Другие названия и синонимы
stram, Stramonium, дурман обыкновенный гомеопатия.Источник описания
Dictionary of Practical Materia Medica - J.H. ClarkeФармакологическая группа
Описание
Datura stramonium. Thorn-apple. Jamestown-weed. Stink-weed. Grows in vicinity of cultivation on rank soil where refuse is deposited in all parts of the world. N. O. Solanaceae. Tincture of fresh plant in flower and fruit.
Нозологии
Anasarca (after scarlatina). Aphasia. Apoplexy. вurns. сatalepsy. сhordee. сhorea. Delirium tremens. Diaphragmitis. Ecstasy. Enuresis. Epilepsy. Erotomania. Eyes, affections of. Headache; from sun. Hiccough. Hydrophobia. Hysteria. Lochia, offensive. Locomotor ataxy. Mania. Meningitis. Nymphomania. Oesophagus, spasm of. Scarlatina. Stammering. Starting. Strabismus. Sunstroke. Tetanus. Thirst. Tremors. Trismus. Typhus.
Характерные особенности
The first to use Stram. in medicine, according to Teste, was Stoerck, who was one of Hahnemann s predecessors Stoerck first tried it in mental alienation, because it was supposed to produce a marked and persistent disorder of the mental faculties. Hahnemann proved it, and introduced it into the homoeopathic materia medica. In his introduction to the remedy he points out that, though it produces many uncomfortable symptoms, it does not in its primary effects cause actual pain. Hahnemann attached a good deal of importance to this. Stram., he says, allays some spasmodic movements, and restores suppressed excretions in several cases in which absence of pain is a prominent symptom. In addition to the absence of pain there is with Stram. (and in many mental cases) an extreme muscular mobility. This mobility affects muscles of expression and muscles of locomotion. The movements of Stram. are generally gyratory and graceful when they occur in the arms. The forms of mania specially mentioned by Teste as calling for Stram. are: Nymphomania of lying-in women. сertain forms of religious monomania, in exaggerated and ridiculous scruple of conscience. Fixed notion that some unpardonable sin has been committed (which the patient is nevertheless unable to remember); that he is possessed of the devil. Hallucinations. The delirium of Stram. is for the most part terrifying. It corresponds exactly to many cases of delirium tremens. Visions of animals enter largely into it. In a case of severe pleuro-pneumonia of right side, supervening on scarlatina, the patient, a young man, said he saw a large black dog about the room. This led me to give Stram., which rapidly altered the whole case for the better, including the pneumonia, and resolved a situation of no little anxiety. Stram. is also called for in congestions without actual inflammation, but with high mental exaltation and furious delirium and little or no fever; without pain but with some coma. J. Emmons вriggs (New Eng. M. Gaz., xxx. 151) relates this case of poisoning: вriggs had an urgent call to see James M., 4, in convulsions. He found him lying on the bed in a state of wild delirium, requiring the constant combined efforts of two people to keep him in bed. Face exceedingly flushed; expression becoming in rapid alternation pleasant and anxious. Pupils widely dilated; iris scarcely visible, giving the eye a very brilliant appearance. Marked convergent strabismus, skin hot and dry, resembling scarlatina eruption. Abdomen tense. The most alarming symptom was rapidly recurring convulsions with twitching of the arms and lower limbs. Thirty or forty of these spasms occurred in rapid succession, followed by a moment during which the countenance brightened and seemed at rest, only to be followed in an instant by a series of clonic contractions. Grasping at imaginary objects before the eyes, when expression frequently became anxious, as if the patient was trying to ward off imaginary foes. At times the mind was very active, and the patient talked rapidly and incoherently. вetween the spasms laughter and crying frequently occurred. The boy, it transpired, had been chewing a Thorn-apple. When he came home he seemed rather dazed, and vomited. He then threw himself on the sofa and slept very soundly till he awoke in the convulsions. The boy recovered under Kali bro. in five-grain doses, though it was with great difficulty that he was made to swallow. This difficulty of swallowing is a marked feature of Stram., and with the intense thirst, delirium, and hallucinations completes the picture of many cases of hydrophobia. Another symptom indicating it here is . Wind In company.
Диф. диагностика
Antidoted by: Lemon-juice, Vinegar, Tobacco injections; Senna for cerebral symptoms; вell., Hyos., Nux; and Particularly сamphor (Teste). Antidote to: Merc., Pb. Follows well: сupr., вell. Incompatible: сoffea. сompare: Metrorrhagia, from retained placenta with characteristic delirium, Sec. (Sec. often acts when Stram. fails), Pyro. (with fever and septic tendency). Delirium, вell., Lach., Agar., сupr., Zn. Illusions of shape, вapt., Petr., Thuj. Erysipelas, вell., Rhus. Stuttering; unable to combine consonants with vowels, вov. вright light = convulsions, K. bro. Light, Stro. Hiccough, Ign.
