Ignatia amara, or, more properly speaking, STRYCHNOS IGNATIA, is a large climbing shrub growing in the Philippine Islands and in Cochin-China. The fruit is spherical or ovoid, about four inches in diameter. Its shell is smooth and brittle, and incloses some twenty or thirty seeds. Its name is attributed to the Jesuits, who called it St. Ignatius' bean, in honor of its virtues. Though chemically and botanically similar to Nux, the Ignatia differs materially from that remedy in symptomatology, and that too despite strong family resemblances.
Ignatia is preeminently a spinal remedy, as is also Nux vomica. Like Nux vomica, it seems to intensify the impressionability of all the senses, perhaps even more than that remedy does. Under Nux, this over-excitability is exhibited by anger, vehemence and irascibility; in Ignatia, by melancholy with tendency to weeping. Now, while there is this melancholy with the tearful mood, yet the patient smothers his or her grief. The Ignatia patients nurse their sorrows, keep them from others; while with Nux vomica, the patients are vehement and angry ; they strike any one who may oppose them; they are so overbearing that one can scarcely live with them. You must separate this melancholy mood of Ignatia from that of Pulsatilla.
The PULSATILLA woman is tearful, sad, and melancholy like Ignatia, but there is not that introspective mood that there is in the Ignatia patient. She makes her grief known to every one who comes near her. She seeks sympathy. She is timid and yielding in her disposition.
We find Ignatia indicated in nervous women who are laboring under grief, especially when of recent origin, particularly if the patient dwells upon her troubles in secret. Such cases then, find relief in Ignatia, if not of long standing.
For the chronic or long-lasting effects of grief, we have PHOSPHORIC ACID. Often where this remedy is indicated, the patient complains of night sweats, not from organic disease, but from sheer exhaustion. She has little or no appetite, and complains of a sensation as of heavy pressure on the top of the head, as though a great load lay there.
Ignatia we find then to be useful for the consequences of grief, and also, by reason of this great sensitiveness to external impressions which it produces, we find it indicated in hysteria, especially when the patient alternately laughs and Cries, in other words, exhibits a changeable mood. The face flushes at every emotion. Sometimes the laughing becomes spasmodic and ends in screams and even spasms of the chest with blueness of the face. We have also globus hystericus or feeling as if a ball were rising into the throat. This is often relieved by belching, while drinking water causes an aggravation of the convulsive action in the throat. The patient may fall into a half unconscious state, with thumbs clenched and face blue as we find under CUPRUM. Finally a sigh and a long-drawn breath announce the return to consciousness. Now let us consider some of the concordant remedies of Ignatia in these hysterical states.
PLATINA is indicated in hysterical women with marked mania.
HYOSCYAMUS is called for when the mental condition of the patient exhibits marked jealousy. She is full of suspicions. She fears that she will be poisoned, and may on that account refuse all food and medicine.
ASAFOETIDA, like Ignatia, has the globus hystericus; flatus accumulates in the abdomen and, pressing up against the lungs, produces oppression of breathing. It is especially useful in hysterical convulsions after suppression of discharges.
MOSCHUS is particularly suited when the patient faints readily. She sits down to her meals and faints dead away from the little extra amount of food taken into the stomach. She also has violent spasms of the chest in which it would seem that she must almost die. She turns blue in the face and foams at the mouth. She may be of scolding disposition and even this causes fainting.
VALERIAN is useful in these hysterical women, when the slightest exertion causes violent headache. They often complain of a sensation as if a string were hanging down into the throat. In the latter part of the evening, they exhibit a tendency to flushes of heat. The slightest pain causes fainting. They complain of a warm sensation rising from the throat into the stomach with the globus hystericus. You will often have to use Valerian for pains which simulate those of rheumatism in the limbs. They are worse while the patient sits and better when she walks about.
NUX MOSCHATA is indicated in hysteria, associated with frequent emotional changes and enormous bloating of the abdomen, after a slight meal. The patient complains of excessive dryness of the mouth even when that cavity exhibits the normal degree of moisture.
BELLADONNA is indicated in hysterical states, when the patient is boisterous and wild, with red face, etc.
The VALERIANATE OF ZINC, I have used for a common symptom of hysterical persons and of nervous persons generally, and that is, what has been termed the fidgets. They cannot sit still, or they must keep the legs in constant motion. I have used it and I do not remember to have failed to cure in a single instance. This uneasiness of the feet is not an uncommon symptom in old cases of uterine disease; I usually give the remedy in the second or third potency.
