A 575043

मन
E
125
ARTES
LIBRARY
1837
VERITAS
UNIVERSITY OF MICHIGAN
E PLURIBUS LINUM
SCIENTIA
OF THE
-QUAERIS PENINSULAM AMOENAM
CIRCUMSPICE
DOVUTOLOAJATAVARURU
PAU
VAIKUID,
Inf
:
----
*************£#.
pimary
•
The
********
#616.3
35-2

Fair M
* "^\\\" \__,_ == "\\\
REVENT Pas
THE
HOMEOPATHIC TREATMENT
OF
CONSTIPATION,
BY
H. BERNARD, M.D.,
MONS, BELGIUM.
Translated and Revised from the second Belgian edition, with
Additions and Clinical Cases from American sources,
CHICAGO.
PY
T. M. STRONG, M.D.
W. A. CHATTERTON, A. L. CHATTERTON PUB. CO.
NEW YORK.
1882.
PREFACE.
THE greater portion of the subject matter in the
present edition has been taken from the work of
Dr. Bernard, but has been placed in a form corres-
ponding to the well-known work on diarrhoea by Dr.
Bell. No reason for using this form need be given
to American physicians, so long acquainted with the
work above mentioned.
The matter contained within brackets and the
Repertory entire, has been added.
It is desirable that the members of the profession,
promptly point out important omissions and errors,
and also furnish additional verifications.
T. M. S.,
ALLEGHENY, PA,,
September, 1882.
INTRODUCTORY.
The therapeutic question which we are about to
examine does not deserve, possibly, to be placed in
the first rank of clinical importance. None of the
disciples of Hahnemann, however, will, we think,
deny the practical difficulties which are often pre-
sented in the treatment of constipation.
It is not always easy for the conscientious, but
busy practitioner, to discriminate in the selection of
the true homoeopathic remedy; and it is only too easy
for the patient, on the contrary, to procure a pur-
gative at the nearest pharmacy.
The majority of persons, who are suffering from
constipation, do not possess the patience to await
the dynamic effects, which are sometimes a little
slow, of our remedies. A slave to a prejudice which
we will be able only to eradicate by time, the public
attaches to constipation an exaggerated importance
and desires to effect its removal at any price. We
know that there is more of error than truth in the im-
portance which is assigned to constipation; but if we
with truth may say, that the success of the humoral
doctrines is a remnant of the antiquated traditions
traceable to Galen, and also that the treatment,
resembling the sweeping by a broom, or the exten-
V
K
10
sive cleaning of the Augean stables, is more popular
than scientific, nevertheless let us be just. Let us
acknowledge that everything is not false, in the
entreaties of our patients who, invoking the cele-
brated precept of Boerhaave, demand an "open
belly;" for constipation of itself can become, an
abstraction born of the causes which give rise to it,
a source of physical and mental troubles.
We are reminded of a patient who we had the
happiness to cure successively of a variola and a
typhoid fever. He was an intelligent, highly edu-
cated ecclesiastic, full of activity, but of a weak and
timorous disposition. After convalescing from
typhoid fever, he was profuse in acknowledgements.
of the services which we had rendered him, and was
never tired sounding the praise of homeopathic
treatment, to which he owed, a second time, the
preservation of his life. Unfortunately a consti-
pation, habitual, but generally transitory, in con-
valescents, assumed in him a very obstinate form.
So that after the failure of several homoeopathic
remedies which I had prescribed, our patient
consulted a practitioner of the old-school. Farewell
all the transports of gratitude, all the panegyrics
upon homœopathy, all the enthusiasm of propa-
gandism. "I confess that Homoeopathy is a good
thing," said our former patient to us at a later
encounter, "but it is wanting in purgatives." We
INTRODUCTORY,
INTRODUCTORY.
11
*
have no doubt that all our colleagues have
experienced analogous facts and circumstances.
It is undoubtedly more noble to correct the infirm-
ities of the human intelligence than to pass them
by; but amid the difficulties of a daily clientele, how
many necessary concessions have to be made to that
enquiry for the cause, to that mania for explanations,
which derives its source from a curiosity perfectly
legitimate in the main! For have not the patients
who consult a physician a right to interfere in a
process which concerns their health?
We would not proscribe absolutely the administra-
tion of laxatives, but at the same time we would draw
the line between those of hygienic, and those of a
pharmaceutical order; we do not wish, at least, to
condemn or excommunicate those of our colleagues
who think it is their duty to use them, either in
cases of emergency, or when the indication for the
homoeopathic remedy is but illy-defined. But we
think that we do better when we strive, at the price
of frequent and conscientious investigation, to facil-
itate this enquiry for an appropriate remedy for each
particular case. The aim which we have in view in
this work is to enable those who desire to read it, to
renounce the palliatives more or less crude of the
old-school, and to rest upon the genuine traditions.
of our admirable law: similia similibus curantur.
It seems to us, that examined from this point of
12
view, the question of the homoeopathic treatment of
constipation merits a place among those conditions
which claim the serious attention of physicians and
the intelligent public.
Constipation, writes M. Jousset, is a morbid.
affection characterized by the infrequency and the
hardness of the stools.
INTRODUCTORY.
Grisolle agrees with Chomel in defining constipa-
tion as a condition in which the alvine evacuations
of an individual are rare, and the material voided,
hard and discharged with difficulty. Thus the
word constipation carries with it the idea of a reten-
tion of fæcal matter; we should not then apply the
term to the absence of stools due to an empty bowel,
such as we find after a profuse diarrhoea, a prolonged
fasting, or in pyloric contractions. Constipation in
a great many persons constitutes a physiological con-
dition; so that we have instances where the person
may enjoy the best of health, and yet the stool only
occur every four, five, eight or ten days. But we
need not occupy our mind with these particular cases.
Constipation, according to M. Jousset, is symptom-
atic of a great number of diseases and lesions.
Independent of mechanical obstructions, such as
tumors in the pelvis, displacements of the uterus
and narrowing of the intestine, constipation may
also arise in consequence of paralysis due to lesions
of the spinal cord, dyspepsia, hæmorrhoids and lead
INTRODUCTORY.
13
poisoning. It has not been demonstrated that con-
stipation arises outside of these conditions to consti-
tute, even in the aged, an essential malady.
We believe that the latter assertion of M. Jousset
will meet with decided contradictions, since clinical
observation, in our country at least, brings to notice
numerous cases of constipation which do not depend
upon any of the conditions above mentioned and
which fully justify the acceptation into the patho-
logical schema of idiopathic constipation.
According to M. Jousset the conditions which, in
the morbid conditions previously enumerated, favor
the development of constipation are: The female
sex, old age, sedentary occupation, too much or
insufficient animal food, drinks taken in too small
quantity, and the habit of delay in attending to the
desire for stool. The affection, he adds, does not
need a long description: The stools occur every
three, four, eight and even fifteen days; they are
dry, dark, often separated into little balls, like sheep
dung; they are expelled with difficulty. The first
portion is often of an enormous size, and necessitates
almost the pain of a true accouchement; on the other
hand, the last part may be of a liquid or semi-liquid
character. An alternation of diarrhoea and consti-
pation is often observed.
Ruddock briefly summarizes the symptoms which
accompany the constipated habit:
Cephalalgia,
J
14
febrile malaise; pressure or feeling of distention of
the stomach and intestines; frequent, forced, but
useless efforts to discharge the contents of the bowel,
or, on the other hand, there may be a complete torpor
without any desire for stool; abdominal pulsations
or pains, hæmorrhoids and varicosis; sighing respi-
ration; restless sleep; depression of spirits.
According to M. Jousset, constipation is due to
the diminution of the intestinal secretions, to a
spasm of the sphincter, and in a certain measure, in
aged persons, to a diminution of the contractility of
the intestinal fibres.
INTRODUCTORY.
[Raue writes*: Retarded action of the bowels is
frequently accompanied with dizziness, headache,
palpitation of the heart, hypochondriacal symptoms,
hæmorrhoids and flatulency. If long continued it
may lead to dilatation and hypertrophy of the intes-
tines and in some rare cases, where actual impaction
of hardened and dried fæces ensues, to inflamma-
tion, ulceration, and even perforation of the gut.
Constipation may be brought about by a diet con-
taining too large an amount of indigested matter
(beans, corn, and the like coarse food), which forms
dry fæces difficult to evacuate; by diseased conditions
of the mucosa in consequence of chronic catarrh,
which diminishes the peristaltic action of the bowels;
by muscular weakness of the intestines in conse-
*Special Pathology and Therapeutic Hints, second edition.
INTRODUCTORY.
15
quence of anæmia, chlorosis, long continued diarrhoea,
the use of purgative medicines; by abnormal losses
of fluids in diabetes, profuse lactation or sweats; or
by the pressure of foreign bodies within the intestines,
such as biliary-stones, fruit-stones, etc.]
Without stopping to consider here the genesis and
etiology of constipation, let us consider directly the
principal question which forms the object of this
work: the treatment of constipation.
We will divide the subject into three parts:
I. The hygienic and accessory preventive treat-
ment;
II. The homoeopathic treatment properly so-
called;
III. Finally, we shall say a few words upon the
palliative or surgical treatment.
:
PART I.
な
​THE HYGIENIC AND ACCESSORY
PREVENTIVE TREATMENT.
According to M. Jousset the regimen should be
especially directed to combatting the special eti-
ological circumstances. Besides the use of cold
injections or the introduction of a roll of charpie
into the rectum, the diet should consist of bran
bread and a soup made of maize, lentils or beans.
The use of unground flaxseed or mustard grains
have also a favorable action. Certain natural sul-
phur waters, principally those which contain chloride
of soda (St. Gervais and Uriage), the waters con-
taining free sodic chlorides (Niederbrunn, Friedrich-
shall) give the happiest results in the treatment of
constipation.
We are surprised that M. Jousset does not mention
the Sedlitz, Pullna, and Hunyadi-Janos waters,
whose favorable action experience has daily demon-
strated. The Pullna water especially, constitutes
according to Constantine James, "one of the most
pleasant and sure medications which therapeutics
possesses.'
>>
PREVENTIVE TREATMENT.
17
Ruddock insists upon regularity in the time of
eating (three times a day), the predominance of a
vegetable (greens and fruits) over an animal diet,
oatmeal gruel with molasses at breakfast, brown
bread in preference to the white, the careful masti-
cation of those articles of food which contain starch,
curdled milk and whey, the internal and external
use of water (one or two glasses of water drank
while dressing in the morning are sometimes useful
adjuvants), and the avoidance of spirituous liquors,
spices, and late suppers. He also recommends a
morning walk, but it should not be carried to the
point of fatigue. Dry frictions or wet compresses
over the abdomen may prove efficient. The organ-
ism should be accustomed to a regular and fixed
period for stool, just as for any other physiological
act; by fixing the attention upon this point for some
moments each day it can be finally attained and with
great advantage to the health.
These directions seem to us to be wise, imprinted
as they are with that eminently practical spirit which
we often admire in the English, our powerful neigh-
bors and best friends.
Another English physician, Dr. Tuthill Massy,
recommends salt-water injections and frictions with
olive-oil over the abdomen.
Other practitioners recommend olive-oil taken
internally, a spoonful at a dose, night and morning.
18
PREVENTIVE TREATMENT.
Besides the means already mentioned, let us cite
rapidly, the juice of prunes, preserved fruits, honey,
brown sugar, syrup, manna, the use of chicory in
place of the morning coffee, a cigarette while fast-
ing. We have been told by one of our eminent
colleagues, and have since verified it for ourselves,
of the efficacy of the pastilles of tamarinds, taken
from time to time, lengthening the intervals between
each one.
Has this substance only the tamarin as
an active principle? We are inclined to believe this,
notwithstanding the contrary opinion of many
physicians who think that senna enters into the
composition.
;
le
PART II.
THE HOMEOPATHIC TREATMENT
PROPER.
Two different methods may be admissible for the
exposition of this treatment. The one consisting in
the multiple forms of constipation and the designa-
tion of the medicines adapted to each of these forms
according to their symptomatic shadings; this
method may, perhaps, be more scientific in the
practical and ordinary sense of the word, but we do
not propose to adopt it here.
We prefer the method of the individual study of
the principal medicines adapted to the cure of con-
stipation. With each of these remedies we shall,
nevertheless, endeavor to determine as accurately
as possible their characteristic sphere of action by
references to clinical observations in support of their
efficacy. We shall by this means lessen the diffi-
culties which may be attributed to our method,
which conforms with the spirit of the homoeopathic
doctrine, and especially to the teachings of our illus-
trious founder. We shall endeavor, however, to
20
HOMEOPATHIC TREATMENT.
satisfy, by a practical résumé, the objections more
or less well founded of the partisaus of the first
method.
ESCULUS
HIPPOCASTANUM.
Stools: Large, dry, hard, difficult, dark; In the
form of balls; First part hard, black, the last of
about natural consistency, but white as milk; Hard,
knotty, dry, and white. (See Nux v.)
Before Stool: Constant desire; Sensation as if a
foreign body was in the rectum, or as if the rectum
was full of small sticks, with fruitless efforts at evacu-
ation, and violent pains through the hips and sacrum;
Heat and contraction of the rectum, with a sensa-
tion as if it was prolapsed; dryness and itching of
the anus, with tension of the mucous membranes
and the neighboring integuments; Pain, constric-
tion, weight, prickings and itching, with tenesmus
of the rectum and anus, the pains irradiate to the
posterior surface of the body.
During Stool: Continuation of many of the
symptoms enumerated above. Sensation as if the
intestine was obstructed by folds of mucous mem-
brane, which were threatening to rupture under the
efforts at defecation; Hæmorrhoids with a slight
bloody discharge but with intense pain; Inability to
GRE
HOMEOPATHIC TREATMENT.
21
expel the stool from weakness of the rectum; Shiv-
ering while at stool.
After Stool: Colic at the umbilicus, with severe
pains and tearing at the anus; Reddish, painful, and
burning hæmorrhoidal tumors; Bleeding piles; Pro-
lapsus recti et ani; Burning and contraction in the
rectum, itching at the anus and a sensation of
excoriation; Backache.
Concomitants: Depression of spirits. Vertigo.
Nausea, vomiting or violent retching. Throbbing
in the abdominal and pelvic cavities; passing fetid
flatus. Urine dark, muddy, passed with much pain.
Pain and a sensation of paralysis in the kidneys
extending to the hips, with aggravation from rising.
This pain is not intense, but rather a sensation of
painful weakness which is aggravated by exercise
and relieved by repose; when the patient attempts to
walk or to attend to his usual occupations, the pain
at the lower portion of the back appears and he is
compelled to rest.
Generalities: Chronic constipation associated with
hæmorrhoids. Dr. Hughes says: When the hæmor-
rhoids are only secondary, that is to say, dependent
upon a congestion of the portal system or of some
other intra-abdominal part, Esculus is probably
inferior to Nux vom. and Sulphur. When they are
associated with varicosis elsewhere and bleed freely,
Hamamelis is a better remedy. But when the only
22
HOMEOPATHIC TREATMENT.
concomitant symptom and the only appreciable cause
of their development is constipation, and when there
are severe pains and but little loss of blood, Esculus
will in all probability effect a cure. I have also
cured with this medicine a case of intense pain at
the anus after stool, resembling that caused by fis-
sures.
[Hempel and Arndt* write: Chronic constipa-
tion begets hæmorrhoids, and usually a radical cure
of piles is out of the question unless you correct this
predisposing cause. The curative effect of Esculus
upon cases of chronic constipation furnishes us the
rationale of brilliant cures of piles performed with
it, often in a comparatively short time, after other
efforts of skilled prescribers had utterly failed.]
Meyhoffer has employed this drug with great ad-
vantage in a case in which pharyngo-laryngitis
coexisted with hæmorrhoids and constipation.
We have confirmed the recommendation of
Esculus in chronic constipation connected with a
hæmorrhoidal diathesis, in the case of a man thirty-
five years of age, who had suffered from chronic and
hereditary hæmorrhoids, and who, independent of
an inveterate constipation, carried upon his face a
mask of acne rosacea; the relief was marked and
permanent.
*Materia Medica and Therapeutics.
>
į
HOMEOPATHIC TREATMENT.
23
Case 1.-C. E., a young man of active habits, complained of
a hæmorrhage from the anus after stool. The bowels were con-
stipated, and were only moved every two or three days, and
accompanied by great effort and pain. The blood was dark
colored. Seminal emissions with erections, towards morning,
followed by a desire to urinate. Esculus, four pills every two
hours, removed the trouble within a week.-T. M. S.
ALOES.
Jahr gives: Whitish-gray excrements. Consti-
pation from atony. Collection of fæcal material on
account of the constipation. lusufficient bilious.
secretions. Stool firm, insufficient, soon after a
meal, aggravated from standing. Hunger during
stool.
Espanet: This medicine is suitable for melan-
cholic venous temperaments, with a constitution used
up from table excesses. It corresponds principally
to the female sex, or to men in middle life or old age.
[Lilienthal: Constipation of aged people, with
abdominal plethora; suitable to hypochondriasis,
and to persons leading a sedentary life, with a
pituitous state of the stomach and bowels; heat,
soreness and heaviness of the rectum; urgency as
with diarrhoea; only hot flatus passes with sensation
as if a plug was wedged between the symphysis pubis
and coccyx,]
AB
24
HOMEOPATHIC TREATMENT.
ALUMINA (ARGILLA).
Stools: Dry, hard, light colored or pale; Broken
masses or in balls; Scanty, hard and difficult;
Hard, covered with mucus or mixed with a glairy.
matter; Difficult.
Before Stool: Frequent and ineffectual desire for
stool. No desire for, and no ability to pass stool,
until there is a large accumulation.
During Stool: Pressure and cutting pains at the
anus and a hæmorrhagic discharge; Great straining
even with a soft stool; Pain or itching at the anus;
Voiding of urine while straining at stool; Discharge
of prostatic fluid.
After Stool: Long-lasting pains in rectum after
each stool; Pain in the stomach.
Concomitants: Dry mouth and irritated-looking
tongue. Pain, malaise, and weight in the abdomen.
Frequent nausea, and acid eructations. Slight
burnings, smartings, and shootings in the anus, with
itching and tingling. Dryness of the rectum. Atonic.
hæmorrhoidal tumors.
Generalities: Constipation due to a diminution
of the peristaltic movement and to the inactivity of
the rectum. Dr. Chargé, relative to Alumina in
dyspepsia says: In a materia medica happily sim-
plified and reduced to the form of the Greek roots
of our boyhood days, dryness would express in a
HOMEOPATHIC TREATMENT.
25
single word the whole of this medicine. We meet
with stomachs which give rise to trouble on account
of the want of gastric juice, those, for instance,
which have made the fortune of pepsine; Alumina
is especially adapted to these conditions.
For the constipation of pregnant and lying-in
women; from carriage riding, and lead poison; in
nursing infants and children raised artificially.
Kafka says:
For children nourished on a thick
oatmeal gruel and milk or upon a concentrated prep-
aration of vermicelli, which develops oftentimes an
intestinal catarrh with a constipation so obstinate,
that the dry balls remain in some manuer arrested
at the anus, and can only be evacuated by manual
aid.
Espanet notes the inertia of the intestines which
ordinarily occasions the constipation, although the
excreted material may not be always formed and
scanty. In this regard Alumina is the direct op-
posite of Nux vomica, and it is by a contrary action.
in this latter medicine that the stools are difficult,
the intestine feeble, and the rectum inert; the
defecation is accomplished through the efforts of the
abdominal muscles.
The opinions of Ruckert is confirmed by Kafka:
Alumina is suitable for the chronic form of intes-
tinal catarrh which is characterized by excessive
-i
Է
26
HOMEOPATHIC TREATMENT.
flatulency, with pricking and drawing pains in the
bowels, pressure in the stomach and abdomen, fre-
quent and ineffectual desire for stool, scanty evac-
uation of hard broken materials, with pressive
and cutting pains at the anus and a hæmorrhagic
discharge.
Alumina is to Sepia, says M. Teste, what Silicea
is to Pulsatilla; we might, perhaps, call it the Sepia
of chronic diseases. The remedy is not suitable for
active persons of sanguineous temperaments.
Case 2.--On the 20th of Sept., 1878, a constipation, which had
been habitual since birth, in a lymphatic and weakened infant,
seven weeks old and nourished on the bottle, became extremely
obstinate, and was accompanied with such severe pains that the
child cried or rather howled day and night. Besides the bloat-
ing of the abdomen and its sensitiveness to pressure, there was
a dilatation of the pupils, and at times a slight spasmodic move-
ment of the muscles of the face; paleness of the skin; pulse
small and frequent. Injections, several times repeated, brought
with difficulty a few small, grayish, dry,balls to the anal opening
from which they had to be extracted by the finger. Belladonna
and Chamomilla (alternately) gave some slight relief; Nux vom.
and Coffea alternated gave very little result by the 21st. On the
22d I alternated Nux vom. and Alumina, in the 12th dilution,
and the result was prompt and decisive.-Dr. H. Bernard.
Case 3.-D. B., aged 12 years, mild disposition. Bowels
moved once or twice a week; has shooting stitches through the
temples from right to left, in the afternoon, especially on going
down stairs; has no desire for stool or ability to pass stool, until
there is a large accumulation of fæces. Takes a carriage ride
every day; with this exception gets out of doors but very little;
perfectly healthy looking in every respect. Alumina, one dose.
In three days the stools took place daily and he has had no
return of the constipation since.-Dr. B. F. Betts in Raue's
Record. 1871, p. 120..
Case 4-A nursing child of four months had been constipated
HOMEOPATHIC TREATMENT.
27
from birth. A number of remedies were used without avail.
Alumina200, one dose, cured it.-Dr. W. B. Chamberlain in
Trans. N. Y. State Hom. Med. Society, vol. viii., p. 172.
BELLADONNA.
Espanet refers Belladonna to the inflammatory
constipation.
Teste writes that it is serviceable in hernia and lead
colic, affections in which constipation is one of the
chief symptoms.
Although these forms of constipation do not come
properly within the plan which we have laid out, yet
we will give a few extracts, from a monograph by
Dr. Davasse, bearing on our subject: Delayed
alvine evacuations (Purkinge). Frequent desire for
stool without result (Hermann). Constipation (sev-
eral). Absence of stools and urine (Kock).
Teste writes: In nervous children with large
heads, dilated pupils, subject to convulsive move-
ments, startings in sleep and disturbing dreams,
Belladonna" is the only medicine with which I have
been able to overcome the accompanying constipa-
tion. I generally give it in globules upon the tongue,
once or twice a day, ordinarily for several days in
succession.
Jahr describes the symptom, suppressed stool and
constipation, sometimes with bloating of the bowels,
heat of the head and profuse sweat.
+
17
28
HOMEOPATHIC TREATMENT.
Noack recommends Belladonna for chronic
hæmorrhoidal constipation when there are at the
same time violent pains in the kidneys and a sensa-
tion of constriction in the breast.
Bruckner and Schadler note the following con-
comitant phenomena: Congestion to the head, face
and eyes red, heat in the head, pulsation of the
arteries of the neck, sensitiveness to light and noise.
Dr. Guernsey claims to have cured with Belladonna
high, a constipation which resisted the most violent.
purgatives.
Tuthill Massey differs from Dr. Guernsey, at least
in regard to the suitable dose of the medicine:
"The extract of Belladonna, in the dose of a quarter
of a grain in the evening on lying down, merits, in
some cases, the highest consideration."
We give here a note from two celebrated phy-
sicians of the old-school. MM. Trousseau and
Pidoux recall the fact that Bretonneau recommends
Belladonna in gastralgia and enteralgia with consti-
pation. Bretonneau also prescribes Belladonna in
the constipation of hypochrondriacs and nervous
women. "It is remarkable," add our authors, "that
certain persons who resist the most powerful purga-
tives, are enabled to go to stool each day by the most.
minute dose of Belladonna. One, two or four pills
containing each a centigramme of the extract and
as much of the powder are ordinarily sufficient."
!
HOMEOPATHIC TREATMENT.
29
BRYONIA.
Stools: Hard, dry, large, burnt-looking.
Before Stool: No desire or urging.
During Stool: Passed only after much straining;
Painful.
Concomitants: Inclined to be irritable; easily
angered. Headache with heat of forehead and face;
congestions and pains in head; pulsative headache;
pressive weight in the head, with flashes of heat in
the face. Faintness or nausea on rising from a
recumbent position. Feeling of fullness or pressure
in the stomach and epigastric region after eating,
which lasts for several hours; appetite is wanting or
there may be canine hunger followed by nausea;
acidity of the stomach. With the gastric symptoms
there are oftentimes congestions to the head and
chest, with short respiration, and chilliness. Pain
in the region of the liver.
Generalities: Suitable for acute attacks of consti-
pation occurring during the summer or in hot
weather, or in those who are suffering from, or liable
to attacks of, rheumatism. For constipation arising
from disordered stomach. Obstinate constipation.
often accompanied with other affections of the abdo-
men. For the constipation of pregnancy, but of
more importance when it occurs in the lying-in
woman (frequently depending on an inflammatory
30
HOMEOPATHIC TREATMENT.
irritation of the abdominal organs). Also serv-
iceable in the constipation of infants, where the fæcal
masses are so large and hard as to give rise to pain-
ful evacuations. Where the condition is the result
of sedentary habits, and associated with bilious
derangements and intestinal torpor. When Nux
vom. and Opium have failed to act; or it may be
advantageous to alternate it with Nux vomica, es-
pecially in the constipation due to irritation or
congestion of the intestine. The intestinal torpor
must be distinguished from the ineffectual efforts of
Nux vomica [and from the paralytic condition of
Opium, Plumbum, etc.]
Rueckert quotes from Vehsem in relation to a case
of constipation aggravated by purgatives in which
Bryonia³ succeeded after Nux vom. had failed.
3
We give below two clinical cases which will show
at the same time the analogies and differences
between this drug and Nux vomica.
Case 5.-Mme. A., age 60 years, had suffered for several years
with a chronic constipation. She had a stool only every eight
days, and the excrement was as hard as stone. A torpor seemed
to have seized the intestinal canal, for motion was rarely felt in
the lower part of the abdomen. As she was addicted to the
excessive use of coffee, and led a partly sedentary life, I placed
her for eight days under a preparatory regimen, and prescribed
chocolate instead of coffee. I finally administered a dose of
Nux vom., tinct. This remedy produced a stool, almost soft,
every three days. The organs of the lower abdomen seemed to
be reanimated and rendered active. There was an increased flat-
ulency, a more tranquil state of mind, and a gayer disposition.
The patient neglected to attempt a movement of the bowels
:
97
f
HOMOEOPATHIC TREATMENT.
31
every day, as I had recommended, the effects of the Nux ceased,
and the constipation returned. Two doses of Bryonia¹0 at long
intervals, again removed the condition. She now has a stool
every other day, soft in consistency and without pain.-Dr.
Schuler.
Case 6.-A woman of delicate constitution, who was also a
subject of somnambulism and for the latter trouble had been
bled every five or six weeks for the last two years, had, at the
most, a stool only every two weeks, except under the influence
of a laxative or an injection. She was given ten drops of Nux
vomica. For six days she had not had a stool, and at the end
of four days more she had a hard stool, which was accompanied
with such severe pains that she was completely prostrated. Two
days later she had three stools without any pain. For five
months from this time the stools were regular. But pregnancy
occurring she was taken with frequent vomiting to which was
again added a constipation, and which was cured by means of a
single globule of Bryonia".-Dr. Wiedman.
CANNABIS SATIVA,
In Hahnemann's Materia Medica we find: "For
the first five days stool as usual, but on the two fol-
lowing, complete constipation (Gross). We find
also this striking symptom: Sensation at the anus
as if something cold was falling drop by drop upon
the skin (Franz).
Jahr who places Cannabis sat. in the second rank
in the treatment of constipation in general, recom-
mends it among others as serviceable for accidental
constipation.
Case 7.-In a case of obstinate retention of urine, I gave
Cannabis which not only restored the normal urinary secretion,
but cured at the same time an obstinate constipation which had
lasted for a long time.--Dr. Fleischmann.
32
HOMEOPATHIC TREATMENT.
CALCAREA CARBONICA.
Stools: Hard, then mushy, and finally fluid;
Hard, large, partially digested stools; Involuntary,
fermented, sour-smelling diarrhoea, alternating with
constipation; Stools looking like lumps of chalk in
children, during dentition; Offensive, like rotten
eggs. Hard, small, tardy, difficult; hard, dry and
gummy; Very hard, enveloped in mucus, and alter-
nating with a fetid diarrhoea; Clay-like, gray, fæcal.
Before Stool: Ineffectual desire, sometimes with.
pain; Feeling of heaviness in lower part of rectum.
During Stool: Severe urgings, without voiding
anything but fetid flatulency; Oozing of fluid from
the rectum, smelling like herring brine; bloody dis-
charge; pain through the protruding hæmorrhoids.
After Stool: Feeling of faintness; Burning and
smarting in the rectum and anus.
Concomitants: [Distention of the abdomen, with
pain and pressure, nausea, and sour eructations ;
restless sleep; also symptoms referable to a consti-
tutional dyscrasia.]
Generalities: For habitual constipation, especially
after the preceding use of Sulphur or Nux vom., or
when occurring in enfeebled subjects. For chronic
hæmorrhoidal constipation, given in alternation with.
