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Materia Medica

Oophorinum

35 sectionsBoericke · 3Clarke · 32
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Keynotes

Characteristics
Clarke

On the analogy of the action of Thyroidin in myxcedema, Ooph. has been used

with much success in cases of suffering following excision of the ovaries, and for the climacteric

sufferings of women. I have had good results with it in such cases in the lower triturations. It has

  • been suggested as a remedy in ovarian cysts.
  • E.
  • Saalfeld (quoted H.
  • W.
  • , xxxii.
  • 296), in view of

Landau's observations on the effect of Ooph. on the nervous sufferings of women at the

climacteric, gave Ooph. to women suffering from acne rosacea and other skin disorders of the

climacteric. A woman, 20, after double oophorectomy had lichen-like eczema. This was greatly

relieved by Ooph. as well as the accompanying nervous symptoms and adiposity. He obtained

good results also in some non-climacteric cases as: (/) Acne and seborrheea in chlorotic women.

(2) A case of prurigo which had lasted from childhood in a woman of 26. In this case the itching

was > for a short time after the period. This > during menses may prove a keynote, and relates

the remedy to Zinc.

Opium.

  • Papaver somniferum.
  • Poppy.
  • N.
  • O.
  • Papaveracez.
  • (Opium is the gummy exudation of the

unripe capsule of the poppy.) Tincture.

Mentals

Symptoms — Mind
Clarke

Carelessness, or great anxiety and uneasiness.—Inconstancy and fickleness.—Strong

tendency to take alarm, and timorous character.—Rash and inconsiderate boldness.—Tranquillity

of mind, with agreeable reveries, and forgetfulness of sufferings.—Stupidity and

imbecility.—Loss of consciousness.—Great flow of ideas, with gaiety and a disposition to indulge

in sublime and profound reflections.—Vivid imagination, exaltation of the mind, increased

courage, with stupefaction and dulness.—Very easy comprehension.—Illusions of the

imagination.—Mania, with fantastical or fixed ideas; patient believes, contrary to fact, that he is

not at home.—Delirium with frightful visions, of mice, scorpions, &c., and with desire to run

  • away.
  • —Mendacity.
  • —Rambling speech.
  • —Loquacious delirium, with open eyes and red face;

furious delirium.—Fright with fear; is followed by heat in the head and convulsions.—Grief over

insults is followed by convulsions.—Drunkenness with stupor as from smoke on the brain; eyes

burning, hot and dry.

Head

Symptoms — Head
Clarke

Confusion in head, with sensation of heat in eyes, and necessity to shut them.—Great

confusion, dulness and heaviness of head making thought and writing difficult—Head

bewildered, as after intoxication.—Dizziness as during intoxication.—Vertigo, on sitting up in

bed, which compels the patient to lie down again.—Vertigo, after a fright —Attacks resembling

apoplectic fits, with vertigo, buzzing in ears, loss of consciousness, face red, hot, puffed, eyes red

and half shut, pupils dilated and insensible, foam at mouth, convulsive movements of limbs,

slow, stertorous respiration; before the fits, sleeplessness or sleep, with anxious dreams;

ebullition of blood and general heat; after the fit, nervous excitability, laughter, and trembling

  • speech.
  • —Felt as if he had bees in a great hollow in his head.
  • —Aching above r.
  • frontal eminence
  • when reading, with heat, then pinching in r.
  • temple.
  • —Pressing pains in temples.
  • —Cold sweat on

forehead.—Headache, < by moving eyes.—Headache, with pressive tension throughout

  • head.
  • —Sensation as if brain were being torn.
  • —Great heaviness of head.
  • —Congestion to head,

with strong pulsation.

Eyes

Symptoms — Eyes
Clarke

Eyelids hanging, as if paralysed.—Sensation as if eyeballs were too large.—Eyes red,

  • inflamed.
  • —Quivering of eyes and lids.
  • —Eyes half open and are turned upwards.
  • —Staring
  • look.
  • —Swelling of lower lids.
  • —Eyes fixed, half closed, convulsed, prominent, glassy.
  • —Pupils
  • dilated (insensible to light), and immovable.
  • —Pupils contracted.
  • —Cloudiness of sight.
  • —Sensation

of dust in eyes.—Scintillations before eyes.

