Collinsonia Canadensis coll.

Pelvis: Anus, rectum. Uterus. Bowels. Heart. Pharynx. Liver.

PILES: During suppressed. Night. Pregnancy. Cold. Excitement.

Congestions; pelvic; reflex from or combined with hæmorrhoids, especially cardiac (Lycps.). Constrictions. Swelled feeling, in limbs, vulva, clitoris, etc.

Speaker's sorethroat or cough. Colic. Acrid diarrhœa; destroying the hair. Light, knotty stools. Rectum; aches; burns, seems dry and full of sticks or sand; with cardiac pains. Constipation or piles of pregnancy. Piles ( bleeding ); alternating with heart, chest or rheumatic symptoms. Prolapsus, ani, uteri, etc. Itching of vulva or anus. Varicocele. Palpitation. Flushes of heat; with piles; with oppressed breathing.

Related: Lycps. Nux-v. Sul.

Pelvic and portal congestion, resulting in dysmenorrhoea and haemorrhoids. Congestion of pelvic viscera, with haemorrhoids, especially in latter months of pregnancy. Dropsy from cardiac disease. Palpitation; in patients subject to piles and indigestion; heart's action persistently rapid but weak. After heart is relieved old piles reappear, or suppressed menses return. Chronic, painful, bleeding piles; sensation as if sticks, sand or gravel had lodged in rectum (Aesc.). Haemorrhoidal dysentery with tenesmus. Alternate constipation and diarrhoea; congestive inertia of lower bowel; stools sluggish and hard with pain and great flatulence. Constipation. Pruritus in pregnancy with haemorrhoids, unable to lie down.

in heart disease complicated with haemorrhoids consult Collinsonia when Cac., Dig., and other remedies fail. Has cured colic after Col. and Nux had failed. Compare: Aesc., Aloe, Cham., Nux, Sulph.

The slightest mental emotion or excitement aggravates the symptoms (Arg. n.).

Hemorrhoids and constipation when associated with functional disturbances of the heart, arising therefrom; or dysmenorrhoea, pruritis vulva, prolapsus, uteri etc

Stone-Root

Pelvic and portal congestion, resulting hæmorrhoids and constipation, especially in females. Depressed arterial tension, general atony of muscular fiber. Chronic nasal, gastric, and pharyngeal catarrh, due to portal obstruction. Dropsy from cardiac disease. Pruritus in pregnancy, with piles. Constipation of children from intestinal atony. Said to be of special value when given before operations, for rectal diseases. Sense of weight and constriction. Venous engorgement.

Dull frontal headache; from suppressed hæmorrhoids. Chronic catarrh. Yellow-coated tongue. Bitter taste (Colocy; Bry).

Sensation of sharp sticks in rectum. Sense of constriction. Vascular engorgement of rectum. Dry feces. Most obstinate constipation, with protruding hæmorrhoids. Aching in anus and hypogastrium. Constipation during pregnancy; with membranous dysmenorrhœa, following labor (Nux). Painful bleeding piles. Dysentery, with tenesmus. Alternate constipation and diarrhœa, and great flatulence. Itching of anus (Teucrium; Ratanh).

Dysmenorrhœa; pruritus of vulva; prolapse of womb; swelling and dark redness of genitals; pain on sitting down. Membranous dysmenorrhœa, with constipation. Pruritus. Cold feeling in thighs after menstruation. Sensation of swelling of labia and of clitoris.

Cough from excessive use of voice; "minister's sore throat"; sharp pain in larynx. Hoarseness. Harassing, dry cough.

Palpitation; rapid but weak. Dropsy. After heart symptoms relieved, piles or menses return. Chest-pains alternate with hæmorrhoids. Oppression, faintness, and dyspnœa (Acon ferox).

Worse, from the slightest mental emotion or excitement; cold. Better, heat.

Antidote: Nux.

Compare: Aescul; Aloes; Hamam; Lycopus; Negundo; Sulph; Nux.

Tincture, to third attenuation. Higher potencies where there is organic heart affection.

