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Materia Medica

Variolinum

Lymph from Small-pox Pustule
24 sectionsBoericke · 7Clarke · 17

Essence

Prologue
Boericke

Lymph from Small-pox Pustule

Used for "internal vaccination." Seems to be efficacious in protecting against, modifying and aiding in the cure of smallpox.

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Keynotes

Characteristics
Clarke

The cardinal symptoms of small-pox are the keynote symptoms for the use of

Variolinum. The backache of small-pox is about the worst backache known, and Var. has cured

in my practice a number of bad backaches that nothing else seemed to touch. Var. was Burnett's

chief remedy in shingles; it generally, as he expressed it, wiped out the disease, eruption and pain

  • as well.
  • It will also cure neuralgia left by herpes.
  • Var.
  • has aborted many cases of small-pox, and
  • has proved an efficient preventive against small-pox contagion and vaccinal infection.
  • G.
  • M.
  • H.
  • (H.
  • W.
  • , xxxii.
  • 546) records this experience: Var.
  • 6 (three pilules) was given to the mother and

children of a family, one of whose members was taken with small-pox and removed to an

isolation hospital, with his mother to nurse him. The patient (who did not receive Var.) was

dangerously ill for a month. Neither the mother who nursed him nor any of the other children

took small-pox. Vaccine was sent by the Government and all the family were vaccinated, but it

did not take with any of those who had taken Var., although the vaccination was repeated.

  • Moreover, G.
  • M.
  • H.
  • himself, who had taken a dose of Var.
  • , submitted to vaccination, but

"although four thorough inoculations were given, they healed up immediately, and did not even

  • itch or smart.
  • ".
  • —These are cardinal indications for Var.
  • : Severe cold; chill; chilly creepings as if

cold water were trickling down the back; violent fever with extremely hot skin, with or without

  • high pulse.
  • Violent headache.
  • Nausea.
  • Pain in epigastrium.
  • Pain in limbs as if in bones.
  • Severe

backache. There may be rash or there may not. Here is a case of Swan's, who is a pioneer with

  • nosodes (H.
  • W.
  • , xviii.
  • 205): Miss H.
  • , 21, healthy, hearty; complained of the following symptoms:

Confusion of head as if going crazy, with a sensation as if it was all in the back of the head and

running down spine, followed by intense, heavy, hot headache in back of head and neck and

region of medulla; sensation as if head weighed a hundredweight, with a tendency of it to fall

backwards; deathly nausea in throat-pit during headache. During headache hands and feet icy

cold, particularly the hands; tongue coated yellow in morning, with bad, disgusting taste in

mouth; no appetite; knees feel weak as if they would give way, especially on going down stairs;

pains in thighs and hips; severe aching, burning pain in small of back; skin hot and dry; pulse not

feverish. Var. cm (Swan), in water, cured in six hours, the confusion of the head ceased after the

pain did. A school of two hundred children was "internally variolated" with Var. cmm (Swan) on

the evening of February 18th and the morning of February 19th. Of two schoolmistresses one

was not at all affected; the other was two days in bed ill. On 21st many of the children were ill;

by the 23rd all except forty were, the symptoms being the usual preliminary symptoms of small-

pox, and later Swan found pustules on many. After the varioloid had passed off, but before the

patients had recovered their vitality, twenty-three children were vaccinated without Swan's

knowledge. All but one took and had terrible ulcers on the arms, and had to be remedied by

  • Vacc.
  • (emm, Swan).
  • Sensations of Var.
  • are: As if a band tightly encircled head.
  • Crazy feeling
  • through brain.
  • As if throat were closed.
  • As of a lump in right side of throat.
  • Like streams of ice-

water running down back. Pain as if back were broken. The symptoms are < By motion.

Head

Head
Boericke
  • Morbid fear of small-pox.
  • Deafness.
  • Pain in occiput.
  • Inflamed eyelids.
Symptoms — Head
Clarke

Vertigo.—Syncope in attempting to rise.—Forehead very hot, face red and bloated,

carotids pulsating violently.—Headache: with or after a chill; all over head; particularly in

forehead; severe in vertex; as if a band tightly encircled head; severe lancinating, throbbing; <

with every pulsation.—Intolerable pain in occiput.—Crazy feeling through brain, hard to describe.

Eyes

Symptoms — Eyes
Clarke

Keratitis, with small-pox and after vaccination —Chronic ophthalmia with loss of

sight.—Pupils contracted.

Face

Symptoms — Face
Clarke

Skin of face and neck deep dark-purple hue.—Jaw falling when asleep, with trembling

when aroused.

Mouth

Symptoms — Mouth
Clarke

Thick, dirty yellow coating on tongue.—When asleep tongue protruded, black

coating, when raised it is with difficulty drawn back; looks like a mass of putrid flesh.

