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Materia Medica

Opium

48 sectionsBoericke · 20Clarke · 24Kent · 4

At a glance

Cardinal features · auto-extracted from Boericke · Clarke · Kent
  • painless
  • heavy, stupid sleep, stertorous breathing. Sweaty skin
  • Complete loss of consciousness; apoplectic state

Essence

Prologue
Boericke

Dried Latex of the Poppy (PAPAVER SOMNIFERUM)

  • Hahnemann says that it is much more difficult to estimate the action of Opium than of almost any other drug.
  • The effects of Opium as shown in the insensibility of the nervous system, the depression, drowsy stupor, painlessness, and torpor, the general sluggishness and lack of vital reaction, constitute the main indications for the drug when used homeopathically.
  • All complaints are characterized by sopor.
  • They are painless, and are accompanied by heavy, stupid sleep, stertorous breathing. Sweaty skin.
  • Dark, mahogany-brown face.
  • Serous apoplexy-venous, passive congestion.
  • Want of sensitiveness to the action of medicines.
  • Reappearance and aggravation from becoming heated.
  • Opium lessens voluntary movements, contracts pupils, depresses higher intellectual powers, lessens self-control and power of concentration, judgment; stimulates the imagination, checks all secretions except that of the skin.
  • Want of susceptibility to remedies even though indicated.
  • Diseases that originate from fright.
Want to know if Opium fits your case? Repertify reads the case as the patient speaks, scores every rubric against the Kentian hierarchy, and cross-validates Opium against Boericke, Kent and Clarke in parallel. Open the workspace · 30 days free, no card.

Keynotes

Characteristics
Clarke

"The curious, rounded, hard-shelled fruits are about the size of an orange, and

have as many deep furrows as there are cells, each cell containing a single flattened seed. When

the fruit is ripe and exposed to a dry atmosphere, it bursts with great force, accompanied by a

loud, sharp crack like the report of a pistol, for which reason it is often called the Monkey's

Dinner-bell. The seeds are emetic, in a green state violently purgative, but when dry, according

to Lunan, they lose this property. An oil is extracted from them, and sometimes used as a

purgative, about twenty drops of it being equal in action to a tablespoonful of castor oil. A

venomous milky juice is abundant in all parts of the plant, and if it be applied to the eye causes

almost immediate blindness." The Treasury of Botany, from which I quote the above, only

  • recognises one species of Hura, H.
  • crepitans.
  • But Mure compares his Hura with H.
  • crepitans.

They are probably varieties of the same species, the properties of the milk of the two being the

  • same.
  • The observed effects of H.
  • crep.
  • were from eating the seeds.
  • Burning in throat; vomiting

and purging; suffocation; headache, were the main symptoms complained of.

Mentals

Mind
Boericke
  • Patient wants nothing.
  • Complete loss of consciousness; apoplectic state.
  • Frightful fancies, daring, gay, bright.
  • Unable to understand or appreciate his sufferings.
  • Thinks he is not at home.
  • Delirious talking, with wide open eyes.
Symptoms — Mind
Clarke

Excited and oppressed as if by some misfortune.—Causeless weeping followed by

laughter.—Flow of sad thoughts; imagines she will lose some one dear to her; cries every

moment, and for several days past imagines she is seeing the dead person before her

  • eyes.
  • —Exaggerated conscientiousness.
  • —Irritable.
  • —Indisposed to work.

Modalities

Modalities
Boericke
Worse
heat, during and after sleep (Apis; Lach.)
Better
cold things, constant walking

Head

Head
Boericke
  • Vertigo; lightness of head in old people.
  • Dull, heavy, stupid.
  • Delirium.
  • Vertigo after fright.
  • Pain in back of head; great weight there (Gels).
  • Bursting feeling.
  • Complete insensibility; no mental grasp for anything.
  • Paralysis of brain.
Symptoms — Head
Clarke

The one who had eaten the shell with the seed was seized with violent vomiting with

headache.