This remedy has not been thoroughly proven, but enough has been learned from what we have, and clinical experience, to indicate that it is a very valuable one. As a remedy for hæmorrhoids or rectal trouble it may be compared with Æsculus hippocastanum, for both have a sensation as if the rectum was filled with sticks. From this one symptom we could not know which one to prescribe. But let us note some of the differences:

Æsculus has also a prominent sense of fullness in rectum, Collinsonia has not.

Æsculus piles do not, as a rule, bleed.

Collinsonia piles often bleed persistently.

Æsculus has great pain, soreness and aching in the back.

Collinsonia does not as yet develop that symptom.

Æsculus sometimes has constipation, sometimes not.

Collinsonia is greatly constipated, with colic on account of it.

This comparison is carried far enough to show that a choice between these remedies is not generally difficult. With Collinsonia I once cured a very severe colic which had been of frequent occurrence in a lady for several years and had completely baffled the old school efforts to cure. I was led to choose the remedy on account of the obstinate constipation, the great flatulence and the hæmorrhoidal condition present.

I also cured one of the most obstinate cases of chronic constipation I ever met. The patient for two years had only averaged a movement of the bowels once in two weeks, and then only under the action of powerful cathartics, after which he would be almost sick two or three days in bed. Collinsonia cured him within a month so perfectly that his bowels moved naturally every day and the trouble never returned so long as I knew him, for years afterwards.

Horsebalm. Richweed. Stone-root. N. O. Labiatæ. Tincture of fresh root. Trituration.

Constipation. Diarrhœa. Dropsy (cardiac). Dysentery. Dysmenorrhœa. Dyspepsia. Hæmorrhages. Hæmorrhoids . Heart, affections of. Irritation. Labour. Pregnancy, affections of . Proctitis. Pruritus vulvæ. Rheumatism.

Collinsonia is native to North America. It has a very tough, hard, knotted root. It has been proved twice, first by Burt and later by Dowla. The former took the tincture, the latter the powder. Both experienced headache, the former in connection with abdominal and rectal disturbance, the latter with flushing, sensation of heat, numbness, feeling of enlargement. The legs felt light, as if he could run like a deer. Nux vomica relieved the sensations, the symptoms passing off from above downwards. In Dr. Burt's case the symptoms generally passed from above downwards. As a domestic remedy, and among the eclectics, it is known as a remedy for chronic catarrhal conditions, especially of stomach, bowels, and bladder; also of nose, pharynx, and larynx, and in tubular and capillary bronchitis. It is, according to Hammond, "a stimulant, a most valuable tonic, a positive diuretic and mild laxative." Hammond also commends it in the palpitation of the menopause. F. S. Smith mentions that it has a domestic reputation in rheumatism. He records a case (subacute) in a woodsman of 30. It began in foot and ankle, and travelled over nearly every joint in the body. A few drops of Collins. Ø was mixed in a tumbler of water, and a teaspoonful given every two hours. Rapid cure resulted. He utters a caution against using low potencies where there is organic heart affections. It is useful in heart affections alternating with suppressed hæmorrhoidal bleeding; sensitiveness about the heart, fulness, oppressed breathing, faintness. Dewey mentions that it cured a case in which there was severe constrictive pain about the heart in a man who habitually passed blood by stool, the heart symptoms coming on when the bleeding ceased, and disappearing when it was re-established. Collins . cured both. It has cured inveterate cases of dyspepsia with weight in epigastrium and piles.

