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Materia Medica

Dulcamara

Bitter-sweet
47 sectionsBoericke · 20Clarke · 27

At a glance

Cardinal features · auto-extracted from Boericke · Clarke
  • skin, glands
  • mucous membranes
  • rheumatic troubles
  • Nat sulph

Essence

Prologue
Boericke

Bitter-sweet

Hot days and cold nights towards the close of summer are especially favorable to the action of Dulcamara, and is one of the remedies that correspond in their symptoms to the conditions found as effects of damp weather, colds after exposure to wet, especially diarrhoea. It has a specific relation also to the skin, glands, and digestive organs, mucous membranes secreting more profusely while the skin is inactive. The rheumatic troubles induced by damp cold are aggravated by every cold change and somewhat relieved by moving about. Results from sitting on cold, damp ground. Icy coldness. One-sided spasms with speechlessness. Paralysis of single parts. Congestive headache, with neuralgia and dry nose. Patients living or working in damp, cold basements (Nat sulph). Eruptions on hands, arms or face around the menstrual period.

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Keynotes

Characteristics (part 1)
Clarke

The leading indication for the homsopathic use of Du/camara 1s found in its

modality, "< from cold and damp." Any condition which has this feature may find its remedy in

  • Dulc.
  • Effects of lying on damp ground (e.
  • g.
  • , paralysis); conditions which are < in cold, damp

weather; or, from changes from hot to cold weather, especially if sudden. Phlegmatic, torpid,

scrofulous patients, who are restless and irritable and who take cold on damp changes, are

especially suited for Dulc. Sensitiveness to cold and damp runs through the Solanaceé¢, and is

  • marked in Bell.
  • and Caps.
  • , but it is supreme in Dulc.
  • This feature among others renders them all

good antidotes to Mercurius. Baryta carb, is the complement of Dulc. in "< from cold weather,

especially in scrofulous children." In poisoning cases Dulc. produces: Hard, griping pains in

bowels; unconsciousness; tetanic spasm; trismus; loud, rattling breathing; death. Paralyses are

numerous: paralysis of tongue; of lungs; of heart (pneumogastric paralysis). (I once gave Dulc.

30, with complete relief to the pain, in a case of sarcoma of the bones at the base of the skull, in

which there were stabbing pains in the front of the head, and partial paralysis of the tongue. It

was the latter symptom which determined the choice of the remedy.) Paralysis of the bladder.

  • Rheumatic paralyses.
  • Paralysed part feels icy cold.
  • One-sided spasms.
  • Convulsions beginning in

face. Trembling, especially of right arm. It cured: "Paralysis of vocal cords (aphonia) from

sleeping over a damp cellar." McLaren cured with a single dose the following case, which was

the result of a wetting: Facial paralysis (1.) following neuralgia, the eye having remained

unclosed for eight months. Red rash with itching < in damp weather. After a slight aggravation

  • improvement began in two weeks and continued steadily (Med.
  • Adv.
  • , xviii.
  • 214).
  • Dulc.
  • is a

scrofulous remedy and has many scrofulous-looking eruptions: moist or dry, red, tettery

eruptions, especially on face; furfuraceous; herpetic; urticaria; skin callous; warts, fleshy or

  • large, smooth.
  • Painless ulcers.
  • (Dulc.
  • 30 cured in two doses a rash like mosquito-stings

appearing every month before the menses, < when warm; compelled to sit where it is cold.) It

corresponds to results of repercussed eruptions. Offensive sweat; effects of sudden cooling

  • whilst sweating.
  • Dropsical affections.
  • Catarrhal troubles.
  • Dryness of mucous membranes

strongly indicate it. Dulc. causes diarrhsa, and a characteristic form is when there is vomiting

with the stool. It causes a mucous-like sediment in the urine and is particularly indicated when a

muco-purulent urine is associated with general one-sided sensitiveness, especially of the

  • abdomen.
  • (Amer.
  • Hom.
  • , xxi.
  • 317), records the cure with six doses of Dulc.
  • 200 of the following

case: A prison-warder had difficulty with urine four years; frequent micturition, dribbling a few

Characteristics (part 2)
Clarke
  • drops.
  • Stains linen yellow.
  • < Afternoon; in damp cold weather.
  • Some pain over left kidney and

left iliac region; > after moving about or in warm weather. Sweats easily and often takes cold,

  • when he suffers from sore-throat.
  • Dislikes sweets.
  • ) Pains in many parts, as if from cold.
  • Bruised

feeling. Sensations: as of a board pressing against forehead; as if head were enlarged; as if hair

stood on end; as if fire were darting out of eyes; as if worms were crawling up and down in

abdomen; biting in rectum as from salt; as if lung moved in waves; as if arms were of wood; as

of needles over whole body. Crawling, tickling itching of various parts; of tip of tongue. < Lying

  • on back; > lying on side.
  • < Stooping, > erect.
  • < Bending diseased part backward.
  • Most

symptoms < at rest and > by motion. Most symptoms are < evening and night. Warmth > most

symptoms, but < cough and nettle-rash. < Cold air; cold change of weather; damp weather;

getting wet; using water. < From cold drinks; from ice-creams. Skin eruptions are sensitive to

touch; pressure >. Small furuncles appear on places hurt by concussion.

