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Naja Tripudians

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General

Cobra Poison. Elapidfe.

The Cobra di Capello is the hooded snake of Hindostan usually employed by the snake charmers of India.

Provings by Stokes (Br. Jour, of Hom., vol. 11, p. 25, 1853), Russell (Br. Jour, of Hom., vol. 11, p. 593) ; other authorities, Du Chaillu, Fayrer, etc., have reported symptoms of the bite (Allen's Encyclopedia, vol. 6, p. 447).

Clinical Authorities Effects of grief , Stokes, B.J. H., vol. 11, p. 598; Neuralgia in head, Colton, Raue's Rec, 1874, p. 258;

A. H. O., vol. 10, p. 574; Headache, Russell, B.

J. H., vol. 13, p. 310; Chronic headaches, Russell, B. J.

H., vol. 12, p. 214 ; Cerebrospinal meningitis, Cummings, MSS. ; Pains in temples, cardiac and ovarian regions, Danforth, Hom. Phys., vol. 2, p. 51 ;

Congestion of conjunctiva, Stokes, B. J. H., vol. 11, p. 598 ; Acute pharyngo-laryngitis, Russel, B.

J. H., vol. 12, p. 213; Dyspepsia, Stokes, B. J.

PI., vol. 11, p. 598; Irritability of heart (2 cases), Russell, B. J. H., vol. 12, p. 372;

Angina pectoris, Bradshaw, AUg. Hom. Ztg., vol. 107, p. 134 ; Affection of heart, Hansen, Allg.

Hom. Ztg., vol. 113, p. 84 ; Organic disease of heart, Russell, B. J.

H., vol. 12, p. 54.

^ Mind. I 1 Easily excited.

I Great depression of spirits, with temporo-frontal head- ache, spinal pain and palpitation of heart.

I I Melancholy ; began to form images of possible wrongs and misfortunes over which the mind broods; very wretched at times.

I I Suicidal insanity, broods constantly over imaginary troubles; sleep full of frightful dreams, and wakes with dull pain in head and fluttering of heart; uneasy dry- ness of fauces ; grasping of throat, with sensation of choking and lividity of face. ^Melancholia.

Paroxysms, twice a day, of delirium, incessant talking, seeing visions, imagines she is in a terrible rainstorm, complains of being so cold, and that the carriage has turned over and hurt her head. ^Cerebro-spinal men- ingitis.

■ Dragging and anxiety at prsecordia, occurring in great grief; also smarting pains in back from same cause. ^ Inner Head. Heaviness of eyes, with dryness of throat.

I Temporo-frontal headache, depression of spirits; spinal pain; palpitation of heart.

I I Congestive headache dependent upon organic disease of heart.

Waking with dull pain in head, attended by fluttering of heart.

Weight and pressure at vertex, with cold feet and flushes of face.

529 NAJA TRIPUDIANS.

I Pain in head, ringing in ears, palpitation, small, quick, nervous pulse; constipation; abdomen large; urine scanty and sedimentitious. ^Nervous headache.

■ Neuralgic pain in head, preceded or followed by nausea

or vomiting; pain severe in 1. orbital region, extended back to occiput; aching around orbit, increased to throbbing, and thence it was drawing in character to back of head; from overeating, mental or physical exertion.

■Since cessation of catamenia eight years ago, subject to agonizing pain in head, depriving her of sense and mem- ory; pain comes on at noon ; pain in upper part of back, and flushes of face; has not been more than two or three days free from an attack for some years; sleep profound; pulse regular and small. -

■Awakes with headache ever}^ morning; dull, heavy con- striction across forehead; eyes sunken and dark; in- capacity for much exertion of mind or body; headache sometimes wears off, at other times continues all day ; constant relaxed sore throat, dryness of fauces, hoarse- ness; very susceptible to cold; frequent emissions. ^Chronic headache.

I I Dull shoots up occiput; tired feeling in cervical and dorsal vertebrae, with peculiar burning of exhaustion ; spinal irritation. ^ Sight and Eyes, l i Eyes fixed and staring.

i I Passive congestion of palpebral conjunctiva; lids look bluish and are glued together in morning. ^ Upper Face. ' i Livid face. ^ Lower Face, • ' Foaming at mouth. ^^ Inner Mouth. ' ' Great dryness of mouth, 13 T]i]«oat. I I Pressure and gagging in throat.

■ Constriction and dryness of throat.

■ Grasping at throat, with sense of choking.