Eyes

Eyes
Boericke

Half-closed, dilated; pupils insensible, contracted. Ptosis (Gels; Caust). Staring glassy.

Symptoms — Eyes
Clarke

Prickling and burning in eyes; sensation as if sand in them.—Eyelids

  • red.
  • —Inflammation of the puncta.
  • —Vision dim.
  • —Blindness (from touching the eye with the

milk).—Sparks and zigzags before the sight when walking.

Ears

Symptoms — Ears
Clarke

Pain behind and in (r.) ear.—Stoppage in ears —Loud whizzing and whistling sound in

ears.

Nose

Symptoms — Nose
Clarke
  • Redness of (1.
  • ) wing of nose.
  • —Constriction; throbbing at root of nose.
  • —Coryza;

epistaxis.—Sense of smell very acute.

Face

Face
Boericke
  • Red, bloated, swollen, dark suffused, hot.
  • Looks intoxicated, besotted (Bapt; Lach).
  • Spasmodic facial twitching, especially corners of mouth.
  • Veins of face distended.
  • Hanging down of lower jaw.
  • Distorted.
Symptoms — Face
Clarke

Face weary-looking as after a debauch; rings round eyes.—Face dull and dark-looking

with paleness mottled with red—Face scarlet and bloated.—Heat rising to face —Swellings on

  • upper part of r.
  • cheek.
  • —Lips red.
  • —Small pimples inside lower lip.

Mouth

Mouth
Boericke
  • Dry.
  • Tongue black, paralyzed bloody froth.
  • Intense thirst.
  • Blubbering op lips.
  • Difficult articulation and swallowing.
Symptoms — Mouth
Clarke

Tongue white; pain at tip —Fleshy excrescence on inside of lips.—Clammy mouth;

foul smell.—Taste: of copper; of blood; clammy; smoky.

Throat

Symptoms — Throat
Clarke

It soon began to warm and scald his palate and throat.—Violent burning in throat.

Stomach

Stomach
Boericke
  • Vomiting, with colic and convulsions.
  • Fecal vomiting.
  • Incarcerated hernia.
  • Hungry; no desire to eat.
Symptoms — Stomach
Clarke

If a person eats even a single kernel he is usually attacked with severe vomiting

and purging within a very few minutes.—After a few hours, they experienced suffocation,

nausea, violent burning in the throat, not > by water.—Those who ate the seed without the shell,

only suffered from nausea and violent pain in stomach, vomiting once, and violent diarrhcea.

Abdomen

Abdomen
Boericke

Hard, bloated, tympanitic. Lead colic during colic, urging to stool and discharge of hard feces.

Symptoms — Abdomen
Clarke

Frightful colic with diarrhoea and shivering. —Throbbing in 1. side

abdomen.—Twisting pain in |. side, or cutting all round pelvis, with very painful shooting;

extorting cries —Stitch in ileo-czecal region < on movement.

Stool

Stool
Boericke
  • Obstinate constipation; no desire to go to stool.
  • Round, hard, black balls.
  • Feces protrude and recede (Thuj; Sil).
  • Spasmodic retention of feces in small intestines.
  • Stools involuntary, black, offensive, frothy.
  • Violent pain in rectum, as if pressed asunder.
Symptoms — Stool and Anus
Clarke

Constriction at anus.—Frequent ineffectual urging to stool —Diarrhcea

succeeded by great weakness of chest.—Stools: liquid, painless, flowing constantly; offensive,

containing thread-worms.—Constipation; hard, difficult stools.

Urinary

Symptoms — Urinary Organs
Clarke

Acute pain in r. kidney while walking, with great urging to

urinate —Urine: light green; clear; deposits a white sediment.

Urine
Boericke

Slow to start; feeble stream. Retained or involuntary, after fright. Loss of power or sensibility of bladder.

