PHOSPHORUS mit generierter deutscher Übersetzung Pulfords Remarks: Thinking of Phos. automatically recalls to mind a feeble subject, mentally and physically exhausted, with trembling of limbs and subject to vertigo, who, born sick, grows up rapidly and slender ["artistic type" tl2]; delicate, waxy, anemic, emaciated subjects with earthy, sunken, pale, haggard, anemic faces; chlorotic girls; patients who are vehement, irascible; who are agg. in general from cold, cold applications, sweets, in cool damp or hot weather, from wetting feet and esp. hands, and amel. warmth and warm applications except the head and stomach; and who are sensitive to all external impressions, and desire to be rubbed, are always tired, are amel. after sleep [reverse Lach. tl2], have fan-like motion of alae nasi, great thirst for ice-cold drinks [Bry. tl2], desire cold food which amel. the stomach; have anxiety, constriction, oppression, weakness of, and sensation of a load lying on the chest; chest amel. lying on the right side, violent stitching pains in left chest [under the left clavicle down the left side to the lower lobe of the lung fenx], the expectoration [after eating mrr5] of bright red blood, blood-streaked, rusty or purulent, in later stages thick, yellow, and sweetish. Cases characterized by great oppression of chest, heaviness as from a load, burning in chest and head, hot cheeks, fever, gesticulations and delirium, violent thirst for cold drinks, fan-like motion of alae nasi, dyspnea, catchy respiration, lies on back with head thrown far back, short, dry cough and constriction of chest. Bronchial catarrh after pneumonia. Hepatization with dry, hacking cough; Kent says, "Sulph., Lyc., and Phos. are the most frequently indicated remedies for the hepatization during pneumonia [and Tub. tl2]; Phos. follows Ars., when the symptoms agree, or when Ars. was suited to the restlessness, prostration and anxiety but can do no more on account of the hepatization". Then comes in Phos. for the thirst for ice-cold water, constriction of the chest, dry, hacking cough, paralytic weakness of the lungs and expectoration of bloody, frothy mucus. Kent reports a typical Phos. pneumonia, as follows: "Burning in chest and head, hot cheeks and fever; gesticulation and delirium; violent thirst for ice-cold water; fan-like motion of alae nasi; dyspnea; respiration catchy; short, dry, cough; rawness in chest, bruised feeling; pains cutting; [cutting pain from the sternum through to the right scapula fenx], burning or sharp and tearing in lungs during cough; suffocation or almost impossible inspiration, esp. at the beginning of hepatization, when face becomes livid, features pointed, cold sweat and quick, hard pulse." Expectoration frothy in low typhoid forms. Threatened paralysis of lungs. Is indicated after febrile symptoms have mostly subsided, when there is great oppression of chest as from a weight, esp. if agg. lying on the left side. Elects esp. the right lower lobe [when any part of the lung is affected mcgx]. Is useful for infants and neglected cases and one of the leaders for the: Broncho, pleuro and typhoid types. Is the ONLY known remedy for: Epistaxis with sweat; nausea from putting hands in warm water; anxiety in chest from excitement; constriction of sternum when coughing; hepatization of lung amel. lying on right side, agg. lying on left; pain in lower chest lying on left side, stitching in. side amel. lying on right side; chest becoming immovable; breathing becoming stridulous evenings on falling asleep. Is THE leading remedy for: Anxiety while lying on the left side, or during a thunderstorm; fear during a thunderstorm; motion slow; sympathetic; persistent epistaxis; dryness of center of tongue; appetite increased during fever; desires ice cream; emptiness at stomach during nausea; eructations paroxysmal, of food by the mouthful; vomiting as soon as water becomes warm in stomach; cough dry, agg. lying on left side or reading aloud, or tickling cough in open air, or coughing on going from cold to warm air or vice-versa; constriction of chest [as if bound, or as if bandaged, or as if tied tight with a string k2] during cough; pain in chest on rising up in bed, amel. warmth, in sides lying on left side, in lungs, left, lower side, rawness in cold air; palpitation evenings, on rising from bed or a seat; sleep lying on right side, impossible on left, burning heat with thirst for cold drinks; salt agg.; superficial