Lobelia Inflata

Introduced and proved by Jeanes. See Trans. Amer. Institute of Horn., vol. 1^ p. 171 ; also proved by Barallier, of Toulon.

Clinical authorities. — Headache, Smitb, MSS. ; Nausea, McGeorge, Eaue's Eec, 1871, p. 21; Vomiting, Smith, Horn. Clin., vol. 4, p. 60; Cardialgia (2 cases), Noack, MSS. ; Jeanes, MSS. ; Hemorrhoidal discharge, Jeanes, MSS. ; Bronchitis, MeyhofFer, Raue's Path., p. 375 ; Dyspnoea, Jeanes, Horn. Clin., vol. 1, p. 6 ; Asthma, Ker, B. J. H., vol. 8, p. 451 ; Cutler, MSS. ; Asthma, Schlesier, N. A. J. H., vol. 9, p. 252 ; Spasmodic asthma, Barton, MSS. ; Jeanes, Horn. Practice, 1838 ; Whooping Cough, A. E., Eiick. Kl. Erf., vol. 5, p. 723 ; Pneumonia intermittens, Eosenberg, Eiick. Kl. Erf., vol. 5, p. 822 ; Consumption, Niesz, Horn. Clin., vol. 1, p. 272 ; Heart disease, Schlesier, N. A. J. H., vol. 9, p. 252 ; Pain in shoulder, Caspari, Horn. Clin., vol. 1, p. 272; Pain in sacj'um. Smith, Horn. Clin., vol. 4, p. 60; J.^'ue, Jeanes, Euck. Kl. Erf., vol. 4, p. 942.

^ Mind. Desponding ; sobbing like a child.

I Apprehension of death and difficulty of breathing. ^ Sensorium. Vertigo: and deathly nausea; as if starting from 1. eye, with pain in head and trembling agitation of body. ^ Inner Head, i Headache with vertigo.

I Dull, heavy pain passing around forehead, from temple to temple, just above eyebrows.

I I Pressing outward in both temples.

I I Pains through head in sudden shocks.

I Dull, heavy pain in 1. side of head.

iPressive headache at occiput, 1. side; < at night and on motion.

B Periodical headache in afternoon, increasing until mid- night, every third attack alternately more or less violent.

iSick headache with vertigo; dull headache, violent nau- sea, vomiting and great prostration.

I Pain over 1. eye, extending over 1. side of head and neck; coldness; > near fire; deathly sick feeling at stomach and all over; sudden pallor with profuse sweat; faint- ing when making an effort to move ; cannot bear smell of tobacco; tobacco smoke brings on fainting; sour stomach; sleepiness; vomiting of bile (vomiting sel- dom). ^Gastric sick headaches; headaches following intoxication, with nervousness and trembling.

79 LOBELIA INFLATA.

'^ Sight and Eyes. Hemiopia; pressure on upper half of

eyeballs. ® Hearing and Ears. Sudden shutting up of r. ear, as if stopped by a plug, at 2 p.m., > boring with finger in ear. ^ Smell and Nose. Nosebleed.

I I Tip of nose very cold. ^ Upper Face, n Neuralgia of 1. side of face and temples, with retarded menses. Flushes of heat or heat of face.

■ Cold sweat on face with nausea.

Chilly feeling in 1. cheek, near ear, extending to lower jaw. I I Cyanosis. ^Emphysema. ^° Teeth and Gums. Dull, pressing pain in last 1. molar and

temples. " Taste and Tongue, l i Very sharp, disagreeable taste, espe- cially at tip of tongue, and in back of throat. ^^ Inner Mouth. iFlow of profuse, clammy saliva, with

nausea. ^^ Throat. Burning in throat, dryness of fauces, spitting at intervals. Tough mucus in fauces, causing frequent hawking. Dryness and pricking in throat, not > by drinking. iSensation of a lump in pit of throat, impeding deglutition.

■ Sensation as if oesophagus contracted from below upward. ^* Appetite, Thirst. Desires, Aversions. "Loss of appe- tite, with acrid, burning taste in mouth.

I Cannot bear smell of tobacco or tobacco smoke, although addicted to its use.

