Drowsy, apathetic; unconscious of all surroundings, but can be aroused to full consciousness.
Chronic effects of grief; hair turns gray; hopeless, haggard look.
Grows too fast and too tall; young persons with growing pains in bones.
Great physical and mental weakness from ovarian or sexual excesses.
Diarrhoea white, watery, painless, with rumbling; meteorism; but not so much weakness as would be expected.
Very profuse, watery, or milky urine.
Modalities: worse bad news, depressing emotions;masturbation or sexual excess; draft; wind; snowy air; better after short sleep.
Headache of school girls from eye strain, or overuse of eyes, occipital. Chest, weak from talking or coughing; cough, purulent, offensive expectoration, and pains in chest. Salty expectoration in proving.
The leading characteristic of this remedy lies in its effects upon the sensorium. ” HE LIES IN A STUPOR OR IN A STUPID SLEEP, uNCONSCIOUS OF ALL THAT IS GOING ON AROUND HIM,BUT WHEN AROUSED IS FULLY CONSCIOUS.” This is PHOS-AC in its degree, as found in typhoid fever, in which it is one of our best remedies. But it is not alone here that the sensorial depression appears. It may be found in a lesser degree, in the results of depressing emotions, like grief at the loss of friend, lover, property or position, and the effect seems to be even deeper rooted than in those cases which call for IGNATIA.(also LACH.,)The subject seems STUPEFIED with grief. There is not the nervous twitching of IGNATIA, but a settled despair, general weakness or prostration. The hair turns gray, and a weary, worn 7 haggard, hopeless look obtains. I have succeeded in curing such a case when IGNATIA failed. In such a case the patient sometimes complains of a pain like a CRUSHING WEIGHT ON THE VERTEX, or, again, of pain in the occiput or nape of the neck, and with both they appear physically weak, or exhausted, want to lie down, don’t want company, or to be noticed or spoken to. We often find this sensorial depression in connection with the effects of onanism or excessive coition. The patient is disturbed by the culpability of his indulgence, grieves over it, is inclined to sink into despair. This is true of both the sexes, and the depression is much worse if the patient is growing too fast, or is overtaxed mentally or physically. With CALC., they grow too fat, with PHOS-AC., too fast and tall. We have in PHOS-AC., a remedy for the headache of students, especially of those who are growing too fast. It is a sin to keep such young people bowing down to hard study, and while it is true that youth is the time when too great a strain in that direction may utterly wreck and forever incapacitate a mind which might, with more time and care, have been a blessing to the world.
Now PHOS-AC., properly exhibited, may be of incalculable benefit in such cases. It will sometimes be a choice between PHOS- AC., and NAT-M., or CALC-P., the other symptoms must decide.
In regard to the use of PHOS-AC., in typhoids, there are no other remedies exactly like it in its depressing effect on the sensorium. ARNICA has its apathy or indifference; but the ARNICA, depression is more profound, as is also that of BAPTISIA, for they both go to sleep while answering a question, showing how overpowering is the stupor. Then with the former we have petechiae or ecchymosis, which is not found under PHOS-AC., and under the latter the tendency to decomposition of the fluids as found in the terribly offensive stools and urine. OPIUM surpasses them all in its stupefying powers, and the face, breathing and general appearance, is not at all like PHOS-AC.,
RHUS-T and HYOSC., are very stupid also, but in other respects are very different. The description of these remedies is found under each, as we have written of their use in typhoids. NUX-M., ought also to be mentioned in this connection.
We must not forget the action of PHOS-AC upon the bowels. It does not exhibit any peculiar characteristic action upon the stomach, but does in the abdominal region, as the following well-verified symptoms show; “METEORISTIC DISTENSION OF THE ABDOMEN;RUMBLING and GURGLING and NOISE AS FROM WATERY PAINLESS STOOLS.” “DIARRHOEA WHITE, oR YELLOW, WATERY, CHRONIC OR ACUTE, WITHOUT PAIN OR MARKED DEBILITY OR EXHAUSTION.” Now it seems very singular that, after so much talk about the general depression or weakness of this remedy, we should be obliged to record that the profuse and sometimes long continued diarrhoea should not debilitate, as a characteristic symptom. Well, there are a good many unaccountable things, in both disease and therapeutics, and this is one of them, but the fact remains and we act upon it. Let us remember that the profound weakness and depression of PHOS-AC., is upon the sensorium and nervous system, and will be there whether diarrhoea is present or not. It is markedly so in typhoids, as I can fully attest from abundant observation. CHINA debilitates by its diarrhoea or loss of fluids generally. PHOS-AC., attacks the nervous system primarily, even in onanism, and its results or effects are not so much the loss of semen as a vital fluid, as under CHINA, the nervous system suffering very much, even though the emissions be neither very frequent nor profuse.
Young boys even suffer from effects of the orgasm of onanism before there is much or any semen secreted. This is well to remember in a choice between these two remedies. There is a condition in which I have found this remedy very valuable, especially in men. The leading symptom is a “weak feeling in the chest from talking.” You remember STANNUM, has this symptom very strongly (also SULPH.,) and may lead us into a wrong prescription if only the one symptom were considered. If the patient is a young man, married or single; if, again, he seems weak in mind, listless, apathetic, reticent; if he is growing fast;all these things would indicate PHOS-AC., and the proper use of it might save him from consumption, for many go into it this way. If he has cough with expectoration, under PHOS-AC., it will be copious, purulent, offensive; under STANN., thick, heavy and of a sweetish taste. All this condition of things may, when PHOS-AC., is the remedy, find its cause in one or both of two things : Onanism or sexual excess, and too rapid growth. PHOS-AC., has two very marked peculiarities in the urine, viz., very profuse and clear watery, r milky urine.
The first is found with general nervous depression, and if there is headache it is like GELSEMIUM relieved by the flow of urine. The other is from excess of phosphates in the urine, indicating nerve waste. We must distinguish between the profuse urine of IGNATIA and PHOS-AC., for the first is hysterical, the latter not at all so.
