Pneumonia


Neglected pneumonia with spasmodic cough, bluish face, offensive expectoration. Neglected pneumonia, with expectoration of a dirty yellow color and smelling badly. Old badly treated cases of pneumonia, with remaining bronchitis, weakness of chest when coughing; pneumonia third stage with fetid sputa, cold breath, cold sweat, desire to be fanned; threatened paralysis of lungs.


PNEUMONIA

RHUS TOX.

Accompaniments: Mild temperament. Mild delirium. Mental and physical restlessness. Constantly tosses about bed. Constant desire to move. Marked debility. (may lie perfectly quiet for this debility). Indifferent to everything. Hallucinations. Fear of being poisoned; refuses to take medicine or food or drink. Stupor, answers slowly in a petulant way. Severe headache, flushing of face. Epistaxis relieving headache. Dreams of hard work and difficulty; of mental exertion.

Tongue dark brown, dry and cracked, bleeding, tongue and mouth covered with a brownish tenacious mucus. Imprint of teeth on tongue. Tongue with a triangular red tip. Diarrhoea, yellowish- brown or greenish stools of cadaverous smell, involuntary during sleep. Tearing pains down the thighs during stool, involuntary urine. Backache, tearing pains in limbs. Dreams of the business of the day. Body dry and hot and redder. Copious sour smelling sweat, with milliary rash. Tympanitic abdomen, sensitive. Thirst for cold milk. Aversion to light. Dryness of nose. Dryness of mouth. Longing for oysters. During stool shortness of breath. Divided stream of urine. Great sensitiveness to open air. Lying on the back during sleep, yawning. Stretching of limbs.

Aggravation: Before a storm or rain. After midnight. In the morning. Before falling asleep. From breathing. In autumn. On taking a deep breath. On inspiration. From cold. Cold air. Cold and wet weather. From coughing. During chewing. Drawing up limbs. Bodily exertion. After drinking. Uncovering head. While lying down. Cold food. Cold water. During sweat. Wet poultices. During rest. Undressing. Foggy weather. Foggy and wet weather. From getting wet. In winter. From getting wet while in perspiration. Change of weather.

Amelioration: Warm dry weather. Wrapping up. Warm or hot things. Motion. Change of position. Exhaling. In dry weather. In clear weather. From stretching out limbs.

Remedies following: Hyos-c. Lach. Phos. Puls. Merc. Sulph. Ars-a. Bry. Carb-v.

HYOSCYAMUS.

Type: Typhoid pneumonia. Hypostatic pneumonia. Pneumonia senilis. Pneumonia of drunkards. Cerebral pneumonia.

Stages: Second stage.

Location: Sides of the chest. Both lungs.

Causes: Getting cold and cold air. Unhappy love.

Expectoration: Salty mucus. Bright red blood, mixed with clots. Greenish expectoration. Expectoration of blood.

Cough: Violent spasmodic cough. Short cough excited by tickling in throat. Dry cough at night. Cough worse at night, after midnight, during rest, during sleep, in cold air, from eating or drinking. Cough better by sitting up. Constant cough on lying down. Dry, shaking, sobbing cough, Persistent dry cough. Dry, racking, harassing cough worse lying down. Cough after measles. Most exhausting cough.

Respiration: Difficult respiration. Loss of breath. Slow rattling breathing. Redness of the face and suffocation. Oppression and embarrassed and rattling respiration. Anxiety and shortness of breath.

Pain: Stitches in the sides of the chest.

Pulse: Full, hard, strong, rapid, intermitting; slow, small, scarcely perceptible.

Patient: Irritable, nervous, hysterical. Drunkards. Old people. Light haired people.

Fever: Rapidly becomes typhoid. Afternoon fever. Putrid taste. Mental symptoms and delirium. Restlessness. Skin hot and dry to touch. Lips sticky. Burning hot skin (Bell); thirst, drinks but a little; lasciviousness.

LACHESIS.

Type: Lobar pneumonia, typhoid pneumonia, neglected pneumonia, neglected pleurisy, abscess formation in lungs, low chronic pneumonia.

Stages: Second stage; threatened gangrene of lungs.

