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Materia Medica

Cimex Lectularius

Bedbug
25 sectionsBoericke · 6Clarke · 19

At a glance

Cardinal features · auto-extracted from Boericke · Clarke
  • Ammon mur

Essence

Prologue
Boericke

Bedbug (CIMEX - ACANTHIA)

  • Of use in intermittent fever, with weariness and inclination to stretch.
  • Hamstrings feel too short (Ammon mur).
  • Flexors mostly affected.
  • Sensation of retraction of arm tendons.
  • Stretching.
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Keynotes

Characteristics
Clarke

Cimex 1s an ancient remedy for intermittent fever. A characteristic symptom

is: "Weariness and inclination to stretch." The flexors are most affected; pains in all joints as if

tendons were contracted and too short; every motion or stretching of arms or legs causes

  • tightening pain in them.
  • (Nash records the following cure by Dr.
  • Brewster, of Syracuse.
  • After

driving a fractious horse that tried to run away over a very rough road a man was so bruised and

sprained about the buttocks and legs that he was confined to the house for a long time in

consequence. It settled finally into what appeared likely to be permanent contraction of the lower

limbs. No remedy relieved till Dr. Brewster remembered a case of intermittent fever that he had

cured twenty years before, being guided by this symptom. Cimex 600 (Jenichen) promptly

cured.) Irresistible sleepiness. Frequent yawning; sensation as of a cold wind blowing on knees.

Pains in all joints as if tendons contracted during chill. Chill commences with clenching of hands

and violent raging. Before chill, thirst and heaviness in legs; less thirst with chill, still less with

dry heat; none with sweat. After the chill, thirst, but drinking causes violent headache; tickling in

larynx causing dry, continuous cough. Gagging and belching at end of cough. Heat with gaging;

  • cesophagus feels constricted.
  • Musty-smelling sweats.
  • Night-sweats.
  • Tertian and quartan
  • intermittents.
  • A.
  • W.
  • K.
  • Choudhury relates a case of intermittent (quotidian) cured with Cimex 30,

the chief indications being: "Chill slight; thirst some days, none other days; shiverings; passed

water twice during chill; chill < by lying down; increase of cough if he drinks water during

chill." Stools with hemorrhoidal sufferings. Stools hard in small balls; urging to stool; after the

discharge of a small piece of white stool, rectum closes firmly. Incontinence of urine. Urine hot;

brown or red sediment. Frequent erections in morning; seminal emissions. Urticarious eruption.

  • Motion <.
  • Stretching or extending the part <.
  • Weariness compels to lie down.
  • Sitting < pain in
  • small of back.
  • During rest: in morning, sweat on nose.
  • Symptoms < in morning.
  • < By drinking.

The whole right side is especially affected.

Mentals

Symptoms — Mind
Clarke

Anxiousness.—Sensation as if he could creep into himself and on that account could

not sufficiently crouch together.—His own sweat is disgusting to him.—Clenching of hands with

violent rage at beginning of chill.—Anxiety after chill.

Generals

Symptoms — Generalities
Clarke

Pain in recti muscles of thighs, with oppression of the chest, shortness of

breath, and frequent, deep inspiration, with a sensation as if he would creep into himself, and on

that account could not sufficiently crouch together; every attempt to stretch out arms or legs

causes tensive pain in these parts, and he suffers thirst rather than move.

Head

Head
Boericke
  • Violent headache, caused by drinking.
  • Great rage; vehement at beginning of chilly stage.
  • Would like to tear everything to pieces.
  • Pain under right frontal bone.
Symptoms — Head
Clarke

Confusion of head as if headache would ensue.—Pain like needle stitches in vertex

with cough.—Headache, almost depriving him of the power of thinking; most violent during the

chill; caused by drinking.—Sweating on head, nose and chest.

Nose

Symptoms — Nose
Clarke

Annoying dryness of nostrils.—Fluent coryza with pressure in frontal

sinuses.—Constant sneezing in forenoon.—Sweat on nose, morning, during rest.

Mouth

Symptoms — Mouth
Clarke

Tongue coated white.—Swollen feeling of the tongue.—Feeling as if burnt on the

tongue, in the region of the palate and the upper anterior gums.

Throat

Symptoms — Throat
Clarke

Dryness of the throat, causing him to drink all day —Esophagus constricted; during

the hot stage.

