DYSPEPSIA


Best homeopathic remedies for Dyspepsia from the book Therapeutic Pointers to Some Common Diseases by E.A. Farrington…


  Indigestion.

Abies Nigra [Abies-n]

      Useful in Dyspepsia, when there is a hard-boiled eggs sensation in oesophagus- a feeling as though he had swallowed some indigestible substance, which had stuck at the cardiac orifice of the stomach- the main symptom and the key-note of the drug that has been frequently confirmed. The other symptoms are low- spiritedness, hypochondriasis and constipation incident to

Dyspepsia.

Actaea Racemosa [Cimic]

      It is excellent, when with the faint, empty feeling in the epigastrium, there is a trembling, wavy sensation spreading from the stomach over the body.

Aletris Farinosa [Alet]

      A remedy for weakness of digestion; food distresses the patient and lies heavily in stomach.

Alumina [Alum]

      An unique drug for Dyspepsia caused by defective secretion of gastric juice- the same kind of Dyspepsia curable with Bryonia. Its distinctive symptoms are : A feeling of constriction along the oesophagus when swallowing food. The patient is always worse from eating potatoes-a good indication for Alumina. There is aversion to meat and craving for indigestible substances.

Argentum Nitricum [Arg-n]

      The stomach seems to swell up immediately after a full meal [Borax, Carbo Veg., China, Colchicum, Kali bichromicum, Lycopodium, Nat. Sul., and Nux M.].

Arnica [Arn]

      It is indicated, when after a meal, there is impending apoplectic congestion of the brain, with throbbing headache and drowsiness. And also, when there is some difficulty in the digestion of the food; there are foul breath, slimy, yellow coating of the tongue, eructation of gas tasting like rotten eggs, tympanitic distension of the abdomen and foul-smelling stools.

Arsenicum [Ars]

      The symptoms indicating it are: Taste is lost, or is bitter, sour and putrid. The stomach feels swollen, as if full of water; an ordinary amount of food causes a feeling of fulness of repletion [Lycopodium]. Burning feelings, a very distressing heart-burn, red, rough tongue and anxiety and distress after eating. Craving for acids and coffee, which do not agree; agg. from taking ice-cream [Carbo V.]. Violent thirst, but the patient drinks but little at a time and vomits the water. Nausea is frequent and often periodical (at 12 P.M.) and is accompanied by great prostration : nausea, at the smell or thought of food- particularly if rich or fat [Cocc., Colchicum, Pulsatilla, Sepia]. The vomiting is of an irregular convulsive character. It is best adapted to periodical burning pains with sour or acrid vomiting. The patient is excessively weak, without feeling so. Any exertion produces fainting.

Asafoetida [Asaf]

      It is indicated in the Dyspepsia of the hysterical women. Its most characteristic effects are as follows : Reversal of the peristaltic action of the bowels, stomach and particularly of the throat. Rancid eructations, with profuse saliva and greasy taste. The head feels dull and compressed. Burning in the stomach and oesophagus. Enormous meteorism of the stomach. Stools papescent, brown and offensive.

Bismuth [Bism]

      It is the remedy where there is much burning in the stomach with violent ejection of food. The epigastric pains may be burning, griping or lancinating, extending into the adjacent spine, usually relieved by cold drinks. Besides there may be pressure and heaviness in the stomach, with convulsive gagging. The patient vomits at intervals, when the stomach becomes full and the amount of vomited matter is enormous. Water is vomited, as soon as it reaches the stomach.

Borax [Bor]

      The digestion is impaired. The stomach seems to swell up, immediately after a full meal.

Bryonia [Bry]

      It is indicated when there are : A feeling as though a stone or heavy weight were lying clogged in the stomach. White coating of the tongue. The characteristic stomach thirst, i.e., a thirst for large quantities of water at long intervals. Intolerance of vegetable food. Constipation with hard, dry, brown stools, passed with difficulty, owing to the hardness of faecal matter. Atony of the rectum. The patient cannot tolerate heat of the Sun. All the symptoms are worse in Summer.

Calcarea Carb [Calc]

      Gone, empty feeling in the epigastrium. An usual craving for eggs. Milk disagrees. Ravenous appetite. Thirst, worse towards the evening.

