Leptandra Virginica lept.

Boger's Synoptic Key — Materia Medica

C. M. Boger · Boger's Synoptic Key — Materia Medica · A Synoptic Key of the Materia Medica, 1915 — the Materia Medica half

Region

Liver. Right side.

Worse

Cold drinks. Motion. Periodically.

Better

Lying on stomach or side.

General

Hepato-hæmorrhagic diathesis. Burnings; in hepatic region.

Particulars

Hopeless, weak and drowsy. Craves iced drinks. Bilious vomitus. Sore or dull bursting ache over gall - bladder, or liver, down over bowels to navel or toward left scapula, or along spine. Liver swelled transversely. Acute liver conditions. Gall - stones. Muddy, watery, morning stool. STOOLS TARRY OR BLACK, FOUL; stringy, waxy; spurting; with pain at navel. Dysentery; after diarrhœa. Prolapsing piles; with hæmorrhage (Lach.). Leucorrhœa; warm, watery; runs down limbs. Pain in (l) sciatic nerve on sitting. Nails very thin; soft and splitting. Jaundice.

Related

Complementary: Pho. Related: Bap. Card-m. Chio.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Culver's Root (LEPTANDRA)

General

A liver remedy, with jaundice and black, tarry stools. Bilious states. Enfeebled portal circulation. Malarial conditions.

Head

Dull frontal pain; vertigo, drowsiness, and depression. Smarting and aching in eyes.

Stomach

Tongue coated yellow. Great distress in stomach and intestines, with desire for stool. Aching in region of liver extending to spine, which feels chilly.

Stool

Profuse black, fetid stools, with pain at umbilicus. Bleeding piles. Typhoid stools turn black and look like tar. Clay colored stools with jaundice. Prolapse of rectum with hæmorrhoids. Rectal hæmorrhage.

Relationship

Compare: Podop; Iris; Bry; Merc; Ptel; Myrica.

Dose

Tincture, to third potency.

Leaders in Homoeopathic Therapeutics

E. B. Nash · Leaders in Homoeopathic Therapeutics · homeoint.org / Médi-T HTML text (Nash d. 1917; public domain)

Leaders

While writing on Aurum muriaticum natronatum I mentioned Veronica with which Dr. Baruch followed that remedy in the cure of my own case. After returning home I tried to find the two remedies. Found Aurum muriaticum natronatum in Hering's Guiding Symptoms, and, although meager, had something to go by in treating other cases, with the result there mentioned. But I could find no Veronica proven unless it was the Leptandra, which is one of the Veronica tribe. So the next time I saw Dr. Baruch I asked him if it was the Leptandra that he gave me, and he said, "No, it was the Veronica officinalis " (common Speedwell). It is not found in our Materia Medica as yet. There is no doubt the Veronicas and especially the Leptandra are good liver remedies, but aside from the alternate ashy and black stools we have nothing very definite to guide us to their selection. The only two provings made were with the alkaloid, and that in too low preparations to be of much value. I once succeeded with Leptandra in curing, or at least she improved until she was well, a lady very sick with what was called by her former physician typhoid fever. The following indications which I found in Jahr's Clinical Guide (by Lilienthal, first edition) led to its prescription. Symptoms: -"Great prostration, stupor, heat and dryness of skin, calor mordax or coldness of the extremities, dark, fetid, tarry, or watery stools mixed with bloody mucus, and a jaundiced skin." Otherwise I have never seen any marked benefit from this remedy in any case. Still I believe it to be capable, with scientific proving, in potency, of developing great curative powers. If I might, in this short notice, inspire some young physicians to thoroughly prove it I should not have written in vain.

A Dictionary of Practical Materia Medica

John Henry Clarke · A Dictionary of Practical Materia Medica · 1st edition (1900-02, three volumes); homeoint.org / Médi-T HTML digitization

General

Leptandra Virginica. Veronica Virginica. Black Root. Culver's Physic. Tall Speedwell (U.S.A.). N. O. Scrophulariaceæ. Tincture of resinoid Leptandrin. Tincture of fresh root of second year. Trituration of dried root. (A fresh plant tincture should also be made and tested.)

Clinical

Ascites. Bilious attack . Bilious fever. Constipation. Diarrhœa. Dysentery. Dyspepsia. Headache . Jaundice. Liver, affections of . Remittent fever, infantile. Yellow fever.