respiration. Phos.: THERAPEUTIC HINTS - The thirst for ice-cold water. Borland bl4 As a rule the Phos. pneumonia develops rather more quickly than the Bry. one. The kind of story I have come to associate with a Phos. pneumonia is that the patient had been feeling very tired for possibly twelve or twenty-four hours, and then he probably went out into a cold atmosphere and on going out felt an acute sense of oppression or tightness in the chest. Usually the same night he left hot and developed a dry cough. Possibly there was also a little hoarseness, or even actual loss of voice, and the feeling of tightness and oppression in the chest very much increased. Next he developed a sort of catchy respiration, a slight embarrassement on inspiration, and the breathing became rather difficult. In appearance you will find the Phos. pneumonias have a brighter red flush than the Bry. they are not quite so dusky. Although they have a flush, when they are peaceful it tends to die down a bit, and you do not get the same degree of cyanosis of the lips. The skin surface is hot, and it is moist, but not so moist as in Bry. Though the patients are obviously tired they do not give you the same impression of sleepiness as the Bry. do; they are more awake, they are more worried, and they are more anxious. One seeing these patients you are immediately impressed by the fact that their respiration is seriously embarrassed. Their breathing is obviously difficult, and they say they cannot get enough air; Very early in the Subdivision there are signs of the accessory respiratory mechanism coming into play, the chest wall is heaving a bit, the nose is flapping, and the patient is obviously having difficulty. In these earlier stages the difficulty is out of proportion to the actual physical signs to be found in the chest. Next you notice that the patient tends to be rather tremulous. The hands are a little shaky [numbness of fingertips mrr5], the facial muscles are twitching, and there may also be irregular twitching of the alae nasi. Always in these Phos. pneumonias there is a very trying, tormenting, irritating cough [coughs if talks much, after laughing, from taking cold air mcgx]. And that cough is very often accompanied by a feeling of rawness, or burning in the chest [and the child holds the diseased lung with its hand while coughing, to relieve this soreness. But Bry. has this symptom in a greater degree than Phos. mcgx] In the earlier stages, I think, the Phos. tongue tends to be dry and reddish, and it gives you the appearance of being a little swollen. But by the third or fourth day there is a certain amount of light, dry, white or whitish-yellow coating; These Phos. patients are always intensely thirsty, [Owing to the difficulty in breathing, the child nurses but little, and, when very ill, it refrains from the breast altogether; older children, though thirsty, drink but little from the same cause takes water, when offered, greedily, but cannot swallow more than one sip, on account of shortness of breath, nicx] and their desire in pneumonia, as always, is for cold drinks. Phos. patients, no matter what their ailments, always want cold drinks, but in pneumonia, with their very dry mouth, they very often ask for something juicy or sour rather than plain cold water. There is another point that sometimes helps you in the diagnosis of your Phos. pneumonias, and that is the position which the patients find most comfortable. They want to be propped up, which is not surprising when you consider the feeling of oppression in the chest, but in addition to that you often see them with the chin tilted up and the head thrown well back, which they say very considerably helps their difficult breathing. That is a useful point, because it distinguishes Phos. from some of the other drugs which take up a position leaning forward with the elbows on the knees. There are not many drugs which adopt the Phos. attitude, and it is always very suggestive when you see it. Another point which ought to help you is that they are chilly patienths; they feel the cold, and any draught of cold air is liable to excite an attack of coughing. A further helpuf point is that in their pneumonias, with their state of anxiety and distress, Phos. patients very much dislike being left alone. They become scared if they are alone, and they feel very much more peaceful and comforted if they have someone about, particularly if they are in actual