Antimonium tartaricum

digestive sphere. .................... Icy finger-tips. Whines before attack, cough, etc. Crushing weight on chest. Won't be touched or looked at. Prostrated in mind and body. Stupid on awaking. Unwilling to be looked at or touched. Wants to be carried up-right. Mucus in tarsi. One eye closed. Upper lip drawn up. Tongue: thick white pasty coat; very red or red streaks; dry down middle. Flow of saliva. Craves apples. Vomits or expectorates with great effort. Abdomen feels full of stones. Expectoration: gluey; suppressed. Feet go to sleep on sitting down. Shocks on dropping to sleep. Asphyxia neonatorum. Apathy or easily annoyed; wants to be let alone. Peevish, whining and moaning. Clings to attendants. Consciousness wanes on closing eyes (Cann-i.). As of a lump in forehead. Sooty or flapping nostrils. Sickly, sunken, pale, bluish or twitching face; covered with cool sweat. Papillæ show through white coat on tongue. Tongue flabby, red in streaks. Craves acids, which disagree. Belchings, like bad eggs. NAUSEA; in waves; with weakness and cold sweat (Lob. Ver-a.), loathing or anxiety. Forcible vomiting; then exhaustion and sleep (Æth.). Violent retching. Sinking at stomach. Mucus or grass, green stools. Diarrhœa; of eruptive diseases. Unequal breathing. SUFFOCATIVE SHORTNESS OF BREATH; before cough or alternating with cough; a leaflet seems over trachea. LOOSE, COARSE, RATTLING COUGH; CHEST SEEMS FULL, YET LESS AND LESS IS RAISED; then vomiting or sleep (Æth.); < anger. Must sit up to breathe or cough. Coughs and yawns alternately. Thick expectoration. Capillary bronchitis or bronchitis. Pleuro-pneumonia. Paralytic depression of heart and lungs (Bar-c.). Violent (lumbar) backache; < lifting; motion excites retching and cold sweat. Restless arms. Dropsy of legs. Yawning; with many complaints. SOMNOLENCY; with all complaints, or from warmth. Torpid, cool, SWEATY SKIN. Delayed or receding, blue or pustular eruptions. Sycosis barbæ. Smallpox. Impetigo. Weak, quick pulse. Heat coming from heart. Burning sensation. Sticky sweat.

WARM: Room. Wraps. Weather. Anger. Lying. Morning. Overeating. Cold. Dampness.

Expectoration. Sitting erect. Motion. Vomiting. Depression. LACKS REACTION. INCREASINGLY WEAK. DROWSY, SWEATY AND RELAXED. MUCH SECRETION OF MUCUS. Old people and children. Complaints arising in

MUCOUS MEMBRANES. Pneumogastric nerve: Bronchi. Lungs. Heart. CIRCULATION. Respiration. Stomach. Bowels. Sleep. Lumbar region. Skin.

Complementary: Bar-c. Related: Am-c. Asclp. Ip. Lob. Op.

Antimonium tartaricum

Tartar Emetic.

Adapted to torpid, phlegmatic persons; the hydrogenoid constitution (of Grauvogl).

Diseases originating from exposure in damp basements or cellars (Ars., Aran., Tereb.).

Through the pneumogastric nerve it depresses the respiration and circulation, thus producing the keynote of the remedy, viz., when the patient coughs there appears to he a large collection of mucus in the bronchi; it seems as if much would be expectorated, but nothing comes up.

Child : clings to those around ; wants to be carried ; cries and whines if any one touches it; will not let you feel the pulse (Ant. c., Sanic.).

Face cold, blue, pale, covered with cold sweat (Tab.).

Tongue coated, pasty, thick, white, with reddened papillae and red edges ; red in streaks ; very red, dry in for acids, pickles. Ant. c.).

Vomiting: in any position except lying on right side; until he faints; followed by drowsiness and prostration; of cholera morbus with diarrhoea and cold sweat, a dose after each attack (Ver. ).

Asphyxia: mechanical, as apparent death from drowning; from mucus in bronchi; from impending

ANTIMONIUM TA^T AR\C\]^~(iConHnuea)

paralysis of lungs ; from foreign bodies in larynx or trachea ; with drowsiness and coma.

Great sleepiness or irresistible inclination to sleep, with nearly all complaints (Nux m., Op.).

