A TOPOGRAPHICAL REPRESENTATION
1. Upper Respiratory tract.
(a) Lachrymal gland and Lacrymal duct.
Guarea.-A capital remedy of dacryocystitis with obstruction of the lacrymal duct. Less known remedy, but very much used by Dr. Parteneau in 1x. It acts specially in Dacryocystitis, Acute or Chronic. Dr. Bernoville prescribes in granules, two granules once a day. Corresponding ground remedies are very often: Thuja, Lachesis, Lycopodium, Hepar sulphur (Suppurated dacryocystitis).
(b) Nasal mucous and cavum.
1. Acute coryza, Allium cepa, Euphrasia, Arsenic, Mercurius.
Pulsatilla-with sometimes, Hepar sulphur from the small group of remedies of acute rhinitis.
Allium cepa-Irritating nasal flow with non-irritant lachrymation.
Euphrasia-Non irritating nasal flow, irritating lacrymation. These two remedies may be alternated. They are also indicated in the catarrhal phase in the beginning of measles and in hay asthma where it should be used in the 30th, repeated every day, often simultaneously with 1000 in long intervals (Nebel).
Arsenicum album is opposite of Mercurius solubilis Arsenic: acute coryza with catarrh directed towards the exterior with red nostrils; great irritation of the mucous membranes and even of the upper lid. Amelioration by hot applications. Mercurius: catarrh directed towards the interior, towards the pharynx, with possible erythematous angina. First stage of suppuration, the second stage is marked by Hepar sulphur and the third stage (chronic stage) by Silicea.
Pulsatilla-Used at the end of the acute stage when the flow is yellow, non irritating and sweet.
All these remedies play an important role not only in the acute stage of coryza but also in the treatment of sinusitis.
II. Chronic Rhinitis.
Hydrastis and Kali bichromicum have almost similar indications: Thick yellow thready discharge. They may be used together because they reinforced the actions of each other. When the nasal discharge requires increasing, they are to be used in lower dilutions 3 and 6, for Hydrastis, 6 and 12 for Kali bichr. On the contrary when the stoppage of the discharge is necessary the 30th dilution is to be used. Let us insist on the symptom of Kali bichr.: Thick, elastic, greenish yellow crusts, thrown out of the nose when the patient sneezes.
Kali muriaticum and Kali iodatum-They act in chronic non- thready nasal discharge. Lump of mucous difficult to detach in Kali mur. with whitish discharge. action on the eustachian tube. In Kali iod, the discharge is very fluid, like the white of an egg, colorless and very much abundant.
We know that the upper respiratory tract, particularly the cavum, forms a real cross-road between the different bonny stages of the face and between the digestive and the respiratory apparatuses, which explains the existence, from physiopathological point of view, the Naso-hepatic syndromes Naso-intestinal symptoms like that of Naso-urinary syndromes or Naso-genital syndromes. It is a capital rule in homoeopathic drainage to search. What is the other pole of the organism: Which has the nasal pole for the toxinic equilibrium. The nose is undoubtedly an output of derivation, which is most used by the human organism. Unfortunately we have not yet any sure rule by which we can envisage in a clear manner the syndrome in question. Perhaps one may think of the right passage of the cavum when the liver is the cause. The right nostril is particularly affected; we may think of the urinary and the genital apparatuses when the cavum and the nose are affected bilaterally. But this fact remains to be cleared.
The most important fact to note: when Lycopodium is the ground remedy (hepatic insufficiency), the elimination is marked through the right nostril. The second interesting point: In the pathogenesis of the remedies having elective actions on the liver, we note always the symptoms of pharyngitis (Chelidonium, Chionanthus, China and Myrica). The third example is of the same nature: Some remedies like Argentum nitricum and Capsicum always respond to a balancing between the urinary and genital apparatuses and the nasal mucous membranes such, as it is seen in some cases of acute Rhino-pharyngitis with Albuminuria. We have already had the occasion to stress on the point that, that idea action of medicines and their polarity of action dominate the importance of drainage and of canalisation. Dr. Rouy has begun a research in this sense. He has been able to show that in some cases, such part of the crystallin was related to such remedy which should orient the mind towards such lobe of the liver.