Veratrum album. [Verat]
This remedy should be given early in the true cholera. It has profuse watery stools with a cold, blue surface and cold sweat on forehead and great prostration. Its characteristics may be summed as follows: 1. Pain in the abdomen preceding stool. 2. Profuseness of the stool and forcible evacuation. 3. Great prostration following stool. 4. The sense of inner burning. 5. The cold sweat. 6. Cold surface of the body.
There are sharp, cutting pains in the abdomen and great weakness, almost fainting with stool, at the same time there is vomiting and purging, cramps and rice water discharges. There must be ***pain for **Veratrum to be well indicated. Stools are worse at night and the patient emaciates rapidly. It is our first remedy in cholera infantum with greenish stools, sometimes containing flakes like spinach.
**Jatropha. Cholera, vomiting of ropy, albuminous matters, great prostration, vomiting and purging and rice water stools. Cramps and coldness. It pictures cholera perfectly.
With this remedy the system seems overwhelmed by the violence of the poisoning even before the vomiting and diarrhoea appear; there is at once intense prostration, bluish, icy cold face, cold body, weak, squeaky voice, stiffness of muscles, coldness and collapse, burning in stomach and oesophagus. ***Coldness, dryness and blueness express its characteristics. The discharges are scanty, if present at all, the tongue is actually cold. It is an almost infallible remedy at the onset of cholera, and was so considered by Hahnemann. It corresponds to a dry cholera, where the patient is taken simply with coldness, has not the vitality to vomit and purge. It suits especially, therefore, the period of invasion. Relief by warmth is a characteristic
**Hydrocyanic acid. Marked collapse with sudden cessation of all discharges. Last stage of cholera with fainting spells and tetanic spasms. Dr. Sircar, of Calcutta, has good results in cases that seem past help by using this remedy.
**Sulphur. There are many symptoms of this drug that resemble cholera in its incipiency, and it has been recommended to put flowers of **Sulphur in the stockings as a prophylactic.
Intense spasms and cramps mark this remedy; there is coldness of the surface of the body, dryness of the mouth, thirst, blueness of the skin, cramps of the muscles of the calves, violent pains in the epigastrium and ineffectual efforts to vomit. It has vomiting and purging nearly as great as **Veratrum, but not the cold sweat.
**Cramps are more prominent under **Cuprum than any other remedy. It has also spasmodic twitchings, and has been used as a prophylactic. Probably the acetate is the better preparation of the use. Hale recommends **Cuprum arsenicosum. The evacuations of **Cuprum are choleraic; they irritate more than they inflame, thus coming nearer to cholera than **Arsenicum. Everything is spasmodic, and it is indicated only when vomiting and purging have set in. In the chest the cramps produce dyspnoea; there are cramps in extremities, even in fingers and thumbs.
Arsenicum poisoning has been mistaken for cholera. There is intense vomiting and purging, brownish yellow, profuse, offensive yellow or green stools with thirst, cold body, and burning internally. It has more restlessness and less sweat than **Veratrum. In cholera infantum with undigested stools, restlessness, and rapid emaciation. Diarrhoea when the child begins to eat and drink. Ptomaine poisoning calls for the remedy. It is distinguished from **veratrum by the scantiness of the discharges.