Apocynum Cannabinum apoc.

URINARY ORGANS. Heart. Digestive tract. Uterus.

COLD: Weather. Drinks. Uncovering. Lying.

Warmth.

Weak and dropsical. Scanty discharges. Irritation.

Bewildered. Can't think. Faint. Thirst, but water distresses; vomits every drink. Uræmic vomiting. Sinking at epigastrium. Noisy, yellow, painless, gushing stools. Diarrhœa; with dropsy. Bed-wetting of old men. Enlarged prostate. Uterine hæmorrhage, then dropsy (Chin.). Oppression of chest. Rough, dry skin. Can't sweat. Sleepy. Pulse slow, fluttering, irregular or intermittent.

Related: Chin-ar. Nux-v.

Excretions diminished, especially urine and sweat. Dropsy of serous membranes; acute, inflammatory. Dropsy: with thirst (Acet. ac.), water disagrees or is vomited (Ars.); most cases uncomplicated with organic diseases; after typhus, typhoid, scarlatina, cirrhosis; after abuse of quinine. Acute hydrocephalus, with open sutures; stupor, sight of one eye lost; constant and voluntary motion of one arm and one leg (left arm and leg, Bry.); forehead projected. Amenorrhoea in young girls, with bloating or dropsical extension of abdomen and extremities. Metorrhagia: continued or paroxysmal flow; fluid or clotted; nausea, vomiting, palpitation; pulse quick, feeble, when moved; vital depression, fainting, when raising head from pillow. Cough, short and dry, or deep and loose, during pregnancy (Con.).

Similar: to, Acetic Acid, Apis (no thirst), Ars., Cinch., Dig., in dropsical affections. Blatta orientalis has cured bad cases of general dropsy, after Apis, Apoc. and Dig. failed. - Haynes.

Characterized by dropsical conditions; uterine hæmorrhages.

Bewildered, low-spirited, stupid.

Heaviness of the head, aching in small of back and limbs. Hydrocephalus; stupor, sight of one eye totally lost, the other nearly so; constant involuntary motion of one arm and leg.

Sensation as if grains of sand were in one or both eyes, with heat, irritation and redness.

Catarrh of the; nostrils and throat are filled with thick, yellow mucus, on wakening in the morning. Snuffles.

Face bloated; worse lying down, passes off on sitting up; color bluish or leaden.

Increased secretion of mucus and saliva in mouth and fauces, amounting to salivation.

Great thirst, but water disagrees, causing pain, or is immediately vomited. Nausea, with vomiting, or efforts to vomit. Sensation of sinking in the stomach.

Distension of the abdomen after a moderate dinner. Ascites, often with chronic diarrhœa.

Evacuations exceedingly scanty and very often bilious.

Very scanty; sometimes very profuse; is often very yellow and without sediment. Sometimes cures nocturnal enuresis.

Very great difficulty in breathing, even in a sitting posture; breath very short and unsatisfactory. Short, dry, hacking cough, sometimes incessant. Hydrothorax.

Palpitation troublesome on walking; heart action scarcely perceptible. Pulse feeble, quick, irregular.

Upper: Finger nails of bluish red color. Lower: aching in both knees. Œdema of feet, ankles and legs.

Drowsiness, vomiting, weak, restlessness. After sleep; nausea; thirst; dry mouth and lips; sinking at the stomach; oppression of chest.

Body covered with large drops of cold sweat. Dropsy after scarlet fever; after abuse of quinine.

Male: Penis and scrotum swollen, dropsical. Female: Ovarian tumors. Metrorrhagia continuous or paroxysmal fluid or clotted; nausea, vomiting, palpitation; pulse quick, feeble, when moved; fainting when raised from a pillow. Cough during pregnancy.

Sense of general but transient debility.

In all varieties of dropsy, both idiopathic and secondary, especially when dependent upon disease of the liver.

Indian Hemp

Increases secretions of mucous and serous membranes and acts on cellular tissue, producing œdema and dropsy and on skin causing diaphoresis. Acute hydrocephalus. A diminished frequency of the pulse is a prime indication. This is one of our most efficient remedies, in dropsies, ascites, anasarca and hydrothorax, and urinary troubles, especially suppression and strangury. In the digestive complaints of Bright's disease, with the nausea, vomiting, drowsiness, difficult breathing, it will be found of frequent service. The dropsy is characterized by great thirst and gastric irritability. Arrhythmia. Mitral and tricuspid regurgitation. Acute alcoholism. Relaxation of sphincters.

Bewildered. Low spirited.

Long-continued sneezing. Snuffles of children (Sambucus). Chronic nasal catarrh with tendency to acute stuffiness with dull, sluggish memory. Dull headache. Takes cold easily, nostrils become congested and blocked up easily.

Nausea, with drowsiness. Thirst on walking. Excessive vomiting. Food or water is immediately ejected. Dull, heavy, sick feeling. Oppression in epigastrium and chest, impeding breathing (Lobelia infl). Sensation of sinking in stomach. Abdomen bloated. Ascites.

Watery, flatulent, with soreness in anus; worse after eating. Feeling as if sphincter were open and stools ran right out.

Bladder much distended. Turbid, hot urine, with thick mucus and burning in urethra, after urinating. Little expulsive power. Dribbling. Strangury. Renal Dropsy.

Amenorrhœa, with bloating; metrorrhagia with nausea; fainting, vital depression. Hæmorrhages at change of life. Blood expelled in large clots.