Neuralgia and rheumatic pains were experienced by the provers in many parts: upper jaw, arms, hands, knees, joints. The greatest number of Dr. Burt's symptoms were experienced in the bowels and rectum: Pains in umbilicus and hypogastrium, constipation with hard light stools, great straining, faintness; stools of mucus and blood. These symptoms suggested the use of the remedy in cases of piles, where it has proved most efficacious. Piles during the catamenia. Prolapse of the rectum with piles. The heart was markedly affected: irritation of cardiac nerves; palpitation, faintness, oppression. Nash has cured cases of the most obstinate constipation with Collins . In one there was severe colic, which had recurred for several years, the concomitant symptoms being great flatulence and hæmorrhoidal troubles. He differentiates between Æsc. h . and Collins . (both of which have sensation as if rectum was full of sticks) thus: Æsc . has sense of fulness in rectum , which Collins . has not. Æsc . piles do not bleed as a rule; those of Collins . bleed persistently, Æsc . has pain, soreness, and aching in the back [and, I may add, < by walking. — J. H. C.]. Collins . has more persistently constipation, with colic on account of it. Æsc . may have constipation or may not. Collins . has shown marked power of disturbing the circulation and causing hæmorrhages, and also of disturbing cutaneous sensation. The symptoms are < evening and night, and > in morning. < By slightest emotion or excitement.

Antidoted by: Nux. Compare: Lycopus (botanical; heart); Æsc. h., Ham., Alo., Nux, Sul. and Ign. in piles; Carb. v., Graph., Ign., Lach., Pul. and Sul. in piles during menses; Pod. (prolapse of rectum); Op., Coloc., Arn., Diosc., Hydrast.; in functional paralysis from fatigue in mental emotions, Stan., Coccul., Ign., Pho., Nat. m.

Gloomy.

Dull, frontal headache with constipation or piles; or from checked hæmorrhoidal discharge.

Flushing with heat of face and lips numb; pricking as if with needles.

Whitish coating of tongue, with loss of appetite. — Tongue coated yellow along centre or base, with bitter taste.

11, 12. Stomach and Abdomen. — Nausea, with cramp-like pains in stomach; with cutting pains in hypogastrium; with constipation during pregnancy. — Vomiting with pains and heat in stomach. — Weight in epigastrium. — Sharp cutting in stomach every few minutes while sitting. — Heavy dragging ache in pelvis. — Colic with flatulence and nausea.

Pure mucous stools, or mucous stools mixed with dark substances; before stool, severe pain in lower abdomen; during stool, tenesmus; after stool, little pain; vomiting. — Dysenteric stools. — Hæmorrhoidal dysentery with tenesmus. — Obstinate constipation with hæmorrhoids; stools very sluggish and hard, accompanied by pain and flatulence. — Hard, lumpy, knotty stools. — Light dry balls. — Bowels more apt to act in evening than in morning. — Bowels not moved for days, constant pressure in rectum with a heavy dragging ache in pelvis. — Piles with constipation, or even with diarrhœa, bleeding or blind and protruding. — Feeling of sticks, or gravel, or sand in rectum; evening and night; > in morning. — Flowing piles, hæmorrhage incessant though not profuse, with alternate constipation and diarrhœa. — Itching or burning in anus with swelling.

Varicocele with extreme constipation. — Spermatorrhœa kept up by piles and constipation.

Uterine diseases depending on diseases of rectum and bowels. — Dysmenorrhœa with hæmorrhoids. — Pruritus vulvæ with hæmorrhoids; during pregnancy. — Diarrhœa after confinement.

Hæmorrhage from lungs with short, hacking cough, dark, tough, coagula enveloped in viscid mucus; uneasiness in chest, but no pain; with rectal symptoms. — Pains in chest alternating with piles.

Cardiac hyperæsthesia. — Periodical attacks of faintness and oppression, < slightest motion. — Palpitation in pile subjects; piles return as heart is relieved.

Tearing pain in arms, hands, and legs; frontal headache. — Tearing in both knees, passing down inside of legs to feet while sitting; dull frontal headache.

Sensation as if face and limbs were enlarged, with warmth, numbness and pinching as from innumerable needles lower extremities seemed not to belong to him.

