Arsenicum sulphuratum flavum - Arsenious Sulphide; AsS3; Orpiment.

-GEORGE VITHOULKAS
Preparation: Triturations
The essential features
This is a remedy that will be needed in cases that look like the old malaria patients with abuse of quinine. It will be of use when there is great weakness and lack of reaction and in cases where eruptions have been suppressed and a chronic condition has settled in. It should be tried in chronic, obstinate, and long standing asthma cases complicated with rheumatic and arthritic conditions, especially when Sulphur or Arsenicum or both have been tried with only partial effect. It will also be useful in chronic, stubborn cases which have resisted treatment with apparently well selected remedies, especially if the cases look like Ars., Psorinum, Tub., or Sulphur. Cancer of the lungs. Tuberculosis of the lungs, of the larynx. It is a remedy that will suit cases of severe or even malignant conditions of the stomach, larynx, esophagus, lungs, liver, spleen etc.
In such cases individuals have a characteristic sickly appearance, with jaundiced sunken faces that seem to suffer a lot. These individuals do not seem to have strong emotions; they are rather insecure and closed up, with a lot of anxieties and fears. The anxiety and fear are easily seen in their faces. Great apprehension. The anxiety increases and is felt more in the evening, or at night in bed. This is another remedy that suffers through the night, but especially so during the hours of aggravation of its two components, Ars. and Sulphur. Suffering aggravated after midnight will point to its use.
Arsenicum-sul-fl. cases do not easily show their emotions and are usually tormented by a guilty conscience. Anxiety of conscience: they are in great doubt whether they can be saved. They are especially prone to religious and philosophical matters and plunge into them with great seriousness. They can develop fear of a crowd, fear of people, but at the same time they dread solitude. Fears haunt them especially during the night, fear of death, of evil, of ghosts.
In their suffering and closeness they become extremely touchy, they are very sensitive towards criticism by others and are easily offended. They take everything too seriously, taking offence without cause and becoming quarrelsome, losing control and becoming furious. There is a malicious element in them. They have the psychology of a drunkard, the mind is weak, they are touchy, unreasonable and obstinate and are easily angered when they can be furious and malicious. They themselves are very critical towards others, especially towards friends and family. Their inner isolation leads them to believe that others are against them and intent on criticising them. Suspicious of all his friends and his family. Their insecurity leads them to acquire things, to collect them, and to desire to own objects which can have no possible use for them: "desire things which are not useful to him". They pay attention to small things and will often appear to be extremely unreasonable and obstinate. Hurried, hasty in his actions. Impatient.
In an Arsenicum sulphuratum flavum case the mind becomes weak and eventually confused. Mental work is impossible after eating. The patient has an aversion to being spoken to, and is indisposed to converse on anything. He is timid and bashful. There is confusion of mind in the morning on waking, too many thoughts crowd upon him and he does not know what is the correct thing to do. The Ars-sul-fl. case becomes discontented and eventually gives in to despair. Sadness and depression overcome the patient especially in the evening and during heat. They feel that nothing can help them, and despair that they will ever become better. Aversion to answering questions, or answers given in a tired and slow manner. Eventually they reach a state of indifference, of indolence.
The patient may suffer from great mental fatigue, in which periods of stupefaction and vanishing of thoughts occur, as well as absent mindedness. He may be driven to insanity: at times very talkative and again very malicious, almost maniacal, like one intoxicated. Speech may be incoherent and wandering. Insanity in drunkards. Religious affections include remorse and anxiety concerning their soul's salvation.
Further symptoms include:
Delirium and raving during the night. Full of delusions.
Ailments after anger.
Anxiety after fainting.
Capriciousness. Hysteria.
Restlessness in the evening; at night; in bed; during heat; during menses.
Sadness, depression; during the evening; during heat; during perspiration.
Generalities
Periodicity. Lassitude and lack of reaction. Weakness in the morning, during menses, after eating, after exertion, after stool; from perspiration; ascending stairs; walking; in open air. Parts feel constricted as with a band. Anaemia. Emaciation. Useful in epithelioma, lupus, scirrhus. Dropsical swelling and swelling of glands. Choreic action of the muscles. Convulsions. Discharges from all mucous membranes which are excoriating, offensive, thin and yellow. Faintness especially after stool.
