PULSATILLA effects Veins is female Homeopathic Medicine
- A.W. Cowperthwaite.
Synonyms. Pulsatilla Nigricans. Pulsatilla Pratensis. Natural
Potencies: Pulsatilla 6C,12C,30C or 30CH,200c or 200CH,,1M,10M,50M,LM,CM,
GENERAL ANALYSIS.
Pulsatilla acts prominently upon all the mucous membranes of he body,. and upon the synovial membranes, with veins, the eyes, the ears and the generative organs of both sexes, more especially the female. In the mucous membranes a catarrhal process is established, the secretions are modified, sometimes retarded, more often increased, the functions of the organs they supply are disturbed, the nervous system become irritated and depressed, and as a result we obtain the numerous symptoms of deranged digestion, respiratory troubles,, genito-urinary disturbances, and catarrhal affections of the eye ear., which so fully characterize the action of this drug. On the degenerative system Pulsatilla exerts a married action outside of its catarrh sphere. , due probably to its influence over the cerebro-spinal system. On the synovial membranes it produces arthritic or rheumatic inflammation, and in the veins varicose conditions.
CHARACTERISTIC SYMPTOMS.
Mild. Mild, gentle, timid, yielding disposition, with inclination to weep (Apis, Ign., Lil. tig., Natr. mur., Nux m.). Tremulous anxiety, as if death were near (Acon., Ars.) Fears ghosts at night, or in the evening (Acon., ars., Anxiety about the heat in the evening, even to suicide. Anxiety at night, as from heat. Peevish and capricious though not vexed. Irresolute. Hypochondriac moroseness; out of sorts with everything (Nux v.). Many wandering thoughts. Ill-humored, discontented, fretful (Bry.,cham.). Head. Confusion of head, with bruised pains or hollow feeling in head vertigo; as if intoxicated (Cinch., coccul., Nux v., Rhus tox); on stooping (Bell.); bitter while sitting; in morning on rising (Bry); must lie down again; with nausea and inclination to vomit. Heaviness on stooping, as if he could not arise it again. Dullness of the head, and bruised sensation in forehead (Cinch., Puls., Sang.). Headache on one side, as if the brain would burst (bry., Caps., Natr. mur.), and the eyes fall out. Headache from stooping. headache from overloaded stomach (bry., Caps., Natr. mur.), and the eyes fall out. Headache from stooping. Headache from overloaded stomach (bry., Ipec., side as if a nail were driven in. Headache, with aching pain in the eyes, in the evening. Throbbing, pressive pain in forehead above the orbits, aggravated on raising the eyes. Stitching, tearing pain in the evening (Nux m.) Biting itching of the scalp. Pressive and constrictive pain in temples. Constriction above eyes, worse on looking intently. Eyes Dryness of the eyes and lids, with sensation as if darkened by mucus, which ought to be wiped away (Alum., Croc., Euph.). Pressure, as from sand in the eyes, when reading (Ars., Caust., Ign., Natr. mur., Sulph.). Conjunctivitis, with profuse, thick, yellow, bland discharge. Burning and itching in the eyes, provokes rubbing and scratching. Inflammation of eyes and margins of eyelids, with lachrymation and nightly agglutination (Alum., Aeth., Calc. c., Graph., Lyc., Merc., Sulph.). Subject to styes, especially on upper lids (Graph., Lyc.). Itching, biting and burning in the lids and canthi, in the evening. Profuse lachrymation, in the wind or open air (Sulph.). Dimness of vision, like a fog or veil before the eyes (Caust., Hyos., Laur., Merc., Phos., Petrol., Ranunc., Sulph.). Dark before the eyes in the morning on rising (Dulc.), and on going into a warm room. Ears External ear and meatus red, swollen and hot (Acon., Apis, Bell.). Otalgia, with darting, tearing pains (Bell., Sil.), and pulsating at night (Merc.). Itching deep in the ears. Violent pain in the ear, as from something forcing outward. Hardness of hearing, as if the ears were stopped. Sensation as if the ear were stopped, with roaring in it like a loud, distant noise. Humming, roaring, singing and ringing in the ears (Calc. c., Graph., Kali c.). Cracking in ears on moving head or body. Bland, nearly inoffensive discharge of mucus and pus from the ears. Nose Coryza, fluent or dry; frequent sneezing; loss of smell and taste (Ant. tart.); nostrils sore; wings raw (Lyc.); later, yellow-green discharge (Graph., Merc.); worse indoors (Cepa, Nux- v.); chilliness; pale face; head confused; frontal headache (Acon., Cepa, Sang.). Stoppage of nose in evening; and in warm room in morning; yellow, opaque, offensive mucous discharge (Nitr. ac.). Bad smell, as of old catarrh in the nose (Sulph.). Epistaxis; with catarrh; with suppressed menses (Bry., Carls., Ham., Sep.). Abscess at root of nose near inner canthus, as if a lachrymal fistula would form. Ulceration externally of wings of nose, and oozing of watery moisture. Pressure sensation at root of nose (Acon., Kali bi.). Nasal bones pain as if they would be forced asunder. Face Paleness of the face. Boring in left malar bone. Lower lip swollen and cracked in the middle, with tensive pain. Mouth Sharp, shooting pains in teeth, or drawing, jerking, as if nerve were put on the stretch, and then let loose. Toothache worse; evening and night; in warmth of bed (Cham.); from taking anything warm in the mouth (Cham.); when eating; from picking teeth. Pain in the gums as if sore. Better in open air; from uncovering; when cold water taken into the mouth becomes warm. Tongue dry; covered with a tenacious mucus; as with a membrane; coated thick, white or yellow (Bry., Merc., Nux-v., Podo.). Sensation in middle, as if burned (Iris, Plat., Sang., Sulph. ac., Verat. vir.); insensible, even when moist; at night and in morning; painful blister on right side of tip. Very offensive odor from the mouth (Arn., Aur., Hep. s., Merc., Nux. v.) in morning; in evening after lying down; at night. Mouth and pharynx dry and covered with tasteless, insipid, tenacious mucus in morning. Accumulation of sweet saliva in the mouth (Cham., Phos.); watery saliva, like waterbrash. Taste; of putrid meat, in morning, with inclination to vomit (Arn., Merc.); slimy; foul, clammy, insipid; bitter, especially