Horsebalm, Richweed, Stone-root. Labiatæ.
An indigenous plant, with very hard, knotty and tough root, growing in woods from Canada to the Carolinas ; flowers from July to September.
A valuable remedy, of which we have but a single proving, by Burt.
CLINICAL AUTHORITIES.
- Constipation , A. L. Carrol, N. A. J. H., vol. 5, p. 546 ; H. N. Martin, Trans. H. M. S. P., 1882, p. 205 ; Hughes, Raue's R., 1870, p. 247 ; Constipation during gestation , Hempel and Arndt's Mat. Med., p. 763 ; Hemorrhoids (2 cases), A. L. Carroll, N. A. J. H., vol. 5, p. 546 ; E. P. Fowler, N. A. J. H., vol. 6, p. 181 ; W. H. Williamson, Raue's R., 1874, p. 202 ; E. P. Fowler, N. A. J. H., vol. 6, p. 182 ; E. C. Franklin (several cases), A. O., vol. 3, p. 301 ; Prolapsus ani , Capen, Hempel & Arndt's Mat. Med., p. 764 ; Varicocele consequent upon constipation , E. P. Fowler, N. A. J. H., vol. 6, p. 82 ; Prolapsus uteri, with pruritus and dysmenorrhœa , F. G. Snelling, N. A. J. H., vol. 6, p. 84 ; Dysmenorrhœa , E. T. Blake, Raue's R., 1873, p. 172 ; Dysmenorrhœa, and menstrual convulsions , Krebs, B. J. H., vol. 23, p. 672 ; E. P. Fowler, N. A. J. H., vol. 6, p. 83 ; Pruritus during pregnancy , A. M. Cushing, N. E. M. G., vol. 1, p. 107 ; Sympathetic aphonia , J. H. Marsden, Trans. Hom. Med. Soc. Penn., 1882, p. 291 ; Pulmonary hemorrhage , C. Th. Liebold, N. A. J. H., vol. 7, p. 494.

Is gloomy all the time with a heavy expression ; stool hard and difficult.

Dizziness, with gastric and hemorrhoidal troubles.

Dull pain in head. θ Constipation.
Dull frontal headache, with lassitude and desire to sleep, or fulness in head and throbbing. θ Hemorrhoids.
Gastric and hemorrhoidal headaches, with dizziness.
Headache from suppressed hemorrhoidal discharges.

Whitish coating of tongue, with loss of appetite. θ Constipation.
Tongue coated yellow along centre or base, with bitter taste.

Loss of appetite. θ Constipation.

Nausea, with cramplike pains in stomach.
Nausea, with obstinate constipation, during gestation.
Vomiting with pain and heat in stomach.

Constant heaviness in stomach.
Dyspepsia, with waterbrash and hemorrhoids, and weight in epigastrium ; generally troubles of rectum.
Sharp cutting in stomach every five minutes while sitting.
Spasms of stomach, flatulence, excessive appetite.

Heavy, dragging ache in pelvis. θ Constipation.
Colic with flatulence and nausea.
Flatulence, with rumbling in stomach and bowels and distension of abdomen.
Cutting, colicky pains in hypogastrium, every few minutes ; must sit down ; becomes very faint ; cannot sleep.
Congestion of portal system and of pelvic viscera, with flatulent rumbling in stomach and bowels ; sluggish stool with distended abdomen ; piles.

Pure mucous stools, or mucous stools mixed with dark substances ; before stools severe pain in lower part of abdomen, during stool, tenesmus ; little pain after stool ; vomiting. θ Chronic diarrhœa of children.
Mucous, watery stools, with cramplike or spasmodic pains in bowels, vomiting, flatulence.
Diarrhœa of children, with colic, cramps and flatulence.
Mucous or black and fecal stools, with colic and tenesmus. θ Chronic diarrhœa after confinement.
Loose, papescent stool and nausea.
Four to twelve stools daily ; two at night. θ Chronic diarrhœa of children.
Light-colored, lumpy stools, with distress in anus.
Copious, bilious, yellow stools ; mucous, bloody, with tenesmus.
Hemorrhoidal dysentery with tenesmus.
Light-colored, lumpy stool, with hard straining, followed by dull pains in anus and hypogastrium, lasting about half an hour.
Obstinate constipation with hemorrhoids ; stools very sluggish and hard, accompanied by pain and flatulence.
Bowels not moved for six or seven days, a feeling of constant pressure in rectum, with a heavy, dragging ache in pelvis.
Constipation and hemorrhoids from congestive inertia of lower bowel, especially in pregnancy.
Before and after stool, severe pain in hypogastrium and much tenesmus.
Congestive inertia of lower bowel.
Weight or pressure in rectum, with intense irritation or itching there.
Piles with constipation, or even with diarrhœa, bleeding, or blind and protruding ; feeling of sticks, gravel or sand in rectum ; evening and night ; > in morning.
Flowing piles, hemorrhage incessant though not profuse, with alternate constipation and diarrhœa.
Chronic, painful, bleeding hemorrhoids.
Great itching or burning in anus ; tumefaction of anus and rectum.
Prolapsus ani, with hemorrhoids, great loss of blood and debility.
Hemorrhages from anus, blood dark and tough, enveloped in viscid phlegm.
Chronic diseases of rectum.

