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Materia Medica

Ipecacuanha

Ipecac-root
51 sectionsBoericke · 18Clarke · 27Kent · 6

At a glance

Cardinal features · auto-extracted from Boericke · Clarke · Kent
  • persistent nausea
  • bright-red

Essence

Prologue
Boericke

Ipecac-root (IPECA)

  • The chief action is on the ramifications of the pneumogastric nerve, producing spasmodic irritation in chest and stomach.
  • Morphia habit.
  • The principal feature of Ipecacuanha is its persistent nausea and vomiting, which form the chief guiding symptoms.
  • Indicated after indigestible food, raisins, cakes, etc.
  • Especially indicated in fat children and adults, who are feeble and catch cold in relaxing atmosphere; warm, moist weather.
  • Spasmodic affections.
  • Haemorrhages bright-red and profuse.
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Keynotes

Characteristics (part 1)
Clarke

The well-known emetic effect of Jpecacuanha Wine gives a rough keynote for

the use of Jpec. in homceopathy. Wherever ailments are associated with the presence of constant

nausea Ipec. is very likely to be of use. The special form of nausea is a constant but unavailing

desire to vomit; or immediately after vomiting there is, instead of relief, a desire to vomit again.

With this there is a clean or not very dirty tongue. There is profuse salivation with the nausea.

The nausea of Jpec. is oftenest met with in affections of the stomach and bowels, of the

respiratory organs, and in fevers. In the stomach itself there is a symptom which is very

characteristic of the remedy, a feeling "as if the stomach were hanging down relaxed." There is

disgust at the stomach for food; empty vomiting; vomiting of bile; of blood. No > by vomiting.

The stomach disorder may be occasioned by rich food-pork, pastry, fruits, candy, ice-cream. The

stomachic disgust of the remedy is depicted on the countenance, which expresses nausea. The

corners of the mouth are drawn down. Blue rings round the eyes. Sometimes the mental state

corresponds: "Moroseness and contempt for everything"; "Disdainful humour." The irritability of

the elders becomes in children crying and screaming. Another mental symptom is "full of desires

they know not for what." Jpec. is a botanic relative of China, and it is also an antidote to the

latter; (it is also closely allied to Viola odorata). Perhaps the relationship of Jpec. to China may

have something to do with its large sphere of usefulness in intermittent fever. Jahr recommended

that in all cases of intermittents in which no other remedy is particularly indicated Jpec. should

be given to begin with. It will either cure the case or bring out more definitely indications for

another remedy. I have frequently found this advice useful; and it occurs to me that as most

intermittents have been treated with quinine it is through its antidotal properties that pec. exerts

some of its good effects. It has a strongly marked periodic action. A special indication for it is:

Nausea through all the stages. Other indications are: "Stages completely mixed up short chill,

  • followed by long fever.
  • " Jpec.
  • has many bone pains, in the head and elsewhere.
  • Pains as if bones

were all torn to pieces. pec. is given as an expectorant in old-school practice, and is supposed to

act by its nauseating properties. But homceopaths have proved that nauseating doses are neither

  • necessary nor desirable.
  • The cough of Jpec.
  • is dry, spasmodic, constricted, asthmatic.
  • "Violent

degree of dyspnoea, with wheezing and great weight, and anxiety about the precordia."

"Threatened suffocation from accumulation of mucus." In whooping-cough a characteristic is the

spasmodic rigidity of the patient. "Child loses breath, turns pale, stiff, and blue; strangling with

gagging and vomiting of mucus; bleeding from nose or mouth." The great keynote, subject to

slight variations, is—mental depression with tissue irritability. The tissue irritability of Jpec. is

severe and urgent, but superficial; that of Ars., deep-seated, diffuse, and burning; that of Ferrum

  • involves tissue, as with Ars.
  • , but is mostly painless (Cooper).
  • /pec.
  • is a medicine of great

importance in hemorrhages. The blood is bright red and the flow steady. A grand keynote for

Ipec. in hemorrhages (whether of lungs, bowels, uterus, or other parts) is nausea with the

Characteristics (part 2)
Clarke

hemorrhage. Guernsey thus describes the effect of Jpec. in the female sexual sphere, in which

the hemorrhagic power of the remedy is of the highest importance: "Threatened abortion; often

with a sharp pain around the umbilicus, which runs downward to the uterus, with constant nausea

and discharge of bright red blood; discharge of blood before the proper period; metrorrhagia,

often after confinement, which is heralded by a low pulse, nausea, &c.; there is a steady flow of

bright red blood, which may soak through the bed to the floor, or may run over the foot of the

bed. (Where there is this steady flow of bright red blood give Ipec., and do not resort to

applications, manipulations, &c.) Menstruation too early and too profuse; deficient labour pains,

and with the pains there is a great deal of suffering, but no good is accomplished, the suffering is

caused by the above-named pain about the umbilicus, moving to the uterus." Some of the pains

of Jpec. run from above down; some from left to right (cutting pain in abdomen). There is a

remarkable headache "as if bruised, all through the bones of the head and down into the root of

the tongue." Nausea is generally an accompaniment. Brain feels bruised, pain piercing to roots of

teeth. There is also a sick headache originating in the stomach, the nausea preceding the

headache and persisting all through. Teste has used the remedy with good effect in "constrictive

and contusive headaches seated in left parietal region, coming on every day at 11 a.m.,

increasing gradually until the pain became intolerable, then decreasing in the same manner" and

  • ceasing completely at 2 p.
  • m.
  • Another sphere in which /pec.
  • has shown great curative power is

the eye. According to Allen granulations of the lids have been cured by the instillation of the

dilutions. Also subacute inflammation of the cornea, with intense pain and great photophobia.

