Schmerzmittelgruppe Anhang 2

[Borland]

Acute ear.ache
Acon.: Pain come on very suddenly, patient having been out in a very cold north-east wind, is intensely restless, pains very violent (burning). He is irritable, a bit scared, with all the signs of a rising temperature, and extreme tenderness to touch.

Cham. pain even more intense and patient practically beside himself with pain, will not stay still, is as cross and as irritable as can be, again with extreme tenderness, and you get the impression

that nothing what is done satisfies him.

Caps. More tenderness over the mastoid region, possibly a little bulging, and the ear begins to look a little more prominent on the affected side. External ear RED (often much redder than on ear). Acute stabbing running into the ear, the condition is a little comforted by hot applications/patient extremely sorry for himself, miserable, wanting to be comforted, probably a little tearful, but without the irritability of Cham.

Puls. is impossible (and Acute = All-c.)

Then to go on to typical acute neuralgias, facial neuralgias, or acute sciaticas, or things of that sort where you want to get immediate relief. Again you can use pretty well routine methods for relieving these cases.
Mag-p.: Facial neuralgia (r.): Violent pain coming in sharp stabs, or twinges of pain running up the course of the nerve, caused by any movement of the muscles of the face, << any draught, with extreme superficial tenderness over the effected nerve, > warmth (applied)/firm supporting pressure. Not dental neuralgia = much more difficult and run to quite a number of different drugs.
Coloc.: = Mag-p. + l. side. Side usually determines the choice, but occasionally either drug may relieve neuralgias involving the opposite side.
Kali-cy.: Agonizing neuralgias with screaming and loss of consciousness. Cancer of tongue. Surface of body cold and moist. > motion. < 4 – 16 h.

Spig.: orbital neuralgia, with much more sharp stinging pains, "as if a red hot needle were stuck into it" is a very common description with pains tending to radiate out over the course the nerve. (the burning character of the pain, after it has been touched turns into a strange cold sensation in the affected area).

Plantago Major – useful local remedy for neuralgias, earaches, facial neuralgias (l. sided)

Post-herpetic neuralgia:

Mag-p.: The ordinary shingles neuralgia where the patient comes with acute burning pain along the course of the intercostal nerve and gives a history that he has had a small crop of shingles, very often so slight that he

paid little or no attention to it with same modalities as in Facial neuralgia.

Ran-b.: History of herpes, the very sharp shooting pains extending along the course of the intercostal nerve, that the painful area is very sensitive to touch, that the pain is induced or aggravated by it, and you may get the

statement that the patients is extremely conscious of any weather change because it will cause a return of the neuralgia again.

Mez.: Is Ran-b. with much the same distributions of pain/same modalities, but without the marked aggravation in wet weather. where the affected area is extremely sensitive to any cold draught, particularly sensitive to bathing with cold water, and where the pain are likely to be very troublesome at night, and with a marked hyperaesthesia over the affected area.

Hyss.: The oil > severe pain from wounds.

Acute colic:

In cases of acute colic, renal hepatic, or intestinal, one can give quick relief by fairly snapshot prescribing. When you go to such a case and know that morphia and atropin will relive the spasm, it is very tempting to us them. If you cannot get your homoeopathic drug in a snapshot way I think you are bound to give the patient relief with your hypodermic. To my mind the disadvantages of this procedure are twofold. First, there is the disadvantage that after such relief, it is necessary to begin to treat that case now masked, if not actually complicated, by the action of the morphia. Secondly, there is always the danger that in an acute case of this kind the morphia may conceal the development of surgical emergency which in consequence may be missed. Suppose you have a hepatic colic, it is quite likely due to a stone pressing down into the bile ducts, which may perforate. If morphia has been used it is quite possible-one has seen it happen-that owing to the sedative, indications of the perforation are not detected for hours afterwards. The clinical picture is masked, and you are exposing the patient to a very grave risk. So if there is a method of dealing with these colics apart from morphia I think it is wise to use it. But, as I say, you are only justified in using it if you are getting relief, because

these conditions are so painful that it is not fair to let the patient suffer merely because you would prefer using a homoeopathic drug to a sedative. Fortunately the indications in these colics are usually pretty definite.
By a first attack of colic, whether it be hepatic or renal, it is a very devastating experience for the patient and he is usually terrified. The pains are usually extreme and nearly drive the patient crazy, and if, in addition, the patient feels frightfully cold, very anxious, faint whenever he sits up or stands up, and yet cannot bear the room being hot, ACONITE will usually give relief within a couple of minutes.
You will seldom get indications for Aconite in repeated attacks. The patients somehow begin to realize that although the condition is frightfully painful it is not mortal, so the mental anxiety necessary for the administration of Aconite is not present, and without that mental anxiety Aconite does not seem to act.
Bell.: Another case having repeated attacks, each short in duration, developing quite suddenly, stopping as suddenly, associated with a feeling of fullness in the epigastrium, and where the attacks are induced, or very much aggravated, by any fluids, and accompanied by flushing of the face, dilated pupils and a full bounding pulse.