Chronic nephritis and cystitis ; catarrh of the bladder.
Urine increased.

Varicocele, with extreme constipation.
Spermatorrhœa kept up by piles and constipation.

Uterine diseases dependent upon diseases of rectum and bowels.
Prolapsus or displacement caused by constipation.
Prolapsus in evening, with pruritus, dysmenorrhœa and constipation.
Congestion of cervix uteri, with painful hemorrhoids and aggravated constipation.
Menorrhagia, with constipation and piles.
Amenorrhœa from pelvic congestion.
Obstructive dysmenorrhœa, especially where there are loss of appetite, constipation, piles with or without pruritus ; when pelvic and portal congestion are coexistent.
Terrible dysmenorrhœa, with hemorrhoids, constant diarrhœa, and loss of appetite.
Convulsions preceded by severe pain in region of womb, amounting to twenty or more, in paroxysms of fifteen to twenty minutes in duration, and requiring two or three persons to prevent patient from hurting herself ; convulsions followed by stupor, lasting twenty-four hours or more, from which patient revives with a severe headache. θ Dysmenorrhœa.
Membranous dysmenorrhœa.
Leucorrhœa with pruritus, obstinate constipation and dysmenorrhœa.
Pruritus vulva, accompanied by hemorrhoids.

Pruritus in pregnancy ; violent itching ; parts smell badly, are swollen, dark red and protruding ; she cannot lie down.
Pruritus at eighth month of pregnancy, genitals considerably swollen and inflamed, very sore, so that she could neither walk, lie down, nor sit, except upon edge of chair ; the itching is intolerable, making patient almost delirious.
Obstinate constipation during gestation.
Diarrhœa after confinement.

Voice reduced to a feeble, scarcely intelligible whisper ; very nervous ; creeping, chilly sensation, especially in afternoon ; spasmodic, crampy pains in abdomen ; frequent necessity to urinate, with great urgency ; sometimes when bowels are lax, inability to retain feces ; sensation of extreme tenderness in rectum, with copious discharge of offensive muco-purulent matter. θ Sympathetic aphonia.

Dyspnœa, cough with cardiac affections.
Severe attacks of dyspnœa with great weakness. θ Irritation of cardiac nerves.

Hard, shaking cough, with bloody expectoration.
Cough, with expectoration of lumps of coagulated blood enveloped in mucus.

Hemorrhage from lungs, with short, hacking cough ; dark, tough coagula, enveloped in viscid mucus ; uneasiness in chest but no pain ; bleeding from rectum the first day ; subsequent costiveness.
Pains in chest alternating with piles.

Irritation of cardiac nerves ; cardiac hyperesthesia.
Periodical spells of faintness and oppression ; attacks of syncope with fulness of chest and difficult breathing ; heart's action rapid, regular or irregular ; pulse 130 to 140 ; slightest motion or excitement aggravates.
Heart's action persistently rapid but weak.
After heart is relieved, old piles reappear or suppressed menses return.
Palpitation in patients subject to piles, dyspepsia and flatulence.
Valvular disease, following a severe and prolonged attack of acute rheumatism.
Pulse 140 per minute, steady and quick. θ Irritation of cardiac nerves.

