Granatum

Punica Granatum, L.

Natural order, Granatese. Common names, Pomegranate, Le Grenadier.

Preparation, Tincture or trituration of the bark of the root.

Aidhorities. (1 to 9 from Dr. J. O. Muller’s arrangement, Hygeia, 10, 137): 1, Dr. J. O. Muller, 31 years old, took 10 drops of tincture daily; 2, R. Weinberger, aged 28, took same; 3, a student, aged 22, took same; 4, a girl, aged 19, took same; 5, Breton, Med.-Chir. Trans., xi, part 2, p. 30, effects of decoction given for tapeworm (eight cases); 6, Gomez, Journ. Complera. du Diet, des Sciences Med., xvi, pp. 24-33, effects in fourteen cases of worms; 7, Delandes, Froriep’s Noticed, xii, p. 74, several cases of worms; 8, Krajcek, Diss. de Punica Granat, 1831, experiment on self with large doses of the infusion, etc.; 9, Bourgeoise, Biblioth. Med., 1834, effects in thirty-four cases of worms; 10, Dr. J. O. Muller, Zeit. f. Ver. Oest., 1, p. 45 (1857), effects of 10 drops of tincture in a girl of 18; 11, same, effects of 10 drops of tincture in a man, aged 40.

Mind

Emotional. Easily excited disposition

Excitement and weakness of mind, tranquillity and persistency

Hallucination of mind

Sad, melancholy mood,b

Despondent and discouraged

(Habitual melancholy), (Case 2)

(Hypochondria), (Case 6)

Hypochondriac thoughts

Great sensitiveness

Inclined to get angry at offences

Inclined to criticize and blame

Intellectual, Mental confusion ; obscuration in the brain

Want of memory (forgot to say mass), (Case 6)

Stupefaction

(Stupefaction, with great appetite), (Case 13)

(Stupefaction and diarrhoea), (Case 14)

Slight stupefaction

Head

Confiisloht CiyuX Vevtigo. (Long-lasting confusion of the head)

Vertigo, like a dimness before the eyes

Vertigo, in the morning, immediately on rising from bed

(Vertigo at night) (Case 12), (in a woman of 30)

Vertigo, when reading, reflecting, and on mental labor

Vertigo, after stool

(Vertigo and stupefaction)

Vertigo, with disturbances of the stomach (Case 8, in a man of 30)

Vertigo, nausea, painful sensation in the abdomen, and slight vomiting, with a feeling of great weakness (Case 2)

They were attacked with vertigo and nausea, looked hollow-eyed and pale, the features were drawn, frequently changed color, and could scarcely keep up on account of weakness (effects of large doses for tapeworm in nine individuals)

Vertigo and weakness (Cases 3 and 4, two boys of 7 and 10)

(Frequent vertigo and trembling) (two cases))

Attacks of violent vertigo, with obscuration of vision, roaring in the ears, and trembling of the hands, so that he could scarcely write

General Head. Heaviness of the head

(Heaviness of the head)

Heaviness of the head, with dread of -work

Heaviness of the head, redness of the face, acceleration of the pulse, and weakness

(Headache)

Headache, with great weakness (Case 2)

Chronic headache (Case 6)

Pressive headache in the whole brain, especially in the forehead, while walking

Sticking headache, on moving

Very transient sticking pain through the Forehead. Heat in the forehead, in the evening

Pain in the forehead, with shivering

Pain in the forehead, so violent that she could scarcely look up

Pressure in the forehead and left temple, with confusion of the head *._Pressure and tearing in the forehead, extending towards the temples, and then becoming a tearing from within outward

Pressure in the 'forehead, like a heaviness,Pressive pain in the left frontal eminence

Pressive stupefying pain in the sinuses of the forehead and upper jaw

Sticking frontal headache,^®. Stitches beneath the left frontal eminence

Stitches extending outward at the forehead

Tearing in the right temple, extending into the eye of the same side

Vertex. Heavy pain in vertex

Parietals. Tearing in the right side of the head

Tearing jerking in the right side of the head,h

Pressure in the occiput, during stool

Pressure in the occiput, with hot ears

Pressure extending from the brain into the left occipital protuberance

Eyes p. 461

Objective. Pale-blue dirty rings about the eyes

Yellow sclerotics

Slight inflammation of the eyes, as in catarrh

Dryness and burning in the eyes

Tearing in the right eye, which seems red and swimming in tears (second day)

