CHINA OFFICINALIS

HOMŒOPATHIC MATERIA MEDICA by William BOERICKE, M.D. Presented by Médi-T

Remedy Origin / Source
Natural

Clinical Applications

Antidotes: Arn; Ars; Nux; Ipec .

Related Remedies
-Quinidin--(Paroxysmal tachycardia and auricular fibrillation. Heart is slowed, and the auriculo-ventricular conduction time is lengthened. Dose 1/2 grain t.i.d). Cephalanthus--(Button Bush-Intermittent fever, sore throat, rheumatic symptoms, vivid dreams). Ars Cedron Nat sulph. Cydonia vulgaris-Quince (supposed to be of use to strengthen the sexual organs and stomach). Complementary: Ferrum Calc phos.

Key Symptoms & Indications

  • Debility from exhausting discharges, from loss of vital fluids, together with a nervous erethism, calls for this remedy. Periodicity is most marked. Sensitive to draughts. Seldom indicated in the earlier stages of acute disease. Chronic gout. Chronic suppurative pyelitis. Post operative gas pains, not relief from passing it.

Mental & Emotional Symptoms

Apathetic, indifferent, disobedient, taciturn, despondent. Ideas crowd in mind; prevent sleep. Disposition to hurt other people's feelings. Sudden crying and tossing about.

Physical Symptoms

Head

As if skull would burst. Sensation as if brain were balancing to and fro, and striking against skull, receiving great pain ( Sulph; Sulph ac ). Intense throbbing of head and carotids. Spasmodic headache in vertex, with subsequent pain, as if bruised in sides of head. Face flushed after hæmorrhages, or sexual excesses, or loss of vital fluids. Relieved from pressure and warm room. Scalp sensitive; worse combing hair. Aches worse in open air, from temple to temple. Worse by contact, current of air, stepping. Dizzy when walking.

Eyes

Blue color around eyes. Hollow eyes. Yellowish sclerotica. Black specks, bright dazzling illusions; night blindness in anæmic retina. Spots before eyes. Photophobia. Distortion of eyeballs. Intermittent ciliary neuralgia. Pressure in eyes . Amaurosis; scalding lachrymation.

Ears

Ringing in ears. External ear sensitive to touch. Hearing sensitive to noise. Lobules red and swollen.

Nose

Checked catarrh. Easily bleeding from nose, especially on rising. Coryza, sneezing, watery discharge. Violent dry sneezing. Cold sweat about nose.

Face

Sallow complexion. Face bloated; red.

Mouth

Toothache; better pressing teeth firmly together, and by warmth. Tongue coated thick, dirty; tip burns, succeeded by ptyalism. Bitter taste. Food tastes too salty.

Stomach

Tender, cold. Vomiting of undigested food. Slow digestion. Weight after eating. Ill effects of tea. Hungry without appetite. Flat taste. Darting pain crosswise in hypogastric region. Milk disagrees. Hungry longing for food, which lies undigested. Flatulence; belching of bitter fluid or regurgitation of food gives no relief ; worse eating fruit. Hiccough . Bloatedness better by movement.

Abdomen

Much flatulent colic; better bending double. Tympanitic abdomen . Pain in right hypochondrium. Gall-stone colic ( Triumfetta semitriloba ). Liver and spleen swollen and enlarged. Jaundice. Internal coldness of stomach and abdomen. Gastro-duodenal catarrh.

Stool

Undigested, frothy, yellow; painless ; worse at night, after meals, during hot weather, from fruit , milk, beer. Very weakening, with much flatulence. Difficult even when soft ( Alum; Plat ).

Male

Excited lascivious fancy. Frequent emissions, followed by great weakness. Orchitis.

Female

Menses too early. Dark clots and abdominal distention . Profuse menses with pain. Desire too strong. Bloody leucorrhœa. Seems to take the place of the usual menstrual discharge. Painful heaviness in pelvis.

Respiratory

Influenza, with debility. Cannot breathe with head low. Labored, slow respiration; constant choking. Suffocative catarrh; rattling in chest ; violent, hacking cough after every meal . Hæmorrhage from lungs. Dyspnœa, sharp pain in left lung. Asthma; worse damp weather.

Heart

Irregular with weak rapid beats followed by strong, hard beats. Suffocative attacks, syncope; anæmia and dropsy.

Back

Sharp pains across kidneys, worse movement and at night. Knife-like pains around back (D. MacFarlan).

Extremities

Pains in limbs and joints , as if sprained; worse, slight touch ; hard pressure relieves. Sensation as of a string around limb. Joints swollen; very sensitive, with dread or open air. Great debility, trembling, with numb sensation. Averse to exercise; sensitive to touch. Weariness of joints; worse, mornings and when sitting.

Skin

Extreme sensitiveness to touch , but hard pressure relieves. Coldness ; much sweat. One hand ice cold, the other warm. Anasarca ( Ars; Apis ). Dermatitis ; erysipelas. Indurated glands; scrofulous ulcers and caries.

Sleep

Drowsiness. Unrefreshing or constant stupor. Wakens early. Protracted sleeplessness. Anxious, frightful dreams with confused consciousness on waking, so that the dream cannot be rid of and fear of dream remains. Snoring, especially with children.

Fever

Intermittent, paroxysms anticipate; return every week. All stages well marked. Chill generally in forenoon, commencing in breast; thirst before chill, and little and often. Debilitating night-sweats. Free perspiration caused by every little exertion, especially on single parts. Hay fever, watery coryza, pain in temples.

Modalities (Better / Worse)

Worse (Aggravation)

Worse, slightest touch . Draught of air; every other day; loss of vital fluids; at night; after eating ; bending over

Better (Amelioration)

, bending double; hard pressure; open air; warmth

Remedy Relationships

Complementary

Ferr.

Follows Well

Acet-ac., Am., Ars., Asaf., Bell., Caic., Calc-p., Carb-v., Ferr., Lach., Merc., Ph-ac., Phos., Puls., Sulph., Verat.

Inimicals (Incompatible)

After Dig. and Sel.

Antidotes

Apis, Aran., Arn., Ars., Asaf., Bell., Bry., Caic., Caps., Carb­an., Carb-v., Caust., Cedr., Cina, Eup- per., Ferr., Ip., Lath., Led., Lyc., Meny., Merc., Nat-c., Nat-m., Nux-v., Puls., Rhus-t., Sep., Sulph., Verat.

Mentions in Classic Materia Medicas

Explore detailed descriptions for this remedy across famous historical textbooks:

CHINA OFFICINALIS

Peruvian Bark-China (CINCHONA OFFICINALIS)

Debility from exhausting discharges, from loss of vital fluids, together with a nervous erethism, calls for this remedy. Periodicity is most marked. Sensitive to draughts. Seldom indicated in the earlier stages of acute disease. Chronic gout. Chronic suppurative pyelitis. Post operative gas pains, not relief from passing it.

Mind

Apathetic, indifferent, disobedient, taciturn, despondent. Ideas crowd in mind; prevent sleep. Disposition to hurt other people's feelings. Sudden crying and tossing about.

Head

As if skull would burst. Sensation as if brain were balancing to and fro, and striking against skull, receiving great pain (Sulph; Sulph ac). Intense throbbing of head and carotids. Spasmodic headache in vertex, with subsequent pain, as if bruised in sides of head. Face flushed after hæmorrhages, or sexual excesses, or loss of vital fluids. Relieved from pressure and warm room. Scalp sensitive; worse combing hair. Aches worse in open air, from temple to temple. Worse by contact, current of air, stepping. Dizzy when walking.

Eyes

Blue color around eyes. Hollow eyes. Yellowish sclerotica. Black specks, bright dazzling illusions; night blindness in anæmic retina. Spots before eyes. Photophobia. Distortion of eyeballs. Intermittent ciliary neuralgia. Pressure in eyes. Amaurosis; scalding lachrymation.

Ears

Ringing in ears. External ear sensitive to touch. Hearing sensitive to noise. Lobules red and swollen.

Nose

Checked catarrh. Easily bleeding from nose, especially on rising. Coryza, sneezing, watery discharge. Violent dry sneezing. Cold sweat about nose.

Face

Sallow complexion. Face bloated; red.

Mouth

Toothache; better pressing teeth firmly together, and by warmth. Tongue coated thick, dirty; tip burns, succeeded by ptyalism. Bitter taste. Food tastes too salty.

Stomach

Tender, cold. Vomiting of undigested food. Slow digestion. Weight after eating. Ill effects of tea. Hungry without appetite. Flat taste. Darting pain crosswise in hypogastric region. Milk disagrees. Hungry longing for food, which lies undigested. Flatulence; belching of bitter fluid or regurgitation of food gives no relief; worse eating fruit. Hiccough. Bloatedness better by movement.

Abdomen

Much flatulent colic; better bending double. Tympanitic abdomen. Pain in right hypochondrium. Gall-stone colic (Triumfetta semitriloba). Liver and spleen swollen and enlarged. Jaundice. Internal coldness of stomach and abdomen. Gastro-duodenal catarrh.

Stool

Undigested, frothy, yellow; painless; worse at night, after meals, during hot weather, from fruit, milk, beer. Very weakening, with much flatulence. Difficult even when soft (Alum; Plat).

Male

Excited lascivious fancy. Frequent emissions, followed by great weakness. Orchitis.

Female

Menses too early. Dark clots and abdominal distention. Profuse menses with pain. Desire too strong. Bloody leucorrhœa. Seems to take the place of the usual menstrual discharge. Painful heaviness in pelvis.

Respiratory

Influenza, with debility. Cannot breathe with head low. Labored, slow respiration; constant choking. Suffocative catarrh; rattling in chest; violent, hacking cough after every meal. Hæmorrhage from lungs. Dyspnœa, sharp pain in left lung. Asthma; worse damp weather.

Heart

Irregular with weak rapid beats followed by strong, hard beats. Suffocative attacks, syncope; anæmia and dropsy.

Back

Sharp pains across kidneys, worse movement and at night. Knife-like pains around back (D. MacFarlan).

Extremities

Pains in limbs and joints, as if sprained; worse, slight touch; hard pressure relieves. Sensation as of a string around limb. Joints swollen; very sensitive, with dread or open air. Great debility, trembling, with numb sensation. Averse to exercise; sensitive to touch. Weariness of joints; worse, mornings and when sitting.

Skin

Extreme sensitiveness to touch, but hard pressure relieves. Coldness; much sweat. One hand ice cold, the other warm. Anasarca (Ars; Apis). Dermatitis; erysipelas. Indurated glands; scrofulous ulcers and caries.

Sleep

Drowsiness. Unrefreshing or constant stupor. Wakens early. Protracted sleeplessness. Anxious, frightful dreams with confused consciousness on waking, so that the dream cannot be rid of and fear of dream remains. Snoring, especially with children.

Fever

Intermittent, paroxysms anticipate; return every week. All stages well marked. Chill generally in forenoon, commencing in breast; thirst before chill, and little and often. Debilitating night-sweats. Free perspiration caused by every little exertion, especially on single parts. Hay fever, watery coryza, pain in temples.

Modalities

Worse, slightest touch. Draught of air; every other day; loss of vital fluids; at night; after eating; bending over. Better, bending double; hard pressure; open air; warmth.

Relationship

Antidotes: Arn; Ars; Nux; Ipec.

Compare:-Quinidin--(Paroxysmal tachycardia and auricular fibrillation. Heart is slowed, and the auriculo-ventricular conduction time is lengthened. Dose 1/2 grain t.i.d). Cephalanthus--(Button Bush-Intermittent fever, sore throat, rheumatic symptoms, vivid dreams). Ars; Cedron; Nat sulph. Cydonia vulgaris-Quince (supposed to be of use to strengthen the sexual organs and stomach).

Complementary: Ferrum; Calc phos.

Dose

Tincture, to thirtieth potency.

China Officinalis.

