Calcarea phosphorica

Delicate, erethistic, tall or scrawny children; with dirty, brownish skins. Soft, thin bones. Malassimilation. Scrofula. Rickets. Spots; cold or sore, vertex, eye-balls, tip of nose, or fingers, etc. Crawling, numb, cold limbs. Pains shift. Arthritis. Rheumatism. Albuminous discharges, leucorrhœa, etc. Anæmia; as a sequel. .................... Peevish, restless and fretful. Idiotismus versatilis. Headache; in occipital protuberances; down spine; > cool bathing or sneezing; of school children. As of ice in occiput. Thin skull bones. Open fontanelles. Hydrocephalus. Teeth; late; soft; decay easily. Tonsils, large; mycosis (Kali-m.). Adenoids. Throat aches; feels hollow. Craves raw, salt, piquant foods or bacon. Weak digestion: every bite hurts the stomach. Persistently vomits milk. FLABBY, SUNKEN ABDOMEN; pains, then burning leucorrhœal flow. Festering navel. Diarrhœic tendency. Stools foul, hot; lienteric; spluttering and watery; < fruits. Fistula; alternating with chest symptoms. Addison's disease. School girl's headache. Abnormal cravings. Tumor in left mamma. Menses early, scanty; every two weeks. Crawling in genitals. Exalted sexual instinct. Eruptions, < during menses. Uterus heavy; weak or aching. Child loses its breath on being lifted up (Bor.). Cough, > lying. Cavernous phthisis; with night sweats. Neck or chest pains from drafts. Weak, thin neck; the head bobs about. Sore fingertips. As of a splinter under nails. Weak through hips. Thin, brittle bones. Pain, burning, along sutures or edges of nails. Slow ossification; non-union. Swollen glands. Pott's or hip-joint disease. Easily chilled; during pains. Sickly sweat; < head and throat; at night. Cold limbs with digestive trouble. Chills up back, but heats down back. Follows: Fer-p.

Exposure to: Weather changes. Drafts. Cold, wet. Melting snows. East wind. DENTITION. Mental exertion. Loss of fluids. Puberty. Fruits. Cider.

Lying down.

NUTRITION: BONES (SUTURES. PERIOSTEUM. Cartilage.). GLANDS. Nerves. ABDOMEN. Vertex. Chest.

Related: Carb-a. Chin. Nat-m. Rut.

Calcarea phosphorica

Phosphate of Lime. Calcium Phosphate.

For persons anaemic and dark complexioned, dark hair and eyes; thin spare subjects, instead of fat.

During first and second dentition of scrofulous children; diarrhoea and great flatulence.

Children : emaciated, unable to stand; sloiv in learning to walk (Cal., Sil.) ; sunken, flabby abdomen.

Oozing of bloody fluid from navel of infants (of urine, Hyos.).

Rachitis : cranial bones thin and brittle; fontanelles and sutures remain opep so long, or close and reopen; ^ delayed or complicated teething.

Spine weak, disposed to curvatures, especially to the left; unable to support body; neck weak, unable to support head (Abrot.) * j,

Girls at puberty, tall, growing rapidly; tendency of bones to soften or spine to curve (Then).

At puberty; acne in anaemic girls with vertex headache and flatulent dyspepsia, > by eating.

Ailments from grief, disappointed love (Ann, Ign., Phos. ac.).

Feels complaints more when thinking about them

(Helon., Ox. ac.).

Involuntary sighing (Ign.).

Non-union of bones; promotes callous (Symp.).

Rheumatism of cold weather; getting well in spring and returning in autumn.

Headache of school-girls (Nat.m., Psor.) ; diarrhoea.

At every attempt to eat, colic pains in abdomen.

Fistulo in ano, alternating with chest symptoms (Berb.) ; lack of animal heat; cold sweat and general coldness of body.

Similar: to Carbo an.. Cal. fluor.. Calc., Fluor, ac.. Kali phos. ; to Psor., in debility remaining after acute diseases; to Sil., but sweat of head is wanting.

Acts best: before Iod., Psor., Sanic., Sulph. ; after Ars., Iod.. Tub.

