Rheum Palmatum

Rhubarb. Polygonacese.

Provings by Hahnemann, Gross, Hornburg, Eiickert, Teuthorn, etc. See Allen's Encyclopedia, vol. 8, p. 303.

Clinical Atjthokities. — Headache, Fuller, Hah. Mo., vol. 20, p. 539 ; Diffi- cult dentition, Tuller, Hah. Mo., vol. 20, p. 538 ; Renal affections, Tuller, Hah. Mo., vol. 20, p. 542 ; Diarrhcea, Hartmann, Tietze, Weigel, Kiick. Kl. Erf., vol. 1, p. 846; Kirsch, Miiller, Hartmann, Kafka, Weber, Kiick. Kl. Erf., vol. 5, p. 430; Smalls, Eaue's Kec, 1873, p. 122, from U. S. Med. and Surg. Jour., vol. 7, p. 428 ; Dysentery, Gauwerky, Kiick. Kl. Erf., vol. 5, p. 447.

^ Mind. 1 1 Child impatiently and vehemently desires many things and cries ; dislikes even its favorite playthings. II Screaming of children, with urging and sour stools. Not inclined to talk much ; indolent ; taciturn ; morose. Restless, with weeping. ' Sensorium. Vertigo and heaviness, with beating in head ; < while standing. Sensation as if brain moved, when standing. ^ Inner Head. Beating headache.

Dull, light, dizzy sort of headache, extending over whole

brain. Dull, stupefying headache, with bloated eyes. Heaviness of head ; heat rising up to it.

29 RHEUM.

Pulsation in head, ascending from abdomen.

Pulsative, crampy headache.

Sensation as if brain moved when stooping.

I I Headache due to gastric derangement ; pain on top of

head ; sour, flat, slimy taste in mouth ; bitter taste of food ; hunger, but great repugnance to food after eating a little.

* Outer Head, l Sweat on hairy scaljD, constant and very

profuse ; whether asleep or awake, in motion or quiet, the hair is always sopping wet; sweat may or may not be sour.

* Sight and Eyes. Weak and dull, especially when looking

intently at any object.

Swimming eyes full of water, especially in open air.

Pupils dilated, with pressing headache; later contracted, with inward restlessness.

Contracted pupils.

Pulsation in eyes.

Convulsive twitching of eyelids.

Granulated upper lids. ^ Smell and Nose. Stupefying drawing in root of nose, ex- tending to tip, where it tingles. ^Tipper Face. Pale; one cheek red, the other pale.

Muscles of forehead are drawn together and wrinkled.

Tension of skin of face.

Cool sweat on face, most around nose and mouth. ^^ Teeth and Gums. Painful sensation of coldness in teeth, with accumulation of much saliva.

I I Difficult dentition ; restlessness and irritability; child is nervous, with temporary satisfaction after its whims are gratified ; pallor of face ; occasional twitching of eyelids, corners of mouth, lips and fingers ; the child smells sour.

"Taste and Tongue, i Taste: sour; flat, slimy; insipid or nauseous ; bitter only of food, even of sweet things. Tongue numb, insensible. ^^ Inner Mouth, l l Salivation with colic or diarrhoea. ^* Appetite, Thirst. Desires, Aversions, i Desire for va- rious kinds of food, which become repugnant as soon as a little is eaten. ^^ Eating and Drinking. After eating prunes, colic.

After a meal, loose stool ; colic, which is worse standing. *^ Hiccough, Belching, Nausea and Vomiting. Nausea,

as from stomach or abdomen, with colic. " Scrobiculum and Stomach, i Fulness in stomach, as after eating too much. Throbbing in pit of stomach. ■ Disordered stomach in children; nervous, irritable, de-

RHEUM. 30

siring many things, with repugnance to food, pale face, sour-smelling breath, nightly restlessness and crying during sleep. ^^ Hypochondria, l Jaundice, in consequence of eating un- ripe fruit, accompanied by white diarrhoea. I I Duodenal catarrh and catarrh of biliary ducts, with jaundice; stools whitish, pasty, or clay-colored; skin, earthy, jaundiced. ^^ Abdomen, l l Sensation of nausea in abdomen.

I Abdomen bloated, tense; wind seems to rise into chest. I I Like a lump around navel.

■ Cutting and rumbling as from flatulence.

■ Griping with great urging to stool.

■ Cutting in umlDilical region.

I I Colic : violent pain with cutting ; must lie doubled up ; < when standing ; immediately before stool, not > by stool ; before and during stool, > after ; a quarter of an hour after dinner; ■■with very sour stools, acid chil- dren; in children made < at once by uncovering an arm or a leg, child smells sour ; < by eating plums. "^^ Stool and Rectum. ■ Frequent urging and ineffectual straining ; < on motion and walking.

■ Colicky; ineffectual urging ; altered fecal stools.

■ Desire for stool after a meal.

■ Stool: brown, slimy; loose, thin, curdled, sour-smelling,

fermented ; corroding anus ; mucous and fecal ; pasty ; thin, brownish, fecal; whitish, curdy, turning green on diaper on exposure to air ; of a pea-green ; feces mixed with green slime ; fetid ; frothy.

■ Before stool : urging; ineffectual urging to urinate ; cut-

ting colic.

■ During stool: colic; chilliness, cutting and constricting

pains in abdomen ; pale face ; salivation ; screaming (teething infants), with drawing up of limbs or stiffen- ing body.

■ After stool: tenesmus; renewed urging (when moving) ;

constrictive cutting colic, < from motion. I Aggravation : when moving about; in infants and chil- dren; after eating; during dentition; in childbed; during inflammatory rheumatism ; in hot weather ; when uncovering (pains).

■ Amelioration : by bending double (colic).

