Hepar Sulphuris Calcareum - General symptoms

GENERAL

General

Stool, every half hour, of a dark brownish liquid, with yellow lumps of greenish bloody mucus, of a very penetrating odor like bad eggs, preceded by violent colicky, cutting, and tearing pains in the whole abdomen, especially in the umbilical region, extending deep into the pelvis.

these became worse before every stool.

the stools were accompanied by rumbling and exceedingly urgent desire, so that they frequently passed in bed.

tenesmus with the stools, but not afterwards,.

Lax CHILLY AND OVERSENSITIVE; to cold; to pain; or to touch; faints easily, etc

Profuse secretions; foul; like old cheese

Sour, stools, smell of body, sweat, etc

SWEATS EASILY, but dare not uncover; and profusely, without relief

As of a wind blowing on part

Wears overcoat in hot weather

Tak(e cold from damp exposure)

Sore STICKING, like sharp splinters EVERY HURT FESTERS

SUPPURATION; threatens, or much thick pus Abscess

Mastoiditis

Yellow, sclerotic, expectoration, sweat, etc

Bad temper

Sudden weak memory

Touchy, mentally and physically; to pain, cold; easily becomes cross and violent

Hasty, violent, irritable or dissatisfied Hair falls in spots; sore to touch

Corneal ulcer or maculae

Photophobia

Chronic otorrhoea

Boring at root of nose

Stuffed, painful nose

Ripened colds and old catarrhs

Sneezes from every cold wind

Hawks mucus

Rough sticking like a splinter, fish-bone, etc, in throat

Quinsy

The upper jaw projects

Goitre [right]; pains into head

Stomach weak; easily upset

Craves acids, condiments or stimulants

Eating refreshes, but causes heaviness

Foul mucus from anus

Stool difficult, although soft

Must wait to urinate; passes blood and pus afterwards

Nephritis; after scarlatina

Very foul, hot, membranous or pussy leucorrhoea

Painful larynx

Cough from least uncovering

Whistling, choking breathing; must bend head back

Croup

Hoarseness; chronic; of singers

Aphonia

Asthma; after suppressions

Cough, choking, barking; worse cold drinks or in AM

; hacking, as from a feather; LOOSE, but can't expectorate, tightens up in cold air

WEAKNESS AND MUCH RATTLING IN CHEST

Much expectoration; thick, yellow

Recurrent bronchitis; from every cold

Skin sensitive to cool air (Agaricus Muscarius ^Agar)

Foul, moist eruptions in folds

Torpid, pulsating ulcers; encircled by smaller ones, pimples or boils

Impetigo

Poor granulation

Sweaty and rattles with every cold or cough

Night-sweats

Low fevers

Hectic

Body exhales a foul odor

Hepar sulphuris calcareum. An impure Sulphide of Calcium prepared by burning in a crucible the white interior of oyster shells with pure flowers of Sulphur ^sulphur. Trituration.

Abscess. Amaurosis. Angina pectoris. Appetite, disordered. Asthma. Axilla, abscess in. Beard, eruptions of. Blepharitis. Boils. Breast, affections of. Bronchitis. Bubo. Burns. Carbuncle. Caries. Chilblains. Chlorosis. Cold. Constipation. Consumption. Cornea, ulceration of.

opacity of. Cough. Croup. Diaphragmitis. Diarrhoea. Ear, affections of.

"Liver of Sulphur ^Sulphur" is a name which was given by the old chemists to several Sulphur ^sulphur compounds whose Colour was supposed to resemble that of liver.

Before Hahnemann's time Hep Sulph Calc ^Hepar sulphuris calcareum, Sulphuret of lime, was used as an external remedy for itch, rheumatism, gout, goître and scrofulous swellings.

In 1794 Hahnemann proposed to use it internally to arrest mercurial salivation.

A few years later it was tried (Teste thinks first by Dr. Busch of Strasburg) for asthma and pulmonary phthisis.

That this was a happy inspiration Hahnemann's provings and clinical experience has thoroughly borne out.

The Hep Sulph Calc ^Hepar of Hahnemann is not identical with ordinary sulphuret of lime, being prepared with oyster shells, instead of ordinary lime, in a special way.

Neither is it identical in composition or properties with Calcium sulphate (Gypsum) of Schüssler.

