Gonorrhoea in old men, with broken down chronic conditions, brought on by sexual excesses; old chronic catarrhal conditions of the bladder in old men or in old people, with coldness of the extremities and general debility. Organs relaxed, and hang down; bathed with cold perspiration, and with dribbling of the urine.
Urinary Organs. Frequent urination with a burning pain; acute gonorrhoea, < in the evening; urine flows slowly, has to force out the last few drops; dribbling of the urine after urination; great urging to urinate, with much straining, but cannot pass a drop (Cantharis, Nux., Mercurius cor. Conium, Belladonna). There is also scalding and burning in the urethra before and after urination.
Male Sexual Organs. Erections violent, painful; worse when walking or sitting, better when lying down. Sexual desire excessively increased even to satyriasis; sharp pricking pains in urethra, with burning on urinating; acute inflammatory gonorrhoea, with a copious, yellowish-white discharge; mucous discharge often glossy.
The red sulphuret of mercury is on exception to other forms of mercury in its strong, anti-syphilitic action. It, however, spends its force more especially on what might be called mixed Syphilis, or on a syco-psoric-syphilitic individual, if I may be privileged to express it in that way. It affects every tissue in the body, and includes every lesion from a papule to wart, and from an ulcer to that of an exostosis. It partakes of sulphur which gives us its psoric phase, and of the mixed Syphilis or Sycosis and Syphilis in its tertiary stage or when the disease flow soon after birth; it meets morbid growths especially condylomata about the orifices of the body, which make their appearance in the form of a coxcomb, cauliflower excrescence, papillary or blackberry-like growths. These growths appear after birth or after badly treated cases of mixed venereal diseases. Like Nux vomica, Medorrhinum or Psorinum it will often restore a suppressed gonorrhoeal discharge. It has great soreness and tenderness along the urethra which disappears on the re- appearance of the gonorrhoeal discharge. Warts and condylomata appear when the discharge is suppressed or when Syphilis is suppressed with over does of mercury.
Its discharges are copious, thick, dirty, greenish, or yellowish pus; bleeding easily from diseased surfaces is a very common symptom. (Acid nitricum). The discharges are generally offensive like decayed meat, or of a state or dead fish odor. Bone pains and periosteal neuralgia with exostosis are always to be looked for. Many of its symptoms are worse from heat and always < at night, and from lying on the back and during the summer time. Better in a medium temperature.
Acute prostatitis following gonorrhoeal suppression with dysuria and retention. Sensation in perineum as if sitting on a ball; urine fetid, copious, thick; sensation as if there were a swelling in the perineum.
The action of this remedy upon the bladder and urinary organs is very interesting. We find paralysis of the sphincter vesicae and also of the expulsive power of that organ. The sphincters relax and the urine cannot be retained or when it is retained it cannot be expelled. The urine passes without his notice, and he is unconscious of it. He has to examine his garments to see if they are moist or not from the passing urine. This symptom is found in both sexes and often in children. They wet the bed without being conscious of it. In women, the urine escapes involuntarily form coughing, laughing, sneezing. Paresis from long retention of the urine or after child birth is also a symptom to be remembered. It vies with Opium in that respect. Rhus often follows this remedy after straining of the bladder. Painful retention of urine from taking cold; prostatic troubles cause many chronic bladder troubles in this remedy, due to pressure, dribbling of the urine, spasm of the neck of the bladder. The spasm often extends to the neck or to rectum, urging to urinate when suffering with enlarged prostate; urging to urinate without being able to pass a drop. Has to wait a long time before he urinates (Pulsatilla). We have the two extremes in this, urging to urinate with a spasm of the bladder and involuntary urination, unconscious of it. The paralytic symptom usually show itself in some degree in both, sooner or later (Sarsa).
Urine. Dark brown, turbid on standing, deposits a yeasty sediment or oxalate of lime.
