No remedy in the old school corresponds to Pulsatilla. Dryness of
the mouth, putrid taste in the morning on awakening and a sensation
as if food had lodged under the sternum are characteristics of this
remedy. The tongue is coated with thick, rough, white fur, there
is acidity and heart burn, food tastes bitter, sour or putrid, there
is waterbrash and eructations tasting of food and absence of thirst
only a desire to moisten the mouth. There is often a constant taste
of food in the mouth as if it had in the stomach a long time after
A bad taste is a special indication for Pulsatilla. There is craving
for lemonade and aversion to fats which aggravate. About one or,
more often, two hours after eating there is a feeling of fullness
and weight in the epigastrium which is relieved for a short time
by eating, being here similar to Anacardium. The characteristic
of the flatulence of Pulsatilla is that it moves about and often
cause painful sensations about the chest,and which are relieved
by eructations or the passage of flatus. Pulsatilla, as remarked
by Hahnemann, is especially useful for the dyspepsias arising from
fatty foods, pork, pastry or mixed diets, being here like Ipecac,
or from chilling the stomach with ice cream or ice water, being
here like Arsenic and Carbo vegetabilis.
The circulation is disturbed and the patient is always chilly and,
strange to say, worse from heat. After meals there is violent palpitation;
the action of the heart is apt to be irregular and it is difficult
to convince such patients sometimes that they have not heart disease.
Remember its power of acting on mucous membranes and increasing
the quantity of mucous formed by them. This mucus in the stomach
easily undergoes decomposition and acts as a frequent upon the food;
hence nausea, acidity, foul eructations, and the pain arises from
the irritating nature of the contents of the stomach rather than
from mere bulk and weight which produces the Nux pain. Nearly always
in dyspeptic troubles calling for Pulsatilla there will be headache
which are supraorbital and worse in the evening and from warmth.
The patient is mentally active and this keeps him awake for hours
after retiring; the sleep is dreamy and the patient awakes tired
and listless. To distinguish between Nux and Pulsatilla is rather
easy; firstly, the mental condition are not at all similar; the
patient in Pulsatilla with digestive troubles in despondent, apprehensive,
and lachrymose. Nux is despondent, but at the same time irascible
and domineering. Pulsatilla is worse in the evening. Nux is worse
in the morning and after dinner. Pulsatilla has more heartburn and
Nux more waterbrash. From other drugs Pulsatilla is easily distinguished
. The clean tongue and intense nausea of Ipecac will separate that
remedy. Antimonium crudum is especially indicated in those who have
overloaded the stomach and have eructations tasting of food, vomiting,and
especially a tongue thickly coated white, which should distinguish.
It pictures atonic gastric catarrh, vomiting predominates, after
pickles, sour things etc. It has nausea of a loathing variety, food
is repugnant, depressed vitality is always prominent.
With this remedy there is a sinking feeling which comes on about
two hours after eating, and a dull pain in the stomach extending
to the spine, and there are often tasteless or occasional sour eructations.
The great characteristic of the remedy is the great relief after
eating, the symptoms returning, however, and increasing in intensity
until the patient is forced to eat again for relief. Such patients
become true "lunch fiends." There are three other drugs
that have prominent relief from eating. They are Petroleum, Chelidonium
and Graphites. Petroleum has among its prominent symptoms ravenous
hunger and gastralgia relieved by eating, and it is especially called
for in long-lingering gastric troubles with a great deal of nausea.
Dyspepsia accompanied with diarrhea will sometimes indicate Petroleum.
Chelidonium is indicated by its prominent liver symptoms. Anacardium
has violent gastralgia, especially at night, and a great urging
to stool as in Nux, but, unlike Nux, on going to stool the desire
passes away; then, too, here we have the characteristic symptom
of a plug in the rectum, which Nux does not have. The gastralgia
of Anacardium is relieved by eating, that of Argentum nitricum is
worse from eating. Mentally Anacardium has a great deal of hypochondriasis,
confusion of mind and loss of memory. The patient is hungry most
of the time, and although eating relieves it is only a temporary
relief, for really after eating he is worse. Another distinguishing
feature between Nux and Anacardium, is the paretic state of the
rectum in Anacardium, which Nux lacks. Anacardium also has some
flatulence, and the symptom that the patient has to pound his back
to start the gas is sometimes met with.
Sepia is more often found useful in women, but the symptoms agreeing
it may, of course, be used in men. It is a remedy which has the
vehemence and irascibility of Nux and the tearful despondency of
Pulsatilla, and also the aversion to household affairs more marked
than in Natrum muriaticum. Then, too, there are hot flashes as in
Sulphur, with hot hands and cold feet, but in Sepia the face is
apt to have the characteristic yellow saddle across the nose. There
is a white-coated tongue and a sour or putrid taste in the mouth.
