Schmerz colic

It does not matter where the colic is; when you have an acute abdominal colic of any kind thinks of the possibility of either Coloc. or Mag-p. Both remedies are often useful

for colic in any area, uterine, intestinal, bile ducts, or renal-it does not matter which it is. Both drugs almost identical: pain very extreme, doubled up with pain.

In both pains > external pressure/heat. In Mag-p. there is rather more > rubbing than Coloc. > steady, hard pressure.
The next thing about them is that their colics are intermitting. The patients get spasms of pain which come up to a head and then subside.
Coloc.: intensely irritable. He is frightfully impatient, wants something done at once, wants immediate relief, and is liable to be violently angry if the relief is not forthcoming.

slightly coated tongue, particularly if the digestive tract is upset. Likes hot applications, not so extremely sensitive to cold air in its neighbourhood. Tends to giddiness (turning

l.). Colic followed on an attack of anger. Over-indulgence in cheese.

Mag-p.: not the same degree of irritability, and distraught because of the intensity of the pain rather than violently angry. Usually clean tongue. SENsitive to a draught on the area.

Not giddy. After exposure to cold, either a dysmenorrhoea or an abdominal colic.

There are two drugs which one always thinks of for colics of any kind, and they are Coloc. and Mag-p. It does not matter where the colic is; when you have an acute abdominal

colic of any kind one always thinks of the possibility of either Coloc. or Mag-p. Both remedies are often useful for colic in any area, uterine, intestinal, bile ducts, or renal-it

does not matter which it is. The point about these drugs is the they are almost identical, that always in their colics the pain is very extreme, and the patients are

doubled up with pain. In both cases the pains are relieved by external pressure, and by heat. In Mag-p. there is rather more relief from rubbing than there is in Coloc. prefers steady,

hard pressure.

The next thing about them is that their colics are intermitted. The patients get spasms of pain which come up to a head and then subside.

There are one or two features which help you to choose between Coloc and Mag-p.

Coloc. = in colic intensely irritable. He is frightfully impatient, wants something done at once, wants immediate relief, and liable to be violently angry if relief is not forthcoming.

Mag-p. not the same degree of irritability, and the patient is distraught because of the intensity of the pain rather than violently angry.

Sometimes helps in the selection that Coloc. tends to have a slightly coated tongue, particularly if it is the digestive tract is upset, whereas Mag-p. it is usually clean.

Both drugs < marked aggravation from cold, a little more marked in Mag-p. than in Coloc. For instance, Mag-p. is exceedingly sensitive to a draught on the area, whereas Coloc.,

though it likes hot applications, is not so extremely sensitive to cold air in its neighbourhood.

Another distinguishing point between the two is that in Coloc. there is apt to be a tendency to giddiness l.), this is not present in Magt-p.

Where you have a report that the colic -this applies much more commonly to uterine than to intestinal colic- has followed an attack of anger is almost certainly Coloc. required.

Colic result of over-indulgence in cheese is Coloc. indicated, not Mag-p. If the pain is the result of exposure to cold, either a dysmenorrhoea or an abdominal colic, much more likely

to be Mag-p. than Coloc.

These are two of the most useful drugs in the Materia Medica for colics, and it is surprising the relief you can get, even in cases of intestinal obstruction, from Coloc. or Mag-p.

In intestinal carcinoma with partial obstruction in which the patients were suffering from intense recurring colicky pain coming to a head and then subsiding, where Mag-p. has given

the most astonishing relief. Less commonly in cases where there has been marked irritability in addition to the local symptoms. Coloc. has also done wonders. Very often one or

other of these drugs has kept a patient in a surprising degree of comfort till death supervened. In these malignant colics I never go high: a 30th potency is sufficient.

In an ordinary acute colic, say dysmenorrhoea, I give a 10m and the relief is almost immediate, and the same applies to intestinal colics.

There is another drug which is very useful as a contrast to these two, and it has very much the same sort of pain, a very violent, spasmodic colic coming on quite suddenly, rising up

to a head, then subsiding, and that is Dios.