^ Eating and Drinking. After breakfast : pressing outward, in both temples ; itching in 1. canthus.

^^ Hiccough, Belching, Nausea and Vomiting, i Hic- cough with profuse flow of saliva ; in evening, followed by drowsiness.

■ Frequent empty eructations, flow of water into mouth.

■ Frequent gulping of a burning, sour fluid.

■ Acidity in stomach, with contractive feeling in pit of

stomach; heartburn.

■ Incessant, violent nausea ; profuse perspiration ; copious

vomiting.

■ Nausea: with vertigo; disappearing very suddenly; in

last stages of phthisis; < at night and after sleep; > by a little food or drink.

■ Nausea with rather cold sweat on head, especially on

face, with great but ineffectual efforts to vomit.

■Vomiting, with cold perspiration of face.

I I Nausea and vomiting during pregnancy, profuse run- ning of water from mouth ; morning sickness.

■ ■Chronic vomiting in paroxysms, with nausea, profuse

LOBELIA INFLATA. 80

sweat, prostration of strength, good appetite ; brickdust sediment in urine. ^^ Scrobiculum and Stomach, i Sensation in stomach : heat or burning; of weight; as of a lump; as from undi- gested food ; of weakness, extending through whole chest and down to umbilicus.

1 1 Faintness or weakness at pit of stomach, from excessive use of green tea or tobacco.

1 1 Indescribable feeling about stomach, compounded of nausea, pain, heat, oppression and excessive uneasiness.

I Deathly sick feeling all over, especially at stomach.

I Bruised soreness from pit of stomach through to back^ after cramp in stomach.

■ Sensation of oppression at epigastrium, as if stomach was

too full ; < on pressure.

■ Dyspepsia, heartburn and running of water from mouth. iGastralgia biliosa; paroxysm of excruciating pain, and

feeling as of a heavy load in stomach.

■Weakness and oppression at epigastrium, extending into chest; burning in stomach, a burning lump in pit of throat impedes swallowing and respiration ; in swallow- ing it seemed as if at this point something rose up to meet food and obstruct its descent ; eructation of acid fluid with burning ; vomiting of food after meals, espe- cially after warm food ; had heartburn continually ; urine high colored, copious, red sediment; pain in 1.

^ lumbar region. ^Cardialgia.

■ Severe pressing feeling in epigastrium, excited by certain

kinds of food, and mental emotion ; < evening and night; after fright and vexation during menstrual pe- riod, suppression, alternating heat and cold, nausea, bitter taste, thirst, vomiting of bile, severe pressing in epigastrium after eating and whilst fasting, in evening; oppression and feeling of anxiety in breast, pain in sacral region ; tongue yellow, pulse small, weak and slow. ^Cardialgia biliosa. ^^ Hypochondria. Fulness and pressure in hypochondria after eating.

Pinching in abdomen, near edge of liver. ^^ Abdomen. Pain in abdomen, < after eating.

Rumbling in bowels and passage of flatus downward.

Sudden, sharp pain in 1. side of abdomen.

Abdomen distended, shortness of breath; tympanitis.

■ Intussusception of bowels; incarcerated hernia.

^ Stool and Rectum. Stool : soft, but passed with great ex- ertion ; green, soft ; frequent, loose during day, with great obtuseness of head. I 1 Discharge of black blood after stool.

81 LOBELIA INFLATA.

■Copious hemorrhoidal discharge, consequent debility, sen- sation of tightness in epigastrium ; acidity of stomach ; oppression of chest. ^^ Urinary Organs. Sticking pain in region of r. kidney. Urine increased or diminished ; brown sediment. I Urine of a deep red color, depositing copious red sediment. ^^ Male Sexual Organs. Smarting of prepuce ; aching in urethra. Sensation of weight in genitals. ^ Female Sexual Organs. IMenses too early, too profuse. • Suppressed menses: in consumptive persons; with pain

in r. shoulder. I Violent pain in sacrum ; sense of great weight in genitals. ^Pregnancy. Parturition. Lactation, i Morning sickness. iWith every uterine contraction violent dj'-spnoea, which seems to neutralize labor pains ; rigid os and perineum. ^ Voice and Larynx. Trachea and Bronchia, i Oppres- sion felt in throat pit; spasmodic asthma. Sensation of fulness in trachea, as if from chest, causing a.

few short coughs, followed by warmth in forehead. Peculiar sensation, between tickling and acrid feeling, in larynx ; two short coughs ; feehng of narrowness.

