Ipecacuanha ip.

MUCOUS MEMBRANES: DIGESTIVE. Stomach. RESPIRATORY. Lungs. Nerves: Pneumo - gastric. Spinal. Cutaneous. Umbilicus.

WARMTH; damp. Room. Overeating: Ices. Pork. Veal. Mixed or rich foods. Periodically. Quinine. Heat and cold. Recessions.

Open air.

Profuse secretions. Foamy discharges, stool, etc. CONTINUOUS NAUSEA, gastric disturbances, BRIGHT RED, GUSHING HÆMORRHAGE (rapidly clotting), or shortness of breath accompany most complaints. Infantile convulsions.

Cries, screams and is hard to please. Downward crushing in head, to root of tongue. Migraine. Occipital pain, < vomiting, during chill, etc. Gushes of tears. Conjunctivitis. Cold (r), ear. Nosebleed. Sneezing. Face pale; blue about eyes or lips; white linea nasalis. Clean or red, pointed tongue. NO THIRST. Sudden faintness. HORRID NAUSEA; not > vomiting. Vomiting; bilious; < stooping. Repugnance to food. Miserable sinking or hanging loose feeling at stomach. Griping, clawing or cutting at navel; toward uterus. Brown, grass or yellow-green, molasses-like or bloody stools. Balls of mucus in stools. Dysentery. Urging to urinate; bloody urine. Cutting in uterus (l to r). Uterine hæmorrhage; gasps with each gush of blood. Painless hoarseness. Larynx and chest tight, < least motion. Spasm of vocal cords. Gasps for breath. Asthma. Paroxysms of retching, incessant or SUFFOCATIVE cough; with every breath; stiffens out, turns red or blue and finally is nauseated, gags or vomits; < stepping into open air; > warmth and repose. Pertussis. LOOSE (coarse) RATTLE IN CHEST, WITHOUT EXPECTORATION. Broncho-pneumonia. Hæmoptysis. Pains from kidneys into thighs. Short chill; alternates with heat or with external heat (Ap.). One hand cold, other hot. Long heat; without thirst. Hands and feet drip cold sweat. Suppressed or mixed intermittents; nausea in all stages. Catarrhal or gastric fevers.

Complementary: Ars. Cup. Related: Ant-t. Lob.

Adapted to cases where the gastric symptoms predominate (Ant. c., Puls.); tongue clean or slightly coated. In all diseases with constant and continual nausea. Nausea: with profuse saliva; vomiting of white, glairy mucus in large quantities, without relief; sleepy afterwards; worse from stooping; the primary effects of tobacco; of pregnancy. Stomach: feels relaxed, as if hanging down (Ign., Staph.); clutching, squeezing, griping, as from a hand, each finger sharply pressing into intestines; worse from motion. Flatulent, cutting colic about umbilicus. Stool: grassy-green; of white mucus (Colch.); bloody; fermented, foamy, slimy, like frothy molasses. Autumnal dysentry; cold nights, after hot days (Colch., Merc.). Asiatic cholera, first symptoms, where nausea and vomiting predominate (Colch.). Haemorrhage: active or passive, bright-red from all the orifices of the body (Erig., Mill.); uterine, profuse, clotted; heavy, oppressed breathing during; stitches from navel to uterus. Cutting pains across abdomen from left to right (Lach., - from right to left, Lyc.). Cough: dry spasmodic, constricted, asthmatic. Difficult breathing from least exercise; violent dyspnoea, with wheezing and anxiety about the stomach. Whooping-cough: child loses breath, turns pale, stiff and blue; strangling, with gagging and vomiting of mucus; bleeding from nose or mouth (Indigo). Cough, with rattling of mucus in bronchi when inspiring (Ant. t.); threatened suffocation from mucus. Pains as if bones were all torn to pieces (as if broken, Eup.). Intermittent fever: in beginning of irregular cases; with nausea, or from gastric disturbance; after abuse of, or suppression from quinine. Intermittent dyspepsia, every other day at same hour; fever, with persistent nausea. Oversensitive to heat and cold.

Complementary: Cuprum. Is followed well: by, Ars. in influenza, chills, croup, debility, cholera infantum; by Ant. t., in foreign bodies in larynx. Similar: to, Puls., Ant. c., in gastric troubles.

Winter and dry weather; warm, moist, south winds (Euph.); slightest motion.

One of the best guides to the use of this remedy is a constant but unavailable desire to vomit; or immediately after vomiting they wish to do so again; constant nausea.

Disgust at the stomach (for food); empty vomiturition; vomiting in general; also of bile, and blood. No relief obtained by vomiting, the desire still remaining.

Suffocative attacks of breathing. Respiration oppressed; anxious; deep; quick; sighing; with concomitant complaints. Cough without expectoration; with bloody expectoration; without waking the patient.

Threatened abortion; often with a sharp, or pinching pain around the umbilicus, which runs downward to the uterus, with constant nausea and discharge of bright, red blood; discharge of blood before the proper period; metrorrhagia, often after confinement, which is heralded by low pulse, nausea, etc.; there is a steady flow of bright, red blood, which may soak through the bed to the floor, or may run over the foot of the bed. (Where there is this steady flow of bright, red blood, give Ipec., and don't resort to applications, manipulations, etc.) Menstruation too early and too profuse; deficient labor pains, and with the pains there is a great deal of suffering, but no good is accomplished, the suffering is caused by the above pain about the umbilicus, running to the uterus.

Blue color around the eyes. Stools bloody; fermented (like yeast); bleeding from inner parts, flowing all over the body; epilepsy with convulsive motion; external coldness of the skin; also of single parts; cold perspiration.

Periodically; from vomiting; from coughing; from the suppression of cutaneous eruptions; from taking veal; from abuse of Peruvian bark; from derangements of the stomach.

Bellad., Bryon., Chamom., Ignat., Nux vom., Pulsat., Veratr.

Arsen., China.

Headache, as if the brain were bruised, all through the bones of the head, and down into the root of the tongue, with nausea. Distressing nausea, and inclination to vomit, with almost all complaints. Stooping causes him to vomit. Distressing feeling, as though the stomach were hanging down relaxed. With every movement a cutting pain in abdomen, almost constantly running from left to right Stools as if fermented, green as grass, with nausea and colic. Hemorrhage from the uterus, blood bright red, profuse, clotted with heavy oppressed breathing. Suffocation threatens from constriction in the throat and chest, worse from the least motion. Loses breath with the cough, turns pale and becomes rigid. One hand cold, the other hot. Backache, short chill, long fever, mostly heat with thirst, headache, nausea, cough and sweat last.

Ipecac-root (IPECA)

The chief action is on the ramifications of the pneumogastric nerve, producing spasmodic irritation in chest and stomach. Morphia habit. The principal feature of Ipecacuanha is its persistent nausea and vomiting, which form the chief guiding symptoms. Indicated after indigestible food, raisins, cakes, etc. Especially indicated in fat children and adults, who are feeble and catch cold in relaxing atmosphere; warm, moist weather. Spasmodic affections. Hæmorrhages bright-red and profuse.

Irritable; holds everything in contempt. Full of desires, for what they know not.

Bones of skull feel crushed or bruised. Pain extends to teeth and root of tongue.

Inflamed, red. Pain through eyeballs. Profuse lachrymation. Cornea dim. Eyes tire from near vision. State of vision constantly changing. Spasm of accommodation from irritable weakness of the ciliary muscle. Nausea from looking on moving objects.

Blue rings around eyes. Periodical orbital neuralgia, with lachrymation, photophobia, and smarting eyelids.

Coryza, with stoppage of nose and nausea. Epistaxis.

Tongue usually clean. Mouth, moist; much saliva. Constant nausea and vomiting, with pale, twitching of face. Vomits food, bile, blood, mucus. Stomach feels relaxed, as if hanging down. Hiccough.

Amebic dysentery with tenesmus; while straining pain so great that it nauseates; little thirst. Cutting, clutching; worse, around the navel. Body rigid; stretched out stiff.

Pitch-like green as grass, like frothy molasses, with griping at navel. Dysenteric, slimy.

Uterine hæmorrhage, profuse, bright, gushing, with nausea. Vomiting during pregnancy. Pain from navel to uterus. Menses too early and too profuse.

Dyspnœa; constant constriction in chest. Asthma. Yearly attacks of difficult shortness of breathing. Continued sneezing; coryza; wheezing cough. Cough incessant and violent, with every breath. Chest seems full of phlegm, but does not yield to coughing. Bubbling rales. Suffocative cough; child becomes stiff, and blue in the face. Whooping-cough, with nosebleed, and from mouth. Bleeding from lungs, with nausea; feeling of constriction; rattling cough. Croup. Hæmoptysis from slightest exertion (Millef). Hoarseness, especially at end of a cold. Complete aphonia.

Intermittent fever, irregular cases, after Quinine. Slightest chill with much heat, nausea, vomiting, and dyspnœa. Relapses from improper diet.

With eyes half open. Shocks in all limbs on going to sleep (Ign).

Body stretched stiff, followed by spasmodic jerking of arms towards each other.

Pale, lax. Blue around eyes. Miliary rash.

Worse, periodically; from veal, moist warm wind, lying down.

Compare: Emetine-principal alkaloid of Ipecac (A powerful amebicide, but is not a bactericide. Specific for amæbiasis; of remarkable value in treatment of amæbic dysentery; also as a remedy in pyorrhea, 1/2 gr daily for three days, then less. Emetin, 1/2 gr hypodermically, in Psoriasis. Emetin hydroch. 2x, diarrhœa with colicky, abdominal pains and nausea. Emetin for endamoebic dysentery. In physiological doses must be carefully watched. May produce hepatization of lungs, rapid heart action, tendency for the head to fall forward and lobar pneumonia. In hæmatemesis and other hæmorrhages, compare: Gelatin which has a marked effect on the coagulability of the blood. Hypodermically; or if by mouth, a 10 per cent jelly, about 4 oz, three times a day) Arsenic; Cham; Puls; Tart em; Squill. Convolvulus (colic and diarrhœa). Typha latifolia-Cat-tail flag (dysentery, diarrhœa) and summer complaint. Euphorbia hypericifolia--Garden Spurge--(Very similar to Ipecac. Irritation of the respiratory and gastro-intestinal tracts and female organs). Lippia mexicana--(Persistent dry, hard, bronchial cough--asthma and chronic bronchitis).

In Asthma, compare: Blatta orientalis.

Antidotes: Arsenic; China; Tabac.

Complementary: Cuprum; Arn.

Third to 200th potency.

