Arsenicum Album

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The Arsenicum Album:

Memory Tips for Guiding Symptoms

Hi Friends Let’s memorize guiding symptoms of Arsenicum Album through name of Medicine ‘ARSENICUM’.

Attractive order : Fastidious.

Dr. Tyler said, a morbid fastidiousness finds its similimum in Arsenic. Thus, Arsenic patient keeps everything clean and in order. (Nux Vom.², Ref: Kents’ Repertory)
Master Kent rightly elucidated that Arsenic and Sulphur are right opposite in this point.
Master Kent said this fastidiousness is characterized by over sensitiveness to the circumstances, to the surroundings of the room.
N. B. Dr. Hering described Arsenic pt. as “the gold headed cane patient.”

Restlessness: Nash’s trio.

Mentally restless, but physically too weak to move, can’t rest in any place.
Changing place continually, wants to be moved from one bed to another.
So, Arsenic patient is restless both mentally & physically. (-Rhus Tox. Patient is restless physically and Acon. Patient is restless mentally.)
These are the Nash’s trio of restless medicines. Dr. Hahnemann said in a footnote, “It scarcely occurs so markedly in any other medicine”.
Dr. Guernsey said that the greater the suffuring the greater the anguish, restlessness, and fear of Death; Every moment followed by exhaustion.
Exhaustion is not felt by the Patient when lying still but as soon as he moves, he is surprised to find himself so weak.
N. B. Arsenic patient can be compared with the race of horse as Antim crud to swine and Pulsatilla to the race of sheep.
Dr. John Henry Clarke rightly said, as the horse is exceedingly nervous animal, constantly moving about, restless to a degree and very prone to take fright- quite a picture of Arsenic temperament.

Severe prostration. Burning pain ameliorated by warmth.

Great prostration, with rapid sinking of the vital force, fainting, exhaustion.
Drawing pain between the scapulae, which compels him to lie down “the perspiration exhausts him as he lies in bed, almost to the production of syncope etc.”
Hahnemann gives us a very important footnote, “That symptom of a not very important character and otherwise, trivial affections induce a sudden and complete sinking of the strength, is a very important and characteristic peculiarity of Arsenicum.”

Excessive burning: Excessive thirst:

A). Burning is much peculiar of Arsenic.

Burning pains, the affected parts burn like fire, as if hot coals were applied to parts (Anthr.)
Amelioration by heat, by hot drinks, hot application.
Burning pain in eyes, in nostrils, in mouth, in throat, in stomach, in bowel, in haemorrhoids, in bladder, in urethra, in ovaries, genitalia generally, in breasts, in chest, about the heart, in spine, in vein, in ulcers, in skin, in cancer, in carbuncles etc.
Veins burn like fire especially at night (Ref. Tyler)

B). Great thirst for cold water, drink often but little at a time, ( eats seldom but much)

Kent points a peculiar feature of the Ars. Thirst ‘During the chill, there is no thirst expect for hot drinks, during the heat there is thirst, little & often, for enough water to moisten the mouth, which is almost no thirst, and during the sweat there is thirst for large drinks. Pt. will say ‘ I can drink the well dry’
In case of Bryonia, it has thirst for large quantities of cold water far apart (Ref. Master Kent)
So, regarding thirst according to master Kent there are three phases:

In acute state: thirst, little and often; desire for water, enough to moisten the lips.
In chronic state: thirstless.
Excessive thirst for water yet it does not quench the thirst, as if will drink the well dry.

Nausea : From smell or sight of the food.

Ars. patient can’t bear smell or sight of food (Colch., Sep., Stann.).
It produces nausea- ‘On account of nausea & sickness the patient must lie down in the forenoon’ (Ref. Tyler).
In this concern we will study Kent’s ‘Repertory. Aversion to smell of food, Cocc.¹.
Master Kent said most of the remedies having loss of appetite, generally desires sweet but like Caust., Ars. Has aversion to sweet, Graph.². Caust.², Ars.², Phos.², Zinc.²
Its nausea – “On account of nausea & sick ness the patient must lie down in the forenoon”

Incurable, Indifferent.

Ars. patient has great fear of death.
He thinks that the disease is incurable, fatal and it is useless to take medicines.
Master Kent classically elaborated that pt. thinks, he must die, hence pt. says, “there is no use of your coming, I am going to die, you might as well go home”.

Cadaveric, Causation.

A). Cadaveric:

All discharges are acrid, scanty, putrid, dark and offensive-cadaverous odour.