Male Sexual Organs. Bloody semen; burning in urethra after coition; erections feeble. Gonorrhoeal discharge not marked, must depend on general symptoms, especially of the bladder. Leucorrhoea profuse; flows like the menses; color is dark and excoriates the vulva. Sometimes it is ropy but clear. Complexion very sallow, and sickly looking. Leucorrhoea often < at night; weariness in the thighs; pulling pains and lameness in small of back; has an aversion to sweets and fresh meats appetite vanishes as soon as they begin to eat. Aphonia, weakness of the voice.
We have in Dulcamara, a remedy closely related to all the stages of sycotic disease from the first symptom of it, until it has demonstrated upon the organism, every expression of its progressive proving. It is more especially adapted to the second and third stages, or the chronic diseases of mucous membranes and its rheumatic element; often no more perfect picture of a sycotically diseased mucous membrane can be found than under this remedy. No other remedy except perhaps Rhus tox, is more sensitive to climatic or barometric changes than the bittersweet. It has the sycotic stools and catarrhal condition of the bowels so marked in children in their autumnal dysenteries, induced by chilling of the solar plexus when the nights are cold, following hot days during the summer or fall months. In this it like Arsenicum, Aloes, Croton tig., Chamomilla, and others. It touches more specifically the rheumatic affections that appear in the third stages of Sycosis and that are brought on by getting wet, or due to suppressed perspiration, induced by changing from a high to a low temperature, or from cold to hot weather. It is the great autumnal remedy for sycotic patients.
Mental Symptoms. Forgets words or cannot find the right word (Medorrhinum), cannot concentrate his thoughts, therefore there is much confusion in his mind. He is restless, impatient, easily angered, quarrelsome, and anxious about his future. All these symptoms are greatly aggravated by lowering barometer or change of weather. Psorinum is always cold, Mercury is better by cold, and Medorrhinum worse in cold or wet weather; dampness and falling barometer greatly aggravate all sycotic patients.
Urinary Organs. Kidney difficulties induced by Sycosis, exposure to cold and dampness; Bright’s disease also from these causes, especially in the acute stages of the disease, or Bright’s disease following scarlet or malarial fevers; swelling of the lower extremities with a waxy appearance of the skin like Apis.
Urination. Constant desire to urinate felt deep in abdomen. This constant urging often comes from getting wet or taking cold or when the body becomes chilled. Better on becoming warm.
Gonorrhoeal. Burning in the meatus while urinating. Painful pressure in bladder; urine scanty, offensive, turbid, with much mucus. Catarrh of bladder from taking cold; all the bladder symptoms are worse in cold, damp weather; when body becomes chilled, has urging and frequent desire to urinate.
Male Sexual Organs. Gonorrhoeal discharges, mucopus, yellowish- white, copious, offensive, catarrhal. Sometimes during the acute stage the discharge is bloody. `Herpes preputialis painful, red or pale red, round, small and scaly. Urticaria often accompanies the disease in which Dulcamara is indicated. It appears in large red or white wheals which burn and itch; they are worse from chilling the body or from a cold in any form. Often these patients have rheumatism alternating with diarrhoeas or sore and inflamed eyes. All the constitutional symptoms are worse in cold or damp weather. Colds, coryza, sore and inflamed eyelids, rheumatism, and diarrhoeas follow taking cold or dampness.
Aggravations. Evening, wet, cold and damp weather.
Ameliorations. Warmth, dry air, dry weather and motion.
Concomitants. Much restlessness and very impatient, easily angered and desires to scold during menses. Cannot find the right word in talking. Sleep uneasy and full of dreams. The urine, during menses is often fetid and turbid with constant desire to urinate.
Rheumatism. The proving of his great anti-sycotic remedy has shown forth the rheumatic element very clearly. It is full of pains and aches. The joints become suddenly inflamed red, sore, swollen and sensitive to touch. They come on from suppression of the perspiration or from working in water, getting wet and the pains are bettered by changing positions like Rhus tox.
