Acute flare-ups of insanity or frenzy almost always arise from internal psora. They should first be treated with apsoric medicines, followed by continued antipsoric (and possibly antisyphilitic) treatment.
An insanity or frenzy that suddenly breaks out as an acute disease from the patient’s usually quiet state may be occasioned by fright, vexation, drinking alcohol, etc., but it almost without exception springs from internal psora that, as it were, flares up like a flame. Such a case cannot be treated straight away, in its acute onset, with antipsoric medicines. Rather, it must first be treated with medicines (such as aconite, belladonna, stramonium, hyoscyamus, mercury, etc.) selected from the other class of proven remedies [i.e. , the apsorics]. These should be given in highly potentized, subtle homeopathic doses in order to dispatch the acute flare-up to such an extent that the psora returns for the present to its previous, almost latent state, whereupon the patient appears to recover.