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Materia Medica

Antipyrinum

Phenazone-A Coal-tar Derivative
31 sectionsBoericke · 16Clarke · 15

At a glance

Cardinal features · auto-extracted from Boericke · Clarke
  • hallucinations of sight and hearing

Essence

Prologue
Boericke

Phenazone-A Coal-tar Derivative (ANTIPYRINE)

  • Antipyrine is one of the drugs that induce leucocytosis, similar to ergotin, salicylates, and tuberculin.
  • Acts especially on the vaso-motor centers, causing dilation of capillaries of skin and consequent circumscribed patches of hyperaemia and swelling.
  • In large doses causes profuse perspiration, dizziness, cyanosis, and somnolence, albumen and blood in urine.
  • Acute erythema multiforme.
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Keynotes

Characteristics
Clarke

Antipyrine is known from the poisonous effects it has produced in old-school

practice. Many fatal cases have been recorded, and there can be little doubt that its injudicious

use has determined a fatal issue in many cases that have remained unrecorded. Its action is very

like that of Antifebrin in producing collapse, but it has more effect on the skin, causing scarlet

rash and cedema. A young lady patient of mine who took Antipyrin on her own account,

whenever she thought she might be going to have a headache, developed intense dysmenorrhcea

(to which she was not subject), with depression. This was only removed after she had

discontinued the drug. Later on she took Phenacetin, with the result that an eruption of erythema

appeared on both cheeks, which peeled after a few days, and recurred persistently. It would seem

from the above that the drug is homceopathic to some forms, at least, of neuralgia. One patient

had Cheyne-Stokes respiration. Erythema appears first on face and arms, last on legs. Hansen

mentions its use in enuresis and epistaxis. > Hot drinks.

Mentals

Mind
Boericke

Fear of becoming insane; nervous anxiety; hallucinations of sight and hearing.

Symptoms — Mind
Clarke

Loss of consciousness.—Fear of impending insanity (mental balance did not return for

some months).—Excitement—Continual crying. —Nervous anxiety.

Head

Head
Boericke

Throbbing headache; sensation of constriction. Flashes of heat. Headache under ears with earache.

Symptoms — Head
Clarke

Headache, with toothache; pain behind both ears of tearing character.—Snapping

sensation in head.

Eyes

Eyes
Boericke

Puffiness of lids. Conjunctiva red and oedematous, with lachrymation. Red spots (Apis).

Symptoms — Eyes
Clarke

Complete loss of vision.—Eyelids swollen so that eyes were almost closed.—Coryza.

Ears

Ears
Boericke

Pains and buzzing. Tinnitus.

Nose

Symptoms — Nose
Clarke

Tingling burning in nose, with sneezing and running from eyes and nose; nose and face

swollen.—Coppery smell which comes and goes.

Face

Face
Boericke

OEdema and puffiness. Red and swollen.

Mouth

Mouth
Boericke
  • Swelling of lips.
  • Burning of mouth and gums.
  • Ulceration of lips and tongue; vesicles and bullae.
  • Small lump in cheek.
  • Tongue swollen.
  • Bloody saliva.
  • Toothache along lower jaw.
Symptoms — Mouth
Clarke

Tingling burning in gums, mouth, and throat.—Lump in mouth about an inch thick

just below level of upper teeth (passed away in half-hour).

Symptoms — Teeth
Clarke

General toothache, together with headache; pain behind both ears of a tearing

character.

Throat

Symptoms — Throat
Clarke

Dryness, burning, swelling, |. side of throat with aphonia; |. tonsil white and

swollen.—Tight, constricted feeling.

Throat
Boericke
  • Pain on swallowing.
  • Expectoration of fetid pus.
  • Abscess, white false membrane.
  • Sensation of burning.

Stomach

Stomach
Boericke

Nausea and vomiting; burning and pain.

Symptoms — Stomach
Clarke

Attacks of excitement accompanied by vomiting (in a child).—Epigastric pain,

causing to bend double and cry out.—Expanding sensation rising from stomach.

Urinary

Urine
Boericke

Diminished. Penis black.