Child at birth pale, breathless, gasping; asphyxia neonatorum. Relieves the “death-rattle” (Taran.).

Icterus with pneumonia, especially of right lung.

Relations. — Similar: to, Lycopodium; but spasmodic motion of alae is replaced by dilated nostrils; to Veratrum, both have diarrhoea, colic, vomiting, coldness and craving for acids; to Ipecac., but more drowsiness from defective respiration; nausea, but > after vomiting.

When lungs seem to fail, patient becomes sleepy, cough declines or ceases, it supplants Ipec.

For bad effects of vaccination when Thuja fails and Silicea is not indicated.

Before Silicea in dyspnoea from foreign bodies in the larynx or trachea; Puls, in suppressed gonorrhoea; Tereb. from damp basements.

Children not easily impressed when Ant. tart, seems indicated in coughs, require Hepar.

In spring and autumn, when damp weather commences, coughs of children get worse.

Aggravation. — In damp, cold weather; lying down at night; warmth of room; change of weather in spring (Kali s., Nat. s.).

expectorating; lying on right side (Tab.).

Lecture LV — The Preparations of Antimony — Antimonium crudum and Antimonium tartaricum

Antimonium Tartaricum.

Antimonium tartaricum.

i.

2.

f Bar}7ta c. , Lachesis.

Ipecac, Kali hyd.

\ Phosphorus, Sulphur, Carbo v.

I Laurocerasus, Ammonium carb.

[ Bromine, Iodine, Spongia.

Skin.—Conium, Mercurius, Kalibi., Kali hyd.

Bowels.—Veratr. alb., Merc.

Throat and Lungs.

Antimonium tartaricum or Tartar emetic, as it is also called, is a compound salt of antimony and potash, both of which substances depress the circulation. Hence you will expect to see symptoms due to this cause intensified under Antimonium tartaricum. It causes more weakness of the heart and lungs than does antimony itself. Under Antimonium tartaricum we find the head confused, with warmth of the forehead and confused feeling, as if the patient ought to sleep. This drowsiness is worse in the forenoon. Often there is a headache, with sensation as if a band were tied around the forehead. This is a common symptom of headache due to passive congestion of the brain. You find it under Gelsemium, Mercurius, Carbolic acid, Sulphur, and several other remedies. Cool air and moving about seem to brighten the patient up. Bathing the head relieves; this is contrary to the general modality of Antimonium crudum. There is sometimes throbbing, particularly in the right side of the head. Still another form of headache is drawing in the right temple, extending down and into the jaw-bone. This is a sort of rheumatic tearing pain in the periosteum. If the patient is a child we note an unwillingness to be looked at or touched, and if you persist in your unwelcome attention it may have convulsions. On awaking from sleep the child seems stupid, and is so excessively irritable that he howls if one simply looks at him. Vertigo is often an accompaniment of the Antimonium tartaricum ailment; this vertigo seems to alternate with drowsiness. We often find Antimonium tartaricum indicated in cases of suppressed eruptions when there result these symptoms of the head. Particularly is it called for when the eruption of scarlatina, measles or variola does not come out properly, or has been repelled; then we have, in* addition to the symptoms I have already mentioned, great difficulty in breathing. The face is bluish or purple, the child becomes more and more drowsy and twitches. There is rattling breathing. All of these symptoms indicate a desperate case. Antimonium tartayicum will frequently restore the eruption and save the child. Now, these symptoms that I have mentioned accompany two grand sets of phenomena for which A?itimo7iium tartaricum may be useful, namely, pulmonary and gastro-enteric affections.

For children it is an invaluable drug in disease of the chest. For instance you find itindicated in whooping-cough, and, in fact, in any cough, whether from dentition or other causes, when the cough is provoked every time the child gets angry, which is very often. Eating brings on the cough, which culminates in the vomiting of mucus and food. Again, there is another form of chest trouble in which Antimonium tartaricum is indicated. A nursing infant suddenly lets go of the nipple, and cries as if out of breath, and seems to be better when held upright and carried about. Now, this may be the beginning of capillary bronchitis. On examination you will probably detect fine subcrepitant rales all through the chest. Antimoniiim tartaricum here nips the whole disease in the bud and saves the child much suffering. Again, there is another form of cough in which it may be used. There is marked wheezing when the child breathes. Thecough sounds loose, and yet the child raises no phlegm. This symptom increases until the child grows drowsy. Its head is hot and bathed in sweat. The cough then grows less and less frequent, the pulse weak, and symptoms of cyanosis appear. In these cases, the quicker you give Antimonium tartaricum, the better for your patient.

