Ignatia amara. (Strychnos ignatia? Strychnos multi flora? The actual tree from which the so-called “beans” are obtained is not known.) Faba. indica. St. Ignatius’ Bean. (Philippine Islands.) *N. O. Loganiaceae. Tincture and trituration of the seeds.
*Abdomen, distended. *Anger, effects of. *Anus, affections of. *Anxiety. *Appetite, disordered. *Back, weakness of. Catalepsy. *Change of Life. *Chorea. *Clavus. Convulsions. *Croup.
*Debility. Dentition. *Depression of Spirits.* Diphtheria. Dysmenorrhea. *Epilepsy. *Fainting. *Fear, effects of. Flatulence, obstructed. Glands, enlargement of. *Haemorrhoids. *Headache. *Heart, affections of. *Hiccough. *Hysteria. *Hysterical-joint.* Intermittent fever. *Locomotor ataxy. *Melancholia. *Numbness. *OEsophagus. *Paralysis. Phlyctenular ophthalmia. Proctalgia. Rectum, prolapse of. Rheumatic fever. Sciatica. *Sensitiveness. *Sinking. *Sleep, disordered. *Spinal irritation. *Tenesmus. *Throat, sore.* Toothache. *Tremors. *Urine, *abnormal. *Vagina, spasm of. *Voice, lost. *Yawning.
In order to obtain a proper understanding of the power and place of *Ignatia it is necessary to get rid of two prevalent erroneous ideas. The first of these is that *Ignatia is a remedy for hysteria and nothing else, and the second is that it is the only remedy ever required in cases of hysteria. One minor inconvenience attending these notions is, that patients have become very shy of the drug, and resent having it prescribed for them, thinking that their doctor deems them hysterical if he does prescribe it. The recent outbreak of plague in the East has recalled the fact that *Ignatia has earned a reputation as curative even in that disease. Honigberger relates that it was a common plan when plague was raging in Constantinople for people to wear a bean attached to a string as a prophylactic, he administered “minute doses” of it to patients affected with plague with the best success. Later on he himself caught the disease in India, and cured himself with the same remedy (H. W., xxxiii. 51). In intermittent fever it is the only remedy that will cure certain cases. In the early part of my homoeopathic career I astonished myself once by curing rapidly with *Ignatia (prescribed at first as an intercurrent remedy) a severe case of rheumatic fever, which had been making no progress under *Bryonia, etc. The mental symptoms called for *Ignatia, and along with these the inflammation of the joints, as well as the fever, disappeared under its action. The seeds of *Ignatia contain a larger proportion of *Strychnia than those of *Nux vomica, and the great differences in the characteristic features of the two medicines prove the wisdom of considering medicines apart from their so-called “active” principles. There are many activities in plants besides the alkaloids they may contain, and these are often the determining factors of the drug’s specific action. It is in the mental sphere that the majority of the keynote symptoms of *Ignatia are developed. “Although its positive effects,” says Hahnemann (M. M. P.), “have a great resemblance to those of *Nux. v. (which indeed might be inferred from the botanical relationship of these two plants) yet there is a great difference in their therapeutic employment. The emotional disposition of patients for whom *Ignatia is serviceable differs widely from that of those for whom *Nux v. is of use. *Ignatia is not suitable for persons or patients in whom anger, eagerness, or violence is predominant, but for those who are subject to rapid alternations of gaiety and disposition to weep, or other characteristic emotional states, provided always that the other corporeal morbid symptoms resemble those that this drug can produce.” Guernsey thus depicts the Ignatia state of mind: “Any one suffering from suppressed or deep grief, with long-drawn sighs, much sobbing, etc., also much unhappiness, cannot sleep, entirely absorbed in grief, for recent grief at the loss of a friend, affections of the mind in general, particularly if actuated by grief, sadness, hopelessness, hysterical variableness, fantastic illusions.” To this list fixed ideas may be added, and desire to be alone. *Ignatia covers many of the effects of grief, especially if recent. I once gave instant relief with *Ignatia 30 in the case of a lady who had just heard of her brother’s death (not unexpected), and who complained of an intense pain in the head just over the root of the nose. The consequences of worry, or a worrying state of mind, no less than grief, call for *Ignatia an introverted stated of mind. The special indication of *Ignatia in cases of hysteria is the rapid alternation of moods. Uncontrollable laughter alternating with outbursts of tears. Laughs when she ought to be serious. Sensitive, impressionable. This condition with the characteristic globus hystericus (a lump rises from the stomach into throat as if she would choke, she swallows it down but it constantly returns, worse by drinking water) unmistakably indicate *Ignatia Nervous twitchings and even convulsions also occur. Distortion of the facial muscles whenever the patient attempts to speak. Pains rapidly alternate in character and are excessive. Exaggerated and outlandish symptoms. Rapid alternation of effects is one of the leading features of the drug, also paradoxicalness. *Ignatia has cured many cases of diphtheric and other sore throats, when the pain has been better by swallowing. In the fever of *Ignatia, the thirst occurs during the chill and in no other stage. This is a very unlikely