Cinchona officinalis. Cinchona calisaya. Peruvian bark. N. O. Rubiaceæ. Tincture of the dried bark.
Clinical

Abscess. Alcoholism. Amblyopia. Anæmia. Aphthæ. Apoplexy Appetite, disordered. Asthma. Back, weakness of. Bilious attack. Catarrhal affections. Coma. Constipation. Cough. Debility. Delirium. Diarrhœa. Dropsy. Dyspepsia. Ears, deafness; noises in. Emissions. Empyæma. Erysipelas. Facial neuralgia. Gall-stone colic. Hæmorrhages. Hæmorrhoids. Headache. Hectic fever. Hip-joint disease. Ichthyosis. Impotence. Influenza. Intermittent fever. Jaundice. Labour. Lactation. Leucorrhœa. Lienteria. Liver, diseases of; cirrhosis of. Menière's disease. Menstruation, disordered. Mercury, effects of. Muscæ volitantes. Neuralgia. Peritonitis. Perspiration, excessive. Pleurisy. Prosopalgia. Psoriasis. Pylorus, disease of. Rheumatism. Self-abuse. Sleep, disordered. Spermatorrhœa. Spleen, affections of. Suffocation, fits of. Taste, disordered. Tea, effects of. Thirst. Tinnitus. Tobacco habit. Traumatic fever. Tympanitis. Varicose veins. Vertigo.

Characteristics

Kina is the Peruvian name for "bark," and "Kina-Kina" is the "Bark of barks." The story of its introduction into European medical practice is one of the romances of the Healing Art; as the story of its frightful abuse is one of its many tragedies. "According to Humboldt," writes Teste, "about 500,000 lbs. of this bark are annually exported to Europe for the purpose of being converted into sulphate of quinine." Well may Teste add the exclamation, "Poor patients!" As with almost every other good thing that comes into its hands, allopathy has contrived to do an infinity of harm with quinine to make up for the good. Some forms of intermittent fever it will cure, if too much of it is not given; others it will suppress or change from intermittent to continuous. The result of suppression is thus sketched by Hahnemann's master-hand: "True, he [the patient] can no longer complain that the paroxysms of his original disease occurs any more on regular days and at regular hours; but behold his livid earthy complexion, his bloated countenance, his languishing looks! Behold how difficult it is for him to breathe, see his hard and distended abdomen, the swelling of the hypochondria; see how his stomach is oppressed and pained by everything he eats, how his appetite is diminished, how his taste is altered, how loose his bowels are, and how unnatural and contrary to what they should be; how his sleep is restless, unrefreshing, and full of dreams. Behold him weak, out of humour and prostrated, his sensibility morbidly excited, his intellectual faculties weakened; how much more does he suffer than when he was a prey to his fever!" (M. M. P.) The number of patients who have been consigned to an early grave by quinine probably falls short only of the number that mercury can claim. When first introduced it was (as chloral and hundreds of other poisons have been since) declared on the highest authority to be incapable of harm "in whatever dose it may be taken." It is only at the end of the nineteenth century that some allopathists are discovering that it is more deadly than the deadliest West African fevers. Every homœopath knows from experience how true is Hahnemann's picture of quinine effects from the victims of it he has been called upon to treat.

China is placed by Teste in the Ferrum group with Plumb., Phos., Carb. an., Puls., Zinc, and others, which "have the property of remaking the altered blood, or increasing for the time being, in a healthy person, the relative amount of hæmatin, globulin, fibrin, &c.," but also, "after a certain lapse of time, they produce opposite resultsimpoverishment, discoloration, and liquefaction of the blood. From this antagonism arise their characteristic effects: Short-lasting, sanguineous congestions (primary effect), and later, discoloration of tissues; fulness of veins; torpor of all functions; dryness of mucous membranes; mucous or purulent discharges; engorgement of the glands which are immediately connected with the circulatory apparatus, as spleen and liver; passive hæmorrhages; inertia of involuntary muscles (bowels, uterus); œdema, atonic ulcers, &c.; finally, more or less obstinate nervous disorders, from derangement of sympathetic rather than the cerebro-spinal axis." And it is in cases presenting just such phenomena as these, that China proves its greatest efficacy, as Hahnemann was the first to point out. The glory of Hahnemann and the interest of homœopathists are inseparably bound up with the history of this drug. It was the first medicine Hahnemann proved; and the one that opened up to his mind the idea of homœopathy. Cinchona Bark was to Hahnemann what the falling apple was to Newton, and the swinging lamp to Gallileo. Dissatisfied with the explanations of the action of Bark in curing ague that were current in his time, Hahnemann took the powdered Bark himself, being in health, and lo ! an ague attack ensued. A repetition of the experiment produced the same result. Further experiments revealed that action of Bark which is the opposite of "tonic"positively debilitating, in factalready referred to.

It is useful to remember that Ipecac. (as well as Galeum and Mitchella) belongs to the same natural order of plants as China, and the relation of the two to intermittent fever, hæmorrhages, and gasto-enteric disturbances is very similar. Coffea also belongs to the Rubiaceæ, and is nearly allied in many of its nervous symptoms to China. The tincture of China is antiseptic, destroying amæboid motion and retarding tissue change. It weakens the heart and impairs the circulation, produces congestions and hæmorrhages, anæmia and complete relaxation and collapse. The debility in which China is particularly indicated is such as is caused by an excessive drain of animal fluids, as great loss of blood, excessive suppuration, loss of semen; also after prolonged strain of overwork, mental or bodily. A "pumped-out" condition, and the sensitive, irritable state of mind that accompanies such. The typical fever of China is the intermittent from marsh miasm, tertian, or quartan in type. Chill and heat without thirst, thirst occurring either before or after chill. The chill is followed by long-lasting heat, generally with desire to uncover; face fiery red, often delirium; profuse and debilitating sweat following. In the apyrexial period the face is a sallow dingy yellow, the spleen is enlarged and painful, the appetite is totally lost; or else there is canine hunger; the feet swell, and as soon as the patient closes his eyes for sleep he sees figures. Hectic fever is also characteristic of the drug. Typhoid and gastric fever. Periodicity is a leading characteristic both in fever and neuralgias. "< Every other day" is characteristic. Nash cured a case of acute rheumatism with Chi, on this modality. Hæmorrhages occur from every orifice of the body. Koch and others have attributed the hæmaturia of African intermittents to quinine. There is terrible always < at night. Loss of sight, deafness, ringing in the ears. Great sensitiveness to touch. Even a current of air blowing on the part = great pain (compare Plumb.). Everything tastes bitter, even water (everything except water, Acon.). Chi. is suited to persons of thin, dry, bilious constitution; or to leucophlegmatic persons with a disposition to dropsical affections, to catarrhs or diarrhœa; to affections of women. The mental state shows, in addition to the irritability, the following among other symptoms: "Aversion to be looked at." "Pumped out" (Sil.), unable to think. Delirium from loss of fluids (as hydrocephaloid). Fixed ideas. There is a desire for suicide: "Intolerable anxiety about 8 p.m. and 2 a.m.; he springs out of bed and wishes to take his own life, but does not go near the window or take a knife (compare alum.); with heat of the body without thirst." The sensitiveness accompanies the headache, which is congestive, throbbing, like many hammers hammering on temples, ringing in the ears, < by slightest contact > by hard pressure); by draught of air; by open air. Weak eyes and ringing in ears, such as follows depletion. The nose, ears, and chin are cold, complexion sallow, dingy, yellow. Neuralgia is generally infra-orbital. Thick dirty yellow coating on tongue; bitter taste on waking. Aphthæ of weakly people. Canine hunger, especially at night. Hunger after meals with feeling of emptiness. If a meal is late, he is sure to suffer from it. Total loss of appetite. Full feeling after the least food, but belching only > temporarily. After eating, a lump under mid-sternum. After fruit, diarrhœa. Dyspepsia after loss of fluids. Nausea < on sitting up. Stomach so weak it cannot tolerate any food at all. Very sour stomach. The digestion of Chi. is slow. Chi. is one of the most flatulent of medicines. Guernsey describes it thus: "Uncomfortable distension of abdomen with a wish to belch up, or a sensation as if the abdomen were packed full, not in the least > by eructation." Gastric troubles of children who are always wanting dainties; irritable on waking, bad taste, white tongue. Tympany coming on early in a case. Spleen aching, sore. Liver swollen, sensitive. Feeling of subcutaneous ulceration. Gall-stone colic; duodenal catarrh; jaundice. Fermentation in bowels, frothy, sour diarrhœa. Yellow, watery, undigested diarrhœa with much flatus and no pain. Diarrhœa of dark, inky fluid; stools frequent at night, only after food during the day. (It is useful in cases where purgatives have been abused if Nux fails to cure.) Excessive seminal losses. Menorrhagia; metrorrhagia; post-partum hæmorrhages. Leucorrhœa before period, painful pressure towards groins and anus, fetid or bloody leucorrhœa before period; with contractions in inner parts. The breathing has important characters: Asthma; wheezing; suffocative catarrh and paralysis of lungs in old people. Respiration laboured, loud and stertorous, with puffing, blowing out of cheeks on each expiration. [E. Carleton relates the cure of a case of spasm of the glottis in a middle-aged man. Attacks sudden, 3 a.m., suffocation seemed imminent. At length with one tremendous effort, whilst sitting bent forward, a little air would be forced into the lungs in spite of the epiglottis with a noise audible at a distance. After each succeeding expiration the inspiration would become less difficult. Chi. 200 cured. Among this patient's other symptoms were: Unhappy, idea that he is pursued by enemies in business. Scalp sensitive. Humming, throbbing in ears. Thirst for cold water. Saliva found on pillow in morning. Stomach sore to touch. Flesh sore to touch.] The sleep also should be carefully noted, especially the dreams: he cannot get rid of his dreams even after waking; the impression continues. He cannot get wide awake; head remains confused and stupid. Chi. corresponds to hectic and to many conditions of the lungs which are attended with hectic. Suppuration of the lungs, especially in drunkards. Weakening night-sweats. Prostration, chilly, wants to be wrapped up but cannot bear the fire. A. Villers cured with Chi. 30 a girl, twenty, who had, after a chill, a pain in right hip, < by every movement, and which she could only describe as being like the pain in the legs which occurred before the menses. She was pallid and had had much hard nursing work. The catamenia were scanty and she was weak. Three days after taking Chi. the pain was gone, after having persisted for five months. With Chi. I removed the dropsy and relieved all the other symptoms of a case of cirrhosis of the liver in a hard drinker. He remained at his work for many months; but in the end his old habits proved too much for him, and he died from an acute illness following a cold. In this connection may be mentioned the effect of the tincture of China (Cinchona rubra especially) in removing the craving for alcohol in drunkards who wish to reform. Ten to thirty drops two or three times a day is the usual close for this, though where the general symptoms correspond the potencies would probably do better. I have confirmed P. Jousset's recommendation of Chi. Ø in cases of facial erysipelas without vesication. The rheumatism of Chi. is characterised by soft swelling, pale red, very tender to touch. C. M. Boger had such a case in second and third metatarso-phalangeal joints of left foot. The patient said: "With my slippers on I am in agony; but if I put on tight shoes the feet feel pretty comfortable." The Chi. symptoms are generally < from lightest touch; Whereas hard pressure >. < Periodically: 1 a.m. to 10 or 12 or 1 p.m. from 8 a.m. to 2 or 3 p.m. Every other day; every fourteen days every night at midnight; during increase of moon; every three months; in autumn. Rest < pains in limbs. Colic > by bending double. Motion > pains in limbs; < vertigo; headache; nausea. Moving eyes < headache. Open air or draught of air <. < During and after stool. > In room or from warm applications. Want to be near a stove; but this < the chill. Neuralgic headache < from anything cold in mouth. Summer = diarrhœa. Sun < headache. Windy, foggy, or wet weather <. Autumn <. After a meal: fulness of stomach. During and after dinner: prosopalgia >. Effects of eating: fish; fruit; bad meat or fish. Effects of drinking: beer; sour wine; new beer; impure water; milk. Drinking < the chill. Warm drinks impede digestion. < From smoking.

