NUX VOMICA


Hahnemann’s proving symptoms of homeopathy remedy Nux vomica from Materia Medica Pura, which Samuel Hahnemann wrote between 1811 to 1821


(Seeds of Strychnos nux vomica.)

(Ten grains of nux vomica seed, finely triturated in a warm mortar, are macerted with 1000 drops of alcohol, without heat for a week, to make a tincture. Of this one drop is raised to the decillion-fold potency through 29 other diluting phials, each filled to three quorters with alcohol, by mens of two succussions given to each phial after the dilution is made.The same medicine is prepared is a simpler and almost more powerful and uniform manner, by taking one grain of the powdered nux vomica seed, and treating it like, other dry medicinal substances, by triturating it thrice with 100 grains of milk sugar (according to the directions for the homeoeopathic preparation of medicines in the second part of the book on Chronic Diseases) up to the million-fold powder attenuation. One grain of this is dissolved in 100 drops of diluted alcohol, and the dilution and dynamization is brought further (as taught in the same book), by means of 26 more phials filled three quarters full of good alcohol, up to the ,decillion-fold potency.

One small sugar-globule, 300 of which weigh a grain, moistened with this las dilution, serves as a dose.

There are a few medicines, the majority of whose symptoms correspond in similarity with the, symptoms of the commonest and most frequent of human diseases, and hence very often find an efficacious homoeopathic employment. They may be termed polychrests.

To these belong particularly the nux vomica seed, which it was formerly feared to employ, because it had hitherto been administered in enormously large, doses (a whole grain or several grains) in unsuitable cases of disease, consequently with injurious effects. But it proves the mildest and .most efficacious remedy in all the diseases whose symptoms correspond in similarity to the effects nux vomica is capable of producing in the healthy human being, when administered in the small doses above indicated.

Some practical instructions may be use, deduced from the results of the careful experience of many years.

Among these .may be mentioned, that it is more frequently required by those persons who are of an anxious, zealous, fiery, hot temperament, or of a malicious, wicked, irascible disposition.

If the menses usually come on some days too soon, and are too copious, the ailments remaining or occurring after their cessation are quite suitable for nux vomica.

It has been found that this medicine, administered some hours before bedtime, acts more gently than when given at other times of the day; but there are exceptions to this rule in cases of urgent necessity. Its administration in the morning on an empty stomach is attended with the most inconveniences in very sensitive persons, for it displays its most frequent and most severe symptoms immediately after walking in the morning.

Next in frequency its symptoms occur soon or immediately after eating and during mental strain. Hence we should do wrong to give it immediately after a meal if we can avoid doing so, and hence, also no mental labour, no meditations or declamations, no reading or writing should be engaged in immediately after taking it (and the same may be said of the administration of all other medicines ).We ought to wait for at least a couple of hours if we would avoid giving its action an improper, injurious direction.

Among other affections, many chronic maladies, also the evil consequences arising from drinking much coffee and wine, especially when the usual mode of life is a sedentary one in close rooms, and those affections caused by prolonged mental labour, find their remedy in this seed; as also several epidemic diseases and other acute fevers, especially such as have heat before the chill or mixed up with it.

Serious ailments from catching cold are often removed by it.

So, also, this medicine is more especially suitable when the patient’s state is worst in the morning and when he wakes up about 3 a.m. and must lie for several hours awake with intrusion of irrepressible ideas, and only involuntarily falls into a sleep full of oppressive dreams when the morning is far advanced, from which he wakes more fatigued than when he lay down at night, and is lazy about getting up; as also for those who several hours before bedtime in the evening cannot forbear sleeping, even while seated.

In this, as in some other medicines, we meet with symptoms which seem to be completely or partially antagonistic to one another, alternating actions, which at the same time are primary actions, and which make nux vomica very applicable and efficacious for a number of morbid states.

