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The Gleanings-VI STOMACH

Dr. M. A. USMANI

 

[I want to refresh the memory of my readers, by reminding them that the purpose of this book is to navigate out the physician from the vortex of not being able to find the remedy, or where the, so called, indicated remedy, does not behave. I mention mostly the unwonted and rarely indicated remedies for certain sets of symptoms. This is the cause of my chapters being small as compared with the complete chapters as in a book of therapeutic or a repertory.

 

The chapter on stomach is vast one in those source books; but quite terse in mine. Naturally it should be like this. In an established therapeutic science, as homeopathy is, difficulties should be rare. In most of the instances it should be working flawlessly. And it is verily so, as we all experience it. It is rare that some intricacies should arise. But there are definitely difficulties in many cases. So another dimension of prescribing should there be to navigate the practitioner out of this morass. Hence this book. It gives you another dimension to deal with the case. Here I may adduce an example. Take a set of symptoms as: 1) Pain in stomach (or abdomen); 2) Agg. bending double, or sitting bent; 3) Amel. sitting erect.  In this case, such remedies as Bell. or Dioscorea come to the mind. But, suppose, that they do not work; here another remedy, e.g. Sinap. Nig. is suggested.  Similarly, in another set of symptoms the patient is 1) Better by bending double; 2) Amel. pressing hard on the painful part. At once the remedies that come to mind are: Coloc., Puls., Kali.C., and Mag.Phos., etc. Now, suppose the patient is not settled by any of these remedies; here Arg.N. is suggested. This remedy is not mentioned in most of the reference books. Take another example: for sea-sickness, Kent gives 16 medicines, and Murphy gives 18 remedies, but neither of them mentions Apomorphinum.  For (obstinate) Hiccough, no repertory mentions Zinc.Val.  There is no rubric in any repertory, mentioned above, for ‘Hiccough from nervous causes’. Here we give the rubric with the remedy, and that is Mosch.  Examples can be multiplied ad infinitum.

 

The best way to consult the Gleanings is: go to the relevant chapter and give it a free perusal. It will boost your memory and broaden your horizon.

 

This book is not complete, nor is it intended to be so. An open invitation has been extended to the worthy readers to enrich it with their learning and experience. Their contribution will be accepted thankfully after confirmation, and will be incorporated into the body of the work, with their name appended to it. Dr. M. A. Usmani]


Obstinate Hiccough: Sul-Ac.

 

Obstinate Hiccough: Zinc. Val.

 

Hiccough during Typhoid: Phosphorus

 

Hiccough Nervous Causes: Mosch.

 

Hiccough with Spasm of Esophagus: Verat. V.

 

Perforating Ulcers of Stomach: Phosphorus

Pain and vomiting of food as soon as swallowed. Sometimes coffee-ground vomitus. With this symptom Phos. would also be indicated in the cancer of the stomach, particularly when it is about to pass into the stage of ulceration. With the above symptoms, Phos. may also be indicated for the fatty degeneration of pancreas. It is one of few remedies that act on pancreas.    (CMM p. 568)

 

Round Perforating Ulcers of the Stomach:      Kali-Bi.

It produces gastritis, resembling that of Ars. The vomited matter is sour, and is mixed with clear mucus. Kali-Bi everywhere excites over-production of mucus, the vomitus may be bitter from the admixture of bile. It is renewed by every attempt at eating or drinking, and is associated with great deal of distress and burning rawness about the stomach. With this kind of vomit, you may give Kali-bi in vomiting of drunkard and in the round perforating ulcers of the stomach.  (CMM p.725)   


 

Suspected Ulcer or Cancer of the Stomach: Acet. Acid

Insatiable burning thirst_ shrieks for water at night. Intense thirst; nausea and frequent vomiting. Disgust for salted things and cold victuals. Cold drinks lie heavy; vegetables, except potatoes, disagree. Bread and butter not tolerated. Contents of the stomach feel as if in ferment. Sour belching and vomiting. Burning waterbrash and profuse salivation. Violent burning pain in stomach and chest, followed by coldness of skin and cold sweat on forehead. Induration of stomach_ Scirrhus of pylorus. Stomach feels as if she has taken a lot of vinegar. (Clarke & Boericke)

 

Acute Duodenitis: Cham.

Griping around the umbilicus and small of back. Rel. Kali-bi. in chronic duodinitis. (Boericke)

 

Pyloric and Duodenal Ulcers: Uran. Nit.

Burning, vomiting and flatulence.