Persistent nausea, which nothing relieves, in many complaints.

Headache as if bruised, all through the bones of the head, down into root of tongue, with nausea.

Stools as if fermented, or as green as grass, with colic and nausea.

Hæmorrhages from uterus; profuse, bright blood and heavy breading with nausea.

Spasmodic, or asthmatic cough; great depression and wheezing breading; child becomes rigid and turns blue.

Backache, short chill, long fever, heat usually with thirst; raging headache, nausea; and sweat last; nausea during pyrexia.

Better than Quinine, in intermittents, or after its abuse, the symptoms agreeing.

Ipecacuanha leads all the remedies for nausea. Any complaint accompanied with persistent nausea, the patient not being at all relieved by vomiting, just as sick after as before-this is what we mean by persistent nausea. This should at once call attention to this remedy. It is often found in connection with gastric troubles from dietetic errors, and the choice will sometimes be between Ipecacuanha and Pulsatilla, because both are useful in gastric disturbances caused by indulgence in mixed diet -pastry, ice-cream, pork, fatty food, etc. Pulsatilla may be considered the better, while the food is in the stomach. Ipecacuanha after it is out, but the nausea persists notwithstanding.

Again, with Pulsatilla the tongue is often coated, like Antimonium crudum, while with Ipecacuanha there may be a slight coating, or the tongue may be perfectly clean. This vomiting with clean tongue, however, is not an infallible indication for Ipecacuanha, for we sometimes find it in connection with worm symptoms, where Cina has it just as prominently, and is the remedy. Digitalis also has it in heart disease. Ipecacuanha affects the whole intestinal tract. One very characteristic symptom is that the stomach and bowels feel as if relaxed and hanging down.

There are three kinds of looseness of the bowels, or rather three characteristic stools:

1. Fermented stools-foamy, like yeast.

2. Grass-green stools -mucous or watery.

3. Slimy stools -dysenteric, with more or less blood.

All these stools are found very often in children, especially in summer time, often as a consequence of overeating or wrong eating, when a dose of Ipecacuanha 200th will set matters to rights, and prevent the little patient from running into so-called cholera-infantum or enterocolitis, which often becomes a very serious and obstinate affection. The characteristic nausea is a sure indication.

We will also find this nausea present, where this remedy is the "proper caper," in headaches. Headache, as if bruised, all through the bones of the head, and down into the root of the tongue. This kind of headache may be of rheumatic origin, but the nausea is there just the same, if Ipecacuanha is to cure. Then we have a sick headache of gastric origin, the nausea beginning before the pain in the head, and continuing all through. In what seems to be hydrocephaloid with this nausea, Ipecacuanha has often cleared up the whole case in a few hours.

Again, we find the nausea accompanying the cough in the affections of the respiratory organs. Also in the hæmorrhages and in the fevers in which it is often indicated. In short, we cannot do better than to use Hering's expression: "Nausea, distressing, constant, with almost all complaints, as if from the stomach, with empty eructations, accumulation of much saliva, qualmishness and efforts to vomit," nothing relieves.

During the nausea, the face is generally pale, eyes sunken, with blue margins, and often there is more or less twitching of face and lips, and sleepiness after vomiting. We have a great many remedies that are powerful emetics, like Antimonium tartaricum, Zinc sulphate, Lobelia and Apomorphine; but, so far as I know, the nausea is not so persistent, nor is it found in connection with so many other affections. Of course, no single symptom, however strong, would justify a prescription, if there were other symptoms just as strong in the same case.

For instance, if there were burning in the stomach, intense thirst, but could not drink, great restlessness and prostration, we would think of Arsenicum album, and it is often the best remedy to follow Ipecac., if the case goes from bad to worse.

Ipecacuanha affects the mucous lining of the respiratory organs, almost as prominently as it does that of the alimentary tract.

There is a great accumulation of mucus, which loads up the air cells and bronchi, until there seems to be great danger of suffocation. Note the symptoms:

"Violent degree of dyspnœa, with wheezing and great weight and anxiety about the prœcordia." (Antimon. tart., coarse rattling.) "Threatened suffocation from accumulation of mucus."

This excessive accumulation of mucus in the air passages seems to excite spasm like a foreign body, and an asthma, or spasmodic cough, or both together, ensue. But the spasmodic cough and asthma do not seem to all depend upon accumulation of mucus, for Ipecacuanha is often our best remedy in the first stage of both asthma and whooping cough, before the stage when the mucus is present.

Again, "Suffocating cough, whereby the child becomes quite stiff and blue in the face."

"Whooping cough, with nosebleed (Indigo), bleeding from the mouth, vomiting, loses breath, turns pale or blue, and becomes rigid."

Infantile pneumonia. with chest loaded with mucus, rapid, wheezing respiration, surface blue, face pale, finds a very effectual remedy in Ipecacuanha. Old people with emphysema form chronic asthma are also > by Ipecac. So that we might narrow down the respiratory troubles to two conditions:

1st, Those in which excessive accumulation of mucus characterized the case.

2nd, Those in which spasm was the characteristic feature.

Of course, all the symptoms must be taken into consideration, in order to differentiate between Ipecacuanha and other remedies having the same objective states and conditions.

The control that this remedy has over hæmorrhages deserves honorable mention It has hæmorrhages from the nose, stomach, rectum, womb, lungs and bladder; from all the orifices of the body. So does Crotalus, but the blood in Ipecacuanha is bright red, not decomposed. Sulphuric acid also has hæmorrhages from all the outlets of the body, but the other attending symptoms are different. With Ipecacuanha, the hæmorrhages are active, profuse, bright red. It is a better remedy than Secale ever was or can be, for post-partum hæmorrhages, and it is not necessary to use it in large and poisonous doses, for it will stop them in the 200th potency, and is quicker in its action than Secale. Let us notice a few remedies for hæmorrhages:

Ipecacuanha. Bright red, profuse, with heavy breathing and nausea.

Aconitum. Active, bright, with great fear and anxiety.

Arnica. From injuries, bodily fatigue, physical exertion.

Belladonna. Blood hot, throbbing carotid, congestion to head.

Carbo vegetabilis. Almost entire collapse, pale face, wants to be fanned.

China. Great loss of blood, ringing in ears, faintness.

Crocus. Blood clots in long, dark strings.

Ferrum. Partly fluid, partly solid, very red face, or red and pale alternately.

Hyoscyamus. Delirium, and jerking, and twitching of muscles.

Lachesis. Blood decomposed, sediment like charred straw.

Crotalus, Elaps and Sulphuric acid. Black fluid blood, the first and last from all outlets.

Nitric acid. Active hæmorrhages of bright blood.

Phosphorus. Profuse and persistent, even from small wounds and tumors.

Platinum. Partly fluid, acid partly hard black clots.

Pulsatilla. Intermittent hæmorrhages.

Secale. Passive flow in feeble, cachectic women.

Sulphur. In psoric constitutions; other remedies fail.

Other remedies and indications might be added here, but hæmorrhage is only one symptom, and never alone furnishes a reliable indication for any remedy. But Ipecacuanha is one of the best if indicated.

Ipecacuanha is a well-known intermittent fever remedy in our school. Jahr recommends it in the beginning of all cases, unless there are special indications for some other remedy, and says "By pursuing this course I have cured many cases of fever and ague by the first prescription, thus saving myself a good deal of unnecessary seeking and comparing." Whatever may be said in condemnation of this loose prescribing, it is certainly preferable to the inevitable Quinine prescription of the old school, and some self-styled homœopaths, for the reason that it will cure more cases than Quinine, and do infinitely less harm. Ipecac. can cure more cases than Quinine, but both can cure the case to which they are homœopathic, and that in the potentized form of the drug. We have such clear-cut indications for the use of many remedies that we need not fail once where the allopaths do twenty times, with their indiscriminate Quinine treatment.

The whole case generally revolves around one to three guiding symptoms, for instance: Ipecac. The persistent nausea in one or all stages.

Arsenicum alb. Irregularly developed paroxysm; thirst intense during heat, for small quantities.

Eupator. perf. Bone pains; vomits bile at end of chill, 7 to 9 A. M.

Ignatia. Chill, with red face, > by external heat: frequent sighing.

Capsicum. Chill begins between shoulder blades and spreads.

Nux vomica. During heat can't uncover in least, without chill.

Nat. Mur. Chill 10 to 11 A. M.; bursting headache during heat; sweat >; after Quinine.

Rhus tox. Cough in chill; restless and dry tongue in heat; tossing about.

Podophyllum. Great loquacity during chill and heat; jaundice.

Antimonium tart. Great sleepiness during heat and sweat, with pale face.

These characteristics are genuine and reliable, and many more might be added if we had time and space, but they can all be found in H C Allen's work on Fevers. They show how different the remedies, and how particular the true prescriber must be, when selecting his remedy for this, as well as other diseases. Remittents also often come under the control of this remedy.

Irritability ; restlessness, impatience. Ill-humor and despising every thing. Cannot endure the least noise.

Vertigo, when walking and when turning round. Stitches, in the vertex (or forehead). Headache, as if the skull and brain were bruised, with nausea and vomiting. Pain in the occiput and nape of the neck.

Twitching of the eyelids. Pupils dilated. Obscuration of sight ; red, inflamed eyes.

Coldness and chilliness of the ears (during the febrile heat).

Bleeding of the nose. Loss of smell. Coryza, with stoppage of the nose.

Pale face with blue margins around the eyes. Convulsive twitches in the muscles of the face and lips. Red skin around the mouth. Smarting eruption and aphthæ on the margin of the lips. Rash in the face.

Pain in a hollow tooth, when biting on it, as if it were extracted. Smarting in the mouth and on the tongue. The tongue is coated yellowish or white. Spasmodic contractive sensation in the throat. Fauces, stinging, rough, sore and dry. Copious secretion of saliva.

Want of appetite ; the stomach feels relaxed. Aversion to all food. Desire for dainties and sweet things. Thirstlessness. Bad effects from eating pork. Sweetish, bloody taste in the mouth. Nausea, as if proceeding from the stomach, with empty eructations and accumulation of much saliva. Nausea and retching from drinking any thing cold and from smoking tobacco. Vomiting of all the ingesta. Vomiting of bile ; green, jelly-like mucus. Vomiting of blood ; black, pitch-like substances. Sensation of emptiness and relaxation of the stomach. Horrid, indescribable pain and sick feeling in the stomach. Cutting and pinching (as if grasping with the hands) around the umbilicus ; aggravated by motion, ameliorated by rest. Flatulent colic, with frequent diarrhœic stools.