The headache of Ignatia is usually situated in one spot in the head, just as though a nail were being driven into the spot. Any little mental work, or in fact any work that is irksome or more severe than usual, any strong odor whether pleasant or otherwise, any emotion which would be borne without trouble by one whose nervous system is in a natural state, may bring on this headache. The attack often ends with vomiting. These headaches are often periodical, returning every two days. They often terminate with a copious flow of pale, limpid urine. Several other remedies have this last-named symptom, headache, relieved by copious urination. They are: ACONITE, GELSEMIUM, SILICEA, and VERATRUM ALBUM.
The power of Ignatia to produce increased excitability, renders it useful in spasms, not only of hysterical origin, but also in those occurring in delicate women, who are not hysterical, and also in children. The spasms are excited by emotions, such as fright or fear, E.G., the child after punishment has a convulsion. Then, too, when the child goes to sleep, there is whimpering in the sleep. This, too, Ignatia cures. Under ordinary circumstances the child will get over the trouble without any treatment; but if the child is an extremely delicate one, or if the trouble occurs during the period of dentition, or there is some reason for fearing convulsions or hydrocephalus, Ignatia may prevent a great deal of trouble. During the convulsions, when Ignatia is the remedy, you will find the face pale, or else at times flushed up, but usually deathly pale. There is twitching of individual muscles, those about the eyelids or the mouth, and the child stiffens out. Especially is Ignatia the remedy when the convulsions have appeared after grief, fright, or some violent emotion.
Nervous women in labor may require Ignatia for spasms. These spasms, however, are to be distinguished from those calling for BELLADONNA, STRAMONIUM, etc., by the absence of fever or severe congestion, and from Hyoscyamus by the unconsciousness or mania which the latter causes.
In these convulsions produced by emotions, unless you have perfectly in your mind the distinction between several remedies, you may not make as prompt a cure as you ought. OPIUM, like Ignatia, is a remedy for the sudden effects of emotions. It does little or no good for the protracted effects. It, too, is worse after punishment, fright, or fear. The body stiffens out, and the mouth and the muscles of the face twitch. Thus far, it is exactly like Ignatia. The distinction lies in this particular : Under Opium, the face is dark red, and bloated. The spasms are usually associated with loud screams, more frequently so than under Ignatia.
GLONOIN produces sudden violent congestions to the head as does Opium. Like Opium and Ignatia, it may be used for the sudden effects of violent emotions. In the convulsions, the fingers are spread asunder and extended, a symptom which you also find under SECALE.
VERATRUM ALBUM also suits for convulsions after sudden violent emotions. But you find the face cold and blue, with cold sweat on the forehead.
HYOSCYAMUS has sudden starting and twitching of the muscles, more so than Ignatia; one arm will twitch and then the other. The motions are all angular. There is a great deal of frothing about the mouth. The patient seems to be wild.
BELLADONNA is probably more frequently indicated than any other remedy for convulsions following violent emotions, anger, etc., with bright red face, wild straining eyes, hot head, and spasms of the glottis.
OPIUM is probably the best remedy when, from fright of the wet-nurse, the child gets retention of urine.
CUPRUM is indicated in convulsions where the fingers are clenched. There is marked blueness of the face and mouth. Any attempt to swallow fluids causes gurgling in the throat.
CHAMOMILLA is useful in convulsions of children after any emotion. It is easily distinguished from Ignatia by the petulant angry disposition of the child. One cheek is red and the other pale, and there is hot sweat about the face and head.
There is a sore throat curable by Ignatia. The patient complains of a sensation as though there was a plug in the throat, worse when not swallowing. Examining the tonsils, you find them studded with small superficial ulcers having a yellowish-white color. There is a constricted feeling about the throat with a great deal of nervousness and insomnia.
IGNATIA may be used in chills and fever when there is thirst during the chill and when the warmth of the stove or artificial heat relieves the chill. That is not a common symptom. This is very diiFerent from NUX VOMICA, which finds no relief from covering up or from the heat of the stove.
The action of Ignatia on the genital organs must also be mentioned, as we find it indicated in dysmenorrhoea, associated with what is termed menstrua) colic, that is when there is a great deal of bearing down in the hypogastric region. The patient exhibits hysterical symptoms. The pains are of labor-like character, and are seemingly relieved by pressure, by lying down, and by change of position. The menses are dark.
The nearest remedies here are, first, COCCULUS INDICUS. This has uterine spasms and dark menstrual flow ; but the backache always enables you to differentiate this drug from others. It has a weak, lame feeling in the small of the back, as though the patient were about to be paralyzed. The limbs tremble when the patient begins to walk. In addition to this, she often complains of a feeling of emptiness, or hollowness in various cavities of the body, especially in the chest and abdomen.
PULSATILLA is at times to be used for this menstrual colic, particularly when the menses are dark in color and delayed. The flow is usually fitful. The patient is apt to be chilly; and the more severe are the pains, the more chilly does the patient become.
