A Case of Allergic Bronchitis

                                       

                                      A Case of Allergic Bronchitis

© 2013 Dr Vandana Patni 

Presented By

Dr Vandana Patni

A 14 year old girl presented with recurrent attacks of bronchitis with allergic rhinitis. Nose obstructed especially at night. Dry cough at night which wakes her. Attacks of difficult respiration which are further aggravated by walking and ameliorated by bending head forward. Wheezing during expiration. Asthmatic attacks precipitated by cold drinks and strong odors. Feels better by sitting. Have multiple freckles on the face.

All these complaints are occurring once or twice a month from childhood. Taking anti-allergic tablets and inhalers continuously but whenever she has an asthmatic attack, she has to take some antispasmodic drugs for bronchial spasm and sometimes rush for nebulization.

May 16, 2013

13 rubrics are chosen and repertorized in Radar.

Rubrics selected

NOSE - OBSTRUCTION

NOSE - OBSTRUCTION - night

NOSE - SMELL - acute

FACE - FRECKLES

RESPIRATION - DIFFICULT

RESPIRATION - DIFFICULT - bending - head - forward - amel.

RESPIRATION - DIFFICULT - walking

RESPIRATION - WHEEZING - expiration, during

COUGH - DRY

COUGH - NIGHT

COUGH - NIGHT - waking from the cough

GENERALS - FOOD and DRINKS - cold drink, cold water - agg.

GENERALS - SITTING - amel.

Medicines chart

Sep 13/31, Calc 11/25, Puls 11/24, Kali Carb 11/23, Sil 11/22.

Prescription:-

Sepia 200   3 Doses prescribed to take half hourly. Sac lac twice a day for a week.

May 23, 2013

Chest clear. Asthmatic respiration relieved. No cough. No obstruction of nose.

Prescription:-

Sac Lac for fifteen days.

June 8, 2013

No symptom and sign is detected. No complaint.

Prescription:-

Sac Lac for fifteen days.

June 29, 2013

Mild difficulty of respiration and nasal obstruction reported after exposure to dust. But symptoms are very mild as comparison to earlier attacks.

Prescription:-

Sepia 200  3 doses prescribed again with Sac Lac for fifteen days.

July 20, 2013

All the complaints were relieved on same day on june 29. No further nasal or respiratory symptoms.

Prescription:-

Sac Lac prescribed and advised to consult after a month.

August 20, 2013

No complaint.

Prescription:-

Sac Lac for fifteen days.

September 6, 2013

No complaint.

Since May 16, 2013 only one mild attack occurred on June 29. Earlier, attacks was occurring once or twice a month.

Prescription:-

Medicines discontinued and advised to contact on any discomfort.  

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Dr Vandana Patni

Dr R S Mann

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Contact: 9897271337

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Practical Hints on Homoeopathic Technique

Originally Published in “The Torch of Homeopathy”, January  1963, Vol V, No. 1.

Some practical hints from the experience of the leaders

Homoeopathic Technique

By

T. K. Moore, M.D.

Observations of those familiar with drugs effects on humans. Out of these part-truths will eventually come truth itself.

1.    It is impossible to learn homoeopathy except from a master. (G.Miller)

2.    Drugs are sick making and sick curing and the sickness is the same.

3.    The drug that can affect certain life processes adversely can be used to stimulate the selfsame life processes curatively. That is homoeopathy.

4.    Matter processed to finer and finer particles develops finally into energy and vice versa, the physical is but concentrated energy.

5.    The highly potentized remedy like processed pitchblende (radium) continues to radiate energy – year after year without perceptible loss. Homoeopathic remedies unused for 20 or 30 years cure as readily as those freshly potentized.

6.    Homoeopathy is absolutely inconceivable without the most precise individualization.

7.    The outstanding is the key to follow, no matter how remote this symptom may be from the pathology.

8.    Symptoms indicating the curative remedy often lie outside those that make up the pathology of the case.

9.    Hahnemann’s central idea is fundamental that the further an outstanding symptom seems removed from the ordinary course of disease the greater is that symptom’s value in determining the remedy. ( Boger)

10.  My inclination is to believe that there is real healing in crude drugs and that their action is homoeopathic, but as ordinarily used in continued application they have done more harm than their occasional good.

11.   The principle of homoeopathy is applicable to any range of potency. (Boger)

12.     After a remedy has acted, repeating the remedy too soon is one of the greatest mistakes that can be made.         (Boger)

13.     After a prescription giving relief, do not give a remedy for any new symptom appearing in a less vital part. (Lippe)

14.      In chronic cases do not repeat or change a remedy too soon. This statement needs to be repeated a thousand times. (Sloan)

15.      Minutes or hours in acute; days, weeks or months in chronic. Never repeat while amelioration holds. (Tyler)

16.      Ultimates do not indicate the remedy. In cancer the sharp pains, ulceration and anemia are ultimates. Preceding symptoms must be found and on these the remedy selected.

17.        Moving downwards does not indicate progression but diminution of a disease. (Lippe)

18.         Do not dip into the chronic state when dealing with an acute condition and vice versa. (Roberts)

19.          Do not commence treatment of any chronic disease during an acute exacerbation. Prescribe for the acute symptoms.

20.           In treating a chronic case, if an acute condition appears, unless it becomes dangerous or thrown upon the screen some individualistic indication it should not be interfered with.

