Sanguinaria Canadensis

The Blood-root, or Puccoon, commonly found throughout the United States

and Canada, is the sole representative of the genus Sanguinaria of the Papaveracec. It is

herbaceous, has a thick, branching root stock, which creeps along underground; and in early

spring sends up from the ends of the little side branches a single long-stalked leaf, and another

stalk bearing a solitary flower. The leaf is wrapped round the flower-bud when it rises from the

ground, and is bluntly five to nine-lobed, roundish at first, but afterwards kidney-shaped. The

American Indians formerly used the orange-coloured juice of the root for smearing their bodies,

and for staining various domestic articles. The plant has also been successfully used by

• ▸American and French dyers (Treas.
• ▸of Bot.
• ▸).
• ▸Hale says of the root: "It is succulent, and when cut

or broken emits from numerous points on the transverse surface a light orange, or rather dark

vermilion-coloured juice, which has a bitterish, acrid but peculiar taste, which remains long in

the mouth and leaves a persistent burning in the throat. The juice of the stem is between a red

colour and a yellow, as that from the stem of Chel. maj. is pure yellow, and that from Papaver

somnif. [Opium] is white." It is well to bear in mind the parallelism observable between these

three Poppies, no less in their medicinal than in their physical properties. The time for collecting

the root is early spring or late autumn. An alkaloid, Sanguinarin (identical with Chelerythrin of

Chelidonium majus), has been isolated, and the Nitrate of this has been studied separately. Hale

refers to a paper by Dr. Tully, published in 1813, in which Sang. is described as being analogous

in its action to Squills, Senega, Digitalis, Guaiacum, and Ammonia, which shows an accurate

conception of its range. In doses of from eight to twenty grains of the powdered root, Sang. is an

active poison producing Nausea; burning in stomach; tormenting thirst; faintness; vertigo

indistinct vision; violent, spasmodic efforts of the stomach, free vomiting, followed by alarming

• ▸prostration.
• ▸S.
• ▸L.
• ▸Mitchell has recorded fatal poisoning of four workmen who drank the tincture

in mistake for brandy. They were all soon seized with severe racking and burning pains in the

stomach and bowels with intense thirst. "Burning" is one of the leading notes of the remedy, and

• ▸is found in many different parts.
• ▸Winterburn has published (H.
• ▸M.
• ▸vii.
• ▸532) two cases illustrating

this indication in the region of the stomach: (/) Mr. F., 48, of sanguino-bilious temperament,

energetic, refined, had been ill with pains in the stomach several months. A clairvoyant had

recommended "a decoction of blood-root and bone-set in tablespoonful doses." Each dose

produced "intense burning pains in the stomach lasting for hours," and it had to be discontinued.

Several-weeks later Winterburn was consulted, and this is the condition he found: Burning in

epigastrium, with pressure, < at night, but coming on soon after lying clown and compelling

patient to arise. Eructations gave no >. Appetite great; bowels torpid, an unsatisfactory relief

each morning, leaving a sense of discomfort. Peculiar drawing pain in shoulders and arms during

sleep, so that when she woke the lists were tightly clenched and flexed on the sternal end of

clavicle; lameness and weariness of the muscles followed. Sang. 200, chosen after careful

comparison with Nux, Graph., and others, was given every night at bedtime. After the first dose

• ▸the symptoms disappeared "like magic," and the patient was soon well.
• ▸(2) Mrs.
• ▸S.
• ▸, 30, a chronic

inebriate, had been drinking steadily for three weeks when sickness and diarrhSa set in. Nux 1x

aggravated the nausea. Ars. 6 checked the diarrhSa and relieved the intense thirst, but did nothing

to allay the vomiting. Patient was irritable, angry. Everything she took, even water, was instantly

ejected. About every twenty minutes she had a spasm or cramp of the stomach, with gagging and

coughing, bringing up some frothy mucus. The straining caused great pain in chest and abdomen.

There was, besides, the most intense burning, extending from the stomach up the ssophagus to

pharynx, which felt swollen and dry. The only tolerable position was lying slightly turned on her

• ▸left side.
• ▸Lying on right side was impossible.
• ▸Rising from lying = vertigo.
• ▸Cheeks and hands

• ▸livid.
• ▸She believed she would soon die, and was unwilling to be left alone.
• ▸Sang.
• ▸200 was given

every two hours. By evening the nausea had ceased, but the burning pain remained as before.

The smallest particle of food gave great agony; it seemed as if a spot the size of a florin was

ulcerated, and any contact with this was excruciating. She slept better, but awakened next

morning in a fright. Next afternoon she was able to take a little solid food, and from that time

• ▸recovery was rapid.
• ▸Burning is a leading note of Sang.
• ▸Burning of eyes; of ears.
• ▸Tongue and

throat feel as if they had been burnt or scalded. Burning palms and soles. Burning in chest;

• ▸between breasts, streaming from breasts to abdomen.
• ▸Leonard (Min.
• ▸H.
• ▸Mag.
• ▸, ii.
• ▸295) says "a

circumscribed burning in the chest, commonly followed by heat through abdomen and diarrhsa,"

• ▸is a strong indication for Sang.
• ▸in pneumonic conditions.
• ▸Sang.
• ▸has also the circumscribed hectic

flush on the cheeks, as in phthisis, in which it is frequently indicated. (Sang. has also the

"hopefulness" of phthisical patients.) The flushed face, at times dark red or livid, is also a

• ▸prominent feature of Sang.
• ▸, as it is of Op.
• ▸Sang.
• ▸affects the whole respiratory tract, irritates the

nasal mucous membrane, and causes coryza, with pain at root of nose, lost or perverted sense of

smell, and sensitiveness to the odour of flowers. Influenza, hay-fever, ozéna, and polypus have

all come within its range. Laryngitis and membranous croup have been cured by it; and I have

found it meet a greater proportion of the tracheal and bronchial coughs of epidemic influenza

than any other remedy. The chief features are: Violent, dry cough; wheezing, whistling, metallic;

sputa almost impossible to raise. I have seen several cases of this kind rescued from apparently

imminent death by Sang., the relief conies by the expectoration of a thick plug of mucus which

• ▸was causing suffocation, and which the patient was too weak to dislodge.
• ▸Like Chel.
• ▸, Sang.
• ▸is a

right-side medicine, and affects especially the right lung; and is suited to pulmonary affections

with liver involvement. After influenza children often get a cough scarcely distinguishable from

• ▸whooping-cough.
• ▸I have found Sang.
• ▸the chief remedy for this.
• ▸It is also the remedy for severe

cough after whooping-cough—the cough returns with every fresh cold. Sang. also acts

powerfully on the outer chest, sternum, and mammé¢. Like Chel., it has a reputation for curing

cancer, polypi, and new growths. I have seen breast tumours diminish under its action.

