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8) SPIGELIA
MARILANDICA
Common name - worm grass
Tincture - from root.
Has a predominant action on central nervous system. It produces
complete mental derangement. There will be fits of laughing and
cryings, running and skipping about, wild and incoherent talk,
wild, staring expression with strabismus of right eye and
dilated pupil. Face will be flushed.
Drowsiness, on attempting erect position, the patient is seized
with general tremor lasting a few seconds & leaving the patient
exhausted.
(9) UPAS TIENTE
Common name - upas tree
Tincture prepared from Juice of root and bark
It is used as an arrow poison and produces tonic spasms,
tetatanus and asphyxia.
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Mentally the
patients are depressed and melancholic. Cold and repelling to
friends Irritable and quarrelsome.
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Severe neuralgic
sharp shooting pain over the forehead, temple and eye
especially of left side. Parts are painful and hot to touch
>open air.
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Eyes are weak as
after sexual excess lids so heavy that they close
involuntarily as if from irresistible drowsiness.
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Coryza with
nostrils stopped up, changing every few minute, preventing
sleep. smell of manure in nose.
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Painful
deglutition, pain as from splinter in left side of throat
making deglutition painful, as if food were prevented passing
in to stomach by foreign body in oesophagus. Swallowing of
fluids becomes difficult.
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Appetite totally
lost Aversion to all food especially meat and eggs, the mere
thought of which causes nausea. Eructation tasting of ingesta
all day. Flatulency sharp colic in return>passing fetid flatus
.
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Pain in the
region of right kidney, during the night. Frequent urging to
urinate with burning in urethra. Urine scanty and dark.
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Sexual functions
are diminished coition painful and followed by great
depression.
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Hangnails,
itching and redness of roots of nails.
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Clonic spasms of
muscle, of nape of neck or extremities; frequently repeated on
the slightest irritation. Muscles relaxed completely in
between.
Fever with chilliness shivering along spine and both arms.
Drawinsess.
GENERAL FEATURES
1.Over
sensitiveness:-
Nuxvomica :- Over impressionable and sensitive to all
external impression-cannot bear odors, noises, light, draught,
air etc. Even harmless words offend.
GELSEMIUM: Very sensitive to external impressions. Excitement,
shocks, fright, unusal ordeals etc bring about bodily ailments.
Ignatia:- Hyperaesthesia of all senses.
Spigelia:- Very sensitive to touch. Parts touched feels chilly;
send shudder through out body. Sensitive to cold, wet stormy
weather.
Upas:- Increased sensitiveness to cold.
2. Depression
of mind and great irritability:
Gelsemium:- Extremely nervous and irritable. Every exciting
news causes diarrhoea. Desires to be let alone, does not wish to
be spoken to yet there is dread of being alone. Suicidal
inclination wants to throw oneself from a height.
Spigelia Marilandica:- Maniacal excitement with running and
skipping, paroxysmal laughing and crying, loud and incoherent
talk.
Curare:- Depression with inabilityto think or study. Very
indolent and sleepy Patient desires to be let alone.
Upas:- Depression and melancholy. Irritability, moroseness and
crossness very cold to friends.
Spigelia anthelmia:- Sadness and discouragement to the extent of
suicidal mania. Afraid of pointed things, pins etc.
Ignatia:- Hysterical temperament predominates, melancholic with
love of solitude. Changeable disposition. Alternation of foolish
gaietyand tearful sadness.
Nux Vomica: Oversensitive and hypochondriacal. Even harmless
words offend. Suicidal thoughts but is afraid to die. Impulsive
with insane desire to kill her husband whom she adores.
Spitefull and malicious disposition. Quarrelsome, even to
violence.
Brucea:- Gloomy, melancholic, tanciturn and hypochondriacal. Sad
and gloomy humour on waking in the morning
3. Paralystic
action:
Many medicines of this family has prominent action upon
spinal cord. They act as depressants and has a paralysing action
upon motor nerves with sparing of sensations.
Gelsemium:- Acts on the anterior column of spinal cord producing
muscular paresis. Extreme muscular weakness, prostration and
inco-ordination. Paralysis of muscles of different parts of
the-body of third nerve causing ptosis, diplopia, dimvision and
strabismus of muscle, around mouth and pharynx causing
difficulty in speech and swallowing, of larynx causing
hoarseness of voice and aphonia, of extremities causing locomtor
ataxia, of heart produces of sensation as if it will cease to
beat if he didn’t more. In cases of poisoning, death occurs due
to respiratoryparalysis from depression respiratory centre.
