This gives the general features of the Croton tig. diarrhoea. If it is in an infant there is great exhaustion, tympanitic abdomen, much rumbling of the bowels, great sinking, and as soon as the infant takes one mouthful of milk or draws from the mother’s breast it expels a gush of liquid or pappy stool.
Eyes: Another most important group of symptoms is its eye symptoms. It has eye symptoms of an inflammatory character, and around the eyes and upon the lids are vesicles and pustules.
Pustules upon the cornea, granular lids. Inflammation of all the tissues of the eye. It has an inflammation of the iris and conjunctiva. The blood vessels of the eyes are distended, the eye looks red and raw. The eyelids when turned out are seen to be greatly inflamed and granular, covered with vesicles and pustules.
With this inflammatory condition there is a sensation very commonly present in the Croton tig. eye cases, as if the eye were drawn backwards by a string, or as if the optic nerves were dragging the eyes backwards into the head.
This drawing in the back of the eye as with a string is also peculiar to Paris quadrifolia, but the conditions are different in Paris quad. In headaches from overuse of the eyes in engravers or those doing fine needle work, with much neuralgia in the head, due probably to the overuse of the eyes, when the pains in the eyes are not attended with inflammation, but are more of the type of dull aches and pains that you might call only rheumatic or neuralgic, with this sensation as if the eyes were drawl) back into the brain; in these neuralgic cases use Paris quad.
But in the inflammatory conditions such as I have described, with the same drawing back as with a string, Croton tig. is the remedy.
Troublesome eczema of the scalp in infants, either purely vesicular or intermingled more or less with pustules. The vesicles dry up and then desquamate, and now there is a red, raw, inflamed surface, sensitive to touch.
After desquamation has pretty nearly finished, a new crop of pustules and vesicles comes out, and while one place is clearing off another is vesicular. This is how it goes on with a chronic eczema. The eruptions are often about the eyes, on the temples, over the face and on top of the head.
The appearance is so nearly like Sepia that the two very often cannot be distinguished. Sepia has the same vesiculation intermingled with pustules, the bleeding and rawness of the surface and the eruption of new crops.
Sepia is more frequently indicated in this raw and bleeding state of the scalp, in crusta lactea, or the eruption of children that Crot. tig. Under Croton tig. infants in this state very often have attacks of gushing diarrhea, coming on from the slightest disturbance or indigestion; this is a great help in guiding to the remedy.
When the two groups of symptoms are combined, the scalp symptoms and the diarrhea, you can hardly make a mistake. You will see this also, that if the diarrhea is at all prolonged, the head will steadily improve and you will think your patient is getting well of the scalp trouble, but when the diarrhea slackens up a little out will come a fresh crop.
If the diarrhoea becomes chronic the external eruption will disappear, and if the diarrhea improves the external eruption gets worse. It seems necessary in such a constitution to have a vent. The mucous membrane is but the internal skin, and the integument of the body the external skin, and this remedy especially manifests itself upon one or the other of these, the mucous membrane or the integument.
Lactation: It has another manifestation that you want to carry in mind, a group of symptoms in relation to lactation. After confinement the mother may go on a little while with all things following normally, but all at once she commences to have pains in one or the other mammary gland, and the drawing as with a string comes up again.