■ Feeling as of a lump or quantity of mucus, and pressure

in larynx. ■Spasmodic croup, with stridulous breathing, ringing cough, d3^spncea ; constrictive sensation in larynx ; con- stant cough and great anguish, with fear of suffocation.

■ Burning pricking in air passages.

■ Spasmodic contraction of diaphragm in emphysema, ac-

companied by pain in epigastrium, tympanitis, impos- sibility of deep inspiration, extreme dyspnoea and cya- nosis. ^Bronchitis. ^ Respiration. ■Sensation of a foreign body in throat, imped- ing breathing and swallowing.

■ Dyspnoea and asthma, with sensation as of a lump in pit

of throat, immediately above sternum. I I Contraction of chest, with deep inhalations. I I Want of breath, hysterical.

■ Impossibility of deep inspiration; extreme dyspnoea.

^Bronchitis.

Short inhalation and long, deep exhalation.

Inclination to sigh, or to get a very deep breath ; deep in- spiration, > pressive pain in epigastrium.

■ ■Extremely difficult breathing caused by a very strong

constriction at middle of chest, which impedes respira- tory movements.

■ ■Dyspncea < by slightest exertion, or short exposure to

cold, to an asthmatic paroxysm,

YOL. VII. — 6.

LOBELIA INFLATA. 82

I I Deep inspiration relieves pressive pain in epigastrium.

I Short and slow inspiration, with desire to cough.

I Asthmatic constriction of air tubes.

I Asthma: < from exertion, with a disordered stomach, especially a feeling of weakness in pit of stomach ; often preceded by a prickling all over, even to fingers and toes ; paroxysmal, with pain in chest ; lump in throat pit ; weakness and oppression at epigastrium ; oppres- sion at heart and chest.

■Sudden and most urgent oppression, pants and endeavors to cough, but is unable to, and is threatened with suffo- cation every moment. ^Nervous asthma.

I Every day at noon, for three months, asthmatic parox- ysms of difficult breathing, terminating in cough with- out expectoration. ^Asthma.

■ Spasmodic contraction of diaphragm in emphysema, ac-

companied by pain in epigastrium, tympanitis, impos- sibility of deep inspirations, extreme d^'spnoea, and cyanosis. I Convulsive asthma from pulmonic irritation of efi'used serum.

■ Dyspnoea, < by exertion, going up or down stairs, ex-

posure to cold, and eating very warm food ; pain in 1. lumbar region of abdomen ; burning in stomach and throat, with dryness in latter ; lump in pit of throat im- peding respiration and deglutition ; weakness and op- pression in epigastrium ; gastric derangement ; urine of a deep red, depositing a copious red sediment. ^ Cough. Cough : with vomituritio ; with pain in stomach, short, dry ; only a single one, from a feeling of narrow- ness in chest,

■Whooping cough, violent racking ; seemingly from deep in chest, in paroxysms of long continuance; followed by expectoration of ropy mucus, adhering to pharynx.

■Spasmodic cough ; dyspnoea so severe as to cause fear of death ; sensation of fulness in chest, and burning, raw pain in epigastrium ; < from motion ; particularly use- ful in third stage, when expectoration ceases, or when relapses occur ; also when an inflammatory condition of mucous membrane of larynx, trachea and bronchi accompany the disease. ^Whooping cough.

■ Cough with sneezing, gaping and flatulent eructations.

^Bronchitis. ^^ Inner Chest and Lungs. Sensation of pressure on chest; 1. chest above nipple. ■Spasmodic contraction of diaphragm. I I Pain in chest, with breathing, while sitting after dinner; > when moving about.

83 LOBELIA INFLATA.

I I Pain in lower chest, most 1. side.