Symptoms are worse after eating. Worse from sour food, cold drinks, cold food, fruit and milk. Worse at night especially before and after midnight. Cold, wet weather aggravates. Worse after sleep; worse even with slight exertion. Worse standing.
Walking ameliorates. Warmth of bed ameliorates.
Open air ameliorates some symptoms and aggravates others. Sometimes he is too warm; at other times chilly. Sensitive and aggravated from cold air, cold bathing, drafts.
Inclination to lie down, but lying down aggravates. Ailments from suppression of perspiration.
Head
Vertigo with headache. Vertigo looking downwards. Tendency to fall to the right. Severe dizziness walking in the open air. When walking he felt as if dancing up and down, as if he must fly. Coldness of head during the headache, especially the forehead. A feeling of tightness in the forehead. Pain in head evening and night. Pain at 4 p.m.. and 5p.m. ; headache from light in general. Pain during chill, during menses, periodically every 14 days. Pain increasing in severity.
Pain in occiput extending to the sides of the head. Violent and pulsating.
Pain worse coughing, after eating, after exertion, after sleep, from alcohol, in a warm room, from motion. Pulsation and shocks in the head. Cold sweat on forehead. Exzema of the scalp. Pustules, moist crusts. Itching in the scalp.
Perspiration on temples worse by coughing.
Eyes
Discharges from the eyes acrid, bloody, yellow. Eyes agglutinated in the morning.
The veins of the eyes are injected. Chronic inflammation of the eyes, conjuctivitis, redness of cornea, lids swollen and inflamed. Ulceration of the cornea. Excoriation of the lids. Opening lids is difficult. Burning in margin of lids. Paralysis of optic nerve. Photophobia with sunlight. The eyes feel as if protruding. Protrusion of eyes. Eyes sunken. Twitching of lids. Colors before the eyes; sparks. Vision foggy.
Ears
Hearing impaired. Pulsation in ears. Ears stopped. Tingling in ears. Discharges fetid, offensive. Eruptions behind ears. Itching in external ear. Tension behind ears.
Nose
Nasal discharge excoriating, bloody, crusty, offensive, yellow. Dryness in the nose. Frequent sneezing. Nose swollen. Ulceration high up in nose. Cold nose.
Epistaxis.
Face
Face pale and cold. Bluish with dark circles under the eyes. Jaundiced face. The expression is anxious, sickly, suffering; sunken. Lips cracked. Epithelioma of the lips. Ulceration of lips. Acne, pustules, rash, vesicles. Burning pains in face.
Swelling of face and submaxillary glands. Twitching of face.
Mouth
Inflammation of the tongue. Cracked tongue. Frothy mucus. Aphthae in mouth and tongue. Dryness of mouth and tongue. Offensive odour. The mucous membranes are inflamed and excoriated. Tongue is discoloured brown, red, white, yellow. Taste bad; bloody; insipid; putrid; saltish; sour; sweetish. Ulcers.
Throat
Ulceration of pharynx. It is a very good remedy for chronic pharyngitis, where there is a kind of chronic ulceration, with burning, stitching pains, or as if the spot is raw. Difficult swallowing. Sensation of a lump in the throat.
Choking, constricting feeling from dryness in larynx. Swollen sensation.
Phagedenic ulcers. Rawness in air passages; soreness. Hoarseness of voice. Voice weak, lost.
Stomach
Anxiety felt in stomach. Appetite ravenous. Aversion to: fats and rich food; food; meat. Coldness in the stomach. Desires alcoholic drinks; coffee; sour fruit; acids; sweets; warm drinks; warm food. Stomach disordered after milk. Heaviness, weight, oppression after eating. Nausea after cold drinks, after eating; during headache; during stool. Pain in stomach of all kinds especially after cold drinks.
Pulsation in stomach. Excessive thirst, after chill, during heat. Vomiting on coughing, after drinking, after milk, after eating, during headache.
Abdomen
Anxiety felt in abdomen, anxiety after stool. Coldness, distension, ascites. Spleen enlarged. Sensation of fullness. Flatulence. Liver hard. Pains in spleen.
Heaviness of abdomen as from a load. Pains during menses, after eating, while walking, during cough. Pains are better from warmth. Pains cutting before stool, cramping worse after stool. Severe colics on waking in the morning. Ulcers about the umbilicus.
