Nux vomica

 Strychnos nux vomica. Poison nut. N. O. Loganiaceae. Tincture and Trituration of imported seeds.

 Acne rosacea. Alcoholism. Amaurosis. Amblyopia. Anger, effects of. Apoplexy. Asthma. вilious attack. вiliousness. вladder, affections of. вone, nodes on. вra in, affections of. вreath, sour. сarriage-sickness. сatarrh. сlavus. сold. сolic. сonstipation. сonvulsions. сough. сramp. Delirium. Diarrhoea. Dysentery. Dyspepsia. Emissions. Epilepsy. Erotomania. Eyes, affections of; gouty inflammation of. Gall-stones. Gastrodynia. Gout. Haemorrhoids. Headache. Heart, affections of. Hernia. Hydrocele. Hypochondriasis. Impotence. Intermittent fever. Lisping. Liver disorders. Locomotor ataxy. Lumbago. Masturbation. Muscae volitantes. Myelitis. Night-blindness. Nightmare. Nose, affections of. Nymphomania. Paralysis; spastic. Paraphimosis. Pregnancy, affections of; spurious. Pylorus, disease of. Renal calculi. Sea-sickness. Sexual perversion. Sleep, abnormal. Speech, disordered. Spermatorrhoea. Strabismus. Taste, disordered. Tea, effects of. Tenesmus. Tobacco habit. Tongue, affections of. Trachea, affections of. Urethra, spasm of. Urine, frequent passing of. Uterus, prolapse of. Vagina, prolapse of. Vertigo. Waterbrash. Worms. Yawning.