B). Causation:

Disease is caused by cold fruits, decayed foods, ice-cream, abuse of alcohol, chewing tobacco, ptomaine poisoning, decayed animal matter- whereby inoculation, inhalation or ingestion; sea- bathing, sausage poisoning, dissecting wounds and anthrax poison, stings of venomenous insects, septic poisoning, bad effects from mountain climbing (coca, Ars.), long exposure to malarial influences, poor- feeding, syphilis(Ref. Master Kent)

Usually annual onset or return.

Complaints return periodically (usually annually) (Carbo. Veg., Lach., Sulph., Thuja.). So, it is an unique remedy for Intermittent fever.[1]

Modalities.: Mid-day Mid night Aggravation.

All symptoms aggravate at mid-night & mid-day (1 to 2 A.M./P.M.), <from cold, cold drinks, cold foods.
All symptoms are ameliorated by heat (-Rev. Sec.Cor) except outer head. [1]

Memory Tips for Mental Symptoms

Hi Friends Let’s memorize Mental picture of Arsenic through the word ‘FASTIDIOUS’ , as Arsenic is very fastidious; thus remember the mental picture through this word.

Fear

Arsenic. pt. has fear of death.
Master Kent said, dread of death when alone, or on going to bed. He thinks that he is going to die and wants somebody with him.
sudden anxious fear comes over him at night, he jumps out of bed with fear that he is going to die, or that, he is going to suffocate.
Sometimes fear drives him out of bed, he hides in a closet.
fear of solitude
fear of spectres
violent increase of his fear. and horror in the dark and many complaints come on in the evening as darkness is coming on.
morbid fear of cholera
fear of robbers

Anxious

Intermingled with fear. The anxiety takes form also in the restlessness
This anxious restlessness has three phases.
In acute stage, pt. goes from chair to chair, child goes from nurse to mother, from one’s lap to other.
Thonce an uneasiness comes as this constant change of position makes the patient exhausted.
Position makes the patient exhausted.
Thence he is in bed and unable to sit up, thus rolls in bed and thence the prostration comes out of position.
Exhaustion is not felt while lying still, but as soon as he moves, pt. is surprised to find himself so weak. Thus, this leads to cadaveric aspect of the pt., when he lies in bed like a cadaver.
Thus Master Kent warns us to remember that these states of anxiety and restlessness go towards death. Kent said, at first there is that anxious restlessness with fear, but the increasing weakness tends towards prostration.
Master Kent also reported another phase of anxiety viz. Anxiety like one who has commited murder. He finally works up to the idea of that the officers are coming after him and watches if they are coming in to arrest him.
Some unusual evil is going to happen – hence he is anxious.

Sad

Sadness prevails to a great extreme.
Master Kent said, averse to meeting – because he imagines that he has formerly offended them.
Great mental depression, great sadness, melancholy with despair of recovery.
Pt. is so sad that he is weary of life; he loathes life and wants to die.
Clarke said that great apathy and indifference also characterizes Ars, Alb.
N. M. Chowdhury said very frequently the insanity takes the form of religious melancholia by hopelessness and despairs of his salvation, life holds out no charm for him-melancholia.

Time modality

Master Kent reported that many of the mental troubles (as well as physical troubles), come on and increased at certain times<from 1-2 P. M. and 1-2 A. M. < after midnight.

Incurable disease

Pt. thinks that his disease is incurable – his disease is fatal and it is useless to take medicine as he is surely going to die.

Dreads solitude

Ars. Alb. pt. dreads solitude. Aversion to being alone
Master Kent said, pt. dreads solitude and wants company, because in company he can talk and put off the fear.
Dr. Talcott said, fears to be left alone lest he should do himself bodily harm.

Irritable:

Irritability is also a feature of Ars. Alb. Master Kent in his repertory kept it in the second grade.
Though kent kept it in first grade in the rubric ailments after anger with anxiety (Acon.1, Ign. 1 Nux Vom. 1)

Orderly mania

Pt. keeps everything in order, -tip-top. These patients are hard to please.
Dr. C. Hering is justified in calling Ars. Alb. pt. as ‘A gold-headed cane patient.’

Un-natural Oversensitive:

Sensitiveness is a feature of Arsenic. Oversensitive to circumstances, to surroundings of the room characterizes Ars. Alb.(Ref. Tyler)

Suicidal tendency :

Kent reported, Ars. pt. does died by suicide. It is a remedy full of suicidal tendencies. Suicidal disposition esp. at night and after midnight
Suicidal disposition by hanging with knife. [1]

Arsenicum Album Introduction

Common name :

Arsenicum Trioxide

Synonyms :

White oxide of arsenic
Arsenious oxide
Arsenic trioxide

Family / Group / Class / Order :

Mineral kingdom

Habit and habitat / Description :

It is a white and transparent amorphous lump or crystalline powder, odourless but stable in air.
It is slowly soluble in water.
The amorphous variety is more soluble than the crystalline variety.
It is sparingly soluble in alcohol and completely soluble in glycerine.
It may be obtained by roasting certain Arsenic ores.

