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Materia Medica

Lithium Carbonicum

Carbonate of Lithium
38 sectionsBoericke · 13Clarke · 25

At a glance

Cardinal features · auto-extracted from Boericke · Clarke
  • rheumatism connected with heart lesions

Essence

Prologue
Boericke

Carbonate of Lithium

  • Chronic rheumatism connected with heart lesions and asthenopia offer a field for this remedy.
  • Rheumatic nodes.
  • Uric acid diathesis Whole body is sore.
  • Gout and tophi.
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Keynotes

Characteristics
Clarke

Hering introduced and made the first provings of Li. c. It affects the entire

organism, but notably head and eyes, urinary organs, heart, and joints. In arthritic complaints

accompanied with heart or eye symptoms it is very likely to be needed. Recurring attacks of

acute inflammation of the small joints. The skin of the Lith. patient is dry and harsh like a

nutmeg-grater. According to Allen, the Lactate of Lithia has been found valuable for subacute

  • rheumatism of the shoulder-joint.
  • "Soreness" is a note of Li.
  • c.
  • : Bruised spots from falls or

blows. Bones, joints, muscles, whole body sore as if beaten. Rheumatic soreness in heart region.

Eyes pain as if sore. "Pressing from within outward" is another common symptom: in head;

abdominal ring; perineum; chest. There are two grand characteristics about the heart symptoms:

< bending forward; and > after urinating, though < on rising to urinate. This > after urinating

may be compared with < on cessation of menses: "Menses cease suddenly and headache comes

on." A pain in heart occurs before and at time of menses. The heaviness is > whilst eating, and <

after. A good deal of confusion in the head. The nose is red and inflamed; there is dropping of

solid lumps down the back of the nose. Acidity of the stomach. Sensations are: Temples as if

  • bound.
  • Head too large.
  • Eyes dry.
  • As if veil before eyes.
  • Lancination as from red-hot needles in
  • bubo.
  • Arm as if paralysed.
  • Border of foot and soles as if gouty; itching.
  • Prostration of whole

body, especially knee-joints and sacrum. Paralytic stiffness of whole body. Most symptoms are <

at night or early morning. Hot water < itching. Open air = dropping from nose and constriction of

  • chest.
  • Inspired air feels cold even into lungs.
  • Going out > headache.
  • In general, rest > and motion
  • <; but lying down < headache and cough.
  • Many symptoms of Lith.
  • c.
  • have Concomitants in other

parts.

Mentals

Symptoms — Mind
Clarke

Difficulty in remembering names.—Disposed to weep about his lonesome

condition.—Anxiety, hopeless all night.

Generals

Symptoms — Generalities
Clarke

Paralytic stiffness in all limbs as if beaten; stiff and sore over whole body, in

all the bones, joints., and muscles.—Swelling, tenderness, sometimes redness of last joint of

fingers, with general puffiness of body and limbs; increase of bulk and weight; clumsiness in

walking at night, and weariness in standing; sometimes intense itching of sides of feet and hands

at night from no apparent cause, > by very hot water.—Pressing, as if with a dull point, here and

there, internally, as if it were near the bone, most in |. side—Burning stitch which goes from

within outwards, and ends in an itching.—Before menses, symptoms < |. side; after menses < r.

side.—All symptoms <r. side.

Modalities

Modalities
Boericke
Worse
in morning, right side
Better
rising and moving about

Head

Head
Boericke
  • Tension, as if bound; better, sitting and going out.
  • Externally sensitive.
  • Headache ceases while eating.
  • Trembling and throbbing.
  • Pain in heart; extends to head.
  • Dizzy states with ringing in ears.
  • Both cheeks covered with dry, bran-like scales.
Symptoms — Head
Clarke

Confusion of head: with pain in sacrum; with out-pressing pain in |. abdominal

  • ring.
  • —Pain and heaviness over eyes < towards evening.
  • —Pain in |.
  • temple, extending into orbit,

with gnawing in stomach; began an hour before dinner; > while eating, but returning soon after;

and remaining as a pressure in temples until night, and only goes away after falling