Characteristics

Leptandra in the form of the resinoid Leptandrin has been the subject of an heroic proving by Burt. As one of the grand characteristics of its relative Digitalis is white stools, so the grand characteristic of Lept . is black stools. The following experience of Dr. Burt fairly epitomises the drug's action: "For the last two hours" ( i.e ., six hours after the second dose on the fourth day of proving) "have been in awful pain and distress in umbilical and hypogastric region; drinking cold water < the pain very much; dull, aching, burning distress in region of gall bladder, with frequent chilliness along spine; great distress in hypogastrium with great desire for stool. A very profuse black stool, about the consistence of cream, with undigested potatoes in it, gave > , but was followed by great distress in region of liver extending to spine; for the last four hours there has been constant distress, with pains in whole abdomen, but for the last half-hour the pains in umbilicus and hypogastrium have been awful to endure, with rumbling and great desire for stool; a very profuse black, fetid stool, that ran a stream from my bowels , and could not be retained for a moment, gave great > but did not stop the pain altogether." There were great varieties of this stool, and in the later stages of the proving it became dysenteric and mixed with shreds. There was also constipation with hard black stool, followed by softer. And with the liver symptoms there was dull, heavy, frontal headache. These symptoms confirm the use of the drug by eclectics as a kind of "vegetable calomel." But though black stools are the chief characteristic, they are not the only kind that Lept . causes. Hale gives the following as the order in which the different kinds of stools occur in the time of the proving. ( 1 ) Black, thick, tar-like, fetid. ( 2 ) Thinner, brownish, often fetid. ( 3 ) Stool of mixed mucus, flocculent and watery matter, with yellow bile or blood. ( 4 ) Mucous bloody stool mixed with shred-like substances, often pure blood. Hale says it is only in cases of dysentery which have developed in this way that Lept . is curative; not in cases primarily dysenteric. Cases due to sudden climatic changes have been cured by it. Farrington further characterises the liver action of Lept .: Dull aching in right hypochondrium, gall-bladder, and back of liver , accompanied by soreness. Burning distress in and about liver after spreading to stomach and bowels. With this there is drowsiness and despondency. Bilious and typhoid fevers with the black, tarry stools. Neidhard observed a periodicity in cases cured by him: Periodical, occurring every two or three months; yellow-coated tongue; constant nausea with vomiting of bile shooting or aching pains in region of liver; loss of appetite; urine brownish, or, at any rate, very dark; often pain in transverse colon giddiness. But the most characteristic symptom is very dark, almost black stools. In cases of disease of any kind when these characteristic black stools are present Lept . must be thought of. Like Euphras., Lept . has a number of eye symptoms. Lept . is a right-side medicine; has chilly sensation along spine and down right arm; pains in right shoulder and arm. The symptoms are < by motion: rising = nausea and faintness. Weakness is so great he is hardly able to stand. < From exposure to wet weather. < Drinking cold water. A peculiar sensation is, "Feeling as if something was passing out of rectum." Like Dig . and Tabac . it has sinking at the pit of the stomach.

Relations

Dig. (liver; weakness; slow pulse; < by drinking), Scrof., Euphras., Gratiol. (botan.); Merc. (with Merc. tenesmus continues after stool; with Lept. there is > after stool, and only colic continues, and that in moderate degree); Nit. ac. (hæmorrhage in typhoid Nit. ac. bright red; Lept. tarry); Bapt. (pain in gall-bladder typhoid and remittent fevers); Gels. (infantile remittent); Bry. ( < by motion; sitting up = nausea); Bacil. (deep-in headache); Canth. and Arsen. (membranous diarrhœa); Chi., Iris v., Pod. and Veron. off. (liver); ─ Veron. off., following Aur. n. m., cured tarry stools alternating with ashy stools in Nash's case.

Mind

Gloomy, desponding, drowsy. ─ Gloomy and irritable all day.

Head

Very dizzy while walking. ─ Very severe frontal headache; walking < , making it almost intolerable. ─ Dull frontal headache, with sensation as if the hair were pulled out. ─ Dull frontal headache very deep in brain. ─ Constant dull frontal headache; < in temples, with aching in umbilicus. ─ Sick-headache with furred tongue. ─ Bilious headache; constipation, bitter taste, indigestion.

