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Carbo-veg
We
will take up the study of Vegetable Charcoal - Carbo veg.
It is a comparatively inert substance
made medicinal and powerful, and converted into a great
healing agent, by grinding it fine enough. By dividing it
sufficiently, it becomes similar to the nature of sickness and
cures folks.
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The Old School
use it in tablespoonful doses to correct acidity
of the stomach. But it is a great monument to Hahnemann. It is
quite inert in crude form and the true healing powers are not
brought out until it is sufficiently potentized. It is one of
those deep acting, long-acting antipsoric medicines. It enters
deeply into the life, in its proving it develops symptoms that
last a long time, and it cures conditions that are of long
standing-those that come on slowly and insidiously.
Generalities:
It affects the vascular system especially; more
particularly the venous side of the economy, the heart, and
the whole venous System.
Sluggishness is a good word to think of when
examining the pathogenesis of Carbo veg.
Sluggishness, laziness, turgescence, these are
words that will come into your mind frequently, because these,
states occur so frequently in the symptomatology. Everything
about the economy is sluggish, turgid, distended and
swollen.
The hands are puffed; the veins are puffed;
the body feels full and turgid; the head feels full, as if
full of blood. The limbs feel dull, so that the patient wants
to elevate the feet to let the blood run out. The veins are
lazy, relaxed and paralyzed. Vaso-motor paralysis. The veins
of the body are enlarged; the extremities have varicose
veins.
Mind:
The whole mental state, like the physical, is
slow. The mental operations are slow. Slow to think; sluggish;
stupid; lazy. Cannot whip himself into activity, or rouse a
desire to do anything. Wants to lie down and doze.
The limbs are
clumsy; they feel enlarged. The skin is
dusky. The capillary circulation is engorged. The face is
purple. Any little stimulating food or drink will bring a
flush to that dusky face. When you see people gather round a
table where wine is served you can pick out the Carbo veg.
patients, because their faces will be flushed; in a little
while it passes off and they get purple again dusky - almost a
dirty duskiness. The skin is lazy; sluggish.
Running through the remedy there is burning.
Burning in the veins, burning in the capillaries, burning in
the head, itching and burning of the skin. Burning in inflamed
parts. Internal burning and external coldness.
Coldness,
with feeble circulation, with feeble heart. Icy
coldness. Hands and feet cold and dry, or cold and
moist.
Knees cold; nose cold; ears cold; tongue cold.
Coldness in the stomach with burning. Fainting. Covered all
over with a cold sweat, as in collapse.
Collapse with cold breath, cold tongue, cold
face.
Looks like a cadaver. In all these conditions
of coldness the patient wants to be fanned.
Bleeding runs all through the remedy. Oozing
of blood from in flamed surfaces. Black bleeding from ulcers.
Bleeding from the lungs; from the uterus; from the bladder.
Vomiting of blood.
Passive
Hemorrhage. On account of the feeble
circulation a capillary oozing will start up and continue. The
remedy hardly ever has what may be called an active gushing
flow, such as belongs to Belladonna, Ipecac, Aconite, Secale,
and such remedies, where the flow comes with violence; but it
is a passive capillary oozing.
The women suffer from this kind of bleeding; a
little blood oozing all the time, so that the menstrual period
is prolonged. Oozing of blood after confinement, that ought to
be stopped immediately by contractions.
There are no contractions of the blood
vessels; they are relaxed. Black venous oozing. After a
surgical operation there is no contraction and retraction of
the blood vessels. An injury to the skin bleeds easily. The
arteries have all been tied and closed, but the little veins
do not seem to have any contractility in their walls. An
inflamed part may bleed. Feeble heart; relaxed veins.
Ulcers: Again, ulceration.
If you have a case, such as I have described, with relaxation
of the blood vessels and feebleness of the tissues, you need
not be surprised if there is no repair, no tissue
making.
So, when a part is injured, it will slough. If
an ulcer is once established, it will not heal. The tissues
are indolent. Hence we have indolent ulcers; body, ichorous,
acrid, thin discharges from ulcers.
The skin ulcerates; the mucous membranes
ulcerate. Ulcers in the mouth and in the throat. Ulceration
everywhere because of that relaxed and feeble condition. Poor
tissue making, or none at all,
"The blood stagnates in the capillaries," is
the way it reads in the text.
You can see how easy it would be for these
feeble parts to develop gangrene. Any little inflammation or
congestion becomes black or purple and sloughs easily that is
all that is necessary to make gangrene.
It is a wonderful remedy in septic
conditions-blood poisoning, especially after surgical
operations and after shock. It is a useful remedy in septic
conditions; in scarlet fever; in any disease which takes on a
sluggish form, with purplish and mottled appearance of the
skin.
Sleep: In Carbo veg. the
sleep is so full of anxiety that it may be said to be awful.
On going to sleep there is anxiety, suffering, jerking,
twitching, and be has the horrors. Everything is horrible.
Horrible visions; sees ghosts.
A peculiar sluggish, death-like sleep, with
visions. The Carbo veg. patient wakens in anxiety and covered
with cold sweat. Exhaustion. Unrefreshed after sleep.
And thus the whole patient is prostrated by
his sleep. So anxious that he does not want to go to sleep.
Anxiety in the dark. Anxiety with dyspnoea as if he would
suffocate. Anxiety so great that be can not lie down.
In Carbo veg. indifference is a very prominent
symptom. Inability to perceive or to feel the impressions that
circumstances ought to arouse.
