Cainca

Chioeocca racemosa. Bubiacece.

Introduced in 1826 as a specific for dropsy by Martius and Langsdorf from Brazil; later found useless in hydrops, and injurious in post scarlati- nal dropsy.

In 1843 proved by Buchner and several others, who got the genuine root from Martius himself, and published the provings in the British Quarterly, then in Buchner's (Nmser's) A. Z f. H , II, appendix, p. 141-144. Proved by Lippe, in Carlisle, in 1845; by Isaac Draper in Phila., in 1850.

The collection made by Roth was translated by J. W. Metcalf and pub- lished with additions in 1852 in the New York Quarterly.

^ Mind. Want of disposition for intellectual labor.

Ennui, forgetful.

Violent and angry in evening.

Mental effort increases headache.

I Weeping with cough, ^ Sensorium. Vertigo: withdesireto vomit; when going upstairs.

Dullness, fullness and pressure in frontal region, and in sin- ciput. ' Inner Head. Sensations in head like those produced by ether.

Head dull and heavy.

Dullness, pressure, and afterwards weight in sinciput.

Pressure from above downwards in sinciput.

Lancinating shocks in 1. frontal eminence.

Tearing in middle of forehead.

Lancination in r. temple and r. side of chest.

One sudden and severe pain in 1. side of head and forehead.

Pulsating pain in forehead over 1. eye.

Pains in head ; dull, heavy, dragging, steady pains from fore- head to vertex, through central line.

CAINCA. 88

Weight in temples and occiput.

Weight and pressure in occiput.

Very violent headache, especially in occiput; <^ in evening.

Very violent headache, especially in occiput. * Sight and Eyes. Appearances like clouds before eyes.

Goes to sleep at 3 p.m., in consequence of an inclination to do so; on waking an hour afterwards he could see nothing, even in open air, in consequence of a mist before his eyes.

Increased sensibility of eye.

Pressure in middle of globe of eye, first from above downwards, and then in opposite direction, with a feeling as if pupil were turned up and light only came from above, impeding vision for five minutes ; same symptom half an hour afterwards.

Pressive pain ; shooting deep into 1. eye.

Pupils very much dilated.

Burning in eyes.

Eyes appear and feel suffused.

I Inflammation of eyes, with fluent coryza.

Oedematous swelling of r. inferior eyelid ; a small purulent point was afterwards formed, but soon absorbed.

Oedema of 1. upper eyelid for five days ; it subsequently be- came uniformly red and puckered, with frequent itching.

Supra-orbital pain manifests itself alternately on r. and 1. side.

Pressure in orbital bones ; soon afterwards, pressure from above downwards in upper half of r. orbital margin; pressive drawing along course of supra-orbital nerve, with vomiturition and uneasiness in abdomen ; same symptoms subsequently appeared on 1. side. ® Hearing and Ears. Roaring and tingling in ears. ^ Smell and Nose. Violent catarrh of thin mucus, excoriating

nose, especially in day-time. ^ Upper Face. Heat in face. ^^ Teeth and Gums. Tearing in lower teeth, in evening.

Teeth set on edge.

Pasty mucus on teeth, in afternoon. " Taste and Tongue. Taste in mouth, resembling that of wild plums, bitter.

Greasy, insipid taste in mouth.

;rRed tongue, equally red all over, without any soreness in epi- gastric region.

Very dry tongue, covered with dirty white fur.

Tongue furred white.

White mucus covering tongue. ^^ Inner Mouth. Increased secretion of saliva and of urine.

Abundant, thick saliva.

Irritation of buccal membrane as far as larynx. ^^ Throat. Dryness of fauces.

Feeling of scraping in pharynx.

89 CAINCA.

Scraping in uvula, pressure in stomach, which mounts into oesophagus, and is not relieved by eructations; accompanied by slight A'omiturition, and a little while afterwards, bor- borygmi in abdomen, such as precede a diarrhoea.

Pressure with scraping in uvula not relieved by eructation.

Roughness in throat, almost peppery.

Sensation of scraping and roughness in throat, which subse- quently becomes dry and obliges him to hawk.

