Aconite is generally considered to be the remedy par excellence in the early stage of fevers. But it is likely that it is not so useful in damp, humid places as in dry, intensely cold climates.
 Let us now see what KENT has to say about Aconite:
 ”Strong robust people, rugged children and infants become sick, not from a very slight cold, or from slight exposure, but from more violent exposure to the cold, north dry wind. This is the class of patients, the plethoric and vigorous, who have a strong heart active brain, vigorous circulation, and come down suddenly from violent exposure, that need Aconite…In plethoric children we have an illustration of that in the sudden congestion of the brain with intense fever, or with convulsions.”
 ”It is suited to complaints that come in suddenly from the very cold weather of winter, or from the intensely hot weather of summer.
 ”Never give Aconite in blood poisoning such as we find in Scarlet fever, in typhoid fever, etc. There should be no thought of Aconite in the slow coming continued fevers.
 ”The most violent attack of fever will subside in a night if Aconite is the remedy. If it is not it is a pity that you made a mistake in giving it, for it will sometimes do mischief.”
 H.C.  Allen has given a very succinct picture of Aconite:
 Causation: “Dry cold north or west winds, hot days and cool nights; getting wet (Dulc., Rhus.-t.); suppressed perspiration by uncovering or sitting in a draft; by fright; rheumatic exposure.”
 ”Chilly when uncovered or even touched; chilliness on the slightest movements, even by lifting of bed clothes (Nux-V.)”
 ”Coldness, with redness and heat of one cheek, coldness and paleness of the other (Cham., Ipec.)”
 ”Chill with one hot cheek, anxiety.”
 ”Body chilly, with red face, hot cheeks, hot forehead, and ear lobules.”
 ”High fever, with restlessness and anxious tossing about, nervous excitability.”
 ”Dry, burning heat.”
 ”Red face while lying and pale face and fainting when rising up.”
 ”Great thirst for large quantities of water; everything else tastes bitter.”
 ”Is rarely indicated, per se, as the remedy to cure. Cause often the characteristic indication, then it acts promptly and cures permanently.”
 POTENCY: Dr. T. P. Chatterjee suggests that in simple fevers, especially in winter, Aconite 3x should be given every hour until there is sweating, after which it should be stopped.
 Jahr was usually administering Acon. 30, three globules dissolved in half a tumbler of water, one teaspoonful every three hours.
 Dr. Hughes was using Aconite 1x while Ruddock recommends the 3x potency for domestic use.
 RELATIONSHIP: Ipec., Bry., Puls., Sep., and Sul., follow Acon. In pulmonary febrile affections.
 Coff. Is complementary to Acon. In fever.
 Abuse of Acon. Calls for Sul.

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– SMALL A. E.,
Range of Use. – Acute inflammation; rush of blood to the head; evil effects of fright or anger, or from a chill produced by a dry cold air; inflammatory bilious and nervous fevers; derangement of the mind in expectation of death; dizziness; first stage of croup, and the first stage of hooping-cough; measles; small-pox; erysipelas, and all the eruptive diseases; darting pains, aggravated or renewed by wine or other stimulants; pains and restlessness at night; painful affections, with thirst and redness of the cheeks; irritable; considerable languor and disposition to lie down; red, hot, shining swellings; rash; burns, and c., when attended with violent fever; inability to sleep; constantly restless; tossing about, and anxiety; dry heat over the entire surface of the body; heat; thirst; short breathing; quick pulse; redness of the face and cheeks; disposition to uncover oneself; chilliness soon after going to bed, or in the evening; attacks of feverish redness of the cheeks; severe thirst; inflammatory fevers, attended with quick pulse and great irritability; anguish, with apprehensions of death; trembling state of mind; bitter wailing; great tendency to start; sensitive and irritable; merry at times, vertigo, with reeling; darkness of sight, or nausea; fulness and sense of weight in the forehead, with sensation as though all the contents of the skull would issue through the forehead; sensation as if the senses were about to depart, with crampy sensation in the forehead, or above the root of the nose; great fulness of the head, with heat and redness of the face; dilated pupils; aversion to light; very painful inflammation of the eyes, with discharge of water; inflammation caused by foreign bodies penetrating into the eyes; red, hard swelling of the lids; intolerance of noise and humming in the ears; bleeding at the nose of plethoric persons; stoppage from cold; bloated red face; red cheeks; sweat on the forehead; pain in the teeth, caused by exposure to a sharp wind; throbbing on the painful side, with redness of the face; rheumatic pains in the face and teeth, and toothache after drinking some heating beverage; dryness of the mouth and tongue; tingling, burning and stinging on the tongue; spitting of blood; burning and stinging in the throat, with inflammation; bitter taste; loss of appetite; burning unquenchable thirst; inflammation of the stomach; pressure at the pit of the stomach as if from a weight; vomiting of blood; inflammation of the liver; sense of tightness; pressure and fulness of the bowels; pressure in the region of the liver; oppressed breathing; inflammation of the bowels; inflammation attendant on strangulated rupture, with vomiting of bitter bilious matter; watery diarrhoea, with flowing piles; urinary organs; inflammation of the neck of the bladder; difficult and scanty emission of urine; deep red hot urine, without sediment, or with a brickdust deposit in the vessel; pain in the testicles as if bruised; profuse menses, and fear of death during pregnancy; short dry cough, excited by titillation of the throat after midnight; bloody and slimy expectoration when coughing; influenza and sore-throat; short breath when sleeping; fetid breath; pleurisy; anxious, difficult and sobbing breat

