BRYONIA ALBA mit generierter deutscher Übersetzung Pulfords Remarks: The Bry. subject, like the Acon. and Bell. subjects, is a plethoric individual whose complains come on more slowly and go deeper. Before his troubles get started he complains of being tired, languid, does not wish to speak, be spoken to or move; the chill comes on a day or two after the exposure to cold; is more useful in the early stages and follows Acon. well, or if Acon. has been abused (Sulph.); he is irritable, taciturn and is all business, esp. in typhoid states, talks and prattles about business, or thinks he is away from home and wants to go home, his delirium usually begins at 21h and lasts throughout the night (Bell. begins at 15h and lasts til midnight); face is generally besotted, purple, lips parched and dry; great thirst for large quantities, which if at long intervals makes Bry. the only known remedy; children desire things which they refuse when offered; grown people desire something, but know not what; high fever; profuse sweat; short, dry cough; rusty expectoration; generally amel. cool air and cool applications and esp. lying on affected side (Bell. reverse); is compelled to lie on right side or back; [desire to lie curled up like a dog stgx]; the pains are sharp, stitching. Is one of the leaders in pleuro and typhoid types. Bry. has a marked affinity for the right side and most complaints appear on that side. Is the ONLY known remedy for: Unconscious morning on rising; thirst for large quantities of water at long intervals; chill beginning in lips; pain confined to the sternum. Is THE leading remedy for: Talking of business; fear of poverty; desire to go home; quiet during chill; sighing during sweat; unconsciousness on rising up; chewing motion of jaw; vomiting amel. by drinking [also vomiting (immediatelly) after drinking glt2]; thirst for large quantities and often; pain taking breath away; rough respiration; rheumatic pleurisy; amel. lying on painful side; pain in chest on sneezing, middle of chest; amel. pressure of hand, in side during cough; laughing or breathing agg.; cutting pain in chest on inspiration or motion; pressing pain in chest during cough; sore pain in chest amel. sitting upright, or under sternum on coughing; stitching pains in chest during chill and fever amel. lying on affected side, or in sides amel. lying on affected side, or in lower part of sides agg. motion, or in sternum on coughing; right-sided pneumonias; busy dreams or dreams of events of the previous day; chill beginning in finger tips; fever evenings in bed, after laying down, or at 21h, or burning heat before midnight, or with chill absent before midnight; generally agg. 21h, amel. lying on painful side. Bry.: THERAPEUTIC HINTS - The great thirst for large quantities at long intervals. Borland bl4 · In the Bry-pneumonias there is usually a history of a fairly gradual onset. The kind of story you get is that the patient has been out of sorts for a day or two, complaining of indefinite feelings of malaise, and then that one morning he woke feeling thoroughly ill, very often with an attack of sneezing and a feeling of blocking in the head. · During the morning he felt shivery, he may have had an actual rigor, and by the afternoon he had a good going temperature. The probability is that these people have been running a slight temperature for the previous twelve to twenty-four hours, though they have not consulted you for it; they have certainly been off colour. · When you see a Bry-pneumonia the impression you get is of a definitely congested, heavy looking, sleepy-looking patient. · The face is somewhat dusky in colour. [Red spot on one or the other cheek rbbx] · The patient feels hot, and usually has a hot, damp sweat. It is not a profuse perspiration but the skin is hot and damp. · Twelve to twenty-four hours later you very often get a dusky appearance of the extremities. · About the same time you find the lips are beginning to turn dusky in colour, and they very soon tend to become dry and to crack. They have a somewhat swollen appearance. · The patient very often complains of a rather intense [splitting mcx; bursting mtarx; stitching left mrr5] frontal headache [extending to occiput mrr5; agg. in morning; from least motion mcx] which settles down over the eyes. Often it is much more a feeling of weight than of actual pain, but it becomes