CARBO VEGETABILIS mit generierter deutscher Übersetzung Pulfords Remarks: Carb-v. automatically calls to mind a lazy, sluggish, turgid individual with low vital powers, tending toward hemorrhage or putrid decompositions; in the collapsed stage when the patient wants to be fanned constantly with general fetid odors and bluish appearing skin; in the third stage with fetid expectoration, cold breath and sweat with desire to be fanned; veins lazy, relaxed and paralyzed; sluggish, lazy mind and body; excessive dyspnea with tendency to collapse; face purple, skin dusky; burning internal, cold external (Reverse: Ars.); burning as from glowing coals; cold nose and knees [at night, DD - Phos. glt2]; in spite of the fact that in collapse the face, breath and tongue are cold, he must be fanned; his sleep is so full of anxiety that when he awakens he is covered with cold sweat; in last stages a peculiar death-like sleep with visions; face is pale, cold, lips pinched, nose pointed and drawn, or, face cold, pale and covered with sweat [bloated countenance, with injection of the facial veins nicx]. Old, badly treated cases of pneumonia with a remaining bronchitis; where the hepatization has never been cleared up, bad places in lungs and bronchial tubes with weakness of chest agg. coughing [and mornings pfa2]. Threatened paralysis of lungs. The pains are accompanied by paralysis of lungs. The pains are accompanied by burning agg. coughing; oppression as of a load on chest. Desires cold water during chill [DD Nat-s. glt2], but is thirstless during fever. Where prolonged cold spells come on after the fever has subsided somewhat and there is no reaction, vital powers low. In the language of the late C.G.Raue: "Often at the brink of death, a savior. " Is the ONLY known remedy for: Weakness of chest on waking; external heat with desire to be fanned in place of thirst during the heat; waking from cold limbs. Is THE leading remedy for: Anxiety on closing eyes [with spasmodic cough glt2], or with heat of face; breathing impeded by flatulence; icy coldness of skin of whole body with cold breath; faintness on waking; distended stomach amel. eructations; weakness mornings on waking; dangerous cases where the whole body becomes icy cold, with cold breath, dyspnea amel. eructations, or with desire to be fanned, from flatulence. Carb-v.: THERAPEUTIC HINTS - The desire to be fanned. Borland bl4 · At first sight it is a little difficult to distinguish between it and the Ant-t.-case. However, there are certain distinguishing points. · In appearance, as you first see these patients, there is very little to distinguish the two, the Carb-v. looks just as ill, he has the same sort of pinched appearance, the same respiratory embaressment, the same kind of flapping nose, and the same bluish colour. I think, in the majority of cases, the Carb-v.-patient is a little more blue, and the Ant-t. patient a little more livid. · As a rule in the Carb-v.-case there is less cyanosis of the extremities, which are more likely to be pale and covered with an icy, cold sweat. Both these drugs are covered with a cold sweat, I think it is about equally marked in the two. · They both have an intense air hunger, but here you find your first distinguishing point. Your Carb-v.-patients say that they have an intense air hunger, and yet they feel frightfully cold, whereas there is none of that feeling of frightful coldness in the Ant-t.-patients. · As a rule, instead of the rather dry, bluish lips of Ant-t. the lips of Carb-v. tend to be purplish and somewhat swollen. · And instead of the white coating on the tongue which is so typical of Ant-t. you are very much more liable to get a dirty, yellowish-brown, very dry tongue. · Again as a distinguishing point between the two, in Carb-v. you will get marked thirst [little or no thirst leex], whereas in Ant-t. the patient is thirstless. · The typical Carb-v.-patient wants sips of cold water, and very often complains of a very unpleasant, foul taste in the mouth. · As far as the actual chest condition in Carb-v. is concerned, you are more liable to get definite extensive areas of consolidation, and rather less generalized bubbling in the chest. There is usually far more acute rawness in the chest in Carb-v. than in Ant-t. And in the Carb-v.