after eating (Bry., Coloc., Nux v.); or smoking, though food has a natural taste; bad taste in the mouth in the morning. Food, especially bread, tastes bitter (Bry., Cinch., Coloc., Nux-v., Sulph.), or taste of food diminished. Great dryness of the mouth in the morning, without thirst (Apis, Nux m.). Throat Rawness and scraping in the throat (Amm. carb., Carb-v., Caust., Phos.), with dryness of the mouth . Great dryness of the throat (Apis, Nux-m.), in the morning. Throat internally covered with a tenacious mucus, in morning. Pressure and tension in throat on swallowing. Constriction. Sensation of a worm creeping up into the throat. Stomach Desires food, but does not know what kind. Aversion to fat food (Hep. s., Ptel.), meat (Graph., Ptel.), bread (Natr. mur.), butter (Ptel.), milk; to smoking (Ign.). Thirst for beer (Coccul., Petrol.), or alcoholic drinks. Thirstlessness, with all complaints (Ant. tart., Apis). Eructations after eating, tasting and smelling of food (Ant. crud., Calc. c., Cinch., Graph., Phos.); bitter, bilious, rancid, sour (Bry., Nux-v., Phos.); tastes like putrid meat. Hiccough when smoking. Nausea; in epigastric region, worse from eating or drinking; waterbrash (Led., Nux-v.); disagreeable risings, especially after eating and drinking (Ars.). Morning nausea, especially during menses, from suppressed menses, or during pregnancy (Graph., Kali c., Nux-m., Sep.). Vomiting of bilious matter (Ars., Bry., Nux-v., Podo.); of food eaten long before, or after each meal. Distension. Griping pains in pit of stomach and epigastrium. Stomach disordered from fat food (Cycl., Tarax.), pasty (Ipec., Nux-v.), fruit or ice- cream. Pain in stomach an hour after eating (Nux-v.). Weight , as from a stone (Acon., Aesc., Ars., Bry., Nux-v.), especially in morning on waking. Crampy pains in stomach, in morning, or after meals. Gnawing distress in stomach, as from hunger (Abies c.). Pressing, pinching, or choking pains in stomach after eating, impeding breathing. Sensation as of having taken too much food, which rises into the mouth, as if one would vomit. Scraping sensation i stomach (Nux-v.), and oesophagus, like a heartburn. Tension in region of stomach in forenoon, better from moving about. Perceptible pulsation in pit of stomach (Ant. tart., Asaf.). Abdomen Flatulent colic; loud rumbling and gurgling (Lyc.); flatus moves about in abdomen (Aloe, Carb-v.), especially in evening; in bed. Incarcerated flatus, pressing here and there; not relieved by passing flatus (Cinch.); after midnight. Colic and griping, especially in upper abdomen. Fullness and distension of abdomen and stomach; painful sensitiveness. Pain, in evening after drinking; after drinking; after stool; on touch. Chilliness extending around from abdomen to lower part of back. Pressure in abdomen (Berb.), and small of back, as from a stone; limbs go to sleep while sitting; ineffectual desire to stool. Drawing, tearing or forcing-down pains in abdomen, like labor-pains. Cutting low down in abdomen, penetrating into pelvis (Cham.). Constriction as from a stone extending to the bladder. Stool and Anus Painful, protruding, blind piles (Aloe, Calc. c., Lach., Merc., Sil.), with stitches, smarting, soreness and itching (Sulph.). Pressure in rectum after stool. Frequent urging, as if diarrhoea would occur. Stools watery at night, like bile, preceded by rumbling; green mucus (Apis, Arg. nit., Ars., Bell., Ipec., Merc., Sulph.); slimy; soft; mixed with mucus, or only mucus, with colic; frequent (Merc. cor.); bloody mucus, without colic; not exhausting (Phos. ac.). Constipation; difficult evacuation, with painful pressure and pain in back; stools white; yellowish- white, mucus mixed with stool. Urinary Organs Tenesmus of the bladder (Canth., Caps., Merc. cor.). Region of bladder painful to touch. Sharp pressure on bladder, without desire to urinate. Burning in orifice of urethra during and after micturition (Can. sat., Canth.). Frequent, almost ineffectual, urging to urinate, with acrid urine and cutting pains. Involuntary micturition (Ars., Bell., Hyos.); at night, in bed (Arn., Cupr., Graph.), especially in little girls, while coughing or passing flatus (Caust., Natr. mur.). Dribbling of urine while sitting or walking. Frequent urinations, profuse flow (Apis, Apoc., Arg., Cepa, Ber.). Urine watery, colorless; brown; bloody. Male Organs Drawing, tensive pains, from abdomen through spermatic cords, into testicles (Berb., Ham., Merc.), which hang low down. Swelling of the testicles, with soreness and tearing pains. Swelling of right side of scrotum (Clem.). Desire in the morning on waking. Nocturnal emissions (Cinch., Phos.), without dreams. Itching biting on inner and upper part of prepuce. Thick, yellow, or yellow-green discharge from urethra, in gonorrhoea (Agn., Hydras.). Female Organs During menses and with uterine troubles, heavy pressive pain in abdomen and small of back, as from a stone (Alum., Caul., Cimic.); limbs tend to go to sleep; ineffectual urging to stool. Drawing, pressing pain extending toward uterus, with nausea in morning. Chilliness before the menses, with yawning and stretching. Constrictive pain in left side of uterus, like labor- pains, obliging her to bend double. Menses suppressed, after getting feet wet. Menses delayed, with coldness of body and chilliness and trembling of the feet. First menses delayed (Graph.). Menses too late, scanty, and of short duration (Cimic., Sulph.); suppressed, or flow intermittent (Cimic.); flow thick and black (Ign.); more during day while walking about (at night, Mag. carb.). Leucorrhoea thick, like cream or milk (Calc. c., Coni., Sep., Sulph. ac.); worse when lying down; with swollen vulva; painless; acrid, thin, burning (Alum., Coni., Kreos., Merc., Phos.). Respiratory Organs Violent tickling and scraping in the larynx, bringing tears into the eyes and causing dry cough. Constriction in larynx, especially at night when lying down. Hoarseness and roughness of throat; cannot speak a loud word (Caust., Hep. s., Phos.). Dry cough at night or in evening, after lying down (Coni., Mez., Nux- v., Rumex, Sulph.); disappears