Causation

Causation
Clarke
  • Damp with cold.
  • Wading.
  • Washing.
  • Injuries.
  • Checked eruptions.
  • Checked

perspiration.

Mentals

Symptoms — Mind
Clarke

Mental agitation.—Great impatience and restlessness.—Impatient desire for different

things, which are rejected as soon as they are obtained.—Inclination to scold, without being

angry.—Combative disposition, without anger —Nocturnal delirtum, with aggravation of pains.

Generals

Symptoms — Generalities
Clarke

Tearing, shooting, or drawing pains in the limbs.—Sufferings, as from a chill

in various parts.—Rheumatic pains and other complaints, from a cold —Aggravation of

sufferings, chiefly in the evening or at night, and during repose; > by movement.—Pains, with

coldness of the body.—Immoderate secretion and excretion of mucous membranes and glands,

the activity of the skin being suppressed.—Swelling and induration of the

  • glands.
  • —Emaciation.
  • —Dropsical swelling of the whole body, limbs, and face.
  • —Rapid swelling of

the whole body.—Weakness and painful weariness of the whole body.—Semilateral convulsions,

with loss of speech.—Paralytic affections of the limbs (of different single parts).—Great lassitude.

Modalities

Modalities
Boericke
Worse
at night; from cold in general, damp, rainy weather
Better
from moving about, external warmth

Head

Head
Boericke
  • Mental confusion.
  • Occipital pain ascending from nape of neck.
  • Headache relieved by conversation.
  • Rejects things asked for.
  • Back part of head chilly, heavy, aching, during cold weather.
  • Ringworm of scalp.
  • Scaldhead, thick brown crusts, bleeding when scratched.
  • Buzzing in head.
Symptoms — Head
Clarke

Vertigo when rising from bed, with darkness before the eyes.—Giddiness early in the

morning, > on getting up.—Giddiness so as to occasion failing, with trembling of the whole body,

and general weakness.—Giddiness, with heat ascending to the face.—Dull pressure, as if a board

were resting heavily on the forehead.—Pressive stunning pains in different parts of the

head.—Piercing and burning pain in the forehead, with digging from the inside outwards, with

the sensation as if the brain were enlarged; < in evening till midnight and when becoming cold; >

when lying down.—Bursting pains extending from forehead to bridge of nose.—The headache is

< by the slightest movement, and even by speaking.—Boring headache, from within to without,

in the temples and forehead; < before midnight and when lying quiet; > when talking.—Sensation

of heaviness in the head.—Congestion in the head, with buzzing in the ears, and hardness of

hearing.—Sensation in the occiput as if it were enlarged.—Stupefying headache; heaviness of the

head.—Stupefying ache in occiput ascending from nape of neck.—Unpleasant sensation of

chilliness in the cerebellum and over the back, with the sensation as if the hair were standing on

end; returning everyday in the evening.—Thick crusts on the scalp, causing the hair to fall off.

Eyes

Eyes
Boericke

Every time he takes cold it settles in eyes. Thick, yellow discharge; granular lids. Hay-fever; profuse, watery discharge, worse in open air.

Symptoms — Eyes
Clarke

Aching in the eyes, esp. when reading.—Sensation as if fire were issuing from the eyes

when walking in the sun or in the room.—Inflammation of the eyes (ophthalmia from catching

  • cold).
  • —Itching of the eyelids in the cold air.
  • —Ptosis.
  • —Eyelids dry.
  • —Sparks before the

eyes.—Confused sight, as from incipient amaurosis, sees everything as through gauze.

Ears

Ears
Boericke

Earache, buzzing, stitches, and swelling of parotids. Middle-ear catarrh (Merc dulc; Kal mur).

Nose

Nose
Boericke
  • Dry coryza.
  • Complete stoppage of nose.
  • Stuffs up when there is a cold rain.
  • Thick, yellow mucus, bloody crusts.
  • Profuse coryza.
  • Wants nose kept warm, least cold air stops the nose.
  • Coryza of the new born.
Symptoms — Nose
Clarke

Epistaxis of a very hot and bright red blood, with pressive pain above the

nose.—Coryza; dry; with stoppage of the nose, < in cold air.

