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Materia Medica

Cantharis Vesicatoria

Spanish Fly
53 sectionsBoericke · 22Clarke · 28Kent · 3

At a glance

Cardinal features · auto-extracted from Boericke · Clarke · Kent
  • Anagallis
  • Raw, burning pains
  • Intolerable, constant urging to urinate
  • that are aggravated by drinking coffee
  • Acute mania

Essence

Prologue
Boericke

Spanish Fly (CANTHARIS)

This powerful drug produces a furious disturbance in the animal economy, attacking the urinary and sexual organs especially, perverting their function, and setting up violent inflammations, and causing a frenzied delirium, simulating hydrophobia symptoms (Anagallis). Puerperal convulsions. Produces most violent inflammation of the whole gastro-intestinal canal, especially lower bowel. Oversensitiveness of all parts. Irritation. Raw, burning pains. Haemorrhages. Intolerable, constant urging to urinate is most characteristic. Gastric, hepatic and abdominal complaints that are aggravated by drinking coffee. Gastric derangements of pregnancy. Dysuria, with other complaints. Increases secretion of mucous membranes, tenacious mucus. The inflammations cantharis produces (bladder, kidneys, ovaries, meninges, pleuritic and pericardial membranes)are usually associated with bladder irritation.

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Mentals

Mind
Boericke
  • Furious delirium.
  • Anxious restlessness, ending in rage.
  • Crying, barking; worse touching larynx or drinking water.
  • Constantly attempts to do something, but accomplishes nothing.
  • Acute mania, generally of a sexual type; amorous frenzy; fiery sexual desire.
  • Paroxysms of rage, crying, barking.
  • Sudden loss of consciousness with red face.
Symptoms — Mind
Clarke

Dejected and lachrymose humour.—Anxious inquietude, with agitation, which

necessitates constant motion.—Want of confidence in one's self.—Pusillanimity and

timidity.—Disposition to be angry, and to fly into a rage.—Paroxysms of rage, with cries, blows,

and barkings, renewed on feeling the gullet, and at the sight of

  • water.
  • —Delirium.
  • —Insanity.
  • —Mania, with extravagant acts and gestures.
  • —Constantly attempting

to do something, but accomplishing nothing.

Modalities

Modalities
Boericke
Worse
from touch, or approach, urinating, drinking cold water or coffee
Better
rubbing

Head

Head
Boericke

Burning in brain. Sensation as if boiling water in brain. Vertigo; worse in open air.

Symptoms — Head
Clarke

Vertigo, with loss of consciousness, and mist before the sight, chiefly in the open

air.—Headache, which interrupts sleep at night—Pressive lancinations in the head, which

disappear on walking.—Acute drawing pains in the head, with vertigo.—Congestion in the

head.—Throbbing in the brain, and heat, which ascends to the head.—Sensation of burning in the

head, as if the interior were raw, with inflammation of the brain —Drawing, jerking, and gnawing

in the bones of the head.—Headache, as if the hair were pulled.—Hair standing on

end.—Headache, as if coming from the nape of the neck, and wishing to escape by the

forehead.—Burning in the sides of the head, ascending from the neck, with soreness and

giddiness; < in the morning and afternoon; when standing or sitting; > when walking or lying

down.

Eyes

Eyes
Boericke

Yellow vision (Santon).

Fiery, sparkling, staring look. Burning in eyes.

Symptoms — Eyes
Clarke

Pain in the eyes, with sensation as if the eyelids were excoriated, chiefly when they are

opened.—Inflammation of the eyes, with burning smarting —Yellowish colour of the

eyes.—Prominence, and convulsive movements of the eyes; fiery, sparkling, staring

look.—Objects seemed to be tinged with a yellow hue.

Ears

Ears
Boericke

Sensation as if wind were coming from ear, or hot air. Bones about ear painful (Capsic).

Nose

Symptoms — Nose
Clarke

Swelling of the nose, even in the interior, with redness and burning

heat.—Erysipelatous inflammation of the dorsum of the nose, extending to the cheeks (r.) with

hardness and subsequent desquamation.—Fetid and sickly smell before the nose.—Coryza of long

duration, and catarrh, with copious flow of viscid mucus from the nose.

