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Respiratory System Disorders and Therapy From a New - Louis Bolk ...

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In one form or another, the various typologies — <strong>and</strong> their corresponding<br />

anatomical/functional dominances — relate to the three germinal layers from<br />

human embryology: the ectoderm, mesoderm, <strong>and</strong> entoderm.<br />

In current medical literature, we still find typologies in psychiatric diagnostics<br />

in the description of personality disorders, in diabetology, <strong>and</strong> in disorders<br />

of (fat) metabolism. Until recently a typology was used in cardiology that<br />

encompassed two types of personalities (A <strong>and</strong> B) with a corresponding<br />

predilection for hypertension or myocardial infarction.<br />

4.8.2. What is the Role of the Acute Moment?<br />

Having a predominant constitution is, in itself, not a reason for illness. In the course of life,<br />

however, a number of exacerbations may develop when the illness is precipitated by an<br />

acute moment. Well-known examples are when hay fever flares up through pollen in the<br />

air <strong>and</strong> when constitutional eczema worsens due to stress or allergenic foods. The rise in<br />

blood pressure, the increase of stomach complaints, the provocation of an epileptic attack,<br />

or the worsening of headaches in stress situations are all examples of acute moments. In<br />

this sense, a cold, an acute sinusitis, or a bronchitis show where the ‘weak spot’ is, even<br />

if they occur only once in a lifetime. These acute moments may become a stress factor<br />

for the constitution of the person in question. What can be considered a stress factor for<br />

a person is dependent upon their personal characteristics, upon their constitution. The<br />

part of the constitution that is susceptible to stress factors, the ‘weak spot’, usually has a<br />

completely personal profile. Even in people with comparable constitutions, stress factors<br />

are individually determined. Patients are generally fully aware of their ‘weak spots’.<br />

4.8.3. Acute Moment <strong>and</strong> Constitution<br />

During an episode of illness, constitution <strong>and</strong> acute provocation come together. In the<br />

asthma patients we have described, the exacerbations were provoked by the following<br />

<strong>Bolk</strong>’s Companions RespiRatoRy system DisoRDeRs anD theRapy - 61

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