 

Gastro-Intestinal Disturbances in Influenza and Typhoid:   Cupr. Ars. (Boericke)

 

Dyspepsia from too much Tea Drinking:  Thuja

 

Sea-Sickness:   Apomorphinum

Other remedies: Petr. Cocc., Nux.v., Tab.

 

Weak Sinking Feeling in Stomach: Arsenicum

Weak, sinking sensation at the pit of stomach, relieved by eating, but so soon as he begins to eat, he has urging to stool with diarrhea.  (CMM)

 

Atonic State of Stomach with Liver Troubles:  Ptel.

Also stomach and liver symptoms with pain in limbs. Liver pain greatly aggravated by lying on left side.     (Boericke)

 

Violent Pain in Stomach with Loss of Speech: Laurocerasus

 

Vomiting of Bile with Cirrhosis of Liver:  Curare (Boericke)

 

A Stomach Tonic, Increasing Appetite: Gent. Lutea

 

Acid Rising with Ravenous Hunger: Gent. Lutea

Nausea, weight and aching in stomach. Inflammation and tension in stomach and abdomen. Colic, umbilical region, sensitive to touch. Comp.  Gaultheria

Uncontrollable appetite notwithstanding irritable stomach.

 

Desire for Salt and Fats:  Nit. Acid

Sulhpur competes here, but in lower type.  (T.K. Moor)

 

Hungry during the Attack of Headache:  Psor. (Boericke)

 

Gastralgia, > Bending Double and Pressure:  Arg.Nit

“A neurosis of the stomach”, especially in nervous delicate women. The gastralgia is excited by any emotion, by loss of sleep, and especially at the catamenial period. There is feeling in the stomach as though there were a lump there. This is sometimes accompanied by a gnawing, ulcerative pain, referred to the pit of the stomach. From this spot pain radiates in every direction. These pains seem to increase or decrease gradually, as in Stannum. There can be spasm of the chest muscles. Patient can’t bear a handkerchief approach the mouth as it would cause dyspnoea. He cannot bear the least food because it makes this pain worse. Sometimes the pain is relieved by bending double and pressing the hand firmly into the stomach. The paroxysms end with vomiting of glairy mucus which can be drawn into strings, or they are accompanied with enormous accumulation of wind. The patient, for a long time cannot belch, but when he does succeed in so doing, the flatus comes in an enormous volume. The nearest ally to Arg.n. is Bismuthum, another remedy for nervous gastralgia.      (CMM p.607f. also consult Clarke’s Dictionary)

 

Colic, < Sitting Bent, > Sitting Erect: Sinap. N. (Boericke)

 

Atonic Dyspepsia: Hep.Sulph.

Usually a sour taste in the mouth, and a longing for strong-tasting substances, for alcoholic drinks, for wine, for acids and condiments of various kinds. These seem to relieve by stimulating the stomach. There is a hunger, gnawing, and empty feeling in the stomach.  In the forenoon a longing for something to eat. Sometimes although eating does him good and increases his general strength, yet it produces fullness about the stomach. He can bear no pressure about the epigastrium. Sometimes there is burning in the stomach. The bowels are usually constipated, with ineffectual urging, though the feces are not abnormally hard. [This symptom indicates the possible use of Hep. during pregnancy.] Hep. is also indicated in dyspepsia caused by massive doses of Merc.

Hep.S. is complementary to Lachesis in that both have the symptom: ‘any kind of food, no matter how wholesome, provokes indigestion’.   (CMM p.686f.)

 

Gastro-alimentary Symptoms of Alumina:

The mucous membrane of the stomach is dry, and. therefore, there is defective secretion of gastric juice. Here you will have the same dyspepsia as is curable with Bry. The distinctive symptoms for Alumina are these: there is a feeling of constriction along the esophagus, when swallowing food; the patient is always worse from eating potatoes. There is aversion to meat, and craving for indigestible things. The liver is sensitive to touch, and there is a stitching pain in that organ, as under Bry. Constipation with urging to stool is characteristic of the remedy, though the stool is not dry and hard. Piles itch and burn and are moist.  (CMM p. 618)

 

Gastro-alimentary Symptoms of Natrum Carb:

