spiritual beings work and create in him. Spiritual beings are within our physical, etheric and astral bodies. It is only in the ego organization that we are free. These spiritual beings within the physical, etheric, and astral bodies are bound up with what happens in the physical body after death. The question of cremation and decay is closely connected with this. But all these things are bound up with human karma. One can only say this: So far as the individual human being as such is concerned the question is really not of very great importance.

Question: Has a post-mortem examination any influence on the destiny of the dead from a certain point of time after death?

It has no influence at all upon the destiny of the dead.

Most of the questions have been answered in the lectures. But here is still one that has a certain importance.

Question: Are the healing faculties possessed by a physician of a purely personal nature or are they affected by community, that is to say, not only by connections between physician and patient but by community among physicians? Is it conceivable that the individual physician could acquire, through such community, powers that cannot be his if he works all by himself? Does not this happen, for example, in the communities of priests?

This is certainly the case, as it is with all communities of human beings. Forces can flow to an individual from every community of human beings, only the community must be real—it must be felt, experienced. What I have described to you and shall do more clearly still tomorrow is of such a nature that it can build a community among you in connection with us here, even if for the present we can only communicate by means of correspondence. It is meant to unite you in such a way that when you are alone, you will feel that forces flow to you not only by way of the intellectual, but also by way of the spirit.

Question: Is there any value in iris diagnosis, graphology, chiromancy?

The ideal would be that you should be able to observe the general state of a human being from a small piece of his finger nail which you cut off. This is quite possible—a very great deal can be learned from this. Equally you can learn a great deal from one hair of a human being. But here you must remember how different, how individual is the hair of each person. Some of you are fair, some of you have black hair. What underlies this? Those of you who are dark have in the blackness of the hair an iron process which is going on in the hair. Blondeness comes from a sulfur process which is particularly strong in those people who have red hair. These things are of the very greatest interest. I have actually known people of whom it could be said that they were really fiery, with their bright red hair. A very strong sulfur process is present here, whereas in black hair there is a comparatively strong iron process. You must remember that this emanates from the whole human organism. A person who has red hair is always producing something that is a highly combustible substance—sulfur—and his hair is permeated with it. The other person who has black hair secretes iron—a substance that is not combustible but of a different character. This reveals a deep-seated difference between the two people in their whole organization. In individual cases, much can be learned about the whole human being from the kind of hair he has.

If this is so, why should it not be possible to learn about a person from the constitution of his iris? But you must remember that a very high form of knowledge is required for these things, not the nonsensical knowledge which the diagnosticians possess about the iris. That, of course, is dilettantism. The way to real knowledge of these things which rest on true foundations comes only at the end, just as the way to astrology comes only at the last stages of spiritual knowledge. Before that stage has been reached, astrology is terrible dilettantism. The same applies to chiromancy and graphology.

For graphology, genuine inspiration is necessary. The way a human being writes is entirely individual. At the very most there are indications, but they are quite crude. Inspiration is necessary before anything about a human being can be deduced by graphology. The strange thing about graphology is that from the handwriting of a person we can more or less get at the condition he was in seven years previously. Anyone, therefore, who wants to know something about a person as he is now, will have to take a circuitous path; he gets at the inner conditions which were there seven years previously and then, if he has the necessary vision, from what he perceives of seven years ago, he can arrive at a more fundamental knowledge than would otherwise be possible. So, you see, something can actually be accomplished.

As it is with the hair and the iris, so it is with chiromancy. For that you must have inspiration—not the superficial principles that are customarily given. A very special talent which someone or other may possess is necessary in order to be able to get to the bottom of the lines in the hand. The lines are, it is true, closely connected with the development of a human being. You need only compare your own hands and look at the lines in the left hand and in the right. Even in ordinary life there is a difference, for one person writes with his right hand, another with his left. With inspiration we can read the karma of a person from the lines in his left hand. In the right hand one usually sees the personal capacities and industriousness which a person has acquired during this life. His destiny has fashioned this earth life and his capacities lead him on into the future. None of these things is without foundation, but it is exceedingly dangerous to represent them in public because here we come to a region where seriousness and charlatanism border very closely upon each other.

At the end of the lecture yesterday, I said that out of the very nature of the world processes, medicine must be bound up with deep-seated morality of the soul. For I told you that real, true knowledge of a medicament to a certain extent deprives the knower himself of the power of this medicament; there is something in the knowledge of the medicament which excludes from the knower the possibility of being healed by its means. Naturally, the purely chemical working is not excluded, but that is not real knowledge. Just think of the following—the muscular system of man is understood through imagination, as I said yesterday. We learn to know what is working in a muscle when we attain to pictorial, imaginative cognition. But if we want to know what has a healing effect in some organ that is of the nature of a muscle, then the therapeutic knowledge must also be imaginative. True knowledge of an inner organ is of the nature of inspiration; that is the real knowledge; it is not chemical knowledge. If you really know that some medicament works upon the muscular system in a certain way, then you have this knowledge through imagination. Yes, but imaginative knowing is not like the knowing which we usually visualize today. The latter kind of knowing does not go very deeply into the human being. It really exists only in the head, whereas imaginative knowing simultaneously takes hold of the muscular system. Therapeutic knowledge that is also imaginative is of such a nature that you actually feel this knowledge in your muscles. What matters is that you shall take these things in real earnestness.

In order that you may fully understand, I want to say something paradoxical on this subject, but the paradox here happens to be the truth. My Philosophy of Spiritual Activity has been little understood because people have not known how to read it. They have read it just as they would read any other book. But the Philosophy of Spiritual Activity is not the same as other books. It weaves in thoughts, but in thoughts that are truly experienced. Abstract, logical thoughts such as are current in science today are experienced in the brain. The thoughts to which I have given expression in my Philosophy of Spiritual Activity—and here comes the paradox—are experienced by one's whole being, in the bony system. And let me say something still stranger. It has happened—only people have not noticed it because they did not connect the two things—it has happened that when people have really understood this book that often in the course of reading, and especially when they have finished the book, they have more than once dreamed of skeletons. This is connected in the moral sphere, with the position of the Philosophy of Spiritual Activity in regard to the freedom of the world.

Freedom, or spiritual activity, consists in this: that from out the bones the muscles are moved in the external world. The unfree person follows his impulses and instincts; the free person directs himself in accordance with the demands and exigencies of the world which he must first love. He must acquire a relationship to the world. This expresses itself in the imagination of the bony system. Inwardly, it is the bony system that experiences the thoughts when they are truly experienced. They are experienced with the whole being, with the whole of the earthy man. Thoughts, then, that are truly experienced, are experienced with the bony system. There have been people who wanted to paint pictures after reading my books and they have shown me all kinds of things. They have wanted to bring the thoughts in the Philosophy of Spiritual Activity into the form of pictures. If one really wants to paint what it contains, one would have to produce dramatic scenes, performed by human skeletons. Free spiritual activity is something in which we must get rid of everything that is purely instinctive; similarly, what a person experiences when he has the thoughts of free spiritual activity is something in which he must unburden himself of his flesh and blood; he must become a skeleton, he must become of the earth. The thoughts must become earthy in the true sense. This means that one must free oneself by dint of hard work.

I mention this in order that you may realize that even ordinary thoughts generate something that lays hold of the whole being of man.

If we pass on from thoughts to imagination, we experience imagination in the muscular system. Inspiration is experienced when we experience our own inner organs. When it is a matter of inspirations, however, we must not forget the saying: Naturalia non sunt turpia (the natural is not despicable). For under certain circumstances, the most wonderful inspirations are experienced with the kidneys or with other organs in the lower part of the body.

Higher knowledge, therefore, is something that involves the whole being of man, and those who have no knowledge of imaginations and inspirations do not know that the activity of imagination is a labor that is quite like physical labor because it puts a strain on the very muscles. Real imagination is like actual physical labor. There is a relationship between physical labor and imagination. If I may be allowed to say something personal, I have always found that imagination was helped a great deal by the fact that when I was a boy, I used to hack wood, dig potatoes, work with a spade, sow seed, and such things. I do not want to blow my own trumpet by saying this, but to have done these things did help to exert the muscles and so made imagination easier. If you have exerted the muscles in youth, imagination will be easier for you in later life. But remember this: movements that do not involve exertion, that are not real labor, are of no use, play is of no use at all for imagination. I am not saying anything against play in itself, for you need only read what I say about educational subjects to find that I have nothing whatever against play. What imagination does is to bring the resting muscle—for this must naturally take place while the muscle is at rest—to bring the resting muscle to an experience that is similar to actual physical labor.

If you embark on the medical path in association with us here, you will learn about these strange things and you will realize that the knowledge of these therapeutic matters takes hold of your muscular system; and this will be of significance in your own karma.

Let us take a specific case. I will construct quite an idealistic one—the true therapy of smallpox. Real smallpox calls up a very strong inspiration, with intuition as well. And the knowledge that comes to you here, when you are real therapists in this domain, works much more strongly upon you—when it is real knowledge—does a vaccination; in a different sense it works much more strongly, and in studying the therapy of smallpox as a physician you will bring about a kind of healing in yourself in advance, prophylactically, and will therefore be able, when you understand the connection, to go among smallpox patients without fear, and full of love.

Of course all these things have their other side too. As I have said, if the knowledge of a medicament is a true imaginative or inspired knowledge, then the healing forces are there; it need not even be one's own imagination, it may be that of someone else. In itself it has healing forces. Even to have the idea of a medicament has an effect, and it works. But it works only so long as you are without fear. Fear is the opposite pole to love. If you go into a sick room with fear, none of your therapeutic measures will help. If you can go into a sick room with love, without thought of yourself, if you can direct the whole of your soul to those whom you have to heal, if you can live in love, in your imaginative and inspired knowledge, then you will be able to place yourselves within the process of healing not as a knower who is a bearer of fear, but as a knower who is a bearer of love.

Thus medicine is impelled into the realm of the moral not only from without but also from within. This is true to a high degree in the sphere of medicine, as it is true in all spheres of spiritual knowledge. Courage must be developed. I have told you that courage is all around us. Air is an illusion; it is courage that is everywhere around us. If we are really to live in the world in which we breathe, we need courage. If we are timid or cowardly, if we do not live together with the world but exclude ourselves from it, we breathe only in semblance. What is above all things for medicine is courage, the courage to heal. It is indeed so: if you confront an illness with the courage to heal, this is the right orientation which in ninety percent of cases leads you right. These moral qualities are most intimately connected with the process of healing.

