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-JAHR Georg Heinrich Gottlieb
The Homoeopathic Therapeutics of Diarrhoea: Dysentery, Cholera Morbus, Choleera Infantum and All Other Loose Evacuations of the Bowels

Diarrhoe

Description of disorder:
A too frequent and copious discharge from the bowels, frequently accompanied with pain in the stomach, nausea or vomiting, rumbling in the bowels, coldness, and in severe cases with burning pains, violent straining, extreme weakness, and even fainting. Sometimes diarrhoea is salutary, and sometimes dangerous; sometimes lasting only a few hours, and sometimes months or years; and may be caused by bilious or gastric difficulties, cold, impure air and food, mental emotions, etc.
Bilious Diarrhoea. -See under Bilious Attacks.

Diarrhoea from a chill or cold :
Medicinal treatment:
Arsenicum album
In very severe cases with violent colic pains. See under Diarrhoea with Colic, and Violent Diarrhoea.
Dose. -Two drops in a dessertspoonful of water every half hour or hour.
Bryonia alba
If in the heat of summer, or from cold drinks.
Dose. -Two drops in a dessertspoonful of water every four or six hours – a teaspoonful for a child.
Dulcamara
Is a prominent remedy in simple cases arising from cold, even if there is colic.
Dose. -As Bryonia.
Mercurius corrosivus
In more severe cases than Dulcamara, or if the stools are of a dysenteric character, or there is much chilliness and shivering.
Dose. -Two drops every three hours in a little water.
Accessory treatment
The patient should remain quiet, or even lie down, and be kept warm. A little cold brandy and water, or a few drops of strong solution of camphor on lump sugar will frequently be beneficial, especially at the commencement. The diet must consist of light and unirritating foods – rice boiled in milk, sago, barley-water, arrow-root, gruel, etc., beef tea, and a little mutton or other light animal food, but no vegetables or fruits.

Chronic diarrhoea :
Medicinal treatment :
Phosphorus
If with painless evacuations, or debility and emaciation.
Dose. -Two drops in a dessertspoonful of water every night and morning.
Sulphur:
Is useful in all obstinate cases.
Dose. -Two grains repeated as Phosphorus.
Accessory treatment:
Care must be taken to live temperately, to avoid foods of difficult digestion, to let the diet be unstimulating but nutritious, to avoid raw fruits, unwholesome vegetables, or acids; and to take mutton-broth or beef-tea without fat, meat jellies, calves’-feet jelly, rice, stale bread, biscuit, etc., and a little wine and water. Moderate exercise should be taken, and change of air is frequently advisable.

Diarrhoea with colic:
Medicinal treatment
Arsenicum album
If there is violent diarrhoea, with great pain and weakness, or occurring after eating and drinking.
Dose. -Two drops in a dessertspoonful of water every hour – a teaspoonful for a child.
Chamomilla
When the colic is very severe and the evacuations are like stirred-up eggs. See under Colic from a Chill.
Dose. -As Arsenicum, repeated every one, two, or three hours.
Colocynthis
If there is bilious or watery diarrhoea with severe cramp-like pains. See under Colic or Diarrhoea, under Indigestion.
Dose. -As Arsenicum.
Mercurius corrosivus
If there is much chilliness, or if the stools are of a dysenteric bilious character, or if there is colic and griping, with straining after an evacuation.
Dose. -Two drops repeated as Chamomilla.
Pulsatilla pratensis
If the stools are mucous or watery, or the diarrhoea arises from a disordered stomach.
Dose. -As Chamomilla.
Veratrum album
In diarrhoeas resembling cholera, or when there is great debility with severe cutting pains.
Dose. -As Arsenicum.
Accessory treatment
This form of diarrhoea is often salutary. The feet should be kept warm, and hot fomentations applied to the abdomen. Simple warm gruels, and light, mucilaginous drinks may be given. In severe cases, five drops of strong solution of Camphor on a lump of sugar may be taken and repeated in a quarter of an hour with much benefit.

