Pareira Brava

Virgin Vine. Menispermaceae.

A climbing plant, native of the West Indies and South America.

The tincture is pi-epared €rom the fresh root.

Proving by Foss, Med. Adv., Dec., 1885, from A. H. Z., vol. 113, p. 71.

Clinical Authorities. — Renal colic (six cases), Turrel, Hah. Mo., vol. 10, p. 442 ; B. J. H., vol. 33, p. 591 ; Di/nuria, Martin, T. H. M. S. Pa., 1883, p. 58 ; Enlargement of prostate gland and retention of urine, Fops, A. H. Z., ■vol. 113, p. 70; Catarrh of bladder, Hull, N. A. J. H., vol. 18, p. 491 ; Hastings, B. J. H., vol. 13, p. 691.

^^ Urinary Organs. ■ Excruciating pains in 1. lumbar region; pain radiates from 1. kidney to groin, following course of ureter. ^Renal colic.

I Black, bloody, foaming urine, depositing a brickdust sediment of uric acid; deep red and mucous urine.

I 1 Excessive pains in kidneys, shooting down 1. ureter; passes urine drop by drop, with violent tenesmus, nau- sea and vomiting of bilious fluids. ^Nephritic colic.

I I Nephritic colic ; patient suffering for seventeen days ; attacks first appeared a year ago, come regularly now every three months, last longer and are more violent each time; several times passed uric calculi, and suf- fered from rheumatic attacks when traveling; dull pains in lumbar region; urine scanty, red, with brick- dust sediment; dysuria; thirst; obstinate constipation.

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iContusive pains in renal region; urine scanty, deep red, nearly black, passed with great tenesmus, depositing brickdust sediment. *

■ Nephritic colic with hemorrhage of ureters provoked by

passage of stones.

■ For last ten years nephritic colics; passes frequently

small crystals of uric acid ; attacks usually severe and

obstinate. Atrocious pains with strangury. Almost touches floor with forehead in order to be able to

pass urine.

■ ■Constant urging to urinate, violent pain in glans penis;

straining; pain extorts screams; must get down on all fours to urinate ; urine contains much viscid, thick, white mucus, or deposits red sand.

■ Pains down thighs during efforts at urination.

■ Paroxysms of violent pain with strangury ; he cries out

loudly and can only emit urine when he goes on his knees, pressing his head firmly against floor; remain- ing in this position for ten or twenty minutes, perspira- tion breaks out, and finally urine begins to drop with interruptions, accompanied by tearing, burning pains at point of penis.

■ Since confinement, two weeks previously, could not pass

urine in any position except on knees. ^Dysuria.

Tormenting feeling after urination, with shooting pains in orifice of urethra.

Intolerable itching along urethra, with burning on urin- ation.

Severe spasmodic pains while urinating.

I I Constant ineffectual urging to urinate; catheter had to be used four to six times in twenty-four hours ; swell- ing of legs and feet; cramps on attempting to urinate, patient had to be put into a warm bath before catheter could be used; his last hour seemed to be approaching when found kneeling upon floor bathed in a cold sweat, head firmly pressed against floor, in which position alone he was enabled to pass a few drops of burning hot urine. ^Enlargement of prostate gland.

I Enlargement of prostate gland with retention of urine; two or three times a year patient is seized with severe and painful attacks, during which catheter had to be used for several weeks.

I I Severe pains at times in back and bladder with painful retraction of 1. testicle; pain in thigh extending down to big toe and sole of foot ; frequently an irritable erup- tion on legs and great irritation on scalp; urine passed with great difficulty ; feels a great desire to urinate.

265 PAREIRA BRAVA.

fancies quarts will come away, but finds the greatest difficulty to get any to pass, notwithstanding the severe pressive pains attending it ; pains so severe that he is obliged to get on knees, press head firmly against some- thing and remain in that position, forcing until he sweats profusely and "roars like a bull," to use his own expression ; after remaining in this situation ten or twenty minutes, urine dribbles away with great pain and frequent stoppages, scalding and lacerating at point of penis; urine has strong ammoniacal smell, and is loaded with thick, tenacious mucus; paroxysms generally occur from 3 to 6 a.m.; during day compara- tively easy; cartilaginous condition of inner coat of bladder which felt very hard to the sound ; sweats at night; hammering and buzzing noises in head. ^Chronic catarrh of bladder.

Flow of mucus from urethra. ^^ Male Sexual Organs. Urethritis with prostatic disorders.

I Gonorrhoea. " Voice and Larynx. Trachea and Bronchia. ■ Viscous

matter lodged in and obstructing bronchi. ^'^ Lower Limbs. Qi^dematous swelling of lower limbs. '^ Rest. Position. Motion. Must get down on all fours to urinate.

Must get on knees and press head firmly against floor to urinate. *^ Attacks, Periodicity. For ten or twenty minutes : must remain on all fours to urinate.

Every morning from 3 to 6 : paroxysms of pain during urination.

Every three months : attacks of nephritic colic.

Two or three times a year : painful attacks of renal colic.

For last ten years : nephritic colics. "Locality and Direction. Left: pain in lumbar region

radiating from kidney to groin, pain down ureter. " Sensations. Pains : down thighs.

Excruciating pains : in 1. lumbar region ; in kidneys.

Violent pains : in glans penis ; in bladder; in back.

Severe spasmodic pains: while urinating.

Tearing, burning pains : at point of penis.

Shooting pain : down 1. ureter into toes and soles.

Contusive pain : in renal region.

Dull pains : in lumbar region. *'' Stages of Life, Constitution. Rheumatic or gouty sub- jects suffering from renal colics.

Man, set. 50, suffers from rheumatic attacks when travel- ing; renal colic.

Madame Beretta, set. 51, two years ago menopause set in, since then suffering; nephritic colic.

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Officer of navy, set. 57, six months ago had first attack, which confined him to bed eight or nine days; renal colic.

Marine officer, set. 58, suffering for last ten years ; ne- phritic colic.

Man, set. 60, temperate habits ; catarrh of bladder.

Man, set. 68, regular and temperate all his life, never had syphilis or gonorrhoea, no profession or trade, suffering for years; catarrh of bladder.

Man, set. 68, suffering many years; enlargement of pros- tate gland.

Mrs. P., primipara, confined two weeks ago, since then suffering; dysuria.

Mrs. M., suffering from marasmus for last ten years or since her climaxis, when she had an attack of album- nous nephritis, three years ago had pneumonia ; now suffers from parenchymatous nephritis ; renal colic.

Seafaring captain, suffering for years from rheumatism- and later from endocarditis ; renal colic. *^ Relations. Compare: Chimaphila and Uva ursi in spasm and burning in bladder, ropy urine; Hydrangea arb.; Berberis, which has pains more in back and hips, and has a loamy sediment.