Opium op.

MIND. SENSES. NERVES: Brain. Cerebro-spinal. Sympathetic. Lungs. Respiration. Digestive tract.

EMOTIONS. FEAR. Fright. Joy. Odors. ALCOHOL. Sleep. Suppressed discharges. Receding eruptions. If heated.

Cold. Uncovering.

Negative, torpid states; but little pain, secretion or reaction. Paralysis; painless; of brain, tongue, bowels, lungs, etc. Tremor. Twitchings; during sleep. Convulsions. Epilepsy, in sleep. Internal dryness. Hot, head; sweat; bed seems, hunts a cold place, etc. Stupid sleep, spasms, violent chills, etc., during.

PLACID; says nothing ails him. Dreamy. Sluggish. Dull. Stupid. No will power. Lying. Fears; after fright. Delirium; with terror; alcoholic. Wants to go home. Carphology. Cerebral congestion; intercurrent; apoplectic. Heavy occiput. Visual hallucinations. Inactive pupils. Red, bulging, staring eyes. Dark, turgid, sweaty or hot red face or red and pale alternatly. Old look; after cholera infantum. Mouth twitches or hangs open. Cravings, without appetite. Vomiting; in peritonitis. As of a weight in abdomen. Bowels feel obstructed. Paralytic atony of bowels and bladder; after laparotomy. Hard tympany. Colic; lead. Stools of hard, black balls. Constipation. Bloody mucus oozes from open anus. Retained urine. Lively fœtal motions. Rattling, unequal breathing. Sighing. Snoring. Stertor. Tickling cough. Pneumonia. Weak heart. Crawlings here and there. General itching. Skin rough and dirty. Painless ulcers. Tired and sleepless; drunkards. SOMNOLENCY. Heavy, stupid sleep; of the aged. Full, slow pulse (Dig.). Hot, sweaty (Samb.) and drowsy; with cold limbs. Sweaty, without relief.

Complementary: Alu. Bar-c. Bry. Pho. Plb. Related: Arn. Nux-m.

Especially adapted to children and old people; diseases of first and second childhood (Bar. c., Mill.), persons with light hair, lax muscles, and want of bodily irritability. Want of susceptability to remedies; lack of vital reaction, the well chosen remedy makes no impression (Carbo v., Laur., Val.). Ailments: with insensibility and partial or complete paralysis; that originate from fright, bad effects of, the fear still remaining (Acon., Hyos.); from charcoal vapors; from inhaling gas; of drunkards. All complaints; with great sopor; painless, complains of nothing; wants nothing. Spasms: of children, from approach of strangers; from nursing after fright of mother (Hyos. - after anger of mother, Cham., Nux); from crying; eyes half open and upturned. Screaming before or during a spasm (Apis, Hell.). Deep stetorous respiration both on inhalation and exhalation. Delirium, constantly talking; eyes wide open, face red, puffed; or unconscious, eyes glassy, half-closed, face pale, deep coma; preceded by stupor. Thinks she is not at home (Bry.); this is continually in her mind. Picking of bed clothes during sleep (while awake, Bell., Hyos.). Delirium tremens: in old emaciated persons; bloated face, stupor, eyes burning, hot, dry; with loud snoring. Sleep: heavy, stupid; with stetorous breathing, red, face, eyes, half-closed, blood-shot; skin covered with hot sweat; after convulsions. Sleepy, but cannot sleep (Bell., Cham.), sleeplessness with acuteness of hearing, clock striking and cocks crowing at great distance keep her awake. Loss of breath on falling asleep (Grind., Lach.). Bed feels so hot she cannot lie on it (bed feels hard, Arn., Bry., Pyr.); moves often in search of a cool place; must be uncovered. Digestive organs inactive; peristaltic motion reversed or paralyzed; bowels seem closed. Constipation: of children; of corpulent, good-natured women (Graph.); from inaction or paresis, no desire; from lead poisoning; stool hard, round black balls (Chel., Plumb., Thuja); faeces protrude and recede (Sil., Thuja). Stool: involuntary, especially after fright (Gels.); black and offensive; from paralysis of sphincter. Urine: retained, with bladder full; retention, post-partum or from excessive use of tobacco; in nursing children, after passion of nurse; in fever or acute illness; paralysis of bladder or sphincter. (In Stramonium we have suppression; while in Opium the secretion is not diminished, the bladder is full but fullness is unrecognized.). Opium renders the intestines so sluggish that the most active purgatives lose their power. - Hering. Persistent diarrhoea in those treated with large doses of the drug. - Lippe. Sudden retrocession of acute exanthema results in paralysis of brain or convulsions (Zinc.). Marasmus; child with wrinkled skin, looks like a little dried up old man (Abrot.).

Antidoes, for poisonous doses; strong coffee, Nux, Kali per. and constant motion. When symptoms correspond, the potencies may antidote bad effects of Opium drugging. Compare: Apis, Bell., Hyos., Stram. and Zinc.

During and after sleep (Apis, Lach.); while perspiring; from warmth; stimulants.

From cold; constant walking.

Daring state of the mind; gaiety; affections of the intellect; very easy of comprehension; delirium.

Bluish appearance of the face; very red; bloated; distorted.

Where there is continued and steady stertorous breathing (there may be occasional stertorous breathing as for instance, coming on and lasting a little while after a convulsion--but wait and see whether that does not presently die away; if there is continued stertorous breathing, give Opium). Respiration deep; unequal.

Obstructed evacuation; stools resemble hard, round, black balls, and are voided in succession; evacuation obstructed from indurated feces.

Drowsiness; sleep not refreshing; deep and heavy, with stertorous respiration; with open eyes; concomitant complaints to morbid. Dreams very pleasant; amorous; fantastic.

Absence of perspiration; heat without perspiration; very hot, sweltering perspiration; complaints concomitant to perspiration i.e., those which may appear with perspiration. Intermittent fever where the chilliness is followed by heat, with perspiration which may be hot and sweltering; where there is no chill, but the fever is accompanied by this perspiration; patient may not feel cold all day, or may have only a little chill, and at night when in bed complain that, "the sheets feel so very hot."

Feeling of numbness in the outer part; of some kind of an obstruction in the inner parts; pains like labor pains.

Pupils dilated--may see this after cholera infantum where the brain is threatened: hardness of hearing; hunger without desire to eat. Discharge of urine too scanty. Labor pains ceasing, labor too weak. Apoplexy with stertorous breathing; blackness of outer parts; blueness of the whole skin or cyanosis. Motion convulsive; clonic spasms, especially when the stertorous breathing lasts all the time between the spells; blue-black swelling here and there over the body.

From anxiety or fear; from reproaches; with drunkards; after brandy; from spirituous liquors in general; during respiration; on rising; during sleep; after sleep; in pregnancy where the mother complains of the violent motions of the fœtus. (Sensation as though a living fœtus were moving in the abdomen, when there is nothing there, Croc. sat.)

Acon., Bellad., Bryon., Hyosc., Nux mosch., Nux vom., Tart. emet.

Ipec.

Delirious talking, eyes wide open, face red and puffed up. Drunkenness with stupor, as from smoke in the brain, eyes burning hot and dry. Nervous and irritable, passes nothing but hard, black balls from the bowels. After a fright, with fear, convulsions, or the head hot, and twitching around the mouth. The lower lip and jaw hang down. Child makes no water, with full bladder, and has no stool, from nursing after the nurse has had furious fit of passion. Colic and other ailments from lead in paints, pipes and otherwise. Twitching, trembling of the head, arms and hands, now and then jerks as if the flexors were overactive, body cold, inclination to stupid sopor, motion of the body and uncovering the head relieves. Sleepy but cannot sleep, the bed feels so hot she cannot lie on it. Unrefreshing soporous sleep, with eyes half open, and deep snoring respiration. Sleplessness with acuteness of hearing, clocks striking and cooks crowing at a great distance keep her awake.

Dried Latex of the Poppy (PAPAVER SOMNIFERUM)

Hahnemann says that it is much more difficult to estimate the action of Opium than of almost any other drug. The effects of Opium as shown in the insensibility of the nervous system, the depression, drowsy stupor, painlessness, and torpor, the general sluggishness and lack of vital reaction, constitute the main indications for the drug when used homeopathically. All complaints are characterized by sopor. They are painless, and are accompanied by heavy, stupid sleep, stertorous breathing. Sweaty skin. Dark, mahogany-brown face. Serous apoplexy-venous, passive congestion. Want of sensitiveness to the action of medicines. Reappearance and aggravation from becoming heated. Opium lessens voluntary movements, contracts pupils, depresses higher intellectual powers, lessens self-control and power of concentration, judgment; stimulates the imagination, checks all secretions except that of the skin. Want of susceptibility to remedies even though indicated. Diseases that originate from fright.

Patient wants nothing. Complete loss of consciousness; apoplectic state. Frightful fancies, daring, gay, bright. Unable to understand or appreciate his sufferings. Thinks he is not at home. Delirious talking, with wide open eyes.

Vertigo; lightness of head in old people. Dull, heavy, stupid. Delirium. Vertigo after fright. Pain in back of head; great weight there (Gels). Bursting feeling. Complete insensibility; no mental grasp for anything. Paralysis of brain.

Half-closed, dilated; pupils insensible, contracted. Ptosis (Gels; Caust). Staring glassy.

Red, bloated, swollen, dark suffused, hot. Looks intoxicated, besotted (Bapt; Lach). Spasmodic facial twitching, especially corners of mouth. Veins of face distended. Hanging down of lower jaw. Distorted.

Dry. Tongue black, paralyzed bloody froth. Intense thirst. Blubbering op lips. Difficult articulation and swallowing.

Vomiting, with colic and convulsions. Fecal vomiting. Incarcerated hernia. Hungry; no desire to eat.

Hard, bloated, tympanitic. Lead colic during colic, urging to stool and discharge of hard feces.

Obstinate constipation; no desire to go to stool. Round, hard, black balls. Feces protrude and recede (Thuj; Sil). Spasmodic retention of feces in small intestines. Stools involuntary, black, offensive, frothy. Violent pain in rectum, as if pressed asunder.

