– TESTE A, GROUP REMEDIES,  GROUP I,ARNICA MONTANA
 Poisonous sumach
 – Genus rhus, family terebinthaceae, class pentandria trygynia.
 – Rhus toxicodendron which, according to Bosc, is identical with the rhus radicans of Linne, is a bush which grows in North America, on the borders of rivers or in marshy districts, and grows very tall in a soil which suits it.
 – Its lateral branches are numerous and tufty; leaves indented and pubescent, flowers hermaphrodite; fruit like that of every other species of rhus, small black berries.
 – The odor which emanates from this bush, is not very strong .
 – The juice of its leaves blackens the hand like caustic; nevertheless, according to the report of Barton and W. Bartram, cows and horses eat them without being in the least incommoded by them.
 – ” In handling this plant, it produces blistering effects upon the skin, which are very remarkable, as has been witnessed by Gouan and Amoreux.
 – Sometimes the head swells to double its size ; this happened three times in succession to the celebrated Fontana, while he was experimenting with rhus. *
 – Doctors Roth and Doxet have published in the Homoeopathic Gazette, of  Paris, several observations which confirm the facts cited by Alibert.
 – It is known. moreover, that it is not by contact alone that the sumach these accidents.
 – To be attacked with them, it is sufficient to inspire of the inhalation of the atmosphere of rhus toxicodendron, develop them selves in a few hours, and sometimes in a few days; they consist of itching, swelling, redness, pain and pustules, which are more or less vesicular, on the part which had been in contact with the plant, and even on those parts of the body which had not been in contact, like the face, scrotum, eyelids, etc.
 – They are generally accompanied with fever, malaise, oppression lasting for several days, etc.
 – A fatal case is mentioned, where a person touched the several; parts after having handled branches of this bush.” *
 – In 1825, Lavini, published some remarkable observations concerning the inoculation of the juice of rhus.
 – To the first phalanx of the index-finger, he applied two drops of the juice, and left them for two minutes only in contact with the epidermis.
 – Twenty-five days after this, the following symptoms suddenly showed themselves: great heart in the mouth and heat ; rapid and considerable swelling of the left cheek, the upper lip and eye lids.
 – In the night following swelling of the forearms to double their natural size; dry tense, and burning skin , intolerable itching , etc. *
 – Empirical applications.–The old school has endeavored to improve the powerful properties of Rhus, but blindly as usual.
 – Dufresnoy, army physician and professor of botany in Valenciennes, employed it with success against tetters and paralysis.
 – Of the twelve observation which he published in 1788, seven refer to cutaneous affection, and the rest to paralysis consequent on convulsions. *
 – Similar results were obtained by several physicians of Brussels, among other by Verdegen, Kok and Van Baerlem. *
 – Poutingon, professor at the school of Montpelier, cured with this plant, a paralytic patient in a fortnight, and Gouan cured in a similar manner, and in a few weeks, a young lady afflicted with hemiplegia.
 – Several almost similar facts are contained in the manuscript notes which Dr. Petroz has furnished me.
 – Lastly, ever since the year 1793, Alderson published in England, seventeen observations which went to prove the efficacity of Rhus against paralysis, and in general against all affections characterized by a sinking of the apparatus of locomotion. *
 – In spite of all these successful trials, the sumach shared, in France at least, the fate of the arnica.*
 – It was lauded to the skies, it was said to have wrought miracles, and after that it was abandoned, more perhaps than arnica, because it was more dangerous.
 – It is well know that one of the problems which the alloeopathic healing art has been endeavoring for some time past to solve is, to find remedies which would not hurt, even if given of season; in other words, remedies that are not remedies.
 – Hahnemann, to whom we are indebted for the pathogenesis of rhus,* says that the effects of this drug and those of bryonia are analogous.
 – It is, indeed, true, that except the differences which Hahnemann indicates, this analogy exists if we simply compare their symptoms according to the regions, organs and tissues that are respectively affected by these drugs.
 – But, in order to reduce this analogy to its proper value, it suffices to contrast the symptoms of these two drugs with, it suffices to the mode in which they develope themselves.
 – If we succeed in fixing the true starting point and mode of development belonging to the respective series of their symptoms, we cannot fail to recognise that they develope themselves in opposite directions as it were.
 – Let us remark, in passing, that the same observations are attempts at systemization, I endeavored to unite under the same general view.
 – Homoeopathic applications.–There are few drugs whose effects are better and more characteristically known than those of rhus.
 – Every symptom almost reveals the action of a corrosive caustic, which, on account of its extreme subtlety, shows a tendency to invade large surfaces, rather than to penetrate deeply into the tissues.
