CARBO VEGETABILIS [Carb-v]:

-M.L.Tyler.

Wood Charcoal.

Introduction:
FROM the earliest times, Hahnemann tells us, physicians considered charcoal to be non-medicinal, and powerless. Then came the curious discovery of the chemical properties of wood charcoal in especial, its power of removing from putrid and mouldy substances their bad smell, and preserving fluids from fetid odours. Then physicians began to employ it externally. In fetor of the breath they caused the mouth to be rinsed with powdered charcoal, and applied powdered charcoal to putrid ulcers, and in both cases the fetor was immediately removed. Again, administered internally in autumn dysentery it removed the evil odour of the stools. But, he tells us, this is merely a chemical use of wood charcoal, which takes away the foul odour of putrid water when mixed with it in coarse lumps, and does so most effectually in coarse fragments. But this was merely a chemical, not dynamical employment, penetrating the inner vital sphere. The mouth rinsed only remained free from fetor for a few hours. The old ulcer was not improved, and the fetor, chemically removed for the moment, always recurred. The powder taken in autumn dysentery removed the fetor of the stools only for a short time; the disease remained, and the disgusting smell of the stools soon returned. Pulverized wood charcoal, he says, can exercise almost none other than a chemical action. And a considerable quantity of wood charcoal may be swallowed without producing the slightest alteration in health. And yet Carbo vegetabilis is one of our most powerful and precious remedies: at times "a veritable corpse-reviver", as one has seen : and it is one of the striking proofs of the value of Hahnemann's great discovery in regard to the liberation of power, in inert substances, by dynamization or sub-division of particles. He puts it thus. "It is only by prolonged trituration of the charcoal (as of many other dead and apparently powerless substances) with a non-medicinal substance, such as sugar of milk, that its inner, concealed, and, so to speak, slumbering medicinal power can be awakened and brought to life," and he found that a minute quantity of the "millionth-fold power- attenuation, ingested, produced great and medicinal effects and derangement of the human health". He did not advise the use of a stronger potentization than the millionth-fold (the third cent. potency). And his provings were made with this "Million-fold power-attenuation." KENT says of Carbo veg. "It is a comparatively inert substance made medicinal and powerful, and converted into a great healing agent, by grinding it fine enough. By dividing it sufficiently, it becomes similar to the nature of sickness and cures sick folks. It is a great monument to Hahnemann. It is quite inert in the crude form and the true healing powers are not brought out until it is sufficiently potentized. A broad-acting, deep-acting, long-acting medicine. It affects the vascular system especially; more particularly the venous side of the economy--the heart and the whole venous system. Sluggishness is a good word to think of when examining the pathogenesis of Carbo veg.: sluggishness, laziness, turgescence. Everything about the economy is sluggish, lazy, full, distended, swollen, puffed. The hands are puffed; the veins are puffed; the body feels full and turgid: the head feels full the limbs feel full, so that the patient wants to put the feet up to let the blood run out. The veins are lazy, relaxed and paralysed. Vaso-motor paralysis varicose veins. "The mental state, like the physical, is slow. Slow to think; sluggish; stupid; lazy. The limbs are clumsy the skin is dusky. The capillary circulation engorged. The face is purple and dark." Carbo veg. has BURNING--and COLDNESS. Burnings in veins, in capillaries, in head, itching and burning of skin. "Burning in inflamed parts. Internal burning, and external coldness. Coldness with feeble circulation, with feeble heart. Icy coldness. Hands and feet cold: knees cold: nose cold: ears cold: tongue cold. Coldness in stomach with burning. Covered with cold sweat: collapse with cold breath, cold tongue, cold face. (Camph.) Looks like a cadaver, yet in all these conditions the patient wants to be fanned."--Kent. Or, as NASH has it. "Vital force nearly exhausted; complete collapse. Blood stagnates in the capillaries; venous turgescence; surface cold and blue. "In the last stages of disease, with copious cold sweat, cold breath, cold tongue, voice lost, this remedy will save a life." One has seen that--in one extreme case, in especial: the sort of case one does not forget, and which one quotes to show what Carbo veg. can do in the most desperate conditions, where the symptoms agree. It was a small girl with heart disease, and an acute exacerbation supervening that was abruptly ending her young life. She had a pneumonia with pleural effusion, an endocarditis with pericardial effusion, and one morning, when the Physician was going his round accompanied by several other doctors, she was found lying forward on the supports that had had to be provided, because she could not rest otherwise, cold, white, unconscious; just alive, because she was still giving the infrequent sharp gasps of the dying. Carbo veg. (I think 200) was quickly administered, while one of the doctors of wide experience exclaimed, "I'll eat my hat if that child lives!" But before the ward round was finished she had regained warmth and consciousness--death had passed on! And, under Kali carb. (the complementary remedy, by the way!) she got well, so far as the damaged heart would permit. It is such experiences that have gained for Carbo veg. the name "corpse reviver". It is curious and important to note that