IPECACUANHA mit generierter deutscher Übersetzung Pulfords Remarks: Ip. makes us think of infants and children for whose pneumonia it is the leading remedy; little ones who look pale and dreadfully sick, blue rings around the eyes; anxious; nose drawn; dangerous dyspnea; the coarse rattling can be heard all over the room; cough dry, racking, teasing, suffocative, causing [bluish rbbx] redness of face, gagging, chocking and inclination to vomit without nausea; thirstless; there may be occipital pains during chill; restless, tosses about; prostration comes in spells. Cases often beginning with or accompanied by nausea and vomiting. Cases coming on earlier than Ant-t. and not having the coldness of Ant-t., corresponding to stage of irritation, while Ant-t. corresponding to the stage of relaxation. Is the ONLY known remedy for: Stiffness of muscles of face during cough; at 19h; pressing pain in diaphragm; short chill; long heat, no thirst. Is THE leading remedy for: Vomiting after stooping [; after drinking hr1]; child becomes stiff and blue in the face with suffocative cough; pneumonia of infants; chill from disordered stomach. Borland bl4 · The fourth of these drugs for the acute stage of pneumonia (Ed. Acon., Bell., Ferr-p., Ip.) is Ip. and it applies much more to children than it does to adults. I do not know if you were taught, as we were, that 80 per cent. of children's ailments start with an attack of vomiting, no matter what the child is going to develop. I think it is very nearly true, with the result that many of these children with a commencing pneumonia, or possible even more commonly with a commencing bronchopneumonia, show very definite indications for Ip. · In my experience the onset of the Ip.-pneumonia is a little slower than it is in the other three drugs. One usually does not find clear-cut indications for it under about twenty-four hours. The story you are given is that the child has been seedy the previous day, off its food, possibly feeling rather sickish, or it may actually have vomited. And I think Ip. is more commonly indicated in the milder weather than in the intensely cold weather. In a pneumonic attack the typical Ip. child usually tends to be flushed. It is rather a dusky flush, and the child has a hot, sweaty face. [Coldness of the extremities and heat of the head. bhb2] · The temperature in Ip. is usually not so high as in the other drugs it is round about 103°F (39, 4°C) and the pulse is not quite so bounding. · Always in these Ip. children the thing that strikes you is the amount of mucus in the chest; there is mostly a diffuse, generalized rattle. And invariably the patients have very suffocative paroxysms of coughing [with much restlessness when trying to expectorate, with trashing about, kicking legs, etc.; without expectoration snex]. The point that makes you think of Ip. is that these suffocative attacks of coughing very often go on to definite retching and the child brings up a quantity of stringy, difficult, blood-stained sputum. One has to distinguish these attacks from those found in some of the later drugs. In some of the resolution pneumonias you find similar suffocative coughs, which again go on practically to vomiting, but in them the patients bring up quantities of dark, offensive blood, whereas the blood in the Ip. sputum is always the bright red of a commencing pneumonia. · After these paroxysms of coughing you often find the Ip. patients very exhausted, and then their flush disappears and you get the typical pallid, whitish, pale-liped Ip. patient. You get the impression, after these attacks, that the patients are very tired, very wearied, and during that stage they are awfully difficult to please. They feel rotten, they feel sick, they do not want to be fussed, and they may ask for something, but they do not really want it and will refuse it if they get it, they are just miserable. · In their pneumonic attacks these Ip.-patients always have a good deal of nasal irritation, with pretty violent attacks of sneezing. I have never seen an Ip. pneumonia yet which did not have these sneezing attacks. · The appearance of the mouth is somewhat suggestive. It is usually rather sticky, and I have seen two different types of tongue in these cases. In a straight-going lobar pneumonia I think more commonly the Ip.-tongue is clean. But in a broncho-pneumonia, where there is probably a good deal of nausea apart from that caused by the actual attacks of coughing, I have seen an Ip. tongue which was pretty heavily coated. As a rule these Ip. patients are completely thirstless. · Another thing that is constant about Ip.