Dios. > same from applied heat, and it is sometimes more comfortable for firm pressure, but, in contradistinction to the other two drugs, instead of the patients being doubled up

with pain they are hyper-extended; you find them bending back as far as possible. And the only drug I know which has that violent abdominal colic which does get relief from

extreme extention Dios. It has been is useful in gallbladder attacks, in a few intestinal colics, and in a case of violent dysmenorrhoea. I have never tried it in a renal case.

Where you get that extreme extension of the spine give DIOS. every time without asking any further questions.

Ip. is one of the most useful colic drugs we have, and the indications for it are very clear and definite. The character of the pain much more cutting than the acute spasmodic pain

occurring in most other drugs.

The outstanding feature of Ip. is the feeling of intense nausea which develops with each spasms of pain. Accompanying that nausea is the other Ip. characteristic that in spite of that

feeling of deathly sickness the patient has a clean tongue. You will see quite a number of adolescent girls who get most violent dysmenorrhoea, they are rather warm-blooded people,

and with the spasms of pain they very often describe it as cutting pain in the lower abdomen -they get hot and sweaty and deadly sick so cannot stand up and < any movement.

They have a perfectly clean tongue and a normal temperature, and very often Ipecac. will stop the attack, and even the tendency to dysmenorrhoea. I have seen several cases of renal

colic, associated with the same intense nausea, which have responded to IP. but I think that is more rare: it is more commonly in uterine cases that you get indications for it.

Associated with colics. Lyc. Raph. and Op. the reason being that in all three the colic + violent abdominal flatulence. In intestinal colic in which to expect to find indications for one

or other of these drugs. It may be associated with a gallbladder disturbance, and if so it is much more likely to be Lyc. than either of the other two. In all three there is a tendency for

the flatulence to be stuck in various pockets in the abdomen, that is to say, you get irregular areas of distension.

In all three you are likely to get indications in post-operative abdominal distensions, semi- paralytic conditions of the bowel. Where you have definite paralytic conditions like

paralytic ileus following abdominal section you are more likely to get indication for RAPH. and OP. than for LYC., but if the paralytic condition happens to be ore in the region of

the caecum the indications are probably for Lyc. rather than for the other two.

That is the general picture, and there are none or two distinguishing points which help you.

In Lyc. the colicky pain is likely to start on the right side of the abdomen, down towards the right iliac fossa, and spread over to the left side, whereas in the other two it remains

more or less localized in the one definite area.

In Lyc. you are very liable to get a late afternoon period of extreme distress (16 – 20 h. aggravation) There is likely to be very much more rumbling and gurgling in the abdomen

in Lyc. and there is more tendency to eructation, whereas in the other two the patients does not seem to get the wind up to the same extent. Where there is eructation the patients

usually complain of a very sour taste in Lyc. cases.

In Lyc. you usually have a somewhat emaciated patient with a rather sallow, pale complexion.

There are one or two points that lead you to Op. instead of the other two. In Op. apt to be a definite area of distention, and the patient may say that he gets a feeling as if

everything simply churned up to one point and could not get past it, or as if something were trying to squeeze the intestinal contents past some obstructing band, or as if something

were being forced through a very narrow opening.

Another point that leads to the selection of Op. is that with these attacks of colic the Op. patient tends to become very flushed and hot, feels the bed abominably hot, wants to

push the blankets off, and after the spasm has subsided tends to become very pale, limp, and often stuporose.

The area of distension in Op. is likely to be in the centre of the abdomen rather than in the right iliac fossa, and it is one of the most commonly indicated drugs in a paralytic ileus.

Another point that sometimes puts you on to Op. is that when the pains are developing up to a head the Op. patients develop an extreme hyperaesthesia to noise. I remember one

patient who had a paralytic ileus after an abdominal section and as he was working up to another attack of vomiting he had that hyperaesthesia to noise more marked than I have

ever seen it. If the nurse in the room happened to jangle the basin into which he was going to be sick he nearly went off his head and he turned and fairly cursed her.

That hyperaesthesia to noise make me think of Op., and it completely controlled his attack and the whole condition subsided. This hyperaesthesia is worth remembering as it is so

different from the sluggish condition induced by the administration of Op. in material doses.