When, on account of the dose being too large, or on account of unhomoeopathic employment, it causes considerable ill effects, its action may be speedily completely removed by a little wine, brandy, and camphor. For the headache and anorexia it causes the appropriate antidote is coffee; for the paralytic symptoms it produces cocculus; for the over-sensitiveness and dyspnoea induced by it, aconite; and for the great crossness and irascibility, chamomilla.

Physicians who have hitherto been in the habit of imagining and evolving from their own fancy in their studies the powers of drugs and their antidotes, indicated vinegar and other vegetable acids as the surest antidotes to nux vomica and other powerful vegetable substances. As regards nux vomica this is contrary to all the experience that I have had the opportunity of obtaining on men and animals.

The following symptoms are tolerably complete, and give an almost perfect idea of the effects of nux vomica on the human body, mind and disposition.

[HAHNEMANN was assisted in this proving by FLAEMING, FRIEDRICH HAHNEMANN, and WAHLE.

Symptoms are obtained from the following old-school sources;

BERGIUS, Mat. Med.

CONSBRUCH, Hufel. Journ. Iv.

HARTMANN , Diss. Spicileg. ad nucis vom. usum. Traj. Ad Viadr., 1785.

HOFFMANN, FRID., Med. Rat. Syst., ii.

HUFELAND, Journal d. pr. Arzn., i.

JUNGHAUS , Diss. De nuce vom. Hal., 1770.

MATTHIOLUS, Comment. In Diosc. lib. iv.

RADEMACHER ; Hufel. Journ., iv.

SEUTTER, Diss. De nuce vom. L. B., 1691.

STRANDBERG. In Kiernander’s Med. lac.

THUESSINK, THOMAS A, Waarnemingen, xxxiii.

Vecoskrift for Lakare, ii. ii.

WIEL, j. p., Obs. De usu interno nucis vom. et vitr. Alb. Viteb., 1771.

In the Frag. De Vir. There are 308 symptoms, in the 1st edit. 961, in the 2nd edit. 1267, and in this 3rd edit. 1301 .

NUX VOMICA

Stupefaction of the brain. [HUFELAND, Jour. d. p. Arz. i, p. 165.] (From nine grains, in two doses, given to a woman in dysentery.)

Intoxication (aft. ½ hour) [ Veckoskrift for LAKARE, ii, p. 169.] (Not accessible)

Vertigo [ J. P. Wiel, Obs. de. Usu interno nucis vom. et vitr. alb., Viteb., 1771. – Hufeland, Jour., l. c. – BERGUIS, Mat. Med. p. 149.) (From ten – grain doses in a woman suffering from dysentery.)

Swaying feeling in the brain.

5. Attacks of vertigo, as if it turned round in a circle in the brain, with momentary loss of conciousness.

Vertigo, as if he would fall on one side (aft. 68 h.)

Vertigo wirh obscuration of vision.

A giddy sensation in the brain, going from one place to another (aft. 6 h.)

Vertigo (for an hour and a half) after dinner.

10. Vertigo after a meal when walking, that leaves off on standing still (aft. 1 h.)

Whirling vertigo while eating.

Vertigo with obscuration of vision while eating, something like when one comes suddenly out of the cold into the head, with laziness of the rest of the body.

Vertigo like whirling, when he has eructation from the stomach.

15. Vertigo, as if he neither heard nor saw and would fall, whilst sneezing and coughing , or when he rises up after stooping low.

Giddy staggering when walking, as if he would fall sideways or backwards.

When lying on the back, unable to raise the head on account of vertigo and obscuration of vision (aft. 24 h.)

On two successive evenings, after lying down, vertigo, as if the bed went round in a ring with her.

Vertigo of syncope (immediately).

20. Headache, as if from emptiness.

Intoxication.

Drunken confusion of the head.

Intoxication rising up towards the head.

Dazedness of the head as from a debauch over night.

25. In the morning headache, as if he had not slept at night.

Dulness of the head after dinner, which recurred twenty-four hours afterwards (aft. 24, 72 h.). (aft. 24, 72 h.).

