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Natrum Arsenicicum

Clarke - Dictionary of Practical Materia Medica · John Henry Clarke · 8,378 chars · source ↗

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General

Natrum Arsenicicum.

Sodium arsenate. Hydric, di-sodic arsenate. Na2HAsO412H2O.

Solution. Trituration.

Clinical

Coryza. Diphtheria. Eyes, inflammation of; granular lids. Haemoptysis. Interscapular pain. Miner's asthma. Nose, affections of; root of, pain in. Oesophagus, constriction of. Pityriasis rubra. Post-nasal catarrh. Testicles, neuralgia of. Tuberculosis.

Characteristics

Nat. ars. has been very extensively proved, notably by Imbert Gourbeyre. The irritating arsenical effects preponderate. The principal clinical use of Nat. ars. has been in diphtheria (dark purple throat, great swelling, much prostration, not much pain) and in affections of the eyes and nose, and root of nose. Some of the Peculiar Symptoms are: Wavering, floating sensation on turning head.

Eyeballs feel stiff feel too large for lids to close over. Scratching beneath lids on rolling eyeballs. Pain at root of nose. Feeling as if thyroid body were compressed by thumb and finger.

Feeling of lump in throat; of blow on testicle; as if smoke inhaled into lungs. Emaciation. Oedema. Pain between scapulae > bending forward.

There is the restlessness of Arsen.; and the thirst, and also the chilliness, with the hot head and headache < by heat. The symptoms are < on pressure. < By motion; jarring; least exertion. Interscapular pain > bending forward.

< On moving is very prominent throughout the proving; also < during the day. Nasal, obstruction and chilliness < at night. There is the Arsen. chilliness and sensitiveness to cold air; but itching is < when heated by exercise; warm things = burning in stomach; and cold drinks < nausea. Wind = conjunctivitis.

Right side of head; left testicle; and left leg most affected.

Relations

Compare: Ars., K. ca. (oedema about eyes and face); Apis (diphtheria with sac-like swelling of uvula; but Apis has much pain, Nat. ars. has not); Ar. t. (diphtheria; Ar. t. has less swelling and more pain); Kali b. (tenacious mucus); Nat. m. (throat); Lyc. (stopped catarrh).

Mind

Nervous restlessness

Depressed, as if something impending

Cannot concentrate mind; dull, listless; forgetful.

Head

Vacant feeling in whole head

Wavering, floating sensation on turning head quickly

Confused feeling; head heavy, dull

Feeling of heat and fulness in whole head

Severe sharp headache in forehead, above eyes, < r. eye

Numbness in forehead, evening

Dull aching in frontal region and root of nose; on awaking in morning; severe during day; indisposed to study or speak

Aching across brow over orbits and eyeballs

Fulness in forehead with throbbing in top of head

Every motion jars the head

Headache < from heat, pressure, and tobacco-smoke.

Eyes

Vision weakened; objects blur when he looks at them for a short time; eyes sensitive to light

Eyes soon tire and pain when reading or writing

Feels as though he must close lids to protect the weak eyes

Lids disposed to close; cannot open them as wide as usual

Stiffness of eyeballs

Eyeballs feel too large when closing lids over them

Blood-vessels of balls and lids much congested, whole orbital region swollen; oedema of orbital region

Congestion of conjunctiva from least exposure to cold or wind; conjunctiva dry and painful

Eyes smart as from wood smoke; smarting and lachrymation on going into open air

Inner surface of lower lids granulated

Edges chronically inflamed; morning agglutination

Aching through and over brows and orbits, and in temples on awaking

Eye symptoms < in morning, > towards evening.

Ears

Shooting pain over r. ear, after noon

Hearing dull

Rushing noise in r. ear synchronous with pulse.

Nose

Smell defective or lost

Patient feels stuffed up in nose and chest

Nose constantly stuffed up, < at night and in morning; must breathe at night with mouth open

Nasal discharge yellow, tough; hawked or drops from posterior nares

Pieces of hardened bluish mucus flow from nose, after which mucous membrane feels raw

Dry crust in nose; when removed blood follows

Nasal mucous membrane thickened, can inhale air, but difficult to exhale

Compressive pain at root of nose and in forehead; catarrh.