Sensation of cold along course of oesophagus.

Sen^sation of burning in pharynx.

Dry, burning heat in oesophagus, with hoarseness.

Painful dryness in throat.

Difficulty of swallowing, which arises from upper part of pharynx.

Inflammation of throat, with foul-smelling salivary flow.

Angina scarlatinosa. Compare oedema and Bright's disease.

Ulcers in throat to eustachian tube.

"Appetite, Thirst. Desiyes, Aversions. Unusual appetite

for one day. Absence of appetite and thirst, with continual desire to vomit. ^^ Eating and Drinking. After supper : pulsation in abdomen. After having eaten : cuttings in abdomen. Weakness after dinner, obliging him to lie down. Weakness of feet after eating. Tearing in feet after dinner.

^® Hiccough, Belching, Nausea and Vomiting. Frequent

tasteless eructations.

Continual eructations.

Nausea.

Desire to vomit: with vertigo; with absence of appetite and thirst.

Vomiturition augmented by spitting.

Vomiturition and slight chills.

Vomiturition ; two hours afterwards, borborygmi, several liquid stools, copious urine, and continual desire to urinate.

Violent vomiting.

Copious vomiting, by which he discharges saliva, bile, chyme, and even faecal matter, followed by several stools of fsecal matter enveloped in a viscous mucus. " Scrobiculum and Stomach. Tension in prsecordial region, notwithstanding his moving about.

Pressure in stomach, with vomiturition.

Sharp shooting pains in stomach, obliging him to leave dinner.

Sensation of cold in stomach, then violent cold on whole ante- rior part of chest for half an hour, forcing him to button up his coat; followed by pressure in stomach as if from a foreign body ; similar pressure in throat ; after continuing for an hour, it changes into slight burning.

CAINCA. 90

Sensation of cold in epigastric region. Heat in region of stomach. ^* Hypochondria. Some pain in r. hypochondrium, at noon.

rain in li.ver ; he goes to bed because he is afraid of an attack

of hepatitis. Pressure between r. and 1. lobes of liver, extending into r. in- ferior pulmonary lobe. Pressive and lancinating pain in middle of ascending colon,

resembling that he had experienced two days before under

1. lobe of liver ; not >■ by eructations. Lancination in and across splenic region. ^' Abdomen. Sensation of anxiety and strong heat in abdomen. Sensitiveness of abdomen to touch, and when bending back- wards. Borborygmi in abdomen. Uneasiness and fullness of abdomen, with feeling of inflation,

not relieved by eructations. Fullness and inflation of abdomen. Aching in abdomen and slight rumbling in intestines, followed

by a liquid stool. Cuttings in abdomen after having eaten. Violent pains in whole abdomen, which shift their places, with

borborygmi and continual eructations. Transitory colicky pains followed by a diarrhoeic stool; matters

discharged are mixed with air-bubbles ; stool occurs again in

afternoon. Inflation of abdomen continuing notwithstanding stools. Peculiar indefinable sensation in epigastrium and umbilical re- gion, continuing half an hour and ceasing after a pappy

stool ; accompanied by increase of urine. Slight pains around navel, with borborygmi, and finally noisy

eructations. Dullness and uneasiness in abdomen, sensitiveness to touch,

especially under navel ; subsequently he discharges a great

deal of gas from his stomach. Pain below navel, with necessity to go to stool. Slight pain in abdomen as low down as the umbilicus ; after a

repeated dose increased and higher up ; obliged to leave his

dinner. Pains, sharp lancinating, in stomach, causes paleness, obliging

him to lie down ; on waking from sleep, 6 p.m., still some

pain and slight sensations of looseness. ^^ Stool and Rectum. Frequent necessity to go to stool, but

with discharge of wind only. Necessity to go to stool, with pressure on rectum. . At 5 in morning an urgent loose evacuation. Soft or lienteric stools.

91 CAINCA.

Two pappy stools before breakfast, then nausea and desire to vomit.

Stool copious ; diarrhoeic ; free, loose, watery.