 – Hence the acute pains and the ataxic effects caused by rhus, and which constitute phenomena that so frequently accompany the affections which resemble those occasioned by the action of rhus, such as burns, erysipelas, erythematous enteritis, etc.
 – Although rhus, like arnica and ledum, acts principally upon the head and the organs of locomotion, yet it differs from arnica in this, that it affects the integuments and membranes, rather than the cellular tissue and the muscles, and from ledum in this, that its effects tend top spread, instead of confining themselves to narrow spaces.
 – The following are the pathological conditions, which, according to the pathogenesis and the clinical observations of the Homoeopaths, this drug has the best chance of curing.
 – Sense of fulness about the head, worse when stooping, sensation in the brain as if bruised or fluctuating .
 – Stupefying headache, such as exists in acute fevers, or as is caused by intoxication with brandy, with redness or livid paleness of the face, margins around the eyes, pointed nose, comatose drowsiness, occasional reveries, delirium, coldness of the body, numbness of the limbs, general sinking of strength, frequent and depressed pulse.
 – Acute hydrocephalus ; serous and sanguineous apoplexy.
 – Paralysis.
 – Epistaxis.
 – Tingling in the hairy scalp, at the forehead, nose, and in the whole face.
 – Hot swelling of the upper lip.
 – Burning pustules around the mouth, followed by crusts which resemble dried honey.
 – Heat and smarting all over the face.
 – Bloating and deformation of the face.
 – Parotitis.
 – Enormous swelling of the whole head.
 – Itching of the skin of the trunk and extremities, especially of the hairy parts; it is at first a tingling, afterwards a burning itching, and is made worse by scratching.
 – Burns (see page 74); chilblains.
 – Consequences of sunstroke, (even in cases of meningitis, as we know from experience).
 – Erysipelas, pemphigus, zona, eczema. (see page 78).
 – Hot and painful engorgements of the subcutaneous glands.
 – Rheumatic pains, which are sometimes very violent, and always spread over a large surface, at the nape of the neck, loins and extremities.
 – Gout, (especially when characterized by cutaneous symptoms.)
 – Hydrarthrosis.
 – Warts on the hands.
 – Red or colorless infiltration of the extremities with burning pain.
 – Erythematous gastritis and gastro-enteritis, with hot mouth, as if burnt, keen desire for cold drinks, red and dry tongue, and covered with a sort of false membrane, beneath which vesicles are perceived ; tingling in the oesophagus and stomach; sense of burning at the stomach, nausea, vomiting, dull colic, or pinching pains, or prickings in the abdomen, which is hot, tense, tympanitic, but only moderately sensible to pressure; constipation followed by, or alternating with serous diarrhoea; scanty and red urine; frequent and depressed pulse, nosebleed; coma and other ataxic phenomena.
 – Have we to conclude from this rhus tox. is particularly indicated in typhus?
 – I think not.
 – Although it is more than probable that rhus develops in the gastro-intestinal mucous membrane, symptoms similar to those which it produces on the skin, that is to say, extensive erythematous Inflammations, with raising of the epithelium by means of pustules or serous phenomena to the organic lesions of typhus.
 – These, like the variola-pustules, to which they have been compared, run a fixed course, and are possessed of essential characteristics, to which rhus corresponds only in rare and exceptional cases, as for example, in the typhus of 1813, against which, Hahnemann states rhus was found efficacious.
 – It is quite natural that this drug should be successfully employed in certain forms of very acute enteritis, complicated with ataxic symptoms.
 – But these forms of enteritis, which are falsely termed typhoid enteritis by modern Alloeopaths, differ essentially from true typhus.
 – In the former, the ataxic symptoms constitute sympathetic effects of the acute inflammation of the skin and mucous membranes, when this inflammation affects a large number of the nervous papillae, which are spread over these surfaces; whereas, in typhus, adynamia, coma, etc., seem to constitute the fundamental character of the disease.
 – It is, therefore, only now and then, that rhus will be found really indicated in typhus.
 – What I have said of ledum (see page 78), concerning its use in acute affections of the air-passages, is likewise applicable to rhus and croton tiglium; cases may occur, however, where these drugs may be specifically indicated in what is vaguely termed angina, bronchitis, or pneumonia.
 – Rhus is often indicated after arnica, as spigelia, zincum, and colchicum, are often indicated after rhus.
 – The maladies to which it is best adapted, are such as occur most frequently in the spring, rheumatism, gout, erysipelas, eczema, etc.,
 – Most of its symptoms, like those of arnica, ledum, etc., are aggravated by artificial heat, sometimes by motion, but more frequently by rest; they are most fully manifested in the evening and at night.
 – Rhus is antidoted by Bry., Camph., Coff., Sulph., but especially by Ledum.
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-SMALL A. E.,
Range of Use. – Rheumatic and gouty affections; paralysis; red shining swellings; burning pain as if the flesh had been detached from the bones by blows; inflammatory typhoid diseases; erysipelas; shingles; burning itching; nettle-rash; frequent spasmodic yawning; sleepless before