Location: Left side.

Causes: Draught of air, alcohol, sun, warm weather. Masturbation, disappointed love, fright, jealousy, anger, vexation, grief, injuries, spring season, summer.

Expectoration: Difficult expectoration, watery, salty mucus which must be swallowed; Sputa frothy, mixed with blood, purulent. Scanty, difficult, saltish, watery, slimy, blood-streaked. Offensive purulent; tough, greenish muco-purulent. Thin, tough mucus; thick, round, small lumps which fly in every direction (Kali-c).

Cough: Dry hacking cough worse from touching throat, in morning after sleep; during sleep, rising, in open air; violent tickling cough. Short cough from tickling in throat-pit; cough caused by any covering of the throat. Cough from tickling in throat-pit and sternum; cough with pain in throat, head and eyes. Cough from tickling in pit of stomach, cough worse during day; after sleep; from changes in temperature; from acids and sour drinks. Dry suffocative cough.

Respiration: Oppressed breathing; worse talking. Shortness of breath and suffocative attacks caused by touching the larynx and worse on moving the arm. Heavy wheezing breathing, must sit up; Difficult breathing. Great dyspnoea on waking.

Pain: Stitches in left side of chest; pain as from soreness in chest. Oppressive pain in chest relieved by eructation. Burning, stinging from chest through its shoulders.

Accompaniments: Great prostration with jerkings and twitchings of muscles; sliding down in bed. Muscles tremble and quiver; Gradually increasing weakness. Jaw drops; suspicious of everybody. Fear of being poisoned, refuses to take medicine; conversations with imaginary people. Sees persons in the room who are not there; Delirium, jumps out of bed; throw off the bed clothes; takes off the clothes and goes naked. Throws the bed clothes entirely off body. Unconscious delirium, with closed eyes; talks of business; fears to be poisoned or to be sold; scolds, raves. Delirium without consciousness, does not know anybody and has no wants.

Delirium, sees persons who are not and have not been present, muttering, picking of the bed clothes, staring at surrounding objects, reaching into the empty air for them. Tongue, red, dry, brown, cracked, cannot put it out or puts it out slowly and forgets to draw it back. Sordes on teeth; bloody saliva, salty saliva. Watery painless diarrhoea, involuntary stools; involuntary urine. Hot dry skin; Hardness of hearing. Great restlessness, every muscle twitches; red spot on abdomen. Coma vigil.

Aggravation: Night, when lying, evening, mental affections, jealousy, unhappy love, cold air. Menstruation; after eating and drinking.

Amelioration: Stooping (breathing).

Remedies following: Lach, Puls, Stram.

Pulse: Small and weak but accelerated; unequal or intermittent or alternately full and small.

Patient: Melancholy persons, dark eye, indolent. Long-lasting grief or disappointed love; women at the change of life and after it. Drunkard; haemorrhagic persons.

Fever: Fever worse in the afternoon, evening; livid complexion. Oppression of chest, great loquacity; burning in palms and soles, must uncover them. Must be held firm to relieve pain in head and chest and prevent shaking; wants heavy load on his body to keep him from shaking; warmth relieves. Trembling tongue clutches behind the teeth; muttering delirium. Falling of lower jaw; sweat stains yellow.

Conditions: In pneumonia Lach. is not useful in the early stage of the disease; it is indicated in the later stages of the affection when it assumes a typhoid form especially when abscess forms in the lungs. Profuse sweat; sputum frothy, mixed with blood and purulent; when in pneumonia tubercles form for which Lach. is the proper remedy and not Sulphur.

Accompaniments: Low muttering delirium. Cold extremities. Hands and body tremble. Tongue tremble and catches in the teeth. Tongue dark brown. Loquacity, subject rapidly changes. Delusion that he is under super-human power. Diarrhoea, stool horribly offensive. Stools offensive even if formed. Stupor, lower jaw drops. Point of nose red. Tongue dry, red, black, cracked especially on the tip. Sensation of plug in throat. Sensation of ball rolling in the bladder. Cold hands. Knees tremble. Cold feet. Inclination to lie down and aversion to move. All symptoms are worse after sleep. Extreme sensitiveness to touch.

