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Materia Medica

Rheum Palmatum

Rhubarb
31 sectionsBoericke · 10Clarke · 21

At a glance

Cardinal features · auto-extracted from Boericke · Clarke
  • Whole child smells sour

Essence

Prologue
Boericke

Rhubarb (RHEUM)

Of frequent use in children with sour diarrhoea; difficult dentition. Whole child smells sour.

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Mentals

Mind
Boericke

Impatient and vehement; desires many things and cries (Cina).

Symptoms — Mind
Clarke

During whole day very unusual hilarity and gladness.—Illusions of

whispers.—Irritation of the mind making regular meditation impossible, and causing a sense of

dissatisfaction.

Generals

Symptoms — Generalities
Clarke

From 4 to 7 p.m., after mental exertion, faintness, not > by eating, drinking,

rest, &c.; at 7 as this began to diminish r.—sided headache began and was still felt on waking, 5

  • a.
  • m.
  • ; during the faintness urging to stool with inability, stool felt in 1.
  • side of rectum; by pressure

around anus round balls were evacuated, causing intense burning in anus; faintness ceased

instantaneously the moment the stool had passed.—Constipation lasting several days.

Modalities

Modalities
Boericke
Worse
uncovering, after eating, moving about

Head

Head
Boericke

Sweat on hairy scalp; constant and profuse. Cool sweat on the face, especially about mouth and nose.

Symptoms — Head
Clarke

On being disturbed at night aching in forehead, preventing further sleep.—Tearing in

forehead on being awakened; and at other times.—Headache alternating with diarrhea.

Eyes

Symptoms — Eyes
Clarke

Everything appeared as if the degree of light was lessened, principally the point

(print?) whilst reading, which continued during the following day.

Ears

Symptoms — Ears
Clarke

Stitches in membrana tympani; hearing more acute —In evening unnatural irritation of

sense of hearing, a constant whispering being heard as illusive as if caused by human beings; a

few times he went to see if there was not some one there.

Mouth

Mouth
Boericke
  • Much saliva.
  • Sensation of coolness in teeth.
  • Difficult teething; restless and irritable.
  • Breath smells sour (Cham).
Symptoms — Mouth
Clarke

Teeth feel blunt; every scraping and similar noise most disagreeable sensation in

them.—Teeth feel as if sand between them.

Symptoms — Teeth
Clarke

Digging pains in teeth which are carious.—Painful sensation of coldness in teeth (with

accumulation of much saliva).—Difficult dentition of children.—Teeth feel blunt.

Stomach

Stomach
Boericke

Desire for various kinds of food, but soon tires of all. Throbbing in pit. Feels full.

Symptoms — Appetite
Clarke

Loss of taste—Mawkish, clammy, or sour taste.—Bad taste after sleep.—Food has

a bitter taste—Appetite for different things, which, however, changes to disgust at the first

mouthful.—Dislike to fat and insipid food—Repugnance to coffee (not sweetened with

sugar).—Hunger without appetite.

Symptoms — Stomach
Clarke

Stinging pain in pit of stomach, which after two hours changed into a griping pain

in integuments of bowels.

Abdomen

Abdomen
Boericke

Colicky pain about navel. Colic when uncovering. Wind seems to rise up to chest.

Symptoms — Abdomen
Clarke

Distension of abdomen, with tension.—Pressure in umbilical region.—Cutting

and rumbling in abdomen as from flatulence —Nausea in abdomen.—Cuttings in abdomen, which

force a curving of the body, often shortly after a meal, < by standing; < from eating. —Colic: < at

once by uncovering an arm or leg; not > by stool; before and during stool, > after; with very sour

stools in acid children.—Incarceration of flatus, with aching and tension in chest—Palpitation and

jerking (swelling-bubbling sensation which seemed as if it could be heard) in abdominal

muscles.—Itching stitches in inguinal gland.

Stool

Rectum
Boericke
  • Before stool, unsuccessful urging to urinate.
  • Stools smell sour, pasty, with shivering and tenesmus, and burning in anus.
  • Sour diarrhoea during dentition.
  • Colicky, even ineffectual urging to evacuate altered fecal stools.
Symptoms — Stool and Anus
Clarke

The usually large stool passes with less difficulty than usual; piles

improved.—Stool in small round balls like cockles, with burning in anus during and for some

time after——Much odourless flatus passed——Tenesmus as if stool would come, but only flatus

passes.—Loud emission of flatus.—Diarrhoea with much wind, stool bubbling out; from 6 to 9

  • a.
  • m.
  • , when it ceased and a headache commenced.
  • —Passage of stool > faintness.
  • —Foul

stool.—Itching of anus, as if caused by the piles, stools tardy.

Female

Symptoms — Female Sexual Organs
Clarke

Bearing down in uterine region while standing.—Drawing burning

in |. ovarian region.—Urinary complaints after abortion —Milk yellow, bitter —Diarrhcea after

confinement.—Stitches in nipples.

Respiratory

Symptoms — Respiratory Organs
Clarke

Cough: dry in evening; with expectoration of mucus.—Snoring

inspiration during sleep.

