PAINFUL URINATION AND PROFUSE URINATION.
THERE is a very large number of homoeopathic remedies which act upon the urinary organs and passages. I have hitherto mentioned only the most important ones, remedies which owing to their general usefulness can be employed in the majority of bladder cases. REaders should not be surprised at the number of bladder remedies.
Homoeopathy has a vast selection of medicine which should be chosen in accordance with the law of similarity. The large number of drugs available makes selection difficult and the choice requires careful comparison and differentiation among the competing remedies, a method of choice which we have to learn from homoeopaths, whether we like it or not.
Most of the medicines used for inflammation of the bladder have strong indications apart from bladder symptoms. I shall consider firstly medicines which act at the same time upon kidneys and bladder. I have already discussed Berberis with its characteristic burning pain and with pain radiating in every direction and affecting particularly the left side. I have also mentioned Pareira brava, indicated in difficult urination, which compels the patient to bend double, and Terebinthina called for in inflammation of the mucous membrane of bowel and urinary passages, accompanied by emission of blood.
Further, I have described Chimaphila, called for if there is thick mucus with threads of tissue in the urine and pain in the perineum, Cantharis with violent inflammation of the bladder and griping pain, Apis, Characterized by stinging and burning pain, and Mercurius corrosivus, which is called for if there is at the same time urging to urinate and urging to empty the bowels. We must now consider some additional remedies.
Uva ursi, a remedy which is widely used in mother tincture, and Cannabis sativa, European hemp, which affects particularly the bladder and urethra. When marking water, the patient notice burning pain in the urinary passage and it is particularly recommendable if inflammation of the bladder is due to gonorrhoea. This medicine is used as a rule in potencies ranging from the 1st decimal be the 6th centesimal.
Staphisagria is an important remedy for pain in the bladder. This medicine occupied a special place in bladder troubles because of its effect upon both urinary and sex organs, and because of its effect upon nervous disorders due to sexual abuses of every kind.
It is indicated when there is burning pain in the urethra, when the patient is not making water and the pain ceases when the patient empties his bladder. This peculiar symptom recommends the use of Staphisagria when there is bladder irritability in those who have recently married and in those who emit large quantities of urine owing to nervousness. As a rule this medicine is prescribed in potencies ranging from the 3rd toe the 30th centesimal.
Pulsatilla is called for if symptoms are constantly changing and if the is venous congestion and a abundant secretion of mucus. Therefore Pulsatilla should be studied if there is pain in the bladder nd profuse urination without apparent infection, and it should also be remembered in the case of people who have caught a chill, particularly a chill caused by the chilling of the feet. Pulsatilla is indicated in catarrhs of the bladder in newly married women, and to wind up bladder inflammation.
CONGESTION OF THE URETHRA AND OF THE PROSTATE GLAND.
I would like to discuss congestion of the urethra due to stricture and of the prostate, and I would state at once and emphatically that homoeopathy possesses means which will relieve the congestion of the prostate and which thereby will reduce urinary pressure and the frequency of urinary emissions and the troubles connected with this condition. The medicines available are extremely valuable for young people with prostatic trouble and for all those cases of prostate difficulties which are due to congestion.
Congestion of the urethra due to stricture is often caused by attempts to widen the passage mechanically by a catheter, particularly if the stricture is at the back of the urethra. For all these troubles I do not know any orthodox remedies which are reliable.
Clematis erecta is a medicinal plant which causes interruption of urinary emission. The stream stops and starts again. Occasionally it causes pain in the spermatic cord, and it causes hardening and pain of the testicles. Consequently Clematis erecta is a remedy for strictures with cramping pain and for congestion of the whole urethra. In discussing neuralgias of the genital organs I shall have to mention this remedy again. It is usually prescribed in potencies ranging from the 3rd to the 6th centesimal.