Short, dry cough. Respiratory short and unsatisfactory. Sighing. Oppression about epigastrium and chest.

Tricuspid regurgitation; rapid and feeble, irregular cardiac action, low arterial tension, pulsating jugulars, general cyanosis and general dropsy.

Great restlessness and little sleep.

Worse, cold weather; cold drinks; uncovering.

Cymarin is the active principle of Apocyn, lowers pulse rate and increases blood-pressure. Strophanthus (extreme cardiac depression with intense gastric disturbance; dropsy). Aralia hispida-Wild Elder-a valuable diuretic, useful in dropsy of the cavities, either due to hepatic or renal disease with constipation. Urinary disorders, especially with dropsy. Scudder advises doses of five to thirty drops in sweetened cream of tartar, (Solution). Apis, Arsenic, Digital; Helleb.

Tincture (ten drops three times daily) and in acute alcoholism 1 dram of decoction in 4 oz water.

Great thirst, but water disagrees, causing pain, or is immediately thrown off; sinking feeling at pit of stomach (Dropsy.)

Indian (American) Hemp. N. O. Apocynaceæ. Provings were made with fresh plant-tinctures, or fresh or powdered root-tinctures or infusions. Watery infusions (with just enough spirit to keep them from fermenting) are said to be more efficacious than tinctures. The whole fresh plant, root included, should be used for making the tincture or infusion.

Ascites. Catarrh. Coryza. Diabetes insipidus. Diarrhœa. Dropsies . Enuresis. Heart, affections of. Hydrocephalus. Menorrhagia. Metrorrhagia. Nausea. Neuralgia. Snuffles. Tobacco-heart. Urinary difficulties. Vomiting.

The clinical effects of Strophanthus and the symptoms produced on patients to whom it has been given in large doses, clearly show the relationship between it and Apocynum . Both produce intense gastric disturbance, extreme depression of the heart's action, and both control dropsical effusions and produce diuresis. Apo. c . depresses the heart, kidneys, and intestines, relaxing sphincters. It causes an intense sinking sensation; drowsiness and a bewildered state of mind. Dizziness. Hæmorrhages. The dropsies of Apocynum are general dropsies with or without organic disease; swelling of every part of the body; cardiac dropsies. The excretions are diminished, especially urine and sweat. Hydrocephalus has been cured with it: "Child lying in stupor, with constant involuntary motion of one arm and leg." "Paralysis of left side; one eye motionless, one rolling."

Three cases of neuralgia of the right side — groin, hip, and in one case region of right kidney — have been cured with this remedy. All were violent, extorting cries. In one case the pain set in very suddenly and the slightest jar aggravated. Hale says the kidneys are the peculiar seat of the operation of the drug, and that it is in renal dropsies that it is especially curative. It has cured diabetes insipidus with "a sense of sinking in the pit of the stomach with great debility." Hæmorrhages, especially menorrhagia, and hæmorrhages at the change of life have been cured with it. Hale has found it restore the menses when given in cases of dropsy.

Diarrhœa is < immediately after eating. Food or water is immediately ejected, though hungry. There is < on waking in the morning. Many of the symptoms are < after sleep.

Compare: Apoc. andr., Alstonia const., Strophanth., Acet. ac., Apis (thirstless in dropsies), Arsen., Bell., Bry., Chi., Colch., Digit. (dropsy; slow pulse), Elat., Helleb. (hydrocephalus; ascites); Alo., Gamb., and Trombid. (diarrhœa), K. ca., Lyc., Merc., Merc. sul., the Loganiaceæ — Nux v., Ignat., Curare; Spig., Scill., Sul., Verat.

Bewildered; nervous, low-spirited.

Dizzy. — Very marked piercing pain in r. temple followed by vertigo. — Vertigo suddenly appearing and disappearing. — Hydrocephalus: stupor, sight of one eye totally lost, the other nearly so; forehead projecting; sutures open; stage of exudation.

Eyes inflamed; < morning and evening. — As if sand in them.

Violent coryza. — Nose and throat filled with thick yellow mucus on waking in morning. — ("Snuffles" in infants.). — Peculiar dryness of mucous membranes of nose with sensation of stiffness, followed by secretion of thick yellow mucus, preceded in some cases by a thin, irritating discharge.

Face pale, covered with cold sweat (diarrhœa). — Dry lips.

Dry tongue, immoderate thirst. — Tongue coated. — Constant spitting, increase of mucus and saliva.

Thirst on waking. — Great thirst; but water disagrees, causing pain, and is immediately thrown off (Ars.). — Cannot tolerate food or drink, which is immediately ejected. — Distension after a moderate meal. — Feels hungry, but when she eats it settles in epigastrium, turns sour, and hurts. — Extreme epigastric sinking. — Oppression at epigastrium and chest excessive, can hardly, get breath enough to smoke a cigar. — Ascites, often with chronic diarrhœa.

Gentle diarrhœa in the morning, no pain. — Diarrhœa explosive, involuntary immediately after eating. — Stool copious, yellow or brownish, like mush; sometimes containing undigested food. — Extreme prostration after stool. — Constipation though fæces not hard. — Piles with feeling as of a wedge being hammered into anus. — Tenesmus of rectum. — Bearing-down pain in anus. — Evacuations very scanty. — Watery stools. — Symptoms always immediately after eating.

