Pæonia. (Pæonia Officinalis.)

Peony. Ranunculaceæ.

The tincture is prepared from the fresh root gathered in Spring.

Provings by Helbig, Geyer and Hegel, Praktische Mittheilungen, 1827, and Schelling, A. H. Z., vol. 28, p. 182.

CLINICAL AUTHORITIES.

• Fissures in anus , Rafinesque, Hom. Cl., vol. 3, p. 40, Raue's Rec., 1870, p. 218 ; Ozanam, B. J. H., vol. 26, p. 58 ; Anal and rectal fissure , Eggert, Raue's Rec., 1875, p. 162, from Trans. A. I., 1873, p. 468 ; Ulcer of coccyx, of great toe, on dorsum of foot, on anterior surface of tibia, on right leg, on sacrum, on breast , Ozanam, B. J. H., vol. 26, p. 53 ; Ulceration , Ozanam, Hughes' Phar., p. 599 ; Varicose veins , Rafinesque, Raue's Rec., 1870, p. 200.

MIND [1]

Anxious, afraid to talk with any one ; much affected by bad news, after pinching in belly.

SENSORIUM [2]

Vertigo : on every motion, with constant reeling and staggering.

Dulness, heaviness, vertigo and feeling of heat in head.

Syncope and cold sweat.

SIGHT AND EYES [5]

Burning, itching and feeling of dryness in eyes.

Violent tearing around right eye.

UPPER FACE [8]

Burning heat in face.

LOWER FACE [9]

Crawling in upper lip and tip of nose.

PALATE AND THROAT [13]

Burning and heat in throat.

Tenacious mucus in throat, inducing hawking.

SCROBICULUM AND STOMACH [17]

Pressure in pit of stomach, as from great anxiety.

STOOLS AND RECTUM [20]

Papescent diarrhœa, with qualmishness in abdomen, burning in anus after stool, followed by internal chilliness.

Hemorrhoids with fissures in anus ; intolerable pains during and after stool.

Hemorrhoids and ulceration of rectum for eighteen years ; subject to several operations ; constipated nervous and emaciated ; disagreeable smell from body ; anus and surroundings purple and covered with a thick crust ; at verge and entrance of rectum several fissured ulcers with elevated and indurated edges, exquisitely painful ; whole mucous membrane at verge and higher up studded with ulcers, cracks and rhagades ; coating of rectum purple and congested.

Very painful and sensitive ulcers and rhagades in rectum.

Very painful ulcer, partly in integument, round, sharpcut edges and exuding much moisture. θ Ulceration of anus.

Atrocious pains, with and after each stool, recurring after an hour or two and lasting twelve hours, preventing sleep, must walk floor nearly all night ; exudation of offensive moisure. θ Fissures of anus.

Fissures, with much oozing, constantly keeping anus damp and disagreeable ; great soreness and smarting.

Six months previously had abscess just below coccyx, large as hazelnut, which soon opened, but wound, in place of healing, remained open and there resulted a funnel-shaped ulcer, about one centimeter deep and same in circumference ; bottom and walls of bright red color, a purulent secretion constantly exuded ; sitting posture very painful.

Small ulcer on perineum, near anus, constantly oozes moisture of very offensive odor ; is painful for eight days.

Biting, itching in anus, provokes scratching ; orifice seems somewhat swollen.

VOICE AND LARYNX. TRACHEA AND BRONCHIA [25]

Complete loss of voice, could not utter least sound for hours (after smelling).

INNER CHEST AND LUNGS [28]

Throbbing through right chest and extending posteriorly up to nape of neck, where it terminates in intermittent pinching.

Violent shootings vertically from collar bone down through heart to diaphragm, < in walking.

Dull shooting from front to back through heart.

OUTER CHEST [30]

Ulcer about a centimeter in diameter on lower part of left breast, consequent upon an abscess which had never healed.

NECK AND BACK [31]

Stinging in shoulder-blades.

Ulcers below coccyx.

Ulceration of seat from decubitus, in a bed-ridden patient.

Sacral sores ; vitality of skin destroyed by pressure.

