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Tissue Salts by Schussler
previous chapter: DYSMENORRHEA
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EAR, DISEASES OF
Inflammatory earache from cold, with burning, throbbing pain. Sensitive to noise. Congestive stage of otitis. Earache, with sharp, stitching pain. Noises in the ears, arising through blood-pressure from relaxed conditions of the vessels not returning the blood properly. Inflammatory conditions, radiating pains, sensitiveness, especially in affections of the ear in anaemic subjects. A clinical symptom is: "Noticeable pulsation in the ear; every impulse of the heart is felt here, beating in the ear and head; the pulse can be counted." (Houghton.) Chronic, non-suppurative catarrh of the middle ear, where the membrana tympani is thickened, and there is probably anchylosis of the small bones.
The following are also indications for its use: "1. A marked tendency for the inflammatory process to be diffused instead of circumscribed. 2. Dark, beefy redness of the parts. 3. A muco-purulent discharge and a tendency to haemorrhage. 4. The complete establishment of the discharge is not followed by the relief of the pain. 5. The paroxysmal character of the pain." (Wanstall, American Institute Transactions, 1886, p. 389.) Also, the absence of exudation, the radiating pains and sensitiveness, and the general anaemic and debilitated condition of the patient. Deafness from inflammatory action, or suppuration, when there are cutting pains, tension, throbbing or heat, tinnitus aurium from excessive flow of blood to the part. Inflammation of the drum, especially when the membrane is dry, and its vessels engorged. Diffuse inflammation of the external auditory canal and acute affections of middle ear. (H. C. F.) Catarrhal affections of Eustachian tubes. "For earache after exposure to cold or wet I have no better remedy." (R. S. Copeland.)
Earache, with white or gray-furred tongue and swelling of the glands, swelling of the throat. Eustachian tubes swell, cracking noise in the ear when swallowing. Deafness from swelling of the Eustachian tubes. It is also the principal remedy for deafness from swelling of the external ear. Deafness with swelling of the glands or cracking noises on blowing the nose, tongue white. Chronic dermatitis. Moist exfoliation of the epithelial layer of the tympanum. In ulcerations, where pus is whitish; granular conditions of meatus and of membrana tympani; excessive granulations. "One of the most effective remedies we have ever used for chronic catarrhal inflammation of the middle ear, especially the form designated 'proliferous.' Stuffy sensation, subjective sounds, deafness, naso-pharyngeal obstruction, granular pharyngitis, closed Eustachian tubes, retracted membrana tympani, etc., walls of external meatus atrophied. Seems to affect more decidedly the right Eustachian tube. In chronic suppuration it reduces proliferation, checks granulation and hastens repair." (H. C. Houghton.)
"Kali mur. is chiefly suited to the second or later stages of catarrhal states of the naso-pharynx and Eustachian tube which, by continuity of the mucous membrane, extend to the cavity of the middle ear itself. The condition of the pharynx, as seen by simple inspection, is that of a thickened mucous membrane, with inflammation present in subacute or chronic form and usually centering around the follicles, giving a coarsely granular appearance to the surface. It is not so much an intensely red membrane as one pale in appearance which indicates its use, as if the more active hypertrophic condition were passing over into a less active or passive atrophic state. The presence of small spots of whitish exudation would be a further indication for its selection, and also the condition of the tongue if coated white or gray. The accompanying nasal condition is characterized by swelling of the lining membrane, obstruction, and thick, yellow discharge, or later on by thick, whitish mucus. Its use is said to lessen susceptibility to these catarrhal states.
"This same condition extending up into the Eustachian tube gives rise to such thickening of the lining membrane that the tube, for a time, is partially and sometimes wholly occluded. The aural symptoms resulting from this condition of the tube are well understood, consisting of deafness of varying degree, subjective noises in corresponding degree, and those sometimes startling and disagreeable snappings in the ear which arise from the sudden partial opening of the tube during deglutition, whereby the air is allowed to rush forcibly through the tube into the tympanic cavity, relieving thus the partial vacuum which always ensues when the tympanum becomes a closed cavity, and rarification of the contained air takes place. Of course, if specular examination be made at such times, more or less retraction of the tympanic membrane will be visible. In this condition of the tube the remedy applies less to those states which are recent and acute than to their later effects, or to the less active forms of inflammation from the outset, and its action is said to be greater upon the Eustachian tube of the right side than upon that of the left.
