Epilepsie

[Gill Parkinson, Mike Johnson]

What is Epilepsy? The term ‘epilepsy’ comes from a Greek word meaning ‘to take hold of’ hence the use of ‘seizure’ to describe its effects. Epilepsy may also be looked upon as a tendency to have repeated seizure. The seizures are an outward, visible sign that a part of the brain is not working as it should. Its activity of transmitting and receiving electrical and chemical messages becomes disrupted. The neurons (nerve cells) that carry messages around to different parts of the brain send them in a different order, or too strongly (excessive discharge). This results in the child having a seizure. The way in which a seizure affects what someone says, does or feel depends on where in the brain the problem is and how far the disruption spreads. A seizure can start by affecting one part of the brain and then spread to another part or even go on to affect the whole brain. This is why people can experience different types of seizure, lasting from a few seconds to several minutes. Having epilepsy does not mean you are mentally ill or automatically have difficulties in learning, or have to take medicines for the rest of your life. Nor does it mean that if epilepsy happens in childhood it will stay with the child into adulthood. A substantial number of children grow out of their seizures as they enter adulthood; others may not encounter epilepsy until adolescence. Having epilepsy does not mean you are mentally ill or automatically have difficulties in learning, or have to take medicines for the rest of your life. Nor does it mean that if epilepsy happens in childhood it will stay with the child into adulthood. A substantial number of children grow out of their seizures as they enter adulthood; others may not encounter epilepsy until adolescence. Having epilepsy does not necessarily mean the child cannot live the way his or her friends live, or share in the same activities. Support arrangements may be needed in order for this to happen.

While living with epilepsy is not easy, we actively encourage those involved with the child, and indeed the children themselves, do develop a positive attitude to their condition—looking at what it enables them to participate in and taking control of it, rather than viewing it as an illness or disabling condition that will blight the rest of their lives.

Parents often ask why their child has epilepsy and seem surprised when the doctor cannot given them a definite answer. This is because despite having carried out a range of diagnostic tests, which may include blood tests and brain scans of various kinds, taken a careful case history and looked at the electrical activity in the child’s brain with an EEG (electroencephalogram), in up to 75% of question. Children with this type of epilepsy are often described as having idiopathic epilepsies where the cause is not known.

Epilepsy is a brain disorder involving recurrent seizures of all types. Seizures are episodes of disturbed brain function that cause changes in attention and/or behavior. The two main categories of seizures are generalized seizures in which the whole brain is involved) and partial seizures (a limited area is involved). Each category has different seizure types.

Epilepsy is a disorder in which nerve cells of the brain from time to time release abnormal electrical impulses. These cause a temporary malfunction of the other nerve cells of the brain, resulting in alteration of, or complete loss of consciousness. There are several forms of epilepsy. Most people will have seen someone suffer a major epileptic seizure, suddenly losing consciousness, jerking the arms and legs, etc. But there are other types of epilepsy - for example, one common form of epilepsy in children merely consists of staring blankly and losing contact with the surroundings for a few seconds.

Most common causes of epilepsy

An infection in the brain, e.g. meningitis or encephalitis

Head injury

If the brain is starved of oxygen, e.g. before or at birth

Part of a metabolic disorder

The way the child’s brain developed before birth

Recreational drugs or alcohol

Brain tumors

Part of an inherited condition, e.g. tuberous sclerosis, Rettsyndrome, Angelman syndrome, Sturge-Weber syndrome, Fragile X syndrome, neurofibromatosis and Down’s

syndrome.

(These syndromes all have websites where you can access more detailed and up to date information on the specific aspects.)

At least 10% of children have a positive family history of seizure occurring with fever under the age of 5 years (febrile convulsion). However, the presence of such seizures (or convulsions) does not mean the child will necessarily go on to develop full- blown epilepsy.

Possible causes of epilepsy

Focal brain disease – including cerebrovascular events such as stroke, head trauma, and neoplasm

Infection – such as meningitis, encephalitis, and abscess

Metabolic causes – including uremia, hyponatremia, and abscess, and other deficiency state.

Drug-related causes – such as cocaine, amphetamines, and alcohol withdrawal.

