This Liliaceous plant inhabits Africa; the leaves afford a juice which, when inspissated, forms the Aloes of commerce, from this a tincture is prepared.
The most pronounced action of Aloes is the engorgement of the pelvic viscera (Uterus; Rectum), increasing haemorrhoidal congestion and uterine haemorrhage. The diarrhoea is very characteristic, and with the portal congestion are associated the frontal pains, flatulence and various secondary phenomena. The arthritic pains are significant, but have been neglected clinically.
Allies.- AEsculus-hipp., (Belladonna). (Bryonia), Lycopod., Podophyllum, Sulphur, Berberis, Iris, (Phosphorus), (Pulsatilla).
Anxious starting-up. Sticking in joints. Bruised or sprained pain in various places. Drawing in various places, as if it involved the bones; paralytic D., in various muscles. Ebullition of blood. Sensitiveness of whole body. Restlessness; anxious. Disinclination to more. Disinclination to go into the open air, though there is relief from it. Indolence; at noon. Weakness; evening; on motion; after vomiting; alternating with activity. Aggravation in afternoon, especially of symptoms of mucous membranes (Lycopodium).; symptoms appear in evening particularly. Amelioration in open air (Lycopodium); from exercise in open air; emission of offensive flatus in evening; emission of hot flatus upward and downward, smelling camphor.
Disinclination to mental labor (Phosphorus). Speedy fatigue from mental labor. Incapacity for labor, with peevish restlessness. Anguish. Anxiety; from vertigo. Apprehension and oppression. Sadness. Peevish about himself (Sulphur); so that he insults and blasphemes, (<) afternoons. Anthropophobia. Quarrelsome. Wilful. Hard to please and crying at least provocation (Pulsatilla). Disgust at everything during pain. Phlegmatic. Indifferent in evening. Excitement. Contentment. Happy mood in evening.
Tearing here and there. Shaking in, as if brain were loose, when walking at 11 A.M., (<) fresh, cold air and on laying head down, then and awhile after rising up pulsating pain, especially in occiput, (>) after eating. Aching; in morning, until after breakfast, with languor; in morning, after incomplete stool. (>) by a second stool; after griping in bowels and after stool; (from heat of sun); on touch; (<) in dark, (>) in light; (<) motion, especially stooping; (<) in warm, (>) cool air; (>) eating; with nausea; alternating with lumbago; alternating with pain in loins, also periodically; pulsating A.; sluggish drawing A., more externally.
Congestion. Attack, with nausea, as from indigestion. Heaviness. Tension. Confusion; painful, every morning. Murky feeling, compelling him to make the eyes small. Widened feeling, as if pressed out on all sides. Shock from arm into head, there upon sensation of a wind extending from head into abdomen. Vertigo; while standing and walking, making him anxious; (>) by nasal catarrh, l., then r., with copious mucus, which soon became thick; paroxysmal; as if everything whirled about with her, (<) ascending stair and turning quickly; as if he sat on a high chair, while sitting after eating.
Forehead.- Stitches over brows, and also in frontal prominences; in l. brow outward to eye, afternoon and evening; in r. side between forehead and vertex, from the top inward. Aching; afternoon; r. side; in sinciput; in supraorbital region; in middle of F., downward and inward towards nose; with abdominal symptoms; above forehead, with heaviness in eyes and nausea; extending to half of face (Bryonia); involving orbits; pressing A., down into forehead; A. pressing outward towards temples; A. in forehead and on vertex, as from a weight. Drawings to bottom of r. side from above r. brow, every evening; D. over r. side, with sticking; darting, over l. eye and outward through eye. Confusion in sinciput, especially with chilliness.
Temples.- Stitches in l., (<) every step; in l. towards ear; through l. into brain; drawing, over r. (Aching ear; through l. into brain; drawing, over r. (Aching in r.); intermittent, (<) l. Pressing outward to T., with periodic heat in face and flickering vision. Pressive boring in l., in afternoon.
Vertex.- Aching; as from subcutaneous ulceration, on r. side, (<) touching hair; as from subcutaneous ulceration behind vertex, with standing up of hair on that spot. Weight on.
Parietals.- Sudden shootings upward in r. side of head, evening and morning. Aching on l. side of head; on l. side of top of bone; in middle of r. half of brain; leaping pain in r. bone, towards vertex. Pulsation in l. wall of head, at first painless.