Lids. Opening of the lids contracted (second day)

Jerking of the right lid

Burning in the canthi of both eyes, with slight redness

Itching in the inner canthi

Burning itching in the external canthi

Pupils dilated (after one hour)

Pupils dilated, sluggish

FiTsioji. Pupils contracted (after ten hours)

Weak vision

Dimness before the eyes

(Trembling before the eyes, with dilated pupils), (Case 14)

Efir. Cramplike pain in the ears, obstinate and repeated on several days

Pain in both ears, like a sticking from within outward, especially in the left

Stitches in the left ear,\-j-Tearing in the left ear

Stickingteariug pain in the left ear from within outward, at night

Heariuy. Ringing in the ears (Several).

Roaring before the ears,®. * ^ose.

Dry, alternating with fluent catarrh

Dryness of the mucous membrane of the nose (first day)

Heat within the nose

Violent itching-crawling and tickling in the nose (Several).

Face p. 461

Objective. Redness and heat of the face, with sparkling eyes, heaviness in the forehead, and slight oppression of the chest

Transient redness of the 'face

Yellow color of the face

Earthy, sickly color of the face

Sunken features, very sick feeling, prostration (when taken for tapeworm)

Subjective. Heat of the face

Heat of the face, during stool

Glowing heat of the face, in the evening

Tearing in the left half of the face

Cheeks. Heat and bluish redness of the right cheek

The right cheek seems swollen

Pinching pain in the left cheek and side of the face

Pinching pressure, extending from the root of the nose into the right zygomatic region, as if internal in the raucous cavities

Painful cracking in the articulation of the jaw, when chewing, as if dislocated

Feeling of numbness in the jaws

Pinching in the left ramus of the jaw',®.

Tearing, tension, and pinching in the joints of the jaw, especially in the left

Lips. Dryness of the lips

Burning on the “crown of the lower lip, as from a glowing coal

First biting, and then burning of the lips

Mouth p. 461

Teeth. Grinding of the teeth, during sleep (in a girl of 6, who suffered from pain in the stomach, and had a sickly look in the face), (Case 9)

The teeth seem too long when biting upon anything hard

Toothache in the morning, immediately on rising from bed

Pain in the incisors only, as if numb

[HO.] Stitches in incisors, preceded by slight drawing

Violent fine stitches in the front teeth ; stitches in the incisors at night in bed

Tearing-throbbing pain in an upper hollow molar

Tongue. Coated tongue

Tongue moist, coated white

(Moderate dryness of the tongue, with a feeling of adstriction of the papillae)

General JULouth. Astringent feeling in the mouth and fauces

Saliva, (Salivation)

Accumulation of muchsvatery saliv'a in the mouth

The mouth is full of saliva the whole day, obliging spitting (Several). (Accurauiation of tenacious saliva in the mouth)

Increased accumulation of tenacious mucus in the mouth, with need of constant spitting

Taste. Acuteness of taste at one time increased, at another blunted

Taste very much altered

Flat, sweetish taste ; saliva accumulates in the mouth, with nausea and pain in the abdomen

Throat p. 462

Objective. Tough mucus collects in the choanse, which causes a sensation of a lump there (after several days)

Much hawking of mucus

Hawking of bloody mucus through the choanse

Subjective. (Contraction of the throat)

Tearing in the throat, extending to the arms and fingers

Stomach p. 462

Api^etite. Increased appetite

Great appetite (Case 9)

(Hunger, early in the morning in bed)

(Incessant hunger), (Case 2)

Unusual hunger (Several).

(Ravenous hunger), (Case 11)

(Desire to eat immediately after a meal), (Case fi)

Craving for a variety of things

Craving for juicy or sour things

Craving for fruit

Great craving for coffee, which has an unusually good taste

Loss of appetite (Several).