Eyes

Smarting and aching in eyes, with dull pain in eyeballs. ─ Profuse lachrymation. ─ Lids agglutinated.

Mouth

Tongue yellow or black down centre. ─ Flat taste.

Stomach

Canine hunger. ─ Awoke, 5 a.m., feeling very hungry, with great pain in epigastrium, > after breakfast. ─ Food rises very sour 10 a.m. ─ Nausea and deathly faintness on rising. ─ Vomiting of bile, yellow tongue; shooting pains about liver, black stools. ─ Weak, sinking sensation at pit of stomach. ─ Great distress in stomach and small intestines, with immediate desire for stool. ─ Burning aching in stomach and liver < drinking water. ─ Dyspepsia from disordered liver and stomach.

Abdomen

Dull aching in liver, < near gall-bladder. ─ Burning distress in back part of liver and spine. ─ Periodical liver derangement, every two or three months. ─ (Malignant disease of liver with black, tarry stools.). ─ Deliriousness; complete prostration; heat and dryness of skin; cold extremities; fetid, tarry stools; tongue thickly coated with black streak down centre. ─ Jaundice with clay-coloured stools. ─ Constant dull aching distress in umbilical region. ─ Sharp, distressing pains between navel and epigastrium. ─ Rumbling and distress in whole bowels, esp. in hypogastrium, with black stools. ─ Bilious colic or tendency to it. ─ Rumbling and distress in hypogastrium, profuse, black, fetid stools, pains in bowels.

Stool and Anus

Stools: black, tarry, bilious, undigested, followed by great distress in liver; mushy, with weak feeling in bowels; greenish, muddy, spouting out like water; profuse, black, fetid, running a stream; profuse, black, consistence of cream; black, papescent, tar-like, fetid, in afternoon and evening; first hard, black, lumpy, afterwards soft and mushy; watery with large quantities of mucus; yellowish green; clay coloured; < morning as soon as he moves; < from meat or vegetables. ─ Profuse watery stools, followed by severe cutting pains in small intestines; after exposure to wet, damp weather. ─ Before stool: rumbling. ─ After stool: sharp cutting pains and distress in umbilical region; faint, weak, hungry; griping but no straining. ─ Profuse dark brown, almost black, mushy and highly offensive stools; difficulty in retaining stool, must go immediately. ─ Sharp pains preceding stool, > afterwards, but increasing weakness; usually went to sleep soon after stool. ─ For nearly three months camp diarrhœa, hardly able to stand; emaciated, features haggard and jaundiced; stools previously mixed with undigested food, now muco-purulent and bloody, quite frequent, with tenesmus and cutting pains low down in bowels; sense of weight at stomach after cold water, cutting in bowels and disposition to stool. ─ The mucus discharge resembles false membrane. ─ Dysentery or typhoid with black, tar-like passages. ─ Constipation; hard, black stools followed by mushy portion; piles, from hepatic derangement. ─ Frequently bleeding piles; constipation and distressing pain beneath sacrum.

Urinary Organs

Red or orange-coloured urine with aching in lumbar region.

Female Sexual Organs

Menses suppressed or retarded; liver affected; prickly heat. ─ Leucorrhœa, with ulceration of os; sometimes fetid with mucous shreds; irritation of bladder and rectum; frequent pain at bottom of bowels; languor; skin hot and dry.

Heart

Soreness in cardiac region. ─ Pulse slow and full.

Neck and Back

Chilly sensation in shoulders and down back. ─ Sore, lame feeling in small of back. ─ Constant distress with very sharp pains by spells in lumbar region.

Upper Limbs

Pain in r. shoulder and arm. ─ Both wrists very lame and ache quite severely ( < l.) in morning; lasting till noon.

Generalities

Weary, can hardly walk.

Skin

Jaundice. ─ Dry, hot skin.

Sleep

Sleep sound. ─ Sleep restless after midnight; felt very ill next day.

Fever

Chilly along spine and down r. arm. ─ Shivering, or dry, hot skin; limbs cold and numb; tongue black down centre. ─ Bilious typhoid fever.