these Carbo veg. patients even in extremis, with the coldness of death already present, have air-hunger, and want to be fanned. But apart from such desperate conditions, Carbo veg. is one of the useful remedies of everyday life--where symptoms demand its use. For instance it is one of the most FLATULENT *For excessive flatulence Carbo animalis seems equally, if not more effective, than Carbo veg. Nothing could be more striking than its prompt relief of flatulent distension after operations on the abdomen. One has seen this more than once. of remedies (Lyc., China). Stomach feels full and tense, with great accumulation of flatus: this is worse at night: worse when lying down. In one's experience there may be belching and belching by the hour, with great distress, and then a dose of Carbo veg, and it all subsides, without any more coming up. We know that vegetable charcoal in the crude state has an extraordinary capacity for absorbing gases--the amounts it can absorb are phenomenal: but one does not expect this strange power to be carried into the realm of the potencies! Explanations may be difficult: but it is facts that count every time. In the same way Carbo veg. in the potencies will banish fetor far more effectually than in the crude form. But here a word of warning. Carbo veg. will work its miracle on flatulence night after night, and will need to do it again and again, night after night--if it is not a Carbo veg. case. Whereas some other drug--perhaps Argentum nit., whose symptoms do correspond to those of the patient, will act curatively, and the condition will not return; certainly not for some thirty days and then not with the same intensity. To the correct remedy the reaction will be curative, not merely palliative. GUERNSEY tells us that Carbo veg. has also "complaints from obstructed flatulency (may be pains in the head, around the heart or anywhere, which are relieved by the discharge of flatus). Flatus has a putrid and very stinking smell". In regard to its stomach conditions, Kent has a telling little paragraph--Kent's Lecture on Carbo veg. gives a wonderful picture of the drug and its uses! He says: "The Carbo veg. patient has a longing for coffee, acids, sweet and salt things. Aversion to the most digestible and the best kinds of food. Now if I were going to manufacture a Carbo veg. constitution, I would commence with his stomach. If I wanted to produce those varicose veins and the weak venous side of the heart, this fullness and congestion, and flatulence, this disordered stomach and bowels, and head troubles and mind troubles-- sluggishness of the whole economy--I would begin and stuff him. I would feed him with fats, I would feed him with sweets, with puddings and pies, and sauce, and all such indigestible trash, and give him plenty of wine--then I would have the Carbo veg. patient. Do we ever have such people to treat? Just as soon as they tell their story you know enough about their lives to know that they are mince pie fiends: they have lived on it for twenty years, and now they come saying, `Oh, doctor, my stomach; just my stomach: if you will simply fix up my stomach.' He has burning in the stomach, distension of the stomach, constant eructations, flatulence, passing of horribly offensive flatus." Nash, and others, quote H. N. Guernsey "one of the best prescribers that ever lived" to the following effect. "No truer remark was ever written than that Carbo vegetabilis is especially adapted to weak and cachectic individuals whose vital powers have become weakened. This remark is made particularly clear in the light of those cases in which disease seems to be engrafted upon the system by reason of the depressing influence of some prior derangement. Thus for instance the patient tells us that asthma has troubled him ever since he had the whooping cough in childhood; he has had dyspepsia ever since a drunken debauch which occurred some years ago; he has never been well since he strained himself so badly (Rhus tox., Calc.), the strain does not now seem to be the matter, but his present ailments have all appeared since it happened; he sustained an injury some years ago, no traces of which are now apparent, and yet he dates his present complaints from the time of the occurrence of that accident. It will be well for the physician to think of Carbo veg. in similar cases which are numerous, and may present very dissimilar phenomena, as these circumstances being suggestive of Carbo veg. it in all probability will be found to be the appropriate remedy, which the agreement of other symptoms of the case with those of the drug will serve to corroborate." The italics of the last phrase are ours, and for this reason: one used to "try" Carbo veg. where the illness dated from, or was ascribed to, a previous sickness or accident. But the results were poor, and the idea dropped out. But where such a history makes you think of Carbo veg. and you find on reference to Materia Medica that the symptoms agree, you will inevitably get your results. That is quite a different story. And that is what Guernsey emphasizes in his last sentence. Often a strange symptom, or a tip, such as the above, suggests a drug which would not have otherwise occurred to you, and when, by reference to Materia Medica, the symptoms are found to agree, you will succeed. There are more ways than one of finding the remedy: and the ultimate court of appeal is MATERIA MEDICA. No Repertory can possibly supersede the actual provings. And it is the peculiar symptoms, when they agree in drug and patient, that lead to a consideration of that drug, and a successful prescription. One has seen, or knows of, the amazing effect of even a dose of Carbo veg. in GANGRENE, in one case with the most appalling