Leptandra. (Leptandra Virginica.)

Culver's Root. Scrophulariaceæ.

Introduced by Hale. Provings by Burt and a student in Hahnemann Med. College. See Hale's New Remedies. Both provers made use of Leptandrin.

CLINICAL AUTHORITIES.

• Sick headache , Barlow, Times Retros., vol. 2, p. 14 ; Bilious headache , Hale's Therap., p. 387 ; Hepatic disease , Neidhard, Warren, Hale's Therap., p. 375 ; Griping pain in intestines , Williamson, Trans. Hom. Med. Soc. Pa., 1873, p. 97 ; Diarrhœa , Barnes, Hale's Therap., p. 386 ; Chronic diarrhœa and dysentery , Coe, Burt's Mat. Med., p. 568 ; Dysentery , Hughes, Pharmacody., p. 501 ; Fry, Hale's Therap., p. 385.

MIND [1]

Gloomy ; desponding ; drowsy. θ Hepatic derangement.

INNER HEAD [3]

Constant dull frontal headache ; < in temples, with aching in umbilicus.

Sick headache with furred tongue, hepatic derangement.

Bilious headache ; constipation, bitter taste, indigestion.

SIGHT AND EYES [5]

Smarting and aching in eyes.

TASTE, SPEECH, TONGUE [11]

Tongue yellow or black down centre.

APPETITE, THIRST. DESIRES, AVERSIONS [14]

Canine hunger.

HICCOUGH, BELCHING, NAUSEA AND VOMITING [16]

Nausea, with deathly faintness on rising.

Vomiting of bile, yellow tongue ; shooting pains about liver, black stools.

SCROBICULUM AND STOMACH [17]

Weak, sinking sensation at pit of stomach.

Great distress in stomach and small intestines, with immediate desire for stool.

Burning, aching in stomach and liver, < drinking water.

Dyspepsia from disordered liver and stomach.

HYPOCHONDRIA [18]

Dull aching in liver, < near gall bladder.

Burning distress in back part of liver and in spine.

Periodical liver derangement, occurring every two or three months ; yellow coated tongue ; constant nausea, vomiting of bile ; shooting or aching pains in region of liver ; loss of appetite ; urine brownish or very dark ; pain in transverse colon ; giddiness in head.

Deliriousness ; complete prostration ; heat and dryness of skin ; coldness of extremities ; fetid and tarry stools ; tongue thickly coated, with a black streak down centre. θ Hepatic disease.

Jaundice, with clay colored stools.

ABDOMEN AND LOINS [19]

Constant dull aching distress in umbilical region.

Sharp, distressing pains between navel and epigastrium.

Rumbling and distress in whole bowels, especially in hypogastrium, with black stools.

Bilious colic, or a tendency to it.

Rumbling and distress in hypogastric region, profuse, black, fetid stools, pains in bowels.

STOOLS AND RECTUM [20]

Stools : black, tarry, bilious, undigested, followed by great distress in liver ; mushy, with weak feeling in bowels ; greenish, muddy, spouting out like water ; profuse, black, fetid, running a stream ; profuse, black, consistence of cream ; black, papescent, tar-like, fetid, in afternoon and evening ; first hard, black, lumpy, afterwards soft and mushy ; watery, with large quantities of mucus ; yellowish green ; clay colored ; < morning, as soon as he moves ; from meat or vegetables.

Profuse, watery stools, followed by severe cutting pains in small intestines ; after exposure to wet, damp weather.

Before stool : rumbling.

After stool : sharp, cutting pains and distress in umbilical region ; faint, weak, hungry ; griping, but no straining.

Profuse dark brown, almost black, mushy and highly offensive stools ; difficulty in retaining stool, must go immediately ; sharp pain preceding stool, > afterwards but increasing weakness ; usually went to sleep soon after stool ; three to four stools daily. θ During progress of post-scarlatinal follicular enterocolitis with dropsy.

For nearly three months, camp diarrhœa ; hardly able to stand ; emaciated ; features haggard and jaundiced ; stools, previously mixed with undigested food, now muco-purulent and bloody, quite frequent, with tenesmus and cutting pains low down in bowels ; sense of weight at stomach after cold water, cutting in bowels and disposition to stool.

The mucus discharged resembles false membrane.

Diarrhœa : dependent on hepatic derangement, or inflammation of mucous membrane ; debility.

Chronic ulceration of intestines, with hepatic disorder.

Dysentery or typhoid with black, tar-like passages.