Something dull is spread before the head (in the forehead) is the evening in the open air, as if consciousness would leave him for a moment (aft. 24 h.).

Some dulness comes at the back of the head.

A humming and whirling in brain and ear.

30. A buzzing in the forehead, afternoon and evening.

In the open air and sunshine stupid in the head.

A stupefying headache in the morning in bed, on awaking, that goes off after getting up (aft. 16 h.).

Stupid in the head when he holds it erect; but when he depresses it, sensation in the forehead as if something heavy sunk down in it.

When stooping he feels an excessive weight on the head. [We.]

35. In the morning drunken, giddy heaviness of the head.

In the morning heaviness in the head (aft. 4 d.).

Headache, when stooping, as if something heavy in it fell forwards.

Headache, like a heaviness in the brain, in the morning.

Headache after dinner, composed of heaviness .and pressure, especially on moving the eyes (aft. 16 h.).

40. Pressive headache (aft. 5 m.). [We.]

On closing the eyelids (pressive?) headache in the middle of the brain, such as comes on after vomiting.

Aching pain in the forehead, relieved by laying the head on the table; aggravated by open air. with weariness of the legs when going up hill (aft. 3 h.).

Aching pain in the forehead, as if he had not slept enough.

Aching pain over the left eye, and in the bone it pained as if he had got a blow there; he cannot open the eye. [We.]

45. Aching pain over the right orbit, in the morning in bed, when he lies on the right side, and going off when he lies on the. opposite side or on the back.

Aching pain in the occiput in the morning immediately after rising from bed.

He wakes up early in the morning, and with the eyes still closed he has headache in the middle of the brain (aft. 12.h.).

Deep in the brain, in the region of the crown, a down-pressive drawing headache.

Pain in the occiput, as if the brain were pressed or knocked forwards.

50. Tensive headache, at night.

Tensive headache in the forehead,

Squeezing headache.

Headache on the least mental exertion when lying, as if the brain were pressed asunder.

Headache, a. pressing in the occiput from both sides outwards, as if the skull posteriorly were forced asunder, with heat in the brain; relieved momentarily by compressing with the hands for twenty hours (aft. 11 h.). [Fg.]

55. He wakes at night from headache. [Fg.]

From exertion of the head he has pain in both temples.

From prolonged attention an aching and beating pain in the crown.

Headache in the morning in bed, as if on the surface of the whole brain, as if the skull would burst (aft. 10 h.).

Headache; the brain as if pressed and beaten.

60. Headache in the morning in bed, as if some one struck his head with an axe, going off after rising.

Headache, as if the brain were split (aft. 8 h.).

Headache; in the -morning, while lying in bed on the left side, a pain in the right side of the brain as if lacerated, but which goes off when she lies on the right, the painful, side (aft. 52 h.).

Tearing pain in the head to the root of the nose and upper jaw, aggravated by walking.

Tearing in the crown, forehead, eyes with qualmishness, squeamishness and nausea in the region of the chest and weakness of the vocal organs (aft. 2, 12 h.).

65. Drawing tearing headache. .

Tearing in the head at the ear downwards (aft. 40 h.).

Tearing headache, after a meal, with feeling of heat in the cheeks and chilly feeling over the body, at least on the hands.

Drawing tearing and burning pain in the head in the morning (aft. 60 h.).

Burning in the brain beneath the frontal bone.

70. Drawing pain in the head (aft. 6 h.).

Drawing pain first in the temples, then in the forehead, then in the occiput.

Headache drawing upwards in the right side of the brain near the ear (aft. 1 h.).

Drawing in the back of the head as if she were freezing there (aft. 120 h.).

Drawing movement here and there in the forehead towards the root of the nose.

75. Painless drawing here and there in the brain.

Tingling and shaking in the brain when walking and running.

Splashing and bubbling in the head when walking.

Single twitches in the head (aft. 3 d.).

Drawing twitching headache in the morning.

