Cina Maritima

Cina is the source of the alkaloid Santoninum. It is pre-eminently a worm

medicine, as it causes all the symptoms which characterise helminthiasis both mental, nervous,

and bodily. It corresponds more to the effects of lumbrici than to those of other worms. There is

irritation of the nose, causing constant desire to rub, prick, or press into it. In children there is

extreme ill-humour and naughtiness. Nothing pleases them for any length of time; gritting teeth

during sleep; wetting the bed (when accompanied by picking nose, great hunger, restless sleep);

tossing all about the bed in sleep; crying out as if in delirtum Sherbino has found "getting on

hands and knees in sleep" a strong indication for it. But Cina is much more than a mere worm-

medicine. Many symptoms appear to be reflex from abdominal irritation. A characteristic feature

is: Extreme sensitiveness of mind and body: offended by the slightest thing; peevish and

obstinate; aversion to be caressed. Over-sensitiveness of surface: cannot endure to be

approached, touched, or pressed upon; touch induces or aggravates spasms. Child cannot bear to

have head combed or brushed. Aversion to light. Strabismus; with sickly look and dark circles

round eyes; yellow vision. Asthenopia, defective accommodation; yellow vision. Ravenous

hunger; sinking immediately after a meal. Difficult swallowing of liquids; clucking noise from

throat to stomach. Nocturnal enuresis; urine white, turbid, at times fetid. Larynx extremely

sensitive, touching it causes suffocative spasm. Cough excited by sensation of feather down in

throat. Reflex cough; caused by writing or reading (to oneself). In fever there is thirst with chill;

• ▸face pale and cold; hands warm; nausea or vomiting of bile or ingesta.
• ▸Charles Mohr (77.
• ▸.
• ▸,

January, 1898) commends it for: anzemic persons suffering from indigestion and non-

assimilation of food; or after acute illness when they have headache, vertigo, and neuralgia. In

the cachectic who have pains in the belly and deranged abdominal functions, and suffer

nervously. For asthenopia from onanism, when reading by artificial light is next to impossible;

eyes feel veiled, need constant wiping. Spasmodic strabismus from abdominal irritation.

Spasmodic asthma after food that disagrees, "sensation as if sternum lies too close to back,

embarrasses breathing and causes anxiety and sweat." Prosopalgia of supra- and infra-orbital

region and zygoma chiefly, pains pressing, screwing, with hyperesthesia. Gastralgia, enteralgia,

and fevers when the leading symptoms are present. Nash (Leaders in Typhoid Fever) mentions

two cases of typhoid in which Cina proved curative, the indications being "Intense circumscribed

• ▸redness of the cheeks, and frequent and violent rubbing of the nose.
• ▸" S.
• ▸C.
• ▸Ghose has recorded

(H. W., September, 1899) a striking cure by Cina 6 and 200 of a case of infantile remittent fever,

in which the classical symptoms of the drug were present; the fever came on very irregularly.

The symptoms of Cina are < night; before midnight child wakes up frightened. < From open air;

cold air; cold water. < Yawning. Child lies on belly, or on hands and knees, during sleep.

Guernsey says Cina is suited to complaints which are concomitant to yawning, which come on

whenever one yawns.

• ▸Ill-humor.
• ▸Child very cross; does not want to be touched, or crossed, or carried.
• ▸Desires many things, but rejects everything offered.
• ▸Abnormal consciousness, as if having committed some evil deed.

Lachrymose and plaintive humour.—A child cries when it is touched; is averse to

being caressed.—Continual inquietude, with desire for things of all kinds, which are rejected

some moments after —Disposition to be offended by trifling jests.—Great anguish and anxiety on

walking in the open air.—Delirium.

Paralytic, tractive pains in the limbs.—Pressure and squeezing, with dull

shootings, or cramp-like tearings, pullings and jerkings, or burning shootings in different

parts —Twitching of limbs.—Convulsions, and distortion of the limbs.—Nocturnal epileptic

convulsions, followed by headache.—Epileptic convulsions (esp. at night, with or without

consciousness) with cries, bending backwards of the back, and violent movements of the hands

and feet.—Tetanic stiffness of the whole body.—External pressure <, or renews the

sufferings.—Painful sensibility of all the limbs, on movement, and on being touched.—A ffections

of the 1. side; 1. lower extremity—The majority of the sufferings appear at night, or when seated,

and are < in the morning and in the evening.—Heaviness in the limbs.

Headache, alternating with pain in abdomen. Relieved by stooping (Mezer). Pain in head when using eyes.

