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Lachesis

 
 

 

 
 

LACHESIS

 

Common name: Bushmaster or Surucucu.

 

Constitutional taint: Psoric. Sycotic. Syphilitic. Cancerous diathesis.

 

Action:  Dr Boericke says that Like all snake venoms, lachesis decomposes the blood, rendering it more fluid; hence a haemorrhagic tendency is marked.  Purpura, septic states, diphtheria, and other low forms of disease, when the system is thoroughly poisoned and the prostration is profound. It also acts on nervous system causing marked mental and physical(paralytic)symptoms. The modalities are most important in guiding to the remedy.  Very important during the climacteric and for patients of a  melancholic disposition. 

 

Typical subjects:- Persons of melancholic disposition, and a disposition to low spirits and indolence.  Persons with dark eyes and with tendency to laziness   and sadness.  Women of choleric temperament with freckles and red hair (Phos.).  Women who have  never  been well since the change of life.  Better adapted to thin and emaciated rather that fat persons; to whose who have been changed both mentally and physically , by their illness,  Such changes, of course, should be such as characterize a Lachesis patient.  Persons whose intellect has been affected.  Persons  who suffer from the effect of masturbation.  Persons who are addicted to drinking.  Persons who have been  overdosed with  mercury or quinine.  Persons who suffer from syphilitic mercurial affections.

 

Notes and features:-  Intolerance of touch and tightness.  Slight touch is unbearable, because of the fact that it produces a kind of uneasiness in particular (although such touch may also cause a certain amount of pain), This is illustrated by the fact that to a   Lachesis  patient, slight touch of collar or neckband on neck  or of clothing around waist, over abdomen, groins is unbearable.  Dr. Bhanja says that he had cared a case of chancre on glans penis which felt very sore to touch of linen; the finer was the touch, the greater was the soreness felt.  Here tightness or pressure did not cause any pain.  This feature underlies the significance of the following symptom:"Empty swallowing is agonizing, liquids are swallowed with less pain, solids with least pain.

 

2. Blackness.   Haemorrhages are characterized by flakes of decomposed blood looking like charred straw.  Such haemorrhages may occur from nose, stomach, lungs, bowels, etc.  Stools may show such decomposed blood.  Black urine.   Menstrual flow consists of black blood.  Urine is almost black; frequent; foamy; dark.  Tongue dry, black; trembling.  Ulcers with black bottom.

 

3.Redness .  Dark red eruptions.  Red nose of drunkards.

 

4 .Purple color, Purplish swellings.  In diphtheria, throat assumes purple color.  Facial erysipelas at first bright red; but soon the color changes to dark bluish hue.  Dark, bluish, purple appearance of boils, carbuncles, ulcers.  Purple, mottled appearance of all round ulcers.  Purple varicose veins.

 

5.Other colors:-  It affects the liver and produces jaundice.  Yellow skin and whites of  eyes.  Perspiration cold, stains yellow, bloody (Lyc.).  "Skin yellow, green, lead-colored, or bluish red or blackish, chiefly round wounds and ulcers."  Yellow, red, copper-colored spots.  Blue-black swellings. Bed sores with dark edges.

 

6. Malignancy.  Associated with its natural features, such as rapid onset of a malady, burning fetor.  Rapid failure of strength.  Changes in color noted above mostly  signify malignancy.  Malignant ulcers; scabs.  Gangrenous wounds, blisters, with fever.  Gangrene, carbuncles from blood-poisoning.  Ulcers blue and livid, and of exceedingly offensive odor.  Varicose ulcers.  Cancerous ulceration ( of wounds), or putrefaction of the fresh, which becomes detached from the bones and falls off  piecemeal.  (Such a case was cured in my hands in  a few weeks time by Dr.Bhanja).  Carbuncles with copper-colored surroundings and many smaller boils around them.  Septic gall-bladder.  Pyaemia; dissecting wounds, Suited to epidemic of plagues. Fetid discharges and excretions.

 

7. Constriction.  Sensation of constriction:  in throat, sphincter ani  (Caust.,(Caust., Nit., ac.) and sphincters in general.  In constipation  anus feels tight as if nothing could pass through.  Haemorrhoidal tumors protrude after stools with constriction of sphincter.

 

8. Plug or lump sensation.  Sensation of a lump in liver, abdomen, rectum.  As if a ball or lump rolls about in bladder, etc. As if a ball rose from abdomen to throat.

 

10.Unwarranted prostration.  In dyphtheria, syphilitic sore-throat, etc. prostration is out of all proportion to the appearance of throat (which is not angry-looking as it should be).

