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Ipecacuanha

Hahnemann - Materia Medica Pura · Samuel Hahnemann · 24,603 chars

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General

(The alcoholic tincture of the root of the Cephaelis Ipecacuanha Willd. of Brazils.)

The following list of symptoms, which is by no means complete, shows that this powerful drug has not been created merely for the purpose of bringing about a violent evacuation of the stomach, (a proceeding which is, in most cases, an unnecessary cruelty,) but for more noble and important ends. It has been originally introduced in Europe as a remedy against the fall dysentery, and has therefore been called dysen- tery root. It is now one hundred and twenty years since it has been thus abused upon the recommendation of Leibnitz.

It was falsely supposed that because Ipecac, cures some kinds of diarrhoea, it must likewise cure dysentery, which is, however, the very contrary of diarrhcea, that is, of too frequent and thin evacuations. It has lately been abandoned as a remedy against dysentery, after an experience of many years had shown that it was ineffectual. These numberless failures might have been avoided if the genuine properties of the drug had first been as- certained by proving it upon healthy persons.

It would then have been seen that Ipecac, is simply capable of diminishing the quantity of blood, and some kinds of colicky pains in dys- entery, but that it is incapable of curing the more characteristic symptoms of dysentery, inasmuch as it is incapable of producing similar ones in healthy persons.

On the contrary, the following list of symptoms shows that Ipecac, is capable of curing certain forms of inclination to vomit, certain kinds of paroxysms of spasmodic asthma and suffoca- tive spasms, and some kinds of tetanus, provided the other symptoms correspond.

VOL. III. 2

2 IPECACUANHA.

Certain kinds of intermittent fever are likewise cured by- Ipecac. If the drug should not have been entirely homoeopa- thic, it generally changes the character of the fever in such a manner as will make it correspond to Arnica, and in some cases to Cinchona, Ignatia or Cocculus.

Ipecac, removes certain prejudicial effects of Arsenic and Cinchona.

Small doses of Ipecac, are sufficient in all these cases. I have likewise given the millionth part of a grain of Ipecacuan- ha at a dose ; but in many cases the dose ought to be much smaller.

In a case of violent poisoning by opium, 30, 40, 60 drops of the strong tincture of Ipecac, are required to counteract the poison ; unless coffee or camphor should answer better.

Ipecac, has a very short duration ; large doses act a couple of days ; small doses a few hours.

FROM NOACK AND TRINKS.

Ipecacuanha acts specifically upon the abdominal nerves and especially the solar plexus ; it is suitable to individuals predis- posed to spasms, nausea, vomiting, irritation of the stomach, to pregnant women, children, and hysteric and hypochondriac per- sons. Hysteric spasms, when the trunk is bent backward, with distorted muscles of the face and moaning breathing Chronic spasms of children, especially when accompanied with inclina- tion to vomit Convulsions in anasarca consequent upon pur- pura miliaria

Nervous and serous apoplexy Internal hae- morrhage (haemoptoe, hsematemesis, metrorrhagia) Cincho- na-cachenia — bruised feeling of the limbs, disagreeable creeping in all the joints, weariness, stiffness of the lower limbs, dispo- sition to become angry at every little noise, impatience, dispo- sition to scorn every thing, starting, anxious moaning Scar- latina miliaris

Variola, when there is a considerable irritation of the mucous membrane of the stomach, with vomiting, (also Ars.) Ipec. is useful in fevers, characterized by sighing breath- ing, which almost always indicates the approach of a rash eruption Synochus, Ipecac, being related to Synochus as Aconite to Synocha Intermittent fever, (see Boenninghau- sen's essay on the treatment of intermittent fever, translated by Dr. Hempel.) — Relapse of intermittent fever after suppressing it by Quinine

Rheumatic-gastric fever after a cold, delirium, painful stiffness of all the limbs, fixed pain in the abdomen burning abdomen, full pulse, palpitation of the heart, and constant desire to vomit Mucoso-gastric fevers Nervous