Ears

Symptoms — Ears
Clarke

Buzzing in ears.—Tinkling in ears —(Tinnitus like sea roaring, continual, coming at

uncertain times for three or four days, in man, 48, who suffers from drowsiness, and was subject

  • to epistaxis.
  • —R.
  • T.
  • C.
  • )

Face

Symptoms — Face
Clarke

Face pale, earthy, wan, with hollow eyes, and red spots on cheeks.—Face deep red,

sometimes brownish, hot and bloated.—Bluish (purple) face.—The face of a suckling was like

that of an old man.—Alternate paleness and redness of face.—Swelling of veins in face and

head.—Relaxation of all the muscles of the face, the lower lip and jaw hang down.—Trembling,

shocks, and convulsive movements of the muscles of the face.—Lips swollen.—Twitching in

  • corners of mouth.
  • —Disfigurement of mouth.
  • —Cramps in jaw.
  • —Lockjaw.
  • —Features distorted.

Mouth

Symptoms — Mouth
Clarke

Dryness of mouth, with violent thirst—Copious salivation.—Hzmoptysis.—Ulcers in

  • mouth, and on tongue.
  • —Tongue purple; white.
  • —Black tongue.
  • —Paralysis of tongue (and difficult

articulation).—Voice weak, low, with inability to speak loud without great exertion.

Throat

Symptoms — Throat
Clarke

Dryness of throat—Swelling and movements in throat, with fits of obstructed

deglutition and strangulation, which recur daily.—Inability to swallow.

Stomach

Symptoms — Appetite
Clarke

Loss of appetite.—Bitter or sour taste in throat.—Violent thirst—Burning thirst,

  • esp.
  • for beer.
  • —Attacks of bulimy, with want of appetite and repugnance to all food.
  • —Slowness

and weakness of digestion.

Symptoms — Stomach
Clarke

Nausea, with inclination to vomit, and retching.—Vomiting, with violent pains in

stomach, and convulsions.—Vomiting of blood, or of greenish matter—Vomiting of feecal matter,

and of urine. —Painful sensitiveness, and inflation of stomach and epigastrium.—Constrictive

pressure at stomach, with excessive anguish.—Heaviness and pressure in stomach.—Compression

of diaphragm.

Abdomen

Symptoms — Abdomen
Clarke

Abdomen hard, and distended, as in tympanites.—Tympanites.—Lead-

  • colic.
  • —Incarcerated inguinal hernia.
  • —Inactivity of digestive organs.
  • —Intestines sluggish,

strongest purgatives, lose their power.—Distension, but no power to expel

contents.—Accumulation of much flatus, with rumbling in abdomen.—Weight in abdomen, as of

a load.—Tension in hypogastrium, with pain on touch.—Pressive pains in the abdomen, as if the

intestines would be cut to pieces.—Pulsation, pressure, heaviness, and pullings in abdomen.

Stool

Symptoms — Stool and Anus
Clarke

Constipation from inactivity of the intestines.—Spasmodic retention of the

  • feeces, esp.
  • in the small intestines.
  • —Constipation, sometimes of long standing.
  • —Constipation: of

children; of good-natured women; of lead-poisoning; feeces protrude and recede.—(Confined

  • bowels with bleeding, furred tongue and drowsiness.
  • ).
  • —Offensive black feeces.
  • —Frothy (whitish

pasty) and liquid diarrhoea, with burning pain in anus, and violent tenesmus.—Involuntary

evacuations (of offensive Stool).—Involuntary stools after fright—Anus spasmodically closed

during the colic, with difficult emission of flatus.—Stool composed of hard, round, black balls;

grey; crumbling.—Cholera infantum, with stupor, snoring, convulsions.—Evacuation obstructed

from indurated feces.

Urinary

Symptoms — Urinary Organs
Clarke

Retention of urine, as from inactivity of the bladder.—Retention of urine:

from paralysis of fundus of bladder; from spasm of sphincter; from nursing after passion of

nurse.—Acute, spasmodic constriction of urethra, with passage of bloody urine.—Scanty, deep-

coloured (dark-brown) urine, with sediment like brick-dust——Emission of blood in urinating.

Female

Symptoms — Female Sexual Organs
Clarke

Great excitement of sexual organs, with sexual desire and

orgasm.—Perfect loss of sexual desire from lack of nutrition.—Softness of uterus with fetid

discharge. —Prolapsus uteri from fright.—Severe labour-like pains in uterus; with urging to stool;

> bending double (and by warmth).—(Bearing down with r. groin pain, bloated abdomen,

  • apathetic and drowsy, confined bowels, menses too soon, aching all over.
  • R.
  • T.
  • C.
  • ).
  • —Menses:

irregular; profuse; violent colic forcing her to bend over; urging to stool; suppressed.—Mucous

  • discharge.
  • —Fetid leucorrhcea.
  • —Suppressed, false, or spasmodic labour-pains.
  • —Puerperal spasm,

during and after parturition with loss of consciousness and drowsiness or coma between the

paroxysms.—Violent movements of the foetus.

