Ipecacuanha: Anhang

[Valerie Lovelace]

The first thing I notice right away when looking at the Ipecac mind rubrics is that no single or specific symptom really stands out above any other...but that collectively, there just appears to be great general chaos and mayhem, and only one single symptom – it seems like the whole of the Ipecac mental state can be rolled up into a single plain-type rubric: “The Calm Comes Only After the Storm -and the storm goes on and on, like the Energizer Bunny- it just keeps going, There is so much noise and discontent, howling and carrying on, as though the mind is vomiting up a huge racket and ruckus – a veritable outpouring from this “person of want” that cannot be satisfied – and we have this mirrored in the body by nausea that is not relieved by vomiting – there is no satisfying and seems to be no end. We can see how the stomach virtually the mind, as here, too, we find a “whole lot of noise and discontent howling and carrying on, a huge racket and ruckus” in the form of eructation, nausea, retching, pain and vomiting – in just about every imaginable form and variation. In the mind and the stomach see a tendency to abuse of substances such as morphine, alcohol, and susceptibility for eating disorders.

My research revealed that for bulimics and others with eating disorders, of Ipecac may be used routinely in order not to keep food down –bringing into vivid clarity the many rubrics related to discontent everything, disgust with everything, and “rejecting things for which he has been longing.” Again there is an image of the Energizer Bunny – keeps eating and vomiting and eating and vomiting...). There was also reference to malingerers and others with a mental disturbance wherein vomiting is actually enjoyed or desired to usethis substance to be sick or to make and keep others sick – this element comes out in the rubrics related to joylessness and indifference to the joylessness of others, or jealousy so that others cannot enjoy what the patient cannot enjoy. Ipecac has a long history of being abused in this fashion. Ipecac is also an ingredient in expectorant cough syrups due to its propensity for genemucous and stimulating deep producing coughs.

It is clear there is a very direct connection between mind and stomach in this remedy, and in fact, in researching the affects of Ipecacuanha, we will find that the substance itself has a direct affect on the “vomit-center” of the brain through its main constituent, Emetine, an alkaloid, which is present only in the root of the plant. On the surface,

the plant is quite interesting looking, and I think it bears noting that one must go “down under” so to speak, to a deeper level, to find this alkaloid – and the alkaloid works “down under” in a deeper level of the organism – to the roots as it were (the nervous system), in order to have an affect on the “vomit center” of the brain within the medulla. Generally, toxic substances detected in the body will trigger a response to vomit in order to rid the stomach of an offending substance, and this can happen in about four different ways (through four different ‘motor paths’ depending on the substance and how it behaves in the body.). Once vomited, the trigger response eventually subsides,

the body responds to the substance to neutralize it, and if this occurs quickly enough, everything settles down and the patient feels better after expelling. The situation with Ipecac is that its alkaloids, Emetine in particular, bind directly to the receptor sites of the “trigger zone” after the substance has been processed and absorbed into the blood

-a direct path from blood absorption to vomit center...and vomiting will continue so long as the substance is present- long after the stomach has been emptied. It is not the contents of the stomach that makes one sick with Ipecac, but the presence of the alkaloid in the bloodstream. This remedy will therefore counteract “like” illnesses in patients who have the kind of nausea that is not better for having lost the stomach contents – one who is not relieved by vomiting, and must continue to vomit. Morrison writes: “Virtually any organ system may be affected by this remedy and yet there is nearly always a concomitant action on the stomach. Despite this almost universal tendency for vomiting, there is no amelioration and often a general aggravation from emesis.” Generally, we feel better after vomiting something up, so this particular aspect of the remedy is quite peculiar, and the rubric

“Vomiting, Relief, without”: Ip. Ant-c. Ars. Iris. is shared by only three other remedies: This keynote should be used as an eliminating factor in prescribing – indeed, without this symptom Ipecac should be cast into doubt as the needed remedy. In Ant-c. we will see single symptoms such as “ecstasy at night walking in the moonlight” and “sentimental in moonlight” and weeping from bells and the music of bells, but there is a decided lack of the carrying on and the ruckus, and missing is the Ipecac desire that others should also suffer. With Ars., the carrying on and the ruckus is far more related to fears for the self with delirium and delusions and there is the marked fastidiousness, which we do not see in Ip. With Iris-v., there are no single symptoms, but what we will see here is a lack of the Ipecac desire that others should also suffer, and the Iris-v. vomiting is more bilious, liver and gastro-intestinal related. With Ipecac specifically we will see both aversion to food and a desire to nibble on delicacies – this is something not seen with the other three remedies (only China is as strong in this as Ip.). The “dark side” of Ipecac is that there can be eating to cause the vomiting. And even though we see in Ipecac “complaints from anger,” the keynote “complaints associated by nausea and vomiting” is more apt to get us on the right trail with Ip.