Slow to start; feeble stream. Retained or involuntary, after fright. Loss of power or sensibility of bladder.

Suppressed menses from fright. Cessation of labor-pains with coma between paroxysms. Threatened abortion and suppression of lochia, from fright, with sopor. Horrible labor-like pains in uterus, with urging to stool.

Breathing stops on going to sleep; must be shaken to start it again (Grindelia). Hoarse. Deep snoring; rattling, stertorous breathing. Difficult, intermittent, deep, unequal respiration. Heat in chest; burning about heart. Cough, with dyspnœa and blue face; with bloody expectoration.

Great drowsiness (Gels.; Nux mosch). Falls into a heavy stupid sleep. Profound coma. Loss of breath on falling asleep (Grind). Coma vigil. Picking at bedclothes. Very sleepy, but cannot go to sleep. Distant noise, cocks crowing, etc, keep him awake. Child dreams of cats, dogs, black forms. Bed feels so hot cannot lie on it. Pleasant, fantastic, amorous dreams. Shaking chill; then heat, with sleep and sweat. Thirst only during heat.

Pulse full and slow. Heat extending over body. Hot perspiration. Fever characterized by stupor, snoring respiration, twitching of limbs, intense thirst and sleepiness. General low temperature with inclination to stupor.

Opisthotonos. Swollen veins of neck. Painless paralysis (Oleand). Twitching of limbs. Numbness. Jerks as if flexors were overacting. Convulsions; worse from glare of light; coldness of limbs.

Hot, damp, sweating, Constant desire to uncover. Hot perspiration over whole body except lower limbs.

Worse, heat, during and after sleep (Apis; Lach.). Better, cold things, constant walking.

Compare: Apis; Bell; Gels; Nux mosch; Morphinum (extreme susceptibility to pain; twitching; tympanities; much itching); Codein (dry, teasing, incessant cough; twitching of muscles, especially those of eyelids); Eschscholtzia-Cal California Poppy--(a harmless soporific).

Antidote: Acute Opium poisoning. Atropin and Black Coffee. Chronic Opium poisoning. Ipecac; Nux; Passiflora. Berberis is useful to counteract opium habit.

Third to thirtieth and 200th potency.

Palliative only in great pain, sleeplessness, peritonitis, and to check excess secretion in diarrhœa, diabetes, etc.

Opium (crude).--Official dose, 1 grain.

Laudanum (tincture)-Dose, 5 to 20 drops. Extract of Opium 1/4 to 1 grain.

Paregoric-Tinctura Camphora Composita. Contains in each dram 1/4 grain of Opium equal to 1/30 grain of Morphine. Dose 1/2 to 1 fluid dram for adults. For an infant 3 to 5 drops.

Dover's Powder consists of Opium, Ipecac and Sulphate of Potash. It contains 10% each of Opium and Ipecac. Dose 5 to 15 grains.

Morphine-1/8 to 1/4 grain.

Magendie's solution-16 grains to 1 oz or 5 drops equal to 1/6 grain.

Codein-1/2 to 1 grain.

Apomorphia-1/20 to 1/10 grain hypodermically.

Abnormal painlessness.

Want of susceptibility, trembling, lack of vital reaction.

Blunted morals, worst liars in the world.

Reversed peristalsis and fæcal vomiting.

Fright; the fear of the fright remaining.

Sleepy but cannot sleep. Hears sounds not ordinarily noticed.

Very hot skin with sweating; perspiration.

Profound stupor with dark-red face and stertorous breathing.

Bed feels so hot she cannot lie on it; moves often in search of a cool place; must be uncovered.

One of the worst abused, because frequently used, remedies of all schools of medicine. I must explain. I said all schools. The true Homœopath does not abuse it, but many members of the school calling themselves homœopathic do. A teacher in one of the homœopathic colleges defended its use in narcotic doses in many cases to produce sleep and relief from pain. I will say just here that any homœopathic physician that feels obliged to use Opium or its alkaloid in this way and for this purpose does not understand his business and had better study his Materia Medica, and the principles of applying it according to Hahnemann, or else go over to the old school where they make no pretensions to have any law of cure. In the first place Opium in narcotic doses does not produce sleep, but stupor, and it only relieves pain by rendering the patient unconscious to it. How many cases have been so masked by such treatment, that the disease progressed until there was no chance for cure? Pain, fever and all other symptoms are the voice of the disease, telling where is the trouble and guiding us to the remedy. The true curative often relieves pain even more quickly than Opium, and does so by curing the condition upon which it depends. And even in cases where it does not so quickly stop the pain, it is often far better to suffer awhile until the curative can get in its work. Probably ninety-nine in a hundred of those suffering from the terrible habit of morphine eating are first led into it by physicians who prescribe morphine to "relieve pain and procure rest and sleep." And when we take into this account the abuse of stimulants, under the name of tonics, habitually prescribed by the same class of physicians it is no wonder that they are often heard to say, I don't know whether I have done more good or harm.

It is this very narcosis which presents the leading characteristic indication for the Homœopathic use of this drug. No remedy produces such profound stupor, and it is expressed in our Materia Medica as follows: "Stupid, comatose sleep, with rattling, stertorous breathing." In addition to this the face is red and bloated, the eyes blood-shot and half open and the skin covered with hot sweat. Now this condition, which is nothing more or less than such a fullness of the vessels of the brain or head that, from pressure, a paralysis or semi-paralysis of the nerves which carry on the act of breathing, keep the lower jaw up (which drops), and close the sweat glands, takes place. There are many diseases in which this state of things may appear, such as typhoid fever, where the patient becomes totally unconscious and oblivious to all around. There is no response to light, touch, noise or anything else, except the indicated remedy, which is Opium. So in pneumonia, where Opium has made remarkable cures in Homœopathic hands; while in massive, or what they like to call heroic, doses of the old school (given to stop pain and procure sleep) it has sent many a poor victim to his long resting place. In many other diseases, in fact in any disease where these symptoms are found, we may confidently expect Opium either to cure the case or to so change the condition that other remedies will follow it to a perfect cure. Other remedies may vie with it, for instance in typhoids, such as Lachesis or Hyoscyamus. These two remedies will often claim attention in typhoid pneumonia. It often requires close discrimination to choose between them. Apoplexy often calls for Opium, but here as elsewhere the symptoms must decide.

The fact that Opium is capable of banishing pain, or, rather, I should say, rendering the organism incapable of sensing pain, is one of the chief indications for its use in homœopathic therapeutics. There is not only complete absence from pain, but as complete unsusceptibility to general drug action. You know that we are told that when the seemingly indicated remedy does not act give Sulphur. Now it may be that Opium is a better remedy to give, if all there is of the case is that there seems to be no vital reaction. Sulphur would be likely to be the best remedy if the lack of reaction were due to some psoric taint; but even here all the symptoms must be taken into account. Laurocerasus is another remedy to arouse reaction when it seems to depend upon excessively low vitality. Psorinum may succeed in psoric obstructions to vital reactions when Sulphur fails. There is nothing to be more condemned in homœopathic prescribing than routinism. This same paralyzing effect of Opium is seen in the intestines. Their irritability is lost. Peristaltic action is entirely suspended. There is no desire even for movement. The fæces lie there in the convolutions of the intestines, form into hard, black balls, which must be removed by enemas or purgatives. Again, the urinary organs come under the same action. The urine is retained from paralysis of the fundus of the bladder; can't pass water from blunting of the sensitiveness of the walls of the bladder, etc. Or the other extreme, involuntary urination or stool from paralysis of the sphincters. Everywhere Opium is a producer of insensibility and partial or complete paralysis and, other things being equal, is homœopathically indicated there.

Now we find an exactly opposite state of things under Opium to that we have been describing as indicated by the following symptoms: "Delirious, eyes wide open, glistening; face red, puffed up." "Vivid imagination, exaltation of the mind." "Nervous and irritable, easily frightened." "Twitching, trembling of head, arms, hands; jerking of the flexors, even convulsions." "Sleeplessness (Cimicifuga, Coffea), with acuteness of hearing; clock striking and cocks crowing at a great distance keep her awake." These are the secondary or reactionary symptoms of Opium. Nature has been pushed like a pendulum, clear to one side of the perpendicular or normal condition. Now, nature endeavouring to undo this mischief, like the law of gravity with the pendulum, pulls back with such force that the pendulum swings not only to its normal state, but clear over to the other extreme, and then if left to herself will continue to oscillate back and forth until the normal place is found and natural law again reigns supreme. It must be remembered here that the fist class of symptoms are drug action, the later action nature's efforts against the drug; so that such excitement, irritability and spasms never come under the homœopathic action of Opium as a remedy unless this state has been preceded by drowsiness stupor and insensibility, etc. It cannot be the homœopathic remedy to the case without this, for its perfect similarity is not to be found there This is the reason why the homœopath can make his sleepless patient sleep a natural sleep with Opium in the little dose, while the allopath forces his patient into a stupor (not a sleep) with his big dose. The one is curative, the other poisonous.

Vivid imagination, exaltation of the mind, increased courage, with stupefaction and dulness. Stupid indifference ; imbecility. Stupefaction of the senses. Illusions and frightful fancies ; visions. Loquacious delirium, with open eyes and red face ; furious delirium. Mania, with frightful or pleasing, delightful visions, alternating with stupor. Delirium tremens ; with diminished sensitiveness of the senses and stupor with snoring. Stupor, must lie down ; snoring sleep and half-open eyes. Complete loss of consciousness and sensation, with relaxation of the muscles. Apoplexy, with vertigo, buzzing in the ears, low of consciousness, red, bloated, hot face, red, half-closed eyes, dilated, insensible pupils, foam at the mouth, convulsive movements of the limbs, and slow, snoring breathing. Fright with fear ; is followed by heat in the head and convulsions. Grief over insults is followed by convulsions.

