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Materia Medica

China Officinalis

Peruvian Bark-China
56 sectionsBoericke · 23Clarke · 33

At a glance

Cardinal features · auto-extracted from Boericke · Clarke
  • Debility
  • nervous erethism

Essence

Prologue
Boericke

Peruvian Bark-China (CINCHONA OFFICINALIS)

  • Debility from exhausting discharges, from loss of vital fluids, together with a nervous erethism, calls for this remedy.
  • Periodicity is most marked.
  • Sensitive to draughts.
  • Seldom indicated in the earlier stages of acute disease.
  • Chronic gout.
  • Chronic suppurative pyelitis.
  • Post operative gas pains, not relief from passing it.
Want to know if China fits your case? Repertify reads the case as the patient speaks, scores every rubric against the Kentian hierarchy, and cross-validates China against Boericke, Kent and Clarke in parallel. Open the workspace · 30 days free, no card.

Keynotes

Characteristics (part 1)
Clarke

Kina is the Peruvian name for "bark," and "Kina-Kina" is the "Bark of barks."

The story of its introduction into European medical practice is one of the romances of the

Healing Art; as the story of its frightful abuse is one of its many tragedies. "According to

Humboldt," writes Teste, "about 500,000 lbs. of this bark are annually exported to Europe for the

purpose of being converted into sulphate of quinine." Well may Teste add the exclamation, "Poor

patients!" As with almost every other good thing that comes into its hands, allopathy has

contrived to do an infinity of harm with quinine to make up for the good. Some forms of

intermittent fever it will cure, if too much of it is not given; others it will suppress or change

from intermittent to continuous. The result of suppression is thus sketched by Hahnemann's

master-hand: "True, he [the patient] can no longer complain that the paroxysms of his original

disease occurs any more on regular days and at regular hours; but behold his livid earthy

complexion, his bloated countenance, his languishing looks! Behold how difficult it is for him to

breathe, see his hard and distended abdomen, the swelling of the hypochondria; see how his

stomach is oppressed and pained by everything he eats, how his appetite is diminished, how his

taste is altered, how loose his bowels are, and how unnatural and contrary to what they should

be; how his sleep is restless, unrefreshing, and full of dreams. Behold him weak, out of humour

and prostrated, his sensibility morbidly excited, his intellectual faculties weakened; how much

  • more does he suffer than when he was a prey to his fever!
  • " (7.
  • M.
  • P.
  • ) The number of patients

who have been consigned to an early grave by quinine probably falls short only of the number

that mercury can claim. When first introduced it was (as chloral and hundreds of other poisons

have been since) declared on the highest authority to be incapable of harm "in whatever dose it

may be taken." It is only at the end of the nineteenth century that some allopathists are

discovering that it is more deadly than the deadliest West African fevers. Every homceopath

knows from experience how true is Hahnemann's picture of quinine effects from the victims of it

he has been called upon to treat.

  • China is placed by Teste in the Ferrum group with Plumb.
  • , Phos.
  • , Carb.
  • an.
  • , Puls.
  • , Zinc, and

others, which "have the property of remaking the altered blood, or increasing for the time being,

in a healthy person, the relative amount of hematin, globulin, fibrin, &c.," but also, "after a

Characteristics (part 2)
Clarke

certain lapse of time, they produce opposite results—impoverishment, discoloration, and

liquefaction of the blood. From this antagonism arise their characteristic effects: Short-lasting,

sanguineous congestions (primary effect), and later, discoloration of tissues; fulness of veins;

torpor of all functions; dryness of mucous membranes; mucous or purulent discharges;

engorgement of the glands which are immediately connected with the circulatory apparatus, as

spleen and liver; passive hemorrhages; inertia of involuntary muscles (bowels, uterus); cedema,

atonic ulcers, &c.; finally, more or less obstinate nervous disorders, from derangement of

sympathetic rather than the cerebro-spinal axis." And it is in cases presenting just such

phenomena as these, that China proves its greatest efficacy, as Hahnemann was the first to point

out. The glory of Hahnemann and the interest of homceopathists are inseparably bound up with

the history of this drug. It was the first medicine Hahnemann proved; and the one that opened up

to his mind the idea of homeeopathy. Cinchona Bark was to Hahnemann what the falling apple

was to Newton, and the swinging lamp to Gallileo. Dissatisfied with the explanations of the

action of Bark in curing ague that were current in his time, Hahnemann took the powdered Bark

himself, being in health, and lo ! an ague attack ensued. A repetition of the experiment produced

the same result. Further experiments revealed that action of Bark which is the opposite of

"tonic"—positively debilitating, in fact—already referred to.

Characteristics (part 3)
Clarke

It is useful to remember that /pecac. (as well as Galeum and Mitchella) belongs to the same

natural order of plants as China, and the relation of the two to intermittent fever, haemorrhages,

and gasto-enteric disturbances is very similar. Coffea also belongs to the Rubiacee, and is nearly

allied in many of its nervous symptoms to China. The tincture of China is antiseptic, destroying

amzeboid motion and retarding tissue change. It weakens the heart and impairs the circulation,

produces congestions and hemorrhages, anzemia and complete relaxation and collapse. The

debility in which China is particularly indicated is such as is caused by an excessive drain of

animal fluids, as great loss of blood, excessive suppuration, loss of semen; also after prolonged

strain of overwork, mental or bodily. A "pumped-out" condition, and the sensitive, irritable state

of mind that accompanies such. The typical fever of China is the intermittent from marsh miasm,

tertian, or quartan in type. Chill and heat without thirst, thirst occurring either before or after

chill. The chill is followed by long-lasting heat, generally with desire to uncover; face fiery red,

often delirium; profuse and debilitating sweat following. In the apyrexial period the face is a

sallow dingy yellow, the spleen is enlarged and painful, the appetite is totally lost; or else there is

canine hunger; the feet swell, and as soon as the patient closes his eyes for sleep he sees figures.