Rectum
Constipation alternating with diarrhea. Diarrhea in the morning after rising; 8 a.m. ; night; after midnight; from drinking water; after fruit; during menses. Offensive flatus. Fissure in anus. Large haemorrhoids worse at night and walking. Pain in rectum during and after stool; during urination. Paralysis and prolapse of rectum. Stool acrid, corrosive, excoriating, bloody, lienteric, mushy.
Urinary organs
Sensation of fullness in bladder. Paralysis. Retention of urine. Constant urging to urinate, ineffectual urging. Must hasten. Involuntary urination in the night.
Urination unsatisfactory, retarded. Suppression of urine. Albumin in the urine. Sediment thick. Urine cloudy on standing. Burning in the urethra.
Genitalia - male
Drawing pains in spermatic cords; more on the left. Stitching pains in penis, glans, scrotum. Ulcers on prepuce. Gonorrhea with terible pains, discharge copious, yellow, constant; burning day and night.
Genitalia - female
Menses copious, dark, frequent, protracted. Leucorrhea bloody, burning, copious, thick, yellow, after menses.
Chest
Anxiety felt in chest. Asthmatic respiration worse at night. Difficult respiration on ascending; after eating; after exertion; while lying down.
Respiration rattling, wheezing. Sighing. Cough worse in the morning, evening in bed, night from cold open air. From itching in larynx. Cough loose, lying aggravation. Expectoration yellow purulent. Ulceration of mammae. Cancer of mammae. Coldness in chest. Bronchitis, pleuritis, pericarditis. Oppression of chest, constriction worse ascending, walking and after eating. Haemorrhage.
Cutting pains in chest during respiration and on motion. Intercostal neuralgia.
Stitches in heart, tumultuous palpitations.
Back
Pain in the back worse during menses and during fever. Coldness of back. Pain in cervical region, between scapulae, in lumbar region, sacral, coccyx. Severe backache confining him to bed with caries of sternum and cough. Stiffness of cervical region. Weakness. Perspiration.
Extremities
Coldness of the extremities. Fingers are blue. Thighs have blue spots. Heat of feet.
Eruptions, desquamating, pustules, pimples, vesicles. Itching. Eruption on outer side of left wrist. Excoriation between nates and thighs.
Cramps in calf, foot, soles. Inflammation of joints. Numbness of upper and lower extremities. Trembling and twitchings. Weakness. Paralysis of limbs. Pains in bones, in joints, worse at night and after midnight. Swellings. Perspiration of hands and feet, perspiration offensive. Restlessness. Stiffness of joints.
Sleep
Sleep deep, comatose. Dreams: vivid, amorous, of the dead, frightful, nightmares, of misfortune, amorous. Sleep is restless. Sleeplessness after waking, before and after midnight, after 2 or 3 a.m. Starting on going to sleep and during sleep. Waking easily and frequently.
Fever
Chill in open air, walking in the cold, in the morning on waking, at night in bed and after midnight, after drinking cold water. Chilliness with sweat. Trembling with chill. Congestive chill. Chill followed by sweat. Chilliness alternating with sweat. Fever during night with chilliness. Chill ascending. Fever during night with chilliness. Hectic fever. Remittent fevers. Zymotic fevers. Typhoid fever. Fever alternating with perspiration. During the fever wants to be uncovered. Perspiration during anxiety, while eating, after excitement, from coughing. Clammy, cold perspiration. Offensive, sour. Perspiration in single parts. Profuse during night. Perspiration in single parts. Perspiration after waking.
Skin
Skin dry. Discoloration, bluish spots, red spots, white spots. Eruptions, blisters, blotches, carbuncles, crusty, desquamating, bleeding after scratching, boils. Discharge: yellow, corrosive. Petechiae. Purpura. Psoriasis. Eczema. Herpetic eruptions. Dry eruptions, suppurating, itching eruptions. Urticaria.
Suppressed eruptions. Indurations, nodules. Ulcers, indolent.
Clinical
Apoplexy. Caries. Emaciated children. Diarrhoea. Gonorrhoea. Indigestion. Laryngeal phthisis. Late walking.
Relationship
Compare: Arsenicum sulphuratum rubrum
Dosage
From 6x upwards.

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