Pulsatilla nigricans (2)

The power point presentation discusses here the drug picture of Pulsatilla Nigricans with emphasis on its mental generals. Pulsatilla has been compared with Chamomilla, Bryonia, Kali sulph, Cyclamen and Natrum mur with regards to its mental and physical generals.The respective source has been provided alongside the symptoms to enhance its authenticity.

1. PULSATILLA NIGRICANS Made By:- Jasleen kaur luthra I ntern(Nehru Homoeopathic M edical C ollege andHospital ) New Delhi

2. Source Vegetable kingdom Common Name Anemone , Wind flower, Pasque flower, Pulsatilla Pratensis Family Ranunculaceae Proved By Dr Hahnemann in 1805 Duration of Action 40 Days Parts Used Entire Fresh Plant INTRODUCTION

3. HABIT AND HABITAT Found in Scandinavia, Denmark, Germany , France, Russia . First cultivated in England in 1731 by Mr. Miller. Stem is 1.5 meters high and is simple, erect and rounded . Leaves are feather like, bipinnatifid with linear segments. Flowers are numerous, bell-shaped colour vary from dark violet to light blue, appearing from March to May. Root i s thick and short and sends of several strong fibers. The whole plant is covered with silky hairs.

4. DOCTRINE OF SIGNATURE As the plant grows in deserts, patient has a dry mouth . As the plant needs less water to grow, patient is thirst less . As the flowers of the plant are drooping downwards, patient is very shy . As the flowers are so delicate that they change their direction by a draft of wind, changeability of signs & symptoms is marked . As the flowers are always present in groups, patient likes to be in a group (likes company) dose not want to be alone . As the stem of the plant is delicate & is covered by small hair like structures to protect it from the wind, in the chilly phase, the patient likes to go into the open air by covering himself.

5. " Fragmenta de viribus medicamentorum positivis sive in sano corpore humano observatis " which is the first pharmacographic work of Dr Samuel Hahnemann written in Latin. Dr. Hahnemann recorded maximum symptoms in Pulsatilla ( 280 )

6. CONSTITUTION Physical Make up : ladies who are fair and beautiful-looking but inclined to be fleshy with fine hair and blue eyes, soft and lax muscles, anaemic and chlorotic with pale face at puberty . Pulsatilla patient can be compared to the race of Sheep; as Antim Crud to Swine and Arsenic to Race OF Horse. Temperament: Tearful ,slow, phlegmatic and indecisive.

7. SHE IS THE MOST INNOCENT OF THE CONSTITUTION TYPES . Thermal Relationship : Chilly (by Dr Kent) OR Hot (by Dr. ML Tyler, Dr. William Boerick , Dr. Farrington, Dr. HC Allen) Miasmatic Background : Psora and Sycosis

8. SPHERES OF ACTION (PHARMACODYNAMICS) Mind Veins Mucous membranes- Tongue, Stomach, Bowels , Female genital organ Eyes and Ears.

9. Mental Generals Ailments after- Grief, Mortification and sorrow Mania from suppressed menses. The mental symptoms are often associated with the ovarian and uterine difficulties.

10. Mildness - She is Mild, Gentle and Soft hearted. CAN NEVER BE AGGRESSIVE.(George vithoulkas ) Does want to impose. She will usually give way silently .she will play the role of a peace maker. They shape themselves around whatever is presented.

11. Imaginative - Imagines that certain articles of diet are not good for the human race. Imagines that milk is not good to drink, so they will not take it. Fears : in evening, to be alone, of darkness, of ghosts.

12. WEEPING TENDENCY- tearful blondes . Tearful, plethoric, and generally has little credit for being sick from her appearances( kent ). Weeps easily( Boericke , kent ). Almost impossible to detail her ailments without weeping (weeps when thanked, Lyco ) ( H.C.Allen ). Melancholic, sadness, weeping, despair,. WEEPING DISPOSITION (Clarke)

13. Aversion to marriage: is the strong symptom. Imagines the company of the opposite sex a dangerous thing to cultivate, and that it is dangerous to do certain things well established in society as good for the human race . Dr kent says “A man takes it into his head that it is an evil thing to have sexual intercouse with his wife and abstains from it.”

