Cina

The greater the emaciation the greater the hunger. Bruised soreness. Painfully sore to motion and touch. Stiffens out; < if crossed, looked at, during cough, etc. Twitchings. Spasms; < worms; unilateral. .................... TOUCHY. Nervous. Ugly, cross, petulant and dissatisfied. Wants to be rocked. Dilated pupils. Squint. Colored vision. Eyes fatigue, > rubbing. Nostrils drawn in. PICKS AND BORES AT NOSE. Dark rings about eyes. BLUISH WHITE ABOUT MOUTH. Sickly, pale face; during cough. GRINDS TEETH; during sleep. Chews and swallows in sleep. Worms. Noisy swallowing. Canine or gnawing hunger; after eating; after vomiting; alternating with anorexia; precedes chill or follows sweat. Hard, distended abdomen. Twisting at navel, > pressure. White, watery stool. Bed-wetting; < every full moon. MILKY URINE. Regularly recurrent, choking cough, then gurgling down throat. Tosses arms and legs from side to side. Restless sleep; lies on abdomen; cries out; wakes in terror. Fever, with pale face (Bry.). Cold sweat about nose and forehead.

TOUCH. Worms. Vexation. Looked at. DURING SLEEP. Full moon. Staring. Yawning.

Lying on abdomen. Wiping eyes. Motion.

NERVES: Cerebro-spinal. ABDOMEN. Digestive tract. Eyes. Mucous membranes. Children. (Left side.).

Complementary: Calc-c. Dros. Ratan. Related: Cham. Nat-p.

Cina

Worm Seed. Compositce.

Adapted to children with dark hair, very cross, irritable, ill-humored, want to be carried, but carrying gives no relief; does not want to be touched; cannot bear you to come near it; averse to caresses; desires many things, but rejects everything offered (compare. Ant. t., Bry., Cham., Staph.).

Constantly digging and boring at the nose; picks the nose all the time; itching of nose; rubs nose on pillow, or on shoulder of nurse (Mar. v.).

Children, suffering from worms; pitiful weeping when awake, starts and screams during sleep; grinding of teeth (Cic., Spig.) ; ascarides (Mar. v.).

Face is pale; sickly white and bluish appearance around mouth ; sickly, with dark rings under the eyes; one cheek red, the other pale (Cham.).

Canine hunger : hungry soon after a full meal; craving for sweets and different things ; refuses mother’s milk.

Urine; turbid when passed, turns milky and semisolid after standing; white and turbid; involuntary.

Cough: dry with sneezing; spasmodic, gagging in the morning; periodic, returning spring and fall.

Child is afraid to speak or move for fear of bringing on a paroxysm of coughing (Bry.).

Kreos., Sil., Staph., in irritability of children.

In pertussis, after Drosera has relieved the severe symptoms.

Has cured aphonia from exposure when Aeon., Phos. and Spong. had failed.

Is frequently to be thought of, in children, as an epidemic remedy, when adults require other drugs.

Santonine sometimes cures in worm affections when Cina seems indicated, but fails (Mar. v., Spig.).

Lecture XXIII — Cina and Chamomilla

ClNA.

The medicinal virtues of Cina are largely, although not entirely, due to a poisonous active principle which it contains; that active principle is Sa?itoni?ie, the central point of action of which is the abdominal ganglia, whence are reflected nervous impressions to all other parts of the body, but principally to the brain and spine. As a result of this primary action on the abdominal ganglia, we have as reflex symptoms, convulsive twitchings and jerkingsof the limbs and even violent spasms, these latter usually being of a tonic character. Strabismus also is present. Under the influence of Cina, the face is pale, and it continues so, even if there be fever. Ipecacuanha and Bryonia also have this symptom. With the pale face of Cina, there are usually associated dark rings about the eyes. The pupils are dilated. The child grinds its teeth during sleep. It also picks or bores at the nose with its finger. The sleep is restless and attended by crying out. This is the general action of Cina. You now know what you may expect of the drug. Taking these symptoms into account, we are led to the use of Cina for the presence of worms in the alimentary tract. The most careful analysis of clinical experience has demonstrated that Cina is most powerful for the elimination of round worms. The sickly appearance of the face, the blue rings about the eyes, and the grinding of the teeth, associated with canine hunger, give a perfect picture for the drug. Cina so far corrects the abdominal organs and so far tones up the abdominal ganglia, that the mucous membrane of the alimentary tract pours forth a normal secretion, and the worms, no longer having a proper pabulum on which to subsist, die and are expelled. This, then, is the use of Cina.