Sulphur. Also for the obstinate constipation in the
new-born.
HOMEOPATHIC TREATMENT.
33
Willmar
Schwabe recommends Calcarea in
chronic catarrh of the intestines with constipation
and increase of the peristaltic movements. He also
places in the same category with Calcarea the fol-
lowing remedies: Carbo veg., Magnesia mur., Colo-
cynth. Phosphoric acid and Sulphur.
P
CARBO VEGETABILIS.
Stools: Insufficient; [Hard stool, enveloped in
mucus and blood at the extremity of the fæcal
mass]; Difficult, although they may not be hard;
[In fragments, which are tough and scanty.]
Before Stool: [Sensation as if the bowels would
be moved, but flatus only passes]; Emission of great
quantities of gas.
During Stool: Violent tenesmus; Burning at the
anus and pains in the abdomen like labor-pains;
[Urging to stool, with discharge of soft fæces and
relief from the pains]; Itching at the anus.
After Stool: [Sensation of complete emptiness
in the abdomen, remaining a long time.]
Concomitants: Tongue coated in the centre and
red on the edges. Ventral colic, sensitiveness and
swelling of the epigastrium. Respiration impeded
after a meal. Excessive flatulency which is nearly
always fetid. Acrid moisture about the anus with
34
HOMEOPATHIC TREATMENT.
tormenting sensations, crawling, itching, etc., in the
rectum.
Generalities: Chronic hæmorrhoidal constipation.
Noack says: Carbo veg. is indicated in the cases
complicated with constipation from irritation or
congestion of the intestines, especially in hypochon-
driacs.
Willmar Schwabe indicates Carbo veg. in the
chronic intestinal catarrh with constipation allied to
an exaggeration of the peristaltic movement. It is
suitable for very nearly the same condition as Cal-
carea carb., only the stool is sometimes bloody, or
it may happen that during stool a marked hæmor-
rhoidal hæmorrhage may occur.
In relation to the flatulency of Carbo veg. we
would remark that if Hahnemann says expressly that
the expelled gas is inodorous or nearly so, the greater
number of homœopathic physicians consider the
fetidity of the excreta a positive indication for
Carbo veg.
I think it most appropriate in the cases
in which the gas distends the stomach rather than
the intestines, and in which there is a greater
tendency to diarrhoea than to constipation. The
majority of authors consider Carbo veg. to be more
suitable for diarrhoea than in constipation.
Case 8.-A physician, whose earlier life had been spent in the
country where he was accustomed to riding on horseback and
an active life, removed to the city about twenty years ago, and
HOMEOPATHIC TREATMENT.
35
soon afterwards began to complain of derangement of the
digestive organs; nausea, vertigo, weight and pain in the head,
anorexia, distention of the stomach after eating, with acid eructa-
tions, coated tongue, pain in the liver, general wasting, cardiac
palpitations so severe that when lying in bed the clothing was
often raised. This condition continued for many years, and
was followed by an obstinate constipation which constantly
demanded purgatives, tonics, alkalies and alteratives. The
patient could not remain a week without medicine, rarely a day
without a soda or a purgative. All these means were laid aside
and under the use of Calcarea carb. and then Carbo veg., the
symptoms of dyspepsia vanished and the constipation was con-
quered. Three years later there had not been any return of the
trouble.
CAUSTICUM.
Stools: Light or white colored; Olive-shaped,
mixed with mucus and blood, difficult. [Tough and
shining as if greased; at first hard and in pieces,
the last soft; knotty, like sheep's dung; hard and
firm].
Before Stool: Frequent but ineffectual desire,
with great pain, anxiety and redness of the face.
During Stool: Vertigo; Cutting pains in the
rectum; Desire for stool rendered useless by spas-
modic painful contractions of the anus; Protruding
hæmorrhoids and bleeding; [Stool passes better
while standing; Burning in the anus with prostra-
tion.]
After Stool: Palpitations; heat of the face; and
sweats (also Aconite).
Concomitants: [Bitter, greasy, foul taste in the
36
HOMEOPATHIC TREATMENT.
mouth fitful appetite, thirst; diminished taste;
aversion to sweet things; white coating on the
tongue. Pressure in the rectum the whole day; a
pressing pain frequently and suddenly darts through
the rectum; a feeling as if fæces were lodged in it,
which should come away; spasms in the rectum
which make walking impossible; stitches in the
lower part of the rectum; excessive itching of the
rectum, anus and pudendum; soreness of and oozing
of humor from the rectum. Fissures and fistules
of the anus.
Generalities: [Constipation of children with
enuresis nocturna; pains in the rectum so severe
that the children try to keep back the evacuations].
Chargé recommends this remedy for the dyspepsia
occurring in gouty, rheumatic and hæmorrhoidal
constitutions.
Espanet writes: Causticum is indicated like
Ignatia and Nux vom. in the affections of the ab-
domen with nervous accidents, having their origin
in the solar plexus; only there is more of asthenia
and paleness of the tissue in cases calling for Caus-
ticum. Obstinate constipation from nervous and
nutritive atony, with pale face, pains and anxiety,
belong to it in the same degree as in chronic diarrhoea.
Both are accompanied by pruritus ani, palpitations,
and anguish; furthermore, the constipation changes
HOMOEOPATHIC TREATMENT.
МЕОРА
37
into diarrhoea and the latter is aggravated by the
application of cold to the abdomen.
CHAMOMILLA.
The following clinical fact we think contains in a
characteristic manner the circumstances in which
we would be apt to think of this medicine in the
treatment of the constipation of infants.
Case 9.-An infant eight months old, a strong vigorous boy of
wealthy parents, nourished by a healthy wet-nurse, has been
constipated since birth; he goes to stool only every five to six
days, and sometimes longer intervals. The stools are yellow,
large, formed, and without any pathological mark unless it be
the size; injections have to be freely used. When there is a
repletion of the rectum, there is a slight bloating of the abdomen
with flatulency, and some restlessness at night, but this malaise
disappears after an evacuation. I sent four medicines, to be
taken in order, beginning with a vial of Chamomilla. This
remedy seemed less indicated than the others (Nux vom., Lyco-
podium, Hydrastis), but thinking that there might be a latent
cause, due to dentition, and that Chamomilla acts upon the
ganglionic nervous system, and has among its symptoms:
Constipation as from inertia of the rectum, flatulent colic with
bloated abdomen and collection of gas in the hypochondria,"
I ordered this remedy to be taken first; two globules in the
evening and two next morning. On the same day towards
evening, there was an enormous stool but not so thick; on the
next day a normal stool for an infant, that is to say very soft;
since then the stools occur daily, and are natural; sometimes
there are several stools a day. [In a letter from Dr. Casal upon
this subject he states that a midwife who was a witness to this
cure, often employs Chamomilla in the treatment of accidental
constipation in infants. This medicine has never failed her.]-
Dr. Casal, of Menton.
38
HOMEOPATHIC TREATMENT.
CINCHONINE AND SULPHATE OF
CINCHONINE.
The Cinchonine, as we know, is an alkaloid which
is found in many species of Cinchona, especially the
gray.
The use of this substance in the treatment of con-
stipation is mentioned by Dr. R. Noack, of Lyon.
In his Homœopathic Guide he divides habitual con-
stipation into five classes:
1. Constipation from inertia of the intestine;
2. Constipation from alteration of the intestinal
mucus ;
3. Constipation from contraction of the muscu-
lar fibres;
4. Constipation from irritation or congestion of
the intestine;
5. Hæmorrhoidal constipation.
The most frequent of all, according to him, con-
sists in a sort of inertia or inactivity of the muscu-
lar fibres of the intestines, which become distended
and necessitate painful efforts in order to produce
the expulsion of the fæcal matters. These some-
times present an enormous mass, indicative of dila-
tation of the large intestine; hence, the application
of a special remedy, the Cinchonine, five centi-
grammes of the 3d dec. trit., to be taken every other
day.
Dr. A. Noack, physician to the Homoeopathic
<d
HOMOEOPATHIC TREATMENT.
39
Dispensary of Leipzig, after speaking of the employ-
ment of Sulphate of Cinchonine in the treatment of
intermittent fever, adds: "In a case of dorsal mus-
cular rheumatism, where there was stiffness of the
back so that the patient was constantly bent over,
terrible pains on turning the body, and when res-
piring deeply, sneezing or coughing, and also obsti-
nate constipation, I gave for four days, one-fourth
of a grain of Sulphate of Quinine, twice a day.
There was an amelioration on the second day and a
cure on the fifth.
This remedy has rendered me
excellent service in constipation, among others in a
young woman who suffered from an irritation of the
uterus and left ovary with painful digestion, con-
tinual eructations, fullness in the stomach after a
meal, frequent cutting pains and obstinate constipa-
tion; this patient had often to render manual assist-
ance to the escape of the small, hard, excrements,
which were often bloody. I had no less reason to
be pleased in a case of acute jaundice with desire to
vomit, distended abdomen, colic in the umbilical
region and persistent constipation. I can also rec-
ommend it from experience for the torpor of the
intestinal canal, in consequence of dysentery."
Following the recommendations given here, we
have made several trials with this drug in the treat-
ment of constipation presenting the above men-
tioned characters. If we have at times succeeded,
40
we ought also to say that in the majority of cases
we have failed. Was it our own fault or that of
the medicine? The indications for this drug appear,
at least, to demand a more complete symptomatic.
development.
HOMEOPATHIC TREATMENT.
COCCULUS.
In his pathogenetic résumé of Cocculus, Jahr
notes: Constipation with tenesmus; stool hard,
difficut. In his Repertory, he classes Cocculus
among the first of the remedies indicated for consti-
pation in general, imitating in this respect the
example of Benninghausen, who, besides, italicizes
the following symptom: Ineffectual urging at stool
from insufficiency of the peristaltic movement of
the upper intestines.
We give also some of the phenomena noted by
Hahnemann: Tingling and itching in the rectum
similar to that produced by ascarides. Constrictive
pain in the anus, worse in the afternoon, which
prevents sitting. Burning itching in the anus.
COLLINSONIA CANADENSIS.
Stools: Large and pale; Lumpy and light colored.
Before Stool: Cutting pains in the hypogastrium
with desire.
}
HOMEOPATHIC TREATMENT.
41
During Stool: Absence of marked desire; Strain-
ing; Violent effort and dull pain.
After Stool: Dull pains in the anus.
Concomitants Pulsative or painful cephalalgia.
Congestion towards the heart and head alternating
with hemorrhoidal symptoms. Indigestion arising
from a want of tone in the stomach with flatulency;
colic and spasms of the intestines. Loss of appe-
tite. Distention of the abdomen. Heat and itch-
ing of the anus, sensation of sand and gravel in the
rectum. Venous congestions, such as varicocele,
hæmorrhoids, blind or bleeding, and all their metas-
tases; varices, pruritus vulvæ, amenorrhoea, metror-
rhagia, prolapsus uteri.
•
Generalities: Collinsonia is a remedy essentially
allied to the rectum. Constipation and hæmor-
rhoids in consequence of the congestive inertia of
the extremity of the large intestine; this condition
is often met in the middle and later months of preg-
nancy, and is also associated with the diseased con-
ditions already mentioned.
Willmar Schwabe prefers this drug when the
evacuation of the stools is not accompanied by a
cont nuous pressure and when the stools (contrary
to those calling for Nux vom., for which medicine
Collinsonia has a great affinity) are pale and large.
This drug is considered as a specific, by the Amer.
42
HOMEOPATHIC TREATMENT.
ican homoeopaths, for the constipation of pregnancy,
although in this case, Bryon., Natrum m.3, or Sepia
often render good service.
The attention of physicians ought to be called to
this remedy, in our opinion, if there exists a car-
diac hyperæsthesia; at least this is the conclusion
we have drawn from an article by Dr. Hale. What
Sepia is to the chronic discases, says the same.
author, Collinsonia is to acute diseases.
-
Dr. Burt says: The grand sphere for Collinso-
nia is in neurosis of the bowels, where pain is one
of the most prominent symptoms, and especially in
discases of the rectum.
Case 10.-Mrs. B., aged twenty-nine years, was in the sixth
month of pregnancy and suffered very much from obstinate con-
stipation, as she had previously done under the same circum-
stances. Her bowels had not moved for six or seven days. She
had some nausea, a dull pain in the head, a very light, whitish
coating of the tongue, loss of appetite, inability to sleep and a
feeling of constant pressure in the rectum, with a heavy, drag-
ging ache in the pelvis. Collinsonia¹ relieved promptly, and
enabled her to avoid what, on previous occasions, had been a
source of constant suffering to her.-Hempel and Arndt.
CONIUM
MACULATUM.
This medicine presents but few symptoms of con-
stipation, but they are very characteristic. In the
Chronic Diseases we find: Constipation with ineffect-
ual desire for stool; hard stool which occurs only
every two days. After stool, palpitation of the heart.
HOMEOPATHIC TREATMENT.
43
[In Raue, we find: Frequent urging without
stool, or there is only a small quantity expelled at a
time; chilliness during stool; the flow of urine sud-
denly stops and continues after a short intermission;
dizziness when turning in bed.]
The hemlock, says Espauet, is very useful for
hypochondriacs and scrofulous persons with gastric
and abdominal complaints, with slowness of diges-
tion, irritative constipation or diarrhoea, asthenia
and flatulency.
[Hempel and Arndt: In constipation, when aris-
ing from spasmodic rigidity of the fibre.]
Case 11.-X-, age 40 years, consulted me in March, 1873.
He was then sufiering from an extreme state of nervous excita-
tion and depression. He was unable to prevent a continual
desire for suicide; he no longer dared to ride on the railroad
nor approach an open window. Some ten years before he had
had a similar affection, but in a milder form, which was cured
by traveling and diverting the mind. All this extreme anxiety
turned to his business affairs which he thought was threatened
with immediate ruin. He could not give any reason for this
unfortunate idea, for his business was in a most prosperous con-
dition. He told me later that his natural disposition was lively
and that his family relations left nothing to be desired. An
exanthematous eruption had been suppressed upon him a few
months before and for which purgative had been liberally used.
He had noticed that since then there has always been some
obstruction although the evacuations were regular. It was neces-
sary for him to make violent efforts for ten to twelve minutes
before going to stool. He felt tired and exhausted several hours
after stool. A microscopic examination of the urine made
immediately after stool explained fully this condition. I learned
also that the intestines had been affected during the former
attack, but that their normal activity had been restored along
with the improvement in the general health.
The remedy was plain. I cauterized at first the prostatic por-
44
tion of the urethra. This had an excellent effect, in that the
patient urinated only at intervals of several hours; a condition
which I have always found to be favorable. I prescribed finally,
Conium mac. and Nux vomica in the tinctures. At the end of
a month, the patient was completely cured and came to express
his gratitude.-Dr. Epps.
HOMEOPATHIC TREATMENT.
[We translate this case because it is quoted by
Dr. Bernard; but we believe that the credit of the
cure belongs entirely to the Nux vomica.]
CROCUS.
Dr. Schmidt says: I have often succeeded with
Crocus in obstinate constipation, notably when it
occurs in the new-born, and is based on disturbances.
in the vena-porta. In these cases, in the dose of a
drop of the tincture, once a day, I have obtained
natural stools without any inconvenient result.
We find in the Manual of Jahr, the following
symptoms only (given in very nearly the same.
terms as Benninghausen): Itching and crawling
sensatious in the anus. Dull shootings in the side
of and above the anus.
EUPHRASIA.
The only symptom which we find in Hahne-
mann's Materia Medica bearing upon this subject is
the following: Daily stool, but it is hard and scanty.
We would not have referred to this drug, if we
had not read the following curious observation.
HOMEOPATHIC TREATMENT.
45
Case 12.-A child, one year of age (Calc. carb. constitution),
suffered for six months, with an obstinate constipation, for which
I had prescribed a number of remedies, with little or no benefit.
A short time since he was attacked with a fluent, profuse coryza,
with slight flow of tears and a bright red eruption upon the
cheek; aggravation in the afternoon and after crying; persist-
ent constipation; stools in large balls, which are dry, hard,
voided with great difficulty and almost tearing the anal passage.
Euphrasia200, four doses, thirty-six hours apart, promptly relieved
this entire array of symptoms.-Dr. Hoopes.
GRAPHITES.
Stools: Hard, knotty, with discharge of mucus
and blood; In lumps united by threads of mucus;
Large and ball-shaped; Long and slender in shape.
Before Stool: Great desire.
During Stool: Hard stool, with much urging and
sticking in the anus; Great straining even when
the stool is not hard; Shooting pains in the anus;
Discharge of white mucus.
After Stool: Prolapsus recti and hæmorrhoids, as
if the rectum was paralyzed; stitching, tearing, and
soreness in the rectum.
Concomitants: Burning heat in the stomach after
eating and from the least aggravation of the gen-
eral conditions, or distress after a meal (a result due
to the abdominal venous plethora).
The abdomen is very much distended from the
accumulation of gases. Hardness in the region of
the liver. Pains in the hæmorrhoidal protrusions.
Fissures of the anus with sharp cutting pains during
46
stool, followed by constriction and aching for sev-
eral hours, worse at night. Skin dry and rough;
or with herpetic eruptions, secreting an aqueous or
viscous liquid.
HOMEOPATHIC TREATMENT.
Generalities: Constipation in subjects of the her-
petic diathesis or with a scrofulous cachexia. In
hypochondriacal subjects with marked abdominal
symptoms.
Hahnemann says, that when there is chronic con-
stipation and when a delay of several days in the
appearance of the menses gives rise to complications,
we can seldom succeed in the treatment without
having recourse to this remedy.
Willmar Schwabe says, that diarrhoea never alter-
nates with the constipation which corresponds to
Graphites.
[Constipation in women who are inclined to ery-
sipelatous inflammation and ulcerative processes of
the lower extremities on a rheumatic basis, and who
are of a timid, morose and dejected disposition.-H.
Goullon, Jr.]
Case 13.-Gastro-intestinal affection accompanied with ery-
thema of the face. Mlle. M-, twenty-eight years of age, bru-
nette, has been subject to constipation since early childhood;
congenital without doubt, this tendency, which, in her case is
not hereditary, has been aggravated by a vicious alimentation
composed especially of pastry, sweetmeats of all kinds, etc.
Later, obedient to a false idea of modesty, Mlle. M-, delayed
as much as possible the act of defecation; ten days would often
pass without stool, to her great satisfaction. The menstrual
HOMEOPATHIC TREATMENT.
47
epoch was marked by the appearance of violent pains in the fore-
head, followed each day, almost at the same hour (3 P. M.) with
redness of the nose, cheeks and eyes. The disposition became
at the same time more irritable; extreme sullenness, desire for
solitude, dread, fear of coming spectres, interrupted by rare
intervals of sleep, appetite whimsical. M. Cruveilhier was
consulted without success for eighteen months. M. Lheritier
advised the use of the waters of Plombieres. The amelioration
of the digestive tract which was manifest during the use of the
waters did not last, notwithstanding the Nux vomica pills,
various purgatives, the tea of St. Germain and many other reme-
dies prescribed by the sub-inspector at these Springs. M. Caze-
nave saw only the erythema of the face and was no more suc-
cessful with his cosmetics. After failure in the treatment by
several other physicians, I was called and found the following
symptoms:
Sadness, weeping, sullenness, desire for solitude, fear of spec-
tres, horrid fancies; aversion to occupations formerly loved, the
piano and needlework; no sleep or else one disturbed by dreams,
constant headache with sensation of fullness or dilatation of the
cranium. Congestion of the face, redness of the face, especially
across the nose, which was increased in size. This redness
comes on about 3 P. M., and is produced by the most insig-
nificant incident, a draught of air, a sojourn in a room occupied
by several persons, during digestion, by study, and is accompa-
nied by a stupefying headache. The eyes are heavy, and the
patient complains of a feeling as if a leaden weight was pres-
sing on the forehead. The skin of the congested portions of
the face is rough and shining; the pores are sensibly opened.
This disfiguring appearance is very annoying to the patient, who
being rich and able to enjoy every luxury, cannot appear with-
out this disgusting mask. Obstinate constipation, which is pro-
longed from eight to twenty-one days. Stools like sheep-dung,
covered with grayish matter, and sometimes streaked with blood.
Menses profuse and debilitating. Leucorrhoea succeeding the
menses (during four days), with ringing in the ears. Capricious
appetite, sometimes ravenous hunger and then again prompt
satiety. Swelling in the region of the stomach, aggravated by
pressure of the clothing. Cold feet and knees. I began the
treatment with Sulphur which seemed to be called for by the
moral symptoms, and especially the constipation, with stools
enveloped in mucous matter, and the development of the hæmor-
rhoidal vessels giving rise to the blood in the stools. This
48
HOMEOPATHIC TREATMENT.
remedy in the 6th produced a stool sufficiently abundant on the
first and second days, but without any relief to the other symp-
toms. Twelve days later, I gave Graph.30, a teaspoonful night
and morning. This remedy, repeated every twelve days, pro-
duced a real amelioration. The stools took place every four days
and then every other day. The bloody streaks disappeared; the
appetite became regular; the swelling and the tenderness from
the pressure of the clothing gradually passed away.
The con-
gested conditions of the face did not appear every day. Continued
for three months, in alternation every twelve days with Plumb.20,
Graphites re-established the intestinal functions. But the red-
ness did not disappear entirely except under the influence of
Alumina, two doses given at intervals of two months. The
patient is now in perfect health. Graphites and Alumina in
alternation, always prevents the tendency to constipation which
appears in consequence of the balls, soirees, and too prolonged
vigils.
GRATIOLA.
Stools: Hard, scanty, tenacious, expelled with
difficulty.
Before Stool: Pressing and ineffectual desire;
Repeated tenesmus and rumblings as if diarrhoea
would come on.
During Stool: Burning pain in rectum; Straining.
After Stool: Burning pains in the rectum; Te-
nesmus; A wrenching pain in the coccyx; Creep-
ing chills.
Generalities: This medicine, says Jahr, is still but
little known and has only been employed against
hypochondriacal affections, a few cases of gastralgia,
and certain forms of constipation.
Teste considers it as being in some respects the
Chamomilla of chronic diseases.
HOMEOPATHIC TREATMENT.
49
HEPAR
SULPHUR.
Bonninghausen in his Manual, mentions Hepar
in connection with Alumina, Kali carb., Natrum
mur. and Nux vomica for constipation due to in-
activity of the intestines. He also gives the follow-
ing: Difficult expulsion of a small quantity of soft
excrement with great efforts and tenesmus. Stool
hard and dry.
In the Chronic Diseases we have: Inaction of the
rectum; stools hard, insufficient; swelling of the
anus. After great efforts, there is a hard stool,
mingled with a yellow liquid. Emission, at times,
of prostatic fluid while at stool.
Ruddock: Obstinate constipation from congestion
of the rectum.
In his article upon the treatment of dyspepsia,
M. Chargé gives in connection with Hepar: Stools
hard, difficult, slightly colored, or whitish diarrhoea.
It is especially in smokers or after the abuse of
mercury that we would have the most need for
Hepar.
[Raue gives: Sluggishness and inactivity of the
bowels, in consequence of which the abdominal
muscles must bear down in order to effect an evacu-
ation, which is hard or not, but insufficient.]
50
HOMEOPATHIC TREATMENT,
HYDRASTIS
CANADENSIS.
Stools: Hard, knotty; Lumpy, covered with
mucus.
Before Stool: Torpidity and want of desire; No
stool except under the influence of a purgative.
After Stool: Long lasting pain in the rectum ;
hæmorrhoids and fainting.
Concomitants: Depression of spirits. General
debility. Headache. Coated tongue. Impaired
digestion; sour eructations; dull aching pain in
the pit of the stomach, which produces a "gone" or
faint feeling; feeling of weight in the stomach and
epigastrium. Pain in the large intestines and rectum.
Colic accompanied with fainting and heat in the
intestines. Fetid flatus. Hæmorrhoids.
Generalities: In debilitated and enfeebled sub-
jects, especially in those who have frequent recourse
to purgatives. Also when constipation occurs in
those who, after an active life, are confined to a
sedentary one, or when the condition depends more
upon a sluggish state of the bowels than upon any
diseased condition of the system.
Dr. Hughes says: I do not know of a remedy
which is of greater service in simple constipation
than Hydrastis. In very chronic cases it might be
better to commence the treatment with Sulphur,
and continue it for a short time. Hydrastis having
HOMEOPATHIC TREATMENT.
51
a well-known action upon the liver and having
cured jaundice, it may be possible that a great part
of its power over constipation is due to its action
upon this
It is in those cases in which con-
organ.
stipation exists alone or is the cause of other suffer-
ings that I find Hydrastis so useful.
Ruddock considers the action of Hydrastis in con-
stipation to be that of a general and local tonic.
The tincture and lower dilutions are recommended.
The accompanying observations show that the
field of action of Hydrastis is extensive, and com-
prehends not only idiopathic constipation, but also
hæmorrhoidal constipation and that of pregnant
women and of infants. The observation of Dr. Roger-
son proves also that certain gastro-hepatic disorders
do not contra-indicate this valuable remedy, the
knowledge of which we owe to Dr. Hale.
Case 14.-M. S., 38 years of age, came to the dispensary in
the following condition: For the last eight months, she has been
suffering with constipation, and during this time she has not had
more than one or two stools a week, and then only with the aid
of medicine; she has taken, generally the oil and pills of the
Ricinus communis, and in consequence complains of continual
pain in the head, more especially in the morning; bad taste in
the mouth with coated tongue; pain in the back and shoulders;
sensation of constriction in the hypogastric region, which was
only relieved by means of a purgative; yellow or rather bilious
teint, skin smooth and dry, severe pain after each stool, which
were hard and knotty, and of a brown or gray color.
Hydras. can., morning and evening, and forbade the use of laxa-
tives; at the end of four days, the headache was better, as also
the pains in the back and shoulders, she had had one stool; four
days later the headache and pains had entirely disappeared; the
I gave
52
stools were easy and normal, the face was no longer yellow, the
appetite was better, and at the end of four weeks she was entirely
well.-Dr. Rogerson.
HOMEOPATHIC TREATMENT.
Case 15.-Mme. B-, 32 years of age, blue eyes, light-colored
hair, delicate skin, mother of two children, the youngest of whom
was six years old, has had for three years painful hæmorrhoids,
with paroxysms of headache and constipation; she complained
of severe burning, smarting pains in the rectum, before and
after each stool; colic pains, with attacks of faintness and heat in
the intestines often follow the evacuations, after a constipation
of several days. Two physicians of the old-school and one of
the new-school have attempted the cure. As I had overcome
similar symptoms in another patient, six months before, I
resolved to give this one Hydrastis can. Ten days after taking
it she had an evacuation without pain, and in three weeks she
was cured; the trouble has not reappeared, now one year after
recovery. For fifteen years she had used tea and coffee.-Dr.
E. B. Brown.
Case 16.-A young married woman, brunette, black eyes, deli-
cate features, but strong and energetic, consulted me in May,
1865, for constipation and hæmorrhoids. She was in the second
month of her third pregnancy, and under the treatment of the
old-school, she had suffered severely from these same troubles
in her former pregnancies. She was only able at that time
to have an evacuation by the aid of injections. She complained
at the present time of severe pain during stool, but no hæmor-
rhage. I gave without success, for four weeks, Nux. vom., at
first in the 3d and then in the Ist; Hydrastis can., two drops of
the 10th, at night, relieved her promptly, and after using this
medicine for two or three months, the intestines resumed their
natural functions, which continued until confinement.-Dr. H.
B. Clark.
Case 17.—Mme. H—, 26 years of age, blond, pale complexion
delicate constitution, a tea-drinker since infancy; for 10 to 12
years, she has suffered with attacks of constipation with haemor-
rhoides. Three weeks after the birth of her first and only child,
she was seized, while at stool, with severe pains in the rectum
and anus. These severe, burning, stinging pains, lasted often
for 6-8 hours after each evacuation, and were accompanied with
a sensation of heat in the intestines, colic pains and fainting.
She had every week one or two very hard, but natural-colored,
stools. There was no prolapse of the rectum and no pain in this
*
HOMEOPATHIC TREATMENT.
53
region, except during an evacuation and for several hours after.
These symptoms persisted without any modification for two
months, notwithstanding the use of Ignatia, Nux vom., Pulsat.,
Sulph., Nitr. acid, warm water injections, and warm sitz-baths.
In seeking for some help among the new remedies, I chose
Hydrastis as the most appropriate, and gave it in the tincture,
not having any other preparation at hand; three drops in a half
glass of water, a teaspoonful every six hours. At the end of two
weeks, the rectal pains had entirely disappeared and the stools
were regular; the colic, faintings and abdominal heat soon dis-
appeared, and the patient was well. There has been no return
of the trouble for eighteen months.-Dr. E. B. Brown.
Case 18.—A child of one year of age, of a constipated habit
since birth, was radically cured by the tincture of Hydrastis, one
drop twice a day, after cathartics and injections had shown them-
selves ineffectual.-Dr. G. C. Hibbard.
Case 19.-S. H., aged 29 years, complaining of sore neck
and throat, the latter much relaxed and inflamed; headache,
cough and spit; pain in the side while stooping and rising
from a recumbent position; bad breath; tongue foul and coated
with a thick, white fur; appetite had, and bowels for some six or
eight weeks very much confined; had been obliged to rescrt to
purgatives every Saturday; the bowels were generally moved
three or four times every Sunday, and not again until the medi-
cine was repeated on the following Saturday. Hydrastis (dose
not given) was given every morning and evening. At the end
of two weeks the cure was complete.—Dr. Robertson in Hempel
and Arndt's Mat. Med.
