Essential Materia Medica

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ESSENTIALMATERIA MEDICA(ESMAME)CYNTHIA YOUNGHARIKESH GANGA1

First Edition: 1997Fourth edition: 2010Fifth edition: 20122

FOREWORDThe first edition of the Esmame (Essential Materia Medica) aimed only at abasic knowledge of homeopathy for summary therapy. In revising the book forthe present, second, edition, considerable care has been taken to make it muchmore comprehensive, with a view to a broader and deeper understanding of themateria medica. Nineteen more healants have been added now to the ninety ofthe first edition. But as Bacillinum has been integrated with Tuberculinum, thetotal number comes to one hundred and eight now. The symptomology of eachhealant has been presented under distinctive heads, as before. Names ofhealants, not discussed but only referred to incidentally, have not beenabbreviated.For ‘mucus’ the same spelling has been used, whether noun or adjective. Twoother terms used need to be explained: 1) ‘healant’ to distinguish homeopathicmedicines from others, since homeopathy operates on a different planealtogether and 2) ‘heaty’ to signify the polar opposite of ‘chilly’, on the analogyof ‘meat’ ‘meaty’, ‘grit’ ‘gritty’, ‘fault’ ‘faulty’. While ‘chilly’ conveys the thermalsubjectivity quite well, ‘warm’ tends to convey rather the objective physicalcondition, and ‘hot’ is no better. ‘Heaty’ may serve to indicate more effectivelythe subjective sensation of heat.Item no.1 in the text of each materia medica aims at the immediaterecognition of the healant and item no.2, elaborates its symptomology. The twoitems have different objectives, though one may seem rather repetitive of theother.Needless to say, in seeking to present the essence of the Materia Medica,Esmame has drawn on all valuable books on the subject, some of which arelisted in the select bibliography at the end.Cynthia Young3

The numbers in the text of the materia medica signify respectively:1. Signature2. Essential3. Comparative4. Special5. Contra-indications6. Causations7. Stages and States8. Lateralities9. Modalities10. Relations11. Guidelines12. Case studies4

CONTENTS1. Aconite2. Actea Racemosa3. Aloe4. Alumina5. Antimonium Crudum6. Antimonium Tartaricum7. Apis8. Argentum Nitricum9. Arnica10. Arsenicum Album11. Asafoetida12. Baptisia13. Baryta Carbonica14. Belladonna15. Bellis Perennis16. Borax17. Bryonia18. Calcarea Carbonica19. Calcarea Phosphorica20. Calendula21. Camphor22. Cantharis23. Carbo Vegetabilis24. Caulophyllum25. Causticum26. Chamomilla27. Chelidonium28. Cinchona Officinalis29. Cocculus30. Colchicum31. Collinsonia32. Colocynthis33. Conium34. Croton Tiglium35. Cuprum Metallicum36. Dioscorea37. Drosera38. Dulcamara39. Echinacea40. Eupatorium Perfoliatum41. Euphrasia42. Ferrum Phosphoricum43. Fluoric Acid44. Gelsemium45. Graphites46. Hamamelis47. Hepar Sulphuris Calcareum5

48. Hydrastis49. Hyoscyamus50. Hypericum51. Ignatia52. Influenzinum53. Iodine54. Ipecacuanha55. Iris Versicolor56. Kali Bichromicum57. Kali Carbonicum58. Kali Muriaticum59. Kali Phosphoricum60. Kali Sulphuricum61. Kreosote62. Lac Caninum63. Lachesis64. Ledum65. Lilium Tigrinum66. Lycopodium67. Lyssin68. Magnesium Phosphorica69. Medorrhinum70. Melilotus71. Mephitis72. Mercurius73. Millefolium74. Muriatic Acid75. Natrum Muriaticum76. Natrum Phosphoricum77. Natrum Sulphuricum78. Nitric Acid79. Nux Vomica80.Opium81. Phosphoric Acid82. Phosphorus83. Phytolacca84. Podophyllum85. Psorinum86. Pulsatilla87. Pyrogen88.Rhus Toxicodendron89. Ruta90. Sabal Serrulata91. Sarcolactic Acid92. Secale Cornutum93. Sepia94. Silica95. Spongia96. Stannum Metallicum6

