Ipecacuanha

作者：H.C. Allen — Keynotes And Characteristics With Comparisons of some of the Leading Remedies of the Materia Medica

Ipecac. (Rubiaceae.)

Adapted to cases where the gastric symptoms predominate (Ant. c., Puls.); tongue clean or slightly coated. In all diseases with constant and continual nausea . Nausea: with profuse saliva ; vomiting of white, glairy mucus in large quantities, without relief ; sleepy afterwards; worse from stooping; the primary effects of tobacco; of pregnancy. Stomach: feels relaxed, as if hanging down (Ign., Staph.); clutching, squeezing, griping, as from a hand, each finger sharply pressing into intestines; worse from motion. Flatulent, cutting colic about umbilicus. Stool: grassy-green; of white mucus (Colch.); bloody; fermented, foamy, slimy, like frothy molasses. Autumnal dysentry; cold nights, after hot days (Colch., Merc.). Asiatic cholera, first symptoms, where nausea and vomiting predominate (Colch.). Haemorrhage: active or passive, bright-red from all the orifices of the body (Erig., Mill.); uterine, profuse, clotted; heavy, oppressed breathing during; stitches from navel to uterus. Cutting pains across abdomen from left to right (Lach., - from right to left, Lyc.). Cough: dry spasmodic, constricted, asthmatic. Difficult breathing from least exercise; violent dyspnoea, with wheezing and anxiety about the stomach. Whooping-cough: child loses breath , turns pale, stiff and blue; strangling, with gagging and vomiting of mucus; bleeding from nose or mouth (Indigo). Cough, with rattling of mucus in bronchi when inspiring (Ant. t.); threatened suffocation from mucus. Pains as if bones were all torn to pieces (as if broken, Eup.). Intermittent fever: in beginning of irregular cases; with nausea, or from gastric disturbance; after abuse of, or suppression from quinine. Intermittent dyspepsia, every other day at same hour; fever, with persistent nausea. Oversensitive to heat and cold.

Relations . - Complementary: Cuprum. Is followed well: by, Ars. in influenza, chills, croup, debility, cholera infantum; by Ant. t., in foreign bodies in larynx. Similar: to, Puls., Ant. c., in gastric troubles.

Aggravation . - Winter and dry weather; warm, moist, south winds (Euph.); slightest motion.

其他经典著作中的 Ipecacuanha

Ipecacuanha 出现在 Similia 的 13 部经典著作中的 12 部。每部书的写作目的各不相同 — 以下是每部书对该药物的补充内容，以及其条目的开头。