Stupefying vertigo when rising, compelling one to lie down. Dulness and stupefaction of the head, as from drunkenness. Congestion of blood to the head, with pulsation in it. The headache is aggravated on moving the eyes. Great heaviness of the head.

The lids hang down as if paralyzed. The eyes are half open and are turned upwards. The pupils are dilated and insensible to light. Staring look. Glassy, protruded, immovable eyes. Swelling of the lower lids. Obscuration of sight. Sensation as if the eyes were too large for the orbits.

Face bloated, dark (brown) red, hot. Face pale, clay-colored, sunned countenance and eyes, with red spots on the cheeks. Bluish (purple) face. All the muscles of the face are relaxed and the lower lip hangs down. Trembling, twitching and spasmodic movements of the muscles of the face. Corners of the mouth twitch ; distortion of the month. The veins of the face are distended. Hanging down of the lower jaw. Lock-jaw.

Dryness of the mouth. Ptyalism ; spitting of blood. Ulcers in the mouth and on the tongue. Paralysis of the tongue and difficult articulation. Black tongue. Feeble voice, and requires a strong effort to talk loud. Dryness of the throat. Inability to swallow ; daily attacks of distention and strangulation.

Violent thirst ; aversion to food, or canine hunger without appetite. Vomiting, with violent colic and convulsions ; of green substance ; of blood. Vomiting of feces and urine. Heaviness and pressure in the stomach. Inactivity of the digestive organs. Hard, bloated abdomen. Tympanitis. Heaviness in the abdomen, as from a weight. Lead-colic. Incarcerated inguinal hernia.

Constipation from inactivity of the intestines. Spasmodic, retention of the feces, especially in the small intestines. Black fetid stool. Involuntary discharge of offensive stool ; involuntary stools after fright. Fluid, frothy, diarrhœic stools, with burning in the anus and violent tenesmus. Suppression of urine, as from contraction or paralysis of the bladder. Scanty, dark-brown urine, with brick-dust sediment. Hæmatorrhœa.

Men. Excitement of the sexual organs and violent erections ; or impotence. Women. Spasmodic, labor-like pain in the uterus. Suppressed, false or spasmodic labor-pain. Puerperal spasm, during and after parturition, with loss of consciousness and drowsiness or coma between the paroxysms. Violent movements of the fœtus.

Hoarseness, with dry mouth and throat and white tongue. Difficult, intermitting breathing, as from paralysis of the lungs : Pneumonia notha. Rattling breathing. Deep snoring breathing, with open mouth. Tension and constriction of the chest. Suffocative attacks during sleep, like nightmare. Cough, with dyspnœa and blue face. Cough, with frothy expectoration of blood and mucus. Heat in the chest. Burning about the heart.

Pulsating arteries and swollen veins on the neck. The back is (spasmodically) bent backwards.

Upper. Twitching and spasmodic movements of the arm. Paralysis of the arms. Trembling of the arms and hands. Distended veins on the hands. Lower. Twitching and spasmodic movements of the legs. Weakness, numbness and paralysis of the legs. Heaviness and swelling of the feet.

Numbness and insensibility of the body and limbs. Trembling of the whole body, with external coldness and jerking and twitching in the limbs. Trembling of the limbs after fright. Convulsions, with sudden loud cries. Buzzing through the whole body. Want of sensitiveness against the effects of medicines, with want of vital reaction. Increased excitability and action in the voluntary muscles, with diminution of it in the involuntary muscles. Paralysis without pain. Convulsions and spasmodic motions, with foam at the mouth. Convulsions, with sleep after the paroxysms. Rigidity of the whole body. Tetanic spasms, with bending the head or back backwards. Epileptic convulsions, particularly at night or towards morning, with suffocative paroxysms.

Drowsiness, great inclination to sleep ; dreams, and cannot be roused. Coma vigil. Stupefying, unrefreshing sleep. Stupefying sleep, with the eyes half open and snoring. During sleep, picking of bed-clothes (floccilegium) ; groaning ; voluptuous dreams.

Pulse varies very much ; full and slow, with difficult, snoring breathing ; quick and hard with heat, with quick and anxious breathing. Chill and diminished animal heat, with stupor, and weak, scarcely perceptible pulse. Rigidity and coldness of the whole body. Coldness only of the limbs. Heat with damp skin predominates, extending itself from the head or stomach over the whole body. Burning heat of the whole body, which is in a perspiration, with great redness of the face, followed by sleep with snoring. Heat, with inclination to be uncovered. Profuse perspiration over the whole body, which is burning hot, with sleep and snoring. In the morning, profuse hot perspiration, with desire to be uncovered. Perspiration of the upper part of the body, with dry best of the lower part. Cold perspiration on the forehead. Intermittent fever; first shaking chill, afterwards heat with sleep, during which he perspires much. Falling asleep during the cold stage and no thirst ; during the hot stage thirst and general copious perspiration. Fever with stupor ; snoring with the mouth open ; twitches through the limbs and perspiration on the hot body. Fever with sopor.

Dropsical swelling of the whole body. Redness and itching of the skin. Blue spots on the skin.

Painlessness with all ailments ; complains of nothing and asks for nothing. Especially suitable for children and old persons. All ailments are accompanied by sopor. Reappearance and aggravation from becoming heated. Suitable very often to persons addicted to drinking and aged persons. Bad effects from fright. Aggravation from brandy, wine ; while perspiring ; on rising ; during and after sleep.

Papaver somniferum. Poppy. N. O. Papaveraceæ. (Opium is the gummy exudation of the unripe capsule of the poppy.) Tincture.

After-pains. Apoplexy. Bladder, paralysis of. Brain, affections of. Cancer. Catalepsy . Chilblains. Colic. Constipation. Diabetes mellitus. Dreams . Dysmenia. Epilepsy. Fear, effects of . Fœtus, movements of, excessive. Hernia, incarcerated. Hystero-epilepsy. Ileus. Intestines, obstruction of. Labour pains, abnormal. Lead colic . Marasmus. Measles. Melancholia . Meningitis. Paralysis . Puerperal convulsions. Sighing. Sleep, abnormal . Snoring. Starting . Sunstroke. Tympanitis. Uræmia. Urine, suppression of; retention of . Uterus, inertia of. Veins, fulness of. Whooping-cough .