Anorexia, coated tongue, sensitiveness of the precordial region and a stupid feeling

Appetite destroyed

Aversion

Aversion and pain in the abdomen

Aversion and disgust for food, with coated tongue

Appetite very variable

Appetite at one time diminished, at another ravenous

Aversion soon before eating; anorexia; sometimes ravenous hunger

Thirst. Great thirst for water, in the evening, with increased temperature of the skin, and especially with a hot forehead

Want of thirst

(Eructation. Eructations, nausea, and pain in the stomach

Many eructations and uprisings, especially after eating potatoes

Uprisings; after liquid food, and especially after potatoes

Almost constant loud eructations, chilliness, and salivation

Eructations of air

Eructations of air, day and night

Frequent eructations of air

Very frequent eructations, variable appetite, and pain in the abdomen (Case 12)

Many loud eructations of air

Offensive eructations, after eating fat food

Eructations of liquids into the mouth

(Uprisings of watery substances, especially when fasting)

(Nausea and Von tin<f. Nausea

Nausea in the stomach

Before diarrhoea, nausea, pain, and fermentation in the abdomen

Nausea, followed by vomiting three or four times, vertigo, and weakness

Nausea and pain in the abdomen (Several).

Nausea, pain in the abdomen as from a purge (Several).

Nausea, for several hours, with great weakness and trembling

Nausea, constant chilliness, cold hands, and hot forehead

Nausea, accumulation of water in the mouth, frequent spitting, pain in the stomach and abdomen, fermenting in the abdomen, frequent ineffectual urging to stool, chilliness, sickly look, and ill-humor (Several).

Nauseated and weak, the ivhole day (Several).

Qualmishness (Several).

Qualmishness, with confusion of the head (second day)

Inclination to vomit

Inclination to vomit, with loud retching (second day)

Inclination to vomit (she thinks she would feel better after vomiting), (second day)

Vomiting _ (Vomiting at night)

(Vomiting, anxiety, and sweat), (Case 3)

Vomiting and excessive anxiety

Vomiting and vertigo,'._Vomiting and diarrhoea (Several).

Vomiting and trembling

Vomiting, weakness, and perspiration

Stomach. Distension of the epigastric region, with sensitiveness

(Bad digestion)

Anxiety about the stomach (Case 7)

Sensation of a body rising up in the stomach (Case 11)

Heaviness in the pit of the stomach

(Pain in the epigastrium)

Pain in the stomach, and in various places in the abdomen

Transient pain in the epigastrium, immediately (Case 5)

Burning in the pit of the stomach and abdomen

Cramp in the stomach, in the morning, fasting

Pressure in the pit of the stomach and on the chest

Pressure and very sick feeling in the pit of the stomach

Sticking in the stomach

Abdomen p. 463

Hypochondria. Stitches in the left hypochondrium (Case 1)

Umbilical. The navel is distended to a ball, like an umbilical hernia

(Pain about the navel), (Case 7)

Griping about the navel

Twisting about the umbilical region and in the stomach

Sticking pain, as from suppuration, near the left side of the umbilicus

(Stitches about the navel), (Case 5)

Frequent stitches between the stomach and umbilicus (Case 2)

General Abdomen. (Abdomen distended), (Case 3)

Abdomen distended and painful, with ravenous hunger

Abdomen sometimes distended, sometimes natural (Case 2)

Great flatulence

Profuse accumulation of flatulence, and passage of it upward and downward

Movements of flatulence in the abdomen

Movements in the abdomen, as from diarrhoea

Profuse emission of flatulence

Fermentation in the abdomen (Several).

Uneasiness in the bowels, with grating of the teeth (Case 12)

Anxiety in the abdomen

Pain in the abdomen (Several).

(Pain in the alxlomen and loins)

Pain in the abdomen, most severe in the morning, fasting

Pain in the abdomen, after every meal

Pain in the abdomen, relieved by drinking cold Avater

Pain in the abdomen, relieved by external warmth and lying down

Pain in the abdomen and vertigo

Pain in the abdomen and salivation

Pam in the abdomen and nausea (Several).

Pain in the abdomen and diarrhoea (Several).

Pain in the abdomen, nausea, accumulation of ivater in the mouth, chilliness, and lying doivn (Several).

