Aconite is seldom indicated outside of psoric or pseudo-psoric states, yet I have used it a number of times in febrile conditions in young people in the beginning of the disease, where there was high fever, hot dry skin, dry mouth, much thirst, great restlessness and mental anxiety. Burning in the neck of the bladder when not urinating; urine urging with passing of dark, feeling hot as it passes. Painful anxious urging with passing of dark, scanty, hot urine; acute gonorrhoeal orchitis; testicles hot, hard and swollen.
CASE 1. Mr. L., age 18, had gonorrhoea for four or five days; discharge suppressed by medicated lotions. I found him suffering with a high temperature, skin dry, hot; great restlessness with much tossing about the bed with active delirium; much thirst; frequent, painful urging to urinate, passing only a few drops of bloody urine, with much suffering. Temperature passed away during the night and the gonorrhoeal discharge was re-established, and a case of acute cystitis avoided.
This is another remedy which had cold shrunken organs in the male. It has many special reflexes due to sexual excesses. It acts also in the cure of cold chronic gleet or gonorrhoea. The erections and the organs are painful, often violent chordee. In Dr.Kent’s Materia Medica we find this symptom, constant itching and tingling along the urethra. It has the last drop of the discharge prolonged like Sepia. Like Nux vomica or Medorrhinum, it is often the remedy to follow much local treatment. The urinary flow is intermittent or dribbling after urinating. it is occasionally milky, with burning in the urinating. It is occasionally milky, with burning in the urethra after urinating and much itching in the hairy parts.
Case I. Johm C., age 50, tall, spare of flesh, despondent, low spirited, fears death; has had gonorrhoea for six months; discharge yellowish, mucous, with aching along the spermatic cord; complete impotence; penis relaxed, small; organs generally cold and flaccid. He has seminal emissions twice a week; fears he will die or that he is incurable. Cured by this remedy. AMMONIUM MURIATICUM
Urinary organs. In this remedy we have almost the tenesmus of Nux vomica, Mercurius and Canth; indeed it is not far behind Cantharis in its tenesmus, although it has not the strangury of that remedy, great urging while but a few drops pass. This tenesmus is confined principally to the neck of the bladder.
Urine, Copious, strong smelling, moldy, musty, ammoniacal.
Gonorrhoea or leucorrhoeal discharge like the whites of eggs, or brownish or slimy; worse after urination; colicky or griping pains accompanies the discharge in the female.
Urinary Organs. Nephritic colic; urging to urinate; urine has strong odor (Nit., ac. Benz, ac.); discharge frequent, scanty, with sensation as if something were sticking in the urethra, with slight burning. Frequent urinations with fine stinging in the meatus. Urine scanty, straw-colored, offensive, followed by cutting and burning in the urethra, < from 6 to 8 A.M., sensation as if something was still passing after urination; red lithic deposits on side of vessel (Sepia) or a greasy deposit.
Male Organs. Sexual excitement, with stitches on side of penis, with urging to urinate, swelling and erection.
This is a remedy for chronic gleet in men who are debilitated both with old age and with the disease. While it is not very frequently indicated, it does good work when the symptoms call for it.
Urine. The urine is passed frequently and in small quantities, often bloody or mixed with clay-like deposit. Alumina may be thought of as a remedy in the tertiary stage of the disease, especially when Bright’s disease or diabetes has developed from suppression and the symptoms point to this remedy. The urine is very slow to start in this remedy, urinates ((>)) in a standing position. The vaso-motor paralysis is seen all throughout the action of its proving.
Male Sexual Organs. Gonorrhoeal discharge yellowish, painless, and bland. The gleety discharge are yellow, never becoming white as in other remedies. Other symptoms might be mentioned as prostatic irritation, and enlargement; sensation of fullness in the perineum; paralytic weakness or paresis of the sexual sphere in general; voice weak, low, feeble; skin dry; no perspiration.
Urinary Organs. Nephritic pains. Pricking in bladder.