contact with them. It is not enough merely to sit by the bed of a Phos. patient, he wants you to hold his hand, and the actual physical contact gives him a sense of great relief. There is one point I missed in both these drugs, and that is the character of the sputum. In the Phos. patient in the earlier stages there is a very tormenting, dry cough, with very little sputum indeed. By about the third day that sputum tends to increase, and there is a rather bright, red streak through the mucous sputum. By the fourth day that red streak is becoming darker, and very soon afterwards the typical rusty sputum appears. In the Bry. case the sputum is much darker in colour right from the beginning; even before it reaches the actual rusty stage of consolidation the blood in the sputum is darker than that of Phos. And the sputum in Bry. is, I think, more sticky, more difficult to expel, and rather tends to hang about the mouth. The Phos. sputum is liable to be a little more watery, and although scanty it is easier to get up. As regards the temperature and the pulserate in Bry. and Phos. in Bry. possibly the pulse is a little fuller, but they both run a temperature round about 103°F/39, 4°C, and they both tend to have quite a full, strong pulse. Nash nh6 Hepatization: Phos. is very different [Ed.: to Bry.]. There is greater oppression of the chest, feels as if there were a load pressing it down. The parenchyma of the lung is the center of action and the pleura not so much involved, if at all; the expectoration is often profuse, and when falling on paper, on a hard surface, will break and fly like batter; the temperature is very high with circumscribed red cheeks [circumscribed redness of one cheek mcgx] (Sang.) [In cough with rusty sputa, Phos. and Sang. should always be considered. Sang. is more often indicated when there are valvular heart lesions, and also in adolescents mcgx], cough hurts and makes him tremble and is worse lying on the left side; the patient moans or grunts with every breath, and suppresses the cough by it, just as long as he can because it hurts him so. Phos. attacks by preference the lower right lung or lobe. It may be indicated by the symptoms at the beginning of the stage of hepatization, when it puts a stop to the further progress of the disease, but its more brilliant effect is when the stage of hepatization is completed and we want to break it up and promote resolution. Here it has no equal. Under its action the hitherto restless patient will, (in the 30th, 200th or 1000th potency), sink into a sweet sleep, profuse perspiration will set in, and with the waking we are in full tide of convalescence, the expectoration becomes free and easy, the mind tranquil, and, in short, all the violence of the storm is past. A dose of Sulph. or Lyc. may be needed to finish the case, and will be given according to indications, of course. Tyler tl2 Expectoration of bright-red blood; or sputum rust-coloured, [or "prune juice" tl3] purulent, saltish, sweet, cold. Especially right lower lobe (Kali-c., Merc.) but Phos. lies on right side, Merc. on left. Stitching pains in chest; in left chest, better lying on right side. (Bry. better lying on and steadying sore side. Reverse of Kali-c.) Gatchel gccx Bronchopneumonia: This is to be used especially when the disease occurs in cachectic, delicate subjects, and in secondary broncho-pneumonia after exhausting diseases; in subjects of Bright's disease, diabetes and in fatty degeneration of organs. Also, in cases that sink into a low, typhoid-like condition. Indications: ...moderate fever; ... sticky perspiration; ... weak, soft pulse; ... Pneumonic fever [undifferentiated pneumonia Ed.]: This, in importance, is second only to Bry. ... when pneumonia deviates from its typical course, Phos. must then be considered... With Bry. the attack may have been brougt on by "catching cold"; with Phos. there is an absence of such exciting cause. With Phos. the pains are not intense and acute, but are moderate, and vaguely localized... Typhoid-Pneumonia: ...instead of pursuing the typical course, the patient sinks into an adynamic state; there are extensive mucous rales; the tongue becomes brown and dry; the mind clouded and dull; or, if this condition supervenes in the third stage. [Bland delirium with picking at the bed-clothes; great emaciation, with sunken countenance and dry lips with glazed tongue; circumscribed redness of the cheeks, often dark purple; dry