KALIUM CARBONICUM mit generierter deutscher Übersetzung Borland bl4 · I think Kali-c. tends to be indicated from about the fifth [second mrr5] day of Subdivision onwards, although you may get indications for it earlier. It is a very serious case, but it is a case that you see before the really critical stage comes along. Very often it is a case which has responded to a certain extent to one of your previous drugs, but you are not satisfied with its progress, the patient is still running a temperature and, although more comfortable, is not clearing up. It is in that type of case that you find your Kali-c. indications. · The appearance is always that of a patient who has been pretty exhausted by their attack. He looks rather pale, flabby, and washed out, and has a sort of haggard, exhausted appearance. Very often in Kali-c. there is a puffy look about the face. The patient always has an anxious, worried, rather frightened expression [with desire for company mrr5]. And with that there is very often a good deal of tremor of the facial muscles, and twitching of the hands and fingers; he picks at the fingers, and picks at the bedclothes. · These patients dislike being left alone, they get more worried, more scared. They are definitely sensitive, they are very easily annoyed, very easily irritated, and they are particularly sensitive to any noise in their immediate neighbourhood. · The lips tend to be cyanotic, dry, and cracked. As regards the tongue, I think most commonly Kali-c., patients complain that it fells as if it had been scalded; it is dry and red and has this burnt feeling. But you will quite frequently meet with a case in which the tongue has a dirty, greyish-white coat. · As a rule these Kali-c. patients are not markedly thirsty; their mouth is dry, and they may want a little sip of water, but they are not markedly thirsty. [Thirsty, mainly for room -temperature liquids mrr5] · The cough tends to be very dry, and suffocative in type [with copious, cold perspiration mrr5]. And with an attack of coughing you will find these patients breaking out into a profuse sweat. The sputum is always scanty, difficult to expel, and very often it only comes up into the back of the throat and is swallowed. · There are two very definite Kali-c.- indications. The first is that these Kali-c. patients are frightfully sensitive to any draught of air, it produces a violent attack of coughing, a regular paroxysm, and it also produces a horrible sense of chilliness. The other characteristic point is the position taken up by Kali-c.-patients in their respiratory distress. They always want to sit upright, and, unlike the other drugs we have considered, they lean forward and support themselves with their elbows on their knees, or they like a bed table across the bed and they lean forward on that. · Always in these Kali-c. pneumonic cases the patients have violent chest pains with their cough. The kind of pains they get are the stitches right through the chest, or acute stabbing pains in chest. The pains are very much aggravated by any motion, and, of course, they are produced by any of these violent spasmodic coughs. I think as a rule the maximum involvement is on the left side of the chest rather than on the right, and, whichever side it is, it tends to involve the lower lobes rather than the upper. · You do not tend to get the same degree of cardiac failure in Kali-c. as you do in the two preceding drugs [Ed. Ant-t., Carb-v.]. You get a weak pulse without a great deal of tone in it, but you do not tend to get the acute dilation of the heart that you do in the others. You get a weak running pulse, but not acute heart failure. · There is one other useful diagnostic point, and that is the time of maximum aggravation. It is in the early hours of the morning, between 2 and 4 o'clock. You may meet with it at any time during that interval, but you are most likely to get your worst period about 3 o'clock in the morning. Quite frequently you will find your Kali-c.-patients sitting up in the typical position, gasping for breath, about 3 o'clock in the morning, with a horrible feeling of oppression and tightness in the chest and acute stabbing pains. · There is one point which sometimes tends to make you confuse your Kali-c.'s, and that is that in their pneumonias these Kali-c.-patients do get a good deal of flatulence, a good deal of abdominal discomfort, and a good deal of abdominal distension. · When considering the question of potency you may have to be a little careful in dealing with old people in Kali-c.-cases. Where you have indications for Kali-c. you are not dealing with an acute emergency, and in consequence you do not need your highest potencies. I would give 1 M's [1.000 C] to older Kali-c.'s for choice. The average case responds well to 10M's [10.000 C] repeated in the usual way. Nash nh6 Character - Cough dry, hard, exhausting; sometimes with purulent expectorations, mixed with blood and thin mucus; or white masses fly from the mouth (Bad.). Aggravation - Warm food, exercise, lying on left side; 3h a.m. all symptoms. Amelioration - After breakfast. Accompaniments - Stitching pains everywhere, but especially in right lower chest through to back. Sac-like swelling of upper eyelids. Chilliness at noon, at night heat, weakness of the chest. Much inclined to take cold (Tub.) Adapted especially to anemic or dropsical constitution. This remedy of which Hahnemann said "persons suffering from ulcerations of the lungs can scarcely