80. Single blows or strokes in the head.

(Headache in the morning, a constant pecking (obtuse shooting throbbing), aggravated by stooping forwards, and then as if a bit of the forehead would fall out.)

Violent jerks or obtuse stitches in the left half of the brain, in the direction from the orbit to the parietal bone and occiput, soon after eating (aft. 10 h.).

Single violent stitches in the head (aft. 6 h.).

Headache, beginning some hours before dinner, increasing after eating : then violent stitches in the left temple, with nausea and very sour vomiting; these ailments disappear in the evening after lying down.

85. Shooting and aching above the eyelids.

From time to time pain in one half of the head, as from a nail driven from above downwards, always deeper and deeper in the parietal bone (aft. 1 h.).

Intolerable (digging?) headache beinning in the morning when lying in bed, going off on getting up (aft some h.).

Shortly before dinner, headache.

Semilateral headache in the afternoon (from 4 a.m. till night) with exhaustion and weariness.

90. External headache, as if the hair on the occiput were painful.

External headache; pain of the integuments of the head as if bruised; the hair stands on end and is painful to, the touch (aft. 8 h. ).

A drawing pain in the outer parts of the head.

External headache; pain on the integuments of the crown, on being touched, as if bruised.

External headache ; pain of the integuments of the head, aggravated by touching.

95. External headache; during cold wind, pain as if the head were sore externally; and yet the part is not painful when touched (aft. 6 h.).

On the hairy scalp and face red, painful pimples or papules, whose apices at length become filled with pus.

(Itching and gnawing on the hairy scalp and nape, as when an ulcer is healing, especially in the forenoon.)

Painful, small swellings on the forehead.

Crawling externally on the forehead.

100. Formication on the forehead and crown.

Itching and crawling in the face as if fleas were creeping on it, which goes off by scratching, but soon returns. [Ws.]

Sensation in the face as if innumerable ants were creeping upon it.[RADEMACHER, Hufel. Journ, iv, p. 573.( From eight grains given to a man in dysentery.) ]

Sensation of tension in the face about the mouth, eyes and nose, with perceptible swelling of these parts. [Stf.]

Painless drawing in the face, on stooping.

105. A twitching as if a thread were pulled in the right side of the face , in the evening.

Twitching in the facial muscles, in the evening after lying down.

Formication here and there in the cheeks, which are red and hot (aft. 1-12 h.).

Small pustules on the cheeks.

Complexion wretched, pale, earth-coloured, yellowish ; but the white of the eye is unaltered.

110. Very red, swollen face. [CONSBRUSH, Hufel. Journ., iv, pp. 443, 444. (From two drachma of the powder taken by a man.) ]

Pain above the left eye in the skin as if he had been burnt. [ We.]

The right eyebrow is painful when touched.

Drawing tearing pain in the eyelids.

Quivering of the eyelids.

115. Contraction of the eyelids, as if from a heaviness of the upper lid, at. the same time gush of tears.

Aching in the upper eyelids, especially in the morning.

Itching in the anterior part of the eyelids (aft. 1/5 h.).

In the evening, itching of the eyelids towards the internal canthus (aft. 12 h.).

On the eyelid a burning itching pain.

120. The border of the eyelids pains as if excoriated, especially when touched, and in the morning.

Canthi pain as if excoriated.

The inner canthus is painful as if excoriated and rubbed raw (aft. 2 h.). (aft. 2 h.).

Mattery canthi.

The outer canthus is in the morning as if stuck together with matter.

125. A sore, dry feeling in the inner canthi in the morning in bed.

Smarting in the inner canthi as from acrid tears, in the evening in bed.

Smarting in the eyes, especially in the external canthi, as if from salt ; they weep.

Dryness of the right eye (aft. 1 h.).

Burning in the eyes without inflammation.

130. Formicating burning in the eyes.

Pain in the left eye as if bruised, with purulent mucus in the outer canthus (aft. 5 d.).

(Pain like needle-pricks in the eyes.).