Offensiveness and acridity characterise the discharges of Sang.; and the breath and flatus are also

offensive. Menses offensive, flow bright red; later blood darker and less offensive. Before

menses itching of axill¢. Eruption on the face of young women, especially during scanty menses.

Climacteric disorders: flashes of heat; leucorrhsa; painful enlargement of breasts. The headaches

of Sang. are of great intensity, and have some striking characteristics. They are (/)

periodic—every seventh day; (2) begin in the morning, increase to noon, and then diminish; (3)

are bursting, or as if the eyes would be pressed out; (4) begin at occiput, spread upwards and

forwards, and settle over right eye; (5) like a flash of lightning in occiput; (6) > by sleep; (7)

return at climacteric. Hering described the headache of Sang. as the "American sick-

headache"—rush of blood causing faintness and nausea, pains lancinating or throbbing. Can

neither bear light nor odours nor least jar, as any one stepping across the floor; at height of

headache vomiting of food and bile; pain so violent patient goes out of her mind or seeks relief

by pressing head against pillow or with the hands. Cooper gives as a keynote: "If he goes without

food, gets bilious headaches." Sang. has also neuralgia of the face > by kneeling down and

pressing head firmly against the floor; pain extends in all directions from the upper jaw. The ears

are strongly affected by Sang. Cooper gives me this case: Girl, 19, had her throat bad three years

from scarlatina, and lately increasing deafness; noises all over head, and vertigo and sudden

flushings in daytime; menses too frequent, and profuse leucorrh§sa; it pains tier to walk from

backache; had to give up teaching from this; appetite poor from the headaches and tinnitus; often

has pain behind angles of lower jaw and swellings of gland. All disappeared after a single dose

of Sang. R, though at first the leucorrhga was increased. "Fulness and tenderness behind angle of

jaws" is, according to Cooper, a keynote. Sang. causes many symptoms of rheumatism, but the

most characteristic is a rheumatic pain in right arm and shoulder; cannot raise the arm, < at night.

Pains in places where the bones are least covered. Peculiar Sensations are: As if paralysed. As if

• ▸forehead would burst.
• ▸As of a band across forehead.
• ▸As if head were drawn forward.
• ▸As if

electric current shooting through head. As if temples and scalp were alive with irrepressible

• ▸pulsation.
• ▸As if eyes would be pressed out.
• ▸As if hairs were in eyes.
• ▸As if she was in a railway

car which was moving and jarring her, and as if all about her moved rapidly and confusedly. Pain

like drawing a rope on a windlass as tight as possible. Tongue as if burnt. Tip of tongue as if

• ▸scalded.
• ▸Tongue as if in contact with something hot.
• ▸Throat as if swollen.
• ▸Throat so (try it seems

as if it would crack. Pharynx as if burnt or scalded. As if some hard substance in stomach.

Constriction in pit of stomach as if suffocating. As of a mass in lower part of rectum. As if upper

• ▸part of chest were too full of blood.
• ▸Larynx as if swollen.
• ▸F.
• ▸Nichol in giving Hale his experience

with Sang. in croup, says he used (following Paine, eclectic) a solution of Sanguinarin in

vinegar, and he found that the most effective preparation. The symptoms are < by touch. [A

painful sensitiveness is very characteristic of Sang.: Temporal veins painfully sensitive; head and

eye very painful; nipples sore.] Hard pressure >; (must kneel down and press head hard to floor

• ▸in neuralgia).
• ▸Slightest jar <.
• ▸Lifting = lumbago.
• ▸Lying dawn > rheumatism and headache; but <

• ▸cough and most other complaints.
• ▸Cough <.
• ▸Lying with head low < cough.
• ▸Lying on left side >.

< Lying on right side. Sitting up and passing flatus > cough. Motion; turning head quickly;

turning in bed; stooping; coughing; exercise <. Cannot raise arm from side but can swing it to

• ▸and fro (in rheumatism).
• ▸Eating <.
• ▸Going without food = headache.
• ▸> Eructations (mind

• ▸confused).
• ▸Swallowing <.
• ▸Vomiting > (Nausea; headache).
• ▸Smoking = hiccough, < At night.
• ▸>

• ▸After sleep.
• ▸Headache < by day, sunrise to sunset.
• ▸Cold open air >.
• ▸Cold room < cough.
• ▸Damp

weather <. The right side is more affected than the left. Symptoms go from right to left.

Periodicity is very marked.

Angry irritability; moroseness.—Anxiety and dread preceding the vomiting.—Mind

confused, > by eructations.—Mental torpor, stupor, heaviness, sleepiness.—Hopefulness,

sanguine of recovery.—Disgusting ideas ——Dreamy state with eyes open.

Great debility and weakness in limbs (esp. in morning on waking), whilst

• ▸walking in the open air.
• ▸—Paralysis of r.
• ▸side.
• ▸-—General torpor and languor——An uncomfortable,

prickling sensation of warmth spreading over whole body.—Weakness and palpitation of heart;

fainting weakness.—Convulsive rigidity of limbs.—We find this very useful where there is a pain

rising from the back of the neck over the top of the head, running down into the forehead; this

• ▸symptom may occur alone, or in connection with some other trouble (H.
• ▸N.
• ▸G.
• ▸).
• ▸—Often useful

for troubles occurring in females at the climacteric period of life—such as flashes of heat, &c. (H.

NG.)

• ▸Worse right side, sun headache.
• ▸Periodical sick headache; pain begins in occiput, spreads upwards, and settles over eyes, especially right. Veins and temples are distended.
• ▸Pain better lying down and sleep.
• ▸Headaches return at climacteric; every seventh day (Sulph; Sabad).
• ▸Pain in small spot over upper left parietal bone.
• ▸Burning in eyes.
• ▸Pain in the back of head "like a flash of lightning".