CHAMOMILLA is a third drug similar to Ignatia in uterine spasms. It is indicated by the mental symptoms. The patient is very cross, can scarcely answer any one civilly.
I would like you to remember also MAGNESIA MUR., which is indicated in uterine spasms accompanying induration of the uterus, whether of a scirrhous nature or not.
ACTEA RACEMOSA is called for in uterine spasms when the pains fly across the hypogastrium from side to side.
In disorders of digestion Ignatia is useful when the patient complains of the presence of a bitter or sour-tasting mucus in the mouth and copious salivation. He has marked aversion to certain foods. Food may be regurgitated. Gastralgia is present. He has hiccough, aggravated by eating and smoking; and, especially in children, by emotions. There is an empty, gone feeling at the epigastrium, with qualmishness. In some cases there is empty retching relieved by eating. The patient vomits at night the food taken in the evening. The bowels are disordered.
HYOSCYAMUS is one of our best remedies for hiccough occurring after operations on the abdomen.
STRAMONIUM and VERATRUM ALBUM for hiccough after hot drinks, and ARSENICUM and PULSATILLA after cold drinks.
TEUCRIUM MARUM VERUM is useful in hiccough after nursing.
Ignatia is useful in prolapsus ani, which may or may not be accompanied with haemorrhoids. You have as a characteristic symptom sharp stabbing pains shooting up into the rectum. This prolapsus ani may annoy the patient, even if there is soft stool. There is constriction at the anus, aggravated after stool, and better while sitting.
Ignatia produces quite a variety of symptoms referable to the eye, making it a useful remedy in several diseases of that organ. Like AGARICUS, it has nictitation of the eye-lids, with spasmodic action of the facial muscles. There are neuralgic pains about the eyes. These are exceedingly severe and are often associated with the GLOBUS HYSTERICUS. Ignatia may also be used in phlyctenular ophthalmia, when there is intense photophobia and a feeling of sand in the eyes.
The toothache of Ignatia is worse between than during acts of eating. Now this is in perfect harmony with the throat symptoms of the drug ; that is, there is a feeling as of a lump in the throat which is not felt DURING but BETWEEN the acts of deglutition. The lump (?) may feel sore while swallowing but it is felt more markedly between acts of deglutition. This symptom has led to the selection of Ignatia in aphthous sore-throat (the tonsils being swollen and studded with white flat patches), and even in diphtheria.
ZINCUM holds a very peculiar relation to Ignatia and Nux vomica. It follows Ignatia well while it is inimical to Nux vomica.
STRYCHNOS IGNATIA. FABA SANCTI IGNATII. ST. IGNATIUS' BEAN.
The seed of a large tree, a native of the Philippine Islands. It contains strychnine, and in poisonous doses its effects are regarded as identical with those of Nux vomica.
The seeds are used in medicine. They are bruised and triturated.
By allopathic writers Ignatia is classed among the spinants, as acting exclusively upon the spinal cord. Containing strychnine, it is regarded as identical in action with Nux vomica.
We shall see that, however great the similarity, there are yet great, and to us, as therapeutists, most valuable differences between these drugs. This is not the first instance in which a superficial use of chemistry has led to error.
Much of what was said of Nux vomica is certainly applicable also to Ignatia. Yet it appears that Ignatia acts less than Nux vomica upon the organic substance of the body, producing appreciable changes in the tissues, and much more exclusively upon the vital power.
Upon the vital power its action is not so much exalting or depressing, although in certain organs each of these varieties of action is distinguishable; but rather disturbing, destroying the harmony of action between different portions of the organism, perverting the co-ordination of functions. Thus, where we find heat of the body, and should anticipate such a condition of the nervous system as would make cool air agreeable, the contrary condition obtains ; where we should, from the fever existing, expect thirst, we find none, and VICE VERSA. The great sensitiveness of the surface, instead of being aggravated by contact and by pressure, is relieved by it, etc., etc.
Now, it would seem as though such results from provings might be fanciful, were they not corroborated by too many witnesses to admit of the idea being entertained.
And yet, singular as this state of things is, it finds its analogy in the natural history of disease. For if you analyze the phenomena of hysteria, you will find this "perversion of the co-ordination of functions" to be the fundamental principle of the malady. And of all our remedies none so completely corresponds to hysteria, and so often cures it, as Ignatia.
In the words of Dr. Wurmb the whole character of Ignatia may be expressed in two words: " ENTGEGENGESETZTE NEBENBESCHWERDEN."
Accessory or concomitant phenomena which are contradictory to or inconsistent with each other.