Thus it should be as I have said: A first course for medical students should consist in creating a basis through knowledge of nature and of the being of man, knowledge of the cosmos as well as of man. Then, in a second course, there would come the esoteric deepening, the deepening of esoteric knowledge of the working of the healing forces, so that medicine would be regarded as I described in the fourth lecture and will speak of again tomorrow. A final course would aim at bringing therapy into connection with the development of the true moral faculties of the physician. If such a final course were able to produce these moral qualifications, then diseases would become, for the physician, the opposite of what they are for the patients; they would become something that he loves—not, of course, in order to be enhanced and cultivated so that the patient may remain ill as long as possible—but loved because illness only acquires its meaning when it is healed. What does this mean?

To be healthy means to have the so-called 'normal' qualities of soul and spirit within one; to be ill, to have some illness, however, also means that one is being influenced by some spiritual quality. I know, of course, that learned men of the modern age will say, on hearing this: "Ah, now comes the old doctrine of being possessed." Yes, but it is really a question whether the old doctrine of being possessed is worse than the new. Which is worse—to be possessed by spirits or by bacilli? It is a matter there of examining the relative values. Modern physicians with their theories acknowledge the fact of such "possession"—only their mentality is more suited to preach a materialistic kind of possession.

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The truth is that when a person has an illness, he has a spiritual quality within him which, in the ordinary course of his life, is not present. Yet it is a spiritual quality. Here again I must voice a paradox. I am going to speak now of a reality in connection with the Zodiac: Aries, Taurus, Gemini, Cancer, Leo, Virgo, Libra, Scorpio, Sagittarius, Capricorn, Aquarius, Pisces. Now there is a colossal difference between these upper seven constellations and the five lower constellations. If you can reach to imagination, you get a picture of a male being in the cosmos for these seven upper constellations, and the picture of a female being for the five lower constellations. So that in imaginative vision, male-female in an enclosed serpent form is spread over the Zodiac.

Nobody can have this imagination without going through the following experience. Think of the illness of smallpox which reveals itself in physical symptoms. But suppose you were able to do the following: picture to yourselves a person suffering from smallpox who in his astral body and ego organization had the power today to draw out the whole illness and to experience it only in the astral body and in the ego, so that in that moment his physical and etheric bodies would be well. Suppose such a thing were hypothetically possible. What I have said cannot actually happen, but if you want to have this imagination you must do the same thing as I have described as a hypothetical case, without your physical body and etheric body having smallpox. In the astral body and ego organization, free from the physical and etheric bodies, you must experience the illness of smallpox. In other words: you must experience, spiritually, a spiritual correlate of physical illness. The illness of smallpox is the physical image of the condition in which ego organization and astral body are when they have such an imagination. You will realize now that in smallpox there is proceeding, but in this case from the human being himself, the same influence out of which, in spiritual knowledge, the heavenly imagination comes.

You see, my dear friends, how closely illness is related to the spiritual life—not to the physical body; illness is closely related to the spiritual life. Illness is the physical imagination of the spiritual life and because the physical imagination is in the wrong, because it ought not to imitate certain spiritual processes—therefore that which in the spiritual world may be something very sublime, is, under certain circumstances, illness in the physical organization.

In trying to understand the nature of illness we must say to ourselves: Were it not possible for certain spiritual beings to be brought down into a realm where they do not rightly belong, then these beings would not be present even in the spiritual world. The close relationship of true spiritual knowledge with illness is clear from this. When we have spiritual knowledge we have knowledge of illness. If one has a heavenly imagination such as that of which I spoke, one knows what smallpox is, because it is only the physical projection of what is experienced spiritually. And so it is, really, with all knowledge of illness. We can say: If heaven, or indeed hell, take too strong a hold of the human being, he becomes ill; if they only take hold of his soul or his spirit, he becomes wiser, or cleverer, or a seer.

These are things which you must inwardly digest, my dear friends, and then you will realize what the task of Anthroposophy is in connection with medicine, for Anthroposophy reveals the true, divine archetypes of the illnesses which are their demonic counterparts. But this can lead you more and more deeply to the recognition that what is necessary today as a reform of medical study is to be sought in the domain of Anthroposophy.

It is, of course, only possible to give aphoristic indications here of what will have to be communicated in detail as time goes on, if your connection with the movement at the Goetheanum is to be continued in any real way.

It must be emphasized, above all, that in the very nature of things, one cannot heal in opposition to karma. The fundamental attitude of the physician must be that no healing is possible if it runs counter to karma. In his will-to-heal, the physician's attitude must, from the very outset, tend in two directions. First of all, there must be the unconquerable will that karma be fulfilled. The physician needs this above all for himself, for as you have heard, in a sense, he loses, so far as he himself is concerned, the effect of what he uses for his patients. It can, of course, be transformed so that it will also be effective for him, but all you need to know, in the first place, is what I have already said on this subject. The physician, too, is naturally subject to karma so far as his own health and illness are concerned. But when the proper attitude is present, when therapeutic knowledge penetrates deeply into the human soul, it can be said that the consciousness of karma becomes more and more an actual revelation of karma.

Karma has its two sides. You must regard karma in such a way that you relate your destiny to the earthly life immediately preceding the present one. Karma, in this aspect, is the expression of what the previously earthly lives have brought. But you have also to think of karma in the fifth or sixth subsequent earthly life, in the fifth or sixth life following the present one. Then you will have the results of what is happening now. If you carry this thought to its conclusion, you will realize that karma, too, is in the becoming, that what is happening now adds one thing or another to karma. It can also be said that here and there our deeds may give a turn to karma. Nobody who understands karma can ever be a fatalist.

The one direction of the physician's attitude is, therefore, towards karma. This leads to a sense of security and sureness in life, gives a firm standpoint. The other direction, however, is this; that the will-to-heal must always be present. This will must never, under any circumstances, weaken. It must be at work in therapy all the time, so that it can be truly said that everything possible is being done, even when one is of the opinion that the patient is incurable. You must suppress this opinion and do everything possible about healing. I merely indicate this, aphoristically.

What we have to do today is to deepen, in the esoteric sense, those things that may result in the awakening of soul forces in medical study. The content of the esoteric teaching must assume a particular form, must become a special activity, for the physician. The physician will not be able to content himself with looking at things as they are looked at in ordinary life. This is just what ordinary science does. Science does not call upon forces of soul which are not applied in ordinary life; on the contrary, science throws all its weight upon the side of not calling upon such forces. But the ordinary, current view of life does not enable us to know that some substance or process in the world contains healing forces. The healing forces are only revealed by things when we approach them with certain awakened powers of soul. It will be for you, step by step, to awaken these powers of soul in order that things may speak to you in such a way that in your work as physicians you are able to help human beings by their means. What is of importance is that what I have said to you about the attitude of the physician shall be infinitely deepened in your souls.

I will take a simple subject, to begin with, and treat it in the way in which it ought to be treated in medical study. It will seem aphoristic here, but when there is time, it will be developed.

Think of the form that is revealed to you in the bony skull. We can take this bony skull and draw it. Look at its form and contrast this form with what is revealed to you by a long bone—let us say the thigh bone. These bones are not quite on their own, for manifold physical forces play around the bony skull; equally manifold forces play around the long bones. But the reality of a long bone will only be revealed to you if you study it in connection with the whole universe.

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Just think of a long bone. Its forces are such that they pass through its length, and when the human being assumes his true earthly posture, they actually go down to the central point of the earth. But that is not the essential. The essential thing about a long bone is that it introduces these forces into the connection that exists between the central point of the earth and the moon. Therefore whatever is placed in the body like the long bone of the thigh or the bone of the upper arm, or a muscle lying in a similar position, is really inserted into the forces which connect the earth with the moon. You can picture it like this. Here you have the earth. (See diagram below.)

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Forces stream up to the moon from the earth and these forces include everything that is involved, let us say, in the position in which the thigh is when the human being is standing or walking.

On the other hand, everything that has a position like that of the skull-covering is membered into the Saturn movement. In the skull there are the rotatory forces which belong to Saturn. So that we can say: The human being is formed from below upwards through the connection between earth and moon. He is rounded off, finished off, by the rotatory forces of Saturn. But these two kinds of forces are counter to each other. In the forces which are contained in the connection between earth and moon there lies everything that gives the human being his plastic form, everything that builds him, plastically. One might say: There is a secret sculptor in these forces; whereas the other forces give rise to a perpetual process of demolition, in which the substances which build up the human being plastically are again disintegrated or dispersed. When you cut a nail, you with your scissors are in the Saturn forces; when you eat, this takes you into the realm of the forces working between earth and moon. All these latter forces are up-building forces. All the other forces pulverize the human being. In this interaction between pulverization and plastic up-building live the soul of man and the spirit of man. Therein they manifest themselves.

All that is connected with the etheric body of man both in the outer world and within man himself is connected with these peripheric forces. Silver is connected, in a certain respect, with the forces of up-building. So that when you notice in a human being that the up-building forces are being overpowered by the forces of demolition, you can as a rule correct this by means of some medicament derived from silver. But if you notice that the up-building forces are rampant, that they are maintaining the human being too strongly within his form, hindering as it were the process of pulverization, you will have recourse to the remedies that come from Saturn, from lead. When we know how the human being is built up, we begin to see how we must act.

What we have to do is find our way into this kind of perception. You see, my dear friends, the true world, the world of the spirit, has always been said, and rightly said, to lie on yonder side of a threshold. The human being lives on this side of a threshold. He has to pass over this threshold in order to attain true knowledge, true insight into the constitution of the world. Speaking generally, it is dangerous for the human being to cross this threshold without preparation. For if he carries with him into the spiritual world on yonder side of the threshold his ordinary sense-perception, permeated with thoughts as in ordinary life, he calls forth illusion, downright illusion before his spiritual eyes, because he then judges things on yonder side of the threshold just as he does here, in the physical world. Therefore there stands at the threshold that spiritual being from whom we learn that quite different concepts are necessary when we cross the threshold, that illusions paralyze our life if we pass over into the spiritual world with the ordinary concepts derived from the world of the senses. This Guardian of the Threshold warns us that we must first acquire the ideas that are needed in the spiritual world. People as a rule do not believe that the concepts which correspond to facts in the spiritual world are so very different from those which are suitable in the physical world. In the physical world, for example, the part is always smaller than the whole. This is an axiom. But it is not so in the spiritual world. There, the part is always greater than the whole.