Aggravation: After sleep. Acid, spring, summer, sun, pressure, constriction, mercury, contact, left side, closing eyes.

Amelioration: Warm application. Appearance of discharges.

ARSENIC ALB.

Type: Lobar pneumonia. Broncho-pneumonia. Pleurisy. Hypostatic pneumonia. Pneumonia of old people. Pneumonia of asthenic persons.

Stages: Third stage. Second stage. Collapse.

Location: Right lung. (Apex and middle portion). Under third of right lung. Upper right chest.

Causes: Chill in the water. Eating ices. Poor diet. Fruits. Drunkenness Tobacco. Quinine. Iodine. Sea-bathing. Sea- travelling. Climbing hills. Care. Grief. Fright. Repercussed eruptions.

Expectoration: Bloody, acrid blood, black blood, pale blood. Streaked with blood. Brownish, copious, difficult. frothy, grayish, greenish, lumpy, milky, mucous, bloody mucus, fetid, offensive, purulent, rusty, saliva-like, scanty, bitter, earthy, flat, nausea, like onion (taste), putrid (taste) salty, sour, sweetish wood-like taste, thick, tough, transparent, viscid, watery, white, yellow.

Frothy saliva, frothy sputa, yellow mucus, enveloped in or mingled with froth. Mucus, streaked or specked with blood. “Frothy expectoration is characteristic”. Allen. Tenacious mucus, difficult to dislodge with rattling in chest.

Cough: Cough at night on lying down and in the morning on rising. Cough after drinking, in cold, open air. Cough worse 1-3 a.m. Cough with bloody sputa. Cough worse about midday and midnight. Cough lying on back.

Respiration: Frequent oppressive shortness of breath in every position of body causing anxiety. Fast breathing when lying on back.

Wheezing respiration. Unable to lie down, fears suffocation; oppressed anxious, short.

Pains: Darting pain through upper third of right lung. Heat, burning, itching in the chest. Stitches and pressing in the sternum. Stitches in upper right chest; in left chest only during inspiration. Chilliness in chest, constriction in chest, tightness of chest.

Pulse: Pulse frequent in the morning, slower in the evening. Pulse small, contracted, frequent, weak, tremulous, intermittent.

Fever: Fever worse in the noon (1-2) and in the midnight (1-2 a.m.) with extreme weakness and burning of eyes and great thirst, drinking often but little at a time. Great restlessness, anxiety, desire for acids and acid drinks. Face pale, sunken, anxious.

Patient: Old people, asthmatic persons.

Conditions: Danger of paralysis of lungs. Threatened gangrene. Ichorous, fetid or dingy, green expectoration. Desperate cases (carb. v.). Restlessness, weakness, thirst, better from warmth, worse 1 to 3 a.m. Generally required after Rhus tox. Hoarse after midnight.

Accompaniments: Anxiety, restlessness, fear of death, despair. Thinks it useless to take medicine. Headache better by cold application. Burning in eyes and acrid lachrymation. Photophobia, expression of agony on face. Lips black, livid, bloody saliva. Puffiness around eyes. Lips black, dry, cracked. Tongue dry, brown, black, cracked. Tongue dry, clear, red. Desire for cold water. Vomiting of black water. Diarrhoea after eating and drinking, worse noon and midnight. Stool putrid, black, white, yellow, Burning in chest, craves milk. Attacks of pains with chilliness.

Aggravation: 1-2 p.m. 1-2 a.m.: cold.

Amelioration: Heat. Lying with head low.

CARBO VEG.

Type: Lobar pneumonia, pleurisy, neglected pneumonia.

Stages: Third stage, second stage, collapse.

Location: Right chest, upper right chest, lower part of right chest, left lung, left middle chest.

Causes: Alcohol, debauchery, change of weather, warm damp weather, overheating, living in damp dwellings.