Case 20.-A stout, large-frame man, upward of 60 years of
age, an inmate of The Little Sisters of the Poor, had been a
few years ago unable to walk in consequence of severe spas-
modic, drawing, contracting pains through the thighs and calves
of the legs, but which Nux vom., tincture, seenied to relieve,
(at least he began to walk and still continues to walk about the
house), soon after taking this drug. But constipation has been
persistent in his case, accompanied by "severe pains" (unde-
scribed) in the region of the liver and extending around the body.
Nux, tincture, Podophyllum, tincture, Dioscorea¹, Gelsemium¹,
etc., failed to relieve. He could only obtain a scanty movement
by the use of small pieces of rheubarb. When the bowels were
free, the general conditions were better. Hydraystis³, five drops
night and morning and continued for several weeks, has caused
54
a movement of the bowels to take place every day, while the
pain in the side is markedly improved. The pain in the legs is
unchanged and walking is difficult.-7. M. S.
HOMEOPATHIC TREATMENT.
IGNATIA.
Stools: Large and soft, but passed with difficulty;
Sometimes whitish; Involuntary.
Before Stool: Pressing and ineffectual desire for
stool.
During Stool: Violent urging, more in the upper
intestines and epigastrium than in the anus; the
desire is actively felt, and yet only a little matter
escapes, although it may be soft. The least effort
causes prolapse of the rectum. Hæmorrhoids pro-
trude and bleed.
After Stool: Painful constriction of the anus,
worse while standing; Stinging in the anus extend-
ing into the rectum; Dull pain in the rectum as if
it was distended with gas; Long-lasting desire for
stool; Hæmorrhoids.
Concomitants: [Feeling of emptiness or goneness
in the stomach, not relieved by eating, with flat taste
and languor in the limbs; excessive flatulence; gas-
tralgia with stinging pains; sensation of itching and
crawling in the rectum as from pin-worms. Nervous
and hysterical symptoms in females of mild, but
easily excited nature.] Aggravation from cold or
from carriage-riding.
HOMEOPATHIC TREATMENT.
10
cr
Generalities: Constipation of a paralytic origin.
Dr. Dunham writes: The evacuation of fæces is
difficult, because of a seeming inactivity of the
rectum; cannot make a violent effort to expel them
without danger of eversion and prolapsus of the
rectum.
Bertholdi writes: The constipation, often very
painful, to which pregnant women are subject, is
cured, when it does not proceed from a too sedentary
habit of life, by means of Nux vom. and Ignatia,
remedies which we alternate with success.
This remedy is also recommended for the consti-
pation accompanying fissure of the anus, and in
nervous troubles with spasms.
IRIS
VERSICOLOR.
Dr. Claude, of Paris, says that Iris vers. possesses
a very marked alterative effect which not only
appears in connection with a certain dilution, inde-
pendent of the constitution of the patient, but the
other pathogenetic symptoms due to the lower dilu-
tions persist under this dilution as well as in others
still more elevated. In Hale's New Remedies diar-
rhoea is constantly indicated with signs which relate
to an action at once pathogenetic and curative.
Constipation is noted without any additional
symptoms, and only once; like Hale, Ruddock and
56
HOMEOPATHIC TREATMENT.
Hughes, who give among the clinical indications
"diarrhoea, dysentery, cholera-infantum, migraine,
sea sickness, salivation," do not mention the consti-
pation in which Iris has rendered me great service,
but in dilutions above the 6th.
It is very remarkable that, if the intestinal phe-
nomena of this medicine changes with the dilutions,
they do not alter its action upon the salivary glands,
facial neuralgia and migraine.
The following obscrvation is very characteristic:
Case 21.-Mrs. E-, 43 years of age by birth Irish, small in
stature, black hair, blue eyes, active disposition, slight icteric
taint. This patient lived almost exclusively on tea and coffee
which she took very strong. She suffers from hæmorrhoids
and obstinate constipation. Her periods are irregular and
accompanied by colic and sick headache; the latter affecting the
forehead and eyes and aggravated by noise and light. I visited
this lady one day when her son-in-law, an old-school physician,
told me she was not able to see me, on account of her condition.
He added, that for many years, he had tried different modes of
treatment but all in vain, and he would be glad to see homo-
opathy make an attempt. I gave Iris vers.0, and in a short time
there was a copious and semi-liquid stool of yellow substance.
She slept for an hour and was then able to raise herself. The
son in law made a note of the remedy and promised to try it on
the first opportunity. At the following period she was again
attacked and she was given some of the Tincture of Iris. No
result. The doctor came to my office and reproached me for
deceiving him. I gave him a vial of the 30th dilution. He
reported in the evening and begged pardon for his accusation;
the remedy had acted. The patient still continues to use the
30th dilution of Iris with great benefit. (We ought however to
say that, according to Dr. Willmar Schwabe, Iris vers., in the
2d dilution, is urged by the American physicians as a very cer-
tain means against constipation.)—Dr. Claude.
The constipation which is the province of Iris
→→
HOMEOPATHIC TREATMENT.
57
vers. according to Dr. Claude, does not demand a
special temperament like Nux vom., a constitutional
alteration like Sulphur; it does not present any
marked preference for a season like Bryonia, or for
sex like Pulsatilla or Sepia. It has rather something
of the inertia of Opium, and when it yields it does.
s after a resistance which is not very prolonged.
Very often, but not always, it is accompanied by a
migraine not aggravated by light, noise and motion.
(motion may even ameliorate) and is often ushered
in by the following premonitory phenomenon:
"spots before the eyes, veil before the eyes."
[We may briefly summarize this remedy as fol-
lows: Constant nausea and bitter vomiting; bitter
eructations; iuteuse barning distress throughout the
whole epigastrium; constant colic with cutting
pains; migraine; nervousness; constipation suc-
ceeded by thin, watery diarrhoea.]
KALI
BICHROMICUM.
Stools: Hard, dry, knotty, difficult. In one mass,
of excessive hardness; Pale, clay-colored.
During Stool: Difficult expulsion with painful
retraction of the anus.
After Stool: Burning in the anus (knotty and
dry stools); Falling of the rectum.
Concomitants: Headache; Coated tongue, loss of
58
HOMEOPATHIC TREATMENT.
appetite; Cutting pains in the lower intestines, and
rumbling of gas in the upper. Colic pains. Sensa-
tion of a plug in the rectum with soreness. Pains
across the loins with coldness of the extremities.
Debility. During an emission of wind per anum,
sweat all over the body, but especially on the face,
from which it runs in streams. During the menses
very hard stools, and when they delay there is pain-
ful retraction of the anus. Tough secretions from
all of the mucous membranes.
Generalities: Tendency to constipation, and
especially when there exists an aggravation of gen-
eral symptoms in consequence of its presence.
Constipation which returns every three mouths.
Case 22.-N. A., aged 30 years, consulted me for the fol-
lowing symptoms: Want of appetite; fullness at the chest; a
great deal of flatulence; taste of rotten eggs, with constant nau-
sea; great dislike of fat meat; tongue reddish and rough; head-
ache; sharp, shooting, stabbing pains extending all over the
head, pains worse in the afternoon and evening; bowels obsti-
nately constipated. The patient was getting very weak, since
she could take but little nourishment. She complained of great
heat of the body on walking about. Her eyes felt weak and
there was a great deal of pain in the eyeballs. Great drowsi-
ness and languor in the daytime, with sleeplessness at night.
Sharp, shooting, aching pain, frequently existed in the sides and
back. Kali bichrom 3, taken four times a day, soon cured the
patient.-Dr. A. E. Hawkes in Hempel and Arndt.
KALI
CARBONICUM.
Stools: Dry and large; Retarded and difficult
because excrements are so large.
HOMEOPATHIC TREATMENT.
59
Before Stool: Feeling of anguish and distress for
an hour or two before stool; Rectum inactive; Un-
successful desire; White mucous discharge.
During Stool: Rectum feels too weak to expel the
fæces: [Protrusion and distension of the hæmor-
rhoids with pricking and burning.]
After Stool: Itching about the anus: [Severe
lancinating, tearing and cutting pains in the anus ;
Violent pain in the small of the back as if broken.]
Generalities: Kafka recommends Kali carb. for
women whose abdominal organs are very weak, in
consequence of frequent miscarriages or multiple aud
difficult labors; when, on account of the inactivity
due to abdominal pressure, the evacuations only
occur with great difficulty.
Willmar Schwabe gives this remedy when the
patient suffers from nightsweats (Natrum mur., on
the contrary, has diurnal sweats).
Case 23.-P. K., a married man, age 36 years, consulted me
Sept. 23, 1850. He complained of cardiac palpitations, of a
feeling of distension in the breast, constipation and night sweats.
I gave Kali c., for a week. On Sept. 30th there was an im-
provement in the palpitations and constipation, but the night
sweats still persisted; the remedy was given at longer intervals
and by Oct. 14th the cure was complete.-Dr. John Epps.
[Dr. Stens: Stools only every eight to ten days of
very large lumps. Kali carb.30.1
60
HOMEOPATHIC TREATMENT.
LACHESIS.
Stools: Scanty, grayish like potters' clay; Hard
like sheep-dung; Hard and difficult; Frequent and
hard; Hard, scanty, insufficient; Offensive.
Before Stool: Ineffectual urging; Constant and
very painful pressure in the rectum, without stool;
Constriction in the rectum or sensation of a plug in
the anus.
During Stool: Great effort; Pain as if the sphincter
was torn with the effort; Tearing pains in the rectum
from below upward and backward, to the point of
producing eructations; Faces remain at the anus;
Aggravation of pains, so that it is necessary to cease
all efforts.
After Stool: Hæmorrhoids protrude, with con-
striction of the sphincter; Beating in the anus as
from hammers; Rectum prolapsed and tumefied.
Concomitants: Lassitude, anxiety and symptoms.
of mental alienation. Cephalalgia. Tearing pains.
and burning in the eyes, especially in the upper lids;
pains in the eyes from reading by artificial light.
Coryza. Appetite good. Violent pains in the stomach.
Weight and pressure in the stomach and distress
from flatulency. Ineffectual efforts at eructations.
Incarcerated flatulency and oppression of the
stomach. Abdomen hard and bloated. Insensibility
of the rectum. Pains in the back in the lumbar
HOMEOPATHIC TREATMENT.
61
region, above the left hip, and a dull pain in the
vesical region. Burning urination. Cold feet; icy
coldness of the soles of the feet or on the outer side
of the left leg. Scanty menses.
Generalities: Obstinate constipation. Alternation
of constipation and diarrhoea. Constipation in
healthy persons without any other symptom. Ab-
sence of stool in persons suffering from hydrothorax.
For sedentary persons, a id for women at the climac-
teric. Constipation with black tongue and lips in
scarlatina.
M. Teste says that the pathogenesis of Lachesis
presents many symptoms similar to Belladonna, but
with some difference in the chronological order of
their manifestations, and with a persis ent character,
which might lead to the supposition that Lachesis
corresponds to the chronic diseases of which Bella-
donna offers us, in a certain degree, the acute form.
LYCOPODIUM.
Stools: Very hard; Small and incomplete evac-
nations; Broken masses, mixed with, or followed
by, a liquid discharge.
Before Stool: Strong desire, or the desire may be
wanting; Flatulent colic; Pain at the auus; Strain-
ing efforts, often followed by tenesmus.
www
62
HOMEOPATHIC TREATMENT.
During Stool: Pain in the rectum, with ringing in
the ears; Difficult stools, evacuated only after very
great efforts.
After Stool: Pains similar to those during stool,
with syncope; Sensation as though all the fæcal
mass had not passed, followed by excessive and pain-
ful accumulation of flatus, contractive pain in the
perineum after a scanty, hard stool.
Concomitants: Hypochondriacal. Painful tym-
panitis of the abdomen, with flatulency (also Carbo
veg.). Indigestion resulting from a too free use of
a farinaceous, heavy and fermentable diet. Acidity
and heartburn, together with an irresistible drowsi-
ness after dinner, followed by great exhaustion.
Disagreeable weight in the hypogastrium; sensation
of gurgling in the abdomen; borborygmus, especially
in the left side under the ribs. Distention of the
abdomen without the escape of gas or without any
relief following its passage; the flatulency is odorless
(fetid, Carbo veg.). Itching and tension in the anus
in the evening in bed; itching eruption at the anus
painful to the touch. Violent dorsal pains before
the emission of urine; difficult urination; cutting or
burning pains in the urethral canal; urine with a
reddish sediment.
In connection with chronic intestinal catarrh, we
have: Weakened nutrition, dirty-gray or copper
coloration of the face, moroseness, dejection.
P
HOMEOPATHIC TREATMENT.
63
Hæmorrhoids with pain and itching at the anus,
and frequent, profuse discharge of blood.
Generalities: In obstinate cases, with an almost
complete state of atony of the intestines (see Natrum
mur.). Also in the constipation of infants and the
hæmorrhoidal diathesis. It is employed by Dr.
Hughes, following Teste, in the dangerous form of
enteritis developed in children by a diet consisting
only of milk and farinaceous substances, and which
they are unable to digest; here also, when Lycopo-
dium fails, Nux succeeds.
Hartmann says that Lycopodium30 is one of the
most useful remedies in the constipation of infants
for restoring the contractility of the intestines which
have been lost.
Jahr gives this drug when neither Sulphur nor
Calcarea have been sufficient to overcome the pre-
disposition to constipation, with ineffectual desire.
or hard stools and difficult evacuation.
Kafka says that Lycopodium should be carefully
studied in relation to chronic intestinal catarrh with
sluggishness of the peristaltic movements; it is also
of service in the constipation of those who are tor-
mented with night pollutions or addicted to mastur-
bation; after repeated affections of the peritoneum
with urinary complications. This remedy has been
of service to him in a case of fatty degeneration of
the liver with concomitant venous hyperæmia.
64
HOMEOPATHIC TREATMENT.
The flatulent colics, bloating, and constipation
following the disappearance of eruptions upon the
skin, are valuable indications for Lycopodium.
[Dr. Lilienthal adds to the general outline of this
drug Abdominal plethora, with constipation in
elderly people of the higher classes, with no desire
for stool.]
Carbo veg. alternated at intervals of every eight
days, very often facilitates the action of Lycopodium.
Dr. Hughes says: Lycopodium holds a high rank
as a remedy for constipation, very much resembling
Bryonia.
The remedy should be given in the medium and
higher attenuations, and continued for a long time.
Case 24.-A man, 38 years of age, of ordinary constitu-
tion, was in unusual good health with the exception of a
constipation which he could only remove with purgatives. For
the last three years this constipation had increased to such a
degree as to almost resist the action of purgatives. Each evacu-
ation produced the most terrible pains in the rectum, and some-
times left the patient in a state of syncope for a quarter of an hour.
Even when the paroxysms were lighter, the patient remained for
several hours unable to make the least movement on account of
the persistence of the pains. The mucous membrane of the
rectum was very much injected, excoriated in some places, with
slight varicosity of the veins. The most careful touch gave rise
to acute pains, and cramp-like constriction of the sphincter.
Loss of appetite and bad humor. General condition good.
Bell., and for a month Nux. vom., gave slight relief. Lycopo-
dium (five drops morning and evening) brought amelioration
within a few days, and a complete cure within three months.-
Dr. Hilberger.
K
HOMEOPATHIC TREATMENT.
65
MAGNESIA MURIATICUM.
Stools: Hard, nodular, insufficient and delayed;
Crumbling at the verge of the anus and seem as if
burut; Large, hard lumps or knotty, like sheep's
dung; Fæces covered with mucus and blood.
Before Stool: Painful urgings.
During Stool: Painful urgings with occasional
discharge of mucus; Pressure, with scanty passage
or only flatus.
After Stool: Burning at the anus; Shuddering
for a short time.
tition.
Concomitants: Earthy complexion. Good appe-
tite. Nausea in the morning. Swelling of the
abdomen, with cuttings and pinchings. Pain and
distress every few days in the hypogastric region.
Cramps in hysterical women who waste freely and
have a tendency to constipation. Weakness and chill,
increasing during the continuance of the hysterical
accident; globus hystericus and oppression of the
breath.
Generalities: Constipation of infants during den-
Bonninghausen places Magnesia mur. in the first
rank for constipation on account of the hardness of
the excrements.
Schwabe places the drug in the same class as Cal-
carea carb. and Carbo veg.
66
Case 25.--Child, aged 2 years. Diarrhoea and cough for sev-
eral months; all at once the child became constipated, but the
cough continued. Nux. vom. and Bryonia were given, but the
stools only became harder, and would crumble when escaping
from the anus. Magnesia mur.6, five doses, and the next day
the stools were natural and the cough gone.-Dr. Lehman in
Raue's Record, 1871, p. 120.
HOMEOPATHIC TREATMENT.
Case 26.-A lady, age 26, was confined two years ago, and
since that time has been troubled with constipation. Stools,
large and in hard lumps; bowels move about every eight days.
Every few days I as pain and distress in the hypogastric region;
pale and weak, otherwise well. Is in the habit of taking a cathar-
tic every three days. Magnesia mur.200, acted in twenty-four
hours like a cathartic, but without pain, and in two weeks she
reported herself as having a natural stool daily.-Dr. W. H.
Burt in Raue's Record, 1872, p. 150,
MERCURIUS.
Stools: Hard; Tenacious or crumbling; Small,
knotty masses; Small, like sheep dung; Pale, white
stools; Small pieces, pale, with mucus or streaked
with blood; In the form of a narrow ribbon.
Before Stool: Frequent desire, worse at night;
Ineffectual straining; Protrusion of hæmorrhoids
with the straining, which causes a pain as of ulcer-
ation.
During Stool: Great straining with scanty stool,
with pinchings in the belly; Severe pains at the
anus; Evacuation after a great length of time.
After Stool: Continued tenesmus and prolapsus
ani; Bleeding hæmorrhoids.
Concomitants: Catarrhal fever and debility. Mi-
HOMEOPATHIC TREATMENT.
67
graine. Bad taste in the mouth; pain in the gums;
loss of, or irregular, appetite, or the appetite may not
be impaired to a great extent; disgust for all sub-
stances, except for beer; salivation. Fullness and
hardness of the abdomen; colic. Various manifes-
tations of bilious symptoms. Yellow color of the
skin and conjunctiva.
Generalities: Hirschell calls attention to Mercu-
rius for the constipation which follows diarrhoea in
acute cases, after a chill, and when there are gastric
or inflammatory symptoms.
Espanet says, that the Corrosive sublimate is very
useful in the constipation from pseudo-membranous
inflammation of some portion of the large intestine
and in hæmorrhoidal colic with congestion of the
liver and abdominal venous stasis.
Calomel, writes Dr. Gerson, of Dresden, seems to
be more efficacious than Mercurius solubilis in the
so-called hæmorrhoidal colic, when it calls in general
for Mercurius, in the subjects who have a well-
marked condition of venous stasis in the lower ab-
domen, with a full and hard pulse, an obstinate
constipation, and where the inguinal glands, as well
as the left lobe of the liver, are slightly inflamed and
tumefied. According to my experience Calomel ap-
pears to be almost a specific for obstinate constipa-
tion, where the signs of a violent hyperemia of the
68
HOMEOPATHIC TREATMENT.
mesocolon or a circumscribed exudative i flam-
mation of the mucous membrane are present as
objective causes of the constipation.
[Hempel and Arndt in speaking of Mercurius
sol. in its relation to constipation write: Mercury
will be found useless, unless this condition is depend-
ing on, or connected with, torpor of the liver or of
the pancreatic gland. Constipation may be a sequel
of previous bilious or pancreatic diarrhoea. In such
a case, Mercury is in homoeopathic rapport with it.
The bowels may not be moved more than once or
twice a week; the fæces have a dark-brown or green
color; they are discharged in lumpy masses or balls
loosely hanging together and covered with intestinal
mucus. The cul-de-sac, or pouch of the rectum,
sometimes becomes a receptacle for these lumpy.
masses, where they agglomerate in one compact ball,
the passage of which through the rectum sometimes
causes a great deal of acute pain, and may even be
attended with slight hæmorrhage. Sometimes the
constipation is interrupted by an occasional attack
of bilious diarrhoea.]
S
Jahr calls attention to Staphysagria for consti-
pation with bad taste in the mouth, irregular appetite
and pain in the gums, in those cases where Mercurius
does not suffice.
Case 27.-Chronic constipation, in a patient who presented a
jaundiced teint, and suffered with pain in the liver and right
•
HOMOEOPATHIC TREATMENT.
69
shoulder with frequent nausea and obstinate chronic constipation,
Mercurius cor., soon removed the whole trouble.-Dr. Usscher.
MEZEREUM.
Stools: Hard, brown, ball-shaped; Dark-browu,
in knots, very hard balls.
Before Stool: Creeping chills, languor and great.
sensibility to cold air; Copious discharge of fetid
flatulence.
During Stool: Painless straining; Prolapsus recti;
Auus becomes painful and constricted about the
fallen rectum; Difficult alvine evacuations, of the
consistency of a thick broth, with pressing desire.
After Stool: Sensation of constriction, with tenes-
mus; Chill over the whole body; Fissure of the
anus.
Case 28.-A woman who was approaching the years of the
climaxis, suffered continually from extraordinary congestions to
the head, with burning redness of the face, obstinate constipa-
tion. Menses always very copious and too soon. Calcarea,
Carbo veg., and Bryonia, relieved only for a time. Last autumn,
she was attacked with fearful pains in four hollow teeth, which
left her no repose either day or night. The carious condition of
the teeth and the general chilliness during the pains led me to
give Mezereum. The pains in the teeth were cured and the
constipation removed.-Dr. Veith.
NATRUM
MURIATICUM.
Stools: Hard, difficult, crumbling; Large masses;
Indolent, irregular, or alternating with diarrhoea.
70
HOMEOPATHIC TREATMENT.
Before Stool: Frequent desire but without result;
Inactivity of the rectum and no desire; Burning in
the rectum.
During Stool: Pulsation, contraction, and a lanci-
nating pain at the anus as from ulceration; Tenes-
mus; Hæmorrhage from the rectum.
After Stool: Burning and smarting in the anus
and rectum; Ripping up sensation in the anus;
Tenesmus; Fissures with bleeding and smarting,
burning, pains; Hæmorrhoids with stinging pains
and soreness at the anus; Prolapsus ani,
Concomitants: Depression of spirits. Disturbed
mental condition. Dryness of the mouth; superficial
ulcerations of the tongue. Irritability and persistent
dryness of the mucous membranes, with tendency
to catarrhal affections. A greater or less number of
gastric pains, with loss of appetite, heartburn, eruc-
tations, rarely sour, more often burning, as when
after eating some article of food fried in rancid
butter. Pressive pain running from the navel to
the pelvis. A sensation as of a weight hanging
across the pelvis and bladder, aggravated during
motion, and compelling the patient to bend forward
when seated. Moisture and herpetic eruptions about
the anus. Pressive pain in the left side of the
hypogastrium. Swelling of the abdomen. Cutting
pains through the bowels during the day. Gurgling
of wind through the bowels. Excessive sensitiveness
A
HOMEOPATHIC TREATMENT.
71
î
to cold. Perspiration on slight motion. Irritability
of the skin; dirty-colored skin; eczema, acne and
pustules.
Generalities: Hæmorrhoidal constipation. A con-
stipation accompanied with a state of weakness or
inaction of the intestines, seems to be more charac-
teristic of this remedy, than the frequent urging.
In cases of great atony of the intestines, so that they
do not assist in the evacuations of the fæces. Chronic
constipation amoliorated or aggravated according to
the activity or inertia of the intestines. In obstinate
constipation when the intestine presents a state of
torpor almost equivalent to paralysis, but without
pain, and when for days and weeks there is no desire
to go to stool; when, finally, the hardness, dryness,
and size of the fæcal mass produces, mechanically,
fissures and consequent tearing and burning pains.
in the anus. In cases accompanied by tumefaction
of the liver or spleen, fatty degeneration of the heart
or valvular lesions. The indications for Natrum
mur. are analogous to those of Lycopodium, and the
two remedies may often be alternated with success.
Espanet ranges Natrum mur. by the side of Cuprum
and Plumbum for constipation followed by colic and
diarrhoea. In cases where a chronic constipation.
has resisted Sulphur and Nux vom. If the patient
uses salt in excess, it will be necessary to correct
this habit, and give at first Spir. dulc., nitr. or
772
HOMEOPATHIC TREATMENT.
Arsenic as antidotes. [Phosphorus (abuse of salt
in food); Arsenic (bad effects of sea-bathing).]
Case 29.-Xavier Spiss, aged 11 years, born of scrofulous
parents; his oldest brother is a mute and almost an idiot; he
himself is a mute and idiotic, with puny appearance of body and
limbs; the abdomen is large and hangs upon the thighs, it is
tympanitic, hard, and on deep pressure nodulated tumors can be
felt; he cannot walk or even stand upright; he remains seated
in his cradle and swings back and forth day and night; he sleeps
very little and with the exception of water, milk, potatoes and
brown bread he refuses all nourishment. This poor creature
has suffered since his birth, with constipation. Injections of
all kinds, aperients, resolvents, laxatives, and purgatives have
been administered, from the prune juice and castor oil, to gam-
boge and croton oil. At 8 years of age, he would go three or
four weeks without stool; during the first two weeks of this
period, the child did not appear to suffer, but toward the third
week the appetite diminished, the child cried, held the bowels
with the hands, rolled over, pulled at the hair and sometimes
vomited sour mucus or food. All injections and purgatives
seemed to lose their power. Between the twentieth and
thirtieth day there would occur a massive, black, hard stool,
which was accompanied by a bloody discharge and prolapse of
the rectum, which was fissured; during the stool the child
uttered piercing cries, and afterward was pale, prostrate, and
tranquil. On Nov. 19th, when the constipation had been pres-
ent for three weeks, I gave the patient a dose of Natrum m.12.
On the morrow he had a stool without pain. I then ordered the
mother to give him a dose twice a week; but the effect did not
respond to my expectation, although I had varied the 12th with
the 3d and 30th dilutions. In February I prescribed one
globule of the 30th, dry, upon the tongue, in the morning while
fasting, twelve or fourteen days after the stool. The action was
prompt and persistent; each time that the medicine was given,
the child had, on the following night and succeeding morning
a copious and free evacuation, and for the last three months the
stools are regular, at the same intervals, even without medicine,
for they often forget to give it. It was not necessary, perhaps,
to give the medicine every fifteen days, for if we can believe our
experimenters, the action of Natrum m. continues for forty or
fifty days.-Dr. Gross.
HOMEOPATHIC TREATMENT.
73
:
NITRIC
ACID.
Stools: Dry, difficult, irregular; Like sheep-dung,
accompanied by a mucous secretion; Alternately firm
and liquid.
Before Stool: Continual but fruitless desire for
stool; Ineffectual urging; Colic pains.
During Stool: Prolonged straining (even with soft
stool); Sensation as if part of the fæces remaine 1 in
the rectum and could not be expelled; Sharp, splinter-
like, cutting pains in rectum during stool (with inef-
fectual urging); Burning in rectum toward the
perineum; Tearing, spasmodic pains (fissures in
anus); Pressure upon the rectum with desire for
stool, but only a little pas es.
After Stool: Burning in rectum with shooting
pains; Painful prolapsus of the rectum, and sensa-
tion of constriction of anus; Colic pains and great
prostration; Painful hæmorrhoids with hemorrhages.
Generalities: Hæmorrhoidal constipation.
Hahnemann says: This medicine is better suite l
to brunettes who have a rigid fibre, than to the
blondes whose fibres are dry. The MM. Simon in
translating the works of Hahnemann renler this
passage somewhat different: "This medicine suits
better those subjects who have brown hair and rigid.
fibre, than those with soft fibre and blonde hair."
They add in parenthesis that Nitric acid will be
74
rarely chosen for lymphatic temperaments and scrof-
ulous constitutions.
HOMEOPATHIC TREATMENT.
Dr. Chargé says: It is especially in intestinal dys-
pepsia, when the characteristic feature of the case is
constipation, that Nitric acid has shown its superi-
ority. This constipation lasts for several days but
does not give rise to pain. The pains in the rectum
after stool may be prolonged for some time, and not
depend on the difficulty of the defecation, for they
often happen even after a liquid stool occurring ac-
cidentally.
The MM. Simon write: Suitable for certain dys-
peptic conditions characterized by disgust for fatty
food, nausea, swelling of the stomach and bowels in
consequence of an enormous collection of gas, great
sensibility of the abdomen to the influence of cold,
soft or hard stools which are difficult to expel.
[Hempel and Arndt write: Constipation may find
its remedy in Nitric acid, if the patient is of a bilious
habit, laboring under tedious hepatic derangements,
syphilitic affections, or suffering from the effects of
Mercury. Dry, difficult stools, preceded and followed
by colicky pains, and followed by great prostration.
Such a state of affairs is frequently found during
convalescence from a protracted and severe fit of
sickness.]
Dr. I. Guérin-Menneville says: In later years Nitric
acid has taken a front place among the remedies for
HOMEOPATHIC TREATMENT.
75
cough. Sir Duncan Gobb has written a book upon
whooping cough for the purpose of exalting its virtues.
