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Materia Medica

Paeonia Officinalis

Peony
31 sectionsBoericke · 9Clarke · 22

Essence

Prologue
Boericke

Peony (PAEONIA)

The rectal and anal symptoms are most important. Chronic ulcers on lower parts of body, leg, foot, toe, also breast, rectum.

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Keynotes

Characteristics
Clarke

Pconia belongs to the great order of Ranunculace¢, which includes the

Aconites, Actcas, and Hellebores. The proving brings out many symptoms of congestion—rush of

blood to head, face, chest; burning heat and redness of eyes and face; burning, itching, and

swelling of anus; heat in throat; in skin. The symptoms are well characterised, but it is

principally the anal and skin symptoms which have been verified in practice. One of the

symptoms of the proving is this: "A small ulcer on perineum near anus that constantly oozes very

offensive moisture; painful for eight days." This symptom has been expanded by clinical

observation, principally Ozanam's, into ulceration in general, ulcers from pressure, as bed-sores,

and from ill-fitting boots. "Sensation of splinter sticking in skin of right great toe when touched,"

and "violent pain as from pressure in left little toe," are guiding symptoms of the provings which

put that great prescriber on the right track here. The ulcers are the seat of severe shooting pains.

The symptoms of Ozanam's cases are bracketed in the Schema. These observations show the

relationship between Pcon. and the Hellebores. The situation of the ulcer of the proving, together

with the anal symptoms—biting, itching, swelling, burning—clearly point to Pcon. as a remedy in

anal affections such as abscess, fissure, fistula, and piles. The leading indications are intolerable

pain during and after stool and oozing of moisture. Experience has proved that varicose veins as

well as anal varices are amenable to Pcon. The dreams experienced by the provers were of a

terrifying nature; and it is interesting to note, as Geyer, one of the provers, does, that both

Dioscorides and Plinius cured nightmare with Pcon., the former with the seeds, the latter with the

root. Geyer was ignorant of this fact until after he had experienced the nightmare-causing power

of the drug. As the tissues are sensitive to pressure and injury, the mind is also sensitive:

"Griping pain in abdomen, preceded, and especially followed, by anxiety, trembling of legs and

arms as though he were frightened; he became apprehensive if any one spoke to him, and

unpleasant news affected him exceedingly." There is fainting with diarrhsa; and the stools are

followed by intense chilliness, occurring generally a few hours after he felt the worst. The

symptoms were < by motion; by walking. Bad pain in anus compelling him to walk the floor all

  • night; or to roll on the floor.
  • < Coming into warm room.
  • < Touch or pressure.
  • Keeping jaws open

> pressure from lower jaw to inner ear. Drinking water > vertigo with nausea. The right side is

more affected than the left.

Mentals

Symptoms — Mind
Clarke

Delirium.—Excitement.—Apprehension; in evening, with anxiety —Anxious, afraid to

talk with any one; much affected by bad news, after pinching in belly.—Ill-humour.—Depression;

after 5 p.m., with irritability.

Head

Head
Boericke
  • Rush of blood to head and face.
  • Nervous.
  • Vertigo when moving.
  • Burning in eyes and ringing in ears.
Symptoms — Head
Clarke

Vertigo: on every motion (in a warm room), with constant reeling and

staggering. —Dulness, heaviness, vertigo, and feeling of heat in head—Syncope and cold

  • sweat.
  • —Fulness; and rush of blood to head; after 5 p.
  • m.
  • , with pain below forehead; and to face

with sweat.—Pain and confusion of head.—Pain with dulness of head, roaring in ears, and

  • flickering before eyes.
  • —Gnawing headache.
  • —Headache, with pressive pain in |.
  • side, after a meal

(dinner).—Pain in forehead: in morning and evening, and in orbits; above |. brow, with

  • sticking.
  • —Jerking tearing in r.
  • temple, extending into head.
  • —Boring outward in r.
  • temple.
  • —Pain

in occiput and in nape.—Heaviness in occiput.

Eyes

Symptoms — Eyes
Clarke

Eyes red and watery.—Pain in |. eye; becoming a tearing, with inflammation, injection

of conjunctiva, difficult opening of eye on account of pain and photophobia, with

lachrymation.—Eyes dry, smarting, not easy to open.—Burning, itching and dryness; of eyes and

lids.—Violent tearing around r. eye-—Conjunctivitis of ball and lid, with lachrymation and

contracted pupils —Inflammation of |. ball, with pain as if a grain of sand were under upper

lid. —Sticking in r. upper lid towards inner canthus.

Ears

Symptoms — Ears
Clarke
  • Jerking in cartilages of ears.
  • —Sticking outward in r.
  • ear.
  • —Pinching behind r.
  • ear—One
  • ear cold, the other hot, 3 p.
  • m.
  • —Itching in concha.
  • —Ringing in ears; in I.

Nose

Symptoms — Nose
Clarke

Stoppage of nose: in evening, in morning in bed, with dryness.—Crawling in tip of

nose.