  • asleep.
  • —Pains in small spot in r.
  • temple.
  • —Pressure in temples from without inwards, with a

pressing pain in middle of chest.—Tension as if bound in temples, with half-vision.—Early on

awaking violent headache in vertex and temples (after sudden cessation of menses), with

nausea.—Heavy weight on vertex with pressure on |. temple ——Headache like a stitch, superiorly

in vertex, on r. side sensitive when touched.—Headache < when lying down; it pains everywhere;

> when sitting up; > by going out.—Confusion of head.—Looking at anything < headache; can

hardly keep eyes open; they pain as if sore from morning till noon.—Trembling and throbbing in

  • head, pains in heart extend to head.
  • —Head seems too large.
  • —Head externally sensitive.
  • —(Milk-

crust.)

Eyes

Eyes
Boericke
  • Half vision; invisible right half.
  • Photophobia.
  • Pain over eyes.
  • Dry lids.
  • Eyes pain after reading.
Symptoms — Eyes
Clarke
  • Stitches in r.
  • eye.
  • —Eyes pain as if sore.
  • —Sensation of dryness and pain in eyes after
  • reading.
  • —Sensation as if sand in eyes.
  • —Pain over eyes with half-vision.
  • —Sunlight blinds

him.—Black motes before eyes, eyes sensitive after using them by candle-light;

asthenopia.—Uncertainty of vision and an entire invisibility of r. half of whatever she looked at

(during second day of menstruation); if two short words occur in succession, that on r. hand is

invisible —Scrofulous inflammation of eyes with hardening of meibomian glands.—Ophthalmia,

red sclerotica, muco-purulent discharge; sticking pains in eyes, photophobia, sensation as of a

veil before them.

Ears

Symptoms — Ears
Clarke
  • Earache, |.
  • side, from throat, with prosopalgia.
  • —Pain behind I.
  • ear, in bone, extending

towards neck.

Nose

Symptoms — Nose
Clarke

Nose obstructed above, < morning and forenoon.—Blows nose very much, evening,

much mucus remains behind in choanze.—Coryza; dropping from nose in open air.—Nose

swollen, red, esp. r. side, sore internally, shining crusts form in it; dry as if inflamed (at same

time frequent urinating at night, disturbing sleep).

Face

Symptoms — Face
Clarke

Pain in r. side of face (afternoon) from root of the tooth that has been sawn off,

extending to temple, followed next day by same pain in I. side, passing from throat to 1. ear,

causing earache and moderate, brief pain in 1. temple—Glandular swellings |. side of face, some

hard, some suppurating.

Throat

Symptoms — Throat
Clarke

Sore throat extending into ear—Expectoration of mucus from choane and out of

fauces in solid lumps, esp. morning and forenoon.

Stomach

Stomach
Boericke

Acidity, nausea, gnawing, relieved by eating (Anacard). Cannot endure slightest pressure of clothes (Laches).

Symptoms — Stomach
Clarke

Gnawing in stomach < before a meal, > while eating.—Nausea and gnawing in

stomach.—Nausea, with fulness in temples; with headache—Acidity in stomach.—Fulness in pit

of stomach, cannot endure pressure of clothes.—Sticking burning extending upwards in

epigastrium.

Abdomen

Symptoms — Abdomen
Clarke

Pressure in hepatic region. —Violent pain in hepatic region, between ilium and

  • ribs.
  • —Sticking pain in 1.
  • hypochondrium (spleen).
  • —Feels swollen as if distended with

wind.—Violent pain across upper abdomen.—Out-pressing in left abdominal ring —Violent pain

horizontally in hypogastrium, in upper region of bladder.—Buboes; |. groin.

Stool

Symptoms — Stool and Anus
Clarke

Diarrheea after fruit (or chocolate).—Very offensive stools (during

night).—Diarrheea; stools light yellow.—Very stinking discharge of flatus —Itching in anus, sharp,

sudden, short.—Violent, painful, dull stitch in perineum near anus, from above downward, and

from within outward, when walking.