This is a very valuable remedy in the hay-fever expressions of Sycosis. It also palliates or relieves greatly, those tubercular expressions of hay-fever that come on about August the 10th or from the 10th to the 20th. These syco-tubercular expressions of hay-fever have a marked periodicity about them. I have frequently noticed that they would return annually on the very same day. On closely examining the tubercular make-up of the patient, you will readily see that there is blended in a sycotic element. Now if you will closely question these patients, you will find that in their youth they had some experiences with gonorrhoea, that was treated in the old orthodox way. If the patient is a child, you will find other marks of heredity. I now recall the case of a young school girl that I treated during the hay-fever period for three years, when she no longer had any symptoms. Of course, she had still many symptoms of Sycosis, but the hay-fever outbursts were manifest for two years symptoms of this remedy, but the third year the received Pulsatilla, which finished the cure. One dose of Euphrasia would usually relieve her when given in the c.m. potency.
The symptoms of Euphrasia are more particularly those of the head, eye, and nose, although it has in some cases marked laryngeal symptoms, and meets those cases described in the beginning of this work, where it was claimed that the colds of Sycosis began in the nose with a fluent mucous discharge, lasting a few days and followed by a laryngeal cough and sometimes asthmatic symptoms. Euphrasia follows this law, often to the let ter. First, headaches, blurring of the vision, stitching pains in the head, photophobia, then a profuse watery discharge from the nose and eyes, with sneezing, smarting and burning. The discharge is watery and acrid, causing burning of the septum of the nose, with a sensation as of dust or sand in the eyes, much itching with desire to rub them.
All the mucous surfaces about the throat, nose and eyes are involved; we have a copious lachrymation and coryza. Sometimes the discharges from the nose is bland, however, in the majority of cases the disease extends to the larynx and is followed with a sever cough and sometimes accomplished with asthma. The symptoms of this remedy are clear cut, fluent coryza, chilliness and fever, often alternating with photophobia, burning, but tears sneezing, headaches; sometimes a rash similar to measles will break out during an attack. The patients always complain of strange odors, as of pus or sweet odors, or odors which they cannot describe.
Aggravations. Morning, open air, cool air, the least draft, or moving about.
Amelioration. Warmth, being in the house, lying down, or keeping still.
Urinary Organs. Urine scanty, pungent, fetid often alkaline. Burning before and after urinating, with aching in the bladder. Urging, frequent and ineffectual; pain on the vertex after ineffectual efforts to urinate.
Male Sexual Organs. Satyriasis, strong sexual desire at night; violent desire to cohabit. Gonorrhoeal in old men with increased sexual desire, or sudden loss of sexual power. Penis curved, greatly swollen, with fullness a and pain in the spermatic cords. Chronic gonorrhoea, when only a single yellow drop appears in the morning (like Sepia).
Female Sexual Organs. Indicated in old women in deep seated chronic cases. Mind buoyant, self satisfied, fears nothing. Menses too soon, copious, thick, coagulated. Leucorrhoeal yellowish, corrosive.
General. Syphilis and Sycosis combined, chronic cases when Silica fails (Pruritis ani. Sycosis of the nose); passage always obstructed. Posterior nose feels expanded. Chronic, fluent, watery coryza. Chronic sycotic rhinitis. Mental symptoms; aversion to one’s own family, forgetful, loss of memory, feeling as if something dreadful would happen, dullness in the forehead.
This remedy may be considered the Aconite of gonorrhoea. It is often called for in the acute or early state of the disease, especially where there is much pain or inflammation accompanied by fever. The fever comes on slowly and is accompanied with a slow, soft pulse, general malaise, muscular prostration, chilliness, no thirst, muscular soreness, general aching and drowsiness; pain at base of brain, and throughout the body. The aching and pains may be absent in gonorrhoea, but the febrile state of this remedy is often met with. It frequently aborts a case, if given early enough. It loses its effects in a few days, however, and has to be followed by some other remedy.