The Raph. type of post-operative colic is again slightly different. Instead of getting the right side of the abdomen distended as in Lyc., or the swelling up in the middle as in Op.,

in Raph. you get pockets of wind, a small area coming up in one place, getting quite hard, and then subsiding, followed by fresh area doing exactly the same. These pockets of wind

may be in any part of the abdomen. In the acute attacks of pain the patients tend to get a little flushed, but not so flushed as the Op. patients, and they do not have the tendency

to eructation that one associates with Lyc., in fact they do not seem to be able to get rid of their wind at all either upwards or down wards. But it is these small isolated pockets

coming up in irregular areas throughout the abdomen which give you your main lead in RAPH. cases, and I have seen quite a number of them now, post-operative cases, and it is

astonishing how quickly after a dose of this remedy the disturbance subsides and the patient begins to pass flatulence quite comfortably.

In post-operative cases I usually give Lyc. in 200^th potency. In Raph. I always use the 200^th having found this potency worked I have stuck to it. In Op. I usually give a higher

potency because these cases are pretty extreme.

Podo. is useful in hepatic colic mainly, helpful in intestinal colics associated with diarrhoea,

I mean with acute diarrhoea, but then you prescribe it much more on the diarrhoea symptoms than on those of the colic. But you do get indication for it in hepatic colics purely

on the local symptoms.

I think in these cases where you have Podo. indicated in hepatic colic you always have degree of infection of the gallbladder, and one of the first things that makes you think of

the possibility of Podo. is the fact that the maximum temperature is in the morning and not in the evening (7 h. peak temperature).

In addition Podo. patients are very miserable and depressed, almost disgusted with life.

There is always a degree of jaundice in the gallbladder cases, and it may be pretty marked.

In the majority of these cases the pain is not definitely localized in the gallbladder area, it s more in the epigastrium as a whole, and tends to spread across from the middle of the

epigastrium towards the liver region. The pains are twisting towards the liver region. The pains are twisting in character, and they are much aggravated by taking food.

In these Podo. cases when the acute pain has subsided there is a horrible feeling of soreness in the liver region, and you find these patients lying stroking the liver, which gives a

great sense of comfort. When I see an infected gallbladder with a morning temperature instead of an evening one I immediately think of Podo. It is astonishing how often one gets

his indication, and then you generally see the patients lying in bed stroking the liver region. In every case where the morning temperature and that relief forms stroking have put

me on to Podo. I have found that the other symptoms fitted in.

Acute abdominal colic: either Coloc. or Mag-p. are often useful for colic in any area. uterine. intestinal. bile ducts. or renal - it does not matter where it is.

These remedies are almost identical with PAIN. patients doubled up with pain/> by external pressure/heat. Colics are intermitting/spasms of pain which come up to a head and then subside.

Coloc: prefers steady. hard pressure/always IRritable/IMpatient. wants something done at once. wants immediate relief. and is liable to be violently angry if the relief is not forthcoming/slightly coated tongue (the digestive tract is upset). << cold/likes hot applications. not so extremely sensitive to cold air in its neighbourhood. tends to giddiness (turning more especially to the left).

Mag-p: more relief from rubbing/not the same degree of irritability. patient is distraught because of the intensity of the pain rather than violently angry/tongue is usually clean. << cold/SENsitive to a draught on the affected area. No giddiness. Pain results of exposure to cold (dysmenorrhoea/abdominal colic).

Dios: ViolENT. spasmodic colic coming on quite suddenly. rising up to a height. then subsiding. Some relief from applied heat. Tossing to get relief. Contradicted to Coloc and Mag-p. (doubled up) is hyper-extended;

In gallbladder attacks. in a few intestinal colics. and in a case of violent dysmenorrhoea. I have never tried it in a renal case. Where you get that extreme extension of the spine you can give Dios. without asking any further questions.

Ip: Pain MORE cutting than the acute spasmodic pain occurring in most other drugs. + intense nausea which each spasm of pain with clean tongue.

Sin-n.: Dios.-Kolik-ähnlich + very offensive breath,

[James Tyler Kent]

Colic with severe burning pain: Ars.

