PULSATILLA NIGRICANS Medicine



An important point to keep in mind in reference to Pulsatilla is that the gastric and abdominal troubles, eructations, heartburn (179) distention, etc., are not noticed directly after eating but come on an hour (177) or more after eating and last until it is time for the next meal. For this reason patients will some tunes think that eating relieves the distress.

It is of value for the vomiting of pregnancy(153), where we have as the extreme picture, our light-haired, blue-eyed, doll faced wife, with aggravation towards evening or at night and general relief while in he open air.

There is in Pulsatilla a desire for acids (9) and sour things.

In the abdomen we have rumbling and gurgling (11) from the moving of flatus from on part of the intestines to another and with more or less pain, and it is to be thought of in colic from cold, from fruit and right food, as well as in menstrual cold (138).

Pulsatilla is to be thought of for haemorrhoids associated with gastric derangements;there is a good deal of itching (159) worse evening and night and they usually bleed easily *85) especially after the stools.

It is of value for intestinal catarrh, with burning in the abdomen and mucous stools, for diarrhoea that alternates with constipation (58) and for diarrhoea from fright (5)_, from pastry and ice-cream (589). The movements are of green mucus (59) or green as from bile, and watery, with aggravation at night and from being in a warm room; they are preceded by rumbling and griping in the abdomen, and with pain in the small of th back. Hahnemann, in a food-note, says:’These kinds of nocturnal diarrhoea are characteristic of Pulsatilla, and are hardly met with in such marked manner in any other medicine: (Mat. Medorrhinum Pura).

Pulsatilla is to be thought of in nocturnal enuresis (198) as well as an involuntary maturation on coughing (52), emitting flatus or when walking (198). It is useful in catarrh of the bladder from taking cold, from gonorrheal extension or during pregnancy, with frequency desire, incontinence if they have to wait and a great deal of mucous sediment (199).

It is of frequent use in enlarged prostate (155), with the above bladder symptoms and in the e latter stage of gonorrhoea, with profuse, slimy, bland discharge.

It is at times indicated when the urine is loaded with ammonium urate, especially in young children.

In the male sexual organs in it frequently indicated. In orchitis, due to taking cold, injury or to a suppressed gonorrhoea (188) and in epididymitis (188), with dragging pain and soreness, pains in the small of the back, chilliness and nausea. It is also of value for neuralgia of the testicle (188), with tearing, lancinating pains, but in altheas conditions we must remember, that it Pulsatilla is the remedy, there is no relief from warm applications, but rather an aggravation from their use (188).,

In disorders of the female sexual organs this is a remedy of prime importance. Someone has well said that if Hahnemann had done nothing more than to discover the virtues of Pulsatilla, m women would be justified in mentioning his name every night in their prayers. its pathogenesis covers a filed to which they are especially or exclusively susceptible and our clinical experience has so enlarged its sphere that it seems as if there were no limit to its usefulness.

To follow them from before the time of sexual activity to the full period of maternity we notice first that this remedy is of value for chlorosis (17) n young girls, with chilliness and sluggish circulation, hot flushes at night, and tearful moods and a longing for fresh air.

Pulsatilla is an antidote to quinine (158) and to a less degree, to iron and Farrington calls particular attention to its value when the chlorosis has been complicated by the abuse of both iron and quinine, saying that in such cases it will frequently be the4 first, if not the only remedy needed.

On reaching the age of puberty, the menstrual function of the Pulsatilla patient does not assert itself (134), or the menses appear victoriously (138), especially as nosebleed and we have headache, backache, indigestion, tears and general chilliness. We also have the menses suppressed for that month (134)., 0r unduly delayed, with dysmenorrhoea, and use to catching cold unduly delayed, with dysmenorrhoea, and due to catching cold (134) or getting her feet wet (134) just before the menstrual period.

Menstruation under Pulsatilla is too late (136) too scanty and of to short duration, Lilienthal giving additional prominence to the symptom, :” flow more in daytime and while walking about, very little at night” (134), Hahnemann saying: “It is particularly suitable for females when their menses usually come on some days after the proper time” (Mat. Medorrhinum Pura).