HEAD. The headache of Ignatia is aggravated by talking or listening or paying close attention to anything, but not by independent mental action. It is a sensation of heaviness, as if congested, relieved by stooping and leaning forward, not therefore a real congestion (here is a contradiction). There is sometimes a semi-lateral throbbing, sometimes a throbbing over the orbits.
The most characteristic pain is that as if a nail were driven into the head. It is generally in the parietal or vertical region. Thuja has a similar pain in the occiput. This calls to mind the clavus hystericus, in which Ignatia is very useful.
EYES. The affection of the conjunctiva is moderate. There is but little congestion. On the contrary, photophobia is sometimes intense, though capricious.
The vision is affected in this way : on one side of the axis of vision is observed a zigzag, white flickering.
EARS. Ringing and noises in the ears are observed.
FACE. The muscles of the face and the lips often twitch and are convulsed.
TEETH. It is noted of the Ignatia toothache that though it consists chiefly in a soreness and tenderness of the teeth, it is felt more in the interval between meals than when eating. (Another contradiction.)
THROAT. The sore throat of Ignatia, which is a sticking sensation, is felt more when swallowing than when the throat is at rest.
The digestive organs are much modified in action. The mouth is full of mucus. The taste is flat; food has a bitter, repulsive taste. There are fanciful aversions to special articles of food. There is sometimes craving for a particular article, and then, after a small portion has been taken with great enjoyment, a sudden and great aversion to it.
Frequent regurgitation of food and of a bitter liquid. Vomiting at night of food taken in the evening. Empty retching relieved by eating. (Contradiction.)
Distention of the abdomen after eating. Sour eructations. Salivation copious, frothy, sour. Hiccough.
In the region of the stomach great emptiness and qualmishness and weakness, with a flat taste in the mouth. Characteristic.
(The above three paragraphs are very important, applying to vomiting in pregnancy.)
There are sticking and soreness in the epigastrium, and moderate flatus, with cutting and griping.
The stool is but little affected. There is a tendency to frequent but scanty stool, as in Nux \ vomica ; but Ignatia acts less on the substance of the rectum and more on its nerves. Thus in the rectum we have a distressing contraction and constriction of the sphincter, most painful after a stool, and when walking and standing, and relieved by sitting. (Contradiction.)
These are very important symptoms; violent stitches shooting from the rectum upward and forward into the abdomen. Along with these soreness, constriction and blind or bleeding haemorrhoids, worse after a stool.
Besides these symptoms of haemorrhoids and of proctalgia, itching and creeping at the anus indicate the presence of ascarides.
The chief symptoms of the urinary system are an increased secretion of clear, lemon-colored urine. (Hysteria.)
Menstruation is too frequent and too copious, and for this state of things, other symptoms corresponding, Ignatia is a remedy.
RESPIRATORY ORGANS. With regard to the respiratory organs, besides the itching of the nose and disposition to ulceration around the anterior nares, I call attention only to the cough.
This is characteristic of Ignatia. It arises from a feeling of constriction in the trachea or larynx, as if drawn together, then a tickling as if feather dust were in the throat; the cough is dry, violent, shattering; the shocks come in quick succession; the tickling irritation is not relieved by coughing. On the contrary, it becomes worse the longer the patient coughs, and is only relieved by a resolute suppression of the cough. (A marked contradiction, this!) The cough occurs chiefly in the evening, after lying down. This cough is unlike that of any other drug ; the contradiction is the characteristic feature.
There is occasional spasmodic dyspnoea.
In the trunk various tearing pains, and lassitude.
There are jerkings and twitchings in the extremities, especially after lying down at night, and startings when just falling asleep.
Sleep is sometimes deep and irresistible, sometimes the patient is wakeful. It is disturbed by dreams.
The fever is partial in all its stages. The peculiarity of the chill is that it is relieved by external heat, and that it is accompanied by excessive thirst; whereas the fever, which is partial, is not attended by thirst. (Contradiction.)
The symptoms of the mind are most important. Anxiety, as though something terrible had happened ; he cannot speak because of it, Hurry, fearfulness, terror, alternating with irresolution and inertness. Fixed ideas; the prover sits still and broods over thoughts and griefs.
Ignatia is indicated:
1. When the bad effects of anger, of grief, and of sudden mental shocks produce still grief, or a disposition to brood over sorrow instead of giving way. But when these emotions and shocks make the patient supercilious or crazy, give Platina; when boisterous and wild, Belladonna.
2. In convulsions. In epileptic attacks, with consciousness: in convulsions from grief; from dentition ; from labor, when without fever or cerebral congestion; not, therefore, where Hyoscyamus or Belladonna is required.
3. In intermittent fever, when there is chill with thirst or fever without. Distinguished from Ipecacuanha, Eupatorium, Rhus toxicodendron.