Headache, alternately with pressure on the abdomen.—Numbing pressure, as from a

load, which weighs upon the head, esp. when walking in the open air.—The head falls to the side

and is jerked backwards, with twitches in the limbs and cold perspiration of the face.—Tearing,

drawing cephalalgia, aggravated by reading or meditation —Headache before and after the

epileptic attacks; after attack of intermittent fever—Dull pains in the head, with eyes fatigued,

chiefly on waking in the morning.—Cold perspiration on the head (forehead) and on the pale,

cold, bloated face, with blueness around the mouth; twitching of the limbs and sleepiness, worse

at night (after attacks of whooping-cough and epilepsy).

• ▸Dilated pupils; yellow vision.
• ▸Weak sight from masturbation.
• ▸Strabismus from abdominal irritation.
• ▸Eyestrain, especially when presbyopia sets in.
• ▸Pulsation of superciliary muscle.

Aching in the eyes, when fatiguing them by reading; when using them at night by the

candle-light.—Convulsive movements of the muscles of the eyebrows.—Confusion of sight, on

reading, which disappears on rubbing the eyes.—Pupils dilated —Weakness of sight (from

onanism).—Weak sight, with photophobia and pressure on the eyes, as if sand had been

introduced into them.—When looking at a thing steadily (reading) he sees it as through a gauze,

which is relieved by wiping the eyes.

Digging and scratching in ears.

Itching of nose all the time. Wants to rub it and pick at it. Bores at nose till it bleeds.

Epistaxis; also bleeding from the mouth.—Inclination to put the fingers into the

nose.—The child rubs the nose constantly, and bores with the fingers in the nose until blood

comes out.—Flow of pus from the nose.—Violent sneezing, which provokes a sensation of

pressure on the temples, and seems as though it would burst the chest.—Fluent coryza, with

sensation of burning in the nostrils.—Stoppage of the nose, in the evening.—Fluent coryza at

noon.—The nose burns.

• ▸Intense, circumscribed redness of cheeks.
• ▸Pale, hot, with dark rings around eyes.
• ▸Cold perspiration.
• ▸White and bluish about the mouth.
• ▸Grits teeth during sleep.
• ▸Choreic movements of face and hands.

Paleness of face, with livid circle under the eyes.—Earth-coloured complexion.—Face,

• ▸puffed and bluish, esp.
• ▸round the mouth.
• ▸—Face alternately pale and cold, or red and hot.
• ▸—Pale,

cold face, with cold perspiration—Cramp-like pains and successive pullings in the cheek-bones,

aggravated or renewed by contact and pressure.

Toothache, provoked by the air and cold drinks.—Pains, as from excoriation, in the

teeth.—Grinding of the teeth.

• ▸Gets hungry soon after a meal.
• ▸Hungry, digging, gnawing sensation.
• ▸Epigastric pain; worse, first waking in morning and before meals.
• ▸Vomiting and diarrhoea immediately after eating or drinking.
• ▸Vomiting with a clean tongue.
• ▸Desires many and different things.
• ▸Craving for sweets.

• ▸Increase of thirst—Hunger shortly after a meal.
• ▸—Voracity.
• ▸—Bulimy.
• ▸—Aversion of

the sucking child to the milk of its mother—Hunger may come on in the middle of the night, as

in children, or one may feel hungry a few minutes after a hearty meal.—Bitter taste of

• ▸bread.
• ▸—Vomiting, or diarrhoea immediately after eating or drinking, esp.
• ▸drinking.
• ▸—Vomiting of

mucus and of ascarides.—Vomiting during the fever, with tongue clean.—Bilious

vomiting.—Disagreeable risings.

Audible gurgling from the throat into the stomach when drinking.—Frequent

hiccough.—Pain in the precordial region oppressing the breathing.

Twisting pain about navel (Spig). Bloated and hard abdomen.

Obstinate pinchings in the abdomen.—Pinching or cramp-like pressure

transversely across upper abdomen, after a meal.—Painful twisting about navel.—Cutting and

pinching pain in the abdomen from worms.—Painful rolling in the region of the navel, which is

very sensitive to the touch.—Cramp-like, frequently recurring pains in the abdomen, as when the

catamenia are about to appear.—Unpleasant sensation of warmth in the abdomen.—Bloated

abdomen, esp. in children.—Feeling of emptiness in the abdomen.

White mucus, like small pieces of popped corn, preceded by pinching colic. Itching of anus (Teuc). Worms (Sabad; Naphth; Nat phos).

Stool with maw-worms (short, thick worms).—Loose evacuations of the

consistence of pap.—Discharge of ascarides, and of other worms by the anus.—Itching of the

anus.—Diarrheea of bile, and of stercoraceous matter—Loose, involuntary, whitish evacuations.

Frequent want to make water, with profuse discharge.—Wetting the

• ▸bed.
• ▸—Urine soon becomes turbid.
• ▸—Involuntary emission of urine (at night).
• ▸—Urine milky.

