Eupatorium Perfoliatum

Eupat. perfol. is an old-world remedy, having been recommended by

Dioscorides for ill-conditioned ulcers, dysentery, stings of reptiles, chronic fevers, obstructed

liver. The leading characteristic for its homceopathic use is the distressing bone-pains it causes,

such as are found in connection with malarial fevers and influenza. Soreness will be found

running throughout the proving: headache with soreness internally, parietal protuberances sore;

with pain and soreness in eyeballs; cough with extreme soreness down trachea, soreness of chest,

• ▸aching in limbs throughout the body.
• ▸A characteristic cough of Eup.
• ▸perf.
• ▸has > by getting on

• ▸hands and knees.
• ▸W.
• ▸P.
• ▸Defriez reports a case in point: Every winter for several years the patient

had been annoyed by a dry, hacking cough, with paroxysms lasting some time, only relieved by

• ▸getting on hands and knees.
• ▸Eupat.
• ▸Perfol.
• ▸cured.
• ▸The chills of Eu.
• ▸perf.
• ▸begin in the small of the

back, with aching in the limbs as though every bone in the body were being broken; high fever

with increased aching, followed by sweat scanty or profuse; sweat > all pains except headache,

which is <. Periodicity is marked. There may be a double periodicity: Chill morning one day,

• ▸evening the next.
• ▸The liver is strongly affected by Eup.
• ▸perfol.
• ▸; bilious vomiting and diarrhea;

bilious sick-headaches; cough arising from irritation of liver. Catarrhal symptoms are prominent.

Nocturnal loose cough. Hoarseness with aching soreness of trachea. Hoarse, rough cough with

scraping in bronchia. Cough with soreness, compelling the patient to hold his chest with his

hands. Stiffness and general soreness. Cannot twist body either while standing, sitting, or lying.

Cannot lie in bed on account of a feeling as if every bone was bruised, causing despair, moaning,

• ▸and crying out.
• ▸Bone-pains of all descriptions appear under Eupat.
• ▸perf.
• ▸Sleepiness and yawning.

Sensation as if falling to left. Pain and extreme tenderness of left glutei muscles. Hale describes

the fever of E. perfol. as follows: "The chill is nearly always in the morning, and is preceded for

several hours by thirst, soreness and aching of the bones. The thirst continues during the chill

and heat. The chill is attended by nausea, vomiting of bile, intense aching and soreness in the

flesh of the extremities, and often all over the body. These symptoms continue during the heat,

especially the vomiting, which is often painful and incessant. The heat is apt to be prolonged

until evening or into the night, and may be followed or not by sweat (with chilliness). If no

sweating occurs the apyrexia is short and attended by chilliness, nausea, thirst, and debility,

showing that the febrile action never altogether subsides, giving a true type of Remittent fever—a

fever in which Boneset is often our best remedy, especially if occurring in summer and autumn,

and is attended by very severe bilious symptoms." Lying on back < cough. Kneeling with face

towards pillow > cough. Rising up > headache. Eating = violent distressing pains which are only

relieved by vomiting. There is intense thirst, but drinking cold water = shuddering and vomiting

of bile. Chilliness predominates, wants to be covered; > in house, < in open air; < after being in

• ▸ice-house.
• ▸I have found Eup.
• ▸perf.
• ▸most useful in influenza.

Feels at night as if going out of his mind.—Moaning; anxiety; despondency.—Very

restless; cannot keep still, though wishes to.

• ▸Throbbing pain.
• ▸Pressure as if a cap of lead pressed over the whole skull.
• ▸Vertigo; sensation of falling to left.
• ▸Vomiting of bile.
• ▸Top and back of head with pain and soreness of eyeballs.
• ▸Periodical headache, every third and seventh day.
• ▸Occipital pain after lying down, with sense of weight.

Early in morning whirling around in brain as if he had been whirled in cool screen:

repeated after a short cessation Headache with a sensation of soreness internally; > in the

house; < when first going into the open air; > by conversation—Headache and nausea every

other morning, when awaking.—Pain in occiput after lying, with sense of weight; must aid with

hand in lifting head.—Beating pain in forehead and occiput, after rising.—Soreness and pulsation

on the back part of the head.—Heat on the top of the head. —Violent headache, comes on before

the chill rid lasts through all the stages, and is worst during the sweat.

Painful soreness of eyeballs.—Great aversion to light.—Painful soreness of lids.

Cracks in corners of mouth, yellow coated tongue, thirst.

Paleness of the mucous membrane of the mouth.—Tongue covered with white

fur.—Soreness of the corners of the mouth.

• ▸Tongue yellow.
• ▸Taste bitter.
• ▸Hepatic region sore.
• ▸Great thirst.
• ▸Vomiting and purging of bile, of green liquid several quarts at a time.
• ▸Vomiting preceded by thirst.
• ▸Hiccough (Sulph ac; Hydrocy ac).
• ▸Avoids tight clothing.

Nausea from smell of food or cooking.—Indigestion from alcohol, of old

people.—Thirst for cold water.—Thirst for large draughts of cold water before and during

chill—Vomiting immediately after drinking, and preceded by thirst—Nausea and vomiting of

food.—Vomiting after every draught—Vomiting of bile, with trembling and great nausea, causing

great prostration.—Tight clothing is oppressive.

Soreness in region of liver; on moving or coughing.—Colicky pains in upper

abdomen, with headache and other pains —Abdomen full and tympanitic.