(Pain, Amaranth, heaviness, and unpleasant feeling in the abdomen)

Pain in the abdomen, with weariness of the lower limbs (Case 2)

Almost constant pain in the abdomen

Slight pain in the abdomen

Transient unsteady pain in the abdomen (Case 13)

Cramp in the abdomen, and dragging from the small of the back to the groins, followed by occurrence of menstruation

Griping in the abdomen (Several).

Drawing in the abdomen, like urging to stool (Several).

A sticking pain affects the abdomen, extending towards the precordial region

(Colicky pains)

Colicky pain in the abdomen ; a kind of contraction in the stomach and intestines

Slight colic

Flatulent colic

Sensitiveness of the abdomen

Hypo(fastriam, Drawing, dragging, and heaviness in the pelvis (Several).

Drawing inflammatory pain in the right inguinal region, aggravated by touch, lasting tAA’o days

An almost painful dragging towards the groins, Avith Swelling of the parts

Painful dragging towards the groins and uterus

Violent dragging in the inguinal regions, as if a hernia would protrude from both sides

Excessive dragging towards the inguinal regions

Rectum and Anus p. 463

Objective. Protrusion of the haemorrhoids

Protrusion of the anus, like a ring, during the stool

Subjective. Extremely distressing sensation, as if something alive Averse moving about in the rectum and anus

Heat in the rectum, after diarrhoea

Great pressure in the rectum

Violent stitches in the rectum, Awhile sitting

Intolerable itching and tickling in the rectum

Proctalgia

Violent stitches in the anus, in the evening

Itching and tickling in the amis frequently during the day (Several).

Burning itching in and about the anus, on the nates, perineum, scrotum, and on the hairy portions of the genitals, extending thence over almost the whole body, especially over the thick portions of the thighs

Internal desire for stool in the rectum,b

Urging to stool, xvith movements and Fermentation in the abdomen (Several).

Ineffectual urging to stool

Tenesmus, with protrusion of the anus with the usual stool,b

Stool p. 464

Diarrhoea. Diarrhoea

Diarrhoea,withnausea,b

Diarrhoea and griping in the abdomen,b

(Almost habitual diarrhoea),b

Mucous diarrlicea,b

In large doses, it is a drastic, causing diarrhoea and vomiting; in smaller doses of 10 drops of the tincture, it expedites the stool, causing slight diarrhoea; and in smaller doses of the 3d dilution and upwards, it is constipating

Profuse diarrhoea-like stools (Several).

Three to four stools

Three to four stools within an hour

Two liquid stools within an hour

Profuse stools, with much flatulence

Copious evacuations of a very dark color

Soft stool, preceded by griping in the abdomen

Some brown stools

(Discharge of worms)

(Discharge of ascarides), (in three cases)

(Discharge of round ivorms), (Several).

(Discharge of tapeworms)

(Discharge of a tapeworm enveloped in mucus, with watery diarrhoea), (in seventeen cases, from large doses)

(Discharge of two tapeworms and one round one, from large doses),b

Constipation. Stool delayed and insufficient (later action)

Urinary Organs p. 464

Inflammation and swelling of the urethra

Discharge of mucus from the urethra, a kind of blennorrhoea

Burning drawing, extending from the spongy portion of the urethra into the glans penis

Cutting and smarting in the urethra in the evening after lying down, with relaxed penis

Cutting in the urethra after micturition

Violent cutting and sticking in the urethra

Sexual Organs p. 464

Yellow leucorrhoea

Menstruation four days too early, and profuse, with griping in the abdomen and dragging in the small of the back, extending to the genitals

Sexual excitement

Respiratory Organs p. 464

Sighing and opj^ression of the chest (Several).

