Lachesis if the Rhus and Hyoscyamus fail, will do good work if the stupor increases, the weakness also; the patient is unable to put out the tongue, it trembles and catches behind the lower teeth when trying to protrude it, showing great weakness, there is great oppression of breathing with aversion to having anything touch the chest or throat, pulse weak and intermittent, with general aggravation of the whole case after sleep. Left sided pneumonia oftenest calls for this remedy. Pneumonia.
Attack comes on after sleep and cannot bear anything around throat or chest, Especially in cardiac cases. To go through all the remedies that might become useful in this disease would be to rehearse all that is given in Raue, Lilienthal and other works on practice. We must refer you to them, and again to the repertories and materia medica. Asthma.
Complaints from suppressed catarrh; better by the restoration of discharge. Chronic nasal catarrh.
Cough character – Generally dry, but if any expectoration, it is scanty, and difficult to raise, but better follows raising. Violent and long continued.
Cough aggravated by – worse falling asleep; after sleep; in sleep without waking ( Cham )
Cough ameliorated by – better after raising a little.
Cough Concomitants – Larynx painful to touch, or bending head back. Don’t want anything to touch throat or chest. Acts most intensely on the left side generally. Fever worse p.m. Stools offensive. Disturbed circulation as at the climacteric. Cardiac complications.
No remedy is more positive in its sphere. Whether in croup, laryngitis, bronchitis or pneumonia, the foregoing symptoms guiding, we are almost sure of benefit. Sometimes the choice will fall upon Naja, especially in cough coupled with heart troubles, and we have a strong team in the two. Aggravation from constriction is its general and almost invariable chief modality and is found almost everywhere. It is the opposite of Bryonia in this particular which is relieved by pressure.
Perhaps the nearest relative to Lachesis in the matter of constriction is Cactus grand., which has a distressing sense of constriction which is also found in many parts. It is well to remember the two remedies together, in heart affections.