Frequent, green watery. Cramps. Constipated, with sore liver.

Constipation, with catarrh.—Morning diarrhcea.—Purging stools, with

smarting and heat in anus.

Dark-coloured, clear urine.—Dark-brown, scanty urine, depositing a

whitish, clay-like sediment.—Itching of the mons veneris.

• ▸Coryza, with sneezing.
• ▸Hoarseness and cough, with soreness in chest; must support it.
• ▸Influenza, with great soreness of muscles and bones.
• ▸Chronic loose cough, chest sore; worse at night.
• ▸Cough relieved by getting on hands and knees.

Hoarseness.—Hoarseness < mornings; soreness in trachea and

bronchia.—Cough with soreness and heat in bronchia; flushed face, and tearful eyes —Hacking

cough in the evening.—Cough from a cold, < 2 to 4 am.; excited by tickling in chest, causing

tightness of chest; cough < lying on back, > kneeling with face towards pillow; scanty

expectoration; painful fulness in head on coughing or blowing nose; lowness of spirits.—Hectic

cough, from suppressed intermittent fever—Difficulty of breathing, attended with perspiration,

anxious countenance, sleeplessness.—Soreness in chest; < from inspiration.—Inability to lie on

• ▸the |.
• ▸side.
• ▸—Sharp pain through r.
• ▸chest on deep inspiration; feels at night as if going out of his

mind; disturbed breathing frightens him.

Pressure as if heart was in too small a space.—Pain, soreness, and heaviness behind

sternum and in cardiac region; < by least motion or turning body around.

Beating pain in nape and occiput; better after rising —Aching pain in the

back, as from a bruise.—Weakness in small of back.—Trembling in back during fever.

• ▸Aching pain in back. Aching in bones of extremities with soreness of flesh. Aching in arms and wrists.
• ▸Swelling of left great toe.
• ▸Gouty soreness and inflamed nodosities of joints, associated with headache.
• ▸Dropsical swelling.

Stretching and yawning; yawning before chill; sleepiness with difficult

breathing.—Has to lie with head high Headache on awaking.

• ▸Perspiration relieves all symptoms except headache.
• ▸Chill between 7 and 9 am, preceded by thirst with great soreness and aching of bones.
• ▸Nausea, vomiting of bile at close of chill or hot stage; throbbing headache.
• ▸Knows chill is coming on because he cannot drink enough.

Thirst a long time before the chill, which continues during the chill and heat—At the

conclusion of the chill, vomiting of bile, or after every draught.—Pain in the bones (as if broken)

all over, before the commencement of the chill.—Headache, backache, and thirst during the

chill—During the chill and heat, throbbing headache.—The chill is induced or hastened by taking

a drink of cold water.—Distressing pain in the scrobiculus cordis, throughout the chill and

heat.—Aching pains, with moaning during the cold stage-—Coldness during nocturnal

perspiration.—Chilliness throughout the night and morning; trembling and nausea from least

motion; intense aching and soreness in back and limbs; more shivering than the degree of

coldness warrants.—The intermittent fever paroxysm generally commences in the

morning.—Fever commences in morning; attended with painfulness, trembling, weakness, and

soreness; but little or no perspiration —Great weakness and prostration during the

fever.—Headache and trembling during the heat——Vomiting of bile at the close of the hot

stage.—Vomiting of bile after the chill—The fever goes off by perspiration and sleep. During the

apyrexia, loose cough.—When there is perspiration it relieves all the symptoms except the

headache.

• ▸Anus, herpes of.
• ▸Back, pain in.
• ▸Bilious fever.
• ▸Bones, pains in.
• ▸Cough.
• ▸Dengue.

• ▸Diarrhoea.
• ▸Fractures.
• ▸Gout.
• ▸Hiccough.
• ▸Hoarseness.
• ▸Indigestion.
• ▸/nfluenza.
• ▸Intermittent fever.

• ▸Jaundice.
• ▸Liver, soreness of.
• ▸Measles.
• ▸Mouth, cracks of.
• ▸Ophthalmia.
• ▸Relapsing fever.
• ▸Remittent

• ▸fever.
• ▸Rheumatism.
• ▸Ringworm.
• ▸Spotted fever.
• ▸Syphilitic pains.
• ▸Thirst.
• ▸Wounds.

Bryonia is the closest analogue; but Bryonia has free sweat, and the pains make the

• ▸patient keep still.
• ▸Eup.
• ▸perfol.
• ▸—has scanty sweat, and its pains cause restlessness.
• ▸Compare also:

• ▸Arn.
• ▸, Caps.
• ▸, Chel.
• ▸, Symph.
• ▸, Podoph.
• ▸, and Lycop.
• ▸; nausea from smell of food, Colch.
• ▸Compatible:

Nat. mur. and Sepia, which also follow well.

Compare: Bryon; Sepia; Natr mur; Chelidon. Nyctanthes arbor-tristis (bilious fever; insatiable thirst; bitter vomiting at close of chill; also constipation of children).

Tincture, to third attenuation.

Aching in bones with soreness of the flesh.—Intense soreness and aching in limbs,

as if bruised or beaten.—Wrists pain as if broken or dislocated.—Heat in the hands, sometimes

with perspiration.—Dropsical swelling of both feet and ankles.—Heat in the soles of the feet, in

the morning.