Discussion on Clinical tips of rare drugs

DR SANJEEV AGGARWALMEDICAL OFFICER

DTE OF AYUSH ,GOVT OF DELHI

Blatta americana Abdomen Abdomen - ASCITES, dropsy Diseases Diseases - ASCITES, dropsy Diseases - ASTHMA, - bronchial catarrh, with Generals Generals - WEAKNESS, sensation of being, -

ascending stairs, from Lungs Lungs - ASTHMA, general - bronchial catarrh,

with sleep sleep - YAWNING, general - frequent

Atropinum Generals - ANESTHESIA, sensation, Generals - MOTION, general, - amel. Generals - PAINS, general, agg. during the pain - appear

suddenly Generals - SHARP, pains, externally - transversely Generals - TEMPERATURE, body, decreased - increased Generals - TWITCHING, of body Generals - TWITCHING, of body - internally Generals - UNCOVERING, general - agg. Generals - WALKING, general - agg. Generals - WEAKNESS, sensation of being, - air, open, in Generals - WEAKNESS, sensation of being, - morning Generals - WEAKNESS, sensation of being, - rising, on Generals - WEAKNESS, sensation of being, - stool, during Relations - Very similar to Bellad. - When Bellad. fails give Atrop., both affect principally right side

Delusions - DELUSIONS, remedies Delusions - BLOOD, does not circulate well Delusions - BUSINESS, fancies is doing - thought they were

pursuing ordinary Delusions - DIMENSIONS of things,

disturbed - enlarged Delusions - ENGAGED, in some occupation, is Delusions - ENGAGED, in some occupation, is - ordinary

occupation, in Delusions - ENLARGED - distances are Delusions - ENLARGED - objects are Delusions - EPILEPSY, fancies he has

Delusions - FIGURES, sees - gigantic Delusions - GHOSTS, spirits, spectres, sees Delusions - GHOSTS, spirits, spectres, sees - bed, in Delusions - GHOSTS, spirits, spectres, sees - night, sees at Delusions - HEARING, of Delusions - IMAGES, of phantoms, sees - frightful

Delusions - NEWSPAPERS, thinks he sees Delusions - NURSING, her child, that she was Delusions - OBJECTS, brilliantly colored - air, in open Delusions - OBJECTS, brilliantly colored - open air, in Delusions - OBJECTS, brilliantly colored - seize, tries to Delusions - PAST, of events long Delusions - PEOPLE, beside him, are Delusions - PEOPLE, sees Delusions - PLEASING Delusions - RAILWAY, train, thought he was

obliged to go off by Delusions - RAIN, from having wet cloth on head, thought

he had been out in Delusions - ROOM, general - people in, sees at bedside Delusions - SEWING, imagines herself to be Delusions - SHOPPING, with her sister Delusions - STRANGE, familiar things, seem Delusions - TALKING, fancies herself - imaginary persons,

loudly and incoherently to Delusions - TOYS, fancies himself playing with Delusions - VISIONS, has - horrible

Diseases - AMBLYOPIA, Diseases - ASTHMA, Diseases - BRIGHT'S disease, kidneys, Diseases - CHEYNE strokes, Diseases - CHOREA, Diseases - COMA, unconsciousness, Diseases - DELIRIUM tremens, mania-a-potu, Diseases - DOUBLE, vision, Diseases - EMACIATION, body - pancreas, diseased, during last

weeks Diseases - EMACIATION, body - stomach, blow, after a - gastric

disorder Diseases - ENCEPHALITIS, brain, - cerebro-spinal Diseases - EPILEPSY, Diseases - ERYSIPELAS, Diseases - MENINGITIS, brain Diseases - MENINGITIS, brain - tubercular Diseases - MULTIPLE, sclerosis Diseases - MULTIPLE, sclerosis - softening of spinal cord, with Diseases - PERITONITIS, enteritis, intestines Diseases - SEPTIC, fever, (Septicemia) Diseases - SEPTICEMIA, blood poisoning - septic, fever Diseases - TUBERCULOSIS, lungs Diseases - TYPHOID, fever,

