IPECACUANHA.
Cephaëlis Ipecacuanha, A. Richard.
Natural order
, Rubiaceæ.
Common names
(German), Brech-wurzel;
Ipecac.
Preparation
, Trituration and tincture of
the root.
Authorities.
(Nos. 1 to 15,
from Hahnemann). 1, Hahnemann, Mat.
Med. Pura; 2, Langhammer, ibid.; 3, Lehmann, ibid.; 4,
Stapf, ibid.; 5, Clark, in Murray,
Appar. Med., I, p. 814 (effects when given in dysentery, without
relief); 6, Cleghorn, Diseases of
Minorca, p. 249 (when given in dysentery); 7,
Fothergill, Med. Obs. and Inq., Art. XVIII, when given in chronic diarrhœa;
8, Geoffroy, Traité de la Mat.
Méd., II, p. 92, accidents liable to happen to those who powder the
drug; 9, Gmelin, Untersuch., etc.,
1793 (no obs. about Ipecacuanha in ed. of 1787); 10, Hillary, Air and Diseases of Barbadoes
(page 215, as Cleghorn); 11, Heller
(D. Nat. A.), in Hufel. Journ., XXVII, 1, p. 51 (effects when given in
chronic agues; subjects of nearly all the symptoms had had six paroxysms
already; his face was yellow, and the præcordia tender); 12, Lemery, Traité Univ. des Drog. Simpl.,
p. 438, from the powder drawn into the nose, Hahnemann; (from taking
Ipecacuanha in large doses of powder), local irritations obviated by
moistening it; 13, Murray, Med. Pr.
Biblioth., III, p. 237 (not accessible); 14,
Pye, Hughes, Med. Obs. and Inquir., Art. XXII, p. 266 (after ineffectual
attempts at vomiting); 15, Scott, in
Edin. Med. Com., IV, p. 74 (effect of powdering Ipecacuanha at a
distance in one idiosyncratically susceptible to its influence); 16, Bock, Inaug. Diss., Dieppe, 1830 (A. H.
Z., 32, p. 63), took repeated doses of 1/2 to 15 grains; 17, Lembke, A. H. Z., 37, p. 125, proving
with 1/2 grain, repeated after half an hour; 18,
Robinson, Br. Journ. of Hom., 24, p. 515, a man took 3d dilution three
times a day; 19, Preger, Rust’s
Mag., 1830, vol. 32, effects of powdering Ipecacuanha in a man who had
suffered from habitual cough and catarrh; 20,
Bullock, Lond. Med. Gaz., 1836, p. 701, a man affected on entering a
room where Ipecacuanha was being prepared; has been affected the same
way a dozen times; 21, Patterson,
Bost. Med. and Surg. Journ., 1843, p. 411, effects of using Ipecacuanha
in his practice (he had catarrh five years before asthma commenced); 22, Turner, Bost. Med. and Surg. Journ.,
1843, p. 229, effects of dust while preparing Ipecacuanha; 22a,
same, took 1/2 drachm of powdered Ipecacuanha in tepid water; 22b,
effects of a single pill of about 1 grain, twice; 22c, two
attacks from exposure to Ipecacuanha; 23,
Hannay, Edin. Med. and Surg. Journ., 1843, p. 322, effects of liniment
of Ipecacuanha; 24, Payne, Western
Journ. of Med. (Bost. M. and S. Journ., 1844, p. 84), effects of
inhalation while filling a jar; 25,
Robertson, Am. J. Med. Sc., 1844, p. 252, from West. J. of Med., effects
of inhalation while preparing a powder of Ipecacuanha; 25a,
effect of wine of Ipecacuanha for deranged stomach; 25b,
same, another inhalation; 25c, same, touched tongue to wine of
Ipecacuanha; 25d,
same, sequela to attacks; 26,
Roberts, from Pereira, effects of remaining in a room while preparing
Ipecacuanha; 27, Tamhayn, Journ. of
Pharm. and Therap., I, 397, effects in an apothecary of powdering
Ipecacuanha; 28, Stillmann, Am. J.
of Hom. Mat. Med., 1875, p. 367, effect of syrup of Ipecacuanha in a
child eighteen months old, teaspoonful doses repeated every 1/2 hour
till it vomited.
MIND.
►
Emotional. ► *The child
cries and screams violently and incessantly; sticks its fist into its
mouth; its face is pale and the body rather cool (after one hour), [1]. ►
His mind is full of wishes and longings, but he does not know for what, [1]. ►
Lively mood; he is inclined to talk, and even to joke, [2]. [Curative reaction from the previous
opposite condition of mind. -Hahnemann.] ►
Whining mood; must be carried about, [28].