4. In dyspepsia, for weakness in the epigastrium.
5. In proctalgia, after the stool; it is distinguished by stitches up into the abdomen ; it is not indicated in fissure of the anus, which calls for Nitric acid and Plumbum.
6. For haemorrhoids after labor.
7. For ascarides.
8. For the vomiting of pregnancy, if appetite, salivation, copious lemon-colored urine, etc., be present, and clavus hystericus.
9. In spasmodic cough. Note the sensation oi constriction felt in the rectum and in the trachea.
Ignatia has a general correspondence to hysteria ; to the form characterized by a mental character, which is mild, gentle, yielding though whimsical (else it were not hysteria), and introverted. There is another form represented by Platina, which drug will be the subject of the next lecture.
ST. IGNATIUS BEAN LOGANIACEAE
Especially suited to nervous temperament; women of a sensitive, easily excited nature; dark hair and skin but mild disposition, quick to perceive, rapid in execution. In striking contrast with the fair complexion, yielding, lachrymose, but slow and indecisive, Pulsatilla.
The remedy of great contradictions: the roaring in ears > by music; the piles > when walking; sore throat feels > when swallowing; empty feeling in stomach not > by eating; cough < the more he coughs; cough on standing still during a walk (Ast. fl.) ; spasmodic laughter from grief; sexual desire with impotency; THIRST DURING A CHILL, no thirst in the fever; the color changes in the face when at rest.
Mental conditions rapidly, in an almost incredibly short time, change from joy to sorrow, from laughing to weeping (Coff., Croc, Nux m.); moody.
PERSONS MENTALLY AND PHYSICALLY EXHAUSTED BY long-concentrated grief.
INVOLUNTARY SIGHING (Lach.) ; with a weak, empty feeling at pit of stomach; not > by eating (Hydr., Sep.).
Bad effects of anger, grief, or disappointed love (Cal. p., Hyos.) ; broods in solitude over imaginary trouble.
Desire to be alone.
Finely sensitive mood, delicate consciousness.
Inconstant, impatient, irresolute, quarrelsome.
Amiable in disposition if feeling well, but easily disturbed by very slight emotion ; EASILY OFFENDED.
The slightest fault finding or contradiction excites anger, and this makes him angry with himself.
Children, when reprimanded, scolded, or sent to bed, get sick or have convulsions in sleep.
Ill effects, from bad news; from vexation with reserved displeasure; from suppressed mental sufferings; of shame and mortification (Staph.).
Headache, as if a nail was driven out through the side, relieved by lying on it (Coff., Nux, Thuja).
Cannot bear tobacco; smoking, or being in tobacco smoke, produces or aggravates headache.
In talking or chewing, bites inside of cheek.
Sweat on the face on a small spot only while eating.
Oversensitiveness to pain (Coff., Cham.).
Constipation: from carriage riding; of a paralytic origin; with EXCESSIVE URGING, FELT MORE IN UPPER ABDOMEN (Ver.) ; with great pain, dreads to go to closet; in women who are habitual coffee drinkers.
Prolapsus ani from moderate training at stool. stooping or lifting (Nit. ac, Pod., Ruta) ; < when the stool is loose.
Haemorrhoids: prolapse with every stool, have to be replaced; SHARP STITCHES SHOOT UP THE RECTUM (Nit, a.); < for hours after stool (Rat., Sulph.).
Twitchings, jerkings, even spasms of single limbs or whole body, when falling asleep.
Pain in small, circumscribed spots.
Fever: red face during chill (Fer.) ; chill, WITH THIRST DURING CHILL ONLY; > by external heat; heat WITHOUT THIRST, < by covering (> by covering, Nux).
Complaints return at precisely the same hour.
Ignatia bears the same relation to the diseases of women that Nux does to sanguine, bilious men.
There are many more Ignatia persons in North America than Nux vomica persons. — Hering.
Incompatible: Coff., Nux, Tab.
The bad effects of Ign. are antidoted by Puls.
From tobacco, coffee, brandy, contact, motion, strong odors, mental emotions, grief.
Warmth, hard pressure (Cinch.); swallowing, walking.
Remedy of paradoxicalities. Head better lying on painful side, moody, goneness not > by eating, sore throat < by swallowing, thirst during chill, face red during chill, etc.
Sad, sighing, changeable, moody disposition.
Twitching or spasms, or convulsions from exciting or depressing emotions, fright, etc.
All-gone, weak, empty sensation in stomach not > by eating.
Anal troubles (piles, prolapsus, soreness and pain after stool, pains shooting up into abdomen).
Adapted to emotional, hysterical subjects.
Modalities: < slight touch, smoking, coffee; > lying on painful side; hard pressure; profuse watery urination.
