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Materia Medica

Sticta Pulmonaria

Lungwort
37 sectionsBoericke · 11Clarke · 26

At a glance

Cardinal features · auto-extracted from Boericke · Clarke
  • rheumatic
  • Rheumatic stiffness of neck
  • Feels as if floating in air
  • Datura arborea; Lac. Can
  • patient must talk

Essence

Prologue
Boericke

Lungwort (STICTA)

Offers a set of symptoms like coryza, bronchial catarrh and influenza, together with nervous and rheumatic disturbances. There is a general feeling of dullness and malaise, as when a cold is coming on; dull, heavy pressure in forehead, catarrhal conjunctivitis, etc. Rheumatic stiffness of neck.

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Mentals

Mind
Boericke

Feels as if floating in air (Datura arborea; Lac. Can). Confusion of ideas; patient must talk.

Symptoms — Mind
Clarke

Confusion of ideas, cannot concentrate them.—Great desire to talk about anything and

everything, doesn't care whether any one listens, cannot keep her tongue still.—Lively, wanted to

strike out; lay on the lounge and began to "kick up her heels"; when reproved said she couldn't

help it but felt as if she wanted to fly away.

Modalities

Modalities
Boericke
Worse
sudden changes of temperature

Head

Head
Boericke

Dull headache, with dull heavy pressure in forehead and

  • root of nose. Catarrhal headache before discharge appears.
  • Burning in eyes and soreness of balls.
  • Sensation as if scalp were too small.
  • Burning in eyelids.
Symptoms — Head
Clarke

Slight vertigo (D).—Dull sensation in head with sharp darting pains through vertex,

side of face, and lower jaw.—Dull, heavy pressure in forehead and root of nose, increasing in

intensity during the day.—Pain in r. supraorbital region; became more acute and extended

through brain on r. side; deep in brain.—Headache extending through brain, almost

intolerable —Headache as if entire skull were being raised up and lowered again, comes on after

dose of @ in man, 43, with arthritis deformans; the pain had been felt before but not so severely

  • (R.
  • T.
  • C.
  • ).
  • —Darting pains in temples, increasing in intensity the entire day.
  • —Catarrhal headache

before catarrh sets in.—Sick-headache, must lie down; < from light and noise; nausea and

vomiting, nearly to faintness.—Headache with severe pain in eyes felt on closing lids or turning

eyeballs.—Scalp feels as if too small, or as if drawn too tight.—[Painful weight on back of

  • head.
  • —Confused, heavy sensation on head.
  • —The head seems as if flying in space.
  • —Frontal

migraine > by cold; < by pressure.—Slight pressive headache deep in.—The head seems full and

confused by every dose (D).]

Eyes

Symptoms — Eyes
Clarke

Eyes feel heavy.—Burning in lids with soreness of the ball on closing lids or turning

eyes; increasing during the entire day.—[Eyes: painful as if inflamed.—Sight dim as if he had read

  • too much.
  • —Pain in 1.
  • internal canthus.
  • —Right eye painful as if something were in it (D).
  • ]

Nose

Nose
Boericke
  • Feeling of fullness at the root of the nose (Nux).
  • Atrophic rhinitis (Calc fluor).
  • Dryness of nasal membrane. Constant need to blow the nose, but no discharge.
  • Dry scabs, especially in evening and night.
  • Hay-fever; incessant sneezing (Sabad).
Symptoms — Nose
Clarke

Fulness at root of nose.—Constant need to blow nose, but no result on account of

dryness.—Excessive and painful dryness of mucous membrane; secretions dry rapidly, forming

scabs difficult to dislodge.—Incessant sneezing with fulness in forehead and r. side of nose,

  • tingling in r.
  • side of nose.
  • —Desire to put finger in nose to clear out gluish secretion.
  • —Coryza <

afternoon; > in open air.—Constant desire to blow nose without discharge. (tertiary

  • syphilis).
  • —[Slight epistaxis.
  • —Slight liquid coryza.
  • —Sensation of obstruction in nose.
  • —Yellow,

thick discharge for several days (D).]