Aiitimonium tartaricum is also indicated in affections of old people, and particularly in orthopncea, or threatening paralysis of the lungs in the aged. You hear loud rattling of phlegm in the chest, and yet the patient cannot get up the phlegm. Here Baryta carb. is complementary to Antimonium tart., and often succeeds when the latter remedy only partially relieves.

Now for a few of the concordant remedies in these cases. Ipecacuanha often precedes Antimonium tartaricum in catarrh of the chest in children. Loud rales are heard through the chest. When they cough they gag, but raise but little phlegm.

In this threatening paralysis of the lungs you must compare Antimonium tartaricum with several other drugs; with Lachesis, which has aggravation when arousing from sleep; with Kali hydriodicum, especially when there is oedema pulmonum and a great deal of rattling of mucus in the chest, and what little sputum can be raised is greenish, and frothy like soap-suds.

Carbo veg. also suits these cases, but here the rattling is accompanied by cold breath and by coldness of the lower extremities from the feet to the knees.

Moschus comes in when there is loud rattling of mucus and the patient is restless. It is especially indicated after typhoid fever. The pulse grows less and less strong, and finally the patient goes into a syncope.

Also, do not forget Ammonium carbonicum in this condition. Antimonium tart, is indicated in the asphyxia at the beginning of life, asphyxia neonatorum, when there is rattling of mucus in the throat.

Laurocerasus is useful in the asphyxia of new-born children when there is great blueness of the face, with twitching of the muscles of the face, and gasping without really breathing.

Antimonium tartaricum produces a perfect picture of pleuro-pneumonia. Certain portions of the lungs are paralyzed. Fine rales are heard, even over the hepatized areas. There is great oppression of breathing, particularly towards morning. The patient must sit up in order to breathe. It may also be indicated in bilious pneumonia, that is, pneumonia with hepatic congestion and with well-marked icterus. The pit of the stomach is very sensitive to touch or pressure. There are meteorism, nausea and vomiting. It may be used in the pneumonia of drunkards with these complications.

Antimonium tartaricum produces pustules very nearly identical with those of small-pox; hence, it may be a very useful remedy in that disease. It is very useful in the beginning before the eruption appears, and the patient has a dry teasing cough, which, under other circumstances, might suggest Bryonia. Here, however, you should give Antimonium tart., because it covers all the symptoms. It suits the cough and also the reason for the cough. It also suits the eye symptoms which occur during eruptive diseases, as small-pox, scarlatina, measles, etc.

In diseases of the intestinal tract we find it indicated by the following symptoms: nausea with great anxiety, eructations tasting like rotten eggs, yawning and drowsiness. The vomited matters are green and watery, and sometimes frothy, and contain food. The vomiting itself is associated with trembling of the hands, and is followed by drowsiness. Vomiting and purging may take place, with every symptom of collapse, coldness of the surface, the hands and feet are like ice, and the stools are profuse and watery. Thirstless or drinking little and often. Desire for acids, fruits, &c, cutting colic. Here you have an almost perfect picture of Veratrum. The distinction between the two remedies is that Veratrum has more cold sweat on the forehead, and Antimonium tart., more drowsiness.

When Antimonium tart, has produced pustules, the antidote is Conium.

Tartar Emetic Tartrate of Antimony and Potash Has many symptoms in common with Antimonium Crudum but also many peculiar to itself. Clinically, its therapeutic application has been confined largely to the treatment of respiratory diseases, rattling of mucus with little expectoration has been a guiding symptom. There is much drowsiness, debility

and sweat characteristic of the drug, which group should always be more or less present, when the drug is prescribed. Gastric affections of drunkards and gouty subjects. Cholera morbus. Sensation of coldness in blood-vessels. Bilharziasis. Antimonium tart is homeopathic to dysuria, strangury, hæmaturia, albuminuria, catarrh of bladder and urethra, burning in rectum, bloody mucous stools, etc. Antimon tart acts indirectly on the parasites by stimulating the oxidizing action of the protective substance. By-effects following injection for Bilharziasis. Chills and contractures and pain in muscles. Trembling of whole body, great prostration and faintness. Lumbago. Chills, contractures and muscular pains. Warts on glans penis. Mind and Head.––Vertigo alternates with drowsiness. Great despondency. Fear of being alone. Muttering, delirium, and stupor. Vertigo, with dullness and confusion. Band-like feeling over forehead. Face pale and sunken. Child will not be touched without whining. Headache as from a band compressing (Nit ac).

