In this lecture Dr. Bernoville concludes his study of the medicines of moist cough taken up in the 4th lecture. He recalls at first in a general way if it is necessary to deal with the therapeutic of the respiratory system from the angle of derivation and of canalisation more than the drainage properly called. In the study of the remedies of humid cough we have to deal with remedies of direct drainage on the respiratory mucous, of expectorants, of medicines fluidifying the bronchial secretion such as Antimonium tartaricum, Kali bichromicum, Hydrastis, etc…
In the last lecture we have already studied two groups of medicines of humid cough. The Antimony group of which the most important is Antimonium tartaricum characterised by abundant expectoration easy or difficult to throw up and by its depressive action on the circulation and on the heart; and the kali group characterised by a fundamental symptom: Physical and muscular weakness.
To-day we will study the Salts of Ammonia, the Heavy metals (tin, mercury and silver) the salts of Calcium, Baryum and Aluminium and then the vegetable group.
Salts of Ammonia They are characterised by weakness, hypothymic tendency, need to use smelling salts. The subject are fat, with hypotension, weakness of oscillometric amplitude, whose heart is weak and the general condition is failing. They have humid cough. The expectoration would be easy to throw up without the weakness of bronchial contraction. In old persons one should think of the Ammonium salts, when there is a cardio renal trouble with great weakness proceeding towards uremia.
Ammonium carbonicum. Cough accompanied by weakness, oppression or nasal voice. Great sensitiveness to inspired air. Ammonium carbonicum is related from this point of view to Rumex crispus. It is an interesting remedy of chronic emphysematous bronchitis of ripe age and of old persons of whose the general condition and renal functions are deficient. It is a remedy of derivation of lungs towards the kidney and of which the association with Coccus cacti 3x (Polarity: lungs-kidney) is often helpful.
Ammonium muriaticum acts on the upper respiratory tract. The subject suffers from catarrh of the throat. Thick, abundant secretion difficult to detach. Thus it is related to Antimonium iodatum and Antimonium sulphuricum, Antimonium phosphoricum. Well studied by Dr. Le Tellier. Congestive tendency of the lungs very marked because of the radical phosphorus. Arthritic subjects sufferings from catarrhs; gouty or rheumatic patients (Polarity is very clear: Locomotor system and respiratory system).
Antimonium iodatum. Chronic bronchitis of rickety children proceeding towards tuberculosis. Dr. Barishac says that it is a good remedy of diabetes.
Antimonium causticum. Difficult respiration, aphonia, burning sensation in the throat, incessant cough with accumulation of mucous. Spasms of the glottis. Uvula covered with thick white mucous.
Ammonium bromatum. Dry and spasmodic cough specially at night with tickling in the larynx and thick mucous. Chronic catarrh of orators.
Ammoniocum. Chronic bronchitis of old persons who are sensitive to cold having much accumulation of mucous in the respiratory tract but little expectoration.
In summary we may say that. In all salts of Ammonia the cough is humid, the subject is weak and failing with a tendency to passive congestion of the lungs.
Heavy metals: Salts of tin.
The most important of this group is :
Stannum metallicum. An excellent remedy, well studied by Charge and afterwards by Le Tellier: Constant oppression, worse at night, Extremely abundant expectoration, sweetish, sweet or fad. Great sensation of weakness in the chest. This is the dominant symptom. General traumatic sensation of the walls of the chest. Sometimes with constrictive sensation (Cactus).
Stannum is an important remedy of ulcero-caseous tuberculosis.
It is a delicate remedy. Dr. Bernoville finds it very inconstant.
Stannum iodatum. It is more preferable than the former, indicated in bronchial catarrh and in tuberculosis. It is a very good remedy.
Salts of Mercury Mercurium solubilis. It has a more important action on the cavum, on pharynx, on bronchuses. Its action is not so important on the mucous membranes of the lungs. However, it may be indicated in acute bronchitis, pulmonary congestion with muco- purulent expectoration and with the possibility to develop into gangrene or abscess of the lungs (Mercurius is used in the first stage of suppuration before Hepar).
Aggravation at night, by the heat of the bed. No amelioration by sweat. symptoms of mouth, larynx and pharynx are classic. Abundant expectoration, yellowish or whitish with metallic taste. Cannot hack up when lying on the right side.