LACHESIS MUTA mit generierter deutscher Übersetzung Borland bl4 Lach. is very similar to Bapt. and Pyrog. I think in the majority of cases you will find your Lach-pneumonias cropping up later in the winter or in the early spring; You very often find them cropping up just at the end of a cold spell when the weather is beginning to get warmer. · In these pneumonias you have to acquire an entirely fresh picture of Lach. from the one you associate with Lach. in the chronic patient. For instance, you know your chronic Lach. patient simply talks your head off, but in the pneumonias where Lach. is indicated you are much more likely to get the extremely toxic, fuddled, maudlin, drunken sort of patient. · They are rather heavy looking, with a mottled, cyanotic appearance, a very puffy-looking face [Bapt., Ant-t. tl2], and puffy, swollen-looking, cyanotic lips. Their speech is thick, they have difficulty in articulating, and they are liable to drop half their words. They stumble over what they are saying, and frequently they leave a sentence half finished. · Another point that is sometimes helpful in spotting your Lach. patient is that their very cyanotic, swollen-looking lips tend to become incredibly sensitive to touch. · Quite frequently these people go on to a frank delirium tremens, with all sorts of delusions. They hear voices, they imagine all sorts of things, they become suspicious, they think they are being poisoned, and they refuse to take their medicine. · As far as the appearance of the tongue is concerned, it is always a very dry, swollen, dark red tongue. And in spite of that dry tongue you will get a good deal of very sticky, stringy saliva in the mouth. · These Lach. patients have great difficulty in coughing, they have a horrible feeling of suffocation, they have great difficulty in breathing, and they are simply terrified to lie down. They hate to go to sleep because of this sense of suffocation, and if they do drowse off they are almost certain to wake up with a sense of suffocation [cp. Grin. br1] and a most distressing attack of coughing. · These patients mostly get a very violent, surging headache with their cough. It feels as if all the blood in their body is forced into their head. Their head is hot and bursting and yet at the same time they often complain that their legs, feet, and very often their hands, too, are feeling icy cold. · Then with their chest involvement they always have a horrible feeling of fullness in the chest, which may be just behind the sternum, or it may be in either side. More commonly the main involvement is on the left side in Lach-pneumonias [Starts left side, may go over to right tl2]. · There are two very typical Lach-symptoms. One is that with their respiratory distress these patients always have a horrible choking sensation, a feeling of tightness round their throat, and they cannot bear to have the blankets up round their neck as they feel they would strangle if they did. [Suffocation and shortness of breath from coughing leex] · The other is that although they get acute stabbing pains in the chest, very often on the left side of the chest, they cannot bear any pressure on the chest at all. This distinguishes Lach. from so many of the other drugs with stabbing pains which are relieved by firm pressure on the chest. · As regards the sputum, in Lach. it is usually scanty. The patient feels as if he had a lump in the chest and as if he could shift it a certain distance but when it got half way it stuck. You can hear the rattle in the chest, and yet the patient cannot expel anything. · Occasionally you come across an apparent contradiction in that sort of muddled, besotted patient. These Lach-patients sometimes develop a hyperaesthesia over the the affected area of the chest, which is exceedingly sensitive to touch. They may develop a hyperaesthesia to noise. They may become very sensitive to light. And they are often hyperaesthetic to smell; for instance, you notice that during the period when smoking is allowed in the wards the Lach-patient is enormously distressed, quite out of all proportion to the actual odour. Nash nh6 Lach., if Rhus-t. and Hyos. fail, will do good work if the stupor increases, the weakness also; the patient is unable to put out the tongue, it trembles and catches behind the lower teeth when trying to protrude it, showing great weakness, there is great oppression of breathing with aversion to having anything touch the chest or throat, pulse weak and intermittent, with general aggravation of the whole case after sleep. Left-sided pneumonia oftenest calls for this remedy. ... Cough in sleep without waking. Cough amel. after expectoration. Paige pew1 Low condition. The cough is spasmodic and suffocative, waking suddenly from sleep and easily excited by touching the throat or laryngeal region. Difficult respiration, constantly obliged to take a deep breath. Threatened paralysis of the lungs with cyanosis and great distress for breath, especially after sleep. Extreme prostration. Jahr j3.de ... The expectorated mucus is round and gray, or sticky and yellow, or watery, almost never at night, and accompanied by coryza. Cough after every sleep; suffocation and shortness of breath from the cough; ... Lilienthal ll1 Late stage of pneumonia when it assumes a typhoid form, especially when an abscess forms in the lungs; sputum frothy, mixed with blood, purulent, profuse sweat [which relieves j3.de]; cough during sleep and feels worse on waking from sleep; brain symptoms such as muttering delirium and hallucinations. Tuberculous or low-graded chronic pneumonia, developing during the progress of other diseases; hepatization, mostly of left lung, with great