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Homeopathic Materia Medica

Hpathy Ezine - July 2005

Aconite Napelus

-- Dr. Kulwant Singh
Principal: S. H. Medical College, Jamshedpur

 

GUIDING SYMPTOMS

1. Sudden and Violent: Acute, sudden and violent invasion calls for it. All the acute cases occur suddenly and with great intensity e.g. influenza, cholera, fevers, acute inflammations and even sudden blindness.

2. Especially suited to congestive stage of inflammation before localization takes place.

3. Tension: According to Dr Hughes, “Tension” is the word which gives the best idea of the action and sphere of Aconite. Emotional and mental tension as shown in fright or fear and its consequences , anxiety and fear of death. Muscular tension, as in tetanus, convulsions; tension of involuntary muscles, as in cardiac spasm; tension of the semi-involuntary muscle of respiration as in asthma.

4. Fear: Fear is etched upon one’s countenance: Fear of dark, Fear of crowds, Fear to cross the streets, Fear of Death during pregnancy. 

Fear of Death: Predicts the day and hour of his death.

TRIO OF FEAR OF DEATH

ACONITE

Fear of death during first stage of disease, patient thinks that unless proper medicine is taken, he is going to die and therefore wants doctor to be called immediately. Restlessness and Anxiety.

ARSENICUM

Fear of death during later stages of disease. Patient does not predict the time of death but feels that his disease is fatal and incurable, therefore there is no use of taking the medicines hence no doctor is to be called. Restlessness, Prostration.

RHUS TOX

Fear of being poisoned. Fear of death due to intensity of pain.

5. Fright: Threatened abortion from fright or anger, amenorrhea after fright; vertigo after fright.

6. Mental anxiety, worry and fear accompany the most trivial ailment.

7. Restlessness: “Anxious restlessness”, i.e. restlessness accompanied by anxiety; does everything in great haste must change position often; during fever intense nervous restlessness with tossing about in agony.

TRIO OF RESTLESSNESS

ACONITE

Mentally and Physically restless. As he is full of energy and vigor, he moves from one place to another place frequently

ARSENICUM

Mentally restless but physically prostrated.

RHUS TOX

Very restless; can not remain in bed, must change position often to obtain relief from pain.

8. Hypersensitivity: To pain, touch, sound, smell

·          Pain

:

Pains are intolerable, drives him crazy, patient screams with pain; pains are always attended with restlessness and numbness; worse at night

TRIO OF PAIN

ACONITE

Intolerable pain with anxiety, restlessness and fear of death

CHAMOMILLA

Pain seems unendurable, with heat, thirst and fainting with numbness of the of the affected part. < heat, evening before midnight

COFFEA

Intense pain with tossing about in anguish with unusual activity of mind and body, sleeplessness.

     

·   Touch

:

Can not bear to be touched or to be covered

·   Sound

:

Least noise, even music is intolerable, makes her sad; it goes through every nerve .

Sabina: Music is intolerable; produces nervousness, goes through bone and marrow.

Thuja: Music causes weeping (Ambra Griesea)

Nat. Carb: Attacks of anxiety and restlessness during a thunderstorm < music; music makes her sad during menses.

·   Smell

:

Hypersensitivity to smell; especially for unpleasant odors.

9. Burning: Burning runs all through the remedy. Burning heat in fever, burning in head, as if there were burning water in brain; burning in spine; burning during micturition with scanty urination; burning thirst.

10. Numbness and tingling: Pains are accompanied by numbness and tingling; paralysis accompanied by coldness, numbness and tingling, neuralgia especially of left side with numbness, tingling and restlessness.

11. Unquenchable burning thirst for large quantities of cold water. (Ars: Thirst for small quantities of cold water at short intervals; Bry: Thirst for large quantities of cold water at long intervals)

12. Skin dry and hot: during fever face red , or pale and red alternately; sweat scanty, only on uncovered parts (covered parts – Belladonna)

13. Hemorrhage: Profuse; bright red, from nose, lungs, stomach; bleeding piles with heat and sharp stitches, sudden severe pain in stomach with gagging, retching and vomiting of blood.

14. Modalities:

Aggravation: evening, night, warm room, lying on affected side; from music, tobacco smoke, when rising from bed, dry cold air.

Amelioration: In the open air.