Urine red with sand like sediment Phosphorus Lyc, Kali phos. Sepia) Red sand (compare with Lycopodium).
After urination, weight, burning, itching, in urethra.
Male Sexual Organs. Sexual desire; increased lascivious ideas; frequent erections.
Coition; pain in spermatic cord after.
Urinary Organs. Cutting pain in the urethra while urinating, and backache during the emission of the urine, are quite positive symptoms of this remedy. The majority of the symptoms center, as we know, about the stomach and digestive tract. It is a much prized remedy when we come to sycotic gastric disturbances and marked gouty states of the system. It is also to be used in the sycotic snuffles of infants, that are aggravated when the room becomes warm, like Pulsatilla The gonorrhoeal discharge is copious, thick mucus resembling Nux vomica
The ammoniums are seldom indicated in sycotic troubles. Occasionally we find symptoms calling for this form if the drug in women who have a weak heart, with a marked tendency to faint. This is more marked in elderly women or in old maids. They have usually a tubercular diathesis with a hemorrhagic tendency. the blood will not coagulate and is very dark. The heart symptoms are aggravated in a warm room or by over exertion.
It may be considered before Lachesis in hysterical affections.
Urine. Pressure in bladder especially at night. The urine excoriates the parts it comes in contact with, producing biting and itching.
Male Organs. Pain in testicles and seminal cords, violent sexual desire without erection; < in the morning.
Gonorrhoeal discharges in women, thin, acrid, scanty or profuse, producing itching, swelling and burning of the pudenda or perineum. This remedy like Pulsatilla is ameliorated by lying on the stomach and its aggravations are similar to Rhus. tox., namely, wet weather, washing, and during menses. Sometimes the discharge has an ammoniacal odor.
Like all minerals this is a deep acting remedy. It is found very useful in both sycotic and psoric disease. @It is said to act more especially upon nerves and cartilages, but we may safely say it affects every cell and fiber of the organism. The patient grows more emaciated as he grows more nervous. Argentum patients look careworn, tired pale, and sickly.
Urinary Organs. Urine Pale, fetid, often of a sweetish odor; often very profuse in nervous patients; nervous conditions relieved by passing large quantities of urine. The nervousness passes off in that way. (Ignatia has this symptom also.)
Sexual Organs; chronic Orchitis with much infiltration and hardness of the testicle, after gonorrhoea. The pain is spoken of as if the parts were being crushed. Urine diabetic.
The gonorrhoeal discharge is yellowish-green and thick even in old chronic cases. This is an unusual symptom as the discharge usually grows thinner as the disease grows chronic and painless. In women it is apt to be purulent, ichorous, bloody, accompanied with more or less pain in the left ovary and a bearing down sensation in the inner parts. It differs largely from Argentum nitrate in its nervous symptoms.
The cachexia of Sycosis is often very marked in this remedy. The fact is pale or bluish, cheeks sunken, sallow, dirty looking, and prematurely old.
Urinary Organs. An ulcerative or splinter-like pain along the center of the urethra is peculiar to this remedy; urine burns when passing; passage feels swollen with a sensation as if a drop remained behind. (Thuja, Kali, iod. Medorrhinum). Urine dark or dark yellow in color. Quick urging to pass urine; passes frequently and a little at a time; office quite sensitive; orifice swollen, puffy, in which it resembles Medorrhinum. In fact it resembles Medorrhinum in many ways in its action upon the urinary organs.
Male Organs. Chordee with bloody urine; contusive pain in the testicles with enlargement and hardness. Discharge in gonorrhoea copious, yellowish, green mucus. In fact all the discharges of this remedy, the diarrhoeas, leucorrhoea, gonorrhoea, and catarrhal difficulties have that same copious, dirty-greenish, or yellowish green mucus. Its ophthalmia is a type of this remedy. The diseased mucous surface is always red, puffy, swollen and covered with this peculiar discharge. The discharges have a musty, old hay or stale fish odor. The gonorrhoeal discharges of Medorrhinum are more scant, but they are of a similar odor and consistency. Often we find strings of mucus in its discharges. It excoriates and produces erythema as if passes over healthy skin or mucous membrane. The fact that this remedy in the crude state is a powerful suppressive agent in the hands of the old school proves to us how efficient it becomes as a curative agent in gonorrhoea.