Turbid, white; turns milky on standing. Involuntary at night.

Uterine haemorrhage before puberty.

Catamenia premature, and too abundant.—Metrorrhagia.—W omb-

troubles in general.

• ▸Gagging cough in the morning.
• ▸Whooping-cough.
• ▸Violent recurring paroxysms, as of down in throat.
• ▸Cough ends in a spasm.
• ▸Cough so violent as to bring tears and sternal pains; feels as if something had been torn off.
• ▸Periodic; returning spring and fall.
• ▸Swallows after coughing.
• ▸Gurgling from throat to stomach after coughing.
• ▸Child is afraid to speak or move for fear of bringing on paroxysm of coughing.
• ▸After coughing, moaning, anxious, gasps for air and turns pale.

Short, interrupted breathing.—Respiration wheezing and

panting.—Abundance of mucus in the larynx, which is constant, and compels continual

hawking.—Gagging cough in morning after rising; irritation thereto (as from dust); is renewed by

inspiration after a long interval.—Cough, excited by taking a deep inspiration —Dry, tickling

cough induced by reading (to oneself).—Hoarse, transient cough in the evening.—Dry cough,

with cramp, want of breath, anxiety, paleness of face, and groans after the paroxysm; or with

stiffness of the body, and bleeding from the nose and mouth.—Cough, with sudden starts, and

loss of consciousness.—Before coughing, child raises herself suddenly, tosses wildly about, the

whole body becomes stiff, she loses consciousness, just as if she would have an epileptic fit, then

follows the cough.—Whooping-cough in violent, periodically returning attacks, from a titillating

sensation in the throat, as of a feather, and much tough mucus:—in the morning without

expectoration, in the evening with difficult expectoration of white, occasionally blood-streaked

mucus, which is tasteless; worse in the morning and in the evening; better during the night,

aggravated by drinking, walking in the open air, pressing on the larynx, when lying on the right

side, in the cold air, and when awaking from sleep.

Difficulty of respiration, and anxious oppression of the chest, as if the sternum were

compressing the lungs.—Respiration short, often interrupted, or rattling. —Spasmodic digging in

the chest, as if it were going to burst—Jerking and digging shootings in the chest—Burning,

stitches., and soreness in the chest.

Pains, as from a bruise, in the loins, < by motion.—Drawing-tearing pain along whole

spine.—Drawing or jerking pains in middle of spine.

Tearing and paralytic pullings in the arms.—Cramp-like tearings in the arms

and in the hands.—Contraction and starting of the hand and of the fingers.—Sprained feeling in

the wrist-joint Weakness of the hand, which suffers everything to escape from it.

Paralytic or cramp-like pains, and pullings in the legs—Spasmodic

stretching and twitching of the feet—Cramp-like extension of the legs.

• ▸Twitching and jerking distortion of limbs, trembling.
• ▸Paralyzed shocks; patient will jump suddenly, as though in pain.
• ▸Child throws arms from side to side.
• ▸Nocturnal convulsions.
• ▸Sudden inward jerking of fingers of right hand. Child stretches out feet spasmodically.
• ▸Left foot in constant spasmodic motion.

• ▸Child gets on hands and knees in sleep; on abdomen.
• ▸Night terrors of children; cries out, screams, wakes frightened.
• ▸Troubles while yawning.
• ▸Screams and talks in sleep.
• ▸Grits teeth.

Frequent yawning, with trembling and shuddering —Nocturnal sleeplessness, with

agitation, tears, cries, heat, and anguish; in children—Wakes in the morning, restless and

lamenting, in a start—Child gets on hands and knees in sleep; on abdomen.

• ▸Light chill.
• ▸Much fever, associated with clean tongue.
• ▸Much hunger; colicky pains; chilliness, with thirst.
• ▸Cold sweat on forehead, nose, and hands.
• ▸In Cina fever, face is cold and hands warm.

Pulse small, hard, and rapid.—Frequent shuddering, with trembling, even near the

fire—Quotidian fevers, or tertian, with bulimy, nausea, tongue clean, diarrhoea, pupils dilated,

and emaciation.—Shivering in the evening.—Strong febrile heat, with delirium, tossing, and

agitation.—Chilliness, with shaking or trembling, ascending from the upper part of the body to

the head.—Chill, with coldness of the pale face and heat of the hands.—Heat at night, with

thirst—Chilliness with thirst.—After the perspiration (sometimes before the chill) vomiting of

food (with a clean tongue); at the same time canine hunger.—Heat, esp. in the head, with

paleness, or yellowish colour of the face, and livid circle under the eyes, or with redness of the

cheeks.—A fter the fever, headache.—Cold sweat on the forehead, around the nose, and on the

hands.

