Chenopodium anthelminticum chen-a.

Jerusalem Oak

Characteristic pain in scapula very marked. Symptoms of apoplexy, right hemiplegia, and aphasia. Stertorous breathing (Opium). Sudden vertigo. Meniere's disease. Affections of auditory nerves (Nat salicyl). Oil of Chenopodium for hookworm and roundworm.

Torpor of auditory nerve. Hearing better for high-pitched sounds. Comparative deafness to sound of voice, but great sensitiveness to sound, as of passing vehicles and also a shrinking from low tones. Buzzing in ears. Enlargement of tonsils. Aural vertigo.

Intense pain between angle of right shoulder-blade near spine, and through the chest.

Copious, yellow, foaming urine, with acrid sensation in urethra. Yellowish sediment (Chel).

Compare: Opium; China; Chelid.

Third potency. Oil of Chenopodium for hookworm, 10 minim doses every 2 hours for 3 doses; also Carbon tetrachloride.

Worm-seed. N. O. Chenopodiaceæ. Tincture of fresh plant. Solution of oil of seed.

Aphasia. Apoplexy. Asthma. Cerebral deafness. Convulsions. Dropsy. Epilepsy. Headache. Hemicrania. Hemiplegia. Leucorrhœa. Menses, suppressed. Paralysis. Scapula, pain in. Tinnitus. Tonsillitis.

The most characteristic pain of Chenopodium is a dull pain below the angle of right scapula, and nearer the spine than the analogous pain of Chelidonium . Chenopodii glauci Aphis (see Aphis ) has a similar pain below angle of left scapula. Several cases of poisoning have been reported in which all the symptoms of apoplexy and consequent right hemiplegia with aphasia were reproduced. Stertorous breathing, with a very peculiar rattle as of a ball rolling loose in the trachea. Heavy breathing with flapping of cheeks. Other symptoms are: Vanishing of sight and roaring in ears with (right) hemicrania. Roaring in ears as of cannons going off, also ringing; deafness. Subacute and chronic enlargement of tonsils in pale, scrofulous children. Caseous deposits with painful inflammation of tonsils. Rough, furry feeling in throat. Menses suppressed; leucorrhœa instead. Pains through heart; under right scapula, and in right shoulder. Fever after a fright. In three cases of poisoning reported by Allen the following symptoms were produced: ( 1 ) Insensible, convulsed, foaming at the mouth. All remembrance of taking the poison was lost on his recovery. ( 2 ) Deep, heavy, stertorous breathing accompanied by a very peculiar rattle, as if there were a ball rolling loose in the trachea; pulse small, weak, frequent and feeble; eyes insensible to light or external objects; convulsive movements of right half of body; extremities cold; any attempt to swallow threatened instant suffocation. ( 3 ) (This patient took 1 1/2 oz. of worm-seed oil and 30 drops of turpentine.) Disagreeable eructations; nausea; staggering like a drunken man; deafness to the sound of the voice, but exquisite sensitiveness to the sound of passing vehicles, they sounded like cannons in his ears; also annoying buzzing. In smoking he would scarcely light his cigar before he would lay it down again and take a fresh one, arguing perversion of taste. By afternoon the mantelpiece was strewn with cigars only partly used. No disposition to engage in conversation. Aphasia: he clearly wanted his attendant to get or do something but could not make him understand. The attendant wrote, "Don't understand," showed it to him, and gave him paper and pencil. After great efforts he wrote distinctly words with no meaning. Voice-hearing became progressively worse, but he heard the tea-bell three storeys below promptly, and, to the astonishment of the family, got up and walked deliberately into the dining-room. — He did not seem to know his accustomed seat, and sat in the wrong place. During the afternoon became completely aphasic. Finding himself unable to express his ideas, this seemed to amuse him much, and he laughed heartily. Whatever he did he would keep repeating. When the doctor entered he arose and shook him heartily by the hand, and then sat down. In about a minute he arose, solemnly came forward and again shook hands. This he repeated twenty times in as many minutes. He then went through the performance of washing his hands in an empty basin and repeated this many times. Sitting at tea he ate with apparent relish, taking singly tea and bread. While grasping a piece of bread, there was a distinct spasm of right forearm and hand; fingers firmly clenched, hand forcibly flexed on forearm. Assisted to his room, his walk was entirely natural; when put to bed showed some resistance, striking at the doctor. He at once commenced to groan, tossed from side to side of the bed, suggesting abdominal distress. Soon became unconscious; right arm paralysed; dragging helplessly. Next day continued impairment of motion and sensation right side; right eyeball insensitive to touch. Third day, frequent twitching and stiffness of right limbs, culminating in a one-sided convulsion in early morning of fourth day. At noon of third day, copious involuntary urination in bed. This continued to the end, except when drawn off. In afternoon, heavy breathing and flapping cheeks of apoplexy appeared. More or less constant regurgitation of yellow frothy material from mouth, smelling of worm-seed, as also did the perspiration. This material was at times so profuse as to embarrass respiration. During one of the attacks of dyspnœa, and while in a drenching sweat, which suggested dissolution, he was gently turned in bed; immediately a general convulsion set in, markedly opisthotonic, lasting ten minutes, despite the use of chloroform. By this time jaundice appeared, having been only noticed the day before. Five days from taking the dose he died in profound coma with high temperature. The significance of these symptoms needs no pointing out. The peculiar deafness corresponds nearly to the "cerebral deafness" described by Cooper in which the watch-hearing is good whilst the voice-hearing is bad or absent. Hemiplegia with contractions of limbs, and certain epileptic seizures are strongly portrayed in the poisoning. When given as a vermifuge it frequently produces progressive and long-lasting deafness. Linnell has cured with it two cases in which there was deafness to voice-hearing but sensitiveness to other sounds. In one case there was implication of left labyrinth with slight chronic otitis media of both ears; deafness left ear several years; no tinnitus; consciousness of the ear; sensitive to musical sounds; deaf for watch and voice; perosseous hearing diminished. He has also cured: Roaring tinnitus synchronous with heart. Sensitiveness to cold. Hearing better for high-pitched than low-pitched sounds. ( H. W ., xxxii. 295.)