IPECACUANHA. 3

fevers, when the nerves of the stomach are affected Hectic fever, typical, exacerbating every other night, restlessness, burning palms of the hands, emaciation, loss of appetite, short and hurried breathing, short and dry cough when lying on the right side, loss of breath during the slightest motion. Febris lenta, when every little motion produces exhaustion, want of breath, palpitation of the heart, with ill humor Asiatic cholera in the precursory stage and for the after symptoms

Cholerine Cholera infantum, (afterwards Veratvum.) — Hae- morrhage from the nose Gastric derangement Conse- quences of excesses in eating and drinking

Nausea and retching of hysteric females Chronic disposition to vomit, without any actual vomiting Indication to vomit remaining after nervous fevers, and after an indigestion Morning-vomit- ing of persons affected with water-brash ; when it comes from the abuse of spirituous drinks, Nux. vom. or Acid, phosp. are better suited

Vomiting of pregnant females Idiopathic vomiting Haematemesis with pressure on the chest, vomiting of mucus and food, bitter taste, eructations, hard, burnt stool, colic ; haematemesis after a cold or chagrin, with violent op- pression in the pit of the stomach and great weakness Black diarrhoea, frequently accompanied with black vomit, pain and distention in the region of the stomach, scanty urine, paleness, anxiety

Spasmodic miserere Cardialgia Bilious colic Habitual nightly diarrhoea; watery diarrhoea of children, accompanied with vomiting of white, green mucus, and tearing colic

Diarrhoea in the period of dentition White dysentery Dysentery with gastric symptoms, pain in the pit of the stom- ach, mucous diarrhoea Incarcerated hernia with distention of the abdomen, and spasmodic vomiting

Spasmodic dysuria accompanied with hypochondriac and haemorrhoidal symp- toms Spasmodic symptoms in the urinary organs of hypo- chondriac persons Nightly incontinence of urine Haema- turia with violent pain in the umbilical region, vertigo, weak- ness, burning urine, pressure in the pit of the stomach, constant desire — Spasmodic pains

Haemorrhage from the uterus Haemorrhage of a pregnant female Cough with vomiting of mucus Chronic coryza with constant obstruction of the nose, nightly fits of dry cough, terminating in nausea and vomiting, general sweat and great weakness

Constant rattling in the chest, with danger of suffocation and convulsions Dry spas modic racking cough, with loss of breath and consciousness Uninterrupted succession of short and racking turns of cough, preventing the breathing Dry titillating cough ; cough with retching

Hooping-cough, especially when the whole body

4 IPECACUANHA.

becomes stiff, and blood gushes from the nose, with vomiting, (also Ferrum.) — Pleuritis (as intermediate remedy to remove the dyspncEa and the spasmodic cough.) — Spasmodic asthma Asthma millari Sudden attacks of spasmodic asthma in the night, the air being pressed against the larynx as if it were arrested by a foreign body, and being finally expelled with a crowing sound ; the inspirations are free, and there is some- times an arrest of breathing ; there are remissions of five or ten minutes ; cold sweat, sunken features, frequent desire to urinate, but scanty emission, small, quick pulse, constant tossing

Asthmatic complaints,- especially at night Sudden danger of suffocation, loss of breath, nausea, anguish Dread of death, alternation of heat and coldness (in a case of urticaria removed by Dulcamara) Suffocative fit of a child, with green diar- rhoea, constant coughing and crowing, curbing the body, rat- tling in the chest, alternation of heat and coldness, redness and paleness, bloated and bluish countenance.

Antidotes

Of large doses, the tincture of galls ; of small doses, Arnica, Ars., China, Nux vom.

Head

Vertigo when walking, violent stitching pain in the vertex.

Short paroxysms of fine and violent stinging pain in the head, increasing to an aching in one hour (a. 8 h.) Fine stinging pain in the forehead, excited and aggravated by touching the part. — 5.

Pain in the outer side of the parietal bone, as if caused by the shock of a dull point, (a £ h.) Sting- ing headache and heaviness of the head.

Tearing pain in the forehead, excited and aggravated by feeling the part.

Head- ache as if the brain and skull were bruised, penetrating through all the bones of the skull down to the root of the tongue, with nausea.

