Op, Opium

Nervous system

Apathy

• Apathetic depression / Torpidity

• Painlessness, Insensibility of the nervous system
• Stupor / Depression / Apathy / Great drowsiness (Gels, Nux-m)
• Torpor / General sluggishness / Profound coma / Inactivity as a general characteristic

Tetanus

• Spasms from fright or after fright of wet nurse
• Tetanic rigidity ushered in with a loud shriek, foaming at mouth, dark red face and hot sweat.
• Deep snoring sleep follows.

Alternating states

• Op has alternating confusion and consciousness.
• It is a remedy with alternating state / Opposite states (Med)

Eyes

• Delirious talking + Wide open eyes
• Pupils Dilated / Insensible / Contracted
• Ptosis (Gels, Caust)

• Sleep apnea: Esp on going to sleep. He must be shaken to start it again (Grind)

Modalities

• Heat agg
• Agg during and after sleep (Apis, Lach)
• Better by cold things
• Amel by constant walking
• Diseases that originate from fright. (Vertigo/ Menses suppression )
  • Looks intoxicated/ Besotted (Bapt, Lach)
  • Occiput headache (Gels)

CVA

• Consider Alum and Op in stroke with confusion and cerebral congestion.
• Op is the main remedy. Alum, Phos, Plb complete the cerebral effects of OP in stroke (Alum ₳ Op)
• Painless paralysis (Oleand)
• Limb paralysis: Unilateral paralysis of the limbs, esp right

  EXTREMITIES - PARALYSIS - hemiplegia - right

Cranial nerve palsy

• Eyelids, esp upper eyelid/ Ptosis
• Optic neuritis
• Auditory nerve
• Anosmia
• Face palsy, esp the lower jaw, as if saliva is flowing from the side of the lips
• Tongue stretched to the left or right
• Difficult speech due to paralysis of the mouth or vocal cords
• Dysphagia
• Ptosis

Sympathetic / Parasympathetic paralysis

• Fecal incontinence (Rectal paralysis, Sphincter)
• Heart, lungs
• Diaphragm paralysis caused by PLV

GI tract

Abdomen

• The abdomen is distended but has no power to expel its contents.
• Painful flatulence in upper part of the bowels and causes great pain.

• Distended abdomen but has no power to expel its contents.

Constipation

• Constipation of good-humored corpulent women and children.

• Obstinate constipation; No desire to go to stool, Want of sensibility (Alum ₳ Op)
• Feces protrude and recede (Thuj, Sil)
• Hard, dark brown, small pieces. (Bry ₳ Op), (Op ₳ Plb)
• Constipation due to abuse of enemas.
• Intestinal obstruction with fecal vomiting + violent colic.
• Intestinal sluggish so that the strongest purgatives lose their power.
• Bowel inactivity due to cerebral complications esp in old people
• Retention of stools because of intestinal paresis.
• Constipation + Colic due to pressure of a gravid uterus or abdominal tumor.

Paralytic Ileus

• Esp after Abdominal surgery / Laparotomy
• Hard/ Bloated / Tympanitic abdomen

Cholera infantum

• Fatally advancing stupor, pupils sluggish
• The disease involves the brain, child appears as if it had been drugged
• Diarrhea
• Fatally advancing stupor: Child appears as if it had been drugged.

Bry

Constipation with inertia of rectum, stools large and dry.

Plb

• Stools is hard, black balls with some constriction of rectum.

Alum

• Inertia of rectum, stools soft.

Children

• OP is a child who has experienced drowsiness, narcolepsy,
• Withdrawal experiences
• Feelings of threat following panic.
• Op is a liar and likes to hide things
• Spasms from fright
• Tetanic rigidity starts in with a loud shriek, foaming at mouth, Dark / Red face + Hot sweat, then follows with Deep snoring sleep

Typhoid Fever / States

• Profound congestion resulting from cerebral paralysis
• Loud stertorous breathing
• Dropping of the lower jaw
• Paralysis of the sweat glands
• Involuntary stools
• Perspiring body is burning hot
• Lach is a good DD for Op esp in Typhoid fever with threatened paralysis of the brain.

Cough

• Spasmodic dry cough
• Esp tormenting at night with scanty expectoration, which prevent sleep
• Never give Op in cough with profuse expectoration
• Hoarseness with dry mouth and throat
• Slow full pulse.
• Suppuration of the lungs in those addicted to intoxicating liquors, the face is blue during cough.