 

11.Bleeding.   Small wounds bleed much (Phos. Kreo.).  Ulcers bleed readily; cicatrices bleed readily.  Vicarious blood vomiting.  Profuse and protracted uterine haemorrhage. Haemorrhage from bowels in typhoid.

 

Paralysis:  Semi-lateral paralysis.  Paralysis with heaviness and stiffness.  Paralytic conditions :  (a) Stool lies close to anus without passing and without urging. (b) Both body and mind worn out, with relaxation of muscular force.

 

Mind :  Dr.Nash says, that Lachesis has an alternate action on the mind and sensorium, that of excitation and depression.  Illustrative of the former are the following symptoms:  "Quick comprehension,, mental activity with almost prophetic perception, ecstasy and a kind of trance. Religious insanity (Verat. ,Stram.)  Exceptional loquacity, with rapid change of subjects; jumps abruptly from one idea to another." This kind of excitation may be found in acute -chronic complaints; in the delirium of fevers or in mania of a settled form.  On the side of depression occur: "Weakness of memory; makes mistakes in writing; confusion as to time.  Delirium at night; muttering ; drowsy; red face; slow, difficult speech and dropped jaw.  Feels extremely sad, depressed, unhappy and distressed in mind."  And this condition is very apt to be worse on awaking in the morning or indeed after after any sleep day or night.  "Chronic complaints from depressing cause, like long lasting grief or sorrow."This depressed side of the remedy may also be found in both acute and chronic complaints. Again these opposite conditions may be found alternating in the same person, and a notable fact is that the alternations are extreme.  Of course the causes of these conditions of mind and sensorium are varied, but we will often find them in old  topers, subjects of broken-down constitutions, and in the troubles incident to the climacteric age. Such cases are subject to sudden attacks of giving away of strength, fainting, vertigo from rush of blood to the head causing apoplectic seizure, or opposite symptoms arising from sudden anaemia of the brain.  In short, the circulation in Lachesis subjects is very uncertain.  This is what makes its so valuable in sudden flushed during the climacteric period.

Dr. nash says that,  No remedy more profoundly impresses the  Nervous system than this.  In the first place, it causes trembling, not from fright or excitement, but from extreme weakness.  In this it resembles Gelsemium,; both have great trembling of the tongue on trying to protrude it. With both remedies the while body trembles; but with Lachesis she feels faint, as if she must sink right down. The great prostration is both mental and physical, and she does not improve from rest or sleep, but on the contrary is worse in the morning after sleeping. With this prostration, there are often pain or other troubles with the heart; nausea, pale face and vertigo. Now if this thing goes on the next stage supervenes and paralysis is the end of it. Parlysis begins at left side and extend to the right.

 

Head:  Lachesis has some prominent head symptoms where no other remedy can take its place.  It is one of  our best remedies for sun headaches; of course it does not compare with Glonine for the immediate effects of sunstroke, but does  come in well after the first effects are overcome by that remedy.  The The patient is troubled with headache every time he is exposed to the sun's heat, and the trouble has become chronic. (Nat. carb.).The headache begins in the morning on waking.  The milder headaches begin in the morning on awaking and wear off after moving about a while. Lachesis has burstng pains in the head and the head pulsates and hammers.

The another characteristic symptoms of Lachesis are weight or pressure on the vertex. (Cactus, Glonine, Menyanthes.)  This is found most in women suffering at the menopause, and coupled with it in such cases there is sometimes burning on the vertex.   Sulphur has this symptom, but if occurred at the menopause the remedy would oftener be found in Lachesis, unless, indeed, there were some marked psoric complication.  Lachesis has a variety of heachaches, but the  following two characteristics have been of very much value in prescribing for them, namely, with the headache very pale face, and the patient sleeps into the headache; dreads to got to the sleep because she awakens with such a distressing headache.  These two are very valuable indications. Other indications are "Headache extending into the nose, comes mostly in acute catarrh, especially when the discharge has been suppressed or stops after sleep. This kind headache is often found in hay fever, with frequent and violent paroxysms of sneezing.  Now if the hay fever paroxysms of sneezing are decidedly worse after sleeping, even in the daytime, Lachesis 200th may stop the whole business  for the season. This is a confirmed indication of lachesis in hay fever. Vertigo. Relieved by onset of a discharge (menses or nasal catarrh).

 

Eyes:-There are many inflammatory and congestive conditions of the eyes.  The eye symptoms are worse after sleep, and the eyes are oversensitive to touch and light.  Sensation as if eyes were drawn together by cords which were tied in a knot at root of nose.

 

Ears:  There is also oversensitiveness of the Ear canal.. So sensitive is the mucous membrane of the ear that a violent cough, like whooping cough, will come on from touching the mucous membrane of the ear. Ear wax hard, dry.