Subacute conditions – such as Creutzfeldt-Jakob disease and sub acute scierosing panencephalitis

Toxins, such as lead poisoning (especially in children) and mercury poisoning in adults

Conditions causing syncope – including vasovagal episodes, postural hypotension, and arrhythmia

Asphyxia – from hypoxia, carbon monoxide poisoning, or birth injury

Idiopathic seizures – in which no clear etiology is found

Generalized seizures type

Tonic-clonic – complete loss of consciousness, falling, jerking movements, urine incontinence.

Absence – brief loss of consciousness.

Myoclonic – brief jerking movements.

Partial seizure types

Simple partial – stays conscious, and weakness, numbness, unusual smells or testes, muscle twitching, turning head to side, visual changes, or vertigo may occur.

Complex partial – altered consciousness, automatic repetitive behavior, uncontrolled laughing, unusual thoughts, hallucinations, fears, or smells odd odors.

Clinically, the diagnosis of epilepsy is based on the occurrence of one or more epilepsy attack and proof or more seizures and proof or the assumption that the condition that led to them is still present.

Diagnosis information is obtained from the patient’s history and description of seizure activity, physical and neurological examination, and CT scan or magnetic resonance imaging. These scans offer density readings of the brain and may indicate abnormalities on the EEG confirm the diagnosis by providing evidence of the continuing tendency to have seizures. A negative EEG doesn’t rule out seizures disorder because the paroxysmal abnormalities occur intermittently. Other tests may include serum glucose and calcium studies, skull X-rays, lumber puncture, brain scan, and cerebral angiography.

Symptoms of epilepsy

Convulsion without fever

Intermittent fainting spells

Loss of bladder and bowel control during fainting spells

Extreme weakness and fatigue after attack

Sudden stiffness

Confusion of memory

Sudden bouts of blinking and chewing without any obvious cause or stimuli

Changes in sense of smell, touch and sound

Jerking of body, arms and legs.

Diagnosis of epilepsy

History

Age of onset

A) infancy – metabolic disturbances associated with febrile illness, epilepsy, congenital diplegia, congenital hemiplagia and cerebral damage resulting from birth injury.

B) Childhood – any of the congenital or acquired lesions above mentioned. Idiopathic epilepsy, encephalitis.

C) Adult life – idiopathic epilepsy rarely begins after age of 25. Penetrating head injury involving meninges, intracranial tumor, cysticercosis.

D) After 50 – epilepsy most often due to cerebral arteriosclerosis. Other causes SUCH AS Stokes-Adams attacks, and spontaneous hypoglycemia.

Description of fit from witness or family

Circumstances under which fit occurs

Family history – fits which cause sudden loss of conscious with falling, followed by some confusion should be classified as grand mal

History of febrile convulsions in children

Examination

Presence of neurological signs (e.g. dysphasia, hemiparesis, field defect , may localize a structural lesion.

Learning disability may suggest a chromosomal disorder.

Progressive features (e.g. dementia, ataxia) suggest a neurodegenerative disease

A cardiovascular examination is essential. The pupils may dilate during seizure.

Investigations

Confirming the diagnosis

EEG – is of value in establishing the diagnosis of epilepsy and an aid in determining the type of seizure.

EEG telemetry – in the form of ambulatory recording or video telemetry may be necessary if diagnosis is in doubt despite apparently frequent seizure.

Further investigations – may be necessary. Hypoglycemia needs to be ruled out, particularly in patient with early morning seizures.

Investigating the cause – MRI provides reliable diagnosis of hippocampal sclerosis, cortical dysgenesis and small foreign tissue lesions.

Epilepsy treatment

Epilepsy treatment entirely depends upon cause and medical condition.

Epilepsy treatment with homeopathy – Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach.

This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat epilepsy but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several medicines are available for epilepsy treatment that can be selected on the basis of cause, sensation and modalities of the complaints. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. Some important remedies are given below for epilepsy treatment:

Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat epilepsy but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several remedies are available to treat epilepsy that can be selected on the basis of cause, sensations and modalities of the complaints. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. There are following remedies which are helpful in the treatment of epilepsy:

Abs.: suited well when the fit is preceded by trembling, vertigo and giddiness, loss of memory after the attack. Seizures preceded by vertigo, a warm sensation rising from the stomach, and by a slight impairment of speech

Agar.: in epilepsy when after the attack there is great flow of ideas and the patient talks too much. Fit of epilepsy every seven days. [Dr.Winterburn] unusual symptom of "great flow of ideas and loquacity after the attack."