Face

Symptoms — Face
Clarke

Darting pains in side of face; and in lower jaw.—[Pain in malar bone.—Sensitiveness of

  • lower jaw.
  • —Pain in r.
  • submaxillary gland, < by pressure.
  • —Pain in parotid gland (D).
  • ]

Mouth

Symptoms — Mouth
Clarke

Mouth and throat burn as if scalded.—[Thick yellow coat on posterior half of tongue

with a narrow yellow stripe running along centre to tip; many red papilla show through.—Patch

covered with pearly white coat, rough and hard to dislodge; saliva abundant and foamy (D).]

Throat

Symptoms — Throat
Clarke

Excessive dryness of soft palate, feels like dried leather, causing painful

deglutition.—Dropping of mucus from posterior nares, throat feels and looks raw.—Sore throat;

coryza from slightest cold —[Scraping sensation in throat.—Obstruction in throat (D).]

Stomach

Symptoms — Stomach
Clarke

Slight pyrosis with acid and bitter regurgitation; sleepy after dinner and

diminished appetite (D).—Dull, oppressive pain in cardia.—Severe pains from sternum to spinal

column, and a feeling of rumbling burning in stomach as if full of yeast.

Abdomen

Abdomen
Boericke

Diarrhoea; stools profuse, frothy; worse, morning. Urine increased, with soreness and aching in bladder.

Symptoms — Abdomen
Clarke
  • Dull pains in r.
  • hypochondrium.
  • —Feeling of fulness in 1.
  • hypochondriac

region.—Rumbling as if full of yeast.

Stool

Symptoms — Stool and Anus
Clarke

Mucous diarrhoea and loose cough.—[Thick diarrhoea; stools profuse,

  • frequent, little colour.
  • —Constant desire for stool with no result —Profuse stool 1 a.
  • m.
  • , driving
  • him hurriedly from bed.
  • —Foamy stool, with flatus.
  • —Stool 3 a.
  • m.
  • with effort.
  • —Constipation with

acute tetanic pain in anus, lasting half an hour after stool (D).]

Urinary

Symptoms — Urinary Organs
Clarke

[Bladder seems distended.—Urine thicker than usual, and increased in

  • quantity.
  • —Sensitiveness or pain in bladder.
  • —Urine much increased.
  • —Frequent necessity to

urinate; must rise several times at night.—Efforts to urinate with emission of a small quantity

(D).]

Female

Female
Boericke

Scanty flow of milk.

Symptoms — Female Sexual Organs
Clarke

[Uneasiness in the pelvis.—Menses more abundant and paler than

usual (D).].—Scanty milk became abundant.

Male

Symptoms — Male Sexual Organs
Clarke

[Pollutions for several nights.—Pollution whilst he slept in

afternoon.—Mind drawn to sexual subjects (D).]

Respiratory

Respiratory
Boericke
  • Throat raw; dropping of mucus posteriorly.
  • Dry, hacking cough during night; worse, inspiration.
  • Tracheitis, facilitates expectoration.
  • Loose cough in morning.
  • Pain through chest from sternum to spiral column.
  • Cough after measles (Sang); worse towards evening and when tired. Pulsation from right side of sternum down to abdomen.
Symptoms — Respiratory Organs
Clarke

Tickling in larynx and trachea causing cough.—Tickling in r. side of

trachea below larynx.—Clergyman's sore throat, characterised by great dryness of mucous

membranes.—Hay-fever, with dryness of membranes.—Cough: dry, < evening and night; can

neither sleep nor lie down; dry, noisy; severe, dry, racking with splitting frontal

headache.—Cough after influenza; after measles; after whooping-cough; barking; < night and

morning.—[Cough: dry; spasmodic; the more he coughs the more he wants to.—Spasmodic cough

  • which he cannot stop.
  • —Dry cough, causing pain in upper part of sternum (D).
  • ].
  • —A lady had

catarrhal asthma so badly was refused admission to an hotel; Sti. p. 1x was given, and next day

  • she walked into the hotel without any sign of asthma (R.
  • T.
  • C.
  • ).

