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Generalities: You will
be surprised, when studying full provings of this substance, to notice that all the symptoms
seem to centre about the stomach; it does not matter much what kind of complaints he suffers
from the stomach takes part in it.
The pains disturb his stomach and bring, on nausea; with his headache he
is sick at the stomach; with all complaints his stomach is out of order, and, on the other
band, whenever he disorders his stomach he is sick all over. Complaints that manifest
themselves through the stomach very frequently need this medicine.
First in importance are the mental symptoms showing the type of
constitution likely to need this remedy. It produces a very serious state in the mind, an
absence of the desire to live. It is well known to physicians that the case is a serious one
if the patient has no desire to live; life is a burden. When I hear a patient say:
"Oh, doctor, if I could only die."
I do not like such a case; there is some deep-seated trouble in the
economy that is hard to remove. Something is threatening, and when it comes it is a common
thing to see the patient actually die.
"Loathing of life."
You will find this especially in a low, lingering, continued fever, such
as typhoid. This remedy has all the prostration of typhoid, and it has the continued type of
fever as well as the intermittent and remittent. The prostration is similar to Arsenicum, but Ars. have overwhelming fear of death, while this medicine
has loathing of life; and so they both part company. Ars, has overwhelming
restlessness, this remedy is seldom restless. Ars. has an intense
thirst, this medicine is thirstless.
So even though both these remedies have excessive exhaustion with
continued fever, we see they have features dissimilar enough to make them wholly distinct.
Such a typhoid will sometimes be seen in young girls about puberty who are threatening to go
into chlorosis. They have loathing of life, but it is a hysterical loathing of life.
Moments of great exhaustion, sudden attacks of weakness and fainting. You
will commonly find another feature with this, not coming at the same moment. but alternating
with it, or only present at times, namely, these over excitable, intense, nervous,
hysterical, ecstatic young girls and women are overcome by mellow lights such as flow
through stained glass windows or the mellow light from the moon in the evening.
That is, what is meant when it says in the text:
"Sentimental mood in the moonlight."
It is a hysterical state, a disorderly outburst of the affections, such
affections as can be aroused only in one who is sick, or one who is unbalanced in the
general nervous system.
This kind of patient gives us the mental state and constitution of Ant. crud., and along with such mental states the physical conditions seems to strike
to the stomach, as it were.
We have running through this remedy a general state that you should keep
in mind, that is, a gouty or rheumatic state, in which the symptoms change with the changes
of the weather; worse in cold, damp weather, worse from cold bathing, better from the heat
of a hot bath, worse from taking sour wine, and worse from stimulants of any kind.
When you use the expression "worse from wine," it
is not only important to know that the patient is worse from wine, but also the character of
complaints that are worse from wine.
This patient becomes easily intoxicated, but the physical symptoms are
more disturbed than the mental; his gouty symptoms are worse from sour wine; all the pains
and aches of the body are worse from sour wine; headaches come from this cause and the
gastric disturbances are greatly aggravated from sour wine.
This patient is worse at night, worse in damp weather, worse from damp
cold, better from lying down quietly, better from applied heat, but much worse from
over-heating and from radiated heat, and in a warm room.
Many of the symptoms come on in the sun's rays and from the heat of an
open grate. The open fire is wholly against the Ant. crud. patient.
A child with whooping cough will cough more after looking into the fire.
Such things are queer; they are so strange that there is no philosophical hypothesis to
explain them, no theory that looks toward an explanation, but they are facts which we must
accept.
Gout: The whole gouty
nature of the case seems to change so suddenly that you wonder where the more exterior
symptoms have gone to, for all at once in a night or a day the patient commences to vomit
and you have persistent vomiting, lasting days and weeks, until the gouty symptoms come back
into the extremities.
It is wonderful how quickly this old-fashioned metastasis will come on,
this changing from one place to another. The gout suddenly ceases in the extremities and
stomach symptoms come on, and you may call it gout in the stomach if you will.
Catarrhal symptoms:
There are catarrhal symptoms in this remedy; catarrh of the nose, stomach, rectum, etc., and
an increased flow of mucus from any of these localities from drinking sour wine and from
taking cold.
A distressing feature of the catarrh is the stuffing up of the nose at
night. As soon as he gets into an overheated room, his nose gets stuffed lip.
The coryza has a tendency to become chronic, because of the low and
feeble circulation and the poor constitution.
When it becomes chronic it is worse at night and is associated-with
headaches. As the catarrh slackens up and becomes dry the headache becomes worse; he has
neuralgia in the head, crushing pains and dreadful sickness at the stomach with vomiting.
He often has an attack of sick headache and it will be called by the
family a gastric sick headache, but the condition just mentioned comes on from taking cold,
which slacks up the thick discharge into a dryness of the nose and the inhaled air burns the
nose like fire.
Sometimes these troubles pass off after an intense vomiting spell;
sometimes they do not, but the headache may remain for days not relieved by vomiting, or
relieved only after prolonged vomiting.
Headache: There are
remedies full of headache and as soon as ho vomits he feels better, but in this remedy he
vomits long, and becomes relaxed and exhausted.
The headache is worse moving about, worse at night better from lying
down, from keeping quiet, better in the open air, worse in warm room, worse from
overheating, worse from radiated heat and light. You see now how the catarrh, the headache
and gastric symptoms all belong together.