condition, and no other remedy has it. Empty retching is better by eating. Suddenness is another note of the *Ignatia effects. Sudden loss of function in any organ. There are many bodily conditions not associated with mental disturbance that require *Ignatia, for it must always be borne in mind that the *absence of any particular characteristic of a drug is no *contraindication to its use provided other indications are sufficiently pronounced. Ignatia will cure many painful conditions of the anus and rectum, including piles and prolapse when characterized by “sharp stitching pain shooting up the rectum,” or “constricting pain at anus worse after stool, better while sitting.” Pressure as of a sharp instrument from within outward is a characteristic. “Headache as if a nail were driven out through the side of the head, better by lying on it.” Pains change their locality, come gradually and abate suddenly, or come and go suddenly. Headaches terminate with a profuse flow of urine. In dentition it is frequently called for. It has cured hydrocephalus from sudden metastasis from bowels to brain during dentition, with sudden pallor, delirium, rolling of head, difficult swallowing, convulsive movements of eyes and lids. The eye symptoms are also noteworthy. It has cured many cases of inflammatory affections, especially with intense photophobia and nervous excitement, also asthenopia with spasms of lids and neuralgic pains. *Ignatia is one of the remedies which have “goneness,” or sinking at the stomach, in a very pronounced degree. It often occurs in the night, keeping the patient awake. With this there is a disposition to sigh. Sometimes a feeling as if the stomach were relaxed. There is regurgitation of food. Hiccough worse by eating, or smoking, or emotional disturbances (especially in children), empty retching better by eating, vomiting at night of food taken in evening. Hysterical vomiting. Sour saliva and sour taste in mouth. Toothache, worse after a meal, not so bad while eating another paradoxical condition. The facial expression of *Ignatia is one of deadly pallor, or it may be flushed at times. There are twitchings of individual muscles of eyelids or mouth, and fluttering in chest, and in smaller muscles of body, heart flutters and rises in chest, causing choking and oppression, it seems to rise and fall as she attempts to sleep. Convulsions, spasms from fright. The child stiffens out and bends backward. Half-unconscious state, thumbs clenched, face blue. Cramps and spasms are prevalent as with *Nux. The dysmenorrhea in which *Ignatia is indicated has labor-like bearing-down in hypogastrium, better by pressure, by lying down, by change of position. The flow is black, putrid, if profuse, clotted. Spasms and convulsions, *ending in long-drawn sighs, are met by *Ignatia Nash relates a case of puerperal convulsions in which this feature led to a cure. There are a number of characteristic respiratory symptoms: Hysterical aphonia. Laryngismus stridulus, patient sits up in bed, hoarse, hacking cough. The characteristic cough of *Ignatia is an irritable and irritating cough: the longer the cough lasts the more the irritation to cough increases. Kent describes it as: “Hack, hackety-hack, ending in sobbing.” Cough every time he stands still during a walk. Hollow, spasmodic cough as from sulphur fumes. Cough as from inspired feathery dust. Sensations of formication and numbness are very general. Pains are apt to be in small circumscribed spots. The fever characters are: Thirst during cold spell only. Red face during chill. Chill better by external heat (wraps, stove). External chilliness and internal heat. As soon as heat commences must be uncovered (opp. *Nux). Sensation as if sweat would break out but does not. Sweats: when eating, cold at times, generally warm, sometimes sour. Ignatia is one of the chilly medicines like *Nux vomica, *Caps., *Arsenicum Cold worse and warmth better (except in the last stage of fever). Rest better the pains, and so does change of position. Lying down better. Lying on side worse headache, lying on painful side better headache. Sitting better anal and many other symptoms. Worse by stooping, walking, standing. Worse from slight touch, better from hard pressure. Soft pressure better headache. Slightest touch worse stomach pains, cramps in uterus, tenderness of scalp and region of pylorus. There is great aversion to tobacco, which worse many symptoms. Aversion to warm food, meat, alcohol. Desire for sour things, for bread, especially rye bread. Worse from emotion, from sweets, coffee, strong smells, from ascarides, when yawning. Better from changing position, while eating, from eructation, when taking an inspiration, from swallowing. *Ignatia acts rapidly, and the duration of its action, according to Hahnemann, is short. “It is best administered in the morning if there is no hurry. When given shortly before bedtime it is apt to cause too much restlessness at night.” It is adapted to the sensitive, excitable, nervous temperament, women of a sensitive, easily excited nature, dark hair and skin, but mild disposition, quick to perceive, rapid to execute. *Ignatia has been called the “feminine” of the “masculine” *Nux. B. Simmons defines the place of *Ignatia in sciatica thus: “Lancinating, cutting pains, beating, bursting pains, worse in winter, better in summer, chilliness with thirst, flushes of heat, chiefly face, without thirst.” The limb is swollen and thigh knotty, and she cannot get up or lie down without pain, generally left side.