Diarrhoea from disordered stomach :
Medicinal treatment:
Pulsatilla pratensis
Will mostly relieve.
Dose. -Two drops in a dessertspoonful of water every four or six hours.
Accessory treatment
A spare, light diet must be observed. See under Indigestion.
Diarrhoea of infants or children
(Generally caused by a chill, acidity, derangement of the stomach, or some emotion of the mind. See

Diarrhoea during Teething):
Medicinal treatment :
Chamomilla
In ordinary cases of diarrhoea in infants, especially if of a greenish, bilious character, or attended with colic, or arising from a chill.
Dose. -Four drops mixed with four teaspoonfuls of water, and a teaspoonful given every two or three hours.
Ipecacuanha
If occurring in the heat of summer, or if it arises from overloading the stomach, or is attended with vomiting.
Dose. -As Chamomilla.
Rheum palmatum
If there is much acidity with sour-smelling stools.
Dose. As Chamomilla.
Accessory treatment
The child must be kept warm, and the diet should consist of rice, baked flour, boiled milk, or light broths without fat. If very severe, change of air or sea-air may be beneficial.

Diarrhoea after or during a meal :
See under Indigestion.

Diarrhoea from mental emotions:
Medicinal treatment :
Chamomilla
If from anger or passion.
Dose. -Two drops every four hours in a little water.
Ignatia amara
If from grief.
Dose. -As Chamomilla.
Opium
If from fright.
Dose. -As Chamomilla.
Accessory treatment
See under Diarrhoea from a Chill.

Painless diarrhoea :
Medicinal treatment
China officinalis
Should be given in most cases.
Dose. -Three drops in a tablespoonful of water every four or six hours.
Phosphorus
See under Chronic Diarrhoea.
Accessory treatment
See under Chronic Diarrhoea.

Diarrhoea during pregnancy:
(Diarrhoea during pregnancy may produce prostration or induce miscarriage).
Medicinal treatment
Chamomilla
Should be given first.
Dose. -Two drops in a dessertspoonful of water every four or six hours.
Pulsatilla pratensis
If Chamomilla does not produce the desired effect.
Dose. -As Chamomilla.
Accessory treatment
Perfect rest, a light diet and but little at a time, keeping the feet warm and the abdomen well covered with flannel, are necessary in this form of diarrhoea. See under Pregnancy.

Diarrhoea during teething :
Medicinal treatment
Chamomilla
See under Diarrhoea of Infants.
Ipecacuanha
Is useful in some cases of diarrhoea during dentition. See under Diarrhoea of Infants.
Mercurius solubilis
If there is much straining after each evacuation.
Dose. -Two grains to be mixed in half a small tumbler of water and a teaspoonful given every two or three hours.
Accessory treatment
The food may be changed, and baked flour, boiled milk or rice, may be given; but great care must be exercised to avoid arresting too suddenly the diarrhoea during dentition. Keep the child warm and dry.

Violent diarrhoea :
Medicinal treatment
Arsenicum album
If attended with violent pain, or great weakness, or vomiting. See under Violent Vomiting.
Dose. -Two drops in a dessertspoonful of water every half to two or three hours.
Veratrum album
If there is frequent and violent diarrhoea, and extreme weakness during stool. See under Diarrhoea with Colic.
Dose. -As Arsenicum.
Accessory treatment
The strength must be maintained by a nutritious diet. Strong beef tea, essence of meat, etc., given frequently in small quantities, together with a little wine or cold brandy and water; perfect rest must be enjoined.

Diarrhoea with vomiting:
Medicinal treatment
Arsenicum album
See under Violent Diarrhoea and Vomiting.
Ipecacuanha
Is a useful medicine in less severe cases than Arsenicum or Veratrum are given for. See under Vomiting of Food.
Iris versicolor
When attended with colic and flatulence, and watery mucous, or green stools, or vomiting of acid, bitter, bilious matters. See under Bilious Vomiting.
Veratrum album
See under Violent Diarrhoea and Vomiting.

Diarrhoea with weakness:
Medicinal treatment
Arsenicum – Phosphorus (See under Chronic Diarrhoea).
and Veratrum are the best remedies. See under Violent Diarrhoea, etc.

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