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Aconitum napellus is a plant. The remedy prepared from it belongs to the acute miasm and is, in fact, the most acute of all our remedies.
The main feeling of Aconitum is of a sudden, intense threat from outside that comes suddenly and goes suddenly. For that moment the person, who is otherwise calm becomes intensely restless, panicky and nervous. This feeling of a sudden threat is seen in the fear of walking across a busy street, fear of accidents, of suffocation, in presentiment of death and in the delusion that he is about to die. Mentally this is expressed as a fear of death, anxiety and restlessness etc., while in the physical sphere, we find a racing pulse, palpitation and flushing of face alternating with paleness, etc.

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Aconitum is excitable. The patient can flare up suddenly, can get frightened very easily. Pain can drive him beside himself and again this excitement will be manifested suddenly and violently, with great restlessness – an acute panic reaction.
Great nervous excitability is the most important component of Aconitum. We must look for an excitable person and not a calm one, if we are to prescribe Aconitum – one who cannot take anything easy; everything excites him. Here it comes close to Nux vomica, Chamomilla, Staphisagria, Coffea and Graphites. But Aconitum is also very very restless. There is anxious restlessness. Pierre Schmidt feels it is the most important remedy for anxious restlessness. Nux vomica, Staphisagria, Coffea or Ignatia are not so restless. Aconitum just can’t sit still. He tosses about. This is similar to Arsenicum and Rhus toxicodendron, it is only much more intense, vigorous, sudden and acute. It is a sudden burst of excitement, fear or anxiety with great restlessness. He doesn’t know where to go or what to do, his mind is ruled over by tremendous anxiety and fear. Then this whole state disappears as suddenly as it had come without leaving a trace.
Aconitum avoids crowds, crossing the street, indeed any other situation that would cause excitement of mind. The proving reads: “Fear to go where there is any excitement”. Sudden, intense fear from trivial causes is characteristic. It is not the insecure feeling of Calcarea or the terror of Stramonium nor the anxiety about health of Arsenicum, Nitric acid or Kali arsenicosum. It is an intense, sudden, panic state – something severe – the end, death! The rubric “Predicts the time of death” is a combination of “Clairvoyance” with “Intense fear of death”. But as I said earlier, this is not the permanent state of Aconitum. Soon the excited state passes off and the normal state re-emerges.
But even in his normal state, Aconitum is hurried. As the proving reads: “He does everything in a hurry, runs about the house”. His speech is hasty, jerky and excited: “Great impatience”, “Wants things at once”, “On attempting to think of one thing, another thought intrudes, this is soon supplanted by another one and so on”.
Excitability can also make him cheerful, laughing, singing, dancing. But here too, the slightest trifle can change his cheerfulness to anxiety: “Alternate attacks of opposite states of humour”; “Fitful moods”. It is this cheerfulness of Aconitum that differentiates it from Argentum nitricum and Arsenicum. These phases of excitable cheerfulness are not seen in the later remedies.
He can at times become very irritable, violent, intolerant of contradiction, shrieking, censorious but will cool down soon. It is this sudden excitability that brings on such a state. There can also be episodes of intense sadness which pass off soon, accompanied by the anguish, restless, moaning and groaning of Aconitum.
There are also sleep symptoms: somnambulism and talking in sleep. Dreams are anxious and clairvoyant. Sleep is anxious, restless, with constant tossing and turning, and starting in sleep.
Aconitum is complementary to Sulphur.
Physical concomitants are
– Face expression, anxious, frightened.
– Thirsty, burning.
– Heat, palms.
– Discolouration red cheeks.
– Perspiration, uncovered parts, on.
– Desires: beer, bitter drinks, acids.
– Sleeps on back with hands under the head or sleeps in a sitting posture with head inclined forward, can’t lie on sides.
– Palpitation with great anxiety.
– Face, red-hot.
– Respiration oppressed.
– Limbs feel weak.
– Moaning, groaning, howling, loud whining or weeping;
– Easily startled by noise.
– Heat and discolouration, red, of face, in anxiety and excitement.
– Beside oneself, being.
– Beside oneself, anxiety from.
– Death, dying, feels as if.
– Excitement, nervous.
– Loquacity.
– Mood, changeable.
– Speech, hasty.
Besides himself, frantic, madness from pain.- –