Face

Face
Boericke

Tearing in cheek extending to ear, orbit, and jaw, preceded by coldness of parts, and attended by canine hunger. Humid eruption on cheeks and face generally.

Symptoms — Face
Clarke

Paleness of the face, with circumscribed redness of the cheeks —Eruptions and warts

on the face.—Thick, brownish or yellowish, scabs on the face, on the forehead, on the temples,

  • and on the chin.
  • —Crusta lactea.
  • —Moist tetter in the cheeks.
  • —T witching of the lips in the cold
  • air.
  • —Paralysis of the lower jaw.
  • —Swelling of the sub-maxillary glands.
  • —Redness of the

face.—Distortion of the mouth; it is drawn to one side.

Mouth

Mouth
Boericke
  • Saliva tenacious, soapy.
  • Dry, rough tongue, rough scraping in throat, after taking cold in damp weather.
  • Cold-sores on lips.
  • Facial neuralgia; worse, slightest exposure to cold.
Symptoms — Mouth
Clarke

Salivation; saliva tenacious, soap-like—Dryness of the tongue and roughness, with

much thirst and increased flow of saliva——Tongue loaded with thick mucus.—Swelling of the

tongue, hindering speech and impeding breathing.—Stammering from time to time as if drunk;

indistinct articulation, though he tried constantly to speak.—Pimples and ulcers in the

mouth.—Gums loosened and fungous.—Paralysis of the tongue, and obstructed speaking, esp.

after taking cold.—Itching, crawling on the tip of the tongue.

Throat

Symptoms — Throat
Clarke

Sore throat, as if from elongation of the uvula, with pressive pain—Burning heat in

the palate.—Sore throat, as after a chill.—Continual hawking up of very tough saliva, with much

rawness in the fauces.

Stomach

Stomach
Boericke
  • Vomiting of white, tenacious mucus.
  • Aversion to food. Burning thirst for cold drinks.
  • Heartburn.
  • Nausea accompanies the desire for stool.
  • Chilliness during vomiting.
Symptoms — Appetite
Clarke

Sickly and saponaceous taste in the mouth.—Bitterness in the mouth.—Burning

thirst for cold drinks, generally with dryness of the tongue, joined to a more abundant secretion

  • of saliva.
  • —Hunger after the fever-heat.
  • —Hunger, with repugnance to all food.
  • —Distension of the

abdomen and epigastrium after eating moderately —Nausea, with vomiting of viscid

phlegm.—Vomiting of (white) tenacious mucus (morning).

Symptoms — Stomach
Clarke

Aching in the stomach, extending to the chest.—Cramp-like contraction in the

stomach, so as to suspend respiration.—Retraction of the epigastrium, with burning

pain.—Sensation of inflation in the pit of the stomach, with disagreeable sensation of emptiness

in the abdomen.—Retraction of the pit of the stomach, with burning pain.

Abdomen

Abdomen
Boericke
  • Colic from cold.
  • Acts prominently on umbilical region.
  • Cutting pain about navel.
  • Swelling of inguinal glands (Merc).
Symptoms — Abdomen
Clarke

Pains in the umbilical region.—Shooting, pinchings, and cuttings in the umbilical

region, esp. at night—Pinchings, gnawing, and sensation as if a worm were wriggling in the

abdomen.—Pain in the abdomen as from the effects of cold—Inflammatory congestion and

induration of the inguinal glands, with drawing and tensive pains.—Swelling of the inguinal

glands.—Dropsy of the abdomen.

Stool

Stool
Boericke

Green, watery, slimy, bloody, mucus, especially in summer, when the weather suddenly becomes cold; from damp, cold weather and repelled eruptions.

Symptoms — Stool and Anus
Clarke

Constipation.—Difficult, dry, infrequent stool.—DiarrhSa, as after a chill,

with cuttings, or with vomitings, risings, and thirst.—Diarrhsa of greenish (white) or brownish

mucus.—Slimy diarrhsa, with faintness.—Chronic, bloody diarrhsa, with biting at the

anus.—Sanguineous diarrhsa, with itching in the anus, and prolapsus of the rectum.—Nocturnal

watery diarrhsa, with colic, particularly in the summer; also when the weather suddenly becomes

cool—with prolapsus recti.