14. RELIGIOUS FREAKS- An especial tendency to dwell on religious notions; fixed ideas concerning the scripture; he misuses and misapplies the scriptures to his own detriment; religious despair, fanatical ; full of notions and whims. dwells on sanctification until he becomes fanatical and insane. Thinks she is in a wonderfully sanctimonious state of mind, or that she has sinned away her day of grace.

15. CHANGEABLENESS - The key fea­tures of the Pulsatilla profile mirrors both this changeability and the need or desire to be outdoors. The changeability is as unpredictable as the wind itself. MENTALLY, AN APRIL DAY .(William boericke ) Pulsatilla is most Nervous, Fidgety, Changeable, Easily led and Easily persuaded .( Kent) Capricious( S.r pathak ) Boericke begins his entry about Pulsatilla with the words: “ The weather­cock among remedies ”

16. TIMID AND EMOTIONAL- Timid, irresolute. with a tendency to INWARD ( J.H.CLARKE ). GRIEF and SILENT PEEVISHNESS Likes sympathy Easily discouraged. Emotionally easily arousable . SLOWNESS- Slow and gentle motion is characteristic. Adapted for SLOW and PHLEGMATIC temperaments .(J.H.CLARKE)

17. IRRITABLE- Disgusted at everything. Easily offended. Children like fuss and caress. Very irritable, touchy, feels slighted or fears slight She is remarkably Irritable, not in the sense of pugnacity, but easily irritated, extremely touchy, always Slighted ; sensible to every social influence. ( kent )

18. P – Phlegmatic temperament. U – Unnatural Brooding. L – Lachrymal ( least affair throws her off the balance ) S – Silent Peevishness. A – Amelioration from consolation. T – Timid, Taciturn. I – Indecisive. L – Like April Day, Changeable mood. L – Low-spirited – fears. A – Amiable .

19. PULSATILLA CHILD They tend to demand instant gratification and if they feel deprived they will cry until demands are met with . Children like fuss and caress. She is simply fussy like a spoilt child – DR WILLIAM BOERICKE . She will get jealous of anyone who takes up her parents time, she is apt to behave petulantly.

20. If the pulsatilla child gets hurt, she cries whether the hurt is emotional or physical

21. Pulsatilla Child :- MILDNESS

22. Child demonstrates affection through hugs and kisses, climbs on mother’s lap, cuddles there & sits quietly . Fears :in evening, to be alone, of darkness, of ghosts . -( by DR WILLIAM BOERICKE)

23. Puls Puberty – resistance to psychological maturation acquires host of unexplained little aches & pains. reliant on parents support. In Children – resistance to growing up is manifested as fear of looking up., which causes vertigo.

24. PULSATILLA MEN Irresolute Shyness Dr kent says “A man takes it into his head that it is an evil thing to have sexual intercouse with his wife and abstains from it.”

25. GUIDING SYMPTOMS Thirstlessness   -  Thirstlessness often associated with nearly all  complaints.Great dryness of mouth in the morning without thirst ( Nux-mosch )   Metastatasis  - Metastasis of mumps to breasts or testicles Chilliness  - Constant internal chilliness even in warm room, but aversion to cover, pains are associated with chilliness.  Changeability of symptoms- Symptoms are always changeable. No two chills, no two stools, no two attacks are alike. It has an ever-changing character of symptoms.Very well one hour, very miserable the next. Haemorrhages flow and stop and flow again. No head or tail to the case-mixed (E.B. NASH)

26. Pains-   Drawing, tearing, erratic, pains rapidly shifting from one part to another ( Apis , Kali- bi,kalmia lat., Lac-can, Mang - act). Pain comes gradually and disappears suddenly or pain appears suddenly and goes gradually. Pains accompanied with constant chilliness, and the more severe the pain the harder the chill  .(with profuse sweating, cham ., with fainting hepar sulph ., with frequent micturition thija ., with delirium, verat.alb) Discharges-   Thick, bland, yellowish green (kali- sulph , Nat- sulph ) discharge from mucous membranes . But discharges such as leucorrhoea are acrid and excoriating . 