Expectoration: Profuse, yellow, fetid. Tough and greenish; yellow pus. Yellow-green or purulent brown; bloody; slimy, tenacious, whitish or watery mucus. Sour or salty. Offensive in masses. Yellow purulent matter and tubercles. Expectoration in the morning; none in evening. Expectoration of dirty yellow color and smelling badly (neglected pneumonia). “Yellow like pus, brownish bloody, tasting putrid, sour, salt and of offensive smell”. “Spitting of blood with cough” “expectoration of pus.” “Tough, purulent yellow, thick.”

Cough: Cough worse in evening till midnight; from motion; from cold, wet weather, from going from warm to a cold place. After lying down, after eating and drinking. esp. cold things; from talking; Rattling cough with rattling and vomiting. Morning cough with much rattling in chest. Hard, dry, hacking cough. Yet there is rattling in chest, cough with exhaustion. Sweat, suffocates with cough. Spasmodic cough with deep, rough voice or else aphonia. Cough with burning pain in the chest.

Respiration: Oppression of breathing. Wheezing and rattling of mucus in the chest. When breathing painful throbbing in the head and teeth. Respiration oppressed having some kind of bad smell. Quick respiration. Dyspnoea worse in turning over in bed and on dropping off to sleep. Great dyspnoea, wants to be fanned. Breathing short with cold hands and feet; desire to be fanned, must have more air, wants the doors and windows opened. Breath is short and chest tired, on waking; loss of breath on turning in bed or when going to sleep. Great dyspnoea from oppression of the chest in the evening when lying, worse when sitting great anxiety but no restlessness. Respiration ceases entirely when falling asleep. Respiration frequent and superficial.

Pain: Feeling of weakness and fatigue of the chest, chest feels weary on waking. Short breath and tired feeling in chest on waking. Severe burning in the chest as from glowing coals. Pain in chest from drinking cold water. Pain in upper right chest extending through to right shoulder-blade. Violent stitches deep in lower right chest. Tearing in left chest. Pain in left lung. Stitches below left breast, cannot sleep or walk on account of this pain. In the left middle chest painful spot, size of a dollar.

Tearing from chest to hips. Burning in chest after cough. A tight feeling in the chest with constant desire to cough. Burning in the lungs, burning in the sides of the chest, burning behind sternum, burning worse when coughing. Feeling of a load on chest. Sensation of rawness and soreness in chest. Burning, pressing, and stinging in chest. Asthma of old people with blueness of the skin.

Pulse: Pulse small, weak, imperceptible, uneven; intermitting; thread-like, scarcely perceptible and intermittent.

Patient: Children and very old people. Broken down, debilitated persons, full of gas.

Fever: Fever worse in evening; at night, before midnight. Putrid or sour sweat. Cold sweat. Loquacity. Wishes to be constantly fanned.

Conditions: Desperate cases of pneumonia, and is indicated usually after Antim-tart. Great quantities of loosened mucus in lungs, cyanosis and threatening paralysis of lungs; fetid sputa, cold sweat and breath wants to be constantly fanned.

Collapse of pneumonia, body icy cold especially about extremities, breath cool, pulse thread like, scarcely perceptible and intermittent. Blue lips. Breathing weak and superficial and frequent; conscious or unconscious. Cough by spells or no cough, hippocratic face, eyes half-open, nose pinched and cold, pupils insensible, no complaining or crying, pulse small, quick, difficult to count, body emaciated and marbled, feet and hands blue and cold, abdomen distended with gas Air hunger, must be fanned hard. Blueness, coldness, ecchymoses, body blue and icy cold. Patient almost lifeless but the head is hot. Wants all the windows open, with oppressed and quickened respiration.

Neglected pneumonia with spasmodic cough, bluish face, offensive expectoration. Neglected pneumonia, with expectoration of a dirty yellow color and smelling badly. Old badly treated cases of pneumonia, with remaining bronchitis, weakness of chest when coughing; pneumonia third stage with fetid sputa, cold breath, cold sweat, desire to be fanned; threatened paralysis of lungs. Pneumonia with burning in the lungs especially with the cough. Pneumonia with a great deal of rattling in chest. Pneumonia with affections of right heart. Collapse with cold knees.