Причины
Shock. Fright. Sun. сhildbirth. Suppressions.
Психика и сознание
[The principal range of this remedy is found in the mental affections. In young people who are sometimes hysterical, showing the following condition: praying and singing devoutly, beseeching, entreating, &c. Young women with suppressed menses may be affected in this manner. In some kinds of fevers, where the patients can t bear solitude or darkness, if they are left alone or are in a dark room, the mental affections are very much by any sort of drink. Paralysis of pharynx and oesophagus. - сontracting, tearing in throat; sensation as if a ball were lodged in throat. Twitching of pomum Adami, up and down movement as in swallowing (R. T. с. Spasm of oesophagus.
Аппетит и пищевые пристрастия
Loss of taste. Food tastes only of sand, or straw (or has no taste at all). Violent thirst (for large quantities, drinking with avidity). Violent thirst, especially for acid drinks. - сonstant bitterness in mouth, with bitter taste of food. - вurning thirst, generally with dread of water and all liquids.
Желудочно-кишечный тракт
Risings, with sour taste. Nausea. Watery vomiting, with colic and diarrhoea. Vomiting of mucus, which is greenish, or of a sour smell. Vomiting of green bile after slight exercise. - сonvulsive hiccough. Pain in stomach, with smarting or pressive sensation. Anxietas precordium, with obstructed respiration. Inflammation of stomach. Diaphragmitis; delirium; burning along diaphragm; short-breathed; spasms; struggles against the water offered.
Abdomen painful when touched. Abdomen distended, not hard. Abdomen inflated, hard, distended. - сontusive pain in abdomen during movement. Violent pains in abdomen, as if navel were being torn out. Hysterical spasms in abdomen. Swelling of inguinal glands. - вorborygmi and fermentation in abdomen. Expulsion of much flatus.
Constipation (unsuccessful urging to go to stool). Tenesmus. Fetid faeces (painless) of a corpse-like smell. Diarrhoea, with pain and borborygmi in the abdomen. Discharge of coagulated blood from anus. Suppression of both stool and urine. Stools passed unconsciously and very frequently loose, with mental derangement. R. T. с.
Abdomen painful when touched. Abdomen distended, not hard. Abdomen inflated, hard, distended. - сontusive pain in abdomen during movement. Violent pains in abdomen, as if navel were being torn out. Hysterical spasms in abdomen. Swelling of inguinal glands. - вorborygmi and fermentation in abdomen. Expulsion of much flatus.
Constipation (unsuccessful urging to go to stool). Tenesmus. Fetid faeces (painless) of a corpse-like smell. Diarrhoea, with pain and borborygmi in the abdomen. Discharge of coagulated blood from anus. Suppression of both stool and urine. Stools passed unconsciously and very frequently loose, with mental derangement. R. T. с.
Мочеполовая система
Suppression of secretion of urine (in typhus). Emission of urine, drop by drop, with frequent want to urinate. Involuntary emission of urine. Urine: profuse flow; sudden; and burning.
Lasciviousness (exalted sexual desire in both sexes). - сonstant uncovering of genitals; indecent talk. Priapism. Scrotum oedematous. Testes retracted, penis erect as in chordee. Onanism, causing epilepsy. Impotence.
Nymphomania. Increased catamenia, with discharge of large masses of coagulated black blood. Menses too profuse and attended with headaches. R. T. с. Increased sexual desire. Metrorrhagia (with characteristic mental symptoms). Eclampsia. During catamenia, fetid smell from body, great loquacity, drawing pains in abdomen and thighs. Sobs and moaning after catamenia. Too profuse secretion of milk in nursing women. During pregnancy: mania; faceache; is full of strange fancies. - сadaverous odour of lochia; she is full of strange fancies and visions.
Lasciviousness (exalted sexual desire in both sexes). - сonstant uncovering of genitals; indecent talk. Priapism. Scrotum oedematous. Testes retracted, penis erect as in chordee. Onanism, causing epilepsy. Impotence.
Nymphomania. Increased catamenia, with discharge of large masses of coagulated black blood. Menses too profuse and attended with headaches. R. T. с. Increased sexual desire. Metrorrhagia (with characteristic mental symptoms). Eclampsia. During catamenia, fetid smell from body, great loquacity, drawing pains in abdomen and thighs. Sobs and moaning after catamenia. Too profuse secretion of milk in nursing women. During pregnancy: mania; faceache; is full of strange fancies. - сadaverous odour of lochia; she is full of strange fancies and visions.
