M.T. Ahmad J.T. Kent
Croton Tiglium is a very well known purgative. Its patient develops sudden diarrhoea associated with griping and a continuous urge to pass stools. As a result, the patient becomes very weak. The skin symptoms of Croton resemble those of Rhus Tox. Blisters full of secretions form over the skin along with an itching and burning sensation. One noticeable difference between Croton and Rhus Tox is that in Rhus Tox when the eczema gets better, the healthy skin appears underneath. Next time, the blisters do not form at the same place. Afterwards, if the eczema returns, the previously affected part may become eczematous as well. In Croton, the blisters will form over the previously healed healthy areas leading to the development of an obstinate type of eczema.
Rhus Tox and Croton affect the intestines similarly. Croton is very useful in the treatment of chronic dysentery and diarrhoea. Unlike Rhus Tox and other anti-diarrhoeal remedies, the diarrhoea in a patient of Croton is sudden and propulsive. When children develop diarrhoea soon after taking milk, Croton would be the most probable remedy. The nausea in Croton is like that of Ipecacuanha. In Ipecacuanah, however, there is only nausea but no vomiting. In the case of Croton, there is nausea and diarrhoea but no vomiting.
In Croton, the stomach distends with wind and there is rumbling noise in the intestines. It feels as if the intestines are full of fluid. The stomach feels empty and hungry. In Croton, the skin and the abdominal symptoms alternate with each other.
A variety of eye symptoms are also found in Croton. The eyes become red and sore. Pimples and blisters form over the swollen eyelids. These symptoms are also noticed in other homoeopathic remedies but when there is inflammation of the intestines (Enteritis), the most likely remedy is Croton. In Croton, the eyes sink back due to dehydration. In Paris Quadrifolia this very symptom may be related to a wider range of ailments, so much so that the women can feel as if threads are being pulled out of their breasts causing severe pain, which makes sleeping difficult at night. Croton and Paris differ with each other. In the former, there is diarrhoea while in the latter there is no diarrhoea. In Croton, there is a feeling of pull with a rope under the umbilicus. This kind of sensation is also noticed in Plumbum.
Regarding eczema in children, especially the kind involving the scalp, Croton and Sepia work very much alike. But the typical symptoms of Croton would differentiate the picture from that of Sepia.
There is a variety of homoeopathic remedies related to the eczema over the genital organs. Croton is on the top of the list. Rhus Tox, Anagallis and Graphites are also famous in the treatment of this kind of eczema. The blisters in Croton are smaller than those of Rhus Tox. Similarly the fluid content of the blisters is also less in Croton. Croton and Rhus Tox work as antidote to each other. In Rhus Tox there is no diarrhoea.
The panacea for the treatment of the severe kind of diarrhoea resulting from Croton is Podophyllum. In Podophyllum too, the stools squirt out forcefully. The itching associated with Croton is best treated with Rhus Tox.
Anagallis is well renowned for the treatment of itching of the palms. The itching and eczema of Rhus Tox is usually on the back of the hand. Anagallis is the treatment for a similar condition of the palms of the hands. Burning is milder in the case of Anagallis compared to Rhus Tox. The reappearance of the eczema of Anagallis over the previously affected area resembles the similar tendency in Croton.
The ailments of Croton get worse in hot weather. The patient is restless, confused and sallow. There is a feeling of severe pressure and pain on the forehead. There is a feeling of heaviness in the head and vertigo. The cough may also provoke an attack of Asthma. The patient starts coughing as soon as he puts his head on the pillow. The patient cannot lie down and finds it impossible to take a deep breath.
Croton should not be forgotten in treating discharging ears with severe itching. A feeling of burning in the food pipe (oesophagus) is also a specific sign of Croton. The stomach feels weak.
In Croton, the urine is frothy and of orange colour at night. When settled, sticky particles rise to the surface. During the daytime, the urine is yellowish in colour and contains white particles.
In Croton, the symptoms aggravate on eating, touching the affected area and at night.
Antidotes: Antimonium Tart, Rhus Tox, Podophyllum
Potency: 30 to 200 or up to 1000
by Mirza Tahir Ahmad
CROTON TIGLIUM
Skin: Croton oil, when applied to the skin, produces both vesicles and pustules upon an inflamed base, and the part becomes very red and sore.
The inflammation often increases until it resembles erysipelas, but more commonly the eruption produced resembles a vesicular eczema. This eruption will come on for a few days and will then desiccate, and in a few days longer it will desquamate.
When one has been overdosed, as is done in a too prolonged proving, or by the crude drug, or when the prover has been markedly sensitive, we get an alternation of states, the internal alternating with the external.
After the eruption is out the internal manifestations are not present, as is seen in the rheumatic state, the cough and the bowel symptoms. If we study these groups separately we will find they are all interesting.
Cough: First, its cough. It has an asthmatic cough, coming on in the middle of the night, often arousing the patient from a sound sleep. Attacks of violent coughing, with dyspnoea and choking, worse at night and worse on lying down, compelling him to sit up, to be bolstered up in bed, or to sit up in a reclining chair.