Diarrhœa stools as if fermented with nausea and colic ; stools green as grass. Dysenteric stools, with tenesmus. Feces covered with bloody mucus. Bloody stools. Stools smelling putrid.

Scanty urine, dark-red. Unsuccessful urging to urinate. Hæmaturia, with cutting in the abdomen and in the urethra. Turbid urine, with brick-dust sediment.

Women. Menstruation too early and too profuse. Metrorrhagia ; blood bright-red, clotted, with oppressed breathing.

Quick, anxious breathing. Sighing breathing. The breath smells fetid. Suffocative attacks in the room ; better in the open air. Suffocative feeling from the least motion. Spasmodic asthma, as from constriction in the chest and throat. Contraction of the chest, with short and panting breathing. Dry cough, caused by a tickling, especially in the upper part of the larynx. Frequent attacks of spasmodic cough, shaking, racking, hollow, quickly following coughs from tickling in the upper part of the larynx, as from vapor of sulphur ; with expectoration of blood with mucus in the morning. Suffocative cough ; the child becomes quite stiff, and blue in the face. Suffocative cough in the evening ; continuous cough, with perspiration on the forehead, shocks in the head, retching and vomiting. Hæmoptysis from the slightest exertion. Rattling noise in the bronchial tubes when drawing breath.

Swelling and suppuration in the throat-pit. Opisthotonos and emprosthotonos. Cramp pain between the scapula during motion.

Upper. Coldness of one hand while the other is hot. Lower. Convulsive twitching in the lower limbs and (not in the upper). Cramps in the thighs, at night, with lump in the thighs. Itching of the calves. Ulcers on the foot with a black base. Sensation in the femur, as if dislocated on sitting down.

Sleeplessness. Sleeps ; with the eyes ; half open ; moans and groans. Starts frequently in his sleep.

Great weakness and aversion to all food ; nausea ; with almost all ailments. Hæmorrhages from all the orifices of the body. Sensation as if the joints had gone to sleep. Over-sensitiveness to heat and cold. Twitching in the limbs. Spasm, bending the body forward or backward. The body is stretched out stiff.

Rash (in lying-in women) ; suppressed rash. Itching of the skin, with nausea ; has ; to scratch till he vomits.

Pulse very frequent, but at times scarcely perceptible. Chill of short duration and soon changing to heat. Internal chilliness, as if under the skin, aggravated from heat. Chill with thirst. Damp coldness of the hands and feet. After a short chill dry heat, with parchment-like skin. Sudden attacks of general heat, with cold hands and feet. During the heat no thirst. Violent perspiration, principally during the night. Perspiration smelling sour (with turbid urine). Sudden attacks of hot perspiration (in the room). Intermittent fever; nausea and vomiting predominate ; slight chills are followed by much heat, with thirst and no subsequent perspiration, -consequent upon the abuse of Quinine; slight chilliness without thirst ; afterwards violent heat, with thirst, nausea and vomiting, dyspnœa, stitches in the chest, finally copious perspiration.

Cephaëlis ipecacuanha. N. O. Rubiaceæ. Tincture and trituration of the dried root.

Anæmia. Asthma. Bronchitis . Catarrh. Cholera. Consumption . Convulsions. Cough . Deafness. Diarrhœa . Dysentery. Enteric fever . Eyes, affections of. Gall-stone colic. Gastric Ulcer. Hæmatemesis. Hæmorrhage . Hæmorrhoids. Hysteria. Intermittent fever. Menstruation, disorders of . Opium habit. Pregnancy, disorders of. Remittent fever . Salivation. Tetanus. Toothache. Vomiting. Whooping-cough . Worm-fever. Yellow-fever.

The well-known emetic effect of Ipecacuanha Wine gives a rough keynote for the use of Ipec . in homœopathy. Wherever ailments are associated with the presence of constant nausea Ipec . is very likely to be of use. The special form of nausea is a constant but unavailing desire to vomit; or immediately after vomiting there is, instead of relief, a desire to vomit again. With this there is a clean or not very dirty tongue. There is profuse salivation with the nausea. The nausea of Ipec . is oftenest met with in affections of the stomach and bowels, of the respiratory organs, and in fevers. In the stomach itself there is a symptom which is very characteristic of the remedy, a feeling "as if the stomach were hanging down relaxed." There is disgust at the stomach for food; empty vomiting; vomiting of bile; of blood. No > by vomiting. The stomach disorder may be occasioned by rich food-pork, pastry, fruits, candy, ice-cream. The stomachic disgust of the remedy is depicted on the countenance, which expresses nausea. The corners of the mouth are drawn down. Blue rings round the eyes. Sometimes the mental state corresponds: "Moroseness and contempt for everything"; "Disdainful humour." The irritability of the elders becomes in children crying and screaming. Another mental symptom is "full of desires they know not for what." Ipec . is a botanic relative of China , and it is also an antidote to the latter; (it is also closely allied to Viola odorata ). Perhaps the relationship of Ipec . to China may have something to do with its large sphere of usefulness in intermittent fever. Jahr recommended that in all cases of intermittents in which no other remedy is particularly indicated Ipec . should be given to begin with. It will either cure the case or bring out more definitely indications for another remedy. I have frequently found this advice useful; and it occurs to me that as most intermittents have been treated with quinine it is through its antidotal properties that Ipec . exerts some of its good effects. It has a strongly marked periodic action. A special indication for it is: Nausea through all the stages. Other indications are: "Stages completely mixed up short chill, followed by long fever." Ipec . has many bone pains, in the head and elsewhere. Pains as if bones were all torn to pieces. Ipec . is given as an expectorant in old-school practice, and is supposed to act by its nauseating properties. But homœopaths have proved that nauseating doses are neither necessary nor desirable. The cough of Ipec . is dry, spasmodic, constricted, asthmatic. "Violent degree of dyspnœa, with wheezing and great weight, and anxiety about the precordia." "Threatened suffocation from accumulation of mucus." In whooping-cough a characteristic is the spasmodic rigidity of the patient. "Child loses breath, turns pale, stiff, and blue; strangling with gagging and vomiting of mucus; bleeding from nose or mouth." The great keynote, subject to slight variations, is — mental depression with tissue irritability. The tissue irritability of Ipec . is severe and urgent, but superficial; that of Ars ., deep-seated, diffuse, and burning; that of Ferrum involves tissue, as with Ars ., but is mostly painless (Cooper). Ipec . is a medicine of great importance in hæmorrhages. The blood is bright red and the flow steady. A grand keynote for Ipec . in hæmorrhages (whether of lungs, bowels, uterus, or other parts) is nausea with the hæmorrhage . Guernsey thus describes the effect of Ipec . in the female sexual sphere, in which the hæmorrhagic power of the remedy is of the highest importance: "Threatened abortion; often with a sharp pain around the umbilicus, which runs downward to the uterus, with constant nausea and discharge of bright red blood; discharge of blood before the proper period; metrorrhagia, often after confinement, which is heralded by a low pulse, nausea, &c.; there is a steady flow of bright red blood, which may soak through the bed to the floor, or may run over the foot of the bed. (Where there is this steady flow of bright red blood give Ipec ., and do not resort to applications, manipulations, &c.) Menstruation too early and too profuse; deficient labour pains, and with the pains there is a great deal of suffering, but no good is accomplished, the suffering is caused by the above-named pain about the umbilicus, moving to the uterus." Some of the pains of Ipec . run from above down; some from left to right (cutting pain in abdomen). There is a remarkable headache "as if bruised, all through the bones of the head and down into the root of the tongue." Nausea is generally an accompaniment. Brain feels bruised, pain piercing to roots of teeth. There is also a sick headache originating in the stomach, the nausea preceding the headache and persisting all through. Teste has used the remedy with good effect in "constrictive and contusive headaches seated in left parietal region, coming on every day at 11 a.m., increasing gradually until the pain became intolerable, then decreasing in the same manner" and ceasing completely at 2 p.m. Another sphere in which Ipec . has shown great curative power is the eye. According to Allen granulations of the lids have been cured by the instillation of the dilutions. Also subacute inflammation of the cornea, with intense pain and great photophobia. Pustular conjunctivitis, especially in children. Inflammation with tearing pain and gushing of tears. Violent neuralgia of eyeballs, shooting in the head, with gushes of tears, nausea, &c. Dr. Nancy T. Williams ( H. R ., xi. 65) has cured several cases of gall-stone colic with Ipec . 6. The relief was prompt and lasting. On the strength of this symptom of Hahnemann's, "external chilliness with internal heat," Mahony gave Ipec . 200 to an army sergeant, 49, invalided for aneurism, who had this symptom while recovering from a catarrhal attack: coldness of hands and feet not perceptible to himself. Ipec . soon removed this. ( Med. Adv ., xxvi. 110). J. R. Haynes (quoted B. J. H ., xxxvii. 203) uses Ipec . as an antidote to the Opium and Morphia habit. He gives five drops of Ipec . Ø for every grain of Morphia (or its equivalent in Opium ) which the patient has been accustomed to take. When a definite sequence is observed in the order of occurrence of symptoms this is of great practical importance. Woodward ( Hahn. Adv ., May, 1900, p. 278) has noted in twenty-three provers the symptoms of Ipec . develop in this order: ( 1 ) Gastric; ( 2 ) Respiratory; ( 3 ) Spinal; ( 4 ) Genito-urinary; ( 5 ) Cutaneous. In several instances, however, the cutaneous symptoms appeared before the genito-urinary. Owing to its immediate expulsive effect, given internally, upon the mucous membrane, its influence upon the skin has not been sufficiently considered. Mixed with oil, powdered Ipec . has been used to vesicate the skin; and, diluted, the tincture is used for the bites of insects, bee- and wasp-stings, &c. It produces violent irritation of the skin, and between the acts of vomiting an uncontrollable desire to scratch is often felt in those under the influence of material doses. Cooper cured an immense uterine fibroid where persistent painful irritation of the skin with constant retching and vomiting, made worse by eating, constituted the prominent symptom. Frightful irritation inside and out, especially vaginal, with thick leucorrhœa, and a feeling of desperation, yields to Ipec. Ipec . has been used locally and internally for malignant pustule and anthrax, in which disease Dr. Edwin Muskett considers it specific ( Alleg. Hom. Zeitung ., No. 23, Dec., 1888). In certain forms of peripheral neuritis it deserves more consideration than has hitherto been allotted to it (Cooper). In consequence of its proved cholagogue action, it constitutes nowadays a very frequent constituent of allopathic pills. Ipec . has much of the sensitiveness of Chi . — There is < by touch. Over-sensitiveness to heat and cold. < In winter and dry weather. < In warm, moist wind (catarrh, asthma, &c.). Chill is < in warm room; by external heat. Summer heat or hot room = fainting. Drinking > chill. Cold water > spasmodic cough. Cold drinks or ice-creams = colic. < Periodically; by vomiting; by coughing; by suppression of eruptions. < From veal from rich food (pork, fat, pastry); from ices.; lemon-peel; raisins salads, < By eating. < From abuse of quinine. < By motion. > By rest; by pressure; by closing eyes. Ipec., according to Hahnemann, is a short-acting medicine. It is specially suited to stout persons of lax fibre; to fair people; to women and children to emphysematous persons; to persons who have a history of epistaxis or other blood-loss.