Female

Female
Boericke
  • Suppressed menses from fright.
  • Cessation of labor-pains with coma between paroxysms.
  • Threatened abortion and suppression of lochia, from fright, with sopor.
  • Horrible labor-like pains in uterus, with urging to stool.
Symptoms — Female Sexual Organs
Clarke

Pain in uterus: as if compressed; as if a sharp instrument were

thrust into it; followed by lancinations in vagina.—Leucorrhcea.—Menses: scanty; eight days too

early; profuse, with leucorrhcea.

Male

Symptoms — Male Sexual Organs
Clarke

Intolerable erections: amorous dreams with erections; lemon-

coloured semen.—Weight in testicles when walking.

Respiratory

Respiratory
Boericke
  • Breathing stops on going to sleep; must be shaken to start it again (Grindelia).
  • Hoarse.
  • Deep snoring; rattling, stertorous breathing.
  • Difficult, intermittent, deep, unequal respiration.
  • Heat in chest; burning about heart.
  • Cough, with dyspnoea and blue face; with bloody expectoration.
Symptoms — Respiratory Organs
Clarke

Dryness of glottis causing cough.—Considerable yellow, thick, frothy

  • sputa.
  • —Sputa: rusty-coloured; foul, bloody; like milk-chocolate.
  • —Feeling of suffocation.
  • —Sighs

and yawns much.

Chest

Symptoms — Chest
Clarke

Nervous shivering all over chest.—Suffocative sensation, esp. when thinking of

anything that has gone wrong.—Lancinations in chest preventing deep breathing —Throbbings in

chest.—Sensation of a small ball under r. breast—Sharp pain shifting from shoulder to 1.

breast.—Stitches in breasts.—Throbbing in breasts.

Neck & Back

Back and Extremities
Boericke
  • Opisthotonos.
  • Swollen veins of neck.
  • Painless paralysis (Oleand).
  • Twitching of limbs.
  • Numbness.
  • Jerks as if flexors were overacting.
  • Convulsions; worse from glare of light; coldness of limbs.
Symptoms — Neck and Back
Clarke

Stiff-neck (r. side); least motion is painfully felt in nape.—Dislocated and

tearing pain in dorsal region; on sitting down.—Severe pains in lumbar region;

weakness.—Excruciating pain in lumbo-sacral region, when trying to lift a weight.

Upper Limbs

Symptoms — Upper Limbs
Clarke

Throbbing in finger-tips.—Pain as from splinter under thumb-nail.—Heat in

nails; sensation as if part of nail had been torn off.

Skin

Skin
Boericke

Hot, damp, sweating, Constant desire to uncover. Hot perspiration over whole body except lower limbs.

Symptoms — Skin
Clarke

Large pimples itching very much.—Pimples, painful to touch on |. cheek and

  • eyebrows.
  • —Small red pimples on r.
  • cheek-bone, with smarting on r.
  • cheek.
  • —Cluster of pimples

or vesicles on various parts.—Red vesicular pimples, the vesicles break on pressure and water

squirts out with great force ——Small vesicular pimples, with itching, on ribs, arms, and all

projecting portions of bones.—Itching on forehead; eyelids; chin; beard; back; legs; sleep

disturbed by it.

Sleep

Sleep
Boericke
  • Great drowsiness (Gels. ; Nux mosch).
  • Falls into a heavy stupid sleep.
  • Profound coma.
  • Loss of breath on falling asleep (Grind).
  • Coma vigil.
  • Picking at bedclothes.
  • Very sleepy, but cannot go to sleep.
  • Distant noise, cocks crowing, etc, keep him awake.
  • Child dreams of cats, dogs, black forms.
  • Bed feels so hot cannot lie on it.
  • Pleasant, fantastic, amorous dreams.
  • Shaking chill; then heat, with sleep and sweat.
  • Thirst only during heat.
Symptoms — Sleep
Clarke

Yawning and drowsiness.—Nightly restlessness.—Dreams: of travelling; of

swimming; of yellow water; of corpses; of assassins.

