If the central attack is not fatal and peripheral congestion followed by engorgement develops, there is still time for this remedy and many pneumonias have been cured where no other remedy was indicated. In these cases there is profuse and bloody expectoration, high fever, stitch in the side, flushed face, burning face and number of the keynotes mentioned before.
In the genital sphere the effects of congestion and decongestion are analogous. The remedy cures metritis, pelvic cellulitis, catarrhs as well as amenorrhoeas, if these are caused by chilling. Its sensory action in the form of hyperaesthesia and menstrual colics accompanies the congestion. Cerebral congestion with drawing pain in the nape of the neck, heavy tongue with sensation of being scalded and acute or chronic fever are also present. It is a mistake to think that the remedy is good only for acute cases. It is indispensable in many chronic cases also.
The action on the bladder is shown in cures of polyuria and anuria and of cystitis with bloody urine. Also bloody tumors of the bladder have been cured.
The irritation of the motor tracts in the medulla creates in the voluntary muscles a complete gamut of muscular spasms from the finest trembling of the hands and nodding of the head to the most violent tetanic convulsions and contortions. Facial twitchings, mouth drawn down at one corner, opisthotonus, tetany, chorea, eclampsia, jerking during sleep, dilated pupils, diplopia, etc., are cured by this remedy. The drawing in the muscles of the nape of the neck which is supplied by the accessory nerve can be considered as a keynote.
The antipodal motor effect exists also and occurs in the form of prostration and sudden collapse, but never in the form of paralysis. The motor tracts are only irritated or weakened, but nerve destroyed.
The sensory track of fibers from this same derangement encountered in the medulla, creates the very characteristic symptom of hyperaesthesia of the skin and of all the other tissues supplied by these fibers. Due to this symptom the information are very painful wherever they occur.
And it it s grand keynote in rheumatic joints and muscles and in erysipelas. Of course, every imaginable variety of sensory disturbances of skin and other tissue can be encountered, such as burning, tingling, pricking, stabbing, itching, boiling water running, sensation of joints being dislocated, numbness, flying pains, excruciating, or galvanic shocks, etc., but never any complete anaesthesia.
In concluding, I wish to say that I have endeavored to make this remedy picture as short a possible. The drawing is coarse and you will have to add the finer shades and finishing touches. If I have persuaded you of the great importance of this remedy. I am satisfied.