 

Nose: The catarrhal symptoms of the nose are prominent. Frequent bleeding of the  nose and body, watery discharge from the nose.  Always taking cold in the nose.  Stuffing up of the nose with disturbance of smell. Oversensitiveness to smell, and odors, finally loss of smell. Headaches goes off when catarrhal discharges comes, and vice- versa.

 

Face:  The face is purple and mottled, the eyelids are tumid, very much puffed, not bloated as in oedamatous subjects, but puffed.  There is not the pitting upon pressure that we find in oedema, although Lachesis has that, but there is a puffiness peculiar to Lachesis, the face looks swollen

and inflamed, due to a venous status so that the face is purple and mottled. Looks like that drunkards. Trifacial neuralgia, left side, heat runing up into the head. (Phos.).  Eryseplas; at-times.jaundiced.

 

Mouth:-

Gums are spongy , oozing of blood around the teeth and the gums.There is paresis of the tongue. The speech is like that of one half intoxicated; he is unable to articulate. Profuse salivation from mouth which is stringy and can be pulled out from mouth in strings; saliva or mucus.(Kali bich-when the mucus is thick, tough, yellow, stringy and ropy).

Throat:

 

Sorethroat- worse left side, swallowing liquids, Quinsy. Symptoms going from left to right side of the throat. The muscles of the pharynx become paralyzed and will not act, and hence the food will collect in the pharynx, that is, the  bolus to be swallowed goes to the pharynx and stops, and then a tremendous effort at swallowing, with gagging and coughing and spasmodic action of the chest, takes place in order to carry on respiration, and he will not again attempt it. This state often occurs with diphteria.  It has cured cases of post-diphteritic paralysis. In diphteria trouble beings at lift side going to left. Tonsils purplish < swallowing of saliva or liquids .  Pain in the ear. Collar and neck band must be very loose.

 

Stomach:

 

Very often in the more acute symptoms of Lachesis, a warm drink in the stomach is hurtful and causes and causes nausea and suffocation and increases the choking and palpitation and the fullness in the head, whereas in the chronic cases of Lachesis, those that  have been poisoned years before, there will be a sensation of nausea and tendency to vomiting from taking a drink of cold water and then lying down.   The nausea comes on after lying down, that is, let the patient take a drink of ice cold water and go to bed and nausea will come one.  Such a state is peculiar to Lahcesis. Pit of stomach is painful to touch. Empty swallowing more painful than swallowing solids. Hungry, cannot wait for food.

 

Abdomen:-The abdomen is distended with flatus and is tympanitic in typhoid conditions.  There is much rumbling in the distended abdomen. The clothing cannot be tolerated, not even the slightest touch of the clothing, and yet it may require had pressure to bring out soreness that is deep in the abdomen. This stage is as it is in inflammation of bowels, ovaries and uterus. The patient lies on the back with the clothing lifted from the abdomen.  Violent, labor-like pains, menstrual colic, present in typhoid, in puerperal fever, in malignant scarlet fever.

Lachesis has a series of liver trouble with jaundice, congestion of liver, inflammation of the liver, enlarged liver and the nutmeg liver(cirrhotic liver). Cutting like a knife in the region of the liver.

 

  Vomiting of bile; vomiting of every thing taken into the stomach. Sensitiveness over the lower abdomen; can scarcely allow her clothes to touch her.

 

Stool: Lachesis has some peculiar symptoms of stools and anus.  There is an urging, or rather a pressing down, in the rectum, but it is worse when he attempts a stool; hurts so that he must desist.  It feels as if the anus were closed.  This somewhat like the constant or rather frequent, though ineffectual, urging to stool of Nux vomica; or like the painful constriction of Lycopodium,

which either prevents stool, or follows after an incomplete and unsatisfactory one. Another marked symptoms is that the stools are often very offensive, whether formed or not. Then under hamorrhages from the bowels, of decomposed blood which occur mostly during the course of exhausting, acute diseases, like typhoid. Stools are constipated due to inactivity of large intestine, stool lies in the rectum without urging; sensation of constriction of sphincter.

This remedy is often of great use in haemorrhoids; which are purplish in color and here you have the contracted feeling, whether the piles are external or blind, and  sometimes a beating or throbbing, or as the patient will perhaps express it, a sensation of "little hammers" beating in the rectum. 

 

Female:-  This is one of our best remedies in diseases of the female generative organs. First medicine to be thought in Climacteric troubles of women. In the first place it is eminently an ovarian  remedy, and seems to choose preference for the  left ovary.  It is of use in simple ovarian neuralgia, and from that to actual tumors or even cancer of the left ovary; or the trouble begins in the left and goes to right ovary. (Reverse, Lycopodium). But we may have neuralgia, swelling, induration, suppuration, tumors or cancer of one or both ovaries .  Its action in uterine troubles is also very marked. Here is a condition, as expressed in Guiding Symptoms, that has been very often verified during climaxis:" Pains in uterine region increase at times more and more till relieved by flow of blood from vagina; after a few hours or days, the same again, and so on".