Dr. Bayes says: "Another affection in which Nitric
acid has rendered service is the chronic laryngeal
cough without expectoration, and which is charac-
terized by a sensation of pricking or excoriation, as
if there existed there a small ulcer, and which is
generally felt upon one side." Dr. Dyce Brown has
recommended it in several forms of disease of which
laryngeal cough is one of the dominant traits, and
especially in those cases where there is a general
physical depression. Dr. Brown also mentions the
peculiar constipation of Nitric acid in the cases of
cough, and he adds that he had seen it disappear so
often under the use of this drug, that he conceived
the idea of employing it for this affection itself and
with so great a success that he places this remedy in
the front rank among the efficient means for its
treatment.
NUX
VOMICA.
Stools: Inefficient, black, hard, often streaked
with blood; Large, hard stools; Black, dark, or
brown in color, and hard and knotty in appearance
(see Esculus h.).
Before Stool: Ineffectual urging, painful, almost
constant, desire for stool; Pressure in the rectum,
*..
76
with lumbar pains; Sensation as though the anus
was firmly closed and narrowed. (see Opium).
After Stool: Relief.
HOMEOPATHIC TREATMENT.
Concomitants: Oppression of spirits; dislike for
work and thought. Insomnia, anxiety and chilliness.
Passive frontal headache, with or without congestion
to the head, worse in the mornings. A marked
degree of nervous erethism with a tendency to hypo-
chondriacism or anger. Qualmishness in the epigas-
trium and abdomen. Dyspnoea from pressure upward
of the diaphragm in consequence of the accumulation
of gas. Distention of the abdomen, weight and
pressure in the region of the stomach or spleen; at
times cutting pains in the lower bowels with occa-
sional eructation or flatulency (emissions which give
slight relief). Heat, and stitching pains in the side;
weight in the hypogastrium. Loss of appetite, bitter
taste in the mouth, mucous coating of the tongue.
Catarrh of the stomach with excessive acidity and
flatulency (aggravated still further by the use of
starchy foods). Alternation of diarrhoea and consti-
pation. Hæmorrhoids, painful and protruding, or
attended with hæmorrhage.
Generalities: Suitable for constipation arising from
hæmorrhoidal and dyspeptic troubles.
Where there is an irritability of the intestinal tube
(there is often in such cases some hæmorrhagic irri-
tation, in which the alternation of Bryonia with the
77
Nux vom. renders good service). Nux here, as in
other troubles, is especially serviceable for those per-
sons who lead a sedentary life, or are suffering from
the effects due to prolonged night-watching, nursing,
or mental overwork, or those who use in excess
spirituous liquors, or overload the digestive tract with
highly-seasoned food, or from abuse of purgatives or
sexual excitement due to onanism, or when the con-
stipation has been preceded by a diarrhoea or is the
consequence of its sudden checking. It is also recom-
mended for the constipation of pregnant women.
Also for active, irritable infants, and for those who
have been prematurely fel on meat, or when the
trouble arises from the excessive use of coffee by the
mother or nurse. It is suitable in the beginning of
infantile constipation, as well as later, when the
condition has given rise to various concomitant
abdominal symptoms. According to Harimann,
benefit is often derived, in such cases, from the inter-
current use of Bryonia', while Knorr considers
Sulphur as one of the best alternating remedies.
Rueckert considers Nux vom. to be generally indi-
cated: 1. In pregnant women who do not complain
of any other symptom, and also in children under
the same circumstances. 2. When the constipation
is idiopathic, especially when the abuse of coffee seems
to be the cause.
The absence of all desire for defecation or a want
HOMOEOPATHIC TREATMENT.
78
of agreement of the muscles which act in this func-
tion are positive contra-indications for the use of
Nux vom.
HOMEOPATHIC TREATMENT.
Dr. Hughes recalls the words of Schroder von der
Kolk: A long experience and numerous autopsies
have proven to me that chronic constipation is almost
always dependent upon contraction of the descending
colon. To this Dr. Hughes adds, that in regard to
the constipation of Nux vom. Dr. Carroll Dunham
is right when he says: "This medicine does not
diminish the action of the intestines, it rather
augments it, but at the same time renders it irregular
and spasmodic, preventing in consequence, instead of
aiding in, the evacuations. It is for this reason that
the constipation characteristic of Nux is accompanied
with frequent desire but ineffectual efforts for stool,
the action of the intestine being irregular and spas-
modic; the constipation being the result of the
irregularity in the action, and not of the inaction."
On the other hand, we would call the attention of
our readers to the fact, that the physiological inter-
pretation given by the authors mentioned above, upon
the action of Nux vom. in constipation, is not
accepted by all writers, especially in Germany. Thus
Kafka writes in connection with the treatment of
chronic intestinal catarrh: "Nux vom. administered
in small doses, and not repeated too often, exercises
a marked action upon the muscular tissue of the intes-
HOMEOPATHIC TREATMENT.
79
tine. I insist upon the inactivity of the intestine in
consequence of a diminution of the peristaltic move-
ment as characteristic of Nux vomica." Willmar
Schwabe also considers Nux vom. as suitable for
chronic intestinal catarrh with constipation from
diminution of the peristaltic movement.
In that which concerns the dose, we find the
divergences of opinions which separates the homo-
opathic school into numerous camps, on the question
of therapeutics. This is a clinical problem not yet
elucidated, and which we shall only discuss incident-
ally. We would only say that if M. Jousset prefers
the 12th dilution of Nux vom. in the treatment of
constipation, others administer the 30th, others,
again, the dilution of Jenichen, or even those of
Fincke. On the other hand we read in Rueckert:
“In constipation I give Nux vom.', while at the same
time the question might be asked if we would not
obtain better results with the tincture than with the
dilutions."
·
Case 30.-No stool for six days, vertigo and giddiness, weight
in the head similar to that caused by drunkenness, especially in
the morning, burning heat and redness of the face, dryness of
the mouth, bitter acid taste, heartburn, malaise in the morning,
pressure in the stomach, tension in the abdomen after eating but
a small quantity, tearing pains in the hypochondrium, tenesmus,
pains in the anus and kidneys, pressure and constriction in the
breast, restless sleep at night, depression of spirits, sleepiness in
the morning before rising, lassitude, relaxation of the whole
body. One drop of Nux vom., tinct., caused a cessation of all
the pains. Dr. Knorre.
..
80
HOMEOPATHIC TREATMENT.
Case 31.-A young woman who led a sedentary life, suffered
for many months from a constipated habit and for the relief of
which she was compelled to resort frequently to injections; she
suffered from constant pain in the direction of the colon. Nux
vom. 30 removed the abnormal condition and since that time the
stools have been regular.-Dr. Malaise.
Case 32.-A young woman of strong constitution, a chamber-
maid, has been sick for three days. She suffers from the follow-
ing symptoms: Great heat of the face, thirst, white-coated
tongue, absence of stools for three days, languor, easily fatigued,
the limbs are as stiff as boards and resist all movements, it is
only with the greatest difficulty that she can ascend to the second
story. I prescribed one drop of Nux vom.80. On the morrow
all the morbid symptoms had disappeared, and the stools were
regular.-Idem.
Case 33.-A woman, 29 years of age, confined six weeks.
before, experiences the following symptoms: Acute pains at the
pit of the stomach; palpitation of the heart with bluish lips;
obstinate constipation, two stools in ten days; pulsative and
hammering pains in the forehead, aggravated whenever the
pains in the stomach are more intense; dry cough for several
days; cramp-like pains in the lower limbs; swelling of the feet
in the evening. The infant which was nursed by the breast
vomited frequently. The patient was given three globules of
Nux vom.. Ten days later the symptoms enumerated had dis-
appeared and the mother and child enjoyed good health.-Idem.
Three points deserve our attention in these three
observations by Dr. Malaise: 1. Nux vomica alone
was sufficient for the cure; 2. It acted very rapidly;
3. It was employed in the 30th dilution. In the
observation of Knorre given above, we find the same
efficacy from the use of Nux vomica alone, and the
same prompt action; but the remedy has been given
in the mother tincture.
We will return, for the present, to the clinical
collections of Rueckert and translate from them a
HOMEOPATHIC TREATMENT.
81
noteworthy case of hypochondriacal constipation
which was cured in a short time by Nux vom. alone,
but this time in the 3d dilution.
}
Case 34.-A teacher, age 40 years, having a tendency to con-
stipation, suffered for six years from this infirmity until it became
necessary to resort constantly to purgatives. The appetite was
weak, tongue lightly coated, hunger soon appeased, eructations
soon after eating, sensation of fullness and painful weight in the
epigastrium. Regularly one hour after eating he suffered with
flying chills followed by flashes of heat of equally short dura-
tion. Despondency which always increased after mid-day,
accompanied with light vertigo and heat of the head, inability
for intellectual work, constant preoccupation occasioned by a
sensation of swelling of the abdomen. A stool every five or six
days; after a purgative or injection there occurred a large, dry,
stool, ordinarily in black balls, accompanied by severe pains and
strong expulsive efforts of the rectum; the feet are habitually
cold; the sleep does not refresh. The lungs, heart, liver and
spleen are healthy. He bends forward, speech is embarrassed,
the movements slow, gloomy expression of countenance with a
dirty yellow complexion. Hypochondriacism bordering on mel-
ancholy. Old-school treatment and Carlsbad waters gave no
relief. Nux vom., two drops every evening, was given. At the
end of eight days there was amelioration and under the contin-
uance of the remedy, a cure fifteen days after.-Dr. Linder.
We have in the Homeo. Rundschau for June, 1878,
the following observation by Dr. Goullon on chronic
infantile constipation; the interest attached to the
case itself, the dose employed, and the familiar
language of the recital, have led us to make a résumé
translation of the article which is entitled, A Homo-
opathic Remedy Against Chronic Constipation:
Case 35.-Here is the demand which was addressed to me:
"Have the kindness to send me a purgative for Eugenie, who is
always constipated; she only has an evacuation every other day,
notwithstanding the prunes, apples, brown bread, etc., which I
give her. I have even resorted many times to injections, so
82
severe has been her sufferings." What reply ought a homo-
opathic physician to make to such a question? The child here
spoken of, was otherwise in good health and of an almost athle-
tic constitution, but the mother was a sufferer from hæmorrhoids.
I took a small glass containing 100 drops of rectified alcohol.
In this I placed two drops of the tincture of Nux vom., shook
the glass one huudred times, and prescribed two drops of the
dilution, to be given night and morning, in a teaspoonful of
water. Under this treatment the evacuations became regular in
a short space of time; at first, they were still slightly painful,
although daily, but at present the act is easily accomplished.—Dr.
Goullon.
HOMŒOPATHIC TREATMENT.
Nux vom., adds Dr. Goullon, is, in a certain sense,
a remedy for the rectum, as well as a remedy for
spasmodic action; from this arises its value, together
with Belladonna, in cases of strangulated hernia.
We will give here a personal observation, in which
Nux vom." acted very successfully.
Case 36-M. X., aged 35 years, consulted me on Dec. 12,
1877, for a constipation of seven years standing. This trouble,
attributed by the local physician as due to a state of general
debility, had been treated with repeated purgatives, together with
a tonic regimen. Nothing had been accomplished. My patient
is a man of nervous temperament, lean, blonde, somewhat pas-
sionate. Besides the constipation, which I suspect, notwith-
standing the absence of personal or hereditary antecedents, to
be in correlation with the existence of internal hæmorrhoids,
there is dyspepsia, flatulence, tenesmus, and cardiac palpitations.
I advised a lighter regimen and prescribed Nux vom. in
water, a spoonful to be taken night and morning for three
days. After an interval of eight days, Sulphur was employed
in the same manner. On Dec. 26th he returned, pleased with
the marked amelioration which was manifested as soon as he
began to take the Nux; the same prescription was repeated,
except that the intervals between the two remedies was to be ten
days instead of eight. On Feb. 8, 1878, M. X., came back to
say that he thought himself cured. I however gave him Lyco-
podium 200, on account of the slight persistence of intestinal flat-
ulency. To-day the cure is complete.--Dr. Bernard.
"
80
12
HOMEOPATHIC TREATMENT.
83
[Case 37-A gentleman had a diarrhoea, which he checked
with brandy; constipation followed, with heaviness in the abdo-
men and occasional cramping pains. Nux vom.200, two doses,
cured.-Dr. Guernsey in Raue's Record, 1870, p. 215.]
OPIUM.
Stools: Small, hard, blackish or discolored balls;
Large masses; Hard, and full of small masses;
Hard, alternated with liquid, frothy stools.
Before Stool: No desire, or with the desire to go
to stool, there is a sensation as though the anus was
closed.
Concomitants: Nervous and irritable; head feels
heavy and the thoughts are stupid. Congestion of
blood to the head. Headache, vertigo, red face,
sleepiness. Dryness of the mouth, thirst and want
of appetite. Beating and sensation of heaviness in
the abdomen with pressure over the stomach.
Anxious sensation in the epigastrium [colic, with
great pressure downward upon the rectum and blad-
der, without any passing off of gas, fæces or urine].
Retention of urine. Constipation alternating with
a diarrhoea so painful that an attack of cholera
morbus might be expected.
Generalities: The majority of authors recommend
Opium for constipation or intestinal obstruction,
when it is of a paralytic nature or associated with
incarcerated hernia. It is one of the principal rem-
84
edies in lead colic; also when the constipation is the
result of pressure upon the rectum in consequence of
a gravid uterus or abdominal tumors; and for nurs-
ing infants, aged persons, and those of a torpid or
plethoric habit. In all these conditions there is the
absence of expulsive efforts, showing the complete
inactivity of the rectum.
HOMEOPATHIC TREATMENT.
Espanet says that we will meet with many stub-
born cases where its employment is necessary and
where we will have to aid its action by intercurrent
doses of Nux vom., Lead, and Cantharis.
Prost-Lacuzon recommends it for the constipation
of pregnant women, in cases where Sepia has failed.
Hirschell writes: Opium is indicated after a debil-
itating disease, or where there is a paralysis of the
intestines in consequence of a protracted attack of
diarrhoea, in subjects leading a sedentary life, and
also in robust and healthy men.
Jahr, after describing the indications for Nux
vom., adds: Opium is of service for this same
sensation of occlusion of the anus, but without the
frequent desire of the former.
Hartmann recommends Opium for the consti-
pation of children, when all the symptoms of Nux
vom. exist, except the fruitless efforts at stool, and,
also, when the latter remedy has failed.
It is sometimes necessary to give an intercurrent
remedy and again return to Opium.
HOMEOPATHIC TREATMENT.
85
C
[Lilienthal gives: Constipation from inactivity of
the rectum, but there is a want of sensibility in the
abdominal condition and hardly any inconvenience
is felt from the accumulation of fæces; constipation.
of good-humored, corpulent women and children].
Dr. Gross begins the treatment of persons suffering
from chronic constipation, and accustomed for a
long time to the use of purgatives, by substituting
clysters of cold water and at the most, a drop
of the tincture of Opium. When I have succeeded,
he adds, in thus breaking off the habits of these
patients, I administer the remedies to them with
perfect success.
Case 38.--A bright little girl, 6½ years of age had been a
sufferer from urticaria, which was aggravated whenever she ate
a strawberry or even a strawberry pastil, but which I had cured
with Cancer fluviatilis¹. She was now seriously affected with a
constipation characterized by the evacuation of large fæcal
masses. On account of the distress and pain she delayed going
to stool for as long a time as possible, but when it became abso-
lutely necessary, it produced the most severe pains and caused
her to cry aloud. Opium³ removed the entire trouble.-Dr.
Rafinesque.
[In Hempel and Arndt's Materia Medica we find
three clinical cases in which Opium gave relief.
These we have condensed as follows:
Cases 39, 40, 41.-A young girl, 12 years of age, subject to
obstinate constipation, had every two or three days a hard, gray-
ish stool, in small balls, like sheep-dung. There was also
present, pressure over the eyes, anxiety about the heart, stitching
pains in the chest and abdomen; she looked pale and sickly.
Repeated small doses of Opium30 cured her. Sulphur, Nux
vom. and Silicea had failed.
86
HOMEOPATHIC TREATMENT.
The other patients, respectively a man of 60 years, and a
woman of 56 years of age, suffered from obstinate and long con-
tinued constipation, which purgatives and injections hardly suc-
ceeded in relieving. The intervals between the stools would
extend from several days to one or two weeks. In the former
case Opium, Ist decimal trituration, and in the latter Opium 200
gave relief.
A very interesting case, too long for insertion here,
of intestinal obstruction and fæcal tension, accom-
panied by the most severe symptoms, is given in the
Hahnemannian Monthly, vol. x., p. 393, in which
Opium was successful.
30
For the constipation of infants with complete in-
activity and large stools, Opium200 has so far proven
an efficient remedy in our hands.
Case 42.-While the present work was in course of preparation,
a young man, a theological student, came to me complaining of
a constipation of five days standing. The constipation was the
only condition complained of, and was without desire for stool.
During the first two days of the suppression of the stool there
had been a sweetish taste in the mouth and some feeling of
malaise. Opium, three pills every two hours, produced a stool
on the following day, and every day regularly from that time.]
PHOSPHORUS.
Stools: Slender, long, dry, tough and hard, like
a dog's: Voided with difficulty.
During Stool: Great efforts, although the stool is
not hard; Cutting pains in the anus, with the hard
stool.
After Stool: [Exceedingly painful cramps in the
rectum.]
:
HOMEOPATHIC TREATMENT.
87
Concomitants: Pressure at the pit of the stomach
after eating, with excessive flatulence; Swelling of
the abdomen and rumbling of gas, with sensation of
weakness and emptiness in the abdomen.
Generalities: Intestinal inertia, says Espanet, can
in certain cases, produce a constipated condition,
especially when the voluntary muscles do not aid in
the act of defecation. This constipation need not
always be a contra-indication for Phosphorus; it is
not so at least if, at the same time, there is atony of
the sexual organs. We would mention that Espanet
includes in his article upon Phosphorus, not only the
métalloid of this name, but also the Phosphoric acid.
[For the constipation due to a gastric neurosis,
and when occurring in fevers and chronic diseases
of the circulatory and intestinal tract, with prostra-
tion of the vital forces.]
PHYTOLACCA.
Continued inclination to go to stool, but passes
fetid flatus.
Pains shooting from the anus and lower part of
the rectum along the perineum to the middle of the
penis (in the middle of the night).
Ulceration of the rectum; fissures and prolapse of
the anus.
Bloody discharge, with heat in the rectum, tenes-
mus and hæmorrhoids.
88
HOMOEOPATHIC TREATMENT.
For the constipation of aged persons, or those of
very weak constitutional powers, with weak heart's
action, intermittent pulse, and generally relaxed
muscular frame.
PODOPHYLLUM AND PODOPHYLLIN.
Stools: Hard, dry, pale or clayey, and voided with
difficulty; Hard, crumble when evacuated, of a clay
color, often streaked with green; Hard stool, coated
with yellow, tenacious mucus; Thick, transparent
mucus or mixed with blood.
Before Stool: Tenesmus.
During Stool: Tenesmus; Prolapse of the rectum
in consequence of efforts at defecation, together with
a mucous discharge.
After Stool: Prolapsus ani; Hæmorrhoids.
Concomitants: Fullness in the head; headache.
Loss of appetite; impaired digestion. Various gas-
tric and intestinal manifestations. Fetid flatus.
Frequent urination. Pain and weakness in the
back. Exhaustion from the natural, but too fre-
quent stool.
General aggravation in the morning.
Generalities: Infantile constipation.
In old intermittent cases, or those due to a resi-
dence in or return from India (in these latter cases
Cedron is, also, at times, useful).
HOMOEOPATHIC TREATMENT.
89
Ruddock gives: Diarrhoea with generalized icterus
or alternating with constipation. Constipation which
often succeeds to an attack of diarrhoea in infants
who are artificially nourished, when the stools are
hard, crumbly, clayey.
Podophyllum is also serviceable in the constipation
with irritation, and when occurring in persons of
sedentary habit.
Rego writes: The primary effects of Podophyllum
upon the intestine show a functional exaltation
characterized by a diarrhoea variable in form, almost
always accompanied with pain in the abdomen; and
the secondary effects show a certain state of atony
represented by constipation alternating nearly always
with liquid dejections or again by hard, dry stools,
expelled with difficulty.
CC
By its action on the liver," says Dr. Hughes,
"Podophyllum merits the name of the vegetable
Mercury." I do not believe this generalization is
well founded. The bilious condition in which I have
found it useful differs very much from that calling
for Mercury. The attempt to force by the vis a tergo,
in the case of jaundice due to obstruction, is some-
times justifiable. In these cases, of which an ex-
ample is given by Dr. Hale, Podophyllum, in the
dose of 3 to 10 grains of the 1st decimal trituration,
is best adapted to produce this effect. On the same
principle we can give it as advised by Dr. Ringer, in
90
doses of to of a grain in the constipation of
infants.
HOMEOPATHIC TREATMENT.
[Hempel and Arndt write: The attenuations.
should be used. The practice of giving the crude
resinoid, in light doses, for the sake of getting an
immediate action of the bowels, is reprehensible.]
80
Podophyllum has recently given me a most suc-
cessful result in a case of infantile constipation with
prolapsus of the rectum.
[Case 43.--An adult patient suffering with inactivity of the
liver, complained of great mental depression, chilliness, cold
perspiration, restless sleep, furred tongue (showing the imprints
of the teeth), nausea, clayey, delayed stools; fullness, tender-
ness, and stitch-like pain in region of the liver, irregular action.
of heart and general prostration. A cure was wrought with a
few doses of Podophyllum.-Dr. A. K. Hills, in N. Y. Med.
Times, vol. ix., p. 308.]
PLATINA.
Stools: Scanty, hard, as though burned; In small
fragments; Viscous; In a single mass; Difficult,
(clinging to the anus like clay).
Before Stool: Frequent and ineffectual desire;
Prolonged efforts (stool in small fragments or is not
hard); Violent pressure in the rectum; Violent
shootings in the rectum compelling an outcry;
Slight tenesmus.
During Stool: Cutting pains, burning and protru-
sion of the hæmorrhoids; Burning in the rectum.
After Stool: Sensation of great weakness in the
€73
}
HOMEOPATHIC TREATMENT.
91
abdomen and chilliness; Slight tenesmus and ting-
ling in the anus; Shooting pains in the anus with
spasmodic contractions in the thighs; Violent itch-
ing in the anus; Chilliness about the head, breast
and arms.
Concomitants: Catarrhal obstruction of the nose.
Want of appetite. Eructations after eating. Sensa-
tion of cold and weakness in the abdomen, con-
strictions, pressure from above downward, oppression
of the stomach, forcible efforts for the emission of
gas. [Colic in the umbilical region, running into the
back; pressing and bearing down in the abdomen;
the pain is excessive, causing the patient to turn in
all directions]. Flatulency. Tingling tenesmus and
itching at the anus. Feeling of lassitude in the
limbs; cold feet. Seminal emissions. Induration
of the womb.
Generalities: For chronic constipation depending
upon a neurosis with spasmodic constriction of the
intestine. When due to lead poisoning or after
travelling; in women as a class, or when the condi-
tion is severe enough to produce a displacement of
the uterus, also in lying-in women; in sedentary
subjects, and when there are co-existing menstrual
troubles.
Hartmann says: It has often happened to me, in
rebellious cases of constipation in which Nux vom.
did not bring any relief, to give Platina with ad-
92
HOMEOPATHIC TREATMENT.
vantage, especially when the evacuations took place
only after violent efforts, often necessitated manual
assistance, and were composed of small, black, hard
masses.
PLUMBUM.
Stools: Ball-shaped, hard as stone; Small, hard
balls covered with a greasy pellicle, or they resemble
sheep-dung; Large and hard, and covered with a
glairy mucus; Dark colored.
Before Stool: Ineffectual urging, either with or
without tenesmus; Complete atony of the rectum;
Severe colic-like pains with constriction or spasm of
the anus.
During Stool: Great effort; Violent colic pains.
After Stool: Colic, and at times diarrhoeic dis-
charges.
Concomitants: Great depression of spirits. Pale,
emaciated. Anxiety and restlessness. Abdominal
colics; Violent, cutting pains; abdomen hard and
retracted, with drawing sensation from the abdomen.
to the back; anus feels as if contracted: prolapse of
the anus. Nausea and vomiting. Loss of appetite,
sweet taste in the mouth, violent thirst.
Generalities: Obstinate constipation. In pregnant
women, persons of a paralytic diathesis, or when the
constipation is due to paralysis of the intestines.
Especially valuable when there is present dryness
HOMOEOPATHIC TREATMENT.
93
T
of the excretion and a muscular atony. In many of
the cases calling for the use of this drug there is an
absence of the intestinal mucus and bile.
Often suitable in cases where Platina seems to be
indicated but fails.
It is recommended, in alternation with Opium, for
obstinate constipation in those who are otherwise in
good health; the stools are very painful and hard.
Also where there is general or partial paralysis with
wasting away of the tissues.
The acetate, carbonate, and metallic lead seem
equally effective in practice.
M
Case 44.-Plumbum aceticum is the best aperient that I have
found; although a slow acting remedy, it cures promptly enough
when administered in a very small dose.
very small dose. A woman who had
suffered for a long time with cramps in the hypogastrium, and
who had not had any stool for nineteen days (when she did have
a stool it was as hard as stone and required the greatest efforts)
took Plumbum 12 one-fourth of a grain. Eight hours later she
had a copious evacuation, which was hard, it is true, but without
effort. She had three more in twenty-four hours, the last two
being natural; from this time the stools remained normal.
had given her before, a grain of the 6th; four days later, she
had had an extremly copious stool, which was partially soft in
consistency. Dr. Hartlaub.
I
[In Hempel and Arndt's Materia Medica we find :
Case 45.-Constipation of several years standing. The stools
consist of hard balls; there is little or no pain present. Plumb-
um, five powders, one night and morning, was given; several
months later the cure was still permanent.
Case 46.-Even with a purgative, motions are hard and dark;
numb extremities; knife frequently drops from his hand. Urine
difficult, dribbling; high-colored and fetid. Sexual functions
weak. Pulse quick, weak. Plumbum carb.1-Raue's Record,
1872, p. 151.
94
HOMEOPATHIC TREATMENT.
Case 47.-Mrs. R., age 50. Pale, emaciated; constipation in
spite of cathartics. Fæces in small lumps; abdomen large;
convolutions of intestines could be seen and felt through the
abdominal parites. After eating, violent retching and vomiting
of food or mucus. Violent, spasmodic, cutting, contractive pains,
with great restlessness, anxiety, and cold sweat, would bring
lumps as large as a fist on the left of the abdomen. Plumb.5.
Case 48.—Mrs. E., 40 years of age, has suffered for a year
from severe cardialgia. Constipation, once a week a hard,
knobby stool. Severe colicky paroxysms with nausea and vom-
iting. Patient atrophic and anæmic. Taste sweet; abdomen
compressed like a board. Paralytic weakness of extremities;
hands and feet cold; lack of perspiration. Plumbum aceticum
30, 6, 3, produced a cure in a few days.-Raue's Record, 1870,
P. 215.]
PSORINUM.
If Psorinum was formerly in great vogue among
the partisan physicians both of the Hahnemannian
psora and isopathy, it is to-day almost entirely re-
jected. Behold in what terms Griesselicht condemns
it, even thirty years ago: "With the exception of
Psorinum, not a single isopathic substance has been
examined in its pure effects. Even the attempt with
it is without any affinity and without any utility for
practice; Trinks, Noack and Muller were right not
to insert it in their Materia Medica."
This is not the place to discuss the questions of
psora and isopathy. We will not deny that, person-
ally, we have very little coufidence in Psorinum, the
†Manuel pour servir a l'etude critique de la med. hom. Dr.
Griesselich, trad par Schlesinger.-Rahier, Paris, 1849, pp. 101
et 102.
!
HOMEOPATHIC TREATMENT.
95
uniformity of which even, as a substance, does not
appear to us to present any points for discussion.
There has been, and there is still, in our school,
physicians, well informed and of whose honesty there
is not a shadow of a doubt, who are ready to pre-
scribe Psorinum conscientiously.
The clinical collections of Rueckert mentions the
employment of this substance in the treatment of
hernia, chancres, hydrocele, urticaria, itch, eczema,
and various affections of the hair. In his brief in-
dications for the treatment of constipation, Rueckert
writes among others the following lines: "In
chronic constipation, especially Lachesis, Lycopo-
dium, Natrum mur., Veratrum; for intestinal torpor,
Opium and Plumbum; if it is especially due to the
rectum, Opium and Psorinum."
Beauvais notes the employment of Psorinum (or
Psoricum) in a large number of clinical observations.
They are constipation, chronic exanthemata and
troubles with the intestinal tract, chronic hepatitis,
hæmorrhoids and constitutional diseases of various
degrees and forms.
Ceas 49.-A young child, 3 years of age, had already suf
fered since birth with attacks of constipation which would last
three or four days and were due to inactivity of the rectum; the
stool on the third or fourth would be very painful, and accompa-
nied with severe pains, which induced the patient to withhold
the effort as much as possible. In Oct., 1833, I gave Sulphur∞;
the stool was for a single time without pain and then the constipa-
tion returned. I gave Alumina which had an effect for some
time. March 8, 1834, the constipation returned in the same
96
degree; this time the Alumina gave good effects, but only till
the first part of April, when the complaints were renewed. The
remedies given had no effect. I then gave Psorinum and
there were fourteen days of quiet; finally OpinmⓇ two drops in
water, a teaspoonful every two hours; but I was compelled to
return to Psorinum. It removed the trouble, for a year has
elapsed since then and the stool is constantly in good order.—
Dr. Allher..
