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Materia Medica

Naja Tripudians

Virus of the Cobra
33 sectionsBoericke · 11Clarke · 17Kent · 5

At a glance

Cardinal features · auto-extracted from Boericke · Clarke · Kent
  • Organs seem to be drawn together

Essence

Prologue
Boericke

Virus of the Cobra

  • Naja produces a typical bulbar paralysis (L.
  • J.
  • Boyd).
  • Causes no haemorrhage but only oedema, hence the victims of this reptile frequently bear very little sign of external injury a small scratch or puncture being the only indication where the fangs have worked their havoc.
  • The tissue lying beneath the wound is colored dark purple, and a large quantity of viscid blood-like fluid collects in the vicinity of the wound.
  • An intense burning pain at the spot bitten is the first symptom.
  • In man there follows an interval before fresh symptoms occur.
  • The average is about an hour.
  • Once developed, the symptoms follow a rapid course.
  • A feeling of intoxication is produced, followed by a loss of power over the limbs.
  • The patient is bereft of speech, swallowing, and the control over the movement of the lips.
  • The saliva is ejected in large quantities, the respiration gradually becomes slower and slower, and at length ceases.
  • Conscious all time.
  • Is not a haemorrhagic or septic, medicine like Lachesis and Crotalus.
  • Its action settles around the heart; valvular troubles.
  • Marked surging of blood upwards, marked dyspnoea, inability to lie on left side.
  • Hypertrophy, and valvular lesions.
  • Organs seem to be drawn together.
  • Very susceptible to cold.
  • With heart symptoms, pain in forehead and temples.
  • Diseases, primarily depending upon degeneration of motor cells.
  • Control of sphincters lost.
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Keynotes

Characteristics
Clarke

Provings have been made of this water, many of them on patients suffering

from goitre. Great weakness and exhausting night-sweats were produced and all the symptoms of

cold in the head and chest. Many marked symptoms appeared in the mammary gland. Three

different provers experienced them. A number of symptoms occur after sleep and some of them

wake the prover in the night. One prover had a sensation as if her stomach would fall out, and as

if her breasts would fall off. In many cases the pains are transient and acute, and return after a

short interval.

Mentals

Mind
Boericke
  • Broods constantly over imaginary troubles.
  • Suicidal insanity (Aur).
  • Depressed.
  • Aversion to talking.
  • Blurred speech.
  • Melancholy.
  • Dreads to be left alone.
  • Fear of rain.

Generals

Symptoms — Generalities
Clarke

Painful sensibility of the limbs, with lassitude.—General uneasiness, with

anxiety arising from the stomach, and colic.

Modalities

Modalities
Boericke
Worse
from use of stimulants;
Better
from walking or riding in open air

Head

Head
Boericke
  • Pain in left temple and in left orbital region, extending to occiput, with nausea and vomiting.
  • Hay-fever, with dry larynx.
  • Suffocative spells after sleeping (Lach).
  • Eyes staring.
  • Ptosis of both lids.
Symptoms — Head
Clarke

Vertigo as if intoxicated.—Headache, esp. at first, sometimes increasing in severity

and accompanied by vertigo, roaring in ears, sparks before eyes —Drawing tearing in vertex

towards r. temple.—Transient, painful tearings in occiput.

Eyes

Symptoms — Eyes
Clarke

Heat, burning and violent watering of eyes, with feeling of catarrh in nose, as after

smelling strong ammonia.

Ears

Ears
Boericke

Illusions of hearing; otalgia; chronic otorrhoea, black discharges; smells like herring brine.

Face

Symptoms — Face
Clarke

Painful swelling of the lymphatic gland, size of pigeon's egg, r. side of face close to

ear.

Throat

Symptoms — Throat
Clarke

Frequent hawking with expectoration of mucus.—Burning and tickling; rawness as if

tough mucus collected, difficult to loosen, with hoarseness; scraping.—Swelling of one of

cervical glands (in a prover who had never had a swollen gland in her life before); in anterior

portion of neck between hyoid bone and thyroid cartilage, size of walnut, painless, easily

movable.—Goitre gradually disappeared.

Stomach

Symptoms — Stomach
Clarke

Regurgitation of bitter nauseous fluid from stomach.—Acidity, like

  • heartburn.
  • —Qualmish nausea: in evening; on going to bed; on awaking.
  • —Vomiting.
  • —Painful

sensation of emptiness in stomach and hunger, although she had eaten much supper; the stomach

felt painful and sick, as if it would fall out—Violent gnawing, like hunger, in stomach extending

downward into intestines.