Face

Face
Boericke
  • Pale, wretched, death-like appearance.
  • Itching vesicles on face, burning when touched.
  • Erysipelas of face, with burning, biting heat with urinary symptoms.
  • Hot and red.
Symptoms — Face
Clarke

Paleness of the face.—Face hollow, hippocratic, with features which express anguish

and despair.—Yellowish colour of the face.—Erysipelatous inflammation and desquamation of

the cheeks.—Burning redness and swelling of the face—Swelling at one side of the face (r.), with

  • tension.
  • —Swelling and inflammation of the lips.
  • —Fissure and exfoliation of the lips.
  • —Trismus.

Mouth

Symptoms — Mouth
Clarke

Taste of cedar pitch in the mouth—Inflammation of the mucous membrane of the

mouth.—Inflammation of the mouth and pharynx.—Inflammation and suppuration of the tonsils,

with inability to swallow.—Burning in the mouth, extending down the pharynx, cesophagus and

stomach; < from drinking cold water.—Phlegmonous inflammation of the interior of the

  • cheek.
  • —Aphthee in the mouth.
  • —Frothy salivation, with streaks of blood.
  • —Foam at the

mouth.—Coagulated blood coming from the mouth.—Inflammatory swelling and suppuration of

the tongue.—Suppuration of the gums.—Fistula dentalis (suppurating) (upper

incisors).—Weakness of the organs of speech, and languid diction.

Symptoms — Teeth
Clarke

Toothache, generally drawing, < by eating.—Fistula in the gums.—Ulceration of the

gums.

Throat

Symptoms — Throat
Clarke

Sore throat, on swallowing.—Difficult deglutition, with strangulation in the throat,

and nocturnal regurgitation of food.—Impeded deglutition, esp. in the case of liquids —Burning in

the throat, on swallowing.—Inflammation and ulceration of the tonsils and of the throat; with

inability to swallow.—Burning pains in the throat, < by drinking water.

Throat
Boericke
  • Tongue covered with vesicles; deeply furred; edges red.
  • Burning in mouth, pharynx, and throat; vesicles in mouth.
  • Great difficulty in swallowing liquids.
  • Very tenacious mucus (Kali bich).
  • Violent spasms reproduced by touching larynx.
  • Inflammation of throat; feels on fire.
  • Constriction; aphthous ulceration (Hydr mur; Nit ac).
  • Scalding feeling.
  • Burnt after taking too hot food.

Stomach

Stomach
Boericke
  • Burning sensation of oesophagus and stomach (Carb).
  • Disgust for everything-drink, food, tobacco.
  • Burning thirst, with aversion to all fluids.
  • Very sensitive, violent burning.
  • Vomiting of blood-streaked membrane and violent retching.
  • Aggravation from drinking coffee; drinking the smallest quantity increases pain in bladder, and is vomited.
  • Thirst unquenchable.
Symptoms — Appetite
Clarke

Loss of taste—Taste of pitch in the mouth and in the throat.—Thirst, from dryness

of the lips, with repugnance to all drinks.—Want of appetite, with disgust and repugnance to all

sorts of food.

Symptoms — Stomach
Clarke

Risings, with burning sensation, as if from pyrosis, aggravated by drinking.—Sob-

like risings, which seem to take an inverse direction and to return towards the

stomach.—Vomiting of undigested food.—Vomiting of bilious and slimy substances, or of

blood.—Great sensitiveness of the precordial region.—Pressive fulness, with anxiety and

inquietude in the stomach.—Smarting and burning pains in the stomach.—Inflammation of the

stomach.

Abdomen

Symptoms — Abdomen
Clarke

Pains in abdomen, after taking coffee.—Inflammation of the liver —Shootings

  • and contraction in r.
  • hypochondrium.
  • —Great sensibility of the abdomen to the touch.
  • —Burning

pain in the abdomen, from the gullet to the rectum.—Burning pain above the navel, on coughing,

on sneezing, on blowing the nose, with yellowish spots on the part affected.—Inflammation of

the intestines.—Dropsical swelling of the abdomen.—Incarceration of flatulency under the

hypochondria.

Stool

Stool
Boericke

Shivering with burning. Dysentery; mucous stools, like scrapings of intestines. Bloody, with burning and tenesmus and shuddering after stool.