Urinary

Symptoms — Urinary Organs
Clarke

Retention of urine —Scanty and fetid urine.—Clear and viscid urine, or

troubled, with sediment-like mucus.—Red, burning urine.—Involuntary discharge of urine, as

from paralysis of the bladder.—Difficult (painful) urination, water issuing drop by

drop.—Thickening of the bladder—Discharge of mucus from the urethra.—Stricture of the

urethra.—Turbid and whitish urine.

Urine
Boericke
  • Must urinate when getting chilled.
  • Strangury, painful micturition.
  • Catarrh of bladder from taking cold.
  • Urine has thick, mucous, purulent sediment.
  • Ischuria from wading with bare feet in cold water.

Female

Female
Boericke

Suppression of menses from cold or dampness. Before appearance of menses, a rash appears on skin, or sexual excitement. Dysmenorrhoea, with blotches all over; mammae engorged and sore, delicate, sensitive to cold.

Symptoms — Female Sexual Organs
Clarke

Catamenia retarded, and too abundant; blood watery, thin.—Tettery

eruption of the labia.—Miliary eruption before the catamenia.—Suppressed menstruation from

cold.—Tetters on the breast in nursing women.—Suppression of milk from a cold.

Respiratory

Respiratory
Boericke
  • Cough worse cold, wet weather, with free expectoration, tickling in larynx.
  • Cough, hoarse, spasmodic.
  • Whooping-cough, with excessive secretion of mucus.
  • Winter coughs, dry, teasing.
  • Asthma with dyspnoea.
  • Loose, rattling cough; worse wet weather.
  • Must cough a long time to expel phlegm.
  • Cough after physical exertion.
Symptoms — Respiratory Organs
Clarke

Oppressed breathing, from a cold; from accumulation of

  • mucus.
  • —Catarrh and hoarseness, as from having taken cold.
  • —Cough, with hoarseness.
  • —Moist

cough.—Cough, with expectoration of bright red blood.—Cough, similar to whooping-cough,

excited by taking a deep inspiration, with profuse secretion of mucus in the larynx and trachea;

during each attack easy expectoration of tasteless mucus, which is often streaked with blood.

Chest

Symptoms — Chest
Clarke

Great oppression of the chest, esp. when breathing.—Dull shooting, as from blows in

and upon the sides of the chest—Troublesome undulating pain in the 1. side of the

chest.—(Impending paralysis of lung.)

Neck & Back

Back
Boericke

Stiff neck. Pain in small of back, as after long stooping. Stiffness and lameness across neck and shoulders, after getting cold and wet.

Symptoms — Neck and Back
Clarke

Stiffness at the nape of the neck.—Stiffness of the neck from a

cold.—Engorgement and induration of the glands of the nape, and of the neck. —Violent pains in

the lumbar region, above the hips, digging, shooting, or drawing, chiefly at night during

repose.—Lameness of the small of the back, from a cold.—Shooting pullings in the loins,

shoulders, and arms.

Upper Limbs

Symptoms — Upper Limbs
Clarke

Paralysis of the arms, with icy coldness (esp. during rest), as from

apoplexy.—Paralytic pain in the arms, as from a bruise, chiefly during repose.—Tettery eruption,

and warts, on the hands.—Perspiration in the palms of the hands.

Lower Limbs

Symptoms — Lower Limbs
Clarke

Tractions and tearings in the legs, esp. in the thighs —Tetters on the

knee.—Puffing and swelling of the leg as far as the knee.—Burning sensation in the feet, and in

the toes.—Erysipelatous desquamation and itching in the feet —Tingling in the feet, as from

formication.

Extremities

Extremities
Boericke
  • Paralysis; paralyzed limbs, feet icy cold.
  • Warts on hands.
  • Perspiration on palms of hands.
  • Pain in shin-bones.
  • Rheumatism alternates with diarrhoea.
  • Rheumatic symptoms after acute skin eruptions.

Skin

Skin
Boericke
  • Adenitis. Pruritus, always worse in cold, wet weather.
  • Herpes zoster, pemphigus.
  • Swelling and indurated glands from cold.
  • Vesicular eruptions.
  • Sensitive bleeding ulcers.
  • Little boils.
  • Red spots, urticaria, brought on by exposure, or sour stomach.
  • Humid eruptions on face, genitals, hands, etc.
  • Warts, large, smooth, on face and palmar surface of hands.
  • Anasarca.
  • Thick, brown-yellow crusts, bleeding when scratched.
Symptoms — Skin
Clarke

Dryness and heat of the skin.—Miliary nettle-rash, with fever.—Tetters of different

kinds, such as humid, scaly, pale tetters, oozing after having been scratched; reddish tetters, with

red areola, bleeding after having been scratched; tetters with red edges, painfully sensitive to the

touch, and to cold water; small, round, yellowish-brown tetters, bleeding after having been

scratched; dry, furfuraceous tetters.—Tettery scabs over the whole body.—Tettery eruptions, with

  • swelling of the glands.
  • —Warts.
  • —Tetters in the joints.
  • —Eruption of itching pustules, which pass

into suppuration, and become covered with a scab, esp. in the lower limbs and the hinder part of

the body.—Red spots, as if caused by flea-bites.