■ QEsophagismus or spasmodic stricture of oesophagus. ■Soreness and pricking in 1. side of throat.

■ Pharyngo-laryngeal inflammation, with dark red color

of fauces and spasmodic, irritable cough. ■After catching cold, pain in throat and frequent tendency to short cough; three days later, heat of skin, quick, full pulse, flushed face; tongue white, moist and large; r. tonsil swollen, with sharp pain in it, as from needles ; short, hard cough, < at night ; pain up r. side of neck ; finally incessant cough; considerable heat of skin; fauces red ; larynx tender to touch, with inclination to cough when pressure was made there ; tonsils swollen. ^ A cute pharyngo-laryngitis.

■ Diphtheria in cases just like Laches, when larynx is in- voL. VII. — 34.

NAJA TRIPUDIANS. 530

vaded ; patient grasps at throat, with sensation of chok- ing, fauces dark red, fetid breath, short, hoarse cough, with raw feeling in upper part of trachea.

■ Diphtheria with impending paralysis of heart; patient

blue ; awakens from sleep gasping ; pulse intermittent

and thready. ^^ Scrobiculum and Stomach. 1 1 Dyspepsia with foul white

or .yellowish white tongue; rawness of throat; soreness

of stomach or pressive pain. ^^ Stool and Rectum. Il Diarrhoea; white, slimy, greenish • stools.

I I Constipation ; difficult, painful evacuations. ^^ Urinary Organs. ' ' Urine yellow, loaded with mucus. ^ Female Sexual Organs. iCrampy pains in 1. ovary with

severe palpitation.

■ Ovarian congestive neuralgia, with violent palpitation. I iTliin, whitish leucorrhoea in afternoon.

^ Voice and Larynx. Trachea and Bronchia, i Constric- tive irritation of larynx, giving rise to coughing. Spasmodic croup ; clogging up of larynx and trachea with

thick mucus, which is hawked up with difficulty. Sensation of rawness in larynx and trachea, or as if there was a hair in it, causing constant tickling, coughing and hoarseness ; finally some expectoration of tenacious mucus; breathing laborious; gasping for breath for several hours. I i Diphtheria invading larynx; impending paralysis of heart. ^^Respiration, i Dyspnoea and prostration. ^Organic dis- ease of heart. ^^ Cough. I Short, hoarse cough, with rawness in larynx and upper part of trachea.

I Irritating, sympathetic cough, attending organic disease

of heart. I I Cough of laryngeal and pulmonary phthisis. ^ Inner Chest and Lungs, i i Asthmatic constriction of chest

for half an hour, ending in mucous expectoration. ^^ Heart, Pulse and Circulation. 1 1 Feeling of depression and lowness about heart. I Fluttering of heart, with headache; pulse regular in rhythm, but irregular in force; acute pain and sense of oppression in chest as though a hot iron had been run into it and a hundredweight put upon it ; cannot lie a moment on 1. side, but great relief of pain and breath- ing on lying on r. side.

■ Chronic nervous palpitation ; palpitation after preaching.

■ ■Inability to speak, with choking, nervous, chronic pal-

pitation; chronic hypertrophy and valvular disease of

631 HAJA TRIPUDIANS.

heart; considerable pain after riding in a carriage, ex- tending to 1. scapula ; pain not affected by inspiration. ^Angina pectoris.

■ Attacks of severe stitching pains in region of heart, dur-

ing which respirations almost cease and death seems impending. 6* Angina pectoris. ■Severe pains in 1. temple, cardiac and 1. ovarian regions; great mental depression; aversion to talking; sensation as if heart and ovary were drawn up together; a sense of contraction or drawing together between the organs,

■ Pressing pain in vertex as from a weight; shortness of

breath; palpitation of heart, < walking and lying on side ; constrictive sensation in cardiac region, as if heart was screwed together; great anxiety; loss of appetite; stool normal; slight enlargement of heart; first sound followed by a grating, second sound accentuated ; pulse irregular, weak ; pains about heart extending to nape of neck, 1. shoulder and arm, with anxiety and fear of death; attacks occur frequently during night; pains accompanied by dry cough, particularly emanating from trachea.

■Irritating, sympathetic cough in acute stage of rheumatic carditis, and afterwards organic changes in valves, giv- ing rise to tumultuous action of heart, violent, sudden throbbing, attended with endocardial murmur and in- creased size of organs.

■Simple hypertrophy of heart.

■ For restoration of heart damaged by acute inflammation

and for assuaging sufferings of chronic hypertrophy and valvular disease.