Pustular conjunctivitis, especially in children. Inflammation with tearing pain and gushing of

tears. Violent neuralgia of eyeballs, shooting in the head, with gushes of tears, nausea, &c. Dr.

  • Nancy T.
  • Williams (H.
  • R.
  • , xi.
  • 65) has cured several cases of gall-stone colic with Jpec.
  • 6.
  • The

relief was prompt and lasting. On the strength of this symptom of Hahnemann's, "external

chilliness with internal heat," Mahony gave Jpec. 200 to an army sergeant, 49, invalided for

aneurism, who had this symptom while recovering from a catarrhal attack: coldness of hands and

  • feet not perceptible to himself.
  • Ipec.
  • soon removed this.
  • (Med.
  • Adv.
  • , xxvi.
  • 110).
  • J.
  • R.
  • Haynes
  • (quoted B.
  • J.
  • H.
  • , xxxvii.
  • 203) uses Jpec.
  • as an antidote to the Opium and Morphia habit.
  • He gives

five drops of Jpec. @ for every grain of Morphia (or its equivalent in Opium) which the patient

has been accustomed to take. When a definite sequence is observed in the order of occurrence of

  • symptoms this is of great practical importance.
  • Woodward (Hahn.
  • Adv.
  • , May, 1900, p.
  • 278) has

noted in twenty-three provers the symptoms of Jpec. develop in this order: (/) Gastric; (2)

Respiratory; (3) Spinal; (4) Genito-urinary; (5) Cutaneous. In several instances, however, the

cutaneous symptoms appeared before the genito-urinary. Owing to its immediate expulsive

effect, given internally, upon the mucous membrane, its influence upon the skin has not been

sufficiently considered. Mixed with oil, powdered Jpec. has been used to vesicate the skin; and,

diluted, the tincture is used for the bites of insects, bee- and wasp-stings, &c. It produces violent

irritation of the skin, and between the acts of vomiting an uncontrollable desire to scratch is often

felt in those under the influence of material doses. Cooper cured an immense uterine fibroid

where persistent painful irritation of the skin with constant retching and vomiting, made worse

by eating, constituted the prominent symptom. Frightful irritation inside and out, especially

vaginal, with thick leucorrhoea, and a feeling of desperation, yields to Jpec. Ipec. has been used

locally and internally for malignant pustule and anthrax, in which disease Dr. Edwin Muskett

  • considers it specific (Alleg.
  • Hom.
  • Zeitung.
  • , No.
  • 23, Dec.
  • , 1888).
  • In certain forms of peripheral

neuritis it deserves more consideration than has hitherto been allotted to it (Cooper). In

consequence of its proved cholagogue action, it constitutes nowadays a very frequent constituent

Characteristics (part 3)
Clarke
  • of allopathic pills.
  • Jpec.
  • has much of the sensitiveness of Chi.
  • —There is < by touch.
  • Over-

sensitiveness to heat and cold. < In winter and dry weather. < In warm, moist wind (catarrh,

  • asthma, &c.
  • ).
  • Chill is < in warm room; by external heat.
  • Summer heat or hot room = fainting.
  • Drinking > chill.
  • Cold water > spasmodic cough.
  • Cold drinks or ice-creams = colic.
  • <

Periodically; by vomiting; by coughing; by suppression of eruptions. < From veal from rich food

  • (pork, fat, pastry); from ices.
  • ; lemon-peel; raisins salads, < By eating.
  • < From abuse of quinine.
  • <
  • By motion.
  • > By rest; by pressure; by closing eyes.
  • Ipec.
  • , according to Hahnemann, is a short-

acting medicine. It is specially suited to stout persons of lax fibre; to fair people; to women and

children to emphysematous persons; to persons who have a history of epistaxis or other blood-

loss.

Causation

Causation
Clarke
  • Vexation and reserved displeasure.
  • Injuries.
  • Suppressed eruptions.
  • Quinine.

Morphia. Indigestible foods.

Mentals

Mind
Boericke

Irritable; holds everything in contempt. Full of desires, for what they know not.

Symptoms — Mind
Clarke

Cannot endure the least noise.—Cries and howling (of children).—Anxiety and fear of

death —Moroseness, with contempt for everything.—Disdainful humour.—Desire for a number of

things, without knowing exactly which.—Irritability, and disposition to be angry.—Ailments from

mortification or vexation, with indignation.—Impatience.—Slowness of conception.

Generals

Symptoms — Generalities
Clarke

Pain, as from a bruise, in all the bones.—Tingling in the joints, as when

numbed.—Fits of uneasiness, with dislike to all food, and excessive and sudden

debility—Nausea, with almost all ailments.—Bleeding from different organs; haemorrhages from

all the orifices of the body (bright red).—Too great sensibility to cold and to heat.—Tetanus;

spasms and convulsions of different kinds; sometimes with bending backwards of the head, and

distortion of the features; or with loss of consciousness; face pale and bloated, eyes half closed,

convulsive movements of the muscles of the face, lips, eyelids, and limbs, at times with cries,

inclination to vomit, and rattling of mucus in the chest.—In morning, on awaking, anxious

agitation of the blood, as if he had been subjected to a great heat, or had had profuse perspiration,

or had awakened out of an anxious dream, though the skin was neither hot nor moist; at same

time a heaviness in head as if brain were compressed.—Dropsy of internal parts.—Chlorosis,

menses scanty; skin and mucous surfaces pale, anzemic.—Excessive emaciation.

