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CINCHONA OFFICINALIS

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General

CINCHONA OFFICINALIS. [Cinch. off.] Peruvian Bark. Hahnemann. Rubiaceae.

Mind

► Chooses wrong expressions, or misplaces them. ► Slow train of ideas. ► Ideas and projects crowd on his mind, especially in evening. ► Fixed idea that he is unhappy, persecuted by enemies. ► Delirium after depletion ; on closing eyes, sees figures of persons. ► Compelled to jump out of bed ; wants to destroy himself, but lacks courage. ► Inclined to reproach and vex others. ► Dislike to all mental or physical exertion. ► Low-spirited, gloomy, has no desire to live. ► Dread of dogs and other animals at night. ► Inconsolable anxiety, even to suicide. ► Indifference, apathy. ► Ill-humor. ► Stubborn, disobedient, longing for dainties ; face pale, or at times red ; restless all night ; children. ► Intolerance of sensual impressions. ► Nervous irritation. ► Worse exerting the mind.

Sensorium

► Dulness of head, giddiness, as from sitting up at night and sleeplessness. ► Heaviness of the head, fainting, loss of sight, ringing in ears ; cold surface. θ After hemorrhage. ► Vertigo : after loss of animal fluids ; from anaemia ; head feels weak, can hardly hold it erect ; with the chill ; on raising the head ; with nervous erethism, hysterical excitability ; with fainting. ► Dulness of the head, as from coryza or intoxication. ► Heaviness of the head, increasing vertigo.

Inner Head

► Intense throbbing headache ; carotids throb. ► θ After loss of blood. ► Stitches from temple to temple. ► Sensation as if head would burst, with sleeplessness ; worse from motion or any jar ; better in the room and when opening the eyes. ► Whole head feels bruised ; worse from exerting the mind. ► Headache from suppressed coryza ; worse in open air, or exerting mind. ► Brain feels bruised ; worse on moving, even opening his eyes ; scalp sensitive ; worse at night. ► Headache in occiput after sexual excesses or onanism. ► Headache, worse from draught of air, in the open air, slightest touch ; better from hard pressure. ► Headache from occiput over whole head from morning until afternoon ; worse lying, must stand or walk ; drives to madness. ► Tearing, drawing, oppressive pains, as from load on head.

Outer Head

► Burning in forehead, with hot sweat on it. ► Scalp sensitive to touch, roots of hair hurt when hair is moved. ► Scalp feels as if the hair was grasped roughly by the hand. ► Profuse sweat on head, especially when walking in open air.

Eyes

► Nocturnal blindness. ► Worse from light ; better in the dark. ► Scintillations, or black motes before eyes. ► Amblyopia in drunkards ; after masturbation, tendency of blood to head. ► Pressure in eyes, as from drowsiness. ► Letters pale, surrounded by white borders. ► Dilated, not very sensitive pupils. ► Pressure, as from sand in eyes ; photophobia ; eyes hot, red ; or, dim and faint, as if filled with smoke.

Ears

► Fine ringing in ears, debility. ► Hardness of hearing ; humming in ears. ► Stitches in the ears. ► Tearing pains in ears, worse from the least touch ; ears red ; stitches, with ringing.

Nose

► Smell too acute. ► Dry coryza, toothache, lachrymation ; much sneezing. ► Nosebleed, anaemia ; ringing in ears ; face pale, fainting. ► Habitual nosebleed, especially morning, on rising.

Face

► Face hot, when entering room from open air. ► Veins of face distended. ► Face : red, during fever ; hollow, pale, or livid with atrophy ; pale, blue around the eyes ; yellow ; earthy ; grey ; yellow or black ; hippocratic. ► Neuralgia, periodical attacks ; pains excessive, skin sensitive to least touch ; part feels weak ; face alternately red and pale ; pains from left to right ; mostly in infraorbital and maxillary branches.

Lower Face

► Lips : burning ; swollen ; dry, hard, cracked, blackish ; blackish and shriveled. ► Submaxillary glands swollen, painful during swallowing.

