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Materia Medica

Elaps Corallinus

Coral-snake
41 sectionsBoericke · 17Clarke · 24

At a glance

Cardinal features · auto-extracted from Boericke · Clarke
  • black discharges. Cold things disagree
  • Cold feeling in stomach
  • Right-sided paralysis
  • Fear of rain

Essence

Prologue
Boericke

Coral-snake

  • Similar to snake-poisons generally.
  • Has very marked black discharges. Cold things disagree.
  • Desire for sweetened buttermilk.
  • Nausea and vomiting.
  • Prostrating diarrhoea of consumption.
  • Acidity of stomach, with faint feeling.
  • Sudden pain in stomach.
  • Spasm of oesophagus; pharynx constricted; food and liquids suddenly arrested, and then fall heavily into stomach.
  • Spasms followed by paresis.
  • Cold feeling in stomach.
  • Fruits and ice-water lie very cold.
  • Right-sided paralysis.
  • Must have oscillatory motion.
  • Rheumatic constitutions.
  • Ear, nose and throat symptoms important.
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Keynotes

Characteristics
Clarke

E/aps is distinguished from the other serpent venoms by the pre-eminent

blackness of its discharges and hemorrhages; black ear-wax. Characteristic symptoms are: Fruit

and cold drinks lie like ice on stomach and cause a cold feeling in chest. Sensation as if all the

  • blood were collected in head.
  • E.
  • V.
  • Moffat has found E/aps 6 almost a specific in chronic naso-

pharyngeal catarrh, with greenish crusts and subjective disagreeable odour. Rumbling in ears as

of thunder. Sensation in brain as if shaken. Sensation as if food turned like a corkscrew on

swallowing; as if intestines were twisted by a cord and strung together in a knot. Pains in the

longs (especially right) are very marked: "Sensation within chest and at sternum, as if pleuree

were pulled off and the lungs violently drawn apart." Sensation as if a heavy load, iron bar, or

  • weight on parts.
  • Fluids roll audibly into stomach.
  • The glands and skin of axilla are affected.
  • (I

cured with Elap. 200 a very old-standing case of irritating rash in axilla (right) with recurrent

suppuration of axillary glands,) Periodicity is marked. Rest >, exertion <; but walking >

epistaxis, pain in stomach and lungs. Lying on abdomen > pain in stomach. Many symptoms are

<at night. (Sudden deafness at night with roaring and cracking in ears.) Dreams of dead persons.

Warmth of bed <. Great sensitiveness to cold: draught, wind, wet weather <. Horror of rain.

Touch <,.

Mentals

Mind
Boericke
  • Depressed; imagines he hears someone talking; dreads to be left alone.
  • Fear of rain.
  • Can speak, but cannot understand speech.
  • Fears apoplexy.
Symptoms — Mind
Clarke

Absence of mind.—Depression of spirits; desire for solitude.—Fear of being left alone,

as if something horrible might happen.—Apprehensive of some fatal disease.—Angry about one's

self, and does not wish to be spoken to.

Modalities

Modalities
Boericke
Worse
eating fruit; cold drinks; wet weather

Head

Head
Boericke
  • Violent headache, extending from forehead to occiput; first one eye, then the other.
  • Pain in ears.
  • Vertigo with tendency to fall forward.
  • Weight and pain in forehead.
  • Fullness in head.
Symptoms — Head
Clarke
  • Vertigo; falls forward.
  • —Pain in the cerebellum, r.
  • side.
  • —Fulness in head, as if all the

blood were collected in it; fears apoplexy; with cold hands.—Severe stitching pains in forehead,

with heaviness of head; occasionally pain intermits, 8-10 days, thundering in |. ear, deafness,

lachrymation.—Violent pain in vertex (afternoon), as if the brain were shaking, with nausea,

which prevents her from keeping the head quiet.—Congestion of blood to the head on

stooping.—Stinging headache, with sleeplessness.—Weight in the forehead; pain in the

  • forehead.
  • —Lancinating headache, first in 1.
  • side of the head, extending to r.
  • side.
  • —Headache in

occiput after mental exertion.

Eyes

Eyes
Boericke
  • Aversion to light; letters run together when reading.
  • Veil before eyes.
  • Burning in lids.
  • Bloated around the eyes in the morning.
  • Large red fiery spot before eyes.
Symptoms — Eyes
Clarke
  • Stye on |.
  • eye, with lancination.
  • —Red eyelids.
  • —Tickling and red streaks of the

sclerotica.—Large red, fiery spots before the eyes; red bar before the eyes, when opening

them.—Dryness and burning in both eyes on waking; bloated around the eyes in the

morning.—Eyes red and inflamed; blear-eyed.—Glassy look —When closing the eyes everything

looks (dirty) red; dotted with black points——Violent itching in the 1. eye —Aversion to light;

desire to close the eyes; everything seems white even at night; grey veil before eyes; on stooping

rush of blood to head with vertigo and pain at root of nose; can scarcely distinguish light from

dark.—Amaurosis.