*Antidoted * by: Pulsatilla (chief antidote), Arnica, Camph., Chamomilla, Coccul., Coffea *It antidotes: Brandy, coffee, chamomile tea, tobacco, Selenium, Zincum met. *Compatible:* Arsenicum, Belladonna, Calcarea, Chi., Lycopodium, Nux., Pulsatilla, Rhus-t., Sepia, Sulphur, Zincum met. *Incompatible:* Coffea, Tabac., Nux (sometimes). *Compare: Croc. (irresistible fits of laughter, rapidly alternating mental states), Lycopodium (sinking sensation at night, preventing sleep, canine hunger at night, also Chi.), Sepia (sinking, gone sensation, with Ignatia it is attended with sighing), Phos-ac., Gelsemium, Coloc. (grief, Phosphorus ac., especially for chronic condition), Asafoetida, Asarum europaeum (nervous persons); Arsenicum, Nux (fevers; better from external warmth). In difficult swallowing of liquids, Belladonna, Causticum, Cin., Hyo., Lachesis, Lycopodium, Pho. Globus hystericus, Lachesis, Lycopodium, Plumb. Piles (better sitting, Ignatia worse sitting, Lycopodium, Thuja, Phosphorus ac.). Piles during menses, Lachesis, Collins., Pulsatilla, Sul. Worry and its effects, Nux vomica, Sul. (Sul. worried by trifles). Laughter when ought to be serious, Anacardium, Pho. Sadness, Pulsatilla (Ignatia hides her grief, Pulsatilla shows it). Prolapsus ani, Podophyllum Jealousy, Apis, Hyo. Disappointed love, Phosphorus ac. Better from hard pressure, hollow cough as from sulphur fumes, Chi. Laryngismus, Gelsemium Headache ending in copious flow of clear limpid urine, Gelsemium, Aco., Silicea, Verbascum Worms, Cin. In functional paralysis from fatigue, emotions, or worms, Stannum, Coccul., Pho. Hysteria, Cuprum, Platina, Hyo., Asafoetida, Mosch. (faints easily), Valer., Nux-mosch. Spasms in delicate women, Belladonna (but Belladonna has bright red face, shining eyes, hot head, fever: Ignatia has no fever with spasms), Hyo. (Hyo. has unconsciousness, Ignatia not). *Sudden effects of emotions, Opium (very similar, but Opium has dark red, bloated face), Gloninum (in the convulsions of Gloninum the fingers spread out widely, also Secal.), Verbascum, Cuprum, Chamomilla In uterine spasms, Coccul., Chamomilla, Mag-mur., Actea r. Hiccough (Ignatia worse by eating, smoking, emotions), Hyo. (after operations on abdomen), Stramonium and Verbascum (after hot drinks), Arsenicum and Pulsatilla (after cold drinks), Teucrium (children, after nursing). Nervous cough, the more he coughs the more annoying the irritation, Apis. Sadness, indifference, profound melancholy, Tarent. (Ignatia introverted state of mind, Tarent. cunning attempts to feign paroxysms and wild dancing, no paroxysms if no observers). Chorea, eye symptoms, Agaricus Extreme sensitiveness to pain, flushing of one or other cheek, Chamomilla Ear symptoms, Phosphorus (Ignatia hard of hearing except to human voice, Pho. exact opposite, over-sensitiveness to ordinary sounds, deaf to voice). Nervous women, Mg-c., Mg-m. Tears, fevers, Natrum mur. (Natrum mur. is the *chronic of Ignatia). Teste places Ignatia in his Ipecac. group: Nausea and vomiting, reversed peristalsis, congestive headaches and engorgements resulting from vomiting, tenesmus, intermittent fevers are the leading characteristics of the group.