Relations

Botanical, Coffea, Ipec., Galeum, Mitchella. Antidoted by: Ferr., Ars., Nat. m., Carb. v., Aran. d., Eup. perf., Ipec., Merc., Nux, Puls., Rhus, Sep., Sul., Ver. Antidote to: Ars., Calc., Cham., Coff., Fer., Hell., Iod., Merc., Sul., Ver. Is useful in bad effects of tea-drinking and after abuse of chamomile tea (uterine hæmorrhage). Compatible: Calc. phos., Fer. Incompatible: After Dig., Selen. Complementary: Fer. Compare: Ars. (prostration without pain, black stools); Carb. v. (flatulence, diarrhœa, great weakness; Chi. stool is caused by every attempt to eat and drink); Coloc. (beer intoxicates easily); Cedr., Caps., Cupr. acet. (black, thin stools); Pso. (rapid exhaustion following acute diseases; Pso. has despair of recovery); Puls. (bitter taste. < Eating at night. As if food lying in œsophagus); Caust. (Menière's disease); Salic. ac. (Menière's disease); Phos. ac. (lientery; seminal emissions; diarrhœabut this does not exhaust with Phos. ac.); Merc. (chronic salivation); Stram. (black stools); Sul. and Sul. ac. (sensation as if brain were balancing to and fro and striking against skull, occasioning the pains). In aversion to be looked at (Ant. c., Cham., Stram.); < from brandy (Ars., Carb. v., Nux); diarrhœa immediately after eating (Ars., Alo., Lyc., Pod., Staph., Tromb.Fer. whilst eating); hepatitis with great tenderness (Aco., Ars., Lyc., Merc.); hunger after meals with empty feeling (Lauro., Calc.).

Causation

Fluids, loss of. Onanism. Chill. Anger. Coryza, suppressed. Tea. Alcohol. Mercury.

1. Mind

Apathy and moral insensibility.Hypochondriacal dejection.Great anxiety.Disposition too scrupulous.Disposition to be alone.Discouragement.Ill-humour, with disposition to hurt other people's feelings.Discontent; the patient deems himself unfortunate, and ill-used by the whole world.Excessive irascibility, with pusillanimity, and inability to bear the least noise.Disobedience.Contempt for everything; everything appears insipid.Slovenliness, with easily provoked tears, or with irritability.Fear of dogs and of other animals, esp. at night.Nervous irritation, with slowness of ideas.Great abundance of ideas, and of projects, with slow progress of thought (esp. in the evening and at night).Dread of labour.

2. Head

Dull confusion of the head, as from prolonged watching.Sensation of emptiness in head.Vertigo after losses of fluids; with fainting; ringing in ears; loss of sight; cold surface.Vertigo on raising the head, esp. in the occiput, as if the head were going to sink backwards.Vertigo with nausea.Attacks of headache, with nausea and vomiting.Headache as from suppressed coryza.Heaviness in the head with faintness.Cephalalgia in the forehead, on opening the eye.Pain, as from a bruise in the brain, with pressive piercing in the crown of the head, aggravated by meditation and conversation.Pressive headache, esp. at night, with sleeplessness; or by day, and < in the open air.Acute starting, or pressive pains in the head.Headache, as if the head were going to burst, with sleeplessness at night; ameliorated in the room, and when opening the eyes.Shooting pains in the head, with strong pulsations in the temples.Congestion in the head, with heat and fulness.Movements and painful throbbings of the brain, compelling movement of the head up and down.Headache, increased by touch, movement, and walking, also by a current of air, or by walking against the wind.Headache often attacks only one side.Sensibility to the touch of the exterior of the head, and even of the roots of the hair.Headache, as if the hair were torn out, or the scalp were contracted.Shooting pressure in the frontal protuberances.Sweat on the scalp.

3. Eyes

Pressure in the eyes, as from drowsiness.Pains in the eyes, as from pressure on the margins of the socket.Pain, as if a grain of sand were introduced into the eye, during movement.Painful smarting in the eyes.Inflammation of the eyes, with heat, redness, burning and pressive pains, and aggravation in the evening.Eyes dull.Prominent eyes.Cornea dull, as if there were smoke in the posterior part of the eye.Yellowish colour of the sclerotica.Weeping, with tingling on the internal surface of the eyelids.Weakness of sight, permitting only the outline of proximate objects to be seen.On reading, confusion of the characters, which appear pale and surrounded by a white edge.Pupils dilated, and deficient in sensibility.Blindness, as if from amaurosis.Sparkling, black, dancing spots, and obscuration before the eyes.Sensitiveness of the eyes to the bright sunlight.Photophobia.

4. Ears

Tearing in the ears, mostly in the external ear.Intolerance of noise.Shootings, buzzing, and tinkling in the ears.Hardness of hearing; humming and roaring in ears.Ringing in ears, with headache in temples.Redness and heat of the external ear, and esp. of the lobes.Eruption in the concha auris.

5. Nose

Nose hot and red.Tearing in the dorsum of the nose.Bleeding of the nose; after blowing it.Bleeding of the nose and of, the mouth.Dry coryza, with toothache and lachrymation.Coryza, with sneezing.Suppressed coryza (headache from it).

6. Face

Heat and redness of the face, esp. of the cheeks and of the lobes of the ears.Complexion pale, earth-like (face sunken), sometimes of a blackish yellow.Face dejected, with the eyes sunk and surrounded by a livid circle, and nose pointed.Face bloated.Rheumatic pains in the face.Lips dry, blackish.Lips cracked.Swelling of the lips.Burning, itching pustules on the lips and on the tongue.Pain and swelling of the sub-maxillary glands.

7. Teeth

Odontalgia, with starting or drawing pains (in the upper molar teeth), provoked by the open air, or by a current of air.Dull and distressing pains in carious teeth.Throbbing toothache > by external warmth.The toothache manifests itself chiefly after a meal, and at night (< by smoking), and is mitigated by strong pressure, or by closing the teeth; a slight touch aggravates it excessively.Loose teeth painful only when masticating.Teeth covered with a black coating.Swelling of the gums.

8. Mouth

Dryness of the mouth.Clammy mouth with insipid watery taste.Accumulation of mucus in the mouth.Putrid taste of the mouth.Tongue cracked, black, or loaded with a yellow or white coating.Thick, dirty coating of the tongue.Burning shootings in the tongue.Burning biting, as from pepper, on the tip of the tongue, succeeded by ptyalism.Ptyalism (with nausea, from the abuse of mercury).Painful swelling of the tongue towards the root.Failure of speech.Flow of blood from the mouth.

9. Throat

Dryness of the throat.Shootings in the throat, esp. on swallowing, provoked by the least current of air.Swelling of the palate and of the uvula.

10. Appetite

Sickly, mucous, or watery taste, esp. after drinking.Aliments appear insipid or too salt.Sweetish taste in the mouth.Acid, or bitter taste in the mouth; also of food and drink.Repugnance to food and drink, with a sensation of fulness.Sour taste of coffee and of rye-bread.Bitter taste of beer, and of wheaten bread (beer, tobacco).The food tastes too salt.Dislike to butter, beer, and coffee.Great desire for wine; for acid fruit.Dislike to water, with desire for beer.Burning thirst; the patient drinks often, but little at a time.Bulimy, with sickly taste in the mouth, nausea, and inclination to vomit.Voracity.No desire for eating and drinking.Appetite only while eating, with indifference to all food.Desire for a variety of food, and confused longing for dainties, without knowing exactly which.Violent thirst for cold water (drinks but little at a time, but often).After each draught of liquid, shuddering or shivering, with corrugated skin, shootings in the chest, or colic.Acid risings, and derangement of the stomach, after drinking milk.Great weakness of digestion; after the most moderate meal, uneasiness, drowsiness, great fulness in the stomach, and in the inferior part of the abdomen, lassitude and indolence, insipid taste in the mouth, hypochondriacal humour and headache.Weakness of digestion; the food is not digested, if taken too late in the day.Bitter, acid, or tasteless risings, esp. after eating.Indigestion after a late supper.

11. Stomach

Risings, esp. after a meal, mostly bitter, acid, or tasteless.Risings, with taste of food.Pyrosis, accumulation of water in the mouth, inclination to vomit, and pressure on the stomach after eating the least thing.Vomiting of acidulated slimy matter, of water and of food.Vomiting of blood.Pressure at the stomach and cramp-like pains, esp. after having eaten.Sensation of excoriation and pressure on the epigastrium, esp. in the morning.

12. Abdomen

Pains in the hypochondria.Shooting and pressive pains in the hepatic region, esp. when it is touched.Hardness and swelling of the liver.Swelling (inflammation) and hardness of the spleen.Shootings in the spleen when walking slowly.Cuttings in the umbilical region, with shuddering.Pulsations in the pit of the stomach.Strong pressure, as if from a hard body, and fulness in the abdomen, esp. after a meal.Fermentation after eating fruit.Dropsical swelling of the abdomen (meteorism), with asthmatic sufferings and fatiguing cough.Partial swelling of the abdomen, as from encysted ascites.Excessive inflation of the abdomen, as from a kind of tympanitis.Hardness of the abdomen, as from induration of the viscera.Colic, with insatiable thirst.Excessively painful colic; cramp-like and constrictive pains in the abdomen.Inflammation and ulceration of the abdominal viscera.Pressive shooting colic (under the navel) esp. on walking quickly.Incarceration of flatus, which escapes neither upwards nor downwards.Flatulent colic in the depth of the abdomen, with contraction of the intestines, and pressing forward of flatus towards the hypochondria.Escape of fetid flatus.Pressure towards the inguinal ring, as if a hernia were about to protrude.

13. Stool and Anus

Fæces small, and evacuated slowly.Difficult evacuation of soft fæces, as if from inactivity of the intestines.Frequent evacuations of the consistence of pap, or frothy.Putrid or bilious evacuations.Slimy, watery, yellowish diarrhœa.Diarrhœa after eating fruit.Diarrhœa, particularly after meals, at night, involuntary.Loose evacuations, with excretion of all the undigested food.Painless diarrhœa, accompanied by great weakness.Blackish evacuations.White fæces, sometimes with urine of deep-red colour.The loose evacuations take place chiefly after a meal or at night.Involuntary, liquid and yellowish evacuations.Discharge of mucus from the rectum.Pressure and shootings in the rectum and the anus.In the rectum, stitches, also during stool.Bleeding of the hæmorrhoidal tumours.Crawling in the anus, as of worms.Discharge of lumbrici.

14. Urinary Organs

Frequent and almost ineffectual urging to make water, followed by pressure on the bladder.Urine: turbid, dark, scanty; white, turbid, with white sediment.Urine scanty, greenish-yellow, with sediment like brickdust.Slow emission of urine, with feeble stream and frequent inclination to urinate.Wetting the bed.Hæmaturia.

15. Male Sexual Organs

Excitement of sexual desire, with lascivious ideas, day and night.Impotence, with excited lascivious fancy.Swelling of the testes and of the spermatic cord.Drawing pains in the testes.Pollutions frequent, with too ready an emission, followed by great weakness.

16. Female Sexual Organs

Congestion in the uterus, with fulness and painful bearing-down, esp. when walking.Constant discharge of clotted blood from the vagina.Catamenia scanty.Painful induration of the neck of the matrix.During the catamenia, startings with cramps in the chest, and in the abdomen, or congestion in the head, with pulsation in the carotid arteries, face puffed, eyes prominent and watery, convulsive movements of the eyelids, and loss of consciousness.Metrorrhagia, with discharge of black blood; with fainting and convulsions.Leucorrhœa, even before the catamenia, and sometimes with cramp-like contraction of the uterus, and painful sensation of bearing-down towards the groins and the anus.Watery and sanguineous flux from the vagina, with clots of blood or of fetid pus; itching and excoriation in the thighs.