Ears

Ears
Boericke

Cerumen black and hard, with difficult hearing, or serous greenish discharge, offensive; buzzing, and illusion of hearing. Sudden attack of nightly deafness, with roaring and crackling in ears, cracking in ears on swallowing. Intolerable itching in ear.

Symptoms — Ears
Clarke
  • Buzzing in r.
  • ear.
  • —Crackling in ears on swallowing.
  • —Itching in the ears —Cerumen

black and hardened.—Illusions of hearing; hears whistling and ringing; imagines he hears some

one talk.—Discharge of a serous fluid or greenish-yellow liquid from (1.) ear (in the

  • morning).
  • —Offensive otorrhcea with eruptions.
  • —Crusty eruptions on ear and cheek.
  • —Discharge

of blood from the ear.—Sudden deafness at night with constant roaring and cracking.—Hearing of

both ears impaired; otalgia of r.

Nose

Nose
Boericke
  • Chronic nasal catarrh, with fetid odor and greenish crusts.
  • Ozaena; yellowish-green discharge.
  • Mucous membrane wrinkled; nostrils plugged up with dry mucus.
  • Pains from nose to ears on swallowing.
  • Nostrils stopped up.
  • Nasal bleeding.
  • Pain at root of nose.
  • Eruption about nose.
Symptoms — Nose
Clarke

Bad smell (like putrid herring pickle) from the nose.—Stoppage of the nostrils (high up,

with dull aching in forehead); coryza from the least current of air—White and watery mucus is

discharged from the nose.—Epistaxis: sudden, profuse, while walking; after a blow.—Blood

black, copious, in steady stream.

Face

Symptoms — Face
Clarke

Dark complexion.—Lancinations from root of nose to ear.—Redness and swelling of r.

  • cheek, with chilliness all over the body.
  • —Redness, heat, and formication in r.
  • cheek.
  • —Swelling of

face, extending to r. side of the nose.—Red blotches on bloated face.

Mouth

Symptoms — Mouth
Clarke

Tongue black or dark red.—Tongue swollen and whitish in morning.—Pricking at tip

of tongue.

Throat

Symptoms — Throat
Clarke

Naso-pharyngeal catarrh, greenish crusts, subjective disagreeable odour.—Dull pain

from nares to ears; < by swallowing; posterior wall of pharynx dry, fissured, covered with

crusts.—The beverage is arrested in cesophagus, as from a spasmodic contraction.—Constriction

in pharynx with pressure in the throat——Ulceration of throat, < |. side, difficult swallowing of

liquids; recurring from exposure to wind or rain.

Throat
Boericke

Thick, very offensive, dry, greenish-yellow crusts upon the posterior pharyngeal wall and extremely foul breath. Spasmodic contraction of oesophagus; passage of fluids arrested.

Stomach

Stomach
Boericke

Feels cold. Sensation as if food turned like a corkscrew on swallowing; desire for sweetened buttermilk. Acidity after every mouthful.

Symptoms — Stomach
Clarke

Vomiting of green bile, followed by diarrhoea.—Acidity of the stomach, with

nausea and faint feeling; sour eructations.—Violent thirst; cold feeling in the chest after

drinking —Hunger, with violent headache if not satisfied at once.—Vomiting of mucus, with

  • fainting.
  • —Fruit and cold drinks feel like ice in the stomach.
  • —Burning in stomach.
  • —Weight in

stomach, with nausea, after eating —Sudden pains in stomach, as if she must sink down; < while

sitting, > on walking about.

Abdomen

Symptoms — Abdomen
Clarke

Lancinations from both groins to symphysis pubis.—Colic, with urging to

stool.—The intestines feel twisted, as if by a cord, and strung together in a knot, with

strangulating sensation.—Sensation as if the blood in the abdomen were flowing backward.

Stool

Symptoms — Stool and Anus
Clarke

Diarrheea, blackish, frothy, yellowish, watery, with mucus and rumbling;

bile; bloody mucus.—Discharge of black, liquid blood from the bowels and at stool, with colic

and sensation as if the bowels were twisted.—Prolapsus ani.—Constriction of the sphincter, after

bloody stool —Crawling at anus as if from worms.

Urinary

Symptoms — Urinary Organs
Clarke

Red urine, with cloudy sediment.—Thick urine, with red

sediment.—Suppression of urine; strangury.—Discharge of mucus from urethra.

Female

Female
Boericke

Dysmenorrhoea, with black blood. Discharge of black blood between menses. Itching of vulva and vagina.

Symptoms — Female Sexual Organs
Clarke

Discharge of black blood between the menses.—Menses every two

or three weeks; flow profuse, dark —Weight at the uterus; at the vagina, after an hysteric

attack.—Itching in the vagina; formication at the vulva.—Sensation as of something burst in

womb, followed by continuous stream of dark-coloured blood on attempting to urinate.

Male

Symptoms — Male Sexual Organs
Clarke

Impotence.—Weight and swelling of the testes.—Discharge of

prostatic fluid.—The skin of the prepuce is thick and inflamed.