Symptoms — Stool and Anus
Clarke

Constipation and hard feeces.—Diarrhoea, with evacuation of frothy matter,

or of greenish mucus, with cutting pains after the evacuation and burning pains in the

rectum.—During stool, burning in the anus; prolapsus ani.—After stool, chilliness and

tenesmus.—Dysenteric diarrhoea, with nocturnal evacuation of whitish mucus, and of solid

pieces, like false membranes, with streaks of blood.—Sanguineous evacuations.

Urinary

Symptoms — Urinary Organs
Clarke

Retention of urine, with cramp-like pains in the bladder.—Urgent and

ineffectual efforts to make water, with painful emission, drop by drop.—Difficult emission of

urine, in a weak and scattered stream.—Increased secretion of urine.—Urine, pale yellow, or of a

deep red colour.—Flow of sanguineous mucus from the bladder.—Emission of blood, drop by

drop.—Purulent urine —Burning smarting, on making water.—Incisive pains in the front part of

the urethra, during the emission of urine, and afterwards.—Sharp, tearing, and incisive pains,

successive pullings and pulsations in the urinary organs.—Burning, stinging and tearing in the

kidneys.—Pressing pain in the kidneys, extending to the bladder; along the ureters; relieved by

pressing upon the glans.—Inflammation and ulceration of the kidneys, of the bladder, and of the

urethra.—Exceedingly painful sensibility of the region of the bladder on its being touched.

Urine
Boericke
  • Intolerable urging and tenesmus.
  • Nephritis with bloody urine.
  • Violent paroxysms of cutting and burning in whole renal region, with painful urging to urinate; bloody urine, by drops.
  • Intolerable tenesmus; cutting before, during, and after urine.
  • Urine scalds him, and is passed drop by drop. Constant desire to urinate.
  • Membranous scales looking like bran in water.
  • Urine jelly-like, shreddy.

Female

Female
Boericke
  • Retained placenta (Sep), with painful urination.
  • Expels moles, dead foetuses, membranes, etc.
  • Nymphomania (Plat; Hyos; Lach; Stram).
  • Puerperal metritis, with inflammation of bladder.
  • Menses too early and too profuse; black swelling of vulva with irritation.
  • Constant discharge from uterus; worse false step.
  • Burning pain in ovaries; extremely sensitive.
  • Pain in os coccyx, lancinating and tearing.
Symptoms — Female Sexual Organs
Clarke

Catamenia premature and too copious, with black blood and pains

during the flow.—Voiding of moles, of foetus, and of placentee.—Inflammation of the

ovaries.—Swelling of the cervix uteri—Corrosive leucorrhoea, with burning sensation on making

water, and excitement of sexual desire.

Male

Male
Boericke

Strong desire; painful erections. Pain in glans (Prunus; Pareira). Priapism in gonorrhoea.

Symptoms — Male Sexual Organs
Clarke

Draggings in the spermatic cord, on making water —Inflammation

and gangrene of the genital parts —Painful swelling of the testes.—Sexual desire greatly

increased, with painful, frequent erections (with gonorrhoea), of long continuance, as in

  • priapismus.
  • —Ready emission, during amorous caresses.
  • —Spermatorrhocea.
  • —A fter coition, burning

pain in the urethra.

Respiratory

Respiratory
Boericke

Voice low; weak feeling. Stitches in chest (Bry; Kal c; Squilla). Pleurisy, with exudation.

Symptoms — Respiratory Organs
Clarke

Hoarseness, with painful rattling of viscid mucus, copious, and

coming from the chest, and with incisive shootings in the trachea.—Oppression of breathing, with

sensation of constriction of the pharynx.—Stitches in the chest during air inspiration.

  • (Inflammation of the lungs.
  • ).
  • —Inflammation of the larynx.
  • —Sensation of excessive weakness in

the organs of respiration, on speaking and on breathing deeply.—Voice feeble, timid, and

trembling.

Chest

Chest
Boericke
  • Pleurisy, as soon as effusion has taken place.
  • Intense dyspnoea; palpitation; frequent, dry cough.
  • Tendency to syncope.
  • Short, hacking cough, blood-streaked tenacious mucus.
  • Burning pains.
Heart
Boericke

Palpitation; pulse feeble, irregular; tendency to syncope. Pericarditis, with effusion.