Alum.: fits come on mostly while passing stools.

Arg-n.: epilepsy caused by fright or at the time of menses. Dilatation of pupils for days or hours before the attack and restlessness and trembling of hands after the attack. Sharp cry. Violent muscular twitching (throat); complete unconsciousness with frothing at mouth; often bites her tongue, then a deep sleep for about 3 hours. Caused by taking sweet fruits. Persons suffering from indigestion, loud belching during the attack or before it; the patient is withered and dried in constitution.

Strong indicating features being the dilated pupils four or five days before the attack, and the restlessness and trembling of the hands after the attack. Menstrual and fright epilepsies often call for this remedy the characteristic being the aura, which lasts a number of hours before the attack. Moral causes may lead to an attack. Patient is low spirited, easily discouraged and frightened. [E.A. Farrington] Pupils dilated for hours or days before the attack. After the attack restlessness with trembling hands. Caused by fright or during menses.

Art-vg.: successfully used for epilepsy from fright or some mental emotion, where the attacks occur in rapid succession, and also in petit mal, where the patient is unconscious only for a few seconds and then resumes his occupation as if nothing had happened.

Atrop.: used successfully in the treatment of epilepsy.

Bar-m.: epilepsy with distension of blood vessels, emaciation, fainting spells. Complaints < in spring; Formication all over the body;

Bell.: recent cases of epilepsy only; convulsions begin in the arms and ext. face/eyes/mouth; fits of short duration several times during the day and passing off suddenly. For acute epilepsies, when the cerebral symptoms are prominent, where the face is flushed and the whole trouble seems to picture cerebral irritation, and more especially if the patient be young. There is an aura “As if a mouse were running over an extremity”, “If heat rising from the stomach”. There are illusions of sight and hearing, and the convulsions are apt to commence in an upper extremity and extend to the mouth, face and eyes. The great irritability of the nervous system, the easily disturbed sleep, the startings, the tremors and twitching and the general Belladonna symptoms will render the choice easy.

Borx.: Epilepsy of children; whether recurrent or old, afraid of downward motion. The child cries when an attempt is made to put him down and SENsitive to noises.

Bufo.: epilepsy due to masturbation or sexual excesses; The fit may return during coition. An awful sensation of anxiety in the abdomen and then there is sudden loss of consciousness. Pupils largely dilated and unaffected by light before the attack. Aura starts from sexual organs or abdomen. Mouth wide open before an attack and dropping of the jaw after the attack; Urine passes involuntarily after the attack or epilepsy occurs during sleep; aura begins from sexual organs or from solar plexus; epilepsy from onanism, longs for solitude to give himself up to his vice, epileptic aura from uterus to stomach in females, menses suppressed, or fits < at times of menses; severe cases, head down to one side, then backward before the fit, with numbness of brain, falls down unconscious, followed by severe clonic and tonic spasm.

The aura starts from the epigastrium and from the genital organs. There is often, preceding the attack, great irritability of mind

Epilepsy arising from fright, or self-abuse, or sexual excesses/aura starting from the solar plexus. The aura preceding the attacks starts from the genital organs; even during coitus the patient may be seized with violent convulsions. In another form for which Bufo is suitable the aura starts from the solar plexus. Previous to the attacks, the patient is very irritable, often talks incoherently and is easily angered. It is especially in the sexual form, that brought on by masturbation, that Bufo is signally useful. It has also proved useful in severe cases in children where the head in the convulsion is drawn backwards. Indigo has epileptiform convulsions from the irritation of worms, but the patient must be low-spirited and sad "blue as indigo." It is the "bluest remedy in the materia medica."

Flushes of heat seem to rise from the solar plexus to the head and there is an undulating sensation in the brain (Cimic.). Vehement and irritable.