Being poisonous, it is not sold to common people.

Formula / Symbols :

As2 O3

Name of prover :

Dr Hahnemann

Introduction and history :

Arsenic is known to the world as a medicine from ancient times; in olden days it was used as a medicine in China and India.
Arsenic is always compared with a race of horses for its restlessness.
It is very poisonous when taken in fatal doses.
It is one of the most frequently used remedies in both acute and chronic diseases

Constitution of Arsenicum Album

Physical make up :

Arsenicum album Types are thin and stylish, well groomed
Pale, Delicate skin and worry lines
They are restless with quick movements [2]

Temperament :

Nervous 3+

Anguish, driving one out of bed at night and from one place to another in the day time.
Restlessness
Great fear of being left alone
Anger with anxiety, restlessness and sensation of coldness.

Choleric 2+

Ill-humour, impatience, vexation, inclination to be Angry
Caustic and jesting spirit

Melancholic2+

Melancholy, sometimes of religious character, sadness, cares, and complains.

Anxiety of conscience, as if a crime had been commited.[1]

Diathesis :

Haemorrhagic [5]

Relation with heat & cold :

Chilly Patient
All symptoms are ameliorated by heat except outer head. [1]

Miasm :

Psoric
Sycotic
Tubercular
Syphilitic [5]

Clinical Features

Clinical conditions of Arsenicum Album

Asthma
Hay fever
Food Poisoning

Sites of action / Pharmacodynamics of Arsenicum Album

Mind, heart, nerves, lungs, respiratory system, lymphatic glands, spleen, liver, digestive system, mucous membrane, skin, blood, etc.[1]

Causation (Causes / Ailments from) of Arsenicum Album

diseases are caused by cold fruits, decayed food, ice cream, abuse of alcohol, chewing tobacco, ptomaine poisoning, decayed animal matter-whereby inoculation, inhalation or ingestion.
Sea-bathing, sausage poisoning, dissecting wounds and anthrax poison, stings of venom nous insects, septic poisoning, bad-effects from mountain climbing (Coca, syphilis (Ref. Master Kent), long exposure to malarial influences, poor-feeding. [1]

Physiological action of Arsenicum Album

In stomach and intestinal atony with great flatulence
In large doses, nausea, vomiting and violent gastrointestinal inflammation, especially of the destructive type.
Induration and fatty degeneration of salivary glands, testicles, liver and kidney.
Destruction of red blood corpuscles, anaemia, depressed temperature.
Nodular and vesicular inflammation of the skin. [5]

Patho-physiological changes / Pathogenesis of Arsenicum Album

Mucous membranes:

Destructive inflammation.

Serous membranes:

Oedematous inflammation.
Copious dropsy.
Effusion

Kidneys:

Fatty degeneration.
Albuminuria

Skin:

Gangrene
General anasarca.
Eczema

Blood:

Disintegration
Haemorrhage
Serous effusions.

Heart:

Fatty degeneration.
Motor paralysis.

Circulation:

Vaso-motor paralysis
Asthenia

Liver:

Fatty degeneration.
Disorganisation

Lungs:

Congestion of lungs
Asthma
Malignant catarrh.

C. N. S.:

Motor and sensory paralysis.[1]

Characteristic mental symptoms (psychology) of Arsenicum Album

Patient is mentally restless, very anxious and anguished.
Great fear of death when alone, fear of going to bed at midnight.
Patient is extremely fastidious, wants everything neat, clean and in order. Hence, Arsenicum is known as ‘a gold headed cane patient.’
Thinks that he is going to die because his disease is incurable and there is no use in taking medicines.
Weakness of memory, sad and awful.
Patient picks up bedclothes because he sees all kinds of worms in bed.
Determined to died by suicide, fears he will have to murder someone.

Other Characteristics Mental Symptoms

Aversion to people, does not wants to mix with people, thinks that he has offended them.
Hallucination of sight and smell.
Patient is very melancholic, depressed and fearful.
Dreams of thunderstorms, death, fire and darkness.
Religious insanity, in delirium and during sleep; he weeps and screams due to pain.
Cannot find rest anywhere, changes place continuously. Wants to go from one bed to another.
Patient is too weak to move.
He is very selfish, lacks courage.