Aching pain in the head. — 10.

Tensive headache.

(Constrictive headache, in the left temple, and over the orbit of the eye.) (a. 1 h.) Pain at a small spot now in the temples, now over the orbit of the eye, pressing from within outwards, and almost boring ; disappearing by external pres- sure, and diminishing by closing the eyes.

(a. 1 h.)

[Vertigo, as if he would stagger hither and thither, with momentary vanishing of thoughts, only when walking and when turning round, (a. 2 h. in the evening,) when walking in the open air, staggering of the body to and fro, as if intox- icated, with stupefaction of the head.

(a. 10 h.) Painful heav- iness in the head.

(a. 2 h.) Heaviness in the head, with drowsiness. — 5.

Tensive headache, in the occiput and nape

IPECACUANHA. 5

of the neck, extending as far as the shoulders, (a. 3 h ) Dull drawing in the head, to and fro (immediately.) Tearing headache in the morning after rising, lasting until noon, dimin- ishing in the afternoon, (a. 31 h.) Violent tearing headache in the forehead, increasing when stooping, (a. 2 h.) Pain of the occiput and nape of the neck, excited by moving the head, (a. 2i h.)]

Eyes

Violent stitches over the eye when stooping, with sensation as if it were swollen, (a. 20 h.) Pale face, with blue margins around the eyes, and great weakness, as after a long and severe illness.

Rash on the forehead.

The pupils are more dilatable.

Dry eyelids, with drowsiness.

[Dilatation of the pupils, (a 2i h.) Eye gum in the outer canthi. (a. 7i and 12 h.) Red, inflamed eyes.]

Ears

[Aching pain extending from the concha to the tym- panum, and reaching even the occipital protuberance, (a. 2S h.) — 15. Hard hearing of the right ear, with pressure in the ear.

Nose

[Bleeding at the nose. 1 ]

Face

Sensation in the corners of the lips as if they were sore, when feeling the lips and moving them. Biting sensa- tion in the lips.

[Feeling of heat in the cheeks, which is perceptible to others, but without redness, (a. 3 h.) The lips are covered with eruption.

The lips are covered with aphthae and erup- tion. — 20.

Smarting in the margins of the lips, the tip and sides of the tongue, with conflux of watery saliva in the mouth and some pain in the abdomen, (a. i h.)]

Teeth

Violent pain of the hollow tooth when biting, as if it were being torn out, followed by continual tearing in the tooth, (a. 1 h.) Pain in the teeth as if they were being torn out, in paroxysms, (a. 8 h.)

Mouth and Pharynx : Every part in the mouth feels excessively painful.

Smarting sensation in the edge of the tongue.

Sensation on the posterior portion of the tongue and the velum pendulum palati, as is experienced when chewing sugar-plums, which cause a frequent secretion of saliva. — 25.

He is constantly obliged to swallow saliva, (a. 1. h.) Frequent secretion of saliva for some hours.

In the recumbent posture the saliva runs out of the mouth.

Dull stitches transversely through the throat and the inner ear.

Fine stinging in the fauces, (a. x , 1 h.) — 30.

Pain when swallowing, as if the in- ternal pharynx were swollen, (a. 1 h.) Difficult deglutition,

1 From inhaling the powder into the nose.

g IPECACUANHA.

as if the tongue and pharynx were paralyzed, (a. 8. h.) Pain in the fauces as if they were too dry, rough and sore ; the pain is relieved for a short time by swallowing saliva, or any com- mon beverage, (a. 1 h.)

[Ptyalism.

Profuse secretion of saliva in the mouth, (a. 2± h.) Spasmodic contractive sensation in the throat and in the chest.

Sore throat.— 25.

Dryness and roughness in the mouth, especially in the pharynx, (a. £ h.)]

Appetite and Gastric Symptoms : Absence of thirst.

Flat taste in the mouth.— 35.

During deglutition there is a taste in the throat as of rancid oil.

(a. ■}■ h.) Beer tastes flat.

(a. 2. h.) Yawning and stretching after a meal.