Chest

Symptoms — Chest
Clarke

Slight oppression of lungs.—Feeling of a hard mass in chest.—Sudden pain through

chest from sternum to spine; constant, < on movement; arms powerless from extreme pain if an

attempt was made to move them; difficult breathing and speaking.—Pulsation from r. side of

sternum down to abdomen.—Coryza with expectoration of dark blood brought on by every cold,

damp spell.

Symptoms — Heart
Clarke

Dull, oppressive pain in cardiac region.—Attacks of anxiety about heart; awakes with

strange sensation about heart and for a few moments feels as if floating in air—[Pulse uneven,

drops every third or fourth beat.—Veins of hands feel distended, also superficial veins of arms

and legs (D).]

Neck & Back

Symptoms — Neck and Back
Clarke

Cervical glands swollen, |. side, neck sensitive—[Woke with heavy pain in

second and fourth lumbar vertebree, > sitting upright or bending forward.—Great weakness in the

back in afternoon (D).]

Upper Limbs

Symptoms — Upper Limbs
Clarke

Rheumatism in r. shoulder-joint, deltoid, and biceps, extending at times to

forearm; commencing at night; > during day.—Lancinating pain in second joint of middle finger,

increasing in intensity all day.—Rheumatism of wrists; wrists and hands swollen, little redness,

very painful on moving.—On movement, painful bruised sensation in muscles, esp. of forearm

(D).

Lower Limbs

Symptoms — Lower Limbs
Clarke

L. leg felt as if floating in the air, feels light and airy without any feeling of

  • resting on the bed.
  • —(Fluid in knee-joint.
  • ).
  • —Rheumatism of r.
  • ankle, swollen, very painful——Knee

painful from a fall—Housemaid's-knee.—[Lancination in knees and legs.—Feet cold and sweating

(D).]

  • 24.
  • Generalities—Dulness.
  • —Very soon after taking S7i.
  • p.
  • prover said, "I feel that medicine all

over me." —General feeling of weariness.—Burning, biting, sticking pains all over body during

entire day.—Feeling of levitation of different parts Hysteria after loss of blood.—Swelling and

painfulness of lymphatic glands.

Extremities

Extremities
Boericke
  • Rheumatic pain in right shoulder joint, deltoid, and biceps.
  • Swelling, heat, redness of joints.
  • Spot of inflammation and redness over affected joint.
  • Pain severe and drawing.
  • Chorea-like spasms; legs feel floating in air.
  • Housemaid's knee (Rhus; Kali hyd; Slag).
  • Shooting pains in knees.
  • Joints and neighboring muscles red, swollen, painful.
  • Rheumatic pains precede catarrhal symptoms.

Sleep

Symptoms — Sleep
Clarke

Sleeplessness: from nervousness; from cough; of children after surgical operations

(e.g., setting broken leg).

Fever

Symptoms — Fever
Clarke

Increase of temperature.—Shudder through the whole body, esp. of toes and fingers.

Clinical

Clinical (part 1)
Clarke
  • Angina pectoris.
  • Anus, pain in.
  • Asthma.
  • Bronchitis.
  • Catarrh.
  • Clergyman's sore throat.
  • Cold.
  • Cough.
  • Diabetes.
  • Diaphragm, rheumatism of.
  • Diarrhoea.
  • Glands, swollen.
  • Hay-fever.
  • Headache.
  • Housemaid's knee.
  • Hysteria.
  • Influenza.
  • Laryngitis.
  • Levitation.
  • Measles, cough of.
  • Migraine.
  • Milk, scanty.
  • Neuralgia.
  • Ozeena.
  • Phthisis.
  • Post-nasal catarrh.
  • Pott's disease.
  • Rheumatism.
  • Seminal emissions.
  • Sick headache.
  • Sleeplessness.
  • Syphilis.
Clinical (part 2)
Clarke

Characteristics—There cannot be much doubt whence Sticta received its name of Pulmonaria.