It is because the patient is sick that you cannot take symptoms
separately, you must prescribe for the whole man.
There is another feature belonging to the mucous membranes, and an
important one; these membranes have a tendency to throw out a milky white exudation or
deposit, and it is especially noticed upon the tongue.
Mucous membranes: The
whole tongue is covered with a milk-white coating. This you find in all diseases where the
remedy is indicated.
In the stomach disorders of children, in gastric fevers, in complaints
with fever and much vomiting great irritation of the whole nervous system and in irritation
of the stomach in typhoids, the tongue looks white. Upon the slightest provocation he will
retch and gag.
Every thing seems to disturb him. He has loathing of food; the thought
and smell of food disturb him. This is like Arsenicum.
Voice and larynx: He takes a cold bath at night on going to bed and gets
up in the morning voiceless cannot speak a word.
This has come on in an apparently painless manner; he does not know that
it is present until he attempts to speak in the morning. This may be present with spasms, of
the larynx clutchings of the throat. Colds sometimes go down into the throat and into the
trachea, producing a bronchitis or pneumonia.
Cough: Dry, hacking
spasmodic cough in diminishing paroxysms.
I will explain that: The first paroxysm occurs with great violence,
racking his whole frame, and lasting a longer or shorter period, to be followed by one with
less violence and another with less violence; perhaps after a dozen or less paroxysms of
diminishing violence, he ends up with a dry, hacking cough which is not a paroxysm.
When this first cough shakes the whole body, whether it is a bronchitis
or whooping cough, and the tongue is white, and there are more or less gastric disturbances,
Ant. crud. is the remedy.
It will change the whole aspect of the case at once. The chest remains
sore, lame and bruised from the violence of the cough.
Stomach: The stomach
symptoms must be particularly considered.
Constant nausea, lump in the stomach, feeling all the time as if he had
an overloaded stomach, as if he had eaten too much, and that is when he had not eaten at
all.
The stomach feels distended although the abdomen is flat. He feels
distended and vomits the contents of the stomach; he vomits slime after he has emptied the
stomach of its contents; prolonged retching, nausea, sickening load in the stomach and it
seems to go on and on.
The vomiting does not relieve and there is increasing exhaustion.
Liver: Inflammation
and hardness of the liver or any portion of it.
Pain in the region of the gall bladder. Great pain in the region of the
liver, rending, tearing pains in the liver, jaundice is associated with these symptoms at
times.
Abdomen: In the
abdomen we have a group of symptoms; violent abdominal pains, burning, great distension;
there appears to be an increasing distension as if by a screw, gradually forcing down upon
something gradually increasing the tension.
We find this state in the tympanitic condition of typhoid fever, we find
it in cases of flatulence, we find it in summer diarrheas.
It will be associated with gastric symptoms and the white tongue,
especially if such disturbance had been brought on by drinking sour wine, by taking a cold
bath, in one who has a gouty constitution, where the nodules in the finger joints become
painless and the stomach and bowels become distended and painful.
Diarrhea: This remedy
has a nondescript diarrhea, but also a lumpy and liquid diarrhea.
Diarrhea from sour wine. It seems to take a long time to empty the
bowels. He hurries to stool and passes a little lump and some liquid, and is soon hurried
again to stool and more lumps and liquid are passed, and this goes on in summer diarrheas
until finally the bowel is emptied and then there is great tenesmus.
It is a diarrhea ending in dysentery; inflammation of the rectum and
colon, with suffering, much tenesmus, prolonged efforts and great exhaustion.
Troublesome hemorrhoids in old gouty constitutions. They are always sore
and inflamed from a cold, wet day, from cold bathing and, are always worse if he is foolish
enough to drink sour wine or take sour food.
The stomach, bowel, rectum and hemorrhoidal complaints are all worse from
disordering the stomach with sour wine, sour fruit or indigestible substances from cold
bathing and wet weather.
Female: The pelvic
viscera become greatly relaxed, especially in women, so much so that there is a dragging
down in the pelvis.
It seems as though the contents of the pelvis would be expelled, or would
fall out. There is prolapsus of the uterus and a discharge resembling leucorrhoea .
Disturbances of various kinds at the menstrual period.
Irritable and painful ovaries, such as we find associated with hysterical
girls; those who suffer from unrequited affections; dreamers.
Sweat: This medicine
produces sweating; copious, exhaustive sweats, night sweats, such as we find in lingering
diseases.
Sweats from the slightest exertion. If he becomes slightly overheated he
fairly boils with perspiration and then takes cold.
Skin: The skin is
ulcerated and has a tendency to grow warts, callosities, bad nails and bad hair.
Hard, horny excrescences grow under the nail and are extremely painful.
From the ends of the fingers little horn-like excrescences appear.
The slightest pressure will produce a callosity, or a sore place, and in
working men you will find an unusual tendency to thickening of the skin on the soles of the
feet.
They are very sore to walk upon, because these callous places are
sensitive and have numerous centres of little corns. The tendency to build up and indurate
belongs to the remedy.
Warts grow upon the hands. The hair is unhealthy. Pustules form upon the
skin with red areola.
Pustular eruptions have an inflamed base that is red, and sensitive.
Now, if you will study the proving and get the particulars of the remedy,
and fit them into this framework, you will understand something of Ant. crud.
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