Sol-n.: pain similar to Ars. + Coloc. + > bending forward and from pressure + pain ext. heart and left shoulder.

Coloc. and Coffee for colic

Hepatic. or renal colic:

Acon: 1st attack only/PAIN and drives crazyand terrifies/feels frightfully cold, very anxious, faints sitting or standing up/cannot bear the room being hot.

Bell: repeated attacks, short in duration/developing quite suddenly, stopping + a feeling of fullness in the epigastrium/attacks induced, or << by fluids, + flushing of the face/dilated pupils/full bounding pulse.

Chel: Liver symptoms for some time, just vague discomfort/slight fullness in the r. hypochondrium, a good deal of flatulence, intolerance of fats, and who is losing condition, becoming sallow and slightly yellow. Develops an acute hepatic colic, with violent shoot of pain going right through to the back (1. angle of the r. scapula, 2. a constant ache in the hepatic region, 3. another violent colicky attack). Attacks > HOT application/drinking of water as hot as can be swallowed.

Berb: USEful in renal or gallstone colics. Pain radiates in all directions (1. l., 2. r.). Acute urging to urinate with pain at urination. << any movement/distress/a pale, earthy looking complexion.

Morgan pure Darmnosoden

[Dr. Hering]

Con.: “Pain in the kidneys if the desire to urinate is not at once satisfied,”

[Dr. P. Rajagopalarao]

Oci-c: In renal colic + violent vomiting and the patient wrings his hands and moans all the time. Urine foul smelling with odor of muck. More right sided.

Herzschmerz: Cact. Lach. Cimic. Kalm. Lycps. Spig.

Renal colic: the urine is as a rule rather suggestive/commonly not blood-stained, but contains a quantity of greyish-white deposit which may be pure pus, but mostly contains pus and a quantity

of amorphous material usually phosphates, sometimes urates. Although it is a very dirty looking urine it is surprisingly inoffensive.

Ip. Intense nausea

Berb.: Hydr. Oci-c. Pareir. Sars. Solid. Urt-u.

Morgan pure Darmnosoden

Acute abdominal. colic: think of either Coloc. or Mag-p. Both often useful for colic in any area, uterine, intestinal, bile ducts, or renal-it does not matter which it is.

These remedies almost identical with PAIN, patients doubled up with pain/relieved by external pressure and by heat. Colics are intermitting/spasms of pain which come up to a head and then subside.

Coloc: prefers steady, hard pressure/ always IRritable/IMpatient, wants something done at once, wants immediate relief, and is liable to be violently angry if the relief is not forthcoming/slightly coated tongue (the digestive tract is upset). << cold/likes hot applications, not so extremely sensitive to cold air in its neighbourhood. tends to giddiness (turning more especially to the left).

[T.K. Moore, M.D.]

Coloc. cures colic again and again. Then Kali-c. steps in to end the trouble.

Dios: ViolENT, spasmodic colic coming on quite suddenly, rising up to a height, then subsiding. Some relief from applied heat. Tossing to get relief. Contradicted to Coloc and Mag-p. (doubled up) is hyper-extended;

In gallbladder attacks, in a few intestinal colics, and in a case of violent dysmenorrhoea. I have never tried it in a renal case. Where you get that extreme extension of the spine you can give Dios. without asking any further questions.

Ip: Pain MORE cutting than the acute spasmodic pain occurring in most other drugs. + intense nausea which each spasm of pain with clean tongue.

Mag-p: more relief from rubbing/not the same degree of irritability, patient is distraught because of the intensity of the pain rather than violently angry/tongue is usually clean. << cold/SENsitive to a draught on the affected area. No giddiness. Pain results of exposure to cold (dysmenorrhoea/abdominal colic).

Sin-n.: in colic = Dios. + very offensive breath

Sin-n.: has intense burning in stomach with colic somewhat like Colocynth, with this difference, the pains come on while patient is bent forward, but are instantly relieved by sitting up straight.