Dysentery of nearly a month's standing, brought on by sudden changes of climate ; dizziness and headache ; chills, followed by fever ; pain and uneasiness in bowels ; nausea and constant profuse flow of saliva during chill ; thirst ; unable to keep food or any drink on stomach ; desire to urinate during chill ; urine high colored and passed in small quantities ; soreness of rectum ; hemorrhoids ; painful dragging and stinging pains in rectum ; bowels bound and alternated every three or four days by diarrhœa, passages consisting of fecal matter resembling raw or boiled beef after having been pounded fine, with an admixture of mucus and an intolerable fetid smell ; the desire to stool was in morning and continued about an hour, during which time there were four or five passages, followed by tenesmus of rectum and a feeling as if something was passing out.

Constipation ; piles, depending upon hepatic derangement.

Frequently bleeding piles ; constipation and distressing pain beneath sacrum.

URINARY ORGANS [21]

Red or orange colored urine, with dull aching in lumbar region.

FEMALE SEXUAL ORGANS [23]

Menses suppressed or retarded ; liver affected ; prickly heat.

Leucorrhœa, with ulceration of os uteri ; sometimes fetid, with shreds of mucous lining it ; irritation of bladder and rectum ; frequent pain at bottom of bowels ; general languor and prostration ; heat and dryness of skin.

HEART, PULSE AND CIRCULATION [29]

Soreness in cardiac region.

Pulse slow and full.

NECK AND BACK [31]

Chilly sensation on shoulders and down back.

Sore, lame feeling in small of back.

UPPER LIMBS [32]

Pain in right shoulder and arm. θ Hepatic affections.

REST. POSITION. MOTION [35]

Rising : causes nausea, faintness.

Hardly able to stand : from weakness.

TIME [38]

Morning : clay colored stools ; desire to stool.

Afternoon and evening : black fetid stools.

TEMPERATURE AND WEATHER [39]

Exposure to wet, damp weather ; profuse, watery stools, with cutting pains in small intestines.

After cold water : sense of weight in stomach.

Sudden changes of climate : dysentery.

FEVER [40]

Chilly along spine and down right arm.

Shivering, or dry, hot skin ; stupor ; limbs cold and numb ; tongue black down centre. θ Bilious fever.

Bilious typhoid fevers.

ATTACKS, PERIODICITY [41]

In one hour : four or five stools.

Daily : three or four stools.

Every three or four days : bowels bound, or diarrhœa.

For nearly a month : dysentery.

Every two or three months : liver derangement.

For nearly three months : camp diarrhœa.

LOCALITY AND DIRECTION [42]

Right : pain in shoulder and arm ; chilly down arm.

SENSATIONS [43]

Feeling as if something was passing out of rectum.

Pain : in transverse colon ; in bowels ; at bottom of bowels ; in right shoulder and arm.

Great distress : in stomach and small intestines ; in hypogastric region ; in liver.

Sharp distressing pains : between navel and epigastrium.

Distressing pain : beneath sacrum.

Sharp pain : in abdomen.

Shooting pains : about liver.

Cutting pains : in small intestines ; in umbilical region ; low down in bowels.

Painful dragging and stinging : in rectum.

Dull pain : in forehead ; in temples.

Aching : in umbilicus ; in eyes ; in stomach ; in liver ; in lumbar region.

Dull aching distress : in umbilical region.

Griping : after stool ; bilious colic.

Burning distress : in back part of liver and spine.

Burning : in stomach ; in liver.

Soreness : of rectum ; in cardiac region.

Smarting : in eyes.

Heat : of skin.

Sore lame feeling : in small of back.

Uneasiness : in bowels.

Weak sinking sensation : at pit of stomach.

Weight : at stomach.

Dryness : of skin.

Chilly sensation : on shoulders and down back.

TISSUES [44]

Chronic abdominal complaints caused by derangement of portal system.

Chronic congestion and other chronic disorders of liver.

Chronic dysentery and diarrhœa, and other diseases of bowels ; when false membranous formations have occurred in small intestines, produced by gradual exudation of plastic lymph.

Ascites and anasarca from obstructed circulation in portal system.

SKIN [46]

Jaundice.

Hot and dry skin. θ Bilious attacks.

STAGE OF LIFE, CONSTITUTION [47]

Boy æt. 6, during progress of post-scarlatinal follicular enterocolitis, associated with general anasarca ; diarrhœa.

Woman, æt. 75 ; hepatic disease.

RELATIONS [48]

Compare : Bryon., Cinchon., Iris v., Mercur., Podoph .