Creating Waves of Awareness
The Gleanings-IV ENT-II
EAR - NOSE - THROAT
Dr. M. A. USMANI
[In the treatment of diseases relating to nose, cases should be so taken as to lay bare the background of the active and slumbering miasma of the case. All the chronic cases should be miasmatically dealt with. One will find that limiting oneself to the indicated remedy, determined on the basis of pathology and the modalities of the symptoms, the disease keeps coming back and reappear again and again. On such occasions and in such cases, prescribing basis should be changed. The miasmatic remedy, especially the biologic, and particularly the nosodic remedy, should be sought for and dispensed. Having found such a remedy, it should overrule the whole case. Refer my article.
CAN ANYTHING OVERRIDE THE PRINCIPLE OF‘SYMPTOMS TOTALITY’ IN HOMEOTHERAPEUTICS:
Can Anything Override The Principle of 'Symptoms Totality' In Homeotherapeutics?
My most cases, in this area of therapeutic, get cleared up by Tuberculinum, Bacillinum, and Bacitub (my combination of Tuberculinum and Bacillinum), and, lately, also by Carcinosin. Miasmatitic remedy, especially the nosode, can be followed, as many of my colleagues might have penchant for, by the usual indicated, acute or sub-acute, remedy, or remedies; and thus expediting the pace of cure. But my ‘sloth’ keeps me from so doing. I can’t, therefore, aver the efficacy of such a proviso or nostrum. But this much I’m sure that the biologic nosode must be given, and, with me, many times, this alone suffices. Dr. M.A. Usmani]
Winter Catarrh: Ammonium Carb.
Useful in nasal catarrh. The nose is stopped up at night; the patient wakens up gasping for breath. He is worse at 3 or 4 a.m. The cough is dry and tickling, associated with hoarseness, and with a great deal of oppression from mucus in the chest. The nostrils are sore and raw, and sometimes, in children, there is discharge of bluish-colored mucus. (This symptom is also found in Kali-bi., Nat.Ars., Am.m., and amb.gr.) At times the coryza is scalding, excoriating the upper lip, with burning in throat and along the trachea. There is feeling of a lump in the throat. Dry night cough comes, which seems to threaten suffocation. Beating like a pulse in the chest. Am.Carb.is particularly suited to winter catarhhs. The sputum is slimy and contains specks of blood.
D.D. (i.e. Differential Diagnosis) with Am. Mur.
Carbonate cures catarrhs, worse in winter, nose stopped up, worse at night, awakening the patient from sleep, gasping for breath, worse three to four A. M. The Muriate causes, intensely, stoppage of one nostril; both stopped up at night; nostrils sore and raw; discharge of bluish mucusor scalding coryza.
In the 3 a. m. aggravation Am.Carb. can be compared with Kali salts.
Am.Causticum can be compared in respect of rawness under the sternum, this is the best remedy in the whole materia medica for aphonia, with burning rawness in the throat.
Causticum and Carbo Veg. are very similar to Am.Carb. in this burning rawness down the sternum. (CMM p.661)
1) Perfect picture of sneezing influenza, involving post-nares, palate and fauces; pain in forehead and eyes. Lobil. Syph.
2) Profound prostration of all the vital forces, and nervous system. Influenza when there is marked nervous prostration,with all the catarrhal symptoms in the upper air passages:
Influenza: with high temperature, chilly even before fire. Ars-S-R
Post-Influenzal Loss of Taste and Smell: Coca
To break up an Acute Cold: Saponaria
Saponaria is of great use in the treatment of acute colds, coryza, sore throat etc. Will often break up a cold. (Boericke)
Repeated colds of Tuberculosis: Solidago.V
Dose 2X. (Boericke)
Frequent Sneezing with sudden attacks of Watery Coryza: Plantago
Coryza with Stopped-up Nose: Teuc.M.V.
Ripened Cold: Hep. Sulph.