21.          If an acute disease appears on top of a chronic, you must let the remedy work its way out. (Boger)

22.            I always use a lower potency for acute conditions, the 2 c. if I have been using the 1 M or 9 M. (Roberts)

23.           Why prescribe for a part of a patient when you have the whole patient with you? The patient was sick before the glands were. (Hayes)

24.         There is no better evidence of the good action of a remedy than mental improvement. ( Kent)

25.          The constitutional remedy is found by a series of symptoms absolutely new to that patient. (Boger)

26.          Prescribe for the last symptom to open the case, follow with related remedy, if any.

27.          In any complicated chronic case, the recent symptoms are the deciding ones. Cure your case in layers, the last layer first. (Woodburry)

28.        If the general state be ameliorated, whatever the state of local symptoms await the action of the remedy. ( Jahr)

29.         In acute cases one must have a remedy of the highest rating in the outstanding symptom or symptoms. (Dixon)

30.         In acute conditions it is often advisable to yield to the food cravings but in chronics they must not be indulged. (G. Miller)

31.         Vegetable diet will increase susceptibility to our remedies. (Boger)

32.           When a remedy is indicated in a different type from its characteristic type, i.e., the type of its best prover and those most easily relieved or cured by it often it is a double indication. Sepia in a man, Pulsatilla in a NUX type(its opposite). (Roberts)

33.           Keep on a symptom. Don’t follow a remedy. ( Roberts)

34.           It is my experience that Puls. symptoms occur and are relieved by Puls. as often indicated in Puls. type as in Nux. (Freeman)

35.         The best provers of Nux are dark wiry men; of Puls stout fair young women with pale skin and blue eyes. (Roberts)

36.          We all know that proving in a remedy is evidence that it is not the simillimum. (Boger) Apparent exception : Diphtheria epidemic. Those giving Bell in the morning had at 4 P.M. a violent fever, headache and drowsiness ending by 6 or 7 in sweat. All went on to recovery save when Acon. was given for these symptoms.

37.      Let us apply the triangular test. If we find three important characteristic symptoms pointing to one remedy, let us assure you that we can apply it with almost unerring certainty. I have tested its application in hundreds of cases.

38.        In a cure, the original discharge may not come back at the original place but from some other mucous membrane. (G. Miller)

39.         If chronic cutaneous eruptions disappear at last of themselves, dropsy or hectic fever is to be apprehended.

40.         Evil consequence of artificial suppression of chronic cutaneous eruptions are proportionate to the extent, intensity and duration of those eruptions, to the rapidity of their suppression and to the state of internal health.

41.       It is dangerous to stop the diarrhoea of advanced phthisis, even by the indicated remedy. ( G. Miller)

42.        The bond between two miasms can be broken only by a prescription that will meet the totality of the more active one. (J.H.Allen)

43.          All infectious diseases which form local affection of the skin  are internal diseases, the last disease of which is the local cutaneous manifestation.

44.          All maladies which show skin eruptions are always present internally before showing local symptoms externally. (Hahnemann’s Chronic Disease)

45.            Local diseases do not exist. What have been called so are localized morbid affections. (P. Schmidt)

46.          A new remedy should sustain a complementary relation to a former one, i.e., CAUST. and PHOS. do not like to work after each other; CALC. is the natural chronic of the BELL; NATRUM MUR. of IGN.; APIS will not do well after RHUS.

47.        The complementary remedy is always determined by the symptoms that arise. (Kent)

48.           Don’t leave your intercurrent too soon. It may be the curative remedy. (Gladwin)

49.           To prescribe for an aggravation is to fix the chronic condition on the patient. (Roberts)

50.            The initial aggravation may occur in chronics during the first eight or ten days.

51.         Look for a clear picture of the chronic following recovery from an acute condition. (Roberts)

52.         Ultimately the constitutional peculiarity is bound to reveal itself in form pointing to its remedial counterpart. Nature calls for relief in her own language which it behooves us to learn. Probably it is contained in the symptom picture but many times we are forced to look for it elsewhere. (Boger) 

53.           If a remedy (Sil) has the acute toxic symptoms and not the constitutional ones, it will subdue the acute symptoms without doing any damage. But if the patient had weekly headaches coming up the back of head, offensive foot sweats, sensitive to cold, etc., even before the acute trouble, it would be a most dangerous remedy. (G. Miller)

54.         No other symptom is so pathognomic of psora as pruritis. ( J.H.Allen)

55.          Many things can interfere with the action of homeopathic drugs. First of all these must be sought out and removed before even thinking of applying remedies.

56.        A clear field is necessary. All continuing causes must first be removed.

57.       If the symptoms for which a remedy is given are removed and a new symptom appears withhold the hand if you wish the case to go on recovery. (Lippe)

58.        It is doubtful if there be any antidote to a high potency except the specific dynamic drug antidote.

59.         The prodromal symptoms have the key to the homoeopathic remedy. (Boger)

60.          We have no long action drugs. The action is immediate. Continued favourable condition depends on the quality of the vital force and its harmonious action. (Roberts)

61.           Pregnancy will often bring out a latent malaria. It may not come until after delivery. (Roberts)

62.           Regular medicine is remiss in not following through effects of medicines on diseases continuing after suppressive or other disruption of harmonious action of vital energy.

63.        To hypersensitive patients use low, medium potencies, at first anyhow. (Close)

64.         In bad hearts, high potency may give bad reaction. It may be necessary to use the tincture. (Grimmer)

65.          I have better results from the millionth potency than I have from any other. (Boger)

66.         Crude drug effects are antidoted by the same drug in potency.

67.         Crude substances that act as irritants are best antidoted by the same or similar substances at higher vibratory rate i.e., high potency, as in radium burns, Rhus Tox or primrose poisioning.

68.           The potency must be changed if a given remedy is to be repeated. (Lippe)

69.            Boenninghausen usually repeated the 200^th daily for two weeks.

70.             In acute cases Dr. Erastus Case usually gave four doses of the 2c. and waited. (Sloan)

71.             A rare remedy in a rubric is often the one.

72.             When a nosode comes out in repertorizing, use it with care. It invariably proves to be the simillimum. (Hubbard)

73.            In luetic invalids, where remedies act but a few days and must be changed it always calls for a nosode.

74.           A well person making a dose for proving, with the exception of a few sudden acting substances (Glon., Camph. etc.) will not feel any disturbance before the third day (Roberts). (How like the inoculation period of contagious disease or the application of radium to a surface lesion).

75.           In proving with the potencies the latest symptoms have the greatest value in prescribing. (Boger)

76.           Repeat the dose until an effect is produced, better or worse, then stop. (Case)

77.         Always it is the positive symptoms at the moment that demand a certain remedy. Negative symptoms must not be allowed to call us off. (Tyler)

78.         It is the positive symptoms that decide the remedy. Negative symptoms are no use. (Clarke)

79.         Absence of any group of symptoms may or may not contraindicate a remedy, depending on the degree. (Roberts)

80.        Make no mistake in homoeopathy – one is dealing with energy, real and powerful. As radium emanations hold power for good or harm, so with potentized remedies. Unless used with the technique of homoeopathic procedure, with law, good results are not to be expected.