Vertigo: terrible; when moving head rapidly and looking upward; with nausea,

fainting, and headache; with ringing in ears; on rising from a sitting or stooping position; on

quickly turning the head; with dim vision; with dull, heavy feeling in stomach as if caused by

some hard substance there; in cold weather; during sleep; at climaxis——Head swims on lying

down suddenly; gets pain |. side of back near waist, as from spleen; bowels confined;

• ▸complexion spotty (cured in woman, 32.
• ▸—R.
• ▸T.
• ▸C.
• ▸).
• ▸—Sensation of heaviness in

head.—Determination of blood to head, with whizzing in ears; flushes of heat; accumulation of

• ▸water in mouth.
• ▸—Headache over whole head from 5 p.
• ▸m.
• ▸to midnight; then free; and then

• ▸sickness (vomiting) from 5 p.
• ▸m.
• ▸to midnight (agg.
• ▸—R.
• ▸T.
• ▸C.
• ▸).
• ▸—Headache, with rheumatic pains

and stiffness of limbs and neck.—Periodical sick headache; with vomiting of bile; begins in

morning, < during day, lasts till evening; < from motion, stooping, noise, and light; only

• ▸endurable when lying still, and > by sleep or after vomiting; esp.
• ▸severe over r.
• ▸eye.
• ▸—Headache

returns periodically.—Heaviness in head from vertex to centre of forehead, with pressing in

glabella and buzzing in head; eyes dull.—Terrific headache as if caused by approaching coryza

which does not come, in forehead and middle of vertex, with pressure in eyes, which burn and

are moved with difficulty.—Terrific headache during the fever —Dull, pressive frontal

headache.—Headache as if forehead would burst, with chill and burning in stomach.—Frontal

• ▸headache extending into cheek-bones.
• ▸—Headache or neuralgia over r.
• ▸eye.
• ▸—Headache as if it

must burst, or as if eyes would be pressed out; > walking in open air.—Headache with

• ▸shuddering.
• ▸—Headache begins in occiput, spreads upward, and settles over r.
• ▸eye.
• ▸—Pain in head

in rays drawing upwards from neck.—Headache with nausea and chilliness, followed by flushes

of heat, extending from head to stomach.—Headache with flushed face.—Pains in head in

spots.—Pains in head, which pass rapidly from one place to another, like electric

shocks.—Pulsations in head (throbbing headache), with bitter vomiting, < from

• ▸motion.
• ▸—Headache rising up from neck.
• ▸—Feeling as if head were drawn forward.
• ▸—Distension of

veins on head, esp. on temples, perceptible to the touch and sore.—Sensation of mobility in the

scalp.—Head very painful to touch; where pain has been.—Distension of veins in temples; sore

when touched.

• ▸Neuralgia in and over |.
• ▸eye.
• ▸—Burning and watering of r.
• ▸eye, which is painful to the

touch, followed by coryza.—Acute conjunctivitis with ecchymoses, tending to

• ▸trachoma.
• ▸—Blepharitis.
• ▸—Burning dryness in eyes; followed by copious lachrymation.
• ▸—Retinal

congestion with flushed face and congestive headache.—Yellow sclerotica, jaundice.—Catarrhal

ophthalmia, granular lids—Redness of eyes in morning.—Hard swelling like scirrhus over

eyebrows.—Dim eyes, with sensation as if hairs were in them.—Pain in eyeballs on moving

them.—Balls sore, with darting through them and dim vision.—Violent twittering before

eyes.—Vapour or cloud before eyes.

• ▸Burning in ears.
• ▸Earache with headache.
• ▸Humming and roaring.
• ▸Aural polypus.

Burning of ears, with redness of cheeks.—Earache, with headache, with singing in ears

and vertigo.—Humming and roaring in ears with painful sensitiveness to sudden sounds in

• ▸women at climaxis.
• ▸—Cracking in r.
• ▸ear while stroking cheek.
• ▸—Every stroke of a hammer heard

near a blacksmith's shop is painful to r. ear—Vein on r. temple swells up in woman, 50, subject

to neuralgia and old vascular deafness; after Sang. R, one dose, hearing improves for six days

• ▸strikingly, and then reverts (R.
• ▸T.
• ▸C.
• ▸).
• ▸—Throat affections causing deafness and earache.
• ▸—Acts

• ▸strongly on |.
• ▸Eustachian tube (Hydrast.
• ▸on r.
• ▸); acts on ethmoid cells specially (R.
• ▸T.

C.).—Increased redness of external ear, with humming and roaring in ears from increased

circulation of blood through aural structures.—Burning ears, cheeks red.—Aural polypus.

• ▸Hay-fever.
• ▸Ozaena, with profuse, offensive yellowish discharges.
• ▸Nasal polypi.
• ▸Coryza, followed by diarrhoea.
• ▸Chronic rhinitis; membrane dry and congested.

Fluent coryza with frequent sneezing; < r. side.—Heat in nose; coryza, rawness in

throat, pain in breast, cough, and finally diarrhsSa.—Coryza, watery, acrid; with tingling; with

heavy pain at root of nose and stinging in nose.—Dry coryza, as from a sudden cold.—Alternately

fluent and dry coryza.—Smell in nose like roasted onion.—Rose-cold, with subsequent asthma;

sick and faint from odour of flowers.—Loss of smell and taste —Dislike to odour of syrup.—Nasal

polypus.

• ▸Flushed.
• ▸Neuralgia; pain extends in all directions from upper jaw.
• ▸Redness and burning of cheeks. Hectic flush.
• ▸Fullness and tenderness behind angle of jaws.

Circumscribed redness of one or both cheeks.—Paleness of face, with disposition to

• ▸vomit.
• ▸—Pain in cheek.
• ▸—Stitches |.
• ▸side of face with pains in forehead.
• ▸—Neuralgia in upper jaw,

extending to nose, eye, ear, neck, and side of head; shooting, burning pains; must kneel down

and hold head tightly to the floor—Face bloated, with sensation of rigidity and fulness —Veins

distended, feel stiff and sore to touch —Twitching of cheeks toward eyes.—Stiffness of

• ▸articulation of jaws.
• ▸—Fulness and tenderness behind angles of jaw (a keynote.
• ▸—R.
• ▸T.
• ▸C.
• ▸).
• ▸—Red

cheeks: with burning ears; with cough.—Lips feel dry. —Under lip burns, is swollen, hard, and

blistered; blisters dry up and form crusts which fall off.