Abdomen

Symptoms — Abdomen
Clarke

Cutting griping in abdomen, commencing near r. side of navel, extending

outward, then following course of colon to rectum, involving a large circle about navel, followed

by rumbling as if for stool, lasting an hour and returning at short intervals.—Transient painful

sensation in r. flank.

Stool

Symptoms — Stool and Anus
Clarke

Thin, pasty evacuations, increasing to diarrhoea —Unusually hard, difficult

stool.

Female

Female
Boericke

Neuralgia of left ovary; often serviceable in obscure pain in left groin, especially in post-operative cases; seems to be drawn to heart.

Symptoms — Female Sexual Organs
Clarke

Menstruation unusually profuse at first, at the right

time.—Menstruation lasting only one day (usually three).—Menstruation appeared without any

pain (very remarkable, as she had always been subject to pains in abdomen therewith. The cure

was permanent).

Respiratory

Respiratory
Boericke
  • Grasping at throat, with sense of choking.
  • Irritating, dry cough, dependent on cardiac lesions (Spong; Lauroc) Sticky mucus and saliva.
  • Asthmatic constriction in evening.
  • Asthma beginning with coryza.
Symptoms — Respiratory Organs
Clarke

Hoarse; piping voice, scarcely audible —Cough in morning after

rising.—Dry cough in evening with catarrh, which became loose in morning.—Cough hoarse,

barking, very violent, dry, croupy or like the cough of laryngeal phthisis—Remarkable dyspnea,

with palpitation on ascending a slight elevation, followed by the appearance of menstruation.

Chest

Heart
Boericke
  • Dragging and anxiety in praecordia.
  • Feeling of weight on heart.
  • Angina pains extending to nape of neck, left shoulder and arm with anxiety and fear of death.
  • With the heart symptoms pain in forehead and temples.
  • Pulse irregular in force.
  • Threatened paralysis of heart, body cold, pulse slow, weak, irregular, tremulous.
  • Acute and chronic endocarditis.
  • Palpitation.
  • Stitching pain in region of heart.
  • Damaged heart after infections diseases.
  • Marked symptoms of low tension (Elaps, Vipera).
Symptoms — Chest
Clarke

Oppression of chest with difficult breathing —Frequent waking from sleep on

account of sticking in r. side of thorax.—A transient stitch in sternum, above pit of stomach,

wakes her from sleep at night—Two very violent stitches r. side, just below r. breast, during

rest.—Her breasts, which were usually firm and full, became small and flabby.—Transient

  • burning and sticking in 1.
  • mamma.
  • —Itching-sticking and burning superficially in 1.
  • nipple,

temporarily > by rubbing, lasting 8 to 10 seconds, and returning after a short time.—Frequent

stitches beneath |. breast.—Frequent transient stitches (very violent at times) in both breasts, with

extreme sensitiveness, pressure of linen or bedclothes unendurable; sensation as if an ulcer

forming deep in the breast; < by motion and touch; < at night, often waking her from sleep

(lasted three weeks, and disappeared with the goitre)—Violent stitches in substance of r. breast,

piercing the nipple from within outward, wakens her at night —Great painfulness and heaviness

in both breasts, esp. on touch and motion, both feeling as though they would fall off.

Neck & Back

Symptoms — Back
Clarke

Pain like sprain, extending from r. lumbar region, across r. side of small of back into

r. ischium.

Upper Limbs

Symptoms — Upper Limbs
Clarke

Unable to exert r. arm without violent pain in axilla, where was found a

gland, dark red, swollen, hot, very painful to touch, size of a walnut (it gathered and broke in five

  • days).
  • —Drawing tearing pain in |.
  • humerus to elbow; lower end of |.
  • elbow as if in periosteum

while sitting still, followed by some violent stitches just below 1. breast close to its margin.

Lower Limbs

Symptoms — Lower Limbs
Clarke

Violent sticking as with needles in r. heel (lasts a quarter of an hour, and

returns after short pause).

Skin

Symptoms — Skin
Clarke
  • Boils: r.
  • eyebrow; r.
  • breast; |.
  • breast; back of r.
  • upper arm.
  • —Burning pains in skin of

dorsal surface of |. forearm on oblong spot with slight redness.

Sleep

Sleep
Boericke

Profound, like a log, with stertorous breathing, a typical reptilian state.