Fever

Fever
Boericke
  • Pulse full and slow.
  • Heat extending over body.
  • Hot perspiration.
  • Fever characterized by stupor, snoring respiration, twitching of limbs, intense thirst and sleepiness.
  • General low temperature with inclination to stupor.
Symptoms — Fever
Clarke

Feet and body generally constantly cold and damp.—Heat and transient

perspiration.—Flushes of heat in face.-—Cold sweat on face and all over body.

Hura Crepitans.

  • Sand-box.
  • Monkey's dinner-bell.
  • N.
  • O.
  • Euphorbiacez.
  • Tincture of seeds.

Relations

Relations
Clarke
  • Compare:—Hur.
  • bras.
  • , Ricinus, Croton.
  • ; Caps.
  • (burning in throat not > by water).

Antidoted by: Camph., Op.

Relationship
Boericke

Compare: Apis; Bell; Gels; Nux mosch; Morphinum (extreme susceptibility to pain; twitching; tympanities; much itching); Codein (dry, teasing, incessant cough; twitching of muscles, especially those of eyelids); Eschscholtzia-Cal California Poppy--(a harmless soporific).

  • Antidote: Acute Opium poisoning.
  • Atropin and Black Coffee.
  • Chronic Opium poisoning.
  • Ipecac; Nux; Passiflora. Berberis is useful to counteract opium habit.

Posology

Dose
Boericke

Third to thirtieth and 200th potency.

Kent's Lecture

Lecture (part 1)
Kent

Among the striking features of Opium is a class of complaints

marked by painlessness, inactivity, and torpor. Many of the provers

taking small doses had torpor, inability to realize or feel their surroundings, or to take in the nature of states and judge of things.

OPIUM 719

Deception m vision, taste, touch ; deception of the state he exists in ;

in his own realization ; a perversion of all the senses with much deception.

The general characteristic is painlessness, but now and then an

alternate state is produced, in which a small dose of Opium will cause

pain, sleeplessness, inquietude, nervous excitability ; the very opposite

state from that produced in the majority of cases. The majority are

constipated, but in some there is dysentery and tenesmus. The

patient is sleepy, yet at times the drug is characterized by sleepless

nights, anxiety, increased sensitiveness to noise, so that he says he

can almost hear the flies walking on the wall, and hears the clock

striking in the distant steeple.

It is generally supposed that in these opposite conditions one is

  • primary and the other is secondary.
  • This is true, e.
  • g.
  • , those exhibiting stupor and painlessness will go into a state of increased insensibility,

inquietude, anxiety, and irritability, and also one who has a state of

increased sensibility first will have a docile state following. Some;

oversensitive provers will get a basilar headache in the first hour after

taking a dose, so that they cannot raise the head from the pillow ; they

are paralyzed from it ; the pain holds them down. This does not

come on in most provers until the waning of a large dose. This has

been debated over as the primary and secondary actions. What is

the action in one is the reaction ih another, but all are the effects of

the drug, and all the actions tbak follow arc the symptoms of the

remedy. ^

The sluggishness and painlessness are most striking. The inaction

is shown in the lack of reaction to the properly selected homoeopathic

remedy. It here competes with Sulphur. On studying the case you

may find many Opium symptoms, and when given thus indicated,

it rouses the system out of the state of sluggishness and causes reaction.

Ulcers which are perfectly painless, which do not granulate, and do

not eat or spread, with numbness or lack of sensibility in the ulcer

that ought to be sensitive ; Opium will often heal. Insensibility in

parts that are in a high grade of inflammation.

Paralytic conditions or paresis, partial paralysis ; inactivity, sluggishness. Such a condition is found in the bowels so that they do

not move, and rectum fills with round, hard, black balls, which can

be dug out with the finger or spoon. There is no activity, no ability

to strain at stool.