Continue in Clarke 26 more passages →

Is awkward and stumbles against everything.
Wrapt in thought ; taciturnity.
Full of inexpressible desires.
Moaning and sighing with the fever. θ Intermittent.
Child cries and screams violently and incessantly ; sticks fist into mouth ; face pale, body cool.
Every 6 or 8 weeks anorexia and hypochondria, with pressure and tension, and tympanitis of epigastrium ; constipation, with disgust and impatience of labor ; attacks preceded by nausea, and tendency to diarrhœa. θ Hypochondriasis.
Dejected mood, morose, enjoys nothing.
Peevish ; irritable ; impatient ; morose, scornful mood.
Ill humor, despises everything.
Fretfulness. θ Intermittent. θ Cholera infantum.
Extremely impatient.
Morose mood that scorns everything, and desires also that others shall not appreciate or value anything.
Ailments from vexation and reserved displeasure.

Apoplexia nervosa et serosa ; vertigo ; drooping of lips ; impaired speech ; dribbling of saliva from mouth ; paralysis of extremities.
Vertigo when walking and when turning.

Lacerating pain in forehead, excited and aggravated by feeling the heart, or by stooping.
Aching in forehead ; fine stinging pains in forehead.
Headache over left eye.
Stitches in vertex, or forehead.
Lancinating in head.
Short paroxysms of fine and violently stinging pains in head, increasing to an aching.
Stinging headache, with heaviness of head, also with drowsiness.
Headache, as if bruised, all through bones of head and down into root of tongue ; nausea, vomiting ; > outdoors.
Headache as of a bruise of brain and skull, which pierces through all the cranial bones into roots of teeth, with nausea.
Headache as though brain were mashed, with nausea and vomiting ; miliary eruptions on forehead and cheeks by spells ; pale face, and pale mucous membranes ; scanty and short menses ; weak pulse, cold hands ; morose, enjoys nothing. θ Chlorosis.
Lacerating headache, from morning till noon.
Dull drawing in head, to and fro.
Beating pain in head and pit of stomach after coughing.
Heat and throbbing in head, with red cheeks.
Semilateral headache, with nausea and vomiting.
Tensive headache in occiput and nape of neck, extending as far as shoulders.
Pain in occiput and nape of neck.
Gastric headaches, occurring in nervous, sensitive persons, commencing with nausea and vomiting.
Malarial headache ; loss of appetite and vomiting.
Hydrocephaloid ; fontanelles open ; painful soreness of occiput and neck ; blue rings under eyes ; frequent nose-bleeding ; pale face ; nausea and vomiting ; green, putrid discharges from bowels.

Cold sweat on forehead. θ Diarrhœa.
Open fontanelles ; occiput and neck sore. θ Hydrocephaloid.

Worse from light, especially of a candle.
Blue and red halo around light.
Optical illusions in bright colors.
Obscuration of sight ; eyes inflamed.
Eyes sunken ; blue margins around them. θ Cholera infantum.
Dilated pupils.
Severe shooting pains through eyeballs, profuse lachrymation on looking steadily ; blue and red halo around flame, pupil normal and mobile, with no external inflammation or lesion, except slight palpebral conjunctivitis. θ Choroiditis.
Phlyctenules and ulcers of cornea or conjunctiva, especially if there is much photophobia ; cornea may be vascular ; redness of conjunctiva, lachrymation and pain and nausea.
Pustular inflammation of cornea and conjunctiva.
Child after catching cold : lids red and swollen ; photophobia, lids being kept tightly closed ; copious, purulent discharge, < at night ; conjunctiva injected and swollen, especially on right side, where engorgement was so severe that pupil appeared buried in a
circular depression ; discharge from eyes so copious that it soiled hair and ears ; continual copious, green, diarrheic stools, with colic ; great emaciation ; sleepless day and night ; edges of lid red, without œdema ; right imbedded cornea ulcerated, also l.,
but in a less degree.
Inflammation of eyes ; on opening right lids, which were swollen, copious gush of tears ; conjunctiva of bulb injected and infiltrated, and on close examination number of small depressions were noticed ; intense tearing or tensive pains in eyes ; great photophobia.
Scrofulous ophthalmia when there is keratitis with ulceration or infiltration of cornea ; redness of eye, extreme photophobia, pain in temples and forehead.
Catarrhal conjunctivitis with profuse yellow discharge and chemosis.
Sclerotica yellow.
Hardened mucus in external canthi.
Twitching of eyelids.

Continue in Hering 41 more passages →

Ipecac. has a wide sphere of action among acute sickness. Most of its acute complaints commence with nausea, vomiting.

The febrile conditions commence with pain in the back between the shoulders, extending down the back, as if it would break, with or without rigors, much fever, vomiting of bile and seldom any thirst. This is the general aspect of the beginning of an Ipecac. fever or gastric. trouble or chill in intermittents or bilious attacks.

The stomach is disordered. There is a sense of fullness in the stomach, cutting pains in the stomach and below the stomach, going from left to right. The cutting pain in colic goes from left to right. The patient is unable to stir or breathe until that pain passes off. It holds him transfixed in one position, coming like the stabbing of a knife in the region of the stomach, or above the navel, going from left to right, and is attended with prostration and nausea.

All the complaints in Ipecac. are attended more or less with nausea; every little pain and distress is attended with nausea. The sufferings seem to centre about the stomach, bringing on nausea.

There is continuous nausea, and gagging. The cough causes nausea and vomiting. It is a dry, hacking, teasing, suffocative cough, accompanied by nausea and vomiting. He coughs until his face grows red, and then there is choking and gagging. With every little gush of blood from any part of the body there is nausea, fainting and sinking.

Hence its value in uterine hemorrhages; bright, red blood with nausea; a little blood is attended with fainting or syncope, but the great overwhelming nausea runs through the complaints of this remedy. Though there is sometimes thirst, it is usually absent. When Ipecac. does its best work, there is thirstlessness.

With the Ipecac. fever, or with the chill, there is likely to be pain in the back of the head, a bruised pain through the head and back of the neck and sometimes down the back, and drawing in the muscles of the back of the neck. A congestive fullness in the head, a crushed feeling in the head and back of the head; the whole head aches and is full of pain.

Ipecac. is sometimes as restless as Arsenic., but the Ipecac. prostration comes by spells, whereas the Arsenic prostration is continuous. You will see Ipecac. patients tossing over the bed as much as they do when they need Rhus, turning and tossing, and moving the hands and feet, with restlessness.

This is especially the case when the spine is somewhat involved. Ipecac. has symptoms that look like tetanus it has opisthotonos, and it has been a useful remedy in cerebro-spinal meningitis with vomiting of bile, with pain in the back of the head and neck, and drawing of the muscles of the back, retracting the head.

When cerebro-spinal meningitis has gone on until the patient is emaciated, when remedies have seemed but to palliate momentarily, and the whole body is inclined backwards, and there is vomiting of everything, even the simplest article taken into the stomach, the tongue is red and raw, and there is constant nausea and vomiting of bile, Ipecac. will cure.

Ipecac. cures inveterate cases of gastritis when even a drop of water will not stay down; everything put in the stomach is vomited, continuous gagging, sharp pain in the stomach, pain in the back, below the shoulder blades, as if it would break, vomiting of bile, continuous nausea and great prostration. Irritable stomach. It also cures when the abdomen is distended, and sensitive, a tympanitic state, when there is vomiting of bile.

Ipecac. has proved a useful remedy in epidemic dysentery, when the patient is compelled to sit almost constantly upon the stool and passes a little slime, or a little bright red blood; inflammation of the lower portion of the bowel, the rectum and the colon. The tenesmus is awful, burning, and continuous urging with the passage of only a little mucus, and blood. With this there is constant nausea; while straining at stool, the pain is so great that nausea comes on, and he vomits bile. At times, whole families are down with it. It runs through a whole valley and may be epidemic, but it commonly relates to endemics.

In infants, it is indicated when a cholera-like diarrhoea has been present and it ends in a dysenteric state, with continued tenesmus, and the expulsion of a little bloody mucus, the child vomiting everything it takes into the stomach; nausea, vomiting, prostration and great pallor. It is also useful in such conditions when the stool is more or less copious, and is green, and the child passes, frequently, copious quantities of green slime. Much crying when at stool, much straining, with passages of green slime, vomiting of green slime, and vomiting of green curds; milk turns green and is vomited.

The chest complaints of Ipecac. are interesting. Ipecac. is especially the infant's friend and is commonly indicated in the bronchitis of infancy. The usual bad cold that ends in chest trouble in infants is a bronchitis.

It is very seldom that an infant gets a true pneumonia, it is generally a bronchitis with coarse rattling. The child coughs, gags and suffocates, and there is coarse rattling which can be heard throughout the room, and the trouble has come on pretty rapidly. The child is pale, looks dreadfully sick, and sometimes looks very anxious. The nose is drawn in as if dangerously ill, and the breathing is such as appears in a dangerous case. Ipecac. will sometimes modify this into a very simple case, break up the cold, and cure the child.

In the old books, the pneumonia of infancy had a distinct and separate description, and the typical symptoms were those of Ipecac. You will see a great similarity of symptoms when you study Ipecac. and Ant. tart. together in chest troubles. If you have been studying them together, you will say,

"How do you distinguish them; they both have rattling cough and breathing, and both have the vomiting?"

Well, the Ipecac. symptoms correspond to the stage of irritation, while the T artar emetic symptoms appear in the stage of relaxation. That is, the Ipecac. symptoms come on hurriedly, come on as the acute symptoms, whereas the Tartar emetic complaints come on slowly. The latter is seldom suited to symptoms that arise within twenty-four hours, or at least the symptoms of Tartar emetic that arise in twenty-four hours are not of this class.