We understand this from an example drawn from the being of man. If we think of a force which the human being has within him when, for instance, he is building up his body out of mineral matter and then think of the nexus of forces which one part of him contains, then, in the face of the cosmos, that which forms the organ—which is the part—is essentially greater than the whole human being. It is not easy at once to visualize the maxim that the part is greater than the whole because you are accustomed to the sense-world; but in face of the super-sensible world it is absolutely true. We must attain to the insight that in the spiritual world the part can be greater than the whole. Our laws of mechanics and physics do not hold for the super-sensible world, rather precisely the opposite. Here, in the material world, a straight line is the shortest distance between two points. In the spiritual world, it is the longest, because there, if we go in the straight direction, we have the most obstacles to overcome. Every other direction is shorter, there, than the straight one.

We must be absolutely clear that if we want to enter the spiritual world, ideas and concepts are needed that are quite contrary to what is a matter of course in the physical world. Courage is required so that we shall not enter into the spiritual world in confusion. We must have courage enough to pass over the spiritual threshold, over the abyss. If we cross over to the spiritual world, if we pass the Guardian of the Threshold and reach the spiritual world yonder in the soul and spirit, in astral body and ego, consciously, then all is well. But if we do not pass through this experience in the ego and astral body, illusion arises and when this illusion shoots back upon the human being, illness is the result. Whenever a man is ill, he really has the Guardian of the Threshold within him, but in a kind of demonic counterpart.

There again I come to the demonic element of which I already had to speak. When we look at a human being with ordinary perception, all his members are intermixed. On the one side there is the ego and the astral body of the man; on the other side there is the etheric body and the physical body. All seems to be intermixed when we look at him with ordinary sight. And what is essential above all is to learn to distinguish what is of the soul in a human being from what is of the body. When the soul is in the body, and you are looking at a human being, the soul does not appear as it really is. Indeed and in truth the soul is light. You must learn more and more to realize that the human soul, when we behold it in its absence from the body, is light. It belongs to what surrounds us as the etheric elements—it belongs to the light. The human soul belongs entirely to the realm of light. We see it rightly when we see it within light.

On the other hand, the body belongs to heaviness. I have shown how heaviness is overcome, how the brain becomes much lighter than its external weight. But the physical body, in the form in which we perceive it, belongs to heaviness. Just as through chemical analysis you get hydrogen and oxygen out of water, so, if you want to behold man in his true being, you must member him into the soul with its power of radiance and the body with its might of heaviness. These two realities—the soul with its power of radiance, and the body with its might of heaviness—are interwoven in confusion when they are looked at with physical eyes. And because they are thus interwoven in confusion, we cannot see in the body, or in the human being as a whole, the essential nature of the illness. By so adjusting your soul that you can observe the human being in such a way that you see how the nature of the illness is revealed, then, gradually, when you look at lead, or silver, you will realize what healing forces are contained in these substances.

But you must take your medical life in tremendous earnestness. You must take the meditative life with such strength into your soul that through this meditative life you grasp the world differently. And that is why I want to give you now words which, if they are added to the others (see Lecture Four) and truly meditated upon, will bring you into the same relation with particular substances which these substances themselves have to the healthy and the sick human being. You must let the words, which I am now going to write on the board, awaken your souls to the realization that what you see of the human being in ordinary life is not the reality. When you vitalize your souls with what lies in these words, then you will perceive the truth, the true reality of the human being.

What I have said up to now will help you, in a general way, to understand the human being in his relation to the cosmos. Today I should like to give you something that will help you to meditative knowledge of, say, a tiny piece of gold. I hammer it into a thin leaf and when I look through it I see green. In its green appearance it awakens, not from mere vague analogy, the same inner experience as green meadows, the green plant covering of the earth; it does indeed awaken this experience if I look at the gold leaf with deeper forces of soul. If then I really steep myself, with all my forces of soul, in the tiny, shimmering piece of gold, the opposite power of soul is awakened. Then, as well as the green shimmering gold—as I look now towards it and now away from it—a whole world comes to me, a whole world shimmers towards me in a kind of pale bluish-red light. And in that moment I know that the whole world is present in that tiny piece of gold. This little piece of gold which, to begin with, has a green shimmer, is, in reality, a whole sphere. Every tiny piece of gold is a center of a whole sphere and I learn to live and weave in the bluish-red, the bluish-violet colors of a sphere. And then, if you learn to know other qualities of gold you will realize their living connection. For instance, you will experience, but fundamentally and basically, the known quality of gold, namely, that it will not combine with oxygen. Then, you will say to yourselves: The human being lives through having oxygen; he lives through perpetually working in oxygen. In the etheric body, as you know, everything is different. The etheric body is related to what is not anchored in the physical body. Gold is related to the etheric body because it refuses to be combined with oxygen. So that by virtue of this very quality, gold works as a healing power in the etheric body for what oxygen, for example, may give rise to in the physical body. For this reason, gold is, as it were, a remedy that works from the center of the human being.

Through this impression of radiance in the pale bluish-red light, you get at the inner truth of the saying: “Gold is sun; gold is wholly sun.” This one piece of gold reveals to you that in cosmic space, gold is the sun, and that this gold-sun is related to your etheric body.

But this means that you are led to those qualities of a substance that are needed in therapy. But you will only really come to this realization by taking the following meditation, not as mere words, but in all earnestness, and as an unceasing challenge to the soul:

See in thy Soul
Power of Radiance;
Feel in thy Body
Might of Heaviness!

Schau in deiner Seele
Leuchtekraft,
Fühl in deinem Körper
Schweremacht.

But this must be a real exercise. You must practice with the aim of making your soul into something that really streams out into space and is like light, the power of radiance; and you must practice with the aim of making your body into something that through its own inner heaviness is connected with the inner being of the earth. You must have a real inner experience of this tremendous contrast, and then you separate your soul and body, as they should be separated. The verse continues:

In Power of Radiance
Rays the Spirit-I.

In der Leuchtekraft
Strahlet Geistes-Ich.

The human “P” rises up as an inner experience in the soul. It is a picture that you must understand. In the soul that is streaming out, radiating out into the universe, the “I” unfolds. To these words you must add:

In Might of Heaviness
God-Spirit wells.

In der Schweremacht
Kraftet Gottes-Geist.

The men of earlier times spoke, not merely in trivial analogy, but as something in profound correspondence with truth, of the human being, the human body, as being a temple of the Godhead. Just as it is true that the “I” is the ruler within the soul when the soul is conscious, so it is also true that the Divine, the Godhead, is the ruler in the body. You may not really speak of your body as your own, for the body is not of man, but of God. It is so indeed. The body of man grows out of the Divine forces. To man belongs only the soul that is within that body. In the instrument that is your body you must see the temple of God. It is of tremendous importance to know this:

In Power of Radiance [of the soul]
Rays the Spirit-I;
In Might of Heaviness
God-Spirit wells.

In der Leuchtekraft [der Seele]
Strahlet Geistes-Ich
In der Schweremacht
Kraftet Gottes-Geist.

The Divine Spirit is mighty in the human body, just as the “I” is mighty in the human soul. And now comes the important thing:

Yet shall not
Power of Radiance
Lay hold of
Might of Heaviness.

Doch darf nicht
Leuchtekraft
Ergreifen
Schweremacht.

When the human being is asleep it is clear to you that his soul is separated from his body. He has separated soul and body. During sleep the soul has not got hold of the body. But in waking life, too, the condition must be such that although the ego and astral body come down in the physical and etheric bodies, there must be an inner separation, and inner apartness between the power of radiance and the might of heaviness. Chemical combination between the power of radiance and the might of heaviness must not arise; these two powers must be inwardly separate. They must not mingle with each other mechanically nor be inwardly united in any way. The might of heaviness of the body, the power of radiance of the soul must work side by side, the former downwards, the latter upwards, within the same space. For that reason, the following words are important.

Yet shall not
Power of Radiance
Lay hold of
Might of Heaviness,
Nor may
Might of Heaviness
Permeate
Power of Radiance.

Doch darf nicht
Leuchtekraft
Ergreifen
Schweremacht
Und auch nicht
Schweremacht
Durchdringen
Leuchtekraft.

The last two lines merely express the opposite of the first two. That which our external, sense-knowledge continually mixes together, must, in reality, be separate within the human being. When you look at the human being with knowledge that comes from the senses, everything is intermixed; and if the human being were indeed what he appears to be to ordinary perception, he would be ill all the time. The human being can be healthy, but our material perception of him is a condition of illness. As we see him, the human being is perpetually ill, but such perception is, of course, Maya, illusion. In his true being, a man must never be as we see him. In his true being of man, power of radiance and might of heaviness must not be intermingled. They must be inwardly separate from each other. There must be nothing of what happens in water, where hydrogen and oxygen enter into a chemical combination with each other and, in themselves, really disappear. This is what ordinary sense-perception does; it has had the bad taste to adopt chemical ideas and to look at the human being as if he were a combination of the power of radiance and the might of heaviness. These two are separate and must so remain—just as if in water, hydrogen and oxygen were separate, although united.

For when Power of Radiance seizes
Might of heaviness,
And when Might of Heaviness enters
Power of radiance,
Then in World-confusion Soul and Body
Bind each other
Unto Perdition.

Denn fasset Leuchtekraft
Die Schweremacht
Und dringet Schweremacht
In Leuchtekraft,
So binden in Welten-Irre
Seele and Körper
In Verderbnis sich.

In perdition is illness. You must take this in full seriousness, so seriously that it forms your body that you can really look at the human being according to the power of radiance and might of heaviness and that you have the feeling when they take hold of one another, they are enemies. In illness they do lay hold of one another. When the power of radiance lays hold of the might of heaviness (weight), bodily illnesses arise; when the might of heaviness presses into the power of radiance, the so-called mental illnesses arise. Just think of it—in the body lives the Divine Spirit. If the power of radiance seizes upon the might of heaviness, the human being is wrongly appropriating the Divine within him.

If you learn to think about these things with the moral impulses that are necessary, to feel them deeply and then to will with what you have felt, you gradually begin to perceive the things and processes of the world in such a way that when the power of radiance has laid hold of the might of heaviness you realize how you can separate the power of radiance from the might of heaviness through something that gives support to the etheric body from out of the astral body, through some substances or else through some process in the human being. If you really feel these things, you will also understand the healing forces of curative eurythmy. The healing power in curative eurythmy is something that reckons very specially with the cosmic forces in the process of healing. When you do exercises with the consonants in curative eurythmy, you are within the moon forces. When you unfold the powers of the vowels in curative eurythmy you are within the Saturn forces. Through these two kinds of forces in curative eurythmy the human being feels his way directly into the cosmos.