97. Staphysagria98. Stramonium99. Sulphur100. Sulphuric Acid101. Symphytum102.Syphilinum103.Tabacum104. Tarentula Cubensis105.Tuberculinum / Bacillinum106. Variolinum107.Veratrum Album108. Zincum Metallicum7

THE FOUNDATIONS OF HOMEOPATHYTOWARDS A NEW INSIGHTHomeopathy originated and has developed throughout consistently as a critiqueof, and a protest against, allopathy. It is based on the principle, likes are curedby likes' (similia similibus curantur) and was pioneered by Dr. SamuelHahnemann (1755-1843) of Germany. Homeopathic medicines, or potencies asthey are called, are pathogenic and therefore they are curative. A patient issought to be cured by medicines that can cause signs and symptoms similar tohis illness. Hahnemann named his system homeopathy', homeo in Greekmeaning similar, in contrast to the prevalent therapy, which he most aptly called allopathy', allo in Greek meaning other', since in treating a disease itemployed drugs, which in their effects, were dissimilar or foreign to the diseasebeing treated. If a patient with hyperacidity, for example, went to an allopath hewould prescribe antacids, but a homeopath would prescribe medicines thatcould induce simulated acidity. A physician is a homeopath or an allopath,depending on whether he uses similar or dissimilar drugs. Nevertheless,allopathy has chosen euphemistically to style itself ‘modern medicine’. Howevermodern it may be it continues to use only drugs dissimilar to disease andtherefore for all its proclaimed modernity it is no less allopathic today -- indeedeven more. Its much vaunted modernity too is due to the unending imperativeto update its array of drugs, which keep on becoming ineffective and obsoleteeven as diseases develop resistance to drug after drug continually invented.Alternative medicine is under no such constraint and has no need to whore aftersuch dubious modernity. The risks to life and limb the modern allopathic drugsinvolve, the unsolicited serious side - effects and iatrogenic disorders anddisablements they can cause, is a long story. There is also the obsessiveallopathic practice of breaking down time-tested traditional drugs and herbs,de-compose their several constituents. And so disrupted, the sunderedchemicals are severally prescribed independent of the many other constituentsthat together constituted the original whole. When the original organicwholesomeness is undisturbed there might be no serious side - effects becauseof the intrinsic, mutually complementary and balancing factors. Once this micro- environment is mutilated, the isolated constituents are fraught withunwelcome side - effects, quite often serious.Homeopathy differs radically from allopathy not only in its perception of curebut equally in its perception of illness. It would not be far-fetched to sayhomeopathy knows no diseases as such but only patients. And in treating apatient, once his individual constitution is comprehended, as well as thesignificant symptoms, the names of the diseases he may be suffering frombecome so many vacuous labels.It is a basic postulate of homeopathy that there is an intangible vital force,which is the radiating source of life and health in every living organism.8