Urinary

Symptoms — Urinary Organs
Clarke

Sensitive pain, sharp pressure, in region of bladder, <r. side after

urinating.—Tenesmus vesicz and micturition (evening while walking).—Soreness of bladder and

sharp, sticking pains in neck of bladder, on r. side, with soreness; frequent urination; pains in r.

kidney.—Pain in r. ureter, and through spermatic cord into testicle-—Fugitive, sensitive pains in

lower region of bladder, somewhat towards r. before urinating; pains extending into spermatic

cord, more towards I., after urinating. —Tenesmus of bladder for a while, then discharge of clear,

frothy urine, thirteen ounces, more than he could retain in health——Quick, strong

tenesmus.—Frequent and copious micturition (disturbing sleep).—Turbid urine with mucous

  • deposit.
  • —Less urine though he drinks as much as usual.
  • —Burning in urethra.
  • —Urine scanty and

dark, very acrid.—Dark, reddish-brown deposit.—On rising to urinate a pressing in region of

heart, which did not cease till after urination (morning).

Urinary
Boericke

Soreness of bladder; pain in right kidney and ureter. Turbid urine with mucus, scanty and dark, acrid; sandy deposit.

Urine
Boericke
  • Tenesmus.
  • Turbid urine, with mucus and red deposit.
  • Pain in region of right kidney.
  • Free and colorless.
  • While urinating, pressure in heart.
  • Cystitis, subacute and chronic.

Male

Symptoms — Male Sexual Organs
Clarke

Erection after urination at night—Greenish-yellow discharge from

urethra, thick, profuse, alternating with hematuria.—Pain: in ureter, spermatic cord, and testicle;

in testes when sitting, stitches in penis.—Burning in urethra.

Respiratory

Respiratory
Boericke
  • Constriction of chest.
  • Violent cough when lying down.
  • Air feels cold when inspired.
  • Pain in mammary glands, which extend into the arms and fingers.
Symptoms — Respiratory Organs
Clarke

On inspiration air feels cold even into lungs.—Violent cough in

evening, while lying down, compelling to rise, without expectoration; the irritation to cough is in

a little spot, posteriorly and inferiorly in throat.

Chest

Heart
Boericke
  • Rheumatic soreness in cardiac region.
  • Sudden shock in heart.
  • Throbbing, dull stitch in cardiac region.
  • Pains in heart before menses, and associated with pains in bladder, and before urinating; better, after.
  • Trembling and fluttering in heart, extending to back.
Symptoms — Chest
Clarke

Pressure in middle of chest.—Constriction of chest when walking (after breakfast),

followed by expectoration of much mucus, seemingly from middle of sternum.

Symptoms — Heart and Pulse
Clarke

Rheumatic soreness in region of heart.—Violent pain in region of heart as

she bent over bed, morning on rising.—Sudden shock in heart.—Throbbing; like a dull stitch in

region of heart.—Pains in heart after pains in bladder.—Pains in heart before and at time of

commencement of menses.—Trembling and fluttering of heart (after mental agitation of a

vexatious character).—Pains in heart before and at time of urinating. —Pressure in region of heart

on rising to urinate, > after urination.

Neck & Back

Symptoms — Back
Clarke

Sore feeling r. side near spine, below loins, on small spot; < from pressure; morning

  • on rising.
  • —Stitch in sacrum.
  • —Pain in sacrum, when standing, with confusion of head.
  • —Feeling of

prostration in sacrum at night.—Pressure as with a dull point, here and there, internally, as if near

sacral bone, in evening; most on I. side.

Upper Limbs

Symptoms — Upper Limbs
Clarke

Pain in r. shoulder-joint near insertion of pectoralis major, at margin of

muscle.—Itching-throbbing very sensitive in all the fingers, as if it were in and upon the bones,

extending from hands to ends of fingers, only during repose; > by pressure, when grasping, and

during motion.—Soreness at margin of nail, with pain and redness.—Burning stitch in ball of 1.

thumb.