Aggravation. — Exposure to damp, cold, changeable weather ; east winds ; melting snow; mental exertion.

Amelioration. — In summer; warm, dry atmosphere.

... 4-.;

Lecture LXVI — Calcarea phosphorica and Hepar

Calcarea Phosphorica.

f Cinchona, Zinc, Phosphorus (hydrocephaloid).

Dulcamara, Silicea, Sulphur.

Calcarea phos. -j Rhus, Causticum.

Sulphur, Calcarea ostr., Silicea, Phosphorus.

Baryta c. (mental weakness).

The complementary drugs of Calcarea phos. are: Zinc, Ruta graveolens, and Sulphur. Zinc you will find complementary to Calcarea phosphorica in hydrocephaloid; Ruta in affections of the joints and periosteum; and Sulphur pretty much as we found under Calcarea ostrearum.

Now there are many symptoms that are common to both Calcarea ostrearum and phosphorica. It is not a little perplexing at times, in a case which seems to call for lime, to decide which one of these preparations we should give. Perhaps I can give you distinctions enough to enable you to judge. To determine the efficacy of Calcarea phosphorica you must remember its ingredients, lime and phosphorus, and you will see how they are modified in their chemical combination, so that while we have some resemblances to Calcarea and others to Phosphorus, we have still other symptoms which belong to the combination, Calcarea phosphorica, and which are found neither in Calcarea nor in Phosphorus alone.

Calcarea phos. seems especially called for in defective nutrition, hence it is often useful in childhood as well as at puberty and in extreme old age. Beginning with the infant, we shall find it of inestimable service when the child is thin and emaciated, with sunken, rather flabby abdomen, and predisposed to grandular and osseous disease. The head is large, and both fontanelles are open. The cranial bones are unnaturally thin and brittle. The teeth develop tardily. It has curvature of the spine. The child is slow in learning to walk, and the spine is so weak that it cannot support the body. The neck is so thin and weak that it cannot support the head, which falls whichever wayit happens to be inclined. The child vomits milk persistently, whether it be the breast milk or that artificially prepared from the cow. It suffers from colic after every feeding. The stools are often green, slimy and lienteric, and are accompanied by the passage of a great deal of foetid flatus. Sometimes, the stool is very profuse, watery and hot. In cholera infantum, the stools may be of the character mentioned, or they may present a flaky appearance from the admixture of a small portion of pus. There is, in this cholera infantum, great emaciation of the whole body. The little face is pale, and the prominent parts of the body are cold. There is craving for bacon or ham. Mentally, these children are very much depressed, so that they are slow of comprehension. They seem to be stupid. Even cretinism may be developed by the continued use of Calcarea phosphorica. This will place it in your mind, along side of Baryta carb., in mental symptoms. As the child grows in years, if not in stature, any exposure to dampness or wet causes a feeling of general aching or soreness, particularly when it is moved. The least motion is unbearable. Do not be misled by this aggravation from motion and give Bryonia. It is not here a symptom for Bryonia, for it indicates the incipient symptoms of rachitis. Every little exposure produces a feeling of heat all over the body. The periosteum and the articulations are irritated and inflamed, and cause this aggravation from motion. You will find Calcarea phosphorica an excellent remedy to prevent rachitis. If it fails you, you may still fall back on Silicea.

This sensitiveness to dampness enables us to use Calcarea phos. in diseases of adults. This I consider an important qualification of the drug. Thus, it is indicated in women with a feeling of weakness and distress referred to the hypogastrium with uterine displacements, and worse by passage of either stool or urine. Especially is it indicated in women whose joints ache in every change of the weather. This quality separates it from other similarly-acting drugs. The uterine symptoms are aggravated by this change in weather, a symptom that is prominent in Calcarea phosphorica, more so, in fact, than in either Calcarea or Phosphorus. Phosphorus has the gone, weak feeling in the hypogastrium, just like Calcarea phos . , but the modality just mentioned is absent.

So, too, we may use Calcarea phos. in rheumatism appearing in any change of weather. On exposure to dampness, we find stiffness of the neck, aching and soreness in the limbs and wandering pains through the limbs, particularly around the sacral region and down the legs. All these symptoms appear with every change of weather. If the patient contracts a cold, it is associated with dryness and soreness in the throat, stitches in the chest, heat on the lower part of the chest and upper arms, and a yellow sputum.