Grief. Fright. Worry. Disappointed love. Jealousy. Old spinal injuries.
Taciturn, with continuous sad thoughts, still, serious melancholy, with moaning. Sadness and concentrated sorrow, with sighing. Irresolution, anxious to do now this, now that. Impatience. Strong disposition to be frightened. Morose and discontented humour, and involuntary reflections on painful and disagreeable things. Intolerance of noise. Effrontery. Tenderness of disposition and of conscience. Inconstancy. Alternation of foolish gaiety and tearful sadness. Laconic speech. Great weakness of memory. Love of solitude. Anguish, especially in the morning on waking, or at night, sometimes with palpitation of the heart. Lachrymose and apathetic humour, with dread of exertion. Inclination to grief, without saying anything about it. Changeable disposition, jesting and laughing, changing to sadness, with shedding of tears (hysteria). Despair of being cured. The least contradiction excites rage and passion, with redness of face. Fearfulness, timidity. Anger, followed by quiet grief and sorrow. Fear of robbers at night. Cries, and complete
discouragement, at the least provocation.
Vertigo, with sparks before the eyes. Great heaviness of the head, as if it were full of blood. Pressive headache, especially above the root of the nose, and often accompanied by inclination to vomit, worse or better by stooping. Stinging pain, from within to without in the forehead. Cramp-like pressure on the forehead and occiput, with obscuration of sight, redness of the face, and weeping. Painful sensation of expansion in the head, as if the cranium were going to burst, especially when conversing, reading, or listening to another. Pain, as from a bruise in the head, especially in the morning, on waking. The headaches are worse by coffee, brandy, tobacco-smoke, noise, strong smell, from reading and writing, from the sunlight, from moving the eyes, better when changing the position and when lying on the painful side. Headaches with zigzags before the sight. Skin across forehead feels drawn, with a lost and drowsy feeling, and thousands of stars float before sight. Headache, as if a nail were driven into the brain, or out through the side of the head, better when lying on painful side. Pressive headache in the forehead and vertex. Piercing and shooting tearings, deep in the brain and forehead, better by lying down. Pressive, pulsative headache. Trembling of the head. Throwing of the head backwards (during spasms), better by heat. Falling off of the hair.
Pressure on the eyes, sometimes, as if sand had been introduced into them. Inflammation of the eyes. Redness of the eyes. Acrid tears in the eyes during the day, agglutination of the eyelids during the night. Lachrymation, especially in the brightness of the sun. Swelling in the upper lid, with enlargement of the (bluish) veins, the eyelid is turned upward. Inflammation of the upper part of the eyeball as far as it is covered by the upper lid. Convulsive movements of the eyes, and of the eyelids. Fixed look, with dilated pupils. Photophobia. Sight confused, as if directed through a mist. Flickering zigzags (and stars) before the eyes.
Swelling of the parotids, with shooting pain. Redness and burning heat in one of the ears. Hardness of hearing, except for the human voice. Itching in the ears. Noise before the ear, as from a strong wind. Worry takes away hearing and intensifies the noises.
Itching in the nose. Nostrils excoriated and ulcerated, with swelling of the nose. Epistaxis. Stoppage of one nostril, dry coryza, with dull headache, and excessive nervous excitement. Dryness of the nose.
Face pale, red, or blue, or earth-coloured and wan. Alternate redness and paleness of the face. Clay-coloured, sunken face, with blue margins around the eyes. Perspiration on the face alone. Redness and burning heat in one of the cheeks (and in one ear). Convulsive startings and distortion of the muscles of the face. Eruption on the face. Lips dry, cracked, and bleeding. Pain, as of excoriation, in the internal surface of the upper lip. Scabs on the commissurae of the lips, and on the lips. Pains in the submaxillary glands. Convulsive jerking of the corners of the mouth. Ulceration of one of the corners of the mouth. Spasmodic clenching of the jaws (lock-jaw).