(Allopathy however dismisses the whole doctrine of vitalism as unscientific).Disease is a derangement of the vital force and in seeking to cure a patienthomeopathy induces in the patient a simulation of his own illness to pose a sortof ersatz challenge to his vital force on a subtle plane and rouse it out of itstherapeutic slumber as it were, to enable it to rearray its defences. It is onlywhen a patient's vital force can't be aroused, his vital force can't gird up its loins,that he becomes incurable. Thus, although it may sound paradoxical, yet reallyspeaking, homeopathy by itself treats no disease and cures no patient but onlygives a profound fillip to the patient, i.e., his vital force, to treat his disease andcure it himself. This point needs to be underscored because it is a verydistinctive feature of homeopathy, crucial to understanding its essence. It is afundamental implication of the teaching of its founder, yet seldom explicit in themany expositions of the therapy, old or new.The similar remedy, by apparently augmenting the illness ad hoc, galvanizes thepatient's vital force into action to encounter the causative factors of the illnessand eliminate them. The role of the remedy would seem to stop at this ad hoc,galvanizing point. The patient's own vital force takes over then and it treats andcures him. The dissimilar allopathic drug however has no such scope to prod thepatient or leave it to his organism to deal with his illness and eradicate it.Allopathy rests on its built-in presumption that the body can't cure itself. It hasa wholly materialist view of disease, health, indeed of life itself. With its rudephysical perception of disease at the pathologic level it is predisposedmechanically to remove the perceived physical agents of disease. Proceedingthus as it does it is foredoomed to a shallow understanding of the causation ofdisease because it is heavily shackled to a Procrustean pathological framework.Yet, if pathology is only the end product of disease, often the scavenging end, asalternative therapy contends, the real cause(s) of disease can't be handled oreliminated on the pathologic plane, and in claiming to cure, all that allopathydoes is to remove the pathologic signs and symptoms. When however the signsand symptoms recur -- as obviously the causation has been left untouched -- thedrugs have to be progressively augmented, inducing habitual drug dependencein the patient.The pathologic symptoms arise actually when the disease surfaces, i.e. when thebody seeks to throw out the disease. When the allopathic, dissimilar drugs forcethe symptoms to recede and they don't surface again, the disease getssuppressed within the system, only to take myriad other forms later. Dissimilartherapy, its etiology notwithstanding, would look upon them as new diseases,because the pathology seems so different, and deal with them withcorresponding dissimilar drugs once again, in the same old style. Even grantingfor a moment, that disease is no more than its pathology, allopathy should beunexceptionable, were it only to assist the body to cast off the pathology ratherthan do the job itself. It would then abandon the mechanical approach of how todestroy the disease germs and reorient itself to the organic perspective of how toinduce the organism itself to do the job instead. And if pathology is not thecause but only the result of illness, and accordingly pathology is to be ranked9

among the signs of disease, all allopathic treatment of all diseases is no morethan symptomatic.Homeopathy, on the contrary, is causational therapy: it presupposes, inter alia,a solid understanding of the causation of illness -- and its causes can be, usuallyare, multiple, not all of them easily understood. Hahnemann is very particularthat to cure is to eliminate the cause(s) of illness -- until then there can be nocure; and pathology is not the cause. Basing itself on mere pathology, swearingby it even, allopathy seeks to treat only the affected anatomic part of the patient,not the patient as a whole -- the whole patient -- as homeopathy does. It dealsmechanically with just the localized pathologic signs, ignoring the patienthimself who has the pathology. Two patients with the same pathology, but notfrom the same cause, would need different homeopathic remedies. If twopatients had laryngitis because of sudden temperature change, one from warmto cold and the other from cold to warm temperature, the laryngitis may bepathologically ‘same' but not the cause, and they would not need the samemedicine if they had to be cured. But because of traumatic shock if one haddiarrhea and another constipation, yet as the causation is the same, the samehomeopathic medicine can be indicated. The causation may be constitutional orexternal: hereditary, environmental, occupational or circumstantial. The patientmust be treated for the cause, not the results it spawns.Signs and symptoms are the true language of illness and they play a central rolein homeopathic diagnosis. Nevertheless, the treatment itself is by no meanssymptomatic. The signs and symptoms are not themselves treated but only theillness that lurks behind them. Or, to be more precise, the true nature of one'sillness and its causation are comprehended through the distinct signs andsymptoms and the organism is goaded to throw it out root and branch. When aperson falls ill he or she develops various symptoms only as the body's defencesseek to confront the disease and eliminate it. The signs and symptoms obviouslyare not the disease; neither are they simply the expression of the disease but ofthe ongoing struggle between the body's defences and the disease forces. Feverin influenza for instance is not just due to the 'flu virus but to the body's attemptto prevail over the cause of the 'flu, be it the virus or what you will. Tonsillitistoo is very much part of this defensive process even according to the belated,modern recognition of modern medicine.Once the symptoms of the patient are grasped, as they are in the particularindividual, in their totality, the nomenclature of the illness becomes quiteirrelevant. Since the remedies prescribed would in their effect be similar to thetotal symptomology of the patient they won't change with the name of thedisease.A patient may present a bewildering variety of symptoms in diverse parts of hisanatomy but it shall not mean that we prescribe one remedy for the head,another for the feet and a third for the midriff. If there is a patient sufferingfrom bronchitis, gastritis and phlebitis, they must be viewed as but three10