With the oxyures, those little worms which appear about the anus and get into the rectum, Cina is of no avail, because the symptoms caused by them are not symptoms of Cina. For these, we have another group of remedies.

Aconite, when the child is feverish and cannot sleep.

When the child is simply much excited, you may give Ignatia. Indigo is the best remedy when convulsions result from the worms. If all these fail, think of Quassia.

Caladium seguinu?n is the best remedy in little girls when the worms travel over the perinseum and get into the vagina. The irritation they produce may thus excite masturbation.

We may also make use of Cina in affections of the eyes, especially in asthenopia from defective accommodation. When the patient attempts to read, the eyes begin to ache, the letters become blurred and a cloud comes over the field of vision. Relief is obtained by rubbing the eyes. The same condition I have already told you is found under Artemisia vulgaris. It is also a symptom of Euphrasia, being due to the mucus which gathers in a film over the cornea.

A very peculiar effect on the eye produced by Santonine is, that objects look yellow.

Cina being a spasmodic remedy, we may expect it to be useful in whooping-cough, in which disease it is indicated when the paroxysms come regularly through night or day and are accompanied by tonic convulsions. Just after a paroxysm, a gurgling sound is heard. Cina may also be used in cough reflex from the irritation of worms. As a concomitant of all these conditions, we find the temperament of Cina. It is indicated in children who are irritable, nervous and peevish ; who resent being touched or even looked at. They are obstinate and permit no one to approach them.

Cina seems to have some effect on the bladder, producing wetting of the bed at night, usually during the first sleep. The urine is pale and turbid and sometimes has a very strong odor. This latter symptom would remind you of Phosphoric acid, which also has enuresis in the fore-part of the night.

Probably the remedy most frequently called for in enuresis during the first sleep is Sepia, although it will also be found voider Benzoic acid and Kreosote.

Cina is not often used in intermittent fever, but it is sometimes indicated by thirst during the chill and occasionally during the fever also. Pale face is present even during the hot stage. There are also vomiting, canine hunger, and clean tongue.

Like many of the other members of the order Composite, the Cina patient finds relief from moving about.

Chamomilla Matricaria.

The Chamomilla of the homoeopathic materia medica is the German variety, the Chamomilla matricaria. The drug apparently acts best upon patients with a morbidly sensitive nervous system. It is like Cofiea, Ignalia and Belladonna then, in so far as it lessens nervous excitability.

Slight impressions produce distress and anguish of mind ; pains often result in fainting. Here it is similar to Valeria?! , Hepar, Veratrum album and Nux moschata. It is especially applicable to these symptoms when they appear after long-continued use of narcotics. In every disease in which Chamomilla is indicated, we notice this peculiar excitability. The patient, whether it be child or adult, a woman in labor or with toothache, is cross and excitable. Unless this mental state is present, Chamomilla will most likely fail you. When violent emotions, like anger, affect the viscera, as, for example, the liver with jaundice, you may think of the drug under consideration. In this condition it stands related to a few drugs. Staphisagria is indicated in children or adults when colic follows a fit of anger.

Bryonia has gastro-enteric symptoms after anger. Under this^ remedy, however, the symptoms are associated with chilliness, under Chamomilla with heat ; under Bryotiia the face is dark red, under

Ill-humor. Child very cross; does not want to be touched, or crossed, or carried. Desires many things, but rejects everything offered. Abnormal consciousness, as if having committed some evil deed.

Worm-seed This is a children's remedy,-big, fat, rosy, scrofulous, corresponding to many conditions that may be referred to intestinal irritation, such as worms and

accompanying complaints. An irritability of temper, variable appetite, grinding of teeth, and even convulsions, with screams and violent jerkings of the hands and feet, are all within its range of action. The Cina patient is hungry, cross, ugly, and wants to be rocked. Pain in shocks. Skin sensitive to touch.

Worse, looking fixedly at an object, from worms, at night, in sun, in summer.

Headache, alternating with pain in abdomen. Relieved by stooping (Mezer). Pain in head when using eyes.

Intense, circumscribed redness of cheeks. Pale, hot, with dark rings around eyes. Cold perspiration. White and bluish about the mouth. Grits teeth during sleep. Choreic movements of face and hands.