Modalities

Modalities
Boericke
Worse
periodically; from veal, moist warm wind, lying down

Head

Head
Boericke

Bones of skull feel crushed or bruised. Pain extends to teeth and root of tongue.

Symptoms — Head
Clarke

Vertigo when walking, and when turning round, with tottering and staggering.—Pain,

as of a bruise, in all the bones of the head, as far as the root of the tongue (with nausea and

vomiting).—Headache as of a bruise of the brain and skull, which pierces through all the cranial

bones into roots of teeth, with nausea.—As if brain compressed.—Attacks of headache, with

nausea and vomiting.—Tearing in the forehead, excited or aggravated by being

touched.—Lancinating headache, with heaviness of the head.—Stitches in the vertex (or

forehead).—Painful pressure on the forehead.—Pain in the occiput and nape of the

neck.—Hydrocephaloid.

Eyes

Eyes
Boericke
  • Inflamed, red.
  • Pain through eyeballs.
  • Profuse lachrymation.
  • Cornea dim.
  • Eyes tire from near vision.
  • State of vision constantly changing.
  • Spasm of accommodation from irritable weakness of the ciliary muscle.
  • Nausea from looking on moving objects.
Symptoms — Eyes
Clarke
  • Eyes red and inflamed.
  • —Neuralgia of eyes, esp.
  • r.
  • , extended to nose and mouth; in

evening biting and pressure in eyes; he was awakened between 2 and 3 a.m. by tearing pains in

eyes, esp. r., radiating to forehead and driving him out of bed, < from strong light, accompanied

by chilliness, heat, sweat.—Eyelids closed, painful expression of face; the pillow was soaked

  • with tears which flowed freely on opening r.
  • eye.
  • -—Twitching of |.
  • upper lid with three black

spots before sight on lifting lid—Scrofulous ophthalmia, pain in forehead and temples,

photophobia and corneal ulceration —Conjunctiva rose-coloured; cornea opaque; sight gone from

r. eye, could not read, evening, from being dazzled by candle-light, which appeared multiplied

five or six times; next morning fiery iridescent rings before |. eye, which had been less

affected—Humour in the corners of the eyes.—Trembling of the eyelids.—T witching of the

  • eyelids.
  • —Hardened mucus in the external canthi.
  • —Pupils dilated.
  • —Confused sight.

Nose

Nose
Boericke

Coryza, with stoppage of nose and nausea. Epistaxis.

Face

Face
Boericke

Blue rings around eyes. Periodical orbital neuralgia, with lachrymation, photophobia, and smarting eyelids.

Symptoms — Face
Clarke

Pale, earthy, or yellowish colour of the face, which is bloated, with livid circles round

the eyes —Convulsive startings of the muscles of the face.—Lips covered with small aphthz and

eruptions.—Rash in the face.—Fine branny eruption on face, with or without

irritation.—Pityriasis—Pain, as from excoriation, in the lips.—Convulsive startings of the

lips.—Redness of the skin round the mouth.

Mouth

Symptoms — Mouth
Clarke

Painful sensibility of all parts of the mouth.—Smarting in mouth and on (margins of)

tongue.—Copious secretion of saliva—Constantly obliged to swallow saliva.—Saliva runs from

mouth on lying down.—Tongue: clean; white or yellow; pale.

Symptoms — Teeth
Clarke

Odontalgia by fits, as if a tooth were being extracted.—Toothache > while eating; <

afternoon and night.—Toothache < by day; pain every few minutes with a jerk radiating into r.

  • temple and nose, as if tooth being extracted.
  • —The neuralgic pains of Jpec.
  • and of Viol.
  • od.
  • often

make for r. temple (Cooper).—Dentition.

Throat

Symptoms — Throat
Clarke

Sore throat, during deglutition, as from swelling of the pharynx.—Difficult

deglutition, as from paralysis of the tongue and of the gullet.—Spasmodic contractive sensation

in the throat.—Fauces, stinging, rough, sore, and dry.

Stomach

Stomach
Boericke
  • Tongue usually clean.
  • Mouth, moist; much saliva. Constant nausea and vomiting, with pale, twitching of face.
  • Vomits food, bile, blood, mucus.
  • Stomach feels relaxed, as if hanging down.
  • Hiccough.
Symptoms — Appetite
Clarke

Insipid and clammy, or bitter taste, esp. in the morning. —Sweetish taste, as of

blood in the mouth.—Desire only for delicacies and things sweetened with sugar.—Want of

appetite; the stomach feels relaxed.—Bad effects from eating pork, veal, &c.—Gastric catarrh

from indigestible food, or from ice-cold things.—Adipsia—Beer has an insipid taste—Tobacco

smoke is nauseous, and causes vomiting. —Great repugnance and dislike to all food.—Water-

brash.