Urinary organs torpid, urine scanty, but flows as easily as oil. — Severe expulsive pains of bladder. — Urine copious and almost involuntary from relaxed sphincters. — Profuse light-coloured urine; no sediment. — Enuresis.

Penis and scrotum swollen, dropsical.

Exhausting menorrhagia (continuous or paroxysmal). — Blood expelled in large clots, sometimes in fluid state. — Amenorrhœa in young girls; abdomen and legs bloated.

Oppression; can scarcely speak; speaks in sharp staccato; must take deep breaths. — Violent hoarse cough, < at night. — Hæmoptysis. — Cough short and dry, loose and rattling with oppression. — Short, unsatisfactory respirations.

Flutterings, dartings, prostrated feeling in cardiac region. — Quick, sharp, catching pain in heart with palpitation. — Pulse slow, laboured. — Irregular, intermittent, at times feeble, then slow. — Pulse quick, feeble when moved. — Fainting on moving the head. — Palpitation troublesome on walking; heart action scarcely perceptible.

Rheumatic condition. — Joints stiff, esp. on moving in the morning. — Constant involuntary motion of one leg and one arm.

Finger nails of bluish red colour.

Aching in both knees. — Œdema of feet, ankles, and legs.

Excretions diminished, esp. urine and sweat.

Drowsy in afternoon, restless at night. — Stupor. — On going to bed desire to sleep, but inability to do so. — Drowsy before and after nausea and vomiting.

Body covered with large drops of cold sweat. — Dropsy after scarlet fever; after abuse of quinine.

Bewildered.
Feels as if she could do nothing but cry ; don't want to speak, very low spirited.
Low-spirited and nervous. θ Ascites and chronic diarrhœa.
Stupor. θ Hydrocephalus.

Dizzy in head.

Pain in forehead in morning. θ Ophthalmia.
Frontal headache, sick at stomach, restless at night.
Heaviness of head, evenings ; aching in small of back and limbs.
Hydrocephalus ; stupor, sight of one eye totally lost, the other slightly sensible ; constant involuntary motion of one arm and leg ; forehead projecting ; sutures open. θ Stage
of exudation.
Hydrocephalus acutus.
Dizzy headache.

Forehead projecting, sutures open. θ Hydrocephalus.

Sight of one eye totally lost, the other slightly sensible. θ Hydrocephalus.
Heat, redness of eye, feeling as of sand in eye ; early in morning.
Eyes inflamed ; worse morning and evening.
Pressure in right eye as if pressed outward.
Fine stitches in right eye.

Violent irritation of Schneiderian membrane, resembling a severe attack of coryza.
Cold in head.
Nostrils and throat filled with thick, yellow mucus, on waking in morning.
Nose stopped up.

Face expressive of much anguish. θ Dropsy.
Face bloated after lying down ; passes off after sitting up.
Face bloated ; of a bluish lead color, also lips. θ Heart disease.
Face much swollen. θ Hydrothorax.

Dry lips ; if taken in evening this is the first symptom the next morning.

Taste bitter, sub-acrid, in fauces.
Tongue greatly coated, brownish-white.
Tongue dry, immoderate thirst. θ Hydrothorax.

Dryness of mouth on awaking ; thirst.
Constantly spitting ; increased secretion of mucus and saliva in mouth and fauces.

Thick yellow mucus in throat in morning ; unpleasant degree of heat.
Pressure on right side of throat.

Great thirst. θ Hydrothorax.
Great thirst, but water disagrees, causing pain, or is immediately thrown off. θ Dropsy.
Thirst on waking.

Distension about stomach and hypochondria after a moderate meal.
Feels as if she was hungry, and when she tries to eat, it settles in epigastrium, turns sour and hurts her.

Nausea after sleep.
Violent vomiting, with prostration and drowsiness, cold skin.
Distressing vomiting at intervals. θ Menorrhagia.
Patient becomes very drowsy and vomits very often ; pulse slow.
Considerable gastric disturbance. θ After scarlet fever.

Sense of oppression about epigastrium and chest, so that there was the greatest difficulty in getting breath enough to smoke a cigar, or to speak with any comfort, and this happened after lighter meals than ordinary.
Sinking at stomach on awaking.
Stomach so irritable, not even a draught of water can be retained. θ Dropsy.
Great irritability of stomach and vomiting. θ Menorrhagia.
Congestion of liver, of portal system ; followed by ascites.

Abdomen very much distended and painful. θ Ascites.
Bloated abdomen and limbs. θ Amenorrhœa.
Ascites.
Ascites with chronic diarrhœa.
Decided distension of abdomen, especially after a moderate dinner ; all the sense of fulness seemed about stomach, liver and spleen, while lower bowels did not appear more flatulent than common.

Evacuations very scanty.
Bilious stools ; loose, but not very copious.
Bowels sluggish, but feces not hard or costive.

Dull aching pain in kidneys, with increased secretion of straw-colored urine, sinking at stomach, dry mouth, sighing.
Very peculiar torpid action of kidneys.
Decided scantiness of urine.
Scanty urine. θ Hydrothorax.
Urinary difficulties. θ Dysuria. θ Strangury.
Urine diminished to one-third of usual quantity.
Retention of urine, with paralysis of lower extremities.
Urine light, or sherry-colored, no sediment on cooling.
Very profuse light-colored urine, several gallons a day.
Urine high-colored and very scanty. θ After scarlet fever.
Urine high-colored, diminished in quantity, and voided with difficulty. θ Ascites.
Urine diminished to one-third the usual amount, without pain or uneasiness about kidneys or bladder ; on contrary, chest organs seemed remarkably comfortable ; they seemed simply torpid.
The little water that was passed flowed as easily as if it were oil.
Urine suppressed. θ Meningitis infantum.
A most inveterate case of wetting the bed at night, in a girl.