Menses colic: Ip: Violent dysmenorrhoea, rather warm-blooded and with the spasm of pain often described as cutting pain in the lower abdomen. Get hot and sweaty and deadly

sick so that cannot stand up and < movement. A perfectly clean tongue and a normal temperature = very often Ip. Even tends to dysmenorrhoea altogether.

Intestinal. colic: Lyc: colic + by violent abdominal flatulence (stuck in various pockets/post-operative/in region of caecum = Blinddarm)/r. down towards the r. iliac fossa and spread

over to the l. side/rumbling and gurgling/eructation with sour taste/pain in the back > passing urine/bit emaciated patient with a rather sallow, pale complexion.

Raph: colic + by violent abdominal flatulence (stuck in various pockets/mostly localized in one definite area/< 16 - 20 h./post-operative/paralytic)/a small area coming up in one place/

becoming harder and chancing place/a little flushed/no eructations.

Op: colic + by violent abdominal flatulence (stuck in various pockets/mostly localized in one definite area/post-operative/paralytic)/apt to be a definite area of distention („As if

everything simply churned up to one point and could not get past it“/“As if something trying to squeeze the intestinal contents past some obstructing band“/“As if something being forced

through a very narrow opening“/Heat with colic (wants to push the blankets off). Distension likely to be in the centre of the abdomen rather than in the r. iliac fossa/very common in a

paralytic ileus. (SENsitive to noise).

Podo: hepatic colic mainly/miserable and depressed, almost disgusted with life. helpful in intestinal colics + acute diarrhoea with Podo modalities. infectious gallbladder/max.

temperature in the morning (< 7 h.) and not in the evening. Jaundice. Pain not definitely localized in the gallbladder area/more in the epigastrium as a whole/tends to spread across from

the middle of the epigastrium towards the liver region. Twisting towards the liver region. < taking food. After pain soreNESS in liver region/> stroking the liver lying down.

[Douglas Morris Borland]

ACUTE COLIC

In cases of acute colic, renal, hepatic, or intestinal, one can give quick relief by fairly snapshot prescribing. When you go to such a case and know that morphia and atropin will relieve

the spasm, it is very tempting to us. If you cannot get your homoeopathic drug in a snapshot way I think you are bound to give the patient relief with your hypodermic.

To my mind the disadvantages of this procedure are twofold.

1. the disadvantage that after such relief, it is necessary to begin to treat that case now masked, if not actually complicated, by the action of the morphia.

2. there is always the danger that in an acute case of this kind the morphia may conceal the development of surgical emergency which in consequence may be missed. Suppose you

have a hepatic colic, it is quite likely due to a stone pressing down into the bile ducts, which may perforate. If morphia has been used it is quite possible that owing to the sedative,

indications of the perforation are not detected for hours afterwards.

The clinical picture is masked, and you are exposing the patient to a very grave risk. So if there is a method of dealing with these colics apart from morphia I think it is wise to use it.

But you are only justified in using it if you are getting relief, because these conditions are so painful that it is not fair to let the patient suffer merely because you would prefer using

a homoeopathic drug to a sedative. Fortunately the indications in these colics are usually pretty definite.

A first attack of colic, whether it be hepatic or renal, is a very devastating experience for the patient and he is usually terrified. The pains are usually extreme and nearly drive the

patient crazy.

Acon.: feels frightfully cold, very anxious, faint whenever he sits up or stands up, and yet cannot bear the room being hot.

Seldom indications for Aconite in repeated attacks. The patients somehow begin to realize that although the condition is frightfully painful it is not mortal, so the mental anxiety

necessary for the administration of Aconite is not present, and without that mental anxiety Aconite does not seem to act.

Bell.: has repeated attacks, each short in duration, developing quite suddenly, stopping as suddenly + a feeling of fullness in the epigastrium, and where the attacks are induced,

or very << by any fluids + flushing of the face, dilated pupils and a full bounding pulse.

Chel.: liver symptoms for some time: vague discomfort, slight fullness in the right hypochondrium, a good deal of flatulence, intolerance of fats, and who is losing condition,

becoming sallow and slightly yellow. He develops an acute hepatic colic, with violent shoot of pain going right through to the back (to the angle of the r. scapula), which subside

and leave a constant ache in the hepatic region, and then he gets another violent colicky attack. > very hot applications/drinking of water as hot as it can be swallowed.