Mind - ABSENT-minded, preoccupied Mind - ABUSIVE, insulting Mind - ABUSIVE, insulting - inclined to be Mind - ANGER, general Mind - ANGER, general - trifles, at Mind - ANSWERS, general - aversion to Mind - ANSWERS, general - imaginary questions Mind - ANSWERS, general - imperfect Mind - ANSWERS, general - indifferent Mind - ANSWERS, general - refuses to Mind - FEAR, general, phobias Mind - FEAR, general, phobias - misfortune, of Mind - FEAR, general, phobias - misfortune, of - heat, during Mind - FEAR, general, phobias - observed, of her condition being Mind - GESTURES, makes - grasping or reaching at something Mind - GESTURES, makes - grasping or reaching at something - night Mind - GESTURES, makes - grasping or reaching at something - picks at bed clothes Mind - GESTURES, makes - involuntary, motions of the hands - throwing about Mind - GUILT, feelings Mind - HURRIED, feelings - movements, in Mind - IDEAS, general, - deficiency, of Mind - INDIFFERENCE, apathetic Mind - INSANITY, general Mind - IRRITABILITY, general Mind - JUMPING, behavior - bed, out of Mind - LAUGHING, general - idiotic

Cenchris contortrix. Copperhead snake

Fear to go to sleep; fear to suffocate during sleep.

Fear of sudden death. Jealousy and suspicion. Quarrelsome from

jealousy. "Suspicious, thinks her husband is going to put

her in an insane asylum." "Fascinating, sexy people. Want to be

appreciated by others (due to a terrible fear of being isolated), but are afraid of being raped. Fear of rape in very attractive people, who provoke it.

Compare : Lachesis. Arsenicum. Lycopodium. Calcarea carbonica. Cactus. Naja.

Region : BLOOD. Circulation. * Right side.

Dreams very vivid and horrible, cannot be shaken off during waking hours; often lascivious. (Clarke)

Dreams of rape; being pursued for the purpose of rape; seeing of rape; that he has committed rape.

The sense of persecution Fear of penetration; of pins; of stings; of

pointed objects. marked alternation of moods; and

dreamy absent-mindedness. Took the wrong car without realizing where she was going."

Cenchris: Excitement in morning and sadness in evening.

Lachesis: Sadness in morning and excitement in evening.

Allergies, worse spring. "Right-sided Lachesis." Tight clothing unbearable. PULSATING sensation in various parts

synchronous with heart beat. "Cench. has difficult empty swallowing with

easy swallowing of solids and liquids; Lach. can swallow solids but not liquids." (Clarke)

Stitching pain in right ovary. Worse: Walking. Respiration ARRESTED during sleep.

MIND: Anxiety in evening in bed ; after midnight ; while lying .

Censorious. Death, presentiment of a sudden death ; sensation of death while lying. Delusion someone is behind him ; of being in two places at the same time.

Dreams of copulating animals ; indecent behaviour of men and women ; of being bitten by snakes .

Aversion to domestic duties. Fear of sudden death . Jealousy . Alternating mood . Selfishness . Sighing .

Sits as if wrapped in deep, sad thoughts and notices nothing . Thoughtless staring . Suspicious . Time passes too slowly, appears longer . Desire to wander .

DREAMS - AMOROUS DREAMS - ANIMALS DREAMS - ANIMALS - copulating DREAMS - BITTEN; being - animals; by DREAMS - CONFUSED DREAMS - DEAD; of the DREAMS - DEAD; of the - children - infants DREAMS - DISSECTING - dead bodies DREAMS - DISSECTING - people DREAMS - FANTASTIC DREAMS - FIRE DREAMS - FRIGHTFUL DREAMS - INDECENT BEHAVIOR of men and

women DREAMS - INJURIES DREAMS - MEN - following to violate her

DREAMS - MEN - naked DREAMS - NAKED people DREAMS - NAKEDNESS DREAMS - NIGHTMARES DREAMS - PEOPLE - drunken DREAMS - PLEASANT DREAMS - PURSUED, being - animals; by DREAMS - PURSUED, being - animals; by - wild DREAMS - PURSUED, being - man; by a - violate her; to DREAMS - RAPE DREAMS - RAPE - threats of rape DREAMS - ROBBERS DREAMS - SNAKES DREAMS - SNAKES - biting him DREAMS - TEETH - pulled out; being DREAMS - TERRAPIN DREAMS - VIVID DREAMS - WALKING DREAMS – WANDERING