There is a leucorrhoea before the time of puberty (126), and preceding the delayed menses (126), which like other catarrhal discharges calling for the remedy is profuse (126) which, like other catarrhal discharges calling for the remedy is profuse (126) and bland.

It is a remedy useful in prolapsus of the uterus (203), “with pressure in abdomen and small of back, as from a stone” (Hering,) aggravation when lying down and from heat, better when walking in the open air.

Many disorders of pregnancy, including nausea and vomiting (153) and false labor pains (153), call for Pulsatilla, all with the characteristic symptoms and the relief while in the open air.

Many disorders or pregnancy, including nausea and vomiting (153) and false labor pains (153), call for Pulsatilla, all with the characteristic symptoms and the relief while in the open air.

it is a remedy that seems t have special power of the gravid uterus in preserving and causing harmonious action and contraction, and many physicians give it during the last month of pregnancy, not only top keep the uterus in tone (153) but also to facilitate proper action of the pains at tie of labor. In cases of abnormal presentation, it detected by the e end of the eighth month, the use of Pulsatilla will often correct it, be full term, top one of normal presentation. This may be a strong assertion, but Allen, with all his conservatism and care in making pronounced statements, says: “Testimony on this point is so strong that its power to rectify abnormal on this point is so strong that its power to rectify abnormal presentations seems undoubted.

It is quite probably hat some of you who have had no particularly experience with our remedies, that you when certain statements are made in this college, will shake your head and say “that will have to be taken “cum grano salis:” but I venture to any that you, at the end of five years of practice will be able to make statements as to results that you have obtained, that your old school friends will feel need of a whole bag of salt to permit of easy deglutition.

Pulsatilla is to be thought of for phantom tumors anywhere, and in young girls we may have lumps in the breasts and even secretion of a thin, milk-like fluid. In nursing women there his frequently;’suppression, of, or very scanty supply of milk

(Hering) (146).

the cough of Pulsatilla is loose and the expectoration easy, with relief in the open air and aggravation from heat (41) or the warmth of the bed. Frequently the cough is dry at night an loose during the day (45). Often with the cough, or in asthma (19) of children, there is a sensation of suffocation (25) at night, with necessity o sit up in bed (41). In haemoptysis (27) we should find a sensation of suffocation, with soreness of the lungs, both relieved as soon as one gets in the open air.

There is a general sluggish circulation in Pulsatilla, with chilliness, “fitting chilliness: or “chills in spots’ (Hering), soft pulse and palpitation worse when thing on the 1.side (111). It value for phlebitis and varicose veins and ulcers (205), having, beside s the usual ameliorations and aggravations, the general characteristic of coldness of the part affected, with chilliness.

The backache of Pulsatilla, which starts in the sacrum or hips and travels upward to the small of the back, consists especially of a sprained sensation or stiffness, worse when lying on back, better lying on sides and usually better from change of position (128) and when walking. This from of backache occurs delayed or suppressed menstruation, prolapsus of the uterus and during pregnancy., In spinal irritation (171), along with this stiffness, the small of the attack feels as if bandaged (165).

It is a remedy to be thought of for paralytic symptoms, especially with suppressed menstruation,, with bruised pa in in numbness of the extremities (146).

The rheumatism calling for Pulsatilla is seldom of a highly inflammatory character. The joints may be swollen, with sharp, stinging or tearing pains, but like all the pains of the remedy, they are erratic and not to be depended upon to continue in any particular spots for any length of time, for they constantly shift from place to place (149), frequently leaving the one place free from pain when they attack the other., The pains are better from pressure or when lying on the affected side (8). when moving about slowly (10) and from cold applications (160); worse from warmth and in the evening and at night. it is useful for gonorrhoeal rheumatism (161) and for gouty symptoms due to indigestion.

Willard Ide Pierce
Willard Ide Pierce, author of Plain Talks on Materia Medica (1911) and Repertory of Cough, Better and Worse (1907). Dr. Willard Ide Pierce was a Director and Professor of Clinical Medicine at Kent's post-graduate school in Philadelphia.