Guiding Symptoms of Arsenicum Album

Generalities of Ars. alb.

A very deep acting remedy, affecting every organ and tissue
Discharges of Mucous Membranes are Acrid, Thin and Scanty; coryza, saliva, sweats etc.
Blood is disorganized causing pernicious type of anaemia and severe septic conditions.
Haemorrhages, black, offensive. – Weakness and emaciation is rapid.
The prostration seems to be out of proportion to the rest of his illness.
Pains are maddening; burning Like Fire; hot needles or wires ameliorate by heat.
Pains are even felt during sleep; awake the patient.
Pains cause shortness of breath or chilliness
Gradual loss of weight.
Putrid Cadaveric Odours.
Destructive process
carbuncles, gangrene, cancer; malignancy [6]

Head of Ars. alb.

Ache, congestive ameliorate Cold
Restless head, it is in constant motion.
Pain over left eye.
Hemi crania, with icy feeling.
Vertigo; with loss of consciousness, during coughing fits, in asthmatics, before epilepsy.
Scalp very sensitive; cannot brush hair
Hair becomes gray early; falling of hair.
Chronic eruptions filled with pus.
Pain alternates between head or stomach or body aggravate by people’s talk.
Walks with head thrown backwards. [7]

Eye of Ars. alb.

Burning in eyes with acrid Lacrimation
Lids red, ulcerated, scabby, scaly, and granulated.
Oedema around eyes.
External inflammation, with extreme painfulness; BURNING, HOT, and excoriating Lacrimation.
Corneal ulceration. INTENSE PHOTOPHOBIA; better external warmth. Ciliary neuralgia, with fine burning pain. [7]

Ears of Ars. alb.

Skin within, raw and burning. THIN, EXCORIATING, OFFENSIVE otorrhoea.
Roaring in ears, during a paroxysm of pain. [7]

Nose of Ars. alb.

THIN, WATERY, EXCORIATING discharge.
Nose feels STOPPED UP. Sneezing without relief.
Hay-fever and Coryza; worse in open air; better indoors. BURNING and bleeding.
Acne of nose.
Lupus. [6]

Face of Ars. alb.

Swollen, pale, yellow, CACHECTIC, sunken, cold, and covered with sweat.
Expression of agony. Tearing, NEEDLE- LIKE pains; burning. Lips black, livid. Angry, circumscribed flush of cheeks.[6]

Throat of Ars. alb.

Swollen, oedematous, constricted, burning; unable to swallow.
Diphtheritic membrane, looks dry and wrinkled.[6]

Stomach of Ars. alb.

Vomiting just after drinking or eating with pains in abdomen and pharynx. It brings no relief.
LOATHING OF FOOD.
Abdomen swollen, painful; with UNBEARABLE ANXIETY; pain worse by pressure, causing him to bend forward.[6]

Abdomen of Ars. alb.

Gnawing, burning pains like coals of fire; relieved by heat.
LIVER AND SPLEEN ENLARGED AND PAINFUL.
Ascites and anasarca.
Abdomen swollen and painful.
Pain as from a wound in abdomen on coughing.[6]

Rectum & Anus of Ars. alb.

Painful, spasmodic protrusion of rectum.
Tenesmus
BURNING pain and pressure in rectum and anus.[4]

Stool of Ars. alb.

SMALL, OFFENSIVE, DARK, WITH MUCH PROSTRATION.
WORSE AT NIGHT, AND AFTER EATING AND DRINKING; from chilling stomach, alcoholic abuse, spoiled meat.
Dysentery dark, bloody, very offensive. Cholera, with intense agony, prostration, and burning thirst.
Body cold as ice.
Haemorrhoids burn like fire; relieved by heat. Skin excoriated about anus.[4]

Urinary Organ of Ars. alb.

Urine; scanty, burning, involuntary.
Feeling of weakness in abdomen after urination.
Atony of bladder, in old persons.
Uraemia
Albuminuria
Diabetes
Retention of urine, as if the bladder were paralyzed, after parturition.
Urine black as if mixed with dung.
Dysuria [7]

Sexual Organ of Ars. alb.

Male

Scrotum oedematous.
Emissions during diarrhoeic stools.
Erysipelatous inflammation of scrotum.
Syphilitic ulcers; with burning, stitching[6]

Female

Profuse acrid, yellowish, thick leucorrhoea agg. standing, passing flatus.
Cancer of uterus.
Burning in ovarian region.
Pressive, stitching pain in ovary, into the thigh, which feels numb and unimpressive agg. motion or bending.
Menorrhagia, with black blood.
Burning in mammae ameliorate by motion.
Increased sexual desire at menses.
Menses suppressed, in weak, tired careworn women.
Stitching in rectum during menses.
Dysmenorrhoea ameliorate by [6]

Respiratory System of Ars. alb.

