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Materia Medica · Animal · Roasted sea sponge

Spongia

Roasted sponge
50 sectionsBoericke · 18Clarke · 30Kent · 2

At a glance

Cardinal features · auto-extracted from Boericke · Clarke · Kent
  • Exhaustion and heaviness of the body after slight exertion, with orgasm of blood to chest, face. Anxiety and difficult breathing

Essence

Prologue
Boericke

Roasted Sponge

  • A remedy especially marked in the symptoms of the respiratory organs, cough, croup, etc.
  • Heart affections and often indicated for the tubercular diathesis.
  • Children with fair complexion, lax fiber; swollen glands.
  • Exhaustion and heaviness of the body after slight exertion, with orgasm of blood to chest, face. Anxiety and difficult breathing.
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Mentals

Mind
Boericke

Anxiety and fear. Every excitement increases the cough.

Symptoms — Mind
Clarke

Disconsolate and lachrymose humour.—Timidity and tendency to be

frightened—Combative and boastful humour.—Immoderate and mischievous gaiety.—Great

inclination to sing.—Mental obtuseness, with complete disinclination and incapacity for attending

  • to intellectual labour.
  • —Distraction of mind.
  • —Pert, witty humour.
  • —Alternately gay, lachrymose,
  • and cross.
  • —Conscious but unable to act on her limbs.
  • —Fancies appear on, shutting eyes.
  • —Fretful

and anxious about her condition, fears she will die of suffocation.—Anxious sweat and

faintness.—She is very timid, and is esp. pursued and incessantly tormented by a frightful scene

of some mournful event of the past—Anxious as from presentiment.—Fright awakens.—Satiety of

life, with the heat—Obstinacy.—Every exertion < the cough.

Generals

Symptoms — Generalities
Clarke

Uncomfortable feeling of the clothes, they being an oppression and

annoyance to the wearer; growing pains; darting pains from within outward; itching, no better

  • from scratching.
  • —Troubles in general of any kind appearing in the sexual organs, esp.
  • r.
  • side;

testicles and spermatic cord; anterior surface of thigh.—Phthisis pulmonalis, cough, breathing,

&c., being very tight and dry.—< From turning head; on ascending (going up stairs, up a hill,

  • rising from a chair, &c.
  • ); from tobacco; wind; from the west wind.
  • —> On descending.
  • —Stinging

pain in limbs, esp. joints.—Painful sensitiveness of body to touch, with chilliness on the parts

touched, or with tingling running through whole body.—Sensation of torpor in lower part of

body.—Heaviness when walking in open air, must sit down.—Heaviness (and soreness) of the

body (when rising from a seat)—Excessive moral and physical dejection.—Extreme exhaustion

and heaviness of the body after slight exertion, with orgasm of blood in chest, heat of face,

vessels hard and distended, great anxiety, and difficult breathing.—More relief is experienced

from lying down quietly than from any other position.—Fits of anguish, with pain in region of

heart.

Modalities

Modalities
Boericke
Worse
ascending, wind, before midnight
Better
descending, lying with head low

Head

Head
Boericke

Rush of blood; bursting headache; worse, forehead.

Symptoms — Head
Clarke

Vertigo, with giddiness, to such an extent as to fall, sometimes in evening, or else with

a sensation as if head were about to fall on one side.—Vertigo, with nausea, on waking at

night—Heaviness and fulness of head.—Dull semilateral headache on entering a warm room

from the open air.—Headache, with lachrymation, when looking fixedly at an object.—Pressive

headache, sometimes with compression.—Pressing headache in (r.) frontal eminence, from within

to without, < when sitting, when entering a warm room, after walking in the open air, when

looking intensely at anything; > when lying on back in a horizontal position.—Sharp stitches in 1.

temple extending to forehead.—Pains in head as if it were about to split, esp. in

forehead.—Throbbing and pulsation in head.—Congestion of blood in head, with pressing,

beating, and pulsation in forehead, with redness of face, anxious look, restless sleep, > in a

horizontal position.—Disagreeable tenderness of exterior of head.—Sensation as if hair were

standing on end (on vertex).—Troublesome (violent) itching in scalp.

Eyes

Eyes
Boericke

Watering; gummy or mucus discharge.

