FERRUM PHOSPHORICUM mit generierter deutscher Übersetzung Pulfords Remarks: Ferr-p. recalls an anemic, chlorotic, tired, weak individual, with much vascular excitement, who lacks vital heat and is sensitive to the open air, whose face is either red with congestion to the head during fever or chlorotic, earthy, pale, sallow. Pale lips, dark circles under the eyes. It vies with Acon. and Bell. for infants. It has been said that this remedy is a sort of cross between Acon. and Bell. [Bell. can be confused with Ferr-p. snex], as Cadm-met. between Ars. and Bry., and Seneg. between Bry. and Rhus-t. It is esp. useful in the congestive types with a vascular excitement simulating Verat-v. It has great oppression of chest; dyspnea; stitches in the chest on deep inspiration [different from Bell. snex]; short, spasmodic and very painful cough agg. lying; expectoration usually bloody; anxiety in and constriction of the chest and heart; chest agg. coughing and breathing, esp. deep breathing; the fever predominates; marked crepitus; it seems to have an affinity for the left upper lobe. In the first stages of infantile pneumonia, esp. if caused by checked sweat on a summer day, also in adults before exudation; pulse full, round and soft; high fever; [typical snex] epistaxis and profuse expectoration of almost pure blood at the same time. Is one of the leading remedies for: Earthy color of, or pale face; regurgitation of food; bloody expectoration; inflamed bronchial tubes; rapid pulse, and - a more thorough proving. Ferr-p.: THERAPEUTIC HINTS - The anemic face easily flushed. Intercurrent pneumonias (Boger). Borland bl4 The next most common of these early drugs [Acon., Bell., Ferr-p., Ip.] is Ferr-p. The Ferr-p. picture also is fairly definite. As a rule, the pneumonia takes a little longer to develop than in Acon. For instance, if you get an exposure one afternoon you are unlikely to find the Ferr-p.-picture developing before the following morning. And you may get Ferr-p. running on to about the third day of Subdivision, until you have definite, obvious consolidation. · The first distinguishing feature between the Ferr-p. patient and the Acon. is the appearance. Instead of the very brightly flushed face and hot, dry skin of the Acon., in Ferr-p. you usually find either a localized flush over the malar regions, or else a very variable state of redness [could be on the whole body, like in scarlatina, most prominent in the face snex], that is to say, if the patient is coughing, is disturbed, or has to talk, [or from pain snex] he very rapidly flushes up a bright red flush, but when he rests that flush tends to ebb away and leave just the malar flush on a rather palish background. Also in Ferr-p. you often find a very suggestive pallor round the mouth. [the infant seems dull and stupid, pale or slightly flushed face, skin dry and hot or slightly moist rbbx] · The next thing about Ferr-p. is that you do not find the same degree of excitement and terror as there is in Acon. The patients are more tired, they are very indisposed to talk, they are very sensitive to any disturbance round about them, any noise, any loud speaking seems to distress them, and they want to be left quiet [alone mrr5]. They are very much more at peace if they are quiet and if no one interferes with them which is exactly the reverse of the Acon-state in which the patients are terrified, want someone to be about all the time, are sure they are going to die, and are afraid to be left alone. · As regards temperature and pulse rate, it is very difficult to distinguish between Acon. and Ferr-p. Both run a high temperature, and both have a rapid, bounding pulse. [Pulse is rapid like Acon., but less wiry. ry2; and compressible - different from Bell.] · Where thirst is concerned there is very little to it also. They are both very thirsty, and both want quantities of cold water. But occasionally you come across Ferr-p. patients who complain of rather a sweetish taste, and instead of wanting cold water they prefer something rather sour to counteract this sweet taste. · The tongue in Acon. and Ferr-p. is different. In Acon. it is usually dry, and not particularly coated. In Ferr-p. it gives the impression of being somewhat swollen. At the commencement it is usually red, although it may have a faint white coating; by the third day it will have developed a definite coat. But in the earlier stages it is a rather darkish red, swollen looking tongue. · The Ferr-p. patient has a pretty incessant, tormenting cough, but, instead of being induced by a sensation of dryness in the throat as in Acon., it is excited by a sense of irritation lower down behind the sternum. Very frequently you get a history that if the patient has a violent bout of coughing it is very liable to bring on an attack of epistaxis [agg. also by sneezing, cleaning the nose, on rising in the morning snex]. · There is another constant point about the Ferr-p. patients, and that is that in their febrile attacks they are definitely chilly. · They are sensitive to cold, and their cough is liable to be excited by a draught of cold air. · Another point that distinguishes Ferr-p. from Acon. is that the right side of the chest is much more likely to be involved than the left. You very often find pleuritic signs on the right side quite early in the Subdivision, it is not at all unusual for a definite pleuritic rub to develop within forty-eight hours of the onset, and with that pleuritic rub you are liable to get the development of very sharp pleuritic pains, which, of course, are aggravated by motion. Apart from their pleurisies your Ferr-p. patients are often restless, but once they have developed a pleurisy any movement hurts them. · A further point which sometimes helps you is that the