Hectic fever is also characteristic of the drug. Typhoid and gastric fever. Periodicity is a leading

characteristic both in fever and neuralgias. "< Every other day" is characteristic. Nash cured a

case of acute rheumatism with Chi, on this modality. Heemorrhages occur from every orifice of

the body. Koch and others have attributed the hematuria of African intermittents to quinine.

There is terrible always < at night. Loss of sight, deafness, ringing in the ears. Great

sensitiveness to touch. Even a current of air blowing on the part = great pain (compare Plumb.).

  • Everything tastes bitter, even water (everything except water, Acon.
  • ).
  • Chi.
  • is suited to persons of

thin, dry, bilious constitution; or to leucophlegmatic persons with a disposition to dropsical

affections, to catarrhs or diarrhoea; to affections of women. The mental state shows, in addition to

the irritability, the following among other symptoms: "Aversion to be looked at." "Pumped out"

  • (Si/.
  • ), unable to think.
  • Delirium from loss of fluids (as hydrocephaloid).
  • Fixed ideas.
  • There is a
  • desire for suicide: "Intolerable anxiety about 8 p.
  • m.
  • and 2 a.
  • m.
  • ; he springs out of bed and wishes

to take his own life, but does not go near the window or take a knife (compare a/um.); with heat

Characteristics (part 4)
Clarke

of the body without thirst." The sensitiveness accompanies the headache, which is congestive,

throbbing, like many hammers hammering on temples, ringing in the ears, < by slightest contact

> by hard pressure); by draught of air; by open air. Weak eyes and ringing in ears, such as

follows depletion. The nose, ears, and chin are cold, complexion sallow, dingy, yellow.

Neuralgia is generally infra-orbital. Thick dirty yellow coating on tongue; bitter taste on waking.

Aphthe of weakly people. Canine hunger, especially at night. Hunger after meals with feeling of

  • emptiness.
  • If a meal is late, he is sure to suffer from it.
  • Total loss of appetite.
  • Full feeling after

the least food, but belching only > temporarily. After eating, a lump under mid-sternum. After

  • fruit, diarrhoea.
  • Dyspepsia after loss of fluids.
  • Nausea < on sitting up.
  • Stomach so weak it cannot
  • tolerate any food at all.
  • Very sour stomach.
  • The digestion of Chi.
  • is slow.
  • Chi.
  • is one of the most

flatulent of medicines. Guernsey describes it thus: "Uncomfortable distension of abdomen with a

wish to belch up, or a sensation as if the abdomen were packed full, not in the least > by

eructation." Gastric troubles of children who are always wanting dainties; irritable on waking,

  • bad taste, white tongue.
  • Tympany coming on early in a case.
  • Spleen aching, sore.
  • Liver swollen,

sensitive. Feeling of subcutaneous ulceration. Gall-stone colic; duodenal catarrh; jaundice.

Fermentation in bowels, frothy, sour diarrhoea. Yellow, watery, undigested diarrhoea with much

flatus and no pain. Diarrhoea of dark, inky fluid; stools frequent at night, only after food during

the day. (It is useful in cases where purgatives have been abused if Nux fails to cure.) Excessive

seminal losses. Menorrhagia; metrorrhagia; post-partum hemorrhages. Leucorrhcea before

period, painful pressure towards groins and anus, fetid or bloody leucorrhoea before period; with

contractions in inner parts. The breathing has important characters: Asthma; wheezing;

suffocative catarrh and paralysis of lungs in old people. Respiration laboured, loud and

stertorous, with puffing, blowing out of cheeks on each expiration. [E. Carleton relates the cure

  • of a case of spasm of the glottis in a middle-aged man.
  • Attacks sudden, 3 a.
  • m.
  • , suffocation

seemed imminent. At length with one tremendous effort, whilst sitting bent forward, a little air

would be forced into the lungs in spite of the epiglottis with a noise audible at a distance. After

  • each succeeding expiration the inspiration would become less difficult.
  • Chi.
  • 200 cured.
  • Among

this patient's other symptoms were: Unhappy, idea that he is pursued by enemies in business.

  • Scalp sensitive.
  • Humming, throbbing in ears.
  • Thirst for cold water.
  • Saliva found on pillow in
  • morning.
  • Stomach sore to touch.
  • Flesh sore to touch.
  • ] The sleep also should be carefully noted,

especially the dreams: he cannot get rid of his dreams even after waking; the impression

  • continues.
  • He cannot get wide awake; head remains confused and stupid.
  • Chi.
  • corresponds to

hectic and to many conditions of the lungs which are attended with hectic. Suppuration of the

lungs, especially in drunkards. Weakening night-sweats. Prostration, chilly, wants to be wrapped

  • up but cannot bear the fire.
  • A.
  • Villers cured with Chi.
  • 30 a girl, twenty, who had, after a chill, a

pain in right hip, < by every movement, and which she could only describe as being like the pain

in the legs which occurred before the menses. She was pallid and had had much hard nursing

  • work.
  • The catamenia were scanty and she was weak.
  • Three days after taking Chi.
  • the pain was

gone, after having persisted for five months. With Chi. I removed the dropsy and relieved all the

other symptoms of a case of cirrhosis of the liver in a hard drinker. He remained at his work for

many months; but in the end his old habits proved too much for him, and he died from an acute

illness following a cold. In this connection may be mentioned the effect of the tincture of China

(Cinchona rubra especially) in removing the craving for alcohol in drunkards who wish to

reform. Ten to thirty drops two or three times a day is the usual close for this, though where the

general symptoms correspond the potencies would probably do better. I have confirmed P.