Opium is one of the most complicated substances in the materia medica. Besides mucilage, albumen, fat, sugar, and salts of Ammonia, Calcium , and Magnesia , it contains "seventeen or eighteen alkaloids, and two neutral substances, as well as a peculiar acid — meconic acid" (Brunton). Among the alkaloids of Opium, Apomorphinum, Codeinum, Morphinum have their several places in the homœopathic materia medica. As the prince of pain-killing palliatives Opium has played a very prominent part in old-school therapeutics, and by its seductive properties has reduced many who have sought its help to become its slaves. The effects observed in persons brought under its influence in this way, in opium-smokers and in persons poisoned with massive doses, have produced a large part of the pathogenesis; provings and clinical observations have added the rest. The effects of a poisonous dose of Opium are scarcely to be distinguished from a fully developed attack of apoplexy — absolute unconsciousness; complete muscular relaxation; pupils contracted to a pin-point aperture; turgid, bloated, very red, or bluish face; stertorous breathing; pulse slow and full. Death takes place by asphyxia, the heart continuing to beat after breathing has ceased. Minor degrees of the Opium influence give: Deep sleep; pleasant, fantastic, or frightful dreams; delirium like delirium tremens. On waking from this stage there is severe headache, nausea, furred tongue, loss of appetite. In still smaller doses (or in the large doses of Opium habituées ) there is: ( 1 ) Excitement of circulation, pulse fuller and quicker, surface warm and flushed; increased power of directing energies. If he wishes to sleep, "an agreeable languor followed by sleep comes on. He can be easily aroused from this sleep; and after a few hours the effect passes off, leaving, however, slight headache and languor, with dryness of mouth and slight nausea. If, on the other hand, he wishes to work, he can do this with increased energy; or if he desires to exert the mind, he will find his imagination more vivid, his thoughts more brilliant, and his power of expression, greater" (Christison, quoted by Brunton). In my student days I had the good fortune to be in the skilful hands of Dr. Angus Macdonald through a severe attack of peritonitis (apparently induced by a chill one very severe winter). The treatment was: Opium , in pills, two or three times a day; the object being to keep the intestines inactive till such time as the inflammation should subside, and at the same time to relieve me of the pains. The treatment was on perfectly rational grounds, and was completely successful. The inconveniences of it were persistent vomiting, distressing dreams, a state of irritability almost of the Chamomilla type, and constipation. This last was the feature which gave me more anxiety than anything else, and, in spite of my doctor's assurances, I could not help fearing that obstruction had taken place. It lasted long after the Opium was discontinued, and at last, without any medicinal help, ended, to my great astonishment, in diarrhœa. There had been neither stool nor flatulence pass for many days. Flatus began to pass before the diarrhœa set in. Hahnemann ( M. M. P .) sums up the action of Opium thus: "In the primary action of small and moderate doses, in which the organism passively, as it were, lets itself be affected by the medicine, it appears to exalt the irritability and activity of the voluntary muscles for a short time, but to diminish those of the involuntary muscles for a longer period; and while it exalts the fancy and courage in its primary action, it appears at the same time to dull and stupefy the external senses, general sensibility and consciousness. Therefore the living organism in its active counteraction produces the opposite of this in the secondary action: Diminished irritability and inactivity of the voluntary and morbidly exalted excitability of the involuntary muscles, and loss of ideas and obtuseness of the fancy, with faintheartedness along with over-sensitiveness of the general sensibility." It is right to say that Hahnemann prefaces the above with the remark that, "It is more difficult to estimate the action of Opium than of almost any other drug." This is quite true if we conceive it necessary to divide the effects of the drug into primary and secondary. For my part I have never yet been able to turn to practical account this division into primary and secondary in respect of any drug; and, except for the occasional purpose of arranging the actions of a drug in rememberable form I do not attempt it. I find that whether an Action is "primary" or "secondary" depends on the prover or the patient. I know some people who are made absolutely sleepless by Opium in all sorts of doses; and Op . 30 has helped me in case of sleeplessness as often as Coffea . My experience goes to show that whether the drug-effect is primary or secondary, it is a drug-effect and is good for prescribing on. Hahnemann describes as a rare and transient effect of Opium in excitable subjects, occurring primarily but really a sort of reflexion of the secondary state: "Deathly paleness, coldness of the limbs and whole body, cold perspiration, timorous anxiety, trembling and despair, mucous stools, transient vomiting and short cough, and very rarely certain kinds of pain." The last remark is to be taken in connection with a previous one to the effect that Opium "does not cause in its primary action one single pain." Here again Hahnemann's negative must be taken with caution. No doubt abnormal painlessness is a grand keynote for Opium ; but in the pathogenesis many acute pains will be found, and among them this recorded by Hahnemann himself: "Horrible labour-like pains in uterus, which compelled her to bend the abdomen double, with anxious, almost ineffectual urging to stool." Whether this be "primary" or "secondary" I know not; but in one of the worst cases of painful menstruation I have ever had to treat Op . 30 gave greater and more lasting relief than any other remedy. In one patient to whom I gave Op . 30 for constipation, it caused with the onset of the next period "sharp pain which caused vomiting and a desire to sit doubled up and keep warm." J. P. Willard ( H. W ., xxxii. 168) has repeatedly given permanent relief in cases of suffering with Op . 2x without producing any narcotic effect. Opium can cause cramps and even tetanus as well as the opposite state, the tetanic properties chiefly existing in the alkaloid Thebain . Opium causes tetanus in frogs but has no effect whatever on birds. The grand characteristic of Opium is the drowsiness, inertia, torpor, absence of sensation, absence of reaction, which appears is its general effects. In all complaints with great sopor; painlessness; complaining of nothing and wanting nothing, Opium may be required. I remember reading of the cure of an ulcer of the leg. There were no sensations on which a remedy could be diagnosed, but the absence of sensations indicated Opium , and Opium cured. "Want of susceptibility, trembling," is another feature of the same state; lack of vital reaction. Inertia of the intestines results in constipation; of the bladder, in retention; of the uterus, in suspension of the menses. Generally speaking, all secretions are checked except that of the skin, which is excited. This arrest of action seems to explain the sensation of obstruction which occurs in inner parts; and in intestinal obstruction Opium has won many triumphs. It was part of Owen Thomas's treatment of intestinal obstruction to give drop doses of Op . Ø, and feed the patient on meat soups only — no milk, farinaceous foods, or solids. His idea was to keep the intestines quiet, but the action was clearly homœopathic. In ileus and strangulated hernia it has been given with success and reversed peristalsis and fæcal vomiting are leading indications here. It is equally indicated in the involuntary and unconscious passage of urine and fæces from paralysis of sphincters. Also in uterine inertia during labour Opium is often needed. On the other hand, Opium , which is a very dangerous remedy to give to children, has this effect on the fœtus in utero, that instead of making it quieter it makes it more lively; hence Opium is one of the chief remedies for fœtal movements when they become excessive. Opium also follows Acon . as a remedy in the asphyxia of the new-born, and in puerperal convulsions. In the cerebral complaints calling for Opium there is generally the deep red face, the stertor, and stupor to guide. These are found in apoplexy; in insensibility, and partial or complete paralysis resulting from fright, the fear still remaining; from charcoal vapour; from inhaling gas; from alcohol. The apoplexy of drunkards is accurately pictured in Opium poisoning. The spasms of children occur at the approach of strangers, from nursing after the mother has had a fright; from crying; eyes half open and upturned. Screaming before and during a spasm. Epileptic attacks occurring during sleep. Sleep follows the convulsions. Loud snoring. The delirium of Opium is marked by: Great loquacity; visions of animals starting out of various parts of the room. Delirium tremens of old sinners; very little drink is sufficient to bring on an attack. The face has a constant expression of fright. If he sleeps the sleep is stertorous. On the other side of the sleep picture, partly mixed up with sleep phenomena, is the exalted sensitiveness and timidity; sensitiveness to fright and other emotions. Sleepy but cannot sleep, sleepless with acuteness of hearing disturbed by sounds ordinarily not heard at all. Twitching trembling of head, hands, and arms. In tetanus Opium is called for when the spasms are ushered in with a loud shriek. Nervous and irritable, tendency to start. Opium is a great fever remedy. The Opium habit is very common among inhabitants of the fen districts of Lincolnshire, possibly contracted to palliate the debility and depression left by ague. Sweat as a concomitant is a characteristic of Opium — complaints appearing with perspiration. The skin is hot and damp. An opium-eater's face glistens with fine perspiration. "Very hot, sweltering perspiration." Another condition is described by Guernsey thus: "Patient may not feel cold all day, but may have only a little chill, and at night, when in bed, complain that the sheets feel so very hot ." T. F. Allen ( H. R ., xiv. 481) remarks that Opium fever may be closely allied to that of Aco . (The Ranunculaceæ are not far removed from the Papaveraceæ.) The Opium fever may have high temperature without distinct inflammatory process. It is characterised by intense thirst and great sleepiness, and is without the anguish, fear, and restlessness of the Aco . fever. The Opium fever may be periodic — intermittent or remittent. Gels. fever is like Opium fever but without thirst . In regard to the almost universal use of Opium or its alkaloids in cases of cancer in old-school practice, Snow contends that it has a certain degree of power over the cancer process. From what we know of its botanical relatives, Sang . and Chel ., this may be true. — Villers cured with Op . 200 a case of hystero-epilepsy having these characters: Attack preceded by sensation of swelling of body. Veins protrude; face bluish red. Complete unconsciousness. C. N. Payne ( Med. Adv ., xxv. 198) relates the case of a little girl, aged two, who had never slept properly since birth. She went to sleep at usual time and slept till 10 p.m., when she waked moaning, crying, and tossing about; seems frightened; almost falls asleep again but wakens with a start, screaming and keeping in motion one arm and one leg after waking. Seems sleepy but cannot sleep. Usual naps during day. Nux, Bell., Cham . were given in succession in vain. It then transpired that before the baby was twelve hours old it had had four different medicines put into its stomach, one of them being Paregoric , which had also been given since, as well as "quieting medicine." During the early months it had colic, with constipation, stools in dark, hard, round balls. Clearly, it was a proving of Opium . Op . 200 was given. The first night she slept much better, and rapid improvement and cure followed. Seward ( Med. Adv ., xxviii. 367) relates the case of a man who had been given an allopathic dose of Opium for diarrhœa, with the result that it made him "raving, fighting crazy, with red face, glistening eyes." He struck out to hit the men who, he said, were after him to kill him, one of them being a butcher with a cleaver. It took two men to hold him on the bed. He did not recognise those about him. Camph . was given in repeated doses, and he soon became quieter and would talk and laugh in a very lively manner. He said, "Didn't I give it to them?" He soon after fell asleep, and slept all night, remembering nothing of what had happened when he awoke next morning. Among the Camph . symptoms indicating it in the case are: "Great excitement almost amounting to frenzy"; "most furious delirium, being with difficulty restrained in bed by two men." Peculiar sensations are: As if from smoke on the brain. As if flying or hovering in air. As if drunk. As if eyes too large for orbits. As if sand or dust in eyes. As if eyelids paralysed. As of a band round chest. As if intestines would be cut to pieces. As of a stone in abdomen. As if something was forced through a narrow space in abdomen. Rolling as of a hard body in right hypochondrium. As though anus closed. As if lower limbs severed from body. Opium is specially suited to : persons of light hair, lax muscles and want of bodily irritability; persons insensitive to well-chosen remedies. Childhood and old persons (first and second childhood). Drinkers. J. B. S. King ( Med. Adv ., xxvii. 112) noticed that in seven Opium -eaters (all that had come under his observation), there was marked arching of the back, especially of the upper part of the back. In as many Morphia takers he had not met with a single case of arched back. The symptoms are: < During and after sleep. < While perspiring. < From stimulants. < From anxiety and fear; reproaches. < During respiration. < On moving. < During pregnancy. Touch < (bed feels hard); abdomen sensitive. There is great susceptibility to cold air, but > uncovering head. Laboured breathing > by cold air. Bed feels hot, > by cold, < from heat. Symptoms reappear or are < on becoming heated. Drinking water > dryness and cough. Getting cold = bronchitis. > Constant walking.