This group comes on many days later, comes on at the close of a bronchitis when there is threatened paralysis of the lungs; not in the state of irritation, not the dyspnoea from irritation, not the suffocation of that sort, but the suffocation from exudation, and from threatened paralysis of the lungs.

When the lungs are too weak to expel the mucus the coarse rattling comes on. Then there is the great exhaustion, deathly pallor of the face and sooty nostrils.

We see now that these two remedies do not look alike. If we observe the pace of the two remedies, we see that the complaints differ. It is not so much. that they belong to stages, although they do, but rather that Ipecac. brings on its symptoms rapidly and effects a crisis speedily, and that Ant. tart. brings on its symptoms slowly and effects a crisis after many days.

You can readily see the value of Ipecac. in whooping cough, for it has the paroxysmal character, the red face, and vomiting and gagging with the cough. The red face, thirstlessness, violent whooping, with convulsions, with gagging and vomiting of all that he eats are the symptoms that you will generally find.

I have hinted at the haemorrhages, and these open out a great field for Ipecac. I could not practice medicine without ipecac., because of its importance in hemorrhages. When I say haemorrhages, I do not mean those from cut arteries, I do not mean haemorrhages where surgery must come in; I mean such as uterine haemorrhages, haemorrhages from the kidneys, from the bowels, from the stomach, from the lungs.

You must know your remedies in haemorrhages; if you do not, you will be forced to use mechanical means; but the homeopathist who is well instructed is able to do without them. In the severest form of uterine hemorrhages, the homeopathic physician is able to do without mechanical means, except when mechanical means are causing the haemorrhage.

This does not relate to hourglass contractions, it does not relate to conditions when the after birth is retained, or when the uterus has a foreign substance in it, because under such circumstances manipulation is necessary.

A distinction must be made. But when we have simply the pure dynamic element to consider, simply and purely a relaxed surface that is bleeding, the remedy is the only thing that will do the work properly. When the uterus is continuously oozing, but every little while the flow increases to a gush, and with every little gush of bright red blood the woman thinks she is going to faint, or there is gasping, and the quantity of the flow is not sufficient to account for such prostration, nausea, syncope, pallor, Ipecac. is the remedy.

When with the gushing of bright red blood there is an overwhelming fear of death, Aconite. If your patient while going through the confinement has had a hot head, an uncontrollable thirst for ice cold water, and after the confinement, everything has gone on in an orderly way, and the placenta has been delivered, and although you have no reason to expect such haemorrhage it comes on, Phosphorus will nearly always be the remedy.

In those withered women, lean and slender, who are always suffering from the heat, who want the covers off and want to be cool, who have had a tendency to ooze blood from the uterus, and now have a haemorrhage that is alarming either with clots, or only an oozing of dark liquid blood, you can hardly do without Secale. A single dose of any one of these medicines on the tongue will check a haemorrhage more quickly than large doses of strong medicine.

The haemorrhage will be checked so speedily that in your earlier experiences you will be surprised. You will wonder if it is not possible that it stopped itself. In copious menstruation Ipecac. is often indicated When the woman has taken cold, or has a shock. In cases where she is not especially subject to copious uterine flow at the menstrual period, she is naturally alarmed, for it is something she has never bad before, and the flow is likely to continue for many days, attended with this weakness. All her power seems to go with a little gush of blood. Ipecac. will cure and end the menstrual flow normally. A fortunate thing in nature is the tendency to check haemorrhage, which is always good.

There are a large number of medicines that control haemorrhage, and these you must keep at your finger's ends. They belong to emergencies. You must know the remedies that correspond to violent symptoms and violent attacks. Ipecac. is full of hemorrhage. Vomiting of great clots of blood, continuous vomiting of blood in connection with ulceration. In persons who are subject to violent attacks of bleeding, who bleed easily, who have a haemorrhagic tendency, Ipecac. will control temporarily the haemorrhage when the symptoms agree.

Severe pain in the back in the region of the kidneys, shooting pains, frequent urging to urinate, and the urine contains blood and little clots of blood. The urine is extremely red with blood, which settles to the bottom of the vessel, and lines the whole commode with a layer of blood the thickness of a knife blade. Every pint of urine that it contains will have that coating of blood in the vessel; every attack of pain in the kidney is attended with that condition of the urine. Ipecacuanha will stop that bleeding. It is true that when patients have bled until they have become anaemic, and are subject to dropsy, Ipecac. ceases to be the remedy; its natural follower then is China, which will bring the patient in a position to need an antipsoric remedy.

Then there are the "colds."

Simple, common coryzas among the children. When a cold settles in the nose, and the nose is stuffed up at night or when the adult has a coryza, with much stuffing up of the nose, blowing of mucus and blood from the nose, much sneezing, and the cold goes further down and is followed by hoarseness, extending into the trachea with rawness, and finally into the bronchial tubes with suffocation and settling in the chest, think of ipecac.

The Ipecac. colds often begin in the nose and spread very rapidly into the chest. With these colds in the nose there is copious bleeding of bright red blood. Every time he takes cold in the nose he has copious bleeding; a tendency to nosebleed with the colds. The inflammation that comes upon the mucous membrane in Ipecac. is violent.

The irritation comes on suddenly, and the mucous membrane inflames so rapidly that the parts become purple, turgescent, and bleeding seems to be the only natural relief. Stoppage of the nose and loss of smell; the nose becomes so stuffed up that he cannot breathe through it.

With the head symptoms, with the colds, with the whooping cough, with the chill, and with many of the inflammatory complaints, the face becomes flushed, bright red, or bluish red, and the lips blue; with the chill the lips and the finger nails are blue. The chill is violent, sometimes congestive in character and often a rigor. The whole frame shakes, and the teeth chatter.

There are old incurable cases of asthma that are palliated by Ipecac. and carry around a bottle of it from which they say they get much relief. It is useful in cases of humid asthma, in cases of asthmatic bronchitis, when they suffer from the damp weather and from sudden weather changes; every little cold rouses up this bronchial attack, and he suffocates and gags when he coughs, or spits up a little blood.

He has to sit up nights to breathe, and the attacks are common and frequent. These patients say they get relief front Ipecac., and it is not surprising that Ipecac. relieves that state of asthmatic breathing, because it has such symptoms. Some of these cases are incurable, they are people advanced in life.

This remedy, more wisely administered, will give more relief. A powder of Ipecac. will break up the attack, so that the patient is comfortable, and then will go on in an ordinary sort of asthmatic way, until catching another cold. The cough is rattling and asthmatic.

As a convulsive medicine Ipecac. is not well enough known.

Convulsions in pregnancy. Convulsions in whooping cough; frightful spasms, affecting the whole of the left side, followed by paralysis; clonic and tonic spasms of children and hysterical women. Tetanus, rigidity of the body, with flushed redness of the face.

These are strong features of Ipecac., and they have not been sufficiently dwelt upon, and the remedy is not sufficiently known as having these states so prominently. Medicines like Belladonna are more frequently spoken of in the books and in treatises of spasms, yet Ipecac. is just as important a remedy to be studied in relation to spasms, and its action upon the spine.

In suppressed eruptions, the symptoms will very commonly point to Ipecac.

When the eruption does not come out, or an eruption has been driven back by cold, sometimes acute manifestations of stomach and bowels follow and colds settle in the chest from suppressed eruptions, Ipecac. will also cure erysipelas, when there is the vomiting, the chill, the pain in the back, the thirstlessness and the overwhelming nausea.

Ipecac. is often sufficient for the nausea and vomiting when the scarlet fever rash is slow to come out. Instead of the rash coming out as it should, Ipecac. symptoms come on in the stomach with nausea and vomiting. Ipecac. will check the nausea and vomiting, will bring out the eruption, and the disease will run a milder course.

Adapted to cases where the gastric symp- toms predominate (Ant. c., Nux, Puls.).

In all diseases the constant nausea is guiding.

Nausea: with profuse saliva; vomiting of white, glairy mucus in large quantities, without relief; with distended abdomen; sleepy afterwards; worse from stooping.

Stomach feels relaxed as if hanging down (Ign., Staph.).

Stool: grassy green; white mucus (Colch.); bloody; fer- mented; preceded by griping, pinching pain about the umbili- cus, as from a hand, each finger seemingly pressing sharply into the intestines, aggravated by the slightest motion; cut- ting colic about umbilicus.

Hemorrhage: bright red from all the orifices of the body

(Erig., Mill.); uterine, profuse, clotted, heavy oppressed breathing during; stitches from navel to uterus; cutting across from left to right (from right to left, Lyc.); large ac- cumulation of mucus in the bronchi, difficult to raise (Ant. t.).

Cough: dry, spasmodic, constricted, asthmatic.

Difficult breathing from least exercise; violent dyspnœa, with wheezing and anxiety about the stomach.

Whooping-cough: child loses breath, turns pale, stiff and blue; strangling, with gagging and vomiting of mucus; bleeding from nose or mouth (Ind.).

Cough, with rattling of mucus in bronchi when inspiring (Ant. t.); threatened suffocation from mucus.

Pains as if bones were all torn to pieces (Lac c., Tub.—as if broken, Eup.).

Intermittent dyspepsia, every day or every other day at same hour; fever with persistent nausea.

Oversensitive to heat and cold.

Complementary: Cuprum. Nux and Puls. follow well when gastric symptoms correspond.

Slightest motion; worse in winter and dry weather; warm, moist south winds (Eup.); warm room; night.

Rest; closing the eyes.

--Quotidian; tertian; quartan. Apt to postpone and become irregular; bilious; remittent; malarial; yellow.

9 or 11 A. M. (10 to 11 A. M., Nat.) and 4 P. M.

Fever, without chill, at 4 P. M.

Irregularities and indiscretions in diet. Cases drugged with Quinine and Arsenic.

Violent retching; yawning, stretching, backache, headache, and profuse flow of saliva. Nausea.

Without thirst. Chilliness; he is always worse when in a warm place. External coldness with external heat. Chill worse in a warm room; or from external heat (Apis—> by external heat, Ars., Ign.), lessened by drinking and in the open air (Caust.—< by drinking, Caps., Cinch., Eup. Nux). Shivering; then chilliness, with coldness without thirst, at 4 P. M. The hands and feet are icy cold, and wet with cold sweat, with redness of one cheek and paleness of the other. Chill short and usually not severe, with or without nausea and vomiting. Paroxysm begins by an internal chill, made worse by external heat. Oppression of the chest.