Compare: Aphis, Chel., Chen. v. In apoplexy and puffing respiration, Chi., Op., Lyc. In deafness, Chi., Chi. sul., Chi. salicyl., and Salicylates in general.

Weeping mood. — Insensible, convulsed, foaming at mouth. — Complete aphasia (poisoning by the oil). — Loss of memory of attack after it is over.

Vertigo with transient vanishing of sight. — Pain in whole r. side of head with roaring in ears, dim sight, or complete loss of vision. — Dull, pressive pain in vertex extending through head.

Impaired movements of r. eyeball; loss of sensitiveness. — Vanishing of sight.

Roaring in ears as of cannons; deafness. — Progressive deafness to human voice, extreme sensitiveness to other sounds (cerebral deafness?). — Tinnitus synchronous with heart-beats.

Flapping cheeks with stertorous breathing.

Chronically enlarged tonsils; caseous desposits. — Furry feeling in throat.

Perversion of taste. — Disagreeable eructations; nausea. — Constant profuse regurgitation of yellow frothy material smelling of worm-seed.

Slight pain in region of kidneys. — Involuntary urination, very copious.

Menses suppressed; has leucorrhœa instead; rough furry feeling in throat.

Stertorous breathing; flapping cheeks dyspnœa; peculiar rattle as of a ball rolling loose in trachea. — Respiration embarrassed by quantity of yellow frothy material which he constantly regurgitated.

Pains through heart, under r. scapula, and in r. shoulder. — Pain throughout r. chest, beginning at attachment of 6th rib to its cartilage, and extending to front of r. scapula.

Pain beneath point of r. scapula, with giddiness in forehead, ringing in ears and pale face. — Slight dull pain a little lower down than point of r. scapula, but nearer spine.

Twitching and stiffness in r. limbs.

Paralysis and spasm of r. forearm and hand in flexion.

Staggering gait. — Constantly repeats an action. — R. sided convulsion and paralysis. — Frequent twitching and stiffness of r. limbs. — Hemiplegia with contraction of limbs.

Jaundice.

Worm Seed. Chenopodiaceæ.
A rank, odorous plant, known by the names Worm seed, Stinking weed and Jerusalem oak, grows about waste places in almost all parts of the United States. The tincture is prepared from the fresh herb in flower. The seeds of this species of Chenopodium are in common use as a vermifuge. Chenopodium ambrosoides , sometimes confounded with anthelminticum , has been employed as a remedy in hysterical nervous affections, particularly chorea, and in Frank's Magazine, vol. ii, is reported a case of paralysis of the tongue, in and old woman, after apoplexy, which had lasted several years ; one of aphasia in a young man suffering from nervous prostration after smallpox ; one of hemiplegia in a girl, æt 10, after scarlatina, and in vol. iii, another of paralysis of both feet in a man, æt. 52. In Oestr. Med. Wochenschrift, 1842, No. 28, is reported a cure of right-sided hemiplegia with aphasia in a primipara, æt. 35, of eight weeks' duration. Another species, Chenopodium Botrys, has been used in France in catarrh and humoral asthma.
For remarks by Jeanes (proving by chewing the seed), see Raue's Record, 1872, p. 30.
To Jacob Jeanes the profession is indebted for the principal characteristic of this remedy, the infrascapular pain, right side ; the same was verified in his proving by olfaction, also clinically by C. Hg.
CLINICAL AUTHORITIES.
- Hemicrania and Tonsillitis , C. Hering, MSS. ; Asthma , Jeanes, Hahnemann Monthly, vol. 6, p. 332 ; Suppressed menstruation , G. Bute, MSS.

Weeping mood. θ Suppressed menses.