Penis and scrotum swollen. θ Heart disease.

Ovarian tumors.
Very profuse flow of blood, preceded for a day or two by a moderate discharge. θ Menorrhagia.
Discharge fluid and abundant. θ Menorrhagia.
Hemorrhage ceasing at intervals, always recurred when vital powers rallied. θ Menorrhagia.
Most exhausting menorrhagia for about six weeks.
Blood expelled in large clots, sometimes in fluid state. θ Menorrhagia.
The moderate flow of catamenia for a day or two suddenly sets in with such violence that she cannot be out of bed. θ Menorrhagia.
Shreds or pieces of membrane, with fluid blood. θ Menorrhagia.
Amenorrhœa in young girls ; abdomen and legs bloated.
Metrorrhagia continual or paroxysmal ; fluid or clotted ; nausea, vomiting, palpitation ; pulse quick, feeble, when moved ; fainting, when raising head from pillow.

Cough during pregnancy, sometimes short and dry, sometimes deep and loose ; if very deep, it pains in stomach.

Could not utter a syllable, although perfectly conscious ; answering by signs. θ Hydrothorax.
Unpleasant heat of larynx and fauces.
Hoarseness.

Sighing.
Short respiration.
Could scarcely speak for want of breath. θ Heart disease.
Could only breathe in a sitting posture, with head thrown forward. θ Hydrothorax.
Panting for breath. θ Heart disease.
Oppression of chest on awaking.
Oppression about epigastrium and chest, difficulty in getting breath enough to speak ; after a light meal. θ Hydrothorax.
Irresistible disposition to sigh.
Agonizing difficulty of breathing. θ Dropsy.
Short and unsatisfactory respiration.
Gasping for breath. θ Hydrothorax.
Difficult breathing, entirely unable to remain in a recumbent position.
Dropsy.
Great dyspnœa, wheezing breathing and cough ; could walk with great difficulty. θ Dropsy of pericardium.

Dry cough, with scanty expectoration.
Short, dry cough.
Cough dry, hacking, suffocative, and incessant. θ Hydrothorax.
Cough < at night.
Violent attack of a hoarse cough at night, with vomiting.
Short cough, alternating with a deep cough.
Loose rattling, with oppression of chest.
Scanty expectoration of white mucus.
Hemorrhage from lungs.

Oppression on left chest.
Stitches in right chest.
Hydrothorax. θ After scarlet fever.
Hydrothorax and anasarca depending on organic disease of heart.

Palpitation very troublesome whenever she attempted to move about house. θ Menorrhagia.
Dropsy of pericardium ; heart's action scarcely perceptible ; face bloated and anxious looking.
Very feeble, with a quick pulse.
Small weak pulse. θ Hydrothorax.
Pulse 45 between attacks of vomiting ; feeble. θ Menorrhagia.
Pulse small and irregular. θ Ascites.
Pulse weak and irregular. θ After scarlet fever.
Almost pulseless and disposed to faint whenever she attempted to raise her head from pillow. θ Menorrhagia.

Slight soreness in region of kidneys when bringing muscles into action.

Finger nails of bluish lead color. θ Heart disease.

Stiff knees.
Hard aching in both knees ; fears inflammatory rheumatism.
Œdema of feet and ankles, general dropsy ; also after typhus.
Lower extremities, penis, scrotum and abdomen swollen. θ Heart disease.
The whole left leg is contracted.
Pain in ball of right big toe.

Constant involuntary motion of one leg and one arm. θ Hydrocephalus.
General stiffness of legs and body, can scarcely bend.
Weakness of limbs.
Itching on limbs.
Pains in arms and legs.

Had to be supported in sitting posture in bed. θ Dropsy.
Could not lie down. θ Dropsy of pericardium.
Region of kidneys sore on using muscles.
Raising head : fainting.
Lying : face bloated ; > sitting up ; cannot lie, dropsy.
Moving about house : palpitation <.
Walks with great difficulty. θ Dropsy of pericardium.

General restlessness.
Involuntary motions of one arm and leg. θ Hydrocephalus.
Greatly debilitated, pulse feeble and quick. θ Menorrhagia.
Disposition to faint ; vital powers much depressed. θ Menorrhagia.

Drowsy in afternoon, restless in night.
On going to bed desire for sleep ; with inability to sleep.
Drowsiness ; vomiting, weak.
Stupor.
Restlessness ; little sleep.
After sleep : nausea ; thirst ; dry mouth and lips ; sinking at stomach ; oppression of chest.

Morning : pains in forehead ; heat, redness, feeling of sand in eye ; yellow mucus in nostrils and throat ; dry lips and mouth.
Evening : heaviness of head ; aching in back and limbs ; eyes more inflamed ; going to bed, skin hot.
Night : restless ; wetting the bed ; violent attack of cough.

From a cold, during a sleigh-ride, after flow of catamenia had set in, menorrhagia lasting four and a half weeks.