Symptoms — Eyes
Clarke

Eyes dull and clouded, with puffing in lids——Eyes deeply sunk; or protruding,

staring. —Macule of cornea.—On looking intensely at one spot lachrymation and

  • headache.
  • —Pressure and shootings in eyes.
  • —Eyes burning, red, and weeping.
  • —Agglutination of
  • lids.
  • —Eruption of yellow scabies in eyebrows (painful to touch on |.
  • eyebrow).
  • —Pressive
  • heaviness of lids.
  • —Contraction of lids in morning.
  • —Myopia.
  • —Sees visions on closing

eyes.—Double vision > lying down.

Ears

Symptoms — Ears
Clarke
  • Otalgia, with contractive pain.
  • —Pressure in ears.
  • —Ulceration of external ear.
  • —Pain in
  • cartilages as from soreness, not affected by touch.
  • —Boils on 1.
  • ear painful to touch.
  • —Inflamed
  • nodule in 1.
  • concha.
  • —Red swelling of 1.
  • helix.
  • —Heat in ears.
  • —Hard hearing.
  • —Dull ringing in ears;

inf.

Nose

Nose
Boericke

Fluent coryza, alternating with stoppage. Dryness; chronic, dry, nasal catarrh.

Symptoms — Nose
Clarke

Epistaxis, esp. after blowing nose (at dinner).—Fluent coryza, with much

sneezing.—Dry coryza; nose stuffed up.—Eruption on point of nose.

Face

Symptoms — Face
Clarke

Paleness of face, with dulness of eyes (with sunken eyes).—Face bloated, red, or bluish,

with anxious expression; heat on one side of face, renewed when thinking of it—Cold sweat on

  • face.
  • —Swelling of cheeks.
  • —Itching and shootings in cheeks.
  • —Eruption on lips ——Spasmodic pain
  • in maxillary joints.
  • —Tension in articulation of 1.
  • jaw (when walking in the open air).
  • —Stitches
  • transversely through |.
  • upper jaw.
  • —Cramp-like pain from |.
  • jaw-joint to cheek in evening when

eating. —Swelling of the submaxillary glands with tensive pain; painful to touch—Numbness in

chin.—Heat in chin.

Mouth

Mouth
Boericke

Tongue dry and brown; full of vesicles.

Symptoms — Mouth
Clarke

Mouth and tongue covered with vesicles, with burning and shooting pain (on that

account cannot eat any solid food).—Salivation—Speech difficult—Tongue dry and

brownish.—Vesicles on edge of tongue.

Symptoms — Teeth
Clarke

Sensation of bluntness and looseness in teeth while masticating.—Itching and

shootings in teeth.—Heat in teeth.—Swelling of gums, with pain during mastication.

Throat

Symptoms — Throat
Clarke

Burning sensation and stinging in throat——Rawness, swelling, and scraping in

throat —Penetrating tickling in throat, toward ear.—Sore throat < after eating sweet

things.—Throat symptoms > lying down.—Constantly recurring needle-like stitches above pit of

throat, externally, in lower part of goitre —Sticking internally in throat, esp. after

eating.—Thyroid gland swollen and hard, with suffocative attacks at night; stitching pains and

  • pressure.
  • —Bitter taste in throat.
  • —In cesophagus: heat; relaxed sensation.
  • —Swelling in fauces

projecting from r. to 1—Swallowing difficult—On swallowing: stitches in neck pass off; violent

straining pain; pain in goitre; moving sensation in goitre.—(Goitre painful, pain synchronous with

  • cardiac pain.
  • —R.
  • T.
  • C.
  • )
Throat
Boericke
  • Thyroid gland swollen.
  • Stitches and dryness.
  • Burning and stinging.
  • Sore throat; worse after eating sweet things.
  • Tickling causes cough.
  • Clears throat constantly.

Stomach

Stomach
Boericke

Excessive thirst, great hunger. Cannot bear tight clothing around trunk. Hiccough.

Symptoms — Appetite
Clarke

Diminished taste.—Bitter taste, sometimes only in throat.—Sweetish taste in

mouth.—Moderate appetite and speedy satiety.—Increased appetite—Excessive, insatiable

hunger.—Desire for dainties —Thirst, sometimes insatiable —Thirstlessness; rarely thirst with

chill —Violent thirst after smoking.—Tobacco smoke is disagreeable.—After a meal, fulness and

pains in abdomen, as from difficult digestion —Eating and drinking > cough.—Drinking milk, ale,

spirits, cold or hot tea, cold water = cough.

