Paeonia

Natural History.
      Peonia officinalis.
      Peony.
      N.O. Ranunculaceæ.
      Tincture of the fresh root dug in spring (in autumn the root is said to be inert.)

Clinical.
      Anus, fissure of, fistula of, affections of.
      Bed-sores.
      Breast, ulceration of.
      Ciliary neuralgia.
      Coccyx, ulcer on.
      Hemorrhoids.
      Headache.
      Head, rush of blood to.
      Nightmare.
      Perineum, ulcer on.
      Sternum, pain in.
      Ulcers.
      Varicose veins.
      Vertigo.

Characteristics.
      Peonia belongs to the great order of Ranunculaceæ., which includes the Aconites, Acteas, and Hellebores. The proving brings out many symptoms of congestion
      Rush of blood to head, face, chest, burning heat and redness of eyes and face, burning, itching, and swelling of anus, heat in throat, in skin.
      The symptoms are well characterized, but it is principally the anal and skin symptoms which have been verified in practice.
      One of the symptoms of the proving is this: " A small ulcers on perineum near anus that constantly oozes very offensive moisture, painful for eight days." This symptom has been expanded by clinical observation, principally Ozanam’s, into ulceration in general, ulcers from pressure, as bed-sores, and from ill-fitting boots.
      "Sensation of splinter sticking in skin of right great toe when touched," and "violent pain as from pressure in left little toe," are guiding symptoms of the provings which put that great prescriber on the right track here.
      The ulcers are the seat of severe shooting pains.
      The symptoms of Ozanam’s cases are bracketed in the Schema. These observations show the relationship between Peon. and the Hellebores. The situation of the ulcer of the proving, together with the anal symptoms.
      Biting, itching, swelling, burning.
      Clearly point to Peon. As a remedy in anal affections such as abscess, fissure, fistula, and piles.
      The leading indications are intolerable during and after stool and oozing of moisture.
      Experience has proved that varicose veins as well as anal varices are amenable to Peon. The dreams experienced by the provers were of a terrifying nature, and it is interesting to note, as Geyer, one of the provers, does, that both Dioscorides and Plinius cured nightmare with Peon., the former with the seeds, the latter with the root.
      Geyer was ignorant of this fact until after he had experienced the nightmare-causing power of the drug, As the tissues are sensitive to pressure and injury, the mind is also sensitive: "Griping pain in abdomen, preceded, and especially followed, by anxiety, trembling of legs and arms as though he were frightened, he became apprehensive if any one spoke to him, and unpleasant news affected him exceedingly.
      "There is fainting with diarrhea, and the stools are followed by intense chilliness, occurring generally a few hours after he felt the worst.
      The symptoms were worse by motion, by walking.
      Bad pain in anus compelling him to walk the floor all night, or to roll on the floor.
      Worse Coming into warm room.
      Worse Touch or pressure.
      Keeping jaws open better pressure from lower jaw to inner ear.
      Drinking water better vertigo with nausea.
      The right side is more affected than the left.

Relations.
      Antidoted by: Aloe., Ratan.
      Compare: In varices, Ham. In splinter sensation, anal fissures and abscess, in ulcer, Nit-ac. In splinter sensation and ulcers, Arg-n., Hep. In ulcers, Helleb. n., Helleb-v., Silica. In ulcers about the toes, Mang. aust. In diarrhea, Sul. In effects of bad news, Gels.

Causation.
      Bruises.
      Pressure (bed-sores, tight boots).
      Bad news.

Mind.
      Delirium.
      Excitement.
      Apprehension, in evening, with anxiety.
      Anxious, afraid to talk with any one, much affected by bad news, after pinching in belly.
      Ill-humor.
      Depression, after five PM, with irritability.

Head.
      Vertigo: on every motion (in a warm room), with constant reeling and staggering.
      Dullness, heaviness, vertigo, and feeling of heat in head.
      Syncope and cold sweat.
      Fullness, and rush of blood to head, after five PM, with pain below forehead, and to face with sweat.
      Pain and confusion of head.
      Pain with dulness of head, roaring in ears, and flickering before eyes.
      Gnawing headache.
      Headache, with pressive pain in left side, after a meal (dinner).
      Pain in forehead: in Morning and evening, and in orbits, above left brow, with sticking.
      Jerking tearing in right temple, extending into head.
      Boring outward in right temple.
      Pain in occiput and in nape.
      Heaviness in occiput.