Incli- nation to vomit and vomiting.

(Nauseated and heavy in the abdomen.)

[The tobacco which he was in the habit of smoking nause- ates him and makes him vomit.

Nausea out of the stomach immediately after the usual smoking, with hiccough, disap- pearing only after having had several stools, which finally be- came papescent.

(a. 14 h.) Qualmishness.

Nausea and effort to vomit, (a. 1-J- h.) — 30.

Troublesome nausea.

Qualmish- ness in the abdomen, with incipient colic.

Nausea, as if corning out of the stomach, with empty eructations and con- flux of a quantity of saliva, (a. £ h.) Eructations every eight or ten minutes ; also next day, with grunting in the abdomen.

Vomiting when stooping, and sensation as if he should fall. — 35.

Vomiting of the ingesta when stooping without any previ- ous eructations, (a. \\ h-) Vomiting of yellow mucus.

Vom- iting of large quantities of mucus.

Vomiting of large lumps of fetid mucus.

Vomiting of green, jelly-like mucus. — 40.

Vomiting of mucus green as grass.]

Stomach And Abdomen

40.

Sensation as if the stomach were hanging down, relaxed, with loss of appetite, (a. 1 h.) Sensation of emptiness and relaxation of the stomach.

Uneasiness in the abdomen, (a. -£ h.) Contractive sensation below the short ribs.

Violent stitches in the left hypochon- drium.

(a. -§• h.) — 45.

Sensation of excessive distention of the abdomen.

Flatulent colic.

Griping pinching in the abdomen, as if one were griping with the hands, in such a manner as if every finger were spread out and a sharp impression were made into the intestines with the end of every finger j the pain is alleviated by rest, but is excited to the highest pitch by mo- tion.

Pinching colic in both hypochondria and in the scro- biculus cordis, (a. 3 h.) Cutting pain around the umbilicus* with shuddering. — 50.

Cutting colic in one side near the um- bilicus, increased by contact and external pressure, with white

IPECACUANHA. 7

foamy saliva in the mouth and dilatation of the pupils, (a. i h.) Cutting colic around the umbilicus, as if the monthly courses would appear, with chilliness and coldness of the body, accompanied with rising of internal heat to the head, (a. 2 h.) Tearing colic above the umbilicus. Pricking colic, with burning and stinging in the rectum, and desire for stool.

[Excessive sick feeling in the region of the stomach.

Hor- rid pains in the stomach.

Indescribable sick feeling in the scrobiculus cordis.

Dull stitching pain in the pit of the stomach, as with a pointed stick of wood. — 45.

Violent prick- ing in the right groin, for some minutes.]

Stool

Stool green as teeth. — 55.

(Thin stool, with burn- ing pricking pain in the rectum and anus.) Lemon-colored stool.

Diarrhceic stools having the appearance of being fermented, (a. 1 h.) Fetid stools.

Stool covered with red, bloody mucus. — 60.

Stinging, cutting, burning pain in the margin of the anus, as in inveterate haemorrhoids, (a. f h.) Violent prickings in the anus.

[Frequent liquid diarrhoea, with qualmishness in the abdo- men.

Diarrhoea.

Grass-green stool.

Bloody stool. — 50.

Creeping in the anus as of ascarides.]

Urinary Organs

Scanty, red urine. (See 82.) (Dis- charge of a purulent fluid from the urethra of a child for sev- eral days, with smarting pain.)

[Bloody urine. Frequent desire to urinate, with scanty emission, (a. 2, 2-}- h.) Frequent emission of a straw-colored urine, pressing and burning before the emission, without any subsequent tenesmus, (a. 2 h.) Turbid urine, with brick- dust sediment.]

Genital Organs : Writhing, drawing pain in the testi- cles, (a. 8, 10 h.) — 65.

Pressing towards the uterus and anus.

Suppression of the menstrual discharge towards the end.

(This is a reaction of the organism ; the first effect of Ipecac- uanha is to produce hemorrhage from all the orifices of the body, especially from the uterus, all of which hemorrhages it is capable of curing homoeopathically.)

