Cainca. (Cahinca Racemosa.)
By Constantine Hering — The Guiding Symptoms of our Materia Medica
Chiococca racemosa. Rubiaceæ.
Introduced in 1826 as a specific for dropsy by Martius and Langsdorf from Brazil ; later found useless in hydrops, and injurious in post- scarlatinal dropsy.
In 1843 proved by Buchner and several others, who got the genuine root from Martius himself, and published the provings in the British Quarterly, then in Buchner's (Nusser's) A. Z. f. H. II, appendix, p. 141-144. Proved by Lippe, in Carlisle, in 1845 ; by Isaac Draper in Phila., in 1850.
The collection made by Roth was translated by J. W. Metcalf and published with additions in 1852 in the New York Quarterly.
MIND [1]
Want of disposition for intellectual labor.
Ennui, forgetful.
Violent and angry in evening.
Mental effort increases headache.
Weeping with cough.
SENSORIUM [2]
Vertigo : with desire to vomit ; when going up-stairs.
Dulness, fulness and pressure in frontal region, and in sinciput.
INNER HEAD [3]
Sensations in head like those produced by ether.
Head dull and heavy.
Dulness, pressure, and afterwards weight in sinciput.
Pressure from above downward in sinciput.
Lancinating shocks in left frontal eminence.
Tearing in middle of forehead.
Lancination in right temple and right side of chest.
One sudden and severe pain in left side of head and forehead.
Pulsating pain in forehead over left eye.
Pains in head ; dull, heavy, dragging, steady pains from forehead to vertex, through central line.
Weight in temples and occiput.
Weight and pressure in occiput.
Very violent headache, especially in occiput ; < in evening.
SIGHT AND EYES [5]
Appearance like clouds before eyes.
Goes to sleep at 3 P. M., in consequence of an inclination to do so ; on waking an hour afterwards he could see nothing, even in open air, in consequence of a mist before his eyes.
Increased sensibility of eye.
Pressure in middle of globe of eye, first from above downward, and then in opposite direction, with a feeling as if pupil was turned up and light only came from above, impeding vision for five minutes ; same symptom half an hour afterwards.
Pressive pain ; shooting deep into left eye.
Pupils very much dilated.
Burning in eyes.
Eyes appear and feel suffused.
Inflammation of eyes, with fluent coryza.
Œdematous swelling of right inferior eyelid ; a small purulent point was afterwards formed, but soon absorbed.
Œdema of left upper eyelid for five days ; it subsequently became uniformly red and puckered, with frequent itching.
Supraorbital pain manifests itself alternately on right and l. side.
Pressure in orbital bones ; soon afterwards, pressure from above downward in upper half of right orbital margin ; pressive drawing along course of supraorbital nerve, with vomiturition and uneasiness in abdomen ; same symptoms subsequently appeared on left side.
HEARING AND EARS [6]
Roaring and tingling in ears.
SMELL AND NOSE [7]
Violent catarrh of thin mucus, excoriating nose, especially in daytime.
UPPER FACE [8]
Heat in face.
TEETH AND GUMS [10]
Tearing in lower teeth, in evening.
Teeth set on edge.
Pasty mucus on teeth, in afternoon.
TASTE, SPEECH, TONGUE [11]
Taste in mouth, resembling that of wild plums, bitter.
Greasy, insipid taste in mouth.
(In sick :) Red tongue, equally red all over, without any soreness in epigastric region.
Very dry tongue, covered with dirty white fur.
Tongue furred white.
White mucus covering tongue.
INNER MOUTH [12]
Increased secretion of saliva and of urine.
Abundant, thick saliva.
Irritation of buccal membrane as far as larynx.
PALATE AND THROAT [13]
Dryness of fauces.
Feeling of scraping in pharynx.
Scraping in uvula, pressure in stomach, which mounts into œsophagus, and is not relieved by eructations ; accompanied by slight vomiturition, and a little while afterwards, borborygmi in abdomen, such as precede a diarrhœa.
Pressure with scraping in uvula not relieved by eructation.
Roughness in throat, almost peppery.