pathological signs or manifestations of the illness in him, not as three separatediseases. The diagnosis must be integral to the patient as a whole, who is one -his illness too is one, if its pathological manifestations happen to be three orthirty. Homeopathy insists on unified, integral, symptomology as against the miscellanized' pathology of allopathy. What can the physician discern aboutthe patient's individual constitution, about his morbid make-up as a whole?Once it is grasped in its totality, he has to be treated for the totality of thepicture the symptoms point to, not the severalty of disease labels that pathologymay seem to indicate. And one single remedy would without doubt suffice tomeet the morbid totality at any given time. There is no need for polypharmacyin homeopathy. Hahnemann has stressed time and again that a single remedy,the simillimum as it is called, can seek to tackle the entire illness of a patient,whatever the pathologic diversities involved. And the fact that a single remedywould do must unambiguously demonstrate the fundamental unity of all theillness in any individual and rule out the anarchic pathologic pluralism ofallopathic medicine. In the absence of the totality of symptoms, the commonphysiologic matrix or constitutional base of a patient's illness is easily missedand a plurality of diseases is anatomically perceived and each such allegeddisease is treated independent of others or several drugs are mixed tocorrespond on the aggregate mechanically to the multiple diseases without anytherapeutic correlation among them. Traditional eastern medicine is able tosteer clear of all this messy therapeutic tangle thanks to its hoary transpathologic naadi base, its tridosha and saptadhaatu perspectives.If the symptoms have such a prime place in diagnosis, how could such entirelyopposite symptoms as constipation and diarrhea call for the same medicine onoccasion? No doubt they are diametrically opposite, but the symptoms are neverto be viewed in the abstract, in isolation, or mechanically computed. Symptomshave to be truly weighted and evaluated. The patient behind the symptoms mustbe the real focus of attention and the physician must investigate how the patienthas developed the morbid symptoms. This is the study of causation, which isreally the undercurrent or foundational symptom and as such commands aninvariable primacy in the scale of symptoms. Causation is the original or primesymptom, so to speak, and where the causation is the same but the individualsymptoms vary with patients, the individual variance can, for the nonce, lose itsevaluational weightage against the overarching factor of common causation.In stumbling upon the principle of similia similibus curantur, while heinvestigated the symptomology of quinine, Hahnemann was only resurrectingwhat had remained almost dormant in Hippocrates, the father of westernmedicine. The real discovery of Hahnemann's however is the great principle ofsingle remedy in microdose and its progressive rarefaction in an ever ascendingscale of dynamic potentization. The potencies, in fact, are the one uniquefeature of homeopathic medicine. In the initial stages Hahnemann thought theallopathic drugs were too rude and gross and they had to be weakened to renderthem safe and to this end they had to be diluted and refined. Accordingly thehomeopathic medicines that were initially made were called only dilutions orattenuations by Hahnemann. It was only in proving the dilutions for a while11

