SULPHUR mit generierter deutscher Übersetzung Pulfords Remarks: Sulph. recalls vividly the light complexioned people esp., as well as those who have very red lips as well as redness of other orifices of body, often with soreness and burning; scrofulous individuals; those who have harsh, rough skins, coarse hair, are weak and liable to eruptions; who have disagreeable odors emanating from the body with general agg. from and aversion to bathing; chilly individuals who have no reaction in hepatization [The i.e. the 8th day has passed but the patients'condition remains unchanged mtarx], want to lie still; individuals who are angular, dyspeptic, hungry, lank, lean and stoop shouldered, or even if fat, rotund and well fed; of sedentary habits; or if dirty, shriveled, red faced, always red and dirty looking, children never look as if washed clean; uncleanly, careless about their attire; annoyed by offensive odors yet do offensive things, the odors of their own bodies annoy them; their lungs burn, the tops of their heads burn, their soles burn at night so that they must put their feet out of bed, their urine burns on passing; they are agg. at night and from the warmth of the bed; are faint and hungry around 11h, eat little and drink much; flushes of heat rise from chest to head. Useful after Bry. if the patient does not rally and the symptoms agree. Valuable in the later stages when the inflammatory processes fail to resolve, the lung continues dull, the cough dry [frequent, hacking, sometimes ending with vomiting nicx], the patient begins to have fever at night, feet, hands and head hot. Kent says, "If all at once at 1h -2h or 3h the patient begins to sink, his nose becomes pinched, his lips drawn, he takes on a Hippocratic countenance, is covered with cold sweat, is too feeble in every part of his body to move and only moves his head a little in a restless manner, unless you give him a dose of Ars. at once he will die, this will warm him up and make him feel that he is going to get well, but as soon as this is accomplished you must give him at once antidote which is Sulph., or you will fail; or if after Ars. the patient rallying goes into fever, hot fever coming on with a burning thirst and he cannot get enough ice-cold water then follow with Phos." If after the attack there is a lingering cough and the patient has never felt well since his pneumonia and is chilly Sulph. will clear up his case. Sulph. is always to be thought of when the supposedly well chosen, but unfortunately only apparently indicated, remedy has acted only partially and then either fails to hold or to go on and finish up the case (or Tub. if Sulph. fails or the symptoms are continuously changing). If it has any special affinity whatever it is for the left lower lobe. Follows Acon. well and is its leading antidote, esp. for its abuse. Of the very highest value in neglected cases, a leader in typhoid cases and quite important in pleuro cases. Is the ONLY known remedy for: Anxiety from pressure on chest; indifference to welfare of others; smell acute to stool; heat of face with shivering; nausea at odors of his own body; respiration difficult and oppression of chest on bending arms backward; flushes of heat in chest rising to face; pain burning in chest extending to face; pulsation in chest night on walking. Is THE leading remedy for: Anxiety night on waking; indifference to external things; restless before menses; odors before nose offensive, of snuff; smell acute to unpleasant odors; sneezing evenings; red lips; hunger increased at 11h, or with weakness, or vanishes at sight of food; emptiness at stomach before dinner; respiration difficult evening; cough dry nights, agg. lying, loose by day, also on waking, or cough before sleep, or disturbing sleep; expectoration of mucus morning; fullness of chest before menses; itching in axilla; pain burning in chest extending upward, or sticking, extending to back, or from clavicle to scapula, or from sides to scapula, or in left side on inspiring and extending to back or scapula, or in sides extending to scapula, or in heart extending to scapula; palpitation agg. motion of arms, or on going to sleep, or on turning in bed; sense of warmth in chest; weakness of chest from loud talking; nightmare when lying on back; dreams unpleasant; sleeplessness after 5h, unrefreshing sleep morning; waking from dreams, or frequent waking after midnight; chill predominating at noon; sour sweat morning; profuse sweat morning after waking and with sleeplessness; agg. in general 11h; faintness 11h; weakness afternoon. Sulph.: THERAPEUTIC HINTS - The constant heat on top of head with burning soles and red orifices. Borland bl4 (Ed.: Is one of Borland's "Late pneumonia" - remedies. (Ant-t., Ars., Carb-v., Kali-c., Lyc., Sulph.) · ...Then in these Sulph-cases there is a strange mixture in their temperature sensations. You tend to look on your Sulph-patients as burning hot, with burning hot feet which they want to