Schmerzmittelgruppe
Anhang 2
All-c.: Hauptmittel bei
Phantomschmerz. Man hat etwas verloren und man kommt nicht drüber hinweg/will
nicht an tief sitzenden Schmerz erinnert werden, und fürchtet darum jeden
Neuen, der sie doch nur an ihren alten Kummer erinnern könnte.
Neben Lil-t.
Colch. Überempfindlich/unter
dem Einfluss von Schmerz außerordentlich reizbar und verzweifelt
Croc.: Kann sich wie ein Clown
benehmen [singen/tanzen/lachen. (Vergiftungssymptom: zu Tode lachen)], aber hat
viel Kummer/tut, als wäre nichts gewesen. Wundheilmittel/Folgen von Schlägen.
Sars.: empfindLICH gegen
Schmerz = Leitsymptom,. (Cham. Hep. Nux-v.)
[Borland]
Acute earache
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.)
Acute neuralgias, facial neuralgias, or acute
sciaticas when 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 < 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, quick relief can be obtained by snapshot prescribing. When you go
to such a case and know that morphia and atropin will relieve the spasm, it is
very tempting to use 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. 1st 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. 2nd 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.
Acon.: a first attack of colic,
whether it be hepatic or renal, it is a very devastating experience and usually
terrify ing. 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. Seldom indicated
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 (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.
A number of other drugs for these colics (hepatic/renal/intestinal) and they
all have their own individual points which are very easy to pick up at the
beside.
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 very marked <
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 perirenal abscess in the
renal cases, again because of the extreme resistance of the muscles on the side
of the abdomen.
Berb.: 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.: Dios.: same sort of pain, a
very violent, spasmodic colic coming on quite suddenly, rising up to a peak,
then subsides. 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; >> bending back as far as
Dios. is specific (gallbladder attacks, intestinal colics, violent
dysmenorrhoea).
Ip.: Very clear and definite indications. 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.
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 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 Lyc., 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 is a specific (post-operativ).
Podo.: In hepatic colic mainly,
intestinal colic + acute diarrhoea. Hepatic colic with a degree of infection of
the gallbladder, max. 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.
Vorwort/Suchen Zeichen/Abkürzungen Impressum