Pricking on the point of the tongue.—Tongue feels as if burned or as if sore; is coated

white —White coated tongue with slimy, fatty taste——Red streak through middle of tongue.—Tip

• ▸of tongue burns as if scalded.
• ▸—Pricking in tip of tongue.
• ▸—Stitches in |.
• ▸side of tongue.
• ▸—Crawling

on tip of tongue followed by astringent sensation of whole tongue, on waking.—Dry, acrid

sensations, beginning r. side and extending over whole tongue.—Prickling on tongue and hard

palate as after chewing Mezereum.—Sweet things taste bitter, followed by burning in

fauces.—Loss of smell and taste; with a burnt feeling on tongue.—Sore on gums and roof of

mouth.—Fetid breath, clammy mouth, sticky teeth —White patches on mucous membrane.

Pain in hollow teeth, esp. when touched by food.—Toothache from picking

teeth.—Pain in carious teeth after cold drinking —Looseness of teeth (with salivation).—Bleeding,

spongy, fungoid gums.

Ulcerated sore throat, as if raw and denuded.—Feeling of swelling in throat on

• ▸swallowing, < on r.
• ▸side.
• ▸—Throat feels swollen as if to suffocation, aphonia.
• ▸—Tonsillitis,

promotes suppuration.—Throat so dry, seems as if it would crack.—Feeling of dryness in throat

(with tickling cough), not > by drinking. —Sensation in pharynx as if scalded by hot

• ▸drink.
• ▸—Uvula sore and burning.
• ▸—Burning pharynx and ssophagus.
• ▸—Heat in throat > by drawing

in cold air.—Inflammation in throat—Warming sensation in fauces, esp. soft palate—Burning in

fauces extending to centre of sternal region.

• ▸Swollen; worse, right side.
• ▸Dry and constricted.
• ▸Ulceration of mouth and fauces, with dry, burning sensation Tongue white; feels scalded.
• ▸Tonsillitis.

• ▸Aversion to butter.
• ▸Craving for piquant things.
• ▸Unquenchable thirst.
• ▸Burning, vomiting.
• ▸Nausea, with salivation.
• ▸Sinking, faint all-gone feeling (Phos; Sep).
• ▸Spitting up of bile; gastro-duodenal catarrh.

Craving for he knows not what, with loss of appetite; wants piquant, spiced

things.—Loss of appetite with great weakness of digestion —Aversion to butter, which leaves a

sweetish taste.—Sugar tastes bitter and = burning.—Tormenting thirst—Sweet things <, =

burning.—Soon after eating: feels empty; difficult breathing, nausea, waterbrash, lassitude almost

to fainting, cold sweat to 12 p.m., after a little food —If goes without food, gets bilious headaches

• ▸(keynote.
• ▸—R.
• ▸T.
• ▸C.
• ▸).

Burning in stomach, with headache.—Inflammation of stomach.—Sensation of

emptiness in stomach soon after eating (faint, feverish feeling).—Soreness and pressure in

epigastrium; < after eating —Hiccough whilst smoking.—Spasmodic eructation of

• ▸flatus.
• ▸—Frequent fetid eructations with disposition to vomit and pale face.
• ▸—Pyrosis.
• ▸—Nausea,

which is not > by vomiting.—Extreme nausea with great salivation and constant spitting.—Nausea

with headache, and with chill and heat.—Vomiting preceded by anxiety Vomiting: of bitter

water; of sour, acrid fluids of ingesta; of worms; with craving to eat in order to quiet the

nausea.—Vomiting and diarrhsa.—Sudden attacks of constriction in pit of stomach as if

suffocating.—Goneness with sick headache.—Jerking or jumping in stomach as if from something

alive.—Neurosis of stomach.—Pain in stomach-pit extending down into bowels, causing

rumbling.

• ▸Diarrhoea as coryza improves.
• ▸Pain over region of liver.
• ▸Diarrhoea; bilious, liquid, gushing stool (Nat sulph; Lycop).
• ▸Cancer of rectum.

Hot streaming from breast towards liver.—Sensation as if hot water poured itself

from breast into abdomen, followed by diarrhsa.—Dull burning in r. hypochondrium and

• ▸chest.
• ▸—Awoke with severe pain in region of spleen.
• ▸—Violent stitches in spleen.
• ▸—Pain in 1.

• ▸hypochondrium; < by coughing, > by pressure and lying on |.
• ▸side.
• ▸—Jaundice.
• ▸—Liver-

cough.—Colic, with torpor of liver—Beating and spasms in abdomen.—(Flatus, cough and

• ▸sneezing.
• ▸—R.
• ▸T.
• ▸C.
• ▸).
• ▸—Flatulent distension of abdomen, evening, with escape of flatus from

• ▸vagina (the os uteri being dilated).
• ▸—Beating in abdomen.
• ▸—Induration in abdomen.
• ▸—Cutting

• ▸bellyache from r.
• ▸to 1.
• ▸of iliac fossa, thence to rectum.
• ▸—Throbbing in abdomen.
• ▸—Shooting pains

through bowels extending to lower limbs, afternoon.—Knife-thrusts in abdomen followed by

watery stools.—Cramp extending from place to place.

Ineffectual urging to stool; then vomiting. —Urging to stool, afternoon, but

only discharges of flatus.—Distressing, cutting, spasmodic sensation in rectum in evening;

recurred several days.—In effectual desire with sensation of thick mass in anus; repeated several

times in the day without stool.—Diarrhsic stools with much flatulence.—Copious apple-green

• ▸stools with flatus (offensive) and sudden urging (agg.
• ▸—R.
• ▸T.
• ▸C.
• ▸).
• ▸—Frequent discharges of very

offensive flatus—Colic followed by diarrhsa.—Diarrhsa with disappearance of coryza, catarrh, or

• ▸pains in chest and cough.
• ▸—Stools undigested.
• ▸—Dysentery.
• ▸—Alternate diarrhsa and

constipation.—Constipation; stools in hard lumps—Hémmorrhoids.

Dull, heavy pain across kidneys.—Pain from kidneys penetrates r. iliac

fossa, then shoots through sigmoid flexure to rectum.—Frequent and copious nocturnal urination,

• ▸urine as clear as water.
• ▸—(Retention of urine consequent on gravel and calculus.
• ▸).
• ▸—Urine is thick

• ▸and white next day (agg.
• ▸from 200th.
• ▸—R.
• ▸T.
• ▸C.
• ▸).
• ▸—Copious urination goes on all night with much

• ▸>to chest symptoms (in a lady.
• ▸—R.
• ▸T.
• ▸C.
• ▸).
• ▸—Very copious urine at night, with pain in 1.

hypochondrium; < from coughing; > from pressure and lying on |. side.—Urine: dark yellow;

high-coloured, red sediment.—Ardor urin¢.