27. One-sidedness   - One-sided complaints. One-sided headache. One-sided sweat ( bar.c.,nux.,phos ., petrol., sulph ., thuja ). One sided pains.  Derangements – Especially at puberty. “NEVER BEEN WELL SINCE THAT TIME” says the patient referring to puberty or menarche. Desire- Desire for open air. So much desire that during her delivery wants windows opened. Unable to breathe well or is chilly in a warm room .

28. Sleep -  Does not want to go to bed; first sleep restless, sound sleep when it is time to get up; awakes languid, unrefreshed (reverse of, Nux-vom ) sleeps with hands over head. Dreams -  Dreams of black animals, of business, exhausting, frightful, ghosts, naked men, murder, of misfortune and accidents.

29. AILMENTS FROM Eating fatty and starchy food. Ice- cream Tea and coffee Abuse of mercury, quinine, sulphur , chamomilla . Chill from getting feet wet Worm affection in children and indigestion.

30. HEAD HEADACHE CAUSATION - from overwork, overloading the stomach, fatty diet. LOCATION - 1.Neuralgic pains commencing in right temporal region, with scalding lachrymation of affected side . 2.Shifting type of headache CHARACTER- Throbbing, congestive, pressive (Bell., Bry .) AGGRAVATION-l ying and sitting quiet,from stooping,motion of the eyes, evening. AMELIORATION - by sitting, in morning, walking slowly about ( Ferr - met) in the morning ,by application of cold, by external pressure or tight bandaging .( Apis , Arg -nit, Lac- defl ) Headache associated with suppressed menses, with menstrual disorders.

31. EARS Catarrhal otitis . Ottorhoea - thick yellow purulent bland discharge, offensive odor. External ear swollen and red. Otalgia worse-at evening and at night. better-by walking slowly about the room Sensation as if something were being forced outword .

32. EYES Conjunctivitis with PROFUSE, THICK ,YELLOW, BLAND DISCHARGE BURNING AND ITCHING in the eyes LIDS INFLAMMED, AGGLUTINATED. STYES : on upper eyelids ; from eating fat, greasy, rich food or pork. Veins of fundus oculi are greatly enlarged. Opthalmia neonatorum ( arg - nitr ) . Subacute conjunctivitis with dyspepsia; worse in warm room.

33. NOSE Repeated attacks of coryza , with sneezing and stuffing of the nose with a febrile state. There is pain on the face through the nose. In the evening there is a considerable watery discharge with sneezing. In the morning stuffing of the nose with thick yellow greenish discharge which is bland and offensive . Large bloody, thick, yellow crust accumulates in the nose, hardens down and is blown out in the morning accompanied by thick yellow pus. There is also a loss of smell. The patient himself feels better in open air and worse in a warm room.

34. Gastro-intestinal tract Mouth Great dryness of mouth in the morning without thirst ( Nux - mosch ). Wants it washed frequently. Offensive odor from mouth .( Merc ., aur ) Crack in middle of lower lip .( amm - carb ., hepar - sulph , nat-mur )

35. Tongue She always has a very bad taste in the mouth, early in the morning. Yellow or white tongue, covered with a tenacious mucus. Food ,especially bread tastes bitter. Much sweet saliva Alternations of taste, bitter, bilious, greasy, salty, foul

36. Toothache Relieved by holding cold water in the mouth ( bism ., bry ., caust ., coffe ., nat-sulph ., sepia) Worse from warm things and heat of room ( bry .)