-patients is that they are always very sensitive to a stuffy atmosphere; it brings on their cough, and it increases their distress, so you find that they always like to have a current of air about them. · Well, that covers your incipient pneumonias, and you ought to be able to abort any of these cases in twelve to twenty-four hours. If you do not see the case early enough for that you will probably have to consider one of your other drugs. You may be lucky and get a Ferr-p. which has persisted, or you may possibly get an Ip. which has persisted, but you are unlikely to get an Acon. after the first twenty-four hours, or a Bell. after the first thirty-six hours. Nash nh6 Ip., which also has great accumulation of mucus, is again useful in children, but the oppression of breathing is accompanied with squeaky wheezing breathing instead of the course rattling of Ant-t. Hering hr1 Pneumonia after repercussion of scarlatinal eruption. Lilienthal ll1 Pneumonia infantum; ... with convulsions. Royal ry2 Makeup: Thin; spare; scrawny; hemorrhagic diathesis. Sensation: Suffocation; constriction; lungs as filled with fumes of sulphur; tickling. Modalities: Agg. Cold air; lying down. Amel. Vomiting and raising large quantities of mucus. Cough caused by tickling from the upper part of the larynx to lowest of bronchi. ... Farrington fr3 Phos. should be given after Ip. when the inflammatory symptoms increase. Tyler tl2 ... More often intense nausea unrelieved by vomiting; with clean tongue. Acute chest: ... Rapid onset. (Acon., Bapt. Verat-v., ) Mathur mtarx Congestive stage... Grass green stools have generally been observed and only these two symptoms [Ed. togehter with nausea and vomiting] have been sufficient to cure a case in a very short time. ... The trouble comes on pretty rapidly, not unlike Acon. or Bell. and the child is not flushed [Ed. or dusky flush bl4] but it becomes pale or blue; .... Agg - Winter and dry weather, warm moist south winds. Slightest motion. Mc George mcgx When the chest becomes full of phlegm, but does not yield to coughing, a single dose of Ip. high, will bring almost instant relief. In incessant and violent cough with every breath in delicate children with intense paleness of the face ... The child loses its breath with the cough, turns pale in the face and stiffens, Ip. is the remedy. Das danx Cough: ... Severe suffocative cough with sweat on forehead; ... cough without waking the patient. Respiration: ... Suffocative attack in the room, from the least motion, better in open air. ...; breath smells fetid. Accompaniments: ... Red skin around the mouth. White or yellowish tongue; craving for sweets; ... twitching of face, clean tongue, moist mouth, much saliva. Sleep with eyes half open; skin pale; blue around eyes. Coldness of one hand while the other is hot (DD Dig.); external coldness of body also of single parts; cold sweat; no relief obtained by vomiting, the desire still remaining. Aggravation: From vomiting; from coughing; ... Saine snex Ip. and Ant-t. don't want to be looked at or spoken to, but Ant-t. has also the aversion to be touched. Epistaxis in pneumonia. In infants a wave of pallor may precede the vomiting. The vomitus is composed of [strings of white rbbx] mucous. The fever is not high. Thirst is usually not present. However, if present and the child drinks, the nausea usually becomes worse. The nausea is usually accompanied by profuse perspiration. Diarrhea may be present. Rehman rma1 Compare with Am-c. Bronchiolitis and pneumonia in children, if Ip., Acon.and others fail. Ant-i. - Pneumonia and bronchitis. Chel. - Pneumonia of infants. Followed by: Ant-t. - Pneumonia in children, if Ip. failed or has only acted palliative for some time, then this remedy can save lifes. Bronchiolitis in small children with quick onset with great accumulation of mucus, when the cough diminishes, the patient is sleepy and threatening respiratory failure. Broncho-pneumonia or capillary bronchitis in small children caused by warm wet weather. Kali-c. - Pneumonia if Ip. fails to bring up the mucus. Sulph. - Lungdiseases esp. left side, atelectasis. Compare with: Acon. bl4, Am-c. rma1, Ant-i. rma1, Ant-t. pfa3,snex, Bapt. tl2, Chel.. rma1, Mosch. cda1, Verat-v. tl2 Followed by: Ant-t. rma1,snex, Kali-c. rma1, Phos. fr3, Sulph. rma1 IPECAC: Where there is Spasms in inner chest with cyanotic symptoms. Infantile Pneumonia with rattling in young children with vomiting of mucus. Lungs mucus threatens to suffocate. Rattling in lungs is very fine. Hemorrhage from Lungs coming with slight effort. IPECAC is useful in especially hemorrhage after former bleedings have weakened lungs. Where the bleeding from lungs is bright red. Emphysema with influenza fever and emphysema in old people IPECAC is very useful.