Sensation of scraping and roughness in throat, which subsequently becomes dry and obliges him to hawk.
Sensation of cold along course of œsophagus.
Sensation of burning in pharynx.
Dry, burning heat in œsophagus, with hoarseness.
Painful dryness in throat.
Difficulty of swallowing, which arises from upper part of pharynx.
Inflammation of throat, with foul-smelling salivary flow.
Angina scarlatinosa. Compare œdema and Bright's disease.
Ulcers in throat to Eustachian tube.
APPETITE, THIRST. DESIRES, AVERSIONS [14]
Unusual appetite for one day.
Absence of appetite and thirst, with continual desire to vomit.
EATING AND DRINKING [15]
After supper : pulsation in abdomen.
After having eaten : cuttings in abdomen.
Weakness after dinner, obliging him to lie down.
Weakness of feet after eating.
Tearing in feet after dinner.
HICCOUGH, BELCHING, NAUSEA AND VOMITING [16]
Hiccough, Belching, Nausea and Vomiting
Frequent tasteless eructations.
Continual eructations.
Nausea.
Desire to vomit : with vertigo ; with absence of appetite and thirst.
Vomiturition augmented by spitting.
Vomiturition and slight chills.
Vomiturition ; two hours afterwards, borborygmi, several liquid stools, copious urine, and continual desire to urinate.
Violent vomiting.
Copious vomiting, by which he discharges saliva, bile, chyme, and even fecal matter, followed by several stools of fecal matter enveloped in a viscous mucus.
SCROBICULUM AND STOMACH [17]
Tension in precordial region, notwithstanding his moving about.
Pressure in stomach, with vomiturition.
Sharp shooting pains in stomach, obliging him to leave dinner.
Sensation of cold in stomach, then violent cold on whole anterior part of chest for half an hour, forcing him to button up his coat ; followed by pressure in stomach as if from a foreign body ; similar pressure in throat ; after continuing for an hour, it changes into slight burning.
Sensation of cold in epigastric region.
Heat in region of stomach.
HYPOCHONDRIA [18]
Some pain in right hypochondrium, at noon.
Pain in liver ; he goes to bed because he is afraid of an attack of hepatitis.
Pressure between right and left lobes of liver, extending into right inferior pulmonary lobe.
Pressive and lancinating pain in middle of ascending colon, resembling that he had experienced two days before under left lobe of liver ; not > by eructations.
Lancination in and across splenic region.
ABDOMEN AND LOINS [19]
Sensation of anxiety and strong heat in abdomen.
Sensitiveness of abdomen to touch, and when bending backward.
Borborygmi in abdomen.
Uneasiness and fulness of abdomen, with feeling of inflation, not relieved by eructations.
Fulness and inflation of abdomen.
Aching in abdomen and slight rumbling in intestines, followed by a liquid stool.
Cuttings in abdomen after having eaten.
Violent pains in whole abdomen, which shift their places, with borborygmi and continual eructations.
Transitory colicky pains followed by a diarrheic stool ; matters discharged are mixed with air-bubbles ; stool occurs again in afternoon.
Inflation of abdomen continuing notwithstanding stools.
Peculiar indefinable sensation in epigastrium and umbilical region, continuing half an hour and ceasing after a pappy stool ; accompanied by increase of urine.
Slight pains around navel, with borborygmi, and finally noisy eructations.
Dulness and uneasiness in abdomen, sensitiveness to touch, especially under navel ; subsequently he discharges a great deal of gas from his stomach.
Pain below navel, with necessity to go to stool.
Slight pain in abdomen as low down as umbilicus ; after a repeated dose increased and higher up ; obliged to leave his dinner.
Pain, sharp lancinating, in stomach, causes paleness, obliging him to lie down ; on waking from sleep, 6 P. M., still some pain and slight sensations of looseness.
STOOLS AND RECTUM [20]
Frequent necessity to go to stool, but with discharge of wind only.
Necessity to go to stool, with pressure on rectum.
At 5 in morning an urgent loose evacuation.
Soft or lienteric stools.
Two pappy stools before breakfast, then nausea and desire to vomit.