• ▸Abdomen, distended.
• ▸Anzemia.
• ▸Anus, irritation of.
• ▸Asthenopia.
• ▸Asthma.
• ▸Bronchitis.

• ▸Borborygmi.
• ▸Chorea.
• ▸Colic.
• ▸Convulsions.
• ▸Cough.
• ▸Dentition.
• ▸Diarrhoea.
• ▸Enuresis.
• ▸Eyes, affections

• ▸of.
• ▸Hydrocephaloid.
• ▸Intermittent fever.
• ▸Leucorrhea.
• ▸Neuralgia.
• ▸Remittent fever.
• ▸Scarlatina.

• ▸Sight, affections of.
• ▸Spasms.
• ▸Strabismus.
• ▸Twitchings.
• ▸Urine, milky.
• ▸Whooping-cough.
• ▸Worms.

• ▸Antidoted by: Camph.
• ▸, Caps.
• ▸, Chi.
• ▸, Pip.
• ▸nig.
• ▸Antidote to: Caps.
• ▸, Chi.
• ▸, Merc.
• ▸Follows

• ▸well: Dros.
• ▸and Ant.
• ▸t.
• ▸Compare: In aversion to be touched, Ant.
• ▸c.
• ▸, Ant.
• ▸t.
• ▸, Hep.
• ▸Sil.
• ▸, Thu.

gurgling along cesophagus when swallowing fluids, Helleb., Cupr. difficult swallowing liquids,

• ▸Bell.
• ▸, Caust.
• ▸, Hyo.
• ▸, Ign.
• ▸, Lach.
• ▸, Lyc.
• ▸, Pho.
• ▸; in cough < by reading or writing, Mang.
• ▸, Meph.
• ▸,

• ▸Nux, Plat.
• ▸in white stools, Dig.
• ▸; in ravenous hunger, Ars.
• ▸, Calc.
• ▸, Iod.
• ▸, Sil.
• ▸Staph.
• ▸; aversion to be

• ▸caressed, Ars.
• ▸, Lach.
• ▸; in squint, Alm.
• ▸; in asthenopia and defective accommodation, Artem.
• ▸v.

• ▸(but Art.
• ▸v.
• ▸has dizziness from coloured light; and Cina has > from rubbing).
• ▸Teste places Cina in

• ▸the Arsen.
• ▸group from its analogy in the digestive sphere.
• ▸Cham.
• ▸has many points of contact with

Cina and some opposite conditions.

• ▸Compare: Santonin--(often preferable in worm affections; same symptoms as Cina; corresponding to the "pain in shocks" produced by Cina.
• ▸Visual illusions, yellow sight; violet light not recognized, colors not distinguishable.
• ▸Urine deep saffron color.
• ▸Spasms and twitchings, chronic gastric and intestinal troubles sometimes removed by a single dose (physiological) of Santonin.
• ▸Dahlke).
• ▸Helmintochortos-Worm-moss (acts very powerfully on intestinal worms, especially the lumbricoid).
• ▸Teucrium; Ignat; Cham; Spig.

Antidote: Camph; Caps.

Third attenuation. For nervous irritable children, thirtieth and two-hundredth preferable. Santonin in first (with care) and third trituration.

Cilia is pre-eminently a child’s remedy, but it is suitable for conditions in adults that arc seldom thought of. A marked feature running through is loiichiness, mental and physical. The child wants

something, but docs not know what. The cliild is aggravated by touch

and even by being looked at, and is worse from seeing strangers. The

skin is sensitive to touch. The scalp and back of the neck, the shoulders and arms arc so sensitive, that it is almost a soreness as if

bruised. The hpyerasthesia is both mental and physical. The old

routine of giving Cina for worms need not go into your notes, for if

you are guided by symptoms the jiatient will be cured and the worms

will go.

This patient is disturbed by e\ cry thing, w^orse alter eating even a

moderate meal. The child takes a moderate supper and dreams all

night, jerks and twitches in sleep, rouses up in a fright, talks excitedly

about what he lias drcainecl, thinks it is real, and secs dogs, phantoms,

and frightful things he has dreametl about. The dream is prolonged

into the wakeful liours. Screams and trembles, with much anxiety

on waking ; wliines and complains. While this little patient is aggra-

^ated by being liandletl yet lie wants to be carried and kept busy, like

Cliamoniilla ; although not so intensely irritable as that remedy, yet he

must lie carried. At first on taking him out of the crib he screams

when taken hold of ; the lirst touch aggravates. This aggravation

from touch and sensitiveness runs through the convulsions and fevers,

with delirium, glassy eyes, drawn mouth and white ring around the

nose and mouth. With a disordered stomach be has convulsions after

eating, with the head drawn back and glassy eyes. The stomach is

sour and the child is always spitting up sour milk and lielching sour

wind. I1ie cliild smells sour. 'Fhc mother says that ‘'Baby has a

worm lircath,’' hut the same odor is present when there arc no worms.