Therapy, of course, is the essential thing in medicine, but there can be no therapy without absolutely useful diagnosis. Suppose we are able to confirm that the formative principle is too strong in a human being, that this formative power is coming from salts or carbohydrates which he cannot keep within bounds; there is too much form in him. If you really observe the more delicate workings of the organism—and the symptoms may be only very subtle—you will find that vowels in curative eurythmy which work against form will have an extraordinarily favorable effect.

Or suppose a child shows a slight tendency to stuttering. I am not, of course, going to make any dilettante statements about stuttering being due to this or that cause; naturally, all kinds of things may be wrong and so be the cause of it. But whatever the trouble may be, in cases of stuttering a predominating formative force is present, and therefore vowel exercises in curative eurythmy will be good, carried out in the sequence that is natural in the being of man, the true manifestation of the being of man. So that much can be achieved with children who have a tendency to stuttering by taking the vowel sequence: A(ah), E(ay), I(ee), 0, U, in curative eurythmy provided one has the necessary patience and love.

If you think about all these things, my dear friends, you will realize the importance of regarding the esoteric principles which I gave you a few days ago and have given today, as a kind of morality in medical study. By morality I mean the feeling of being bound to a duty, the feeling of being obliged, through meditation, to bring the soul into the necessary and lasting attunement for facing the world in the true and right way. If lectures could be given you for a whole year, a great deal could be said in detail and this would be of concrete use to you in practice. But as in these lectures we could only make a beginning, it has been of very particular importance to speak of the development of the medical and therapeutic powers which lie within the human being—to place these powers within your reach. For if, with these esoteric hints, you go to your medical studies, you will see that things become different. Maybe they will become more difficult. If someone of a rather dull intellect (and education makes the intellect dull today) takes up medical studies, a certain inner persistence will carry him through the first and second years and help to master things if, as the result of social circumstances, he feels a moral whip behind him. But he does not become a physician in the real sense. He becomes a person whom society appoints to play the part, but he does not become a physician.

If you let these things work upon you, a more delicate force of soul will develop in you. And in many respects the physiology, psychology and pathology on which medical science is based today will cause you pain. It will really be as though you were being offered stones instead of bread. But you yourselves will, nevertheless, be able to get something out of these stones. What is offered to you will, after all, not be without purpose. It will not be easy for you to learn. There must inevitably be difficulties, for the world with its materialism is still mighty and we must, in some way, find our place in it. Having found this place, it is for us to work our way beyond it. Thus we must certainly become physicians in the way the world demands and then medical studies must be permeated with what can be given from here.

Therefore let me say once again that opportunity will be given for you to link yourselves with us here in the way I have indicated. You must have complete confidence in the way in which the medical section of the Goetheanum will be led by me in association with Dr. Wegman. It is precisely medicine, as it can be pursued here, that can show you how human life can really be experienced—strange as this expression is. Therefore when you are once again out in the world and one thing or another occurs to you, write your wishes and your hearts' desires and an answer will be given to everybody in the monthly circular letter. And in this way—which is, to begin with, the only practicable one—external medical studies will be able to be permeated with what can be given here.

You see, there are extraordinarily few people yet—and they can only be the young ones really—who are able to build the bridge between the spiritual aims of Dornach and the materialistic science that holds sway in the outside world. At the present time it can only be a few, and really only those who are still at the stage of their studies. Why?

I once had to give a lecture about a particular chapter of therapy which was attended by medical students and also a professor, a professor of medicine. I was able to watch this man. He came to the lecture thinking that he would find confirmation of his belief that it would be the usual kind of superficial twaddle talked of by quacks. I was able to make a real study of metamorphosis in watching this professor, for on the one side he was inwardly resisting, but on the other side he was astonished. He was obliged to come to the conclusion that it was not rubbish, but naturally he could not say “Yes” to it, because it completely contradicted what he had regarded for decades as being true and correct. I spoke to him after the lecture and it emerged that he was saying to himself: “I would prefer to keep out of all that.” He could not have gone as far as this if he had really thought it nonsense.

If he had thought it nonsense he would easily have kicked it away in the usual manner. He thought he could kick it away, too, but in reality he could not, and the very most that one could have hoped for from a professor was that he should have said to himself: “I would prefer to keep out of all that.” One could not expect more than this. But a young person must have quite a different attitude. A young person has no antecedents and he, therefore, is still able to absorb things which can lead to the healing of humanity. And if this happens, my dear friends, it will really come to pass that gradually perhaps more quickly than we thinkGoetheanum spirituality will enter into medicine.

But what must happen first is that these things shall be continued with real earnestness, and that you go on doing as Dr. Wegman has told me you have done—that you go on coming to her to make the link in full confidence with the true kind of medical studies and with those things that must flow as time goes on, into the materialistic medicine of today. You can do much for yourselves and also much for the world and for sick humanity if you do not regard what you have now heard as something merely transitory, but as a starting-point for that with which such a good beginning has been made. In this sense we will remain united, my dear friends, remain so united that the center to which you adhere here in Dornach, at the Goetheanum, can work in the world, through you. That is what I wanted to say to you as a kind of warning. Then things will go well and much will be added to what we have spoken of here. It may be an ideal in your life of feeling, but it can become, in very truth, life. And as such we will maintain it, my dear friends.

In the gathering held here just after the Christmas Course we turned our attention to things that can deepen medicine in an esoteric sense. And we tried—to the extent to which this is possible in such brief meetings—to penetrate into the esotericism of medicine, in the way that is suitable for younger medical aspirants today. In formulae for further contemplation and elaboration, we received things that can quicken the sense for medicine and emphasis was laid upon the necessity of having this sense for medicine.

I picture to myself that you have worked upon these things for a time, my dear friends. Naturally, my idea of this work is not that people sit down and ponder about such things theoretically, but that from time to time, when the inner need is felt, they let these things work upon and develop the soul. It was inevitable, from the very way in which these things came before us, that one perfectly definite fact should emerge—a fact which I believe to be of importance for our gathering now. Because of the very concentrated form in which the esoteric things were given at the first gathering, one or another, to a greater or lesser degree, must have realized that it was necessary to face certain inner difficulties. The purpose of esoteric teachings is not always to make life as easy as possible for us. In a certain respect the opposite is certainly the case. They are also there in order to make life more difficult, to make us realize the difficulties of understanding the world, of really getting to know the world and human beings. So that when we become alive to these difficulties, we take the opposite path of development from that which is so often taken in our civilization today. We take the opposite to a superficial path of development. It is only by becoming alive to the difficulties existing as between the outside world and the human being that a person can be deepened in soul. I think, therefore, the best way now will be if, bearing these inner difficulties in mind, you will bring them forward in the form of questions and we will then make matters that can really promote the development of our subject into the theme of our discussions. I would ask you, to begin with, to tell me what inner and outer difficulties have arisen in your own circle. Difficulties will have arisen both for the practitioner and for the student. There are a number among you who are now approaching the end of their studies; they will have found quite specific difficulties and we will try to find their solution. All of you have received the first circular letter and you will have realized that in connection with definite questions there is a very great deal to say. I would like to ask if any question, definite or indefinite, has arisen, for such questions will surely lead us further. In this way we shall get away more from theoretical study and reach matters which lie in the realm of actual experience.

Question: A participant asked about the course of the year, the Calendar of the Soul, definite constellations of the stars and whether one must be consciously aware of these.

That is not essential. You mean observation of the constellations as they are at a particular time. It is, of course, a help if one is able to look at the visible constellations. But if I have understood you aright you mean: How are things, really, if we allow the formulae we have been given to work upon the soul? These things work through their own inherent mantric power; orientation in the outer world according to the stars can, of course, be a help but you must remember the following. Take the most striking example of a human-cosmic relationship that can still be observed today, namely the menses. It is obvious that they are determined cosmically yet they are not so determined in the present epoch. They were cosmically determined in a much earlier phase of cosmic evolution in which our earth was also involved. Then, in the course of time, they became independent, were emancipated from the external cosmos, so that nowadays there is no direct dependence. Therefore, one cannot say nowadays that the phases of the moon are coincident with menstruation. This cannot be said. But it is certainly true to say that there was once a time when the one coincided with the other; then they separated. The moon phases exist on their own. Menstruation takes its own independent course. Here is one example of separation. The other that I will mention is not governed by the phases of the moon but by the daily phases of the moon. Ebb and flow were once coincident with certain influences of the moon. Again there was separation. The moon is on its own, ebb and flow on their own.

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These things also hold good in the working of mantric power. Mantric power is certainly of such a nature that what happens in the human being as a result of it was at one time coincident with cosmic processes, but separation has now taken place, so that a proper orientation is necessary. If we want this help from the outside world we must say to ourselves first of all: What is to happen in the inner being is inscribed in the cosmos. But in contemplating this we must make ourselves inwardly independent and be able to experience inwardly and quite on our own, emancipated from the cosmic happenings. Therefore it is not unconditionally necessary to reckon with the constellations of the stars in the working of a mantram. Equally it cannot be a question of the menses being regulated according to the external phases of the moon, because the menses have become a process of the world of nature. Today it is the case that the whole of our inner life that is to be influenced by mantrams must take place in emancipation from the outer cosmos.

In connection with other subjects I have often had to speak of this as the difference between Eastern and Western esotericism. The whole standpoint of the oriental is this: the human being has come forth from the cosmos, he must return there, he must be united with the cosmos again. Think of the posture of the Buddha. It is a return to earlier conditions. This is shown by the Buddha's whole posture, the crossing of the legs one over the other, the elimination of the limb structures. The position of the arms, too, is such that the whole relationship to the earth is paralyzed. We see how the human being again members himself into the cosmos. He goes back again. So it is, in reality, with the whole of Eastern esotericism. It is a going backwards. Our Western esotericism can only be a going forward, an ever-increasing emancipation. For this reason it is not so inwardly comfortable and when applied in certain domains particularly it does not make for inner ease.