Face

Symptoms — Face
Clarke

Face red and puffy.—Burning heat in face.—Crawling in upper lip —Pain extending

from articular fossa of lower jaw through inner ear, > keeping jaws open for a long time, as, e.g.,

when drinking, < pressing them together.

Throat

Symptoms — Throat
Clarke

Biting posteriorly in palate in evening.—Hawking caused by tenacious mucus in

throat, with scanty expectoration.—Scraping in throat, necessity to cough and hawk to loosen it,

and feeling in posterior nares as if full of mucus.—Sensation as if an acrid, burning vapour

ascended throat.—Heat: in fauces extending to pharynx; in throat and ssophagus, <

hawking.—Swallowing difficult.

Stomach

Symptoms — Stomach
Clarke

Nausea (on entering a warm room after a moderate walk, with seething in head,

vanishing or obscuration of senses, and attacks of faintness).—Vomiting and painful

diarrhsa.—Anxious aching (pressing) in epigastrium.—Periodical sticking upward from middle of

epigastric region.—Burning in epigastric region at night.

Abdomen

Symptoms — Abdomen
Clarke

Borborygmi.—Griping pain in forenoon, preceded, and esp. followed, by

anxiety, trembling of limbs and arms, as if frightened, and apprehension when any one spoke to

him, unpleasant news affected him exceedingly.—Pinching in abdominal muscles. —Cutting; in

umbilical region.—Colic; with diarrhsa; transversely across upper abdomen.—Sensitiveness, <

along transverse colon and epigastric region, that were hard and retracted. —Crawling in

abdomen.

Stool

Rectum
Boericke
  • Biting, itching in anus; orifice swollen.
  • Burning in anus after stool; then internal chilliness.
  • Fistula ani, diarrhoea, with anal burning and internal chilliness.
  • Painful ulcer, oozing offensive moisture on perineum.
  • Haemorrhoids, fissures, ulceration of anus and perineum, purple, covered with crusts.
  • Atrocious pains with and after each stool.
  • Sudden, pasty diarrhoea, with faintness in abdomen.
Symptoms — Stool and Anus
Clarke

Biting itching in anus that provokes scratching in afternoon; the orifice

seems somewhat swollen.—Hémorrhoids with fissure in anus; intolerable pains during and after a

stool.—Hémorrhoids and ulceration of rectum.—Very painful and sensitive ulcers and rhagades in

rectum.—Very painful ulcer, partly in enlargement, round, sharp-cut edges, and exuding much

moisture.—Funnel-shaped ulcer just below coccyx.—Running and fetid ulcer in the anus, towards

the perineum.—Sudden pasty diarrhsa, with faintness in abdomen and burning in anus after stool,

returning after six hours, then internal chilliness, generally a few hours afterwards he felt the

worst.—Stools thin, frequent.

Urinary

Symptoms — Urinary Organs
Clarke

Constriction in region of neck of bladder, so that urine passed only in

driblets—Frequent and copious micturition, disturbing sleep at night—Micturition burning and

urine scanty.

Chest

Chest
Boericke

Sticking pain in left chest. Heat in chest. Dull shooting from front to back through heart.

Symptoms — Chest
Clarke

Sticking in |. chest; parallel with axis of body, on every inspiration from 3.30 to 5

  • and at 9 p.
  • m.
  • —Sticking: in r.
  • side near sternum, on a level with nipples, at 4 p.
  • m.
  • ; near r.
  • nipple,

< walking; to r. of ensiform process, with pressure; downward sticking in |. chest; backward

sticking as if through heart.—Sticking through whole 1. half of chest, beginning beneath clavicle

and extending to diaphragm, < region of heart at moment of expiration, and < walking.—Cutting

  • in |.
  • side when sitting bent over.
  • —Sharp pain in ribs above hepatic region, in morning.
  • —Pain:

near middle of sternum; beneath manubrium in morning; near both sides of lower part of sternum

when eating; in middle of sternum, > night, < next morning, and recurring all the forenoon.—Pain

beneath the heart as from anxiety—Throbbing extending through r. side and from posterior part

  • to nape, where it ended in intermitting pinching.
  • —Rush of blood.
  • —Heat in chest.
  • —(Ulcer on

lower part of |. breast, consequent on abscess which had never healed.)

Neck & Back

Symptoms — Neck and Back
Clarke

Sticking in last cervical vertebra.—Sticking in scapulc¢; in places in back, >

  • scratching.
  • —Pinching or griping now in dorsal, now in abdominal muscles.
  • —Boring in I.
  • scapula,

> motion.—Ulcers over sacrum, bed-sores.

Upper Limbs

Symptoms — Upper Limbs
Clarke

Acute lancinations under axill¢é.—Aching in r. upper arm, extending to region

of elbow, > motion.—Tickling as if an insect were creeping on forearm.—Tense feeling in

  • muscles across elbow on flexing arms.
  • —Cramp in ulna at wrist.
  • —Sticking griping in 1.
  • wrist,
  • behind thumb.
  • —Pain almost a tearing in 1.
  • finger-tips Shootings and tinglings in fingers.
  • —Dead

feeling in one finger.—R. ring finger, which received four weeks previously a blow from a blunt

rapier, seems as far as the first and second phalanges dead, cold, devoid of blood, shrivelled,

yellow, and without sensation, in afternoon.