[ — 55. Stinging in the testicles when crossing the lower limbs, (a. 2 h.) Voluptuous itching of the glans, when standing, obliging him to scratch, (a. 3^ h.) Metrorrhagia : reappearance of the menses a fortnight after the regular period.]

Respiratory Organs : Sensation as if the interior of the nose were too dry.

(a. 3 h.) Sense of dryness in the nose and the frontal cavities, (a. 3 h.) Coryza, with drawing pains in all the limbs. — 70.

Raling noise in the bronchial tubes, when drawing breath.

Oppression of the chest in the forenoon, and

8 IPECACUANHA.

short breathing, as if he were in the midst of a quantity of dust, and this prevented him from breathing.

Asthma.

Asth- ma ibr several hours.

Evening asthma. — 75.

Oppression of the chest after a meal.

The interior of the chest feels sore.

Suffocative cough.

Suffocative cough, the child becoming quite stiff and blue in the face.

(a. 10 h.) Dry cough, 'pro- duced by a titillation in the upper part of the larynx, (a. 2, 3, 5 h.) — 80.

Cough occasioned by a contractive titillating sensation in the throat, extending from the upper part of the larynx to the lowest part of the bronchial tubes, (a. 4, 6, 7 h.) Cough continuing without an interruption after walking in the cold air and when lying down, morning and evening, excit- ed by a deep inspiration ; accompanied with a colic, as if the umbilicus would be torn out, and with heat in the (head) face, and sweat on the forehead.

Pain in the abdomen when cough- ing, as if there were a pressure upon the bladder, and the urine could not escape, as in retention of urine.

Cough occasions an inclination to vomit without nausea, (a. 1 h.) Beating pain in the head and pit of the stomach after coughing. — 85. [Pinch- ing, ( darting-tearing ) pains of short duration in the right chest in front of the axilla.]

[Violent, repeated sneezing.

Asthma. — 60.

Spasmodic asth- ma, with violent contraction in the throat and chest, a peculiar kind of panting sound being heard— in two females, the at- tack which lasted a fortnight, being caused by the vapor of the powder in a distant room

Contraction in the chest with short and panting breathing ; she had to gasp for air at the open win- dow, with pale face, scarcely perceptible pulse, and danger of suffocation, from evening until 9 o'clock in the morning.

The asthma comes on again in twenty-four hours, from 10 o'clock in the evening until 10 in the morning, for eight days.

Suffocative fit for two or three days. — 65.

Cough, with expec- toration of a thick mucus, having a repulsive metallic taste.

Haemoptysis.

Cough towards evening, continuing for one hour, suffocating, fatiguing, exhausting.

Excessively violent, con- vulsive cough, between 6 and 7 o'clock in the evening.

Cough at 7 o'clock in the evening, continuing for half an hour, suffoca- tive, extremely exhausting, with coldness of the extremities.]

Extremities and Back : (Cramp pain during motion be- tween the scapulas.) Pinching pains in the right arm.

(a. 3 h.) One of his hands is cold.

(Herpetic eruption on the wrist- joint and at the anus, itching especially in the evening after lying down ; after scratching, red blotches make their appear- ance upon the skin, but the itching continues, nevertheless.) — 90.

Pain in the knee as if the tendons and ligaments had been

IPECACUANHA. 9

wearied by fatigue.

Weariness of the legs and lower limbs, (a. 8, 9 h.) Twitching and creeping in the gastrocnemii mus- cles, as when a limb has gone to sleep.

Pinching pain in the right foot.

(a. 4 h.)

[ — 70.

Pain in the left knee as if sprained, especially when walking ; the pain is less frequent and perceptible when sitting.

(a. 1 h.)]

General Symptoms : Drawing pain in the humerus and femur in the evening after lying down, (a 5 h.) — 95.

Cracking in the joints.

(Pricking pains in different parts of the body, excited by motion, and terminating in burning pains.) Bruis- ed pain in all the bones, (a. 3 h.) Pain in the joints as when the limbs go to sleep, (a. 3 h.)