Worse, in evening; from lying down at night; from warmth; in damp cold weather; from all sour things and milk. Better, from sitting erect; from eructation and expectoration.

Cold, blue, pale; covered with cold sweat. Incessant quivering of chin and lower jaw (Gelsem).

Coated, pasty, thick white, with red edges. Red and dry, especially in the center. Brown.

Difficult deglutition of liquids. Vomiting in any position, excepting lying on right side. Nausea, retching, and vomiting, especially after food, with deathly faintness and prostration. Thirst for cold water, little and often, and desire for apples, fruits, and acids generally. Nausea produces fear; with pressure in præcordial region, followed by headache with yawning and lachrymation and vomiting.

Spasmodic colic, much flatus. Pressure in abdomen, especially on stooping forward. Cholera morbus. Diarrhœa in eruptive diseases.

Burning in urethra during and after urinating. Last drops bloody with pain in bladder. Urging increased. Catarrh of bladder and urethra. Stricture. Orchitis. Respiratory Organs.––Hoarseness. Great rattling of mucus, but very little is expectorated. Velvety feeling in chest. Burning sensation in chest, which ascends to throat. Rapid, short, difficult breathing; seems as if he would suffocate; must sit up. Emphysema of the aged. Coughing and gaping consecutively. Bronchial tubes overloaded with mucus. Cough excited by eating, with pain in chest and larynx. Œdema and impending paralysis of lungs. Much palpitation, with uncomfortable hot feeling. Pulse rapid, weak, trembling. Dizziness, with cough. Dyspnœa relieved by eructation. Cough and dyspnœa better lying on right side––(opposite Badiaga).

Violent pain in sacro-lumbar region. Slightest effort to move may cause retching and cold, clammy sweat. Sensation of heavy weight at the coccyx,

dragging downward all the time. Twitching of muscles; limbs tremulous.

Pustular eruption, leaving a bluish-red mark. Small-pox. Warts.

Great drowsiness. On falling asleep electric-like shocks. Irresistible inclination to sleep with nearly all complaints.

Coldness, trembling, and chilliness. Intense heat. Copious perspiration. Cold, clammy sweat, with great faintness. Intermittent fever with lethargic condition.

Antidotes: Puls; Sepia. Compare: Kali sulph; Ipecac.

Second and sixth trituration. The lower potencies sometimes aggravate.

Antimonium Tartaricum

Face: About the first thing we see in the study of an Antimonium tart. patient is expressed in the face.

The face is pale and sickly; the nose is drawn and shrunken; the eyes are sunken and there are dark rings around the eyes.

The lips are pale and shriveled. The nostrils are dilated and flapping, and there is a dark, sooty appearance inside of the nostrils.

The face is covered with a cold sweat and is cold and pale. The expression is that of suffering. The atmosphere of the room is pungent, more pungent than foetid or putrid, and makes you feel that death is in it.

The family is disturbed; they are going hither and thither, and the nurse is in an excited and busy state, and you enter upon this scene to make a homoeopathic prescription.

It is one of excitement and one that you cannot act rapidly in, but one in which you must make a very quick prescription.

These things will interfere somewhat with your thinking at the time that you must do the best thinking and the most rapid thinking.

Now, in what kind of cases do we find this state and appearance, where all the features and symptoms conform to the nature of the remedy?

Catarrhal patients: First, in catarrhal patients, in broken down constitutions, in feeble children, in old people.

Catarrhal conditions of the trachea and the bronchial tubes. Our ears being open we hear coarse rattling and bubblings in the chest. If you have ever been in the room of the dying you have heard what is called the death rattle. It is coarse like that.

Now and then there is expectoration of a mouthful of light-colored, whitish mucus. The condition is one in which the chest is steadily filling up with mucus, and at first he may be able to throw it out; but finally he is suffocating from the filling up of mucus and the inability of the chest and lungs to throw it out.