painful on any movement or exertion, such as talking or sitting up. Another thing you can link on to this aggravation of the headache from sitting up is that these Bry-patients very often feel generally extremely ill on sitting up, they become giddy and somewhat faint. · In these Bry. pneumonias you always find a heavy thick, white [or yellow or especially dirty brown mrr5] coating on a dry tongue; the mouth feels dry, and the patient is very thirsty. Very often there is a bitter taste in the mouth, and the main desire is for large quantities of cold water. In this connection there is one point that is worth remembering about the nursing of these patients, and that is that: If you let them drink as much cold water as they want it, is bad for them and very often makes them feel sick. So when dealing with a Bry. patient it is wise to regulate the quantity of water they take, especially at any one time, and not to allow them to have all they would like. · The next thing to consider is the mental reaction of Bry-patients. Bry. patients, as I said before, look heavy and dull, and they very definitely dislike being disturbed at all [desire to be quiet pfa3]. They resent having to do anything, for instance, having to move, or having to turn over to be examined. They dislike having to talk, and talking upsets them and makes them worse. They are very short tempered and they are difficult to satisfy. They often ask for something and refuse it when it is brought to them, they are thoroughly cross-grained. They easily become annoyed, and if they are annoyed it always aggravates their physical condition. · I have often seen a Bry-pneumonia who was doing quite well until he had visitors in who annoyed him and promptly he had a rise of a degree or a degree and a half of temperature in a couple of hours, with increase of physical distress, increase of cough, and very often marked increase of pain. So, again from the nursing point of view, you are very wise to prohibit visitors to your Bry-patients. This is sometimes a little difficult to do, because the Bry. patients rather tend to harp on their business affairs, they think about them, they talk about them, they often worry about them, and very often they ask to be allowed to see somebody from the office. If you do allow it, they are most likely to be annoyed at what the people in the office are doing, and this annoyance is very bad for them. So, from the practical point of view, never allow any possibility of such a thing happening in the case of a Bry-patient. · As far as the actual physical condition is concerned, in Bry. you are much more likely to find the right lung involved than the left. If the Subdivision is more extensive, you find the right lung involved to a greater degree than the left. But do not rule out Bry. altogether because you have a left-sided pneumonia; I have seen several pneumonias now which were confined to the left side but in which Bry. was indicated and worked very well indeed. So do not say, "well, this is a left-sided pneumonia, it cannot be a Bry." it can. Much more commonly you find the right side involved, but the fact that it is left-sided does not rule Bry. out. · When the patient coughs, which he does a great deal, he has intense pain in the chest, and it is then that you see the Bry-picture of the patient sitting up in bed trying to hold the chest with his hands to keep it quiet, while he is coughing. And, again from the clinical point of view, you do give your Bry-patients great help by strapping up the affected side of the chest; either adhesive plaster or a tight binder gives great relief. You know the modern custom is to put antiphlogistine on the pneumonia patient; well, it does help the Bry-case, but it is the splinting of the chest that helps more than the antiphlogistine itself. · The breathing of the Bry-patient is always very short. He takes short, panting breaths, keeping the breathing as shallow as possible because any movement of the chest-wall hurts. So you see the patient sitting firmly propped up, breathing shortly, panting breaths. [Respiration is short, shallow and jerky rbbx] · Usually in these Bry-pneumonias there is a certain amount of irritation in the throat, and the patients mostly have a rather hoarse voice. · There are one or two other points if the pneumonia has gone on a little further and run into the fourth, fifth, or