Female

Female
Boericke

Itching and burning in vagina. Menses suppressed. Watery leucorrhoea.

Respiratory

Respiratory
Boericke
  • Fluent coryza.
  • Nasal mucous membrane swollen.
  • Dull pains in frontal sinus.
  • Aphonia.
  • Oppression and dyspnoea.
  • Cheyne-Stokes respiration.

Chest

Heart
Boericke

Faintness, with sensation of stoppage of heart. Throbbing throughout the body. Rapid, weak, irregular pulse.

Symptoms — Chest
Clarke

Sensation as though contents of thorax and abdomen were being forcibly drawn up

towards throat, and r. testicle to abdomen.—Dyspncea; tightness of chest—Sensation of tumour

over notch of sternum.—Inability to lie down.

Upper Limbs

Symptoms — Upper Limbs
Clarke
  • Cramp in r.
  • arm.
  • —Fingers of r.
  • hand clenched in the form of a claw.

24. Generalities—Feeling of numberless pins pricking him down each side of the neck,

  • extending down r.
  • chest and abdomen, particularly severe r.
  • side of scrotum and r.
  • testicle, also

in legs and feet, severely r., slightly 1——Sensation as if contents of chest and abdomen drawn

upwards, felt he was "drawn in a ruck," and, being unable to stand, fell on the floor—Trembled

violently all over, had cramp in r. arm.—Epileptic attacks, with partial unilateral twitching;

contraction of muscles; chattering of teeth; jactitation —Cyanosis.—Collapse.—Throbbing all over

body.—Sensation as if inside of body were filled with ice.

Skin

Skin
Boericke
  • Erythema, eczema, pemphigus.
  • Intense pruritus.
  • Urticaria, appearing and disappearing suddenly, with internal coldness.
  • Angioneurotic-oedema.
  • Dark blotches on skin of penis, sometimes with oedema.
Symptoms — Skin
Clarke

Rash, erythema or urticaria, with troublesome itching; chiefly between

fingers.—Irregular rounded pimples lying close together, in some places confluent, forming

patches, between which skin was normal, giving a marbled appearance, lasted five days, turned

brownish and desquamated slightly.—Eruption thickest on body and extremities, extensor more

covered than flexor surfaces.—Eruption begins on face and arms, last on legs.—Scarlet macular

eruption.

Fever

Symptoms — Fever
Clarke

Excessive perspiration.—Throbbing all over body, coldness of hands and feet,

nervous shuddering without chill—Pulse goes up and down with the temperature.

Clinical

Clinical
Clarke
  • Dysmenia.
  • Enuresis.
  • Epilepsy.
  • Epistaxis.
  • Erythema.
  • German measles.
  • Headache.
  • Heart, paralysis of.
  • Mind, deranged.
  • Respiration, Cheyne-Stokes.
  • Scarlatina.
  • Throat, sore.

Toothache. Urticaria.

Relations

Relations
Clarke
  • Compare: Anilinum (skin).
  • Antefeb.
  • ; Ars.
  • ; Chloral; Acon.
  • (numbness; rapidity of

attack). Antidoted by: Bell. The symptoms are much intensified in persons addicted to coffee in

excess.

Posology

Dose
Boericke

Second decimal potency.

Classical Posology

Acute
  • 30C or 200C · repeat every 1–4 h depending on intensity
  • Stop on improvement · reassess in 24–48 h
  • For sensitive / elderly / paediatric: prefer LM1 or 30C
Constitutional
  • 200C or 1M single dose · wait 4 weeks
  • Alternative: LM1 daily × 10 days · ascend on retest
  • Hering's-Law follow-up adapts the next script
Citations: Organon §246 (interval / repetition) · §161 (plussed water) · §282 (LM ascension) · Kent on selection · Vithoulkas on second prescription. Open Repertify for the case-specific dose with the rule cited inline.

Additional notes

Nerves
Boericke
  • Epileptiform seizures.
  • Contractures.
  • Trembling and cramps.
  • Crawling and numbness.
  • General prostration.
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