HEPAR SULPHURIS mit generierter deutscher Übersetzung Pulfords Remarks: Hep. automatically recalls a chilly subject who is extremely sensitive to external impression and who is very very hard to get along with; he is extremely sensitive to air, a draft and, like Acon., to cold, dry winds; has profuse, easy sweating, the sweat usually of a sour odor, which does not amel. and in children the sour odor cannot be removed even by washing; he wants the clothing well drawn up about the neck, wants his sleeping room warm, is very quarrelsome, cannot endure the cold; if he gets cold at night in bed his complaints come on or are agg., even the exposure of a hand or foot agg.; he is full of sharp pains of a splinter-like, jagging character; his cough is generally agg. evenings until midnight with gagging, choking and sweat, but like Ant-t. there is often difficulty in removing the expectoration though the cough sounds loose and rattling [...the child cries when coughing and seems to cough into a "choke, " often breaking out in a profuse sweat rbbx]. After exposure to cold or cold, dry winds the Hep. patient comes down more slowly than does the Acon. patient, therefore, Hep. follows Acon. well in such cases when the symptoms agree, abscess of the lungs when the symptoms agree, also chronic cases of pneumonia with profuse, purulent expectoration and threatening abscess. Adapted well to the pleuro type. Is the ONLY known remedy for: Closing the eyes nights excites cough; hoarse cough evening until midnight; cough in west wind. Is THE leading remedy for: Disposition to contradict; weeping during cough; heat [and redness danx] of the face evening and night; desire for vinegar; hacking cough after dinner; suffocative cough at night; cough in the wind, cold, dry, east or north; chill 16h until 5h; sweat day and night without amel.; sour sweat at night or profuse sweat day and night without amel. THERAPEUTIC HINTS - The prolonged sour sweat without amel. Borland bl4 · Where you are dealing with a Hep-pneumonia you always have a septic type to contend with, and you get the impression that the patient is very ill. As a rule Hep. patients are palish in appearance, although they may have a somewhat hectic flush. · Mentally, they are very difficult. They have a horrible, discontented, dissatisfied, critical outlook. They have a marvellous faculty of remembering any unpleasant occurrence that they have had. They will probably tell you they have seen another doctor the day before and he did not do them any good; or else they will tell you that the nurse did not carry out your instructions. They always have a complaint of some kind. · These Hep-patients are definitely over-sensitive. They are disturbed by their surroundings, they are disturbed by any noise in their neighbourhood, and they very often react unpleasantly to particular people, for instance you will find they take a dislike to one particular nurse in the ward, and nothing she can do is any good. · Their speech is always hasty, the words simply tumble out of them in a gush, and it is usually a complaint of some kind that they have to talk about. · They tend to develop a definite labial herpetic eruption, or a crack at the corner of the mouth. The upper lip tends to be rather swollen, thickened, and very often reddened. Quite often in these Hep-pneumonias there is a deep split in the centre of the lower lip. · The tongue is always very sensitive. Very often they complain of a hot, burning tongue, or of a burning tip of the tongue, and you often find aphthous patches scattered about the mouth, either on the sides of the tongue, or on the lips, and they are always horribly sensitive. These patients usually complain of a rather bitter taste. · One point which always strikes me as a contradiction in the Hep-patients, is that, in spite of their very sensitive mouth, they like rather highly tasting drinks and food, something with a bit of a bite about it. ("...with a craving for acid drinks." stgx) · These patients have two main physical complaints. One is a sense of extreme weakness in the chest. The other and this is much more common is acute stabbing pains in the chest. These pains are accompanied by a definite aggravation from lying on the affected side. You will find as we go along that the position taken up by the patient in pneumonia is constantly cropping up as a differentiating point; one could almost split the drugs into two groups, those in which the patient is ameliorated by lying on the affected side and those in which the patient is aggravated by it. · As regards the cough, in Hep. it is always a very choking, strangling, spasmodic