Lungs: It is a paralytic condition of the lungs. It may occur in cases of grippe. At first it may be a case that comes on quite rapidly, running a rapid course.

It may be a case that produces early prostration, that is, in three or four days or a week. The first few days of the sickness will not point to Antimonium tart.

So long as the reaction is good and his strength holds up you will not see this Hippocratic countenance, sinking, and coldness and cold sweat.

You will not hear this rattling in the chest, because these symptoms are symptoms, that indicate a passive condition.

Antimonium tart. has weakness and lack of reaction. Hence we see that it is suitable in those cases that present this state, or in such patients as are so feeble, when they are taken down, that they at once enter upon a passive or relaxed state.

Bronchitis: In cases of bronchitis with pneumonia, inflammation of the trachea, inflammation of the air passages in general, the inflammation is likely to be attended with dryness or a scanty flow of mucus.

If this be violent in a few days it will reach a state of relaxation and weakness. But the first state does not indicate Antimonium tart. Such medicines as Bryonia and Ipecac. come in for the first period, and your impression is, when administering those medicines, that they will be sufficient for the whole case, and they will be, except in those states wherein this weakness is present from the beginning, or where there is lack of ability to react sufficiently from your remedy to recover under it.

Then comes in a second remedy, and that is the time when this medicine begins its operation. Ipecac. has some of this coarse rattling, but it is attended with great expulsive power of the lungs.

This medicine has the coarse rattling that comes after many days. Ipecac. has it the first days of the sickness. This remedy has the coughing and gagging and retching, but in the stage of great relaxation, prostration and coldness. It seems as if he will die.

When you hear him cough you are at once impressed with the idea that there must be some profound weakness in his lung power. We know that it is in the power of the lungs to produce an expulsive action with the deep inspirations. They have no such power in Antimonium tart. The chest is full of mucous and it rattles; the cough is a rattling cough, but the mucus does not come up, or only a small quantity comes up, but it does not relieve him.

His chest is full of mucus, he is suffocating and he is really passing away, dying from carbonic acid poisoning due to a lack of expulsive power.

Pneumonia: In cases of pneumonia; when first coming down with a chill, it may be a very violent attack, such an attack as from its violence produced prostration early, that is, after three or four days.

It is not indicated in the beginning during the chill, and during the high grade of inflammation, but during the stage of exudation. But the violence of the attack leads him to a state of prostration, or he is already feeble as if he were old, and therefore he becomes easily relaxed and prostrated from the disease.

Altogether unlike Aconite, Bell., Ip.. and Bry., for they come down with violence - the very opposite is present in Antimonium tart. Little fever, cold sweat, coldness, relaxation, Hippocratic aspect. So it is the remedy that closes out the scene with the severe cases of bronchitis, pneumonia; most of these cases die in an Antimonium tart. state.

This patient is an old gouty patient, debilitated from long illness, always shivering, pale, with enlarged joints. Every spell of wet weather brings on a catarrhal state of the chest, larynx and trachea which runs into a state of copious secretion of mucus.

He is in bed at once, prostrated, with coarse rattling.

Children: In children that have frequent attacks of bronchitis, from cold wet weather, from cold rainstorms in the autumn, in the spring and in cloudy weather.

No sooner do they get over one cold than another cold comes on. The acute stage is never violent with them, but they keep having these passive rattling colds. Recurrent rattling in the chest. Chilly, and pale.

Those florid children that do not look sick when they have a cold, are more or less vigorous, who have rattling in the chest, but do not come down with weakness and are not prostrated from it, but keep on rattling, they call for Kali sulph. That is quite a distinguishing feature, the weakness at once speaks for this remedy.

Old people: In very old people this weakness occurs, old broken down people who have for years had catarrh of the chest.

Every sharp cold spell in the winter brings on catarrh of the chest, with thick white mucus, and attended with great dyspnoea, driving him to bed. He must sit up in bed and be fanned; cannot lie down because of the difficult breathing, and filling up of the chest. Antimonium tart. will, ease him over a number of these attacks before he dies. When the mucus is yellow and purulent in one of these old people, Ammoniacum will tide him over a good many winters. We see a good many old people that suffer from catarrh of the chest during the winter; they have had it for years, and do not expect to be any better.

When the expectoration is yellow, Ammoniacum will pull them through and Antimonium tart, when it is white and attended with prostration, sweat, coldness, pallor and blueness of the face. These are the principal uses of this remedy in practice.