■ Valvular disease, with loud regurgitative sounds; pulse

60, with general anasarca.

■ Deficient nervous influence of par vagum; dilatation and

fatty degeneration of heart.

■ Threatening paralysis of heart. ^Diphtheria.

^^ Neck and Back, i Cough, laryngismus and even spas- modic stricture of oesophagus, result of spinal irritation affecting the nucha.

■ Pain in back, < in evening.

■ Spinal irritation.

^' Limbs in General, l i Sudden prostration of strength in limbs.

■ Limbs swollen double natural size. ^Organic disease of

Heart

^■^ Rest.

Position.

Motion.

Lying on side: palpitation <.

Lying on r. side: great relief of pain and breathing.

Cannot lie a moment upon 1. side: pain in chest.

Physical exertion : neuralgic pain in head.

NAJA TRIPUDIANS. 532

Walking: palpitation <, ^ Time.

Morning : eyelids glued together.

Noon: pain comes on.

All day: headache sometimes lasts.

Afternoon : leucorrhoea.

Evening: pain in back <.

Night : cough < ; attacks of pain about heart frequent. ^^Temperature and Weather.

Cold: very susceptible. *^ Attacks, Periodicity.

For half an hour: asthmati ccon-

striction of chest.

For several hours : gasping for breath.

Every morning: awakes with headache.

For some years has not been free from an attack of pain

in head for more than two or three days. *^ Locality and Direction. Right: tonsil sw^oUen, with

pain ; pain in side of neck. Left: severe pain in orbital region; soreness and pricking

in side of throat; crampy pains in ovary; cannot lie

upon side; pain from heart to scapula; severe pain in

temple and ovarian regions. ^ Sensations. Pain as from needles in tonsil ; as if there was

a hair in larynx; as though a hot iron had been run

into it; as if heart and ovary were drawn up together;

pain as from a weight in vertex; as if heart was screwed

together. Pain: in head; in spine; in upper part of back; in throat;

in r. side of neck; in heart; about heart to nape of

neck; 1. shoulder and arm.

Agonizing pain: in head.

Acute pain: in chest.

Severe pain: in 1. orbital region; in 1. temple, cardiac and

ovarian regions.

Sharp pain: in r. tonsil.

Severe stitching pains : in region of heart.

Neuralgic pain : in head ; in ovary.

Crampy pains: in 1. ovary.

Aching: around orbit, increased to throbbing, and thence

it was drawing in character to back of head.

Dull shoots: up occiput.

Pressive pain : of stomach ; in vertex.

Smarting pain : in back.

Dull pain : in head.

Peculiar burning : of exhaustion.

Soreness: in 1. side of throat; of stomach.

Pricking: on 1. side of throat.

Raw feeling: in upper part of trachea; of throat; in

Larynx

Depression and lowness: about heart.

533 NAJA TRIPUDIANS.

Dragging and anxiety: at praecordia.

Tired feeling: in cervical and dorsal vertebrae.

Pressure: in throat.

Weight and pressure: at vertex.

Heaviness: over eyes.

Dull, heavy constriction: across forehead.

Constrictive sensation: in cardiac region.

Choking sensation.

Uneasy dryness : of fauces.

Dryness : of throat ; of fauces ; of mouth. ** Tissues.

Acts primarily upon nervous system, especially upon respiratory nerves, the pneumogastric and glosso- pharyngeal. *' Touch.

Passive Motion.

Injuries.

Touch: larynx tender.

Riding in a carriage : considerable pain in heart. *'' Stages of Life, Constitution. Woman, set. 20 ; cerebro- spinal meningitis.

Miss, set. 26, fair, florid, nervous, sanguine; angina.

Man, set. 27, dark, bilious temperament ; chronic headaches.

Man, set. 32, baker, eight j^ears ago suffered from obstinate articular rheumatism, six years ago had syphilis; affec- tion of heart.

Woman, set. 32, feeble, nervous, suffering several years; neuralgia in head.

Woman, set. 85, mother of four children, has frequently aborted, brother and sister died of consumption, she herself having been homoeopathically cured of the dis- ease, a slight dyspnoea only remaining; angina pectoris.

Woman, set. 50, suffering about a year ; irritability of heart.

Woman, set. 56, catamenia ceased eight years ago, since then suffering ; headaches.

Woman, set. 60; headache. ^ Relations. Compare : Arsen., Cactus, Crotal, Iberis, Laches., Mygale, Sumbul, Spigel.

NATRUM ARSENICATUM. 534