CINCHONA OFFICINALIS

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Remedy of the day: CHINA – Peruvian Bark

The Cinchona tree, a native of Peru and South America, is one of great beauty, with evergreen laurel like leaves, Which diffuse a delicious fragrance around.
The mother tincture is made from the bark.
Cinchona Bark was to Hahnemann what the falling apple was to Newton, and the swinging lamp to Gallileo. Dissatisfied with the explanations of the action of Bark in curing ague that were current in his time, Hahnemann took the powdered Bark himself, being in health, and lo ! an ague attack ensued. A repetition of the experiment produced the same result. Further experiments revealed that action of Bark which is the opposite of “tonic”─positively debilitating, in fact─already referred to.
The tincture of China is antiseptic, destroying amæboid motion and retarding tissue change. It weakens the heart and impairs the circulation, produces congestions and hæmorrhages, anæmia and complete relaxation and collapse.
The leading use of CHINA is debility from loss of body fluids – Haemorrhage, Diarrhoea, Spermatorrhoea, profuse sweating, expectoration, suppuration, excessive lactation,etc.
Simple Intermittent fever; simple remittent fever, with prostration, and variable hectic fever, from Abscesses or prolonged suppuration in any part; periodically recurring Neuralgias, and other affections marked by PERIODICITY; sensitiveness of the nervous system to physical impressions; Anascara when associated with diseases of the spleen; Sweating, in cases of extreme debility, especially after severe fevers, the patient waking up every morning with his linen soaked.
Disturbing dreams, causing anxiety or confusion remaining some time after waking.
Irritation of the spine, the spinal pain with imperfect circulation, shown by blueness of the nails, coldness of the extremeties, with numbness,etc., are well met by CHINA.
Debility, however, is litte benefitted by CHINA so long as its cause remains in operation.
Post operative gas pains. The mind is indiffernt, despondant, Ideas crowd in the mind. A disposition to hurt other’s feelings.
Blue colour around the eyes.
CHINA
The typical fever of China is the intermittent from marsh miasm, tertian, or quartan in type. Chill and heat without thirst, thirst occurring either before or after chill. The chill is followed by long-lasting heat, generally with desire to uncover; face fiery red, often delirium; profuse and debilitating sweat following. In the apyrexial period the face is a sallow dingy yellow, the spleen is enlarged and painful, the appetite is totally lost; or else there is canine hunger; the feet swell, and as soon as the patient closes his eyes for sleep he sees figures. Hectic fever is also characteristic of the drug. Typhoid and gastric fever. Periodicity is a leading characteristic both in fever and neuralgias. “< Every other day” is characteristic. Nash cured a case of acute rheumatism with Chi, on this modality. Hæmorrhages occur from every orifice of the body. Koch and others have attributed the hæmaturia of African intermittents to quinine. There is terrible always < at night. Loss of sight, deafness, ringing in the ears. Great sensitiveness to touch. Even a current of air blowing on the part = great pain (compare Plumb.). Everything tastes bitter, even water (everything except water, Acon.).
CHINA is suited to persons of thin, dry, bilious constitution; or to leucophlegmatic persons with a disposition to dropsical affections, to catarrhs or diarrhœa; to affections of women. The mental state shows, in addition to the irritability, the following among other symptoms: “Aversion to be looked at.” “Pumped out” (Sil.), unable to think. Delirium from loss of fluids (as hydrocephaloid). Fixed ideas. There is a desire for suicide: “Intolerable anxiety about 8 p.m. and 2 a.m.; he springs out of bed and wishes to take his own life, but does not go near the window or take a knife (compare alum.); with heat of the body without thirst.” The sensitiveness accompanies the headache, which is congestive, throbbing, like many hammers hammering on temples, ringing in the ears, < by slightest contact > by hard pressure); by draught of air; by open air. Weak eyes and ringing in ears, such as follows depletion. The nose, ears, and chin are cold, complexion sallow, dingy, yellow. Neuralgia is generally infra-orbital. Thick dirty yellow coating on tongue; bitter taste on waking. Aphthæ of weakly people. Canine hunger, especially at night. Hunger after meals with feeling of emptiness. If a meal is late, he is sure to suffer from it. Total loss of appetite. Full feeling after the least food, but belching only > temporarily. After eating, a lump under mid-sternum. After fruit, diarrhœa. Dyspepsia after loss of fluids. Nausea < on sitting up. Stomach so weak it cannot tolerate any food at all. Very sour stomach. The digestion of Chi. is slow. Chi. is one of the most flatulent of medicines. Guernsey describes it thus: “Uncomfortable distension of abdomen with a wish to belch up, or a sensation as if the abdomen were packed full, not in the least > by eructation.” Gastric troubles of children who are always wanting dainties; irritable on waking, bad taste, white tongue. Tympany coming on early in a case. Spleen aching, sore. Liver swollen, sensitive. Feeling of subcutaneous ulceration. Gall-stone colic; duodenal catarrh; jaundice. Fermentation in bowels, frothy, sour diarrhœa. Yellow, watery, undigested diarrhœa with much flatus and no pain. Diarrhœa of dark, inky fluid; stools frequent at night, only after food during the day. (It is useful in cases where purgatives have been abused if Nux fails to cure.) Excessive seminal losses. Menorrhagia; metrorrhagia; post-partum hæmorrhages. Leucorrhœa before period, painful pressure towards groins and anus, fetid or bloody leucorrhœa before period; with contractions in inner parts. The breathing has important characters: Asthma; wheezing; suffocative catarrh and paralysis of lungs in old people. Respiration laboured, loud and stertorous, with puffing, blowing out of cheeks on each expiration. [E. Carleton relates the cure of a case of spasm of the glottis in a middle-aged man. Attacks sudden, 3 a.m., suffocation seemed imminent. At length with one tremendous effort, whilst sitting bent forward, a little air would be forced into the lungs in spite of the epiglottis with a noise audible at a distance. After each succeeding expiration the inspiration would become less difficult. Chi. 200 cured. Among this patient’s other symptoms were: Unhappy, idea that he is pursued by enemies in business. Scalp sensitive. Humming, throbbing in ears. Thirst for cold water. Saliva found on pillow in morning. Stomach sore to touch. Flesh sore to touch.] The sleep also should be carefully noted, especially the dreams: he cannot get rid of his dreams even after waking; the impression continues. He cannot get wide awake; head remains confused and stupid. Chi. corresponds to hectic and to many conditions of the lungs which are attended with hectic. Suppuration of the lungs, especially in drunkards. Weakening night-sweats. Prostration, chilly, wants to be wrapped up but cannot bear the fire.
A. Villers cured with Chi. 30 a girl, twenty, who had, after a chill, a pain in right hip, < by every movement, and which she could only describe as being like the pain in the legs which occurred before the menses. She was pallid and had had much hard nursing work. The catamenia were scanty and she was weak. Three days after taking Chi. the pain was gone, after having persisted for five months. With Chi. I removed the dropsy and relieved all the other symptoms of a case of cirrhosis of the liver in a hard drinker. He remained at his work for many months; but in the end his old habits proved too much for him, and he died from an acute illness following a cold.

