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Materia Medica

Sulfonalum

A Coal-tar Product
18 sectionsBoericke · 10Clarke · 8

At a glance

Cardinal features · auto-extracted from Boericke · Clarke
  • Profound weakness
  • Alternation of happy, hopeful states with depression and weakness

Essence

Prologue
Boericke

A Coal-tar Product (SULFONAL)

  • Vertigo of cerebral origin, cerebellar disease, ataxic symptoms and chorea, present a field for the homeopathic employment of this drug.
  • Profound weakness, gone, faint feeling, and despondency.
  • Loss of control of sphincter.
  • Muscular inco-ordination.
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Keynotes

Characteristics
Clarke

Su/fonal was at first regarded as one of the safest of hypnotics, but many cases

of poisoning by medicinal doses have occurred, and my Schema is made up of reported effects

  • produced on patients.
  • The accounts will be found in recent numbers of H.
  • W.
  • Prominent
  • symptoms were: Stupor.
  • Headache, with noises in ears.
  • Vomiting and diarrhoea.
  • Urine retained,

or secretion arrested; claret-coloured; containing albumen; porphyrin. Ataxic gait and diminished

or abolished reflexes point to locomotor ataxy. Ascending paralysis has been observed. The heart

is weak; fainting occurs; and death takes place by heart failure. Rashes have been noticed on the

  • skin, purpuric, erythematous, &c.
  • One man (H.
  • W.
  • , xxxii.
  • 174) observed uniform skin effects
  • every time he took S/o.
  • , more intense the larger the dose.
  • This occurred from gr.
  • v.
  • : Patches of

erythema appeared (/) first on inner side of first phalanx of right little finger; (2) next over

proximal ends of metacarpal bones of left thumb and index; (3) on posterior surface of left

forearm a little below elbow; (4) fourth on prepuce. The symptoms were > by cold douches.

Mentals

Mind
Boericke

Mental confusion, incoherency, illusions; apathetic. Alternation of happy, hopeful states with depression and weakness. Extreme irritability.

Head

Head
Boericke
  • Dropsy, stupid; pain on attempting to raise head.
  • Double vision; heavy look about eyes; tinnitus, aphasia; tongue as if paralyzed. Eyes bloodshot and restless.
  • Vertigo, unable to rise.
  • Double vision; ptosis; tinnitus; dysphagia, difficult speech.

Stomach

Symptoms — Stomach
Clarke

Vomiting, diarrhoea, and violent chills—Constant retching, vomiting, and

soreness over epigastri'um.—Great disturbance of digestion with scanty urine.

Urinary

Symptoms — Urinary Organs
Clarke

Dark brown urine.—Urine very scanty; albuminous; almost solid when

cooled.—Hzematoporphyrinuria and death; urine oscillated between deep claret and light claret

colour.—Retention of urine; had to be drawn off; dark-coloured.—Urine cherry-colour, later like

dark port wine.

Urinary
Boericke
  • Albuminuria, with casts.
  • Scanty.
  • Pink color.
  • Constant desire to urinate; scanty, brownish red.
  • Haemato-porphyrinuria.

Respiratory

Respiratory
Boericke

Congestion of lungs; stertorous breathing. Sighing dyspnoea.

Chest

Symptoms — Heart
Clarke

Death from heart failure and cedema of lungs.—Heart's action feeble, occasionally

intermittent.

Neck & Back

Symptoms — Back
Clarke

Chronic leptomeningitis, circumscribed softening of dorsal portion of cord, with

hypostatic pneumonia of r. lung, and cyanosis of liver and kidneys (post mortem of poisoning

cases).

Lower Limbs

Symptoms — Lower Limbs
Clarke

Gait ataxic; reeled about —Plantar reflex deficient.—Paralysis of lower

limbs.—(Cramps of legs and single muscles.)

  • 24.
  • Generalities—The symptoms disappear slowly.
  • —Paralysis of body.
  • —> By cold water; cold
  • douches.
  • —Great prostration.
  • —Progressive paralysis affecting legs first then arms.
  • —Paralysis

sometimes progressive sometimes with hyperesthesia and abnormal sensation.—T witching of

muscles, esp. of face and flexors: < by voluntary movement, but always present in

sleep.—Reflexes abolished.—(Epilepsy, inveterate cases with over-excitability of the cortical

  • substance.
  • ).
  • —Fainted and vomited.
  • —Livid, esp.
  • face —Cyanosis.
  • —Death by respiratory failure

preceded by unconsciousness.

Extremities

Extremities
Boericke
  • Ataxic movements, staggering gait; cold, weak, trembling; legs seem too heavy.
  • Extreme restlessness; muscular twitchings.
  • Knee-jerks disappear.
  • Stiffness and paralysis of both legs.
  • Anaesthesia of legs.

Skin

Skin
Boericke

Itching, bluish purpura. Erythema.

Symptoms — Skin
Clarke

Discoloured patches like purpura on skin.—Patches of erythema, of intensity

proportionate to dose:—(/) On inner side of first phalanx ofr. little finger; (2) over proximal ends

of metacarpal bones of |. thumb and index; (3) on posterior surface of |. forearm, a little below

elbow; (4) on prepuce.—Erythematous measles-like eruption.

Sleep

Sleep
Boericke

Fidgety, wakeful, drowsy. Insomnia.

Clinical

Clinical
Clarke
  • Albuminuria.
  • Cramps.
  • Cyanosis.
  • Ears, noises in.
  • Epilepsy.
  • Headache, with tinnitus.
  • Heematoporphyrinuria.
  • Locomotor ataxy.
  • Paralysis, ascending.
  • Reflexes abolished.

Relations

Relationship
Boericke

Trional; insomnia associated with physical excitement; (vertigo, loss of equilibrium, ataxia, nausea, vomiting, diarrhoea, stertorous breathing, cyanosis, tinnitus, hallucinations).

Posology

Dose
Boericke

Third trituration.

Non-Homeopathic Uses.--As a hypnotic. Dose, ten to thirty grains in hot water. Takes about two hours to act.

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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