• ▸Leucorrhoea fetid, corrosive.
• ▸Menses offensive, profuse.
• ▸Soreness of breasts.
• ▸Uterine polypi.
• ▸Before, menses, itching of axillae.
• ▸Climacteric disorders.

Climacteric disorders, esp. flushes of heat and corrosive, fetid

leucorrhsa.—Burning of palms and soles at climaxis compelling to throw off clothes.—Painful

enlargement of breasts at climaxis.—Abdominal pains as if menses would appear.—[Delaying

menses, chilliness followed by flushes of heat and occasional palpitation, faintness, vertigo,

nausea, and violent vomiting, burning in Ssophagus, neuralgia in r. temple, in 1. chest (mamma)

and lower extremities, occasional hacking cough and gastralgia.—Carmich¢l.]—Menstruation too

early, with a discharge of black blood —Menses: more profuse than usual; with headache r. side;

at night time, very offensive, putrid, bright red, clotting, becoming darker towards end and less

• ▸offensive.
• ▸—Amenorrhoea.
• ▸—Metrorrhagia.
• ▸—DysmenorrhSa of feeble, torpid subjects, with

tendency to congestion of lungs, liver, or head.—Burning pain between breasts in afternoon, < on

• ▸r.
• ▸side.
• ▸—Shootings in bosom and pain in mammé as from excoriation.
• ▸—The nipples are sore and

• ▸painful.
• ▸—Stitches in nipples, esp.
• ▸r—Sharp, piercing pain in r.
• ▸breast, just beneath nipple; < deep

breath, some dyspnsa.—Pain in r. breast extends to shoulder, can hardly place hand on

head.—Threatened abortion, pains in loins extending through epigastric and iliac regions and

down thighs.—Hydrops uteri.

Burning in glans —Emissions two nights in succession; after which

he felt very well.—Gleet; old cases.—Cheesy secretions from glans (syphilis).

• ▸OEdema of larynx.
• ▸Trachea sore.
• ▸Heat and tension behind the sternum.
• ▸Aphonia.
• ▸Cough of gastric origin; relieved by eructation.
• ▸Cough, with burning pain in chest; worse, right side.
• ▸Sputum tough, rust-colored, offensive, almost impossible to raise.
• ▸Spasmodic cough after influenza and after whooping-cough.
• ▸Cough returns with every fresh cold.
• ▸Tickling behind sternum, causes a constant hacking cough; worse at night on lying down.
• ▸Must sit up in bed.
• ▸Burning soreness in right chest, through to right shoulder.
• ▸Severe soreness under right nipple.
• ▸Haemoptysis from suppressed menses.
• ▸Severe dyspnoea and constriction of chest.
• ▸Offensive breath and purulent expectoration.
• ▸Burning in chest as of hot steam from chest to abdomen.
• ▸Fibroid phthisis.
• ▸Pneumonia; better, lying on back.
• ▸Asthma with stomach disorders (Nux).
• ▸Valvular disease with lung development, phosphates in urine and loss of flesh.
• ▸Sudden stoppage of catarrh of air passages brings on diarrhoea.

Dryness in throat and sensation of swelling in larynx; with

expectoration of thick mucus.—Aphonia with swelling in throat —Sdema of larynx.—Tickling in

throat, evening, after lying down, with dry, hacking cough and headache.—Crawling sensation

extending down behind sternum. Tracheal irritation secondary to heart disease.—Croup: hearse,

muffled cough; complete aphonia; spasmodic cough, painful crowing, stridulous

breathing. —Cough dry, tickling in throat-pit—Distressing, spasmodic, exhaustive cough.—Dry

cough, awakens him from sleep, which did not cease until he sat upright in bed, and flatus was

discharged both upwards and downwards.—Continual severe cough, with circumscribed redness

of cheeks, with pain in chest; with coryza, then diarrhsa.—Coughs in old men with |. earache, and

pains going from 1. throat to ear—Expectoration: tough; difficult; rust-coloured; extreme

dyspnSa; hepatisation—Breath and sputa smell badly even to patient—Pulmonary consumption,

expectoration and breath exceedingly offensive —Whooping-cough.—Severe cough after

whooping-cough; the cough returns every time patient takes cold.—Asthma: excessive dyspnsa;

esp. after "rose-cold," < from odours.

• ▸Hydrothorax.
• ▸—Hémoptysis.
• ▸—Pneumonia: catarrhal; chronic; r.
• ▸side; 1.
• ▸side, with

heart disease.—Typhoid pneumonia, with very difficult respiration, cheeks and hands livid, pulse

full, soft, vibrating, and easily compressed.—Severe dyspnSa and constriction of chest, with

• ▸inclination to take deep inspirations.
• ▸—Sharp stitches in r.
• ▸chest.
• ▸—Stitches in lower part of |.
• ▸breast

to shoulder.—Pain in breast with periodic cough.—A shooting, sticking pain beneath

• ▸sternum.
• ▸—Persistent pain beneath sternum and in r.
• ▸breast.
• ▸—Intense burning between breasts, < r.

side.—Sharp, piercing, neuralgic pain half-way between sternum and nipple.—Hot, burning

• ▸streaming from r.
• ▸chest to liver.
• ▸—Pain under |.
• ▸clavicle on waking.
• ▸—Constriction across both

breasts.—Violent stitches under short ribs.—Burning and pressing in breast, followed by heat

through abdomen and diarrhsa.—Pain in r. chest to shoulder; can only with difficulty place hand

to head.

Painful stitches or pressive pain beneath précordial region. Surging of blood and

racing palpitation, with dry and burning skin.—Weak feeling about heart—Metastasis of

rheumatism (or gout) to heart from outward applications.—Palpitation of heart.—Irregularity of

heart's action and of the pulse, with coldness, insensibility, &c.—Pulse slow, irregular, feeble.

Soreness of nape on being touched.—Rheumatic pain in nape, shoulders,

• ▸and arms.
• ▸—Pain in r.
• ▸side of neck as if strained; in |.
• ▸side.
• ▸—Soreness down muscles of back; pains

shifting about; feels pain more when drawing long breath.—Pain in inner border of r. shoulder-

blade.—Pain in sacrum from lifting; the pain in sacrum is > on bending forward.—Pain in sacrum

and bowels.