Jousset's recommendation of Chi. @ in cases of facial erysipelas without vesication. The

Characteristics (part 5)
Clarke
  • rheumatism of Chi.
  • is characterised by soft swelling, pale red, very tender to touch.
  • C.
  • M.
  • Boger

had such a case in second and third metatarso-phalangeal joints of left foot. The patient said:

"With my slippers on I am in agony; but if I put on tight shoes the feet feel pretty comfortable."

The Chi. symptoms are generally < from lightest touch; Whereas hard pressure >. < Periodically:

  • 1 a.
  • m.
  • to 10 or 12 or 1 p.
  • m.
  • from 8 a.
  • m.
  • to 2 or 3 p.
  • m.
  • Every other day; every fourteen days

every night at midnight; during increase of moon; every three months; in autumn. Rest < pains in

  • limbs.
  • Colic > by bending double.
  • Motion > pains in limbs; < vertigo; headache; nausea.
  • Moving
  • eyes < headache.
  • Open air or draught of air <.
  • < During and after stool.
  • > In room or from warm

applications. Want to be near a stove; but this < the chill. Neuralgic headache < from anything

  • cold in mouth.
  • Summer = diarrhoea.
  • Sun < headache.
  • Windy, foggy, or wet weather <.
  • Autumn
  • <.
  • After a meal: fulness of stomach.
  • During and after dinner: prosopalgia >.
  • Effects of eating:

fish; fruit; bad meat or fish. Effects of drinking: beer; sour wine; new beer; impure water; milk.

Drinking < the chill. Warm drinks impede digestion. < From smoking.

Causation

Causation
Clarke
  • Fluids, loss of.
  • Onanism.
  • Chill.
  • Anger.
  • Coryza, suppressed.
  • Tea.
  • Alcohol.
  • Mercury.

Mentals

Mind
Boericke
  • Apathetic, indifferent, disobedient, taciturn, despondent.
  • Ideas crowd in mind; prevent sleep.
  • Disposition to hurt other people's feelings.
  • Sudden crying and tossing about.
Symptoms — Mind
Clarke

Apathy and moral insensibility—Hypochondriacal dejection.—Great

  • anxiety.
  • —Disposition too scrupulous.
  • —Disposition to be alone.
  • —Discouragement.
  • —Ill-humour,

with disposition to hurt other people's feelings.—Discontent; the patient deems himself

unfortunate, and ill-used by the whole world. —Excessive irascibility, with pusillanimity, and

inability to bear the least noise.—Disobedience.—Contempt for everything; everything appears

insipid.—Slovenliness, with easily provoked tears, or with irritability.—Fear of dogs and of other

animals, esp. at night.—Nervous irritation, with slowness of ideas —Great abundance of ideas,

and of projects, with slow progress of thought (esp. in the evening and at night).—Dread of

labour.

Generals

Symptoms — Generalities
Clarke

Tensive pullings, or starting and shooting tearings, esp. in the large bones of

the limbs, with paralytic pains, and weakness of the parts affected —Tearing rheumatic pains in

the limbs, on beginning to walk.—Pains and sufferings provoked or aggravated by touch, at night,

or after a meal.—Uneasiness in the parts affected, which obliges the patient to move

them.—Sensation of torpor in different parts——Numbness of the parts which are pressed, on lying

down.—Arthritic swelling, which is hard and red in some parts.—Dropsical swelling of some

parts, or of the whole body.—Erysipelatous swelling of the whole body.—Great general

weakness, with trembling, difficulty in walking, and great tendency to perspiration during

movement and sleep.—More than ordinary vivacity, with fixedness of the eyes ——Convulsive

movements of the limbs.—Over-sensitiveness of the nerves (from loss of

  • fluids).
  • —Congestions.
  • —Veins are much enlarged.
  • —Emaciation.
  • —Over-excitability of the whole
  • nervous system.
  • —Aversion to mental and bodily exertion.
  • —Fainting-fits; esp.
  • if resulting from

loss of animal fluids —Attacks, of asphyxia—Atrophy and emaciation, esp. of the arms and

legs.—Great sensibility to a current of air, and sufferings on being exposed to it even

slightly —Heaviness of the whole body.—Spermatorrhoea.—Nasal secretion bloody,

mucous.—Affections of the shoulder-blades, bones of the arm; thighs; knee joints.—There may be

bleeding from every infernal part of the body; coldness and passive hemorrhage.—Newly-born

children lose much blood during parturition; the mucous membrane looks very bloody if there is

only a slight bleeding going on; deficiency of blood; congestion of single parts; distension of

blood vessels (Guernsey).—Contraction of inner parts; also dropsy of inner parts.—Induration

after inflammation.