dyspnea on awaking; has to cough hard and long before he can raise sputum; chest feels constricted and stuffed. Threatened gangrene of lungs with fetid breath and sputum. Farrington fr2 Sulph. is the better remedy to prevent suppuration when there are no typhoid symptoms but it should not be given after tubercles have formed. The proper remedy then is Lach. ... [The patient arouses from sleep with asthmatic paroxysm and cannot bear the least pressure about the neck or chest, finally he coughs up a quantitiy of watery phlegm with great relief. This last is a neglected characteristic of Lach. in asthma. fr1] Tyler tl2 Acute chest: -Fits of suffocation, must sit up, or worse sitting erect, must bend forward. (Kali-c.) -Least thing near mouth produces suffocative dyspnea. -Oppression of chest, constriction (Phos.) worse afternoon, worse after sleep. Worse lying on left side. (Phos.) Worse covering mouth or nose. -Asthma during sleep. (Sulph.) -Dry, hacking cough, worse touching throat, after sleep. -Tickling cough [in larynx, chest and epigastrium j3.de]. -Cough "as if some food had got into wrong passage". - (Worse pressure, Lach. - better pressure Bry.) Hoyne hn1 Pneumonia - Lach. is valuable in asthmatic and old people for great dyspnea; worse in the afternoon or after sleeping; badly smelling stools even if formed; thread-like pulse; clammy sweats; ... Santwami smw1 The patient is better on appearance of discharges [after raising sputum nh6], and warm applications. Dienst diex Typhoid pneumonia, when paralysis of lungs threatens with dyspnea; hurried and rattling breathing; compressible pulse; cold extremities; continual irritation by tickling; short, little cough; irritative cough, depending on cardiac affections; patient coughs and spits a great amount of phlegm, sprinkled over and through with distinct clots of blood; lightness of breathing; lack of energy of the vital powers and lack of reaction. In nodular lesions. Cardiac insufficiency. Das danx Causes: Draught of air, alcohol, sun, warm weather. Masturbation, disappointed love, fright, jealousy, anger, vexation, grief, injuries, spring season, summer. Expectoration: ... salty mucus which must be swallowed; ... saltish, watery, slimy, blood-streaked. Offensive purulent; tough, greenish muco-purulent. Thin, tough mucus; thick, round, small lumps which fly in every direction (Kali-c.). sputum frothy, mixed with blood and purulent; ... Cough: Dry hacking cough worse from touching throat; ... rising; in open air. Short cough from tickling in throat-pit; Cough from tickling in throat-pit and sternum; cough with pain in throat, head and eyes. Cough from tickling in pit of stomach, cough worse during day; after sleep; from changes in temperature; from acids and sour drinks. Dry suffocative cough. Respiration: Oppressed breathing; worse talking. Shortness of breath and suffocative attacks caused by touching the larynx and worse on moving the arm. Heavy wheezing breathing, must sit up; ... Chest: Stitches in left side of chest; pain as from soreness in chest. Oppressive pain in chest relieved by eructation. Burning, stinging from chest through to shoulders. Pulse: Small and weak but accelerated; unequal or intermittent or alternately full and small. Fever: Fever worse in the afternoon, evening; livid complexion. Oppression of chest, great loquacity; burning in palms and soles, must uncover them. Must be held firm to relieve pain in head and chest and prevent shaking; wants heavy load on his body to keep him from shaking; warmth relieves. ... Falling of lower jaw; sweat stains yellow. Patient: Melancholic persons, dark eyes, indolent. Long-lasting grief or disappointed love; women at or after menopause. People addicted to alcohol; haemorrhagic persons. Accompaniments: ... Great prostration with jerkings and twitchings of muscles; sliding down in bed. Muscles tremble and quiver; Gradually increasing weakness. Jaw drops; ... conversations with imaginary people. Sees persons in the room who are not there; Delirium, jumps out of bed; throws off the bed clothes; takes off the clothes and goes naked. ... Unconscious delirium, with closed eyes; talks of business; fears to be poisoned or to be sold; scolds, raves. Delirium without consciousness, does not know anybody and has no wants. Delirium, sees persons who are not and have not been present, muttering, picking of the bed clothes, staring at surrounding objects, reaching into the empty air for them. Tongue, ... brown, cracked, cannot put it out or puts it out slowly and forgets to draw it back. Sordes on teeth; bloody saliva, salty saliva. Watery painless diarrhoea, involuntary stools; involuntary urine. Hot dry skin; Hardness of hearing. Great restlessness, every muscle twitches; red spot on abdomen. Coma vigil. Cold extremities. Hands and body tremble. ... Loquacity, subject rapidly changes. Delusion that he is under super-human power. Diarrhoea, stool horribly offensive. Stools offensive even if formed. Stupor, lower jaw drops. Point of nose red. Tongue dry, red, black, cracked especially on the tip. Sensation of plug in throat. Sensation of ball rolling in the bladder. Cold hands. Knees tremble. Cold feet. Inclination to lie down and aversion to move. All symptoms are worse after sleep. ... Aggravation: Night, when lying, evening, mental affections, jealousy, unhappy love, cold air. Menstruation; after eating and drinking. Acid, summer, sun, constriction, mercury, contact, closing eyes ... Knerr kr1 Consumption - Incipient after pneumonia - (Ferr., Lach., Lyc.); suppuration - both sides, in measles. Compare with: Ant-t. tl2, Bapt. bl4, Hyos. rma1, Pyrog. bl4, Sulph. fr2 Followed by: Puls. danx, Stram. danx