■ Diarrhoea, with sour, slimy stool and tenesmus after

abuse of Magnesia.

■ Almost immediately after nursing child has a loose stool,

which is sour-smelling, accompanied by colic.

■ Liquid slimy stools, as if fermented, with pale face,

ptyalism, colic, crying and restlessness; child draws up legs, smells sour despite all washing.

51 RHEUM.

1 I Very severe diarrhoea, with colic and tenesmus; alter- nate chilliness and heat ; great thirst ; general sweat ; great prostration, restlessness, fear of death.

iDiarrhcea of teething children during Summer; extreme emaciation.

I Diarrhoea of children who have not cut any teeth ; evacua- tions fluid, greenish, sour-smelling, as if fermented, ac- companied by colic, with flexing of thighs upon abdo- men ; tossing about; paleness of face ; ptyalism.

I Sour, fetid discharge during dentition ; always some congestion about head; fever and dark-colored, smarting urine and dysuria.

I Dysentery ; after bloody stools have ceased, tenesmus, with brown, mushlike, slimy, sour stools.

I I During phthisis, greenish diarrhoea, of sour smell, containing much mucus, accompanied by colic and tenesmus.

I I Diarrhoea during inflammatory rheumatism.

I Chronic diarrhoea, sour, frothy; with moist tongue, thirst, loss of appetite. ^' Urinary Organs. Burning in kidneys and bladder, before and during urination.

Bladder weak, must press hard to urinate.

Urine : increased ; red or greenish-yellow.

I I Abdomen distended; urine scanty, burning, reddish, with a pink sediment; face pale and bloated; disposi- tion irritable ; very nervous ; constant disposition to sweat upon slightest motion ; hair wet all the time ; severe cutting drawing in 1. loin below short ribs, with a drawing, aching, burning sensation in 1. ovarian region, sometimes agonizing. ^Ascites.

I I Child lay in a stupor, from which he frequently roused and screamed ; face pale and covered with cool sweat, forehead and hair sopping wet; lips, eyelids and fingers twitching; urine scanty, hot, with slimy shreds and strings of blood on diaper ; renal region tender on press- ure, causing child to wince and cry.

I I Eight months pregnant ; face and eyes bloated ; great pallor of countenance, irritable, nervous, easily startled by noises and apprehensive, twitching of facial muscles ; great disposition to sweat on slightest motion; cool sweat on forehead; hair constantly wet; urine scanty and fragrant, high-colored. " Female Sexual Organs. Bearing down in uterine region,

while standing. ^* Pregnancy. Parturition. Lactation. 1 1 After abortus, urinary complaints.

I Milk of nursing women yellow and bitter ; infant re- fused breast.'

RHEUM. 32

■ Diarrhoea in first days after confinement, with colic,

tenesmus, prostration, restlessness ; fear of death ; stools

watery, offensive. I Stitches in nipples. ^^ Respiration. Dyspnoea, as from a load on upper part of

ribs and ni forepart of 1. side of lower abdomen, just

I I Sensation of fatigue in thighs, as after great exertion. I I Tensive, pressing pain in hollow of 1. knee, extending to

in order to rest awhile; restless nights; cannot walk

erect; flexes limbs; puts hands over head; must lie

down in uterine region. Motion : urging and straining < ; colic < ; slightest

disposition to sweat ; stiffness in bend of knee painful,

pain in all joints. Walking : urging and straining.

Cannot walk straight : stiffness of limbs, hips and sacrum. ^^ Nerves. Weakness, exhaustion also of children, with

diarrhoea. Weakness and heaviness of whole body as if one were

waking from a heavy sleep. Restlessness.

33 RHEUM.

Child is pale, quarrels, frets in sleep ; with convulsive

startings in fingers. ^'^ Sleep. Puts hands over head when falling asleep and in

During sleep: heat; jerking motion of muscles in face or

eyelids ; trembling ; moving limbs ; bending head

backward.

■ Children cry and toss about all night; delirious talking;

Requires very little sleep and not much food. ^^ Time. Evening : pulse accelerated.

Night: restlessness; children cry and toss about. ^^ Temperature and Weather. General aggravation from

external heat. Heat all over, mostly on hands and feet, with cold face ;

no thirst. Perspiration from slight exertions.

■ Sweats easily without fever.

I Perspiration on forehead and scalp after slight exertion.

iCold^ perspiration on face, especially about mouth and nose.

llSweat on scalp and forehead.

Cold sweat about nose and mouth.

Left : cutting drawing in loin ; drawing, burning in ova- rian region ; cutting drawing in lumbar region and in forepart of side of lower abdomen ; pressing pain in hol- low of knee. ** Sensations. As if brain moved ; as of a lump around navel ; as of a load on upper part of chest ; cutting as if in lumbar vertebrse ; heaviness, as if one were waking from a heavy sleep.

Pain : on top of head ; in all joints.

Violent pain : in abdomen.

Cutting: in umbilical region.

VOL. IX. — 3.

RHEUM. 34

Cutting drawing : in 1. loin ; in 1. lumbar region.

Darting pains: in arms.

Digging : in intestines.

Stitches : in nipples.

Constricting pains : in abdomen.

Drawing, aching, burning: in 1. ovarian region.

Tensive, pressing pain : in hollow of knee.

Beating : in head.

Throbbing: in pit of stomach .•

Pulsation : in head ; in eyes.

Twitching: eyelids, corners of mouth, lips and fingers; in

Acute rheumatism, going from joint to joint, r. shoulder

I Child smells sourish, even if washed or bathed. *'^ Stages of Life, Constitution. Often suitable for children,

Arsen., Bellad., Chamom., Coloc, Didcam., Nux

vom., Podoph., Pulsat., Rhus tox., Sulphur.

35 EHODODENDRON.