Itching on the eyeball (aft. 2 h.).

Itching of the eyes relieved by rubbing.

135. The eyes are full of water, as in moist inflammation of the eyes (lippitudo), or as in stuffed coryza.

Painless congestion of blood in the white of the eyeball (aft. 14 h.).

Painless redness in the left outer canthus, in the morning.

Blood exudes from the eye.

Sparkling, staring eyes. [CONSBRUCH, 1. c.]

140. Swelling of the eyes, with red stripes in the white, and aching tensive pain.

Inflammation of the eyes.

Photophobia.

Intolerance of daylight, in the morning, with obscuration of vision.

(Complete obscuration of vision, like amaurosis, for a few hours) (aft. 24 h.).

145. Glittering; a shining flickering beyond the field of vision, especially on the left side, in the forenoon

Herz’s false vertigo (aft. 24 h.).

Objects appear brighter to look at than usual. [RADEMACHER, 1. c.]

(Black and grey points hover before the eyes, with stupefaction in the head).

Far sight, presbyopia.

Contraction of the pupils (the first hours).

150. Dilatation of the pupils with very slow breathing.

Externally at the entrance to the ear shooting pressure.

Itching in the internal ear through the Eustachian tube, which necessitates frequent swallowing,

and disturbs the night’s rest.

Creeping, crawling and itching in the internal ear.

Single sharp blows in the inner ear, like earache (aft. 6 h.).

155. Stitches in the ear, in the morning in bed, which cause him to cry out (aft. 9 d.).

Tearing stitches into the inner ear towards evening (aft. 6 h.).

Sharp blows in the internal ear (aft. 8 h.).

Pain in the internal ear compounded of blows and squeezing like earache (aft. 12 h.).

Ringing hissing in the ears.

160. In the night a twittering in the ears, as from a grasshopper.

Ringing in the ears. (aft. 2 4 h.). (aft. 2 4 h.).

(Buzzing end humming in the ears as from bees.)

In the morning after rising, a roaring before the ears (aft. 12 h.).

Noise in the ears as from a fulling-mill, at night.

165. (In the morning, hollowness in the ears, so that the words he speaks resound in the ears, going off after dinner (aft. 5 d.).

When chewing and pressing the jaws together a shooting drawing pain towards the inner ear, almost like cramp (aft. 4 h.).

Intolerable itching of the nose.( with S 102) [RADEMACHER, 1. c.]

It drew the mouth sideways. [RADEMACHER, 1. c.]

Locking of the jaws with full consciousness. [RADEMACHER, 1. c.]

170. In the masseter muscles and jaws a sensation as if trismus would come on, or as if the jaws were drawn together, though their movements remains free.

Drawing pain in the masseter muscles.

Ulcerated corners of the lips.

Painful desquamation of the lips. (aft. 3 h.). (aft. 3 h.).

Over the border of the upper lip itching pimples.

175. Sore feeling on the inner surface of the lower lip.

A small ulcer on the Inner surface of the lower lip, painful when touched.

An ulcer with scab and burning pain on the red of the lip.

Ulcerated scabs on the border of the lips, an eruption which on its first appearance causes shooting pain.

In the morning, shooting in the upper and lower lip.

180. The under lip is burst in the middle (a chap) (aft. 12 h.).

Miliary papules containing pus round the lips.

A single hair of the beard on the lip pains when touched, as if a splinter were stuck in there (aft. 5 h.).

A pimple on the skin of the lower jaw only painful when touched.

On the chin eruption of itching papules, the largest of which are surrounded by redness.

185. A tetter-like eruption on the lower part of the chin.

Swelling of the gums.

Painful swelling of the gums with painful papules on the interior, of the lip and on the tongue, as in mercurial salivation.

Swelling of the gums with pain like throbbing in them, as if an ulcer would form there.

Gums swollen as thick as the finger, with throbbing pain, as in a suppurating abscess, on account of which she cannot eat, for five days.

Dr. Manish Bhatia
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