ARSENICUM ALBUM mit generierter deutscher Übersetzung Pulfords Remarks: When thinking of Ars. we naturally think of a weak, anemic, easily exhausted individual whose pneumonia is characterized by an anxiety with fear and restlessness almost equaling that of Acon., a restlessness that is more mental than physical, causing the patient to want to go from bed to bed; this restlessness soon changes into a profound prostration as in typhoid; rapid exhaustion, even collapse; burning, often as if coals of fire were in lung, or hot outside, cold inside (Reverse: Carb-v.); or surface of body usually cold, clammy and sweating; aspect and odors usually cadaverous; desires body kept warm and head cool; secretions usually acrid, odors putrid; desires to drink little and often; general agg. after 0h, 1h AM esp.; fears death (Acon.) and must have company; the least exertion causes the most profound weakness; his expectoration is rusty or liver-colored. Always study Sulph. in relation to Ars. Is the ONLY known remedy for: Anguish driving one from place to place; walking in fright at 3h; anxiety in stomach on rising up at night; twitching of lips when falling asleep; hiccough at the hour when the fever ought to come; oppression of the chest when the weather becomes cold or stormy; [worse from warm and tight clothes modx] burning heat outside, coldness inside; sleeplessness from weariness; heat with chill absent 13h to 14h, 0h to 2h or 1h to 2h; must sit up in bed with knees drawn up, resting head and arms on knees; stitching pains in apex of right side; nausea 15h. Is THE leading remedy for: Anxiety at 3h, or during sleep, or during sweat at night; despair during sweat; attempt to escape, to change beds; fear of death when alone or of robbers; restlessness after midnight, or during chill, or wants to go from bed to bed; sadness when alone; unconscious from least motion, or in frequent spells; faint after vomiting; pain [pneumonia mrr5] in apex of right lung; chill coming on at 1h to 2h, or 12 to 14h, or 13h to 14h, or 14h, or if drinking increases the chill with vomiting, or for the shaking chill in the night without thirst and with anxiety, or if it comes on at midnight or after, or at 0h to 3h, or at 2h, or 0 to 2h, or 1h to 2h; irritative, slow fever; sweat at night with anxiety, or after the fever; generally agg. 1h; weary after eating; deep breathing impossible; dyspnea at night in bed, or at midnight, or at 2h, or on turning in bed; sleep restless after 3h; sleepiness from mental exertion; thinks she is being watched; starting evenings on falling asleep; obstruction of nose at root, or with watery discharge; swelling of face morning; chilliness in pit of stomach; desire for warm food, and for warm drinks during chill; nausea at 11h, or after fever; thirst for little and often; vomiting everything, or after ice cream, or during sweat; palpitation at 3h, or irregular palpitation; drinking increases the chill and causes vomiting; sudden collapse, or collapse after vomiting; burning, stitches internally. Ars.: THERAPEUTIC HINTS - The thirst for little and often. Borland bl4 · The lips are usually cyanotic; they may be rather full, but very often you will see them looking rather shrunken, shrivelled looking, and actually bluish. · The patients themselves are always intensely chilly. Very often there is almost a rigor; the patients keep shivering with cold, they want to be covered up, and they cannot bear any draught about. · They are always intensely thirsty, ... The strange thing is that, in spite of their general chilliness, they want their water as cold as they can get it. · The characteristic thing about the tongue in the Ars-case is its dryness. It may be red, or it may be brown [white mrr5], but it is always dry, dry to the touch, and the patient often complains of the mouth [tongue mrr5] feeling burning hot. · Then as regards the cough in these Ars. cases, you will very often find the patients hardly coughing at all, they do not seem to have sufficient strength to cough. Any cough that there is, is very useless and brings up no sputum at all. If the patients are not quite so ill as that, they have a very violent, suffocative cough which makes them sit up in bed feeling as if they were going to strangle. Very often they cough it up into the back of the throat and just swallow it. · They always complain of intense compression in the chest; it feels horribly tight, as if they could not breathe at all. And after coughing, or even when they are lying still, they often complain of burning pain in the chest. After one of these paroxysms of coughing they very often have violent pain round their lower ribs, and very often pain in the epigastrium, too. · In these Ars-cases you are very apt to get a falling temperature; you may get an actual collapse temperature, with a running pulse and possibly a fibrillating heart. And the patients often complain of a horrible feeling of tremendous weakness in the chest. · The collapse in Ars-cases is very liable to take place in the early hours of the morning, it is usually sometime between 1h and 3h and is most likely between 1h and 2 o'clock. Well, that is the picture as you see it. And here I want to put in a word of warning. If you have a case of that sort, with definite Ars-indications, and you prescribe Ars. and get a reaction taking place, unless you follow that Ars. up with another drug within the next twelve hours you will find your collapse recurring; then you will find that your patient does not respond to a repetition of your Ars. and that patient will die. The kind of response you get to Ars. is that the intense, mental anxiety begins to subside, the intense chilliness subsides, the patient begins to feel warmer and more at peace. The