Aconite. [Acon]
While in Hering’s Guiding Symptoms over seventy remedies are mentioned as applicable in various neuralgias, yet there are a few that come to mind and use much more frequently than others. **Aconite is one of these. It is almost a specific for facial neuralgias of congestive form. It seems to have an elective action on the trigeminus nerve, producing painful sensations. It corresponds to recent cases in young subjects traceable to cold drafts, exposure to dry, cold winds, etc. The special features are the ***continuous pain not only in the nerve, but in the surroundings parts; the red, swollen face, ***tingling, great excitement and intolerance of the pain; patient declares that something must be done. According to Baehr and other observers, it acts better in the higher potencies in neuralgia. It is also applicable to rheumatic prosopalgia, with swelling of the face. The zygoma, cheek and articulation of the jaw are favorite seats of the pain.
**Plantago major is especially applicable to sharp neuralgic pains plying between the teeth and ears. Otalgia finds a valuable remedy in **Plantago.
**Chamomilla. Neuralgia with great nervousness; pains utterly intolerable, worse at night and from warmth, accompanied with heat of face, thirst, redness, hot sweat, very impatient, can hardly answer a civil question. Of little use in the lower potencies.
Colocynth. [Coloc]
This is also a remedy for recent cases traceable to emotions, catarrh, or exposure, the characteristic being tearing pressive pains worse from motion and touch and relieved by rest and external warmth. The attacks are paroxysmal, mostly on left side, though the sciatica is right-sided. Abdominal neuralgias of a pure nervous type, not inflammatory. Ovarian neuralgias are often greatly benefited by **colocynth. The pains of **Colocynth are better from rest and pressure, but return as soon as pressure is removed.
**Nux vomica has also proved useful in many cases. Jousset places great reliance on it in high dilutions. Neuralgias about the abdomen, worse on left side.
**Stannum pains gradually increase and gradually decrease. “Sun neuralgias.” Of great use in neuralgias of the supraorbital nerve following intermittent fever and abuse of quinine.
**Rhus. Neuralgia from eating, worse in damp weather.
**Spigelia.
Baehr claims first place for this remedy in the treatment of prosopalgia. The pains are rheumatic, jerking, tearing, worse from dampness, contact, motion, touch sending a shudder through the frame, are periodical and attended with anxiety at the heart and restlessness or preceded by palpitation. The location of the pain is in the nerves of the forehead, orbit and teeth of upper jaw. There is often a sensation as if the eye were too large. Ciliary neuralgias or leftsided prosopalgias where the pain comes up over the head from the occiput; burning, sticking pains, worse from change of weather, call for the remedy. It is not so often indicated in chronic cases.
**Colchicum also has left-sided pains, a kind of paralytic weakness, lacking the severity of **Spigelia.
**Cimicifuga has supra-orbital neuralgia, but it is usually reflex, dependent upon uterine disturbances. This remedy produces a picture of myalgia, worse at night;prosopalgia in nervous women, coming on afternoons and going off at night. Left infra-mammary pains, which often indicate ovarian troubles, will suggest **Cimicifuga.
Belladonna. [Bell]
Hartmann lays special emphasis on **Belladonna for infra- orbital neuralgic, accompanied with increase of tears and saliva. There are violent cutting pains coming on towards evening, most violent about midnight; the paroxysms are of long duration and there are symptoms of vascular excitement; the pains radiate to temples, ears and nape; are worse from noise, motion, jar, chewing, cold air, etc., and are relieved by absolute rest and warmth. In prosopalgia the face is swollen, bright red and the pain is particularly severe; the pains come and go suddenly and hyperaesthesia marks the remedy.
**Atropine sulphuricum 3 is recommended by Kafka in case **Belladonna fails. Hale also speaks highly of **Atropine in neuralgias. The indications seem to be intermittency of the pains, appearing and disappearing suddenly. Jerking and twitching of the muscles mark the remedy.
**China has neuralgic pains which are ***aggravated by touching the parts, or by a draft of cold air. A malarial basis or complication is an additional indications. Most neuralgias that are recurrent are on an anaemic basis and here **China often finds its indications. **Belladonna has a plethoric habit which strongly contrasts with **China.
Professor of Materia Medica in the University of Michigan Homeopathic Medical College. Member of American Institute of Homeopathy. In addition to his editoral work he authored or collaborated on: Boericke and Dewey's Twelve Tissue Remedies, Essentials of Homeopathic Materia Medica, Essentials of Homeopathic Therapeutics and Practical Homeopathic Therapeutics.