Heat of skin on going to bed.
Sweat ; when skin moistens, dropsy improves.
Clammy sweat. θ Hydrothorax.
Body covered with large drops of cold sweat. θ Heart disease.

Paroxysmal menorrhagia.

Right : outward pressure in eye ; fine stitches in eye ; pressure in throat ; stitches in chest ; pain in ball of big toe.
Left : oppression on chest ; contraction of leg.

Feels as if she could do nothing but cry ; as if right eye was pressed outward ; feeling as of sand in eye.
Stitches : fine, in right eye ; in right chest.
Aching : in small of back and limbs ; in kidneys ; in both knees.
Soreness : in region of kidneys.
Pressure : as if right eye was pressed outward ; on right side of throat.
Undefined pain : in forehead ; caused by drinking water ; in distended abdomen ; in stomach, from deep cough ; in ball of right big toe ; in arms and legs.
Fulness : about stomach.
Heaviness : in head.
Oppression : about epigastrium and chest.
Dryness : of lips ; of mouth ; of skin.
Heat : of left eye ; in fauces and larynx ; of skin.
Itching : on limbs.
Weakness : of limbs.

Excretions diminished, especially urine and sweat.
Dropsy of serous membranes.
Acute inflammatory dropsy.
Dropsy : with great thirst, but water causes pain or is vomited ; after typhus, scarlatina, cirrhosis ; mostly uncomplicated with organic disease.
General dropsy after scarlet fever.
Rheumatic stiffness.

Skin dry and harsh. θ Ascites.
Skin cold, with vomiting.
Skin hot, evening going to bed.

Woman, æt. 24, mother of three children, black hair and eyes, fair complexion, disposed to uterine hemorrhage.
Woman, æt. 40, mother of several children, a hard worker, dark complexion, dark eyes and black hair ; menorrhagia.
Women with amenorrhœa.
A girl ; θ enuresis.

Concordances : Acet. ac . ; Apis (which has no thirst in dropsies) ; Arsen . ; Bellad. ; Bryon. ;
Cinchon. ; Colchic. ; Digit . (dropsy ; slow pulse) ; Elat . ; Helleb . (hydrocephalus, ascites, etc.) ; Kali carb. ; Lycop. ;
Mercur. ; Merc. sulph. ; Scilla ; Sulphur ; Veratr. alb .
Dropsy after abuse of quinine.

This remedy comes in as a good one to contrast with Apis. You will find it analogous in its symptoms and much like the complaints cured by Apis.

You will be astonished in going over the dropsical condition, the rheumatic condition, the tumefaction of the cellular tissues, the dropsy of the sacs, the scanty urine resulting in dropsy; the inflammatory swellings with oedema, at the great resemblances; and if you were to start in with two cases and work them out from their particulars, and if one feature were left out, the aggravation and the amelioration, the cold and the heat, in many cases you would not be able to distinguish between Apis and Apocynum, so near alike are their swellings, their bleedings, their distensions, and their disturbances.

Both are remedies for dropsy; routinists will try first Apis, and then they try Apocynum, and then they will try something else that is good for dropsy.

But all the way through this medicine is aggravated from cold, the patient himself is aggravated from cold. His complaints are worse from cold applications. In his distended, dropsical state, he is chilly, sensitive to air. He is sensitive to cold drinks.

He has a pain in the stomach, and even vomits, from cold drinks. Pain in the abdomen from cold drinks. Uneasiness here and there in the body when cold things are in the stomach; you see at once how different that is from Apis.

Anyone who follows symptom hunting and does not distinguish between circumstances that relate to the patient and modalities that relate to symptoms cannot appreciate these two grand distinctions, where the one patient is aggravated from heat and the other one ameliorated by heat, in all complaints.

The excretions are all diminished. The urine is scanty. The skin is dry. No matter what his complaints are, he cannot sweat. He feels if he could only perspire he would get well. There is no out throw of water. He drinks plentifully, and it goes in-to the cellular tissues to distend them, and he becomes dropsical.

He has a water constitution, one that takes in water and lets out none. He passes little water, and he perspires scantily or none at all; his skin is dry, sometimes hot, yet he is chilly.

The skin feels husky and rough, but he is chilly. Apis suffers dreadfully from dry skin, from scanty urine; yet Apis is aggravated everywhere from heat and ameliorated from cold. That is the grand distinguishing feature in the dropsies and rheumatisms and many internal complaints.

"Dropsy of serous membranes."

Dropsy of the brain, pericardium, pleura, peritoneum; all of these are distended with serum. And there is great suffering, great uneasiness.

The inflammatory rheumatism is again like Apis, in that it takes on dropsy with it. Inflammation of the joints, of the ankles, joints, of the toes, of the fingers, inflammation of the joints all over the body.

The swelling about the joint pits upon pressure like Apis. But with the scanty urine, want of sweat, with the febrile condition, he is all the time chilly, and wants the parts well wrapped where Apis wants them uncovered. One might say,

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Bewildered.
Low-spirited and nervous. θ Ascites and chronic diarrhœa.

Heaviness of the head evenings; aching in the small of the back and limbs.
Hydrocephalus; stupor, sight of one eye totally lost, the other eye slightly sensible; constant involuntary motion of one arm and leg; forehead projecting; sutures open.
Stage of exudation.

Heat, redness of the left eye, feeling as of sand in the eye; early in the morning.

Nostrils and throat filled with thick, yellow mucus, on waking in the morning.