The Ipecac patient is totally sickened and averse to “everything,” yet still wants and desires but just doesn’t know what, and in a Chamomilla-like fashion “refuses everything.”

STOMACH - VOMITING; TYPE OF - yellowish - green

STOMACH - WEAKNESS Ipecac’s general symptoms are reflective of the same pattern: “a whole lot of noise and discontent, howling and carrying on, a huge racket and ruckus.” Here are many and varied foods that aggravate (while there is a tendency to nibble and continue eating). Also a propensity to bright red bleeding – bleeding full

of energy and “ruckus.” Rather than the dark blood of venous problems, this is the bright, fresh, and more ‘energetic’ blood of the body found in the arterial or capillary side of the system. This bleeding is described in several references as free-flowing in large amounts, gushing, vicarious, and generally without clotting or darkness. One gets the image that every part of this patient’s mind, body, and soul is vomiting without relief, and it is clear that there is a desire for everything, that nothing satisfies, and in fact they are sickened by everything, and everything is thus rejected - this idea of Ipecac is embodied in the rubric “Generals – Plethora.” In the Ipecac patient there is too much – too much wanting, too much stimulation, too much aggravation, too much noise, too much ruckus, too much bleeding, too much nausea, too much mucous secretion, too much loathing, too much substance abuse –too much need to reject and expel. The Ipecac Bunny just keeps going, and going, and going...

Ip. a member of the Rubiaceae family of plants (Coffee), of which Chin. is also a member. According to Sankaran, this family’s characteristic “common sensation” relates

to “pleasure, excitement, stimulation, boredom.” In this case, stimulation has to do with the generation of ideas +/o. fantasies, and primarily indicates an intellectual desire

or need for stimulation (thus the boredom side may be present). Ipecac in the Typhoid Miasm (sudden, intense), which makes perfect sense when reflecting upon Ipecac’s complete dissatisfaction with everything and tendency to ruckus. In this miasm we see general ideas of urgency, impatience, demanding behavior, risk-taking, and

a desire to have it all now, countered by collapsing will power and failed action. This general picture is quite clear in Ipecac’s all-or-nothing state (wants and demands everything but refuses it; jealous of what others have, wants them not to have it.). “When 3 remedies are selected for the search [Rubrics with 3 Rubiaceae family members],

at the top of the list of mind symptoms: MIND, Desires numerous things, insane (Chin. Coff. Ip.).” He describes the main sensation of Ipecac as being a combination of typhoid/typhus and the Rubiaceae family, and summarizes the remedy as “Desires many things to stimulate him very quickly. Demands instant stimulation,” and he differentiates this demanding nature with Chamomilla by pointing out the absence of rudeness and meanness in Ipeceac – Chamomilla is childish and demanding in quite a petulant way, whereas Ipecac does not have such an edge in this area. For Ipecac, it is more about the wanting and the need for stimulation. Vermeulen gives us the Ipecac image quite clearly in a single quote from Margaret Thatcher, “I am extraordinarily patient provided I get my own way in the end.”

[Prabir Kumar]

Accompanied by: Irritability, restlessness, impatience, ill-humour. Cannot endure the least noise. Pale face with blue margins around the eyes. Convulsive twitches in the muscles of the face and lips.

Red skin around the mouth. Constant look of nausea. The corners of the mouth are drawn down. Full of desires, then know not for what. Coldness of one hand, while the other is hot. Sleeps with the eyes half open, moans and groans. Starts frequently in his sleep. Great weakness and aversion to all food; nausea, with almost all complaints. Twitching limbs. Perspiration smelling sour with turbid urine. Skin cool, oppressed breathing. No relief obtained by vomiting, the desire still remaining, cold perspiration.