Occiput.- Stitches after stopping. Aching in r. angle, in evening. Dull drawing in l. Pulsation at night when lying down. External soreness.
Scalp.- Dryness of hair. Aching on occiput like a pressure. Sensitive spot on l. upper occiput in morning when combing hair, and towards evening on r. side of vertex. Beaten feeling near l. vertex, so that pressure is painful, yet feels good. Numbness moving over scalp, with warmth.
Clinical Frontal headache is most characteristic of this drug; it is generally associated with abdominal symptoms; it is rarely useful for neuralgic headaches.
Compelled to make small, during the pain in forehead. Heaviness, with aching above forehead and nausea. Tearing at bottom of r. Pain as from a hot current in r., along axis of vision; outward drawing pain in and over l. Pressure in r. ball, evenings from light. Pustules surrounded by red vessels at external angle of r. Pain deep in orbits, as if in muscles, (<) r. Outward drawing pain in brow, extending to l. eye. Vision dim at night. when writing. Flickering; with scotoma; with the pressing outward to temples and periodic heat of face. Yellow rings move before the eyes. Shining bodies shoot across eyes.
Drawing sticking in middle ear, l. then r. Drawing from, into a lower back tooth. Twinging in r.; in evening. Aching during menses; in, and externally behind and below l., during menses; in l. external meatus, (<) pressing teeth together; towards midday drawing pain from before backward, below r. external meatus, behind the lobules, in mastoid process and in ear passage itself. Heat in middle and outer. On pressing teeth together a numbness behind ear, drawing down through a lower back tooth. Sudden explosion in l., after getting into bed, as from the breaking of glass, the clink of the glass was heard at bottom of head and extended towards r. ear. Rustlings in r., on moving jaw.
Redness in cold open air. Scurfiness on inner surface of r. wing, with sensitiveness. Pain on motion, (<) morning. Burning in l. nostril. Dryness, morning in bed. Sneezing; till evening, with watery mucus; ineffectual attempts at, also in morning. Coryza; (<) afternoon; with burning in nose; with pain in nose; with soreness in r. nostril; dry; fluent; sensation of C., with husky voice and chilliness. Discharge of copious mucus, which soon becomes thick, from l., then r. nostril, after the anxious vertigo; thin mucus. Bleeding in morning; from r. nostril, morning in bed; flowing of blood in afternoon; feeling as if it would bleed.
Redness, with heat, wide-awake and excited; red round spot on l. border of lower jaw, between lower border, angle of jaw and chin. In l. half, confusion and pain coming from an inflamed spot in mouth and from forehead. Fine crackings in r. maxillary joint at 9 P.M., when reading aloud.
Lips.- Red; in evening. Swelling, pain, dryness, and scurf; swelling of lower, with a vesicle covered with a yellowish hard skin. Moist spongy scurf. Cracking; inner side of upper, when laughing; painful C. of lower, near angle. Dryness; after dinner, (>) evening, with whiteness; D., with white scaly epidermis, licked continually with the tongue.
Teeth. Yellow. Stitches in a third hollow back tooth. Concave edges seem sharp and hurt the tongue. Sensitiveness in a hollow back tooth, (<) eating, afterwards pain when not touched, and then a pustule appears in front of its gum. Gnawing in a l. lower hollow tooth in evening and periodically through night, (<) eating. Drawing in lower incisors. Tongue coated yellowish-white. Trembling and shock in larynx and tongue. Dry tongue; evenings; D. and stiff; and red. Pain in back part of r. side of tongue, (<) touching teeth. Coldness of l. side of tongue.
Inflamed spots in mouth; inflammation and sore pain in l. cavity. Dry mucus; thick mucus on waking at 3 O’clock and in fauces. Dryness; evenings; after dinner, (>) evening. Dry heat. Burnt and inflamed feeling in hard palate and about last teeth, (>) swallowing food. Sore feeling in inner side of l. cheek, afternoons. Salivation; after breakfast, with hunger-Sickening smell to the breath. Taste metallic, with dry irritative hacking; of ink or iron, with irritation to cough; bitter; bitter, nauseous; like senna, between root of tongue and soft palate; sour; clayey.