Unable to lie down; fears suffocation.
Air-passages constricted.
Asthma worse midnight.
Burning in chest.
Suffocative catarrh.
Cough worse after midnight; worse lying on back. Expectoration scanty, FROTHY.
DARTING PAIN THROUGH UPPER THIRD OF RIGHT LUNG.
Wheezing respiration.
Haemoptysis with pain between shoulders; burning heat all over.
Cough dry, as from sulphur fumes; AFTER DRINKING.[7]

Heart & Pulse of Ars. alb.

Palpitation, pain, dyspnoea, faintness. Irritable heart in smokers and tobacco-chewers.
PULSE MORE RAPID IN MORNING.
Cyanosis
Fatty degeneration. Angina pectoris, with pain in neck and occiput.[6]

Neck & Back of Ars. alb.

Weakness in small of back. Drawing in of shoulders.
Pain and burning in back.

Extremities of Ars. alb.

Trembling, twitching, spasms, weakness, heaviness, uneasiness.
Cramps in calves.
Swelling of feet.
Burning pains. Peripheral neuritis.
Diabetic gangrene. Ulcers on heel [Cepa; Lamium] Paralysis of lower limbs with atrophy.[7]

Skin of Ars. alb.

Dry, rough, scaly, dirty, shrivelled.
Looks seared.
Eczema
Acuminate eruptions.
Free desquamation.
Hives agg.
eating shell fish.
Ulcers; chronic, with burning, with cutting pain and bloody discharge.
Gangrene
Carbuncle
Skin, like parchment.
Skin symptoms alternate with internal affections.
Spots; blue, black, white.
Pimples, vesicles, burning violently.[7]

Sleep of Ars. alb.

Disturbed, anxious, restless. Must have head raised by pillows.
Suffocative fits during sleep. Sleeps with hands over head.
Dreams are full of care also fear. Drowsy, sleeping sickness.[2]

Fever of Ars. alb.

High temperature. PERIODICITY MARKED WITH ADYNAMIA.
Septic fevers.
INTERMITTENT
PAROXYSMS INCOMPLETE, WITH MARKED EXHAUSTION. HAY FEVER.
Cold sweats. Typhoid, not too early; often after Rhus. Complete exhaustion. Delirium; worse after midnight.
Great restlessness. Great heat about 3 a.m. Sores. [2]

Important characteristic features of Arsenicum Album

Asthma:

Asthma worse at midnight. Burning in chest, suffocative catarrh. Cough worse after midnight, worse lying on back.
Expectoration scanty, frothy. Darting pain through upper third of right lung.
Burning pain all over; for dry cough; haemoptysis; complaints with restlessness and prostration; unable to lie down, fear of suffocation.
Fever:

High temperature. Periodicity marked with dilemma; septic fever; paralysis incomplete, with marked exhaustion.
Hay fever, cold sweat, complete restlessness, great heat at about 3 am.
There is a total image of death during fever – eyes are sunken; lips, mouth also tongue are cracked, black, sore, even the teeth and gums bleed during fever.

Diarrhoea:

Gastric derangement from cold food, ice cream, ice water, sausages also alcoholic drinks.
Stools are watery, acrid, scanty also offensive with vomiting and burning in the abdomen; enlargement of liver with diarrhoea and vomiting.
Dysentery – dark, bloody, very offensive.
Due to diarrhoea, skin around anus is excoriated.
All complaints are associated with fear of death.

Cholera:

It is a very good medicine for cholera.
Main causes include consuming decayed food, ice cream, ptomaine poisoning, sour beer, etc.
Cholera stools are rice watery in colour, having a very offensive smell, marked restlessness also anxiety with great prostration and weakness; diarrhoea worse at night 12-2 am.
Sometimes, the colour of stool is blackish; patient is very fastidious with an intense thirst for cold water in small quantities at short intervals.
Much anxiety with fear of death; burning sensation all over the body except head.