Modalities

Modalities
Boericke
Better
bending double; hard pressure; open air; warmth

Head

Head
Boericke
  • As if skull would burst.
  • Sensation as if brain were balancing to and fro, and striking against skull, receiving great pain (Sulph; Sulph ac).
  • Intense throbbing of head and carotids.
  • Spasmodic headache in vertex, with subsequent pain, as if bruised in sides of head.
  • Face flushed after haemorrhages, or sexual excesses, or loss of vital fluids.
  • Relieved from pressure and warm room.
  • Scalp sensitive; worse combing hair.
  • Aches worse in open air, from temple to temple.
  • Worse by contact, current of air, stepping.
  • Dizzy when walking.
Symptoms — Head
Clarke

Dull confusion of the head, as from prolonged watching.—Sensation of emptiness in

head.—Vertigo after losses of fluids; with fainting; ringing in ears; loss of sight; cold

surface.—Vertigo on raising the head, esp. in the occiput, as if the head were going to sink

  • backwards.
  • —Vertigo with nausea.
  • —Attacks of headache, with nausea and vomiting.
  • —Headache

as from suppressed coryza.—Heaviness in the head with faintness.—Cephalalgia in the forehead,

on opening the eye.—Pain, as from a bruise in the brain, with pressive piercing in the crown of

the head, aggravated by meditation and conversation.—Pressive headache, esp. at night, with

sleeplessness; or by day, and < in the open air.—Acute starting, or pressive pains in the

head.—Headache, as if the head were going to burst, with sleeplessness at night; ameliorated in

the room, and when opening the eyes.—Shooting pains in the head, with strong pulsations in the

temples.—Congestion in the head, with heat and fulness.—Movements and painful throbbings of

the brain, compelling movement of the head up and down.—Headache, increased by touch,

movement, and walking, also by a current of air, or by walking against the wind—Headache

often attacks only one side.—Sensibility to the touch of the exterior of the head, and even of the

roots of the hair—Headache, as if the hair were torn out, or the scalp were contracted.—Shooting

pressure in the frontal protuberances.—Sweat on the scalp.

Eyes

Eyes
Boericke
  • Blue color around eyes.
  • Hollow eyes.
  • Yellowish sclerotica.
  • Black specks, bright dazzling illusions; night blindness in anaemic retina.
  • Spots before eyes.
  • Photophobia.
  • Distortion of eyeballs.
  • Intermittent ciliary neuralgia.
  • Pressure in eyes.
  • Amaurosis; scalding lachrymation.
Symptoms — Eyes
Clarke

Pressure in the eyes, as from drowsiness.—Pains in the eyes, as from pressure on the

margins of the socket—Pain, as if a grain of sand were introduced into the eye, during

movement.—Painful smarting in the eyes.—Inflammation of the eyes, with heat, redness, burning

  • and pressive pains, and aggravation in the evening.
  • —Eyes dull.
  • —Prominent eyes.
  • —Cornea dull,

as if there were smoke in the posterior part of the eye.—Yellowish colour of the

sclerotica—Weeping, with tingling on the internal surface of the eyelids —Weakness of sight,

permitting only the outline of proximate objects to be seen—On reading, confusion of the

characters, which appear pale and surrounded by a white edge.—Pupils dilated, and deficient in

sensibility.—Blindness, as if from amaurosis.—Sparkling, black, dancing spots, and obscuration

before the eyes.—Sensitiveness of the eyes to the bright sunlight—Photophobia.

Ears

Ears
Boericke
  • Ringing in ears.
  • External ear sensitive to touch.
  • Hearing sensitive to noise.
  • Lobules red and swollen.
Symptoms — Ears
Clarke

Tearing in the ears, mostly in the external ear.—Intolerance of noise.—Shootings,

buzzing, and tinkling in the ears.—Hardness of hearing; humming and roaring in ears.—Ringing

in ears, with headache in temples——Redness and heat of the external ear, and esp. of the

lobes.—Eruption in the concha auris.

Nose

Nose
Boericke
  • Checked catarrh.
  • Easily bleeding from nose, especially on rising.
  • Coryza, sneezing, watery discharge.
  • Violent dry sneezing.
  • Cold sweat about nose.
Symptoms — Nose
Clarke

Nose hot and red.—Tearing in the dorsum of the nose.—Bleeding of the nose; after

blowing it.—Bleeding of the nose and of, the mouth.—Dry coryza, with toothache and

lachrymation.—Coryza, with sneezing.—Suppressed coryza (headache from it).

Face

Face
Boericke

Sallow complexion. Face bloated; red.

Symptoms — Face
Clarke

Heat and redness of the face, esp. of the cheeks and of the lobes of the

ears.—Complexion pale, earth-like (face sunken), sometimes of a blackish yellow.—Face

dejected, with the eyes sunk and surrounded by a livid circle, and nose pointed.—Face

  • bloated Rheumatic pains in the face.
  • —Lips dry, blackish.
  • —Lips cracked.
  • —Swelling of the

lips.—Burning, itching pustules on the lips and on the tongue.—Pain and swelling of the sub-

maxillary glands.

Mouth

Mouth
Boericke
  • Toothache; better pressing teeth firmly together, and by warmth.
  • Tongue coated thick, dirty; tip burns, succeeded by ptyalism.
  • Bitter taste.
  • Food tastes too salty.
Symptoms — Mouth
Clarke

Dryness of the mouth.—Clammy mouth with insipid watery taste——Accumulation of

mucus in the mouth.—Putrid taste of the mouth.—Tongue cracked, black, or loaded with a yellow

  • or white coating.
  • —Thick, dirty coating of the tongue.
  • —Burning shootings in the tongue.
  • —Burning

biting, as from pepper, on the tip of the tongue, succeeded by ptyalism.—Ptyalism (with nausea,

from the abuse of mercury).—Painful swelling of the tongue towards the root.—Failure of

speech.—Flow of blood from the mouth.

