Types of indifference:
- Actual indifference
- Feigning indifference
1- Actual indifference- A actual indifference, in the sense of true emotional emptiness, can be caused by such acute physical ailments as influenza, pneumonia. mononucleosis, malaria,typhoid, and others. The patient is become too feeble to gather a mental or emotional response.
A-Carbo. veg.- Carbo. veg comes first to mind for the real indifference accompanying the state of collapse following a severe illness. "The whole mental state, like the physical, is slow. The mental operations are slow. Slow to think; sluggish; stupid; lazy. Cannot whip himself into activity, or rouse a desire to do anything. Wants to lie down and doze."-(Kent). " Indifference ; heard everything without feeling pleasantly or unpleasantly, and without thinking of it"-(Hering). "as if all life had drained away"-(Jan Scholten). "music which he loves does not affect him."-(Hahnemann)
These mental symptoms reflect one aspect of the well-attested Carbo veg. "sluggishness". Disintegration and imperfect oxidation is the keynote of this remedy.
B-Gelsemium- Another commonly prescribed medicine for indifference after an exhausting illness (influenza in particular) is Gelsemium. Here the mental "dullness, listlessness, and languor" -(Boericke) co-relate with to the patient's physical picture of ''droopy eyelids, heavy limbs, and complete absence of energy'' . It is a beautiful explanation of the law of similars, the state of both mind and body is reminiscent of the torpid, sultry languor induced by the intoxicating perfume of the yellow jasmine from which the remedy derives.
C-Cinchona (China)- The same may be said for China (Cinchona officinalis) whose indifferent state ("what formerly appeared to him in a bright, genial light, seems now to be lusterless, unworthy, and shallow"-Hahnemann), arises from extreme debility, great lassitude and weakness, usually associated with the loss of vital fluids (hemorrhages, drenching perspiration, diarrhea).
D-Opium- Opium's "stupefaction [and] indifference" are easily recognized by those familiar with the effects of opium and other opiates. ("complains of nothing, wants nothing; tranquil indifference to earthly things"-Hahnemann).The grand characteristic of Opium is the drowsiness, inertia, torpor, absence of sensation, absence of reaction, which appears is its general effects. In all complaints with ''great sopor; painlessness; complaining of nothing and wanting nothing'' required opium-(J.H. Clark).........''inability to realize or feel their surroundings''-(Kent).
E-Phosphoric acid- Indifference; prostrated and stupefied with grief; effects of disappointed love. Home-sick. A complete indifference to everything ; not a soporous, delirious, or irritable condition, but simply an indifferent state of mind to all things; patient does not want anything, nor to speak, shows no interest in the outside world. Listless, apathetic ; remarkable indifference to everything in life ; especially if there be emaciation and debility.-(Hering).
"Mental enfeeblement" is the thought that will come into the mind when considering what the Phosphoric acid patient says, does and looks. The mind seems tired. "When questioned he answers slowly or does not speak, but only looks at the questioner." -(Kent)
to be continued...............