Upas

Strychnos tiente. N. O. Loganiaceae. Tincture of the inspissated juice obtained from the root and bark.

Clinical

*Ainaaro8is. Blepharo-conjunctivitis. Convulsions. Coryza. Hangnails. Headache. Heart, palpitation of. Heels, pains in. Liver, affections of. Nails, affections of. Ptosis. Sciatica. Sexual excess. Spine, pains in. Tendo Achillis, pain in. Tetanus.

Characteristics

The Upas of homoeopathy is obtained from a Strychnos and must not be confounded with Antiaris toxicaria the concocted juice of which forms the '' Upas antiar " poison of the Javanese. 5. tiente IS a climbing shrub. Patet made a courageous proving of it, carrying it to the length of producing tetanic symptoms. A large proportion of the symptoms occurred in the head and eyes. A remarkable headache was this : " Superficial drawing pain traverses left temple from before backward, and ceases at outer angle of orbit ; the part is hot and painful to touch." The pains generally are pressive and lancinating. In the eyes there is pressure and feeling of a foreign body under the lids ; severe pains in orbits ; inflammation of the conjunctiva of the lids ; distorted vision. Drowsiness is a feature in Upas. '' Every morning weakness of the eyes with lachrymation, the lids being so heavy that they close involuntarily as if from drowsiness.'* Up. is chiefly a left-side remedy. There is pain in the left side of the throat as from a splinter on swallowing ; pain in left sciatic nerve ; in left iliac fossa. Sensitiveness is a note of the remedy : irritability, crossness, moroseness ; increased sensitiveness to cold ; the least irritation brought on spasms ; pressing in throat causing feeling of suffocation. Noteworthy symptoms are : Vertigo, ending in pressing headache. Twitching in brain and orbits. Pulsative headache with throbbing all over body. Smell of manure in nose. Sallow complexion was produced, and severe symptoms were felt in the liver and from the right lung to the liver (cutting as with knives). Itching in patella. Aversion to meat and eggs ; Uie very thought of them =1 nausea. The tongue is coated white so thickly that it can be scraped off. Left half of face red and hot, right half pale and cold. Peculiar Sensations are ; As if the brain were rudely shaken. As after sexual excess. As if a foreign body in eye ; as if sand in eyes. As if a splinter in throat on swallowing. As if a foreign body in oesophagus preventing swallowing. As if an iron hoop round waist preventing breathing. The sexual function was depressed, coition was followed by distressing symptoms, and many of the symptoms were such as occur after sexual excess. Great exhaustion after convulsive seizures. The s3miptoms are: < By touch (pain in left iliac fossa). < Pressure (throat). < By motion ; by walking. < Afternoon and evening. < Morning. > After rising. > Evening after dinner. > In open air (headache).

Relations p. 1474

Compare : Botan. ; spasmodic symptoms, Nux, Ign. Gouty pain, Nux. Lancinations in rectum, Ign. Exaggerated sensitiveness ; acid eructations, Nux. Foul smell in nose, Anac. Splinter pain in throat. Hep., Arg. n.. Nit. ac.

Causation p. 1474

Sexual excess.

Mind p. 1474

Depression. — Melancholy ; has to force tears back ; cold and repelling to friends. — M<M:ose ; cross ; irritable ; quarrelsome. — Sensitive- Great difficulty in concentrating attention.

Head p. 1474

Head muddled. — Vertigo as if falling ; ends with pressing headache ; great tendency to feel cold. — Severe twitchings in brain and orbits. — Pulsating pains all over head on waking, > in open air. — Constant doll tearing in fore-part of brain, r. side ; sometimes sharp shootings. — Very sharp, deep-seated shootings r. side of forehead. — Pulsatiog heaviness in forehead and through l. eye. — Pressure and drawing in both temples, < 1. ; part hot to touch. — Superficial drawing pain, which every few moments traverses left temple from before backward, and ceases at outer angle of orbit ; parts hot and painful to touch ; lasted all day, > next morning. — Heat of head with red face. — Shootings deep in brain and vertex. — In occiput : pressing inward pain; heaviness as after sexual excess. — Scalp numb.

Eyes p. 1474

Eyes sunken, bluish rings round them. — Pressure and dryness in eyes. — Sensation as if foreign body in eyes ; in l. eye ; pustule on inner surface of r. lid. — Eyes weak as after sexual excess. — Every morning weakness of eyes with lachrymation, lids so heavy they close involuntarily as if from irresistible drowsiness*<DtiU. pain in orbital and nasal bones. — Prolonged and violent lancinations under orbits.«-*Flow of Food from the eyelids. — Intense smarting itching on margins of lids and canthi. — Lachryma* tion. — Vision : dim, letters run together ; fog before eyes. — In open air dimness, and as if endless strings of white and transparent globules were floating in the air. — After rising from a stooping position, blackness before eyes, as if all the blood had rushed to the head, with vanishing of thought

Ears p. 1475

Tearings in ear cartilages. — Twitchings in cartilage near orifice (1). — Ears stuffed without affecting hearing.

Nose p. 1475

Violent fluent coryza towards and during evening.— First r. nostril then l. stopped up, changing every few minutes, preventing sleep. — L. nostril stopped and discharging greenish mucus.— Smell of manure in nose.