Stool copious ; diarrheic ; free, loose, watery.
Several liquid stools, with copious urine.
Rheumatic diarrhœa.
Stools more frequent, two or three a day, almost liquid, yellowish ; evacuations are always preceded by colic.
Soft stool in morning, after rising, followed by cuttings ; a quarter of an hour afterwards, a pappy stool, with painful colic, which returns in paroxysms several times during day.
Diarrhœa of feculent matter, followed by slight vertigo and malaise at noon ; before 2 P. M. another liquid evacuation, followed by borborygmi in abdomen ; towards evening, he passes much wind without relief.
Colic continually recurs from time to time.
Vomiturition and pains in abdomen cease after stool.
On going to bed, in evening, violent tickling in rectum, which obliges him to turn in bed and scratch.
Burning at anus.
Itching at anus after a scanty stool.
URINARY ORGANS [21]
Pain in region of kidneys in morning ; cannot change his position.
Continual and slight aching and drawing pain in urethra, causing desire to urinate, but not increased by passing water.
Difficult discharge of water, with subsequent burning in that part of urethra which traverses glans ; with burning at external meatus and continued desire to make water, at noon.
Emission of urine, penis being erect, which causes a burning like fire, in passing through urethra, almost amounting to strangury.
Weak impulse to urinate.
Continual desire to urinate.
Copious urinations in morning, on three occasions, with continual urging, but without pain.
Urination more frequent, but urine not increased.
Frequent urination ; urine more transparent than usual.
Very copious urine, although no great time had elapsed since he urinated.
He is obliged to urinate almost every hour, day as well as night, and always passes an abundant supply, which seems to him of a deeper color than usual.
Acrid, salt urine of an ammoniacal odor.
Copious urine, limpid as water.
Polyuria of some months' duration.
Copious urination after drinking coffee.
MALE SEXUAL ORGANS [22]
Great increase of sexual impulse.
Emissions following voluptuous dreams.
After flatulency, in forenoon, sharp pains in right testicle.
FEMALE SEXUAL ORGANS [23]
One of the best emmenagogues.
VOICE AND LARYNX. TRACHEA AND BRONCHIA [25]
Voice hoarse and hollow, with dry and burning heat in pharynx.
Aphonia.
Roughness of throat ; voice hoarse.
Hoarseness and roughness.
He is frequently obliged to hawk on account of irritation in upper part of larynx.
Accumulation of easily detached portions of mucus in trachea.
Frequent hawking.
Violent heat in trachea.
RESPIRATION [26]
Dyspnœa.
COUGH [27]
Irritation to cough.
Tickling cough, with tough greenish-grey expectoration, waking him at 3 A. M.
Attacks of rough coughing from 7 P. M. till 1 A. M., with rattling of phlegm and short breath ; accumulation of wind in abdomen, which feels like a pair of bellows set in motion ; feels it putting hands there.
Cough with weeping.
INNER CHEST AND LUNGS [28]
Oppression of chest.
Uneasiness and pressure in chest.
Pressure on chest as though from a great weight.
Lancination in middle of right side of chest.
In evening, lancination in middle of right side of chest, returning after several days, with weight on chest, followed by oppression, which disappears in two hours.
Oppression in inferior third of chest, with embarrassment of respiration when going up-stairs.
Lancinations in inferior third of right side of chest.
(In sick :) Hydrothorax incipiens : continual want of breath increased by walking, particularly up-stairs ; in evening, after lying down such a constriction of chest that she is obliged to sit up from fear of suffocating ; sometimes also during day attacks of contraction of chest ; legs œdematous, even above knees.
HEART, PULSE AND CIRCULATION [29]
Pulse 78 ; afterwards 54 ; it falls to 50 and becomes almost imperceptible, remaining, however, unchanged in frequency.
Pulse rather full than accelerated.
Pulse small and somewhat accelerated.
Pulse accelerated whole day, especially after siesta ; his normal pulse is slow.
Very agitated pulse.
Perceptible pulsation in abdominal aorta during rest, after supper.
Carotids beat more violently.