Causes: Rich mixed food as pastry. pork. fruits. sweets. ice- cream. Cakes. buck-wheat. coffee; warm food; over loading stomach; tobacco; dietetic indiscretion; fast-food; meats; vexation; veal; indigestible food; ice-cold things; raisins.

Type: Catarrhal

Desires: Delicacies; indistinct, knows not what; sweets.

Aversion: (smell of) food.

Taste: Insipid and clammy, or bitter taste (morning)/sweetish “As from blood in the mouth”/bloody/earthy/fatty, greasy/insipid/nauseous/lost

Appetite: wanting/capricious, hunger but knows not for what or refuses things when offered. Desire only for delicacies and things sweetened with sugar.

Great repugnance and dislike to all food.

Extreme thirst (during heat and perspiration). Thirstless (during heat).

Tongue: Pale; white; yellow; clean.

Nausea: Constant/persistent/”As if proceeding from the stomach”/with empty eructations and accumulation of much saliva/and retching from smoking tobacco/with violent itching of the Skin/with copious salivation. Constant nausea and vomiting, with pale, twitching of the face. Deathly nausea. Nausea during cough/after eating (fats)/from smell of food/from rich food. Nausea after fruits/during headache/during labour/from lying on side/before and during menses/with suppressed menses/on motion/during pain/after pork/during pregnancy/after smoking, before stool and during stool/on stooping/from sweets. Constant nausea with clean tongue. Nausea, vomiting, thirst; sweat, bad offensive breath; pale face; < stooping.

Excessive nausea and inclination to vomit. Nausea after meals/from cold food. Severe retching and vomiting, with constant nausea, pale face and blue circles around eyes. Distressing nausea and inclination to vomit with almost all complaints. Nausea with haemorrhages from orifices of the body. Violent and long continued nausea, with vomiting of large quantities of tenacious white, glairy mucus. Constant but unavailing desire to vomit. Immediately after vomiting instead of relief, desire to vomit again, no > vomiting.

Vomit: Vomiting of food/of mucus/followed by sleepiness and exhaustion/of sour matter/with pain in stomach/of liquids/of water, then of food/with offensive breath/a substance like pitch. Vomiting of large quantities of tenacious, white, glairy mucus/acrid/of yellow mucus/of ingesta; bile/bilious; green; jelly-like mucus; blood; black; pitch-like substance/gelatinous matter/and hot hands/green matter. Frequent/violent; Vomits with weakness. After vomiting inclined to sleep. Stooping causes vomiting/immediately after eating; after drinking/large lumps of fetid mucus; of green, jelly-like mucus; of grass-green mucus; of large quantities of mucus.

"In the stomach the constant nausea is the prominent symptom. This nauseated state may be due to a disordered stomach from injudicious eating or from too great a mixture associated with a white-coated or clean tongue, but it is especially the result of nervous irritability or the accompaniment of the various troubles for which the remedy is useful (haemorrhage from various organs of the body). There is aversion to all food and persistent nausea which is not relieved even when they are able to vomit. There is a good deal of salivation and the vomited matter consists largely of mucus and sometimes of blood; (blood is black or tar-like.) Empty vomiting. Vomiting of undigested food. Nausea does not cease after vomiting. Water brash.

Eructations: Periodical; on stooping; empty; tasting of food.

Stomach and Abdomen: The stomach disorder may be occasioned by rich food-pork, pastry, fruits, candy, ice-cream. A feeling as if the stomach were hanging down relaxed. Sick feeling in stomach. Loathing of food. No thirst. Desires dainties and sweet things. Nausea. Vomiting. Flatulent colic. Griping, pinching about umbilicus, as though the intestines were grasped with hands, < motion, > by rest. Sensation of emptiness and relaxation of the stomach. Want of appetite, the stomach feels relaxed. Copious salivation.

Stool: Green mucus, as green as grass, greenish watery, fermented bilious, dark, almost black, looking like frothy molasses. Diarrhoea with nausea and colic, stools green as grass.

Stools smelling putrid.

Urine: Turbid urine with brick-dust sediment. Scanty urine, dark red.

<: From vomiting/suppression of cutaneous eruptions/eating veal/use of quinine. In winter and dry weather. In warm moist wind. Cold drinks or ice-cream (colic).