GUIDING SYMPTOMS:

MIND:

1.  Anxiety: Great anxiety of mind with nervousness

2.  Anxiety from company, pain, fear, during fever, at night

3.  Aversion to company, to meet people

4. Restlessness: can not stay at one place. The patient is plethoric hence moves about one place to other.

5. Fear of Death: Thinks if the doctor is not called , he will die. Predicts the time and day of his death.

6. Fear of crowd, fear of crossing the street, fear of spectators, fear of darkness, fear of cat, fear of dog etc.

7. Intolerable pains which makes him crazy. Neuralgic pains on left side of face with tingling.

8. Music make her sad.

FEVER:

1. Starts with chill. Icy coldness of face.

2. Followed by heat and high temperature

3. Dry skin

4. Heat with unquenchable thirst

5. Hard, full, quick pulse

6. Great restlessness with anxiety and fear of death with unquenchable thirst.

7. Profuse sweating which ameliorates.

8. After exposure to dry cold wind, fear and fright, shock , exposure to extreme sunlight.

9. Face red, face becomes pale when rising up in bed.

10. < evening, night, music, fear, cold air

> open air, after perspiration

In simple fevers, aconite aids diagnosis. " If in twelve hours' treatment with aconite the patient is not well, or markedly improved, he has more than a case of simple fever" (Locke). In typhoid fever, it cannot arrest the disease, though it may be used, if clearly indicated, which we believe is rarely; baptisia is a much better remedy here. Rheumatic and intermittent fevers are benefited by it, especially when slight chilly sensations are repeatedly experienced. Gastric fever, with yellow-coated tongue, bad taste, and diarrhoea of undigested aliment, is controlled with aconite in small doses. Its action is marked in many inflammatory skin diseases. In erysipelas, when high fever is present, never omit aconite (Locke). In brain and meningeal disorders, it is frequently of marked advantage. Add to the characteristic pulse a hyperemic state of the superficial cerebral and meningeal vessels, and our case is one for aconite. If there be great excitation, gelsemium will aid its action; if congestion, belladonna. Insomnia, from nervous erethism, points to aconite for its relief. Such a state, bordering upon convulsions, sometimes depends upon teething and gastro-intestinal diseases. Mental perturbation, with fever, and a fear of impending disaster, with melancholia, is said to be relieved by aconite. Webster proclaims it "the pulsatilla of the febrile state."

COUGH:

1. Ringing cough, burning in larynx and trachea

2. Hoarse, dry, loud cough with sense of suffocation

3. Haemoptysis, blood comes up easily with slightest of coughing

4. Dry, croupy, suffocating cough

5. Difficult breathing with suffocative feeling in chest.

6. Cough < night and after midnight.

Belladona:   dry, tickling cough < night, larynx painful, hoarseness, barking, whooping cough, violent.

Ipecac:  constriction chest, dyspnoea, violent with every breath, nausea, rattling, hoarseness, suffocative.

Drosera:  paroxysms violent, whooping, deep, hoarseness, dry, irritating, < midnight

Hepar: hoarseness, dry, choking, wheezing, dyspnoea, excited by cold or uncovering > damp.

GASTRO INTESTINAL SYSTEM:

1.  Vomiting with restlessness and profuse sweat.

2.  Better from belching

3.  Intense thirst, drinks and vomits.

4.  Vomit of bilious mucous .

5.  Hamatemesis.

6.  Abdomen sensitive to touch .

7.  Burning in stomach and abdomen. 

8.  Diarrhoea, during hot days and cold night

9.  Dysenteric stools, with blood and mucus, pure blood.

HEART:

1.   Tachycardia

2.   Affection of heart with pain left shoulder.

3.   Palpitation with anxiety, fainting and tingling

4.   Full, hard, bounding pulse.

SHOCK:

There are few homeopathic remedies that can handle shock as well as Aconite can (Arnica Montana, being a good in this special category). Bach's Rescue Remedy is a combination of 5 flower essences. The Aconite Natural Essence is only one: the royal purple flowers of this wonderful plant. When injured, here are the signs and symptoms you should look for in order to give Aconite.

1. Desires to be alone

2. Apathy to surroundings

3. Depression

4.  Fear of Suffocation

5. Panic or anxiety attack

6. Annoyed by light and wants darkness

7.  Wants someone nearby, but not necessarily touching them or pampering them

FEMALE:

1. Amenorrhea in young plethoric girls

2. Suppression of menses from fright or cold

3. Active uterine hemorrhage

4. Fear of death during pregnancy

5. Threatened abortion from fright or anger

MODALITIES:

Aggravation:

·          Evening

·          Fear and Fright

·          Night

·          Music

·          Inspiration

·          Extreme cold and extreme heat

·          Warm covering

Amelioration

·          Open air

·          Perspiration

EXTRA SHOTS

Aconite is an acute medicine and works only in acute stage of fever. By its high fever indications, it should never be used in case of Typhoid Fever and Malarial Fever.