In these cases  you almot always have the intolerance of least contact or pressure over the uterine region so characteristic of this drug. The womb prolapses, is at times persistently congested and obstinate uterine haemorrhages repeatedly occur.

Climacteric symptoms: There are hot flashes, hot vertex, pale face and fainting, uterine displacements of various kinds, and deranged capillary circulation, all so common in females at the menopause and especially haemorrhages.  (See also Crotalus & Kreosote).  Dr. Nash says that probably there are not three remedies in the whole Materia Medica so often indicated in the troubles connected with this period, as lachesis.  (Kreosote, post-climacteric diseases.) It is often of great use in cancer of either the breast or uterus. In either case the cancer puts on a bluish or purplish appearance, and if open or fungoid , bleeds easily a dark, decomposed blood.  In case of bleeding, the pains and suffering, as in the case of uterine haemorrhage, are temporarily relieved by it. Dr. Nash says that we would be greatly crippled in the treatment of these various ovarian and uterine troubles without Lachesis.

 

Male: Intense excitement of sexual organs with usual characteristic symptoms.

 

Respiratory:- Paralysis of the vocal chords, causing loss of voice; larynx is sensitive to least touch; it causes suffocation; it is one of our best remedies in desperate cases of croup, where the child gets worse in sleep; seems to sleep into it. Spasm of the glottis; sensation of something running from neck to larynx,  stopping  the breath. Upper part of the windpipe very susceptible to

touch. Sensation of suffocation and strangulation on lying down, particularly when anything is around throat; compels to spring from bed and rush for open window.

Feels he must take a deep breath.  Breathing almost stops on falling aspleep (Grind).This symptom is especially present in Asthma with the characteristic symptoms of loosening clothes for preventing suffocation. Dry hacking cough, < by touching throat or larynx, also cough during sleep, without awakening or being conscious of it.  Here it often cures very obstinate cases of cough after Chamomilla has failed, which also has this symptom.  For the short dry cough sympathetic with heart troubles, Lachessis is often useful. One of our best remedies in tyhphoid pneumonia or typhoid fever with lung complications.

 

Heart:   Palpitation, with fainting spells, especially during climacteric.  Constricted feeling causing palpitation , with anxiety. Cyanosis.  Irregular beats. 

 

Back & Extremeties:  Neuralgia of coccyx, worse rising from sitting posture; must sit perfectly still. Sciatica, right side, better lying. Pain in tibia (may follow sore throat).  Paralysis is generally lift sided. This paralysis may come on as a result of apoplexy or cerebral exhaustion; if the latter, there is still great hope of a perfect cure by a judicious use of  lachesis.

 

Sleep:-The patient sleeps into aggravation- this is genunine characteristic of  this remedy. On this line there is one particular symptom - i.e. As soon as the patient falls asleep, the breathing stops.  This is often found in heart troubles, functional or organic and is very distressing.(Grindelia robusta, Digitalis.).

 

Fever: Hay fever < spring; Chilly in back; hot flushes and  hot perspiration. Typhoid fever with tendency to haemorrhagic troubles i.e. purpura haemorrhaagica.

 

Skin:  Boils , carbuncles.  One of the most characteristic condition is color of them.  They are bluish verging onto black (Tarantula Cub., Anthracinum) especially when they cannot bear to be touched, they are so sensitive, even a poultice is unbearable because it is so heavy, that settles it. Wounds and ulcers bleed profusely, even small  wounds bleed much, wounds easily become gangrenous. Here lachesis is capable of doing great good.  Cancers turned bluish or black, bleed much and often, and burn.   Senile erysipelas, Wens, Cellulitis ; Varicose veins. Bed sores with black edges.

 

Modalities:

 

Worse: After Sleep- which is characterstic.

             Contact

            Extremes of temperatures

            Pressure or constriction

            Sunshine

            Hot drinks.

Better:  Appearance of discharges

            Warm applications.

 

Relationship: Complementary remedies are Hepar sulhuris calcareum. Lypodium clavatus and Nitricum acidum.

 

Summary of indications: Headache - constipation - epilepsy - *narcolepsy - snake bite.

 

 

*narcolepsy: an uncontrollable tendency to have attacks of deep sleep of short duration at any   time.

Antidotes:  Arsenic Album, Belladonna, Mercurius, Nux Vomica

 

 
 

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