Another use of Calcarea phos. arises from its action on joints. I refer to its use in the treatment of fractures. Wherever bones form a suture or joint, there Calcarea phos. has an action. We find it, for instance, causing pains along the sagittal suture. Again, where the sacrum unites with the iliac bones, forming the sacro-iliac symphyses, there Calcarea phosphorica produces pain. If, during pregnancy, a woman complains of pain in this locality, Calcarea phosphorica ought to help her.

Now, when there is a sort of artificial suture, as there is at the point of coaptation of broken bones, there, also, Calcarea phos. has an action. In some cases, the fractured ends may fail to unite; you give Calcarea phosphorica, which stimulates the formation of callus. It is better to use a low potency of the drug in this case.

In this respect, Calcarea phos. compares favorably with Symphytum, which is also used for non-union of fracture, particularly when the trouble is of nervous origin.

Conchiolin may here be mentioned. It is useful in osteitis at the ends of the diaphyses. This " mother of pearl " causes such a disease among workmen.

We have yet another use for Calcarea phosphorica, and that is for school-girls, particularly when they get near the age of puberty and they are exceedingly nervous and restless. They want to go away from home, and when away, they want to come back again. They suffer from headache when at school. They develop very slowly and are often chlorotic.

We may use Calcarea phosphorica in children who are suffering from marasmus. They have the peculiar craving and the diarrhoea that I have already described. The face is white and pale, or else sallow. The circulation is so imperfect that the ears and nose are cold. These cases, too, have that inability of the neck to support the head, of which I have already spoken.

There is a resemblance between Calcarea phosphorica and Cinchona. The latter may prevent this extreme picture if you give it for the drowsy, exhausted condition and has cold face, that follows the frequent and protracted discharges. In these cases, the administration of Cinchona will bring the child up and prevent the condition calling for Calcarea phos.

On the other hand, you will find Calcarea phos. will give place to Zinc when you have the rolling of the head, grinding of the teeth, cold pale face, hot occiput, fidgety motion of the feet ? and other symptoms of this remedy that I have already given you.

From Baryta carb. this drug is to be distinguished when the child under treatment is mentally stupid.

Ruta holds a complementary relationship in periosteal and articular pains. And lastly, Silicea resembles Calcarea phos. especially in rachitis, but has more offensive head sweat, more constipation and a strong tendency to suppuration, boils, etc.

In aggravation from exposure to wet we may compare Dulcamara, Sulphur, Silicea and Causticum.

It is highly important to be able to distinguish between Calcarea ostrearum and Calcarea phosphoiica. This you can do by comparing the descriptions I have given you to-day and yesterday, as follows: Calcarea ostrearum has an enlarged abdomen; Calcarea phos. has flabby abdomen, from the admixture of phosphorus with the lime. In cholera infantum Calcarea ostrearum has craving for eggs; Calcarea phos. for salt or smoked meats. The Calcarea ostrearum stools are sometimes green, but generally watery, white and mixed with curds. The Calcarea phos. diarrhoea has green, slimy or hot watery stools accompanied by foetid flatus. Calcarea ostrearum has particularly the anterior fontanelle remaining open; Calcarea phos. has both anterior and posterior fontanelles open.

Hepar Sulphuris Calcarea.

Peevish, forgetful; after grief and vexation (Ignat; Phos ac). Always wants to go somewhere.

Phosphate of Lime One of the most important tissue remedies, and while it has many symptoms in common with Calcarea carb, there are some differences and characteristic features of its own. It is especially indicated in tardy dentition and troubles

incident to that period, bone disease non-union of fractured bones, and the anæmias after acute diseases and chronic wasting diseases. Anæmic children who are peevish, flabby, have cold extremities and feeble digestion. It has a special affinity where bones form sutures or symphyses, and all its symptoms are worse from any change of weather. Numbness and crawling are characteristic sensations, and tendency to perspiration and glandular enlargement are symptoms it shares with the carbonate. Scrofulosis, chlorosis and phthisis.