Urinary Organs. Pain, heat, redness and burning at the meatus; frequent urging with scanty omission of urine, and with more or less tenderness of the bladder. Other symptoms are trembling of the hands, despondency, muscular prostration with a dragging sensation in the testicles. Gonorrhoeal discharge whitish, mucous, scanty in the febrile, stage; copious after fever subsides. Urination often relieves the headache. Similar to Nux. vom. in its mucous discharge.
Case 1. Arthur B., 20, light complexion, was taken suddenly ill, without any apparent cause; temperature 103; face flushed slightly; generally prostrated with some aching in the extremities, and a dull headache at the base of the brain; he is irritable when spoken to, drowsy, wants to sleep; much burning at the meatus when urinating, which comes on about every hour. Acute symptoms were all relieved by this remedy. I learned within a day or so that he had taken a medicated injection which caused the discharge to cease. There was a copious mucous flow a few hours after taking the remedy.
Case 2. Wm. L., age 32, dark complexion, has been taking oil of sandal for nearly a week; symptoms, fever, general aching, headache, drowsiness, stupid, wishes to be left alone; urinates every few minutes when on his feet; better lying down; much prostrated and is chilly; pulse soft and slow as compared with the temperature which is 102. Discharge is scanty like starch- water which was greatly increased after ceasing the use of the sandal oil. Case was cured in one week with no change of remedy.
Urinary Organs. Stitches in the region of the prostate gland while urinating; frequent urging with at first only a few drops, then the stream becomes natural (T.F.Allen). Gonorrhoea with stitches in the orifice of the urethra when urinating; burning, biting or a tickling sensation in the orifice when urinating. When the urine begins to pass it causes a shiver to pass over the patient as if he were chilly; burning at the close of urination; swelling of the testicles and especially the epididymus after suppression; testicles drawn up and sensitive; discharge, white mucus.
In these days of strenuous living and of stress and strain, we frequently need such a remedy as Lachesis. We need any of such remedies to restore harmony to the abused and overworked nerve centers of our patients. How many of its symptoms correspond to the symptoms of Sycosis as od those of Rhus. tox., Gelsemium, Lac., can. and Thuja. Remember in Lachesis we have the quick, comprehensive, supersensitive patient, or we may have great dullness of intellect with bodily weakness to correspond with the low state of mind. They are often sad, melancholic, whimsical, suspicious, distrustful and above all jealous. The face looks anxious, distressed and uneasy. The discharges are all dark foul- smelling, thin and watery. The lesions are malignant or semi- malignant, supersensitive or hyperesthetic and are aggravated by heat, touch, warm bathing and after sleep. Selfconsciousness stands out boldly at all time, and no pressure or weight can be endured on any of the nerve centres of the body. This is peculiar to Lachesis in all its provings and clinical work. In insanity they think they have superhuman power or control and are oversensitive to impressions or touch, all the faculties being oversensitive and intense. Yet strange as it may seem, hard, firm pressure will often relieve. The face in this disease is of a purple color or mottled in severe cases, with hemorrhages of dark, thin watery blood. Again the face my be puffed, livid, besotted, sallow and oedematous.
Urinary Organs. There are stitching pains in the kidneys extending downward through the ureters. In cystitis there is a feeling as of a ball in the bladder or in the abdomen when turning over. There is ineffectual urging with much burning when the urine passes. Again, the urine may be scanty, and very dark, and cause violent burning. The urine is strong, dark brown, offensive in fevers, or it is black and foamy, and it may be as if mixed with coffee grounds, as in scarlatina. Then, again, it may be black and albuminous in that disease.