Calc.: very good for treatment, epilepsy in children with open fontanelles and late dentition; sweating of the head and neck; Dread of an attack and broods over his affliction which makes him melancholic; Epilepsy due to suppression of eruptions, orgasm or sexual excess; Sensation of something burning in arms, or from pit of stomach downwards; sudden attack of vertigo, loss of consciousness without convulsions; chewing motion of mouth before the attacks

The treatment of epilepsy should be directed to the underlying dyscrasia, as this is at fault in most, if not all, cases. Calc. with its rickety, tuberculous, scrofulous and flabby symptoms, its characteristic deficiency of lime assimilation, as shown in children by the open fontanelles and backward dentition, will frequently be the remedy with which to commence the treatment. The characteristic relaxation on falling asleep and the sweating of the head and neck are fine indications for its use. It has an excellent clinical record. A epileptic suffering continually from the dread of an attack will withdraw himself as much as possible from the outside world, brood over his affliction and become melancholic, and there is no other remedy so well adapted to this condition as Calcarea. Its anxiety, palpitation, apprehensive mood despondency, fretfulness and irritability, its weakness of memory, its loss of consciousness, its vertigo and convulsions are prominent and characteristic indications for its use in epilepsy. If epilepsy be caused by fright, suppression of some long standing eruption, onanism or venereal excess it will probably be one of the remedies to use in the course of the treatment, and here it would follow Sulphur well. The aura may begin in the solar plexus and pass upwards like a wave, or go from the epigastric region down to the uterus and limbs.

“As if a mouse were running up the arm” previous to the attacks. Causticum, too, is closely allied to Calcarea, and is indicated in epilepsy connected with menstrual irregularities and also in epilepsy occurring at the age of puberty.

Calc-sil.:

Camph.: useful to prevent the attacks, shorten the duration and lessen the intensity. Indicated by all the characteristic of epilepsy. Is a safer prophylactic than the Kali-br.

Caust.: epilepsy at the age of puberty due to menstrual irregularity or suppression of eruptions or to fright, < during new moon; Involuntary urination; > drinking cold water; hystero epilepsy; Extra ordinary mental or physical vigor, headache especially through temples, with vertigo, redness of conjunctiva; convulsions with screams.

Petit mal, also when the patient falls while walking in the open air, but soon recovers. It is said to be useful when the attacks occur at new moon. It menstrual epilepsy and that occurring at puberty

Chinin-ars.: The prostration is characteristic.

Cic.: sudden rigidity followed by jerks and violent distortions, oppression of breathing, lock jaw, face dark red, frothing at the mouth with opisthotonos; great prostration after the attack. Concussions of brain, congestion at the base of the brain and in the medulla oblongata,. Excessively violent convulsions, tonic and clonic, and continuous distortions of extremities, after the attack profound exhaustion.

Sudden rigidity followed by jerks and violent distortions, and these followed by utter prostration. The prostration is characteristic, being equaled only by that of Chininum arsenicosum. loss of consciousness, thus resembling more the epileptiform. There is great oppression of breathing, lockjaw, face dark red, frothing at the mouth and opisthotonos. Eyes fixed staring; others are trembling before and after the spasm and strange feeling in the head preceding the attack.

Cupr-met.: aura begins in the legs and ascends to the hypogastric region when unconsciousness, convulsions and foaming of the mouth supervene. Tongue continuously protrudes and retracts during the attack. < in warm room; Oppressive headache preceding the attack.

Nocturnal or when the fits return at regular intervals, beginning with sudden scrams, loss of sensibility and throwing the body upward and forward, convulsions commencing at the fingers or toes or in the arms, with coldness of the hands and feet, and pallor or lividity of face. Convulsions in children during dentition.

Cuprum is a very deep-acting remedy, its well-known power of producing convulsions and spasms and its excellent clinical record make it a valuable remedy in epilepsy. We know positively that poisonous doses of Cuprum cause epileptic symptoms,and it is among the most curative remedies for epilepsy in child life. The convulsions start form the brain, though the aura, which is one of long duration,seems to center in the epigastrium. Owing to this long duration of the aura consciousness is not immediately lost, and the patient will often notice the contractions in the fingers and toes before they become unconscious. The face and lips are very blue, the eyeballs are rotated, there is frothing at the mouth and violent contractions of the flexors. The attacks is usually ushered in by a shrill cry and the cases are most violent and continued. It is also a remedy for nocturnal epilepsy when the fits occur at regular intervals, such as the menstrual periods. Epileptiform spasms during dentition or from retrocessed exanthema may indicate Cuprum. Dr. Halbert remarks that Cuprum will stop the frequency of the attacks more satisfactorily than any other remedy, it is his sheet anchor in old and obstinate cases. Butler also claims his best results from this remedy. Epilepsy at night and must be thought of when attacks invariably occur in the night.