81.         The simillimum (Curative remedy) realizes reactive power strong enough to re-establish harmony, which in turn is capable of sweeping away almost any morbid condition. (Roberts)

82.          I believe that in homoeopathy we are on the edge of something great belonging not to this generation of mankind but to future ages. (Patrick)

  

High Potencies in Cases of Cholera - By P C Majumdar

This clinical case is published in THE MEDICAL ADVANCE, A HOMOEOPATHIC MAGZINE, Vol XXXIII, Chicago, July 1, 1895, 
No 1.

EXPERIENCE OF HIGH POTENCY IN CHOLERA

P. C. MAJUMDAR, M. D., CALCUTTA, INDIA

In a recent outbreak of cholera in the city of Calcutta, we had the greatest satisfaction in observing the efficacy of high potencies. In earlier years of our practice we generally used to prescribe very low dilutions. In the last epidemic about the beginning of February, 1895, which lasted till the end of

April, we often had recourse to high potencies successfully and sometimes after failing with the lower ones. Among others, I cite two cases here to show what I contend to be true.

CASE I. M. N. Degs, age about five years, had an

attack of cholera on the 18th of March, 1895. An old school physician was called who prescribed some astringent and stimulant medicines for a whole day without any effect. The case went on worse and I was sent for the next morning. Violent purging and vomiting of rice water stuff, cramps in the extremities, cold perspiration, especially on the head, considerable thirst and restlessness, pulse thready. Prescribed Veratrum album 12X after each stool. Three hours after I visited the patient again. Purging stopped but a good deal of retching, thirst increased but small quantity at a time, pulse scarcely perceptible, burning and restlessness. Arsenic 30 every hour.

Reported the same in the evening, symptoms unabated.

I was thinking of changing the medicine but the indications were clear for arsenic, so I determined trying a high potency. Arsenic CM, one dose every two hours. In my next visit I found the patient better in every respect, after taking only two doses of the remedy. I stopped medicine and the patient was convalescent.

CASE II. A male child of two years old came under my treatment on the 29th of March, 1895, for purging and vomiting. The child had been suffering from fever and congestion  of liver for which purgatives was ordered by a county physician. This brought on the attack. I found watery stools with flakes, restlessness, intense pain in abdomen, cramps and thirst. Veratrum album 12X  was given. After a few hours, stools, became greenish, less in quantity and more consistent. Other

symptoms were less severe. Father of the patient reported to me all week.

On my visit next morning I observed pulse thready and frequent, head hot but the extremities cold and great restlessness. Aconite3X one dose every two hours. No improvement after four hours. Head very hot, hands and feet cold, eyes red and shining, thirst and restlessness increased, there was a tendency to sleepiness. I gave Belladonna 5X, one dose every

two hours. Called in great haste at noon, child in state of convulsions, could not swallow medicines. Belladonna 3X and afterwards 30 by inhalation. The patient was in imminent danger, eyes upturned, respiration impeded, eyes and face bright red, tonic spasms of the whole muscular system of the body. Opium, Hydrocyanic acid, Cicuta, Zincum, were

administered both internally and by inhalation without any effect. I was about to come out in despair when it struck me to try a high potency so Belladonna CM a few globules with difficulty placed on the tongue. In about half an hour the spasms abated, every other symptoms so much relieved that the child fell fast asleep. No other medicines given for this, but he

required some other remedy for diarrhoea and other symptoms that remained.

Complete cure was effected in a week.

Rheumatism By P.P. Wells, MD PART I

 This Article on RHEUMATISM was published by P.P.Wells in The American Homeopathic Review, Vol 3, New York, Nov, 1862. No 5,6,7. Here it is again published in two parts. PART II can be read here.

PART  I

 RHEUMATISM

BY P. P. WELLS, M. D., BROOKLYN, N. Y.

By this term we indicate an extended class of affections by no means easily brought within the brief and explicit terms of scientific definition. The difficulty is not so much in the vagueness of the subject, as in its extent, and the varied character of cases brought within the domain ascribed to it. When we suffer the pains of rheumatism we find them neither shadowy nor uncertain, but when we attempt to define what we mean by the word, to present the elements belonging to the genus, found in all its examples and found no where else, we fail, even after much labor, to produce anything satisfactory, and may be compelled to sit down, as the writer now is to the employment of the word, trusting to its general use by readers, for a recognition of the fact that we refer to that numerous class of painful affections which are gathered under this denomination, for the good reason that it has not been so convenient to place them under any other. When he says Rheumatism, the reader thinks he means a definite thing enough, and if perchance he has felt its grip he is quite sure of it. Will he be so good as to tell us what he means, and in terms which shall equally describe the tortures of his ten dear neighbors and friends who also had suffered and who certainly came to sympathize with him, and each to bring the knowledge of a "certain cure." If he will do this, he will have made an addition to the literature of this subject which will deserve to be remembered. If this definition were essential to that understanding of cases as they occur in practice, requisite to their intelligent treatment and speedy cure, it would be a matter for the deepest regret. But as the relationship of curatives to diseases has not been made to depend on strictly scientific definitions, however valuable these may be, and as the chief duty of the physician, in these, as in all other cases, is to find the curative, and as definition, if given, cannot materially aid him in the discharge of this duty, its consideration may for the present be safely waived. The improvements in nomenclature may hereafter make definitions more possible, the signification of terms used more explicit, and thereby enhance convenience in the interchange of ideas, but whether increased certainty of cure, or an abridged duration of the disease, would necessarily result may well be doubted.

In order to a certain and speedy cure of rheumatism, it is essential to begin with that first of all requisites to intelligent and successful treatment of diseases, a strict individualization of the case. It will be a help towards this, if at the outset the case can be referred to either of the following classes: With fever; without fever; swelling with redness and heat; without swelling; swelling with oedema; pains aggravated by motion; pains relieved by motion; pains suddenly shifting from place to place; pains aggravated by change of weather, especially on the approach of a storm. The exciting cause, if known, should be carefully considered, as this is often an important element in the individualization, and also the quality of the pain. The time and circumstances of aggravation are also matters for the strictest inquiry. The character of the tissue invaded—is it muscular, tendonous, ligamentous, membranous, or a mixture of these?