Several liquid stools, with copious urine.

Rheumatic diarrhoea.

Stools more frequent, two or three a day, almost liquid, yel- lowish ; evacuations are always preceded by colic.

Soft stool in morning, after rising, followed by cuttings ; a quarter of an hour afterwards, a pappy stool, w^th painful colic, which returns in paroxysms several times during day.

Diarrhoea of feculent matter, followed by slight vertigo and malaise, at noon ; before 2 p.m. another liquid evacuation, followed by borborygmi in abdomen ; towards evening, he passes much wind without relief.

Colic continually recurs from time to time.

Vomiturition and pains in abdomen cease after stool.

On going to bed, in evening, violent tickling in rectum, which obliges him to turn in bed and scratch.

Burning at anus.

Itching at anus after a scanty stool. ^^ Urinary Organs. iPain in region of kidneys in morning; can- not change his position.

Continual and slight aching and drawing pain in urethra, caus- ing desire to urinate, but not increased by passing water.

Difficult discharge of water, with subsequent burning in that part of urethra which traverses glans ; with burning at ex- ternal meatus and continued desire to make water, at noon.

Emission of urine, penis being erect, which causes a burning like fire, in passing through urethra, almost amounting to strangury.

Weak impulse to urinate.

Continual desire to urinate.

Copious urinations in morning, on three occasions, with con- tinual urging, but without pain.

Urination more frequent, but urine not increased.

Frequent urination ; urine more transparent than usual.

Very copious urine, although no great time had elapsed since he urinated.

He is obliged to urinate almost every hour, day as well as night, and always passes an abundant supply, which seems to him of a deeper color than usual.

Acrid, salt urine of an ammoniacal odor.

Copious urine, limpid as water.

■ Polyuria of some months' duration.

I Copious urination after drinking coffee. ^^ Male Sexual Organs. Great increase of sexual impulse.

Emissions following voluptuous dreams.

After flatulency, in forenoon, sharp pains in right testicle.

CAINCA. 92

23 Female Sexual Organs. • One of the best emmenagogues. ^^ Voice and Larynx. Trachea and Bronchia. Voice hoarse and hollow, with dry and burning heat in pharynx.

Aphonia.

Roughness of throat ; voice hoarse.

Hoarseness and roughness.

He is frequently obliged to hawk on account of irritation in upper part of larynx.

Accumulation of easily detached portions of mucus in trachea.

Frequent hawking.

Violent heat in trachea. ^® Respiration. Dyspnoea. ^^ Cough. Irritation to cough.

Tickling cough, with tough greenish-grey expectoration, wak- ing him at 3 A.M.

■ Attacks of rough coughing from 7 p.m. till 1 a.m., with rattling of phlegm and short breath ; accumulation of wind in abdomen, which feels like a pair of bellows set in motion ; feels it putting hands there.

1 Cough with weeping. ^^ Inner Chest and Lungs. Oppression of chest.

Uneasiness and pressure in chest.

Pressure on chest as though from a great weight.

Lancination in middle of r. side of chest.

In evening, lancination in middle of r. side of chest, returning after several days, with weight on chest, followed by oppres- sion, which disappears in two hours.

Oppression in inferior third of chest, with embarrassment of respiration when going upstairs.

Lancinations in inferior third of r. side of chest.

TrHydrothorax incipiens : continual want of breath increased by walking, particularly upstairs ; in evening, after lying down such a constriction of chest that she is obliged to sit up from fear of suffocating ; sometimes also during day attacks of contraction of chest ; legs oedematous, even above knees. ^® Heart, Pulse and Circulation. Pulse 78 ; afterwards 54 ; it falls to 50 and becomes almost imperceptible remaining, however, unchanged in frequency.

Pulse rather full than accelerated.

Pulse small and somewhat accelerated.

Pulse accelerated whole day, especially after siesta ; his nor- mal pulse is slow.

Very agitated pulse.

Perceptible pulsation in abdominal aorta during rest, after supper.

Carotids beat more violently. ^^ Outer Chest. Intercostal muscles pain.