Symptoms — Teeth
Clarke

Odontalgia, with starting or drawing pains (in the upper molar teeth), provoked by the

open air, or by a current of air—Dull and distressing pains in carious teeth—Throbbing toothache

> by external warmth.—The toothache manifests itself chiefly after a meal, and at night (< by

smoking), and is mitigated by strong pressure, or by closing the teeth; a slight touch aggravates it

excessively.—Loose teeth painful only when masticating.—Teeth covered with a black

coating.—Swelling of the gums.

Throat

Symptoms — Throat
Clarke

Dryness of the throat —Shootings in the throat, esp. on swallowing, provoked by the

least current of air—Swelling of the palate and of the uvula.

Stomach

Stomach
Boericke
  • Tender, cold.
  • Vomiting of undigested food.
  • Slow digestion.
  • Weight after eating.
  • Ill effects of tea.
  • Hungry without appetite.
  • Flat taste.
  • Darting pain crosswise in hypogastric region.
  • Milk disagrees.
  • Hungry longing for food, which lies undigested.
  • Flatulence; belching of bitter fluid or regurgitation of food gives no relief; worse eating fruit.
  • Hiccough.
  • Bloatedness better by movement.
Symptoms — Appetite
Clarke

Sickly, mucous, or watery taste, esp. after drinking.—Aliments appear insipid or

too salt.—Sweetish taste in the mouth.—Acid, or bitter taste in the mouth; also of food and

drink.—Repugnance to food and drink, with a sensation of fulness —Sour taste of coffee and of

rye-bread.—Bitter taste of beer, and of wheaten bread (beer, tobacco).—The food tastes too

  • salt.
  • —Dislike to butter, beer, and coffee.
  • —Great desire for wine; for acid fruit.
  • —Dislike to water,

with desire for beer.—Burning thirst; the patient drinks often, but little at a ttme.—Bulimy, with

sickly taste in the mouth, nausea, and inclination to vomit.—Voracity.—No desire for eating and

drinking.—Appetite only while eating, with indifference to all food.—Desire for a variety of food,

and confused longing for dainties, without knowing exactly which.—Violent thirst for cold water

(drinks but little at a time, but often).—After each draught of liquid, shuddering or shivering, with

corrugated skin, shootings in the chest, or colic.—Acid risings, and derangement of the stomach,

after drinking milk.—Great weakness of digestion; after the most moderate meal, uneasiness,

drowsiness, great fulness in the stomach, and in the inferior part of the abdomen, lassitude and

indolence, insipid taste in the mouth, hypochondriacal humour and headache.—Weakness of

digestion; the food is not digested, if taken too late in the day.—Bitter, acid, or tasteless risings,

esp. after eating.—Indigestion after a late supper.

Symptoms — Stomach
Clarke

Risings, esp. after a meal, mostly bitter, acid, or tasteless —Risings, with taste of

food.—Pyrosis, accumulation of water in the mouth, inclination to vomit, and pressure on the

stomach after eating the least thing —Vomiting of acidulated slimy matter, of water and of

  • food.
  • —Vomiting of blood.
  • —Pressure at the stomach and cramp-like pains, esp.
  • after having

eaten.—Sensation of excoriation and pressure on the epigastrium, esp. in the morning.

Abdomen

Abdomen
Boericke
  • Much flatulent colic; better bending double.
  • Tympanitic abdomen.
  • Pain in right hypochondrium.
  • Gall-stone colic (Triumfetta semitriloba).
  • Liver and spleen swollen and enlarged.
  • Jaundice.
  • Internal coldness of stomach and abdomen.
  • Gastro-duodenal catarrh.
Symptoms — Abdomen
Clarke

Pains in the hypochondria.—Shooting and pressive pains in the hepatic region,

esp. when it is touched.—Hardness and swelling of the liver—Swelling (inflammation) and

hardness of the spleen.—Shootings in the spleen when walking slowly.—Cuttings in the umbilical

region, with shuddering.—Pulsations in the pit of the stomach.—Strong pressure, as if from a hard

body, and fulness in the abdomen, esp. after a meal.—Fermentation after eating fruit—Dropsical

swelling of the abdomen (meteorism), with asthmatic sufferings and fatiguing cough.—Partial

swelling of the abdomen, as from encysted ascites.—Excessive inflation of the abdomen, as from

a kind of tympanitis.—Hardness of the abdomen, as from induration of the viscera.—Colic, with

insatiable thirst—Excessively painful colic; cramp-like and constrictive pains in the

abdomen.—Inflammation and ulceration of the abdominal viscera.—Pressive shooting colic

(under the navel) esp. on walking quickly.—Incarceration of flatus, which escapes neither

upwards nor downwards.—Flatulent colic in the depth of the abdomen, with contraction of the

intestines, and pressing forward of flatus towards the hypochondria.—Escape of fetid

flatus.—Pressure towards the inguinal ring, as if a hernia were about to protrude.

Stool

Stool
Boericke

Undigested, frothy, yellow; painless; worse at night, after meals, during hot weather, from fruit, milk, beer. Very weakening, with much flatulence. Difficult even when soft (Alum; Plat).

Symptoms — Stool and Anus
Clarke

Feces small, and evacuated slowly.—Difficult evacuation of soft feces, as

if from inactivity of the intestines.—Frequent evacuations of the consistence of pap, or

  • frothy.
  • —Putrid or bilious evacuations.
  • —Slimy, watery, yellowish diarrhcea.
  • —Diarrheea after

eating fruit.—Diarrheea, particularly after meals, at night, involuntary.—Loose evacuations, with

excretion of all the undigested food.—Painless diarrhoea, accompanied by great

  • weakness.
  • —Blackish evacuations.
  • —White feces, sometimes with urine of deep-red colour.
  • —The

loose evacuations take place chiefly after a meal or at night —Involuntary, liquid and yellowish

evacuations.—Discharge of mucus from the rectum.—Pressure and shootings in the rectum and

the anus.—In the rectum, stitches, also during stool.—Bleeding of the hemorrhoidal

tumours.—Crawling in the anus, as of worms.—Discharge of lumbrici.