The necessity of this individualization is apparent from the nature of disease of whatever kind, and if there be any variety where this is more imperative than with others, perhaps this variety is rheumatism. If disease be a modification of those actions of the vital forces, the just balance of which conserves the whole and each part of the individual, so that these forces, instead of conservative become destructive of the whole or of parts—-and we assert of disease that it is nothing else—then it is evident that a proper knowledge of their modifications can only be reached after a thorough examination of all the elements of a case, which alone can disclose the nature of the modifications with which we have to deal. This is what we mean by individualization, and this the result we propose to attain by it.

It is only by this process that we gain possession of the elements of these modified vital actions, the finding of the similimum of which is the great duty of the physician, and the cure. Different exciting causes of these disturbances must produce different modifications of vital action; and the same cause, under different circumstances, may be so affected by these as to produce results quite different in their nature, and consequently in their curative relations, though for convenience we give the same name to them all. A man becomes severely chilled by exposure to low temperature, the atmosphere at the same time being dry, and there follows after* the reaction from this state, swelling of the joints, which is red and painful, intolerant of touch and motion, with fever more or less violent. Another is chilled by becoming wet in a rain storm, and results follow so similar that no eyes can perceive a difference. But that sensibility, keener than all human sense, the sensibility of diseased condition to the presence and action of its curative, will, and most certainly the remedy which promptly and completely cures the one will be found powerless for good with the other. Another is chilled by falling into water, or by long working in it, and suffers in like manner, but though we call his pains, swelling and fever rheumatism, his cure requires a different remedy from each of the others, though the sufferings of all result from chill, and we are compelled to call all by the same name. And this requirement of different curatives in these cases is determined by the one circumstance of dry or wet, in the two first cases, and by the manner of becoming wet in the two last. An interesting instance of rheumatism from the last cause came under the notice of the writer about a year and a half since. It was of two years standing, had resisted all remedies, and seemed to have fastened on the poor man a torture for life. He was given a single powder of Calc. carb. 200 which he took, and in a week was perfectly well. He has ever since done duty as a good soldier of the United States. Even the exposures of camp life, for more than a year, have been borne with impunity. Another has suffered from the poison of Gonorrhoea, and has similar sufferings, but the drugs which cured the other cases are powerless with him, and yet we call his case rheumatism also. These examples sufficiently illustrate the necessity of careful attention to the nature of the exciting cause in all cases where it can be ascertained.

The quality of the pain in different cases is exceedingly various, being determined either by the nature of the exciting cause, the vital condition or susceptibilities of the individual, or the circumstances of the attack. There is often a difficulty in the way of investigating this element, arising from the peculiarity of our national mind. It has been trained to the consideration, and has had to do almost exclusively with objective life and phenomena. The life within is to our nation almost an unobserved domain. This fact has stamped itself on our language, and left it poor in the terms necessary to the description of its phenomena, and hence great difficulty is often met in attempts to individualize this element of cases, the patients having no words to express what they feel. A pain is to them only a pain—and every one has been thought of as like every other. The word to most, certainly to many, patients has never had an adjective prefixed to it in their minds. And there is still another difficulty in the way of obtaining exact information, in the liability of persons to attach different meanings to the same word; or what is nearly equivalent to this, of using different terms to describe the same sensation. To avoid errors from these causes, will require the utmost caution. But it is believed the importance of the subject warrants and demands that patient care and perseverance which can and will overcome these and all other difficulties in the way of that knowledge necessary to success.

It is not necessary to say to the experienced observer that almost all diseases have their periods of exacerbation; and when the time arrives in successive days of their progress, it brings with it the aggravation of some or all their elements. Each case has its own periodicity. It is as little necessary to say to the experienced Homoeopathist that this periodicity is of immense importance in directing to the choice of curative remedies. But all have not had the experience which has shown to this class of physicians the extent of this imporance, and it may not be amiss to urge upon such the careful observation of this element, and to assure them that often it alone brings the light which can rightly decide the choice between two remedies, so equal else may the claims of each be, till the case is so decided. The same remark is equally applicable to whatever circumstance aggravates or relieves the sufferings of the case.

The disposition of the patient is also often very significant of the relationship of the proper curative to the case. It is often decisive between Aconite and Bryonia; Pulsatilla and Sulphur, etc. This should never be overlooked.

Having made all the necessary preliminary examinations and drawn out all the essential elements of a case of rheumatism, how shall the curative be found? To show the manner of this will be one object of the remainder of this paper.

When about to attempt a prescription, after the individualization which has been insisted on, and after noting that the case has attacked one or more of the joints with swelling, which is red, hot, painful; the skin is burning and dry or moist, it may be either; the patient has great thirst; the affected parts are intolerant of touch and motion; the pulse has increased frequency, fullness, and hardness; the urine is scanty and high colored. These are the symptoms ordinarily met at first visits to acute, or, as it is often called, and well enough, inflammatory rheumatism. It is a tolerably complete picture of such a case, for all purposes except prescribing; and yet for this, it is all but valueless. With only these elements, a Hering is as powerless for a specific prescription as the veriest tyro, and even more so. He would clearly perceive the necessity of a knowledge of other elements, before such a prescription could be made, and consequently would do nothing till this should be gained, while the tyro would guess, move, and probably blunder and fail. The case so presented has nearly equal claims on Acon., Arn., Bell., Bry., Dulc, Nux v., Puls., Rhus tox., so nearly equal that no man can say that one should be preferred to the others, and yet the physician must select. There are two courses open to him, and whether he takes the one or the other depends much on the knowledge he has of the Materia Medica, and his personal habits of practice. A very moderate share of this knowledge will probably suggest the above named remedies, and perhaps some others, and if his habits of prescribing are loose he will begin by giving two or more of them in alternation, at short intervals, and substituting others for those first selected, if these fail, as most likely they will, till the series has been run through, if the right remedy have not been stumbled on before, and then if the poor patient is not relieved, the prescriber is at the end of his tether. It is certain that this course sooner exhausts the number of supposed available remedies than a simpler and exact one, but it as certainly fails to show any other very obvious recommendation for its adoption, while to it there are two very strong objections. The first is it begets and perpetuates a loose practice, with no definite aims, and can rarely be followed by definite results, other than decided failures. It must be regarded, if rightly, at the best, as only a convenience of either indolence or ignorance, in the first instance, and perhaps of habit afterwards. The second objection is, we have no certainty in this course of practice, that the second remedy given will not injure or destroy the specific curative action of the first, if it be perchance specific, or the first that of the second. We have no right to infer from them conjointly the sum of their actions when employed singly. That they do continually modify the action of each other when so employed there can be no doubt. How, no man can tell. This objection must be fatal to whatever of claim may be set up for this course as an example of specific practice. There may be added a third objection. When the practice is not successful, it leaves the case in increased, and often inextricable, confusion. A further discussion of the practice of alternating remedies is deferred to a future occasion, when we propose to show the class of cases where it may be admissible, and the principles by which it should be governed.