Symptoms — Stomach
Clarke

Nausea, as if proceeding from the stomach, with copious salivation, violent

itching in the skin, and empty risings.—Retching, esp. after drinking anything cold, or after

smoking.—Vomiting of drink, and of undigested food; or else of bilious, greenish, or acid, or

mucous, gelatinous matter, sometimes immediately after a meal—Vomiting of blood.—Vomiting,

with sweat, heat, fetid breath, and thirst—Vomiting with diarrhcea.—Vomiting on

stooping.—Vomiting of black matter, like pitch —Sensation of excessive uneasiness in the

stomach and epigastrium.—Horrid, indescribable pain and sick feeling in the

stomach.—Sensation, as if the stomach were empty and flaccid.—Swelling in the region of the

stomach.—Pinching round the epigastrium and in the region of the hypochondria.—Pressure on

the stomach with vomiting.

Abdomen

Abdomen
Boericke

Amebic dysentery with tenesmus; while straining pain so great that it nauseates; little thirst. Cutting, clutching; worse, around the navel. Body rigid; stretched out stiff.

Symptoms — Abdomen
Clarke

Cutting and pinching in the abdomen (as from a hand, each finger sharply

pressing into intestines), < in the highest degree by movement, > by repose.—Pinching pain in

both hypochondria, and in region of pit of stomach.—Pain, as from excoriation in the

abdomen.—Colic, with agitation, tossing, and cries (in children).—Colic, with cramp-like

pains.—Incisive pains, in the umbilical region, with shuddering.—Flatulent colic, with frequent

diarrhoeic stools —Colic of strangulated hernia.

Stool

Stools
Boericke

Pitch-like green as grass, like frothy molasses, with griping at navel. Dysenteric, slimy.

Symptoms — Stool and Anus
Clarke

Loose evacuations, like matter in a state of fermentation (like

yeast).—Obstinate diarrhcea—Loose evacuations, greenish, or yellow- (lemon-) coloured, of a

putrid smell, or sanguineous, bilious, and mucous.—Stools: grassy-green; of white

  • mucus.
  • —Loose serous evacuations.
  • —Diarrhoea, with nausea, colic (and vomiting).
  • —Autumnal

diarrhoea; much griping about the navel.—Diarrhcea of children inclining to

dysentery.—Dysenteric evacuations, with white flocks, and followed by tenesmus.—Evacuation

of black matter like pitch —Heemorrhoids bleed profusely.—Itching of anus.

Urinary

Symptoms — Urinary Organs
Clarke

Turbid urine, with sediment like brick-dust——Red and scanty

urine.—Unsuccessful urging to urinate—Sanguineous urine, with pains in the region of the

bladder, and of the navel, burning sensation in the urethra, inclination to vomit, and pain in the

loins and in the pit of the stomach.—Discharge of pus from the urethra, with biting pain.

Female

Female
Boericke
  • Uterine haemorrhage, profuse, bright, gushing, with nausea.
  • Vomiting during pregnancy.
  • Pain from navel to uterus.
  • Menses too early and too profuse.
Symptoms — Female Sexual Organs
Clarke

Troublesome sensation, as of bearing down towards the genital

parts, and towards the anus.—Menstruation too early and too profuse.—Metrorrhagia, with

discharge of bright red and coagulated blood, with oppressed breathing.—Metrorrhagia, much

depression and pain in r. half of head; soreness about womb and pain in |. hip and back; weight

across forehead, and phlegm in back of throat, causing sickness; skin yellowish and very

irritable, dark round eyes (cured).—Steady flow of bright red blood after confinement.—In labour

  • and threatened miscarriage pains fly from 1.
  • to r.
  • , with nausea.
  • —Catamenia premature, and too

thick.—Stitches from navel to uterus.

Respiratory

Respiratory
Boericke
  • Dyspnoea; constant constriction in chest.
  • Asthma.
  • Yearly attacks of difficult shortness of breathing.
  • Continued sneezing; coryza; wheezing cough.
  • Cough incessant and violent, with every breath.
  • Chest seems full of phlegm, but does not yield to coughing.
  • Bubbling rales.
  • Suffocative cough; child becomes stiff, and blue in the face.
  • Whooping-cough, with nosebleed, and from mouth.
  • Bleeding from lungs, with nausea; feeling of constriction; rattling cough.
  • Croup.
  • Haemoptysis from slightest exertion (Millef).
  • Hoarseness, especially at end of a cold.
  • Complete aphonia.
Symptoms — Respiratory Organs
Clarke

Cough, esp. at night, with painful shocks in the head and stomach,

and with loathing, retching, and vomiting.—Cough catching the breath, even to suffocation;

during the attacks the child gets quite stiff, its face blue. It is excited by a contractive tickling

sensation extending from upper part of larynx to lowest part of bronchial tubes; < on walking in

cold air; on retiring; in morning and evening; on taking a deep breath. Accompanied by cold, as

if the navel would be torn out; pains in abdomen like strangury; heat in head and face. The cough

causes vomiting without nausea.—Rattling noise in the bronchial tubes when drawing

breath —Dry cough, excited by a contractive tickling in the larynx (particularly in the upper part),

  • extending to the extremity of the bronchia, esp.
  • when lying on |.
  • side.
  • -—Cough, which resembles

whooping-cough, with bleeding from the nose and mouth, and vomiting of food.—Cough, with

spitting of blood, provoked by the least effort—Spasmodic cough, dry, shaking, with fits of

suffocation, stiffness of the body, and bluish face—Cough as from vapour of sulphur, with

expectoration of blood with mucus in the morning.—Suffocative cough in the evening;

continuous cough with perspiration on the forehead, shocks in the head, retching and

  • vomiting.
  • —Anxious and short respiration.
  • —Quick, anxious breathing.
  • —The breath smells

fetid.—Suffocative attacks in the room; > in the open air.—Whooping-cough; every fresh attack

sets in with a long-drawn, difficult, howling, sighing inspiration.—Spasmodic asthma, with

contraction of the larynx, and panting respiration.—Sighing respiration.