Symptoms — Stomach
Clarke

Risings, sometimes with cuttings and tearings in stomach.—Bitter risings.—Sour

  • regurgitations.
  • —Frequent hiccough.
  • —Nausea, with acidity in mouth.
  • —Craves dainties; after

eating has dyspeptic distress and fulness of stomach; > from warm drinks, esp. colicky pains in

abdomen.—Vomiting after having partaken of milk.—Relaxation of stomach, with sensation as if

it were open.—Aching in stomach and scrobiculus.—Pressure of (tight) clothing on stomach is

unbearable.—Contractive pains in stomach.—Stitches in region of stomach from least

pressure. —Chill in pit of stomach.—Craving at stomach before menses.

Abdomen

Symptoms — Abdomen
Clarke

Abdomen hard and tight.—Spasms in abdomen.—Violent action of abdominal

  • muscles during inspiration.
  • —Viscera drawn up against diaphragm.
  • —Pain in I.
  • side of abdomen;

digging and choking; > after discharge of wind; at times as if something alive were moving

  • there.
  • —Pain in abdomen instead of menses.
  • —Fine stitch externally in abdomen.
  • —Heat in
  • abdomen.
  • —Digging and obstruction in abdomen.
  • —Gripings in abdomen, after a meal.
  • —Rumbling

in the abdomen, esp. in evening and morning when lying down.—Pain as from a hernia in

  • inguinal ring.
  • —Swelling and inflammation of 1.
  • inguinal ring.
  • —Swelling of inguinal glands.

Stool

Symptoms — Stool and Anus
Clarke

Hard (insufficient) and retarded evacuations.—Loose, whitish

evacuations.—Before the evacuation shootings in the anus and gurgling and rumbling in the

abdomen.—During the evacuation tenesmus in the anus.—Itching, smarting, and pain as from

excoriation in anus.—Passage of ascarides from rectum and tingling in rectum.—Diurnal diarrhoea

with a large number of ascarides, after which she always feels great relief.

Urinary

Symptoms — Urinary Organs
Clarke

Increased secretion of urine.—Frequent want to urinate, with scanty

  • emission.
  • —Incontinence of urine (in whooping-cough).
  • —Small stream of urine.
  • —Frothy

urine.—Thick, whitish, greyish, or yellow sediment in the urine.

Female

Female
Boericke

Before menses, pain in sacrum, hunger, palpitation. During menses, wakes with suffocative spells (Cupr; Iod; Lach). Amenorrhoea, with asthma (Puls).

Symptoms — Female Sexual Organs
Clarke

Catamenia too early and profuse.—Before the catamenia,

palpitation of the heart, following pain in back.—During the catamenia, drawing in the

thighs.—Enlargement and induration of ovaries.

Male

Male
Boericke

Swelling of spermatic cord and testicles, with pain and tenderness. Orchitis. Epididymitis. Heat in parts.

Symptoms — Male Sexual Organs
Clarke

Spasmodic contraction in the testes.—Hard swelling of the testes, and

of the spermatic cord, with pressive pain.—Drawing, painful stitches extending from body

through glans. —Voluptuous itching at point of glans for several hours, urging him to rub

it.—Pinching, bruised, squeezing pain in testicles.—Stitches from testicles into spermatic

  • cord.
  • —(Gouty pains in testicles in old men.
  • —R.
  • T.
  • C.
  • ).
  • —Heat in genitals, penis, scrotum, testes,

and cords.—Sexual desire very moderate.—Absence of erections.

Respiratory

Respiratory
Boericke
  • Great dryness of all air-passages.
  • Hoarseness; larynx dry, burns, constricted. Cough, dry, barking, croupy; larynx sensitive to touch.
  • Croup; worse, during inspiration and before midnight.
  • Respiration short, panting, difficult; feeling of a plug in larynx. Cough abates after eating or drinking, especially warm drinks.
  • The dry, chronic sympathetic cough or organic heart disease is relieved by Spongia (Naja).
  • Irrepressible cough from a spot deep in chest, as if raw and sore.
  • Chest weak; can scarcely talk.
  • Laryngeal phthisis.
  • Goitre, with suffocative spells.
  • Bronchial catarrh, with wheezing, asthmatic cough, worse cold air, with profuse expectoration and suffocation; worse, lying with head low and in hot room.
  • Oppression and heat of chest, with sudden weakness.
Symptoms — Respiratory Organs
Clarke