The most characteristic symptom, however , is a feeling of goneness
in the pit of the stomach, which is not relieved by eating. This
is similar only to Carbo animals, for in Anacardium, Natrum carbonicum,
Phosphoricum and Sulphur this gone sensation is always better after
meals. There is nausea at the smell or sight of the food, and Colchicum
has nausea at the thought of the food; even mention food and he
vomits. The abdomen of Sepia is flatulent and the liver is sore
and has sharp pains in it; but here again Sepia is different from
all others, for it is relieved by lying on the right side. The urine
of Sepia may help to decide between it and Lycopodium and Kali carbonicum,
in that while it always deposits a lithic acid sediment it adheres
tenaciously to the side and bottom of the vessel and is offensive.
The Sepia patient is worse in the forenoon and evening, and there
is great longing for acids and pickles. It may be useful in dyspepsias
from the overuse of tobacco.
Sulphur is a wonderful remedy in dyspepsia, but its value is seldom
appreciated. It has bitter or sour taste and putrid eructations,
sour vomiting, congested liver, and like Nux, constipation. It is
useful in the flatulent dyspepsia of those who drink heavily,and
it has a feeling of satiety after eating a small quantity of food,
being in the former symptom like Carbo vegetabilis and in the latter
like Carbo vegetabilis, Lycopodium and Sepia. It is aggravated from
starchy food like both Natrum carbonicum and Natrum sulphuricum.
There is a ravenous desire for sweets which make him sick; only
one other remedy has this, and that is Argentum nitricum, which
has a diarrhea caused by it, while under Sulphur sweets cause a
sour stomach and heartburn. The Sulphur patient also craves alcohol,
and milk, contrary to custom,increases the acidity of the stomach
and causes vomiting; he also has aversion to meat. There is canine
hunger; the patient can hardly wait for meals and is forced to get
up at night to eat, which is like Phosphorus, and when he eats he
feels puffed up; or else there is loss of appetite. If we have the
general characteristics of Sulphur present, the hot flashes, the
hot head and cold feet, the early morning diarrhea, the "cat
nap" like sleep, the aversion to washing etc., the choice will
be easy. " Drinks much, eats little," is a good Sulphur
indication. Robinia causes excessive acidity, one of our best remedies
in hyperchlorhydria. Vomiting sour. Starch digestion is impeded.
It has burning in epigastrium. When stomach is empty frontal headache,
frequent acid eructations. Colic sometimes sufficient to cause the
patient to double up. Capsicum is very useful in gastric hyperchlorhydria,
chronic pyrosis. Dr. Cartier praises this remedy highly in hyperacidity,
he prefers the 3 and dilutions.
Phosphorus corresponds to rumination and regurgitation. Craving
for cold food and cold drinks is characteristic of Phosphorus, and
they relieve momentarily, but are vomited as soon as they become
warm in the stomach; spitting up of blood without nausea is also
common. The gone, weak feeling in the stomach at 11 A.M., which
we find under Sepia, Sulphur and Natrum carbonicum, is also present
under Phosphorus, and here it also extends to the bowels. There
are sour eructations, and as a concomitant we have sometimes the
characteristic burning of this remedy, between the scapulae. The
tongue has projecting papillae, a verified symptom, and is white
more along the middle, as in Bryonia. As in Sulphur, the patient
hungry at night and lies awake until he gets something to eat. It
is a useful remedy in the vomiting of chronic dyspepsia; the patient
vomits as soon as the food strikes the stomach. Bismuth also has
the symptom that the patient vomits as soon as the food strikes
the stomach; with this remedy, too, there is much pain and burning.
Phosphorus has a special relation to destructive and disintegration
processes,and hence is one of the remedies for cancers, indurations,
erosions, etc.; a burning, gnawing, circumscribed pain is characteristic.
Rapid loss of flesh and anaemia are also symptoms. The 3d potency
has seemed to act well. Geranium maculatum in tincture is an excellent
remedy to control haemorrhage from the stomach.
#Natrum carbonicum. [Nat-c]
Natrum carbonicum stands between Nux and Sepia; it has the hypochondriasis
of Nux, as well as the morning nausea and empty retching; and it
has the aversion to household affairs and the sour eructations and
the foetid flatulence of Sepia, weak digestion, acid dyspepsia.
It has a weak, hungry feeling in the epigastrium at 11 A.M., the
same as Sepia, Phosphorus and Sulphur. The Natrum carbonicum patient
is especially low-spirited and hypochondriacal after a meal, and
the patient is worse after vegetable and starchy foods. There is
distention of the abdomen with hardness and fullness as in all the
alkalis. Dyspepsia from eating soda biscuits.
#Kali carbonicum. [Kali-c]
Kali carbonicum is indicated where the system is broken down by
loss of fluids or protracted illness, as in China or Carbo vegetabilis.
Dyspepsia of the aged or weak, anaemic and easily exhausted patients
with tired feelings and backache is met by Kali carbonicum. Before
eating there is a faint sinking feeling in the epigastrium out of
proportion to the feeling of vacuity caused by hunger, with sour
eructations, heartburn and a peculiar weak nervous sensation. The
patient is sleepy while eating. After meals there is an undue flatulent
distention of the abdomen. Everything which he eats seems to turn
into gas, which is the same as under Argentum nitricum and Iodine.