Urinary

Symptoms — Urinary Organs
Clarke

Frequent and almost ineffectual urging to make water, followed by

pressure on the bladder.—Urine: turbid, dark, scanty; white, turbid, with white sediment.—Urine

scanty, greenish-yellow, with sediment like brickdust.—Slow emission of urine, with feeble

stream and frequent inclination to urinate.-—Wetting the bed.—Hzematuria.

Female

Female
Boericke
  • Menses too early.
  • Dark clots and abdominal distention.
  • Profuse menses with pain.
  • Desire too strong.
  • Bloody leucorrhoea.
  • Seems to take the place of the usual menstrual discharge.
  • Painful heaviness in pelvis.
Symptoms — Female Sexual Organs
Clarke

Congestion in the uterus, with fulness and painful bearing-down,

  • esp.
  • when walking.
  • —Constant discharge of clotted blood from the vagina.
  • —Catamenia

scanty.—Painful induration of the neck of the matrix.—During the catamenia, startings with

cramps in the chest, and in the abdomen, or congestion in the head, with pulsation in the carotid

arteries, face puffed, eyes prominent and watery, convulsive movements of the eyelids, and loss

of consciousness.—Metrorrhagia, with discharge of black blood; with fainting and

convulsions.—Leucorrhcea, even before the catamenia, and sometimes with cramp-like

contraction of the uterus, and painful sensation of bearing-down towards the groins and the

anus.—Watery and sanguineous flux from the vagina, with clots of blood or of fetid pus; itching

and excoriation in the thighs.

Male

Male
Boericke

Excited lascivious fancy. Frequent emissions, followed by great weakness. Orchitis.

Symptoms — Male Sexual Organs
Clarke

Excitement of sexual desire, with lascivious ideas, day and

night—Impotence, with excited lascivious fancy.—Swelling of the testes and of the spermatic

cord.—Drawing pains in the testes.—Pollutions frequent, with too ready an emission, followed by

great weakness.

Respiratory

Respiratory
Boericke
  • Influenza, with debility.
  • Cannot breathe with head low.
  • Labored, slow respiration; constant choking.
  • Suffocative catarrh; rattling in chest; violent, hacking cough after every meal.
  • Haemorrhage from lungs.
  • Dyspnoea, sharp pain in left lung.
  • Asthma; worse damp weather.
Symptoms — Respiratory Organs
Clarke

Hoarseness, indistinct speech, and low voice when singing, in

consequence of mucus difficult to detach from the larynx.—Shootings and scrapings in the

larynx.—Sensation of soreness in the larynx and trachea.—Short, dry cough, as if produced by the

vapour of sulphur, in the morning, after rising.—Suffocating, nocturnal cough, with pains in the

chest and in the shoulder-blades, so as to extort cries —The cough is < in the evening, or after

midnight from laughing; from continued talking; from lying with the head low from slightly

touching the larynx; from a draught of air, after awaking; from loss of fluids—Cough, with

difficult expectoration of viscid mucus of a clear colour, painful shocks in the shoulder-blades

and vomiting of convulsive cough, sometimes even with inclination to vomit.—Cough, provoked

by laughing, drinking, eating, speaking and by breathing deeply, as well as by

movement.—Expectoration of whitish mucus, mixed with blackish particles ——Suppuration of the

lungs, after heemoptysis (or frequent venesections) with stitches in the chest, which are < by

pressure.—On coughing, expectoration streaked with blood.—Expectoration of purulent matter on

coughing.—During the cough pressure on the chest, and pains as of excoriation in the

larynx.—Spasm of the glottis.

Chest

Heart
Boericke

Irregular with weak rapid beats followed by strong, hard beats. Suffocative attacks, syncope; anaemia and dropsy.

Symptoms — Chest
Clarke

Breathing, wheezing, crowing, rattling, tight, oppressed and painful.—Difficult

inspiration and quick expiration.—Inclination to take a deep breath —Difficulty of respiration and

great oppression on the chest, with excessive anguish, as if from fulness of the stomach, or as if

excited by too long a conversation.—Fits of suffocation from mucus in the larynx, esp. in the

evening, and at night on waking.—Respiration difficult, and possible only when lying with the

head very high.—Wheezing and groaning respiration.—Breathing laboured, loud and stertorous,

with puffing, blowing out of cheeks.—Respiration short and quick.—Pressure on the chest,

sometimes as from a hard body, esp. on the sternum, and after a meal.—Stitches in the chest;

diaphragm.—Nightly suffocative cough, with stitches in chest—Shootings in the chest, on

coughing and on breathing —Cough, with pain in the larynx and sternum.—Stitches in the side;

with great heat, pulse strong and hard, and fixedness of look —Great congestion in the chest, and

violent palpitation of the heart.

Neck & Back

Back
Boericke

Sharp pains across kidneys, worse movement and at night. Knife-like pains around back (D. MacFarlan).

Symptoms — Neck and Back
Clarke

Tension in the muscles of the nape, and of the neck.—Pains, as from a

bruise, in the back and sacrum, on the least movement.—Pain in the loins at night, when lying on

the back.—Pulsative, shooting pains in the back.—Readily excited perspiration, at the back and

the nape of the neck, on the least movement.—Pressure between the shoulder-blades, as from a

stone.—Tractive and starting tearings in the loins, the back, the shoulder-blades, and the nape of

the neck, with pains on moving the parts, provoked by the least movement.