Fever

Symptoms — Fever
Clarke

Chilliness predominates, shuddering, goose-flesh.—Dry skin.

Hall.

The salt springs of Hall in Upper Austria, containing chlorides, iodides, bromides, and

carbonates of the alkalies and alkaline earths and iron; but by far the largest ingredient is

chloride of sodium. Dilutions.

Relations

Relationship
Boericke
  • Compare: Serpent poisons generally.
  • Bungarus Fasciatus (Banded Krait).
  • This venom produces a condition like an acute polioencephalitis and myelitis, both symptomatically and histologically.
  • Lach; Crotal; Spig; Spong.

Posology

Dose
Boericke

Sixth to thirtieth potency.

Kent's Lecture

Lecture (part 1)
Kent

The use of Naja has extended far beyond its proving. So many

of the Ophidian family present symptoms in common with it, that

much has been presumed — truly so. Many characteristics run through

these remedies, each remedy having its own peculiar sphere. Taken

together the family presents a wide range of curative action.

Mure, of Brazil, thought thsut the snake family presented curative

powers for the healing of the nations.

In the mineral kingdom, man may find his remedy when sick, so in

the t^egctable and animal kingdom. It is possible that the product of

the serpent may be everything needed for the healing of man. Extend this to the whole animal kingdom and it is probably so. There

seems to be everything existing in one kingdom that exists in another.

The lowest is the mineral, the next the vegetable, and last the animal

kingdom. If we had a perfect knowledge of any one kingdom, we

could probably cover the entire scope of curative possibilities. But

we have only a knowledge of a few remedies in each kingdom.

Another idea has been advanced that in any particular region, the

vegetable kingdom provides all that is necessary for curing in that

region. If we were acquainted with all the vegetable growths, how

much we would know in comparison with what we do knowl It is

highly probable that there is a throwing off from the sick human race

of something that is absorbed by the plants. The evils that are thrown

off by man may be absorbed by the vegetable kingdom. Plants will

correspond to men in the region in which they grow, if there is anything in this. In two thousand years there might be a necessity for

some kind of a check upon the growth of plants. The absorption of

these evils may cause them to vary in species, and if they continue to

grow and each to absorb the evils from the human race, they will com

tinue to differ. This favors evolution and explains it in a sense.

It is important to compare the symptoms of Naja widi those of the

other snakes. The patient is disturbed by closeness of the collar, <

after sleep. There are exhaustion and trembling, tremblii^ of the

  • muscles.
  • Its direction is somewhat like Loch.
  • , from left to right, i.
  • e.
  • ,

the ovarian pains, the diphtheria, the joint affections go from left to

  • right.
  • Naja, like Lack.
  • , is < in damp weather.
  • On inflamed surfaces it produces grayish exudations.
  • It does not partake so extensively of this character as do Loch, and Crotalus, There is only a

shadow of the septic in Naja, but it is extensive in Lack, and extremely marked in Crotalus. Naja is not a* subject to haemorrhage

as cither Lack, or Crotalus.

Lecture (part 2)
Kent

There is trembling of the muscles, a rheumatic diathesis, and tendency of all complaints to settle about the heart. It is used in valvular

troubles of the heart, in young persons who grow up with cardiac

valvular diseases. The whole trouble settled about the heart. This

suggests Naja, and Naja has often cured. If the valvular trouble is

congenital it can not be cured ; but if not, it shows that all the disturbing forces have settled about the heart. All the symptoms have settled about the heart ; Naja has this. In school boys and girls who

have no symptoms this is the generic remedy for this kind of complaint. Always prescribe Naja unless guided away from it by some

specific symptom.

Naja has more nervous, Lack, more septic symptoms. Naja, marked

agitation without sepsis. Lack., all the nervousness with a tendency to

haemorrhage and .sepsis ; black blood, like charred straw ; dark clotted

blood.

Naja has surging of the blood upwards, like Lack — a distressing

symptom. There is marked dyspnoea, cardiac or otherwise. There

is stuffing up of the chest ; great rawness of the trachea and larynx

the whole passage is raw as if excoriated.

There is much sneezing, with running of water from the nose ; inability to lie down at night ; dryness of the air passages of the nose,

hay fever. The patient has suffocative attacks in August.

The whole chest is in a state of congestion ; emptiness of the left

side of the chest ; low pulse or intermittent pulse. With all the cronplaints of the chest there is inability to lie on the left side. Numbness

of the left arm. There is dyspnoea ; if he goes to sleep, he wakes up

suffocating, gasping, choking, or he starts from sleep as if from a

dream. In most complaints there is inability to lie on the left side.