Being a chemical combination of Calc Carb ^Calcarea carb. and Sulphur ^Sulph. it has some of the properties of both, but is very different from either, and though it is useful to compare them, Hep Sulph Calc ^Hepar must be studied as a separate entity.

The one feature which more than any other characterises Hep Sulph Calc ^Hepar cases is over-sensitiveness.

It runs throughout the remedy. "Any trouble occurring on the skin where there is a great sensitiveness to the slightest touch; patient can't bear to have even the clothes touch the part, or have it touched in any way.

Exanthema, like nettle-rash, sore to the slightest touch.

Skin hard to heal; inflammation of; sensitive soreness of," is Guernsey's admirable definition of this feature as it affects the skin and touch.

But the sensitiveness is not confined to touch, there is excessive sensitiveness to the air; patient can't bear the least draught; and if a hand accidentally gets outside the bed-clothes it brings on an aggravation; sensitiveness to noise, to odours.

The mind is no less "touchy" than the body. "Dissatisfaction with oneself and others.

dreamy, atrabilious mood, a sort of ferocious spleen, as though one could murder a man in cold blood (even in persons who are generally of a merry and benevolent disposition)." This is from Teste, who says he has removed these symptoms with Hep Sulph Calc ^Hepar.

Irritable and angry, feels inclined to kill any one who offends him.

Another instance of the sensitiveness of Hep Sulph Calc ^Hepar is in relation to pain the slightest pain causes fainting.

There is also irritable heart.

The sensitiveness to cold air is more to the dry cold air of Aconite ^Acon. and Bryonia ^Bry.

Hepar Sulphuris Calcareum distinguishes it from Nat. sulph. in asthma, which has agg. from damp cold (Nat. sulph. is Grauvogl's typical hydrogenoid remedy); and also fixes its applicability in croup. Hep Sulph Calc ^Hepar croup is accompanied with rather loose cough, with wheezing and rattling.

Cough as if mucus would come up but it does not.

The time of the Hep Sulph Calc ^Hepar croup is early morning (Aconite ^Acon. in evening).

The least breath of cold air agg. the cough, or any uncovering.

Another feature of Hep Sulph Calc ^Hepar is the sensation of a splinter or fish-bone in the throat.

In quinsy with throbbing pain, where suppuration is imminent, Hep Sulph Calc ^Hepar is indicated.

Throbbing, stabbing pains, with general rigor are characteristic.

The relation of Hep Sulph Calc ^Hepar to the suppuration process is very marked.

It meets the hectic condition generally and the process locally.

I once cured with Hep Sulph Calc ^Hep. 6 a case of axillary abscess with a large collection of pus.

The whole was absorbed without breaking.

In an article published in Minneap.

Hom. Mag., ii. 292, L. P. Foster distinguishes between Hep Sulph Calc ^Hepar, Calc Carb ^Calc. Sulphur ^sul., and Kali sul., in their action on tissues. Kali Sulphuricum ^{Kali s.} acts on the epidermis.

Hep Sulph Calc ^Hepar on lymphatic glandular system, skin and respiratory mucous membrane, Calc Carb ^Calc. s. acts much as Hep Sulph Calc ^Hep., only more deeply. Hep Sulph Calc ^Hep. acts on abscesses before they open, Calc Carb ^Calc. s. after.

Foster cured a lady with Calc Carb ^Calc. s., high, of "several large ulcers in the gluteal region 3 in. in diameter and 3/4 in. deep, exposing the bone." The pain ceased immediately, and the cure was completed in two months. Calc Carb ^Calc. s. is suited to quinsy after it breaks, Hep Sulph Calc ^Hep. before.

In this connection it may be well to speak of the relation of Hep Sulph Calc ^Hep. to Merc Viv ^Mercurius.

Hahnemann's instinct led him to see in Hep Sulph Calc ^Hepar an antidote to mercurial poisoning, and it remains still the chief antidote, whether to the effects of massive doses or to over-action of the potencies. Silica Marina ^Silic. and Merc Viv ^Merc. are inimical, but if Hep Sulph Calc ^Hepar is given as an intermediary no unpleasant effects will occur.

It follows Merc Viv ^Merc. when this ceases to help, or has aggravated, in rheumatism, quinsy, boils and suppurations.