With thirst; usually long-lasting, over whole body, with alternate coldness and paleness of face; nausea and vomiting; anxious, oppressed breathing, and dry, hacking cough, often excit- ing nausea and vomiting (cough with pleuritic stitches, Acon.—dry, teasing cough, before and during chill, Rhus—cough during chill and heat, Bry.); cold hands and feet. Sudden heat about 4 P. M., with sweat on arms and back; heat of entire body in the evening. External heat without internal heat (see Ign.). One hand cold, the other hot (Dig., Lyc.). Heat about head and face, sometimes with, often without, redness of cheeks, with dilated pupils and prostration of body and mind.

Sudden attacks of sweat in a room; on upper parts of body; increased by motion and in the open air (Bry.—>by motion, Caps.); by being out of doors; cold on the forehead; sour sweat with turbid urine; stains yellow. Nausea and vomiting may be present. Always worse during sweat; better after it (> by sweating, Eup., Gels., Nat.). Light sweat in uncomplicated cases, but may be sour. Sweat becomes profuse only after abuse of quinine. May cough in sweating stage. Sweat may only amount to a cold, sticky, clammy feeling of the skin in some cases.

At first clean; then coated yellowish or white; pale in all cases. Taste bitter, sweetish, like rancid oil. Desire for sweets, dainties.

Never clear; disturbed by more or less gastric trouble (Ant. c., Puls.); loss of appetite, nausea and vomiting. Stomach feels relaxed and seems to hang down loose (Staph.). Aversion to food (aversion to meat, Arn.); bad taste in the mouth, languor and debility, with absence of sleep. Bitter taste of everything eaten (Bry.—everything tastes bitter except water, Acon.); profuse secretion of saliva, and vomiting after eating. Herpes labialis.

"Short chills; long fever; cold hands and feet; great oppression of the chest, he can hardly breathe. Always after previous drugging with quinine."—N. A. ROTH.

"Intermittent fever; nausea and vomiting predominate; slight chills are followed by much heat, with thirst and no subsequent perspiration. Fever consequent upon abuse of Quinine; slight chilliness without thirst, afterwards violent heat, with thirst, nausea and vomiting, dyspnœa, stitches in the chest, finally copious perspiration.”—LIPPE.

If paroxysm has been suppressed by Quinine, Ipecac- uanha is all the more indicated.

Relapses from improprieties in diet always an additional indica- tion for Ipecacuanha. This is a very common cause of a return of paroxysm and one frequently overlooked by physicians. In all forms and types of fever, reckless or over eating is perhaps the most frequent cause of relapse.

The persistent nausea, which does not always amount to vomiting, that is usually present in every stage, is the “guiding symptom” of Ipecac., although it may be and often is indicated when neither nausea nor vomiting is present. When fever returns in another form, after suppression by Quinine, and symptoms do not clearly point to any remedy, if nausea or vomiting were pres- ent in first onset of disease, Ipecac. will often cure.

In his “Forty Years’ Practice,” Jahr places Ipecacuanha at the head of the list of remedies in the treatment of intermittent fever, and recommends its administration in commencing the treatment of every case. He says: “I almost always commence the treat- ment with Ipecac.³⁰, unless some other remedy is distinctly indi- cated. I give a few globules in water, a teaspoonful every three hours, beginning immediately after the chill. By pursuing this course I have cured many cases of ‘fever and ague’ by the first prescription, thus saving myself a good deal of unnecessary seeking and comparing. If it does not help altogether, it changes the character of the fever so that Arn., Ars., Ign., Nux, etc., will complete the cure.”

This advice is also given by J. S. Douglas in his work on Inter- mittent Fever, p. 80; and a number of our closest and most suc- cessful prescribers have adopted it, with apparent success. H. V.

Miller says: “I am apt to give Ipecac. when I do not clearly see the indications for another remedy. Then it serves to clear up the case and prepare the way for some other remedy to complete the cure.”

I cannot endorse the above indiscriminate use of Ipecac., on principle; it is empiric practice, and will certainly be attended with many mortifying failures. That it is infinitely superior to the more prevalent, empiric and indiscriminate use of Quinine, and attended with less failures and less constitutional derange- ments, I have no doubt at all. If the attack can be traced to dietetic irregularities, this advice of Jahr is undoubtedly sound; the best proof being its success at the bed side. A case like the following very often occurs in practice:

A messenger is sent many miles for some medicine for "ague;" and that is all the information we can obtain. If we do not pre- scribe some one else will; and rather than lose a patient and have it said that we cannot cure "so simple a thing as ague" we make a "chance shot," and, unless we have found the "genus epi- demicus" of the season, are as apt to fail as to cure.

This is, in my opinion, the opportunity to follow Jahr's advice and exhibit Ipecac.; and it would be infinitely better for our patient, our school of medicine, and our professional reputation, if we did so instead of sending Quinine. Ipecac. covers a much larger range of symptoms than Quinine, and, in a case like the above, will cure more patients.

In regard to this routine habit of prescribing Ipecac., Dr.

Chargé says: "I have known practitioners, highly commendable in other respects, who always began with Ipecac, under the pre- tense that, after it, the case was better outlined and the choice of the true specific was consequently easier. This is simply an encouragement to indolence. Ipecac. presents itself to us with so clearly defined features, that it is impossible with a little attention not to recognize at once the cases which call for it.

Persistent nausea. Indiscretions in diet may have caused the original attack, or the relapse. Chill < in a warm room and from external heat. Suppressed by abuse of quinine. When the paroxysm is changed and masked by drug- ging.

Chill not marked and distinct, being either a chilliness up and down the back or a mingling of chills and heat; half an hour the longest. If thirst in chill, may continue during chill and heat, although rarely so severe in heat. Great lassitude and weariness during chill. Chill usually followed by nausea and vomiting, first of contents of stomach, afterwards of bile. Hot stage lasts four or five hours, and even all night. Sweat light, partial, on single parts (Bry.), sour. If mixed with Quinine cachexia, profuse, sour, and soaking the bed through.

In the irregularity of the different stages of the paroxysm, as well as the universality of its indication, Ipecacuanha resembles

Arsenic, and should always be thought of where indiscretions in diet may have been the cause of original attack, or have produced a relapse. The greatest prostration occurs during chill (the pros- tration of Arsenic. is greatest after heat).

Always $<$ during sweat.

Full of desires, but knows not for what.
Screams, howls violently.
Taciturnity, wrapt in thought.
Ill-humor, despises everything.
Irascible, restless, angry in suddenly appearing spells.
Ailments from anger, mortification, or vexation, with indignation.

Vertigo when walking and when turning.

Headache, as if bruised, all through bones of head and down into root of tongue: nausea, vomiting; better out-doors.
Heat and throbbing in the head, with red cheeks.
Aching in the forehead; fine stinging pains in forehead.
Throbbing in the forehead.
Pains into eyes, with lachrymation.
Semi-lateral headache, with nausea and vomiting.
Lancinating in the head.
Pain in occiput and nape of neck.

Open fontanelles; occiput and neck sore.

Worse from light, especially of candle.
Blue and red halo around the light.
Obscuration of sight; eyes inflamed, red.
Dilated pupils.
Red circle around the cornea.
Scleroticæ yellow.
Violent inflammation of the sclerotic conjunctiva; chemosis; profuse lachrymation; gushing of tears; nausea.
Cornea dim, with a number of depressions on it; pustules.
Severe shooting pains through the eyeballs.
Twitching of the eyelids.

Cannot endure the least noise.
Ears cold, during the febrile heat.

Loss of smell; catarrh, with nausea, epistaxis; stoppage of nose.
Nosebleed; blood bright.

Face: pale, bloated; livid; yellow; deathly pale, eyes sunken, and with blue margins.
Periodical infra and supra-orbital neuralgia, with photophobia, lachrymation and smarting eyelids; malarial.
Convulsive muscular twitchings.
Rash.

Red skin around the mouth.
Lips blue; during chill.

Child thrusts its fist into its mouth; screams; face pale; dentition.
Pain in a hollow tooth when biting on it.

Taste: bitter; sweetish, bloody; like rancid oil, when swallowing.
Tongue: clean; yellow or white; grows pale.
Disinclined to talk; tongue dry.

Saliva increased.
Smarting in the mouth and on the tongue.

Fauces dry, sore, rough, stinging.
Difficult deglutition.
Pressure in the throat, with pains in the diaphragm.

Desire for dainties, sweets.
Averse to all food, no appetite; earthy taste; stomach feels relaxed; nausea.
Thirstlessness.

Aggravation: from indigestible substances, lemon peel, raisins, cake, etc., even spasms therefrom; from fruit, salads, pastry, pork, fats, etc.
After any cold drink (also from ice-cream) colic, nausea, vomiting.
Drinking: 40.

Empty belching; copious saliva.
Hiccough with nausea.
Nausea, constant, with almost all complaints; nausea, as if from the stomach.
Nausea and retching from smoking; primary effects of tobacco.
Vomiting: of ingesta; bile; copiously of jelly-like mucus; of blood or of a pitch like substance; of a dark-colored liquid, with or without blood; of sour fluid; always with nausea.
Vomiting: with thirst, sweat, bad breath; with diarrhœa, colic, distended abdomen; after vomit, sleepy.
Vomiting worse from stooping.

Violent distress in pit of stomach.
Indescribable sick feeling in the stomach.
Gastric catarrh, from indigestible food or ice-cold things.
Stomach feels relaxed, as if hanging down.
Attacks of clutching pains.
Beating in the stomach.
Dyspepsia every day, or every other day, at the same hour.

Pain in the left hypochondrium.
Diaphragm, as if pressed between two millstones.

Gripping, as from a hand, each finger seemingly pressing sharply into the intestines; better during rest, much worse by motion.
With every movement cutting, almost constantly running from left to right.
Flatulent colic, with frequent loose stools.
Cutting about the umbilicus.
Inguinal hernia readily reducible.

Diarrhœa, with pain, causing unceasing screaming and tossing about.
Stools: yellow, painless, fermented; as if fermented, green as grass, with nausea and colic; green mucus; covered with red, bloody mucus; bloody; pitch-like or like frothy molasses; slimy, bloody, offensive, followed by tenesmus.
Autumnal diarrhœa; much griping about navel.
Beginning of cholera infantum, nausea, vomiting, colic, diarrhœa; especially in fat, pale children.
Itching at the anus.
Shooting from right kidney to knee.

Urine: scanty, dark red; turbid, with red sediment.
Unsuccessful urging to urinate.
Hæmaturia: with cutting in abdomen and urethra; from suppressed itch.

Prolapsus and hemorrhage at the menstrual period.
Menses too early and profuse.

Hemorrhage from the uterus, blood bright red, profuse, clotted; nausea; breathing heavy, oppressed; stitches from navel to uterus.
Labor-pains spasmodic; cutting across from left to right; nausea; clutching about the navel.
Lying-in: 46.