Urinary Organs. Copious evacuations of pale, colorless urine, with no sediment, of alkaline reaction. Itching, slight burning and tickling at the orifice when urinating.
Male Organs. Long lasting, painful erections; skin eruptions, and many symptoms increased by sweating. Diarrhoea, with increased secretions of urine, an unusual symptom. A more complete proving of this remedy should be made.
Urinary Organs. Irritation of the bladder, increases at night; constant irritation cannot retain the urine (old people.) Urine clear, abundant; before urination, great desire; during, burning in the urethra; after, renewed straining with dribbling.
Male Organs. Impotence, diminished sexual desire, penis relaxed, erection only in the morning. Prostate gland hypertrophied. Gleet or gonorrhoeal discharge, purulent with pain in the fossa navicularis on pressure; sweat about the scrotum with soreness.
Female Organs. During menses pinching colic with cutting in the abdomen; feeling of weight over the pubic region; bruised pain in the small of the back; lameness, weight and heaviness in the small of the back. Flow of a bloody, mucous nature. Leucorrhoea, bloody, mucus-like, with tearing in the pudendum, attended with anxiety and palpitation of the heart, found in obese elderly women, or weak, dwarfish, undeveloped young girls.
Benzoic acid has many symptoms of Sycosis in the hereditary and tertiary stages of the disease. Like Lycopodium, Lithia carb., Nitric acid and other sycotic remedies, it meets especially well the urinary symptoms and the uric acid diathesis. It has the true gouty and the lithic constitution, which as we all know is one of the persistent sycotic states so difficult to cure. We have frequent recourse to this remedy to relieve the acute lithic expression of chronic Sycosis. When these gouty waves reach their maximum, the offending debris is eliminated or thrown off through the urine, and are made manifest in the urinary secretions.
Its symptoms are spasmodic and changeable. Just as these gouty stages are influenced by the course of living, diet and weather changes.
Urinary Organs. Urine suddenly changes from a clear to a dark beer color. When the urine is scanty, the patient suffers with gouty secretions in the joints, or gouty states of the heart, liver, stomach and intestinal tract. As soon as the urine becomes profuse, the suffering is relieved. Urine strong-smelling, like horse’s urine; scanty, dark, full of a brick-like or red pepper deposit and very offensive smelling. Dr.Kent very wisely says we are not to check the excessive output of the kidneys, for it would be as harmful to the patient as suppressing any other discharge. When the urine is full of these lithic deposits the patient feels well and vice versa. The urine is often of such as strange pungent odor, that it meets your nostrils as soon as you enter the patient’s room. We find this often in children or even infants whose parents have acquired Sycosis. (Nitric acid., Ammonium, mur.) The bloody and clothing of these children has a urinous odor.
Discharge muco-purulent; urine dark, often of a deep red color.
Sexual Organs. Sexual desire depressed both in men and women, often completely gone in women; great prostration after coition; cutting pains after sexual intercourse; great excitability and weakness in the morning after coition. Burning in the urethra after coition, or burning pain in the spermatic cord extending to testicles in the male.
Gonorrhoea. Penis hard, contracted around upper surface. Burning in the glans of the penis in kidney troubles; cold sensation in the prepuce and glans of the penis. Great weakness in the parts is noticed after urination. Constant urging to urinate with pain in neck of bladder, or pains extending to hips and thighs.
Urinary Organs. This remedy may be studied and carefully compared with Benzoic acid Lithium carb. in its action upon the urinary tract. It has its gouty and lithic phenomena like these remedies. Dr. Kent says “it is indicated in anaemic, feeble constitutions, especially in elderly people who are pale, sickly and constantly chilly.” Urine is either very scanty or profuse, clear in color or full of lithic deposits. It has red sandy deposits like Lycopodium, Sepia, and Phosphorus This is more apt to come from the left kidney. The pains are sharp, sticking, the majority of which radiate about the region of the kidneys or from the kidneys.