Abdomen

Symptoms — Abdomen
Clarke

Pain in the liver, as if it had been strained by bending the r. side inward; the spot

is painful when touching it and when coughing.—Colic, followed by emissions of flatulence or

liquid stools.

Stool

Symptoms — Stool and Anus
Clarke

Stools hard, in small balls —After the discharge of a small piece of white

stool the rectum closes firmly.—Stools with hemorrhoidal sufferings.

Female

Female
Boericke

Shooting pain from vagina up towards left ovary.

Respiratory

Symptoms — Respiratory Organs
Clarke

Dry cough, with gagging, as if he would vomit, with

perspiration.—Breathing oppressed after chill.

Chest

Symptoms — Chest
Clarke

Chest feels oppressed during chill—After chill, heaviness in middle of chest;

anxiety.

Neck & Back

Symptoms — Back
Clarke

Pain in the small of the back, extending over the abdomen, with distension of the

abdomen.—Pain in the small of the back; worse when sitting.—Weariness in loins, must sit down.

Upper Limbs

Symptoms — Upper Limbs
Clarke

Pain in r. shoulder and the anterior muscles of the chest, extending through

the whole arm down to the nails; the fingers feel as if they had gone to sleep —At beginning of

chill, draws fingers together making a fist.

Lower Limbs

Symptoms — Lower Limbs
Clarke

During chill knee-joints most contracted; the leas cannot be extended.—At

the end of chill, the legs feel tired; the position of legs must be changed constantly; this ceases

during the hot stage-—Hamstrings feel too short, knees flexed; attempting to stretch them = pain

in thighs Knees feel cold as from a cold wind.

Sleep

Symptoms — Sleep
Clarke

Great drowsiness; falls asleep when sitting in the morning.—Irresistible sleepiness

during chill—Frequent yawning; with cold feeling on skin.

Fever

Fever
Boericke
  • Chilliness of whole body.
  • Sensation as of wind blowing on knees.
  • Pains in all joints, as if tendons were too short, especially knee-joints.
  • Chill; worse lying down.
  • Thirst during apyrexia, but little during chilly stage; still less during hot stage, and none during sweating.
  • Musty, offensive sweat.
Symptoms — Fever
Clarke

Pulse feeble; intermitting.—Before the cold stage, thirst; heaviness in the lower

extremities.—At the beginning of the chill, clenching of the hands and violent rage.—Chilliness

over the whole body, followed by dry heat, which is succeeded by some moisture over the

skin.—During the chill painfulness in all the joints; sensation as if the tendons were too short; the

knee-joints are most contracted; the legs cannot be extended; the chest feels oppressed, obliging

one to take a long breath frequently; irresistible sleepiness.—At the end of the chill the legs feel

tired; the position of the legs has to be changed constantly; this ceases during the hot

stage.—After the chill thirst, and when he drinks he is attacked with violent headache, which

almost deprives him of the power of thinking; tickling in the larynx, causing a continuous dry

cough; oppression of breathing; heaviness in the middle of the chest; anxiety.—Amelioration if

he does not drink.—During the hot stage gagging in the cesophagus, which impedes inspiration;

thirstlessness; the water drunk to allay the gagging goes down at intervals only; the cesophagus

feels constricted. —If he drinks during the fever he passes soon after very hot brown urine,

depositing a good deal of sediment.—The perspiration, after the hot stage, is accompanied by

hunger.—Perspiration mostly on the head and chest.—During the intermittent fever, constipation;

stools dry.

Clinical

Clinical
Clarke
  • Constipation.
  • Cough.
  • Hemorrhoids.
  • Intermittent fever.
  • Liver, complaints of.
  • Muscles,
  • contraction of.
  • Seminal emissions.
  • Skin, affections of.
  • Yawning.

Relations

Relations
Clarke
  • Compare: Nat.
  • m.
  • (headache lessens in the sweating stage); Ars.
  • (headache remains
  • or increases in the sweating stage); Bell.
  • (throbbing of the head in intermittents).
  • Ars.
  • and Bry.

(gagging at end of cough).

Posology

Dose
Boericke

Sixth to two hundredth 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.

Additional notes

Bowels
Boericke

Constipation, feces dry and in small balls (Op; Plumb; Thuj) and hard. Ulcer of rectum.

Symptoms — Limbs
Clarke

Painfulness in all joints; sensation as if the tendons were too short (during the chill).

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