Capsicum [Caps]

      Indicated in weak digestion in patients, who are irritable and easily angered and clumsy in their motions; they are worse from the least draft of air, even though the air is warm.

Carbo Animalis [Carb-an]

      It is indicated where there is goneness and empty feeling in the pit of stomach, esp. after loss of vital fluids, not relieved by eating.

Carbo Vegetabilis [Carb-v]

      It rivals other well-known remedies in Dyspepsia, and is esp. indicated in patients who are advanced in life and debilitated, and also in weak, delicate patients, who are old dyspeptics, particularly if they have abused their digestive organs by debauchery.

It is indicated by the following symptoms : Heaviness fulness, sleepiness after eating, with fulness of the abdomen and burning. Great flatulence, with rancid belching and burning, with bitter taste in the mouth [Lycopodium-sour]. Flatulence of the bowels [Lycopodium-of the stomach]; the flatus is more rancid, putrid, or when passed per annum -burning, moist and offensive and is more in quantity and its incarceration is the cause of many of the symptoms; it also causes a bearing-down upon the bladder and sacral region. The burning is most marked in the internal parts, as in stomach, and is attended with a creeping feeling up to the throat; it spreads up to the chest and down into the abdomen. Burning distress and weakness referred to the epigastrium, with nausea. Tenesmus recti. Constipation, with Piles; ineffectual urging to stool. At other times, morning Diarrhoea, with thin, watery stool accompanied by a great deal of urging. Agg. of symptoms from eating fat food and ice-cream. The patient is worse in a warm room.

It is also indicated, particularly after the failure of Nux Vom., when the indigestion is caused, as bad effects of : Debauchery; excessive indulgence in table luxuries, wine and liquors; and all kinds of dissipation.

It is to be compared with : Arsenicum, Cinchona, Ipecac., Lachesis, Lycopodium, Nux V. and Pulsatilla

Cinchona [Chin]

      It is very useful for Dyspepsia, occurring esp. after loss of vital fluids. It is often the remedy when the disease is the result of drinking tea to excess or beer, fruits, etc. also. The digestion is so weak that the stomach cannot tolerate any food at all; and if his meals come to him later than usual, he is sure to suffer in consequence. Great debility and marked tympany, early in the course of the disease is characteristic.

The symptoms indicating it are : Great flatulence; the stomach is distended with flatus, the least food or drink increases this symptom, so that after taking but a small quantity, he feels full, as though he had eaten an enormous meal; this fulness is so severe as to cause pain, with little or no relief from belching, which sometimes makes the patient worse. The abdomen also is enormously distended. After eating languor; a sensation as a lump in the mid-sternum [Pulsatilla]; bitter eructations; bitter taste-which however is altered after swallowing, the food tastes normal while being masticated. The appetite is often voracious, when not capricious; longs for acids, brandy and sweet-meats; craving for coffee-beans; fruits induce Diarrhoea, with intestinal fermentation. Thirst for cold water- drinks little and often. The discharges from the bowels and the flatus are offensive; yellow, watery undigested stools. Marked agg. at night and after meals. Great prostration. In addition, there are paleness, ringing in the ears, easy fainting, etc.

Cocculus [Cocc]

      Gone, empty, weak feeling, extending all over the abdomen and chest, renewed by over-exertion and esp. by loss of sleep. It tires her to talk. Nausea at the thought and smell of food.

Cyclamen [Cycl]

      The indigestion for which it is the remedy has these to characterize it : The patient is worse from taking fatty foods and pastry. Formation of flatus which causes colic at night, forcing the patient to get up and walk about till the flatus passes and gives relief. Strabismus.

Colchicum [Colch]

      The symptoms indicating it are : Coldness or cold feeling in stomach [Elaps]; burning in stomach; intolerance of pressure of clothing [Lachesis]. Nausea, (<) from smell or odor of cooking [Stannum]. Vomiting, (>) by sitting or lying quietly [Veratrum Alb.]. Offensive flatus. Offensive diarrhoea. Spasms of sphincter ani, which contracts after each stool, with fruitless urging. Too much exhaustion. Senses too acute. Bright light, touch or strong odors intolerable [Nux V.].

