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Materia Medica

Chimaphila Umbellata

Pipsissewa
28 sectionsBoericke · 11Clarke · 17

At a glance

Cardinal features · auto-extracted from Boericke · Clarke
  • Scanty urine, and loaded with ropy, muco-purulent sediment. Prostatic enlargement

Essence

Prologue
Boericke

Pipsissewa

  • Acts principally on kidneys, and genito-urinary tract; affects also lymphatic and mesenteric glands and female mammae.
  • Plethoric young women with dysuria.
  • Women with large breasts.
  • Hepatic and renal dropsies; chronic alcoholics.
  • Incipient and progressive cataracts.

One of the remedies whose symptoms point to its employment in bladder affections, notably catarrh, acute and chronic. Scanty urine, and loaded with ropy, muco-purulent sediment. Prostatic enlargement.

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Modalities

Modalities
Boericke
Worse
in damp weather; from sitting on cold stones or pavements; left side

Head

Head
Boericke
  • Pain in left frontal protuberance.
  • Halo about the light.
  • Itching of eyelids.
  • Stabbing pain in left eye with lachrymation.

Eyes

Symptoms — Eyes
Clarke
  • Halo round lamp flame.
  • —Stabbing shooting in |.
  • eyeball.
  • —Itching and smarting of

edges and insides of lids.

Face

Symptoms — Face
Clarke

Flushing of cheeks with some general heat and quickened pulse.

7, 8. Teeth and Mouth.—Toothache, < after eating and from exertion; cannot close teeth at

night, jaws feel stiff, sleeps with mouth open.—Toothache > by cold water.—Tongue: smarting;

sore, full of vesicles, great thirst and desire to cool the tongue; furred, more towards root, no

appetite —Vesicular ulcers in mouth.

Mouth

Mouth
Boericke

Toothache, worse after eating and exertion, better cool water. Pain as if tooth was being gently pulled.

Throat

Symptoms — Throat
Clarke

Palate sore, very sensitive to warm drink or food.—Rawness of upper and back part

of palate.

Stomach

Symptoms — Stomach
Clarke

Agreeable sensation in stomach soon after taking the drug, followed sometimes

by an extraordinary increase of appetite.

Abdomen

Symptoms — Abdomen
Clarke

Aching pain below r. hypochondrium while writing. —Organic disease of liver

with ascites Abdominal and renal dropsies in broken-drown constitutions and intemperate

  • subjects.
  • —Ascites.
  • —Scrofulous mesenteric glands.
  • —Worms.

Stool

Symptoms — Stool and Rectum
Clarke

Griping after stool.—Sticking pain in |. side rectum, deep in—Bloody

mucous stools.—Diarrhcea.—Inclination to stool, either ineffectual or attended with great

pain.—Obstinate constipation; with hemorrhoids.

Urinary

Symptoms — Urinary Organs
Clarke

Acute prostatitis with dysuria and retention, sensation in perineum as if

sitting on a ball.—Constant pain in region of kidneys; urine scanty, dark, fetid, thick, with

copious sediment.—Strangury; constant desire to urinate —Cutting, scalding pain, divided stream;

stricture —Urethritis with purulent or profuse mucous discharge —Great quantities of thick, ropy,

bloody mucus in urine.—Greenish-black urine.—Urine scanty; frequently voided, pressing pain

before, burning prickling, scalding and smarting during and after, and vesical tenesmus; < sitting,

> walking about.—Albuminuria; hematuria, from long-lasting gonorrhea; clots of coagulated

blood pass with urine.—Renal dropsy.

Urinary
Boericke
  • Urging to urinate.
  • Urine turbid, offensive, containing ropy or bloody mucus, and depositing a copious sediment.
  • Burning and scalding during micturition, and straining afterwards.
  • Must strain before flow comes.
  • Scanty urine.
  • Acute prostatitis, retention, and feeling of a ball in perineum (Cann ind).
  • Fluttering in region of kidney.
  • Sugar in urine.
  • Unable to urinate without standing with feet wide apart and body inclined forward.

Female

Female
Boericke
  • Labia inflamed, swollen.
  • Pain in vagina.
  • Hot flashes.
  • Painful tumor of mammae, not ulcerated, with undue secretion of milk.
  • Rapid atrophy of breasts.
  • Women with very large breasts and tumor in the mammary gland with sharp pain through it.
Symptoms — Female Sexual Organs
Clarke

Prolapsus and slight uterine leucorrhcea.—Vaginal

prolapsus.—Rapid atrophy of breasts—Tumours (scirrhous) of breasts.—Painful tumour of breast

in young unmarried women.—Undue secretion, or suppression of milk.

Male

Male
Boericke
  • Smarting in urethra from neck of bladder to meatus.
  • Gleet.
  • Loss of prostatic fluid.
  • Prostatic enlargement and irritation.
Symptoms — Male Sexual Organs
Clarke

Smarting from neck of bladder the whole length of urethra to meatus;

excessive itching. —Atrophy of testicles —Sensation as if he had bruised one of

testicles Sensation of swelling in perineum, as if sitting on a ball.—Gonorrhcea; gleet; syphilis;

prostatorrhcea.

Neck & Back

Symptoms — Neck and Back
Clarke

Uncommon sensation in region of kidneys, sometimes one side the spine,

sometimes the other, as if something were fluttering within, without pain or uneasiness.

Upper Limbs

Symptoms — Upper Limbs
Clarke

Acute rheumatism of shoulder.—Pain in r. arm, about upper half of biceps

and shoulder-joint.—Fistulous ulcer on r. forearm, with stinging and crawling —Paronychia.