Chest

Symptoms — Chest
Clarke

Oppression of the chest, and shortness of breath, as if dust had been inhaled.—Loss

of breath on the least movement.—Spasms in the chest.—Pain, as of excoriation in the

chest.—Palpitation of the heart——Red itching spots on the chest, with burning after scratching.

Neck & Back

Symptoms — Neck and Back
Clarke

Swelling and suppuration in the throat-pit—Cramp pain between the

scapule during motion.—Tetanic stiffness and bending of the back, backwards or forwards.

Lower Limbs

Symptoms — Lower Limbs
Clarke

Convulsive startings of the legs and of the feet (not in the upper

limbs).—Pain, as from dislocation, in the hip-joint, when sitting.—Nocturnal cramps in the

muscles of the thigh, with lumps in the thighs.—Violent itching in the calves of the legs —Ulcers,

with black bases on the legs, and on the foot.

Extremities

Extremities
Boericke

Body stretched stiff, followed by spasmodic jerking of arms towards each other.

Skin

Skin
Boericke

Pale, lax. Blue around eyes. Miliary rash.

Symptoms — Skin
Clarke

Miliary eruptions, violent itching in the skin (of the thighs and of the arms).—During

the nausea the patient is forced to scratch himself, until relieved by vomiting.—Rash (in lying-in

women); suppressed rash.

Sleep

Sleep
Boericke

With eyes half open. Shocks in all limbs on going to sleep (Ign).

Symptoms — Sleep
Clarke
  • Sleeplessness.
  • —Sleep, with the eyes half open.
  • —Agitated sleep, with groans.
  • —During

sleep, starting of the limbs.—Frightful dreams, with frequent starts and terror during sleep.

Fever

Fever
Boericke

Intermittent fever, irregular cases, after Quinine. Slightest chill with much heat, nausea, vomiting, and dyspnoea. Relapses from improper diet.

Symptoms — Fever
Clarke

Pulse very frequent, but at times scarcely perceptible——Shuddering, with coldness in

  • the limbs and in the face.
  • —Chill of short duration and soon changing to heat.
  • —Coldness, esp.
  • in

the hands and feet, with cold and copious perspiration on those parts.—External chilliness with

internal heat.—A ggravation of the shivering from external heat.—Internal chilliness, as if under

the skin, < from heat—Before the shiverings, uneasiness, stretching, and lassitude, with cold

sweat on the forehead, or coldness, or shivering, in the ears.—Sudden heat in a room, with sweat

and vertigo.—Thirst during the shivering or coldness.—Fever, manifesting itself by much

shivering, with little heat, or by much heat with little shivering; or with nausea, vomiting, and

other gastric symptoms, tongue clean or loaded, and constrictive oppression of the chest.—Fever

in the evening, with great inquietude, dry and troublesome heat, burning in the palms of the

hands, and nocturnal sweat.—After a short chill dry heat, with parchment-like skin.—During the

heat no thirst.—Perspiration smelling sour (with turbid urine).—Intermittent fever; nausea and

vomiting predominate; slight chills are followed by much heat, with thirst and no subsequent

perspiration, consequent upon the abuse of quinine; slight chilliness without thirst, afterwards

violent heat, with thirst, nausea and vomiting, dyspnoea, stitches in the chest, finally copious

perspiration.—Damp coldness of the hands and feet.

Clinical

Clinical
Clarke
  • Anzmia.
  • Asthma.
  • Bronchitis.
  • Catarrh.
  • Cholera.
  • Consumption.
  • Convulsions.
  • Cough.
  • Deafness.
  • Diarrhea.
  • Dysentery.
  • Enteric fever.
  • Eyes, affections of.
  • Gall-stone colic.
  • Gastric
  • Ulcer.
  • Heematemesis.
  • Hemorrhage.
  • Hemorrhoids.
  • Hysteria.
  • Intermittent fever.
  • Menstruation,
  • disorders of.
  • Opium habit.
  • Pregnancy, disorders of.
  • Remittent fever.
  • Salivation.
  • Tetanus.
  • Toothache.
  • Vomiting.
  • Whooping-cough.
  • Worm-fever.
  • Yellow-fever.

Relations

Relations
Clarke
  • Antidoted by: Arn.
  • , Ars.
  • , Chi.
  • , Nux, Tab.
  • It antidotes: Alum.
  • , Apis, Arn.
  • , Ars.
  • , Chi.
  • ,
  • Copper fumes, Dulc.
  • , Fer.
  • , Lauro.
  • , Op.
  • , Sul.
  • ac.
  • , Tab.
  • , Ant.
  • t.
  • Followed well by: Ars.
  • (cholera
  • infantum; debility; colds; croup; chills); Bell.
  • ; Bry.
  • ; Cadm.
  • s.
  • (yellow fever); Calc.
  • , Cham.
  • , Chi.
  • ,
  • Cupr.
  • , Ign.
  • , Nux, Pho.
  • , Puls.
  • , Sep.
  • , Sul.
  • , Ant.
  • t.
  • , Tab.
  • , Ver.
  • Complementary: Cupr.
  • Compare:

Cough after eating, Nux; (whilst eating and in open air, Calc.). One hand cold, the other hot,