Upper Limbs

Symptoms — Upper Limbs
Clarke

Paralytic, starting tearings, in the muscles, and in the bones of the arms, the

hands, and the fingers, provoked by the touch.—Tension and weakness in the arms and the

hands.—Trembling hands (when writing).—Icy coldness of one hand, while the other is

warm.—Extension of the arms, with contraction of the fingers ——Swelling of the dorsum of the 1.

hand.—Swelling, stiffness, and pains in the joints of the fingers —Blue coloured nails.

Lower Limbs

Symptoms — Lower Limbs
Clarke

Paralytic starting, tearings in the muscles and in the bones of the legs, the

thighs, the knees, the feet and the toes, esp. on the parts being touched (rheumatic pains, not

worse from motion).—The legs become soon benumbed when seated.—Weakness and want of

stability in the coxo-femoral joint, the knees, and the ankle-bones, which yield when

walking.—Red and hard swelling of the thigh, painful on being touched.—Arthritic swelling of

the knees, and of the feet, with heat, and painful sensibility to the touch—Hot swelling of r. knee,

painful to the touch.—Hard abscess, of a deep-red colour, in the calf of the leg —Uneasiness in

the legs; it is found necessary to move them constantly; to curve them and draw them

up.—Swelling of the feet, sometimes with red spots, hardness, tension, and deep-coloured

urine.—Soft swelling of the soles.—Paralysis of the feet.

Extremities

Extremities
Boericke
  • Pains in limbs and joints, as if sprained; worse, slight touch; hard pressure relieves.
  • Sensation as of a string around limb.
  • Joints swollen; very sensitive, with dread or open air.
  • Great debility, trembling, with numb sensation.
  • Averse to exercise; sensitive to touch.
  • Weariness of joints; worse, mornings and when sitting.

Skin

Skin
Boericke
  • Extreme sensitiveness to touch, but hard pressure relieves. Coldness; much sweat.
  • One hand ice cold, the other warm.
  • Anasarca (Ars; Apis).
  • Dermatitis; erysipelas.
  • Indurated glands; scrofulous ulcers and caries.
Symptoms — Skin
Clarke

Excessive sensibility of the skin of the whole body.—Yellow colour of the skin

  • (Jaundice).
  • —Skin flabby and dry.
  • —Piercing shootings and beatings in ulcers.
  • —Burning, itching,

or gnawing sensation, esp. in the evening in bed, sometimes with eruption of pimples, or

prominent spots, as if from the sting of nettles Rheumatic, hard, red swellings.—Humid

gangrene (of external parts).—Swelling of the limbs.

Sleep

Sleep
Boericke
  • Drowsiness.
  • Unrefreshing or constant stupor.
  • Wakens early.
  • Protracted sleeplessness.
  • Anxious, frightful dreams with confused consciousness on waking, so that the dream cannot be rid of and fear of dream remains.
  • Snoring, especially with children.
Symptoms — Sleep
Clarke

Drowsiness during the day (and after eating), often with palpitation of the

heart.—Frequent yawning, with stretching.—Retarded sleep, and sleeplessness, caused by a great

influx of ideas.—Confused dreams when falling asleep.—Sleeplessness with pressive pain in the

head, or bulimy.—Disturbed, unrefreshing sleep.—Starting with fright, on going to sleep —On

sleeping, the patient lies on the back, with the head turned back, and the arms extended over the

head, with slow respiration, and with full and quick pulse—Groans, snoring, and blowing

expiration during sleep, even in children.—Painful, frightful dreams, which continue to produce

agitation after waking.—Disordered, senseless dreams, after midnight, with a sort of stupidity on

waking.—Dreams of failing from a height.

Fever

Fever
Boericke
  • Intermittent, paroxysms anticipate; return every week.
  • All stages well marked.
  • Chill generally in forenoon, commencing in breast; thirst before chill, and little and often.
  • Debilitating night-sweats.
  • Free perspiration caused by every little exertion, especially on single parts.
  • Hay fever, watery coryza, pain in temples.
Symptoms — Fever
Clarke

Shiverings, with shuddering, or feverish trembling, commonly without thirst—Cold

in the body, with congestion in the head, heat and redness of the face, and forehead hot.—General

increase of heat, with veins swollen, without thirst—After the heat, violent thirst—Shiverings

with headache, nausea, adypsia, vertigo, congestion in the head, paleness of the face, cold in the

hands and in the feet, and vomiting of mucus.—Shivering more violent after drinking.—Heat,

with dryness of the mouth, and of the lips, which are burning, redness of the face, headache,

morbid hunger, delirium, pulse full and quick.—Heat, with prickings here and there, and burning

thirst—Heat, with strong inclination to be uncovered, or shivering as soon as one is

uncovered.—Quotidian fever, or every two days, or tertian, commencing chiefly in the evening or

in the afternoon, or in the morning, by shivering with trembling, followed by heat and nocturnal

sweat.—Internal violent chill with icy cold hands and feet, and congestion to the head.—In the

evening, in bed, he cannot get warm.—Fever, with pressive pain, and congestion in the head,

soreness and swelling of the liver and of the spleen, bitter and bilious risings and vomitings,

yellowish colour of the skin and of the face, short, convulsive cough, great weakness, pains in

the limbs, and painful stitches in the chest —The attacks of fever are often preceded by

sufferings, such as palpitation of the heart, sneezing, anguish, nausea, excessive thirst, bulimy,

headache, pressive colic, &c.—Chilliness over the whole body.—The thirst is generally felt only

before or after the shiverings, or during the sweat, rarely during the heat (or only desire for cold

drink), and scarcely ever during the shiverings—Pulse small, weak, hard and rapid, less frequent

after eating; irregular—Ready perspiration during sleep, during movement (and from exercise in

the open air).—Perspiration very profuse, and very debilitating.—Perspiration on the side on

  • which he lies.
  • —Suppressed perspiration.
  • —Nocturnal debilitating sweats.
  • —Oily sweat in the

morning.