on sitting up in bed, returns on lying down (Hyos.); causes dryness of throat; prevents sleep; with nausea and vomiting; causes exhaustion. Cough dry at night, loose during the day. Expectoration difficult; yellow mucus (Calc. c.), in morning after rising; bitter; scanty, of tenacious mucus; black clotted blood (Nux-v.). Dyspnoea in lower part of chest, as if too full and tight, especially mornings (Bell., Phos.). Oppression of the chest. Cramp-like and constrictive tension in the chest. Shortness of breath, anxiety and palpitation when lying on left side. Scraping and soreness in chest, causing cough (Cham.). Pain in chest behind sternum, as if ulcerated (Psor.). Pressure and soreness in chest. Stitches in the chest and sides, when lying, at night, from inspiration or coughing (Acon., Bry., Kali c.). Heart and Pulse Catching pain in cardiac region; bitter for a time from pressure of hand. Stitches in praecordial region, better while walking, with pressure and anxiety, impeding respiration. Palpitation, with anxiety, after dinner; from lying on left side, with anxiety and want of breath; with menstrual irregularities, chlorosis, etc. The beat of the pulse is felt in the pit of the stomach. Neck and Back Stiffness, and rheumatic, tensive, and drawing pains in nape of neck (Colch.). Sticking pains in nape of neck and back. Pain in nape at night, as if he had lain in an uncomfortable position. Pain in small of back, as from long stooping (Arn., Cinch.), or from a sprain (Sulph.); on motion; after sitting (Rhus tox.); in evening. Back painfully stiff. Labor-like pains in small of back (Caul., Cimic., Kreos.), as if constricted by a tight band. Pain as if suppurating. Drawing, tensive pain in loins. Pressive pains in sacrum, in evening, as from fatigue. Limbs Redness and swelling of joints (Bry.), with stinging pains (Apis). Anxious tremulous sensation in limbs. Drawing, sticking, worse in joints, which are painful to touch. Weakness in limbs morning after rising, with relaxation without feeling weary. Drawing, tearing pains in limbs (Acon.), shifting rapidly from place to place; worse at night, from warmth (Merc.); better from uncovering. Pain in limbs in morning in bed, worse in joints, forcing him to stretch, with general heat. On waking, the parts on which he has lain are asleep, with crawling and tingling (Acon.). Coldness of hands and feet; they seem dead. Upper Limbs Sensation of numbness and heaviness in the arms, as if beaten. Drawing, tearing pains, in shoulder joints, and in arms, hands and fingers (Bry., Led., Rhus tox.). Swelling and wrenching pains in elbow joints. Lower Limbs Hip-joint painful, as if dislocated. Acute, drawing, jerking pains from the hip to the knee. Bruised pains in the gluteal muscles, and in muscles and bones of thighs. Drawing, tensive pains in thighs and legs at night, with great restlessness, sleeplessness and chilliness. Painless swelling of the knee. Knees swollen, with tearing, drawing pains. Drawing, heaviness and weariness in legs and feet. Legs seem asleep on rising from a seat. Cramps in legs, in evening, after lying down (Sulph.). Feet inflamed, red-hot, swollen (Bry.), with tensive, burning pains; also soles. Varies on the legs (Ham., Zinc.); on feet. Weakness in feet. Pain in soles, as if beaten. Boring pain in heels toward evening (Zinc.). Chilblains, burning, sticking, itching (Agar., Nitr. ac.). Generalities Violent trembling of the whole body; with cold sweat, anxiety and drawing pains. Excessive weariness and prostration (Ars., Phos., Ferr.). Everything about body seems too tight, wishes to throw off her clothes. Heaviness of the whole body. Inclination to stretch. Lies upon back with hands above head when sleeping; also with feet drawn up. Longing for fresh air (Lyc.). Feeling of discomfort over the whole body, in morning, after rising, disappearing on moving about. Weaker the longer he lies in the morning. Wandering pains shift rapidly from part to part (Benz. ac., Kali bi., Led.). Symptoms everchanging. Pulsations through the whole body (Glon., Sep., Zinc.). Skin Burning, biting, itching here and there; worse from warmth of bed, in evenings and before midnight; from scratching; from becoming heated during a walk (Clem., Merc., Mez., Sulph.). Itching in the evening in bed. Measly-like eruption (Ant. crud., Bapt., Coff. c., Rhus tox.); nettle rash (Apis). Sleep Irresistible sleepiness in afternoon and early evening. Cannot go to sleep in evening; sleepless first part of night. Sleeps late in morning. Restless sleep, with sensation of heat; wakes frequently, as in frights. Dreams; confused; vivid, frightful, disgusting, anxious (Arn., Aur., Rhus tox., Sulph.). Frequent yawning. Fever Constant chilliness, even in warm room; cold chills all over, chilly, with the pains; worse evenings (Phos.). Shivering, creeping sensations. Anxious heat, as if dashed with hot water. Intolerable, dry, burning heat, evening or night; with distended veins (Cinch.), and burning hands that seek out cool places, without thirst (Ign., Phos.). Profuse sweat in morning (Calc. c., Nitr. ac., Rhus tox.), one-sided sweat. Aggravation In the evening and in succeeding hours till midnight; every other evening; at night; from warmth of bed; while lying down, especially on left side; from lying on painless side; in warm room; after eating, especially after fat food, pork, ice-cream, fruit, pastry. Amelioration In open air (Ox. ac.); in cool place; when lying upon the back; lying on painful side; from cold drink; from slow motion. Conditions Sandy hair, blue eyes, pale face, inclined to silent grief and submissiveness; especially women and children. Slow, phlegmatic; peevish but not irascible. Compare Ant. crud., Ars., Bell., Bry., Calc. c., Caul., Cham., Cimic., Cinch., Coccul., Coloc., Coni., Cycl., Euphr., Ferr., Ham., Ign., Kali bi., Lyc., Merc., Nux v., Nux-m., Plat., Phos., Rhus tox., Sep., Sil., Sulph., Zinc. Antidotes Coff. c., Cham., Ign., Nux-v. (Acetum.). Pulsatilla Antidotes Cinch., Iron, Sulph., Sulph. ac., Vapor of Mercury or to Copper (Bell., Cham., Coff. c., Colch., Lyc., Plat., Stram.).