His friends wonder if he is not going into consumption. If it is a child they wonder whether it is not whooping cough. There is extreme irritation of the air passages, so that the inhalation of air brings on the cough. Sensitive to deep breathing. Now, this will go on for a while and finally he will break out with an eruption somewhere upon the body, vesicles and pustules, in clusters and patches, that become inflamed and red and finally dry up and desquamate and disappear, and then back comes his cough. This may go on as a chronic state, and when such is the case it will be very well to know this remedy.
Bowel: The next most important symptoms are the bowel symptoms, and perhaps they are the best known of any of its symptoms outside of the eruption. It is suitable in both acute and chronic diarrhoea. It is suitable in cholera infantum.
The marked feature is the extreme, suddenness with which the stool is ejected. It seems to come out in one gush of yellow, watery or pappy stool; soft, thin fæces, coming, out with one gush, so marked is this that it is not an uncommon thing for a rural patient to describe it as "like that of a goose."
It all gushes out in one squirt.
The mother says of the little patient:
"You would be astonished, doctor, at the violent rush, for it all comes out with one squirt."
That is descriptive. Many remedies have a holding on and a prolonged effort at stool, until it takes quite a long time. Many of the diarrheas are prolonged with numerous little gushes of thin fæces or water, but this particular feature is striking.
It may not always be so, but this violent gush of thin, yellow faeces or yellow water is a striking feature of the remedy.
With this the abdomen is very sensitive, and is greatly distended; there is much gurgling in the bowel, and when the physician puts his hand upon it the patient will say he feels the gurgling, as if he were full of water, and it probably is so, for the expulsion of the stool would not occur in one strong gush were it not for the fact that the colon and rectum were full of fluid.
Another peculiar thing commonly attending Croton tig. diarrheas is that pressure over the abdomen or pressure about the umbilicus causes a pain in the rectum and urging to stool, and a feeling, with the expulsion of the stool, as if the rectum would protrude. Clinically it has been described as if the pain followed the intestines all the way down to the anus.
The taking of a little water, or of a little milk, what would ordinarily be suitable food for such a diarrhea, will at times cause an instant urging to stool; he must go to stool immediately after eating.
This gives the general features of the Croton tig. diarrhoea. If it is in an infant there is great exhaustion, tympanitic abdomen, much rumbling of the bowels, great sinking, and as soon as the infant takes one mouthful of milk or draws from the mother's breast it expels a gush of liquid or pappy stool.
Eyes: Another most important group of symptoms is its eye symptoms. It has eye symptoms of an inflammatory character, and around the eyes and upon the lids are vesicles and pustules.
Pustules upon the cornea, granular lids. Inflammation of all the tissues of the eye. It has an inflammation of the iris and conjunctiva. The blood vessels of the eyes are distended, the eye looks red and raw. The eyelids when turned out are seen to be greatly inflamed and granular, covered with vesicles and pustules.
With this inflammatory condition there is a sensation very commonly present in the Croton tig. eye cases, as if the eye were drawn backwards by a string, or as if the optic nerves were dragging the eyes backwards into the head.
This drawing in the back of the eye as with a string is also peculiar to Paris quadrifolia, but the conditions are different in Paris quad. In headaches from overuse of the eyes in engravers or those doing fine needle work, with much neuralgia in the head, due probably to the overuse of the eyes, when the pains in the eyes are not attended with inflammation, but are more of the type of dull aches and pains that you might call only rheumatic or neuralgic, with this sensation as if the eyes were drawl) back into the brain; in these neuralgic cases use Paris quad.
But in the inflammatory conditions such as I have described, with the same drawing back as with a string, Croton tig. is the remedy.
Troublesome eczema of the scalp in infants, either purely vesicular or intermingled more or less with pustules. The vesicles dry up and then desquamate, and now there is a red, raw, inflamed surface, sensitive to touch.
After desquamation has pretty nearly finished, a new crop of pustules and vesicles comes out, and while one place is clearing off another is vesicular. This is how it goes on with a chronic eczema. The eruptions are often about the eyes, on the temples, over the face and on top of the head.
The appearance is so nearly like Sepia that the two very often cannot be distinguished. Sepia has the same vesiculation intermingled with pustules, the bleeding and rawness of the surface and the eruption of new crops.
Sepia is more frequently indicated in this raw and bleeding state of the scalp, in crusta lactea, or the eruption of children that Crot. tig. Under Croton tig. infants in this state very often have attacks of gushing diarrhea, coming on from the slightest disturbance or indigestion; this is a great help in guiding to the remedy.
When the two groups of symptoms are combined, the scalp symptoms and the diarrhea, you can hardly make a mistake. You will see this also, that if the diarrhea is at all prolonged, the head will steadily improve and you will think your patient is getting well of the scalp trouble, but when the diarrhea slackens up a little out will come a fresh crop.
