Thursday 17 July 2014

Abrotanum the barbarian.

I have had occasion to use this wonderful short drug on several occasions. One was a patient who had undergone endoscopic drainage of a Pleural effusion after which he suffered constant chest pain and weakness with diarrhea. A couple of children with marasmus also comes to mind. But the most remarkable was a case of Rheumatism. The lady was in her thirties and turned RA +ve with severe joint pains. The rheumatism followed a bout of diarrhea which lasted several days and was ultimately controlled by higher antibiotics. I also had occasion to use it in a case of Insanity where the patient- a farmer would get so out of control that he beat his own buffalo to death. Fellow villagers avoided walking past his house out of fear. This after Belladonna failed to help.

 
ABROTANUM – Southern wood
Family: Compositae
AILMENTS FROM
Checked diarrhea; Operations on chest; defective nutrition, malnutrition.

MIND
Mental symptoms alternate with physical. Anxiety from pain in stomach. Irritability,  Sadness, despondency, dejection, depression -Delusion that he hears voices in bed,  cease when listening intently. Cruelty, brutality.
HEAD/NECK
Cannot hold head up from weakness of neck
STOMACH
Food undigested. Craves bread boiled in milk. Gastralgia< night. Milk aversion.
ABDOMEN
Hard lumps. Sinking. Piles prolapsed. Desire for stool- only blood passes.
MALE CHILD
Hydrocele
RESPIRATORY
Dry cough after diarrhea
BACK
Sudden pain<night>motion. Pain sacrum from piles/ ovarian pain
EXTREMITIES
Rheumatism from checked diarrhea- alternating with various complaints. Contraction from cramps, after colic.
SKIN
Purplish after suppression of eruptions.  Itching chillblains
GENERALS
Emaciation despite hunger. Ascending dropsy
PECULIAR SYMPTOMS
Mental sympts alternate with physical
Cruel, Brutal. Craves bread boiled in milk but averse to milk. Rheumatism alternates with other complaints. Marasmus, ascending dropsy