Male

Symptoms — Male Sexual Organs
Clarke

Increased sexual desire, with frequent erections and

pollutions.—Amorous ecstasy.—Diminished sexual desire, and impotence.

Respiratory

Symptoms — Respiratory Organs
Clarke

Troublesome hoarseness, as if caused by an accumulation of mucus

in trachea, with great dryness in mouth, and white tongue.—Rattling breathing.—Respiration

deep; unequal.—Deep snoring breathing, with open mouth.—Dry cough, with tickling and

scraping in larynx; > from drink of water, with gaping, drowsiness, yet cannot

  • sleep.
  • —Laryngismus stridulus.
  • —Cough with profuse sweat on whole body.
  • —Weak and low

voice.—Violent, dry, hollow cough, < after repose—Cough during deglutition, or when taking an

inspiration, with suspended respiration and blue colour of the face —Cough, with expectoration

of blood, or of thick, frothy, mucus.—Noisy, stertorous, and rattling inspiration —[Where there is

continued and steady stertorous breathing (there may be occasional stertorous breathing, as, for

instance, coming on and lasting a little while after a convulsion-but wait and see whether that

does not presently die away; if there is continued stertorous breathing, give Opium).—H. N.

G.].—Difficult, slow, and intermittent respiration, as from paralysis of the lungs: pneumonia

notha.—Obstructed respiration and stifling, with great anguish —Spasmodic asthma.—Fits of

suffocation on making an effort to cough.

Chest

Symptoms — Chest
Clarke

Aching in chest, with shootings in sides during inspiration.—Tension and

constriction in chest.—Heat and burning pain in chest, esp. in region of heart —Suffocative

attacks during sleep like nightmare.

Symptoms — Heart
Clarke

Burning about heart.—Pulsating arteries and swollen veins on neck.—Palpitation

after alarming events, fright, grief, sorrow, &c.—Pain in cardiac region with great anxiety,

trembling, sleeplessness, talkative delirium.—Pulse: full, slow, quick, hard; irregular;

imperceptible.

Neck & Back

Symptoms — Neck and Back
Clarke

Swelling of veins, and beating in arteries of neck.—Bending backwards

(spasmodically) of the back.

Upper Limbs

Symptoms — Upper Limbs
Clarke

Jerks and convulsive movements in arms.—Paralysis of arms.—Trembling of

  • arms and hands.
  • —Distended veins on the hands.
  • —Chilblains on fingers.
  • —Swelling of veins of

hands.

Lower Limbs

Symptoms — Lower Limbs
Clarke

Jerks and convulsive movements of legs—Weakness, torpor, and paralysis

of legs.—Heaviness and swelling of feet—Chilblains on toes.

24. Generalities—General insensibility of whole nervous system.—Want of sensitiveness against

the effects of medicines, with want of vital reaction —Great uneasiness in limbs.—Trembling of

limbs after fright —Trembling in whole body, with shocks, jerks in limbs, and general coldness;

> by motion of body and uncovering of head.—Convulsive fits, esp. in evening towards midnight,

  • with sleep, involuntary movements of head and arms, with fists closed.
  • —Pupils dilated (e.
  • g.
  • ,

after cholera infantum where the brain is threatened); hardness of hearing; hunger without desire

to eat; discharge of urine too scanty; labour pains ceasing; labour too weak.—Apoplexy with

stertorous breathing; blackness of outer parts; blueness of the whole skin or cyanosis.—Feeling of

numbness in the outer parts; of some kind of obstruction of inner parts; pains like labour

pains.—Clonic spasms, esp. when the stertorous breathing lasts all the time between the spells;

black-blue swelling here and there over body.—Epileptic convulsions at night, or in morning,

with fits of suffocation, loss of consciousness and of sensibility, and violent movements of

  • limbs.
  • —Sleep, after every convulsive attack.
  • —Relaxation of all muscles.
  • —Convulsions, with

sudden loud cries.—Convulsions and spasmodic motions, with foam at the mouth.—Sensation of

buzzing and vibration in whole body.—Absence of pain during attacks.—Excessive irritability of

voluntary muscles, and diminished irritability of all the others.—Persons, who take Opium in

excess, become prematurely old —Tetanus.—Bending backwards of (head or) body.—(Tetanic

  • spasms and opisthotonos begin with loud screams.
  • ).
  • —Rigidity of whole body.
  • —Paralysis—Lead

colic.—Paralysis without pain.—Sensation of strength and vigour; or fainting and great

  • weakness.
  • —General emaciation.
  • —Dropsical swelling of whole body.
  • —Intercurrent remedy in
  • chlorosis (R.
  • T.
  • C.
  • ).
  • —Aggravation and renewal of sufferings, when over-heated.
  • —Face dark red

and hot.—Bed feels so hot she cannot lie on it.