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Syn.-Aconite, monkshood, wolfsbane.
N. O.-Ranunculaceæ.
N. H.-America, Europe, Asia.
Properties: Arterial sedative, anodyne, slightly diaphoretic.
Physiological action: The first effect of a physiological dose is a sense of numbness and tingling in the throat, tongue and lips. Respiration and the pulse are diminished and there is depression and weakness. If larger dose is taken, all of above symptoms are increased, pulse becoming more slow. If a toxic dose is taken the pulse will become irregular and slower, even as low as 40 beats a minute. Respiration may go as low as 12 per minute; there is a tingling sensation in the skin, dimness of sight, dizziness, skin gets moist and cool, burning in the throat and stomach, nausea, vomiting, loss or impairment of hearing and sight, followed by impairment of speech, dilated pupils, headache, muscular and gastro-intestinal spasms, death-like appearance of face, consciousness remaining until death results by syncope. Aconite is a powerful heart depressant, acting through the vaso-motor nervous system. It influences first the terminals of sensory then the trunk of the nerves, the heart, respiration and the nerve centers of the cord. It paralyzes the heart through the inhibitory centers. It paralyzes respiratory centers and functions of the spinal cord, first sensory then motor. Destroys reflex action and voluntary power by its depressing effect on the centers in the spinal cord. The cerebrum however it appears is not affected.

Indications: In sthenic fevers. Small, frequent, hard, sharp and quick pulse; dry and hot skin; secretion suppressed; light and frequent chills, chilliness up and down the spine; numbness and tingling in the throat.
Use: It is a heart sedative in sthenic fever when indicated. Its use must be discontinued after this stage is passed; also if there is evidence of feeble heart’s action or failure of nerve force. Aconite has a marked influence in acute inflammation of the mucous membranes, giving tone and power in the arterial capillaries and is opposed to blood stasis. It retards exudation, suppuration, adhesion, induration and hypertrophy. It hastens resolution and promotes absorption of inflammatory products. Under its influence the heart beats slower, pulse becomes fuller and mild diaphoresis is induced. We think of it in fevers in children, acute colds, measles, tonsillitis, bronchitis, pneumonia, pleurisy, peritonitis, gastritis, enteritis, dysentery, mastitis or any sthenic condition where indicated.

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– Wilhelm Karo.

Great anxiety and Fear.

Boiron Aconitum Napellus 200C 75 pellets
General Indications.
Acute diseases. High temperature, due to catarrhal inflammation, coupled with the greatest unrest and anxiety, fear of approaching death, sleeplessness with constant tossing about. Aggravation on the approach of the menstruation at night, in a warm.

Special Symptoms.
Profuse and protracted menses, menstrual flow with bright blood, readily coagulating. Amenorrhoea in young girls of sanguine temperament. Copious, tenacious, yellowish or bloody leucorrhoea, accompanied by great irritability, fear, giddiness. White, offensive discharge after suppressed menses.

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