Of course, if you have some specific, pathological condition before you, and when you look at the constellations you find, for example, that the condition definitely set in when Saturn was in opposition to the moon, this naturally has a certain significance. For if you now come as a healer with Saturn and moon, that is to say, in earthly terms, with lead and silver, saying: I will apply the lead cosmically and the silver in the earthly form, trying to pulverize it, to dissolve it; I will change it into the earthly form, thereby producing the same constellation that is expressed in the heavens in the opposition to the moon, then you can heal in the sense of the cosmic forces. But at the same time you bring the human being into a condition which throws him back into earlier stages of evolution. Whereas if you take your start directly from the given earthly state—the connection of the human being with lead, with silver—then you are working in something that is in a process of emancipating itself within the human being and you are looking not into the past but into the future. In this case you will certainly be doing something similar, but you get at it from within, by getting to know the nature of the lead and the silver, realizing that the lead works as substance, the silver through what it actually becomes when it is broken into pieces, dissolved, resolved into atoms. But you are comparing it with the human nature that is already emancipated, not with the cosmos. This is the way in which one must proceed. Therefore it may certainly be a help to think about the actual constellations of the stars. But to begin with, we shall have to use all our power to lend ourselves to the inner activation of soul by the mantric formulae we have been given, and seek for everything more from within.

Question: What must I do out of the ego when I am meditating?

From out of the ego? Meditation consists, does it not, in the following. As a modern person you feel that you must understand every sentence. This is emphatically an activity of the ego in the present incarnation. Everything you do intellectually is an activity of the ego. In the present incarnation the intellect predominates and everything else is overshadowed by the ego, works upwards at the most like a dream, and is unconscious. In contrast with this, meditation means elimination of this intellectual striving and, to begin with, taking the content of the meditation just as it is given—purely according to the sounds of the words. When you approach the content of the meditation intellectually you bring your ego into movement before you absorb the meditation, for you think about the content; it is outside you. If you let the meditation be present in your consciousness just exactly as it is given, not cogitating over it at all but simply letting it be in your consciousness, then your ego is working in you not from the present incarnation but from the past. You hold the intellect still, simply transporting yourself into the word-content which you hear inwardly, not outwardly; you transport yourself into this word-content and as you do so your inner being works within the content of the meditation—the inner being which is not that of the present incarnation. But thereby the content of meditation becomes—not something for you to understand merely—but something that works within you in reality; so that finally you become aware of: Now I have experienced something I was unaware of earlier.

Take a simple meditation which I have often given: “Wisdom lives in the Light.” If we think about this we can extract many very clever things but equally frightfully stupid things from it. “Wisdom lives in the Light” is there in order to be heard inwardly. When you hear this inwardly that within you which listens does not come from your present incarnation but what you have brought with you from former earthly lives. It is this that thinks and experiences, and after some time there lights up within you something you did not know before, that you cannot think out with your own intellect. Inwardly you are much further than your intellect. Your intellect contains only a tiny extract of what is really there.

After all, you must take what is given in Anthroposophy absolutely concretely and objectively. Just think about the following: With the change of teeth the human being really renews his whole physical body. This must be taken as a fundamental fact. That the human being gets second teeth is really only the most external symptom of all, merely, a fragment of what is going on. Just as the so-called milk teeth are replaced, so is the whole human organism replaced. After the change of teeth, so far as his physical substance is

concerned, the human being is entirely new in comparison to what he was when he was born. The modern view which jumbles everything together is that the human being is born, passes through a metamorphosis with the change of teeth and then goes on developing. It is not like this. The truth is that when the human being comes physically into the world he has, as well as the so-called milk teeth, a body that is a product of hereditary development. He has received a body that is the product of what is contained in the whole line of ancestry. The physical body of the first seven years—if we express it in figures—comes from here. From the seventh to the fourteenth year the human being has a body, too, but this body has not been produced from the first by transformation. What the human being has brought with him to the earth has intervened here.

Picture it as follows: the human being has had his body. This body which has come to him from the line of heredity is a model; he has it as a model. Into this body he takes earthly substance. If he were to work only with the forces he brings with him from pre-earthly existence he would elaborate this earthly substance which he takes into his body in the first seven years into quite a different form. He would call forth quite a different form. He does not come at birth with the tendency to give form to a being with eyes, ears, nose, like the being who stands on the earth. He enters with the tendency to structure the human being in such a way that very little is structured by way of the head through his pre-earthly being; it is especially upon everything else that the greatest care is expended. What is stunted in the embryonic life is developed in the astral, in the ego organization. Of the physical embryo, therefore, we must say: Physical nature in the embryo is developed in a wonderful way but the pre-earthly human being has very little indeed to do with it. On the other hand the pre-earthly human being plays the very greatest part in all that lies around the embryo. It lives in what is demolished in the physical world, amnion, chorion, and so on. Within this lives the pre-earthly man.

You can picture it rather like this. To begin with, the cosmos is copied. This is what the human being wants, in reality, to do when he has come down from the pre-earthly into earthly existence. Why does he not do it? Because a model is already provided. And in accordance with this model, with the substances received, he transforms the pre-earthly during the first seven years of life. His inherent tendency would be to form a more spherical being, a being organized into a sphere. This is transformed in accordance with the model and so the pre-earthly forces work out this second physical man who is there from the seventh to the fourteenth years, but to begin with, by adhering to the model which comes from the forces of heredity.

There, you see, you have two, actually distinguishable entities of forces in the human being. How can you understand these force entities? Take, with the outlook and feeling of the physician, the book Occult Science and read where the earth's evolution is spoken of. At first there is a Saturn evolution, then a Sun evolution. If you follow the description of the Earth evolution you will find that until the separation of the sun, sun, moon and earth were one, combined together in one. Afterwards there is a separation of earth and sun, earth and moon. Up to the middle of this evolution, therefore, the human being lives in the cosmos. He lives in sun and moon just as he lives in the earth. After the separation of the sun he lives outside the sun; after the separation of the moon, outside the moon. Until the separation of the sun, therefore, the cosmic forces were working upon man's nature; those forces, too, which are today outside the earth in the moon and in the sun were working in the human being because he belonged to the world in which the sun and moon were still present. There followed for the human being an evolution during which sun and moon were outside.

There was a phase of evolution which contained within it all that today is both earthly and of the nature of sun and moon; later on, the extra-earthly emancipated itself from the earthly. The earthly went on along its own path, it dried up, hardened, became physical—and you find this today in the stream of heredity; it has densified within the stream of heredity. What the human being has received since the separation of the moon and sun lies in the forces working in from the cosmos. That is the point. So that in the model that is received in order that the second man may be elaborated, you have a model that really represents a primeval, artistic principle given by father and mother, originating when sun and moon were still united with the earth. It was then that the forces which really give the human being his earthly configuration were developed. For you will readily understand that the configuration of the human being is an earthly one. Try to think of the being of man entirely removed from the earth. What could be done with it? You would be extremely unhappy if after death you were to make use of anything like legs. Legs have purpose only when the earth's forces of attraction pass through them, when the legs are within the sphere of the earth's forces of attraction. Legs—and arms and hands, too—have meaning and purpose only on the earth. So that a whole section of the human organism, in the way it is developed, has purpose only when we are earthly man. What we are as Earthly man has no meaning so far as the cosmos is concerned. Therefore when we come to the earth as beings of spirit and soul, our wish, to begin with, is to form quite a different organization. We want to build a sphere and to generate all kinds of configurations within this sphere, but we have no wish for this being with whom the cosmos itself can do nothing. This being is given us as a model and we build up the second man in accordance with this model.

In the first life-period, therefore, there is a perpetual struggle between what comes from us out of the previous incarnation and what comes from hereditary development; the two elements fight with each other. The illnesses of childhood are the expression of this fight. Just think how intimately the whole inner being of soul and spirit is bound up with the physical organization during early childhood. When the second teeth appear you can see how they push up against the first, how they still have tussles with each other, and in this same way the whole second man has tussles with the first. But within the second man there is the super-earthly being; in the first a foreign, earthly model. These two work into one another and if you observe this inter-working truly you can see how, if the inner man, who as a being of soul and spirit was present in pre-earthly existence, has too much the upper hand for a time, working into the physical very strongly and having, willy nilly, to adjust itself by dint of effort to the model, that it damages the model by striking up against it everywhere, saying: I want to get this particular form out of you—then the fight expresses itself as scarlet fever. If the inner man is tender, so that there is a continual shrinking back, a wish to mold the in-taken substances more in accordance with their own nature, and resistance is put up to the model, the struggle comes out as measles. What is, in reality, a mutual struggle expresses itself in the illnesses of childhood. Moreover, it is only possible to understand truly what comes later if these things can be properly reckoned with.

It is, of course, very easy for the materialists to say that all this is stupid, because children still retain a likeness to their parents after the change of teeth and not only up till that time. Such talk is nonsense. The fact is that one being is weaker, directs himself more in accordance with the forces of heredity, builds up the second man with a greater resemblance to the model. This naturally comes out in the appearance, but the same thing has been going on when the being has adjusted itself more in accordance with the model. On the other hand, there are human beings who after the change of teeth become very unlike what they were before. In such cases what comes from the pre-earthly life of soul and spirit is strong and they adhere less to the model. We have therefore simply to see these things in their right connection.

The following, too, must be remembered. Everything that has to be taken in must, in the first place, be taken in by the child and elaborated inwardly in such a way that the ego and astral body enter into intimate contact with the foodstuffs. Later on this need not be the case any longer. The human being is never afterwards in the position of being so strongly compelled to work out, according to a model, something that is independent as is the case during the first seven years of life. During those years he must work up in his ego and astral body everything he takes in; he must work it up in such a way that it can be molded in accordance with the model. This process must be helped; and the world has arranged for it, inasmuch as milk is able to bear a very great resemblance indeed to an etheric structure. Milk is a substance which really still has an etheric body and because this substance, when it is taken by the child, still works up into the etheric, the astral body is able at once to take hold of the milk and then there can arise the close inner contact between what is thus taken in and the astral body and ego organization. For this reason there is an inward, intimate connection in the child between the external foodstuffs and the inner organization of spirit and soul.

In the whole way in which the child drinks milk you can actually see how his astral body and his ego are taking hold of the milk you can see it with your very eyes. And now, as a physician, you must realize the remarkable process of working up what is going on. On the one side, meditate in mantrams, letting the mantram work upon you, freeing your forces of soul on the one hand; and on the other hand, meditate simply upon the child. Picture to yourself how the being of spirit and soul comes down and makes its way to the physical foodstuff, ignoring the model to begin with, and then picture what is going on between the being of spirit and soul and the foodstuff—a process that is now directed in accordance with the forms contained in the model. If you form a true picture of an excessively strong working of the spirit and soul, the picture crystallizes into that of scarlet fever. A picture of a too feeble working of the spirit and soul which wavers in the face of the model and becomes the picture of measles.If you picture these things in meditation you carry over ordinary meditation into medical meditation. It is dreadful that people today want to grasp everything with the intellect. In medicine really nothing can be grasped with the intellect. With the intellect one could at the very most grasp the diseases of the minerals—and there it is not a question of curing. Everything medical must be grasped by direct perception and the faculty for this has to be developed.