stick out of bed. Well, you do at times find that state in your Sulph-pneumonia patients, but much more commonly you find they have alternating waves of heat and cold. You will very often find they have hot patches and cold patches, for instance, a hot head, or hot hands and feet, associated with chilliness in the back. It is that irregular distribution of heat and cold which is typical of the Sulph. pneumonic patient. · In their pneumonias the Sulph-patients develop a very worring cough. It never seems to leave them at peace at all, and it simply wears them out; they get frightfully tired of it and they are apt to get irritable with it. [Pain in sternum with cough; pain extends to the back mrr5] · The sputum is very scanty, and the cough is always associated with pretty acute pains in the chest, which usually stick right through to the back. · You will very often see a case in which there are the typical pains one associates with Chel. pains in the front of the chest going right through to the scapula. But a differentiating point is that you are more likely to get them on the right side of the chest in Chel., whereas in Sulph. they are more frequently on the left side. Occasionally, however, you do come across a Sulph. case with the typical Chel. pain on the right side of the chest. · These Sulph-patients always complain of a horribly dry mouth, which is very often offensive. The tongue is usually thickly coated, rather dirty [white coated tongue with red tip and boarders mcgx], and there is always intense thirst [for cold drinks mrr5]. · Then there are one or two typical Sulph-symptoms. One is that these patients are very liable to have their worst paroxysms of coughing after they have been asleep. Another is that very often after being asleep they wake with a horrible feeling of pulsation in the chest, accompanied by pretty acute anxiety and a feeling that they are going to die. There is one odd thing in these Sulph-pneumonias, and that is that in spite of the fact that they often wake up in this acute distress they quite frequently tell you that while they are asleep they have singularly pleasant, peaceful dreams. It is about the only drug in the Materia Medica that I know which has that peaceful dream in a distressful condition like a pneumonia. · Another point about these patients is that, as they are very tired and very exhausted, they tend to slip down in the bed, and if they do get low it very much increases their respiratory distress. You will find that these Sulph. pneumonia patients all have a pretty acute air hunger; they want as much air about them as they can get, and they are very embarrassed if the room becomes at all close. · There are two periods in which you are liable to get trouble. The first is about 5 o'clock in the morning. At the time the patients are apt to wake up with the horrible feeling in their chests, and extreme exhaustion. They feel there is something deadly wrong and are sure that they are going to die. And quite frequently about that time in the morning they have an attack of diarrhoea; The other period in which your Sulph. pneumonia feels very bad is about 11 o'clock in the morning, between 11h and 12h. At that time they get into the horrible Sulph. sinking, depressed, low, miserable state. · These Sulph-patients are always sweaty, and it is usually a hot, heavy-smelling sweat. And, speaking of this, when you are nursing a Sulph. pneumonia do be careful not to allow the nurse to give the patient a blanket bath, because although he has that horrid, offensive sweat you will find if you do allow him to have a blanket bath he will get a rise of temperature the same evening for a certainty. · Another thing worth remembering from the practical point of view is that Sulph-patients do not stand talking well. This is not quite so marked as it is in Bry. (incidentally quite a number of your Bry-cases will run on to Sulph.), but the Sulph-patient is very definitely aggravated by having to talk. He feels completely exhausted and tired out by it, and it does him definite harm. So do not allow your Sulph-patients to have visitors. · In the acute stage Sulph-patients respond remarkably well to the very highest potencies; CM's repeated 2 hourly; but in the stage of exhaustion it is wiser to administer [Ed. C?]1 M's instead at the same intervals. [Ed. compare Mathur] Nash nh6 ... Skin eruptions are present, or were in his usual condition, but especially if they have disappeared during the progress of the diseases. If this latter is the case [old skin eruptions re-arise nicx], probably a restoration of the skin eruption will be necessary before there will be satisfactory improvement or cure... [When the child excoriates around the anus or in the folds of the skin - and we sometimes see this in scrofulous children when the lung trouble is clearing up - Sulph. often puts the child on its feet. mcgx] Tyler tl2 Torpid condition. Bry. helped but he does not rally. Load on chest. Flushes