THERAPEUTICS.
The chief clinical use of Pulsatilla is in the treatment of catarrhal affections, characterized by thick, yellowish-green discharges, disorders of digestion and disturbances of the female sexual system. It is also useful in rheumatism, usually subacute, often arising from derangements of digestion, with drawing, tearing, shifting pains, better from cold, worse in the evening. Gonorrhoeal rheumatism. Neuralgia, wandering pains, mostly tearing, with tendency to chilliness and the characteristic modalities. Chorea, epileptiform spasms or paralytic symptoms, arising from suppressed menses or other disturbances of the sexual sphere. Hysteria from similar causes; chlorosis and anaemia, patient always chilly, but wants to be in the open air; mental disorders; especially after the abuse of Iron and Quinine. Pulsatilla acts prominently on the venous system (Ham.), and is useful in varicose veins; in the haemorrhages calling for the drug, the flow is passive and dark. In all the above conditions and those which are to follow, the temperament of the Puls. patient as mentioned under "Conditions," must be borne in mind, sadness and weeping, even to melancholia, being extremely characteristic. We will now consider the special clinical uses of Puls. in the customary anatomical order. Conjunctivitis thick, bland, yellow or yellowish green discharge, after measles or from taking cold. Ophthalmia neonatorum. Pustular conjunctivitis. Styes. Blepharitis. Pustules or ulcers on cornea. Disease of the lachrymal duct with characteristic symptoms of drug. Episcleritis. Hyperaemia of the choroid. Retinitis. Occasionally useful in iritis. A valuable remedy in earache, with darting, tearing pains, relieved by cold. Otitis, external ear and meatus red, swollen and hot. Otorrhoea, discharge of mucus and bloody pus. Deafness from catarrh or after scarlet fever. A most valuable remedy in acute coryza from taking cold especially in the advanced stages, patient cold and chilly all the time (see symptoms). Chronic nasal catarrh, with characteristic discharge, etc., worse evenings, especially with loss of smell and taste. Neuralgic toothache; during pregnancy; with characteristic modalities. Occasionally useful in pharyngeal catarrh, parts dark red, varicose dry, covered with mucus, bad taste. A frequently indicated and extremely useful remedy in various disorders of digestion. Gastric catarrh, dyspepsia and indigestion in general characterized by putrid, slimy, greasy or bitter taste after eating or in the morning; tongue coated thick-white or yellow; loss of appetite; vertigo; bitter or rancid eructations; continual nausea and qualmishness; regurgitation of food; pain and weight in stomach; especially aggravated by fat foods (Cycl). Dyspepsia from ice-cream, etc. (Ars.); ice-water; fruit; buck wheat cakes; fat food. Atonic dyspepsia. Gastralgia, with more or less of above symptoms. Morning sickness of pregnancy; also during menses or from suppressed menses; also colic from same causes. Flatulent colic, intestinal catarrh and diarrhoea from causes above named, and from taking cold, with gastric symptoms. Haemorrhoids with characteristic gastric symptoms. Occasionally needed in dysentery, with bloody mucous stools burning in anus, etc. Enuresis, especially in girls; while coughing (Caust.), or passing flatus. Catarrhal of bladder from cold; during pregnancy or suppressed menses; with enlarged prostate; from suppressed gonorrhoea. Gonorrhoea with characteristic discharge and other symptoms. Orchitis Enlarged prostate. Epididymitis. Neuralgia of testicles. Hydrocele, especially congenital. An extremely useful remedy in suppressed menstruation, especially from getting the feet wet; dysmenorrhoea from same causes. Amenorrhoea and dysmenorrhoea in general, with Puls. symptoms, and especially with characteristic temperament; gastric derangements. Vicarious menstruation. Leucorrhoea as noted in symptoms. especially with delayed or irregular menses and other Puls. symptoms. Prolapsus uteri. A valuable remedy for the disorders of pregnancy; also during the lying-in-period. 43 Is said to correct malpositions of the foetus, by altering abnormal conditions of uterus. Inertia of uterus; during labor- pains slow, weak and ineffectual. Retained placenta. Tones up the uterus and prevents post-partum haemorrhage. Phantom tumors; scanty or suppressed lochia; lochia becomes white, like milk. Phlegmasia alba dolens. Milk suppressed. Puls is remedy for lumps in the breasts of school girls, before puberty, or escape of thin, milky fluid. Puls is not so often used in catarrh of the lower air passages. It may, however, be indicated in catarrhal laryngitis or bronchitis, or even in catarrhal pneumonia, the symptoms agreeing. Aphonia reflex, occasionally catarrhal. Asthma, in children, or in women with menstrual irregularities. Chlorosis,. Occasionally indicated in whooping cough. Threatening phthisis, especially in girls near puberty, menses delayed or suppressed chlorotic symptoms, soreness in apices of lungs, short breath; characteristic temperament. Haemoptysis, blood black and clotted, soreness in chest. An excellent remedy for the ordinary "backache" of women, especially with the menstrual derangements and other Puls. conditions; and during pregnancy; extending from small of back downwards into sacrum and hips; as if sprained; worse when lying on the back, better when lying on the side, or on changing position. Lumbago. Spinal irritation; neck and back stiff; small of back feels as if constricted by a tight band,. Rheumatism of extremities as before mentioned. Gout. Varicose ulcers on limbs. A valuable remedy in measles, after Acon., etc., with dry cough, earache and other Puls. symptoms. Not often indicated in fevers, but may be useful in gastric, remittent or intermittent fevers with the characteristic gastric symptoms, and especially when chilliness is the predominating feature.
