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, dysphagia

Unilateral

• One-sided paralysis of the limbs, esp the right (Caust), e.g caused by a seizure or CVA (Caust ₳ Plb)
• Unilateral paralysis + opposite side hyperstasis (Cocc ₳ Plb) (Plb ₳ Sec)

Nerves - PARALYSIS, general - hyperesthesia of other side plb. (Bell ₳ Plb)

Extensor muscles

Limbs - PARALYSIS - extensor muscles alum. ars. calc. Cocc. Crot-h

• In comparison, Caust and Nat-m have flexor paralysis (Caust ₳ Plb) (Nat-m ₳ Plb)

  Limbs - PARALYSIS - flexor muscles caust. Nat-m

Spastic

• Plb has both (Flaccid and spastic paralysis), but spastic is more common. (Unlike Gels, which are loose) (Gels ₳ Plb)

Painless

Painless paralysis (unlike Lach, which is painful) (Lach ₳ Plb)

Gradual but progressive

The process of paralysis is very gradual but progressive.

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

Disorientation

• 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

Weakness

• Severe weakness after a seizure

GENERALS - WEAKNESS - convulsions, after - epileptic

Dementia

• Dementia caused by degenerative brain diseases such as ALS, MS and Parkinson
• Along with progressive weakness, his mood also moves towards depression and cognitive problems.
• 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.
• Like Barims, he does not like to be alone.
• Exclusive accompaniments:
  • Paralysis + Dementia
  • Constipation + Dementia
  • Agitation + Dementia
  • Trembling of paralyzed limbs + dementia
  • Progressive atrophy + Dementia

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