  • Chi.
  • , Dig.
  • , Pul.
  • , Mosch.
  • Constant nausea, Cocc.
  • , Kalic.
  • , Sul.
  • , Ign.
  • , Acet.
  • ac.
  • Salivation lying
  • down—Ipec.
  • ; (on lying down at night, Cham.
  • , Nux, Pho.
  • , Rhus).
  • Grass-green stools, Arg.
  • n.
  • Expression of nausea, AZthus.
  • , Ant.
  • t.
  • Bruised headache, Ptel.
  • , Ver.
  • (bruised feeling here and
  • there in brain).
  • Gastric disturbance from rich food, Pul.
  • (but Pul.
  • has foul tongue, Ipec.
  • clean;
  • with Pul.
  • symptoms last only whilst food is in stomach, Ipec.
  • when stomach is empty).
  • Stomach
  • relaxed, Staph.
  • , Lobel.
  • , Tab.
  • Asthma, Cupr.
  • (spasmodic element predominates), Lob.
  • (with a

weak sensation in epigastrium spreading up into chest. Whooping-cough with rigidity, Cina

(clucking sound down cesophagus as child comes out of paroxysm; grinds teeth), Cupr. (spasms

  • of flexors predominate).
  • Vomiting, Ant.
  • t.
  • (Ipec.
  • has more nausea, Ant.
  • t.
  • more vomiting and
  • retching; Ipec.
  • has clean or slightly-coated tongue, Ant.
  • t.
  • thickly-coated white; both have
  • vomiting after a meal, after acids and after coughing).
  • Pains fly from left to right.
  • Lach.
  • (side to
  • side, Act.
  • r.
  • ; right to left, Lyc.
  • ; with nausea, Ipec.
  • ).
  • Chest affections from retrocession of measles
  • rash, Bry.
  • Asthma, cedema, Linum n.
  • Sweetish, bloody taste, Berb.
  • (also bitter taste; Berb.
  • mouth
  • is pasty or sticky, Ipec.
  • more generally clean; Berb.
  • has dry mouth, Ipec.
  • increase of saliva and

smarting in mouth and tongue).

Relationship
Boericke
  • Compare: Emetine-principal alkaloid of Ipecac (A powerful amebicide, but is not a bactericide.
  • Specific for amaebiasis; of remarkable value in treatment of amaebic dysentery; also as a remedy in pyorrhea, 1/2 gr daily for three days, then less.
  • Emetin, 1/2 gr hypodermically, in Psoriasis.
  • Emetin hydroch.
  • 2x, diarrhoea with colicky, abdominal pains and nausea.
  • Emetin for endamoebic dysentery.
  • In physiological doses must be carefully watched.
  • May produce hepatization of lungs, rapid heart action, tendency for the head to fall forward and lobar pneumonia.
  • In haematemesis and other haemorrhages, compare: Gelatin which has a marked effect on the coagulability of the blood.
  • Hypodermically; or if by mouth, a 10 per cent jelly, about 4 oz, three times a day) Arsenic; Cham; Puls; Tart em; Squill. Convolvulus (colic and diarrhoea).
  • Typha latifolia-Cat-tail flag (dysentery, diarrhoea) and summer complaint.
  • Euphorbia hypericifolia--Garden Spurge--(Very similar to Ipecac.
  • Irritation of the respiratory and gastro-intestinal tracts and female organs).
  • Lippia mexicana--(Persistent dry, hard, bronchial cough--asthma and chronic bronchitis).

In Asthma, compare: Blatta orientalis.

Antidotes: Arsenic; China; Tabac.

Complementary: Cuprum; Arn.

Posology

Dose
Boericke

Third to 200th potency.

Kent's Lecture

Lecture (part 1)
Kent

Iodine will put a check on his gouty attacks and cause him to go on

comfortably for a while.

Ipecac, has a wide sphere of action among acute sickness. Most

of its acute complaints commence with nausea, vomiting. The febrile

conditions commence with pain in the back between the shoulders,

extending down the back, as if it would break, with or without rigors,

much fever, vomiting of bile and seldom any thirst. This is the

general aspect of the beginning of an Ipecac, fever or gastric trouble

or chill in intermittents or bilious attacks.

The stomach is disordered. There is a sense of fulness in the

stomach, cutting pains in the stomach and below the stomach, going

from left to right. The cutting pain in colic goes from left to right.

The patient is unable to stir or breathe until that pain passes off. It

holds him transfixed in one position, coming like the stabbing of a

knife in the region of the stomach, or above the navel, going from

left to right, and is attended with prostration and nausea.

All the complaints in Ipecac, are attended more or less with

nausea; every little pain and distress is attended with nausea. The

sufferings seem to centre about the stomach, bringing on nausea.

There is continuous nausea and gagging. The cough causes nausea

and vomiting. It is a dry, hackmg, teasing, suffocative cough, accompanied by nausea and vomiting. He coughs until his face grows

red, and then there is choking and gagging. With every little gush of

blood from any part of the body there is nausea, fainting and

sinking. Hence its value in uterine haemorrhages ; bright, red blood

with nausea ; a little blood is attended with fainting or syncope, but

the great overwhelming nausea runs through the complaints of this

remedy. Though there is sometimes thirst, it is usually absent.