Bloated after lying down; passes off after sitting up.

Taste: bitter, sub-acrid, in the fauces.

Dryness of the mouth on awaking; thirst.
Constant spitting; increased secretion of mucus and saliva in mouth and fauces.

Thick, yellow mucus in the throat in the morning; unpleasant degree of heat.

Great thirst, but water disagrees, causing pain or is immediately thrown off. θ Dropsy.

Distention about the stomach and hypochondria after a moderate meal.

Nausea after sleep.
Violent vomiting, prostration and drowsiness, cold skin.
Distressing vomiting a intervals. θ Menorrhagia.

Sinking at the stomach on awaking.
Stomach so irritable not even a draught of water can be retained. θ Dropsy.

Ascites.

Bilious stool; loose, but not very copious.
Bowels sluggish, but feces not hard or costive.

Scanty; no uneasiness.
Retention of urine, with paralysis of lower extremities.
Urine light, or sherry-yellow in color, no sediment on cooling.

Amenorrhœa in young girls; abdomen and legs bloated.
Metrorrhagia continuous or paroxysmal; fluid or clotted; nausea, vomiting, palpitation; pulse quick, feeble, when moved fainting, when raising the head from pillow.

Oppression of the chest on awaking.
Oppression about the epigastrium and chest, difficulty in getting breath enough to speak; after a light meal.
Hydrothorax.
Irresistible disposition to sigh.

Loose, rattling, with oppression of the chest; short, dry, evening or night.
Scanty expectoration of white mucus.

Pulse 45 between attacks of vomiting; feeble. θ Metrorrhagia.

Slight soreness in region of kidneys when bringing muscles into action.

Hard aching in both knees.
Œdema of the feet and ankles.

Itching in the limbs, weakness.

Using muscles: 31. Raising the head, fainting: 23. Lying, face bloated, better sitting up: 8.

General restlessness with debility.
Involuntary motions of one arm and leg. θ Hydrocephalus.

On going to be desire for sleep, inability to sleep.
Drowsiness; vomiting; weakness.
Stupor.
Restlessness, little sleep.

Morning: 5, 7, 12, 13, 15, 16, 17. Evening: 3, 27, 37, 46. Night: 27.

Heat of the skin on going to bed.
Sweat: when the skin moistens, the dropsy improves.

Left: 5.

Excretions diminished, especially urine, sweat.
Acute inflammatory dropsy.
Dropsy: with great thirst, but water causes pain or is vomited, after typhus, scarlatina, cirrhosis; but mostly uncomplicated with organic disease.
Profuse (uterine) hemorrhages.

Skin cold, with vomiting. See 16.
Skin hot, evening going to bed.

Concordances: Acet. ac.,Apis (which has no thirst in dropsies); Arsen.; Bellad.; Bryon.; Cinchon.; Colchic.; Digit. (dropsy; slow pulse); Elat.;Helleb. (hydrocephalus, ascites, etc.); Kali carb.; Lyc., Mercur.; Merc. sulph.; Scilla; Sulphur; Veratr. alb.
Dropsy after abuse of quinine.

The Indian hemp is a perennial herb belonging to the Apocynaceæ. A tincture is prepared from the fresh root.

Increases the amount of urine; causes free action of the bowels, with weakness of sphincters of rectum and bladder, and with hæmorrhoidal congestion. ▶ It has a powerfully depressing action on the heart, causing irregularity and great weakness of pulse.

Alstonia, Digitalis , Asclepias, Arsen., Phos., Aloe, Pod., Oleander, Colch., Verat.

Weight diminished. ▶ Rheumatic pain in joints. ▶ Restlessness at night; on going to bed. ▶ Weakness in morning; at night, especially in all muscles; after stool, agg. motion; with diarrhœa; muscular; muscular, all the evening. ▶ Aggravation from motion.

▶ Bewildered. ▶ Cannot concentrate thoughts. ▶ Dull and unable to think well. ▶ Fancy exalted with flow of good spirits. ▶ No ambition. ▶ Inability for labor.

Aching; morning on waking; on waking before 5 A.M.; extending to meatus auditorius externus; confused; confused after stool; confused, extending to orbits. ▶ Dullness. ▶ Heaviness in evening, with aching in small of back and limbs; dull, after stool. ▶ Vertigo in morning on rising from stooping; on rising from stooping; when rising, agg. yawning or stretching; after stool; agg. ascending; as if he would fall, suddenly appearing and disappearing.

Aching; darting; throbbing and in vertex; heavy drawing, especially about superciliary ridges. ▶ Fulness. ▶ Heaviness; over eyes.

Sticking in right. ▶ Aching; in right; right after stool; right, then stabbing pain, then confusion of head, then vertigo; with heaviness and pain in eyes as if he has used them too much; piercing, in right, also after stool, with vertigo and ringing in right ear; piercing, in right, with nausea; aching darting from left to right, and vice versa. ▶ Throbbing in temporal artery.

Irritation in left as from sand in morning on waking, with heat and redness. ▶ Pain in left as if wearied, with drooping of lids. ▶ Pain in orbital region and dull heavy feeling over eyes.

Sticking in left ; right. ▶ Partial deafness in left after singing.

Sneezing long-continued and violent. ▶ Discharge increased. ▶ Nostrils and throat filled with thick well-concocted yellow mucus in morning on waking.