Graphites [Grat]

      It is indicated by the following symptoms : Feeling as of a lump in the left side of the throat, over which the food seems to pass with difficulty. The sensation as of a lump in stomach with constant beating. Great flatulence; flatulent distension of the abdomen, with congestion to the head; offensive flatus. The eructation which causes heart-burn is much rancid. Offensive stools : half digested, dark and pappy. Imperfect digestion.

Hepar [Hep]

      It is indicated in the purely atonic form of Dyspepsia, by the following symptoms : The plainest food disagrees. Any kind of food, no matter, how wholesome- provokes indigestion [Lachesis]. Sour taste in the mouth usually and a longing for strong-tasting substances, for alcoholic drinks, for wines, for acids and particularly for condiments of various kinds- these seem to relieve the symptoms. There is hunger and a gnawing empty feeling in the stomach in the forenoon, with a longing for something to eat, which is relieved by eating, but eating produces a fulsomeness about the stomach, so that he can bear no pressure about the epigastrium. Sometimes there is burning in the stomach. The bowels move very sluggishly, even when the stools are soft. There is usually constipation, and the urging to stool is often ineffectual, although the faeces are not abnormally hard.

There are usually cases of Indigestion, resulted from a long course of mercurial treatment by the physicians of the dominant school, which are sometimes cured by it.

In Dyspepsia, Hepar seems to be complementary to Lachesis. It is to be compared with Bryonia, Lachesis and Nux Vomica.

Hydrastis [Hydr]

      It relieves, when there is sinking sensation in the epigastrium, with palpitation of the heart and `mucus’ coated stools.

Hydrocyanic Acid [Hydr-ac]

      It certainly aids digestion. There are some persons, who have been cured by Dyspepsia, by eating peach-kernels which contain this Acid.

Ignatia [Ign]

      It is useful, when the patient complains of : Bitter of sour tasting mucus in the mouth and copious salivation. Fanciful aversion to certain kinds of food; she asks for a certain food, but after tasting refuses it. Regurgitation of food. Gastralgia. Hiccough, agg. by eating and smoking, and esp. in children, by emotions. An empty, gone feeling at the epigastrium, with qualmishness, and is attended by sighing. In some cases, an empty retching, relieved by eating; the patient vomits at night, the food taken in the morning. The bowels are disordered.

Ipecacuanha [Ip]

      It is useful in Indigestion caused as effect of indulgence in mixed diet, pastry, pork, candy, ice-cream, fruits, fatty food, etc. The symptoms indicating it are : Nausea. Vomiting : of bile; of mucus; just after eating [Arsenicum]; after eating rich or indigestible food; morning-sickness. The tongue is clean or only slightly coated. Distress in stomach; it feels relaxed, as if hanging down [Lobelia, Staphysagria, Tabac., Theine].

Kali Bich [Kali-bi]

      In the milder forms of Dyspepsia, we will find it indicated, when there is headache, the pain being usually supra-orbital and is neuralgic in its character; this may be periodical in its return, but is particularly excited by gastric irritation. Another form of headache is associated with these gastric symptoms, which is preceded by blindness more or less marked, objects become obscured and less distinct, then the headache begins; it is violent, and is attended by aversion to light and to noise, and the slight returns as the headache grows worse-I have met with that symptom in my practice, four or five times. With this headache, the face is apt to be blotched and bloated and covered with pimples and acne- it is also sallow and yellowish; the whites of the eyes are yellow and little puffed; the tongue is thick and broad and scalloped on its edges, as though it had taken the imprint of teeth. The stomach seems to swell up after a full meal [Argentum Nit., Borax, Carbo V., Cinchona, Colchicum, Lycopodium, Nat. Sul., and Nux M.]. The bowels are constipated or else there is morning Diarrhoea, the stools of which are watery [Aloes, Bryonia, Nat. Sul. Psorinum, Rumex and Sul.] and are followed by tenesmus, which distinguishes this drug from the above-mentioned remedies. These symptoms are particularly apt to occur after excessive beer-drinking.

Kali Carb [Kali-c]

      It is called for in Indigestion, particularly in old persons, in those who have lost a great deal of vital fluids, when there is an empty weak feeling in the stomach before eating, out of proportion to the feeling of vacuity caused by hunger, with undue bloating after eating, esp. after soup or coffee in small quantity. There are also sour eructations, heartburn, and an uneasy, nervous feeling when hungry.