HOMEOPATHIC TREATMENT.
PULSATILLA.
Stools: Large and hard; Difficult stool although
soft; Alternation of hard and soft stools.
Before Stool: Ineffectual desire (during the
menses); Inactivity of the intestines.
During Stool: Difficult expulsion with painful
urging and backache.
Concomitants: Blonde persons with lymphatic
temperament and a mild and peaceful disposition;
or mild, cold, and phlegmatic; or taciturn or morose
with aversion to talking. Bilious aud bitter taste in
the mouth; excess of mucus in the mouth; burning
in the pharynx. Nausea and sour eructatious.
Drawing tension in the abdomen; pinching in the
abdomen; collection of gas. During the menses,
pressive pain from above downward into the pelvis
and sacrum, with tendency of the lower limbs to
become numb, while seated. Livid countenance,
debility and chilliness with great fatigue. Disposi-
tion to catarrhs of the mucous membranes. Aggra-
vations from the use of fatty aliments, rancid butter,
HOMOEOPATHIC TREATMENT.
97
cakes, or after intermittent fever suppressed by
Quinine.
Generalities: Espanet says: Pulsatilla occupies a
secondary but excellent rank in irritations of the
digestive tract with constipation, the result of excess
in drinking, and the abuse of the pleasures of the
senses.
Suitable to the same conditions as Nux vom., but
n those who are of a mild disposition; in women,
when they complain of chilliness.
• In chronic constipation, Pulsatilla acts in a
certain sense analogous to Sepia, especially in
rheumatic subjects.
Paul Landry advises Pulsatilla for those women
whose menstrual functions become irregular on
account of constipation (Sepia in analogous circum-
stances).
Kallenbach has only obtained permanent effects
from this drug in the lower dilutions.
SEPIA.
Stools: Hard, knotty, insufficient, scanty, like
sheep-dung; Difficult, covered with mucus; Re-
tarded, with discharge of blood.
Before Stool: Frequent desire, but without ejecting
anything, or there is only an emission of wind and
mucus.
"
98
HOMEOPATHIC TREATMENT.
During Stool: Pain in the rectum extending to
the perineum and vagina; Shooting and tearing in
the rectum and at the anus; Prolapse of the auus;
Sense of weight at the anus; Terrible straining to
pass stool covered with mucus; Bloody discharge.
After Stool: Sensation of weight at the anus;
Burning in the rectum aud anus; Hæmorrhoids.
Concomitants: Headache. Sensation of cold in the
stomach. Pyrosis. Nausea, often coming in parox-
ysms. Tingling in the rectum, with itching at the
anus; oozing of moisture from the anus. Hæmor-
rhoids. External chilliuess. Emaciation. Uterine
affections and leucorrhoea. Herpetic eruptions.
Generalities: In pregnant women, and in children
where manual assistance has to be rendered, in con-
sequence of the excessive straining. When the
constipation is associated with dyspepsia and chronic
affections of the stomach.
Jahr says that Sepia is suitable for cases of chronic
or obstinate constipation, especially after the unsuc-
cessful use of Sulphur and Nux vom., especially in
females or persons subject to rheumatism.
[Hempel and Arndt write: Persons of light com-
plexion, soft muscular tissue; of a depressed, sad,
anxious state of mind, easily excited and worried;
the symptoms are aggravated in the middle of the
forenoon, and when sitting quiet, and are relieved
upon moving about.]
HOMEOPATHIC TREATMENT.
99
...
Case 50.-A middle-aged woman suffered from hæmorrhoids,
herpes, cramps and constipation. No stool took place except
under the influence of a purgative. She had been without a
fæcal movement for several days, and the obstruction had caused
the abdomen to swell, and had produced still more dangerous
symptoms, such as congestion of the head, etc. The only thing
to do was to free the bowels, and for this purpose homoeopathy
alone furnished the means. But the difficulty was to avoid a
commingling of the remedies and the purgatives which she was
unable to pass. In similar cases I have always substituted
enemata of cold water in the place of the purgatives, and at the
most a drop of the tincture of Opium. When I have thus broken
up the habit, I am able to administer the remedies with greater
success. But here all my efforts, directed against the torpidity
of the intestinal canal, were failures. The best indicated rem-
edies such as Nux, Petroleum, Alumina, Sepia, and even
Plumbum did not produce any result. The constipation remained
unchecked, and the symptoms became so threatening that I was
about to counsel the administration of purgatives during the
intervals. The enemata of soap likewise gave no relief, and I
determined to administer at the same time Sepia in repeated
doses. For a month the patient took every eight days a dose
(30th), then every fifteen days, in all six doses. A stool from
time to time gave great relief.-Dr. Gross.
SILICEA.
Stools: Large, hard masses, light colored; Diffi-
cult expulsion, even of the soft stool.
Before Stool: [Fæces remain a long time in the
rectum as if it had lost the power of expulsion with
sensation of soreness]; Obstruction of the bowels.
from inactivity of the rectum, with pain and in-
effectual desire for stool.
During Stool: Prolonged efforts which render the
muscles of the abdomen sore, but when partly ex-
-
100
pelled the fæcal matter returns into the rectum;
[Protruding hæmorrhoids which become incarcer-
ated.]
HOMOEOPATHIC TREATMENT.
Concomitants: Gastralgia accompanied sometimes
with pyrosis, sometimes with hiccongh, or nausea
and glairy vomiting; there is heat, weight, sensi-
tiveness, and a feeling of constriction; flatulency,
eructations, somnolency, languor, coldness of the
extremities, loss of appetite, slow and painful di-
gestion, often a canine hunger which cannot be
satisfied [Stitches and shooting pains in the anus;
Constipation before and after the menses.]
Generalities: [In sanguine lymphatic tempera-
ments, and when associated with chronic, scrofulous,
suppurative diseases. For the constipation of badly-
nourished children, with pale, earthy face; copious
perspiration about the head; large and hard ab-
domen; aversion to warm food. Loss of expulsive
force with a large but soft stool is a characteristic
condition calling for this remedy].
Case 51.-Mrs. J., the mother of four children, and apparently
healthy, has suffered for several months with constipation. Close
attention to a proper diet had not relieved her. There was
frequent urging to stool, without ability to effect an evacuation;
the stools were large and hard, and after having partially ex-
pelled, would recede back into the rectum. Prescribed Silicea80.
Two hours later she had a free evacuation and has remained free
from the difficulty since then.-Dr. I. D. Johnson in Hempel
and Arndt's Mat. Med.
Case 52.—Mrs. H., aged 26 years and mother of three children,
states, that she has suffered from constipation since the birth of
f
HOMEOPATHIC TREATMENT.
101
her youngest child, three months ago. She had taken the usual
cathartic medicines. The stools were hard and dry, were
partially expelled with much straining and then receded back
into the rectum. Silicea, one dose each night and morning.
Cured with four doses.-Ibid.
STANNUM.
Stools: Chestnut-shaped stools; [Hard, dry,
knotty or insufficient; In some cases they may be
scanty and of a greenish color, in other cases they
may be accompanied by vermiform shreds of mucus,
or followed by expulsion of mucus;] fetid fæcal
stools.
Before Stool: Rectum inactive.
During Stool: Urging even with soft stool.
[First part of the discharge being of a natural con-
sistency, afterward it became papescent, and lastly
thin; it is accompanied by a shuddering sensation
through the body from above downward, and by a
drawing from the small of the back through the
thighs. Symptom experienced by a person habitually
costive.]
After Stool: Desire still persists.
Concomitants: Heat in the head. Sickly face.
Malaise. Colic; fullness and swelling of the ab-
domen.
Case 53.-A young ecclesiastic was subject to a constipation
which appeared on every Monday or on the days after a fete, but
only in winter, while for the rest of the week the stools were
:
102
HOMEOPATHIC TREATMENT.
regular. This constipation gave rise to a sensation of fullness in
the lower part of the abdomen with swelling, malaise, great
heat in the head, ameliorated in the open air, but returning when
in the house, with ill-humor and sadness. At noon he felt
hungry, but no appetite in the evening. I gave Stannum 30 on
Sunday evening before going to bed. Two doses were sufficient
for a cure.
STAPHISAGRIA.
M. Teste gives us the following under this drug:
Stools frequent enough, but dry and insufficient;
frequent desire for stool, with constipation as from
inertia of the rectum; slight diarrhoea alternating
with constipation; excoriating pain in the anus.
Boenninghausen and Jahr place this drug among
the chief remedies for constipation.
Hering recommends it when Mercurius has been
insufficient for constipation accompanied with bad
taste in the mouth, pain in the gums, irregular
appetite.
SULPHUR.
Stools: Hard, knotty, dark and dry; Insufficient;
Chestnut or olive-shaped; Alternation of constipa-
tion and diarrhoea.
Before Stool: Frequent desire with ineffectual
urging; The effort at stool is so painful that the
patient dreads to attempt it; Prolapse of the
rectum.
During Stool: Straining and bloody discharge.
HOMOEOPATHIC TREATMENT.
103
:
After Stool: Prolapse of the rectum; Lancinating
pains from the anus upward; Stinging, sore, burn-
ing, itching, pulsating pains in the auus.
Concomitants: Inability to think; Frequent hot
flashes and burning on the top of the head and the
soles of the feet; Craving for food, or anorexia, with
aversion to meat and desire for sweets and alcoholic
liquors, with the well-known 11 A. M. aggravation.
Bloated abdomen, general malaise, nausea and eruc-
tations, incarcerated flatulence; pains throughout
the abdomen, with sensitiveness to the touch;
various dyspeptic phenomena. Many forms of skin
disease.
Generalities: Serviceable in the beginning of
many cases of chronic constipation, especially when
accompanied with hæmorrhoids. Frequently indi-
cated after Nux vom. or to complete a cure, in
hypochondriacal or hæmorrhoidal subjects. Ac-
cording to Hirschell Sulphur acts like Nux voṁ., in
the constipations which are even more obstinate,
when, for example, the constipation depends upon
the obstruction or swelling of some organ, especially
the liver, together with the engorgement of the
portal circulation.
It is also of service in the constipation of pregnant
women and the new-born.
Noack recommends Calcarea and Sulphur in
alternation for chronic hæmorrhoidal constipation.
A
104
As an intercurrent remedy Sulphur acts some-
what similar to Opium, but it has a much greater
value on account of the extent of its sphere of action
and the numerous morbid forms to which it is
adapted.
The following observation is the authority for the
"accompanying vulvar pain" of Rueckert.
HOMEOPATHIC TREATMENT.
Case 54.-A woman 24 years of age, confined with her first
child, now five weeks old, suffered from constipation even before
her marriage. Four days before her confinement she had a
stool, and a second one fourteen days after confinement; since
then she has a stool about every five days. Since her delivery
she has had a pain in the rima pudenda which continues to
increase, especially when at stool; after each evacuation she has
to rest in bed an entire day on account of the pains around the
anus. The perineum was torn nearly through to the anus, but
is at present almost completely cicatrized. Her general condi-
tion is good. Sulphurs was given twice a day. At the end of
four days, the evacuations were less painful, while a few days
later the cure was complete.-Dr. Kasemann.
Case 55.-An hysterical woman was attacked with a disease
of the liver, and after the cessation of the acute stage, the stools
were very irregular. Having failed in the employment of several
remedies, among others Sulphur in different potencies, and even
in the tincture given several times a day, I gave Sulphur. After
two doses, and on the second day, a movement of the bowels
took place, which was repeated daily from that time on, while
the trouble in the hypogastric region improved in a marked
manner.-Dr. Schmid.
This observation is interesting to us, not only on
account of the choice of the remedy, but especially
for the choice of the dilution. We are led to believe,
both from this observation and many others, that
we are wrong in changing too easily our remedies.
When a remedy is truly indicated, that is to say
HOMEOPATHIC TREATMENT.
105
completely homoeopathic, if the first preparation
administered does not succeed, it would often be
better to try a lower or a higher attenuation, accord-
ing to the nature of the remedy, the idiosyncracy
of the patient, or a thousand circumstances, which
unfortunately in the actual state of our science can
not always be exposed in a precise and definite
manner.
[Case 56.-The first part of the stool was in small, round
lumps, of a very dark green, almost black, color, the remaining
part of the stool softer and larger. The stool sometimes slips
back when about to escape (also Silicea). With the stool a
bloody discharge, which is sometimes bright, at other times like
jelly, Sulphur cm.-Raue's Record, 1872, p. 151.]
TABACUM,
We have already spoken of tobacco in relation
to the preventive, hygienic or accessory treatment of
constipation. The use of a pipe or a cigar very
often constitutes in many persons a means for pre-
venting constipation.
Dr. De Moor has published a pathogenesis of this
medicine in which we find the following: Desire for
stool without any evacuation. After frequent but
ineffectual attempts at stool, there occurs an evacu-
ation of hard matter several hours after the regular
time.
Dr. Ozanam in a later work gives: Habitual
•
106
HOMEOPATHIC TREATMENT.
constipation; paralysis of the rectum; spasm of the
anal sphincter.
We translate, in a condensed form, several inter-
esting passages from the supplement to Rueckert:
Dr. Minnichreiter recommends tobacco and especially
nicotine, for constipation. In a case of chronic con-
stipation with marked and painful tympanitis, after
a failure by heroic treatment, the patient had re-
course to the following expedient: he smoked a large
pipe of tobacco, and then placed the remaining
secretion in a cup of black coffee which he finally
drank; the patient was cured immediately and for a
long time. Another patient, non-smoker, who suf-
fered from chronic constipation, having smoked a
mild cigar, was taken with diarrhoea, but was cured
by Ipecac and Nux vomica.
[Tympanitic bloating of the abdomen; dyspnoea].
THUJA.
Stools: Hard balls; Large, hard, coated with
blood; Hard, thick and knotty; Hard, followed by
soft stool; Retarded and insufficient.
Before Stool: Frequent urging, without colic;
Pressing and ineffectual desire, with erections.
(Ignatia?)
During Stool: Only a small quantity of hard stool
being passed each time, with pain in the anus as if
HOMEOPATHIC TREATMENT.
107
it would fly to pieces. Great trouble in passing the
stool, as if the rectum had been constricted (hard
stool followed by a soft one); Violent pains in the
rectum compel a cessation of the effort at stool,
especially when hæmorrhoids are present.
After Stool: Repeated urging, without accomplish-
ing anything.
Concomitants: Fever. Smarting of the anus,
between the intervals of the stools. [Offensive per-
spiration at the anus and in the perineum. Hæmor-
rhoids and fissures of the anus. General aggravation
of the pains in the anus on motion.
Generalities: Obstinate constipation, from inac-
tivity or intussusception. Constipation which seems
to be the result of organic reaction.]
Ado
VERATRUM ALBUM.
Stools: Large and hard, or first part large, latter
part smaller; Round, black balls.
Before Stool: No desire; Desire for stool in the
epigastrium; Pressure toward the anus with blind
hæmorrhoids; Tenesmus.
During Stool: Great straining; Heat in the anus;
Painless discharge of masses of blood in clots, with
sinking feeling.
After Stool: Weakness or prostration.
Concomitants: IIeat and pains in the head.
1.08
HOMEOPATHIC TREATMENT.
Vomiting of food (in dyspeptics). Colic pains. Ab-
dominal engorgement. [General depression of
vitality, predominant coldness of the body; pallor
and cold sweat on the forehead, or over the whole
body, on slight emotion or exertion.] Increased
flow of urine.
Generalities: Constipation on account of the
inaction of the rectum and want of peristaltic move-
ment in the other intestines. [Digestion appears to
be well performed, and still defecation is nearly im-
possible, on account of inertia of the rectum].
Obstruction of the bowels on account of the hard-
ness and volume of the fecal matter. In obstinate
constipation alone, in subjects who are always hungry
but easily satiated, in hypochondriacs and maniacs,
Ruddock recommends it for a paralytic state of
the rectum with dryness of the intestines.
Hartmann says: In the constipation of infants,
when Lycopodium has ameliorated, but some traces
of the disease still remains, Veratrum alb." may
succeed. It is also of service, like Platina and
Lycopodium, when the peristaltic movements of the
intestines are re-established, but the rectum still
remains in a state of inactivity bordering upon
paralysis.
Jahr recommends the drug when Nux vom.,
Opium, and Bryonia have not been able to remove
an accidental but obstinate constipation.
!
HOMEOPATHIC TREATMENT.
109
Dr. Bryce (Edinburgh) does not know of a remely
whose action is as prompt in causing stool; no
matter how obstinate the constipation may be, if we
give the remedy in the evening, it is rare that we do
not have a free movement of the bowels in the
morning.
We give herewith an observation from the Clinique
Homæop. of Beauvais, which is interesting for various
reasons; independent of the efficacy of Veratrum
alb., we find in it a remarkable example of medicinal
aggravation or rather, positive effects from infinites-
imal doses.
Case 57.-I had treated for some length of time a nursing
infant who was suffering from a very obstinate constipation,
which had been, however, somewhat relieved by the use of
Alumina and Sulphur. Lately the child had been without any
medication, and I thought it a suitable time to give him in the
evening five drops of Veratrum. The infant was attacked with
vomiting in the night, and from that time the stool was more
regular for several days. At this time I again repeated the dose
when the result was the same. Later I again gave, for the third
time, the same dose of Veratrum in the evening. He was again
seized in the night with a severe diarrhoea, which ceased, how-
ever, on the next morning, but after this the stools were regular
for a long time. It seems clear to me that the remedy cured
him, by producing its primitive effects.-Dr. Elwert.
Case 58.—A gentleman suffered for a long time in consequence
of the presence of an eruptive disease which covered a great
part of the surface of the body. He complained at the same
time of symptoms of dyspepsia, such as, eructations which were
bitter and sour, fullness of the stomach and bowels after eating,
with pain in the region of the liver and marked constipation. I
prescribed Veratrum for the cutaneous trouble, and it was re-
moved; at the same time the gastric symptoms improved and the
constipation disappeared; two months later, without taking a
purgative (which he had formerly taken at least once a week),
110
he assured me that he was in the enjoyment of a state of health
which he had not known for many years.-Dr. Broackes.
HOMEOPATHIC TREATMENT.
ZINCUM.
Stools: Dry, hard, insufficient, difficult; Dry,
brittle, granulous; Large, formed stool.
Before Stool: Frequent and ineffectual desire for
stool.
During Stool: Prolonged desire, which is only
satisfied after great efforts, although the materials
are soft; Emission of prostatic liquid; Slight dis-
charge of blood (with hard stool); Pressure and
clawing in the anus; Painful evacuation (dry, sandy
stools).
After Stool: Continued desire; Violent bearing
down in the abdomen, relieved by passage of flatus
up or down.
Concomitants: Coated tongue or sometimes red,
with projecting papillæ. Dry mouth; sweetish taste
in the mouth; degeneration of the gums, with
aphthæ. Red face during the act of digestion. Sour
eructations; burning in the stomach; vomiting of
mucus and bile; chronic vomiting of food with but
little effort; flatulent colic, with emissions of hot,
fetid flatulence. Intercurrent fever; accelerated
pulse; skin dry. Difficult respiration. Rheumatic
pains in the back and extremities.
Generalities: Hirschell calls attention to Zincum
HOMEOPATHIC TREATMENT.
111
when the constipation is the effect of a spasmodic
action of the intestines.
Zincum has been recommended for hypochondriasis.
and chronic gastritis, and in the beginning and for
the results of constipation.
Hartmann recommends it for the constipation of
the new-born, while Jahr places it in the second rank
for constipation in general.
Espanet says: Zincum is serviceable for certain
venous congestions of the abdomen, with varices,
constipation, and symptoms of gastritis or chronic
enteritis, hypochondria, nervousness and extreme
mental susceptibility.
Bonninghausen writes: Wine, Nux vom. (and
Chamomilla) increase the pains produced by Zincum,
especially the night restlessness and constipation,
and provoke their appearance.
OTHER REMEDIES.
We do not claim to have studied here all the
homeopathic remedies suitable for constipation. We
know that in each one of the remedies of which we
have sketched the special indications, many omis-
sions, more or less important, will be found. Forced
to sail between the two rocks which rise up fatally
before a work like ours-barren dryness or tiresome
prolixity-we have nevertheless pursued one aim,
112
HOMEOPATHIC TREATMENT.
that of making a useful and practical work. Thus
we have given our principal attention to those rem-
edies which are in every day use.
We will, however, mention a few more medica-
ments or therapeutic agents.
Paraffine. This substance, according to Littré
and Robin, is a carburet of hydrogen (C4H50), white,
crystalline, hard, of a fatty nature, and is obtained
from the products of distillation of the vegetable tar.
Wahle places Paraffine above Nux vom. in the
treatment of constipation.
Aconite. This medicine, according to the views
of all the authors, corresponds to the constipation
which is accompanied with fever. The constipation
which is associated with enteritis, says Hahnemann,
does not contraindicate the use of Aconite, nor on
the other hand is it an indication for it, since the
constipation itself disappears with the inflammatory
symptoms, without the necessity of using injections.
[Hempel and Arndt: Among the symptoms of
Aconite we find "hard stool passed with hard press-
ing" and as a curative effect "retention of stool in
acute affections."
data
Aconite is of especial value, when constipation
occurs as a symptom of some catarrhal or rheumatic
fever, or upon some liver difficulty to which this drug
is homœopathic.
Case 59.—We were once called to a case, where a woman who
HOMEOPATHIC TREATMENT.
113
had a common rheumatic fever, had taken a whole lot of
cathartics and drastics for the purpose of procuring stool. These
drugs had remained inoperative. We found the bowels
enormously distended and utterly torpid; not the remotest dis-
position to have a discharge. A single dose of Aconite excited
peristaltic motion and procured complete relief, besides inducing
copious perspiration and effecting a perfect cure of the fever.
Case 60.-Under the old-school treatment of acute rheumatic
fever, the bowels are very apt to remain torpid. We once cured
a constipation of this kind, where the patient, a lady of seventy-
five years, had not had a passage from the bowels for twenty-one
days. A single drop of Aconite, 15th potency, was sufficient to
move them; she discharged a hard, dry substance, which looked
like burnt peat. The bowels remained regular after this one
evacuation. The character of such a black looking discharge
corresponds with the following Aconite symptom: Discharge
of black, fetid, fæcal matter, which may be either soft, diarrhoeic,
or hard and burnt like coal."
CC
In some forms of spinal irritation, when that por-
tion of the column which supplies nerves to the liver,
is the seat of the trouble, the bowels are very torpid,
and what passes the bowels looks dark and burnt
like coal. Aconite is the remedy for this sort of
torpor.]
Leptandra Virginica. This remedy, although cor-
responding rather to diarrhoea than constipation,
exercises a specific action upon the liver, and may
be useful in certain forms of constipation, still ill-
defined, which depend upon hepatic disorders.
China. Prominently indicated by Jahr in his
Repertory for the constipation resulting from inac-
tivity of the intestines.
p
[In Hempel and Arndt we find: The secondary
effect (organic reaction) of small doses of China
·
114
seems to be to bind the bowels; this costiveness is
accompanied with vascular erethism, flushed face,
fullness in the head, headache, palpitation of the
heart. The Chininum sulphuricum gives the same.
effects.
HOMEOPATHIC TREATMENT.
Raue gives Large accumulation of fæces in the
intestines, with dizziness and heat in the head;
difficult stool even when soft.]
Cantharis, According to Bonninghausen and Jahr,
this remedy merits consideration among those indi-
cated in general for constipation.
Kreosotum. This is placed, by Jahr, in the same
line as Cantharis, that is to say in the second rank.
[Stool hard, dark and dry (much like that of Bry-
onia), and expelled only after much pressing;
stitches in the rectum, extending toward the left
groin. Children struggle and scream during the
act of defecation and seem as if they would go into
fits.]
Secale. Recommended by Hirschell in the para-
lytic form of constipation (after Opium, and in the
same rank as Phosphorous and Rhus).
Jatropha curcas.-Apis and Cepa occupy together
the third rank in Jahr's Repertory. Roth (Gazette
Homœop.) emphasizes the condition of constipation
in the pathogenesis of Jatropha.
[Apis: Large, hard, difficult stools; stinging
pains and sensation in abdomen as from something
:
.i
HOMEOPATHIC TREATMENT.
115
tight, which would break if much effort is used.]
Arnica. Suitable for constipation in consequence
of contusions or from cerebral origin.
[Dr. Chargé has seen an accidental constipation,
due to a violent blow upon the abdomen, disappear
promptly under the use of Arnica.-Le Trauma-
tisme, par Bernard, p. 9.
Case 61.-A woman subject to very obstinate attacks of con-
stipation, often felt a peculiar benumbing sensation in the in-
testines, which she attributed to the presence of hardened fæcal
matter. She was relieved by Arnica.-Ibid, p. 10.]
Gelsemium sempervirens.-A paralyzing remedy,
according to Imbert-Gourbeyre, and hence of assist-
ance in paralysis, and may merit one day, when it
will be better known, an important place in the
treatment of constipation.
We call attention for the present to the following
symptom by Hale: Tardy stools, leaving a sensa-
tion as if there still remained something behind,
with a feeling of abdominal fullness.
Menyanthes trifoliata.-Rucco says: Constipation.
yields most often to the action of the globules of
Menyanthes, Bryonia, Nux vom., Veratrum alb., and
Staphysagria; remedies which we administer suc-
cessively, the one after the previous one has
terminated its course of action.
Aurum muriaticum, according to Dr. Kallenbach,
of Berlin, is the most suitable remedy for habitual
116
HOMOEOPATHIC TREATMENT.
constipation due to atony of the intestinal canal.
He gives it also for hæmorrhoidal constipation.
[Lilienthal: Hard, knotty and large stools; cos-
tiveness worse during the menses; piles with rectal
catarrh.7
Prunus padus, according to the same author, is
analogous to Aurum muriaticum.
Arsenicum. We must not forget to mention this
remedy, since, as Kallenbach says, it is the principal
remedy against enteritis and typhus abdominalis,
and exerts its influence upon the mucous membrane
of the intestinal canal where there is a tendency to
destruction of tissue due to local irritation, and can
cure even in the beginning of the destruction.
Arsenic is indicated when the symptoms of irritation
of the mucous membrane of the stomach and small
intestines are very marked and announces the tran-
sition to chronic inflammation.
[When there is torpor of the liver; the fæces have
a dark, brown, greenish or blackish appearance.
The abdomen may feel hard and distendel, with a
feeling of warmth, aching and sore pain in the
bowels, exceedingly dry skin, with entire absence of
all cutaneous exhalation, scanty, deep-colored and
offensively smelling urine, dullness about the head,
sallow complexion, feeling of languor and hypo-
chondriac depression of mind.]
Ammonium carb. and muriat.-These may be use-
HOMEOPATHIC TREATMENT.
117
ful under certain circumstances; the latter in cases
of induration of the mucous membrane leading to
intestinal narrowing (Kallenbach).
[Ammonium mur.: Hard stools, crumbling to
pieces when evacuated, requiring great efforts to
expel them, followed by soft stools; the fæces
covered with a tough, glairy mucus, and are accom-
panied by a discharge of a quantity of mucus.]
We would also mention Colocynth, Rhus, Stra-
monium, Helleborus (in the forms associated with
the rheumatic diathesis), Hyoscyamus, Digitalis;
Verbascum especially mentioned in the Manual of
Bonninghausen, for constipation on account of the
hardness of the excrements.
Calcarea acetica.-Dr. Willmar Schwabe recalls
the fact that Hahnemann recommends this remedy
as a specific in constipation; it is especially adapted
for constipation with concomitant intestinal catarrh,
when the abdomen is bloated and painful, the pains
being relieved by the emission of gas and fæces, also
when diarrhoea succeeds the constipation.
Cod-Liver Oil.According to Dr. Osberghaus this
often cures obstinate constipation in young people
and in the aged.
Hale gives: Constipation with burning of the
hands and feet, sometimes cold feet.
Raphanus sativus, according to Dr. Nusser, has
the characteristic symptom: "No emission of gas
118
upward or downward," and this author recommends.
rather strong doses in the case of constipation, when
the other symptoms indicate it, such as bloating of
the abdomen, absence of gases, prompt satiety when
eating, and when the result of a sedentary life.
Aesculus glabra.-External hæmorrhoidal tumors.
of a dark purple color, with constipation and vertigo;
weakness of the sacruin and the lower limbs. Hard,
knotty stools.
HOMEOPATHIC TREATMENT.
Asclepias Syriaca.-Constipation is cured by its
use in doses of ten to thirty drops of the tincture,
three times a day. Constipation, pain in right side,
lower extremities, and loss of appetite.
Carbon bisulphide. This is said to cure constipa-
tion with discharges of gas of an acid odor.
Roth already notes in the Gazette Homeop., of
Paris, the following symptom in connection with this
remedy: Difficult stool, soft and not very abundant
as if from inactivity of the rectum.
Jousset, in l'Art Medical (vol. iv., p. 89), mentious
the hard stools, rounded or nut-shaped, black, pre-
senting sometimes the odor of the drug.