Worse, exposure to damp, cold weather, melting snow. Better, in summer; warm, dry atmosphere.

Headache, worse near the region of sutures, from change of weather, of school children about puberty. Fontanelles remain open too long. Cranial bones soft and thin. Defective hearing. Headache, with abdominal flatulence. Head hot, with smarting of roots of hair.

Diffused opacity in cornea following abscess.

Swollen tonsils; cannot open mouth without pain. Complaints during teething; teeth develop slowly; rapid decay of teeth. Adenoid growths.

Infant wants to nurse all the time and vomits easily. Craving for bacon, ham, salted or smoked meats. Much flatulence. Great hunger with thirst flatulence temporarily relieved by sour eructations. Heartburn. Easy vomiting in children.

At every attempt to eat, colicky pain in abdomen. Sunken and flabby. Colic, soreness and burning around navel.

Bleeding after hard stool. Diarrhœa from juicy fruits or cider; during dentition. Green, slimy, hot, sputtering, undigested, with fetid flatus. Fistula in ano, alternating with chest symptoms.

Increased, with sensation of weakness. Pain in region of kidneys when lifting or blowing the nose.

Menses too early, excessive, and bright in girls. If late, blood is dark; sometimes, first bright, then dark, with violent backache. During lactation with sexual excitement. Nymphomania, with aching, pressing, or weakness in uterine region (Plat). After prolonged nursing. Leucorrhœa, like white of egg. Worse morning. Child refuses breast; milk tastes salty. Prolapsus in debilitated persons.

Involuntary sighing. Chest sore. Suffocative cough; better lying down. Hoarseness. Pain through lower left lung.

Rheumatic pain from draught of air, with stiffness and dullness of head. Soreness in sacro-iliac symphysis, as if broken (Aesc hip).

Stiffness and pain, with cold, numb feeling, worse any change of weather. Crawling and coldness. Buttocks, back and limbs asleep. Pains in joints and bones. Weary when going upstairs.

Complementary: Ruta; Hepar.

Compare: Calcar hypophosphorosa (is to be preferred when it seems necessary to furnish the organism with liberal doses of phosphorus in consequence of continued abscesses having reduced the vitality. Give first and second decimal trits. Loss of appetite, rapid debility, night sweats; Acne pustulosa.––Pallor of skin, habitually cold extremities. Phthisis-diarrhœa and cough; acute pains in chest. Mesenteric tuberculosis. Bleeding from lungs; angina pectoris; asthma; affection of arteries. Veins stand out like whipcords. Attacks of pain occurring two hours after meals (relieved by a cup of milk or light food). Cheiranthus (effects of cutting wisdom teeth). Calcarea renalis-Lapis renalis––(arthritic nodosities. Rigg's disease; lessens tendency to accumulation of tartar on teeth; gravel and renal calculi). Conchilion.––Meter perlarum.––Mother of pearl (Osteitis.––Has a wide range of action in bone affections, especially when the growing ends are affected. Petechiæ). Silica; Psorin; Sulph.

First to third trituration. Higher potencies often more effective.

Calcarea Phosphorica

During the growing period many children need this remedy. if the head bones are slow in forming, or do not keep pace with the growth of the child, this remedy is often called for. Where the child is losing flesh, slow learning to do things, slow learning to walk, or the legs are not strong enough to support the body, or it is behind in mental development, this remedy is one to be examined (like Baryta carb., Borax, Ph. ac., Nat. m., Calc.).

Flabby, shrunken, emaciated children. Non-union of fractured bones, swollen condyles, are symptoms accepted by all text-books as strong symptoms of this remedy. It has cured polypi of nose, rectum and uterus. It has cured enlarged glands of the neck, groin and abdomen. Rachitis, with fontanelles open, and diarrhea, in emaciating children. Rheumatic pains in the joints and limbs, worse from cold weather, or in every cold change of weather. Pale, waxy skin; anaemia.

Growing pains nights in fast growing children. Phtisical subjects. Diseases of bone. Easy ulceration. Itching, burning, eruptions. Sensitive to cold. Sensitive to a jar.

The pains are shooting, drawing, aching, burning, pressing. It has a shaking chill that spreads downward. Dry heat in evening. Copious night sweats.

