Calcarea phos [Calc-p]
Incipient phthisis in anaemic patients, profuse sweat, especially about neck and head. To lessen the emaciation, give also cream, koumiss, small doses of cod- liver oil and carbonaceous food. Chronic coughs of consumptives. Night-sweats of phthisis with cold extremities. In diarrhoea and chronic forms with but little fever. Hoarseness, involuntary sighing, suffocating attacks. Cough with soreness and dryness of throat, dull aching in chest. Alternating or associated with anal fistulae.
Calcarea sulph [Calc-s]
Sputa purulent; sanious, mixed with blood. In phthisical coughs with greenish yellow expectoration, rattling cough.
Kali phos [Kali-p]
Shortness of breath on the least motion, putrid sputa.
Kali mur [Kali-m]
Expectoration white and thick.
Natrum sulph [Nat-s]
Hydrogenoid constitution. Phthisis mucosa. Cough with muco-purulent sputa. Lower lobe of left lung affected. All-gone feeling in chest.
Natrum mur [Nat-m]
General malaise after the least exertion, sleepy by day, restless at night. Spasmodic periodical cough with rattling in chest and expectoration of bloody sputa, worse in the evening after lying down, congestion to head with hectic flush, chronic coryza with total loss of taste and smell. Patient always worse near the seashore. Accumulation of transparent mucus in the larynx in the morning. Empty swallowing causes cough.
Profuse discharge of foetid pus – nightly paroxysms of cough with tickling in suprasternal fossa – tuberculous deposits on skin, showing themselves as lumpy tumors. Emaciation, profuse night-sweats. Terribly offensive foot-sweat. Great constipation; the rectum lacks power to expel stools, and hence it recedes after partial evacuation. Patient is always cold, especially feet. Much prostration and loose, rattling cough, with copious expectoration of thick, yellow-greenish pus. This remedy embraces most of the symptoms that belong to the phthisical dyscrasia. Consequently it is a remedy of a value for the constitutional condition in congenital or hereditary cases. Dr. Holcombe has used the 6000th potency with wonderful curative power in the last stages of phthisis.
Ferrum phos [Ferr-p]
Breathing short, oppressed and hurried, accompanied by heat and feverishness. Hoarseness from over-straining the voice. Cough worse in open air. Haemoptysis profuse, bright-red, frothy; epistaxis. It is the remedy where, in delicate looking subjects, haemorrhage is the first symptom. Phthisis florida. “If patients take cold, become prostrated and have a blood-streaked expectoration, this remedy, even in the 300th potency, will quickly quiet the pulmonary congestion.” (F.)
“Laryngeal phthisis, arytenoid cartilages pyriform, acute dry tickling cough from laryngeal and tracheal irritation, accompanied by slight or even severe bronchial or laryngeal haemorrhages.” (Ivins).
PHTHISIS PULMONUM CASES [Phthisis pulmonum cases
Mr. T., aet. 30, of a sanguine, bilious temperament, rather dark complexion, five feet ten inches high, weight in health 166 lbs., family consumptive, two sisters and a brother having already died, leaving a brother still enjoying tolerable health. Had several haemoptyses in the summer while in the hay field, and had constantly declined from that time. Saw him the April following; he having passed through the hands of several physicians, and at that time was so low that his physician said he could not live six weeks, and such was my opinion on seeing him. there was a large cavity in the right lung at the second intercostal space at about three inches to the right of the sternum; there were heavy rales in the left bronchi, with decided indications of breaking down of the parenchymatous structure, and cavernous lesions there, also the sputa was very heavy and largely purulent; there was the odor of the cadaver already present, musty and offensive enough from septicaemic influences; he had no appetite and sat up hardly longer than to have his bed made; skin had a cold, clammy feel, and he was drenched with night sweats. Case was marked with absence of vital warmth; indeed, so forbidding was the case that I refused his brother when he asked me to visit him again in a week; he lived forty miles away. He was given a dose of Silicea 200, every other night with Sac. lac., and ordered to report by mail in a week. He had been very much harassed with his night sweats and cough, which was worse from motion. The first mail brought me the intelligence that the medicine acted like a charm and wanted more of the same kind; I sent so that he got a dose of Silicea twice a week, and so treated him till June, when he paid me a visit. Left lung appeared to be cleared up, night sweats no longer troubled him, appetite was good, he was steadily gaining in flesh and strength. Nevertheless, in the right lung there yet remained traces of the vomica, which now was much smaller and secreting only a small amount of muco-purulent matter; he was furnished additional medicine and went home, and by the middle of July was on his mowing machine. Patient was alive for four years after enjoying fine health, and I do not know but he is today; no man could be more surprised than myself at these results. Were we all deceived? Three good physicians of the leading school of medicine agreed about the diagnosis, and I don’t think there is left a possible ground for doubt. The case is exceptional, we agree; but is it not full of suggestions? (G.N.B., in Brigham’s Phthisis).