Cynanche (Angina) Membranacea
Membraneous croup, lining membrane of larynx and trachea covered with fibrinous exudation; difficult breathing and hissing respiration, rattling from laryngeal obstruction, (<) at each inhalation; NO THIRST, child swallows with difficulty, even a teaspoonful of water; BRIGHT REDNESS OF FACE; (<) evenings with coldness, at night heat, dry skin and delirium.
Croup from exposure to dry, cold northwest wind; child is aroused from sleep by long suffocative attacks; cough hard, dry, barking, but not yet wheezing nor sawing respiration; COUGH AND LOUD BREATHING DURING EXPIRATION, but not during inspiration, every expiration ends with a coarse hacking cough; fear of choking to death; high fever, dry skin, anxiety and restlessness; child is in agony and throws itself about; (>) from cold drinks and (<) after eating. Relapses may set in, if left off too soon.
Deep, weak voice, can scarcely utter a word; cough with copious expectoration, especially after drinking; difficult labored, rattling or stertorous breathing; suffocative spells; scraping, burning in throat; dark redness of fauces and posterior wall of pharynx; uvula drawn up and covered with white mucus; nose
stopped up; pale face; spasms of chest.
Severe forms of CATARRHAL CROUP. Quantity of mucus rattling in the larynx with every coughing spell and with hardly any expectoration; gasping for breath at the beginning of every coughing spell, noisy, whistling, purring, bellowing, sawing, with great rattling of mucus, as if the child would suffocate, with neck stretched out, head bent back and still no expectoration, from threatening paralysis of lungs; (>) by spitting of mucus or by vomiting; face cold, bluish, covered with cold, clammy perspiration, frequent pulse, prostration and collapse.
Larynx sensitive to pressure; hoarseness in daytime, dyspnoea and suffocative spells at night, especially after midnight; croup with coryza, cannot breathe through nose, with restlessness and thirst, but can only take a sip and is always worse after drinking; mostly dry, but sometimes accompanied with expectoration of frothy mucus; cough, accompanied with sense of constriction and suffocation, exhausts the child which feels cold and wants to be covered; CROUP BEFORE OR AFTER HIVES OR NETTLERASH; great prostration.
All the symptoms of membranous croup, but usual remedies fail; case characterized by single attacks; hollow cough, with strangulation and putting hands to larynx; CROUPLIKE SPASMS IN LARYNX in attacks; fauces red and great sensitiveness of lower portion of larynx to the slightest pressure, (<) when coughing, talking or taking breath; painful dryness of larynx, with great aversion to all drinks; hoarseness with flushed face and congested eyes.
Hoarseness several days, in the evening nearly aphonia; rough, dry cough; pain in larynx; difficult snoring breathing in sleep; jumping up for want of breath while eating or drinking anything cold, (>) after warm, even hot drinks; more difficulty in swallowing fluids than solids; heat in face, gasping for breath, voice husky, weak or oppressed; MUCH RATTLING IN LARYNX with each inspiration and expiration, (<) by warm air in the room, CHILD
WANTS TO BE CARRIED, BUT VERY QUICKLY, SAYING, RUN, RUN; LONG- DRAWN-OUT INHALATION with a rushing sound, larynx drawn downward, thorax hardly moving; breathing, sawing, whistling breathing with danger of suffocation from too much phlegm in larynx (Ant. tart., rattling lower down in chest); voice hardly audible; bronchi much irritated; membranous formation in larynx and trachea, much rattling in larynx when coughing, (<) before midnight, (>) after it, GREAT PROSTRATION. Croup during whooping-cough. (Milk and farinaceous food neutralize according to Teste, the action of Bromium and Iodium). Suits light-complexioned children, light hair and eyes.
Tough mucus in the trachea, which is loosened only after frequent hawking; scraping sensation in lower portion of the trachea, provoking a dry cough; voice rough and hoarse; hacking dry cough, from the upper part of the trachea; single, forcible, spasmodic shocks towards the upper part of the trachea, which is covered by dry, tough mucus; cough, from a constant crawling upward in the throat, followed by expectoration of mucus, (<) by eating or drinking, in a warm room.
HIGHEST GRADE OF CROUP; bluish color of face, pulse smell and intermittent; difficult whistling breathing, with complete insensibility and no cough or rare and muffled cough; constant anguish and restlessness, child clings to persons, slightly (<) by fanning or rapid motion.
CATARRHAL CROUP; sensation of RAWNESS IN THE THROAT when coughing, with sawing respiration; dry sensation in the air- passages; irritation to cough, with each expiration; dry, hollow cough with sore sensation in a streak down along the trachea, where it pains on every fit of coughing and almost prevents breathing; frequent attacks of suffocation during inspiration, as if some one grasped the trachea, arresting the breathing for the moment.
