Portal Hypertensive Gastropathy
Portal
hypertensive gastropathy
1.
Chionath
2. Digitalis
3. Nux vomica
Digitalis
Characteristic
particulars
·
When jaundice arises
from cardiac diseases, Digitalis may be the remedy.
·
There is no
retention of bile, nor obstruction of the ducts, but the jaundice is due to the
fact that the liver does not take from the blood the elements which go to form
bile.
·
There is drowsiness,
bitter taste, soreness , enlargement and bruised feeling in the region of the
liver.
·
Digitalis is useful
in the worst forms of jaundice if the pulse be irregular and intermittent, and
if there be rapid prostration of the strength.
·
White, chalk-like,
ashy, pasty stools. Diarrhoea during jaundice.
Modalities
·
< - sitting
erect, music, after meals
·
> - empty stomach
Nux
vomica
Characteristic
particulars
·
In liver affections
occurring in those who have indulged to excess in alcoholic liquors, highly
seasoned food, quinine, or in those who have abused themselves with purgatives,
Nux is the first remedy to be thought of.
·
Bruised soreness of
abdominal walls.
·
Liver engorged, with
stitches and soreness.
·
Colic, with upward
pressure, causing short breath, and desire for stool.
·
Constipation, with
frequent ineffectual urging, incomplete and unsatisfactory; feeling as if part
remained unexpelled.
·
Alternate
constipation and diarrhoea-after abuse of purgatives.
·
Colic may be
present.
·
The liver is swollen
hard and sensitive to the touch and pressure of clothing is uncomfortable. The
first remedy in cirrhosis of the liver.
Modalities
·
< - morning,
mental exertion, after eating, stimulants, narcotics, dry weather, cold
·
> - from a nap,
while at rest, in damp wet weather, strong pressure