17. Respiratory Organs

Hoarseness, indistinct speech, and low voice when singing, in consequence of mucus difficult to detach from the larynx.Shootings and scrapings in the larynx.Sensation of soreness in the larynx and trachea.Short, dry cough, as if produced by the vapour of sulphur, in the morning, after rising.Suffocating, nocturnal cough, with pains in the chest and in the shoulder-blades, so as to extort cries.The cough is < in the evening, or after midnight from laughing; from continued talking; from lying with the head low from slightly touching the larynx; from a draught of air, after awaking; from loss of fluids.Cough, with difficult expectoration of viscid mucus of a clear colour, painful shocks in the shoulder-blades and vomiting of convulsive cough, sometimes even with inclination to vomit.Cough, provoked by laughing, drinking, eating, speaking and by breathing deeply, as well as by movement.Expectoration of whitish mucus, mixed with blackish particles.Suppuration of the lungs, after hæmoptysis (or frequent venesections) with stitches in the chest, which are < by pressure.On coughing, expectoration streaked with blood.Expectoration of purulent matter on coughing.During the cough pressure on the chest, and pains as of excoriation in the larynx.Spasm of the glottis.

18. Chest

Breathing, wheezing, crowing, rattling, tight, oppressed and painful.Difficult inspiration and quick expiration.Inclination to take a deep breath.Difficulty of respiration and great oppression on the chest, with excessive anguish, as if from fulness of the stomach, or as if excited by too long a conversation.Fits of suffocation from mucus in the larynx, esp. in the evening, and at night on waking.Respiration difficult, and possible only when lying with the head very high.Wheezing and groaning respiration.Breathing laboured, loud and stertorous, with puffing, blowing out of cheeks.Respiration short and quick.Pressure on the chest, sometimes as from a hard body, esp. on the sternum, and after a meal.Stitches in the chest; diaphragm.Nightly suffocative cough, with stitches in chest.Shootings in the chest, on coughing and on breathing.Cough, with pain in the larynx and sternum.Stitches in the side; with great heat, pulse strong and hard, and fixedness of look.Great congestion in the chest, and violent palpitation of the heart.

20. Neck and Back

Tension in the muscles of the nape, and of the neck.Pains, as from a bruise, in the back and sacrum, on the least movement.Pain in the loins at night, when lying on the back.Pulsative, shooting pains in the back.Readily excited perspiration, at the back and the nape of the neck, on the least movement.Pressure between the shoulder-blades, as from a stone.Tractive and starting tearings in the loins, the back, the shoulder-blades, and the nape of the neck, with pains on moving the parts, provoked by the least movement.

22. Upper Limbs

Paralytic, starting tearings, in the muscles, and in the bones of the arms, the hands, and the fingers, provoked by the touch.Tension and weakness in the arms and the hands.Trembling hands (when writing).Icy coldness of one hand, while the other is warm.Extension of the arms, with contraction of the fingers.Swelling of the dorsum of the l. hand.Swelling, stiffness, and pains in the joints of the fingers.Blue coloured nails.

23. Lower Limbs

Paralytic starting, tearings in the muscles and in the bones of the legs, the thighs, the knees, the feet and the toes, esp. on the parts being touched (rheumatic pains, not worse from motion).The legs become soon benumbed when seated.Weakness and want of stability in the coxo-femoral joint, the knees, and the ankle-bones, which yield when walking.Red and hard swelling of the thigh, painful on being touched.Arthritic swelling of the knees, and of the feet, with heat, and painful sensibility to the touch.Hot swelling of r. knee, painful to the touch.Hard abscess, of a deep-red colour, in the calf of the leg.Uneasiness in the legs; it is found necessary to move them constantly; to curve them and draw them up.Swelling of the feet, sometimes with red spots, hardness, tension, and deep-coloured urine.Soft swelling of the soles.Paralysis of the feet.

24. Generalities

Tensive pullings, or starting and shooting tearings, esp. in the large bones of the limbs, with paralytic pains, and weakness of the parts affected.Tearing rheumatic pains in the limbs, on beginning to walk.Pains and sufferings provoked or aggravated by touch, at night, or after a meal.Uneasiness in the parts affected, which obliges the patient to move them.Sensation of torpor in different parts.Numbness of the parts which are pressed, on lying down.Arthritic swelling, which is hard and red in some parts.Dropsical swelling of some parts, or of the whole body.Erysipelatous swelling of the whole body.Great general weakness, with trembling, difficulty in walking, and great tendency to perspiration during movement and sleep.More than ordinary vivacity, with fixedness of the eyes.Convulsive movements of the limbs.Over-sensitiveness of the nerves (from loss of fluids).Congestions.Veins are much enlarged.Emaciation.Over-excitability of the whole nervous system.Aversion to mental and bodily exertion.Fainting-fits; esp. if resulting from loss of animal fluids.Attacks, of asphyxia.Atrophy and emaciation, esp. of the arms and legs.Great sensibility to a current of air, and sufferings on being exposed to it even slightly.Heaviness of the whole body.Spermatorrhœa.Nasal secretion bloody, mucous.Affections of the shoulder-blades, bones of the arm; thighs; knee joints.There may be bleeding from every infernal part of the body; coldness and passive hæmorrhage.Newly-born children lose much blood during parturition; the mucous membrane looks very bloody if there is only a slight bleeding going on; deficiency of blood; congestion of single parts; distension of blood vessels (Guernsey).Contraction of inner parts; also dropsy of inner parts.Induration after inflammation.

25. Skin

Excessive sensibility of the skin of the whole body.Yellow colour of the skin (Jaundice).Skin flabby and dry.Piercing shootings and beatings in ulcers.Burning, itching, or gnawing sensation, esp. in the evening in bed, sometimes with eruption of pimples, or prominent spots, as if from the sting of nettles.Rheumatic, hard, red swellings.Humid gangrene (of external parts).Swelling of the limbs.

26. Sleep

Drowsiness during the day (and after eating), often with palpitation of the heart.Frequent yawning, with stretching.Retarded sleep, and sleeplessness, caused by a great influx of ideas.Confused dreams when falling asleep.Sleeplessness with pressive pain in the head, or bulimy.Disturbed, unrefreshing sleep.Starting with fright, on going to sleep.On sleeping, the patient lies on the back, with the head turned back, and the arms extended over the head, with slow respiration, and with full and quick pulse.Groans, snoring, and blowing expiration during sleep, even in children.Painful, frightful dreams, which continue to produce agitation after waking.Disordered, senseless dreams, after midnight, with a sort of stupidity on waking.Dreams of failing from a height.

27. Fever

Shiverings, with shuddering, or feverish trembling, commonly without thirst.Cold in the body, with congestion in the head, heat and redness of the face, and forehead hot.General increase of heat, with veins swollen, without thirst.After the heat, violent thirst.Shiverings with headache, nausea, adypsia, vertigo, congestion in the head, paleness of the face, cold in the hands and in the feet, and vomiting of mucus.Shivering more violent after drinking.Heat, with dryness of the mouth, and of the lips, which are burning, redness of the face, headache, morbid hunger, delirium, pulse full and quick.Heat, with prickings here and there, and burning thirst.Heat, with strong inclination to be uncovered, or shivering as soon as one is uncovered.Quotidian fever, or every two days, or tertian, commencing chiefly in the evening or in the afternoon, or in the morning, by shivering with trembling, followed by heat and nocturnal sweat.Internal violent chill with icy cold hands and feet, and congestion to the head.In the evening, in bed, he cannot get warm.Fever, with pressive pain, and congestion in the head, soreness and swelling of the liver and of the spleen, bitter and bilious risings and vomitings, yellowish colour of the skin and of the face, short, convulsive cough, great weakness, pains in the limbs, and painful stitches in the chest.The attacks of fever are often preceded by sufferings, such as palpitation of the heart, sneezing, anguish, nausea, excessive thirst, bulimy, headache, pressive colic, &c.Chilliness over the whole body.The thirst is generally felt only before or after the shiverings, or during the sweat, rarely during the heat (or only desire for cold drink), and scarcely ever during the shiverings.Pulse small, weak, hard and rapid, less frequent after eating; irregular.Ready perspiration during sleep, during movement (and from exercise in the open air).Perspiration very profuse, and very debilitating.Perspiration on the side on which he lies.Suppressed perspiration.Nocturnal debilitating sweats.Oily sweat in the morning.

Cina.

The unexpanded flower-heads (commonly called "seeds") of several varieties of Artemisia maritima. Semen cinæ. Flores Cinæ. Artemisia contra. Wormseed. N. O. Compositæ. Tincture.
Clinical

Abdomen, distended. Anæmia. Anus, irritation of. Asthenopia. Asthma. Bronchitis. Borborygmi. Chorea. Colic. Convulsions. Cough. Dentition. Diarrhœa. Enuresis. Eyes, affections of. Hydrocephaloid. Intermittent fever. Leucorrhœa. Neuralgia. Remittent fever. Scarlatina. Sight, affections of. Spasms. Strabismus. Twitchings. Urine, milky. Whooping-cough. Worms.

Characteristics

Cina is the source of the alkaloid Santoninum. It is pre-eminently a worm medicine, as it causes all the symptoms which characterise helminthiasis both mental, nervous, and bodily. It corresponds more to the effects of lumbrici than to those of other worms. There is irritation of the nose, causing constant desire to rub, prick, or press into it. In children there is extreme ill-humour and naughtiness. Nothing pleases them for any length of time; gritting teeth during sleep; wetting the bed (when accompanied by picking nose, great hunger, restless sleep); tossing all about the bed in sleep; crying out as if in delirium Sherbino has found "getting on hands and knees in sleep" a strong indication for it. But Cina is much more than a mere worm-medicine. Many symptoms appear to be reflex from abdominal irritation. A characteristic feature is: Extreme sensitiveness of mind and body: offended by the slightest thing; peevish and obstinate; aversion to be caressed. Over-sensitiveness of surface: cannot endure to be approached, touched, or pressed upon; touch induces or aggravates spasms. Child cannot bear to have head combed or brushed. Aversion to light. Strabismus; with sickly look and dark circles round eyes; yellow vision. Asthenopia, defective accommodation; yellow vision. Ravenous hunger; sinking immediately after a meal. Difficult swallowing of liquids; clucking noise from throat to stomach. Nocturnal enuresis; urine white, turbid, at times fetid. Larynx extremely sensitive, touching it causes suffocative spasm. Cough excited by sensation of feather down in throat. Reflex cough; caused by writing or reading (to oneself). In fever there is thirst with chill; face pale and cold; hands warm; nausea or vomiting of bile or ingesta. Charles Mohr (H. M., January, 1898) commends it for: anæmic persons suffering from indigestion and non-assimilation of food; or after acute illness when they have headache, vertigo, and neuralgia. In the cachectic who have pains in the belly and deranged abdominal functions, and suffer nervously. For asthenopia from onanism, when reading by artificial light is next to impossible; eyes feel veiled, need constant wiping. Spasmodic strabismus from abdominal irritation. Spasmodic asthma after food that disagrees, "sensation as if sternum lies too close to back, embarrasses breathing and causes anxiety and sweat." Prosopalgia of supra- and infra-orbital region and zygoma chiefly, pains pressing, screwing, with hyperæsthesia. Gastralgia, enteralgia, and fevers when the leading symptoms are present. Nash (Leaders in Typhoid Fever) mentions two cases of typhoid in which Cina proved curative, the indications being "Intense circumscribed redness of the cheeks, and frequent and violent rubbing of the nose." S. C. Ghose has recorded (H. W., September, 1899) a striking cure by Cina 6 and 200 of a case of infantile remittent fever, in which the classical symptoms of the drug were present; the fever came on very irregularly. The symptoms of Cina are < night; before midnight child wakes up frightened. < From open air; cold air; cold water. < Yawning. Child lies on belly, or on hands and knees, during sleep. Guernsey says Cina is suited to complaints which are concomitant to yawning, which come on whenever one yawns.

Relations

Antidoted by: Camph., Caps., Chi., Pip. nig. Antidote to: Caps., Chi., Merc. Follows well: Dros. and Ant. t. Compare: In aversion to be touched, Ant. c., Ant. t., Hep. Sil., Thu. gurgling along œsophagus when swallowing fluids, Helleb., Cupr. difficult swallowing liquids, Bell., Caust., Hyo., Ign., Lach., Lyc., Pho.; in cough < by reading or writing, Mang., Meph., Nux, Plat. in white stools, Dig.; in ravenous hunger, Ars., Calc., Iod., Sil. Staph.; aversion to be caressed, Ars., Lach.; in squint, Alm.; in asthenopia and defective accommodation, Artem. v. (but Art. v. has dizziness from coloured light; and Cina has > from rubbing). Teste places Cina in the Arsen. group from its analogy in the digestive sphere. Cham. has many points of contact with Cina and some opposite conditions.