Bromide of Potash.-Obstinate constipation has
been often cured, without expecting it, whilst the
remedy was given in a continuous manner for other
disorders. I am not able, adds Hale, to point out
the mode of curative action in similar cases, but the
fact is none the less worthy of mention.
a
HOMEOPATHIC TREATMENT.
119
¦
Calabar. This drug, according to an old-school
physician, has cured an obstinate constipation.
Gallic acid.—This remedy ought to be consulted
in constipation with persistent pyrosis.
Guaræa. Mentioned by Hale for chronic consti-
pation, [and for constipation occurring during
dentition].
Ptelea trifoliata. Hale mentions the following
symptom as verified by clinical experience: "Chronic
gastritis; continued feeling of erosion, heat and
burning in the stomach with vomiting of the ingesta,
constipation and fever in the afternoon."
[Agaricus mus.-When occurring in drunkards or
those suffering from enlargement of the liver, due
to abuse of alcoholic stimulants. Alternation of
constipation and diarrhoea. Fæces are hard and
dry, their passage through the rectum causes a pain-
ful soreness of the lining membrane and invites a
spasmodic retraction of the anus.
Anacardium.-Frequent tenesmus for many days,
without being able to pass anything; great, urgent
desire for stool, but on sitting down, the desire
immediately passes off without an evacuation; the
rectum seems to be powerless, with a sensation as if
plugged up; frequent, profuse bleeding at the auus
when at stool. Painful twisting and turning in the
intestines across the abdomen.
Asafoetida. Obstinate constipation, with abdomi-
120
nal and hæmorrhoidal cramps; constant, ineffectual
urging to stool, with violent pressing toward the
rectum, and discharge of offensive flatus; only slime.
passes, no fæces.
HOMEOPATHIC TREATMENT.
Ferrum acet.-Chronic constipation, with inef-
fectual urging, with anæmic symptoms; flushed head
and face with cold hands and feet; straining for
stool all day; sick at the stomach; disagreeable
tas:e, worse drinking cold water.
Geranium mac.-Dr. E. C. Beckwith has found
this remedy useful for such cases particularly, as
occur in weak, debilitated patients during the
attack of other diseases; and to all that class of
cases that are suffering from habitual constipation
arising from weakness of the parts, rather than
organic disease.
Magnesia carb.-Frequent, ineffectual urging to
stool, with small stool, or only discharge of flatu-
lence; stitches in the anus and rectum, with fruitless
desire for stool.
Natrum carb.-Insufficient stool, with tenesmus,
followed by burning in the eyes and urethra, with
great sexual excitement.
Natrum sulph.-Hard, knotty stools streaked with
blood, preceded and accompanied by smarting at the
anus; difficult expulsion of soft stool; emission of
fetid flatus in large quantities.
Prunus spin.
Hard stool, intermittent stool, look-
HOMEOPATHIC TREATMENT.
121
ing like the excrement of dogs, in small lumps, with
stitches in the rectum, extorting cries.
Ratanhia.-Urging sensation in the small of the
back, as if there would be stool; hard stool with.
straining; sudden stitches in the anus; fissures of
the anus.
Ruta. Scanty, hard stool; frequent urging to
stool, with protrusion of the rectum, also during
stool; the rectum protrudes when stooping ever so
little, and especially when squatting; a considerable
quantity of flatulence is emitted whenever the urging
takes place.
Sabadilla.-Violent urging to stool, with noise
like the croaking of frogs; necessity of sitting a long
while, then passes an immense quantity of flatulence,
which is followed by an enormous evacuation, and
after that, a burning pain in the abdomen.
Sarsaparilla. Obstinate constipation, with violent
urging to urinate; urging to stool, with contractions
of the intestines, and excessive pressure from above
downward, as if the bowels would be pressed out;
during stool violent tearing and cutting in the
rectum; afterward a repetition of the same symp-
toms.
Selenium.-Stools so hard and impacted that it
must be removed by mechanical aid; the fæces
contain threads of fecal matter, like hair.
Sulphuric acid.-Hard stool, consisting of small,
#
1.22
black lumps mixed with blood, and with such violent
pricking in the anus that she has to rise on account
of the pain; climacteric age; constant flushes of
heat; tremulous sensation in the whole body with-
out trembling.]
HOMEOPATHIC TREATMENT.
ELECTRICITY.
This is also a valuable agent, and can be utilized
with benefit in the treatment of coustipation.
Electro-magnetism, says Dr. Marcy, ought not
only to second the action of remedies, but may take
their place in the treatment of habitual and obsti-
nate constipation.
Case 62.-A man 30 years of age, small, nervous tempera-
ment, corpulent, hypochondriac, suffered with a chronic constipa-
tion, vertigo, cerebral congestion, cephalalgia, and an exan-
thematous eruption upon the skin. Öld-school treatment and
Carlsbad waters had proven unavailing. There was a stool only
every eight days. Electricity applied to the abdomen by means
of the Leyden cell, a quarter of an hour or more, every day,
produced a complete cure in a few weeks.-Dr. Altschul.
We have thought it best to translate this observa-
tion both on account of the simplicity of the method.
of application and the evident result obtained.
We know that electro-therapie has made great
progress since that time, principally in the direction
of the apparatus and the modus faciendi. Among
our homœopathic confreres who have contributed to
the perfection of the application, Drs. Perry and
Pitet, of Paris, deserve special mention.
We would
ܕ · ·
ཞའ་
1
HOMEOPATHIC TREATMENT.
123
also mention Dr. Frestier, of Lyon, who has expressed
some ingenious ideas, but which are open to dis-
cussion.
In America, Drs. Tooker, of Chicago, Murphy, of
New Orleans, and especially John Butler, of New
York, conclude that electricity enters into the great
homœopathic law, through the affinity of indicated
physiological effects. Experience has taught at the
same time that in order to obtain a curative effect,
it is necessary to weaken, dilute in a certain sense,
the dose of the agent employed.
We have a natural transition-from electricity to
mineral waters of which we shall speak later-in the
work published by M. L'Herbier, under the title.
"Medical Static Electricity and Its Special Applica-
tion to the Mineral Waters of Vals and Neyrac,
According to the Method of Prof. C. Bockensteiner."
Among the affections happily combatted by this
electro-mineral medication, the author ranges in the
first rank fæcal stasis or chronic musculo-intestinal
paralysis, preceding immediately the inflammatory or
nervous irritation of the transverse colon and pro-
ducing an obstinate constipation. Many examples
are given in point, but we will select the shortest.
Case 63.-C. J., a silk-handkerchief printer, aged 51 years,
bilious-sanguine temperament, but with a constitution already
undermined by the abuse of both work and pleasures, had a
constipation of nine years duration; it disappeared after the
third electric bath.-Dr. L' Herbier.
124
HOMEOPATHIC TREATMENT.
MINERAL WATERS.
Among the mineral waters which have been
studied and administered homoeopathically accord-
ing to the comparison of the known physiological
effects with tried similar therapeutic effects, we will
mention three, those of Teplitz, Lippspringe and
Carlsbad.
The following pathogenetic symptoms are attrib-
uted to the Teplitz waters by Dr. Perutz: Constipa-
tion with pain in the kidneys and a sensation of
weight in the extremities. Frequent desire for stool,
but without result. Constipation for several days,
accompanied with nausea. Hard stool with an
escape of bright, red blood.
Dr. Bolle notes the following physiological effects
as belonging to the mineral waters of Lippspringe:
Constipation. Burning at the anus. No stre gth
to force an evacuation. Vain desire for stool with
pains as though diarrhoea was present. The water
is recommended by Dr. Bolle for old and stubborn
cases of constipation, especially in hypochondriac or
plethoric subjects.
Carlsbad has been the subject of a very interesting
monograph by Dr. Purges. We give a few of the
reliable symptoms obtained: Tension and shootings
in the anus, extending toward the back and the loins
with the sensation of a plug in the rectum. Sweat
HOMEOPATHIC TREATMENT.
125
about the perineum with severe itching an 1 sensation
of weight at the anus. Frequent itching at the anus,
the patients scratch and tear the parts. Many
patients experience a pain like an electric shock in
the rectum and anus; sometimes extends even to the
penis; it is also accompanied by a desire to go to
stool, but without result. Tendency to haemorrhoids.
The stools frequently passed only with great efforts,
in fragments and under the form of indurated balls.
Constipation for several days, notwithstanding great
disturbances in the intestines and a violent tenesmus;
continued effort for a stool brings finally some hard
and dry fragments, but in return the emission of
urine is very free. We often see the constipation of
one day, followed by a semi-liquid evacuation on the
next.
Dr. Porges also says in relation to constipation:
"We would call attention especially to the fact
that venous predominance in the abdomen, diseases
of the liver and vena-porta, the vitiated quality or
insufficiency of the bile, atony and relaxation of the
intestinal canal, the various irritations of the in-
testines from gouty or other products, may occasion
constipation as well as a diarrhoea.
"Let us speak first of the condition in which the
residue of the digestion remains two, three, and
sometimes eight days in the intestinal canal, without
being retained by any mechanical obstruction, and
126
which occasions headache, heat of the face, loss of
appetite, sensation of oppression, and also of fulness
and weight in the hypogastrium, and more often still
in the lumbar region, bad humor and restlessness
(hysterics). The pathological conditions of this
affection reside, either in the weakened intestinal
mucous membrane, torpidity (in consequence of
intestinal catarrhs, abuse of medicines or from the
prolonged detention of fecal matter); or the cause
lies in the torpor and want of energy of the muscular
tunics, which appears in the cases of the diminution
of the vena-portal circulation (hæmorrhoids) or in
the blood dyscrasia (icterus) and in lead poisoning;
it may also be observed in consequence of the too
abundant development of gas or of fatty materials,
and in cases of derangement or suppression of the
cerebral circulation as in apoplexy. A sedentary or
inactive life, an indigested nourishment, with too
little liquid, are the near causes. In ameliorating
or removing these principal conditions, our waters
relieve the constipation; but it is very often neces-
sary
under these circumstances to renew the treat-
ment two or three times."
HOMEOPATHIC TREATMENT.
Rational hydrotherapy and massage either singly
or together with some of the means indicated in this
work, have rendered services which it would be
unjust to pass in silence. They are especially ser-
viceable in the torpid forms. Ruddock recommends
HOMEOPATHIC TREATMENT.
127
compresses of cold water applied to the abdomen,
when the general health of the subject permits. Dry
or moist friction along the vertebral column are
considered by many practitioners as not unworthy
of the claim of an auxiliary.
CONCLUSIONS AND RESUMÈ.
Various classifications have been made by different
authors on the subject of constipation. We find in
the Compendium the following:
1. Constipation resulting from the presence of
foreign bodies obstructing the intestinal canal.
2. Constipation from structural lesions of the in-
testine, which may either diminish the calibre or
furnish a cavity for the collection of the fecal matters.
3. Constipation from compression, strangulation
or invagination of the intestine.
4. Constipation from absence of a fæcal residue.
5. Constipation resulting from excessive contrac-
tility of certain portions of the intestinal tube.
6. Constipation from inertia of the intestinal
membranes.
7. Constipation from alteration of the products of
exhalation and secretion which are thrown upon the
surface of the intestinal tube.
M. Villemin divides this condition into five divi-
sions.
128
1. Constipation from anesthesia of the rectal
mucous membrane;
2. From muscular paralysis;
HOMEOPATHIC TREATMENT.
3. From muscular spasm ;
4. From induration of the stools;
5. From mechanical obstruction.
According to M. Martineau, constipation may be
the consequence:
1. Of a trouble arising in the contractile tissue of
the intestine or in the abdominal mucles;
2. Of an alteration in the secretions of the intes-
tines themselves or of the glands connected with the
intestinal tract;
3. Finally of a mechanical obstruction to the free
course of the fæcal matter.
Kallenbach indicates as immediate causes of the
constipation, the following pathological states:
1. Atony of the intestinal canal, especially of the
lower portion;
2. An irritative state of the intestinal canal, due
to nervous troubles, or rheumatic and inflammatory
irritation;
3. Hæmorrhoids;
4. Organic diseases of the liver;
5. Stenosis and disorganization in the intestinal
canal.
Noack gives:
1. Inertia of the intestines;
1
HOMEOPATHIC TREATMENT.
129
2. Alteration of the intestinal mucous secretion;
3. Contraction of the muscular fibres;
4. Irritation or congestion of the intestine;
5. Hæmorrhoids.
We will not discuss here the merits or defects of
these various classifications. It is a question of very
complex pathogenesis and we do not believe it is
possible to establish a classification so exact as to
defy all criticisın.
We have provisionally adopted the following class-
ification:
1. Idiopathic;
2. Irritative or sub-inflammatory;
3. Spasmodic or constrictive;
4. Paralytical;
5. From diminution of the intestinal mucus;
6. Mechanical obstruction;
7. Hæmorrhoidal;
8. Hepatic;
9. Uterine;
10. Infantile.
We know that this classification is no more ex-
empt from omissions and imperfections than many
of the others; but it seems to us to include the
greater number of the facts of ordinary practice, and
it also allows of the grouping, in a more certain
method, of the characteristic indications of the
principal remedies of our school.
130
HOMEOPATHIC TREATMENT.
1. Idiopathic.
-
Many authors absolutely deny the existence of this
form of constipation. Although admitting the
difficulty of establishing ex cathedra the clinical
reality of this division, yet we believe it can be ad-
mitted by analogy. However that may be, we range
in this category the cases, numerous enough, of con-
stipation, the pathogenetic origin of which is either
not appreciable, or is obscure, and which cannot be
better classified in the other sections.
Two important remedies dispute here the pre-
eminence: Nux vomica and Hydrastis canadensis.
It is difficult to draw the differential indications of
these two substances. We believe, however, that
Nux vomica ought to be employed in those subjects.
who are still vigorous, while that Hydrastis suits
rather those persons who are debilitated and en-
feebled, with a sickly appearance, or when there are
active, persistent pains in the whole extent of the
intestinal tract and at the same time fainting after
each evacuation. It seems to us, moreover, that we
can imitate here the method recommended by
Hahnemann for all chronic diseases and especially
advised for chronic constipation by Dr. Hughes:
that is to say, to commence the treatment by one or
more doses of Sulphur.
In case of failure by these medicines, recourse may
be had to Plumbum or Opium, either singly or in
HOMEOPATHIC TREATMENT.
131
alternation. We prefer Opium if there is an entire
absence of desire for stool; when the evacuations
are of an enormous size, black and rounded; when
constipation alternates with a very painful, choleraic
form of diarrhoea; if there is a feeling of occlusion
of the anus; if anorexia, weight in the stomach and
retention of urine are present; principally in cases
of lead poisoning or in aged persons, and those of
lymphatic or even plethoric constitutions.
Plumbum is rather to be chosen if the obstinate
constipation, with or without tenesmus, is accom-
panied with intense colic, nausea and vomiting, if
the abdomen is hard and retracted, if the stools
instead of being large, are composed of small, dark
balls, sometimes enveloped in a light, greasy pellicle.
Other medicines may have to be consulted and
notably: Bryonia, Lachesis, Lycopodium, Iris vers.,
etc.
2. Irritative or Sub-Inflammatory.
This form of constipation is often the consequence
of sub-acute or chronic inflammatory discases of the
intestines. It sometimes follows typhoid fever,
catarrhal and rheumatic fevers. The abuse of pur-
gatives, too much animal food, the abuse of alcohol
and spices seem to singularly favor its evolution.
The best treatment for this form is Bryonia and
Nux vomica alternated, together with an intercurrent
132
dose of Sulphur. Bryonia is especially useful in
summer, in acute cases, during an attack of rheu-
matism or disease of the liver, when gastric symp-
toms are present, congestion of blood to the head
and chest with dyspnoea and chilliness, principally
in choleraic subjects or those of sedentary habits.
Belladonna, Opium and Plumbum may be of
service in acute cases. Mercurius and Podophyllum
are sometimes called for in special cases.
HOMEOPATHIC TREATMENT.
3. Spasmodic or Constrictive.
The spasmodic action of the sphincters which
opposes itself to the evacuation of the effeto materials
and perhaps also the spasm of the expulsive muscles,
says Villemin, promotes the retention of stercorace-
ous matters and causes constipation from muscular
spasm.
It is besides impossible to call in question.
the existence of this form of constipation when we
have read, in Boyer, for example, the history of
fissures of the anus. This variety of constipation
occurs especially in hysteria, hypochondria, chorea
and as a general thing in all neuropathic subjects.
In the great majority of cases it will be well to
begin the treatment with Nux vom. and Sulphur,
either in succession or alternately.
If there are involuntary and at times periodic
contractions of the anus with shooting pains deep
in the anus, tenesmus either before or after an evac-
HOMEOPATHIC TREATMENT.
133
uation, and also prolapse of the rectum or fissure of
the anus (Sedum acre), Ignatia is to be preferred.
A sensation of crawling and itching in the rectum,
as of worms, a dull pain in the rectum as if distended
by gas, the etiological influences of a cold or carriage
riding, and the complication of neuroses with or
without spasms, characterize the indications for
Ignatia.
If there exists every evening before going to bed
a formicant tenesmus, and a violent pressure in the
rectum without any evacuation, Platina is of service.
For pain and a paralytic sensation in the lumbar
region spreading to the hips with aggravation on
motion; if after the stool there arise marked sensa-
tions of constriction, prolapsus, fullness, dryness,
itching and tenesmus, Aesculus. Hale compares
Aesculus and Nux vom.: they have in common,
hard, knotty and dry stools, and differentially, a
white color for Aesculus, and a blackish-brown for
Nux voni.
For urging desire and fruitless efforts at stool
accompanied with erections, or when there is severe
pain in the anus during an evacuation, Thuja.
The tenesmus and also prolapse of the rectum
are within the sphere of action of Mercurius and
Podophyllum.
Calcarea carb., Carbo veg., Magnesia mur. and
Zincum, may at times be consulted with benefit.
134
Z
HOMEOPATHIC TREATMENT.
4. Paralytic.
If the motility of the muscles of the intestine and
the walls of the abdomen is weakened or exhausted
in its excito-motory source, the stasis of the fæcal
matters is the necessary consequence of the power-
lessness of the expulsive forces, and we have then
constipation from muscular paralysis. This is un-
doubtedly one of the most frequent forms met with
in practice. It appears especially in subjects of an
advanced age, women, infants, persous who lead a
sedentary life, or who live on an insufficient or innu-
tritious diet, in the period of convalescence of those.
diseases accompanied by great debility, in chlorotic
women and large eaters; it also forms a complication
in the greater number of the affections of the nerve
centers, and is present in paraplegia and many cases.
of metallic poisoning. Opium and lead, of which we
have already spoken in connection with idiopathic
constipation occupy here an important place. They
will have to be employed often, either separately or
alternately and according to the indications already
given.
Nux vom. and Sulphur will be often useful on
indications already given, and which will be found
more fully given under hæmorrhoidal constipation.
Lycopodium should be thought of when the stools
are semi-solid, semi-liquid, when there is a large
collection of flatulency, acidity or irresistible som-
HOMEOPATHIC TREATMENT.
135
nolency after eating, red sediment in the urine with
severe dorsal pains preceding its emission, or accom-
panied with cutting, burning pains in the urethra;
also if there is paleness of the tissues, moroseness,
depression of spirits, syncope; ringing of the ears
during stool; in onanists; if fatty degeneration of
the liver is present.
Natrum mur. will be indicated if there are fissures,
throbbings, tearing and burning pains in the rectum;
if there is a pressing down pain from the umbilicus
to the pelvis, or a sensation of weight across the
pelvis and bladder, aggravated when walking, and
compelling the patient to sit bent forward; if there
coexists gastralgia, pyrosis, acrid risings, a feeling of
painful dryness in the mouth, and superficial ulcer-
ations of the tongue; irritability and chronic dryness
of the mucous membranes or a tendency to catarrhal
affections; a disposition to cutaneous eruptions from
a chill (eczema, acne, etc.); when there are diurnal
sweatings; if the mental despondency is in ratio with
the degree of severity of the constipation; sensitive-
ness to cold and emaciation; engorgements of the
liver and spleen, as well as fatty degeneration and
valvular lesions of the heart, will be additional reasons
for calling attention to this remedy.
Kali carb. when, beside the special inactivity of
the rectum, there is inertia of the abdominal muscles,
as for example, in females who have had several
136
HOMEOPATHIC TREATMENT.
abortions or numerous and painful labors; contrary
to that which happens under Natrum mur. the sweats
are nocturnal. The coexistence of cardiac palpita-
tions or a predisposition to pulmonary tuberculosis
will strengthen the indications.
If, contrary to Nux vom., the stools are pale and
large; if the evacuation is effected only after violent
efforts; if there is heavy pain, heat and itching at
the anus, sensation of sand and gravel in the rectum;
frequent venous engorgements and cardiac or cerebral
congestions, alternating with hæmorrhoidal symp-
toms, Collinsonia can. will be indicated.
We use Veratrum alb. if there is dryness of the in-
testines, gastralgia, dyspepsia, bulimia with prompt
satiety, hypochondria or mania, increased urinary se-
cretion, abdominal engorgements, hepatic antecedents.
When the constipation is accompanied with atony
of the sexual organs, Phosphorus or Phosphoric acid
are to be studied.
Silicea when the stools are composed of large, hard,
masses which are partially expelled by violent efforts
but then return into the rectum.
Causticum in gouty, rheumatic and hæmorrhoidal
subjects; when there is obstinate constipation from
nerve and nutritive atony, with pallor of the face,
pains and anxiety; and especially if the evacuations.
are pale, greasy, accompanied with vertigo or followed
by palpitations, heat of face and sweats.
HOMEOPATHIC TREATMENT.
137
Hepar sulph. in smokers or when there has been
the abuse of Mercury.
Alumina when there is inertia and at the same
time dryness of the rectum, itching at the anus, pain
in the stomach after stool.
Among the medicines which may be consulted in
addition to the above mentioned, we would name
Cocculus, Staphisagria, Cinchonine, China, Aurum
mur., and Prunus pad. We will have occasion also
to mention some others especially Sepia.
5. From Diminution of the Intestinal Secretion.
This form characterized by extreme dryness of the
excreta, is almost always associated with a chronic.
intestinal catarrh. When under the influence of a
vicious alimentation, or special atmospheric condi-
tions, a person is thrown into that morbid condition
which some authors, and notably Chomel, have
described under the name of mucous state, the con-
stipation which seems due to a kind of cutisation of
the intestinal mucous membrane, of which the scanty,
thick, tenacious and dry mucosities are expelled only
at long intervals and after very painful efforts.
Alumina occupies the first rank in this condition.
We have already given some indications for this drug
and we will give more in connection with infantile
constipation.
Podophyllum is a rival of Alumina.
138
HOMEOPATHIC TREATMENT.
Bryonia is characterized by dark, dry, hard stools,
as though burned.
Zincum has very dry, crumbled stools.
Veratrum alb., Magnesia mur., Opium, and Plum-
bum should be studied also.
6. From Mechanical Obstruction.
We include in this class those cases in which the
constipation is due to a narrowing of the intestinal
canal, either dependent upon some condition attack-
ing one of the tunics of the intestine itself, or in
consequence of extraintestinal tumors.
The medicines will vary according to the nature
and seat of the obstruction. There is no doubt that
the resources of the homoeopathic therapeutics are
very limited in this class. Nevertheless Platina,
Colocynth, Nux vom., Opium and Sulphur, have
been of some service.
7. Hæmorrhoidal.
Hæmorrhoids play an important and sometimes
even the chief role in the production of constipation.
We should not forget, however, that constipation, by
the very fact of its existence, sometimes develops
secondary hæmorrhoids. In the present division we
have especially in view primary hæmorrhoids, or
better, the hæmorrhoidal disease. This disease has
been described in a masterly manner by Dr. Frédault.
HOMEOPATHIC TREATMENT.
139
Often symptomatic of gout, hæmorrhoids constitute
one of the features of abdominal venous plethora
known among the Germans under the name of ab-
dominal congestion. Among the well-known signs
necessary to diagnose this form of constipation, we
will briefly cite: Alternation of constipation and
diarrhoea, tenesmus, hæmorrhagic, serous or mucous.
secretions of the rectum, more or less intense pains
in the rectum, coming on even without stool,
gastralgia, dyspepsia, vertigo, migraine, deafness,
epistaxis, bronchial catarrh, palpitations, eczema,
dysuria, dental caries, abnormal development of the
veins of the extremities.
The principal remedies here are Nux vom. and
Sulphur administered alone or in alternation. Their
special symptoms are known to all our readers, but
we will try and give their particular indications.
Nux vom. is of service in nearly all the forms of
constipation, especially the hæmorrhoidal, when
there is contraction or inactivity of the intestine in
consequence of the diminution of the peristaltic
movements, simple hæmorrhoidal diathesis or hæmor-
rhoidal flow. Tenesmus, alternation of diarrhoea
and constipation, pressure in the region of the
stomach and liver, distention of the epigastrium and
abdomen with gas, producing dyspnoea; weight,
heat, pains in the side, sharp cutting pains in the
hypogastrium; dyspepsia with predominance of
140
acidity and flatulency, especially when there is at the
same time menorrhagia united with a congestion of
the vena portal system, or if there exists hypochon-
dria, anxiety with attacks of congestion of the thorax
or brain, night restlessness with day somnolency,
chills. Also in persous of sedentary habits, students,
men of letters, drinkers of alcohol, coffee or tea, in
smokers of tobacco or opium, onanists, from pro-
longed night vigils, and abuse of purgatives.
As already remarked many practitioners advise
that the treatment of chronic constipation should
begin with Sulphur, especially in the hæmorrhoidal
form. If the symptoms given in connection with
Nux vomica have a marked chronicity; if the fre-
quent and ineffectual desire for stool is so painful as
to lead to the postponing of the act, and is accom-
panied by prolapse of the rectum; if the stools when
passed have a chestnut- or olive-shape; if there is a
concomitant pain in the vulva; if there is a disten-
tion of the belly from incarceration of gas, numerous
dyspeptic phenomena, general malaise, inability to
think, Sulphur is to be employed. You will have a
still greater chance of success if there exists an
excessive irritability of fibre and when the lymphatic,
hypochondriac or hæmorrhoidal subject has psoric
or herpetic antecedents, either personal or hereditary.
Aesculus is adapted to this form when it presents
the character described under the spasmodic form.
HOMEOPATHIC TREATMENT.
HOMEOPATHIC TREATMENT.
141
Collinsonia can. has been studied under the
paralytic form.
Lycopodium is likewise worthy of attention in
many cases of hæmorrhoidal constipation, when the
symptoms previously given are present.
Carbo veg. when the stools are preceded by a great
quantity of gas (inodorous or fetid), but are them-
selves scanty and very hard; if the hæmorrhoidal
constipation is accompanied with pruritus, violent
tenesmus or burning in the anus and pains in the
hypogastrium like labor pains; if there is a mucous
discharge in connection with the hæmorrhoids, and
at the same time the tongue is coated in the centre
and red at the edges, with acidity and cardialgia.
If there is an alternation of constipation and
diarrhoea, with indigested matter and fetid flatu-
osities, Calcarea carb. is indicated. This remedy
in alternation with Sulphur is adapted to many cases
of chronic hæmorrhoidal constipation.
If, on the contrary, diarrhoea never alternates with
the constipation, and we have a delayed menstru-
ation, with pain in the hæmorrhoidal protrusions,
long-standing constipation with hardness in the
region of the liver, and the stools are composed of
large balls connected together by mucous filaments,
or small like ascarides; also in herpetic or scrofulous
subjects, Graphites will be well indicated.
Nitric acid when there is an intestinal dyspepsia
1
142
and painless constipation, or if the evacuations,
preceded by a great pressure, are followed by a mu-
cous discharge and shooting pains in the rectum; if
painful hæmorrhoidal tumors appear after cach
stool, together with a bloody discharge; if there has
been an excessive use of salt, or a laryngeal cough
more or less analogous to whooping cough is present.
Belladonna will be useful for distention of the
ablomen, prominent projections of knots of intes-
tines, together with heat of the head, abundant
sweats, a sensation of constriction in the breast and
violent pains in the kidneys.
Lachesis should be studied when you find, in those
of the hæmorrhoid al diathesis, women at the cli-
macteric age or persons of sedentary habits, an
obstinate constipation, with pressure or constant
constriction and great pain in the rectum and anus
without stool, or if the constipation is accompanied
with a feeling of weight or pressure on the stomach,
with ineffectual efforts at eructation, stools hard,
scanty and insufficient; prolapse of the rectum is
also a special indication for this remedy.
Many other remedies may be indicated in this form
of constipation, notably Hydrastis, Nat. mur., Sepia.
HOMEOPATHIC TREATMENT.
8. Hepatic.
The anatomical and physiological relations of the
liver and intestine are too intimate not to influence
2
A
HOMOEOPATHIC TREATMENT.
143
each other in their pathological affections. So we
have thought it well to devote a paragraph to those
cases, which frequently occur, in which hepatic
troubles interpose in a marked manner. A subicteric
teint, a sensitiveness, more or less blunted, of the
right hypochondrium, and modifications in the col-
oration of the fæces lead us to the diagnosis.
Nux vomica is here of great importance.
Podophyllum and Podophyllin should be con-
sulted when icterus is present.