93 CAINCA.

^' Neck and Back. Pain in back.

•Isolated pains in trunk, lancinating and bruising.

Pains in small of back as though in kidneys ; ameliorated by lying bent backwards somewhat. 22 Upper Limbs. I Bruised feeling of 1. upper arm.

f'ain as if broken in 1. arm. ^^ Lower Limbs. Extension and stretching of limbs, with sensa- tion of cramps in lower extremities.

Heaviness in lower extremities.

Great depression in inferior extremities, drawing in muscles of calf, in knee-joint; pain like rheumatism in muscles of shoulder and back on r. side, in 1. intercostal muscles in second and third spaces, and in upper lumbar vertebrse ; aching in second intercostal space extends to sternum and lasts until evening.

Breaking pain in knee-joint, with feeling as if lower end of femur were about to escape from patella.

Oedematous swellings : hydrops of lower limbs without great prostration and without fever; after intermittent, violent cold, or checked catamenia.

Weakness in knee-joints, with sensation as if patella would be dislocated.

I Crampy sensation in legs.

Continual pressure in anterior third of r. foot.

Tingling sensation in bottom of L foot as if it had been asleep ; later in both feet.

Acute lancination under nail of r. great toe. ^* Limbs in General. Weariness of limbs.

TrSweat on hands and feet. ^' Rest. Position. Motion. During rest : after supper, pul- sation in abdomen ; skin moist.

Lying : weakness >> ; constriction of chest <C ', pains in small of back >■ .

Sitting: constriction of chest >.

Bending backwards : abdomen sensitive.

Walking : want of breath ; perspires over whole body in evening.

Ascending : vertigo ; desire to vomit ; respiration embar- rassed.

Motion : pain in kidneys <.

Great precipitancy in all his actions. ^® Nerves. Great fatigue after working two hours.

Very weak next morning from pain between 2 and 3 a.m. ^ Sleep. Yawning.

All afternoon very somnolent, continuing during evening.

Feels stupid and sleepy ; could easily go to sleep.

I I Somnolence.

Sleeplessness all night.

OAINCA. 9i

Sleep troubled by frequent wakings and disturbing dreams, as for instance, that he was about to fall.

He wakes, after having slept a quarter of an hour, with a start, and crying out in consequence of a painful dream.

Sleep very restless, with lascivious dreams.

Unquiet, restless dreams at night. ^^Time. Night: attacks of coughing from 7 P.M. to 1 A.M.; sleep- lessness ; cough awakens at 3 a.m.

Morning: 5 a.m., loose evacuation; two pappy stools before breakfast, then nausea ; pain in kidneys ; copious urination with continued urging; 3 a.m., tickling cough with expecto- ration ; very weak from pain between 2 and 3 a.m.

Forenoon : flatulency.

Noon : pain in r. hypochond. ; diarrhoea with vertigo and malaise ; burning in urethra and desire to make water.

Afternoon : 3 P.M., goes to sleep, on waking in one hour could see nothing ; pasty mucus on teeth ; diarrhoeic stool re- peated; 6 P.M., on awakening pain in stomach and looseness not quite gone ; somnolence ; pulse frequent after siesta.

During day : nasal catarrh of thin mucus ; colic ; pulse ac- celerated; symptoms < from 4 to 6 P.M.

Evening : violent and angry ; headache in occiput < ; tearing in lower teeth ; passes wind without relief; going to bed, tickling in rectum; lancination in r. chest; constriction of chest on lying down ; somnolence ; dry heat without thirst ; perspiration over whole body. *" Fever. Slight chill and trembling, followed by weight in head, heat in face, roaring and tingling in ears.

Cold, arising from stomach.

General heat.

Heat, dry, without thirst, especially towards evening.

He sweats more easily than usual.

He perspires over his whole body in evening, when taking a little walk, atmospheric temperature being low.

Skin moist, sweating, even when at rest. ** Locality and Direction. Right : lancinating in temple and side of chest ; oedema of lower lid ; pressure in orbital margin, afterwards on 1. side; pain in hypochond., at noon; pressure . between r. and 1. lobes of liver to r. lower pul- monary lobe ; after flatulence, pain in testicle ; lancination in chest ; rheumatic pain in back ; continual pressure in anterior third of foot ; lancination under great toe nail.

