Op, Opium

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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
  • He wants nothing


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


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) (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.

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

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


DDs

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.


Rubrics

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