His affections are practically blotted out, so
that nothing that is told him seems to arouse or disturb
him.
"Heard everything without feeling pleasantly
or unpleasantly, and without thinking about it."
Horrible things do not seem to affect him
much; pleasant things do not affect him. He does not quite
know whether he loves his wife and children or not.
This is a part of the sluggishness, the
inability to think or meditate, all of which is due to the
turgescence. Sluggishness of the veins. Head feels full;
distended.
His mind is in confusion and he cannot think.
He cannot bring himself to realize whether a thing be so or
not, or whether he loves his family or not, or whether he
hates his enemies or not. Benumbed stupid.
There is another state anxiety and nightly
fear of ghosts anxiety as if possessed; anxiety on closing the
eyes; anxiety lying down in the evening; anxiety again on
waking. He is easily frightened. Starting and twitching on
going too sleep.
Head: The headaches
are mostly occipital. His whole head is turgid, full,
distended. He feels as if the scalp was too tight. Everything
is bound up in the head. Awful occipital headaches. Cannot
move, cannot turn over, cannot lie on the side, cannot be
jarred, because it, seems as if the head would burst, as if
something was grasping the occiput.
Dull headache in the occiput. Violent pressive
pain in the lower portion of the occiput. Head feels heavy.
When the pain is in the occiput the head feels drawn back to
the pillow, or as if it could not be lifted from the
pillow.
Like Opium; he cannot lift the head from the
pillow. Painful throbbing in the head during inspiration. The
Carbo veg. patient takes short breaths, quietly, keeping just
as still as possible, until finally he is compelled to take a
deep breath, and it comes out with a sharp moan.
Headache as from contraction of the scalp.
Painful stitches through the whole head when coughing; the
whole head burns. Intense heat of the head; burning pain. Rush
of the blood to the head followed by nose-bleed.
Congestion to the head with spasmodic
constriction, nausea, and pressure over the eyes. A feeling as
of an oncoming coryza from an overheated room. Many of these
headaches come on from taking cold, from coryza, from slacking
up of an old catarrh.
The Carbo veg. patient suffers from chronic
catarrh. He is at his best when he has a free discharge from
the nose, but if he takes cold and the discharge stops
congestion to the head comes. He cannot stand suppression of
discharges.
Headaches come on every time he takes cold;
from cold damp weather; from going into a cold damp place and
becoming chilled. Awful occipital headache, or headache over
the eyes, or headache involving the whole head, with pounding
like hammers.
These states are like Kali bichromicum, Kali
iodatum and Sepia. Many of these headaches are due to stopped
catarrhal conditions.
The hair falls out by the handful. Eruptions
come out upon the head. School girls and boys, too, who are
sluggish, slow to learn, and suffer from night terrors; they
will not sleep alone, or go into a dark room without someone
with them.
They have headaches, worse from pressure of
the hat. A long time after taking off the hat they still feel
the pressure. Sweat, cold sweat; particularly sweat of the
head and of the forehead.
The Carbo veg. patient breaks out into a
copious sweat, appearing first on the forehead, and the sweat
is cold. The forehead feels cold to the hand, and any wind
blowing upon it will produce pain; he wants it covered up.
Head sensitive to cold.
If he becomes overheated and like head
perspires, and then a draft strikes that sweating head, his
catarrh will stop at once and headaches will come on. His
knees and hands and feet get cold, and he sweats without
relief.
Eyes:
The eye symptoms are troublesome, and they often
occur along with the headache. Burning pain in the eyes. The
eyes become lustreless, deep-set, and the pupils do not react
to light. He feels sluggish mentally, and does not want to
think.
He wants to sit or lie around, for every
exertion gives him a headache. Whenever this state is present
the eyes show it. You know he is sick because the bright,
sparkling look has gone out of his eyes. If he could only get
somewhere by himself and lie down-provided it was not dark, he
would be comfortable.
He wants to be let alone; he is tired; his
day's work wears him out. He comes home with a purple face,
lustreless eyes, sunken countenance, tired head and mind. Any
mental exertion causes fatigue. Weight in the head, distress
and fullness in the head, with cold extremities.
The blood mounts upward. Hemorrhages from the
eyes; burning, itching and pressing in the eyes. The eyes
become weak from overwork or from fine
work.
Ears:
Carbo veg. is one of the medicines for discharges
from the ears. Offensive, watery, ichorous, acrid and
excoriating discharges, especially those dating back to
malaria, measles or scarlet fever, particularly to scarlet
fever.
A sluggish condition of the venous system. The
veins seem to be most affected in all old complaints,
especially whenever a patient says of himself, or a mother
says of her child, that he has never been quite well since an
attack of malarial fever.
The daughter has never been quite well since
she had the measles, or typhoid fever, or scarlet fever; Carbo
veg. is one of the medicines to be thought of when symptoms
are in confusion, and the patient has been so much doctored
that there is no congruity left in the symptoms.
Old ear discharges, or old headaches, when all
the symptoms have been suppressed. It is then Carbo veg. often
becomes one of the routine remedies to bring symptoms into
order and to establish a more wholesome discharge from that
ear. it brings about reaction, establishes a better
circulation and partially cures the case, after which a better
remedy may be selected.
Inflammation of the parotid glands, or mumps.
When mumps change their abode, from being chilled, and go in
the girl to the mammary glands, and in the boy to the testes,
Carbo veg. is one of the medicines to restore order; very
often it will bring the trouble back to its original place,
and conduct it on through in safety.