The complaints of this remedy are generally better during rest, come on during motion, and are greatly aggravated by exertion. Stiffness on moving in bed. General bodily weakness. Numbness of many parts. Trembling. Fear brings on complaints; palpitation.

Mind: Electric shock, so severe that the patient could not remain standing. Epileptic spasms. Convulsions of children; but the remedy must be given when not in the convulsion to secure the best effect. The mind shows above all a tired and weak brain.

Feeble memory, and inability to sustain mental effort. Suffering in the head from mental exertion. Dreads mental exertion. Sluggish mind. Imbecility.

Feeble minded children. The child grasps the head with the hands and screams. Thinking of complaints causes them to appear or increase. Extremely fretful.

Ailments from bad news, grief, unrequited affections, vexation. She seeks solitude to commune with her thoughts and to shun the exertion of society. Discontented with his own surroundings and goes from place to place.

Head: Vertigo in cold wind, from mental and physical exertion, when rising from sitting, when walking in cold air.

The head symptoms are still more striking. The dull headaches of school children-always come home from school with headache. The head is sensitive to a jar, to pressure, to the hat; wants it washed in cold water; wants to be quite and alone.

Throbbing and burning in the head. Rheumatic headache, seems to be in the whole head, in cold weather, being out in the cold wind; worse from walking, worse from exertion, worse at night. It has many times prevented hydrocephalus. Frontal headaches, and forehead and eyes worse from pressure of the hat. Perspiration of scalp; forehead cold to touch. Tearing pain in bones of head. Cold occiput. Eczema of scalp. Ulcers of scalp.

In children when coming out of brain congestion if there is strabismus, diarrhea, and losing flesh. Glittering fiery circles before the eyes. Pain in eyes from reading in artificial light. Eyes blurred. Soreness in eyeballs. Pains worse thinking about them. Ulceration of cornea. Eyes feel hot. Easy lachrymation.

Rheumatic tearing in the ears when the weather changes to cold. Ears very cold. Aching deep in ear. Enlarged, painful parotid glands. Eruption about the ears. Noises in ears after stool. Dry catarrh of the middle ear. This remedy is useful in chronic catarrh of the nose when the general symptoms agree.

Polypi in the nose. Icy cold nose. Fluent coryza in a cold room, stopped in a warm room. Epistaxis. Pale, waxy face, dirty skin. Rheumatic face ache in every cold spell of weather. Cold perspiration on face.

Neuralgia of face at night, in cold air; worse from exertion, ameliorated by heat; sensitive to pressure (Mag. p. is better by heat and pressure). Dark blotches and pustules on the face. Swollen upper lip, painful, hard and burning.

Teeth late coming in or decay soon. Teeth sensitive to touch, pressure, or when masticating. Complaints of teething children. Foul taste in mouth. Bitter taste in the morning. Tongue coated in the morning. Tongue swollen, numb and stiff.

Growing children suffer from chronic throat troubles. Enlarged tonsils. Every cold settles in the tonsils (Baryta c., Alumen). Much mucus in throat. Dryness in throat at night.

Stomach and abdomen: Craves salt bacon and smoked meats. Strong appetite. Infants want to nurse all the time. Easily disordered stomach. Cold drinks, ice cream, fruits disorder the stomach, causing pain or diarrhoea. Pain in stomach after food. Eructations and nausea. Soreness in the stomach. Sour eructations, nausea and vomiting. Burning in the stomach. Nausea from scraping the larynx or throat. Vomiting in infants, in children, and in pregnancy. Violent pain in the stomach; diarrhoea aggravated by the least food. Gnawing, empty feeling in the stomach.

After becoming chilled, pain in the liver, soreness, aggravated after eating and by motion; wants to keep quiet. Stitching pains in the liver from deep breathing or sudden motion. Pulsating in the liver. Cutting pains in the spleen. Sinking sensation in abdomen.

Burning in the abdomen, rising up into the chest. Pain in the abdomen ameliorated by passing flatus. Colic, followed by diarrhoea. Ulceration of naval in infants. Motion in abdomen from flatus as from something alive. Abdomen large and flabby.