Throat

Symptoms — Throat
Clarke

Throat very sore, redness of fauces——Pharynx and fauces deep purplish crimson,

with gangrenous appearance; breath horribly offensive —Painful deglutition.—Sensation as if

  • throat were closed.
  • —Sensation as of a lump in r.
  • side of throat.
  • —Diphtheria with horrible fetor

oris.

Stomach

Symptoms — Stomach
Clarke

Soreness in pit of stomach and across epigastric region.—Severe pain in

précordial region, frequent nausea and vomiting of bilious and bloody matter.—Frequent bilious

vomiting.—As soon as he drinks milk he vomits it up.

Stool

Symptoms — Stool
Clarke

Thin, bloody stools.—Several brown, green, at last grass-green stools, painless, loose,

of intolerable fetid odour; no thirst; last stool slimy, with small quantity of

blood.—Dysentery.—Constipation.

Urinary

Symptoms — Urinary Organs
Clarke

Urine: high-coloured, like brandy; turbid and offensive; stains a rose tea-

colour, difficult to remove.

Male

Symptoms — Male Sexual Organs
Clarke

Enlargement of testicle.-—Hard swelling of 1. testicle in consequence

of a contusion.

Respiratory

Respiratory
Boericke
  • Oppressed breathing.
  • Throat feels closed.
  • Cough with thick viscid, bloody mucus.
  • Feeling of a lump in right side of throat.
Symptoms — Respiratory Organs
Clarke

Oppressed respiration.—Asthma.—Troublesome cough, with serous

and sometimes bloody sputa.—Hawking up thick, viscid slime, smelling bad.

Neck & Back

Symptoms — Neck and Back
Clarke

Stiffness of neck, with tense drawing in muscles, < on motion.—Pain in

base of brain and neck.—Chills like streams of ice-water running down from between scapul¢ to

sacral region.—Intolerable aching in lumbar and sacral region.—Pain in muscles of back like

rheumatism; < on motion.

Upper Limbs

Symptoms — Upper Limbs
Clarke

Hands icy cold during invasion.—Swelling of arm which had been half-

paralysed.

Skin

Skin
Boericke

Hot, dry. Eruption of pustules. Shingles.

Symptoms — Skin
Clarke

Exanthema of sharp, pointed pimples, usually small, seldom large and suppurating,

dry, resting on small red areolc¢, frequently interspersed with spots of red colour, sometimes

severe itching.—Petechial eruptions —Var. 30 warded off an attack of small-pox after intense

sickness of stomach had been caused by the smell of a case.—Var. 1m in water every two hours,

given on third day of eruption of a confluent case cut short the attack.—Shingles.

Fever

Fever
Boericke

Hot fever, with intense radiating heat. Profuse, bad-smelling sweat.

Symptoms — Fever
Clarke

Very severe chill, followed by hot fever.—Intense fever, commencing with chills

running down back like streams of cold water, causing shivering and chattering of teeth_—Fever

with intense radiating heat, burning hot to touch.—Hot fever, no thirst—Very profuse, bad-

smelling sweat.

Clinical

Clinical
Clarke
  • Asthma.
  • Backache.
  • Chill.
  • Fever.
  • Headache; occipital.
  • Herpes zoster.
  • Neuralgia.

Small-pox. Testicle, swelling of.

Relations

Relations
Clarke
  • Antidoted by: Malan.
  • , Thuj.
  • , Ant.
  • t.
  • , Vacc.
  • , Sarr.
  • Compare: Herpes, Mez.
  • , Rhus, Ars.
Relationship
Boericke

Excruciating backache.

  • Aching in legs.
  • Tired all over with restlessness.
  • Wrists pain.
  • Pains shift from back to abdomen.

Compare: Vaccin (same action); Malandrinum--the morbid product of the grease of the horse (a prophylactic of small-pox and a remedy for the ill-effects of vaccination; chronic eczema following vaccination).

Posology

Dose
Boericke

Sixth to thirtieth potency.

Classical Posology

Acute
  • 30C or 200C · repeat every 1–4 h depending on intensity
  • Stop on improvement · reassess in 24–48 h
  • For sensitive / elderly / paediatric: prefer LM1 or 30C
Constitutional
  • 200C or 1M single dose · wait 4 weeks
  • Alternative: LM1 daily × 10 days · ascend on retest
  • Hering's-Law follow-up adapts the next script
Citations: Organon §246 (interval / repetition) · §161 (plussed water) · §282 (LM ascension) · Kent on selection · Vithoulkas on second prescription. Open Repertify for the case-specific dose with the rule cited inline.
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