Op, Opium

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

• He wants nothing

Alternating states

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

Freighted

• Diseases that originate from fright. (Vertigo/ Menses suppression )
• Delirious talking + Wide open eyes.
• Pupils Dilated / Insensible / Contracted.
• Ptosis (Gels, Caust)
• Looks intoxicated/ Besotted (Bapt, Lach)
• Retained or involuntary after fright.

• Sleep apnea: Breathing stops on going to sleep; must be shaken to start it again (Grind)
• Occiput headache (Gels)

Modalities

• Heat agg
• Agg during and after sleep (Apis, Lach)
• Better by cold things
• Amel by constant walking

Nervous system

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

Sympathetic / Parasympathetic paralysis

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

Neurogenic bladder

• Bladder paralysis, esp sphincter and bladder neck (Caust, Alum)
• 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.
• Expulsive power of the bladder weak.
• Micturition only after long exertion.
• Retention of urine with full bladder
  • The bladder is full, but he does not feel it
  • Esp after Delivery or using a lot of tobacco
  • Urethra cutting pain, when he goes to the toilet he has to wait a long time for urine to come out.
  • In Stram, paralysis of the bladder or sphincter is caused by suppression

Constipation

• 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.

Abdomen

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

Paralytic Ileus

• Esp after abdominal surgery
• Hard, bloated, tympanitic abdomen
• Paralysis of intestines, esp after laparotomy

Others

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.

Cholera infantum

• Fatally advancing stupor, pupils sluggish
• The disease involves the brain, child appears as if it had been drugged
• Diarrhea
• Op will restore consciousness

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 retrocession of acute eruptions, paralysis of the brain setting in, convulsions, nervousness and diarrhea.

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

Compare with

Lach

• Visions of snakes, hideous objects,
• Throat symptoms, choking, spring out of sleep suddenly as if he had a dream.

Stram

• Symptoms violent, starting from sleep in perfect horror, sees animals in every corner
• The face is bright red
• He tries to escape.

Cann-i

• With this remedy there are errors as to 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.
• Patients will say that they have not had any thing to eat for days even five minutes after eating.

Ars

• Fear of death and will not be left alone.

Calc

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

Rubrics

• MIND - HIDING - himself - old people, in
• MIND - UNCONSCIOUSNESS - cheyne-Stokes respiration; with