In the convulsions there arc loss of consciousness and frothing at the

mouth.

Hallucinations of smell, sight and taste, in the delirious state, after

taking cold, or on waking from sleep ; wakes up with the delusion.

Things taste and smell differently. The senses of taste and touch are

exaggerated or perverted.

In some cases of internal hydrocephalus, not with enlarged skull

but with increase of the fluid in the ventricles and central canal of the

spinal cord, the patients take on Cina symptoms. Rolling of the head

frequent headaches ; sensitiveness to jar ; cannot be touched or tapped

CXNA

Along the spinal cord without headache ; always worse in the sun ; the

head is hot and the feet are cold in the sun. Cina will cure some of

these cases. They cannot stand any kind of disturbance ; it produces

a convulsion. They cannot be punished because they go into convulsions. If the iter a tertio ad quartum veniriculum is closed they will

be incurable, the internal pressure will go on and they will die from it.

Such congenital states are incurable.

Dull headache with sensitiveness of the eyes. Headache before and

after epileptic attacks and after intermittents. Before and during

the headache sensitiveness of the skull. Cina children cannot have

the hair combed, and the Cina woman must have her hair down in

head and nerve complaints.

There is coldness of the extremities and also some itching of the

skin, but the head symptoms are predominant. From slight disturbances of the mind he cannot digest, and he has diarrhoea. The complaints are aggravated in summer ; the heat affects the brain, arrests

his functions, and on comes diarrhoea with green, slimy stools or white

stools, and the child vomits. It is pre-eminently brain in Cina ; the

orders are not received from the brain and so stomach symptoms develop, and worms hatch out. If he is cured the healthy gastric juice

will chase the worms out.

The child turns his head from side to side. The pains are sometimes better from turning the head from side to side. You will see

this in sensitive women, who must have their hair down ; rolling the

head relieves, not shaking as in the text, that is too violent.

All sorts of colors before the jeyes. Objects look yellow. It is

useful in sensitive women, sensitive nervous women, w^ho are always

worse from using the eyes, and get pain in the head and eyes from

sewing. It is like Ruta in that respect, symptoms of eye-strain. It

is not so much indicated in young people but more when presbyopia

is beginning in middle-aged women, and there is the effort to strain

the eyes on fine work or print. Rubs the eyes and can then see more

clearly. On rising from the bed blackness before the eyes ; different

colors, especially yellow. Strabismus when worms arc present, depending really on brain trouble because the worms are dependent

upon that.

Face sunken, pallid, wings of nose drawn in. Blue ring or gray

streak around the mouth. ''A sure sign of worms," the mother says.

Child rubs its nose with the hands or on the pillow or on the nurse’s

shoulder. Child bores into the nose until the blood comes. The

sickly aspect is striking, but it is representative of brain trouble, central

trouble. The brain symptoms are the highest and most important.

If frightened, whipped, or scolded, the brain is disturbed and the

CINCHONA

Stomach disordered. They get indigestion and breed worms ; white

or blue appearance about the mouth, grinding of the teeth during sleep.

Before the child has teeth it has a chewing motion, a side to side

movement. Sensitiveness of the teeth to the cold air and cold water.

Bleeding from the mouth and nose. Inability to swallow liquids ;

they gurgle down the oesophagus — ^before and after convulsions. When

the head symptoms are present, the milk or water gurgles down the

oesophagus with a gurgling cluck. This is present in diarrhoea and

vomiting with brain symptoms. Ars, and Cupr. are also prominent in

gurgling down the oesophagus when swallowing. Choreic movements

exetnd to the tongue.

The child or adult is not relieved by eating, is still hungry. The

stomach is loaded and yet he is hungry. After vomiting you would

expect there would be an aversion to food, but there is in Cina the

same empty, hungry feeling. When there is gnawing in the stomach

after eating, or when the child has taken all it can hold yet cries for

the bottle, or empties its stomach by spitting up and vomiting the food

and then reaches out whining and crying for more, think of Cina.

Shuddering when drinking wine as if it were vinegar.

Abdomen hard and bloated. Very often the Cina child will flop

over on its belly and get to sleep in that way. If it is turned on the

side it wakes up again. While in the mother’s arms it will go to sleep

with the abdomen resting on the mother’s shoulder, but when she puts

it on the side in bed it wakens. If you had a child with copious,

gushing, violently foetid stool, ameliorated by lying on the abdomen,

and it would have another stool if lying any other way, Podoph, would

be the remedy. That would not be Cina. The Cina stool is not very

copious, and often white.