Continue in Clarke 28 more passages →

Confusion of mind.
Dulness of head ; has no mental grasp for anything and cannot comprehend the sense of what he is reading.
Imbecility of will, as though annihilated.
Insensibility, accompanied by complete apoplectic respiration.
Unconscious, eyes glassy, half closed ; face pale ; deep coma.
Stupid indifference.
Drunkenness, with stupor ; as if from smoke in brain ; eyes burning, hot and dry.
Sopor : painless, complains of nothing, wants nothing ; with delirium ; depression of lower jaw ; dilated pupils ; general symptoms of paralysis of brain.
Profound coma ; cannot be aroused from stupor ; pupils greatly contracted or widely dilated ; face puffed, with dark red or cherry brown appearance ; stertorous breathing ; pulse full and labored or slow and feeble.
Talkative ; glistening eyes and mental activity ; inclines to gayety.
Thinks he is not in his own house ; imagines himself living in a locality three hours distant from his house ; detains all passers-by and wishes to take them into his house ; will brook no opposition, meets force with force, face
flushed ; stupor, forgetfulness, he does not at once recognize friends ; anxiety ; wildness ; inclination to sleep without being able to do so ; constipation with meteoric distension of abdomen ; urine retained, a paretic condition apparently preventing
evacuation ; while smoking forgets to draw ; lively and cheerful, yet very drowsy.
Said many disconnected things and pointed to masked people who seemed to approach him.
Sees frightful ghosts ; easily frightened.
She appears to see most frightful animals and other objects.
Vivid imagination, exaltation of mind.
Imagines parts of body very large.
Thinks she is not at home.
Delirious talking, eyes wide open, face red, puffed up.
Delirium : muttering ; violent, with red face, glistening eyes and great physical activity.
Constant delirium day and night ; declares he is not alone in bed ; when spoken to answers intelligently, but at once becomes delirious again ; frenzy ; desires to escape ; says a regiment of horsemen are upon his bed and that
he fears to be trodden upon ; when told that horses are very careful, answered that he feared he would be crushed by the wagons that followed them. θ After pneumonia.
Mania a potu : with dulness of senses, at intervals sopor, with snoring ; in old, emaciated persons ; sees animals coming towards him ; people want to hurt him, execute him ; creeping under covers or jumping out of bed ;
in "old sinners" whose long lives of excess have thoroughly destroyed their constitutions ; in those who have had the disease repeatedly, it taking but a small quantity of liquor to throw them again into delirium ; face wears a constant expression of fright and
terror ; preceded by epileptiform fits ; imagine they see frightful objects and are in great fear ; believe themselves to be murderers or criminals to be executed ; want to run away ; staring look ; twitching of muscles of face and mouth ; lockjaw ;
tremor.
Fantastical insanity with frightful visions ; talks in a confused manner ; commits indecent actions ; cheerfulness and feeling of great strength ; contempt of death ; riotous hilarity with buffoonery and subsequent angry savageness or tearful
sorrow ; instability and imbecility of will ; indifference to joy and suffering ; complete dementia, does not recognize his own relatives ; excessive debility, stupor, frequent sweats and eruptions on skin ; diminished secretion of urine. θ Mental
derangement.
After practising masturbation for many years fell into a state of despair respecting his health, this degenerated into complete idiocy.
Nervous and irritable ; tendency to start.
Ailments from excessive joy, fright, anger or shame.
After fright, fear of the fright still remaining.
Anxiety ; apprehension ; fear of impending death.
Started at least noise ; a fly upon any part of body was a burden to him.
After a fright with fear, convulsions, or a hot head, with twitching about mouth.
Grief over insults is followed by convulsions.
Mendacity. [Obs. "Opium eaters are chronic liars."]
Screaming before or during spasm.
Dislikes to talk during sweat.

Continue in Hering 45 more passages →

Among the striking features of Opium is a class of complaints marked by painlessness, inactivity, and torpor.

Many of the provers taking small doses had torpor, inability to realize or feel their surroundings, or to take in the nature of states and judge of things.

Deception in vision, taste, touch; deception of the state he exists in; in his own realization; a perversion of all the senses with much deception.

The general characteristic is painlessness, but now and then an alternate state is produced, in which a small dose of Opium will cause pain, sleeplessness, inquietude, nervous excitability; the very opposite state from that produced in the majority of cases.

The majority are constipated, but in some there is dysentery and tenesmus. The patient is sleepy, yet at times the drug is characterized by sleepless nights, anxiety, increased sensitiveness to noise, so that he says ho can almost hear the flies walking on the wall, and hears the clock striking in the distant steeple.

It is generally supposed that in these opposite conditions one is primary and the other is secondary. This is true, e. g., those exhibiting stupor and painlessness will go into a state of increased insensibility, inquietude, anxiety, and irritability, and also one who has a state of increased sensibility first will have a docile state following.

Some oversensitive provers will get a basilar headache in the first hour after taking a dose, so that they cannot raise the head from the pillow; they are paralyzed from it; the pain holds them down. This does not come on in most provers until the waning of a large dose. This has been debated over as the primary and secondary actions. What is the action in one is the reaction in another, but all are the effects of the drug, and all the actions that follow are the symptoms of the remedy.

The sluggishness and painlessness are most striking. The inaction is shown in the lack of reaction to the properly selected homeopathic remedy. It here competes with Sulphur. On studying the case you may find many Opium symptoms, and when given thus indicated, it rouses the system out of the state of sluggishness and causes reaction.

Ulcers which are perfectly painless, which do not granulate, and do not eat or spread, with numbness or lack of sensibility in the ulcer that ought to be sensitive; Opium will often heal insensibility in parts that are in a high grade of inflammation.

Paralytic conditions or paresis, partial paralysis; inactivity, sluggishness. Such a condition is found in the bowels so that they do not move, and rectum fills with round, hard, black balls, which can be dug out with the finger or spoon. There is no activity, no ability to strain at stool.

The bladder is in a similar state. There is no ability to use the abdominal muscles; he cannot strain to urinate retention of accelerator muscles are in a state of paresis.

When drinking the oesophagus seems to have no action and the fluid does not go down but passes out through the nose; a paresis fluids go down the wrong way or out through the nose.

Weakness of limbs and muscles; weakness and paralysis.

Often there is a state of peace. Wants to be let alone. She tells you she is not sick; and yet she has a temperature of 105-106°, is covered with a scorching hot sweat, has a rapid pulse; is delirious. You ask her how she is and she says she is perfectly well and happy; no pains or aches; wants nothing and has no symptoms. But the nurse tells you that the patient has passed no stool or urine.

The face looks besotted, bloated, purple; the eyes are glassy and the pupils contracted. The brain is in a state of confusion, yet she can answer questions. Or the mental symptoms may be more marked and the physical condition less prominent; there is confusion of mind, delirium, loquacity, but this is rare, more commonly only talks when aroused; a condition of stupor in which the patient will say nothing and do nothing. Delirium with a happy turn of mind.

The stomach is in a state of undue warmth, sinking, all-gone, hungry, and this is not relieved by eating. He fills the stomach full and yet the faint feeling remains. The food sours in the stomach and is vomited. He can take no more food. He becomes covered with a cold sweat; great exhaustion; nausea, retching and the vomiting continues. This nausea is a troublesome symptom following the administration of Opium or Morphine. It is a prolonged vomiting and nausea. He can take nothing into the stomach and nothing will stop the vomiting for him.

The homoeopath knows the use of Chamomilla and one dose will give wonderful relief at once and stop the deathly sinking and nausea.

There is never any use for the crude Opium in the sick room. In surgery at times it is admitted that something seems necessary, and we will not quarrel with the surgeon. But in disease, in sick people, it is not necessary. It performs no use and in the end it is an injury; it prevents finding the homoeopathic remedy. It has masked the symptoms and spoiled the case, and you cannot do anything for days.

Opium has been much abused and much has been learned about it, but this abuse has not helped much in its proving, for the individualizing symptoms are not obtained. Big doses cause gross effects, and the symptoms thus obtained are sometimes useful, e. g., in cerebral apoplexy with stertorous breathing, jaw dropped, pupils dilated or contracted, generally the latter, face mottled, purple, or hot, hot sweat, one sided paralysis.

You would wonder on seeing such a case whether be had been paralyzed, had Opium, injured himself in a fall or bad been indulging in the bottle, and you would.. examine the case to distinguish. This is a mechanical trouble, there is pressure of blood on the brain. This alone may not kill but later on inflammatory action is set up around the clot.

Opium causes a flow of blood to the brain, and when given homeopathically it checks this, and in six hours he will become rational, his skin cool, face normal color, pulse normal. We thus see the usefulness of the crude effects of Opium in giving us a picture of apoplexy.

Nervous headaches beginning in the back of the head and spreading over the whole face; worse in the morning. He feels as if his head were held down to the pillow by the intense aching pain in the base of the brain and yet when he gets up he is unable to lie down again.

This is common in women; a false plethora; excitable; going through pregnancy or menstruation; headache. The patient sits up and is unable to lie down. The pain begins in the morning and is so violent that the patient cannot move, cannot wink the eye, turn the head, cannot bear the least jar or the ticking of the clock; face is mottled, purple, blue; eyes injected. It is difficult to get symptoms from her. Opium will relieve at once.

But most of the complaints are painless.

It takes on the appearance of drinkers, besotted; fever with besotted countenance. Delirium tremens with awful anxiety, vomiting, congestive headache, contracted pupils; violent headache after drinking, exhaustion; not able to get out of bed; delirium. Most of the complaints are attended with stupor; lies in a stupor like apoplexy, cannot be aroused.

The Opium patient is full of convulsions. The patient wants to be uncovered, wants the cool air, the open air. Convulsions if the room, is too warm. Opisthotonos; head drawn back, cerebro-spinal meningitis.

In a case of cerebro-spinal meningitis we find convulsions approaching, opisthotonos, head drawn back, kicks the covers off, wants a cool room; skin red; face red and mottled, pupils contracted. Now if the mother puts that child into a hot bath, to relieve the convulsions, it will become unconscious and cold as death. If you are called to see such a case be sure to give Opium, and in twelve hours you will be astonished to see the state of quietude. It competes here with Apis. Puerperal convulsions.

A mental state appears in these constitutions. Fear and its results. The Opium patient, when not too stupid, rouses up as if startled, rouses up with the appearance of awful fear or anxiety. The old Opium eater is overwhelmed with anxiety and fear. If a dog jump at him suddenly, he will be thrown into convulsions, have diarrhea, fits of some sort, and it will be days and weeks before that fear is gone.

Complaints from fear when the fear remains, or the idea of the fear remains, or the cause of it comes before the eyes. A pregnant woman is frightened and an abortion is impending, and the object of the fright continually looms up before her eyes. Epilepsy dating back, to a fright, and that object comes up before the eyes before the attack comes on, and the fear of the fright remains.

Hysterical attack; physical shock with diarrhea and sometimes constipation; retention of urine or return of the menstrual flow as results, or it may stop the menses for months. In these conditions there is great fear and the object of the fear remains before the eyes.

An Opium prover, when coming out from under the influence of the drug, sees frightful images, black forms, visions of devils, fire, ghosts, someone carrying her off, murder. Imagines that parts swell and that he is going to burst.

There is also a sensation of bodily well being; great happiness great state of confidence in the first hours of the drug. Hence, complaints from sudden joy, anger, shame, sudden fright. Coffea has a similar state of beatitude. It is both a physical and mental beatitude in Opium. Opium and Coffea are related; they antidote each other.

Opium eaters like whisky drinkers are constitutional liars. They have no conscience left.

"Great sensibility to sound, light, and faintest odors."