without much fever. Especially in the typical Sulph. patient-shock-headed, argumentative, not too tidy or clean, feels the heat, throws off the clothes and won't be covered; very red lips. Sensation of a band, or load. Gatchell gccx Phos. is the remedy from which it is most important to differentiate Sulph., since each has its chief sphere in the treatment of the third stage. Sulphur Phosphorus Amount of exudative material great Amount of exudative material small Consolidation pronounced Consolidation not extreme Catarrh not marked Much mucous secretion Vascular symptoms prominent Nervous symptoms prominent Little or no expectoration Muco-purulent expectoration Sthenic state; it is a condition of suspense, reaction does not promptly occur Adynamic state, typhoid-like symptoms; or signs of suppuration Meningitis, complicating pneumonia, is another condition calling for Sulph. There are the usual symptoms - great irritability; opisthotonos, or rolling the head; strabismus, stupor or coma. Lilienthal ll1 "...Torpid typhoid pneumonia, with short, rapid breathing, a mere heaving of the chest; cough and expectoration nearly impossible; the patient responds sluggishly, comprehends slowly; worse about midnight. Neglected or occult pneumonia occuring in psoric patients, ...; bronchial respiration and hepatization most plainly heard on back. Pneumonia in infants and old people." Jahr j2 Sudden dry cough, as if the lung would be torn out, with increased pain in the head; ... offensive breath; the greatest dyspnea; oppressed breathing when speaking; obstructed breathing in sleep, she must be waked to prevent suffocation; ... Dewey dw2 "In purulent expectoration Sang. is the better remedy, especially where it is offensive even to the patient himself. If the lung be hepatized, the patient at night restless and feverish, ulceration threatened, and there is no tendency to recuperation, then one may depend upon Sulph. Lyc. is also a most useful remedy in delayed or partial resolution. There is a tightness across the chest, aching over lungs, general weakness. Hughes says it is the best remedy where the case threatens to run into acute phthisis. Royal ry1 "... Very often used in pneumonia with the following group of symptoms: The stage of solidification prolonged, the temperature climbs a little higher, the cough becomes a little drier, hectic flush appears on the cheek, the pulse a little more rapid and weak, the head and extremities become hot, the restlessness is increased. All this in spite of the use of the apparently indicated remedy. Unless some change takes place soon an abscess will form in the lung. Give a few doses of Sulph. 30th at intervals of two hours [Ed. compare Borland, Mathur, Galic] and after a few doses resolution will take place, thereby avoiding suppuration... Sulph. is never indicated if they run the regular uncomplicated course; but for complications and sequellae, often called for..." Holloway 1 A pain in the lower portion of the left lung is a very common sequel in pneumonia. ... No doubt, however, Sulph. will be indicated in the most of the cases where there is a tormenting, continuous pain in the lower region of the left lung, resulting from pneumonia. Mathur mtarx Second stage: To bring out the reaction a dose of 30th [Ed. C 30?] is quite sufficient and in no case it should be repeated as there is every danger of its doing harm instead of doing any good. [Ed. Compare Borland and Royal on dosology] Mc George mcgx When there is an accumulation of fluid in the pleura or in the chest walls, Sulph. will help amazingly. We do not often see these cases in children, but when I do, I use this remedy and leave my trochar at home. ... The stools are very offensive. Mezger mgx With influenza-bronchitis or pneumonia long lasting fever-attacs with badly smelling night-sweats. Das danx Causes: Suppressions, alcohol, sun, chills, over-exertion, falls, blows, effects of vaccination, abuse of mercury or china. Cough: ... Short dry, violent cough with stitches in chest or under left scapula; ... Respiration: ... Dyspnea in the middle of night relieved by sitting up. ... Arrest of breathing on falling asleep. Rattling in chest worse after expectoration. Chest: Stitching in left chest, through to left scapulae, worse lying on back, when moving the arm, from the least motion. Chest walls sensitive. Sore spots in the chest especially over apex of left lung; soreness in upper part of the left lung; going through to scapulae. Stitch from right side of chest into the scapulae. Pain in scapulae and intercostal spaces when coughing; Sensation of coldness in chest, a lump of ice in right chest. Stitching pain shooting through back worse lying on back or breathing deeply, chest feels heavy. ... Pain when coughing or sneezing as if chest were shattered or bursting. Painful obstruction in the left side of the chest with anguish and inability to lie on side affected. The pains in the chest chiefly affect the