Gagging cough in the morning. Short, hacking cough at night.

Spasmodic cough. Whooping cough.

Oversensitiveness to touch ; trembling, spasms, chorea. Spasmodic

yawning. Child cannot sleep unless on the belly or in constant motion.

CINCHONA

Now we shall take up the study of Cinchona, or China. Persons

who have suffered much from neuralgias due to malarial influences,

who have become anaemic and sickly from repeated haemorrhages, are

likely to develop sysmptoms calling for China. China produces a

gradually increasing anaemia, with great pallor and weakness. It is

sometimes indicated in plethoric individuals, but this is the exception,

and even in this class we find that the symptoms are tending towards

the cachectic state, which is avoided by the prompt action

remedy.

CmCHONA

Throughout the body there is a gradually increasing sensiti\'ity, a

gradually increasing irritability of the nerves ; the nerves arc always

in a fret, so that these people will say : '‘Doctor, what is the matter

with me, I am so nervous ?*' Everywhere there are twinning, tearing,

cutting pains — in the limbs and over the body. And so great is the

sensitiveness to touch that the nerves can many limes be outlined ;

as, for instance, the little nerves in the fingers, because of their extreme sensitiveness. The China patient grows increasingly sensitive

to touch, to motion, to cold air, so that he is chilled from exposure.

The pains are brought on by exposure to the wind, by cold air, and

are increased by motion and touch. Old malarial conditions that have

been suppressed with quinine ; gradually increasing pallor, bloodlessness, cachexia, until the patient is always catching cold, has liver

troubles, bowel troubles, disordered stomach, is made miserable and

sick by nearly everything he does. He cannot eat fruit without having

indigestion ; he cannot eat sour things. He is debilitated, pale, waxy,

suffers from pains, such as are found in quinine subjects, and breaks

out into a perspiration up the least exertion.

This patient bleeds easily ; bleeds from any orifice of the body —

from the nose, from the throat, from the uterus. And after haemorrhage complaints come on. Running through the remedy as a general

constitutional state is a tendency to congestion and often inflammation

in connection with haemorrhages. Inflammation of the part that bleeds

or of distant parts. For instance, a ^’^oman aborts, has a haemorrhage,

but with apparently no provocation, inflammation of the uterus or of

the lungs sets in. With these inflaihmations there is also great irritability of the tissues, tearing pains, cramping in the muscles and actual

convulsions. When a China patient bleeds a little, for instance, in

confinement, right in the midst of the bleeding convulsions come on.

You would scarcely need to think of any other remedy. Secale is the

one other medicine that has this, but the two do not look alike. Secale

wants the covers all off and the windows open, even in cold weather.

It a draft of air blows on a China patient, while in labor, she may go

into convulsions. In the midst of labor the pains cease and convulsions come on. Another feature about this inflammation is its rapid

progress and intensity, quickly going into gangrene. Inflammation

after haemorrhage and the parts rapidly turn black.

China has a fulness of the veins. Not exactly a varicose condition,

but a sort of paralysis of the coatings of the veins. The veins become

full during fever.

All of these complaints are such as we find in broken down constitutions, in feeble, sensitive patients, especially in* sensitive women.

Sensitive to the odors of flowers, of cooking, of tobacco. Weak, relaxed, emaciated, pale, with feeble heart, feeble circulation and ten-

3^0 cinchona

dency to dropsy. Dropsy runs through the remedy ; anasarca and also

dropsy of shut sacs. A peculiar thing about this dropsy is that it

comes after haemorrhage. In the anaemic condition, directly following the loss of blood, dropsy appears. This is the typical China

patient.

Catarrhal condition of all mucous membranes. Gastro-duodcnal

catarrh, ending in jaundice. Old liver subjects with jaundice. They

have lived for a long time under the influence of the malarial miasm.

Feeble, sensitive, anaemic. We see such cases in the South and Southwest, and long the Mississippi Valley.

Periodicity is regarded as the most important indication for China,

but it is a mistake. Periodicity is the symptom upon which Quinine^

is given. China has periodicity, but in no greater degree than many

other remedies and is not so frequently indicated as routine prescribers

suppose. Allopaths give Quinine whenever there is any periodicity in

complaints. Still periodicity is a strong feature in this remedy. Pains

come on with regularity at a given time each day. Intermittent fevers

appear with regularity and run a regular course.

A part of this periodicity is an aggravation at night, and sometimes

sharply at midnight. In colic that comes on regularly every night at

12 o'clock, and it may be, perhaps, a week before you suspect it to be

a China colic. A lady had colic and bloating of the abdomen every

night at i 2 o'clock. After suffering many nights a single dose of China

prevented any further trouble. Haemorrhage from the nose coming

on with regularity. Diarrhoea at night. Several gushing, black,

watery stools during the night ; in the daytime, only after eating.