Skin

Symptoms — Skin
Clarke

Skin bluish, with blue spots——Redness and continued itching of skin, with small,

round, and colourless elevations.—Erythema; scarlatina-like eruptions; furfuraceous

desquamation, or else in large plaques ——Desquamation of epidermis.—Chilblains.—Dropsical

swelling of whole body.

Sleep

Symptoms — Sleep
Clarke

Lethargy, with snoring and mouth open, eyes open and convulsed, face red, and

puffed, jaw hanging, loss of consciousness, difficult, slow, or intermittent respiration, pulse slow,

or even suppressed, and convulsive movement of muscles of face, corners of mouth, and

limbs.—Urgent inclination to sleep, with absolute inability to go to sleep.—Incomplete sleep,

without power to wake.—Uneasy sleep, with anxious dreams.—Sleeplessness with acuteness of

hearing; clocks striking and cocks crowing at a distance keep her awake.—Sleeplessness, with

anxious tossing, restlessness, and delirium.—Stupefying, unrefreshing sleep.—During sleep,

picking of bedclothes; groaning. —Moaning (whining) during sleep.—Terrific shocks in limbs,

  • during sleep.
  • —Nightmare.
  • —Lascivious, frightful, and anxious dreams.
  • —Dreams and cannot be

roused.—Coma vigil.—Pleasant, fantastic dreams.

Fever

Symptoms — Fever
Clarke
  • General coldness of skin, esp.
  • of limbs.
  • —Coldness and rigidity of whole body.
  • —Chill

and diminished animal heat, with stupor, and weak, scarcely perceptible pulse —Coldness only of

limbs.—Burning heat in body, with great redness of face, anxiety, delirium, and agitation.—Pulse,

generally full, slow and intermittent, or quick and hard.—Absence of perspiration; heat without

perspiration; very hot sweltering perspiration; complaints concomitant to perspiration: i.e., those

that may appear with perspiration.—Intermittent fever where the chilliness is followed by heat,

with perspiration which may be hot and sweltering; where there is no chill, but the fever is

accompanied by this perspiration; patient may not feel cold all day, or may have only a little

  • chill, and at night when in bed complain that "the sheets feel so very hot" (H.
  • N.
  • G.
  • ).
  • —Fever,

with lethargic sleep, snoring, convulsive movements of limbs, suppressed excretions, and hot

perspiration (with quick and anxious breathing).—Heat with damp skin predominates, extending

itself from head or stomach over the whole body.—Heat with inclination to be

uncovered.—Perspiration of upper part of body, with dry heat of lower part.—Cold perspiration

on forehead.—Intermittent fever; first shaking chill, afterwards heat with sleep, during which he

perspires much.—Falling asleep during cold stage and no thirst; during the hot stage thirst and

general copious perspiration.—Whole body burning, even when bathed in sweat.—Fever,

sometimes with loss of consciousness, or delirium.

Clinical

Clinical (part 1)
Clarke
  • A fter-pains.
  • Apoplexy.
  • Bladder, paralysis of.
  • Brain, affections of.
  • Cancer.
  • Catalepsy.
  • Chilblains.
  • Colic.
  • Constipation.
  • Diabetes mellitus.
  • Dreams.
  • Dysmenia.
  • Epilepsy.
  • Fear, effects of.
  • Foetus, movements of, excessive.
  • Hernia, incarcerated.
  • Hystero-epilepsy.
  • Ileus.
  • Intestines,
  • obstruction of.
  • Labour pains, abnormal.
  • Lead colic.
  • Marasmus.
  • Measles.
  • Melancholia.
  • Meningitis.
  • Paralysis.
  • Puerperal convulsions.
  • Sighing.
  • Sleep, abnormal.
  • Snoring.
  • Starting.
  • Sunstroke.
  • Tympanitis.
  • Ureemia.
  • Urine, suppression of; retention of.
  • Uterus, inertia of.
  • Veins,

fulness of. Whooping-cough.

Clinical (part 2)
Clarke

Characteristics——Opium is one of the most complicated substances in the materia medica.