Allen TF — 原始药物试验记录 — 症状按验药者报告原样呈现，未经编辑。
“Cephaëlis Ipecacuanha, A. Richard. Natural order , Rubiaceæ. Common names (German), Brech-wurzel; Ipecac. Preparation , Trituration and tincture of the root. Authorities. (Nos. 1 to 15 , from Hahnemann).”
Boericke — 快速临床解读 — 关键症状、加重与缓解因素，以及实际处方所针对的病症。
“Ipecac-root (IPECA) The chief action is on the ramifications of the pneumogastric nerve, producing spasmodic irritation in chest and stomach. Morphia habit. The principal feature of Ipecacuanha is its persistent nausea and vomiting, which form the chief guiding symptoms. Indicated after indigestible food, raisins…”
Boger (GA) — 此疗剂归属于哪些全身总类目 — 分析性的框架。
“CHEST, internal CHILLY, cold COLLAPSE, sudden prostration, etc. COUGH. COUGH, excited from Throat or Larynx COUGH, incessant DISCHARGES, eruption appearing etc., Amel. DISCHARGES, Agg.; loos of vital fluids, etc.., Agg. DRY, clear or cold weather, Agg. EPIGASTRIUM FOAMY, frothy GREENISH HANGING LOOSE or down, as if…”
Boger (Syn) — 以简短的分析画像呈现全身症状与加重缓解因素，而不是症状列表。
“MUCOUS MEMBRANES: DIGESTIVE. Stomach. RESPIRATORY. Lungs. Nerves: Pneumo - gastric. Spinal. Cutaneous. Umbilicus. WARMTH; damp. Room. Overeating: Ices. Pork. Veal. Mixed or rich foods. Periodically. Quinine. Heat and cold. Recessions. Open air. Profuse secretions. Foamy discharges, stool, etc. CONTINUOUS NAUSEA…”
Clarke — 最广泛的条目 — 来源、药物试验、临床用途、关系与解毒剂一处尽览。
“Cephaëlis ipecacuanha. N. O. Rubiaceæ. Tincture and trituration of the dried root. Anæmia / Asthma / Bronchitis / Catarrh / Cholera / Consumption / Convulsions / Cough / Deafness / Diarrhœa / Dysentery / Enteric fever / Eyes, affections of / Gall-stone colic / Gastric Ulcer / Hæmatemesis / Hæmorrhage / Hæmorrhoids /…”
Hering — 分级症状，每一项都按验药者与临床实践确认的频率加权。
“Ipecac. Rubiaceæ. A plant native to Brazil. The tincture is prepared from the dried and finely powdered root. Provings by Hahnemann and his provers. See Allen's Encyclopædia, vol. 5, p. 137 . CLINICAL AUTHORITIES. Hypochondriasis , Hufeland, B. J. H., vol. 27, p. 621 ; Apoplexy , Rummel, Rück. Kl. Erf., vol. 1, p. 92…”
Kent — 精神与全身图像 — 在疗剂所能治愈的内容之前，先看患者是谁。
“Ipeca Ipecac. has a wide sphere of action among acute sickness. Most of its acute complaints commence with nausea, vomiting. The febrile conditions commence with pain in the back between the shoulders, extending down the back, as if it would break, with or without rigors, much fever, vomiting of bile and seldom any…”
Lippe (KN) — 仅收录 Lippe 认为足够可靠、可据以处方的症状。
“Nausea accompanies most complaints. Relieves the exhaustion following bleeding from the orifices of the body. Tetanic spasms. Intermittent fever with slight chills and much heat, which is accompanied with much heat, gastric symptoms, and oppression of the chest in all cases. In the joints a sensation as if they had…”
Lippe (MM) — 严格的哈内曼式解读 — 不含临床解释的症状图像。
“Irritability; restlessness, impatience. Ill-humor and despising every thing. Cannot endure the least noise. Vertigo, when walking and when turning round. Stitches, in the vertex (or forehead). Headache, as if the skull and brain were bruised, with nausea and vomiting. Pain in the occiput and nape of the neck…”
Lippe (Red) — 关键症状，其中最受信任的标为红线症状。
“Common name: ipecac. Adapted to cases where the gastric symptoms predominate (Ant-C., Kali-M., Nux-V., Puls., Sep.) (A.). Relieves the exhaustion following bleeding from the orifices of the body (Carb-V., Chin., Ferr., Kali-P., Sec.). Tetanic spasms (Bell., Cic., Cupr., Nux-V., Op., Strych., Verat.). Spasmodic…”
Nash — 比较 — 将此疗剂与最常被混淆的疗剂并列对照。
“Persistent nausea, which nothing relieves, in many complaints. Headache as if bruised, all through the bones of the head, down into root of tongue, with nausea. Stools as if fermented, or as green as grass, with colic and nausea, Hemorrhages from uterus; profuse, bright blood and heavy breathing, with nausea…”

肯特《症状汇编》中的 Ipecacuanha

肯特《症状汇编》在 1,630 个症状条目中列出了 Ipecacuanha。这些是其级别最高的条目 — 即肯特认为最具特征性的症状。其中大多数位于 GENERALITIES (221), HEAD (159), STOMACH (150), EXTREMITIES (106), MIND (101)。

ABDOMEN - PAIN - stitching (Sticking,etc.) - Sides - left - to right
ABDOMEN - PAIN - stitching (Sticking,etc.) - Umbilicus - extending - uterus
ABDOMEN - PAIN - stitching (Sticking,etc.) - Umbilicus - region of - extending to uterus
CHEST - PAIN - pressing - Diaphragm
COUGH - SUFFOCATIVE - evening - 7 p.m.
FACE - STIFFNESS,muscles - cough,during
FEMALE GENITALIA - PAIN - labor pains - cutting,left to right - in umbilical region
FEVER - PAROXYSMS increasing in severity - irregular - short chill,long heat,no thirst
GENERALITIES - CONVULSIONS - indigestion,from
ABDOMEN - PAIN - cutting - Umbilicus - region of - labor,during
COUGH - SUFFOCATIVE - child becomes stiff and blue in face
STOMACH - VOMITING - stooping,after
CHEST - INFLAMMATION - bronchial tubes (bronchitis) - children
CHILL - DISORDERED stomach
MOUTH - FINGERS in the mouth,children put
STOMACH - INDIGESTION (Includes Complaints After Substances Not Otherwise Described) - vexation,after
ABDOMEN - PAIN - Umbilicus - region of - extending - to uterus
CHILL - EATING - indiscretions,in
RECTUM - DIARRHOEA - cholera epidemic,during
EXTREMITIES - PAIN - aching - Thigh - bone

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