-patient you mostly find that the sputum is just about as difficult as it is in Ant-t.; the patient will tell you it comes up so far and then they just cannot get it out. But instead of that effort to expectorate producing the vomiting that you meet with in Ant-t. in Carb-v. it is very much more likely to produce an attack of extreme exhaustion, the patient lying back simply gasping for breath. · Incidentally, these Carbo veg. patients respond astonishingly well to the administration of oxygen. · Both Carb-v. and Ant-t. have that horrible sense of a load on the chest. It is a feeling of dreadful oppression, which the patients describe either as an absolute weight sitting on the chest, or as the chest being full almost to bursting. · Another distinguishing point is that in Carb-v. there is always marked abdominal discomfort, a feeling of distension, fullness and flatulence, instead of the intense nausea of Ant-t. · As far as the position taken up by the two patients is concerned there is very little to distinguish them. They both want to be propped up, and they both want to avoid any constriction of the chest or round the neck, but the Carb-v. will allow you to put a single blanket up to keep them warm, whereas the Ant-t. simply cannot tolerate it. · Another point about Carb-v.-patients is that they always tend to sleep into an aggravation; they doze off and then wake up simply gasping for breath. · In the Carb-v.-patient, as in the Ant-t.-patient, you have a definitely failing heart. · I think as a rule the temperature tends to be less high in the Carb-v.-case than it does in the Ant-t., and I think you are most likely to meet your Carb-v.-case just immediately before, or just immediately after, a pneumonic crisis. · As far as relief from your drug is concerned, you should get this almost immediately in an Ant-t.-case, and the Carb-v.-patient should be comfortable in about six hours. It is astonishing how quickly they respond. It is usually a question of acute heart failure, and either the patients respond at once or else you should give one of the other heart failure drugs. I should expect one of these Carb-v.-patients with critical collapse to be out of danger in twelve hours. But they are exactly the type one used to dash at with all sorts of diffusible stimulants and they mostly died, whereas now one expects them to recover. · If you want to cure these cases, however, do not give them stimulants. I have seen cases of that sort in which there was obvious heart failure and the physician had pushed in Coramin and Carb-v. did no good at all afterwards, it simply did not have any effect. Nowadays I would never employ any stimulant in a case of that sort; I am sure one gets better results without. The only exception I would make would be strong coffee in the case of Carb-v., as these patients sometimes do respond astonishingly well to it. They have a desire for it, even a craving for it, and it often seems to do them good. But that is the only exception I would make. · As regards potency, in Carb-v. one is dealing with an acute collapse, there is a dilating heart and a heart failure, and one must obtain an effect fairly quickly, so my personal preference is to go high and give frequently until I get a definite response. I would give CM's [C 100 000] every ten or fifteen minutes until I got a definite response. The kind of response one gets is that the patient begins to feel warmer. Instead of the icy coldness they begin to feel less cold, they look less cold, they are less cold to touch, and the sweat begins to disappear. I would then space the drug out and give it every half hour, until there were definite signs that the heart was taking up again, in other words, until the pulse was fuller, the distress getting less, and the cyanosis beginning to fade. As a rule you get the patient through the crisis in twelve hours. · But to do that you must give frequent repetition to begin with and you must keep up your action for some hours, given CM's all the time. I have tried low potencies in cases of this kind and the patients did not respond at all; I have then jumped up to a CM and the drug has had immediate effect. So much is this so that up in the private wards, where one quite frequently sees these cases, the Sister does not want anything but CM's [C 100 000] for them that is how experienced Sisters come to look on it, they always want the highest potency you will order as they say the other is a waste of time. That is practical experience, it is not a desire for any particular potency. · Ant-t.