The most prominent action, or rather the seat of action, of Nat.Carb. seems to be on the stomach and bowels. Many of its symptoms spread from this central point of attack. For instance, we will find that it has mental symptoms pointing quite plainly to hypochondriasis. We find the patient depressed, and exceedingly irritable. This is especially noticed after a meal, particularly after dinner. The degree of hypochondriasis seemes to be measured by the stage of digestion, just as food passes out of the stomach into the duodenum, this hypochondriacal mood lessons and continues to do so as the food gets further down into the bowels. Such persons are decidedly averse to society, even to their own family. The indigestion is more marked after a vegetable diet, and starchy foods. There are sour eructations, waterbrash; and retching in the morning with contraction of esophagus and stomach, with little or nothing coming  to mouth, only copious salivation. The abdomen is hard and swollen, especially after eating. There is accumulation of flatus in the abdomen, with fetid flatus. There is sort of griping colic just after meals. The stool is difficult, though not hard, as in Hepar.S., more so in Sepia, which is complementary to Nat.C.  Nat. carb also suffers from diarrhea. The stool is watery or papescent with violent urging. This is a quite general symptom of Soda salts. Natrum Sulph. has it. This seems to be to the purgative effect of the soda itself. Wine in such cases causes  faintness and vertigo.


D.D. SEPIA: is the nearest analogue to Nat.C. in these gastric symptoms, and also its complement. We find in both remedies this aversion to society and indifference to family.  Both remedies have sour eructations and formation of fetid gas in the abdomen. (ref. cured case CMM p.690). Natrum C. has distention of abdomen, with fullness and hardness, like all alkalies, while Sep. has more goneness and empty, sinking feeling which food does not ameliorate. Natrum salts do have gone and weakness feeling, but at 10 to 11 a.m. Eating relieves this and produces distention.


D.D. NUX VOM.  Both remedies have retching in the morning, more intense in Nux.V. esp. in pregnancy, or after a debauch. Both remedies should be compared carefully.

 

Gastro-alimentary Symptoms of Natrum Mur:

Natrum Mur., like all salts of Soda, is a first-class remedy in the treatment of dyspepsia. We find it indicated when farinaceous foods, esp. bread, disagree. “Averse to bread of which he was once fond.” Craving fish and salty food. Thirsty during and after eating. Distress at stomach > by tightening the clothes, as in Fluoric Acid; opposite of Lach. and Hep. There is constipation with hard, difficult stool, fissuring the anus, and, in consequence, bleeding with hard stool. This constipation causes hypochondriasis. The patient is low-spirited and ill-humored. When the bowels are moved, the mind is relieved. Dull headache with constipation and nasty taste in the mouth.  Chronic watery diarrhea with dry mouth, secondary to dry stool. Chronic proctitis, with prolapsus ani.


D.D. SEPIA in Proctitis, which has a feeling of lump in the rctum; and AESC. HIP., and COLLINSONIA, which have sensation as of splinters and sticks in the rectum.


The exteme dryness of rectum resembles Aesc.H., Bry., Collin., Graph., Op., Phos., Rat., Sulph. Verat.alb. etc.


Graph. mucous coated stool; Alumina: smarting soreness; Mag.m.: crumbling stool; Phos.: long, narrow, hard, dog-like stool; Veratrum: large stool, with much straining until exhausted, and a cold clammy sweat on forehead; Rat.: feeling of splinter or glass, and fissures in the rectum, and so on. (CMM p. 704f)

 

Sudden Fainting with Gasro-enteric Symptoms: Linaria Vulg.

Eructation, nausea, salivation and pressure on stomach. Great drowsiness with enteric symptoms. Jaundice, splenic and hepatic hypertrophy. Local affinity: pneumogastrics.

Cardiac fainting: sudden fainting without apparent cause. A trusted medicine where patient is subjected to attacks of fainting, but quickly returns to consciousness without recourse to any medicine. This drug does not only relieve, but cures the patient. Tongue: rough and dry. (Boericke & CMM p.394)

 

Constant Green vomiting with Burning in Stomach:  Tart. Acid

Burning in throat and stomach as if on fire. Tongue, brown.

 

Cholera-like Symptoms with Rice-water Stools: Ricinu Com.

Vomiting and purging, collapse if it continues. Great thirst. Pit of stomach tender.

 

Vomiting after Morphia, or Chloroform:  Cham. & Phos.

 

“Gastric Flue”, Sudden Attacks of Violent Diarrhea and Vomiting: Bap.

Great prostration.

 

Painless, Symptomless Hemorrhages, Hemoptysis, Hematuria:  Phos.

 

Drinks much, Eats little: Dig.

“Doctors usually give Sulphur here”  (Kent)

 

Vomiting without Nausea:  Ferrum Met.

Even in pregnancy.

 

Pain in Stomach: extending to sides, then through to back: Cochlearum

A confirmed symptom. (Dr. Usmani)

 

Vomiting with Clean Tongue:  Cina., Dig., Ip.

 

Vomiting with Vertigo: Cocc., Ign., Nux.v., Tub. (Boericke)

 

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