APPENDICITIS

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Bryonia. Stitching and burning pains aggravated or slightest motion. Better by lying on painful side and by pressure. Tenderness in the right lower abdomen. Patient lies still with legs drawn up to relax the abdominal muscles. Do not want to be touched and every breath worsens the pain. Thirst for large quantities of cold water. Give in IX potency every four hours till the pain stops.

Sulphur. Should be used as an intercurrent remedy to complete the cure.

Iris Tenax. Is the remedy to start treatment of appendicitis. Fearful pain in ileo-caecal region, great tenderness to pressure; deathly sensation at the pit of the stomach.

Belladonna. It has the same symptoms as Iris T., but it should be given after the latter has failed. It has severe pain in the ileo-caecal region, worse from jar. inability to bear slightest touch, even of bed cover. There is also vomiting. Sleepy but unable to sleep. Oversensitive to light and other external impressions. Better lying on back with knees drawn up. Nervousness, throbbing headache. Worse by stooping, must have loose clothes.

Dioscorea. A valuable remedy when the pain is constant—the patient has never been entirely free from pain. Bowels filled with gas with griping, twisting pains better by bending backward. It may be given in hot water.

Mercurius. Where local symptoms are acute. Enteric, or diarrhoeaic condition is also present. Swelling hard, hot and painful in ileo-caecal region. Bruised sensation r intestines. No relief from perspiration. Tender lump felt in the appendix region.

Colocynth. Specially indicated by a high degree of pain which may be cutting, twisting or cramping.

Lachesis. A valuable remedy, sensitiveness all over the abdomen, and stitching from the seat of inflammation, backward and downward to the thighs. Patient lies on the back with kness drawn up. Feels hot, cannot bear clothing even in cold weather.

Lycopodium. Is the remedy in high dilutions (say in 1,000) when the acute attack is over. It should be given fortnightly or monthly to stop recurrence of attacks.

Arsenic Alb. When the condition points to sepsis, it may be the remedy. There are chills, hectic symptoms, diarrhoea, restlessness and sudden sinking of strength.

Rhus Tox. Extensive swelling over the ileo-caecal region and great pain causing an incessant restlessness. This also covers septic conditions.

Ignatia. Terrible pain in appendix with fear of operation is an important mental symptom. The knees drawn up to chin. Body hot and rigid. The patient is sensitive, alert and nervous. He suffers acutely in mind and body at the same time. Has griping and stitching pains: In nervous patients treatment may be started with this remedy.