Cannot lie on the right side or back without instantly producing black, bilious vomiting. This is a wonderfully bilious remedy, sick headaches, vomiting of bile in great quantities.
The various low forms of disease calling for Crot. often, begin with vomiting great quantities of bile, sometimes bile mixed with blood.
Stomach: Pain in the stomach; coldness as if a piece of ice were in the stomach or in the abdomen. Stomach irritable, unable to retain anything, constantly throws up blood.
Crot. has cured ulceration of the stomach. It has greatly restrained the growth of carcinoma when there is much vomiting of bile and blood. Vomiting in many instances where the blood has no tendency to coagulate.
Now, with all these ulcerations of the stomach, cancerous affections, low zymotic disease, jaundice is nearly always present; jaundice and more or less of bleeding; fever seldom runs high; sometimes the temperature is subnormal, but with oozing and bleedings, with dark hemorrhage from the nose and mouth and dark, scanty, bloody urine containing albumen.
Abdomen: The abdomen is greatly distended like the tympanitic abdomen of typhoid and the low zymotic diseases. Ulceration of the bowels, hemorrhage from the bowels. Much pain and soreness in the abdomen with numbness.
Feeling in it as if it were made of wood.
“Stool black, thin, like coffee grounds.
Dysentery of septic origin from foul water, food, etc.
Diarrhoea from noxious effluvia.”
Inflammation of the ovaries and of the uterus. Low form of putrid fever.
Women: Hemorrhages, Either dark clots or blood that has no tendency to coagulate and keeps on flowing. There is great trouble at the climacteric period. Hot flashes. Jaundice. Hemorrhage from the uterus or from other parts.
Cancer of the uterus with much bleeding. Great offensiveness. Patient becomes yellow, jaundiced, great exhaustion, mottled appearance of the skin, swelling of the face, of the leg, especially along the course of the veins. Phlegmasia alba dolens. Worse from the slightest touch. Worse from jar, from motion.
There is some reason to think that this will be more or less a heart remedy from the great cardiac weakness it produces. But the other snake poisons like Naja, Lachesis and Elaps have had more clinical application than this one.
This one seems to prostrate the heart, but also to prostrate the whole body, and its complaints are more general. Mottled appearance of the limbs. Gangrenous appearance of the extremities.
Skin: Boils, carbuncles and eruptions are surrounded by a purplish condition of the skin, a mottled, blue, splotched or marbled state. It produces boils, abscesses and a condition somewhat resembling a carbuncle, with burning and violent pains, but the peculiar feature is the doughy centre.
Around the boil or carbuncle for many inches there is oedema, with pitting upon pressure. The boil, or abscess, or carbuncle will bleed a thick, black blood that will not coagulate. Carbuncles that come upon the neck and upon the back begin with a pustule, and then several come and they are surrounded by little pustules and papules and there is pitting upon pressure.
For these carbuncles you will need to study particularly Arsenicum, Anthracinum, Lachesis, Secale and Crot.. They are the medicines that have in their nature malignancy and manifestation.
In puerperal fever there is a continued oozing of black offensive blood that will not coagulate; bleeding from every orifice of the body as well as from the uterus. Imagine a woman who is pregnant suffering from typhoid fever.
She aborts and a low zymotic state comes on with the symptoms that I have described and with all the appearances as if she would bleed to death after the abortion. The blood will not coagulate and the flow continues. Or in a woman during a typhoid fever menstruation comes on. It is not a true menstrual flow, that is, it does not resemble the ordinary flow, because it is copious, dark and liquid, a continuous oozing with all the grave symptoms described, and especially the besotted countenance, the comatose state, the appearance as if she were intoxicated, lying as one dead. When aroused every muscle trembles; if the tongue is protruded it trembles, and there is inability to articulate.
Crot. may save her life. Would it be possible to think of graver states of sickness than such as are produced by the ophidia?
When a physician sees these symptoms coming on he immediately thinks of a class of remedies that can cover such a state, remedies like Baptisia, Arsenicum, Secale and the Ophidia, and sometimes Arnica, Phosphorus and Pyrogen.