CAUSTICUM

Hahnemann's Tinctura acris sine Kali

• Manifests its action mainly in chronic rheumatic, arthritic and paralytic affections, indicated by the tearing, drawing pains in the muscular and fibrous tissues, with deformities about the joints; progressive loss of muscular strength, tendinous contractures. 
• Broken down seniles. 
• In catarrhal affections of the air passages, and seems to choose preferably dark-complexioned and rigid-fibered persons. 
• Restlessness at night, with tearing pains in joints and bones, and faint-like sinking of strength. 
• This weakness progresses until we have gradually appearing paralysis. 
• Local paralysis, vocal cords, muscles of deglutition, of tongue, eyelids, face, bladder and extremities. 
• Children are slow to walk. 
• The skin of a Causticum person is of a dirty white sallow, with warts, especially on the face. 
• Emaciation due to disease, worry, etc, and of long standing. 
• Burning, rawness, and soreness are characteristic.

Mind

• Child does not want to go to bed alone. 
• Least thing makes it cry. 
• Sad, hopeless. 
• Intensely sympathetic. 
• Ailments from long-lasting grief, sudden emotions. 
• Thinking of complaints, aggravates, especially hemorrhoids.

Head

• Sensation of empty space between forehead and brain. 
• Pain in right frontal eminence.

Face

• Paralysis of right side. 
• Warts. 
• Pain in facial bones. 
• Dental fistula. 
• Pain in jaws, with difficulty in opening mouth.

Eyes

• Cataract with motor disturbances. 
• Inflammation of eyelids; ulceration. 
• Sparks and dark spots before eyes Ptosis (Gels). 
• Vision impaired, as if film were before eyes. 
• Paralysis of ocular muscles after exposure to cold.

Ears

• Ringing, roaring, pulsating, with deafness; words and steps re-echo; chronic middle-ear catarrh; accumulation of ear-wax.

Nose

• Coryza, with hoarseness. 
• Scaly nose. 
• Nostrils ulcerated. 
• Pimples and warts.

Mouth

• Bites inside of cheek from chewing. 
• Paralysis of tongue, with indistinct speech. 
• Rheumatism of articulation of lower jaw. 
• Gums bleed easily.

Stomach

• Greasy taste. 
• Aversion to sweets. 
• Feels as if lime were burned in stomach. 
• Worse after eating fresh meat; smoked meat agrees. 
• Sensation of ball rising in throat. 
• Acid dyspepsia.

Stool

• Soft and small, size of goose-quill (Phos). 
• Hard, tough, covered with mucus; shines like grease; small-shaped; expelled with much straining, or only on standing up. 
• Pruritus. 
• Partial paralysis of rectum. 
• Rectum sore and burns. 
• Fistula and large piles.

Urine

• Involuntary when coughing, sneezing (Puls). 
• Expelled very slowly, and sometimes retained. 
• Involuntary during first sleep at night; also from slightest excitement. 
• Retention after surgical operations. 
• Loss of sensibility on passing urine.

Female

• Uterine inertia during labor. 
• Menses cease at night; flow only during day (Cycl; Puls). 
• Leucorrhea at night, with great weakness (Nat mur). 
• Menses delay, late (Con. Graph; Puls).

Respiratory

• Hoarseness with pain in chest; aphonia. 
• Larynx sore. 
• Cough, with raw soreness of chest. 
• Expectoration scanty; must be swallowed. 
• Cough with pain in hip, especially left worse in evening; better, drinking cold water; worse, warmth of bed. 
• Sore streak down trachea. 
• Mucus under sternum, which he cannot quite reach. 
• Pain in chest, with palpitation. 
• Cannot lie down at night. 
• Voice re-echoes. 
• Own voice roars in ears and distresses. 
• Difficulty of voice of singers and public speakers (Royal).

Back

• Stiffness between shoulders. 
• Dull pain in nape of neck.

Extremities

• Left-sided sciatica, with numbness. 
• Paralysis of single parts. 
• Dull, tearing pain in hands and arms. 
• Heaviness and weakness. 
• Tearing joints. 
• Unsteadiness of muscles of forearm and hand. 
• Numbness; loss of sensation in hands. 
• Contracted tendons. 
• Weak ankles. 
• Cannot walk without suffering. 
• Rheumatic tearing in limbs; better by warmth, especially heat of bed. 
• Burning in joints. 
• Slow in learning to walk. 
• Unsteady walking and easily falling. 
• Restless legs at night. 
• Cracking and tension in knees; stiffness in hollow of knee. 
• Itching on dorsum of feet.

Skin

• Soreness in folds of skin, back of ears, between thighs. 
• Warts large, jagged, bleeding easily, on tips of fingers and nose. 
• Old burns that do not get well, and ill effects from burns. 
• Pains of burns. 
• Cicatrices freshen up; old injuries reopen. 
• Skin prone to intertrigo during dentition.

Sleep

• Very drowsy; can hardly keep awake. 
• Nocturnal sleeplessness, with dry heat, inquietude.

Relationship

• According to the careful investigations of Dr. Wagner of Basel, Causticum corresponds to Ammon causticum 4x. Causticum does not agree with Phosphorus; the remedies should not be used after each other. 
• Diphtherotoxin follows, causticum in chronic bronchitis.
• Antidote: Paralysis from lead-poisoning.
• Complementary: Carbo; Petrosel.
• Compare: Rhus; Arsenic; Amm phos (facial paralysis).

Modalities

• Worse, dry, cold winds, in clear fine weather, cold air; from motion of carriage. 
• Better, in damp, wet weather; warmth. Heat of bed.

Dose

• Third to thirtieth attenuation. 
• In chronic ailments and especially in paralytic states, the higher potencies once or twice a week.

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