and burning skin, with small, quick, feeble pulse; threatening paralysis of the lungs with difficult cough or at times suppression of cough. nicx] Bilious Pneumonia, so-called when from bloodchanges, producing hematogenous icterus, Phos. is the remedy. Collateral edema, complicating pneumonia; in this condition Phos. is the most important remedy. Lilienthal ll1 Broncho-pneumonia: ... dullness of sound on percussion; bronchial respiration, frequently attended with crepitation and rattling. Typhoid pneumonia: ... sighs occasionally, is unable to use his lungs, not from pain, but merely from weakness and hyperaemic stagnation; pulse thready; cold sweat. Pleuro-pneumonia, with extensive implication of the pleura; ...slight delirium, carphology [Ed. Picking at the bed-clothes] and subsultus tendinum [Ed. Twitching of muscles and tendons], ...small, feeble pulse, dim eyes, sunken features, dry lips and tongue, ... tedious cough and expectoration, involuntary [and unconscious rbbx2] diarrhoea [...as if anus were open rbbx]; ... Phos. is our great tonic to the heart (venous heart) and lungs. [endocarditis or myocarditis with pneumonia hr1] Dewey dw2 ... When bronchial symptoms are present it is the remedy, and cerebral symptoms during pneumonia often yield better to Phos. than to Bell. There is cough, with pain under sternum, as if something were torn loose; ... Raue rec1 Stupor with burning, hot head; red, hot cheeks, red ears, contracted pupils, closed mouth. Murmuring and gesticulating in delirium. Takes water when offered greedily, but cannot swallow more than one sip, on account of shortness of breath. ... carotids pulsate violently; the heart beats strong; the pulse is very quick; the skin dry and hot... Hoyne hn1 ... Hollow cough, mostly in the morning, with pressure in the pit of the stomach; loose cough without expectoration, with pain and sore feeling in chest; ... expectoration, particularly morning and evening; during cough bursting pain in the head, and pain in chest; ...stitches in intercostals, aggravated by pressure and by lying on right side, ... Jahr j3.de Bronchopneumonia: Dryness of the air- passages; ... cough after drinks; stitching pains when coughing, moving and breathing; ... loose cough without expectoration, ... the breath is very short after each cough; anxiety and heaviness of the chest, ... Mathur mtarx Can be indicated in all stages. Agg. - Physical exertion; warm food and drinks; lying on left side painful. Amel. - Cold water; open air. Second Stage - In practice it has been observed, amongst children that there are mostly loose slimy stools of greenish colour having small yellow sago sized particles, with flapping of alae nasi when Phos. is indicated. Royal ry2 Bronchopneumonie: Modalities: Agg. Morning and evening; talking in the adults, crying in infants; cold air. Amel. Eructations; expectoration. ...The expectoration is often tenacious. In seven out of ten cases the capillary bronchitis is complicated with pharingitis and laryngitis, and hoarseness is a ranking symptom which is agg. by talking or crying. There is a good deal of fever in Phos. In this disease, as in pneumonia the urine is scanty and phosphorescent. The foci are large in the lungs of the Phos. patient and sometimes are so numerous as to resemble solid areas - solidification. Give 6th. or 30th. Lobar pneumonia Modalities: Agg. Lying on left side; mental exertion; evening. Amel. Sleep; rest. ... Dickinson also adds, "In the rare cases in which abscesses form in the lung Phos. is, I think, the most valuable remedy." I would put both Sil. and Stann. above Phos. for abscesses of the lung after abscesses have formed. Mc George mcgx No remedy will make the consumptive expectorate quicker or oftener than Phos., but if continued too long it hastens the break-down and wearing out of the lung. It will make our consumptive child more comfortable, and - it will send him to heaven quicker than any other homoeopathic remedy. Das danx Causes: ... Washing clothes. Hair cut, ... Expectoration: ... "Sputa of a dirty or muddy colour, flying when falling." Cough: Hard, tight, dry cough which racks the patient ... from lying on the back. Cough with stitches over one eye. Hollow cough, must press the chest with the hand for relief; Cough shakes the whole body. Involuntary stool and urine when coughing. The cough sounds as if the chest were dry and the chest feels as if dry inside. Larynx painful while coughing