Pains in the ear. Passive, badly-smelling
discharges from the ear. Loss of hearing. Ulceration of the
internal ear. Something heavy seems to lie before the ears;
they seem stopped; the hearing is diminished, especially in
those cases that date back to some old trouble.
Nose: The Carbo veg.
patient is always suffering from coryza. He goes into a warm
room, and, thinking he is going out in a minute, he keeps his
overcoat on.
Pretty soon he begins to get heated up, but he
thinks he will go in a minute and he does not take off his
coat. A procedure like that is sure to bring on a coryza. It
will commence in the nose, with watery discharge, and he will
sneeze, day and night.
He suffers from the heat and is chilled by the
cold; every draft chills him; and a warm room makes him sweat,
and thus he suffers from both. He can find no comfortable
place, and he goes on sneezing and blowing his nose.
Perhaps he has bleeding from the nose. At
night he is purplish. The coryza extends into the throat and
brings on rawness and dryness in the mouth and throat. A
copious watery discharge, filling the posterior nares and the
throat.
Larynx and
Chest: He begins to get hoarse, and
in the evening he has a hoarse voice, with rawness in the
larynx and throat. Rawness in the larynx on coughing; soreness
to the touch. The more he coughs the worse the rawness
becomes.
This condition extends into the chest.
Secretion of much thin mucus, finally becoming thick
yellowish-green, and bad-tasting. Such is the coryza. Now,
with it there comes a stomach disturbance that is commonly
associated with Carbo veg. complaints.
Great distension of the abdomen with gas. With
this coryza he has belching, and sour, disordered stomach.
Every time he disorders his stomach he is likely to get a
coryza. Every time he goes into an overheated room he is
likely to get a coryza, with sneezing, chest complaints, and
catarrh.
This catarrhal state in the nose is only a
fair example of what may occur anywhere where there is a
mucous membrane. Catarrhal conditions with a flow of watery
mucus and bleeding. Carbo veg. has catarrhs of the throat,
nose, eyes, chest, and vagina.
Old catarrhal conditions of the bladder;
catarrh of the bowels and stomach. It is pre-eminently a
catarrhal remedy.
The woman feels best when she has more or less
of a leucorrhea, it seems a sort of protection. These
discharges that we meet every day are dried up and controlled
by local treatments, by washes, and by local applications of
every kind, and the patient put into the hands of the
undertaker, or made a miserable wreck.
If these catarrhal patients are not healed
from within out, the discharges had better be allowed to go
on. While these discharges exist the patient is comfortable.
It is quite common for the Carbo veg. patient to be feverish
with the coryza, but with many other complaints he is cold;
cold limbs; cold face; cold body; cold skin; cold sweat.
It is not so common for the earlier stages of
the coryza, and the catarrhal conditions to have these cold
symptoms. He is feverish in the evening and at night. But
after he passes into the second stake, when the, mucus is more
copious, then come the cold knees, cold nose, cold feet, and
cold sweat.
Face:
The face of Carbo veg. is a great study. In the
countenance and in the expression we see much that is
general.
The patient shows his general state in his
expression, especially in the eyes. He tells you how sick he
is; he tells you the threatening points.
In Carbo veg. there is great pallor and
coldness, with lips pinched and nose pointed and drawn in.
Lips puckered, blue, livid, sickly, deathly. Face cold, pale,
and covered with sweat.
As the tongue is protruded for examination it
is pale and cold, and the breath is cold, yet he wants to be
fanned. This is true whether it be cholera, diarrhea,
exhaustive sweats, or complaints after fevers.
Sometimes, after a coryza has run its course
and ended in the chest, there is great dyspnea, copious
expectoration, exhaustive sweat, great coldness and the
patient must be fanned.
Cough followed by dyspnea, exhaustion, profuse
sweats, with choking and rawness and he wants to be fanned.
Cold face; pinched face. So the sufferings are expressed in
the face. The pains and aches, and anxiety and sorrow are all
expressed in the face.
The study of the face is a delightful and
profitable one. The study of the faces of remedies is very
profitable. It is profitable to study the faces of healthy
people that you may be able to judge their intentions from
their facial expressions. A man shows his business of life in
his face; he shows his method of thinking, his hatreds, his
longings, and his loves.
How easy it is to pick out a man who has never
loved to do anything but to eat: the Epicurean face. How easy
it is to pick out a man who has never loved anything but
money: the miserly face. You can see the love in many of the
professional faces; you can single out the student's face.
These are only manifestations of the love of
the life which they live. Some manifest hatred; hatred of the
life in which they have been forced to live; hatred of
mankind; hatred of life. In those who have been disappointed
in everything they have undertaken to do we see hatred stamped
upon the face.
We see these things in remedies just as we see
them in people. The study of the face is a most delightful
one. A busy, thoughtful and observing physician has a head
full of things that he can never tell: things he knows about
the face.
So the face expresses the remedy. In Carbo
veg. the face flushes to the roots of the hair after a little
wine. This is a strong characteristic. All over the body the
skin will become flushed. Sometimes a flush appears in
islands, which grow together and become one solid flush,
creeping up into the hair.
So great is the action of this remedy upon the
capillary circulation that sometimes a tablespoonful of wine
is sufficient to cause this flushing of the
skin.
Gums:
The old books talk about "scorbutic gums;" now we
call it Rigg's disease: a separation of the gums from the
teeth. Bleeding of the gums; sensitiveness of the gums.