Mercurius cor. is serviceable not only in constipa-
tion from pseudo-membranous inflammation of some
portion of the large intestine, but also in hæmor-
rhoidal colic with tumefaction of the liver and
abdominal venous stasis.
Among the other remedies from which a choice
may sometimes be necessary, we would mention
Aconitum, Aloes, Bryonia, China, Chelidonium,
Crocus, Curare, Lachesis, Vipera torva, Lycopodium,
Phosphorus, Carlsbad waters.
9. Uterine Constipation.
Under this title we include the numerous cases of
constipation in which the generative system is
evidently involved. From the time of puberty, the
date of activity of this organic system until the
menopause, which marks progressive torpor,
menstruation, pregnancy, labor, lactation, the path-
144
ological affections of the womb, either with or with-
out displacement, with or without change of
structure, diseases of the ovaries, and the other
accessory organs to the uterus, may impress upon
the constipation a mark quite characteristic.
-
Most of the remedies which we shall mention have
already been the object of special mention.
Pulsatilla will be indicated in females who are of
mild disposition, easily chilled, sad, lymphatic,
chlorotic constitution, subject to dysmenorrhoea or
flying rheumatic pains, when the difficult evacuation
of the stool is accompanied by a painful pressure and
backache; or when, during the menses, there is a
pressive pain from above downward into the hypo-
gastrium and sacrum, with tendency of the inferior
members to become numb when remaining seated,
with vain efforts at stool. The alternation of
diarrhoea and constipation, excessive hunger, and
the repugnance to fatty substances, add to the
characteristic indications of this drug.
Kreosote for constipation during the menses.
Graphites includes the most of the characteristics
assigned to Pulsatilla but they are of a more chronic
form under this drug.
Sepia is very frequently indicated in the constipa-
tion of uterine origin, and especially in pregnant
women. Frequent but ineffectual efforts at stool or
followed only by an emission of wind and mucosities;
HOMEOPATHIC TREATMENT.
HOMEOPATHIC TREATMENT.
145
prolapse of the rectum at stool, or a constrictive
pain in the rectum spreading to the perineum and
vagina; displacement of the uterus, leucorrhoea,
rheumatic, hæmorrhoidal or herpetic diathesis;
emaciation; pyrosis, dyspepsia with sensation of cold
in the stomach alternating with headache, migraine,
are all indications for the use of Sepia.
Lilium tig. resembles many of the symptoms of
Sepia
Nux vom. and Ignatia alternately are often of
great service in the constipation of pregnant women.
For the same condition we have also, Bryonia, Sul-
phur, Lycopodium, and Alumina.
Collinsonia for constipation and hæmorrhoids in
consequence of the congestive inertia of the large
intestine, a state which often occurs during the
middle and later months of pregnancy. This drug
also includes in its sphere of action, dysmenorrhea,
pruritus vulvæ and even prolapsus uteri.
Platina is useful in many cases of chronic con-
stipation in hysterical women, subject to menor-
rhagia, when there is displacement of the uterus, and
also in lying-in women. Nymphomania will be an
additional indication. This latter complication may
require Gratiola.
Bryonia is in a certain sense to be considered
almost as a specific in the constipation of lying-in
Dr. Leadam, however, prefers in place of
women.
146
HOMEOPATHIC TREATMENT.
it-except in some subject of bilious temperament-
Nux vomica; but whichever of these two remedies.
he may choose, he always administers Hepar sulph.
in alternation with it; he also gives, if necessary,
Plumbum in the morning, and Opium in the even-
ing, still reserving for obstinate cases Zincum. Beside
Platina already mentioned, we would cite Antimo-
nium.
According to Dr. Ludlam, when there exists at
the same time paralysis of the rectum and uterine
displacements, the best remedies are: Alumina, Nux
vom., Natrum mur., Plumbum, Opium, Belladonna,
Sulphur, Zincum, and Lycopodium.
10. Infantile.
Childhood, that is to say the period between birth
and puberty, is characterized by a gradual increase
in the growth of all the tissues and a corresponding
activity of the nutritive organs. To this is added a
very marked impressibility of the whole nervous
system. It is not unreasonable then to devote a
paragraph to the constipation of children.
"In some cases the constipation may be due to
functional derangement of the liver as in jaundice,
where the stools may be hard, dry and clay-colored,
showing a deficiency in the secretion of bile. De-
ficient or too tenacious intestinal mucus is another
cause the constipation of most febrile affections is
W
HOMEOPATHIC TREATMENT.
147
mainly due to this condition, or to augmented per-
spiratory, or urinary secretions. Nervous, acid
children are predisposed to constipation. The
nutriment, especially the amylaceous class, boiled
milk, soups containing meal, rice, sago, etc., is
another cause. Too slight peristaltic movement of
the intestinal tube as a secondary effect in other
diseases as hydrocephalus or atrophy is another
causative influence. Mechanical obstructions, incar-
cerated hernia, intussusception, occlusions, etc., may
also produce it.
"'The diet of either mother or child is at fault
usually. Liquid food five or six times a day will
usually correct this abnormal condition, oatmeal
gruel between meals with plenty of milk and water,
or chocolate or cocoa-shell tea at meal is an excellent
diet for mother and child."-T. C. Duncan, M.D.,
Diseases of Children.
We take the following from the Homeopathic
Times, vol. viii., p. 191: At a clinical lecture, Pro-
fessor Jacobi, of New York, called attention to a
form of infantile constipation not mentioned in the
books. In this affection the color of the fæces is
about normal, but they are deficient in moisture.
They are dry and somewhat friable. The passages
of young babies are never normally like this. There
is evidently here a lack of moisture which may pos
sibly arise from an insufficient secretion on the part
***
148
of the intestinal glands. It may arise from other
causes, one of which is a peculiar anatomical condition
occasionally occurring in the bowels of the new-born
or young infants. A few anatomists have recognized
that the intestinal tract is different in the young
from what it is in the old. The colon is very much
larger and longer in proportion in the child than in
the adult, and this peculiar condition often remains
up to the age of five or six years. The child may
have two or even three sigmoid flexures, or the real
sigmoid flexure may not be found on the left side,
but on the right. In the passages of the young,
where the peristaltic action of the bowel is normal,
and the colon of the usual proportion, the fæces
will not be dried out; but where the flexure is long,
or there are two of them, the fæces will dry out.
In the foetus and the new-born the secretions of the
intestines are very copious. There is a great deal
of mucus and epithelium, which may become very
dry and compressed--to such an amount, indeed, as
to constitute actual obstruction. Dr. Jacobi stated
that he has met with a number of cases in children
that could not be explained in any other way than
by the supposition that there were two or three
sigmoid flexures, one on the top of the other, and
impeding the free passage of the fæces. In the
treatment of a case where such a state of things is
suspected, the diet must be regulated so that there
HOMEOPATHIC TREATMENT.
HOMEOPATHIC TREATMENT.
149
may be an abundance of water in the food. In the
choice of food, oatmeal is to be given in preference
to tapioca, rice, or even barley. Purgatives ought
not to be given except in urgent cases. Injections
are very useful and cannot be dispensed with.
Another cause of constipation like this may be that
there is an insufficient physiological action of the
muscular layer of the intestines. This may occur
in feeble children. In another class of children this
constipation does not appear until from six months
to one year after birth, and then, from being per-
fectly regular they become obstinately constipated.
In this class the muscles of voluntary motion as well
as those of the intestine, become diminished in
power; they are rachitic children.]
Nux vomica is of service for infants where the
nurse indulges to excess in the use of coffee, tea or
spiced meats, and in those children who have been
fed too prematurely or too freely upon animal food,
it will be additionally indicated if there is at the same
time anorexia, vomitings, distention of the abdomen,
insomnia, oppression of breath, continual restless-
ness; violent and ineffectual efforts at defecation.
The absence of this latter symptom, all the others
being present, will be an indication for Opium. Bry-
onia is a remedy analogous to Nux vom and may be
alternated with it with benefit. A brownish coating
on the tongue is a further indication for Bryouia.
150
In the occasional constipation of nervous children
and especially during dentition, Chamomilla will be
of service. But in nervous children with large
heads, dilated pupils, subject to convulsive move-
nents and startings during sleep, with disturbed
dreams, Belladonna will be often indicated.
Calcarea will sometimes be called for in analogous
circumstances. Kreosote is adapted to emaciated
children during dentition.
HOMEOPATHIC TREATMENT.
Many physicians recommend Lycopodium as the
principal remedy in the obstinate constipation of
young children, when there are present the follow-
ing: ineffectual efforts; alteration of features; the
abuse of farinaceous, heavy, indigestible articles of
diet.
[Prof. J. P. Mills, of Chicago, in a paper read
before the Thirty-fifth session of the American In-
stitute of Homoeopathy, considers Lycopodium as
the remedy for infantile constipation and colic. He
bases his opinion upon the well-known physiological
function of the liver and the corresponding de-
pendence of the kidneys in excreting nitrogenous.
substances eliminated from the blood by the liver,
and the consequent renal complications which so
often appear in constipation due to the absence of
the proper biliary secretion. Lycopodium having
these organs as fields for its action becomes a well-
indicated drug for the conditions under discussion.]
wi
HOMEOPATHIC TREATMENT.
151
Platina is useful when the evacuations take place
only after violent efforts, necessitating at times
manual extraction, and are composed of small, black
and hard pieces.
When, with the inertia corresponding to Platina,
the evacuations are dryer and paler, and the etio-
logical conditions of a farinaceous diet mentioned
under Lycopodium are present, in infants artificially
nourished, Alumina will be of service.
If, in infants brought up by hand, an obstinate
constipation with hard stools, which crumble on
passage, of a clay color streaked with green follows
a diarrhoea; if there is prolapse of the rectum, and
a coexisting paleness of the skin and insomnia,
Podophyllum should be consulted.
If with the same pallor of the skin, there is a
yellowish coloration of the conjunctivæ and an
accompanying salivation, together with pale and
whitish evacuations, Mercurius will be better
indicated.
When, after the employment of Platina and
Lycopodium, the rectum alone still remains in an
inactive state almost approaching a paralysis, Ve-
ratrum alb. will be serviceable. Sulphur and
Alumina may also be required in some cases.
Crocus sativa has often benefited the constipation
of infants associated with troubles of the vena-portal
system.
152
HOMOEOPATHIC TREATMENT.
Plumbum, Opium, Hydrastis, Zincum, Phytolacca
Graphites, Silicea, Nitric acid, etc., should also be
consulted for infantile constipation.
The most frequent form of constipation is the
paralytic. Then we have in the order of frequency,
the hæmorrhoidal, infantile, irritative, uterine, and
hepatic. The other forms are more rarely met
with in practice.
We would add that habitual, hereditary or con-
stitutional constipation is not a serious condition and
the physician should not be unnecessarily concerned
in regard to it. The constipation itself of the lying-
in woman is rarely serious. The same is true of the
constipation which accompanies the mild form of
acute diseases or which occurs in convalescents or
those under a forced diet. It is different, however,
if the constipation is accidental, obstinate, and ac-
ocmpanied with repeated vomitings, and extreme
distention of the stomach, or if the accumulation of
the fæces is so great as to produce symptoms of
strangulation. If the patient has an old hernia, the
constipation should be carefully watched. We should
not forget also that in children constipation some-
times predisposes to meningitis, and constitutes at
times its first symptom; do not neglect then the
constipation occurring in children, no matter what
may be its organic form. The solicitude of the
HOMOEOPATHIC TREATMENT.
153
physician should be equally great when constipation
attacks plethoric persons who are subject to con-
gestive headaches, with a marked tendency to hy-
peræmia of the nervous centres or who already suffer
from severe lesions of the same centres; also when
the concomitant symptoms give rise to the fear of
organic alteration of the abdominal viscera, or the
initial signs of a cachexia appear in a more or less
obscure form.
154
PALLIATIVE TREATMENT.
PART III.
PALLIATIVE OR SURGICAL
TREATMENT.
In connection with the preventive, hygienic and
accessory treatment we have already mentioned
several medico-surgical means, especially the injec-
tions and tampons of charpie introduced into the
rectum.
Suppositories, says Trousseau, are, for men
especially, more easily employed than anal injections.
Suppositories of cacao-butter are sufficient in the
greater number of cases; suppositories of soap or
honey are also efficacious.
Merat and Delens, in their Dictionnaire Universel
de Matiere Médicale, mention the singular expedient
of Dr. King, of Glasgow, who removed a constipa-
tion of six days standing, which had resisted all
attempts at a cure, by distending the rectum with
air from a pair of bellows; an evacuation followed
this procedure and all danger ceased.
Under the head of compression, in the same work,
we read: "One of the most prompt means for
PALLIATIVE TREATMENT.
155
removing a constipation due to a spasmodic con-
striction of the anal sphincter, is to make strong
lateral pressure (on the left by preference) upon
one of the sides of the cone which the fæces form
for the purpose of expulsion during the first efforts
at defecation; a mechanical pressure which forces.
the spasm and which does not possess the unclean-
ness of the digital traction nor the pain attendant
upon the use of an instrument, means to which we
are sometimes compelled to resort."
When the rectum, says Grisolle, is distended by a
tampon of indurated fæcal matter, and when the
efforts at contraction are not suffient for its ex-
pulsion, when the injections or ascending douches
are insufficient either to remove or soften, it is
necessary to extract them with a curette or with a
handle of a spoon or better still, with the index
finger. When the mass is broken, a cold injection
or the ascending douche is often sufficient to expel
the fæcal mass entire.
***
PART IV.
REPERTORY.
FORMS AND CONDITIONS.
Accidental: Arn. Cann. sat. Cham. Op.
Acute Bry. Nux vom.
Chronic: Aes. h. Calc. c. Caus. Ferr. acet. Graph.
Guaræa. Hydras. Lach. Lippspringe waters. Lycop.
Natrum m. Nux v. Op. Phyt. Plat. Plumb. Puls.
Sepia. Sulph. Tabac. Ver. alb.
Climacteric Lach. Sulph. ac.
Diminution of intestinal secretion (from): Alum.
Bry. Mag. m. Op. Plumb. Pod. Ver. alb. Zinc.
Hæmorrhoidal: Aes. h. Aur. m. Bell. Caus. Collin.
Calc. c. Carbo v. Graph. Hydras. Lach. Lycop.
Natrum m. Nitric ac. Nux. Sepia. Sulph.
Hepatic Acon. Aloe. Bry. Carlsbad waters. Chel.
China. Crocus. Curare. Lach. Lyc. Merc. cor. Nux.
Phos. Pod. Vipera torva.
Idiopathic: Bry. Hydras. Iris. Lach. Lyc. Nux. Op.
Plumb.
Infantile: Alum. Bell. Bry. Calc. c. Caus. Cham.
Crocus sat. Graph. Guarea. Hydras. Kreos. Lycop.
158
REPERTORY.
Merc. Nitric ac. Nux. Op. Phyt. Plat. Plumb.
Pod. Puls. Sepia. Silicea. Sulph. Ver. alb. Zinc.
Inflammatory: Bell.
Irritative or subinflammatory: Bell. Bry. Merc.
Nux. Op. Plumb. Pod. Sulph.
Mechanical obstruction (from): Colocynth. Nux.
Op. Plat. Sulph.
Obstinate: Asaf. Calabar. Lach. Plumb. Potassium
brom. Sarsap. Teplitz waters.
Paralytic Aloe. Alum. Aurum m. Caus. China.
Cinchon. Cocc. Cod-liver oil. Collin. Gels. Graph.
Hep. s. Kali c. Lycop. Natrum m. Nux. Op. Phosp.
Phosp. ac. Phyt. Plumb. Prun. pad. Secale. Sepia.
Silic. Staph. Sulph. Ver. alb.
Spasmodic or Constrictive: Aes. h. Calc. c. Carbo v.
Ign. Mag. m. Merc. Nux. Plat. Pod. Sedum acre.
Sulph. Thuja. Zinc.
Uterine Alum. Antimon. Bell. Bry. Collin. Graph.
Grat. Hepar s. Hydras. Ign. Kreos. Lil. tig. Lycop.
Natrum m. Nux. Op. Plat. Plumb. Sepia. Sulph.
Zinc.
CONSTITUTIONS OR TEMPERAMENTS.
Bilious Nitric ac.
Blondes: Puls. Sepia.
Brunettes, with rigid fibre: Nitric ac.
Choleric: Bry.
Gouty: Caus.
Herpetic Graphites,
1
REPERTORY.
159
Hypochondriacal: Bell. Carbo v. Con. Graph. Grat.
Lippspringe waters. Sulph. Ver. alb.
Hysterical: Mag. mur.
Lymphatic: Alum. Puls. Sil. Sulph.
Melancholic: Aloe. Puls. Sepia.
Mild Igu. Puls. Sepia.
Nervous: Ign.
Plethoric: Lippspringe. Op.
Rheumatic: Caus. Colocynth. Helleb. Puls. Rhus
Stram.
Robust: Alum. Op. Plumb.
Sanguine: Sil.
Scrofulous: Con. Graph.
Torpid: Op.
Venous: Aloe.
Weak and debilitated: Alum. Calc. c. Hydras. Phyt.
CHARACTER OF THE STOOLS.
Balls, in the form of: Aes. h. Aloe. Alum. Carls-
bad. Mez. Plumb. Sep. Stan. Sulph. Ver. alb.
dry: Alum. Plat.
-, hard: Carbon bisulph. Thuja.
Blood: Cinch. Nux. Sep. Sulph. ac. Teplitz water,
Brittle Zinc.
Thuja.
and mucus: Caus. Graph. Mag. m. Merc. Pod.
clotted: Ver. alb.
'
160
Color, bilious: Aloe.
3
]]
,
>
REPERTORY.
black (see Dark).
burnt (see Dark).
greenish: Arsen. Merc. Pod. Stan.
light: Aes. h. Aloe. Alum. Calc. c. Caus.
Collin. Hepar s. Hydras. Ign. Kali bi. Lach. Merc.
Pod. Sil.
dark: Acon. Aes. h. Arsen. Bry. Carbon bi-
sulph. Kreos. Mag. m. Merc. Mez. Nux. Op.
Plat. Plumb. Sulph. Ver. alb.
grayish (see Light).
! ! ! ! ! !
white (see Light).
-, yellow: Cham.
Crumbling Mag. m. Plat. Prun. s. Sulph. ac.
Diarrhoea, alternating or succeeded by: Agar. mus.
Ammon. m. Calc. c. Carlsbad waters. Lach. Na-
trum m. Nitric ac. Nux. Op. Pod. Puls. Stan.
Staph. Sulph.
fermented: Calc. c.
involuntary: Calc. c.
liquid yellow: Hepar s.
painful: Op.
sour-smelling: Calc. c.
thin or watery: Iris vers.
Difficult: Aes. h. Agar. m. Alum. Ammon. m. Apis.
Calc. c. Carbo v. Carbon bisulph. Caus. Cocc.
Euphras. Grat. Hepar s. Kali c. Lach. Nat. m.
Nitric ac. Phos. Plat. Pod. Zinc.
but soft: China. Ign. Puls. Silic.
'n
RERERTORY.
161
Fluid Calc. c.
Frequent: Lach.
Granulous: Zinc.
Dry: Aes. h. Agar. Alum. Bry. Calc. c. Carlsbad.
Euphras. Hepar s. Kali bi. Kali c. Kreos. Nitric
ac. Phos. Pod. Silic. Stan. Staph. Sulph. Zinc.
•
Greasy appearance: Caus. Plumb.
Gummy: Calc. c.
Hard: Acon. Aes. g. Aes. h. Agar. m. Alum. Ammon.
m. Apis. Aurum. m. Bry. Calc. c. Carbo v. Car-
bon bisulph. Carlsbad. Caus. Cinch. Cocc. Con.
Euphras. Graph. Grat. Hepar s. Hydras. Iris v.
Kreos. Kali bi. Lach. Mag. m. Merc. Mez. Nat. m.
Nat. s. Nux. Op. Plat. Pod. Prun. s. Puls. Ratanhia.
Ruta. Sel. Sep. Sil. Stan. Sulph. Sulph. ac. Tabac.
Teplitz waters. Thuja. Zinc.
and then soft: Caus. Hepar s. Lycopod.
as stone Bry. Kali bi. Lyc. Plumb.
Indigested: Calc. c.
Insufficient: Aloe. Alum. Calc. c. Carbo v. Carbon
bisulph. Cinch. Con. Euphras. Grat. Hepar s.
Lach. Lyc. Mag. c. Mag. m. Merc. Nat. c. Nux.
Plat. Plumb. Ruta. Sep. Stan. Staph. Sulph.
Thuja. Zinc.
Irregular: Nitric ac.
Knotty Aes. g. Aes. h. Aur. m. Caus. Graph.
Hydras. Kali bi. Mag. m. Merc. Mez. Nat. s. Nitric
ac. Nux. Op. Sep. Stan. Sulph. Thuja.
Large: Aes. h. Apis. Bry. Calc. c. Cham. Euphras
Graph. Ign. Kali bi. Kali. c. Mag. m. Nat. m. Nux.
Op. Puls. Sabad. Sil. Thuja. Ver. alb. Zinc.
162
REPERTORY.
Large, first stool, afterwards small: Ver. alb.
requiring manual aid: Plumb. Selen. Sepia.
Long: Phos.
2
and slender: Graph. Merc.
Lumpy: Mag. m. Plat. Prun. s. Sulph. ac.
and of a chalk color: Calc. c.
Masses, broken: Alum. Carlsbad. Collin. Lyc. Merc.
lumpy with mucous threads: Graph.
-, tough and scanty: Carbo veg.
Mucus, covered with: Alum. Ammon. m. Calc. c.
Carbo v. Hydras. Merc. Plumb. Puls.
mixed with blood: Caus. Graph. Mag. m.
Merc. Pod.
>
thick, transparent: Pod.
tough, glairy: Ammon. m.
"
white: Ammon. m. Graph. Kali c.
-, yellow: Pod.
Mushy Calc. c. Carbon bisulph. Ign.
Odor, fetid: Calc. c. Lach. Stan.
of drug: Carbon bisulph.
Olive-shaped Caus.
Scanty (see Insufficient).
Tenacious Grat. Merc. Plat.
Tough: Caus.
AGGRAVATIONS.
Anus, pains at, on motion: Thuja.
Carriage-riding: Alum. Ign.
J
REPERTORY.
163
Chill, after a Ign. Merc.
Coffee, use of: Nux.
Constipation, from the: Hydras.
Diarrhoea, after acute: Merc. Nux.
long-lasting: Op.
Disease, weakening, after: Op.
Eating, excess in: Aloe. Nux. Puls. Stan.
Eruptions, suppressed, from: Lyc.
Heat, excess of: Bry.
Lead-poisoning, from: Alum. Op. Plat. Sulph.
Liquors, use of: Agar. m. Cale. Lach. Nux. Op. Puls.
Sulph.
Menses, during the: Aur. m. Puls.
Night, at
Merc.
Onanism, from: Lyc. Nux.
Sedentary life: Aloe. Bry. Hydras. Iris. Lach. Lyc.
Nux. Op. Plat. Pod. Raphan. s. Sulph.
Stool, from hardness of: Arn. Mag. m. Ver. alb.
Verbasc.
Summer, in: Bry.
Teething, from: Guaræa. Mag. m.
Tobacco, from: Hep. s. Nux v.
Traveling: Alum. Ign. Op. Plat.
Winter, in: Stan.
Women, in: Aloe. Plat. Puls.
""
good humored, corpulent: Op.
nervous: Bell. Mag. m.
"
Youths, in: Cod-liver oil.
ing
164
ACCOMPANIMENTS OF THE EVACUATIONS.
a. BEFORE STOOL.
Abdomen, colic pains: Nitric ac. Plumb.
-with flatulency: Lyc.
Air, sensibility to cold: Mez.
Anus (see Rectum).
Anxiety: Caus. Kali c.
Back, pains in: Nux.
Chills: Mez.
Desire (see Urging).
Face, redness of: Caus.
Fæces, large, accumulation of: Alum.
remain in rectum without expulsive power: Sil
Gas, emission of: Carbo v. Phyt. Ruta. Sabad. Sep.
fetid: Asaf. Mez.
rumbling of Grat.
2
REPERTORY.
Hæmorrhoids: Merc. Ver. alb.
2
painful as if ulcerated: Merc.
Hips, violent pains through the: Aes. h.
Hypogastrium, cutting pains in: Collin.
Languor: Mez.
Rectum, dryness of: Aes. h.
د.
"
2
like croaking of frogs: Sabadilla.
9
inactive: Hydras. Kali c. Puls. Sil. Stan.
pain in Aes. h. Lycopod.
shooting: Carlsbad. Mag. carb. Plat.
prolapse of Ruta. Sulph.
REPERTORY.
165
Rectum, sensation as if closed: Anacard. Op.
prolapsed: Aes. h. Sarsap.
of burning and smarting in: Hydras.
Nat. m. Nat. s. Sil.
! ! ! ! ! !
foreign body in: Aes. h. Carlsbad. Lach.
heat: Aes. h. Hydras.
itching: Aes. h.
pricking: Aes. h.
small sticks: Aes. h.
tenseness: Aes. h.
weight: Aes. h. Asaf. Calc. c. Nux. Lach.
Lycopod. Plat. Plumb. Pod. Sarsap. Ver. alb.
Sacrum, violent pains in: Aes. h.
IJ
Tenesmus: Aes. h. Cocc. Grat. Mag. m. Nux. Lach.
Lycopod. Plat. Plumb. Pod. Sarsap. Ver. alb.
Urging, absence of: Alum. Bry. Hydras. Lycopod.
Nat. m. Op. Plumb. Puls. Ver. alb.
frequent (see Ineffectual).
ineffectual: Aes. h. Alum. Anacard. Asaf.
Bell. Calc. c. Caus. Cocc. Con. Ferr. acet. Graph.
Grat. Ign. Kali c. Lach. Lippspringe waters.
Lycopod. Mag. c. Mag. m. Nat. m. Nitric ac. Nux.
Plat. Plumb. Ruta. Sabad. Sarsap. Sep. Sil.
Staph. Sulph. Tabac. Teplitz waters. Thuja.
agg. during the menses: Puls.
with erections: Thuja.
sudden: Aloe.
to urinate: Sarsap.
166
b. DURING STOOL.
Abdomen, diarrhoeic-like pains in: Carbo v. Plumb.
Lippspringe waters.
-, sensation as if something would break on
pressure: Apis.
soreness of muscles from straining: Sil.
Stinging pains in: Apis.
turning and twisting in: Anacard.
و۔
2
"
Anus (see Rectum).
Backache: Puls.
REPERTORY.
Blood, slight discharge of: Zinc.
Desire, absence of: Collin.
Ears, ringing in: Lycopod.
Evacuation, delayed: Calc. c. Gels. Mag. m. Nat. m.
Merc. Sabad. Sep. Thuja.
easier when standing; Caus.
painful: Agar. Bry. Carlsbad. Kreos. Lach.
Lyc. Mag. m. Mez. Op. Plumb. Psor. Puls. Sulph.
Thuja.
(dry, sandy stools: Zinc).
(soft stools): Graph. Hepar s. Mez.
Nat. s. Nitric ac.
prevented on account of severe pains: Caus.
Kreos. Op. Sulph.
Fæces, discharge of soft, with relief: Carbo v.
remain at anus: Lach.
2
slip back when partially expelled: Silic.
Flatus, fetid: Asaf. Calc. c. Nat. s.
excessive: Sabad.
REPERTORY.
167
Flatus, hot: Aloe.
Fluid, oozing of, with herring-brine odor: Calc. c.
Hæmorrhage: Alum. Anacard. Calc. c. Nat. m.
Sepia. Sulph. Zinc.
Hæmorrhoids: Aes. h. Caus. Plat. Sil. Thuja.
bleeding: Aes. h. Caus. Ign.
incarcerated: Silic.
>
pains severe
Aes. h. Calc. c.
pricking and burning in: Kali c.
>
"
Mucus, occasional discharge of:
slimy: Asaf.
vermiform shreds of: Stan.
Pains aggravated by efforts at stool: Lach. Thuja.
Plug, sensation of, between pubes and coccyx: Aloe.
Rectum, loss of expulsive force of: Aes. h. Kali c.
Lippspringe.
Mag. m. Pod.
with large but soft stool: Sil.
>
pains in (including cutting, etc.): Alum.
Caus. Graph. Lyc Nat. m. Nitric ac. Phos. Plat.
Prun. s. Ratanhia. Sepia. Sarsap. Zinc.
prolapsus of: Ign. Mez. Pod. Ruta.
sensation as if obstructed: Aes. h.
Kreos.
of burning: Carbo. v. Caus. Grat. Nat. s.
Nitric ac. Plat. Ver. alb.
with prostration: Caus.
itching: Alum. Carbo v.
goneness (bloody stools): Ver. alb.
stitches in, extending to left groin:
168
Semen, discharge of: Alum. Hep. s. Zinc.
Shivering: Aes. h. Conium.
Straining (see Urging).
Tenesmus: Agar. Carlsbad. Caus. Kali b. Mez..
Nat. c. Nat. m. Thuja.
REPERTORY.
Urging, severe Acon. Alum. Bry. Calc. c. Carbo v.
Carlsbad. Collin. Graph. Grat. Hydras. Ign. Kali
b. Kreos. Lach. Merc. Nitric ac. Phos. Plumb.
Pod. Puls. Ratanhia. Sepia. Silic. Sulph. Ver. alb.
