There is in Calcarea carb. a decided tendency towards increase of abdominal fat (80).
It is remedy to be thought of for cystitis, with profuse mucus, in persons of a Calcarea habit, and for irritable bladder, with increased desire after urinating and at night, and much urine of a sour, disagreeable or fetid odor. Bell says: “The smell of the urine cannot be described, but once smelled it is never forgotten.” We are safe in calling it disagreeable.
In the male sexual sphere it is of value for hydrocele in children (119), while in the adult, especially in those whose thoughts or actions have dwelt too often on one subject or object (167), there is an increased desire, which Farrington speaks of as being “more mental than physical” (167), erections are slow and only by artificial stimulus, and the discharge premature (167), with the natural result, as given in the pathogenetic symptoms, of “discontent, anger and giving way of the knees.”
In the female sexual sphere Calcarea carb. is frequently indicated. In conditions other than those previously spoken of, too early and too profuse menstruation is the rule (135) and we have metrorrhagia at the climacteric (135). The flow is too prolonged (135), it seems difficult for it to stop, and “the least excitement brings on a return of profuse menstruation” (Dunham) (136).
Hahnemann says: “If the catamenia usually come several days before the period and are excessive, Calcarea is frequently the indispensable curative, and the more so, the more abundant the flow; but if the menses always appear at the right period or later, even if the menses are profuse, Calcarea is yet but rarely useful” (Chr. Dis).
The leucorrhoea, which is apt to precede and follow the menses (126). often flowing gushes (126), especially during micturition. Lilienthal speaks of Calcarea carb. as useful for leucorrhoea “of infants (126) and before puberty” (126).
The milk of a nursing woman of the Calcarea habit is profuse, but thin and not sufficiently nourishing to satisfy the child; it may even be disagreeable to the child who will refuse to nurse.
In phthisis Calcarea carb. is useful even even after the formation of cavities, with soreness of the walls of the chest, profuse, purulent, often sweetish expectoration (70) and haemorrhages (27); we have also, thirst, hectic fever, night- sweats (185), especially about the head, and cold hands and feet.
In rheumatism it is to be thought of for all sorts of pains in joints and muscles the result of working or a long continuance in water (8), the pains worse from any change of weather to damp (9). Lilienthal says it “is the chronic Rhus, and often comes in where the latter fails.”
It is useful in rheumatoid arthritis (161), especially of the fingers (161) and in chronic inflammations of the larger joints (161), including tuberculosis of the hip-joint (117) and of the knee (125). It is useful for gouty knees and for cramp in the bend of the knee, in the calves of the leg (52), soles of the feet and toes, especially when extending or stretching the leg.
Calcarea carb. is to be thought of in insomnia from mental activity, “that long wakefulness which is the precursor to some diseases and the accompaniment of others” (Farrington), they start at every noise and fear they will go crazy if they do not get some sleep. Dreams are anxious and frightful, especially of falling.
The intermittent fever calling for the remedy would be of a chronic form and caused by prolonged standing in cold water or handling of damp earth or clay. There is no especial hour that is characteristic for the onset of the paroxysm.
I use Calcarea carb. 3rd and 30th.