The bladder is in a similar state. There is no ability to use the

abdominal muscles ; he cannot strain to urinate ; retention of urine ;

accelerator muscles are in a state of paresis*

Lecture (part 2)
Kent

.When drinking, the oesophagus seems, to have no action and the

7ao

fluid does not go down but passes out through the nose ; a paresis ;

fluids go down the wrong way or out through the nose.

Weakness of limbs and muscles ; weakness and paralysis.

Often there is a state of peace. Wants to be let alone. She tells

you she is not sick; and yet she has a temperature of 105-106®, is

covered with a scorching hot sweat, has a rapid pulse ; is delirious.

You ask her how she is and she says she is perfectly well and happy ;

no pains or aches ; wants nothing and has no symptoms. But thtJ

nurse tells you that the patient has passed no stool or urine. The

face looks besotted, bloated, purple : the eyes are glassy and the pupils

contracted. The brain is in a state of confusion, yet she can answer

questions. Or the mental symptoms may be more marked and the

physical condition less prominent ; there is confusion of mind, delirium, loquacity, but this is rare, more commonly only talks when

aroused ; a condition of stupor in which the patient will say nothing

and do nothing. Delirium with a happy turn of mind.

The stomach is in a state of undue warmth, sinking, all-gone,

hungry, and this is not ^relieved by eating. He fills the stomach full

and yet the faint feeling remains. The food sours in the stomach

and is vomited. He can take no more food. He becomes covered

with a cold sweat ; great exhaustion ; nausea, retching and the vomiting continues. This nausea is a troublesome symptom following the

administration of Opium or Morphine. It is a prolonged vomiting

and nausea. He can take nothing into the stomach and nothing will

stop the vomiting for him. The homoeopath knows the use of Chamomilla and one dose will give wonderful relief at once and stop the

deathly sinking and nausea.

There is never any use for the crude Opium in the sick room. In

surgery at times it is admitted that something seems necessary, and

we will not quarrel with the surgeon. But in disease, in sick people,

k is not necessary. It performs no use and in the end it is an injury ;

it prevents finding the homoeopathic remedy. It has masked tho

symptoms and spoiled the case, and you cannot do anything for days.

Opium has been much abused and much has been learned about it,

but this abuse has not helped much in its proving, for the individualizing symptoms arc not obtained. Big doses cause gross effects, and

the symptoms thus obtained arc sometimes useful, e, g., in cerebral

apoplexy with stertorous breathing, jaw dropped, pupils dilated or

contracted, generally the latter, face mottled, purple, or hot, hot sweat,

one sided paralysis. You would wonder on seeing such a case whether

he had been paralyzed, had Opium, injured himself in a fall or had

been indulging in the bottle, and you would examine the case to distinguish. This is a mechanical trouble, there is pressure of blood on

tht bmin. .. This alone may not -kUl-but ]fttx on- inflammatoty faction

Lecture (part 3)
Kent

18 set up around the clot. Opium causes a flow of blood to the brain,

and when given hoinoeopathically it checks this, and in six hours he

will become rational, his skin cool, face normal color, pulse normah

We thus see the usefulness of the crude effects of Opium in giving

us a picture of apoplexy.

Nervous headaches beginning in the back of the head and spreading

over the whole face ; worse in the morning. He feels as if his head

were held down to the pillow by the intense aching pain in the base

of the brain, and yet when he gets up he is unable to lie down again.

This is common in women ; a false plethora ; excitable ; going through

pregnancy or menstruation ; headache. The patient sits up and is

unable to lie down. The pain begins in the morning and is so violent

that the patient cannot move, cannot wink the eye, turn the head,

cannot bear the least jar or the ticking of the clock ; face is mottled,

purple, blue ; eyes injected. It is difficult to get symptoms from her.

Opium will relieve at once.

But most of the complaints are painless.

It lakes on the appearance of drinkers, besotted ; fever with besotted

countenance. Delirium tremens with awful anxiety, vomiting, congestive headache, contracted pupils ; violent headache after drinking,

exhaustion ; not able to get out of bed ; delirium. Most of the complaints are attended with stupor ; lies in a stupor like apoplexy, cannot

be aroused.

