Sambucus Nigra

Elder. Ca'prijoliacese.

The European elder, Sambuciis nigra, difters but slightly from the American, Sambucus canadensis. The tincture is prepared from the fresh leaves and flowers.

Introduced and proved by Hahnemann, assisted by Franz, Gross, Harlmann, Langhammer and Wislicenus, R. A. M. L., vol. 5.

CuNiCAii Authorities Cojysa, Tietze, Gross, Kiick. Kl. Erf., vol. 1, p. 391 Ileus (3 oases reported cured), Lilienthal, Hah.

Mo., vol. 7, p. 116 ; Influenza, Sorge, A. H. Z., vol. 92, p. 110 ;

Larijngismus, Wesselhoeft, A. J. H. M.

M., vol. 4, p. 19 ; Spasinodic croup, Miiller, Riick. Kl. Erf., vol. 5, p. 765;

Croup, Fielitz, Tietze, B. J. H., vol. 5. p. 308 ; Hawley, Horn.

Phys., vol. 6, p. 441 ; Proll, A. H. Z., vol. 112, p. 126;

Cough, Croup, Asthma Millari, suffocative attacks, etc., Hartmann, Eummel, Tietze, Hirsch, Hinz, Weber, Fielitz, Riick. Kl. Erf., vol. 3, p. 97; Asthmatic attacks, Hirsch, B.

J. H., vol. 2-5, p. 392 ; Whooping cough, Griesselich, Riick. Kl.

Erf., vol. 3, p. 84 ; Arnold, Riick. Kl. Erf., vol. 5, p. 728 ;

Use in whooping cough, Wesselhoeft, N. E. M. G., vol. 4, p. 366 ;

Catarrhal affection of chest, Boenning- hausen, Riick. Kl. Erf., vol. 5, p. 694; Use in phthisis, McGeorge, N.

E. M. G., vol. 5, p. 131 ; Phthisis, Schiiler, Schultz, Riickert, Riick.

Kl. Erf., vol. 3, p. 394 ; Ague, Hrg, Herrmann, Baertl, Riick. Kl.

Erf., vol. 4, p. 987 ; Durham, Swan, N. A. J.

H. vol. 21, p. 106; Night sweats, MuUer, A. H. Z., vol. 92, p. 148.

^ Mind. Seeing images when shutting eyes. Delirium without fever. Anxiety: with vomiting; with sweat. Very easily frightened ; trembling, anxiety, restlessness.

■ Fright followed by suffocative attacks, with bluish bloated

■ Catarrhal headaches, especially of children. * Outer Head. The head is bent backward.

Erysipelas all over 1. side of head, ear much swollen, con- fined to bed, could not move.

Scurfs on head with intolerable itching.

Skull feels as if stretched. ^ Sight and Eyes. ' l Child could not open eyes, could not bear light, awoke from sleep screaming.

Eyes and mouth half open in sleep. ^Asthma Millari.

189 SAMBUCUS NIGRA.

* Hearing and Ears. Great swelling, heat, redness and lump

just under r. ear, in neck, accompanied by a very sharp pain. ^ Smell and Nose. I Child starts up suddenly as if suffocat- ing. ^Asthma Miliaria.

I iSniffles of children.

■Breathing through nose impeded, with dr}^ coryza, espe- cially in nursing infants.

I I Dry coryza of infants; nose dry and completely ob- structed, preventing breathing and nursing; constant sniffles.

■ Stoppage of nose with thick tenacious mucus.

* Upper Face. iFace: pale, bluish or red; pale, collapsed,.

taking cold. ■ Ileus. ^° Stool and Rectum. Stools : frequent, watery ; thin, slimy, with much wind, followed by urging; pressure in stom- ach and navel ; abdomen large.

Nephritis.

SAMBUCUS NIGRA. 190

Voice sounds hollow,

■ Hoarseness, rawness in throat and oppression of chest.

^Influenza.

I I Woke at night with agonizing fits, spasms of glottis, with agony and fear of suffocation ; springing up in bed and struggling for breath. ^Asthma Millari.

iSpasm of glottis; breathing is of a wheezing, crowing character, < after midnight and from lying with head low. ^Croup.

I Spasms of larj^nx occurring frequently during course of acute laryngitis.