► He does not speak a word, [1]. ►
Takes no delight in anything; nothing pleases him, [1]. ► His
courage sinks, and he is extremely inclined to be peevish and
ill-humored, [1]. ► He is thoughtful, fearful, and thinks
trifles are very important (after six hours), [1]. ►
Ill-humored; he thinks that he is very unhappy, [1]. [10.] ► Ill-humored the whole day; had no desire
to talk, and was inclined to weep, [2].
► Ill-humored and vexed that his
business does not proceed fast enough, [1].
► Ill-humored, quiet, retired in
himself, scorning everything, [1].
► Morose mood that scorns everything, and
desires also that others shall not appreciate or value anything,
[1]. ►
He is averse to everything, [1]. ► Extremely inclined to be obstinate and
fretful, [1]. ► Extremely impatient, [1]. ► He
becomes exasperated at the slightest noise, [1]. ► He
frequently becomes angry at the merest trifles; and again just as easily
and speedily can be quieted (after five hours), [1]. ►
Intellectual. ►
Disinclination to work, [3]. [20.] ►
Aversion to literary work; ideas fail him (after twenty-nine hours), [3]. ►
His flow of ideas is very slow, [1].
HEAD.
►
Confusion and Vertigo. ►
Confusion of the head, [17]. ► Vertigo (after a quarter of an hour), [16]. ►
Vertigo, while walking, [1]. ► Vertigo, as if the head were reeling
hither and thither, with momentary disappearance of thought, only when
walking, and especially on turning around (after two hours), [4]. ►
General Head. ► Heaviness
and diminished power of thought (quarter of an hour after 2 grains), [26]. ►
Heaviness of the head, with sleepiness, [3].
► Painful heaviness of the head
(after two hours), [4]. ► Feeling of heaviness and pressure in the
head (after a quarter of an hour), [16].
[30.] ►
Violent headache, [24]. ► Tensive headache, [1]. ► A dull
drawing back and forth in the head (immediately), [3]. ►
Pressure in the head and forehead, as if the brain were compressed by
two tables (after quarter of an hour), [16].
► Pressive headache, [1]. ►
Headache; sticking and heaviness, [1].
► Acute and severely sticking
headache, in short paroxysms, which after an hour changes to a pressure
(after eight hours), [1]. ► Tearing headache in the morning after
rising from bed, lasting till noon, less in the afternoon (after
thirty-one hours), [3]. ► Headache as from a bruise of the brain and
skull, which pierces through all the cranial bones into the roots of the
teeth, with nausea, [1].
► Forehead. ► Headache extending from the forehead to
the vertex (after 1 grain), [16]. [40.] ►
Burning pain in the forehead, aggravated by touch (after 8 grains), [16]. ►
Boring pain in the forehead (after half an hour), [17]. ►
Acutely sticking pain in the forehead, caused and aggravated by touching
the part, [1]. ► Tearing pain in the forehead, caused and
aggravated by touching the part, [1].
► Violent tearing headache in the
forehead, aggravated on stooping (after two hours), [3]. ► Temples.
► (Constrictive headache in the left
temple and above the orbit), (after one hour), [1]. ►
Pressing-out and almost boring pain, at one time in the temples, at
another over the orbits in a small spot, which disappears on external
pressure, and is relieved by closing the eyes (after one hour), [1]. ►
Vertex. ► Violent sticking
pain in the crown of the head, [1].
► Parietals. ► Pain externally on the parietal bone, as
from a thrust with a dull point (after half an hour), [1]. ► Occiput.
► Painfulness of the occiput and nape
of the neck, caused by moving the head (after two hours and a half), [4]. [50.]
► Tensive pressive headache in the
occiput and nape of the neck, which extends into the shoulders (after
three hours), [4].
EYE.
►
Objective. ► Inflammation
of the eyes, [8]. [Local effect.
-Hughes.] ► Eyes a little inflamed, [15]. [Original revised by Hughes.] ► Subjective. ►
Pain in the eyes like that in the head, the eyeballs seemed forced out
of their orbits and objects seemed befogged, [16]. ►
Awakened at 3 A.M., by raging pain, more severe in the right, less in
the left eye, with excessive lachrymation, which soaked the pillow, and
loss of vision (first night), [27].