Synonyms. Pulsatilla Nigricans. Pulsatilla Pratensis. Natural
Potencies: Pulsatilla 6C,12C,30C or 30CH,200c or 200CH,,1M,10M,50M,LM,CM,
GENERAL ANALYSIS.
Pulsatilla acts prominently upon all the mucous membranes of he body,. and upon the synovial membranes, with veins, the eyes, the ears and the generative organs of both sexes, more especially the female. In the mucous membranes a catarrhal process is established, the secretions are modified, sometimes retarded, more often increased, the functions of the organs they supply are disturbed, the nervous system become irritated and depressed, and as a result we obtain the numerous symptoms of deranged digestion, respiratory troubles,, genito-urinary disturbances, and catarrhal affections of the eye ear., which so fully characterize the action of this drug. On the degenerative system Pulsatilla exerts a married action outside of its catarrh sphere. , due probably to its influence over the cerebro-spinal system. On the synovial membranes it produces arthritic or rheumatic inflammation, and in the veins varicose conditions.
CHARACTERISTIC SYMPTOMS.
Mild. Mild, gentle, timid, yielding disposition, with inclination to weep (Apis, Ign., Lil. tig., Natr. mur., Nux m.). Tremulous anxiety, as if death were near (Acon., Ars.) Fears ghosts at night, or in the evening (Acon., ars., Anxiety about the heat in the evening, even to suicide. Anxiety at night, as from heat. Peevish and capricious though not vexed. Irresolute. Hypochondriac moroseness; out of sorts with everything (Nux v.). Many wandering thoughts. Ill-humored, discontented, fretful (Bry.,cham.). Head. Confusion of head, with bruised pains or hollow feeling in head vertigo; as if intoxicated (Cinch., coccul., Nux v., Rhus tox); on stooping (Bell.); bitter while sitting; in morning on rising (Bry); must lie down again; with nausea and inclination to vomit. Heaviness on stooping, as if he could not arise it again. Dullness of the head, and bruised sensation in forehead (Cinch., Puls., Sang.). Headache on one side, as if the brain would burst (bry., Caps., Natr. mur.), and the eyes fall out. Headache from stooping. headache from overloaded stomach (bry., Caps., Natr. mur.), and the eyes fall out. Headache from stooping. Headache from overloaded stomach (bry., Ipec., side as if a nail were driven in. Headache, with aching pain in the eyes, in the evening. Throbbing, pressive pain in forehead above the orbits, aggravated on raising the eyes. Stitching, tearing pain in the evening (Nux m.) Biting itching of the scalp. Pressive and constrictive pain in temples. Constriction above eyes, worse on looking intently. Eyes Dryness of the eyes and lids, with sensation as if darkened by mucus, which ought to be wiped away (Alum., Croc., Euph.). Pressure, as from sand in the eyes, when reading (Ars., Caust., Ign., Natr. mur., Sulph.). Conjunctivitis, with profuse, thick, yellow, bland discharge. Burning and itching in the eyes, provokes rubbing and scratching. Inflammation of eyes and margins of eyelids, with lachrymation and nightly agglutination (Alum., Aeth., Calc. c., Graph., Lyc., Merc., Sulph.). Subject to styes, especially on upper lids (Graph., Lyc.). Itching, biting and burning in the lids and canthi, in the evening. Profuse lachrymation, in the wind or open air (Sulph.). Dimness of vision, like a fog or veil before the eyes (Caust., Hyos., Laur., Merc., Phos., Petrol., Ranunc., Sulph.). Dark before the eyes in the morning on rising (Dulc.), and on going into a warm room. Ears External ear and meatus red, swollen and hot (Acon., Apis, Bell.). Otalgia, with darting, tearing pains (Bell., Sil.), and pulsating at night (Merc.). Itching deep in the ears. Violent pain in the ear, as from something forcing outward. Hardness of hearing, as if the ears were stopped. Sensation as if the ear were stopped, with roaring in it like a loud, distant noise. Humming, roaring, singing and ringing in the ears (Calc. c., Graph., Kali c.). Cracking in ears on moving head or body. Bland, nearly inoffensive discharge of mucus and pus from the ears. Nose Coryza, fluent or dry; frequent sneezing; loss of smell and taste (Ant. tart.); nostrils sore; wings raw (Lyc.); later, yellow-green discharge (Graph., Merc.); worse indoors (Cepa, Nux- v.); chilliness; pale face; head confused; frontal headache (Acon., Cepa, Sang.). Stoppage of nose in evening; and in warm room in morning; yellow, opaque, offensive mucous discharge (Nitr. ac.). Bad smell, as of old catarrh in the nose (Sulph.). Epistaxis; with catarrh; with suppressed menses (Bry., Carls., Ham., Sep.). Abscess at root of nose near inner canthus, as if a lachrymal fistula would form. Ulceration externally of wings of nose, and oozing of watery moisture. Pressure sensation at root of nose (Acon., Kali bi.). Nasal bones pain as if they would be forced asunder. Face Paleness of the face. Boring in left malar bone. Lower lip swollen and cracked in the middle, with tensive pain. Mouth Sharp, shooting pains in teeth, or drawing, jerking, as if nerve were put on the stretch, and then let loose. Toothache worse; evening and night; in warmth of bed (Cham.); from taking anything warm in the mouth (Cham.); when eating; from picking teeth. Pain in the gums as if sore. Better in open air; from uncovering; when cold water taken into the mouth becomes warm. Tongue dry; covered with a tenacious mucus; as with a membrane; coated thick, white or yellow (Bry., Merc., Nux-v., Podo.). Sensation in middle, as if burned (Iris, Plat., Sang., Sulph. ac., Verat. vir.); insensible, even when moist; at night and in morning; painful blister on right side of tip. Very offensive odor from the mouth (Arn., Aur., Hep. s., Merc., Nux. v.) in morning; in evening after lying down; at night. Mouth and pharynx dry and covered with tasteless, insipid, tenacious mucus in morning. Accumulation of sweet saliva in the mouth (Cham., Phos.); watery saliva, like waterbrash. Taste; of putrid meat, in morning, with inclination to vomit (Arn., Merc.); slimy; foul, clammy, insipid; bitter, especially after eating (Bry., Coloc., Nux v.); or