left side. Pain worse coughing, lying on back, least motion, inspiration, lifting arms over the head. Pulse: ... Pulse more rapid in morning than in evening. Patient: ... Emaciated and big-bellied children. Irritable, depressed. Galic glt2 Disposition - Very frequently we find an allergic disposition with symptoms of rhino-conjunctivitis: Sneezing in attacks mornings, itching of inner canthi, where also in a subacute state independently from saisonal influences allways one or the other allergic symptom is present. Allergic symptoms must be investigated carefully, because patients who need Sulph. often do not observe themselfes carefully and/or do not memorize or take notes of these symptoms, unless it seems interesting and somehow important to them. Does not want to be spoken to, refuses to answer or gives harsh answers due to weakness. Vivid dreams; of being persued by animals (in children); pleasant peaceful dreams. Heat of the face with shuddering. Heat of the chest running upward/to the face. Pulsation of chest at night while waking up. Nightsweats smelling like garlic, offensive even to the patient hr1 [DD - Lach.] In Broncho-pneumonia: Sulph. fits frequently if there was an unclear reaction in allready treated cases - without clear amelioration of residual infiltration [peri-bronchitic striation on x-ray-pictures]. Also you can find disease-persistency after administration of antibiotics with obstructed breathing in intervalls. Especially in children and teenager but also in some adults we see an unstable regulation of blood-sugar with sudden, greedy desire for sweets with sense of weakness if fasting. This remedy is best to be identified by its general characteristics in acute states. For most ambulant cases 1MK [Ed. C 1.000 Korsakov] is the best potency. Rehman rma1 Intercurrent remedies - Tub. in pneumonia, when Sulph., Psor. or other well chosen remedies failed. Complementary remedies - Carb-v., pleurisy, if great exhaustion is present, sunken, hippocratic face, general coldness and blueness, rattling breathing and dyspnea with the wish to be fanned. Followed by - Ant-t. Remaining hepatization of the lungs after pneumonia, to support absorption. Cupr. - Measles, livid discolouration with meningitis or pneumonic manifestations. Sang. - Complications in endocarditis with pneumonia, if Sulph. did not bring the wanted curative result. Morg. - in Broncho- or lobar-pneumonia in the critical case where Sulph. was seemingly well chosen, but does not bring the wished result. Kent k2 (Information possibly useful for cases of Atypical Pneumonia/Sycotic Tuberculosis - see glossary): Ed. It is a dangerous medicine to administer in advanced cases of phthisis, and, if given, it should not be prescribed in the highest potencies. If there are symptoms that are very painful and you think that Sulph. must be administered, go to the 30th or 200th potency. Do not undertake to stop with Sulph. the morning-diarrhea that commonly comes with phthisis. Do not undertake to stop the night-sweats that come in the advanced stages, even if Sulph. seems to be indicated by the symptoms; the fact is, it is not indicated. A remedy that is dangerous in any case ought not to be considered as indicated, even though the symptoms are similar. ... In suppressed gonorrhoea Sulph. is often the remedy to start up the discharge and re-establish the conditions that have been caused to disappear. Symptoms that have been suppressed must return or a cure is not possible. ... This remedy is full of difficult breathing, shortness of breath from very little exertion, copious sweat, so exhausted; asthmatic breathing and much rattling in the chest. Every time he gets "cold" it settles in the chest or in the nose. In both these instances the catarrhal state hangs on and holds a long time; it seems never to be finished, always remains as a catarrhal state. "Every cold he takes ends in asthma, " calls for Dulc., but very often the fag end of that attack will remain and the physician has to give a deep-acting remedy. After Dulc. has done all it can do Sulph. comes in as its complementary remedy. Calc. has a similar relationship to Dulc. ... It cures asthmatic bronchitis when the symptoms agree. Sulph.has a most violent cough that racks the whole frame; it seems that the head will fly off; pain in the head when coughing; the head is jarred by the cough. Then he has expectoration of blood, bleeding from the lungs; in all of these cases of threatening phthisis, when there is not yet too much deposit of tubercle, ... The low, striken-down constitution, the emaciated subjects that have inhereted phthisis who have the all-gone hungry feeling in the stomach, heat on top of the head and uneasiness from the warmth of bed. Compare with: Ant-t. fr3, Chel. bl4, Lach. fr3, Lyc. dw2, Phos. gccx, Sang. fr3, Tub. pfa3 Follows often: Acon. pfa3, Ant-t. fr3, Ars. fr3, Bry. pfa3, Dulc. k2 Followed by: Ant-t. rma1, Carb-v. rma1, Cupr. rma1, Morg. rma1, Tub. rma1