37. Ailments from: Eating fatty and rich foods-cake, pastry, after pork or sausage; ( nux vom -likes fatty rich foods and able to digest them easily) the sight or even the thought of pork causes disgust. Fruits Ice-cream Tea Worms in case of children Warm food and drink

38. Eructations ; taste of food remains a long time Pain as from subcutaneous ulceration. Flatulence Dyspepsia with great tightness after a meal; must loosen clothing. “All-gone” sensation especially in tea drinkers . Gnawing hungry feeling .( abies c.) THIRSTLESSNESS with nearly all complaints.

39. NAUSEA Nausea ,and retchings after greasy food, with sour eructations . Sensation as if the food were lodged undigested above the stomach. Morning sickness, VOMITING Vomiting of food taken long before. vomiting of mucus.

40. EPIGASTRIC PAIN Pain in stomach an hour after eating Weight as from a stone ( Bry.,Nux vom .), especially in morning on awakening. Pulsations in the pit of the stomach .( Asaf .) She cannot sit a long at a time, must walk about to relieve her pains. Gastrodynia , of the most violent kind, in mild tearful women, inclined to be fleshy, with scanty menstruation; brought on by fat, greasy food.

41. DIARRHOEA Causation – fruit, cold food or drnks , ice cream. Time - only, or usually at night. Character of stool – watery, greenish- yellow and slimy. NO TWO STOOLS ARE ALIKE . Very changeable. TWO OR THREE NORMAL STOOLS DAILY.

42. Dysentry ; mucus and blood with chilliness. Haemorrhoids  -  “painful, protruding, blind, with itching and stitches in anus.”

43. U rine Increased desire; worse when lying down .   Burning in orifice of urethra during after micturition .  Involuntary  micturition at night, while coughing ( caust ., squil ., verat ) or passing flatus.  After urinating, spasmodic pain in bladder.

44. Female reproductive system MENSES Derangements at puberty . The first serious impairment of health is referred to puberic age, have “never been well since” - anaemia , chlorosis,bronchitis , phthisis. Amenorrhoea ( cimicif ., senec ., polygon.) Menses suppressed from getting the feet wet, nervous debility or chlorosis . Tardy menses Too late, scanty, thick, dark ,clotted, changeable, intermittent flow. Menses with intense pain and great restless and tossing about ( Mag - phos ., Viber - opulus ) Flow more during the day Diarrhoea during or after menses .( Amm-carb,Bov ., Verat alb.)

45. www.ilovehomoeopathy.com

46. LEUCORRHOEA Acrid, . burning creamy . It is milky white in colour with swollen vulva. Cutting pain in abdomen. It is excoriating and corrodes the vulva.   Pain in back, tired feeling.

47. Exaggerated sexual desire; nymphomania; wild, beside herself with sexual thoughts, uncontrollable sexual desire.   J.T. Kent says that he has seen Pulsatilla cure a great many girls of 16 or 18  years.

48. LABOUR PAIN Difficult and irregular, slugish labour pain. During labour pain the patient wants doors and windows open . Cannot bear stuffy warm room. Feels suffocated. Dr Hughes praises pulsatilla for its spontaneous version in case of abnormal presentation; useful in retained placenta, postpartum haemorrhage etc.

49. ABORTION Threatened abortion, the flow ceases and starts again with increased force , Pains spasmodic, excite suffocation and fainting; must have fresh air.

50.   PROLAPSE-   There may be prolapse of uterus .(sepia, helon ., murex.,lil tig ., podo ) There is a dragging down sensation. She cannot stand on her feet or walk around much because of the weight and dragging down sensation.

51. MALE REPRODUCTIVE SYSTEM ACUTE ORCHITIS- the testicles and spermatic cord swollen and painful; caused from suppressed gonorrhoea . THICK, GREENISH- YELLOW DISCHARGE (Nat- suplh ) FROM URETHRA. Boys Testicles -  Pulsatilla is the common remedy for enormously SWOLLEN TESTICLES FROM MUMPS in a boy.

