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Ratanhia Peruviana

Ratanhia · Clarke - Dictionary of Practical Materia Medica · John Henry Clarke · 18,056 chars · source ↗

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General

Ratanhia.

Rhatany Root. Ratanhia. Mapato. Pumacuchu. The root of several species of Krameria, especially Krameria triandra. N. O. Polygalaceae (or Leguminosae according to some). Tincture of the root.

Clinical

Anus, fissure of. Breath, offensive. Constipation. Diabetes. Dysentery. Dyspepsia, atonic. Epistaxis. Eyes, pterygium. Fissures. Gonorrhoea. Haemorrhages. Haemorrhoids. Hiccough. Hydrothorax. Infra-mammary pain. Itching. Metrorrhagia. Miscarriage. Nipples, fissures of. Pimples. Pleurisy. Scurvy. Snoring. Speech, arrested. Stomach, distension of; ulceration of. Throat, contraction of. Tinnitus. Worms.

Characteristics

"Krameria triandra, remarkable for its entire, obovate, acuminate leaves, covered on both sides with silky hair, is one of the species most known as yielding the Rhatany root of commerce, but all the species (of Krameria), as far as known, are intensely astringent. In Peru an extract is made from this species which is a mild, easily assimilated astringent medicine, possessed of great power in passive, bloody or mucous discharges; it acts as a tonic in weakness of digestive organs and muscular debility, and is even useful in intermittent and putrid fevers.

It is also styptic and restores tone to relaxed parts, and when applied as plaisters is said to cure all kinds of ulcers. An infusion is used as a gargle and wash, and the powder forms with charcoal an excellent tooth-powder. The colour of the infusion of the root of the Krameria is blood-red, on which account advantage is taken of it to adulterate port wine" (Treas. of Bot.). Teste (who puts Rat. in his Sulphur group), writing of its pre-homoeopathic use, says, "There is perhaps no plant the properties of which have been so well indicated by chance as this.

Used as an astringent and tonic, this root sometimes arrests passive haemorrhages (epistaxis, haemoptysis, metrorrhagia, &c.). It was successfully used against scurvy, mucous discharges, such as chronic catarrh of the bronchia, vagina, large intestines, &c., against various forms of incontinence of urine, chronic oedema of the skin. Dr. Tournel, who, no doubt, did not suspect that Ratan. produced abortion, had the happy idea of prescribing it as a tonic in cases of incipient miscarriage, and thus preventing that accident in delicate and nervous females who had never yet been able to go their full time." All these uses are really homoeopathic, as is also the cure of a case of fissure of the rectum by Bretonneau, whom Teste quotes from Trousseau and Pidoux: A lady suffered from constipation and fissure of rectum, which caused her horrible pains and had damaged her health.

Bretonneau ordered a daily injection mixed with one-fourth of Rat., and in a short time constipation and fissure were cured. Other like cases were cured; and then the same treatment was given in cases of fissure without constipation, and again with the same success. The provings (Hartlaub and Trinks chiefly) bring out the keynotes of Rat. in rectal cases: "Straining, stool so hard she cried out, with great protrusion of haemorrhoids; followed for a long time by burning in anus." The burning persisting for a longtime after the stool is very characteristic of Rat.; and it occurs when the stool is diarrhoeic as well as hard.

Burning also precedes and accompanies the stool. Another peculiarity in connection with the stool is a bursting headache, which accompanies and follows a straining at stool. Dry heat with sudden stitching like knife-stabs. Oozing at anus.

Dropping of blood from anus. One patient cured by Rat. of fissure had > by application of hot water; he sat in a sitz-bath as hot as he could endure; the relief only lasted while in the bath. In connection with the rectal symptoms is an important head symptom: "Pains in middle of forehead, as if brain would fall out," and a similar pain after stool. The head pains are also < on bending forward.

The eye symptoms are striking: burning, smarting, twitching of lids, obscured vision. This symptom has led to the cure of cases of pterygium: Inflammation of whole of eye; a membrane seemed to extend to central point of eye, which burned. The old use of Rat. in nose-bleed, scurvy, and as a tooth-powder are justified by the symptoms of the proving: Violent nose-bleed; bleeding gums; toothache < lying down. A curious symptom in the aching molars is a sensation as if coldness rushed out of them.