Thirst, nausea and vomiting:

In Arsenicum there also burning and unquenchable thirst for cold and small quantities of water at short intervals.
Patient drinks sips of cold water very often.
Even the smell of food causes nausea and vomiting; patient takes cold water but as there is irritability of stomach it causes immediate vomiting.
Patient is very restless with anxiety

Fear:

In Arsenicum there is great fear of death.
Patient is very worried about his illness.
He thinks that his illness is incurable and there is no use in calling the doctor and taking medicines because he is not going to get cured at all.
Hence, refuses to take medicines.
Master Kent said, dread of death when alone, on going to bed, he jumps out of the bed with fear, thinks that he is going to die or suffocate.
Sometimes fear drives him out of bed; he hides in a closet.
He is violent, increase of fear also horror in the dark.
Many complaints come in the evening as darkness approaches.
Arsenicum patient is very restless also anxious; too weak to walk.
The patient becomes very irritable also sensitive. (In Aconite also there is fear of death, but the patient tells the exact date and time of death; he also thinks that he can be cured by taking medicine).

Restlessness:

This is one of the Nash’s Trio of Restlessness. Mentally restless, but physically too weak to move, cannot rest in any place.
Changes place continuously, wants to be moved from one bed to another.
The greater the suffering the greater the anguish, restlessness and fear of death; every movement is followed by exhaustion.
Thus, an Arsenicum patient is restless, both mentally also physically.
The other medicines of Nash’s Trio of Restlessness are Rhus tox where the patient is restless physically also Aconitum where the patient is restless mentally.

Burning:

It is one of the Nash’s Trio of Burning medicines. Burning is very peculiar – burning pains, the affected parts burn like fire, as if hot coals were applied to parts, better by heat, hot drinks also hot application.
Burning pain in eyes, nostrils, mouth, throat, stomach, bowels, haemorrhoids, bladder, urethra, ovaries, genitalia especially in breasts, chest, about the heart, spine, back, veins, ulcers of skin, cancer, carbuncles, etc.

Therapeutic value of Arsenicum Album

Abscess, Anaemia, Anasarca, Asthma, Cancer, Cholera, Cough, Diarrhoea, Dropsy, Fever, Gangrene, Gastric ulcer, Gout, Headache, Heart disease, Kidney disorders, Measles, Menstrual disorder, Nausea, Otorrhoea, Piles, Pleurisy, Pneumonia, Rheumatism, Skin diseases, Vomiting, Whooping cough, etc.

Modality of Arsenicum Album

All symptoms aggravate at mid-night & mid-day (1 to 2 A.M. /P.M.), <from cold, cold drinks, cold foods.
All symptoms are ameliorated by heat except outer head. [1]

Remedy Relationship of Arsenicum Album

Complimentary

All-s. , Carbo-V, Nat-S, Phos. Pyro, Thuj.

Follows Well

Acon, Arn, Bell, Bry, Calc, Carb-v, Cinch, Ferr, Hep, Iod, Ip, Lach, Lyc, Merc, Nux-v, Phos, Puls, Rhus-t, Sep, Sil, Sulph, Verat

Antidoted By

Camph, Chin, Chin-s, Ferr, Graph, Hep, Iod, Ip, Nux-v, Sambu, Tab, Verat

It Antidotes

Chin-S, Camph., Carb-V, Chin., Euph., Ferr., Graph, Hep., Iod., Ipec., Kali-bi, Merc., Nux, Op., Sulph., Tabac.

Posology (Dose) of Arsenicum Album

Potency

Third to thirtieth potency.
The very highest potencies often yield brilliant results.
Low attenuations in gastric, intestinal, and kidney diseases; higher in neuralgias, nervous diseases, and skin.

Repetition

Only if surface conditions call for it, give the lowest potencies, 2x to 3x trit. Repeated doses advisable. [3]

Duration of action

Short acting remedy, it may act for over 30 days in chronic conditions.

Frequently Asked Questions

1.Mention the uncommon peculiar symptoms of Ars. alb.?

Burning pains; the affected parts burns like fire, relieved either by heat or by hot application
Burning thirst without special desire to drink, the stomach does not seem to tolerate, because it cannot assimilate cold water; lies like a stone in the stomach. It is wanted, but he cannot or dare not to drink it.

2.Mention three medicines for prostration.

Firstly, alb.
Secondly, Carbo veg.
Thirdly, alb.

3.Name three medicines where patient cannot bear the smell or sight of food.

Firstly, Alb: faintness from the odour of cooking foods.
Secondly, Colchicum: smell painfully acute; nausea and faintness from the odour of cooking food.
Thirdly, Ipecac: -In all diseases with the constant and continual nausea; vomiting without relief.

4.Mention three medicines for bad effects resulting from intaking ice-cream.

Firstly, Aesenic
Secondly, Arg. Nit
Thirdly, Pulsatilla

5.Name five medicines for burning pain.

Firstly, Arsenicum alb.
Secondly, Apis mel.
Thirdly, Chamomilla
Fourthly, Phosphrous
Lastly, Secale cor.

6.Name two medicines where painful haemorrhoids prevents sleep.