The likeness of the plant to lung tissue is self-evident. It was a popular remedy of great repute in

  • catarrhs and coughs when Hale introduced it to homeopathy.
  • S.
  • P.
  • Burdock, C.
  • H.
  • Lutes, and S.

Lilienthal proved it and elicited some very remarkable and valuable symptoms. Hering added

  • many no less valuable clinical symptoms.
  • Dewey (Trans.
  • Paris Int.
  • H.
  • Cong.
  • 1900, p.
  • 317)

conducted another proving on several persons which has further enriched the pathogenesis. His

additions are marked (D) in the Schema. "It was first used," says Hale, "for severe, harassing

cough," and such good results accrued that provings were made to ascertain its full value. It was

found to cause severe coryza, with violent sneezing, intense headache, and conjunctivitis. These

attacks were preceded or followed by rheumatic pains and swelling of the small joints." The

catarrh of Stic. is for the most part obstructive; and if there is discharge it dries quickly, and

forms crusts or scurf. Constant need to blow the nose, but no discharge comes on account of

dryness. In syphilis, or any other disease where this condition is present, Stic. will be the remedy.

A grand characteristic both of headaches and catarrh is a "dull, heavy pressure (or stuffed

  • feeling) in root of nose.
  • " The cough of Sfic.
  • is also dry.
  • "Dry night cough" is a keynote: cough
  • dry, < evening and night; can neither sleep nor lie down; must sit up.
  • P.
  • C.
  • Majumdar (/nd.
  • H.
  • R.
  • ,
  • v.
  • 109) cured two cases of whooping-cough with Stic.
  • 6x.
  • The cough began just after sunset, and

went on till vomiting occurred, and all the contents of the stomach were thrown off. Stic. will

often cure coughs left by measles, whooping-cough, influenza. Hard, dry barking coughs

following colds. In cases of phthisis and hemoptysis it is of great service. "Oppression at chest;

sensation as if a hard mass on it. Sudden pain from sternum to spine, constant,< on movement,"

are leading symptoms in such cases, in addition to those of the cough. Phthisis and rheumatism

not infrequently occur in different members of a phthisical family; and rheumatism (as the word

  • implies) is related to catarrh.
  • Stic.
  • meets all these conditions; and it has, like Bacil.
  • , "a deep-in
  • headache.
  • " Elias C.
  • Price (in Southern J.
  • of H.
  • ) relates this case: Boy, 8, had acute rheumatism

with inflammation and redness of one knee, ankle, toes, wrist, and fingers; valvular heart disease

  • from a previous attack.
  • Aco.
  • and Su/.
  • failed to relieve.
  • Stic.
  • 1x was given every hour.
  • Next day

there was a considerable quantity of fluid in the knee-joint [an aggravation by Stic. apparently],

  • but otherwise the boy was better.
  • Stic.
  • was continued.
  • Next day half the fluid was gone, and the

third day it was all gone and the boy was cured in nine days. Price remarks that he had noticed

one symptom so frequently present in the cases he cured with Stic. that he began to regard it as a

characteristic although it was not in the provings: A spot of inflammation and redness on the

affected joint like the hectic flush on the cheeks in phthisis. In housemaid's-knee Stic. comes as

  • near being a specific as a remedy ever can.
  • M.
  • D.
  • Youngman (H.
  • M.
  • , 1893, p.
  • 360) related a

number of cases of catarrhal and pulmonary affections cured with Stic. @, the indications being:

Harsh, racking, incessant, "unprofitable cough of spasmodic type. He considers it especially

Clinical (part 3)
Clarke
  • Suited to neuralgic, rheumatic, gouty individuals.
  • Here is one of his cases: Mrs.
  • H.
  • , 42, had an

attack of bronchitis in January, and when seen, March 29th, had a harsh, racking cough, with

pain all through chest on coughing; spongy state of mucous membrane of pharynx, which bleeds

easily; has had several attacks of asthma; has hay-fever every August; paroxysms of cough often

end in convulsive sneezing, which she dreads because it is followed by asthmatic symptoms.