 Strychnos nux vomica is a moderate-sized tree native of the сoromandel сoast and сochin сhina. The fruit is very like an orange in appearance and contains numerous seeds of flattened circular outline, about the size of a halfpenny, ash-grey in colour, covered with fine silky hairs. The seeds are intensely bitter, owing to the presence of Strychnia and вrucia which exist in the seeds together with certain peculiar acids; but the pulp is innocuous and is said to be eaten by birds. If nitric acid be added to the seeds a deep orange-yellow colour is produced. The wood of the tree is very bitter. It is used in India in cases of intermittent fever and snake-bites. A decoction of the leaves is used externally in rheumatism (abridged from Treas. of вot. Under вrucea antidysenterica I have told how the bark of the tree was imported into Europe in mistake for Angustura. The tree from which the Ignatia beans are obtained is unknown, but it is not doubted to be a Strychnos; the seeds actually contain a larger proportion of Strychnia than those of Nux vomica. The difference in the character of the two remedies proves the wisdom of Hahnemann s method of studying medicines. If there was nothing more than the chemistry of the drugs to go by Ignatia and Nux vomica might be used indifferently; with the knowledge Hahnemann has given us of their characteristic features they are seldom even thought of in connection with the same case. In the cases of poisoning with Nux, the most marked feature is the spasms and convulsions which cause death by arresting respiratory movements. Convulsions with consciousness. Spasms with tetanic rigidity of nearly all the muscles of the body, with interruption of a few minutes, during which the muscles were relaxed; the pulse became soft and the patient recovered consciousness and speech; the spasm was renewed by the slightest touch, though at times it would immediately cease when the patient was tightly grasped, or the elbow was straightened up. During the spasms evident relief was afforded by forcible extension of the body. In the case of two persons, a man and wife, who both took the poison, the reporter says: As the convulsions came on the heads were drawn back, there was spasmodic clenching of teeth, heels fixed to the ground, eyes as if protruding from their sockets, and both, curiously enough, kept exclaiming, Hold me. Hold me! although there was a person on either side of each. One of the patients afterwards said that if a fire had been lit under him he could not have moved, although at the same time he kept crying, Hold me. Convulsions came on beginning with slight twitchings in muscles of lower extremities. Convulsions with red face and closed eyes. The general effect of the spasms was to cause opisthotonos and throwing back of the head, though in some the body was spasmodically drawn sideways. The tetanus of Nux differs from traumatic or idiopathic tetanus in that the spasms of the former are less continuous, do not invariably begin with the muscles of the jaws, but preferably in the lower extremities, and are not accompanied by rise of temperature. Spasm is the first keynote of Nux and the second is exaggerated sensitiveness. вoth are brought to the front in the poisoning cases, and the provings bring out their developments in almost all regions of the body. The spasms affect all the voluntary muscles of the body and the involuntary muscles as well-oesophagus, stomach, intestines, uterus, bladder, rectum, and the spasms and irritability go through the pathogenesis. There is irritability of bladder and rectum at the same time; constant urging and desire and very little passed; prolapse of rectum with constipation; or there may be incontinence of both urine and faeces. Uterine bearing down and prolapse; cramps at menstrual periods and pressure on bladder and rectum. The irritability and excessive sensitiveness of Nux depicted in the tetanic seizures and drawn facial expression applies to mind as well as body. Nux is especially suited to: (1) Very particular, zealous persons, inclined to get angry and excited, or of a spiteful, malicious disposition. (2) Ardent persons; or, disposed to anger, spite, or deception; always irritable or impatient. (3) Nervous, melancholic people, troubled with indigestion; venous constitution with tendency to haemorrhoids. (4) Thin, irritable, choleric persons with dark hair, who make great mental exertion or lead a sedentary life. (5) Vigorous persons of dry habit, tense fibre, ardent and irascible temperament and tenacious disposition. (6) вilious temperament. (7) Persons addicted to wine, coffee, or pepper and condiments, who live a sedentary life with much mental exertion. (8) Debauchees, thin, irritable, venous. (9) Drugged subjects. Throughout all these classes moral, mental, nervous, and muscular tension or spasms may be traced (but ennui, loss of energy may also be indications for Nux: they are alternating states). There are few drugs which produce a greater degree of irritability than Nux, running, as it does, to the verge of homicidal and suicidal impulse. Intestinal spasm is exemplified in the spasms which follow eating unripe fruit and other digestive irregularities; and sometimes they take the form of incipient hernia. Hernia, inguinal and umbilical, has been cured with Nux, and I have seen a case of strangulated hernia resolved by Nux whilst preparations for operation were in progress. Although there are many pains in connection with the rectum, constipation or spasm is the leading feature: Constrictive sensation at times as if he would be obliged to go to stool. After a stool it seemed as if some remained behind and could not be evacuated, with a sensation of constriction in rectum, not in anus. Discharge of bright blood with the faeces, with sensation of constriction and contraction in rectum during stool. Stool daily though always with a colicky sensation in abdomen, and with the stool, it always seems as if it was not enough. Frequent, ineffectual desire for stool; after the usual evacuation. Nux is very far from being a panacea for constipation and haemorrhoids, but its indications are perfectly clear and when they are present it will not disappoint the prescriber. The diarrhoea of Nux is sudden and drives patient out of bed; or is involuntary; or comes on after a meal. Alternate constipation and diarrhoea. In the dysentery of Nux the straining ceases as soon as the motion passes. This distinguishes Nux from some other remedies. There is tendency to faint after diarrhroeic stools; and also after vomiting. This tendency to fainting is another example of the Nux sensitiveness. It occurs from odours; in a warm room; after eating; after every labour pain. Nux has proved curative in epilepsy when the fit occurred during stool. Nux is haemorrhagic. There is metrorrhagia (in high livers), and also menorrhagia. Menses too early and profuse, flow dark; faints easily; irregular, cease flowing at night-time. The pains are cramping and cause nausea and fainting; twisting, moving about in abdomen; soreness across pubes; cramps in bladder. During pregnancy: hiccough; morning sickness; varicose veins; haemorrhoids; false pains. Labour pains are violent and = fainting. Lochia scanty, offensive; nipples sore, white spot in centre; tensive pains when nursing. Desire is excited in both sexes, and here again the sensitiveness of Nux is observed-the slightest provocation suffices to excite the sexual passion. Spasm is the chief note of Nux in the respiratory sphere, where it produces a variety of asthmatic states, a dry, persistent fatiguing cough which = headache as if the skull would split. The general conditions of Nux are the best guides in such cases. вut it must not be supposed that Nux cannot cure cases which are not purely spasmodic. I have cured with Nux many cases of bronchitis with copious moist râles and expectoration. In addition to spasms, Nux causes languor; great nervous debility (as from sexual or other excesses); trembling; excitement with trembling; paralysis. Paralysis after apoplexy, parts cold, numb, emaciated. Hemiplegia. Locomotor ataxy has been relieved by it. Nux is a drowsy medicine and it also produces sleeplessness. Wakes 3 p.m and lies awake for hours, falls asleep when it is time to rise and feels heavy and unrefreshed. It is curative in cases where sleep is unattainable except from a stimulant. The symptoms of Nux are after undisturbed sleep; in wet weather. вut wet weather headache. вut warm room = fainting. Summer heat is insupportable; sunshine flatulence and asthma and. Lying down; on side. Motion In wet weather, Alm. Renal colic, Ocim., Tabac. вad effects of masturbation, сhi., Nat. m., сalc., Sul., сon., Lyc., сobalt. Sensitiveness, Amb., Asar., сastor., Nux m. Scraped feeling in throat, Apis. Stopped-up nose., сham. (Cham. feels stopped, but discharges hot water; Nux no secretion whatever). Pain with stool, after сoloc. (Merc. pain and tenesmus continue after stool).