Clinical

Clinical
Clarke
  • Abscess.
  • Alcoholism.
  • Amblyopia.
  • Anemia.
  • Aphthe.
  • Apoplexy Appetite, disordered.
  • Asthma.
  • Back, weakness of.
  • Bilious attack.
  • Catarrhal affections.
  • Coma.
  • Constipation.
  • Cough.
  • Debility.
  • Delirium.
  • Diarrhea.
  • Dropsy.
  • Dyspepsia.
  • Ears, deafness; noises in.
  • Emissions.
  • Empyeema.
  • Evrysipelas.
  • Facial neuralgia.
  • Gall-stone colic.
  • Hemorrhages.
  • Hemorrhoids.
  • Headache.
  • Hectic fever.
  • Hip-joint disease.
  • ichthyosis.
  • Impotence.
  • Influenza.
  • Intermittent fever.
  • Jaundice.
  • Labour.
  • Lactation.
  • Leucorrheea.
  • Lienteria.
  • Liver, diseases of; cirrhosis of.
  • Meniere's
  • disease.
  • Menstruation, disordered.
  • Mercury, effects of.
  • Musce volitantes.
  • Neuralgia.
  • Peritonitis.
  • Perspiration, excessive.
  • Pleurisy.
  • Prosopalgia.
  • Psoriasis.
  • Pylorus, disease of.
  • Rheumatism.
  • Se/f-
  • abuse.
  • Sleep, disordered.
  • Spermatorrhea.
  • Spleen, affections of.
  • Suffocation, fits of.
  • Taste,
  • disordered.
  • Tea, effects of.
  • Thirst.
  • Tinnitus.
  • Tobacco habit.
  • Traumatic fever.
  • Tympanitis.

Varicose veins. Vertigo.

Relations

Relations
Clarke
  • Botanical, Coffea, Ipec.
  • , Galeum, Mitchella.
  • Antidoted by: Ferr.
  • , Ars.
  • , Nat.
  • m.
  • , Carb.
  • v.
  • , Aran.
  • d.
  • , Eup.
  • perf.
  • , Ipec.
  • , Merc.
  • , Nux, Puls.
  • , Rhus, Sep.
  • , Sul.
  • , Ver.
  • Antidote to: Ars.
  • , Calc.
  • ,
  • Cham.
  • , Coff.
  • , Fer.
  • , Hell.
  • , Iod.
  • , Merc.
  • , Sul.
  • , Ver.
  • Is useful in bad effects of tea-drinking and after
  • abuse of chamomile tea (uterine hemorrhage).
  • Compatible: Calc.
  • phos.
  • , Fer.
  • Incompatible: After
  • Dig.
  • , Selen.
  • Complementary: Fer.
  • Compare: Ars.
  • (prostration without pain, black stools); Carb.

v. (flatulence, diarrhoea, great weakness; Chi. stool is caused by every attempt to eat and drink);

  • Coloc.
  • (beer intoxicates easily); Cedr.
  • , Caps.
  • , Cupr.
  • acet.
  • (black, thin stools); Pso.
  • (rapid
  • exhaustion following acute diseases; Pso.
  • has despair of recovery); Puls.
  • (bitter taste.
  • < Eating at
  • night.
  • As if food lying in cesophagus); Caust.
  • (Meniére's disease); Salic.
  • ac.
  • (Meniére's disease);
  • Phos.
  • ac.
  • (lientery; seminal emissions; diarrhcea—but this does not exhaust with Phos.
  • ac.
  • ); Merc.
  • (chronic salivation); Stram.
  • (black stools); Sul.
  • and Sul.
  • ac.
  • (sensation as if brain were balancing
  • to and fro and striking against skull, occasioning the pains).
  • In aversion to be looked at (Ant.
  • c.
  • ,
  • Cham.
  • , Stram.
  • ); < from brandy (Ars.
  • , Carb.
  • v.
  • , Nux); diarrhoea immediately after eating (Ars.
  • ,
  • Alo.
  • , Lyc.
  • , Pod.
  • , Staph.
  • , Tromb.
  • —Fer.
  • whilst eating); hepatitis with great tenderness (Aco.
  • , Ars.
  • ,
  • Lyc.
  • , Merc.
  • ); hunger after meals with empty feeling (Lauro.
  • , Calc.
  • ).
Relationship
Boericke

Antidotes: Arn; Ars; Nux; Ipec.

  • Compare:-Quinidin--(Paroxysmal tachycardia and auricular fibrillation.
  • Heart is slowed, and the auriculo-ventricular conduction time is lengthened.
  • Dose 1/2 grain t.
  • i.
  • d).
  • Cephalanthus--(Button Bush-Intermittent fever, sore throat, rheumatic symptoms, vivid dreams).
  • Ars; Cedron; Nat sulph. Cydonia vulgaris-Quince (supposed to be of use to strengthen the sexual organs and stomach).

Complementary: Ferrum; Calc phos.

Posology

Dose
Boericke

Tincture, to thirtieth 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.
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