Viburnum Opulus vib.

FEMALE ORGANS. Nerves. Left side.

Fright. Before menses. Cold; snow air. Lying on L. side.

Rest. Pressure. Open air.

Violent nervous or spasmodic effects; in females. Can't keep still. Cramping. Hæmorrhage.

Faint on sitting up. Left parietal pain. Snuffles. Frequent, profuse urination; during headache, menses, hæmorrhage, etc. Heavy ache or excruciating cramps in pelvis; > menses. Dysmenorrhœa; with flatulency, loud eructations and nervousness. Miscarriage. False labor pains. Violent, persistent after-pains. Uterine hæmorrhage. Suffocation, at night; < cold damp. Infantile asthma. Pains in back, end in a cramp in uterus or go down face of thighs. Cramps in calves before menses. Tettery spots on cheeks, arms, etc.

Related: Caul. Pul. Sep.

High Cranberry

A general remedy for cramps. Colicky pains in pelvic organs. Superconscious of internal sexual organs. Female symptoms most important. Often prevents miscarriage. False labor-pains. Spasmodic and congestive affections, dependent upon ovarian or uterine origin.

Irritable. Vertigo; feels as if falling forward. Severe pain in temporal region. Sore feeling in eyeballs.

Constant nausea; relieved by eating. No appetite.

Sudden cramps and colic pains. Tender to pressure about umbilicus.

Menses too late, scanty, lasting a few hours, offensive in odor, with crampy pains, cramps extend down thighs (Bell). Bearing-down pains before. Ovarian region feels heavy and congested. Aching in sacrum and pubes, with pain in anterior muscles of thighs (Xanthox); spasmodic and membranous dysmenorrhœa (Borax). Leucorrhœa, excoriating. Smarting and itching of genitals. Faint on attempting to sit up. Frequent and very early miscarriage, causing seeming sterility. Pains from back to loins and womb worse early morning.

Frequent urging. Copious, pale, light-colored urine. Cannot hold water on coughing or walking.

Stools large and hard, with cutting in rectum and soreness of anus.

Stiff, sore feeling in nape of neck. Feels as if back would break. Sacral backache. Lower extremities weak and heavy.

Worse, lying on affected side, in warm room, evening and night. Better, in open air and resting.

Compare: Virburnum prunifolium-Black Haw--(habitual miscarriage; after-pains; cancer of the tongue; obstinate hiccough; supposed to be a uterine tonic. Morning sickness; menstrual irregularities of sterile females with uterine displacements). Cimicif; Cauloph; Sep; Xanthox.

Tincture, and lower potencies.

Is a remedy of undoubted value in painful womb troubles. It has been used for painful dysmenorrhœa in different potencies to the 30th, and in tincture. It seems to be particularly efficacious in the neuralgic form of the disease. I have found that the symptom, pain beginning in the back and going around to loins and to uterus, ending in cramps there, is the most remarkable indication. With this symptom present, I have seemingly checked an impending abortion, and in one case even after a slight flow of blood was present.

Actæa racemosa, Chamomilla, Caulophyllum, Magnesia phos. and Viburnum are all excellent remedies in neuralgic dysmenorrhœa. In Actæa, the pains are in back, through hips and down the thighs. In Chamomilla, they make the patient mad and she says she cannot bear them.

With Caulophyllum the pains are very intermittent and spasmodic, screams with the pains.

With Magnesia phos, hot applications to the hypogastrium ameliorate more or less.

Of course we have many other remedies for this painful affection, among which are Pulsatilla, Cocculus, Cuprum, Cactus, Belladonna, Platina, etc.

For particular indications, we must refer to our Materia Medica.

Viburnum opulus. High Cranberry Bush. Cramp Bark. Water Elder. (The Gueldres Rose, or Snowball-tree of our gardens, is the cultivated and sterile variety.) N. O. Caprifoliaceæ. Tincture of the fresh bark.

After-pains. Cough, of pregnancy. Cramps. Dysmenorrhœa; spasmodic; neuralgic; membranous. Ears, painful. Epididymitis. Headache. Hysteria. Labour pains, false. Lumbago. Menstruation, painful . Miscarriage. Ovaries, pain in. Paralysis. Uterus, cramps in; bearing down in.