Chest

Symptoms — Chest
Clarke

Dyspncea on breathing deeply, as from a weight on (upper part of)

  • chest.
  • —Lancinations in chest.
  • —Rush of blood to chest.
  • —Crackling bubbling (even audible) in r.
  • then |.
  • pectoral muscles.
  • —Palpitation of muscles of chest.
  • —Pains and lancinations in

breasts —Milk of nursing women bitter and yellow; the infant refuses the breast.

Neck & Back

Symptoms — Back
Clarke

Violent cutting, as if in lumbar vertebree, < from stool —Cutting-drawing in |. lumbar

region beneath short ribs, and in front of I. lower abdomen, just above pubes, or cutting in

intestines.—Tension in back and small of back.—Rigidity in loins and hips, which does not permit

standing upright.

Upper Limbs

Symptoms — Upper Limbs
Clarke
  • Aching in upper joint of r.
  • middle finger, evening.
  • —Intense aching |.
  • wrist,
  • evening.
  • —7 p.
  • m.
  • aching in r.
  • wrists.

Skin

Symptoms — Skin
Clarke

Pemphigus on face, scalp, and hands; face, lips, and tongue swollen; face livid

(poisoning cases).—Itching rash on forehead and arms.

Sleep

Symptoms — Sleep
Clarke

Sleep and yawnings.—Disturbed sleep at night, with tossing, cries, moaning and

snoring, or with convulsive quivering of eyelids, muscles of face, and of fingers, esp. in

children.—The hands are passed over the head when going to sleep, and during sleep.—Nocturnal

raving and moving about in bed, although eyes are closed.—After sleep, headache and dizziness;

or fetid mucus, of a putrid smell and taste, in mouth.—Anxious, sad, vivid dreams.

Fever

Symptoms — Fever
Clarke

Fever with sweat over face, 3 p.m., followed by chill; fever and chill alternated till 6

p.m.

Clinical

Clinical
Clarke
  • Anus, itching of; burning in.
  • Constipation.
  • Ears, pains in.
  • Hemorrhoids.
  • Headache.

Hearing, illusions of. Impotence.

Characteristics—The metal Rhodium is found in association with Platinum. The preparation of

it used by Hering was thus obtained: "A small quantity of Rhodium sponge, hydrate of potassa

and nitre were exposed to the action of the blowpipe until oxidised. After having the oxide well

washed and boiled in nitric acid for a few minutes and exposed to a gentle heat for an hour, the

nitrate was obtained from the oxide: a fluid of a golden colour, and of the consistency of syrup."

Dilutions of this were made, and the 4th was proved for Hering by Dr. Pehrson, the 2nd and 3rd

by Dr. Negendank. The bowels were affected in both, constipation with piles being relieved in

one, and constipation with itching of the anus being caused in the other. Some Peculiar

Symptoms were: Headache on being waked up in the night. Headache alternating with faintness.

Faintness > by passage of stool. Heat preceding chill and alternating with it. Sensation as if teeth

blunt; as if sand between them. Scraping or harsh noise = disagreeable sensation in teeth.

Hearing more acute; illusion that he hears whispering.

Relations

Relations
Clarke
  • Antidoted by: Camph.
  • , Cham.
  • , Coloc.
  • , Merc.
  • , Nux, Puls.
  • Antidote to: Canth.
  • , Mg.
  • c.

"May be given after abuse of Magnesia, with or without Rhubarb, if stools are sour" (H. C.

  • Allen).
  • Complementary: After Mg.
  • c.
  • when milk disagrees and child has sour odour.
  • Compatible: Ipec.
  • Followed well by: Bell.
  • , Puls.
  • , Rhus, Sul.
  • Compare: Botan.
  • , Polyg.
  • h.
  • ,
  • Rumex.
  • , Lapath.
  • Constituents: Chrys.
  • ac.
  • , Calc.
  • ox.
  • , Silic.
  • Foul breath, Querc.
  • , Arn.
  • < After
  • sleep, Lach.
  • , Nat.
  • m.
  • , Sul.
  • Sour stools, Hep.
  • , Mg.
  • c.
  • , Calc.
  • (Rhe.
  • has twitching of muscles of face
  • and fingers during sleep; also puts arms over head).
  • Queer positions, Plb.
  • Head sweat, Calc.
  • , Sil.
  • ,
  • Sanic.
  • < Uncovering, Rx.
  • c.
  • (Rhe.
  • , colic; Rx.
  • c.
  • , cough).
  • Screaming children with diarrhea,
  • Jalap.
  • Bubbling sensation, Berb.
  • Difficult dentition, Kre.
  • , Cham.
  • Sour body smell, Hep.
  • , Mg.
  • c.
  • (Mg.
  • c.
  • is deeper acting than Rhe.
  • ).
  • Impatience, Cin.
  • , Stp.
  • Children.
  • cry and toss all night, Pso.
  • As if ina dream, Ambr.
  • , Anac.
  • , Calc.
  • , Can.
  • i.
  • , Con.
  • , Cup.
  • , Med.
  • , Strm.
  • , Val.
  • , Ver.
  • , Ziz.
Relationship
Boericke

Compare: Mag phos; Hep; Pod; Cham; Ipec.

Antidotes: Camph; Cham.

Complementary: Mag carb.

Posology

Dose
Boericke

Third to sixth 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.
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