fetor. Kent says of Carbo veg., "Ulceration, with relaxation of the blood vessels and feebleness of the tissues, you need not be surprised, if there is no repair, no tissue-making. So when a part is injured, it will slough. An ulcer, once established, will not heal. The tissues are indolent. Poor tissue-making or none at all. `The blood stagnates in the capillaries.' You can see how easy it would be for these feeble parts to develop gangrene. Any little inflammation or congestion becomes black or purple, and sloughs easily---that is all that is necessary to make gangrene." But short of such end-processes as gangrene, one finds Carbo veg. extraordinarily useful in some cases of VARICOSE ULCERS, and VARICOSE VEINS. In the Carbo. veg. cases there are blackish patches or areas, caused by stagnation in venules and capillaries. It is here that Carbo veg. especially helps (Thuja has something of the sort). The blackness vanishes and the ulcer heals. Here are some of the uses of Carbo veg. all suggested by, or brought out in, the provings. Indifference; heard everything without feeling pleasantly or unpleasantly, and without thinking of it. Headaches: all the provers had headaches, mostly occipital. Headaches, and can't wear a hat. Hair falls out by the handful. Face pale: cold: cold sweat on face (Verat.). Tongue cold and contracted; white; coated; bluish; patched; sticky; black (Ars.). Looseness of teeth and bleeding gums. Foul taste and odours from mouth. One of the mumps medicines (Pilocarpine). Much catarrh. Coldness. "cold limbs: cold knees: cold nose: cold feet: cold sweat. Face pale: cold, covered with sweat." In chest conditions with much dyspnoea, copious expectoration, exhausting sweat, great coldness--and the patient must be fanned. Cold breath, coldness of throat, mouth and teeth, but desires to be fanned. Must have more air. Cold knees at night. Ulcers burn at night ;discharge offensive. Haemorrhages: indolent oozings. "Even the tongue piles up that black exudate, that oozing of black blood from the veins." "Vomiting of blood with icy cold body and breath." Kent says that the abdominal fullness aggravates all the complaints of the body. There may be "even flatulence in the tissues under the skin, so that it will crepitate". "Extremely putrid flatus: incarcerated flatus: collects here and there as if in a lump." "Diarrhoea horridly putrid, with putrid flatulence." "One of the greatest medicines we have in the beginning of whooping cough." "Attacks of violent spasmodic cough in paroxysms, with cold sweat, cold, pinched face." "Pneumonia, third stage, with fetid expectoration, cold breath, cold sweat, desire to be fanned." "Feelings of internal heat and burning, with external coldness - -a common feature of Carbo veg." Burning in stomach. Great accumulation of flatus: distension of stomach and abdomen. ASTHMA. Kent gives the Carbo veg. picture of asthma. 'We see the patient propped up in a chair by an open window, or some member of the family may be fanning him as fast as possible. The face is cold, the nose pinched, the extremities cold, and he is pale as death. Put the hand in front of the mouth and the breath feels cold. The breath is offensive, putrid. Internal burning with external cold is a common feature with Carbo veg.
BLACK LETTER SYMPTOMS
Indifference; heard everything without feeling pleasantly or unpleasantly, and without thinking of it. Anxiety; as if oppressed with heat in face; accompanied by shuddering; on closing eyes; in evening, after lying down; on awakening. FAINTING after sleep; after rising, or while yet in bed, mornings; belching; caused by debilitating losses, or abuse of mercury. Dull headache in occiput; violent pressive pain in lower portion of occiput; feeling of weight. HEAD feels heavy as lead. Hat pressed upon head like a heavy weight, and he continued to feel the sensation even after taking it off, as if head was bound up with a cloth. Sweat on forehead, often cold. Burning in EYES. Parotitis. Looseness of TEETH, with bleeding of gums, which are very sensitive. TONGUE turns black. Tongue cold. Stomacace. Great accumulation of flatus in STOMACH. Stomach feels tense and full; flatulence. Distension of stomach and abdomen. Burning in RECTUM. Itching in anus. Rawness of chafing of children in hot weather. Cholera Asiatica, stage of collapse. After sexual excesses and onanism. Soreness, itching, and burning and swelling of pudenda. Debility from nursing. Gastralgia. Great roughness in larynx, with deep, rough voice, which failed if he exerted it, though without pain in throat. Breathing short, with cold hands and feet. Desires to be fanned, must have more air. Weak, fatigued feeling of CHEST, particularly on waking. Pneumonia ; third stage, fetid sputum; cold breath and sweat; wants to be fanned; threatened paralysis of lungs. Fine itching eruption on HANDS. Cold knees, particularly in night. Ulcer on leg burns at night; discharge offensive; mottled, purple. Awakens often from COLD limbs, especially cold knees. Adynamic and gastric fevers, occurring in hot weather from abuse of ice-water and other summer beverages. Typhoid and yellow fever patients; cyanotic and coldness of limbs, almost in agony of death; impending paralysis of heart and collapse. Yellow fever; thirst stage, haemorrhages, with great paleness of face, violent headache, great heaviness in limbs and trembling of body. Swelling of GLANDS, in scrofulous or syphilitic persons. SEPSIS, sunken features, sallow complexion, hectic, typhoid symptoms. Blue colour of body, with terrible cardiac anxiety and icy coldness of whole surface. (Cyanosis). ULCERATIONS, with burning pain. Vital powers low, VENOUS SYSTEM predominant.

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