Lower Limbs

Symptoms — Lower Limbs
Clarke

Cramp in r. knee (joint) when sitting.—Sudden thrusts (blows) outward or

  • inward side of |.
  • knee.
  • —(Ulcer on anterior surface of r.
  • tibia, from a blow.
  • —Chronic ulcer of r.

leg, serpiginous, spreading at edges; severe shooting pains hindering walking by day and rest by

  • night—Ulcer on |.
  • great toe; on dorsum of foot, from tight boots.
  • ).
  • —Sensation in lower part of

calf as if aponeurosis of muscles and tendons were tense or bruised, making walking difficult,

  • towards evening.
  • —Weary pain in ankles when sitting.
  • —Pain in corns.
  • —Swelling of toes, with

contraction, intermittent sticking (jerking pains) through them.—Sticking in skin of great toe, as

if pressed by shoe, in evening.—Pain in |. little toe as from pressure.

24. Generalities—Weakness: when walking, with heaving of chest and limbs, so that often she

must stand still; > eating, with heaviness of limbs.—< After sleep at night, at noon and in rainy

weather.

Extremities

Extremities
Boericke

Pain in wrist and fingers; knees and toes. Weakness of legs, inhibiting walking.

Skin

Skin
Boericke
  • Sensitive, painful.
  • Ulcers below coccyx, around sacrum; varicose veins.
  • Ulcers in general, from pressure, bedsores, etc.
  • Itching, burning, as from nettles.
Symptoms — Skin
Clarke

Painful ulcer, oozing offensive moisture on perineum, near anus.—Sensitive ulcers on

lower part of body.—Crawling in a spot on |. forearm, with a bristling sensation; sticking in the

fingers, in the sides; drawing beneath umbilicus, > scratching.—Itching: on calves, > rubbing; on

head, chest, and limbs, with burning biting as from nettles; prickling in open air, with sticking;

prickling on chest, then in axillé and arms down to sides of chest.

Sleep

Sleep
Boericke

Terrifying dreams, nightmare.

Symptoms — Sleep
Clarke

Sleepiness all afternoon.—Starting on failing asleep, even during day.—Sleep:

restless, and dreams unremembered; restless, disturbed the first night by burning in epigastric

region, afterwards by voluptuous dreams with emissions, or by anxious and vivid dreams of

death, &c.—Sleep unrefreshing, disturbed by many and unrefreshing dreams.—Dreams:

unremembered; frightful, of the death of relatives, &c.; quarrelsome; anxious; vivid, wonderful,

and amorous; amorous, with emission; amorous after midnight, disturbing sleep; of a ghost

sitting upon his chest and oppressing his breath, so that he often woke groaning; of a figure

sitting upon his chest, making respiration anxious.

Fever

Symptoms — Fever
Clarke
  • Shivering.
  • —Coldness of one ear at 5 p.
  • m.
  • , with heat of the other—Coldness of limbs,

with (burning) heat in face, back, and chest.—Heat: at night disturbing sleep; general, waking

after midnight, with heat in region of stomach.—Hot skin.—Heat in head; in face; as from nettles,

on chest, neck, back, and shoulders.—Rush of blood to head and face with sweat.

Clinical

Clinical
Clarke
  • Anus, fissure of; fistula of; affections of.
  • Bed-sores.
  • Breast, ulceration of.
  • Ciliary
  • neuralgia.
  • Coccyx, ulcer on.
  • Hémorrhoids.
  • Headache.
  • Head, rush of blood to.
  • Nightmare.
  • Perineum, ulcer on.
  • Sternum, pain in.
  • Ulcers.
  • Varicose veins.
  • Vertigo.

Relations

Relations
Clarke
  • Antidoted by: Alo.
  • , Ratan.
  • Compare: In varices, Ham.
  • In splinter sensation, anal
  • fissure and abscess, in ulcer, Nit.
  • ac.
  • In splinter sensation and ulcers, Arg.
  • n.
  • , Hep.
  • In ulcers,
  • Helleb.
  • n.
  • , Helleb.
  • v.
  • , Silic.
  • In ulcers about the toes, Magn.
  • aust.
  • In diarrhsa, Sul.
  • In effects of

bad news, Gels.

Relationship
Boericke

Compare: Glechoma-Ground Ivy--(rectal symptom). Hamam; Sil; Aesc; Ratanh (great constriction of anus; stools forced with great effort).

Antidotes: Ratanh; Aloe.

Posology

Dose
Boericke

Third potency.

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

Symptoms — Limbs
Clarke

Jerking and tearing in extremities; paroxysmal tearing, then numbness; weakness in

evening.

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