You cannot notice this process in a grown-up person. The digestive tract takes over the foodstuffs—it is a process transacted inwardly; whereas in the child, astral body and ego take over the foodstuffs. Unfinished forms of human nature have there to be directed and fashioned in accordance with the model. When you meditate upon the child, you see a mighty metamorphosis going on. You see the spirit and soul lighting up, as it were, and the in-taken foodstuffs cast into darkness and shadows; you see there how the second man is formed out of light and darkness, in colors, as it were. You see how the pre-earthly in man is a brightness and how the external foodstuffs are a darkening. In the child a brightness comes upon the darkness, a brightness that comes from the pre-earthly. The milk goes in as darkness. The brightness and the darkness together give rise to manifold colors. What is white in the physical is black in the spiritual; always the opposite.

These things make it possible for the ego to be active in quite another way than is usual in life. What a feeble effort it is that we make in the act of ordinary, intellectual thinking. Intellectual activity is man's greatest weakness. He simply carries one concept to another. But if you observe the child in the way now described you will meditate in such a manner that your ego organization is thoroughly involved in the effort.

These things, in their further course, must also be heeded in our pedagogy. In a school like the Waldorf School we have children between the ages of seven and fourteen. At this age things have changed. The second man has been developed. The child before us has been molded out of pre-earthly existence according to the model that has been cast off; forces of heredity, naturally, have remained in the child. They have been brought into the model, into the imitation of the model. The child is now much too unearthly. For now the forces that come from beyond the earth have worked on the child with special strength and the swing of the pendulum has gone to the opposite side. Formerly, this was externally visible in the human being; he was entirely the product of heredity. Now that which is to be seen externally has arisen entirely from within. It is the external world that has now to be mastered. What has hitherto worked without consideration for the earthly world, with consideration only for the human model, must direct itself to the outer world. Between the seventh and fourteenth years, astral body and ego organization must work in such a way that this super-earthly being is again adjusted to the external conditions of earth existence. This process has its culmination at puberty. At that age the human being is placed wholly within earthly conditions; he enters into his relationships with earthly conditions; the earthly is membered into his being. Therefore the element of greatest importance in the generation of the second man between the seventh and fourteenth years is what the human being brings with him from pre-earthly existence. For this reason his own specific karma only begins to work after puberty. Then the earthly works in. A culmination is reached at puberty and the third man now begins to develop.

The second man—so far as the substance is concerned—is thrown off and the third man is developed. The process does not reach so far as actual form, it only gets as far as life. If it were to get to form, we should get third teeth, because the human being is now governed by external conditions. Within these outer conditions it is the case that the human being again takes in what is extra-human. When he was being governed by the model he was directed entirely in accordance with the human. So long as he was governed by the model he was governed by something passed on by heredity. But in this there lies, in reality, something that is dried up. Since the separation of the sun it has really broken off from the root of his being and is dried up, withered. Therefore the forces of heredity contain the most pathological forces and when he is governed by the model the human being really absorbs innumerable causes of illness. He absorbs few such causes during the period after the change of teeth because then he is governed by the external world; climate, everything contained in the outer air, etc., are less harmful. Between the seventh and fourteenth years the human being is healthy; then again there begins a period when he is again susceptible.

All these conditions must be observed in such a way that you have the picture of man in your mind. If you have this picture of man in mind, then you also meditate rightly. Then you will be able to combine what you learn with what you meditate upon and what you have learned does not remain theory but becomes practice, because you uncover the power that enables you to perceive these things. This is what is so urgently needed today. It is impossible to achieve anything in medicine so long as we persist in thinking that evolution goes forward in a straight line. The human being is in reality constituted from separate streams of development which take their course in periods of seven years; what comes later is linked to what is earlier; it is not a one-sided continuation but different conditions are always intervening. Continuous evolution in this sense, where the earlier alone is the cause of the later, is only to be found in the mineral kingdom, less in the plant kingdom and least of all in the human kingdom.

Let us try to picture the plants. How do people proceed today when they picture the plants? There is the soil of the earth. The seed is pictured as being laid into the soil and then the plant grows out of this. People are naive enough to think as follows: Hydrogen is a very simple molecule, consisting of two atoms. All kinds of things are imagined to form combinations. Alcohol is certainly a very complicated molecule. Carbon is there combined with hydrogen and oxygen and then one has something more complex. And now there come still more complicated substances with more and more complicated molecules. There was a period during the eighties and nineties of the last century when the titles of these were very complicated, consisting of more than three lines in length. Yes, the molecule has become terribly complicated! And now still more so. Then it becomes a seed, and a seed is a most highly complicated combination. Then the plant grows out of the seed. But all this is nonsense. The basis of the seed formation is, in reality, that earthly matter tears itself away from the principle of structure and passes over into chaos, becomes chaotic, contains no more forces of matter in itself. Then, when no earthly structure is present, what is working out of the cosmos can assert itself. The cosmic declares its readiness to mirror the cosmic structure in the minute. In the seed formation the “nothingness” asserts itself over against the earthly and the cosmos works into the nothingness.

Frau Dr. Kolisko could tell you an interesting fact which entirely confirms this. During investigations into the function of the spleen we took small rabbits and excised the spleen. In spite of this the rabbits were quite well. They did not die of the operation, but a long time afterwards, from colds. It was quite possible to see how the rabbits live on without the spleen. When one of the rabbits died, we were able to see what had happened and in the place of the spleen there had appeared tissue which had assumed a decidedly spherical form. What had really happened? We had excised the physical spleen and by doing this had artificially driven earthly substance into chaos, made it accessible to the cosmic forces, and something resembling a seed formation had come into being. There had arisen, in an extremely primitive form, something that resembled the structure of a seed—an image of the cosmos. This quite harmless vivisection, therefore, confirmed a matter of great significance, for this is what appears to spiritual-scientific observation.

Take a quartz crystal. It is an earthly thing. Why? Why is the quartz crystal an earthly thing, retaining its form really in a very pedantic, rigid way? The quartz gets its form from an inner force and if you break it apart with a hammer the single parts always retain the tendency to be six-sided prisms, self-contained, six-sided pyramids. This tendency is present. You can as little rid the quartz of this tendency as you can get pedantry out of a man who is pedantic by nature. You may atomize a pedantic person, but he will still remain pedantic. The quartz does not allow itself to come to the point where the cosmos can do anything with its forces. Therefore the quartz has no life. If the quartz could be pulverized to such a degree that in the single fragments it no longer had the tendency to be governed, in the single fragment, by its own forces, something living and cosmic would grow out of the quartz. This is what happens in the formation of a seed. In the seed, matter is driven out to such a degree that the cosmos can intervene with its etheric forces. The world must be seen as a perpetual entering into chaos and again an emergence from chaos. What is contained in quartz also came at one time from the cosmos, but it remained at a standstill, has become Ahrimanic. It no longer exposes itself to the cosmic forces. As soon as anything enters into the realm of the living it must always pass through chaos.

This again is something which will help you to meditate in the sense of medicine. And you can also picture the developed plant—how it grows from leaf to leaf, and so on. You come to the formation of the seed in the fruit. Whereas you otherwise picture the seed plant as brightness it now becomes dark, quite dark. Then again comes the light, when the forces from outside take hold. In this way, too, you can make an imaginative picture from the being of the plant. When you are aware of an object which you call “plant”—then it is an imaginative meditation. You should not remain in the sphere of the intellectual but in the sphere of the concrete, inner picture. The intellectual element is merely there for the purpose of presenting what is known, in the form of thoughts.

Suppose you write down the word Menschenkind. This word is taken from something that has been perceived. Very well. The word Menschenkind reminds you of a Menschenkind (a human child). But suppose you take the word and say: I like the i, so I will put that first, I like the n, so I will put that next, then the sch and so on. You can put the word together in a different way but nothing that you can make anything of will come out of it. This is what people are doing with concepts all the time. The concept is only the spiritual term for the perception. People separate and combine concepts and think in acts of thinking. They do this, too, when they are observing the external world. They cover up observation with thinking and so they live today outside reality. This is possible as long as one is working with the science that stands outside reality, with geometry and arithmetic. But if we want to go in for medicine we cannot stand outside reality. If we do, then we also stand outside reality in medical practice itself.

Today I should like you really to speak out what is in your minds so that the discussion can center around it.

Question: A question in the hearts of all of us is how to succeed with the meditations that we have been given. At what times ought we to do them, ought they to be done in rhythmic sequence, how ought they to be done, ought those given at Christmas to be done at the same time as the others? We think that at any rate most of us feel rather oppressed with all the substance that is contained in the meditations and we do not yet know how to live with them properly.

In these things one really ought not to give such strict indications for this would be to encroach too much upon the freedom of the individual. If things are looked at in the right way it is not likely that there will be any feeling of oppression. When the meditations were given here at Christmas it was also indicated in which direction they move the soul. It was said—and the same applies to the meditations that are now being given in the First Class—that with these meditations it is rather different than when someone comes and wishes to have a personal meditation. In the case of a personal meditation one must naturally indicate whether the meditation should be done in the morning or the evening, how the person must act in the sense of this meditation, and so on. These meditations are intended to be part of the esoteric life of the individual according to his capacities and his karma. They then lead of themselves to the individual not remaining in isolation but unfolding within himself the impulse to recognize those who have similar aspirations. Such meditation must be regarded as a personal meditation.

So far as the other kind of meditations are concerned it would be good if they were done at a definite time or in special circumstances, or when accompanied by definite circumstances. In giving all meditations like those of the esoteric instruction given at Christmas, one has in mind the goal that is striven for. And then it is a matter of using the circumstances of one's life, the special situations of one's life, to make such meditations. Such meditations are done when one finds the necessary spare time for them—the more often the better. They will always have their effect. Precisely with such meditations the striving should be for personal development. One should try to find the link from the results that happen in the spiritual life, and one will, moreover, find it. In reality, the feeling of oppression would come if definite rules were laid down in regard to individuals or a group doing them at the same time as you say. Moreover this would lead to the meditation losing something that it really ought to have. Every meditation, you see, is impaired if one starts from the feeling that it is one's duty to do it. You must bear this well in mind. Every meditation is impaired by the feeling of being obliged to do it. Therefore in the case of the personal meditations it is absolutely necessary for this personal meditation gradually to become something that the human being feels in his soul to be like a thirst for meditation. Those who really thirst for their meditation just as a man eats when he is hungry, do their morning and evening meditations in the best way. When meditation becomes something without which a person cannot exist, when he feels that it is part and parcel of the whole life of his soul, then he has the right attitude to meditation.