Firstly, Aloe soc.
Secondly, Ars.alb.

7.Name three medicines for indifferent tendency

Firstly, Ars alb.
Secondly, China
Thirdly, Phosphrous

8.Name few medicines for restlessness their indications with in the said sphere.

Aconitum nap. i.e.: –

Restless; does everything in great haste; mentally restless.

Arsenicum alb.:

Mentally restless, but physically too weak to move; changes place continually; mentally and physically restless.

Rhus tox. i.e.: –

Great restlessness; cannot remain in bed, must change position often to obtain relief from pain. Physically restless.

Arnica mont i.e.: –

Everything on which he lies seems too hard; complains constantly of it and keeps moving from place to place in search of a soft spot.

Baptisia tinc. i.e.: –

Head or body feels scattered no about the bed; restless and tosses about to get the pieces together; thought she was three persons, could not keep them covered, so wants to collect them and cover them – and becomes restless.

Rhus tox. i.e.: –

Movement ameliorates symptoms. Note: Arnica., Baptisia. and Rhus tox. are the trio of Nash’s restless medicines in typhoid fever.

Causticum i.e.: –

At night, unable to get an easy position or lie still a moment. Must move cons tantly but motion does not relieve.

Chamomilla i.e.: –

Violent rheumatic pains drive him di out of bed at night, compel him to walk about restless.

Graphites i.e.: –

Fidgety, while sitting at work.

Pulsatilla i.e.: –

Dysmenorrhoea (painful menstruation) with intense pain and great restlessness and tossing about

Phosphorus i.e.: –

Restless, fidgety; moves continually; cannot sit or stand still a moment.

Silicea i.e.: –

Restless, fidgety, starts at least noise.

9.Mention five medicines for periodical complaints

Firstly, All complaints are characterized by periodicity China.
Secondly, Complaints returns annually-Carbo veg., Lachesis., Sulph., Thuja.
Thirdly, Itch appears each year, as winter approaches – Aloe soc.
Fourthly, Complaints occurring in hot weather-Kali bich.

10.Mention two medicines where suffering parts emaciate.

Firstly, Ars. alb.
Secondly, Graphities

11.Mention five medicines where ailments from alcoholic drinks.

Firstly, Ars alb.
Secondly, Kali bich.
Thirdly, Sulphur
Fourthly, Carbo veg.
Lastly, Nux vom.

12.Mention three medicines for aversion of being alone.

Firstly, Ars alb.
Secondly, Lycopodium
Thirdly, Kali carb. (-Reverse; wants to be alone. Ignatia & Nux vom.)

13.Mention the skin symptoms of Arsenic.

Firstly, Skin dry and scally.
Secondly, Cold blue and wrinkled skin.
Thirdly, Skin like parchment, white and pasty.
Fourthly, Black vesicles with burning pain.
After that, Cold clammy perspiration.
Lastly, Anasarca, skin pale, waxy, earth-coloured.

14.State the sleeping posture of Arsenicum Album

Sleeps better on back.

(-Reverse; sleeps better on abdomen, Ammon. carb., Cina, Podophyllum).

15.Mention three modalities which you think most important for choosing Ars. Alb. as a drug of choice.

Burning pain i.e.: the affected part burns like fire; Amel. by warmth, hot drink and hot applications (except head).
at mid-day and mid-night.
from lying on affected side.

16.Discuss the child symptoms of Arsenicum Album

Teething children who are pale weak and fretful.
Wants to be carried rapidly.

17.Mention the thirst of Arsenicum Album

A) The thirst of Ars. alb. has three phases:

i) In acute state i.e.: –

Thirst little and often; desire for water enough to moisten the tongue.
Burning thirst, without special desire to drink, the stomach does not seem to tolerate, because it cannot assimilate cold water; lies like a stone in the stomach.

ii) In chronic state i.e.: -Thirstless (Kent).

iii) Another phase i.e.: -Excessive thirst for water yet it does not quench the thirst, -as if will drink the well dry.

B) Character of thirst:-

Cold water i.e.:

Great thirst for cold water.
Drinks often, but little at a drinks. time.
Cold water lies like a stone in the stomach; it is wanted, but he cannot or dare not to drink it.

Hot water i.e.:

Desire for very hot
Unless almost boiling; stomach will not retain them.

19.Describe the cholera symptoms of Arsenicum Album

Causation i.e. :

From taking ice-cream, cold fruits etc.
From decayed food, sour beer, bad sausage. nig alcoholic drinks, strong cheese.
Ptomaine poisoning

Time of occurrence i.e.:-During cholera epidemic.