Modalities: it has many pains and aches. To a great exent Ant. tart. builds upon the Antimonium crudum basis. It forms its chest symptoms to a great extent upon that basis. Many of the symptoms are like Antimonium crudum; many symptoms are worse when warmed up, and from too much clothing. You will see this patient sitting up in bed with no clothing around the shoulders or neck, and the nightgown wide open in order to breathe. Suffocates if the room is too warm. It gets that from the Antimonium crud. It is worse from bathing in cold water, like Antimonium crud. The mucous membranes are covered with thick white mucus, like Antimonium. crud. Also he does not want to be meddled with or bothered. Everything is a burden.

The child when sick doesn't want to be touched or talked to or looked at. Wants to be let alone. The infant is always keeping up a pitiful whining and moaning. Many times the respiration is a moaning respiration. Rattling and moaning. Always in bad humor, that is, extremely irritable when disturbed.

Any disturbance seems to increase the breathing and is an annoyance and makes the patient irritable.

No wonder the patient is wonderfully anxious, because from his appearance we would say that he must have the feeling that he is dying. He looks as if he were sinking, and if he does not get relief soon he certainly will die, for there is a filling up of the chest that is suffocating him, and the feeling is that of suffocation, dyspnoea, which is steadily increasing.

The wings of the nose move as in Lycopodium. Lycopodium competes with it very closely and resembles it very much.

There are many headaches laid down under Antimonium tart., but Antimonium crud. is more likely to work out for Antimonium headaches, while this medicine is more likely to work out for Antimonium chest troubles.

Both of these remedies have very decided gastric symptoms. Constant nausea, vomiting and indigestion. Antimonium tart. with its difficult breathing is sick at the stomach. Loathes everything, loathes food; vomits even water. He has also a docile state and if allowed to be quiet, in spite of all the sufferings, he will fall into a sleep, or go into a state of inability to feel. He will cough and sleep, and snore through the dyspnoea, so that it is in many ways like Antimonium crud., but Antimonium crud. has nothing like the copious flow of mucus from mucous membranes that are inflamed. It has nothing like the passive state of the whole economy, It is not so desperate in its provings, and not so dreadful to look upon.

Eyes: Clinically Ant. tart. has been confined in its use mostly to the mucous membranes of the chest, but it has the same passive conditions of all the mucous membranes of the body.

Discharges of white mucous from the eyes. "Eyes prominent, glaring. Dim, and swimming, Gonorrhoeal ophthalmia."

But the rheumatic conditions furnish another form of this remedy, another phase of it like Antimonium crudum. The joints are affected, take on a passive, slow infiltration and become dropsical; dropsical swelling of all the joints. Gouty infiltration of the joints, and these are especially bad during the cold, wet weather. Eye symptoms of this gouty character.

Eyes infiltrated along with the joints, so there is a gouty state of the eyes. The gouty state affects the whole body. The mucous membrane is pale instead of being red and inflamed; it is pale and relaxed, and it appears to ooze; mucus forms upon it very readily.

This is the state that occurs in the chest. It is not that burning rawness found in Ars. and the more acute remedies, although there is a state of prostration and the anxiety and cold sweat which resembles Ars.

Teeth: Then this gouty state affects the teeth. His teeth are all rheumatic.

"Rheumatic pains in the teeth," with rheumatic pains in the joints. Teeth are sensitive. "Teeth covered with mucus."

With all the complaints the stomach gives out, and there is nausea, inability to digest and loathing of food. Vomiting of everything taken, into the stomach; vomiting of even a spoonful of water. In most complaints this remedy is thirstless.

It is an exception that it has thirst. Generally in these attacks of dyspnoea the friends of the patient stand around with a very strong desire to do something, if it is only to hand a glass of water.

This patient is irritated by being offered a swallow of water. He is disturbed, and shows his annoyance.

The child will make an offended grunt when offered water. Thirstlessness with all these bronchial troubles, with copious discharge of mucus and great rattling in the chest. Sometimes there is an irresistible desire for cold things in the stomach, but it is the exception. "Desire for acids or acid fruits," and they make him sick.

Troubles brought on in the stomach from vinegar, from sour things, from sour wine, from sour fruits, as in Ant. crud.

Aversion to milk and every other kind of nourishment, but milk especially makes the patient sick, causing nausea and vomiting.