52. ACUTE PROSTATITIS Pain and tenesmus in urinating, worse lying on back.

53. Respiratory system Cough CAUSATION- caused by irritation in pit of stomach, by taking ice cold things, fatty and starchy food, ice-cream or due to suppressed menses. SENSATION- pressure and soreness upon the chest. Smothering sensation on lying down. CHARACTER - dry cough in evening and at night; and loose cough in the morning . Cough is shaking and spasmodic; in paroxysms of two coughs .

54. AGGRAVATION: warmth of bed, night evening, after every sleep, after lying down. AMELIORATION: sitting up in bed . CHARACTER OF SPUTA: expectoration of bland, thick, bitter, greenish- yellow mucus. CONCOMITANT : urine emitted with cough .( caust .) . 

55. Asthma of girls from suppressed menses. In children from suppressed rash or in chronic catarrh of chest. It is also useful in phthisis in suppurative stage in chlorotic girls.

56. B ack   Kent says that in curvature of the spine Puls . Is of great value. Shooting pain in the nape and back, between shoulders; in sacrum after sitting. Sensation of cold water poured down back

57. E xtremities  Pain in limbs, shifting rapidly from one part to another, unattended with any great swelling or redness. Tensive pain, letting up with a snap. Drawing, rheumatic pain in thighs and legs, with constant chilliness . Greater the pain more severe is the chill. Suffering worse from letting the affected limb hang down .( vipera )

58. Veins in forearms and hands swollen. Chronic cases, with weakness, rigidity, coldness, and weight in the diseased tissues.  Numbness around elbow. Hip joint painful. Knees swollen with tearing, drawing pains. Nervousness, intensely felt about the ankles. Heaviness in legs with bruised feeling.

59. SKIN URTICARIA - worse nights, caused by fat rich food.  Urticaria after every exertion. INTOLERABLE ITCHING. Measles Dirty dingy look. Dry, lustreless , rough hair . Herpetic eruptions, especially on scalp and bends of joints with itching . Worse from warmth of bed .( mercurius ) Sebaceous glands secrete excessively; oily skin

60. F ever Chilliness , even  in warm room ,   without thirst . External heat is intolerable . Chill about 4 p.m. Intolerable burning heat at night with distended veins. Chilly with pains, in spots, worse evening.  During  apyrexia , headache, diarrhoea , loss of appetite, nausea.   one- sided sweat ; pains during sweat.

61. MODALITIES AGGRAVATION Heat (kali- mur ) Rich fat food After eating Towards evening Warm room Lying on left or on painless side When allowing feet to hang down During menses ( Actea-rac .)

62. AMELIORATION Open air Walking slowly about ( Ferr -met) Cold applications (kali- mur ) Cold food and drinks. Though not thirsty Erect position Lying on painful side ( Bry.,Amm-carb,Ptelea )

63. RELATIONSHIP COMPLEMENTARY : kali mur , lycopodium , silicea , sulphuric acid, allium cepa , stannum . Silicea is the chronic of Pulsatilla in nearly all ailments. REMEDIES THAT FOLLOW WELL : Ac nitric, Anac , Ant-tart, Asaf ., Ars.,Bell ., Bry ., kali mur , Lyco ., Phos , silicea , sulph .,, kali sulph .

64. " One of the best remedies with which to begin the treatment of a chronic case ( Calc., sulph .) " - H. C. Allen . Pulsatilla grows well in soils rich in Silica.  Pulsatilla can be used in patients who are anaemic or chlorotic , who have taken much iron, quinine and tonics, even years before. ANTIDOTES Asafoetida , coffea , chamomilla , ignatia , nux vom , stannum , sulphur .

65. Cyclamen- Remedy of Plant kingdom. Situation of cyclamen is that of a women who feels that she has done something wrong or that she hasn’t done her duty and something bad has occurred as a result. She feels solely responsible for what has happened and feels like a criminal. She cannot reveal the crime to anyone keeps everything within her and tries to rectify things as much as possible. She avoids all social contact, does not talk to anyone and feels totally alone.