smoking, though food has a natural taste; bad taste in the mouth in the morning. Food, especially bread, tastes bitter (Bry., Cinch., Coloc., Nux-v., Sulph.), or taste of food diminished. Great dryness of the mouth in the morning, without thirst (Apis, Nux m.). Throat Rawness and scraping in the throat (Amm. carb., Carb-v., Caust., Phos.), with dryness of the mouth . Great dryness of the throat (Apis, Nux-m.), in the morning. Throat internally covered with a tenacious mucus, in morning. Pressure and tension in throat on swallowing. Constriction. Sensation of a worm creeping up into the throat. Stomach Desires food, but does not know what kind. Aversion to fat food (Hep. s., Ptel.), meat (Graph., Ptel.), bread (Natr. mur.), butter (Ptel.), milk; to smoking (Ign.). Thirst for beer (Coccul., Petrol.), or alcoholic drinks. Thirstlessness, with all complaints (Ant. tart., Apis). Eructations after eating, tasting and smelling of food (Ant. crud., Calc. c., Cinch., Graph., Phos.); bitter, bilious, rancid, sour (Bry., Nux-v., Phos.); tastes like putrid meat. Hiccough when smoking. Nausea; in epigastric region, worse from eating or drinking; waterbrash (Led., Nux-v.); disagreeable risings, especially after eating and drinking (Ars.). Morning nausea, especially during menses, from suppressed menses, or during pregnancy (Graph., Kali c., Nux-m., Sep.). Vomiting of bilious matter (Ars., Bry., Nux-v., Podo.); of food eaten long before, or after each meal. Distension. Griping pains in pit of stomach and epigastrium. Stomach disordered from fat food (Cycl., Tarax.), pasty (Ipec., Nux-v.), fruit or ice- cream. Pain in stomach an hour after eating (Nux-v.). Weight , as from a stone (Acon., Aesc., Ars., Bry., Nux-v.), especially in morning on waking. Crampy pains in stomach, in morning, or after meals. Gnawing distress in stomach, as from hunger (Abies c.). Pressing, pinching, or choking pains in stomach after eating, impeding breathing. Sensation as of having taken too much food, which rises into the mouth, as if one would vomit. Scraping sensation i stomach (Nux-v.), and oesophagus, like a heartburn. Tension in region of stomach in forenoon, better from moving about. Perceptible pulsation in pit of stomach (Ant. tart., Asaf.). Abdomen Flatulent colic; loud rumbling and gurgling (Lyc.); flatus moves about in abdomen (Aloe, Carb-v.), especially in evening; in bed. Incarcerated flatus, pressing here and there; not relieved by passing flatus (Cinch.); after midnight. Colic and griping, especially in upper abdomen. Fullness and distension of abdomen and stomach; painful sensitiveness. Pain, in evening after drinking; after drinking; after stool; on touch. Chilliness extending around from abdomen to lower part of back. Pressure in abdomen (Berb.), and small of back, as from a stone; limbs go to sleep while sitting; ineffectual desire to stool. Drawing, tearing or forcing-down pains in abdomen, like labor-pains. Cutting low down in abdomen, penetrating into pelvis (Cham.). Constriction as from a stone extending to the bladder. Stool and Anus Painful, protruding, blind piles (Aloe, Calc. c., Lach., Merc., Sil.), with stitches, smarting, soreness and itching (Sulph.). Pressure in rectum after stool. Frequent urging, as if diarrhoea would occur. Stools watery at night, like bile, preceded by rumbling; green mucus (Apis, Arg. nit., Ars., Bell., Ipec., Merc., Sulph.); slimy; soft; mixed with mucus, or only mucus, with colic; frequent (Merc. cor.); bloody mucus, without colic; not exhausting (Phos. ac.). Constipation; difficult evacuation, with painful pressure and pain in back; stools white; yellowish- white, mucus mixed with stool. Urinary Organs Tenesmus of the bladder (Canth., Caps., Merc. cor.). Region of bladder painful to touch. Sharp pressure on bladder, without desire to urinate. Burning in orifice of urethra during and after micturition (Can. sat., Canth.). Frequent, almost ineffectual, urging to urinate, with acrid urine and cutting pains. Involuntary micturition (Ars., Bell., Hyos.); at night, in bed (Arn., Cupr., Graph.), especially in little girls, while coughing or passing flatus (Caust., Natr. mur.). Dribbling of urine while sitting or walking. Frequent urinations, profuse flow (Apis, Apoc., Arg., Cepa, Ber.). Urine watery, colorless; brown; bloody. Male Organs Drawing, tensive pains, from abdomen through spermatic cords, into testicles (Berb., Ham., Merc.), which hang low down. Swelling of the testicles, with soreness and tearing pains. Swelling of right side of scrotum (Clem.). Desire in the morning on waking. Nocturnal emissions (Cinch., Phos.), without dreams. Itching biting on inner and upper part of prepuce. Thick, yellow, or yellow-green discharge from urethra, in gonorrhoea (Agn., Hydras.). Female Organs During menses and with uterine troubles, heavy pressive pain in abdomen and small of back, as from a stone (Alum., Caul., Cimic.); limbs tend to go to sleep; ineffectual urging to stool. Drawing, pressing pain extending toward uterus, with nausea in morning. Chilliness before the menses, with yawning and stretching. Constrictive pain in left side of uterus, like labor- pains, obliging her to bend double. Menses suppressed, after getting feet wet. Menses delayed, with coldness of body and chilliness and trembling of the feet. First menses delayed (Graph.). Menses too late, scanty, and of short duration (Cimic., Sulph.); suppressed, or flow intermittent (Cimic.); flow thick and black (Ign.); more during day while walking about (at night, Mag. carb.). Leucorrhoea thick, like cream or milk (Calc. c., Coni., Sep., Sulph. ac.); worse when lying down; with swollen vulva; painless; acrid, thin, burning (Alum., Coni., Kreos., Merc., Phos.). Respiratory Organs Violent tickling and scraping in the larynx, bringing tears into the eyes and causing dry cough. Constriction in larynx, especially at night when lying down. Hoarseness and roughness of throat; cannot speak a loud word (Caust., Hep. s., Phos.). Dry cough at night or in evening, after lying down (Coni., Mez., Nux- v., Rumex, Sulph.); disappears on sitting up