Kreosotum [Kreos]

It is an excellent remedy when food cannot be digested, for irritable weakness of the stomach. If it had no other symptom than the following, it would still be invaluable and could not be replaced : The stomach is so weak, that it cannot retain or digest food, so that the food is vomited either immediately or hours after eating.

Lachesis [Lach]

      It is useful for weakness of digestion in patients, who, from some vicious habits, as from abuse of Mercury or of Quinine or of Alcohol have so exhausted their stomachs that any kind of food, no matter how wholesome even the plainest food, provokes indigestion [Hepar].

The symptoms indicating it are : Throbbing headache. The tongue is smooth, red and shining [Kali bichromicum]. Sensation as of a lump, in throat. Craving for milk, which disagrees. Acids esp, disagree, aggravating the stomach symptoms causing diarrhoea. Empty eructations, which intensify the pains. Feeling, as if a lump was forming in the stomach and also in the bowels. Flatulent distension of abdomen, relieved by belching [Carbo Veg.]. Burning in stomach, with hard abdominal distension, and a feeling, as if, a stone was descending;he must stand still and step cautiously. Gnawing pain, relieved by eating or improves immediately after a meal, but soon fulness and heavy pressure in stomach as from a load. Abdomen is bloated, very sensitive to touch about the waist; even light touch is distressing, clothing annoys [Cinchona]. Constant tormenting urging in the rectum, but not for stool. The rectum protrudes and is held by the constricted sphincter; after stool there is often a sensation in the rectum as from the beating of little hammers. Unsuccessful urging, the anus feels closed; the patient attempts to strain at stool, but must desist on account of pain in the sphincter. Constipation or Diarrhoea. Constipation with stools hard, like sheep’s dung and excessively offensive; may be associated with large protruding Piles. Diarrhoea, with watery, horribly offensive stools.

It is to be compared with Arsenicum, Cad. Sul., Carbo Veg., Cinchona, Hepar and Mercurius Hepar seems to be complementary to Lachesis, in dyspeptic symptoms. It frequently follows Mercurius

Lycopodium [Lyc]

      A prominent remedy in flatulent Dyspepsia. The symptoms indicating it are : Coated tongue. Sour or exceptionally putrid taste in the mouth in the morning. Sour taste with belching. Sour or burning eructations. Violent hunger, almost amounting to canine hunger; yet a few mouthfuls of food seem to produce fulsomeness and fill the patient up, quickly followed by hunger again. Distress in the stomach immediately after a meal [Nux-some little time after]. After eating cannot bear the pressure of clothing about the waist [Lachesis-all the time ]. Irresistible drowsiness after eating. Flatulence of the stomach [Carbo Veg.-of the bowels]. Marked collection of flatus. Tympanites; abdomen enormously distended. The flatulence tends upwards rather than downwards. Rumbling of wind in splenic flexure of the colon. Great fermentation in the intestines, this being followed by the discharge of flatus and even by diarrhoea. The bowels are usually constipated, with ineffectual urging to stool [Nux] and constriction of the anus. After stool there is a feeling as if a great quantity remained unpassed.

It is to be compared with Carbo Veg., Lachesis, Raph., Sepia and Sul.

Magnesia Mur [Mag-m]

      This remedy is particularly suited to the Indigestion in hysterical women, which is associated with their hysterical paroxysms. See the symptoms of this remedy in Hysteria.

Mercurius [Merc]

      It is indicated when the following symptoms are present : Coated tongue. Loss of appetite. Nausea, with oppression and epigastric tenderness. A deadly faintness from pressure in the pit of stomach. The stomach hangs heavily, even after a light meal of food of ordinary digestibility. Tenderness over both hypochondria, with fulness and upward pressure from the abdomen, and sensitiveness to the clothing. The patient cannot lie on the right side. Chronic constipation with much straining and tenacious or crumbling stools; chilliness, during defaecation. The patient is hypochondriacal; he is suspicious, anxious and restless at night, with vascular erethism and sweat.