The Guiding Symptoms of Our Materia Medica

Constantine Hering · The Guiding Symptoms of Our Materia Medica · 1879–91

General

Culver's Root. Scrophulariaceæ.
Introduced by Hale. Provings by Burt and a student in Hahnemann Med. College. See Hale's New Remedies. Both provers made use of Leptandrin.
CLINICAL AUTHORITIES.
- Sick headache , Barlow, Times Retros., vol. 2, p. 14 ; Bilious headache , Hale's Therap., p. 387 ; Hepatic disease , Neidhard, Warren, Hale's Therap., p. 375 ; Griping pain in intestines , Williamson, Trans. Hom. Med. Soc. Pa., 1873, p. 97 ; Diarrhœa , Barnes, Hale's Therap., p. 386 ; Chronic diarrhœa and dysentery , Coe, Burt's Mat. Med., p. 568 ; Dysentery , Hughes, Pharmacody., p. 501 ; Fry, Hale's Therap., p. 385.

Mind

Gloomy ; desponding ; drowsy. θ Hepatic derangement.

Inner head

Constant dull frontal headache ; < in temples, with aching in umbilicus.
Sick headache with furred tongue, hepatic derangement.
Bilious headache ; constipation, bitter taste, indigestion.

Sight and eyes

Smarting and aching in eyes.

Taste, speech, tongue

Tongue yellow or black down centre.

Appetite, thirst. desires, aversions

Canine hunger.

Hiccough, belching, nausea and vomiting

Nausea, with deathly faintness on rising.
Vomiting of bile, yellow tongue ; shooting pains about liver, black stools.

Scrobiculum and stomach

Weak, sinking sensation at pit of stomach.
Great distress in stomach and small intestines, with immediate desire for stool.
Burning, aching in stomach and liver, < drinking water.
Dyspepsia from disordered liver and stomach.

Hypochondria

Dull aching in liver, < near gall bladder.
Burning distress in back part of liver and in spine.
Periodical liver derangement, occurring every two or three months ; yellow coated tongue ; constant nausea, vomiting of bile ; shooting or aching pains in region of liver ; loss of appetite ; urine brownish or very dark ; pain in transverse colon ; giddiness in head.
Deliriousness ; complete prostration ; heat and dryness of skin ; coldness of extremities ; fetid and tarry stools ; tongue thickly coated, with a black streak down centre. θ Hepatic disease.
Jaundice, with clay colored stools.

Abdomen and loins

Constant dull aching distress in umbilical region.
Sharp, distressing pains between navel and epigastrium.
Rumbling and distress in whole bowels, especially in hypogastrium, with black stools.
Bilious colic, or a tendency to it.
Rumbling and distress in hypogastric region, profuse, black, fetid stools, pains in bowels.

Stools and rectum

Stools : black, tarry, bilious, undigested, followed by great distress in liver ; mushy, with weak feeling in bowels ; greenish, muddy, spouting out like water ; profuse, black, fetid, running a stream ; profuse, black, consistence of cream ; black, papescent, tar-like, fetid, in afternoon and evening ; first hard, black, lumpy, afterwards soft and mushy ; watery, with large quantities of mucus ; yellowish green ; clay colored ; < morning, as soon as he moves ; from meat or vegetables.
Profuse, watery stools, followed by severe cutting pains in small intestines ; after exposure to wet, damp weather.
Before stool : rumbling.
After stool : sharp, cutting pains and distress in umbilical region ; faint, weak, hungry ; griping, but no straining.
Profuse dark brown, almost black, mushy and highly offensive stools ; difficulty in retaining stool, must go immediately ; sharp pain preceding stool, > afterwards but increasing weakness ; usually went to sleep soon after stool ; three to four stools daily. θ During progress of post-scarlatinal follicular enterocolitis with dropsy.
For nearly three months, camp diarrhœa ; hardly able to stand ; emaciated ; features haggard and jaundiced ; stools, previously mixed with undigested food, now muco-purulent and bloody, quite frequent, with tenesmus and cutting pains low down in bowels ; sense of weight at stomach after cold water, cutting in bowels and disposition to stool.
The mucus discharged resembles false membrane.
Diarrhœa : dependent on hepatic derangement, or inflammation of mucous membrane ; debility.
Chronic ulceration of intestines, with hepatic disorder.
Dysentery or typhoid with black, tar-like passages.
Dysentery of nearly a month's standing, brought on by sudden changes of climate ; dizziness and headache ; chills, followed by fever ; pain and uneasiness in bowels ; nausea and constant profuse flow of saliva during chill ; thirst ; unable to keep food or any drink on stomach ; desire to urinate during chill ; urine high colored and passed in small quantities ; soreness of rectum ; hemorrhoids ; painful dragging and stinging pains in rectum ; bowels bound and alternated every three or four days by diarrhœa, passages consisting of fecal matter resembling raw or boiled beef after having been pounded fine, with an admixture of mucus and an intolerable fetid smell ; the desire to stool was in morning and continued about an hour, during which time there were four or five passages, followed by tenesmus of rectum and a feeling as if something was passing out.
Constipation ; piles, depending upon hepatic derangement.
Frequently bleeding piles ; constipation and distressing pain beneath sacrum.