Symptoms — Chest
Clarke

Respiration rendered difficult and oppressed by constriction of the throat, and

dryness of the nose.—Suspension of respiration in going up a hill, with rattling in the chest and

nausea.—Shootings in the chest, and in the sides.—Burning pains in the chest, from whence small

clots of blood are at times detached.—Palpitation of the heart.

Neck & Back

Back
Boericke

Pain in loins, with incessant desire to urinate.

Symptoms — Neck and Back
Clarke

Stiffness in the nape of the neck, with tension when bending it

over.—Acute drawing pains in the back.—Tearing in the back (after rising from a

seat).—Sensation of constriction in the spine—Emprosthotonos and opisthotonos.

Upper Limbs

Symptoms — Upper Limbs
Clarke

Acute tractive pains in the arms.—Want of strength in the

hands.—Eczematous eruption on dorsum of hand and between fingers, itching and burning

fearfully, < from cold water, > from warmth.

Lower Limbs

Symptoms — Lower Limbs
Clarke

Pains in the hips, with spasmodic sufferings in the urinary passages.—Acute

tractive, piercing pains, in the legs, from the feet to the hips.—Trembling of the legs —Darting

pain from r. foot to r. side of h cad in paroxysms.

24. Generalities—Burning pains, as from excoriation, in all the cavities of the body.—Acute

shootings towards the interior in different parts —Drawing, arthritic pains in the limbs, with

affection of the urinary ducts, mitigated by rubbing.—Violent pains, with groans and

lamentations.—Sensation of dryness in the joints —Want of flexibility of the whole

body.—Dejection and weakness, with excessive sensibility in all parts of the body, trembling, and

desire to lie down.—Prostration of strength, proceeding even to paralysis——Convulsions,

tetanus.—The sufferings show themselves chiefly on the r. side, and are mitigated in a recumbent

posture.—The symptoms are renewed every seven days.

Extremities

Extremities
Boericke

Tearing in limbs. Ulcerative pain in soles; cannot step.

Skin

Skin
Boericke
  • Dermatitis venenata with bled formation.
  • Secondary eczema about scrotum and genitals, following excessive perspiration.
  • Tendency to gangrene.
  • Eruption with mealy scales.
  • Vesicular eruptions, with burning and itching.
  • Sunburn.
  • Burns, scalds, with rawness and smarting, relieved by cold applications, followed by undue inflammation.
  • Erysipelas, vesicular type, with great restlessness.
  • Burning in soles of feet at night.
Symptoms — Skin
Clarke

Itching vesicles, with burning pain on being touched.—Blisters, from

burns.—Erysipelatous inflammations.—Acute drawing pains in ulcers, with increased

suppuration.

Sleep

Symptoms — Sleep
Clarke

Great drowsiness, esp. in the afternoon, with yawnings and stretching.—Sleeplessness

without apparent cause.—At night, half sleep, with frequent waking.

Fever

Fever
Boericke

Cold hands and feet; cold sweat. Soles burn. Chill, as if water were poured over him.

Symptoms — Fever
Clarke

Pulse hard, full and rapid.—Fever, which manifests itself only by cold.—Cold and

shivering, with cutis anserina and paleness of the face.—Thirst only after the

shivering.—Perspiration; cold, esp. on the hands and feet; on the genitals—Sweat, of the smell of

urine.—Pulsation through the trembling limbs.

Clinical

Clinical (part 1)
Clarke
  • Bladder affections.
  • Burns.
  • Chordee.
  • Diphtheria.
  • Dysentery.
  • Eczema.
  • Emissions.
  • Erotomania.
  • Erysipelas.
  • Eyes, inflammation of.
  • Gastritis.
  • Gonorrhea.
  • Herpes zoster.
  • Hydrophobia.
  • Kidneys, affections of.
  • Mania.
  • Neuralgia.
  • Nymphomania.
  • Ovaries, affections of.
  • Peritonitis.
  • Pleurisy.
  • Pregnancy, disorders of.
  • Retained placenta.
  • Satyriasis.
  • Scarlatina.
  • Spermatorrhea.
  • Strangury.
  • Thirst.
  • Throat, sore.
  • Tongue, inflammation of.
  • Urine, abnormal.

Vesication of skin.