Inability to walk, must be carried from the house to carriage. θ Dysmenorrhœa and convulsions.
Tearing in both knees, passing down inside of legs to feet, while sitting ; dull frontal headache.

Tearing pains in arms, hands and legs ; frontal headache.

While sitting : sharp cutting in stomach ; tearing in knees, passing down inside of legs to feet.
Must sit down : on account of cutting, colicky pains in hypogastrium.
Can neither walk, lie down, nor sit, except upon edge of chair, parts so swollen and inflamed, during pregnancy.
Motion : syncope and oppression of chest < from slightest.

The slightest emotion or excitement of any kind aggravates the symptoms. θ Irritation of cardiac nerves.
Becomes very faint, from pains in hypogastric region.
Periodical spells of faintness and oppression. θ Irritation of cardiac nerves.
Attacks of syncope with fulness of chest and difficulty of breathing. θ Irritation of cardiac nerves.
Great debility. θ Prolapsus ani.

Disposition to sleep during day.
Sleep disturbed by hypogastric pains.

In morning : piles >.
In afternoon : creeping, chilly sensation.
During day : four to twelve stools ; disposition to sleep.
In evening : jagging sensation in lower part of rectum and anus < ; piles < ; prolapsus <.
At night : two stools ; piles < ; sleep disturbed by hypogastric pains.

Constant : heaviness in stomach ; pressure in rectum ; hemorrhage from piles ; diarrhœa.
Frequent : necessity to urinate.
Every few minutes : cutting, colicky pains in hypogastrium.
Every five minutes : sharp cutting in stomach.
Spasmodic : pains in bowels ; crampy pains in abdomen.
Periodical : spells of faintness and oppression.
Lasting fifteen to twenty minutes : convulsions.
Lasting about half an hour : dull pains in anus and hypogastrium.
Jagging sensation in lower part of rectum and anus, < in evening, and continues so until late at night.
Lasting twenty-four hours or more : stupor following convulsions.
For six or seven days : bowels not moved.
Chronic : diarrhœa of children ; diarrhœa after confinement ; hemorrhoids ; diseases of rectum ; nephritis and cystitis.

As of sand in rectum ; as if sticks or gravel had lodged in lower part of rectum and anus ; as of extreme tenderness in rectum.
Pain : in stomach ; in lower part of abdomen, before stool ; in hypogastrium, before and after stool ; in region of womb before convulsions ; in chest, alternating with piles.
Cutting : in hypogastrium.
Sharp cutting : in stomach.
Tearing : in knees, passing down inside of legs to feet ; in arms, hands and legs.
Jagging : in lower part of rectum and anus.
Burning : in anus.
Soreness : of genitals, during pregnancy.
Heavy dragging ache : in pelvis.
Colicky pains : in hypogastrium.
Cramplike pains : in stomach ; in bowels ; in abdomen.
Dull pain : in head ; in anus and hypogastrium.
Pressure : in rectum.
Fulness : in head ; of chest.
Heaviness : in stomach.
Weight : in epigastrium ; in rectum.
Throbbing : in head.
Distress : in anus.
Uneasiness : in chest.
Heat : in stomach ; in anus.
Creeping, chilly sensation : in afternoon.
Itching : in rectum ; in anus ; of parts, during pregnancy, making her almost delirious.

Pelvic and portal congestion, resulting in dysmenorrhœa and piles.
Whole gastro-intestinal canal affected, especially rectum.
Dropsy from cardiac disease.

Yellow around the eyes.

Young lady, subject to attacks at each menstrual period, for four years ; dysmenorrhœa and menstrual convulsions.
Mrs. B., at eighth month of pregnancy ; pruritus.
Mrs. B., æt. 29, at sixth month or pregnancy, suffering as she had previously done, under same circumstances, from obstinate constipation.
Wm. C., æt. 36, short in stature, very scrawny and sallow, of a nervous temperament, spinner by occupation, wore a truss supporting abdomen and allowing bowels to rest upon an ivory ball ; prolapsus ani.
Woman, æt. 59, suffering previously from pelvic pains, relieved by Aloes ; constipation.
Gentleman, light-complexioned, thin, nervous and dyspeptic ; flowing piles.
Engineer, extremely bilious, nervous temperament, suffering somewhat from effects of Mexican climate ; varicocele.