Odontalgia, as if the teeth (the molars) were broken. Looseness of the teeth. Toothache towards the end of a meal, worse after its conclusion. Difficult dentition, with convulsions.
Inflammation and redness of the mouth, and of the palate. Constant secretion of mucus, or accumulation of acid saliva in the mouth. Aptness to bite the tongue, on one side posteriorly, when chewing or speaking. Moist tongue, loaded with a white coating. Stitches in palate, extending to the ear. Foam at the mouth. Voice weak and tremulous.
Sore throat, as if there were a plug in it, when not swallowing. Palate red and inflamed, with a sensation as if what is swallowed passed over a burning and excoriated tumour. Shootings in the throat, extending sometimes to the ear, chiefly when not swallowing. When swallowing sensation as if one swallowed over a lump, causing soreness and a cracking noise. Inflammation, swelling, and induration of the tonsils, with small ulcers. Impeded deglutition (of drinks). Constriction of the gullet, with sobbing risings. Pain in the submaxillary glands when moving the neck.
Repugnance to food and drink, especially to milk, meat, cooked victuals, and tobacco-smoke. Want of appetite, and speedy satiety. Insipid taste, like chalk, in the mouth. Weakness and difficulty of digestion. Sour taste in the mouth. Bitter and putrid taste of food, especially of beer. Repugnance to, or strong desire for, acid things. Dislike to wine and brandy. Painful inflation of the abdomen after a meal. Feeling of hunger in the evening, which prevents one going to sleep. Desire for different things, which are disregarded when obtained. Food has no taste. Milk taken in the morning leaves an after-taste for a long time. After smoking, hiccoughs, nausea, sweat, and colic.
Regurgitation of food, or of bitter serous matter. Hiccough from smoking. Hiccough, always after eating or drinking. Acid risings. Nausea, with agitation and anguish. Vomiting of food, even at night. Vomiting of bile and mucus. Periodical attacks of cramp in the stomach, which disturb sleep at night, and are worse by pressure on the part affected. Dull aching or shootings in the epigastrium. Coldness, or sensation of burning in the stomach, especially after taking brandy. Sensation of emptiness, and of weakness, in the epigastrium. Sensation of weakness (sinking) in the pit of the stomach. Heaviness and pressure in the pit of the stomach. Fullness and swelling in the epigastrium. Painful sensitiveness of the pit of the stomach to the touch.
Sensation of fullness and inflation of the hypochondria, with difficulty of respiration. Pain in the left hypochondrium, worse by pressure, and by walking. Shooting sensation of burning and pressure, or swelling and hardness in the region of the spleen. Expansive pain in the abdomen, as if the intestines were going to burst. Inflation of the abdomen. The flatulence presses on the bladder. Cutting pains in the umbilical region. Spasmodic pains, cutting, stinging, like labour pains. Violent aching in the abdomen. Rolling sensation around the navel. Drawing and pinching in the region of the navel. Sensation of protrusion in the umbilical region. The pains in the abdomen are worse after taking coffee, brandy, or things sweetened with sugar. Shootings and pinchings in the abdomen, especially in the sides. Periodical cramp-like pains in the abdomen. Cramp-like pressure in the inguinal region. Beating in the abdomen. Borborygmi in the intestines. Flatulent colic, especially at night. Sensation of weakness and trembling in the abdomen, with sighing respiration.
Stool & Anus
Constipation from taking cold, from riding in a carriage. Hard evacuations, with frequent ineffectual efforts. Unsuccessful urging to stool, felt mostly in the upper intestines. Feces yellow, whitish, of a very large size, soft but difficult to eject. Diarrhoea of sanguineous mucus, with rumbling in the abdomen. Slimy evacuations, accompanied by colic. Discharge of blood from the anus. Prolapsus of the rectum while at stool. Itching and tingling in the anus. Ascarides in the rectum. Contraction of the anus. Contractive pain, as of excoriation, in the anus, after evacuation. Prolapsus ani, with smarting pain, from slight pressure to stool. Shootings from the anus high up into the rectum. Smarting in the rectum during the loose evacuations.
Frequent and copious emission of watery urine. Urine lemon colour. Involuntary emission of urine. Urgent and irresistible want to make water. Continual want to urinate after taking coffee. Sensation of burning and smarting in the urethra, during micturition. Itching in the fore part of the urethra. Urging to urinate with inability.