Itching in axill¢é before menses.—Rheumatic pain in r. arm and shoulder, < at

night in bed; cannot raise arm; motion (turning in bed) much < it.—Pain in top of r.

• ▸shoulder.
• ▸—Pain in r.
• ▸deltoid.
• ▸—R.
• ▸arm hung helpless.
• ▸—Coldness in body and r.
• ▸arm.
• ▸—Burning of

• ▸palms.
• ▸—Stiffness of finger-joints——Aching in ball of r.
• ▸thumb.
• ▸—Fungoid growth between second

and third metacarpal bones, protruding about a quarter of an inch out of palm.—Ulceration at

• ▸roots of nails on all the fingers of both hands.
• ▸—Panaritium, first r.
• ▸then |.
• ▸finger—Shooting pains

from r. thumb to symphysis menti.

• ▸Rheumatic pain in |.
• ▸hip.
• ▸—Rheumatic pain inside of r.
• ▸thigh.
• ▸—Bruise-like

pain in thigh, alternating with burning and pressure in chest.—Stiffness of knees.—Burning of

soles, < at night.—Rheumatic pains in limbs; pain in those places where the bones are least

covered with flesh, but not in the joints; on touching the painful part the pain immediately

vanished and appeared in some other part.—(Have seen ulcers connected with carious ankles and

• ▸shins change almost visibly after Sang.
• ▸—Gutteridge).
• ▸—Sharp pain in r.
• ▸ankle and great toe-

joint.—Cold feet, afternoon.

• ▸Rheumatism of right shoulder, left hip-joint and nape of neck.
• ▸Burning in soles and palms.
• ▸Rheumatic pains in places least covered by flesh; not in joints soles of feet burn.
• ▸Right-side neuritis; better touching the part.

• ▸Antidotes: Rhus poisoning.
• ▸Red, blotchy eruptions; worse in spring.
• ▸Burning and itching; worse by heat.
• ▸Acne, with scanty menses.
• ▸Circumscribed red spots over malar bones.

Heat and dryness of skin.—Itching and nettle-rash before the nausea.—Old, indolent

ulcers, with callous borders and ichorous discharge.—Nasal polypi; fungus

excrescences.—Jaundice.—Eruption on face of young women with menstrual troubles, esp.

deficiency.—Scaly eruptions, carbuncles.—Rhus poisoning.

Drowsiness causing mental and bodily indolence.—Sleeplessness at night; awakens in

a fright as if he would fall—Can't sleep without brandy.—Slightest noise disturbs, yet is sleepy

• ▸and dreamy.
• ▸(R.
• ▸T.
• ▸C.
• ▸).
• ▸—Dreams: of sea voyages, with sensation of being rocked; of business

matters; frightful.

Pulse too frequent and full—Coldness of feet in afternoon, with painful, sore tongue;

stiffness of knee and finger-joints——Chill and shivering in back, evening, in bed —Shaking

chill —Chill with nausea, headache.—Heat flying from head to stomach.—Fever heat and

delirium.—Burning heat rapidly alternating with chill and shivering.—Intermittent fevers; marsh

fevers; nervous fever.—Fever from pulmonary, hepatic, or gastric inflammation.—Copious sweat;

cold sweat.

• ▸Alcoholism.
• ▸Aphonia.
• ▸Asthma.
• ▸Breast, tumour of.
• ▸Bronchitis.
• ▸Cancer.
• ▸Catarrh.
• ▸Chest,

• ▸pains in.
• ▸Climaxis.
• ▸Cold.
• ▸Croup.
• ▸Deafness.
• ▸Diphtheria.
• ▸Dysmenorrhsa.
• ▸Dyspepsia.
• ▸Ear, polypus

• ▸of.
• ▸Flushes, climacteric.
• ▸Gleet.
• ▸Granular lids.
• ▸Hémoptysis.
• ▸Headache.
• ▸Influenza.
• ▸Keratitis.
• ▸Liver-

• ▸cough.
• ▸Menstruation, breasts painful during.
• ▸Nails, ulceration of.
• ▸Neuralgia.
• ▸Sdema glottidis.

• ▸Ophthalmia.
• ▸Pharyngitis.
• ▸Phthisis florida.
• ▸Physometra.
• ▸Pneumonia, acute.
• ▸Polypus.
• ▸Pregnancy,

• ▸affections during.
• ▸Pyrosis.
• ▸Quinsy.
• ▸Rheumatism.
• ▸Rhus poisoning.
• ▸Shoulder, rheumatism of.

• ▸Smell, illusions of; loss of.
• ▸Stomach, neurosis of.
• ▸Syphilis.
• ▸Tinnitus.
• ▸Tumours.
• ▸Vomiting.

Whitlow. Whooping-cough.

• ▸/t antidotes: Opium.
• ▸Compatible: Bell.
• ▸(scarlatina).
• ▸Compare: Botan.
• ▸, Chel.
• ▸, Op.
• ▸In

• ▸rheumatism of right deltoid, Mg.
• ▸c.
• ▸(of left, Fer.
• ▸, Nx.
• ▸m.
• ▸).
• ▸Headache extending forward from

• ▸occiput and settling over (right) eye, Spi.
• ▸(left eye), Sill.
• ▸, Sep.
• ▸(both eyes); extending forward,

• ▸Gels.
• ▸, Lac c.
• ▸; (backward, Anac.
• ▸, Bry.
• ▸, Chi.
• ▸s.
• ▸, Naj.
• ▸, Nux).
• ▸Headache > by hard pressure, Chi.
• ▸,

• ▸Indg.
• ▸, Mg.
• ▸m.
• ▸Paroxysms of headache ending in profuse urination, Ign.
• ▸, Gels.
• ▸, Ver.
• ▸Menstrual

• ▸headache, Sep.
• ▸(Sep.
• ▸scanty flow; Sang.
• ▸profuse).
• ▸Offensive breath with cough, Caps.
• ▸Faint from

• ▸odours, Pho.
• ▸, Ig.
• ▸, Val.
• ▸, Nux.
• ▸Right-side, throbbing, congestive headache, < light and noise, Bell.

