Bark of Galipea cusparia. Bonplandia trifoliata. (From Angustura, South America.) *N. O. Rutaceae. Trituration and tincture of the bark.
Clinical
Bone-pains. Caries. Diarrhoea. Injuries. Intermittent fevers. Myopia. Spavin in horses. Tetanus. Toothache. Whooping-cough.
Characteristics
The effects of *Angustura are closely allied to those of *Nux- v., *Ruta, and *Mercurius. The mental condition is one of over- sensitiveness and excitability, the slightest offence, a mere trifle, irritates as with *Nux-v. On the other hand there is pusillanimity, which corresponds more to *Ruta. Among the prominent features are: Drawing, tension, stiffness of muscles and joints, bruised, sore feeling as after a blow. Drawing of head to right side, later to left. Short-sighted. Heat in forehead at night. Exostosis of lower jaw. Trismus neonatorum (where much *Mercury had been given).Drawing in upper right molar tooth better application of cold finger. Thirst, constant desire to drink. Irresistible desire to drink coffee. Hiccough after cough. Belching with cough (*Ambra). Every evacuation followed by shivering, crawling sensation over face. Tenesmus with soft stool. haemorrhoids protrude with hard, knotty stool. Seminal emissions. Itching of tip of glans penis (when walking in open air). Violent itching on scrotum. Dry, hacking cough from scratching in throat or irritation behind sternum. Irritation
behind sternum through to back. Palpitation worse sitting bent and better sitting up. Cutting pain from point of right scapula to breast, near nipple (*Chelidonium). Pain in cervical vertebrae worse moving arms. Tearing as if in the bones, worse at rest, better cold applications, better extension, worse exertion and pressure. Spinal cord and extensor muscles principally affected, cracking in all joints. Caries of long bones. I have verified the power of *Angust. over long bones in a case of acute periostitis of the tibia in a scrofulous boy. The 5X trituration speedily arrested inflammation, after the failure of *Mercurius *viv. Symptoms worse from exertion, from stooping, sitting bent over (palpitation), moving or lifting arms, drinking warm milk, 3 p-m. (loose cough, better application of cold fingers (toothache), cold application, extension, lying on left side.
Relations.
*Ang. is like Ruta in its action on bones, and as an antidote to Mercury, also like False Angustura (Angustura spuria, Brucea antidysenterica, Nucis vomicae cortex (*see Brucea), Belladonna( Worse 3 p-m., easily startled, heat in female genitals, trismus), Bryonia, Rhus, All-c., Chamomilla, Coffea (toothache better by cold), Cicuta, Ignatia, Nux-v. (tetanus), Mercurius, Phosphorus, Silicea (Caries of jaw), Aesculus, Aloe. (Piles and backache), Ant-c., Ant-t., Lil-t., Nat- m., Pulsatilla, Sepia (Eruptions), Hypericum, Ledum (Punctured wounds), Ran-b. (pain in pectoral muscles). *Antidoted by: Coffea (not Camph.) Bryonia (Bellyache after milk), Chelidonium (sharp, cutting pain from just beneath right scapula to chest).
Mind
Timidity of character, and tendency to take alarm. Pusillanimity, and want of self-confidence. Ill-humour and discontent, with great readiness to take offence. Extreme excitement and gaiety. Absence of mind and reveries. Vivacity of mind, chiefly in the afternoon.
Head
Head bewildered, with stupidity, as if after intoxication. Dizziness in the open air, or on crossing a stream of water.-In the evening, pressive headache, with heat in the face.-One-sided headache, or both sides ache as if about to faint. Boring pains. Pain, like that of a bruise, in the brain.- Cramp-like pains in the head.Piercing in the temples. The headaches appear mostly at sunset, and continue until the patient goes to sleep. Sensation of torpor in the temporal muscles, with tension on opening the mouth.
Eyes
Tension and pressure in the eyes, as from too strong a light. Sensation of dryness and pain, as of excoriation, in the eyelids. Redness, heat, and burning in the eyes, with nocturnal agglutination of the eyelids. Spasmodic stretching open of the lids. Eyes fixed, prominent, immovable. Sight confused, as if by a mist, or as if the cornea were obscured (in the morning). Objects too far distant, must bring them closer.
Ears
Cramp-like pain in the ears. Jerking and tearing before and in the ears. Sensation as if something were placed in or before the ears. Heat in the ears. Diminution of hearing.