or speaking. ... Tearing pains in the sternum with the cough. Respiration: ... Dyspnea with extreme prostration; ... Chest: ... Burning, rawness and dryness of the air passages of upper chest. ... Constriction of the chest as if bandaged or tied tight with a string. Burning in chest; acute pain in lower part of lungs. "In Pneumonia there may be burning in chest, burning in the head, hot cheeks and fever." ... Cutting, burning, sharp and tearing in the lungs when coughing. ... Patient: ... Narrow chested, with thin transparent skin, delicate eyelashes, fine blond or red hair. ... Old people; ... children who are going into marasmus; persons with a tendency to consumption; ... haemorrhagic constitutions; people sensitive to all external impressions. Fever: ... Heat running up the back. ... Perspiration smells of sulphur; Fevers with soporous condition, dry black lips and tongue and open mouth. Sweat on head, hands and feet, increased urine. Quick pulse; perspiration viscid; cold knees at night; hunger; short naps and frequent wakings. Acompaniments: ... Fidgety, red nose. Dryness of nose; ... blue rings under eyes; ... Puffiness under eyes; bluish lips; ulcerated corners of mouth; ... Tongue dry, smooth, red. ... Saliva saltish. Taste sour or sweet. Large yellow spots on abdomen. Stool long, narrow, hard - like dogs, in constipation. Desire for stool while lying on left side. Painless debilitating diarrhea. Weakness is very great after stool. White hard stool. Stools black or green watery with flakes of mucus (diarrhea). Wide open anus with discharge of mucus. Urine whitish like curdled milk. Heat between shoulderblades. Burning of feet and hands, can lie only on right side. ... Trembling of hands when holding anything. Burning of palms and sweat of palms. Great emaciation. Red spots on skin. Sensitiveness to open air. Head and face relieved by cold but the chest symptoms are aggravated by cold. Aggravation: ... From light, thunderstorm, ... laughing. ..., from violent bleeding, after stool, ... Amelioration: In the dark, ... Galic glt2 Children: Lobar pneumonia treated in hospital with a lot of infusions due to exsiccosis and to stabilize circulation; pulse and breathing become more calm and regular if a relative or friend holds the hand. In this cases the 50 MK [50.000 C, Korsakov] proved to be the best potency. As weakening cause we mostly find a severe grief. In small children (under 3 years of age) the grief has to be searched for in the family, something has happened in most cases, which has not adjusted well and the child unconsciously takes over this state (sympathy agg.). In retrospective analysis of such cases it showed that Phos. was the only remedy needed and was also helpful for the further development. Rehman rma1 Compare with Am-c. - Bronchitis and pneumonia in children when Phos. failed. Ant-i. - Sluggish pneumonia or pneumonia sluggishly resolving. Ars-i. - Cases of pneumonia with impeding danger of devolopemnt into tuberculosis of the lungs. Ferr-p. - Pneumonia of left upper lobe with copious expectoration of foamy, pink sputum, when Phos. seems indicated but fails. Morg. - Bronchopneumonia and lobar pneumonia in the critical case that Phos. seemingly well chosen, does not bring the wished result. Sang. - Pneumonia complicated with endocarditis, if Phos. seems indicated but fails. Verat-v. - Pneumonia, the case seems very similar to a Phos.-Case. Followed by Nat-m. - Bronchopneumonia. Ph-ac. - Replaces Phos. in lobar pneumonia with increasing weakness. Sulph. - Bronchiolitis in small children, when pneumonic changes predominate and the reaction to Phos. is insufficient. Right-sided pneumonia with a past-history of coronar disease. Tub. - Pneumonia. Compare with: Am-c. rma1, Ant-i. rma1, Ars-i. rma1, Bry. bl4, Ferr-p. rma1, Morg. rma1, Mosch. cda1, Sang. fr3,rma1, Sep. (in pleurisy) hr1, Verat-v. rma1 Follows often: Ars. pfa3, Cina. rbbx Followed by: Ars. danx, Calc. danx, Kali-i. kka1, Lyc. nh6, Nat-m. rma1, Nux-v. danx, Puls. danx, Rhus-t. danx, Sep. danx, Sulph. j3.de,rma1, Tub. rma1 Phos: Phos patients have tightness in inner chest as if air were forcibly kept out. Patient feels that lungs cannot be filled with air, which is worse from any emotion. In old people, at an early stage of pneumonia in previously asthmatic or those suffering from chronic mucorrhoea is Phos. Pneumonia that is concomitant to or with jaundice. Phos is called for use in chronic pleurisy.