Eyes.
      Eyes red and watery.
      Pain in left eye, becoming a tearing, with inflammation, injection of conjunctiva, difficult opening of eye on account of pain and photophobia, with lachrymation.
      Eyes dry, smarting, not easy to open.
      Burning, itching and dryness, of eyes and lids.
      Violent tearing around right eye.
      Conjunctivitis of ball and lid, with lachrymation and contracted pupils.
      Inflammation of left ball, with pain as if a grain of sand were under upper lid.
      Sticking in right upper lid towards inner canthus.

Ears.
      Jerking in cartilages of ears.
      Sticking outward in right ear.
      Pinching behind right ear.
      One ear cold, the other hot, three PM
      Itching in concha.
      Ringing in ears, in left

Nose.
      Stoppage of nose: in evening, in morning in bed, with dryness.
      Crawling in tip of nose.

Face.
      Face red and puffy.
      Burning heat in face.
      Crawling in upper lip.
      Pain extending from articular fossa of lower jaw through inner ear, better keeping jaws open for a long time, as, e.g., when drinking, worse pressing them together.

Mouth.
      Tongue red.

Throat.
      Biting posteriorly in palate in evening.
      Hawking caused by tenacious mucus in throat, with scanty expectoration.
      Scraping in throat, necessary to cough and hawk to loosen it, and feeling in posterior nares as if full of mucus.
      Sensation as if an acrid, burning vapor ascended throat.
      Heat: in fauces extending to pharynx, in throat and esophagus, worse hawking.
      Swallowing difficult.

Appetite.
      Appetite lost.
      Thirst.

Stomach.
      Nausea (on entering a room after a moderate walk, with seething in head, vanishing or obscuration of senses, and attacks of faintness).
      Vomiting and painful diarrhea.
      Anxious aching (pressing) in epigastrium.
      Periodical sticking upward from middle of epigastric region.
      Burning in epigastric region at night.

Abdomen.
      Borborygmi.
      Griping pain in forenoon, preceded, and especially followed, by anxiety, trembling of limbs and arms, as if frightened, and apprehension when any one spoke to him, unpleasant news affected him exceedingly.
      Pinching in abdominal muscles.
      Cutting, in umbilical region.
      Colic, with diarrhea, transversely across upper abdomen.
      Sensitiveness, worse along transverse colon and epigastric region, that were hard and retracted.
      Crawling in abdomen.

Stool and Anus.
      Biting itching in anus that provokes scratching in afternoon, the orifice seems somewhat swollen.
      Hemorrhoids with fissure in anus, intolerable pains during and after a stool.
      Hemorrhoids and ulceration of rectum.
      Very painful and sensitive ulcers and rhagades in rectum.
      Very painful ulcer, partly in enlargement, round, sharp-cut edges, and exuding much moisture.
      Funnel-shaped ulcer just below coccyx.
      Running and fetid ulcer in the anus, towards the perineum.
      Sudden pasty diarrhea, with faintness in abdomen and burning in anus after stool, returning after six hours, then internal chilliness, generally a few hours afterwards he felt the worst.
      Stools thin, frequent.

Urinary Organs.
      Constriction in region of neck of bladder, so that urine passed only in driblets.
      Frequent and copious micturition, disturbing sleep at night.
      Micturition burning and urine scanty.

Female Sexual Organs.
      External genitals swollen and painful.