OUTER CHEST [30]
Intercostal muscles pain.
NECK AND BACK [31]
Pain in back.
Isolated pains in trunk, lancinating and bruising.
Pains in small of back as though in kidneys ; > by lying bent backward somewhat.
UPPER LIMBS [32]
Bruised feeling of left upper arm.
Pain as if broken in left arm.
LOWER LIMBS [33]
Extension and stretching of limbs, with sensation of cramps in lower extremities.
Heaviness in lower extremities.
Great depression in inferior extremities, drawing in muscles of calf, in knee joint ; pain like rheumatism in muscles of shoulder and back on right side, in left intercostal muscles in second and third spaces, and in upper lumbar vertebræ ; aching in second intercostal space extends to sternum and lasts until evening.
Breaking pain in knee joint, with feeling as if lower end of femur was about to escape from patella.
Œdematous swellings : hydrops of lower limbs without great prostration and without fever ; after intermittent, violent cold, or checked catamenia.
Weakness in knee joints, with sensation as if patella would be dislocated.
Crampy sensation in legs.
Continual pressure in anterior third of right foot.
Tingling sensation in bottom of left foot as if it had been asleep ; later in both feet.
Acute lancination under nail of right great toe.
LIMBS IN GENERAL [34]
Weariness of limbs.
(In sick :) Sweat on hands and feet.
REST. POSITION. MOTION [35]
During rest : after supper, pulsation in abdomen ; skin moist.
Lying : weakness > ; constriction of chest < ; pains in small of back >.
Sitting : constriction of chest >.
Bending backward : abdomen sensitive.
Walking : want of breath ; perspires over whole body in evening.
Ascending : vertigo ; desire to vomit ; respiration embarrassed.
Motion : pain in kidneys <.
Great precipitancy in all his actions.
NERVES [36]
Great fatigue after working two hours.
Very weak next morning from pain between 2 and 3 A. M.
SLEEP [37]
Yawning.
All afternoon very somnolent, continuing during evening.
Feels stupid and sleepy ; could easily go to sleep.
Somnolence.
Sleeplessness all night.
Sleep troubled by frequent wakings and disturbing dreams, as, for instance, that he was about to fall.
He wakes, after having slept a quarter of an hour, with a start, and crying out in consequence of a painful dream.
Sleep very restless, with lascivious dreams.
Unquiet, restless dreams at night.
TIME [38]
Night : attacks of coughing from 7 P. M. to 1. A. M. ; sleeplessness ; cough awakens at 3 A. M.
Morning : 5 A. M., loose evacuation ; two pappy stools before breakfast, then nausea ; pain in kidneys ; copious urination with continued urging ; 3 A. M., tickling cough with expectoration ; very weak from pain between 2 and 3 A. M.
Forenoon : flatulency.
Noon : pain in right hypochondrium ; diarrhœa with vertigo and malaise ; burning in urethra and desire to make water.
Afternoon : 3 P. M. goes to sleep, on waking in one hour could see nothing ; pasty mucus on teeth ; diarrheic stool repeated ; 6 P. M., on awakening, pain in stomach and looseness not quite gone ; somnolence ; pulse frequent after siesta.
During day : nasal catarrh of thin mucus ; colic ; pulse accelerated ; symptoms < from 4 to 6 P. M.
Evening : violent and angry ; headache in occiput < ; tearing in lower teeth ; passes wind without relief ; going to bed, tickling in rectum ; lancination in right chest ; constriction of chest on lying down ; somnolence ; dry heat without thirst ; perspiration over whole body.
FEVER [40]
Slight chill and trembling, followed by weight in head, heat in face, roaring and tingling in ears.
Cold arising from stomach.
General heat.
Heat, dry, without thirst, especially towards evening.
He sweats more easily than usual.
He perspires over his whole body in evening, when taking a little walk, atmospheric temperature being low.
Skin moist, sweating, even when at rest.
