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Materia Medica

Bismuthum Oxydatum

15 sectionsClarke · 15
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Keynotes

Characteristics
Clarke

Bismuth exerts its chief influence in the stomach and stomach region. It causes

a pure gastralgia, not associated with catarrh like that of Nux. There is vomiting of large

quantities and intense thirst, with ejection of water immediately after it is taken; food is retained

a little longer. Burning, griping, lancinating, with dull pain in back or spasmodic vomiting. The

pains are chiefly piercing, tearing, burning, cramping, and screwing. Headache alternating with

gastralgia. There are tearing pressing pains in the bones of the hands and feet, spasmodic

affections of the muscles of face and limbs. Heemorrhages; the blood being dark, pitchy.

Aneemia, and with this there is an itch-like eruption. Corrosive itching on side of tibia. Gangrene

and gangrenous ulcers, bluish; or dried, parchment-like. Piedvache has recorded a case in which

a Bismuth dressing applied to a burn produced the following results: Pseudomembranous

stomatitis, with disseminated plaques, the membranes resting on black spots. Black borders on

gums; loosening of the teeth. Pharyngeal angina (uvula, tonsils, and palatine arch); false

membrane, slightly adherent, and of slight consistency; slate-coloured spots all over; later,

  • sphacelus of soft palate.
  • Vomiting, hiccough.
  • Pain along cesophagus.
  • Diarrhoea, albuminuria.

O. W. Smith has verified: "Pain in stomach > bending backward"; and "eructation tasting of food

eaten twenty-four hours before." Cold drinks and cold bathing > headache; toothache. When the

water in the mouth becomes warm it < toothache. Summer complaints. Headache returning in

winter. Motion relieves most symptoms and < some headaches. > Bending backward (pressure in

spine). The patient is restless, moving about; anxiety.

  • Bism.
  • has a great affinity for affections of r.
  • upper extremity or forehead.
  • Sensation of heaviness

in inner parts. With gastralgia there is pressing heaviness. In gastric affections with vomiting,

purging, and prostration, the surface of the patient is warm. In summer complaint of children

there is cadaverous smell of flatus and of stool. Desires company; child holds on to its mother's

hand. According to Teste, Bism. corresponds to slow digestion, with fetid eructations; it is hardly

ever indicated where eructations are inodorous or sour; or when gastralgia is accompanied by

habitual constipation, without vomiting, or with vomiting of insipid ropy mucus. The stools are

preceded by crampy, pinching pains in the stomach. Teste cured with the oxide a wearing,

nightly cough in a hysteric lady; and a case of sub-acute cystitis, with irregular paroxysms of

crampy pains in the bladder; also a case of phlegmasia alba dolens (left); Petroz having cured

another.

Mentals

Symptoms — Mind
Clarke

Discontented, morose, and complaining humour.—Inconstancy.—A version to

  • solitude —Delirium.
  • —Delirium tremens.
  • —Loss of consciousness.
  • —Moral apathy and insensibility.
  • 2, 3.
  • Head and Eyes.
  • —Giddiness in the morning.
  • —Vertigo, as if the brain were turning in a

circle.—Stupor, with mist before the eyes.—Headache, chiefly in the sinciput, and extending even

to the eyes —Cutting pain in brain, beginning above, r. orbit, extending to occiput.—Pressive

heaviness on the head, esp. on the forehead, above the root of the nose and in the

temples.—Constant digging and piercing in the forehead, which extends to the eyes and point of

the nose.—Headache attended by, or alternating with, gastralgia. Burning contraction in the head,

  • esp.
  • in the forehead and in the eyes.
  • —Aching of the eyeballs.
  • —Secretion of humour in the corner

of the eyes.

Generals

Symptoms — Generalities
Clarke

Sensation of heaviness in the inner parts.—Screwing pains.—Pressing pains

(eyes, head, abdomen, testicles).—Pressing-tearing (bones of the hands and of the feet)—Cramp-

like contractions in all the muscles.—Aching pains, or aching and pulling pains together.

Face

Symptoms — Face
Clarke

Earth-coloured, sickly, and wan (with distorted features), with livid circle round the

eyes.—Aching pain in the cheek-bones; > running about and holding cold water in the

mouth.—Face pale and cold.

7, 8. Teeth and Mouth.—Pressive, tractive odontalgia—Toothache > taking cold water into the

mouth, < when the water becomes warm.—Gums swollen, with pain like excoriation.—Painful

sensibility of the interior of the mouth, as if from excoriation—Constant secretion of a brownish,

thick saliva, of a metallic taste —In the morning, taste of blood in the mouth, with spitting of

sanguineous mucus.—In the evening, tongue white and loaded (without heat or thirst).—In the

evening, great thirst, with preference for cold drinks.

Throat

Symptoms — Throat
Clarke

Inflammation of the whole throat——Burning pain in the throat, sometimes

insupportable.—Phagedenic ulceration of uvula, with burning and tearing; difficult swallowing of

fluids, which return through nose.