From rich food, pork, fat pastry. Ices, lemon-peel, raisins, salads. By eating. From motion. Lying down. Autumn. Unripe fruit or vegetable. Sour, food, anger, vexation;

>: rest/pressure/closing eyes;

[Mangliavori]

Einleitung

Kränkung ist ein mehr oder weniger alltägliches Thema in der homöopathischen Praxis. Das Profil der Personen, für welche Kränkung ein Thema ist, kann sehr verschieden sein. Wir möchten in diesem Seminar an der Differentialdiagnose der verschiedenen Mittel arbeiten, welche dabei in Frage kommen. Dabei soll ein besonderes Augenmerk auf einige weniger bekannte Mittel geworfen werden.

„Mortification“ (= Kränkung, Demütigung) kommt vom lateinischen „mortum facere“ (den Tod bringen). Wir sehen daraus, dass sich hier ein weitaus schwierigeres Konzept verbirgt als einfach nur Ärger oder Zorn. Es hat viel mit dem großen Gebiet von Selbstwert zu tun. Bei jemandem mit einem großen Ego ist Kränkung ein riesiges Thema; bei jemandem mit geringem Selbstwertgefühl verstärkt es einfach die schlechte Selbsteinschätzung.

Kränkung kann sich ausdrücken als ein Gefühl von Scham, Beschämung oder verletzter Ehre. Eine andere Bedeutung ist verlorenes Prestige oder verlorener Selbstrespekt.

„Vexation“ (= Verdruss./ Ärger) kommt vom lateinischen „vexare“: heftig stören, alarmieren, missbrauchen.

Wir verstehen unter Verdruss (vexation):

• Zorn, der von einer belästigenden Störung ausgelöst wird

• Starke Emotion; ein Gefühl, das sich gegen einen realen oder vorgestellten Missstand richtet

• Eine Quelle von Störung und Verdruss

• Eine Störung durch Behinderung oder Kritik

• Das Gefühl von Qual durch intensive Verärgerung: „Sein Verdruss war so groß, dass er den Quälgeist zerstören wollte“.

Daraus resultieren folgende Situationen: ein figürliches Bild von Folter, von heftig durchgeschüttelt werden; Umstände von Ungerechtigkeit, Unterdrückung

und Mobbing; Folgen von missbraucht werden oder auf das Heftigste belästigt werden.

Mit dem Thema der Kränkung müssen wir ebenso das große Feld des narzisstischen Gleichgewichts in Betracht ziehen. Ohne ein gutes narzisstisches Gleichgewicht kann man nicht auftreten, nicht im Mittelpunkt der Aufmerksamkeit stehen. Hier ist dieses Gleichgewicht als Begriff besser geeignet als

der des Selbstvertrauens.

Ipecacuanha

Die Themen von Ipecacuanha sind:

• Selbstzerstörerisches Verhalten

• Ablehnung

• Widerstand

• Verdruss

• häufigen Déjà-vu, des erstickenden Hustens, des schwachen Gedächtnisses, des Erbrechens bei Husten, der Eifersucht zwischen Kindern

Wenn man Ipecacuanha nur bei Husten verordnet, ist es so einseitig wie Belladonna nur bei Fieber. Es ist ein stark unterverordnetes Mittel. Es ist wichtig in der

Pädiatrie, in der es früh erkannt werden kann.

Die Übersetzung von Ipecacuanha: „Mittel, das krank macht“. Es löst sofort Erbrechen aus. Es wurde lange zur forcierten Magenentleerung gebraucht.

Auffällig ist vor allem, dass sich die Patienten nach dem Erbrechen besser fühlen. Sie müssen alles von sich geben. Das System ist in einem Zustand von Zurückweisung von allem,

was innen ist. Im dekompensierten Zustand ist es ein Spasmus

und die Unfähigkeit, etwas drinnen zu behalten.

Wie bei Chamomilla finden sich viele Symptome von Ipecacuanha im Zusammenhang mit physiologischen Funktionen wie Stuhlgang, Menses etc.

All diese Ausscheidungen sind kritisch. Es ist für Ipecacuanha schwierig, mit den Körperfunktionen umzugehen.

Man findet im Repertorium ausgesprochen viele Symptome unter „Angst“. Sie sind ängstlich bei basalen Bedürfnissen, welche normal und physiologisch sind.