When Ipecac, docs its best work, there is thirstlessness. With the

Ipecac, fever, or with the chill, there is likely to be pain in the back of

the head, a bruised pain through the head and back of the neck and

sometimes down the back, and drawing in the muscles of the back

of the neck. A congestive fulness in the head, a crushed feeling in

the head and back of the head ; the whole head aches and is full of

pain.

Ipecac, is sometimes as restless as Arsenic, but the Ipecac, prostration comes by spells, whereas the Arsenic prostration is continuous.

You will see Ipecac, patients tossing over the bed as much as they do

when they need Rhus, turning and tossing, and moving the hands

and feet, with restlessness. This is especially the case when the spine

is somewhat involved. Ipecac, has symptoms that look like tetanus ;

Lecture (part 2)
Kent

it has opisthotonos, and it has been a useful remedy in cerebro-spinal

meningitis with vomiting of bile, with pain in the back of the head

and neck, and drawing of the muscles of the back, retracting the

head. When cerebro-spinal meningitis has gone on until the patient

is emaciated, when remedies have seemed but to palliate momentarily,

and the whole body is inclined backwards, and there is vomiting

of everything, even the simplest article taken into the stomach, the

tongue is red and raw, and there is constant nausea and vomiting of

bile, Ipecac, will cure. Ipecac, cures inveterate cases of gastritis

when even a drop of water will not stay down ; everything put in the

stomach is vomited, continuous gagging, sharp pain in the stomach,

pain in the back, below the shoulder blades, as if it would break,

vomiting of bile, continuous nausea and great prostration. Irritable

stomach. It also cures when the abdomen is distended, and sensitive,

a tympanitic state, when there is vomiting of bile. Ipecac, has

proved a useful remedy in epidemic dysentery, when the patient is

compelled to sit almost constantly upon the stool and passes a little

slime, or a little bright red blood ; inflammation of the lower portion

of the bowel, the rectum and the colon, I'hc tenesmus is awful,

burning, and continuous urging with the passage of only a little

mucus and blood. With this there is constant nausea ; while straining

at stool, the pain is so great that nausea comes on, and he vomits bile.

At times, whole families are down with it. It runs through a whole

valley and may be epidemic : but it commonly relates to endemics. In

infants it is indicated when a cholera-like diarrhoea has been present

and it ends in a dysenteric state, with continued tenesmus, and the

expulsion of a little bloody mucus, the child vomiting everything

it takes into the stomach ; nausea, vomiting, prostration and great

pallor. It is also useful in such conditions when the stool is more or

less copious, and is green, and the child passes, frequently, copious

quantities of green slime. Much crying when at stool, much straining,

with passages of green slime, vomiting of green slime, and vomiting

of green curds ; milk turns green and is vimited.

Lecture (part 3)
Kent

The chest complaints of Ipecac, are interesting. Ipecac, is especially

the infant’s friend and is commonly indicated in the bronchitis of

infancy. The usual bad cold that ends in chest trouble in infants

is a bronchitis. It is very seldom that an infant gets a true pneumonia,

it is generally a bronchitis with coarse rattling. The child coughs,

gags and suffocates, and there is coarse rattling which can be heard

throughout the room, and the trouble has come on pretty rapidly.

The child is pale, looks dreadfully sick, and sometimes looks very

anxious. The nose is drawn in as if dangerously ill, and the breathing is such as appears in a dangerous case. Ipecac, will sometimes

modify this into a very simple case, break up the cold, and cure

the child. In the old books, the pneumonia of infancy had a distinct

and separate description, and the typical symptoms were those of

Ipecac. You will see a great similarity of symptoms when you

study Ipecac, and Ant. tart, together in chest troubles. If you have

been studying them together, you will say, “How do you distinguish

them ; they both have rattling cough and breathing, and both have the

vomiting?” Well, the Ipecac, symptoms correspond to the stage of

irritation, while the Tartar emetic symptoms appear in the stage of

relaxation. That is, the Ipecac, symptoms come on hurriedly, coma

on as the acute symptoms, whereas the Tartar emetic complaints

come on slowly. The latter is seldom suited to symptoms that arise

within twenty-four hours, or at least the symptoms of Tartar emetic

that arise in twenty-four hours are not of this class. Tliis group

comes on many days later, comes on at the close of a bronchitis

when there is threatened paralysis of the lungs ; not in the state

of irritation, not the dyspnoea from irritation, not the suffocation

of that sort, but the suffocation from exudation, and from threatened

paralysis of the lungs. When the lungs are too weak to expel the

mucus, the coarse rattling comes on. "J'hen there is the great exhaustion, deathly pallor of the face and sooty nostrils. We see now that

these two remedies do not look alike. If we observe the pace of the

two remedies, we see that the complaints differ. It is not so much

that they belong to stages, althou^ they do, but rather that Ipecac,

brings on its symptoms rapidly and effects a crisis speedily, and that

Ant. tart, brings on its symptonis slowly and effects a crisis after

many days.

You can readily see the value of Ipecac, in whooping cough, for

it has the paroxysmal character, the red face, and vomiting and

gagging with the cough. The red face, thirstlessncss, violent whooping, with convulsions, with gagging and vomiting of all that he eats

are the symptoms that you will generally find.