Separation of the gums from the teeth.
The teeth get loose.
We hear about "the teeth rattling in his
mouth."
The Carbons produce just such a state, a
settling away and absorbing of the gums. They get spongy and
bleed easily, and hence looseness of the teeth with bleeding
of the gums, which are very sensitive.
Teeth decay rapidly. Bleeding of the gums when
cleaning the teeth. Teeth and gum affections from abuse of
Mercury, Teeth feel too long and are sore. Drawing and tearing
in the teeth. Tearing in the teeth from hot, cold or salt
food; pain from both heat and cold. This is in keeping with
the general venous condition of the whole system.
Sensitiveness of the tongue. Inflammation of
the tongue. In certain low forms of fever, like typhus and
typhoid fevers, the gums turn black; that is, they throw out a
blackish, bloody, offensive, putrid exudate. If disturbed or
touched they bleed; and the tongue piles up that blackish
exudate - that oozing of black blood from the veins.
This is present in putrid forms of fevers like
the typhoid-in zymotic states. This remedy is rich in those
zymotic symptoms, such as are described in common speech as
"blood-poisoning."
Carbo veg. is a sheet-anchor in low types of
typhoid; in scarlet fever where a typhoid condition is coming
upon the case, and in the last stages of collapse; in cholera,
and in yellow fever at the time of collapse, where there is
coldness, cold sweat, great prostration, dyspnoea - wants to
be fanned. Great prostration with cold tongue,
Mouth and
throat: The mouth and throat are filled
with little purple aphthous ulcers, which were little white
spots to begin with, but they have grown purplish and now ooze
black blood. These aphthous patches bleed easily, burn and
sting. Blisters form. Smarting, dryness of the mouth with
bleeding aphthous ulcers. These are common features of Carbo
veg. in any of the mouth and throat conditions.
Tough mucus in the throat; bloody mucus in the
throat. These little ulcers run together, spread and become
one solid mass. A large surface will become ulcerated, denuded
of its mucous membrane, and then it will bleed. Little black
spots come upon it. Food cannot be swallowed because the
throat is so sore. Generally the throat feels puffed.
The Cargo veg. patient has a longing for
coffee, acids, sweet and salt things. Aversion to the most
digestible things and the best of food. For instance, aversion
to meat, and to milk which causes flatulence. Now, if I were
going to manufacture a Carbo veg. constitution I would
commence with his stomach.
If I wanted to produce these varicose veins
and the weak venous side of the heart; this fullness and
congestion, and flatulence, this disordered stomach and
bowels, and head and mind troubles; sluggishness of the
economy.
I would begin and stuff him. I would feed him
with fats, with sweets, puddings, pies and sauce, and all such
indigestible trash, and give him plenty of wine - then I would
have the Carbo veg. patient.
Do we ever have any such people to treat? just
as soon as they tell their story, you will know, enough about
their lives to know that they are mince pie fiends; they have
lived on it for years, and now they come saying,
"Oh, doctor, my stomach; just my stomach; if
you will simply fix up my stomach."
But what are you going to do with him? He has
made himself into a Carbo veg. patient for you, and it may be
quite a while before you can bring him down to a sensible
diet.
Now he must begin at the foot of the ladder. I
only brought this up to show how a Carbo veg, patient is
produced and what kind of a stomach he has, and what he has
been living on. He has burning in the stomach, distension of
the stomach, constant eructations, flatulence, passing
offensive flatus.
In reality he is in a foetid condition, a
putrid condition. His sweat is offensive. He has heartburn
eructations, the stomach regurgitates the food that he takes.
Carbo veg. has much vomiting at the end of the
chill. Vomiting and diarrhoea. Vomiting and blood; with the
vomiting of blood the body is icy cold; breath cold, The pulse
is thready and intermittent. Fainting; hippocratic face;
oozing of thick black blood.
Vomiting of sour, bloody, bilious masses.
Stomach and food:
There is an accumulation of flatus in the
stomach, so that the stomach feels distended. All food taken
into the stomach seems to turn into flatus; he is always
belching and is slightly, relieved for a while by belching.
Carbo veg., has cramps in the bowels and stomach; burning
pain; anxiety; distension.
All these symptoms are ameliorated by belching
or passing flatus. Amelioration from belching seems quite a
natural event; but when we study China, you will see that the
patient appears to be aggravated from belching. The idea is
that the patient gets relief from belching from eructation,
but under Lycopodium and China it seems that no relief comes.
They belch copiously and yet seem just as full of mind as
ever, and sometimes even seem to be worse.
The Carbo veg. patient experiences a decided
relief from eructation. This is a particular symptom, but it
becomes almost general, and sometimes quite general. Headaches
are relieved by belching; rheumatic pains are relieved by
belching; sufferings and distensions of various kinds are
relieved by eructations.
This abdominal fullness aggravates all the
complaints of the body. The fullness, which is described as if
in the veins, is sometimes in the tissues, under the skin, so
that it will crepitate. This is a feature of Carbo veg., and,
in rheumatic conditions, part of the swelling is sometimes of
this character.
Food remains a long time in the stomach,
becomes sour and putrid. It passes into the bowels and
ferments further, finally passing off in the form of putrid
flatus.
There is colic, burning pains, distension,
fullness, constricting and cramping pains from this
distension.
The patient complains of feeling as if the
stomach were raw. This is described as a smarting, sometimes
from taking food; sometimes from taking cold water. Carbo
veg., has cured ulceration of the stomach. It is a deep-acting
medicine, and is capable of curing all disordered conditions
of the stomach; such as disorders from eating indigestible
things, mince pie, too hearty food.