Teeth

► Toothache, veins in forehead and hands distended ; throbbing pain. ► Toothache while infant sucks the breast. ► Toothache worse from least contact, moving body, tea, open air, or current of air ; better from pressing teeth together. ► Toothache during sweat. ► Swelling of gums ; mouth dry.

Tongue, Etc

► Taste : too acute ; putrid, morning ; bitter in back part of throat ; flat, watery. ► Food tastes bitter or too salty. ► Tongue white ; or yellow ; thick, dirty coating. ► Tongue white, mornings ; child restless all night ; no appetite for breakfast. ► Tongue black, or raw, as if burned. ► Burning as from pepper on tip of tongue, followed by ptyalism.

Mouth

► Salivation day and night, years after mercury, great weakness, especially of stomach.

Throat

► Throat feels rough, scrapped, producing a sore sensation on swallowing. ► Difficult deglutition, as from contraction of the oesophagus. ► Gangrene of throat.

Desires And Aversions

► Longs for spirits ; sweets ; sour, cooling things ; roasted coffee. ► Children dainty, desire various things without knowing what. ► Wants highly seasoned food. ► Canine hunger ; worse at night. ► Voracious appetite. θ Atrophy. ► Violent thirst for cold water ; drinks little and often. ► Loathing of food as if he had overeaten. ► Averse to bread ; to beer ; to butter ; to meat ; to fat things ; to warm food. ► Loss of appetite in foggy weather. ► Loss of appetite, nausea, desire to vomit. ► Aversion to all food, even when thinking of it ; dread of labour ; drowsy by day ; yellow eyes.

Eating And Drinking

► Worse drinking wine and other liquors. ► Worse after breakfast. ► Sour eructations after milk. ► Gastric symptoms from : eating fish ; excessive use of tea ; sour wine ; new beer ; impure water ; fruit. ► Warm drinks impede digestion. ► Worse from smoking.

Nausea And Vomiting

► Heart-burn, after milk. ► Belching, sour rising. ► Eructations tasting of the food ; or are bitter. ► Vomit : sour ; blackish ; bloody ; worse at night. ► Frequent vomiting.

Stomach

► Pulsations in pit of stomach. ► Heavy pressure in stomach after small quantity of food. ► Cold feeling in stomach ; constant satiated feeling, yet can eat, but feels worse afterwards. ► Fulness in stomach and bowels ; flatulence ; belching does not relieve. ► Slow digestion, food remains long in stomach ; especially if eaten too late in the day. ► Haematemesis ; great loss of blood, weak, pale, cold hands and feet ; stomach very sensitive to touch. ► Gastralgia after depletion ; acidity ; bloating after food or drink ; satiety ; relieved by motion. ► Stomach feels sore, as if ulcerated, cannot bear slight touch.

Hypochondria

► Pain in hepatic region, as from subcutaneous ulceration ; worse from touch. ► Swollen, hard liver. ► Colic form gall-stones. ► Gastro-duodenal catarrh after loss of fluids or severe illness. ► Enlarged spleen. ► Aching, stitching pains in spleen when walking slowly ; pains extend in direction of long axis of spleen.

Abdomen

► Pressing-aching below navel. ► Flatulence from excessive tea drinking. ► Colic better bending double. ► Colic worse at night and after eating. ► Colic at a certain hour each afternoon ; "3 months colic". ► Abdomen distended, wants to belch. ► Abdomen as if packed full, not relieved by belching. ► Tympanitic abdomen, pressure as from a hard body ; or, spasmodic, constricting pains from incarcerated flatulence ; worse at night or after depletion ; also in typhus, worse mornings. ► Strangulated hernia ; gut (the intestine) black ; after operation.

Stool, Etc

► Stools : loose, brownish, painless, with feeling of debility ; frothy, painless, diarrhoeic, with fermentation in bowels ; after sour beer ; painless, black ; thin, large, with passage of wind, mornings ; offensive undigested, or white, papescent, at night ; yellow, watery, involuntary ; cadaverous-smelling, chocolate-colored, worse at night. ► Diarrhoea comes on gradually, more and more watery, pale, pinkish, with rapid emaciation. ► Constipation : large accumulation ; stool difficult, even if soft ; after long purging. ► Mucous discharge from the rectum. ► Bleeding piles, burning and itching. ► Tingling in the anus.