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midnight; digging, pinching colic and vomiting; chilliness and coldness; shaking chill in the open air, with violent thirst; double tertian fever; pains in the limbs during chilliness; headache; typhus and typhoid fevers; night and morning sweats; sadness and anxiety; delirium; swimming of the head; fulness and heaviness of the head; stinging headache day and night; swelling of the head; dry tetter on the hairy scalp; violent itching at night; inflammation of the eyes and lids with redness and sticking together at night; swelling of the whole eye and the surrounding parts; inflammatory swelling of the parotid glands; inflammation and bleeding of the nose; erysipelas and swelling of the face; dry mouth and thirst; inclination to vomit; pressure in the stomach; watery diarrhoea; bearing down and straining when at stool; inability to urinate, though frequent urgings; swelling of the penis; morning cough after waking; cough caused by tickling in the air-passages, generally short and dry; anxious oppression of the chest; tremulous feeling about the heart; burning pain in the small of the back; rheumatic stiffness of the nape of the neck; burning and lameness in the shoulder and arm; coldness and immobility of the arm; cracks on the back of the hand; heaviness of the lower limbs, and spraining pain in the ankles; swelling of the feet.

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-PETERSEN F. J.,

Syn.-Rhus Tox; Poison Oak: Poison Ivy.
P. E.-Fresh leaves.

N. O.-Anacardiacæ.

N. H.-North America.
Properties: Stimulates cutaneous and renal secretions.
Physiological action: Rhus tox. emits its poison in the air around where it grows so that people who are susceptible to its action will become poisoned without coming in contact with it. When the plant is broken or moist it will charge the air around it even more. Handling it is dangerous to some while others can do so with impunity. Worst of all is to inhale the fumes of burning roots, shrubs or leaves. When the poisonous action results, it first causes severe itching and burning which is followed by redness and swelling of the affected parts. This inflammation of the skin may be in patches or spread to various parts of the body, effect usually lasting about two weeks. In severe cases it may spread all over the body, the affected parts swelling sometimes to such an extent as to obliterate the features. Vesicles from which break and will leave a yellow scab. In these cases there is some fever, increased pulse, severe headache, itching and burning, nervous twitching, burning in the throat and mouth, thirst, rheumatic pains, which are aggravated by heat and rest, cough, nausea, vomiting, perhaps chilliness and even delirium. If toxic doses are taken internally symptoms are similar to above; but there is according to the dose taken drowsiness, stupor, flushed face, dilated pupils. Pulse which may have been strong will become small, feeble and rapid; respiration becomes hurried, nausea, vomiting, delirium and even convulsions result. It relieves cerebral engorgement by increasing the tone of the arteries. In small doses it tones the weakened brain, acting as a sedative. Its effect is most pronounced on the terminal nerve filaments, increasing their function. In large doses overstimulation results, followed by relaxation if carried too far.
Indications: Sharp, hard pulse; sharp burning pain, burning pain in frontal region, especially over left orbit; tongue showing small red points on upper surface of tip; cough with burning pain in chest; restlessness, starting and crying out during sleep. Extreme redness of local part with sharp, burning pain. Itching and tingling in the skin. In fact burning pain is a prominent indication.