Viburnum opulus , a native of Great Britain, is widely distributed over the northern parts of the continent and America. In America (says Hale) the wild species is called "Cramp bark," and the knowledge of its curative virtues in painful spasmodic diseases, especially in dysmenorrhœa, is derived from the American aborigines. The tincture has a strong odour of Valerianic acid (as also has that of Vib. tinus ). Hale derived his knowledge from domestic sources. He gives these indications and directions: ( 1 ) In spasmodic dysmenorrhœa he gives a few drops of Ø to 3x thrice daily for a week before the period, every hour when the pains set in, or every fifteen minutes if the pains are severe. ( 2 ) False pains preceding labour. ( 3 ) After-pains, a dose after each pain. ( 4 ) Cramps in abdomen and legs of pregnant women. ( 5 ) To prevent miscarriage when the pains are spasmodic or threatening. Hale considers it acts like galvanism; he cured with it cases exactly resembling a series cured with galvanism by Neftel. The first provings were by H. C. Allen, assisted by eleven provers, male and female, with Ø and 1st and 30th dilutions. Their symptoms constitute the basis of the Schema. Dr. Susan J. Fenton, of Oakland ( Pac. C. J. H ., reprinted New Eng. M. Gaz ., xxx. 405), proved Vib. o . on six provers. One of the six took the tincture up to drachm doses without obtaining a single symptom. One prover was cured of a number of symptoms, but developed no new ones. The other four had very pronounced symptoms, which I have marked in the Schema (F1), (F2), (F3), and (F4). They were: ( 1 ) Mrs. A., 49, tall, slender, rigid fibre, dark hair and eyes, nervo-bilious, (F1). ( 2 ) Miss B., 21, short, plump, dark hair, grey eyes, phlegmatic, (F2). ( 3 ) Miss D., 24, nurse, short, plump, dark hair and eyes, bilious, good health, (F3). ( 4 ) Miss E., 21, nurse, medium height, dark-brown eyes, dark hair, bright, lively temperament, (F4). All took potencies at first without eliciting any symptoms. Taking the tincture all had these symptoms with variations: severe backache going through to the front or round the abdomen to uterus. Cramping pelvic pain. Temporal headache. Three had nausea with the pains. All had "sick feeling all over." — One had omission of a period; two had menses too early. The cured case was the following: Miss F., 25, housekeeper, medium height, rather slender, blonde, sanguine, was strong till late in 1891 ( i.e ., 3 1/2 years before the proving), when she had severe pelvic congestion and was fifteen months under treatment and most of the time in bed. In June, 1892, double oophorectomy was performed with great relief; but attacks of pelvic congestion with severe pain still persisted, at first every two to four weeks, later less frequently, causing impairment of general health and strength. The symptoms were: excruciating pains through lower abdomen, with bearing-down sensation and a feeling as if the body from the waist to lower part of pelvis would collapse; an indescribable sick feeling all over with severe aching in rectum; great depression of spirits; symptoms > when lying down. Vib. o . Ø was taken in three-drop doses thrice daily. After taking it for three days she lost all her symptoms and felt "perfectly well for the first time in over four years." It is evident that "sick feeling all over" in connection with pelvic complaints; and " < from movement, > by rest" are keynotes of Vib. o . Peculiar Sensations are: As if she could not tell where she was or what to do on awaking. Crushing pain in head. Opening and shutting in left parietal region. As if stabbing with a knife in eyes and ears. Ear as if bruised; as if pinned to head. As if she could not live, sick feeling at stomach. Sick feeling all over. Goneness as if stomach empty. As if body from waist to lower pelvis would collapse. As if a hot fluid running through splenic vessels. As if urine continued to flow after urinating. As if menses coming on. As if pelvic organs were turning upside down. As if parts would be forced through vulva and she must support the part. Pain in back and across lower abdomen. As if breath would leave body and heart would cease beating. Bruised feeling in back as after severe exertion. Buzzing in hands as if they would burst. Left side as if strained or bruised by over-lifting. — The left side is much more powerfully affected than the right. Vib. o . is Suited to tall, slender, dark- or fair-haired hysterical subjects. The symptoms are: < By sudden jar. > By pressure. < By motion. Rest; lying down > . Lying on left side impossible. Straining at stool < headache. Stooping = dizziness. Rising = fainting, nausea, and dizziness. < At night. < In close room. Open air > .