Liver:
In Carbo veg. the liver, like all the other
organs, takes on a state of torpidity and sluggishness. It
becomes enlarged. The portal system is engorged, and hence
hemorrhoids develop.
Pain and distension in the region of the
liver; sensitiveness and burning in the liver, accompanied by
a bloated condition of the stomach and bowels. A feeling of
tension in the region of the liver; the part feels drawn, as
if too tight.
There are pressing pains in the liver, and it
is sensitive to touch.
Abdomen: Much that I have
said regarding the flatulence and fullness of the stomach
applies also to the abdomen. Carbo veg. may be indicated in
low forms of fever, as in septic fever, when there is a marked
tympanitic condition, with diarrhoea, bloody discharges,
distension and flatulence.
Extremely putrid flatus escapes making the
patient very offensive. A striking abdominal symptom of Carbo
veg. is that the flatus collects here and there in the
intestine as if it were in a lump incarcerated flatus; a
constriction of the intestine will hold it in one place so
that it feels like a lump or tumor, that finally disappears.
Colic here and there in the abdomen from
flatus. There is burning in the abdomen. No matter what the
trouble is, in Carbo veg. there is always burning. The part
burns; it feels full; it becomes engorged and turgid with
blood.
Diarrhoea, dysentery, cholera, when there is a
bloody, watery stool. Cholera infantum; stool mixed with
mucus; watery mucus mixed with blood.
The child sinks from exhaustion, with
coldness, pallor and cold sweat. The nose, face and lips are
pinched and hippocratic. With all diarrheic troubles the
prostration will indicate Carbo veg. as much as, if not more
than, the stool.
In the diarrhea of Carbo veg. all the stools,
no matter what kind, are putrid, with putrid flatulence. The
more thin, dark bloody mucus there is, the better is the
remedy indicated. Itching, burning and raw ness of the anus
and round about, are strong features of Carbo veg.
Soreness in all diarrheic conditions -
soreness to pressure over the abdomen. Round about the anus,
in children, there is excoriation. The parts are red, raw and
bleeding, and they itch.
Itching of the anus in adults. Ulceration of
the bowels. This tendency to ulceration of mucous membranes is
in keeping with the character of the remedy. Whenever there
are mucous membranes there may be ulceration. Aphthous
appearance. Ulceration of Peyer's glands. The patient lies in
bed and oozes involuntarily a thin bloody fluid, like bloody
serum.
Bladder: Old chronic
catarrhal conditions of the bladder, when the urine contains
mucus, especially in old people, with cold face, cold
extremities and cold sweat.
There is suppression of urine. In both the
male and the female organs there is a weakness and relaxation.
The male organs hang down. Relaxation of the genitalia; cold
and sweating genitals. The fluids escape involuntarily.
Women:
In the woman the relaxation is manifested
by a dragging down sensation; dragging down of the uterus, as
if the internal parts would escape. The uterus drags down so
that she cannot stand on her feet. All the internal organs
feel heavy and hang down.
Another strong feature of Carbo veg. is dark,
oozing haemorrhage from the uterus. It is not so often a
copious gushing hemorrhage, the remedy has that also - but it
is an oozing. The menstrual flow will ooze from one period
almost to another.
The blood is putrid and dark, even black, with
small clots, and considerable serum escapes with it. it says
in the text:
"Metrorrhagia from uterine agony."
Atony is a good name for the condition; lack
of tone; relaxation; weakness of the tissue. Atony is
everywhere present in the Carbo veg. constitution. The muscles
are tired, the limbs are tired, the whole being is tired and
relaxed.
This is in contradistinction to the gushing
found in Belladonna, Ipecac, Secale and Hamamelis, where the
blood escapes in great gushes, followed quite naturally by a
contraction of the uterus, for there is more or less tonicity
in connection with it.
In Carbo veg., either in connection with
confinement or menstruation, or in an incidental haemorrhage,
the uterus does not contract. Subinvolution from mere atony;
no contraction; no tonicity; weakness and relaxation.
After menstruation, confinement and the
various complaints that woman is subject to, there is a period
of weakness that Carbo veg. often fits.
When there is a retained placenta, with scanty
hemorrhage - just an oozing, with no tendency to a gush of
blood - the physician remembers that throughout the whole
pregnancy and confinement there has been sluggishness and
slowness of pains, and he says:
"Why did I not think of Carbo veg. Before?"
The woman has needed Carbo veg. for a month.
He administers a dose, and before he has time to think about
it, the uterus will expel that placenta and fix up matters so
nicely that he will not need the mechanical interference that
might otherwise have been necessary.
Now-a-days we hear so much about this
meddlesome midwifery, this curetting, and doing this and that
and the other thing, that it makes a homeopathic physician
disgusted, just as if those parts were not made by Nature, and
could not take care of themselves; as if they must be swabbed
out and syringed out.
These injections of bichlorides, etc., to keep
the germs out of a woman are all nonsense. If a state of order
is maintained there will be no germs.
A homoeopathic physician can manage hundreds
of these cases, and have no trouble. If he sees clearly
beforehand what remedy the woman needs there will be no bad
cases; they will all take care of themselves.
Irregular contractions that bring on abnormal
conditions are all avoided if the woman is turned into order
before she goes into confinement. Carbo veg. is one of the
medicines that prepares a woman well for confinement, that is,
the symptoms calling for Carbo veg. are often present in such
conditions. She is often run down, relaxed and tired.
