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

	Entering channels
1	First stage of Op Indifference, complain does not: Hyos, Stram	He does not want to come to doctor since Danger, No sense of: Agar, , hep, Merc, Med, Plat, Stram, Tub Well, says, sick very: (Arn, Hyos). Op says I wait and watch until his Red-limit. It was not a big issue. I could tolerate it. Asking, nothing for: Ars, Bry, Cocc, Hyos, Puls (Central rubric of Puls) Contentment, Quiet (only Op): Not to show any body, not to complain, He is satisfied "Why do you come to visit me" He answers: My parents / Family send me to doctor. It is small matter, I can handle it by myself
2	Fear Extravagance King pin rubric	Fancies, frightful: Delusions, Image, phantoms, sees (Gels, Hyos, Stram, Bell, Calc, Sul) When disease crosses my limits. It causes me more trouble He fear, if he does not do anything, it could become dangerous He has limit for everything.
3	Gesture make, Groping as if in the dark Croc, Hyos, Plb	Third stage: Irresolution, Directionless 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. (Hyos ₳ Op) I had many problems, therefore I became confused and did not do anything Now I am here, but I do not know, how could I explain my problems. Please ask me every thing you need. He cannot decide what to do? Which of his complains are more important? What can I do? He come to doctor, with some one recommendation Op needs help in decision for every step. He tells you Doctor, how can I use your remedies today. If I can use food supplements? Any Diet? Physical activity? etc
	Key word	Tolerate: First he told me something, I tolerate, but now he tell something that I can not tolerate it any more Wait and watch Increasing: Do not give any medicine which increases my disease
4	Anxiety fright after	Fright is from past events since he had some bad experiences
5	Discouraged alternating with hope Alum, Kali-c, Merc, Op, Staph	I had a very bad experience with homeopathy but I see one of friend that have not agg So now I want to visit you.
6	Alert Cautious	He is alert and check you if there would be Increased Doctor: I do not tolerate any aggravation. Please do not prescribe any medicine that increase my disease. I am telling you clearly (He emphasizes)
7	Noise, inclination to make	He is never satisfied with your medicine He told you, I have 4 disease but you cure one of them. This problem is more important. He emphasize on his request. He is a bad patient Delusion, disorder, objects appear in (Only op): I do not like to know any thing about Homeopathy and you have promised and you do not do your job properly. All you do is in disorder
8	Business, talks of	Because of my disease, I could not go to work in these 3 days. But tomorrow is the forth day, and my disease is still continuing, that I will not able to go to work for the forth day, which is cannot tolerated. He talks with you, as if he is in a business with you. Alert
	Superstitious

Fear / Fright / Dread

Fear	Fright	Fear of fright
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 Op disease triggered with a fright He is afraid of agg so he wants to do something that ends in that situation	They are afraid of agg so they do not come to Homeopathy. But now I have a friend who is good by homeopathy and recommend me. Op: I had a bad experience when I was a child. I do not want it is repeated.	Anxiety, fright remains, anxiety if the fear of the fright (only op): Here the patient had a fright experience in the past and now he fears if he would have it again in the future Anxiety fright after: Here the patient says that I become scared when I encounter with any of my old symptoms

Other Mind rubrics

Alternating states	Deliriums / Visual dellusions	Threathened	One Remedy	Fright after
ANGER, alternating with antics playing ANGER, alternating with cheerfulness ANGER, alternating with exhilaration ANGER, seizes the hands of those about him CARES, alternating with exhilaration EXHILARATION, alternating with grief blissful perspiration, during SADNESS, alternating with playing antics INSANITY, alternating with stupor	DELIRIUM, cold, after catching DELIRIUM, devils, sees DELIRIUM epilepsy, during DELIRIUM, rolls on floor specters, sees DELUSIONS, dragons, of DELUSIONS, whirling everything round him; he is whirling with ACTIVITY, dream, like a - perspiration, during DELUSIONS, drunk, is, smoke in brain; from GESTURES, grasping, picks at bedclothes, dreams, during - sleep, during	DELUSIONS, execute him, people want to DELUSIONS, execute sliding impelled by an invisible agent; he is sliding along the ground DELUSIONS, criminal, executed, to be DELUSIONS, stabbed, somebody threatened to stab him; as if JEALOUSY, people around, of BITE, arms, bites own CURSING, afternoon	DELUSIONS, double being, conquer the other; there were another self and he is not sure which will DELUSIONS, talking, she herself; she is talking with FORGETFUL, connection of consecutive thoughts, of, apoplexy after Content, night, forgets all his ailments and pains and quiet	Fear, fright, previous fright, because of: Acon, Bell, Nat-m, Op, Verat\ ANXIETY, fright remains, if the fear of the fright TUPOR, menses, suppressed from fright; in menses UNCONSCIOUSNESS, menses, suppression of, from fright FRIGHTENED, eyes, on closing