Bark of Galipea Cusparia
Rheumatic and paralytic complaints-great difficulty in walking. Crackling in all joints.
Principal action on spinal motor nerves and mucous membranes.
The effects of Angustura are closely allied to those of Nux, Ruta, and
Mercurius. The mental condition is one of over-sensitiveness and excitability; the slightest
offence, a mere trifle, irritates as with Nux. On the other hand there is pusillanimity, which
corresponds more to Ruta. Among the prominent features are: Drawing, tension, stiffness of
muscles and joints; bruised, sore feeling as after a blow. Drawing of head to right side, later to
much Mercury had been given). Drawing in upper r. molar tooth > application of cold finger.
Thirst, constant desire to drink. Irresistible desire to drink coffee. Hiccough after cough.
Belching with cough (Ambra). Every evacuation followed by shivering, crawling sensation over
emissions. Itching of tip of glans penis (when walking in open air). Violent itching on scrotum.
Dry, hacking cough from scratching in throat or irritation behind sternum. Irritation behind
sternum through to back. Palpitation < sitting bent and > sitting up. Cutting pain from point of
if in the bones, < at rest; > cold applications; > extension; < exertion and pressure. Spinal cord
and extensor muscles principally affected; cracking in all joints. Caries of long bones. I have
verified the power of Angust. over long bones in a case of acute periostitis of the tibia in a
Symptoms < from exertion; from stooping; sitting bent over (palpitation) moving or lifting arms;
drinking warm milk; 3 p.m. (loose cough); > application of cold fingers (toothache); cold
application; extension; lying on left side.
Timidity of character, and tendency to take alarm.—Pusillanimity, and want of self-
confidence.—Ill-humour and discontent, with great readiness to take offence.—Extreme
excitement and gaiety—Absence of mind and reveries.—Vivacity of mind, chiefly in the
afternoon.
Sensation of weakness and of stiffness in the whole body; as if the marrow of
the bone were stiff—The spinal marrow and the exterior muscles are principally
affected.—Stiffness and extension of the limbs.—Tension in the muscles while
walking.—Paralysis of different parts —Great difficulty in walking, with threatened paralysis of
the legs.—In tetanus, traumatic, or otherwise, when there is spasmodic twitching or jerking of the
starts.—Attacks of tetanus, excited mostly by touch, by drinking, and by noise.—Tetanic spasms
caused (by the previously named causes) and by drinking of lukewarm water; cheeks and lips
become blue; the breathing is laboured during the spasms, groaning and closing of the eyes, lips
wide open, drawn up and down, exposing the teeth Commotion in the body trunk), as from an
electric shock.—Twitching and jerking along the back, like electric shocks.—Cracking of the
joints.—Caries, and painful ulcers, which attack the (long) bones and perforate them, even to the
marrow.
Head bewildered, with stupidity, as if after intoxication.—Dizziness in the open air, or
on crossing a stream of water.—In the evening, pressive headache, with heat in the face —One-
sided headache, or both sides ache as if about to faint.—Boring pains.—Pain, like that of a bruise,
in the brain —Cramp-like pains in the head.—Piercing in the temples——The headaches appear
mostly at sunset, and continue until the patient goes to sleep.—Sensation of torpor in the temporal
muscles, with tension on opening the mouth.
Tension and pressure in the eyes, as from too strong a light.—Sensation of dryness and
pain, as of excoriation, in the eyelids.—Redness, heat, and burning in the eyes, with nocturnal
agglutination of the eyelids—Spasmodic stretching open of the lids.—Eyes fixed, prominent,
immovable.—Sight confused, as if by a mist, or as if the cornea were obscured (in the
morning).—Objects too far distant, must bring them closer.
Cramp-like pain in the ears.—Jerkings and tearing before and in the ears.—Sensation as
if something were placed in or before the ears.—Heat in the ears.—Diminution of hearing.
Heat and bluish redness of the face —Tension of the facial muscles.—Cramp-like pains
in the cheek-bones and in the masseters frequently dart through the eyeballs and temples, < by
stooping, walking, or mental excitement.—Trismus, with the lips strongly separated, displaying
the teeth —(After the spasms, the face and lips still remain bluish for some time.).—Exostosis at
the lower jaw.
Dryness of the mouth and lips.—(In the evening), viscid, insipid, and putrid mucus in
the mouth, with constant desire to drink.—Tongue white, and, as it were, rough.—Sensation of
burning in the tongue.
Bitter taste, principally after dinner and after smoking tobacco.—Thirst, with
desire for cold drinks, or sensation of thirst without a desire for drink.—Disgust for food,
principally solid food with irresistible desire to take coffee, or with insatiable hunger.—Disgust
for pork.—Imperfect eructuations after eating, with a sensation of fulness in the chest.