In a case of eczema pudendi in a young girl, 11, three months after puberty, the parts red and itching, Merc Viv ^Merc. was given and the whole body became covered with the rash.

Hep Sulph Calc ^Hep. was then given and removed all immediately. "Sweats day and night without relief." It antidotes the sensitiveness of Merc Viv ^Merc. to atmospheric conditions.

In the old days of mercurialisation one of the chief things to be avoided by a patient under the "course" was exposure to chill. Hep Sulph Calc ^Hepar has this same sensitiveness to chill and liability to take cold from every exposure.

Coryza, nose swollen and sore to the touch, especially inside the alae.

Boring at root of nose with catarrhal symptoms or headache is characteristic.

Croupous inflammations of throat, respiratory organs, bowels and kidneys.

ten, twelve, or even as many as fifty may surround the large ulcer, and the ulcer sometimes spreads by the little pimples joining in. Painful.

painful at the edge. suppurating.

with pain as if sore. difficult to heal.

inflamed. itching. looking like a lump of lead with a hole in it.

it occurs in connection with jaundice. It has cured cases of pruritus especially when of mercurial origin. In the respiratory organs there are suffocative attacks of breathing (in croup the child chokes in its coughing spells and there is much rattling). It meets many cases of asthma and whooping-cough. Respiration with mucous rattle.

expiration in the morning, none in the evening.

cough with expectoration during the day, none in the night (in croup no expectoration at night but only in the daytime).

with the suffocative coughing spells.

low, weak voice (Guernsey). There is a semi-paralytic condition of the rectum and bladder somewhat like that of Alumina ^Alumina. The stools are passed with great difficulty even when clay-like and soft. Fetid stools with a sour body-smell in children. Sour stools are also very marked in diarrhoea.

and this maybe noted along with the desire of Hep Sulph Calc ^Hepar for acid things. Micturition is impeded.

obliged to wait awhile before the urine passes, and then it flows slowly for many days. Never able to finish urinating.

it seems as if some urine always remains behind in bladder. Urine drops vertically down. The urine is very acrid. There are complaints during micturition and after. Nocturnal emissions. Escape of prostatic fluid at any time, and at stool. Affections of the sexual organs occurring on the right side. Hep Sulph Calc ^Hepar is one of the great antipsorics. In his "Medicine of Experience" Hahnemann speaks of the itch-like eruptions caused by Hep Sulph Calc ^Hepar and its corrective properties in wool-worker's itch. It is suited to The psoric, scrofulous, diathesis. Debilitated subjects. Great tendency to suppuration. Strumous, outrageously cross children. Torpid, lymphatic constitutions.

persons with light hair and complexion, slow to act, muscles soft and flabby. Slow, torpid constitutions with lax fibre and light hair.

great sensitiveness to slightest contact of ulcers, eruptions and parts affected. (These conditions differ from the Sulphur ^Sulph. type lean, stoop-shouldered; unclean-looking, aversion to warmth.) The symptoms are agg. in the night.

on awakening. when blowing the nose.

from cold in general. in cold, dry weather.

on single parts of the body getting cold.

from getting the skin rubbed off.

on uncovering the head.

from surgical injuries in general.

from lying on the painful side.

from daylight. from pressure from without.

from abuse of Merc Viv ^Mercury.

during sleep. when swallowing, particularly when swallowing food (parts are so tender).

while urinating. in clear, fine weather.

in dry weather. in the least wind. Symptoms are amel. from wrapping up the head.

from warmth in general.

the, air being warm. in damp and wet weather.

from wrapping up the body warmly.

by eating (a comfortable feeling after eating is very characteristic). There is marked periodicity in Hep Sulph Calc ^Hepar every day.

every four weeks (attack of paralysis).

every four months (scabby eruptions on head).

every winter (whitlows).

spring and autumn, bilious attacks. The bends of the elbows and popliteal spaces are affected by Hep Sulph Calc ^Hep. In eye affections patient likes to have them covered lightly. The following case was cured by Hep Sulph Calc ^Hep. after Sulphur ^Sul. and Calc Carb ^Calc. had failed. Pustular ophthalmia of left eye, amel. keeping eye closely covered with some soft fabric, agg. mornings, amel. as day advanced. Pimples surround affected eye.