[Affections in general of larynx and trachea, particularly in all such

affections as croup, asthma, &c., where everything is perfectly tight and dry, no loose rattling

sound appearing in the breathing or cough.—Burning sensation is felt in throat after coughing,

suffocative attacks of breathing (as in asthma), without any mucous rattle; respiration loud; very

  • hollow voice, all without any rattling sound, or any looseness.
  • —H.
  • N.
  • G.
  • ].
  • —Hoarseness (voice

cracked); sometimes with cough and coryza.—Weak, husky voice, which fails in singing and

conversation.—Pain in larynx on touching it, and on turning head.—Pressure in larynx when

singing.—Sensation of obstruction (as from a plug) in larynx, with impeded

respiration.—Dyspncea > by bending the body forward.—Roughness and dryness in

throat —Burning pain in larynx and trachea.—Cough, proceeding from bottom of chest with pain

as from excoriation and burning sensation.—Cough, with yellowish expectoration and

hoarseness.—Great dryness of larynx, < from hawking.—Sensation in region of thyroid and

cervical glands on breathing, as if forced in and out.—Hollow, dry, barking or whistling cough,

day and night, < towards evening, and sometimes with pain in larynx.—Laryngeal cough, croupy-

  • sounding, always goes away with a dose of Spo.
  • (woman, 65.
  • —R.
  • T.
  • C.
  • ).
  • —Cough, with

expectoration of viscid mucus.—Expectoration: scanty, of saltish mucus; tenacious, yellow,

indurated, sour; loosened mornings but must be swallowed again; smelling like milk; of yellow

mucus in little lumps; of cutaneous masses.—Dry cough, excited by a burning tickling in the

  • larynx.
  • —Slow and deep respiration, as from weakness.
  • —Wheezing respiration.
  • —Wheezing,

whistling, sawing, anxious breathing; < during inspiration and when lying down (with violent

labouring of abdominal muscles).—Mucous rale in trachea by fits.

Chest

Heart
Boericke
  • Rapid and violent palpitation, with dyspnoea; cannot lie down; also feels best resting in horizontal position.
  • Awakened suddenly after midnight with pain and suffocation; is flushed, hot, and frightened to death (Acon).
  • Valvular insufficiency.
  • Angina pectoris; faintness, and anxious sweat.
  • Ebullition of blood, veins distended.
  • Surging of heart into chest, as if it would force out upward.
  • Hypertrophy of heart, especially right, with asthmatic symptoms.
Symptoms — Chest
Clarke

Respiration, quick, anxious, and difficult, sometimes with fits of suffocation, and

mucous rattling in chest—Short, panting respiration, surging from heart into chest, as if it would

force out upward.—Awakens from sleep with suffocative sensation.—Fixed, lancinating, and

pressive pain in region of bronchia.—Spasmodic, constrictive pains in whole chest (and

  • larynx).
  • —Pain in chest, with dyspncea.
  • —Fulness and obstruction in chest.
  • —Shootings in

chest.—Burning sensation, which ascends into chest.—Burning; rawness, soreness in

chest.—Ebullition of blood (congestions) in chest after slightest effort and least movement, with

obstructed respiration, anguish, nausea, and weakness, which induces syncope.

Symptoms — Heart
Clarke

Pains and anxiety in region of heart —Constricting, stinging, pressing pain in cardiac

region.—Palpitation of heart (before menstruation), with suffocation, violent gasping respiration,

pain in heart.—Rheumatic affections of valves of heart (fibrous deposit on valves).—Violent

palpitation of heart, beats rapid (each beat was accompanied by a loud blowing as of a bellows),

awakens him after midnight, with a sense of suffocation, loud cough, great alarm, agitation,

anxiety, and difficult respiration. —Pulse full, hard, and frequent.

Neck & Back

Symptoms — Neck and Back
Clarke

Painful tension and rigidity in muscles of neck, nape, and throat; on 1. side

  • when turning head to r.
  • —Neck cold in evening.
  • —Back of neck snaps on stooping.
  • —Goitre large

and hard, with pressure, tingling, and shootings.—Cramps in the muscles of neck.—Coldness in

back, not > by warmth of stove.-—Sacrum sore before menses.—Sensation of numbness in loins

and buttocks.—Drawing, tearing, and pressive pain in loins.