Bilious eructations.—Nausea while dining, or walking in the open air, with uneasy
sensation of faintness.—Pain, as of incisive excoriation in the stomach, particularly at the
beginning of a meal.—Cramp-like pain in the pit of the stomach.—Acidity, coated tongue, pappy,
unpleasant taste and loss of appetite.
Diarrhoea and colic. Tenesmus with soft stool; chronic diarrhoea, with debility and loss of flesh. Burning in anus.
Bruise-like pain in the abdomen.—Cramp-like colic.—Severe pain, extending in a
line from navel to sternum.—Cutting pains, chiefly after having taken milk (hot)—Shooting pain
in the abdomen.—Borborygmi and fermentation in the abdomen, as preceding diarrhcea.
Stools frequent and copious.—Diarrhoea of mucus, with colicky
pains.—Diarrhcea day and night, each evacuation preceded by cutting pains in the abdomen,
usually attended with nausea in the morning; stools often whitish, thin and copious, diarrhoea
becomes chronic, with loss of flesh and great debility; constipation —Pressive and contractive
pain in the anus, with swelling of the hemorrhoids.—Burning in the anus while at stool.
Frequent want to make water, with scanty evacuation, or frequent and
abundant evacuation of urine, preceded by pressure on the bladder, and followed by
tenesmus.—Urine of an orange colour, and soon becomes turbid.
Troubles with the r. ovary.—Sensation as if the uterus were beating
against the r. ovary and r. hip.
Hoarseness from mucus in the aerial passages.—Intermitting
spasmodic breathing.—Voice weak and faint—Dry cough, with rattling and scraping of mucus in
the chest.—Violent, deep cough, with expectoration of yellowish mucus.—A sort of whooping-
cough with hiccough and belching of wind —Cough occurring every p.m., at 3 o'clock.
Respiration convulsive (intermittent).—Constriction in upper part of lungs, as if one
had been running.—Oppression of the chest, on walking quickly, and during an ascent.—Cramp in
the chest, with painful spasms of the muscles of the chest.—Painful sensitiveness of the chest,
even to the slightest touch.—Bruise-like pain in the muscles of the chest, on moving the arms.
Incisive shocks, or shootings in the chest, and in the region of the heart.—Violent
throbbing of the heart, when seated and leaning forward, or in the evening, in bed, when lying on
the left side.—Palpitation of the heart with anguish.—Heart feels suddenly swollen, with great
fear of dying, > by lying on I. side.—Sensation of painful contraction of the heart.
Painful heaviness in the nape of the neck, and between the shoulder-
as if bruised, mostly at night, and particularly towards four o'clock in the morning.
Arms tired and heavy, as if paralysed, with stiffness in the elbow.—Paralytic
weakness of the elbows and of the hands.—Cramp-like drawings in the forearm, the hands, and
the fingers —Coldness of the fingers.
Pain, as of dislocation, or of cramp in the coxo-femoral joints; also in the
leas and in the feet —Pain, as from fatigue, in the thighs and in the legs, when walking, as if they
were going to break.—Pressive drawing in all parts of the lower extremities.—Pain in the joint of
the foot on putting it down, producing lameness.—Paralysis of the legs, imminent with trembling
of the feet.—Paralysis of the joints of the feet—Drawing in the limbs, with soreness.—Pain in the
inner side of the ankle, when walking, causing limping.
Caries, very painful ulcers which affect the bone.
In the evening, great drowsiness, followed by sleeplessness before midnight.—Sleep
disturbed by frequent dreams.
Pulse accelerated, spasmodic, irregular at times, intermitting —Chill, in the morning
and forenoon, preceded by thirst.—Violent chill every afternoon at 3 o'clock.—Heat in the
evening after entering a room, after supper, mostly in the face; at 3 a.m., disturbing sleep,
followed by chilliness.—Shuddering in the part affected—Heat, with confusion and pain in the
head, in the evening and at night.—Thirst and vomiting of bile begin with hot stage.
Tetanus. Toothache. Whooping-cough.
Ang. is like Ruta in its action on bones, and as an antidote to Mercury; also like
False Angustura (Angustura spuria, Brucea antidyssenterica, Nucis vomice cortex—see Brucea);
Bry. (bellyache after milk); Chel. (sharp, cutting pain from just beneath right scapula to chest).
Sixth potency.
Open the workspace. Type a real case from this week — one you're still chewing on. Watch Repertify rank Angustura against the totality, cite the rubrics, and surface the §246-correct posology with the rule inline. You'll know by the third turn.
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