A mixture of equal parts of finely powdered, clean oyster shells and quite pure flowers of Sulphur ^sulphur is kept for ten minutes at a white heat in a hermetically closed crucible and afterwards stored up in a well-corked bottle. To develop its powers, it is treated like other dry drugs in order to potentize it to the higher degrees, according to the directions at the end of the first volume.

Besides Belladonna ^belladonna, Chamomilla ^chamomilla is an antidote to the colic and diarrhoea.

Hepar sulphuris has proved itself particularly useful, when having been selected according to the similarity of symptoms, there were besides present one or more of the following symptoms

Boring headache in the root of the nose, every morning from seven to twelve o'clock.

ulcerative pain just above the eye every evening.

shooting pains in the eyes.

photophobia. flow of fetid pus from the ear.

erysipelas in the face with prickling turgidity.

dryness of the throat.

scrapy sore throat, interfering with speaking, but not with deglutition.

a plug in the throat. voracious hunger.

eructation. fits of nausea, with coldness and paleness.

swelling and pressure in the gastric region.

frequent and too easy derangement of the stomach.

contractive pain in the abdomen.

stitches in the left side of the abdomen.

nocturnal passage of urine sleep.

flow of mucus from the urethra.

lack of sexual desire.

lack of erections. weak erections during coitus.

, during a hard stool and.

retarded menses. leucorrhoea, with excoriation on the pudenda.

cough. severe cough in the evening, when lying abed.

spasmodic contraction of the chest, after speaking.

tearing in the arm toward the ulcer in the chest.

drawing in the back between the scapulae.

fetid sweat of the axillae.

encysted tumor on the point of the elbow.

drying-off of the fingers.

drawing pain in the limbs, chiefly in the morning on awaking.

trembling weariness after smoking tobacco.

yawning. tendency to perspire by day.

flying heat, with perspiration.

The symptoms marked . are from ; those marked ., from Medical Counselor .

A pathogenesis of Hepar sulphuris appeared in Vol. IV. of the , containing 282 symptoms from Hahnemann, and 16 from the two fellow-observers mentioned above. The additional ones in the present work are all from himself and belong to his later manner.

HEPAR SULPHURIS CALCAREUM.

Effect of large doses of H. s. given for whooping cough. See also S. 644.

* * * * *

Together with S. 237.

Liver of Sulphur ^Sulphur. Hahnemann. Sulphurets.

* *

Hep Sulph Calc ^Hepar s. c. antidotes mercurial or other metallic preparations; also Iodium ^iodine, and particularly the Kali Iodatum ^{iodide of potassium} and cod liver oil.

Hypersensitive to touch, pain, cold air; fainting with the pain.

General tendency to suppurations; even slight injuries or scratches on the skin suppurate.

Tendency to croupy exudations (larynx and kidneys; and mucous membrane).

Atony; stools passed with great difficulty, even when soft; urine flows slowly, must wait for it, then drops vertically down without force.

Sour diarrhoea; whole child smells sour.

Coughs; croup, bronchitis, consumption; worse when exposed to least cold air.

Modalities worse exposure to dry cold air; better in moist wet weather.

Like Sulphur ^Sulphur, Hep Sulph Calc ^Hepar is adapted to the psoric, scrofulous diathesis.

Hepar Sulphuris Calcareum standing half-way between those two great anti-psorics, Calc Carb ^Calcarea carb. and Sulphur ^Sulphur, has some very strong characteristics which guide to its use in a variety of ailments.

Its strongest characteristic is its hypersensitiveness to touch, pain, and cold air.

The patient is so sensitive to pain that she faints away, even when it is slight.

If there are inflammation or swelling in any locality, or even eruptions on the skin, they are so sensitive that she cannot bear to have them touched, or even to have the cold air to blow upon them.

Hepar Sulphuris Calcareum is like China ^China off., only that while the latter is sensitive to the lightest touch it can bear hard pressure. (Remedies especially worse in cold air are Arsenicum Album ^Arsenicum alb., Calc Carb ^Calcarea ost., Hep Sulph Calc ^Hepar Sulphur ^sul., Nux Vomica ^{Nux vomica}, Psorinum ^Psorinum, Silicea ^Silicea, Tuberculinum ^Tuberculinum.).