Chel.: liver symptoms for some time, just vague discomfort, slight fullness in the right hypochondrium, a good deal of flatulence, intolerance of fats, and who is losing condition, becoming sallow and slightly yellow.

He develops an acute hepatic colic, with violent shoot of pain going right through to the back, particularly to the angle of the right scapula, which subside and leave a constant ache in the hepatic region, and then he gets another violent colicky attack. These attacks are relieved by very hot applications, or the drinking of water as hot as it can be swallowed.

In these case X-rays usually reveal a number of gallstones. And, in contrast with what happens with morphia and atropine treatment, subsequent X-rays after Chelidonium has been given frequently shows that one or more of these gallstones have passed almost painlessly. So with Chelidonium you are well under way with your treatment of the gallstones, whereas with morphia and atropine you merely relieve the acute attack of pain.

In other words, you have already taken a long step in the treatment of the patient towards clearing the condition altogether. That is one point to be said in favour of your homoeopathic treatment rather than the merely sedative relief.
There are quite a number of other drugs for these colics, some of them hepatic, some renal, and same intestinal, and they all have their own individual points which are very easy to pick up at the beside.

If one memorizes them in this way it is astonishing the east of your work in acute cases. You see I am not giving you the full description of these drugs, I am picking out only the points which apply to this type of case.

That is how you have to do it in practice, but you must remember that these drugs I am giving you for these conditions are the common ones, and that every now and then you meet a case which appears to call for one of these drugs and yet the patient dose not respond. There ar certain homoeopathic physicians who sometimes call me out in consultation for acute cases and I know perfectly well before I leave my room that it is no use my thinking of these drugs as they will already have been given, and what I have to get is something that is not common but our of the way. I remember seeing a case of gallstone colic with one of our very good physicians. It was an elderly woman, and she had that typical Chelidonium picture. Of course she had had Chelidonium already, but without benefit. The doctor said, "I dont understand this case at all: I think she must have a malignant liver." I asked why, and he said. "Because she has all the Chelidonium indications and she does not respond." That is the sort of odd case you will meet with. so if that should happen to be your first one do not think therefore that Homoeopathy does not work: you will find that as time goes on you get more and more cases that do work and the exceptions are fewer and fewer. As a matter of fact that particular case responded to a dose of one of the Snake Poisons, but I have never seen another case that had a Snake Poison for that condition, and one gave it purely because she had already had her Chelidonium; had I seen the case first I should certainly have given Chelidonium. In spite of the odd cases it is worth while getting these ordinary drugs at your finger ends so that when cases crop up you can prescribe easily on the few indications of the acute condition as presented to you.
Berb.: useful in whether renal or gallstone colics. The outstanding point about the Berberis colic, no matter its situation, is that from one centre the pain radiates in all directions. Suppose you have a renal colic- and when Berberis is indicated I think it is more commonly on the left side than the right-you will find that where you get indications for Berberis the colicky pain starting in the renal region, or in the course of the ureter, there is one centre of acute pain, and from that centre the pain radiates in all directions. If you have a hepatic colic you get the centre intensity in the gallbladder, and from there that pain radiates in all directions, it goes through to the back, into the chest, into the abdomen. That is the outstanding point about these Berberis colics. In addition to that, where you are dealing with a renal colic you almost always get an acute urging to urinate, and a good deal of pain on urination. Where you are dealing with a biliary colic, it is usually accompanied by a very marked aggravation from any movement, this is present to a slight extent in the renal colics, but it is not so marked; and in both the patient is very distresses, and has a pale, earthy looking complexion. The pallor, I think, is more marked in the renal cases, and where there has been a previous gallstone colic you may get a jaundiced tinge in the hepatic cases.
It is a very useful drug, and I do not know any other which has the extent of radiation of pain that you get in Berberis. It is surprising widespread the area of tenderness can be which is associated with a Berberis colic, so much so that in gallstone attacks you get so much tenderness and resistance that you are very afraid of a perforated gallbladder, you get such a resistant right upper rectus, and you may be very suspicious of a peri-renal abscess in the renal cases, again because of the extreme resistance of the muscles on the side of the abdomen.
In Berb. the urine is as a rule rather suggestive. More commonly it is not blood-stained, but contains a quantity of greyish-white deposit which may be pure pus, but mostly contains pus and a quantity of amorphous material usually phosphates, sometimes urates. Although it is a very dirty looking urine it is surprisingly inoffensive.
Coloc.: and Mag-p.: It does not matter where the colic is; when you have an acute abdominal colic of any kind thinks of the possibility of either Coloc. or Mag-p. Both remedies are often useful for colic in any area, uterine, intestinal, bile ducts, or renal-it does not matter which it is. These drugs is the they are almost identical, that always in their colics the pain is very extreme, patients are doubled up with pain.

In both pains > external pressure/heat. In Mag-p. there is rather more > rubbing than Coloc. prefers steady, hard pressure.
The next thing about them is that their colics are intermitting. The patients get spasms of pain which come up to a head and then subside.
Coloc.: intensely irritable. He is frightfully impatient, wants something done at once, wants immediate relief, and is liable to be violently angry if the relief is not forthcoming. slightly coated tongue, particularly if the digestive tract is upset. Likes hot applications, not so extremely sensitive to cold air in its neighbourhood. Tends to giddiness, particularly on turning more especially to the left. Colic followed on an attack of anger.