Chest.
      Sticking in left chest, parallel with axis of body, on every inspiration from 3.30 to 5 and at nine PM
      Sticking: in right side near sternum, on a level with nipples, at four PM, near right nipple, worse walking, to right of ensiform process, with pressure, downward sticking in left chest, backward sticking as if through heart.
      Sticking through whole left half of chest, beginning beneath clavicle and extending to diaphragm, worse region of heart at moment of expiration, and worse walking.
      Cutting in left side when sitting bent over.
      Sharp pain in ribs above hepatic region, in morning.
      Pain: near middle of sternum, beneath manubrium in morning, near both sides of lower part of sternum when eating, in middle of sternum, better night, worse next morning, and recurring all the forenoon.
      Pain beneath the heart as from anxiety.
      Throbbing extending through right side and from posterior part to nape, where it ended in intermitting pinching.
      Rush of blood.
      Heat in chest.
      (Ulcer on lower part of left breast, consequent on abscess which had never healed.)

Heart.
      Dull shooting from front to back through heart.
      Pulse contracted.

Neck and Back.
      Sticking in last cervical vertebra.
      Sticking in scapula, in places in back, better scratching.
      Pinching or griping now in dorsal, now in abdominal muscles.
      Boring in left scapula, better motion., – Ulcers over sacrum, bed-sores.

Limbs.
      Jerking and tearing in extremities, paroxysmal tearing, then numbness, weakness in evening.

Upper Limbs.
      Acute lancinations under axille.
      Aching in right upper arm, extending to region of elbow, better motion.
      Tickling as if an insect were creeping on forearm.
      Tense feeling in muscles across elbow on flexing arms.
      Cramp in ulna at wrist.
      Sticking griping in left wrist, behind thumb.
      Pain almost a tearing in left finger-tips.
      Shootings and tingling in fingers.
      Dead feeling in one finger.
      Ring finger, which received four weeks previously a blow from a blunt rapier, seems as far as the first and second phalanges dead, cold, devoid of blood, shrivelled, yellow, and without sensation, in afternoon.

Lower Limbs.
      Cramp in right knee (joint) when sitting.
      Sudden thrusts (blows) outward or inward side of left knee.
      (Ulcer on anterior surface of right tibia, from a blow.
      Chronic ulcer of right leg, serpiginous, spreading at edges, severe shooting pains hindering walking by day and rest by night.
      Ulcer on left great toe, on dorsum of foot, from tight boots.) – Sensation in lower part of calf as if aponeurosis of muscles and tendons were tense or bruised, making walking difficult, towards, evening.
      Weary pain in ankles when sitting.
      Pain in corns.
      Swelling of toes, with contraction, intermittent sticking (jerking pains) through them.
      Sticking in skin of great toe, as if pressed by shoe, in evening.
      Pain in left little toe as from pressure.

Generalities.
      Weakness: when walking, with heaving of chest and limbs, so that often she must stand still, better eating, with heaviness of limbs.
      Worse After sleep at night, at noon and in rainy weather.

Skin.
      Painful ulcer, oozing offensive moisture on perineum, near anus.
      Sensitive ulcers on lower part of body.
      Crawling in a spot on left forearm, with a bristling sensation, sticking in the fingers, in the sides, drawing beneath umbilicus, better scratching.
      Itching: on calves, better rubbing, on head, chest, and limbs, with burning biting as from nettles, prickling in open air, with sticking, prickling on chest, then in axille and arms down to sides of chest.

Sleep.
      Sleepiness all afternoon.
      Starting on falling asleep, even during day.
      Sleep: restless, and dreams unremembered, restless, disturbed the first night by burning in epigastric region, afterwards by voluptuous dreams with emissions, or by anxious and vivid dreams of death, etc.
      Sleep unrefreshing, disturbed by many and unrefreshing dreams.
      Dreams: unremembered, frightful, of the death of relatives, etc., quarrelsome, anxious, vivid, wonderful, and amorous,, with emission, amorous after midnight, disturbing sleep, of a ghost sitting upon his chest and oppressing his breath, so that he often woke groaning, of a figure sitting upon his chest, making respiration anxious.

Fever.
      Shivering.
      Coldness of one ear at five PM, with heat of the other.
      Coldness of limbs, with (burning) heat in face, back, and chest.
      Heat: at night disturbing sleep, general, waking after midnight, with heat in region of stomach.
      Hot skin.
      Flea in head, in face, as from nettles, on chest, neck, back, and shoulders.
      Rush of blood to head and face with sweat.