Diarrhoea

Sanguinaria in the first place is an irritant, whether taken into the mouth, applied to the skin, or when carried by the blood to other tis- sues.

For the primary and most important effect of the drug, then, we have irritation of tissue.

For instance, the brain is irritated by Sanguinaria.

This is mentioned first because of the predominant im- portance of all mental symptoms, be they emotional or be they intel- lectual.

Anxiety is almost always present with the Sanguinaria ail- ments.

This anxiety, however, is not an isolated symptom.

It appears qualifying the headaches, the gastric difficulties, the heart and chest symptoms, and in fact all the ailments in which Sa?iguinaria is appli- cable.

Like almost all anxiety, it is accompanied by irregularities or disturbances in the circulation.

There is also an irritability of temper

Next we come to the nasal symptoms.

The sense of smell is usually increased ; hence we notice a peculiar susceptibility to odors, which causes the patient to feel faint.

This is not an uncommon symptom in "rose-cold." It also belongs to hysteria, and places Sanguinaria by the side of Phosphorus , Ignatia, Valerian, Nux vomica and similar remedies.

disease the patient can bear neither sounds nor odors.

Mark the effect on the auditory and olfactory nerves.

She can not bear any one to walk across the floor, for the slightest jar annoys her.

As the head- ache reaches its acme nausea and vomiting ensue, the vomited matters consisting of food and bile.

The patient is forced to remain quiet in a darkened room.

Sometimes a profuse flow of urine relieves ; other- wise the only respite she has is when sleep comes to relieve her.

Sometimes the pain is so violent that the patient goes out of her mind, or she seeks relief by pressing against her head with her hands or by pressing the head against the pillow.

This is the Sanguinaria sick- headache in its completeness.

Not only does the remedy palliate, but it cures.

Studying Sanguinaria with its concordant remedies, you will find coming into your mind most prominently Belladonna as affecting the right side, as having throbbing pains, cerebral congestion and intoler- ance of light and noise.

You see that the two remedies are very simi- lar.

Practically speaking, Sanguinaria is the more useful of the two in the gastric form.

In Belladonna, you almost always find cold feet with the hot head, which may not necessarily be present under San- guinaria.

Then again, the Belladowia patient is not relieved by lying down, but by sitting propped up, while Sa?iguinaria has relief from lying down.

Further, the symptom of pain coming from the occiput over the head, etc., is not so prominent under Belladonna as it is under Sanguinaria.

Melilotus, one variety of the clover, produces a most violent cerebral congestion with headache, which drives the patient almost frantic.

It really seems to the patient that the brain would burst through the fore- head.

The throbbing pain is almost as violent as it is under Glonoin.

In one proving of this drug, a lady had this congestive headache with prolapsus uteri and violent palpitation of the heart.

The pain is some- times relieved by profuse flow of urine.

Still another drug closely allied to Sangui?iaria is Iris versicolor.

This drug is useful for sick-headaches, particularly when they are periodical in their appearance, recurring, for instance, every Sunday.

This is because the strain of the preceding six days has been relieved and now the patient feels its effects and has this sick-headache.

It is especially suited to school teachers, college professors, students, etc.

The pains are intense and of a throbbing character and supra-orbital.

They often affect the eyes and cause temporary blindness.

At the

I wish also to mention Paullinia sorbilis.

This has some little his- tory.

A number of years ago there appeared a specific, in the form of pills, for sick-headache, the principal ingredient of which was this Paullinia.

It proved itself to be an efficacious remedy.

The objection I have to the drug is that it must be given in large doses, consequently I do not think that it has a true symptomatic relation to the ailment for which it was recommended.

Its active principle is said to be identical with Caffeine and Theine.

Continuing our study of the effects of Sanguinaria on the circula- tion, we find it sometimes indicated for haemorrhages, not very fre- quently it is true, yet when the symptoms call for it you should bear it in mind.

It is especially indicated in metrorrhagia occurring at the climaxis.

The blood is bright red, clotted and frequently offensive.

Especially is it to be used when the metrorrhagia is accompanied by the form of sick-headache which I have already described, and by flushing of the face and flushes of heat which are incident to change of life in women.

The face becomes scarlet.

This high color passes off with moisture and faint, weak, sick feeling.

