Carbo vegetabilis in Constipation Cases
- BERNARD H,
Stools
Insufficient; [Hard stool, enveloped in mucus and blood at the extremity of the faecal mass]; difficult, although they may not be hard; [In fragments, which are tough and scanty.]
Before stool
[Sensation as if the bowels would be moved, but flatus only passes]; Emission of great quantities of gas.
During stool
Violent tenesmus; burning at the anus and pains in the abdomen like labor-pains; [Urging to stool, with discharge of soft faeces and relief from the pains]; Itching at the anus.
After stool
[Sensation of complete emptiness in the abdomen, remaining a long time.]
Concomitants
Tongue coated in the centre and red on the edges. Ventral colic, sensitiveness and swelling of the epigastrium. Respiration impeded after a meal. Excessive flatulency which is nearly always fetid. Acrid moisture about the anus with tormenting sensations, crawling, itching, etc., in the rectum.
Generalities
chronic haemorrhoidal constipation.
Noack says : Carbo veg. is indicated in the cases complicated with constipation from irritation or congestion of the intestines, especially in hypochondriacs.
Willmar Schwabe indicates Carbo veg. in the chronic intestinal catarrh with constipation allied to an exaggeration of the peristaltic movement. It is suitable for very nearly the same condition as Calcarea carb., only the stool is sometimes bloody, or it may happen that during stool a marked haemorrhoidal haemorrhage may occur.
In relation to the flatulency of Carbo veg. we would remark that if Hahnemann says expressly that the expelled gas is inodorous or nearly so, the greater number of homoeopathic physicians consider the fetidity of the excreta a positive indication for Carbo veg. I think it most appropriate in the cases in which the gas distends the stomach rather than the intestines, and in which there is a greater tendency to diarrhoea than to constipation. The majority of authors consider Carbo veg. to be more suitable for diarrhoea than in constipation.
Case 8
A physician, whose earlier life had been spent in the country where he was accustomed to riding on horseback and an active life, removed to the city about twenty years ago, and soon afterwards began to complain of derangement of the digestive organs; nausea, vertigo, weight and pain in the head, anorexia, distention of the stomach after eating, with acid eructations, coated tongue, pain in the liver, general wasting, cardiac palpitations so severe that when lying in bed the clothing was often raised. This condition continued for many years, and was followed by an obstinate constipation which constantly demanded purgatives, tonic, alkalies and alteratives. The patient could not remain a week without medicine, rarely a day without a soda or a purgative. All these means were laid aside and under the use of Calcarea carb., and then Carbo veg., the symptoms of dyspepsia vanished and the constipation was conquered. Three years later there had not been any return of the trouble.
Insufficient; [Hard stool, enveloped in mucus and blood at the extremity of the faecal mass]; difficult, although they may not be hard; [In fragments, which are tough and scanty.]
Before stool
[Sensation as if the bowels would be moved, but flatus only passes]; Emission of great quantities of gas.
During stool
Violent tenesmus; burning at the anus and pains in the abdomen like labor-pains; [Urging to stool, with discharge of soft faeces and relief from the pains]; Itching at the anus.
After stool
[Sensation of complete emptiness in the abdomen, remaining a long time.]
Concomitants
Tongue coated in the centre and red on the edges. Ventral colic, sensitiveness and swelling of the epigastrium. Respiration impeded after a meal. Excessive flatulency which is nearly always fetid. Acrid moisture about the anus with tormenting sensations, crawling, itching, etc., in the rectum.
Generalities
chronic haemorrhoidal constipation.
Noack says : Carbo veg. is indicated in the cases complicated with constipation from irritation or congestion of the intestines, especially in hypochondriacs.
Willmar Schwabe indicates Carbo veg. in the chronic intestinal catarrh with constipation allied to an exaggeration of the peristaltic movement. It is suitable for very nearly the same condition as Calcarea carb., only the stool is sometimes bloody, or it may happen that during stool a marked haemorrhoidal haemorrhage may occur.
In relation to the flatulency of Carbo veg. we would remark that if Hahnemann says expressly that the expelled gas is inodorous or nearly so, the greater number of homoeopathic physicians consider the fetidity of the excreta a positive indication for Carbo veg. I think it most appropriate in the cases in which the gas distends the stomach rather than the intestines, and in which there is a greater tendency to diarrhoea than to constipation. The majority of authors consider Carbo veg. to be more suitable for diarrhoea than in constipation.
Case 8
A physician, whose earlier life had been spent in the country where he was accustomed to riding on horseback and an active life, removed to the city about twenty years ago, and soon afterwards began to complain of derangement of the digestive organs; nausea, vertigo, weight and pain in the head, anorexia, distention of the stomach after eating, with acid eructations, coated tongue, pain in the liver, general wasting, cardiac palpitations so severe that when lying in bed the clothing was often raised. This condition continued for many years, and was followed by an obstinate constipation which constantly demanded purgatives, tonic, alkalies and alteratives. The patient could not remain a week without medicine, rarely a day without a soda or a purgative. All these means were laid aside and under the use of Calcarea carb., and then Carbo veg., the symptoms of dyspepsia vanished and the constipation was conquered. Three years later there had not been any return of the trouble.
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