There is a general aggravation after eating.

Remember that this is a chilly patient, sensitive to drafts, sensitive

to cold, whose complaints are brought on by being exposed to cold air ;

sensitive to touch, sensitive to motion. Extreme irritability of the

tissues.

China is indicated in conditions following the loss of blood and other

animal fluids ; as, for instance, in those who are suffering from sexual

excesses, from secret vice. They have become feeble, sleepless and

irritable. There is weakness and general coldness of the skin ; twitching and jerking of the limbs ; drawing and cramping in the muscles ;

chronic jerking ; epileptiform convulsion ; paralytic weakness ; rush of

blood to the head ; ringing in the ears ; darkness before the eyes ; fainting on the slightest provocation. Such is the China cachexia, and

with this in view, the mental state will scarcely be a surprise to you.

It is just such as you would expect in this nervous, sensitive patient.

Weakness of mind. Inability to think or remember. Full of fear at

night. Fear of animals, dogs, of creeping things. Wants to commit

suicide, but lacks courage. Gradually the mind grows weaker ; he

UNCHONA

Uses wl*ong expressions or misplaces words. Lies awake at night

making plans, theorizing, building air castles, thinking oi the wonderful things he is going to do some day. In the morning he wonders

how he could have thought such foolish things. After sleep his mind

is clear and he looks more philosophically on the altairs of life.

Unable to entertain any mental proposition that means work. He

dreads work. He is apathetic, indittcrent, low spirited, silent, disinclined to think. He is unable to control the mind, to make it do what

he wants it to do. You see it is not as yet a real insanity.

This state of mind comes on after haemorrhage. Insomnia after

haemorrhage. A woman, after having suffered great loss of blood,

will be sleepless night after night.

After haemorrhage we may have dizziness. It is a natural consequence ; dizziness and fainting. But ordinarily, after the proper diet

tor a few days, these symptoms will have disappeared. With the

China patient they go from bad to worse. The woman after severe

haemorrhage does not make blood. There is mal-assimilation, and the

vertigo persists for days and weeks. China will restore order.

The remedy is full of headaches. Congestive headaches in broken

down constitutions. Extremities cold and body covered with a cold

• ▸sweat.
• ▸Rending, tearing pains.
• ▸Pressing and throbbing.
• ▸As soon

as the air strikes the head those pains come on. Headache better in

a warm room ; worse from touch J worse from motion ; worse from

cold. These are the principal features. A slight touch will aggravate

• ▸the disturbance.
• ▸But notice the ' exception.
• ▸Hard pressure ameliorates the China pains, as light pressure aggravates.
• ▸Sensitiveness

of the tissues ; sensitiveness along the course of the nerves ; the pains

are brought on by touch, by cold air. Stitches in the head with pulsation in temples, which can be felt with the fingers ; ameliorated by hard

pressure, but aggravated by touch. The jar and motion of walking

hurt the head. Even turning over in bed aggravates. Cannot ride

in a carriage or anything that jolts. Ameliorated by hard pressure.

Throbbing headaches, aggravated by a draft of air, in the open air,

from the slightest touch ; ameliorated by hard pressure. The scalp

feels as if the hair was grasped roughly. It is sensitive to touch.

Profuse sweating of the scalp. Headaches aggravated at night. Headaches from sexual excesses ; loss of animal fluids.

Now we come to the eye. Photophobia. Yellowness of the sclera.

Exposure to cold wind will bring on neuralgia ; ameliorated from

• ▸keeping quiet and from keeping warm.
• ▸“Nocturnal blindness, dimness of vision.
• ▸Feeling as if sand were in the eyes.
• ▸Pains worse from

light. Better in the dark.*'

In the ear and the nose you find the same sensitiveness as in eyes ;

every little noise is painful. Ringing, roaring, buzzing, and singing.

CINCHONA

38^1

chirping like crickets in the ears. Dry catarrh of the middle eaf^

Hardness of hearing is not infrequently the result of this condition.

It gradually increases until there is total deafness, and the noises in

the ear continue long after the patient has lost the ability to distinguish

articulate sounds. Hsemorrhage from the ear. Offensive, bloody,

purulent discharges.

Frequent nosebleed in anaentic patients. Here, again, the dryness

and catarrhal conditions. Dry coryza ; or fluent coryza, suppressed

and causing violent head pains. Odors nauseate. Sensitiveness to

the odors of flowers, cooking, tobacco.

