Cina. child:

By Douglas M. Borland, M.B.,
The next drug is CINA which makes a very interesting comparison with CHAMOMILLA. Most people start with a dose of CHAMOMILLA. Most people start with a dose of CHAMOMILLA and if it does not get results they give a dose of CINA. This is not a very scientific way of proceeding. It is better to know clearly what the CINA picture is like and where the difficulties arise. The outstanding mental distinction between the CHAMOMILLA child and the CINA child is that in CINA there is a degree of obstinacy never met with in CHAMOMILLA. The CHAMOMILLA child is always unstable; the CINA child can be as obstinate as a mule. That is the main mental distinction. In CHAMOMILLA there is the irregular flushing of one cheek and pallor of the other. The whole face may be red but more likely there is irregular distribution. In the CINA child much more commonly there is a circumscribed red patch on the cheeks, and very often a noticeable pallor about the mouth and nose. The next distinguishing thing about them is that although both dislike being handled and resent interference, in CHAMOMILLA it is much more mental resentment whereas the CINA child definitely tender to touch. There is very often the same description of the two that they will scream when handled, but once the preliminary discomfort of handling is over the CINA children are quite peaceful and they allow themselves to be carried about and it will quiet them down; whereas in CHAMOMILLA they want distraction all the time, and are always wanting to be doing something new. The CINA child will want to be carried because the steady, passive motion soothes him. Another point which distinguishes CINA from CHAMOMILLA. CINA children are very apt to vomit, as are the CHAMOMILLA types, but almost immediately after the CINA children have vomited they are hungry. Often the CINA children will cry for more food immediately after a meal, and the CINA child often suffers from nightmares, and night terrors if it he had a late meal. Another distinguishing factor between CHAMOMILLA and CINA is their diarrhoeic upsets. Both types have attacks of diarrhoea. The typical CHAMOMILLA green stool is absent in CINA . The typical CINA stool is a very white, watery stool. A constant characteristic of the CINA child, both in its digestive upsets and in general, is its relief from pressure on the abdomen. If it has colic it will turn over on to its tummy, if carried about while it has colic it will turn over the nurse's arm so as to get pressure on its tummy. If it is restless at night, it turns over on to its abdomen. CINA children are always chilly and are sensitive to any draughts of air. These children are liable to irregular muscular twitchings, particularly after any excitement, and often in the muscles on the face. In the slightly older children mental characteristic of the CINA child is that they are frightfully touchy. They have of complete inability to see a joke of any kind particularly if it refers to themselves. CINA children all have a hyperaesthesia of the head, the head is sensitive to jarring, and they have a hyperaesthesia of the scalp. To soothe down a CINA child never stroke its hair. They have an inordinate habit of yawning, and keep yawning as if they would dislocate their jaws, and in some cases a definite history of acidosis links up with the tendency to yawn. Two other points which indicate the possibility of a child needing CINA. One is that with their intestinal upsets they become very restless and liable to get meningeal irritation, with constant agitation of the head rubbing, it into the pillow. Even without definite meningitis they tend to develop a squint - an internal squint. The other point is that all these CINA children appear to develop an irritation of the nose, it is red, itchy, and they pick at it - and that is quite apart from getting thread worms or anything of the kind. A yawning child picking its nose always indicates the possibility of its needing CINA.