Cough; dry, spasmodic; not relieved by coughing; the longer he coughs the more the irritation to cough increases.
Pain; in small circumscribed spots; over-sensitive (COF., HEP.).
In most cases IGNATIA should be given in the morning.
IGNATIA bears the same relation to the diseases of women that NUX does to bilious men.
IGNATIA is another one of the long list of our nervous remedies. Its peculiar mental symptoms, like those of ACONITE, CHAMOMILLA, NUX VOMICA and many others, are most characteristic. Like these remedies, it seems to exalt the impressionability of all the senses; but unlike the others, it has in it a marked element of sadness, and disposition to SILENT GRIEVING. Anyone suffering from suppressed, deep grief, with long drawn sighs, much sobbing, etc., and especially if inclined to smother or hide that grief from others, is just the subject for this remedy. She desires to be alone with her grief. SIGHS MUCH and seems so sad and weak. The weakness is complained of right in the pit of the stomach. She feels weak, faint, and "ALL GONE" there. Another equally characteristic state of mind is a changeable mood. No remedy can equal IGNATIA for this. ACONITE, COFFEA, NUX MOSCHATA and a few others have it, but IGNATIA in the greatest degree. And so this remedy becomes one of our best in the treatment of hysterical affections. The patient is at one time full of glee and merriment, TO be followed suddenly with the other extreme, of melancholy sadness and tears, and so these states of mind rapidly alternate. Again, we have in IGNATIA an impatient, QUARRELSOME, ANGRY MOOD (but not to the degree of CHAMOMILLA) at times. Again the IGNATIA patient is, because of her excessive impressibility, easily frightened. Here it becomes one of our best remedies for the effects of fright, vying with ACONITE, OPIUM and VERATRUM ALBUM. In short, IGNATIA may justly be termed pre-eminently the remedy OF moods.
Aside from its mental symptoms, it is a great nervous remedy. It acts upon the spine as decidedly as NUX VOMICA, affecting both motor and sensory nerves. It is one of our best remedies for spasms or convulsions, and is especially adapted to spasmodic affections originating in mental causes, as after FRIGHT, PUNISHMENT OF CHILDREN or other strong emotions. In one case of puerperal convulsions, other remedies having failed to do any good, the consulting physician while observing the patient during one of the spasms noticed that she came out of it with a succession of long drawn sighs. He inquired if the patient had had any recent mental trouble, and learned that she had lost her mother, of whom she was exceedingly fond, and whom she had mourned for greatly, a few weeks before. IGNATIA 30th quickly cured her.
Again, short of actual convulsions, IGNATIA has, in a most marked degree, twitchings all over the body, hence it becomes one of our best remedies for chorea, especially if caused by fright or grief on the mental side, or teething or worms on the reflex irritation side. There is only one remedy that comes near it for these twitchings and that is ZINCUM METALLICUM. Of course, AGARICUS, HYOSCYAMUS, CUPRUM MET., etc., come close, and some might think are equal. VERATRUM VIRIDE, when better known, may lay claim to high rank here. IGNATIA is sometimes recommended for paralysis, but will be found, I think, exceptionally useful, and that mainly in hysterical cases, which are not of a very dangerous character. Like ACONITE, CHAMOMILLA and COFFEA, IGNATIA is OVERSENSITIVE to PAIN.
IGNATIA, like its male partner, NUX VOMICA, is a great remedy for headaches of nervous, especially hysterically nervous, subjects. That would be about the same as saying, that while NUX VOMICA is adapted to nervous men IGNATIA is the same for women, which is quite true. You will remember that hysterical, nervous headaches are often one-sided. Hence IGNATIA is such an efficient remedy for headaches as expressed in these words: "HEADACHE AS IF A NAIL WERE DRIVEN OUT THROUGH THE SIDE OF THE HEAD RELIEVED BY LYING ON IT." These headaches come on in highly nervous and sensitive subjects, or in those whose nervous systems have suffered from over-anxiety, grief or mental work. The EVER-CHANGEABLE AND CONTRADICTORY symptoms so characteristic of the drug show here as elsewhere. Not only does the pain in head change locality, but at one time the pain will come on gradually and abate suddenly (like SULPHURIC ACID), or, like BELLADONNA, it willcome on suddenly and abate as suddenly as it came. Like ACONITE, GELSEMIUM, SILICEA, and VERATRUM ALBUM, the headache often terminates with a PROFUSE FLOW OF URINE. That is often the case in headaches of nervous hysterical women. (LAC DEFLORATUM, profuse flow DURING headache. )
Finally the headaches are aggravated by coffee, smoking, the abuse of snuff, inhaling tobacco smoke, alcohol, close attention, from pressing at stool, and, while it is sometimes relieved while eating, is aggravated soon after. The IGNATIA headache is sometimes accompanied by hunger like that of PSORINUM. It is also < by cold winds, turning head suddenly, stooping, change of position, running, looking up long, moving the eyes, noise and light.