time of aggravation in Ferr-p. tends to be in the early morning, usually between 4 o'clock and 6 o'clock, whereas the Acon. time of aggravation is late in the evening, sometimes up to midnight. · The character of the sputum is a help, though not so much in distinguishing between Ferr-p. and the other acute drugs as between Ferr-p. and Phos. with which it may easily be confused. In the Ferr-p. cases you are liable to get a bright red streaked sputum, rather than the rusty sputum of the later pneumonia drugs, in other words Ferr-p. is indicated in the early stage of consolidation. The Phos-sputum on the other hand is beginning to turn rusty, it is a darker red and there is more blood in contrast to the streaky sputum in Ferr-p. Nash nh6 Ferr-p. seems to me to stand midway between Acon. and Bell., for while it does not present the excitement and fear of Acon., on the other hand it does not produce so strong brain symptoms as Bell." [and no burning tl3] Paige pew1 Tendency to apathy, more bronchitis. Sputum more rusty, or even bloody. Not of value if pleurisy is a marked feature. Especially valuable for those debilitated by previous chronic disease, secondary pneumonia, or when reaction is poor. Tyler tl3 Acute chest: Breathing oppressed, short, panting. Pains and hemorrhages caused by hyperaemia. Gatchell gccx Chest feels sore and bruised; sonorous and sibilant rales. Lilienthal ll1 Sputum frothy, pink. Secundary congestion following pneumonia, one side being inflamed when suddenly the other side also becomes affected. Hering hr1 In Pneumonia: Green vomiting; yellow watery diarrhea. Pneumonia of left upper lobe. Pierce pe1 Pressure on the chest as from a heavy weight, or as if both hands were pressing downward on the chest, making breathing an effort. Royal ry2 Sensation: Dull aching; violent throbbing; drawing; tearing; stitching; hot. Modalities: Agg. In open air; at night; touching larynx; warm drink. Amel. Rest; cold drinks. [Modalities esp. for cough - but cough agg. by cold drinks snex] The lung is seething with an extra amount of blood. The stethoscope conveys to the ear a sound like the splashing of water on the sides of a boat when there is only a slight motion of the water and the boat is still. This comes with every beat of the heart... Examination of the blood shows anemia, although the flushed, red face would suggest plethora. The action of Ferr-p. is of short duration, so also is the condition (stage) which calls for the remedy. Hence the dose should be repeated often, but the remedy should not be long continued. There is one exception to this rule, viz., should one section after another of the lung be invaded by the morbid process. Under such a condition you may have the dry, spasmodic cough and the loose cough. Ferr-p. has aborted many cases of pneumonia, checking it in the congestive stage. It saved many lives in the Flu epidemic. Give five grains of the 3rd. every half hour. Porter por In engorgement of the lungs it prevents the subsequent pneumonia. The chest feels sore, the pulse is full and soft, the expectoration is scanty and blood-streaked. I give it early in pneumonia with the above pulse, fever, and cough. The sputum, if any, may or may not be blood-streaked. I like to give it before the appearance of any blood in the sputum as it seems to prevent the extension of the pneumonia and you get a mild case of short duration instead of a very extensive involvement and very sick patient with a much longer illness. Blackwood bwax In capillary bronchitis and broncho-pneumonia it meets the febrile and general condition, but it is useless when cyanosis has once taken place. Fisher fsr2 The headache is more continuous. [Throbbing headache with red face snex] Mathur mtarx Agg. - At night and 16h to 18h.; touch; jar; motion; right side. Amel. - Cold applications. Gupta gtr1 In capillary bronchitis of young children with passing of urine while coughing. Boger [Ed.: In a discussion on a case of double pneumonia concerning the question which potencies of Ferr-p. experienced homeopathic practitioners use:] I use Ferr-p. in the DMM potency, but you can repeat Ferr-p. oftener than you can any other potency. Dr. Roberts - Two hundredth in acute cases. Dr. Stevens: I use the 200 and a thousand. [Source: Homeopathic Recorder, 1935] Saine snex Mental picture in febrile condition: Apathetic indolent person, not anxious, typically not restless (or only mildly restless); and what they want, like Gels., is they just want to lie down, are indolent, don't want activity. (Bell. is stupefied. Gels. is also red and wants to lie down). In Ferr-p. the mind stays clear (in Bell. the mind does not stay clear, is confused, stupefied, nightmares); and become loquacious, perhaps silly, making jokes, mirthful, happy-go-lucky. (Farrington: if a child has measles and is mirthful, making jokes, it is Ferr-p.) Pleurisy with hemoptysis due to injuries to the chest wall. Rehman rma1 Followed by Am-c. - in bronchitis and pneumonia of children, if Ferr-p., Acon., Ant-ar., Bell., Chinin-s., Ip., and Phos. failed. Bry. - In pneumonia. Kali-m. - In bronchitis, broncho-pneumonia and similar diseases esp. in children. Nat-m. - Short, dry tickling cough with pneumonia. Sulph. - In Pneumonia to finish the case. Compare with: Acon. nh6, Bell. nh6, Phos. bl4, Verat-v. pfa3 Followed by: Am-c. rma1, Ant-t. (in bronchopneumonia) mmppx, Bry. rma1, Kali-m. rma1, Nat-m. rma1, Sulph. rma1 Ferr-p: Is useful in cattarh of Lungs in children, similar to aconite. Condition of lungs arising from local congestion. In pneumonia where there is hyperaemia, depending on relaxation of muscular fibres of blood vessels as long as no exudation has taken place. That is why useful in first stage of pneumonia. Also initial stage of pleurisy.