Acidum muriaticum Anhang
[Lectures on Homeopathic Materia Medica - James Tyler Kent]
When treating a low form of continued fever with extreme prostration.
Ars. anxious restlessness
Ph-ac. mental prostration
Mur-ac. muscular weakness comes first, and there has been history of restlessness and the mind has been stronger than could be expected.
With this great muscular exhaustion with jaw hanging down and the patient sliding down in bed and soon the involuntary stool and urine, this remedy is forced upon the mind.
1. Paralytic weakness is what it must be called.
2. Soon the tongue, sphincters of the bladder and rectum paralyzed. It seems to be eminently fitted for the lowest forms of zymotic fever when the above symptoms are present,
3. becomes unconscious.
There has been some restlessness, but nothing like Arsenicum and Rhus tox. He refuses to talk because it frets him to do so. Ph-ac. is slow answering questions because of exhaustion of mind which makes him unable to think.
The vertigo + moving eyes/+ lying on the right side. This vertigo is sometimes associated with liver disease. A stout, full blooded jaundiced man about forty had suffered much from pain in the liver, with great soreness, was comfortable only when lying on left side; when he turned on his back or r. side an anxious vertigo would come at once and he would break out in copious sweat, and be forced back to the left side. Mur-ac. made a complete cure of this liver trouble, which had been pronounced serious.
The headache < moving the eyes and rising up in bed. > walking about slowly. Occipital headache with dim vision, aggravated by effort to see. Heaviness in occiput. Numbness in forehead.
Soreness in occiput. Feeling as if hair were standing on end. Heat in top of head,
Eyes: Perpendicular half sight. Symptoms > in the dark. Stitching pain. Burning ext. l. to r. eye, > washing. Itching.
Hearing: Hardness of hearing; loud crackling sounds during the night. The sound of voices unbearable. Buzzing in the ears.
Nose: stopped. Nosebleed in whooping cough, in zymotic fevers, in diphtheria and scarlet fever. Dark putrid blood from nose.
Mouth: The lower jaw hangs down in typhoid fever. Margin of lips dry, sore and cracked. Burning lips.
Mouth and tongue coated white.
Sore mouth of nursing infants. Mouth studded with ulcers. Deep ulcers with black base.
Teeth: Sordes on teeth. Gums swollen and bleeding. Teeth become loose. Tongue dry, heavy stiff and paralyzed. Mouth dry.
Ulceration of mouth and tongue. Red tongue.
Blueness of the tongue. Mucous membrane of lips denuded.
Throat: Violent inflammation of the throat. Dryness of the throat. Dark red throat with ulcers. Grayish white exudations (resembling diphtheria). Gangrenous sore throat.
Hawks out foetid MUCUS. Diphtheria with extreme prostration.
Stomach: Great thirst. Thirst during chill and thirstless during the fever. Aversion to meat. Craves stimulants. Eructation bitter and putrid. Spasmodic action of oesophagus. Vomiting sour.
Emptiness in stomach, not ameliorated by eating. Empty sensation in stomach and abdomen without desire for food. Emptiness in stomach from 10 h. till evening.
Abdomen: Emptiness in the morning after the usual normal stool.
Indigestion; faintness constipation; confusion; sleepiness after eating. Pressing in the liver. Soreness, and enlarged liver. Fullness and rumbling in abdomen.
Rektum: Prolapsus ani while urinating. Large, dark, purple hemorrhoids, extremely sensitive to touch. Inflammation of the pile tumors, hot and pulsating; must lie with limbs wide apart.
Bleeding piles. Burning and cutting during stool.
Burning after stool, > warm applications, < bathing with cool water. Excoriation of anus. Fissures.
Stool: Watery, involuntary while urinating. Pass unnoticed. Dark brown with blood. Much flatus with stools. Urging < motion. Dysentery, putrid blood and slime.
Haemorrhage from intestines of dark liquid blood. Urging to stool while urinating, Marked relaxation and itching of anus. Stool and urine putrid and involuntary.