Vertigo with transient vanishing of sight. θ Hemicrania.
Sense of giddiness in forehead accompanies infrascapular pain.

Pain in head and eyes ; neuralgia.
Pain in whole right side of head, with roaring in ears and dimness or complete loss of vision. θ Hemicrania.
Dull, pressive pain in vertex, extending through head.
(OBS :) Megrim and frontal headache.

Vanishing of sight. θ Hemicrania. θ Suppressed menses.

Roaring in ears ; deafness ; ringing in ears.

Papular eruption on lower portion of right naris between ala and column.

Pale face, infrascapular pain right side.

Subacute inflammation of tonsils.
Chronic enlargement of tonsils in pale, scrofulous children.
Caseous deposits, with painful inflammation of tonsils.

(OBS :) Hepatic affections.

Slight pain in region of kidneys.

Menses suppressed ; has leucorrhœa instead.

Soreness in larynx, cannot sing. θ Suppressed menses.
A rough furry feeling in throat. θ Suppressed menses.

Difficulty of breathing. θ Suppressed menses.

Pains through breast, under right scapula, and in right shoulder.
Pain through right chest, beginning at the attachment of the sixth rib to its cartilage and extending to inferior angle of right scapula.
(OBS :) Cough, with expectoration and rattling of phlegm.

Pain beneath the point of the right shoulder blade, with sense of giddiness in forehead, ringing in ears and pale face.
Slight dull pain a little lower down than the inferior angle of the right scapula, but nearer the spine. θ Hemicrania. θ Asthma.

Pain in right shoulder.

(OBS :) Fever after a fright.

Attacks of right-sided hemicrania return at intervals of from one to five weeks.

Right : pain in side of head ; eruption in naris ; pains under scapula and in shoulder ; pain through chest to inferior angle of scapula.

Pain : in right side of head ; in region of kidneys ; through breast ; under right scapula ; in right shoulder ; through right chest.
Neuralgic pain : in head and eyes.
Soreness : in larynx.
Dull pain : below inferior angle of right scapula, near spine.
Dull pressive pain : in vertex and through head.
Rough, furry feeling in throat.

(OBS :) Dropsy.

Pale, scrofulous children, with inflamed and swollen tonsils.
Mary S., æt. about 20 ; suppressed menstruation.
A man, æt. 35 ; hemicrania.
Old lady ; asthma.

Compare : Pimpinella saxifraga (tonsillitis), Chel. maj . (r. infrascapular pain), Aphis chenopodii glauci (l. infrascapular pain).

A tincture is prepared from the fresh herb, in flower.

Attention is called to the cerebral symptoms, especially in connection with those of the ear. ▶ Comparison is to be made with Santonine.

Convulsions, with insensibility and foaming at mouth, on recovery no remembrance of taking the poison. ▶ Convulsive movements of right half of body, breathing heavy, stertorous, with a peculiar rattle, as if a ball were rolling loose in the trachea, pulse small, weak, frequent, eyes insensible to light or external objects. ▶ Extremities cold, any attempt at deglutition threatened instant suffocation.

Disagreeable eructations, nausea, staggering, progressive deafness to the voice but great sensitiveness to the sounds of passing vehicles, each one of which sounded like the roaring of immense cannon right into his ear, the same sensitiveness to other sounds, for example, the tea-bell, also buzzing in ears, he would scarcely light a cigar before he would lay it down, so that the mantel-piece was strewn with cigars only slightly used, no disposition to engage in conversation, aphasia, at which he laughed heartily, whatever he did he repeated many times, he sat down at the wrong place at the tea-table, while grasping a piece of bread there was a spasm of right forearm and hand, fingers were firmly clenched and hand firmly flexed on forearm, he was assisted to his room, his walk being natural, when being placed in bed he showed resistance by striking at me, he began to groan, draw himself up and toss from side to side, soon became unconscious, paralyzed in right arm, next day impaired motion and sensation in right side, right eye ball insensible to touch, during the third day twitchings and stiffness of right limbs, on fourth day unilateral convulsion, copious involuntary micturition, the heavy breathing, with flopping of cheeks, of apoplexy, yellow, frothy regurgitation from mouth, which, like the evacuation from his skin, smelled of wormseed, at times so profuse that it embarrassed respiration, during an attack of dyspnœa and while in a drenching sweat he was gently turned in bed, when there was a general opistotonic convulsion, icterus, on the fifth day death in coma, with high temperature in axilla. ▶ (These symptoms retained though turpentine was mixed with the Chenopodium, T. F. A.).

▶ Neuralgia in head and eyes. ▶ Pains through breast, under right scapula and in right shoulder. ▶ Slight dull pain a little lower than inferior angle of right scapula, but nearer the spine.

Intense pain below lower angle of right shoulder-blade, through to chest. ▶ Aurists have found in this drug a valuable remedy for torpor of the auditory nerve, as well as for inflammatory states of the middle and internal ear with the peculiar disturbances of hearing above noted.