sixth day. These patients then become more toxic, more drugged looking, rather heavier, and they are liable to develop a low type of muttering, wandering delirium; it is never a very violent one. In their delirium they are very often uncertain as to where they are, for instance, if they are at home they do not recognize it and they say they want to go home. They are also very apt to develop that old Bry-symptom of worrying about their business; they think they are still at work, they have a deuce of a lot to do, and they keep on talking about it and imagining they are still back at the office. · Then occasionally but not so commonly you find one of these Bry. patients becoming acutely anxious [from oppressed breathing. (Acon. from fever) tl2], and when this anxiety state develops you will quite often get him becoming restless. That is a little apt to confuse you because you have it firmly imprinted in your mind that Bry. is very much aggravated by any movement. But if you go into the question he will tell you that, although any movement increases his discomfort and his pain, he just cannot lie still even though moving hurts him. It is never the extreme restlessness that you get in some of the other drugs, and if it is associated with that nervous anxiety do not rule out Bry. on the fact that the patient is restless. · Another Bry. distinguishing point is that the patients are hot blooded. They feel hot, and they are uncomfortable in a hot atmosphere. If the room is too warm it will aggravate their cough, and they very much prefer a cold room and a current of air. · Possibly, as I say, it is rather commoner in the spring than in the real cold, wintry weather, and you will find that Bry. will cover the majority of the cases you see of that type. Nash nh6 "Bry. is very often indicated after the remedies for the stage of engorgement have done all they can. [Bry. seems to bridge over between the first and second stages, taking the last of the first and the first of the second, including both congestion and solidification. ry2] ... The fever still continues being only partially controlled by the former treatment, the breathing is short, expiration shorter than inspiration, the patient wants to lie perfectly still on the painful side, as the least motion aggravates all the symptoms; ...the expectoration is generally tenacious and sometimes falls in round jelly-like lumps of a yellow or soft brick shade. It is the stage of exudation, or the second stage of the inflammatory process, and if given in a nick of time, in not too low a potency, say, 12th to 200th, will often finish the case, promoting absorption and all. If it does not complete the case, but has well started it toward cure, no remedy follows it so well (generally) as Sulph., which will often do the rest and prevent chronic conditions following. In Pleurisy - the tongue is coated white. ... If the case seems to be progressing favorably this remedy may be used right along for days, or as long as improvement continues." Farrington fr2 Pleurisy: Sul-ac. comes in when despite Bry. exudation goes on increasing, with sharp stitching pains going through to the left scapula, shortness of breath and oppression. Tyler tl2 Constipation; dry, dark, hard stools. Pearce pe1 Pain in the chest relieved by heat [warmth bwax]/[amel. cold air or cold poultices snex]. Blackwood bwax Incontinence of urine during coughing. Squil. is often the next remedy, where Bry. has not fully relieved its symptoms. Dewey dw2 Cough hurts in distant parts of the body. Hoyne hn1 Thirst for acid drinks or slight thirst. Exspiration shorter than inspiration. Rückert rke1 Pneumonia with typhus abdominalis, especially when signs of pleurisy stand out. Neglected or badly treated pneumonia. Jahr j3.de ... Pressure on middle or lower part of sternum; ... foul tongue; ... If after Bry. weakness of the chest, oppression and cough should remain, give Phos. or Sulph., or Chin., lach. lyc. sil.) Mathur mtarx Nausea and vomiting may be present with constipation. ... there is sometimes instead of scanty urination, free and large quantity of watery urine. Galic glt2 Women often describe a situation of scorn previously to the disease with the perception "as if beaten" (Mind/Delusion/beaten, that he is being). It is an individual expression of the body-perception as a whole. Men mostly talk about stress in their