Here then you must place Sanguinaria with GloJioin, Nitrite of Amy I, and Lachesis.

The menstrual flow of Sa7iguinaria is bright red, clotted and offensive, later becoming dark and losing its offeusiveness.

Still another fact which illustrates these irregularities of the circu- lation, is the application of Sanguinaria to phthisis florida.

In detail- ing to you the symptoms calling for this remedy in phthisis florida, I will also mention the character of the cough and also the application of the drug in pneumonia, because the symptoms in each case are sim- ilar, although belonging to different diseases.

You find the patient suffering from hectic fever.

The fever usually comes at about two or four o'clock in the afternoon ; the cheeks have a bright circumscribed flush.

The cough is usually dry at first, and seems to be excited by tickling or crawling in the larynx and upper portion of the chest, probably in the trachea, and perhaps in the beginning of the bronchial tubes.

There is a great deal of burning and fulness in the upper part of the chest, as if it were too full of blood, which it really is.

The patient complains of sharp stitching pains, especially about the right lung and in the region of the nipple.

These pains are in all proba- bility myalgic.

The affected muscles of the chest are sore.

There is

When pneumonia calls for Sanguinaria, we have, in addition to the symptoms already mentioned, rust-colored sputum with the cough (just as you find in the stage of red hepatization), a very distressing amount of dyspnoea, and the hands and feet burning hot, or else just the reverse, icy cold.

Sometimes, even before the amount of hepatiz- ation will account for it, you have failure of the heart's action.

The pulse becomes weak and irregular.

There is a weak, faint feeling about the heart.

The patient is faint.

He is covered with sweat and he suffers from nausea.

Localized congestions are frequent enough in the symptomatology of Sanguinaria.

You have seen how it causes cerebral congestion, circumscribed redness of the cheeks, etc.

You may also use it for a teasing cough compelling the patient to sit up at night.

The cough ceases so soon as the patient passes flatus by the bowels or belches.

Connected with this form of cold, there is a feeling as of a warm cur- rent running from the chest to the stomach.

The disease may be trans- ferred from the chest to the abdomen, the whole difficulty ending in diarrhoea.

Sanguinaria resembles several drugs in pneumonia.

It bears a re- semblance to Veratrum viride in the engorgement of the lungs and in the intensity of the symptoms.

Veratrum viride has, more marked than Sanguinaria, arterial excitement.

As yet, hepatization has not taken place.

Veratrum viride given then lowers the pulse, reduces the congestion and modifies the pneumonia.

It also resembles San- guinaria when the engorgement is so profound as to threaten the death of the patient.

The pulse becomes rapid and quivering, the face livid, and every symptom of approaching paralysis of the lungs is present.

But when hepatization has taken place, Veratrum viride is not indi- cated.

Returning to Sanguinaria and reviewing its action on the mucous membranes, we find that it has a highly irritating effect, causing at first extreme dryness, whether it be of the conjunctiva, the mucous mem- brane of the mouth, nose or any other mucous surface.

Alternating with this dryness and indicating the drug in another phase of the case, is rawness with burning, as though the mucous membrane were denuded of its epithelium.

This is common enough in catarrhs.

You find the nose sore and raw with fluent excoriating coryza.

The cough is as I have described, and seems to depend upon this dryness or irritation of the mucous surfaces.

When the laryngeal mucous membrane is affected, we have very dis- tressing symptoms.

There is aphonia and, in addition, a feeling of swelling in the throat as though the patient would choke.

Sanguinaria is indicated in laryngeal catarrh, whether it be from phthisis or from simple cold or exposure.

Another effect on the mucous surfaces is the formation of polypi.

These ma}' be found in the nose or in any other part of the body.

Sanguinaria is especially useful for mucous polypi when they bleed profusely.

When occurring in the nose, they are associated with the form of coryza already referred to.

There is also profuse salivation, showing that the drug irritates the salivary glands.

sharp and stitching, with great soreness and stiffness of the muscles, especially those of the back and neck.

Sanguinaria exhibits a special affinity for the right deltoid muscle.

The pains are intense.

The pa- tient is unable to raise the arm to the head.

Sanguinaria holds the same relation to the right deltoid that Ferrum does to the left.

So much for Sanguinaria Canadensis.