It is ameliorated by WARMTH, LYING ON IT, SOFT PRESSURE, EXTERNAL HEAT AND PROFUSE FLOW OF LIMPID URINE. IGNATIA has some strong throat symptoms. In the first place it has the so commonly observed symptom called "GLOBUS HYSTERICUS," or as if a lump came up from the stomach into the throat as if she would choke. She swallows it down but it comes right back and is very distressing. It is especially apt to come if she gets GRIEVED and wants to cry. These are of course purely nervous sensations, but IGNATIA goes further, and also cures real serious affections of the throat like tonsillitis and diphtheria. In these cases the real characteristic symptom is, that the pain and suffering in the throat is RELIEVED BY SWALLOWING OX is worse between the acts of deglutition. (CAPSICUM.) A very peculiar symptom for such troubles, for such cases are generally AGGRAVATED by swallowing, hence we would not expect to frequently find a case in which this would be the remedy; but such cases do arise occasionally and baffle us if we haven't the remedy. Here is where Homeopathy, as we say in base ball, "scores some of its best runs," and the satisfaction of curing such a case with an UNUSUAL remedy is, to say the least, very gratifying to him who performs the cure. With IGNATIA cases, in addition to the aggravation when not swallowing, there is sometimes aggravation when swallowing liquids and relief from swallowing solids. This is like LACHESIS, you remember, but is the reverse of BAPTISIA, which can swallow liquids only; the least solid food gags. It is necessary to keep these correspondences and opposites in mind, for it often enables us to make what are called "snap shot" prescriptions and save much time, study and suffering.
Some of the particularly valuable "guiding symptoms" of IGNATIA, in addition to those already noticed, are "EXTREME AVERSION TO TOBACCO SMOKE." This is a general aversion and aggravates many, many complaints. "WEAK, EMPTY, GONE FEELING AT THE PIT OF THE STOMACH." In the case of IGNATIA this symptom is apt to be accompanied by a disposition to SIGH or take a long breath. Two other remedies have this symptom of goneness in the stomach as prominently as IGNATIA. They are HYDRASTIS and SEPIA. The other symptoms must decide between them. This weak feeling in the stomach in IGNATIA is sometimes described as a feeling of flabbiness, as though the stomach HUNG DOWN RELAXED. IPECACUANHA has a similar feeling. Sometimes we come across very severe cases of gastralgia in women of hysterical tendencies. Here this remedy is the first to be thought of.IGNATIA has as positive action upon the anus and rectum as does NUX VOMICA. PROLAPSUS OF THE RECTUM is marked.
(RATA GRAVEOLENS.) Like NUX VOMICA it has frequent desire for stool, but in place of stool, or with it, comes the prolapsed rectum. The patient is afraid to strain at stool, to stoop down or lift, for fear of the prolapsus. A contractive sore pain follows after a stool and lasts for an hour or two. This is like NITRIC ACID, which has the same symptom only after a loose stool. There is also some pain in anus without reference to stool. Dunham, that prince of observers, gave us the characteristic: "SHARP PRATA GRAVEOLENS.) NUX VOMICA SHARP AINS SHOOTING UPWARD INTO THE RECTUM." (SEPIA has similar pains in uterus.) It is a gem, and has often been verified. So we see that IGNATIA is one of our important anal and rectal remedies.
This remedy is also very unique in its fever symptoms. There is no disease in which we are better able to show the power of the potentized remedy to cure, than intermittent fever. Chronic cases that have resisted the Quinine treatment for years are often quickly and permanently cured by the 200th and upwards. The following symptoms indicate IGNATIA: 1st. THIRST DURING CHILL and in no other stage. 2d. Chill relieved by EXTERNAL HEAT. 3d. Heat aggravated by EXTERNAL COVERING. 4th. RED FACE DURING THE CHILL. Here are four legs to the stool, and we may sit upon it in perfect confidence. No other remedy has thirst during chill and in no other stage. In NUX VOMICA, you will remember, the chill is not relieved by the heat of the stove, or the bed, and during the heat NUX VOMICA must be covered, as the least uncovering brings back the chill. So we see that notwithstanding the alkaloid of both drugs is strychnia they differ widely when we come to apply them to the cure of the sick. The red face during chill led me to the cure of an obstinate case,
and after I noticed the red face I also noticed that the boy was behind the stove in the warmest place he could find. The 200th promptly cured. Two other cases in the same family, at the same time, and from the same malarious district, were cured, one by CAPSICUM, 200th, the other by EUPATORIUM PERFOLIATUM, same potency. The former had chill beginning between shoulders, in the latter the chill in the A. M., great pain in bones before, and vomiting of bile at the end of chill. I do not know but I have mentioned these three cases before; but it will bear repeating, for it illustrates the EFFICACY OF POTENCIES in obedience to our great law of cure. Can any reasonable man doubt such evidence.