(Dyspnoea), (Case 12)

Chest p. 464

Many symptoms about the chest

Feeling of catarrh in the chest

(Pain in the chest, frequently severe)

(Long-lasting pains in the chest)

Violent tension and pinching in the left chest, begins just below the ribs and gradually extends higher up, with intermitting stitches

Pressure upon the chest

Great oppression of the chest and weakness of the lower extremities on ascending steps

Heaviness like a weight in the chest, followed by palpitation

Sticking in the chest, worse when walking, not influenced by respiration

Rheumatic drawing-sticking pain in the diaphragm, now here, now there

in the chest

Stitches in the middle of the chest

Pinching stitches in the pectoralis major muscles, extending towards the axilla

Front. Pressure from within outward through the sternum

Sides. Pain in the left side of the chest and in the spine at the insertion of the diaphragm

Painful sensation in the right side of the chest

Stitches in the right side of the chest

Stitches in the left side of the chest

Pinching contraction in the pectoral muscles, about the right nipple

Heart p. 464

Frcecordiurn. Anxiety in the precordial region (Case 12)

Sensitiveness of the precordial region

Heart’s Action. Palpitation on the slightest exertion

(Palpitation, lasting thirteen vears) (Case 10)

Neck and Back p. 464

Week. Rheumatic pain in the nape of the neck and throat, which makes stooping difficult

(Stitches in the nape of the neck and temples), (Case l Pain in the back (Case 2)

Backache, as from flatulence

DotsaJ, Pain between the shoulders (Cases 2 and 7)

Lumbar. Pain in the small of the back on the occurrence of menstruation

Pain in the small of the back, as if sprained, especially when sitting

Pain in the small of the back, as if beaten

Dragging in the small of the back down to the anus

Feeling as of a weight on the small of the back

Intolerable pains in the loins

Superior Extremities p. 465

Paralytic iveahiess of the arms

She could scarcely raise the arms

Arms feel paralyzed f

Rheumatic pains in the arms

Boring pain in the arms, extending to the fingers

Rheumatic drawing in the arms

Tearing in the arms, extending forward

Shoulder, ihe right shoulder, as tar as the axilla, is painful, as if bruised or beaten, especially on raising the arm

Violent bruised pain in the shoulders and between them, as after carrying a heavy load, even the clothing is oppressive; repeatedly observed

Forearm, Periodic drawing in the right forearm, relieved by external warmth

Tearing in the ulna at the wrist-joint

Tearing in the radius where it unites with the wrist

Cramplike tearing in the right forearm

Wrist, Rheumatic pain in the left wrist

Tearing in the wrists

Eiuf/ers, Paralytic stiffness of the fingers

Rheumatic pain in all the finger-joints

Stitches, as from a splinter, in the second joint of the thumb

Tearing in the fingers and stiffness of them, with tearing in the right temple

Tearing in the last phalanges of the fingers, especially of the ring finger

Tearing in the first joint of the thumb

Tearing in the fingers, so severe that she could not take hold of anything

Inferior Extremities p. 465

Objective, Special withering of the lower extremities

Weakness in the legs, especially xvhentvalking

Subjective, Uneasiness and weariness in the lower limbs, a leaden heaviness and prostration, so that he does not wish to move; he feels better sitting down, with the legs resting upon a stool

Eip, Pain in the hips

Pain in the hip, as if injured

Stitches in the left hip when walking

Knee, Paralytic drawing and heaviness in the knee, hindering walking

Stitching in the left knee,’; (Case 1)

Tearing in the left knee joint j.

Very painful tearings in the knees

Leg, (Weakness in the calves, when walking)

Ankle. Pain, as if from a sprain, in the left ankle, hindering walking, in the evening

Stitches in the left ankle ®.

Toes. Pains in the corns

Generalities p. 465

Objective. Emaciation

(Emaciation, with excessive appetite), (Case 2)

Rush of blood to the upper parts of the body, head, and chest

Trembling

Tremulousness in the morning

(Convulsive movements), (Case 10)

Laxity of the otherwise firm muscles

Great weariness and prostration, could scarcely keep upright (several).

Sleepy weariness, with confused pain in the forehead, as after a night’s debauch

(Weakness and anxiety), (Case 10)

Weakness and vertigo (Cases 3 and 4)

Weakness and weariness (several).

Weak and weary, even in the morning on rising, though the sleep had been good

Great weakness and trembling (Case 2)

She was scarcely able to keep upon her feet on account of weakness, and was obliged to seek her bed, but even there was unable to fall asleep on account of w^weariness and heaviness of the limbs

Great prostration, with feeling of heat in the hands

(Lypothymia), (Case 12)

Weak, sick feeling

Dread of working, with headache

Great discomfort and nan^sea (several).