Antidoted by Nux vom .
Was used with benefit in a case of cardiac disease, in which Digit., Cactus , and other remedies failed.
With Aloes , cured a case of pelvic congestion.
With Conium , cured a case of pulmonary hemorrhage.
Compare : Æsc. hipp . (piles) ; Aloes (proctitis and rectal dysentery) ; Coloc . (colic) ; Hamam., Nux vom., Sulphur , also Arnic., Diosc., Hydrast . and Ignat .
Cured colic after Coloc . and Nux vom . failed.

Dull frontal headache, with frequent flying pains in the legs tearing in the knees.

Tongue yellow along the base and centre; rough, bitter taste.

Dull distress in the right hypochondrium; cutting pains in the hypogastrium; with faintness.

Constipation, stool light-colored, lumpy, with hard straining.
Diarrhœa, mucous, bloody; thin yellow matter, or watery, with violent tenesmus and sharp cutting in the bowels.
Hemorrhoids, blind or bleeding; sense of weight in rectum, itching, feeling as of sticks of sand; caused by congestive inertia of lower bowel. Also for obstinate cases.

Varicocele; rectal symptoms decide.

Chronic inflammation; retroflexion or retroversion; prolapsus; when there is pelvic passive congestion, hemorrhoids, etc., ovarian neuralgia, lancinating pains, worse right side.
Pruritus vulvæ; prolapsus uteri or during pregnancy.

Spits dark, tough, coagulated blood, covered with viscid mucus; previously the blood was discharged per anum.

Irritable heart, it beats rapidly and irregularly, worse least motion or excitement; periodical spells of faintness; when reflex from pelvic and rectal symptoms (clinical).

Acts upon the lower portion of the bowels, causing congestive inertia.
Reflexly, or by similar drug effect, veins elsewhere are affected; hence its use (like Arnica) as a vulnerary, and also its employment in varicocele.

Compare: Aloe soc. (rectal dysentery; latter has more paresis of rectum): Æsculus (piles); Nux vom.

A tincture is prepared from the fresh root of Collinsonia Canadensis, L.

From our scanty information it seems to act upon the "hæmorrhoidal sphere" similarly to Aloes, Sulphur, etc.

Warmth spreading along internal mucous surfaces of lips, deepening into a feeling of largeness, with sensation of needless darting back and forth the same numbness or needle-like darting to and fro in face, cheeks, forehead, hairy parts under chin, from ear to ear, while inner surface of lips and whole buccal cavity were excited, the face seemed to grow broader and broader, with exhilaration of mind, then right forearm to finger-tips felt numb, a weary heaviness, then left arm and fingers, balls of thumbs more numb than fingers, nausea, lips seemed growing larger and mouth seemed to stand open like a huge catfish's lips dry, mouth tingling and burning, face flushing and pricking, whole head "growing," forearms to finger-tips asleep, hands feel broad and heavy, desire to lie with head high to get more air, uneasiness, head seemed growing bigger while straining to get boots on, staggering, faintness, symptoms agg. swallowing hot things, in the cool open air feet and limbs felt strangely light, loss of personal identity in lower limbs, then a glow from umbilicus to toes, sense of increasing largeness and numbness from hip to hip, while right thigh was thus affected the left was skipped, calves seemed elephantine and asleep. ▶ Weakness; in morning, with faintness; with sleepiness.

Aching on waking; tensive, at point of emergence of left supraorbital nerve, forehead, aching while sitting, with tearing in knees, passing down inside of legs to feet; A., with frequent flying pains in legs; with frequent rheumatic pains in arms, hands and legs; over eyes and in right temple.