Bladder. Crampy contraction, or aching pain in the bladder, whether full or empty.Cutting pains, deeply seated; violent, sticking pains in bladder, with desire to urinate; great urging, with pain in the neck of the bladder, burning with scanty urination. These cutting pains are invariably < in the left side of the bladder or pelvis. Chronic sycotic catarrhal troubles of the bladder of long standing, (similar to Thuja or Sarsa.), with pains shooting about the loins, or pelvis. Pains in the hips and thighs before urinating; ((>)) by urinating. These pains awaken the patient about every two hours during the night, relieved by urinating; sent to sleep as soon as she urinated and pains ceased. Cutting and burning in the urethra, < when urinating; violent burning and shooting pain in the orifice of the urethra. Urine often blood bed; urine filled with a copious, grayish-white or reddish sediment, yellowish-red crystals, small calculi. Sometimes urine flows very slowly, with much pain and pressure in the bladder; violent urging, < in the morning, accompanied with pain in the loins and hips. In gouty conditions there are pains in the spermatic cords and testicles. These pains may be stitching or burning, and are < in the left cord with sexual weakness. Pain in spermatic cord extending into the abdominal ring or into the testicles. Drawing from the left testicle to the spermatic cord. Sexual organs cold; shrunken with shooting or burning pains in spermatic cord.
Urinary Organs. Very painful swellings of the penis with painful erections; shooting or cutting pains on urinating; sexual desire greatly increased during an attack of gonorrhoea.Its action is quite similar to Cann. ind., Cantharis, and Petros. Burning, smarting in the urethra; it feels sore and inflamed the whole length during erection, a tensive drawing pain as if urethra were drawn up in knots. Pains extending from orifice of urethra back to the neck of the bladder; painful spasmodic closing of the sphincter, with urging to stool when urinating. (Nux. vom.) Pain < at the close of urination. (Sarsa.)
Male Sexual Organs. Priapism with copious, mucous discharge in acute gonorrhoea. Urination accompanied with shooting pains (Cann. ind.); penis swollen; prepuce dark red; red, lentil-sized spots on the glans of the penis; indicated in the acute inflammatory stage of gonorrhoea, where the inflammation is deep seated. Gonorrhoea, where the inflammation is deep seated. Gonorrhoea, acute, with stitching pains on urinating; frequent prolonged erections with shooting, stitching pains; much swelling of the prepuce; when walking, penis feels very sore; walks with legs wide apart.
The aromatics and the peppers are all good anti-sycotic remedies. They all, as a rule aggravate the disease in any stage when employed as seasoning in food. The allopathic school is very exacting in prohibiting their use to all patients afflicted with this disease; often as much so as they are in prohibiting the use of stimulants, for the same reason that they aggravate the discharge and prevent or hinder to a very great degree the suppression of the disease. Strange to note, however, these same remedies are given in powerful doses internally to assist the local measures in their so-called cures of gonorrhoea. Cubebs, Copaiba, oil of cedron, and other anti-sycotics are commonly used and they are all profound irritants of the urinary tract. Even the use of tea, coffee, pepper, tobacco, are also taken away from these patients, as soon as it is discovered that they are victims of the disease.
For the reasons above mentioned Capsicum proves a valuable remedy in this complaint. Mental symptoms-Tormented with thoughts of suicide; does not want to take his own life, but the thoughts are persistent and never leave him. If he does commit suicide it is because of these strong impulses. Sycosis produces suicidal symptoms more than any other miasm. Capsicum is adapted to rosy, red-faced, clear skinned, blond individuals who are fond of beer or stimulating food, and aromatics. They are as a rule quite plethoric, easily tired and have slow and sluggish reaction.