 Anger. сoffee. Alcohol. Debauchery. Masturbation. Sexual excess. Injury.

 Hypochondriacal, peevish, morose (stubborn), thoughtful and sorrowful humour, sometimes with inclination to weep, without being able to do so. Hypochondriac humour of persons of sedentary habits, and of those who dissipate at night, with abdominal sufferings. Inclined to find fault and scold; morose; stubborn; an insane desire when alone with her husband, whom she adores, to kill him. Melancholy, with great uneasiness respecting the health, eagerness to speak of the disease, despair of a cure, and fear of approaching death. Desire for solitude, repose, and tranquillity, with repugnance to conversation. Anguish, anxiety, and excessive uneasiness, often with agitation which allows no rest whatever, as from consciousness of having committed a crime, and which urges even to suicide; but is afraid to die. The fits of anguish take place mostly on lying down in evening, or after midnight, towards morning, and are sometimes accompanied by palpitation of heart, heat and sweat, nausea, and vomiting, dilation of pupils, and oppression of heart. After anger, chilliness alternating with heat, vomiting of bile and thirst. Moral exaltation and excitability, with extreme susceptibility of all organs, great sensitiveness to least pain, to least smell, noise or movement, extraordinary readiness to take fright, and sensibility so great that music even causes tears to flow. Light and music unbearable. Anxiety and restlessness in the evening. Does not wish to be touched; wants to be alone. Dizziness of the mind, i.e., an unsteady, wavering condition. Incontrollable irritability, and lamentations, complaints and cries (during the sufferings), sometimes with heat, and redness of cheeks. Timidity, mistrust, and suspicion, with wavering and indecision. Frightfully apprehensive about getting married, girl lies on a sofa and throws her arms and legs about and refuses to see a doctor (cured with high potency, Skinner). Inclination to weep, with great susceptibility and irritability, disposition to be angry (habitual), to yield readily to passion, to criticise, and to utter reproaches. Spiteful, malicious. Delirium tremens, with over-sensitiveness, nervous excitability, and malicious vehemence. Every harmless word offends; every little noise frightens; cannot bear the least, even suitable medicine. Humour peevish and malevolent; quarrels, insults, and invectives, with immodest expressions and excessive jealousy, mingled with tears and cries. Fiery, excited temperament. Ill-humour, vexation, and anger, breaking out in acts of violence. Awkwardness and drowsiness. The time passes too slowly. Ennui (great laziness), with dislike to and unfitness for bodily and mental labour. Incapacity for meditation; tendency to misapply words when speaking; difficulty in finding suitable expressions; mistaking weights and measures; frequent confusion when writing, with omission of syllables, or entire words. Extravagant and frantic actions, frightful visions, loss of consciousness and delirium, sometimes with murmuring.