(Bell. has "cold feet, hot head," and is > sitting propped up; Sang. headache has more of the

• ▸gastric form, and is > lying down), Meli.
• ▸Periodic sick headaches, Ir.
• ▸v.
• ▸(Ir.
• ▸v.
• ▸every eighth day;

• ▸every seventh, Saba.
• ▸, Sang.
• ▸, Sil.
• ▸, Sul.
• ▸).
• ▸Pneumonia, Ver.
• ▸v.
• ▸(more marked arterial excitement),

• ▸Pho.
• ▸, Ant.
• ▸t.
• ▸(face livid, blood carbonised, rattling cough), Sul.
• ▸(resolution imperfect).
• ▸—(Sang.

has sputa very offensive, even to patient). Rheumatism of right ankle, Chel. > Lying left side,

• ▸Lil.
• ▸t.
• ▸Painfulness to touch of parts where pain has been, Lcprs.
• ▸Sensitive to sudden sounds, Brx.

• ▸Jerking or jumping as from something alive in stomach, Croc.
• ▸Physometra, Lyc.
• ▸, Bov.
• ▸Liver-

• ▸cough (Scil.
• ▸spleen-cough).
• ▸Pain in bones covered only with skin, Rh.
• ▸ven.
• ▸Laryngeal and nasal

• ▸polypi, Sang.
• ▸n.
• ▸, Pso.
• ▸, Teuc.
• ▸Eruption on face of young women during scanty menses, Bels.
• ▸,

• ▸Calc.
• ▸, jamb.
• ▸, Pso.
• ▸Right-side complaints; right to left, Lyc.
• ▸, Chel.
• ▸> By sleep, Pho.

Complementary: Tart em.

Compare: Justicia (bronchial catarrh, coryza, hoarseness; oversensitive). Digitalis (Migraine). Bell; Iris; Melil; Lach; Ferr; Op.

Tincture in headaches; sixth potency in rheumatism.

It is not a very long acting remedy. When a periodic sick headache

is interrupted by Sanguinaria, if a deeper drug, an antipsoric, is not

given, the headache will return or something worse will come on, as

Sanguinaria does not go deep into the nature of the case. I remember

a case in which the patient missed his Sanguinaria headache and an

sancuinabia

epithelioma developed, which was cured by Phosphorus. I am convinced that if Phosphorus had been given at the end of the attack the

cancer would not have developed, as Phosphorus was his constitutional

remedy. If a chronic sick headache is interrupted the patient will tend

to phdiisis. Chest troubles come on and grow worse and worse. Its

ability to palliate phthisis is very well known.

A patient much debilitated with bronchial catarrh ; susceptible to*

cold, to every change in the weather, from change to damp weather,

to every draft, to change of clothing ; always taking new ‘‘cold.*'

There is burning in the chest behind the sternum ; thick, tough, ropy

expectoration ; spasmodic cough, and every cough ends in belching ;

eructations of gas ; empty eructations. If to the burning in the chest,

the severe pains in the larynx and trachea when talking, and cough

ending in belching, you add heat in the palms and soles, Sanguinaria

will patch him up and mitigate the trouble. Many such cases get

Sulphur, but to their destruction. There is a class of remedies that

suits these phthisical patients better than Sulphur, Silicca and Graphites ; remedies such as Pulsatilla, Sanguinaria, Senecio gracilis and

Coccus cacti, which palliate, mitigate his suflerings, and may even build

him up so that he could take a medium potency of a deep remedy. But

the deeper remedies ought to be avoided if the vital force is low, if the

body is too much damaged to be repaired. Hahnemann warned against

the use of Phosphorus in such cases of | deficient vitality. Sanguinaria

is a surface remedy ; it does excellent palliation.

Catarrhal conditions of nose and threat, especially those due to colds

and to poisonous plants ; also rose colds.^ The Sanguinaria patient has

‘*rose colds^’ in June. Sensitive to flowers and odors ; subjects with

hay fever. Hay fever patients with burning in the nose, in the throat,

as if dry ; as if the mucous membrane would crack open. Dryness and

burning in the larynx, with hoarseness ; dryness and burning throughout the chest, with asthma ; associated with burning of the palms and

soles. Examination shows the palms to be dry, wrinkled and hot to

the touch ; so, also, the soles, where the skin is thickened and indurated.

Corns that burn ; the tocsi burn and the patient puts the feet out of bed

for relief.

When the headache is present it seems to be a general congestive

headache ; although beginning in the morning, coming up the back and

extending to the right eye, the whole head is hot and aches.

Sulphur, Silicea and Sanguinaria have periodic weekly headaches.

Arsenicum has a headache every two weeks. Not that these remedies

will not cure other headaches, for Sanguinaria has also a headache

every three days. The majority of headaches coming every two weeks

are cured by Arsenicum or greatly mitigated in broken down constitutions. The attempt to cure a cluronic sick headache should be made

SANCUINAAIA

before the senile decline.

'‘Pulsations in the head with bitter vomiting ; aggravated by motion.’’ The headache is generally aggravated by motion, but not so

strikingly as in Bryonia. When the Sanguinaria headache increases

towards the afternoon or night, it becomes so severe he must go to

bed ; and the head becomes sore, and then a step or jar is extremely

painful A severe headache is likely to be disturbed by light, noise,

motion, etc.

“Headache as if forehead would burst with chill, and burning in

• ▸stomach.
• ▸” “Headache over right eye.
• ▸” This is a characteristic feature.
• ▸“Periodic sick headache ; begins in the morning, increases durihe day, lasts till evening ; head feels as if it must burst, or as if

eyes would be pushed out ; throbbing, lancinating pains through brain,

worse on the right side, especially in the forehead and vertex ; followed

by chills, nausea, vomiting of food or bile ; must lie down or remain

quiet ; ameliorated by sleep.” Some of these things are not found in

every case, but they all go to make up a Sanguinaria headache.

All sorts of neuralgic pains ; cutting, tearing, lacerating pains ; as if

the muscles were torn, or put on a stretch. Tearing pains anywhere,

neuralgic or rheumatic. Pains about the scalp, but more particularly

about the shoulder and neck ; stiff neck ; cannot turn over in bed ; cannot raise the arm, though he can swing it back and forth. Pain streaks

up the neck ; pain in the deltoid. It prefers the right side, but also

cures the left side. Rheumatic pains in the right shoulder so that ho

cannot raise the arm, and all the muscles of the neck and back of the

neck become involved ; stiff neck. If the pain comes on in the day it

increases as the day advances to night. Complaints are worse at night

in Sanguinaria,

A patient comes to you after exposure to cold ; he cannot raise the

arm ; it hangs by his side ; pain worse at night in bed, worse turning

over (as he uses the shoulder muscle to turn over). It is probably in

the deltoid, but you need not speculate on the tissues involved.