Curare:- Produces motor nerve paralysis but sensations are
spared. Paralysis of various parts. In eyes it produces ptosis,
in face - facial and buccal paralysis with deviation to the
right. Paralysis of extremities with numbness tingling and
leaden heaviness.
Upas:- Ptosis, eyelids heavy, close involuntarily from
irresistible drowsiness Eyes weak as after sexual excess.
Spigelia anthelmia:- Acronarcotic producing numbness of hands
and feet. Squint from worm affections.
4. Spasmodic
Affection:
Most of them are useful in spasms convulsion, tetanus with
lock jaw, chorea etc.
Curare: Epilepsy, catalepsy There is immobility with fixed gaze
on waking.
GELSEMIUM: Convulsions occurring in children and young people of
nervous excitable nature. Useful in infantile spasms where there
in incessant quivering of the chin.
Upas: Tonic-clonic spasms, tetanus, violent stitches in
extensors with sudden jerking of whole body followed by clonic
spasms of muscles of nape of neck and extremities. Attacks
repeated spontaneously on slightest irritation. Muscle
completely relaxed in between the attacks and there is great
weakness after paroxysm.
Ignatia: Hysterical spasms and convulsion especially after
fright, worry, grief and also associated with difficult
dentition. Epileptic convulsions with foam at mouth. Face red or
alternately pale and red.
Nux vomica: Excitability of whole nervous system with great over
sensitiveness to all external impressions. Every distressing
emotion brings recurrent epileptic fits. Convulsions with
consciousness spasms with tetanic rigidity of nearly all muscles
of the body. In between the attacks the muscles are relaxed.
5. Neuralgic
Pain
Gelsemium: Orbital neuralgia in distinct paroxysms. with
intense pain over the right eye. Bruised feeling in eyes Dim
vision, diplopia, ptosis and aversion to light.
Curare: Sharp, stitching pain over right eye with ptosis and
black spots before vision. Unbearable earache. With lancinating
pain starting from ears and extending down to legs.
Spigelia: Facial neuralgia-left sided involving eye, zygoma,
cheek, teeth & temple cannot bear slightest touch or movement
with shining swelling of affected side<from morning until sunset
<motion,noise, steping etc.
Ciliary neuralgla involving left eye. Eye feel to large with
severe pressing pain on turning them. Weakness of eye with
ptosis redness and photophobia.
Spigelia marilandica: Pain in and around the right eye with
sensation of stiffness of eyelids strabismus of right eye with
wild staring look.
Nuxvomica: Infra orbital neuralgia. with watering of eyes,
orbital twitching <in morning> by lying in bed.
6. FEVER WITH
PREDOMINANCE OF CHILL STATE
Brucea: Chill every other day with shaking yawning and
stretching with cold feet.
Curare: Chill from stomach, on abdomen, chill creeping up the
back and spreading all over chill without thirst.
Nuxromica: Cold stage predominates must be covered in all stages
of fever. Excessive rigor with blueness of fingernails. Burning
heat of body especially of face. Yet cannot move or uncover
without feeling chilly.
Ignacia: Chill with thirst, not relieved by external heat.
During fever, itching, nettle rash all over the body.
Gelsemium: Influenza. Chillness so severe that the patient wants
to be held, chill, wavelike up and down the back. Thirstless.
Heat and sweat stage prolonged and exhausting. Face flushed with
a besotted look and apathy regarding his illness.
Upas: Feels chilly very easily. Shivering along spine and both
arms.
7. TOBACCO AGGRAVATION
Gels: Tobacco smoking causes occipital headache. Indicated
in nervous affections of cigar makers.
Ignatia: Cannot bear tobacco in any form. Toothache and
congestive headache aggravated after smoking.
Nuxvomica: Gastric disturbances from tobacco.
Spigelia: Toothache from smoking. Repugnance to tobacco smoke
and snuff.
8. AGGRAVATION
OF COMPLAINTS FROM COFFEE
Ignatia: <from coffee
Nuxvomica: Dyspepsia from drinking strong coffee.
Spigelia: Disike for Coffee.
An exception is Geisemium which has > from alcoholic stimulants.
