Cinchona is useful in some disease of the bowels, especially when associated with marked tympany. The abdomen is enormously distended; when you percuss it, it gives forth a sound almost like that caused by shaking the tense head of a drum. It is particularly when this tympany occurs early in the disease that china dose good, then this symptom shows early debility.


Causes: Loss of animal fluids. Bread, Butter. Coffee. Emotions, anger, chagrin. Spoiled fish. Flatulent food. Milk. Pepper. Tea. water, fruit. Milk. Farinaceous food. Noxious miasmata.

Type: Flatulent. Acid Acute. Chronic.

Digestive tract.

Desires: Pungent, spiced, sour, refreshing things, for coffee- beans and for stimulants, for various things without knowing which; for acid fruit, wine. Beer. Brandy. whisky. Coffee. Cold drinks. Highly seasoned food; Sweets.

Aversions: Beer. Bread. Butter. Coffee, Fats and rich food. Food. Hot food. Warm food. Meat. Cold water.

Taste: Insipid watery taste. Putrid taste. Bitter or sour taste. Bitter taste of all kinds to nourishment. Food tastes too salty. Flat taste. Bitter taste of the food, bread, beer, tobacco. Acute; Bad; saltish; sweetish.

Appetite: Diminished appetite. Voracious appetite, worse at night. Hungry without appetite. Hungry longing for food which lies undigested. No desire for eating or drinking. Canine hunger especially during the night. Appetite only while eating with indifference to all food. want of appetite; hunger, (where the patient may be hungry without any appetite to eat.), extreme hunger. Appetite variable, increased for various things but does not know what; indifference to eating and drinking, only while eating appetite and natural taste for food returns.

Appetite increased especially at night, canine, at night. appetite returns after a mouthful.

Thirst: Extreme thirst for large quantities. Thirstlessness. Violent thirst for cold water, drinks but little at a time but often.

Tongue: Tongue cracked, black or loaded with a yellow or white coating. Thick, dirty coating of the tongue. tongue coated white or yellow. Blackish parched tongue.

Nausea: Nausea with empty feeling. Nausea in throat. Nausea in afternoon. Nausea before eating. Nausea after eating. Nausea at thought of food.

Vomiting: In the forenoon; 11 a.m.; at night; During diarrhoea, after drinking; after eating; frequent; vomiting of bile with colic.

Vomiting of food; mucus. Sour vomiting, vomiting of water.

Vomiting: sour, mucus, water and food, blood, bile. Vomiting of liquids; vomiting with headache.

Stomach excessively acid with sour vomiting and sensitive to touch.

Pyrosis, accumulation of water in the mouth, inclination to vomit and pressure on the stomach after eating the least thing.

Waterbrash after eating.

Heartburn after eating.

Eructations: Eructations aggravates symptoms. Eructations after bread. Eructation after eating. Ineffectual and incomplete eructations. Eructations after milk. Eructations better after sleep. Eructation bitter after bread and butter, after eating. Empty eructations. Eructations of food. Eructations tasting like food. Loud eructations. Sour eructations after eating, after milk rich food. Sour eructations after swallowing milk. Belching gives no relief.

Stomach and abdomen: Weakness of digestion; the food is not digested, if taken too late in the day. After a meal distention of the abdomen, oppression of the stomach, general languor and disposition to lie down. Colic from weakness and loss of animal fluids. Milk deranges the stomach easily. Pulsation in the pit of the stomach. Accumulation of flatulence. Incarceration of flatulence. Rumbling especially in the epigastrium. Fermentation after eating fruit. Emission of a quantity of flatulence, frequently very fetid.

Liver swollen and very painful when slightly touched. Stomach tender, cold. Vomiting of undigested food. Slow digestion. Ill effects of tea. Weight after eating. Hiccough. Bloatedness better by movement. Rumbling and rolling in the bowels. Darting.

Shooting pain generally from right to left, crosswise in the hypogastric region. Shooting and pressive pains in the hepatic region especially when it is touched. Cutting in umbilical region, with shuddering. Colic with insatiable thirst. Flatus which escapes neither upwards or downwards. Colic relieved by bending double returning every afternoon or at night. Continual sensation of satiety, of coldness in stomach. Sense of sinking at the epigastrium relieved by eating but speedily returning. Constant satiated feeling, yet can eat but fells worse afterwards.

“There is feeling of coldness in stomach and if they eat at all they desire plenty of condiments, sour things and stimulants to warm the stomach up and start digestion. Digestion is very slow, they feel an increased fullness even when eating only a little, which fullness lasts for a long time after a meal and is associated with distention of the the abdomen, bitter eructations of food and often loud belchings without relief.

It is useful in acid dyspepsia with distention of the whole abdomen, much fermentation and rumbling and pains of various sorts. There is fermentation after eating fruit and heartburn after drinking milk with a constant full feeling and no relief from belching gas.” Pierce.

“It is very useful for dyspepsia occurring especially after loss of fluids. Digestion is so weak that the stomach cannot tolerate any food at all. Should the patients supper come to him later than usual he is sure to suffer in consequence. The stomach is distended with flatus, but belching relieves only momentarily or not at all. The least food or drink taken increases this symptom, so that after taking but a small quantity he feels full, as though he had eaten an enormous meal. He complains often after eating of a sensation as of a lump in the mid sternum, as thought food were lying there”.

“Cinchona is useful in some disease of the bowels, especially when associated with marked tympany. The abdomen is enormously distended; when you percuss it, it gives forth a sound almost like that caused by shaking the tense head of a drum. It is particularly when this tympany occurs early in the disease that china dose good, then this symptom shows early debility. (afterwards Tereb. Colch, Etc).

Stool: Diarrhoea when debilitating. Stools acrid; undigested; with ascarides; watery; bilious black; involuntary; painless; putrid, frothy, profuse. Diarrhoea worse after a meal, at night, from fruit; yellow watery, undigested, Cadaverous. Great weakness particularly with painless stools.

Constipation with vertigo, heat in head and tinnitus aurium; large accumulation of feces especially after continued purging, with difficulty to pass them even when soft.

Urine: Dark urine, turbid, scanty, brick dust sediment.

Accompaniments: Indifference. Disposition to be alone. Ill humour. The headache is aggravated by a draft of air, from the slightest contact and relieved by hard pressure and when scratching the head. Humming in the ears. Ringing in ears. Heat of the outer ear. Face pale, sunken, pointed nose, sunken eyes, surrounded by blue margins. Pale, sickly appearances.

Complexion gray-yellow or black. Bloated red face. Hot face, especially when entering a warm room, when coming from the cold air, Red color of the face. Red spots on the cheeks. Lips dry, coated black, wrinkled and chapped. Pressure as from a stone between the shoulder blades. Perspiration in the back and neck on the least motion. Icy coldness of one hand, while the other is warm.

Blue nails. Numbness of the parts on which one lies. Emaciation. Sleeplessness from crowding of ideas and making of plans. Snoring during sleep. Perspiration very profuse and very debilitating. The least draft of air causes suffering. Wrinkling of skin. Inclination to lie down. Desire for motion.

Aggravation: Night; after drinking, from masturbation. Loss of fluids, from fruits, milk. Slightest touch. Draft of air. Every other day. Mental emotion.

Amelioration: Hard pressure. Bending double.

Prabir Kumar