Tabes mesenterica with diarrhoea. Green mucus and hot watery stools; white, mushy stools, copious, offensive flatus. Diarrhea from fruit, ice cream, cold drinks or vexation. Diarrhea in the morning in phtisical patients. Very offensive stools.

Stools and anus: Constipation, with difficult, hard stool. Bleeding from the rectum and anus during stool. Protruding piles so painful that he is kept in bed for weeks; the pain is intense standing, walking, from touch; ameliorated by heat; with general sufferings, every sudden cold change of the weather. Piles itch and burn and discharge yellow pus. Itching of the anus in the evening. Stitching pain in the anus, with or without hemorrhoids. Boils and abscesses about and near the anus, discharging blood and pus. Fistula in tuberculous subjects. Fissured anus, with burning stitching pains.

Urines: Weak and irritable bladder. Catarrh of the bladder. Frequent urging to urinate. Copious flow of urine. Pain in the neck of the bladder before and after urinating. Aching in the empty bladder. This remedy has cured diabetes mellitus. Violent pain in the region of the kidneys.

Sexual desire increased. Painful erections. It has cured many cases of chronic gonorrhoea when the discharge is gleety and there are sharp pains in the urethra and prostate gland. Gonorrheal rheumatism when of long standing and worse in every cold change in the weather (Med.),

Women: The woman has no better friend than Calc. p.

Her sufferings at puberty when she is slow in maturing are often met by this medicine. From taking cold at first menstrual period often comes a painful menstruation that lasts during menstrual life, unless cured by this remedy. Violent cramping in uterus and groin several hours before the flow starts, relieved after the flow has been fully established.

The pains make her cry out. Intense sexual excitement (like Platina, Gratiola, Origanum). Weak, sinking sensation in the pelvis. Prolapsus of uterus during stool and micturition. Uterine polypus. Labor-like pains at the beginning of menstruation. Copious menstrual flow, with very dark clots and membranes. Leucorrhea like white of egg day and night. Throbbing, titillating in external genitalia. Burning in the vagina and uterus during menses. Child refuses mother's milk. It may be given to a woman who has brought forth one or two children that may be considered Calc. p. babies. The next child will be stronger and have a better constitution.

Voice and larynx: It is often observed that this patient scrapes, mucus from the larynx before he can talk or sing. Hoarseness, dry hacking cough day and night. Tubercular laryngitis.

Suffocation on slight exertion, or on ascending stairs. In thin, pale, sickly people with dry, hacking cough worse in cold, damp weather in rheumatic constitutions. Yellow expectoration. Stitching pains in the chest. Emaciation of the chest. Difficult expectoration. It is a very useful remedy in phthisis and blood spitting. Much sweat on the chest. Rattling in the chest with difficult expectoration, like Caust.

Soreness of the chest to touch. Palpitation, with trembling of the limbs.

Back and limbs: The back pains are worse in cold, stormy weather, attended with stiffness, and worse in the morning. The back is sensitive to draft. Pain in the back from lifting or straining. Curvature of spine. Tearing, shooting; tenderness and aching in the spine. Soreness in sacroiliac symphysis. Pain in lumbar region and sacrum at the menstrual period.

Rheumatic pains in the limbs in cold weather, worse from motion, better during rest and from heat. Trembling in all the limbs. Stiffness after resting, and in the morning. Aching in the bones, like growing pains. Gouty fingers and toes that become painful in cold weather. Ulcerative pains in the roots of the nails.

The most severe tearing, shooting pains are in the lower limbs. The probable reason for this is that the lower limbs are always cold to the knees, and the cold parts are always the suffering parts in this remedy.

Sharp pains in tendons of the lower limbs. Intense aching boring pains in the knees, and long bones. Pains in the tibia with soreness. Drawing pain in the tibia. Cramp in the calves. Ulcers on the legs; weak, chronic; no granulation. Rheumatism of the ankles. Caries of the os calcis. Stringing and shooting in the toes. Sleepy daytime and evening. Sleepless after going to bed until midnight or later. Very sleepy in the morning. Vivid dreams. Children cry out in sleep. Frightful dreams cause him to awaken with a start.