GUIDING SYMPTOMS OF SOME OF THE MOST IMPORTANT REMEDIES IN CHOLERA



Nux vomica: If the attack comes on from intemperate eating or drinking; after debauchery or in the morning; acidity of the stomach; constant urging to stools; backache before or during stool; violent tenesmus which disappears after stool.

Phosphorus; The stools are profuse with sago-like particles; if the attack proceeds from fatigue or exhaustion; sensation as if the anus remained open; in the morning diarrhoea of old people; vomiting of what has been drunk as soon as it has become warm in the stomach; sensation of weakness and emptiness in the stomach or abdomen.

Podophyllum: The stools are watery with meal-like sediment, copious, frequent, gushing, painless, watery; yellowish, mucous, very offensive, like carrion; frothy: < in the morning. prolapsus ani during and after stool; good in painless cholera morbus. Ricinus: It is used in the diarrhoeic variety of cholera. The stools are white or rice-water; no pain or colic is present, and the evacuations are not preceded by spasms or cramps.

AN ILLUSTRATIVE CASE :.

Babu Rajendra Lal Roy, M.A., was attacked with cholera on January 27, 1901. The attack came on suddenly in the morning and continued the whole day, with marked symptoms of aggravation. I saw him at 8 p.m. that day when the following symptoms were present: The stools were totally painless and like river water. There was thirst; the stools and vomiting appeared simultaneously; there was ringing in the ears; the pulse was totally gone; complete suppression of the urine; the face was pale and sunken; the abdomen was very hot. I prescribed Ricinus 6x and left six doses to be taken every hour in case of emergency.

January 28, I saw the patient at 7 a.m. The vomiting and purging had disappeared. There was no thirst. The color of the face was somewhat healthier than before. The urine did not reappear up to this time. I prescribed the same medicine to be taken every six hours.

At 8 p.m., the patient passed nearly 8 ounces of urine. There was no relapse of symptoms. I did not give him any medicine that night.

January 29. The patient felt very weak, In other respects he was better. Ordered China 30 to be taken every 6 hours. He was all right within 2 days. This is a typical instance of the curative virtues of this excellent drug. I treated nearly 20 cases of cholera in the second stage with Ricinus and all these cases were saved from the firm grasp of this demon of a deadly malady. All these cases were attended with no pain at all. All other symptoms were more or less present.

Secale corn: Great thirst; the stools are gushing or involuntary; vomiting immediately after eating; ; severe burning at the pit of the stomach; suppression of urine; skin is cold, blue, wrinkled; cramps in the chest, hands,. and toes; icy coldness of the extremities; the skin feels cold, yet the patient cannot tolerate any heat or covering. Great similarity exists between Secale and Arsenic, but heat and cold differentiate them. In Secale, < takes place from heat and > from cold, while in Arsenic < from cold and > from heat.

AN ILLUSTRATIVE CASE:.

A relative of Dr. G.C. Dey was attacked with cholera on February 10, 1904, She did not feel and uneasiness in the morning. She passed a watery stool without any faecal matter at 11 a.m. that day. At 11:30 that day she passed another rice- water evacuation which completely prostrated her. An allopathic doctor came to see her and prescribed camphor. She took four doses of camphor. Drs. B.L. Bose and A.N. Bose,. of Bhowanipore, were called in. They prescribed Veratrum album 6 and Cuprum met. 6 alternately. Before the arrival of these doctors, vomiting and cramps appeared. These two medicines were, in fact, administered after each spell of vomiting and purging. In spite of these two remedies the disease appeared to grow worse than before. I saw her at 11 a.m. that day. I marked the following symptoms:.

There were simultaneous vomiting and purging; there was no pain of any kind before, during and after stool; the stomach was in such an irritable condition that she could not tolerate any drinking; drinking caused vomiting; there was terrible empty retching; there was great thirst for cold water; the patient hankered after lemonade; the pulse was not at all perceptible; the urine was totally suppressed; cramps appeared in the extremities, both upper and lower; the skin was cold to the touch; the patient experienced some sort of uneasiness about the chest; the stools were watery, colorless and mucous; there was burning at the pit if the stomach.

I prescribed Ricinus 3x and left four doses of the same to be given every two hours.