Urine

► Frequent micturition. ► Burning at orifice of urethra, especially painful from rubbing of clothes. ► Urine : turbid, dark, scanty ; white, turbid, with white sediment ; pale, becoming cloudy or depositing a dingy, yellow, loose sediment. ► Scanty, greenish-yellow, brick-dust sediment. ► Pinkish sediment.

Male Sexual Organs

► Sexual desire ; lascivious fancies. ► Impotence, with lascivious fancies. ► Nocturnal emissions, frequent and debilitating. ► Consequences of excessive or long-continued seminal losses ; onanism. ► Painful swelling of spermatic cord and testicle, especially the epididymis ; tearing in the left testicle and left side of prepuce ; cramp-like, contractive pain in the testicles, evenings. θ After gonorrhoea. ► Contractive pain in urethra.

Female Sexual Organs

► Ovaritis from sexual excess or hemorrhage, parts very sensitive to slight touch. ► Dropsy : of ovaries ; of uterus. ► Congestion to the uterus, fulness, pressing and heaviness, worse when walking. ► Menses : too early, profuse, black clots, with spasm in chest and abdomen ; painful. ► Metrorrhagia, blood dark, fainting convulsions. ► Discharge of bloody serum, alternating with pus. ► Leucorrhoea : instead of menses, with itching ; with spasmodic uterine contractions, painful bearing down to vulva and anus ; menses increased. ► Painful induration in the vagina.

Pregnancy

► Nymphomania of lying-in-women. ► Abdomen ; abdomen distended, belching does not relieve. ► Labor-pains cease from hemorrhage ; cannot have the hands touched. ► Uterine hemorrhages, ringing in ears, fainting, cold, loss of sight ; discharge of dark clots ; uterine spasms ; twitches, jerks ; wants to be fanned. ► Lochia lasts too long ; drawing about ovaries ; or discharge fetid or cheesy, purulent. ► Asphyxia of the newborn ; after great loss of blood by the mother.

Larynx

► Hoarse, voice rough, deep from adhering mucus. ► Sore sensation in larynx and trachea. ► Influenza, with debility, loss of appetite, heat without thirst.

Breathing

► Asthma, looks as if dying ; worse autumn, wet weather, or after depletion. ► Cannot breathe with head low. ► Wheezing, whistling inspiration, crowing, rattling, oppressed and painful. ► Oppression of the chest ; also evenings, lying down. ► Nightly suffocative fits ; spasmodic cough. ► Suffocative catarrh, and paralysis of lungs of old people. ► Rattling in chest ; loud sounds through the nose. ► Inspiration slow, difficult ; expiration quick, blowing, short. ► Oedema glottidis. ► Oppression of chest, as from fulness of stomach ; also continued talking. ► Breath cold.

Cough

► With pain in larynx and sternum ; with pain throughout whole cavity of chest. ► Cough causing cutting in left lower abdomen ; expectoration difficult, black. ► Cough with granular sputum during day or evening, none night or morning. ► Dry, spasmodic or suffocative night cough, as from vapor of sulphur, with bilious vomit. ► Cough first hollow, dry and painful, later bloody expectoration. ► Sputa slimy, whitish. ► Coughs worse : lying with head low, or on left side ; moving ; deep breath, talking, laughing ; eating, drinking ; evening or after 12 P.M. ; lightly touching larynx ; least draught ; loss of fluids ; after being awakened.

Lungs

► Loud, coarse rales, great debility, anaemia ; oedema of legs. ► Pneumonia after hemorrhages, bleeding or with bilious symptoms ; or incipient gangrene. ► Pressure in chest as from violent rush of blood, violent palpitation ; bloody sputum ; sudden prostration. ► Stitches in right chest up to axilla, prevents bending forward and breathing ; stitches in left chest ; stitches under sternum worse during deep breathing and sudden movements. ► Phthisis of drunkards, suppuration of lungs. ► Cannot bear percussion or even auscultation, chest so sensitive. ► Haemoptysis : with subsequent suppuration of lungs ; stitches in chest worse from slight touch.