Child must be carried up and down for relief; dyspnoea, constricted feeling at suprasternal fossa, with constant irritation to cough; short, panting, rattling breathing, slow inspiration and rapid expiration, child snappish, cross and piteously moaning, only quiet when carried about.
False membranes, THICK AND OF A DARK SHADE, principally in the larynx; respiration noisy and panting, sensation as if the head were choked up, with heaviness of head; danger of suffocation; voice harsh and wheezing; cough, with coryza and hoarseness; during and after cough, COLD SWEAT UPON THE BREAST AND BACK, WITH BURNING IN ABDOMEN; respiration impeded, difficult, with crepitant rales; great fulness of chest; dyspnoea and sense of suffocation; barking and croupy cough, with feeling as of a foreign body in larynx; throat dry and parched; respiration hurried and noisy; face red and pale by turns; contractive and pressive headache, with drowsiness, but without sleep; uneasiness, anxiety, cannot remain in bed; constant need to swallow the saliva to relieve the dryness and suffering in the throat and larynx.
Cough with interrupted, almost suppressed breathing; quick, hurried breathing; spasm of throat, preventing speech, with continual hoarseness; spasmodic distortion of features; pale face; bluish face with bluish lips; anguish; premature exhaustion of strength; (>) by a drink of cold water; (<) by inhaling cold air, after eating solid food.
After croup remains tightness of chest when talking or even uttering a single word; creeping sensation, as if a soft body were lodged in larynx, with fine stitches to right side of throat, exciting cough; deep, hoarse voice.
Cough brought on or aggravated by dry, cold wind, with swelling below larynx; RATTLING, CHOKING COUGH, COMING ON OR GETTING WORSE IN THE EARLY HOURS OF THE MORNING; the child chokes with every coughing spell, has to sit up and bend the head back, and is better by being kept warm (opposite to Bromium), least exposure causes a spell of coughing; (<) by drinking and eating; every little motion causes slight perspiration, or profuse, clammy, sour sweat, mostly before midnight; frequent desire to urinate, urine dark yellow and depositing a white sediment. Cough comes on as soon as the child lies down at night and gets worse towards morning; no expectoration at night but only in daytime with the suffocating coughing spells; RATTLING OF MUCUS, which the child is unable to get rid of, but still little or no difficulty of breathing; sensation as if there was a fishbone in throat, or of internal swelling, causing stitching pains from ear to ear when swallowing or turning around.
Black-eyed, dark complexioned children; cough more painful and dry than in Bromium, wheezing and sawing respiration, with a dry, barking cough, during which the child strangles so that it clutches his throat; TRACHEAL AND BRONCHIAL CROUP WITH TENDENCY TO TORPOR, cough has lost the peculiar metallic timbre and becomes muffled and indistinct; DIFFICULT INSPIRATION from spasm of throat and from partial occlusion of the lumen of larynx by the formation of the membrane; inspiration wavelike, in jerks; (<) mornings, from motion, when lying on back; (>) by cold and after eating; voice has deep, hoarse, rough sound; increased secretion of mucus in larynx and trachea, tough, plastic exudation, but not stringy; constant desire to change position without anguish; coldness of face in very fleshy children, long-continued cold, damp weather often the cause; SPORADIC STHENIC FORM OF CROUP, NO PROSTRATION.
CATARRHAL CROUP; convulsive evening cough, expectoration of mucus, with metallic taste; spasmodic cough, with constriction and danger of suffocation; shocks on falling asleep; rigidity of body, followed by jerking of arms towards each other; nausea and vomiting; (<) from least motion.
Especially suitable for light-haired, plump and fat children (Bromium); gradual and insidious onset; MEMBRANOUS CROUP with expectoration of tough, stringy mucus; cough hoarse, metallic, with loud mucous rales, wheezing, rattling dyspnoea, (<) on awaking, at night with definite aggravation towards 3 A.M., GRADUAL INCREASE OF THE DIFFICULTY OF BREATHING, as the tough mucus strangles by its adherence; deglutition painful; stridulus breathing and whispering voice; tonsils and larynx red, swollen, covered by the false membrane, difficult to detach, with expectoration of the tough, stringy mucus, finally breathing performed only by the abdominal muscles and those of the neck and
shoulders; head bent backward; breath offensive; diminished temperature, prostration, stupor and death from asphyxia, if not relieved. Croup extending downward into the bronchi; cough (<) undressing, (>) warm in bed. (Lachesis follows well).
