Leptandra Virginica

Culverts Root Scrophulariacese.

Introduced by Hale. Provings by Burt and a student in Hahnemann Med. College. See Hale's New Remedies. Both provers made use of Leptandrin.

Clinical Authokities. — Sick headache, Barlow, Times Eetros., vol. 2, p. 14 ; Bilious headache, Hale's Therap., p. 387 ; Hepatic disease, Neidhard, Warren, Hale's Therap., p. 375; Griping pain in intestines, Williamson, Trans. Hom. Med. Soc. Pa., 1873, p. 97 ; Diarrhoea, Barnes, Hale's Therap., p. 386 ; Chronic diarrhoea and dysentery, Coe, Burt's Mat. Med., p. 568 ; Dysentery, Hughes, Pharmacody., p. 501 ; Fry, Hale's Therap., p. 385,

^ Mind. I Gloomy; desponding; drowsy. (^Hepatic derange- ment.

^ Inner Head, i Constant dull frontal headache; < in tem- ples, with aching in umbilicus.

I Sick headache with furred tongue, hepatic derangement. B Bilious headache; constipation, bitter taste, indigestion.

^ Sight and Eyes, l Smarting and aching in eyes. ^^ Taste and Tongue. ■ Tongue yellow or black down centre. ^* Appetite, Thirst. Desires, Aversions, i ' Canine hunger. ^^ Hiccough, Belching, Nausea and Vomiting, i Nausea, with deathly faintness on rising.

I I Vomiting of bile, yellow tongue; shooting pains about liver, black stools.

" Scrobiculum and Stomach. iWeak, sinking sensation at pit of stomach.

49 LEPTANDRA.

I Great distress in stomach and small intestines, with im- mediate desire for stool. I Burning, aching in stomach and liver, < drinking water,

■ Dyspepsia from disordered liver and stomach,

^^ Hypochondria. BDuII aching in liver, < near gall bladder, I Burning distress in back part of liver and in spine. 8 Periodical liver derangement, occurring every two or

three months; yellow coated tongue; constant nausea,

vomiting of bile ; ■ shooting or aching pains in region of

liver; loss of appetite; urine brownish or very dark;

pain in transverse colon ; giddiness in head. iDeliriousness; complete prostration; heat and dryness of

skin; coldness of extremities; fetid and tarry stools;

tongue thickly coated, with a black streak down centre.

^Hepatic disease. IJaundice, with clay colored stools. '^ Abdomen, i Constant dull aching distress in umbilical

region. I Sharp, distressing pains between navel and epigastrium.

■ Rumbling and distress in whole bowels, especially in

hypogastrium, with black stools.

■ Bilious colic, or a tendency to it.

■ Rumbling and distress in hypogastric region, profuse,

black, fetid stools, pains in bowels. ^" Stool and Rectum. ■ Stools : black, tarry, bilious, undigested, followed by great distress in liver; mushy, with weak feeling in bowels; greenish, muddy, spouting out like water; profuse, black, fetid, running a stream; profuse, black, consistence of cream ; black, papescent, tarlike, fetid, in afternoon and evening; first hard, black, lumpy, afterwards soft and mushy; watery, with large quanti- ties of mucus; yellowish green; clay colored; < morn- ing, as soon as he moves ; from meat or vegetables.

■ Profuse, watery stools, followed by severe cutting pains

in small intestines ; after exposure to wet, damp weather. Before stool: rumbling. After stool : sharp, cutting pains and distress in umbilical

region; faint, weak, hungry; griping, but no straining.

■ Profuse dark brown, almost black, mushy and highly

offensive stools; difficulty in retaining stool, must go immediately; sharp pain preceding stool, > afterwards, but increasing weakness; usually went to sleep soon after stool; three to four stools daily. ^During progress of post-scarlatinal follicular enterocolitis with dropsy.

■ For nearly three months, camp diarrhoea; hardly able to

stand; emaciated; features haggard and jaundiced; stools, previously mixed with undigested food, now muco-purulent and bloody, quite frequent, with tenes-

VOL. VII. — i.

LEPTANDRA. " 50

mus and cutting pains low down in bowels; sense of weight at stomach after cold water, cutting in bowels and disposition to stool.

I The mucus discharged resembles false membrane.

I Diarrhoea: dependent on hepatic derangement, or inflam- mation of mucous membrane; debility.

I Chronic ulceration of intestines, with hepatic disorder.

■ Dysentery or typhoid with black, tarlike passages.

