Pertussinum Anhang 2

 

Pertussis, also known as whooping cough, is an infection of the respiratory system caused by the bacterium Bordetella pertussis (or B. pertussis). It's characterized by severe coughing spells that end in a "whooping" sound when the person breathes in.

 

Symptoms of whooping cough

The disease begins with a cold and a mild cough. After this, the typical coughing bouts set in. The coughing continues until no air is left in the lungs. After this comes a deep intake of breath that produces a heaving, 'whooping' sound when the air passes the larynx (windpipe) that gives rise to the name of the disease.

The patient will eventually cough up some phlegm and these attacks may well be followed by vomiting. The child's temperature is likely to remain normal.

Coughing attacks may occur up to 40x daily, can last for up to 8 weeks.

 

Dros.: Hahnemann: Drosera 30th sufficient to cure nearly every case of whooping cough, a statement which clinical experience has not verified, but Dros., will benefit a large number of the cases, if the following indications be present: a barking cough in such frequent paroxysms as to prevent the catching of the breath; < evening. All efforts to raise the phlegm end in retching and vomiting. The attacks << midnight; the child holds its epigastrium while coughing. The drosera child cries a great deal. Arnica has crying before coughing because recollection or previous soreness and pain in present. Bayes : "Drosera is more useful in whooping cough than any other remedy in our Materia Medica." Unlike Hahnemann, however, he claims that the higher dilutions are powerless, and he prescribes the first. Drosera acts better in pure, uncomplicated whooping cough, and while it will correspond to some epidemics it will fail in others.

Sol-carolinense: good clinical record in explosive and spasmodic coughs, and is recommended by eclectic physicians as almost specific.

Cast-v.: seen as a specific in the 3x dilution.

Cupr-met.: cough + convulsions, or when the paroxysms are long and interrupted. Spasms of the flexor muscles predominate. The cough is very violent and threatens suffocation. Sometimes very nicely after Drosera and do good work. Coughs up a tough, gelatinous mucus, much rattling in the chest, face and lips are bluish. >> a swallow of cold water. Hale: Cuprum in cases + spasms, clenched hands, etc.

Cor-r.: severe cases of whooping cough. Before the cough there is a smothering sensation. The child gaps and becomes black in the face. It is a remedy for that shot, quick, ringing cough known as the "minute gun" cough. The smothering shows itself in the form of gasping, crowing inspirations. After each attack of cough the child sinks back perfectly exhausted. No other drug produces such a violent paroxysm. It is perhaps oftener indicated in the later stages of the affection, but the neurotic element must be present, and also the constriction of the chest before the attacks. The crowing inspiration of whoop is not so pronounced as under Mephitis.

Dr. Teste: Cor-r. + Chel. as comprising the entire therapeutics of whooping cough;

Dunham: Cor-r. in violent cases.

Coc-c.: paroxysms of cough with vomiting of clear, ropy mucus, ext. in thick, long strings even to the floor. Sometimes seen in children who cough and cough with this tenacious mucus stringing from mouth and nose, waving to and fro until it finally gives way. The paroxysms come on in the morning, and often + vomiting of a clear, ropy mucus.

Ambra.: Eructations of wind following Coc-c.: remedy for the protracted bronchial catarrhs remaining after whooping cough. The excessive secretion of mucus under Coccus is marked and causes the child to strangle. The choking is most characteristic, even more so than the strangling.

Meph.: in cough with a well marked laryngeal spasm, a whoop. Cough is worse at night on lying down, there is a suffocated feeling, and the child cannot exhale. Farrington observes that this remedy will often apparently make the patient worse, while it really tends to shorten the course of the disease. The catarrhal symptoms calling Mephitis are slight, but the whoop is prominent. The smothering comes on with cough, while with Corallium rubrum it comes on before the cough, and is followed by great exhaustion. There is not much expectoration with Mephitis. There are many spasmodic symptoms with this remedy, such as cramping of the legs at night.

Naphtalin.: The writer has seen good results when the cough is very dry and catarrhal symptoms not pronounced, and the paroxysms of extreme length, and the constriction of the chest are present. Especially suitable to whooping cough in adults.

One of Led.: Hahnemann's therapeutic hint in whooping cough, which has a spasmodic racking cough, and should be thought of in connection with this affection.

Bell.: In sudden violent paroxysms of whooping cough, without any expectoration, and the symptoms of cerebral congestion, Belladonna will be found useful. Epistaxis may accompany, and the patient is worse at night. Boenninghausen: mostly in the beginning/later, when there is fever. Often in the beginning of the disease it use will shorten and modify the disease. Another indication attacks end with sneezing. The cough is excited by a tickling in the throat, “As if from down”. Retching and vomiting and pain in the stomach are prominent symptoms, but when Belladonna is the remedy the congestive symptoms will be present and active, the onset sudden; the child grasps at the throat and clings to its mother, as if frightened.

Ip.: Convulsive cough, where the child stiffens out and becomes blue or pale and loses its breath, great nausea and relief from vomiting. A "gagging cough" is a good indication for the remedy. The discharge of mucus is copious and tenacious, and the patient is very weak after the attacks. Violent shattering coughs following each other in quick succession, not permitting recovery of breath, indicate Ipecac. he child is limp and weak, and there is free perspiration. Sulphur is an excellent remedy for vomiting after the paroxysmal cough.

Ant-t.: child < excited or angry, or when eating; the cough culminates in vomiting of mucus and food. Much rattling of mucus in the chest with slight expectoration. Child is irritable and cross, and will cry, when approached; the tongue will be white and weakness will be present. If diarrhea be present with great debility and depression of vital forces, or if the child vomits its supper shortly after midnight << warm drinks.

Cina.: This is not always a worm remedy. Most excellent in whooping cough. Same rigidity as Ip., the child stiffens out and there is a clucking sound in the oesophagus when the little one comes out of the paroxysm. Grinding of the teeth during sleep. Especially indicated by symptoms of worms and in children who are predisposed there to.

Mag-p.: Schüssler remedy for whooping cough, which begins as does common cold. The attacks are convulsive and nervous, ending in a whoop. Clinically, I have found this remedy, used in the 30th potency, to act marvelously in certain epidemics.

Dr. William Boericke: cough in severe paroxysms, with blue or swollen and livid face, with a severe whoop.

Kali-s.: also at times found useful.

Sangin-n.: Hoarseness, rawness in the throat and larynx, and headache.

Kali-bi.: Hoarse cough; child breathes superficially and rapidly to prevent attacks of coughing. Coarser cough than that of Hepar, < eating/inspiring deeply; there is a general catarrhal involvement of the nose, throat and frontal sinus, and the expectoration is yellow, tough and stringy, yellow. (Coc-c. not yellow)

 

Pertussin (= Coqueluchin) a nosode of whooping cough, is advocated by Dr. J. H. Clarke, of London, who claims food results from its use. A spasmodic hacking, deep-sounding, croupy cough with coryza and difficulty in getting the breath seem to be the indications. Cartier and others report success with the remedy. It is better used not lower than the 30th.

 

 

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