With the other meditations, what matters is the inner desire, the inner will to become a physician and to say to oneself: “This is my path and I will meditate as often as I possibly can. I realize that when I do the one or the other meditation, it has this or that aim.” Out of the free, inner will of man, therefore, there must arise the urge to such meditation, to the carrying out of such a meditation. It is really inconceivable how anyone can feel a sense of oppression. For why should anything for which one thirsts inwardly, also give rise to a sense of oppression? If it oppresses, it has already been made into a matter of duty and that is just what meditation should never be. It should never be a matter of duty. Precisely when it is a question of becoming a physician, the following ought to be taken in the very deepest sense: The conception of becoming a physician ought not to be as it is today, namely, entering a profession. One ought really to become a physician because of an inner calling, an inner devotion to healing. This general urge to be able to heal is the true accompaniment, and one is then led towards the goal. Perhaps in few professions is it so harmful as it is in the profession of the physician to think of this profession as an external duty. Love for humanity must be implicit in the physician's profession. A physician should find his bearings quite naturally in his work.

Now, although in modern medicine, in modern medical studies, it is not very favorable for real healing when people become physicians just because they must become something or other and because the medical profession seems for some reason to be desirable, it is still worse when someone thinks he can become a physician artificially, through meditation, without feeling this thirst of which I have spoken. If the aim is a true one, ancient esoteric methods of development demand infinitely more than an external decision; and they do much more harm than external circumstances of life if they do not spring from the right attitude of soul. But you must also have a right conception of what I have here called the “attitude of soul.” What we call karma is not, as a rule, taken very seriously in life. An inner vocation arises, of course, because karma has put a person in a certain place. We must realize that to follow something out of a sense of duty is injurious, but to follow karma is something that accords entirely with the direction of human evolution. The karma of all of you has brought you to work in medicine, and now if only you will look deeply enough within yourselves you will find that you really do feel the thirst of which I have spoken. And you will find, too, the moments and hours when you want to do such meditations.

Now just when one takes up such a serious profession in all earnestness, the following (which has happened frequently since the Christmas Foundation Meeting) really should not be. It is not connected directly with medical work, but it is connected very strongly with the “human universal” inasmuch as it exists within the general Anthroposophical movement, and so it is also of importance to you. I shall speak about it in another place, but because it holds good very specially for you, I will say it here too. It was said at the Christmas Foundation that a new character must come into the Anthroposophical movement, that inner work must be done. Now many people drew a strange conclusion from this. There are people within the Anthroposophical movement who have definite positions and offices. Such people have written: Yes, I understand perfectly that a new character is to come into the Anthroposophical movement. I place myself entirely at the disposal of this, I do not want to remain in my old position. But this can never lead to anything. It can only lead to something when the person concerned knows that at the place at which he stands he must find his development, find it in reality, also in connection with the faculties which he uses and applies. This, naturally, is the case with you who have begun to work in the medical profession. You must regard it as karma and you must realize that your work in the future will be tremendous. You must realize, secondly, that the thirst of which I have spoken, the thirst to approach the true preparation for medicine by way of meditation, is also to be found in the soul.

This is what I wanted to say about the practice of meditation. Each meditation should enlighten and support the other. It may well be that some one meditation has worked strongly, and now you must do a different one in order to strengthen the effects still more. You do one meditation once, twice; you do another twelve times. This is something that comes when you really take to heart what is given as a meditation, when you experience it inwardly, and also when you take to heart what has been said about the goal of meditation. We must use this opportunity for developing much that was touched upon at Christmas.

Question: My conception was not that it was a question of meditating at definite times, but in spite of that I was aware of a sense of oppression because I considered it a duty to do this meditation and often I was not really fresh enough to feel it as a need. Perhaps this is due to the fact, in my case at least, that up to now I have not had the attitude that one ought to have as a physician, that I have not had the real will to heal. I think it has been the same with one or two of us. Many of us have not become physicians in order to heal, but we have become physicians because of the great interest that we had in getting to know the nature of man, his conditions of disease and his normal conditions. We approached medicine entirely from the side of knowledge. Up till Christmas the will to heal was something entirely foreign to me; and so, to begin with, my work made me very unhappy because I had a great deal to do and at the beginning was too tired for meditation. But this work brought me more together with patients so that now I have an inkling of what it means to have the will to heal, and I think that now I shall be better able to meditate because this springs from a real need. Meditation can then really be seen as a path to the goal. Precisely this devotion to human destiny, this sympathy that one feels as a physician for everyone—this, and the will to heal which was not indicated through one's studies which lead to medicine more from the side of knowledge—is surely something that, until recently, has caused difficulties to many of us.

You must remember the following. When, in the sphere of medicine you divide these two things, the side of knowledge and the will to heal, it is a contradiction of the reality. It is very important to realize what is at stake here. Knowledge of the nature of man is necessary in many different fields of human activity. In pedagogy, for example, the essential starting point is a knowledge of the nature of the human being. In other domains, too, there must be knowledge of the nature of man if we have an eye to realities. Knowledge of the nature of man is essential for everyone who wants to get beyond superficialities. It is necessary for everyone. The fact that knowledge of the real nature of man is not sought for in many fields of activity is a consequence of the errors into which modern civilization has lapsed. In a certain sense this knowledge is sought for—although it cannot be found there because it can only be found today by way of Anthroposophy. It is sought for by theologians (I mean by the ordinary theologians). All kinds of people are looking and seeking for knowledge of the being of man. The only ones who are not seeking for it are the lawyers, because jurisprudence today is something which simply cannot be said to take hold of the realities of the world. The essential thing is that knowledge of the human being has to be somewhat specialized in the various domains of life. The physician needs a rather different kind of knowledge from the educator—a rather different kind only. It is necessary for educators to know as much as possible about education. There ought certainly to be connecting threads; there should be a hither and thither between the one and the other field of activity, based upon knowledge of the human being.

So far as concrete details of knowledge of the human being are concerned, the following must be remembered. You spoke about knowing the conditions of disease in a human being. This is a preconception—the outcome of materialism. In itself it is a materialistic preconception. Taken in the concrete, what does it mean to know the conditions of disease in the human being? How can I know anything about a disease that is localized, let us say, in the liver, in the spleen, in the lungs, in the heart? How do I get knowledge of it? When I know what kind of healing process might be capable of overcoming the process of disease. In reality the process of disease is the question and one remains at a standstill at this point if one's only aim is to get knowledge of the process of disease. The answer is the healing process. We know nothing at all about a process of disease when we do not know how it can be healed. Understanding consists in the knowledge of how the morbid process can be eliminated. Without the will to heal there can be no medical study in the true sense. To know conditions of disease means nothing. Without passing on from the pathology to the therapy one would simply be concerned with the pathological aspect, imagining that one was thus getting knowledge of the human being. One would simply be describing a diseased organ. But a description of this kind is quite inadequate; is not of the least value. So far as mere description and abstract knowledge are concerned there is no essential difference between a healthy or a diseased liver. In the sense of natural science there is no distinction to be made between a healthy and a diseased liver. The most that can be said is that a healthy liver is more frequent than a diseased one. But this is an external condition. If you want to get knowledge of a diseased liver, you must go into what is able to heal the diseased liver.

Upon what does healing depend? It depends upon knowing which substances, which forces must be applied to the human being in order that the process of disease may pass over into the healthy process. Such knowledge is transmitted, for instance, by the fact that one knows: Equisetum, within the human organism, takes over the activity of the kidneys. When, therefore, the activity of the kidneys is not sufficiently cared for by the astral body, I shall see that they are cared for by equisetum. I give support to the astral body by means of equisetum arvense. Here for the first time is the answer to what is really happening. The same process in the external world which leads to equisetum also takes its course in the human kidneys. The equisetum process must be studied in connection with the kidneys. This leads us to the domain of healing.

Thus it can never be a matter of pathology in a merely abstract sense or of a description of conditions of disease—all this amounts to nothing in reality. Our picture of a condition of disease should be that such and such a remedy works in such and such a way. The feeling that we have about knowledge in all domains of life should lead on to reality, not to formalism. It was always so when knowledge was everywhere connected with the Mysteries. In the Mysteries, knowledge was inevitably withheld from those who merely desired it in the formal sense and imparted only to those who had the will to lead over this knowledge into reality. Is that an answer to your question?

Question: I may have expressed myself rather radically when I spoke only about health and disease. In point of fact, I do consider the way in which the human being should be healed also to be a part of knowledge. I meant something rather different, namely, that one may know how a person can be healed but may not have the will to heal him. Up to now I have not, inwardly, had the impulse only to understand the human being in order to heal. I had not the impulse to let the whole of my work and studies and knowledge be filled entirely with the realization: I must be capable of healing the human being.

That is hypertrophy of knowledge.

Question: This is a fact with me and I wanted to speak about it because it is so. Perhaps it sounds very strange.

What I am going to say may sound very trivial and simple. It is as well that this kind of attitude cannot make clocks, for if it could, you would have clocks put together quite correctly according to the clock maker's art, but they would not want to go. By letting his will hypertrophy towards the one side or the other, a person can develop this or that, but the result will be of such a nature that it is not in line with the healthy evolution of human nature. Knowledge of healing should simply not exist without the will to heal. Today you ought to be speaking of something quite different. You should really be saying: “Yes, I have studied medicine for a short time and now I have an ungovernable will to heal. I must restrain myself so that this will which comes from knowledge does not break loose in such a way that I want to heal all the healthy people!” This is really not a joke. The voice should be a voice of restraint. It should simply not be possible to say: “I have striven for the knowledge of healing but not the will to heal!” For a knowledge that is real cannot separate itself from the will—that is quite impossible.