Left : lancinating in frontal eminence ; one sudden pain in head ; pulsating pain over eye ; pressive pain in eye ; oedema of upper lid ; bruised feeling in upper arm ; broken pain in arm ; tingling in bottom of foot.

Left to right : feet asleep.

Right to left : headache.

95 CAINCA.

Above down : pressure in sinciput ; pressure in eye ; pressure in r. orbital margin, afterwards also in left.

Below up : pressure in eye.

Before back : dragging pains from forehead to vertex.

The morbid phenomena shift their locality. " Sensations. Feels all over as if under the influence of a slight galvanic shock.

Sensitiveness : of abdomen.

Sensation as if pupil were turned upward.

Peculiar indefinable sensation in epigastrium and umbilical region.

Sensations in head like those produced by ether.

Anxiety : in abdomen.

Lancinating: in 1. frontal eminence; in r. temple and r. chest; in middle of ascending colon; in splenic region; in stomach ; in r. chest ; in trunk ; under nail of r. great toe.

Cutting : in abdomen.

Shooting: in stomach.

Tearing : in middle of forehead ; in feet.

Dragging : from forehead to vertex.

Drawing: along supra orbital nerve ; in urethra.

Burning : in eyes ; in pharynx ; in throat ; in urethra ; at meatus.

Bruised : in trunk ; in 1. upper arm.

Aching: in abdomen ; in urethra.

Scraping : in pharynx ; in uvula ; in throat.

Pressure: in frontal region and sinciput ; in occiput; in globe of eye ; in 1. eye ; in orbital bones ; in stomach to oeso- phagus ; and scraping in uvula ; in throat ; between r. and 1. lobes of liver to r. inferior pulmonary lobe ; in middle of ascending colon ; in rectum ; in chest ; in anterior of r. foot.

Cramping : in lower extremities ; in legs.

Pain : sudden and severe in 1. side of head ; headache in occi- put ; supra orbital ; in r. hypochond., at noon ; in liver ; in abdomen ; colic-like, in abdomen ; around navel ; below navel ; in kidneys ; in r. testicle ; in intercostal muscles ; in back ; in trunk.

Broken, in 1. arm ; breaking, in knee-joint.

Pulsating : over 1. eye ; in abdomen.

Fullness : in frontal region and sinciput ; in abdomen.

Uneasiness : in abdomen ; in chest.

Oppression : of chest.

Depression : in lower extremities.

Dullness : in frontal region and sinciput ; from forehead to vertex ; in abdomen.

Heaviness : from forehead to vertex ; in lower extremities.

Weight : in sinciput ; in temple and occiput.

CAINC A— CALABAR. 96

Tension : in praecordial region.

Constriction : of chest.

Roughness : in throat.

Weakness : after dinner ; of feet ; in knee-joint ; in morning.

Weariness : of limbs.

Fatigue : after working two hours.

Tingling : in ears ; in bottom of r. foot.

Tickling : in rectum.

Itching : of 1. upper lid ; at anus.

Heat : in face ; in abdomen.

Coldness : along oesophagus ; in stomach and anterior chest ; in epigastric region.

Dryness : in throat. "Touch. Passive Motion. Injuries. Sensitiveness of ab- domen to touch.

While travelling 18 miles in the cars, he had to urinate 18 times.

It removes the fatigue consequent upon too long a ride on horseback. *® Skin. I Dry skin with hydrops.

*^ Stages of Life, Constitution. I An aged female. /9 Hydro- thorax with oedema of feet. *^ Relations. Antidotes : ColcMcum, Rhux tax., Veratrum.

Rhux tox. relieved the gastralgia.

I Cainca?'^^ three doses taken at eight day intervals after Arsenio had given some relief. ^Hydrothorax with oedema of feet.

Bryonia^ και ιδίως Apocynum^ που είναι αξιοσημείωτα ανάλογο.