Hep. is seldom a remedy in the incipiency but in the advanced stages of a cold. If given in commencement it often spoils the case “whether it be one of coryza or of sore throat.” [This we will discuss again in the Throat Chapter. MAU] Hep. is indicated in the ripened stage when phlegm has formed. The catarrhal process may have affected the ethmoid, with boring pain in the parts…When the cold reaches the chest Hep. does wonderfully well if the catarrh threaten to affect the capillary tubes. [CMM p.685f. Read on for further advancement of Hepar case into pneumonia and pulmonary tuberculosis.]
Frequent Nose-bleed: Vinca Minor
Nose becomes red from the slightest cause’ e.g. when the least bit angry. [Dic.Pr.]
Chronic Nasal and Post-Nasal Catarrh
Pulsatilla:Discharge is thick, muco-purulent, yellow or yellowish-green, and not in the least excoriating. Loss of taste and smell. [“you must give the drug frequently and persistently, in order to cure.”]
Cyclamen: All the above symptoms with loss of taste and smell, but in addition spasmodic sneezing and aversion to open air. [‘itching in ears, during coryza’ is a characteristic symptom of Cyclamen, not mentioned in most of the Repertories, except Knerr; and Lilienthal in his Therapeutics. MAU]
Penthorum Sedoides: is useful in the incipiency of coryza when there is rawness in the nose and throat. Also constant wet feeling in the nose, without coryza. Later there is a formation of thick purulent discharge, just as in Pulsatilla.
Spigelia: One of our remedies for catarrh of the posterior nares. Profuse discharge of mucus through post. nares. Nasal mucus passes off only through the post. nares.
Hydrastis: Posterior nasal catarrh; discharge is thin, watery character, acrid, burning causing rawness, with a sensation of a hair in the nostrils. [CMM p. 348]
Phosphorus:Indicated by the color of the discharge, which is green mucus and blood-streaked. Green mucus, not blood-streaked, does not often require Phosphorus. [ibid.571]
Solid Chunks from the Posterior-Nares: Kali.bi., Baryta Carb., Sepia, Teucrium. [CMM 656]
Epistaxis: Merc. Viv.
Mercurius is indicated in hemorrhages. It is often called for in nose-bleed, particularly when the blood is coagulated, and hangs from the nostrils like icicles. [‘Practical hint: Nose-bleed appear in the scrofulous child, or in a full-blooded patient, a boy, at the age of 15 or 16, when congestions are so frequently noticed. Read more CMM p.591]
Epistaxis on Washing Face: Ononis Spinoza
Epistaxis with Occipital Headache: Rhus Glab.
Coryza and Catarrh of Natrum Carb.
The catarrhs, curable by Nat.Carb., are not commonly met with, but when they do occur, there is no drug that can take its place. The coryza is fluent, and is provoked by the least draught of air, and seems to have periodical aggravations, every other day. It is entirely relieved by sweating. Chronic cases of nasal catarrhs or even ozaena call for Nat.Carb., when we find thick yellowish-green discharge from the nose, as hard foeted lumps. The tip of the nose is red. Accumulation of mucus in the posterior nares, or in the throat in the morning, causing hemming and hawking, until it is raised. This is very common symptom in all alkalies. [CMM p.693]
Post-Nasal Catarrh and obstruction of Nose, Associated with Liver Disorders: Myrica Cer.
[Dic. Pr. Clarke]
Fluent Coryza with Stuffed up Feeling: Nat. Ars.
[The Arseniate of Soda affects markedly the mucous membranes, producing dryness and sensitiveness to dust, smoke and even the indrawn air; and later the secretion of tough gluey mucus, crusts, etc. This property of the drug has led to its use in catarrh of respiratory passages.]
