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Materia Medica

Ratanhia Peruviana

Krameria-Mapato
23 sectionsBoericke · 6Clarke · 17

At a glance

Cardinal features · auto-extracted from Boericke · Clarke
  • Violent hiccough
  • Graph; Eup ar
  • Pin worms

Essence

Prologue
Boericke

Krameria-Mapato (RATANHIA)

  • The rectal symptoms are most important, and have received much clinical confirmation.
  • It has cured pterygium.
  • Violent hiccough.
  • Cracked nipples (Graph; Eup ar).
  • Pin worms.
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Keynotes

Characteristics
Clarke
  • All parts of Rh.
  • fr.
  • appear to produce irritant and cathartic properties.
  • The

majority of the symptoms of the Schema were the result of the root bark, but the leaves were no

less active. Stools of a dark-green colour were observed, copious, thin or pasty. With the stools

there was much rumbling in the ileo-czecal region and along, the transverse colon with weakness

  • after stool.
  • (RA.
  • ca.
  • has rumbling, griping, and cutting pains in ileo-czecal region.
  • ) There was
  • more vomiting with Rh.
  • fr.
  • than with Rh.
  • ca.
  • , and the former was abandoned as a cathartic

because it so frequently produced vomiting instead. "Burning in urethra while urinating and

frequent micturition" may prove an indication in gonorrhea.

Head

Head
Boericke

Bursting in head after stool, and when sitting with head bent forward. Sensation as if scalp from nose to vertex were stretched.

Ears

Symptoms — Ears
Clarke
  • Tearing in ears.
  • —Itching and shooting in ear.
  • —Violent stitch in r.
  • ear; chirping in r.
  • ear;

crawling as if insect in r. ear.—Nocturnal tinkling, and ringing in ears.

Nose

Symptoms — Nose
Clarke

Itching in nose.—Violent itching on tip of nose > by rubbing.—Nostrils inflamed and

scabby, with burning sensation.—Epistaxis.—Violent nose-bleed, three times a day, for five days

in succession.—Dryness of nose, with frequent sneezing.—Dry coryza, with complete stoppage of

nose.

Mouth

Symptoms — Teeth
Clarke

Toothache in evening, esp. after lying down (compelling one to rise and walk about);

or in morning, generally with tearing or jerking, or at times with digging pains.—Pulsative pain in

teeth.—Bleeding of teeth.—Painful sensation of coldness and elongation in the molars, and as if

coldness rushed out of them.—( Violent pain in one |. upper incisor, which is painful to the

  • touch.
  • ).
  • —Acid blood from gums on sucking them.
  • —Burning at tip of tongue.

Stomach

Stomach
Boericke

Pain like knives cutting the stomach.

Symptoms — Stomach
Clarke

Thirst.——Diminished appetite —Aversion to food.—Eructations and efforts to

  • vomit.
  • —Nausea, with increased salivation.
  • —Frequent vomiting instead of diarrhoea.
  • —Sourish

vomiting.—Constant inclination to vomit—Warmth in stomach and abdomen.

Abdomen

Symptoms — Abdomen
Clarke
  • Distension.
  • —Profuse emission of flatus.
  • —Rumbling.
  • —Increased

sensitiveness.—Increased peristalsis.

Stool

Rectum
Boericke
  • Aches, as if full of broken glass.
  • Anus aches and burns for hours after stool.
  • Feels constricted.
  • Dry heat at anus, with sudden knife-like stitches.
  • Stools must be forced with great effort; protrusion of haemorrhoids.
  • Fissures of anus, with great constriction, burning like fire, as do the haemorrhoids; temporarily relieved by cold water.
  • Fetid, thin diarrhoea; stools burn; burning pains before and after stools.
  • Oozing at anus.
  • Pin-worms (Sant; Teuc; Spig).
  • Itching of anus.
Symptoms — Stool and Anus
Clarke
  • Itching in anus.
  • —Violent tenesmus.
  • —Thin pasty stools.
  • —Fifteen thin stools

with violent rumbling and gurgling, esp. in ileo-czecal region and along transverse colon,

followed by distension of abdomen, thirst, coated tongue, bitter taste and weakness.—Stools

without great urging, thick, pasty, dark green, copious.—Stools hard, scanty.—Constipation at

first followed by diarrhcea.

Female

Symptoms — Female Sexual Organs
Clarke

Pressure in groins, as of a general bearing down towards genital

organs, followed by leucorrhcea.—Leucorrheea with itching in rectum and discharge of bloody

mucus.—Catamenia too early and of too long duration, and too copious, with pains in abdomen

and loins —Metrorrhagia.—Miscarriage.—Uterine pains following retrocession of eruption on

loins.—Menses suppressed, with swelling of abdomen and breasts, simulating a pregnancy of

several months, accompanied by profuse leucorrhoea and constant pain in kidneys.—Menses

delayed.—Fissure of nipples in nursing women.