Causation

Worms. Yawning.

1. Mind

Lachrymose and plaintive humour.A child cries when it is touched; is averse to being caressed.Continual inquietude, with desire for things of all kinds, which are rejected some moments after.Disposition to be offended by trifling jests.Great anguish and anxiety on walking in the open air.Delirium.

2. Head

Headache, alternately with pressure on the abdomen.Numbing pressure, as from a load, which weighs upon the head, esp. when walking in the open air.The head falls to the side and is jerked backwards, with twitches in the limbs and cold perspiration of the face.Tearing, drawing cephalalgia, aggravated by reading or meditation.Headache before and after the epileptic attacks; after attack of intermittent fever.Dull pains in the head, with eyes fatigued, chiefly on waking in the morning.Cold perspiration on the head (forehead) and on the pale, cold, bloated face, with blueness around the mouth; twitching of the limbs and sleepiness, worse at night (after attacks of whooping-cough and epilepsy).

3. Eyes

Aching in the eyes, when fatiguing them by reading; when using them at night by the candle-light.Convulsive movements of the muscles of the eyebrows.Confusion of sight, on reading, which disappears on rubbing the eyes.Pupils dilated.Weakness of sight (from onanism).Weak sight, with photophobia and pressure on the eyes, as if sand had been introduced into them.When looking at a thing steadily (reading) he sees it as through a gauze, which is relieved by wiping the eyes.

5. Nose

Epistaxis; also bleeding from the mouth.Inclination to put the fingers into the nose.The child rubs the nose constantly, and bores with the fingers in the nose until blood comes out.Flow of pus from the nose.Violent sneezing, which provokes a sensation of pressure on the temples, and seems as though it would burst the chest.Fluent coryza, with sensation of burning in the nostrils.Stoppage of the nose, in the evening.Fluent coryza at noon.The nose burns.

6. Face

Paleness of face, with livid circle under the eyes.Earth-coloured complexion.Face, puffed and bluish, esp. round the mouth.Face alternately pale and cold, or red and hot.Pale, cold face, with cold perspiration.Cramp-like pains and successive pullings in the cheek-bones, aggravated or renewed by contact and pressure.

7. Teeth

Toothache, provoked by the air and cold drinks.Pains, as from excoriation, in the teeth.Grinding of the teeth.

8. Mouth

Sensation of dryness and roughness of the mouth, esp. of the palate.

9. Throat

Inability to swallow, esp. liquids.

10. Appetite

Increase of thirst.Hunger shortly after a meal.Voracity.Bulimy.Aversion of the sucking child to the milk of its mother.Hunger may come on in the middle of the night, as in children, or one may feel hungry a few minutes after a hearty meal.Bitter taste of bread.Vomiting, or diarrhœa immediately after eating or drinking, esp. drinking.Vomiting of mucus and of ascarides.Vomiting during the fever, with tongue clean.Bilious vomiting.Disagreeable risings.

11. Stomach

Audible gurgling from the throat into the stomach when drinking.Frequent hiccough.Pain in the precordial region oppressing the breathing.

12. Abdomen

Obstinate pinchings in the abdomen.Pinching or cramp-like pressure transversely across upper abdomen, after a meal.Painful twisting about navel.Cutting and pinching pain in the abdomen from worms.Painful rolling in the region of the navel, which is very sensitive to the touch.Cramp-like, frequently recurring pains in the abdomen, as when the catamenia are about to appear.Unpleasant sensation of warmth in the abdomen.Bloated abdomen, esp. in children.Feeling of emptiness in the abdomen.

13. Stool and Anus

Stool with maw-worms (short, thick worms).Loose evacuations of the consistence of pap.Discharge of ascarides, and of other worms by the anus.Itching of the anus.Diarrhœa of bile, and of stercoraceous matter.Loose, involuntary, whitish evacuations.

14. Urinary Organs

Frequent want to make water, with profuse discharge.Wetting the bed.Urine soon becomes turbid.Involuntary emission of urine (at night).Urine milky.

16. Female Sexual Organs

Catamenia premature, and too abundant.Metrorrhagia.Womb-troubles in general.

17. Respiratory Organs

Short, interrupted breathing.Respiration wheezing and panting.Abundance of mucus in the larynx, which is constant, and compels continual hawking.Gagging cough in morning after rising; irritation thereto (as from dust); is renewed by inspiration after a long interval.Cough, excited by taking a deep inspiration.Dry, tickling cough induced by reading (to oneself).Hoarse, transient cough in the evening.Dry cough, with cramp, want of breath, anxiety, paleness of face, and groans after the paroxysm; or with stiffness of the body, and bleeding from the nose and mouth.Cough, with sudden starts, and loss of consciousness.Before coughing, child raises herself suddenly, tosses wildly about, the whole body becomes stiff, she loses consciousness, just as if she would have an epileptic fit, then follows the cough.Whooping-cough in violent, periodically returning attacks, from a titillating sensation in the throat, as of a feather, and much tough mucus:in the morning without expectoration, in the evening with difficult expectoration of white, occasionally blood-streaked mucus, which is tasteless; worse in the morning and in the evening; better during the night, aggravated by drinking, walking in the open air, pressing on the larynx, when lying on the right side, in the cold air, and when awaking from sleep.

18. Chest

Difficulty of respiration, and anxious oppression of the chest, as if the sternum were compressing the lungs.Respiration short, often interrupted, or rattling.Spasmodic digging in the chest, as if it were going to burst.Jerking and digging shootings in the chest.Burning, stitches., and soreness in the chest.

20. Back

Pains, as from a bruise, in the loins, < by motion.Drawing-tearing pain along whole spine.Drawing or jerking pains in middle of spine.

22. Upper Limbs

Tearing and paralytic pullings in the arms.Cramp-like tearings in the arms and in the hands.Contraction and starting of the hand and of the fingers.Sprained feeling in the wrist-joint.Weakness of the hand, which suffers everything to escape from it.

23. Lower Limbs

Paralytic or cramp-like pains, and pullings in the legs.Spasmodic stretching and twitching of the feet.Cramp-like extension of the legs.

24. Generalities

Paralytic, tractive pains in the limbs.Pressure and squeezing, with dull shootings, or cramp-like tearings, pullings and jerkings, or burning shootings in different parts.Twitching of limbs.Convulsions, and distortion of the limbs.Nocturnal epileptic convulsions, followed by headache.Epileptic convulsions (esp. at night, with or without consciousness) with cries, bending backwards of the back, and violent movements of the hands and feet.Tetanic stiffness of the whole body.External pressure <, or renews the sufferings.Painful sensibility of all the limbs, on movement, and on being touched.Affections of the l. side; l. lower extremity.The majority of the sufferings appear at night, or when seated, and are < in the morning and in the evening.Heaviness in the limbs.

26. Sleep

Frequent yawning, with trembling and shuddering.Nocturnal sleeplessness, with agitation, tears, cries, heat, and anguish; in children.Wakes in the morning, restless and lamenting, in a start.Child gets on hands and knees in sleep; on abdomen.

27. Fever

Pulse small, hard, and rapid.Frequent shuddering, with trembling, even near the fire.Quotidian fevers, or tertian, with bulimy, nausea, tongue clean, diarrhœa, pupils dilated, and emaciation.Shivering in the evening.Strong febrile heat, with delirium, tossing, and agitation.Chilliness, with shaking or trembling, ascending from the upper part of the body to the head.Chill, with coldness of the pale face and heat of the hands.Heat at night, with thirst.Chilliness with thirst.After the perspiration (sometimes before the chill) vomiting of food (with a clean tongue); at the same time canine hunger.Heat, esp. in the head, with paleness, or yellowish colour of the face, and livid circle under the eyes, or with redness of the cheeks.After the fever, headache.Cold sweat on the forehead, around the nose, and on the hands.

China officinalis

China officinalis

Generalities

• This was the first remedy proved by Dr. Hahnemann.

• It affects the blood, making it thinner, and impoverished.

• It weakens the heart and impairs the CIRCULATION, producing congestion and HAEMORRHAGES; anaemia, complete relaxation and collapse.

• The debility in China, is due to Profuse, Exhausting Discharges; loss of vital fluids, excessive suppuration, diarrhoea, haemorrhages etc.

• INTERMITTENT periodicity is very marked in fever and neuralgias.

• Patient becomes weak, oversensitive and nervous; everything upsets him; light, noise, odours, pain etc.

• Bursting pain.

• Neuralgia.

• Dropsy, after loss of fluids, haemorrhages.

• Emaciation esp. of children.

• Anaemia.

• Hard swelling.

• Rheumatism.

• Sepsis.

• Inflammation of bleeding organ, after haemorrhages, and the part rapidly turn black.

• Convulsions, during haemorrhages.

• Haemorrhages, profuse; with loss of sight, faintness, and ringing in ears.

• Post operative gas pains no amel. from passing it.

• Ill effects of; masturbation, vexation, cold, stopped coryza, tea, mercury, alcohol.

• Psoas abscess.

• It is suited to persons of thin, dry, bilious constitution.

• Wounds become black and gangrenous.

• Epilepsy; chorea; paralysis; from loss of fluids.

Worse

• Vital losses.

• Touch.

• Jar.

• Noise.

- Periodicity; alternate days.

• Cold.

• Winds, drafts.

- Open air.

• Eating.

• Fruits.

• Milk.

• Impure water.

• Fish, meat, spoiled.

• Tea.

• Mental exertion.

• During after stool.

• Smoking.

• Autumn.

• Summer.

Better

• Hard pressure.

• Loose clothes.

• Bending double.

• In room; warmth.

Mind

• Disobedient; stubborn; contempt for everything.

• Fixed ideas, that he is unhappy, persecuted by enemies.

• Disposition to hurt other peoples feelings.

• Fear of dogs and other animals; at night.

• Sudden crying and tossing about, when cheerful.

• Ill humour agg. petting and caressing.

• Dislike to all mental and physical work.

• Air castles.

• Indifference, sad, no desire to live.

• Wants to commit suicide but lacks courage.

• Reluctant to speak.

• Mistakes in speech and writing.

• Spoonerism.

• Loss of control over mind.

Head

• Bursting, throbbing pain, with throbbing of carotids.

• Sensation as if brain were swashing to and fro, causing pain; bruised pain in brain, agg. temples.

• Vertigo; falls backwards; while walking.

• Stitches from temple to temple.

• Sore sensitive scalp agg. touching or combing hair.

• Headache agg. in sun, amel. by moving head up and down, hard pressure, rubbing.

• Sweats when walking in open air.

• Head heavy.

Eyes

• Blue colour around the eyes.

• Night blindness, due to anaemic retina.

• Scalding tears.

• Pressure in eyes as from drowsiness.

• Black spots before the eyes.

• Pupils dilated.

• Intermittent ciliary neuralgia.

• Smart as from sand.

• Stitching as from sand.

• Eyes painful on reading and writing.

Ears

• Red, hot.

• Ringing in ears; with headache.

• Tinnitus; then vertigo.

• Stitches in ears.

• Hardness of hearing.

• Foul purulent bloody discharge.

Nose

• Ill effects from suppressed coryza; headache.

• Habitual easy bleeding from the nose esp. morning on rising.

• Smell too acute.

• Cold sweat about nose.

• Nose; hot, red.

• Violent dry sneezing.

Face

• Earthy, sickly, pale; hippocratic, bluish around the eyes.

• Face; bloated; red.

• Lips; dry, blackish and shrivelled.

• Swelling of veins.

• Red hot face, with cold hands.

• Flushed; after haemorrhage, sexual excess or loss of vital fluids, in coma.

Mouth

• Toothache while infant sucks the breast; amel. by pressing teeth firmly together and by warmth.

• Toothache, with sweat.

• Food taste bitter, even water or too salty.

• Tongue; thick, dirty coated; tip burns, followed by salivation.