Zinc.
2
painless: Mez.
with soft stool: Stan. Zinc.
2
Urine, voiding of: Alum. Carlsbal.
Vertigo: Caus.
C. AFTER STOOL.
Abdomen, colic pains and diarrhoeic discharges:
Plumb.
heat and faintings: Hydras.
prostration: Nitric ac.
sensation of bearing down, relieved by passing
flatus: Zincum.
2
emptiness: Carbo v. Plat.
fullness: Gels.
Anus, fissure of: Mez. Nat. m.
"
itching: Aes. h. Kali c. Sulph.
pains (sharp, etc.): Aes. h. Graph. Kali c.
Nat. m. Plat. Sulph.
dull: Collin.
REPERTORY.
169
Anus, prolapsus: Aes. h. Graph. Kali b. Lach. Merc.
Nat. m. Nitric ac. Pod. Sulph.
smarting, burning: Aes. h. Calc. c. Graph.
Grat. Hydras. Ign. Kali bi. Nat. m. Nitric ac.
Staph. Sulph.
-, throbbing, beating: Lach. Sulph.
Back, pains in: Aes. h. Kali c.
Coccyx, wrenching pain: Grat.
Exhaustion: Pod.
Eyes, burning in: Natrum c.
Face, heat of: Caus.
Faintness Calc. c. Hydras. Lycopod.
Flatus, painful accumulation of: Lycopod.
Hæmorrhage: Aes. h.
Hæmorrhoids: Hydras. Graph. Pod. Sepia.
bleeding: Aes. h. Merc. Nitric ac.
burning Aes. h.
painful: Aes. h. Lach. Nat. m. Nitric ac.
reddish: Aes. h.
Palpitations: Caus. Con.
Perineum, contractive pain in: Lycopod.
Prostration: Ver. alb.
Rectum, burning: Aes. h. Calc. c. Hydras. Mag. m.
Nitric ac. Sep. Sulph.
pains lasting a long time: Alum. Graph.
Hydras. Nitric ac. Phos. Sulph.
tearing, cutting: Sarsap.
sensation as if fæces still remained: Gels.
Lycopod. Nitric ac.
170
REPERTORY.
Relief Calc. acet. Nux.
Sexual excitement: Natrum c.
Shivering: Grat. Mag. m. Mez. Plat.
Stomach, burning: Sabad.
- pains: Alum.
"
Sweating: Acon. Caus.
Syncope: Calc. c. Hydras. Lycopod.
Tenesmus: Aes. h. Grat. Ign. Lach. Merc. Mez..
Nat. m. Nitric ac. Plat. Stan. Thuja. Zinc.
Thighs, spasmodic contraction of: Plat.
Umbilicus, colic at: Aes. h.
Urethra, burning in: Natrum c.
GENERAL ACCOMPANIMENTS.
I. MIND AND MOOD.
Anxiety: Caus. Lach. Nux v. Plumb.
Aversion to talking: Puls.
thinking: Nux. Sulph.
work: Nux.
ordinary occupations: Graph.
Changeable Lycopod.
Complaining: Nux.
Depressed Aes. h. Graph. Hydras. Merc. Nat. m.
Nux. Plumb.
Hypochondriacal: Arsen. Lycopod. Nux. Sulph.
Zinc.
Ill-humor: Nux. Puls. Stan.
REPERTORY.
171
Irresolute: Nux.
Irritable: Bry. Lycopod. Op.
Lassitude: Arsen. Ign. Lach. Nux.
Mania: Lach. Nitric ac.
Melancholic: Nux.
Morose: Graph. Lycopod. Puls.
Nervous: Op. Zinc.
Sadness: Lyc. Nat. m. Nux. Stan.
II. HEAD.
Forehead, heat in: Bry.
"
| ] ] ]
>
ameliorated in open air: Stan.
pains: Iris:
aggravated in the morning: Nux.
hammering: Nux.
pulsative: Bry. Nux.
weight: Graph.
Head, burning on vertex: Sulph.
2
congestion: Bell. Bry. China. Colliu. Ferr.
acet. Nux. Op. Pod. Sulph.
agg. mornings: Hydras. Nux v.
heat in Bell. Bry. Nux. Stan. Ver. alb.
>
pains (not defined): Bry. Carbo v. China.
Hydras. Kali bi. Lach. Merc. Nux. Op. Pod. Sep.
Ver. alb.
dull: Arsen. Collin. Op. Pod.
pulsative Collin.
sharp, shooting, agg. afternoon and
evening: Kali bi.
172
Head, ringing: Graph,
, weight: Bry. Carbo v. Nux v.
REPERTORY.
Migraine: Iris. Merc.
Noise, sensitive to Bell.
:
Perspiration, copious: Sil.
Syncope: Lyc.
Vertigo Aes. h. Carbo v. China. Nux v. Op.
when turning in bed: Conium.
]]]
Eyes, burning in: Lach.
, congested: Bell.
heavy: Graph.
, painful: Bell. Lach.
>
III. EYES.
and weak: Kali bi.
sensitive to light: Bell. Iris v.
spots or veil before: Iris v.
yellow: Merc.
Pupils dilated: Bell.
"
IV. NOSE.
Catarrhal obstruction: Plat.
Coryza Lach. Merc.
Snuffles: Plat.
V. FACE.
Face, acne on: Aes. h. Nat. m.
, copper color: Lyc.
-, earthy: Mag. m. Sil.
-, erythema: Alum.
REPERTORY.
173
Face, flushed: Bell. Bry. China. Graph. Mez. Nux.
Op. Zinc.
[ [ [ [ [ [
heat in Bry. Mez. Nux. Op.
Lycopod.
grayish:
, pale: Caus.
agg. during digestion: China. Zinc.
pustules on: Nat. m.
sallow: Arsen. Hydras. Nat. m.
sombre: Nux.
Lips bluish (with palpitations): Nux.
VI. MOUTH.
>
sweating of: Kali bi.
yellowish: Hydras. Nux.
Aphtha: Zinc.
Gums, pain in: Merc. Staph.
Mouth, dryness of: Alum. Nat. m. Nux. Op. Zinc.
soreness of: Nat. m.
! ! ! !
Mucus, excess of: Puls.
Salivation: Merc.
Taste, acid: Nux v.
bad Caus. Hydras. Merc. Staph.
agg. drinking water: Ferr. acet.
bitter: Caus. Nux. Puls.
flat: Ign.
foul: Kali bi.
,
greasy: Caus.
sweet: Plumb. Zinc.
Teeth, pain in carious: Mez.
174
Tongue and lips black: Lach.
coated: Hydras. Kali bi. Zinc.
in centre, red edges: Carbo v.
light: Collin. Nux.
with mucus: Nux.
white: Caus. Collin. Nux.
reddish Kali bi. Zinc.
irritated: Alum.
, papillæ prominent: Zinc.
-, superficial ulceration: Nat. m.
| | | | | |
VII. APPETITE.
Appetite, canine: Bry. Sil. Sulph. Ver. alb.
followed by nausea: Bry.
REPERTORY.
capricious: Alum. Caus. Ign. Merc. Staph.
"
diminished or lost: Asc. s. Bry. Caus. Carbo v.
Collin. Kali bi. Lycop. Nat. m. Nux. Op. Plat.
Plumb. Pod. Sil. Sulph.
good: Lach.
"
Stan.
"
at noon but wanting in the evening:
irregular: Staph.
soon appeased: Nux. Raphan. s. Ver. alb.
Desire for liquors: Sulph.
-, sweets: Sulph.
beer: Merc.
Disgust for fatty foods: Nitric ac.
meats: Sulph.
sweets: Caus.
REPERTORY.
175
Thirst: Caus. Nux. Op. Plumb.
>
VIII. ERUCTATIONS.
Eructations: Cinch. Kali bi. Sil. Sulph.
-, acid: Bry. Calc. c. Carbo v. Hydras. Lyc.
Nat. m. Puls. Ver. alb. Zinc.
2
"
burning: Nat. m.
ineffectual efforts at: Lach. Plat.
Hiccough: Sil.
Pyrosis: Carbo v. Gallic ac. Lyc. Mag. m. Sep. Sil.
IX. NAUSEA AND VOMITING.
Nausea: Aes. h. Calc. c. Carbo v. Cinch. Collin.
Ferr. acet. Nitric ac. Nux. Plumb. Puls. Sil. Sulph.
Teplitz waters.
>
aggravated after eating: Nux. Plat.
bitter: Iris. Nux. Sep. Ver. alb.
!!!
, paroxysms of: Sepia.
Vomiting and retching: Aes. h. Plumb.
aggravated from eating: Bry. Plumb.
in the morning: Mag. m.
when sitting up: Bry.
frequent: Alum. Iris. Puls.
bitter
Iris.
glairy: Sil.
of food: Plumb. Ptelea. Ver. alb.
chronic: Zinc.
mucus and bile: Zinc.
X. STOMACH.
Cardialgia: Carbo v. Ign. Lyc. Plumb. Sil. Zinc.
176
Digestion slow and labored: Sil.
Epigastrium, anxious feeling in: Op.
-, burning distress in Iris v.
Flatulent distention: Carbo v. Nitric ac.
Gastralgia (see Cardialgia).
Pyrosis: Carbo v. Gallic ac. Lyc. Mag. m. Sep. Sil.
Stomach, acidity of: Bry. Lyc. Nat. m. Zinc.
coldness in Sepia.
constriction of: Sil.
fullness: Bry. Cinch. Nux. Ver. alb.
agg. after eating: Bry. Nux. Ver. alb.
goneness in: Hydras. Nux.
not relieved by eating: Ign.
"
•
2
2
REPERTORY.
]]
"
heat in Arsen. Ptelea. Zinc.
agg. by eating: Graph.
irritation of: Arsen.
:
pains in Carbo v. Cinch. Lach. Nux. Sep. Sil.
, pressure or weight in: Bry. Hydras. Lach.
Nux. Op. Phos. Sil.
swollen: Carbo v. Graph. Nitric ac.
and sensitive: Arsen. Carbo v.
XI. ABDOMEN.
Abdomen, bloated: Alum. Arsen. Calc. acet. Calc.
c. Carbo v. Cinch. Collin. Graph. Lach. Lyc. Mag.
m. Merc. Nat. m. Nux. Plumb. Puls. Sil. Stan.
Sulph. Ver. alb.
coldness: Plat.
-, colic pains: Calc. c. Cham. Collin. Hydras.
Lyc. Merc. Sil. Ver. alb.
·
REPERTORY.
177
Puls.
Abdomen, cramps (hysterical): Mag. m.
-, cutting: Alum. Cinch. Hydras. Iris v. Kali.
bi. Mag. m. Nat. m. Nux. Plumb. Ver. alb.
engorgement of organs of: Ver. alb.
hard Kali c. Lach. Merc. Plumb. Sil.
heat in Arsen. Hydras.
inflammatory irritation: Arsen. Bry.
numbness of: Arn.
oppression of: Nux.
pains (undefined): Alum. Asaf. Stan. Sulph.
from above downwards: Nat. m. Plat.
2
pinchings in: Mag. m. Puls.
retracted: Plumb.
!!!
sensitive to cold: Nitric ac.
touch: Arsen. Calc. acet. Carbo v. Sulph.
soreness of: Arsen.
tympanitic: Calc. c. Cham. Lyc. Nitric ac.
"
Nux. Sulph.
weakness of: Plat.
-, weight in: Alum. Lyc. Nux. Op.
Bladder, dull pains over: Lach.
Flatus: Carbo v. Collin. Con. Ign. Phos. Plat. Puls.
Sil. Zinc.
acid
Carbon bisulph.
colic with: Cham. Collin. Lach. Lyc. Zinc.
emission of Alum. Graph. Lyc. Nux. Pod.
with relief: Calc. acet.
178
Flatus, emission of, without relief: Lycop.
"
REPERTORY.
fetid: Aes. h. Carbo v. Hydras. Pod. Zinc.
gurgling of: Carbo v. Caus. Lyc. Nat. m.
hot: Zinc.
Hip, pain over left: Lach.
Hypochondrium, constriction in: Hydras. Mag. m.
Nux.
, gas in: Cham. Kali bi.
left: Lyc.
hardness in right: Graph.
left: Nat. m.
pains in right: Bry. Carbo v. Kali bi. Merc.
Pod. Ver. alb.
"
incarcerated: Lach. Lyc. Sulph.
Intestines, large, pains in: Hydras.
Pelvis, dragging weight in: Collin.
>
pressure across, and bladder, agg. when walk-
ing: Nat. m.
without stool: Op.
Umbilicus, colic pains: Cinch. Plat.
XII. ANUS AND RECTUM.
Anus, congestion of: Bry. Sep.
,
Carlsbad.
crawling: Carbo v. Carlsbad. Cocc. Crocus.
electric-like shots in, extending to penis:
-, agg. at night: Phyt.
eruptions: Lyc. Nat. m.
fissures: Caus. Graph. Ign. Nat. m. Phyt. Rat.
REPERTORY.
179
Anus, fistule: Caus.
heat: Sil.
[ [ T
irritable: Bry. Nux.
itching, smarting: Aes. h. Alum. Calc. c.
Carbo v. Carlsbad. Caus. Cocc. Collin. Kali c.
Lippspringe waters. Lyc. Sep. Thuja.
moisture:
Nat. m. Sep.
acrid: Carbo v. Caus.
offensive: Thuja.
mucous membrane excoriated: Lyc.
injected: Lyc.
pains, cutting: Alum. Lyc. Nux. Plumb.
prolapsus (see Rectum).
sensation as if contracted or closed: Aes. h.
Nat. m. Nux. Op. Plumb.
of cold drops falling: Cann. sat.
sand in
Collin.
small sticks: Aes. h.
>
! ! !
sensitive to touch: Lyc.
swelling: Hep. s.
>
tenesmus: Ign. Lach. Lyc. Nat. m. Nux. Plat.
Plumb. Tabac. Ver. alb.
tingling: Alum. Cocc. Lyc. Sep.
Ilæmorrhoids: Alum. Aur. m. Bell. Calc. c. Carbo v.
Carlsbad. Caus. Collin. Graph. Hydras. Lach.
Lyc. Nat. m. Nitric ac. Phyt. Plat. Pod. Sep.
Sulph. Thuja.
atonic: Alum.
bleeding: Aes. h. Collin. Lyc. Nux. Phyt.
-"
180
Hæmorrhoids, burning and red: Aes. h.
dark purple: Aes. g.
painful: Aes. h. Asaf. Lyc. Nux.
"
Rectum, catarrhal secretion from: Aur. m.
"
contractions of (see Anus, Tenesmus): Aes. h.
Caus. Cocc. Plumb.
2
"2
REPERTORY.
! ! ! ! ! ! ! ! ! ! ! ] ] ]
dryness: Aes. h. Alum. Ver. alb.
foreign body in: Aes. h. Kali bi.
heat and fullness: Aes. h. Phyt.
inaction: Alum. Ver. alb.
insensibility: Lach.
pains: Alum. Carlsbad. Caus. Hydras. Nux.
Sepia.
dull: Ign.
severe: Caus. Kreos. Op. Plat. Sulph.
as of ulceration: Phyt.
paralysis; Tabac.
prolapsus: Aes. h. Phyt. Plumb. Pod. Sulph.
agg. when squatting: Ruta. ·
M
rigidity: Aes. h.
spasms in, preventing walking: Caus.
swelling: Aes. h.
throbbing: Nat. m.
torpor: Op.
"
weight, pressure: Aes. h. Alum. Caus. Colli.
Lach. Nux. Plat. Sepia. Ver. alb.
XIII. URINE.
Urination, burning during: Lach. Lyc.
:
.
Urination, cutting pains: Lyc.
difficult: Aes. h. Lyc. Plumb.
frequent: Pod.
intermittent: Conium.
F I T
>
,
retention: Bell. Cann. sat. Op.
at night (children): Caus.
Urine, dark: Aes. h.
dribbling Plumb.
fetid: Arsen. Plumb.
high-colored: Arsen. Plumb.
increased: Ver. alb.
muddy: Aes. h.
reddish sediment: Lycop.
, scanty: Arsen.
↓ ↓ ↓ ↓ ↓ ↓ ↓
Dysmenorrhoea: Collin.
Leucorrhoea: Graph. Sepia.
2
REPERTORY.
2
Menses, copious: Collin. Lach. Mag. m. Mez. Op.
delayed: Collin. Graph.
early: Mez.
2
!!!
XIV. GENERATIVE ORGANS.
>
181
irregularities of: Plat. Puls.
numbness in lower limbs during: Puls.
regular but debilitating: Graph.
, scanty: Lach.
weight in pelvis and across sacrum: Puls.
Organs, atony of: Phos.
sexual functions of, weak: Plumb.
182
Ovary, irritation of left: Cinch.
Seminal emissions: Lycop. Plat.
Uterus, displacement: Plat.
Varicocele: Collin.
Vulva, pains around: Sulph.
-, pruritus: Collin.
2
XV. CHEST.
Chest, compression: Bell.
, congestion: Bry. Nux.
constriction: Bell.
REPERTORY.
induration: Plat.
irritation: Cinch.
prolapsus: Collin.
"
oppression
tension: Kali c.
Cough, chronic laryngeal: Nitric ac.
dry: Nux.
>
Heart, congestion: Collin.
>
Nux.
2
Nux vom.
hyperæsthesia: Collin.
palpitation: Carbo v. Caus. China. Kali c.
pulsations of, intermittent: Phyt.
lessened: Phyt.
>
Respiration, difficult: Nux. Sulph.
-, impeded: Carbo v. Cans.
>
painful: Zinc.
short: Bry.
XVI. BACK.
Back, dorsal pains: Hydras. Kali bi. Merc. Plat. Pod.
lumbar pains: Aes. h. Bell. Bry. Kali bi.
Lach. Lyc. Nux. Stan. Teplitz waters. Zinc.
-, agg. before urination: Lyc.
sacral pains: Aes. g. Aes. h. Pod.
Shoulder, pains: Hydras. Merc.
right: Merc.
XVII. EXTREMITIES.
Extremities, coldness: Ferr. acet. Kali bi. Sil.
2
REPERTORY.
9
| ] ] ] ]
numbness: Puls.
pains on motion: Nux.
pains in: Asc. syr. Zinc.
stiffness: Nux.
weakness: Plat.
weight: Plat. Teplitz waters.
lower, coldness: Graph.
cramps: Nux.
weakness: Aes. g.
183
2
Feet, coldness: Cod-liver oil. Graph. Kali bi. Lach.
Nux. Plat. Sepia.
swelling: Nux.
soles, burning: Cod-liver oil. Sulph.
cold: Lach.
Hands, burning: Cod-liver oil.
Leg, coldness of outer side of left: Lach.
Toe, pains in right great (midnight): Phyt.
184
REPERTORY.
Sleep, restless: Bell. Nux.
, startings in: Bell.
Sleepiness: Op. Sil.
XVIII. SLEEP.
||
in morning: Nux.
Kali bi.
in day-time
with terrible dreams: Bell. Graph.
Sleeplessness: Graph. Nux.
after dinner with weakness: Lyc.
a. CHILL.
Chill and faintness: Mag. m.
and tired feeling: Puls.
Chilliness: Bry. Nux.
Chills, fugitive: Nux.
Cold Bry. Puls. Sepia.
b. HEAT.
Heat, flushes: Sulph. ac.
fugitive: Nux. vom.
-, general: Nux. v.
-, intermittent: Zinc.
,
XIX. FEVER.
(afternoon): Ptelea.
Pulse, quickened: Zinc.
c. SWEAT.
Sweat, absence of: Arsen.
free: Kali bi. Nat. m.
profuse: Bell.
REPERTORY.
185
Sweat, night: Kali c.
2
Į Į Į Į] ] ] ]
>
on slight motion: Nat. mur.
XX. SKIN.
Acne rosacea of face: Aes. h.
Eczema: Nat. m.
Eruptions secreting a viscous or aqueous fluid: Graph.
Herpetic eruptions: Graph, Sep.
Skin, affections of: Nat. m. Sep. Sulph.
from cold: Nat. m.
dirty coloration: Nat. m.
dry: Arsen. Zinc.
;
and rough: Graph.
and smooth: Hydras.
irritability of: Nat. m.
, pale: Alum. Plumb.
yellow coloration: Merc.
XXI. CONCOMITANTS OR GENERALITIES.
Abdomen, affections of, with nervous accidents:
Caus.
from multiple or difficult labors: Kali c.
-, symptoms of, marked: Graph.
want of power in organs of: Kali c.
Anæmic: Ferr. acet.
Asthenia: Con.
and paleness of tissues: Caus.
Atony of the intestines: Aloc. Alum. Aur. m. Lyc.
nervous and nutritive: Caus.
दे
186
Bile, absence of Plumb.
decreased: Aloe.
2
REPERTORY.
Bilious derangements: Bry. Merc.
Catarrh, chronic intestinal: Alum. Calc. c. Lyc. Nux.
Catarrhal affections, tendency to: Merc. Nat. m.
Puls.
Cerebral origin: Arnica.
Children, acute enteritis in Lyc.
convulsive movements: Bell.
"
badly nourished: Sil.
nervous: Bell.
nursing: Alum
2
Chronic diseases of circulatory and intestinal tracts:
Phos.
stomach
Sepia.
scrofulous, suppurative diseases: Sil.
Cold, sensitiveness to: Nat. m.
Congestions of venous system: Collin. Croc. Merc.
Zinc.
Contusions, in consequence of: Arnica.
Debility, general: Geran. Hydras. Merc.
with chilliness: Puls.
Digestion, slowness of: Conium.
Dyscrasia, constitutional: Calc. c.
Dyspepsia in gouty subjects: Caus.
Emaciation: Carbo v. Plumb. Sepia.
Engorgement of vena-portal system: Sulph.
Enteritis: Arsen.
REPERTORY.
187
Enteritis, chronic: Ptel. trif. Zine.
Exhaustion: Pod.
Fever, catarrhal or rheumatic: Acon.
Fevers: Phos.
Gastric conditions, marked: Aes. h. Bry. Con. Merc.
Nat. m. Op. Puls. Sepia. Sulph.
Gastric neurosis: Phos. Plumb.
Heart, fatty degeneration: Nat. m.
valvular lesions: Nat. m.
,
Hernia, strangulated: Op.
Icterus Cinch. Pod.
Inertia, over-distention of intestines: Cinchon.
Inflammatory states: Bell. Merc.
Inflammation of abdominal organs: Arsen. Bry.
Intestines, dryness of: Ver. alb.
inactive Alum. Carbo v. China. Cinchon.
Hep. s. Nat. m. Phos. Puls. Sil. Thuja. Ver. alb.
induration of membrane with narrowing:
Ammon. m.
2
>
>
paralytic state: Bry. Hepar s. Ign. Nat. m.
Op. Plumb. Ver. alb.
spasmodic contraction: Op. Plat. Zinc.
?
"
want of sensibility: Op.
weakness: Geran. m. Nat. m.
,
Languor: Kali bi. Nux.
Leanness Nat. m. Sepia.
Liver, diseases of: Bry. Lept. virg. Op.
fatty degeneration: Lyc.
1
188
REPERTORY.
Liver, torpor: Arsen. Merc.
tumefaction and venous stasis: Merc. Nat. m.
2
Malaise Alum. Merc. Stan. Sulph.
Menstrual irregularities: Plat.
Mercury, abuse of: Hepar s. Nitric ac.
Mucous membranes, chronic irritability and dryness:
Nat. m.
Mucus, absence of intestinal: Plumb.
Muscular system, relaxed: Phyt. Plumb.
Neurosis with spasms: Ign. Plat.
Nutrition, weakened Lyc.
Organic, reaction: Thuja.
Organs internal, swelling of: Sulph.
Pancreas, torpor of Merc.
Paralysis, systemic Plumb.
Peristalsis, increase of: Calc. c.
want of Cocc. Lyc. Ver. alb.
,
Peritoneum, repeated affections of Lyc.
Pharyngo-laryngitis: Aes. h.
Prostration of vital forces: Phos.
Purgatives, abuse of: Bry. Hydras. Lach. Nux. Op.
Rectum, congestion: Hep. s.
inactive: Aloe. Carbon bisulph. Cham. Hep. s.
>
Ign. Kali c. Op. Psor. Staph. Ver. alb.
, pressure on, from pregnancy or tumors: Op.
Rheumatism Bry. Caus. Puls. Sep.
Saturnine colic: Op.
Scarlatina, in: Lach.
REPERTORY.
189
i
Uterine complications: Collin.
Uterus, displacement of: Plat.
Spleen, tumefaction of: Nat. m.
Tissue, wasting of Plumb.
Tremulous sensation without trembling: Sulph. ac.
INTRODUCTCRY..
CONCLUSIONS (Resume)………..
CONSTIPATION, causes………..
definition......
SASARANNO LADO
>
diminution of secretion (from)
> divisions....
>
>
→
hæmorrhoidal.....
hepatic.....
idiopathic
infantile.......
irritative or sub inflammatory...
mechanical obstruction (from).
>
-, paralytic...……….
spasmodic or constrictive.
>
, symptoms..........
treatment, homeopathic...
}
>
uterine...
....
- 10
Remedies AND INDICATIONS:
Aconite......
Aesculus glabra……………..
Aesculus hippoc..
Agaricus mus.......
Aloe socotrina
Alumina...
Ammonium carb.
Ammonium mur.
Anacardium..
Apis........
Arnica.
A
hygienic and accessory.
surgical or palliative………….
....
Arsenicum..
Asafoetida
Asclepias syr
Aurum mur…….
Belladonna.
Bryonia.
Calabar..
Calcarea acet....
Calcarea carb....
Cannabis sat..
Cantharis.....
Carbo veg....
Carbon bisulph........
INDEX.
4
A
•
………… * a
…………
***
···
**** ....
.....
..
...
•••
•
112
118
20
119
23
24
116
116
119
114
115
116
119
118
115
27
28
119
117
32
E w Ew y
…………
Kali carbonicum.
Kreosotum …..
Lachesis....
Leptandra virg...
Lippspringe waters.
Lycopodium.....
Magnesia carb..
Magnesia mur...
Massage...
Menyanthes trifol
Mercurius.......
Mezereum
Mineral waters.......
Natrum carb......
Natrum mur.....
Natrum sulph.
Nitric acid...………….
Nux vomica...
Opium........
Paraffine...
Phosphorus....
Phytolacca..
Platina.....
Plumbum..
*
…………
******
A
IRON
à mà nà
9
127
12, 125, 146
12
137
38, 127
138
143
130
146
*****……… →
*****
UNAA
WORD
•
...
131
138
134
132
13
19
16, 126
SAN
..
------
ALANA
2
..
………….
···
154
144
58
114
60
113
124
61
I 20
65
126
115
66
69
124
120
69
120
73
75
83
112
86
87
88
go
192
Carlsbad waters.
Causticum....
Chamomilla.
China ...
Cinchonine....
Cocculus
Cod-liver oil..
……….
Collinsonia can.....
Colocynthis..
Conium mac...
Crocus
Digitalis....
Electricity
Euphrasia
Gallic acid..
▼▼
....
ATTA
Tạ
......
Gelsemium semp.
Geranium mac……….
Graphites.
Gratiola
Guaræa..
Helleborus...
Hepar sulphur...
Hydrastis can..
Hydrotherapy
Hyoscyamus..
Ignatia.....
Iris vers
Jatropha
Kali bichrom...
...
....
•
*****
Eyes.....
Face..
....
•
Fever......
VAA
Concomitants..
Eructations....
Extremities.........
...
....
Can
2004
•
INDEX.
124
35
37
113
38
40
117
40
117
42
44
117
122
♦
...
44
119
IIS
120
45
48
119
117
49
50
126
REPERTORY.
ACCOMPANIMENTS OF THE EVACUATIONS………..
ACCOMPANIMENTS, GENERAL..
Abdomen....
Anus .....
Appetite..
Back
Chest....
117
54
55
114
57
176
178
174
183
182
185
175
183
172
172
184
184
184
184
Podophyllum
Potassium bromide.
Prunus padus…………….
Prunus spinosa.
Psorinum...
a. chill.....
b. Heat.
c. Sweat.
AGGRAVATIONS........
CONSTITUTIONS OR TEMPERAMENTS.
FORMS ANd ConditioNS......
STOOL, CHARACTER.
Ptelea trif..
Pulsatilla..
Raphanus
Ratanhia
Rhus......
A
………….
Ruta....
Sabadilla
Sarsaparilla.
……….
Secale cornutum.
Selenium..
Sepia...
Silicea....
Stannum.
Staphisagria
Stramonium.
Sulphur....
Sulphuric acid.
Tabacum
....
Teplitz waters
Thuja......
Veratrum album.
Verbascum.....
Zincum.....
....
Generalities...
Generative organs..
Head......
Mind.
Mood...
Mouth...
Nausea...
Nose
Rectum
Skin.....
Sleep...
Stomach....
1
►
Urine,.
Vomiting.
*****
....
…………
-
****
…………
20
....
****
...
• •
...
··
92
118
116
120
94
119
96
....
117
121
117
121
121
121
114
121
*****
97
99
ΙΟΙ
102
117
102
121
105
124
тоб
107
117
IIO
164
170
185
181
171
170
170
173
175
172
178
185
184
175
180
175
162
158
157
159

UNIVERSITY OF MICHIGAN
3 9015 02012 0567
290179