Use: In fevers, inflammation and any condition where indicated. Its action is on the nerve centers, producing functional activity of the terminal nerve filaments. It relieves cerebral engorgement by giving tone to the arteries. In small doses it acts as a sedative to the irritable and often overworked brain, improving its function and tone. We think of it in erysipelas, eczema, typhoid fever, cerebro-spinal meningitis, cerebral irritation; in scarlet fever, measles, smallpox, gastric and intestinal irritation, especially if accompanied by restlessness; spasms in children the result of cerebral engorgement. In rheumatism of the chronic or subacute form where the white fibrous tissue is involved, therefore pain more severe when at rest, it is of value. In cholera morbus, cholera infantum in which there are pronounced head symptoms it is of value, if associated with other indicated remedies. We find it very useful in many conditions of gastric irritation. In swelling of submaxillary glands when there is induration it has been used with success. Rhus tox. is a valuable remedy when indicated.

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– Wilhelm Karo.

It is the drug for all gynaecological diseases, due to exposure

Symptoms after getting wet.

Key Symptoms.
Restlessness, anxiety, disgust for life with fear of death. Absence of mind. Aggravation by rest and damp, cold weather, better by heat, movement, whilst beginning of movement aggravates.

Special Symptoms.
Menstruation with labour-like pains, menstrual flow either light coloured, acrid or with coagulated, dark blood. Suppression of the menstrual flow from getting wet. Menstruation as a rule too early, too profuse. Metrorrhagia in rheumatic women ; disposition to abortion.

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-G. H. Clarke
Poison Oak.


Problems after
getting wet

 CHARACTERISTICS.
Stiffness and lameness of the joints, tendons and muscles from undue exertion or from getting wet. Soreness as if bruised. Worse on first moving the part, better on continued motion. Incontinence of urine with weakness of the legs. Vesicular erysipelas. Typhoid fever with bruised feeling in the limbs.

TOXIC EFFECTS.
Vesicular eruption upon the skin with swelling, heat, redness and itching. Severe tumefaction with burning. 1. Chilliness. VERtigo faintness, dullness and stupidity, restlessness, delirium. Weak irregular pulse. Nausea. Bloody mucous stool some-times involuntary. Lips and tongue dry. 2. Pains as if strained or bruised made worse by rest and warmth. Pain and stiffness in the lumbar region. Loss of strength with numbness in the lower extremities. Debility. Incontinence of urine. Trembling. Spasmodic twitching. Convulsions. 3.

DOSE
One or two drops of the the tincture have been used with satisfaction, but doses ranging from the first to the fourth decimal dilution are more generally employed.

THERAPEUTIC USES.
Typhoid inflammation of the bowels and peritoneum. Bruised feeling in the limbs restlessness. 2-3. Typhoid pneumonia, cough with stitches and foul or b bloody expectoration. Stiffness and lameness of the joints, tendons and muscles. Soreness as if bruised. Worse on first moving the part better on continued motion.3 Stiffness and aching in the joints after subsidence of acute rheumatism. Worse when at rest relieved by motion. 3. Stiffness and pains as if strained or bruised, following a wetting.3. Strains and blows affecting the tendons and ligamentous tissues. 3. Incontinence of the urine from atony of the sphincter, especially where there is rheumatic stiffness and muscular weakness of the legs. 3. erysipelatous eruption of a vesicular variety. 1 Herpetic eruptions with itching swelling and smarting. 1. Herpes zoster. 1. Eczema of the scalp and elsewhere with itching and burning. 1 Conjunctivitis with burning, swelling and inflammation of the lids.1.

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– Douglas M.Borland.