MIND - DELUSIONS - asylum - she will be sent to MIND - DELUSIONS - die - about to die; one was MIND - DELUSIONS - enlarged MIND - DELUSIONS - enlarged - body is MIND - DELUSIONS - intoxicated - is; he MIND - DELUSIONS - intoxicated - is; he - afternoon - 16

h and in the evening MIND - DELUSIONS - people - behind him; someone is MIND - DELUSIONS - people - beside him; people are MIND - DELUSIONS - persecuted - he is persecuted MIND - DELUSIONS - place - two places at the same

time; of being in MIND - DELUSIONS - visions, has MIND - DELUSIONS - voices - hearing

MIND - FEAR - apoplexy, of MIND - FEAR - bed - of the MIND - FEAR - death, of MIND - FEAR - death, of - dream, from MIND - FEAR - death, of - heart symptoms, during MIND - FEAR - death, of - soon; that one will die MIND - FEAR - death, of - sudden death; of MIND - FEAR - sleep - go to sleep; fear to MIND - FORGETFUL MIND - FORGETFUL - going, forgets where she is MIND - FORSAKEN feeling MIND - HARDHEARTED MIND - HELPLESSNESS; feeling of MIND - HELPLESSNESS; feeling of - cough, during MIND - HORRIBLE things, sad stories affect her

profoundly

"Case: A ten-year-old boy consults for behavioral problems that make life at home and at school difficult for everyone: extreme jealousy and continual fighting. During the first consultation, the mother tells me that, at five years of age, he entered his parents' bedroom while they were making love. Since then, he has called them all sorts of names [savage beasts, prehistoric humans ...]. ... a dose of Cenchris 15CH transforms the picture: he quickly becomes a calm, reasonable child who works hard at school."

Duboisia myoporoides (corkwood elm)

* Acts chiefly on the nervous system, eyes, upper respiratory tract.

* Recommended in pharyngitis sicca, with black, stringy mucus.

* It dilates the pupil, dries the mouth, checks perspiration, causes headache and drowsiness.

* On the eye it acts more promptly than Atropia, much stronger as a mydriatic.

* Red spots floats in the field of vision. * Sensation as if stepping on empty space. * Vertigo with pale face; not gastric in origin. * Scarlet fever; locomotor ataxia. * Palliative in exophthalmic goitre

Mind : Absent-minded, incoherent, silly and nonsensical, memory impaired.

Head : Impossible to stand with eyes shut, tendency to fall backwards.

Eyes: Conjunctivitis, acute and chronic. Mydriasis. - Paralysis of accommodation. Hyperaemia of retina with weakness of

accommodation, fundus red, blood-vessels full and tortuous; pupils dilated, with dim vision.

Pain over eye, between it and brow. Respiratory : Larynx dry, voice hoarse,

phonation difficult. Dry cough with oppressed breathing.

Extremities: Loss of power in limbs, staggers; feels as if he stepped on empty space.

- Trembling, numbness and weakness.

Diseases: PARKINSON'S disease GENERALS - FAINTNESS GENERALS - LOCOMOTOR ATAXIA GENERALS - NEUROLOGICAL complaints GENERALS - PARALYSIS AGITANS GENERALS - PERSPIRATION - suppression of ;

complaints from GENERALS - PULSE - frequent GENERALS - PULSE - slow GENERALS - WEAKNESS MOUTH - DRYNESS SLEEP - SLEEPINESS THROAT - DRYNESS THROAT - INFLAMMATION - Pharynx THROAT - MUCUS - black THROAT - MUCUS - stringy VERTIGO - ACCOMPANIED BY - Face - pale VISION - COLORS before the eyes - red - spots –

floating

MIND - ABSENTMINDED MIND - DELIRIUM MIND - DELUSIONS MIND - DELUSIONS - stepping - air; stepping on MIND - DULLNESS MIND - EXCITEMENT MIND - GESTURES, makes MIND - GESTURES, makes - hands; involuntary motions

of the MIND - GESTURES, makes - hands; involuntary motions

of the - grasping MIND - JUMPING MIND - JUMPING - bed, out of MIND - MEMORY - weakness of memory MIND - RESTLESSNESS MIND - SPEECH - incoherent MIND - STUPOR MIND - THOUGHTS - ridiculous MIND - UNCONSCIOUSNESS

Main difference with Belladonna:

in Bell. the eyes are sensitive to touch, in Dub. they are not;