The second course is to proceed to the discovery and analysis of the other symptoms of the case which alone can show its true nature and the remedy required for the cure. The general symptoms of the case supposed are strongly suggestive of Aconite, at the first glance, but a second look, and the query arises, may not Bryonia be better, or Arnica, or Belladonna, or Rhus tox.? The group of symptoms here given is well represented in the pathogenesis of Aconite and Bryonia, but there are differences in the other symptoms of these drugs. The disposition under the sufferings of these two remedies is not the same, nor is there much need of confounding the two. Aconite is characterized by loud complaints and outcries, with weeping, tears and despairing anxiety. Any attempted playfulness, on the part of attendants, for the encouragement of the patient is very offensive to him. He is timid, and intolerant of noise, even musical sounds offend. Bryonia has not the characteristic outcries and complaints of Aconite. Its general tone of disposition is more subdued, or easily excited to anger. It has weeping and despairing with Aconite. Thirst with the two is somewhat different. With Aconite the thirst is incessant, while with Bryonia the calls are occasional for large draughts of cold drinks. In the general symptoms given above there is much resemblance to those of Bryonia and Nux vom., but these drugs differ in the disposition they excite, and also in the time of their aggravation. Nux is after midnight and morning. Bryonia, evening and before midnight. Aconite, evening and night. The disposition of Nux is sad, depressed, silent or angry, despairing of health and recovery. Excessive sensibility to all external impressions. The slightest jarring or concussion is insupportable. The patient complains much of his sufferings but is not so loud, as are the outcries of Aconite. He is impatient of the least opposition. Arnica, in disposition resembles both Nux and Pulsatilla; Nux, in its angry irritability, Pulsatilla, in its despairing hopelessness. The great irritability of Arnica is of the mind; of Nux, of the senses. In periodicity Arn. ranks with Puls., evening and night. In disposition Rhus resembles Puls, but in periodicity Nux. The patient is depressed, sad, without courage, despairing, tearful, with exacerbations chiefly after midnight and morning. Belladonna, in disposition, ranks with Nux, but the manifestations are more violent; its period is rather with Puls., afternoon, evening, and before midnight. The disposition of Dulc. is angry, impatient, morose; which rather affiliates it with Nux, but its period is that of Puls., evening and night.

The quality of the pains is an element of importance. With the above named remedies we have with Acon. pressure like a weight, shooting, as if bruised, tearing (drawing). With Arn. pains as if bruised, broken, dislocated, burning, cutting. Bell., shooting or tearing pressure, and cramp like. Bry. has painful tension, like bruise, shooting, as if the flesh were loose on the bones. Dulc, dull shootings, shooting drawings. Nux v., like bruise (in the joints), painful tension, drawing. Puls., drawing, fine shootings, drawing especially in the joints, like the pains of abscess, on touching the affected part. Rhus, tension, drawing, tearing with sense of dull numbness after motion, shooting (in the joints), like a bruise, like a sprain, as if the flesh were loosened on the bones, paralytic pains (in the joints).

It will be seen that while some of the pains are repeated by the different medicines, there is on the wholes marked individuality in the others, not easily overlooked. In the case of the repetitions, other symptoms must decide the choice of the remedy. The aggravation or relief of pains by motion is an element of the first importance to a specific prescription. In those cases, with the symptoms given, where the pains are increased by motion, if the exacerbation occurs evening and night, Bry. is appropriate; if after midnight and morning, Nux v. When the pains are relieved by motion, and the exacerbation is after midnight and morning, Rhus tox. is called for; if in the evening and before midnight Puls. or Dulc. In relation to the relief of pain by motion, it should be remembered that in many cases of this kind, the pains are much increased by the beginning of motion, though relieved by its continuance. This is true of many of the pains of Rhus.

In the matter of the swelling, it is intense with Acon., Bry., Puls. and Rhus. It is bright red with Acon. Bright and shining with Bry.; with Puls. and Rhus the color is more dull; with Arn., blvmh. Bell. is likely to show an erysipelatous hue, while the swelling in cases characteristic for Dulc. and Nux v. is likely to be less intense. With Nux the color is dull; Dulc. brighter. If the swelling be oedematous, especially of the feet or ankles, Merc. sol. is the remedy.

As to the exciting cause of the variety of rheumatism presented in the group of symptoms given above, it may be stated that most of these cases are the result of atmospheric impressions. Sudden change of temperature from a higher to a lower degree. Continued cold and damp, or cold and dry weather; small jets or currents of air falling upon an individual for a length of time, are all sufficient to produce rheumatism in persons predisposed by their vital condition to this form of disease; and the variety most likely to result is that which we have been considering. In its relationship to remedies it will be found that those cases caused by cold dry air will most frequently call for Acon. and Bry.; cold damp air, Dulc. and Rhus; from currents and jets, Nux and Puls. Rhus has this specialty that it is almost a specific for those cases contracted by exposure to chill and rain. Puls. shares with Rhus a relationship to cases contracted by exposure to rain, while it is especially appropriate to cases caused by protracted wet weather.

We have attempted by the analysis of the above group of symptoms which generally represents rheumatism accompanied by fever to point out its relationships to remedies, and also to show the method by which those relationships are ascertained. For this purpose we have taken a group most commonly met in acute cases and have purposely avoided in its consideration the many modifying symptoms and circumstances which are sometimes associated with this group, and which indicate or establish relationships to other remedies. This has been avoided because it has been thought a view of the simple case better adapted to the object in view—to show the homoeopathic method of dealing with this sometimes obstinate enemy. This being clearly understood, it is easy to extend its application to other cases composed of more numerous elements, it being only an extension of the same process.