I I An infant nine months old has laryngeal spasms sev- eral times in day and night; awakes from sleep with suffocation ; is able to inspire but not expire ; becomes livid in face, gasps in great anguish, and very slowly recovers its breath ; had two attacks of this kind in pre- vious night, at 8 p.m. and 11 p.m. 6'Laryngismus.

I I Sudden disappearance of coryza; on following night very rough, hollow, croupy cough; agitated sleep; fol- lowing morning fits of hollow, deep cough ; whistling respiration ; constant crying ; burning head ; crying or coughing, as if throat were painful. ^Croup.

I I Sopor; snoring and whistling, with mouth open and head bent back ; starts up, strikes about, is nearly suf- focated ; becomes blue in face, then cough with rattling breathing; threatening suffocation and paralysis of lungs. ^Croup.

I I Much dry heat Avith restlessness; sudden awaking in fright at night, from 9 p.m. until 2 a.m., grasping its throat; shortly after, perspiration on face, head and neck, going off with sleep ; during parox3^sms of hoarse, suffocating cough child had purple nails and lips; scanty, tough expectoration, yet tracheal sound was somewhat loose. ^Croup.

Iln dangerous cases with excessive weakness, old-looking features and threatening paralysis pulmonum. ^Croup. ^® Respiration. I Breathing: anxious, loud ; quick, wheezing, crowing.

Oppression of chest, with pressure in stomach and nausea.

I Nightly suffocative attacks, with great restlessness; shed- ding of tears and throwing about of arms.

I Suffocating attacks after midnight.

■ Child suddenly awakes, nearly suffocated, sits up in bed,

turns blue, gasps for breath, which it finally gets ; spell passes off; it lies down again, and is aroused sooner or later in the same manner. ^Asthma Millari. I I Drowsiness, breathes with mouth open and with a snor- ing whistling sound, head bent backward, suddenly

191 SAMBUCUS NIGRA.

springs up, tossing arms about, face becoming blue, suf- focation seems inevitable when cough recurs, then with rattling breathing child sinks back exhausted ; threat- ened paralysis of lungs.

I I Violent asthmatic attack, respiration rapid and whist- ling ; occasional short but labored coughs ; high degree of dyspnoea ; constantly pointing to middle of chest ; had been suffering twenty -four hours, with intermissions of two or three hours, the free intervals becoming grad- ually shorter with each attack (which lasted usually from ten to fifteen minutes); threatened suffocation with marked blueness of lips.

I I Roused about 2 or 3 a.m. with sense of stoppage of air tubes as by phlegm.

I Asthma thymicum ; suppressed perspiration; attack

comes on suddenly ; awakes from a kind of lethargy with eyes and mouth open ; raises himself in bed with great anxiety and dyspnoea ; respiration oppressed, with wheezing in chest; head and hands puffed and bloated, with dry heat all over body ; no thirst ; small, irregular and intermittent pulse; no cough; paroxysms occur principally from midnight until 4 a.m. ; difficulty of inspiration but not of expiration.

II Attacks of suffocation, resembling last stage of croup.

I I After suppression of a fluent coryza ; rough, hollow, deep, croupy cough ; restlessness ; frequent desire to nurse ; whistling respiration ; cries with every cough, as if throat were painful, head hot

I Whooping-cough; suffocative, hollow, deep cough, caused by a spasm in chest, with expectoration only during day of small quantities of tough mucus.

I I Dry, hacking cough during chill and heat. ^Ague.

Sputa : very yellow, as if colored by bile ; taste saltish. ^^ Inner Chest and Lungs. Oppression and pressure beneath sternum and pressure in pit of stomach and epigastric region, with nausea and sense of weakness.

Oppression and stitches in 1. side of chest below nipple.

After catching cold the previous Winter, catarrhal affec- tion of chest ; violent hollow, dry cough with hoarse- ness and accumulation of much tough mucus in larynx, < during night; oppression of chest with stitches in 1.

SAMBUCUS NIGRA. 192

side when lying upon that side; internal heat without thirst; profuse debilitating sweats; great nervousness ; great sleepiness, but sleep is restless and he wakes often, when feeling of anxiety prevents him from falling asleep again ; face pale, sunken, with circumscribed burning redness of cheeks ; pressure in stomach after eating, par- ticularly after milk, frequently with vomiting first of food, then bile; urine watery, increased in quantity; great emaciation ; is fond of warmth ; feels > when moving about a little than when absolutely at rest; fre- quent inclination to take a deep inspiration, which he can do without difficulty ; dry, burning heat during sleep at once going over into profuse sweat on awaking and continuing until he falls asleep again when the heat returns.