Besides mucilage, albumen, fat, sugar, and salts of Ammonia, Calcium, and Magnesia, it contains

"seventeen or eighteen alkaloids, and two neutral substances, as well as a peculiar acid—meconic

acid" (Brunton). Among the alkaloids of Opium, Apomorphinum, Codeinum, Morphinum have

their several places in the homceopathic materia medica. As the prince of pain-killing palliatives

Opium has played a very prominent part in old-school therapeutics, and by its seductive

properties has reduced many who have sought its help to become its slaves. The effects observed

in persons brought under its influence in this way, in opium-smokers and in persons poisoned

with massive doses, have produced a large part of the pathogenesis; provings and clinical

observations have added the rest. The effects of a poisonous dose of Opium are scarcely to be

distinguished from a fully developed attack of apoplexy—absolute unconsciousness; complete

muscular relaxation; pupils contracted to a pin-point aperture; turgid, bloated, very red, or bluish

face; stertorous breathing; pulse slow and full. Death takes place by asphyxia, the heart

continuing to beat after breathing has ceased. Minor degrees of the Opium influence give: Deep

sleep; pleasant, fantastic, or frightful dreams; delirium like delirium tremens. On waking from

this stage there is severe headache, nausea, furred tongue, loss of appetite. In still smaller doses

(or in the large doses of Opium habituées) there is: (/) Excitement of circulation, pulse fuller and

quicker, surface warm and flushed; increased power of directing energies. If he wishes to sleep,

"an agreeable languor followed by sleep comes on. He can be easily aroused from this sleep; and

after a few hours the effect passes off, leaving, however, slight headache and languor, with

dryness of mouth and slight nausea. If, on the other hand, he wishes to work, he can do this with

increased energy; or if he desires to exert the mind, he will find his imagination more vivid, his

thoughts more brilliant, and his power of expression, greater" (Christison, quoted by Brunton). In

my student days I had the good fortune to be in the skilful hands of Dr. Angus Macdonald

through a severe attack of peritonitis (apparently induced by a chill one very severe winter). The

treatment was: Opium, in pills, two or three times a day; the object being to keep the intestines

inactive till such time as the inflammation should subside, and at the same time to relieve me of

the pains. The treatment was on perfectly rational grounds, and was completely successful. The

inconveniences of it were persistent vomiting, distressing dreams, a state of irritability almost of

the Chamomilla type, and constipation. This last was the feature which gave me more anxiety

than anything else, and, in spite of my doctor's assurances, I could not help fearing that

obstruction had taken place. It lasted long after the Opium was discontinued, and at last, without

any medicinal help, ended, to my great astonishment, in diarrhoea. There had been neither stool

Clinical (part 3)
Clarke

nor flatulence pass for many days. Flatus began to pass before the diarrhoea set in. Hahnemann

  • (M.
  • M.
  • P.
  • ) sums up the action of Opium thus: "In the primary action of small and moderate

doses, in which the organism passively, as it were, lets itself be affected by the medicine, it

appears to exalt the irritability and activity of the voluntary muscles for a short time, but to

diminish those of the involuntary muscles for a longer period; and while it exalts the fancy and

courage in its primary action, it appears at the same time to dull and stupefy the external senses,

general sensibility and consciousness. Therefore the living organism in its active counteraction

produces the opposite of this in the secondary action: Diminished irritability and inactivity of the

voluntary and morbidly exalted excitability of the involuntary muscles, and loss of ideas and

obtuseness of the fancy, with faintheartedness along with over-sensitiveness of the general

sensibility." It is right to say that Hahnemann prefaces the above with the remark that, "It is more

difficult to estimate the action of Opium than of almost any other drug." This is quite true if we

conceive it necessary to divide the effects of the drug into primary and secondary. For my part I

have never yet been able to turn to practical account this division into primary and secondary in

respect of any drug; and, except for the occasional purpose of arranging the actions of a drug in

rememberable form I do not attempt it. I find that whether an Action is "primary" or "secondary"

depends on the prover or the patient. I know some people who are made absolutely sleepless by

Opium in all sorts of doses; and Op. 30 has helped me in case of sleeplessness as often as Coffea.

My experience goes to show that whether the drug-effect is primary or secondary, it is a drug-

effect and is good for prescribing on. Hahnemann describes as a rare and transient effect of

Opium in excitable subjects, occurring primarily but really a sort of reflexion of the secondary

state: "Deathly paleness, coldness of the limbs and whole body, cold perspiration, timorous

anxiety, trembling and despair, mucous stools, transient vomiting and short cough, and very

rarely certain kinds of pain." The last remark is to be taken in connection with a previous one to

the effect that Opium "does not cause in its primary action one single pain." Here again

Hahnemann's negative must be taken with caution. No doubt abnormal painlessness is a grand

keynote for Opium; but in the pathogenesis many acute pains will be found, and among them this

recorded by Hahnemann himself: "Horrible labour-like pains in uterus, which compelled her to

bend the abdomen double, with anxious, almost ineffectual urging to stool." Whether this be

"primary" or "secondary" I know not; but in one of the worst cases of painful menstruation I

have ever had to treat Op. 30 gave greater and more lasting relief than any other remedy. In one

patient to whom I gave Op. 30 for constipation, it caused with the onset of the next period "sharp