"Drowsiness with headache, amounting almost to stupor."

"Marasmus; child wrinkled and looks like a little dried up old man; stupor."

Old cases of lead poisoning. Pulsatilla cures the diarrhea following the abuse of Opium.

Especially adapted to children and old people; diseases of first and second childhood (Bar. c., Mill.); persons with light hair, lax muscles, and want of bodily irritability.

Ailments: with insensibility and partial or complete paralysis that originate from fright; bad effects of fright, the fear still remaining (Acon., Hyos.); from charcoal vapors; from inhaling gas; of drunkards.

All complaints: with great sopor; painless, complains of nothing, wants nothing.

Spasms: of children, from approach of strangers; from nursing after fright of mother (Hyos.—after anger of mother, Cham., Nux); from crying; eyes half opened and upturned.

Screaming before or during a spasm (Apis, Hell.).

Deep stertorous respiration on inhalation and exhalation.

Sleep: heavy, stupid; with stertorous breathing, red face, eyes half-closed, blood-shot; skin covered with hot sweat; after convulsions.

Sleepy, but cannot sleep (Bell., Cham., Stram.); sleeplessness with acuteness of hearing, clock striking and cock crowing at a great distance keep her awake.

Loss of breath on falling asleep (Grind., Lach.).

Bed feels so hot she cannot lie on it (bed hard, Arn., Bellis, Bry., Pyr.); moves often in search of a cool place; must be uncovered.

Want of susceptibility to remedies; lack of vital reaction, the well chosen remedy makes no impression (Carbo v., Laur., Val.).

Digestive organs inactive: peristaltic motion reversed or paralyzed; bowels seem closed.

Constipation: of children; of corpulent, good-natured women (Graph.); from inaction or paresis, no desire; from lead poisoning; stool hard, round, black balls (Chel., Plumb., Thuja); protrude and recede (Sil., Thuja).

Stool: involuntary, especially after fright (Gels.); black and offensive; from paralysis of sphincter.

Urine: retained with bladder full; retention, post-partum or excessive use of tobacco; in nursing children, after passion of nurse; in fever or acute illness; paralysis of bladder or sphincter. (In Stramonium we have suppression; while in

Opium the secretion is not diminished, the bladder is full but fullness is unrecognized.)

"Opium renders the intestines so sluggish that the most active purgatives lose their power."—HERING.

"Persistent diarrhœa in those treated with large doses of the drug."—LIPPE.

Delirium: constantly talking; eyes wide open, face red, puffed; or unconscious, eyes glassy, half-closed, face pale, deep coma; preceded by stupor.

Thinks she is not at home; this is continually in her mind.

Picking of bed clothes during sleep (while awake, Bell.,

Hyos.).

Sudden retrocession of acute exanthema results in paralysis of brain or convulsions (Zinc).

Marasmus; child with wrinkled skin, looks like a little dried up old man (Abrot.).

Aggravation.—Warmth; while perspiring; from stimulants; night and morning; during and after sleep (Apis).

Amelioration.—From cold; motion, during day and evening.

Type.—Congestive. Epileptiform. Regular paroxysms; irreg- ular stages. Sleepy. Typhoid, typhus.

Time.—11 A. M. Afternoon; night; after midnight.

Chill.—Without thirst. Shaking chill at 11 A. M.; body cold, or coldness only of the limbs, abdomen, back, hands, and feet. Shak- ing chill, followed by heat, with deep soporous sleep, during which she sweats profusely. Chill with pains in limbs, hot head and deep sleep. Chilliness on going to bed; sleep, with profuse sweat about the head.

Heat.—Over whole body, burning even when bathed in sweat, with red face. Soporous, snoring sleep, with open mouth, twitching of the limbs. Spasmodic contraction of the muscles of the face; sardonic smile; unconsciousness, and desire to uncover (must be uncovered, Apis, Puls.). Headache, great prostra- tion and often fainting when waking from sleep.

Over entire body, which is burning hot; deep sleep, with stertorous breathing and open mouth. Hot, profuse morning sweat; wants to be uncovered. Sweat on the upper part of the body, lower part hot and dry; heat and sweat intermingled.

Cold sweat on forehead. Profuse sweat about the head. Worse during sweat (Ipec.—better after sweat, Bell.).

Coated dirty yellow, quivering. Loss of appetite; aversion to food. Longing for spirituous liquors.

Full and hard; or weak, slow, scarcely perceptible.

Symptoms of cerebral congestion, with profound stupor; complete indifference; the patient makes no audible com- plaint. Intermittents of old persons and children.

Chill; with hot head and deep sleep; profuse sweat about the head; coldness of single parts.

Heat; deep, soporous sleep; desire to uncover.

Sweat; hot, profuse; < during; profuse about head.

Unconscious; eyes glassy, half closed; face pale; deep coma.
Drunkenness, with stupor, eyes burning and dry.
Vivid imaginations, exaltation of mind.
Imagines parts of body very large.
Thinks she is not at home.
Delirious talking, eyes wide open, face red, puffed up.
Mania-a-potu; with dulness of the senses, and at intervals sopor, with snoring; in old, emaciated persons; sees animals; affrighted expression of face.
Imbecility of will, as though annihilated.
Nervous and irritable.
Ailment from: excessive joy; fright; anger or shame.
After fright, the fear of the fright still remaining.

Great sensibility to sound, light, and the faintest odors.
Apoplexy, with vertigo, buzzing in the ears, loss of consciousness, red, bloated, hot face; tetanic rigidity.
Congestion of blood to the head, with pulsations in it.
Great heaviness of the head.
On rising, fainting.
Vertigo, a sort of anxiety when rising; after typhus; also, from injuries of head.
Dull, stupid, as if drunk.

Headache aggravated on moving the eyes.
Chronic hydrocephalus.

Obscuration of sight.
Amblyopia.
The pupils are dilated and insensible to light.
Contracted pupils. θ Cholera infantum.
Sensation as if the eyes were too large for the orbits.
Eyes glassy, protruded, immovable.
Staring look.
Red, half-closed eyes, dilated, immovable pupils; eye burning, hot and dry.
Swelling of the lower lids.
The lids hang down, as if paralyzed.

Acuteness of hearing; clocks striking and cocks crowing at a great distance keep her awake.
Congestion to ears; hematorrhœa.

Loss of smell.
Stitches in the right nostril on taking a long inspiration.
Stoppage of nose; dry coryza.

Bloated, dark, red and hot; red; pale, clay-colored, sunken countenance and eyes, with red spots on the cheeks; bluish (purple), swollen face.
Muscles of face relaxed, lower lip hangs down.
Trembling, twitching and spasmodic movements of facial muscles.
Corners of the mouth twitch; distortion of the mouth.
The veins of the face are distended.
The face of a suckling, three or four weeks old, was like that of an old man.

The lower lip and jaw hang down.
Foam at mouth.

Paralysis of tongue and difficult articulation.
Tongue quivering, coated dirty yellow, unctuous.
Black tongue.
Ulcers in the mouth and on the tongue.

Dry.
Ptyalism: spitting of blood.
Saliva lessened.

Dryness of the throat.
Inability to swallow; daily attacks of distention and strangulation.

No thirst.
Violent thirst; aversion to food, or canine hunger without appetite.
Desire for spirituous liquors; costive.

After wine: 1, 26. When drinking: 27.

Unsuccessful vomiturition in drunkards.
Vomiting, first of food, then of a fecal-smelling substance; hiccough; great thirst, cold limbs; distorted face; ileus or intussusception of bowels; incarcerated hernia.
Vomit: green, bloody or bitter, with violent colic and convulsions; of feces.

Heaviness and pressure in the stomach.
Inactivity of the digestive organs.

Swelling of the spleen.

Distended, with flatus; anti-peristaltic motion, belching and vomiting; bowels seem absolutely closed, but with constant urging to stool and urine; anxiety, flying heat internally, stupefaction.
Squeezing pains, as if something were forced through a narrow space; shooting pains into testes and bladder; restless, anxious, changing position; face hot; pulse slow; nephralgia.
Crampy intestinal motions; rolling up, as of a hard body in right hypochondrium. θ Ileus.
Colic from lead.
Hard, bloated, tympanitic abdomen.
Laxness of abdominal organs.
Incarcerated umbilical and inguinal hernia; fecal vomit.

Stools: watery; black, fetid; frothy with burning in anus, tenesmus; involuntary, offensive, thin; involuntary, after fright.
Cholera infantum, with stupor, snoring and convulsions.
Asiatic cholera, typhoid symptoms or after too much camphor.
Constipation of corpulent, good-natured women and children.
Stool in hard, round, black balls; costive from inactive bowels; from spasmodic retention in small intestines with feeling of pressing asunder.
Retention of stool, from ileus or paresis of intestines.

Involuntary urination.
Urine: suppressed; drowsy, stupid; retained, bladder full, from nursing after passion of nurse; from contraction of sphincter or paralysis of fundus of bladder; passes with difficulty, as from atony; seldom and scanty, dark-brown, brick-dust sediment.
Stream interrupted from spasm of neck of bladder; cutting in urethra.
Hematorrhœa.

Excitement of the sexual organs and violent erections; or impotence.

Menses profuse, violent colic, forcing her to bend over; urging to stool.
Amenorrhœa from fright; irresistible drowsiness; eclampsia.
Prolapsus uteri from fright.
Fetid discharge from uterus. θ After metritis.
Softness of uterus.

Violent movement of the fœtus.
Abortion threatening after great fright, especially if in the latter part of pregnancy.
During parturition: cessation of labor-pains; coma; retention of stool and urine; often from fright.
During and after labor, spasm, with loss of consciousness and drowsiness, open mouth; coma between paroxysms.
Suppression of lochia from fright, with sopor.
Newborn children, pale, breathless, cord pulsates.
Suckling of a few weeks, had not grown, but was like an old man. See 8.
Limbs lax, skin wrinkled; the bones of the skull had lapped over during birth, the parietals over each other, and over the occiput.