The face is withered, shrunken, sallow, anaemic, sickly. Red when

the fever is on and sometimes when the chill is on, but in the apyrexia

• ▸pale, sickly and sallow.
• ▸Neuralgia of the face ; tearing, rending, knifelike pains with the usual modalities.
• ▸The veins of the face are distended.
• ▸This is frequently observed during the fever and sweat of

the China intermittents.

The teeth get loose, the gums swell. The teeth are painful while

Shewing ; they feel too long. Toothache with every little cold. Rending as if teeth were being pulled out, every time the child nurses at the

breast. Exudations about the teeth and gums. Black, and foetid ;

great putridity in the lower forms of fever.

The taste is extremely acute. Exaggerated so that nothing tastes

natural. '^Bitter taste in the mouth. Food tastes bitter or too salty.

Burning as from pepper on tip of the tongue. Dryness in the mouth

and throat. Difficult swallowing.’* Sometimes there is canine hunger,

but one of the most common features is loathing of everything ; aversion to all food. The China patient is often passive in regard to

eating. Sits down to eat and the food tastes fairly good and he fills

up. But it does not matter much whether he eats or not. '‘Loathing

and violent hunger.*' “Hunger and yet want of appetite. Indifference to eating and drinking. Only while eating some appetite and

natural taste for food return. Loss of appetite. Aversion to all

food. Aversion to bread,” His appetite varies. Thirst is peculiar.

The patient will say : “I know my chill is coming on now because I

have thirst.” Thirst before the chill, but as soon as the chill comes

on there is no thirst. But when he begins to warm up he begins to

get thirsty ; that is, during the period in which the two lap he is thirsty,

but when the chill has fairly subsided and the heat is upon him his

thirst subsides also and he only wants to wet his mouth. But as the

hot spell begins to subside he increases the amount taken, and all

through the sweat he can hardly get water enough. Thirst before and

after the chill and thirst during the sweat. No thirst during the chill.

No thirst during the hot spell. You will cure more cases of intermittent fever with Ipecac and Nux vomica, than with China. China

CINCHONA

has well-defined chill, fever and sweat

Gastric symptoms from eating fish, fruit, and from drinking wine.

Flatulent distension almost to bursting. There are constant eructations, loud and strong, and yet no relief, so extensive is the flatulence.

• ▸In Carbo veg.
• ▸after belching a little, there is relief.
• ▸Lyc.
• ▸has both.

Tympanitic distension of the abdomen and stomach in low forms of

fever. Cannot move on account of soreness in the bowels. Vomiting

• ▸of blood.
• ▸Sometimes followed by dropsy of the extremities.
• ▸“Hiccough.
• ▸Nausea.
• ▸Vomiting.
• ▸Eructations, tasting of food, or they

are bitter, sour. Frequent vomiting. Vomiting of sour mucus, bile,

blood.” Likely to occur at night. • Pulsation in the stomach and

rumbling. Cold feeling in the stomach. Fermentation after eating

fruit. Acidity. Disorders of the stomach after milk.

Diarrhcea. Copious, watery black discharges from the bowels.

Gurgling and rumbling in the abdomen. Stool immediately after eating and at night. Great quantities of flatus expelled from the bowels.

Diarrhoea comes on gradually. Stools more and more watery. Chronic

diarrhoea, with emaciation and aggravation at night. Petroleum has

a chronic diarrhoea, but only in the daytime.

Of the male genital organs the most striking feature is weakness.

Of the female genital organs there is a different class of conditions.

In the woman who has been subject to uterine haemorrhages you may

look out at any moment for a sudden, sharp attack of inflammation

• ▸of the ovaries.
• ▸Haemorrhage fron) the uterus.
• ▸Prolapse.
• ▸Menses

too early and too profuse ; black, f clotted blood ; menstrual colic :

metrorrhagia. Pains and convulsions ; convulsions come on in the

midst of the haemorrhage ; cramps in the uterus along with haemorrhage ; labor-like pains ; ringing in the ears ; loss of sight ; sliding down

in bed. In confinement the lochia is profuse and lasts too long. Deterioration of health from prolonged lactation ; toothache ; neuralgia

of the face.

Difficult respiration, rattling and filling up of the chest with mucus ;

asthma. “Pressure in the chest, as from violent rush of blood ; violent

palpitation, bloody sputa, sudden prostration.” Dry, suffocative cough

at night ; profuse night sweats. Pains in the chest, increasing sensitiveness to cold, heat and redness of the face with cold hands.

Along the spine there are sore spots. Tearing, darting pains in the

limhs, ameliorated by heat and hard pressure, brought on by touch,

by becoming chilled. Worse at night. “Knees weak, especially when

walkmg.”

China cures low forms of fever, remittent or intermittent, typhoid

or malarial.