If the diarrhoea becomes chronic the external eruption will disappear, and if the diarrhea improves the external eruption gets worse. It seems necessary in such a constitution to have a vent. The mucous membrane is but the internal skin, and the integument of the body the external skin, and this remedy especially manifests itself upon one or the other of these, the mucous membrane or the integument.
Lactation: It has another manifestation that you want to carry in mind, a group of symptoms in relation to lactation. After confinement the mother may go on a little while with all things following normally, but all at once she commences to have pains in one or the other mammary gland, and the drawing as with a string comes up again.
It feels to her as if a string were attached behind the nipple pulling backward, a sharp, drawing, stinging pain that will in some instances keep her walking the floor night and day.
Though it is but a little thing it is a very important symptom to know with Croton tig. We see this drawing, as with a string, in the eye and in the breast, and also the symptom, very like the Plumbum symptom, drawing in the naval upon pressure, somewhat like a string.
Associating such things together will enable you to understand them as a part of the nature of the remedy and to keep them in mind. I once cured a woman of this painful drawing from the nipple as with a string. I watched her walk the floor and saw that the suffering must be very intense, for at times it brought tears to her eyes. She had borne it several nights, which shows that Croton tig. is capable of curing a pain that is very prolonged or tedious.
The breast had been poulticed, hot applications had been put upon it, and they did not give relief, a point which is worth remembering.
In cholera infantum, we will naturally have the symptoms of vomiting, which, however, are not so common to Croton tig., although it has some vomiting, So in cases of cholera infantum, in which the vomiting is not so important a feature as the loose bowels, the remedy may be Crot. tig.
A symptom is reported that is of great value. Excessive nausea with vanishing of sight, vertigo, worse after drinking, with frequent discharges of yellowish-green water from the bowels; excessive nausea, much water in the mouth. So we note the excessive nausea and not so great vomiting.
The nausea is more like that of Ipecac, but in Ipecac. we have nothing like the stools of Crot. tig., we have only scanty little gushes, every minute a little gush with tenesmus. Vomiting is the all important symptom in the cholera infantum of Ipecac., and when the stomach is emptied there is overwhelming retching and exhaustion from it, and the stools are scanty; but in Croton tig., the stools are copious and while there is nausea the vomit ing is seldom and scanty.
Another feature to be considered in this remedy is its relation to Rhus.
It is an antidote to Rhus. Croton tig. is closely related in its vesicular eruption to the Rhus family (particularly Rhus tox.). Anacardium, Sepia and Anagallis.
Skin: The eruptions of Croton tig. very often select as a location the genital organs. Rhus does the same, and when the genital organs are the principal seat of the eruptions in Rhus poisoning Croton tig. will commonly be its antidote; also when the eruptions are most about the eyes and scalp Croton tig. will often furnish an antidote.
When the symptoms, however, confine them selves to the palms of the hands Croton tig. is not the remedy, but it is Anagallis. Anagallis does upon the palms of the hands just what Croton tig. does upon the genitals. If you examine Anagallis you will find that the eruptions will come out and desquamate, and no sooner does the surface look as if it would heal than a new crop comes out. Rhus is similar in that it locates upon the palms of the, hands, but Rhus does not repeat itself. upon inflamed surfaces. In the Croton tig. eruption there is some burning, but nothing like that of Rhus.
The Rhus burning pain in eruptions that are marked is almost like fire. It is worse from the air, and it is better from dip ping the part in water as hot as it is possible to endure it. Persons who have these Rhus eruptions talk about scalding their hands to relieve the itching and burning.
So it is with Croton tig, but it is usually so sore he cannot touch it; when the eruption is so mild that he can handle it, we find that the slightest rubbing relieves the itching.
In Rhus touch aggravates the itching. In bad cases of Rhus poisoning he will hold his fingers far apart if they have very large blisters upon them, and he will not touch the place because it establishes a voluptuous itching that nearly drives him wild.
Although this is not so with Croton tig., still they are similar enough to each other to be antidotal; they do not have to be exactly alike, but they need to be similar.
It is true that remedies that are relieved by scratching are more nearly antidotal to such remedies as are relieved by scratching. The more similar the better; but medicines will antidote each other when they are similar only in general character, and they will cure disease when they are similar in general character.
It is also true that medicines while they are not similar in general character may be similar enough in special localities to remove the symptoms in these localities, while the disease will go on. The remedy in this case is not similar enough to cure the disease, but it has removed some of the symptoms. That is the most miserable kind of a prescription, as it changes the manifestations of the disease without changing its nature. In that way, a very poor prescription may hunt around and get one remedy for one group of symptoms and another remedy for another group, and the patient be worse off than before. If the remedies are similar as to their general nature, then the little superficial symptoms are not so extremely important.
"Frequent, corrosive itching on glans and scrotum."
"Vesicular eruption on scrotum and penis."
It is a remedy for vesicular and pustular eruptions upon the genital organs. It is closely related to Petroleum, which has fine red vesicular and granular elevations, intermingled with fine red rash upon the genitals, itching intensely, worse at times by scratching until burning comes on and then bleeding which relieves.
by James Tyler Kent