  • 11, 12.
  • Stomach and Abdomen.
  • —Nausea after every meal.
  • —> By cold water (drink).
  • —Water is

vomited as soon as it reaches the stomach.—Vomiting, convulsive gagging and inexpressible pain

in stomach (after operations on abdomen).—Nausea, with inclination to vomit, esp. after having

eaten.—Violent risings of a putrid smell.—Strong inclination to vomit, with violent

  • retching.
  • —Cancer of stomach.
  • —Vomiting of brownish matter.
  • —Vomiting (of bile) with

oppressive anxiety, small pulse, vertigo and prostration Vomiting and diarrhcea.—Vomiting of

all fluids (children).—Cramp-like and pressive pains in the stomach, esp. after having

  • cater.
  • —Pressure like a load in the stomach, esp.
  • after a meal.
  • —Burning in the
  • stomach.
  • —(Inflammation of the stomach.
  • ).
  • —Borborygmi and rumbling in the abdomen.
  • —Colic

with pinching, pressure, and an inclination to go to stool.—Great inflation of the

abdomen.—Abdomen bloated in ridges; rumbling of wind along colon, passes rarely, but then

relieves.—Painful sensibility of the abdomen to the touch.

Stool

Symptoms — Stool and Anus
Clarke

In the evening, ineffectual efforts to go to stool—Aqueous diarrhoea of a

putrid smell.—Stools: cadaverous smell.—Cholera; cholerine; fluids vomited as soon as taken.

Urinary

Symptoms — Urinary Organs
Clarke

Frequent and copious emission of aqueous urine.—Emission of urine

entirely suppressed.

Male

Symptoms — Male Sexual Organs
Clarke

Aching pains in the testes.—Nocturnal pollutions without

dreams.—Pressing, aching in the (r.) testicle.

Chest

Symptoms — Chest
Clarke

Cough, day and night, with copious expectoration —Aching in r. half of chest, near

sternum, in a small spot.—Pressure and squeezing across the chest, in the region of the

diaphragm.—Hot, burning constriction of the chest, with difficulty of respiration and of

speech.—Burning and piercing in the chest and in the back.

Skin

Symptoms — Skin
Clarke

Ulcers, gangrenous bluish.—Dry gangrene; parchment-like—Burning smarting in the

skin.

Sleep

Symptoms — Sleep
Clarke

Languor and weakness.—Frequent waking, as if in a fright —Night sleep disturbed by

lascivious dreams, with or without emissions.—Great sleepiness in the morning after

rising.—Awaking from sleep with a start, and in a fright Voluptuous dreams.—Lassitude on

awaking in the night.

Fever

Symptoms — Fever
Clarke

Coldness of the whole body, externally —Great heat—Flushes of heat, esp. on head

and chest.—Intermittent, small pulse.

Clinical

Clinical
Clarke
  • Abdominal operations, vomiting after.
  • Angina pectoris.
  • Cholera.
  • Cough.
  • Cystitis.
  • Delirium tremens.
  • Diaphragmitis.
  • Diarrhoea.
  • Gangrene.
  • Gastralgia.
  • Gastritis.
  • Headache.
  • Phlegmasia alba dolens.
  • Stomach, cancer of.
  • Stomatitis.
  • Toothache.
  • Vomiting.

Relations

Relations
Clarke
  • Bismuth is antidoted by: Calc.
  • , Caps.
  • , Coffee, Nux.
  • Zs isomorphic with: Ant c.
  • , Ars.
  • ,
  • Phos.
  • Similar to: Ant.
  • c.
  • (vomiting, white tongue, gastritis); Ars.
  • (anxiety, gastritis, cancer,
  • gangrene, vomiting); Bell.
  • (gastralgia, cancer, flatus in ridges); Bry.
  • (toothache, gastritis); Calc.
  • ,
  • Caps.
  • , Chi.
  • , Ign.
  • , Kalic.
  • , Kre.
  • , Lach.
  • (sore throat, sleep, ulcers); Lyc.
  • , Merc.
  • , Nux (gastralgia,
  • urging to stool); Phos.
  • (vomiting: Bism.
  • vomits immediately; Pho.
  • vomits water as soon as it

becomes warm in stomach); Plumb. (abdomen in ridges, gastralgia; > bending backward; heart

  • disease); Puls.
  • , Rhus > by motion); Sep.
  • , Sil.
  • , Staph.
  • Useful after: Euonymus (headache).

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

Symptoms — Limbs
Clarke

Pressive and drawing pain, with paralytic weakness in the forearms and in the bones

of the wrist—Trembling of the hands after eating.—Tearing in r. index finger, also in tips and

joints of fingers —Acute drawing pains under the nails of the fingers —Excessive dryness of the

palms of the hands and of the soles of the feet—Cramp-like contraction of the hands and of the

feet.—Sharp and pressive pains in the bones of the foot.—Itching and gnawing in the tibia and in

  • the back of the foot, increased by scratching.
  • —Tearing in maleolus of r.
  • foot.
  • , in paroxysms,

terminating in tendo-Achillis.—Thighs and feet bluish.

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