Bayes, however, regards muscular convulsions as a specially prominent symptom for Cuprum.

Glon.: most violent, pulsating and pressing headache before the attack; It is < in warm room and by warm application.

Hell.: epilepsy in infants; during the paroxysm , the child remains sensible and the paroxysm may occur several times during the same day and after the attack, the child goes to sleep; bad effects from earlier head injuries.

Hydr-ac.: [Hughes] specific powers in the disease. Characterized by loss of consciousness, clenched hands, set jaws, frothing at the mouth, inability to swallow, and the attack is followed by great drowsiness and prostration. Child disinclined to play and take but little interest in anything.

Body stiffened, and cramp in the neck becomes very prominent and breathing comes in paroxysms surface becomes cold and pulse becomes feeble, almost imperceptible.

Hyos.: twitching and jerking with frothing at the mouth and biting of the tongue. Hunger previous to the attacks.

Much twitching and jerking and hunger previous to the attack, there is frothing at the mouth and biting of the tongue. A violent fright will produce an attack. The convulsions seem to have more of a hysterical nature, and there are illusions of sight and hearing.

Ign.: epileptic fits which occur after mortification or great fright from anger with silent grief; from anxiety; unhappy love; recent cases of epilepsy, epilepsy due to excess of emotions; partial spasms of the extremities, silent stupid state with jerking of the body, lassitude after a fit, convulsions return at the same hour in day time or at night.

Kali-br.: when the fit comes at the new moon and headache follows the fit. Mental dullness, slowness of expression, vertigo, uncertain gait, morose and sleepy;

Should have no place in the homoeopathic treatment of epilepsy; it is given here because it is the principal drug employed by the allopathic school, and because nearly all cases coming to us for treatment from old school hands are liable to be complicated by a previous treatment with the bromides Kali-br.). It is not a curative remedy, but a palliative one; it strikes at the attack and not the disease. It will often modify the attacks, and used as a prophylactic may avert the seizure, but its prolonged use works inevitable harm. It weakens the mental faculties and hastens imbecility.

Camph., Nux-v. and Zinc-met. mentioned as antidotes for the abuse of Kali-br. Bromide acne is often present in cases coming to us from old school hands.

Myg.: non-complicated cases of chorea. Constant twitching of the muscles of the face. The head is often jerked to one side, usually to the r. Control over the muscles lost.

Nat-m.: twitching of arms and legs before and during the attack; aversion to bread. Dullness, difficulty of thinking, depression and irritability; Aura begins in the arms or may be “As if mouse ran up the leg to right side of abdomen”. Attacks preceded by vertigo, sleep, gritting of teeth, nausea and vomiting, froth at mouth. Trembling; Body jerks, legs rapidly drawn up, hands clinched, thumbs not drawn in. chronic cases of psoric taint, suppressed itch. Twitching of arms and leg before and during the attack; attacks preceded by vertigo, sleep, gritting teeth, nausea, and vomiting.

Nat-s.: epilepsy from concussions of brain, after injuries on head, great irritability and disgust of life, great exhaustion and prostration.

Meli.: epilepsy from the blow on the head.

Nit-ac.: epileptic fits after midnight; biting tongue, snoring during sleep, aura begins in left arm, excessive irritability with debility.

Nux-v.: remarkable for epilepsy treatment, convulsions of epilepsy with consciousness, vehement/irritable; < with anger/touch/emotion/moving/indigestion. Convulsions with titanic rigidity, opisthotonos, red face and closed eyes. Involuntary defecation and urination in fit; Aura from epigastrium; Deep sleep follows the attack. < in open air.

Characterizing is loss of consciousness, therefore, Nux vomica is not often a remedy in the idiopathic form. It suits cases arising from an excess of the reflex action caused, for instance by indigestion. The aura starts in the solar plexus, and among characteristics “As if ants crawling over the face”. The middle and higher potencies will be found more useful in the spinal form of epilepsy, and this is the form most suitable to Nux.

Oena.: Its use in the disease has been mainly from clinical data, but there is ample proof from studying toxic cases that it is homoeopathic to many cases of epilepsy.