get well without this antipsoric", is certainly one of our very best. The location of the pain, lower right chest, is very valuable. Merc. and Chel. also act here, while Sang. and Calc. act on the middle lobe, same side. Ars., upper right to back. Upper left, Ther., Anis., Pix., Sulph. and Tub. etc., of course other indications agreeing. The stitching pains occur everywhere, even in temples, eyes, teeth, etc., but are not necessarily agg. by motion as are those of Bry., except in pleurisy where they may be. Suppressed or delayed menses in young women, with much pain and weakness in the back, may be saved from consumption by this remedy. Lilienthal ll1 Pleurisy - The violent stitching [irrespective of motion fr2] fails to yield to Bry., especially on left side, with violent palpitation of heart, dry cough agg 3h A.M. and on inspiration; pleura affected by extension of the lungs; pleurisy of tuberculous patients, affecting especially the clavicular region; pain as if lower lobe of right lung were adhering to the ribs; ... [puffiness of upper eyelids fr2] Pneumonia in infants, capillary bronchitis: Intense dyspnea although there is a great deal of mucus in the chest, it is raised with difficulty; breathing wheezing, whistling, oppressed so that the child can neither sleep nor drink; cyanotic symptoms [of hands and feet sime] with puffiness over either eyelid; inability to breath deeply; stitching pains; chiefly in the walls of the chest, esp. in lower third of right lung [DD Merc., Phos. tl2], going through the chest to back, though they may occur all over the chest, agg. from any motion or at any other time with diarrhea (AHZ, 7/1870) Later stages of pneumonia with copious exudation in lungs and great rattling in the chest during cough with little globules of pus in the sputa; worse about 3h.; hepatization of right lung, unable to breathe deeply or to lie on right side; sweat on upper lip during sleep, especially in children; abscess of lung, with spitting of pus and blood. But where copious infiltration, especially in cases of double pneumonia, took place, anger was imminent. We heard, then, coarse, vesicular murmurs; dyspnea was so great that the child could neither sleep nor drink; slight edema, with cyanosis of the hands and feet set in, and the tormenting cough failed to expectorate the tough mucus. Diarrhoea was always present. Hering hr1 Pneumonia after [in the course of fr3] measles [or whooping cough nicx]. Raue rec1 ... Pulse small and somewhat irregular; face pale; skin and stool dry. Tyler tl2 Hepatization right lung, cannot lie on right side. (Bry. lies on affected side-or back) Kafka kka1 Sputa corrosive, which becomes evident through increased Inclination to cough, as well as by mostly burning or sense of rawness in the throat during cough. (compare - Ars., Canth., Sil., Caust.) Galic glt2 An interesting observation is that there is often an ambivalent attachment disorder of the mother. The mother is torn between between her sense of duty and her restricted sense of freedom, which results in inconsistent sensitivity and a lack of attention to the child. They often describe their child as being contrary and oppositional. Small children often suffer from difficult defacation although the stool is soft (Ign., Alum., Sep., Sil.). Kali-c. is a frequent remedy for pneumonia in children before attending childrens' daycare-center. Starting and irritability from noises. Desire for company, agg. when alone (DD - Ars., Lyc., Phos.) and aversion to be touched. Bloated face, swelling about the eyes. Heat and redness of the ear of the affected side (Puls.). Dyspnea better by sitting erect bending forward, adults with head on the knees, children on mothers' lap resting the head on their chest. (DD - Ars., Lach.), agg 2-4h, esp. 3h a.m. Rehman rma1 Complementary Carb-v. - Pneumonia with pleuritic effusion. Lyc. - Pneumonia with liver complications. Sulph. Effusion in serous cavities. Compare with Merc. - Right lower lobe in pneumonia - Phos. Nat-s. - Pneumonia not resolving in left lower lobe - Kali-c. in right upper lobe. Compare with: Ant-t. fr3, Ars. kka1, Bry. tl2, Canth. kka1, Caust. kka1, Ign. fr3, Kali-bi. fr3, Merc. rma1, Puls. fr3, Sulph. fr3, Tub. nh6 Follows often: Bry. ll1, Carb-v. fr3 Followed by: Carb-v. rma1, Lyc. rma1, Sulph. rma1 Kali-c: Patient has Pain in inner chest at back through lower third of right lung. Pressing sensation in inner chest with fits of suffocation, which is aggravated by damp weather. Rapid breathing from oppression, cannot talk well during chill and fever. Dyspnoea caused by drinking cold water, when overheated. Feels as if there were no air in lungs and he could not breathe. Sensation of bubbling in lungs in pneumonia. KALI CARB Pneumonia is followed by dry spasmodic cough. Kali carb patient in Pneumonia cannot lie on right side feels best lying on left side. In KALI CARB Pneumonia is followed by sleeplessness. Tormenting cough in pneumonia, brings out none of tough phlegm. Dry cough in two or three paroxysms, in rapid succession, as if a membrane prevented breathing in trachea or as if some mucus were moved about by cough without being able to expectorate it. Expectoration: taste:salty, in morning. Yellow expectoration, pus streaked with blood or contains lumps of blood. During hemoptysis cough up great masses of blood, and pus after pneumonia. Distressing cough after pneumonia. Infantile pneumonia with rattling during resolution stage. Affections of lungs with eczema.