Paullinia Pinnata

N. O. Sapindaceæ. Tincture of fresh root.

Clinical

Cramps / Diarrhœa / Head, pains in / Heart, pain in / Neuralgia

Characteristics

Paul. p. is less well known than Paullinia sorbilis, better known under its name Guarana (see Vol. I.). It was proved by Mure, but I do not know of any clinical experience with the remedy. The predominating pains were lancinating, stitching, and pressing. Constricting pains as with iron bands or with iron plates. Head, abdomen, and chest furnished the largest number of symptoms. The symptoms were < by motion; by inspiration. > In open air (neck); by friction (pain in right shoulder). There was an unusual longing for coffee . to smell and drink it. Sensation as if the chest opened on drawing a breath.

1. Mind

Fear of becoming consumptive. Sad; drowsy; lazy.

2. Head

Pain above eyes piercing to brain. Pain with inability to bend head forward. Hammering sensation in l. temple; in vertex. Headache as if head were covered with a leaden cap and then struck upon. Great itching and suppuration at back of head.

3. Eyes

Pains in eyebrows intersecting at root of nose. Lancinations in eyes with lachrymation.

4. Ears

Cutting in cartilage of l. ear extending to neck. Heat in ears. Roaring in l. ear.

8. Mouth

Pain in r. teeth. Rough, swollen tongue; it feels thick. Mouth dry; bitter. Profuse saliva.

9. Throat

Scraping; digging; itching in throat.

11. Stomach

Appetite increased; or diminished. Desires coffee and fruit. Nausea on waking. Sensation while talking as if a stone were buried deep in stomach.

12. Abdomen

Pain as from tight cord round hypochondria. Borborygmi. Lancinations: in liver; spleen; umbilicus; groins.

13. Stool

Constipation. Diarrhœa. Colic followed by reddish diarrhœic stool, mixed with slime.

14. Urinary Organs

Frequent and ineffectual urging to urinate. Ardor urinæ.

16. Female Sexual Organs

Momentary stabbing in ovaries.

17. Respiratory Organs

Hoarse voice. Violent cough with inflammation of throat. Dry cough. Yellowish, bitter, difficult, and tenacious expectoration. Short, rapid breathing.

18. Chest

Oppression. Pressure as from an iron band round waist; with pricking in upper chest, < during movement. Pressure on chest as if squeezed between iron plates and then stabbed. Burning; itching; lancinations in chest. Chest feels if breaking open with a crash; while drawing a breath. Burning in chest across breast, which feels as if compressed by an iron band. Lancinations under r. breast. Pain in l. breast. Pain as of knife thrust in l. nipple at regular intervals.

19. Heart

Pain in heart extending to last ribs, 6 p.m. Lancination in præcordial region.

20. Neck and Back

Pain in neck > in open air. Burning all down back. Bruised pain in loins; cannot raise herself after stooping.

22. Upper Limbs

Numbness in shoulders and arms. Pain in wrists. Cramp in l. palm.

23. Lower Limbs

Pricking as with innumerable pins in l. thigh. Weakness and heaviness of legs. Numbness of feet after going up stairs. Pain under sole when walking, < by pressure.

24. Generalities

Staggering gait. Pressive and lancinating pains; as if stone or knife driven into side. Feels bruised all over. Pains in joints.

25. Skin

Red patches on face and chest. Itching in hands and fingers so that she scratches them raw.

26. Sleep

Sleepless. Sleep restless. Dreams: disgusting; of lepers; of dead people.

27. Fever

Coldness. Shuddering with drowsiness. Alternate heat and coldness of face. Heat: of face; of soles of feet.