Pain; with sense of rawness and swelling, (<) swallowing, with hawking of thick mucus on waking at 3 A.M.; with expectoration of thick lumpy mucus from fauces and choanae; in arches of velum palati when chewing hard food; in back part on swallowing; in arches of palate on empty swallowing and on yawning, afterwards when not swallowing, (>) swallowing food; in soft palate when yawning; in soft palate as if sore or burnt, on chewing, (<) evening. Soreness of l. arch of palate on opening mouth wide.
Swollen feeling in morning, (<) afternoon; at 8 or 9 A.M., or pressure; in palate at 3 A.M.; in soft palate and uvula in evening, (<) morning, (>) noon. Fulness, sometimes with eructations. Constriction. Rawness, especially in upper part, in soft palate and uvula, (>) after breakfast, returning in open and cold air in afternoon, with raw voice. Scraping, provoking cough; in morning. Tickling irritation to cough, evening and morning, with taste in mouth of ink or iron. Dryness; with inflammation, cough and expectoration. Affection after skating, and again in evening in middle of soft palate, posteriorly. Hawking up thick mucus; thick, tough, lumpy mucus, easily loosened, in morning after rising.
Appetite increased; at 6 A.M.; 7 A.M., on waking; afternoon; evenings; evenings; with yawning; after breakfast, so that water accumulates in mouth; for bread; for fruit; for juicy food; for stimulating food, with fulness of stomach; canine hunger in forenoon; canine, after morning stool. Frequent appetite, but not great. Diminished appetite; in morning; at noon. Appetite good at noon, but went away on working. Appetite lost, with dyspepsia and constipation; lost, with febrile sensation; no appetite for meat.
Thirst; evenings; at night; after dinner and supper; for water in afternoon; especially for beer. Aversion to drinks, especially cold drinks. Eructations; of air; bitter; bitter, after drinking water; sour; tasting of food; acrid, after dinner; bilious. Nausea; (after sour things, with lassitude); must sit still in order not to vomit; with inability to vomit; with headache; with aching above forehead and heaviness in eyes; with empty feeling in stomach; with diarrhoea and pain in umbilical region, (<) pressure; with weakness; Haematemesis.
Distention; after drinking water, with bilious eructations; in epigastrium, also with appetite for stimulants; in region of stomach (Lycopodium). Flatus rising towards throat, with nausea. Pain; in r. side; in pit after breakfast, (>) eructations; in pit when making a false step on stone pavement; in r. epigastrium, with tension; from epigastric region into both sides of chest; from epigastric region into pharynx; extending into pharynx; from pit through to back, like a weight, with sore pain, sometimes this pain rises into chest and then sinks down again with eructations. Pain drawing up into sides of chest, (<) motion, with nausea. Snatching under pit (in a mesmerized person). Oppression; (<) eructations; with eructations. Twitchings in epigastrium; cutting, tearing, sticking, in epigastrium region. Crawlings. Torpidity, so that he did not know when his appetite was satisfied. Warmth, with hunger. Weakness in pit like a weight and burning.
Distention (Lycopodium); with motion of flatus (Pulsatilla); D., with periodic movement, (<) after eating; after a meal, also during menses, also mornings, especially in hypochondrium. Rumbling. Gurgling, before a thin stool; with constipation; moving about, also after supper. Rattling, mostly in hypogastrium, as from movement of uterus. Motions, especially in lower part; M., with urging to stool; M., with writhing.
Emission of flatus after every meal; in noon repose; on attempting to go to stool; burning and offensive (Sulphur); offensive in evening; O., with stool; O. after eating; hot; loud, with stool; frequent and loud, also morning and evening; easy, with inclination as for soft stool; vigorous, evenings; copious in evening, also at night, also with stool, also with little faeces; copious, long, lazy, offensive, after stool; copious, offensive, after noon nap and towards evening; the more copious the harder and more delayed the stool, and offensive, (<) in morning.
Stitches before stool. Cutting; morning after rising; when eating; after vinegar; with diarrhoea; drawing across though abdomen, with ill humor, anthropophobia, no disposed to go into open air, though it is better thereby. Griping; before stool, also during and after stool; after midnight, with diarrhoea; with small stools; as from taking cold, also from 10 to 12 A.M., after a thin stool, Pain; at night before and after diarrhoea; in muscles when rising from lying, with pressing to stool, as from taking cold, also morning and evening; compelling one to bend body. Anxious feeling. Inflammation; on intestinal mucous membrane, with ulceration. Sensation of a stone in abdomen if she lies on it, but the stone seems to be in the side if she lies on the side; with sweat, next day coryza and diarrhoea. Dragging down. Drawing, crawling; pleasant, with diarrhoea. Soreness on pressure. Chilliness. Feeling as if he had taken cold, after morning stool. Heat. Determination of blood; ebullition of blood in organs. Pulsation; at night when lying down; (during rest, (<) lying at night). Indolent feeling with the stool. Weak feeling, s if diarrhoea would occur.