Weakness, Fits, and Sleep : Drowsiness. — 100.

Sleep (immediately.) Sleep with the eyes half open.

(a. 6 h.) Sleep full of restlessness and moaning.

When she is about to fall asleep she feels shocks in all her limbs.

Starting when asleep. — 105.

Sleep interrupted by frequent waking and frightful dreams, (a. 10 h.) Anxiety in the blood in the morning when waking, as if he had great heat or had perspired a good deal, or waked up from anxious dreams, although he was nei- ther hot nor felt sweaty ; at the same time he felt a heaviness in the head as if the brain were pressed upon.

Moaning fear- fulness when ask ep.

Emprosthotonus and opisthotonus, (a. 10 h.) (See 78, 109, 110.) The body of the child is stretched stiff. — 110.

Rigid stretching of the whole body, followed by a spas- modic jerking of the arms towards one another.

( a. x h.) Sud- den, spasmodic jerking of the arms towards one another.

Pal- pitation of the heart.

Palpitation of the heart almost without anxiety.

[Drowsiness and laziness in all the limbs, (a. 2 h.) Debility.

Drowsiness and weariness, (a. 2 h.) Restless sleep. — 75.

Vi- vid dreams which he is unable to recollect ; he had previously waked several times in the night as if he were too wakeful.]

Fever

Shuddering with yawning.

He feels quite cold in the body.

Chilliness, he is unable to bear the least warmth.

Constant chilliness under the skin, increasing when sitting near a warm stove.

Excessive sensitiveness to cold and warmth. — 120.

He felt chilly in his bed the whole night, and was unable to sleep from chilliness.

His body feels cold.

Shud- dering (at four o'clock in the afternoon,) afterwards chilliness with coldness without thirst, (a. 5 h.) Hands and feet are icy cold and dripping with cold sweat, one of the cheeks being red. the other pale, mind and body feeling wretched and faint, and the pupils being dilated, (a. 10 h.) External coldness and internal heat. — 125.

(External heat without internal.) (a. seve-

10 LEDUM PALUSTRE.

ral hours.) (Heat and redness in the face, without thirst.) Heat of the whole body in the evening.

Towards four o'clock in the afternoon sudden attack of heat all over, with sweat on the arms and back.

(a. 16 h.) Sweat about midnight, (a. 12 h.)

[Shuddering and coldness in the limbs, as if one had started with fright ; violently increasing, almost burning heat (feeling of heat) in the head and the whole body ; hands and feet be- ing cold.

When the heat had reached the highest degree, a little sweat broke out on the trunk and head, with some smarting itching, especially about the neck.

(a. 1 h.) Feeling of heat in the afternoon and evening, almost like a burning in the head, forehead and cheeks, without thirst, (a. 6 h.) Sweat. — 80.

Night-sweat.

Sweat for some hours.

Sour- smelling sweat.

Profuse sour sweat with turbid urine.]

Moral Symptoms : — 130.

He does not speak a word.

His ideas flow very slowly.

Nothing gives him pleasure.

Taciturn-ill-humor, scorning every thing. — 135.

Peevish hu- mor, despising every thing, and requiring that others should likeivise despise every thing.

Out of humor ; he deems himself unhappy.

He is full of apprehensions, and considers trifles important things, (a. 6 h.) He is out of hu- mor, and is vexed that that which he does should not go on fast enough.

He is awkward, and stumbles against every thing. — 140.

Extreme impatience.

His courage fails and he inclines to be angry.

He is full of desires, and knows not what he desires.

He frequently gets angry at the least trifle, and is as easily and quickly composed again, (a. 5 h.) The least noise irritates him. — 145.

He inclines to be angiy.

The child screams and howls violently, and without interrup- tion ; inserts his little fists into his mouth ; the face being pale and the body somewhat cool.

(a. 1 h.)

[Want of disposition to work.

Repugnance to literary la- bor ; he is in want of ideas, (a. 29 h.) Ill-humor the whole day ; he had no desire to speak, and was disposed to weep.

Bright mood ; he was disposed to talk and jest.

(Curative effect.) ]