February 11. I went to see her at 8 a.m. The purging was less frequent than before; there were empty retching and vomiting which greatly troubled the patient; there was excessive thirst for cold water; vomiting appeared after drinking; the stools were watery, colorless and mucous; there was burning at the pit of the stomach; great weakness and exhaustion existed; the patient hankered after lemonade; the extremities were icy cold; the patient was averse to being covered; cramps appeared in the hands and toes; fingers and toes spread apart; there was rumbling in the abdomen. The character of the stools, the aggravation of the vomiting, the aversion to being covered, and the nature of the cramps led me to prescribe Secale corn. 30 every two hours.

I saw the patient again at 1 p.m., and found a decided improvement. The pulse was found; the extremities were warm; thirst was less than before; there was no rumbling in the abdomen cramps were no longer seen; the patient was quiet and slept for nearly two hours.

I left another dose of Secale 30 to be given at 6 p.m.

February 12. The patient was better than better; passed a yellowish stool of almost natural consistency at 2 p.m. she passed 4 ounces of high colored urine at 9 p.m.

The patient made a complete and steady recovery. Only Secale cured her.

Stramonium: Furious delirium; horrible animals are seven jumping our of the ground and running at their affrighted victim. The delirium of Stram. appears to be more furious and the mania more severe than those of Bell. and Hyos. while the congestion, though more considered than Hyos., is much less than Bell.

Sulphur:The stools are semi-liquid or watery; they are undigested; frothy, sour,. foetid, corrosive; sudden urging before stool. driving the patient out of bed in the morning or early in the morning without any pain; constant heat on the vertex; burning soles at night; discharges are attended with excoriation.

Tabacum: Cholera without stool; collapse, deathly nausea, with or without vomiting; icy coldness of the legs from the knees to the toes; warmth of the body, with icy cold hands; coldness fainting, cold sweat, feeble, irregular or imperceptible pulse.

Terebinthina; Great tympanitis;; burning during urination; violent strangury: great prostration with cold sweat and thread- like, scarcely perceptible pulse; urine is foetid, bloody,. cloudy and smoky; spasmodic retention of urine; tongue is very smooth and glossy as if deprived of papillae.

Veratrum album: Used in the paralytic and diarrhoeic variety of cholera; the stools are frequent, watery, profuse or rice water; pinching colic before and during stools; nausea and vomiting; severe profuse vomiting with profuse diarrhoeic stool; the forehead is bedewed with cold perspiration, excessive thirst for large quantities of very cold water; great exhaustion after vomiting and purging: the face is pale, blue, collapsed; the skin of the hands and fingers is wrinkled; pupils dilated or contracted; vomiting is < by drinking or by the least motion; violent cramps of the extremities; oppressive, spasmodic contraction of the chest; coldness extends to the whole body.

DIFFERENCE BETWEEN Arsenicum album, Cuprum met.and Veratrum album.

Anxiety, far of death, distortion of the features, prostration, coldness, hoarseness, constriction of the chest, imperceptibility of the pulse, cold, clammy sweat, restlessness, thirst, burning, vomiting, purging, suppression of the urine, wrinkling of the skin, cramps or convulsions; all these are more or less present in three remedies in the fully developed stage of cholera, but the following all differentiate the symptoms:.

VOMITING AND PURGING. Both are excessive and copious in Veratrum without severe urging or retching; scanty discharge by purging or vomiting is a predominant feature of Arsenic accompanied by violent urging, retching; purging may be little or absent in Cuprum, but the vomiting is very considered and is > by drinking cold water.

PROSTRATION: The prostration in Veratrum exists in exact proportion to the vomiting and purging-the more the vomiting and purging the more the prostration; the prostration in Arsenic hardly bears any relation with vomiting and purging. Here on scanty vomiting and purging the prostration is very great, so much so that it attacks the very vital portions of life; in Cuprum there is not much prostration in the beginning of the attack and in the collapse stage profound prostration reigns.

Sarat Chandra Ghose
SARAT CHANDRA GHOSE, M.D.

Corresponding Member of the British Homeopathic Society, French Homeopathic Medical Society, and Hahneman Institute of Brazil.

AUTHOR OF “CHOLERA AND ITS HOMEO. TREATMENT,” “PLAGUE AND ITS PREVENTION AND HOMEO. TREATMENT," “ CHOLERA AND ITS PREVENTION AND HOMEOPATHIC THERAPEUTICS,” “DIABETES AND ITS HOMEOPATHIC TREATMENT” AND OF A HOMEOPATHIC CHARACTERISTIC MATERIA MEDICA, IN BENGALI ; EDITOR OF THE INDIAN HOMEOPATHIC REPORTER.