"In the tympanic cavity itself the process of slow proliferation, with interstitial thickening and consequent slowly progressing deafness, with or without subjective noises, and without pain, seems to constitute the indication for this remedy. It is also especially useful at the termination of more active and painful attacks, to clean up the remains of inflammation and prevent, as far as possible, its evil effect in inducing thickenings in the tympanic mucous membrane and permanent changes in the delicate structures contained within the tympanic cavity. In suppurative disease of the ear this remedy is less frequently required than for the catarrhal process, but in cases where granulation is excessive it is sometimes employed to check the exuberance of their growth and favor resolution, while its usefulness at the termination of suppurative attacks in the middle ear has been found very great in modifying those tendencies to adhesions which constitute one of their chief dangers.
"Finally, in the external ear the use of this remedy has been hitherto comparatively infrequent, its indications being chiefly a dry and scaly proliferation of the epidermis of the external meatus, with tendency to atrophy of the walls. A swollen condition of the glands about the ear, the angle of the jaw, and the neck would further indicate its selection.
"My own experience with Kali mur. has been largely confined to chronic catarrhal conditions of the middle ear, and after keeping a careful record of its action in nearly two hundred of these cases, in private practice, I am convinced that it is one of the most useful agents we possess in their treatment. It will even aid us efficiently in holding in check many of those inveterate cases of years' standing which go persistently from bad to worse upon the slightest provocation, and which no man living can hope to cure. Its most satisfactory results are obtained in those cases which may have been gradually progressing for months, or even for two or three years, but which have not yet given rise to those permanent tissue changes which are sure to follow in the later course of the disease." (Prof. H. P. Bellows, M. D.) Otitis externa, with thickening and narrowing of the meatus and thin, flaky discharge from ear.
"Kali mur. favors the opening of the Eustachian tube. After its use inflation becomes easy." (R. S. C.)
Deafness from swelling of the tympanic cavity, with watery conditions. Roaring in the ears, tongue covered with bubbles, saliva profuse, etc. Catarrh of tympanic cavity and Eustachian tube, purulent discharge from ears. Itching and burning in the ear. Stitches in the ear.
Dulness of hearing with noises in the head. Deafness from want of nerve perception, noises in the head with weakness and confusion. Itching in the auditory canal; hearing supersensitive, cannot bear any noise. Weakness, general exhaustion of the nerves or nervous system. "Ulceration of the membrana tympani, suppuration of the middle ear, pus being watery, dirty, brownish and very foetid. Ulceration angry, bleeding easily, showing little tendency to granulate or secrete laudable pus. It is especially valuable in old people. Atrophic conditions in old people, tissues dry up, become scaly, showing lack of vitality." (Houghton.) If the humming and buzzing in ears are not removed by Kali phos., though indicated, follow with Magnes. phos.
Discharge of matter from the ear, sometimes mixed with blood. Deafness with middle ear suppurations, swelling of gland, etc. Sensitive swelling behind ear, with tendency to suppuration.
Cold feeling of outer ears. The bones around the ear ache and hurt. Earache with rheumatic complaints, associated with swollen glands in scrofulous children. Chronic otorrhoeas in children associated with painful dentition. (H. C. F.) Perforation of tympanum with deafness and otorrhoea. (Cooper.)
Deafness or dulness of hearing from diseases of the auditory nerve-fibres. It supplements Kali mur. Proliferous disease of the middle ear. (Dr. Rounds.) Otalgia, purely nervous in character.
Earache with secretion of thick, yellow, or greenish fluid after inflammation. Sharp, cutting pain under the ears. Stitches, tensive and piercing pain below the mastoid process. Discharge of watery matter or yellow pus. Throat deafness with catarrh, causing swelling of Eustachian lining and middle ear, with yellow, watery discharge and yellow coating on the tongue. Deafness worse in a heated room. Stinking otorrhoea. Polypoid excrescence closes meatus. In suppurative inflammation of the middle ear when the discharge is thick. (H. C. F.)
Dulness of hearing with swelling and catarrh of the Eustachian tubes and of the cavity of the tympanum. External ear inflamed, swelling of the external meatus. Mastoid disease (see clinical case below). Oversensitive to noise. Foul otorrhoea. Ears open at times with loud report. Suppurative otitis when discharge is thin, ichorous, and offensive and attended with bone destruction.