66. RELATIONSHIP Similarities – Cyclamen and Pulsatilla . Both are predominantly female remedies. Both are suited to blondes – pale & anaemic . Both are thirstless . Both are weepy & dislike company. Both present changeability of mental symptoms. Both desire lemonades & to both pork disagrees. Both are late sleepers.

67. dissimilarities Cyclamen < open air. Mentally peevish, irritable. < cold & > warmth. Menses – too early, too profuse, black & clotted. Better during flow. Pulsatilla > open air. Mild, Gentle, timid, yielding disposition. > Cold & < warmth Menses – too late, pale & scanty Worse during flow

68. Kali- sulph - Mineral remedy Sulphate of potassium K2SO4, occurs in lavas. Schussler’s Pulsatilla . •Main feeling of Kali Sulph person of being disgraced and insulted by the family or group whose support he seeks. •Therefore he constantly makes effort to win their esteem and respect. •He wants that his value in their eyes should rise. •He is industrious and helpful, caring towards and supportive of the group. •He seems independent of the opinion of others. At the same time, he has anger towards the family or group, because he feels insulted by them.

69. Similarities – Kali. Sulph & Puls . < symptoms in warm room & evening. > Open air. Discharges – yellow, purulent in character. Pressure & feeling of fullness in stomach. Pain in limbs worse at night & from warmth better in cool open air. Migratory or Shifting & wandering Rheumatic pains. Dissimilarity Kali Sulph – Burning Thirst. Puls – Thirstless .

70. BRYONIA AND PULSATILLA SIMILARITIES ►Both have agg from heat ►Both have amel from pressure ►Both have amel from cold bathing( Puls may have agg from wet cold) ►Both have gastric and rheumatic affections

71.  Bryonia Pulsatilla Differences ►Irritable and angry people ►Dark hair and complexion ►Muscular, slender robust body ►Man’s remedy ►Affectionate and gentle people, mild yet irritable, tearful ►Light hair and complexion ►Fleshy body ►Woman’s remedy

72. Bryonia Pulsatilla Differences ►Ailments from anger ►Jaundice ►Generally thirsty ►Generally constipation ►Menses profuse and long lasting ►Ailments from grief ► Chlorosis ►Generally thirst less ►Generally diarrhea ►Menses scanty and short duration

73. Bryonia Pulsatilla Differences ►Mucous membranes mostly dry, from lips to anus ► Coryza dry ►Coated tongue with thirst ►Motion agg ►Discharges from mucous membranes thick, bland yellowish green ► Coryza fluent ►Coated tongue without thirst ►Motion amel

74. Bryonia Pulsatilla Differences ►Aversion open air ►Redness of diseased parts ►Acute rheumatism, agg motion ►Inclination for open air ►Blueness of diseased parts ►Wandering acute rheumatism, agg during rest

75. Bryonia Pulsatilla Differences ►Children dislike to be carried ►Complaints during day ►Better in evening ► Agg from vegetable food ►Children like to be carried evening and night ►Worse in evening ► Agg from fat food

76. Bryonia Pulsatilla Differences ►Rheumatism does not shift ►Rarely chilly ►Rarely restless ►Frequently weak ► Rheumatism shift from joint to joint ►Rarely chest pain ►Frequently restless ►Rarely weak

77. Bryonia Pulsatilla Differences ►Rarely feet coldness ►Acts more on arteries and synovial membranes ►Indicated in gout ►Rarely indicated in septic states, e.g typhoid ►Acts more on veins ►Indicated in hemorrhoids

78. Dose Third to thirtieth trituration .

79. R eference Lectures on homoeopathic materia medica J.T. KENT Pocket manual of homoeopathic materia medica and repertory WILLIAM BOERICKE A dictionary of practical materia medica - J.H.CLARKE Homoeopathic drug pictures by Dr M.L. TYLER Materia of homoeopathic medicines- DR S.K. PATHAK Essence of materia medica - GEORGE VITHOULKAS. BAILEY PHILIP M.Homeopathic psychology. Allen’s keynotes rearranged and classified with leading remedies of the materia medica with bowel nosodes www.google.com www.similima.com