Over-indulgence in cheese.

Mag-p.: not the same degree of irritability, and distraught because of the intensity of the pain rather than violently angry. Usually clean tongue. SENsitive to a draught on the area. Not giddy. After exposure to cold, either a dysmenorrhoea or an abdominal colic.

Dios.: Very much the same sort of pain, a very violent, spasmodic colic coming on quite suddenly, rising up to a head, then subsiding. Has the same relief from applied heat, and it is sometimes more comfortable for

firm pressure, but, in contradistinction to the other two drugs, instead of the patients being doubled up with pain they are hyper-extended; you find them bending back as far as possible. The only drug which has

that violent abdominal colic which does get relief from extreme extention is Dioscorea. (gallbladder attacks, in a few intestinal colics, and in a case of violent dysmenorrhoea). Extreme extension of the spine you can give Dioscorea every time without asking any further questions.
Ip.: one of the most useful colic drugs and the indications for it are very clear and definite. Pain much more cutting than the acute spasmodic pain occurring in most other drugs. Intense nausea which develops with each spasms of pain. Nausea + clean tongue. You will see quite a number of adolescent girls who get most violent dysmenorrhoea, they are rather warm-blooded people, and with the spasms of pain they very often describe it as cutting pain in the lower abdomen-they get hot and sweaty and deadly sick so that they cannot stand up and any movement makes them worse. They have a perfectly clean tongue and a normal temperature, and very often Ipecac. will stop the attack, and even the tendency to dysmenorrhoea altogether.

Lyc. Raph. and Op.: intestinal colic + violent abdominal flatulence (stuck in various pockets in the abdomen/post-operative/semi-paralytic conditions).

Lyc.: gallbladder disturbance/paralytic in the region of the caecum. colicky pain starting r. side of the abdomen, down towards the right iliac fossa, and spread over to the l. side/very liable to get a late afternoon period

of extreme distress (< 16 – 20 h.). Likely rumbling and gurgling in the abdomen/more tendency to sour eructation, somewhat emaciated with a rather sallow, pale complexion.

Op.: definite paralytic conditions (paralytic ileus) following abdominal section. Renal colic pain in the back > on passing urine. Less eructations. A definite area of distention (centre of the abdomen), “As if everything simply churned up to one point and could not get past it”/”As if something were trying to squeeze the intestinal contents past some obstruction”/”As if something were being forced through a very narrow opening”.

Attacks of colic and becomes very flushed and hot, feels the bed abominably hot, wants to push the blankets off, and after the spasm has subsided tends to become very pale, limp, and often stuporose.

Extreme hyperaesthesia to noise.

Raph.: definite paralytic conditions (ileus) following abdominal section/less localized in the one definite area. Renal colic pain in the back > on passing urine. Less eructations. Post-operative colic is again slightly

different. Pockets of wind, a small area coming up in one place, getting quite hard, and then subsiding, followed by fresh area doing exactly the same. These pockets of wind may be in any part of the abdomen.

In the acute attacks of pain the patients tend to get a little flushed, but not so flushed as the Opium patients, and they do not have the tendency to eructation that one associates with Lycopodium, in fact they do not

seem to be able to get rid of their wind at all either upwards or down wards. But it is these small isolated pockets coming up in irregular areas throughout the abdomen which give you your main lead in Raphanus cases,

and I have seen quite a number of them now, post-operative cases, and it is astonishing how quickly after a dose of this remedy the disturbance subsides and the patient begins to pass flatulence quite comfortably.
Podo.: In hepatic colic mainly, intestinal colic + acute diarrhoea. Hepatic colic with a degree of infection of the gallbladder, maximum temperature (7 h.) in the morning and not in the evening. MISerable and depressed, almost disgusted with life. Always a degree of jaundice in the gallbladder cases, and it may be pretty marked. In majority of these cases the pain is not definitely localized in the gallbladder area, more in the epigastrium as a whole ext. across from the middle of the epigastrium towards the liver region. The pains twisting (towards the liver region) < taking food. After acute pain has subsided a horrible feeling of soreness in the liver region (patient > stroking the liver).

After Pains:

Cimic.: INtense, < about the region of the groin, and the patient is sensitive and cannot tolerate them.

Cham.: cannot tolerate pain

Puls.: the temperament of these two remedies will distinguish from Cham.

Caul.: spasmodic in character and fly across the lower part of the abdomen. Especially after prolonged and exhausting labor. It is also a specific for false labor pains.

Arn.: after labor soreness of the parts, and it is a very useful remedy in after pains.

Cocc.: pains are intestinal rather than uterine,

Nux-v.: pressing on the rectum and bladder

Sabin.: shooting from behind forwards

Sep.: shooting upwards + weight in the lower bowel.

Tender Points

Vorwort/Suchen Zeichen/Abkürzungen Impressum