Male

Symptoms — Male Sexual Organs
Clarke

(The chronic gonorrhoea became much worse.).—Burning in root of

penis while urinating.—Itching in scrotum not > by scratching.

Chest

Symptoms — Chest
Clarke

Pressure at chest on the least exertion, with shortness of breath.—Violent pressure in

chest as from a stone, with short breath, on slight exertion.—Rush of blood and heat to chest,

with difficult breathing —Ulcerative pain in chest during and after coughing.—Burning stitch in

last ribs near back on stepping.—Pain as if cut to pieces in small spot in upper sternum.—Coarse

stitch as with a knife in sternum, felt at every breath on ascending steps, takes away breath—As

if pointed instrument sticking in sternum just above ensiform cartilage.—Sticking burning cutting

  • beneath 1.
  • chest, along one rib, evening.
  • —Sticking and drawing along I.
  • clavicle as if skin drawn
  • in.
  • —Stitch in |.
  • ribs, so violent it = her to cry out.
  • —Several fine stitches beneath |.
  • breast, on ribs,

extending downward.—Throbbing-burning, cutting and ulcerative pains beneath I. breast near pit

of stomach < motion, > pressure.—Painful constriction in both sides of chest—Shootings in

chest, esp. when going up stairs, with obstructed respiration —Congestion (of blood to) chest,

with heat, and impeded respiration.

Neck & Back

Symptoms — Neck and Back
Clarke

Drawing tension, from nape of neck to the bottom of spine.—Stiffness in

nape on turning head, > on violent motion.—Tearing in nape of neck, with heaviness of

  • head.
  • —Pain in loins and back, as if they had been beaten.
  • —Bruised pain in whole spine.
  • —Bruised

pain in loins and hips, morning rising, > on motion.

Upper Limbs

Symptoms — Upper Limbs
Clarke

Tearing in shoulder, arms, forearms, and wrists.—Spasmodic and painful

contractions in elbows and fingers.—Pain in bend of elbow (r.) when flexed, > when

  • extended.
  • —Violent tearing in r.
  • wrist.
  • —Jerking, tearing, and stitches in thumbs.

Lower Limbs

Symptoms — Lower Limbs
Clarke

Drawing and tearing in thighs, knees, legs, feet and toes.—Tension and

burning sensation in thighs.—Jerking in thighs, calves, and feet—Tearing from |. tendo Achillis

up.—Sprained pain in last joint of big toe, while sitting, > on motion.—Sticking and burning

  • tearing in |.
  • big toe —Tickling on heels and soles.
  • —Voluptuous itching in I.
  • sole.

24. Generalities—Weakness and prostration with anxiety and sweat over whole body.—Malaise

with frequent yawning, repeated and laboured attempts to draw a long breath and distressing

constriction across chest.—Sore pain frequently mingled with fine sticking now in chest now in

shoulders, &c.—Shooting pains, as from excoriation.—Jerking in different parts —Haemorrhage.

Skin

Symptoms — Skin
Clarke

Sickly skin.—Small red and white pimples which do not suppurate, esp. between

shoulders and on loins, remaining a long time.—Pimples; itching and burning after

scratching. —Formication and itching eruption on back.—Itching: in nape and between scapule;

on scrotum; front of thigh; bends of knees, &c.

Fever

Symptoms — Fever
Clarke

Violent chilliness.—Skin at one time warm, at another cold.

Rhamnus Frangula.

  • Rhamnus frangula.
  • Alder Buckthorn.
  • N.
  • O.
  • Rhamnacez.
  • Tincture and trituration of the

bark gathered in spring from the younger branches. Tincture of bark of root. Tincture of

ripe berries.

Clinical

Clinical
Clarke
  • Anus, itching of.
  • Appendicitis.
  • Ardor urine.
  • Ceecum, gurgling in.
  • Diarrhoea.

Flatulence. Urethritis. Vomiting.

Relations

Relationship
Boericke

Compare: Paeon; Croton (rectal neuralgia); Sanguin nit (diseases of rectum); Macuna prurens-Dolichos-piles, with burning; haemorrhoidal diathesis; Silico-sulphocalcite of Alumina; Stag-blast iron furnace cinder--(anal itching, piles, and constipation; housemaid's knee); abdominal flatulent distension and lumbago. Analogue to Lycopod.

Posology

Dose
Boericke

Third to sixth potency. Locally, the Cerate has proved invaluable in many rectal complaints.

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

Weakness and prostration in all limbs.

24. Generalities—Unable to rise; seemed to desire to press his head against the wall.

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