Pale; with cold sweat (Dig., Verat.). ▶ Red and hot look. ▶ Dull heavy pain in both sides of face and nose, agg. left, passing into forehead.

Tongue sticks to the roof in morning. ▶ Dryness in morning; on waking. ▶ Salivation, then dryness in fauces. ▶ Mucus and saliva in mouth and fauces increased. ▶ Spittle thick and tenacious. ▶ Tonsils and throat coated with dried mucus.

Hunger (Oleander, Verat.); all the time; ravenous. ▶ Thirst on waking. ▶ Hiccough night and morning. ▶ Nausea; in evening; at night when waking; after sleep; after stool; agg. about 7 or 7.30 P.M.; with inability to vomit; with piercing pain in right temple; with flashes of heat in different parts, beginning in throat and extending downward. ▶ Vomiting; after sleep. ▶ Retching. ▶ Pinching shooting from right to left of epigastrium. ▶ Oppression in epigastrium and chest (Phos.), impeding breathing, after lighter meals than usual; distressing O. in epigastrium after meals; distressing, in epigastrium, amel. walking. ▶ Gnawing; 10 A.M., after a hearty breakfast; after dinner. ▶ Burning pain (Colch.). ▶ Burning while at breakfast. ▶ At pyloric region sensation as if a ball pressed against the inside of the wall. ▶ Dull, heavy, sick feeling all the morning, and in abdomen. ▶ Working in S. after meals; as from flatus, amel. empty eructations. ▶ Sinking; on waking; in pit. ▶ Weakness.

Rumbling; during stool, with emission of flatus. ▶ Flatulence; emission of flatus in evening; emission before stool; emission during stool. ▶ Distention; about stomach, liver and spleen, agg. after a moderate dinner (Lyc.). ▶ Distended feeling, with pain as if flatus were moving in different parts, then sudden urging to stool. ▶ Feeling as if he had drunk too much water. ▶ Grumbling; and disagreeable feeling. ▶ Pain while at breakfast, amel. stool; after stool, compelling him to sit down again, when nothing but wind passed; darting in different parts, with feeling as if flatus expanded the intestines; of moving flatus before stool. ▶ Feeling as if diarrhœa would occur. ▶ Uneasiness. ▶ Empty feeling after stool (Pod., Sul. ac., Phos.). ▶ Weak feeling (Oleander, Phos.).

Short pinching across middle. ▶ Aching in umbilical region; after stool. ▶ Grumbling pain in umbilical region. ▶ Feeling of goneness in umbilical region after a stool. ▶ Feeling as if something were passing up colon, with a grumbling sensation. ▶ Feeling as if something were passing through liver. ▶ Pulsation in right hypochondrium in evening. ▶ Distended feeling in lower after eating. ▶ Darting pain in lower, with rumbling. ▶ Weak feeling in lower.

▶ Tenesmus (Colch.); after stool; after stool, with aching in hypogastric region. ▶ Urging to stool; after eating; after pain in abdomen; with emission of only flatus; sudden. ▶ Bearing down; after stool, even protrusion. ▶ Soreness; after a stool, with bearing down. ▶ Heaviness. ▶ Weak feeling.

Protruding inflamed hæmorrhoids with pain in anus as if a wedge were forced into it by a hammer; inclination to hæmorrhoids. ▶ Bearing-down pain (Cact.). ▶ Pressure and weight, amel. walking. ▶ Burning. ▶ Itching. ▶ Open feeling after stool. ▶ Loss of power in sphincter (Aloe).

▶ Watery, small, with much flatus, then soreness in anus; watery and large, with bearing-down pain in anus and soreness in rectum (Aloe). ▶ Thin, frequent, with the force and sound of a cork from a champagne bottle, lemon-colored, frothy, containing undigested food (Pod.); thin, at latter part; copious, thin at first, towards the end containing lumps of fæces; thin, light-yellow, mixed with mucus. ▶ Loose, bilious, but not very copious. ▶ Loose in morning, loose, small, frequent with much flatus, sometimes difficult, sometimes expelled with force. ▶ Diarrhœa scanty, difficult, with much flatus. ▶ Furious painless diarrhœa at night. ▶ Early, mushy, expelled with a rush and much flatus. ▶ Frothy. ▶ Bloody. ▶ Involuntary when intending to emit flatus (Aloe). ▶ Mushy, copious, darkish-brown, very fetid. ▶ Scanty; and difficult. ▶ Bowels sluggish but fæces not hard or costive. ▶ So large after the diarrhœa ceased that the expulsion was painful. ▶ Symptoms always immediately after eating.

Bladder seemed much distended, then turbid hot urine, with a thick mucous sediment, with burning in urethra after micturition. ▶ Aching at neck of bladder after urinating, with sensation as if the sphincter were trying to close but could not (Jug. r.). ▶ Little expulsive power in bladder. ▶ Weakness of sphincter of neck of B. ▶ Constant desire to urinate with copious discharge. ▶ The scanty urine flowed as easily as oil. ▶ Could hardly tell when urine was passing; hardly knew when he was through, the urine still seemed to want to dribble away. ▶ Smarting and burning in urethra when urinating. ▶ Aching in urethra after urinating. ▶ Discharge of thin watery fluid from urethra. ▶ Urine copious; and lighter-colored; with a sediment, which in many respects resembled albumen. ▶ Scanty urine. ▶ Hot U. (Aloe), leaving tingling in urethra.