Male Sexual Organs. Great sexual excitement and sexual desire is manifested in this disease. A jealous mania or epilepsy often follows sexual excesses in this remedy. There is excessive sexual desire with continuous erections at night or after first sleep; the semen has a pungent smell. On the sexual organs you will often find sycotic eruptions or ulcers of a dark, bluish color. The scrotum is greatly swollen, of a dark color; there is threatened gangrene of the sexual organs; chancres or chancroid ulcers, dark in color and phagedenic in character; buboes of a dark color, very sensitive to touch, and with fistulous openings.
We are only beginning to understand the use of the milk remedies, and we are greatly indebted to Dr.Swan and Dr.Laura Morgan for what we known of this remedy. It shows clearly, that we ought not to stop in selecting from nature’s storehouse, remedial agents for the cure of the sick. Strange and peculiar are the symptoms that develop from the animal fluids and excretions, deep and profound are their action; they go down into the innermost chambers of life, in their work upon the vital force.
Mind Symptoms. Depression of spirits; listlessness, with disinclination to either bodily or mental labour, seems to be quite a constant symptoms. Headache with great depression of spirits. It cures (like Natrum) a headache found in very anaemic, tubercular patients especially in women who are run down in health and very anaemic. Their residual supply of nerve energy is very low, therefore they faint easily or have fainting spells. The headache of these patients is often worse lying down; when they get out of bed and get on their feet, it induces fainting or a faint feeling, as in China and Ammonium Carb. The pain is usually in the forehead just above the eyes; occasionally it reaches to the occiput. The pain is often unbearable, intense, and lasts for days. Nat. mur.and Tuberculinum have a similar headache. When the pain gets very severe, nausea and vomiting is often induced, they have a great dread of light, noise and motion. It is relieved by copious urination. The inner edge of the right eyebrow is favorite for the headache of this remedy to begin. It is called the “American” sick headache Chronic constipation with these sick headaches is not infrequent; stools are dry, large and hard, causing the patient to strain much, and often the stool lacerates the anus.
Urinary Organs. In women the urine is pale, copious, and retained with difficulty. There is pain in the region of the kidneys, that passes around towards the bladder like berberis, or the pain goes from the kidneys down the back to the thighs. Sometimes the urine passes in a great an like hot water.
Dr. J.T.Kent says that milk remedies are animal products and foods of animal life, and therefore correspond to our innermost physical nature. True it is often necessary to select from some of these milk products, in order to find a remedy that will reach down deep enough into the life and the potent, disturbing element. Lac. caninum is one of these remedies for consideration and study. It has many mental and nervous symptoms peculiar to Sycosis. In the crude state it was used there thousand years ago for the expulsion of the dead foetus and as an antidote for poisons. Its symptoms are as follows: The mind is very forgetful, in writing, uses too many words, and not the right ones, forgets words and sentences (Medorrhinum). Its mental symptoms remain long with the patients and are very distressing.
A few of the more marked sycotic disease might be mentioned, that are curable by this strange remedy. Hysteria, acute or subacute mania from suppressed gonorrhoea, or mental conditions following operations in sycotic diseases in women, such as removal of the ovaries, uterus and tubes. The mania is similar to Lachesis, so are the dreams and hallucinations; the dreams are of horrible deceased states of the body; foul ulcers, as if her body was so diseased she could not touch it. They are constantly washing or scrubbing the body to get it clean. Is this not true of Sycosis more than any other miasm? Psora is afraid of water and it usually aggravates all its symptoms. Like Lachesis, Lac caninum is worse after sleep; as soon as the eyes close she sees snakes, dark or black water, and horrible sights that make a lasting impression on her mind. One case that I now recall would not shake hands with her friends or touch anything for fear of polluting herself. There is no desire to live; in this we have another suicidal remedy. Her mania is often of a violent nature like Belladonna, Stramonium, Verat alb. The diphtheritic symptoms show the malignancy of the sycotic element present. All the malignancy of the sycotic element present. All the discharges are putrid and offensive; it has ulcers, sore throat, pustules, and eruptive diseases of all kinds.