Respiratory

Symptoms — Respiratory Organs
Clarke

Dry cough, which ends in raising black blood.—Taste of blood in the

mouth, before coughing.—Constant cough, with frightful pains throughout lungs as if they were

  • torn out (<r.
  • apex).
  • —Stitches in the upper part of each lung; better when walking.
  • —Oppressed

breathing in the evening; < on going up stairs.

  • 18.
  • Chest.
  • _Feeling as of heavy load on chest.
  • —Constriction of the chest—Coldness in chest

after drinking.—Sensation in chest and at sternum as if pleuree were pulled off and the lungs

  • violently torn apart.
  • —Stitches in 1.
  • chest; worse when breathing.
  • —Pleuritic pain r.
  • side, felt in
  • axilla.
  • —Cannot lean to r.
  • side on account of a very painful pulling in r.
  • lung.
  • —Sensitiveness of r.

side.

Chest

Chest
Boericke
  • Coldness in chest after drinking.
  • Haemorrhage from lungs black as ink and watery; stitches in apex of right lung.
  • Fainting caused by stooping.
  • Oppression in going upstairs.
  • Peeling off of skin from palms and fingers.
  • Cough, with terrible pain through lungs.
  • Worse right and expectoration of black blood.
  • Sensation of a sponge in oesophagus.
Symptoms — Heart
Clarke

Spitting of black blood, with painful tearing, as if proceeding from the

heart.—Palpitation of the heart, with anxiety and trembling of the hands.

Neck & Back

Symptoms — Neck and Back
Clarke
  • Stiffness in the r.
  • side of neck.
  • —Lancinations in |.
  • side of neck.
  • —Painful

pressure at nape of neck.—Lancinations in the whole spinal marrow, from occiput to

  • sacrum.
  • —Pressure between the shoulders.
  • —Coldness in back.
  • —Pain in the back, with chilliness,

cold feet, and strangury.

Upper Limbs

Symptoms — Upper Limbs
Clarke

Itching under axilla, with tetter—Inflamed and suppurating glands in

axilla.—The arms and hands are swollen, bluish, covered with red spots; also r. leg and

foot—Crampy constriction at bend of elbow, extending to hand, as if one had carried a heavy

  • weight.
  • —Pricking in the 1.
  • upper arm.
  • —Hot rash on r.
  • wrist.
  • —The r.
  • hand feels as if

paralysed.—The tips of the fingers peel off.

Lower Limbs

Symptoms — Lower Limbs
Clarke

Cramps in the calves.—Icy coldness of r. leg —Rheumatic pains in 1.

  • leg.
  • —Sensation of spraining and stiffness in knee-joint.
  • —The I.
  • foot is swollen and blue, with red

spots.—Pricking under toenails.

Extremities

Extremities
Boericke
  • Icy cold feet.
  • Vesicular eruptions on feet.
  • Arms and hands swollen bluish.
  • Knee-joints feel sprained.
  • Pricking under the nails.

Skin

Skin
Boericke

Glands and skin of axillae affected; itching with tetter. Tips of fingers peel off. Itching eruption in axillae.

Symptoms — Skin
Clarke

Red pimples at the tips of the fingers.—The tips of the fingers peel off.—Little

pimples, followed by desquamation.—Yellow spots on the hands and fingers.—Red tetter from

the corner of the r. nostril to the cheek.

Sleep

Sleep
Boericke

Dreams about dead persons.

Fever

Fever
Boericke

Cold perspiration all over. Typhoid when ulcers have eaten into tissues, and black blood is discharged.

Symptoms — Fever
Clarke

Sensitive to cold—The arm shudders when dipping the hand into water.—Coldness

in the back.—Dry heat, at midnight; cannot endure any cover.—With the fever, oppression of

breathing.—Flushes of heat in evening, with, redness and heat of face and ears.—Chill at, noon,

without thirst, followed by dry heat in afternoon, without perspiration.—Cold perspiration all

over.

Clinical

Clinical
Clarke
  • Amaurosis.
  • Axilla, itching in.
  • Cancer.
  • Deafness.
  • Ear, affections of.
  • Ear, wax in.
  • Epistaxis.
  • Heemorrhages.
  • Headache.
  • Hemiplegia.
  • Knee, pain in.
  • Metrorrhagia.
  • Naso-pharyngitis.
  • Nose, stuffed.
  • Ozeena.
  • Phthisis.
  • Pneumonia.
  • Threat, ulcerated.

Relations

Relations
Clarke
  • Antidoted by: Radiated heat, Alcohol, Arsen.
  • Compare: Arsen.
  • , Carb.
  • v.
  • , Crotal.
  • ,
  • Lach.
  • , Mur.
  • ac.
  • , Nit.
  • ac.
  • , Rhus t.
  • ; (red spot before sight) Duboisia; (effects of cold, wet weather)

Dulc.

Relationship
Boericke

Compare: Kino from Pterocarpus (Haemoptysis and haemorrhage from intestines). Eucalyptus rostrata (offensive dark discharge from right ear). Crotalus; Alumen; Carbo; Ars; Lach.

Posology

Dose
Boericke

Sixth 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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