Upper Limbs

Symptoms — Upper Limbs
Clarke

Jerking of muscles about |. shoulder-joint—Heaviness and trembling of

forearms and hands.—Drawings in forearms and joints of hands.—Large blisters in the

forearm.—Swelling of hands, with stiffness of fingers ——Redness and swelling in joints of fingers,

with tension when they are bent.—Numbness in points of fingers ——Cramp-like pain in ball of (r.)

thumb; on moving hand it extends to thumb.

Lower Limbs

Symptoms — Lower Limbs
Clarke

Nates and thighs numb and cold.—Jerking of muscles of buttocks.—The

thighs are spasmodically drawn forward or backward.—Irritation and restlessness of both

legs. —Tearing in tibia all afternoon.—Rigidity of legs —Drawing and tearing in legs and feet,

sometimes at night only.

Skin

Skin
Boericke

Swelling and induration of glands; also exophthalmic; cervical glands swollen with tensive pain on turning head, painful on pressure; Goitre. Itching; measles

Symptoms — Skin
Clarke

Swelling and induration of the glands.—Itching shootings in the skin, esp. on

becoming warm in bed.—Sensation of something creeping over the skin, with redness and heat of

the part when it has been scratched.—Red, itching spot (blotches) on the skin.—Itching

eruptions.—Miliary eruptions.—Tetters.

Sleep

Sleep
Boericke

Awakes in a fright, and feels as if suffocating. Generally worse after sleep, or sleeps into and aggravation (Lach).

Symptoms — Sleep
Clarke

Sleepy, yawning, no activity, afternoons.—Sleeplessness, with fantastic dreams and

delirium on going to sleep.—Sad, anxious, frightful dreams.—Awakens towards morning from a

jerk upwards from the larynx, as if she would suffocate, must sit up, and raises sour, salty mucus.

Fever

Fever
Boericke

Attacks of heat with anxiety; heat and redness of face and perspiration.

Symptoms — Fever
Clarke

Pulse full, hard, and quick.—Frequent shiverings over the whole body, esp. the back

(even near a warm stove).—Violent heat, soon after the chill, with dry, burning heat all over the

body with the exception of the thighs; they remain numb and chilly.—Anxious heat, with red face

and weeping, inconsolable mood.—Cool perspiration on the face in evening.—Morning, sweat

over the whole body.—Flushes of heat.—Feverish heat, with skin dry and hot, continued thirst,

headache, and delirium.—Nocturnal perspiration.

Clinical

Clinical (part 1)
Clarke
  • Aneurism.
  • Angina pectoris.
  • Asthma.
  • Catalepsy.
  • Chin, affections of.
  • Clumsiness.
  • Constipation.
  • Cough.
  • Croup.
  • Diplopia.
  • Exophthalmos.
  • Fainting.
  • Goitre; exophthalmic.
  • Heart,
  • hypertrophy of.
  • Hernia.
  • Jaw-joint, pain in.
  • Laryngismus.
  • Laryngitis.
  • Myopia.
  • Rheumatic fever.
  • Rheumatism.
  • Testicles, inflammation of.
  • Tuberculosis.
  • Varicosis.
  • Whooping-cough.
  • Worms.
Clinical (part 2)
Clarke

Characteristics—According to Hahnemann, Toasted Sponge was first mentioned as a specific

for goitre by Arnald von Villanova in the thirteenth century; but it was generally given mixed

with other substances, and had fallen into disuse when Hahnemann proved it. The virtues of

Spongia have been attributed to the /odine contained in it, and partially liberated by the presence

of roasting. But Spongia contains many other elements besides Jodine, and it has a distinctive

action of its own. It is antipodal to /od. in this respect, that it is best Suited to blue-eyed, fair-

  • haired patients, whereas /od.
  • acts best on brunettes.
  • Spo.
  • is suited to scrofulous affections, and is

often indicated with women of lax fibre, and children. One of the keynotes of Spo. is Dryness of

mucous membrane—of tongue, pharynx, larynx, trachea. Cough is caused by dryness. The cough

itself is dry, intensely hacking, crowing, "dry as a bone," or sounding like a saw being driven

through a pine board. Dry asthma. In laryngismus, croup, and asthma the patient rouses up

generally after midnight with fear of suffocation and death. The sputa cannot be raised, must be

swallowed, swallowing >. In laryngismus there is contraction of larynx as if suddenly grasped.