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High Cranberry bush. Caprifoliaceæ.
This shrub, belonging to the honeysuckle family, grows from five to ten feet high, is common in Canada and the Northern and Western States, abundant in the Catskill and Allegheny Mountains. It flowers in June and July. The bright-red acid fruit is a substitute for cranberries. The Viburnum prunifolium (black haw) should not be confounded with it.
The tincture is prepared from the fresh bark.
Provings by H. C. Allen, assisted by eleven provers, male and female ; Trans. Am. I. of Hom., 1881, p. 160.
The tincture and first and thirtieth dilutions were used.
CLINICAL AUTHORITIES.
- Dysmenorrhœa , Palmer, A. H. O., vol. 4, p. 216 ; Hale, N. E. M. G., vol. 12, p. 66 ; Am. Hom., vol. 1, p. 96 ; King, vol. 13, p. 80 ; J. H. W., N. E. M. G., vol. 8, p. 121 ; Hale, N. E. M. G., vol. 12, p. 67 ; Weinke, B. J. H., vol. 34, p. 163 ; King, Hah. Mo., vol. 13, p. 80 ; Allen, H. C., Trans. Am. I. of Hom., 1881, p. 169 ; Owens (3 cases), Trans. Am. I. of Hom., 1881, p. 176 ; Membranous dysmenorrhœa , Hunter, Hab. Mo., vol. 10, p. 255 ; Threatened abortion , C. F. M., Hom. Recorder, vol. 4, p. 58 ; Farrington, Hom. Phys., vol. 2, p. 54 ; James, Hah. Mo., vol. 10, p. 91 ; Violent after-pains , Allen, Ass, Trans. Am. I. of Hom., 1881, p. 170 ; Cough , Burnett, Org., vol. 2, p. 345.

Depressed.
Unable to concentrate mind on usual mental labor.
Inability to study.
Stupid feeling, as if she could not tell where she was or what to do on awaking in morning.

Vertigo : inclines to turn to left ; in rising, as if would fall forward ; on closing eyes.

Slight frontal headache in forenoon.
Dull frontal headache.
Dull throbbing, frontal headache, extending to eyeballs, < by mental exertion, and > by moving about.
Dull, confusing frontal headache, extending to temporal regions, as after night watching, or loss of sleep, so severe as to compel cessation of mental exertion.
A severe frontal headache with occasional vertigo set in, continuing with severity for six or seven days, almost incapacitating for study, and accompanied by profuse and frequent urination.
Severe pain in left parietal region ; pain sharp and penetrates into brain, < by every cough, moving head and when bowels move.
Dull aching pain over left eye.
Dull, heavy headache, mostly over eyes, < on left side, at times extending to vertex and occiput (principally when delayed menses should appear), < by a sudden jar or bending over, false step and movement.
Dull supraorbital and frontal headache, with profuse flow of watery clear urine.
Severe pain in head just over eyes on opening them ; soreness extending back into head.
Severe pressive pain in right supraorbital region.
Severe left sided headache ; eyes heavy ; felt sick enough to go to bed.
Headache beginning about 3 P. M., < at night.
Dull, throbbing headache, continuing all evening, and so severe on retiring that she felt sick all over.
Every cough hurts head.

Amaurosis.
Heaviness over eyes and in balls, at times, must look twice to be sure of seeing an object.
Sore feeling in eyeballs ; sharp jerking pains as from knife.
Eyes burn ; can hardly see on account of profuse flow of tears.

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Decreased.
Unable to concentrate mind on usual mental labor.

Vertigo: inclines to turn to left; on rising, as if he would fall forward; on closing eyes.

Dull frontal headache; and throbbing, extending to eyeballs, worse mental exertion, better moving about.
Frontal headache, occasional vertigo, incapacitates for study; with profuse and frequent urination.
Dull, heavy headache, mostly over eyes, worse on left side, at times extending to vertex and occiput, principally when delayed menses should appear; worse sudden jar, bending over, false step, movement.
Severe pain in left parietal region, sharp, penetrating brain, worse every cough, moving head, when bowels move.

Heaviness over eyes and in balls, must, at times, look twice to be sure of seeing an object.
Eyes burn; profuse flow of tears.
Sore feeling in eyeballs.