Face p. 1475

Yellow complexion. — Face red with hot head. — L. side face red and hot, r. pale and cold.

Mouth p. 1475

Tongue : dry, burning ; coated white ; so thickly it can be scraped off. — Unable to open his mouth to speak. — Blisters inside under lip towards 1. — Frequent itching in palate. — Increased saliva, which tastes sour. — Taste : sour ; bitter on root of tongue ; like old coryza.

Throat p. 1475

Hawking frequent mucus in morning cured in the prover. — Pains and acidity l. side throat on swallowing ; the acid sensation extends to l. ear. — Scraping burning soreness in throat ; cough with burning pain as if throat would burst; difficult expectoration of bronchial mucus. — Pain as from splinter in l. side of throat making deglutition painful, as if food were prevented passing into stomach by foreign body in oesophagus ; swallowing of fluids becomes difficult : pressing l. side of throat a sense of suff6cation. — Feeling of swelling of r. tonsil while writing.

Stomach p. 1475

Appetite totally lost — Aversion to all food, esp. meat and eggs, the mere thought of which as nausea.— Hunger, but first morsel satisfies. — Urgent thirst. — Eructations : bitter after meals, tasting of ingesta, all day ; violent, of wind. — Qualmish, as if going to faint. — In morning, while hiccoughing, pinching in a line with lumbar vertebrae.

Abdomen p. 1475

Pressing pain : in region of liver ; in liver. — Outpressing in l. hypochondrium. — Stitches in region of liver and r. kidney.- Much flatulency pressing against both hypochondria, breaking it gives no > ; flatus odourless. — Rumbling. — Sharp pains in l. iliac fossa, < drawing breath and by touch.

Stool and Anus p. 1475

Sharp colic in rectum > passing fetid flatus ; shortly after, soft stool, preceded by renewed colic. — Lancinations or slow pinchings in cellular tissue extending to rectum, r. side. — Two soft diarrhoeic stools daily. — Stools mushy, reddish, ending with brown jelly-like mucus. — Stool constipated, after much pressing, and insufficient; brown jelly-like mucus after stool.

Urinary Organs p. 1475

Pain in region of r. kidney during the night — Frequent urging to urinate, with burning in urethra at 8 a.m. — Urine scanty, evacuated with great effort, light red. — Urine dark like brandy.

Male Sexual Organs p. 1475

Erections and diminished desire.— Virile function depraved. — Coition accompanied by painful and enervating uneasiness, and followed by great depression for several minutes. — Itching of pubes.

Respiratory Organs p. 1476

Rooghiiass in air paa«agK.Hoarseness ; aphonia.*<-Dry cough, from soreness in larynx and trachea, < towards evening ; expectoration of colourless mucos.«-Ened breathing in morning. Inability to breathe deeply from sensation of iron hoop round waist

Chest p. 1476

Chest tight— Pinching drawing all round base of chest— Knife-thrusts through r. lung towards liver, stopping breathing. — Needlethrusts across chest behind L nipple. — Pinching l. side chest — Stitches throu r. lung, evening.

Heart p. 1476

After going to bed, severe palpitation and pulsation all over from vertex, where it is pulsative headache, to finger-tips.— While writing, severe palpitation and feeling as if r. tonsil swollen (which it is not). — Pulse : frequent ; weak, small, slow.

Neck and Back p. 1476

Painful stiffness of posterior muscles of neck, morning. — Pain in r. trapezius. — Burning in r. side of nape. — Feeling of stretching along spine. — Pressive and beaten feeling in spinal column, most in region opposite stomach.

Limbs p. 1476

Hangnails, which become inflamed ; itching and redness at roots of nails.— -Weakness.*— Numbness in hands and feet

Upper Limbs p. 1476

Pinching along back of nerves of L arm. — Drawings in r. wrist-joint— Painful drawing in joint of L middle ring-finger. — Sharp, deep-seated lancinating pains in palmar surface of l. middle finger.

Lower Limbs p. 1476

Pinching back of l. thigh along track of sciatic nerve.— Pains in knees ; under patellae, now one now the other. — Lancinations in l. calf. — Sudden cutting in l. tendo Achillis when stooping.— Violent and dull lancinations in L os calcis. — Dull pains in heels, chiefly L — Sharp pains in r. great toe-joint.

Generalities p. 1476

Clonic spasms of muscles of nape d neck or extremities, which were at one time extended, at another flexed, frequently repeated spontaneously on the slightest irritation, muscles relaxed completely in intervals. — Sudden jerking of whole body, followed by violent stitches in extensors and drawing back of head.— Great weakness after a paroxysm.— Uneasiness : in morning ; in afternoon. — Increased sensitiveness to cold ; pale face.

Skin p. 1476

Herpetic eruption : on upper lip, l. side ; under lower lip near l. commissure. — At inner border of l. wrist-joint intense and. obstinate itching, without eruption, > pressure.— Itching of pubes almost constant during several days.

Sleep p. 1476

Almost irresistible drowsiness in morning. — Restless nights ; unable to sleep before 2 a.m.

Fever p. 1476

Feels chilly very easily, passing shivers. — Shivering ; burning in palms after dark. — Shivering along spine and both arms. — Flashes of heat and redness of face and hands, evening after a meal, with drowsiness.— Night-sweat.