Upper abdomen.- Distention (Lycopodium). Aching in upper and middle part of abdomen, going downward. Griping in upper after dinner and supper, with twisting; G. i upper and around umbilicus, (>) sitting bent and emission of offensive burning flatus, with twisting and ineffectual urging to stool. Cutting; in afternoon, (<) motion, especially stretching body outward, (>) sitting bent; in small intestines, also with gurgling.
Sides.- Stitches now in I., now in r. Aching in r. Soreness; especially insides and down sides of umbilicus, on touch, with pain.
Hypochondria.- Distention, (>) passage of flatus, with pain in l. hypochondrium. Stitches in hepatic region; from liver into chest, interrupting respiration; periodic, in hepatic region, sometimes moving into chest, interrupting respiration; in spleen; drawing, from splenic region into loins, waking at night; extending from splenic region through l. breast; in l. hypochondrium, as if in l. hypochondrium; from hypochondria, around umbilicus, and then into rectum. Cutting; in afternoon, (<) by motion, especially stretching body outward, (<) by sitting bent. Cramplike pain in region of spleen. Pain; (<) by standing, so that he stoops; in hepatic region (Lycopodium, Sul., Podophyllum); (>) by emission of flatus; towards morning, with distention, pain in forehead and diarrhoea, with painful weakness of leg, diarrhoea and chilliness; in r., with tension; jerking in l., extending downward and inward in morning when walking; hard, alternating with the same under upper part of sternum. Inner pressure. Pinching in both. Bile increased and irritation of liver. Uneasiness in region of liver, with heat, pressure and tension (Podophyllum) Strained feeling in liver by the last ribs.
Umbilicus.- Motions in region, at 6 A.M., with urging to stool and hunger. Retraction. Stitches; on sneezing; throbbing boring S. in region. Pinching around. Cutting about, after stool. Raking in a circle about, as from a blow, morning on rising, (<) pressure, with yellowish diarrhoea and nausea. Pain in region; (<) Pressure, with diarrhoea and nausea; P. especially in region, (<) touch, especially in deeper tissues, (<) morning; P. in a spot in middle abdomen, in morning, (<) lying bent and pressing upon it, pressing into cutting after rising, then two pappy stools. Griping in umbilical region, with shivering through whole body. Digging around. Boring in region. Twisting about.
Lower Abdomen.- Distention; flatulent, along colon, (<) motion; (>) passage of hot flatus, with a pressing outward; pain; moving along colon in evening, then copious discharge of flatus. Rumbling, with pinching. Gurgling at night, with sudden urging to stool. Shocks over hips, with distention. Stitches over arch of pubis. Pain as if another stool would follow after a stool; P. as before menses (in a nursing woman); in groins. Sensation of a plug between symphysis pubis and os coccygis (compare Belladonna), with urging to stool. P. sure and drawing, with drawing in spermatic colon with griping in transverse colon, (>) by pressing flatus. Heaviness. Determination of blood to large intestines; to pelvic region. Cramps, and in r. groin, passing beyond r. knee. Soreness, with tension. Inflammation of lower part of intestinal canal. Irritation at end of intestine. Periodic drawing in r. inguinal region. Affection of lower end of intestinal canal and of pelvic organs.
Clinical The abdominal symptoms are apt to be associated with pressure and fulness in the region of the liver. There is always great accumulation of flatus, which presses downward and causes distress in the lower bowel.
Stinging. Cutting during solid stool. Heat (AEsc. h.), with diarrhoea; when faeces pass. Soreness. Annoying sensation, caused by pain in loins. Loose sensation. Heaviness. Dragging down, during menses, with full sensation in pelvis; D. near anus. Feeling as if the stool were solid during a natural, also during a pappy one. Fear least stool should escape with flatus; feeling as if thin stool would escape on passing urine; with the stool always a feeling as if more were at hand. Tenesmus as if more stool would follow, which must be held back on account of soreness of anus, yet on account of this pain he does not dare to draw the anus together. Urging to stool, with passage of urine (Mercurius c.). Urging to stool; in morning; morning on waking; at 3 A.M.; in evening; at night, also during micturition; after eating; when rising from lying; or standing; during stool, when he thought he had finished more came; after stool; after thin stool; continual; also at night; frequent, with heaviness in pelvis; sudden in morning on rising; sudden, with liquid stool; ineffectual, also with emission of flatus, also with a feeling of softness, also with debility; as for a solid stool, which was soft; near anus, more towards perineum. Tenesmus, with diarrhoea.