LOCALITY AND DIRECTION [42]
Right : lancinating in temple and side of chest ; œdema of lower lid ; pressure in orbital margin, afterwards on left side ; pain in hypochondrium, at noon ; pressure between right and left lobes of liver to right lower pulmonary lobe ; after flatulence, pain in testicle ; lancination in chest ; rheumatic pain in back ; continual pressure in anterior third of foot ; lancination under great toe nail.
Left : lancinating in frontal eminence ; one sudden pain in head ; pulsating pain over eye ; pressive pain in eye ; œdema of upper lid ; bruised feeling in upper arm ; broken pain in arm ; tingling in bottom of foot.
Left to right : feet asleep.
Right to left : headache.
Above down : pressure in sinciput ; pressure in eye ; pressure in right orbital margin, afterwards also in left.
Below up : pressure in eye.
Before back : dragging pains from forehead to vertex.
The morbid phenomena shift their locality.
SENSATIONS [43]
Feels all over as if under the influence of a slight galvanic shock.
Sensitiveness : of abdomen.
Sensation as if pupil was turned upward.
Peculiar indefinable sensation in epigastrium and umbilical region.
Sensations in head like those produced by ether.
Anxiety : in abdomen.
Lancinating : in left frontal eminence ; in right temple and right chest ; in middle of ascending colon ; in splenic region ; in stomach ; in right chest ; in trunk ; under nail of right great toe.
Cutting : in abdomen.
Shooting : in stomach.
Tearing : in middle of forehead ; in feet ; in lower teeth.
Dragging : from forehead to vertex.
Drawing : along supraorbital nerve ; in urethra.
Burning : in eyes ; in pharynx ; in throat ; in urethra ; at meatus ; at anus.
Bruised : in trunk ; in left upper arm.
Aching : in abdomen ; in urethra.
Scraping : in pharynx ; in uvula ; in throat.
Pressure : in frontal region and sinciput ; in occiput ; in globe of eye ; in left eye ; in orbital bones ; in stomach to œsophagus ; and scraping in uvula ; in throat ; between r. and left lobes of liver to right inferior pulmonary lobe ; in middle of ascending colon ; in rectum ; in chest ; in anterior of right foot.
Cramping : in lower extremities ; in legs.
Pain : sudden and severe in left side of head ; headache in occiput ; supraorbital ; in right hypochondrium ; at noon ; in liver ; in abdomen ; colic-like, in abdomen ; around navel ; below navel ; in kidneys ; in right testicle ; in intercostal muscles ; in back ; in trunk.
Broken : in left arm ; breaking, in knee joint.
Pulsating : over left eye ; in abdomen.
Fulness : in frontal region and sinciput ; in abdomen.
Uneasiness : in abdomen ; in chest.
Oppression : of chest.
Depression : in lower extremities.
Dulness : in frontal region and sinciput ; from forehead to vertex ; in abdomen.
Heaviness : from forehead to vertex ; in lower extremities.
Weight : in sinciput ; in temple and occiput.
Tension : in precordial region.
Constriction : of chest.
Roughness : in throat.
Weakness : after dinner ; of feet ; in knee joint ; in morning.
Weariness : of limbs.
Fatigue : after working two hours.
Tingling : in ears ; in bottom of right foot.
Tickling : in rectum.
Itching : of left upper lid ; at anus.
Heat : in face ; in abdomen ; in region of stomach ; in trachea.
Coldness : along œsophagus ; in stomach and anterior chest ; in epigastric region.
Dryness : in throat.
TOUCH. PASSIVE MOTION. INJURIES [45]
Sensitiveness of abdomen to touch.
While traveling 18 miles in the cars, he had to urinate 18 times.
It removes the fatigue consequent upon too long a ride on horseback.
SKIN [46]
Dry skin with hydrops.
STAGE OF LIFE, CONSTITUTION [47]
An aged female. θ Hydrothorax with œdema of feet.
RELATIONS [48]
Antidotes : Colchicum, Rhus tox., Veratrum .
Rhus tox . relieved the gastralgia.
Cainca 30 three doses taken at eight-day intervals after Arsenic had given some relief. θ Hydrothorax with œdema of feet.
Compare : Bryonia , and especially Apocynum , which is remarkably analogous.