Urinary organs

Red or orange colored urine, with dull aching in lumbar region.

Female sexual organs

Menses suppressed or retarded ; liver affected ; prickly heat.
Leucorrhœa, with ulceration of os uteri ; sometimes fetid, with shreds of mucous lining it ; irritation of bladder and rectum ; frequent pain at bottom of bowels ; general languor and prostration ; heat and dryness of skin.

Heart, pulse and circulation

Soreness in cardiac region.
Pulse slow and full.

Neck and back

Chilly sensation on shoulders and down back.
Sore, lame feeling in small of back.

Upper limbs

Pain in right shoulder and arm. θ Hepatic affections.

Rest. position. motion

Rising : causes nausea, faintness.
Hardly able to stand : from weakness.

Time

Morning : clay colored stools ; desire to stool.
Afternoon and evening : black fetid stools.

Temperature and weather

Exposure to wet, damp weather ; profuse, watery stools, with cutting pains in small intestines.
After cold water : sense of weight in stomach.
Sudden changes of climate : dysentery.

Fever

Chilly along spine and down right arm.
Shivering, or dry, hot skin ; stupor ; limbs cold and numb ; tongue black down centre. θ Bilious fever.
Bilious typhoid fevers.

Attacks, periodicity

In one hour : four or five stools.
Daily : three or four stools.
Every three or four days : bowels bound, or diarrhœa.
For nearly a month : dysentery.
Every two or three months : liver derangement.
For nearly three months : camp diarrhœa.

Locality and direction

Right : pain in shoulder and arm ; chilly down arm.

Sensations

Feeling as if something was passing out of rectum.
Pain : in transverse colon ; in bowels ; at bottom of bowels ; in right shoulder and arm.
Great distress : in stomach and small intestines ; in hypogastric region ; in liver.
Sharp distressing pains : between navel and epigastrium.
Distressing pain : beneath sacrum.
Sharp pain : in abdomen.
Shooting pains : about liver.
Cutting pains : in small intestines ; in umbilical region ; low down in bowels.
Painful dragging and stinging : in rectum.
Dull pain : in forehead ; in temples.
Aching : in umbilicus ; in eyes ; in stomach ; in liver ; in lumbar region.
Dull aching distress : in umbilical region.
Griping : after stool ; bilious colic.
Burning distress : in back part of liver and spine.
Burning : in stomach ; in liver.
Soreness : of rectum ; in cardiac region.
Smarting : in eyes.
Heat : of skin.
Sore lame feeling : in small of back.
Uneasiness : in bowels.
Weak sinking sensation : at pit of stomach.
Weight : at stomach.
Dryness : of skin.
Chilly sensation : on shoulders and down back.

Tissues

Chronic abdominal complaints caused by derangement of portal system.
Chronic congestion and other chronic disorders of liver.
Chronic dysentery and diarrhœa, and other diseases of bowels ; when false membranous formations have occurred in small intestines, produced by gradual exudation of plastic lymph.
Ascites and anasarca from obstructed circulation in portal system.

Skin

Jaundice.
Hot and dry skin. θ Bilious attacks.

Stage of life, constitution

Boy æt. 6, during progress of post-scarlatinal follicular enterocolitis, associated with general anasarca ; diarrhœa.
Woman, æt. 75 ; hepatic disease.

Relations

Compare : Bryon., Cinchon., Iris v., Mercur., Podoph .