Bell. has strong photophobia, Dub. has not. Headache and Sleepiness. Red spot floats in the field of vision, moving

with the eye. "May prove a keynote." [Clarke] Ataxia. and Ocular symptoms [Bell.; Con.;

Phos.]. "Glances suspiciously under bed-clothes and

behind back; left to himself upsets room in a few moments; towels, brushes, shoes placed on bed, and boots on dressing-table; throughout air of fun and humour; on recovery remembers nothing of what he had done”

Ferrum iodatum

Iodide of Iron. General analysis Combines with the blood state and debility

of Iron the cachexia of Iodine, rendering it especially useful in scrofulous and chlorotic conditions, and when the system is in an impoverished state.

In such persons, its chief curative range is in the female sexual system, where may be present passive congestion, atony and uterine displacements, with their usual phenomena.

clinical- Albuminuria. - Alcohol, effects of. - Amenorrhoea. - Breast, tumour of. - Bronchorrhoea. - Cancer. - Catarrh. - Coryza. - Diabetes. - Dyspepsia. - Exophthalmic goitre. - Eyes, scrofulous inflammation of. - Glands, enlargements of. - Gonorrhoea. - Heartburn. - Kidneys, affections of. - Leucorrhoea.

- Liver, enlarged. - Nose, scrofulous inflammation of. - Ovarian dropsy. - Periostitis. - Plethora. - Pneumonia. - Scoliosis. - Scrofula. - Spleen, enlarged. - Tuberculosis. - Uterus, prolapse of. - Writer's cramp Therapeutics : Has been found most useful in conditions

resulting from atony and passive congestion of the female generative organs; uterine displacements, with symptoms above given; leucorrhoea; suppressed menses; pruritus. In acute nephritis following the exanthemata it has proved a most valuable remedy. Chlorosis in scrofulous patients; suppurative stage of tuberculosis; scrofulous affections in general.

Characteristic symptoms Head : Cephalalgia. Face : Injected red; chlorotic look (Ars., ferr.) Abdomen: Fullness, even after a little food, as if

she had eaten too much (Lyc.); a sort of upward pressure; stuffed feeling as if she could not lean forward (Nux v.).

Urine: Dark - colored, depositing a thick white sediment; urine scalds.

Female organs: Constant bearing down as if something was coming away; while sitting, feels as if pushed something up; she can touch the cervix uteri (Bell., Lil). Retroversion of the uterus. Leucorrhoea like boiled starch, when the bowels move the discharge is stringy. Itching and soreness of vulva and vagina and (sulph.); parts much swollen.

Compare : Caul., Ferr., Helon., Sep., Sulph.

A number of peculiar symptoms were felt in rectum and anus : As if anus were compressed; as if worms were in anus; as if something twisted round about in a circle; as if a cord were drawn connecting navel and anus; as if a screw were boring in anus.

- Fe. i. has a symptom somewhat like the Ferrum symptom : "as if something rolled into throat and closed it like a valve."

- With Fe. i. it is, "food seems to push up to throat as if it had not been swallowed.“

Sensation as if lying in a cramped position. "Feels as if she had eaten too much, a sort of upward

pressure. - Stuffed feeling in abdomen as if she could not lean

forward; costiveness." These are very common symptoms in cases of enlarged

spleen. "Morning catarrh, hot and restless in bed, sweet smell

of urine"

Inguinal pain extending across hypogastrium, sides feels stiff as after a strain.

- Feeling in sides, low down, as of needles pricking her; agg. raising arms and walking; inguinal region sore on walking.

- Stitches in right groin when walking. - Peculiar feeling in rectum and anus as if

something twisted and turned about in a circle, and something like drops of water flowed down, and as if a screw were boring upward and downward.

- Urging to stool with much pain in abdomen (drawings from above navel down right side), followed by small, yellowish-brown, somewhat hard stool, in the morning.

- Frequent ineffectual urging. - Albuminuria with oedema; in hard drinkers.

Constant bearing-down as if something was coming away; when sitting feels as if pushing something up.

- Retroversion uteri; sensation of pressure and protrusion of rectum on standing.

- Prolapse; inversion; antiversion. - Amenorrhoea. Shortness of breath; obliged to take a deep

breath, with sensation of oppression of chest, and a pressure beneath sternum.