Lower Limbs

Symptoms — Lower Limbs
Clarke

Opening and shutting pain, slow, pulsating, in middle of anterior part of

thigh, leaving a severe aching and tenderness on pressure, whilst lying down.

Extremities

Extremities
Boericke

Feeling of a band above left knee.

Skin

Skin
Boericke

Scrofulous ulcers. Glandular enlargements.

Symptoms — Skin
Clarke

Redness, vesication or desquamation.—Eruption of dark red spots without

sensation.—Malignant ulcers.—Scarlet fever.

Sleep

Symptoms — Sleep
Clarke

Would have slept well, if he had not been constantly waked by calls to make water.

Clinical

Clinical (part 1)
Clarke
  • Acne.
  • Breast, atrophy of; cancer of; tumour of.
  • Cataract.
  • Cystitis.
  • Diabetes.
  • Dropsies.
  • Fevers.
  • Glands, enlarged.
  • Gleet.
  • Gonorrheea.
  • Intermittents.
  • Jaundice.
  • Kidneys, disorders of.
  • Lactation, disorders of.
  • Liver disorders.
  • Nephritis.
  • Proctitis.
  • Prostatitis.
  • Pterygium.
  • Ringworm.
  • Scrofula.
  • Stricture.
  • Syphilis.
  • Toothache.
  • Ulcers, malignant.
  • Urinary disorders.
  • Whitlow.
Clinical (part 2)
Clarke

Characteristics—Chimaph. umb. is a medicine used by many North American Indians in gravel

and urinary disorders. It has also been used as a vulnerary. Among the eclectics it is used as an

"alterative" in skin affections, e.g., acne, herpes, eczema, in enlarged lymphatic glands, in

articular rheumatism. It is said by them to act mainly as an eliminative through the bowels and

kidneys. They use it in cases of chyliferous urine, cystitis, strangury, smarting, burning pains on

urination, turbid urine and frequent micturition, and diabetes. Also in passive renal, uterine and

intestinal heemorrhages, leucorrhoea and gonorrhoea. From its property of increasing the renal

secretion they give it in cases of calculus and prostatic irritation. Catarrhal states, with mucus,

  • muco-pus, pus and blood, offensive or not, indicate its use.
  • Chim.
  • u.
  • has been proved by Jeanes,
  • G.
  • Bute, and H.
  • P.
  • Gatchell.
  • It causes flushing of cheeks with some general heat and accelerated

pulse. Toothache < after eating, and from exertion; > by cold water. Cannot close jaws at night;

jaws feel stiff; sleeps with mouth open. Palate sore; very sensitive to warm drink or food;

rawness of upper and back part of palate. Increase of appetite. It has been used with success in

cases of: inflammation of liver with ascites; abdominal and renal dropsies; enlarged mesenteric

glands; obstinate constipation and hemorrhoids. A peculiar symptom is: shooting pain, deep-

seated, left side of anus. The symptom: "Sensation of swelling in perineum on sitting, as if a ball

was pressing against it," shows its appropriateness in prostatic disorders. There is also loss of

prostatic fluid. Constant pain in region of kidneys, as if something fluttering in kidney region,

first one side, then the other. Pressing fulness in region of bladder. Vesical tenesmus; strangury.

Constant desire to urinate; must rise several times in the night. Great quantities of thick, ropy

mucus in urine. Blood in urine. Smarting pain (also painful irritation) from neck of bladder,

whole length of urethra to meatus. Bruised pain in testicle is a leading indication in stricture.

  • Leucorrheea.
  • Rapid atrophy of breasts or tumours.
  • Acute rheumatism of shoulder.
  • Edema of

arms (right). Inward trembling without mental disturbance. In homceopathic practice Coburn

reports the following cures: (/) Stricture: Man, 30, dysuria, severe pain, scalding and burning. At

times urine voided in a large gush; at others in thready stream, and, towards the end, drained off

  • drop by drop.
  • (After Merc.
  • c.
  • and Canth.
  • had relieved temporarily.
  • ) (2) Prostatitis after sitting on

cold stone: Pain and a sensation in the parts, as if he had bruised one of the testicles. (3) Cancer

of breast: Patient, 21. Tumour in left breast, hard, movable; sharp pains at site. For four months,

  • under Arn.
  • , Ars.
  • , Cicut.
  • , Thuj.
  • , the tumour increased, skin became contracted, nipple drawn in.
  • In

eight months it broke out into an irregular ulceration with lacerated edges, fetid discharge.

  • Axillary glands swollen.
  • Chim.
  • umb.
  • © gtt.
  • x.
  • every four hours was given, and the same locally

applied. The pains diminished, swelling decreased, and in six months the patient was well. The

symptoms of Chim. u. are < In damp weather; after washing in cold water; from sitting on a cold,

wet stone. (Though evergreens and "winter-lovers"—hence the name—the Chimaphilas are

generally < by cold). Suited to cachectic, scrofulous individuals and broken-down constitutions.

Relations

Relations
Clarke
  • Compare: Chim.
  • mac.
  • ; Apocy.
  • (dropsy); Agnus (gonorrheea, lactation); Con.
  • ; Coff.
  • (toothache > by cold water); Led.
  • , Rhod.
  • , Kalm.
  • , Uva ursi, Sabal.
  • In pterygium Calc.
  • , Zn.
  • Ball in

perineum, Can. ind. In kidney-ache, Santalum.

Relationship
Boericke

Compare: Chimaph maculata (intense gnawing hunger; burning fever; sensation of swelling in arm pits); Uva; Ledum; Epigoea.

Posology

Dose
Boericke

Tincture, to third attenuation.

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.
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