Sharp, jerking pains as from knife.
Wakens at night with pain in ears, deep in bone.
External ear sore as if bruised; cannot lie on it; must rub ear, it feels as if pinned to head.

Flushed and hot.

Dry; broad and white, centre brown, takes print of teeth.
Taste: coppery; disagreeable.

Lips and mouth dry.

Constant nausea; also relieved while eating; followed by vomiting.
Deathly sick at stomach as if could not live, every night; worse least motion.

Food lies heavily.
Stomach felt faint and nauseated, must lie down (for ten days after menses cease).
Goneness as if empty.
Aching, better stretching body and throwing stomach forward.

Spleen: darting pain deep-seated; feels as if hot fluid was running through splenic vessels, better walking about room.
Intense pain in splenic region, faintness, better by sweat.
Severe throbbing pain under left floating ribs, better from hard pressure and walking; cannot lie on left side.

Tender and sensitive, worse about umbilicus.
Cramping colicky pains in lower abdomen, almost insupportable, coming suddenly and with terrible severity.

Constipation: stools of large, dry, hard balls; voided with such difficulty as to need mechanical aid; much tenesmus; or, inactive rectum.
Dark blood after stool.
Diarrhœa profuse, watery, with chills, and at same time, cold sweat that rolls off of forehead.

Urine: clear, profuse, frequent; sensation after micturition as if urine was still flowing, during menses and also with headache.

Seminal emissions without dreams.

Before menses: severe bearing down, drawing in anterior muscles of thighs; heavy aching in sacral region and over pubes; occasional sharp, shooting pains over ovaries; pains make her so nervous she cannot sit still; excruciating, cramping, colicky pains in lower abdomen, and through womb; pains begin in the back and go around, ending in cramps in uterus.
During menses: nausea; cramping pain and great nervous restlessness; flow ceases for several hours, then returns in clots. Flow scanty, thin, light-colored, with sensation of lightness of head, faint when trying to sit up. Spasmodic or membranous dysmenorrhœa.
Leucorrhœa thin-yellow, white or colorless, except with the stool, when it is thick, white, blood-streaked.

Threatened abortion; intense cramp in uterus and bearing down; or, pain around from back, ending in excruciating cramp in lower abdomen (many cases).

Neck stiff, with pain in occiput.
Tired, bruised pain in muscles of back, from point of scapula to wing of ilium on each side, better from firm pressure.

Buzzing feeling in hands, as if they would burst.

Walking: 18. Moving: 3. Rising: 1. Lying: 17. Stretching: 17. Sitting up: 23.

Restless, unrefreshing.

Worse evening and night: 6, 16.

Worse in a warm room.
Better in open air.

Chill from 8 to 1 A.M., or 12 M. followed by severe headache.

Left side most affected.

Pressure: 6, 18, 31. Sudden jar: 3.

Compare: Cauloph., Act. rac., Gelsem., Sepia, Chamom., Secale, Xanthox., Coccul., Pulsat., Symphoricarpus (uterine nausea).
Viburnum, in a threatened abortion, relieved; but renewed symptoms differing only in the appearing of an irritable, peevish state of mind, required Chamom., which cured.

A tincture is made of the fresh bark of the root of the "high cranberry." (It contains Valerianic acid!).

Pains flying from one part to another; wandering, tired pains extending to hips and knees, with disinclination to move about. ▶ Soreness of muscles of left side of body. ▶ Nervous, cannot keep still. ▶ Languid and dull feeling. ▶ Tired in morning on rising. ▶ Inability to lie on affected side; on left side. ▶ Aggravation in evening at night; A. in a warm room. ▶ Amelioration in open air; from pressure; from motion, walking.

It is used for hysteria.

Spasmodic dysuria.

Dysmenorrhœa, excruciating colic through the uterus and lower part of the abdomen, just preceding menstruation. ▶ It is very valuable for after-pains. ▶ The uterine pains are like those of Sepia, extending around the pelvis to the uterine region, with sensation of emptiness and goneness, but they are much more violent and become cramplike, sometimes extending down thighs. ▶ Membranous dysmenorrhœa. ▶ Cramps in the calves always between the menses, agg. just before the period, with scanty, delayed menstruation, dysmenorrhœa, etc.