cough. It comes in quite frequent paroxysms, and is accompanied by acute dyspnea. In these paroxysms you will find the patient sitting up in bed with the head tilted well back, and in their pneumonias the cough is accompanied by a very profuse, usually purulent, blood- stained sputum. A striking thing about the cough is that it is appallingly easily produced by any cold, for instance, you merely have to wave anything in the neighbourhood of a typical Hep-patient to produce one of these spasms, and if the patient even puts a hand out of the blankets a paroxysm will be started if the hand gets chilled. · As a rule the temperature in these Hep. cases is a rather swinging, septic type of temperature. It is accompanied by very profuse sweating, and yet in spite of the sweating there is not a definite drop in temperature and the patient feels if anything more uncomfortable for it. Any slight effort on the patient's part will produce one of these violent sweats. · These Hep-cases always feel very much worse after they have been asleep. You expect your pneumonias to wake up feeling better if they have a decent sleep, but the Hep. always feel much worse. Their sleep is unrestful and they have very distressing dreams, very often there are dreams of fire. · There are two periods at which you get marked aggravation in Hep. One is round about 18 to 19h in the evening, when the patients very often have a rise of temperature. The other is about 2h in the morning. At this time the patients very often have an acute paroxysm of coughing. They are liable to become very exhausted by this and may settle down afterwards and fall asleep, and if so you will get your post-sleep aggravation later in the morning. Nash nh6 Hep. often helps where there remains a wheezy condition, and the least cold air makes the cough worse. ... Pyaemic cases will often get great help from our Hep., Calc-s., Sil., etc., and, indeed, individual cases may call for remedies not mentioned here. Farrington fr2 Is often useful in Capillary Bronchitis but differs from Ant-t. in this that the latter has loose rattling mucus and the former has a wheezing, purring sound, as if the exudate were more tenacious. Loose rattling cough in chronic catarrh, with copious expectoration of thick, lumpy, greenish or yellow or pus-like sputa in the morning. Here Calc-s. compares with Hep. but unlike the latter it is better in cool air. Pneumonia: It comes in late in the disease when pus forms and there is suppuration [only over a small part of a lung ll1] instead of normal resolution; also late stage of Croupous [Ed. Lobar] Pneumonia. Pleurisy: Purulent, plastic or croupous exudation, often of long-standing, with hectic fever and emaciation. Chilliness; sensitiveness to damp air, which brings on coughing. Hering hr1 Pleurisy, croupous exudation with yellow or yellowish-brown colour of the face in scrofulous and lymphatic people. Hoyne hn1 Pleurisy complicated with percarditis and bronchitis. Sime sime Hep. is a companion remedy to Merc. or rather is the one which best follows it when to the conditions found under Merc. the suppurative process is added. Das danx Location: Upper parts of chest. Right side of chest. ... Expectoration: ... Abundant expectoration of tenacious mucus relieves the rattling breathing. Sputa: Scanty, ...; dirty, yellowish; ... masses of mucus; ... tuberculous masses; small balls emiting a carrion-like odor when crushed." Cough: ... Talking. After cough follows sneezing; crying. Sneezing during cough. Respiration: Rattling breathing during sleep; ... Must get up to relieve dyspnea. Involuntary deep inspiration. Chest: ... Stitching pain in right side of chest extending to back. During cough burning in chest and stomach. Patient: ... Psoric. Scrofulous; light hair and complexion. Soft and flabby muscles. Peevish, obstinate, irritable. Chilly, hasty eating and drinking. Conditions: ... Weakness of chest preventing talking. ... Mild suppurative stage. Accompaniments: ... Sour sweat on head and face with aversion to be uncovered. Dryness of throat; ... hard dry stool. Stool expelled with difficulty even when it is not hard. Fetid sweat of axilla. Cold sweat of hands. Rough, dry, grating, cracked skin of hands. Cracked skin of feet. Starts up from sleep with feeling as though he would suffocate. The side on which he lies becomes painful, must turn. ... constant offensive exhalations of the body. Amelioration: ... Damp, wet weather. Compare with: Acon. pfa3, Ant-t. pfa3, Calc-s.. fr2, Jab. fr3 Follows often: Acon. pfa3, Merc. sime Followed by: Lach. danx, Merc. danx, Nit-ac. danx, Rhus-t. danx, Sil. danx, Spong. danx, Sulph. danx