Thus, if with the symptoms considered, the swelling and pain suddenly leave the joint affected and appear with the same attending phenomena in another, how are we to decide on the remedy?  Am. and Puls., among the remedies cited above, have this peculiarity of sudden transition from joint to joint. It will not be difficult to decide which is the right, if we note the character of the swelling and the disposition of the patient. In both these elements the remedies differ, as has been already noted. But there is another variety of rheumatism with erratic pains, which has neither heat, redness nor swelling, which is relieved by other remedies. Sulphur if the pains are increased at night and by the heat of the bed; Nux mos., if it has been the result of protracted cold, wet weather; Asaf., if the seat of the pain is in the periosteum.

The difficulty of bringing the different forms of rheumatism into classes, the better to show their relation to remedies, is scarcely less than that of giving a definition of the genus. This grows very much out of the fact that the same remedy, on examination, will be found required in individual cases of several, and perhaps many classes. That most common division into acute and chronic is of very little avail in practice, many remedies being almost equally called for in both Nux vom., Puls., Rhus, and Sulph. are examples of this. Besides, the curative power of a drug in a given case depends on the similarity of its pathogenesis to the symptoms to be cured, and not much, generally, on the duration of the case. In view of this difficulty it has been decided in what we have to say on the relation of rheumatism to remedies, to take these up and point out some of the more common and prominent symptoms of each, by which they may be related to cases in practice.

Ant. crud., if there be drawings, shootings, and tensive pains; shortening of the muscles or tendons, with bending of the limbs; the pains are aggravated by warm air and heat of the sun. It is chiefly appropriate in rheumatic inflammation of muscular tissue; especially of the biceps flexor cubiti. It is oftener appropriate in chronic than acute case's.

  PART II

Homeopathic Medicines in Constipation

Constipation is a very common symptom. Here is one more page for Indicated Homeopathic Medicines in Constipation.

Following article was published in THE CRITIQUE, Formerly THE DENVER JOURNAL OF HOMEOPATHY, VOL. V. DENVER, COLO., MARCH 15,1898. No. 3.

THERAPEUTICS OF CONSTIPATION
By Pearl B. Wheeler, M. D., Physician to the Ladies Relief Home, Denver.

Since the intestinal canal is governed by the two great
systems of nerves, the sympathetic, presiding over the upper

portion and the cerebro-spinal, taking charge of the lower; it
would be but natural to think of a close association between
this canal and all other parts of the body. Consequently, when
a physician has a case of constipation to deal with, he finds
but an index to disorders in the nervous system and the result
and not a cause of trouble as is supposed by many.
The character of the stool becomes a guide to the cure of
distresses elsewhere, for seldom will there be found a case of
real constipation without other symptoms in connection with
it. The true homeopath, then, who accurately chooses his
remedy with reference to the totality of symptoms will seldom
need to resort to enemata(enema), injections, etc.
The following remedies with their accompanying symptoms

may perhaps prove worthy of consideration.

Aesculus:—Constant urging to stool or ineffectual efforts
(Ambra Gris., Nux, Colch., Iod., Anacard.) Stools large, hard,
dry and dark. (Bry. Nux) Dryness of rectum which feels as if
full of sticks. Hemorrhoids with little bleeding. Constant
back-ache, feels as if it would break (Kali. Con). After stool
prolapse of anus with back-ache, (Prolapse of rectum Podo
and Ruta).

Alumina:—No desire for stool. Difficult evacuation from
want of peristaltic motion and dryness even when soft stool is
passed (China) requiring great pressing (Merc. Prot.) Stools
hard, knotty and scanty, (Graph. Agar. and Kali Bi) or soft
and clinging to anus. Bad effects of lead (Platina, Opium),
scanty and insufficient (Carbo. Veg., Hepar, Kali Bi., Nat.Carb.,

 Nit. Ac., Ruta., Verbasc., Zinc). Vertigo, as if every
thing was turning in a circle.

Agaricus.—Stools hard and knotty at first, followed by
loose stool and finally diarrhoea. Itching, burning and red-
ness of feet and hands as if frozen. Itching at anus as from
worms (Nux). Violent cutting in abdomen and discharge of
flatus with sharp stitching in liver. Painful drawing in pit of
stomach. Hysterical subjects.

Ammon. Carb.:—Stools difficult, hard and knotty (Alumum.

 Graph. and Kali Bi). Hemorrhoidal tumors protruding
before, during and after stools. Discharge of stool during and

after evacuation. Can't sleep at nights on account of burning
pains.

Ammon. Mur.:—Large, hard stool, crumbling after passing

 anus, requiring great effort to expel, then followed by soft
stool (Anacard.) Feces covered by glairy mucus. (Causticum
Graph and Lyc.) Giddiness with fullness in head in A.
M. and especially after getting up. Crumbling stool is characteristic

of all the muriates.

Ambra Gris.:—Frequent ineffectual urging to stool (Nux
Aesculus, Colch., Iod., Anacard.) Stinging, smarting and itching

 of anus. Varices of rectum. Hemorrhoids (Aesculus,
Hydrast., Iris, Nux.) Heat in head on alternate days with
fear of losing his senses.

Anacard:—Frequent urging through the day, unable to expel

 anything. Sensation as if rectum was stopped up with plug,
(Nux) Sensation as if lump had lodged in rectum (Sepia).
The expulsion not taking place immediately, a painful twisting
twitching is felt across the abdomen. Stools loose at first, then
hard (Opposite Agar., Am. Mur.) Pale color, violent pressing
in region of right temple.

Antimon. Crud.:—Hard stool with difficult expulsion
without previous straining. Alternating constipation and di-
arrhoea of old persons (Bry. Lach., Rhus, Puls.) Feces too
large. Milky white coating on tongue. Stupefying headache
with nausea in the evening or after eating.

Apis:—Prolapsus Ani (Calc., Ferr., Mur. Ac., Acetum,
Pod. and Aescul.) Hemorrhoids with stinging pains. Tenderness

 of abdomen to pressure (Bry. and Nux) Feeling in
abdomen as if something would give away if he strained at
stool. Great debility as if he had worked hard. Must lie
down.