Sleep

Symptoms — Sleep
Clarke

Great inclination to sleep during the day.—Nocturnal sleep, agitated, restless, in

consequence of heat and startings in the body, esp. after midnight —Waking very early. —Cannot

sleep because of impossibility of remaining in a position long enough.—Frightful

dreams.—Visions in the morning on waking.

Fever

Fever
Boericke
  • Dry burning heat all over.
  • Chilliness towards evening, mostly in back.
  • Icy coldness, with pains.
  • Dry heat and burning of skin.
  • Chilliness with thirst.
Symptoms — Fever
Clarke

In the evening, frequent shiverings and coldness, not even relieved by the heat of the

fire—Cold during the pains.—At first, febrile shivering, then burning heat with stunning pain in

the head, face red, burning heat in the palate, and insatiable thirst for cold drinks.—Dry, burning

heat over the whole body.—Heat and burning in the back.—Dry heat and burning sensation in the

skin, with delirium and thirst—Heat with delirtum without thirst—Fever, with aggravation in the

  • evening.
  • —Pulse small, hard, and tight, esp.
  • at night.
  • —General sweat, esp.
  • at night.
  • —Fetid sweat,

with discharge of much urine.—Fetid perspiration, at night and in the morning, over the whole

body; during the day, more on the back, in the armpits and hands.—Perspiration suppressed and

entirely wanting.

Clinical

Clinical
Clarke
  • Adenitis.
  • Angina faucium.
  • Aphonia.
  • Bladder, affections of.
  • Blepharophthalmia.
  • Catarrh.
  • Cholera.
  • Crusta lactea.
  • Diarrhsa.
  • Dropsy.
  • Dysentery.
  • Emaciation.
  • Exostoses.
  • Hémorrhage.
  • Hémorrhoids.
  • Hay-fever.
  • Headache.
  • Herpes.
  • Influenza.
  • /rritation.
  • Lichen.
  • Lumbago.
  • Measles.
  • Meningitis.
  • Myalgia.
  • Myelitis.
  • Nettle-rash.
  • Neuralgia.
  • Ophthalmia.
  • Paralyses.
  • Pemphigus.
  • Rheumatism.
  • Scarlatina.
  • Scrofula.
  • Stammering.
  • Stiff-neck.
  • Thirst.
  • Tibic,
  • pains in.
  • Tongue, affections of.
  • Tonsillitis.
  • Tumours.
  • Typhoid.
  • Urine, difficulty in passing;

incontinence of. Warts. Whooping-cough.

Relations

Relations
Clarke
  • Dulc.
  • antidotes: Cupr.
  • and Merc.
  • Is antidoted by: Camph.
  • , Cup.
  • , Ip.
  • , Kali c.
  • , Merc.
  • Follows well: Bry.
  • , Calc.
  • c.
  • , Lyc.
  • , Rhus t.
  • , Sep.
  • , Verat.
  • Incompatible: Bell.
  • , Lach.
  • Complementary: Baryta c.
  • Compare: Acon.
  • , Ars.
  • , Cham.
  • , Helleb.
  • , Nit.
  • ac.
  • , Puls.
  • , Staph.
  • , Sul.
  • In
  • faintness during stool, Crot.
  • t.
  • , Ver.
  • Effects of cold, moist winds, Ars.
  • , Calc.
  • , Nux m.
  • (cold, dry
  • winds, Aco.
  • , Bry.
  • ).
  • Effects of exposure to wet, and > by motion, Rhus.
  • Rheumatic paralysis,
  • Rhus, Caust.
  • Hasty speech and actions, Hep.
  • , Bell.
  • , Lach.
  • , Sul.
  • Paralysis of lungs, Solania.
Relationship
Boericke

Antidotes: Camph; Cupr.

Complementary: Baryta carb.

Incompatible: Bellad; Laches.

  • Compare: Pimpinello--(Bibernell).
  • --Respiratory mucous membrane sensitive to draughts, pain and coldness in occiput and nape.
  • Whole body weak; heavy head and drowsiness; lumbago and stiff neck; pain from nape to shoulder; chilliness.
  • Rhus; Cimicif; Calc; Puls; Bry; Nat sulph.

Posology

Dose
Boericke

Second 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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