Urinary Organs-Burning in the bladder is given in Herings’ Guiding Symptoms as a marked symptom, but I have not verified this symptom. Burning at the meatus or at the orifice is a strong symptom of the remedy in gonorrhoea; a burning as of fire. It is a burning, peppery, urine hot as it passes the orifice and the burning continues for some time after urination. Burning, biting, cutting, smarting, scalding with tenesmus and chordee after urinating. Urine reddish or even bloody.
Male Organs. Gonorrhoea with painful erections, and a thick creak-like discharge with a slight, greenish tinge to it (Nat. sulp). Chordee relieved by cold bathing. Bland, thick, cream-like gonorrhoeal discharge with no pain (Second stage); meatus swollen, puffy and red like Medorrh.: coldness of the scrotum; prostatic pains; sensation as of pepper sprinkled on the parts, worse on the skin of the affected parts.
Compare the gonorrhoea discharge with Pulsatilla, Nat. sul. Aggravated by touch, ameliorated by bathing in cool water. It is frequently indicated in the tertiary stage or in the characteristic gouty states of this remedy. It is followed often by Sul., Silicea, and Nat Mur.
Case 1. Mr. Charles L., age 21, light complexion, blue eyes; face flushes easily; the tubercular element is well marked in every feature of his face; indeed his whole make up, even to his fingers show he tubercular diathesis. He has had gonorrhoea for three weeks. The urine feels not on passing and is accomplished with a cutting, smarting and burning pain. The orifice is red, puffy and swollen. The discharge is thick and cream like and resembles the tubercular pus. Capsicum 1m given, a few powders and in ten days followed by the c.m. potency. Cured in four weeks.
Case 2. John S., age 26, light complexion, blue eyes, inclined to be fleshy and has no desire to work. Is constantly condemning himself for having caught the disease; has been taking gels., but the discharge has suddenly become thick and pus like. Capsicum in a few doses 1m in ten days has decreased it to a thin, scanty and watery discharge. Case retaken when silica was given which cured the gleety discharge.
This too is a true antisycotic remedy. Its action in hereditary Sycosis or in the sycotic child is known to every physician; although we may not have known that the majority of these little sufferers were sycotic, and were born of sycotic parents, who themselves had acquired gonorrhoeal Sycosis. We see this in their mental irritability, in their oversensitiveness as to being looked at or spoken to, in their inability to endure pain, in their colicky pains and in the green slimy stools (as we see also in Rheum); we see it in their relief from motion, from being carried or rocked, which are common ameliorations in sycotic diseases.
Urinary Organs. The pains of this remedy are of a sticking character about the neck of the bladder, often worse when not urinating; urine passes without force; urine hot, yellowish with a flaky sediment, turbid or clay-colored soon after passing.
Male Sexual Organs. Violent erections and excited sexual desire in gonorrhoea. Swelling, soreness and much redness of the prepuce.
Urinary Organs. Urine passes intermittently. The scanty flow ceases entirely, but finally returns with burning at the meatus. Urine smells like onions.
Male Sexual Organs. Gleety discharges, agglutinating the orifice in chronic gonorrhoea (Graphites).
General biting as from ants on the sexual organs. Aphthae about the labia during the menses, with agglutination of the parts in the morning. It is also indicated frequently in the dark, green, sycotic stools of infants and young children, or in Sycosis of the gastro intestinal tract (Borax. Chamomilla, Argentum, nit; Rheum Crocus sat., Mag. carb.).
The whole mental and physical state of this remedy is slow and sluggish. Capillaries and veins are full; circulation is sluggish; veins are congested all over body; hands and face are puffed; the part feels full and enlarged; the skin in dusky; and the parts remote from the center of circulation cold. It is often indicated in old people with devitalized bodies; when every disease affecting the patient is deep acting and profound, threatening often the life.
Urinary Organs. Soreness at neck of bladder; urging to urinate frequent; anxious day and night; pain on urinating cutting and sharp. Urine is offensive, turbid, scanty, sometimes bloody mucus only; dribbling of urine in old men; urine stale, dirty brown or yellowish.