Ears sore, outer part covered with soft, thin, cream-like scabbing, deposit on tongue yellow. One ear red, hot, frequently itchy, accompanied by gastric derangement and acidity. Discharge of pus from ears.
Earache as if something were forcing its way out. Worse in damp weather. Ringing in ears as of bells.
Mastoid disease when the periosteum is affected rather than the bone itself. (Houghton.) Calcareous deposits on the tympani and tinnitus.
Boy, with history of catarrhal disease of the ear of seven years' standing, suffers at times pain, and has often tinnitus; at present suffering with a subacute attack of catarrhal inflammation of middle ear with slight pain. Ferrum phos. relieved this; the next time he was seen there still remained closure of the Eustachian tube; the mucous membrane of the pharynx was pale. Kali mur. entirely removed this, and normal hearing returned.
A boy, aet. 15, had an ear trouble of twelve years' standing, and suffered from suppuration of the middle ear, resulting from scarlet fever. At present both ears are inflamed; no pain, but has subjective noises, hearing greatly diminished, pus fills the meatus, Eustachian tube is dilatable, right membrana tympani is granular and left perforated pharynx thick. Calcarea tulph. commenced at once and continued to improve; the granular appearance of the right membrana tympani disappeared, and the improvement \ was phenomenal.
Chronic suppurative inflammation of the middle ear from scarlet fever, both ears suppurating, both canals filled with pus of a dark color and foetid in character. Kali phos. entirely cured. (Houghton, Clinical Otology.)
CALCAREOUS DEPOSITS AND TINNITIS AURIUM
Case of man, aged 43, complained of crawling sensation all over skin, roaring in ear, worse night, cold feet, ankles and wrists; calcareous deposits on membrana tympani of right ear, largest about size of a pin. Calc. fluor.2°° cured in four months. Deposits and roaring remained cured as proved by examination less than a year afterward. (Dr. Royal E. S. Hayes.)
Prof. Houghton, in his excellent treatise on Clinical Otology, presents many remarkable cases illustrative of the action of these remedies. The above cases were selected as those in which no other remedies or means were employed. Numerous cases of the beneficial action of Ferrum phos., Kali mur. and Calcarea sulph. in aural practice can be found in this work.
Acute inflammation of the middle ear commenced by a full feeling in the ear and dull hearing. Pain occurred on performing Valsalva's procedure. This condition, which grew rapidly worse, continued for forty-eight hours, when the physician was called and found the following conditions: The pain was paroxysmal, there was a sensation of a plug in the ear, membrana tympani injected and bulged, but no evidence of exudation in the tympanic cavity. Posterior wall of meatus auditorius bright red in color, ear very sensitive to manipulation. Ferrum phos. 6x, every hour. Improvement was immediate. Remedy discontinued in forty-eight hours.
Dr. H. W. Champlin reports several cases of otitis media treated successfully with Ferrum phos. He says it is effectual in potencies from 3x to 6x, and insists that it should be given alone. Prescribe no other medicinal agent with it.
Mrs. , aet. 45, February 16, 1887. About three years ago began
to be troubled with pain and noises in the left ear, aggravated greatly at the time of the menses, the pain severe and neuralgic in character, extending over the left side of the head. The noises seem to get their character from some pronounced sound which is heard, and this persists sometimes for hours. For the last six months there has been no further pain on left side, but deafness is constant. The right side is now beginning to become deaf, but with no pain and no noises. This has been going on upon the right side for several months. General health excellent, with the exception of redness, fulness and desire to rub and pull the skin about the neck, for a few days after the menses, with marked swelling of the glands of the neck at the same time. This has been noticed only during the time that the ears have been troublesome. The fork is heard best on the left side by bone conduction, and best on the right side by air conduction. Meatus tympani dry and depressed. Eustachian tube on the left almost occluded, on the right more free. Frequent burning of the auricle on the left side. Kali mur. 6x cured. (H. P. Bellows, M. D., in N. E. Med. Gag., November, 1889.)
A weak, cachectic woman suffered for three or four days from earache and pain in the right side of the head. The ear has been discharging for three days, but no mitigation of the pain, which is very severe and radiating from the ear, membrana tympani beefy red, swollen and perforated, discharge profuse and muco-purulent, meatus red, swollen and inflamed. Ferrum phos, 2x in water, every hour. In three days was better in every way, discharge and pain less. A week later all inflammatory symptoms had disappeared.