• Taste bitter, salty or acute.

• Gums swollen.

Stomach

• Bitter or sour eructations, after milk.

• Craving; for dainty; sour or sweet things, highly seasoned food, desires various things without knowing what (children).

• Quick satiety.

• anorexia, feels satiety all the time, aversion to all food, to bread, butter, coffee.

• Voracious appetite in emaciation of children.

• Loud belching without relief.

• Digestion slow.

• Milk disagrees.

• Weight, after eating small quantity of food.

• Ill effects of tea.

• Cold feeling in stomach.

• Thirst for cold water that agg. diarrhoea.

• Pulsations and rumbling, in epigastrium.

• Frequent vomiting.

• Hiccough.

• Haematemesis.

• Stomach sore.

• Fermentation after eating fruits.

• Thirst; during apyrexia; before chill.

• Hungry and yet want of appetite; only while eating some appetite and natural taste for food re turn.

Abdomen

• Liver and spleen enlarged.

• Flatulent bloating; amel. motion.

• Colic amel. by bending double.

• Post operative gas pains, no relief from passing it.

• Heat in abdomen as if hot water running down.

• Periodical liver symptoms.

• Pain from rectum to genitals.

• Gall stone colic.

• Jaundice; after leukorrhea, masturbation, sexual excess, diarrhoea.

• STOOLS; LIENTERIC; dark, foul; watery; BLOODY; painless; agg. eating; at night, from fruits; milk, beer, during hot weather.

• Diarrhoea; after weaning, in children; chronic in children, who become drowsy, pupils dilated, body becomes cold esp. chin, nose and rapid respiration.

• Involuntary stools.

Urinary

• Frequent urination.

• Burning at meatus agg. rubbing of clothes.

• Urine turbid, dark, scanty.

• Pinkish sediment.

• Haematuria.

• Enuresis of weakly children.

Male

• Impotence, or morbid sexual desire, with lascivious fancies.

• Frequent emissions followed by great weakness.

• Swelling of testes and spermatic cord - after gonorrhoea.

• Orchitis.

• Sexual desire, with craving for dainties.

Female

• Ovaritis from sexual excess.

• Desire too strong in lying-in women.

• Menses; too early, dark, profuse, clotted, with abdominal distention.

• Bloody leucorrhoea; seems to take the place of the usual menstrual discharge.

• Metrorrhagia-blood dark, with fainting, convulsions.

• Asphyxia of new born due to great loss of blood by the mother.

• Painful induration in the vagina.

Respiratory

• Haemoptysis.

• Puffy, rattling, breathing; suffocative catarrh; can not breathe with head low.

• Asthma; agg. damp weather, autumn or after depletion.

• Every motion excites palpitation and takes his breath.

• Painfully sore chest, with a soreness between scapulae, can not bear percussion or auscultation.

• Suppurative phthisis.

• Proxysms of cough after eating or laughing agg. evening, night.

• Want to be fanned but not hard, for it takes her breath.

Heart

• Every movement excites palpitation.

Neck and back

• Pressure as of a stone between scapulae.

• Inter-scapular spine painful.

- Sharp pains across kidneys agg. movement, at night.

• Knife like pains around the back.

• Heavy pressure on sacrum.

• Backache as from sitting bent for long time.

• Lumbago agg. slight motion.

Extremities

• As if heavy load on shoulders.

• Spasmodic stretching of arms, with clenched fingers.

• Hands tremble, (while writing).

• Twitching in knees.

• As of a band about legs, or arms.

• One hand is icy cold other is warm.

• Swelling of veins of the hands.

• Nails blue.

• Pain in limbs and joints as if sprained agg. slight touch; amel. hard pressure.

• Weariness of joints agg. morning, sitting.

• Pain in marrow.

• Caries of bones with profuse sweat;

Skin

• Extreme sensitiveness to touch; hard pressure relieves.

• Dermatitis.

• Humid gangrene.

• Yellow colour.

Sleep

• Drowsiness.

• Heavy, snoring sleep; esp. in children.

• Anxious frightful dreams; fear of dreams remains.

• Sleeplessness as a prodrome.

Fever

• Marked prodrome.

• Stages of chill, heat and sweat well marked.

• Chill, then thirst, then heat, then thirst.

• Chill begins in the breast.

• Red hot face, with cold hands.

• Hectic fever.

• DRENCHING SWEATS; AT NIGHT; agg. least motion; from weakness; from depletion etc.

• Tropical fever.

• Sepsis.

Complementary

• Carb-v; Ferr; Kali-c.

Related

• Carb-v.

China

Mind:

Full of plans, projects and schemes, especially in the evening and night.

Head:

Scalp sensitive to touch; roots of hair hurt, when hair is moved.

Head:

Intense throbbing of head from loss of blood or other animal fluid.

Head:

Headache relieved by moving the head up and down.

Head:

Heaviness and loss of sight; fainting and ringing in the ears.

General Face:

Periodical prosopalgia, pains excessive; skin sensitive to touch, mostly infra-orbital and maxillary branches.

General Face:

Face pale, sunken, pinched, eyes sunken and surrounded by blue margins.

Hearing and Ears:

Ringing in the ears from debility or loss of fluids.

Nose:

Epistaxis with anaemic state; singing and ringing in the ears; great paleness of face and fainting.

Mouth and Throat:

Salivation (years after having taken Mercury) uninterrupted day and night; with great weakness, particularly of stomach.

Stomach:

Fullness in stomach and bowels; flatulence; belching does not relieve.

Stomach:

Voracious appetite; or none, with feeling of satiety all the time.

Stomach:

Slow digestion; food remains a long time in stomach.

Stomach:

After eating fruit, undigested stools, sometimes involuntary.

Stomach:

Stomach troubles after loss of animal fluids.

Abdomen:

Uncomfortable distension of the abdomen, with a wish to belch up, or sensation as though the abdomen were packed full; not in the least > by eructations.

Anus and Stool:

Diarrhoea < at night; stools of undigested food.

Anus and Stool:

Diarrhoea from change of water.

Anus and Stool:

Yellow, watery, undigested, painless stools.

Male Sexual Organs:

Onanism and consequences of excessive seminal losses.

Female Sexual Organs:

Haemorrhage after labor, with great exhaustion from loss of blood; fainting, loss of sight and ringing in the ears.

Respiratory Organs:

Cough with a greenish expectoration during the day or in the evening; not at night nor in the morning.

Heart and Pulse:

Nervous palpitation after great loss of fluids.

Extremities:

Pains in limbs worse from slightest touch, and then increasing gradually.

Extremities:

Sensation as if garters were too tight, and leg would become stiff and go to sleep.

Chill, Fever, and Sweat:

On being covered he sweats profusely all over; yet is so sleepy he cannot get up.

Chill, Fever, and Sweat:

Weakening night sweats until morning.

Skin:

Yellow color of skin, jaundice.

Skin:

Excessive, most painful sensitiveness of the skin of the whole body, even of the palms of the hands.

Generalities:

Profuse hemorrhage with faintness, loss of sight and ringing in the ears, and bad effects following from loss of blood.

Generalities:

Debility and other complaints after loss of blood and other fluids, particularly by nursing, salivation, bleeding, cupping, etc., or the whites, night sweats, seminal emissions.

Generalities:

Great debility; sensitiveness of the nervous system; special senses too acute; very sensitive to pain; light touch and drafts of air.

Causes and Modalities:

Pains renewed by slightest touch, and afterwards increased to a great height.

Causes and Modalities:

Complaints from the loss of blood or other vital fluids.

Causes and Modalities:

Complaints < periodically, especially every other day.

Cinchona (China)

Now we shall take up the study of Cinchona, or China. Persons who have suffered much from neuralgias due to malarial influences, who have become anaemic and sickly from repeated haemorrhages, are likely to develop symptoms calling for China.

China produces a gradually increasing anaemia, with great pallor and weakness. It is sometimes- indicated in plethoric individuals, but this is the exception, and even in this class we find that the symptoms are tending towards the cachectic state, which is avoided by the prompt action of the remedy.

Throughout the body there is a gradually increasing sensitivity, a gradually increasing irritability of the nerves; the nerves are always in a fret, so that these people will say:

"Doctor, what is the matter with me, I am so nervous?"

Pains

: Everywhere there are twinning, tearing, cutting pains in the limbs and over the body. And so great is the sensitiveness to touch that the nerves can many times be outlined; as, for instance, the little nerves in the fingers, because of their extreme sensitiveness.

The China patient grows increasingly sensitive to touch, to motion, to cold air, so that he is chilled from exposure. The pains are brought on by exposure to the wind, by cold air, and are increased by motion and touch.

Old malarial conditions that have been suppressed with quinine; gradually increasing pallor, bloodlessness, cachexia, until the patient is always catching cold, has liver troubles, bowel troubles, disordered stomach, is made miserable and sick by nearly everything he does.

He cannot eat fruit without having indigestion; he cannot eat sour things. He is debilitated, pale, waxy, suffers from pains, such as are found in quinine subjects, and breaks out into a perspiration up the least exertion.

This patient bleeds easily; bleeds from any orifice of the body from the nose, from the throat, from the uterus. And after hemorrhage complaints come on.

Running through the remedy as a general constitutional state is a tendency to congestion and often inflammation, in connection with hemorrhages. Inflammation of the part that bleeds or of distant parts. For instance, a woman aborts, has a haemorrhage, but with apparently no provocation, inflammation of the uterus or of the lungs sets in.

With these inflammations there is also great irritability of the tissues, tearing pains, cramping in the muscles and actual convulsions. When a China patient bleeds a little, for instance, in confinement, right in the midst of the bleeding convulsions come on. You would scarcely need to think of any other remedy.

Secaleis the one other medicine that has this, but the two do not look alike. Secale wants the covers all off and the windows open, even in cold weather. It a draft of air blows on a China patient, while in labor, she may go into convulsions.

In the midst of labor the pains cease and convulsions come on. Another feature about this inflammation is its rapid progress and intensity, quickly going into gangrene. Inflammation after haemorrhage and the parts rapidly turn black.

China has a fullness of the veins. Not exactly a varicose condition, but a sort of paralysis of the coatings of the veins. The veins become full during fever.

All of these complaints are such as we find in broken down constitutions, in feeble, sensitive patients, especially in sensitive women. Sensitive to the odors of flowers, of cooking, of tobacco. Weak, relaxed, emaciated, pale, with feeble heart, feeble circulation and tendency to dropsy.

Dropsy runs through the remedy; anasarca and also dropsy of shut sacs. A peculiar thing about this dropsy is, that it comes after hemorrhage. In the anaemic condition; directly following the loss of blood, dropsy appears. This is the typical China patient.

Mucous membranes

: Catarrhal condition of all mucous membranes. Gastro-duodenal catarrh, ending in jaundice. Old liver subjects with jaundice. They have lived for a long time under the influence of the malarial miasm. Feeble, sensitive, anemic. We see such cases in the South and Southwest, and long the Mississippi Valley.

Periodicity

: is regarded as the most important indication for China, but it is a mistake. Periodicity is the symptom upon which Quinineis given. China has periodicity, but in no greater degree than many other remedies and is not so frequently indicated as routine prescribers suppose. Allopaths give Quininewhenever there is any periodicity in complaints. Still periodicity is a strong feature in this remedy. Pains come on with regularity at a given time each day. Intermittent fevers appear with regularity and run a regular course.

A part of this periodicity is an aggravation at night, and sometimes sharply at midnight. In colic that comes on regularly every night at 12 o'clock, and it may be, perhaps, a week before you, suspect it to be a China colic. A lady had colic and bloating of the abdomen every night at 12 o'clock.

After suffering many nights a single dose of China, prevented any further trouble. Haemorrhage from the nose coming on with regularity. Diarrhoea at night. Several gushing, black, watery stool; during the night; in the daytime, only after eating.

There is a general aggravation after eating. Remember that this is a chilly patient, sensitive to draft, sensitive to cold, whose complaints are brought on by being exposed to cold air; sensitive to touch, sensitive to motion. Extreme irritability of the tissues.