I i After a cold drink while overheated, fever and severe cough and expectoration ; the following condition finally developing : pressing pain on chest ; constant cough day and night with profuse expectoration of offensive, sweet- tasting mucus; face pale, earthy-colored; great emacia- tion ; pulse rapid, weak; burning heat in palms of hands; great thirst in afternoon; profuse sweats at night; complete loss of appetite. ^Phthisis.

I I Constant severe cough, with profuse salty-tasting ex- pectoration ; great debility and emaciation ; constantly increasing oppression of chest ; oedematous swelling of legs, extending up above knees ; as the cure progresses profuse urination and severe itching of skin and finally exfoliation of epidermis set in. ^Phthisis.

I Phthisis: hectic flush, night sweats, choking cough, after- noon fevers ; wakes up after midnight with feeling of sudden suffocation, without being able to call for help ; night sweats only when wide awake, passing over into a dry heat as soon as he falls asleep. ^Phthisis. ^^ Heart, Pulse and Circulation. Orgasm in whole body.

Occasional omission of heart-beat.

I Angina pectoris where pressui-e proceeds from spine; in individuals formerly fat and robust and now emaciated on account of mental emotions, sexual indulgence or excessive seminal losses; paroxysms generall}^ come on at midnight, or in middle of night and wake patient up, compelling him to sit up or get up before he can get any relief or summon assistance ; in many cases the patient can give no account of what is the matter or how it came on, only sit up in bed and moan and cry, with hand over heart.

Pulse generally very frequent and small ; sometimes slow and full, sometimes intermitting.

193 SAMBUCUS NIGRA.

^° Outer Chest. Pressure upon sternum, with a counter-press- ure from spine to sternum.

Trembling of hands when writing.

Stitches in wrist.

Dark-blue bloatedness of forearms and hands.

Muscles between little finger and next very sore. ^^ Lower Limbs. Sharp, deep stitches in tibia.

CEdematous swelling of feet, extending to legs.

Sensation of coldness, numbness and deadness in middle of r. tibia.

Lying down : dry heat after falling asleep.

Lying in bed: cough <.

Lying on left side : stitches in chest.

Head low: spasms of glottis < ; cough <.

Must sit up in bed to regain breath.

Motion : of head, tension and dizziness.

Writing : trembling of hands. ^^ Nerves. Great weakness.

General trembling, with anxiety and ebullitions of blood.

Great tendency to start ; starts at things to which he is accustomed. "^^ Sleep. iSleepiness.

Drowsiness with inability to sleep.

I Frequent awaking, as in a fright, with anxiety, trembling, dyspnoea, as if he would suffocate.

Slumber with eyes and mouth half open.

During sleep, dry heat ; after waking profuse sweat. ■^^Time. 2 or 8 a.m.: roused with sense of stoppage of air tubes.

During day: expectoration of tough mucus.

Afternoon : great thirst ; fevers.

Night : spasms of glottis ; dry cough ; profuse sweat.

7 P.M. to 1 A.M.: profuse sweat without thirst.

About midnight: cough <.

After midnight: spasms of glottis < ; suffocative attacks. ^^ Temperature and Weather. Shunning uncovering during heat.

From dry, cold air: cough <.

After a cold drink while overheated: phthisis. ^° Fever, l Chill running over whole body, with crawling sensation here and there.

SAMBUCUS NIGRA. 194

I Shaking chills before going to bed. flAgne.

■ Spasmodic deep, dry cough ; may occur after chill if ab-

sent in prodroma.

I I Dry heat: while he sleeps; on falling asleep after lying down ; without thirst, dreads uncovering.

iHot body with cold hands and feet during sleep; on awaking face breaks out into a profuse sweat which ex- tends over body and continues more or less during waking hours; on going to sleep again dry heat returns.

■ Sensation of burning heat in face, with moderate warmth

of body and icy-cold feet, without thirst.

■ Burning heat, dread of uncovering. '

■ Hectic flush.

Profuse sweat without thirst, while awake from 7 p.m. to 1 A.M. ; drops stood upon face, and there was also perspi- ration all over, but after sleep he was more hot than sweaty but without thirst.