Bell:—Constipation with tendency of blood to head. When
stooping, blood rushes to head followed by dizziness. Plethoric

 individuals. Shuddering during stool. Stools in lumps
like chalk.

Bry.:—Constipation. Chronic constipation (Verat. Alb.)
Stools large, hard, (Calc. Carb., Mag. Mur.) and as if burnt.
(Mag. Mur.) Lips dry and parched. Thirst. Rheumatic
tendency. Headache, as if skull would split by motion.

Calc. Carb.:—Stools large and hard (Nux, Mag. Mur.,
Bry.) sometimes only partially digested (Hepar). White
stools (Black- Opium, Phos., Verat. Alb.) increasing
from day to day. After stool, gloomy feeling in head and
feeling of faintness. Oozing of fluid from the rectum, smelling

 like herring brine. Too early and too profuse menstruation (Bell)

 Scrofulous individuals. Violent itching of anus
(Caust. Nit. Ac., Sil., Sulph.)

Carbo. Animal:—Constipation. Unsuccessful desire for
stool (Nux, Anacard., Ambra Gris.) Passes only very offen-
sive flatus (Lach.) During stool, pain in small of back (Aesculus)

with inflation of abdomen. Stools hard and knotty
(Alum., Graph., Am. Carb., Kali Bi.)

Carbo. Veg.:—Hard, tough, scanty stool (Caust.) Labor
like pain. Discharge of tough feces in fragments. Violent
urging with tingling in rectum and pressure in bladder (Sulph)
Burning in bowels and sensation as if diarrhoea would set in.
Great debility (Apis) and weakness as soon as he makes the
least exertion.

Caust.:—Frequent and unsuccessful desire to pass stool,
with red face and anxiety. Hard, tough stool (Carbo. Veg.)
covered by mucus (Hyd.) Shining as if greased. Stool too
small shaped (Phos.) comes off in pieces, (Carbo. Veg., Mag.
Mur.) Passes better while standing. Light colored (pale Anacard,

like chalk- Bell,) white stool (Calc. Carb.) Writhing
pain in abdomen, previous to stool. Excessive itching in anus
day and night (Caust., Sil., Sulph., Nit. Ac., Calc. C.) Soft
small stool, size of a goose quill (Phos.) Constipation of
children. Involuntary emissions of urine when coughing
sneezing or laughing, frequent and urgent desire to urinate
with scanty emission. Thirst.

Chelidon:—Stools in hard lumps (Hyper) like sheep dung
(Mag. Mur., Plumb., Ruta, Verbasc.) Suitable to persons with
hepatic diseases, shooting pains from liver to back. Constant
pain under lower inner angle of right scapula. Crawling and
itching in rectum and reddish urine.

China:—Difficult stool even when soft (Alum.,Plat., Phos.Ac.)

 Dizziness and heat in head with accumulation of feces

in rectum. Menses profuse, bright or black and clotted. Discouraged.

Cimex:—Stools hard and in small balls (Plumb., Thuja,
Opium, Mag. Mur.) Stools with hemorrhoidal sufferings.
Pain in small of back, extending over abdomen with distension
of abdomen. After white stool, discharged in small pieces,
rectum closes firmly.

Cocculus:—Hard stool expelled with difficulty (Nux), after
stool, violent tenseness of rectum even to fainting. Contractive

 pain in rectum, preventing sitting.

Colchicum:—Extremely painful stools. Scanty evacuation
even soft stool is expelled with hard straining in back (Alum.
China, Plat., Phos. Ac.) with pain in back (Aesculus, Kali Carb.)

 Ineffectual pressing to stool (Nux, Colch., Anacard.)
Feels feces in rectum but can't expel them. Lancinating or
lancinating-lacerating at anus.

Conium:—Frequent urging without stool (Anac, Lyc,
Nux). Hard stool with tenseness (headache discharge of
prostate fluids). Tremulous weakness after every stool (Verat.Alb.)

passing off in open air. Frequent stitches in anus between stools.

Involuntary flow of urine, suddenly stops and
continues after a short intermission. (Ledum., Gummi-Gutti)
Dizziness when turning in bed. Heat and burning in rectum
during stool, (Burning in Epigastrium, Apis).

Cuprum:—Suppressed stool with general heat. Obstruction

of intestinal canal or violent evacuation.

Eup. Per.:—Constipation with catarrh.

Euphorb.:—Stool like glue (like putty, Alum. Plat.) with
previous itching of rectum. Burning sore pain around the anus
(Mur. Ac, Aloes, Ars.) Itching of rectum during desire for
stool (Mur. Ac).

Graph.:—Stools hard and knotty, (Alum., Kali Bi) lumps
being united by threads of mucus. A quantity of white mucus
is expelled with stool (Lach.) or the feces are covered with
mucus (Am. Mur., Lyc) Stools size of lumbricoides.
Humid tetters and eruptions.

Hepar:—Sluggishnsss of rectum (Alum.) Stools hard or
soft and insufficient (Alum., Carb. Veg., Kali Bi, Nat. Carb.,
Nit. Ac, Ruta). After mercurial dosing.

Hydrastis:—Stools lumpy, covered with mucus. (Lyc.,
Graph., Am. Mur.) Constant headache with piles, severe
pains in anus and rectum for hours after stool. Fainting turns
and heat in bowels.

Ignatia:—Difficult stool causing prolapsus ani (Aesculus,
Mur. Ac., Ruta, Cale. C., Ferrum). After stool a violent, stabbing,

stitching from anus up into rectum (Mezer) Constipation

from taking cold or from riding in a carriage (from traveling, Plat.)

Grieving. All-gone feeling at stomach.

Iodium:—Ineffectual desire for stool, immediately prompted

by drink of milk. Scrofulous people with low cachectic
state of the system. Stools hard, knotty and dark (Graph.)
Part of feces retarded.

Kali Bi:—Habitual constipation. (Verat. Alb.) Painful
retraction of anus. Stools dry, knotty, with burning at anus,
(Nat. M., Verat.) Stools slate colored, bloody, coldness of extremities,

debility and headache.