Face

Face flushed and hot; feels puffed

Malar bones feel large, as if swollen

Face swollen, oedematous; more in orbital region;

< mornings on awaking

Corners of mouth fissured; also indurated

Muscles of mastication stiff, painful o move jaw.

Mouth

Teeth and gums tender

Tongue furred; coated yellow; deep red, corrugated, anterior part fissured; large, moist, fissured, flabby

Ulcer in mouth, very sore

Mouth watery

Taste: insipid; clammy; pasty; bitter; sour.

Throat

Fauces dry on swallowing and on inspiration, < in morning and after a cold

Fauces and pharynx red and glossy

Tonsils, fauces, and pharynx purplish and oedematous; patched with yellow mucus; diphtheria

Uvula, tonsils, and pharynx thickened; surface irregular, swollen, purplish-red, covered with yellowish-grey mucus, which is hawked out

Hawks up greyish (or white) tenacious mucus

Constricted choking feeling in throat; as if thyroid body compressed between thumb and finger

Feeling as of a pin sticking in throat; or of a lump in throat; always < in morning.

Stomach

Drinks often, but little at a time; very thirsty, < by drinking

Belching and sour eructations

Nausea, < from drink of cold water

Vomits large quantities of sour water, < after eating

Stomach feels sore; warm things cause a sensation of burning, and can be felt entering stomach

Moderate dinner lies heavy; feeling of fulness

Epigastrium tender

Sinking sensation; with dull feeling over eyes

Haematemesis.

Abdomen

Pain from time to time shifting through bowels, > by passage of flatus or stool

Gas forms rapidly, > when bowels move; colic from flatus and before stool

Pain in groins; also in Poupart's ligaments.

Stool And Anus

Alternate diarrhoea and constipation

Stool thin, soft, dark, followed by burning at the anus

Yellowish, watery, copious, painless, hurries out of bed in morning; preceded by colic, > after.

Urinary Organs

Dull aching in kidneys, with profuse urine

Sore feeling in region of bladder, < while urinating

Urine copious, frequent, clear; heat precipitates phosphates; contains some epithelial scales, casts, and fat globules.

Male Sexual Organs

Dull cutting in groins along Poupart's ligaments, followed by sickening sensation in l. testicle, as after a blow; testicle very sensitive while pain lasted.—Emission during sleep.

Respiratory Organs

Dark slate-coloured, scanty mucus in larynx, detached with difficulty

Oppressed or stuffed sensation all day from larynx to bottom of sternum

Roughness and irritation in bronchi mornings, with slight cough

Lungs feel dry, as though smoke had been inhaled

Dry cough, with feeling of tightness and oppression in middle and upper third of chest

Chest feels full and oppressed;

< during exertion and on full inspiration

Sharp, quick pain below seventh rib anteriorly

Supra-clavicular regions sore on pressure

Shooting pain under r. breast; sore on pressure.

Heart And Pulse

Oppression about heart on least exertion.—Pulse irregular, variable in volume, slower than usual.

Neck And Back

Neck stiff and sore

Soreness at lower cervical vertebrae down to joints of and under both scapulae

Pain and soreness in back

Severe pain between scapulae;

> moving forward;

< from inspiration

Pain in lumbar region.

Limbs

Neuralgic pains occur frequently

Joints feel stiff; pains erratic, < in joints and on l. side

Lower limbs feel heavy; weary, bruised feelings

Aching anteriorly down legs, until restless, uneasy feeling is produced

Knee-joints crack

Shaking in tibia when walking

Corns appear on bottom of each little toe.

Generalities

Restless, nervous, cannot sit still without great effort.—Feels tired all over; desire to remain quiet.—More susceptible to cold air, takes cold easily.—Pains show preference for l. leg.—Oedema.—Marked emaciation; after previous increase of flesh.

Skin

Squamous eruption, scales thin, white, and when removed leave skin slightly reddened; if scales remain they cause itching, < when warm from exercise.

Sleep

Drowsy, heavy, restless; wakes as if frightened.

Fever

Chilly, disposed to wrap up or get near a fire

Skin hot and dry

Surface cool, covered with cold, clammy sweat.