The belching is putrid and is similar to Carbo vegetabilis, in that
relieves; there may also be intense pains in the spine. All the
stomach symptoms of Kali carbonicum are aggravated by soup or by
coffee. There is a desire for sugar and sweets.
This remedy has tympanitic destination of the stomach and bowels,
the patient being obliged to loosen the clothing as in Lycopodium,
carbo vegetabilis, Nux and China. There are burning cramps in the
epigastrium and putrid eructations as in Carbo vegetabilis. It has
aversion to meat, chilliness, mental symptoms and chlorosis similar
to Pulsatilla. It has gastralgia, which is burning, crampy, colicky
pain, and is relieved by eating as in Anacardium, Petroleum and
Chelidonium. Sweets nauseate and disgust, hot drinks disagree, and
there is a rush of blood to the head after eating. The Graphites
patient is inclined to obesity and flabbiness, always chilly, and
eruptions on the skin characteristic of the drug may be present.
There is a disagreeable taste in the morning, as though he had eaten
eggs. The aversion to meat is found in all chlorotic remedies, such
as Ferrum and China. The flatus of Graphites is rancid or putrid,
which will distinguish it from Lycopodium. Graphites is a remedy
which stands not be neglected in stomach disorders. Dr. Jousset,
the celebrated French homoeopathist, recommends the alternation
of Nux and Graphites in most cases of dyspepsia; he gives Nux 12
hours before meals and Graphites 12 hours after meals; and claims
that this is all-sufficient in most cases of dyspepsia; this is
continued for a period of eight days and resumed after an interval
of rest; but this routine method of prescribing cannot be recommended.
A grand medicine is gastric disorders, suiting especially"
irritative " dyspepsias and acute inflammation. It corresponds
to the stomach irritation, the pains,the sickness , inability to
digest food and the want of appetite so often met with in persons
of a weekly state. Here, then, will be abdominal pain and diarrhea.
The pains are of a burning character, active and sore, patient prostrated.
Bryonia has pains soon after food; it seems to lie like a stone
in the stomach, but the pains are sharp and cutting and extend to
shoulders and back; the complexion is yellow, mouth rather dry and
a bitter taste is present; constipation and frontal headaches are
accompaniments; gastro-hepatic symptoms and the rheumatic diathesis
will decide. The pain of Arsenicum is immediately after taking food,
and the irritation is shown throughout the intestinal tract; the
tongue is clean, red and looks irritated, pointed. Arsenicum is
the remedy for so-called ptomaine poisoning from tainted foods.
Hydrastis causes a decided amount of catarrh of the stomach with
mucus, sour risings and loss of appetite; the tongue is clean at
sides and tip, with a yellow coating down the center. This is considered
by Dr. Dyce Brown as an almost certain indication for the remedy.
The liver is involved.
1. Lassitude, malaise, depression of spirits.2. The special tongue
symptom.3. The gastric uneasiness; a dull epigastric aching.4. Loss
of appetite.5. The involvement of the liver. 6. Constipation.
These will clearly indicate Hydrastis, and it is a wonderful remedy
in gastric complaints. Arnica. Atony of stomach, painful contractions,
fullness after eating.
#Argentum nitricum. [Arg-n]
Argentum nitricum must be remembered in stomach affections. (1)
Its flatulence; it has lots of it, hence violent belching and great
relief therefrom. The patient for a long time may not be able to
belch, but when he does succeed in so doing the flatus comes in
enormous volume. (2) Pain. It is a gnawing, ulcerative pain referred
to the pit of the stomach. From this spot pains radiate in every
direction. The least plain food makes the pain worse. Gastralgia,
especially in delicate and nervous women; it may be indicated when
caused by an emotion, loss of sleep or menstrual trouble. Feeling
of a lump in the stomach. Intense spasms of the muscles of the chest.
Vomiting of glairy mucus, which can be drawn into strings. Longing
for sugar and aggravation from sweets producing diarrhea, etc.,
Gastric ulcer, the characteristic gnawing pain circumscribed to
a small spot, worse from pressure and eating, with vomiting of mucus,
blood, etc., indicate it. The sixth centesimal potency is recommended
by Jousset. It certainly acts better in the higher potencies. Dioscorea,
besides its influence in colic, may be called for in stomach troubles;
it is useful in the pyrosis of pregnant women. Ignatia corresponds
to sour stomach, nausea and vomiting. Hunger and vomiting may exist
at the same time. It is the remedy in the irritable stomachs of
hysteria. It is the principal remedy in gastralgia coming on at
night or after eating, worse from motion or pressure, excessive
flatulence, especially in hysterical subjects. In fact, hysterical
symptoms distinguish Ignatia from Nux vomica. Iris versicolor. Here
there should be liver involvement, bilious headaches, vomiting of