► Intense tearing pains, especially
in the right eye, extending but a little way towards the temple; on
opening the right lids, which were swollen, a copious gush of tears; the
conjunctiva of the bulb was injected and infiltrated; the tunica
vaginalis swollen, the cornea dim as if infiltrated; on close
examination there were noticed a number of small depressions; the iris
seemed congested and had a dull look, the pupils contracted, reacting
but little or not at all in the light; vision completely lost; after
eight weeks these symptoms appeared in the left eye after again pounding
Ipecac., but this time associated with nausea and inclination to vomit;
a third time, after several months, after pounding Ipecac, he was
awakened in the night by tensive pains in the eyes, lachrymation, loss
of vision, etc.; a fourth time after pounding Ipecac, he experienced a
slight biting and pressing pain in the eye, light blinded him and
increased the pain, the conjunctiva became red and chemosed, and again
there was copious lachrymation; this time the right eye was most
affected, vision was lost; with the left eye the patient saw fiery rings
with rainbow colors, [27]. ► Severe stitches above the eye on
stooping, with a sensation as if it were swollen (after twenty hours), [1]. ►
Lids. ► Lids, especially
the right, swollen, [27]. ► Hardened mucus in the external canthi
(after seven and a half and twelve hours), [2]. ► Dryness
of the lids, with sleepiness (after eight hours), [1]. ► Lachrymal
Apparatus. [60.] ► Eyes suffused, [20]. ►
Effusion of tears, [24]. ► Pupil. ►
Dilatation of the pupils (after two hours and a half), [2]. ► Pupils easy
to dilate (after eight hours), [1].
EAR.
►
Pressive pain extending from the concha into the drum, then to the
occipital protuberance (after twenty-eight hours), [3]. ► Dulness
of hearing in the right ear, with pressure in it, [3].
NOSE.
►
Objective. ► Sneezing, [20]. ►
Much sneezing, with thin nasal mucus (after half an hour), [17]. ►
Violent repeated sneezing, [3]. ► Paroxysms of sneezing, almost sufficient
to throw me from my saddle, lasting about two hours and gradually
subsiding, with cough and expectoration (after ten or fifteen minutes), [21]. [70.]
► Catarrh, with drawing pains in all
the limbs, [1]. ► Nosebleed, [8],
[12], [13]. [As S. 51. -Hughes.] ► Subjective. ►
Feeling of dryness in the nose and frontal sinuses (after three hours), [1]. ►
Feeling of dry catarrh in the nose, as if the nostrils were too dry
(after three hours), [1]. ► Attacks of asthma seemed to commence
generally with a feeling of irritation of the nasal membrane, which
rapidly extended to the bronchi and all their ramifications, [25b]. ►
Most harassing titillation of the nostrils, [21].
FACE.
►
Objective. ► Countenance
anxious and livid, [20]. ► *Face pale and puffed, [28]. ► *Pale,
sunken face (after half an hour), [17]. ► *Pale
face, with blue rings around the eyes, and great weakness, as
after a prolonged severe illness, [1].
► His appearance became quite yellow
(after seven or eight days), [18].
► Lips. [80.] ►
Biting sensation on the lips, [1].
► Sensation in the corners of the
mouth as if they were sore, when touched, and on moving the lips, [1].
MOUTH.
►
Teeth. ► Pain in the teeth
as if they would be torn out, paroxysmal (after eight hours), [1]. ►
Extremely violent pain in a hollow tooth when biting anything, as if it
would be torn out, even to crying out and screaming, followed by
constant tearing in it (after one hour), [1].
► Tongue. ► Burning in the tongue and upper lip
(after a quarter of an hour), [16].
► A biting sensation on the margin of
the tongue, [1]. ► Biting on the margins of the lips, tip,
and sides of the tongue, with accumulation of watery saliva in the
mouth, and some pain in the abdomen (after half an hour), [14]. ► A
sensation on the back part of the tongue and on the palate, like that
caused by chewing liverwort or Artemisia dracunculus, which profusely
increases the saliva, [1]. ► General Mouth. ►
Dryness and rawness in the mouth, especially in the pharynx (after half
an hour), [3]. ► In an instant that peculiar, burning,
indescribable sensation was felt in the mouth, which rapidly extended
itself to the fauces and down the throat and bronchia, and for two hours
I suffered greatly, and had considerable dyspnœa, all of which
gradually disappeared, [25c]. [90.] ►
All parts of the mouth much too sensitive and almost painfully so, [1]. ►
Saliva. ► *Increased flow of
saliva, [17]. ► *Increased accumulation of saliva
(after a quarter of an hour), [16].
► *Profuse accumulation of saliva in the
mouth (after two hours and a half), [1]. ► *Profuse
accumulation of saliva, for some hours, [1]. ► Profuse
accumulation of saliva, with much nausea and a sensation as
if it would amount to vomiting, [17].