Toothache of pregnancy compelling the patient to get up at night and walk about. "Tasteless water collects in mouth" may meet another condition of pregnancy; and Rat. both causes and prevents abortion, metrorrhagia and leucorrhoea. It also meets fissure of the breasts in nursing women, as well as fissure of the anus. Contractive sensations (Rat. is astringent") are numerous: in stomach; groins; anus; eyes; neck; muscles; throat;

"painful spasmodic contraction of throat during which she could not speak a loud word." Peculiar Sensations are: As if intoxicated. As if head in a vice. As of a white speck before eyes; skin before eyes. As if coldness rushed out of molars.

As if rectum and anus were all twisted up. As if splinters of glass in rectum and anus. As if rectum protruded and then suddenly went back with a jerk. As if abdomen (and chest) cut to pieces.

Movement as if something alive in abdomen. As of cobwebs about right side of mouth. Jerkings and quiverings. Eyelids feel stiff.

Right side is most affected Cushing, who made a proving of Rat., says (Med. Cent. quoted H. R., xi. 142) it caused great itching in the rectum; and he has cured with it since nearly every case of pin-worms in his practice.

In a woman, old and feeble, he cured with Rat. 3x internally, and a Rhatany rectal suppository each night, frequent discharges of mucus, blood and pus from the bowels night and day with great pain and burning in rectum almost wholly preventing sleep. Cushing considers that, next to Sang. nit., Rat. meets more rectal cases than any other remedy. Rummel (quoted H. R., i. 140) relates the case of a servant girl who had rapid twitching of the lids of right eye to such an extent as to hinder her seeing.

There seemed to be also a rotary motion of the ball. Bell. and Calc. failed to relieve. Rat. 12 relieved quickly. The symptoms are: < By touch (teeth).

Pressure > pain in chest. < Lying down; > by motion. < Straining at stool; sitting bent over (headache); stooping.

Stepping = pain in ribs. Sitting = weariness and heaviness in right thigh; pain in right knee and great toe. Bending arm <; extending it >. Eating <; emission of flatus >.

After dinner, hiccough; before dinner, abdominal distension. > Hot-water applications. > Open air; moving about in open air. < Night;

"most symptoms come in evening, night and morning. They are > by exercise and in open air, very much < by uneasiness of mind" (Teste).

Relations

Follows well: Sul., Bovis, Sep. in uterine affections (Teste). Compare: Botan.; pleurisy, Seneg. Fissure of anus, Nit. ac. Anal symptoms, Sul., Ir. v., Canth., Paeon., Graph. (Graph. is nearest, but has not the constriction of Rat.). Splinters of glass in rectum, Thu. (Sticks, Aesc. h.). Pain in head from straining at stool, Indm., Pul., Sil. Hiccough, Cycl. Burning on tongue, Rap. Ran. s., Sang. Toothache of pregnancy, Rap., Mg. c., Cham. Alive sensation, Croc., Thu. Cobweb sensation, Ran. s., Bar. c.

Mind

Irritable, peevish, and quarrelsome humour

Apprehensive depression when alone, > in company

Woke with a start, 2 a.m., with trembling apprehension and fear

Changeable mind.

Head

Dulness of head as if intoxicated

Bruised pain in small spots on head

Jerking in small spot r. temple

Pains in head, as if cranium were about to burst, esp. when sitting with body bent forwards

Long-lasting headache as if screwed in a vice

Jerking, smarting, and shooting in head

Congestion in head, with heat and heaviness

Dull, deep stitches on vertex

Painful tearing and burning on vertex, even at night, > in open air, during menses

Pain in middle of forehead, as if brain would fall out while straining at stool

Pains in head as if it would burst after stool

Tearing from occiput to vertex

Sensation as if scalp from root of nose to vertex were stretched

Stiff feeling in forehead < knitting brows

Itching of scalp not > by scratching

Itching l. occiput, where small glandular swellings were found.

Eyes

Pains in eyes as if compressed in a vice, and could not be moved

Sensation in r. eye as if screwed in, or as if there were an impediment so that it could not be moved, still she could move it easily

Contractions and burning sensation in eyes, esp. in evening

Inflammation of sclerotica; a membrane seemed to extend to central point of eye that burned

Sensation as if a cuticle were placed before eyes

Agglutination of eyes at night, and lachrymation in morning

Jerks and quivering of eyes and eyelids

Twitching in r. eye and r. upper eyelid

Stiffness of upper lids with soreness of upper tarsal edges

White spot before eye, which obstructs the sight (in evening, by candle-light, with constant urging to wipe the eyes, and > after wiping)

Vision dim for distant objects

Myopia.