intense sweating stops, the temperature begins to rise a little, and the pulse begins to steady down. Well that is the stage at which you must follow up with your next drug. You may require any drug in the Materia Medica to follow up that reactive stage, but the two which are very much the most commonly indicated are Phos. and Sulph. If you get your patient becoming warmer, the anxiety going, the pulse improving, the temperature rising, and instead of the white, livid appearance the patient becoming rather flushed, and still remaining thirsty (burning thirst for ice-cold water k2), then the probability is that he is going on to a Phos. reaction. If, on the other hand, the response is not quite so complete, the patient is becoming a little warmer and then having cold waves, the anxiety is not quite so great but he is feeling frightfully tired out, he is still a bit sweaty, possibly the legs and feet are a little cold and the upper part a little hot, or possibly the legs and feet are a little hot and the upper part cold, he is intermittently hot then cold and chilly, then the patient is going on to Sulph. And, as I already said, you will find that in the majority of cases Phos. or Sulph. is the drug with which you have to follow up your Ars-response, and you will find a 1M [C 1000 Ed.] your most useful potency repeated 2 hourly. Nash nh6 "Ars. and Carb-v. are both indicated in those desperate cases that resist the above remedies. Ars. is most likely to come in after Rhus-t. if the restlessness continues and added to it the weakness and prostration increases. There is ... burning pain and heat in the chest (Sang.), feels better from warmth and is worse from 1 to 3 a.m. generally." Farrington fr2 Pneumonia: Double Pneumonia with extreme prostration, hippocratic countenance, clammy perspiration, restlessness but can only move his head; sudden edema of lungs from defect of right heart with danger of paralysis of lungs. Here it will act as a stimulant and warm the patient up and is to be followed by Sulph. or Phos. according to indications. Threatened gangrene with fetid or dingy green ichorous expectoration. In Pleurisy: Serous effusion. Painful asthmatic respiration; dyspnea increasing with the rapid accumulation of serous or bloody fluid in chest. Fear of death, sweat, insomnia, diarrhoea, great thirst, dropsical swellings. Pyothorax. Rückert rke1 Pneumonia following diseases of heart or large bloodvessels. [Pneumonia from taking cold during a fatiguing journey. modx] Bähr bhb2 Pneumonia with emphysema; complications with chronic heart-diseases; hypostatic pneumonia. Kafka kka1 In absorption stage when the sputum is grey and offensive, the patient is pale and meager, tormented by the immense thirst and the appetite is lacking although the fever has decreased. Dienst diex Singing and buzzing in ears. Lee leex ... In old people, from repercussed eruptions; in asthmatic persons; hypostatic pneumonia; ... hoarse after midnight, sudamina; ... Mathur mtarx First stage: The cough of Ars. is not so distinctive or peculiar itself as that of many other remedies but its aggravations and ameliorations, the time or circumstances under which it occurs are always guiding. Wheezing respiration is most marked aggravated by lying down. Agg.: After midnight and midday; from cold, cold drinks, when lying on affected side or with head low. Amel.: Heat and warm drinks. Hanchett hanx Pneumonia in children: One of the key-note symptoms is the extreme prostration after the child has had a severe fit of coughing. The breathing is difficult and rapid. This child has great thirst and like Bry. is apt to be worse on motion. Frequently the simple exertion caused by moving or raising the child will bring on one of these severe attacks of coughing, followed by this extreme condition of exhaustion [and diarrhea res1]. Das danx Location: Right lung. (Apex and middle portion). Under third of right lung. [Posterior lobes are affected modx] Causes: Chill in the water. Eating ices. Poor diet. Fruits. Drunkenness. Tobacco. Quinine. Iodine. Sea-bathing. Sea- travelling. Climbing hills. Care. Grief. Fright. Repercussed eruptions. Expectoration: ... Black blood, pale blood. Brownish. ... earthy, flat, taste like onion, ... wood-like taste, ... Cough: Worse 1-3h a.m. ... Chest: ... Itching in the chest. Stitches in left chest only during inspiration. ... Pulse: Pulse frequent in the morning, slower in the evening. ... Fever: ... Desire for acids and acid drinks. Face pale, sunken, anxious. Accompaniments: ... Despair. Thinks it useless to take medicine. Headache better by cold application. Burning in eyes and acrid lachrymation. ... bloody saliva. Puffiness around eyes. Lips black, dry, cracked. Tongue black, cracked. ... Vomiting of black water. Diarrhoea after eating and drinking, worse noon and midnight. Stool putrid, black, white, yellow, ... Attacks of pains with chilliness. Galic glt2 If the pathognomonic symptoms are very similar to Ars. but individualizing symptoms are absent, Ars. acts only palliative in most of such cases and acts only until the next crisis. Curative reaction is more likely in such cases, where the remedy also covers constitutional symptoms. Rehman rma1 Carb-v. as a follow-up remedy in pneumonia with rapidly sinking powers. Kali-i. as follow-up remedy in pneumonia when the reaction to Ars. is not complete, the patients becomes a little warmer and suffers waves of chill, anxiety is not so strong, but he feels excessivly tired, a bit sweaty, alternately hot then cold and chilly. Compare with: Acon. pfa3, Ant-ar. gccx, Canth. danx, Carb-v. nh6, Med. k2, Phos. mtarx, Sang. nh6, Thuj. k2 Follows often: Rhus-t. nh6 Followed by: Calc. kx, Carb-v. rma1, Kali-i. rma1, Lyc. kx, Phos. bl4, Sulph. bl4