Exaltation of spirits, in some cases followed by depression. ▶ Depressed. ▶ Irritable, wishes to be alone. ▶ Confusion; and inability to concentrate it. ▶ Stupid feeling as if I could not tell where I was or what to do, in morning on waking. ▶ Inability to perform mental labor.

▶ Hurt by every cough. ▶ Pain beginning about 3 P.M., agg. night; P., with red face; throbbing, all the evening, so severe on retiring that I felt sick all over; heavy, agg. over eyes, agg. left side, at times extending to vertex and occiput (agg. when delayed menses should appear), agg. a sudden jar, bending over, false step or movement. ▶ Dull and sluggish. ▶ Vertigo; in afternoon on closing eyes; agg. descending stairs or walking in a dimly-lighted room; with inclination to turn to left ; as if he would fall forward, on rising from a seat.

▶ Pain; over left eye; in right supraorbital region; in forenoon; over eyes on opening them, the soreness extending back into head; with occasional vertigo, almost incapacitating him for study, with profuse and frequent micturition; and in supraorbital region, with profuse, clear, watery urine; beginning over right eye and extending to vertex, with fulness in head and pressure on vertex; throbbing, extending to eyeballs, agg. mental exertion, amel. moving about; confusing, extending to temples, as after night-watching, compelling cessation of mental exertion.

Pain in left temple, with pinching; P. in left side of head; sharp, in parietal region, penetrating into brain, agg. coughing, moving head and stool. ▶ Aggravation on right side. ▶ Hair feels as if pulled. ▶ Scalp sensitive to touch.

Swelling about right, with induration. ▶ Sclerotica streaked with blood. ▶ Sensation of sand. ▶ Pain, agg. right, with congestion. ▶ Sore feeling on closing lids. ▶ Burning and lachrymation. ▶ Heaviness, feel almost sick enough to go to bed; H. over eyes and in balls, at times had to look twice to be sure of seeing an object. ▶ Balls feel sore. ▶ Lids swollen.

Stabbing. ▶ Pains in bone, waking at night. ▶ External ear sore as if bruised, cannot lie on affected side of head, had to rub ear and it seemed as if I must straighten it out, sensation as if pinned to head, lay on other side and was awakened by the same feeling in that ear, in consequence compelled to change position often.

Sneezing. ▶ Watery coryza. ▶ Face flushed and hot. ▶ Lips dry.

Tooth sore on pressure. ▶ Tongue broad and white, with brown centre and imprints of teeth. ▶ Dryness of tongue; of mouth. ▶ Taste disagreeable; coppery. ▶ Tickling in right side of pharynx, causing cough.

Nausea; every night; during menses; for ten days after menses, with faintness at stomach; amel. eating, with faintness, both returning; in pit of stomach, amel. lying perfectly quiet, faintness always on trying to get up; with faintness; (without inclination to vomit), amel. eating; then vomiting. ▶ Pain; in afternoon, amel. stretching body and throwing stomach forward; cramplike, and in abdomen, doubling him up. ▶ Sensitiveness of region. ▶ Indigestion, food lies heavy. ▶ Goneness.

Rumbling and darting pains. ▶ Darting pains, which settle about navel. ▶ Flying pains. ▶ Bearing-down pains as during menstruation, with heavy pain over pubes; B. down pain, with drawing pains in anterior muscles of thighs and occasional shooting in ovarian regions. ▶ Sensitiveness to pressure, agg. about umbilicus. ▶ Pressure of flatus in left side. ▶ Throbbing pain under left floating ribs from 11 P.M. till 3 A.M., amel. hard pressure and walking about the room. ▶ Throbbing in left hypochondrium when lying on left side. ▶ Sticking in spleen in evening, amel. walking about the room, with sensation as if hot fluid ran through its vessels. ▶ Pain in region of spleen causing faintness, amel. sweat. ▶ Cramping pain in hypogastrium during menstruation; sudden C. pain; as before menstruation, agg. night.

Hæmorrhage of dark red blood during and after stool. ▶ Inactivity, no inclination for stool.

Watery, profuse, frequent, at menstrual period, with chills and cold sweat rolling off forehead. ▶ Constipation; with tenesmus, when bowels moved pain in left orbital region; desire, with much straining; alternating with diarrhœa. ▶ Hard, large, with cutting in rectum and anus; H., large, painful and so difficult that mechanical assistance was necessary; scanty, in balls, difficult; and scanty, with hæmorrhage, with constriction of rectum and anus; and long, large, difficult, having a desire to evacuate, but on attempting feels as if nothing were there, stool slow and only after long straining. ▶ Large, difficult, with urging. ▶ Irregular. ▶ Omitted two days, then hard, with blood and soreness of anus.