"She takes cold in her head, which in a day or so goes down in her throat, and thence into her

  • chest.
  • " Every cold she gets does this.
  • Stic.
  • 1x gave relief in five days.
  • Hale says Stic.
  • is
  • indispensable in February, March, and April in the American climate.
  • L.
  • O.
  • Rogers (S.
  • J.
  • of H.
  • )

prescribed Stic. for a patient with the cough of the remedy at the time she was nursing her

seventh child. She had always been annoyed because of a scantiness of milk; it had been

occasionally entirely suppressed. Whilst taking Stic. the flow became ample, and remained so as

long as an occasional dose was being taken. Rogers subsequently verified this effect in a number

  • of cases.
  • Another use of Stic.
  • is in sleeplessness, which is due to nervousness, or to cough.
  • This

is part of its action on the nervous system. Stic. is one of the remedies which produce the

levitation symptom: the legs feel as if floating in the air; head as if floating off; as if the body and

limbs did not touch the bed. Hysterical chorea coming on after profuse hemorrhage has been

cured by Stic. Peculiar Sensations are: As if she cannot keep her tongue still. As if stomach full

  • of yeast.
  • Throat and mouth burn as if scalded.
  • As if hard mass collected in lungs.
  • As if floating in
  • air.
  • The right side is more prominently affected.
  • The symptoms are: < By touch.
  • < Motion (also:
  • must get up and move about for relief from pain of knee).
  • < Turning eyes.
  • Pressure >.
  • Lying

down > headache; < cough. Influenza is > in open air. Many symptoms are < as the day

advances, lasting all day. Cough < nights (comparatively free from it during day). Coughing <

cough (the more he coughs, the more he wants to).

Relations

Relations
Clarke

Compare: Lung affections; deep-in headache, Bac. Catarrhs and coughs, Dros., Nux,

  • Rx.
  • c.
  • , Samb.
  • , Meph.
  • Rheumatism, Act.
  • r.
  • , Stellar.
  • Nerve symptoms, Asar, Tarent.
  • Asthma of
  • consumptives associated with splitting headache, Rx.
  • c.
  • , Meph.
  • Levitation symptoms, Calc.
  • , Sil.
  • ,
  • Can.
  • i.
  • Sensation of lightness of body, Coccul.
  • , Gels.
  • The more he coughs, the more he wants to,
  • Ign.
  • Heaviness from front to back, Naja.
  • Headache as if skull being raised and lowered, Can.
  • 1.
Relationship
Boericke
  • Compare: Datura arborea-Bougmancia candida (cannot concentrate thoughts; brain floats in thousands of problems and grand ideas.
  • Floating sensation as if ideas were floating outside of brain.
  • Headache, heartburn.
  • Burning sensation around cardiac and of stomach, extending to oesophagus with sense of constriction.
  • Heat and fullness over liver region).
  • Cetraria-Iceland Moss (chronic diarrhoea, phthisis, bloody expectoration.
  • Is used as a decoction and boiled with milk as an expectorant and nutrient in bronchorrhoea, catarrh, etc).
  • Also compare: Eryng; Dros; Stilling; Rumex; Sambuc.

Posology

Dose
Boericke

Tincture, 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.

Additional notes

Symptoms — Limbs
Clarke

Darting pains in arms, legs, and shoulders, beginning in muscles of arms, then in

fingers, joints, thighs, and toes ——Swelling and stiffness of hands and feet.—Rheumatism of

joints.—Hands and feet tend to be cold (D).—Red spots of inflammation on affected joints (Price).

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