  • pain which caused vomiting and a desire to sit doubled up and keep warm.
  • " J.
  • P.
  • Willard (1.
  • W.
  • ,

Xxxil. 168) has repeatedly given permanent relief in cases of suffering with Op. 2x without

producing any narcotic effect. Opium can cause cramps and even tetanus as well as the opposite

state, the tetanic properties chiefly existing in the alkaloid Thebain. Opium causes tetanus in

frogs but has no effect whatever on birds. The grand characteristic of Opium is the drowsiness,

inertia, torpor, absence of sensation, absence of reaction, which appears is its general effects. In

all complaints with great sopor; painlessness; complaining of nothing and wanting nothing,

Opium may be required. I remember reading of the cure of an ulcer of the leg. There were no

sensations on which a remedy could be diagnosed, but the absence of sensations indicated

Opium, and Opium cured. "Want of susceptibility, trembling," is another feature of the same

state; lack of vital reaction. Inertia of the intestines results in constipation; of the bladder, in

retention; of the uterus, in suspension of the menses. Generally speaking, all secretions are

checked except that of the skin, which is excited. This arrest of action seems to explain the

sensation of obstruction which occurs in inner parts; and in intestinal obstruction Opium has won

Clinical (part 4)
Clarke

many triumphs. It was part of Owen Thomas's treatment of intestinal obstruction to give drop

doses of Op. @, and feed the patient on meat soups only—no milk, farinaceous foods, or solids.

His idea was to keep the intestines quiet, but the action was clearly homeopathic. In ileus and

strangulated hernia it has been given with success and reversed peristalsis and feecal vomiting are

leading indications here. It is equally indicated in the involuntary and unconscious passage of

urine and feces from paralysis of sphincters. Also in uterine inertia during labour Opium is often

needed. On the other hand, Opium, which is a very dangerous remedy to give to children, has

this effect on the foetus in utero, that instead of making it quieter it makes it more lively; hence

Opium is one of the chief remedies for foetal movements when they become excessive. Opium

also follows Acon. as a remedy in the asphyxia of the new-born, and in puerperal convulsions. In

the cerebral complaints calling for Opium there is generally the deep red face, the stertor, and

stupor to guide. These are found in apoplexy; in insensibility, and partial or complete paralysis

resulting from fright, the fear still remaining; from charcoal vapour; from inhaling gas; from

alcohol. The apoplexy of drunkards is accurately pictured in Opium poisoning. The spasms of

children occur at the approach of strangers, from nursing after the mother has had a fright; from

crying; eyes half open and upturned. Screaming before and during a spasm. Epileptic attacks

  • occurring during sleep.
  • Sleep follows the convulsions.
  • Loud snoring.
  • The delirium of Opium is

marked by: Great loquacity; visions of animals starting out of various parts of the room.

Delirium tremens of old sinners; very little drink is sufficient to bring on an attack. The face has

a constant expression of fright. If he sleeps the sleep is stertorous. On the other side of the sleep

picture, partly mixed up with sleep phenomena, is the exalted sensitiveness and timidity;

sensitiveness to fright and other emotions. Sleepy but cannot sleep, sleepless with acuteness of

hearing disturbed by sounds ordinarily not heard at all. Twitching trembling of head, hands, and

arms. In tetanus Opium is called for when the spasms are ushered in with a loud shriek. Nervous

and irritable, tendency to start. Opium is a great fever remedy. The Opium habit is very common

among inhabitants of the fen districts of Lincolnshire, possibly contracted to palliate the debility

and depression left by ague. Sweat as a concomitant is a characteristic of Opium—complaints

appearing with perspiration. The skin is hot and damp. An opium-eater's face glistens with fine

perspiration. "Very hot, sweltering perspiration." Another condition is described by Guernsey

thus: "Patient may not feel cold all day, but may have only a little chill, and at night, when in

  • bed, complain that the sheets feel so very hot.
  • " T.
  • F.
  • Allen (1.
  • R.
  • , xiv.
  • 481) remarks that Opium

fever may be closely allied to that of Aco. (The Ranunculacez are not far removed from the

Papaveracee.) The Opium fever may have high temperature without distinct inflammatory

process. It is characterised by intense thirst and great sleepiness, and is without the anguish, fear,

and restlessness of the Aco. fever. The Opium fever may be periodic—intermittent or remittent.

Gels. fever is like Opium fever but without thirst. In regard to the almost universal use of Opium

or its alkaloids in cases of cancer in old-school practice, Snow contends that it has a certain

degree of power over the cancer process. From what we know of its botanical relatives, Sang.