Hoarseness, with dry mouth and throat, and white tongue.
Feeble voice, and requires a strong effort to talk loud.
Laryngismus stridulus.

Short inspiration, long, slow expiration, epigastrium drawn in; fine rales, constant cough, sopor, face bluish; great anguish and dread of suffocation; looks as if dying; slightly better from cold air and bending forward; worse from smoking or wine.
Difficult intermittent breathing, as from paralysis of lungs.
Rattling breathing; or deep snoring breathing, with wide open mouth; stertorous breathing.
Suffocative attacks during sleep, like nightmare. θ Diphtheria.

Dry, tickling, paroxysmal, worse at night; with gaping, drowsiness, yet cannot sleep; or, with spasm of lungs and blue face; when drinking; with difficult sputa followed by gaping; sputa are frothy, containing blood and mucus.
Cough with dyspnœa and blue face. θ Diphtheria.
Cough, with profuse sweat on whole body. θ Diphtheria.

Tension and constriction of the chest.
Heat in the chest.
Blood thick, frothy, mixed with mucus; great oppression; burning about heart, tremor, feeble voice; anxious sleep, with starts; legs cold, chest hot; especially for drunkards.

Burning about the heart.
Pulsating arteries and swollen veins on the neck.
Pulse: varies; full and slow, with snoring; quick, hard, with anxious breathing; irregular and unequal; imperceptible; face purple; in cyanosis neonatorum.

Back bent backward, spasmodically.

Twitching and spasmodic movement of the arms and hands, as in drunkards.
Paralysis of arms.
Veins of hand distended.

Twitching and spasmodic movement of legs.
Weakness, numbness and paralysis of the legs.
Heaviness and swelling of the feet.
Feels as if her lower limbs were severed from her body and belonged to some one else.

Trembling of the limbs after fright.
Spasmodic jerkings and numbness of limbs.
Convulsive movements of the limbs.
Coldness of a the extremities.

Must lie down: 1. Rising up: 2. Moving eyes: 3. Changing position: 19. Bending forward: 26. Motion: 36. Lying on back: 37.

Spasms: from emotion, fright, anger, etc.; from approach of strangers (children); from crying.
Throws limbs or stretches arms at right angles to body; or, tetanic rigidity, opisthotonos with rolling laterally.
Spasm begins with loud screams; then foam at mouth; trembling of limbs; suffocation; eyes half open and upturned, pupils large and insensible to light.
After attack deep sleep, face remains deep red and hot; stupor between spasms.
Twitching, trembling of head, arms, hands; now and then jerks of flexors; body cold; stupor; motion of body and uncovering head relieves.
Faints every fifteen minutes; shuts eyes; head hangs unconscious; jerks; sighing.
Want of susceptibility to drugs; want of vital reaction.
Numbness and insensibility.
Paralysis, insensibility after apoplexy; also in drunkards; old people; retained stool and urine.

Heavy, stupid sleep, with red face.
Drowsiness or sopor; stertorous breathing; hot sweat.
Sleepy, but cannot go to sleep; face bloated.
Coma vigil.
Stupefying sleep, with the eyes half open and snoring.
During sleep, picking of bedclothes; groaning; voluptuous dreams.
Stupid sleeplessness, with frightful visions, before midnight.
Sleeplessness, with acuteness of hearing; clocks striking and cocks crowing at a great distance, keep her awake.

Remission during the day and evening.
Aggravation night and morning.
Night: 27, 40. Before midnight: 37.

Bed feels so hot she can hardly led on it; better from cold; worse from heat.
Very susceptible to cold air.
Cold air: 26. Uncovering head: 36. Wants to uncover: 40.

Stiff and cold; chill and diminished head, stupor; weak, scarcely perceptible pulse.
Coldness only of the limbs.
Chill after part of night, thirst, pains in limbs, head hot, sleepy; afterward heat, with sleep, headache, pale face, bilious vomit; then sweat, mostly on legs, with burning hot feeling.
Fever, whole body burning even when bathed in sweat, face red, stupor; snoring, mouth open; limbs twitch; wants to uncover.
During lucid intervals or intervals between paroxysms complains that head (or bed) is too hot. θ Typhus.
Flushed face, cold legs, sleepy, but cannot sleep.
Sweat over whole body, which is burning hot; sleep and snoring.
Hot, profuse, morning sweat, wants to be uncovered.
Sweat on upper part of body; lower part hot and dry.
Cold sweat on the forehead.
Typhoid type of fever, stupor, can scarcely be aroused; speechless; eyes half open; mild delirium or loud talking, fury, singing, desire to escape; the darker red the face the more it is indicated; impending cerebral paralysis from profound congestion.

Nightly epileptic attacks; combined with mental derangement.

Right: 19, 42. Left: 18.

Plethora.
Morbus cœruleus or cyanosis.
Suppurations painless, also ulcers.
Burning or sensation of coldness in the veins.
Jerks, only the flexors active.
Increased excitability and action in voluntary muscles, with diminution of it in involuntary muscles.
Dropsical swelling of the whole body.

Touch: 46.

Dryness of the skin, without fever.
Very troublesome itching all over, fine pricking, rarely sensitive to touch.
Redness and itching of the skin.
Blue spots on the skin.
Paleness of the skin.

Especially suitable for children and old persons.
Frequently suited to persons addicted to spirituous drink.

Opium is often indicated in ailments from charcoal vapors.
Opium antidotes: Bellad., Digit., Laches., Mercur., Nux vom., Strychnia, Plumbum, Stramon., Tart. emet.
Antidotes to Opium: strong coffee, Bellad., Ipec., Nux vom., Vinum, Vanil. arom.

A tincture is made of the inspissated juice of the white Poppy, Papaver somniferum, L.

It produces stupor and profound coma, with stertorous respiration, contracted pupils, slow, feeble respiration and pulse, cool, moist skin, and finally death from failure of respiration. ▶ Rarely, instead, it produces delirium or convulsions.

Obstinate constipation, with diminished secretion and atony, usually follows. ▶ Retention of urine is common. ▶ Its power to diminish reflex irritability and destroy the consciousness of suffering pain is well known.

Cannab. ind., Gelsem., Hyos., Sec. c., Bell., Nux v., Carbo v.

▶ Emaciation. ▶ Muscles flaccid. ▶ Intoxicated appearance. ▶ Lying on back. ▶ Lying with knees drawn up. ▶ Sinks down in a heap, with short, anxious respiration. ▶ Raises himself at times and violently scratches his face or chest. ▶ Whimsical gesticulations. ▶ Wry neck, head contorted to one side, one shoulder higher than the other, or head is almost buried beneath shoulders. ▶ Relaxation of muscles; so that tongue hung out of mouth, in certain position folding back into fauces and obstructing respiration. ▶ Stooping, and peculiar shuffling gait. ▶ Tottering of body when erect. ▶ Trembling; of whole body, with twitching of flexors of limbs and external coldness of body; agg. lower limbs and about lumbar region. ▶ Excitement of whole system. ▶ Hysteria. ▶ Twitching; of tendons (Hyosc., etc.); agg. limbs, with pain in muscles.

▶ Convulsions; alternating with subsultus; of face and limbs; with comatose intervals, with images before eye; with terrible pains; with bloody liquid excluding from nose and mouth; and face, neck and limbs turgid, livid and cold; and she groans and tears everything within her reach, bites her hands and arms; with screams, bending of head backward, at times opisthotonos; with deep, difficult, interrupted respiration; with clenched hands and teeth and loud breathing, stertor ate the C.; eyes shut, pupils contracted breathing stertorous, between the spasms he was limp, had no control over his limbs, and head fell forward or backward; started up in a fit, threw his arms about, vomited and then sank as if exhausted; convulsive throwing about of right arm and leg, with loud cries, difficult respiration, coldness of face and hands, that were covered with drops of sweat; spasmodic contractions of limbs alternating with relaxation, at times with bending backward of head and trunk.

Convulsions at regular intervals, with staring eyes and twitching and contraction of muscles of limbs; C. making stiff, afterwards warm sweat. ▶ Tonic spasm. ▶ Clonic spasms, with screams and tears; C. spasms, agg. lower limbs, with unconsciousness. ▶ Epilepsy; with violent delirium. ▶ Opisthotonos; with blue color of skin, agg. genitals; with distortion of eyes, contractions of fingers and screams alternating with stertorous respiration; ending with trembling, then profound quite with relaxation of limbs.

Rickets. ▶ Dropsical tendency. ▶ Strumous affections, and the constitution is prone to succumb without resistance under all violent diseases. ▶ Those seldom attain the age of forty who begin to use Opium early.

Continue in Allen 87 more passages →

Stupor and profound coma, with irregular, stertorous respiration; contracted pupils.
Pulse slow and feeble, skin cool and moist; finally failure of respiration.
Rarely delirium and convulsions.
Diminished secretions, obstinate constipation, retention of urine; reflex irritability increased, then lost.

Emaciation.
Tremblings, twitchings, convulsions, often with terrible pains; with groaning, screaming and biting; difficult, irregular respiration; paroxysmal.
The whole body becomes rigid in paroxysms.
A feeling of humming and buzzing throughout the whole body.
Flesh becomes insensible.
Symptoms are generally < becoming heated.

Delirium, with frightful visions.
Vivid fancies, sometimes amounting to ecstacy.
Starts at the least noise or is fearful of impending death.
Becomes imbecile.
Dull, stupid; complete insensibility, with stertorous respiration.

Rush of blood to the head.
Heaviness.
Dull headache; < moving the eyes.

Eyes congested, with contracted pupils (rarely dilated and insensible).
Paralysis of the upper lids.

Face hot, puffy, dusky red, with distended blood vessels.
Facial muscles relaxed and hanging down.
Face covered with profuse sweat.
Cramps of the muscles, especially about the mouth.

General dryness, with inability to swallow.
Frothing at the mouth.
Paralysis of the tongue; difficult speech.

Paralysis of the pharynx so that it is impossible to swallow.

Aversion to all food.
Unquenchable thirst.
Ineffectual efforts to vomit.
Vomiting of food; green, of bile, with violent pains in the stomach and convulsions.
Fecal vomiting.

