Mercurius  corrosivus

All   the   preparations   of mercury act  on   the   intestines,

producing  bloody  stools with tenesmus, and, of course, all  may

be  indicated  in dysentery.    Mercurius  corrosivus is the  one

usually  thought   of   in  this   affection,  as  its   symptoms

corresponds to many severe cases.  In the  first  place  we  have

severe and extreme tenesmus;  this  is  the great  characteristic

of  the remedy; it is something  more  than   the  never-get-done

feeling   of   Mercurius solubilis, it is  an   intense,  painful

tenesmus,and  at  the same time there is much tenesmus   of   the

bladder,the  stools  are scanty, of mucous shreds and  blood  and

there  is  great  burning at the  anus.


Mercurius   solubilis  corresponds  more to sporadic  cases,  and  is  seldom  indicated in   malignant types, and in mild  cases    Mercurius  dulcis  is

an  excellent   remedy  where  tenesmus  and  pain  are   slight.

Capsicum  has  frequent small stools attended with  tenesmus  and

burning in  the rectum, but to have   Capsicum well indicated the

symptoms  of shivering when the patient drinks should be present.


Arsenicum   is  a  valuable remedy in  dysentery.   There   are

scanty  stools,   burning in the rectum, thirst,  and  after  the

stool   there   is  great   prostration, but  there  is  not  the

tympanitic  distention of  the abdomen  found under    Lycopodium

and    Carbo  vegetabilis; though  the patient  is  restless  and

thirsty,  water  is borne badly.  Stools which are  undigested  ,

slimy   and  bloody,  indicate     Arsenicum.  Blackish    brown,

horribly offensive stools also   indicate  well  the remedy.  The

tenesmus  and burning of the  anus  and  rectum   continue  after

stool.   If   Arsenicum be well  indicated   its   characteristic

thirst and restlessness must be present.



This  remedy,  which produces such an intense vesical   tenesmus,

also   produces   a   like  condition   in   the   rectum.    Its

characteristics are bloody and slimy discharges which  look  like

the   scrapings   of the intestines, which are nothing  but   the

fibrous exudations  from  the  disease. Tenesmus is marked,   and

always   with    Cantharis  there  is  a painful  urination,  and

there   is  present  a colic-like  pain  doubling   the   patient

up,   being  here  similar  to Colocynth, which has a  number  of

the  same  symptoms. Thus both have the above  symptom  of  being

doubled  up  by pain, both have slimy and  bloody  stools,  worse

from  eating or drinking; but under   Colocynth the  pains  cease

after   stool  and the patient is relieved  by  bending   double.

Cantharis   has  more  inflammation,    Colocynth  more   nervous

symptoms.    Colchicum   is   also  similar,  the  tenesmus   and

constriction  of  anus following  stool   is more tormenting than

the   urging  during  stool; tympany  also   strongly   indicates

Colchicum.     Kali   bichromicum follows    Cantharis  when  the

scrapings  become  jelly-like.  The   thirst  with  Cantharis  is




In  the first stages of dysentery   Aconite has proved  a  useful

remedy,  and  it  comes  in especially  well when the  days   are

warm   and   the nights  are cold. ,The stools are  frequent  and

scanty   with   tenesmus,  the skin is hot and  dry  and  general

Aconite   symptoms  are present.   Ferrum phosphoricum  comes  in

cases  less  acute than   Aconite; there is more blood  with  the

stool,  but   tenesmus contra-indicates the  remedy.    Mercurius

follows    both well.   Belladonna is especially suitable to  the

dysentery of children and plethoric young  persons. Cowperthwaite

recommends the 3X.



For  persistent  or chronic cases of dysentery   Sulphur  is  the

remedy;  the   tenesmus  continues, in fact there is  a  sort  of

tenesums   all   the time,  the  stools are slimy  and  there  is

frequent  sudden  urging  to stool.  Sometimes  this condition is

present without the tenesums.  In   Nux the tenesums ceases after

stool  and  the  pains are relieved   for a  short  time;  it  is

similar  to    Sulphur in its frequent urging,  the  stools   are

bloody,  slimy,  scanty and watery,and the patient is   worse  in

the  morning. Tearing pains down the thighs as  an  accompaniment

of   dysentery   would  indicate    Rhus   toxicodendron.   Great

offensiveness  of stools  and  constriction  of  the  anus  would

suggest     Lachesis. Baptisia is useful where there is  tenesums

but  no  pain  which  indicates  vital    depression,   offensive

discharges   are  also  present.  It  is  especially   useful  in

dysentery of old people with fevers.   Aloes  is also  a   useful

remedy  in  dysentery. The stools are  of  a   jelly-like  mucus,

and   covered  with blood and accompanied  by  griping   in   the

epigastric  region, the amount of mucus expelled is large,   and,

like    Sulphur,it  is  useful in chronic cases.  It  is  also  a

splendid   remedy in  purely inflammatory dysentery  and  follows

Aconite   well.   Ipecac  may be useful   in  cases  where  large

quantities of mucus are  expelled. In  haemorrhoidal   dysentery,

which   is  really  a  phlebitis  of   the  haemorrhoidal  veins,

Aloes and Hamamelis are the remedies.

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