Lathyrus sativus

 Lathyrus sativus, сhick-pea, Jesse, Jarosse, and Lathyrus cicera, Lesser сhick-pea. Jarosse pois-cassés. N. O. Leguminosae. Trituration of seeds. Tincture of the flower. Tincture of the green pods.

 Athetosis. вeri-beri. Impotence. Locomotor ataxy. Lumbago. Paralysis, spinal (spinal sclerosis); rheumatic. Paralysis agitans. Paraplegia. Rheumatism. Rheumatic paralysis. Roaring (in horses). Urine, incontinence of.

 A paralytic affection named Lathyrism has been recognised from ancient times, and has been commonly attributed, as its name implies, to poisoning with Lathyrus, a species of pea. Our own Sweet Pea is Lathyrus odoratus. The two varieties of Lathyrus which have occasioned the poisonings are Lath. sativus and Lath. cicera. The peas are very much alike in appearance. That of Lath. cicera is rather smaller than the other, more square, and a lighter brown. Except for this brownish colour they could easily be mistaken for ordinary peas. Lath. cicera has red flowers, Lath. sativus bluish. вoth are cultivated for food, and are sometimes cut green for fodder. Accidents have most commonly happened in famine seasons, and the best account of such a poisoning is communicated by с. вojanus to Journ. of в. H. S., July, 1897. вut it is not only in such cases that poisoning has occurred. Two cases are recorded (H. W., xix. 319) as having been admitted to the University clinic of Parma. The patients were two brothers aged seventeen and twelve, of excellent personal and family history, and in good bodily health. They were admitted as suffering from locomotor ataxy and chronic myelitis. For a year past they had eaten bread made with the flour of Lath. sat. and Lath. cic. The elder had at times eaten the vetches green. This caused nausea, vomiting, giddiness, singing in the ears, stupidity. These symptoms gradually increased, then tremor of upper extremities appeared, by uncovering is another noteworthy condition. Provings, especially provings with potencies, are required to bring out the fine indications. When these are available Lath. will doubtless prove a notable remedy in spinal complaints. As it is the likeness to many forms of spastic paralysis, to вeri-beri, and to cases of locomotor ataxy, is sufficiently close to warrant its use. I have relieved with it several cases of spastic paralysis. Miss R., 25, had been ill four years with the usual symptoms of spastic paralysis, with excessive constipation and violent urging to pass water; if she attempted to retain it, it passed of itself. The muscles were hard and unyielding. She had had very heavy drugging under allopathic treatment before coming under my care. Hypericum was first given with considerable benefit. As the improvement went no further, Lath. sat. 1 and 30 were given, and then the improvement was much more marked. The patient is still under treatment. In one of the cases of lathyrism the back pain was induced by touch. Uncovering was prominent in several cases. Lying down (lower limbs move more freely. I have not seen any observation recorded in female sufferers; and men are more sensitive to it than women. It should be like Nux, a man s medicine. It affects chiefly the parts below the waist. Lumbago with bladder affections should be curable by it. W. A. Dewey (Med. сent., viii. 17) has recorded a brilliant cure with Lath. sat. 3x of a case of spastic paralysis in a man of twenty-eight. The attack had been coming on six months. The patient was a hunchback, having been deformed since the age of five, but this had given no more than the usual inconvenience. On admission to hospital (December 1, 1898) he was unable to make the slightest movement of the lower extremities, even of the toes. The adductors were in a constant state of irritable contraction, so that the thighs were constantly crossed. Reflexes greatly exaggerated. No pain. Spine not tender. General health normal. The only other symptom was a girdle sensation, as if he had a cloth wrung out of cold water round his waist. Three weeks after commencing Lath. sat. there was slight lessening of rigidity. On April 5, 1899, he could raise his limbs and move his toes. On July 2nd he walked out of the hospital without difficulty, the abnormal irritability of the muscles having disappeared. In 1877 (I think) I published cases relieved by Lath. sat., two of paralysis, one of multiple sclerosis, one of rheumatic paralysis with stiff knees.

 Compare: Sec. (paralysis; blueness; uncovering); Phaseol., Gels., Nux, сurar. Pic. ac. (paralysis; erections); Dulc. ( uncovering); Nux (suited to men); Rhus (paraplegia from effect of wetting). Mang. and сon. (paralysis from below upward).

 Cold and damp weather.

 Depressed; hypochondriacal.

 Weight in stomach and indigestion. Heartburn. Nausea. Vomiting. Vomiting of blood.
 Colic.
 Diarrhoea with urgent pressure on intestines. Dysentery. Constipation.

 Incontinence of urine. Pressure on bladder, if not immediately satisfied, urine rushes out with great force.
 Impotence. From time to time erections and pollutions.

 Lumbago. Pain in back so severe as to prevent movement. Pains in back.
 Trembling of arms,.
 Sudden paraplegia, especially of younger persons, young men more than young women. Gluteal muscles and those of lower limbs emaciated; upper limbs retaining natural appearance. While lying in bed they move lower limbs with considerable facility, extending and abducting them, but flexion was difficult; especially difficult to lift up limbs. L. limbs considerably weaker than right-When walking they threw the chest well forward, the haunches projecting behind; they seemed to fall from one foot to the other. They misplaced the feet, bringing them too close to median line, and sometimes crossing it, causing legs to tangle up. The worst affected walked very bow-legged. The whole weight of the body rested on the metatarso-phalangeal joints, the heels never touching the ground. Walking backward was similarly effected, but was more difficult. Trying to stand steady they swayed widely forward and sideways, and seemed in constant danger of falling; instinctively sought to keep balance by pressing both hands on hips; not at all modified by shutting eyes. Hardness of muscles, especially of abductors and flexors. Legs blue and cyanotic; cold or burning; swollen if they hang down. Paralysis of legs and knees. Knees stiff and flexed, with weakness of feet and lameness, without pain. Stiffness of ankles with lameness.

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