Lycopodium-Intestinal flatulency, with constipation, irresistible drowsiness during digestion are good symptoms indicating this drug. Great belching of tasteless wind . Sharp pain during digestion of food, gastric weight relieved by the smallest amount of food, are less certain signs. Vomiting of food or bile, fullness soon after eating. A deposit of excess of urates in the urine is also a symptom calling for Lycopodium.
Doses: Twelfth and 30th dilutions.
Lachesis has been little used. Its only indications are extremely painful sensation on pressure over the epigastrium, tightness of the clothing, which is unbearable. Furthermore there is dyspnoea, palpitation, vertigo, headache, weakness of the limbs, and diarrhoea.
Baryta carb produces a very characteristic dyspepsia: fullness of the stomach, relieved by eructations, and which, like that in China, sometimes disappears after breakfast; acid regurgitation; nausea; ptyalism; frequent vomiting of mucus; pain at the cardiac end on swallowing. Difficult breathing, cephalalgia, general debility. Antimonium crudum is indicated in dyspepsia with diarrhoea or undigested. stools, coated tongue, and loss of appetite. There are sometimes violent pain in the stomach, nausea, bitter and noisy eructations, hiccough, vomiting, lassitude, weight and sleepiness after meals.
Latent or Marked Dyspepsia.- The principal remedies of this variety are Tabacum, Carbo veg., Sepia., Natr. Mur., China, Hydrocyanic acid, Spigelia and Cactus.
Tabacum usually produces dyspepsia in smokers; it causes palpitations and irregular pulse. It is, therefore, well indicated in the treatment of cardiac dyspepsia. Clinical experience confirmed this indication of its pathogenesis.
Doses: The 6th dil. given four times per day gave me the best result.
Carbo Veg.-We just studied its indications in the preceding variety. It is particularly indicated in the cardiac variety, because it makes the heart intermit on lying down, and produces dyspepsia, which is accompanied by irregular beating of the heart with colics.
Clinical experience has in such cases more than once demonstrated its palliative action and occasionally its curative action.
Doses: Twelfth and 30th dilution. Sepia is indicated when dyspepsia is accompanied by cardiac intermittence after meals, which is very characteristic of the masked cardiac dyspepsia. Pulsations at the epigastrium, colic with diarrhoea, even during meals, extreme lassitude, will cover the indications of this drug. These indications have been confirmed by clinical records.
Doses: The lower trit. and the high dilutions have been successfully administered.
Natrum Muriaticum.-In toxic doses sea salt produces death by cardiac paralysis. In small doses it produces palpitations of heart, with anxiety, intermittent pulse, and syncope. This drug produces a true dyspepsia: weight, swelling after meals, nausea, regurgitations (acid or bitter), pyrosis, great weakness, with drowsiness and redness of the face.
Doses: The 30th has given some good results. I have seen a very good result from the 200th dilution.
Hydrocyanic acid is recommended in palpitations caused by dyspepsia. This remedy is good for gastric affections which in some of their symptoms resemble cardiac affections which in some of their symptoms resemble cardiac affections. In the pathogenesis of this acid we find pressure and constriction in the pit of the stomach, with oppression; coldness in the stomach and intestines; nausea and vomiting; palpitations and irregular beating of the heart; weakness of heart beats.
Spigelia is the principal remedy in cardiac affections characterized by the irregularity and intermittence of the pulse.
Cactus produces a dyspepsia more characterized than Spigelia; slow digestion great weight on the stomach, oppression, acidity, very painful throbbing of the coeliac plexus and of temporals. Irregularity, intermittence of pulse, and palpitations are also produced by Cactus, and justify its use in the cardiac variety of dyspepsia.
Ignatia, Arg. Nit., Abies nigra, Carbolic acid, Acid. sulph, should also be thought of.
Ignatia is indicated when, with hysterical symptoms, which predominate, there is belching with pressure in cardia; regurgitation of the ingesta; eructation of a bitter fluid; nausea without vomiting; empty retching, better by eating; spasmodic gnawing; cutting pains in stomach, relieved by eating; spasmodic gnawing; cutting pains in stomach, relieved by eating, heaviness and pressure in the pit of stomach; bloated stomach. Distention of hypochondria and pit of stomach-so full can hardly breathe.
Dose: The 6th has always been sufficient in my hands.
Argent. nitr., like Ignatia, finds its place in flatulent dyspepsia, particularly in hysterical women, and in those who suffer from haemorrhoids; when everything seems to turn to wind; and there is constant and loud belching. Stomach and abdomen much distended, as if they would burst, a symptom often met with during menopause.
Dose: The 30th dilution always suffices to effect a cure.
Abies Nigra.-Continual distress about the stomach, as if everything knotted up; sensation as of an undigested hard-boiled egg in the stomach. Pain after a hearty meal.
Carbolic acid.- In fermentative dyspepsia, with bad breath and a bad taste in the mouth; acid eructations; sweet, bitter, or sour regurgitations; pyrosis; vomiting.
Acidum Sulph.-Dyspepsia with fermentation; vomiting of a substance resembling yeast; deficiency of acids in the system.