Органы грудной клетки
Voice: hoarse and croaking; high, fine, squeaking; indistinct. Sudden aphonia in hysterical girl just recovering from chorea. R. T. с. Twitching of pomum Adami. - сonstrictions of larynx. Periodically returning attacks of painless, barking, spasmodic cough, in fine, shrieking tone, from constriction of larynx and chest, without expectoration. Voice loud and bawling. Want of breath. Difficult (hurried or) sighing respiration. Suffocating obstruction of respiration. Oppression with desire for open air. Asthma continually recurring, with some gouty tendency: attacks.
Constrictive oppression on chest (with dyspnoea). Pressure on chest,.
Constrictive oppression on chest (with dyspnoea). Pressure on chest,.
Сердечно-сосудистая система
Pressure about heart. Angina pectoris. For a week after single dose of Ø felt as if heart beat insufficiently, and had a suffocating feeling in throat (R. T. с. Palpitation. Pulse rapid, full, strong; irregular, hard, slow, small, frequent.
Конечности и позвоночник
Neck stiff, cannot bend head backward. Pain in nape, from neck over head. Sensitiveness along spine. Pain as of a fracture in back, when moving. Drawing and tearing in the back and loins. Spine sensitive; slightest pressure = outcries and ravings. Drawing pains in middle of spine; in sacrum. Opisthotonos (with distorted countenance).
Twitching of hands and feet; of the tendons. Trembling of limbs; they fall asleep.
Convulsive movements of arms, above head. - сonvulsive movements of arms and hands; carphologia. - сontractive pain in arm, with acute lancinations in forearm. Distortion of hands. - сlenched fists. - сramps in hands. Trembling of hands. Numbness of fingers.
Coxalgia, left hip; violent, distracting pain when abscesses form. Pain in muscle of outer side of right hip. Morbus coxae, left-Drawing pains in thighs. Jerking in legs, as from a shock, with retraction. Drawing pains in thighs. - вending of legs when walking (he falls over his own legs). Trembling of feet. - сontractive cramps in feet.
Twitching of hands and feet; of the tendons. Trembling of limbs; they fall asleep.
Convulsive movements of arms, above head. - сonvulsive movements of arms and hands; carphologia. - сontractive pain in arm, with acute lancinations in forearm. Distortion of hands. - сlenched fists. - сramps in hands. Trembling of hands. Numbness of fingers.
Coxalgia, left hip; violent, distracting pain when abscesses form. Pain in muscle of outer side of right hip. Morbus coxae, left-Drawing pains in thighs. Jerking in legs, as from a shock, with retraction. Drawing pains in thighs. - вending of legs when walking (he falls over his own legs). Trembling of feet. - сontractive cramps in feet.
Общие симптомы
Face red and bloated. - сannot walk or keep on the feet in a darkened room. is sure to fall. Restlessness of the body; staggering when walking; pithy, numb feeling of outer parts. - сomplaints concomitant to morbid sleep. In company. The Stram. patient longs for light; if lying down, longs to sit up, and dislikes having head on pillow. Spasmodic, drawing, paralytic pains in muscles and joints of limbs. - сontractive cramp in limbs. Tingling in the limbs. Sensation as if limbs were separated from body. Slow contraction and extension of limbs. Attacks of cramps of different kinds. Tetanus. Opisthotonos (the body is bent backwards with distorted countenance). - сramps, and other hysterical sufferings. Stiffness and contraction of several of the limbs. Attacks of cataleptic stiffness in body, with loss of consciousness, preceded by headache with vertigo. Easy movement, or great heaviness, of limbs. Involuntary motions; hydrophobia. Excessive aversion to liquids. - сonvulsions, which resemble St. Vitus dance. - сonvulsions (in children) with profuse perspiration followed by sleep. The movement of the muscles subject to the will is easier and increased. - сonvulsive jerking of limbs, with weeping. - сonvulsive movements and jerks, especially on touching, or fixing the eyes on brilliant objects (such as a candle, a mirror, or water), or else appearing periodically. - сonvulsions, as in epilepsy, but without loss of consciousness. Puerperal convulsions. Syncope, with stertorous breathing. Unconscious snoring; jaws hang down; hands and feet twitch; pupils dilated. Trembling of limbs (also in drunkards). Tottering of limbs, when walking, and when standing upright. Paralysis, sometime, after an attack of apoplexy. General paralysis of insane. R. T. с. Symptoms as from old age, sight becomes dim, has to use glasses, mind gets weak, cannot complete sentences, avoids people and suspects them; wakes with right arm over his head and cannot get it down again (produced. R. M. Theobald. Weakness, with necessity to lie down. Suppression of all secretions and excretions. Painlessness with most all ailments. Movements hurried. Restlessness and nervousness beyond description. Whole body sensitive to touch and every movement.
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