  • and Chel.
  • , this may be true.
  • —Villers cured with Op.
  • 200 a case of hystero-epilepsy having these

characters: Attack preceded by sensation of swelling of body. Veins protrude; face bluish red.

  • Complete unconsciousness.
  • C.
  • N.
  • Payne (Med.
  • Adv.
  • , xxv.
  • 198) relates the case of a little girl,

aged two, who had never slept properly since birth. She went to sleep at usual time and slept till

10 p.m., when she waked moaning, crying, and tossing about; seems frightened; almost falls

asleep again but wakens with a start, screaming and keeping in motion one arm and one leg after

  • waking.
  • Seems sleepy but cannot sleep.
  • Usual naps during day.
  • Nux, Bell.
  • , Cham.
  • were given in

succession in vain. It then transpired that before the baby was twelve hours old it had had four

Clinical (part 5)
Clarke

different medicines put into its stomach, one of them being Paregoric, which had also been

given since, as well as "quieting medicine." During the early months it had colic, with

  • constipation, stools in dark, hard, round balls.
  • Clearly, it was a proving of Opium.
  • Op.
  • 200 was

given. The first night she slept much better, and rapid improvement and cure followed. Seward

  • (Med.
  • Adv.
  • , xxviii.
  • 367) relates the case of a man who had been given an allopathic dose of

Opium for diarrhoea, with the result that it made him "raving, fighting crazy, with red face,

glistening eyes." He struck out to hit the men who, he said, were after him to kill him, one of

them being a butcher with a cleaver. It took two men to hold him on the bed. He did not

recognise those about him. Camph. was given in repeated doses, and he soon became quieter and

would talk and laugh in a very lively manner. He said, "Didn't I give it to them?" He soon after

fell asleep, and slept all night, remembering nothing of what had happened when he awoke next

morning. Among the Camph. symptoms indicating it in the case are: "Great excitement almost

amounting to frenzy"; "most furious delirium, being with difficulty restrained in bed by two

  • men.
  • " Peculiar sensations are: As if from smoke on the brain.
  • As if flying or hovering in air.
  • As
  • if drunk.
  • As if eyes too large for orbits.
  • As if sand or dust in eyes.
  • As if eyelids paralysed.
  • As of
  • a band round chest.
  • As if intestines would be cut to pieces.
  • As of a stone in abdomen.
  • As if

something was forced through a narrow space in abdomen. Rolling as of a hard body in right

  • hypochondrium.
  • As though anus closed.
  • As if lower limbs severed from body.
  • Opium is

specially swited to: persons of light hair, lax muscles and want of bodily irritability; persons

insensitive to well-chosen remedies. Childhood and old persons (first and second childhood).

  • Drinkers.
  • J.
  • B.
  • S.
  • King (Med.
  • Adv.
  • , xxvii.
  • 112) noticed that in seven Opium-eaters (all that had

come under his observation), there was marked arching of the back, especially of the upper part

of the back. In as many Morphia takers he had not met with a single case of arched back. The

  • symptoms are: < During and after sleep.
  • < While perspiring.
  • < From stimulants.
  • < From anxiety
  • and fear; reproaches.
  • < During respiration.
  • < On moving.
  • < During pregnancy.
  • Touch < (bed

feels hard); abdomen sensitive. There is great susceptibility to cold air, but > uncovering head.

Laboured breathing > by cold air. Bed feels hot, > by cold, < from heat. Symptoms reappear or

  • are < on becoming heated.
  • Drinking water > dryness and cough.
  • Getting cold = bronchitis.
  • >

Constant walking.

Relations

Relations (part 1)
Clarke

Antidoted by: Strong Coffee; Kali permang. solution (about | gr. to the pint of

water; the patient is made to swallow half a pint every five minutes, and then caused to vomit;

later, a somewhat stronger solution may be given and retained); Oxygen inhalations, Camph.;

(patient must be kept walking about; if allowed to sleep it may be impossible to wake him

