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