China is indicated in conditions following the loss of blood and other animal fluids; as, for instance, in those who are suffering from sexual excesses, from secret vice. They have become feeble, sleepless and irritable.

There is weakness and general coldness of the skin; twitching and jerking of the limbs; drawing and cramping in the muscles; chronic jerking; epileptiform convulsion; paralytic weakness; rush of blood to the head; ringing in the ears; darkness before the eyes; fainting on the slightest provocation.

Mind

: Such is the China cachexia, and with this in view, the mental state will scarcely be a surprise to you. It is just such as you would expect in this nervous, sensitive patient. Weakness of mind. Inability to think or remember. Full of fear at night. Fear of animals, dogs, of creeping things. Wants to commit suicide, but lacks courage. Gradually the mind grows weaker, he uses wrong expressions or misplaces words.

Lies awake at night making plans, theorizing, building air castles, thinking of the wonderful things he is going to do some day. In the morning he wonders how he could have thought such foolish things.

After sleep his mind is clear and he looks more philosophically on the affairs of life. Unable to entertain any mental proposition that, means work. He dreads work. He is apathetic, indifferent, low spirited, silent, disinclined to think. He is unable to control the mind, to make it do what he wants it to do. You see it is not as yet a real insanity.

This state of mind comes on after haemorrhage. Insomnia after haemorrhage. A woman, after having suffered great loss of blood, will be sleepless night after night.

After hemorrhage we may have dizziness. it is a natural consequence; dizziness and fainting. But ordinarily, after the proper diet for a few days, these symptoms will have disappeared. With the China patient they go from bad to worse. The woman after severe haemorrhage does not make blood. There is mal-assimilation, and the vertigo persists for days and weeks. China will restore order.

Head

: The remedy is full of headaches. Congestive headaches in broken down constitutions. Extremities cold and body covered with a cold sweat. Rending, tearing pains. Pressing and throbbing. As soon as the air strikes the head those pains come on.

Headache better in a warm room; worse from touch; worse from motion; worse from cold. These are the principal features. A slight touch will aggravate the disturbance. But notice the exception. Hard pressureameliorates the China pains, as light pressure aggravates.

Sensitiveness of the tissues; sensitiveness along the course of the nerves; the pains are brought on by touch, by cold air. Stitches in the head with pulsation in temples, which can be felt with the fingers; ameliorated by hard pressure, but aggravated by touch.

The jar and motion of walking hurt the head. Even turning over in bed aggravates. Cannot ride in a carriage or anything that jolts. Ameliorated by hard pressure. Throbbing headaches, aggravated by a draft of air, in the open air, from the slightest touch; ameliorated by hard- pressure. The scalp feels as if the hair was grasped roughly. It is sensitive to touch. Profuse sweating of the scalp. Headaches aggravated at night. Headaches from sexual excesses; loss of animal fluids.

Eyes

: Now we come to the eye. Photophobia. Yellowness of the sclera, Exposure to cold wind will bring on neuralgia; ameliorated from keeping quiet and from keeping warm.

"Nocturnal blindness, dimness of vision.

Feeling as if sand were in the eyes.

Pains worse from light.

Better in the dark."

Ears

: In the ear and the nose you find the same sensitiveness as in eyes every little noise is painful. Ringing; roaring, buzzing, and singing, chirping like crickets in the ears. Dry catarrh of the middle ear. Hardness of hearing is not infrequently the result of this condition.

It gradually increases until there is total deafness, and the noises in the ear continue long after the patient has lost the ability to distinguish articulate sounds. Haemorrhage from the ear. Offensive, bloody, purulent discharges.

Nose

: Frequent nosebleed in anemic patients. Here, again, the dryness and catarrhal conditions. Dry coryza; or fluent coryza, suppressed and causing violent head pains. Odors nauseate. Sensitiveness to the odors of flowers, cooking, tobacco.

Face

:The face is withered, shrunken, sallow, anaemic, sickly. Red when the fever is on and sometimes when the chill is on, but in the apyrexia pale, sickly and sallow. Neuralgia of the face; tearing, rending, knifelike pains with the usual modalities.

The veins of the face are distended. This is frequently observed during the fever and sweat of the China intermittents.

Teeth

: The teeth get loose, the gums swell. The teeth are painful while chewing; they feel too long. Toothache with every little cold.

Rending as if teeth were being pulled out, every time the child nurses at the breast. Exudations about the teeth and gums. Black, and foetid great putridity in the lower forms of fever.

Taste

: The taste is extremely acute. Exaggerated so that nothing tastes natural.

"Bitter taste in the mouth.

Food tastes bitter or too salty.

Burning as from pepper on tip of the tongue.

Dryness in the mouth and throat.

Difficult swallowing."

Sometimes there is canine hunger, but one of the most common features is loathing of everything; aversion to all food. The China patient is often passive in regard to eating.

Sits down to eat and the food tastes fairly good and he fills up. But it does not matter much whether he eats or not.

"Loathing and violent hunger."

"Hunger and yet want of appetite.

Indifference to eating and drinking.

Only while eating some appetite and natural taste for food return.

Loss of appetite.

Aversion to all food.

Aversion to bread."

His appetite varies. Thirst is peculiar. The patient will say:

"I know my chill is coming on now because I have thirst."

Thirst

: before the chill, but as soon as the chill comes on there is no thirst. But when he begins to warm up he begins to get thirsty; that I during the period in which the two lap he is thirsty, but when the chill has fairly subsided and the heat is upon him his thirst subsides also and he only wants to wet his mouth.

But as the hot spell begins to subside he increases the amount taken, and all through the sweat he can hardly get water enough.

Thirst before and after the chill and thirst during the sweat. No thirst during the chill. No thirst during the hot spell. You will cure more cases of intermittent fever with Ipecac and Nux vomica, than with China. China has well-defined chill, fever and sweat.

Stomach

: Gastric symptoms from eating fish, fruit, and from drinking wine. Flatulent distension almost to bursting. There are constant eructations, loud and strong, and yet no relief, so extensive is the flatulence. In Carbo veg. after belching a little, there is relief. Lyc. has both.

Tympanitic distension of the abdomen and stomach in low forms of fever. Cannot move on account of soreness in the bowels. Vomiting of blood. Sometimes followed by dropsy of the extremities.

"Hiccough.

Nausea.

Vomiting.

Eructations, tasting of food, or they are bitter, sour.

Frequent vomiting.

Vomiting of sour mucus, bile, blood."

Likely to occur at night. Pulsation in the stomach and rumbling. Cold feeling in the stomach. Fermentation after eating fruit. Acidity. Disorders of the stomach after milk.

Diarrhea

: Copious, watery black discharges from the bowels. Gurgling and rumbling in the abdomen. Stool immediately after eating and at night. Great quantities of flatus expelled from the bowels. Diarrhea comes on gradually. Stools more and more watery. Chronic diarrhoea, with emaciation and aggravation at night. Petroleumhas a chronic diarrhoea, but only in the daytime.

Genitals

: Of the male genital organs the most striking feature is weakness, Of the female genital organs there is a different class of conditions. In the woman who has been subject to uterine haemorrhages you may look out at any moment for a sudden, sharp attack of inflammation of the ovaries.

Hemorrhage from the uterus. Prolapse. Menses, too early and too profuse; black, clotted blood; menstrual colic; metrorrhagia.

Pains and convulsions; convulsions come on in the midst of the haemorrhage; cramps in the uterus along with haemorrhage; labor-like pains; ringing in the ears; loss of sight; sliding down in bed. In confinement the lochia is profuse and lasts too long. Deterioration of health from prolonged lactation; toothache; neuralgia of the face.

Respiration

: Difficult respiration, rattling and filling up of the chest with mucus asthma.

"Pressure in the chest, as from violent rush of blood; violent palpitation, bloody sputa, sudden prostration."

Dry, suffocative cough at night; profuse night sweats. Pains in the chest, increasing sensitiveness to cold, heat and redness of the face with cold hands.

Along the spine there are sore spots. Tearing, darting pains in the limbs, ameliorated by heat and hard pressure, brought on by touch, by becoming chilled. Worse at night.

"Knees weak, especially when walking."

China cures low, forms of fever, remittent or intermittent, typhoid or malarial.

Cinchona (China).

Peruvian Bark (Rubiaceae)

For stout, swarthy persons; for systems, once robust, which have become debilitated, "broken down" from exhausting discharges (Carbo v.). Apathetic, indifferent, taciturn (Phos. ac.); despondent, gloomy, has no desire to live, but lacks courage to commit suicide. Ailments: from loss of vital fluids, especially haemorrhages, excessive lactation, diarrhoea, suppuration (Chin. s.); of malarial origin, with marked periodicity; return every other day. After climacteric with profuse haemorrhages; acute diseases often result in dropsy. Pains: drawing or tearing; in every joint, all the bones. Peristeum, as if strainted, sore all over; obliged to move limbs frequently, as motion gives relief; renewed by contact, and then gradually increase to a great height. Headache: as if the skull would burst; intense throbbing of head and carotids, face flushed; from occiput over whole head; < sitting or lying, must stand or walk; after haemorrhage or sexual excesses. Face pale, hippocratic; eyes sunken and surrounded by blue margins; pale, sickly expression as after excesses; toothache while nursing the child. Excessive flatulence of stomach and bowels; fermentation, borborygmus, belching gives no relief (belching relieves, Carbo v.); < after eating fruit (Puls.). Colic: at a certain hour each day; periodical, form gall-stones (Card.m.); worse at night and after eating; better bending double (Coloc.). Great debility, trembling, aversion to exercise; sensitive to touch, to pain, to drafts of air; entire nervous system extremely sensitive. Unrefreshing sleep or constant sopor; < after 3 a. m.; wakens early. Haemorrhages: of mouth, nose, bowels or uterus; long continued; longing for sour things. Disposition to haemorrhage from every orifice of the body, with ringing in ears, fainting, loss of sight, general coldness, sometimes convulsions (Fer., Phos.). Pains are < by slightest touch, but > by hard presure (Caps., Plumb.). One hand icy cold, the other warm (Dig., Ipec., Puls.). Intermittent fever: paroxysm anticipates from two to three hours each attack (Chin. s.); returns every seven or fourteen days; never at night; sweats profusely all over on being covered, or during sleep (Con.).

Relations

. - Complementary: Ferrum. Follows well: Cal. p. in hydrocephaloid. Compare: Chin. s. in intermittent fever, anticipating type. Incompatible: after, Dig., Sel. Is useful in bad effects from excessive tea drinking or abuse of chamomile tea, when haemorrhage results.

Aggravation

. - From slightest touch; draft of air; every other day; mental emotions; loss of vital fluids.

Amelioration

. - Hard pressure; bending double.

China (Cinchona officinalis).

Mind and Disposition.

Indifference and apathy.

Disposition to be alone.

Ill-humor, with disposition to hurt other people's feelings.

Nervous irritation, with slowness of ideas.

[5] Full of projects and ideas, especially in the evening and at night.

Head.

Congestion of blood to the head, with twitching in the temples.

Headache, from suppressed coryza.

Sensation, as if the whole head were bruised ; worse from exertion of the mind.

Sensation, as if the head should burst, with sleeplessness at night ; aggravated from touch, motion and stepping hard, ameliorated in the room, and when opening the eyes.

[10] Stitches in the head, with pulsation in the temples, which can be felt by the finger ; ameliorated by hard pressure, but aggravated by the movement of the head.

Sensitiveness of the scalp, especially the root of the hair, to the least touch ; worse when walking in the open air and from a draft of air ; ameliorated by strong external pressure and when scratching the head.

The headache is aggravated by a draft of air, in the open air, from the slightest contact, and relieved by bud pressure.

Eyes.

Pressure in the eyes, as from drowsiness.

Pressure, as from sand in the eyes, when moving the lids, with inflammation of the eyes, and worse in the evening.

[15] Redness of the eyes, with heat in them.

Yellow color of the eyes.

Sensitiveness of the eyes to the bright sun-light.

Dimness and weakness of sight.

When reading, the letters look pale, confluent, and surrounded with a white border.

[20] Incipient amaurosis after loss of animal fluids, (in drunkards).