THERE are quite a number of conditions in which one finds indications for Rhus tox., and the majority of them are very acute. You may get indications for Rhus tox. in acute inflammatory disturbances of the oesophagus, usually the result of taking some scalding fluid or something of that sort. The outstanding characteristic is the intense pain. There is almost complete inability to swallow and any attempt to do produces most violent, scalding pain all down the oesophagus. This is associated with a very dry mouth and throat and the most violent thirst, with a desire for very cold drinks. Taking any cold fluid, however, produces a sensation of general chilliness. Further indications for Rhus tox. may be found in a very acute gastritis with acute nausea and fairly violent vomit. There will be a history that the acute attack of gastritis has been brought on by taking very cold fluids, ice-cream or iced drinks in very hot weather-it is the result of a sudden chill. Again there is the intense dryness of the mouth, with very violent thirst and the desire for cold drinks. Sometimes, there is desire for cold milk, which seems to comfort the stomach. On occasion in these attacks of acute gastritis, the Rhus tox. patients complain of a feeling of intense hunger, though they get sudden attacks of vomiting after taking any food.

There is another group of conditions in which one gets definite indications for Rhus tox. : acute inflammatory conditions in the abdomen. The commonest of these are acute appendicitis and acute generalised peritonitis. Acute dysentery is also common. In the acute inflammatory abdominal condition, the abdomen is extremely sensitive to touch, the pains are pretty violent, and you will find the patients lying with the legs drawn up in order to relieve abdominal pressure. Most of the acute inflammatory conditions in the abdomen tend to be on the right side. Not infrequently, you get indications for Rhus tox. in an appendicitis which is associated with a good deal of liver disturbance, either a cholecystitis or just a general congested liver with a degree of jaundice. In a typical Rhus tox. case of dysentery, there is the most violent tenesmus before and after stool, with acute abdominal colicky pains and the passage of bloody mucous stools. You will occasionally see indications for Rhus tox. in typhoid. There are two stages at which this may occur. First, when the patients are having very violent, copious watery stools, associated with a degree of tenesmus. Second, where there is complete incontinence-here, you are even more likely to observe Rhus tox. indications. In both cases, the stools are much more frequent at night much less frequent during the day.

It is interesting to note that although one ordinarily associates Rhus tox. with bowel upsets which are accompanied by violent tenesmus and extreme straining at stool, in typhoid indications, for Rhus tox. are much more likely to show themselves accompanied by complete incontinence. In order or clinch a Rhus tox. diagnosis, there must be the general Rhus tox. modalities. The patients are always extremely tired. They are very despondent, and may be actually weepy. There is always a fairly marked anxious mental restlessness, and the patients may feel that they really want to die. They nearly always complain of a feeling of general chilliness, and their discomforts are relieved by external warmth. In all their conditions, they complain of a degree of general stiffness, particularly after they have been still for a little time. In all these painful condition, they are restless, constantly on the move and find it impossible to keep still. This is one of the diagnostic points about the Rhus tox. appendicitis. Accompanying a somewhat distended right side of the abdomen, rigid muscles, acute tenderness to touch and relief from hot applications, the Rhus tox. patient is restless, constantly moving a little and appearing to get some relief from movement. The thirst in Rhus tox. cases is as marked as it is any drug in the materia medica; and the desire is for cold drinks. The restlessness of Rhus tox. is the main feature which distinguishes it from Bryonia, the other acute appendicitis drug. The appearance of the tongue is also a distinguishing feature between them. In practically all the acute complaints of Rhus. tox., there is intense dryness of the tongue, and the appearance is always suggestive.

In typhoid dysentery, the tongue tends to be red and scalded looking all over. In acute appendicitis and acute gastritis, there is more likely to be a coating at the root of the tongue and a bright red, very sensitive, burning hot, dry tip. In typhoid, the Rhus tox. patient tends to become very weak and develops a wandering, restless, very laborious type of delirium. In that state, the sleep is often very disturbed by nightmares of most violent physical exertion. If the liver is involved and there is any jaundice, there is liable to be very intense skin irritation of the type one associates with the ordinary Rhus tox. eruptions.

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