Sulphur is the chronic of Aconite.

It is stated that digitalis previously administered to animals, wholly prevented the toxic action of aconitine (Fothergill); hence digitalis is recommended to antidote aconite poisoning. Tannin (astringents) is said, also, to be an efficient antidote. Inhalations of nitrite of amyl were resorted to in one case with good results. Strychnine, atropine, or strophanthus may be cautiously administered. In no case allow the patient to arise from the recumbent posture, lest death suddenly take place from syncope.

By its control over the sympathetic nervous system, and its influence on the circulation and temperature, aconite becomes one of the most important remedies in the treatment of respiratory lesions. If the temperature is high, it reduces it; if it be abnormally low, it raises it to its normal standard. It is the remedy for all asthenic inflammatory and febrile conditions, especially in their earlier manifestations. It is the remedy for hyperemia; it is the remedy for loss of tone in the capillary structures resulting in inflammation. Loss of tone in a part causes capillary stasis, which, if allowed to go on, results in congestion, and, continuing, ends in inflammation. Here aconite controls the circulation, allays the irritation, lowers the temperature, and re-establishes the secretions. It acts as a gentle stimulant to the sympathetic system, consequently it has a good influence over irritation and inflammation in the parts supplied by it. Aconite is the remedy for irritation of the mucous surfaces.

Acute catarrh, nasal and faucial, acute pharyngitis, and ulcerated tonsils, with elevated temperature, yield to aconite. It is the first remedy to be thought of in tonsillitis, spasmodic and mucous croup, and it is not without value in the pseudo-membranous form of croup. It may be used internally and locally. In spasmodic croup it allays the spasm, and the dyspnoea is quickly relieved. In tonsillitis it materially lessens the duration of the disease. It may be used early by spray, and given internally in small doses. Associated with gelsemium, it is of value in a large percentage of cases of "la grippe." In cases of acute coryza, it controls the febrile phenomena. In pneumonia, catarrhal or fibrinous, it is of signal value in the earlier stage to control the inflammatory process. It is good, though of less value, in the latter stage of the same malady, when bryonia is to be preferred. Its use in acute bronchitis and laryngitis gives good results. In pleurisy it should be associated with bryonia in the earlier stage, with sharp pain, marked chill and high temperature, and the use of the latter agent should be continued to remove the effusions after the acute pains have subsided. It is one of the best agents to prevent acute catarrhal pneumonitis, as a complication of measles, and one of the best to control it in case it does supervene. The remedy should be administered in phthisis, to regulate the temperature, and is very valuable when new portions of the lung tissue are being invaded by the inflammatory process. It is said to give relief in asthma, with high temperature. Give the drug in small doses, frequently repeated, in acute disease; 3 or 4 times a day in chronic conditions.

No remedies surpass aconite and belladonna in the exanthematous diseases, and very frequently no other remedy than aconite will be indicated in scarlatina and measles. Here the hot, dry skin, with vascular excitation, calls for the drug, the temperature falling as soon as the eruption appears, which aconite aids in bringing out. Recent amenorrhoea, due to cold, is amenable to aconite if the circulation and temperature be increased. Disorders of the menopause, with alternate chills and flushes of heat, "with rush of blood to the bead," cardiac palpitation, dyspnoea, gastric fullness, and sense of distension in the bladder, with frequent attempts to pass urine, are relieved by the usual dose of aconite every half hour (Locke). In uterine hemorrhage, as menorrhagia, with hot, dry face and excited circulation, aconite will relieve. In cardiac diseases, it has been employed with good results when there is palpitation, depending upon irritation; and for heart spasm, with a feeling of suffocation and as if the heart's action would cease, it is a prompt remedy.

Aconite is one of the first remedies for gastro-intestinal diseases, and especially the bowel troubles of children. All such disorders resulting from cold, or with inflammation, demand aconite as a part of the treatment. In aphthous conditions, with fever, associate it with phytolacca. It relieves gastric irritation, and may be associated with amygdalus, rhus, and ipecac. Diarrhoea, cholera infantum, cholera morbus and acute gastro-intestinal irritation, usually yield to aconite and ipecac; while in dysentery, aconite, associated with ipecac and magnesium sulphate, is very prompt in controlling the disease. It is often indicated in the diarrhoea of teething.

 
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