■ Dysentery of nearly a month's standing, brought on by

sudden changes of climate; dizziness and headache chills, followed by fever; pain and uneasiness in bowels nausea and constant profuse flow of saliva during chill thirst; unable to keep food or any drink on stomach desire to urinate during chill; urine high colored and passed in small quantities ; soreness of rectum ; hemor- rhoids ; painful dragging and stinging pains in rectum ; bowels bound and alternated every three or four days by diarrhoea, passages consisting of fecal matter resem- bling raw or boiled beef after having been pounded fine, with an admixture of mucus and an intolerable fetid smell ; the desire to stool was in morning and con- tinued about an hour, during which time there were four or five passages, followed by tenesmus of rectum and a feeling as if something was passing out. I Constipation ; piles, depending upon hepatic derangement.

■ Frequently bleeding piles; constipation and distressing

pain beneath sacrum. ^ Urinary Organs. iRed or orange colored urine, with dull

' aching in lumbar region. ^^ Female Sexual Organs, i Menses suppressed or retarded; liver affected ; prickly heat.

■ Leucorrhoea, with ulceration of os uteri; sometimes fetid,

with shreds of mucous lining it; irritation of bladder and rectum ; frequent pain at bottom of bowels ; general languor and prostration ; heat and dryness of skin. ^^ Heart, Pulse and Circulation. " ' Soreness in cardiac region .

I I Pulse slow and full. ^^ Neck and Back. Chilly sensation on shoulders and down back. ■Sore, lame feeling in small of back. ^^ Upper Limbs. ■Pain in r. shoulder and arm. ^Hepatic

affections. ^ Rest. Position. Motion. Rising : causes nausea, faintness.

Hardly able to stand : from weakness. ^ Time. Morning: clay colored stools; desire to stool.

Afternoon and evening: black fetid stools. ^^ Temperature and Weather. Exposure to wet, damp weather ; profuse, watery stools, with cutting pains in small intestines.

51 LEPTANDBA.

After cold water : sense of weight in stomach.

Sudden changes of climate : dysentery. ^"^ Fever. ■ Chilly along spine and down r. arm.

I I Shivering, or dry, hot skin; stupor; limbs cold and numb ; tongue black down centre. ^Bilious fever.

I Bilious typhoid fevers. *^ Attacks, Periodicity. In one hour : four or five stools.

Daily : three or four stools.

Every three or four days : bowels bound, or diarrhoea.

For nearly a month : dysentery.

Every two or three months : liver derangement.

For nearly three months : camp diarrhoea. *^ Locality and Direction. Right : pain in shoulder and arm ;

chilly down arm. ^ Sensations. Feeling as if something was passing out of rectum.

Pain : in transverse colon ; in bowels; at bottom of bowels; in r. shoulder and arm.

Great distress : in stomach and small intestines ; in hypo- gastric region ; in liver.

Sharp distressing pains : between navel and epigastrium.

Distressing pain : beneath sacrum.

Sharp pain: in abdomen.

Shooting pains : about liver.

Cutting pains : in small intestines; in umbilical region; low down in bowels.

Painful dragging and stinging : in rectum.

Dull pain : in forehead ; in temples.

Aching : in umbilicus ; in eyes ; in stomach ; in liver ; in lumbar region.

Dull aching distress : in umbilical region.

Griping : after stool ; bilious colic.

Burning distress : in back part of live! and spine.

Burning : in stomach ; in liver.

Soreness : of rectum ; in cardiac region.

Smarting : in eyes.

Heat: of skin.

Sore lame feeling : in small of back.

Uneasiness : in bowels.

Weak sinking sensation : at pit of stomach.

Weight : at stomach.

Dryness: of skin.

Chilly sensation : on shoulders and down back. ** Tissues. I Chronic abdominal complaints caused by de- rangement of portal system.

■Chronic congestion and other chronic disorders of liver.

■Chronic dysentery and diarrhoea, and other diseases of bowels; when false membranous formations have

LEPTANDRA— LILIUM TIGRINUM. 5^

occurred in small intestines, produced by gradual exu- dation of plastic lymph. Ascites and anasarca from obstructed circulation in portal system. *^ Skin. B Jaundice.

I Hot and dry skin. ^Bilious attacks. *'' Stages of Life, Constitution. Boy, set. 6, during progress of post-scarlatinal follicular enterocolitis, associated with general anasarca ; diarrhoea. Woman, set. 75 ; hepatic disease. *^ Relations. Compare : Bryon., Cinchon., Iris vers., Mercur.,, Podoph.