Drawing stitches on walking after morning stool, more on l. side and forward to region of prostate gland and vesiculae seminales. Stitches, extending into loins; S. during stool, as if it would be torn forward, then after stool pain which compels him to draw it together frequently, whereby it becomes tense and aches. Sticking, cutting after stool. Pain, (>) drinking beer. Burning (Berberis, Sulphur); after stool; after emission of hot flatus. Fulness and pressing out; fulness and pressure after a small thin stool. Pulsation while sitting after dinner. Sore feeling. (Berberis. AEsc.h., Iris); during stool, with chapped feeling. Crawling after stool. Itching; in afternoon. Ulcers on edge. Haemorrhoids sore on wiping after stool. H. swollen and sore (AEsc. h., Sulph), (<) through day; sore during stool; sticking in H. in evening on rising from a seat and later when sitting; smarting when sitting and lying; painful during diarrhoea; protrude during stool; protrude, with a full feeling; itching in afternoon; itching, with sticking; itching of soft H. evening and morning. Discharge of blood from anus; during stool, also with pain in loins; after stool; of membranous looking mucus. Weakness of sphincter; so that cleanliness was difficult. Soreness of perineum after walking; soft, painless varicose tumors on perineum.
Liquid; with sudden urging. Watery, with tenesmus. Thin mornings. Diarrhoea; morning on rising, with raking about umbilicus as from a blow, and with nausea; in evening, with tenesmus; yellowish green after midnight, with griping in abdomen; with pain in hypochondria and chilliness; yellow; yellow, towards morning, also with distention and dull pain under ribs; pappy, after constipation; pappy, towards; the end, at 2 A.M.; yellow pappy, with pain in umbilical region, which is (<) pressure. Pasty.
Constipation; after diarrhoea; C., with growling in abdomen. Omitted; with unendurable condition of mind. Hard; first part, latter part thin, pappy, also at 2 A.M.; H. and indolent; small and tough. Crumbling; and scanty, with feeling as if more ought to come (Sulphur). Lumpy. Dark, pappy and scanty. Yellow; grayish- yellow. Green (i n an infant). Bloody; with pain in loins. Undigested; with traces of blood. Brownish, small, slimy, half- fluid. Evacuation of mucus in large conglomerate pieces; yellow mucus. Small, yellowish, shining stool at 9 A.M., with sputtering flatus, with dread lest faeces and urine escape together, while he would force out, yet he held back. Bilious; partly of bilious- streaked mucus mixed with faeces, partly of thin yellow faeces, after grumblings and motions in abdomen, then crawling in anus.
Copious; late in evening; and difficult; and thin, after waking at 3 O’ clock; and forcible, with noisy flatus then drawing in bowels and limbs. Small; and soft, after much straining; and thin. Sputtering. Involuntary, with passage of flatus (Sulphur). Falling out without exertion; almost unnoticed. Indolent. Difficult; distending rectum at first. Frequent; with flatulence nd tenesmus. Stool at an unusual time; S. during micturition (Acid Muriaticum), also at 5 A.M., with micturition; morning after rising; after breakfast.
Clinical Engorgement of the haemorrhoidal veins is one of the most constant effects of Aloes, and it is one of the best remedies for haemorrhoids as above characterized. The diarrhoea is particularly treacherous; that is, the patient does not have a proper sense of the accumulation of faecal matter in the rectum, and there is loss of power in the sphincter, so that the stool escapes easily, and when the desire for stool comes the patient is scarcely able to attend to it. Aloes has been prescribed with success in constipation with heavy pressure in the lower part of the abdomen, particularly with a feeling of a plug in the pelvis, as above mentioned; in chronic dysentery, with the abdominal symptoms of flatulence and the burning in anus and rectum, and discharge sometimes of jelly-like lumps, intense pain and soreness in rectum after the stool.