I I Burning feeling in chest, passing upward.

I Pneumonia intermittens, particularly in individuals who

live in malarial districts, accompanied by affections of

bronchi or heart. I Emphysema with very dry tracheal and bronchial catarrh, lit palliated cough and brought back menses, which had

ceased for six months. ^Consumption, last stage. ^^ Heart, Pulse and Circulation, i Slight, deep seated pain

in region of heart.

■ Sensation of weakness and pressure in epigastrium, rising

to heart.

■ Sawing sound about heart, with violent pains, diarrhoea

and vomiting.

■ ■Sensation as if heart would stand still , a pain deep in,

above heart. ■Sensation of excessive weakness at prsecordium, extending upward into chest and downward as far as umbilicus.

■ Dyspnoea and suffocation from every rapid movement,

attended with vertigo, threatened loss of consciousness and a peculiar confusion of head. ^Heart disease.

■ Pulse: frequent, but small, weak in evening; slower than

usual. ^° Outer Chest. Repeated quivering in muscles of I. ribs

towards spine. Pressure on lower portion of sternum, 1. side. Tension in 1. chest, from nipple to armpit. I I Pain behind sternum, ■Feeling as of a band about chest, with irresistible desire

to cough. ^^ Neck and Back. Swelling and pain on 1. side of neck. Rheumatic pain between scapulae. Dull pressure between shoulder blades.

■ Violent pain in top of r. shoulder and shortly afterward

in back, from about first to fourth dorsal vertebrae. ^Gastralgia biliosa.

Pain under r. shoulder blade, < when bending forward.

After noon a burning pain in back, as if in posterior wall of stomach.

■Violent pain in sacrum, with fever. ^SupjDression of menses.

■Extreme tenderness over sacrum; she cannot bear even pressure of a soft pillow; cries out if any attempt is made to touch part ; sits up in bed, leaning forward to avoid contact with bedclothes ; after each vomiting spell breaks out all over with sweat, followed by a sen- sation as if thousands of needles were piercing her skin from within outward.

LOBELIA INFLATA. 84

^^ Upper Limbs. Lame feeling in 1. upper arm.

Rheumatic pain in r. shoulder joint, goes to 1. upper arm. and around elbow joint.

I Pain in shoulder of an elderly lady, who had not men- struated for two years ; relieved pain and brought on menstruation.

Fine crawling stitches inside of r. deltoid.

Pain in r. deltoid, place size of palm of hand sore to touch.

A sharp shooting pain in an old scar of r. ring finger.

Sweat of palms of hands, back of hand dry and cool ; tips of fingers cold. ^^ Lower Limbs, b Inflammatory rheumatism of r. knee, with tearing pains in fibula.

Painful stiffness in knees, as after a long march. ^^ Limbs in GeneraL Shooting pain through whole body,

into tips of fingers and toes. ^^ Rest. Position. Motion. Bending forward : pain under r. shoulder blade <.

Motion : headache < ; pain in epigastrium <.

Slightest exertion: dyspnoea and asthma <.

Too weak to stretch out her hand to do anything.

Making an afibrt to move : causes fainting.

Going up or down stairs: dyspnoea <.

From every rapid movement: dyspnoea and suffocation.. 36 Jferyeg. Weakness ; feels too weak to stretch out her hand to do anything ; comj)lete muscular relaxation.

BFaintness, with profuse sweat; fainting, great pallor. ^"^ Sleep. Gaping, followed by crawling in nose and sneezing;, then gaping and belching of wind.

Wakened early by very impressive dreams ; arm ampu- tated, wounded by a shot, etc. ^ Time. Morning : sickness, of pregnancy.

Towards middle of day : shuddering chill followed by heat and sweat, lasting until next morning.

During day : looseness of bowels.

At 2 P.M. : sudden shutting up of ear.

Afternoon : a burning pain in back.

Evening : hiccough with profuse flow of saliva ; severe- pressing in epigastrium; pulse weak.

Night : pressive headache < ; nausea < ; pressing in epi- gastrium. ^^ Temperature and Weather. Near fire: coldness >.

After warm food : vomiting.