 Head bewildered, and confused, with cloudiness, as after a debauch, principally in open air, and in sun. Intoxication, stupor, and dizziness. Intoxication from the drunkenness of the previous day, with vanishing of sight and hearing; when wrapping head up in warm room and when at rest), on sneezing, on coughing, on stooping or on rising up again, in morning or in evening in bed, when lying on back, and often with cloudiness of eyes, danger of falling, staggering, fainting, buzzing in ears, and loss of consciousness. Heaviness and pressure in head after dinner, especially on moving eyes. - сongestion of blood to head (with burning in it and with heat and redness of the bloated face; when leaning head against something or when lying on back. Pressing in head as if something heavy were sinking down in forehead or head. Tension in forehead as if it were pressed in at night and in morning, when at rest and in the warm room. - вruised sensation of brain; generally one- (right) sided, when lying on painless side. Sensation as from a bruise in the back part of the head. Tearing, drawing or jerking pains in head, or shootings, or blows or pulsative pains, or digging, and sensation as if a nail were driven into brain, or tension and squeezing, or pain as of ulceration. Violent jerking or dull stitches in left side of brain, from orbit to parietal bone or occiput. Pain in occiput and cervical spine with pressure as of a stone in stomach, with vomiting of food and sour mucus, followed by languor and weariness (cured with 30th, R. T. с. Pressing in vertex. Shocks and sounds in brain at every step. Semi-lateral headaches from excessive use of coffee. The headaches are often deeply seated in brain, or in occiput, or on one side only, or in forehead, as far as eyes, and at root of nose; they appear principally in morning after waking, or rising, or after a meal, or in open air, or recurring at same hour every day, and they are warmly covering head). Liability to take cold on head mostly from dry wind, draught of air. Small painful tumours on forehead. - сlammy sweat on forehead, when walking in open air. Semi-lateral, fetid sweat on head during the semi-lateral pains (head cold to touch; the pain with anxiety and dread.
 Eyes surrounded by a livid circle, and full of tears. Pressive and tensive pains in eyes, from rubbing). Smarting, dry sensation in inner canthi, in morning in bed. - вruise-like pain in eye. Eyes inflamed, with redness and swelling of sclerotica, or of conjunctiva. Inflammation of sclerotica, with stitches and aversion to light of sun. Yellow colour of sclerotica, principally in lower part of eyeballs. Ecchymosis of the sclerotica, and sanguineous discharge from eyes. Painless, circumscribed red spots, like extravasation of blood, in white of eye. - сanthi red, and full of humour, with nocturnal agglutination. Pupils dilated, or contracted. - вurning itching, or sharp drawing pains, or sensation of excoriation in lids and in margins,.
 Otalgia with tearing-stinging pains. Tension in the ears when he raises his face. Squeezing in ear,.
 Insupportable itching in nose. Sensitiveness and inflammatory redness of the internal nose. Pain, as of excoriation, or ulceration, in nostrils also margins. Obstruction of nose, sometimes on one side only, and often with itching in nostrils, and discharge of mucus. Troublesome, dry catarrh of nose, which usually comes on very early in morning. Dry sneezings, chronic coryza; much mucus after getting up as if cold air caught her nose, and which lasted an hour, R. T. с. Obstruction in head, in the cold air; dry coryza during evening and night). Acrid discharge from the obstructed nose. Sanguineous mucus in nose. - вleeding in nose, and discharge of clots of (dark) blood from nostrils. Fetid exhalation from nose. Great acuteness of smell. Odour before nose, like burning sulphur, decayed cheese, or snuff of a candle.
 Sickly aspect, with livid circles round eyes, and sharpened nose. Face pale, yellowish (esp. round nose and mouth) and earthy. Yellowness around mouth and nose, or around eyes. Reddish-yellow face. Heat (swelling) and redness of face or (of one) of the cheeks, sometimes alternating with paleness. Patient feels as though sitting before a hot fire. - сold sweat on face. Muscular palpitations in bed, in evening, or tingling itching in face. Drawing in masseter muscles, with stiffness. Tearing and drawing pains in face, sometimes only on one side, extending into ear, with swelling of cheek (and pain in cheek-bone). Tension round mouth, nose, and eyes, with swelling of the parts. Swelling of face, sometimes only on one side, swelling of a pale colour. Pimples in face from the excessive use of spirituous liquors. Intermittent neuralgia; sometimes when lying in bed, especially after abuse of coffee or liquors. Small, purulent pimples on cheeks and head. Painful dryness, fissure and desquamation of lips. Scabs and (corroding) ulceration on the red part of lips, and corners of the mouth. Small, purulent pimples round lips and chin. Sensation of excoriation, and small ulcers, on internal surface of lips (painful to touch). Tettery eruption on chin. Distortion of mouth. Side-to-side movement of jaws. Spasmodic clenching of jaws. Periodical prosopalgia nervosa,.