Clinical (part 2)
Clarke

Characteristics——Cantharis belongs to the animal kingdom and finds its most prominent sphere

of action in exciting the animal passions. There is anger in a very acute degree amounting to

paroxysms of rage; and a corresponding condition of the bodily tissues. The word "irritation"

best expresses the totality of the Cantharis effects. The pains are burning, and sharp, lancinating

along the course of a nerve. Neuralgia of head and face from taking cold, with loud screams and

jerking of muscles. The slightest touch or approach aggravates the mental symptoms. Violent

spasms reproduced by touching larynx. There is also < from dazzling objects and by

water—completing the hydrophobia picture. It may be well to remember in this connection the

violent erotic action of Canth., for many have maintained that rabies only arises among

domesticated animals where sexual functions are under more or less abnormal conditions.

Guernsey gives as the special indications in hydrophobia: "Moaning and violent cries,

interspersed with barking." Canth. produces amorous frenzy, unbounded sexual desire; also

sexual erethism and excitability. It acts on the brain, producing inflammation of the tissues. The

eyes are bright, pupils widely dilated. Erysipelas commencing in nose. The face is generally pale

or yellowish, with an expression of deep-seated suffering. There is diphtheritic inflammation of

throat, severe burning, constriction; thirst, with aversion to drinking. The stomach is inflamed.

Pain in abdomen colic-like, doubling the patient up, cutting, burning, lancinating. Dysenteric

stools with tenesmus. In the genito-urinary region the most intense action is developed. There is

extreme superficial sensitiveness in hypogastrium (especially when the bladder is full), attended

with unbearable tenesmus vesicz. Cutting, burning pains from the kidney down to urethra.

  • Strangury.
  • Can pass only a few drops, like molten lead.
  • Irritation of all grades.
  • The sexual

appetite is aroused to the point of mania. Coitus does not always reduce it. On the skin and

serous membranes the irritating effects of the remedy are equally pronounced. Pleurisy with

effusion has been cured by the remedy given internally. Burning, stitches, shooting pains and

exudation are the indications. So the fly-blister treatment of olden days had more to say for itself

than those who used it knew. Vesication is the note of its effects on the skin and indicates its use

in burns of the first degree, erysipelas, blisters. In burns the part may be treated with a lotion

containing a few drops of the tincture to the ounce of water, a dilution being given internally. An

  • ointment made with the 3x is a good application for herpes zoster.
  • H.
  • N.
  • Guernsey observed that

Canth. is almost always the remedy for whatever other sufferings there may be, when there is as

well frequent micturition with burning, cutting pain; or if cutting burning pain attends the flow,

even when micturition is not very frequent. Guernsey also pointed out that Canth. should be

studied in treating affections of the air-passages when the mucus is tenacious. Nash records a

case in which this observation led him to make a pretty cure. Kali bich. had completely failed to

Clinical (part 3)
Clarke

relieve a lady who had suffered long from bronchitis. The mucus was profuse, tenacious, and

ropy. One day the patient mentioned that she had great cutting and burning on urinating, which

  • she was obliged to do very frequently.
  • Canth, made a rapid cure.
  • Canth.
  • has cured a case of

malarial cachexia in which the symptoms were always < when the urine was scanty. "Burning"

runs through the Canth. pathogeneses in a very striking way. Another marked feature of the

remedy is its effect in increasing the secretions of membranes. Canth. "expels moles, dead fetus,

placentz; promotes fecundity" (Guernsey). The < is: from drinking; from coffee; from drinking

cold water; whilst urinating; after urinating; from touch. > From rubbing; from warm

applications.

Relations

Relations
Clarke

Antidotes: Camph. antidotes the strangury and retention of urine of Canth., Apis the

  • cystitis, Kali nit.
  • the renal symptoms.
  • For its throat symptoms it is nearest to Capsicum.
  • Other
  • antidotes: Acon.
  • , Lauro.
  • , Puls.
  • Canth.
  • is antidote to: Camph.
  • , Vinegar, Alcohol.
  • Compatible:
  • Bell.
  • , Merc.
  • , Pho.
  • , Pul.
  • , Sep.
  • , Sul.
  • Incompatible: Coffea.
  • Compare: Doryph.
  • , Coccus cact.
  • ,
  • Coccionella, Apis, Bell.
  • , Bry.
  • , Can.
  • s.
  • (more burning and smarting; Canth.
  • more tenesmus);
  • Petros.
  • (sudden urging); Caps; Puls.
  • (retained placenta); Ars.
  • (delayed urination after

parturition); Thuja (erections; those of Canth. prevent urination; those of Thuja do not); Merc.