Heart And Pulse

► Palpitation : with rush of blood to face, heat and redness of face, with cold hands ; after loss of fluids. ► Pulse : frequent, small, hard ; more quiet after meals ; feeble, rapid ; unequal, intermitting.

Neck And Back

► Pressure as from a stone between scapulae. ► Pain in small of back at night, lying on it. ► Insupportable pain in small of back, like a cramp, worse from least movement. ► Laming, drawing, tearing in back and thighs.

Upper Limbs

► Aching in shoulder-blades and limbs ; worse from least pressure ; restless, wants to change position. ► Spasmodic stretching of the arms, with clenched fingers. ► Hands tremble (when writing). ► Veins of hands distended. ► Swelling of back of left hand. ► One hand icy-cold, the other warm. ► Nails blue.

Lower Limbs

► Hip disease, with profuse suppuration, sweat, diarrhoea. ► Pain in the right knee, up to thigh, or down towards the legs ; pains worse from contact than from motion. ► Legs feel as after a long walk. ► Uneasiness in legs, must move them or draw them up. ► Hot swelling of right knee, painful to slight touch. ► Knees weak, especially when walking. ► Rheumatic pains in metatarsal bones, and phalanges, worse from motion and contact. ► Swelling of the feet ; hot, arthritic.

Limbs In General

► Darting-tearing, worse from contact, especially in hands and feet. ► Pains in all the limbs, as if clothing were too tight, after a walk in the open air. ► Pains in limbs increasing gradually, worse from slight touch. ► Parts about the joints are swollen and very sensitive to least touch ; worse at night, parts feel weak. ► Heaviness in limbs, especially the thighs. ► Limbs pain, especially joints, as if bruised, worse in rest, better moving.

Position, Etc

► Rest : 34. Sudden motion : 28.

Motion

3, 10, 17, 27, 31, 33, 34, 36. Walking : 4, 18, 23, 33, 34. Must stand or walk : 3. Wants to change position : 32. Lying : 3, 26 ; on back : 31 ; on left side : 27 ; with head low : 26, 27. Parts lain on : 36, 40. Raising the head : 2. Bending double : 19.

Nerves

► Great debility, trembling, averse to all exercise ; nervous ; sensitive to pain, to draughts of air ; sleepless. ► Complaints from loss of animal fluids. ► Convulsions : rush of blood to head, throbbing carotids ; from great loss of blood. ► Epileptic spasms far apart ; deathly pallor ; relaxation of muscles. ► Paralysis from loss of fluids ; after arsenical poisoning ; onanism. ► Numbness of parts on which he lies. ► Twitching of limbs.

Sleep

► Irresistibly sleepy during day and after eating. ► Constant sopor or unrefreshing sleep. ► Sleepless, aching in head (until 12 P.M.), anxiety on waking, from frightful dreams. ► Sleepless, from crowding of ideas, making plans. ► During sleep : snoring, blowing expiration ; moaning, whining. ► Sleep too short, unrefreshing ; awakens too early. ► Worst sleep after 3 A.M. ► On awaking : cannot collect one's senses vertigo ; hunger ; sweat ; languor ; unrefreshed ; head hot ; oppression of chest.

Time

► Morning till afternoon : 3. Morning : 7, 11, 19, 20, 27, 40. Forenoon : 40. Afternoon : 19, 40. Evening : 1, 22, 26, 27, 40. Night : 1, 3, 5, 11, 14, 16, 19, 20, 22, 26, 27, 31, 34, 37, 40. 3 A.M. : 37. Day : 27, 37. Day and night : 12.

Temperature And Weather

► Room : 3. Entering room from open air : 8. Warm stove : 40. Draught : 3, 10, 27, 36. Open air : 3, 4, 10, 34. Foggy weather : 14. Wet weather : 26. Covering up : 40.

