Cinchona officinalis
cinc-offCinchona Officinalis (Rubiaceae)
For stout, swarthy persons; for systems, once robust, which have become debilitated, “broken down” from exhausting discharges (Carb-v.). Ailments; from loss of vital fluids, especially hemorrhages, excessive lactation, diarrhea, suppuration (Chinin-s.); of malarial origin, with marked periodicity; return every other day. Disposition to hemorrhage from every orifice of the body with ringing in ears, fainting, loss of sight, general coldness, sometimes convulsions (Ferr., Phos.). Pa
Cinchona officinalis — Materia Medica
Cinchona officinalis — mind · James Tyler Kent
Such is the China cachexia, and with this in view, the mental state will scarcely be a surprise to you. It is just such as you would expect in this nervous, sensitive patient. Weakness of mind. Inability to think or remember. Full of fear at night. Fear of animals, dogs, of creeping things. Wants to commit suicide, but lacks courage. Gradually the mind grows weaker, he uses wrong expressions or misplaces words. Lies awake at night making plans, theorizing, building air castles, thinking of the wonderful things he is going to do some day. In the morning he wonders how he could have thought such foolish things. After sleep his mind is clear and he looks more philosophically on the affairs of life. Unable to entertain any mental proposition that, means work. He dreads work. He is apathetic, indifferent, low spirited, silent, disinclined to think. He is unable to control the mind, to make it do what he wants it to do. You see it is not as yet a real insanity. This state of mind comes on after haemorrhage. Insomnia after haemorrhage. A woman, after having suffered great loss of blood, will be sleepless night after night. After hemorrhage we may have dizziness. it is a natural consequence; dizziness and fainting. But ordinarily, after the proper diet for a few days, these symptoms will have disappeared. With the China patient they go from bad to worse. The woman after severe haemorrhage does not make blood. There is mal-assimilation, and the vertigo persists for days and weeks. China will restore order. Easily angered, and refuses to talk or to answer questions. Anxiety day and night, but worse in the evening, worse during chill; anxiety with fear. Anxiety during fever, even becomes wild. Anxiety on waking.
Cinchona officinalis — general · James Tyler Kent
Now we shall take up the study of Cinchona, or China. Persons who have suffered much from neuralgias due to malarial influences, who have become anaemic and sickly from repeated haemorrhages, are likely to develop symptoms calling for China. China produces a gradually increasing anaemia, with great pallor and weakness. It is sometimes- indicated in plethoric individuals, but this is the exception, and even in this class we find that the symptoms are tending towards the cachectic state, which is avoided by the prompt action of the remedy. Throughout the body there is a gradually increasing sensitivity, a gradually increasing irritability of the nerves; the nerves are always in a fret, so that these people will say: "Doctor, what is the matter with me, I am so nervous?" Pains: Everywhere there are twinning, tearing, cutting pains in the limbs and over the body. And so great is the sensitiveness to touch that the nerves can many times be outlined; as, for instance, the little nerves in the fingers, because of their extreme sensitiveness. The China patient grows increasingly sensitive to touch, to motion, to cold air, so that he is chilled from exposure. The pains are brought on by exposure to the wind, by cold air, and are increased by motion and touch. Old malarial conditions that have been suppressed with quinine; gradually increasing pallor, bloodlessness, cachexia, until the patient is always catching cold, has liver troubles, bowel troubles, disordered stomach, is made miserable and sick by nearly everything he does. He cannot eat fruit without having indigestion; he cannot eat sour things.
Cinchona officinalis — modalities · James Tyler Kent
Wants to be warm; wants warm drinks and warm food. Warm room ameliorates. Wants to lie down. Aversion to motion. Stitching and tearing pains. Periodicity is most marked. Pulsation all over the body. Pulse fast, feeble and irregular. Relaxed and flabby (Calc.). Sensitive to pain. Many symptoms come during sleep. Standing increases many symptoms. Sensitive to touch. Trembling. Walking in the open air aggravates. Weakness from walking. Complaints come on in windy, stormy weather.
Cinchona officinalis — head · James Tyler Kent
The remedy is full of headaches. Congestive headaches in broken down constitutions. Extremities cold and body covered with a cold sweat. Rending, tearing pains. Pressing and throbbing. As soon as the air strikes the head those pains come on. Headache better in a warm room; worse from touch; worse from motion; worse from cold. These are the principal features. A slight touch will aggravate the disturbance. But notice the exception. Hard pressure ameliorates the China pains, as light pressure aggravates. Sensitiveness of the tissues; sensitiveness along the course of the nerves; the pains are brought on by touch, by cold air. Stitches in the head with pulsation in temples, which can be felt with the fingers; ameliorated by hard pressure, but aggravated by touch. The jar and motion of walking hurt the head. Even turning over in bed aggravates. Cannot ride in a carriage or anything that jolts. Ameliorated by hard pressure. Throbbing headaches, aggravated by a draft of air, in the open air, from the slightest touch; ameliorated by hard- pressure. The scalp feels as if the hair was grasped roughly. It is sensitive to touch. Profuse sweating of the scalp. Headaches aggravated at night. Headaches from sexual excesses; loss of animal fluids. Cerebral congestion with great heat of the head. The forehead becomes cold and covered with sweat. Constriction of the head. Great beat in the forehead. Heaviness in the head in the morning. Motion is felt in the brain on moving the head. Sensation of rushing in the brain, down right side of the neck and arm becoming convulsive, and ending in real convulsion. Violent darting pains in the head preventing sleep. Pain in the whole head. Pain: in the morning on waking, in then afternoon, but most severe at night.
Cinchona officinalis — face · James Tyler Kent
The face is withered, shrunken, sallow, anaemic, sickly. Red when the fever is on and sometimes when the chill is on, but in the apyrexia pale, sickly and sallow. Neuralgia of the face; tearing, rending, knifelike pains with the usual modalities. The veins of the face are distended. This is frequently observed during the fever and sweat of the China intermittents. 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.
Cinchona officinalis — eyes · James Tyler Kent
Now we come to the eye. Photophobia. Yellowness of the sclera, Exposure to cold wind will bring on neuralgia; ameliorated from keeping quiet and from keeping warm. "Nocturnal blindness, dimness of vision. Feeling as if sand were in the eyes. Pains worse from light. Better in the dark." Inflamed eyes. Lachrymation. Intense photophobia and spasms of orbicularis muscles. Gushing hot tears. Large ulcers on each eye, worse from midnight until 3 A.M. Scrofulous opthalmia, worse after 1 A.M. Flickering before the left eye. Pain in the eyes at night. Burning pains, Pressing. Sunken eyes. Dim vision. Sparks before the eyes. Weak vision. Convulsive action about the eyes; pupils dilated and insensible patient lies fixed in one place, with starting, fixed, glassy, upturned eyes, like Cupr. Strabismus may be the only spasm the child is subject to from cerebral irritation. Every time the child is frightened it has strabismus; when touched or when it has cold, or after a fall biting the head, or coming periodically, it has strabismus. 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.
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