It is indicated in a coryza which resembles somewhat that of the parent Arsenic. There is a copious discharge of watery fluid from the nose, and yet the nasal passage feels to be stopped up. This is accompanied with a dull supra-orbital headache; compressive pain at the root of nose, dryness and smarting of the eyes and injected conjunctiva. Dryness of the throat. A good deal of sneezing, provoked by the least draught or inhalation of cold air. All these symptoms are worse in the morning and forenoon. This continues until the mucus secretion becomes thicker. Then a tough yellow or yellowish grey mucus drop down from the post-nares into the throat. Or bluish mucus blown from the nose followed by bleeding. At night and in the morning the nose is stuffed up compelling the patient to breathe through the mouth. Here it reminds you of Ant-t., Lach., Lyco., Op., Samb., sulphur.[for chest symptoms after coryza cf. Chest Chapter]. (CMM p.706]
Coryza from the Least Exposure to Fresh Air: (The Naso-Phryngeal Symptoms of Kali-Carb):
Kali-Carb. can be given in coryza with hoarseness or aphonia. The patient catches cold at every little exposure to the fresh air. This is very strong symptom of Kali-Carb. There is a sensation of a lump in throat which must be swallowed. The neck is stiff and the uvula elongated. Fish-bone sensation in throat is most peculiar in Kali-Carb. There is almost always accumulation of mucus in the pharynx. The patient “hawks and hem” in the morning. This hemming and hawking is found under all alkalis. The sensation of fish-bone, along with the above, is only in Kali-Carb. Hepar., Nit.Ac., Alumen, Carbo Veg., and Arg.Nit.all have fishbone sensation. [CMM p.740]
Nasal Polypi: Teuc. M. V. 1X to 3X
“successful cases dealt with Teuc. 1X, thrice daily; and 200 potency once a week. The patient taking cold easily, and a feeling of constant obstruction in nose , < in damp cold weather. Other physicians have reported success in tumours inside the lower lid, in urethra and uterus. Also comp. Sang. Nit.” [P.S. Kamthan]
Nose-Bleed from fall or blow: Acet. Ac.
Pre-Coryza Symptoms: Sticta Pul.
General feeling of dullness and malaise, as when a cold is coming on, dull heavy pressure in the forehead; nervous and rheumatic disturbance. [Boericke]
Cold extending from Head to Nose and Throat thence into Chest:
Naso-Pharyngeal Catarrh, with great accumulation of mucus: Senega
Thickening of the Septum and Infiltration: Arg.Met
Indicated even after operation. For thickening of the bones of the nose Argentum Met is specific. (Kent. P126)
Watery Discharge from Nose while Eating: Trombid.
And at no other times.
Acute Cold of Phthisis: Ferrum Ph.
To Terminate a Cold: Nat. Ars.
It conserves strength and appetite. (Boericke)
Chronic Naso-pharyngeal Catarrh: greenish crusts of foeted odor: Elaps
Sneezing only in Morning: Ammon.Phos
Sneezing and excessive running from nose and eyes, only in morning. (Boericke)
Coryza, Fluent Right Nostril, Left Stopped up: Solanum Nig.
Chilly sensation alternating with heat. (Boericke)
To Break up a Cold: Nepeta Cat.
Rhinitis with Pharyngitis : Mangifera Ind.
And other throat troubles; suffocative sensation as if throat would close(Boericke)
Obstruction of Left Nostril: Sinap. Nig.
All day, or alternately.
Hay-fever and Influenza: Lycopers.
Profuse watery coryza, marked agg. from inhaling the least dust. > indoors.
Acute Cold with deep Hoarse voice, even Aphonia: Populus Cand.
Acute hoarseness,rawness and soreness of throat and chest. (Boericke)
Acute Coryza with Fluent Excoriating Discharge: Nephthal.
Sneezing in spasmodic Paroxysms: Sabad.
Profuse lachrymation; copious warty coryza, face hot and eyelids red and burning.
Epidemic Influenza, with violent Retching: Sarcolactic Ac.
Greatest prostration, when Arsenicum fails (Boericke)
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