China off. is to be considered in cases of pronounced anaemia, especially in those cases which have been brought there by haemorrhages or other loss of fluids such as seminal or suppurative, etc., etc. In these cases we will find great weakness, anaemic headaches with ringing or noises in the head and ears; digestion is impaired; with great flatulence, and sometimes chronic diarrhoea, which is painless and accompanied with noisy flatus; exhausting sweats; everything, loss of blood, semen, pus, stools and sweat seem to combine to empty out the life of the patient. Another thing I have found very characteristic, viz., the patient is worse every other day. If this state is not met chest and lung symptoms will follow.
Hoarseness, oppressed breathing cough, all aggravated when the head lies low. The chest is extremely sensitive, cannot bear auscultation or percussion (like Calcarea ); the cough is worse from deep inspiration ( Phosphorus ); talking ( Phosphorus ); laughing ( Phosphorus ); after eating ( Bry.); light touch of the larynx ( Lachesis ); least draught ( Hepar ); lying with head low; ( Hyoscyamus, Spongia ), etc., etc. The expectoration is of various kinds, nothing very characteristic. This remedy complements Ferrum, as would naturally be expected. China may be indicated in any stage of the disease, but is particularly useful to prevent the development of tubercles in cases exsanguined or greatly reduced by loss of fluids.
China when the haemorrhage is very profuse with fainting and ringing in the ears from loss of blood. Especially for the weakness following great loss of blood or other fluids.