With the dyspneea there is terrible sinking; he seems to be sinking down in a pit. The larynx is

  • sensitive, but has not the hyperzesthesia of Lach.
  • Like Lach.
  • Spo.
  • has < after sleep.
  • Rouses up in

sleep as if in a great fright. Cough is excited by talking; by dry, cold winds; > by eating or

drinking; by swallowing; especially > by warm food. Sweets <. Spo meets some cases of true

tuberculosis; of larynx; of apices, with commencing solidification; tubercles spreading

downwards. Congestion of chest coming on when the patient is moving about with sudden

  • weakness as if he would fall.
  • Rawness in the chest is another note of Spo.
  • The action of Spo.
  • on

the respiratory organs is closely connected with its action on the glandular system, the

lymphatics, the thyroid, and testes are indurated. The blood, heart, and veins are also involved,

and with the protruding eyes a perfect picture of exophthalmic goitre is produced. Hypertrophy

of the heart is frequently met by Spo., and it is especially indicated when the right heart is

affected and when asthmatic symptoms are associated with it. Spo. meets some cases of croupous

deposit on the valves of the heart as it does croup of the larynx. The Spo. patient in phthisical and

other conditions is subject to frequent flashes of heat. The chill commences usually across the

back. He shakes near a warm stove. The heat which follows extends over the whole body except

the thighs, which remain numb and chilly. In the heart affections the patient is aroused from

sleep as if smothering; sits up in bed with an anxious look, flushed face, and hard, rapid

  • breathing.
  • Kent (7.
  • A.
  • , xxv.
  • 17) gives this indication: "Rheumatic fever after having been over-

heated, with arising heart complications." Nash gives this keynote of Spo. in valvular diseases:

"Awakes out of sleep from a sense of suffocation, with violent, loud cough, great alarm,

agitation, anxiety, and difficult respiration." He says it is better than Lach. here; and relieves the

"dry, chronic, sympathetic cough of organic heart disease" more frequently and more

permanently than Naja. Spo meets also thickening of joints after rheumatic fever. In orchitis,

with heaviness and screw-like squeezing pain in cord and testicle, Spo is the chief remedy,

Clinical (part 3)
Clarke

though others are generally needed before that stage is reached. Timidity, fear, and terror are

leading mental symptoms. Any excitement and thinking of symptoms <. Peculiar Sensations are:

  • As if head would fall to one side.
  • As if tipsy.
  • As if all her blood were mounting to head.
  • As if
  • skull would burst.
  • As if hair were standing on end.
  • Eyes as if twisted around.
  • As if a battery of

guns were discharged in ears. Stitches as if passing through tympanum. Nodule in concha as if it

  • would gather and break.
  • Jaw as if dislocated.
  • As if eruption were to appear near chin.
  • Left side of

chin as if ulcerated. As if something had got jammed between teeth in chewing. As if gums and

teeth were swollen, the latter being lifted. Outside of throat as if something were being pressed

out. As of a plug in throat. As if he had drunk a great deal of luke-warm water, relaxation of

  • stomach, and cesophagus.
  • Pit of stomach as if growing together.
  • Stomach as if standing open.
  • Of

obstruction in abdomen (and in trachea). As if something alive moving in abdomen. As if

something alive beneath skin of abdomen. As if diarrhoea would ensue. As of a plug in larynx.

As if a stopper or valve were in larynx. As of a nail pressing in larynx. As if larynx and trachea

  • were removed.
  • As if she would suffocate.
  • As if child could not get breath.
  • As if breathing
  • through a sponge.
  • As if chest would burst.
  • Chest as if sore and bloody.
  • As of a large

accumulation and weight at chest. As if a broad body armed with points were pressing upward.

As if a weight were dragging down on chest. As if she had something hot inside chest. As if

blood would burst out of chest. As if cervical glands were swelling. As if skin of neck were

compressed between fingers. As if air were passing up and down thyroid and cervical glands.

Thyroid gland as if hardened. As if everything were shaking and moving about in goitre. As if

goitre were alive. As if a pointed instrument were thrust into scapulze. As if bones of forearm

were being pressed together. As if parts in and between wrists were weakened by decay. As if a

muscle were too short in upper end of thigh. As if knees would give way. As if weight hanging

on lower end of tibia As of pins in heels. As if she were going to faint. As if everything were in

flames. As if sweat would break out. There is excitement of the nerves; tendency to start;

twitching of muscles, with fever. Stiff without ability to move. "Conscious but unable to act on

  • her limbs" (as in a cataleptic state).
  • Clumsiness of body.
  • Faint when losing her breath.
  • Feeling of

numbness of lower half of body. < When thinking of her symptoms. Complaints extend

downwards; from within out; from right to left. There are cramp-like pains. Bitter taste in throat.