Type i.e.:-Cholera morbus.

Ch. of stool i.e.:

Dark or black, scanty stool
Very offensive.
But no rice-watery stool (Lilienthal).

Ch. symptoms i.e.:

i)Thirst i.e.: -Thirst for cold water at a short interval; dinks often but little at a time; just to moisten the tongue

Vomiting: -Vomiting starts as soon as cold water touches the stomach.

ii) Secondly, Prostration i.e.:

Great prostration, and exhaustion after every stool.

iii) Exhaustion is not felt by the patient while mad to lying still; when he moves he is surprised to find himself so weak.

iv) Chilliness i.e.: -Too much chilly, coveres up except the head.)

v) Restlessness & fear i.e.:

Restlessness, anxiety and fear of death.
Morbid fear of cholera (Nit. acid).

vi) Coldness i.e.: – Coldness of the skin and clammy sweat.

vii) Burning i.e.: -Violent pain and burning sensation in the pit of the stomach, Amel. by hot drink.

viii) Collapse i.e.-Sudden deathly collapse.

Modalities i.e.:

Agg. i) Firstly, At 12-2 A.M. and P.M. especially 12-2 A.M. i.e. after midnight.

ii) Secondly, From taking cold food and drinks. Amel. from warmth in general

20.State the diarrhoea of Arsenicum Album

a) Causation i.e.:

i) Firstly, After eating or drinking (diarrhoea as soon as he drinks: Ars., Arg. nit., Croton tig., Thremb.).

ii) Secondly, After taking cold.

iii) Thirdly, From chilling the stomach by eating the ice or ice-cream.

iv) Fourthly, From taking decayed foods or meats.

v) Lastly, Diarrhoea of malarial origin.

b) Character of stool i.e.:

i) Firstly, Stool is scanty, dark coloured.

ii) Secondly, Offensive and excoriating.

iii) Thirdly, Small or large in character.

c) Modalities i.e.:

Bono Agg. i) Firstly, Generally, midday and midnight. ii) Secondly, After eating and drinking.

d) Concomitants i.e.:

i) Firstly, Every stool is followed by great prostration & trembling (Verat. alb.).

ii) Secondly, Thirst for small quantities of cold water at short intervals but immediately followed by vomiting. iii) Burning sensation in anus, Amel. by hot applications.

iii) Thirdly, Mentally restlessness with anxiety and fear of death.

21. Describe the haemorrhoids (piles) of Ars. alb.

a) Firstly, Type:-Painful, strangulated haemorrhoids.

b) Secondly, Looking:-Bluish, swollen, protruding.

c) Character i.e.:

i) Firstly, Bleeding piles.

ii) Secondly, Stitching pain in rectum when walking or sitting but not during stool.

iii) Thirdly, Painful piles which prevents sitting or sleep.

d)Pain i.e.:-

i) Firstly, Burning pain, Amel, by heat.

ii) Secondly, Stitching pain when walking & sitting.

e)Modalities i.e.:-

Agg. From cold applications, Pain agg. when walking or sitting.

Amel. From warm applications.

f) Concomitants i.e.:

i) Firstly, Anal fissures make voiding urine difficult.

ii) Secondly, Sleep prevented by burning and stitching pain in rectum.

iii) Thirdly, Great restlessness, anxiety, fear of death anguish and debility runs through the remedy.

22.Mention six characteristic symptoms of Arsenicum Album

i) Fear of death i.e.: –

Great fear of death. Thinks that his disease is incurable and it is useless to take medicines.

ii) Prostration i.e.:-

a) Great prostration: sinking of strength but out of proportion to the degree of illness. Exhaustion is not felt by the patient while lying still; when he moves he is surprised to find himself so weak. b) Master Hahnemann says, trivial affections induce a sudden and complete sinking of the strength (Tyler).

iii) Fastidiousness i.e.:

-Dr Tyler refers morbid fastidiousness wants everything neat and clean; in tip-top condition.

iv) Burning i.e.: –

Burning pain all over the body, affected part burns like fire. Ameliorated by heat, hot drinks and hot applications. (Except the head).

v) Thirst i.e.:-

Thirst for small quantities of cold water at short interval but followed by vomiting. Cold water lies like a stone in the stomach; it is wanted, but he cannot or dare not drink it. Desire for very hot drinks, unless almost boiling stomach will not retain them. (Chelidon.).

vi) Modalities i.e.: –

All troubles agg. from 12 to 2 A.M. and 12 to 2 P.M. i.e., midday & midnight. ii) Burning pain Amel. by heat in general (except the headache which is temporarily. Amel. by cold bathing.