that Hahnemann realized that they were no simple attenuations, but reallyspeaking potencies on a higher plane that dynamized the drug, by unlocking thepowerful, subtle, healing energies packed up, hidden, deep within it. Theprocess of potentization thus releases the curative powers that lie dormant,buried deep, in the inert material substance. The high and highest homeopathicpotencies that have subsequently evolved have indeed pushed homeopathyverily to the occult, supernatural, realm of the trans-alchemic and maantrik.Materially speaking there is no substance in the potencies. It is the etherealtransmutation that a substance undergoes in the process of potentization thatturns it ‘spirit-like', 'pure medicinal spirit', as Hahnemann proclaims it, andendows it with its healing, curative, powers. The potencies by this ultraalchemic transmutation carry with them the utmost refined and subtle dynamicvibrations on the ethereal plane in much the same way as potent mantras. Itwould therefore be most appropriate to call them healants', in view of theirunique distinctiveness, to mark them off from the common remedies and grossdrugs of many therapeutic systems. This unique breaking up of matter, itsinfinitesimalization, it must be borne in mind, may not be on the same plane asthe molecules, atoms and particles of modern science. In claiming, as some do,that the super-potencies – which to the cocksure allopaths are no more thanplain water playing placebo – carry a powerful ‘memory’ of the original drug,one can not be too sure that memory is not a euphemism for our ignorance ofwhat actually it could be. But to dismiss them as placebo is the height of smugignorance. Would it be placebo if the ‘plain water’ cures an animal, an infant ora person unconscious or in coma ?Hahnemann was also the first to comprehend the prime role of the mind indisease and its treatment, to grasp disease in its entire psychosomatic context. Ifthere are three patients, two of them suffering from typhoid and the third frompneumonia, but the first typhoid patient is calm and stoic, while the second ofthem, as well as the pneumonia patient, has great restlessness, anxiety and fearof death, the treatment of the second typhoid patient could be far closer to thatof the pneumonia patient and quite unlike that of the first typhoid patient. It is,more than anything else, the mental symptoms that determine the choice of theremedy and the differences in pathology among patients may carry little weightwhen they are mentally alike.In exploring the principle of similia similibus curantur Hahnemann had toprobe the full range of the symptomology of each healant before using it. Hecould not depend on the available empirical or clinical reports or hearsay forthis purpose and so had to prove the pathogenic range of the healants actuallyby administering them to (willing) normal, healthy, human beings, includinghimself foremost. All the homeopathic provings have been done by teams ofhuman beings who have volunteered for the job. Only provings on humanbeings can bring out the drug effects on human beings, particularly their impacton the human mind. Animal experiments, so characteristic of allopathy, havelittle bearing on the human plane, if the accent is on the mind and its nuances -forgetting for a moment the wanton cruel torture of the animals involved. After12

elaborate provings and collateral clinical verification and critical evaluation ofdiverse symptoms the homeopathic materia medica has been composed.The evaluation of the symptomology of the healants is a crucial and arduoustask, demanding no small insight: yes, homeopathy demands deepest insight.But the sorting out of the healants and their morbid picturization has been doneso well that a trained homeopath can easily discern the pathogenic potential ofeach healant or on scrutinizing a patient and his individual constitution,correlate it to the corresponding similar healants. However, matching medicinesand patients is no sordid business of computing parallel symptoms of either,attempting a one to one correspondence between them -- there can be noarithmetic tally with the patient's caboodle of symptoms. One must, on thecontrary, look for the causational affinities, the constitutional accordance, thedistinctive parallels between patients and drugs. Or, on occasion, some unique,peculiar, rare, sign or symptom in a patient may flash the symptom-totality andthe right, simillimal, healant to the physician. A single healant so selected,almost a morbid replica of the patient, so to speak, may at times be all that isneeded to cure him. Should it not suffice, there can be no second prescriptionyet until the improvement occasioned by the first ceases. And each newprescription must be preceded by a fresh, searching, look at the patient as awhole in the context of the gamut of symptoms then. Those who cry hoarse thathomeopathic potencies, particularly the highest ones in the infinitesimal range,are no more than phantom figments, must honestly put them to the test. ‘Theefficiency of the potency is the stumbling block to the materialist’ (H. C. Allen).Let them see for themselves whether the phantoms work or not, and as H.C.Allen challenged, publish the failures to the world. Prejudice is the one enemy oftruth.****************However valid or essential it may be, the homeo triadic base of illness, psora,sycosis and syphilis, variously anticipated by oriental / greek medicine andreiterated by Grauvogl, has not been articulated here, since symptomology,deeply observed in all its intricacies, would surely flash flash the right healant,triadic or otherwise.13