► Saliva runs from the mouth on lying
down, [1]. ►► *Is constantly obliged to swallow saliva
(after one hour), [1]. ► Very much thin saliva (after half an
hour), [17]. ►
[Salivation], [14]. [Omit Heller,
and note, “after ineffectual attempts to vomit.” -Hughes.] ► Taste. [100.]
► Flat taste in the mouth, [1]. ►
Taste in the throat as from rancid oil, while swallowing (after a
quarter of an hour), [1]. ► Beer tastes flat (after two hours), [1]. ►
The customary tobacco has a nauseous taste when smoking and causes
vomiting, [3].
THROAT.
►
Dryness of the throat (one quarter of an hour after 2 grains), [16]. ►
Immediately in the throat and stomach a totally indescribable sensation,
but as intolerable to be borne (if life could have been sustained under
it), as if I had taken a drink of melted lead; it was so overpowering
that I was unable to think of any method of relief, but in the most
distressing agony leaped out of bed and rolled over the floor, from side
to side of the room; at length I was urged to drink copiously of warm
water, which produced some vomiting and some mitigation of my intense
suffering; the distress slowly subsided, and settled into one of my
worst attacks of asthma, [25a]. ► Spasmodic contractive sensation in the
throat and chest, [15]. ► Dull stitches transversely through the
throat into the inner ear, [1]. ► Sore throat, [8]. [As S. 51. -Hughes.] ► Fauces and Pharynx. ► Dry, burning sensation in the fauces,
amounting almost to suffocation, [20].
[110.] ►
Fine sticking in the pharynx (after half an hour and one hour), [1]. ►
Pain in the pharynx as if it were much too dry, raw, and sore, which is
always relieved, for only a short time by swallowing saliva or the usual
drink (after one hour), [1]. ► Swallowing. ►
Swallowing difficult, as from paralysis of the tongue and pharynx (after
eight hours), [1]. ► Pain on swallowing, as if there were a
swelling in the pharynx (after one hour), [1].
STOMACH.
►
Thirst. ► Loss of thirst, [1]. ►
Eructation. ► Eructations
(after a quarter of an hour), [16].
► *Eructations every eight to ten
minutes, also the following day, with rumbling in the abdomen,
[3]. ►
Empty eructations, [17]. ► Nausea and Vomiting. ►► *Nausea (after a quarter of an
hour), [16], [17]. ►►
*Nausea, as from the stomach, with empty eructations and accumulation of
much saliva (after half an hour), [2]. [120.] ► Nausea rising from the stomach with
hiccough, only at last disappearing after several pasty stools,
immediately after smoking tobacco as usual (after fourteen hours), [2]. ►
*Nausea, qualmishness, [4].
► *Nausea, qualmishness, and efforts to
vomit (after one hour and a quarter), [3]. ►►
Nausea and vomiting, [1].
► (Nausea and heaviness in the
abdomen), [1]. ► At times nausea and convulsive but
ineffectual efforts to vomit, [21].
► Slight degree of nausea, [22]. ►►
*Distressing nausea, [5].
► Qualmishness in the abdomen, with
incipient colic, [3]. ► *Inclination to vomit (1/2 grain), [17]; (a quarter of an hour after 2
grains), [16]. [130.] ►
Great inclination to vomit, several times, at momentary intervals, [17]. ►
Severe inclination to vomit (after 4 grains), [16]. ►
Vomiting, and a feeling as if he would fall down, on stooping, [3]. ►
Vomiting (after half an hour), followed by great inclination to sleep
(after 15 grains), [16]. ► Vomiting, repeated three times, [19]. ►
Vomiting of food, without previous eructations, on stooping (after one
hour and a half), [3]. ► [Vomiting of large masses of mucus], [11]. ►
[Vomiting of masses of yellow mucus], [11].
► [Vomiting of grass-green mucus], [11]. ►
[Vomiting of green bilious mucus], [11].
[140.] ►
[Vomiting of large pieces of offensive mucus], [11]. ►
Vomiting of food; mucus yellow, green, black; empty retching; vomiting
of everything swallowed, [28]. ► Stomach. ►
Rumbling in the stomach (soon), [17].
► Warmth in the stomach, [17]. ►
Agreeable warmth in the stomach, with rumbling in the intestines (after
a quarter of an hour), [16]. ► Sensation of emptiness and laxity of the
stomach, [1]. ► *Sensation as if the stomach hung down relaxed,
with loss of appetite (after one hour), [1]. ►
[Excessive pain in the stomach], [11].
► Violent griping in the stomach
(after 4 grains), [16]. ► Dull sticking pain in the pit of the
stomach, as from a sharp stick, [3].
[150.] ►
[Extremely sore feeling in the stomach], [11].® 2000
Article