Pregnancy brings about a great many unusual conditions.
There is the nausea in pregnancy; the
flatulence; the offensiveness; the weakness; the enlarged
veins. They will tell you that the enlargement of the veins of
the lower limbs is from pressure, but it is generally not from
pressure, but from weakness of the veins themselves.
Suppression of milk; prostration or great
debility from nursing. It is not natural for a woman in a
healthy state to become prostrated when nursing her child. She
becomes so because she is sick. She was in a state of debility
before she began nursing, and the weakness should be corrected
by an appropriate remedy.
Then she can make milk and feed her child
without feeling the loss of it. Such is the state of order.
Carbo veg. is a friend to the woman, and a friend to her
offsprings. You will be astonished, after ten years of real
homoeopathic practice, that you have so few deformed babies;
that they have all grown up and prospered; that their little
defects and deformities have been outgrown, and that they are
more beautiful than most children, because they have been kept
orderly.
The doctor watches and studies him, and feeds
him a little medicine now and then, that the mother suspects
is sugar, to keep on the good side of the baby. She need not
know that it is medicine, or that anything is the matter with
the baby.
So he watches the development of that little
one, and grows him out of all his unhealthy tendencies. The
children that grow up under the care of the homoeopathic
physician will never have consumption, or Bright's disease;
they are all turned into order, and they will die of old age,
or be worn out properly by business cares; they will not rust
out.
It is the duty of the physician to watch the
little ones. To save them from their inheritances and their
downward tendencies is the greatest work of his life. That is
worth living for. When we see these tendencies cropping out in
the little ones we should never intimate - that they are due
to the father or mother.
It is only offensive and does no good. The
physician's knowledge as to what he is doing is his own, and
the greatest comfort be can get out of it is his own. He need
never expect that anyone will appreciate what he has done, or
what be has avoided.
The physician who desires praise and sympathy
for what he has done generally has no conscience. The noble,
upright, truthful physician works in the night he works in the
dark, he works quietly; he is not seeking for praise.
He does this when called to the house, and
when members of the family bring little ones to the office. In
this manner children can be studied and their symptoms
observed and enquired into.
Whenever the mother brings the child.
expecting medicine, she may know that he is receiving
medicine, but when she docs not ask for medicine let her
suspect that Johnnie is getting sugar so the doctor can get on
the good side of him. That is sufficient.
Voice and Larynx:
In Carbo veg. the voice manifests a great many
symptoms. I described a part of them when going over the
coryza. I explained how it began in the nose, and traveled to
the throat, the larynx, and the chest.
Now many of the complaints of the larynx begin
with a cold, in the nose, which finally locates permanently in
the larynx and in that way we bring out the Carbo veg. cases.
It is only now and then that the Carbo veg.
cold settles in the larynx first; it usually travels through
the nose. Most remedies have a favorite place for beginning a
cold. For instance, the majority of Phosphorus colds begin in
the chest or larynx. Not so with Carbo veg.; its cold
generally begins in the nose, with a coryza, and the larynx is
simply one of the stopping places.
If the Carbo veg. cold goes down into the
chest it may have its ending in the bronchial tubes or the
lungs. There is a favorite place for it to settle, and it
seems as if it were going to remain there. Weakness in the
larynx from talking. Tired larynx of speakers and singers, and
feeble, relaxed persons.
The hoarseness comes on in the evening. The
larynx may be fairly well in the morning, but as soon as it
becomes evening his voice becomes husky. In more serious forms
he may be speechless in the morning, but hoarseness and
huskiness in the evening are more characteristic. Huskiness
and rawness in the evening. Rawness in the larynx when
coughing. Some will say there is burning, some will say
rawness. Rawness in the larynx and trachea when coughing.
A continual formation of mucus in the larynx,
which he has to scrape and cough out. We see the same tendency
to weak ness in the mucous membranes. No tendency to repair;
no tendency to recover. He goes on from bad to worse, with a
catarrhal condition of the larynx and trachea. Hoarseness and
rawness from talking, worse afternoon and evening.
He is obliged to clear his throat so, many
times in the evening that the larynx becomes raw and sore. Let
me tell you another thing about the Materia Medica. Most of
the provers were laymen, and hence there is some confusion of
terms in the provings. This the physicians must see.
Irritation in the throat from coughing nearly always means
irritation in the larynx, though the prover said "throat."
Now here is an expression,
"obliged to clear his throat so often in the
evening that the larynx becomes raw and sore."
Clearing the throat would not make the larynx
sore.
Scraping the throat does not scrape the
larynx; but he is obliged to clear his larynx so often that
the part feels raw. Ulcerative pain, scraping and titillation
in the larynx. Irritation in the larynx causing sneezing.
Laryngeal phthisis. This catarrhal condition and lack of
repair in the larynx goes on so long that tuberculosis
begins.
Whooping cough:
Carbo veg. is one of the greatest medicines we
have in the beginning of whooping cough. Its cough has all the
gagging, vomiting and redness of the face found in whooping
cough. It is one of our best medicines when the case is
confused; when the cough indicates no remedy or when it
remains in a partially developed state.
A dose of Carbo veg. in such cases will
improve matters very much, and minor cases of whooping cough
may be wiped out in a few days. When the remedy does not cure
permanently, it brings out more clearly the symptoms calling
for another remedy. Most cases of whooping cough, in the care
of a homoeopathic physician, will get well in a week or ten
days under a carefully selected remedy.