▶ Cough short, dry. ▶ Sudden, hard and frequent C. evening and nights. ▶ Expectoration of white mucus; of white gelatinous mucus. ▶ Respiration short and unsatisfactory. ▶ Disposition to sigh (Op.). ▶ Constant sighing from a peculiar sensation in chest. ▶ Suffocated feeling.

Darting pain in region in afternoon and evening. ▶ Catching pain. ▶ Weak feeling near. ▶ Palpitation. ▶ Increased action; with fluttering and sensation as if it would force itself through the wall of the chest. ▶ Action fluttering and feeble, then slow and labored, now and then losing a beat, with a clicking sound. ▶ Impulse felt against wall of chest. ▶ Pulse rapid; slow; diminished; full, irregular, slow, intermittent, dicrotic, at times feeble.

Pain. ▶ Sticking in inferior angle of scapula. ▶ Pain at inferior angle of left scapula; pain in right S. and in muscles of forearm. ▶ Prickling tingling in region of left S. at 2 P.M., with lameness of muscles. ▶ Aching in kidney region; in lower part of left loin when walking. ▶ Soreness in kidney region when using muscles. ▶ Aching in sacrum and at times sharp and sticking pain, appearing occasionally in hip, knee and ankle-joints.

Bruised feeling in morning on waking, amel. after walking, and in all joints, and especially in small of back. ▶ Sore feeling in morning, and in muscles. ▶ Weakness of arms. ▶ Lower limbs feel stiff. ▶ Pain in knees, agg. left ; so that he feared inflammatory rheumatism.

Boils on face and thighs. ▶ Erysipelas of face and head. ▶ Itching on back, sides and limbs at 6 P.M., and on going to bed found large papules, like hives, covering the body, red when scratched, which did not relieve, appearing in greatest number on lumbar region and around waist.

Sleepiness; on going to bed, without ability to sleep. ▶ Little sleep at night. ▶ Sleep unrefreshing. ▶ Waking early. ▶ Disturbed by dreams.

Cold hands and feet. ▶ Burning in red part of upper hip. ▶ Heart of skin on going to bed (Sil.). ▶ Flashes of heat; in face; in different parts, with nausea. ▶ Sweat; cold on face (Dig., Colch., Verat.); copious, also at night.

It has been used chiefly for dropsical effusions dependent upon diseases of the liver; it has not been so useful in albuminuria. ▶ Cases of hydrocephalus have been cured; patients do not have the screaming out which characterizes Apis. ▶ Hydrothorax with scanty urine; ascites; general anasarca; in all these cases there is generally great thirst, but drinking causes distress or nausea and vomiting the stomach is very irritable and there is great distention on taking anything into it. ▶ For neuralgia of the sciatic and lumbar nerves in right groin and trochanter extending up into lumbar region, pain very severe. ▶ Excessive hæmorrhage from the uterus, vomiting. ▶ It has arrested post-partum hæmorrhage. ▶ Purpura, with suppression of urine, has been cured. ▶ The general indications in dropsies of various sorts seem to be the presence of great thirst and the extreme irritability of the stomach; in this respect it resembles Arsenicum. ▶ It is supposed that the aqueous infusion is more efficacious than the tincture.

This drug, in common with most of the Apocynaceæ, is a cardiac poison, powerfully depressing the heart (in large doses) and causing a weak and irregular pulse.
It increases the intestinal secretions and the urine, weakens the sphincters and causes hæmorrhoidal engorgement.

The general indications for its administration are dropsies of various sorts, particularly hepatic or cardiac, with an irritable stomach, thirst, though drinking causes distress in the stomach and even vomiting.

Vertigo on suddenly rising after stooping.

Thirst.
Stomach irritable; a little food or drink causes distress, nausea and vomiting.
Epigastric oppression impedes breathing.

Distention.

Tenesmus.
Protruding piles.
Sphincter weak.
Soreness in anus.

Loose, undigested, frothy, involuntary.

Scanty.
Often dribbles involuntarily.

Cough short, dry.
Respiration short, at times sighing.

Action feeble, intermittent.
Sensation of sinking at heart.

Apoc. / Apollo.

Apocynum, To thee we come,
In case of Haemorrhage from the Womb,
or when Amenorrhoea, note,
Attend with abdominal bloat.
To thee we also often come,
In case of Martyrdom to rum.
For dropsy, chronic or acute,
Most apt thou art, the case to suit.
Whilst we perchance may hold in view,
The Eupatorium purpu.
Both standing in the foremost place,
As general Dropsy's Curing brace.

Apollo,- Has the Dropsy.

Apollo Pilo,- Is halting at Colchi, in China, dying of weakness.

This Apollo,- Who is a Martyr to Rum, - Is at Asar's Ranch, in for ale and wine, with Captain Zip Aven.

Dropsy (in general): Apo. c. (Eup. pur.), Pilo, Hell., Lach., Tereb., Colch., Chin., Dig., Apis, Ars., Kal. c.

Alcoholism: Apo. c., Asar., Ran. b., Lach., Ars., Nux v., Caps., ZN. p., Avena. (Longing for whiskey, Asar., Carbol. a.).

Indicated in all forms of dropsy, with inactivity of the kidneys, strangury, and irritability of the stomach.

Dropsy with great thirst; drinking causes distress in the stomach and vomiting.

Irritability of the stomach; sickening feeling and sinking at the stomach; oppression, rendering breathing difficult.