Flatulence: The stomach and abdomen are greatly distended with flatulence. The abdomen is tympanitic. With the stomach symptoms and bowel symptoms there is this constant nausea, but it is more than a nausea, it is a deadly loathing of every kind of food or nourishment, a nausea with the feeling that if he took anything into the stomach he would die; not merely aversion to food, not merely a common nausea that precedes vomiting, but a deadly loathing of food.

The weakness takes on an increased anxiety, and he increasingly suffocates when he is offered food. Kind-hearted people very often want him to take something, for perhaps he has not taken any food all day, or all night; but the thought of food only increases the dyspnoea, increases his nausea, his loathing and his suffering.

Vomiting: Vomiting is not an easy matter in this remedy. The vomiting is more or less spasmodic. "Violent retching. Gagging and retching and straining to vomit. Suffocation, gagging, through great torture."

The stomach seems to take on a convulsive action, and it is with the greatest difficulty, after many of these great efforts, that a little comes up, and then a little more, and this is kept up. "Vomiting of anything that has been put into the stomach, with quantities of mucus."

Thick, white, ropy mucus, sometimes with blood. "Vomits slime, with great exertion. Vomiting large quantities of mucus. Vomits tenacious mucus."

"Vomiting of slime, with bile. A tough, watery mucus, then some food, then bile."

But the principle thing vomited is the thick white, ropy mucus, flowing from the mucous membranes everywhere. Tough and stringy; can be drawn out in strings.

The patient is often choked while this thick, ropy, white mucus is expelled from the oesophagus and mouth. The mouth fills up with it. It is a tremendous effort, a spasmodic effort, for this patient to rid the stomach of its contents, which is mucus, or mucus and bile.

Early in the vomiting it is mucus, and after much straining there is a regurgitation of bile into the stomach, and the continuing of vomiting is from bile. The great straining also induces a flow of blood into the stomach, and the contents of the stomach will be streaked with blood.

Ulcerations: Ulceration of mucous membranes everywhere. It has ulcers in the nose and in the larynx, and ulcers that bleed. Bleeding ulcers in the stomach, and so there is vomiting of blood. Like Antimonium crud., it has been useful in old drunkards.

Drunkards: Old drunkards sometimes take on a debilitated form and take frequent colds. After getting over a big debauch, having been many days on one of their times, they become relaxed and cold, and take cold, and the chest fills up with mucus, and they are vomiting, suffocating and vomiting.

"Rattling of mucus in the chest of old drunkards." Ant. tart. is sometimes required. Ant. crud. when the trouble is confined mostly to the stomach. Ant. tart. when the chest symptoms are present with growing anxiety and the coldness and the prostration; prostration from long drinking. Old gouty patients, old drunkards; old broken down constitutions. In children also that have broken down constitutions, as if they had grown old. These take cold in the chest, with great rattling of mucus and require this remedy. Very commonly there is anxiety in the stomach, it is not always described as a pain, but an anxious feeling, a deathly sinking, an indescribable sinking in the stomach as if she was going to die.

"Anxiety in the stomach, with nausea." A passive congestion of the liver, with vomiting and bile.

Pains: The remedy is also full of cutting pains, cutting like a knife. Pinching in the intestines. Colicky pains. Distension of the abdomen. The abdomen may be distended with serum, or it may be distended with flatus.

"Sharp, cutting pains, as with knives. Most violent pains in the abdomen."

Dropsy is one of the natural conditions of all forms of Antimonium. I remember an energetic horse doctor feeding all the horses Black antimony when the epizootic was upon the land, going through all the stables.

I learned, that he was giving Black antimony to all horses and I left instructions that mine should not have any medicine except what I gave. Nearly all the horses that he treated ended in dropsy, and were laid up for days and weeks with the legs wrapped up.

It was a proving of Antimonium. Ant. tart. is full of it. It was a common thing, formerly, for old broken down constitutions to be put on Ant. Tart. at the end of pneumonia and fevers, but they almost always had bloating of the feet for three or four months after getting up.

If they did not have that, they had "fever sores." Antimonium is a common cause of the "fever sore," the lingering indolent ulcer that forms upon the legs following old fevers in broken down constitutions.

Sometimes they never get rid, of them. They certainly never get rid of them unless they fall into the hands of a prescriber of our school.