Ears

Tearing in ears

Itching and shooting in ear

Violent stitch in r. ear; chirping in r. ear; crawling as if insect in r. ear

Nocturnal tinkling, and ringing in ears.

Nose

Itching in nose

Violent itching on tip of nose > by rubbing

Nostrils inflamed and scabby, with burning sensation

Epistaxis

Violent nose-bleed, three times a day, for five days in succession

Dryness of nose, with frequent sneezing

Dry coryza, with complete stoppage of nose.

Face

Heat in face

Tearing pain in face and jaw bones

Violent tearing in l. malar bone, evenings

Sensation of cobwebs above r. side of mouth

Tearing in inner surface of lips in a small spot

Tearing in l. side of lower jaw and corresponding teeth

Burning vesicles on the red part of upper lip.

Teeth

Toothache in evening, esp. after lying down (compelling one to rise and walk about); or in morning, generally with tearing or jerking, or at times with digging pains

Pulsative pain in teeth

Bleeding of teeth

Painful sensation of coldness and elongation in the molars, and as if coldness rushed out of them.—(Violent pain in one l. upper incisor, which is painful to the touch.)

Acid blood from gums on sucking them

Burning at tip of tongue.

Mouth

Dryness of mouth at night

Tension and burning sensation on tongue

Tasteless water collects in mouth

Breath offensive.

Throat

Sore throat, generally felt during empty deglutition.—Painful spasmodic contraction in throat, which stops the voice (unable to speak a loud word).

Appetite

Mawkish taste in morning, in bed

Thirst; in evening

Anorexia, with dislike to food and drink

Constant desire to eat

Risings, with taste of food; empty.

Stomach

Violent hiccough, which causes pain in stomach

Long-continued hiccough after dinner

Nausea and disgust, esp. at night (1 a.m.), with retching and vomiting of food (> in open air)

Vomiting: of water; of mucus streaked with blood

Pains as from ulceration in stomach

Excessive distension of stomach

Stomach feels too full

Digestion more difficult

Rolling and constriction in stomach

Painful constriction of stomach, which is sometimes removed by risings

Sensation in stomach, and above scrobiculus, as if abdomen had been cut to pieces, < deep breathing

Heat and burning sensation in stomach and epigastrium

Sudden painful bursting in pit of stomach.

Abdomen

Repeated violent sticking in r.

(and l.) hypochondrium

Pullings, and a sensation of coldness, in umbilical region

Pinchings in abdomen, and sides of abdomen, sometimes with a burning sensation

Movements in sides of abdomen as of something alive

Shootings, pinchings, and contraction of groins

Pinching in both groins > by emission of flatus, morning on waking

Griping in lower abdomen, externally violent itching

Constrictive pain in small spot in groins; in r. groin

Sticking in groins, in afternoon while sitting

Dragging downward in both groins, as before menses, with discharge of mucus from vagina.

Stool And Anus

Hard and broken evacuations, with urgent want to evacuate (with straining) and protrusion of haemorrhoidal excrescences

Ineffectual want to evacuate, with troublesome pains in loins

Straining; so hard that she cried out; great protrusion of haemorrhoids, followed for a long time by burning in anus

Sudden stitches

Fissures; excruciating pains immediately after stool, if costive

Fissure with constriction

Dry heat, with sudden stitches, like stabs with pen-knife

Oozing from anus

Burning in anus before and during a diarrhoea-like stool

Very urgent desire for normal stool

Diarrhoea with evacuation of some drops of blood, accompanied by dragging in groins and rumbling in abdomen

Stool yellow, diarrhoea-like, with burning like fire in anus

Sensation as if splinters of glass sticking in anus and rectum in every direction; as if rectum protruded and went back with a jerk;

> in hot sitz-bath

Severe itching about anus

Pin-worms

Soft loose evacuations, preceded by cuttings, with burning pains in anus, before and after

Thin, fetid stools, burning like fire in anus

Sanguineous diarrhoea

Discharge of blood from the rectum, with or without stool

Pains in head, as if it would burst (during and) after evacuation.