■ General sweat except on head.

Continued perspiration while awake, changing into dry heat as soon as one goes to sleep.

■ Profuse non-debilitating sweat day and night. *

■ Debilitating perspirations which often retard convales-

cence after delivery.

■ Night sweats except on head, increasing toward morning.

■ Profuse debilitating night sweats. ^Phthisis. ^Ague.

■ Night sweats in phthisis ; sweats come even when awake.

■ Profuse weakening sweats, day and night, last through

apyrexia.

■ Prodroma: cough deep, dry, racking, for half an hour;

nausea and thirst. I I Irregular paroxysms occurring every other day (quinine had no eff'ect), cough deep and dry for half an hour, with nausea and thirst; chill for half an hour, without cough, nausea thirst; slight fever with moist skin ; pro- fuse sweat at night, not debilitating ; apyrexia com- plete. ^Ague.

■ Chills and fever, type quotidian; paroxysms commenced

at 3 P.M., with hard dry cough from lower part of chest, racking and shaking w^hole body and producing a pain over whole head which is > by pressure or having head tightly bound up ; no expectoration with cough ; great thirst for large quantities of water very often ; longing for acids ; chills, severe and shaking, lasting for half an hour ; lips and nails look blue ; nausea and vomiting, < by drinking, substance vomited having a bitter-sour taste ; bitter-sour taste in mouth during paroxysm ; tongue coated white; skin cool, pulse 90; slight moisture on surface ; chills running down back ; back and limbs

195 SAMBUCUS NIGRA.

ache, particularly during chill, and < when they come ill contact with bed; cough, headache and thirst con- tinued; fever, great heat with stupor and prostration; thirst and cough continue, but no headache; pains in back and limbs; great difficulty in speaking; with heat, a profuse perspiration; delirium; is distressed because of some one whom she imagines is in bed with her and oppresses her respiration as if she had to breathe for two; continual talking; sense of suffocation, with a quivering or fluttering at heart; great distress in region of heart, whence the cough seems to proceed ; hearing painfully acute; great depression of spirits with anxious, vexed, desponding thoughts and weeping; moaning and weeping during sleep; at night a drenching sweat, smelling sour fetid, staining yellow, not debilitating; ineffectual desire to urinate, passing water about once in twenty-four hours, a small quantity of very turbid loam-colored urine; patient suffered for years from chronic dysentery which was cured at same time. ^Ague.

■ Dry heat while asleep, profuse sweat while awake, then dry heat again when he sleeps; the profuse sweat is rarely debilitating and never in proportion to its pro- fuseness; always without thirst,

iNo thirst during heat or sweat.

Shunning uncovering during heat; visions when shut- ting eyes. ^Typhus. ** Attacks, Periodicity. Several times in day and night: laryngeal spasms.

Nightly : suffocative attacks.

From 9 until 2 p.m. : sudden awaking in fright.

From midnight until 4 a.m.: suffocative attacks.

Once in twenty-four hours: passes water.

Every other day: paroxysm of ague. '^Locality and Direction. Right: swelling, heat, redness and lumps just under the ear.

Left: erysipelas of whole side of head ; stitches in side of chest below nipple. '^Sensations. As if head were filled with water; skull as if stretched ; as if suffocating.

Pain : over whole head ; in back and limbs.

Great distress: in region of heart.

Sharp pain : under r. ear.

Tearing: in teeth.

Stitches : in 1. side of chest below nipple ; in wrist ; in tibia.

Stinging: in teeth.

Griping: in stomach and umbilical region; in abdomen.

Pressive pain : in temporal bones.

SAMBUCUS NIGRA. 196

Pressing pain: on chest

Jerks : through head.

Soreness : in abdomen.

Burning heat : in palms of hands.

Rawness : in throat.

Oppression : of chest, beneath sternum ; in left side of

pit of stomach and epigastric region ; upon sternum ;

especially in instep, legs and feet.

I Oedema; anasarca; general dropsy.

I I Increased secretion of skin and of respiratory mucous membrane.

contusions. *® Relations. Antidoted by : Arsen., Camphor.

Compatible: Bellad., Conium, Nuxvom., Phosphor., Rhus' tox.,

Sepia.

Ginchon., Ipecac, Sulphur.

197 SANGUINARIA CANADENSIS.