In diesen Fällen sieht man, dass die Ipecacuanha-Patienten leiden und den Eindruck haben, es sei niemand da, der für sie sorge. Sie fühlen sich nicht unterstützt, fühlen keine Empathie. Es besteht viel Ärger, der nicht ausgedrückt wird. Es ist das Bild von jemandem, der dauernd Botschaften mit der Flaschenpost verschickt, die nirgendwo ankommen. Es ist ein

wirkliches Erbrechen im Schwall und trotzdem bemerkt es niemand. Sie können ihr Bestes geben, aber niemand reagiert auf diese Signale.

Ipecacuanha

- Patienten sind zum Schluss oft sehr einsame Menschen. Sie sind oft Opfer ihres intensiven Gefühls von Ehrgeiz und Konkurrenz. Trotz ihrer Anstrengung erhalten sie nicht, was

sie zu verdienen glauben.

Im Repertorium findet man nicht so viele Ärgerrubriken bei Ipecacuanha wie z.B. bei Chamomilla - es findet sich viel mehr Ängstlichkeit.

Man findet in Repertorium auch Symptome von Ungeschicklichkeit.

Oft beginnt Ipecacuanha nach einer erfolgreichen Verschreibung zu träumen (oft kindliche, magische Träume).

„Gieriges Essen“ ist ein weiteres Charakteristikum von Ipecacuanha. Sie verbrauchen Essen wie Antimonium tartaricum oder Antimonium crudum:

Es ist mehr ein Überessen, um den Magen zu füllen.

Die meisten Symptome von Ipecacuanha treten im Verdauungs- und Respirationstrakt auf: Reflux, Ösophagitis, Zungenbrennen, Erbrechen, Asthma mit Spasmen im Verdauungstrakt.

Ipecacuanha kann sich viel besser über den Magen oder die Atmung ausdrücken als über die Sprache.

Man findet viel mehr Symptome auf der Körperebene als im Gemütskapitel des Repertoriums.

Häufige Déjà-vu-Erlebnisse bei gleichzeitig schlechtem Gedächtnis ist ein ganz wichtiges Symptom bei Ipecacuanha.

Sie leiden, da sie diese nicht vermeiden können. Das ist schmerzhaft.

Ich weiß nicht, ob „jealousy“ hier echte Eifersucht ist oder nicht eher Missgunst/Neid. Das Objekt der Eifersucht sind weniger die Geschwister als vielmehr die

Eltern, die nicht geben, was man verdient. Die Bösartigkeit ist oft eher ein versteckter Ärger.

Extreme Überempfindlichkeit: Wenn man den falschen Ton erwischt, ist es oft, als würde man eine offene Wunde berühren. Dies steht aber meist in Beziehung

zum Mangel an Empathie, den sie erleben. Sie fühlen sich nicht unterstützt ... Das gehört aber zum dekompensierten Zustand. Kompensierte Ipecacuanha

würden eher sagen, es sei nichts, es werde sofort wieder gut sein. Die Überempfindlichkeit beginnt erst mit der Dekompensation. Sie können die Tränen nicht unterdrücken, wenn jemand erhält, was er verdient ... wie bei rührenden Filmen.

DD.: Liliaceen

Bei Sars aparilla und Lilium tigrinum finden sich existentielle Probleme. Bei den Liliaceen hat das oft mit Verlust zu tun. Sie verlieren ihren Referenzpunkt, die

unterstützende Person.

Bei Ipecacuanha ist es anders: sie haben nie wirkliche Unterstützung erhalten.

Bei den Liliaceen findet man nicht eine Familie wie bei Ipecacuanha. In der Kummersituation der Liliaceen kann nichts getan werden, um diese zu überwinden.

Sie können ganz schlecht mit diesem Kummer umgehen.

Er ist nicht versteckt, weil sie es nicht zeigen wollen, sondern weil sie es schlecht beschreiben können und er nicht hochkommt. Ärger ist bei den Liliaceen

kaum ein Thema, bei Ipecacuanha allerdings schon.

Ipecacuanha ein wichtiges Mittel gegen schwere Diarrhoe oder Verstopfung (Säuglingen). Analoge Symptome man auch bei der Blase (Tenesmus, Spasmus).

Vorwort/Suchen Zeichen/Abkürzungen Impressum