Kali Carb:—Insufficient, soft stool (Alum.) Constipation

with distress and colicy, stitching pains an hour or two
before stool. Too large sized feces (Ant., Collinson., Cond.)
Stools resembling sheeps dung (Chel., Mag. M., Verbasc., Berber.)

Passing of white mucus before and during stool. Large
painful varices (Mur. Ac.), inactivity of the rectum (Alum.,
Ign., Opium).

Lach.:—Chronic constipation without any other ailments.
Constipation of years standing (Verat. Alb., Lach., Phytol.,
Sarsap.) Unsuccessful urging to stool, anus feels closed, feces
press against it at all times without passing, only flatus
is passed, sensation as of lump lodged in rectum (Sepia)
Sheep's dung stool (Chel., Ruta, Plumb., Mag. M., Verbasc.,
Berber.) with difficult, scanty discharge or tenesmus. Severe
pains in back with constipation (Aesculus, Kali Carb). Cadaverous

smelling stools.

Lycopod:—Ineffectual urging owing to contraction of
sphincter ani. Small stool with sensation as if much remained
behind (Part of feces ratarded, Iodium), (Nux). Acid and
heartburn with great drowsiness after dinner (Phos.). Red
sand in urine (Phos., Sil.) Fermentation in abdomen.

Mag. Mur:—Constipation, stool hard, difficult and insufficient.

Knotty, like sheep's dung, covered with blood and mucus.

Stools in little round balls (Opium, Plumb,) crumbling
as they pass the anus (Am. Mur., Nat. Mur.) Throbbing in
stomach with dullness of head.

Nux Vom.:—Constipation with rush of blood to the head.
Stool insufficient, black, hard, often streaked with blood as
from inactivity of intestines, with ineffectual effort to go to
stool (Bry., Anacard., Lyc, Iod.) Sensation as if anus were
closed or too narrow (see Anacard. and Lyc.) Large hard feces

(Calc. C, Mag. Mur., Bry., Verat. Alb.) Piles, blind or
bleeding. Frequent eructations of some bitter fluid. Sensation

as of stone or lump of lead in stomach. Frontal headache.
Sedentary habits. Pregnant women (Bry., Lyc, Sepia) Victims

of drugs.

Opium:—Torpor of bowels after chronic diarrhoea or from
abuse of cathartics (Nux) Stools small, hard, black balls,
(Plumb.) balls that crumble as they pass, like excrement of
dogs in small lumps, (Prun. Spin.) Constipation from fear
or fright. Costiveness for weeks with loss of appetite. Inertia
of rectum (Alum. Hepar). Vomiting of stecoraceous matter
in consequence of intussusception.

Phos.:—Stools long, narrow and hard like a dog's (Caust.
Opium, Prun. Spin.) Very difficult to expel. Exceedingly
painful cramps in rectum after stool. Alternate constipation
and diarrhoea (Bry., Ant. C, Lach, Rhus., Phos.) Very sleepy
after eating, especially after dinner.

Platina:—Difficult expulsion of scanty stool, adhering to
parts like soft clay. After lead poisoning (Alum, Opium).
Constipation caused by travelling. Cramp like pressing in
temples from within, outward. Low spirited and nervous.
After expulsion sense of great weakness in abdomen or chilliness

(Puls., Cocc, Gummi Gutti, Verat.)

Plumb:—Stools consist of hard balls made up of smaller
balls. Constipation with violent colic. Sensation of constriction

in sphincter ani (see Lyc. and Nux.) with ineffectual
urging.

Puls.:—Constipation, especially if feces are large and hard
after suppressed intermittent fever by quinine, with menstrual
disorders. Constipation consequent upon eating rich greasy

food. Alternate constipation and diarrhoea (Ant. C., Bry. Phos*
Lach., Rhus.)

Ruta Grav.:—Frequent urging to stool with protrusion of
rectum (Ign. Nux., Podo, Aesculus.) Constipation following
mechanical injuries.

Sabadilla:—Violent urging to stool with noise like croaking

of frog. Must sit a long time before stool (which is enormous)

is passed, preceded by immense amount of flatus, and
followed by burning in abdomen.

Sarsaparilla:—Obstinate constipation with urging to
urinate. Desire for stool with contraction of intestines and
excessive pressure from above downward as if bowels would be
pressed out. Frequent scanty emissions of urine, especially at
night.

Selen.:—Stools so hard and impacted that they must be removed

by mechanical agency. Feces contain threads of fecal
matter like hair.

Sepia:—Hard, knotty stools, sometimes mixed with mucus
with cutting pain in rectum (Ignatia, Mag. Mur.) Unsuccessful

urging to stool. Only wind and mucus are passed with sensation

in rectum as if lump had lodged in it (Anac., Sepia.)
Not relieved by stool. Insufficient stool with teneemus. Pressing

stool does not relieve. Constipation during pregnancy
(Alum., Bry., Lyc., Nux.)

Silic.:—After much effort and straining stool recedes back
in rectum after partial expulsion. Stools composed of hard
lumps. Constipation of women before and during menses

(Constipation before and diarrhoea after menses Graph.) Infants
and scrofulous children.

Sulph.:—Stools hard, lumpy, (Silic) mixed with mucus,
followed by burning pain in anus and rectum (Sepia). Constant

heat on top of head (Coolness, Verat.) Frequent weak
spells. Constant urging pressing on rectum as if it would protrude,

with pressure on bladder. Palpitation of heart. Fainting

regularly towards 10 or 11 in forenoon.

Thuja:—Obstinate constipation as from inactivity or

intussusception (Opium). Stools in hard balls (Opium, Plumbum,

Verat. Alb.) streaked with blood (Sulph. ac.) Violent
pain in rectum during stool. Copious and frequent urination

with burning in urethra. Offensive perspiration in anus at
perineum. (Colch.)

Verat. Alb.:—Chronic constipation (long standing Lach,
Phytol., Sarsap.) particularly in infants. Much straining with
cold perspiration on head. Stool too large and hard (Bry.,
Calc. C., Mag. Mur.) Inactivity of rectum, it seems as if

paralyzed (Alum., Opium.)

For Treatment:-

Dr Vandana Patni

Dr Ravindra Singh Mann

Consultant Homeopathic Physician

Shikhar Homeopathic Clinic

Kapil Complex,

Mukhani, Haldwani

Uttrakhand

Contact: 9897271337