Natrum Carb [Nat-c]

      It is a prominent remedy for Dyspepsia and is indicated when the Indigestion is accompanied by : Sour eructations. Water-brash. Retching in the morning [Nux-but more strong], with spasmodic contraction of both oesophagus and stomach, with little or nothing coming to the mouth and perhaps copious salivation. The distension of the abdomen with hardness and fulness. esp. so after eating; at 10 or 11 o’clock in the morning the patient feels weak and anxious [Iodium], but eating relieves it and produces distension. Accumulation of flatus in the abdomen, which when passed is foetid. Griping colic, just after a meal. Usually there is constipation, with stool difficult to expel, although not esp. hard [Hepar; Sepia-still more marked]. The patient is depressed and exceedingly irritable, esp. after a meal, particularly after dinner this hypochondriacal mood keeps step, i.e., diminishes, with the progress of digestion, when the food passes out of the stomach to duodenum, and continues to do so, as the food gets further down into the bowels [Nat. Mur.-also with constipation]; he is decidedly averse to society, even to his own family [Sepia]. The indigestion is more marked after a vegetable diet, particularly after starchy foods.

Sepia is complementary to Natrum Carb. and it is to be compared with Hepar, Iodium, Nat. Mur., Nux V. and Sepia

Natrum Mur [Nat-m]

      It is a first class remedy in the treatment of Dyspepsia. We find it indicated when farinaceous food, particularly bread, disagrees. There is a craving for milk meat, fish, oysters and salty food or for bitter and sour things. After eating the patient is very thirsty. There is a distressed, undesirable feeling at the pit of the stomach which is (>) by tightening the clothing [Fl. Ac.; Hepar and Lachesis-just the opposite]. There is constipation, with constriction of the anus, faeces dry and hard and difficult to expel, and evacuated with such exertion as to tear the anus and as a consequence there is bleeding with the stool; the constipation causes the patient to be low-spirited and ill-humored-this mental condition seems to keep pace with the degree of digestion as in Nat. Carb. and also with the degree of constipation and when the bowels move undisturbed, the mind is relieved [Nux V.-when disturbed, as by taking purgatives]. Or, there is chronic watery Diarrhoea, with a dry mouth, secondary to dry stool.

Niccolum [Nicc]

      Sinking sensation in epigastrium, without desire for food.

Nitro-muriatic Acid [Nit-m-ac]

      It is also to be remembered in cases of weak digestion. Its symptoms are recorded in Allen, and are very similar to those of Muriatic Acid.

Nux Moschata [Nux-m]

      Indicated in the Dyspepsia of the hysterical women. It is indicated by the following symptoms : Bowels enormously distended with wind, as from weak digestion; even soft stools are evacuated with difficulty.

Nux Vomica [Nux-v]

      The Dyspepsia in which Nux is applicable is characterized by marked aggravation an hour or so after eating. About 24 hours before the attack comes on, the patient complains of great hunger. He craves meats, gravies and fat foods and is averse to coffee. He has violent thirst, but water distresses the stomach and causes distention; after even a light meal, he is obliged to loosen his clothing. He is troubled with sour or bitter eructations hiccough and water-brash. These may be associated with nausea and vomiting of food and sour matter, but the prominent feature of the vomiting is the violent, retching which is often more or less ineffectual. The bowels are constipated, and this constipation consists characteristically, in ineffectual urging to stool. There may be pains also, of a griping, clawing character, as though a hand were scraping the inside of the stomach, often relieved by not drinks. The patient suffers from a dull headache, situated either in the occiput or over one eye, usually the left; when the pain settles over the eye, it usually the left; when the pain settles over the eye, it usually begins in the morning and increases until night and is accompanied generally by sour taste in the mouth (less frequently by a bitter taste), by accumulation of flatus and by annoying retching. In such cases, we find Nux Vomica a remedy, without which we cannot get along.

E. A. Farrington
E. A. Farrington (1847-1885) was born in Williamsburg, NY, on January 1, 1847. He began his study of medicine under the preceptorship of his brother, Harvey W. Farrington, MD. In 1866 he graduated from the Homoeopathic Medical College of Pennsylvania. In 1867 he entered the Hahnemann Medical College, graduating in 1868. He entered practice immediately after his graduation, establishing himself on Mount Vernon Street. Books by Ernest Farrington: Clinical Materia Medica, Comparative Materia Medica, Lesser Writings With Therapeutic Hints.