Aversion to tobacco. Desire for dainties (but sweets <). The symptoms are < by touch and

pressure. Scratching does not > biting itching. < Motion; walking; stooping; rising; raising arms

(becomes faint); talking; singing. Bending forward > dyspnoea; < symptoms of circulation. >

  • Descending.
  • > Resting in horizontal position.
  • Lying with head low <.
  • Lying right side <.
  • < At

night. Before midnight: croup <; dry sound of breathing and cough sleepless until midnight.

After midnight: wakes with palpitation with suffocation. < Warm room. > Warm food or drink.

  • Frosty weather > cough.
  • Dry, cold weather > headache.
  • Cold weather = coryza.
  • Cold air <
  • cough.
  • < Sudden changes of atmosphere.
  • < At full moon.
  • < Periodically; every night.
  • Eating and

drinking > cough; drinking = cough. < Sweets. < After sleep.

Relations

Relations
Clarke
  • Antidoted by: Camph.
  • Follows well: Aco.
  • , Hep.
  • Followed well by: Bro.
  • , Carb.
  • v.
  • ,
  • Hep.
  • [Boenninghausen's croup powders consisted of a sequence of Aco.
  • , Hep.
  • , Spo.
  • , given in that
  • order.
  • Spo.
  • is dry; Hep.
  • rattling; Spo.
  • < before midnight; Hep.
  • < after.
  • ] Compare: In general
  • affections, Chlo.
  • , Bro.
  • , Iod.
  • (lod.
  • dark, Spo.
  • fair subjects), Thyroidin, Badiaga.
  • Laryngitis, Samb.
  • (with Samb.
  • the spasms occur frequently); Lach.
  • (sensitive to touch; Lach.
  • from hyperesthesia;
  • Spo.
  • from inflammation of cartilages).
  • Cough > by eating, Anac.
  • Dry tongue, Nux m.
  • (with Spo.
  • the dryness extends downwards; not with Nux m.
  • ).
  • > Warm drinks, Ars.
  • , Alm.
  • , Lyc.
  • , Nux, Rhus
  • (> cold drinks, Ver.
  • ).
  • Heart, Naj.
  • , Sep.
  • , Kalm.
  • , Abro.
  • , Lach.
  • Orchitis, Gels.
  • , Pul.
  • , Ham.
  • (intense
  • soreness), Merc.
  • (with a little yellowish-green gonorrhcea).
  • —Spo.
  • comes after these when there is
  • induration.
  • Bitter taste in throat (Ruta, nausea in throat).
  • Jaw-joint as if dislocated, Rhus.
  • <
  • Thinking of symptoms, Ox.
  • ac.
  • , Pip.
  • m.
  • Tubercular diathesis, Bac.
  • , Tub.
  • Voice fails, Alm.
  • , Dro.
Relationship
Boericke

Compare: Acon; Hep; Brom; Lach; Merc prot; Iod (Goitre).

Posology

Dose
Boericke

Second trituration, or tincture to third potency.

Kent's Lecture

Lecture (part 1)
Kent

deeper in its action than Aconite, Its cardiac diseases tend to develop

slowly, with actual tissue changes, enlargement of the heart, it takes on

a steady growth and the valves become changed, do not fit, hence, there

are blowing and whizzing sounds, regurgitation with the mental symptoms. The two are similar in croup, but Spbngia is deeper, slower in

onset, taking several days for its development. Aconite from exposure to a dry cold wind takes a cold to-day and, of course, comes down

with croup to-night in the first sleep. Before midnight has a dry spasmodic cough ; hoarse cough ; Spongia has taken a cold yesterday or the

day before. First there is roughness and dryness of the mucous membranes, sneezing. Both remedies have croup before midnight with

dry, hoarse, barking cough, sawing respiration and dry air passages.

They are so similiar that when Aconite only partially controls the condition and it returns the next night, or lasts on beyond midnight, Spongia becomes its natural follower. Spongia comes in because it was

probably the remedy in the beginning. Cases that grow v>^orse each

succeeding night, hoarse barking and crowing before midnight, though

it also has a croup aftci midnight. It is a deep-acting remedy though

its complaints sometimes come on suddenly.