Exposure to cold : dyspnoea <. *° Fever. Shuddering towards middle of day.

I Coldness > near fire, or from heat.

I Chills down back, heat in stomach; general shivering.

Thirst before chill ; shaking chill and coldness, < after drinking.

85 LOBELIA INFLATA.

Heat with thirst and sweat, particularly in face.

iSweat: with heat, or after heat has lasted for some time; after heat with sleep; copious night sweat.

I Intermittent fever (quotidian).

I Fever and ague, with chill in middle of day, followed by heat and sweat, which lasts until next morning. ^^ Attacks, Periodicity. Every day at noon, for three months : asthmatic paroxysms.

Periodical headache : in afternoon, increasing until mid- night, every third attack alternating more or less violent.

Quotidian intermittent. '^Locality and Direction. Right: sudden shutting up of ear ; sticking pain in region of kidney ; pain in shoulder; violent pain in top of shoulder; pain. under shoulder blade ; rheumatic pain in shoulder joint, goes to 1. upper arm ; fine crawling stitches inside of deltoid ; pain in deltoid; sharp shooting pain in an old scar of ring finger ; inflammatory rheumatism in knee.

Left: as if nausea started from eye; dull pain side of head ; pressive pain side of occiput; pain over eye, over side of head and neck ; neuralgia of side of face_ and temples ; chilly feeling of cheek ; dull, pressing pain in last molar; itching in canthus; pain in lumbar region; sudden sharp pain in side of abdomen ; repeated quiver- ing in muscles of ribs ; pressure on side of lower por- tion of sternum ; tension of chest; swelling and pain on side of neck ; lame feeling in upper arm.

From within outward : as if needles were piercing her skin.

From below upward : oesophagus as if contracted. ^^ Sensations. Vertigo, as if starting from 1. eye ; r. ear as if suddenly stopped by a plug; as of a lump in pit of throat ; as if oesophagus contracted from below upward ; as of a lump in stomach ; as from undigested food in stomach ; as if stomach was too full ; as of a heavy load in stomach ; as if lump rose up to meet food and obstruct its descent ; fulness in trachea, as if from chest; as of a lump in larynx ; as of a foreign body in throat ; as if heart would stand still ; as of a band about chest ; as if thousands of needles were pricking her skin from with- in outward.

Pain : in head ; through head in sudden shocks ; over 1. eye, extending over 1. side of head and neck ; in 1. lum- bar region; in sacral region ; in abdomen; in r. shoulder; in epigastrium ; in chest ; in stomach ; deep in above heart ; behind sternum ; on 1. side of neck ; under r. shoulder blade ; in r. deltoid.

Excruciating pain : in stomach.

Violent pain: in sacrum; about heart; in top of r. shoulder; in back.

LOBELIA INFLATA. 80

Indescribable feeling : compounded of nausea, heat, pain,

oppression and excessive uneasiness about stomach. Sudden sharp pain : in 1. side of abdomen. Sharp shooting pain : in an old scar of r. ring finger. Shooting pain : through whole body into tips of fingers

and toes. Tearing pains : in fibula. Neuralgia : of 1. side of face and temples. Burning, raw pain : in epigastrium. Pinching : in abdomen. Inflammatory rheumatism : of r. knee. Rheumatic pains : between scapulse ; in r. shoulder joint,

to upper arm and around elbow joint. Cramp : in stomach. Sticking pain : in region of r. kidney. Burning pain : in back. Fine, crawling stitches : inside of r. deltoid. Aching : in urethra.

Slight, deep seated pain : in region of heart. Dull, heavy pain : passing around forehead, from temple

to temple, just above ej^ebrows; on 1. side of head. Pressive pain : at occiput, 1. side ; in epigastrium. Dull pressing pain : in last 1. molar and temples. Burning : in throat ; in stomach. Burning, pricking: in air passages. A burning lump : in pit of throat. Smarting ; of prepuce.

Bruised soreness: from pit of stomach through to back. Extreme tenderness: over sacrum. Prickling: in throat; all over. Prickling itching : of skin all over body. Peculiar sensation between tickling and acrid feeling: in