(semen mixed with blood); Sarsapar. (urine burns like fire, shreddy particles and blood in it);

  • Arum, Arn.
  • , Rhus, Ranunc.
  • scel.
  • (Teste classes Canth.
  • with Senega and Phos.
  • ac.
  • in his Contum

group.)

Relationship
Boericke

Antidotes: Acon; Camph; Puls.

  • Compare: Cantharidin--(Glomerular nephritis).
  • The immediate pharmacological action of Cantharidin is irritability of the capillaries, rendering the passage of nutritive fluids through them less difficult.
  • This is most marked in the capillaries of the kidneys.
  • The increase of blood sugar coincident with the glomerular nephritis appears to be a valuable observation.
  • Vesicaria--(Urinary and kidney remedy.
  • Smarting, burning sensation along urethra and in bladder with frequent desire to void urine often with strangury.
  • Cystitis, irritable bladder.
  • Tincture 5-10 drop doses).
  • Fuschina coloring substance used in adulteration of wine (Cortical nephritis with albuminuria, 6th-30th potency.
  • Redness of ears, mouth, swollen gums; deep, red urine; red, profuse diarrhoea, with severe abdominal pains).
  • Androsace lactea (urinary troubles, diuretic; dropsy).
  • Apis; Ars; Merc cor.

Complementary: Camph.

Posology

Dose
Boericke

Sixth to thirtieth potency. Bears repeated doses well. Locally, in burns and eczema, 1x and 2x, in water, or as cerate.

Kent's Lecture

Lecture (part 1)
Kent

Head hot, frenzy, delirium, with great excitement and rage, paroxysms renewed by dazzling or bright objects, by touching the larynx

or by trying to drink water as in rabies, bear and confusion of ideas.

The mind often runs towards subjects that the inflamed parts would

suggest. The bladdei and genitals are inflamed aiid the excitement and

congestion of the parts often arouse the sexual instinct, so that there

are sexual thoughts and sexual frenzy. Violent amorous frenzy, an

excitement such as accompanies inflammation attended with thoughts

that correspond. The sexual instinct has gone mad. The elections

in the male are painful and violent. The penis is inflamed and sore

  • and it would be painful to have coitus, yet there is this frenzy.
  • Insolence.
  • Blasphemy.
  • Restlessness ending in rage.
  • Restlessness causing him to move constantly, a rage and delirium intermingled with

amorous frenzy. This kind of mental conduct in Cantharis is similar

to what will take place in Hyos., Phos., and Secale ; a violent delirious

state intermingled with sexual ideas and talk. In some instances he

deliriously sings lewd songs and prattles on the subject of human

genitals, urine and faeces, a wild raving on subjects not talked about

in health except among the depraved. But in disease, chaste and modest persons, virgins, will speak so that it is surprising where they have

picked up such language. In such cases it is well to exclude everybody from the room except the nurse and doctor. I have seen a dear

old mother weep and wring her hands and say : ‘Where did my

daughter learn such language?” The daughter is not to blame. It is

simply a condition of the urinary tract or the menstrual function,

brought on from cold or exposure, or through the mother’s neglect to

tell her daughter what she should know in regard to her menstrual

function, and how there is inflammation of the ovaries or uterus, or

outside parts, and the urine burns and causes an inflammatory condition of the outer parts, or the urine is retained and there is frenzy.

Such in Cantharis.

Violent, bursting, lancinating headaches as if stabbed with a knife ;

an inflammatory condition that takes hold of the mind violently.

Running all through the remedy there is burning. In the head

burning, throbbing and stabbing. Unconsciousness and delirium in

the mental state. Burning in the side of the head. Stitches in the

side of the head and occiput. Lancinating pains deep in the brain.

Hair falls out.

Lecture (part 2)
Kent

It is seldom indicated in eye troubles alone, except such as come

with head and mind symptoms. Erysipelas of the face with large

blisters. Burning in the eyes and the whole atmosphere looks yellow.