Hepar Sulphuris Calcareum supersensitiveness to pain runs all through the drug.

It is mental as well as physical, for the slightest cause irritates with hasty speech and vehemence.

Next to this is the power of Hep Sulph Calc ^Hepar Sulphur ^sulph. over the suppurative stage of local inflammations.

It comes in only when pus is about to form, or is already formed.

If given very high in the first case (that is before pus is formed), and not repeated too soon or often, we may prevent suppuration and check the whole inflammatory process.

But if pus is already formed, it will hasten the pointing and discharge and help along the healing of the ulcer afterwards.

I am not at all sure, as is generally taught, that it is necessary to give it low to hasten suppuration.

The most rapid pointing, opening, and perfect healing I ever saw was in the case of a large glandular swelling on the neck of a child, under the action of the c. m. potency. Hep Sulph Calc ^Hepar has a general tendency to suppuration, for even the eruptions on the skin are liable to form matter, and slight injuries suppurate. (Graphites ^Graphites, Merc Viv ^Mercurius, Petroleum ^Petroleum.) Hepar Sulphuris Calcareum is very valuable in diseases of the respiratory organs.

I have found it very useful in cases of chronic catarrh, when the nose stopped up every time the patient went out into the cold air.

He says it seems as if I get a new cold every time I get a breath of fresh air (Tuberculinum ^Tuberculinum).

It is relieved in a warm room.

In croup it has been, ever since Boenninghausen prescribed his celebrated five powders, one of our standard remedies.

We do not use the five powders as Boenninghausen did in a certain order, but only use them according to indications. Hep Sulph Calc ^Hepar croup is accompanied with rather loose cough, with wheezing and rattling.

Cough as if mucus would come up, but it does not.

It is seldom indicated at first; but oftener comes in after Aconite ^Aconite or Spongia Tosta ^Spongia.

Like Aconite ^Aconite it seems most effectual in those cases brought on by exposure to dry cold air; but the Aconite ^Aconite croup comes on in the evening after first sleep and Hep Sulph Calc ^Hepar in the early morning hours.

Hepar Sulphuris Calcareum tendency to croupy exudations on mucous membranes seems characteristic of Hep Sulph Calc ^Hepar and is not confined to the respiratory organs.

Kafka uses it on the ground of its ability to control such conditions in post scarlatinal dropsy, to prevent or cure, and claims great success for it.

I believe it to be one of the best prophylactics in such cases, for the reason that during and after the desquamative stage the skin is unusually susceptible to the effects of chill in cold air, and this is in accordance with the leading characteristic of Hepar Sulphuris Calcareum.

It fortifies the patient against such atmospheric influence.

In croup, as in other affections of Hep Sulph Calc ^Hepar, the cough, difficult breathing and all other symptoms are aggravated by the least of breath cold air, which the little patient must be carefully guarded against. Traveling downward the larynx is attacked, then the bronchia, and even the lungs, and the formation of croupy exudates will take place if not checked by the remedy. The breathing in all these cases becomes rattling, anxious, wheezing, even to threatened suffocation, so that the patient seems asthmatic. In. these cases it is often able to relieve, especially if this condition follows a hard cold and the acute inflammatory symptoms have been controlled by Aconite ^Aconite or some other indicated remedy.

In chronic asthma, Hep Sulph Calc ^Hepar often resembles Natrum Sulphuricum ^{Natrum sulphuricum}, but there is this diagnostic difference, which is very valuable. The Hep Sulph Calc ^Hepar asthma is worse in dry cold air and better in damp, while Natrum Sulphuricum ^{Natrum sulph}. is exactly the opposite, like Dulcamara ^Dulcamara. There is no other remedy that I know that has the amelioration so strongly in damp weather as Hepar sulphur. One characteristic must not be forgotten, viz. "Coughs when any part of the body becomes uncovered." (Baryta Carb ^Baryta and Rhus Tox ^{Rhus tox}.). This is found in croup, laryngitis, bronchitis and consumption, and not only is the cough worse, but the whole case is aggravated. Then, again, it must be remembered that this is one of our strongest anti-psorics, and for that reason should be thought of for all respiratory ailments for which it has such a strong affinity, especially when such ailments have followed a suppressed or retrocedent eruption on the skin.