SPASMODIC CROUP; child awakens suddenly from a sound sleep by a sense of suffocation, with a peculiar ringing, dry, brassy cough, and hurried breathing; the child is agitated, face flushed, eyes suffused and bloodshot. After one or two hours the child falls asleep and BREATHS EASILY AND NATURALLY, only to awake again in a similar paroxysm; hyperaesthesia of the laryngeal nerves, followed by loss of sensibility in the larynx; hoarseness, extremely painful and disagreeable hacking cough, with paleness and confusion of the head; REMISSION DURING DAYTIME.
According to Schussler a great remedy in croupous inflammations with fibrous exudation, during skin eruptions developing after bad vaccination.
LAST STAGE OF CROUP, syncope and nervous prostration; pale, bluish face; nasal, slow speech, nearly inarticulate; paralysis of single parts.
Croup seated in lower part of larynx and upper part of trachea, cough accompanied by suffocative attacks; husky voice, metallic rasping cough and difficult breathing; EXTREME SORENESS OF CHEST, THE CHILD DOES NOT WANT ANYTHING TO TOUCH TRACHEA AND UPPER PART OF CHEST; high fever; dry skin; (<) evenings.
CROUP in children subject to inflammatory rheumatism; decided aggravation after sleep, after a short nap; the children, as it were, SLEEP INTO THE CROUP, AND WHEN THOROUGHLY AROUSED, BREATHE MORE FREELY; the child cannot bear anything touching the neck; patches of exudation in the fauces, extending downward on pharynx and larynx; commencing paralysis of lungs; left side of throat particularly affected; sensation as if there was something fluttering above the larynx; cough excited by sensation as if a crumb of bread were sticking in throat, causing frequent hawking and swallowing.
Dryness, scratching and burning in throat; tearing in larynx and trachea, with hoarseness; difficult expectoration of gray taste- less mucus, or so tough that air can hardly pass through it; horrible dreams of abysses and restless sleep; croup SOUND NOT HEARD.
SPASMODIC CROUP, with stridulus breathing, ringing cough, dyspnoea; constrictive sensation in the larynx; constant cough and great anguish, with fear of suffocation; sensation of a lump in the throat-pit, impeding respiration and deglutition.
Hoarseness remaining after croup, or with it loose cough in daytime and suffocative fits at night, or, in general, when suffocative fits alternate with free catarrh; dryness in windpipe, with hoarseness; feeling of rawness in trachea, with increased expectoration of mucus; COUGH IN THE EVENING BEFORE GOING TO SLEEP (Lachesis after sleep), as if the larynx were tickled with a feather, with scanty expectoration; tickling cough, as from fumes of sulphur in larynx, with gray salty expectoration and difficult respiration. Child awakes terrified and cries for some time before it can be quieted.
SPASMODIC CROUP. Clogging up of the larynx and trachea with thick mucus, which is hawked up with difficulty; sensation of rawness in larynx and trachea (Causticum), or as if there were a hair in it, causing constant tickling, coughing, hoarseness, finally some expectoration of tenacious mucus; breathing laborious; gasping for breath for several hours.
Hoarseness, with tendency to relapse in tall, slender nervous children, even aphonia after croup; the whole nervous system seems prostrated and the child lies cold, sweaty, with rattling breathing; painfulness of larynx to touch; child remains hoarse and croupy at night, (<) towards morning; a feeling of hunger, demanding food for relief; pain in larynx when speaking; child says it hurts him to talk.
SPASM OF THE GLOTTIS, attacking the child during sleep at night, whether, spasmodic or true croup. Quick wheezing-crowing breathing, with suffocative attacks JUST AFTER MIDNIGHT, and from lying with the head low; frequent waking up as if in a fright, with fear of suffocation, mouth and eyes being half open; child sits up in bed to breathe and cough; dry heat during sleep; profuse perspiration only after awakening; DREAD OF BEING UNCOVERED. In dangerous cases with excessive weakness, old- looking features, and threatening paralysis pulmonum.
PSEUDO-MEMBRANOUS CROUP; chronic dryness of the throat and sensation of swelling in the larynx, with expectoration of thick mucus; APHONIA, with swelling of the throat; steady severe cough without expectoration, with pain in the head and circumscribed redness of the cheeks; tormenting, exhausting cough, wheezing and whistling.
Children with fair complexion. NO MUCOUS RALES WITH THE CROUP, cough dry and sibilant or it sounds like a saw driven through a pine-board, each cough corresponding to a thrust with the saw; fear of choking to death; stuffed, obstructed sensation, with difficult inspiration; breathing harsh and dry, with some relief to breathing when head and shoulders are raised into a sitting position, (<) when lying down before midnight, (>) from warm food and drink; croup does not extend below larynx.