There is a dry, hacking cough with sweating in the palms of the

hands that is cur^ by Naja. These cardiac cases are often attended

by a dry, hacking cough, a cough with every litde exertion. It k not

a catarrhal state, nor is it tubercular. The heart beats rfoisly ai^

will not be urged to work, and a cough comes on from exertion. Cactus also has a cardiac cough.

The extremities are cold and blue and the head hot. The head

symptoms are < in a warm room ; the head feels warm, fevered, yet

the feet and limb do not become warm. There is copious sweating

of the hands and feet, causing the gloves and shoes to rot out ; but the

sweat is not offensive. There is a sense of fullnes and puffiness of

the hands and feet, showing a slow circulation in the veins which we

might expect.

We might naturally expect that this patient would be intense and

excitable, which is the case. There is a suicidal tendency.

The headaches are nondescript ; of a congestive character all over

the head, especially in the occiput. Headaches accompanied by a

quick and nervous pulse.

Profound sleep is consistent with all the snakes. There is deep,

profound sleep with stertorous breathing.

Lecture (part 3)
Kent

She wakes with a headache every morning. It is natural for the

Naja headache to be present in the morning and wear off with exertion. The other complains are < exertion. Tlie mind symptoms are

< exertion of the mind.

These are symptoms in connection with hay fever; The rawness in

the throat and larynx ; dreadful aching in the throat extending to the

larynx, which swallowing does not relieve. The Lack, state is expressed more by a lump in the throat ; grasping of the throat with a

sense of choking.

The Naja patient is subject Jo severe attacks of bronchitis. There

is rawness between the larynx jmd trachea, < after coughing.

This is a great remedy in asthma, especially cardiac asthma. The

breathing is so bad that he cannot lie down.

Useful in chronic nervous palpitation ; palpitation after exertion of

any kind. Chronic nervous palpitation with inability to speak on account of choking.

There is a continued, dull, aching pain through the back between

the shoulders, associated with cardiac affections. Sometimes there is

little beside this sensation of heat, of aching, to indicate the remedy ;

he is so tired in that spot that he wants to lie down or lean backwards

to rest his back.

The palpitation is < lying on the left side, < walking.

This is the most useful of all the remedies we have in a cardiac

state with very few symptoms. It is true that this region is particularly singled out by Naja to produce its symptoms.

^7^ KATllUM AKSENtCOSUM

the morning on waking. Burning in the eyes ; in the evening, in thei

open air, while reading. Pressing pain in the eyes ; smarting as from

smoke ; sore and tender when reading ; stitching pains in the eyes.

  • Paralysis of the upper lids ; of the optic nerve.
  • Photophobia in daylight.
  • Pupils dilated: left eye larger than right.
  • Redness of the
  • VEINS.
  • Staring eyes ; stiffness of the lids ; of the eyeballs.
  • Strabismus.
  • Swollen eyes ; uds ; oedematous lids ; supra-orbital oedema.

Ulceration of the cornea. Weak eyes and vision ; vision blurred ; tires

out when reading. Dark colors before the eyes. Vision dim, on

looking long ; wipes eyes for relief. Flickering, foggy vision.

Hemiopia. Myopia. Sparks before the eyes.

The ears are hot ; itching in the ears. Noises : morning, evening,

with vertigo, humming, ringing, roaring, rushing in the right ear ;

singing. Pain in ears: morning, stitching, tearing, behind the ears.

The ears feel stopped. Hearing acute ; for noises ; impaired.

Catarrh with pain in forehead and root of nose, post-nasal with

viscid mucus. Coryza: worse in open air, with cough, fluent or dry,

fluent alternating with dry ; discharge : copious, crusts, dry bloody

Lecture (part 4)
Kent

crusts, hard bluish mucus, offensive, purulent, suppressed, thick, viscid,

WATERY, yellow. Dryness in nose. Epistaxis after removing crusts

from nose ; bright red blood. Obstruction of nose at night (right) ;

morning on waking ; mucous membrane thickened and it is difficult

  • to breathe through the nose.
  • Ozaena.
  • The nose is red.
  • Pain in the

nose, in the roof of nose ; burning, pressing at root of nose ; rawness

in nose. Smell acute at first, later wanting. Frequent, violent

sneezing.