Dilated pupils; yellow vision. Weak sight from masturbation. Strabismus from abdominal irritation. Eyestrain, especially when presbyopia sets in. Pulsation of superciliary muscle.

Digging and scratching in ears.

Itching of nose all the time. Wants to rub it and pick at it. Bores at nose till it bleeds.

Gets hungry soon after a meal. Hungry, digging, gnawing sensation. Epigastric pain; worse, first waking in morning and before meals. Vomiting and diarrhœa immediately after eating or drinking. Vomiting with a clean tongue. Desires many and different things. Craving for sweets.

Twisting pain about navel (Spig). Bloated and hard abdomen.

White mucus, like small pieces of popped corn, preceded by pinching colic. Itching of anus (Teuc). Worms (Sabad; Naphth; Nat phos).

Turbid, white; turns milky on standing. Involuntary at night.

Uterine hæmorrhage before puberty.

Gagging cough in the morning. Whooping-cough. Violent recurring paroxysms, as of down in throat. Cough ends in a spasm. Cough so violent as to bring tears and sternal pains; feels as if something had been torn off. Periodic; returning spring and fall. Swallows after coughing. Gurgling from throat to stomach after coughing. Child is afraid to speak or move for fear of bringing on paroxysm of coughing. After coughing, moaning, anxious, gasps for air and turns pale.

Twitching and jerking distortion of limbs, trembling. Paralyzed shocks; patient will jump suddenly, as though in pain. Child throws arms from side to side. Nocturnal convulsions. Sudden inward jerking of fingers of right hand. Child stretches out feet spasmodically. Left foot in constant spasmodic motion.

Child gets on hands and knees in sleep; on abdomen. Night terrors of

children; cries out, screams, wakes frightened. Troubles while yawning. Screams and talks in sleep. Grits teeth.

Light chill. Much fever, associated with clean tongue. Much hunger; colicky pains; chilliness, with thirst. Cold sweat on forehead, nose, and hands. In Cina fever, face is cold and hands warm.

Compare: Santonin––(often preferable in worm affections; same symptoms as Cina; corresponding to the "pain in shocks" produced by Cina. Visual illusions, yellow sight; violet light not recognized, colors not distinguishable. Urine deep saffron color. Spasms and twitchings, chronic gastric and intestinal troubles sometimes removed by a single dose (physiological) of Santonin. Dahlke). Helmintochortos-Worm-moss (acts very powerfully on intestinal worms, especially the lumbricoid). Teucrium; Ignat; Cham; Spig. Antidote: Camph; Caps.

Third attenuation. For nervous irritable children, thirtieth and two- hundredth preferable. Santonin in first (with care) and third trituration.

Cina

Cina is pre-eminently a child's remedy, but it is suitable for conditions in adults that are seldom thought of. A marked feature running through is touchiness, mental and physical.

Child: The child wants something, but does not know what. The child is aggravated by touch and even by being looked at, and is worse from seeing strangers. The skin is sensitive to touch. The scalp and back of the neck, the shoulders and arms are so sensitive, that it is almost a soreness as if bruised. The hyperesthesia is both mental and physical. The old routine of giving Cina for worms need not go into your notes, for if you are guided by symptoms the patient will be cured and the worms will go.

This patient is disturbed by everything, worse after eating even a moderate meal. The child takes a moderate supper and dreams all night, jerks and twitches in sleep, rouses up in a fright, talks excitedly about what he has dreamed, thinks it is real, and sees dogs, phantoms, and frightful things lie has dreamed about. The dream is prolonged into the wakeful hours. Screams and trembles, with much anxiety on waking; whines and complains. While this little patient is aggravated by being handled yet he wants to be carried and kept busy, like Chamomilla; although not so intensely irritable as that remedy, yet he must be carried. At first on taking him out of the crib he screams when taken bold of; the first touch aggravates. This aggravation from touch and sensitiveness runs through the convulsions and fevers, with delirium, glassy eyes, drawn mouth and white ring around the nose and mouth. With a disordered stomach he has convulsions after eating, with the head drawn back and glassy eyes.

The stomach is sour and the child is always spitting up sour milk and belching sour wind. The child smells sour.

The mother says that "Baby has a worm breath," but the same odor is present when there are no worms. In the convulsions there are loss of consciousness and frothing at the mouth.