-cases are not so acute, in them you are dealing with a water-logged chest rather than a sudden cardiac failure. It is slower in onset, and you have more time to play with. In these cases 10M's [C 10.000] hourly at first and later two-hourly will be sufficient. Nash nh6 Cough by spells or no cough; if cough with rattling but too weak to expectorate (Ant-t.); Ant-t. has failed; ... I have seen several such cases come out under Carb-v., reaction setting in so that other remedies that did not act satisfactory will now take hold and do better work. It is oftenest found in children and very old people. Lilienthal ll1 Spasmodic cough with deep, rough voice or else aphonia; ... dyspnea on turning in bed and on dropping off to sleep; ... foul, decaying diarrhoic stools; ... pneumonia complicated with affections of right heart or in emphysema-patients with cold bronchial catarrhs. Tyler tl3 Capillary bronchitis. Sime sime The destinction between the chest symptoms of Carb-v. and Ant-t. is that the former has but very slight expectoration, which affords no relief, while the latter has some ability to raise some sputa and feels the better for it. Raue rec1 No complaining or crying, pupils insensible, body emaciated and marbled. Das danx Location: Right chest, upper right chest, lower part of right chest, left lung, left middle chest. Causes: Alcohol, debauchery, ... overheating, living in damp dwellings. Cough: Cough worse ... from motion; ... from going from warm to a cold place. After eating ...; from talking; Rattling cough with vomiting. ... Respiration: ...When breathing painful throbbing in the head and teeth. Respiration oppressed having some kind of bad smell. ... Breathing short with cold hands and feet; ... Great dyspnea ... worse when sitting great anxiety but no restlessness. Respiration ceases entirely when falling asleep. Chest: ... Pain in chest from drinking cold water. Pain in upper right chest extending through to right shoulder-blade. Violent stitches deep in lower right chest. Tearing in left chest. Pain in left lung. Stitches below left breast, cannot sleep or walk on account of this pain. In the left middle chest painful spot, size of a dollar. Tearing from chest to hips. Burning in chest after cough. A tight feeling in the chest with constant desire to cough. ..., burning behind sternum, burning worse when coughing. ... Sensation of rawness and soreness in chest. Burning, pressing, and stinging in chest. ... Conditions: ... Blue lips. ... Eyes half-open, ... ecchymoses, ... . Patient almost lifeless but the head is hot. ...Neglected pneumonia with spasmodic cough, bluish face, ... Accompaniments: Restlessness and anxiety ... agg. 16-18h. Pulsations in ear. Nose-bleed with pale face. Coryza with hoarseness. Tip of nose red. Easily bleeding gums. ... Tongue white, ... Burning, roughness, rawness in throat. ... Bitter or salty taste. Distention of abdomen from flatulency. Great pain in stomach on account of flatulence worse especially on lying down. Amelioration by eructation, or by passing flatus downwards. Foul, decaying, diarrhoeic stools. Constipation, hard, touch, scanty stool. Stool passes with difficulty even if soft. Red, dark urine. Hoarseness, worse talking, in the evening. Loss of voice at night or when talking. Brown yellow blotches on the chest. Heat and burning in the hands. Icy cold hands, tips of the fingers covered with cold sweat. Cramps in legs, soles of feet. Cold knees. Sweat of feet. No sleep, with inability to open eyes. Debility worse at noon. Asthma dates back to measles. Falling off of the hair after severe illness. Itching around nostril. Unable to sit down on account of a sensation of a plug in the back. Hot, moist, offensive flatus. Scalp itches when getting warm in bed. Hot head. Aggravation: ... South or south-west winds. Pork, abuse of quinine, mercury, singing, reading aloud, ... before midnight, lying. Galic glt2 Children and teenager with low energy, who become hoarse quickly and have a past history of a life-threatening pneumonia in early childhood, on which they almost died without hospital treatment. Saine snex If you give Ant-t. and mucus goes away, but patient is still weak and still difficulty breathing, you know it is Carb-v. right away. Rehman rma1 Complentary remedy - Kali-c. - in pneumonia with pleuritic effusion. Followed by: Phos. - Pleurisy, if the disease progresses, involves bronchi and lungs and therefore becoming a case of pleuro-pneumonia. Compare with: Plb. - Neglected pneumonia - also Chin., Kali-c. Compare with: Ant-t. bl4, Ars. pfa3, Carbn-o. mmppx, Chin. nicx,rma1, Hydr-ac. mtarx, Kali-c. rma1, Kali-i. fr2, Mosch. cda1, Plb. rma1 Follows often: Ant-t. nh6,snex, Kali-c. rma1, Phos. rma1, Sulph. danx Followed by: Ars. danx, Kali-c. rma1, Lyc. danx, Phos. rma1, Puls. danx, Sulph. danx Carb-v In CARBO. VEG. there is pain in lungs from inhalation of heat from fire. Useful in:pneumonia third stage with fetid sputum. Carbo veg. is called for when there is threatened paralysis of lungs in pneumonia. In Lungs impending oedema. Carbo veg. is important in inner chest pain, which precedes coughing.