Urinary Organs

Frequent and urgent want to urinate, with scanty emission

More frequent and more abundant emission of urine, even at night

Pale urine

Urine more scanty, which soon deposits a cloud, and becomes turbid

Burning in urethra (and root of penis) when urinating.

Male Sexual Organs

(The chronic gonorrhoea became much worse.)

Burning in root of penis while urinating

Itching in scrotum not > by scratching.

Female Sexual Organs

Pressure in groins, as of a general bearing down towards genital organs, followed by leucorrhoea

Leucorrhoea with itching in rectum and discharge of bloody mucus

Catamenia too early and of too long duration, and too copious, with pains in abdomen and loins

Metrorrhagia

Miscarriage

Uterine pains following retrocession of eruption on loins

Menses suppressed, with swelling of abdomen and breasts, simulating a pregnancy of several months, accompanied by profuse leucorrhoea and constant pain in kidneys

Menses delayed

Fissure of nipples in nursing women.

Respiratory Organs

Dry cough, with tickling in larynx, and pain of ulceration in chest.—Some tight mucus evacuated with great difficulty.

Chest

Pressure at chest on the least exertion, with shortness of breath

Violent pressure in chest as from a stone, with short breath, on slight exertion

Rush of blood and heat to chest, with difficult breathing

Ulcerative pain in chest during and after coughing

Burning stitch in last ribs near back on stepping

Pain as if cut to pieces in small spot in upper sternum

Coarse stitch as with a knife in sternum, felt at every breath on ascending steps, takes away breath

As if pointed instrument sticking in sternum just above ensiform cartilage

Sticking burning cutting beneath l. chest, along one rib, evening

Sticking and drawing along l. clavicle as if skin drawn in

Stitch in l. ribs, so violent it = her to cry out

Several fine stitches beneath l. breast, on ribs, extending downward

Throbbing-burning, cutting and ulcerative pains beneath l. breast near pit of stomach < motion, > pressure

Painful constriction in both sides of chest

Shootings in chest, esp. when going up stairs, with obstructed respiration

Congestion (of blood to) chest, with heat, and impeded respiration.

Heart

Sharp sticking in praecordial region, rather external.—Pulse full.

Neck And Back

Drawing tension, from nape of neck to the bottom of spine

Stiffness in nape on turning head, > on violent motion

Tearing in nape of neck, with heaviness of head

Pain in loins and back, as if they had been beaten

Bruised pain in whole spine

Bruised pain in loins and hips, morning rising, > on motion.

Limbs

Tearing in limbs.—Contraction of flexor muscles.

Upper Limbs

Tearing in shoulder, arms, forearms, and wrists

Spasmodic and painful contractions in elbows and fingers

Pain in bend of elbow (r.) when flexed, > when extended

Violent tearing in r. wrist

Jerking, tearing, and stitches in thumbs.

Lower Limbs

Drawing and tearing in thighs, knees, legs, feet and toes

Tension and burning sensation in thighs

Jerking in thighs, calves, and feet

Tearing from l. tendo Achillis up

Sprained pain in last joint of big toe, while sitting, > on motion

Sticking and burning tearing in l. big toe

Tickling on heels and soles

Voluptuous itching in l. sole.

Generalities

Weakness and prostration with anxiety and sweat over whole body.—Malaise with frequent yawning, repeated and laboured attempts to draw a long breath and distressing constriction across chest.—Sore pain frequently mingled with fine sticking now in chest now in shoulders, &c.—Shooting pains, as from excoriation.—Jerking in different parts.—Haemorrhage.

Skin

Sickly skin

Small red and white pimples which do not suppurate, esp. between shoulders and on loins, remaining a long time

Pimples; itching and burning after scratching

Formication and itching eruption on back

Itching: in nape and between scapulae; on scrotum; front of thigh; bends of knees, &c.

Sleep

Disposition to sleep, esp. after dinner

Violent yawning

Retarded sleep

Frequent waking, and prolonged wakefulness

Waking with a start, with trembling, inquietude and fear

Snoring

Dreams: of battles; sick people; quarrels, anger, vexation; funerals, death of friends; earthquakes.

Fever

Predominance of coldness, and of shivering, esp. in evening

General chill 8 or 9 p.m

Chilly even in warm room

Heat of whole head with heaviness

Heat and puffiness of face

Dry heat in anus with cuttings

Woke 1 a.m. with sweat, thirst, and dry mouth

Nocturnal perspiration.