Dr. Wanstall reports three other cases cured by the use of Ferrum phos., from the 2x to the 12x trituration, with results the most gratifying, controlling the high fever, delirium and pain accompanying the acute middle ear inflammation (Transactions American Institute of Homeopathy, 1886, p. 398).
Case of a young girl, light complexion, scrofulous, with brown, offensive secretions from the right ear. Polypoid growth or excrescence closes the meatus near the opening. For eight weeks she had been entirely deaf in this ear, the deafness having gradually increased for four months. Kali sulph.1' given. In two weeks the offensiveness had entirely disappeared. On examination find polypus shrivelled to a small, hard, black mass. The hearing has entirely returned, with a slight whizzing noise. Every third day two doses were taken. This case was entirely cured. (W. P. Wesselhceft, M. D. From Hg.)
Dr. Stanley Wilde reports a case of otitis externa with subsequent otorrhoea and deafness, the latter resisting several remedies as Merc, sol., Hydrastis and Sulphur. The case presented a thickening and narrowing of the meatus, with a thin flaky discharge therefrom, watch hearing 4 in. Kali tnur. 3x stopped the discharge and the hearing became normal. Dr. Wilde has used this remedy with good effect in Eustachian deafness in children from chronic enlargement of the tonsils (Horn. Review).
Dr. Goullon reports a case of an old gentleman who suffered greatly with a buzzing in ears, which was made much worse in the noisy street. The patient had repeated attacks of inflammatory rheumatism, and the tinnitus was probably of rheumatic origin. Mentally much depressed. Difficult hearing. After a few days' use of Kali phos." all symptoms, including the mental condition and difficult hearing, permanently disappeared (Pop. Horn. Zeitung).
A gentleman wrote me the symptoms of otitis of a little child, set. 4 months, who had a discharge from one ear of an ichorous, thin, offensive character, producing an eruption wherever the pus came in contact with the integument. I at once sent Kali phos. 6x, ordering it given every six hours. In three months the running had all ceased and the hearing was Perfect. I frequently use the Silicea in alternation with the Kali phos., when the connective tissue is involved. (A. P. Davis, M. D.)
Another case of "otitis catarrhalis internus" came into my office to see me, after spending over $600 with the "regulars." This case was the most remarkable that I ever witnessed or treated. The man was a tall, slim, sanguine, nervous specimen of the genus homo, rude, illiterate, backwoods, gawky looking, seedy, cross between the ourang-outang, monkey, and Chinaman, but possessed of sensation, motion and reflection, proving to my mind that he was a man for "a' that" and "a' that." Well, I went through the examination sufficiently scrutinizingly to ascertain the exact pathological condition of the trouble I had to meet. There was an enormous protuberance involving the whole mastoid region, the skin red and glistening, soft, pappy, showing signs of an induration and broken-down connective tissue, and the whole mass filled with pus, and emitting an odor that was as sickening as carrion. I at once plunged a knife into the mastoid process, out of which ran about a half pint of blood and pus. After cleansing the tumor with Eucalyptus I bound up the wound, leaving in it a drainage-tube. I treated the wound every day, putting him under the influence of Silicea, a dose every two hours. Under the treatment I had the satisfaction of seeing him improve from day to day, and in four weeks the whole trouble ceased. He had no relapse, but the cure advanced steadily until he was well. This case was pronounced hopeless by several allopaths. (A. P. Davis, M. D.)