The reliable and practical symptoms may be summed up as follows: Sudden and complete loss of consciousness; swollen livid face; frothing at the mouth; dilated or irregular pupils; convulsions with locked jaws and cold extremities.

Dr. S. H. Talcott, of the Middletown State Hospital, summed up his experience with the remedy as follows:

1. The fits decrease in number 40 to 50%.

2. The convulsion are less severe than formerly.

3. There is less maniacal excitement before the fits.

4. Less sleeplessness, stupor and apathy after the fits and the debilitating effects of the attacks are more quickly recovered from.

5. The patients treated with Oenanthe are less irritable, less suspicious and less fault finding.

6. The patients are more easily cared for.

The writer can add his testimony to the effect of Oenanthe in controlling attacks of epilepsy. It seems to act better in the 3X or 6X potency than in the tincture.

Op.: epilepsy attacks at night especially in those persons who are constipated much drowsiness after an attack.

Passi.: excellent remedy for epilepsy treatment, attacks coming on the menstrual period. The aura is a tight feeling in the chest.

Plb-met.: epilepsy due to cerebral sclerosis or tumors; Heaviness and paralytic sensation before the attack/often paralysis and prolonged snoring thereafter. CONstipation

Plumbum has caused epilepsy, and we may use it for these symptoms: attack preceded by heaviness of the legs and is followed by paralysis; epileptic seizures from sclerosis, or from tumors of the brain, consciousness returning slowly after an attack is another indication and it is more suitable to the chronic forms of the disease. Constipation and abdominal pains further indications.

Sec.: sudden and rapidly recurring convulsions, with rapid sinking of strength and paralysis of the spinal nerves.

Sil.: epilepsy in slender/tall/dark/blond?/chilly/arrogant/thirst less persons, constipated with clammy, sweaty palms, and unhealthy skin. Nightly attacks.

Fits during sleep; nervous irritability; ill effects of vaccination; sensation of coldness before an attack, indicated in children with a large head and large abdomen.

A valuable remedy. It suits especially scrofulous and rickety subjects. The aura starts from the solar plexus (Bufo/Nux-v). Certain phases of the moon are said to affect the attacks, which are brought on by an overstrain of the mind or emotions. Nocturnal epilepsy, feeling of coldness before an attack, and the fit is followed by warm perspiration. Exalted susceptibility of the upper spinal cord and the medulla and an exhausted condition of the nerves. The attacks occur about the time of the new moon.

It comes in after Calcarea in inveterate chronic cases, and coldness of the left side of the body preceding the attack is very characteristic.

Solanum Carolinense [Dr. Halbert of Chicago] Melancholia seems to be an indication and also attacks appearing at menstrual periods.

Stann-met.: epilepsy arising from reflex irritation, as from worms and also from sexual complications.

Stram.: epilepsy from fright, sudden loss of consciousness and jerking of the head to the right, with rotary motion of the left arm. Stramonium is the opposite of Belladonna, for whereas the Belladonna patient shuns light, fears noises and is sensitive in the highest degree, the Stramonium patient fears darkness and hates to be alone; he acts like a coward and trembles and shakes.

Sulph.: “As if a mouse were running up the arm” previous to the attacks

Act well where there is a scrofulous taint. It is useful for the same class of cases as is Calcarea; namely, those brought on by sexual excesses or the suppression of some eruption. The convulsions are attended with great exhaustion and it is suitable to the chronic form of epilepsy in children who are typical Sulphur patients. There is perhaps a tendency to fall to the left side. Sulphur is also a useful intercurrent remedy in the course of the treatment of an epilepsy.

Thuj.: epileptic fits occurring after vaccination when pustules disappear which had appeared as a result of vaccination. Ears feel numbed before attack.

new and full moon; Ear feel numbed before attack.

Verbena hastata is also recommended, but no special indications are to be found.

Visc-a.: for epilepsy when vertigo persists after the attack;

Chorea

[Bernhard Baehr] Ign.: In Chorea (spasmodic movements of voluntary muscles), indicated when the disorder is caused by fright or some violent mental agitation. The attacks < eating, and abate when the patient lies on the back. The patient is very irritable and peevish.

Vorwort/Suchen. Zeichen/Abkürzungen. Impressum.