Dryness of nostrils, with frequent sharp pains in right temple and aching distress in stomach and bowels. ▶ Face yellow around eyes in morning. ▶ Neuralgia in superior maxillary bone in open air. ▶ Tongue coated yellow along centre and base in morning, with rough, bitter taste.

Nausea; while sitting, with intermittent cutting in hypogastrium; with distress in stomach and bowels; with cutting in hypogastrium and emissions of flatus. ▶ Cutting while sitting.

Pain at umbilicus at 10 P.M. ▶ Distress at umbilicus, with eructations of air. ▶ Pain in hypogastrium in morning with desire for stool. ▶ Cutting in hypogastrium twice on waking in the night, and with urging to stool at 4 A.M., first part of stool hard and lumpy, last part running out as thin as milk, with pain in hypogastrium, straining, nausea and faintness, pain continued fifteen minutes, then copious watery stool, after sleeping an hour woke with pain in hypogastrium and desire for stool, stool of bile, mucus and yellow matter, with tenesmus, then cutting in bowels, then intermittent cutting in hypogastrium, compelling him to sit down and causing faintness, stool of yellow fæcal matter, mucus and blood, with tenesmus, then cutting in hypogastrium, at 10 A.M. small stool of mucus and blood, preceded and followed by cutting in hypogastrium, at 12 A.M., stool of bilious matter, mucus and blood, with same symptoms as last, then dull distress in hypochondrium, then at 2 P.M. cutting in hypogastrium, with stool of bilious matter, mucus streaked with blood, and tenesmus, then intermittent cutting in hypogastrium all afternoon and evening.

It has been prescribed in ascites, both from cardiac trouble and especially from hepatic disease.

Most obstinate constipation, with protruding hæmorrhoids.

Clinical. ▶ Hæmorrhoid, sharp sticking in rectum, constipation, etc. ▶ Hæmorrhoids, bleeding almost incessantly, especially with sensation of sharp sticks in rectum; general aggravation late at night.

▶ Light-colored, lumpy, with straining, then aching in anus and hypogastrium. ▶ Papescent at 7 P.M., preceded by pain in small intestines. ▶ Mushy at 8 A.M., then no stool for three days. ▶ Constipation for two days, with languor. ▶ Omitted. ▶ In form of balls.

High-colored and scanty. ▶ Urinated several times.

Clinical. ▶ Dysmenorrhœa, with hæmorrhoid troubles; membranous dysmenorrhœa. ▶ Pruritus of vulva and prolapsus uteri, hæmorrhoids, constipation, etc. in all these pelvic troubles Collinsonia reminds us of Aloes, though obstinate constipation is the rule with Coll., looseness of the bowels with Aloes. ▶ Pruritus during pregnancy, swelling and dark redness of genitals, cannot even sit down.

Gurgling suddenly low down in left while lying, then desire to cough, which was restrained as he had had hæmoptysis from that side, the breathing and pulse varying while lying on left side, the pulse under the finger would withdraw and then return with increased volume.

Dull frontal headache.
Tongue coated yellow, with bitter taste.
Nausea.
Cutting pains in the lower abdomen; must sit down, with faintness, followed by yellow stool, with mucus and blood and tenesmus, then recurrence of the cutting pain.

Light-colored, with tenesmus, followed by pain in the anus and hypogastrium.
Constipation (feces hard like stones).

Clinical:
Hæmorrhoids, sharp sticking in rectum, constipation, etc.
Hæmorrhoids, bleeding almost incessantly, especially with sensation of sharp sticks in rectum: general aggravation late at night.
Most obstinate constipation, with protruding hæmorrhoids.
Dysmenorrhœa, with hæmorrhoidal troubles; membranous dysmenorrhœa.
Pruritus of vulva and prolapsus uteri, hæmorrhoids, constipation, etc.
In all these pelvic troubles Collinsonia reminds us of Aloes, though obstinate constipation is the rule with Coll.; looseness of the bowels with Aloes.
Pruritus during pregnancy, swelling and dark redness of genitals; cannot even sit down.