Wm. McKee, set. 27, suffers from deafness, due to chronic non-suppurative catarrh of the middle ear. While a lad, and on to manhood, went out a great deal at night to dances and parties, where he would dance and romp until in a great heat and profuse sweat, when he would go out of doors and remove his coat. In this way he would contract a cold, and one cold after another, until he found himself a sufferer from chronic catarrh of the nose and throat, the discharge being continual and very annoying. At this time (about six years ago) he noticed a noise commencing in his ears, and it gradually increased until he became aware of the fact that his hearing was damaged. He then commenced treatment, and not getting immediate relief from his first doctor he changed, and soon changed again, in this way going to several doctors, a few of them old-school specialists, and then gave up discouraged, and let the disease run its course unhindered. When he came to me (last March) he said he had been unable to hear anything but confused noises, even when the loudest tones were used to accost him, for five years. He is of medium height, rather slender, with inclination to red hair; has blue eyes, a fair complexion, and has a slightly anaemic appearance. He describes the noise in his ears as dull and rumbling, if he pays no particular heed to it; but if he concentrates his thoughts on it, he can imagine that it resembles almost any kind of a noise. One thing I wish to mention which was quite prominent, and quickly disappeared under the remedy—viz., he would be awakened in the night by a loud bombing noise and afterward be unable to sleep "for the racket in his ears." There were a number of nervous symptoms in the case that led me to show him to Dr. Bartlett. 1. Slight melancholia, would go off alone and brood over his troubles for hours. 2. He would stagger while he walked. I found his tendopatella reflex much decreased and on standing with his eyes closed he would fall over in my arms, couldn't manage at best to take three steps forward with eyes closed without falling. I have kept him pretty steadily on Ferrum phos., and the improvement is remarkable. He can hear every word of the longest sentence by slightly raising the voice when accosting him at several feet away. The noises are greatly lessened, he sleeps well, and the nervous symptoms are fast disappearing. I have continually inflated the middle ear by Politzer method, once a week. (Dr. F. W. Messerve.)
MASTOID PERIOSTITIS - SILICEA
Dr. A. T. Sherman of Minnesota, reports a case of a man who had suffered for six days with pain in mastoid region. On examination found the membrana tympani highly injected, tuning-fork was heard indifferently on each side when pressed against parietal bones; hearing impaired on the affected side. Temperature 100. Very weak, nervous; complete muscular paralysis of right side of face. The condition of the sense of hearing precluded brain disease. There was no difficulty in swallowing, or other evidence of paralysis of the rrfuscles of the fauces, which placed the trouble beyond the origin of the petrosal nerve. There was no disturbance of taste or of the salivary glands, which placed the trouble beyond the origin of the chorda tympani. He diagnosed mastoid periostitis with pressure on the seventh nerve immediately on its exit from the duct of Fallopius. On protruding his tongue it was drawn somewhat toward the affected side. While contemplating incision, patient mentioned that on the previous morning he had found relief and some sleep by placing the head in a warm poultice of Indian meal. Gave Silicea, a dose every three hours. In forty-eight hours all pain had ceased and temperature normal. Relief from moist warmth was the guiding symptom to the remedy.
Dr. Fellows reports in the "Clinique" two cases of this disease greatly and speedily relieved by Silicea 3x and 6x, given several times daily.
Mrs. , set. 34. March 30, 1886. For several years has been troubled
with deafness from time to time, upon the right side, accompanied by tinnitus of ringing and pulsating character, and with occasional pain. Mt. slightly depressed and thickened upon the right side. Nose catarrhal in slight degree. H. D. R. w. = 22" = 29" Cath.' Calc. phos. 2x N. and M.
To spray the nostrils with weak, warm solution of common salt. April 7. H. D. R. w. = 21" = 31" Cath.' Kali mur. 6x N. and M. April 14. H. D. R. w. = 22" = 52" Cath.' Kali mur. 6x N. and M. April 21. H. D. R. w. = 36" = 6 ft. Cath.
Tinnitus has ceased. Kali mur. 6x N. April 27. H. D. R. w. = 46" = 7 ft. Cath.
No further tinnitus. Kali mur. 6x alt. N. It is now three years since this case was discharged, and at the expiration of two years I heard that there had been no recurrence of any trouble whatever. As another year has passed without news from the patient, the improvement doubtless remains permanent. It is needless to say that the spraying with salt solution in this case was not sufficiently potent to detract from the cure, while the catheter could have been but an aid only, especially when the permanence of the relief is considered.
In closing my remarks upon the use of Kali tnur. in these aural diseases, I will simply state that my experience agrees with the observation of others that it follows particularly well after Ferrum phos. or Merc, dulcis, and is itself sometimes followed especially well by Calcarea sulph. (H. P. Bellows, M. D., in N. E. Med. Gas., Nov., 1889.)
SILICEA IN SUPPURATIVE OTITIS
Dr. Bellows records a case of distressing and frequently recurring frontal headache, which seemed traceable to chronic middle ear suppuration. The tympanum was perforated. Silicea 3 taken for some months dried up the discharge, healed the tympanum, and made the hearing normal, while the headaches soon disappeared (N. E. Med. Gazette, Feb. 1893).
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