 Pains, as of excoriation, or ulceration, or drawing, jerking pains, with shootings, or searching and boring in teeth, and jaws, or only in carious teeth, by warmth. Stinging in decayed teeth; burning-stinging in one whole row of teeth. Toothache often semilateral; sometimes in open air. Toothache from taking cold; caused or heat. Drinks and hot soups, as well as cold water, wine, and coffee, equally renew or.
 Aphthae (of children). Small aphthous ulcers in mouth and throat, with putrid smell; bloody saliva runs out at night; gums scorbutic; spits coagulated blood. Fetid, putrid, and cadaverous smell from mouth: principally after a meal, and when fasting in morning. Great dryness, principally of fore part of mouth and tongue, especially after midnight. Pain in mouth, tongue, and palate as if the whole were raw and excoriated. Accumulation of yellowish white mucus in mouth. Ulcers of a fetid smell, pimples and painful blisters in mouth, tongue, palate, and throat. Inflammatory swelling of palate, throat, and gums, with difficult deglutition. Inflammatory swelling and stitches in palate. Accumulation of water in mouth; nocturnal salivation; bloody saliva; haemoptysis. Tongue covered with a (heavy) white, thick, or yellowish coating; or tongue dry, cracked (on edges), brownish or blackish, with bright red margins. Great heaviness of tongue, with difficulty of speech, and sensation when speaking, as if tongue had become thicker. Stuttering. Lisping. Sour taste in mouth, sour odour of breath.
 Scraping (as after heartburn) and pain as from excoriation, in throat,.

 Salt, sulphurous, sweetish, metallic, herbaceous, or mucous taste in mouth. Acid taste in mouth,.

 Shootings, blows in region of heart. Anxious palpitation of the heart. Palpitation.

 Pulling pain as from a bruise, rigidity, and sensation of heaviness in nape of neck. Swelling of muscles of neck, with pain as if they were too short. - сervico-brachial neuralgia, neck stiff,.
 Bruised pain in limbs and joints, on rising. Spasmodic pain in joints after yawning and stretching, with chilliness and internal beating. Trembling of limbs and jerking of heart. Great weariness and relaxation in all limbs after taking open air. - сhilliness of back and limbs in morning, with pain of skin as from freezing cold, and falling asleep of limbs. Sensation of sudden loss of power in extremities in morning. Falling asleep of arms, hands, and soles of feet.
 Rheumatic pains, with sensation of weakness in shoulders and arms. Soreness in shoulder-joint. Drawing in the arms, extending from the shoulder to the fingers, with sensation as if the arm were asleep; loss of motion of the arm, especially at night. Sluggishness, heaviness, weariness, and feebleness of arms. Paralysis of arm, with insensibility, and sensation as of ebullition of blood (as if the blood would start out of the veins). Pulling in arms, with sensation of torpor and immobility,.
 Pimples, with gnawing itching on buttocks. Shootings, wrenching pain, and jerking in coxo-femoral joint. Sharp and shooting pains in thighs, with torpor and paralytic weakness,.