Hepar is worse at night and in the morning. And when Aconite has

apparently controlled, but the croup returns the next morning, Hepar

comes in. Or if it comes on again the next evening with rattling

Hepar will also be suitable. Dry, with no rattling is Spongia. If the

child wants to be covered or says that it is chilly, Hepar, If it says the

room is too warm and kicks the covers ofF, it needs Calc, sul.

The Spongia patient is worse from a warm room, from heat. Wants

to be cool like Iodine, but is better from warm drinks, like Ars,, Nux,

Lyc,

The tendency to affect the glands is striking. As a matter of fact

  • all the glands are affected ; they gradually enlarge and become increasingly hard.
  • Glands that have undergone inflammation and are increased in size become hard, or they take on hypertrophy.
  • Hypertrophy of the heart {Kalmia, Sepia, Naja).
  • Spongia has cured endo*^

carditis, cardiac croup and many other inflammatory diseases of the

heart resulting from rheumatism. Hypertrophy of the thyroid, goitre,

when the heart is affected and the eyes protruding. Cervical glands

enlarged ; inveterate cases of enlarged testes ; orchitis from a suppressed gonorrhoea, a cold or other causes ; gradually increasing hardness.

The whole respiratory apparatus is acted upon ; cardiac dyspnoea

and the most severe forms of asthma. Dryness of the air passages with

whistling and wheezing, seldom rattling, must sit up and bend forward ;

at times after great dyspnoea, white, tough mucus forms in the air

passages, difficult to expectorate ; it comes up and often has to be swallowed (Arn., Caust,, Lack,, Kali c,, Kali $., Nux mos,, Sep,, Staph,y

Lecture (part 2)
Kent

Dyspnoea worse lying down. The modality is common to its other

complaints ; violent, basilar headache forces him to sit up in I)ed and

keep still. Holding the head in the upright position relieves the dull

pressure in the occiput.

There are many headaches. In the occiput, in the forehead, congestive headaches, but most of them are associated with goitre, cardiac

affections and asthma ; they arc due, probably, to sluggish circulation

in the brain.

Face distressed in croup ; anxious ; livid ; pale and bloated ; blue,

pale with sunken eyes ,* red with anxious expression ; alternating red

and pale ; cold sweat. These symptoms are the natural effects of difficult breathing and are, therefore, not essential in the selection of a

remedy. As primary symptoms, they would probably indicate Ars.^

but when due to cardiac difficulties, they are unimportant.

“Sore throat worse after eating sweet things. Thyroid gland swollen even with the chin ; at night, suffocating .spells, barking cough, with

stinging in the throat and soreness in the abdomen.” Enlargement of

the tonsils. Difficult swallowing.

Spongia is the remedy w^hen dyspnoea and cough arc relieved by

warm food ; may be better from warm drinks.

Laryngeal troubles with great hoarseness, in individuals tending

towards phthisis, with tubercular heredity, cachectic aspect, weak lungs,

but no deposit of tubercle. But all at once hoarseness sets in. There

is a tendency for the larynx to becoitie involved in phthisical patients

that need Spongia. This patient takifs an acute cold and it settles in

the larynx with hoarseness. Look Oi|t for that patient, for there is a

tendency for tubercles to deposit where there is inflammation, and the

infiltration instead of being fibrinous may become tubercular. Tendency for the larynx to be first involved in phthisical patients.

In Spongia do not look for the exudative, but tlic infiltrative form

of croup.

Hoarseness with loss of voice, great dryness of the larynx from a

cold ; coryza, sneezing, the whole chest rings, is as dry as a horn ; voice

hissing, croupy, nose dry. There is very little accumulation of mucus,

but at a late date ulceration begins and then there may be a copious

expectoration of mucus. In proportion to the extent of rattling, this

remedy is decreasingly indicated, Hepar has the coarse rattling with

much mucus.

At times an adult takes cold and rawness of the larynx and trachea

is the result. On going to bed she is taken with a spasmodic constriction of the larynx. Laryngismus stridulus is commonly found in

women, fgw.. Gels,, Lauroc, and Spongia. Ign, and Gels, will cure

eight out of ten cases.

The larynx is sensitive to touch in croup, etc., like Phos,

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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