Ears.

Humming in the ears. (Hardness of hearing).

Stitches in the ears.

Heat of the outer ear.

Nose.

Redness and heat of the nose.

[25] Tearing in the dorsum of the nose.

Frequent bleeding from the nose. (Haemorrhage from the nose and mouth).

Bleeding of the nose, after blowing it.

Dry coryza, with toothache and lachrymation.

Suppressed coryza, (headache from it).

Face.

[30] Face pale, sunken, (hippocratic), pointed nose, sunken eyes, surrounded by blue margins.

Pale, sickly appearance, as after excesses.

Complexion gray-yellow, or black.

Bloated, red face.

Hot face, especially when entering a warm room, when coming from the cold air.

[35] Face-ache, (neuralgia), irritated from the slightest touch.

Lips dry, coated black, wrinkled and chapped.

Swelling of the lips.

Swelling of the submaxillary glands, with pain in the glands during deglutition.

Teeth, Mouth and Throat.

Twitching tearing in the upper molar teeth, from taking cold in a draft of air.

[40] Painful numbness in decayed teeth.

Throbbing toothache.

Looseness of the teeth.

The toothache is caused by a draft of air, aggravated by smoking, the slightest contact, and relieved by pressing the teeth firmly together.

Black coating of the teeth.

[45] Swelling of the gums.

Putrid taste in the mouth in the morning.

Accumulation of mucus in the mouth.

Ptyalism, (with nausea), (from the abuse of mercury).

Tongue coated white or yellow.

[50] Thick, dirty coating of the tongue.

Blackish, parched tongue.

Burning biting, as from pepper, on the tip of the tongue, succeeded by ptyalism.

Voice husky or weak.

When he talks or sings, the voice is too deep.

Appetite and Taste.

[55] No desire for eating and drinking.

Desire for various things, without knowing which.

Longing, for acid fruit, wine.

Bitter taste of the food, (bread, beer, tobacco).

The food tastes too salt.

[60] Canine hunger, especially during the night.

Violent thirst, for cold water, (drinks but little at a time, but often).

Shuddering and chilliness, with goose-flesh after every swallow he takes.

Weakness of digestion ; the food is not digested, if taken too late in the day.

After a meal, distention of the abdomen oppression of the stomach, general languor, and disposition to lie down.

[65] Sour eructations after swallowing milk.

The thirst in intermittent fever only between the cold and hot stages, or during the perspiration.

Stomach and Abdomen.

Colic, from weakness and loss of animal fluids.

Milk deranges the stomach easily.

Pulsations in the pit of the stomach.

[70] Eructations, tasting of the ingesta.

Bitter eructations, (after a meal).

Vomiting ; sour, mucus, water, and food, blood, bile.

Distention of the abdomen. (meteorism), (dropsy).

Accumulation of flatulence.

[75] Incarceration of flatulence.

Rumbling, especially in the epigastrium.

Fermentation after eating fruit.

Emission of a quantity of flatulence, frequently very fetid.

Liver swollen, and very painful when slightly touched.

[80] Swelling, inflammation, induration of the spleen.

Stitches in the spleen, (when walking slowly).

Stool and Anus.

Difficult passage of the faeces, even when soft, (papescent), so from inactivity of the bowels.

Painless, very debilitating diarrhoea.

Stools loose, watery, yellow mucus, blackish, bilious, white, -undigested food.

[85] Diarrhoea from eating fruit.

Diarrhoea, particularly after meals, at night, involuntary.

In, the rectum, stitches, also during stool.

Tingling in the anus, as from ascarides. (Ascarides).

Discharge of mucus from the rectum.

[90] Bleeding haemorrhoids.

Urinary Organs.

Urine dark, turbid, scanty.

Scanty urine, greenish-yellow, with brick-dust sediment.

Frequent micturition.

Burning at the orifice of the urethra, especially painful if the clothes rub against the parts.

[95] Stitches in the urethra.

Sexual Organs.

Men. Sexual desire excited, with lascivious fancies.

Impotence, with excited lascivious fancy.

Nocturnal emissions, after onanism ; very debilitating.

Women. Congestion to the uterus with feeling of fulness and painful pressing to and sense of heaviness of the genital organs, particularly when walking.

[100] Profuse menses (black clots).

During the menses, spasms in the chest and abdomen ; congestion of blood to the head.

Metrorrhagia, with discharge of black blood ; with fainting and convulsions.

Discharge of bloody serum from the vagina, alternating with discharge of pus.

Painful induration in the vagina.

Larynx, Trachea, Chest.

[105] Hoarseness, from mucus in the larynx.

Sensation of soreness in the larynx and trachea.

Deep, husky voice when talking or singing.

Breathing wheezing, crowing, rattling, tight, oppressed and painful.

Difficult inspiration and quick expiration.

[110] Suffocative fits, as from mucus in the larynx.

Oppression of the chest, in the evening (at night, while lying).

Inclination to take a deep breath.

Oppression of the chest, as from fulness in the stomach, and caused by continued talking.

Stitches in the chest ; diaphragm.

[115] Congestion of blood to the chest, with violent palpitation of the heart.

Suppuration of the lungs, after haemoptysis (frequent venesections) with stitches in the chest, which are aggravated by pressure.

Nightly suffocative cough, with stitches in the chest.

Haemoptysis, (clotted blood mixed with pus).

The cough is aggravated in the evening, or after midnight ; from laughing ; from continued talking ; from lying with the head low ; from slightly touching the larynx ; from draft of air, after awaking ; from loss of fluids.

[120] Cough, with pain in the larynx and sternum.

Back.

Pressure as from a stone between the shoulder blades.

Pain in the small of the back at night when lying on it.

Insupportable pain in the small of the back, like a cramp, aggravated by the least movement.

Perspiration in the back and neck on the least motion.

[125] Stitches in the spine and shoulders.

Extremities.

Upper. Trembling hands, (when writing).

Icy coldness of one hand, while the other is warm.

Swelling of the dorsum of the left hand.

Blue nails.

[130] Lower. Hot swelling of the right knee, painful to the touch.

Weakness in the knees.

Uneasiness in the legs, obliging him to curve them and draw them up.

Swelling of the feet.

Rheumatic pains in the metatarsal bones and the phalanges of the toes, worse from contact, not from motion.

[135] Soft swelling of the soles.

Generalities.

Over-sensitiveness of the nerves, (from loss of fluids).

Numbness of the parts on which one lies.

Congestions.

Veins are much enlarged.

Emaciation.

Sleep.

[140] Sleeplessness from crowding of ideas and making of plans.

Irresistible sleepiness during the day and after eating.

As soon as he goes to sleep, confused, absurd dreams.

While asleep, snoring, and blowing expiration.

Fever.

Pulse small, hard and rapid, less frequent after eating ; irregular.

[145] Chilliness over the whole body, aggravated by drinking, with thirst before and after, not during the chill.

Internal violent chill with icy cold hands and feet, and congestion to the head.

Chilliness and heat alternating in the afternoon.

In the evening, in bed, he cannot get warm.

Heat over the whole body with enlarged veins.

[150] During the heat, thirstlessness, or only desire for cold drink.

After the heat, violent thirst.

Long continued heat, often coming late after the chill.

During the heat, desire to be uncovered ; delirium.

Perspiration very profuse, and very debilitating.

[155] Profuse perspiration during sleep, and from exercise in the open air.

Very debilitating morning and night sweats.

During the perspiration, increased thirst.

Perspiration on the bide on which he lies.

Suppressed perspiration.

Skin.

[160] Yellowness of the skin. (Jaundice).

Skin flaccid and dry.

Swelling of the limbs.

Rheumatic, hard, red swellings.

Humid gangrene (of external parts).

Conditions.

[165] Paroxysms of pain caused by the slightest contact, and then gradually increasing to a great height.

The least draft of air causes suffering.

Bad effects from the loss of animal fluids. (Masturbation).

Aggravation at night after drinking, after the chills, from milk, from touching the parts softly.

CHINA OFFICINALIS (RUBRA)

REGION:
BLOOD.
CIRCULATION.
SECRETIONS: Digestive. Organs. Liver.
Spleen
.
Nerves.

WORSE:
VITAL LOSSES.
TOUCH.
Jar.
Noise
.
PERIODICALLY: Alternate days (Ars. Nat-m.).
Cold; drafts; wind.
Open air.
Eating; fruit; milk.
Mental exertion.

BETTER:
Hard pressure
(Lach.).
Loose clothes.

INTERMITTENCY. PROFUSE, EXHAUSTING DISCHARGES, HÆMORRHAGES, etc. (Abro. Calc-hyp. Pho-ac.). Weak, oversensitive and nervous; everything upsets him, light, noise, odors, pain, etc. Hard swelling. Bursting. Rheumatism. Neuralgia. Emaciation. Anæmia. Dropsy. .................... Stubborn. Disobedient. Vertigo; falls backward. Throbbing, bursting, swashing, or bruised feeling in brain, < temples. Sore scalp, < touching hair. Hot red ears. Tinnitus; then vertigo. Deafness. Pale, earthy, sickly look; bluish about eyes. Teeth throb; < sucking. Acute, sour or bitter taste, or eructations. Craves delicacies. Quick satiety. Anorexia. Loud belching, without relief (Arg-n.). Slow digestion. Sore stomach. Thirst for cold water that aggravates diarrhœa. Periodical liver symptoms (Quas.). Gall-stones. Swelled liver and spleen. Flatulent bloating. Tympanitis. Pain from rectum into genitals. STOOLS; LIENTERIC; dark; foul; watery; BLOODY; painless; < eating; < night. Dark, profuse, clotted menses. Blood spitting. Puffing, rattling, breathing. Every motion excites palpitation and takes his breath. Suppurative phthisis (Hep.). Painfully sore chest and interscapular spine. Heavy pressure (load) on shoulders, between scapulæ or on sacrum. Twitching in knees. As of a band about legs. Pain in marrow. Drowsy. Heavy, snoring sleep. Anxious dreams. Swelled veins (hands, face). Marked prodrome. Clearly staged chill, heat and sweat. Chill, then thirst, then heat, then thirst. Red, hot face, with cold hands. Hectic. Sleeplessness, as a prodrome. Thirst during apyrexia. DRENCHING SWEATS; AT NIGHT, < least motion; from weakness, etc. Tropical fevers. Sepsis.

 

REMEDY RELATION

Complementary: Carb-v. Fer. Kali-c.
Related: Carb-v.

Oversensitiveness, low-spirited with aversion to all noise.
Debility from loss of fluids (an excellent indication is debilitating perspiration).
Attacks of pain, caused by the slightest touch of the body and then increasing gradually and becoming very severe.

The parts on which one lies go to sleep.
Restlessness of the affected parts.
Intermittent fever without thirst or thirst only between the cold and hot stage.

Aggravation at night, from the least draught of air, after milk drinking.

Clinical Tips & Practitioner Insights

"Erysipelas (Malignant form): CHINA is an excellent remedy, the only drug used in grave cases."

By Dr. Jousset Malignant Erysipelas

"After profuse bleeding in delivery, a dose of CHINA 1M dilution will recoup the strength of the patient."

By Dr. R.B.Das Exhaustive Labor

"Acute renal failure"

By Dr. Balbir Singh (Rare Collection with Rare Medicines) Acute renal Failure

"Indicated after Arnica, in cases of injury"

By Dr. Sunirmal Sarkar Injury

"Congenital heart disease"

By Dr. Balbir Singh (Rare Collection with Rare Medicines) Congenital Heart Disease

"Hepatitis B"

By Dr. Balbir Singh (Rare Collection with Rare Medicines) Hepatitis

"Cholesterol high"

By Dr. Balbir Singh (Rare Collection with Rare Medicines) Cholesterol

Remedy Profile

  • Type Remedy
  • Common Name HOMŒOPATHIC MATERIA MEDICA by William BOERICKE, M.D. Presented by Médi-T
  • Origin Source Natural
Dosage & Potency

Tincture, to thirtieth potency.

Pharmacy Availability

This remedy is currently available in our online shop.

Rs. 380.00
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