Lower Limbs

Symptoms — Lower Limbs
Clarke

Pain in r. hip, later in 1.—Rheumatic pains in lower extremities —Pain in and

above knees, esp. when going upstairs.—Prostrated feelings in knee-joints, on going

  • upstairs.
  • —Rheumatic pains in r.
  • foot on awaking at night, > on rising.
  • —Painfulness of feet,

ankles, metatarsus, all the toes, esp. of border of foot and sole, as if gouty.—Pain and weakness

  • of feet.
  • —Burning in great toe, esp.
  • around the corns.
  • —Great soreness of corns.
  • —Itching of sole of

(1.) foot on inner margin.—Pain in little toes.

Extremities

Extremities
Boericke
  • Paralytic stiffness all over.
  • Itching about joints.
  • Rheumatic pains throughout shoulder-joint, arm, and fingers and small joints generally.
  • Pain in hollow of foot, extending to knee.
  • Swelling and tenderness of finger and toe joints; better, hot water.
  • Nodular swellings in joints.
  • Ankles pain when walking.

Skin

Skin
Boericke
  • Scabby, tettery eruption on hands, head, and cheeks, preceded by red, raw skin.
  • Dull stitch, ending in itching.
  • Barber's itch (use high).
  • Rough rash all over body, much loose epithelium, tough, dry, itchy skin.
Symptoms — Skin
Clarke

Itching: at anus; in middle finger around margin of nail; in side of thigh; in sole; in

palm.

Sleep

Symptoms — Sleep
Clarke

Sleepiness early in evening; late in morning.—Sleep at night disturbed by

urination.—Voluptuous dreams, tenesmus vesicze, and erections, which subside after urination.

Fever

Symptoms — Fever
Clarke

Shudder starting from thorax.—Very copious sweat.—General feeling of heat; sweat

on back of hands.

Lithium Lacticum.

Lactate of Lithia.

Clinical

Clinical
Clarke

Rheumatism.

Characteristics——A chemist, while preparing a combination of Lactic acid and Lithium

  • carbonate, experienced decided rheumatic pains in the small joints.
  • Berghaus (B.
  • J.
  • H.
  • , xli.
  • 380,
  • quoting N.
  • A.
  • J.
  • H.
  • ) on this hint used Lith.
  • /act.
  • in local subacute rheumatism with good effect.

Allen says it especially affects the shoulder.

Relations

Relations
Clarke
  • Compare: Alumina (asthenopia, dry eyes, eyes pain when reading); Eug.
  • j.
  • , Lipp.
  • (>
  • after urinating); Bism.
  • (gastralgia); K.
  • bi.
  • , Coral.
  • (inspired air feels cold); K.
  • bi.
  • , Sep.
  • , Teuc.
  • (catarrh with discharge of solid chunks from posterior nares); Led.
  • , Kalm.
  • and Benz.
  • ac.
  • (valvular deposits.
  • —Benz.
  • ac.
  • offensive urine); Zn.
  • , Con.
  • , and Aur.
  • (sudden jerks or shocks about
  • heart); Kalm.
  • and Calc.
  • (gout and rheumatism); Calc.
  • , Benz.
  • ac.
  • , Lyc.
  • and Am.
  • ph.
  • (nodular
  • swellings); Dig.
  • , Cyc.
  • , Sel.
  • , Berb.
  • , Caust.
  • , Lyc.
  • , Cop.
  • and Apis (prostatitis and urethritis); Gettys.

(scrofulous joints).

Relationship
Boericke
  • Compare: Lyc; Ammon phos; Benz ac; Calc; Lithium chlor (symptoms of cinchonism, viz.
  • : Dizzy head, full, bluring of vision Ringing in ears; marked tremors; general weakness; marked muscular and general prostration; no gastro-intestinal effects.
  • Nose sore, heartburn, pain in teeth).
  • Lithium lacticum (rheumatism of shoulder, and small joints relieved by moving about; worse, resting).
  • Lithium benzoicum (deep-seated pains in loins; in small of back; uneasiness in bladder.
  • Cystic irritation.
  • Gallstones.
  • Frequent desire.
  • Diminishing uric acid deposit).
  • Lithium bromatum (cerebral congestion, threatened apoplexy, insomnia and epilepsy).

Posology

Dose
Boericke

First to third trituration.

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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Lithium Carbonicum — Materia Medica, Keynotes, Symptoms | Repertify.ai