LOWER LIMBS [33]

Ulcer on anterior surface of right tibia, caused by a violent blow she had received six months ago.

Chronic ulcer of right leg of ten years' standing, serpiginous, crept slowly on destroying a vast extent of skin ; a portion of this cicatrized and became covered with a thin, violet, shining pellicle, whilst ulcer continued to spread four centimeters in diameter ; severe shooting pains hindering walking by day and rest by night.

After wearing a tight boot a blister appeared on dorsum of foot beneath which skin had ulcerated, and showed no tendency to heal ; three centimeters long by two broad ; edges perpendicular and very irregularly indented ; its soft and fungoid surface was covered with a brick-red sanies mingled with violet and black streaks from admixture of venous blood.

Ulcer on external surface of left great toe, about level of articulation of first phalanx with metatarsal bone, one centimeter in diameter ; edges perpendicular ; base greyish, flat and exuding ; caused by wearing ill-fitting boot.

REST. POSITION. MOTION [35]

Pain compelling the sick to walk the floor all night. θ Fissures of anus.

Rolling on floor from pain. θ Fissures of anus.

Sitting posture : painful from abscess below coccyx.

Motion : vertigo.

Walking : < pain from collar bone to diaphragm.

SLEEP [37]

Nightmare.

Dreams : of a figure, or ghost sitting on his chest ; anxious ; vivid ; frightful ; amorous ; quarrelsome.

TEMPERATURE AND WEATHER [39]

Coming into warm room after a walk in cold air he gets nausea and feels faint.

ATTACKS, PERIODICITY [41]

An hour or two after stool : pains recur and last twelve hours.

For ten years : ulcer on leg.

For eighteen years : ulceration of rectum.

LOCALITY AND DIRECTION [42]

Right : violent tearing around eye ; throbbing through chest ; ulcer on tibia ; chronic ulcer on leg.

Left : ulcer on breast ; ulcer on great toe.

SENSATIONS [43]

Intolerable pain : during and after stool.

Tearing : around right eye.

Shooting : from collar bone through heart to diaphragm ; through heart ; in ulcer on leg.

Pinching : in nape of neck.

Throbbing : through right chest ; nape of neck.

Stinging : in shoulder-blades.

Biting : in anus.

Burning : in eyes ; in face ; in throat ; in anus.

Heat : in head ; in throat.

Pressure : in pit of stomach.

Heaviness : in head.

Dryness : in eyes.

Itching : in eyes ; in anus.

TISSUES [44]

Varicose veins, ulcers and fissures.

TOUCH. PASSIVE MOTION. INJURIES [45]

Ulcers from decubitus.

Pressure : destroyed vitality of skin ; of boot caused ulcer.

Blow : caused ulcer on right tibia.

SKIN [46]

Sensitive, painful ulcers on lower parts of body.

Chronic ulcers, particularly those seated on parts of body below umbilicus.

STAGE OF LIFE, CONSTITUTION [47]

Children with spasmodic affections.

Engineer on railway, æt. 22, case not complicated by syphilis or varicose veins ; ulcer on dorsum of foot.

Lady's maid, æt. 27, after receiving violent blow six months previously ; ulcer on leg.

Officer of African army, æt. 28, after wearing ill-fitting boots, no history of syphilis ; suffering five months ; ulcer of great toe.

Miss H., æt. 37, chambermaid, robust, but complained frequently of gastralgia, pituitous vomiting and chronic constipation ; high living ; suffering three months ; fissures of anus.

Woman, æt. 50, laundress, otherwise healthy ; ulcer of coccyx.

Man, æt. 52, suffering eighteen years ; anal and rectal fissure.

Woman, æt. 60, suffering four months ; ulcer of breast.

Miss M., æt. 84, affected for nine months with osteosarcoma of left femur ; ulceration of seat from decubitus.

A poor old man, suffering ten years ; ulcer of leg.

RELATIONS [48]

Antidotes : Aloes and Ratanhia .

Compare : Hamam . in varicosis ; Silica in ulcers ; Sulphur in diarrhœa.