(St. Ignatius Bean)
Produces a marked hyperesthesia of all the senses, and a tendency to clonic spasms. Mentally, THE EMOTIONAL ELEMENT IS UPPERMOST, AND CO-ORDINATION OF FUNCTION IS INTERFERED WITH. Hence, it is one of the chief remedies for hysteria. It is especially adapted to the nervous temperament-women of sensitive, easily excited nature, dark, mild disposition, quick to perceive, rapid in execution. Rapid change of mental and physical condition, opposite to each other. Great contradictions. Alert, nervous, apprehensive, rigid, trembling patients who suffer acutely in mind or body, at the same time made worse by drinking coffee. The SUPERFICIAL and ERRATIC CHARACTER of its symptoms is most characteristic. EFFECTS OF GRIEF and worry. Cannot bear tobacco. Pain is small, circumscribed spots. (OXAL. AC.) THE PLAGUE. Hiccough and hysterical vomiting.
Changeable mood; introspective; silently brooding. Melancholic, sad, tearful. Not communicative. SIGHING AND SOBBING. After shocks, grief, disappointment.
Feels hollow, heavy; WORSE, STOOPING. Headache as if a nail were driven out through the side. Cramp-like pain over root of nose. Congestive headaches following anger or grief; WORSE, SMOKING OR SMELLING TOBACCO, inclines head forward.
ASTHENOPIA, with spasms of lids and neuralgic pain about eyes. (NAT. M.) Flickering zigzags.
TWITCHING OF MUSCLES of face and lips. Changes color when at rest.
SOUR TASTE. Easily bites inside of cheeks. Constantly full of saliva. Toothache; worse after drinking coffee and smoking.
Feeling of a lump in throat that cannot be swallowed. Tendency to choke, globus hystericus. Sore throat; stitches when not swallowing; better, eating something solid. Stitches between acts of swallowing. Stitches extend to ear. (HEP.) Tonsils inflamed, swollen, WITH SMALL ULCERS. FOLLICULAR TONSILLITUS.
Sour eructation. All-gone feeling in stomach; MUCH FLATULENCE; hiccough. Cramps in stomach; worse slightest contact. Averse to ordinary diet; longs for great variety of indigestible articles. Craving for acid things. SINKING IN STOMACH, RELIEVED BY TAKING A DEEP BREATH.
Rumbling in bowels. Weak feeling in upper abdomen. Throbbing in abdomen. (ALOE; SANG.) Colicky, griping pains in one or both sides of abdomen.
Itching and stitching up the rectum. PROLAPSE. Stools pass with difficulty; PAINFUL CONSTRICTION OF ANUS AFTER STOOL. Stitches in haemorrhoids during cough. Diarrhoea from fright. Stitches from anus deep into rectum. Haemorrhage and pain; worse when stool is loose. Pressure AS OF A SHARP INSTRUMENT FROM WITHIN OUTWARD.
Profuse, watery. (PHOS. AC)
Dry, spasmodic cough in quick successive shocks. Spasm of glottis (CALC) Reflex coughs. Coughing increases the desire to cough. MUCH SIGHING. Hollow spasmodic cough, worse in the evening, little expectoration, leaving pain in trachea.
Menses, BLACK, too early, too profuse, or scanty. During menses great languor, with spasmodic pains in stomach and abdomen. Feminine sexual frigidity. Suppression from grief.
Jerking of limbs. Pain in tendo-Achilles and calf. Ulcerative pain in soles.
Very light. Jerking of limbs on going to sleep. Insomnia from grief, cares, with itching of arms and violent yawning. Dreams continuing a long time; troubling him.
Chill, with thirst; not relieved by external heat. During fever, itching; nettle-rash all over body.
Itching, nettle-rash. Very sensitive to draught of air. Excoriation, especially around vagina and mouth.
WORSE, in the morning, open air, after meals, COFFEE, smoking, liquids, external warmth. BETTER, while eating, change of position.
Compare: ZINC.; KALI PHOS.; SEP.; CIMICIF. PANACEA ARVENSIS-Poor man's Mercury-(Sensitiveness over gastric region with hunger but an aversion to food).
Complementary: NAT. MUR.
Incompatible: COFFEA; NUX; TABAC.
Antidotes: PULS.; CHAM.; COCC.
Sixth, to 200th potency.