Voice hollow.
Laryngismus stridulus.
Rattling in bronchia, when drawing a long breath.
Foreign substances in the windpipe; suffocative attacks.

Breathing: sighing; quick, anxious.
Breath: fetid, with vomit and sweat; short, as from inhaling dust.
Difficult expiration.
Violent constriction of throat and chest, peculiar panting sound; gasps for air at open window; face pale; worse from least motion; threatened suffocation.
Asthma.
Loses breath with the cough.
During a catarrh, threatened suffocation, especially if it is suddenly suppressed.

Cough: rough, shaking; dry, from titillation in upper part of larynx; with every breath; with inclination to vomit; with spitting of blood from the least effort; constant, no phlegm yields, though the chest seems full; strangling, so much mucus seems accumulated in the bronchia; croupy, at night; fat children.
Whooping-cough, with nosebleed, bleeding from mouth, vomiting; loses breath, turns pale or blue, and becomes rigid.
Suffocative evening cough; continuous cough, with sweat on forehead, shocks in the head, retching and vomiting.
Expectoration, mornings, of a light red blood, mixed with mucus; or of ropy mucus, often vomited up.

Infantile pneumonia; respiration rapid, difficult; surface blue; face pale.
Rattling of large bubbles; fever, but face rather pale; cough and gagging.
Hemorrhage from the lungs; worse from least exertion; frequent hacking with expectoration of blood-streaked mucus.
Fine rattling noises in chest, spasmodic cough; nausea. θ Œdema pulmonum.

Pulse: large and soft; accelerated, but weak.

Swelling and suppuration in the throat-pit.
Cramp between the scapulæ during motion.
Shooting pains, from right kidney down thigh to knee.

Coldness of one hand, while the other is hot.

Sensation in the femur, as if dislocated, on sitting down.
Cramps in the thighs at night.
Convulsive twitchings of legs and feet.
Itching of the calves.
Ulcer, with black base, on the foot.

Pain in back and limbs.
Cold hands and feet.

Walking: 2. Turning: 2. Stooping: 16. Motion: 19, 26, 31, 40. Rest: 19. Tossing about: 20. Least effort: 27, 28. Sitting: 33.

Body rigid, stretched out, followed by spasmodic jerking of the arms.
Tetanic spasms from swallowing tobacco.
Awkward, stumbles against everything.
Convulsions: in whooping-cough; from suppressed exanthema; from indigestible food, etc.
Epileptiform spasms, with shrieks; opisthotonos; face pale, puffed; gastric derangements.
Very weak, averse to all food; nausea; sudden prostration.

Yawning and stretching.
On falling off to sleep, shocks in the limbs.
Sleep, with half-open eyes; moaning, groaning.
Sleepless.
When deprived of sleep; nausea, languor.

Morning: 27. 11 A.M.: 40. Evening: 27. Night: 17, 33.

Oversensitive to heat and cold.
Worse in winter and in dry weather.
Worse in warm moist wind, south winds: catarrhs; asthma.
Out of doors: 3, 40. Air at open window: 26. Warmth: 40. Open air: 40. Room: 40.

Chill every other day at 11 A.M.
Coldness of upper part of body.
Chill worse in a warm room or from external heat; lessened by drinking, and in the open air. Vomiting during.
Internal chill, external heat.
Backache, short chill, long fever; heat usually with thirst; headache, nausea and cough; sweat last.
Heat all over, with alternate coldness and paleness of face; cold sweat on the forehead.
Sweat: hot, sudden attacks in the room; partial, cold; on upper part of body; worse by motion; smells sour; stains yellow; increased out of doors; cold, clammy; profuse after quinine.
Intermittent fevers after abuse of quinine; also in beginning of irregular cases, especially if there is much nausea; also like Natr. mur. chill, fever and sweat with frontal headache.
Worse during heat sweat; better after it.

Attacks of illness, with loathing of food.
Every day or every other day at same hour: 17, 40. Autumn: 20.

Right: 21, 31. Left: 18. Left to right: 19, 24. Above downward: 31.

Hemorrhages, bright red.
Plethora, fat children.
Pains as if all the bones were being torn to pieces; with vomiting and pains in the bowels.
Dropsy in internal parts.
Skin and muscles lax.
Chlorosis: menses scanty; skin and mucous surfaces pale, anæmic.

Miliaria rubra, with dyspnœa, colic nausea.
Miliary rash on forehead, temples, cheek.
Skin itches; he scratches until he vomits.
Rash (of the lying-in).
Eruptions suppressed, or tardily appearing, with oppression of the chest; vomiting and tickling cough.
Erysipelas, the redness leaves too soon, with renewed vomiting.

Ipec. is followed well: by Arsen. in cholera infantum, debility, croup, chills, etc.; by Ant. tart. in foreign substances in larynx; by Nux vom., Arsen. in checked cold; by Apis in keratitis.
Antidotes to Ipec.: Arnic., Arsen., Cinchon., Nux vom., Tabac.
Ipec antidotes: Alum., Arnic., Arsen., Cinchon., vapors of copper, Dulcam., Ferrum, Lauroc., Opium, Tabac., Tart. em.
Complementary: Cuprum.

A tincture is made of the dried root of Cephaëlis Ipecacuanha, A. Richard.

Its most marked effects are observed on the gastro-intestinal and respiratory tracts; it produces nausea and vomiting (one of its most constant effects), considerable increase of the secretions, especially in the upper portion of the intestinal canal, and also dysenteric symptoms. ▶ It greatly increases bronchial secretion, causes pulmonary engorgement, and even hepatization; it also produces emphysema. ▶ Its cough is frequently spasmodic. ▶ It produces, in some cases, violent neuralgia of the eyes and head, with intense congestion of the conjunctiva. ▶ Lachrymation, etc.

Puls., Ferr., Eupat. perf., Mag. c., Cact., Nux v., Phos.

Awkward and knocking against everything. ▶ Swaying to and fro of body to either side as in drunkenness, in evening when walking in open air, with stupefaction of head. ▶ Opisthotonos; symptoms of O. and emprosthotonos. ▶ Body of the child stretched out stiff; then spasmodic contraction of arm. ▶ (Sticking here and there, caused by motion, ending in burning.). ▶ Throbbing pain in head and pit of stomach after coughing. ▶ Anxiety in blood in morning on waking, as if he had been in great heat or had perspired profusely or were awakened by anxious dreams, with heaviness of head as if brain were compressed. ▶ Sensitiveness to cold and warmth. ▶ Restlessness. ▶ Weakness; and indolence, depression of spirits and shivering. ▶ Stiffness.

▶ Cries and screams constantly (a child), sticks its fists into its mouth, face pale, body rather cool. ▶ Whining, must be carried. ▶ Impatient. ▶ Ill humor; scoring everything and desirous that others shall not value anything; because his business does not proceed fast enough and no desire to talk, inclined to weep; and quiet, retired in himself, scorning everything; and sinking of courage. ▶ Exasperated at slightest noise. ▶ Angry; often at trifles and again just as easily can be quieted. ▶ Scrupulous, fearful, thinks trifles are very important. ▶ Longing, but he knows not for what. ▶ Pleased with nothing. ▶ Averse to everything. ▶ Disinclination to work; to literary work, ideas fail him. ▶ Slow flow of ideas.

Sticking, with heaviness; paroxysmal S., then pressure. ▶ Tearing in morning after rising, amel. afternoon. ▶ Aching; tensive. ▶ Bruised feeling in brain and skull, piercing through skull into root of tongue, with nausea. ▶ Drawing here and there. ▶ Feeling as if H. and forehead were compressed. ▶ Heaviness; with sleepiness. ▶ Confusion. ▶ Fulness, agg. cerebrum. ▶ Vertigo; on walking; only on walking, agg. turning around, with disappearance of thought.

Sticking on touch; S. above eye on stooping, with swollen sensation. ▶ Tearing, agg. stooping; agg. touch. ▶ Boring. ▶ Pain, with heaviness of eyes; P. extending to vertex; pressing outward P. in left side, agg. moving head; burning P., agg. touch.

Pressing-out, almost boring pain alternately in temples and in a spot over orbits, amel. pressure and closing eyes. ▶ Pain under left temple as if it would burst. ▶ (Constriction in left temple and above orbit.). ▶ Pain externally on parietal bone as from a thrust with a dull point. ▶ Sticking in vertex. ▶ Feeling as of a band across the top of H. from ear to ear, with headache, agg. moving, and throbbing pain behind left, then right ear. ▶ Pain in occiput and nape from moving head; tensive P. in O. and nape, extending to shoulders.

Continue in Allen 32 more passages →

Produces nausea and vomiting; increases secretions, especially in the upper part of the intestinal canal; sometimes true dysentery.
It increases secretions from the bronchi, and may even cause hepatization, as well as emphysema.
The cough is generally spasmodic.
A general hæmorrhagic tendency.

Weakness, with aversion to all food, and a general association of nausea with all the symptoms.
Sensitiveness to cold and warmth.
Rigid stretching out of the whole body.
Body bent backward and forward, in rigid spasms.
Symptoms in general, > in the open air.
More frequently found indicated in persons with light hair.

Very irritable and impatient.
Ill humor, but quiet.
Intolerance of noise.
A child cries and screams constantly.
Shooting pains in the vertex.
A bruised feeling throughout the brain, extending from the skull down to the root of the tongue, with nausea.
Painfulness of the occiput and nape of the neck.

Violent, shooting pains through the eyes, with profuse lachrymation; redness.
Collection of hard mucus in the external canthi.

Clinical:
Pustular conjunctivitis, especially in children.
Granular lids.
Inflammation of the cornea, threatening ulceration.

Clinical:
Ears are cold during the fever.

Sneezing; violent, paroxysmal; discharge of thin mucus; associated with cough and expectoration.
Violent nose-bleed.

Generally pale, with blue rings around the eyes; convulsive twitchings of the facial muscles and lips.
Red and sore about the mouth; a biting eruption and ulcers on the margins of the lips.

Toothache in a hollow tooth as if it would be torn out.
Salivation; constantly obliged to swallow; with nausea.
Biting pain in the mouth and on the tongue.
Tongue yellow, coated yellow.
A sweetish taste of blood in the mouth.