Chill, Fever And Sweat

► Chill preceded by palpitation, anxiety and hunger. ► Chill over the whole body, increased by drinking, thirst before or after, but not during the chill. ► Internal violent chill, with icy-cold hands and feet, and congestion of blood to the head. ► Chill and heat alternating in the afternoon. ► Fugitive chills in the back, tendency to sweat on covering up. ► In the evening in bed, he cannot get warm. ► Wants to be near the stove, but it increases the chill. ► Chill most afternoon or evening ; less forenoon. ► General heat, with distended veins. ► Heat of face, with cold body. ► Long-lasting heat, which frequently sets in late after chill. ► During the heat : thirstlessness or thirst for cold drink only ; desire to uncover ; aversion to food ; or canine hunger ; pains in the liver, chest, back, limbs. ► Sweat : debilitating, night or morning ; profuse ; partial, cold, or profuse, with thirst ; greasy ; on the side on which one lies. ► During the sweat, increased thirst. ► Revulsion of sweat, and therefrom want of sweat. ► Heat of the face, with cold body. ► Sweat profuse, morning and night. ► Sweat partial, cold ; or, profuse, with thirst ; sweats easily, especially at night in sleep. ► Fever, with dry mouth, burning lips ; red, face, delirium ; chill when uncovered : pains in limbs. ► Sweat on side lain on ; sweat less after meals. ► Suppressed sweat. ► Hectic fever, frequent night-sweats, diarrhoea, pallor ; skin dry, flaccid ; sleepless ; nervous ; hunger ; after exhausting disease, loss of fluids, etc. ► Acute fevers, with profuse sweats. ► Typhoid fevers : 1, 2, 8, 9, 11, 18, 19, 20, 26, 36, 37.

Attacks

► Worse every other day : congestions ; chills ; neuralgia. ► Autumn : 26. ► Worse during increase of moon. ► Alternate weakness and feeling of great strength, especially in joints. ► Pains in organs, alternate with wandering rheumatic pains.

Sides

► Right : 28, 33. Left : 22, 27, 28, 32. Left to right : 8. Above downwards : 23, 33. Below upwards : 28, 33.

Sensations

► Pain in every joint, bones, periosteum as if strained. ► Pains with lameness or weakness of affected parts. ► Single parts feel pithy, numb.

Tissues

► Hemorrhages from mouth, nose or bowels ; wants sour things. ► Glands swollen, hot, painful. ► Chlorosis, dropsy, poor digestion ; after exhausting diseases or discharges. ► Red inflammatory swellings. ► Wounds become black, gangrenous. ► Muscles lax. ► Emaciation, especially of hands and feet ; atrophy of children. ► Humid gangrene ; parts turn black. ► Anasarca, ascites in the aged ; also from liver and spleen disease ; drunkards. ► Caries with profuse sweat.

Contact, Injuries, Etc

► Touch : 3, 4, 6, 8, 10, 17, 18, 23, 24, 27, 28, 33, 34, 46. Pressure : 3, 10, 32. Rubbing : 21. Jarring : 3.

Skin

► Skin : dry, flaccid ; yellow ; of whole body sensitive, even palms of hands. ► Ulcers ichorous, sensitive ; ichor has a putrid smell. ► Ulcer flat, shallow, copious discharge. ► Small-pox, pustules black.

Stages And States

► Swarthy persons. ► Debilitated, "broken down", from exhausting discharges. ► Old women after menopause ; pleurisy, dropsy.

Relationship

► Antidotes to Cinchon. are : Aran. diad., Arsen., Carb. veg., Eupat. perf., Ferrum, Ipec., Laches., Natr. mur., Nux vom., Pulsat., Sepia, Sulphur, Veratr. Cinchon. is frequently indicated in ailments from Arsen., Calcar., Coffea, Helleb., Iodum, Mercur., Sulphur, Veratr. ► Also in hemorrhages from abuse of Chamom. ► Complementary to Ferrum. ► Cinchon. increases the anxiety caused by Digit. ► Inimical to Selen. ► Cinchon. antidotes : Arsen., Ipec. ► Chin. mur. is sometimes preferable for periodical severe pain in or above eye, with chills ; iris involved ; cornea ulcerated. ► In intermittent fever of nervous or hysterical women, compare Tarent.