In accordance with its great power over all suppurative processes, it should come to mind in abscess of the lungs, of course in all cases when indicated by the symptoms in toto. Upon the throat we have 1st, "sticking in the throat, as from a splinter, on swallowing, extending to the ear, also on yawning." "Sensation as if a fish bone or splinter were sticking in the throat" (Argentum Nitricum ^{Argentum nitricum}, Dolichos Pruriens ^Dolichos and Nitric acid), but probably the condition where Hep Sulph Calc ^Hepar is oftenest of use in throat trouble is in that distressing complaint, quinsy.

Here, as in croup, it is not generally indicated in the beginning. Having had much success and experience in this disease, I may here give the results of the application of several remedies and their indications

Belladonna ^Belladonna. -High fever, great swelling, and redness, headache, throbbing carotids.

Merc Viv ^{Mercurius vivus}. -Either side, foetid breath, flabby, moist, indented tongue, and sweat without relief.

Mercurius proto-iodatus. -same symptoms, but begins on right side, and tongue thickly coated yellow at the base.

Lachesis ^Lachesis. -Left side extending to right, great sensitiveness to touch, and aggravation after sleep.

Lycopodium ^Lycopodium. -Begins right side, extends to left, with tongue swollen and inclined to protrude from the mouth, and stuffing up of nose.

Lac Caninum ^{Lac caninum}. -Alternates sides, one day worse on one, and the next on the other.

Hep Sulph Calc ^Hepar Sulphur ^sulph. -When notwithstanding all other remedies the case seems bound to suppurate and there is much throbbing pain. Now with each of these remedies I have aborted many cases in old quinsy subjects, who never expected to, and were told by old school physicians that they never could, get well, without suppuration, and in the end have cured them of all tendency thereto. I will add here that Hepar sulphur, is also a good remedy in chronic hypertrophy of tonsils, with hardness of hearing. In these cases which are generally very intractable, Baryta Carb ^{Baryta carbonica}, Lycopodium ^Lycopodium, Plumbum Metallicum ^Plumbum, and others are also to be consulted according to indications.

Upon the alimentary canal Hep Sulph Calc ^Hepar has a decided influence. We have already noticed its action upon the throat. The stomach is inclined to be out of order, and there is a "longing for acid things." (Veratrum Album ^Veratrum alb.) This is often the case in chronic dyspepsia and Hep Sulph Calc ^Hepar helps. This condition of the stomach is sometimes found in marasmus of children. It is often accompanied by diarrhoea, and a very important feature is that the diarrhea is sour; indeed the whole child seems to smell sour no matter how much it is bathed. The sour stool is also very prominently under Magnesia carbonica and Calc Carb ^{Calcarea carbonica}. Then there is another condition of the bowels, namely, a kind of atony. The stools are passed with great difficulty, even though they are soft and clay-like, as they sometimes are under Hepar Sulphuris Calcareum. This state of atony is also found in the bladder.

"Micturition impeded, he is obliged to wait awhile before the urine passes, and then it flows slowly for many days." "He is never able to finish urinating; it seems as if some urine always remains behind in the bladder." "Weakness of the bladder, the urine drops vertically down and he is obliged to wait awhile before any passes." This inability to expel makes one think of Alumina ^Alumina and Veratrum Album ^{Veratrum album} and Silicea ^Silicea. Again, Hep Sulph Calc ^Hepar Sulphur ^sulph. is a great "sweat" remedy, either partial or general. It may, for instance, come in after Merc Viv ^Mercurius in rheumatism, in which the patient "sweats day and night without relief," and Merc Viv ^Mercurius does not help. So, too, with quinsy, and in large boils and swellings.

Dose

First to 200th. The higher potencies may abort suppuration, the lower promote it. If it is necessary to hasten it, give 2X.

Region

NERVES

CONNECTIVE TISSUE

RESPIRATORY MEMBRANES

Flexures

GLANDS

Kidneys

Skin

Bridge of nose (Kali Bich ^Kali-bi)

Characteristics

the inner as well as the outer skin, in fact. The ulceration of the skin is peculiar. Guernsey thus describes it "Ulcers with bloody pus; with sour-smelling pus; stinking pus; putrid ulcers; with redness around; with little pimples around