Plb, Plumbum Metallicum

Core theme

• Cold + Weak + Heavy + Paralysis

• Extreme weakness, even not respond properly to his well-chosen remedy

• He may not be paralyzed yet, but heaviness in the limbs is obvious

Paralysis

Paralysis of all voluntary and involuntary muscles including Tongue, Intestines, Rectum, Eyelids (upper), Face, Soft palate, Throat, Larynx, Back, Bladder, Esophagus	Spastic: Plb has both (Flaccid and spastic paralysis), but spastic is more common. (Unlike Gels, which are loose) (Gels ₳ Plb)	Unilateral: Esp right (Caust), Due to seizure or CVA (Caust ₳ Plb) Unilateral paralysis + Opposite side hyperstasis (Cocc ₳ Plb) (Plb ₳ Sec) (Bell ₳ Plb Nerves - PARALYSIS, general - hyperesthesia of other side
Paralysis of extensor muscles, (Opposite to Caust and Nat-m, that have flexor paralysis (Caust ₳ Plb) (Nat-m ₳ Plb) Limbs - PARALYSIS - extensor muscles alum. ars. calc. Cocc. Crot-h Limbs - PARALYSIS - flexor muscles caust. Nat-m Painless: Painless paralysis (unlike Lach) (Lach ₳ Plb)	Gradual but progressive paralysis: Progressive atrophy following paralysis (Characteristic) (Plb ₳ Sec) GENERALS - PARALYSIS - atrophy, with : ars ,cupr ,GRAPH ,Kali-p ,phys, Sep Diseases - EMACIATION, body - paralyzed, part	Local coldness: Specific accompaniment of paralysis with cold (Also the patient is completely cold.) Note that coldness feeling of paralyzed limb ) is not confirmed by Repertory. Limbs - PARALYSIS - coldness, of parts with caust. Cocc. dulc. graph. Nux-v. Rhus-t.

Epilepsy

• Epilepsy, esp complex partial seizures due to having aura and reduced level of consciousness.
• Note that here in this seizure, a part of the brain is involved, not the whole brain.
• Automatism :This type of seizure may also have symptoms of Automatism such as talking, whispering, screaming, laughing, chewing, licking lips, swallowing, taking off clothes, walking, involuntary movement of arms and legs. It could be characteristic for Plb.
• Aura

GENERAL - CONVULSIONS - epileptic - aura - vertigo : HYOS

GENERALS - CONVULSIONS - epileptic - aura - Legs – In lyc. plb

GENERALS - CONVULSIONS - epileptic - aura - Tongue swelling

GENERALS - CONVULSIONS - epileptic - chronic - aura; with marked

Weakness

• Severe weakness after a seizure

GENERALS - WEAKNESS - convulsions, after - epileptic

Dementia

Agitation	Neurological heaviness	Disorientation
Agitation + Dementia: Delusion that everyone around him might be a murderer or that he will be caught soon. Dementia caused by degenerative brain diseases such as ALS, MS and Parkinson. Progressive Physical / Cognitive weakness+ Depression Progressive confusion ends in mistaking about his identity. (Alum, Kali-br) Repulsive and disgusting morals. (Ambr, Con) Like Barims, he does not like to be alone. His growing confusion causes him to be mistaken about his identity. (Alum, Kali-br) This condition is more severe compared to Alum and Kali-br. So that he even thinks he is someone else.	GI autonomic difficulties: Insufficient Constipation: He even takes help from his hand to defecate. (Constipation + Dementia) Extreme weakness, Heaviness (Paralysis / Progressive atrophy / Trembling of paralyzed limbs+ Dementia) Trembling of paralyzed limbs + dementia Progressive atrophy + Dementia Constipation + Dementia Paralysis + Dementia	Having symptoms of disorientation along with seizures, could lead you to Plb Coma / Stupor, Confusion / Dullness, Delirium / Anger/ Irrelevant speech and before/after epilepsy MIND - CONFUSION of mind - epileptic attack – after MIND - CONFUSION of mind - epileptic attack - before MIND - DELIRIUM - epilepsy – after MIND - RAGE - epilepsy - with epilepsy; rage MIND - SIGHING - epileptic attacks; before MIND - SPEECH - incoherent - epileptic attack, after MIND - STUPOR - convulsions, after – epileptic MIND - UNCONSCIOUSNESS - convulsions - after - epileptic : BUFO, OP VERTIGO - EPILEPSY – before : HYOS

Paranoia

• Plb has disgusting, repulsive and disgusting morals. (Ambr, Con)
• Delusion that everyone around him might be a murderer or that he will be caught soon.

Constipation

• Insufficient Constipation: He even takes help from his hand to defecate.
• The patient will feel better after discharge.

Bell's palsy