The Opium patient is full of cOi^vulsions. The patient wants to be

uncovered, wants the cool air, the 0pcn air. Convulsions if the room

is too warm. Opisthotonos j head drawn back ; cerebro-spinal meningitis. In a case of cerebro-spinal meningitis we find convulsions approaching, opisthotonos, head drawn back, kicks the covers off, wants

a cool room ; skin red ; face red and mottled, pupils contracted. Now

if the mother puts that child into a hot bath, to relieve the convulsions,

it will become unconscious and cold as death. If you arc called to

see such a case be sure to give Opium, and in twelve hours you vvill

be astonished to see the state of quietude. It competes here with

Apis, Puerperal convulsions.

A mental state appears in these constitutions. Fear and its results.

The Opium patient, when not too stupid, rouses up as if startled,

rouses up with the appearance of awful fear or anxiety. The old

Opium eater is overwhelmed with anxiety and fear. If a dog jump

at him suddenly, he will be thrown into convulsions, have diarrhoea,

fits of some sort, and it will be days and weeks before that fear is

gone. Complaints from fear when the fear remains, or the idea of

the fear remains, or the cause of it comes before the eyes. A pregnant

woman is frightened and an abortion is impending, and the object of

the fright continually looms up before her eyes. Epilepsy dating back

9 ^

722 OX.^C Acm

Lecture (part 4)
Kent

to a fright, and that object comes up before the eyes before the attack

comes on, and the fear of the fright remains. Hysterical attack ;

physical shock with diarrhoea and sometimes constipation ; retention

of urine or return of the menstrual flow as results, or it may stop the

menses for months. In these conditions there is great fear and the

object of the fear remains before the eyes.

An Opium prover, when coming out from under the influence of

the drug, sees frightful images, black forms, visions of devils, fire,

ghosts, someone carrying her off, murder. Imagines that parts swell

and that he is going to burst.

Inhere is also a sensation of bodily well being ; great happiness ;

great state of confidence in the first hours of the drug. Hence, complaints from sudden joy, anger, shame, sudden fright. Coffea has a

similar state of beatitude. It is both a physical and mental beatitude

in Opium. Opium and Coffea are related ; they antidote each other.

Opium eaters like whisky drinkers are constitutional liars. They

have no conscience left.

“Great sensibility to sound, light, and faintest odors.'* '‘Drowsiness wi h headache, amounting almost to stupor." “Marasmus ; child

wrinkled and looks like a little dried up old man ; stupor."

Old cases of lead poisoning. Pulsatilla cures the diarrhoea following the abuse of Opium.

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

Non-Homeopathic Preparations and Uses
Boericke

Palliative only in great pain, sleeplessness, peritonitis, and to check excess secretion in diarrhoea, diabetes, etc.

Opium (crude).--Official dose, 1 grain.

Laudanum (tincture)-Dose, 5 to 20 drops. Extract of Opium 1/4 to 1 grain.

  • Paregoric-Tinctura Camphora Composita.
  • Contains in each dram 1/4 grain of Opium equal to 1/30 grain of Morphine.
  • Dose 1/2 to 1 fluid dram for adults.
  • For an infant 3 to 5 drops.

Dover's Powder consists of Opium, Ipecac and Sulphate of Potash. It contains 10% each of Opium and Ipecac. Dose 5 to 15 grains.

Morphine-1/8 to 1/4 grain.

Magendie's solution-16 grains to 1 oz or 5 drops equal to 1/6 grain.

Codein-1/2 to 1 grain.

Apomorphia-1/20 to 1/10 grain hypodermically.

Symptoms — Limbs
Clarke

Weariness of limbs.—Lancinations, throbbing, rheumatic pains, numbness in upper

and lower limbs.—Dislocated pains in joints.

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