Distention from flatulence, with cutting pains.
Intestines seem to have lost the power to expel their contents.
Colic, with spasmodic closure of anus.
Tympanitis.

Diarrhœa, with burning in the anus.
Stools involuntary.
Tenesmus, with stools.
Extreme constipation from inactivity of intestines; feces hard and dark brown.

Retention of urine from paralysis of the bladder; urine passed only after long effort.
Urine often scanty, red.

Clinical:
Suppressed menstruation from fright.
Cessation of labor pains, with coma and twitchings.
Puerperal convulsions.

Respiration stertorous or rattling; difficult, intermittent, suffocative.
Cough, arresting breath; becomes blue in the face.
Cough, with frothy expectoration of bloody mucus.
Cough dry and racking, from tickling in the larynx, < night, > water.
Expectoration scanty, tenacious.

Pulse irregular, feeble soft, sometimes slow, with stertorous breathing.

Drawing in the dorsal muscles and bending backward of the body.
Trembling of the limbs or numbness, with swelling of the veins.

Irresistible sleepiness, with slow pulse, moist skin, heavy stertorous or snoring respiration.

Cold extremities and coldness of the surface of the body generally, with warmth of the head.
Dry burning heat, with glowing heat of the face.
Hot sweat over the whole body.
Febrile paroxysms characterized by stupor, snoring respiration and twitching of the limbs.

Clinical:
Clearly marked type of intermittent fever is produced and cured by this drug.
Thirst is not always present.

Op. / (Stupid.) / Opie.

Opium,-Thou drowsy plant,
In secretions always scant.
Save in sweat, which we behold,
Quit profuse, with forehead cold.
Thine a stupor, breathing slow,
With a face of ruddy glow.
Burning eyes, and pupils small,
As in apoplectic thrall.
As an oven hot, thy bed,
Vertigo betides thy head,
Though long vigils though shouldst keep,
Yet thou art deprived of sleep.
From thy bowels all drain may stop,
Or perhaps unnoticed drop.
Stools be moulded into balls,
Pressing pain attend the calls.
Pressure toward the groin extending,
As if hernia impending.
To be worse thy ills include,
After sleep, and warmth, and wine.

Opie,-Has apoplexy.

Opie Horace Bacil, the agile boxer, is joyous with Glora Aster.

This Opie,-Who is subject to coma,- Is at Balzac, with the vixen, Hama, the actor.

Apoplexy: Opi., Helo., Bacil., Gel., Lach., Bell., Hyo., Aco., Arn., Glo., Aster.

Coma-Stupor: Opi., Bell., Lyc., ZN., Verat. a., Hyo., Ham., Aco. (When menses suppressed, Ham. - Infant with jaundice, Pod.-Sleep day and night, continuous, Verat. a.)

Indicated in a grave class of disease, chiefly of the brain, characterized by profound sopor or coma, with heavy, continuous, stertorous breathing; dark, livid face; hot sweat, especially about the head; hence its use in coma vigil, apoplectic states, and in exanthema when there is retrocession of the rash followed by brain symptoms. Used also in lead colic and in stubborn constipation due to paralysis of the intestinal muscular fibre.

Drowsy, yet unable to sleep; hearing is so acute that he hears distant noises (crowing of the roosters), which keeps him awake.

Delirium, with constant talking; puffed, red, hot face.

Heavy sopor; lies with eyes open; heavy, continuous snoring during inspiration and expiration.

Stertor, stupor, coma, with livid, hot face, contracted pupil, unequal breathing; lies like a log, complaining of nothing, wanting nothing.

Coma; face deathly pale; eyes glassy, half-closed.

Picking of clothes during sleep.

Besotted expression of the face.

Tongue dry, parched, blackish; tongue paralyzed.

Urine retained; bladder full to bursting; paralysis of bladder.

Intense thirst.

Jerking of muscles; twitching of limbs; convulsions.

Entire absence of desire for stool; when at stool, faeces protrude, then recede.

Stubborn constipation; stools of hard, black balls.

Worse during and after sleep; from warmth from sweating.

Better from cold; from constant walking.

Placidity in the most dangerous diseases. Vivid imagination and increased courage with stupefaction and dullness of all senses. Heightened power of imagination even to ecstasy. Imbecility and stupid indifference. Unconsciousness and dullness of mind and senses. Phantasy illusions and caricatures before eyes with, a great throng of scattered idea. Insanity and delirium with hideous or ecstatic visions, alternating with somnolency, especially of drunkards, Contented and careless. Cheerfulness with joyous mood. Fearless and audacious. After effects of fright with fear, i. e., heat of head, spasms, etc. Grief from mortification, then spasms, etc. Fear of death. Agreeable fancies cause her to forget her sufferings. Loquacious delirium with open eyes and a red face. Easily frightened.

Stupefying, when raising up, compelling him to lie down. Stupefaction and full confusion of head, like a vapor in brain, as from intoxication.

Aching in forehead. Violent congestion to. Extraordinary heaviness of. Tremulous twitching of (and of arms and hands), intermingled with jerks, as if from over - active flexor muscles. Worse: Moving eyes. Better: Motion, uncovering head.

Dry heat and burning in. Red, inflamed. Half open and turned upward. Upper lids hang down relaxed. Staring look. dilated, immobile pupils. Obscuration of vision: Paralysis of optic nerve or cataract.

Bloated, dark red and hot. Bluish. pale or earth - colored countenance. distended blood vessels on. Relaxation of all facial muscles and drooping of lower lip. Profuse sweat on. Spasm of facial muscles, especially about mouth. Trismus.

Dry (with or without thirst). Inability to swallow. Profuse salivation. Paralysis of tongue and difficult speech.

Heaviness and pressure in. Inactive digestive organs.

Appetite: Aversion to all food. Violent third. thirstless.

Vomiting: Sour, also sour eructations. Of ingesta (after mental emotions) with violent pale in stomach and convulsions. Having a urinous or fecal odor. Ineffectual retching.

Hard, distended. Heaviness. as of a load in (Pul.) Lead colic. Incarcerated inguinal hernia.

Offensive, involuntary a. diarrhoea. constipation from inactivity of intestines. Spasmodic retention of, especially in small intestines. Tenesmus.

Suppressed discharge of, as from inactivity of bladder. Scanty discharge of dark red u., with sediment.

Violently excited sexual desire and strong erections Spasmodic, labor - like pains in uterus. Cessation of labor pains during parturition, with twitchings and convulsions.

Rattling. Deep snoring r., with open mouth. Difficult and intermittent, as from paralysis of lungs. anxious oppression of. Suffocative attacks like nightmare, during sleep.

With obstructed breathing and blue face. With expectoration of frothy blood and mucus.

Violent hoarseness from dryness of throat.

Tension and constriction of.

Drawing in muscles of. Opisthotonos. Lumbar pains.

Neck: Blood vessels distended, and strong pulsation of carotid.

Twitching and convulsions of arms and legs. Trembling in arms and hands. Distended blood vessels on hands.

Trembling of entire body, with external coldness thereof, jerking and twitching of limbs. Trembling of limbs after fright. Convulsions with sudden, loud shrinks. During attacks entire body becomes stiff. Sensation of humming or buzzing thro' entire body. Insensibility of body and limbs. Painlessness with his complaints he complains of nothing wants nothing. Quiet repose. Want of sensitiveness to external impressions and medicines, with want of reaction of vital force. Paralysis without pain. Internal sensation of strength and vigor. Increased excitability and activity of voluntary muscles with a corresponding decreases in the involuntary ones. Renewal and increase of symptoms from becoming heated Applicable almost solely to recent complaints. Frequently suitable for tipplers and the aged. After fright it helps only when given immediately.

Dry, burning beat of. Dropsical swelling of entire body. Redness and itching of. Blue spots on.

Stupefying. unrefreshing. Stupefying, with half open eyes and snoring breathing during inhalation or exhalation. After every attack. Somnolency, with dreams, from which cannot be aroused. Early in morning it is especially difficult to awaken him.

Pulse: Very changeable, full and slow, with heavy, snoring breathing, quick and hard, with heat and rapid anxious respiration, toward the end, weak and intermittent.Chill: And diminished vital heat, with stupefaction and weak, almost imperceptible pulse. Entire body is cold and quite stiff. Coldness of external members only. Heat: With sweating skin predominates, spreading from head or stomach over entire body. Burning, of entire sweating body, with a glowing red face, then stupefying sleep, with snoring, With inclination to uncover. Sweat: Much strong, over the entire, burning, hot body, with snoring sleep. Early in morning, general, strong, hot s., with inclination to uncover. Of upper, with dry heat of lower part of body. Cold, on forehead. Immoderate, hot. Burning fever, with stupefying somnolency, snoring, jerking of limbs, suppressed evacuations and hot sweat.

Allied Remedies: Aco., Ant-t., BELL., Bro., CAM., Carb-v., Cic., Coff., colch., Croc., cupr., Dig., Gel., Glo., Hyos., Ip, MERC., Mos., Nux-v., Phos., Phos - ac. PLB., Stram., Tab.

Complementary: Alu., Bry., Phos., Plb.

Trembling of the whole body with external coldness and startings of the limbs.

Trembling of the limbs after fright.

Want of sensation of the whole body.

Increased sensitiveness and activity of the muscles subject to the will and dimunitions of it in the muscles not subject to the will.

Painlessness with most all ailments.

Want of sensitiveness to external impressions and medicines with a want of reaction of the vital power.

Renewal and aggravation of the symptoms from getting heated.

Lead poisoning very favorably affected by its use.

Fecal vomiting.

Constipation.

Of marked usefulness in states of stupor.

Full and slow pulse.

Acute and serious affects from colicadynia.

Sensation of labor pains, with snoring, stupor and twitchings.

Paralysis of the lungs.

Sexual desire is increased.

A remedy very often indicated in states of diarrhoea, especially where the patient is suffering greatly with abdominal cramp and sharp, shooting and twisting pains in the whole body area.