Sensation after micturition as if urine continued to flow. ▶ Copious urine; in morning, clear, watery, sp. gr. 1019, frequent micturition; every hour in afternoon and evening; at night, and pale, sp. gr. 1021; every hour or two during menses, and clear, light-colored; and watery; in afternoon, watery, clear, micturition frequent. ▶ Light-colored urine.

Pain in right side of epididymis, with swelling; of left side of E. and left testicle, with swelling. ▶ Emission without dream.

Leucorrhœa; thick, white and copious; thin, yellowish-white after menses; thin, colorless, except with ever stool, when it was thick, white, inodorous, blood-streaked; causing redness, smarting and itching of genitals. ▶ Sudden pain in womb and hypogastrium before menstruation. ▶ Pain in ovarian region. ▶ Congested feeling in pelvic organs, as before menses. ▶ Bearing-down pains in pelvic region, with uneasiness; B. down as before menses; as during menses, with heavy aching in sacral region and over pubes; as during menses, with drawing pains in anterior muscles of thighs, every day after 3 P.M., with occasional shooting over ovaries, later the same pains, with nervousness, could not sit or lie still on account of the pains. ▶ Menstrual pain, with feeling as if the breath would leave her body and heart would cease to beat. ▶ Menses too early, profuse and offensive; too late, scanty, thin, light-colored, lasting but a few hours, with lightness of head, faintness on attempting to sit up; looks like jelly; stains permanently; ceased for several hours, then four large clots of the color of raw beef, and as solid as liver; for two days flow like normal M., but with cramping pain and nervousness.

Hoarse. ▶ Suffocating spells at night. ▶ Shooting over left sixth rib near sternum. ▶ In lungs sensation as if muscles of chest failed to act, causing dyspnœa. ▶ Heart's action increased.

Stiffness, with pain in occiput; S. in nape, with sore feeling.

▶ Pain as if it would break during menses. ▶ Lame and bruised feeling in muscles. ▶ Wandering, tired pains in muscles, agg. left side. ▶ Tired, bruised pain in muscles from point of scapula to wing of ilium, on both sides of spine, amel. firm pressure. ▶ Pain in lumbar region; between left floating ribs and wing of ilium, amel. pressure, but must keep moving; in kidney region, agg. working in laboratory, amel. pressing across back with arms crossed; in left loin and left hypochondrium, causing faintness, amel. warm sweat though the night was cool; throbbing, in left loin, agg. lying down, amel. walking with cane pressed across back; in back, loins and hypogastrium as if menses were coming on, agg. early part of evening and in a close room, amel. open air and moving about.

Pain in right shoulder. ▶ Soreness of left shoulder in region of subclavian muscle, agg. rest and wet weather, amel. motion, with lameness. ▶ Pain in left biceps. ▶ Numbness of left arm and hand. ▶ Buzzing feeling in hands as if they would burst. ▶ Swelling of fingers, agg. washing in cold water, with numbness. ▶ Weakness of lower, with heaviness. ▶ Feeling in feet as from the starting of circulation after constriction is removed.

Sleepy after dinner. ▶ Sleep restless and unrefreshing; R. and disturbed; disturbed by slight noise. ▶ Disagreeable dreams. ▶ Chill from 8 till 10 A.M. or 12 A.M., then headache.

Aggravation from lying on the affected side; in a warm room; evening and night.
Amelioration in the open air, from motion, also from pressure.

Sudden pain in the region of the uterus before menstruation.
A feeling of heaviness and congestion in the ovarian region, as before menses.
General heaviness and bearing-down in the pelvis, with heavy aching in the sacrum and pubes and drawing pains in the anterior muscles of thighs; could not sit or lie still on account of the pains.
Menstruation too late and scanty.
Light-colored.
Faintness on attempting to sit up.
The above symptoms generally associated with copious micturition, of pale, light-colored urine; often with constipation; stools large and hard, with cutting in the rectum and soreness of the anus.

Pain as if it would break during menses; usually < evening and a close room; > open air and moving about.