It competes with Ferrum. All red-faced, highly-flushed people, who

cannot raise the arm and have pain which is worse in the daytime, not

night, and ameliorated by slow motion need Ferrum. Sanguinaria is

not relieved by motion ; it is aggravated by such motion as calls the arnu

into use. Ferrum has relief from slow motion, aggravated from rapid

motion and the pain comes in the daytime. While Ferrum has a uniformly red, plethoric face, Sanguinaria has a pale face. In the chest

complaints Sanguinaria has a circumscribed red spot over the malar

bones, such as seen in hectic patients.

Headache from stomach disturbances, overeating, rich food, drinking wine. Almost as useful as Nux in old drinkers. Those who disorder their stomachs and weaken their digestion by beer drinking ; they

cannot eat ; vomiting of even a teaspoonful of water. No food or

drink stays on the stomach. Headaches associated with such troubles.

Vomiting and diarrhoea with complaints.

Catarrhal affections are prominent. Chronic catarrh of the throat ;

apparent thickening of the mucous membranes of the throat. Nose

and pharynx fill with mucus. He hawks it out ; there is a dry burning

sensation, but the burning is most marked every time he takes a fresh

cold.

Acridity of discharges is another feature. Acrid mucus forms in

the nose, causing burning in the throat. Acrid, hot fluids eructated

from the stomach, excoriating the throat and mouth. The diarrhoea

Is accompanied By an acrid watery stool ; especially in infants ; the

nates become raw and red. This burning extends all through the bowels ; burning in the abdomen and stomach in old gastric troubles ; vomiting of even a teaspoonful of water with burning ; old gastric irritation ; dyspepsia ; all sorts of disorders of the stomach.

Tongue red and burns as if in contact with something hot. Burning

in pharynx and oesophagus, burning in roof of mouth. Tonsillitis

with burning. "'Heat in throat, ameliorated by inspiring cold air;

throat so dry it seems as if it would crack.'' This burning excoriated

feeling applies to all the mucous membranes affected.

Patient suddenly taken to bed with a chill ; burning in the chest ;

symptoms of pneumonia ; rusty expectomtion ; violent cough ; every

cough felt as a concussion at the bifurcation of the trachea ; as if a

knife were in the parts ; as if tom asund^jr ; and after the cough copious, loud, empty eructations. No other remedy has this,

‘'Nausea with burning at the stomach, with much spitting." Nausea

not relieved by vomiting. Keeps on vomiting and retching. Burns as

if on fire. Arsenic is often given by mistake, because of the great

burning.

"Vomiting of bitter water ; of sour, acrid fluids ; of ingesta ; of

worms ; preceded by anxiety ; with headache and burning in stomach ;

head relieved afterwards ; with prostration.'" Such symptoms occur in

headache, disordered stomach, sour stomach. The sour stomach is

manifested by sour eructations or sour vomiting, A patient often

speaks of "a sour stomach," and you must find out whether he means

sour eructations or sour vomiting. He says he "spits up" sour food.

With the headache and many complaints Sanguinaria has a faintness ; like a hunger, yet not for food. A sinking, faint, "all gone,'*

empty feeling. It is like Phosphorus with its "hungry headache."

Psorinum leads all others in "hungry headaches," but Psorinum wants

to cat and cannot get enough. Sanguinaria has a hunger, but it is not

for food ; aversion at the thought and smell of food. Psorinum can

cat a wolf meal, and so can Phosphorus. It is a false hunger with the

8i6

SARSAfiARILLA

headache in Sanguinaria. "'Burning in stomach ; with headache and

chill"

Belching up of acrid fluids in asthma ; hay asthma. Sanguinaria

palliates asthma associated with stomach disorders. Do not forget

Ntix in asthma from stomach troubles.

Liver complaints ; pains and aches and sense of fulness. Bilious

trouble described in general terms. It seems as if the liver makes an

enormous quantity of bile, but there is a gastro-duodenal catarrh, so

that the bile is regurgitated into the stomach instead of going down,

and it is eructated as bitter, green, yellow fluid ; vitiated bile. This is

a peculiar thing. If you watch a chronic Sanguinaria patient you will

notice that the stomach will be disordered for a week ; spitting up bile ;

much flatulence ; sour hot eructations ; then all at once this will disappear, and a diarrhoea, which fairly floods him, comes on suddenly ; a

bilious, liquid, gushing stool. Natrum stilph., Sanguinaria, Pulsatilla

and Lycopodium cure this alternation of diarrhoea and constipation.

"Os uteri ulcerated ; foetid, corrosive Icucorrhoea.'’ "Distension of

abdomen in the evening and flatulent discharges by vagina from os

uteri, which was constantly open ; at same time a pain passing in rays

from nape of neck to head.**

"Chronic dryness in throat, sensation of swelling in the larynx and

expectoration of thick mucus when associated with dryness, rawness,

burning and smarting.^' "Whooping cough ; constricted, spasmodic

action across throat beneath jaws ; cough worse at night with diarrhoea."' Cough worse at night with diarrhoea is the feature this remedy is prescribed for. "Severe cough occurring after whooping cough

when patient takes cold, which partakes of the spasmodic nature of

whooping cough.’" An adult takes cold and has a spasmodic cough,

like whooping cough. He says it is a stomach cough, because there is

a gagging with it. In all there is burning and diarrhoea.

"Distressing, dry, spasmodic, exhaustive coughs, especially in children ; worse towards night, lying down, going into a cold room to

sleep ; feeling of rawness and burning in bronchi." The trachea seems

so sore, and it is sore ; a bolus of food passing down the oesophagus

can be plainly felt ; he can outline the part where the food passes.

SARSAPARILLA*

Sarsaparilla is suitable in low forms of chronic disease, especially in

complex states resulting from mixed miasms ; especially in cases of

sycosis and syphilis ; cases made complex by Mercury , sycosis syphilis,

and psora. Weakness stamps itself on the whole economy, as in Merc.,

Lack, and other remedies. The tissues become flabby, refuse to heal

when injured, ulcerate from. slight cau^s, . After an injiuy an open

Rheumatic pain in limbs, esp. in shoulders, arms, and thighs, and < at

night—Burning in hands and feet < night.