Urine: flows in a feeble stream. Must wait a long time for urine to start; must press so that anus protrudes. This is in keeping with the general paralytic muscular weakness in the body. Involuntary flow of urine and stool in low fevers. Burning and cutting in the urethra while urinating, tenesmus follows. Stool and urine putrid and involuntary.
Urethra: Bloody, watery discharge from the urethra.
Male organs: Impotency; desire weak. Scrotum bluish. Itching of the scrotum not > scratching. Margin of prepuce sore.
Female organs: Pressing in genitals as if menses would appear. Menses too early and profuse. Ulcers on genitalia with putrid discharges. Cannot bear least touch, not even of sheet on genitals.
Leucorrhoea with backache. Puerperal fever with extreme prostration, dropped jaw, sliding down in bed, suppressed lochia.
Respiration: Short breath with rattling after drinking. Breathing seems to come from stomach.
Chest: Oppression of chest.
Pulse slow and weak, intermits every third beat.
Back: Pressing pain. Pressing, drawing, tired feeling in small of back. Burning in spine.
Extremities: Heaviness of arms. Numbness and coldness of fingers at night. Lower limbs dusky. Putrid ulcers on legs, with burning margins. Swelling of right tendo Achillis. Feet cold and blue. Burning of palms and soles. Swelling and burning of tips of toes.
Tearing in limbs > motion. Pain in the limbs, during intermittent fever.
Fever: Evening fever with chill with or without sweat.
Chill: mingled with fever. The image of this remedy is found in typhoid and yellow, fever.
Perspiration: during first sleep. Symptoms worse when perspiring.
This acid has an elective affinity for the blood, producing a septic condition similar to that found in low fevers with high temperature and great prostration. Patient becomes so weak, slides down the bed. Decomposition of fluids. Involuntary stools while passing urine. Hæmorrhages. Mouth and anus chiefly effected.
Mind: Irritable and peevish; fretful Loud moaning. Great restlessness. Sad, taciturn; suffers in silence.
Head: Vertigo; < lying on r. side; occiput heavy “As if filled with lead”. Sound of voice is intolerable. Pain “As if brain were crushed”.
Nose: Hæmorrhage; much sneezing.
Face: Lower jaw fallen; pimples and freckles; lips raw, dry, cracked.
Mouth: Tongue, pale, swollen, dry, leathery, paralyzed. Deep ulcers on tongue. Hard lumps in tongue. Epithelioma; edges bluish-red (Carb-ac). Aphthous mouth. Gums and glands swollen.
Fetid Breath. Sordes on teeth.
Throat: Uvula swollen. Ulcers and false membrane. Œdematous, dark, raw. Attempted swallowing produces spasm and choking.
Stomach: Cannot bear sight or thought of meat. At times, ravenous appetite and constant desire to drink. Achlorhydria and fermentation of food.
Rectum: Tendency to involuntary evacuations while urinating. Hæmorrhoids most sensitive to all touch; even sheet of toilet paper is painful. Anal itching and prolapsus ani while urinating. Hæmorrhoids during pregnancy; bluish, hot with violent stitches.
Chest: Pulse rapid, feeble, and small. Intermits every third beat.
Urine: Cannot urinate without having bowels move at same time.
Female organs: Menses appear too soon. Leucorrhœa. During menses, soreness of anus. Ulcer in genitals.
Extremities: Heavy, painful, and weak. Tottering gait. Pain in tendo-Achilles.
Skin: Papular and vesicular eruptions, with great itching. Carbuncles; foul-smelling ulcers on lower extremities. Scarlet fever, livid, with petechiæ; scanty eruption. Eczema on back of hands.
Fever: Cold extremities. Heat without thirst. Typhoid types, stupid. Hæmorrhages. Restlessness. Involuntary discharges. Bed-sores. Pulse rapid and feeble. Excessive prostration.
Modalities: < in damp weather/before midnight. > lying on left side.