Lecture (part 4)
Kent

I have hinted at the ha;morrhages, and these open out a great

  • field for Ipecac.
  • I could not practic medicine without Ipecac.
  • , because of its importance in haemorrhages.
  • When I say haemorrhages,

I do not mean those from cut arteries, I do not mean haemorrhages

where surgery must come in ; I mean such as uterine haemorrhages

haemorrhages from the kidneys, from the bowels, from the stomach,

from the lungs. You must know your remedies in haemorrhages ;

if you do not, you will be forced to use mechanical means ; but the

homoeopathist who is well instructed is able to do without them. In

the severest form of uterine haemorrhages the homoeopathic physician

is able to do without mechanical means, except when mechanical

means are causing the haemorrhage. This does not relate to hourglass contractions, it does not relate to conditions when the after

Lecture (part 5)
Kent

birth is retained, or when the uterus has a foreign substance in it,

because under such circumstances manipulation is necessary. A distinction must be made. But when we have simply the pure dynamic

clement to consider, simply and purely a relaxed surface that is

bleeding, the remedy is the only thing that will do the work properly.

When the uterus is continuously oozing, but every little while the flow

increases to a gush, and with every little gush of bright red blood

the waman thinks she is going to faint, or there is gasping, and the

quantity of the flow is not sufficient to account for such prostration,

nausea, syncope, pallor, Ipecac, is the remedy. When with the gushing

of bright red blood there is an overwhelming fear of death. Aconite.

If your patient while going through the confinement has had a hot

head, an uncontrollable thirst for ice cold water, and after the confinement, everything has gone on in an orderly way, and the placenta has

been delivered, and although you have no reason to expect such

haemorrhage it comes on. Phosphorus will nearly always be the

remedy. In those withered women, lean and slender, who are always suffering from the heat, who want the covers off and want to

be cool, who have had a tendency to ooze blood from the uterus, and

now have a haemorrhage that is alarming either with clots, or only

an oozing of dark liquid blood, you can hardly do without Secale.

A single dose of any one of these medicines on the tongue will check

a haemorrhage more quickly than large doses of strong medicine.

The haemorrhage will be checked so speedily that in your earlier experiences you will be surprised. You will wonder if it is not possible that

it stopped itself. In copious menstruation Ipecac, is often indicated

when the woman has taken cold, or has a shock. In cases where she

is not especially subject to copious uterine flow at the menstrual

period, she is naturally alarmed, for it is something she has never

had before, and the flow is likely to continue for many days, attended

with this weakness. All her power seems to go with a little gush of

blood. Ipecac, will cure and end the menstrual flow normally. A

fortunate thing in nature is the tendency to check haemorrhage, which

is always good. There are a large number of medicines that control

haemorrhage, and these you must keep at your finger’s ends. They

belong to emergencies. You must know the remedies that correspond

to violent symptoms and violent attacks. Ipecac, is full of haemorrhage. Vomiting of great clots of blood, continuous vomiting of

blood in connection with ulceration. In persons who are subject to

violent attacks of bleeding, who bleed easily, who have a haemorrhagic tendency, Ipecac, will control temporarily the haemorrhage when

the symptoms agree.

Severe pain in the back in the region of the kidneys, shooting

pains, frequent urging to urinate, and the urine contains blood and

54 ^

Lecture (part 6)
Kent

little clots of blood. The urine is extremely red with blood, which

settles to the bottom of the vessel, and lines the whole commode with

a layer of blood the thickness of a knife blade. Every pint of urine

that it contains will have that coating of blood in the vessel ; every

attack of pain in the kidney is attended with that condition of the

urine. Ipecacuanha will stop that bleeding. It is true that when

patients have bled until they have become anaemic, and are subject to

dropsy. Ipecac, ceases to be the remedy ; its natural follower then k

China, which will bring the patient in a position to need an antipsoric

remedy.

Then there are the “colds.” Simple, common coryzas among the

children. When a cold settles in the nose, and the nose is stuffed

up at night or when the adult has a coryza, with much stuffing up

of the nose, blowing of mucus and blood jfrom the nose, much sneezing, and the cold goes further down and is followed by hoarseness,

extending into the trachea with rawness, and finally into the bronchial tubes with suffocation and settling in the chest, think of Ipecac.

The Ipecac, colds often begin in the nose and spread very rapidly

into the chest. With these colds in the nose there is copious bleeding

of bright red blood. Every time he takes cold in the nose he has

copious bleeding; a tendency to nosebleed with the colds. The inflammation that comes upon the mucous membrane in Ipecac, is

violent. The irritation comes on suddenly, and the mucous membrane

inflames so rapidly that the parts become purple, turgescent, and

bleeding seems to be the only natural relief. Stoppage of the nose

and loss of smell ; the nose becomes so stuffed up that he cannot

breathe through it.

With the head symptoms, with the colds, with the whooping

cough, with the chill, and with many of the inflammatory complaints, the face becomes flushed, bright red, or bluish red, and

the lips blue ; with the chill the the lips and the finger nails are blue.

The chill is violent, sometimes congestive in character and often

a rigor. The whole frame shakes, and the teeth chatter.

There are old incurable cases of asthma that are palliated by

Ipecac, and carry around a bottle of it from which they say they

get much relief. It is useful in cases of humid asthma, in cases of

asthmatic bronchitis, when they suffer from the damp weather and

from sudden weather changes ; every little cold rouses up this bronchial attack, and he suffocates and gags when he coughs, or spits up a

little blood. He has to sit up nights to breathe, and the attacks are

common and frequent. These patients say they get relief from

Ipecac., and it is not surprising that Ipecac, relieves that state of

asthmatic breathing, because it has such symptoms. Some of these

cases are incurable, they are people advanced in life. This remedy.

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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