business with the feeling of not getting finished with their work. On Pleurisy and pleurodynia with cancer: Although Bry. fits all stages of pleurisy very well and is recommended for such cases in homeopathic literature- together with Apis. and Ran-b. - these remedies do not fit very well for: Pleurodynia or pleurisy with tumor-metastasis or genuin lung cancer. There is often only short effect. In tumor-cases remedies like Ars-i., Stann., Sulph. or in difficult cases remedies like Guaj. or Lap-a. and other specific remedies should be considered. Rehman rma1 Complementary: In some cases Bry. was found to be a good remedy to alternate with Ferr-p. esp. in bronchitis and broncho-pneumonia in children. Abrot. complements in pleurisy if a pressing sensation remains in the affected side, which impedes breathing. Phos. complements if in the course of pneumonia typhoid symptoms arise; in lung-affections. Sulph. complements in absorption of exudate from pleurisy; in pneumonia if hepatization starts in small spots. Followed by: Ant-t. - in pneumonia, the violent dry cough a bit releaved by Bry. Changes to a loose, suffocative cough, the chest fills up with mucus, weakness and stupor increase and the patient yawns and coughs alternatelly, the skin is bathed in cold sweat. Ars. - pneumonia esp. double-sided, if hepatization includes a big part of the lung, and Bry. was not sufficient and the case is running to a fatal ending. Asc-t. - Right-sided pleurisy with aggravation from motion, esp. on stooping. Merc. - Pleurisy if with syphilitic or rheumatic patients the pain persists after the fever was eased a little, thirst with moist tongue, copious sweats without amelioration. Pleurisy when exudation increases with the fever, copious night-sweats with strong odor, which do not relieve the patient, but aggravate the patient. Phos. - Pneumonia after exudation set in, the patient had a dry cough with bloody mucous or rusty expectoration. Lobar pneumonia with pleurisy; right-sided pneumonia with a past history of a coronal event. Sabad. - Pleurisy. Seneg. - A violent attack of pleurisy in connection with pneumonia too deep and tooq malicous for Bry.; pleuritic exudation after Bry. ceased to act; Exhaustion in pleurisy if Bry. fails; pleuritic broncho-pneumonia. Squil. - Pneumonia; when Bry. fails or has done ist work; dry cough in the evening with sweetish expectoration, threatening pneumonia after bleeding from lungs. Sulph. - Fibrinous pleuro-pneumonia; pneumonia after Bry. has eliminated the congestive or active inflammatory symptoms, Sulph. has the ability to cut short the whole process, to avoid hepatization and to promote resorption. Pleurisy when despite Bry. exudation increases with shortness of breath and sharp stitching pains extending to the left shoulderblade. Later stage, if the inflammatory state does not dissolve, the lung is still dull, dry cough, starts to have fever at night. Compare with: Asc-t. - in pleurisy esp. the dry form with sharp, stitching pains worse on deep inspiration. Borx. - Right-sided pleurisy, the patient cannot move or breath without stitching pains. Cact. - Pneumonia if the patient expectorates a big amount of blood every 4, 6, 7 or 8 hours. Chel. - In pneumonia if Bry. seems indicted but fails; the most pneumonias when Bry. was given without effect, are cases where we have overseen Chel., pneumonia esp. right lower lobe worse during motion, icterus, vertigo, of hepatic origin. Cupr. - Pneumonia with lack of reaction, cold sweat and cold surface of the body, pronounced dyspnea. Kali-c. - Pneumonia or broncho-pneumonia if Bry. fails, and further investigation reveals that the stitching pain is independent from breathing. Lyc. - Neglected, badly treated or incompletly healed pneumonia, esp. right side with involvement of the liver. Op. - Reliable remedy to provoke reaction in double-sided pneumonia. Squil. - Almost the same indications as with Bry. in pneumonia. Compare with: Asc-t. cda1, Bell. pfa3, Bor. rma1, Cact. rma1, Chel. bl4, Cupr. rma1, Iod. pfa3, Kali-c. rma1, Kali-m. mmppx, Lyc. rma1, Nux-v. danx, Seneg. pfa3, Squil. res1 Follows often: Acon. ll1, Bell. rke1, Ferr-p. dw2, Verat-v. dw2 Followed by: Abrot. ll1, Ant-t. rma1, Arn. rke1, Ars. rma1, Asc-t. bwax, Chin. j3.de, Lach. j3.de, Lyc. j3.de, Merc. rma1, Phos. dw2, Sabad. rma1, Seneg. rma1, Sil. j3.de, Squil. bwax, Sulph. bl4, Sul-ac. fr2