Corners of lips cracked and indurated. Discoloration of the face ;

bluish, around eyes ; earthy ; pale ; red ; yellow ; liver spots. Face is

drawn. Eruptions on the face ; forehead and lips ; around the

MOUTH ; on the nose ; comedones ; herpes on lips ; moist eruptions ;

pimples ; vesicles. The face is hot and itching. Pain on moving the

jaw. The face feels puffed. Stiffness of muscles of mastication.

Swelling in the morning on waking ; molar bones feel swollen ; oedematous ; swollen parotids. Twitching of face. Ulcer on the lips.

Aphthae in the mouth ; bleeding gums ; cracked and corrugated tongue.

Discoloration : redness of mouth and tongue ; white tongue ; yellow

tongue. Dryness of mouth ; tongue ; flabby tongue. Inflammation of

mouth and tongue. Salivation and saliva is viscid. Stammering

speech. Taste bitter in the morning ; metallic, saltish, sour, sweetish.

Ulceration in mouth. Vesicles in mouth and on tongue ; burning.

The teeth become loose. Pain in the teeth ; night ; pulsating ; warmth

ameliorates ; jerking pains, tearing pains.

Ch(A:ing ; constriction of oesophagus ; dryness in throat ; worse in

the morning ; after a cold. Throat red and glossy, purple red ; hawks

NATRUM AR8ENICX>SUM

frequently to raise white mucus, worse in the open air. Inflammation ; dark red, covered with yellow mucus. Sensation of a lump in

the throat; gray exudation in the throat. It is said to have cured

diphtheria. Mucus in the throat ; tough gelatinous, greyish, yellow,

white, from posterior nares. Pain in throat on swallowing, on empty

swallowing, but no pain on swallowing food or drink ; burning, sore,

  • stitching.
  • Roughness in the throat ; scraping in the throat.
  • Swallowing difficult.
  • Swollen pharynx, uvula and tonsils ; oedematous :

uvula hangs down like a water bag. Constriction in the region of the

thyroid gland. Stiffness in the sides of the neck.

Lecture (part 5)
Kent

Appetite increased, ravenous, wanting ; aversion to fats, to meat,

to his cigar ; sensation of constriction in the stomach. Desires beer,

bread, cold drinks, sweet things. Disordered stomach ; by milk.

Stomach is distended ; sensation of emptiness ; eructations afternoon,

after eating ; empty, tasting of food, sour after eating, waterbrash.

Fulness in the stomach after eating. Heartburn. Flushes of heat,

heaviness after eating. Hiccough after eating, indigestion is Very

marked. Loathing of food. Nausea ; after eating ; constant ; during

cough ; after cold drinks ; with headache ; during menses. Pain in.

the stomach : after eating ; burning after warm things ; cramping ;

CUTTING ; gnawing ; pressing after eating ; soreness ; stitching. Pulsation in the stomach. Retching when raising mucus from the throat.

Sinking sensation. Sensation of a stone in the stomach. Tension in

the stomach. Thirst : morning ; evening ; night ; burning thirst ; extreme thirst ; unquenchable thirst ; jdrinks often but small drinks.

Thirstlessness. Vomiting : on coughing ; after eating ; bile ; bitter ;

blood; mucus; sour; watery.

Distension of abdomen after eating ; flatulence ; fulness, gurgling,

hardness. Heavy feeling in abdomen. Inflammation of liver ; spleen.

Liver affections. Pain in the abdomen ; at night ; after eating ; from,

flatus ; before a diarrhoea ; before stool ; better after stool and after

  • passing flatus : in hypochondria ; hypogastrium ; in region of umbilicus.
  • Cramping ; before stool, better by passing flatus and stool.
  • Cutting ; before stool.
  • Drawing in abdomen ; in hypochondria.
  • Sore,

tender abdomen ; in hypochondria. Stitching in abdomen ; in hypochondria ; in inguinal region ; in spleen. Nervous feeling in abdomen.

Rumbling in abdomen ; as if a diarrhoea would come on. Affections

of the spleen. Swollen inguinal glands. Tension in abdomen, in

hypochondria.

Constipation, alternating with diarrhoea ; stool hard. Diarrhoea :

evening ; daytime ; morning ; drives him out of bed ; night ; after midnight ; frequent stool during daytime ; from becoming cold ; from cold

drinks ; front taking cold ; worse after eating ; during menses ; after

.MILK ; after vegetable ; stool : bloody, copious, frequent, mucous, paifl-

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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