  • again); Bell.
  • , Ip.
  • , Nux, Vinum.
  • , Vanil.
  • Nervous irritability, Cham.
  • ; marasmus, Sul.
  • , Arg.
  • n.
  • ,
  • Sars.
  • , Camph.
  • Antidote to: Bell.
  • , Dig.
  • , Lach.
  • , Merc.
  • , Nux, Strych.
  • , Plb.
  • , Stram.
  • , Ant.
  • t.
  • Followed
  • well by: Aco.
  • , Bell.
  • , Bry.
  • , Hyo.
  • , Nux, Nx.
  • m.
  • , Ant.
  • t.
  • Compare: The alkaloids, Apomorph.
  • , Cod.
  • ,
  • Morph.
  • ; Chel.
  • , Sang.
  • (botan.
  • ).
  • In first and second childhood, Bar.
  • c.
  • , Mill.
  • Apoplexy of
  • drunkards, Bar.
  • c.
  • Lack of vital reaction, Pso.
  • (despair of recovery), Ambra, Chi.
  • , Lauro.
  • (chest),
  • Val.
  • , Sul.
  • , Carb.
  • v.
  • (Op.
  • is sluggish or drowsy).
  • Spasms in infancy after fright of mother
  • (Hyo.
  • —from anger, Cham.
  • , Nux).
  • Effects of fright, the fear still remaining, Aco.
  • , Hyo.
  • Diarrhoea
  • from fright, Gels.
  • , Pul.
  • , Ver.
  • (chronic effects of fright, Phos.
  • ac.
  • , Nat.
  • m.
  • , Sil.
  • ).
  • Effects of sudden
  • joy, Coff.
  • Loss of breath on falling asleep, Grind.
  • Sleepy but cannot sleep, Bell.
  • , Cham.
  • Bed

feels so hot she cannot lie on it, Arn., Bry. Constipation of corpulent, good-natured women,

  • Graph.
  • Stool in round (black) balls like marbles, Chel.
  • , Plb.
  • , Thuj.
  • Retrocession of exanthem to
  • brain, Zn.
  • < During and after sleep, Lach.
  • , Ap.
  • Violent movements of Fcetus, Sil.
  • , Thuj.
  • , Sul.
  • ,
Relations (part 2)
Clarke

Croc. (Croc. also has: Sensation as if a living foetus were moving in abdomen when there is not).

  • Uterine inertia, Morph.
  • , Chloral.
  • , Secal.
  • Heat in heart, Croc.
  • , Lachn.
  • , Rho.
  • Loquacity, Cup.
  • ,
  • Hyo.
  • , Lach.
  • , Stram.
  • , Ver.
  • (gossiping, babbling, Ver.
  • , Hyo.
  • ; religious subjects, Ver.
  • ).
  • Congestion,
  • Ver.
  • v.
  • Apoplexy with convulsions, Bell.
  • , Hyo.
  • , Lach.
  • ; followed by paralysis, Arn.
  • (left side),
  • Bell.
  • , Lach.
  • , Nux, Rhs.
  • Delirium tremens (Op.
  • old sinners, easily set off; terror; animals start

from corners; if sleep, stertorous), Lach. (sees snakes, sensation in throat as of choking;

springing out of sleep suddenly as if from a dream), Stram. (symptoms violent, starts from sleep

in perfect horror; visions of animals coming from every corner of room; tries to escape; face

  • bright red), Can.
  • i.
  • (errors of perception as to space and time), Ars.
  • (fear of death, won't be left

alone); Calc. (the moment he closes his eyes he gets visions which compel him to open them

  • again).
  • Drowsiness with cough, Ant.
  • t.
  • (cough with drowsiness and gaping).
  • Constipation of

inertia (little, hard, dry, black balls), Alm. (inertia even with soft stools), Pb. (hard, black balls

  • with spasmodic constriction of anus), Bry.
  • (large stools).
  • Tympanites, Lyc.
  • , Carb.
  • v.
  • , Colch.
  • ,
  • Raph.
  • (passes flatus neither up nor down for days).
  • Charcoal vapour, effects of, Bov.
  • , Arn.
  • Spasm of lungs, Mosch.
  • , Ip.
  • , Dros.
  • Sudden effects of emotions, Ign.
  • (Ign.
  • , deathly pale or at
  • times flushed; Op.
  • , dark red face, bloated; Op.
  • , loud screams, more fright.
  • Both correspond to

sudden effects of emotions only; after punishment, body stiffens out, muscles of face twitch).

  • Cerebral congestion, Hell.
  • (Op.
  • , breathing loud, stertorous, pulse full, slow; Hell.
  • , pulse weak,
  • almost imperceptible).
  • Constriction of anus, Lach.
  • , Pb.
  • , Nat.
  • m.
Relationship
Boericke

Compare: Orchitinum-Testicular Extract--(after ovariotomy, sexual weakness, senile decay).

Posology

Dose
Boericke

Low triturations.

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.

Additional notes

OVININUM
Boericke

Ovarian Extract (OOPHORINUM)

  • Suffering following excision of the ovaries.
  • Climacteric disturbances generally.
  • Ovarian cysts.
  • Cutaneous disorders and acne rosacea.
  • Prurigo.
Symptoms — Limbs
Clarke

Trembling of all the limbs, esp. arms and hands after fright—Spasmodic jerkings

and numbness of limbs.—Coldness of the extremities.

For practising licensed homeopaths

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