in bed, returns on lying down (Hyos.); causes dryness of throat; prevents sleep; with nausea and vomiting; causes exhaustion. Cough dry at night, loose during the day. Expectoration difficult; yellow mucus (Calc. c.), in morning after rising; bitter; scanty, of tenacious mucus; black clotted blood (Nux-v.). Dyspnoea in lower part of chest, as if too full and tight, especially mornings (Bell., Phos.). Oppression of the chest. Cramp-like and constrictive tension in the chest. Shortness of breath, anxiety and palpitation when lying on left side. Scraping and soreness in chest, causing cough (Cham.). Pain in chest behind sternum, as if ulcerated (Psor.). Pressure and soreness in chest. Stitches in the chest and sides, when lying, at night, from inspiration or coughing (Acon., Bry., Kali c.). Heart and Pulse Catching pain in cardiac region; bitter for a time from pressure of hand. Stitches in praecordial region, better while walking, with pressure and anxiety, impeding respiration. Palpitation, with anxiety, after dinner; from lying on left side, with anxiety and want of breath; with menstrual irregularities, chlorosis, etc. The beat of the pulse is felt in the pit of the stomach. Neck and Back Stiffness, and rheumatic, tensive, and drawing pains in nape of neck (Colch.). Sticking pains in nape of neck and back. Pain in nape at night, as if he had lain in an uncomfortable position. Pain in small of back, as from long stooping (Arn., Cinch.), or from a sprain (Sulph.); on motion; after sitting (Rhus tox.); in evening. Back painfully stiff. Labor-like pains in small of back (Caul., Cimic., Kreos.), as if constricted by a tight band. Pain as if suppurating. Drawing, tensive pain in loins. Pressive pains in sacrum, in evening, as from fatigue. Limbs Redness and swelling of joints (Bry.), with stinging pains (Apis). Anxious tremulous sensation in limbs. Drawing, sticking, worse in joints, which are painful to touch. Weakness in limbs morning after rising, with relaxation without feeling weary. Drawing, tearing pains in limbs (Acon.), shifting rapidly from place to place; worse at night, from warmth (Merc.); better from uncovering. Pain in limbs in morning in bed, worse in joints, forcing him to stretch, with general heat. On waking, the parts on which he has lain are asleep, with crawling and tingling (Acon.). Coldness of hands and feet; they seem dead. Upper Limbs Sensation of numbness and heaviness in the arms, as if beaten. Drawing, tearing pains, in shoulder joints, and in arms, hands and fingers (Bry., Led., Rhus tox.). Swelling and wrenching pains in elbow joints. Lower Limbs Hip-joint painful, as if dislocated. Acute, drawing, jerking pains from the hip to the knee. Bruised pains in the gluteal muscles, and in muscles and bones of thighs. Drawing, tensive pains in thighs and legs at night, with great restlessness, sleeplessness and chilliness. Painless swelling of the knee. Knees swollen, with tearing, drawing pains. Drawing, heaviness and weariness in legs and feet. Legs seem asleep on rising from a seat. Cramps in legs, in evening, after lying down (Sulph.). Feet inflamed, red-hot, swollen (Bry.), with tensive, burning pains; also soles. Varies on the legs (Ham., Zinc.); on feet. Weakness in feet. Pain in soles, as if beaten. Boring pain in heels toward evening (Zinc.). Chilblains, burning, sticking, itching (Agar., Nitr. ac.). Generalities Violent trembling of the whole body; with cold sweat, anxiety and drawing pains. Excessive weariness and prostration (Ars., Phos., Ferr.). Everything about body seems too tight, wishes to throw off her clothes. Heaviness of the whole body. Inclination to stretch. Lies upon back with hands above head when sleeping; also with feet drawn up. Longing for fresh air (Lyc.). Feeling of discomfort over the whole body, in morning, after rising, disappearing on moving about. Weaker the longer he lies in the morning. Wandering pains shift rapidly from part to part (Benz. ac., Kali bi., Led.). Symptoms everchanging. Pulsations through the whole body (Glon., Sep., Zinc.). Skin Burning, biting, itching here and there; worse from warmth of bed, in evenings and before midnight; from scratching; from becoming heated during a walk (Clem., Merc., Mez., Sulph.). Itching in the evening in bed. Measly-like eruption (Ant. crud., Bapt., Coff. c., Rhus tox.); nettle rash (Apis). Sleep Irresistible sleepiness in afternoon and early evening. Cannot go to sleep in evening; sleepless first part of night. Sleeps late in morning. Restless sleep, with sensation of heat; wakes frequently, as in frights. Dreams; confused; vivid, frightful, disgusting, anxious (Arn., Aur., Rhus tox., Sulph.). Frequent yawning. Fever Constant chilliness, even in warm room; cold chills all over, chilly, with the pains; worse evenings (Phos.). Shivering, creeping sensations. Anxious heat, as if dashed with hot water. Intolerable, dry, burning heat, evening or night; with distended veins (Cinch.), and burning hands that seek out cool places, without thirst (Ign., Phos.). Profuse sweat in morning (Calc. c., Nitr. ac., Rhus tox.), one-sided sweat. Aggravation In the evening and in succeeding hours till midnight; every other evening; at night; from warmth of bed; while lying down, especially on left side; from lying on painless side; in warm room; after eating, especially after fat food, pork, ice-cream, fruit, pastry. Amelioration In open air (Ox. ac.); in cool place; when lying upon the back; lying on painful side; from cold drink; from slow motion. Conditions Sandy hair, blue eyes, pale face, inclined to silent grief and submissiveness; especially women and children. Slow, phlegmatic; peevish but not irascible. Compare Ant. crud., Ars., Bell., Bry., Calc. c., Caul., Cham., Cimic., Cinch., Coccul., Coloc., Coni., Cycl., Euphr., Ferr., Ham., Ign., Kali bi., Lyc., Merc., Nux v., Nux-m., Plat., Phos., Rhus tox., Sep., Sil., Sulph., Zinc. Antidotes Coff. c., Cham., Ign., Nux-v. (Acetum.). Pulsatilla Antidotes Cinch., Iron, Sulph., Sulph. ac., Vapor of Mercury or to Copper (Bell., Cham., Coff. c., Colch., Lyc., Plat., Stram.).