9. Genarel
aggravation during summer season
Brucea: Headache in the evening, after having walked long in
sun
Gelsemium: General depression from heat of sun. Occipital
headache. spreading all over with dim vision and dizziness.
Spigelia: Headache increasing and decreasing with the sun.
Nuxvomica: Headache aggravated from sunshine.
10. AGGRAVATION
FROM CHANGE OF WEATHER
Gelsemium: Complaints from sudden change from hot or dry to
damp weather<damp, cold atmosphere.
Spigelia: Sensitive to wet, stormy weather.
Nuxvomica: Though sensitive to cold the general< in dry weather>
in wet weather.
11. ACTION ON CARDIOVASCULAR SYSTEM:
Gelemium: Irregular beating of heart; sensation as if unless
on the , go the heart will stop beating. A feeling as if it were
necessary to keep in motion or else hearts action would cease to
beat. Pulse soft, feeble and slow but greatly accelerated on
motion.
Spigelia anthelmia: Rheumatic carditis - pericarditis with
sticking pain, palpitation and dyspnoea aggravated from
movement. Angina pectoris with neuralgia extending to arms,
craving for hot water which>. Dyspnoea must lie on right side
with head high ,pulse weak and irregular.
Ignatia: Cardiac hyperaesthesia, palpitation<at night and during
repose.
Nuxvomica: Palpitation<after eating, from coffee, from
overexertion associated with nausea and heainess in chest.
Upas: Severe palpitalion <after going to bed. Pulse frequent,
weak and small.
12. ACTION UPON
URINARY ORGANS
Gelsemium: Partial paralysis of bladder with retention or
intermittent flow. Incontinence of nervous children profuse,
clear, watery urine along with headache which> the headache.
Nuxvomica: Irritable bladder from spasmodic sphincter.
Ineffectual urging and strangury. Frequent calls, passes little
and often. Renal colic with haematuria and pain extending to
genitals.
Curare: Diabetes mellitus Urine clear, frequent and contains
sugar. Great emaciation, dryness of mouth and thirst during
evening and night crampy pain in kidneys.
Upas: Pain in right kidney at night. Frequent urging to urinate
with burning in urethra at 8.a.m urine scanty, dark brown in
colour and evacuated with great effort.
13. ACTION ON
GENITALIA
Gelsemium: Dsymenorrhoea with scanty flow. Aphonia and
sorethroat during menses.
In males, genital, are‘cold and relaxed. Spermatorrhoea without
erection.
Curare: Dsymenorrhoca. Menses too early. Thick, purulent and
offensive leucorrhoca.
Ignatia: Menses black scanty or too profuse, tooearly.
Suppression of menses from grief.
Nuxvomica: Irregular menses. Too early and too long lasting.
Dark blood. Dsymenorrhoea with constant urging to stool.
Inefficient labour pains with frequent urging for stool and
frequent urination.
In males, impotence from sexual excess.
14. ACTION ON
DIGESTIVE ORGANS:
Gelsemium: Gastric upset from fever, sudden emotions,
fright, grief, bad news, anticipation of any unusual ordeal etc.
Stool loose, yellow or cream coloured. Paralysis of sphincter
ani with disposition to prolapse ani.
Upas: Total loss of appetite with aversion to all food
especially meat and egg. Eructation tasting of ingesta all day
along.
Curare: Empty gone feeling in stomach Frequent and annoying
hiccough.
Spigelia anthelmia: Inability to bear tight clothing around
umbilicus. Least contact causes anguish with redness and heat of
face.Hard and difficult evacuation with frequent ineffectual
urging. Itching and crawling in rectum due to worm trouble.
Ignatia: All gone feeling in stomach Sinking in stomach > by
taking a deep breath. Hiccough always after eating and drinking,
from smoking and emotional disturbances. Aversion to ordinary
diet with longing for great variety of indigestible articles.
Haemorihoids with pain, haemorr hage and prolapse. Pain <during
cough Pain and worse haemorrhage worse when stool is loose.
Diarrhoea from fright.
Nuxvomica: Weight and pain in stomach.painful sensitiveness to
least pressure. Tight clothes are insupportable. Liver engorged
with stitches and soreness from alcohic excess. constipation
with ineffectual urging constipation
and bleeding piles from abuse of allopothic drugs and other
stimulants. Nausea and vomiting every morning with depression of
spirits.
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