In this lecture Dr. Bernovillae describes a general classification of the remedies of cough.
Formerly we have studied some groups of remedies of the beginning of the acute respiratory diseases: Aconite, Belladonna, Ferrum phosphoricum, Bryonia, chamomilla, Veratrum viride, to this group we have added Hepar sulphur which may be a remedy of dry as well as of the most cough.
The second group is that of the remedies of trachitis: Rumex crispus, Sambucus, Drosera, Hyoscyamus and Spongia.
The third group is composed of remedies acting also on trachea and larynx: Iodium, Phosphorous, both are ground remedies studied previously; Chlorum and Bromine, Ammonium bromatum being much less important.
The fourth group is composed of Capsicum and Mentha piperata.
If we now follow our general classification we have: The fifth group: Group of fundamental remedies of larynx: laryngial cough, whooping cough, nasal voice etc…
Laryngial cough: Arnica, Selenium, Carbo vegetabilis (Possibility of nasal voice with aphonia). Dominating aphonia with very little or no cough: Populus candicans, Coca, Arum triphyllum Argentum nitricum.
-Remedies of whooping-cough or cough like whooping cough: Pertussin, Cuprum, Corallium rubrum, Mephitis, Cina.
Sixth group: Cough of cardiac origin: Spongia and Naja.
Seventh group: Pleural cough: Bryonia, Rananculus bulbosus, Asclepias tuberosa, Arsenicum iodum.
Eighth group: Spasmodic cough of Asthma or hay fever: Ipeca, Lobelia inflata, Hydrocyanic acid, Laurocerasus, Justicia Osmium, Naphthalin, Scilla.
Ninth group: Different remedies of cough not clearly defined: Ambra grisea, Lithium carbonicum, Sabal serrulata Conium.
Fourth group Capsicum is specially indicated in pharyngitis with sensation of extreme burning in the throat and irradiation to the ears. Possibility of otitis. In children, dry cough, noisy and explosive.
Mentha piperata-Less important. Cough caused by inspirating air. Feels as if he is always taking cold air. Sometimes sensations of burning in the pharynx or in the trachea (Rumex).
Fifth group (more important)
Arnica-Intense traumatic sensation in the larynx and trachea which may extend to the whole chest. In whooping cough the child is afraid before the attack.
Carbo vegetabilis-Dry cough either humid or dry in old bronchial patients. Sensation of burning in the trachea, the larynx and even in lungs.
Selenium- Dry laryngia cough with nasal voice or aphonia, great weakness, with depression not only physical, but also sexual.
Cuprum-Dry cough with intense spasm, cyanosis. Better by drinking some water (Causticum). A good remedy of Asthma.
Pertussin-It is a remedy which should be given not only in whooping cough but in all sorts of whooping cough like cough ( child suffering from tracheo-bronchitic adenopathy).
Corallium rubrum-It is related to Cuprum; red face, dry cough in all whooping cough like cough, specially at night.
Mephitis, Extremely violent cough frequent and coming at night.
Cina-Reflex cough of verminous origin. Also indicated in whooping cough, when the spasms are violent and the patient has blue circle around the mouth, at the root of the nose and on alae nasi (Ipeca). Also indicated in grave cases of broncho pneumonia when the well indicated remedies fail and helminthiasis is suspected. The cough is dry, incessant. The child is capricious and even wicked. In such a case Dr. Nebel gives Cina 200 or M.
Viola odorata-A small remedy to be given in children and in pregnant women who have dyspnoea with spasmodic cough. Helminthiasis and eczema in children, specially on the face and on the tegument.
Spongia and Naja are very important in recurrent cough, nasal voice or loss of voice. But if the trouble seems to arise from the intracardiac nervous system or from cardiac troubles Naja is better than Spongia. It is a clinical question.
Digitalis-Should be thought of when there is dry cough with weakness of myocardia.
Coccus cacti-It is indicated in humid cough of cardiac patients who cough hopelessly with ropy expectoration, albuminous and abundant, difficult to detach.
Ammoniacum-This remedy may be indicated in intense suffocation due to cardiac weakness like Ammonium carbonicum, Veratrum album and Carbo vegetabilis.
Seventh group. Bryonia is of the first importance with Rananculus bulbosus and Asclepias tuberosa. The last two remedies act rather on the left base, while Bryonia on the right base and on the right apex.
Asclepias tuberosa. The patient is tuberculinic or tuberculous.
Rananculus bulbosus. The patient is arthritic rheumatic or an alcoholic one. It is a remedy of Zona and of interstitial neuralgia. It acts on pleurodynia, on the whole thickness of the intercostal wall, from the pleura to the skin while Bryonia and Asclepias have localised action on the pleura.