Question: I think that what was expressed in the previous question is a condition brought about by the kind of studies that are pursued at the universities. It seems to me to be a final result of such studies. The aim of all medical science is really knowledge, without leading over to the therapeutic aspect. In the lecture halls and the clinical courses one hears a little about diagnosis and when the professor does not know what to do until the new patient is brought in, he throws in a few words about the therapy. In a course on gynecology once, the lecturer spoke about the work of the physician in his practice. “Has it not struck you,” he said, “that in reality so little is said about therapy? You will realize this for the first time when you begin to practice. That is what happened to me. I had a head full of knowledge and then I realized the other.” Then he said that five minutes were given to the therapy and forty minutes to the diagnosis. Nobody realized that during all their studies they had heard nothing about therapy. This leads me to a question, because this fundamental attitude of modern science causes me many difficulties and conflicts. As a physician I was looking for something different in scientific medicine. This entirely superficial attitude which leads to all kinds of things, especially in diagnosis, often gives rise to results that are really repellent. Let me give an example. A patient came to me and asked, could I not help her? She suffered from recurrent inflammation of the frontal sinuses and she had been many times to a specialist. Among other things perforation had been done by way of the nose. She said she could not bear it any longer, she felt that the whole interpretation of her condition was too physical, and she asked if I could not help her in some other way. This attitude that the patient had realized is universal. It simply gropes on the surface and leads nowhere. It can only remain on the surface and it cannot lead to the real state of the case. And so I have often asked myself: Is it really good or indeed is it necessary to go so deeply into these methods which are considered a sine qua non in medical studies—methods which simply reach the point of monstrosity in gynecological research and simply have no relation to the final outcome? Is it necessary to go through all these things? I have the feeling that any instinct for healing which may exist is suppressed entirely by going through these things. I would like to mention something told to me by a former colleague. He was speaking of a peasant doctor in the Bavarian Alps who used to perform all kinds of orthopedic cures with such skill that he became famous. An orthopedic specialist in Munich got to hear of what this man was doing, went to see him and told him that he should come to him in his clinic. This man saw all the apparatus in the clinic and the specialist told him to show him how he worked. The peasant doctor looked at it all and from then onwards he could no longer cure people. Ought we to go through all the methods of scientific medical training or ought we to avoid them as far as is at all possible?

When you approach the question in this way, it becomes extremely important. You are right in thinking that I did not want to speak about personal characteristics of the prior questioner but to describe the attitude that inevitably arises from the modern methods of study. The true kind of medical studies would never lead anyone to desire knowledge of conditions of disease or processes of healing without at the same time having the will to heal. Such a thing would never arise out of true medical studies. It arises because of the way medical studies are arranged today. It must be admitted on the one side that by far the greatest part of what the medical student has to learn today in his various courses has nothing fundamentally to do with healing as such as therefore burdens the mind with all kinds of impossible things. In modern medical training it is more or less the same as it would be to make a sculptor, let us say, learn first of all about the scientific properties of marble and wood with which, in reality, he is not concerned. A great deal of what is contained in the medical textbooks today or is done in clinics has little to do with medicine in the real sense.

The moment you pass on from the physical description—this was what the lady of whom you spoke felt to be too physical—the moment you pass on to the etheric body, most of the things in the medical textbooks lose their significance because the moment you come to the etheric body the organs present quite a different aspect. When you pass from the physical to the etheric body, intellectual knowledge alone will get you nowhere. You will learn much more if you learn how to sculpture, if you learn the hand grip, the feeling for space that is needed by the sculptor.

So far as knowledge of the astral body is concerned, you learn far more when you can apply the laws of music. From music you learn an enormous amount about the forming of the human organism, how this process of formation develops out of the astral body. Inasmuch as the human being is organized for movement, for activity, he is built up, in reality, like a musical scale. Here (back of the shoulders) begins the tonic; then it passes over into the second, then into the third in the lower arms, where there are two bones because there are two thirds. This brings you to truths quite different from those which are considered nowadays to pertain to a real knowledge of the human being and quite a different course of teaching would really be necessary for one who is approaching medicine in the true sense.

The modern form of teaching has arisen from the fact that therapy has become nihilistic. Not only in the Viennese school of medicine has this been the case, but everywhere it is the same. Among the professors and lecturers who represent the various scientific faculties there have, at least, been serious minds who, in spite of all their shortsightedness, were, at any rate, scientific. At all events a certain earnestness was present. But when one comes to those who lecture about remedies, the earnestness ceases. The lecturer himself has no fundamental belief in what he is lecturing about. The earnestness stops at the point where the therapy begins.

From where, then, is the will to heal to proceed? It must proceed from a course of medical studies such as I outlined in connection with the course given at Christmas, where I spoke of what the sequence of studies should be. That, of course, is very different from the things that go on today and do not lead to a real art of medicine. In most cases, the practitioner has to learn things by dint of great effort when he has left his medical school. This is often not an altogether easy matter because the things he has learned are not only useless but actually harmful to him. He cannot see the real process of disease because all sorts of things are memorized in his head and he cannot see the process of disease in its reality. That is the one side.

But now, you are a group of young physicians. In the spiritual sense you have to be something more. The best way to attain that would be to say: Leave all medical studies alone, there is no true medical faculty today where you can study medicine in the real sense—come here and learn the essentials. In the radical sense, that is what one would say. But where would you be then? The world would reject you, would not recognize you as physicians. The only course open to the young physician is to go through the whole thing and then be healed by what he can learn of medicine here. With all the repugnance that you may feel, you must take the orthodox and regular course of study. There is no other alternative; it is absolutely necessary. That is the other side of the picture.

People like magnetic healers and amateurs who dabble in medicine abuse the university schools, but that is no use at all. Those who know how things are and who are led by experience to real understanding—they will be the true pioneers of reasonable medical study. This should be your endeavor: to awaken public opinion about the state of affairs. You realize, of course, that it is not you alone who speak as you have done. There are many physicians who speak in the same way, but they need what can be given here. And why? When one is an intelligent person today and becomes a physician, having passed through the university, one can, of course, criticize orthodox medicine. One has passed through the whole thing and knows what one lacks. But this knowledge can become effective only when one has got something to put in its place. Only then can it be effective. This, of course, is the other side. And so you must not take what I am saying here in the sense that I have any desire to hold back young physicians from completing their study. Bad as it may be, it is still necessary today to eat the bitter apple. When it is possible to speak on the platform of things which ought not to be—then and only then will there be a gradual improvement.

In this connection, you see, there is still a great deal to be done. I think I have already told the story of how I was once invited to speak about some medical subject to a group of physicians in Zurich. A professor of gynecology was also there. I saw that he had come with the attitude: “Well, we will listen to this lunatic so that at least we can abuse him, being justified by the fact that we did actually hear what he had to say” He came quite honestly in order to be amused by listening to a lunatic. His manner grew stranger and stranger and he listened in a most peculiar way. It was very unpleasant for him to find that he was not listening to a lunatic, that it could not all be put down as pure nonsense. I myself found it most amusing. I said to him: “This has made a strange impression on you, professor.” He replied: “Yes, one simply cannot speak about it. It is decidedly a different point of view.” It is, after all, a sign of progress when one gets to the point where people say: “It is a different point of view.”

What is it that has arisen by the side of scientific medicine which, after all, still towers above anything that has been achieved by the medicine of amateurs? I know that laymen have made progress. But it amounts to nothing. The valve in a steam engine was invented by a small boy one day when he was bored. One could not say of him that he was really capable of constructing engines because he invented the valve. Those who abuse scientific medicine today are really not justified in abusing it for they are talking about something of which they have no knowledge. What we have to achieve is not to mix up anthroposophical conceptions in medicine with what is already in existence. If in doing so we succeed in showing that we are sincere and serious, then great progress will have been achieved.

As you are young, I would like especially to lay this on your hearts. Let the aim of all the esotericism you receive be to make you capable of working also in the world, so that the real will to heal may unfold. Your aim cannot be to shut yourselves off, each one in the chamber of his heart. You must work to the end that medicine shall make real progress, just as the aim of educators is to enable education to make progress.

It is not possible for me to speak in detail of how most things that go on today in medical studies are really not essential for the understanding of the healthy and the sick human being. But if you study what I have given in the various lecture courses and cycles, you will find it. Suppose when a baby is born we were to ask ourselves how it should be fed, imagining that it is not possible to feed a baby properly before one has given him some idea about the nature of the foodstuffs: so it is with many things today. What I mean to convey is that one should have the intuition to understand a process spiritually, not physically. In diagnosis it is often more necessary to go back to the early causes which may lie at a definite time, very far back in the case of some patients. Methods are taught today for recognizing the condition of the diseased or the healthy organism at the actual time when the patient comes. But what is lacking is the kind of thinking which enables one to say to the patient: Fifty years ago this or that happened to you and that is the primary cause of your illness. As a rule, physicians depend upon what the patient himself says, and that is unreliable. The first cause is the external cause—it comes from outside. A physician in Christiania once brought a man of sixty to me. He had all kinds of eczema which it was easy to diagnose. But nothing that was applied was any help. The physician brought him to me, and the state of things was quite clear—I mention one example from hundreds—if one is to help in such a case, one must know the real starting point. In this case it was not very difficult. I very soon discovered that thirty or thirty-five years previously the man must have suffered from severe poisoning. This was still working in him. I told him to try and remember what had happened to him thirty-five years before. He told me that nobody had yet asked him such a thing. He said that he was in school and beside his classroom there had been a chemical laboratory where he had seen a glass containing liquid. He was thirsty and he drank the liquid. It was hydrochloric acid and he was severely poisoned.

It is very important to know such things. They lead one beyond the condition of the moment. Thus it is often important, for example, with certain conditions of hysteria, to know whether the person concerned has undergone the shock of having been nearly drowned. These things must be gone into. We go into them quite naturally when we have real sympathy for the human being whom we want to heal, and all medicine must take its start from sympathy with the human being. If this sympathy is lacking, the most significant things will be forgotten. That is what must be remembered in this direction.

Do all of you intend to come tomorrow? If so, we will say more about these things. I wanted now—without giving any explanation, for that I will do tomorrow—to give you certain lines which may become a central meditation. If you think about these lines again and again they will help you to realize what is built into the human being out of the cosmos, out of the earth's periphery, and by earthly forces. If you ask yourselves in connection with the formation of the eye: How is the eye formed from the cosmos?—if you ask yourselves how a lung is formed out of the forces of the earth's periphery, out of the planetary forces moving in the elements of air and water—if you ask how metabolism in the human being arises in connection with the earthly—then, if you will meditate on these questions in the light of the following lines, you will learn to look into the real nature of the human being.