When allowed to run, they continue a long
time, gradually increasing for six weeks, and then declining
according to the weather. If it is in the fall, the cough will
sometimes keep up all winter; so whooping cough furnishes an
opportunity for the homeopathic physician to demonstrate that
there is something in Homoeopathy.
Respiration:
The Carbo veg. patient suffers very much from
difficulties of breathing. Suffocation; cannot lie down. A
feeling of weakness in the chest, as if he could not get
another breath. Sometimes it is due to cardiac weakness, and
sometimes to stuffing up of the chest. The latter is most
common. Sometimes the difficulty is asthmatic. The remedy
cures asthma. We will see the patient propped up in a chair by
an open window, or some members of the family may be fanning
him as fast as possible.
The face is cold, the nose pinched, the
extremities cold and he is as pale as death. Put the hand in
front of the mouth, and the breath feels cold. The breath is
offensive; putrid. The extremities are cold clear to the body;
not only the hands, but the whole upper extremities; and not
only the feet, but the limbs clear to the body, are cold. The
body only feels warm; even the skin is cold.
Carbo veg. has a rattling cough with retching
and vomiting. A morning cough, with much rattling in the
chest; the chest fills with mucus, and on endeavoring to
expectorate he coughs and gags, or coughs and vomits. At any
time during the day a peculiar choking, gagging, retching
cough may develop from the mucus in the chest. He cannot get
it up; it is tough, purulent, yellow and thick.
Greatly reduced vitality; great relaxation;
worn out persons, old people. Persons worn out from coughing
or from prolonged exertion. Prostration. Catarrh of the chest,
with copious expectoration. At times there will be a hard, dry
hacking cough, but finally, after prolonged coughing, it
commences to loosen and he throws up great quantities of
mucus.
A dry, hacking cough, yet there is rattling in
the chest, and the cough does not seem to do any good. He
seems to cough and become exhausted, sweats and strangles. It
seems as if he would suffocate with the cough.
Finally he succeeds in getting up some mucus,
and the follows mouthful after mouthful of thick purulent
expectoration. Frequent attacks of spasmodic cough in violent
paroxysm lasting for many minutes, sometimes an hour.
Cold sweat, coldness and pinched appearance of
the face. This increases as he goes into the paroxysm of
coughing. His face looks haggard, so distressed does he become
while in a paroxysm of coughing. This state is present in old
phtisical cases, in the advanced stage, when they are
incurable. Under such circumstances Carbo veg. furnishes an
excellent palliative.
It seems to strengthen the muscles of the
chest so that the patient can expectorate better. It mitigates
the cough; the gagging and retching and dyspnoea are relieved,
and he is temporarily improved. It is a wonderful palliative
in many incurable conditions with dyspnoea and weakness of the
chest. In Bright's Disease, in phthisis, and in cancerous
affections Carbo veg. stops the violent symptoms and mitigates
greatly.
This remedy is one to begin whooping cough
with. It simplifies the case greatly, and sometimes cures it
in a few days. The patient coughs until the chest is sore, as
if he had been beaten all over the chest.
All night he has paroxysms of coughing. He
sleeps into a paroxysm of, coughing, like Lachesis. He rouses
up from sleep with coughing, gagging, sweating and
suffocation. He will go two or three hours without a paroxysm,
and then on comes one that will last an hour. He has two or
three hard paroxysms of coughing during the night. He
commences to fill up, he hears the rattling breathing and he
knows that before long he will have a hard time of it.
This goes on and on, to the end of his life in
asthmatic cases-what is called "humid asthma".
Real humid asthma comes on in persons who
suffer from contractions of the small bronchial tubes, so that
even at the best there are little whistlings in the chest.
Every time such patients take cold their whistling increases.
They expectorate mucus, at first copious, then
tough and finally purulent. During all this there is great
asthmatic dyspnoea. Carbo veg. is an excellent remedy in all
those cases of asthma where the shortness of breath is so
marked that there is only a partial oxidation, as a result of
which he suffers much from occipital headache and wants to be
fanned.
Old cases of recurrent asthma. Every time
there comes a warm wet spell his asthma comes on. It is common
for Carbo veg. asthma to come on in the night. He goes to, bed
without warning of an oncoming attack, only. He says,
"I don't like the weather;" and he wakes up
with asthma.
He wakes up suffocating, springs out of bed
and goes to the window or wants to be fanned. Carbo veg.
required in old, badly-treated cases of pneumonia, with a
remaining bronchitis; in cases where there has been
hepatization that was not cleared up, and there are bad places
in the lungs and bronchial tubes, with weakness of the chest.
Weakness of the chest when coughing. He feels
that there is not enough force in the muscle of the chest to
get up a good cough, or to help him carry on the breathing.
Pneumonia, third stage, with foetid expectoration, cold
breath, cold sweat, desire to be fanned.
Threatened paralysis of the lungs. This is a
combination of clinical states that the remedy covers well.
Sometimes these asthmatic cases go on for a while, and then
comes an infiltration of tubercle. If Carbo veg. can be given
early it will prevent infiltration.
There is pain in the chest, and burning.
Burning in the lungs; burning in the sides of the chest;
burning with the cough; burning behind the sternum - the whole
length of the trachea; burning aggravated when coughing; a
sense of rawness even when breathing. He feels a load upon the
chest, an oppression, a great weight. These are the various
words that he uses, all descriptive of the same thing.