THERAPEUTICS.
The chief clinical use of Pulsatilla is in the treatment of catarrhal affections, characterized by thick, yellowish-green discharges, disorders of digestion and disturbances of the female sexual system. It is also useful in rheumatism, usually subacute, often arising from derangements of digestion, with drawing, tearing, shifting pains, better from cold, worse in the evening. Gonorrhoeal rheumatism. Neuralgia, wandering pains, mostly tearing, with tendency to chilliness and the characteristic modalities. Chorea, epileptiform spasms or paralytic symptoms, arising from suppressed menses or other disturbances of the sexual sphere. Hysteria from similar causes; chlorosis and anaemia, patient always chilly, but wants to be in the open air; mental disorders; especially after the abuse of Iron and Quinine. Pulsatilla acts prominently on the venous system (Ham.), and is useful in varicose veins; in the haemorrhages calling for the drug, the flow is passive and dark. In all the above conditions and those which are to follow, the temperament of the Puls. patient as mentioned under "Conditions," must be borne in mind, sadness and weeping, even to melancholia, being extremely characteristic. We will now consider the special clinical uses of Puls. in the customary anatomical order. Conjunctivitis thick, bland, yellow or yellowish green discharge, after measles or from taking cold. Ophthalmia neonatorum. Pustular conjunctivitis. Styes. Blepharitis. Pustules or ulcers on cornea. Disease of the lachrymal duct with characteristic symptoms of drug. Episcleritis. Hyperaemia of the choroid. Retinitis. Occasionally useful in iritis. A valuable remedy in earache, with darting, tearing pains, relieved by cold. Otitis, external ear and meatus red, swollen and hot. Otorrhoea, discharge of mucus and bloody pus. Deafness from catarrh or after scarlet fever. A most valuable remedy in acute coryza from taking cold especially in the advanced stages, patient cold and chilly all the time (see symptoms). Chronic nasal catarrh, with characteristic discharge, etc., worse evenings, especially with loss of smell and taste. Neuralgic toothache; during pregnancy; with characteristic modalities. Occasionally useful in pharyngeal catarrh, parts dark red, varicose dry, covered with mucus, bad taste. A frequently indicated and extremely useful remedy in various disorders of digestion. Gastric catarrh, dyspepsia and indigestion in general characterized by putrid, slimy, greasy or bitter taste after eating or in the morning; tongue coated thick-white or yellow; loss of appetite; vertigo; bitter or rancid eructations; continual nausea and qualmishness; regurgitation of food; pain and weight in stomach; especially aggravated by fat foods (Cycl). Dyspepsia from ice-cream, etc. (Ars.); ice-water; fruit; buck wheat cakes; fat food. Atonic dyspepsia. Gastralgia, with more or less of above symptoms. Morning sickness of pregnancy; also during menses or from suppressed menses; also colic from same causes. Flatulent colic, intestinal catarrh and diarrhoea from causes above named, and from taking cold, with gastric symptoms. Haemorrhoids with characteristic gastric symptoms. Occasionally needed in dysentery, with bloody mucous stools burning in anus, etc. Enuresis, especially in girls; while coughing (Caust.), or passing flatus. Catarrhal of bladder from cold; during pregnancy or suppressed menses; with enlarged prostate; from suppressed gonorrhoea. Gonorrhoea with characteristic discharge and other symptoms. Orchitis Enlarged prostate. Epididymitis. Neuralgia of testicles. Hydrocele, especially congenital. An extremely useful remedy in suppressed menstruation, especially from getting the feet wet; dysmenorrhoea from same causes. Amenorrhoea and dysmenorrhoea in general, with Puls. symptoms, and especially with characteristic temperament; gastric derangements. Vicarious menstruation. Leucorrhoea as noted in symptoms. especially with delayed or irregular menses and other Puls. symptoms. Prolapsus uteri. A valuable remedy for the disorders of pregnancy; also during the lying-in-period. 43 Is said to correct malpositions of the foetus, by altering abnormal conditions of uterus. Inertia of uterus; during labor- pains slow, weak and ineffectual. Retained placenta. Tones up the uterus and prevents post-partum haemorrhage. Phantom tumors; scanty or suppressed lochia; lochia becomes white, like milk. Phlegmasia alba dolens. Milk suppressed. Puls is remedy for lumps in the breasts of school girls, before puberty, or escape of thin, milky fluid. Puls is not so often used in catarrh of the lower air passages. It may, however, be indicated in catarrhal laryngitis or bronchitis, or even in catarrhal pneumonia, the symptoms agreeing. Aphonia reflex, occasionally catarrhal. Asthma, in children, or in women with menstrual irregularities. Chlorosis,. Occasionally indicated in whooping cough. Threatening phthisis, especially in girls near puberty, menses delayed or suppressed chlorotic symptoms, soreness in apices of lungs, short breath; characteristic temperament. Haemoptysis, blood black and clotted, soreness in chest. An excellent remedy for the ordinary "backache" of women, especially with the menstrual derangements and other Puls. conditions; and during pregnancy; extending from small of back downwards into sacrum and hips; as if sprained; worse when lying on the back, better when lying on the side, or on changing position. Lumbago. Spinal irritation; neck and back stiff; small of back feels as if constricted by a tight band,. Rheumatism of extremities as before mentioned. Gout. Varicose ulcers on limbs. A valuable remedy in measles, after Acon., etc., with dry cough, earache and other Puls. symptoms. Not often indicated in fevers, but may be useful in gastric, remittent or intermittent fevers with the characteristic gastric symptoms, and especially when chilliness is the predominating feature.
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