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Materia Medica

Chloralum Hydratum

Chloral Hydrate
20 sectionsBoericke · 9Clarke · 11

Essence

Prologue
Boericke

Chloral Hydrate (CHLORALUM)

  • This drug, used in physiological doses, is a powerful hypnotic and cardiac depressant.
  • It has a marked effect on the skin, producing erythema, ecchymosis, etc, which symptoms have been utilized homeopathically with much success, especially in the treatment of hives.
  • Emotional excitability, hallucinations.
  • Night terrors in children.
  • Muscular prostration.
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Keynotes

Characteristics
Clarke

Introduced as a hypnotic, Ch/oral soon showed that it possessed wide powers

of disturbing the organism, and many persons (including the late Professor Tyndall) have been

fatally poisoned by overdosing. The brain, eyes, urinary and sexual organs and skin are most

  • affected.
  • W.
  • S.
  • Gee cured with it a terrific headache of several days' duration: dull, heavy aching
  • in forehead; coming on each morning 8 a.
  • m.
  • ; < sudden motion; < lying down; > in, open air.
  • The

6th gave great relief though it aggravated at first, the aggravation occurring ten minutes after

each dose. One dose of the 25x cured permanently. A person under the influence of Chloral

hears voices, sees visions of arches, &c., when in the dark or when the eyes are shut. Night-

terrors in children have been cured with it. The brain tissue is probably congested in the same

way as the skin in the urticaria of the drug. Urticaria gives a good illustration of the effect of the

drug on the minute tissues. The brain is congested; hard, full, pressing pains in head. Eyes

injected; the eyeballs feel too large; lids swollen, heavy, can hardly lift them. Asthma and

wheezing respirations are probably due to an urticarious condition of the lung tissue. A symptom

that is very significant is this: When lying on back, inspiration was through the nose, while

expiration was blown from the lips as in apoplexy. The heart's action is increased, with

  • oppression.
  • Palpitation, hypertrophy.
  • Later there is paralysis of heart.
  • Heart dilated or weakened,

with peculiar fulness and lightness of chest and sense of emptiness in stomach. The sense of

sinking and oppression at the pit of the stomach is marked and shows a profound action on the

solar plexus. The insomnia for which Ch/oral is suited is that due to over-fatigue. Snoring in

  • sleep.
  • Lying down <.
  • Wants fanning; open air >.
  • < Night and evening.

Mentals

Symptoms — Mind
Clarke

Comatose for days, ending in cerebral congestion.—Melancholia, idiocy, and

insanity —Constantly hears voices.—Hurried and excited, walking up and down the room

conversing with imaginary beings.

Modalities

Modalities
Boericke
Worse
after hot drinks, stimulants, eating, night

Head

Head
Boericke
  • Morning headache; worse in forehead, also in occiput, on motion; better in open air.
  • Passive cerebral hyperaemia (use 30th).
  • Feeling as if hot band were drawn from temple to temple.
  • Hears voices.
Symptoms — Head
Clarke

Hard, full pressing pains in head, long-lasting —Dull, heavy headache in occiput and

forehead over eyes; < moving about and lying down, slightly > by going into open

air.—Headache in forehead, extending to occiput.—Headache over eyes running down into eyes;

<1. side; eyes feel constricted.

Eyes

Eyes
Boericke
  • Eyes blood-shot and watery.
  • Circles of light, black spots.
  • Illusions of sight where eyes are closed or at night.
  • Dim vision.
  • Conjunctivitis, burning in eye and lids; eyeball feels too large; everything looks white.
Symptoms — Eyes
Clarke

Retinal hyperzesthesia.—Dim sight.—Eyelids feel too large —Burning in eyes and

lids.—Conjunctiva injected; great pain.—Ulcer on cornea; phlyctenz; catarrhal ophthalmia:

intense itching of inner canthi and edges of lids.

Female

Symptoms — Female Sexual Organs
Clarke

Pruritus during pregnancy.—Chorea during pregnancy.—Tedious

labour; nervous, irritable, hysterical; pains apparently forcible have no effect —Puerperal

convulsions.

Respiratory

Respiratory
Boericke

Extreme dyspnoea, with sensation of weight and constriction of chest. Asthma, with sleeplessness.

Symptoms — Respiratory Organs
Clarke

Gasping breathing and confusion of thought—Dyspncea and

suffocation, pressure at base of chest in front, urgent thirst.—Slow respiration; imperceptible

pulse.—When lying on back, inspiration through nose, expiration blown from lips as in apoplexy.

Chest

Symptoms — Heart
Clarke

Increased action with dyspnoea.—Violent palpitation; hypertrophy with

dilatation.—Angina pectoris.—Threatened paralysis.

Skin

Skin
Boericke
  • Red blotches, like measles.
  • Urticaria, worse, spirituous liquors, hot drinks.
  • Erythema aggravated by alcoholic drinks, with palpitation; causes pain in tendons and extensors.
  • Intense itching.
  • Surface of body stone-cold.
  • Wheals come on from a chill; better, warmth.
  • Purpura (Phos; Crotal).
Symptoms — Skin
Clarke

Violent stinging-itching over whole body.—Diffuse inflammatory redness like

scarlatina.—Urticaria, coming out at night, disappearing by day.—Wheals come on suddenly from

a chill; so long as she remains in the warmth is not troubled with them.—Purpura

  • haemorrhagica.
  • —Desquamation in patches.
  • —Bedsores.
  • —Dropsy.

Sleep

Sleep
Boericke

Insomnia, hallucinations, horrid dreams. Somnolence.

Clinical

Clinical
Clarke
  • Anzemia.
  • Angina pectoris.
  • Apoplexy.
  • Asthma.
  • Bedsores.
  • Bronchitis.
  • Chorea.
  • Conjunctivitis.
  • Dropsy.
  • Dysmenia.
  • Enuresis.
  • Erysipelas.
  • Hemorrhagic diathesis.
  • Heart,
  • hypertrophy of; paralysis of.
  • Hydrophobia.
  • Keratitis.
  • Labour, abnormal.
  • Leucorrhcea.
  • Night-
  • terrors.
  • Palpitation.
  • Ptosis.
  • Puerperal convulsions.
  • Purpura.
  • Urticaria.

Relations

Relations
Clarke
  • Antidoted by: Ammon.
  • , Atrop.
  • , Digit.
  • (heart), Moschus, Electricity.
  • Compare: Bell.
  • ,
  • Chlorof.
  • , Chi.
  • , and Opium in stertorous breathing and puffing out cheeks; Gels.
  • , Nux.
  • ; in

urticaria, Astac.

Relationship
Boericke

Antidotes: Ammon; Atrop; Dig; Mosch.

  • Compare: Bell; Opium; Apis; Veronal--(a dangerous drug made by the action of alcohol upon urea and contains the same radical that alcohol does.
  • Makes a man just as drunk as pure alcohol.
  • Staggers, cannot stand up) (Dr.
  • Varney).
  • (Confluent reddish spots; dermatitis, itching of glans and prepuce; circumscribed dermatitis patch on first metacarpal phalangeal joint).
  • Luminal--(Sleeplessness with skin symptoms in migraine; lethargy like epidemic encephalitis) (Dr.
  • Royal).

Posology

Dose
Boericke
  • First trituration in hives, otherwise, higher potencies.
  • Locally, in offensive foot-sweat, bathe with one per cent solution.
  • For its physiological effects, five to twenty grains.
  • Use cautiously.

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

Foul-smelling foot-sweat.

24. Generalities—Anzmia and emaciation.—Coagulability of blood destroyed; hemorrhagic

diathesis.—Bedsores.—Muscular prostration and somnolence.

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