Bryonia [Bry]
is the remedy for pneumonia; it furnishes a better pathological picture of the disease than any other, and it comes in after *Aconite, Ferrum phosphoricum and **Veratrum viride. The fever continues, but the skin is not as hot and the patient not as restless as in **Aconite. the cough of **Bryonia is looser and more moist than that of **Aconite, and there are usually sharp stitching pleuritic pains, the cough of **Bryonia is also hard and dry at times and the sputum is scanty and rust colored, so typical of pneumonia. There may be circumscribed redness of the cheeks, slight delirium and apathy; the tongue will most likely be dry, l and the patient will want to keep perfectly quiet. It is a right-sided remedy and attacks the parenchyma of the lung, and is perhaps more strongly indicated in the croupous form of pneumonia. The patient dreads to cough and holds his breath to prevent it on account of the pain it causes; it seems as though the chest walls would fly to pieces. The pains in the chest, besides being worse by motion and breathing, are relieved by lying on the right or painful side, be cause this lessens the motions;of that side. Coughs which hurt distant parts of the body call for **Bryonia. **Phosphorus most commonly follows **Bryonia in pneumonia, and is complementary. In pneumonias complicated by pleurisy **Bryonia is the remedy, **par excellence. Halbert believes that **Cantharis relieves the painful features of the early development of the exudate better than any other remedy, a hint which comes from Dr.Jousset, who used the remedy extensively.
Kali muriaticum. [Kali-m]
Since the advent of Schuesslerism this has been a favorite remedy with some physicians, and not without a good ground for its favoritism. Clinical experience has proved that this drug in alternation with **Ferrum phosphoricum constitutes a treatment of pneumonia which has been very successful in many hands.
The symptoms calling for **Kali muriaticum as laid down by Schuessler are very meager, it is given simply because there is a fibrinous exudation in the lung substance. There is a white, viscid expectoration and the tongue is coated white. It is better suited to the second stage, for when the third stage appears with its thick, yellowish expectoration it is replaced by **Kali sulphuricum in the biochemic nomenclature.
Phosphorus [Phos]
is “the great mogul of lobar pneumonia.” It should be remembered that **Phosphorus is not, like **Bryonia, the remedy when the lungs are completely hepatized, although it is one of the few drugs which have been known to produce hepatization. When bronchial symptoms are present it is the remedy, and cerebral symptoms during pneumonia often yield better to **Phosphorus than to **Belladonna. There is cough;with pain under sternum, as if something were torn loose; there is pressure across the upper part of the chest and constriction of the larynx; there is pressure across the upper part of the chest and constriction of the larynx; there are mucous rales, labored breathing, sputa yellowish mucus, with blood streaks therein, or rustcolored, as under **Bryonia. After **Phosphorus, Hepar sulphur. naturally follows as the exudate begins to soften; it is the remedy of the third stage, the fever is;of a low character.
**Tuberculinum. Arnulphy says that in lobular pneumonia this remedy surpasses **Phosphorus or Antimonium tartaricum, and competent observers are convinced that it has an important place in the treatment of pneumonia; some using it in very case intercurrently; doses varying from 6x to 30x.
When typhoid symptoms occur in the course of pneumonia then **Phosphorus will come in beautifully. **Phosphorus follows **Bryonia well, being complementary to it. There is also a sensation as if the chest were full of blood, which causes an oppression;of breathing, a symptom met with commonly enough in pneumonia. Hughes maintains that **Phosphorus should be given in preference to almost any medicine in acute chest affections in young children.
Lilienthal says **Phosphorus is our great tonic to the heart and lungs.
**Hyoscyamus. Dr. Nash considers this remedy one;of the best in typhoid pneumonia, meaning that it is more frequently indicated than any other.
Sanguinaria. [Sang]
When **Sanguinaria is indicated in pneumonia there will be fever, burning and fullness in the upper chest, a dry cough, sharp, sticking pains more on the right side, dyspnoea, and the expectoration is rust- colored, here resembling **Phosphorus. It has circumscribed redness and burning heat of the cheeks, especially in the afternoon. The hands and feet are either very hot or very cold, the heart is weak and irregular, there is great engorgement of the lungs and the congestion is very intense, here resembling **Veratrum viride but the arterial excitement is more marked under veratrum viride. **Sanguinaria has imperfect resolution and purulent expectoration, as in **Sulphur but it is more offensive, even becoming so to the patient himself.
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.