In these case X-rays usually reveal a number of gallstones. And, in contrast with what happens with morphia and atropine treatment, subsequent X-rays after CHEL. has been

given frequently shows that one or more of these gallstones have passed almost painlessly.

There are quite a number of other drugs for these colics, some of them hepatic, some renal, and same intestinal, and they all have their own individual points which are very easy

to pick up at the beside. If one memorizes them in this way it is astonishing the east of your work in acute cases. You see I am not giving you the full description of these drugs,

I am picking out only the points which apply to this type of case. That is how you have to do it in practice, but you must remember that these drugs I am giving you for these

conditions are the common ones, and that every now and then you meet a case which appears to call for one of these drugs and yet the patient dose not respond.

There are certain homoeopathic physicians who sometimes call me out in consultation for acute cases and I know perfectly well before I leave my room that it is no use my thinking

of these drugs as they will already have been given, and what I have to get is something that is not common but our of the way. I remember seeing a case of gallstone colic with

one of our very good physicians. It was an elderly woman, and she had that typical CHEL. picture. Of course she had had CHEL. already, but without benefit.

The doctor said, “I don’t understand this case at all: I think she must have a malignant liver.” I asked why, and he said. “Because she has all the CHEL. indications and she does

not respond.” That is the sort of odd case you will meet with. so if that should happen to be your first one do not think therefore that Homoeopathy does not work: you will find

that as time goes on you get more and more cases that do work and the exceptions are fewer and fewer. As a matter of fact that particular case responded to a dose of one of the

Snake Poisons, but I have never seen another case that had a Snake Poison for that condition, and one gave it purely because she had already had her CHEL.; had I seen the case

in the first instance I should certainly have given CHEL. In spite of the odd cases it is worth while getting these ordinary drugs at your finger ends so that when cases crop up you

can prescribe easily on the few indications of the acute condition as presented to you.

Two other drugs very helpful in these colics.

Berb.: extremely useful in renal or gallstone colic. Always from one centre the pain radiates in all directions. Suppose you have a renal colic-and when Berb. is indicated I think it

is more commonly on the left side than the right-you will find that where you get indications for Berb. the colicky pain starting in the renal region, or in the course of the ureter,

there is one centre of acute pain, and from that centre the pain radiates in all directions. If you have a hepatic colic you get the centre intensity in the gallbladder, and from there

that pain radiates in all directions, it goes through to the back, into the chest, into the abdomen. That is the outstanding point about these Berberis colics.

In addition to that, where you are dealing with a renal colic you almost always get an acute urging to urinate, and a good deal of pain on urination. Where you are dealing with a

biliary colic, it is usually accompanied by a very marked aggravation from any movement, this is present to a slight extent in the renal colics, but it is not so marked; and in both

the patient is very distresses, and has a pale, earthy looking complexion. The pallor, I think, is more marked in the renal cases, and where there has been a previous gallstone colic

you may get a jaundiced tinge in the hepatic cases.

Very useful drug, and I do not know any other which has the extent of radiation of pain that you get in BERBERIS. It is surprising widespread the area of tenderness can be

which is associated with a Berberis colic, so much so that in gallstone attacks you get so much tenderness and resistance that you are very afraid of a perforated gallbladder,

you get such a resistant right upper rectus, and you may be very suspicious of a peri-renal abscess in the renal cases, again because of the extreme resistance of the muscles on

the side of the abdomen.

In a Berberis renal case the urine is as a rule rather suggestive. More commonly it is not blood-stained, but contains a quantity of greyish-white deposit which may be pure pus,

but mostly contains pus and a quantity of amorphous material usually phosphates, sometimes urates. Although it is a very dirty looking urine it is surprisingly inoffensive.

[Dr. E. A. Farrington]

Aconite in incarcerated Hernia, when inflammation has started in the strangulated bowel, with burning pain in the affected area. Also, vomiting of bile, great anxiety and cold sweat.

Vorwort/Suchen Zeichen/Abkürzungen Impressum.