He feels very sick, without fever or pain (Case 8)

All the symptoms better after dinner

Skill p. 466

Objective. Pimples on the forehead and left temple, with sore pain ; they suppurate, and on drying leave nodules behind

(Reappearance of facial erysipelas)

Subjective. Itching in the skin in various places in the face and whole body, as if pimples would break out; one was constantly obliged to scratch (several).

Intolerable biting and itching in the palms of the hands (several).

Itching biting on tbe balls of both thumbs, obliging him to rub them ; the balls became bluish-red, hot, and swollen, with distended veins, which form a bluish-mottled swelling, as if they had been frozen

Itching biting between the middle and ring fingers, and between the ring and little fingers, with red, hot hands

Formication down the arms

Itching on the forehead and eyebrow, obliging him to scratch

Violent itching on the backs of the hands, as if an eruption would break out (this occurred with the itching in the palms of the hands, and was repeated several times a day for five days, and was exceedingly annoying)

Scraping itching on the cheeks

Sleep and Dreams p. 466

Sleepiness. Yawning and stretching

Yawning, with filling of the eyes with water

Yawning, with qualmishness

Frequently repeated yawning

Violent, almost convulsive yawning, with stretching of the limbs, sleepiness, and creeping chills from the hips down the calves

Sleepy early in the evening

(Unusually sleepy)

Sleep^lessness. Falls asleep late

He only slumbers, cannot get sound asleep

Uneasy sleep, tossing about from one place to another

(Sudden waking from sleep), (Case 12)

Dveanis, If he only slumbers a little, he immediately has dreams, cries out, and w^akes up

Numerous and varied dreams in the night, so that in the morning she cannot recollect them

Night full of dreams (several).

She soon falls asleep and dreams the whole night

There is no minute in the night when he is not dreaming

Screaming in sleep at night

Fever p. 466

Chilliness. Chilliness

Chilliness, especially in the forenoon, but heat in the evening

Shivering over the scalp; the hairs stand on end

Shivering over the scalp in the open air, and in the lower extremities, with paralytic drawing in the right thigh

Shivering about the left side

Shivering over the back and gnashing of the teeth (Case 12)

Shivering over the left hip and abdomen, with pain in the left side of the forehead

Heat. Increased warmth and rapid pulse,®._ Slight increase of warmth, with rapid, hard pulse

Heat, especially over the legs; she is obliged to keep them out of bed

In the evening, on getting into bed, glowing heat over the whole body, with dryness of the tongue, without thirst

Dry heat over the whole body

Intolerance of warmth, desire for cold, in the evening

During diarrhoea, heat of the face

Heat, bluish redness, swelling, itching, tension, and crawling in the right cheek, as if frozen

Siveat, Sweat on the slightest motion

Sweat in the palms of the hands, at the same time with general chilliness, especially on the arms (second day)

Conditions p. 466

(Morning), Immediately on rising, vertigo; immediately on rising, toothache; early, in bed, hunger ; fasting<>-, cramp in stomach; tremulousness.

(Forenoon), Chilliness, etc._(Evening), Heat in forehead; heat in face; thirst, etc.; stitches in anus; after lying down, cutting, etc., in urethra; pain in ankle; on getting into bed, heat; intolerance of warmth.

(Night), Pain in ears; in bed, stitches in incisors; \omtmg

(Ascending steps), Oppression of diest, etc.

(Tai! food), Offensive eructations.

(A/"to- meals). Pain in abdomen.

(Mental j'aFor), Vertigo.

(Motmi), Sticking headache; sweat.

(Potatoes), Eructations, (Heading),\evigo.

Vertigo.

(Sitting), Pain in small of back.

(After ^00/), Vertigo.

(Walling), Headache; sticking in chest; weakness of legs; stitches in hip.

Amelioration p. 467

(Drinking cold water). Pain in abdomen.

(After dinner). All symptoms.

(Lying down). Pain in abdomen.

(Sitting and resting legs on stool), Heaviness, etc.

(External warmth), Pain in abdomen; drawing in forearm.