Face
Heat and bluish redness of the face. Tension of the facial muscles. Cramp-like pains in the cheek-bones and in the masseters frequently dart through the eyeballs and temples, worse by stooping, walking, or mental excitement. Trismus, with the lips strongly separated, displaying the teeth. (After the spasms, the face and lips still remain bluish for some time.) Exostosis at the lower jaw.
Teeth
Drawing odontalgia. Throbbing in the hollow teeth.
Mouth
Dryness of the mouth and lips. (In the evening), viscid, insipid, and putrid mucus in the mouth, with constant desire to drink. Tongue white, and, as it were, rough. Sensation of burning in the tongue.
Appetite
Bitter taste, principally after dinner and after smoking tobacco. Thirst, with desire for cold drinks, or sensation of thirst without a desire for drink. Disgust for food principally solid food with irresistible desire to take coffee, or with insatiable hunger. Disgust for pork. Imperfect eructations after eating, with a sensation of fullness in the chest.
Stomach
Bilious eructations. Nausea while dining, or walking in the open air, with uneasy sensation of faintness. Pain, as of incisive excoriation in the stomach, particularly at the beginning of a meal. Cramp-like pain in the pit of the stomach. Acidity, coated tongue, pappy, unpleasant taste and loss of appetite.
Abdomen
Bruise-like pain in the abdomen. Cramp-like colic. Severe pain, extending in a line from navel to sternum. Cutting pains, chiefly after having taken milk (hot). Shooting pain in the abdomen. Borborygmi and fermentation in the abdomen, as preceding diarrhoea.
Stool and Anus
Stools frequent and copious. Diarrhoea of mucus, with colicky pains. Diarrhoea day and night, each evacuation preceded by cutting pains in the abdomen, usually attended with nausea in the morning, stools often whitish, thin and copious, diarrhoea becomes chronic, with loss of flesh and great debility, constipation. Pressive and contractive pain in the anus with swelling of the haemorrhoids. Burning in the anus while at stool.
Urinary Organs
Frequent want to make water, with scanty evacuation, or frequent and abundant evacuation of urine, preceded by pressure on the bladder, and followed by tenesmus. Urine of an orange colour, and soon becomes turbid.
Male Sexual Organs.
Much itching of all these organs, sometimes voluptuous.-Seminal emissions.
Female Sexual Organs.
Troubles with the right ovary. Sensation as if the uterus were beating against the right ovary and right hip.
Respiratory Organs
Hoarseness from mucus in the ariel passages. Intermitting spasmodic breathing. Voice weak and faint. Dry cough, with rattling and scraping of mucus in the chest. Violent, deep cough, with expectoration of yellowish mucus. A sort of whooping-cough with hiccough and belching of wind. Cough occurring every p-m., at 3 o, clock.
Chest
Respiration convulsive (intermittent). Constriction in upper part of lungs, as if one had been running. Oppression of the chest, on walking quickly, and during an ascent. Cramp in the chest, with painful spasms of the muscles of the chest. Painful sensitiveness of the chest, even to the slightest touch. Bruise- like pain in the muscles of the chest, on moving the arms.
Heart
Incisive shocks, or shootings in the chest, and in the region of the heart. Violent throbbing of the heart, when seated and leaning forward, or in the evening, in bed, when lying on the left side. Palpitation of the heart with anguish.Heart feels suddenly swollen, with great fear of dying, better by lying on left side. Sensation of painful contraction of the heart.
Neck and Back
Painful heaviness in the nape of the neck, and between the shoulder-blades, in bed, in the morning.Opisthotonos. Violent itching along the back. Pain in the loins, as if bruised, mostly at night, and particularly towards four o’clock in the morning.
Upper Limbs
Arms tired and heavy, as if paralysed, with stiffness in the elbow. Paralytic weakness of the elbows and of the hands. Cramp- like drawings in the forearm, the hands, and the fingers. Coldness of the fingers.
Lower Limbs
Pain, as of dislocation, or of cramp in the coxofemoral joints, also in the legs and in the feet. Pain, as from fatigue, in the thighs and in the legs, when walking, as if they were going to break. Pressive drawing in all parts of the lower extremities. Pain in the joint of the foot on putting it down, producing lameness. Paralysis of the legs, imminent with trembling of the feet. Paralysis of the joints of the feet. Drawing in the limbs, with soreness. Pain in the inner side of the ankle, when walking, causing limping.