Hallucinations of smell, sight and taste, in the delirious state, after taking cold, or on waking from sleep; wakes up with the delusion. Things taste and smell differently. The senses of taste and touch are exaggerated or perverted. In some cases of internal hydrocephalus, not with enlarged skull but with increase of the fluid in the ventricles and central canal of the spinal cord, the patients take on Cina symptoms. Rolling of the head frequent headaches; sensitiveness to jar; cannot be touched or tapped along the spinal cord without headache always worse in the sun - the head is hot and the feet are cold in the sun.

Cina will cure some of these cases. They cannot stand any kind of disturbance; it produces a convulsion. They cannot be punished because they go into convulsions. If the iter a tertio ad quartum ventriculum is closed they will be incurable, the internal pressure will go on and they will die from it. Such congenital states are incurable.

Dull headache with sensitiveness of the eyes. Headache before and after epileptic attacks and after intermittents. Before and during the headache sensitiveness of the skull. Cina children cannot have the hair combed, and the Cina woman must have her hair down in head and nerve complaints.

There is coldness of the, extremities and also some itching of the skin, but the head symptoms are predominant. From slight disturbances of the mind he cannot digest, and he has diarrhoea. The complaints are aggravated in summer; the heat affects the brain, arrests his functions, and on comes diarrhoea with green, slimy stools or white stools, and the child vomits.

It is pre-eminently brain in Cina; the orders are not received from the brain and so stomach symptoms develop, and worms hatch out. If he is cured the healthy gastric juice will chase the worms out The child turns his head from side to side. The pains are sometimes better from turning the head from side to side. You will see this in sensitive women, who must have their hair down; rolling the head relieves, not shaking as in the text, that is too violent.

Eyes: All sorts of colors before the eyes. Objects look yellow. It is useful in sensitive women, sensitive nervous women, who are always worse from using the eyes, and get pain in the head and eyes from sewing. It is like Ruta in that respect, symptoms of eye-strain. It is not so much indicated in young people but more when presbyopla is beginning in middle-aged women, and there is the effort to strain the eyes on fine work or print.

Rubs the eyes and can then see more clearly. On rising from the bed blackness before the eyes; different colors, especially yellow. Strabismus when worms are present, depending really on brain trouble because the worms are dependent upon that.

Face: Face sunken, pallid, wings of nose drawn in. Blue ring or gray streak around the mouth. "A sure sign of worms," the mother says. Child rubs its nose with the hands or on the pillow or on the nurse's, shoulder. Child bores into the nose until the blood come. The sickly aspect is striking, but it is representative of brain trouble, central trouble. The brain symptoms are the highest and most important. It frightened, whipped, or scolded, the brain is disturbed and the stomach disordered.

They get indigestion and breed worms; white or blue appearance about the mouth, grinding of the teeth during sleep. Before the child has teeth it has a chewing motion, a side to side movement. Sensitiveness of the teeth to the cold air and cold water.

Bleeding from the mouth, and nose. Inability to swallow liquids; they gurgle down the oesophagus before and after convulsions. When the head symptoms are present, the milk or water gurgles down the oesophagus with a gurgling cluck. This is present in diarrhoea and vomiting with brain symptoms.

Ars. and Cupr. are also prominent in gurgling down the oesophagus when swallowing. Choreic movements extend to the tongue.

The child or adult is not relieved by eating, is still hungry. The stomach is loaded and yet he is hungry. After vomiting you would expect there would be, an aversion to food, but there is in Cina, the same empty, hungry feeling. When there is gnawing in the stomach after eating, or when the child has taken all it can hold yet cries for the bottle, or empties its stomach by spitting up and vomiting the food and then reaches out whining and crying for more, think of Cina. Shuddering when drinking wine as if it were vinegar.

Abdomen bard and bloated. Very often the Cina child will flop over on its belly and get to sleep in that way. If it is turned on the side it wakes up again. While in the mother's arms it will go to sleep with the abdomen resting on the mother's shoulder, but when she puts it on the side in bed it wakens.

If you had a child with copious, gushing, violently foetid stool, ameliorated by lying on the abdomen, and it would have another stool if lying any other way, Podoph. would be the remedy. That would not be Cina. The Cina stool is not very copious, and often white.

Gagging cough in the morning. Short, hacking cough at night. Spasmodic cough. Whooping cough.

Oversensitiveness to touch; trembling, spasms, chorea. Spasmodic yawning. Child cannot sleep unless on the belly or in constant motion.