General loss of appetite as from weakness of the stomach.
Aversion to all food; or dislike for sweets and dainty things.
No thirst.
Nausea, which seems to come from the stomach, with empty eructations and salivation.
Retching and vomiting of food; of bile; of green, bilious mucus; of blood; renewed after taking cold drinks or smoking tobacco.
A feeling as though the stomach hung down relaxed.
Persistent nausea is the general accompaniment of Ipecac symptoms:

Clawing pains as from a hand clawing the intestines; < motion.
Cutting pains about the navel, with shivering.
Colic, with frequent stools.

Diarrhœa of greenish mucus, with nausea and colic; bloody stools, with tenesmus.
Fecal stools, covered with bloody mucus.

Urine generally diminished; dark red; sometimes bloody, with cutting pains in abdomen and urethra.
Ineffectual urging to urinate.

Menstruation early and profuse.
Dragging towards the uterus and anus.

Clinical:
Uterine hæmorrhage of bright but clotted blood.
Hæmorrhage following labor or after a miscarriage, with persistent nausea and faintness, sometimes with colic and sinking in the abdomen.

Cough, suffocative, (a child becomes stiff and blue in the face); caused by constrictive tickling from upper part of larynx to lowest bronchi; so spasmodic as to cause vomiting; < walking in cold air and after lying down and by deep inspiration.
Suffocative paroxysms of cough, > in the open air, < in the house.
Expectoration of yellow mucus, or of blood.
Suffocative dyspnœa, with wheezing throughout the bronchi; weight and anxiety about the heart, etc.
Loss of breath on the slightest effort.

Clinical:
Spasmodic asthma.
Capillary bronchitis, with spasmodic cough and vomiting.
Bronchitis, with much mucus, especially in the large tubes, and from expectoration.
Cough, like whooping cough; patient gets red and blue in the face and vomits; sometimes has bleeding from the nose or lungs.
Bleeding from the lungs, with a feeling of bubbling in the chest and frothy expectoration.

Bruised pain in all the bones and joints.
Pain in the joints as if asleep.
A feeling as if the hip would be wrenched out of its socket on lying down.
Convulsive jerks in the legs.
Cramps in the muscles of the thighs.

Nettle-rash.
Violent itching, without any rash; must keep on scratching until a rash appears.

Coldness, external, shivering (even without thirst), followed by fever, generally after 4 P. M., and then by sweat.
One hand is cold while the other is hot.

Clinical:
Intermittent fever, characterized by persistent nausea, and especially with the chill and fever; raging headache, generally great thirst, though anything taken into the stomach is vomited.

Ipe. / (Gu.) / Imp.

Ipecac.,-We find a gem
For a flux of blood and phelgm.
Stools fermented, purging oft,
Lungs oppressed with rattling cough.
Bloody vomit-sputum-stool
Bleeding everywhere her rule.
Nausea, vomiting of bile,
Biliousness in every style;
Choking, smothering, (blue, the while)
Sometimes, too, she comes to right us
In a case fo meningitis.
Much she strengthens labor pains,
And o'er bilious ague reigns.

The Imp,-Has Persistent Nausea.

The Imp, Tab-lo Colch, the tart Creole, is in with the vain fop, Ira Sympho, at bishop Asher's

This Imp,-Who is subject to rattling cough- Is on the coast of Stiba, with DeKalb Stani, the sly hatter.

Nausea, Persistent: Ip., Tab., Lob., Colch., Tart. e., Kre., Ver. a., Nux v., Fer. p., Iris, Symph., Bis., Asar.

Rattling, Smothering Cough: Ip., Caus., Stib. a., Kal. b., Stan. i., Sul., Lyc., Hep., Tart. e.

Indicated by its persistent nausea and vomiting, not only in gastric derangement, as from eating rich, indigestible things, and in diarrhoea, but also in coughs (whooping cough), haemorrhage (from the lungs, uterus), and in intermittent fever.

Constant nausea, with pale face, blue rings around the eyes, clean tongue.

Stomach feels relaxed, as though hanging way down.

Dyspnoea, with fine, bubbling rales in the chest.

Cough constant, severe; sounds loose, but no expectoration. Distressing dyspnoea; child becomes stiff and looks as though asphyxiated. Terminates in vomiting, with great but temporary relief.

Haemptysis from slight exertion.

Spasmodic, clutching pain in the stomach.

Flatulent colic, with griping as from a hand, each finger pressing sharply into the intestine.

Stools green, like grass; like frothy molasses, fermented like yeast; bloody; with nausea and colic, especially about the navel.

Diarrhoea of children in autumn, during dentition, after eating unripe fruit; with much distressing nausea.

Uterine haemorrhage; continuous, steady flow of bright red blood, which coagulates easily; with much nausea.

Chills and fever. Chill short, preceded by much prostration. Fever sharp, lasts long, often accompanied with hacking cough and dyspnoea. Sweat sour; fails to relieve.

Worse periodically; from abuse of Quinine; from lying down.

Very excitable, impatient disposition. Taciturn peevishness, with inclination to scorn everything. Intolerance of noise. Anxiety. Crying and screaming of children.

Sticking headache in vertex or forehead. Bruised sensation in brain and racial bones, especially the parietals, with nausea and vomiting. Throbbing and shocks in. Occiput and nape painful. Blondes. Worse: In room. Better: In open air.

Twitching lids. Dilated pupils. Dim vision. Weeping, inflamed.

Coldness and chill on, during the heat.

Frequent, violent nosebleed. Loss of smell. Obstruction of, and stuffed coryza.

Pale, with blue circles about eyes. Lucid, puffed. Convulsive twitches of facial muscles and lips. Smarting eruption and aphthae on margin of lips. Redness of skin about mouth. Redness of one cheek and paleness of the other.

Hollow teeth ache as though they would be torn out, when biting on them.

Biting in, also on tongue. Difficult swallowing. Salivation. Yellow coated tongue. Bleeding from. Inflamed throat.

Taste: Sweetish, bloody, in mouth.

Intense, indescribably sickening pain in. Sense of emptiness and relaxation in. Distension and throbbing in pit. Shocks in.

Appetite: Loss of, as from a relaxed stomach. Loathing of all food. Desire for delicacies and sweet things. After effects of pork.

Thirstlessness.

Nausea, etc. - Incessant nausea and vomiting. Qualmishness, as if from stomach. Inclination to vomit and retching after cold drinks and smoking. Vomiting: Of all ingesta, bilious, of green, gelatinous mucus. Haematemesis. Bad effects of all kinds of fat. Averse to all sorts of food.

Cutting and pinching about navel, motion.

Flatulence: Flatulent colic, with frequent, diarrhoeic stools.

Diarrhoeic, as if fermented, with nausea and violent bellyache. Diarrhoea of various kinds. Dysenteric, with tenesmus. Fecal, covered with bloody mucus. Bloody, Foul - smelling. Green.

Diminished, dark red. Bloody, with cutting in abdomen and urethra (after suppressed itch). Ineffectual urging to urinate. Retained.

Menses: Too early and too profuse. Uterine hemorrhage of bright red, clotted blood.

Fetid breath. Anxious, hurried. Sighing. Suffocative attacks in room, becoming better in open air. Want of breath from slightest motion. Gasping for breath. Spasmodic asthma with contraction of throat and chest.

Dry, excited by tickling, as from sulphur vapor, especially in upper part of larynx. Whooping cough in violent, shattering, rapidly succeeding paroxysms of hollow coughs, which do not permit recovery of the breath. Incessant suffocative c. in evening, with sweat on forehead, shocks in head, retching and vomiting. With stiff body and a blue face. Haemoptysis, after every exertion. Dry in evening, in morning expectoration of bright red blood mixed with mucus, of a putrid, sweetish taste.

Spasmodic constriction. Sore pain in. Oppression. Palpitation. Rattling from accumulation of mucus within.

Opisthotonos and emprosthotonos.

Neck: Swelling and suppuration in superasternal fossa.

One hand cold, the other hot.

Sensation in hip - joint as though it would be dislocated, immediately upon sitting down. Convulsive twitches in legs and feet. Nightly cramp in calf muscles, drawing them in to lumps. Violent itching of calves. Ulcers on feet which have a black base.

Symptoms are accompanied by great weakness, repugnance to all food and nausea. Hemorrhage from all orifices of body. Asleep sensation in joints. Oversensitive to both cold and warmth. Twitches in limbs. Tonic spasm bending body backward and forward. Twitches in limbs. Tonic spasm bending body backward and forward. Gastric disturbances and disposition to hemorrhages. He falls to the floor. Shattering of entire body. The entire body is stretched out rigidly. Apoplexies. After - effects of intemperance, taking cold or eating pork. Complaints are in open air.

Bruised pain in.

Miliary or receding with in childbed. Violent itching of the clear skin of arms and thighs, with nausea, he is compelled to scratch until he vomits.

Whimpering and restlessness with half open eyes. Frequent starting up during. Complete insomnia.

Pulse: Greatly accelerated, but often imperceptible. Chill: Generally of short duration and soon passing into heat. Internal, as if under the skin, increased by warmth. With thirst. Moist coldness of hands and feet. Want of natural vital heat. Heart, General, continued, with dry, parchment - like skin, after a short chill. Anxious, dry, in evening. Sudden attacks of general heat with cold hands and feet. Mostly without thirst. With chilliness, and heat of face. Sweat: Very profuse, mostly at night. Biting, mostly sour smelling, often also cold. Frequent attacks of hot sweat when in a room. Cold, on forehead. Intermittent fever with a slight chill, violent heat, gastric symptoms and oppression of chest, Exacerbation of fever in evening.

Allied Remedies: Alum., Ant - c., ANT-T., ARN., ARS., Bry., CALC-C., Carb - v., Cham ., Chin., Coccl ., Cupr., Dros., Ferr., Ign., Kali-n., Laur., NUX-V., Op., Phos., Puls., Sul - ac., Tab., Verat-a.

Complementary: Calc-c.

Nausea accompanies most complaints.

Relieves the exhaustion following bleeding from the orifices of the body.

Tetanic spasms.

Intermittent fever with slight chills and much heat, which is accompanied with much heat, gastric symptoms, and oppression of the chest in all cases.

In the joints a sensation as if they had gone to sleep, with tingling of the same.

Bad effects from intemperance and cold.

Also, from effects of pork eating.

Miliary eruptions, when they come out with difficulty, or when they appear on females during the period of utero-gestation.

Tearing in the limbs when going to sleep.

Diarrhoea of a dysenteric nature.

Metorrhagia.

Spasmodic oppression of the chest after taking cold.

Often used in the secondary stages of cholera, when marked nausea and persistent vomiting is present.

Whooping cough.

Bad effects from the abuse of opium, arsenic and quinine.

Motion aggravates.

Amelioration in the open air.