In this connection may be mentioned the effect of the tincture of China (Cinchona rubra especially) in removing the craving for alcohol in drunkards who wish to reform. Ten to thirty drops two or three times a day is the usual close for this, though where the general symptoms correspond the potencies would probably do better.

I have confirmed P. Jousset’s recommendation of Chi. Ø in cases of facial erysipelas without vesication. The rheumatism of Chi. is characterised by soft swelling, pale red, very tender to touch. C. M. Boger had such a case in second and third metatarso-phalangeal joints of left foot. The patient said: “With my slippers on I am in agony; but if I put on tight shoes the feet feel pretty comfortable.” The Chi. symptoms are generally < from lightest touch; Whereas hard pressure >. < Periodically: 1 a.m. to 10 or 12 or 1 p.m. from 8 a.m. to 2 or 3 p.m. Every other day; every fourteen days every night at midnight; during increase of moon; every three months; in autumn. Rest < pains in limbs. Colic > by bending double. Motion > pains in limbs; < vertigo; headache; nausea. Moving eyes < headache. Open air or draught of air In room or from warm applications. Want to be near a stove; but this < the chill. Neuralgic headache < from anything cold in mouth. Summer = diarrhœa. Sun < headache. Windy, foggy, or wet weather . Effects of eating: fish; fruit; bad meat or fish. Effects of drinking: beer; sour wine; new beer; impure water; milk. Drinking < the chill. Warm drinks impede digestion. < From smoking.

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