Skin

• Very troublesome itching all over, redness, skin hot and damp or sweating
• Sudden recurrent acute eruptions

Fever

• Intermittent fever, drowsiness during chill, stupidity as fever comes on, unconsciousness.
• Puerperal fever from fright.
• Shaking chill with deep soporous sleep.
• Complains that the bed is too hot, bed feels so hot he cannot lie on it.

Miasms

1. FFI
2. TBE, STLE, JE
3. RBS, PLV, EEE/ WEE

Delirium tremens

• Esp in old sinners where the constitution is destroyed.
• The face wears the expression of fright or terror, visions of animals are present.
• The least amount of alcohol makes him worse.
• The threatened apoplexy of drunkards also suggests its use, with occiput heavy like lead, numbness, free sweat, paralysis of tongue, difficult articulation and swallowing.
• Stupor/ Coma / Stertorous respiration, contracted pupils, slow, feeble respiration, sweaty skin and diminished reflex irritability, the purple face, swollen from the distension of the blood vessels (it may even be of mahogany color, brownish hue), the muscular relaxation

Lach

• Illusion of snakes, hideous objects
• Throat symptoms such as choking
• Spring out of sleep suddenly as if he had a dream

Cann-i

• Errors in time and space, things at the other end of the room seem thousands of miles off and it seems as it it would take days to walk there( A minute seems a thousand years
• They say they have not had any thing to eat for days even five minutes after eating.

Ars

• Fear of death and do not want to be left alone.

Calc

• The minute the eyes are closed vision are seen, compelling them to keep the eyes open.

Stram

• Symptoms violent, starting from sleep in perfect horror
• Sees animals in every corner
• His face is bright red and he tries to escape.

Neurogenic bladder

• Bladder paralysis, esp sphincter and bladder neck (Caust, Alum) (Op ₳ Stram)
• The main remedy for urinary retention caused by bladder paralysis
• Urinary incontinence
• Scanty, Dark and Turbid (a lot of sediment) urine
• Intermittent urination due to bladder neck spasm
• Bladder pain with a feeling of fullness and desire to defecate but cannot urinate.
• Retention of urine as a result from fright or following parturition.
• Weak urination
• Micturition only after long exertion.
• Retention of urine + Full bladder
  • The bladder is full, but he does not feel it
  • Esp after Delivery or Tobacco
  • Urethra cutting pain, when he goes to the toilet he has to wait a long time for urine to come out.

Rubrics

• MIND - HIDING - himself - old people, in
• MIND - UNCONSCIOUSNESS - cheyne-Stokes respiration; with
• MIND - FACE - hot; with face
• MIND - FEAR - night - intestinal spasms; from

Segal

Theme

• He wait and watch until his Red-limitGesture make, Groping as if in the dark (Hyos ₳ Op): He does not know which problem is more important and he should discuss it with the doctor, so he does not go to the doctor)
• First, he does not care his disease. It is not small matter, I can handle it. My parents / Family send me to doctor.

Sehgal rubrics

First stage

• Indifference, complain does not: Hyos, Stram, Op
• Danger, No sense of: Agar, Op, hep, Merc, Med, Plat, Stram, Tub
• Well, says, sick very: Arn, Op, Hyos
• Contentment, quiet
• Asking, nothing for: Ars, Bry, Cocc, Puls (This is the central rubric of Puls)
• Fancies, frightful

Stage 2: King pin rubric

• Fear of extravagance
• Causing me more trouble
• He fear, if he does not do anything, it could become dangerous
• He has limit for everything.

Stage 3

• He cannot decide what to do? Which of his complains are more important? What can I do? Irresolution
• He come to doctor, with some one recommendation
• Groping as if in the dark: Croc, Hyos, Plb
• Op needs help in decision for every step

Fear / Fright

• Fear: about a future happening
• Fright is due to past. He has bad experience and do not want to do something which ends in that experience
• Most of his disease triggered with a fright
• He is afraid of agg so he does want to do something that ends in that situation
• Discouraged alternating with hope: Alum, Kali-c, Merc, Op, Staph
• Superstitious
• Alert: He is alert and check you if there would be Increased
• "Increased" is a key word of Op
• Cautious
• Anxiety, fright after
• Anxiety, fright after, remain, anxiety if fear of right: OP
• Noise, inclination to make:
• He told you, I have 4 disease but you cure one of them. This problem is more important. He emphasize on his request.
• Delusion, disorder, objects appear in
• Business, talks of