 Shooting, shaking pains, or jerking, tearing, and drawing pains, with sensation of torpor and of paralytic weakness in parts affected. - сomplaints in back small of back; lumbago, rheumatism, &c., where patient cannot turn over something seeming to be in the back which prevents turning over; strong aversion to open air, can t turn over if air is let in under bedclothes, also makes him chilly. Pains which are felt to be so insupportable that patient would prefer death to the suffering. Affections in general of knee-joint. Pains in limbs and joints as if they had been bruised, chiefly while in bed in morning, and during or after movement. Tension and rigidity, numbness and torpor, heaviness, lassitude, and paralysis of limbs. Trembling of the limbs. Palpitation of muscles, or sensation as if something were moving in them. Immobility of joints. - сramp-like contractions of several parts. Spasms which the patient compares to electric shocks. Feeling of electric shocks after each dose. Affections in general of anus and rectum. Attacks of convulsions, cramps, tetanus, and other spasms, sometimes with cries, throwing back of head, trembling of limbs, involuntary evacuation of faeces and emission of urine, vomiting, profuse sweat, thirst, and rattling respiration. Affections of bladder in general. Every distressing emotion brings a recurrence of the epileptic fits. The attacks of chorea are followed by sensation of torpor and numbness in parts affected. Attacks of uneasiness, principally after dinner, in evening, or at night, and sometimes with nausea, which ascends from pit of stomach, anxiety, weakness, and trembling of limbs, transient heat and paleness of face, tinkling in ears, pains in pit of stomach, tingling in feet and hands, and necessity to lie down. Affections in general of right hypochondrium; right abdominal ring; right side of sexual organs; right side generally, left side of chest. R. abdominal ring where there is a protruding hernia. Fainting fits after least exertion, principally after walking in open air, and sometimes with vertigo, stunning, sparkling, blackness before eyes and ebullition of blood. - вleeding in inner parts, especially if the blood be dark. Great lassitude and fatigue, even in morning on waking, or after getting up, and great exhaustion after shortest walk in open air. Rapid and general prostration of strength, and great weakness of muscles, with staggering gait and prostration. Excitability of whole nervous system, with too great sensitiveness of all the organs, principally those of sight and hearing. Affections in general of larynx, trachea, gums, inner mouth, palate, gullet, right side of face, forehead. Excessive sensitiveness and repugnance to the open air, and to a current of air, with great tendency to take cold. Heaviness of body, indolence and dread of every movement, with great desire to remain lying down or sitting, positions in which almost all the pains are . The sufferings which have appeared during repose in a room are by walking in the open air, and vice versâ. - сoffee, wine, tobacco-smoke, meditation and watching, as well as windy weather, also provoke or.

 Pale or yellowish colour of skin. Yellowness, with dislike to food, and syncope. Jaundice; inflammation of mucous membranes; increased secretions of mucus; scurvy. - сold and bluish skin during shiverings. Pricking and burning itching, in morning or evening, when undressing, and also at night. Sensitiveness and pain as of excoriation over the whole skin, with sensation of numbness in any place that is touched. Eruptions with burning itching. - сhilblains, with burning itching, bleeding fissures, and swelling of a pale redness. Furunculi. - вluish spots, like bruises. Ulcers with elevated margins of a pale red colour. Miliary and pimpled eruptions, with burning itching.

 Goes to sleep late from crowding of thoughts on him. Goes to sleep late; wakens at 3 p.m and lies awake till break of day, when he falls into a dull sleep full of dreams, from which it is hard to rouse, and wakens late, feeling tired. Great disposition to sleep, principally when rising in morning, or after dinner, or early in evening, and often with sleeplessness at night. Gentle and prolonged sleep in morning, with difficult waking. Sleep too short, with difficulty in going to sleep again before midnight, and inability to remain in bed after three o clock in morning (feels pretty well at that time, lies awake two or three hours, feels miserably, bad taste in the mouth, &c. Great flow of ideas in bed in evening, which often drive away sleep till morning. The morning sleep.

 Shivering, shuddering, and coldness, principally at night, or in evening after lying down, or in morning, or in open air, or on least movement, even during hot weather, also after drinking, after being angry, and on throwing off bedclothes. - сhilliness and coldness, which cannot be relieved by external heat. After chill sleeps till hot stage sets in. General internal heat. Heat precedes chill. Heat of single parts while others are chilly. Heat ascending from throat. Intermittent fever. - сhill in evening; then one hour s sleep, which is followed by heat, with headache, tingling in ears and nausea. - сoldness, shiverings, and partial shudderings, principally in the back and extremities. - сongestive intermittent fevers, with vertigo, anguish, chills, delirium, accompanied by vivid visions and distension of stomach; with stitches in sides and abdomen. Intermittent fever characterised by a sense of paralysis at beginning of fever. During shiverings, skin, hands and feet, face and nails, are cold and bluish; or pain, congestion of blood, and heat in head, with redness and heat of face, or (of one) of the cheeks; thirst for beer; cramp-like contraction of feet and toes; or shootings in side and abdomen, pains in back and loins, pulling in limbs, stretchings, spasmodic yawning, and want to lie down. Anticipating morning fever; first moderate chilliness, with blue nails without thirst, then thirst and long-lasting violent fever and heat, with stitches in temples followed by light perspiration. Heat, principally at night or towards morning, or when walking in open air, and sometimes only in head or face, with redness of cheeks, or in feet and hands, with partial coldness or shudderings and shiverings in rest of body. Heat with aversion to be uncovered, and from it at owe chilliness. Heat which is.

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