- Short, hacking cough, with yellowish-white, rather thick expectoration and at times pain in chest.

Heart-beat so violent, it awoke her from sleep, throbbing all over.

- Heart beats quickly and seems to force the blood violently through whole body.

- Blood-vessels throb all over, even when quiet.

Leprominium RELIGIOUS MELANCHOLY. ATTRIBUTES THE DISEASE TO

FATE, and TURNS TO GOD. LOATHING OF LIFE YET WOULD NOT LIKE TO COMMITS

SUICIDE. Hopeful of recovery. FEELS REJECTED and DEJECTED. Yet WOULD NOT LIKE TO BEG. Would rather die than

beg. Meticulous. DESIRE TO PUT ON WHITE-COLOURED CLOTHES. Aversion to black-coloured clothes. Sympathetic and desiring sympathy. "Yet in the initial stages secludes himself for he does

not want others to know about his disease." Tendency to haemorrhages, catching colds, and

suppuration.

Family history of tuberculosis, LEPROSY, or no history of leprosy.

Medical history: Worms. REPEATED VACCINATIONS. Smallpox. Scabies.

Should be useful in complaints that develop slowly but give rise to irreversible pathological changes.

agg. Radiating heat and sun. Scanty perspiration. Dryness of whole body. Desire for ICE-COLD WATER; SPICY FOOD; MEAT; FISH;

green chilies; sour; sweets. Aversion to sweets and milk. agg. Sour.

No desire for sex [in both males and females]. amel. Rest.

Premature greying of hair. PHOTOPHOBIA. Lachrymation bland or acrid, agg. light

and SUN. FLATTENED TIP OF NOSE. FACE WAXY or OILY. Obstruction of nose. Sense of smell affected.

Favourable action of Lepr. "In most cases where Leprominium acted favourably, it was observed that the patients had loose stools with mucus after the administration of the nosode."

Outer one-third of eyebrows lost. LEONINE FACE. 1 Thickened skin of face with permanent

transverse and vertical wrinkling. "Ugly appearance yet a very nice person at

heart." Sensation of something stuck in the throat. Pain in joints, esp. knee joints and back. Heat in palms and soles. Hypopigmented patches; thickened, well-

defined, raised patches. Ringworm-like lesions.

Syphilinum and Leprominium

Depression; Syph.: leading to suicidal tendencies; Lepr.: leading to accepting one's fate and turning to

God and religion. Recovery; Syph. despair; Lepr. hopeful. Fastidious; Syph. washing mania; Lepr. meticulous, want and keep things in order. Sleep; Syph. sleepless; Lepr. normal sleep, wakes

refreshed. Generals; Syph. agg. at night; Lepr. agg. sun. Syph. craves alcohol; Lepr. craves spicy food, green

chilies, meat, fish. Syph. salivation; Lepr. no salivation.

Tuberculinum and Leprominium.

Appearance; Tub. beautiful appearance, with long eyelashes, round face, and sparkling eyes;

Lepr. ugly appearance, with ugly face, oily skin, and waxy nose.

Religion; Tub. not especially religious; Lepr. religious.

Behaviour; Tub. kleptomania; Lepr. will not steal.

Mood; Tub. very irritable; Lepr. usually mild in manner, sometimes irritable.

Travel; Tub. desire to travel; Lepr. no particular desire to travel.

Fears; Tub. fear of dogs; Lepr. fearless. Perspiration; Tub. profuse perspiration, esp. on

face, nose, and upper lip; Lepr. perspiration not prominent, dryness of skin.

Carcinosinum and LeprominiumWork; Carc. industrious; Lepr. indolence because of physical

incapacity. Ailments from; Carc. anticipation, fright, and reproach;

Lepr. chronic grief. Mood; Carc. anger over own mistakes; Lepr. usually mild in

manner. Emotions; Carc. weeping from admonition and music, and

while telling symptoms; Lepr. weeping not prominent. Consolation; Carc. consolation agg.; Lepr. consolation

amel.. Fears; Carc. fear of animals, dogs, dark, crowds,

examinations; Lepr. fearless. Travel; Carc. desire to travel; Lepr. no particular desire to

travel. Skin; Carc. prone to moles; Lepr. prone to ichthyosis and

psoriasis. Eyes; Carc. blue sclerae; Lepr. eyes excessively dry, and

lustreless.

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