Burning and smarting in the eyes. Erysipelas of the eyes, with

gangrenous tendency. Eyes hot, scalding tears. Erysipelas of the

face, dorsum of the nose, involving the lids. Rhus is more commonly

used in this condition, but when it is violent Canth. will often be indicated and preferable to Rhus. Rhui has the blisters and the burning,

but in Canth. between your two visits the erysipelas has grown black,

it is dusky, a rapid change has taken place, and it looks as if gangrene

would set in. Burning in the crys^clatous area and the skin around

burns from the touch. In Rhus this is not so. In Cantharis the little

blisters even if touched burn like fire. Eruptions burn when touched,

ever so lightly, i.e., those eruptions such as the remedy could produce.

This patient enters into a state of prostration, is pallid, has hippocratic countenance and dies. Ir corresponds to the lowest forms of

disease, even gangrene and violent inflammation of the bowels,

bladder, brain, spine and lungs ; sinking and hippocratic countenance.

Inflammation of the lungs, gangrenous type, prostration and the lung

that is affected burns like fire, and immediately he expectorates cadaverous smelling expectoration, thin, bloody, watery : it has come on in an

astonishingly rapid manner, and in a little while he will die ; the nose

is contracted, there is the hippocratic countenance, and the urine is

suppressed. I remember one patient who had just come out of a prolonged drunk. I left the patient in the evening in just such a state

as I have described. He was drooling a bloody saliva from his mouth

and he was dying. He had had this condition come on in one night

from being nearly frozen in a drunk. It would be Cantharis or death

before monring, but by morning he was expectorating a rusty sputum

and went on to good recovery. Arsenic has the burning in the lungs

and he spits up black sputum, pneumonia signs are present, with the

restlessness and anxiety, and other symptoms of Arsenic^ and Arsenic

will stop it at once. These violent remedies are needed in those cases

that will die.

Burning in the throat. Great thirst, with burning in the throat and

stomach. Thirst, with aversion to all fluids, that is, the craving of the

mouth and throat are antagonized by the mental state. Thirst in the

throat and an aversion to water in the mind. Violent burning in the

stomach, pylorus, abdomen. The abdomen is swollen and tympanitic ;

lancinating pains cutting and stabbing. Wherever there is a rapid

inflammation in the bowels there is diarrhoea of bloody mucus or

serum, watery, bloody fluids from the bowels and stomach. The same

watery bloody fluid from the eyes. And wherever this watery fluid

comes in contact with the skin it burns and excoriates. Bloody urine.

Lecture (part 3)
Kent

Desire for stool while urinating. The patient will sit on the commode with violent tenesmus to pass urine and stool, feels that if he

could only pass a few more drops of urine or a little more bloody

stool he would get relief, but no relief comes. All the parts are inflamed and on fire. Tenesmus and urging not only when the bladder is

empty, but often when the bladder is full. Retention of urine. Passes

none or only a drop or two. Violent tenesmus of the bladder. Cutting

pains with tenesmus. Lancinating, stabbing like knives, in neck of

bladder. Pains shoot off in different directions. Violent pains with

frequent urging. Constant tenesmus. An anxious state and frenzy

come on ; most violent suffering and he has urging to pass urine and

stool with sexual erethism tantalizing in the extreme. The whole

urinary organs and genitalia are in a state of inflammation and gangrene. Burning when urinating. This bloody urine burns like fire

in the bladder and about the genitals. Retention or suppression of

urine. It is rare that one suffering from gonorrhoea has this violent

inflammation, with burning and tenesmus of the bladder and rectum,

but in such a case this remedy is indicated. The intensity and rapidity

are the features of this remedy. It biings on pain and excitement found

in no other remedy. Next to it comes Merc, cor.

In the female there is oversensitiveness of all parts. Inflammation

of the ovaries and uterus. Burning in the vagina. Membranous

dysmenorrhoea. Menses too early, profuse, black.

  • Puerperal convulsions.
  • Retained placenta.
  • Burning pains.
  • When

there have been no expulsive pains present to expel the afterbirth, with

the symptoms running all through this remedy, after it has been given,

normal contractions of the uterus have come on with expulsion of the

membranes.

Violent lancinating pains through the kidneys and back. Pains in

the loins, kidneys and abdomen. Pain on urinating, so that he moaned

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

Weakness and swelling of limbs.—Dropsical swelling of hands and feet.—Cold

sweat of hands and feet.

For practising licensed homeopaths

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