Heart:
The heart comes in for a great deal of trouble.
It appears to be struggling. Of course it is the venous side
of the heart that is in distress. The veins are engorged. it
is a venous condition of the whole patient; the veins are
performing their labor with great difficulty. A state of
relaxation, struggling, and there are orgasms of blood -
described by some of the authors as an orgasm, by others as a
tumultuous action of the heart felt throughout the
body.
Pulsation felt all over the body. Flushes of
heat mounting upwards, ending in a sweat. Suitable, sometimes
for women at the turn of life. Especially suitable to persons
in advanced years.
Carbo veg. complaints come on in a weakly
state in young people as if it were a premature old age in the
middle-aged people; or in the breaking down that naturally
belongs to old age. It is a great comforter for aged people
with enlarged veins, or fullness of the veins and coldness of
the extremities. Oozing of blood, with palpitation tumultuous
action of the heart. The pounding goes on like a great
machine, shaking the whole body.
The pulse is almost imperceptible. It seems as
though the volume of blood ought to be tremendous, but it is
not. Weakness of the whole vascular system. Pulse irregular,
intermittent, frequent. Blood stagnates in the capillaries.
Complete torper; impending paralysis of the heart. Burning in
the region of the heart. With this there is an awful feeling
of anxiety in the chest - in the region of the heart as if he
were going to die, or as if something were going to happen. He
feels that tumultuous action and tires out under it.
In going over the remedy I have said so much
about the limbs, their coldness and the cold sweat, that I
have practically covered most of the symptoms that belong to
the extremities. Carbo veg. is an excellent remedy for the
general constitutional disorder where there arc indolent
varicose ulcers upon the lower limbs - the legs above the
ankles.
There is no activity in these ulcers; thin
watery discharge or it is thick. bloody and ichorous. Burning
indolent ulcers; varicose, ulcers; swelling of the limbs. A
gangrenous state from the extremely feeble circulation.
Gangrenous condition such as old people have,
senile gangrene. The limbs wither; the toes and lower parts
wither and look dusky. There are blisters upon them and they
ooze a bloody, watery fluid. Burning like fire. Loss of
sensation. Stiffness in the joints. Excoriating sweat between
the toes, and numbness. Numbness in the limb lain on. If he
lies on the right side, the right hand gets numb. It he turns
over on the left side, the left arm gets numb.
The circulation in the part is so feeble that
if there is any pressure the part becomes numb. The surface is
cold. The extremities are cold. He is indolent, weak and
always tired, with an aversion to mental and physical work.
Every little exertion brings on a feeling as if he would faint
and collapse.
The sleep is full of dreams. He wakes up with
dyspnoea, wakes with cold limbs, especially cold knees. Legs
drawn up during sleep. Unrefreshed after sleep. The dreams he
has are the kind that most of these patients have where the
remedy acts so violently upon the veins, upon the basilar
portion of the brain, and upon the voluntary system. They are
awful. He dreams of fire, burglars, fearful and horrible
things.
Anxiety, restlessness and congestion of the
head prevent his going to sleep. Rush of blood to the head.
His head feels hot, but to the hand the skin feels cold. The
inner chest feels as if burning, but the outer chest feels
cold to the hand. So it is in the abdomen. The feeling of
internal heat and burning, with external coldness, is a common
feature of Carbo veg.
The fever is violent; it has a violent rigor
or chill. Of course during the chill he is cold, but there is
one strange feature, he wants cold water during the chill, and
when the fever comes on he has no thirst.
That is strange; it is uncommon. It is common
for patients to be thirsty when they are hot with fever, and
when cold not to ask for water. It is common not to ask for
water during sweat. But in this patient you observe coldness,
rigor, cold breath, and even in the chill sometimes a cold
sweat, and you say that it is peculiar that he drinks so much
cold water. It is strange; it is uncommon; rare. Hence it is
one of the strong features of Carbo veg. febrile
conditions.
With the chill of this remedy one side of the
body frequently feels in its natural state of heat, that is,
naturally warm, while the other side, is cold. One-sided
chill. Chill with icy coldness of the body. Chill with great
thirst. Sweats easily, especially about the head and face
Exhausting night or morning sweats. Sweat profuse, putrid or
sour.
Low forms of fever like yellow fever, and a
very low type of typhus and typhoid fevers. After the fever
has somewhat subsided he has prolonged cold spells with lack
of reaction. He does not seem to rally, but he is cold, his
knees are cold, his breath is cold, cold sweat, a sort of
paralytic weakness. Cadaveric aspect of the face. Cyanotic
face. Coldness of the limbs.
Yellow fever in the last stage, the stage of
haemorrhage, with great paleness of the face. Violent
headache, trembling of the body, collapse with cold breath,
cold sweat, cold nose. Nose and face pinched. Vital powers
very low, tells a great deal of the story of Carbo veg.
Lack of reaction after some violent attack,
some violent shock, some violent suffering. In weakly persons
who give right out, with dyspnoea, coldness, copious sweat,
exhaustion, collapse and cadaveric aspect, Carbo veg. must
be*given.
Carbo veg. is indicated after surgical shock,
when the patient goes into collapse, and is in danger of dying
from the shock of the operation. This is before inflammation
sets in, for there is not vitality enough to arouse an
inflammation. The heart is too weak to establish reaction
enough for an inflammation. Inflammation comes after a
reaction. But if reaction does not take place, Carbo veg. is
one of our most important remedies.

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