1. ACONITE (Acon.)1.Sudden, violent onset of illness. Agonized, frenzied tossing about. Highfever, delirious raving, anguish, tension, restlessness. Fright, particularly fear ofdeath: predicts the date and hour of his death. Pulse, full, bounding and hard.Unquenchable thirst.2.Sudden violent onset of symptoms. Raving in high, delirious fever withagonized, frenzied tossing about, marked by great anguish, anxiety, worry butseldom unconsciousness. Acute mental and physical restlessness, great fright,especially fear of death: predicts the date and hour of his death -- evenproclaims in delirium he is dead already -- although the illness is none toograve. Intolerable pains, driving one crazy, yet does not want to be touched.Sudden onset of high fever in dry, cold weather; skin dry, hot; face red / paleand red alternately; hot hands and cold feet; bounding pulse; burning:unquenchable thirst for large quantities of cold water, yet drinking water mayonly increase the thirst; a general, over-all inflamed state; sweat copious, warm,even hot, relieves all pains and other symptoms. Wheezing worse expiration.Asphyxia neonatorum (followed by Op. - J. H. Clarke). Sudden health upsets,including dysentery, during warm days with cool nights.3.In Bell. too there is sudden, violent onset of illness, restless, excitedmind, high fever and delirium, but little thirst, anxiety or fear, andinflammations too more localized. In Ars. A. too there is great anguish andrestlessness, fear of death, intense burning pains -- but the patient is better byheat and thirst unquenchable but for small, frequent, warm sips and unlikeAcon., Ars. A. has marked periodicity of illness. Wheezing worse by inspiration:Spon. Expiration very strenuous: Med., Meph., Sambucus Nigra. Asphyxianeonatorum: Ant. T., Hepar., when Ant. T. fails; Laurocerasus. Affectionsduring warm days with cold nights: Dulc. 4. Principal healant for retention ofurine in the new born. Amenorrhea in plethoric, young girls -- after fright, colddraft / bath; prevents suppression of menses. After effects of fright, evenremote. Sudden blindness from abrupt / steep thermal changes. 5. Intermittentfevers; calm, relaxed temperament, localized inflammations. 6. Fright / fear;dry, cold weather / drafts; heat / hot weather / sunstroke; injury, shock. 9.Heaty patient, better in open air; worse in warm room, evening / night /midnight, dry, cold weather. 10. Sul., chronic complement – precedes / followswell. 11. Indicated in functional rather than structural disorders; in synochal,not in intermittent, periodic, fevers. Short-acting, bears repetition.2. ACTEA RACEMOSA (Act.R.)(Cimicifuga Racemosa)1.Marked alternation of symptoms: alternation itself thus a leadingsymptom; mental and physical symptoms alternate, one takes over as the othersubsides; mania after neuralgia subsides. Crazy sense, wild feeling in the brain,cures all kinds of symptoms during pregnancy in the Act. R. constitution.14