Accompaniments: Restlessness and anxiety in the evening 4-6 p.m. Pulsations in ear. Nose-bleed with pale face. Coryza with hoarseness. Tip of nose red. Pale face. Easily bleeding gums. Dry mouth with no thirst. Tongue dry, white, yellow brown. Burning, roughness, rawness in throat. Great desire for coffee. Aversion to meat and fat. Bitter or salty taste. Distention of abdomen from flatulency. Great pain in stomach on account of flatulence worse especially on lying down. Amelioration by eructation, or by passing flatus downwards. Foul, decaying, diarrhoeic stools.

Constipation, hard, touch, scanty stool. Stool passes with difficulty even if soft. Red, dark urine. Hoarseness, worse talking, in the evening. Loss of voice at night or when talking. Brown yellow blotches on the chest. Heat and burning in the hands. Icy cold hands, tips of the fingers covered with cold sweat. Cramps in legs, soles of feet. Cold knees. Sweat of feet. No sleep, with inability to open eyes. Debility worse at noon. Asthma dates back to measles. Falling off of the hair after severe illness. Itching around nostril. Unable to sit down on account of a sensation of a plug in the back. Hot, moist, offensive flatus. Scalp itches when getting warm in bed. Hot head.

Aggravation: From changes of weather especially warm damp weather, south or south-west winds. Sultry heat of summer or autumn. Fat food, butter, pork, abuse of quinine, mercury, singing, reading aloud, warm, damp weather, morning, before midnight, lying.

Amelioration: From eructations, cold air, from being fanned.

Complementary to: Ant-t. Kali-c. Phos. Sulph.

Remedies following: Ars-a. Kali-c. Lyc. Puls. Sulph.

OPIUM.

Type: Lobar pneumonia, typhoid pneumonia, infantile pneumonia, pneumonia of old people, double pneumonia, pneumonia notha.

Stages: Second stage.

Location: Both lungs, left side, right side.

Causes: Fright, charcoal vapors, from inhaling gas, wine.

Expectoration: Expectoration of blood, thick, frothy mucus. Frothy expectoration of blood and mucus. Bloody expectoration, difficult, purulent, scanty; flat (taste) viscid, watery, yellow. Blood thick frothy, mixed with mucus.

Cough: Cough with dyspnoea and blue face. Cough with frothy expectoration of blood and mucus. Dry cough with tickling in larynx. Cough with profuse sweat on whole body. Violent, dry, hollow cough worse after repose. Cough during deglutition or when taking an inspiration. Difficult cough with smothering. Drowsy with cough.

Respiration: Rattling breathing. Labored breathing and snoring. Respiration deep, unequal. Deep snoring breathing with open mouth. Noisy stertorous and rattling inspiration. Difficult slow and intermittent respiration. Obstructed respiration. Fits of suffocation on making an effort to cough. Suffocative attacks during sleep. Continued and steady stertorous breathing.

Pain: Tension and constriction of the chest. Heat in the chest. Burning about the heart.

Pulse: Pulse varies very much; full and slow, with difficult snoring breathing; quick and hard with heat, with quick and anxious breathing.

Patient: Infants, old persons.

Fevers: Absence of perspiration. Very hot sweat. Fever with sopor. Fever with stupor, snoring with mouth open; twitches through the limbs and perspiration on the hot body. Cold perspiration on forehead. Perspiration of the upper part of body, with dry heat of the lower part. Cold limbs. Red face. Unconscious, and desire to uncover.

Conditions: Cyanotic color of the upper part of body. Slow stertorous respiration. Chest hot. Hot sweat. Bed feels too hot. Suppuration of the lungs, labored breathing rattling, snoring. Face becomes blue during cough. Difficult cough with smothering spells. “He gropes with his hands about the bed as though he was hunting something.” “I wish I could be in the house with my family.” Feels as though he were not in his house. Double pneumonia.

Accompaniments: Delirium with open eyes and red face. Stupor, must lie down, snoring sleep and half-open eyes. In difference, complete loss of consciousness. Wants nothing, unable to understand or appreciate his sufferings. Thinks he is not at home. Eyes half-closed; dilated pupils insensible, contracted. Staring look. Eyes turned upwards.

N C Das