2.Overwhelming sadness; mental and physical symptoms alternate, onetakes over as the other subsides; sense of gloom and dejection; hysteria,hypochondriasis, incessant talking, constantly changing subjects, shifting fromone topic to another, as in delirium tremens. Mania after neuralgia subsides;puerperal mania; insanity before menses. Crazy sense, wild feeling in the brain,shooting / throbbing pain in the head from mental worry / overstudy / reflex ofuterine disorder; neuralgic headaches in women with uterine disorders / incerebro-spinal meningitis; waving / shutting and opening sensation in brain;brain feels too large; pressing outward pain; sensation as if the top of the headwould fly off, as if the skull was lifted up, as of a bolt from the base of the skull tothe vertex. Intense aching of the eye ball; pain from eyes to the top of the head;insomnia. Severe mental / rheumatic symptoms during menses, coupled withextreme jerking and cramping of limbs, even epileptic spasms andsleeplessness; Rheumatic and hysterical symptoms intermingle; increase in flowincreases suffering, aggravates mental symptoms; menorrhagia with pain in theback, down the thighs through the hip, with heavy pressing down, uterine /ovarian / infra-mammary pains; infra-mammary pains, left side, duringclimacteric; electric shock-like shooting pains. Chest and uterine pains dartingfrom side to side. Second only to Puls. in amenorrhea, especially from emotions/ cold / fever. Facial blemishes in young women. Cures all kinds of symptomsduring pregnancy in the Act. R. constitution. Labour marked by hysteria; aslabour progresses the pains shift from the uterus, say, to the hip. Act. R. willmonitor labour and ensure its hold to the end without break. Any surge ofemotion would arrest labour or if past labour, stop the lochia, with all attendantproblems, induce cramps, after-pains, agalactea. When indicated otherwise,given before term, it eases labour. Cures sickness of pregnancy; prevents afterpains; prevents still-births in women with history of still-births, if given dailydoses of 1x to 3x for two months before term.3.Mental and physical symptoms alternate: Lil. T. Crazy, wild feeling in thehead: Lil. T. 9. Chilly patient but headache better in cool, open air. ActeaSpictata (Act. S.): 1. Rheumatism of the small joints: fingers / wrists / toes /ankles. Violent pain in the upper jaw, running from teeth through molar bonesto temples. Lassitude after eating. 3. Rheumatism of small joints: Caul. Incerebro – spinal meningitis Med. Follows Act. R. 11. Act. R. adapted more towomen, Act. S. to men.3. ALOE (Aloe)1.Little control over bowel, as if stool would escape any moment; frequent,small, lumpy, jelly-like stools, with much mucus -- even involuntary; rectumburning; dysentery / diarrhea in hot, dry weather.2.Constant bearing down in rectum -- bleeding, sore, hot and burning,relieved by cold water. Must rush to toilet on getting up in the morning. Urine /motion, cannot pass one without the other. Rectum feels insecure -- sphincterani seem paralysed; little control over bowel as if stool would escape anymoment; frequent, small, lumpy, jelly-like stools, with much mucus, eveninvoluntary; rectum burning, painful, sore after stool; urge to stool every time15

after eating; urge to stool, yet only hot flatus passes, giving relief, but the urge tostool returns. Diarrhea, mornings and afternoons, yet stool normal in theevenings. Involuntary / unconscious evacuations in constipation, of hard lumpsof feces, especially in children. Diarrhea from beer.3.Diarrhea mornings and afternoons, stool normal in the evenings: Pod.Bowel moves with urination: Apis, Mur.Ac. 6. Indolent / sedentary life, summerheat, old age. 9. Heaty patient, better cold, open air, cold applications; Worseearly morning, dry heat, after eating / drinking. 10. Sul., chronic complement /antidote. 11. The chief indications of Aloe are to be found in the anus / rectum /stool.4. ALUMINA (Al.)1.Dry constitution. Constipation; great strain to pass even soft stool.Abnormal cravings. Catarrhal conjunctivitis, ectopion, squint, ptosis. Buzzing inthe ears, otorrhea. Ozena atrophica sicca. Lead colic. Skin dry, chapped, tettery,nails brittle.2.Paretic condition of the rectum; constipation: even soft stool passed withgreat strain – common with babies, children and pregnant women; constipationof infants when no other healant is apparently indicated, of nursing children,bottle-f

The first edition of the Esmame (Essential Materia Medica) aimed only at a basic knowledge of homeopathy for summary therapy. In revising the book for the present, second, edition, considerable care has been taken to make it much more comprehensive, with a view to a broader and dee

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